Measurement of parameters of energy requirement, respiratory quotient (RQ), rate of oxygen consumption (VO2) and rate of carbon dioxide production (VCO2) reveal Ringerfundin as an excellent and metabolically stable-acting balanced ionic solution, which does not increase the consumption of O2 or the total energy requirement. In conclusion, Ringerfundin was very well tolerated and in no case were observed undesirable effects.
- MeSH
- acetáty aplikace a dávkování farmakologie MeSH
- chlorid draselný farmakologie MeSH
- chlorid hořečnatý farmakologie MeSH
- chlorid sodný farmakologie MeSH
- dospělí MeSH
- dýchání MeSH
- elektrolyty aplikace a dávkování farmakologie MeSH
- energetický metabolismus účinky léků MeSH
- glukonáty farmakologie MeSH
- intravenózní infuze MeSH
- isotonické roztoky MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- nepřímá kalorimetrie MeSH
- octan sodný farmakologie MeSH
- oxid uhličitý metabolismus MeSH
- spotřeba kyslíku účinky léků MeSH
- tekutinová terapie * MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- randomizované kontrolované studie MeSH
- srovnávací studie MeSH
- Názvy látek
- acetáty MeSH
- chlorid draselný MeSH
- chlorid hořečnatý MeSH
- chlorid sodný MeSH
- elektrolyty MeSH
- glukonáty MeSH
- isotonické roztoky MeSH
- octan sodný MeSH
- oxid uhličitý MeSH
- Plasma-lyte 148 MeSH Prohlížeč
- Ringerfundin MeSH Prohlížeč
BACKGROUND: Inhaled corticosteroids (ICS) are used in asthma therapy for their anti-inflammatory effects. P-glycoprotein (PGP) is a transmembrane efflux pump for many drugs, including corticosteroids. Expression of PGP is associated with therapy resistant disease. OBJECTIVE: The purpose of this study was to compare expression levels of PGP in blood lymphocytes of pediatric asthma patients either on ICS or on the leukotriene inhibitor montelukast medication. PATIENTS AND METHODS: The evaluation of lymphocyte PGP expression was performed on a sample of 99 children (66 boys and 33 girls) aged 2-18 (median 12) years with intermittent or persisting mild asthma, (as defined by GINY 2002). The asthmatic children were divided into 3 groups: (1) treated by ICS budesonide 200-400 microg per day (n = 27) more than 1 year; (2) treated by oral montelukast 4 or 5 mg at an age-based dose (n = 16); and (3) treated by inhaled corticosteroids and montelukast (n = 45). Reference PGP values were obtained from a group of 64 healthy children (23 boys and 29 girls) aged 2-15 years (median, 10 years). The expression of lymphocyte PGP was determined on fixed and permeabilized blood mononuclear cells using indirect immunofluorescence staining technique by flow cytometry modified according to Boer et al., 1997. RESULTS: Based on the weighted medians for PGP expression in peripheral blood lymphocytes, we found a significant difference (p < 10(-3)) between the group of asthma patients (n = 99), (619 +/- 5.3) and healthy controls (n = 64) (446.9 +/- 4.4). Second, there was a lower level of PGP expression in the group treated by ICS (548.6 +/- 9) than the group treated by montelukast and montelukast with budesonide (643.2 +/- 6.3) (p < 10(-6)). CONCLUSIONS: The anti-inflammatory activity of ICS is more effective in decreasing the production of pro-inflammatory mediators and results in reduced multidrug resistence (MDR-1) gene activity and expression of lymphocyte PGP in asthmatic children.
