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PubMed2003

Effect of apparent ileal digestible lysine to energy ratio on performance of finishing pigs at different dietary metabolizable energy levels.

A study with a total of 96 crossbred barrows and gilts fed ad libitum in a body weight range of 56-110 kg was carried out in order to investigate whether the optimum ratio of apparent ileal digestible lysine : energy (ME) depends on the energy density of the diet. Dietary treatments were ratios of 0.34, 0.42, 0.50 and 0.58 g digestible lysine/MJ ME either at an energy density of 13 or 14 MJ ME. Body weight gain as well as feed and ME conversion rate were improved when lysine : ME ratio increased from 0.34 to 0.50, whereby all parameters showed a significant ratio x sex interaction. Feed intake and feed conversion rate were higher at a dietary energy density of 13 MJ ME than at an energy density of 14 MJ ME but energy density did not influence daily growth rate, ME intake and ME conversion rate. Fat area above eye muscle and meat : fat ratio were lower and eye muscle area and lean percentage were higher at a ratio of 0.42 compared with a ratio of 0.34. Daily feed intake, body weight gain, feed conversion rate and parameters of fatness were higher in barrows than in gilts. Conversely, gilts had higher eye muscle area and lean percentage. Optimum ratio for body weight gain, feed and ME conversion rate calculated by exponential regression analysis were 0.42-0.43 in barrows. In gilts, feed and ME conversion rate were optimized at a ratio of 0.53 and 0.54. Because growth showed a linear response to increasing digestible lysine : ME ratios, optimum ratio for daily gain in gilts is considered to be at least 0.58.

Animal Feed↗

PubMed1991

[The role of antibodies in Graves' ophthalmopathy].

The aim of this study was to investigate the possible pathogenetic role of autoantibodies to eye muscle membrane fractions in 75 patients with Graves' disease (50 patients with infiltrative ophthalmopathy). Autoantibodies directed to four fractions of human eye muscle--as well as thyroid membranes prepared by ultracentrifugation were detected by ELISA and Western blotting techniques. None of autoantibodies to various fractions of eye muscle membrane proved to be specific for Graves' ophthalmopathy, however, the presence of these antibodies and activity of eye symptoms were in correlation. Polyclonal autoantibodies to common epitopes on both thyroid and eye muscle membrane antigens (approximately 60 kD) were revealed that might be involved into pathogenesis of Graves' ophthalmopathy.

Adult↗

PubMed1982

Blow-out fracture of the orbit. Diagnostic and therapeutic considerations, and results in 90 patients treated.

On the basis of 90 patients with blow-out fracture of the orbit the authors present diagnostic methods, the treatment and follow-up results, mainly as regards visual function (diplopia) and aesthetics (enophthalmos). Surgery was performed in 77 cases, 6 patients were treated conservatively by eye muscle training, and 7 patients refused surgery. Surgery consisted in primary reconstruction of the orbit, exploration of the fracture site, freeing the entrapped soft tissues (periorbital tissues, eye muscles) and reconstruction of the defect with autogenous bone graft, followed by eye muscle surgery in cases of failure. After surgery no complications were observed. Results of treatment were evaluated by established methods elaborated by the authors, in the same order before and after surgery. Of 77 patients treated surgically recovery was obtained in 63.6%, marked improvement in 23.4%, slight improvement in 13.0%. In conclusion the authors state that: 1) in all cases ophthalmological examination is most important, 2) approach to the orbital floor or medial wall is best obtained by transconjunctival or subciliary incision, 3) in cases with a defect with a defect of the orbital floor the best material is autogenous bone graft. In linear fracture of the orbital floor and medial wall it is sufficient to free the entrapped tissues, 4) in all surgical patients eye muscle training proved effective.

Adolescent↗

PubMed1984

Palisade endings in human extraocular muscles.

The presence of nerve terminals in the tendinous insertions of human eye muscles was investigated histologically in adult human eye muscles obtained from donor eyes and in muscle pieces resected from juvenile patients undergoing surgical correction for strabismus. Lateral and medial recti, superior and inferior oblique muscles from adults, were stained "en bloc" using a silver impregnation method. Numbers of nerve terminals were isolated that resembled "palisade endings" previously described in other species. A single palisade ending usually appeared as an interwoven network of fine neural filaments that cupped the inserting tip of a single extrafusal fiber. A collection of palisade endings on several neighboring muscle fibers were supplied by a single myelinated axon that branched from a nerve bundle in the muscle mass. The presence of nerve terminals at the distal musculotendinous interface of juvenile muscle also was observed when some resected specimens of lateral and medial recti were sectioned and stained using Holmes' silver method with a picrofuschin counterstain. No conventional Golgi tendon organs were seen.

