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1.
J Mol Cell Cardiol ; 186: 71-80, 2024 01.
Artículo en Inglés | MEDLINE | ID: mdl-37956903

RESUMEN

Gap junction and ion channel remodeling occur early in Arrhythmogenic Cardiomyopathy (ACM), but their pathogenic consequences have not been elucidated. Here, we identified the arrhythmogenic substrate, consisting of propagation slowing and conduction block, in ACM models expressing two different desmosomal gene variants. Neonatal rat ventricular myocytes were transduced to express variants in genes encoding desmosomal proteins plakoglobin or plakophilin-2. Studies were performed in engineered cells and anisotropic tissues to quantify changes in conduction velocity, formation of unidirectional propagation, cell-cell electrical coupling, and ion currents. Conduction velocity decreased by 71% and 63% in the two ACM models. SB216763, an inhibitor of glycogen synthase kinase-3 beta, restored conduction velocity to near normal levels. Compared to control, both ACM models showed greater propensity for unidirectional conduction block, which increased further at greater stimulation frequencies. Cell-cell electrical conductance measured in cell pairs was reduced by 86% and 87% in the two ACM models. Computer modeling showed close correspondence between simulated and experimentally determined changes in conduction velocity. The simulation identified that reduced cell-cell electrical coupling was the dominant factor leading to slow conduction, while the combination of reduced cell-cell electrical coupling, reduced sodium current and inward rectifier potassium current explained the development of unidirectional block. Expression of two different ACM variants markedly reduced cell-cell electrical coupling and conduction velocity, and greatly increased the likelihood of developing unidirectional block - both key features of arrhythmogenesis. This study provides the first quantitative analysis of cellular electrophysiological changes leading to the substrate of reentrant arrhythmias in early stage ACM.


Asunto(s)
Cardiomiopatías , Miocitos Cardíacos , Ratas , Animales , Miocitos Cardíacos/metabolismo , Arritmias Cardíacas/metabolismo , Uniones Comunicantes/metabolismo , Canales Iónicos/metabolismo , Cardiomiopatías/metabolismo
2.
Nat Mater ; 22(8): 1039-1046, 2023 08.
Artículo en Inglés | MEDLINE | ID: mdl-37500957

RESUMEN

Hydrogels are attractive materials for tissue engineering, but efforts to date have shown limited ability to produce the microstructural features necessary to promote cellular self-organization into hierarchical three-dimensional (3D) organ models. Here we develop a hydrogel ink containing prefabricated gelatin fibres to print 3D organ-level scaffolds that recapitulate the intra- and intercellular organization of the heart. The addition of prefabricated gelatin fibres to hydrogels enables the tailoring of the ink rheology, allowing for a controlled sol-gel transition to achieve precise printing of free-standing 3D structures without additional supporting materials. Shear-induced alignment of fibres during ink extrusion provides microscale geometric cues that promote the self-organization of cultured human cardiomyocytes into anisotropic muscular tissues in vitro. The resulting 3D-printed ventricle in vitro model exhibited biomimetic anisotropic electrophysiological and contractile properties.


Asunto(s)
Gelatina , Andamios del Tejido , Humanos , Andamios del Tejido/química , Gelatina/química , Miocitos Cardíacos , Ingeniería de Tejidos/métodos , Hidrogeles/química , Impresión Tridimensional
3.
Environ Sci Technol ; 58(24): 10729-10739, 2024 Jun 18.
Artículo en Inglés | MEDLINE | ID: mdl-38829283

RESUMEN

Per- and polyfluoroalkyl substances (PFASs) have been detected in an array of environmental media due to their ubiquitous use in industrial and consumer products as well as potential release from fluorochemical manufacturing facilities. During their manufacture, many fluorotelomer (FT) facilities rely on neutral intermediates in polymer production including the FT-alcohols (FTOHs). These PFAS are known to transform to the terminal acids (perfluoro carboxylic acids; PFCAs) at rates that vary with environmental conditions. In the current study on soils from a FT facility, we employed gas chromatography coupled with conventional- and high-resolution mass spectrometry (GC-MS and GC-HRMS) to investigate the profile of these precursor compounds, the intermediary secondary alcohols (sFTOHs), FT-acrylates (FTAcr), and FT-acetates (FTAce) in soils around the former FT-production facility. Of these precursors, the general trend in detection intensity was [FTOHs] > [sFTOHs] > [FTAcrs], while for the FTOHs, homologue intensities generally were [12:2 FTOH] > [14:2 FTOH] > [16:2 FTOH] > [10:2 FTOH] > [18:2 FTOH] > [20:2 FTOH] > [8:2 FTOH] ∼ [6:2 FTOH]. The corresponding terminal acids were also detected in all soil samples and positively correlated with the precursor concentrations. GC-HRMS confirmed the presence of industrial manufacturing byproducts such as FT-ethers and FT-esters and aided in the tentative identification of previously unreported dimers and other compounds. The application of GC-HRMS to the measurement and identification of precursor PFAS is in its infancy, but the methodologies described here will help refine its use in tentatively identifying these compounds in the environment.


