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Epidural catheter-induced paresthesia accompanied by changes in skin color and temperature in an obstetric patient.

Placement of epidural catheters for labor analgesia is a common procedure that has become more popular in recent years. However, this procedure can often cause paresthesia, which is typically characterized as a transient and intense burning pain radiating to the hip or leg. In this case report, we describe a patient who had persistent paresthesia in her right foot caused by an indwelling epidural catheter, which was successfully relieved following a partial withdrawal of the epidural catheter. More interestingly, we also observed dramatic changes in skin color and temperature (cold and pale) on her right foot that was well correlated both in time and location with the epidural-induced paresthesia. This cold and pale skin on the right foot represents a localized sympathetic discharge associated with the epidural-induced paresthesia, a phenomenon that has not previously been described. Based on the location of the paresthesia and the pathway of the sympathetic nerve fibers, it is unlikely that this localized sympathetic discharge was due to a direct irritation of the preganglionic sympathetic fibers in the spinal nerve roots by the epidural catheter and thus, a spinal reflex was probably involved. This phenomenon provided us with additional clinical evidence of nerve root irritation, which prompted us to act quickly, and resulted in a favorable outcome.

Adult↗

Release of atrazine ((14)C) from two undisturbed submerged sediments over a two-year period.

Through water erosion and runoff, sediment-adsorbed atrazine can undergo sedimentation and accumulation at the bottom of water bodies and become potential sources of atrazine to the water column. The purpose of this study is to determine the fate and release of atrazine ((14)C) to the water column from two simulated undisturbed submerged sediments at two temperature treatments (5 and 24 degrees C) over a 2-year period. Atrazine residue ((14)C) was released from the two sediments and was, primarily, diffusing from the sediment pore water to the water columns. The amount released was affected by sediment type and is related to the sediment's adsorption/desorption capacity. Larger amounts of residue ((14)C) were released to the water columns at 5 degrees C than at 24 degrees C. Atrazine degraded in the shallow submerged anaerobic sediment's water columns over the 2-year period. Less than 2% (percent of applied in atrazine equivalent) of extractable atrazine and metabolites remained in the sediment after 2 years. The amount of nonextractable atrazine residue ((1)(4)C) was significantly higher in sediments at 24 degrees C than at 5 degrees C. In conclusion, atrazine accumulating in shallow undisturbed submerged sediments from nonpoint sources would most likely degrade and/or become nonextractable over time and would have a low probability of becoming a significant source to the water body. The conditions where accumulation and future release of atrazine have a greater potential to occur are under very cold temperatures with low adsorption capacity sediments.

Atrazine↗

Fat utilization enhanced by exercise in a cold environment.

To study substrate utilization during cold temperature exercise, seven men dressed in shorts, T-shirts, and light gloves performed 60 min of continuous cycle ergometer exercise at -10 degrees C and 22 degrees C. The workload at both temperatures represented 66% of the cycle-measured maximal heart rate. Oxygen consumption and respiratory exchange ratio (RER) were measured at rest and during 60 min of exercise. Rates of total and fat energy utilization (kJ X min-1) during exercise were calculated from VO2 and RER. A two-factor repeated measures analysis of variance indicated that at rest oxygen consumption averaged 56% higher and RER 5% lower at -10 degrees C. During exercise, oxygen consumption averaged 10% higher (P less than 0.05), and RER averaged 2% lower (P less than 0.05) at -10 degrees C. The rates of total energy use (mean +/- SD = 39.3 +/- 1.2 vs 35.7 +/- 1.3 kJ X min-1; P less than 0.05) were significantly higher at -10 degrees C than at 22 degrees C. In addition, the rate of fat use increased significantly in both groups after 30 min of exercise. The cumulative total energy expenditure for 60 min of exercise was 13% higher (2379 +/- 308 vs 2110 +/- 415 kJ; P less than 0.05 and the cumulative fat expenditure was 35% higher (979 +/- 209 vs 724 +/- 184 kJ: P less than 0.05) in the cold environment. These results indicate that a cold environment can significantly enhance fat utilization during endurance exercise.

Adipose Tissue↗

Phylogenetic diversity of numerically important Arctic sea-ice bacteria cultured at subzero temperature.

