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1.
Arch Toxicol ; 98(6): 1859-1875, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38555327

RESUMEN

Poisoning with the organophosphorus nerve agent VX can be life-threatening due to limitations of the standard therapy with atropine and oximes. To date, the underlying pathomechanism of VX affecting the neuromuscular junction has not been fully elucidated structurally. Results of recent studies investigating the effects of VX were obtained from cells of animal origin or immortalized cell lines limiting their translation to humans. To overcome this limitation, motor neurons (MN) of this study were differentiated from in-house feeder- and integration-free-derived human-induced pluripotent stem cells (hiPSC) by application of standardized and antibiotic-free differentiation media with the aim to mimic human embryogenesis as closely as possible. For testing VX sensitivity, MN were initially exposed once to 400 µM, 600 µM, 800 µM, or 1000 µM VX and cultured for 5 days followed by analysis of changes in viability and neurite outgrowth as well as at the gene and protein level using µLC-ESI MS/HR MS, XTT, IncuCyte, qRT-PCR, and Western Blot. For the first time, VX was shown to trigger neuronal cell death and decline in neurite outgrowth in hiPSC-derived MN in a time- and concentration-dependent manner involving the activation of the intrinsic as well as the extrinsic pathway of apoptosis. Consistent with this, MN morphology and neurite network were altered time and concentration-dependently. Thus, MN represent a valuable tool for further investigation of the pathomechanism after VX exposure. These findings might set the course for the development of a promising human neuromuscular test model and patient-specific therapies in the future.


Asunto(s)
Diferenciación Celular , Supervivencia Celular , Células Madre Pluripotentes Inducidas , Neuronas Motoras , Agentes Nerviosos , Compuestos Organotiofosforados , Humanos , Células Madre Pluripotentes Inducidas/efectos de los fármacos , Neuronas Motoras/efectos de los fármacos , Compuestos Organotiofosforados/toxicidad , Agentes Nerviosos/toxicidad , Diferenciación Celular/efectos de los fármacos , Supervivencia Celular/efectos de los fármacos , Proyección Neuronal/efectos de los fármacos , Sustancias para la Guerra Química/toxicidad , Relación Dosis-Respuesta a Droga , Células Cultivadas
2.
Arch Toxicol ; 96(11): 3053-3066, 2022 11.
Artículo en Inglés | MEDLINE | ID: mdl-35906424

RESUMEN

Chronic wounds, skin blisters, and ulcers are the result of skin exposure to the alkylating agent sulfur mustard (SM). One potential pathomechanism is senescence, which causes permanent growth arrest with a pro-inflammatory environment and may be associated with a chronic wound healing disorder. SM is known to induce chronic senescence in human mesenchymal stem cells which are subsequently unable to fulfill their regenerative function in the wound healing process. As dermal fibroblasts are crucial for cutaneous wound healing by being responsible for granulation tissue formation and synthesis of the extracellular matrix, SM exposure might also impair their function in a similar way. This study, therefore, investigated the SM sensitivity of primary human dermal fibroblasts (HDF) by determining the dose-response curve. Non-lethal concentrations LC1 (3 µM) to LC25 (65 µM) were used to examine the induction of senescence. HDF were exposed once to 3 µM, 13 µM, 24 µM, 40 µM or 65 µM SM, and were then cultured for 31 days. Changes in morphology as well as at the genetic and protein level were investigated. For the first time, HDF were shown to undergo senescence in a time- and concentration-dependent manner after SM exposure. They developed a characteristic senescence phenotype and expressed various senescence markers. Proinflammatory cytokines and chemokines were significantly altered in SM-exposed HDF as part of a senescence-associated secretory phenotype. The senescent fibroblasts can thus be considered a contributor to the SM-induced chronic wound healing disorder and might serve as a new therapeutic target in the future.


Asunto(s)
Gas Mostaza , Alquilantes , Senescencia Celular , Citocinas , Fibroblastos , Humanos , Gas Mostaza/toxicidad , Piel
3.
Soft Matter ; 17(32): 7565-7584, 2021 Aug 28.
Artículo en Inglés | MEDLINE | ID: mdl-34341807

RESUMEN

The implementation of anisotropy to functional materials is a key step towards future smart materials. In this work, we evaluate the influence of preorientation and sample architecture on the strain-induced anisotropy in hybrid elastomers containing covalently attached elongated magnetic filler particles. Accordingly, silica coated spindle-type hematite nanoparticles are incorporated into poly(dimethylsiloxane)-based elastomers, and two types of composite architectures are compared: on the one hand a conventional architecture of filled, covalently crosslinked elastomers, and on the other hybrid elastomers that are crosslinked exclusively by covalent attachment of the polymer chains to the particle surface. By the application of external strain and with magnetic fields, the orientational order of the elongated nanoparticles can be manipulated, and we investigate the interplay between strain, magnetic order, and orientational order of the particles by combining 2D small angle X-ray scattering experiments under strain and fields with Mössbauer spectroscopy under similar conditions, and supplementary angular-dependent magnetization experiments. The converging information is used to quantify the order in these interesting materials, while establishing a direct link between the magnetic properties and the spatial orientation of the embedded magnetic nanoparticles.

