Monday, February 28, 2011

Diabetic Peripheral Neuropathy. Xanya Sofra Weiss

O B J E C T I V E— To evaluate the efficacy of combining electrotherapy with amitriptyline for the management of chronic painful peripheral neuropathy in patients with type 2 diabetes. RESEARCH DESIGN AND METHODS— Patients (n = 26) with peripheral neuro p athy were treated with amitriptyline. After 4 weeks, those patients (n = 23) who failed to re s p o n d to amitriptyline or who only had partial relief were randomized between a sham tre a t m e n t g roup (control) or an electrotherapy group. Transcutaneous electrotherapy was given for 12 weeks by a portable unit (H-wave machine) that generated a biphasic exponentially decaying w a v e f o rm (pulse width 4 ms, 25–35 V, 2 Hz). The degree of pain and discomfort was graded on a scale of 0–5. An analog scale was used to re c o rd the overall change in symptoms.
R E S U LT S— Amitriptyline produced some degree of symptomatic relief in 15 (60%) of the 26 patients by the 4th week; pain scores decreased from 3.8 ± 0.1 to 2.9 ± 0.2 (P 0.1) and the overall reduction in pain was 26 ± 5% on an analog scale. In the amitriptyline plus sham treatment group (n = 9), pain scores declined from 2.8 ± 0.3 to 1.9 ± 0.5 (P 0.03) and the overall reduction in pain was 55 ± 12%, suggesting a pro c e d u re - related placebo effect. In the group receiving combined electrotherapy and amitriptyline (n = 14), symptomatic impro v ement occurred in 12 (85%) patients. Five (36%) of the patients in this group became asymptomatic. Pain scores declined from 3.2 ± 0.2 to 1.4 ± 0.4 (P 0.01) and the overall re d u c t i o n in pain was 66 ± 10%. The degree of reduction in pain scores and the incremental relief (above the amitriptyline effect) were significantly greater (P 0.03) with electrotherapy as compare d with sham treatment. The outcomes indicate a substantial beneficial effect of electro t h e r a p y over and above any placebo influ e n c e . C O N C L U S I O N S— Our clinical observations suggest that transcutaneous electrotherapy is effective in reducing the pain associated with peripheral neuro p a t h y. This form of therapy may be a useful adjunctive modality when it is combined with a pharmacological agent, such as amitriptyline, to augment symptomatic re l i e f .

Xanya Sofra Weiss

Xanya Sofra Weiss

ELECTRIC CHARGE. Xanya Sofra Weiss

A Closer Look Electric charge is a basic property of elementary particles of matter. The protons in an atom, for example, have a positive charge, the electrons have a negative charge, and the neutrons have zero charge. In an ordinary atom, the number of protons equals the number of electrons, so the atom normally has no net electric charge. An atom becomes negatively charged if it gains extra electrons, and it becomes positively charged if it loses electrons; atoms with net charge are called ions. Every charged particle is surrounded by an electric field, the area in which the charge exerts a force. Particles with nonzero electric charge interact with each other by exchanging photons, the carriers of the electromagnetic force. The strength and direction of the force charged particles exert on each other depends on the product of their charges: they attract each other if the product of their charges is negative and repel each other if the product is positive. Thus two electrons, each with charge -1, will repel each other, since -1 × -1 = +1, a positive number. Static electricity consists of charged particles at rest, while electric current consists of moving charged particles, especially electrons or ions.

Xanya Sofra Weiss

Xanya Sofra Weiss

Xanya Sofra Weiss

Arasys Inch Loss Arasys Perfector Xanya Xanya Sofra Weiss Xanya Weiss Xanya Sorfa-Weiss Xanyasofraweiss xanyaweiss perfector arasys perfectorarasys arasysperfector inch loss inch-loss body shaping Ion Magnum Pacemaker Technology pacemaker Statins Heart Disease Heart attack Diabetes obesity cellulite cellulite loss nanotechnology nanocurrent pico amperes picoamperes picocurrent marren micro current microcurrents microcurrent face lift non surgical face lift Bio-identical Hormone Therapy Bio-identical Hormones Growth Hormone Free T3 Thyroid Hormones Muscle Building Acne Reduces acne Melasma Reduces Melasma Pigmentations Reduce Pigmentation Reduce Acne

Xanya Sofra Weiss

Xanya Sofra Weiss

Clinical Experience of an Iontophoresis Based Glucose Measuring System. Xanya Sofra Weiss

Sang Youl Rhee, Suk Chon, Gwanpyo Koh, Jeong Ryung Paeng, Seungjoon Oh, Jeong-taek Woo, Sung Woon Kim, Jin-Woo Kim, and Young Seol Kim

