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Biomedical subjects

S Hoth

Publications and source records attributed to S Hoth.

18 recordsLinked to original sources

Molecular basis of plant-specific acid activation of K+ uptake channels.

During stomatal opening potassium uptake into guard cells and K+ channel activation is tightly coupled to proton extrusion. The pH sensor of the K+ uptake channel in these motor cells has, however, not yet been identified. Electrophysiological investigations on the voltage-gated, inward rectifying K+ channel in guard cell protoplasts from Solanum tuberosum (KST1), and the kst1 gene product expressed in Xenopus oocytes revealed that pH dependence is an intrinsic property of the channel protein. Whereas extracellular acidification resulted in a shift of the voltage-dependence toward less negative voltages, the single-channel conductance was pH-insensitive. Mutational analysis allowed us to relate this acid activation to both extracellular histidines in KST1. One histidine is located within the linker between the transmembrane helices S3 and S4 (H160), and the other within the putative pore-forming region P between S5 and S6 (H271). When both histidines were substituted by alanines the double mutant completely lost its pH sensitivity. Among the single mutants, replacement of the pore histidine, which is highly conserved in plant K+ channels, increased or even inverted the pH sensitivity of KST1. From our molecular and biophysical analyses we conclude that both extracellular sites are part of the pH sensor in plant K+ uptake channels.

Asparagine

Changes in voltage activation, Cs+ sensitivity, and ion permeability in H5 mutants of the plant K+ channel KAT1.

KAT1 is a voltage-dependent inward rectifying K+ channel cloned from the higher plant Arabidopsis thaliana [Anderson, J. A., Huprikar, S. S., Kochian, L. V., Lucas, W. J. & Gaber, R. F. (1992) Proc. Natl. Acad. Sci. USA 89, 3736-3740]. It is related to the Shaker superfamily of K+ channels characterized by six transmembrane spanning domains (S1-S6) and a putative pore-forming region between S5 and S6 (H5). The 115 region between Pro-247 and Pro-271 in KAT1 contains 14 additional amino acids when compared with Shaker [Aldrich, R. W. (1993) Nature (London) 362, 107-108]. We studied various point mutations introduced into H5 to determine whether voltage-dependent plant and animal K+ channels share similar pore structures. Through heterologous expression in Xenopus oocytes and voltage-clamp analysis combined with phenotypic analysis involving a potassium transport-defective Saccharomyces cerevisiae strain, we investigated the selectivity filter of the mutants and their susceptibility toward inhibition by cesium and calcium ions. With respect to electrophysiological properties, KAT1 mutants segregated into three groups: (i) wild-type-like channels, (ii) channels modified in selectivity and Cs+ or Ca2+ sensitivity, and (iii) a group that was additionally affected in its voltage dependence. Despite the additional 14 amino acids in H5, this motif in KAT1 is also involved in the formation of the ion-conducting pore because amino acid substitutions at Leu-251, Thr-256, Thr-259, and Thr-260 resulted in functional channels with modified ionic selectivity and inhibition. Creation of Ca2+ sensitivity and an increased susceptibility to Cs+ block through mutations within the narrow pore might indicate that both blockers move deeply into the channel. Furthermore, mutations close to the rim of the pore affecting the half-activation potential (U1/2) indicate that amino acids within the pore either interact with the voltage sensor or ion permeation feeds back on gating.

Amino Acid Sequence

[Effect of inner ear hearing loss on delayed otoacoustic emissions (TEOAE) and distortion products (DPOAE)].

