Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 113
Filter
Add more filters

Country/Region as subject
Publication year range
1.
Clin Exp Immunol ; 151(1): 146-54, 2008 Jan.
Article in English | MEDLINE | ID: mdl-17991287

ABSTRACT

The role of secretory IgM in protecting kidney tissue from immune complex glomerulonephritis induced by 4 mg horse spleen apoferritin and 0.05 mg lipopolysaccharide has been investigated in mutant mice in which B cells do not secrete IgM, but are capable of expressing surface IgM and IgD and secreting other Ig isotypes. Glomerular size, number of glomeruli per cross-section, glomerular cellularity and urine content of protein and creatinine was comparable in treated secreted IgM (sIgM)-deficient and wild-type mice. Assessment of urinary proteins by sodium dodecyl sulphate-polyacrylamide gel electrophoresis showed a 30 kDa low molecular weight protein in treated sIgM-deficient animals only, reflecting dysfunction of proximal tubules. A shift of bound C3 from glomeruli to the tubulo-interstitial compartment in sIgM-deficient mice also suggests tubulo-interstitial damage. In contrast, local C3 synthesis within the kidney tissue did not differ between the two treated groups. Apoptosis physiologically present to maintain kidney cell homeostasis was increased slightly in treated wild-type mice. These results indicate that secretory IgM can protect the tubulo-interstitial compartment from immune complex-induced damage without having an effect on the glomerulus.


Subject(s)
Complement C3/metabolism , Glomerulonephritis/immunology , Immune Complex Diseases/immunology , Immunoglobulin M/deficiency , Kidney Glomerulus/immunology , Kidney Tubules, Proximal/immunology , Animals , Apoptosis , Complement C3/genetics , Female , Gene Expression , Glomerulonephritis/pathology , Immune Complex Diseases/pathology , Immunohistochemistry , Kidney Glomerulus/pathology , Kidney Tubules, Proximal/pathology , Lipopolysaccharides , Mice , Mice, Inbred C57BL , Microscopy, Confocal , Models, Animal , Reverse Transcriptase Polymerase Chain Reaction/methods
2.
Clin Hemorheol Microcirc ; 37(3): 237-43, 2007.
Article in English | MEDLINE | ID: mdl-17726253

ABSTRACT

The rheologic properties of red blood cells (RBC) are determined by humoral and cellular factors. Fatty acid composition of the RBC phospholipid bilayer is one factor influencing membrane fluidity this could affect RBC aggregation because of a higher bias of RBC deformability. The present investigation was performed to investigate a possible relationship between fatty acid composition and erythrocyte aggregation using animals with high RBC aggregation (horse and pig) and animals with immeasurable RBC aggregation (sheep). Horse and pig showed similar distribution of the four major components palmitoleic acid (C16:0), stearic acid (C18:0), oleic acid (C18:1n9), and linoleic acid (C18:2n6). The sheep's saturated fatty acids C16:0 and C18:0 were decreased, whereas unsaturated oleic acid (C18:1n9) showed a two fold increase in comparison to horse and pig. It can be assumed that the fatty acid bilayer is a minor factor influencing erythrocyte flexibility due to its influence on membrane fluidity and therefore there might be an existing link to erythrocyte aggregation. The sheep has relatively dense erythrocytes with low cell volumes. Therefore, the absence of aggregation might be postulated to arise from geometric factors against the expected effect of unsaturated fatty acids on membrane fluidity, the higher level of unsaturated fatty acids in ovine erythrocytes over that found in horse and pig was surprising. The present result, which accords with former studies, indicates that the geometric factor given by the intracellular skeleton overrides any effect of membrane composition on aggregation in sheep.


Subject(s)
Erythrocyte Aggregation , Fatty Acids/analysis , Lipid Bilayers/chemistry , Animals , Erythrocyte Deformability , Erythrocyte Membrane/chemistry , Erythrocyte Membrane/physiology , Erythrocytes , Horses , Membrane Fluidity , Sheep , Swine
3.
Toxicol In Vitro ; 20(3): 395-400, 2006 Apr.
Article in English | MEDLINE | ID: mdl-16256302

ABSTRACT

The cultivation of cells in vitro is an important tool for biomedical research and production purposes. The supplementation of animal/human cell culture media with sera (components) of animal origin remains still standard, providing for e.g. necessary nutrition, shear protection, growth factors and cytokines. Because of undefined composition, risk of contaminations, the cost factor and also animal welfare considerations concerning the production of sera, the conversion to serum free alternatives is promoted by regulatory authorities, industry and the research community in general. To support this trend and to help save one of the scientists most valuable resources -- time -- a data bank was compiled of commercially available formulations, searchable for products, applications, cell lines and manufacturers. The database is accessible free of charge in HTML format and as PDF download, the informations are checked and updated twice a year. Problems concerning serum free cell culture are discussed at and comments are welcome.


