8 sv.
- MeSH
- Food Analysis MeSH
- Food Microbiology MeSH
- Publication type
- Periodical MeSH
- Conspectus
- Potravinářský průmysl
- NML Fields
- nutriční terapie, dietoterapie a výživa
- zemědělství a potravinářství
- technika
Patofyzioiogickým podkladem narkolepsie-kataplexie je ztráta hypokretinových neuronů posterolaterálního hypotalamu. Předpokládaným projevem tohoto deficitu je změna mikrostruktury a autonomních funkcí ve spánku u těchto pacientů. Cílem studie bylo hodnocení mikrostruktury NREM (non-rapid eye movement) spánku metodou sledování cyklických alternujících vzorců (CAP) a změny variability srdeční frekvence (HRV). Do studie bylo zahrnuto 15 pacientů s narkolepsiíkataplexií (průměrný věk 35 8,5 věkové rozmezí 22-44 let) a 15 zdravých kontrol (31 ± 11,4; 19-48 let). Obě skupiny podstoupily 2 následná polysomnografická vyšetření, pro analýzu CAP a HRV byla zpracována data ze 2. noci. Prokázali jsme signifikantní snížení CAP, provázené sníŽením LF a zvýšením HF složky při redukci poměru LF/HF v průběhu NREM spánku. Výsledky vyjadřují poruchu kolísání prahu probuzení u narkolepsie-kataplexie, která je provázena redukcí tonu sympatiku během NREM spánku. Domníváme se, narkolepsie nevzniká pouze v důsledku poruchy regulace REM spánku, nýbrž že je současně vlivem deficientní hypokretinové modulace alt porušena i regulace NREM spánku.
The present study was aimed at analysing the non-rapid eye movement (NREM) sleep microstructure by the cyclic alternating pattern (CAP) and at assessing the heart rate variability (HRV) changes in patiens with narcolepsy, hypothesizing a correlation of an abnormal sleep microstructure and abnormal autonomic response with a selective loss of hypocretin-containing neurons in narcolepsy. Fifteen patients with narcolepsy-cataplexy (mean age 35±8.5; age range 22-44), and 15 age and sex matched controls (mean age 31±11.4; age range 19-48) were included in the study. All subjects underwent polysomnography recordings for two consecutive nights in a standard laboratory setting. The sleep scoring was focused on the CAP and HRV analysis. A significant decrease in CAP rate as well as significant reduction of the LF spectral band and the LF/HF ratio, and the elevation of the HF spectral component during NREM 4 stage were revealed in narcoleptics compared to controls. Our results suggest that physiological fluctuation of arousal during sleep described as CAP is impaired in narcolepsy and accompained by reduced sympathetic tone during SWS. We have hypothesized that the whole sleep regulation process is altered in narcolepsy and not only REM sleep mechanisms.
- MeSH
- Electroencephalography methods utilization MeSH
- Research Support as Topic MeSH
- Data Interpretation, Statistical MeSH
- Humans MeSH
- Narcolepsy diagnosis etiology MeSH
- Neuropeptides deficiency MeSH
- Sleep Wake Disorders diagnosis etiology physiopathology MeSH
- Sleep, REM physiology MeSH
- Heart Rate physiology MeSH
- Check Tag
- Humans MeSH
- Publication type
- Comparative Study MeSH
An increase in procollagen type I amino-terminal propeptide (PINP) early after teriparatide initiation was shown to correlate with increased lumbar spine areal BMD and is a good predictor of the anabolic response to teriparatide. Few data exist correlating PINP and bone microstructure, and no data exist in patients on teriparatide following prior potent antiresorptive treatment. This exploratory analysis aimed to investigate the effects of teriparatide on cancellous bone microstructure and correlations of bone markers with microstructure in alendronate-pretreated patients. This was a post hoc analysis of changes in bone markers and three-dimensional indices of bone microstructure in paired iliac crest biopsies from a prospective teriparatide treatment study in postmenopausal women with osteoporosis who were either treatment-naïve (TN, n=16) or alendronate-pretreated (ALN, n=29) at teriparatide initiation. Teriparatide (20μg/day) was given for 24months; biopsies were taken at baseline and endpoint, and serum concentrations of PINP and type 1 collagen cross-linked C-telopeptide (βCTX) were measured at intervals up to 24months. In the TN and ALN groups, respectively, mean (SD) increases in three-dimensional bone volume/tissue volume were 105 (356)% (P=0.039) and 55 (139)% (P<0.005) and trabecular thickness 30.4 (30)% (P<0.001) and 30.8 (53)% (P<0.001). No significant changes were observed in trabecular number or separation. In the ALN patients, 3-month change of neither PINP nor βCTX correlated with indices of cancellous bone microstructure. However, 12-month changes in biochemical bone markers correlated significantly with improvements in bone volume/tissue volume, r=0.502 (P<0.01) and r=0.378 (P<0.05), trabecular number, r=0.559 (P<0.01) and r=0.515 (P<0.01), and reduction of trabecular separation, r=-0.432 (P<0.05) and r=-0.530 (P<0.01), for PINP and βCTX, respectively. We conclude that cancellous bone microstructure improved with teriparatide therapy irrespective of prior antiresorptive use.
