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1.
J Neuroendocrinol ; 20(11): 1224-32, 2008 Nov.
Article in English | MEDLINE | ID: mdl-18752652

ABSTRACT

Interleukin (IL)-1beta is present throughout the magnocellular neuroendocrine system and co-depletes with oxytocin and vasopressin from the neural lobe during salt-loading. To examine whether IL-1beta is released from the dendrites/soma of magnocellular neurones during osmotic stimulation, microdialysis adjacent to the supraoptic nucleus (SON) in conscious rats was combined with immunocapillary electrophoresis and laser-induced fluorescence detection to quantify cytokine in 5-min dialysates collected before (0-180 min; basal), and after (180-240 min), hypertonic saline injected s.c. (1.5 m NaCl). Osmotic release of IL-1beta was compared after inhibiting local voltage-gated channels for Na+ (tetrodotoxin) and Ca2+ (cadmium and nickel) or by reducing intracellular Ca2+ stores (thapsigargin). Immunohistochemistry combined with microdialysis was used to localise cytokine sources (IL-1beta+) and microglia (OX-42+). Under conditions of microdialysis, the basal release of IL-1beta+ in the SON area was measurable and stable (pg/ml; mean +/- SEM) from 0-60 min (2.2 +/- 0.06), 60-120 min (2.32 +/- 0.05) and 120-180 min (2.33 +/- 0.06), likely originating locally from activated microglia (OX42+; IL-1beta+; ameboid, hypertrophied) and magnocellular neurones expressing IL-1beta. In response to osmotic stimulation, IL-1beta increased progressively in dialysates of the SON area by a mechanism dependent on intracellular Ca2+ stores sensitive to thapsigargin and, similar to dendritic secretion of oxytocin and vasopressin, required local voltage-gated Na+ and Ca2+ channels for activation by osmoregulatory pathways from the forebrain. During osmotic stimulation, neurally dependent release of IL-1beta in the SON area likely upregulates osmosensitive cation currents on magnocellular neurones (observed in vitro by others), to facilitate dendritic release of neurohypophysial hormones.


Subject(s)
Interleukin-1beta/metabolism , Neurons/metabolism , Osmotic Pressure , Supraoptic Nucleus/cytology , Supraoptic Nucleus/metabolism , Animals , Calcium Channels/metabolism , Enzyme Inhibitors/pharmacology , Male , Microdialysis , Microglia/cytology , Microglia/metabolism , Neurons/cytology , Neurons/drug effects , Rats , Rats, Sprague-Dawley , Sodium Channel Blockers/pharmacology , Sodium Channels/metabolism , Supraoptic Nucleus/drug effects , Tetrodotoxin/pharmacology , Thapsigargin/pharmacology
2.
J Appl Physiol (1985) ; 103(3): 963-8, 2007 Sep.
Article in English | MEDLINE | ID: mdl-17600158

ABSTRACT

To test the hypothesis that cutaneous active vasodilation in heat stress is mediated by a redundant cholinergic cotransmitter system, we examined the effects of atropine on skin blood flow (SkBF) increases during heat stress in persons with (CF) and without cystic fibrosis (non-CF). Vasoactive intestinal peptide (VIP) has been implicated as a mediator of cutaneous vasodilation in heat stress. VIP-containing cutaneous neurons are sparse in CF, yet SkBF increases during heat stress are normal. In CF, augmented ACh release or muscarinic receptor sensitivity could compensate for decreased VIP; if so, active vasodilation would be attenuated by atropine in CF relative to non-CF. Atropine was administered into skin by iontophoresis in seven CF and seven matched non-CF subjects. SkBF was monitored by laser-Doppler flowmetry (LDF) at atropine treated and untreated sites. Blood pressure [mean arterial pressure (MAP)] was monitored (Finapres), and cutaneous vascular conductance was calculated (CVC = LDF/MAP). The protocol began with a normothermic period followed by a 3-min cold stress and 30-45 min of heat stress. Finally, LDF sites were warmed to 42 degrees C to effect maximal vasodilation. CVC was normalized to its site-specific maximum. During heat stress, CVC increased in both CF and non-CF (P < 0.01). CVC increases were attenuated by atropine in both groups (P < 0.01); however, the responses did not differ between groups (P = 0.99). We conclude that in CF there is not greater dependence on redundant cholinergic mechanisms for cutaneous active vasodilation than in non-CF.


