RESUMEN
PURPOSE: To assess possible association between intrinsic structural damage and clinical disability by correlating spinal cord diffusion-tensor (DT) imaging data with electrophysiological parameters in patients with a diagnosis of multiple sclerosis (MS). MATERIALS AND METHODS: This study was approved by the local ethical committee according to the declaration of Helsinki and written informed consent was obtained. DT images and T1- and T2-weighted images of the spinal cord were acquired in 28 healthy volunteers and 41 MS patients. Fractional anisotropy (FA) and apparent diffusion coefficients were evaluated in normal-appearing white matter (NAWM) at the cervical level and were correlated with motor-evoked potentials (n = 34). Asymmetry index was calculated for FA values with corresponding left and right regions of interest as percentage of the absolute difference between these values relative to the sum of the respective FA values. Statistical analysis included Spearman rank correlations, Mann-Whitney test, and reliability analysis. RESULTS: Healthy volunteers had low asymmetry index (1.5%-2.2%). In MS patients, structural abnormalities were reflected by asymmetric decrease of FA (asymmetry index: 3.6%; P = .15). Frequently asymmetrically affected among MS patients was left and right central motor conduction time (CMCT) to abductor digiti minimi muscle (ADMM) (asymmetry index, 15%-16%) and tibialis anterior muscle (TAM) (asymmetry index, 9.5%-14.1%). Statistically significant correlations of functional (ie, electrophysiological) and structural (ie, DT imaging) asymmetries were found (P = .005 for CMCT to ADMM; P = .007 for CMCT to TAM) for the cervical lateral funiculi, which comprise the crossed pyramidal tract. Interobserver reliability for DT imaging measurements was excellent (78%-87%). CONCLUSION: DT imaging revealed asymmetric anatomic changes in spinal cord NAWM, which corresponded to asymmetric electrophysiological deficits for both arms and legs, and reflected a specific structure-function relationship in the human spinal cord.
Asunto(s)
Imagen de Difusión Tensora/métodos , Potenciales Evocados Motores , Esclerosis Múltiple/patología , Esclerosis Múltiple/fisiopatología , Médula Espinal/patología , Médula Espinal/fisiopatología , Adulto , Anisotropía , Brazo/fisiopatología , Estudios de Casos y Controles , Medios de Contraste , Femenino , Humanos , Pierna/fisiopatología , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Estadísticas no ParamétricasRESUMEN
Mutants of Escherichia coli B/r have been selected which require increased nutrient concentrations for half-maximal growth rate. This half-saturation constant (K(m)) for growth on glucose is 10(-6) and 7 x 10(-4)m for the wild type (CP 366) and the mutant (CP 367), respectively. Similarly, the K(m) is increased for growth on many other carbohydrates (20- to 500-fold), for the anions PO(4) (3-) and SO(4) (2-) (ca. 100-fold), and for the uptake of several amino acids (20- to 50-fold). At sufficiently high concentrations of the nutrients, mutant and wild type grow equally fast. The yield in terms of cell mass per milligram of substrate is unaffected by the mutation. The phenotype of the parent is reestablished in what appears to be the reversion of a single mutation (kmt) which maps between strA and metB. The pleiotropic decrease of the affinities for transport of the various nutrients seems to be the result of a modification of the cell envelope which weakens the attachment of the various specific binding proteins to the periplasmic membrane. Since the mutant K(m) values are increased considerably, high cell densities can be reached in batch cultures at growth-rate-limiting substrate concentrations (10(7) to 10(8) cells/ml). This allows chemical analysis of the cell composition; the application of the mutant to studies of bacterial physiology as function of growth rate is discussed.