Subject(s)
Cell Line , Culture Media, Serum-Free , Internet , Animals , Databases, Factual , Humans
4.
Circulation ; 105(5): 633-8, 2002 Feb 05.
Article in English | MEDLINE | ID: mdl-11827931

ABSTRACT

BACKGROUND: To investigate the contribution of inflammation to postangioplasty lumen loss, we used an adenoviral gene therapy approach to inhibit the central inflammatory mediator nuclear factor-kappaB (NF-kappaB) by overexpression of its natural inhibitor, IkappaBalpha. METHODS AND RESULTS: The adenovirus carrying human IkappaBalpha was applied immediately after balloon dilatation by a double-balloon catheter in a rabbit iliac artery restenosis model. Immunohistochemistry of IkappaBalpha revealed that mainly smooth muscle cells of the media but also cells of the adventitia were transduced and expressed the transgene IkappaB alpha for >/= 8 days. At this time point, intercellular adhesion molecule-1 (30%) and monocyte chemotactic protein-1 (50%) expression, as well as recruitment of macrophages into the wounded area (90%), were significantly reduced in IkappaB alpha-treated vessels. In addition, expression of inhibitor of apoptosis proteins was reduced and the percentage of apoptotic cells was increased compared with control-treated contralateral vessels. Animals killed 5 weeks after treatment exhibited a significantly reduced degree of lumen narrowing (P<0.02) on the side treated with adenovirus IkappaBalpha. The lumen gain of approximately 40% was due to positive remodeling. CONCLUSIONS: From these data, we conclude that balloon angioplasty-induced activation of NF-kappaB contributes to lumen loss likely via induction of an inflammatory response and a decrease in the rate of apoptosis. These data show for the first time that inflammation mediated by NF-kappaB is involved in postangioplasty lumen narrowing. Specific and more potent inhibitors of NF-kappaB might therefore be a useful therapeutic measure to improve clinical outcome after balloon dilatation.


Subject(s)
Graft Occlusion, Vascular/metabolism , Graft Occlusion, Vascular/prevention & control , I-kappa B Proteins , NF-kappa B/metabolism , Adenoviridae/genetics , Angiography, Digital Subtraction , Angioplasty, Balloon/adverse effects , Animals , Apoptosis/drug effects , Cell Division/drug effects , Cells, Cultured , Chemokine CCL2/metabolism , DNA-Binding Proteins/genetics , DNA-Binding Proteins/metabolism , DNA-Binding Proteins/pharmacology , Diet, Atherogenic , Disease Models, Animal , Gene Expression , Graft Occlusion, Vascular/pathology , Humans , Iliac Artery/diagnostic imaging , Iliac Artery/metabolism , Iliac Artery/pathology , Immunohistochemistry , Intercellular Adhesion Molecule-1/metabolism , Muscle, Smooth, Vascular/cytology , Muscle, Smooth, Vascular/drug effects , Muscle, Smooth, Vascular/metabolism , NF-KappaB Inhibitor alpha , NF-kappa B/antagonists & inhibitors , Neutrophil Infiltration/drug effects , Rabbits , Transgenes , Vascular Patency/drug effects
5.
Clin Hemorheol Microcirc ; 32(3): 191-7, 2005.
Article in English | MEDLINE | ID: mdl-15851838

