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1.
Nat Commun ; 15(1): 1208, 2024 Feb 08.
Article in English | MEDLINE | ID: mdl-38332035

ABSTRACT

Environmental humidity variations are ubiquitous and high humidity characterizes fuel cell and electrolyzer operation conditions. Since hydrogen-air mixtures are highly flammable, humidity tolerant H2 sensors are important from safety and process monitoring perspectives. Here, we report an optical nanoplasmonic hydrogen sensor operated at elevated temperature that combined with Deep Dense Neural Network or Transformer data treatment involving the entire spectral response of the sensor enables a 100 ppm H2 limit of detection in synthetic air at 80% relative humidity. This significantly exceeds the <1000 ppm US Department of Energy performance target. Furthermore, the sensors pass the ISO 26142:2010 stability requirement in 80% relative humidity in air down to 0.06% H2 and show no signs of performance loss after 140 h continuous operation. Our results thus demonstrate the potential of plasmonic hydrogen sensors for use in high humidity and how neural-network-based data treatment can significantly boost their performance.

2.
ACS Sens ; 7(4): 1008-1018, 2022 04 22.
Article in English | MEDLINE | ID: mdl-35357817

ABSTRACT

Urban air pollution is a critical health problem in cities all around the world. Therefore, spatially highly resolved real-time monitoring of airborne pollutants, in general, and of nitrogen dioxide, NO2, in particular, is of utmost importance. However, highly accurate but fixed and bulky measurement stations or satellites are used for this purpose to date. This defines a need for miniaturized NO2 sensor solutions with detection limits in the low parts per billion range to finally enable indicative air quality monitoring at low cost that facilitates detection of highly local emission peaks and enables the implementation of direct local actions like traffic control, to immediately reduce local emissions. To address this challenge, we present a nanoplasmonic NO2 sensor based on arrays of Au nanoparticles coated with a thin layer of polycrystalline WO3, which displays a spectral redshift in the localized surface plasmon resonance in response to NO2. Sensor performance is characterized under (i) idealized laboratory conditions, (ii) conditions simulating humid urban air, and (iii) an outdoor field test in a miniaturized device benchmarked against a commercial NO2 sensor approved according to European and American standards. The limit of detection of the plasmonic solution is below 10 ppb in all conditions. The observed plasmonic response is attributed to a combination of charge transfer between the WO3 layer and the plasmonic Au nanoparticles, WO3 layer volume expansion, and changes in WO3 permittivity. The obtained results highlight the viability of nanoplasmonic gas sensors, in general, and their potential for practical application in indicative urban air monitoring, in particular.


Subject(s)
Air Pollutants , Metal Nanoparticles , Air Pollutants/analysis , Environmental Monitoring/methods , Gold , Limit of Detection , Nitrogen Dioxide/analysis
3.
Adv Sci (Weinh) ; 7(3): 1902428, 2020 Feb.
Article in English | MEDLINE | ID: mdl-32042563

ABSTRACT

Electronic ratchets use a periodic potential with broken inversion symmetry to rectify undirected (electromagnetic, EM) forces and can in principle be a complement to conventional diode-based designs. Unfortunately, ratchet devices reported to date have low or undetermined power conversion efficiencies, hampering applicability. Combining experiments and numerical modeling, field-effect transistor-based ratchets are investigated in which the driving signal is coupled into the accumulation layer via interdigitated finger electrodes that are capacitively coupled to the field effect transistor channel region. The output current-voltage curves of these ratchets can have a fill factor >> 0.25 which is highly favorable for the power output. Experimentally, a maximum power conversion efficiency well over 10% at 5 MHz, which is the highest reported value for an electronic ratchet, is determined. Device simulations indicate this number can be increased further by increasing the device asymmetry. A scaling analysis shows that the frequency range of optimal performance can be scaled to the THz regime, and possibly beyond, while adhering to technologically realistic parameters. Concomitantly, the power output density increases from ≈4 W m-2 to ≈1 MW m-2. Hence, this type of ratchet device can rectify high-frequency EM fields at reasonable efficiencies, potentially paving the way for actual use as energy harvester.

