Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 21
Filter
Add more filters










Publication year range
1.
Theranostics ; 14(7): 2856-2880, 2024.
Article in English | MEDLINE | ID: mdl-38773968

ABSTRACT

Cell metabolism reprogramming to sustain energy production, while reducing oxygen and energy consuming processes is crucially important for the adaptation to hypoxia/ischemia. Adaptive metabolic rewiring is controlled by hypoxia-inducible factors (HIFs). Accumulating experimental evidence indicates that timely activation of HIF in brain-resident cells improves the outcome from acute ischemic stroke. However, the underlying molecular mechanisms are still incompletely understood. Thus, we investigated whether HIF-dependent metabolic reprogramming affects the vulnerability of brain-resident cells towards ischemic stress. Methods: We used genetic and pharmacological approaches to activate HIF in the murine brain in vivo and in primary neurons and astrocytes in vitro. Numerous metabolomic approaches and molecular biological techniques were applied to elucidate potential HIF-dependent effects on the central carbon metabolism of brain cells. In animal and cell models of ischemic stroke, we analysed whether HIF-dependent metabolic reprogramming influences the susceptibility to ischemic injury. Results: Neuron-specific gene ablation of prolyl-4-hydroxylase domain 2 (PHD2) protein, negatively regulating the protein stability of HIF-α in an oxygen dependent manner, reduced brain injury and functional impairment of mice after acute stroke in a HIF-dependent manner. Accordingly, PHD2 deficient neurons showed an improved tolerance towards ischemic stress in vitro, which was accompanied by enhanced HIF-1-mediated glycolytic lactate production through pyruvate dehydrogenase kinase-mediated inhibition of the pyruvate dehydrogenase. Systemic treatment of mice with roxadustat, a low-molecular weight pan-PHD inhibitor, not only increased the abundance of numerous metabolites of the central carbon and amino acid metabolism in murine brain, but also ameliorated cerebral tissue damage and sensorimotor dysfunction after acute ischemic stroke. In neurons and astrocytes roxadustat provoked a HIF-1-dependent glucose metabolism reprogramming including elevation of glucose uptake, glycogen synthesis, glycolytic capacity, lactate production and lactate release, which enhanced the ischemic tolerance of astrocytes, but not neurons. We found that strong activation of HIF-1 in neurons by non-selective inhibition of all PHD isoenzymes caused a HIF-1-dependent upregulation of 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase-3 redirecting glucose-6-phosphate from pentose phosphate pathway (PPP) to the glycolysis pathway. This was accompanied by a reduction of NADPH production in the PPP, which further decreased the low intrinsic antioxidant reserve of neurons, making them more susceptible to ischemic stress. Nonetheless, in organotypic hippocampal cultures with preserved neuronal-glial interactions roxadustat decreased the neuronal susceptibility to ischemic stress, which was largely prevented by restricting glycolytic energy production through lactate transport blockade. Conclusion: Collectively, our results indicate that HIF-1-mediated metabolic reprogramming alleviates the intrinsic vulnerability of brain-resident cells to ischemic stress.


Subject(s)
Astrocytes , Carbon , Hypoxia-Inducible Factor 1, alpha Subunit , Hypoxia-Inducible Factor-Proline Dioxygenases , Ischemic Stroke , Neurons , Animals , Female , Male , Mice , Astrocytes/metabolism , Astrocytes/drug effects , Brain/metabolism , Brain Ischemia/metabolism , Carbon/metabolism , Cellular Reprogramming/drug effects , Disease Models, Animal , Glycolysis/drug effects , Hypoxia-Inducible Factor 1, alpha Subunit/metabolism , Hypoxia-Inducible Factor-Proline Dioxygenases/metabolism , Ischemic Stroke/metabolism , Mice, Inbred C57BL , Neurons/metabolism , Procollagen-Proline Dioxygenase/metabolism , Procollagen-Proline Dioxygenase/genetics
2.
Materials (Basel) ; 16(7)2023 Apr 05.
Article in English | MEDLINE | ID: mdl-37049191

