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1.
Stem Cell Res Ther ; 9(1): 184, 2018 07 04.
Article in English | MEDLINE | ID: mdl-29973267

ABSTRACT

BACKGROUND: Mesenchymal stromal cells (MSCs) are promising cell therapy candidates. Clinical application is considered safe. However, minor side effects have included thromboembolism and instant blood-mediated inflammatory reactions suggesting an effect of MSC infusion on hemostasis. Previous studies focusing on plasmatic coagulation as a secondary hemostasis step detected both procoagulatory and anticoagulatory activities of MSCs. We now focus on primary hemostasis and analyzed whether MSCs can promote or inhibit platelet activation. METHODS: Effects of MSCs and MSC supernatant on platelet activation and function were studied using flow cytometry and further platelet function analyses. MSCs from bone marrow (BM), lipoaspirate (LA) and cord blood (CB) were compared to human umbilical vein endothelial cells or HeLa tumor cells as inhibitory or activating cells, respectively. RESULTS: BM-MSCs and LA-MSCs inhibited activation and aggregation of stimulated platelets independent of the agonist used. This inhibitory effect was confirmed in diagnostic point-of-care platelet function analyses in platelet-rich plasma and whole blood. Using inhibitors of the CD39-CD73-adenosine axis, we showed that adenosine produced by CD73 ectonucleotidase activity was largely responsible for the LA-MSC and BM-MSC platelet inhibitory action. With CB-MSCs, batch-dependent responses were obvious, with some batches exerting inhibition and others lacking this effect. CONCLUSIONS: Studies focusing on plasmatic coagulation suggested both procoagulatory and anticoagulatory activities of MSCs. We now show that MSCs can, dependent on their tissue origin, inhibit platelet activation involving adenosine converted from adenosine monophosphate by CD73 ectonucleotidase activity. These data may have strong implications for safety and risk/benefit assessment regarding MSCs from different tissue sources and may help to explain the tissue protective mode of action of MSCs. The adenosinergic pathway emerges as a key mechanism by which MSCs exert hemostatic and immunomodulatory functions.


Subject(s)
5'-Nucleotidase/metabolism , Adenosine/metabolism , Mesenchymal Stem Cells/cytology , Mesenchymal Stem Cells/metabolism , Platelet Activation/physiology , Flow Cytometry , Humans
2.
Indoor Air ; 28(1): 28-39, 2018 Jan.
Article in English | MEDLINE | ID: mdl-28922584

ABSTRACT

Mold particles from Aspergillus fumigatus, Penicillium chrysogenum, Aspergillus versicolor, and Stachybotrys chartarum have been linked to respiratory-related diseases. We characterized X-ray-inactivated spores and hyphae fragments from these species by number of particles, morphology, and mycotoxin, ß-glucan and protease content/activity. The pro-inflammatory properties of mold particles were examined in human bronchial epithelial cells (BEAS-2B) and THP-1 monocytes and phorbol 12-myristate 13-acetate (PMA)-differentiated THP-1. Spores from P. chrysogenum and S. chartarum contained some hyphae fragments, whereas the other preparations contained either spores or hyphae. Each mold species produced mainly one gelatin-degrading protease that was either of the metallo- or serine type, while one remains unclassified. Mycotoxin levels were generally low. Detectable levels of ß-glucans were found mainly in hyphae particle preparations. PMA-differentiated THP-1 macrophages were by far the most sensitive model with effects in the order of 10 ng/cm2 . Hyphae preparations of A. fumigatus and P. chrysogenum were more potent than respective spore preparations, whereas the opposite seems to be true for A. versicolor and S. chartarum. Hyphae fragments of A. fumigatus, P. chrysogenum, and A. versicolor enhanced the release of metalloprotease (proMMP-9) most markedly. In conclusion, species, growth stage, and characteristics are all important factors for pro-inflammatory potential.


Subject(s)
Aspergillus fumigatus/immunology , Hyphae/immunology , Penicillium chrysogenum/immunology , Spores, Fungal/immunology , Stachybotrys/immunology , Aspergillus fumigatus/chemistry , Cytokines/analysis , Humans , Hyphae/chemistry , Macrophages/enzymology , Monocytes/enzymology , Mycotoxins/analysis , Particle Size , Penicillium chrysogenum/chemistry , Peptide Hydrolases/analysis , Spores, Fungal/chemistry , Stachybotrys/chemistry , THP-1 Cells , beta-Glucans/analysis
3.
Sci Rep ; 6: 39659, 2016 12 21.
Article in English | MEDLINE | ID: mdl-28000769