4.
ACS Omega ; 4(3): 5670-5681, 2019 Mar 31.
Article in English | MEDLINE | ID: mdl-31459721

ABSTRACT

Rational design and informed development of nontoxic antifouling coatings requires a thorough understanding of the interactions between surfaces and fouling species. With more complex antifouling materials, such as composites or zwitterionic polymers, there follows also a need for better characterization of the materials as such. To further the understanding of the antifouling properties of charge-balanced polymers, we explore the properties of layered polyelectrolytes and their interactions with charged surfaces. These polymers were prepared via self-initiated photografting and photopolymerization (SIPGP); on top of a uniform bottom layer of anionic poly(methacrylic acid) (PMAA), a cationic poly(2-dimethylaminoethyl methacrylate) (PDMAEMA) thickness gradient was formed. Infrared microscopy and imaging spectroscopic ellipsometry were used to characterize chemical composition and swelling of the combined layer. Direct force measurements by colloidal probe atomic force microscopy were performed to investigate the forces between the polymer gradients and charged probes. The swelling of PMAA and PDMAEMA are very different, with steric and electrostatic forces varying in a nontrivial manner along the gradient. The gradients can be tuned to form a protein-resistant charge-neutral region, and we demonstrate that this region, where both electrostatic and steric forces are small, is highly compressed and the origin of the protein resistance of this region is most likely an effect of strong hydration of charged residues at the surface, rather than swelling or bulk hydration of the polymer. In the highly swollen regions far from charge-neutrality, steric forces dominate the interactions between the probe and the polymer. In these regions, the SIPGP polymer has qualitative similarities with brushes, but we were unable to quantitatively describe the polymer as a brush, supporting previous data suggesting that these polymers are cross-linked.

5.
J Neurol Surg B Skull Base ; 79(6): 606-613, 2018 Dec.
Article in English | MEDLINE | ID: mdl-30456032

ABSTRACT

Background Swallowing difficulties have been reported in patients with Chiari I malformation (CMI) with a prevalence of 4 to 47%, but existing evidence is based only on case reports. We aimed to prospectively study swallowing function in adult patients with CMI before and 3 months after surgical decompression. Methods We included all adult patients diagnosed with CMI from September 2015 to October 2017 who underwent a planned surgery at Sahlgrenska University Hospital, Sweden. The patients were offered the opportunity to participate in and undergo an assessment consisting of the "Watson Dysphagia Scale (WDS)" and "EORTC QLQ-OG25" written questionnaires in addition to videofluoroscopic examination of swallowing (VFS) before and 3 months after surgery. Demographic data and comorbidities were recorded. Results Eleven patients were included, nine of which underwent both pre- and postoperative evaluations. Four patients (36%) reported varying degrees of swallowing complaints (mean WDS score, 16). In two of these, there was substantial penetration of contrast material into the laryngeal vestibule on VFS, and in the other two patients, minor swallowing disturbances were observed. Borderline deviations from normal VFS findings were also found in three asymptomatic patients. Although not all VFS deviations completely disappeared after surgery, the patients reported no remaining symptoms. Conclusion Symptoms of dysphagia and objective abnormalities on VFS are not uncommon in CMI patients. Surgery has the potential to remedy underlying causes of dysphagia, thereby relieving its symptoms.

6.
Eur J Pediatr Surg ; 26(2): 172-9, 2016 Apr.
Article in English | MEDLINE | ID: mdl-25643247

ABSTRACT

BACKGROUND: Gastroesophageal reflux (GER) and dysphagia are common following repaired esophageal atresia (EA). The risk of esophagitis and Barrett esophagus is increased compared with the general population. As yet, the causes are not fully explained. PURPOSE: The aim of this study was to investigate how GER, measured by pH multichannel intraluminal impedance (pH-MII), is correlated to the esophageal symptoms and histological findings. METHODS: Twenty-nine adult subjects operated for EA in Gothenburg from 1968 to 1983 were evaluated with pH-MII, manometry, and gastroscopy. RESULTS: pH-MII was performed in 15, manometry in 19, and gastroscopy in 24 subjects. Eleven subjects displayed pathological reflux parameters of any kind, mainly nonacid reflux (10/15). Dysphagia correlated to the number of weakly acidic reflux episodes. Lower esophageal sphincter (LES) incompetence, which correlated to a pathological number of acid reflux episodes (p = 0.012), was noted in 21/24 subjects, but the majority had a normal resting pressure. Esophagitis was present in 14/24, two of whom had Barrett esophagus. Histological changes correlated to the reflux index and the number of weakly acidic reflux episodes (p = 0.028 and 0.040) and tended to correlate to dysphagia (p = 0.052). CONCLUSION: pH-MII adds further information when it comes to explaining what causes symptoms and esophageal histological changes in adults operated for EA.