4.
Phys Chem Chem Phys ; 23(43): 24557-24569, 2021 Nov 10.
Artículo en Inglés | MEDLINE | ID: mdl-34755719

RESUMEN

Liquid crystal (LC) based magnetic materials consisting of LC hosts doped with functional magnetic nanoparticles enable optical switching of the mesogens at moderate magnetic field strengths and thereby open the pathway for the design of novel smart devices. A promising route for the fabrication of stable ferronematic phases is the attachment of a covalently bound LC polymer shell onto the surface of nanoparticles. With this approach, ferronematic phases based on magnetically blocked particles and the commercial LC 4-cyano-4'-pentylbiphenyl (5CB) liquid crystal were shown to have a sufficient magnetic sensitivity, but the mechanism of the magneto-nematic coupling is unidentified. To get deeper insight into the coupling modes present in these systems, we prepared ferronematic materials based on superparamagnetic particles, which respond to external fields with internal magnetic realignment instead of mechanical rotation. This aims at clarifying whether the hard coupling of the magnetization to the particle's orientation (magnetic blocking) is a necessary component of the magnetization-nematic director coupling mechanism. We herein report the fabrication of a ferronematic phase consisting of surface-functionalized superparamagnetic Fe3O4 particles and 5CB. We characterize the phase behavior and investigate the magneto-optical properties of the new ferronematic phase and compare it to the ferronematic system containing magnetically blocked CoFe2O4 particles to get information about the origin of the magneto-nematic coupling.

5.
Arch Toxicol ; 95(2): 727-747, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33491125

RESUMEN

Wound healing is a complex process, and disturbance of even a single mechanism can result in chronic ulcers developing after exposure to the alkylating agent sulfur mustard (SM). A possible contributor may be SM-induced chronic senescent mesenchymal stem cells (MSCs), unable to fulfil their regenerative role, by persisting over long time periods and creating a proinflammatory microenvironment. Here we show that senescence induction in human bone marrow derived MSCs was time- and concentration-dependent, and chronic senescence could be verified 3 weeks after exposure to between 10 and 40 µM SM. Morphological changes, reduced clonogenic and migration potential, longer scratch closure times, differences in senescence, motility and DNA damage response associated genes as well as increased levels of proinflammatory cytokines were revealed. Selective removal of these cells by senolytic drugs, in which ABT-263 showed initial potential in vitro, opens the possibility for an innovative treatment strategy for chronic wounds, but also tumors and age-related diseases.


Asunto(s)
Senescencia Celular/efectos de los fármacos , Quimiocinas/metabolismo , Citocinas/metabolismo , Células Madre Mesenquimatosas/efectos de los fármacos , Gas Mostaza/toxicidad , Cicatrización de Heridas/efectos de los fármacos , Alquilantes/toxicidad , Apoptosis/efectos de los fármacos , Biomarcadores/metabolismo , Movimiento Celular/efectos de los fármacos , Proliferación Celular/efectos de los fármacos , Células Cultivadas , Sustancias para la Guerra Química/toxicidad , Quimiocinas/genética , Citocinas/genética , Humanos , Peróxido de Hidrógeno/toxicidad , Células Madre Mesenquimatosas/citología , Células Madre Mesenquimatosas/metabolismo , Piel/efectos de los fármacos , Piel/lesiones
6.
Int J Mol Sci ; 22(3)2021 Jan 24.
Artículo en Inglés | MEDLINE | ID: mdl-33498964