Aged↗

PubMed1990

[Structural differences in the structure of the ciliary muscles in eyes of primates. A histochemical and morphological study].

The ciliary muscle of the primate eye was stained histochemically with enzymes used to differentiate fiber types in the skeletal muscle. Differences between the outer meridional section and the rest of the muscle were found with all enzymes. Staining for myosin-ATPase with acid and alkaline preincubation, as well as for lactate dehydrogenase (LDH), resulted in a stronger reaction in the meridional section, while the reticular and circular portions showed minor activities. In contrast, succinate dehydrogenase (SDH) revealed a stronger activity in the reticular and circular muscle cells. Ultrastructurally, the meridional muscle cells contained fewer mitochondria, but more myofibrils in the cytoplasm, while circular and reticular muscle cells showed just the opposite. Therefore, the cells of the meridional ciliary muscle section resemble in some respects the rapid type-II skeletal muscle fibers, and the circular und reticular muscle cells are comparable to the slow type-I fibers of the skeletal muscle.

Animals↗

PubMed1987

Mechanisms of immune damage in Graves' ophthalmopathy.

We have studied the role of immunologically mediated cytotoxicity in the orbital tissue damage of Graves' ophthalmopathy. Antibody-dependent cell-mediated cytotoxicity (ADCC) against eye muscle (EM) cells and orbital fibroblasts (OF) was demonstrated in a small proportion of patients, all of whom had severe, recent disease. Antibody-mediated (complement-dependent) cytotoxicity against OF was found in only a few patients. No patients showed lysis above background with EM targets. ADCC activity against OF was absorbed by preincubation of serum with thyroid cells, eye muscle cells, and orbital fibroblasts, as well as thyroid, eye muscle and orbital connective tissue membranes. Both EM and OF were able to express class II MHC HLA-DR antigens when stimulated by gamma interferon, phytohemagglutinin or activated T lymphocytes. DR-positive target cells were much more susceptible to lysis, in both ADCC and lymphocyte-mediated cytotoxicity, than DR negative cells. When DR-positive OF and EM were used as targets in ADCC assays, the degree of lysis determined as 51Cr release given by serum from patients with Graves' ophthalmopathy was enhanced, but only in those patients showing positive tests with DR-negative targets. Intrathyroidal T lymphocytes obtained from a patient with Graves' ophthalmopathy were more cytotoxic against DR-positive OF and EM than equal numbers of her peripheral blood T lymphocytes. Antibody-dependent cell-mediated cytotoxicity and lymphocyte-mediated cytotoxicity against orbital fibroblasts and eye muscle cells are thus associated with target cell HLA-DR antigen expression and are likely to be mechanisms for in vivo tissue damage in Graves' ophthalmopathy. The identity of the mononuclear cell subpopulation effecting cell-mediated cytotoxicity against orbital target cells, and the possible significance of reaction of cytotoxic antibodies against orbital, thyroid-shared antigens are unclear.

Adult↗

PubMedDate not supplied

[Visual evaluation of the dynamics of the action of a myorelaxant based on the threshold contractile reaction of the orbicular muscles of the eye during indirect electric stimulation].

A method has been elaborated for the determination of the early signs of myorelaxation and the type of neuromuscular block by the visual assessment of the eye round muscles contraction under indirect electrical stimulation. The studies performed in 38 patients on myorelaxants have shown that the onset of the eye round muscles contraction under indirect electrical stimulation corresponds mainly to the early clinical symptoms of myorelaxation. The method is recommended as an additional clinical diagnostic technique for the assessment of neuromuscular block.

Adult↗

PubMed1992

Cell-mediated immunity to orbital tissue antigens in thyroid-associated ophthalmopathy determined using the leukocyte procoagulant activity assay.