Subject(s)
Esophageal Atresia/surgery , Esophageal pH Monitoring/methods , Esophagitis/etiology , Gastroesophageal Reflux/physiopathology , Adult , Body Composition , Deglutition Disorders/etiology , Diagnostic Techniques, Digestive System , Electric Impedance , Esophageal Atresia/complications , Esophageal Sphincter, Lower/physiopathology , Esophageal pH Monitoring/instrumentation , Esophagitis/physiopathology , Esophagus/physiopathology , Female , Gastroesophageal Reflux/complications , Gastroesophageal Reflux/diagnosis , Gastroscopy , Humans , Male , Manometry , Retrospective Studies , Surveys and Questionnaires
7.
Soft Matter ; 10(32): 5955-64, 2014 Aug 28.
Article in English | MEDLINE | ID: mdl-24987939

ABSTRACT

We report on the preparation and characterization of thin polyampholytic hydrogel gradient films permitting pH-controlled protein resistance via the regulation of surface charges. The hydrogel gradients are composed of cationic poly(2-aminoethyl methacrylate hydrochloride) (PAEMA), and anionic poly(2-carboxyethyl acrylate) (PCEA) layers, which are fabricated by self-initiated photografting and photopolymerization (SIPGP). Using a two-step UV exposure procedure, a polymer thickness gradient of one component is formed on top of a uniform layer of the oppositely charged polymer. The swelling of the gradient films in water and buffers at different pH were characterized by imaging spectroscopic ellipsometry. The surface charge distribution and steric interactions with the hydrogel gradients were recorded by direct force measurement with colloidal-probe atomic force microscopy. We demonstrate that formation of a charged polymer thickness gradient on top of a uniform layer of opposite charge can result in a region of charge-neutrality. This charge-neutral region is highly resistant to non-specific adsorption of proteins, and its location along the gradient can be controlled via the pH of the surrounding buffer. The pH-controlled protein adsorption and desorption was monitored in real-time by imaging surface plasmon resonance, while the corresponding redistribution of surface charge was confirmed by direct force measurements.


Subject(s)
Hydrogels/chemistry , Muramidase/chemistry , Pepsin A/chemistry , Polymethacrylic Acids/chemistry , Adsorption , Hydrogen-Ion Concentration , Microscopy, Atomic Force , Surface Plasmon Resonance , Surface Properties
8.
Anal Chem ; 83(20): 7800-6, 2011 Oct 15.
Article in English | MEDLINE | ID: mdl-21877702

ABSTRACT

A single-chip electrochemical method based on impedance measurements in resonance mode has been employed to study lipid monolayer and bilayer formation on hydrophobic alkanethiolate and SiO(2) substrates, respectively. The processes were monitored by temporally resolving changes in interfacial capacitance and resistance, revealing information about the rate of formation, coverage, and defect density (quality) of the layers at saturation. The resonance-based impedance measurements were shown to reveal significant differences in the layer formation process of bilayers made from (i) positively charged lipid 1-palmitoyl-2-oleoyl-sn-glycero-3-ethylphosphocholine (POEPC), (ii) neutral lipid 1-palmitoyl-2-oleoyl-sn-glycero-3-phosphocholine (POPC) on SiO(2), and (iii) monolayers made from POEPC on hydrophobic alkanethiolate substrates. The observed responses were represented with an equivalent circuit, suggesting that the differences primarily originate from the presence of a conductive aqueous layer between the lipid bilayers and the SiO(2). In addition, by adding the ion channel gramicidin D to bilayers supported on SiO(2), channel-mediated charge transport could be measured with high sensitivity (resolution around 1 pA).


