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1.
Nan Fang Yi Ke Da Xue Xue Bao ; 44(4): 617-626, 2024 Apr 20.
Artigo em Chinês | MEDLINE | ID: mdl-38708493

RESUMO

OBJECTIVE: To investigate immunogenic and toxic effects of graphene oxide (GO) nanoparticles in mouse skeletal muscles and in human blood in vitro. METHODS: GO nanoparticles prepared using a probe sonicator were supended in deionized H2O or PBS, and particle size and surface charge of the nanoparticles were measured with dynamic light scattering (DLS). Different concentrations (0.5, 1.0 and 2.0 mg/mL) of GO suspension or PBS were injected at multiple sites in the gastrocnemius muscle (GN) of C57BL/6 mice, and inflammatory response and immune cell infiltrations were detected with HE and immunofluorescence staining. We also examined the effects of GO nanoparticles on human red blood cell (RBC) morphology, hemolysis and blood coagulation using scanning electron microscope (SEM), spectrophotometry, and thromboelastography (TEG). RESULTS: GO nanoparticles suspended in PBS exhibited better colloidal dispersity, stability and surface charge effects than those in deionized H2O. In mouse GNs, injection of GO suspensions dose- and time-dependently resulted in sustained muscular inflammation and myofiber degeneration at the injection sites, which lasted till 8 weeks after the injection; immunofluorescence staining revealed obvious infiltration of monocytes, macrophages, dendritic cells and CD4+ T cells around the injection sites in mouse GNs. In human RBCs, incubation with GO suspensions at 0.2, 2.0 and 20 mg/mL, but not at 0.002 or 0.02 mg/mL, caused significant alterations of cell morphology and hemolysis. TEG analysis showed significant abnormalities of blood coagulation parameters following treatment with high concentrations of GO. CONCLUSION: GO nanoparticles can induce sustained inflammatory and immunological responses in mouse GNs and cause RBC hemolysis and blood coagulation impairment, suggesting its muscular toxicity and hematotoxicity at high concentrations.


Assuntos
Eritrócitos , Grafite , Hemólise , Camundongos Endogâmicos C57BL , Músculo Esquelético , Nanopartículas , Animais , Grafite/toxicidade , Grafite/química , Camundongos , Eritrócitos/efeitos dos fármacos , Humanos , Músculo Esquelético/efeitos dos fármacos , Hemólise/efeitos dos fármacos , Tamanho da Partícula , Coagulação Sanguínea/efeitos dos fármacos
2.
Int J Biol Macromol ; 257(Pt 1): 128577, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38070809

RESUMO

Thermal stability is one of the most important properties of ulvan lyases for their application in algae biomass degradation. The Knowledge gaining directed eVolution (KnowVolution) protein engineering strategy could be employed to improve thermostability of ulvan lyase with less screening effort. Herein, the unfolding free energies (ΔΔG) of the loop region were calculated using FoldX and four sites (D103, G104, T113, Q229) were selected for saturation mutagenesis, resulting in the identification of a favorable single-site mutant Q229M. Subsequently, iteration mutation was carried out with the mutant N57P (previously obtained by our group) to further enhance the performance of ulvan lyase. The results showed that the most beneficial variant N57P/Q229M exhibited a 1.67-fold and 2-fold increase in residual activity compared to the wild type after incubation at 40 °C and 50 °C for 1 h, respectively. In addition, the variant produced 1.06 mg/mL of reducing sugar in 2 h, which was almost four times as much as the wild type. Molecular dynamics simulations revealed that N57P/Q229M mutant enhanced the structural rigidity by augmenting intramolecular hydrogen bonds. Meanwhile, the shorter proton transmission distance between the general base of the enzyme and the substrate contributed to the glycosidic bond breakage. Our research showed that in silico saturation mutagenesis using position scan module in FoldX allowed for faster screening of mutants with improved thermal stability, and combining it with KnowVolution enabled a balanced effect of thermal stability and enzyme activity in protein engineering.


