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Biomedical subjects

P R Howe

Publications and source records attributed to P R Howe.

At least 19 recordsLinked to original sources

Re-establishment of neurochemical coding of preganglionic neurons innervating transplanted targets.

We investigated the effect on neurochemical phenotype of changing the targets innervated by sympathetic preganglionic neurons. In neonatal rats, the adrenal gland was transplanted into the neck, to replace the postganglionic neurons of the superior cervical ganglion. Transplanted adrenal glands survived, and contained noradrenergic and adrenergic chromaffin cells, and adrenal ganglion cells. Retrograde tracing from the transplants showed that they were innervated by preganglionic neurons that would normally have supplied postganglionic neurons of the superior cervical ganglion. The neurochemical phenotypes of preganglionic axons innervating transplanted chromaffin cells were compared with those innervating the normal adrenal medulla or superior cervical ganglion neurons. As in the normal adrenal gland, preganglionic nerve fibres apposing transplanted chromaffin cells were cholinergic. The peptide and calcium-binding protein content of preganglionic fibres was similar in normal and transplanted adrenal glands. In both cases, cholinergic fibres immunoreactive for enkephalin targeted adrenergic chromaffin cells, whilst cholinergic fibres with co-localised calretinin-immunoreactivity innervated noradrenergic chromaffin cells and adrenal ganglion cells. In contrast to the innervation of normal adrenal glands, these axons lacked immunoreactivity to nitric oxide synthase. In a set of control experiments, the superior cervical ganglion was subjected to preganglionic denervation in rat pups the same age as those that received adrenal transplants, and the ganglion was allowed to be re-innervated over the same time course as the adrenal transplants were studied. When the superior cervical ganglion was re-innervated by preganglionic nerve fibres, we observed that all aspects of chemical coding were restored, including cholinergic markers, nitric oxide synthase, enkephalin, calcitonin gene-related peptide and calcium binding proteins in predicted combinations, although the density of nerve fibres was always lower in re-innervated ganglia. These data show that the neurochemical phenotypes expressed by preganglionic neurons re-innervating adrenal chromaffin cells are selective and similar to those seen in the normal adrenal gland. Two explanations are advanced: either that contact of preganglionic axons with novel target cells has induced a switch in their neurochemical phenotypes, or that there has been target-selective reinnervation by pre-existing fibres of appropriate phenotype. Regardless of which of these alternatives is correct, the restoration of normal preganglionic codes to the superior cervical ganglion following denervation supports the idea that the target tissue influences the neurochemistry of innervating preganglionic neurons.

Adrenal Glands↗

Rodent noradrenergic chromaffin cells contain calbindin D28K immmunoreactivity.

The calcium binding protein calbindin D28K is heterogeneously distributed in neurons throughout the body. We have investigated the distribution of calbindin in the chromaffin cells of the adult rodent adrenal medulla, which share the same developmental origin as peripheral sensory and autonomic neurons. Calbindin immunoreactivity was present in all noradrenergic chromaffin cells (defined by their lack of the adrenaline synthesizing enzyme, phenylethanolamine N-methyl transferase) in both the rat and mouse. It was also present in a very few adrenergic chromaffin cells in both rat and mouse. Calbindin-immunoreactivity is present in rat noradrenergic chromaffin cells from the day of birth and so is a useful marker for identifying rodent noradrenergic chromaffin cells.

Adrenal Medulla↗

Australian food sources and intakes of omega-6 and omega-3 polyunsaturated fatty acids.

