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Proceedings of the 190th Scientific Meeting of the
Otago Medical School Research Society, Thursday 1 November 2007
Effects of severe passive hyperthermia on
cardiorespiratory and cerebrovascular function. J-L
Fan1, R
Lucas2, L
Wilson1, K
Thomas1, J
Cotter2, P
Ainslie1.
1Department of Physiology, Otago School of
Medical Sciences; 2School of Physical
Education, University of Otago, Dunedin.
Heat-induced hyperventilation causes hypocapnia (reduced
arterial CO2 pressure), which increases cerebral
vascular tone and reduces cerebral blood flow (CBF). Hyperthermia also causes
hypohydration, which can further elevate ventilation. However, no studies have
examined the dose-response relation of hyperthermia and CBF, irrespective of
hydration status. This study tested two hypotheses: 1. that a core temperature
threshold exists above which hyperventilation occurs, resulting in hypocapnia
and compromised CBF and cerebral oxygenation; and 2. hypohydration exacerbates
hyperthermic-induced hyperventilation and related hypocapnia, further decreasing
CBF.
Ten males, lying supine in a water-perfused suit, underwent
normothermic and progressive hyperthermia trials, while euhydrated (EUH) and
while hypohydrated by 1.5 - 2.0% body mass (HYPO; attained previous evening).
Cerebral artery blood velocity (MCAv; transcranial Doppler ultrasound), cerebral
oxygenation (Near-infrared spectroscopy), heart rate (HR; electrocardiography),
mean arterial blood pressure (MAP; finometer) and partial pressure of end-tidal
carbon dioxide (PETCO2) were measured
continuously at baseline and at 0.5°C increments in core (oesophageal)
temperature to +2°C.
In HYPO, baseline MCAv and HR were elevated (P <
0.05 vs EUH). Compared with baseline (P < 0.05; pooled by hydration;
repeated measures ANOVA), heating reduced PETCO2
[-5 ± 1 mmHg at 1°C; -16 ± 4 mmHg at 2°C] and MCAv [-15
± 3% (1°C); -32 ± 5% (2°C)], with hydration status having no
effect on these variables (P > 0.05). MAP was reduced at +1°C,
especially in EUH (-19 ± 10 mmHg EUH, -10 ± 8 mmHg HYPO, P
< 0.05). Reductions in MCAv with rising core temperature were related to
level of hypocapnia (r = 0.95 EUH, 0.97 HYPO, P < 0.05). Cerebral
oxygenation was unchanged with heating (P > 0.05).
These results indicate that a core temperature threshold
exists, above which hyperthermic-induced hypocapnia and hydration-dependent
hypotension occurs. Despite reduced MCAv, cerebral oxygenation is maintained,
presumably via greater O2-extraction.
The influence of chair backrest inclination and
lumbar support on resting head and neck posture in sitting. S Horton, G Johnson,
M Skinner. School of Physiotherapy, University of Otago,
Dunedin.
Forward head posture has been identified as a risk factor
for neck pain with some evidence to show that simple ergonomic correction may
reduce its incidence. The effect of using a lumbar roll on cervical spine
posture has not been previously investigated experimentally, but rather assumed
to have positive influence on the basis of clinical views. The purpose of this
study was to investigate the possible influence of positional adjustments to the
standard office chair and use of lumbar support with a McKenzie lumbar roll on
the resting head and neck posture in the sagittal plane, as defined by the
craniovertebral (CV) angle.
Thirty healthy male participants aged between 18-30 years
were photographed whilst registered in the natural head resting position in four
different sitting positions, with and without a McKenzie lumbar roll. The CV
angles were measured using the NIH ImageJ software taken from digitized
photographs of the eight postural registrations for each participant.
Comparisons between all positions were analysed using a linear mixed model and
adjusted for multiple comparisons. It was found that the most significant effect
on the head and neck position with the lumbar roll in situ was in the
backrest 110˚ position (difference = 2.32°, P < 0.001). A
more forward head and neck posture was correlated with higher body mass index
(P < 0.005).
