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1.
Nat Commun ; 12(1): 1274, 2021 02 24.
Artículo en Inglés | MEDLINE | ID: mdl-33627658

RESUMEN

High-throughput single-cell epigenomic assays can resolve cell type heterogeneity in complex tissues, however, spatial orientation is lost. Here, we present single-cell combinatorial indexing on Microbiopsies Assigned to Positions for the Assay for Transposase Accessible Chromatin, or sciMAP-ATAC, as a method for highly scalable, spatially resolved, single-cell profiling of chromatin states. sciMAP-ATAC produces data of equivalent quality to non-spatial sci-ATAC and retains the positional information of each cell within a 214 micron cubic region, with up to hundreds of tracked positions in a single experiment. We apply sciMAP-ATAC to assess cortical lamination in the adult mouse primary somatosensory cortex and in the human primary visual cortex, where we produce spatial trajectories and integrate our data with non-spatial single-nucleus RNA and other chromatin accessibility single-cell datasets. Finally, we characterize the spatially progressive nature of cerebral ischemic infarction in the mouse brain using a model of transient middle cerebral artery occlusion.


Asunto(s)
Encéfalo/metabolismo , Cromatina/metabolismo , Animales , Isquemia Encefálica/metabolismo , Núcleo Celular/metabolismo , Femenino , Inmunohistoquímica , Infarto de la Arteria Cerebral Media/metabolismo , Ratones
2.
Genome Res ; 29(5): 857-869, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30936163

RESUMEN

Here we present a comprehensive map of the accessible chromatin landscape of the mouse hippocampus at single-cell resolution. Substantial advances of this work include the optimization of a single-cell combinatorial indexing assay for transposase accessible chromatin (sci-ATAC-seq); a software suite, scitools, for the rapid processing and visualization of single-cell combinatorial indexing data sets; and a valuable resource of hippocampal regulatory networks at single-cell resolution. We used sci-ATAC-seq to produce 2346 high-quality single-cell chromatin accessibility maps with a mean unique read count per cell of 29,201 from both fresh and frozen hippocampi, observing little difference in accessibility patterns between the preparations. By using this data set, we identified eight distinct major clusters of cells representing both neuronal and nonneuronal cell types and characterized the driving regulatory factors and differentially accessible loci that define each cluster. Within pyramidal neurons, we identified four major clusters, including CA1 and CA3 neurons, and three additional subclusters. We then applied a recently described coaccessibility framework, Cicero, which identified 146,818 links between promoters and putative distal regulatory DNA. Identified coaccessibility networks showed cell-type specificity, shedding light on key dynamic loci that reconfigure to specify hippocampal cell lineages. Lastly, we performed an additional sci-ATAC-seq preparation from cultured hippocampal neurons (899 high-quality cells, 43,532 mean unique reads) that revealed substantial alterations in their epigenetic landscape compared with nuclei from hippocampal tissue. This data set and accompanying analysis tools provide a new resource that can guide subsequent studies of the hippocampus.


Asunto(s)
Cromatina/genética , Hipocampo/metabolismo , Células Piramidales/metabolismo , Animales , Linaje de la Célula/genética , Núcleo Celular/genética , Núcleo Celular/metabolismo , Células Cultivadas , Cromatina/metabolismo , Epigenómica/métodos , Ratones , Plasticidad Neuronal/genética , Células Piramidales/citología , Análisis de Secuencia de ADN , Análisis de la Célula Individual/métodos , Transposasas/genética , Transposasas/metabolismo
3.
Genome Res ; 29(3): 367-382, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30683754

RESUMEN

Aneuploidy that arises during meiosis and/or mitosis is a major contributor to early embryo loss. We previously showed that human preimplantation embryos encapsulate missegregated chromosomes into micronuclei while undergoing cellular fragmentation and that fragments can contain chromosomal material, but the source of this DNA was unknown. Here, we leveraged the use of a nonhuman primate model and single-cell DNA-sequencing (scDNA-seq) to examine the chromosomal content of 471 individual samples comprising 254 blastomeres, 42 polar bodies, and 175 cellular fragments from a large number (N = 50) of disassembled rhesus cleavage-stage embryos. Our analysis revealed that the aneuploidy and micronucleation frequency is conserved between humans and macaques, and that fragments encapsulate whole and/or partial chromosomes lost from blastomeres. Single-cell/fragment genotyping showed that these chromosome-containing cellular fragments (CCFs) can be maternally or paternally derived and display double-stranded DNA breaks. DNA breakage was further indicated by reciprocal subchromosomal losses/gains between blastomeres and large segmental errors primarily detected at the terminal ends of chromosomes. By combining time-lapse imaging with scDNA-seq, we determined that multipolar divisions at the zygote or two-cell stage were associated with CCFs and generated a random mixture of chromosomally normal and abnormal blastomeres with uniparental or biparental origins. Despite frequent chromosome missegregation at the cleavage-stage, we show that CCFs and nondividing aneuploid blastomeres showing extensive DNA damage are prevented from incorporation into blastocysts. These findings suggest that embryos respond to chromosomal errors by encapsulation into micronuclei, elimination via cellular fragmentation, and selection against highly aneuploid blastomeres to overcome chromosome instability during preimplantation development.