ABSTRACT

The inter-critically reheated grain coarsened heat affected zone (IC GC HAZ) has been reported as one of the most brittle section of high-strength low-alloy (HSLA) steels welds. The presence of micro-alloying elements in HSLA steels induces the formation of microstructural constituents, capable to improve the mechanical performance of welded joints. Following double welding thermal cycle, with second peak temperature in the range between Ac1 and Ac3, the IC GC HAZ undergoes a strong loss of toughness and fatigue resistance, mainly caused by the formation of residual austenite (RA). The present study aims to investigate the behavior of IC GC HAZ of a S355 steel grade, with the addition of different vanadium contents. The influence of vanadium micro-alloying on the microstructural variation, RA fraction formation and precipitation state of samples subjected to thermal cycles experienced during double-pass welding was reported. Double-pass welding thermal cycles were reproduced by heat treatment using a dilatometer at five different maximum temperatures of the secondary peak in the inter-critical area, from 720 °C to 790 °C. Although after the heat treatment it appears that the addition of V favors the formation of residual austenite, the amount of residual austenite formed is not significant for inducing detrimental effects (from the EBSD analysis the values are always less than 0.6%). Moreover, the precipitation state for the variant with 0.1 wt.% of V (high content) showed the presence of vanadium rich precipitates with size smaller than 60 nm of which, more than 50% are smaller than 15 nm.

3.
Biochem Biophys Res Commun ; 608: 45-51, 2022 06 11.
Article in English | MEDLINE | ID: mdl-35390671

ABSTRACT

Neuroinflammation is a hallmark of various neurological disorders including autoimmune-, neurodegenerative and neuropsychiatric diseases. In neuroinflammation, activated microglia and astrocytes release soluble mediators such as cytokines, glutamate, and reactive oxygen species that negatively affect neuronal function and viability, and thus contribute to neurodegeneration during disease progression. Therefore, the development of neuroprotective strategies might be important in addition to treating inflammation in these diseases. Mitochondria are promising cellular targets for neuroprotective interventions: They are among the first structures affected in many neuroinflammatory diseases, with mitochondrial impairment ranging from impaired respiratory activity and reduced mitochondrial membrane potential to mitochondrial oxidation and fragmentation. Therefore, we developed a cell culture model that resembles an early state of inflammation-induced neuronal mitochondrial dysfunction preceding neuronal cell death, and can be used to test mito- and neuroprotective strategies. Rat primary cortical neurons were challenged with conditioned medium from mixed primary cultures of rat microglia and astrocytes that had been activated with lipopolysaccharide and ATP. When sublethal amounts of glia-conditioned medium were added to neurons for 24 h, mitochondrial membrane potential and ATP levels were decreased, whereas mitochondrial redox state remained unaffected. Effects on mitochondrial membrane potential and ATP levels were ameliorated by knock-down of the mitochondrial calcium uniporter in neurons. This study suggests that neuronal bioenergetic failure is an early event during neuroinflammation and it identifies the mitochondrial calcium uniporter as a candidate target for neuroprotection in this context.


Subject(s)
Neuroglia , Neurons , Adenosine Triphosphate/metabolism , Animals , Calcium/metabolism , Calcium Channels , Culture Media, Conditioned/pharmacology , Inflammation/metabolism , Membrane Potential, Mitochondrial , Neuroglia/metabolism , Neurons/metabolism , Rats
4.
Phys Chem Chem Phys ; 22(11): 6154-6166, 2020 Mar 18.
Article in English | MEDLINE | ID: mdl-32124897