Asunto(s)
Fluorocarburos , Contaminantes del Suelo , Suelo , Contaminantes del Suelo/análisis , Suelo/química , Fluorocarburos/análisis , Cromatografía de Gases y Espectrometría de Masas , Monitoreo del Ambiente , Instalaciones Industriales y de Fabricación
4.
Proc Natl Acad Sci U S A ; 118(28)2021 07 13.
Artículo en Inglés | MEDLINE | ID: mdl-34260377

RESUMEN

Duchenne muscular dystrophy (DMD) is a devastating genetic disease leading to degeneration of skeletal muscles and premature death. How dystrophin absence leads to muscle wasting remains unclear. Here, we describe an optimized protocol to differentiate human induced pluripotent stem cells (iPSC) to a late myogenic stage. This allows us to recapitulate classical DMD phenotypes (mislocalization of proteins of the dystrophin-associated glycoprotein complex, increased fusion, myofiber branching, force contraction defects, and calcium hyperactivation) in isogenic DMD-mutant iPSC lines in vitro. Treatment of the myogenic cultures with prednisolone (the standard of care for DMD) can dramatically rescue force contraction, fusion, and branching defects in DMD iPSC lines. This argues that prednisolone acts directly on myofibers, challenging the largely prevalent view that its beneficial effects are caused by antiinflammatory properties. Our work introduces a human in vitro model to study the onset of DMD pathology and test novel therapeutic approaches.


Asunto(s)
Células Madre Pluripotentes Inducidas/patología , Músculo Esquelético/patología , Distrofia Muscular de Duchenne/patología , Prednisolona/farmacología , Fenómenos Biomecánicos , Calcio/metabolismo , Diferenciación Celular/efectos de los fármacos , Línea Celular , Distrofina/deficiencia , Distrofina/metabolismo , Glicoproteínas/metabolismo , Humanos , Células Madre Pluripotentes Inducidas/efectos de los fármacos , Fibras Musculares Esqueléticas/efectos de los fármacos , Fibras Musculares Esqueléticas/patología , Músculo Esquelético/efectos de los fármacos , Distrofia Muscular de Duchenne/genética , Mutación/genética , Optogenética , Fenotipo
5.
Ground Water Monit Remediat ; 44(2): 101-117, 2024 Mar 28.
Artículo en Inglés | MEDLINE | ID: mdl-38846907

RESUMEN

Understanding vapor intrusion (VI) temporal variability is key for the design of sampling strategies intended to assess reasonable maximum exposure of indoor air concentrations of volatile organic compounds (VOCs) as well as risk evaluation and mitigation planning. VI temporal variability has previously been shown to be dependent on the complex interactions of multiple independent variables-meteorological, hydrogeological, and human behavioral. Several meteorological variables, including barometric pressure, wind speed, and rainfall, are linked during tropical and extratropical storm events. High-frequency meteorological and indoor VOC data from a series of seven tropical storms and four extratropical storms were collected at a single industrial building with multiple heating, ventilation, and air conditioning (HVAC) zones. The storms and sampling zones showed a variety of effects on trichloroethylene (TCE) concentrations in indoor air. In one zone (supply room), increases in TCE concentrations often, but not always, closely coincided with decreasing barometric pressure, sustained wind speeds over 32 km/h (20 mph), and differential pressures indicating subslab to indoor flow. A second zone, in a restroom, did not show a consistent pattern of temporal correlation between meteorological factors and indoor air concentrations. While peak indoor air concentrations may be associated with the passage of cyclonic storms at some sampling locations, this does not appear to be generalizable to all sampling locations. The observed increase in indoor air concentration potentially attributable to these storms is typically less than an order of magnitude and the duration ranges from a day to a week.

