Health
On the road at night or on a tennis court at dusk, the eye can be deceived. Vision is not as sharp as in the light of day, and detecting a bicyclist on the road or a careening tennis ball can be tough.
New research reveals the key chemical process that corrects for potential visual errors in low-light conditions. Understanding this fundamental step could lead to new treatments for visual deficits, or might one day boost normal night vision to new levels.
Like the mirror of a telescope pointed toward the night sky, the eye’s rod cells capture the energy of photons – the individual particles that make up light. The interaction triggers a series of chemical signals that ultimately translate the photons into the light we see.
The key light receptor in rod cells is a protein called rhodopsin. Each rod cell has about 100 million rhodopsin receptors, and each one can detect a single photon at a time.
Scientists had thought that the strength of rhodopsin’s signal determines how well we see in dim light. But UC Davis scientists have found instead that a second step acts as a gatekeeper to correct for rhodopsin errors. The result is a more accurate reading of light under dim conditions.
A report on their research appears in the October issue of the journal Neuron in a study entitled “Calcium feedback to cGMP synthesis strongly attenuates single photon responses driven by long rhodopsin lifetimes.”
Individual rhodopsin errors are relatively small in magnitude – on the order of a few hundredths of a second – but even this much biological noise can affect how well the signal gets transmitted to the rest of the brain, the researchers said.
The gatekeeper protects us from “seeing” more light than is actually there – a misreading that would have endangered an ice-age hunter, as it would a driver at dusk today. The correction may prevent the photon receptor from swamping the intricate chemical apparatus that leads to accurate light perception.
“The rhodopsin receptor is the site where physics meets biology – where a photon of light from the physical world must get interpreted for the nervous system,” said Marie Burns, professor of ophthalmology and vision science at UC Davis School of Medicine and lead author of the study. “Biology is messy. Rhodopsin does a remarkable but not perfect job.”
Burns and her colleagues studied rod cells in the laboratory and discovered that calcium plays the gatekeeper role.
They found that rhodopsin activity changed calcium levels in the cells and that over-active rhodopsins changed calcium levels at a faster rate than normal. This faster change led calcium to trigger a series of chemical steps to counter the over-active rhodopsin signal by producing an equal and opposite signal, thereby correcting false information before it gets sent on to the rest of the visual system.
They uncovered this fundamental new level of control by measuring how long individual rhodopsin receptors remained active in response to flashes of light, and then determining how much calcium’s gatekeeping function modified the rhodopsin signals.
“Basic research like ours often doesn’t translate to immediate clinical treatments for known diseases, but understanding fundamental processes has long-term significance,” Burns said. “In the case of our research, this understanding can prove essential for progress on a range of vision deficits that are currently poorly understood and untreatable.”
Colleagues in the research and co-authors on the paper include Owen Gross, a former doctoral student at UC Davis who is now at Oregon Health Sciences University, and Edward N. Pugh Jr., a professor in the Department of Cell Biology and Human Anatomy and Department of Physiology and Membrane Biology at the UC Davis School of Medicine.
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Bariatric surgery – restrictive gastric banding and other types of gastric bypass – can radically reduce risk factors for heart disease and stroke, and within a short period of time, indicates an analysis of the available evidence, published online in Heart.
The impact is much greater and faster than drug treatments for weight management or diabetes, say the authors, and in some cases, could be life-saving.
Being obese or overweight kills more than 2.6 million people every year. And the evidence shows that excess body fat produces harmful chemicals and skews gut hormones in favor of inflammation and insulin resistance – the precursor to diabetes.
The authors trawled the major databases of research, published between 1950 and June 2012, on the impact of bariatric surgery on cardiovascular risks and on heart failure and structural changes to the heart.
They found 73 relevant studies, involving almost 20,000 people, which matched their criteria on the impact of the procedure on risk factors for heart disease and stroke.
The average age of the study participants was 42, and three out of four were women.
The pooled data indicated that the prevalence of high blood pressure, diabetes, and high levels of harmful blood fats (dyslipidaemia) before surgery was 44, 24, and 44 percent, respectively. Patients were monitored for an average of just over 4.5 years after their surgery.
On average, study participants halved (54%) the amount of excess weight they were carrying, but the amount of excess weight dropped ranged from 16 to 87 percent.
Cardiovascular risk factors for stroke, heart attack, and heart failure either significantly improved or resolved completely after the procedure: high blood pressure in 63 percent; diabetes in 73 percent; and unfavorable blood fats in 65 percent.
The authors found a further 18 studies, involving 713 people, which matched the criteria on the impact of gastric bypass surgery on heart failure and structural changes to the heart.
Analysis of these data showed that the procedure significantly improved left ventricular mass (enlargement of the muscle tissue that makes up the heart’s main pumping chamber), the E/A ratio (the proportion of blood the heart pumps out in one beat) and pump filling action (isovolumic relaxation time or the ability of the heart to relax after a contraction).
The authors say that the findings back those of previous research and raise bariatric surgery “beyond the realms of a cosmetic procedure and into the realms of interventions demonstrating efficacy in preventing cardiovascular events.”
They continue: “The magnitude of effect on [cardiovascular] risk factors is impressive, and to date no pharmacological therapy for weight management or diabetes has shown a comparable effect over these short time periods.”
They acknowledge that bariatric surgery is not without its risks, but emphasize that it not only reduces the risk of heart disease and stroke, but also seems to improve the health of the heart itself.
If performed on appropriately selected obese patients, it “could be life-saving,” they conclude.
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