Mood changes in response to psychosocial stress in healthy young women: Effects of pretreatment with cortisol.

Effects of cortisol on human mood during stress situations are still incompletely understood, although this topic has important clinical implications. In this experiment, the mood of 44 healthy young women (all oral contraceptive users) was examined. A double-blind, randomized, placebo-controlled time series paradigm was used. Subjects were treated with either 30-mg cortisol or placebo orally. Forty-five minutes later, subjects attended a psychosocial stress procedure (Trier Social Stress Test; TSST; C. Kirschbaum, K. M. Pirke, & D. H. Hellhammer, 1993). The course of the subjects' mood as well as salivary cortisol and alpha-amylase levels were measured before and after the TSST. With regard to mood, it was found that the groups did not differ in mood before the TSST. After stress exposure, the subjective ratings of current mood state of cortisol-treated women were significantly less negative than that of placebo-treated subjects. These findings show that raising cortisol levels prior to acute stress has a protective effect on mood during stress situations. Results are discussed with regard to the context of specific adaptive effects of cortisol and the role of cortisol in posttraumatic stress disorder. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Plasma tryptophan levels and prolactin response to fenfluramine in healthy volunteers

A case of extraluminal migration of a foreign body that produced chronic sialoadenitis is reported. Seven years earlier, the patient had swallowed a fish bone that was not recovered. The little literature available on these uncommon lesions is reviewed.     

Metabolic response to experimental overfeeding in lean and overweight healthy volunteers

Possible adaptive mechanisms that may defend against weight gain during periods of excessive energy intake were investigated by overfeeding six lean and three overweight young men by 50% above baseline requirements with a mixed diet for 42 d [6.2 +/- 1.9 MJ/d (mean +/- SD), or a total of 265 +/- 45 MJ]. Mean weight gain was 7.6 +/- 1.6 kg (58 +/- 18% fat). The energy cost of tissue deposition (28.7 +/- 4.4 MJ/kg) matched the theoretical cost (26.0 MJ/kg). Basal metabolic rate (BMR) increased by 0.9 +/- 0.4 MJ/d and daily energy expenditure assessed by whole-body calorimetry (CAL EE) increased by 1.8 +/- 0.5 MJ/d. Total free-living energy expenditure (TEE) measured by doubly labeled water increased by 1.4 +/- 2.0 MJ/d. Activity and thermogenesis (computed as CAL EE--BMR and TEE--BMR) increased by only 0.9 +/- 0.4 and 0.9 +/- 2.1 MJ/d, respectively. All outcomes were consistent with theoretical changes due to the increased fat-free mass, body weight, and energy intake. There was no evidence of any active energy-dissipating mechanisms.     

Effects of manipulating the amount of social-evaluative threat on the cortisol stress response in young healthy men.

Perceived social-evaluative threat triggers the hypothalamic-pituitary adrenal (HPA) axis, resulting in cortisol release. The current study examined the effects of varying the levels of social-evaluative threat on the stress response. Sixty healthy men (mean age + 23.17 ± 3.89 years) underwent a public speaking task. Four conditions were established on the basis of panel location (inside or outside the room) and number of panelists (one or two). It was hypothesized that these variations affect salivary cortisol and physiological responses in a gradient manner. The task elicited significant cortisol and blood pressure changes for all conditions, but no difference between the groups was found, suggesting that all conditions were equally stressful. Study conclusions were that, for men, the visual presence of a panel is not necessary to elicit a cortisol response. Furthermore, increasing the number of judges does not increase the intensity of the stress response in a gradual manner, but rather seems to follow a threshold pattern. Future studies should include women and try to define the possible threshold to activate the HPA axis. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive coping strategies and blood pressure responses to real-life stress in healthy young men.

10 high- and 10 low-self-focused-coping (SFC) male college students (aged 18–22 yrs) were tested with ambulatory blood pressure (BP) monitoring on 2 typical schooldays, one of which included an examination. The high-SFC Ss (those who tend to keep to themselves and/or blame themselves in stressful situations) showed higher BP responses on the exam day, not only during the exam, but also during other activities throughout the same day, including evening rest. Results are discussed in terms of the relation between psychological and physiological responding. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Associations between stress, trait negative affect, acute immune reactivity, and antibody response to hepatitis B injection in healthy young adults.