Subject(s)
Dielectric Spectroscopy , Ion Channels/metabolism , Lipid Bilayers/chemistry , Silicon Dioxide/chemistry , Gramicidin/chemistry , Ion Transport , Phosphatidylcholines/chemistry
9.
ACS Appl Mater Interfaces ; 3(6): 2085-91, 2011 Jun.
Article in English | MEDLINE | ID: mdl-21595456

ABSTRACT

From macro- to nanoscales, adhesion phenomena are all-pervasive in nature yet remain poorly understood. In recent years, studies of biological adhesion mechanisms, terrestrial and marine, have provided inspiration for "biomimetic" adhesion strategies and important insights for the development of fouling-resistant materials. Although the focus of most contemporary bioadhesion research is on large organisms such as marine mussels, insects and geckos, adhesion events on the micro/nanoscale are critical to our understanding of important underlying mechanisms. Observing and quantifying adhesion at this scale is particularly relevant for the development of biomedical implants and in the prevention of marine biofouling. However, such characterization has so far been restricted by insufficient quantities of material for biochemical analysis and the limitations of contemporary imaging techniques. Here, we introduce a recently developed optical method that allows precise determination of adhesive deposition by microscale organisms in situ and in real time; a capability not before demonstrated. In this extended study we used the cypris larvae of barnacles and a combination of conventional and imaging surface plasmon resonance techniques to observe and quantify adhesive deposition onto a range of model surfaces (CH(3)-, COOH-, NH(3)-, and mPEG-terminated SAMs and a PEGMA/HEMA hydrogel). We then correlated this deposition to passive adsorption of a putatively adhesive protein from barnacles. In this way, we were able to rank surfaces in order of effectiveness for preventing barnacle cyprid exploration and demonstrate the importance of observing the natural process of adhesion, rather than predicting surface effects from a model system. As well as contributing fundamentally to the knowledge on the adhesion and adhesives of barnacle larvae, a potential target for future biomimetic glues, this method also provides a versatile technique for laboratory testing of fouling-resistant chemistries.


Subject(s)
Surface Plasmon Resonance/methods , Adhesiveness , Animals , Biofouling , Hydrogel, Polyethylene Glycol Dimethacrylate/chemistry , Surface Properties , Thoracica
10.
Langmuir ; 26(5): 3753-9, 2010 Mar 02.
Article in English | MEDLINE | ID: mdl-20175580

ABSTRACT

We show how to use well-defined conjugated polyelectrolytes (CPEs) combined with surface energy patterning to fabricate DNA chips utilizing fluorescence signal amplification. Cholesterol-modified DNA strands in complex with a CPE are adsorbed to a surface energy pattern, formed by printing with soft elastomer stamps. Hybridization of the surface bound DNA strands with a short complementary strand from solution is monitored using both fluorescence microscopy and imaging surface plasmon resonance. The CPEs act as antennas, enhancing resonance energy transfer to the dye-labeled DNA when complementary hybridization of the double strand occurs.


Subject(s)
Dimethylpolysiloxanes/chemistry , Electrolytes/chemistry , Fluorescence Resonance Energy Transfer , Oligonucleotide Array Sequence Analysis/methods , Acetates/metabolism , Adsorption , Base Sequence , Carbocyanines/metabolism , Cholesterol/metabolism , Chromones/metabolism , DNA, Single-Stranded/chemistry , DNA, Single-Stranded/genetics , DNA, Single-Stranded/metabolism , Microscopy, Fluorescence , Nucleic Acid Hybridization , Surface Plasmon Resonance
11.
Langmuir ; 25(6): 3755-62, 2009 Apr 09.
Article in English | MEDLINE | ID: mdl-19708252

ABSTRACT

This work describes the fabrication, characterization, and protein adsorption behavior of charged polymer gradients. The thin gradient films were fabricated by a two-step technique using UV-initiated free-radical polymerization in a reactor with a moving shutter. A homogeneous layer of cationic poly(2-aminoethyl methacrylate hydrochloride) was first formed, followed by a layer of oppositely charged poly(2-carboxyethyl acrylate) with a continuously increasing thickness. Adsorption from protein solutions as well as human blood plasma was investigated by imaging surface plasmon resonance and infrared microscopy. The results showed excessive protein adsorption in the areas where one of the polymers dominated the composition, while there was a clear minimum at an intermediate position of the gradient. The charge of the surface was estimated by direct force measurements and found to correlate well with the protein adsorption, showing the lowest net charge in the same area as the protein adsorption minimum. We therefore hypothesize that a combination of the charged polymers, in the right proportions, can result in a protein-resistant surface due to balanced charges.


