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1.
iScience ; 26(11): 108258, 2023 Nov 17.
Artículo en Inglés | MEDLINE | ID: mdl-38026174

RESUMEN

Alternative splicing is a prevalent gene-regulatory mechanism, with over 95% of multi-exon human genes estimated to be alternatively spliced. Here, we describe a tissue-specific, developmentally regulated, highly conserved, and disease-associated alternative splicing event in exon 7 of the eyes absent homolog 3 (Eya3) gene. We discovered that EYA3 expression is vital to the proliferation and differentiation of myoblasts. Genome-wide transcriptomic analysis and mass spectrometry-based proteomic studies identified SIX homeobox 4 (SIX4) and zinc finger and BTB-domain containing 1 (ZBTB1), as major transcription factors that interact with EYA3 to dictate gene expression. EYA3 isoforms differentially regulate transcription, indicating that splicing aids in temporal control of gene expression during muscle cell differentiation. Finally, we identified RNA-binding fox-1 homolog 2 (RBFOX2) as the main regulator of EYA3 splicing. Together, our findings illustrate the interplay between alternative splicing and transcription during myogenesis.

3.
Commun Biol ; 5(1): 987, 2022 09 19.
Artículo en Inglés | MEDLINE | ID: mdl-36123433

RESUMEN

Alternative splicing is an RNA processing mechanism involved in skeletal muscle development and pathology. Muscular diseases exhibit splicing alterations and changes in mechanobiology leading us to investigate the interconnection between mechanical forces and RNA processing. We performed deep RNA-sequencing after stretching muscle cells. First, we uncovered transcriptional changes in genes encoding proteins involved in muscle function and transcription. Second, we observed that numerous mechanosensitive genes were part of the MAPK pathway which was activated in response to stretching. Third, we revealed that stretching skeletal muscle cells increased the proportion of alternatively spliced cassette exons and their inclusion. Fourth, we demonstrated that the serine and arginine-rich proteins exhibited stronger transcriptional changes than other RNA-binding proteins and that SRSF4 phosphorylation is mechanosensitive. Identifying SRSF4 as a mechanosensitive RNA-binding protein that might contribute to crosstalk between mechanotransduction, transcription, and splicing could potentially reveal novel insights into muscular diseases, particularly those with unknown etiologies.


Asunto(s)
Mecanotransducción Celular , Proteínas de Unión al ARN , Arginina , Mecanotransducción Celular/genética , Células Musculares , ARN , Proteínas de Unión al ARN/genética , Proteínas de Unión al ARN/metabolismo , Serina
4.
FASEB J ; 36(8): e22441, 2022 08.
Artículo en Inglés | MEDLINE | ID: mdl-35816155

RESUMEN

Vesicle-mediated transport is necessary for maintaining cellular homeostasis and proper signaling. The synaptosome-associated protein 23 (SNAP23) is a member of the SNARE protein family and mediates the vesicle docking and membrane fusion steps of secretion during exocytosis. Skeletal muscle has been established as a secretory organ; however, the role of SNAP23 in the context of skeletal muscle development is still unknown. Here, we show that depletion of SNAP23 in C2C12 mouse myoblasts reduces their ability to differentiate into myotubes as a result of premature cell cycle exit and early activation of the myogenic transcriptional program. This effect is rescued when cells are seeded at a high density or when cultured in conditioned medium from wild type cells. Proteomic analysis of collected medium indicates that SNAP23 depletion leads to a misregulation of exocytosis, including decreased secretion of the insulin-like growth factor 1 (IGF1), a critical protein for muscle growth, development, and function. We further demonstrate that treatment of SNAP23-depleted cells with exogenous IGF1 rescues their myogenic capacity. We propose that SNAP23 mediates the secretion of specific proteins, such as IGF1, that are important for achieving proper differentiation of skeletal muscle cells during myogenesis. This work highlights the underappreciated role of skeletal muscle as a secretory organ and contributes to the understanding of factors necessary for myogenesis.


