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Biomedical subjects

S Vanni

Publications and source records attributed to S Vanni.

At least 37 records · Page 2Linked to original sources
PubMed1999

Cardiac growth factors in human hypertrophy. Relations with myocardial contractility and wall stress.

The aim of the present study was to investigate whether and which cardiac growth factors are involved in human hypertrophy, whether growth factor synthesis is influenced by overload type and/or by the adequacy of the hypertrophy, and the relationships between cardiac growth factor formation and ventricular function. Cardiac growth factor formation was assessed by measuring aorta-coronary sinus concentration gradient in patients with isolated aortic stenosis (n=26) or regurgitation (n=15) and controls (n=12). Gene expression and cellular localization was investigated in ventricular biopsies using reverse transcriptase-polymerase chain reaction and in situ hybridization. Cardiac hypertrophy with end-systolic wall stress <90 kdyne/cm2 was associated with a selective increased formation of insulin-like growth factor (IGF)-I in aortic regurgitation and of IGF-I and endothelin (ET)-1 in aortic stenosis. mRNA levels for IGF-I and preproET-1 were elevated and mainly expressed in cardiomyocytes. At stepwise analysis, IGF-I formation was correlated to the mean velocity of circumferential fiber shortening (r=0.86, P<0.001) and ET-1 formation to relative wall thickness (r=0.82, P<0. 001). When end-systolic wall stress was >90 kdyne/cm2, IGF-I and ET-1 synthesis by cardiomyocytes was no longer detectable, and only angiotensin (Ang) II was generated, regardless of the type of overload. The mRNA level for angiotensinogen was high, and the mRNA was exclusively expressed in the interstitial cells. Ang II formation was positively correlated to end-systolic stress (r=0.89, P<0.001) and end-diastolic stress (r=0.84, P<0.001). Multivariate stepwise analysis selected end-systolic stress as the most predictive variable and left ventricular end-diastolic pressure as the independent variable for Ang II formation (r=0.93, P<0.001). In conclusion, the present results indicate that the course of human left ventricular hypertrophy is characterized by the participation of different cardiac growth factors that are selectively related both to the type of hemodynamic overload and to ventricular function.

Aged↗
PubMed1999

Stronger occipital cortical activation to lower than upper visual field stimuli. Neuromagnetic recordings.

We recorded whole-scalp magnetoencephalographic (MEG) responses to black-and-white checkerboards to study whether the human cortical responses are quantitatively similar to stimulation of the lower and upper visual field at small, 0-6 degrees, eccentricities. All stimuli evoked strong occipital responses peaking at 50-100 ms (mean 75 ms). The activation was modeled with a single equivalent current dipole in the contralateral occipital cortex, close to the calcarine fissure, agreeing with an activation of the V1/V2 cortex. The dipole was, on average, twice as strong to lower than to upper field stimuli. Responses to hemifield stimuli that extended to both lower and upper fields resembled the responses to lower field stimuli in source current direction and strength. These results agree with psychophysical data, which indicate lower visual field advantage in complex visual processing. Parieto-occipital responses in the putative V6 complex were similar to lower and upper field stimuli.

Adult↗
PubMed1999

Mu rhythm modulation during changes of visual percepts.

Cooperation between vision and somatomotor behavior, such as manual exploration of objects, suggests close functional coupling between the visual and sensorimotor systems. We observed this type of interaction in human volunteers during binocular rivalry while following the level of sensorimotor mu rhythm with a whole-scalp neuromagnetometer. The observers viewed a weak vertical grating in the lower visual field of one eye and a strong horizontal grating in the same spatial window of the other eye. When stationary, the weak grating was permanently invisible because of its low contrast and spatial frequency. A sudden brief drifting movement of the weak grating wiped out the dominant grating, and the weak grating became visible for less than the 3-s interval between the movements. The postcentral 8- to 15-Hz mu rhythm was found in six of nine observers, and its level increased transiently by 10-15%, starting about 450 ms after the beginning of the movement. The mu level was also enhanced by the actual disappearance of the stronger stimulus, when it occurred in random order with the rivalry stimuli. Identical visual motion, when not accompanied by a perceptual dominance change, produced only minor effects on the mu rhythm. Our results show that a change in visual percept, even with no real or imagined motor response, is associated with modified activity of the postcentral gyrus. This modification may reflect visuohaptic interactions and/or activity of the distributed cortical network implementing visually guided movements.