Subject(s)
Polymers/chemistry , Proteins/chemistry , Adsorption , Animals , Biocompatible Materials , Free Radicals , Humans , Infrared Rays , Methacrylates/chemistry , Muramidase/chemistry , Polyethylene Glycols/chemistry , Spectrophotometry, Infrared/methods , Surface Plasmon Resonance , Surface Properties , Ultraviolet Rays
12.
Biosens Bioelectron ; 24(8): 2458-64, 2009 Apr 15.
Article in English | MEDLINE | ID: mdl-19186048

ABSTRACT

This work describes a concept for extending the dynamic range of quantification in an affinity biosensor assay by using a set of ligands with different affinities toward a common analyte. Three synthetic, biotinylated polypeptides capable of binding a model protein analyte with different affinities (10(-9) M < or = K(d) < or = 10(-7) M) were immobilized in a microarray format on a gold slide covered with an oligo(ethylene glycol)-containing alkane thiolate self-assembled monolayer. A five-element affinity array, comprising single-peptide spots as well as spots where peptides were immobilized in mixtures, was realized by means of piezodispensation. Imaging surface plasmon resonance was used to study binding of the analyte to the different spots. The lower limit of analyte quantification was approximately 3 nM and the corresponding upper limit was increased by more than an order of magnitude compared to if only the highest affinity ligand would have been used. Affinity array sensors with multiple ligands for each analyte are particularly interesting for omitting dilution steps and providing highly accurate data in assays where several analytes such as disease biomarkers with extremely variable concentrations are quantified in parallel.


Subject(s)
Protein Array Analysis/instrumentation , Surface Plasmon Resonance/instrumentation , Equipment Design , Equipment Failure Analysis , Ligands , Protein Array Analysis/methods , Reproducibility of Results , Sensitivity and Specificity , Systems Integration
13.
Anal Chem ; 81(1): 453-9, 2009 Jan 01.
Article in English | MEDLINE | ID: mdl-19125451

ABSTRACT

This paper deals with the use of reaction gradients on bipolar electrodes for the patterning of electrode surfaces.More specifically, the potential and current density distributions in two setups containing bipolar electrodes were investigated to optimize and design specific gradient geometries. Comparisons with simulations based on simple conductivity models showed a good qualitative agreement, demonstrating that these models could be used to predict bipolar behavior in more complex setups. In conjunction with imaging surface plasmon resonance(iSPR) experiments, the reaction gradients on bipolar electrodes could further be visualized. It was, for example,found that the gradient in potential difference was approximately linearly distributed in the center of the bipolar electrode and that these potential differences could be determined using an ordinary Ag/AgCl reference electrode.The present results thus provide a better understanding of the processes relevant for bipolar patterning.This approach was finally used to generate a circular gradient region in a self-assembled monolayer, thereby showing the possibilities to create interesting substrates for biosensors and microarray applications.

14.
Biomacromolecules ; 10(1): 142-8, 2009 Jan 12.
Article in English | MEDLINE | ID: mdl-19067607

ABSTRACT

A biosensor matrix based on UV-initiated graft copolymerized poly(ethylene glycol) methacrylate and 2-hydroxyethyl methacrylate has been studied using imaging surface plasmon resonance (iSPR). By using a photo mask and a programmable shutter to vary the exposure time laterally, a gradient of matrix spots with physical thicknesses ranging from a few to tens of nanometers was generated. To maximize the dynamic range, imaging SPR was employed in wavelength interrogation mode. By finding the minimum in the reflectance spectra from each pixel of an image, SPR wavelength maps were constructed. The shift in SPR wavelength upon biospecific interaction was then measured both as a function of matrix thickness and composition. The performance of the matrix was evaluated in terms of immobilization of human serum albumin, biomolecular interaction with its antibody, and nonspecific binding of human fibrinogen. In addition, a low molecular weight interaction pair based on a synthetic polypeptide and calmodulin was also studied to explore the size selectivity of the hydrogel matrix. Our results show that the gradient matrix exhibits excellent properties for quick evaluation and screening of optimal hydrogel performance. The mixed hydrogel matrices display very low levels of nonspecific binding. It is also evident that the low molecular weight calmodulin is capable of freely diffusing and interacting throughout the entire hydrogel matrix, whereas the much larger albumin and its corresponding antibody, in particular, are partly/completely hindered from penetrating the interior of the matrix. This size-selectivity is attributed to a significant UV-initiated cross-linking or branching of the matrix during fabrication and/or protein mediated multipoint attachment during immobilization.


