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Scopolamine increases prehensile force during object manipulation by reducing palmar sweating and decreasing skin friction.

The aim of this study was to determine whether relatively long-term changes in skin friction induced by a pharmacological blockade of sweat excretion would alter the grip forces applied to objects of a variety of different surface textures and frictions. Five men and three women were asked to lift the vertically mounted armature of a linear motor between the thumb and index finger and to hold it against an opposing force for 2 s. A 1.0-kHz tone indicated to the subject that the manipulandum had been correctly positioned between the upper and lower position limits. The linear motor generated a 2.5-N force tangential to the skin surface simulating an object weighing approximately 250 g. Three different polyamide plastic surfaces (either smooth or etched with 1.0 mm high Braille beads evenly spaced at 2- or 3-mm intervals) contacted the fingers in these experiments. Subjects lifted and held in a precision grip one of the three surfaces for blocks of ten consecutive trials, but the order of presentation of the three different textures was varied to offset the effect of expectancy. On a second block of ten trials the subjects were requested to release the object slowly to measure the ratio of the grip force normal to the grasped surface to the tangential load force at the moment of slip. This ratio or its inverse provided the coefficient of friction or the slip ratio for a particular subject and surface condition. Twelve hours prior to a second recording session all subjects placed transdermal patches of 1.5 mg scopolamine behind each ear to reduce palmar sweating by blocking the muscarinic receptors of exocrine sweat glands. The subjects were re-tested following procedures that were identical to the first session. Scopolamine significantly reduced the friction of the skin on the smooth and 2-mm beaded surfaces, but the friction of the 3-mm beaded texture was unaffected. Scopolamine also caused subjects to increase both the peak and static grip forces for all the textures including the 3-mm beaded surface, suggesting that for two of the three surfaces they were responding to the increased slipperiness of the skin due to reduced sweat production.

Adult↗

Measurement of furancarboxylic acid, a candidate for uremic toxin, in human serum, hair, and sweat, and analysis of pharmacological actions in vitro.

3-Carboxy-4-methyl-5-propyl-2-furanpropionic acid (CMPF), a candidate for uremic toxin, was measured in human hair for examining a possible utility as indicator of renal dysfunction. The serum concentration of CMPF was much higher (32.3 +/- 2.7 microg/ml, n = 17; mean +/- SEM) in uremic patients aged 40-55 years receiving hemodialysis treatment than in healthy younger subjects (3.61 +/- 0.19 microg/ml, n = 22), aged 18-23 years. However, the hair concentration of CMPF tended to be lower in the patients (6.8 +/- 1.7 ng/10 mg hair) than in the healthy younger subjects (15.8 +/- 4.5 ng/10 mg) and was significantly lower than that in the healthy age-matched subjects (22.4 +/- 5.3 ng/10 mg, n = 12), aged 40-47 years. Since CMPF was measurable in the sweat (4.4 +/- 3.7 ng/mg) collected from six out of seven healthy subjects examined, it was suggested that the contribution of sweat to the measurement of CMPF in hair was considerable. The fact that the uremic patients undergoing hemodialysis therapy had less sweat than healthy subjects may explain the lower concentration of CMPF in the patients' hair. The pathophysiological roles of CMPF in the body were attempted to be explored by using excised guinea pig organs, and human platelets and neutrophils. CMPF showed no remarkable effects in the concentration range of < or =10(-4) M except for only slight suppression of spontaneous contracture of guinea pig tenia coli at 10(-4) M. As far as the organs and tissues examined in the present study are concerned, the biological activity of CMPF itself, if any, may be very weak. Precaution should be taken against the delivery of a substance through sweat to hair when a small amount of substance is attempted to be measured in hair by employing a sensitive analytical method.

Adolescent↗

Mirtazapine in drug-induced excessive sweating.

Excessive sweating is a well-known side effect of a selective serotonin reuptake inhibitor treatment, but little is known about the impact of sweating on treatment discontinuation or the general quality of life of patients. In this case report, we present a patient suffering from excessive sweating induced by escitalopram. When mirtazapine was administered as an additional treatment, a dose-dependent reduction of drug-induced excessive sweating was observed. Taking into account the particular serotonin antagonistic properties of mirtazapine, its eventual influence on the regulation of body temperature and diaphoresis in the central nervous system is discussed.