ABSTRACT

Chest trauma has a significant relevance on outcome after severe trauma. Clinically, impaired lung function typically occurs within 72 hours after trauma. However, the underlying pathophysiological mechanisms are still not fully elucidated. Therefore, we aimed to establish an experimental long-term model to investigate physiological, morphologic and inflammatory changes, after severe trauma. Male pigs (sus scrofa) sustained severe trauma (including unilateral chest trauma, femur fracture, liver laceration and hemorrhagic shock). Additionally, non-injured animals served as sham controls. Chest trauma resulted in severe lung damage on both CT and histological analyses. Furthermore, severe inflammation with a systemic increase of IL-6 (p = 0.0305) and a local increase of IL-8 in BAL (p = 0.0009) was observed. The pO2/FiO2 ratio in trauma animals decreased over the observation period (p < 0.0001) but not in the sham group (p = 0.2967). Electrical Impedance Tomography (EIT) revealed differences between the traumatized and healthy lung (p < 0.0001). In conclusion, a clinically relevant, long-term model of blunt chest trauma with concomitant injuries has been developed. This reproducible model allows to examine local and systemic consequences of trauma and is valid for investigation of potential diagnostic or therapeutic options. In this context, EIT might represent a radiation-free method for bedside diagnostics.


Subject(s)
Thoracic Injuries/diagnostic imaging , Wounds, Nonpenetrating/diagnostic imaging , Animals , Bronchoalveolar Lavage Fluid , Disease Models, Animal , Electric Impedance , Hemodynamics , Inflammation/pathology , Interleukin-6/metabolism , Interleukin-8/metabolism , Lung/physiopathology , Lung Injury/physiopathology , Male , Multiple Trauma/physiopathology , Shock, Hemorrhagic/pathology , Swine , Thoracic Injuries/physiopathology , Tomography , Tomography, X-Ray Computed , Wounds, Nonpenetrating/physiopathology
4.
Folia Morphol (Warsz) ; 74(1): 133-6, 2015.
Article in English | MEDLINE | ID: mdl-25792408

ABSTRACT

The persistent trigeminal artery (PTA) is a rare remnant of the embryonic intracranial circulatory system that forms a carotid-vertebrobasilar anastomosis. In most cases PTA does not have clear clinical implications. However, some authors report the association of PTA occurrence with vertigo, dizziness and nerve palsy, resulting in diplopia, strabismus or trigeminal neuralgia in patients. In rare cases it may also be related to posterior cerebral circulation strokes. This work reports the case of a female patient who presented with migraine-like headache and an ischaemic lesion in the left temporal lobe in association with PTA.

5.
Arch Toxicol ; 89(11): 1993-2005, 2015 Nov.
Article in English | MEDLINE | ID: mdl-25209565

ABSTRACT

A direct, fast and sensitive LC-MS/MS method was developed to measure biomarkers for mycotoxin exposure in human urine. In total, 32 biomarkers were quantitatively or semi-quantitatively measured in 32 urine samples of Belgian volunteers using two injections. All urine samples contained deoxynivalenol-15-glucuronide, the major detoxification metabolite of deoxynivalenol, in the ng/mL range. Also deoxynivalenol-3-glucuronide and de-epoxy-deoxynivalenol-glucuronide were present in, respectively, 90 and 25% of the samples, while deoxynivalenol was detected in 60% of the samples, in lower concentrations. Deoxynivalenol glucuronides were the major biomarkers for deoxynivalenol exposure. Ochratoxin A was detected in 70% of the samples in pg/mL. Citrinin and/or dihydrocitrinone were detected in 90% of the samples, also in concentrations of pg/mL. The presence of ochratoxin A and citrinin was confirmed by a second method using sample cleanup by immunoaffinity columns, followed by LC-MS/MS. Our data show that humans are much more exposed to citrinin than realized before and suggest further work on citrinin exposure in relation with ochratoxin A exposure, as both mycotoxins are nephrotoxic.


Subject(s)
Chromatography, Liquid/methods , Mycotoxins/urine , Tandem Mass Spectrometry/methods , Trichothecenes/urine , Adult , Belgium , Biomarkers/urine , Citrinin/analogs & derivatives , Citrinin/urine , Female , Glucuronides/urine , Humans , Male , Ochratoxins/urine
6.
J Mech Behav Biomed Mater ; 29: 360-74, 2014 Jan.
Article in English | MEDLINE | ID: mdl-24184860