6.
Inorg Chem ; 61(29): 11366-11376, 2022 Jul 25.
Artículo en Inglés | MEDLINE | ID: mdl-35820113

RESUMEN

Square-planar PtII complexes are of interest as dopants for the emissive layer of organic light-emitting diodes. Herein, the photophysics of three Pt bipyridyl complexes with the strongly e- withdrawing, high-field, 3,3,3-trifluoropropynyl ligand has been investigated. One complex, (phbpy)PtC2CF3 (phbpy = 6-phenyl-2,2'-dipyridyl), has also been characterized by single-crystal X-ray diffraction. All complexes reported are emissive in both RT CH2Cl2 solution (ΦPL = 0.007 to 0.027) and PMMA film (ΦPL = 0.25 to 0.42). The trifluoropropynyl ligand elevates the energy of the MLCT and LL'CT states above that of the IL π-π* state, resulting in IL emission in all cases. The emission energies of the trifluoropropynyl compounds are also blue-shifted relative to the analogous pentafluorophenylethynyl compounds, suggesting that the trifluoropropynyl ligand is one of the most electron-withdrawing alkynyl ligands. Rate constants for radiative and nonradiative deactivation were determined from experimentally determined values of ΦPL and excited-state lifetimes in both solution and PMMA films. The increase in ΦPL upon incorporation into PMMA film (rigidoluminescence) results from a decrease in the rate constant for non-radiative relaxation. Experimental activation energies for excited-state decay in combination with TDDFT are consistent with the rigidoluminescence resulting from an increase in the energy of the non-emissive triplet metal-centered state. Two of the complexes investigated, (Ph2bpy)Pt(C2CF3)2 and (t-Bu2bpy)Pt(C2CF3)2, where t-Bu2bpy = 4,4'-di-tert-butyl-2,2'-dipyridyl and Ph2bpy = 4,4'-diphenyl-2,2'-dipyridyl, exhibit concentration-dependent excimer emission (orange) along with monomer emission (blue), enabling fine-tuning of the emission color. However, excimer emission was absent in cured PMMA films up to the solubility limit for solution processing of (Ph2bpy)Pt(C2CF3)2 in CH2Cl2, demonstrating the diffusional nature of excimer formation.

7.
Ground Water Monit Remediat ; 42(4): 43-53, 2022 Mar 08.
Artículo en Inglés | MEDLINE | ID: mdl-36960358

RESUMEN

Soil vapor extraction (SVE) can be applied for remediation, and also as an alternative to sub-slab depressurization (SSD) for vapor intrusion (VI) mitigation. This study compares capital, operation, and treatment costs of SVE and SSD systems using data collected during a multi-year demonstration project conducted at eight buildings in an urban setting. The capital cost of the SVE system is substantially less than the estimated total capital cost of individual SSD systems. The SVE operating costs are higher, especially in the early operating years when it is being operated for mass removal and treatment. As a result, the cumulative SVE system cost rises above that of the SSD systems in the sixth year of operation. A significant portion of the operations and maintenance cost advantage of the SSD systems comes from the assumption that off-gas treatment is not required. Alternative cases show SVE costs are likely to be lower in scenarios where numerous small buildings requiring independent SSD systems overlie the SVE zone of influence. Conversely, SSD systems are less costly for cases with few small buildings overlying the SVE zone of influence. An additional benefit of SVE is continued mass removal. In a situation where an existing SVE can be repurposed for VI protection from residual volatile organic carbon (VOC) mass, the SVE cumulative costs over 30years can remain lower than the cost of installing and operating SSD systems in multiple buildings.

