Non-insulin-dependent diabetes: from physiopathology to treatment

Non-insulin-dependent (or type 2) diabetes mellitus is a common, underdiagnosed and growing disease in our society. It is responsible for increased morbidity and mortality and represents an important public health problem. This polygenic disease is often expressed late in life and its evolution is accelerated by environmental factors leading to obesity. It combines defects in both insulin secretion and insulin action, and such defects are present in various proportions according to the type of patient and the stage of the disease. Diet and physical activity recommendations are the basis of the treatment. Current pharmacological approaches aim at improving insulin secretion and/or insulin cellular action. After secondary failure to oral drugs, insulin therapy should be initiated, the patient becoming "insulin-requiring". A synergy should be searched in the combination of various therapeutic modalities in order to improve the glycaemic control.     

A variety of epistatic interactions can occur between partially homologous transgene loci brought together by sexual crossing

Epistatic interactions between unlinked transgene loci in tobacco plants were studied following sexual crosses between different transgenic lines. Three potential "modifier" transgene loci, which were structurally similar but integrated at different chromosomal locations, were tested for their ability to influence the expression of a partially homologous "target" transgene locus. After introduction of an individual modifier locus, the target locus could be either unaffected, completely inactivated and methylated or differentially sensitive, showing more complete inactivation and methylation when homozygous than when hemizygous. The implications of these results for inbreeding depression in plants are discussed.     

Ohmic contacts to p-type Hg0.3Cd0.7Te by metalorganic chemical vapour deposition of HgTe

Ohmic contacts were obtained to p-type Hg_0.3Cd_0.7Te crystals by metalorganic chemical vapour deposition (MOCVD) of HgTe as an interface material between the crystals and the contacting metal. Deposition at a reduced temperature of 350C did not lead to an obvious change in the material performance. Electronic-transport data are given. Two acceptor levels, at 4.8 and 60 meV above the valence-band edge, were found.     

Combined infra-red and X-ray studies of β-silicon nitride and β′-sialons

Previous investigations of the replacement of silicon by aluminium and nitrogen by oxygen in -silicon nitride have been based primarily on X-ray powder diffraction studies. In the present work this technique is coupled with parallel infra-red studies. X-ray analyses of sialons over a wide composition range confirm previous observations that increasing substitution of aluminium for silicon and nitrogen for oxygen in -silicon nitride is accompanied by an increase in cell size, with no evidence of any other structural modification. Parallel infra-red analyses show shifts in certain of the infra-red absorption bands to lower wavenumbers as the degree of substitution increases. Changes in the infrared spectra at the composition Si₂Al₄N₄O₄ indicate structural modifications which are not apparent from the X-ray investigations. It is suggested that these changes are a result of the ordering of the different atom types at this composition.     

Extracranial to intracranial vascular anastomosis for occlusive cerebrovascular disease: experience in 110 patients

In an attempt to ascertain the value of extra- to intracranial arterial bypass for cerebrovascular disease, the general topic of bypass surgery is reviewed and the results of this procedure in 110 patients are analyzed. The feasibility of high patency rates of the anastomosis with acceptably low permanent morbidity and operative mortality rates is demonstrated. Lesions producing transient ischemic attacks which previously were considered to be inoperable or inaccessible can be bypassed by this procedure, and there appears to be a dramatic improvement in the symptomotology of virtually all patients. Patients with a mild stroke or "progressive stroke" also appear to benefit from bypass, but the erratic natural history of these entities precludes irrefutable substantiation of this conclusion. Patients with moderate-to-serve neurological deficits do not appear to be improved by this procedure. In our group of 20 patients presenting with transient ischemic attacks who have had more than 3 years of follow-up, only one patient has suffered a stroke and that was located in the opposite hemisphere.     