ABSTRACT

This paper presents an improved identification method of the constitutive properties of lung parenchyma. We aim to determine the non-linear viscoelastic behavior of lung parenchyma with a particular focus on the compressible properties - i.e. the ability to change volume. Uniaxial tensile tests are performed on living precision-cut rat lung slices. Image registration is used to compute the displacement field at the surface of the sample. The constitutive model consists of a hyperelastic potential split into volumetric and isochoric contributions and a viscous contribution. This allows for the description of the experimentally observed hysteresis loop. The identification is performed numerically: each test is simulated using the realistic geometry of the sample; the difference between the measured and computed displacements is minimized with an optimization algorithm. We compare several hyperelastic potentials and we can determine the most suitable law for rat lung parenchyma. An exponential potential or a polynomial potential with a first order term and a third or higher order term give similarly satisfactory results. The identified parameters are: for the volumetric contribution: κ=7.25e4Pa, for the exponential form: k1=4.34e3Pa, k2=5.92, for the polynomial form: C1=2.87e3Pa, C3=3.83e4Pa. The identification of the time parameter for the viscous contribution shows that it depends on the loading frequency (0.2Hz: τ=0.257s, 0.4Hz: τ=0.123s, 0.8Hz: τ=0.050s). Adding a viscous contribution significantly increases the accuracy of the identification.


Subject(s)
Elasticity , Finite Element Analysis , Image Processing, Computer-Assisted , Lung , Materials Testing , Nonlinear Dynamics , Tensile Strength , Animals , Rats , Viscosity
7.
Folia Morphol (Warsz) ; 72(2): 107-12, 2013 May.
Article in English | MEDLINE | ID: mdl-23740496

ABSTRACT

Bowing of the interventricular septum (IVS) is a sign of severe pulmonary embolism(PE); however, it is affected by high interobserver variability. The aim of the study was to evaluate the application of volumetric reconstructions of the right ventricle for assessment of IVS position regarding its accuracy in identifying right ventricular dysfunction, as well as interobserver agreement in evaluating this sign.IVS bowing was evaluated with multiplanar reformations (MPR) and volumetric reconstruction (VR, volume rendering) by 2 observers. The accuracy of IVS bowing sign was better for VR-based assessment; however, it was not significantly better than the MPR-based evaluation. Interobserver agreement was found to be fair (kappa = 0.381) for the MPR-based grading of IVS position as normal orabnormal, while it was significantly better for the VR method (kappa = 0.629,p < 0.001). The VR-based method may improve utilisation of IVS bowing sign inpatients with PE.


Subject(s)
Heart Ventricles/diagnostic imaging , Pulmonary Embolism/complications , Pulmonary Embolism/diagnostic imaging , Ventricular Septum/diagnostic imaging , Adult , Aged , Aged, 80 and over , Angiography/methods , Female , Heart Ventricles/pathology , Humans , Male , Middle Aged , Observer Variation , Pulmonary Embolism/pathology , Radiographic Image Interpretation, Computer-Assisted , Tomography, X-Ray Computed , Ventricular Septum/pathology
8.
Br J Anaesth ; 107(3): 388-97, 2011 Sep.
Article in English | MEDLINE | ID: mdl-21652617

ABSTRACT

BACKGROUND: Setting and strategies of mechanical ventilation with positive end-expiratory pressure (PEEP) in acute lung injury (ALI) remains controversial. This study compares the effects between lung-protective mechanical ventilation according to the Acute Respiratory Distress Syndrome Network recommendations (ARDSnet) and the open lung approach (OLA) on pulmonary function and inflammatory response. METHODS: Eighteen juvenile pigs were anaesthetized, mechanically ventilated, and instrumented. ALI was induced by surfactant washout. Animals were randomly assigned to mechanical ventilation according to the ARDSnet protocol or the OLA (n=9 per group). Gas exchange, haemodynamics, pulmonary blood flow (PBF) distribution, and respiratory mechanics were measured at intervals and the lungs were removed after 6 h of mechanical ventilation for further analysis. RESULTS: PEEP and mean airway pressure were higher in the OLA than in the ARDSnet group [15 cmH(2)O, range 14-18 cmH(2)O, compared with 12 cmH(2)O; 20.5 (sd 2.3) compared with 18 (1.4) cmH(2)O by the end of the experiment, respectively], and OLA was associated with improved oxygenation compared with the ARDSnet group after 6 h. OLA showed more alveolar overdistension, especially in gravitationally non-dependent regions, while the ARDSnet group was associated with more intra-alveolar haemorrhage. Inflammatory mediators and markers of lung parenchymal stress did not differ significantly between groups. The PBF shifted from ventral to dorsal during OLA compared with ARDSnet protocol [-0.02 (-0.09 to -0.01) compared with -0.08 (-0.12 to -0.06), dorsal-ventral gradients after 6 h, respectively]. CONCLUSIONS: According to the OLA, mechanical ventilation improved oxygenation and redistributed pulmonary perfusion when compared with the ARDSnet protocol, without differences in lung inflammatory response.