Currently finger pricking is the common method of blood glucose measurement in patients with diabetes mellitus. However, diabetes patients have proven to be reluctant to check their glucose profiles regularly because of the discomfort associated with this technique. Recently, a non-invasive and continuous Reverse
Iontophoresis based Glucose Monitoring Device (RIGMD) was developed in Korea. The study was conducted during the period November 2003-January 2004 on 19 in-patients. Glucose measurements were performed using RIGMD between 10 a.m. and 4 p.m. Concurrent plasma glucose levels were checked hourly and subsequently compared with RIGMD data. The mean error of RIGMD measurements was -3.45±52.99 mg/dL with a mean absolute relative error of 20±15.16%. Measurements obtained by RIGMD were correlated with plasma glucose levels (correlation coefficient; 0.784 (p<0.05))>

Xanya Sofra Weiss

Xanya Sofra Weiss

Microcurrent therapy: anovel treatment method for chronic low back my of ascial pain. Xanya Sofra Weiss

Carolyn R. McMakin, M.A.,D.C.; 2004

Chronic low back pain associated with myofascial trigger point activity has been historically refractory to conventional treatment (Pain Research and Manage- ment7 (2002) 81) . In this case series study,an analysis of 22 patients with chronic low back pain, of 8.8 years average duration, is presented. Following treatment with frequency-specific microcurrent, astatistically significant 3.8-fold reduction in pain intensity was observed using a visual analog scale.This outcome was achieved over an average treatment period of 5.6 weeks and a visit frequency of one treatment per week. When pain chronicity exceeded 5 years, there was a trendtoward increasing frequency of treatment required to achieve the same magnitude of pain relief. In 90%of these patients, other treatment modalities including drug therapy, chiropractic manipulation, physical therapy, naturopathic treatment and acupuncture had failed to produce equivalent benefits.The microcurrent treatment was the single factor contributing the most consistent difference in patient-reported pain relief. These results support the observation that rigorously designed clinical investigations are warranted.

Xanya Sofra Weiss

Xanya Sofra Weiss

Sunday, February 27, 2011

FREQUENCY SPECIFIC EFFECTS OF DOPAMINE IN THE NUCLEUS ACCUMBENS

The action of dopamine was evaluated in the nucleus accumbens of acutely prepared rabbits. It was found that the effect of iontophoretically applied dopamine depended upon the frequency of stimulation of an afferent pathway; in this case the ipsilateral fimbria. Dopamine had a marked suppressive effect on field responses evoked by fimbria stimulation at 0.5 Hz, but not those responses evoked at 6.0 Hz. Dopamine was also effective in activating adenylate cyclase. Both the physiological and the biochemical effects of dopamine could be blocked by appropriate antagonists, suggesting that the phenomena observed were receptor mediated. It is suggested that dopamine serves to enhance information arriving from the hippocampal formation within the theta range by the suppression of competing non-theta activity.

Xanya Sofra Weiss

Xanya Sofra Weiss

Multiple Sclerosis: Low-Frequency Temporal Blood Oxygen Level– Dependent Fluctuations Indicate Reduced Functional Connectivity —Initial Results

PURPOSE: To study the correlation of low-frequency blood oxygenation level– dependent (BOLD) fluctuations on magnetic resonance (MR) images obtained of the left- and right-hemisphere primary motor regions in healthy control subjects and patients with multiple sclerosis (MS). MATERIALS AND METHODS: Sixteen healthy volunteers and 20 patients with MS underwent MR imaging with a 1.5-T imager by using a protocol designed to monitor low-frequency BOLD fluctuations. Data for low-frequency BOLD fluctuations were
acquired with subjects at rest and during continuous performance of a bilateral fingertapping task. These data were low-pass filtered (<0.08 Hz), and cross correlations of all acquired pixels to a region of interest in the left precentral gyrus were calculated. Confidence levels were calculated from the cross correlations. The fraction of pixels in the right precentral gyrus above a confidence level of 95% for correlation with the
precentral gyrus was calculated for each subject. RESULTS: A plot of the fraction of the right precentral gyrus with high correlation with the left precentral gyrus for the finger-tapping state versus the resting state showed a clear discrimination between patients with MS and control subjects. Compared with control subjects, patients with MS generally had a smaller fraction of the pixels in the right precentral gyrus above the confidence level. This finding indicates that our method results in greater than 60% sensitivity and 100% specificity for discriminating patients with MS from control subjects. No significant correlation was found between clinical measures of MS disease and correlations of low-frequency BOLD fluctuations between left and right precentral gyri. CONCLUSION: On the basis of the connectivity measure of low-frequency BOLD fluctuations, patients with MS exhibited lower functional connectivity between rightand left-hemisphere primary motor cortices when compared with that in control subjects.

Xanya Sofra Weiss

Xanya Sofra Weiss

Pulsed short-wave diathermy effects on human fibroblast proliferation.