BACKGROUND/AIMS: Both omega-6 and omega-3 polyunsaturated fatty acids (PUFAs) are recognised as essential nutrients in the human diet, yet we have little information on the extent to which different food sources contribute to their intake. The aim of the present study was to ascertain the daily intakes and food sources of omega-6 and omega-3 PUFAs in our local community. METHODS: Three-day food records were obtained from 83 healthy adults living in the Illawarra region of New South Wales. The PUFA composition of the foods which they consumed was derived from food composition tables and recently published food analysis data. RESULTS: Polyunsaturated margarine, nuts/seeds, bread, snacks/desserts and takeaway foods were important sources of omega-6 PUFAs, while canola oil and margarine, takeaway foods, snacks/desserts and bread were sources of alpha-linolenic acid (LNA), an omega-3 PUFA. As expected, fish was the main source of the very long chain (VLC) omega-3 PUFAs, i.e. eicosapentaenoic acid (EPA), docosapentaenoic acid (DPA) and docosahexaenoic acid (DHA), to which significant health benefits are attributed. An unexpected finding, however, was that, due to the large amount eaten, meat was also a major contributor (29%) to the dietary intake of VLC omega-3 PUFAs. Median intakes of omega-6 and omega-3 PUFAs were 9.9 and 1.2 g/day, respectively, resulting in a dietary omega-6:omega-3 ratio of 8:1. The median intake of VLC omega-3 PUFA was 0.18 g/day. CONCLUSION: We have identified food sources and intakes of PUFAs for an Australian subpopulation differentiating between omega-6 and omega-3 PUFAs. Whilst canola and fish were the primary sources of LNA and VLC omega-3 PUFAs respectively, we found that meat made a significant contribution to VLC omega-3 PUFA intake.

Adult↗

Can we recommend fish oil for hypertension?

1. The ability of the n-3 fatty acids in fish oil to lower blood pressure has been established. Dietary fish oil supplementation is effective in mild hypertension and, in certain cases, as an adjunct therapy in drug-treated hypertension. Efficacy may be enhanced by restricting sodium intake. 2. The overall benefit of fish oil in hypertension, however, has not yet been fully evaluated. We still need further information on the relative efficacy of individual omega-3 fatty acids and on additional cardiovascular benefits and possible disadvantages of increasing their consumption.

Animals↗

Purified omega-3 fatty acids retard the development of proteinuria in salt-loaded hypertensive rats.

OBJECTIVE: To determine whether purified omega-3 and omega-6 fatty acids influence the progression of hypertensive renal failure in salt-loaded stroke-prone spontaneously hypertensive rats (SHRSP) with established hypertension or during the developmental stage of their hypertension. DESIGN: Groups of eight SHRSP aged 1 or 4 months were fed, for 12 weeks, synthetic diets containing 2% sodium (wt:wt) and either 5% olive oil or 4.5% gamma-linolenic acid (omega-6), eicosapentaenoic acid (omega-3) or docosahexaenoic acid (omega-3). METHODS: Urinary protein excretion and blood pressure were measured after 6, 9 and 12 weeks. The rats were killed and their tissues were collected for fatty acid and eicosanoid analysis. RESULTS: Young rats (aged 1 month) fed diets containing gamma-linolenic acid or olive oil developed marked proteinuria by 9 weeks, whereas no change was observed after 12 weeks in rats fed docosahexaenoic acid or eicosapentaenoic acid. Blood pressure was lower in those fed docosahexaenoic acid or eicosapentaenoic acid than in the gamma-linolenic acid or olive oil groups. Adult rats (aged 4 months) fed the docosahexaenoic acid diet had significantly lower proteinuria than those fed gamma-linolenic acid, eicosapentaenoic acid or olive oil, but there were no differences in blood pressure among the groups. Kidneys from rats fed omega-3 fatty acids had increased levels of docosahexaenoic acid or eicosapentaenoic acid, or both, whereas those from rats fed gamma-linolenic acid and olive oil contained virtually no omega-3 fatty acids. Thromboxane B2 and 12-hydroxyeicosatetraenoic acid production in renal cortex extracts was lowest in rats fed docosahexaenoic acid and eicosapentaenoic acid. CONCLUSION: Dietary omega-3 fatty acids retard the development of hypertension-induced proteinuria. This may be caused by a favourable influence on fatty acid and eicosanoid metabolism and reduction of blood pressure.

Animals↗

Plasma adrenaline responses to long-term modification of blood pressure in normotensive rats and hypertensive rats.