BACKGROUND: The assessment of inner ear hearing loss by means of evoked otoacoustic emissions (EOAE) is already established in practice. Nevertheless, empirical data on the relations between emission and audiologic parameters are required. PATIENTS AND METHODS: EOAEs werde measured and analysed in 240 ears with sensorineural hearing loss (excluding cases with conductive and retrocochlear disorders) of 120 patients using ILO88/92 equipment with standard test conditions. Audiologic examination consisted of pure tone audiogram, tympanometry and auditory brainstem responses. The results of TEOAE (Transitory Evoked Otoacoustic Emissions), measured with clicks at 80 dB SPL, and DPOAE (Distortion Product Otoacoustic Emissions), measured with frequencies ranging from f2 = 1 kHz to 4 kHz at 70 dB SPL (L2 = L1, f2 = 1.2 f1), were compared to each other and to the hearing thresholds determined by subjective pure tone audiometry. RESULTS: A significant negative correlation is found between the amplitude of TEOAEs and the average hearing loss in the range of 0.5 to 4 kHz. Similarly, the amplitude of DPOAEs is significantly correlated to the hearing threshold encountered at the higher of the two stimulus frequencies. Nevertheless, the prediction of hearing loss from the response amplitude is not possible because of its large amplitude variations between individuals. The analysis of the relation between incidence of EOAEs and hearing loss shows that in ears exceeding a hearing loss of 34 +/- 4 dB (minimal value of subjective thresholds in the range 0.5 to 4 kHz) no TEOAEs can be registered. For DPOAEs, the responses disappear if the hearing loss at the higher stimulus frequency exceeds 47 +/- 3 dB (limits for 50% OAE incidence are given in both cases). In conclusion, the hearing thresholds of ears exhibiting DPOAEs but no TEOAEs are located between approximately 30 and 50 dB HL. CONCLUSIONS: The sharpness of the transition between clear responses and absent responses decreases with increasing age. Therefore, the combination of TEOAE and DPOAE recording with the purpose of hearing threshold assessment is especially useful in young patients. Further evaluation shows that male and female patients do not differ in the hearing loss dependent prevalence of otoacoustic emissions. On he other hand, a systematic but not significant influence of the audiogram shape on the parameters of the discrimination function can be observed: steep audiograms are described with a discrimination function, which drops to zero at higher levels of hearing loss and with a larger slope than shallow audiograms. The comparison of right and left ear emissions of the same patient shows that large amplitude differences occur even in cases of comparable subjective thresholds; missing emissions in one ear are observed if and only if the interaural threshold difference exceeds 30 dB.

Acoustic Impedance Tests

Cloning and electrophysiological analysis of KST1, an inward rectifying K+ channel expressed in potato guard cells.

Potassium uptake by guard cells represents part of the osmotic motor which drives stomatal opening. Patch-clamp measurements have identified inward rectifying K+ channels capable of mediating K+ uptake in guard cells and various other plant cell types. Here we report the molecular cloning and characterization of a voltage-dependent K+ channel (KST1) from potato (Solanum tuberosum L.) guard cells. In situ hybridization shows expression of kst1 in guard cells. Two-electrode voltage-clamp and patch-clamp studies of the gene product after cRNA injection into Xenopus oocytes identified KST1 as a slowly activating, voltage-dependent, inward rectifying K+ channel. The single channel current voltage curve was linear in the range -160 to +20 mV, with a deduced single channel conductance of 7 pS in symmetrical 100 mM K+. This channel type, modulated by pH changes within the physiological range, required ATP for activation. In line with the properties of a K(+)-selective channel, KST1 was permeable to K+, Rb+ and NH4+ and excluded Na+ and Li+. Cs+ at submillimolar concentrations blocked the channel in a voltage-dependent manner. Related studies on potato guard cell protoplasts confirmed the biophysical characteristics of the kst1 gene product (KST1) in the heterologous expression system. Therefore, KST1 represents a major K+ uptake channel in potato guard cells.

Amino Acid Sequence

Computer-aided hearing threshold determination from cortical auditory evoked potentials.

The determination of the hearing threshold from cortical electric responses is usually based on the visual inspection of the recordings by an experienced evaluator. At least two factors are responsible for the limited reliability of such a procedure: first, visual inspection yields the response threshold and not the hearing threshold; and second, the result of a visual evaluation depends on subjective appraisal, which may be influenced by irrational factors. An approach of computer-aided evaluation is presented which simulates the visual inspection in that several typical features of the curves are judged numerically. The result of the classification is a single parameter, Q, whose value increases with better (subjective) perceptibility of the evoked potentials. A statistical analysis explores the relationship between the value of Q and the psychophysical hearing threshold. The results show that a prediction of hearing threshold with an accuracy of +/- 10 dB is possible.

