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1.
Sci Rep ; 10(1): 13673, 2020 Aug 13.
Article in English | MEDLINE | ID: mdl-32792578

ABSTRACT

Phase-change memory utilizing amorphous-to-crystalline phase-change processes for reset-to-set operation as a nonvolatile memory has been recently commercialized as a storage class memory. Unfortunately, designing new phase-change materials (PCMs) with low phase-change energy and sufficient thermal stability is difficult because phase-change energy and thermal stability decrease simultaneously as the amorphous phase destabilizes. This issue arising from the trade-off relationship between stability and energy consumption can be solved by reducing the entropic loss of phase-change energy as apparent in crystalline-to-crystalline phase-change process of a GeTe/Sb2Te3 superlattice structure. A paradigm shift in atomic crystallography has been recently produced using a quasi-crystal, which is a new type of atomic ordering symmetry without any linear translational symmetry. This paper introduces a novel class of PCMs based on a quasicrystalline-to-approximant crystalline phase-change process, whose phase-change energy and thermal stability are simultaneously enhanced compared to those of the GeTe/Sb2Te3 superlattice structure. This report includes a new concept that reduces entropic loss using a quasicrystalline state and takes the first step in the development of new PCMs with significantly low phase-change energy and considerably high thermal stability.

2.
Clin Exp Allergy ; 48(3): 253-265, 2018 03.
Article in English | MEDLINE | ID: mdl-29288502

ABSTRACT

BACKGROUND: Allergic respiratory conditions have been associated with increased susceptibility to viral infection due to impaired interferon (IFN)-related immune responses, but the mechanisms for reinforcement of mucosal immunity against viral infection in allergic diseases are largely unknown. OBJECTIVES: To determine whether IFN induction would be impaired in allergic nasal mucosa and to identify whether higher loads of influenza A virus (IAV) in allergic nasal mucosa could be controlled with IFN treatment. METHODS: Influenza A virus mRNA, viral titres and IFN expression were compared in IAV-infected normal human nasal epithelial (NHNE, N = 10) and allergic rhinitis nasal epithelial (ARNE, N = 10) cells. We used in vivo model of allergic rhinitis (BALB/c mice, N = 10) and human nasal mucosa from healthy volunteers (N = 72) and allergic rhinitis patients (N = 29) to assess the induction of IFNs after IAV infection. RESULTS: Influenza A virus mRNA levels and viral titres were significantly higher in ARNE compared with NHNE cells. IFN-ß and IFN-λs were induced in NHNE and ARNE cells up to 3 days after IAV infection. Interestingly, induction of IFN-λs mRNA levels and the amount of secreted proteins were considerably lower in ARNE cells. The mean IFN-λs mRNA level was also significantly lower in the nasal mucosa of AR patients, and we found that recombinant IFN-λ treatment attenuated viral mRNA levels and viral titres in IAV-infected ARNE cells. In vivoAR mouse exhibited higher viral load after IAV infection, but intranasal inoculation of IFN-λ completely decreased IAV protein expression and viral titre in nasal mucosa of IAV-infected AR mouse. CONCLUSION: Higher susceptibility of the allergic nasal mucosa to IAV may depend on impairment of type III IFN induction, and type III IFN is a key mechanistic link between higher viral loads and control of IAV infection in allergic nasal mucosa.


Subject(s)
Influenza, Human/immunology , Interferons/immunology , Nasal Mucosa/immunology , Rhinitis, Allergic/immunology , Adult , Animals , Female , Humans , Influenza A virus/immunology , Male , Mice , Mice, Inbred BALB C , Middle Aged , Nasal Mucosa/virology , Rhinitis, Allergic/virology , Viral Load/immunology , Young Adult , Interferon Lambda
3.
Br J Dermatol ; 178(4): 940-950, 2018 04.
Article in English | MEDLINE | ID: mdl-29194570