OBJECTIVE: To examine the relationship between plasma adrenaline and hypertension. DESIGN: Plasma adrenaline responses to chronic manipulations of blood pressure were tested in normotensive and in hypertensive rats. METHODS: Hypertension was induced in normotensive Wistar-Kyoto (WKY) rats by administration of the nitric oxide synthase inhibitor NG-nitro-L-arginine methyl ester (L-NAME), and blood pressure was lowered in stroke-prone spontaneously hypertensive rats (SHRSP) by administering hydralazine. Plasma catecholamine responses were monitored using blood samples from conscious unrestrained rats under resting conditions. RESULTS: Twenty-four hours after starting L-NAME treatment, mean arterial pressure was 22 mmHg higher than in control WKY rats. Heart rate and plasma noradrenaline were reflexly reduced, but plasma adrenaline was unaffected. After 4 weeks of L-NAME treatment mean arterial pressure was 48 mmHg higher than in untreated rats. At this stage heart rate had returned to normal, but plasma noradrenaline was 33% higher and plasma adrenaline was 117% higher than in untreated rats. The elevation of plasma adrenaline was confirmed in a study of longer duration, in which plasma adrenaline had doubled after 10 weeks of L-NAME treatment. Conversely, 24 h after hydralazine treatment in SHRSP, mean arterial pressure was reduced by 49 mmHg and there was a reflex elevation of plasma adrenaline, noradrenaline and heart rate. However, after 19 days of blood pressure reduction with hydralazine, plasma noradrenaline and heart rate had returned to normal, but plasma adrenaline had fallen to 30% below normal. Most of the change in mean arterial pressure observed with either chronic L-NAME or hydralazine could be attributed to modulation of neurally mediated vasoconstriction, estimated from mean arterial pressure responses to acute autonomic blockade. CONCLUSION: Selective changes in plasma adrenaline levels were induced by chronic experimental manipulations of blood pressure. This implies that the high plasma adrenaline level observed in spontaneously hypertensive rats might be a consequence rather than a cause of their hypertension.

Animals↗

Effects of fish oil fatty acids on low density lipoprotein size, oxidizability, and uptake by macrophages.

The effect of fish oil and corn oil supplementation on plasma lipids and lipoproteins and on low density lipoprotein (LDL) oxidation was examined in 20 treated hypertensive subjects. The randomized double-blind crossover study consisted of two 6-week interventions with 4 g/day of a highly purified fish oil or corn oil. Fish oil significantly (-24%, P < 0.01) reduced plasma triglyceride, and increased LDL-cholesterol (+6%, P < 0.01 compared to corn oil). LDL particles were larger (P < 0.01) after fish oil compared to baseline and LDL size was inversely correlated with plasma triglyceride (P < 0.001) both before and after fish oil supplementation, and positively correlated with high density lipoprotein cholesterol (P < 0.01). Fish oil reduced lag time before onset of copper-induced LDL oxidation (-25%, P < 0.001) and significantly increased production of thiobarbituric acid-reactive substances (TBARS) during oxidation, compared with corn oil. Corn oil had no significant effect on lag time and oxidation rate. Fish oil increased macrophage uptake of copper-oxidized LDL and of macrophage-modified LDL. Corn oil was without effect. Additionally, macrophages that were supplemented with fish oil fatty acids in vitro displayed a significantly (P < 0.001) higher capacity to oxidize LDL than either control cells or cells supplemented with corn oil fatty acids. We conclude that from the standpoint of atherosclerosis, fish oil fatty acids adversely raise the susceptibility of LDL to copper-induced and macrophage-mediated oxidation but that the increase in plasma LDL cholesterol concentration reflects an increase in size that may be favorable.

Aged↗

Improved detection of a blood pressure response to dietary intervention with 24-hour ambulatory monitoring.

Ambulatory blood pressure (ABP) monitoring was undertaken in 25 hypertensives on beta-blocker monotherapy who completed a double-blind crossover trial to compare the effects of fish oil and corn oil supplements on BP. Clinic BP was measured with a Dinamap monitor on two consecutive days at the end of each treatment phase. ABP was recorded during the intervening 24-h period with a Spacelabs 90207 monitor. Averages of 24-h, daytime, and nighttime ABP readings correlated closely with Dinamap readings. Within-subject BP differences between fish oil and corn oil treatment were similar for Dinamap (3.2 +/- 1.8/2.5 +/- 1.0 mm Hg) and for 24-h ABP (2.5 +/- 1.0/2.3 +/- 0.8 mm Hg), but were more significant with the latter. Thus detection of the antihypertensive effects of dietary intervention can be improved by the use of ABP.