Eighty-four healthy graduate participants were administered the standard course of 3 hepatitis B vaccinations. Five months after the first dose (shortly after the second injection), each participant completed psychosocial measures, and a blood sample was drawn for determination of hepatitis B surface antibody titer. After completion of the vaccination series, participants performed an acute stress protocol, consisting of a 30-min adaptation period and a 5-min evaluative speech task. Blood was drawn at the end of the resting and task periods for assessment of cellular immune measures. Lower antibody response, as assessed after the second hepatitis B injection, was predicted independently by (a) high trait negative affect and (b) diminished T-cell proliferation in response to PHA. These data provide evidence that trait negative affect and the magnitude of stress-induced suppression of immune function may have clinical significance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relative bioavailability of different butamirate citrate preparations after single dose oral administration to 18 healthy volunteers

The action of purified cathepsin D on hemoglobin was examined using micellar electrokinetic chromatographic separation of peptide products. Purified cathepsin D was incubated with hemoglobin in 40 mM Na-formate pH 3.1 at 37 degrees C for varying lengths of time. The reaction was stopped by the addition of the inhibitor pepstatin, and the peptide products were isolated from the reaction mixture by ultrafiltration with a 10,000 molecular weight cut-off (MWCO) microfuge type filter. Filtered samples were then separated in 100 mM Tris-Cl pH 8.5 containing sodium dodecyl sulfate (SDS) or Na-deoxycholate at micellar concentrations using a 50-microns (i.d.) fused-silica capillary. Detection was performed at 214 nm. It was found that Na-deoxycholate containing separations were superior in resolution and required less time. This technique was used to determine initial velocity (expressed as peak area per unit time) for nine peptides. Several peptides resulted after very short incubation times (< 10 min). This suggests that this approach may be useful for the determination of cathepsin D activity.     

The normal pattern of perception of bladder filling during cystometry studied in 38 young healthy volunteers

PURPOSE: The normal pattern of sensation during the tonic phase of cystometric bladder filling was evaluated in a group of young healthy volunteers. MATERIALS AND METHODS: A total of 38 healthy volunteers 19 to 28 years old described the sensations they perceived while sitting during medium fill cystometry after the bladder was filled through a urethral catheter with saline at body temperature. RESULTS: Of the subjects 4 had unstable bladder contractions that corresponded with some sensations reported, and 34 with a stable bladder perceived a first sensation of filling, first desire to void and strong desire to void. Each sensation was easily distinguishable from the others. Bladder volumes at the different sensations as well as detrusor pressures strongly correlated with each other. CONCLUSIONS: Although sensations reported during cystometric bladder filling are subjective, they have a normal pattern. Since these sensations are easily distinguished from each other and occur at interrelated volumes, they probably correspond with specific physiological mechanisms as suggested previously. Therefore, evaluation of these sensations could provide additional relevant information during urodynamics.     

Children's, adolescents', and young adults' thinking about different types of disagreements.

Individuals' thinking about different types of disagreements was examined. Ninety-six participants in third grade (mean age?=?8 years 9 months), seventh grade (mean age?=?13 years 2 months), and college (mean age?=?21 years 10 months) judged the acceptability of believing and acting on different types of beliefs with which they disagree, the attributes of the persons with whom they disagree, and the relative importance of cultural uniformity or diversity of belief. Findings indicated that participants' thinking did not simply become more tolerant with age; their thinking at all ages was constrained by both the realm over which there was disagreement and the form of the disagreement. At all ages, participants judged that some disagreements were acceptable and some unacceptable, described disagreeing others in terms of different (more or less positive) attributes, and judged that diversity of belief was important in some realms but uniformity was preferable in others. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Estradiol is related to visual memory in healthy young men.

The influence of testosterone and estrogen on memory was investigated in 33 healthy young men. Tests of visual memory, visuospatial ability, verbal memory, and attention were administered, and circulating levels of estradiol and free testosterone were measured. Participants with high levels of estradiol performed better on 2 measures of visual memory than did those with normal but lower levels. There were no differences between individuals with high and low levels of testosterone on any cognitive measure. These results support the contention that estradiol influences memory in young men. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Forearm blood flow in response to stress.