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Hill J, Lewis M, Mills P, Kielty C. Pulsed short-wave diathermy effects on human fibroblast proliferation. Arch Phys Med Rehabil 2002;83:832-6. Objectives: To investigate the influence of pulsed short-wave diathermy (PSWD) on fibroblast and chondrocyte cell proliferation rates and to establish the influences of different dosages applied. Design: Four single-blind trials. Setting: Laboratory, in vitro study. Specimens: Human adult dermal fibroblast and chondrocyte cells were plated at known concentrations and incubated for 5 days. Intervention: Exposure to PSWD, twice daily, on days 2, 3, and 4. Main Outcome Measure: After crystal violet staining (day 5), optical density (cell number) was determined spectrophotometrically. Results: PSWD, given at mean power of 48W for 10 minutes, increased fibroblast proliferation compared with control groups (P[lt ].001). There was a relationship between cell proliferation and the amount of energy given (P[lt ]0.001). The optimal mean power for proliferation was estimated to be 13.8W. While keeping mean power constant at 6W, altering pulse duration and pulse repetition rate dosage parameters did not have a significant effect on proliferation (P=.519). Chondrocyte proliferation also increased with PSWD exposure of 6W at 10 minutes duration (P=.015). In addition, treatment time was significantly associated with chondrocyte proliferation (P[lt ].001). Conclusion: PSWD is associated with increased rates of fibroblast and chondrocyte proliferation in vitro, which is dose dependent. These results contribute to an understanding of the physiologic mechanisms underlying the therapeutic effects of PSWD.

Xanya Sofra Weiss

Xanya Sofra Weiss

Pulsed short-wave diathermy effects on human fibroblast proliferation.

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Hill J, Lewis M, Mills P, Kielty C. Pulsed short-wave diathermy effects on human fibroblast proliferation. Arch Phys Med Rehabil 2002;83:832-6. Objectives: To investigate the influence of pulsed short-wave diathermy (PSWD) on fibroblast and chondrocyte cell proliferation rates and to establish the influences of different dosages applied. Design: Four single-blind trials. Setting: Laboratory, in vitro study. Specimens: Human adult dermal fibroblast and chondrocyte cells were plated at known concentrations and incubated for 5 days. Intervention: Exposure to PSWD, twice daily, on days 2, 3, and 4. Main Outcome Measure: After crystal violet staining (day 5), optical density (cell number) was determined spectrophotometrically. Results: PSWD, given at mean power of 48W for 10 minutes, increased fibroblast proliferation compared with control groups (P[lt ].001). There was a relationship between cell proliferation and the amount of energy given (P[lt ]0.001). The optimal mean power for proliferation was estimated to be 13.8W. While keeping mean power constant at 6W, altering pulse duration and pulse repetition rate dosage parameters did not have a significant effect on proliferation (P=.519). Chondrocyte proliferation also increased with PSWD exposure of 6W at 10 minutes duration (P=.015). In addition, treatment time was significantly associated with chondrocyte proliferation (P[lt ].001). Conclusion: PSWD is associated with increased rates of fibroblast and chondrocyte proliferation in vitro, which is dose dependent. These results contribute to an understanding of the physiologic mechanisms underlying the therapeutic effects of PSWD.

Xanya Sofra Weiss

Xanya Sofra Weiss

Growth hormone: uses and abuses. Xanya Sofra Weiss

Raymond L Hintz; 2004

Unconvincing and therefore called for raising the price and limiting availability.1 The prime minister’s strategy unit, with access to the same evidence, concluded that controlling average consumption through the mechanism of raising the price and limiting access would have unwanted side effects and was not a viable option. They therefore called for education, more policing, improved treatment, and the alcohol industr y entering into voluntar y agreements to behave reasonably.7 The academy working group would agree that all of these actions were necessar y. But they took the view, based on evidence, that such actions should complement measures to control overall level of consumption. Two reports, same evidence, and yet such different conclusions. As scientists, steeped in alcohol (as it were), we who prepared the academy’s report no doubt came to the issue with our own set of prejudices. The prime minister’s strategy unit had a different set. It is reasonable to surmise that they found the prospect of raising the tax on alcohol unattractive, as they did reversing the trend of making it ever easier to buy alco- hol. The policy implications of the science may well have influenced their view of the evidence. This leads me, naively perhaps, to want to separate two issues: what the science shows and its policy implications. It is perfectly reasonable for governments to balance a number of interests in forming policies. Scientific evidence on dose response relations between exposure and risk is only one consideration. Others include analysis of costs and benefits, risk analysis, and appreciation of the degree to which policies fit with public values.8 It is helpful, however, to keep these distinct. Public values are important. There is much discus- sion now of individual responsibility for behaviour. This informs the government’s call for consultation as it develops a white paper on public health. A healthy tension exists in a democratic society between individual responsibility and the role of government. Smoking is a matter of individual responsibility but successive British governments have taken beneficial action by raising the price for health reasons, restricting advertising and promotion, and restricting smoking in public places. Unlike smoking, the healthi- est amount of alcohol is not zero. Nevertheless, the 50% rise in alcohol consumption in Britain means that as a population we are drinking well above the optimal level for health. As it develops its white paper on public health the government has another opportunity to look at the evidence linking harm with average alcohol consumption and consider that government has a responsibility alongside that of individual citizens.