Subject(s)
Acetylcholine/physiology , Cystic Fibrosis/physiopathology , Heat Stress Disorders/physiopathology , Skin/blood supply , Vasodilation/physiology , Adult , Atropine/administration & dosage , Cystic Fibrosis/complications , Female , Heat Stress Disorders/complications , Humans , Male , Muscarinic Antagonists/administration & dosage , Vasoactive Intestinal Peptide/physiology
4.
J Neuroendocrinol ; 18(12): 926-37, 2006 Dec.
Article in English | MEDLINE | ID: mdl-17076768

ABSTRACT

Drinking 2% NaCl decreases interleukin (IL)-1beta in the neural lobe and enhances IL-1 Type 1 receptor expression in magnocellular neurones and pituicytes. To quantify cytokine depletion from the neural lobe during progressive salt loading and determine whether the changes are reversible and correspond with stores of vasopressin (VP) or oxytocin (OT), rats were given water on day 0 and then 2% NaCl to drink for 2, 5, 8 or 5 days followed by 5 days of water (rehydration). Control rats drinking only water were pair-fed amounts eaten by 5-day salt-loaded animals. Animals were decapitated on day 8, the neural lobe frozen and plasma hormones analysed by radioimmunoassay (OT, VP) or enzyme-linked immunosorbent assay (IL-1beta). IL-1beta, VP and OT in homogenates of the neural lobe were quantified by immunocapillary electrophoresis with laser-induced fluorescence detection. Differences were determined by ANOVA, Tukey's t-test, Dunnett's procedure, Fisher's least significant difference and linear regression analysis. In response to salt-loading, rats lost body weight similar to pair-fed controls, drank progressively more 2% NaCl and excreted greater urine volumes. Plasma VP increased at days 2 and 8 of salt-loading, whereas osmolality, OT and cytokine were enhanced after 8 days with IL-1beta remaining elevated after rehydration. In the neural lobe, all three peptides decreased progressively with increasing duration of salt-loading (IL-1beta, r2 = 0.98; OT, r2 = 0.94; VP, r2 = 0.93), beginning on day 2 (IL-1beta; VP) or 5 (OT), with only VP replenished by rehydration. IL-1beta declined more closely (P < 0.0001; ANOVA interaction analysis) with OT (r2 = 0.96) than VP (r2 = 0.86), indicative of corelease from the neural lobe during chronic dehydration. Local effects of IL-1beta on magnocellular terminals, pituicytes and microglia in the neural lobe with activation of forebrain osmoregulatory structures by circulating cytokine may sustain neurosecretion of OT and VP during prolonged salt-loading.


Subject(s)
Interleukin-1beta/blood , Oxytocin/blood , Pituitary Gland, Posterior/metabolism , Vasopressins/blood , Water-Electrolyte Balance/physiology , Analysis of Variance , Animals , Dehydration/blood , Dehydration/chemically induced , Male , Osmolar Concentration , Pituitary Gland, Posterior/cytology , Pituitary Gland, Posterior/drug effects , Pituitary Hormones, Posterior/blood , Rats , Rats, Sprague-Dawley , Sodium Chloride, Dietary , Statistics, Nonparametric , Water-Electrolyte Balance/drug effects
6.
Brain Behav Immun ; 19(3): 235-42, 2005 May.
Article in English | MEDLINE | ID: mdl-15797312

ABSTRACT

Patterns of Epstein-Barr virus (EBV) reactivation in 32 astronauts and 18 healthy age-matched control subjects were characterized by quantifying EBV shedding. Saliva samples were collected from astronauts before, during, and after 10 space shuttle missions of 5-14 days duration. At one time point or another, EBV was detected in saliva from each of the astronauts. Of 1398 saliva specimens from 32 astronauts, polymerase chain reaction analysis showed that 314 (23%) were positive for EBV DNA. Examination by flight phase showed that 29% of the saliva specimens collected from 28 astronauts before flight were positive for EBV DNA, as were 16% of those collected from 25 astronauts during flight and 16% of those collected after flight from 23 astronauts. The mean number of EBV copies from samples taken during the flights was 417 per mL, significantly greater (p<.05) than the number of viral copies from the preflight (40) and postflight (44) phases. In contrast, the control subjects shed EBV DNA with a frequency of 3.7% and mean number of EBV copies of 40 per mL of saliva. Ten days before flight and on landing day, titers of antibody to EBV viral capsid antigen were significantly (p<.05) greater than baseline levels. On landing day, urinary levels of cortisol and catecholamines were greater than their preflight values. In a limited study (n=5), plasma levels of substance P and other neuropeptides were also greater on landing day. Increases in the number of viral copies and in the amount of EBV-specific antibody were consistent with EBV reactivation before, during, and after space flight.


