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Application of diethylstilbestrol dipropionate in bulls. II. Residues in bile, liver, kidney, muscle tissues and application site.

The second part of an experiment is described in which 20 one year old bulls were injected with diethylstilbestrol (DES) dipropionate containing preparations. Analysis of DES content was performed in several tissues, such as the injection site, diaphragm muscle, psoas muscle, liver, kidney and bile. In the injection site appreciable amounts of DES were found. Measurable amounts of DES were also found in liver and kidney until 4 weeks after injection. In bile, DES concentrations were even higher than those in urine, and were well correlated with DES concentrations in urine. Implications for screening purposes are discussed.

Animals↗

Synergistic effect of insulin-like growth factor-I administration on the protein-sparing effects of total parenteral nutrition in fasted lambs.

Using primed constant isotopic infusions, we investigated the effects of recombinant human insulin-like growth factor-I (IGF-I) infusion on protein kinetics in both fasted and parenterally fed (TPN) lambs. Infusion of IGF-I at a dose of 50 micrograms/kg.h in fasted animals increased (P less than 0.005) the mean plasma IGF-I concentration from 77.5 +/- 9.7 to 454.4 +/- 51.4 ng/ml. During IGF-I infusion the rate of net protein catabolism (NPC) was decreased (P less than 0.005) by 17% from 3.5 +/- 0.2 to 2.9 +/- 0.2 g/kg.day, and the rate of appearance (Ra) of leucine in plasma decreased (P less than 0.01) from 5.0 +/- 0.4 to 3.4 +/- 0.4 mumol/kg.min. In addition, the fractional synthetic rate of protein in cardiac and diaphragmatic muscle increased by 100% (P less than 0.05) during the same period. After 3 h of TPN, the rate of NPC was decreased (P less than 0.01) in the TPN animals compared to that in their fasted counterparts (1.89 +/- 2.27 vs. 4.1 +/- 0.2 g/kg.day, respectively). The rate of NPC was further decreased after another 300 min of TPN to 0.76 +/- 0.27 g/kg.day. However, the Ra of leucine was not changed compared to the initial value. Infusion of IGF-I concurrently with TPN reversed (P less than 0.001) the rate of NPC from 1.02 +/- 0.21 g/kg.day after 180 min of TPN alone to a state of net protein gain of 0.14 +/- 0.19 g/kg.day after a further 300 min of combined IGF-I and TPN infusion. The Ra of leucine decreased (P less than 0.01) from 3.9 +/- 0.8 to 2.5 +/- 0.47 mumol/kg.min during IGF-I and TPN infusion. Similarly, the fractional synthetic rates of protein in cardiac muscle, diaphragm, adductor muscle, psoas muscle, and hepatic tissue were increased (P less than 0.05) compared to those in animals that received only TPN. The protein-sparing effects of IGF-I and TPN were synergistic, and the infusion of both agents resulted in the induction of a protein anabolic state within 60 min of commencing IGF-I infusion. In contrast, neither IGF-I nor TPN alone resulted in a state of net protein anabolism, and neither had an effect on protein kinetics until 120 min into the infusion. Consequently, IGF-I shows considerable potential as an anticatabolic agent when used synergistically with nutritional support.

Animals↗

Melioidosis, the great mimicker: a report of 10 cases from Malaysia.

Between 1981 and 1986, 10 consecutive cases of melioidosis were seen at the University Hospital, Kuala Lumpur, Malaysia. They illustrate the amazing guises of melioidosis presenting as: abscesses of the supraspinatus muscle, psoas muscle, brain and liver; three different pulmonary forms; an acute suppurative dermal lesion; an acute septicaemia; and chronic lymphadenitis. The majority had underlying diseases: diabetes mellitus, the commonest, was present in six, out of whom three had previous pulmonary tuberculosis; other predisposing conditions were renal failure, corticosteroid therapy and malnutrition. Three patients who died had pre-existing renal impairment and developed renal failure later, suggesting that the former is a bad prognostic sign. Clinical diagnosis was difficult: all cases were diagnosed bacteriologically. A high level of clinical awareness is necessary, especially when presentation simulates pulmonary or extrapulmonary tuberculosis in patients with diabetes or other compromised states.

Abscess↗

The principal artery of the psoas major muscle.

The psoas major m. has a complex arterial supply, derived from the lumbar, iliolumbar, obturator, external iliac and common femoral a. The branches arising from the external iliac a., though quite often multiple and slender, are represented in 75% of cases by a single large-caliber vessel. This principal artery of the psoas m. is probably responsible for the curves of the external iliac a. in the aged and also in certain competitive athletes.