Asunto(s)
Proteómica , Sinaptosomas , Animales , Diferenciación Celular , Ratones , Desarrollo de Músculos , Mioblastos/metabolismo , Proteínas Qb-SNARE/genética , Proteínas Qc-SNARE/genética , Proteínas SNARE/metabolismo , Sinaptosomas/metabolismo
5.
FEBS J ; 289(21): 6799-6816, 2022 11.
Artículo en Inglés | MEDLINE | ID: mdl-35724320

RESUMEN

Epigenetic regulatory mechanisms are increasingly recognized as crucial determinants of cellular specification and differentiation. During muscle cell differentiation (myogenesis), extensive remodelling of histone acetylation and methylation occurs. Several of these histone modifications aid in the expression of muscle-specific genes and the silencing of genes that block lineage commitment. Therefore, the identification of new epigenetic regulatory mechanisms is of high interest. Still, the functional relevance of numerous histone modifications during myogenesis remain completely uncertain. In this study, we focus on the function of H3K36me3 and its epigenetic writer, SET domain containing 2 (SETD2), in the context of muscle cell differentiation. We first observed that SETD2 expression increases during myogenesis. Targeted depletion of SETD2 in undifferentiated (myoblasts) and differentiated (myotubes) muscle cells reduced H3K36me3 levels and induced profound changes in gene expression and slight alterations in alternative splicing, as determined by deep RNA-sequencing analysis. Enzymes that function in metabolic pathways were upregulated in response to SETD2 depletion. Furthermore, we demonstrated that upregulation of several glycolytic enzymes was associated with an increase in intracellular pyruvate levels in SETD2-depleted cells, indicating a novel role for SETD2 in metabolic programming during myogenesis. Together, our results provide new insight into the signalling pathways controlled by chromatin-modifying enzymes and their associated histone modifications during muscle cell differentiation.


Asunto(s)
Histonas , Dominios PR-SET , Histonas/genética , Histonas/metabolismo , Empalme Alternativo , Cromatina , Desarrollo de Músculos/genética
6.
RNA ; 28(4): 523-540, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35082143

RESUMEN

Alternative splicing transitions occur during organ development, and, in numerous diseases, splicing programs revert to fetal isoform expression. We previously found that extensive splicing changes occur during postnatal mouse heart development in genes encoding proteins involved in vesicle-mediated trafficking. However, the regulatory mechanisms of this splicing-trafficking network are unknown. Here, we found that membrane trafficking genes are alternatively spliced in a tissue-specific manner, with striated muscles exhibiting the highest levels of alternative exon inclusion. Treatment of differentiated muscle cells with chromatin-modifying drugs altered exon inclusion in muscle cells. Examination of several RNA-binding proteins revealed that the poly-pyrimidine tract binding protein 1 (PTBP1) and quaking regulate splicing of trafficking genes during myogenesis, and that removal of PTBP1 motifs prevented PTBP1 from binding its RNA target. These findings enhance our understanding of developmental splicing regulation of membrane trafficking proteins which might have implications for muscle disease pathogenesis.


Asunto(s)
Empalme Alternativo , Proteína de Unión al Tracto de Polipirimidina , Animales , Exones , Ribonucleoproteínas Nucleares Heterogéneas/genética , Ribonucleoproteínas Nucleares Heterogéneas/metabolismo , Ratones , Desarrollo de Músculos/genética , Proteína de Unión al Tracto de Polipirimidina/genética , Proteína de Unión al Tracto de Polipirimidina/metabolismo
8.
J Cell Biol ; 219(4)2020 04 06.
Artículo en Inglés | MEDLINE | ID: mdl-32328638

RESUMEN

Fragile-X mental retardation autosomal homologue-1 (FXR1) is a muscle-enriched RNA-binding protein. FXR1 depletion is perinatally lethal in mice, Xenopus, and zebrafish; however, the mechanisms driving these phenotypes remain unclear. The FXR1 gene undergoes alternative splicing, producing multiple protein isoforms and mis-splicing has been implicated in disease. Furthermore, mutations that cause frameshifts in muscle-specific isoforms result in congenital multi-minicore myopathy. We observed that FXR1 alternative splicing is pronounced in the serine- and arginine-rich intrinsically disordered domain; these domains are known to promote biomolecular condensation. Here, we show that tissue-specific splicing of fxr1 is required for Xenopus development and alters the disordered domain of FXR1. FXR1 isoforms vary in the formation of RNA-dependent biomolecular condensates in cells and in vitro. This work shows that regulation of tissue-specific splicing can influence FXR1 condensates in muscle development and how mis-splicing promotes disease.