Assuntos
Polissacarídeos , Engenharia de Proteínas , Polissacarídeos/metabolismo , Mutação , Mutagênese , Estabilidade Enzimática
3.
Protein Sci ; 32(12): e4837, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37984374

RESUMO

Psychrophilic proteases have attracted enormous attention in past decades, due to their high catalytic activity at low temperatures in a wide range of industrial processes, especially in the detergent and leather industries. Among them, H5 is an alkaline protease mutant, which featuring psychrophilic-like behavior, but the reasons that H5 with higher activity at low temperatures are still poorly understood. Herein, the molecular dynamics (MD) simulations combined with residue interaction network (RIN) were utilized to investigate the mechanisms of the cold-adaption of mutant H5. The results demonstrated that two loops involved in the substrate binding G100-S104 and S125-S129 in H5 had higher mobility, and the distance enlargement between the two loops modulated the substrate's accessibility compared with wild type counterpart. Besides, H5 enhanced conformational flexibility by weakening salt bridges and increasing interaction with the solvent. In particular, the absence of Lys251-Asp197-Arg247 salt bridge network may contribute to the structural mobility. Based on the free energy landscape and molecular mechanics Poisson-Boltzmann surface area of the wild type and H5, it was elucidated that H5 possessed a large population of interconvertible conformations, resulting in the weaker substrate binding free energy. The calculated RIN topology parameters such as the average degree, average cluster coefficient, and average path length further verified that the mutant H5 attenuated residue-to-residue interactions. The investigation of the mechanisms by which how the residue mutation affects the stability and activity of enzymes provides a theoretical basis for the development of cold-adapted protease.


Assuntos
Endopeptidases , Simulação de Dinâmica Molecular , Endopeptidases/genética , Proteínas de Bactérias/química , Conformação Molecular
4.
Front Microbiol ; 14: 1130594, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36860491

RESUMO

Introduction: Psychrophilic enzymes are a class of macromolecules with high catalytic activity at low temperatures. Cold-active enzymes possessing eco-friendly and cost-effective properties, are of huge potential application in detergent, textiles, environmental remediation, pharmaceutical as well as food industry. Compared with the time-consuming and labor-intensive experiments, computational modeling especially the machine learning (ML) algorithm is a high-throughput screening tool to identify psychrophilic enzymes efficiently. Methods: In this study, the influence of 4 ML methods (support vector machines, K-nearest neighbor, random forest, and naïve Bayes), and three descriptors, i.e., amino acid composition (AAC), dipeptide combinations (DPC), and AAC + DPC on the model performance were systematically analyzed. Results and discussion: Among the 4 ML methods, the support vector machine model based on the AAC descriptor using 5-fold cross-validation achieved the best prediction accuracy with 80.6%. The AAC outperformed than the DPC and AAC + DPC descriptors regardless of the ML methods used. In addition, amino acid frequencies between psychrophilic and non-psychrophilic proteins revealed that higher frequencies of Ala, Gly, Ser, and Thr, and lower frequencies of Glu, Lys, Arg, Ile,Val, and Leu could be related to the protein psychrophilicity. Further, ternary models were also developed that could classify psychrophilic, mesophilic, and thermophilic proteins effectively. The predictive accuracy of the ternary classification model using AAC descriptor via the support vector machine algorithm was 75.8%. These findings would enhance our insight into the cold-adaption mechanisms of psychrophilic proteins and aid in the design of engineered cold-active enzymes. Moreover, the proposed model could be used as a screening tool to identify novel cold-adapted proteins.