Asunto(s)
Aneuploidia , Blastocisto/citología , Blastómeros/citología , Micronúcleos con Defecto Cromosómico/embriología , Animales , Segregación Cromosómica , Cromosomas/genética , Roturas del ADN de Doble Cadena , Femenino , Macaca , Análisis de la Célula Individual
4.
Nat Biotechnol ; 36(5): 428-431, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29644997

RESUMEN

We present a highly scalable assay for whole-genome methylation profiling of single cells. We use our approach, single-cell combinatorial indexing for methylation analysis (sci-MET), to produce 3,282 single-cell bisulfite sequencing libraries and achieve read alignment rates of 68 ± 8%. We apply sci-MET to discriminate the cellular identity of a mixture of three human cell lines and to identify excitatory and inhibitory neuronal populations from mouse cortical tissue.


Asunto(s)
Metilación de ADN/genética , Alineación de Secuencia/métodos , Análisis de la Célula Individual/métodos , Animales , Humanos , Ratones , Análisis de Secuencia de ADN/métodos
5.
Nat Methods ; 14(3): 302-308, 2017 03.
Artículo en Inglés | MEDLINE | ID: mdl-28135258

RESUMEN

Single-cell genome sequencing has proven valuable for the detection of somatic variation, particularly in the context of tumor evolution. Current technologies suffer from high library construction costs, which restrict the number of cells that can be assessed and thus impose limitations on the ability to measure heterogeneity within a tissue. Here, we present single-cell combinatorial indexed sequencing (SCI-seq) as a means of simultaneously generating thousands of low-pass single-cell libraries for detection of somatic copy-number variants. We constructed libraries for 16,698 single cells from a combination of cultured cell lines, primate frontal cortex tissue and two human adenocarcinomas, and obtained a detailed assessment of subclonal variation within a pancreatic tumor.


Asunto(s)
Adenocarcinoma/genética , Mapeo Cromosómico/métodos , Variaciones en el Número de Copia de ADN/genética , Lóbulo Frontal/citología , Secuenciación de Nucleótidos de Alto Rendimiento/métodos , Neoplasias Pancreáticas/genética , Análisis de Secuencia de ADN/métodos , Análisis de la Célula Individual/métodos , Animales , Línea Celular Tumoral , Biblioteca de Genes , Genoma Humano/genética , Células HeLa , Humanos , Macaca mulatta
6.
BMC Genomics ; 17(1): 905, 2016 11 10.
Artículo en Inglés | MEDLINE | ID: mdl-27832738

RESUMEN

BACKGROUND: Mollusks display a striking morphological disparity, including, among others, worm-like animals (the aplacophorans), snails and slugs, bivalves, and cephalopods. This phenotypic diversity renders them ideal for studies into animal evolution. Despite being one of the most species-rich phyla, molecular and in silico studies concerning specific key developmental gene families are still scarce, thus hampering deeper insights into the molecular machinery that governs the development and evolution of the various molluscan class-level taxa. RESULTS: Next-generation sequencing was used to retrieve transcriptomes of representatives of seven out of the eight recent class-level taxa of mollusks. Similarity searches, phylogenetic inferences, and a detailed manual curation were used to identify and confirm the orthology of numerous molluscan Hox and ParaHox genes, which resulted in a comprehensive catalog that highlights the evolution of these genes in Mollusca and other metazoans. The identification of a specific molluscan motif in the Hox paralog group 5 and a lophotrochozoan ParaHox motif in the Gsx gene is described. Functional analyses using KEGG and GO tools enabled a detailed description of key developmental genes expressed in important pathways such as Hedgehog, Wnt, and Notch during development of the respective species. The KEGG analysis revealed Wnt8, Wnt11, and Wnt16 as Wnt genes hitherto not reported for mollusks, thereby enlarging the known Wnt complement of the phylum. In addition, novel Hedgehog (Hh)-related genes were identified in the gastropod Lottia cf. kogamogai, demonstrating a more complex gene content in this species than in other mollusks. CONCLUSIONS: The use of de novo transcriptome assembly and well-designed in silico protocols proved to be a robust approach for surveying and mining large sequence data in a wide range of non-model mollusks. The data presented herein constitute only a small fraction of the information retrieved from the analysed molluscan transcriptomes, which can be promptly employed in the identification of novel genes and gene families, phylogenetic inferences, and other studies using molecular tools. As such, our study provides an important framework for understanding some of the underlying molecular mechanisms involved in molluscan body plan diversification and hints towards functions of key developmental genes in molluscan morphogenesis.


