Drug-induced mild therapeutic hypothermia obtained by administration of a transient receptor potential vanilloid type 1 agonist

<p>Abstract</p> <p>Background</p> <p>The use of mechanical/physical devices for applying mild therapeutic hypothermia is the only proven neuroprotective treatment for survivors of out of hospital cardiac arrest. However, this type of therapy is cumbersome and associated with several side-effects. We investigated the feasibility of using a transient receptor potential vanilloid type 1 (TRPV1) agonist for obtaining drug-induced sustainable mild hypothermia.</p> <p>Methods</p> <p>First, we screened a heterogeneous group of TRPV1 agonists and secondly we tested the hypothermic properties of a selected candidate by dose-response studies. Finally we tested the hypothermic properties in a large animal. The screening was in conscious rats, the dose-response experiments in conscious rats and in cynomologus monkeys, and the finally we tested the hypothermic properties in conscious young cattle (calves with a body weight as an adult human). The investigated TRPV1 agonists were administered by continuous intravenous infusion.</p> <p>Results</p> <p>Screening: Dihydrocapsaicin (DHC), a component of chili pepper, displayed a desirable hypothermic profile with regards to the duration, depth and control in conscious rats. Dose-response experiments: In both rats and cynomologus monkeys DHC caused a dose-dependent and immediate decrease in body temperature. Thus in rats, infusion of DHC at doses of 0.125, 0.25, 0.50, and 0.75 mg/kg/h caused a maximal ΔT (°C) as compared to vehicle control of -0.9, -1.5, -2.0, and -4.2 within approximately 1 hour until the 6 hour infusion was stopped. Finally, in calves the intravenous infusion of DHC was able to maintain mild hypothermia with ΔT > -3°C for more than 12 hours.</p> <p>Conclusions</p> <p>Our data support the hypothesis that infusion of dihydrocapsaicin is a candidate for testing as a primary or adjunct method of inducing and maintaining therapeutic hypothermia.</p

St Apollonias tooth - a relic in the cathedral treasury in Rab (Croatia)

Aim was tTo anatomically identify and describe the changes on the tooth of St Apollonia which is kept as a relic in Rab (Croatia). Reviewing relevant literature, macroscopic examination of the tooth in the reliquary, photographing and further examining of the enlarged photos. The tooth in question is the first upper right premolar. Observed pathological change is type II enamel lesion, i.e. cervical or gingival caries. Other found characteristics are enamel fracture on the distoaproximal surface, shallow fracture on the occlusal third of the crown and two enamel formations, cluster of smooth and shiny enamel surfaces. Attention is drawn to a relic that was previously virtually unknown. It is presented how important this relic is for Christian and ethnomedical tradition. Additionally, anatomical determination and the description of pathoanatomical changes are used to affirm the anthropological approach as one of the prerequisites in the attempt to scientifically evaluate the relic phenomenon