Examined the relationship between stress, forearm blood flow, and subjective anxiety. In 26 normal male Ss, electric shocks applied to the opposite forearm led to a rapid rise in anxiety and forearm blood flow. With repeated regular shocks, habituation of the vasomotor response occurred and anxiety became less intense. Changes appeared to be related to S's ability to predict accurately the intensity and frequency of the stimulus. Mental arithmetic under harassment produced a more gradual but greater rise in blood flow without an equal rise in anxiety. 23 alcoholic Ss who were judged to have limited motivation and ego strength showed a significantly lower vasomotor response during mental arithmetic. It is concluded that changes in forearm blood flow observed during stress cannot be related only to an increase in anxiety. This response seems to depend also on the significance of the stimulus to S, his psychiatric status, and his level of motivation. (19 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Inflammatory response to cardiopulmonary bypass using two different types of heparin-coated extracorporeal circuits

Previous reports have highlighted the disparity in biocompatibility of two differently engineered heparin coatings during the cardiopulmonary bypass (CPB) procedure. The aim of this prospective study was to evaluate the impact of the difference in haemocompatibility provided by either the Duraflo II equipment or the Carmeda equipment in the terminal inflammatory response observed after coronary artery surgery. Thirty patients were randomly allocated to two groups to be operated on using either Duraflo II equipment (group I) or Carmeda equipment (group 2) for extracorporeal circulation (ECC). Initial inflammatory response was assessed by terminal complement complex activation (SC5b-9). The late inflammatory response observed in the postoperative period was assessed by measuring cytokine production (tumour factor necrosis (TNF alpha), interleukin IL-6, interleukin IL-8) and circulating concentrations of adhesion molecules (ELAM-1, ICAM-1). The release of SC5b-9 after CPB and after protamine administration was lower in group 2 than in group 1 (p = 0.0002 and p = 0.006, respectively). A significant production of cytokines was detected in both groups with peak values observed within the time range of 4-6 h after the start of CPB.     

Plasma lipid response to hypolipidemic diets in young healthy non-obese men varies with body mass index

Lipid response to dietary fat is highly variable among individuals of a population. The aim of this study was to establish whether being overweight is one of the factors that determines this response. Forty-one non-obese healthy men were divided into two groups according to body mass index as follows: controls, <25 kg/m2; overweight, >25 kg/m2 but <30 kg/m2. After consuming a saturated fat-rich diet (SAT diet: 38% fat, 20% saturated) for 4 wk, subjects were switched to a low fat diet [National Cholesterol Education Program (NCEP)-I diet: 28% fat, 10% saturated] for 4 wk and then to a monounsaturated fat-rich diet (MUFA diet: 38% fat, 22% monounsaturated) for 4 wk. Data were analyzed by Student's t test and two-way ANOVA for repeated measures. After consuming the NCEP-I diet, the overweight subjects had a smaller decrease relative to the SAT diet period in plasma total cholesterol [-0.30 vs. -0.67 mmol/L (-7 vs. -16%), P < 0.02] and low density lipoprotein-cholesterol concentrations [-0.24 vs. -0.55 mmol/L (-9 vs. -21%), P < 0.04] than controls. However, in the overweight subjects, the MUFA diet produced a greater decrease in plasma triglycerides than in the controls relative to the SAT diet period [-0.36 vs. -0.03 mmol/L (-26 vs. -4%), P < 0.006] and to the NCEP-I diet period [-0.29 vs. 0. 01 mmol/L (-22 vs. 1%), P < 0.01). Plasma cholesterol concentrations changed to a lesser extent, and triglyceride concentration to a greater extent, in overweight but non-obese young men than in those of normal weight in response to changes in dietary fat composition. Our data suggest that in the diet treatment of obese hyperlipemic subjects, it is more important for them to lose weight than to change the fat composition of their diets.     