ABSTRACT

The antibacterial activity of a calixarene derivative, p-tert-butylcalix[6]arene (Calix6), was assessed and was shown not to inhibit the growth of E. coli, S. aureus and B. subtilis bacteria. With the aim of gaining more insights into the absence of antibacterial activity of Calix6, the interaction of this derivative with DPPG, a bacterial cell membrane lipid, was studied. Langmuir monolayers were used as the model membrane. Pure DPPG and pure Calix6 monolayers, as well as binary DPPG:Calix6 mixtures were studied using surface pressure measurements, compressional modulus, Brewster angle and fluorescence microscopies, ellipsometry, polarization-modulation infrared reflection absorption spectroscopy and molecular dynamics simulations. Thermodynamic properties of the mixed monolayers were additionally calculated using thermodynamic parameters. The analysis of isotherms showed that Calix6 significantly affects the DPPG monolayers, modifying the isotherm profile and increasing the molecular area, in agreement with the molecular dynamics simulations. The presence of Calix6 in the mixed monolayers decreased the interfacial elasticity, indicating that calixarene disrupts the strong intermolecular interactions of DPPG hindering its organization into a compact arrangement. At low molar ratios of Calix6, the DPPG:Calix6 interactions are preferentially attractive, due to the interactions between the hydrophobic tails of DPPG and the tert-butyl groups of Calix6. Increasing the proportion of calixarene generates repulsive interactions. Calix6 significantly affects the hydrophobic tail organization, which was confirmed by PM-IRRAS measurements. Calix6 appears to be expelled from the mixed films at a biologically relevant surface pressure, π = 30 mN m-1, indicating a low interaction with the cell membrane model related to the absence of antibacterial activity.


Subject(s)
Anti-Bacterial Agents/chemistry , Anti-Bacterial Agents/pharmacology , Calixarenes/chemistry , Calixarenes/pharmacology , Cell Membrane/drug effects , Membranes, Artificial , Molecular Dynamics Simulation , Thermodynamics
5.
Elife ; 82019 03 13.
Article in English | MEDLINE | ID: mdl-30865586

ABSTRACT

Misfolded proteins in the endoplasmic reticulum (ER) activate the unfolded protein response (UPR), which enhances protein folding to restore homeostasis. Additional pathways respond to ER stress, but how they help counteract protein misfolding is incompletely understood. Here, we develop a titratable system for the induction of ER stress in yeast to enable a genetic screen for factors that augment stress resistance independently of the UPR. We identify the proteasome biogenesis regulator Rpn4 and show that it cooperates with the UPR. Rpn4 abundance increases during ER stress, first by a post-transcriptional, then by a transcriptional mechanism. Induction of RPN4 transcription is triggered by cytosolic mislocalization of secretory proteins, is mediated by multiple signaling pathways and accelerates clearance of misfolded proteins from the cytosol. Thus, Rpn4 and the UPR are complementary elements of a modular cross-compartment response to ER stress.


Subject(s)
DNA-Binding Proteins/metabolism , Endoplasmic Reticulum/metabolism , Proteasome Endopeptidase Complex/metabolism , Saccharomyces cerevisiae Proteins/metabolism , Saccharomyces cerevisiae/physiology , Transcription Factors/metabolism , Unfolded Protein Response , Endoplasmic Reticulum/enzymology , Organelle Biogenesis
6.
Phys Chem Chem Phys ; 21(5): 2345-2350, 2019 Jan 30.
Article in English | MEDLINE | ID: mdl-30657501

ABSTRACT

The structural organization and phase behaviour of an amphiphilic zwitterionic quinonemonoimine at the air/water interface are presented. Brewster angle microscopy reveals multiple co-existing phases are observed over the entire isotherm while grazing incidence X-ray diffraction (GIXD) shows that these comprise both tilted, untilted and multilayer structures with crystalline headgroups. Despite the heterogeneity, the phase transitions are highly reversible over multiple cycles.