Citalopram↗

Heat of sorption induced by sweating affects thermoregulatory responses during heat load.

To investigate the effects of heat of sorption per se induced by sweating on thermoregulatory responses in clothed subjects, two experiments were carried out. In experiment 1 [ambient temperature (Ta) 27.2 degrees C, 50% relative humidity (r.h.)], seven female subjects immersed their lower-legs in a water bath at a temperature raised between 35-41 degrees C during 70 min wearing garments made for the experiment of either 100% cotton (C) or 100% polyester (P). Skin blood flow at the forearm was significantly greater in C than in P (P < 0.05). The increase of mean skin temperature (Tsk) and clothing surface and clothing microclimate temperatures were significantly higher in C than that of P after the onset of sweating (P < 0.05). Furthermore, these responses were accompanied by warmer and more uncomfortable sensations in C than in P despite a lower rectal temperature in C compared with P and identical mean body temperature in both sets of garments. In experiment 2, to simulate the clothing microclimate after the onset of sweating, C and P garments were exposed in the climate chamber to r.h. raised from 50% to 95% at a constant Ta of 27.2 degrees C. The clothing surface temperature rose by 2.2 degrees C for C and by 0.5 degree C for P after the increase of r.h. These results clearly showed a more marked increase in heat of sorption in C than in P. These results indicated that the heat of sorption per se after the onset of an increasing clothing microclimate vapour pressure, mimicking the onset of sweating, enhanced thermoregulatory responses such as skin blood flow, (Tsk) and subjective voting in C.

Adult↗

Influence of bright light exposure for several hours during the daytime on cutaneous vasodilatation and local sweating induced by an exercise heat load.

The aim of the present study was to investigate the effect of exposure to differing light intensities for several hours during the daytime on the cutaneous vasodilatation and local forearm sweat rate induced by exercise. Seven healthy female subjects were exposed to bright light of 6000 lux (bright) or dim light of 100 lux (dim) during the daytime between 0900 hours to 1330 hours, followed by exposure to 150 lux until the test was over at 1600 hours. They spent their time in neutral conditions (29 degrees C, 40% relative humidity) from 0900 hours to 1500 hours, and then exercised on a cycle ergometer for 30 min at 50% maximal physical work capacity. Average tympanic temperatures were significantly lower in bright than in dim from 1133 hours to 1430 hours. The onset of cutaneous vasodilatation and local forearm sweating occurred at significantly lower tympanic temperature (Tty) during exercise after bright than after dim. After exercise, the cessation of forearm sweating and the rapid change of skin blood flow occurred at significantly lower Tty after bright than after dim. It was concluded that exposure to bright light over several hours during the daytime could reduce Tty and shift the threshold Tty for cutaneous vasodilatation and forearm sweating to a lower level.

Adolescent↗

The effect of sodium balance on sweat sodium secretion and plasma aldosterone concentration.

The effect of manipulating sodium intake upon sweat sodium secretion was investigated during heat acclimation. Twenty-five male subjects were confined to an environmental chamber at a temperature of 25 degrees C for 3 days, and then acclimated to heat by a further 5 days at 40 degrees C. The subjects' daily sodium intake was controlled throughout as follows: high (HNa), 348.4 (0.8) mmol x day(-1), n=7; moderate (MNa), 174.1 (0.6) mmol x day(-1), n=9; or low (LNa), 66.3 mmol x day(-1), n=9. Sodium losses were estimated from urinary, faecal and sweat collections using a whole-body washdown method. Plasma aldosterone concentration was also measured from venous blood sampled each morning. Measurements of body temperature and heart rate during the heat exposure phase indicated a degree of heat acclimation. During this heat phase there was a reduction (P < 0.01) in sweat sodium secretion for all three conditions which was greatest for the LNa condition, although this finding was not significant (P < 0.1). In the LNa condition, plasma aldosterone concentration increased (P < 0.05) prior to heat exposure, and the secretion of aldosterone was potentiated (P < 0.01) during the heat exposure in comparison with the MNa condition. In contrast, the HNa diet produced a fall (P < 0.05) in plasma aldosterone concentration prior to heat exposure and an attenuation of aldosterone secretion thereafter. These findings are inconsistent with the hypothesis that retention of sweat sodium is dependent upon a net body sodium deficit, but demonstrate that aldosterone secretion is potentiated under such conditions.