ABSTRACT

BACKGROUND: Memory T cells, a highly effective subset of T lymphocytes, have been reported to be involved in many inflammatory skin disorders. However, the potential role of memory T cells in keloid disease (KD) remains unclear. OBJECTIVES: Due to their important role in regulating inflammation, we investigated the characteristics of CD45RO+ memory T cells in KD. METHODS: Primary cutaneous cells were isolated from keloid scars and normal skin by enzymic digestion. Peripheral blood mononuclear cells were isolated from a related blood sample, and flow cytometry was applied to identify the phenotypic and functional abnormalities of memory T cells in KD. RESULTS: We observed that the majority of T lymphocytes in keloid scars had the memory phenotype, and a greater number of the CD8+ memory T cells in keloid scars produced lower levels of tumour necrosis factor (TNF)-α. This abnormal cytokine production was even more distinct in Forkhead box (FOX)P3-  CD8- memory T cells, with lower TNF-α production and enhanced interferon-γ production. Furthermore, FOXP3+  CD8- memory T cells in keloid scars were abnormal, including showing reduced CD25 and cytotoxic T-lymphocyte-associated antigen 4 expression and interleukin-10 production. In addition, a significant decrease in the number of CD4+  CD25high  FOXP3+ regulatory T cells was identified in patients with multiple keloid scars. We also found that there was significantly increased infiltration of CD103+  CD8+ memory T cells in keloid scars. CONCLUSIONS: Our findings preliminarily elucidate the abnormalities of CD45RO+ memory T cells in keloid scars and provide early evidence that a disrupted T-cell response contributes to the progression of KD.


Subject(s)
Immunologic Memory/immunology , Interleukin-2 Receptor alpha Subunit/immunology , Keloid/immunology , T-Lymphocytes, Regulatory/immunology , Antigens, CD/immunology , CD8-Positive T-Lymphocytes/immunology , Case-Control Studies , Cicatrix/immunology , Humans , Integrin alpha Chains/immunology , Interleukin-10/biosynthesis
4.
J Nanosci Nanotechnol ; 14(8): 5839-43, 2014 Aug.
Article in English | MEDLINE | ID: mdl-25936012

ABSTRACT

We report our simulation study on the charge transport characteristic of the multi-layer structure for organic light emitting diodes (OLEDs). We performed a numerical simulation on a multilayer structure comprising a hole transport layer (HTL), an emission layer (EML), and an electron transport layer (ETL) between both electrodes. The material of the HTL is TPD (N,N'-Bis (3-methylphenyl)-N,N'-bis(phenyl) benzidine), and the ETL includes Alq3 (Tris (8-hyroxyquinolinato) aluminium). Here, we investigated the parameters such as recombination rates which influence the efficiency of the charge transport between layers in bilayer OLEDs. We also analyzed a transient response during the turn on/off period and the carrier transport in accordance with the variation of the injection barrier and applied voltage. In addition, our numerical simulation revealed that the insertion of the EML affects the photonic characteristics in bilayer structure and also the efficiency due to the difference in the internal barrier height.

5.
J Nanosci Nanotechnol ; 13(12): 8050-4, 2013 Dec.
Article in English | MEDLINE | ID: mdl-24266189

ABSTRACT

This paper reports the results of a numerical study on carrier injection and exciton transport in an organic light emitting diode (OLED) structure based on tris (8-hydroxyquinolinato) aluminum (Alq3). Because charge accumulation at the interfaces between the emission layer (EML) and transport layer are believed to increase the recombination rate, which also increases the exciton density, a numerical study was performed on the effect of inserting an EML in the bilayer structure. In the first case considered, the lowest unoccupied molecular orbital (LUMO) of the EML was aligned with the LUMO of the hole transport layer (HTL), whereas the highest occupied molecular orbital (HOMO) of the EML was aligned with the HOMO of the electron transport layer (ETL). In the second case, the LUMO of the EML was aligned with the LUMO of the ETL and the HOMO of the EML was aligned with the HOMO of the HTL. In case of a charge-blocking device, most of the recombination appeared to occur at both edges of the EML because the electric field exhibited a peak in these areas. On the other hand, in the case of the charge-confining device, the electric field was confined at the interface between the EML and ETL. This paper also discussed the effect of the insertion of a doping layer as transport layer.