Subject(s)
Astronauts , Herpesvirus 4, Human/isolation & purification , Saliva/virology , Space Flight , Stress, Physiological/virology , Virus Shedding/physiology , Adult , Antibodies/blood , Antibodies/immunology , Antigens, Viral/immunology , Capsid Proteins/immunology , Catecholamines/urine , DNA, Viral/analysis , Female , Herpesvirus 4, Human/immunology , Humans , Hydrocortisone/urine , Male , Middle Aged , Neuropeptides/blood , Stress, Physiological/immunology , Stress, Physiological/metabolism , Virus Shedding/immunology
7.
J Burn Care Rehabil ; 25(1): 33-44, 2004.
Article in English | MEDLINE | ID: mdl-14726737

ABSTRACT

Real-time metabolic monitoring of varied vascular beds provides the raw data necessary to conduct ultraprecise burn shock resuscitation based on second-by-second assessment of regional tissue perfusion. It also illustrates shortcomings of current clinical practices. Arterial base deficit was continuously monitored during 11 clinical resuscitations of patients suffering burn shock using a Paratrend monitor. Separately, in a 30% TBSA rat burn model (N = 70), three Paratrend monitors simultaneously recorded arterial blood gas and tissue pCO2 of the burn wound and colonic mucosa during resuscitation at 0, 2, 4, 6, and 8 ml/kg/%TBSA. Paratrend data were analyzed in conjunction with previously reported laser Doppler images of actual burn wound capillary perfusion. With current clinical therapy, continuous monitoring of arterial base deficit revealed repetitive cycles of resolution/worsening/resolution during burn shock resuscitation. In the rat model, tissue pCO2 in both burn wounds and splanchnic circulation differed depending on the rate of fluid resuscitation (P <.01 between sham and 0 ml/kg/%TBSA and between 2 ml/kg/%TBSA and 4 ml/kg/%TBSA). Burn wound pCO2 values correlated well with laser Doppler determination of actual capillary perfusion (rho = -.48, P <.01). The following conclusions were reached: 1). Gratuitous and repetitive ischemia-reperfusion-ischemia cycles plague current clinical therapy as demonstrated by numerous "false starts" in the resolution of arterial base deficit; 2). in a rat model, real-time monitoring of burn wound and splanchnic pCO2 demonstrate a dose-response relationship with rate of fluid administration; and 3). burn wound and splanchnic pCO2 are highly correlated with direct measurement of burn wound capillary perfusion by laser Doppler imager. Either technique can serve as a resuscitation endpoint for real-time feedback-controlled ultraprecise resuscitation.


Subject(s)
Burns/therapy , Monitoring, Physiologic , Reperfusion Injury/diagnosis , Resuscitation , Shock/therapy , Acid-Base Equilibrium , Animals , Awards and Prizes , Burns/metabolism , Colon/metabolism , Fluid Therapy , Humans , Intestinal Mucosa/metabolism , Laser-Doppler Flowmetry , Male , Rats , Rats, Sprague-Dawley , Societies, Medical , Splanchnic Circulation/physiology , United States
8.
J Biochem Biophys Methods ; 49(1-3): 253-62, 2001 Oct 30.
Article in English | MEDLINE | ID: mdl-11694283

ABSTRACT

A system for isolating and measuring up to 30 analytes in a single biological sample is described. The system is based on recycling a pre-labeled sample through an array of capillary immunoaffinity columns, each packed with glass beads, coated with a different antibody, thus enabling each column to isolate and extract a single analyte. Detection of the bound analytes is achieved by laser-induced fluorescence (LIF), using a laboratory-built scanning detector coupled to a fiber-optic spectrometer. The array can be regenerated up to 200 times, provided a suitable temperature is maintained. The individual immunoaffinity columns are able to bind between 2.9 and 3.6 ng of analyte, depending upon the individual column, with lower limits of detection (LOD) in the order of 1.6-2.8 pg/ml. The inter- and intra-assay coefficients of variation (CV) for all 30 columns in the array were less than 6.03+/-0.33 at analyte concentrations of 100 pg/ml. Comparison to standard enzyme-immunoassays demonstrated r(2) values in the range of 0.9151-0.9855 when analyzed by least-squares linear regression.


Subject(s)
Body Fluids/chemistry , Chromatography, Affinity/methods , Antibodies/isolation & purification , Chromatography, Affinity/instrumentation , Equipment Reuse , Humans , Immunoenzyme Techniques , Reproducibility of Results , Spectrometry, Fluorescence/methods , Spectrophotometry/methods
9.
Blood Purif ; 19(4): 370-9, 2001.
Article in English | MEDLINE | ID: mdl-11574733