Adaptation, Physiological↗

Sweating economy by graded control in well-trained athletes.

Local sweat rates (Msw) at the chest and thigh and the frequency of sweat expulsions (Fsw) were determined in human subjects with (athletes) or without (non-athletes) long-term physical training during moderate bicycle exercise (80 W for 30 min) at ambient thermoneutrality (23 degrees C) and 60% relative humidity. There was a tendency for Msw to be lower in athletes. The rise of Msw with increasing Fsw was significantly less steep and Fsw was also controlled at a significantly lower rate in athletes than in non-athletes. The start of exercise was followed by a temporary decrease in mean skin temperature (Ts) which was less distinct in athletes. The rise in Ts at the end of exercise was significant in athletes (0.80 +/- 0.26 degree C) but not in non-athletes (0.26 +/- 0.33 degree C). The results indicate that long-term physical training leads to improved circulatory heat transfer to the skin and to a more graded nervous control of sweat expulsion and, further, tends to reduce the rate of sweating.

Adult↗

Limited endoscopic thoracic sympathetic block for hyperhidrosis of the upper limb: reduction of compensatory sweating by clipping T4.

BACKGROUND: Endoscopic thoracic sympathicotomy of T2 to T4 (ETS 2-4) has evolved into an effective treatment for severe hyperhidrosis of the upper limb. Complications such as bleeding or Horner's syndrome are rare, but side effects such as compensatory and gustatory sweating occur in 30-50% of patients. Following the Lin-Telaranta classification, we aimed to reduce these side-effects by clipping T4 solely [endoscopic thoracic sympathetic block (ESB 4)]. We present our experience and clinical results using this method, with emphasis on patients' quality of life. METHODS: A total of 176 procedures (91 patients) were carried out in the ETS 2-4 group and 103 procedures (53 patients) in the ESB 4 group: 60.4 and 43.4% had palmar hyperhidrosis, 8.8 and 5.7% had isolated axillary, and 30.8 and 50.9% had combined manifestations, respectively. Follow-up was 22.1 months (obtained from 79.1% of patients) for the ETS 2-4 group and 7.5 months for the ESB 4 group (obtained from 88.7%). RESULTS: The success rate was similar for both groups: 87.9 and 64.5% had completely dry limbs, 9.9 and 35.5% ( p < 0.0002) were nearly dry, and 2.1 and 0% remained wet. (ETS 2-4 vs ESB 4). Although the armpits remained slightly humid in more patients in the ESB 4 group, 100% stated full satisfaction. Complications did not differ significantly. However, compensatory sweating (55.6 vs 8.5%, p = 0.0002) and gustatory sweating (33.3 vs 2.1%, p = 0.0019) were markedly reduced (ETS 2-4 vs ESB 4). Quality of life was assessed by a hyperhidrosis index, which significantly improved in most patients. CONCLUSIONS: ETS 2-4 and ESB 4 have similar success rates in the treatment of upper limb hyperhidrosis. The major side effects of compensatory and gustatory sweating were effectively reduced by the limited method of clipping T4, and patients' satisfaction and improvement in quality of life were remarkable.

Adult↗

Subpicogram analysis of sweat proteins using two-dimensional polyacrylamide gel electrophoresis.

Sweat collected from six normal volunteers was analyzed to determine if reproducible protein patterns could be obtained using two-dimensional polyacrylamide gel electrophoresis of 125I-labeled sweat proteins. This method has the capability of easily detecting picogram quantities of protein. Once the methods of collection of the sweat had been standardized, reproducible patterns were obtained from these volunteers. Over 100 discrete spots were revealed by a combination of fluorography and rare earth screen radioautography of dried two-dimensional gels. This method will allow analysis of sweat for qualitative and quantitative variations in protein content in pathologic conditions such as cystic fibrosis, renal failure, and diabetes.