While it is generally accepted that thyroid-associated ophthalmopathy (TAO), a progressive inflammatory disorder of the extraocular muscle and orbital connective tissue (OCT), is immunologically mediated the nature of the underlying abnormalities is poorly understood. Although there is considerable evidence for antibody-mediated immunity against both eye muscle (EM) and OCT antigens in TAO a role of cell-mediated immunity (CMI) has not been studied in detail. We have used a new sensitive test for CMI, the leukocyte procoagulant activity (LPCA) assay and tested blood leukocytes from patients with TAO and autoimmune thyroid disease (ATD) without evident ophthalmopathy for reactivity against pig eye muscle (PEM) and human thyroid and OCT membrane and soluble fractions. In some cases human EM fractions were also tested. Preparations of PEM membrane (PEMM) and human thyroid membrane induced a significant LPCA response in both groups of patients. PEM cytosol, human OCT membrane and cytosol and human spleen membrane did not evoke a significant response in either group of patients. There were significant positive correlations in patients with TAO between (i) LPCA in response to PEMM and that to human thyroid membrane and (ii) LPCA in response to human thyroid membrane and that to human EM membrane. In patients with TAO there were no significant associations between LPCA response to PEMM and the detection of serum antibodies to a 64 kDa EM membrane protein in immunoblotting, or between LPCA response to PEMM and the duration or severity of the ophthalmopathy or clinical evidence for eye muscle involvement. These findings confirm a role of cell-mediated immunity against eye muscle antigens in thyroid-associated ophthalmopathy.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

PubMed1979

Contractile properties of extraocular muscle in Siamese cat.

Siamese cats are albinos with poor visual resolution and severely impaired binocular vision. Eey muscle phyiology was studied in Siamese cats as a part of a more extensive project on eye muscle properties in cats with deficient binocular vision. Isometric contractions of the inferior oblique muscle were recorded in response to single and repetitive muscle nerve stimulation. Speed of contraction, measured as twitch contraction time, fusion frequency and rate of tetanic tension rise, was lower in Siamese than in normal cats. Eye muscles of Siamese cats fatiqued more easily to continuous activation than normal cat eye mucle. These functional changes have also been found in cats with binocular defects from monocular lid suture, but were much more marked in Siamese cats. It is suggested that the eye muscle changes represent muscular adaptations to genetically caused impairments of binocular vision and visual resolution in Siamese cats.

Albinism↗

PubMed1990

Prognostic factors in the radiotherapy of Graves' ophthalmopathy.

Between April 1968 and February 1988, 311 patients with symptomatic and progressive Graves' ophthalmopathy were treated with megavoltage orbital radiotherapy. The patients were divided into three groups: I (156 patients) treated with 20 Gy/2 weeks; II (69 patients) treated with 30 Gy/3 weeks, and III (a most recent set of 86 patients) received 20 Gy/2 weeks. The degree of eye involvement was evaluated numerically before and after therapy for each of five parameters: soft tissue signs, proptosis, eye muscle impairment, corneal involvement, and sight loss. Pre-treatment and current thyroid diagnosis and status were also noted. To evaluate the effects of radiotherapy alone, follow-up was terminated at the time any eye surgery was done; for those not treated surgically the minimum follow-up was 12 months. Because there were significant demographic differences between the patient groups, the results of each group were analyzed separately. A stepwise linear regression analysis was performed to determine if there were any significant variables affecting outcome. Based on these data formulae were derived which enable outcome to be predicted in any patient. Before therapy more than 90% of patients in all groups had soft tissue and eye muscle involvement, whereas 65-75% had proptosis and about half 50% had some degree of sight loss. Radiotherapy arrested progression of ophthalmic parameters in all but 1-6% of the patients. Objective and symptomatic improvement was noted for all parameters assessed, but there was marked individual variability. The best responses were noted for soft tissue, corneal involvement, and sight loss; however over half the patients had some improvement in eye muscle function and proptosis. Factors which resulted in less favorable outcome included male gender, advanced age, need for concurrent therapy for hyperthyroidism, and no history of hyperthyroidism. No complications have been observed. No significant differences in outcome were observed between the two dosage schedules. Following radiotherapy 29% of patients subsequently underwent some form of eye surgery, mostly eye muscle surgery to correct diplopia. After radiotherapy corticosteroid therapy was stopped without relapse in 76%. Orbital radiotherapy can result in improvement in signs and symptoms of Graves' ophthalmopathy in the majority of patients. For the remainder of patients the disease manifestations can be stabilized to allow functional surgical correction.

Connective Tissue↗

PubMed2003

Retrobulbar irradiation for thyroid-associated orbitopathy: double-blind comparison between 2.4 and 16 Gy.