6.
J Appl Microbiol ; 110(5): 1195-202, 2011 May.
Article in English | MEDLINE | ID: mdl-21338447

ABSTRACT

AIMS: Atopic dermatitis (AD) is marked by elevated levels of immunoglobulin E and skin lesions such as oedema and haemorrhage. Kimchi is a Korean fermented food that contains beneficial bacteria for human health. In this study, Lactobacillus plantarum CJLP55, CJLP56, CJLP133 and CJLP136 isolated from Kimchi were investigated for their capacity to inhibit AD. METHODS AND RESULTS: The three strains, CJLP55, CJLP133 and CJLP136, suppressed AD-like skin lesions, high serum IgE levels and epidermal thickening. The three strains diminished the accumulation of eosinophils and mast cells into topical inflammatory sites and the enlargement of axillary lymph nodes, which are responsible for the dorsal dermatitis. CJLP55, CJLP133 and CJLP136 decreased production of type 2 cytokines such as IL-4 and IL-5 in lymph node cell culture. CJLP133 and CJLP136 increased IFN-γ secretion, while CJLP55 enhanced IL-10 production. CONCLUSIONS: The three strains isolated from Kimchi suppress house-dust mite-induced dermatitis in NC/Nga mouse, a representative animal model of human AD. SIGNIFICANCE AND IMPACT OF THE STUDY: These findings suggest that lactobacilli isolated from Kimchi inhibit AD, probably by altering the balance of Th1/Th2 ratio or inducing IL-10 production.


Subject(s)
Dermatitis, Atopic/therapy , Food Microbiology , Lactobacillus plantarum/isolation & purification , Probiotics , Skin/pathology , Administration, Oral , Animals , Brassica/microbiology , Dermatitis, Atopic/immunology , Dermatitis, Atopic/pathology , Disease Models, Animal , Eosinophils/immunology , Female , Fermentation , Immunoglobulin E/blood , Inflammation/pathology , Interferon-gamma/biosynthesis , Interleukin-10/biosynthesis , Interleukin-4/biosynthesis , Interleukin-5/biosynthesis , Lymph Nodes/pathology , Mast Cells/immunology , Mice , Pyroglyphidae
7.
J Ethnopharmacol ; 101(1-3): 294-8, 2005 Oct 03.
Article in English | MEDLINE | ID: mdl-15967610

ABSTRACT

OBJECTIVE: To investigate the effect of SKI 306X, a purified extract from the mixture of three herbs, i.e. Clematis mandshurica, Trichosanthes kirilowii and Prunella vulgaris, on apoptosis in chondrocytes. DESIGN: Rat chondrocyte cell line RCJ3.1C.18 cells were incubated with 1 microM staurosporin and SKI 306X or each of its components. Cell viability was determined by trypan blue exclusion assay. Induction of apoptosis was determined by nuclear condensation or fragmentation after Hoechst staining. Amount of apoptosis was quantified both by nuclear morphology and flow cytometry. Expression level of Bcl-2, and caspase-3 and PARP activations were assayed by Western blot. RESULTS: SKI 306X significantly prevented staurosporin-induced apoptosis. Among its three components, only Clematis mandshurica significantly decreased the amount of staurosporin-induced apoptosis. Although the level of Bcl-2 expression was decreased after staurosporin treatment, it was sustained after the combination treatment with Clematis mandshurica. Whereas staurosporin induced the degradation of 32 kDa caspase-3 precursor and the production of 85-kDa cleavage products of PARP in a time-dependent fashion, Clematis mandshurica treatment prevented those manifestations. CONCLUSIONS: Pharmacological efficacy of SKI 306X protecting osteoarthritis in part may result from the inhibition of apoptosis in chondrocytes by Clematis mandshurica.


Subject(s)
Chondrocytes/drug effects , Clematis , Drugs, Chinese Herbal/pharmacology , Osteoarthritis/drug therapy , Plant Extracts/pharmacology , Animals , Apoptosis/drug effects , Caspase 3 , Caspases/metabolism , Cell Line , Chondrocytes/cytology , Rats , Staurosporine/pharmacology
9.
Am J Hum Genet ; 70(5): 1287-98, 2002 May.
Article in English | MEDLINE | ID: mdl-11951179