Adult↗
PubMed1999

Impaired adaptation of cardiopulmonary receptors to Western diet in normotensive black immigrants.

A blood pressure increase was reported in black immigrants from Africa to Western countries. The present study was undertaken to evaluate whether an impairment of the cardiopulmonary reflex might make blacks unable to adapt peripheral vascular resistance to increased sodium intake. Ten normotensive clinically healthy blacks (aged 38+/-6 years) who had recently migrated from Mogadishu, Somalia to Florence and 10 age- and gender-matched healthy white subjects were investigated. Cardiopulmonary baroreceptor reflex was studied after 7 days of normal (108 mEq) and low (30 mEq) sodium intake by assessing forearm vascular resistance (FVR) and central venous pressure (CVP) during the application of lower body negative pressure (LBNP) at -10 and -20 mm Hg. With a normal sodium diet the gain in cardiopulmonary baroreceptor reflex, expressed as the FVR increase per mm Hg of CVP reduction, was significantly lower in blacks than in white subjects (2.6+/-1.1 v 5.1+/-1.1 U per mm Hg of CVP, P < .001). Differences between the groups disappeared with a low-sodium diet because the reduction of the efficiency of the cardiopulmonary baroreceptor reflex was lower in blacks than in whites (2.4+/-0.7 v 3.3+/-0.7 U per mm Hg of CVP, P = .09). In conclusion, the efficiency of the cardiopulmonary reflex is lower in normotensive black immigrants than in whites. The lower adaptation of the cardiovascular system to the Western sodium diet could contribute to reported long-term blood pressure increase.

Adaptation, Physiological↗
PubMed1999

Characterization of endothelin-1 receptor subtypes in isolated human cardiomyocytes.

On cardiac membranes and isolated cardiomyocytes from the human heart, cell-type distribution and functional activities of endothelin-1 (ET-1) receptor subtypes were investigated by using binding methods and messenger RNA (mRNA) in situ hybridization. The ET-receptor antagonist BMS-182874 selectively and competitively inhibits ET(A) receptors both on isolated myocytes and ventricular membranes with approximately 1,300 times greater affinity for ET(A) than ET(B) subtypes. The [125I]-ET-1 specific binding revealed 42.851+/-2,546 receptors/myocyte with a prevalent proportion of ET(A)-receptor subtypes on both myocytes (84+/-2%) and ventricular membranes (66+/-3%). In situ hybridization studies revealed that mRNA for ET(A) receptors was expressed on both myocytes and nonmyocyte cells, whereas mRNA for ET(B) receptors was almost exclusively expressed on fibroblasts and endothelial cells. Specific binding of [125I]-ET-1 to both myocytes and ventricular membranes in the presence of specific ET(A) (BMS-182874) and ET(B) (BQ-788)-receptor antagonists showed a displacement of [125I]-ET-1 by unlabeled ET-1, which were significantly faster from ET(B) than from ET(A). This suggests a clearance function of ventricular ET(B) receptors.

Antihypertensive Agents↗
PubMed1999

Peripheral vascular resistance limits exercise functional capacity of mild hypertensives.