Age Factors↗

Septic arthritis of lumbar facet joints. A review of six cases.

Hematogenous infection of the facet joints by pyogenic organisms is exceedingly rare. We report six cases of lumbar facet joint septic arthritis due to hematogenous spread of a pyogenic organism. A review of the literature identified ten anecdotal reports of similar cases. An analysis of these 16 cases showed that the diagnosis was based mainly on imaging study findings and that clinical data failed to discriminate between facet joint septic arthritis and infectious discitis. Increased uptake on the radionuclide bone scan was an early finding and the pattern of uptake was different from that seen in discitis. Computed tomography was the investigation that best delineated the facet joint lesions. Magnetic resonance imaging of the lumbar spine was superior over computed tomography in demonstrating spread of the infection to the epidural space and/or soft tissues and in some instances demonstrated enhancement of the infected facet joint on T1 images after gadolinium injection. Aspiration of the facet joint under fluoroscopic guidance was required only when blood cultures were negative or when the diagnosis of the septic nature of the arthritis was in doubt. Blood cultures yielded a Staphylococcus aureus in the six cases in our series. Appropriate antimicrobial therapy was successful in most cases. In our series, four of the six patients had posterior epiduritis, pyomyositis, or an abscess in the paraspinal muscles or psoas muscle, suggesting that some epidural infections or psoas muscle abscesses believed heretofore to be primary may in fact be complications of facet joint septic arthritis. Facet joint septic arthritis is a new aspect of pyogenic spinal infections that deserves to be considered in patients with febrile spinal syndromes not explained by discitis.

Abscess↗

Radical retroperitoneal tumor surgery with resection of the psoas major muscle.

Three patients with extensive retroperitoneal cancer are presented, in whom the psoas muscle was resected as part of a radical tumor excision. The resection of the psoas muscle, including the femoral nerve, which travels in its substance, and the genitofemoral and ilioinguinal nerves, caused little morbidity (denervation weakness of the quadriceps and anterior high numbness) and improved the quality of the excision. Ablation of the psoas muscle is technically possible; it may improve the patient's outlook both for palliation and for curative intent.

Adult↗

Exerkine dysregulation links visceral adiposity to skeletal muscle impairment in end-stage heart failure with reduced ejection fraction: proteomic evidence for a cardio-adipose-muscle axis.

BACKGROUND: Heart failure with reduced ejection fraction (HFrEF) is associated with profound alterations in body composition, skeletal muscle dysfunction, and impaired exercise capacity. Exerkines representing exercise-responsive signaling molecules released by skeletal muscle, adipose tissue, and other organs may mediate systemic metabolic communication between tissues. However, their role in advanced HFrEF and their relationship with adiposity and skeletal muscle characteristics remain poorly understood. METHODS: We studied 73 patients with end-stage HFrEF and 16 healthy controls. Body composition was assessed using computed tomography, including visceral (VAT), subcutaneous (SAT), and epicardial adipose tissue (EAT), as well as skeletal muscle quantity (psoas muscle index, PMI) and quality (psoas muscle density, PMD). Functional performance was evaluated using handgrip strength (HGT) and the 6-min walk test (6MWT). Circulating exerkines were quantified using the Olink technology. Associations between proteins and clinical variables were assessed using age- and creatinine-adjusted linear models with false discovery rate correction. RESULTS: Among patients with HFrEF, 36% were obese and 38% exhibited central obesity independent of BMI. Muscle strength and muscle quality were strongly associated with functional capacity. VAT correlated with muscle mass but not with muscle quality or performance. Compared with controls, HFrEF patients demonstrated elevated inflammatory and metabolic stress-related exerkines including CXCL8, CCL2, IL-6, TNF, IL-15, GDF15, FGF21, ANGPTL4, CTSB, DCN, and resistin. In contrast, proteins associated with muscle integrity and regenerative signaling (myostatin, BDNF, IL-7, SPARC) were significantly reduced. In HFrEF patients leptin strongly correlated with adiposity measures. Metabolic stress mediators (GDF15, IL-15, FGF21, CTSB) were inversely associated with muscle quality and functional performance, whereas myostatin positively correlated with muscle quality, strength, and exercise capacity. BDNF was inversely associated with frailty. CONCLUSIONS: Advanced HFrEF is characterized by a dysregulated exerkine network linking adiposity, skeletal muscle quality, and functional performance. Four biologically coherent axes were identified: a leptin-driven adiposity axis, a metabolic stress-muscle quality axis, a myostatin-related muscle function axis, and a neurotrophic frailty axis. These findings support the presence of a systemic cardio-adipose-muscle signaling network in end-stage HFrEF and identify candidate molecular mediators of sarcopenia and functional decline.