ABSTRACT

Hemodialysis (HD) membrane biocompatibility is defined as absence of complement activation. We have recently shown that circulating levels of interleukin (IL) 1 and IL-2 predict death and survival, respectively, of HD patients. Studies have assessed IL-1 in treatments with biocompatible and less biocompatible dialysis membranes, but no study has correlated circulating levels of all these immunoreactants. We assessed these immunoreactants, and temperature as an outcome, during HD in patients treated with different membranes. Twelve stable patients, receiving thrice-weekly chronic bicarbonate HD, were randomly dialyzed with three different types of membranes, composed of: Cuprophan, cuprammonium rayon modified cellulose, and Hemophan. Blood was drawn from the arterial line port before (Pre) and 15, 30, and 60 min during and after (Post) HD. Patients' temperatures were measured before and after each treatment. The plasma concentrations of IL-1 and IL-2 and factors C3a and C5a were assessed by ELISA. There were no differences between baseline levels of any of the immunoreactants in patients treated with different dialyzers. C3a, C5a, and IL-1 levels increased significantly during HD treatments with all three different membranes. C3a, C5a, and IL-1 levels during Cuprophan and Hemophan treatments were significantly higher than the levels during modified cellulose treatment at 30 and 60 min and Post (p < 0.01). For all the immunoreactants, however, the Post levels were higher than the Pre levels. In contrast to IL-1, there were no differences in mean IL-2 levels during treatments when different membranes were compared. There were few correlations of plasma C3a and C5a levels with plasma IL-1 levels, but there was only one treatment time in one dialyzer group during which IL-2 and any of the other factors were correlated. Pre and Post temperature values and percent change in temperature were not correlated with any of the immunoreactants measured. These data show that C3a, C5a, and IL-1 responses are similar, but not identical, during treatments with different membranes. The response of circulating IL-2 levels to treatments is quite different from that of plasma C3a, C5a and IL-1 levels and suggests that these changes are not solely due to treatment factors. Treatment with modified cellulose membranes is associated with a different immunoreactive profile as compared with patients dialyzed using other cellulose membranes. We suggest that circulating IL-1 levels are good biocompatibility markers.


Subject(s)
Biocompatible Materials/standards , Cellulose/analogs & derivatives , Renal Dialysis/instrumentation , Adult , Aged , Aged, 80 and over , Biocompatible Materials/chemistry , Biocompatible Materials/pharmacology , Biomarkers/blood , Cellulose/pharmacology , Complement C3a/drug effects , Complement C3a/metabolism , Complement C5a/drug effects , Complement C5a/metabolism , Complement System Proteins/drug effects , Complement System Proteins/metabolism , Cytokines/blood , Cytokines/drug effects , Female , Humans , Immunity, Cellular/drug effects , Interleukin-1/blood , Interleukin-2/blood , Male , Membranes, Artificial , Middle Aged , Renal Dialysis/adverse effects , Renal Dialysis/standards , Temperature
10.
J Microbiol Methods ; 47(2): 181-8, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11576682

ABSTRACT

A colorimetric microtitre plate-based assay that detects haloalkane dehalogenase activity was modified to detect dechlorination of gamma-hexachlorocyclohexane (Lindane). Dechlorination is indicated by the colour change of phenol red from red to yellow, in a weakly buffered solution, as the solution becomes acidic due to HCl formed during dechlorination. Enzyme activity can be monitored by reading the absorbance of each well at 540 nm. Positive controls for the assay were the known Lindane-degrading microorganisms, Rhodanobacter lindaniclasticus and Sphingomonas paucimobilis UT26. Dechlorination in a scaled-up version of the assay was confirmed by GC/ECD detection of known metabolites of the test microorganisms from which the enzyme extracts were prepared. The assay was used to measure the rate of dechlorination in cell-free extracts of R. lindaniclasticus. It was also used to screen the cell-free extracts of 24 bacterial isolates, from a Lindane-contaminated soil, for Lindane dechlorination activity. Although no isolates tested positive, the assay represents a new inexpensive and rapid screening tool for the detection of Lindane-degrading microorganisms.


Subject(s)
Bacteria/metabolism , Chlorides/metabolism , Colorimetry/methods , Hexachlorocyclohexane/metabolism , Insecticides/metabolism , Biodegradation, Environmental , Ethylene Dichlorides/metabolism , Hexachlorocyclohexane/chemistry , Insecticides/chemistry , Kinetics , Oxidation-Reduction , Pseudomonas/metabolism
11.
Ann Neurol ; 49(5): 597-606, 2001 May.
Article in English | MEDLINE | ID: mdl-11357950