Despite the clinical impression that use of a lumbar roll in
sitting promotes a more retracted head position, this may not necessarily be the
case, at least in young healthy males. Rather, the backrest position of the
chair may be the more important factor influencing sagittal alignment of head
and neck posture. These results highlight to the physiotherapist the need for
consideration of the inherent chair adjustments before utilising ancillary
lumbar support when providing postural advice.
Can the cystic fibrosis transmembrane conductance
regulator (CFTR) function as a bicarbonate channel? P Mao, A Butt. Department of
Physiology, Otago School of Medical Sciences, University of Otago, Dunedin.
Bicarbonate
(HCO3-)
secretion occurs throughout the human body. The cellular mechanism by which this
secretion occurs is still contentious. One proposed model of secretion involves
HCO3- entering
the cell across the basolateral membrane via a
NaHCO3 co-transporter and being secreted across
the apical membrane via the cystic fibrosis transmembrane conductance regulator
(CFTR), a recognised chloride channel. In this study CFTR from possum intestine
which only secretes
HCO3- has been
utilised to investigate the possibility that CFTR can function as a
HCO3- channel.
Fischer rat thyroid (FRT) cells previously transfected with
possum CFTR (pCFTR) were cultured and used in whole-cell patch clamping. Cells
were clamped between -100 and +100 mV in 20 mV steps and the current was
recorded. Initially it was investigated whether pCFTR had the same functional
properties as CFTR from other species. pCFTR was found to be similar to other
species. A chloride current was stimulated following an increase in
intracellular cAMP
(Icl-80mV before
= 27 ± 8, mean ± SEM;
Icl-80mV after =
1558 ± 474; n = 5). This current was time- and voltage-independent, and
inhibited by CFTR inhibitor-172 (1 µM)
(Icl-80mV before
= 587 ± 194;
Icl-80mV after =
29 ± 4; n = 4). Subsequently it was shown that pCFTR is permeable to
HCO3-
(PCl:PHCO3 =
~0.25). However,
HCO3- also
caused a time-dependent inhibition
(Icl-80mV before
= 403 ± 148,
IHCO3-80mV after
= 152 ± 96; n = 4), an effect that was irreversible.
These results show that pCFTR has a significant but low
HCO3-
permeability. This low permeability of pCFTR, combined with the fact that it is
inhibited by
HCO3-, suggests
that it may not have the properties to function as a
HCO3- channel in
secretory epithelia. However, for this to be confirmed experiments on native
tissue need to be conducted.
Effects of intracerebroventricular microinfusion of
agmatine on spatial learning and memory. M Rushaidhi, P Liu. Department of
Anatomy and Structural Biology, Otago School of Medical Sciences, University of
Otago, Dunedin.
Agmatine, the metabolite of L-arginine, is a novel
neurotransmitter. It binds to α-adrenergic and imidazoline receptors,
blocks N-methyl-D-aspartate receptors and regulates production of nitric oxide
and the polyamine putrescine. Several previous studies have investigated the
effects of agmatine administered systemically on learning and memory and the
overall findings are controversial. The present study investigates the effects
of intracerebroventricular microinfusion of agmatine on spatial learning and
memory using the radial arm maze task.
Adult male Sprague-Dawley rats anaesthetised with halothane
were implanted with a cannula into the lateral ventricle. Behavioural testing
was begun 10 days post-surgery. Agmatine (10 μg in 5μl, n = 9) or
saline (5μl, n = 9) was infused into the lateral ventricle over 2 min. The
rats were tested 7 min after completion of the treatment. In the standard
version of the task, the agmatine-treated group made significantly less errors
over 5 days of training compared to the saline control group (agmatine: 8.8
± 1.0, saline: 15.7 ± 2.8, mean ± SEM, P < 0.05,
unpaired t-test) with no significant difference between
the two groups in the number of adjacent arm entries. By contrast, in the
reference memory version of the task there was no significant difference between
the agmatine and saline groups in the number of trials to reach the criterion or
the number of errors made across the first 5 days of training.
The present study, for the first time, demonstrates the
facilitating effect of agmatine on the spatial working memory, but not the
reference memory, version of the radial arm maze task. These results suggest
that agmatine may have an important role in modulating learning and memory in a
task-dependent manner.