Humans↗

Difficulties in estimating muscle forces from muscle cross-sectional area. An example using the psoas major muscle.

Most biomechanical models use muscle cross-sectional area (CSA) as an indicator of maximum isometric muscle force. In general, there are multiple estimates of CSA for the same muscle. For example, numerous studies have estimated the CSA of the psoas major muscle using different subject populations and positions. However, few studies have combined the available information to obtain an overall estimate of CSA or investigated the effect different subject characteristics may have on CSA. In the present update, nine studies that reported psoas major CSA or physiologic CSA were compared with respect to subject characteristics, methodology, and results. Corrections to cadaveric data were made to adjust physiologic CSA to CSA. Comparison of reported values for living subjects indicated that females have smaller mean CSA than males for the psoas major muscle and that body size does not significantly influence muscle CSA in males. Areas derived from cadaveric data were smaller than similar studies on living subjects, possibly because of subject age, removal of tendinous and fatty components of fascicles, and lack of detailed data for fascicle angles in the supine position. Results indicate that researchers who use muscle CSA in biomechanical models should carefully assess the appropriateness of the data used, particularly in relation to potential sex differences and the influence of postural changes on CSA.

Biomechanical Phenomena↗

An aberrant psoas major muscle fascicle.

An aberrant psoas major muscle fascicle is described in a human male cadaver. It arose by a tendinous arch spanning the body of L4 and the transverse process of L5, ran an independent course along the pelvic brim to blend with psoas major fibers proximal to the inguinal ligament.

Adult↗

Effect of starvation on initiation of protein synthesis in skeletal muscle and heart.

Psoas muscle of rats starved for 2 or 4 days contained increased levels of ribosomal subunits and exhibited reduced rates of protein synthesis in vitro, demonstrating a starvation-induced inhibition of peptide-chain initiation. The activity of an eIF-2-like initiation factor, assayed in postribosomal supernatants, decreased in psoas during starvation, parallel to a 25% reduction in the RNA level. Reduced eIF-2 activity did not result from nucleotide depletion or increased deacylation of initiator tRNA, nor was it abolished by extensive dialysis. Perfusion of psoas muscle in the presence of insulin reversed the starvation-induced block in peptide-chain initiation, but did not alter the activity of eIF-2 or level of RNA. Furthermore, heart muscle did not manifest a starvation-induced block in peptide-chain initiation even though the activity of eIF-2 and the level of RNA decreased as a result of food deprivation. Thus loss of eIF 2 activity in psoas and heart did not parallel changes in peptide-chain initiation but was associated with a reduction in tissue RNA. These results indicate that the level of eIF-2 is not rate-limiting for peptide-chain initiation under the conditions tested in this study.

Amino Acids↗

Nebulin is a full-length template of actin filaments in the skeletal muscle sarcomere: an immunoelectron microscopic study of its orientation and span with site-specific monoclonal antibodies.

Nebulin, a giant myofibrillar protein with size variants from 700 to 900 kDa in various skeletal muscles, has been proposed to constitute a set of inextensible filaments anchored at the Z-line and coextensive with actin filaments. To elucidate the architectural organization of this fourth set of myofilaments in the skeletal muscle sarcomere, we performed immunoelectron microscopic localization of epitope profiles of a number of site-specific monoclonal antibodies against cloned human nebulin fragments of known sequence loci. Monoclonal antibody N113, which is directed to fragment ND8 at approximately 300 residues away from the C-terminus, labelled the edges of Z-lines in both human quadriceps muscle and rabbit psoas muscle. Monoclonal antibody N101, which is directed to fragment NB5 near the N-terminal side, is localized to a single locus at 0.89 micron from the Z-line in human quadriceps muscle and 0.80 micron from the Z-line in rabbit psoas muscle. Additionally, monoclonal antibody N109, which is directed to fragment NA3 on the carboxy side of the adjacent fragment NB5, is localized at 0.76 micron away from the Z-line in rabbit psoas muscle. This one-to-one correspondence between epitope loci and sequence loci demonstrates that a single nebulin polypeptide spans the length of the thin filament with its C-terminus anchored at the Z-line. The epitope spacings of site-specific antibodies are consistent with the notion that the nebulin filament is uniform in mass density along its length.(ABSTRACT TRUNCATED AT 250 WORDS)

Actins↗

Structure of the myosin projections on native thick filaments from vertebrate skeletal muscle.