Electrophoresis, Polyacrylamide Gel↗

Iron, copper and zinc concentrations in human sweat and plasma; the effect of exercise.

The effect of 30 or 40 min hard exercise on a cycle ergometer upon plasma concentrations of zinc, iron and copper in twelve healthy male athletes was studied. Sweat samples were also collected from different body sites and analyzed for these metals. The metal content of sweat from different body sites varied, as did the sweating rates of different subjects. Pre-exercise plasma iron concentrations in 10 of the 12 subjects were within the normal range, but at least 4 subjects had sub-normal plasma zinc whereas six had plasma copper levels above normal. The effects of exercise on plasma metal concentrations varied from subject to subject; no general conclusions could be drawn about the biological significance of loss of metals in sweat in relation to whole body metal metabolism. It is suggested that a mild acute phase response may account for lowered zinc and raised copper in the plasma of athletes.

Adult↗

Trace elements in the sweat of acclimatized persons.

Sweat samples were collected from the arms of 15 normal, healthy subjects while they exercised on a cycle ergometer at room temperature. Samples were analysed for copper, zinc, manganese, nickel, cadmium and aluminium by atomic absorption spectrophotometry. Mean sweat levels determined for each element were as follows: 358.1 micrograms/l for Zn, 486.8 micrograms/l for Cu, 3.10 micrograms/l for Mn and 1.91 micrograms/l, 69.9 micrograms/l and 15.0 micrograms/l for Cd, Ni and Al, respectively. It appears that substantial quantities of trace elements are excreted in the sweat of those sweating habitually. Our findings suggest that the influence of diet in replenishing the body stores of trace elements and the conservation of these elements by the kidneys may play a part in preventing the occurrence of chronic deficiency states in acclimatized persons.

Acclimatization↗

The determination of trace metals in sweat by anodic stripping voltammetry.

Sweating was induced on the forearm of subjects by pilocarpine iontophoresis, and the sweat collected on a small membrane filter. Zinc, cadmium, lead and copper were then determined in the filter by anodic stripping voltammetry (ASV) using one of two alternative techniques: leaching the filter with a supporting electrolyte (0.1 M NaNO3/0.002 M HNO3), followed by ASV of the leachate; or, direct ASV analysis of the trace metals in the membrane filter using a novel thin-layer cell. Average values found for zinc, cadmium, lead and copper in sweat from males were (micrograms 1-1): 720, less than 3, 15 and 80, respectively. Copper in sweat from females was lower (23 micrograms l-1) than for males, although use of oral contraceptives appeared to increase copper concentration.

Electrochemistry↗

Radiation response of murine eccrine sweat glands.

Following irradiation of the left-hind feet of mice, we measured the ability of the eccrine glands to secrete sweat following stimulation by pilocarpine. Silicone elastomer impression moulds of the foot pads gave repeatable, detailed localization of sweat ducts by retaining the impression of each emerging sweat droplet. Loss of gland function occurred rapidly following irradiation (within 2 weeks) and the rate of loss was dose-dependent, being over three times greater following a dose of 13.0 Gy than after 6.8 Gy. There was a dose-dependent nadir of function at around 8 weeks, followed by a gradual recovery that was complete by about 30 weeks after irradiation, leaving a dose-dependent residual functional deficit. Eccrine sweat glands are very radiosensitive organs compared with the epidermis. A single dose of 13 Gy resulted in complete loss of eccrine gland function at 8 weeks whilst about 23 Gy would be required to elicit transient moist desquamation, in oxygen-breathing mice. Substantial sparing was seen when two doses were split by intervals of up to 24 h.

Animals↗

Vasoactive intestinal polypeptide receptor-like immunoreactivity in human sweat glands.