5.
Transfus Med ; 32(5): 375-382, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35610743

RESUMO

BACKGROUND: Restrictive blood transfusion is recommended by major guidelines for perioperative management, but requires objective assessment at 7-10 g/dl haemoglobin (Hb). A scoring system that considers the physiological needs of the heart may simply the practice and reduce transfusion. METHODS: Patients (14-65 years of age) undergoing non-cardiac surgery were randomised at a 1:1 ratio to a control group versus a Perioperative Transfusion Trigger Score (POTTS) group. POTTS (maximum of 10) was calculated as 6 plus the following: adrenaline infusion rate (0 for no infusion, 1 for ≤0.05 µg·kg-1 ·min-1 , and 2 for higher rate), FiO2 to keep SpO2 at ≥95% (0 for ≤35%, 1 for 36%-50%, and 2 for higher), core temperature (0 for <38°C, 1 for 38-40°C, and 2 for higher), and angina history (0 for no, 1 for exertional, and 2 for resting). Transfusion is indicated when actual Hb is lower than the calculated POTTS in individual patients. Transfusion in the control group was based on the 2012 American Association for Blood Banks (AABB) guideline. The primary outcome was the proportion of the patients requiring transfusion of allogeneic red blood cells (RBCs) during the perioperative period (until discharge from hospital), as assessed in the intention-to-treat (ITT) population (all randomised subjects). RESULT: A total of 864 patients (mean age 44.4 years, 244 men and 620 women) were enrolled from December 2017 to January 2021 (433 in the control and 431 in the POTTS group). Baseline Hb was 9.2 ± 1.8 and 9.2 ± 1.7 g/dl in the control and POTTS groups, respectively. In the ITT analysis, the proportion of the patients receiving allogeneic RBCs was 43.9% (190/433) in the control group versus 36.9% (159/431) in the POTTS group (p = 0.036). Lower rate of allogeneic RBCs transfusion in the POTTS group was also evident in the per-protocol analysis (42.8% vs. 35.5%, p = 0.030). Transfusion volume was 4.0 (2.0, 6.0) and 3.5 (2.0, 5.5) units (200 ml/unit) in the control and POTTS groups, respectively (p = 0.25). The rate of severe postoperative complications (Clavien-Dindo grade IIIa and higher) was 3.9% in the control group versus 1.2% in the POTTS group (p = 0.010). CONCLUSION: Transfusion of allogeneic RBCs based on the POTTS was safe and reduced the transfusion requirement in patients undergoing non-cardiac surgery.


Assuntos
Transfusão de Sangue , Transplante de Células-Tronco Hematopoéticas , Adulto , Epinefrina , Eritrócitos , Feminino , Hemoglobinas/análise , Humanos , Masculino
6.
RSC Adv ; 11(15): 8775-8781, 2021 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-35423405

RESUMO

Saponin is a large family of important natural products with various pharmacological activities. Selective enrichment of saponin from complex biological samples is a key step for analysis of saponin. Despite that aptamers have been widely used for selective enrichment, aptamers that can specifically recognize saponins have never been reported. In this study, a facile and efficient SELEX approach was developed for in vitro evolution of saponin-binding aptamers, using PEI-assisted boronate affinity magnetic nanoparticles (p-BA-MNPs) that exhibit highly favorable binding properties as a general affinity platform. As a proof of the principle, ginsenoside Re and Rb1 were employed as two target saponins. Two aptamers towards each target saponin, with dissociation constant at the 10-5 M level, were selected within 6 rounds. An affinity magnetic nanoparticle was constructed by using the selected aptamer as a affinity ligand. The resulting material allowed for the quantitative analysis of ginsenoside Re in real samples with high reliability. The p-BA-MNPs based SELEX is straightforward and generally applicable for a wide range of target saponins, providing a promising aptamer evolution approach for aptamer-based research and pharmaceutical analysis.

7.
Front Neurosci ; 14: 766, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32848550

RESUMO

Poor postoperative pain (POP) control increases perioperative morbidity, prolongs hospitalization days, and causes chronic pain. However, the specific mechanism(s) underlying POP is unclear and the identification of optimal perioperative treatment remains elusive. Akt and mammalian target of rapamycin (mTOR) are expressed in the spinal cord, dorsal root ganglion, and sensory axons. In this study, we explored the role of Akt and mTOR in pain-related behaviors induced by plantar incision in mice. Plantar incision activated spinal Akt and mTOR in a dose-dependent manner. Pre-treatment with Akt inhibitors intrathecally prevented the activation of mTOR dose-dependently. In addition, blocking the Akt-mTOR signaling cascade attenuated pain-related behaviors and spinal Fos protein expression induced by plantar incision. Our observations demonstrate that Akt-mTOR might be a potential therapeutic target for the treatment of POP.