Asunto(s)
Empalme Alternativo/genética , Células Musculares/metabolismo , Proteínas de Unión al ARN/genética , Proteínas de Xenopus/genética , Adulto , Anciano , Animales , Células Cultivadas , Femenino , Humanos , Lactante , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Endogámicos , Persona de Mediana Edad , Desarrollo de Músculos , Músculos/metabolismo , Proteínas de Unión al ARN/metabolismo , Xenopus , Proteínas de Xenopus/metabolismo , Adulto Joven
9.
Int J Biochem Cell Biol ; 105: 134-143, 2018 12.
Artículo en Inglés | MEDLINE | ID: mdl-30316870

RESUMEN

Alternative splicing is a regulatory mechanism by which multiple mRNA isoforms are generated from single genes. Numerous genes that encode membrane trafficking proteins are alternatively spliced. However, there is limited information about the functional consequences that result from these splicing transitions. Here, we developed appropriate tools to study the functional impact of alternative splicing in development within the most in vivo context. Secondly, we provided evidence of the physiological implications of splicing regulation during muscle development. Our previous work in mouse heart development identified three trafficking genes that are regulated by alternative splicing between birth and adulthood: the clathrin heavy chain, the clathrin light chain-a, and the trafficking kinesin binding protein-1. Here, we demonstrated that alternative splicing regulation of these three genes is tissue- and developmental stage-specific. To identify the functional consequences of splicing regulation in vivo, we used genome editing to block the neonatal-to-adult splicing transitions. We characterized the phenotype of one of these mouse lines and demonstrated that when splicing regulation of the clathrin heavy chain gene is prevented mice exhibit an increase in body and muscle weights which is due to an enlargement in myofiber size. The significance of this work has two components. First, we revealed novel roles of the clathrin heavy chain in muscle growth and showed that its regulation by alternative splicing contributes to muscle development. Second, the new mouse lines will provide a useful tool to study how splicing regulation of three trafficking genes affects tissue identity acquisition and maturation in vivo.


Asunto(s)
Empalme Alternativo , Edición Génica , Músculo Esquelético/metabolismo , Proteínas Adaptadoras del Transporte Vesicular , Animales , Proteínas Portadoras/antagonistas & inhibidores , Proteínas Portadoras/genética , Proteínas Portadoras/metabolismo , Cadenas Pesadas de Clatrina/antagonistas & inhibidores , Cadenas Pesadas de Clatrina/genética , Cadenas Pesadas de Clatrina/metabolismo , Cadenas Ligeras de Clatrina/antagonistas & inhibidores , Cadenas Ligeras de Clatrina/genética , Cadenas Ligeras de Clatrina/metabolismo , Femenino , Homocigoto , Masculino , Ratones , Ratones Noqueados , Ratones Transgénicos , Músculo Esquelético/crecimiento & desarrollo , ARN Mensajero/genética , ARN Mensajero/metabolismo , ARN Interferente Pequeño/genética
10.
BMC Cell Biol ; 19(1): 15, 2018 08 15.
Artículo en Inglés | MEDLINE | ID: mdl-30111276

RESUMEN

BACKGROUND: Conditional reprogramming has enabled the development of long-lived, normal epithelial cell lines from mice and humans by in vitro culture with ROCK inhibitor on a feeder layer. We applied this technology to mouse small intestine to create 2D mouse intestinal epithelial monolayers (IEC monolayers) from genetic mouse models for functional analysis. RESULTS: IEC monolayers form epithelial colonies that proliferate on a feeder cell layer and are able to maintain their genotype over long-term passage. IEC monolayers form 3D spheroids in matrigel culture and monolayers on transwell inserts making them useful for functional analyses. IEC monolayers derived from the Cystic Fibrosis (CF) mouse model CFTR ∆F508 fail to respond to CFTR activator forskolin in 3D matrigel culture as measured by spheroid swelling and transwell monolayer culture via Ussing chamber electrophysiology. Tumor IEC monolayers generated from the ApcMin/+ mouse intestinal cancer model grow more quickly than wild-type (WT) IEC monolayers both on feeders and as spheroids in matrigel culture. CONCLUSIONS: These results indicate that generation of IEC monolayers is a useful model system for growing large numbers of genotype-specific mouse intestinal epithelial cells that may be used in functional studies to examine molecular mechanisms of disease and to identify and assess novel therapeutic compounds.