7.
Mol Cell ; 70(6): 1025-1037.e5, 2018 06 21.
Article in English | MEDLINE | ID: mdl-29861160

ABSTRACT

When faced with proteotoxic stress, cells mount adaptive responses to eliminate aberrant proteins. Adaptive responses increase the expression of protein folding and degradation factors to enhance the cellular quality control machinery. However, it is unclear whether and how this augmented machinery acquires new activities during stress. Here, we uncover a regulatory cascade in budding yeast that consists of the hydrophilin protein Roq1/Yjl144w, the HtrA-type protease Ynm3/Nma111, and the ubiquitin ligase Ubr1. Various stresses stimulate ROQ1 transcription. The Roq1 protein is cleaved by Ynm3. Cleaved Roq1 interacts with Ubr1, transforming its substrate specificity. Altered substrate recognition by Ubr1 accelerates proteasomal degradation of misfolded as well as native proteins at the endoplasmic reticulum membrane and in the cytosol. We term this pathway stress-induced homeostatically regulated protein degradation (SHRED) and propose that it promotes physiological adaptation by reprogramming a key component of the quality control machinery.


Subject(s)
Adaptation, Physiological/physiology , Saccharomyces cerevisiae Proteins/metabolism , Saccharomyces cerevisiae/metabolism , Ubiquitin-Protein Ligases/metabolism , Cytosol/metabolism , Endoplasmic Reticulum/metabolism , Proteasome Endopeptidase Complex/metabolism , Protein Folding , Proteolysis , Saccharomyces cerevisiae/enzymology , Serine Endopeptidases/metabolism , Stress, Physiological/physiology , Substrate Specificity , Ubiquitin/metabolism
8.
Langmuir ; 32(41): 10767-10775, 2016 Oct 18.
Article in English | MEDLINE | ID: mdl-27641759

ABSTRACT

Lung surfactant replacement therapies, Survanta and Infasurf, and two lipid-only systems both containing saturated and unsaturated phospholipids and one containing additional palmitic acid were used to study the impact of buffered saline on the surface activity, morphology, rheology, and structure of Langmuir monolayer model membranes. Isotherms and Brewster angle microscopy show that buffered saline subphases induce a film expansion, except when the cationic protein, SP-B, is present in sufficient quantities to already screen electrostatic repulsion, thus limiting the effect of changing pH and adding counterions. Grazing incidence X-ray diffraction results indicate an expansion not only of the liquid expanded phase but also an expansion of the lattice of the condensed phase. The film expansion corresponded in all cases with a significant reduction in the viscosity and elasticity of the films. The viscoelastic parameters are dominated by liquid expanded phase properties and do not appear to be dependent on the structure of the condensed phase domains in a phase separated film. The results highlight that the choice of subphase and film composition is important for meaningful interpretations of measurements using model systems.

9.
Langmuir ; 31(34): 9331-9, 2015 Sep 01.
Article in English | MEDLINE | ID: mdl-26263385

ABSTRACT

Silicone polymers, with their high flexibility, lie in a monolayer at the air-water interface as they are compressed until a critical pressure is reached, at which point multilayers are formed. Surface pressure measurements demonstrate that, in contrast, silicones that are end-modified with polar groups take up lower surface areas under compression because the polar groups submerge into the water phase. Boronic acids have the ability to undergo coordination with Lewis bases. As part of a program to examine the surface properties of boronic acids, we have prepared boronic acid-modified silicones (SiBAs) and examined them at the air-water interface to better understand if they behave like other end-functional silicones. Monolayers of silicones, aminopropylsilicones, and SiBAs were characterized at the air-water interface as a function of end functionalization and silicone chain length. Brewster angle and atomic force microscopies confirm domain formation and similar film morphologies for both functionalized and non-functionalized silicone chains. There is a critical surface pressure (10 mN m(-1)) independent of chain length that corresponds to a first-order phase transition. Below this transition, the film appears to be a homogeneous monolayer, whose thickness is independent of the chain length. Ellipsometry at the air-water interface indicates that the boronic acid functionality leads to a significant increase of film thickness at low molecular areas that is not seen for non-functionalized silicone chains. What differentiates the boronic acids from simple silicones or other end-functionalized silicones, in particular, is the larger area occupied by the headgroup when under compression compared to other or non-end-functionalized silicones, which suggests an in-plane rather than submerged orientation that may be driven by boronic acid self-complexation.