RESUMEN

Sulfur mustard (SM) is a chemical warfare agent that can damage DNA via alkylation and oxidative stress. Because of its genotoxicity, SM is cancerogenic and the progenitor of many chemotherapeutics. Previously, we developed an SM-resistant cell line via chronic exposure of the popular keratinocyte cell line HaCaT to increasing doses of SM over a period of 40 months. In this study, we compared the genomic landscape of the SM-resistant cell line HaCaT/SM to its sensitive parental line HaCaT in order to gain insights into genetic changes associated with continuous alkylation and oxidative stress. We established chromosome numbers by cytogenetics, analyzed DNA copy number changes by means of array Comparative Genomic Hybridization (array CGH), employed the genome-wide chromosome conformation capture technique Hi-C to detect chromosomal translocations, and derived mutational signatures by whole-genome sequencing. We observed that chronic SM exposure eliminated the initially prevailing hypotetraploid cell population in favor of a hyperdiploid one, which contrasts with previous observations that link polyploidization to increased tolerance and adaptability toward genotoxic stress. Furthermore, we observed an accumulation of chromosomal translocations, frequently flanked by DNA copy number changes, which indicates a high rate of DNA double-strand breaks and their misrepair. HaCaT/SM-specific single-nucleotide variants showed enrichment of C > A and T > A transversions and a lower rate of deaminated cytosines in the CpG dinucleotide context. Given the frequent use of HaCaT in toxicology, this study provides a valuable data source with respect to the original genotype of HaCaT and the mutational signatures associated with chronic alkylation and oxidative stress.


Asunto(s)
Aberraciones Cromosómicas/inducido químicamente , Daño del ADN , Queratinocitos/efectos de los fármacos , Gas Mostaza/toxicidad , Mutación , Radiación Ionizante , Alquilantes/farmacología , Alquilantes/toxicidad , Línea Celular , Aberraciones Cromosómicas/efectos de la radiación , Hibridación Genómica Comparativa , ADN/efectos de los fármacos , ADN/metabolismo , ADN/efectos de la radiación , Aductos de ADN , Roturas del ADN de Doble Cadena , Humanos , Gas Mostaza/farmacología , Estrés Oxidativo
7.
Soft Matter ; 16(32): 7562-7575, 2020 Aug 28.
Artículo en Inglés | MEDLINE | ID: mdl-32716420

RESUMEN

In several upcoming rheological approaches, including methods of micro- and nanorheology, the measurement geometry is of critical impact on the interpretation of the results. The relative size of the probe objects employed (as compared to the intrinsic length scales of the sample to be investigated) becomes of crucial importance, and there is increasing interest to investigate the dynamic processes and mobility in nanostructured materials. A combination of different rheological approaches based on the rotation of magnetically blocked nanoprobes is used to systematically investigate the size-dependent diffusion behavior in aqueous poly(ethylene glycol) (PEG) solutions with special attention paid to the relation of probe size to characteristic length scales within the polymer solutions. We employ two types of probe particles: nickel rods of hydrodynamic length Lh between 200 nm and 650 nm, and cobalt ferrite spheres with diameter dh between 13 nm and 23 nm, and examine the influence of particle size and shape on the nanorheological information obtained in model polymer solutions based on two related, dynamic-magnetic approaches. The results confirm that as long as the investigated solutions are not entangled, and the particles are much larger than the macromolecular correlation length, a good accordance between macroscopic and nanoscopic results, whereas a strong size-dependent response is observed in cases where the particles are of similar size or smaller than the radius of gyration Rg or the correlation length ξ of the polymer solution.

8.
Phys Chem Chem Phys ; 22(4): 2087-2097, 2020 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-31904077

RESUMEN

Switching of liquid crystal phases is of enormous technological importance and enables digital displays, thermometers and sensors. As an alternative to electric fields or temperature, magnetic fields are an interesting trigger, as they are on the one hand versatile to design, and on the other hand, they are compatible with a bouquet of applications. An interesting option to enable the magnetic switchability of nematic phases is by doping them with functional magnetic nanoparticles, but it remains a challenge to achieve well-compatibilized and stable ferronematic phases. Here, we report a new approach for the experimental realization of finely dispersed MNPs and nematic LC by creation of a surface-coupled mesogen-functionalized polymer brush, and the determination of their corresponding magneto-optical response. For this purpose, CoFe2O4 particles are equipped with a covalently attached polymeric shell carrying mesogenic groups and successfully dispersed in 4-pentyl-4'-cyanobiphenyl (5CB) to form a stable ferronematic phase at ambient concentration up to ∼1 vol%, as shown by DSC and Abbé refractometry. The magneto-optic response is detected in planar aligned LC cells. As compared to undoped 5CB, the hybrid system shows a significantly increased magnetic sensitivity, and the magneto-nematic surface anchoring is quantified by analysis of the magneto-nematic cross-correlation.