Acoustic Stimulation

[Clinical use of transitory otoacoustic evoked emissions in therapeutic follow-up].

The suitability of transiently evoked otoacoustic emissions (TEOAE) for the observation of changes in inner ear function was examined in 28 normal hearing subjects and 25 patients with sudden deafness. The measurements were performed with the ILO88 system using a nonlinear sequence of click stimuli. The TEOAEs of both ears of each control subject were measured in 7 sessions at 4 different stimulus levels. The evaluation involved visual inspection of the time-dependent records and an analysis of response amplitudes and cross correlational coefficients. Minor changes in curve appearance and variations of the response level in the order of +/- 4 dB could be detected which were attributed to the noise floor and variations in probe application. Within the patient group, at least three TEOAE measurements were performed during the course of rheologic therapy. Pure-tone audiograms were recorded prior to each TEOAE session for comparison. The most significant result from the data analysis is that response amplitudes increase significantly in almost all cases in which pure-tone audiometry reveals normalization of hearing threshold. This indicates a recovery of outer hair cells. Furthermore, comparison of TEOAE records obtained in different sessions shows an initial growth of correlation coefficients followed by a final saturation. These findings indicate that the combination of amplitude evaluation and correlation analysis is suitable for observing changes in intensity and waveform of cochlear emissions.

Acoustic Stimulation

The human ribosomal protein S6 gene: isolation, primary structure and location in chromosome 9.

Using PCR cloning we isolated the first intron of the human ribosomal protein S6 gene (hRPS6). By screening the human HeLa cell cDNA library in lambda ZAPII vector (Stratagene, La Jolla, CA), we identified and sequenced a partially spliced pre mRNA copy of hRPS6. The complete hRPS6 gene was isolated from a lambda DASH library with an intron-specific probe. The gene and flanking regions were sequenced, and the mRNA 5' end was mapped by primer extension experiments. The hRPS6 gene has 6 exons and 5 introns and is 3.6 kb long. Using intron-specific primers in PCR and a panel of human-hamster cell lines we localized the hRPS6 gene in human chromosome 9.

Amino Acid Sequence

Human ribosomal protein S3a: cloning of the cDNA and primary structure of the protein.

The amino acid (aa) sequence of human ribosomal protein S3a (hRPS3a) was deduced partially from the nucleotide sequence of the corresponding cDNA and confirmed by direct aa sequencing from the N terminus of the purified hRPS3a protein. The cDNA clone was isolated from a cDNA expression library in the pEX vector using antibodies. The hRPS3a protein has 263 aa and its calculated M(r) is 29 813.

Amino Acid Sequence

[Experience with electrostimulation of the acoustic nerve before cochlea implantation].

The electrical stimulation of the acoustic nerve plays an essential role in the selection of patients for cochlea implantation. The performance of a deaf ear under the conditions of electrical stimulation can be assessed by means of the pre-operative promontory test using a transtympanic needle electrode. Five components of this test were applied to 48 patients: the determination of perception threshold and upper comfortable level for pulse and burst stimulation, the pitch test, the temporal difference test and the gap detection test. The mean values emerging from these examinations may be useful as guidelines for the interpretation of individual results. A cross correlational analysis of the data was performed in order to eventually discover redundancies among the different test components. Indeed, the threshold values for pulses of a given duration are highly correlated to those for bursts of the corresponding frequency. One of these tests may therefore be eliminated for routine test purposes. Similarly, the assessment of time resolution capabilities with the temporal difference limen test yields results which show a strong correlation with those of the gap detection test.

Auditory Threshold

Ototoxicity of vancomycin: an experimental study in guinea pigs.