ABSTRACT

There has been little exploration of major biologic regulators of cerebral development in autism. In archived neonatal blood of children with autistic spectrum disorders (n = 69), mental retardation without autism (n = 60), or cerebral palsy (CP, n = 63) and of control children (n = 54), we used recycling immunoaffinity chromatography to measure the neuropeptides substance P (SP), vasoactive intestinal peptide (VIP), pituitary adenylate cyclase-activating polypeptide (PACAP), calcitonin gene-related peptide (CGRP), and the neurotrophins nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF), neurotrophin 3 (NT3), and neurotrophin 4/5 (NT4/5). Neonatal concentrations of VIP, CGRP, BDNF, and NT4/5 were higher (ANOVA, all p values < 0.0001 by Scheffe test for pairwise differences) in children in the autistic spectrum and in those with mental retardation without autism than in control children. In 99% of children with autism and 97% with mental retardation, levels of at least one of these substances exceeded those of all control children. Concentrations were similar in subgroups of the autistic spectrum (core syndrome with or without mental retardation, other autistic spectrum disorders with or without mental retardation) and in the presence or absence of a history of regression. Among children with mental retardation, concentrations did not differ by severity or known cause (n = 11, including 4 with Down syndrome). Concentrations of measured substances were similar in children with CP as compared with control subjects. SP, PACAP, NGF, and NT3 were not different by diagnostic group. No measured analyte distinguished children with autism from children with mental retardation alone. In autism and in a heterogeneous group of disorders of cognitive function, overexpression of certain neuropeptides and neurotrophins was observed in peripheral blood drawn in the first days of life.


Subject(s)
Autistic Disorder/blood , Intellectual Disability/blood , Nerve Growth Factors/blood , Neuropeptides/blood , Female , Humans , Infant, Newborn , Male
12.
Luminescence ; 16(2): 145-52, 2001.
Article in English | MEDLINE | ID: mdl-11312540

ABSTRACT

Neuropeptide regulation of immunological activity is becoming an important issue in both basic and clinical sciences, necessitating the need for analysis to be performed at the single-cell level. A microsampling procedure has been developed for studying secretion of biologically important peptides from neuropeptide-stimulated lymphocytes, based on microdialysis sampling coupled to immunoaffinity capillary electrophoresis (ICE), with laser-induced fluorescence (LIF) detection using a fibre-optic spectrometer and diode laser excitation. The system demonstrated a limit of detection in the high attomole (10(-18) mol/L) range with pure standards and was capable of monitoring secretion from a single cell over time. Using this system it was possible to differentiate the effects of four neuropeptides on both T and B cell release of regulatory cytokines. CD4(+) lymphocytes demonstrated a 7.5-fold increase in cytokine secretion over baseline following stimulation with substance P (SP) and calcitonin gene-related peptide (CGRP). B cells responded to CGRP and vasoactive intestinal peptide (VIP) stimulation (5.5-fold increase), but not to SP. These changes took place 12--20 h post-stimulation and, once the peak secretion had been reached, remained at that level for the duration of the experiment. This system demonstrates the ability to perform high sensitivity measurements on microsamples of biological fluids.


Subject(s)
Electrophoresis, Capillary/methods , Spectrometry, Fluorescence/methods , Humans , Lasers , Lymphocyte Subsets , Microdialysis
13.
Cytokine ; 13(4): 234-9, 2001 Feb 21.
Article in English | MEDLINE | ID: mdl-11237431

ABSTRACT

To establish levels of mediators of inflammation in cord blood and postnatal serum from extremely low gestational age newborns (ELGANs, < or =28 weeks), we measured sixteen markers of inflammation by recycling immunoaffinity chromatography in 15 ELGANs who had serum sampled at days 2-5. Median levels of IL-1, IL-6, IL-8, IL-11, IL-13, TNF-alpha, G-CSF, M-CSF, GM-CSF, MIP-1alpha, and RANTES were considerably higher than published values of these inflammatory mediators from term newborns. In three of eight ELGANS who had serial measurements taken, levels of IL-1, IL-6, IL-8, IL-11, TNF-alpha, G-CSF, and MIP-1alpha declined from initially very high levels to reach an apparent baseline towards the end of the first postnatal week. In these same three infants, GM-CSF and TGF-beta1 levels increased continuously during the first week. In the other five ELGANs, no consistent changes were observed. We speculate, that in some ELGANs, a fetal systemic inflammatory response is characterized by an antenatal wave of pro-inflammatory cytokines, followed by a second, postnatal wave of anti-inflammatory cytokines. Large epidemiologic studies are needed to clarify relationships among inflammation markers and their expression in the fetal and neonatal circulation over time. Such studies would also add to our understanding of the possible role of inflammatory mediators in the pathophysiology of the major complications of extreme prematurity.