10.
Biochim Biophys Acta ; 1828(9): 2193-203, 2013 Sep.
Article in English | MEDLINE | ID: mdl-23747365

ABSTRACT

GL13K is a short (13 amino acid) antimicrobial peptide derived from the parotid secretory protein. GL13K has been found to exhibit anti-inflammatory and antibacterial activities in physiological salt conditions. We investigated the mechanism of interaction of GL13K, with model membranes comprising 1, 2-dioleoylphosphatidylcholine (DOPC) and 1, 2-dioleoylphosphatidylglycerol (DOPG) using various biophysical and imaging techniques. Circular dichroism studies showed that GL13K adopts a ß-sheet structure in the presence of negatively charged DOPG liposomes while it retains its random coil structure with zwitterionic DOPC liposomes. GL13K did not cause any fusion of these liposomes but was able to selectively disrupt the negatively charged membranes of DOPG leading to vesicular leakage. There was no or minimal evidence of GL13K interaction with DOPC liposomes, however an analysis of supported lipid bilayers (SLBs) using atomic force microscopic (AFM) imaging and dual polarization interferometry (DPI) suggested that GL13K can interact with the surface of a DOPC planar bilayer. In the case of DOPG bilayers, AFM and DPI clearly showed membrane thinned regions where a portion of lipid molecules has been removed. These results suggest that the mechanism of GL13K action on bacterial membranes involves localized removal of lipid from the membrane via peptide-induced micellization.


Subject(s)
Antimicrobial Cationic Peptides/chemistry , Lipid Bilayers/chemistry , Liposomes/chemistry , Phosphatidylcholines/chemistry , Phosphatidylglycerols/chemistry , Circular Dichroism , Microscopy, Atomic Force , Protein Structure, Secondary
11.
Macromol Rapid Commun ; 32(20): 1652-7, 2011 Oct 18.
Article in English | MEDLINE | ID: mdl-21858893

ABSTRACT

Thiol-responsive symmetric triblock copolymers having single disulfide linkages in the middle blocks (called mono-cleavable block copolymers, ss-ABP(2)) were synthesized by atom transfer radical polymerization in the presence of a disulfide-labeled difunctional Br-initiator. These brush-like triblock copolymers consist of a hydrophobic polyacrylate block having pendent oligo(propylene oxide) and a hydrophilic polymethacrylate block having pendent oligo(ethylene oxide). Gel permeation chromatography and (1)H NMR results confirmed the synthesis of well-defined mono-cleavable block copolymers and revealed that polymerizations were well controlled. Because of amphiphilic nature, these copolymers self-assembled to form colloidally stable micelles above critical micellar concentration of 0.032 mg · mL(-1). In response to reductive reactions, disulfides in thiol-responsive micelles were cleaved. Atomic force microscopy and dynamic light scattering analysis suggested that the cleavage of disulfides caused dissociation of micelles to smaller-sized assembled structures in water. Moreover, in a biomedical perspective, the mono-cleavable block copolymer micelles are not cytotoxic and thus biocompatible.