Very low-temperature search for superconductivity in semiconducting KTaO3

A series of attempts have been made to detect the presence of superconductivity in semiconducting potassium tantalate (KTaO₃) single crystals. Semiconducting potassium tantalate has a number of properties in common with semiconducting SrTiO₃, which is superconducting below 0.3 K, with a critical temperatureT _c that varies as a function of the carrier concentration. Both KTaO₃ and SrTiO₃ are perovskite-structure oxides and both materials are so-called incipient ferroelectrics that are characterized by high dielectric constants at low temperature. These common properties suggest that superconductivity might also be observed in semiconducting potassium tantalate. In the temperature ange from 0.01 to 4.0 K, however, no evidence was found for superconductivity in KTaO₃ in the presence of magnetic fields of 10^–5–10^–4 T (i.e., 0.1–1 Oe). Below 1.5 K, the search for superconductivity in KTaO₃ was carried out using a³He-⁴He dilution refrigerator equipped with a SQUID magnetometer and an ac magnetometer. The system response was verified by measuring the paramagnetic susceptibility of Dy₂O₃-doped KTaO₃. The failure to observe superconductivity in KTaO₃, while SrTiO₃ is an established superconducting material, may be related to the fact that the latter substance assumes a tetragonal symmetry phase at 105 K, while KTaO₃ remains cubic to low temperatures.Operated by Union Carbide Corporation for the U.S. Department of Energy under contract w-7405-eng-26.     

Interaction between radiation and drug damage in mammalian cells. II. The effect of actinomycin-D on the repair of the sublethal radiation damage in plateau phase cells

The effect of actinomycin-D (AMD) on radiation damage repair was studied in plateau phase V79 Chinese hamster cells. Sublethal radiation damage repair, as demonstrated by survival fluctuations following two x-ray exposures separted by time, was observed in our plateau phase cells. Plateau phase cells exposed to 0.01-0.04 mug/ml AMD (a nontoxic regimen to 8 hours) between x-ray exposures were less able to repair sublethal damage. If plateau phase cells were plated at low dilutions into fresh medium (conditions for resuming exponential growth) immediately after the first x-ray dose, and exposed to 0.01--0.04 mug/ml AMD until the second dose, inhibition of sublethal damage repair and additional cell killing were observed particularly at 0.04 mug/ml AMD. It is suggested that radiation-drug damage interactions should be studied in plateau phase cells and in cells resuming exponential growth after plateau phase (possibly analogous to "recruitment"), as well as in exponential phase cultures.     

Histochemical light microscopic study of catecholamine containing paraganglia in the human pelvis

Histological and histochemical techniques have been employed to determine the structure and autonomic innervation of paraganglia located in the human pelvis. In foetal and early postnatal tissues, paraganglia formed rounded cellular masses which were frequently in company with the autonomic nerves and ganglia of the urinary bladder and other pelvic viscera. The constituent cells contained only small amounts of cholinesterase and were unrelated to enzyme positive autonomic nerves; acetylcholinesterase containing nerves were occasionally observed in the capsule and the fibrous septa of the pelvic paraganglia. In early postnatal specimens, pelvic paraganglia frequently contained single or multiple "pacinian-like" corpuscles, each possessing a central region which was rich in both acetyl and pseudocholinesterase. These structures were rarely observed within autonomic ganglia and were absent 4 1/2 years post partum. By means of a histochemical technique, pelvic paraganglia were found to contain catecholamine which was attributed to the presence of relatively large quantities of noradrenaline. These observations have been discussed with particular reference to the results of other studies on the autonomic innervation of paraganglia.     

Haemoglobins of the shark, Heterodontus portusjacksoni II. Amino acid sequence of the alpha-chain

The amino acid sequence of the alpha-chain of the principal haemoglobin from the shark, H. portusjacksoni has been determined. The chain has 148 residues and is acetylated at the amino terminal. The soluble peptides obtained by tryptic and chymotryptic digestion of the protein or its cyanogen bromide fragments were isolated by gel filtration, paper ionophoresis and paper chromatography. The amino acid sequences were determined by the dansyl-Edman procedure. The insoluble "core" peptide from the tryptic digestion contained 34 residues and required cleavage by several prosteases before the sequence was established. Compared with human alpha-chain there are 88 amino acid differences including the additional seven residues which appear on the amino terminal of the shark chain. There is also one deletion and one insertion. The chain contains no tryptophan but has four cysteinyl residues which is the highest number of such residues recorded for a vertebrate globin. In the alpha1beta1 contact sites there are four changes in the oxyhaemoglobin form and six deoxy form. Nine of the 16, alpha1beta1 contact sites show variation while three of the haem contact sites have changed in comparison to the residues known to be involved in these interactions in horse haemoglobin alpha-chain. Use of the sequence data to estimate a time of divergence of the shark from the main vertebrate line yielded the value of 410 +/- 46 million years. The data, in general, support the palaeontological view that bony fishes arose before the elasmobranchs.