8.
Circulation ; 141(4): 285-300, 2020 01 28.
Artículo en Inglés | MEDLINE | ID: mdl-31707831

RESUMEN

BACKGROUND: Current differentiation protocols to produce cardiomyocytes from human induced pluripotent stem cells (iPSCs) are capable of generating highly pure cardiomyocyte populations as determined by expression of cardiac troponin T. However, these cardiomyocytes remain immature, more closely resembling the fetal state, with a lower maximum contractile force, slower upstroke velocity, and immature mitochondrial function compared with adult cardiomyocytes. Immaturity of iPSC-derived cardiomyocytes may be a significant barrier to clinical translation of cardiomyocyte cell therapies for heart disease. During development, cardiomyocytes undergo a shift from a proliferative state in the fetus to a more mature but quiescent state after birth. The mechanistic target of rapamycin (mTOR)-signaling pathway plays a key role in nutrient sensing and growth. We hypothesized that transient inhibition of the mTOR-signaling pathway could lead cardiomyocytes to a quiescent state and enhance cardiomyocyte maturation. METHODS: Cardiomyocytes were differentiated from 3 human iPSC lines using small molecules to modulate the Wnt pathway. Torin1 (0 to 200 nmol/L) was used to inhibit the mTOR pathway at various time points. We quantified contractile, metabolic, and electrophysiological properties of matured iPSC-derived cardiomyocytes. We utilized the small molecule inhibitor, pifithrin-α, to inhibit p53 signaling, and nutlin-3a, a small molecule inhibitor of MDM2 (mouse double minute 2 homolog) to upregulate and increase activation of p53. RESULTS: Torin1 (200 nmol/L) increased the percentage of quiescent cells (G0 phase) from 24% to 48% compared with vehicle control (P<0.05). Torin1 significantly increased expression of selected sarcomere proteins (including TNNI3 [troponin I, cardiac muscle]) and ion channels (including Kir2.1) in a dose-dependent manner when Torin1 was initiated after onset of cardiomyocyte beating. Torin1-treated cells had an increased relative maximum force of contraction, increased maximum oxygen consumption rate, decreased peak rise time, and increased downstroke velocity. Torin1 treatment increased protein expression of p53, and these effects were inhibited by pifithrin-α. In contrast, nutlin-3a independently upregulated p53, led to an increase in TNNI3 expression and worked synergistically with Torin1 to further increase expression of both p53 and TNNI3. CONCLUSIONS: Transient treatment of human iPSC-derived cardiomyocytes with Torin1 shifts cells to a quiescent state and enhances cardiomyocyte maturity.


Asunto(s)
Células Madre Pluripotentes Inducidas/metabolismo , Miocitos Cardíacos/metabolismo , Naftiridinas/farmacología , Serina-Treonina Quinasas TOR/metabolismo , Proteína p53 Supresora de Tumor/metabolismo , Vía de Señalización Wnt/efectos de los fármacos , Benzotiazoles/farmacología , Línea Celular , Humanos , Imidazoles/farmacología , Células Madre Pluripotentes Inducidas/citología , Miocitos Cardíacos/citología , Piperazinas/farmacología , Serina-Treonina Quinasas TOR/antagonistas & inhibidores , Tolueno/análogos & derivados , Tolueno/farmacología , Proteína p53 Supresora de Tumor/antagonistas & inhibidores
9.
J Genet Couns ; 30(4): 949-955, 2021 08.
Artículo en Inglés | MEDLINE | ID: mdl-34279060

RESUMEN

The COVID-19 pandemic caused significant disruptions to the delivery of genetic counseling services and clinical operations. Understanding how these pivots in practice affected patient care across both a county hospital system and academic medical center can help provide models of clinical operations for other genetic counselors. Programmatic data were analyzed between March 18, 2020 and September 18, 2020, including visit completion rates and genetic testing completion outcomes for genetic counseling services during the COVID-19 pandemic. In addition to analyzing the effects on patient care, we provide commentary on technological adaptations that aided our operations, billing practices, onboarding and engaging new and existing staff, and coordination of education and outreach opportunities. Through this work, we highlight barriers encountered and successful adaptations that will influence future clinical practices and may guide other providers in the development of strategies to meet their clinical and operational needs.


Asunto(s)
COVID-19 , Asesoramiento Genético/organización & administración , COVID-19/epidemiología , Humanos , Pandemias , Telemedicina
10.
Ground Water Monit Remediat ; 41(2): 99-111, 2021 May 21.
Artículo en Inglés | MEDLINE | ID: mdl-34335002