Subject(s)
Biocompatible Materials/chemistry , Disulfides/chemistry , Polymers/chemistry , Sulfhydryl Compounds/chemistry , Animals , Biocompatible Materials/chemical synthesis , Cell Line , Hydrophobic and Hydrophilic Interactions , Micelles , Polymers/chemical synthesis
12.
Hear Res ; 282(1-2): 25-34, 2011 Dec.
Article in English | MEDLINE | ID: mdl-21782915

ABSTRACT

We present a method for obtaining a complete geometry model of the fluid chambers of cochlea (scalae) from tomography images. An accurate segmentation of cochlea is problematic due to the low contrast of the inner membranes of scalae. Our method of 3D segmentation is based on dynamic resampling of an original image stack to achieve a perpendicular cross-section of the scalae on all sections. Subsequently, perpendicular cross-section is being segmented using 2D active contours. The center of mass of the contour is extracted and used to predict further course of scalae centerline by Kalman filter. Cross-section contours are subsequently assembled to the total geometry model. This method has been applied to CT images, but we expect that it could be used for segmentation of strongly curved low-contrast tubular objects recorded with other tomography techniques.


Subject(s)
Cochlea/diagnostic imaging , Computer Simulation , Imaging, Three-Dimensional , Models, Anatomic , Radiographic Image Interpretation, Computer-Assisted , Tomography, X-Ray Computed , Algorithms , Animals , Cochlea/anatomy & histology , Guinea Pigs , Humans , Reproducibility of Results
13.
J Acoust Soc Am ; 127(5): 2973-91, 2010 May.
Article in English | MEDLINE | ID: mdl-21117747

ABSTRACT

A finite-element analysis is used to explore the impact of elastic material properties, boundary conditions, and geometry, including coiling, on the spatial characteristics of the compliance of the unloaded basilar membrane (BM). It is assumed that the arcuate zone is isotropic and the pectinate zone orthotropic, and that the radial component of the effective Young's modulus in the pectinate zone decreases exponentially with distance from base to apex. The results concur with tonotopic characteristics of compliance and neural data. Moreover, whereas the maximum compliance in a radial profile is located close to the boundary between the two zones in the basal region, it shifts to the midpoint of the pectinate zone for the apical BM; the width of the profile also expands. This shift begins near the 1 kHz characteristic place for guinea pig and the 2.4 kHz place for gerbil. Shift and expansion are not observed for linear rather than exponential decrease of the radial component of Young's modulus. This spatial change of the compliance profile leads to the prediction that mechanical excitation in the apical region of the organ of Corti is different to that in the basal region.


Subject(s)
Basilar Membrane/physiology , Finite Element Analysis , Mechanotransduction, Cellular , Models, Biological , Animals , Basilar Membrane/diagnostic imaging , Biomechanical Phenomena , Compliance , Elastic Modulus , Guinea Pigs , Pressure , X-Ray Microtomography
14.
Langmuir ; 26(24): 18628-30, 2010 Dec 21.
Article in English | MEDLINE | ID: mdl-21090761

ABSTRACT

A novel space-filling trialkoxysilane derivative was synthesized using a two-step strategy from commercially available starting materials to produce the precursor for the formation of low-density self-assembled monolayers. Self-assembled monolayers of the synthesized compound were prepared on three different substrates (Si/SiO(2), glass and ITO) and were characterized using contact angle, ellipsometry and sum-frequency generation spectroscopy. Removal of the space-filling protecting group, (2-chlorophenyl)diphenyl methanol, yields a carboxy-terminated surface. Correspondingly, the contact angle and film thickness decrease and the SFG spectra clearly indicate an increase in gauche defect concentration characteristic of a low-density disordered monolayer.

15.
Langmuir ; 26(22): 16677-80, 2010 Nov 16.
Article in English | MEDLINE | ID: mdl-20964389

ABSTRACT

The versatility of perfluorophenyl azide (PFPA) derivatives makes them useful for attaching a wide variety of biomolecules and polymers to surfaces. Herein, a single molecule force spectroscopy (SMFS) study of the concanavalin A/mannose interaction was carried out using PFPA immobilization chemistry. SMFS of the concanavalin A/mannose interaction yielded an average unbinding force of 70-80 pN for loading rates between 8000 and 40,000 pN/s for mannose surfaces on aminated glass, and an unbinding force of 57 ± 20 pN at 6960 pN/s for mannose surfaces on gold-coated glass. Dynamic force spectroscopy was used to determine the dissociation rate constant, k(off), for this interaction to be 0.16 s(-1).