Vancomycin (V)-a polypeptide antibiotic-is the drug of choice in severe infections with multiresistant staphylococcus spp. Due to the multimorbidity of the patients receiving V, the interactions with known ototoxic agents and the lack of an audiometric documentation, earlier clinical reports of V-associated hearing loss must be carefully interpreted. To elucidate this topic, a controlled animal study considering nonspecific effects was performed. 40 albino guinea pigs with positive Preyer's reflex and normal hearing were used. The hearing function was controlled by means of brainstem auditory evoked potentials before and after intraperitoneal administration of V (75, 150, 300 mg/kg b.w. for 11-17 days), gentamicin (60 mg/kg b.w. for 26 days), neomycin (100 mg/kg b.w. for 17 days) and sodium chloride solution. The cochleas were dissected for hair cell counting by the surface preparation technique. Additionally, the serum concentrations of V were measured. As a result there was no significant difference in hearing loss between the controls and the animals treated with 75 and 150 mg V; toxic doses of 300 mg V led to a certain threshold elevation after click stimuli, but not after trapezoid stimuli of 1, 4 and 8 kHz. On the other hand, the aminoglycosides as a positive control caused an obvious hearing loss after click and trapezoid stimuli, which was correlated to the amount of outer hair cell loss. Renal damage could be excluded by histological examination of the kidneys and estimation of creatinine in serum. Therefore, treatment with moderate doses of V comparable to clinical conditions does not exhibit a specific ototoxicity as compared to the aminoglycosides.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals

[Changes in early auditory evoked potentials in acoustic neuroma].

The auditory brain-stem responses (ABRs) of 38 patients with acoustic neuroma (AN) were recorded pre-operatively and evaluated with regard to pathological deviations from the normal. Several qualitative and quantitative features of the ABRs were compared statistically with the results obtained from a control group for age and sex, and considering patients with various cochlear pathologies (Meniere's disease, sudden deafness, presbycusis). Retrocochlear disorders were ruled out by computed tomography or magnetic resonance imaging. Statistical analysis yielded the following results. The central conduction time (latency difference between Jewett waves J1 and J5) is significantly prolonged in the AN group. A critical value of 4.3 ms separates the retrocochlear from the cochlear lesions, with a sensitivity and specificity of 90%. If conductive hearing loss can be excluded, and if the amount of cochlear hearing loss is taken into account, about the same separation effectively is achieved by evaluation of the sole latency of J5 and its stimulus level dependence. The interaural difference of the central conduction time can be a useful parameter for indicating the presence of acoustic tumours, unless both sides are affected. The same is true of the interaural differences for the J5 latency, but this quantity must be corrected for the effects of peripheral hearing loss. The critical interaural difference values are 0.3 ms for the conduction time (at any stimulus level) and 0.5 ms for the latency of J5 (for stimulus levels above 60 dB nHL). A weaker distinction is provided by the amplitude of J5 and the amplitude ratio of J5 and J1. These quantities are only slightly smaller in cases of AN. Only the combination of small J5 amplitudes with large latency values can be regarded as being characteristic of retrocochlear lesions. This can be highlighted in an amplitude-latency diagram. Further hints as to the site of the lesion can be obtained from a distorted waveform morphology and from an abnormally large distance between hearing threshold and response threshold. The combined evaluation of all these features optimizes the effectivity of ABRs as a powerful tool in the diagnosis of retrocochlear disorders, but some false-positive and false-negative results cannot be excluded entirely.

Adolescent

[Categorizing hearing disorders based on latency deviations in the BERA (brainstem electric response audiometry)].

The dependence of latencies of EAEPs (Early Auditory Evoked Potentials) on stimulus intensity has been determined from measurements at 15 normal hearing subjects. The results are in good agreement with an exponential function, which has been empirically found and fitted to the data. The deviation from this function in case of hearing disorders can be classified in terms of a "latency deviation diagram". In the simplest case of a pure conductive hearing loss, the effect on latencies is a mere shift of all values to higher levels. The resultant latency deviation lines can be computed and the results introduced in the diagram. This has been done in Figure 5 for several values of hearing loss between 10 dB and 50 dB. These lines permit a detailed specification of hearing impairment, as is demonstrated in Figure 6: In the case of pure conduction loss, the latency deviation follows the appropriate line. Inner ear pathologies involving recruitment lead to latency deviations which are much steeper than these lines and which tend to vanish at higher stimulus levels. Retrocochlear disorders exhibit a nearly level independent latency deviation diagram.