ABSTRACT

The study provides information on the blood fluidity in healthy, juvenile sheep and rabbits during growth (n = 18), and shows also data from fetal rabbits and cats. In the fetal rabbit (n = 3) and cat (n = 2), whole blood viscosity (WBV; LS30, Contraves, Switzerland) and plasma viscosity (PV; OCR-D, Paar, Austria) was low (WBV (0.7 s(-1)): rabbit: 3.28/3.00/2.44; cat: 7.87/10.88; WBV (94 s(-1)): rabbit: 2.57/2.48/2.39; cat: 2.75/3.73 mPa s) (PV: rabbit: 1.10/1.10/1.05; cat: 1.27/1.39 mPa s), which was associated with a low plasma protein concentration and a low erythrocyte count despite a high erythrocyte volume. After parturition, blood viscosity increased in rabbits in parallel with hematocrit, while MCV decreased (WBV (0.7 s(-1)): 9.28 (8.07/10.88); WBV (94 s(-1)): 3.67 (3.62/3.82); PV: 1.15 (1.15/1.25) mPa s). In contrast, in the sheep, whole blood and plasma viscosity decreased after delivery (WBV (0.7 s(-1)): 1.31 (0.94/1.88); WBV (94 s(-1)): 2.45 (2.43/2.85) PV: 1.24 (1.23/1.29) mPa s). Hematocrit and MCV decreased, while erythrocyte count increased under these circumstances. In summary, whole blood viscosity was similar among fetal sheep, rabbits, and cats and is diminished compared to adult individuals to guarantee an optimal oxygen supply during a period of life in which the oxygen maintainance of the child depends on the health and the environment of the mother. However, during growth, blood viscosity rose in rabbits, while it continuously decreased in the sheep. At an unknown time point this fall in blood viscosity in lambs must reverse, since adult sheep again show a higher blood viscosity than juvenile lambs at the age of 2 months.


Subject(s)
Fetal Blood/metabolism , Hemorheology/methods , Analysis of Variance , Animals , Blood Chemical Analysis , Blood Proteins/metabolism , Blood Viscosity , Cats , Erythrocyte Count , Female , Hematocrit , Male , Oxygen/metabolism , Rabbits , Sheep, Domestic , Species Specificity , Time Factors
6.
Cardiovasc Res ; 24(5): 345-51, 1990 May.
Article in English | MEDLINE | ID: mdl-2142617

ABSTRACT

STUDY OBJECTIVE: The aim of the study was to investigate plasma concentrations of atrial natriuretic peptide, aldosterone, and renin during experimentally induced acute central venous congestion. DESIGN: Two experimental calf models were used: (1) right heart failure due to pulmonary artery obstruction; (2) inferior vena cava syndrome produced by inferior vena caval obstruction. Hormonal responses and haemodynamic variables were measured over 6 h. SUBJECTS: Experiments were performed on three female "Schwarzbund" calves, age 3 months, weight 92 +/- 8 kg. MEASUREMENTS AND MAIN RESULTS: In the pulmonary artery obstructed group there was an increase of plasma aldosterone from 6.5(SEM 1.6) to 22.1(3.2) ng.dl-1 (p less than 0.05), of renin from 0.7(0.1) to 2.5(0.3) Goldblatt units x 10(-4).ml-1 (p less than 0.05), and of atrial natriuretic peptide from 22.1(4.5) to 141.4(27.8) pmol.litre-1 (p less than 0.05). During inferior vena caval obstruction, aldosterone increased from 2.4(0.4) to 20.9(2.0) ng.dl-1 (p less than 0.05), and renin increased from 0.4(0.05) to 2.0(0.20) Goldblatt units x 10(-4).ml-1 (p less than 0.05). In this experiment, atrial natriuretic peptide remained unchanged. Cardiac output decreased in both groups. There was significant fluid and electrolyte retention during both experiments, with urine volume decreasing from 87.7(11.6) to 35.0(1.2) ml-h-1 in experiment (1), and from 185(14) to 95.7(8.6) ml.h-1 in experiment (2). CONCLUSIONS: The study suggests (1) that in an experimental acute state of reduced cardiac output due to pulmonary artery stenosis with constantly increased right heart pressures, raised endogenous atrial natriuretic peptide failed to induce diuresis and natriuresis; (2) that in acute right heart failure, renin and aldosterone secretion could not be suppressed by raised atrial natriuretic peptide concentrations; and (3) atrial natriuretic peptide secretion seemed to be exhausted after 6 h continuous atrial distension.


Subject(s)
Atrial Natriuretic Factor/blood , Cardiac Output, Low/blood , Vena Cava, Inferior/physiopathology , Acute Disease , Aldosterone/blood , Animals , Atrial Natriuretic Factor/physiology , Blood Pressure , Cardiac Output/physiology , Cardiac Output, Low/complications , Cardiac Output, Low/physiopathology , Cardiac Output, Low/urine , Cattle , Central Venous Pressure , Constriction, Pathologic , Diuresis/physiology , Electrolytes/urine , Female , Heart Atria/physiopathology , Pulmonary Artery/physiopathology , Renin/blood , Syndrome
7.
Thromb Haemost ; 78(3): 1003-7, 1997 Sep.
Article in English | MEDLINE | ID: mdl-9308744