Subject(s)
Azides/chemistry , Concanavalin A/metabolism , Hydrocarbons, Fluorinated/chemistry , Mannose/chemistry , Mannose/metabolism , Microscopy, Atomic Force , Photochemical Processes , Protein Binding , Surface Properties
16.
Hear Res ; 243(1-2): 95-104, 2008 Sep.
Article in English | MEDLINE | ID: mdl-18625296

ABSTRACT

The modeling of the mechanical process of hearing requires an accurate geometrical model of the inner ear (cochlea). The purpose of this study was the creation of a 3-D model of the fluid chambers of Guinea pig cochlea, which could serve as a basis for further mechanical modeling. Micro computer tomography used in this study is a noninvasive method to visualize bony structures. The visualization of the membranous labyrinth was achieved by additional staining of the specimen with OsO(4). The resulting stack of images has been transformed into a cylindrical coordinate system. To suppress noise on tomography images, a nonlinear smoothing method, anisotropic diffusion, were applied. A new approach has been proposed to estimate algorithm parameters automatically. Then, a segmentation using active contours (snakes) was performed. In this study, a new energy linking the contours on adjacent slices has been added to the standard approach. This compensates the inconsistencies between adjacent contours. The images segmented in this way were used as a basis for a 3-D reconstruction of the hearing organ.


Subject(s)
Ear, Inner/anatomy & histology , Models, Anatomic , Animals , Cochlea/anatomy & histology , Cochlea/diagnostic imaging , Computer Simulation , Ear, Inner/diagnostic imaging , Guinea Pigs , Imaging, Three-Dimensional , Osmium Tetroxide , Staining and Labeling , Tomography, X-Ray Computed
17.
Spine J ; 8(3): 498-504, 2008.
Article in English | MEDLINE | ID: mdl-17662665

ABSTRACT

BACKGROUND CONTEXT: The publication of several recent studies showing minimal benefit for radiofrequency (RF) lumbar zygapophysial (l-z) joint denervation have led many investigators to reevaluate selection criteria. One controversial explanation for these findings is that the most commonly used cutoff value for selecting patients for l-z (facet) joint RF denervation, greater than 50% pain relief after diagnostic blocks, is too low and hence responsible for the high failure rate. PURPOSE: To compare l-z joint RF denervation success rates between the conventional greater than or equal to 50% pain relief threshold and the more stringently proposed greater than or equal to 80% cutoff for diagnostic medial branch blocks (MBB). STUDY DESIGN/SETTING: Multicenter, retrospective clinical data analysis. PATIENT SAMPLE: Two hundred and sixty-two patients with chronic low back pain who underwent l-z RF denervation at three pain clinics. OUTCOME MEASURES: Outcome measures were greater than 50% pain relief based on visual analog scale or numerical pain rating score after RF denervation persisting at least 6 months postprocedure, and global perceived effect (GPE), which considered pain relief, satisfaction and functional improvement. METHODS: Data were garnered at three centers on 262 patients who underwent l-z RF denervation after obtaining greater than or equal to 50% pain relief after diagnostic MBB. Subjects were separated into those who received partial (greater than or equal to 50% but less than 80%) and near-complete (greater than or equal to 80%) pain relief from the MBB. Outcomes between groups were compared with multivariate analysis after controlling for 14 demographic and clinical variables. RESULTS: One hundred and forty-five patients obtained greater than or equal to 50% but less than 80% pain relief after diagnostic MBB, and 117 patients obtained greater than or equal to 80% relief. In the greater than or equal to 50% group, success rates were 52% and 67% based on pain relief and GPE, respectively. Among patients who experienced greater than 80% relief from diagnostic blocks, 56% obtained greater than or equal to 50% relief from RF denervation and 66% had a positive GPE. CONCLUSIONS: Using more stringent pain relief criteria when selecting patients for l-z joint RF denervation is unlikely to improve success rates, and may lead to misdiagnosis and withholding a potentially valuable treatment from good candidates.