Asunto(s)
Genes del Desarrollo , Moluscos/genética , Transcriptoma , Animales , Análisis por Conglomerados , Biología Computacional/métodos , Perfilación de la Expresión Génica/métodos , Biblioteca de Genes , Ontología de Genes , Anotación de Secuencia Molecular , Moluscos/clasificación , Moluscos/embriología , Sistemas de Lectura Abierta , Filogenia
7.
Antimicrob Agents Chemother ; 55(12): 5732-9, 2011 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-21930891

RESUMEN

Posaconazole prophylaxis has proven highly effective in preventing invasive fungal infections, despite relatively low serum concentrations. However, high tissue levels of this agent have been reported in treated patients. We therefore hypothesized that the intracellular levels of antifungal agents are an important factor in determining the success of fungal prophylaxis. To examine the effect of host cell-associated antifungals on the growth of medically important molds, we exposed cells to antifungal agents and removed the extracellular drug prior to infection. Epithelial cells loaded with posaconazole and its parent molecule itraconazole, but not other antifungals, were able to inhibit fungal growth for at least 48 h and were protected from damage caused by infection. Cell-associated posaconazole levels were 40- to 50-fold higher than extracellular levels, and the drug was predominantly detected in cellular membranes. Fungistatic levels of posaconazole persisted within epithelial cells for up to 48 h. Therefore, the concentration of posaconazole in mammalian host cell membranes mediates its efficacy in prophylactic regimens and likely explains the observed discrepancy between serum antifungal levels and efficacy.


Asunto(s)
Antifúngicos/farmacocinética , Aspergillus fumigatus/efectos de los fármacos , Membrana Celular/metabolismo , Células Epiteliales/metabolismo , Macrófagos/metabolismo , Micosis/prevención & control , Triazoles/farmacocinética , Antifúngicos/farmacología , Aspergillus fumigatus/crecimiento & desarrollo , Línea Celular , Quimioprevención , Células Epiteliales/microbiología , Humanos , Itraconazol/farmacocinética , Itraconazol/farmacología , Pulmón/citología , Macrófagos/microbiología , Triazoles/farmacología
8.
Curr Med Chem ; 18(24): 3675-94, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21774760

RESUMEN

Atrial fibrillation (AF) is the most common arrhythmia in clinical practice. It can occur at any age, however, it becomes extremely common in the elderly, with a prevalence approaching more than 20% in patients older than 85 years. AF is associated with a wide range of cardiac and extra-cardiac complications and thereby contributes significantly to morbidity and mortality. Present therapeutic approaches to AF have major limitations, which have inspired substantial efforts to improve our understanding of the mechanisms underlying AF, with the premise that improved knowledge will lead to innovative and improved therapeutic approaches. Our understanding of AF pathophysiology has advanced significantly over the past 10 to 15 years through an increased awareness of the role of "atrial remodeling". Any persistent change in atrial structure or function constitutes atrial remodeling. Both rapid ectopic firing and reentry can maintain AF. Atrial remodeling has the potential to increase the likelihood of ectopic or reentrant activity through a multitude of potential mechanisms. The present paper reviews the main novel results on atrial tachycardia-induced electrical, structural and contractile remodeling focusing on the underlying pathophysiological and molecular basis of their occurrence. Special attention is paid to novel strategies and targets with therapeutic significance for atrial fibrillation.


