Benefits of repetitive transcranial magnetic stimulation (rTMS) for spastic subjects : clinical, functional and biomechanical parameters for lower limb and walking in five hemiparetic patients

Introduction. Spasticity is a disabling symptom resulting from reorganization of spinal reflexes no longer inhibited by supraspinal control. Several studies have demonstrated interest in repetitive transcranial magnetic stimulation in spastic patients. We conducted a prospective, randomized, double-blind crossover study on five spastic hemiparetic patients to determine whether this type of stimulation of the premotor cortex can provide a clinical benefit. Material and Methods. Two stimulation frequencies (1 Hz and 10 Hz) were tested versus placebo. Patients were assessed clinically, by quantitative analysis of walking and measurement of neuromechanical parameters (H and T reflexes, musculoarticular stiffness of the ankle). Results. No change was observed after placebo and 10 Hz protocols. Clinical parameters were not significantly modified after 1 Hz stimulation, apart from a tendency towards improved recruitment of antagonist muscles on the Fügl-Meyer scale. Only cadence and recurvatum were significantly modified on quantitative analysis of walking. Neuromechanical parameters were modified with significant decreases in Hmax / Mmaxand T/Mmax ratios and stiffness indices 9 days or 31 days after initiation of TMS. Conclusion. This preliminary study supports the efficacy of low-frequency TMS to reduce reflex excitability and stiffness of ankle plantar flexors, while clinical signs of spasticity were not significantly modified

Search for new lead compounds from higher plants.

A review with 22 refs. Higher plants represent a rich source of new mols. with pharmacol. properties, which are lead compds. for the development of new drugs. During the last decades, the renewed interest in investigating natural products has led to the advent of several important drugs, such as the anticancer substances vinblastine, vincristine and taxol, or the antimalarial agent artemisinin. Success in natural products research is conditioned by a careful plant selection, based on various criteria such as chemotaxonomic data, information from traditional medicine, field observations or even random collection. One main strategy in the isolation of new leads consists of the so-called bioactivity-guided isolation, in which pharmacol. or biol. assays are used to target the isolation of bioactive compds. One major drawback of this strategy is the frequent isolation of known metabolites. Therefore, hyphenated techniques (LC-UV/DAD, LC-MS, LC-NMR) have been developed, in order to detect as early as possible potential original structures. These compds. can then be tested in various bioassays. Using a combination of hyphenated techniques and bioactivity-guided isolation procedures, a series of new diterpenoic antifungal quinones have been isolated from the African tree, Bobgunnia madagascariensis (Leguminosae) and recently patented for their strong activity and for their potential use in the treatment of systemic mycoses. [on SciFinder (R)

The importance of LC/MS and LC/NMR in the discovery of new lead compounds from plants.

Rapid detection of biologically active natural products plays a key role in the phytochemical investigation of crude plant extracts. In order to perform an efficient screening of the extracts, both biological assays and HPLC analysis with various detection methods are used. Techniques such as HPLC coupled to UV photodiode array detection (LC/DAD-UV) and to mass spectrometry (LC/MS or LC/MS/MS) provide numerous on-line structural data on the metabolites prior to isolation. The recent introduction of HPLC coupled to nuclear magnetic resonance (LC/NMR) represents a powerful complement to LC/UV/MS screening. Various plant species belonging to the Gentianaceae and Leguminosae have been analysed by LC/UV, LC/MS, LC/MS/MS and LC/NMR. These hyphenated techniques allow a rapid structural determination of known plant constituents with only a minute amount of plant material. Simple bioautographic assays such as those used for screening antifungal constituents can also be performed on-line directly by collecting HPLC peaks and measuring the activity against the fungi of interest. These bioassays permit a rapid localisation of the bioactive natural products. With such a combined approach, the time consuming isolation of common natural products is avoided and an efficient targeted isolation of compounds presenting interesting spectroscopical or biological features is performed. Several representative applications of the use of LC/Ms and LC/NMR for the dereplication and identification of antifungal constituents are presented in the present paper