>Do you have any good biochem/cell biology references you find useful >over and over again? Any level is fine, I'll pick up what extra >knowledge I need between the lines and from auxiliary sources. I'm >simply looking for more info to explain what physics & physiology >don't explain about DCI, AGE, et al.. > >Anything come to mind (or hand? :) Start with these... Ward CA, McCullough D, Yee D, Stanga D, Fraser WD (1990) Complement=20 activation involvement in decompression sickness of rabbits. Undersea=20 Biomedical Research 17:51-66 A hypothesis has been proposed that claims much of the phenomena of=20 decompression sickness (DCS) are mediated by the complement system of blood= =20 plasma. This "complement hypothesis" can be used to explain the variation in= =20 susceptibility of individuals to DCS, including the phenomena of=20 acclimatization and de-acclimatization. In this study, certain predictions= =20 of the complement hypothesis were examined by exposing rabbits to a=20 particular pressure profile; some were observed to have symptoms of DCS and= =20 some showed none. Those that were observed to have symptoms were also found= =20 to have native complement systems that were activated by air bubbles, and=20 those that did not show symptoms of DCS when exposed to the same pressure=20 profile had native complement systems that were not activated by air=20 bubbles. Rabbits that had shown symptoms of DCS the first 2 times that they= =20 were exposed to the pressure profile could be acclimatized to the pressure= =20 profile by pharmacologically decomplementing them in vivo. After being=20 decomplemented, they showed no symptoms of DCS when they were exposed to the= =20 same pressure profile for a third time. When the decomplemented rabbits were= =20 allowed to remain inactive for a period of time that was sufficient to allow= =20 their complement systems to return to normal, after having been=20 decomplemented, and were then subjected to the pressure profile for the=20 fourth time, they were each again observed to have symptoms of DCS, i.e.,=20 they became de-acclimatized when their complement systems had returned to=20 their native sensitivity. These results provide further experimental support= =20 for the complement hypothesis. Ward CA, Koheil A, McCullough D, Johnson WR, Fraser WD (1986) Activation of= =20 complement at plasma-air or serum-air interface of rabbits. Journal of=20 Applied Physiology 60:1651-1658 The possibility of the air-plasma interface giving rise to compliment=20 activation is investigated. After incubationof the plasma of a group of=20 rabbits with zymosan and measurment of the degree of autologous=20 polymorponuclear leukocyte aggregation that follows the injection of a=20 sample of the incubated plasma into a leukocyte suspension it is found that= =20 the rabbits can be divided into two groups, sensitive and insensitive=20 depending on the degree of leukocyte aggregation. For the sensitive group it= =20 is found that both the plasma-air interface and the serum-air interface give= =20 rise to significant leukocyte aggregation. If the animal is decomplimented= =20 before the plasma is incubated in the presence of of the air interface there= =20 is no longer any significant leukocyte aggregation. It would appear that=20 the compliment system is activated by the presence of an air interface in=20 plasma but that fibrinogen does not play a pivotal role in the process. Ward CA, McCulloch D, Fraser WD (1987) Relation between compliment=20 activation and susceptibility to decompression sickness. Journal of Applied= =20 Physiology 62:1160-1166 The consequences of compliment activation and the symptoms of decompression= =20 sickness are similar. Consequently, the relation between the sensitivity of= =20 individual to compliment activation by air bubbles and their susceptibility= =20 to decompression sickness has been examined. Plasma samples from 34=20 individuals were incubated with air bubbles and the concentration of the=20 fluid phase metabolites of compliment activation C3a, C4a and C5a were=20 measured by radioimmunoassay. It was found that both the anaphylatoxins C3a= =20 and C5a were produced by the presence of air bubbles but that the=20 anaphylatoxin C4a was not. These findings indicate that air bubbles=20 activate the compliment system by the alternate pathway. One group of=20 individuals was found to be particularly sensitive to compliment activation= =20 by this pathway. They produced 3.3 time more C3a and 5 times more C5a in=20 their plasma samples incubated with air bubbles as did the other group. =20 Sixteen individuals were subjected to a series of decompression profiles=20 severe enough to produce air bubbles in their circulation which could be=20 detected by ultrasonic Doppler monitoring. The group of individuals=20 identified as more sensitive to compliment activation by the alternate=20 pathway was also found to be more susceptible to decompression sickness. Helps SC, Gorman DF (1991) Air embolism of the brain in rabbits pretreated= =20 with mechlorethamine. Stroke 22:351-354 Infusion of 400 microliters air into the left internal carotid artery of=20 five anesthetized rabbits caused transient pial arteriole air embolism, an= =20 immediate 41.9 =B1 0.8% dilatation of the embolized vessels, suppression of= =20 the cortical somatosensory evoked response to 29.4 =B1 2.7% of baseline, and= a=20 progressive decline in ipsilateral cerebral blood flow (measured by hydrogen= =20 clearance) to 46 =B1 4.1% of baseline after 2 hours. These values were=20 significantly different from those at baseline and from the responses of 10= =20 control rabbits given equivalent intracarotid saline infusions. Twelve other= =20 rabbits were made leukopenic by treatment with 1.5 mg/kg i.v.=20 mechlorethamine 72 hours prior to study. Mean =B1 SEM leukocyte count=20 decreased from 6,320 =B1 73/mm3 to 1,890 =B1 66/mm3 without any change in= the=20 leukocyte differential or erythrocyte and platelet counts. Intracarotid=20 infusion of saline into seven of the leukopenic rabbits caused no changes.= =20 In the other five leukopenic rabbits, infusion of 400 microliters air caused= =20 air embolism but did not produce the anticipated declines in cerebral blood= =20 flow or the cortical somatosensory evoked response, both of which remained= =20 indistinguishable from baseline values and responses in the seven=20 saline-treated leukopenic controls. Similarly, air-embolized arterioles=20 showed nonsignificant dilatation in leukopenic rabbits. Our data suggest=20 that the decreases in both cerebral blood flow and brain function seen after= =20 air embolism require the presence of leukocytes. /Rat ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ shelps@ac*.ma*.ad*.ed*.au* Stephen Helps Anaesthesia & Intensive Care University of Adelaide ADELAIDE, 5005, South Australia ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If everything seems to be going well, you've probably overlooked something= =20 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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