8.
Mikrochim Acta ; 187(6): 326, 2020 05 12.
Artigo em Inglês | MEDLINE | ID: mdl-32399782

RESUMO

A highly oriented crystalline metal-organic framework (MOF) nanofilm array was prepared and used for surface-assisted laser desorption ionization mass spectrometry (SALDI-MS) for determination of small molecules. The MOF nanofilm was characterized using scanning/transmission electron microscopy, X-ray diffraction, and ultraviolet-visible spectroscopy. Different small molecules (anthracene, n-eicosanoic acid, Rhodamine B) were successfully determined by this MOF nanofilm array with limits of detection (LOD) between 0.1-5 ng·mL-1 and limits of quantification (LOQ) between 1 and 10 ng·mL-1. Compared to previously reported MOF-based SALDI-MS, this array exhibits better reproducibility (3.3-5.2%) and recovery (89-105%). The intensity of the MS peak remains the same after 25 repeated cycles. This indicates good repeatability. This MOF nanofilm-based SALDI-MS array can be used for determination of fatty acid and Rhodamine B in real samples with good recovery (83-106%). Graphical abstract Schematic representation of the principle of crystalline MOFs nanofilm-based SALDI-MS array.

9.
Spectrochim Acta A Mol Biomol Spectrosc ; 234: 118258, 2020 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-32200230

RESUMO

Ginsenoside is a large family of triterpenoid saponins from Panax ginseng with various important biological functions. It is crucial to develop effective analytical approach for qualitative and quantitative analysis of ginsenosides. Herein, a dual boronate affinity nanoparticles-based plasmonic immunosandwich assay has been developed for analysis of ginsenosides. An imprinted Au NPs-coated glass slide was prepared via controllable oriented surface imprinting and used as specific extraction substrate for target molecules. In the meantime, Ag-cored Raman nanotags were used for specific labeling of target molecules. The MIP-based recognitions ensured the specificity of the assay, while enhanced Raman signal derived from the imprinted substrate-target-nanotags sandwich-like complexes provided high sensitivity. The proposed immunosandwich assay exhibited wide linear range (10 ng/mL to 10 µg/mL), high sensitive (LOD: 1.7 ng/mL, LOQ: 5 ng/mL) and good reproducibility (RSD: 8.6%). For real-world applications, successful quantitative analysis of ginsenoside Re in ginseng was performed. Therefore, this dual boronate affinity nanoparticles-based plasmonic immunosandwich assay holds great promise in many important applications such as pharmaceutical analysis.


Assuntos
Ácidos Borônicos/química , Ginsenosídeos/análise , Imunoensaio/métodos , Nanopartículas/química , Difusão Dinâmica da Luz , Impressão Molecular , Nanopartículas/ultraestrutura , Reprodutibilidade dos Testes , Análise Espectral Raman , Fatores de Tempo
10.
J Sep Sci ; 43(11): 2162-2171, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32134171

RESUMO

Saponin is an important class of natural products with various pharmacological activities. The selective separation of saponins is an essential step before further analysis. Molecular imprinting has been an effective strategy for preparing antibody mimics. However, a facile and efficient imprinting strategy for saponins is still lacking owing to their amphiphilic nature. Herein, we have prepared the saponins imprinted nanoparticles via cooperative imprinting strategy. This new strategy relies on the combination of various non-covalent interactions (hydrophobic and hydrogen bonding) and covalent boronate affinity interactions. The obtained imprinted nanoparticles could rebind specific saponins from complex matrices with good selectivity, superb tolerance to interference, and fast binding equilibrium. This method was verified to be versatile and facile. Thus, this strategy could greatly facilitate the preparation of imprinted nanoparticles for the specific recognition of saponins.