ABSTRACT

Reading disability (RD), or dyslexia, is a common heterogeneous syndrome with a large genetic component. Several studies have consistently found evidence for a quantitative-trait locus (QTL) within the 17 Mb (14.9 cM) that span D6S109 and D6S291 on chromosome 6p21.3-22. To characterize further linkage to the QTL, to define more accurately the location and the effect size, and to identify a peak of association, we performed Haseman-Elston and DeFries-Fulker linkage analyses, as well as transmission/disequilibrium, total-association, and variance-components analyses, on 11 quantitative reading and language phenotypes. One hundred four families with RD were genotyped with a new panel of 29 markers that spans 9 Mb of this region. Linkage results varied widely in degree of statistical significance for the different linkage tests, but multipoint analysis suggested a peak near D6S461. The average 6p QTL heritability for the 11 reading and language phenotypes was 0.27, with a maximum of 0.66 for orthographic choice. Consistent with the region of linkage described by these studies and others, there was a peak of transmission disequilibrium with a QTL centered at JA04 (chi2=9.48; empirical P=.0033; orthographic choice), and there was strong evidence for total association at this same marker (chi2=11.49; P=.0007; orthographic choice). Although the boundaries of the peak could not be precisely defined, the most likely location of the QTL is within a 4-Mb region surrounding JA04.


Subject(s)
Chromosome Mapping , Chromosomes, Human, Pair 6/genetics , Dyslexia/genetics , Adolescent , Alleles , Child , Diseases in Twins/genetics , Genetic Markers/genetics , Genotype , Humans , Linkage Disequilibrium/genetics , Quantitative Trait, Heritable , Tandem Repeat Sequences/genetics
10.
Science ; 294(5551): 2524-6, 2001 Dec 21.
Article in English | MEDLINE | ID: mdl-11752572

ABSTRACT

The transfer of a hydrogen atom-a proton and an electron-is a fundamental process in chemistry and biology. A variety of hydrogen atom transfer reactions, involving iron complexes, phenols, hydroxylamines, tBuOOH, toluene, and related radicals, are shown to follow the Marcus cross relation. Thus, the Marcus theory formalism based on ground-state energetics and self-exchange rates, originally developed for electron transfer processes, is also valuable for hydrogen atom transfer. Compounds that undergo slow proton transfer (C-H bonds) or slow electron transfer (cobalt complexes) also undergo slow hydrogen atom transfer. Limitations of this approach are also discussed.


Subject(s)
Hydrogen/chemistry , Chemical Phenomena , Chemistry, Physical , Cobalt/chemistry , Cyclic N-Oxides/chemistry , Electrons , Ferric Compounds/chemistry , Ferrous Compounds/chemistry , Free Radicals , Imidazoles/chemistry , Kinetics , Magnetic Resonance Spectroscopy , Mathematics , Oxidation-Reduction , Protons , Pyrimidines/chemistry , Thermodynamics
11.
Genomics ; 78(1-2): 19-29, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11707069

ABSTRACT

A gene for reading disability has been localized by nonparametric linkage to 6p21.3-p22 in several published reports. However, the lack of an uninterrupted genomic clone contig has made it difficult to determine accurate intermarker distances, precise marker order, and genetic boundaries and hinders direct comparisons of linkage. The search and discovery of the hemochromatosis gene (HFE) led to the creation of a bacterial artificial chromosome (BAC) and P-1 derived artificial chromosome (PAC) contig that extended physical maps 4 Mb from the MHC toward pter and localized new markers in that region [10-12]. Using this contig, we localized 124 sequence tagged sites, expressed sequence tags, and short tandem repeats including most of the markers in linkage with reading disability phenotypes, succinic semialdehyde dehydrogenase, GPLD1, prolactin, and 18 uncharacterized genes. This new contig joins and extends previously published physical maps to span the entire chromosome 6 reading disability genetic locus. Physical mapping data from the complete contig show overlap of the published linkage peaks for reading disability, provide accurate intermarker distances and order, and offer resources for generating additional markers and candidate genes for high resolution genetic studies in this region.


Subject(s)
Chromosomes, Human, Pair 6/genetics , Dyslexia/genetics , Genetic Predisposition to Disease/genetics , Bacteriophage P1 , Chromosome Mapping , Chromosomes, Artificial, Bacterial , Contig Mapping , Expressed Sequence Tags , Genetic Linkage , Humans , Microsatellite Repeats
12.
Br J Pharmacol ; 134(7): 1411-8, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11724746