Adult

Clinical evaluation of 40-Hz middle-latency responses in adults: frequency specific threshold estimation and suprathreshold amplitude characteristics.

40-Hz responses were evaluated for objective threshold estimation and frequency specificity at 500, 1,000, 2,000, and 4,000 Hz and compared to normal middle-latency response (MLR) recordings. Disturbing influences were examined. Stimulus-intensity-dependent amplitude characteristics were investigated. 30 adults with normal hearing and 45 with sensorineural hearing loss were included. On the whole, 40-Hz responses gave better threshold estimation than MLR as compared with pure-tone audiograms. In about 80%, deviation was less than 10 dB. For both the 40-Hz method and the MLR, myogenic potentials and changes in the level of vigilance are disturbing influences which cause amplitude variations. Amplitude-intensity functions can be described and their possible contribution to an objective identification of recruitment was examined. Additionally, an improvement of threshold estimation was achieved by narrow-band filtering of the response curve around 40 Hz.

Adult

Reliability of latency and amplitude values of auditory-evoked potentials.

General formulas for the computation of the accuracy of latency and amplitude values, derived from evoked-potential recordings, are presented. In the case of brainstem auditory-evoked potentials (BAEPs), the comparison with the experimentally deduced standard deviations of these quantities proves that the residual noise present in the recording is the only source of inaccuracy, and that a short prestimulus time interval is the only requirement for a reliable computation of the error limits. The practical realization of the error estimation in computer programs is outlined and the relevance of the accuracy limits is discussed.

Brain Stem

[Hearing disorders in Paget's disease].

The audiometric data of 41 patients with Paget's disease of the bone show that hearing loss exceeds the age-related presbycusis in patients with deformities of the temporal bone as demonstrated by X-ray (27%). The usual type of hearing loss is a sensorineural one. 80% of these patients showed hair cell damage, 32% of them a retrocochlear lesion, depending on the degree of deformity of the temporal bone. Conductive hearing loss of the otosclerosis type was found in only 20%. The Paget-related hearing loss can be regarded as a consequence of the deformation occurring both at the bone surrounding the cochlea and at the internal auditory canal.

Acoustic Impedance Tests

[Regulation of nasal resistance in children].

By means of active anterior rhinorheomanometry we searched for nasal cycles in children of 3-10 years of age. We measured the nasal air flow every 15 minutes for a period of 2 hours on both sides in relation to a pressure of 1 mbar. In the group of the 7-10 year old children we found nasal cycles in 79 per cent according to Hasegawa's and Kern's definition. In contrast to other authors nasal cycles were also ascertained in 50 per cent of the 3-6 year old children: Computing the correlation coefficient between the difference of one measurement from the right and left mean nasal air flow, we could demonstrate that the nasal cycle was actually subject to a regulatory mechanism. In contrast "solidary movements" showed no regulation in our challenge-controlled measurements.

Airway Resistance

[Stimulus level dependence of BERA potential amplitudes].

The observed stimulus level dependence of early acoustic evoked potential amplitudes suggests that two different mechanism contribute to neural activity: A first mechanism yields neural activity immediately above the hearing threshold, the activity increasing up to a maximum value which is attained at a stimulus intensity of approximately 40 dB HL. At this level, the onset of a second mechanism is observed, which produces increasing neural activity and exhibits saturation behaviour at high stimulus intensities. A mathematical amplitude intensity characteristic is presented which can be calculated on the basis of simple and plausible assumptions. It is in excellent agreement with the experimental data. Furthermore, in the case of damaged hair cells but undamaged nerve fibres, the mathematical approach leads directly to the steep amplitude characteristic as it is often observed in the case of recruitment.

Acoustic Stimulation