- MeSH
- acetáty aplikace a dávkování MeSH
- antagonisté leukotrienů aplikace a dávkování MeSH
- aplikace inhalační MeSH
- aplikace orální MeSH
- bronchiální astma krev diagnóza farmakoterapie MeSH
- budesonid aplikace a dávkování MeSH
- chinoliny aplikace a dávkování MeSH
- cyklopropany MeSH
- dítě MeSH
- fluorescenční protilátková technika nepřímá MeSH
- hormony kůry nadledvin aplikace a dávkování MeSH
- lidé MeSH
- mediátory zánětu krev MeSH
- mladiství MeSH
- následné studie MeSH
- nebulizátory a vaporizátory MeSH
- P-glykoprotein účinky léků genetika metabolismus MeSH
- pravděpodobnost MeSH
- předškolní dítě MeSH
- průtoková cytometrie MeSH
- referenční hodnoty MeSH
- rozvrh dávkování léků MeSH
- senzitivita a specificita MeSH
- studie případů a kontrol MeSH
- stupeň závažnosti nemoci MeSH
- sulfidy MeSH
- T-lymfocyty cytologie MeSH
- výsledek terapie MeSH
- vztah mezi dávkou a účinkem léčiva MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- srovnávací studie MeSH
- Názvy látek
- acetáty MeSH
- antagonisté leukotrienů MeSH
- budesonid MeSH
- chinoliny MeSH
- cyklopropany MeSH
- hormony kůry nadledvin MeSH
- mediátory zánětu MeSH
- montelukast MeSH Prohlížeč
- P-glykoprotein MeSH
- sulfidy MeSH
Bronchial asthma (BA) is chronic inflammation of the respiratory tract with a role played by a variety of cells, particularly mast cells, eosinophils (Eo), and T lymphocytes. The serum levels of Eo cationic protein (S-ECP) reflect the severity of bronchial inflammation and the level of bronchial hyperreactivity in asthma patients. One of the most important adhesion molecules is CD44. We examined S-ECP, the percentage of Eo with surface CD44 expression (EoCD44), and Eo count in the peripheral blood of newly diagnosed pediatric atopic patients with intermittent and persistent mild BA according to the Global Iniative for Asthma 2002, in a proportion of patients 3 months after initiation of montelukast therapy. Ninety-seven children with BA had their medical history taken, and S-ECP, with the percentage of EoCD44 determined by direct fluorescence from whole blood using flow cytometry with a Coulter EPICS XL cytometer, and Eo count, total serum immunoglobulin E levels (S-IgE) were determined. Therapy with montelukast (5 mg daily) was started in 23 children. Three months after the first collection, a second S-ECP level and EoCD44 count determinations were made. An inverse correlation between S-ECP and EoCD44 (-0.602; p < 0.0001) was found in the 97 children with BA. In the 23 children receiving montelukast we documented inverse correlation of fluctuation on S-ECP and EoCD44 after 3 months. These results were not significant. An inverse correlation between S-ECP and percent of EoCD44 was established in the 97 children with asthma before therapy initiation. The lower percentage of EoCD44 in peripheral blood in asthmatic children is due to Eo inflammation activity and attests to massive Eo invasion into the airways. Determination of the percentage proportion of EoCD44 is another potential indirect marker of the multiple features of Eo inflammation.
- MeSH
- acetáty aplikace a dávkování terapeutické užití MeSH
- antagonisté leukotrienů aplikace a dávkování terapeutické užití MeSH
- antigeny CD44 krev MeSH
- bronchiální astma krev farmakoterapie MeSH
- chinoliny aplikace a dávkování terapeutické užití MeSH
- cyklopropany MeSH
- dítě MeSH
- eozinofilní kationtový protein krev MeSH
- eozinofily MeSH
- imunoglobulin E krev MeSH
- lidé MeSH
- mladiství MeSH
- následné studie MeSH
- počet leukocytů MeSH
- předškolní dítě MeSH
- rozvrh dávkování léků MeSH
- sulfidy MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Názvy látek
- acetáty MeSH
- antagonisté leukotrienů MeSH
- antigeny CD44 MeSH
- chinoliny MeSH
- cyklopropany MeSH
- eozinofilní kationtový protein MeSH
- imunoglobulin E MeSH
- montelukast MeSH Prohlížeč
- RNASE3 protein, human MeSH Prohlížeč
- sulfidy MeSH
BACKGROUND AND OBJECTIVE: Endothelin-1 (ET-1) is produced by vascular endothelial cells and epithelial cells, T-lymphocytes and phagocytes. Increased ET-1 levels have been demonstrated in the bronchial epithelium of asthma patients. In vitro, ET-1 stimulates mucus secretion, activates proinflammatory cells - macrophages and mast cells - and serves as a mitogenic stimulus for fibroblasts and smooth muscle. In addition, ET-1 activates phospholipase 2. Compared with healthy individuals, asthma patients have increased ET-1 levels during an attack and following stabilisation. Our study was designed to examine plasma ET-1 (P-ET) levels in paediatric atopic patients newly diagnosed with persistent mild bronchial asthma and 1 month after initiation of montelukast therapy. METHODS: Patients' histories were examined, and their blood eosinophil leucocyte count and levels of total serum immunoglobulin E (S-IgE), serum eosinophil cationic protein (S-ECP) and P-ET were determined. Thirty-six patients with persistent mild bronchial asthma were treated with the leukotriene receptor antagonist montelukast, administered once a day for 4 weeks. Second P-ET and S-ECP level determinations were made 4 weeks later with all the children included in the study. P-ET levels were also determined in a group of 27 healthy children who had no atopy in their medical histories and were taking no drugs (including montelukast), and who served as controls. RESULTS: The mean +/- SD pretreatment P-ET level in the 36 study children was 11.542 +/- 6.408 pg/L, and this decreased to 5.636 +/- 4.419 pg/L after 1 month's therapy with montelukast (statistically significant difference; p < 0.0001). Both of these values were significantly higher (p < 0.0001 and p < 0.031, respectively) than the mean level in the control group of 27 children (3.543 +/- 2.497 pg/L). The mean pretreatment S-ECP level was 35.78 +/- 19.58 microg/L, and this decreased to 19.54 +/- 13.86 microg/L after 1 month's therapy (p < 0.001). CONCLUSIONS: This study demonstrated a decrease in P-ET levels in children with mild asthma receiving montelukast. This indicates a reduction in the severity of the inflammatory response and, hence, provides evidence for the anti-inflammatory effect of montelukast. Monitoring both ET-1 and ECP levels at regular follow-up may be useful in assessing these two facets of activity of chronic inflammation in bronchial asthma.