ABSTRACT

1. We destroyed dentate granule cells unilaterally or bilaterally by means of intrahippocampal injection of colchicine in rats. Subsequently, we observed behavioural changes following the intraperitoneal injection of 2 mg kg(-1) methamphetamine or saline, in addition to quantitatively assessing Fos protein expression in several brain regions, including the medial prefrontal cortex, cingulate cortex, piriform cortex, dorsal striatum, and nucleus accumbens. 2. Bilaterally lesioned animals, when administered saline, showed a marked increase in locomotor activity compared with those of non-lesioned animals. With respect to the methamphetamine response, bilateral destruction resulted in a marked enhancement of locomotor activity, while the unilateral destruction led to a marked increase in rotation predominantly contralateral to the lesioned side, with no identifiable change in locomotor activity. 3. Bilaterally lesioned animals, when administered saline and having undergone an immunohistological examination, showed a marked increase in Fos expression in both sides of the nucleus accumbens. Bilaterally lesioned animals administered methamphetamine showed a marked increase in Fos expression in the right and left sides of all regions tested. Unilaterally lesioned animals administered methamphetamine showed a significant and bilateral enhancement in Fos expression in the medial prefrontal and cingulate cortices, and a marked and unilateral (ipsilateral to the lesioned side) enhancement of Fos protein in the piriform cortex, dorsal striatum, and nucleus accumbens. 4. The present findings suggest that dentate granule cells regulate methamphetamine-associated behavioural changes through the function of widespread areas of the brain, mostly the nucleus accumbens.


Subject(s)
Behavior, Animal/drug effects , Central Nervous System Stimulants/pharmacology , Dentate Gyrus/pathology , Methamphetamine/pharmacology , Proto-Oncogene Proteins c-fos/drug effects , Animals , Cerebral Cortex/chemistry , Colchicine/administration & dosage , Corpus Striatum/chemistry , Dentate Gyrus/drug effects , Gyrus Cinguli/chemistry , Hippocampus/drug effects , Hippocampus/pathology , Immunohistochemistry , Male , Nucleus Accumbens/chemistry , Prefrontal Cortex/chemistry , Proto-Oncogene Proteins c-fos/biosynthesis , Rats , Rats, Sprague-Dawley
13.
Ann Thorac Surg ; 71(2): 729-31, 2001 Feb.
Article in English | MEDLINE | ID: mdl-11235748

ABSTRACT

A case is presented of vascular ring caused by right aortic arch with mirror-image branching and left ductus arteriosus. In this case, the descending aorta was located right of the tracheoesophagus and the left ductus arteriosus connected to the descending aorta far below the arch, producing compression of the esophagus only. Through median sternotomy, the ligation and division of the ductus was performed with concomitant repair of ventricular septal defect.


Subject(s)
Aorta, Thoracic/abnormalities , Ductus Arteriosus, Patent/diagnosis , Heart Defects, Congenital/diagnosis , Aorta, Thoracic/surgery , Ductus Arteriosus, Patent/surgery , Esophageal Stenosis/congenital , Esophageal Stenosis/diagnosis , Esophageal Stenosis/surgery , Heart Defects, Congenital/surgery , Heart Septal Defects, Ventricular/diagnosis , Heart Septal Defects, Ventricular/surgery , Humans , Infant , Male
14.
Laryngoscope ; 111(1): 153-8, 2001 Jan.
Article in English | MEDLINE | ID: mdl-11192885

ABSTRACT

OBJECTIVES: Temperature-controlled and temperature-monitored radiofrequency tissue volume reduction (RFTVR) for the turbinate is a new treatment modality for nasal obstruction secondary to turbinate hypertrophy. We compared the nasal functions after the treatment ofRFTVR and laser vaporizing turbinoplasty (LVT) using subjective symptom scores and objective tests. STUDY DESIGN: Prospective, randomized clinical trial. METHODS: Twenty-four patients with nasal obstruction secondary to inferior turbinate hypertrophy were prospectively evaluated from March 1999 to October 1999 at Seoul National University Hospital (Seoul, Korea). Sixteen patients were treated with RFTVR, and eight patients with LVT. The preoperative and postoperative nasal functions were investigated by visual analogue scale of symptoms, butanol threshold test, saccharine test, acoustic rhinometry, rhinomanometry, and ciliary beat frequency. RESULTS: At 8 weeks postoperatively, the severity and the frequency of nasal obstruction improved subjectively in 81.3% and 93.8% of RFTVR group and in 87.5% and 87.5% of LVT group, respectively. Significant improvement of nasal symptoms began from 2 to 3 days after the operation in the RFTVR group, whereas there was significant improvement of nasal symptoms at 8 weeks after operation in the LVT group. However, objective nasal functions including nasal volume and total nasal resistance were significantly improved at 8 weeks after surgery in both groups. Among patients reporting symptoms of hyposmia, 55.6% of RFTVR group and 63.6% of LVT group showed improved olfaction. Saccharin transit time and ciliary beat frequency were preserved after RFTVR CONCLUSION: RFTVR for the turbinate may be useful as an alternative approach for the treatment of chronic turbinate hypertrophy.