Rabbit psoas muscle filaments, isolated in relaxing buffer from non-glycerinated muscle, have been applied to hydrophilic carbon films and stained with uranyl acetate. Electron micrographs were obtained under low-dose conditions to minimize specimen damage. Surrounding the filament backbone, except in the bare zone, is a fringe of clearly identifiable myosin heads. Frequently, both heads of individual myosin molecules are seen, and sometimes a section of the tail can be seen connecting the heads to the backbone. About half the expected number of heads can be counted, and they are uniformly distributed along the filament. The majority of heads appear curved. The remainder could be curved heads viewed from another aspect. Three times as many heads curve in a clockwise sense than in an anticlockwise sense, suggesting a preferential binding of one side of the head to the carbon film. The two heads of myosin molecules exhibit all the possible combinations of clockwise, anticlockwise and straight heads, and analysis of their relative frequencies suggests that the heads rotate freely and independently. The heads also adopt a wide range of angles of attachment to the tail. The lengths of heads cover a range of 14 to 26 nm, with a peak at 19 nm. The average maximum width is 6.5 nm. Both measurements are in excellent agreement with values for shadowed molecules. Since our data are from heads adsorbed to the film in relaxing conditions and the shadowed molecules were free of nucleotide, gross shape changes are not likely to be produced by nucleotide binding. The length of the link between the heads and the backbone was found to vary between 10 nm and 52 nm, with a broad peak at about 25 nm. Thus, the hinge point detected in the tail of isolated molecules was not usually the point from which the crossbridges swung out from the filament surface. The angle made by the link to the filament axis was between 20 degrees and 80 degrees, with a broad maximum around 45 degrees. These lengths and angles concur with our observation of an average limit of the crossbridges from the filament surface of 30 nm. This is sufficient to enable heads in the myofibril lattice to reach out beyond the nearest thin filament and should allow considerable flexibility for stereospecific binding to actin in active muscle.

Animals↗

Body composition analysis of the pig by magnetic resonance imaging.

Magnetic resonance imaging (MRI) was used to measure, in vivo, the volume of several organs and tissues of a total of 111 pigs (males and females) ranging in BW from 6.1 to 97.2 kg. In one experiment the in vivo MRI volumes were compared to tissue or organ weights obtained by dissection. For internal organs, the correlation (R2) between MRI volume and dissected weight ranged from 0.64 (SE of estimation = 65 g) for the heart to 0.90 (SE of estimation = 125 g) for the liver. The MRI volume of the kidneys was approximately 10% less than the dissected weight, whereas the MRI volumes of the heart, liver, and brain exceeded the weights of dissected organs by 13, 17, and 26%, respectively. For fat and muscle tissues, the correlation between MRI volume and dissected weight ranged from 0.82 (psoas muscle) to 0.97 (total right ham muscles). The MRI volume of the backfat and shoulder muscles exceeded the dissected weights by approximately 2%, whereas the MRI volumes of the ham muscles, jowl fat, longissimus muscle, and psoas muscle were 2, 8, 18 and 20% less than their respective weights. In another series of experiments, MRI volume measurements of fat and muscle regions (Jowl fat, backfat, shoulder muscles, LD muscles, psoas muscles, ham muscles, a 10-cm section of the longissimus muscles and overlying fat, and a 15-cm section of the ham muscles and overlying fat) were evaluated by stepwise regression for the prediction of total body fat, lean, and protein. The best prediction of percentage total body fat was obtained using the fat volume from the 10-cm section of longissimus muscle and the fat:muscle ratio from the 15-cm section of the ham (R2 = 0.9). The best prediction of percentage total body protein was obtained using a combination of the volumes (as a percentage of BW) of jowl fat, backfat, shoulder muscle, and ham muscle (R2 = 0.62). The combination fat volume from the 10-cm section of longissimus muscle, the fat:muscle ratio from the 15-cm section of the ham, and the lean volume percentage from the 15-cm section of ham provided the best prediction of the percentage of total body lean (R2 = 0.88).

Animals↗

An anatomic approach to tumors of the psoas major muscle.

The technique of excision of the entire psoas major muscle via the retroperitoneal route is described. This approach prevents direct seeding of the peritoneal cavity with tumor cells and provides relatively easy access to the entire psoas major muscle and its blood supply. The anatomic characteristics of the retroperitoneal space preclude wide surgical margins in whatever approach is used, and in this regard the retroperitoneal approach is probably no more difficult than the transperitoneal approach. The relative ease with which a primary tumor in the psoas major muscle can be excised makes the retroperitoneal approach desirable from the surgeon's point of view.

Back↗

Anatomy of the lumbar sympathetic chain.