Human sweat and sebaceous glands were studied immunohistochemically with a monoclonal antibody recognizing a vasoactive intestinal polypeptide (VIP) receptor. The staining pattern correlated well with the known distribution of sympathetic VIP-containing nerves in the human skin. The luminal cell layer of the sweat gland ducts and some acinar cells of the secretory coil of eccrine sweat glands were the major sites of VIP receptor-like immunoreactivity. From these findings and the known pharmacological actions of VIP it is concluded that a major role of VIP released from sympathetic nerves in the skin is to regulate chloride reabsorption from the primary sweat at the ductal segment.

Humans↗

Blood flow and catecholamine concentration in bovine and caprine skin during thermal sweating.

1. Blood flow and the concentrations of noradrenaline, adrenaline and dopamine were determined in the skins of cattle and goats, before, at the onset of and 3 hr after commencement of sweating induced by heat exposure (40 degrees C). 2. The onset of sweating in both cattle and goats was associated with a rise in cutaneous blood flow, which was thus independent of sweat pattern. Cutaneous blood flow was also higher at 40 degrees C than at 15 degrees C. 3. The predominant catecholamine in the skin of both species was dopamine, which in the goat increased in concentration in the warm environment. 4. There was no clear evidence of a change in the amount of any of the cutaneous catecholamines during exposure to 40 degrees C, although there was a consistent tendency for the concentrations of adrenaline in the calf and noradrenaline in the goat, to fall during the onset of sweating.

Animals↗

Determination of inorganic sulfate in human saliva and sweat by controlled-flow anion chromatography. Normal values in adult humans.

Following the previous demonstration that low concentrations of inorganic sulfate (SO4) in human serum and cerebrospinal fluid can be accurately determined by controlled-flow anion chromatography, the assay has been extended to the quantitation of free SO4 in saliva and sweat by modification of the established methods of sample collection and preparation. Salivary secretions were ultrafiltered to remove macromolecular polyanions that bind irreversibly to the anion-exchange separator column and reduce resolution. Sweat was collected from 22 fasted adult volunteers using a method which utilizes absorbent filter pads applied to the forearm after secretion had been stimulated by pilocarpine iontophoresis. It was necessary to acid wash the filter pads to reduce sulfate contamination. Saliva ultrafiltrate or sweat was diluted and injected onto a Dionex D-10 Ion Analyzer using the standard anion column system. The mean inorganic SO4 concentration in saliva from seventeen adult fasting volunteers was 72 +/- 4 mumol/l (+/- S.E.); the mean SO4 concentration in sweat was 83 +/- 3 mumol/l. Both are significantly less than in matching serum, suggesting that SO4 is actively removed during formation of these glandular secretions. The ion chromatographic assay is shown to be capable of measuring SO4 in biological fluids at concentrations that are otherwise undetectable by conventional assay techniques.

Adolescent↗

Conductivity determined by a new sweat analyzer compared with chloride concentrations for the diagnosis of cystic fibrosis.

OBJECTIVES: The aim of the study was to determine if a new conductivity measuring sweat test system (Nanoduct) could reliably identify patients with cystic fibrosis (CF) and differentiate them from healthy subjects. STUDY DESIGN: On the same day and in the same patient, the new system was tested in comparison with the Macroduct sweat collection system measuring chloride concentration and osmolality. RESULTS: Subjects (n = 111) 3 weeks to 60 years of age were investigated. Three children had no sweat production, and in 14 children, only conductivity could be measured. In the remaining 94 subjects, the new system identified all patients with classic CF (mean conductivity, 115 mmol/L; range, 92 to 137) and differentiated them from healthy subjects (mean conductivity, 36 mmol/L; range, 17 to 59) within a mean time of 20 minutes. CONCLUSIONS: Measuring sweat conductivity using the new test system reliably differentiated between patients with and those without CF. This suggests that the new system could be used as a diagnostic test in addition to its suggested screening value.

Adult↗

Potentiality of mesenchymal stem cells in regeneration of sweat glands.

Sweat glands play some key roles in homeostasis maintenance and body temperature regulation. In full-thickness burn wounds, sweat glands cannot regenerate to form their three-dimensional organization via the division and terminal differentiation of sweat gland cells. However, the plasticity of mesenchymal stem cells (MSCs) may offer the hope and potentiality to regenerate sweat glands after severe burn injury.

Animals↗