Patients with breathlessness commonly describe subjective relief when seated near an open window or in front of a fan. Previous studies suggest that a flow of air or application of cold solutions to the face, nasal mucosa, or pharynx may alter ventilation. We hypothesized that a flow of cold air directed against the cheek would reduce the sensation of breathlessness associated with loaded breathing. Sixteen subjects breathed on a device with an inspiratory resistive load (63 cm H2O/L/s) while PCO2 was maintained at 55 torr for 5 min. All studies were performed 4 times with each subject, twice with cold air directed against the cheek (4 degrees to 10 degrees C, 4 km/h) and twice with no flow on the subject. Subjects were asked to rate their breathlessness using a modified Borg scale. Cold air directed on the face reduced breathlessness induced by an inspiratory resistive load and hypercapnia (6.2 +/- 1.7 Borg scale units with no flow, 5.1 +/- 1.7 with cold air; p less than 0.002) without causing a significant reduction in ventilation. This effect was not observed when cold air was directed to the leg and does not appear to be associated with a reduction in the ventilatory response to hypercapnia or with initiation of the diving reflex. We conclude that cold air directed against the cheek significantly reduces dyspnea associated with the combination of hypercapnia and an inspiratory resistive load.
A new technique combining microfluorometric DNA assays with differential cell counts was used to quantitate the intralaminar distribution of neuronal and non-neuronal cells (chiefly glial) in rat somatosensory cortex (Charles River 250 gm males, C D@ strain). The intracortical amounts of DNA per unit fresh volume were calculated from the DNA contents of serial frozen slices of known volume sampled serially from the pial surface to white matter in frozen cortical cylinders; respective amounts per unit solids were calculated from predetermined dry weights of the slices. Cell counts were performed on serial horizontal sections from formalin-fixed cylinders stained by Nissl's method. Neuronal DNA and glial DNA were calculated based on the percentages of the respective cells counted.Total DNA averaged 5.43 pglmg dry weight (1.19 pg mm3 fresh volume). Values were highest in layers I1 and IV. Neuronal DNA paralleled total DNA in its intracortical distribution and showed distinct peaks in layers I1 and IV. Glial DNA showed an even distribution. Glia exceeded neurons only in layers I and Vlc. The mean neuron/glia ratio was 2.5. This method gives a more precise estimate of the absolute numbers of neurons and glia than can be obtained by histological methods alone, since DNA assays eliminate the need to correct the histological counts for volume changes during fixation and staining.
Growing appreciation of the multiple functions of proteolytic enzymes in intracellular protein degradation and post-translational modification, in the release of biologically active macromolecules and peptides from precursors and in cellular protein regulation and quality control has stimulated interest in proteases in neurobiology and neuropathology. In this article, the proteinases and peptidases thus far studied in the human central nervous system are reviewed with respect to their enzymology, anatomical and cytological distributions and contributions to neurological and psychiatric disease states. Though information concerning brain proteases in man is fragmentary, it suffices to establish the importance of these complex systems for advancing knowledge of human cerebral function in health and disease.
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