Subject(s)
Infant, Premature/blood , Infant, Very Low Birth Weight/blood , Inflammation Mediators/blood , Inflammation/blood , Inflammation/physiopathology , Adult , Female , Fetal Blood/chemistry , Fetal Blood/immunology , Gestational Age , Half-Life , Humans , Infant, Newborn , Infant, Premature/immunology , Infant, Very Low Birth Weight/immunology , Inflammation/immunology , Male , Pregnancy
14.
J Burn Care Rehabil ; 22(6): 406-16, 2001.
Article in English | MEDLINE | ID: mdl-11761393

ABSTRACT

Conversion of partial- to full-thickness injuries, even after the burning has stopped, remains a significant clinical problem. We developed a rat model with a wide range of burn depths to study this phenomenon by microvascular assessment. Fifty-four male Sprague-Dawley rats weighing 460 g on average were studied. Real-time tissue monitoring of pH, paCO2, and paO2 was achieved by placement of a continuous blood gas monitor transducer in the aorta. Ten, 2-cm x 2-cm burns were created on each animal with milled aluminum templates (100 degrees C) with varying contact times. Conversion of burn depth in these wounds was documented by serial laser Doppler imager scanning over a 5-hour period. Animals received Ringer's lactate resuscitation at 0, 2, 4, 6, and 8 ml/kg/%burn. Serial laser Doppler scanning directly demonstrated progressive loss of perfusion to partial-thickness burns dependent upon the amount of fluid resuscitation. Conversion of partial- to full-thickness burns in this rat model (documented by laser Doppler microvascular assessment) was dependent upon how the animals were resuscitated.


Subject(s)
Burns/pathology , Burns/physiopathology , Resuscitation , Shock, Traumatic/pathology , Shock, Traumatic/physiopathology , Animals , Blood Gas Analysis , Burns/blood , Disease Models, Animal , Laser-Doppler Flowmetry , Male , Microcirculation/pathology , Microcirculation/physiopathology , Random Allocation , Rats , Rats, Sprague-Dawley , Shock, Traumatic/blood , Skin/blood supply , Skin/pathology , Skin/physiopathology , Time Factors , Trauma Severity Indices
15.
Plast Reconstr Surg ; 105(3): 991-8, 2000 Mar.
Article in English | MEDLINE | ID: mdl-10724259

ABSTRACT

The trauma and sepsis that follow open fractures and wounds may lead to the production of various cytokines. Understanding wound healing requires a direct knowledge of the specific cytokines and the respective wound fluid levels that are present at the wound site. An animal model was designed that mimics the open fracture and the clinical repair of the human, high-energy open fracture. Canine right tibiae were fractured with a penetrating, captive-bolt device, then repaired in a standard clinical fashion using an interlocking intramedullary nail. Before primary wound closure, microdialysis probes were placed at the fracture site and in a muscle located at a contralateral site. Canines received one of the following experimental protocols: (1) tibial fracture (n = 5); (2) tibial fracture plus Staphylococcus aureus inoculation at the fracture site (n = 5); and (3) tibial fracture, S. aureus inoculation, and a rotational gastrocnemius muscle flap (n = 5). Microdialysis fluid samples were collected intermittently for 7 days. Tumor necrosis factor alpha (TNFalpha) levels at the fracture site were significantly elevated 3 to 34-fold (p<0.02), as compared with respective serum levels at all time points for all treatment groups. Fracture site TNFalpha levels were elevated (p<0.02) in days 1 through 6, as compared with the baseline and contralateral in all treatment groups. At days 1 through 6, the TNFalpha levels of the muscle flap group fracture site were significantly decreased by approximately 50 percent (p<0.05), as compared with the fractures without muscle flaps and regardless of additional S. aureus inoculation. On day 7, fracture site TNFalpha levels in all animal groups were similar, yet remained well above those of baseline TNFalpha. These results demonstrate that S. aureus does not further elevate TNFalpha levels in the presence of an open fracture and that a muscle flap reduces pro-inflammatory TNFalpha levels during early wound healing. This experimental model allows for the characterization of specific biological signals and cellular pathways that are influenced by bacterial infection and surgical closure. These data provide a scientific framework on which to judge or validate therapeutic regimens for open-fracture wound healing.