To evaluate the physiological basis for suboptimal peak exercise oxygen consumption (VO2p) observed in the early stage of hypertension, 25 WHO Stage I hypertensive men with normal left ventricular mass and 10 healthy control subjects of equivalent age underwent the maximal cardiopulmonary exercise test with contemporary measurement of cardiac output with Tc99m angiocardiography. At peak exercise hypertensive patients had lower VO2p (p < 0.045) and cardiac output (p < 0.014) and higher vascular resistance (p < 0.010) than controls. At multiple regression analysis VO2 was positively related to cardiac output in controls (r = 0.80, p < 0.02), whereas in hypertensives the best (negative) correlation was observed with peripheral vascular resistance (r = -0.72, p < 0.04). Thus reduced cardiopulmonary function during physical exercise in hypertensives seems to be mainly related to impaired peripheral vascular autoregulation.

Adult↗
PubMed1998

Cholecystokinin, beta-endorphin and vasoactive intestinal peptide in peripheral blood mononuclear cells of drug-naive schizophrenic patients treated with haloperidol compared to healthy controls.

Cholecystokinin (CCK), beta-endorphin (BE), and vasoactive intestinal peptide (VIP) in peripheral blood mononuclear cells from 30 drug-naive schizophrenics compared to 22 healthy controls were studied. Patients were evaluated with the Brief Psychiatric Rating Scale (BPRS), the Scale for the Assessment of Positive Symptoms (SAPS) and the Scale for the Assessment of the Negative Symptoms (SANS) at baseline (TO), and after four weeks (T4) in nine patients who were subsequently treated with haloperidol (HL). Neuropeptide concentrations in peripheral blood mononuclear cells (PBMC) were measured at TO and, for the treated patients, at T4. There was a negative correlation between CCK and SANS baseline scores and a trend for patients who responded poorly to HL (i.e. patients with a prevalence of negative symptomatology) to have lower CCK basal values.

Adolescent↗
PubMed1998

Human cortical-evoked fields during detection, localisation, and identification of 'pop-out' targets.

We investigated human cortical activity during four 'effortless-pop-out' visual search tasks with the use of magnetoencephalography. The search display, which was identical across all the tasks, consisted of vertical line segments, one of which was rotated abruptly 45 degrees clockwise or counterclockwise. In the passive-viewing task the observers gave no response to the search display. In the target-detection task they responded to the onset of the target motion irrespective of its location and direction. In the target-localisation task the observers reported whether the line rotation appeared above or below the fixation point while ignoring the direction of the rotation. In contrast, in the target-identification task they indicated the direction of the line rotation, and the location of the rotation in the array was irrelevant. Cortical activity was recorded with a whole-scalp magnetometer while the observers were performing each task. In addition to the expected activation of the occipital and somatomotor cortical regions, two other active cortical areas were consistently identified in both hemispheres: one in the occipito-temporal area, probably corresponding to the motion-specific V5 complex, and another in the parieto-temporal region. The activation of the right occipito-temporal source depended on the task. The maximum amplitude was smallest for the passive viewing, increased for the detection task, and was largest for the localisation and identification.

Adult↗
PubMed1998

Increased renal endothelin formation is associated with sodium retention and increased free water clearance.

To investigate whether renal endothelin (ET)-1 participates in water and sodium handling, we investigated the influence of different sodium intakes on renal production of ET-1 in eight healthy subjects. The functional relationship with the renin-angiotensin system was also studied. Renal ET-1 formation is affected by sodium intake, because 1 wk of high sodium decreased urinary ET-1 excretion (-34%, P < 0.05), whereas a low-sodium diet increased ET-1 excretion (66%, P < 0.05) and mRNA expression for preproendothelin-1 in epithelial cells of medullary collecting ducts and endothelial cells of the peritubular capillary network. Increased ET-1 renal synthesis was associated with sodium retention and increased free water clearance. Urinary ET-1 excretion changes from normal to low-sodium diet were negatively related to contemporary changes in sodium excretion (r = 0.97, P < 0.05) and were positively correlated with free water clearance (r = 0.97, P < 0.05). These correlations were maintained during angiotensin-converting enzyme inhibition, which only partially reduced ET-1 renal excretion. These results indicate that renal ET-1 production is indeed modulated by varying sodium intakes and may exert a role in sodium and water handling.