9.
Soft Matter ; 15(5): 842-850, 2019 Jan 30.
Artículo en Inglés | MEDLINE | ID: mdl-30608500

RESUMEN

Transient supramolecular polymer networks are promising candidates as soft self-healing or stimuli-sensitive materials. In this paper, we employ a novel nanorheological approach, magnetic particle nanorheology (MPN), in order to better understand the local dynamic properties of model supramolecular networks from a molecular point of view. Hence, the bond strength between four-arm star-shaped polyethylene glycol (PEG) functionalized at the four extremities with terpyridine ligands is tuned by implementing different metal ions with variable complexation affinities for the ligand. We show that MNP allows for the evaluation of the strength and connectivity of the polymer networks by the estimation of relaxation times, mesh size, and also the viscoelastic properties of these materials. These results are compared and complemented to former outcomes on these systems that were obtained by macroscopic analytical methods. A clear dependence between the strength of the metal-ligand complex and the local dynamics of the polymeric network is observed by the nanorheological approach, which is in good agreement with previous predictions related to the complex formation constants.

10.
Soft Matter ; 15(18): 3788-3795, 2019 May 08.
Artículo en Inglés | MEDLINE | ID: mdl-30990220

RESUMEN

We investigate the structure and the magnetooptical response of isotropic and anisotropic fibrillous organoferrogels with mobile magnetic nanoparticles (MNPs). We demonstrate that the presence of the gel network restricts the magnetooptical response of the ferrogel. Even though the ferrogel exhibits no magnetic hysteresis, an optical hysteresis has been found. This suggests that the magnetooptical response is primarily determined by the dynamics of self-assembly of the MNPs into shape-anisotropic agglomerates. Furthermore, we show that the optical anisotropy of the system can be fine-tuned by varying the concentration of the gelator and the MNPs, respectively. The optical response in structurally anisotropic gels becomes orientation-dependent, revealing an intricate interplay between the gel mesh and the MNPs.

11.
Phys Chem Chem Phys ; 21(48): 26525-26539, 2019 Dec 11.
Artículo en Inglés | MEDLINE | ID: mdl-31778132

RESUMEN

Rheological approaches based on micro- or nanoscopic probe objects are of interest due to the low volume requirement, the option of spatially resolved probing, and the minimal-invasive nature often connected to such probes. For the study of microstructured systems or biological environments, such methods show potential for investigating the local, size-dependent diffusivity and particle-matrix interactions. For the latter, the relative length scale of the used probes compared to the size of the structural units of the matrix becomes relevant. In this study, a rotational-dynamic approach based on Magnetic Particle Nanorheology (MPN) is used to extract size- and frequency-dependent nanorheological properties by using an otherwise well-established polymer model system. We use magnetically blocked CoFe2O4 nanoparticles as tracers and systematically vary their hydrodynamic size by coating them with a silica shell. On the polymer side, we employ aqueous solutions of poly(ethylene glycol) (PEG) by varying molar mass M and volume fraction φ. The complex Brownian relaxation behavior of the tracer particles in solutions of systematically varied composition is investigated by means of AC susceptometry (ACS), and the results provide access to frequency dependent rheological properties. The size-dependent particle diffusivity is evaluated based on theoretical descriptions and macroscopic measurements. The results allow the classification of the investigated compositions into three regimes, taking into account the probe particle size and the length scales of the polymer solution. While a fuzzy cross-over is indicated between the well-known macroscopic behavior and structurally dominated spectra, where the hydrodynamic radius is equal to the radius of gyration of the polymer (rh ∼ Rg), the frequency-related scaling behavior is dominated by the correlation length ξ respectively by the tube diameter a in entangled solutions for rh < Rg.

12.
Arch Toxicol ; 93(1): 61-79, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30324314

RESUMEN

Despite its worldwide ban, the warfare agent sulfur mustard (SM) still represents a realistic threat, due to potential release in terroristic attacks and asymmetric conflicts. Therefore, the rigorous and quantitative detection of SM exposure is crucial for diagnosis, health risk assessment, and surveillance of international law. Alkylation adducts of nucleic acids can serve as valuable toxicologically relevant 'biomarkers of SM exposure'. Here, we developed a robust and versatile bioanalytical platform based on isotope dilution UPLC-MS/MS to quantify major SM-induced DNA and RNA adducts, as well as adducts induced by the monofunctional mustard 2-chloroethyl ethyl sulfide. We synthesized 15N/13C-labeled standards, which allowed absolute quantitation with full chemical specificity and subfemtomole sensitivities. DNA and RNA mono-alkylation adducts and crosslinks were carefully analyzed in a dose- and time-dependent manner in various matrices, including human cancer and primary cells, derived of the main SM-target tissues. Nucleic acid adducts were detected up to 6 days post-exposure, indicating long persistence, which highlights their toxicological relevance and proves their suitability as forensic and medical biomarkers. Finally, we investigated ex vivo-treated rat skin biopsies and human blood samples, which set the basis for the implementation into the method portfolio of Organization for the Prohibition of Chemical Weapons-designated laboratories to analyze authentic samples from SM-exposed victims.