- MeSH
- acetáty aplikace a dávkování terapeutické užití MeSH
- albuterol aplikace a dávkování terapeutické užití MeSH
- antagonisté leukotrienů aplikace a dávkování terapeutické užití MeSH
- antiastmatika aplikace a dávkování terapeutické užití MeSH
- aplikace intranazální MeSH
- bronchiální astma krev farmakoterapie patologie MeSH
- bronchodilatancia aplikace a dávkování terapeutické užití MeSH
- časové faktory MeSH
- chinoliny aplikace a dávkování terapeutické užití MeSH
- cyklopropany MeSH
- dítě MeSH
- endotelin-1 krev MeSH
- eozinofilní kationtový protein metabolismus MeSH
- lidé MeSH
- mladiství MeSH
- rozvrh dávkování léků MeSH
- stupeň závažnosti nemoci MeSH
- sulfidy MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- klinické zkoušky MeSH
- práce podpořená grantem MeSH
- Názvy látek
- acetáty MeSH
- albuterol MeSH
- antagonisté leukotrienů MeSH
- antiastmatika MeSH
- bronchodilatancia MeSH
- chinoliny MeSH
- cyklopropany MeSH
- endotelin-1 MeSH
- eozinofilní kationtový protein MeSH
- montelukast MeSH Prohlížeč
- sulfidy MeSH
Twenty-two children (13 boys and 9 girls) with chronic cough were treated with the leukotriene receptor antagonist montelukast (Singulair tbl. 5 mg) administered once daily for four weeks. In 14 children (68%), the cough ceased during the third week of treatment. Children responding to montelukast were found to have higher blood levels of eosinophil cationic protein (S-ECP) in the pretreatment blood sample than children with no response (responders 14.88+/-2.651 microg/l versus nonresponders 6.62+/-0.948 microg/l; p<0.01). Blood S-ECP levels remained higher also in the post-treatment blood sample in responders (10.55+/-1.631 microg/l) compared to nonresponders (6.13+/-0.937 microg/l; p<0.05). The difference is statistically significant. There were also differences in absolute eosinophil blood count and IgE blood levels between the two groups in the pretreatment blood sample. Using 24-hour pH-metry, two children not responding to therapy were subsequently diagnosed to have gastroesophageal reflux. Judging from the results, one might deduct that patients with chronic cough who have increased levels of serum ECP and absolute eosinophil blood counts are likely to benefit from treatment with montelukast.
- MeSH
- acetáty aplikace a dávkování MeSH
- antagonisté leukotrienů aplikace a dávkování MeSH
- biologické markery analýza MeSH
- chinoliny aplikace a dávkování MeSH
- chronická nemoc MeSH
- cyklopropany MeSH
- eozinofilní kationtový protein analýza účinky léků MeSH
- eozinofily účinky léků MeSH
- hodnocení rizik MeSH
- imunoglobulin E analýza účinky léků MeSH
- kašel diagnóza farmakoterapie MeSH
- lidé MeSH
- následné studie MeSH
- pravděpodobnost MeSH
- prospektivní studie MeSH
- rozvrh dávkování léků MeSH
- stupeň závažnosti nemoci MeSH
- sulfidy MeSH
- výsledek terapie MeSH
- vztah mezi dávkou a účinkem léčiva MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- srovnávací studie MeSH
- Názvy látek
- acetáty MeSH
- antagonisté leukotrienů MeSH
- biologické markery MeSH
- chinoliny MeSH
- cyklopropany MeSH
- eozinofilní kationtový protein MeSH
- imunoglobulin E MeSH
- montelukast MeSH Prohlížeč
- sulfidy MeSH
Acute hyperammonemia, induced by two consecutive injections of ammonium acetate (550 and 450 mg per kg b.wt.), decreased the activity of gamma-glutamyl transpeptidase (GGT) in most brain regions of 18- and 30-day-old rats. This decrease in the brain GGT activity was more pronounced in younger than in older rats. After the addition of NH4Cl to the incubation medium, the inhibitory action of NH4+ on this enzyme activity was also demonstrated in crude synaptosomal membranes at pH 7.4, but in a range of NH4+ concentrations many-times higher than those found in the plasma or brains of young hyperammonemic rats. Because similar concentrations of NH4+ stimulated the activity of the purified enzyme from rat kidney (mainly at pH 9.0), the inhibition of GGT activity in the young rat brain is probably mediated indirectly and not by a direct interaction of ammonia with the enzyme molecules.