Subject(s)
Catheter Ablation , Nasal Obstruction/surgery , Nose/physiopathology , Turbinates/surgery , Acoustics , Adult , Airway Resistance/physiology , Butanols , Catheter Ablation/instrumentation , Catheter Ablation/methods , Cilia/physiology , Female , Follow-Up Studies , Humans , Hypertrophy , Laser Therapy/methods , Male , Manometry , Mucociliary Clearance/physiology , Nasal Cavity/pathology , Nasal Mucosa/physiopathology , Nasal Obstruction/pathology , Nasal Obstruction/physiopathology , Odorants , Olfaction Disorders/physiopathology , Patient Satisfaction , Prospective Studies , Reoperation , Saccharin , Sensory Thresholds/physiology , Smell/physiology , Statistics, Nonparametric , Temperature
15.
Eur J Cardiothorac Surg ; 19(1): 14-8, 2001 Jan.
Article in English | MEDLINE | ID: mdl-11163554

ABSTRACT

OBJECTIVES: Donor airway ischemia is a significant problem after tracheal replacement with homograft or lung transplantation. Omentopexy is the usual countermeasure to prevent or overcome the ischemia of the airway but this is frequently not sufficient. This study was designed to investigate whether basic fibroblast growth factor (bFGF) can augment tracheal revascularization and its epithelial regeneration in rabbit tracheal autograft. METHODS: About half the length (44-45%) of the trachea of New Zealand white rabbit were autotransplanted in the original position immediately after harvest. In group I (n=15, control group), cervical tracheal autotransplantation was done only. In group II (n=15, omentopexy group), the cervical tracheal autograft was wrapped with subcutaneously advanced omentum. In group III (n=15, bFGF group), 1 microg of bFGF was applied evenly on the graft after the completion of anastomosis. Five animals in each group were examined on the 3rd, 7th and 14th postoperative days. Three rings of trachea were taken at the mid portion of the graft and the supra-carinal untouched normal trachea in each. The effect of revascularization was assessed by measuring the uptake of human serum albumin labeled with 99m technetium, which was injected into the left atrium just before sacrifice. The epithelial regeneration was assessed by means of light microscopic examination. RESULTS: The proportion of perfusion of the graft to normal trachea was much higher in group III (P<0.05) on day 3 (25.4, 27.8 and 54.7% in groups I, II and III, respectively), but there was no difference on the 7th and 14th days. The epithelial regeneration was better in group III (P<0.05) than in the other groups on day 3, and was better in groups II and III than group I on day 7. CONCLUSION: we concluded that bFGF enhances the revascularization and epithelial regeneration of the tracheal autograft, especially during their early phases.


Subject(s)
Fibroblast Growth Factor 2/pharmacology , Neovascularization, Physiologic/drug effects , Regeneration/drug effects , Respiratory Mucosa/drug effects , Trachea/transplantation , Animals , Rabbits , Recombinant Proteins/pharmacology , Respiratory Mucosa/pathology , Trachea/blood supply , Trachea/pathology , Transplantation, Autologous
16.
Ann Vasc Surg ; 14(5): 468-72, 2000 Sep.
Article in English | MEDLINE | ID: mdl-10990556

ABSTRACT

The purpose of this study was to find the correlation between intraoperative blood flow and early patency of the radiocephalic fistula. Between March 1998 and March 1999, 50 radiocephalic arteriovenous fistulas were constructed in 41 patients. Intraoperative blood flow measurements were made 10 min after completion of the vascular anastomoses with 3-4 mm handheld flow probes. Patients were followed until failure of fistula or 3 months after the first hemodialysis with these fistulas. Intraoperative blood flow as well as age, gender, presence of diabetes, size of cephalic vein, thrill on the fistula, and flow of radial artery were correlated with early patency. The mean intraoperative blood flow was 174.7 +/- 13.2 mL/min and ranged from 50 to 500 mL/min; it was the only significant parameter that determined early patency of the radiocephalic fistula. Fistulas with flow <160 mL/min (10 of 25) had a higher failure rate than those with flow >160 mL/min (4 of 25), which was statistically significant (p < 0.01). All of the patients with flow <70 mL/min (5 of 5) failed to maintain patency within a month. However, the other variables were not correlated with early patency. We conclude that intraoperative blood flow is a reliable parameter that determines the early patency of radiocephalic fistulas.