Asunto(s)
Sustancias para la Guerra Química/toxicidad , Aductos de ADN/análisis , Gas Mostaza/toxicidad , Espectrometría de Masas en Tándem , Animales , Biomarcadores/análisis , Línea Celular Tumoral , Cromatografía Líquida de Alta Presión , Pruebas con Sangre Seca , Queratinocitos/efectos de los fármacos , Leucocitos Mononucleares/efectos de los fármacos , Ratas , Piel/efectos de los fármacos
13.
Chemistry ; 23(26): 6330-6340, 2017 May 05.
Artículo en Inglés | MEDLINE | ID: mdl-28196305

RESUMEN

The microwave-induced decomposition of bis{N,N'-diisopropylacetamidinate}nickel(II) [Ni{MeC(NiPr)2 }2 ] or bis(1,5-cyclooctadiene)nickel(0) [Ni(COD)2 ] in imidazolium-, pyridinium-, or thiophenium-based ionic liquids (ILs) with different anions (tetrafluoroborate, [BF4 ]- , hexafluorophosphate, [PF6 ]- , and bis(trifluoromethylsulfonyl)imide, [NTf2 ]- ) yields small, uniform nickel nanoparticles (Ni NPs), which are stable in the absence of capping ligands (surfactants) for more than eight weeks. The soft, wet-chemical synthesis yields the metastable Ni hexagonal close-packed (hcp) and not the stable Ni face-centered cubic (fcc) phase. The size of the nickel nanoparticles increases with the molecular volume of the used anions from about 5 nm for [BF4 ]- to ≈10 nm for [NTf2 ]- (with 1-alkyl-3-methyl-imidazolium cations). The n-butyl-pyridinium, [BPy]+ , cation ILs reproducibly yield very small nickel nanoparticles of 2(±1) nm average diameter. The Ni NPs were characterized by high-resolution transmission electron microscopy (HR-TEM) and powder X-ray diffraction. An X-ray photoelectron spectroscopic (XPS) analysis shows an increase of the binding energy (EB ) of the electron from the Ni 2p3/2 orbital of the very small 2(±1) nm diameter Ni particles by about 0.3 eV to EB =853.2 eV compared with bulk Ni0 , which is traced to the small cluster size. The Ni nanoparticles show superparamagnetic behavior from 150 K up to room temperature. The saturation magnetization of a Ni (2±1 nm) sample from [BPy][NTf2 ] is 2.08 A m2 kg-1 and of a Ni (10±4 nm) sample from [LMIm][NTf2 ] it is 0.99 A m2 kg-1 , ([LMIm]=1-lauryl-3-methyl- imidazolium). The Ni NPs were active catalysts in IL dispersions for 1-hexene or benzene hydrogenation. Over 90 % conversion was reached under 5 bar H2 in 1 h at 100 °C for 1-hexene and a turnover frequency (TOF) up to 1330 molhexane (molNi )-1 h-1 or in 60 h at 100 °C for benzene hydrogenation and TOF=23 molcyclohexane (molNi )-1 h-1 .

14.
Langmuir ; 33(1): 66-74, 2017 01 10.
Artículo en Inglés | MEDLINE | ID: mdl-27936777

RESUMEN

In the presence of additives such as etidronic acid (1-hydroxyethane-1,1-diphosphonic acid, HEDP), a process of peptizing of Laponite clay gels takes place. The peptizing process at the molecular level was directly revealed by 31P and 1H high-resolution magic-angle sample spinning (HRMAS) NMR spectroscopy. Two NMR spectral components were detected and assigned to free etidronic acid and bound to the Laponite disk edges. Furthermore, with increase of temperature the ratio of bound-to-free etidronic acid increases. This thermal activation process could be explained by the increase in electrical polarization of the hydroxyl group at the edges and by the exfoliation of the tactoids that leads to more access to the additive molecules to the electrical charges of platelet edges. 31P HRNMR spectroscopy on sodium fluorohectorite with an aspect ratio of ∼750 shows a reduction of the bound etidronic acid molecules. Transmission electron microscopy (TEM), field-emission scanning microscopy (FESEM), UV-vis spectrophotometry, dynamic light scattering (DLS), and zeta potential results support the proposed peptizing mechanisms.