Adult↗

Elevated plasma adrenaline in spontaneously hypertensive rats.

Having found that circulating adrenaline (AD) is selectively elevated in stroke-prone spontaneously hypertensive rats (SHRSP) compared with Wistar-Kyoto rats (WKY), we extended the comparison to include other normotensive and hypertensive rat strains. Aortic catheters were implanted in young (5-7 weeks) and old (7-9 months) WKY, Black-Hooded Wistar (BHW), Sprague Dawley (SD), spontaneously hypertensive rats (SHR) and SHRSP for repeated measurement of mean arterial pressure (MAP) and blood sampling under conscious resting conditions. In the young SHR and SHRSP, MAP was already significantly higher than in age-matched WKY but MAP in the SD rats was similar. Plasma AD was significantly higher in SHR and lower in SD rats when compared with WKY. There was no difference in plasma noradrenaline (NA) between strains at this age. At the older age, MAP was 40-60 mmHg higher in SHR and SHRSP than in WKY and BHW but was significantly lower in the SD strain. Circulating AD did not differ between the normotensive strains but was 3-4 times higher in the hypertensive strains. Plasma NA was elevated in SHR only. The acute reduction of MAP caused by ganglion blockade (an index of the sympathetically mediated component of resting blood pressure) was greater in SHR and SHRSP than in WKY at the older age only. However, the residual MAP after ganglion blockade was significantly higher in the hypertensive strains at both ages. Regression analysis showed that in the older rats, plasma AD was correlated with resting MAP, the reduction in MAP with ganglion blockade, the residual MAP and plasma NA.(ABSTRACT TRUNCATED AT 250 WORDS)

Aging↗

Lack of influence of circulating adrenaline on blood pressure in normotensive and hypertensive rats.

The relationship between circulating adrenaline and blood pressure was examined by manipulating plasma adrenaline levels in both normotensive and hypertensive rats: bilateral adrenalmedullectomy was performed in spontaneously hypertensive rats and stroke-prone spontaneously hypertensive rats; adrenaline bitartrate was infused chronically (25-32 micrograms/kg/h s.c.) into Wistar Kyoto, Sprague Dawley and stroke-prone rats via osmotic minipumps. Arterial and venous catheters were subsequently implanted for direct measurement of mean arterial pressure, blood sampling and drug administration in conscious rats. Adrenaline infusion for 5-6 weeks in Wistar Kyoto rats did not affect resting blood pressure (118 +/- 3 versus 119 +/- 1 mmHg in controls) even though plasma adrenaline was elevated 12-fold. Plasma noradrenaline was marginally elevated. Blood pressure was also unaffected by adrenaline infusion in Sprague Dawley or stroke-prone hypertensive rats. One week after adrenal medullectomy, plasma adrenaline was reduced 89% in spontaneously hypertensive rats, but blood pressure was unaffected. Ten weeks after adrenal medullectomy in young stroke-prone rats, resting blood pressure was slightly higher (167 +/- 2 mmHg) than in control rats (157 +/- 2 mmHg), although adrenaline was reduced by 34% in plasma and 67% in adrenal glands. Nitroprusside was infused acutely to lower blood pressure and reflexly elevate plasma noradrenaline. Neither of these responses were affected by chronic adrenaline infusion or adrenal medullectomy. In both adrenaline-infused Wistar Kyoto and medullectomised stroke-prone rats, autonomic blockade reduced blood pressure to a similar extent as in controls, indicating that the degree of sympathetic vasoconstriction was not altered by either treatment.(ABSTRACT TRUNCATED AT 250 WORDS)

Adrenal Medulla↗

Dietary fish oil administration retards blood pressure development and influences vascular properties in the spontaneously hypertensive rat (SHR) but not in the stroke prone-spontaneously hypertensive rat (SHR-SP).