Subject(s)
Fracture Healing , Fractures, Open/metabolism , Surgical Flaps , Tumor Necrosis Factor-alpha/metabolism , Animals , Dogs , Fracture Fixation, Intramedullary , Fractures, Open/complications , Microdialysis , Staphylococcal Infections/complications , Tibial Fractures/metabolism , Tibial Fractures/surgery , Wound Infection/complications
16.
Ann N Y Acad Sci ; 921: 109-14, 2000.
Article in English | MEDLINE | ID: mdl-11193813

ABSTRACT

The mechanism through which VIP prevents neurotoxicity associated with HIV envelope protein has been shown to involve the release of a beta-chemokine, MIP-1 alpha. Astrocytes stimulated with subnanomolar concentrations of VIP caused the release of MIP-1 alpha and RANTES, both of which have been shown to prevent neuronal cell death associated with gp120. It is further proposed that gp120 causes neuronal cell death, in part, by competing with endogenous chemokines at various chemokines receptors in the brain that are necessary for neuronal survival. Although the chemokines are known to be mediators of inflammation, our studies suggest that these compounds have additional roles as neuroprotective agents that depend on the concentration of chemokine, cellular microenvironment, and stage of development of target neurons. Our studies further imply that in a developing system, stimulation with a MIP-1 alpha like substance is necessary for neuronal survival and interference with this action results in neuronal cell death.


Subject(s)
Astrocytes/drug effects , Astrocytes/metabolism , Chemokines/metabolism , HIV Envelope Protein gp120/toxicity , Vasoactive Intestinal Peptide/pharmacology , Animals , Antibodies/pharmacology , Astrocytes/pathology , Cell Death/drug effects , Cell Survival/physiology , Cells, Cultured , Chemokine CCL4 , Chemokine CCL5/antagonists & inhibitors , Chemokine CCL5/physiology , Chemokines, CC/physiology , Macrophage Inflammatory Proteins/antagonists & inhibitors , Macrophage Inflammatory Proteins/physiology , Neuroprotective Agents/pharmacology , Neutralization Tests , Rats
17.
J Expo Anal Environ Epidemiol ; 10(6 Pt 2): 769-75, 2000.
Article in English | MEDLINE | ID: mdl-11138669

ABSTRACT

Environmental exposure to a number of xenobiotics, including pesticides, can have serious effects on the immune system of children, thus rendering them susceptible to infections or other disease states. To study this problem, a recycling chromatographic system for assessing cytokine profiles in humans has been developed and used for the measurement of immune system function in children with documented exposure to residential pesticides. The system is capable of measuring 30 different analytes in a single sample thus enabling the same time examination of representative markers of immune differentiation and function. In the present study, a cohort of 25 exposed children were examined and shown to exhibit a number of features; all subjects demonstrated some abnormalities in cytokines associated with hematopoiesis. Additionally, elevations in pro-inflammatory cytokines and neuropeptides indicated a state of generalized and neurogenic inflammation. Further analysis indicated that a depression of the cellular arm of the immune system that correlated with clinical indicators of lowered host resistance to infection could also be detected in a subgroup of the exposed subjects. All exposed children demonstrated evidence of hyperstimulation of the humoral immune system as indicated by elevated IL-5 concentrations and clinical allergy. The degree of immune dysregulation in the exposed children was found to be quite marked when compared to similar studies performed on age-matched controls.


Subject(s)
Environmental Exposure/analysis , Immune System/drug effects , Pesticide Residues/adverse effects , Xenobiotics/adverse effects , Biomarkers/analysis , Child , Child Welfare , Child, Preschool , Cohort Studies , Cytokines/analysis , Female , Humans , Hypersensitivity/etiology , Inflammation , Interleukin-5/analysis , Male , Pesticide Residues/immunology , Xenobiotics/immunology
18.
J Womens Health Gend Based Med ; 8(9): 1167-72, 1999 Nov.
Article in English | MEDLINE | ID: mdl-10595329

ABSTRACT

Elevated plasma homocysteine levels have been associated with increased atherosclerotic disease risk. Estrogen and estrogen/progestin replacement therapy have been suggested to lower plasma homocysteine levels in postmenopausal women. To assess the impact of hormone replacement therapy (HRT) on plasma homocysteine, levels were measured in samples from adherent women randomized to placebo (n = 34), conjugated equine estrogens (n = 36), or continuous conjugated equine estrogens + progestin (n = 33) in the Postmenopausal Estrogen/Progestin Interventions (PEPI) Trial. Homocysteine levels decreased between baseline and follow-up (12 and 36 months) in all treatment groups. The magnitude of the reduction was greater in the conjugated estrogens group at 12 months compared with placebo (p = 0.036), even when adjusted for folate and B vitamin consumption, but this difference did not persist at 36 months. These data suggest that estrogen therapy has a modest, but transient, impact on plasma homocysteine levels in women with normal homocysteine at baseline.