RESUMEN

Temporal and spatial variability of indoor air volatile organic compound (VOC) concentrations can complicate vapor intrusion (VI) assessment and decision-making. Indicators and tracers (I&T) of VI, such as differential temperature, differential pressure, and indoor radon concentration, are low-cost lines of evidence to support sampling scheduling and interpretation of indoor air VOC sampling results. This study compares peak indoor air chlorinated VOC concentrations and I&T conditions before and during those peak events at five VI sites. The sites differ geographically and in their VI conceptual site models (CSM). Relative to site-specific baseline values, the results show that cold or falling outdoor temperatures, rising cross slab differential pressures, and increasing indoor radon concentrations can predict peak VOC concentrations. However, cold outdoor air temperature was not useful at one site where elevated shallow soil temperature was a better predictor. Correlations of peak VOC concentrations to elevated or rising barometric pressure and low wind speed were also observed with some exceptions. This study shows how the independent variables that control or predict peak indoor air VOC concentrations are specific to building types, climates, and VI CSMs. More I&T measurements at VI sites are needed to identify scenario-specific baseline and peak related I&T conditions to improve decision-making.

11.
Matern Child Health J ; 24(7): 901-910, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32372243

RESUMEN

INTRODUCTION: Women and healthcare providers lack adequate information on medication safety during pregnancy. While resources describing fetal risk are available, information is provided in multiple locations, often with subjective assessments of available data. We developed a list of medications of greatest concern during pregnancy to help healthcare providers counsel reproductive-aged and pregnant women. METHODS: Prescription drug labels submitted to the U.S. Food and Drug Administration with information in the Teratogen Information System (TERIS) and/or Drugs in Pregnancy and Lactation by Briggs & Freeman were included (N = 1,186 medications; 766 from three data sources, 420 from two). We used two supervised learning methods ('support vector machine' and 'sentiment analysis') to create prediction models based on narrative descriptions of fetal risk. Two models were created per data source. Our final list included medications categorized as 'high' risk in at least four of six models (if three data sources) or three of four models (if two data sources). RESULTS: We classified 80 prescription medications as being of greatest concern during pregnancy; over half were antineoplastic agents (n = 24), angiotensin converting enzyme inhibitors (n = 10), angiotensin II receptor antagonists (n = 8), and anticonvulsants (n = 7). DISCUSSION: This evidence-based list could be a useful tool for healthcare providers counseling reproductive-aged and pregnant women about medication use during pregnancy. However, providers and patients may find it helpful to weigh the risks and benefits of any pharmacologic treatment for both pregnant women and the fetus when managing medical conditions before and during pregnancy.


Asunto(s)
Complicaciones del Embarazo/etiología , Medicamentos bajo Prescripción/efectos adversos , Medicamentos bajo Prescripción/uso terapéutico , Aprendizaje Automático Supervisado/tendencias , Adulto , Bases de Datos Farmacéuticas/estadística & datos numéricos , Etiquetado de Medicamentos/métodos , Femenino , Humanos , Pautas de la Práctica en Medicina/normas , Pautas de la Práctica en Medicina/estadística & datos numéricos , Embarazo , Complicaciones del Embarazo/prevención & control
12.
Nano Lett ; 19(2): 793-804, 2019 02 13.
Artículo en Inglés | MEDLINE | ID: mdl-30616354

RESUMEN

Understanding the uptake and transport dynamics of engineered nanomaterials (ENMs) by mammalian cells is an important step in designing next-generation drug delivery systems. However, to track these materials and their cellular interactions, current studies often depend on surface-bound fluorescent labels, which have the potential to alter native cellular recognition events. As a result, there is still a need to develop methods capable of monitoring ENM-cell interactions independent of surface modification. Addressing these concerns, here we show how scatter enhanced phase contrast (SEPC) microscopy can be extended to work as a generalized label-free approach for monitoring nanoparticle uptake and transport dynamics. To determine which materials can be studied using SEPC, we turn to Lorenz-Mie theory, which predicts that individual particles down to ∼35 nm can be observed. We confirm this experimentally, demonstrating that SEPC works for a variety of metal and metal oxides, including Au, Ag, TiO2, CeO2, Al2O3, and Fe2O3 nanoparticles. We then demonstrate that SEPC microscopy can be used in a quantitative, time-dependent fashion to discriminate between distinct modes of active cellular transport, including intracellular transport and membrane-assisted transport. Finally, we combine this technique with microcontact printing to normalize transport dynamics across multiple cells, allowing for a careful study of ensemble TiO2 nanoparticle uptake. This revealed three distinct regions of particle transport across the cell, indicating that membrane dynamics play an important role in regulating particle flow. By avoiding fluorescent labels, SEPC allows for a rational exploration of the surface properties of nanomaterials in their native state and their role in endocytosis and cellular transport.