Asunto(s)
Células Epiteliales/citología , Intestinos/citología , Organoides/citología , Células 3T3 , Poliposis Adenomatosa del Colon/metabolismo , Poliposis Adenomatosa del Colon/patología , Alelos , Animales , Proliferación Celular , Autorrenovación de las Células , Forma de la Célula , Células Cultivadas , Reprogramación Celular , Fibrosis Quística/metabolismo , Fibrosis Quística/patología , Regulador de Conductancia de Transmembrana de Fibrosis Quística/metabolismo , Células Epiteliales/metabolismo , Mucosa Intestinal/citología , Ratones , Ratones Endogámicos C57BL , Mutación/genética
11.
J Cell Sci ; 131(10)2018 05 16.
Artículo en Inglés | MEDLINE | ID: mdl-29769303

RESUMEN

The cell biology field has outstanding working knowledge of the fundamentals of membrane-trafficking pathways, which are of critical importance in health and disease. Current challenges include understanding how trafficking pathways are fine-tuned for specialized tissue functions in vivo and during development. In parallel, the ENCODE project and numerous genetic studies have revealed that alternative splicing regulates gene expression in tissues and throughout development at a post-transcriptional level. This Review summarizes recent discoveries demonstrating that alternative splicing affects tissue specialization and membrane-trafficking proteins during development, and examines how this regulation is altered in human disease. We first discuss how alternative splicing of clathrin, SNAREs and BAR-domain proteins influences endocytosis, secretion and membrane dynamics, respectively. We then focus on the role of RNA-binding proteins in the regulation of splicing of membrane-trafficking proteins in health and disease. Overall, our aim is to comprehensively summarize how trafficking is molecularly influenced by alternative splicing and identify future directions centered on its physiological relevance.


Asunto(s)
Empalme Alternativo , Membrana Celular/metabolismo , Proteínas/metabolismo , Animales , Membrana Celular/genética , Endocitosis , Regulación de la Expresión Génica , Humanos , Transporte de Proteínas , Proteínas/genética
12.
Aging (Albany NY) ; 9(8): 1898-1915, 2017 08 29.
Artículo en Inglés | MEDLINE | ID: mdl-28854151

RESUMEN

Intestinal epithelial stem cells (IESCs) are critical to maintain intestinal epithelial function and homeostasis. We tested the hypothesis that aging promotes IESC dysfunction using old (18-22 months) and young (2-4 month) Sox9-EGFP IESC reporter mice. Different levels of Sox9-EGFP permit analyses of active IESC (Sox9-EGFPLow), activatable reserve IESC and enteroendocrine cells (Sox9-EGFPHigh), Sox9-EGFPSublow progenitors, and Sox9-EGFPNegative differentiated lineages. Crypt-villus morphology, cellular composition and apoptosis were measured by histology. IESC function was assessed by crypt culture, and proliferation by flow cytometry and histology. Main findings were confirmed in Lgr5-EGFP and Lgr5-LacZ mice. Aging-associated gene expression changes were analyzed by Fluidigm mRNA profiling. Crypts culture from old mice yielded fewer and less complex enteroids. Histology revealed increased villus height and Paneth cells per crypt in old mice. Old mice showed increased numbers and hyperproliferation of Sox9-EGFPLow IESC and Sox9-EGFPHigh cells. Cleaved caspase-3 staining demonstrated increased apoptotic cells in crypts and villi of old mice. Gene expression profiling revealed aging-associated changes in mRNAs associated with cell cycle, oxidative stress and apoptosis specifically in IESC. These findings provide new, direct evidence for aging associated IESC dysfunction, and define potential biomarkers and targets for translational studies to assess and maintain IESC function during aging.


Asunto(s)
Envejecimiento/patología , Proliferación Celular , Células Epiteliales/patología , Mucosa Intestinal/patología , Yeyuno/patología , Células Madre/patología , Factores de Edad , Envejecimiento/genética , Envejecimiento/metabolismo , Animales , Apoptosis , Ciclo Celular , Linaje de la Célula , Enterocitos/metabolismo , Enterocitos/patología , Células Epiteliales/metabolismo , Femenino , Regulación del Desarrollo de la Expresión Génica , Genotipo , Células Caliciformes/metabolismo , Células Caliciformes/patología , Proteínas Fluorescentes Verdes/genética , Proteínas Fluorescentes Verdes/metabolismo , Homeostasis , Mucosa Intestinal/metabolismo , Yeyuno/metabolismo , Operón Lac , Masculino , Ratones Endogámicos C57BL , Ratones Transgénicos , Estrés Oxidativo , Células de Paneth/metabolismo , Células de Paneth/patología , Fenotipo , Receptores Acoplados a Proteínas G/genética , Receptores Acoplados a Proteínas G/metabolismo , Factor de Transcripción SOX9/genética , Factor de Transcripción SOX9/metabolismo , Transducción de Señal , Esferoides Celulares , Células Madre/metabolismo , Factores de Tiempo , Técnicas de Cultivo de Tejidos
13.
J Clin Invest ; 127(2): 593-607, 2017 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-28094771