Xanya Sofra Weiss

Xanya Sofra Weiss

Endothelin. Xanya Sofra Weiss

endothelin (ET): any of a group of vasoconstrictive peptides produced by endothelial cells. Three known endothelins, designated ET-1, ET-2, and ET-3, are chemically related to asp venom. ET-1 is the most potent vasoconstrictor yet discovered, being 10 times stronger than the second-most potent vasoconstrictor known, angiotensin II.
Xanya Sofra Weiss

Effects of the application of Aloe vera (L.) and microcurrent on the healing of wounds surgically induced in Wistar rats. Xanya Sofra Weiss

PURPOSE: To investigate the effects of topical application of an Aloe vera gel combined or not with microcurrent application on the healing of skin wounds surgically induced in Wistar rats.
METHODS: The animals were randomly divided into the following groups: control group, animals topically treated with Aloe vera, animals treated with a microcurrent, and animals receiving topical application of Aloe vera combined with microcurrent application.
RESULTS: The results indicated differences in wound healing between the various treatments when compared to the control group. Tissue hyperplasia was lower in the control group compared to the other treated groups. Accelerated wound healing was observed in the group treated with Aloe vera compared to control. Animals submitted to microcurrent application only and the group treated with microcurrent plus Aloe vera presented an earlier onset of the proliferative phase compared to the control group and animals treated with Aloe vera gel alone. Morphometric data confirmed the structural findings.
CONCLUSION: Simultaneous application of Aloe vera gel and microcurrent is an excellent choice for the treatment of open wounds thus indicating a synergistic action of these two applications.
Xanya Sofra Weiss

Saturday, February 26, 2011

Bioimpedance Neuronal Microstimulation. Xanya Sofra Weiss

Bioimpendance Neuronal Micro-stimulation (BNM) was engineered to treat sports injury and muscle atrophy, as well as promote lipolysis and muscle hypertrophy. A clinical study with individuals presenting abnormally clumped RBCs was completed in February 2009 with the Ion Magnum. Results indicate that this technology rapidly and efficiently leads to normalized erythrocytes’ separation at the microscopic level. Red Blood Cells’(RBCs) separation is crucial for the timely transport of hormones,antibodies, oxygen and nutrients to the cells and waste products to the kidneys. Therefore, blood separation is crucial in a number of biological processes including cellular cleansing, nourishment and oxygenation, endocrine and immune functioning. Ion Magnum’s (IM) dynamic, multi-sine, analogue waveform was originally tested at the cellular level by Dr. Donald Gilbert (1992), a molecular biologist, and was electronically composed by the Co-Inventor of the first Pacemaker (2008) to resonate at the motor nerve the signal of strenuous exercise normally emitted by the brain. Due to its resonance with the biological signal, the Ion Magnum signal spreads throughout the CNS ultimately triggering hormonal secretion such as Growth Hormone (GF), Thyroxine (T4) and Triiodothyronine (T3) for lipolysis and Insulin Growth Factor (IGF-1) for muscle hypertrophy. Power detox is an additional benefit of Ion Magnum’s induced effortless and painless isometric and isotonic muscle contractions. Sever al devices stimulate the muscles such asTENS Muscle Stimulators. However, TENS devices deplete ATP. Besides, muscle stimulation does not automatically release hormones. Neuronal synapses activated out of sync with the other inputs to the neuron stands out as odd and are eliminated. Neuronal synapses that are activated in sync with other inputs to the neuron are strengthened. The signal of a device must be in sync with the biological choreography in order to spread via the spinal cord and reach the brain. In sync, or resonance, has been touted by a number of approximate hit-ormiss techniques involving magnetic and electrical fields with dubious inconsistent results. But no technology has ever achieved nerve signaling that is biologically comparable to physical exercise. What the Co-Inventor of the first Pacemaker has accomplished, first in London University and then in the EU funded Research Center for Innovations Science, UK, is a full force, high-speed workout without actual movement, side effects or pain, that enhances hormonal secretion. Lipolysis and muscle hypertrophy following IM treatments has been reported by a number single subject design clinical studies.