Subject(s)
Acute Lung Injury/therapy , Respiration, Artificial/methods , Respiratory Distress Syndrome/therapy , Acute Lung Injury/pathology , Acute Lung Injury/physiopathology , Animals , Female , Interleukin-6/genetics , Interleukin-8/blood , Lung/pathology , Positive-Pressure Respiration , Pulmonary Circulation , Pulmonary Gas Exchange , RNA, Messenger/analysis , Stress, Mechanical , Swine
9.
J Appl Physiol (1985) ; 111(3): 791-8, 2011 Sep.
Article in English | MEDLINE | ID: mdl-21700889

ABSTRACT

Bronchoconstriction is a characteristic symptom of various chronic obstructive respiratory diseases such as chronic obstructive pulmonary disease and asthma. Precision-cut lung slices (PCLS) are a suitable ex vivo model to study physiological mechanisms of bronchoconstriction in different species. In the present study, we established an ex vivo model of bronchoconstriction in nonhuman primates (NHPs). PCLS prepared from common marmosets, cynomolgus macaques, rhesus macaques, and anubis baboons were stimulated with increasing concentrations of representative bronchoconstrictors: methacholine, histamine, serotonin, leukotriene D4 (LTD4), U46619, and endothelin-1. Alterations in the airway caliber were measured and compared with previously published data from rodents, guinea pigs, and humans. Methacholine induced maximal airway constriction, varying between 74 and 88% in all NHP species, whereas serotonin was ineffective. Histamine induced maximal bronchoconstriction of 77 to 90% in rhesus macaques, cynomolgus macaques, and baboons and a lesser constriction of 53% in marmosets. LTD4 was ineffective in marmosets and rhesus macaques but induced a maximum constriction of 44 to 49% in cynomolgus macaques and baboons. U46619 and endothelin-1 caused airway constriction in all NHP species, with maximum constrictions of 65 to 91% and 70 to 81%, respectively. In conclusion, PCLS from NHPs represent a valuable ex vivo model for studying bronchoconstriction. All NHPs respond to mediators relevant to human airway disorders such as methacholine, histamine, U46619, and endothelin-1 and are insensitive to the rodent mast cell product serotonin. Only PCLS from cynomolgus macaques and baboons, however, responded also to leukotrienes, suggesting that among all compared species, these two NHPs resemble the human airway mechanisms best.


Subject(s)
Bronchoconstriction , Lung/physiology , Animals , Bronchoconstriction/drug effects , Bronchoconstrictor Agents/pharmacology , Callithrix , Dose-Response Relationship, Drug , Female , Guinea Pigs , Humans , Lung/drug effects , Macaca fascicularis , Macaca mulatta , Male , Mice , Microscopy, Video , Papio , Rats , Species Specificity
10.
J Mech Behav Biomed Mater ; 4(4): 583-92, 2011 May.
Article in English | MEDLINE | ID: mdl-21396607

ABSTRACT

We describe a novel constitutive model of lung parenchyma, which can be used for continuum mechanics based predictive simulations. To develop this model, we experimentally determined the nonlinear material behavior of rat lung parenchyma. This was achieved via uni-axial tension tests on living precision-cut rat lung slices. The resulting force-displacement curves were then used as inputs for an inverse analysis. The Levenberg-Marquardt algorithm was utilized to optimize the material parameters of combinations and recombinations of established strain-energy density functions (SEFs). Comparing the best-fits of the tested SEFs we found Wpar = 4.1 kPa(I1-3)2 + 20.7 kPa(I1 - 3)3 + 4.1 kPa(-2 ln J + J2 - 1) to be the optimal constitutive model. This SEF consists of three summands: the first can be interpreted as the contribution of the elastin fibers and the ground substance, the second as the contribution of the collagen fibers while the third controls the volumetric change. The presented approach will help to model the behavior of the pulmonary parenchyma and to quantify the strains and stresses during ventilation.