- MeSH
- Alendronate therapeutic use MeSH
- Bone Density Conservation Agents therapeutic use MeSH
- Collagen Type I blood MeSH
- Bone Density drug effects MeSH
- Middle Aged MeSH
- Humans MeSH
- Peptide Fragments blood MeSH
- Peptides blood MeSH
- Osteoporosis, Postmenopausal drug therapy MeSH
- Procollagen blood MeSH
- Bone Remodeling drug effects MeSH
- Aged MeSH
- Teriparatide therapeutic use MeSH
- Cancellous Bone drug effects MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Clinical Trial MeSH
- Multicenter Study MeSH
- Research Support, Non-U.S. Gov't MeSH
One of the most widely investigated functions of the brain is vision. Whereas special attention is often paid to motion detection and its modulation by attention, comparatively still little is known about the structural background of this function. We therefore, examined the white matter microstructural background of coherent motion detection. A random-dot kinematogram paradigm was used to measure the sensitivity of healthy individuals׳ to movement coherence. The potential correlation was investigated between the motion detection threshold and the white matter microstructure as measured by high angular resolution diffusion MRI. The Track Based Spatial Statistics method was used to address this correlation and probabilistic tractography to reveal the connection between identified regions. A significant positive correlation was found between the behavioural data and the local fractional anisotropy in the posterior part of the right superior frontal gyrus, the right juxta-cortical superior parietal lobule, the left parietal white matter, the left superior temporal gyrus and the left optic radiation. Probabilistic tractography identified pathways that are highly similar to the segregated attention networks, which have a crucial role in the paradigm. This study draws attention to the structural determinant of a behavioural function.
- MeSH
- Anisotropy MeSH
- White Matter anatomy & histology physiology MeSH
- Differential Threshold physiology MeSH
- Diffusion Magnetic Resonance Imaging MeSH
- Adult MeSH
- Humans MeSH
- Young Adult MeSH
- Brain anatomy & histology physiology MeSH
- Neural Pathways anatomy & histology physiology MeSH
- Psychophysics MeSH
- Photic Stimulation MeSH
- Signal Detection, Psychological physiology MeSH
- Motion Perception physiology MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
The high rate of occurrence of sleep disturbances in children with attention-deficit/hyperactivity disorder (ADHD) prompted the idea that structural and neurotransmitter changes might give rise to specific sleep pattern abnormalities. The aim of this study was to evaluate the microstructure of sleep in children with ADHD who had no polysomnographically diagnosed sleep disorder, had never been treated for ADHD, and were free from any psychiatric comorbidity. Participants were 14 patients with ADHD (12 boys and 2 girls aged 7-12 years, mean age 9.6±1.6). ADHD was diagnosed according to DSM-IV criteria (Diagnostic and statistical manual of mental disorders). Psychiatric comorbidities were ruled out by detailed psychiatric examination. The patients underwent two consecutive overnight video-polysomnographic (PSG) recordings, with the sleep microstructure (cyclic alternating pattern – CAP) scoring during the second night. The data were compared with age- and sex-matched controls. Sleep microstructure analysis using CAP revealed no significant differences between the ADHD group and the controls in any of the parameters under study. In conclusions, no ADHD-specific alterations were found in the sleep microstructure.
