Low-Dose T-3 Replacement Restores Depressed Cardiac T-3 Levels, Preserves Coronary Microvasculature and Attenuates Cardiac Dysfunction in Experimental Diabetes Mellitus

Thyroid dysfunction is common in individuals with diabetes mellitus (DM) and may contribute to the associated cardiac dysfunction. However, little is known about the extent and pathophysiological consequences of low thyroid conditions on the heart in DM. DM was induced in adult female Sprague Dawley (SD) rats by injection of nicotinamide (N; 200 mg/kg) followed by streptozotocin (STZ; 65 mg/kg). One month after STZ/N, rats were randomized to the following groups (N = 10/group): STZ/N or STZ/N + 0.03 g/mL T-3; age-matched vehicle-treated rats served as nondiabetic controls (C). After 2 months of T-3 treatment (3 months post-DM induction), left ventricular (LV) function was assessed by echocardiography and LV pressure measurements. Despite normal serum thyroid hormone (TH) levels, STZ/N treatment resulted in reductions in myocardial tissue content of THs (T-3 and T-4 : 39% and 17% reduction versus C, respectively). Tissue hypothyroidism in the DM hearts was associated with increased DIO3 deiodinase (which converts THs to inactive metabolites) altered TH transporter expression, reexpression of the fetal gene phenotype, reduced arteriolar resistance vessel density, and diminished cardiac function. Low-dose T-3 replacement largely restored cardiac tissue TH levels (T-3 and T-4 : 43% and 10% increase versus STZ/N, respectively), improved cardiac function, reversed fetal gene expression and preserved the arteriolar resistance vessel network without causing overt symptoms of hyperthyroidism. We conclude that cardiac dysfunction in chronic DM may be associated with tissue hypothyroidism despite normal serum TH levels. Low-dose T-3 replacement appears to be a safe and effective adjunct therapy to attenuate and/or reverse cardiac remodeling and dysfunction induced by experimental DM

Longitudinally Detected Electron Spin Resonance: Recent Developments

Multiple-quantum spectroscopies are reviewed in the frame of electron paramagnetic resonance. Some properties of different nonlinear techniques are discussed for both transverse and longitudinal detection. The connections of effects recently presented with the procedure of longitudinal detection of electron paramagnetic resonance (LODESR) in presence of double transverse irradiation are stressed. Peculiarities of LODESR spectroscopy and its capabilities in facing problems related to relaxations in presence of very slow dynamic processes are evidentiated. Recent results show the vitality of the LODESR technique, that in the future could be applied to new fields, owing to experimental updating

Postprandial Hypoglycemia after Roux-en-Y gastric bypass in individuals with type 2 diabetes

Aims/hypothesis: Postprandial hypoglycaemia (PPHG) is a complication of Roux-en-Y gastric bypass (RYGB) surgery in normoglycaemic individuals. In type 2 diabetes, RYGB improves glucose metabolism, but whether this improvement is related to the later development of PPHG is not known. We investigated the presence and mechanisms of PPHG in individuals with type 2 diabetes undergoing RYGB. Methods: A total of 35 obese individuals with type 2 diabetes underwent an OGTT before and 24 months after surgery. PPHG was defined as a plasma glucose level of ≤3.3 mmol/l when not taking glucose-lowering agents. Insulin sensitivity was assessed by oral glucose insulin sensitivity index and beta-cell function by mathematical modelling of the plasma glucose, insulin and C-peptide concentrations. Results: After surgery, PPHG occurred in 11 of 35 individuals who underwent RYGB. Before surgery, BMI was lower, glycaemic control less good and time of glucose peak earlier in the PPHG vs No PPHG group, and the duration of diabetes was shorter with PPHG (all p ≤ 0.05). In addition, insulin sensitivity was greater in the PPHG than No PPHG group (p = 0.03). After surgery, BMI and fasting glucose and insulin levels decreased similarly in the two groups; insulin secretion during the first hour of the OGTT increased more in the PPHG than No PPHG group (p = 0.04). Beta-cell glucose sensitivity increased more in individuals with PPHG than those without (p = 0.002). Over the same time interval, the glucagon-like peptide 1 (GLP-1) response was lower in individuals with PPHG before surgery (p = 0.05), and increased more after surgery. At 2 h after glucose ingestion in the OGTT, postsurgery plasma glucagon level was significantly lower in the PPHG than No PPHG group. Conclusions/interpretation: In morbidly obese individuals with type 2 diabetes, spontaneous PPHG may occur after bariatric surgery independently of a remission of diabetes. Before surgery, individuals had a shorter duration and were more insulin sensitive. Two years after surgery, these individuals developed greater beta-cell glucose sensitivity, and showed greater insulin and GLP-1 release early in the OGTT. © 2018, Springer-Verlag GmbH Germany, part of Springer Nature

Photoconductive films of poly-N-vinylindole-based blends for high-voltage phtorefractive electrooptic cells

In the frame of our research on the electrooptic behavior of poly-N-vinylindole (PVI) and a series of its methyl derivatives, we have measured the photoconductivity of poly-2,3-dimethyl-N-vinylindole (PV2,3DMI) at room temperature. The measurements have been accomplished on 100 mum-thick films obtained by squeezing the polymer between two ITO sheets at about 130 degreesC. The electrooptic cell was introduced in a dc electric circuit, and a voltage up to 15,000 V could be applied between the ITO sheets while irradiating at lambda = 685 nm and at a power of the order of 10 mW with a laser diode. Very special care had to be taken in order to allow the use of such high voltages, like for instance a thermal treatment at about 150 degreesC of the sample held under vacuum during a few minutes. The measured photoconductivity of PV2,3DMI was higher than that of PVI but lower than that of poly-N-vinylcarbazole (PVK). The result obtained for PV2,3DMI confirms the anticipated positive effect of the two methyl groups in lowering the ionization potential of the N-alkylindole. PV2,3DMI has shown a good compatibility with a NLO molecule, giving very transparent and stable films for photorefractivity tests. A two-beam coupling (2BC) electrooptic circuit for photorefractivity measurements has been built and tested with PVK blends