PURPOSE: Retrobulbar irradiation is used as a standard therapy for thyroid-associated orbitopathy. The evidence of its effectiveness is, however, scarce. Doses from 2.5 to 20 Gy have been recommended. METHODS: Forty-three patients with active thyroid-associated orbitopathy were irradiated with 2.4 Gy and 43 with 16 Gy. Five measures of outcome were used: (1) appearance of the eye region, documented with photographs; (2) Hertel exophthalmometry; (3) range of vertical eye movements; (4) eye muscle thickness (sum of three MRI sections across the eight rectus eye muscles); and (5) complaints, indicated on a visual analog scale. RESULTS: At 3 and 6 months after irradiation, no difference between 2.4 and 16 Gy was found in any of the five outcome measures (p between 0.099 and 0.993; Kruskal-Wallis test, Holm correction). Most outcome measures were slightly, but not significantly, improved in both the 2.4 and the 16 Gy groups. Patient complaints had improved significantly in both groups and the eye muscle thickness was significantly reduced in the 2.4 Gy group after 6 months. CONCLUSION: The lack of a difference between 2.4 and 16 Gy is compatible with four different interpretations: (1) the irradiation could be ineffective; (2) the maximal effect could be already reached at 2.4 Gy; (3) the maximal effect could lie between 2.4 and 16 Gy; and (4) the effect could increase beyond a threshold of >or=16 Gy. From general experience with inflammatory disease, the last two possibilities are unlikely; only the first two interpretations carry some probability. Although the design of the study did not allow a distinction between these two possibilities, we conclude that retrobulbar irradiation for thyroid-associated orbitopathy should not exceed 2.4 Gy.

Adult↗

PubMed1997

New approach in strabismus surgery in high myopia.

AIMS: To develop appropriate methods of eye muscle surgery in highly myopic patients with esotropia and hypotropia, with respect to the pathological findings in high resolution magnetic resonance imaging (MRI). METHODS: 35 patients with unilateral or bilateral high myopia and strabismus--that is, axial length of the globe averaged 29.4 mm. Multiple coronal, transverse, and parasagittal MRI image planes were obtained using a Siemens Magnetom 1.5 tesla MRI scanner. In 15 patients with a pathological plane of recti extraocular muscles found by MRI and confirmed intraoperatively, a new technique of eye muscle surgery was performed to re-establish the physiological muscle plane. This was checked postoperatively in addition to the measurement of alignment and motility by MRI. RESULTS: The new MRI finding of a dislocation of the lateral rectus (LR) into the temporocaudal quadrant by 3.4 mm requires new surgical techniques. Only fixing the LR in the physiological meridian at the equator with a silicone loop ('guide pulley') or a non-absorbable suture is a causal therapy. This yields alignment and improves abduction and elevation. CONCLUSIONS: If the described misalignment of the LR is detected by MRI, a common high dosage recess-resect procedure for esotropia may even aggravate the deviation. The most important aim of eye muscle surgery is to normalise the pathological path of the LR. The restoration of the physiological function of the dislocated LR is remarkable.

Adult↗

PubMed1999

The development of extraocular muscle calcium homeostasis parallels visuomotor system maturation.

Extraocular muscle is modulated by unique genetic and epigenetic factors to produce an atypical phenotype. As a prelude to regulation studies, we characterized the development of cation homeostasis in the predominately fast-twitch extraocular muscles. By atomic absorption spectroscopy, total muscle calcium content declined from birth to postnatal day 27 and, thereafter, stabilized at a low level in limb but increased dramatically in extraocular muscle (to 40x limb values). By ELISA, the slow isoform of sarcoplasmic reticulum Ca2+-ATPase predominated in neonatal eye muscle, but subsequently was largely replaced by the fast isoform. This replacement in eye muscle was completed later than in limb. Residual, slow Ca2+-ATPase likely resides in an unusual slow tonic fiber type characteristic of eye muscle. Maturation of the definitive extraocular muscle Ca2+-ATPase pattern paralleled myofiber Ca2+ and sarcoplasmic reticulum content. These data show that, like myosin heavy chain expression patterns, the development of cation homeostatic mechanisms in extraocular muscle parallels landmarks in the maturation of vision and eye movement control systems. Findings suggest that cation homeostasis in extraocular muscle may be susceptible to perturbations of the developing visual sensory system, as we have previously shown for myosin.

Aging↗

PubMed1992

[The course of the disease in endocrine orbitopathy. Magnetic resonance tomographic documentation].

MR imaging of the orbits was performed in 59 patients with untreated Graves' ophthalmopathy (follow-up exams were performed in 11 patients). T2-relaxation times of eye muscles were calculated and correlated with duration of disease. Elevated T2 times indicating eye muscle edema were found even if ophthalmopathy had been existing for more than one year. MRI documented specific eye muscle changes and transformation of oedema to fibrosis and fatty degeneration. MRI thus allows for standardized planning of therapy and follow-up in patients with Graves' ophthalmopathy.

Edema↗

PubMed2000

Influence of the dietary ratio between sulphur containing amino acids and lysine on performance of growing-finishing pigs fed diets with various lysine concentrations.