Heterotrophic bacteria in sea ice play a key role in carbon cycling, but little is known about the predominant players at the phylogenetic level. In a study of both algal bands and clear ice habitats within summertime Arctic pack ice from the Chukchi Sea, we determined the abundance of total bacteria and actively respiring cells in melted ice samples using epifluorescence microscopy and the stains 4', 6'-diamidino-2-phenylindole 2HCl (DAPI) and 5-cyano-2,3-ditolyl tetrazolium chloride (CTC), respectively. Organic-rich and -poor culturing media were used to determine culturable members by plating (at 0 degrees C and 5 degrees C) and most-probable-number (MPN) analyses (at -1 degrees C). Total bacterial counts ranged from 5.44 x 10(4) ml(-1) in clear ice to 2.41 x 10(6) ml(-1) in algal-band ice samples, with 2-27% metabolically active by CTC stain. Plating and MPN results revealed a high degree of culturability in both types of media, but greater success in oligotrophic media (to 62% of total abundance) and from clear ice samples. The bacterial enumeration anomaly, commonly held to mean <or= 0.01% cultured, was not demonstrated in any of our samples. Denaturing gradient gel electrophoresis was used to check the purity of 44 isolates and select representatives for subsequent sequencing. Phylogenetic analyses based on 16S rRNA sequences indicated close relationships exclusively to known marine psychrophiles within two bacterial divisions, Proteobacteria (in the genera Alteromonas, Colwellia, Glaciecola, Octadecabacter, Pseudoaltermonas and Shewanella) and Cytophaga-Flexibacter-Bacteroides (Cytophaga, Flavobacterium, Gelidibacter and Polaribacter). All cultures from the clear ice sample with highest (62%) culturability were closely related to each other or to psychrophilic Cytophaga-Flexibacter-Bacteroides (94.9-99.6% sequence similarities). Overall, these findings suggest limited, heterotrophic bacterial diversity at cold temperatures and may provide insight into the recent evolution of psychrophilic bacteria.

Arctic Regions↗

Cold-passaged, temperature-sensitive mutants of human respiratory syncytial virus (RSV) are highly attenuated, immunogenic, and protective in seronegative chimpanzees, even when RSV antibodies are infused shortly before immunization.

A cold-passaged (cp) temperature-sensitive (ts) RSV mutant, designated RSV cpts-530, which possesses host-range mutations acquired during 52 passages at low temperature in bovine tissue culture and one or more ts mutations induced by chemical mutagenesis (shut-off temperature 39 degrees C) was found previously to be tenfold restricted in its replication in mice as compared to wild-type virus and stable genetically in nude mice. In the current study, we introduced additional attenuating mutations, such as small-plaque (sp) or ts mutations, into cpts-530 by chemical mutagenesis with 5-fluorouracil, with the intent of obtaining derivatives of cpts-530 that were more attenuated in mice or chimpanzees and that were more stable genetically following replication in vivo. Fourteen mutants of RSV cpts-530 which had acquired an additional ts mutation were identified and found to be more restricted in replication in BALB/c mice than the cpts-530 parental strain. One mutant, designated cpts-530/1009 (shut-off temperature 36 degrees C), was 30 times more restricted in replication in the nasal turbinates of mice and threefold more restricted in the nasopharynx of seronegative chimpanzees than its cpts-530 parent. Like its parent, this mutant was highly restricted (30,000-fold) in replication in the lower respiratory tract of chimpanzees even following direct intratracheal inoculation. The cpts-530 and cpts-530/1009 mutants exhibited a high level of stability of the ts phenotype during replication in chimpanzees.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

The Harderian gland: perspectives.