Asunto(s)
Antiarrítmicos/farmacología , Fibrilación Atrial/tratamiento farmacológico , Antiarrítmicos/química , Antiarrítmicos/uso terapéutico , Fibrilación Atrial/fisiopatología , Función Atrial/efectos de los fármacos , Atrios Cardíacos/fisiopatología , Humanos , Canales Iónicos/antagonistas & inhibidores , Canales Iónicos/metabolismo
9.
Br J Pharmacol ; 164(1): 93-105, 2011 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-21410683

RESUMEN

BACKGROUND AND PURPOSE: The contribution of the transient outward potassium current (I(to)) to ventricular repolarization is controversial as it depends on the experimental conditions, the region of myocardium and the species studied. The aim of the present study was therefore to characterize I(to) and estimate its contribution to repolarization reserve in canine ventricular myocardium. EXPERIMENTAL APPROACH: Ion currents were recorded using conventional whole-cell voltage clamp and action potential voltage clamp techniques in canine isolated ventricular cells. Action potentials were recorded from canine ventricular preparations using microelectrodes. The contribution of I(to) to repolarization was studied using 100 µM chromanol 293B in the presence of 0.5 µM HMR 1556, which fully blocks I(Ks). KEY RESULTS: The high concentration of chromanol 293B used effectively suppressed I(to) without affecting other repolarizing K(+) currents (I(K1), I(Kr), I(p)). Action potential clamp experiments revealed a slowly inactivating and a 'late' chromanol-sensitive current component occurring during the action potential plateau. Action potentials were significantly lengthened by chromanol 293B in the presence of HMR 1556. This lengthening effect induced by I(to) inhibition was found to be reverse rate-dependent. It was significantly augmented after additional attenuation of repolarization reserve by 0.1 µM dofetilide and this caused the occurrence of early afterdepolarizations. The results were confirmed by computer simulation. CONCLUSIONS AND IMPLICATIONS: The results indicate that I(to) is involved in regulating repolarization in canine ventricular myocardium and that it contributes significantly to the repolarization reserve. Therefore, blockade of I(to) may enhance pro-arrhythmic risk.


Asunto(s)
Sistema de Conducción Cardíaco/metabolismo , Miocardio/metabolismo , Miocitos Cardíacos/metabolismo , Canales de Potasio/metabolismo , Potenciales de Acción/efectos de los fármacos , Animales , Cromanos/farmacología , Perros , Femenino , Ventrículos Cardíacos/efectos de los fármacos , Ventrículos Cardíacos/metabolismo , Masculino , Miocardio/citología , Miocitos Cardíacos/efectos de los fármacos , Técnicas de Placa-Clamp , Fenetilaminas/farmacología , Bloqueadores de los Canales de Potasio/farmacología , Sulfonamidas/farmacología , Función Ventricular/efectos de los fármacos
10.
Acta Physiol (Oxf) ; 192(3): 359-68, 2008 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-17970826

RESUMEN

AIM: In diabetes mellitus, several cardiac electrophysiological parameters are known to be affected. In rodent experimental diabetes models, changes in these parameters were reported, but only limited relevant information is available in other species, having cardiac electrophysiological properties more resembling the human, including the rabbit. The present study was designed to analyse the effects of experimental type 1 diabetes on ventricular repolarization and the underlying transmembrane potassium currents in rabbit hearts. METHODS: Diabetes was induced by a single injection of alloxan (145 mg kg(-1) i.v.). After the development of diabetes (3 weeks), electrophysiological studies were performed using whole cell voltage clamp and ECG measurements. RESULTS: The QT(c) interval in diabetic rabbits was moderately but statistically significantly longer than measured in the control animals (155 +/- 1.8 ms vs. 145 +/- 2.8 ms, respectively, n = 9-10, P < 0.05). This QT(c)-lengthening effect of diabetes was accompanied by a significant reduction in the density of the slow delayed rectifier K(+) current, I(Ks) (from 1.48 +/- 0.35 to 0.86 +/- 0.17 pA pF(-1) at +50 mV, n = 19-21, P < 0.05) without changes in current kinetics. No differences were observed either in the density or in the kinetics of the inward rectifier K(+) current (I(K1)), the rapid delayed rectifier K(+) current (I(Kr)), the transient outward current (I(to)) and the L-type calcium current (I(CaL)) between the control and alloxan-treated rabbits. CONCLUSION: It is concluded that type 1 diabetes mellitus, although only moderately, lengthens ventricular repolarization. Diabetes attenuates the repolarization reserve by decreasing the density of I(Ks) current, and thereby may enhance the risk of sudden cardiac death.