Assuntos
Produtos Biológicos/isolamento & purificação , Impressão Molecular , Nanopartículas/química , Saponinas/isolamento & purificação , Produtos Biológicos/síntese química , Produtos Biológicos/química , Ligação de Hidrogênio , Interações Hidrofóbicas e Hidrofílicas , Estrutura Molecular , Saponinas/síntese química , Saponinas/química
11.
Anal Chim Acta ; 1076: 1-17, 2019 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-31203952

RESUMO

Boronate affinity materials, as widely used sorbents for the enrichment of cis-diol-containing molecules, have been rapidly developed and increasingly utilized for various applications in recent years. cis-Diol-containing molecules, including saccharides, nucleosides, catecholamines, glycans and glycoproteins/glycopeptides, are major targets in the frontiers of many research areas, such as environmental analysis, the food industry and bioanalysis. As the analysis of these molecules usually suffers from the low abundance of targets and the high abundance of interference, selective enrichment is a fundamental step of sample preparation before analysis. In this review, we survey recent achievements of boronate affinity materials and their applications in sample preparation. We mainly focus on the fundamental considerations of materials as well as important applications in the past 3 years. Particularly, the effects of the substrate structure on the performance of boronate affinity materials, such as binding capacity, affinity, selectivity and working pH, will be discussed. Furthermore, the applications in sample preparation will also be introduced, with a main emphasis on what merits can be provided by boronate affinity materials to overcome the challenges in sample preparation.

12.
Anal Chim Acta ; 1065: 40-48, 2019 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-31005149

RESUMO

Development of novel matrix for surface-assisted laser desorption/ionization mass spectrometry (SALDI-MS) is a hot-spot in research frontiers. Herein, we established novel SALDI-MS approach for the analysis of cis-diol small molecules by using boronate affinity metal-organic frameworks (BA-MOFs) as the sorbent for extraction and later as matrix for SALDI. In the meantime, the prepared BA-MOFs exhibited several significant merits, such as excellent selectivity, tolerance to interference and fast binding equilibria. By integrating the advantages of MOFs and the molecular recognition of boronate affinity, a novel platform for simultaneous enrichment and MS detection of cis-diol small molecules was proposed for the first time. There are only two steps in the operation procedure, which greatly simplified the whole experimental workflow. Efficient analysis of cis-diol small molecules in real samples were also well demonstrated. This proposed novel protocol not only gave new insights into the application of functionalized MOFs, but also promoted the development of SALDI- MS.

13.
Exp Ther Med ; 16(6): 4685-4689, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30542420

RESUMO

Effects of dexmedetomidine on postoperative cognitive function in patients undergoing coronary artery bypass grafting were investigated. Eighty patients undergoing systemic anesthesia with extracorporeal coronary artery bypass grafting in The People's Hospital of Guangxi Zhuang Autonomous Region from January 2015 to August 2017 were selected and randomly divided into the observation group (n=40) and control group (n=40). The two groups were treated with dexmedetomidine and equal volume of normal saline, respectively. Moreover, safety indexes including EEG bispectral index (BIS) at 30 min before induction of anesthesia (T0), immediately after intubation (T1), when incision was made (T2), when chest was closed (T3), when operation was completed (T4) and at 6 h after operation (T5), intraoperative circulatory system-related complications, cortisol, epinephrine and norepinephrine levels at the end of surgery as well as anesthesia recovery time and postoperative mechanical ventilation time were recorded and compared. All the patients were followed up for 1 week. Mini-mental state examination (MMSE) and Montreal cognitive assessment (MoCA) were administered at 1, 3 and 7 days after operation, and the incidence of intraoperative awareness and postoperative cognitive dysfunction was recorded. BIS value in the observation group was lower than that in the control group (P<0.05) at T1-T4 time points, and the BIS value in the observation group was higher than that in the control group (P<0.05) at T5. Incidence rates of intraoperative arrhythmia, hypertension and hypotension in the observation group was significantly lower than those in the control group (P<0.05). At the end of operation, levels of cortisol, epinephrine and norepinephrine in the observation group were significantly lower than those in the control group (P<0.05). Anesthesia recovery time and postoperative mechanical ventilation time in the observation group was significantly shorter than the time in the control group (P<0.05). MMSE and MoCA scores of the observation group were better than those of the control group (P<0.05). The incidence of cognitive impairment and postoperative cognitive impairment in the observation group was significantly lower than those in the control group (P<0.05). Therefore, it is concluded that dexmedetomidine can effectively reduce the incidence of postoperative cognitive impairment in patients undergoing coronary artery bypass grafting, and it is of high safety for circulatory function.