Subject(s)
Coronary Artery Disease/prevention & control , Estrogen Replacement Therapy , Homocysteine/blood , Postmenopause , Arteriosclerosis/prevention & control , Double-Blind Method , Estrogens, Conjugated (USP)/therapeutic use , Female , Humans , Medroxyprogesterone Acetate/therapeutic use , Middle Aged , Risk Factors
19.
Brain Res ; 838(1-2): 27-36, 1999 Aug 14.
Article in English | MEDLINE | ID: mdl-10446313

ABSTRACT

Vasoactive intestinal peptide (VIP) and DAPTA (D-ala(1)-peptide T-amide, a gp120-derived octapeptide homologous to VIP) prevent neuronal cell death produced by five variants of HIV-1 (human immunodeficiency virus) envelope protein (gp120). VIP or DAPTA treatment of astrocyte cultures resulted in the release of macrophage inflammatory protein-1alpha (MIP-1alpha) and RANTES, beta chemokines known to block gp120 interactions with microglial chemokine receptors. In rat cerebral cortical cultures, gp120-induced neuronal killing was partially or completely prevented by chemokines that stimulate the CXCR4, CCR3 or CCR5 chemokine receptors. Chemokines exhibited marked differences in potency and efficacy in preventing toxicity associated with five gp120 variants (LAV/BRU, CM243, RF, SF2, and MN). RANTES had the broadest and most potent inhibition (IC(50)<3 pM for RF isolate). An octapeptide derived from RANTES also exhibited neuroprotection from gp120 (RF isolate) toxicity (IC(50)=0.3 microM). Treatment with chemokines alone had no detectable effect on neuronal cell number. However, antiserum to MIP-1alpha produced neuronal cell death that was prevented by co-treatment with MIP-1alpha, suggesting that this endogenous chemokine exerts a tonic regulation important to neuronal survival. The neuroprotective action of VIP on gp120 was attenuated by co-treatment with anti-MIP-1alpha. These studies suggest that the neuroprotective action of VIP is linked in part to its release of MIP-1alpha. Furthermore, neuroprotection produced by chemokines is dependent on both the type of chemokine and the variant structure of gp120 and may be relevant to drug strategies for the treatment of AIDS dementia.


Subject(s)
Chemokines/metabolism , HIV Envelope Protein gp120/genetics , HIV , Neurons/drug effects , Peptide T/pharmacology , Vasoactive Intestinal Peptide/pharmacology , Animals , Cell Death/drug effects , Cells, Cultured , Chemokine CCL5/analysis , Genetic Variation , Neurons/pathology , Neurotoxins/genetics , Rats
20.
Biochim Biophys Acta ; 1438(3): 388-98, 1999 Jun 10.
Article in English | MEDLINE | ID: mdl-10366781

ABSTRACT

Hydroxyeicosatetraenoic acids (HETEs) and hydroxyoctadecadienoic acids (HODEs) are major bioactive lipids formed via the lipoxygenase oxygenation of arachidonic and linoleic acid, respectively. These metabolites appear to be involved in various cellular actions including cell proliferation, migration and regulation of enzyme activities such as phospholipases and kinases. In view of the diversity of biological effects of these hydroxy fatty acids, it seems likely that multiple mechanisms are involved. Previous reports showed that 15(S)-HETE inhibited the 5-lipoxygenase in rat basophilic leukemia (RBL-1) cell homogenates and established the presence of specific cellular HETE binding sites in these and other cells. The present study used 15(S)-HETE biotin hydrazide and 15(S)-HETE biotin pentyl amide as probes to identify membrane target proteins present in RBL-1 cells that specifically interact with HETEs and HODEs. Two membrane-associated proteins, with apparent molecular weights of 43 and 58 kDa, were identified that specifically interact with these probes and competition experiments indicated that 13(S)-HODE and 15(S)-HETE were the most effective competitors for the hydrazide probe, followed in decreasing effectiveness by 5(S)-HETE, arachidonic acid, 15(R)-HETE, stearic acid and 12(S)-HHT, a cyclooxygenase product. The two proteins were isolated and microsequencing analysis established their identities as actin and the alpha-subunit of mitochondrial ATP synthase, respectively. In vitro binding studies confirmed that purified actin is a potential 15-HETE binding protein. Subcellular cytosolic fractions exhibited fewer protein-probe complexes than membrane fractions. The association of HETEs and HODEs with these cytoskeletal and mitochondrial proteins, respectively, represents a new development in the potential actions of these hydroxy fatty acids.


Subject(s)
Hydroxyeicosatetraenoic Acids/chemistry , Lipoxygenase/chemistry , Membrane Proteins/chemistry , Subcellular Fractions/chemistry , Actins/chemistry , Amino Acid Sequence , Animals , Binding, Competitive , Biotin/analogs & derivatives , Biotin/chemistry , Blotting, Western , Cell Line , Electrophoresis, Polyacrylamide Gel , Luminescent Measurements , Membrane Proteins/isolation & purification , Molecular Probes/chemistry , Molecular Sequence Data , Proton-Translocating ATPases/chemistry , Rats , Tritium
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