15.
Arch Toxicol ; 91(5): 2179-2189, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-27738742

RESUMEN

Transient receptor potential family channels (TRPs) have been identified as relevant targets in many pharmacological as well as toxicological studies. TRP channels are ubiquitously expressed in different tissues and act among others as sensors for different external stimuli, such as mechanical stress or noxious impacts. Recent studies suggest that one member of this family, the transient receptor potential ankyrin 1 cation channel (TRPA1), is involved in pain, itch, and various diseases, suggesting TRPA1 as a potential therapeutic target. As a nociceptor, TRPA1 is mainly activated by noxious or electrophilic compounds, including alkylating substances. Previous studies already revealed an impact of 2-chloroethyl-ethyl sulfide on the ion channel TRPA1. In this study, we demonstrate that sulfur mustard (bis-(2-chloroethyl) sulfide, SM) activates the human TRPA1 (hTRPA1) in a dose-dependent manner measured by the increase in intracellular Ca2+ concentration ([Ca2+]i). Besides that, SM-induced toxicity was attenuated by antioxidants. However, very little is known about the underlying mechanisms. Here, we demonstrate that N-acetyl-L-cysteine (NAC) prevents SM-induced hTRPA1-activation. HEK293-A1-E cells, overexpressing hTRPA1, show a distinct increase in [Ca2+]i immediately after SM exposure, whereas this increase is reduced in cells pretreated with NAC in a dose-dependent manner. Interestingly, glutathione, although being highly related to NAC, did not show an effect on hTRPA1 channel activity. Taken together, our results provide evidence that SM-dependent activation of hTRPA1 can be diminished by NAC treatment, suggesting a direct interaction of NAC and the hTRPA1 cation channel. Our previous studies already showed a correlation of hTRPA1-activation with cell damage after exposure to alkylating agents. Therefore, NAC might be a feasible approach mitigating hTRPA1-related dysregulations after exposure to SM.


Asunto(s)
Acetilcisteína/farmacología , Calcio/metabolismo , Gas Mostaza/toxicidad , Canal Catiónico TRPA1/metabolismo , Antioxidantes/farmacología , Sustancias para la Guerra Química/toxicidad , Relación Dosis-Respuesta a Droga , Glutatión/análisis , Glutatión/farmacología , Células HEK293 , Humanos , Gas Mostaza/administración & dosificación , Oximas/farmacología , Espectrometría de Masa por Ionización de Electrospray/métodos , Canal Catiónico TRPA1/antagonistas & inhibidores , Espectrometría de Masas en Tándem/métodos
16.
BMC Anesthesiol ; 17(1): 101, 2017 Aug 04.
Artículo en Inglés | MEDLINE | ID: mdl-28778151

RESUMEN

BACKGROUND: Quantitative neuromuscular monitoring is the gold standard to detect postoperative residual curarization (PORC). Many anesthesiologists, however, use insensitive, qualitative neuromuscular monitoring or unreliable, clinical tests. Goal of this multicentre, prospective, double-blinded, assessor controlled study was to develop an algorithm of muscle function tests to identify PORC. METHODS: After extubation a blinded anesthetist performed eight clinical tests in 165 patients. Test results were correlated to calibrated electromyography train-of-four (TOF) ratio and to a postoperatively applied uncalibrated acceleromyography. A classification and regression tree (CART) was calculated developing the algorithm to identify PORC. This was validated against uncalibrated acceleromyography and tactile judgement of TOF fading in separate 100 patients. RESULTS: After eliminating three tests with poor correlation, a model with four tests (r = 0.844) and uncalibrated acceleromyography (r = 0.873) were correlated to electromyographical TOF-values without losing quality of prediction. CART analysis showed that three consecutively performed tests (arm lift, head lift and swallowing or eye opening) can predict electromyographical TOF. Prediction coefficients reveal an advantage of the uncalibrated acceleromyography in terms of specificity to identify the EMG measured train-of-four ratio < 0.7 (100% vs. 42.9%) and <0.9 (89.7% vs. 34.5%) compared to the algorithm. However, due to the high sensitivity of the algorithm (100% vs. 94.4%), the risk to overlook an awake patient with a train-of-four ratio < 0.7 was minimal. Tactile judgement of TOF fading showed poorest sensitivity and specifity at train of four ratio < 0.9 (33.7%, 0%) and <0.7 (18.8%, 16.7%). CONCLUSIONS: Residual neuromuscular blockade can be detected by uncalibrated acceleromyography and if not available by a pathway of four clinical muscle function tests in awake patients. The algorithm has a discriminative power comparable to uncalibrated AMG within TOF-values >0.7 and <0.3. TRIAL REGISTRATION: Clinical Trials.gov (principal investigator's name: CU, and identifier: NCT03219138) on July 8, 2017.