Subject(s)
Arteriovenous Shunt, Surgical , Radial Artery/physiology , Radial Artery/surgery , Adult , Aged , Arteriovenous Shunt, Surgical/instrumentation , Equipment Design , Female , Humans , Intraoperative Period , Male , Middle Aged , Regional Blood Flow , Time Factors , Vascular Patency
17.
Artif Organs ; 24(9): 760-3, 2000 Sep.
Article in English | MEDLINE | ID: mdl-11012549

ABSTRACT

In this report, we describe an operative procedure for our implantable 1 piece biventricular assist device (BiVAD) based on a moving actuator mechanism, using an ovine model. Our implantable BiVAD is a volumetric coupled 1 piece unit including right and left blood sacs and an actuator assembly based on the moving actuator mechanism. The BiVAD was controlled by fixed rate control with 75 bpm for the most part. Both the left and the right full ejection modes with the maximum stroke angle were selected to minimize blood stasis in the blood sacs because of low assist flow condition. Three Corriedale sheep were used for the device implantation by a left thoracotomy incision. Cannulation was successfully performed in all cases. Although exposability of the right atrial appendage varied from animal to animal, the insertion of the cannula was easily performed. The cannulas were connected to the pump-actuator assembly in the preperitoneal pocket. All 3 animals survived the experimental procedure. During implantation of the device, in the 1 month survival animal, pump flow was maintained between 2.0 L/min and 2.5 L/min, mean aortic pressure was 90-110 mm Hg, and mean pulmonary artery pressure was 20-30 mm Hg. The left and right atrial pressure were maintained between 0 and 5 mm Hg. In conclusion, this ovine model for implantation of the 1 piece BiVAD can be an effective alternative for testing in vivo biocompatibility of the device although it needs more consideration for anatomical fittability for future human application.


Subject(s)
Heart-Assist Devices , Thoracotomy/methods , Animals , Aorta/physiology , Atrial Function , Biocompatible Materials , Blood Pressure/physiology , Cardiac Catheterization/instrumentation , Cardiac Output/physiology , Disease Models, Animal , Equipment Design , Heart Atria/surgery , Heart Rate/physiology , Humans , Peritoneum/surgery , Pulmonary Artery/physiology , Sheep , Stroke Volume/physiology , Survival Rate
18.
Perfusion ; 14(2): 101-5, 1999 Mar.
Article in English | MEDLINE | ID: mdl-10338321

ABSTRACT

Mainly because of technical problems, the use of rabbits as a cardiopulmonary bypass (CPB) animal model with direct cannulation of the ascending aorta is known to be extremely difficult. The objectives of this study were the establishment of a CPB model in rabbits with direct cannulation of the ascending aorta, and the evaluation of the protective effect of steroid on the development of brain edema during circulatory arrest (CA) in an established rabbit CPB model. Fifteen New Zealand white rabbits were divided into three groups; control CA group, CA with Trendelenberg position, and CA with Trendelenberg position and steroid administration. After anesthetic induction and tracheostomy, median sternotomy was performed. An aortic cannula (3.3 mm) and a venous cannula (14 Fr) were inserted into the ascending aorta and the right atrium, respectively. The CPB circuit consisted of a roller pump and a bubble oxygenator. With 120-150 ml of blood, the priming volume of the circuit was approximately 450 ml, and CPB at a flow rate of 80-85 ml/kg/min was initiated. Blood in the priming solution was obtained from donor rabbits through cardiac puncture. Ten minutes later, CA with cessation of CPB was established for 40 min at 20 degrees C (rectal temperature). After CA, CPB was restarted with a 20 min period of rewarming. Ten minutes after weaning, the animal was sacrificed. Between 1 and 2 g of the brain was removed and the water content was determined and compared between groups. CPB with CA was successfully performed in all cases, with a flow rate of 60-100 ml/kg/min maintained throughout the CPB procedure. At that time, blood gases were reasonably maintained and aortic pressure ranged from 35 to 55 mmHg. After weaning from CPB, all hearts resumed beating spontaneously. Among the three groups, there were no statistically significant differences in the water content of the brain. These results indicate that: (1) if the proper technique is used, CPB in rabbits with direct cannulation of the ascending aorta is a reliable procedure, and (2) the effect of steroid on the prevention of brain edema related to the Trendelenburg position during CA is not established within the scope of this study.