Electrotherapy and Tissue Repair. Xanya Sofra Weiss

Electrotherapy is one form of intervention that has the capacity to influence the processes associated with tissue repair. Some modalities are more effective at achieving this than others, and there are differences in they type of tissue that respond to the different modalities. Numerous electrotherapy modalities have significant clinical effects, but not primarily on tissue repair, and they are excluded from this review for this reason.Evidence for the relationship between electrotherapy and tissue repair is continuously updated and thus, this is the story is it is at the moment – the current state of the art. It is fully expected that this will change – maybe next month, maybe next year – and therefore the latter section of this paper considers some of the emerging issues.
Xanya Sofra Weiss
Xanya Sofra Weiss

Friday, February 25, 2011

Multipotent mesenchymal stem cells from amniotic fluid originate neural precursors with functional voltage-gated sodium channels. Xanya Sofra Weiss

Katia Mareschi , Deborah Rustichelli, Valentina Comunanza, Roberta De Fazio, Cristina Cravero, Giulia Morterra,Barbara Martinoglio, Enzo Medico, Emilio Carbone, Chiara Benedetto and Franca Fagioli
Background aimsAmniotic fluid (AF) contains stem cells with high proliferative and differentiative potential that might be an attractive source of multipotent stem cells. We investigated whether human AF contains mesenchymal stem cells (MSC) and evaluated their phenotypic characteristics and differentiation potential in vitro.Methods:AF was harvested during routine pre-natal amniocentesis at 14–16 weeks of pregnancy. AF sample pellets were plated in α-minimum essential medium (MEM) with 10% fetal bovine serum (FBS). We evaluated cellular growth, immunophenotype, stemness markers and differentiative potential during in vitro expansion.Neural progenitor maintenance medium (NPMM), a medium normally used for the growth and maintenance of neural stem cells, containing hFGF, hEGF and NSF-1, was used for neural induction.Results:Twenty-seven AF samples were collected and primary cells, obtained from samples containing more than 6 mL AF, had MSC characteristics. AF MSC showed high proliferative potential, were positive for CD90, CD105, CD29, CD44, CD73 and CD166, showed Oct-4 and Nanog molecular and protein expression, and differentiated into osteoblasts, adypocytes and chondrocytes. The NPMM-cultured cells expressed neural markers and increased Na+ channel density and channel inactivation rate, making the tetrodotoxin (TTX)-sensitive channels more kinetically similar to native neuronal voltage-gated Na+ channels.Conclusions:These data suggest that AF is an important multipotent stem cell source with a high proliferative potential able to originate potential precursors of functional neurons.
Xanya Sofra Weiss
Xanya Sofra Weiss

Anti-inflammatory Effects of Electronic Signal Treatment. Xanya Sofra Weiss

Robert H. Odell, Jr., MD, PhD, Richard E. Sorgnard, PhD; 2008
Inflammation often plays a key role in the perpetuation of pain. Chronic inflammatory conditions (e.g. osteoarthritis, immune system dysfunction, micro-circulatory disease, painful neuritis, and even heart disease) have increased as baby boomers age. Medicine’s current antiinflammatory choices are NSAIDs and steroids; the value in promoting cure and side effect risks of these medications are unclear and controversial, especially considering individual patient variations. Electricity has continuously been a powerful tool in medicine for thousands of years. All medical professionals are, to some degree, aware of electrotherapy; those who directly use electricity for treatment know of its anti-inflammatory effects. Electronic signal treatment (EST), as an extension of presently available technology, may reasonably have even more anti-inflammatory effects. EST is a digitally produced alternating current sinusoidal electronic signal with associated harmonics to produce theoretically reasonable and/or scientifically documented physiological effects when applied to the human body. These signals are produced by advanced electronics not possible even 10 to 15 years ago. The potential long-lasting anti-inflammatory effects of some electrical currents are based on basic physical and biochemical facts listed in the text below, namely that of stimulating and signaling effective and long-lasting anti-inflammatory effects in nerve and muscle cells. The safety of electrotherapeutic treatments in general and EST in particular has been established through extensive clinical use. The principles of physics have been largely de-emphasized in modern medicine in favor of chemistry. These electrical treatments, a familiar application of physics, thus represent powerful and appropriate elements of physicians’ pain care armamentaria in the clinic and possibly for prescription for use at home to improve overall patient care and maintenance of quality of life via low-risk and potentially curative treatments.
Xanya Sofra Weiss
Xanya Sofra Weiss

Monday, February 14, 2011

Cytochrome P450 and arachidonic acid bioactivation: molecular and functional properties of the arachidonate monooxygenase. Xanya Sofra Weiss

The demonstration of in vivo arachidonic acid epoxidation and v-hydroxylation established the cytochrome P450 epoxygenase and v/ v–1 hydroxylase as formal metabolic pathways and as members of the arachidonate metabolic cascade. The characterization of the potent biological activities associated with several of the cytochrome P450-derived eicosanoids suggested new and important functional roles
for these enzymes in cellular, organ, and body physiology, including the control of vascular reactivity and systemic blood pressures. Past and current advances in cytochrome P450 biochemistry and molecular biology facilitate the characterization
of cytochrome P450 isoforms responsible for tissue/organ specific arachidonic acid epoxidation and v/ v–1 hydroxylation, and thus, the analysis of cDNA and/or gene specific functional phenotypes. The combined application of physiological, biochemical, molecular, and genetic approaches is beginning to provide new insights into the physiological and/or pathophysiological significance of these enzymes, their endogenous substrates, and products.—Capdevila, J. H., J. R. Falck, and R. C. Harris. Cytochrome P450 and arachidonic acid bioactivation: molecular and functional properties of the arachidonate monooxygenase.