This is the three-hundred and second anniversary of the first description of Harderian glands by Johann Jakob Harder. Despite more than three centuries of study, many features of these glands, including their definition and function, are not yet established to everyone's satisfaction. Some topics of Harderian biology will be reviewed. Morphology, ontogeny: Mammalian Harderian glands secrete largely by exocytosis, which is unusual in a lipid-secreting exocrine gland. Polytubular complexes are features of male hamster glands; their significance is unknown. Porphyrins: High levels of porphyrin in rodent Harderian glands have made this an attractive organ for research on the control of porphyrin synthesis. Attempts to use it as a model of human porphyria, however, have been disappointing. We do not know the function of Harderian porphyrin. The golden (hamster) age: Syrian (golden) hamster Harderian glands show marked sexual differences, including porphyrin levels. This has made them a very useful experimental animal for endocrine studies. The pineal connection: Rodent Harderian glands contain melatonin. Pinealologists often also study Harderian glands, and Harderianologists also often study the pineal. This relationship has contributed valuable insights to our knowledge of both systems. Lipids: Rodent Harderian glands are about 20% lipid by wet weight, and the main secretory product is lipid. The main lipid in many animals is 1-alkyl-2, 3-diacylglycerol. Harderian gland lipid is extensively studied for insights into lipid biochemistry; less has been done on understanding the function of lipids in the physiology of the glands. Behavior: Lipids may function as vehicles for pheromone secretion. In addition, the possible use of Harderian secretion during cold temperatures by gerbils has been noted. Immunology: Bird Harderian glands are probably lymphoid organs. This does not seem to be true of mammals, though the female Syrian hamster shows large numbers of mast cells. Harderian glands of amphibians and reptiles: Research on nonmammalian Harderian glands has been limited, though important insights continue to emerge from these studies.

Amphibians↗

Src protein and tyrosine-phosphorylated protein profiles in marrow stroma during osteogenic stimulation.

Src protein is essential for the regulation of bone turnover primarily via bone resorption because it is required in osteoclast differentiation and function. We followed temporal changes of Src protein abundance in marrow stromal cells induced to mineralize by dexamethasone (DEX), growth in cold temperature, or both. Given the tyrosine kinase function of Src and its numerous substrates, profiles of phosphotyrosine-containing proteins were followed as well. On day 11 of stimulation, specific alkaline phosphatase (ALP) activity at 30 degrees C decreased under DEX relative to 37 degrees C cultures, in accord with increased cell counts. Mineralization per well under DEX increased by 25% at 37 degrees C, whereas at 30 degrees C it increased by more than threefold regardless of the DEX stimulation. At 30 degrees C, on a per cell basis mineralization increased 2.5 and 3 times with and without DEX, respectively. Cultures at 37 degrees C showed a general drop per cell of many phosphotyrosine-containing proteins on day 3 relative to days 1 and 2 in both DEX-stimulated and nonstimulated cultures; several proteins did recover (recuperate) thereafter. On days 1 and 2, the phosphotyrosine signal was higher in several proteins under DEX stimulation; this trend became inverted after day 3. The changes in abundance per cell of Src protein (pp60src) followed a similar trend, and in addition a truncated Src molecule, p54/52src, was detected as a putative cleavage product presumably representing its carboxy terminus. The pp60src was most abundant, relative to its truncated product, in day 7 nonstimulated cultures, whereas under DEX stimulation the truncated species pp54/52src showed the highest relative abundance on days 7. At 30 degrees C, DEX stimulation accentuated the increase in Src protein on day 3, showed no change on day 7, and returned to increase Src protein on day 10. Potassium ionophorvalinomycin, considered to select against mineralizing osteoprogenitors at 30 degrees C, showed on day 10 in the absence of DEX a relative increase in truncated Src protein compared to both DEX-stimulated and nonstimulated cultures in the absence of valinomycin. On day 7 of DEX stimulation, the presence of valinomycin resulted in low p54/52src. Among phosphotyrosine-containing proteins, a 32-34 kDa band, as yet unidentified, showed the most concordant changes with mineralization induction. P32-34 decreased by DEX on days 2 and 8 and increased by low temperature alone or combined with DEX on day 3. On day 7, p32-34 did not change under DEX, but valinomycin selected cells with less phoshpotyrosine-containing p32-34. Taken together, high Src abundance at the start of osteogenic induction followed by a decrease 1 week later is probably related to energy metabolism-dependent induction of mineralization. This is in temporal accord with the increase in Src truncation and fluctuation in mitochondrial membrane potential (which affects mineralization). The reported binding of amino-terminal Src oligopeptide to p32 ADP/ATP carrier in the mitochondrial inner membrane raises the question of its possible involvement in mitochondria-regulated mineralization.

Animals↗

Immunoblastic lymphoma: an immunologic study.