ABSTRACT

A group of 100 patients with intermittent claudication (70 male, 30 female), treated with I00 mg ASA per day, were followed over 18 months after elective percutaneous balloon angioplasty. Platelet function was monitored over a period of 12 months by corrected whole blood aggregometry (CWBA). Upon stimulation by arachidonic acid (AA), adenosine diphosphate (ADP) and collagen, CWBA-results were obtained by an electronic acquisition and evaluation system correcting for hematocrit and platelet count of the blood sample. All patients showed a completely inhibited platelet response to AA stimulation. Comparison of the CWBA-results with clinical parameters revealed that reocclusions at the site of angioplasty occurred exclusively in male patients for which CWBA failed to prove an inhibition of aggregation upon both agonists, ADP and collagen, and for these patients the risk of complication is at least 87% higher (p = 0.0093). Only 40% of male patients show the expected effect of ASA on in vitro platelet aggregation at any given point in time and CWBA is capable of predicting those male patients which are at an elevated risk of reocclusion following peripheral angioplasty.


Subject(s)
Angioplasty, Balloon , Arterial Occlusive Diseases/therapy , Aspirin/therapeutic use , Blood Platelets/drug effects , Intermittent Claudication/therapy , Leg/blood supply , Platelet Aggregation Inhibitors/therapeutic use , Administration, Oral , Aged , Aspirin/administration & dosage , Female , Humans , Male , Middle Aged , Platelet Aggregation/drug effects , Platelet Aggregation Inhibitors/administration & dosage , Risk Factors , Smoking
8.
Am J Cardiol ; 53(7): 923-8, 1984 Mar 15.
Article in English | MEDLINE | ID: mdl-6702648

ABSTRACT

The effect of pressure-controlled intermittent coronary sinus (CS) occlusion on myocardial infarction (MI) size was evaluated. A device for this purpose was developed that consisted of a balloon catheter and pump system that produced controlled, intermittent occlusion of the CS and used CS pressure as a feedback to determine the duration of occlusion. It was hypothesized that proper selection of occlusion and non-occlusion times would both facilitate improved retrograde flow to ischemic areas and allow for more complete venous washout of metabolites. In 13 treated dogs and 12 control dogs before treatment, myocardium at risk of MI was estimated by injection of technetium-labeled microspheres. Intermittent CS occlusion was then begun, 15 minutes after coronary artery occlusion, and continued until termination of the experiment 6 hours later. Postmortem determination of infarct size was performed using the triphenyltetrazolium chloride staining technique. Intermittent CS occlusion begun 15 minutes after coronary artery occlusion and continued for 6 hours resulted in a 45% average reduction in MI size (p less than 0.001). During CS occlusion, the sinus systolic mean pressure increased from 10 to 44 mm Hg, while the distal coronary artery mean pressure increased by an average of 36% (from 22 to 30 mm Hg, p less than 0.05). These results suggest intermittent occlusion may be an effective treatment for evolving MI. This therapy, used alone or combined with other therapies (e.g., administration of pharmacologic agents), appears to have great clinical potential.


Subject(s)
Myocardial Infarction/prevention & control , Animals , Constriction, Pathologic , Coronary Circulation , Dogs , Hemodynamics , Pressure , Risk
9.
Chest ; 82(6): 751-6, 1982 Dec.
Article in English | MEDLINE | ID: mdl-7140403

ABSTRACT

The usefulness of contrast echocardiography for demonstration of myocardial perfusion was studied on six mongrel dogs. Two contrast agents tested were: (1) 0.9 percent saline solution, and (2) CO2-enriched saline solution (containing 0.2 ml CO2/10 ml). Only the latter solution produced an elucidation of the myocardium and allowed an estimation of the distribution and flow velocity of the contrast agent, which was characterized using the following three parameters: (1) transmural flow time (0.13 +/- 0.02 s x +/- SEM); (2) circumferential flow time (1.43 +/- 0.31 s); and (3) persistence time (42.0 +/- 4.3 s). There were no serious side effects on hemodynamics or heart rhythm. Thus, contrast echocardiography offers the possibility of detecting and quantitating myocardial perfusion.