Asunto(s)
Canales de Potasio de Tipo Rectificador Tardío/metabolismo , Diabetes Mellitus Experimental/metabolismo , Diabetes Mellitus Experimental/fisiopatología , Sistema de Conducción Cardíaco/metabolismo , Ventrículos Cardíacos/metabolismo , Síndrome de QT Prolongado/metabolismo , Aloxano , Animales , Electrocardiografía , Corazón , Sistema de Conducción Cardíaco/efectos de los fármacos , Sistema de Conducción Cardíaco/fisiopatología , Ventrículos Cardíacos/efectos de los fármacos , Ventrículos Cardíacos/fisiopatología , Síndrome de QT Prolongado/inducido químicamente , Síndrome de QT Prolongado/fisiopatología , Masculino , Técnicas de Placa-Clamp , Conejos
11.
Immunol Lett ; 92(1-2): 193-7, 2004 Mar 29.
Artículo en Inglés | MEDLINE | ID: mdl-15081545

RESUMEN

Leptin is a multifunctional cytokine and hormone that primarily acts in the hypothalamus and plays a key role in regulation of food intake and energy expenditure. Leptin acts through its receptor (OBR), the product of db gene that activates the Jak/STAT pathway predominantly. To exert its functions, leptin interacts with histamine as well. Histamine is a downstream effector of leptin as its release, metabolism is enhanced by leptin and hypothalamic histamine reduces food intake. In a bi-directional regulatory loop histamine also influences leptin concentration by inhibiting its expression. In this study we demonstrate that histamine deficiency elevates serum leptin level and decreases full-length leptin receptor isoform with a slight increase of the short one and results in mild late onset obesity. These observation can help to elucidate further the bi-lateral interaction of leptin and histamine, and therefore provide useful data to understand the pathomechanism of obesity.


Asunto(s)
Histamina/metabolismo , Histidina Descarboxilasa/genética , Leptina/metabolismo , Receptores de Superficie Celular/genética , Animales , Histidina Descarboxilasa/metabolismo , Ratones , Ratones Noqueados , Modelos Biológicos , Isoformas de Proteínas/genética , Isoformas de Proteínas/metabolismo , ARN Mensajero/metabolismo , Receptores de Superficie Celular/metabolismo , Receptores de Leptina , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa
12.
Am J Respir Crit Care Med ; 164(4): 669-71, 2001 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-11520735

RESUMEN

The true prevalence of pulmonary lymphangioleiomyomatosis (LAM) in patients with tuberous sclerosis complex (TSC) is unknown. The prevalence of LAM, radiological features, and lung function in patients with TSC was measured. The presence of LAM, as defined by the presence of cysts by high-resolution chest computed tomography (HRCT) scan, was determined in patients with TSC without prior pulmonary disease (Group 1). To determine the significance of early detection, severity of disease in screened patients (Group 1) was compared with that in patients with TSC with a prior diagnosis of LAM (Group 2). Forty-eight patients with TSC and no prior history of LAM were screened. Of the 38 females, 13 (34%) had LAM; LAM was absent in males. Lung function was preserved in patients with TSC who were found to have LAM by screening. In patients previously known to have LAM, FEV(1) and DL(CO) correlated inversely with severity of disease as assessed by CT scan. The prevalence of LAM in women with TSC was 34%, approximately 10-fold that previously reported, consistent with a large hitherto unrecognized subclinical population of patients at risk for pulmonary complications.


Asunto(s)
Neoplasias Pulmonares/epidemiología , Neoplasias Pulmonares/genética , Linfangioleiomiomatosis/epidemiología , Linfangioleiomiomatosis/genética , Esclerosis Tuberosa/complicaciones , Adulto , Volumen Espiratorio Forzado , Humanos , Neoplasias Pulmonares/diagnóstico por imagen , Neoplasias Pulmonares/fisiopatología , Linfangioleiomiomatosis/diagnóstico por imagen , Linfangioleiomiomatosis/fisiopatología , Tamizaje Masivo , Vigilancia de la Población , Prevalencia , Estudios Prospectivos , Sistema de Registros , Pruebas de Función Respiratoria , Índice de Severidad de la Enfermedad , Fumar/efectos adversos , Tomografía Computarizada por Rayos X , Estados Unidos/epidemiología
13.
J Biol Chem ; 276(11): 8445-52, 2001 Mar 16.
Artículo en Inglés | MEDLINE | ID: mdl-11112784

RESUMEN

Inducible nitric-oxide synthase (iNOS) is an important signaling protein involved in the regulation of biological processes (e.g. vasodilation, inflammation) and is subject to transcriptional regulation by cytokines and lipopolysaccharide (LPS). Full activation of the human iNOS (hiNOS) promoter by cytokines (i.e., tumor necrosis factor-alpha, interleukin-1beta, interferon-gamma (IFN-gamma)) required downstream and upstream nuclear factor-kappaB (-115, -8283) and activator protein-1 (AP-1) (-5115, -5301) transcription factor binding sites. Human lung epithelial (A549) cells were transiently transfected with luciferase reporter plasmids containing an 8.3-kilobase human iNOS promoter to examine the molecular signaling events necessary for hiNOS transcriptional activation. The combination of LPS and IFN-gamma, but neither alone, increased hiNOS promoter activity 28-fold, in a reaction requiring two critical AP-1 (JunD-Fra-2) promoter binding sites. Mitogen-activated protein kinases (MAPKs) were assessed as potential activators of AP-1 and the hiNOS promoter. Both pharmacological and molecular inhibitors of the extracellular signal-related kinase (ERK) and p38 pathways reduced cytokine mixture (CM)- and LPS/IFN-gamma-induced promoter activation. By gel retardation analysis, the addition of MAP/ERK kinase-1 and p38 inhibitors significantly diminished AP-1 binding in both CM- and LPS/IFN-gamma-stimulated cells. Thus, p38- and ERK-dependent pathways, through effects on the AP-1 complex, activate the hiNOS promoter in cells stimulated with CM or LPS/IFN-gamma.