Subject(s)
Lung/cytology , Materials Testing/methods , Models, Biological , Animals , Female , Rats , Rats, Wistar , Stress, Mechanical
11.
J Appl Physiol (1985) ; 108(3): 713-21, 2010 Mar.
Article in English | MEDLINE | ID: mdl-20075265

ABSTRACT

The mechanical forces acting on lung parenchyma during (mechanical) ventilation and its (patho)physiological consequences are currently under intense scrutiny. Several in vivo and cell culture models have been developed to study the pulmonary responses to mechanical stretch. While providing extremely useful information, these models do also suffer from limitations in being either too complex for detailed mechanical or mechanistic studies, or in being devoid of the full complexity present in vivo (e.g., different cell types and interstitial matrix). Therefore in the present study it was our aim to develop a new model, based on the biaxial stretching of precision-cut lung slices (PCLS). Single PCLS were mounted on a thin and flexible carrier membrane of polydimethylsiloxane (PDMS) in a bioreactor, and the membrane was stretched by applying varying pressures under static conditions. Distension of the membrane-PCLS construct was modeled via finite element simulation. According to this analysis, lung tissue was stretched by up to 38% in the latitudinal and by up to 44% in the longitudinal direction, resulting in alveolar distension similar to what has been described in intact lungs. Stretch for 5 min led to increased cellular calcium levels. Lung slices were stretched dynamically with a frequency of 15/min for 4 h without causing cell injury {3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide (MTT) test; live/dead straining}. These findings suggest that stretching of PCLS on PDMS-membranes may represent a useful model to investigate lung stretch in intact lung tissue in vitro for several hours.


Subject(s)
Bioreactors , Lung/physiology , Mechanotransduction, Cellular , Tissue Culture Techniques/instrumentation , Animals , Calcium/metabolism , Cell Survival , Dimethylpolysiloxanes/chemistry , Equipment Design , Female , Finite Element Analysis , Lung/cytology , Models, Biological , Pressure , Rats , Rats, Wistar , Stress, Mechanical , Time Factors , Transducers, Pressure
12.
Eur Respir J ; 36(2): 417-27, 2010 Aug.
Article in English | MEDLINE | ID: mdl-19926744

ABSTRACT

Platelet-activating factor (PAF) is a mediator of pulmonary oedema in acute lung injury that increases vascular permeability within minutes, partly through activation of acid sphingomyelinase (ASM). Since caveolae are rich in sphingomyelin and caveolin-1, which block endothelial nitric oxide (NO) synthase (eNOS) by direct binding, we examined the relationship between ASM, caveolin-1 and eNOS activity in the regulation of vascular permeability by PAF. In caveolar fractions from pulmonary vascular endothelial cells (isolated from perfused rat lungs) the abundance of caveolin-1 and eNOS increased rapidly after PAF perfusion. PAF treatment decreased endothelial NO (eNO) formation as assessed by in situ fluorescence microscopy. Restoration of eNO levels with PAPA-NONOate ((Z)-1-[N-(3-ammoniopropyl)-N-(n-propyl)amino]diazen-1-ium-1,2-diolate) mitigated the PAF-induced oedema. PAF treatment increased the ASM activity in caveolar fractions and perfusion with ASM decreased eNO production. Pharmacological inhibition of the ASM pathway with imipramine, D609 or dexamethasone blocked the PAF-induced increase of caveolin-1 and eNOS in caveolae, and the decrease in eNO production and oedema formation. We conclude that PAF causes ASM-dependent enrichment of caveolin-1 in caveolae of endothelial cells, leading to decreased eNO production which contributes to pulmonary oedema formation. These findings suggest rapid reduction in eNO production as a novel mechanism in the regulation of vascular permeability.


Subject(s)
Nitric Oxide Synthase Type III/metabolism , Nitric Oxide/metabolism , Platelet Activating Factor/metabolism , Sphingomyelin Phosphodiesterase/metabolism , Animals , Capillary Permeability , Caveolin 1/biosynthesis , Dexamethasone/pharmacology , Hydrazines/pharmacology , Lung/pathology , Male , Nitric Oxide/pharmacology , Pulmonary Edema/pathology , Rats , Rats, Sprague-Dawley , Steroids/chemistry
13.
Ultraschall Med ; 31(1): 53-62, 2010 Feb.
Article in English, German | MEDLINE | ID: mdl-19582661

ABSTRACT

PURPOSE: Conventional sonography at 2 - 10 MHz cannot permeate the chest because ultrasound at this frequency is strongly scattered and reflected by air inclusions in the lungs. Therefore, sonography is considered impracticable for thoracic imaging. However, human thoraxes and lungs in situ were never rigorously probed with ultrasound at frequencies below 1 MHz. In addition, ultrasound is commonly applied as echo imaging rather than sound transmission. MATERIALS AND METHODS: Human subjects were studied with a transducer detector pair or an elastic thorax belt equipped with 12 sensors 5 cm apart that was wrapped around the thorax and a single pulse transmitter attached to the sternum. We focused on fast ultrasound transmission from 1 kHz to 1 MHz, coupled over thoracic sonotrodes. RESULTS: Between 1 Hz to 1 MHz, sound transmission through thorax and lungs shows three distinct bands: < 1 kHz sound is transmitted at 30 - 50 m/sec, between 1 - 10 kHz sound transmission is absent and > 10 kHz sound is transmitted with a speed of 1500 m/sec. We demonstrate that low-frequency ultrasound (10 - 750 kHz) can permeate the thorax and permits monitoring of the air and water content of human lungs. In healthy subjects at 15 kHz, the difference in sound transmission through thorax and lungs between inspiration and expiration was dynamic and spanned several decades. Sound transmission during expiration was strongly decreased in patients suffering from pulmonary emphysema or pneumothorax, but increased in patients with pleural effusions. CONCLUSION: Sound transmission in the lungs is characterized by three distinct frequency bands. Low frequency ultrasound is transmitted through the lungs and may offer a novel non-invasive approach to real time diagnostics.