In the present study, we compared the blood pressure in the SHR-SP and in the spontaneously hypertensive rat (SHR) after dietary administration of fish oil from 4 to 17 weeks of age. The retarding influence of dietary fish oils on the development of hypertension was prominent in the SHR (26 mmHg) and not evident in the SHR-SP (8 mmHg). The enhanced development of blood pressure in both the SHR and the SHR-SP is characterised by an elevated maximum contraction in the mesenteric vascular bed to sympathetic nerve stimulation and to injected noradrenaline. In SHR, but not SHR-SP, this maximum contraction was significantly attenuated by dietary fish oil. Likewise, acetylcholine mediated relaxation of the isolated aorta was enhanced in preparations from the SHR but not the SHR-SP. These physiological changes were also associated with a change in the total n-3 polyunsaturated fatty acids (PUFAs) content in vascular tissue, which were inversely proportional to the prevailing blood pressure values seen in all three strains of rat receiving dietary fish oils. Platelet activated thromboxane production was equally depressed in WKY (Wistar Kyoto), SHR and SHR-SP rats. The results indicate that the blood pressure lowering effect of fish oil when administered during the period of development of hypertension is much greater in the SHR than it is in the SHR-SP. Furthermore the lowering of blood pressure by fish oil administration is related to a restoration of normal vascular contraction and normal vascular relaxation, but not related to a suppression of serum thromboxane production.

Animals↗

Depressed cheek cell sodium transport in human hypertension.

Na+ transport activity was measured in cheek cells from untreated hypertensive subjects and age-matched normotensive controls identified from a blood pressure screening program. Cheek cells were isolated by a simple mouth wash procedure and Na+ transport activity was measured as the proton-dependent uptake of 22Na+ using a rapid filtration assay. The rate of Na+ uptake was about 45% lower in hypertensive subjects and this difference persisted in a follow up study 2 years later involving those subjects who remained untreated for their hypertension. The proton independent Na+ uptake was also reduced by about 46% in the hypertensive group. The increase in the rate of cheek cell Na+ transport with increasing transcellular proton gradient values was also significantly lower in hypertensive subjects. The reduced cheek cell Na+ transport observed in hypertensive subjects may indicate decreased activity of the Na+/H+ antiporter and/or changes in the ion permeability properties of the cheek cell plasma membrane in the hypertensive state. This novel assay provides a biochemically based method for discriminating between normotensive and hypertensive subjects and makes use of tissue which can be obtained in a relatively non-invasive manner.

Amiloride↗

Reduction of blood pressure and plasma triglycerides by omega-3 fatty acids in treated hypertensives.

OBJECTIVE: To assess the effects of omega-3 (n-3) fatty acid supplementation on blood pressure and plasma lipids in hypertensives treated with diuretics or beta-blockers. DESIGN: Double-blind placebo-controlled cross-over trial consisting of a 4-week run-in phase and two 6-week intervention phases. PATIENTS: A total of 43 patients of either sex taking a beta-blocker only (n = 29), a diuretic only (n = 3) or a beta-blocker plus diuretic (n = 11) for hypertension were recruited from general practice. One patient from the latter group was withdrawn. METHODS: Seated blood pressure was measured every 2 weeks in the clinic with a Dinamap. After the run-in phase, participants were randomly assigned to take a supplement of either Omacor (85% n-3 fatty acid concentrate) or corn oil (four 1-g capsules/day) for 6 weeks, after which they crossed over to the other supplement. Fasted blood samples were taken at the end of each phase for lipid analysis. MAIN OUTCOME MEASURES: The within-individual differences in systolic and diastolic pressure and plasma lipids between Omacor and corn oil treatment. RESULTS: Systolic/diastolic blood pressures measured during the run-in phase were normal (132 +/- 2/76 +/- 1 mmHg, n = 42) but decreased further with n-3 fatty acid supplementation. The mean within-individual difference in blood pressure compared with corn oil supplementation was 3.1 +/- 1.0/1.8 +/- 0.6 mmHg (P < 0.01). This was accompanied by a 21% reduction in plasma triglycerides (P < 0.01) and a 15% increase in high-density lipoprotein-2 cholesterol (P < 0.01) but there were no significant differences in total or low-density lipoprotein cholesterol. CONCLUSION: The antihypertensive and hypotriglyceridaemic effects of n-3 fatty acid supplementation seen in the present study suggest that it may be a useful adjunct to antihypertensive therapy with beta-blockers or diuretics.

Adrenergic beta-Antagonists↗