Asunto(s)
Proteínas Quinasas Activadas por Mitógenos/fisiología , Óxido Nítrico Sintasa/genética , Regiones Promotoras Genéticas , Proteínas Proto-Oncogénicas , Factor de Transcripción AP-1/fisiología , Sitios de Unión , Flavonoides/farmacología , Humanos , Imidazoles/farmacología , Interferón gamma/farmacología , Janus Quinasa 2 , Lipopolisacáridos/farmacología , MAP Quinasa Quinasa 1 , Quinasas de Proteína Quinasa Activadas por Mitógenos/fisiología , FN-kappa B/metabolismo , Óxido Nítrico Sintasa de Tipo II , Proteínas Serina-Treonina Quinasas/fisiología , Proteínas Tirosina Quinasas/fisiología , Piridinas/farmacología , Células Tumorales Cultivadas , Proteínas Quinasas p38 Activadas por Mitógenos
14.
Crit Care Med ; 27(6): 1121-7, 1999 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-10397216

RESUMEN

OBJECTIVE: To determine the prevalence, hemodynamic characteristics, and risk factors for the low systemic vascular resistance (SVR) state in patients who have undergone cardiopulmonary bypass. DESIGN: Prospective cohort study. SETTING: The intensive care unit of a tertiary care hospital. PATIENTS: Seventy-nine consecutive patients who underwent coronary artery bypass graft, mitral valve, or aortic valve procedures. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Low SVR was defined as an indexed systemic vascular resistance (SVRi) of <1800 dyne x sec/cm5 x m2 at two consecutive times postoperatively. SVRi, cardiac index, mean arterial pressure, temperature, and central venous pressure were recorded before bypass and at 0, 1, 2, 4, 8, and 16 hrs after bypass. We recorded age, gender, urgency of operation, use of angiotensin-converting enzyme inhibitors and calcium channel blockers, ejection fraction, pump time, cross-clamp time, use of antifibrinolytics, type of oxygenator, amrinone use, postoperative biochemical and hematologic values, medication use, fluid balance, intensive care unit admission duration, and hospital admission duration. We assessed the role of diabetes mellitus, current smoking, and systemic hypertension. The incidence of the low-SVR state was 35 of 79 patients during a 3-month period (44%). At 8 hrs postoperatively, the SVRi in low-SVR and non-low-SVR patients was 1594+/-50 (SEM) and 2103+/-56 (SEM) dyne x sec/cm5 x m2, respectively (p < .001). In low-SVR patients, there was an initial and sustained increase in cardiac index and central venous pressure that preceded the decrease in mean arterial pressure. The decrease in mean arterial pressure was maximal at 8 hrs postoperatively. Patients with low SVR were more likely to have longer cross-clamp times, to be male, and to have lower postoperative platelet counts (p < .05 for all). Low-SVR patients were less likely to require dobutamine in the first 4 hrs postoperatively. CONCLUSIONS: Low SVR, a probable manifestation of systemic inflammatory response syndrome, is common in patients after cardiopulmonary bypass. These patients may respond better to a vasopressor to restore vascular tone than to volume loading to further increase cardiac index.