Subject(s)
Extravascular Lung Water/diagnostic imaging , Image Processing, Computer-Assisted/instrumentation , Lung Diseases/diagnostic imaging , Lung/diagnostic imaging , Monitoring, Physiologic/instrumentation , Pulmonary Emphysema/diagnostic imaging , Transducers , Ultrasonography/instrumentation , Adult , Aged , Aged, 80 and over , Exhalation/physiology , Female , Humans , Inhalation/physiology , Lung Volume Measurements , Male , Middle Aged , Pleural Effusion/diagnostic imaging , Pneumothorax/diagnostic imaging , Pulmonary Disease, Chronic Obstructive/diagnostic imaging , Pulmonary Fibrosis/diagnostic imaging , Reference Values , Sarcoidosis, Pulmonary/diagnostic imaging , Sensitivity and Specificity , Sound Spectrography/instrumentation
14.
Folia Morphol (Warsz) ; 68(4): 290-3, 2009 Nov.
Article in English | MEDLINE | ID: mdl-19950082

ABSTRACT

Quadricuspid pulmonary valve (QPV) is an uncommon congenital defect reported in the general population with a frequency of up to 0.25%. The defect usually does not cause severe clinical complications and its presence frequently remains clinically silent. Moreover, there are several difficulties in visualization of pulmonary valve using basic diagnostic modalities such as echocardiography. Therefore, in the majority of cases, QPV is detected accidentally during cardiac procedures or post mortem. The authors present a case of QPV complicated with aneurysm of the pulmonary trunk, diagnosed with computed tomography in 70-year-old woman. Although the patient had undergone transthoracic echocardiography examinations several times in the past, only computed tomography allowed the detection of the anomalous valve. In addition, the examination confirmed aneurysm of the pulmonary trunk. To the best of our knowledge, this is the first case of QPV diagnosed in vivo with computed tomography.


Subject(s)
Aneurysm/diagnostic imaging , Pulmonary Artery/diagnostic imaging , Pulmonary Valve Insufficiency/diagnostic imaging , Pulmonary Valve/abnormalities , Aged , Electrocardiography/methods , Female , Humans , Pulmonary Valve/diagnostic imaging , Pulmonary Valve Insufficiency/complications , Tomography, X-Ray Computed/methods
15.
Toxicol Sci ; 106(2): 444-53, 2008 Dec.
Article in English | MEDLINE | ID: mdl-18775882

ABSTRACT

A wide range of industrial chemicals can induce respiratory allergic reactions. Hence, there is an urgent need for methods identifying and characterizing the biological action of chemicals in the lung. Here, we present an easy, reliable alternative method to measure lung function changes ex vivo after exposure to chemical allergens and compare this to invasive in vivo measurements after sensitization with the industrial chemicals trimellitic anhydride (TMA) and 2,4-dinitrochlorobenzene (DNCB). Female BALB/c mice were sensitized epicutaneously with the respiratory allergen TMA and the contact sensitizer DNCB. The early allergic response to TMA and DNCB was registered in vivo and ex vivo on day 21 after inhalational challenge with dry standardized aerosols or after exposure of precision-cut lung slices (PCLS) to dissolved allergen. Airway hyperresponsiveness (AHR) to increasing doses of methacholine (MCh) was measured on the next day in vivo and ex vivo. Bronchoalveolar lavage (BAL) was performed for immunological characterization of local inflammation. TMA-sensitized mice showed AHR to MCh in vivo (ED(50): 0.06 microg MCh vs. 0.21 microg MCh in controls) and in PCLS (EC(50): 0.24 microM MCh vs. 0.4 microM MCh). TMA-treated animals showed increased numbers of eosinophils (12.8 x 10(4) vs. 0.7 x 10(4)) and elevated eotaxin-2 concentrations (994 pg/ml vs. 167 pg/ml) in BAL fluid 24 h after allergen challenge. In contrast, none of these parameters differed after sensitization with DNCB. The present study suggests that the effects of low molecular weight allergens, like TMA and DNCB, on ex vivo lung functions tested in PCLS reflect the in vivo situation.