Asunto(s)
Microscopía de Contraste de Fase/instrumentación , Nanopartículas/metabolismo , Transporte Biológico , Endocitosis , Diseño de Equipo , Células Endoteliales de la Vena Umbilical Humana , Humanos , Metales/análisis , Metales/metabolismo , Microscopía de Contraste de Fase/métodos , Nanopartículas/análisis , Óxidos/análisis , Óxidos/metabolismo , Propiedades de Superficie
13.
Ground Water Monit Remediat ; 40(1): 74-85, 2020 Feb 11.
Artículo en Inglés | MEDLINE | ID: mdl-33414610

RESUMEN

Soil vapor extraction (SVE) is effective for removing volatile organic compound (VOC) mass from the vadose zone and reducing the potential for vapor intrusion (VI) into overlying and surrounding buildings. However, the relationship between residual mass in the subsurface and VI is complex. Through a series of alternating extraction (SVE on) and rebound (SVE off) periods, this field study explored the relationship and aspects of SVE applicable to VI mitigation in a commercial/light-industrial setting. The primary objective was to determine if SVE could provide VI mitigation over a wide area encompassing multiple buildings, city streets, and subsurface utilities and eliminate the need for individual subslab depressurization systems. We determined that SVE effectively mitigates offsite VI by intercepting or diluting contaminant vapors that would otherwise enter buildings through foundation slabs. Data indicate a measurable (5 Pa) influence of SVE on subslab/indoor pressure differential may occur but is not essential for effective VI mitigation. Indoor air quality improvements were evident in buildings 100 to 200 feet away from SVE including those without a measurable reversal of differential pressure across the slab or substantial reductions in subslab VOC concentration. These cases also demonstrated mitigation effects across a four-lane avenue with subsurface utilities. These findings suggest that SVE affects distant VI entry points with little observable impact on differential pressures and without relying on subslab VOC concentration reductions.

14.
Ground Water Monit Remediat ; 39(1): 66-72, 2019 Feb 28.
Artículo en Inglés | MEDLINE | ID: mdl-32982132

RESUMEN

Building pressure cycling (BPC) is becoming an increasingly important tool for studying vapor intrusion. BPC has been used to distinguish subslab and indoor sources of vapor intrusion as well as to define reasonable worst case volatile organic compound mass discharge into a structure. Analyses have been performed both semi-quantitatively with concentration trends and quantitatively with more rigorous flux calculation and source attribution methods. This paper reviews and compares the protocols and outcomes from multiple published applications of this technology to define the key variables that control performance. Common lessons learned are identified, including those that help define the range of building size and type to which BPC is applicable. Differences in test protocols are discussed, recognizing that the complexity of the test protocol required depends on the particular objectives of each project. Research gaps are identified and tabulated for future validation studies and applications.

15.
Europace ; 20(suppl_2): ii40-ii47, 2018 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-29722856

RESUMEN

Aims: The objective of this study is to evaluate the outcomes of magnetically guided ablation of atrial fibrillation (AF) rotors in conjunction with magnetically guided pulmonary vein isolation (PVI) in a large consecutive series of patients. Methods and results: A total of 110 consecutive patients with drug-refractory AF underwent rotor ablation followed by conventional PVI and ablation of other spontaneous arrhythmias, all of which were performed with remote magnetic navigation (RMN). The patients were followed to assess the recurrence of atrial arrhythmia. Patients had a mean age of 62.5 ± 9.9 years, 64.5% had persistent AF, and 36.4% had a prior failed PVI. All patients had mapped rotors (3.9 ± 1.5 per patient), with right atrial (RA) rotors in 77.3% (85/110) of patients. After a mean follow-up of 17.6 ± 9.5 months, 90.9% (100/110) were in stable sinus rhythm including patients on previously ineffective antiarrhythmic drugs (AADs). 69.1% (76/110) were in stable sinus rhythm without any AADs. Outcome did not differ between patients with persistent or paroxysmal AF (69.2% vs. 69.0%; P = 0.75), failed prior ablation or those undergoing an initial ablation (77.5% vs. 64.3%; P = 0.193), or patients with and without intra-procedural AF termination (67.3% vs. 70.5%; P = 0.723). Conclusion: Ablation of rotors in combination with PVI using RMN was associated with a high success rate in this large cohort of consecutive patients. Significant proportion of patients exhibited RA rotors, which was associated with persistent AF, obstructive sleep apnoea, and obesity.