Asunto(s)
Puente Cardiopulmonar/efectos adversos , Válvulas Cardíacas/cirugía , Síndrome de Respuesta Inflamatoria Sistémica/fisiopatología , Resistencia Vascular , Análisis de Varianza , Femenino , Hemodinámica , Humanos , Unidades de Cuidados Intensivos , Periodo Intraoperatorio , Masculino , Persona de Mediana Edad , Periodo Posoperatorio , Prevalencia , Estudios Prospectivos , Síndrome de Respuesta Inflamatoria Sistémica/epidemiología , Síndrome de Respuesta Inflamatoria Sistémica/etiología
15.
Am J Respir Crit Care Med ; 158(6): 1883-9, 1998 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-9847282

RESUMEN

The role of nitric oxide (NO) in lung injury remains unclear. Both beneficial and detrimental roles have been proposed. In this study, we used mutant mice lacking the inducible nitric oxide synthase (iNOS) to assess the role of this isoform in sepsis-associated lung injury. Wild-type and iNOS knockout mice were injected with either saline or Escherichia coli endotoxin (LPS) 25 mg/kg and killed 6, 12, and 24 h later. Lung injury was evaluated by measuring lactate dehydrogenase activity in the bronchoalveolar lavage, pulmonary wet/dry ratio, and immunostaining for nitrotyrosine formation. In the wild-type mice, LPS injection elicited more than a 3-fold rise in lactate dehydrogenase activity, a significant rise in lung wet/dry ratio and extensive nitrotyrosine staining in large airway and alveolar epithelium, macrophages, and pulmonary vascular cells. This was accompanied by induction of iNOS protein and increased lung nitric oxide synthase activity. By comparison, LPS injection in iNOS knockout mice elicited no iNOS induction and no significant changes in lung NOS activity, lactate dehydrogenase activity, lung wet/dry ratio, or pulmonary nitrotyrosine staining. These results indicate that mice deficient in iNOS gene are more resistant to LPS-induced acute lung injury than are wild-type mice.


Asunto(s)
Endotoxinas/efectos adversos , Escherichia coli , Lipopolisacáridos/efectos adversos , Óxido Nítrico Sintasa/fisiología , Síndrome de Dificultad Respiratoria/etiología , Animales , Vasos Sanguíneos/patología , Bronquios/patología , Líquido del Lavado Bronquioalveolar/química , Colorantes , Modelos Animales de Enfermedad , Epitelio/patología , Femenino , Estudios de Seguimiento , Isoenzimas/fisiología , L-Lactato Deshidrogenasa/análisis , Pulmón/irrigación sanguínea , Pulmón/enzimología , Pulmón/patología , Macrófagos Alveolares/patología , Masculino , Ratones , Ratones Noqueados , Mutación/genética , Óxido Nítrico/fisiología , Óxido Nítrico Sintasa/genética , Óxido Nítrico Sintasa de Tipo II , Tamaño de los Órganos , Alveolos Pulmonares/patología , Síndrome de Dificultad Respiratoria/enzimología , Tirosina/análogos & derivados , Tirosina/análisis , Vasodilatadores/farmacología
16.
Eur J Pharmacol ; 328(1): 69-73, 1997 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-9203571

RESUMEN

Endothelium-dependent hyperpolarizing factor (EDHF) is an important contributor to agonist-induced vascular dilation. Recent studies suggest that bacterial lipopolysaccharides attenuate endothelium-dependent dilation. Whether or not this effect is mediated through inhibition of EDHF is not known. We studied the in vitro influence of Escherichia coli lipopolysaccharides on endothelium-dependent smooth muscle dilation and hyperpolarization in porcine coronary arteries. Endothelium-intact porcine coronary arterial rings were examined after 20 h of incubation with either saline or E. coli lipopolysaccharides (100 microg/ml). Endothelium-dependent dilation elicited by increasing concentrations of bradykinin was significantly attenuated by lipopolysaccharides. Baseline values of smooth muscle membrane potential were not influenced by lipopolysaccharides. However, lipopolysaccharides significantly attenuated bradykinin-induced smooth muscle membrane hyperpolarization. Our results suggest that attenuation of EDHF is an important mechanism through which lipopolysaccharides influence vascular dilation in severe sepsis.


Asunto(s)
Factores Biológicos/metabolismo , Bradiquinina/farmacología , Lipopolisacáridos/toxicidad , Músculo Liso Vascular/efectos de los fármacos , Vasodilatación/efectos de los fármacos , Análisis de Varianza , Animales , Vasos Coronarios/efectos de los fármacos , Vasos Coronarios/metabolismo , Escherichia coli/metabolismo , Técnicas In Vitro , Potenciales de la Membrana/efectos de los fármacos , Contracción Muscular/efectos de los fármacos , Óxido Nítrico/metabolismo , Porcinos
17.
Orv Hetil ; 136(2): 75-8, 1995 Jan 08.
Artículo en Húngaro | MEDLINE | ID: mdl-7862435

RESUMEN

The authors report a case of a thanatophoric dysplasia associated with hydramnios diagnosed at 32 weeks' gestation by sonographic investigation. The final diagnosis was derived from radiological and hystological findings. The authors underline that the identification of a specific osteochondrodysplasia is quite difficult and postulates interdisciplinary cooperation between gynecologists, neonatologists, radiologists and pathologists. More effective counselling of affected families is the major purpose of all the efforts involved.