RESUMEN

Orphan GPCRs provide an opportunity to identify potential pharmacological targets, yet their expression patterns and physiological functions remain challenging to elucidate. Here, we have used a genetically engineered knockin reporter mouse to map the expression pattern of the Gpr182 during development and adulthood. We observed that Gpr182 is expressed at the crypt base throughout the small intestine, where it is enriched in crypt base columnar stem cells, one of the most active stem cell populations in the body. Gpr182 knockdown had no effect on homeostatic intestinal proliferation in vivo, but led to marked increases in proliferation during intestinal regeneration following irradiation-induced injury. In the ApcMin mouse model, which forms spontaneous intestinal adenomas, reductions in Gpr182 led to more adenomas and decreased survival. Loss of Gpr182 enhanced organoid growth efficiency ex vivo in an EGF-dependent manner. Gpr182 reduction led to increased activation of ERK1/2 in basal and challenge models, demonstrating a potential role for this orphan GPCR in regulating the proliferative capacity of the intestine. Importantly, GPR182 expression was profoundly reduced in numerous human carcinomas, including colon adenocarcinoma. Together, these results implicate Gpr182 as a negative regulator of intestinal MAPK signaling-induced proliferation, particularly during regeneration and adenoma formation.


Asunto(s)
Poliposis Adenomatosa del Colon/metabolismo , Proliferación Celular , Intestino Delgado/metabolismo , Sistema de Señalización de MAP Quinasas , Proteína Quinasa 3 Activada por Mitógenos/metabolismo , Neoplasias Experimentales/metabolismo , Receptores Acoplados a Proteínas G/metabolismo , Poliposis Adenomatosa del Colon/genética , Poliposis Adenomatosa del Colon/patología , Proteína de la Poliposis Adenomatosa del Colon/genética , Proteína de la Poliposis Adenomatosa del Colon/metabolismo , Animales , Técnicas de Silenciamiento del Gen , Intestino Delgado/patología , Ratones , Ratones Noqueados , Proteína Quinasa 3 Activada por Mitógenos/genética , Neoplasias Experimentales/genética , Neoplasias Experimentales/patología , Receptores Acoplados a Proteínas G/genética
14.
Am J Physiol Gastrointest Liver Physiol ; 309(7): G578-89, 2015 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-26251471

RESUMEN

Current views suggest that apoptosis eliminates genetically damaged cells that may otherwise form tumors. Prior human studies link elevated insulin and reduced apoptosis to risk of colorectal adenomas. We hypothesized that hyperinsulinemia associated with obesity would lead to reduced colon epithelial cell (CEC) apoptosis after radiation and that this effect would be altered by deletion of the insulin-like growth factor (IGF) 1 receptor (IGF1R) or the insulin receptor (IR). Mice with villin-Cre-mediated IGF1R or IR deletion in CECs and floxed littermates were fed a high-fat diet to induce obesity and hyperinsulinemia or control low-fat chow. Mice were exposed to 5-Gy abdominal radiation to induce DNA damage and euthanized 4 h later for evaluation of apoptosis by localization of cleaved caspase-3. Obese mice exhibited decreased apoptosis of genetically damaged CECs. IGF1R deletion did not affect CEC apoptosis in lean or obese animals. In contrast, IR loss increased CEC apoptosis in both diet groups but did not prevent antiapoptotic effects of obesity. Levels of p53 protein were significantly reduced in CECs of obese mice with intact IR but increased in both lean and obese mice without IR. Levels of mRNAs encoding proapoptotic Perp and the cell cycle inhibitor Cdkn1b/p27 were reduced in CECs of obese mice and increased in lean mice lacking IR. Together, our studies provide novel evidence for antiapoptotic roles of obesity and IR, but not IGF1R, in colonic epithelium after DNA damage. However, neither IR nor IGF1R deletion prevented a reduction in radiation-induced CEC apoptosis during obesity and hyperinsulinemia.