An immunologic study of a 59-year-old man with immunoblastic lymphoma is presented. Shortly after his hospital admission, an uncompensated hemolytic process developed, caused by cold agglutinins. These antibodies had anti-i specificity, were of low titer at cold temperature, but demonstrated a high thermal amplitude. An apparent paraprotein was found by further immunochemical analysis to be polyclonal. The majority of cells in the peripheral blood (over 2000/cu nm), lymph node, and bone marrow that contained cytoplasmic IgG or IgM were plasma cells, although a small number of cells resembled lymphoblasts. Their staining with anti-lambda and anti-kappa chain reagents confirmed the polyclonality of the immunoglobins. Some plasma cells displayed the concomitant presence of both IgM and IgG immunoglobulins. Free immunoglobin was also demonstrated intercellularly in the lymph node section. The patient's acute hemolysis was controlled by plasmapheresis and eventually by combination chemotherapy. After chemotherapy, the clinical improvement was rapid, immunoglobulin levels returned to normal, and the patient remains asymptomatic 40 months after completing six courses of combination chemotherapy. This report provides evidence for polyclonal proliferation of B-lymphocytes in immunoblastic lymphoma.

Agglutinins↗

Changes in nuclear shape and mitochondrial structure do not accompany the loss of division potential in human fibroblasts in vitro.

Previous studies on ultrastructural changes that occur in cultured human fibroblasts during their in vitro life-span indicate that "senescent" cells characteristically possess structurally altered mitochondria, highly lobed nuclei, and an abundance of secondary lysosomes when compared to early passage cells. In the present study, we demonstrate that improper preparative methods can induce altered mitochondrial morphology in preparations of both IMR-90 and HF730A fibroblasts, regardless of passage level. We also show that nuclei of both living and fixed IMR-90 fibroblasts are ovoid in shape, not lobulate, in well-spread cells, regardless of either the passage level or the proliferative capacity of the cell. Fibroblasts contain lobulated nuclei only when they have not spread completely on the culture substrate. Lobulations can be induced at any passage level by collagenase/trypsin or trypsin/EDTA treatment prior to fixation, but not by cytochalasin B treatment or by cold temperatures. We conclude that any treatment that affects cytoskeleton-membrane-culture substrate interactions will induce this aberrant nuclear morphology, but that this is not indicative of "senescence" and does not relate to proliferative decline.

Cell Cycle↗

Transendothelial transport (transcytosis) of iron-transferrin complex in the rat liver.

To determine the transport pathway of iron-transferrin complex (Fe-TF) into the hepatocyte, we labeled Fe-TF with colloidal gold and perfused rat liver through the portal vein with this probe under different conditions. The tissue was then studied by transmission electron microscopy. At a cold temperature (approximately 4 degrees C), the probe bound to the luminal surface of sinusoidal endothelium without internalization. The binding was limited to the endothelium and there was no binding to Kupffer cells or hepatocytes. The binding was inhibitable in the presence of excess soluble Fe-TF, indicating the specificity of the bindings. At 37 degrees C the probe was internalized via a system of coated pits and vesicles. Morphometric analyses of the temporal sequence of events suggested that the probe was transported, in part, across the endothelium via a system of tubules and vesicles and externalized on the abluminal side via a system of coated pits. The probe was then taken up by hepatocytes. Only minimal uptake was noted when gold-labeled bovine serum albumin was used either at the low temperature or at 37 degrees C. The findings suggest that the liver uptake of Fe-TF complex by hepatocytes is a transendothelial phenomenon (transcytosis).

Animals↗

Vibration syndrome in industry: dermatological viewpoint.

Long-term use of hand-held vibratory tools has been implicated in the development of a clinical condition known under several names including occupational Raynaud's phenomenon, vibration-induced white finger (VWF) disease, and "dead" or "wax" finger. The syndrome is characterized in its early stages by tingling, numbness, or blanching of the finger tips provoked usually by exposure to cold temperatures; later these symptoms may extend to the base of all of the digits on both hands. As vibration exposure continues, the attacks become more frequent and cause manual impairment and social disability. This complex of VWF and associated arterial and related complications is now termed vibration syndrome (VS). Although epidemiologic studies indicate that large percentages of the population of workers at greatest risk are affected, the acceptance of VS as an industrial disease is only recent. This paper reviews some of the salient features of VS from the point of view of the dermatologist, since he may be the first health professional to see patients with this syndrome. Terminology, risk factors, preventative measures, therapy, and occupational guidelines are discussed.

Humans↗

High-performance liquid chromatography method development and validation for simultaneous determination of five model compounds, antipyrine, metoprolol, ketoprofen, furosemide and phenol red, as a tool for the standardization of rat in situ intestinal permeability studies using timed wavelength detection.