14.
Nan Fang Yi Ke Da Xue Xue Bao ; 38(5): 505-510, 2018 May 20.
Artigo em Chinês | MEDLINE | ID: mdl-29891444

RESUMO

OBJECTIVE: To investigate the tumor-suppressing effect of microRNA-218 (miR-218) in osteosarcoma (OS) and explore its molecular mechanism. METHODS: We examined the expression levels of miR-218 in 68 pairs of OS and adjacent tissue samples using qRT-PCR. Cultured human OS cell line Saos-2 was transfected with miR-218 mimics or anti-miR-218 mimics, and the cell apoptosis was assessed using CCK-8 assay, annexin V-FITC staining and Western blotting. We also analyzed the potential functional targets of miR-218 in Saos-2 cells using luciferase assay, qRT-PCR and Western blotting. RESULTS: The expression level of miR-218 was lowered by at least 8 folds in OS tissues as compared with the adjacent tissues. In cultured Saos-2 cells, transfection with miR-218 mimics for 24, 36, and 48 h resulted in a significant reduction in the cell viability, while transfection with anti-miR-218 mimics significantly increased the cell viability. The cells transfected with miR-218 mimics showed an obviously enhanced expression of cleaved poly(ADP-ribose) polymerase (C-PARP) as compared with the cells transfected with anti-miR-218 mimics and the control cells. Flow cytometry demonstrated obviously increased apoptosis of the cells following miR-218 mimics transfection. We identified the oncogene B lymphoma mouse Moloney leukemia virus insertion region 1 (BMI-1) as a specific target of miR-218 in Saos-2 cells. BMI-1 expressions at both the mRNA and protein levels were significantly reduced in Saos-2 cells overexpressing miR-218 but increased in the cells with miR-218 knockdown as compared to the control cells. Luciferase reporter assay indicated that miR-218 directly inhibited the expression of BMI-1 via binding to its 3'-UTR in OS cells. CONCLUSION: miR-218 can promote OS cell apoptosis and plays the role as a tumor suppressor by down-regulating BMI-1.


Assuntos
Apoptose , Neoplasias Ósseas/metabolismo , MicroRNAs/metabolismo , Vírus da Leucemia Murina de Moloney/metabolismo , Osteossarcoma/metabolismo , Complexo Repressor Polycomb 1/metabolismo , Proteínas Proto-Oncogênicas/metabolismo , Animais , Neoplasias Ósseas/patologia , Linhagem Celular Tumoral , Proliferação de Células , Sobrevivência Celular , Regulação Neoplásica da Expressão Gênica , Camundongos , Osteossarcoma/patologia , Poli(ADP-Ribose) Polimerases/metabolismo
16.
Ann Thorac Surg ; 95(6): 2028-34, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23635448