Xanya Sofra Weiss

How Do Low-Energy Electrons Cause DNA-Strand Breaks? Xanya Sofra Weiss


JACK SIMONS; 2006


We overview our recent theoretical predictions and the innovative experimental findings that inspired us concerning the mechanisms by which very low-energy (0.1-2 eV) free electrons attach to DNA and cause strong (ca. 4 eV) covalent bonds to break causing so-called single-strand breaks. Our primary conclusions are that (i) attachment of electrons in the above energy range to base π orbitals is more likely than attachment elsewhere and (ii) attachment to base π* orbitals most likely results in cleavage of sugar-phosphate C-O σ bonds. Later experimental findings that confirmed our predictions about the nature of the electron attachment event and about which bonds break when strand breaks form are also discussed. The proposed mechanism of strand break formation by low-energy electrons involves an interesting through-bond electron-transfer process.

Xanya Sofra Weiss

Xanya Sofra Weiss

Behaviour of skeletal muscle cells and cardiomyoctes on extracellular matrix components. Xanya Sofra Weiss

K. Macfelda, B. Kapeller, U. M. Losert; 2005Background: Myocardial cell transplantation in patients with heart failure is emerging as a potential therapeutic option to augment the function of remaining myocytes. Nevertheless further investigations on the basic issues such as ideal cell type continues to be evaluated. Therefore, the aim of our study was to compare the performance of skeletal muscle cells and cardiomyocytes in respect of their proliferation rate and viability on different extracellular matrix components (EMC).
Methods: Rat cardiomyocytes (RCM) and rat skeletal muscle cells (RSMC) were cultured on EMC such as collagen type I, IV, laminin, fibronectin, and gelatine. The components were used as “double coating”. Proliferation rates were determined by proliferation assays on day 1, 2, 4, and 8 after inoculation of the cells.
Results: The most essential result is that collagen type I enhances the proliferation rate of RSMC but decreases the proliferation of RCM significantly. This effect is independent of the second EMC used for the double-coating studies. Other EMCs also influence the cellular behaviour, whereas the sequence of the EMCs is essential.
Conclusions: Results obtained with our studies reveal the significantly different proliferation behaviour of RCM and RSMC under identical conditions. As skeletal muscle cells are also used in heart tissue engineering models, these results are essential and should be investigated in further studies to prove the applicability of skeletal muscle cells for heart tissue engineering purposes.
Xanya Sofra Weiss

Basic Molecular Biology. Xanya Sofra Weiss

Science

Neural Pathways and Action Potentials

Neural pathways
The simplest type of neural pathway is a monosynaptic (single connection) reflex pathway, like in the knee-jerk reflex. When the doctor taps a certain spot on your knee with a rubber hammer, receptors send a signal into the spinal cord through a sensory neuron. The sensory neuron passes the message to a motor neuron that controls your leg muscles. Nerve impulses travel down the motor neuron and stimulate the appropriate leg muscle to contract. Nerve impulses also travel to the opposing leg muscle to inhibit contraction so that it relaxes (this pathway involves interneurons). The response is a quick muscular jerk that does not involve your brain. Humans have lots of hardwired reflexes like this, but as tasks become more complex, the pathway “circuitry” gets more complicated and the brain gets involved.

nerve cross section

Action potentials
We have talked about nerve signals and mentioned that they are electrochemical in nature, but what does that mean?

To understand how neurons transmit signals, we must first look at the structure of the cell membrane. The cell membrane is made of fats or lipids called phospholipids. Each phospholipid has an electrically charged head that sticks near water and two polar tails that avoid water. The phospholipids arrange themselves in a two-layer lipid sandwich with the polar heads sticking into water and the polar tails sticking near each other. In this configuration, they form a barrier that separates the inside of the cell from the outside and that does not permit water-soluble or charged particles (like ions) from moving through it.

So how do charged particles get into cells? We’ll find out on the next page.

Concentration gradients and active transport

When you cut an onion at one end of a room, you will eventually smell it at the other end. This is because the onion juice molecules move through the air. Although their motion is random, they generally tend to move from an area of high concentration (the onion) to an area of low concentration (the other end of the room). You also see this behavior when you add a drop of food dye to water — eventually, the dye spreads out through the water. This phenomenon is called diffusion. The driving force for diffusion is a difference in concentration, or concentration gradient. Now, for ions and molecules to move across a membrane, two conditions must be met:

* There must be a concentration gradient across the membrane.
* The membrane must be permeable to that particular molecule or ion.

