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  • 1
    ISSN: 1432-2072
    Keywords: Key words Nicotine ; Stereoisomers ; Sensory ; Trigeminal ; Olfaction ; Pain
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Rationale: Nicotine applied to the nasal cavity can evoke ‘odorous’ sensations in the concentration range near the detection threshold by the activation of the olfactory sensory system and at higher concentrations ‘burning’ and ‘stinging’ sensations by the dose-dependent recruitment of C- and Aδ-fibers of the trigeminal sensory system. Neuronal nicotinic acetylcholine receptor (nAchR) subunits are expressed in trigeminal primary afferents and could constitute the receptors involved in nicotine perception. Objective: In the present study, we dose-dependently investigated the stereoselective effects of R(+)- and S(−)-nicotine on the trigeminal and olfactory sensory system in man. Methods: Trigeminal detection thresholds for the ‘burning’ and ‘stinging’ sensations and the olfactory detection threshold for the ‘odorous’ sensation were determined. In order to quantify trigeminal activation, we recorded summated electrical responses from the respiratory nasal mucosa during stimulation with R(+)- and S(−)-nicotine vapor (40, 80, 120, 160 ng/ml; stimulus duration: 250 ms). In addition, subjects rated the intensity of ‘odorous’, ‘burning’ and ‘stinging’ sensations. For chemical stimulation with nicotine enantiomers, a vapor-dilution olfactometer (constant flow rate: 140 ml/s, humidity: 80%, temperature: 37°C, stimulus duration 250 ms) was employed. Results: We found significant stereoselective differences for the trigeminal but not for the olfactory system, i.e. higher summated responses, higher trigeminal intensity estimates, and lower trigeminal detection thresholds for S(−)- compared to R(+)-nicotine. Conclusion: Our results clearly demonstrate the different stereoselective activation of the trigeminal sensory system by R(+)- and S(−)-nicotine, indicating the presence of specific stereoselective receptors on trigeminal nociceptive Aδ- and C-fibers.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Zeitschrift für Kardiologie 88 (1999), S. S040 
    ISSN: 1435-1285
    Keywords: Key words Heart failure – IGF-I – growth hormone – dilated cardiomyopathy – review
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Clinical and experimental data in animals and patients with endstage heart failure due to dilated cardiomyopathy or ischemic heart disease suggest a beneficial role of growth factors like human recombinant growth hormone or insulin-like growth factor I. Their cardiac effects are an increase in myocardial mass and a decrease in systolic wall stress. Based on the results of animal studies and of preliminary studies in patients with dilated cardiomyopathy, double-blind and placebo-controlled studies have proven the increase in myocardial mass and a significant reduction of left ventricular wall stress, as demonstrated by magnetic resonance imaging. The risk of the additional therapy with human growth factors in this high-risk group of patients with a high mortality is justified, if this new approach becomes a possible alternative to cardiac transplantation or a bridge toward transplantation. If future randomized studies in larger patient groups with an individualized substitution therapy with growth hormone and/or IGF-I can demonstrate a beneficial effect on mortality and morbidity, this new therapeutic approach could become an attractive alternative in these high-risk patients.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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