This study was conducted to determine the optimal ratio between sulphur containing amino acids and lysine in diets for growing-finishing pigs. Therefore, a total of five trials was carried out in which growing-finishing pigs (live weight range between 53 and 105 kg) were fed diets with various concentrations of lysine (0.62, 0.70 and 0.78%) and various ratios between sulphur containing amino acids to lysine. The diets contained 12.9 MJ ME per kg and 13.5% CP; the ratio between sulphur containing amino acids to lysine was adjusted by individual supplementation of the diets with DL-methionine. Increasing dietary levels of lysine from 0.62 to 0.78% continuously increased daily body weight gains and improved feed conversion efficiency as well as carcass characteristics. There was no significant interaction between the dietary lysine supply and the ratio between sulphur containing amino acids to lysine on animal performance parameters. This means that the effect of the ratio of sulphur containing amino acids to lysine was similar for various dietary lysine concentrations. The optimum ratio between sulphur containing amino acids to lysine according to quadratic regression analysis was 0.60, for both, growth and feed conversion. Reducing the ratio between sulphur containing amino acids to lysine from 0.59 to 0.53 and 0.47 reduced body weight by 3 and 12%, resp., and elevated the feed conversion ratio by 2 and 12%, resp. An increase of the ratio between sulphur containing amino acids to lysine from 0.59 to 0.65 failed to increase the animal performance. In contrast to animal performance parameters, optimum carcass characteristics (eye muscle area, fat area above eye muscle, meat-fat ratio and lean percentage) were achieved already at a ratio of sulphur containing amino acids to lysine of 0.53.

Amino Acids, Sulfur↗

PubMed1998

The sparing of extraocular muscle in dystrophinopathy is lost in mice lacking utrophin and dystrophin.

The extraocular muscles are one of few skeletal muscles that are structurally and functionally intact in Duchenne muscular dystrophy. Little is known about the mechanisms responsible for differential sparing or targeting of muscle groups in neuromuscular disease. One hypothesis is that constitutive or adaptive properties of the unique extraocular muscle phenotype may underlie their protection in dystrophinopathy. We assessed the status of extraocular muscles in the mdx mouse model of muscular dystrophy. Mice showed mild pathology in accessory extraocular muscles, but no signs of pathology were evident in the principal extraocular muscles at any age. By immunoblotting, the extraocular muscles of mdx mice exhibited increased levels of a dystrophin analog, dystrophin-related protein or utrophin. These data suggest, but do not provide mechanistic evidence, that utrophin mediates eye muscle protection. To examine a potential causal relationship, knockout mouse models were used to determine whether eye muscle sparing could be reversed. Mice lacking expression of utrophin alone, like the dystrophin-deficient mdx mouse, showed no pathological alterations in extraocular muscle. However, mice deficient in both utrophin and dystrophin exhibited severe changes in both the accessory and principal extraocular muscles, with the eye muscles affected more adversely than other skeletal muscles. Selected extraocular muscle fiber types still remained spared, suggesting the operation of an alternative mechanism for muscle sparing in these fiber types. We propose that an endogenous upregulation of utrophin is mechanistic in protecting extraocular muscle in dystrophinopathy. Moreover, data lend support to the hypothesis that interventions designed to increase utrophin levels may ameliorate the pathology in other skeletal muscles in Duchenne muscular dystrophy.

Animals↗

PubMed1999

[The histotopography of the eye rectus muscles as an anatomical basis for microsurgical operations in strabismus].

The forms of vessels and muscular bundles localization in the eye rectal muscles were investigated by methods of morphometry and quantitative analysis. The vessels and the muscular bands may be disposed loose or compact as it has been shown. Inferior and medical rectal muscles the compact variant of bands distribution prevail and they are rich in vessels.

Analysis of Variance↗

PubMed1977

Details of the orbital connective tissue system in the adult.

The study of serial thick (60 mu) histological sections reveals a highly complicated but orderly constructed connective tissue system within the orbit. Between this system adipose tissue compartments are present built up in a comparable orderly fashion. In this intraorbital continuum, to which Tenon's capsule, the so-called check ligaments, the fascial sheaths of the muscles and the periorbital membrane belong, other different areas of characteristic connective tissue septa originating from the fascial sheaths of the eye muscles are recognizable. These different areas are linked to the presence of the different eye muscles and can be regarded as belonging to these eye muscles. That is why, in our opinion, this total of orbital connective tissue, together with the adipose tissue compartments lying in between, must be regarded as an additional mechanism playing an important role when eye movements are performed. The highly regular pattern and intra- and interindividual uniformity within this system will be clarified in the following paper, using models which specially highlight spatial architecture.

Adipose Tissue↗