Asunto(s)
Algoritmos , Retraso en el Despertar Posanestésico/prevención & control , Valor Predictivo de las Pruebas , Adolescente , Adulto , Anciano , Método Doble Ciego , Electromiografía , Femenino , Humanos , Cinetocardiografía , Masculino , Persona de Mediana Edad , Adulto Joven
17.
Arch Toxicol ; 90(5): 1141-50, 2016 May.
Artículo en Inglés | MEDLINE | ID: mdl-26082309

RESUMEN

Skin exposure to sulfur mustard (SM) provokes long-term complications in wound healing. Similar to chronic wounds, SM-induced skin lesions are associated with low levels of oxygen in the wound tissue. Normally, skin cells respond to hypoxia by stabilization of the transcription factor hypoxia-inducible factor 1 alpha (HIF-1α). HIF-1α modulates expression of genes including VEGFA, BNIP3, and MMP2 that control processes such as angiogenesis, growth, and extracellular proteolysis essential for proper wound healing. The results of our studies revealed that exposure of primary normal human epidermal keratinocytes (NHEK) and primary normal human dermal fibroblasts (NHDF) to SM significantly impaired hypoxia-induced HIF-1α stabilization and target gene expression in these cells. Addition of a selective inhibitor of the oxygen-sensitive prolyl hydroxylase domain-containing protein 2 (PHD-2), IOX2, fully recovered HIF-1α stability, nuclear translocation, and target gene expression in NHEK and NHDF. Moreover, functional studies using a scratch wound assay demonstrated that the application of IOX2 efficiently counteracted SM-mediated deficiencies in monolayer regeneration under hypoxic conditions in NHEK and NHDF. Our findings describe a pathomechanism by which SM negatively affects hypoxia-stimulated HIF-1α signaling in keratinocytes and fibroblasts and thus possibly contributes to delayed wound healing in SM-injured patients that could be treated with PHD-2 inhibitors.


Asunto(s)
Antídotos/farmacología , Sustancias para la Guerra Química/toxicidad , Inhibidores Enzimáticos/farmacología , Fibroblastos/efectos de los fármacos , Subunidad alfa del Factor 1 Inducible por Hipoxia/metabolismo , Prolina Dioxigenasas del Factor Inducible por Hipoxia/antagonistas & inhibidores , Queratinocitos/efectos de los fármacos , Gas Mostaza/toxicidad , Transducción de Señal/efectos de los fármacos , Piel/efectos de los fármacos , Transporte Activo de Núcleo Celular , Hipoxia de la Célula , Proliferación Celular/efectos de los fármacos , Células Cultivadas , Fibroblastos/enzimología , Fibroblastos/patología , Humanos , Prolina Dioxigenasas del Factor Inducible por Hipoxia/metabolismo , Queratinocitos/enzimología , Queratinocitos/patología , Estabilidad Proteica , Piel/enzimología , Piel/patología , Factores de Tiempo , Cicatrización de Heridas/efectos de los fármacos
18.
Inorg Chem ; 54(23): 11236-46, 2015 Dec 07.
Artículo en Inglés | MEDLINE | ID: mdl-26595858