Subject(s)
Allergens/toxicity , Dinitrochlorobenzene/toxicity , Lung/drug effects , Methacholine Chloride/toxicity , Phthalic Anhydrides/toxicity , Animals , Bronchial Hyperreactivity , Bronchoalveolar Lavage Fluid , Bronchoconstriction/drug effects , Dose-Response Relationship, Drug , Enzyme-Linked Immunosorbent Assay , Female , In Vitro Techniques , Lung/physiology , Mice , Mice, Inbred BALB C , Pneumonia/chemically induced , Respiratory Function Tests
16.
Folia Morphol (Warsz) ; 67(2): 126-8, 2008 May.
Article in English | MEDLINE | ID: mdl-18521811

ABSTRACT

An atrial septal aneurysm (ASA) is an uncommon cardiac abnormality. Clinical manifestation of this abnormality remains unclear: some authors have suggested an association between ASA and arrhythmias or between ASA and cerebral ischaemia. A major role in the diagnosis of ASA to date has been played by transoesophageal echocardiography and transthoracic echocardiography. The purpose of this paper is to present the role of multi-slice computed tomography with ECG gating in the detection and analysis of ASA.


Subject(s)
Electrocardiography , Heart Aneurysm , Heart Atria , Heart Septum , Tomography, X-Ray Computed , Female , Heart Aneurysm/diagnosis , Heart Aneurysm/diagnostic imaging , Heart Atria/diagnostic imaging , Heart Atria/pathology , Heart Septum/diagnostic imaging , Heart Septum/pathology , Humans , Male
17.
Toxicol Appl Pharmacol ; 231(1): 68-76, 2008 Aug 15.
Article in English | MEDLINE | ID: mdl-18504053

ABSTRACT

The aim of this study was the establishment of precision-cut lung slices (PCLS) as a suitable ex vivo alternative approach to animal experiments for investigation of immunomodulatory effects. For this purpose we characterized the changes of cytokine production and the expression of cell surface markers after incubation of PCLS with immunoactive substances lipopolysaccharide (LPS), macrophage-activating lipopeptide-2 (MALP-2), interferon gamma (IFNgamma), and dexamethasone. Viability of PCLS from wild-type and CD11c-enhanced yellow fluorescent protein (CD11-EYFP)-transgenic mice was controlled by measurement of lactate dehydrogenase (LDH) enzyme activity and live/dead fluorescence staining using confocal microscopy. Cytokines and chemokines were detected with Luminex technology and ELISA. Antigen presenting cell (APC) markers were investigated in living mouse PCLS in situ using confocal microscopy. LPS triggered profound pro-inflammatory effects in PCLS. Dexamethasone prevented LPS-induced production of cytokines/chemokines such as interleukin (IL)-5, IL-1alpha, TNFalpha, IL-12(p40), and RANTES in PCLS. Surface expression of MHC class II, CD40, and CD11c, but not CD86 was present in APCs of naive PCLS. Incubation with LPS enhanced specifically the expression of MHC class II on diverse cells. MALP-2 only failed to alter cytokine or chemokine levels, but was highly effective in combination with IFNgamma resulting in increased levels of TNFalpha, IL-12(p40), RANTES, and IL-1alpha. PCLS showed characteristic responses to typical pro-inflammatory stimuli and may thus provide a suitable ex vivo technique to predict the immunomodulatory potency of inhaled substances.


Subject(s)
Immunity/physiology , Lung/immunology , Animals , Anti-Inflammatory Agents/pharmacology , Cell Survival , Chemokines/biosynthesis , Cytokines/biosynthesis , Dexamethasone/pharmacology , Enzyme-Linked Immunosorbent Assay , Ethidium , Female , Fluoresceins , Fluorescent Dyes , Image Processing, Computer-Assisted , Interferon-gamma/pharmacology , Lipopeptides , Lipopolysaccharides/pharmacology , Mice , Mice, Inbred BALB C , Mice, Inbred C57BL , Oligopeptides/pharmacology , Tissue Culture Techniques
18.
Eur Respir J ; 30(5): 865-77, 2007 Nov.
Article in English | MEDLINE | ID: mdl-17626110