RESUMO

BACKGROUND: Previously, we reported the preservation method of donor hearts in an empty beating status with mild hypothermic perfusion. To completely avoid cardiac arrest and myocardial ischemia, we performed the beating preservation technique from procurement of hearts to transplants and assessed its efficacy for long-term preservation and feasibility for heart transplantation. METHODS: Thirty-two swine donor hearts were preserved in beating status (group A, n = 8 pairs, perfused continuously with normothermic blood) or in static cold storage (group B, n = 8 pairs, stored in 4°C histidine-tryptophan-ketoglutarate solutions) for 8 hours. Then the donor hearts were implanted either in beating or static status. During transplantation, the incidence of arrhythmia, duration of anastomosis and cardiopulmonary bypass, and dosage of inotropic drugs were recorded. Hemodynamics of left ventricle and serum level of creatine kinase-MB were measured during transplantation. Myocardial ultrastructure was observed. RESULTS: Compared with group B, in group A the anastomotic time was significantly longer, the cardiopulmonary bypass time was significantly shorter, the cardiac output was larger, and the incidence of arrhythmia, dosage of cardiovascular-active drugs, and serum level of creatine kinase-MB were lower. After declamping for 2 hours and 3.5 hours, the left ventricular hemodynamics of group A was significantly better than that of group B. The myocardial ultrastructure of group A was superior to that of group B. CONCLUSIONS: Preservation of donor hearts in beating status with continuous, normothermic, blood perfusion is an effective approach for long-term preservation and is appropriate for heart transplantation.


Assuntos
Débito Cardíaco/fisiologia , Frequência Cardíaca/fisiologia , Transplante de Coração/métodos , Soluções para Preservação de Órgãos/farmacologia , Preservação de Órgãos/métodos , Análise de Variância , Animais , Ponte Cardiopulmonar/métodos , Modelos Animais de Doenças , Rejeição de Enxerto , Sobrevivência de Enxerto , Hemodinâmica/fisiologia , Contração Miocárdica/fisiologia , Reperfusão Miocárdica/métodos , Distribuição Aleatória , Fatores de Risco , Sensibilidade e Especificidade , Estatísticas não Paramétricas , Suínos , Porco Miniatura , Fatores de Tempo , Doadores de Tecidos
17.
Ann Thorac Surg ; 89(5): 1518-23, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-20417771

RESUMO

BACKGROUND: Cardiac surgery during an empty beating heart state has proven to be beneficial in myocardial protection. Based on this, we hypothesized that maintaining this state for donor heart preservation would have the same efficacy and a prolonged preservation period. METHODS: Part 1: 12 pigs were divided into two groups (n = 6 per group). Donor hearts were preserved in group A by perfusion with leukocyte-depleted blood in the beating state, and in group B, in the traditional hypothermic static state with University of Wisconsin solution. After 8 hours, myocardial samples were obtained to detect myocardial edema, adenosine triphosphate, and ultrastructure. Part 2: 12 donor-recipient swine pairs were randomly allocated to either beating heart preservation with perfusion (group C) or traditional static preservation (group D). Donor hearts were stored for 8 hours after isolation, followed by implantation into recipient animals. Implanted hearts recovered for 120 minutes in an empty and beating state followed by 30 minutes in a working state, after which cardiac function was measured. RESULTS: After preservation, myocardial adenosine triphosphate levels in group A were significantly higher than in group B. However, myocardial water content was not significantly different between these two groups. The damage of myocardial ultrastructure in group A was slight compared with that of group B. The experimental transplant group C showed excellent heart function after implantation when compared with group D. CONCLUSIONS: Our study reveals greater effects of donor heart preservation in a beating state rather than simply with hypothermic storage in University of Wisconsin solution.


Assuntos
Criopreservação/métodos , Transplante de Coração/métodos , Traumatismo por Reperfusão Miocárdica/prevenção & controle , Preservação de Órgãos/métodos , Animais , Modelos Animais de Doenças , Metabolismo Energético/fisiologia , Rejeição de Enxerto , Sobrevivência de Enxerto , Transplante de Coração/efeitos adversos , Contração Miocárdica/fisiologia , Soluções para Preservação de Órgãos , Probabilidade , Distribuição Aleatória , Sensibilidade e Especificidade , Suínos , Doadores de Tecidos
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