Subject(s)
Coronary Circulation , Echocardiography/methods , Animals , Blood Pressure , Contrast Media/administration & dosage , Dogs , Heart Rate
10.
J Thorac Cardiovasc Surg ; 102(2): 195-201, 1991 Aug.
Article in English | MEDLINE | ID: mdl-1678026

ABSTRACT

Aldehyde-induced side effects limit the clinical usefulness of bioprosthetic heart valves. Treatment of aldehyde-fixed pericardium with L-glutamic acid at pH 3.5 and storage in a nontoxic, bacteriostatic solution resulted in a lower degree of calcification in 63-day subcutaneous implants in rats (13.3 +/- 2 mg calcium per gram dry weight of tissue), as compared with commercially available tissue (169 +/- 24 mg/gm, p less than 0.05). Endothelial cells died within 1 day after seeding on the commercial tissue; however, considerable endothelial cell proliferation was measured, even 14 days after seeding on L-glutamic acid-treated pericardium. Improved biocompatibility of this alternative treatment may be due to stable chemical binding of free, reactive aldehyde groups.


Subject(s)
Bioprosthesis , Calcinosis/prevention & control , Glutamates/therapeutic use , Heart Valve Prosthesis , Tissue Preservation/methods , Animals , Cattle , Cell Division/drug effects , Endothelium/cytology , Endothelium/ultrastructure , Glutamates/pharmacology , Glutamic Acid , Glutaral/pharmacology , In Vitro Techniques , Male , Materials Testing , Microscopy, Electron , Pericardium/drug effects , Rats , Rats, Inbred Strains
11.
J Heart Lung Transplant ; 12(3): 450-9, 1993.
Article in English | MEDLINE | ID: mdl-8329417

ABSTRACT

Clinical application of artificial blood pumps for mechanical circulatory support has been hampered by thromboembolic events. The underlying mechanisms are complicated and may differ from patient to patient. Because the calf is commonly used for artificial heart studies, the object was to determine the value of data gained in an animal model. To this end, the average of 10 calf experiments was compared with three clinical applications of an orthotopically implanted total artificial heart in patients with terminal heart failure. Platelet reactivity was investigated in vitro by collagen-induced whole blood aggregometry, radioimmunoassay methods, and scanning electron microscopy over a 10-day period. An analogous periodicity of platelet function was found in human and animal recipients. Improvement of platelet function preceded that of platelet counts in the early postoperative phase. Exaggerated responses to aggregative agents were observed at days 3 and 7. On the basis of our data, we believe that we can comment about the prospective course of the function and number of human platelets, which may contribute to the identification of critical phases of such treatment, during total artificial heart replacement.


Subject(s)
Blood Platelets/physiology , Heart, Artificial , Adult , Animals , Blood Platelets/ultrastructure , Cattle , Heart, Artificial/adverse effects , Humans , Male , Middle Aged , Platelet Aggregation , Platelet Count , Thromboxane A2/metabolism
12.
J Pharmacol Toxicol Methods ; 34(1): 17-22, 1995 Sep.
Article in English | MEDLINE | ID: mdl-7496042

ABSTRACT

Previous studies have shown that differing qualities of blood specimen seem to influence whole blood electrical aggregometry (WBEA), making it difficult to standardize the method. The aim of this study was to investigate the impact of hematocrit (HCT) and platelet count (PLC) on in vitro platelet aggregation in citrated whole blood (CWB) in order to compensate for their possible effects on impedance aggregometry. Red blood cells and blood platelets were isolated from fresh citrated whole blood taken from 15 healthy donors (mean age = 26 years) and recombined to 20 physiologically relevant combinations of hematocrit and platelet count (HCT: 20-50, PLC: 100-500). Platelet aggregability was measured using WBEA with three different triggers. A special-purpose software package was used in this study, ensuring proper calibration, acquisition, and evaluation of analogue to digital converted data, allowing the calculation of a set of characteristic parameters of each impedance curve. Most of the linear regressions showed that all parameters significantly depend on HCT and PLC. Furthermore, we found interactions of both variables, making it impossible to focus on the effects of one of the investigated variables only. The outcome of this study is a set of dependences, allowing the calculation of regressions for in vitro aggregation in whole blood, enabling a comparison of blood of any quality with each other, regardless of the variables HCT and PLC. Together with the previously defined dependence of sample age on WBEA data, this step should help to make this technique a more reliable and practicable clinical tool, making it suitable for daily routine investigations.