Asunto(s)
Fibrilación Atrial/cirugía , Cateterismo Cardíaco/métodos , Ablación por Catéter/métodos , Magnetismo/métodos , Venas Pulmonares/cirugía , Tecnología de Sensores Remotos/métodos , Cirugía Asistida por Computador/métodos , Potenciales de Acción , Anciano , Fibrilación Atrial/diagnóstico , Fibrilación Atrial/fisiopatología , Cateterismo Cardíaco/instrumentación , Catéteres Cardíacos , Ablación por Catéter/instrumentación , Femenino , Frecuencia Cardíaca , Humanos , Magnetismo/instrumentación , Imanes , Masculino , Persona de Mediana Edad , Venas Pulmonares/fisiopatología , Tecnología de Sensores Remotos/instrumentación , Estudios Retrospectivos , Factores de Riesgo , Cirugía Asistida por Computador/instrumentación , Resultado del Tratamiento
16.
Anal Bioanal Chem ; 410(24): 6141-6154, 2018 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-29744562

RESUMEN

Due to the unique physicochemical properties exhibited by materials with nanoscale dimensions, there is currently a continuous increase in the number of engineered nanomaterials (ENMs) used in consumer goods. However, several reports associate ENM exposure to negative health outcomes such as cardiovascular diseases. Therefore, understanding the pathological consequences of ENM exposure represents an important challenge, requiring model systems that can provide mechanistic insights across different levels of ENM-based toxicity. To achieve this, we developed a mussel-inspired 3D microphysiological system (MPS) to measure cardiac contractility in the presence of ENMs. While multiple cardiac MPS have been reported as alternatives to in vivo testing, most systems only partially recapitulate the native extracellular matrix (ECM) structure. Here, we show how adhesive and aligned polydopamine (PDA)/polycaprolactone (PCL) nanofiber can be used to emulate the 3D native ECM environment of the myocardium. Such nanofiber scaffolds can support the formation of anisotropic and contractile muscular tissues. By integrating these fibers in a cardiac MPS, we assessed the effects of TiO2 and Ag nanoparticles on the contractile function of cardiac tissues. We found that these ENMs decrease the contractile function of cardiac tissues through structural damage to tissue architecture. Furthermore, the MPS with embedded sensors herein presents a way to non-invasively monitor the effects of ENM on cardiac tissue contractility at different time points. These results demonstrate the utility of our MPS as an analytical platform for understanding the functional impacts of ENMs while providing a biomimetic microenvironment to in vitro cardiac tissue samples. Graphical Abstract Heart-on-a-chip integrated with mussel-inspired fiber scaffolds for a high-throughput toxicological assessment of engineered nanomaterials.


Asunto(s)
Bivalvos , Corazón/efectos de los fármacos , Dispositivos Laboratorio en un Chip , Nanofibras/toxicidad , Nanoestructuras/toxicidad , Andamios del Tejido , Adhesivos , Animales , Células Cultivadas , Técnicas In Vitro , Indoles/química , Microscopía Electrónica de Rastreo , Miocitos Cardíacos/citología , Poliésteres/química , Polímeros/química , Ratas , Ratas Sprague-Dawley , Espectroscopía Infrarroja por Transformada de Fourier
17.
Nano Lett ; 15(8): 5492-8, 2015 Aug 12.
Artículo en Inglés | MEDLINE | ID: mdl-26192816

RESUMEN

Silicon nanowires (SiNWs) have emerged as a new class of materials with important applications in biology and medicine with current efforts having focused primarily on using substrate bound SiNW devices. However, developing devices capable of free-standing inter- and intracellular operation is an important next step in designing new synthetic cellular materials and tools for biophysical characterization. To demonstrate this, here we show that label free SiNWs can be internalized in multiple cell lines, forming robust cytoskeletal interfaces, and when kinked can serve as free-standing inter- and intracellular force probes capable of continuous extended (>1 h) force monitoring. Our results show that intercellular interactions exhibit ratcheting like behavior with force peaks of ∼69.6 pN/SiNW, while intracellular force peaks of ∼116.9 pN/SiNW were recorded during smooth muscle contraction. To accomplish this, we have introduced a simple single-capture dark-field/phase contrast optical imaging modality, scatter enhanced phase contrast (SEPC), which enables the simultaneous visualization of both cellular components and inorganic nanostructures. This approach demonstrates that rationally designed devices capable of substrate-independent operation are achievable, providing a simple and scalable method for continuous inter- and intracellular force dynamics studies.