Subject(s)
Hydrogel, Polyethylene Glycol Dimethacrylate/chemistry , Microarray Analysis/methods , Surface Plasmon Resonance/methods , Hydrogel, Polyethylene Glycol Dimethacrylate/chemical synthesis , Macromolecular Substances/chemical synthesis , Macromolecular Substances/chemistry , Methacrylates/chemistry , Microarray Analysis/instrumentation , Polyethylene Glycols/chemistry , Surface Plasmon Resonance/instrumentation
15.
Biointerphases ; 4(4): 65-8, 2009 Dec.
Article in English | MEDLINE | ID: mdl-20408726

ABSTRACT

The surface interactions of exploring cyprids of the barnacle Semibalanus balanoides were studied in situ using imaging surface plasmon resonance. It was demonstrated how the deposition of a proteinaceous adhesive could be followed in real time as the cyprids explored and temporarily attached to a surface. Furthermore, the amount of protein left on the surface when the cyprids moved on could be quantified. Clear differences were demonstrated between an oligo(ethyleneglycol) coated surface and a bare gold substrate. It is anticipated that this technique will be a valuable tool in the development of novel surface chemistries that can prevent biofouling.

17.
Biomacromolecules ; 8(1): 287-95, 2007 Jan.
Article in English | MEDLINE | ID: mdl-17206819

ABSTRACT

A poly(ethylene glycol) (PEG)-based matrix for studies of affinity interactions is developed and demonstrated. The PEG matrix, less than 0.1 microm thick, is graft copolymerized onto a cycloolefin polymer from a mixture of PEG methacrylates using a free radical reaction initiated by UV light at 254 nm. The grafting process is monitored in real time, and characteristics such as thickness, homogeneity, relative composition, photostability, and performance in terms of protein resistance in complex biofluids and sensor qualities are investigated with null ellipsometry, infrared spectroscopy, and surface plasmon resonance. The matrix is subsequently modified to contain carboxyl groups, thereby making it possible to immobilize ligands in a controlled and functional manner. Human serum albumin and fibrinogen are immobilized and successfully detected by antibody recognition using surface plasmon resonance. The results are encouraging and suggest that the PEG matrix is suitable for biochip and biosensor applications in demanding biofluids.


Subject(s)
Biotechnology/methods , Polyethylene Glycols/chemistry , Adsorption , Biosensing Techniques , Fibrinogen/chemistry , Humans , Ligands , Methacrylates/chemistry , Microarray Analysis , Models, Chemical , Polymers/chemistry , Serum Albumin/chemistry , Spectrophotometry, Infrared , Spectrophotometry, Ultraviolet , Surface Plasmon Resonance
18.
Biochem Biophys Res Commun ; 334(2): 638-45, 2005 Aug 26.
Article in English | MEDLINE | ID: mdl-16009338

ABSTRACT

Glucocorticoids are widely prescribed anti-inflammatory drugs used for the treatment of many inflammatory lung disorders. However, much still remains unknown about their molecular mechanisms of action. We have previously shown that glucocorticoid-induced transcription in the lung epithelial cell line NCI-H441 is mediated via C/EBP sites in the promoters of target genes, and is likely to involve the transcription factors C/EBPbeta and C/EBPdelta. Here, we report that C/EBPbeta is the most active C/EBP-factor in both human and mouse lung epithelium and that glucocorticoids induce DNA binding of C/EBPbeta in cultured primary mouse lung epithelial cells. Mechanistic studies in H441 cells revealed that glucocorticoids, acting via the glucocorticoid receptor, increase C/EBPbeta binding starting 10 min after stimulation. The mechanism is independent of de novo protein synthesis and involves phosphorylation of C/EBPbeta at Thr(235). Together this shows that glucocorticoids increase DNA-binding activity of C/EBPbeta via post-translational mechanism(s) involving phosphorylation.


