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Biomedical subjects

R Petrásek

Publications and source records attributed to R Petrásek.

At least 19 recordsLinked to original sources

[Membrane transport of cations in erythrocytes during treatment of essential hypertension with angiotensin-converting enzyme inhibitors].

The authors investigated in ten patients with essential hypertension changes in the membrane transport of sodium in red blood cells and the intracellular calcium content of thrombocytes during the control period during treatment of hypertension with central sympatholytics and after three-week treatment with an inhibitor of the angiotensin converting enzyme (ACE), enalapril. The effect of enalapril in hypertonic patients was manifested by a rise of the renin plasma activity and the potassium concentration and a reduction of the sodium plasma concentration which corresponds to the inhibition of angiotensin II. The intracellular calcium and sodium content was unaltered. In 8 of 10 patients after enalapril treatment increased values of Vmax for Na(+)-K+ cotransport occurred, incl. 6 patients where at the same time a rise of Vmax Na(+)-Li+ countertransport was recorded.

Adult

[Initial clinical experience with Consupren, a new preparation manufactured in Czechoslovakia (Galena), in patients after liver transplantation].

Fourteen patients on average 10 months after transplantation of the kidney treated with Sandimmune were changed to a new Czechoslovak preparation Consupren, Galena (Cyclosporine A), while maintaining the other components of immunosuppressive treatment (azathioprine, prednisone). The patients were followed up for 6-12 months on the new drug. The tolerance of Consupren was in all patients satisfactory. Two weeks after the change the mean cyclosporine A level was significantly higher and called for a reduced dosage. No significant changes in the clinical condition and laboratory indicators were observed, the serum creatinine values did not change during the investigation and within 6 months after the change no rejection was recorded, despite the fact that during the first six weeks after the change an insignificant rise of mean absolute number of lymphocytes, CD4 lymphocytes and the regulatory index and a significant rise of CD3 lymphocytes was observed.

Adult

[Cyclosporin A in preventive therapy after kidney transplantation: a double combination versus a triple combination. I. Therapeutic effectiveness].

Two groups of patient after a first renal transplantation from a dead donor were treated by a double combination of cyclosporin A and prednisone (group A) and triple combination cyclosporin A and azathioprin and prednisone (group B). The groups were similar as regards effectiveness of treatment (evaluated with regard to the survival of recipients and grafts and the number of rejection episodes); they did not differ as to the losses of grafts for other than immunity reasons, which predominated in both groups over losses caused by rejection. Discontinuation of prednisone after four months in group A was complicated by rejection in 54%. Discontinuation of cyclosporin A after one year's treatment and a change to azothioprin and prednisone treatment was in both groups complicated by rejection in cca one fifth of the patients.

Adult

[Cyclosporin A in preventive therapy after kidney transplantation: a double combination versus a triple combination. II. Adverse effects of cyclosporin A and therapeutic complications].

The incidence of irreversibly afunctional grafts, late functional development and period of the initial temporary lack of function did not differ in the two groups. The total number of nephrotoxic episodes was significantly (p less than 0.05) lower in the triple combination, chronic nephrotoxicity developed with equal frequency. Infectious complications were present in 54% of the patients in group A and in 60% in group B, viral complications in 15% patients in group A and in 16% in group B. Serious bacterial infections were the cause of death in one of three patients in group A and in five of six patients in group B.

Adult

Endocrine pancreatic secretion in patients after acute pancreatitis.

In 14 nonobese patients after acute pancreatitis and with normal oral glucose tolerance, the response of insulin, C-peptide, and pancreatic glucagon after 100 g of oral glucose was assessed. The curves of insulin and C-peptide were significantly raised compared with those of controls, and no difference was found between the response of patients with a negative (n = 8) and a positive (n = 6) family history of type II diabetes. The curves of pancreatic glucagon did not differ from those found in controls. Our results indicate that a normal response to glucose after recovery from an attack of acute pancreatitis is maintained at the cost of increased insulin secretion.

Acute Disease

[HLA antigens in type II diabetics].

The study examined the relationship between class I HLA antigens and type II diabetes with regard to insulin secretion and hyperlipoproteinemia. Out of 28 HLA antigens of A, B and C loci, 46 type II diabetics had statistically more significant HLA Cw1 - 15.9% as compared with 6.3% of the control group, the relative risk being 2.81. These patients were younger than the other diabetics but showed no difference in insulin secretion or hyperlipoproteinemia. Diabetics with HLA Cw4, just as patients after myocardial infarction with concomitant hyperlipoproteinemia, were also found frequently to have hyperlipoproteinemia (89 percentage cases as compared to 63% of the other diabetics). The findings may be indicative of potential genetic heterogeneity of type II diabetes. The paper stresses the necessity of establishing suitable genetic characters for early diagnosis of diabetes and its development.

Diabetes Mellitus, Type 2

In vivo studies of the relationship between the activation of lipid metabolism, postirradiation bone marrow cell proliferation and radioresistance of mice.

The effect of adaptation to intermittent feeding on the in vivo biosynthesis of fatty acids and total lipids in the epididymal adipose tissue, the liver and the bone marrow was studied in adult male mice (CBA/JPh x C57BL@10 ScSnPh)F1. At the same time the effects of the same experimental stimulus on the rate of regeneration (proliferation) of bone marrow cells after sublethal irradiation of animals and on the overall radioresistance of mice expressed as 30 days survival after whole-body gamma irradiation were determined. Intermittent feeding in mice has been shown to have a significant effect on the biosynthesis of fatty acids and total lipids in all the tissues studied, including bone marrow cells, the intensity of the effect being closely dependent on the duration of the experimental stimulus. Maximum stimulation of lipogenesis during realimentation was observed approximately within 1 week of adaptation, with a reduction of the metabolic responses thereafter. The intensity of bone marrow cell proliferation in mice irradiated in the realimentation phase was inversely proportional to the preirradiation degree of biosynthesis of fatty acids and total lipids: in a period of lower lipogenetic capacity of cells in the tissue studied (around the weeks 2-5 of adaptation) an increase in the regeneration potential of bone marrow cells was observed together with increased radioresistance of the mice. During the 1-week of adaptation the opposite proved to be the case. Attention is drawn to the possible participation of prostaglandins and lipid peroxides in the responses observed.