Subject(s)
Low Back Pain/radiotherapy , Patient Selection , Zygapophyseal Joint/radiation effects , Adolescent , Adult , Aged , Aged, 80 and over , Anesthetics, Local/therapeutic use , Denervation/methods , Female , Humans , Low Back Pain/drug therapy , Lumbar Vertebrae , Male , Middle Aged , Nerve Block , Zygapophyseal Joint/innervation
18.
Phys Chem Chem Phys ; 9(43): 5814-21, 2007 Nov 21.
Article in English | MEDLINE | ID: mdl-19462577

ABSTRACT

It has been suggested that an organic aerosol containing unsaturated organic compounds at the surface would likely be processed by atmospheric ozone. The ozonolysis of oleic acid gives rise to the formation of products having shorter chain lengths than the starting molecule, and are consequently more water soluble than oleic acid. Hence, the exposure of a monolayer of oleic acid to ozone should lead to a decrease in surface activity at the air-water interface. A model system is used for real-time measurements of surface tension changes due to ozone exposure of a pendant drop that is coated by a fatty acid monolayer. The surface tension is measured based on an analysis of the shape profile of acquired images of the drop. A study of the kinetics of the gas-surface reaction is presented. Assuming that the uptake of ozone is dominated by the reaction at the surface, the measured reactive uptake coefficient of ozone gamma(meas) is estimated to be (2.6 +/- 0.1) x 10(-6).

19.
Chem Commun (Camb) ; (23): 2471-3, 2006 Jun 21.
Article in English | MEDLINE | ID: mdl-16758019

ABSTRACT

The reaction of ozone with unsaturated organic molecules at the air-water interface of a pendant drop was followed by axisymmetric drop shape analysis (ADSA).

20.
Drug Alcohol Depend ; 80(2): 267-71, 2005 Nov 01.
Article in English | MEDLINE | ID: mdl-15916866

ABSTRACT

AIMS: To test the hypothesis that switching from L-methadone to D,L-methadone is associated with more frequent withdrawal symptoms and side-effects than switching from D,L-methadone to L-methadone. DESIGN: Stratified, randomized 2 x 2 crossover study design over a time-period of 8 weeks. At study entry, every second patient was switched from the pre-study substance to the other medication, after 4 weeks all patients were subject to a (re-)switch. SETTING: The study was conducted as a multi-centre trial in three methadone maintenance therapy (MMT) clinics. PARTICIPANTS: Seventy-five patients previously treated with either D,L-methadone or L-methadone for at least 1 year took part in the study. MEASUREMENTS: Intra-individual changes in withdrawal symptoms (Short Opiate Withdrawal Scale, SOWS) and side-effects were defined as primary outcome criteria. Secondary outcome measures included necessity for methadone dose adjustment. FINDINGS: Complete data were available for 68 patients (91%). Sample strata were unbalanced at baseline: 15 patients (22%) were treated with L-methadone and 43 with D,L-methadone (78%). Thirty-five patients were randomized into the group treated with L-methadone and 33 into the group treated with D,L-methadone during the first 4 weeks. There were no significant differences in intra-individual change of withdrawal symptoms and side-effects between groups after crossover. However, patients treated with levomethadone tended to feel less withdrawal symptoms than patients treated with d,l-methadone. CONCLUSIONS: D,L-methadone and L-methadone can safely be replaced by each other on a 2:1 ratio. Withdrawal symptoms or side-effects due to conversion are of transient nature only.


Subject(s)
Methadone/analogs & derivatives , Methadone/therapeutic use , Narcotics/therapeutic use , Opioid-Related Disorders/rehabilitation , Adult , Cross-Over Studies , Double-Blind Method , Female , Humans , Male
SELECTION OF CITATIONS
SEARCH DETAIL
...