Subject(s)
Blood Physiological Phenomena , Hematocrit , Platelet Aggregation , Platelet Count , Adult , Electric Conductivity , Electric Impedance , Female , Humans , Male , Regression Analysis
13.
J Neurosurg ; 74(4): 636-42, 1991 Apr.
Article in English | MEDLINE | ID: mdl-2002378

ABSTRACT

The left sciatic nerve of 36 rats was exposed and four ring-shaped stainless steel wire electrodes were sutured to the epineurium of each nerve in the same manner as performed clinically for "carousel stimulation" in man. The rats were sacrificed 10 days (Group 1), 3 weeks (Group 2), or 3 months (Group 3) after implantation. The electrodes were excised, the nerves were embedded in Epon, and semithin sections were obtained for histological and planimetric assessment of lesions caused by the epineurially sutured electrodes. The right sciatic nerves served as controls. The total area of neural tissue within the perineurium was determined at three levels: at the site of the electrodes, 8 mm proximal, and 8 mm distal. The area of neural tissue damaged by the surgical procedure was expressed as a percentage of the total area. In Group 1, nine of 12 nerves showed lesions ranging from 0.39% to 25.39% of the total area of neural tissue, in Group 2 eight of 11 sciatic nerves showed lesions ranging from 0.24% to 13.03% of the total area, and in Group 3 five of 12 nerves showed lesions ranging from 0.21% to 4.96% of the total area. The pathologically altered areas in Groups 2 and 3 exhibited distinct signs of nerve fiber regeneration. The reasons for the decrease in damage from Group 1 to Group 3 and the clinical implications of the results for long-term electrical stimulation are discussed.


Subject(s)
Electrodes, Implanted , Sciatic Nerve/injuries , Sciatic Nerve/pathology , Animals , Electric Stimulation , Female , Rats , Rats, Inbred Strains , Time Factors
14.
Resuscitation ; 34(3): 271-9, 1997 Jun.
Article in English | MEDLINE | ID: mdl-9178389

ABSTRACT

The aim of the study was to compare the effect of a 30 and 50% duty cycle on coronary perfusion pressure (CPP) and end tidal carbon dioxide (ETCO2) and to determine whether a duty cycle of 30% can be achieved manually. After 3 min of ventricular fibrillation cardiac arrest, pigs were resuscitated in two groups with changing duty cycles every 3 min: group A starting with 50 and then 30%; and group B starting with 30 and then 50%. After administration of epinephrine, duty cycles in group A were 50 and then 30%, in group B initially 30% and then 50% Before administration of epinephrine, no significant differences in CPP between the 30 and 50% duty cycles were found; after epinephrine CPP increased with both duty cycles. ETCO2 did not vary before epinephrine; after epinephrine, there were statistically significant differences but there is doubt regarding the clinical relevance of these differences. Survival was 4/6 in group A and 3/5 in group B (NS). It is possible to perform a manual duty cycle of 30%. However, our data do not support the use of a 30% duty cycle during cardiopulmonary resuscitation (CPR).


Subject(s)
Cardiopulmonary Resuscitation/methods , Coronary Circulation , Heart Arrest/physiopathology , Heart Arrest/therapy , Animals , Blood Pressure , Carbon Dioxide , Coronary Circulation/drug effects , Epinephrine/pharmacology , Pressure , Swine , Systole , Thorax , Tidal Volume , Vasoconstrictor Agents/pharmacology
15.
J Heart Valve Dis ; 2(2): 230-5, 1993 Mar.
Article in English | MEDLINE | ID: mdl-7903192

ABSTRACT

In an experimental study, endothelial cell seeding on glutaraldehyde-fixed and detoxified bioprosthetic tissue, suitable for valve fabrication, was investigated in vitro. These findings were compared to spontaneous endothelial cell ingrowth on vascular grafts fabricated from the same materials. Special consideration was given to the quality of cell attachment with regards to improved shear stress resistance in the endothelial layer covering the bioprosthetic surface. On glutaraldehyde detoxified bovine pericardium, in vitro endothelial cell seeding resulted in uninhibited cell proliferation, but the cells were loosely bound to the underlying tissue. In vivo, endothelial cells grew spontaneously over the surface of vascular implants in direct contact with the bioprosthetic material. In contrast to standard fixed bovine pericardium, a significant decrease in thrombotic appositions could be observed. Cells exhibited intensive production of extracellular matrix, which renders the method of spontaneous in vivo cell ingrowth as the most promising approach for further research.