The ion or molecule will move “down” its concentration gradient (from high concentration to low concentration). It is possible to get an ion or molecule to move against its concentration gradient (”uphill”), but this requires energy and is called active transport. The energy for this active transport can come from ATP (the cell’s energy currency) or by coupling the “uphill” transport of this ion or molecule to the “downhill” transport of another ion or molecule on the same carrier (counter-transport or exchange).

Ion Channels

Because ions are charged and water-soluble, they must move through small tunnels or channels (specialized proteins) that span the cell membrane’s lipid bilayer. Each channel is specific for only one type of ion. There are specific channels for sodium ions, potassium ions, calcium ions and chloride ions. These channels make the cell membrane selectively permeable to various ions and other substances (like glucose). The selective permeability of the cell membrane allows the inside to have a different composition than the outside.

For the purposes of nerve signals, we are interested in the following characteristics:

* The outside fluid is rich in sodium, a concentration about 10 times higher than the inside fluid
* The inside fluid is rich in potassium, a concentration about 20 times higher inside the cell than outside.
* There are large negatively charged proteins inside the cell that are too big to move across the membrane. They give the inside of the cell a negative electrical charge compared to the outside. The charge is about 70 to 80 millivolts (mV) — 1 mV is 1/1000th of a volt. For comparison, the charge in your house is about 120 V, about 1.2 million times more.
* The cell membrane is slightly “leaky” to sodium and potassium ions, so a sodium-potassium pump is located in the membrane. This pump uses energy (ATP) to pump sodium ions from the inside to the outside and potassium ions from the outside to the inside.
* Because sodium and potassium ions are positively charged, they carry tiny electrical currents when they move across the membrane. If sufficient numbers move across the membrane, you can measure the electrical currents.

Nerve Growth and Regeneration
When nerves grow, they secrete a substance called nerve growth factor (NGF). NGF attracts other nerves nearby to grow and establish connections. When peripheral nerves become severed, surgeons can place the severed ends near each other and hold them in place. The injured nerve ends will stimulate the growth of axons within the nerves and establish appropriate connections. Scientists don’t entirely understand this process.
For unknown reasons, nerve regeneration appears most often in the peripheral and autonomic nervous systems but seems limited within the central nervous system. However, some regeneration must be able to occur in the central nervous system because some spinal cord and head trauma injuries show some degree of recovery.

Nerve Signals

The nerve signal, or action potential, is a coordinated movement of sodium and potassium ions across the nerve cell membrane. Here’s how it works:

1. As we discussed, the inside of the cell is slightly negatively charged (resting membrane potential of -70 to -80 mV).
2. A disturbance (mechanical, electrical, or sometimes chemical) causes a few sodium channels in a small portion of the membrane to open.
3. Sodium ions enter the cell through the open sodium channels. The positive charge that they carry makes the inside of the cell slightly less negative (depolarizes the cell).
4. When the depolarization reaches a certain threshold value, many more sodium channels in that area open. More sodium flows in and triggers an action potential. The inflow of sodium ions reverses the membrane potential in that area (making it positive inside and negative outside — the electrical potential goes to about +40 mV inside)
5. When the electrical potential reaches +40 mV inside (about 1 millisecond later), the sodium channels shut down and let no more sodium ions inside (sodium inactivation).
6. The developing positive membrane potential causes potassium channels to open.
7. Potassium ions leave the cell through the open potassium channels. The outward movement of positive potassium ions makes the inside of the membrane more negative and returns the membrane toward the resting membrane potential (repolarizes the cell).
8. When the membrane potential returns to the resting value, the potassium channels shut down and potassium ions can no longer leave the cell.
9. The membrane potential slightly overshoots the resting potential, which is corrected by the sodium-potassium pump, which restores the normal ion balance across the membrane and returns the membrane potential to its resting level.
10. Now, this sequence of events occurs in a local area of the membrane. But these changes get passed on to the next area of membrane, then to the next area, and so on down the entire length of the axon. Thus, the action potential (nerve impulse or nerve signal) gets transmitted (propagated) down the nerve cell.

action potential graphs

There are a few things to note about the propagation of the action potential.