A simple, precise, accurate and rugged reversed-phase high-performance liquid chromatography (HPLC) method has been developed and validated for the simultaneous determination of five permeability model compounds, viz. antipyrine, metoprolol, ketoprofen, furosemide and phenol red. The method was intended to standardize rat in situ single-pass intestinal perfusion studies to assess the intestinal permeability of drugs in the market as well as new chemical entities. Optimum resolution was achieved by gradient elution on a Symmetry Shield C-18 analytical column with the mobile phase consisting of a mixture of aqueous potassium dihydrogen orthophosphate (pH 5.5; 0.01 m) and methanol at a flow rate of 1.5 mL/min. The retention times of antipyrine, metoprolol, ketoprofen, phenol red and furosemide were about 9, 12, 13, 16 and 17 min, respectively. Data acquisition was carried out using a photo diode array detector in the wavelength range 210-600 nm. Extraction of chromatograms was carried out by timed wavelength. Data obtained in all studies indicated that the method was suitable for the intended purpose. The validated method was found to be linear and precise in the working range. Suitability of storage under various conditions and freeze/thaw impact at cold temperature were established to ensure complete sample recovery without any stability issues. Recovery very close to the spiked amounts indicated that the method was highly accurate and suitable for use on routine basis.

Animals↗

Osborn waves in the electrocardiogram, hypothermia not due to exposure, and death due to diabetic ketoacidosis.

Hypothermia usually occurs because a patient has been exposed to a cold environment; however, a number of nonenvironmental conditions may produce hypothermia. This report relates the clinical course of a patient whose hypothermia was due to severe diabetic ketoacidosis. In addition, we review the causes of hypothermia and Osborn waves beyond exposure to cold temperature. Hypothermia due to diabetic ketoacidosis is an uncommon complication of a common disease that carries with it clinically significant consequences. Accordingly, we believe that all clinicians should be aware of this potential complication of diabetic ketoacidosis and should be able to recognize the importance of the electrocardiogram in such patients.

Body Temperature↗

CLAMP, a novel microtubule-associated protein with EB-type calponin homology.

Microtubules (MTs) are polymers of alpha and beta tubulin dimers that mediate many cellular functions, including the establishment and maintenance of cell shape. The dynamic properties of MTs may be influenced by tubulin isotype, posttranslational modifications of tubulin, and interaction with microtubule-associated proteins (MAPs). End-binding (EB) family proteins affect MT dynamics by stabilizing MTs, and are the only MAPs reported that bind MTs via a calponin-homology (CH) domain (J Biol Chem 278 (2003) 49721-49731; J Cell Biol 149 (2000) 761-766). Here, we describe a novel 27 kDa protein identified from an inner ear organ of Corti library. Structural homology modeling demonstrates a CH domain in this protein similar to EB proteins. Northern and Western blottings confirmed expression of this gene in other tissues, including brain, lung, and testis. In the organ of Corti, this protein localized throughout distinctively large and well-ordered MT bundles that support the elongated body of mechanically stiff pillar cells of the auditory sensory epithelium. When ectopically expressed in Cos-7 cells, this protein localized along cytoplasmic MTs, promoted MT bundling, and efficiently stabilized MTs against depolymerization in response to high concentration of nocodazole and cold temperature. We propose that this protein, designated CLAMP, is a novel MAP and represents a new member of the CH domain protein family.

Amino Acid Sequence↗

Hypothermia causes adult-like retention deficits of prior learning in infant mice.

Nine-day-old S-W mice receiving deep body hypothermia or hyperthermia immediately after escape training were retested 1 or 24 hr later. Results indicated that hypothermia impaired 24-hr retention but had no effect upon 1-hr memory. Hyperthermia had no effect, with the mice demonstrating retention of the escape response at both retest intervals. In Experiment 2, administration of hypothermia or hyperthermia 23 hr after original training had no effect upon memory nor did either treatment produce motoric deficits upon retest 1 hr following thermal exposure. Experiment 3 indicated that hypothermia administered immediately after training produced retention deficits directly related to amount of body temperature reduction following hypothermia. These data are similar to those obtained with adult mice and suggest that memory processes occurring in 9-day-old mice may represent the onset of functioning of processes underlying adult long-term memory.

Age Factors↗