Subject(s)
Bioprosthesis , Endothelium, Vascular/physiology , Glutaral , Pericardium , Tissue Fixation , Animals , Aorta/surgery , Basement Membrane/ultrastructure , Cattle , Cell Adhesion , Cell Death , Collagen , Elastin , Endothelium, Vascular/cytology , Extracellular Matrix/ultrastructure , Glutamates/chemistry , Glutamic Acid , Glutaral/chemistry , In Vitro Techniques , Microscopy, Electron , Microscopy, Electron, Scanning , Sheep , Surface Properties , Thrombosis/pathology , Tissue Preservation
16.
Artif Organs ; 20(5): 685-688, 1996 May.
Article in English | MEDLINE | ID: mdl-28868708

ABSTRACT

For the evaluation of the hemodynamic interaction between the natural heart and an assist device, a reversible pharmacological model based on the channel blocker Verapamil under hyperkalemia, was developed for deterioration of left ventricular function. Four calves weighing 70-90 kg underwent standard implantation for left atrioaortal assist (BioMedicus, BP-80), pump anesthesia (oxygen/isoflurane [1%]; 8 mg/kg of BW/h keta-mine), and of ventricular demand pacing at 120 bpm. Left atrial pressure (LAP), ventricular pressure (LVP), aortic pressure (AoP), pulmonary arterial (Qpulm) pressures, and graft flow (Qgraft) were monitored. The hemodynamic effects of anesthetic overdose (2% Isoflurane) were compared with those of Verapamil (Isoptin: 0.2 mg/kg BW/h 5 mmol/kg of BW/h of KC1) medication. Both regimens caused a decrease in AoP to ≤50%. For Isoflurane, a slight reduction in cardiac output (CO) of 10% at a nearly constant LAP and a strong decrease of the peripheral resistance (Rperi) of 35% could be seen where Isoptin caused a significant reduction in CO of 40% at an increased LAP (+ 25%) and changes in Rperi of <10%. Because the vascular tonus remains nearly constant, the hemodynamic effects are controllable and reversible (antagonized with calcium chloride); thus we conclude that Verapamil administration under hyperkalemia conditions is a proper model for mimicking congestive heart failure with low systemic side effects.

17.
ASAIO J ; 38(3): M220-4, 1992.
Article in English | MEDLINE | ID: mdl-1457852

ABSTRACT

In centrifugal pumps, there always exists an area of stagnation between the rear of the rotor and the rear housing wall that promotes thrombus formation around the axle. Some current devices overcome the problem by using holes in the rotor plane, leading to increased hydrodynamic losses and shear stress. In this study, a simple apparatus was developed to overcome this problem. Guiding vanes were fixed to the rear housing wall. These vanes decrease the tangential velocity of the fluid and thus the centrifugal force, leading to an increased secondary flow toward the axle. The effect of such vanes was studied in videographic and ultrasound studies. An increase of washout and mixing between the flow layers could be demonstrated (stay time < 200 msec versus several seconds without vanes). In the first animal experiment using nonoptimized vanes, there was no thrombus at the back plane or the seal, and only a small thrombus at the transition between axle and rotor. Hemolysis was slightly elevated (3.2 mg/dl versus 2.5 mg/dl in control experiments). In conclusion, it is highly likely that this simple system will improve the flow characteristics in centrifugal pumps.


Subject(s)
Extracorporeal Circulation/instrumentation , Animals , Blood Flow Velocity , Cattle , Evaluation Studies as Topic , Extracorporeal Circulation/adverse effects , Extracorporeal Membrane Oxygenation/adverse effects , Extracorporeal Membrane Oxygenation/instrumentation , Heart-Assist Devices/adverse effects , Hemolysis , In Vitro Techniques , Regional Blood Flow , Thrombosis/prevention & control
18.
ASAIO J ; 40(3): M273-8, 1994.
Article in English | MEDLINE | ID: mdl-8555523

ABSTRACT

Dilated and varicose veins constricted with a Dacron mesh tube were successfully used as arterial bypass grafts to avoid nonautogenous vascular prostheses. Mesh constriction has also been used to adapt the venous graft lumen to the diameters of grafted arteries. The influence of the external mesh on the wall elasticity of such venous grafts and the reactions of the host artery were not investigated. Elastic properties of mesh constricted autologous veins used as arterial grafts in femoropopliteal reconstructions, as well as consecutive formation of distal anastomotic intimal hyperplasia (DAIH), were investigated in this experiment. Twenty-four autologous venous grafts were implanted in 12 sheep. Grafts were left natural (Groups 1 and 3) or were constricted with an external Dacron mesh (Groups 2 and 4); their diameters were left unchanged (Groups 1 and 2) or were matched to the diameter of the host artery (Groups 3 and 4). Wall elasticity of the graft, distal anastomosis, and distal artery were measured by locally applied crystal transducers during surgery and follow-up. Formation and localization of DAIH was evaluated histomorphologically after a median of 8.3 months. Graft wall elasticity was found to be lower (54.6 vs. 147.9, P = 0.006) and overall DAIH was found to be higher in mesh tube grafts (49.42 vs. 20.8 microns, P = 0.001, Mann-Whitney U-test). No differences in elasticity and DAIH formation were observed between grafts with adapted and large diameters. Constriction of venous grafts by a Dacron mesh tube reduces graft wall elasticity and promotes formation of DAIH. To avoid such an increased mismatch in compliance while making use of the advantages of this method, the external mesh tube must not be brought close to the distal anastomotic area itself.