Asunto(s)
Apoptosis/efectos de la radiación , Colon/patología , Mucosa Intestinal/metabolismo , Obesidad/metabolismo , Receptor IGF Tipo 1/metabolismo , Receptor de Insulina/metabolismo , Animales , Western Blotting , Caspasa 3 , Colon/metabolismo , Inmunohistoquímica , Masculino , Ratones , Traumatismos Experimentales por Radiación , Reacción en Cadena en Tiempo Real de la Polimerasa , Receptor IGF Tipo 1/genética , Receptor de Insulina/genética
15.
Am J Physiol Gastrointest Liver Physiol ; 308(2): G100-11, 2015 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-25394660

RESUMEN

The insulin receptor (IR) regulates nutrient uptake and utilization in multiple organs, but its role in the intestinal epithelium is not defined. This study developed a mouse model with villin-Cre (VC) recombinase-mediated intestinal epithelial cell (IEC)-specific IR deletion (VC-IR(Δ/Δ)) and littermate controls with floxed, but intact, IR (IR(fl/fl)) to define in vivo roles of IEC-IR in mice fed chow or high-fat diet (HFD). We hypothesized that loss of IEC-IR would alter intestinal growth, biomarkers of intestinal epithelial stem cells (IESC) or other lineages, body weight, adiposity, and glucose or lipid handling. In lean, chow-fed mice, IEC-IR deletion did not affect body or fat mass, plasma glucose, or IEC proliferation. In chow-fed VC-IR(Δ/Δ) mice, mRNA levels of the Paneth cell marker lysozyme (Lyz) were decreased, but markers of other differentiated lineages were unchanged. During HFD-induced obesity, IR(fl/fl) and VC-IR(Δ/Δ) mice exhibited similar increases in body and fat mass, plasma insulin, mRNAs encoding several lipid-handling proteins, a decrease in Paneth cell number, and impaired glucose tolerance. In IR(fl/fl) mice, HFD-induced obesity increased circulating cholesterol; numbers of chromogranin A (CHGA)-positive enteroendocrine cells (EEC); and mRNAs encoding Chga, glucose-dependent insulinotrophic peptide (Gip), glucagon (Gcg), Lyz, IESC biomarkers, and the enterocyte cholesterol transporter Scarb1. All these effects were attenuated or lost in VC-IR(Δ/Δ) mice. These results demonstrate that IEC-IR is not required for normal growth of the intestinal epithelium in lean adult mice. However, our findings provide novel evidence that, during HFD-induced obesity, IEC-IR contributes to increases in EEC, plasma cholesterol, and increased expression of Scarb1 or IESC-, EEC-, and Paneth cell-derived mRNAs.


Asunto(s)
Colesterol/metabolismo , Dieta Alta en Grasa , Células Enteroendocrinas/metabolismo , Intestinos/patología , Células de Paneth/metabolismo , Receptor de Insulina/metabolismo , Células Madre/metabolismo , Animales , Diferenciación Celular , Polipéptido Inhibidor Gástrico/metabolismo , Insulina/sangre , Mucosa Intestinal/metabolismo , Ratones , Ratones Transgénicos , Obesidad/metabolismo , ARN Mensajero/metabolismo
16.
Physiol Meas ; 23(1): 203-9, 2002 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-11876235

RESUMEN

Electrical impedance images were made using the ACT 3 instrument, which applies currents simultaneously to 32 electrodes and measures the resulting voltages on those same electrodes. A reconstruction algorithm was written for a three-dimensional cylinder having electrodes in two or four layers, using current patterns that pass current among different planes of electrodes, as well as within each plane. We have previously reported useful vertical resolution by the use of added layers of electrodes. The aim of the present study was to demonstrate that physiologically useful information can be obtained by examining cephalo-caudal differences in three-dimensional images. Phasic changes throughout the cardiac cycle are seen to be markedly different at the heart compared to lung region, both above and beside it. We formed hydrogel electrodes each 3 cm tall and 7 cm wide and applied them to the thorax of an upright human subject in four horizontal rows; each row contained eight electrodes. During breath-holding, cardiac activity was seen in all layers. With systole, conductivity in the anterior of the lowest layers decreased, but not in the upper layer. In the upper layers, conductivity increased with systole in many regions. These observations are consistent with the opposite changes in blood volume of the heart and lungs and the locations of these organs. This paper demonstrates the feasibility of producing and displaying physiologically interpretable three-dimensional images of the chest in real time.