RESUMEN

Maghemite (Fe2O3) iron oxide nanoparticles (IONPs) were synthesized, modified with covalent surface-bound CO-releasing molecules of a tri(carbonyl)-chlorido-phenylalaninato-ruthenium(II) complex (CORM), and coated with a dextran polymer. The time- and temperature-dependent CO release from this CORM-3 analogue was followed by a myoglobin assay. A new measurement method for the myoglobin assay was developed, based on confining "water-soluble" polymer-coated Dextran500k@CORM@IONP particles in hollow spheres of nontoxic and easily prepared calcium alginate. Dropping a mixture of Dextran500k@CORM@IONP and sodium alginate into a CaCl2 solution leads to stable hollow spheres of Ca(2+) cross-linked alginate which contain the Dextran500k@CORM@IONP particles. This "alginate-method" (i) protects CORM-3 analogues from rapid CO-displacement reactions with a protein, (ii) enables a spatial separation of the CORM from its surrounding myoglobin assay with the alginate acting as a CO-permeable membrane, and (iii) allows the use of substances with high absorptivity (such as iron oxide nanoparticles) in the myoglobin assay without interference in the optical path of the UV cell. Embedding the CORM@IONP nanoparticles in the alginate vessel represents a compartmentation of the reactive component and allows for close contact with, yet facile separation from, the surrounding myoglobin assay. The half-life of the CO release from Dextran500k@CORM@IONP particles surrounded by alginate was determined to be 890 ± 70 min at 20 °C. An acceleration of the CO release occurs at higher temperature with a half-life of 172 ± 27 min at 37 °C and 45 ± 7 min at 50 °C. The CO release can be triggered in an alternating current magnetic field (31.7 kA m(-1), 247 kHz, 39.9 mT) through local magnetic heating of the susceptible iron oxide nanoparticles. With magnetic heating at 20 °C in the bulk solution, the half-life of CO release from Dextran500k@CORM@IONP particles decreased to 155 ± 18 min without a noticeable temperature increase in the dispersion. At 37 and 50 °C, the half-life for the CO release triggered by local magnetic heating was 65 ± 5 min and 30 ± 3 min, respectively. Thus, at a physiological temperature of 37 °C, magnetic heating accelerates the CO release of the IONP-bound CORM by a factor of ∼ 2.6. The activation energy for CO release from a CORM-3 analogue was determined to be EA = 78 kJ/mol.


Asunto(s)
Monóxido de Carbono/análisis , Complejos de Coordinación/química , Compuestos Férricos/química , Nanopartículas del Metal/química , Fenilalanina/análogos & derivados , Alginatos/química , Animales , Antineoplásicos/farmacología , Monóxido de Carbono/química , Línea Celular Tumoral , Cisplatino/farmacología , Dextranos/química , Dihidroxifenilalanina/química , Transferencia de Energía , Ácido Glucurónico/química , Células HEK293 , Semivida , Ácidos Hexurónicos/química , Caballos , Calor , Humanos , Cinética , Fenómenos Magnéticos , Mioglobina/química , Fenilalanina/química , Polietilenglicoles/química , Polietilenos/química , Compuestos de Amonio Cuaternario/química , Rutenio/química , Solubilidad , Agua/química
19.
Phys Chem Chem Phys ; 17(2): 1290-8, 2015 Jan 14.
Artículo en Inglés | MEDLINE | ID: mdl-25423114

RESUMEN

Particle-crosslinked polymer composites and gels have recently been shown to possess novel or improved properties due to a covalent particle-matrix interaction. We employ spindle-like hematite particles as exclusive crosslinkers in poly(acrylamide) gels, and exploit their extraordinary magnetic properties for the realization of ferrohydrogels with a perpendicular orientation of the preferred magnetic and geometric axes of the particles. The angle-dependent magnetic properties of uniaxially oriented gels are investigated and interpreted with respect to particle-matrix interactions. The impact of the particle orientation on the resulting angle-dependent magnetic performance reveals the presence of two different contributions to the magnetization: a hysteretic component ascribed to immobilized particles, and a pseudo-superparamagnetic, non-hysteretic component due to residual particle mobility. Furthermore, a plastic reorientation of magnetic particles in the matrix when subjected to a transversal field component is observed.


Asunto(s)
Resinas Acrílicas/química , Hidrogeles/química , Fenómenos Magnéticos , Nanopartículas de Magnetita/química , Anisotropía
20.
Phys Chem Chem Phys ; 17(3): 1697-704, 2015 Jan 21.
Artículo en Inglés | MEDLINE | ID: mdl-25463031

RESUMEN

In this work, we correlate network dynamics, supramolecular reversibility and the macroscopic surface scratch healing behavior for a series of elastomeric ionomers based on an amorphous backbone with varying fractions of carboxylate pendant groups completely neutralized by Na(+), Zn(2+) or Co(2+) as the counter ions. Our results based on temperature dependent dynamic rheology with simultaneous FTIR analysis clearly indicate that the effective supramolecular bond lifetime (τ(b)) is an important parameter to ascertain the ideal range of viscoelasticity for good macroscopic healing. The reversible coordination increased with higher valence metal ions and ionic content. Both rheological and spectroscopic analyses show a decrease in supramolecular assembly with temperature. The temperature dependent τ(b) was used to calculate the activation energy (Ea) of dissociation for the ionic clusters. According to self-healing experiments based on macroscale surface scratching, a supramolecular bond lifetime between 10 and 100 s results in samples with complete surface scratch healing and good mechanical robustness.

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