Investigation of the conformational change and
interdomain interface of the DnaK molecular chaperone. F Short, S Wilbanks.
Department of Biochemistry, Otago School of Medical Sciences, University of
Otago, Dunedin.
The 70 kDa heat-shock proteins (Hsp70s) are ubiquitous
molecular chaperones that function primarily to assist protein folding by
binding to non-native protein states. They also have additional diverse roles
such as uncoating of clathrin-coated pits in synaptic vesicle fusion. These
functions depend on the ability to bind and release hydrophobic peptides in an
ATP-dependent manner. DnaK is the Escherichia coli Hsp70 homologue, and
like all Hsp70 proteins DnaK consists of an ATPase domain and a peptide-binding
domain. Two-way allosteric communication between domains is essential to Hsp70
function, and involves a global ATP-induced conformational change. The aim of
this research was to derive a structural model for the conformational change and
domain arrangement of DnaK in both ATP-bound and nucleotide-free states, using
fluorescence resonance energy transfer (FRET) and small-angle X-ray scattering
(SAXS).
SAXS analysis showed that DnaK undergoes a dramatic
compaction on ATP binding, from a radius of gyration of 37 Å to 28
Å, and also demonstrated that the two domains of DnaK do not interact in
the nucleotide-free form. FRET analysis showed that in ATP-bound DnaK the
distances from residue 102 of the ATPase domain to residues 413, 449 and 517 of
the peptide-binding domain were 29 ± 4 Å, 25 ± 5 Å and 21
± 3 Å respectively, while in nucleotide-free DnaK residue 449 was 30
± 4 Å from residue 102, and other residues were too distant to
measure. Using results from both methods, a model was developed for the
arrangement of the ATPase and peptide-binding domains in ATP-bound DnaK. These
results, supported by information from previous studies, suggest a mechanism of
interdomain communication where the two domains do not interact in the absence
of ATP, and come together when ATP binds to mutually affect each other’s
activity via a specific interface.
Rabbit haemorrhagic disease virus (RHDV) virus-like
particles (VLPs) activate human dendritic cells when co-delivered with a
‘danger signal’. Z D’Costa, V Ward, S Young, M Baird.
Department of Microbiology and Immunology, Otago School of Medical Sciences,
University of Otago, Dunedin.
Virus-like particles (VLPs) are highly immunogenic inert
shells formed when viral capsid proteins self-assemble into particulate
structures. They can be used as carriers for vaccine antigens. The present study
investigates the ability of rabbit haemorrhagic disease virus (RHDV)
VLPs to activate human monocyte-derived dendritic cells (MoDC), which are
necessary to initiate an immune response. Since RHDV does not infect humans,
there is no destructive pre-existing immunity to these VLPs.
RHDV VLPs were prepared using a recombinant baculovirus
expression system and their integrity was demonstrated by transmission electron
microscopy. When human MoDC were pulsed with varying concentrations of native
RHDV VLPs for 24 h, they did not up-regulate cell surface activation markers
including major histocompatibilty complex (MHC) class II, CD80 and CD83.
However, addition of an adjuvant polyriboinosinic:polyribocyidylic acid
(Poly(I:C)) to the VLPs induced MoDC to up-regulate the characteristic MoDC
activation marker, CD83 (52 ± 6%, mean ± SEM, n = 8, P <
0.005; paired t-test compared with the negative untreated control cells
14 ± 5%, n = 8). MoDC from a range of genetically different donors
activated by this combination were shown to produce significantly more
interleukin (IL)-12, a cell-mediated immunity driving cytokine, intracellularly
(69 ± 8%, n = 5, P < 0.01) compared to the MoDC treated with
either Poly(I:C) (34 ± 9%, n = 5) or RHDV VLPs (27 ± 6%, n = 5) alone.
Significant levels of IL-12 were also found in the supernatants of these
activated MoDC (229 ± 45 ng/ml, n = 5) compared to negative controls (0
ng/ml).
Since IL-12 induction is essential for a vaccine to protect
against intracellular infections and tumours, this work suggests that RHDV VLPs
co-delivered with a ‘danger signal’ by way of Poly(I:C) adjuvant may
provide effective vehicles to enhance human immunity to such antigens.
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