Asunto(s)
Impedancia Eléctrica , Corazón/anatomía & histología , Corazón/fisiología , Procesamiento de Imagen Asistido por Computador/métodos , Tomografía/métodos , Adulto , Algoritmos , Electrodos , Humanos , Hidrogeles , Pulmón/anatomía & histología
17.
Physiol Meas ; 21(1): 15-26, 2000 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-10719995

RESUMEN

Electrical impedance tomography is a technology for producing images of internal body structures based upon electrical measurements made from electrodes on the body surface. Typically a single plane of electrodes is used, seeking to reconstruct a cross section of the body. Yet the majority of image reconstruction algorithms ignore the three-dimensional (3D) characteristics of the current flow in the body. Actually, a substantial amount of current flows out of the electrode plane, creating distortions in the resulting images. This paper describes a reconstruction algorithm, ToDLeR, for solving a linearized 3D inverse problem in impedance imaging. The algorithm models the body as a homogeneous cylinder and accounts for the 3D current flow in the body by analytically solving for the current flow from one or more layers of electrodes on the surface of the cylinder. The algorithm was implemented on the ACT3 real-time imaging system and data were collected from a 3D test phantom using one, two and four layers of electrodes. By using multiple planes of electrodes, improved accuracy in any particular electrode plane was obtained, with decreased sensitivity to out-of-plane objects. A cylindrical target located vertically more than 8 cm below a single layer of 16 electrodes, and positioned radially midway between the centre and the boundary, produced an image that had 35% of the value obtained when the target was in the electrode plane. By adding an additional layer of 16 electrodes below the first electrode plane, and using 3D current patterns, this artefact was reduced to less than 10% of the peak value. We conclude that the 3D algorithm, used with multiple planes of electrodes, reduces the distortions from out-of-plane structures in the body.


Asunto(s)
Impedancia Eléctrica , Tomografía/métodos , Algoritmos , Cardiografía de Impedancia/métodos , Cardiografía de Impedancia/estadística & datos numéricos , Electrodos , Humanos , Procesamiento de Imagen Asistido por Computador/métodos , Procesamiento de Imagen Asistido por Computador/estadística & datos numéricos , Modelos Lineales , Fantasmas de Imagen , Tomografía/estadística & datos numéricos
19.
IEEE Trans Biomed Eng ; 45(4): 531-4, 1998 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-9556970

RESUMEN

The sensitivity of an impedance imaging system to small cylindrical inhomogeneities in two-dimensional (2-D) and three-dimensional (3-D) saline tanks was studied for different height electrodes and different height targets. Experimental results were compared with analytical models. Inhomogeneities in the 3-D tank having limited vertical extent were detected by electrodes of vertical size comparable to that of the inhomogeneity. Taller electrodes had increased sensitivity to short targets to only a limited extent. When the electrode height was more than twice that of the target, sensitivity decreased or remained the same with further increases in electrode height. The system was less sensitive to inhomogeneities in the 3-D tank than to those in the 2-D tank. The distinguishability of conductors was greater than that of insulators in the 3-D tank, and the opposite was true in the 2-D tank, consistent with an analytical result.


Asunto(s)
Procesamiento de Imagen Asistido por Computador , Tomografía/métodos , Agar , Cobre , Impedancia Eléctrica , Electrodos , Ensayo de Materiales , Cloruro de Polivinilo , Sensibilidad y Especificidad
20.
S D J Med ; 49(12): 441-8, 1996 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-8997150

RESUMEN

The Medication Reduction Project (MED RED) is a community-based program addressing polypharmacy issues in elders. Using educational presentations and one-on-one medication reviews conducted by a pharmacist specializing in geriatrics, MED RED reached over 1,100 older adults in rural and urban southeastern South Dakota communities during 1993. Analysis of the longitudinal data indicate that older adults participating in one-on-one reviews were on fewer medications, had dosage reductions, were more likely to take their medications as directed, and increased their use of non-pharmacological alternatives. These elders also reported feeling better, spent less money per month on medications, and offered indications of improved functioning and increased levels of independence. These findings suggest that education about medication use is a dynamic tool in empowering community-based older adults to be assertive participants in their own health care.


Asunto(s)
Servicios Comunitarios de Farmacia/estadística & datos numéricos , Educación del Paciente como Asunto , Polifarmacia , Anciano , Esquema de Medicación , Femenino , Humanos , Estudios Longitudinales , Masculino , Cooperación del Paciente , Participación del Paciente , Medición de Riesgo , South Dakota
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