ABSTRACT

Histone acetylation and deacetylation promote and repress gene transcription, respectively. Recruitment of histone deacetylases (HDAC) to sites of inflammatory gene transcription has been proposed to explain part of the anti-inflammatory activity of steroids. To examine whether this concept extends to other inflammatory conditions, the current authors investigated the role of histone acetylation and the effects of steroids on the ventilation-induced induction of pro-inflammatory genes. Isolated perfused mouse lungs were ventilated for 180 min with low peak inspiratory pressure of 10 cmH(2)O or high peak inspiratory pressure of 22.5 cmH(2)O (overventilation) and treated with the HDAC inhibitor trichostatin A (TSA), the steroid dexamethasone or both. Overventilation increased histone acetylation at H4K12, as well as gene and protein expression of tumour necrosis factor (TNF), macrophage inflammatory protein (MIP)-2alpha and interleukin (IL)-6; these effects were reversed by dexamethasone. In the presence or absence of dexamethasone, TSA enhanced overventilation-induced induction of TNF and MIP-2alpha, but decreased that of IL-6, indicating that the effects of HDAC are gene dependent. Thus, H4K12 acetylation and its regulation by steroids may be relevant for inflammatory gene transcription during overventilation. Histone deacetylases appear to play an important gene-dependent regulatory role in this process, with the caveat that histones are not the only substrates of histone deacetylase isoenzymes.


Subject(s)
Dexamethasone/pharmacology , Histone Deacetylases/metabolism , Hydroxamic Acids/pharmacology , Lung/metabolism , Transcription Factors/metabolism , Acetylation , Analysis of Variance , Animals , Apoptosis , Chemokine CXCL2/genetics , Chemokine CXCL2/metabolism , Female , Immunoblotting , Interleukin-6/genetics , Interleukin-6/metabolism , Mice , Mice, Inbred BALB C , Proportional Hazards Models , Respiration, Artificial , Tumor Necrosis Factor-alpha/genetics , Tumor Necrosis Factor-alpha/metabolism
19.
Folia Morphol (Warsz) ; 66(1): 74-7, 2007 Feb.
Article in English | MEDLINE | ID: mdl-17533598

ABSTRACT

A retro-oesophageal course of the right subclavian artery is referred to as "arteria lusoria". It may be related to severe compression of the trachea and oesophagus, typically resulting in impaired swallowing. The paper presents two patients with arteria lusoria, which in one patient was an aberrant right subclavian artery and in the other an aberrant left subclavian artery, originating from the right-sided aortic arch. In both cases the diagnosis was made with multi-slice computed tomography. The embryology of the anomalies and clinical status of the patients is discussed. Arteria lusoria should be considered in differential diagnosis in patients with dyspnoea and dysphagia. Multi-slice computed tomography allows this anatomical variant to be reliably visualised.


Subject(s)
Aorta, Thoracic/abnormalities , Aorta, Thoracic/anatomy & histology , Cardiovascular Abnormalities/diagnostic imaging , Subclavian Artery/abnormalities , Adult , Cardiovascular Abnormalities/complications , Cardiovascular Abnormalities/pathology , Deglutition Disorders/etiology , Diagnosis, Differential , Dyspnea/etiology , Female , Humans , Middle Aged , Tomography, Spiral Computed
20.
J Hazard Mater ; 148(1-2): 199-209, 2007 Sep 05.
Article in English | MEDLINE | ID: mdl-17382467

ABSTRACT

In a long-term program polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDD/Fs) as well as dioxin-like polychlorinated biphenyls (DL-PCBs) were analyzed in the muscle tissue of eels (Anguilla anguilla), bream (Abramis brama), European chub (Leuciscus cephalus) and ide (Leuciscus idus) from the river Elbe and its tributaries Mulde and Saale. The variation of the PCDD/F and DL-PCB concentrations in all fish samples is very large, whereby the DL-PCBs predominate in comparison to the PCDD/Fs. In the eels, the concentrations (pg WHO-TEQ/g ww) for the PCDD/Fs lie in the range of 0.48-22 and for the DL-PCBs between 8.5 and 59. In the whitefish, the concentration range is 0.48-12 for the PCDD/Fs and 1.2-14 for the DL-PCBs. Statistical analysis using relative congener patterns for PCDD/Fs allow spatial correlations to be examined for sub-populations of eels and whitefish. The results are compared to the maximum levels laid down in the European Commission Regulation (EC) No. 466/2001 and the action levels of the European Commission Recommendation 2006/88/EC. Eels caught directly after the major flood in August 2002 as well as eels near Hamburg (years 1996 and 1998) show high concentration peaks. Compared to the eels whitefish is less contaminated with PCDD/Fs and DL-PCBs.


Subject(s)
Environmental Monitoring/methods , Industrial Waste/analysis , Polychlorinated Biphenyls/analysis , Polychlorinated Dibenzodioxins/analogs & derivatives , Rivers/chemistry , Water Pollutants, Chemical/analysis , Animals , Fishes , Germany , Polychlorinated Dibenzodioxins/analysis
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