Secretory response to cholera toxin in the porcine jejunum under different types of general anaesthesia

Both classical pancreatic lipase (DPL) and pancreatic lipase-related protein 1 (DPLRP1) have been found to be secreted by dog exocrine pancreas. These two proteins were purified to homogeneity from canine pancreatic juice and no significant catalytic activity was observed with dog PLRP1 on any of the substrates tested: di- and tri-glycerides, phospholipids, etc. DPLRP1 was crystallized and its structure solved by molecular replacement and refined at a resolution of 2.10 A. Its structure is similar to that of the classical PL structures in the absence of any inhibitors or micelles. The lid domain that controls the access to the active site was found to have a closed conformation. An amino-acid substitution (Ala 178 Val) in the DPLRP1 may result in a steric clash with one of the acyl chains observed in the structures of a C11 alkyl phosphonate inhibitor, a transition state analogue, bound to the classical PL. This substitution was suspected of being responsible for the absence of DPLRP1 activity. The presence of Val and Ala residues in positions 178 and 180, respectively, are characteristic of all the known PLRP1, whereas Ala and Pro residues are always present in the same positions in all the other members of the PL gene family. Introducing the double mutation Val 178 Ala and Ala 180 Pro into the human pancreatic RP1 (HPLRP1) gene yielded a well expressed and folded enzyme in insect cells. This enzyme is kinetically active on triglycerides. Our findings on DPLRP1 and HPLRP1 are therefore likely to apply to all the RP1 lipases.     

Comparative bioavailability of two oral formulations of ipriflavone in healthy volunteers at steady-state. Evaluation of two different dosage schemes

Because of the relative lack of overlapping toxicity, carboplatin (PPL) and cisplatin (CDDP) can be easily combined for treatment of ovarian cancer to increase total platinum dose intensity. Ifosfamide (IFO), one of the most effective single agents in ovarian cancer, has a low hematological toxicity when administered in continuous infusion. From January 1991 to December 1993, 34 patients with advanced ovarian cancer, previously untreated with chemo- or radiotherapy, were enrolled in a phase I-II study with the aim of determining the maximum tolerated dose (MTD) of CDDP (on day 8 of a 28-day cycle) in combination with PPL (300 mg/m2 on day 1) and IFO (4,000 mg/m2/24 h by continuous infusion on day 1). The initial dose level of CDDP was 40 mg/m2, which was continuously increased by 10 mg/m2 up to the MTD defined as one dose level below that inducing dose-limiting toxicity (DLT) in at least two-thirds of treated patients; no dose escalation was allowed in the same patient. Grade 3-4 leukopenia and thrombocytopenia were observed in 54 and 49% of patients, respectively. The DLT was reached at 70 mg/m2 and therefore the dose recommended for the phase II study was 60 mg/m2. Complete (CR) plus partial response was observed in 88% of patients with a 21% pathological CR. With a minimum follow-up of 32 months (median 40 months), median progression-free survival and overall survival were 21 and 39 months, respectively. In conclusion, the combination of CDDP, PPL, and IFO provides an effective regimen for ovarian cancer with an acceptable toxicity profile.     

Cold pressor stress impairs performance on working memory tasks requiring executive functions in healthy young men.

The current study investigated the effects of cold pressor stress (CPS) on 2 working memory (WM) tasks differing in the demand they put on maintenance and executive processing. For this purpose 72 healthy young men were exposed either to a stress group or a nonstressful control group. Subsequently, WM performance on the O-Span task (Turner & Engle, 1989) and the digit span task was assessed. Salivary cortisol was measured before and 2 times after the treatment as a marker of hypothalamus–pituitary–adrenal (HPA) axis activity. Results revealed a significant performance impairment of the O-Span and the digit span task backward in stressed subjects that correlated negatively with CPS-induced cortisol increases. Digit span forward was neither affected by CPS nor related to the ensuing cortisol increases. These results indicate that acute stress impairs WM performance for tasks requiring executive functions that operate on the stored material but not for WM tasks that only require maintenance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Separation stress of young children transferring to new schools.

14 preschool children who were transferring to new schools were observed during a 2-wk period prior to the separation from their 14 classmates who were not transferring. Ss ranged in age from 2.9 to 5 yrs. Ss were interviewed with the Piers-Harris Children's Self-Concept Scale and the Depression Rating Scale for Children. Parents and teachers completed questionnaires on Ss' behavior. Results show that Ss who were leaving the school, compared to those who were staying, showed increases (compared to baseline observations 3 mo earlier) in fantasy play, physical contact, negative statements and affect, fussiness, activity level, tonic heart rate, and illness, as well as changes in eating and sleeping patterns. Shortly after their departure, this agitated behavior appeared to diminish in the Ss who were leaving but increased for those who remained in the school. This behavior pattern may represent a coping response to separation in an environment that is laden with cues of the losses associated with separation. (19 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)