Adult↗
PubMed1997

Modulation of the parieto-occipital alpha rhythm during object detection.

Changes in the human neuromagnetic alpha rhythm were monitored during an object detection task to study the effects of visual shape processing on the parieto-occipital activity. Pictures of coherent meaningful objects, which the observers had to detect, and of disorganized meaningless non-objects were presented briefly between masks. The non-objects were systematically followed by a higher level of alpha than the objects, the difference emerging on average 400 msec after the stimulus, with a median delay of 130 msec after evoked response onsets in the occipital, temporal, and parietal cortices. Without attention to visual shape, the alpha levels did not differ between objects and non-objects. The alpha level was higher after non-objects than missed objects, and higher after missed than correctly detected objects, suggesting that the alpha level is inversely related to saliency or familiarity of the object and does not directly reflect visual awareness. The reactive alpha rhythm was generated in the parieto-occipital sulcus, which in several primate species includes areas belonging to the dorsal visual pathway. According to current views, the parietal cortex produces attentional signals that filter out irrelevant information in the ventral visual stream. Our results reinforce the idea of bidirectional interaction: information derived from visual shape can rapidly modify activity in the parieto-occipital region. The synchronized alpha oscillations may reflect attenuation of occipito-parietal information transfer and disengagement of parietal cortex from object selection.

Adult↗
PubMed1997

Visual motion activates V5 in dyslexics.

A recent functional magnetic resonance imaging (fMRI) study concluded that the motion-specific visual area V5 is not activated in dyslexic subjects. We report here opposing evidence based on whole-scalp neuromagnetic recordings. Apparent-motion stimuli elicited similar activation of V5 in both dyslexic and control subjects, with a trend for longer latencies in dyslexics. Both high- and low-contrast stimuli activated the V5 region in dyslexics. The lack of significant blood flow changes despite modified neuronal synchrony would explain the absence of fMRI signals and the presence of neuromagnetic signals in dyslexic subjects.

Adult↗
PubMed1997

Activation of a distributed somatosensory cortical network in the human brain. A dipole modelling study of magnetic fields evoked by median nerve stimulation. Part I: Location and activation timing of SEF sources.

Cortical areas responsive to somatosensory inputs were assessed by recording somatosensory evoked magnetic fields (SEF) to electrical stimulation of the left median nerve at wrist, using a 122-SQUID neuromagnetometer in various conditions of stimulus rate, attentional demand and detection task. Source modelling combined with magnetic resonance imaging (MRI) allowed localisation of six SEF sources on the outer aspect of the hemispheres located respectively: (1) in the posterior bank of the rolandic fissure (area SI), the upper bank of the sylvian fissure (parietal opercular area SII) and the banks of the intraparietal fissure contralateral to stimulation, (2) in the SII area ipsilateral to stimulation and (3) in the mid-frontal or inferior frontal gyri on both sides. All source areas were found to be simultaneously active at 70-140 ms after the stimulus, the SI source was the only one active already at 20-60 ms. The observed activation timing suggests that somatosensory input from SI is processed to higher-order areas through serial feedforward projections. However the long-lasting activations of all sources and their overlap in time is also compatible with a top-down control mediated via backward projections.

Adult↗
PubMed1997

Activation of a distributed somatosensory cortical network in the human brain: a dipole modelling study of magnetic fields evoked by median nerve stimulation. Part II: Effects of stimulus rate, attention and stimulus detection.