Adaptation, Biological

Ontogenetic development of skinfold thickness of the trunk in childhood and its relation to Rohrer's index.

The study was aimed at the investigation of the ontogenetic development of thickness of five skinfolds on the trunk in children ranging in age from 1 1/2 to 15 years in relation to Rohrer's index of body fullness. The studies which yielded the basic data were carried out in 1976-1978 on 10,661 children of both sexes (5,322 girls; 5,339 boys) from the whole territory of Czechoslovak Socialistic Republic. The studies yielded the following results: In the course of the early postnatal ontogenesis all five investigated skinfolds of the trunk showed on the average a slight decrease up to the age of three to five years. However, subsequently the thickness of all skinfolds increased, more markedly in girls than in boys. Throughout the investigated period the thickness of all investigated skinfolds remained larger in girls as compared to boys. This difference increased with increasing age. A more marked increase of mean skinfold thickness with increasing age due to the larger amount of subcutaneous fat was present in both sexes in abdominal regions and in in distal parts of the thorax as compared to its upper part, where the increase was more marked than in the subscapular region. The calculated mean values of Rohrer's index of body fullness were systematically decreasing in both sexes throughout the investigated period of life regardless of the development of the measured skinfold thickness. An exception formed the last two age groups of girls (13-14, 14-15 years of age), where, obviously with the onset of increasing total body weight, the calculated mean values showed again only a very slight increase. The actual differences of skinfold thickness and thus possibly also of the amount of subcutaneous fat between individual populations probably were due rather to social and economic factors. However, satisfactory nutrition was observed not only in highly developed, but also in some underdeveloped communities. However, it was not possible to exclude the influence of ethnical factors. This was confirmed by the comparison of our results with the data obtained in primitive rural populations as well as with those ascertained in highly developed countries in industrial populations.

Adolescent

[Atherogenesis].

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Animals

Metabolic turnover of fatty acids, cholesterol and lipoproteins in response to atherogenic factors in experimental atherosclerosis.

In experiments on two animal species we studied the effect of age, altered motor activity and alimentary experimental atherosclerosis on a variety of variables of lipid metabolism, particularly on cholesterol and fatty acid levels and formation. Fatty acid and cholesterol cumulation in tissues, including the rat aorta, increases with age (from 2 to about 20 months of age), while their formation decreases. A decrease of motor activity seems to be at play in this phenomenon in older animals and is apparently due especially to a faster rate of decrease of lipid degradation with ageing. Enforced increase of motor activity in rats (60 or 120-day adaptation on a treadmill - 18 m/min/3 hr/day) results in a decreased tissue cumulation of lipids including cholesterol despite their increased formation. In animals of the same age but allowed a limited amount of motor activity the situation produces reverse changes in lipid levels and formation. Changes in lipid metabolism are effected also by a higher level of spontaneous activity (induced by a higher number of young in the litter) and by increased motor activity of the dams during pregnancy. Hyperkinetic animals show a uniform exogenous (alimentary) cholesterol turnover. However their alimentary cholesterol absorption and high-density lipoprotein cholesterol turnover are elevated. Two respectively 10 months following the intake of 2% of dietary cholesterol minipigs exhibit elevated cholesterolaemia, reduced endogenous cholesterol synthesis in the liver and the aorta versus a decreased endogenous fatty acid synthesis. Plasma/vascular wall cholesterol transport in hypercholesterolaemic animals is about 50% higher, while the level of cholesterol in the medium remains constant. Most experimental animals show histologic evidence of incipient atheromatous changes not earlier than 10 months following the start of experimental diet.

Aging

Relation to body fat to age in the Czech population.

Density and percentage of fat in the body were investigated in 403 females and 356 males of Czech population using hydrostatic weighing. The group was divided into four age subgroups ranging from 17 through 22, 23 through 29, 30 through 39 and 40 through 49 years. Fat values were found to increase with age, growing in females and males between the ages of 17 to 49 years from 27.1 to 35.4 and from 16.3 to 26%, respectively. In both sexes, the highest difference in the percentage of fat was observed between the second and third decennium. Body weight was also seen to increase with age up to 40 years of age. On the other hand, from 40 through 49 years a decrease in weight was seen both in male and female means, with the body heights also less in older subjects. The values observed, particularly in females, exceed those reported as a rule in other populations. This is accounted for by nutritional factors such as the amount of calories and composition of food and possibly also by the effect of the genetically given somatotype.

Adipose Tissue

Impact of early nutrition on later development of spontaneous physical activity and lipid metabolism.

Male rats suckled in large litters (more than 12 pups, group A) had significantly higher levels of spontaneous physical activity and temporarily increased food intake (g/100 g body weight) than male rats from small litters (less than 6 pups, group B). Females did not differ. Epididymal fat pads were significantly lighter in males in group A. The concentration of total lipids in the small intestine was significantly higher in females from group A, and the synthesis of lipids was higher in the animals of both sexes from group A. The synthesis of fatty acids in the intestines was significantly greater in both males and females from group A. Cholesterol concentration in the liver and carcass was the same in all groups. Cholesterogenesis was higher in the liver only in males from group B, and in the carcass in the animals of both sexes from group B.

Adipose Tissue