Subject(s)
CCAAT-Enhancer-Binding Protein-beta/metabolism , Dexamethasone/administration & dosage , Glucocorticoids/administration & dosage , Lung/metabolism , Respiratory Mucosa/metabolism , Animals , Cell Line , Dose-Response Relationship, Drug , Gene Expression Regulation/drug effects , Gene Expression Regulation/physiology , Humans , Kinetics , Lung/cytology , Lung/drug effects , Mice , Phosphorylation/drug effects , Respiratory Mucosa/drug effects
19.
Transplantation ; 79(10): 1411-6, 2005 May 27.
Article in English | MEDLINE | ID: mdl-15912112

ABSTRACT

BACKGROUND: Bronchiolitis obliterans (BO) is a common complication and is associated with high mortality after allogeneic stem-cell transplantation (SCT). Early diagnosis of BO may improve outcome. Low levels of Clara cell secretory protein (CC16) have previously been associated with BO in lung transplant recipients. METHODS: Serum samples were collected from eight patients with BO, eight patients with chronic graft-versus-host disease (GVHD), and eight control patients with neither BO nor chronic GVHD in a matched patient analysis. Patients were matched for diagnosis, conditioning, donor match, and GVHD prophylaxis. Another seven patients with BO were also analyzed separately. CC16 was measured with an enzyme-linked immunosorbent assay method. RESULTS: In the matched analysis, eight patients were diagnosed with BO at a median of 11.5 months (range, 4-13 months) after SCT and in non-matched BO patients at a median of 12 months (range, 9-36 months). In the matched patient analysis, patients with BO had significantly lower (P=0.03) or decreasing (P=0.02) levels of CC16 compared with patients with only chronic GVHD or controls. In the matched patient analysis, measurement of CC16 showed a sensitivity of 88% and a specificity of 81%. With the criteria of low levels of CC16 or a decrease of more than 40% compared with the previous sample, BO was detected with analysis of CC16 in 13 of 15 patients. In 11 of the 13 patients, low or decreasing values of CC16 were detected at a median of 10 months (range, 1-30 months) before BO was diagnosed clinically. CONCLUSIONS: Low levels of CC16 are associated with BO after allogeneic SCT. Monitoring of CC16 in serum after SCT may have potential as an early marker for BO.


Subject(s)
Bronchiolitis Obliterans/diagnosis , Bronchiolitis Obliterans/etiology , Stem Cell Transplantation/adverse effects , Uteroglobin/blood , Adult , Biomarkers/blood , Bronchiolitis Obliterans/blood , Case-Control Studies , Child , Early Diagnosis , Graft vs Host Disease/blood , Humans , Retrospective Studies , Transplantation, Homologous
20.
Chest ; 127(4): 1341-6, 2005 Apr.
Article in English | MEDLINE | ID: mdl-15821213

ABSTRACT

BACKGROUND: CCAAT/enhancer binding proteins (C/EBPs) are key regulators of cell differentiation and linked processes such as proliferation, apoptosis, and gene expression in several organs. C/EBPs are also central for inflammatory responses and infectious defenses, but so far little is known of their role in lung diseases. Chronic bronchitis (CB) and COPD are common smoking-associated lung diseases involving the airway epithelium. METHODS: Gelshifts were used to study C/EBP transcription factor activity in airway epithelial cells obtained by bronchial brush biopsy in four groups: healthy never-smokers (n = 10), asymptomatic smokers (n = 7), and smokers with CB and recurrent infectious exacerbations without COPD (n = 23) and with COPD (n = 13). RESULTS: C/EBP-binding activity was increased 4.6-fold in airway epithelial cells of healthy smokers compared with never-smokers. In contrast, C/EBP binding activity was not increased in the epithelium of smokers with CB or COPD. C/EBP-beta was the dominant C/EBP in the airway epithelium in all groups. CONCLUSIONS: We hypothesize that this lack of increase in C/EBP-beta activity renders the epithelium incompetent of efficient regeneration and more sensitive to infection, suggesting a previously unknown role for C/EBPs in the pathogenesis of CB and COPD.


Subject(s)
Bronchitis/etiology , CCAAT-Binding Factor/physiology , Pulmonary Disease, Chronic Obstructive/etiology , Adult , Aged , Chronic Disease , Female , Humans , Male , Middle Aged
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