In this study we used a repeated measures design and univariate analysis of variance to study the respective effects of ISI, spatial attention and stimulus detection on the strengths of the sources previously identified by modelling SEFs during the 200 ms following mentally counted left median nerve stimuli delivered at long and random ISIs (Part I). We compared the SEF source strengths in response to frequent and rare stimuli, both in detection and ignoring conditions. This permitted us to establish a hierarchy in the effects of ISI, attention and stimulus detection on the activation of the cortical network of SEF sources distributed in SI and posterior parietal cortex contralateral to stimulation, and in the parietal operculum (SII) and premotor frontal cortex of both hemispheres. In all experimental conditions the SI and parietal opercular sources were the most active. All sources were more active in response to stimuli delivered at long and random ISIs and the frontal sources were activated only in this condition of stimulation. Driving the subject's attention toward the side stimulated had no detectable effect on the activity of SEF sources at short ISI. At long ISIs mental counting of the stimuli increased the responses of all sources except SI. These results suggest that activation of frontal sources during mental counting could reflect a working memory process, and that of posterior parietal sources a spatial attention effect detectable only at long ISIs.

Adult↗
PubMed1997

Both plasma and renal endothelin-1 participate in the acute cardiovascular response to exercise.

Plasma endothelin (ET-1) and renal endothelin are two distinct functional systems involved in maintaining blood volume. To investigate whether plasma and renal ET-1 participate in the cardiovascular response to exercise-induced hypovolaemia, we studied changes in plasma and urinary ET-1 in healthy non-professional athletes after 2 h of jogging performed both without and with drinking isotonic fluids. After the run, which caused a 13% plasma volume (PV) reduction, plasma and renal ET-1 (+117% and +118%) increased significantly (all P < 0.01). Fluid loss restitution during the run significantly attenuated either the PV contraction (-1.2%) and plasma and renal ET-1 increase (+2 and +3%). At multiple regression analysis changes in AVP plasma concentration, and not in PRA or PV per se, were significantly related to ET-1 changes both in plasma and urine. The present findings indicate that both plasma and renal ET-1 participate in the cardiovascular response to hypovolaemia induced by long-lasting, dynamic exercise.

Adult↗
PubMed1996

Visual awareness of objects correlates with activity of right occipital cortex.

In the search for human neural correlates of visual awareness, cortical magnetic responses to coherent and meaningful objects were compared with responses to disorganized and meaningless non-objects when observers tried to detect the coherent objects. Three brief stimulus durations were included to vary the detection rate of the objects. Of the multiple brain regions activated, only the right lateral occipital cortex showed signals correlating with the proportion of correct object detections. The results suggest an important role for this area in visual awareness of objects.

Adult↗
PubMed1996

Cortical sources of human short-latency somatosensory evoked fields to median and ulnar nerve stimuli.

;;;;;õry evoked magnetic fields were measured with a 122-channel whole-scalp neuromagnetometer from seven healthy adults. Electric stimuli, with an intensity above the motor threshold, were delivered once every 0.5 s alternately to the median and ulnar nerves at the wrist; both wrists were stimulated successively within one session. In most subjects, two distinct neural sources were identified at the contralateral primary somatosensory cortex SI for both stimuli. The first source (M20) peaked at 21-22 ms and indicated activation of area 3b in the contralateral SI hand region. The same source peaked with opposite current direction at 32 ms. The second source (M40) was slightly medial to M20 and exhibited two peaks with the same current direction, first at 25 ms and most prominently at 42 ms. M20 was on average 7 mm more lateral along the central sulcus for median than ulnar nerve stimuli, in agreement with the somatotopic organization of the SI cortex; similar organization for M40 was less clear. These results suggest that M20 and M40 to upper limb stimulation represent activation of distinct neuronal populations in hand SI cortex, presumably in area 3b.

Adult↗
PubMed1996

Activation of human mesial cortex during somatosensory target detection task.

We recorded somatosensory evoked fields (SEFs) from 10 healthy subjects to ulnar and median nerve stimuli presented at random intervals of 2.4-21.6 s. The subjects either counted the stimuli or ignored them by reading a book. The stimuli activated in both conditions the contralateral SI cortex, the ipsi- and contralateral SII cortices, and the posterior parietal cortex (PPC), in line with earlier observations. In addition, a novel response was observed in nine subjects at 120-160 ms. It was clearly enhanced by attention and was generated in the mesial cortex of the paracentral lobule, close to the end of the central sulcus.

Acoustic Stimulation↗