- MeSH
- acetáty aplikace a dávkování MeSH
- amoniak krev farmakologie MeSH
- gama-glutamyltransferasa antagonisté a inhibitory metabolismus MeSH
- inbrední kmeny potkanů MeSH
- koncentrace vodíkových iontů MeSH
- krysa rodu Rattus MeSH
- ledviny enzymologie MeSH
- molekulární sekvence - údaje MeSH
- mozek účinky léků enzymologie růst a vývoj MeSH
- novorozená zvířata MeSH
- rozvrh dávkování léků MeSH
- synaptozomy enzymologie MeSH
- zvířata MeSH
- Check Tag
- krysa rodu Rattus MeSH
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- srovnávací studie MeSH
- Názvy látek
- acetáty MeSH
- ammonium acetate MeSH Prohlížeč
- amoniak MeSH
- gama-glutamyltransferasa MeSH
On a farm where the ration of cows contained 88.0 g of butyric acid, an experimental group of cows (n = 8), producing milk containing 7.9 mg or more acetone per litre, was studied for 14 days for the effect of a 250 g supplement of sodium acetate to the ration (combined with single i.m. administration of vitamins A, D2 and E) on selected metabolism parameters and on milk production. As distinct from the control group of cows (n = 8) from the same farm which produced milk containing 3.9 mg or less acetone per litre and which were fed without sodium acetone supplements, a tendency of increased alkaemia of the organism was suggested in the experimental cows. This tendency manifested itself during the trial in increased pH values, increased base excess (BE) and standard bicarbonate (SB) in the blood, and in an increase in the pH value and net acido basic secretion in urine. A decrease was recorded in the concentration of the acetone + acetacetic acid sum, the same as beta-hydroxybutyric acid in blood and the sum of acetone and acetacetic acid in milk (P less than 0.01). An insignificant increase of the activity of gammaglutamyl transpeptidase (GMT) was recorded in the blood serum of the experimental cows and a significant increase occurred in the content of potassium (up to P less than 0.01) and urea (up to P less than 0.01) in urine. The supplement of sodium acetate to the feed ration did not influence the degree of ketonuria and the finding of urobilinogen in urine.(ABSTRACT TRUNCATED AT 250 WORDS)
- MeSH
- acetáty aplikace a dávkování terapeutické užití MeSH
- aceton analýza MeSH
- acidóza veterinární MeSH
- ketóza farmakoterapie veterinární MeSH
- krmivo pro zvířata * MeSH
- kyselina octová MeSH
- mléko analýza MeSH
- nemoci skotu farmakoterapie MeSH
- skot MeSH
- zvířata MeSH
- Check Tag
- skot MeSH
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- Názvy látek
- acetáty MeSH
- aceton MeSH
- kyselina octová MeSH
- MeSH
- acetáty aplikace a dávkování MeSH
- empyém farmakoterapie terapie MeSH
- gentamiciny terapeutické užití MeSH
- kyselina peroctová aplikace a dávkování terapeutické užití MeSH
- léčebná irigace * MeSH
- lidé středního věku MeSH
- lidé MeSH
- nemoci hrudníku farmakoterapie terapie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- Názvy látek
- acetáty MeSH
- gentamiciny MeSH
- kyselina peroctová MeSH
- MeSH
- acetáty aplikace a dávkování farmakologie terapeutické užití MeSH
- Candida účinky léků MeSH
- léčebná irigace MeSH
- leukorea farmakoterapie MeSH
- lidé MeSH
- vagina mikrobiologie MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Názvy látek
- acetáty MeSH
- MeSH
- acetáty aplikace a dávkování toxicita MeSH
- kožní nemoci MeSH
- kožní testy MeSH
- kůže účinky léků MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Názvy látek
- acetáty MeSH