Subject(s)
Arteries/surgery , Blood Vessel Prosthesis/methods , Veins/transplantation , Anastomosis, Surgical , Animals , Arteries/pathology , Arteries/physiopathology , Compliance , Constriction , Dilatation, Pathologic , Elasticity , Evaluation Studies as Topic , Hyperplasia , Polyethylene Terephthalates , Sheep , Transplantation, Autologous , Varicose Veins/pathology , Varicose Veins/physiopathology , Veins/pathology , Veins/physiopathology
19.
Int J Artif Organs ; 18(6): 340-4, 1995 Jun.
Article in English | MEDLINE | ID: mdl-8593970

ABSTRACT

Functional Electrical Stimulation (FES) requires information on the stimulated muscle for adjustment of the stimulation current, avoidance of muscle fatigue during the conditioning period and long term follow-up. Several applications of chronical FES are in clinical practice, but a system for direct registration of muscle activity under FES still does not exist. In six sheep the right Latissimus Dorsi Muscle (LDM) and Thoracodorsal Nerve were exposed. Stimulation electrodes were applied to each nerve and 3 EMG-applied sensing electrodes were placed into each LDM. The LDM tendon was connected to a force transducer. Burst stimulation was applied and the amplitude was increased from 0 to 4 mA in steps from burst to burst. EMG (M-wave) was amplified and recorded continuously via modified instrumentation amplifier, oscilloscope and tape recorder. Isometric muscle tension was recorded using force transducer, A/D interface and PC. Continuous EMG-recording was performed in all cases. Simultaneous recording of muscle tension and EMG revealed a close correlation (IrI=0.95, p < 0.0001) between the muscle strength and amplitude of the M-wave. Continuous recording of the EMG seems to be a reliable method for direct monitoring of the stimulated muscle. Three intramuscular electrodes can provide enough information to monitor FES induced muscle activity.


Subject(s)
Electric Stimulation , Electromyography , Muscle Contraction , Animals , Electric Stimulation/adverse effects , Electric Stimulation/instrumentation , Electromyography/instrumentation , Female , Microelectrodes , Monitoring, Physiologic/instrumentation , Monitoring, Physiologic/methods , Muscle Fatigue , Reproducibility of Results , Sheep , Software
20.
Int J Artif Organs ; 22(8): 573-82, 1999 Aug.
Article in English | MEDLINE | ID: mdl-10533914

ABSTRACT

Because of the closed plasma (secondary) circuit in the Microspheres based Detoxification System (MDS), a convective blood purification system, the same amount of filtrated plasma is backfiltrated into the blood circuit. Therefore, there is no direct way to determine the ultrafiltrate production rate, which is an important factor of efficiency. The only possible way to estimate the filtration properties of the filter is to consider pressure values. In this study the pressure distribution in the filter was investigated in vitro. To explain the results and to calculate inaccessible parameters, a mathematical model was established which also considered the asymmetric behaviour of the filter membrane. The result was a linear pressure gradient, agreement with the measurements was reasonably good (calculated primary pressure loss differs <13% from measured value when using mean measured filter resistance as model parameter). Linear pressure distribution offers the possibility of easily calculating the filtration length, a parameter which can be used to estimate the filter condition. The comparison between calculated filtration and backfiltration rates offers an instrument of control for these values.


Subject(s)
Membranes, Artificial , Models, Biological , Sorption Detoxification/methods , Adsorption , Animals , Cattle , In Vitro Techniques , Materials Testing , Micropore Filters , Microspheres , Permeability , Pressure , Sensitivity and Specificity , Sorption Detoxification/instrumentation , Viscosity
SELECTION OF CITATIONS
SEARCH DETAIL