- MeSH
- Child MeSH
- Attention Deficit Disorder with Hyperactivity complications physiopathology psychology MeSH
- Humans MeSH
- Polysomnography MeSH
- Sleep Wake Disorders complications physiopathology MeSH
- Case-Control Studies MeSH
- Severity of Illness Index MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
- MeSH
- Aneuploidy MeSH
- Cytogenetic Analysis methods statistics & numerical data MeSH
- Gene Expression MeSH
- Factor VIII genetics MeSH
- Femur anatomy & histology MeSH
- Research Support as Topic MeSH
- Animals, Genetically Modified anatomy & histology genetics MeSH
- Haversian System anatomy & histology MeSH
- Rabbits MeSH
- Animals MeSH
- Check Tag
- Rabbits MeSH
- Animals MeSH
- Publication type
- Comparative Study MeSH
BACKGROUND: Histological evidence suggests that pathology in Parkinson's disease (PD) goes beyond nigrostriatal degeneration and also affects the cerebral cortex. Quantitative MRI (qMRI) techniques allow the assessment of changes in brain tissue composition. However, the development and pattern of disease-related cortical changes have not yet been demonstrated in PD with qMRI methods. The aim of this study was to investigate longitudinal cortical microstructural changes in PD with quantitative T1 relaxometry. METHODS: 13 patients with mild to moderate PD and 20 matched healthy subjects underwent high resolution T1 mapping at two time points with an interval of 6.4 years (healthy subjects: 6.5 years). Data from two healthy subjects had to be excluded due to MRI artifacts. Surface-based analysis of cortical T1 values was performed with the FreeSurfer toolbox. RESULTS: In PD patients, a widespread decrease of cortical T1 was detected during follow-up which affected large parts of the temporo-parietal and occipital cortices and also frontal areas. In contrast, age-related T1 decrease in the healthy control group was much less pronounced and only found in lateral frontal, parietal and temporal areas. Average cortical T1 values did not differ between the groups at baseline (p = 0.17), but were reduced in patients at follow-up (p = 0.0004). Annualized relative changes of cortical T1 were higher in patients vs. healthy subjects (patients: - 0.72 ± 0.64%/year; healthy subjects: - 0.17 ± 0.41%/year, p = 0.007). CONCLUSIONS: In patients with PD, the development of widespread changes in cortical microstructure was observed as reflected by a reduction of cortical T1. The pattern of T1 decrease in PD patients exceeded the normal T1 decrease as found in physiological aging and showed considerable overlap with the pattern of cortical thinning demonstrated in previous PD studies. Therefore, cortical T1 might be a promising additional imaging marker for future longitudinal PD studies. The biological mechanisms underlying cortical T1 reductions remain to be further elucidated.
- MeSH
- Middle Aged MeSH
- Humans MeSH
- Longitudinal Studies MeSH
- Magnetic Resonance Imaging methods MeSH
- Cerebral Cortex diagnostic imaging MeSH
- Parkinson Disease diagnostic imaging MeSH
- Aged MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
The outcomes from the feasibility study on utilization of synchrotron radiation X-ray microtomography (SR-μCT) to investigate the texture and the quantitative mineralogical composition of selected calcium oxalate-based urinary calculi fragments are presented. The comparison of the results obtained by SR-μCT analysis with those derived from current standard analytical approaches is provided. SR-μCT is proved as a potential effective technique for determination of texture, 3D microstructure, and composition of kidney stones.
OBJECTIVES: Alzheimer's disease (AD) and normal pressure hydrocephalus (NPH) are both associated with cognitive decline and ventriculomegaly. While promising approach in differentiating between the two diseases, only a few diffusion tensor imaging (DTI) studies compared directly NPH and AD patients. The current study compares global whitematter (WM) alterations in AD and NPH addressing some of the methodological issues of previous studies. PATIENTS AND METHODS: Diffusion tensor images were obtained from 17 patients with NPH, 14 with AD, and 17 healthy controls. White matter integrity was quantified by fractional anisotropy (FA), mean (MD), axial (λ1) and radial diffusivity (RD). The diffusion parameters were compared between the groups in 'skeletonised' tracts representing the core of the fibre bundles. RESULTS: Reduced FA was found in NPH patients throughout the corpus callosum, particularly in the splenium, along with increased RD. On the other hand, FA, MD and RD were higher in NPH in the cortico-fugal fibres arising from the frontal and parietal cortex. While no FA changes were detected in AD patients compared to controls, widespread increased RD was observed. When comparing NPH and AD patients, higher FA, MD and RD was observed in the corona radiata in the periventricular fibres arising from the frontal and parietal cortex in NPH patients. The ventricular volumes were correlated with diffusivity parameters in the tracts next to the ventricles in AD and NPH patients. CONCLUSION: Our analysis identified a pattern of WM diffusion alterations that can differentiate NPH patients from controls and AD patients.
- MeSH
- Alzheimer Disease diagnosis pathology MeSH
- Anisotropy MeSH
- White Matter pathology MeSH
- Diagnosis, Differential * MeSH
- Middle Aged MeSH
- Humans MeSH
- Hydrocephalus, Normal Pressure diagnosis pathology MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Diffusion Tensor Imaging methods MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