When an area has been depolarized and repolarized and the action potential has moved on to the next area, there is a short period of time before that first area can be depolarized again (refractory period). This refractory period prevents the action potential from moving backward and keeps everything moving in one direction.
# The action potential is an “all-or-none” response. Once the membrane reaches a threshold, it will depolarize to +40 mV. In other words, once the ionic events are set in motion, they will continue until the end.
# These ionic events occur in many excitable cells besides neurons (like muscle cells).
# Action potentials are propagated rapidly. Typical neurons conduct at 10 to 100 meters per second. Conduction speed varies with the diameter of the axon (larger = faster) and the presence of myelin (myelinated = faster). The rapid nerve conductions throughout the neural circuitry enable you to respond to stimuli in fractions of a second.
# The channels can be poisoned and prevented from opening. Various toxins (puffer fish toxin, snake venom, scorpion venom) can prevent specific channels from opening and distort the action potential or prevent it from happening altogether. Similarly, many local anesthetics (e.g. lidocaine, novocaine, benzocaine) can prevent action potentials from being propagated in the nerve cells in an area and temporarily prevent you from feeling pain.
# The propagation of the action potential is also sensitive to temperature in experimental settings. Colder temperatures slow down the action potential, but this usually doesn’t happen in an individual. However, you can use cold-block techniques to temporarily anesthetize an area (like putting ice on an injured finger).

So, if the size of the action potential does not vary, how does an action potential code information? Information is encoded by the frequency of action potentials, much like FM radio. A small stimulus will initiate a low frequency train of a few action potentials. As the intensity of the stimulus increases, so does the frequency of action potentials.
Synaptic TransmissionLike wires in your home’s electrical system, nerve cells make connections with one another in circuits called neural pathways. Unlike wires in your home, nerve cells do not touch, but come close together at synapses. At the synapse, the two nerve cells are separated by a tiny gap, or synaptic cleft. The sending neuron is called the presynaptic cell, while the receiving one is called the postsynaptic cell. Nerve cells send chemical messages with neurotransmitters in a one-way direction across the synapse from presynaptic cell to postsynaptic cell. serotonin reuptake

Let’s look at this process in a neuron that uses the neurotransmitter serotonin:

1. The presynaptic cell (sending cell) makes serotonin (5-hydroxytryptamine, 5HT) from the amino acid tryptophan and packages it in vesicles in its end terminals.
2. An action potential passes down the presynaptic cell into its end terminals.
3. The action potential stimulates the vesicles containing serotonin to fuse with the cell membrane and dump serotonin into the synaptic cleft.
4. Serotonin passes across the synaptic cleft, binds with special proteins called receptors on the membrane of the postsynaptic cell (receiving cell) and sets up a depolarization in the postsynaptic cell. If the depolarizations reach a threshold level, a new action potential will be propagated in that cell. Some neurotransmitters cause the postsynaptic cell to hyperpolarize (the membrane potential becomes more negative, which would inhibit the formation of action potentials in the postsynaptic cell). Serotonin fits with its receptor like a lock and key.
5. The remaining serotonin molecules in the cleft and those released by the receptors after use get destroyed by enzymes in the cleft (monoamine oxidase (MAO), catechol-o-methyl transferase (COMT)). Some get taken up by specific transporters on the presynaptic cell (reuptake). In the presynaptic cell, MAO and COMT destroy the absorbed serotonin molecules. This enables the nerve signal to be turned “off” and readies the synapse to receive another action potential.
6. There are several types of neurotransmitters besides serotonin, including acetylcholine, norepinephrine, dopamine and gamma-amino butyric acid (GABA). Any given neuron produces only one type of neurotransmitter. Any one nerve cell may have synapses on it from excitatory presynaptic neurons and from inhibitory presynaptic neurons. In this way, the nervous system can turn various cells (and subsequent neural pathways) “on” and “off.” Finally, nerve cells synapse on effector cells (muscles, glands, etc.) to evoke or inhibit responses.

XXanya Sofra Weiss


Xanya Sofra Weiss

Effects of Exposure to a 50 Hz Electric Field on Plasma Levels of Lactate, Glucose, Free Fatty Acids, Triglycerides and Creatine Phosphokinase Activit

We previously reported that extremely low frequency electric fields (ELF-EFs) affect energy metabolism in stressed conditions. To further confirm this, the effect of exposure to ELF-EFs on the experimental ischemic rat was examined. The test was based on a comparison of rats treated with EF alone, ischemic surgery alone, the combination of EF with ischemic surgery, or no treatment (double sham). The EF condition used in this study was an alternating current of 50 Hz EF at 17 500 Vim intensity for 15 min per day. The exposure to EF in ischemic rats significantly decreased plasma levels of free fatty acids and triglycerides, compared to those of the no treatment or EF alone group. The plasma lactate levels of two ischemic groups peaked on experimental day-4 and gradually decreased until the end of the study. The changes in the lactate levels induced by ischemia did not show any difference between rats treated with ischemia alone or a combination of ischemia with an EF. Any changes in plasma levels of glucose and creatine phosphokinase activity were not influenced by EF treatment. These results indicate that the EF effect on glycolysis parameters, plasma lactate or glucose levels, does not appear in a highly stressed condition and that EF effects varied dependent on the condition of organism but ELF-EF used in
this study have impact on lipid metabolism parameter in a hind-limb ischemic rat. However, further studies are needed to elucidate the association of ELF-EF with the lipid metabolism system.

XXanya Sofra Weiss


Xanya Sofra Weiss