BACKGROUND AND OBJECTIVES: To acquire an accurate knowledge of the relationship of the sympathetic chain to the vertebral column. METHODS: In dissections on 65 cadavers the authors located the sympathetic chain and its ganglia in three dimensions with respect to the vertebral column: cephalad-caudad in the sagittal plane; ventrally and laterally in the horizontal (axial) plane. The relationship of the sympathetic chain to the psoas muscle and that of the psoas muscle to the vertebral column was also established. Transparent markers were placed at each disk space and colored markers at each grossly recognizable ganglion. Photographs and measurements were then made. RESULTS: In the sagittal plane, the lumbar ganglia were most often present opposite the middle of the body of the third vertebra and at the disks above and below. In the horizontal plane, the ganglia lay from 0 to 0.5 cm posterior to the anterior border of the third lumbar vertebra and 1.8 to 3.0 cm laterally from the center of the third lumbar vertebra. The sympathetic chain always lay anterior to the psoas muscle. CONCLUSIONS: Although the location of the ganglia is quite variable, the best approach for sympathetic block is to advance the needle paravertebrally through the fascia of the psoas muscle slightly cephalad to the midpoint of the body of L3.

Ganglia, Sympathetic↗

Tightness of hamstring- and psoas major muscles. A prospective study of back pain in young men during their military service.

Muscular tightness and the therapeutic effect of stretching has been widely discussed during the last few years in sports training and physiotherapy. Within a prospective study of back function and pain before and after compulsory military service, tightness of hamstring- and psoas muscles was assessed. Around 600 young men were examined three times over a period of four years. Tight hamstring muscles were found to be very common in this group. Only 43% of the right and 35% of the left legs reached an angle of at least 80 degrees from the couch during the straight-leg-raising test (Lasegue's test). The test of muscular tightness showed a significant test-retest reliability over all examinations. Tight hamstring- or psoas muscles could not be shown to correlate to current back pain or to the incidence of back pain during the follow-up period.

Adolescent↗

Temperature-dependence of tension development by glycerinated muscle fibers of rabbit psoas in Mn (II)-ATP and Mg-ATP solutions.

The tension of single fibers isolated from glycerinated rabbit psoas muscle was measured at various temperatures using Mg-ATP or Mn-ATP as a substrate. The tension developed in Mn-ATP was 80-89% of that in Mg-ATP at 4 degrees-16 degrees, and both tensions decreased as the temperature was reduced. Myosin forms the myosin-product complex predominantly generated on admixture with ADP (and Pi) at the burst site during Mn(II)-ATP hydrolysis below 10 degrees, while it forms the myosin-product complex predominantly formed via ATP hydrolysis upon hydrolysis above 10 degrees, as it does during Mg-ATP hydrolysis (Hozumi & Tawada (1975) Biochim. Biophys. Acta 376, 1; Tawada & Yoshida (1975) J. Biochem. 78, 293; Yazawa & Morita (1973) J. Biochem. 74, 1107). Since the cycle time of cross-bridge attachment to and detachment from actin in muscle is about 1-10 sec and because the spontaneous decay time of the myosin-product complex into the myosin-product complex in the absence of actin is less than 1 sec, then if most of the cross-bridges are detached from actin as suggested by X-ray data, it can be inferred that most of the cross-bridges detached from actin may form the predominant myosin-product complex in Mn-ATP below 10 degrees. If this is so, the tension development in Mn-ATP below 10 degrees cannot be compatible with some muscle models which assume the formation of the myosin-product complex by the cross-bridges prior to combination with actin during contraction.

Adenosine Triphosphate↗

Temperature-dependence of tension development by glycerinated muscle fibers of rabbit psoas in Mg-ITP solution.

The isometric tension of single fibers isolated from glycerinated rabbit psoas muscle was measured at various temperatures using Mg-ITP as a substrate. The tension developed in Mg-ITP decreased linearly as the temperature was reduced from 24 degrees C to 4 degrees C. Myosin formed the myosin--product complex predominantly via ATP hydrolysis at the burst site during Mg-ATP hydrolysis, irrespective of temperature, and the tension developed in Mg-ATP decreased linearly as the temperature decreased (Yoshida and Tawada (1976) J. Biochem. 80, 861). During Mg-ITP hydrolysis, myosin forms the myosin*-product complex predominantly at the burst site above 20 degrees C, while myosin forms the myosin*-substrate complex below 8 degrees C (Hozumi (1976) Eur. J. Biochem. 63, 241). However, the temperature dependence of tension development in Mg-ITP is linear, as with Mg-ATP, as mentioned above. This temperature dependence is not compatible with some muscle models which assume the formation of the myosin*-product complex by cross-bridges prior to combination with actin during contraction.

Animals↗