Asunto(s)
Polihidramnios/diagnóstico por imagen , Displasia Tanatofórica/diagnóstico por imagen , Adulto , Resultado Fatal , Femenino , Humanos , Recién Nacido , Masculino , Persona de Mediana Edad , Polihidramnios/complicaciones , Polihidramnios/patología , Embarazo , Tercer Trimestre del Embarazo , Displasia Tanatofórica/complicaciones , Displasia Tanatofórica/patología , Ultrasonografía Prenatal
19.
J Cell Physiol ; 145(2): 318-23, 1990 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-2246330

RESUMEN

Exposure to D-allose has been demonstrated to lead to decreased 2-deoxy-D-glucose (2-DG) and 3-0-methyl-D-glucose transport in the V79 Chinese hamster lung fibroblast cell line. The effect of D-allose 1) was maximal after 4 hours exposure to the cells; 2) was optimal between 2.77 and 5.55 mM D-allose; and 3) led to a decreased Vmax for 2-DG transport with no change in the transport Km value. The decrease in 2-DG transport induced by D-allose was reversible and the reversal was differentially affected by cycloheximide, being blocked by a low concentration of cycloheximide (0.05 micrograms/ml) but not a high concentration of the inhibitor (5 micrograms/ml). D-allose did not competitively inhibit the transport of 2-DG while D-glucose under similar conditions yielded a Kl for 2-DG transport inhibition of 1.7 mM. Additionally, D-allose did not affect the phosphorylation of 2-DG by hexokinase in cell-free cytosol. The data indicate that D-allose has significant lowering effects on sugar transport activity. Additionally, while the sugar itself may be the active component in sugar transport regulation, the effect is not blocked by inhibition of protein synthesis but the synthesis of a regulatory protein(s) may be involved in the return of sugar transport following D-allose removal.


Asunto(s)
Metabolismo de los Hidratos de Carbono , Fibroblastos/metabolismo , Glucosa/farmacología , Animales , Transporte Biológico/efectos de los fármacos , Línea Celular , Cricetinae , Cricetulus , Fibroblastos/efectos de los fármacos , Glucosa/metabolismo , Hexoquinasa/efectos de los fármacos , Hexoquinasa/fisiología , Hexosas/metabolismo , Proteínas de Transporte de Monosacáridos/biosíntesis , Fosforilación , Factores de Tiempo
20.
J Cell Physiol ; 143(1): 88-93, 1990 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-2108174

RESUMEN

The transport of [3H]2-deoxy-D-glucose (2DG) and [3H]3-O-methyl-D-glucose (3-OMG) was elevated in a respiration deficient (NADH coenzyme Q [Co Q] reductase deficient) Chinese hamster lung fibroblast cell line (G14). This sugar transport increase was related to an increased Vmax for 2DG transport, 26.9 +/- 4.2 nmoles 2DG/mg protein/30 sec in the G14 cell line vs 9.5 +/- 0.6 nmoles 2DG/mg protein/30 sec in the parental V79 cell line. No differences were observed in their respective Km values for 2DG transport (3.9 +/- .6 vs. 3.0 +/- .13 mM). Factors which increase sugar transport (e.g., glucose deprivation, serum or insulin exposure) or decrease sugar transport (e.g., serum deprivation) in the parental V79 cell line had little effect on sugar transport in the G14 respiration deficient cell lines. Amino acid transport, specific 125I-insulin binding to cells, and insulin-stimulated DNA synthesis, however, were similar in both cell lines. Exposure of both cell lines to varying concentrations of cycloheximide (0.1-50 micrograms/ml) for 4 h resulted in differential effects on 2DG transport. In the parental cell line (V79) low cycloheximide concentrations resulted in decreased 2DG transport, while higher concentrations (greater than or equal to 1 microgram/ml) resulted in elevated 2DG transport. In the G14 cell line, 2DG transport decreased at all concentrations of cycloheximide (up to 50 micrograms/ml). The data indicate that the G14 mutant has been significantly and specifically affected in the expression of sugar transport activity and in the regulatory controls affecting sugar transport activity.


Asunto(s)
Hexosas/metabolismo , Quinona Reductasas/deficiencia , 3-O-Metilglucosa , Animales , Transporte Biológico , Línea Celular , Cricetinae , Desoxiglucosa/metabolismo , Técnicas In Vitro , Pulmón/citología , Metilglucósidos/metabolismo , Mutación , NAD(P)H Deshidrogenasa (Quinona)
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