18.
ACM Trans Comput Hum Interact ; 2016: 4477-4488, 2016 May.
Artículo en Inglés | MEDLINE | ID: mdl-27833397

RESUMEN

Clinical decision support tools (DSTs) are computational systems that aid healthcare decision-making. While effective in labs, almost all these systems failed when they moved into clinical practice. Healthcare researchers speculated it is most likely due to a lack of user-centered HCI considerations in the design of these systems. This paper describes a field study investigating how clinicians make a heart pump implant decision with a focus on how to best integrate an intelligent DST into their work process. Our findings reveal a lack of perceived need for and trust of machine intelligence, as well as many barriers to computer use at the point of clinical decision-making. These findings suggest an alternative perspective to the traditional use models, in which clinicians engage with DSTs at the point of making a decision. We identify situations across patients' healthcare trajectories when decision supports would help, and we discuss new forms it might take in these situations.

19.
Nature ; 451(7178): 569-72, 2008 Jan 31.
Artículo en Inglés | MEDLINE | ID: mdl-18185515

RESUMEN

There are fundamental similarities between sleep in mammals and quiescence in the arthropod Drosophila melanogaster, suggesting that sleep-like states are evolutionarily ancient. The nematode Caenorhabditis elegans also has a quiescent behavioural state during a period called lethargus, which occurs before each of the four moults. Like sleep, lethargus maintains a constant temporal relationship with the expression of the C. elegans Period homologue LIN-42 (ref. 5). Here we show that quiescence associated with lethargus has the additional sleep-like properties of reversibility, reduced responsiveness and homeostasis. We identify the cGMP-dependent protein kinase (PKG) gene egl-4 as a regulator of sleep-like behaviour, and show that egl-4 functions in sensory neurons to promote the C. elegans sleep-like state. Conserved effects on sleep-like behaviour of homologous genes in C. elegans and Drosophila suggest a common genetic regulation of sleep-like states in arthropods and nematodes. Our results indicate that C. elegans is a suitable model system for the study of sleep regulation. The association of this C. elegans sleep-like state with developmental changes that occur with larval moults suggests that sleep may have evolved to allow for developmental changes.


Asunto(s)
Caenorhabditis elegans/fisiología , Sueño/fisiología , Animales , Nivel de Alerta/genética , Nivel de Alerta/fisiología , Evolución Biológica , Caenorhabditis elegans/enzimología , Caenorhabditis elegans/genética , Proteínas de Caenorhabditis elegans/genética , Proteínas de Caenorhabditis elegans/metabolismo , Secuencia Conservada/genética , Proteínas Quinasas Dependientes de GMP Cíclico/genética , Proteínas Quinasas Dependientes de GMP Cíclico/metabolismo , Drosophila melanogaster/genética , Drosophila melanogaster/fisiología , Homeostasis/fisiología , Larva/fisiología , Letargia , Muda/fisiología , Sueño/genética
20.
J Hazard Mater ; 464: 133025, 2024 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-37995636

RESUMEN

Per- and polyfluoroalkyl substances (PFAS) are used in various industrial products; however, they pose serious health risks. In this study, soil, soil gas, and groundwater samples were collected at a PFAS manufacturing facility in New Jersey, USA, to determine the presence and distribution of PFASs from the soil surface to groundwater and at various distances from the presumed source. Fluorotelomer alcohols (FTOHs) were detected in soil (< 0.26-36.15 ng/g) and soil gas (160-12,000 E µg/m3), while perfluorinated carboxylic acids (PFCAs) were found in soil (4.3-810 ng/g), soil gas (<0.10-180 µg/m3), and groundwater (37-49 µg/L). FTOH and PFCA concentrations decreased as the distance from the presumed source increased, suggesting that PFCAs are likely to migrate in groundwater, whereas FTOHs primarily move in the vapor phase. The presence of PFAS in the groundwater, soil, and soil gas samples indicate its potential for vapor intrusion; thus, some PFAS may contribute to indoor air inhalation exposure. To the best of our knowledge, this is the first report on the quantification of volatile PFAS in soil gas at a PFAS manufacturing facility.

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