Desloratadine reduces nasal congestion in patients with intermittent allergic rhinitis

Nasal congestion is among the most bothersome of the symptoms of intermittent allergic rhinitis (IAR). Decongestants such as pseudoephedrine are often accompanied by adverse effects and should be avoided by patients with hypertension, arrhythmia, and other medical conditions. Most of the currently available antihistamines are ineffective for nasal congestion. Oral desloratadine, a new, potent H1-receptor antagonist, was examined for its ability to relieve nasal congestion/stuffiness in 346 patients (172 in the desloratadine group and 174 in the placebo group) with IAR. Desloratadine, administered once daily at a dose of 5 mg, demonstrated significant improvement in nasal congestion/stuffiness at all time points assessed in the study. This benefit was observed as early as the first patient evaluation on day 2 and continued throughout the 2 weeks of the study. Desloratadine is a new treatment option for patients with IAR and nasal congestion.

Cytotoxicity of polyamines to Amoeba proteus: role of polyamine oxidase

It has been shown that oxidation of polyamines by polyamine oxidases can produce toxic compounds (H2O2, aldehydes, ammonia) and that the polyamine oxidase-polyamine system is implicated, in vitro, in the death of several parasites. Using Amoeba proteus as an in vitro model, we studied the cytotoxicity to these cells of spermine, spermidine, their acetyl derivatives, and their hypothetical precursors. Spermine and N1-acetylspermine were more toxic than emetine, an amoebicidal reference drug. Spermine presented a short-term toxicity, but a 48-h contact time was necessary for the high toxicity of spermidine. The uptake by Amoeba cells of the different polyamines tested was demonstrated. On the other hand, a high polyamine oxidase activity was identified in Amoeba proteus crude extract. Spermine (theoretical 100%) and N1-acetylspermine (64%) were the best substrates at pH 9.5, while spermidine, its acetyl derivatives, and putrescine were very poorly oxidized by this enzyme (3-20%). Spermine oxidase activity was inhibited by phenylhydrazine (nil) and isoniazid (approximately 50%). Mepacrine did not inhibit the enzyme activity at pH 8. Neither monoamine nor diamine oxidase activity (approximately 10%) was found. It must be emphasized that spermine, the best enzyme substrate, is the most toxic polyamine. This finding suggests that knowledge of polyamine oxidase specificity can be used to modulate the cytotoxicity of polyamine derivatives. Amoeba proteus was revealed as a simple model for investigation of the connection between cytotoxicity and enzyme activity.

Improved high-performance liquid chromatographic method for the determination of polyamines as their benzoylated derivatives: application to P388 cancer cells

A simple reversed-phase HPLC method was developed for the determination of eight polyamines or monoacetylpolyamines, as their benzoylated derivatives. Interfering products, inherent to the benzoyl chloride derivatization technique (benzoic acid, methyl benzoate and benzoic anhydride), were identified. A new derivatization procedure for their total elimination was developed without any loss of sensitivity and selectivity. Not only the HPLC method was validated, but also the choice of an internal standard was investigated. The results show that it is possible to use this HPLC assay to determine the polyamine content in P388 cancer cells. Furthermore, the method is now being used to evaluate the uptake of various polyamines by P388 cancer cells and by other cancer and parasitic cells.

Multiple sleep latency test (MSLT) and sleep apnea in aged women

Sleep disturbance and the tendency to sleep during the day were assessed polysomnographically in 31 elderly women (mean age = 76.7 +/- 3.6 SD) recruited from a senior citizen's living facility without reference to sleep-wake complaints. The data showed that the level of sleepiness during the day in each subject depended in part on the severity of her respiratory disturbance. It was found that the group (n = 7) of elderly females with apnea and hypopnea index (AHI) higher than 20 was more sleepy [multiple sleep latency test (MSLT) = 7.9 +/- 2) than the group (n = 10) with AHI > 5 but less than 20 (MSLT = 12.7 +/- 5). Nevertheless, the presence and severity of respiratory disturbance were not the only factors that influenced the level of sleepiness during the day in the studied sample. A subgroup of four elderly females showed a marked sleepiness during the four tested periods (MSLT = 5.2 +/- 0.6) with a very low respiratory disturbance index (AHI = 5.5 +/- 0.8).

Lesions producing REM sleep without atonia disinhibit the acoustic startle reflex without affecting prepulse inhibition

This study determined whether the brainstem motor inhibition system that mediates muscle atonia during rapid eye movement (REM) sleep is involved in the elicitation and prepulse inhibition of the acoustic startle reflex. Electrolytic or neurotoxic (glutamate) lesions were made in the dorsolateral pontine tegmentum or the medial medulla, respectively, to produce the syndrome of REM sleep without atonia. Startle responses were released during REM sleep following the lesions. However, the amount of startle suppression produced by auditory prepulse after the lesion did not differ from that seen in intact controls. We conclude that REM sleep suppression of the acoustic startle responses is mediated by the system responsible for tonic motor inhibition, but auditory prepulse inhibition of the acoustic startle is not.

REM sleep without atonia after lesions of the medial medulla

Rapid eye movement (REM) sleep is normally accompanied by a complete suppression of tone in the antigravity musculature. Pontine lesions have been shown to block this suppression, producing a syndrome of REM sleep without atonia. We now report that glutamate-induced lesions of the medial medulla, including the nucleus magnocellularis, caudal nucleus gigantocellularis and rostral nucleus paramedianus, produce REM sleep without atonia. These nuclei may function as part of a ponto-medullary system suppressing muscle tone in REM sleep.

Antigen-induced neutrophil chemotactic activity from sensitized lung

We have used the model of ovalbumin-sensitized guinea pigs to define the source of antigen-derived, high-molecular-weight neutrophil chemotactic activity (NCA). Incubating sensitized lung fragments with specific antigen (ovalbumin) but not irrelevant antigen (bovine serum albumin) or buffer resulted in the release of high-molecular-weight NCA and histamine, suggesting a lung mast cell origin for NCA. High-molecular-weight NCA accounted for greater than 90% of the NCA observed after antigen-lung incubation. The importance of high-molecular-weight NCA in recruitment of neutrophilic leukocytes to the site of allergic inflammatory reactions is emphasized.

Immunogenicity of fully defined lysine LAG dodecapeptides in guinea-pigs: with a note on an antigenic cooperation effect in the delayed immune response

The immunogenicity of a series of dodecapeptides was evaluated in random-bred guinea-pigs. The peptides were synthesized by an economical two-phase approach specifically developed for the production of gram-amounts of peptide antigens. The peptides contain L-leucine, L-alanine, glycine and L-lysine and differ from each other by number and distribution of lysine residues. Some of the peptides carry DNP groups at their N-terminus.

With the exception of one (5,11-Lys₂-LAG¹²-OEt), all peptides induced a state of cellular immunity as evaluated by delayed dermal reactions and macrophage migration inhibition. Some peptides also induced the formation of circulating antibodies. Immunogenicity appears to increase with the number of basic groups and is more pronounced with DNP peptides.

Delayed dermal responses are highly specific since even peptides closely related to the immunogen did not elicit reactions. Reactions were however observed when some mixtures of closely related peptides not used for immunizing the animal were administered. This `antigenic cooperation' effect is discussed briefly.