Subject(s)
Cardiopulmonary Bypass , Rabbits , Animals , Aorta , Catheterization , Heart Arrest, Induced , Hypothermia, Induced
19.
Infect Immun ; 46(2): 332-9, 1984 Nov.
Article in English | MEDLINE | ID: mdl-6334029

ABSTRACT

Previous studies reported that Fusobacterium nucleatum induced polyclonal B-lymphocyte activation (PBA) as determined by immunoglobulin M production in cultures of human peripheral blood mononuclear cells. However, the PBA response was greatly enhanced when the cells were depleted of esterase-positive, adherent cells (i.e., monocytes). The purpose of this study was to confirm and further examine the suppression of F. nucleatum-induced PBA (F. nucleatum-PBA) by blood monocytes. For comparison, PBA induced by pokeweed mitogen (PWM-PBA), which is enhanced by monocytes, was assessed in some experiments. We found the removal of monocytes from unfractionated cells by (i) Sephadex G-10, (ii) anti-monocyte specific OM-1 monoclonal antibody plus complement, or (iii) L-leucine methyl ester, a compound which selectively kills lysosome-rich cells, resulted in a population of cells responsive to F. nucleatum-PBA and unresponsive to PWM-PBA. The addition of double adherence-purified monocytes (greater than 85% esterase-positive cells), particularly in concentrations of greater than 10%, to lymphocytes depleted of monocytes by G-10, OM-1, or L-leucine methyl ester treatments, suppressed F. nucleatum-PBA and enhanced PWM-PBA. Monocytes also suppressed a mixture of isolated T and B cells combined in a T/B cell ratio of 3:1, which is an optimal ratio for F. nucleatum-PBA. Allogeneic monocytes suppressed F. nucleatum-PBA, although at low numbers these cells were not as suppressive as autologous monocytes. Heating at 56 degrees C for 15 min, sonicating, or freeze-thawing the monocyte preparations resulted in an abrogation of monocyte-induced suppression of F. nucleatum-PBA. Kinetic studies in which fresh monocytes were added daily to lymphocytes stimulated with F. nucleatum or PWM showed that the monocytes must be added within the first 2 days of culture to suppress F. nucleatum-PBA or enhance PWM-PBA. Monocytes incubated with F. nucleatum for 48 h released into the culture medium a soluble factor that suppressed F. nucleatum-PBA. The results from this study demonstrate a potent mechanism by which the host might prevent exaggerated nonspecific immunoglobulin responses when exposed to PBA-inducing concentrations of F. nucleatum. On the other hand, the induction of suppressive monocytes (or monocyte-mediated suppressive factors) by interaction with F. nucleatum might result in the inhibition of host protective immune reactions.


Subject(s)
B-Lymphocytes/immunology , Fusobacterium Infections/immunology , Monocytes/immunology , Periodontitis/microbiology , Antibody Formation , Fusobacterium/immunology , Humans , Immune Tolerance , Kinetics , Periodontitis/immunology
20.
Infect Immun ; 41(3): 1038-45, 1983 Sep.
Article in English | MEDLINE | ID: mdl-6604024

ABSTRACT

The production of antibodies to oral bacteria was determined in lymphocyte cultures stimulated with sonicated Fusobacterium nucleatum, a potent inducer of polyclonal B-cell activation. After 9 days the cultures were examined by a microenzyme-linked immunosorbent assay for immunoglobulin M (IgM) antibodies to F. nucleatum, Bacteroides gingivalis, Actinomyces viscosus, and Streptococcus sanguis. Antibodies to these four bacteria were detected in cultures stimulated with polyclonal B-cell activation-inducing concentrations of F. nucleatum. However, significant concentrations of antibodies to F. nucleatum, but not to the other three microorganisms, were produced in cultures that received suboptimal polyclonal B-cell activation-inducing doses of F. nucleatum. Absorption studies indicated the specificity of the antibodies to each of the bacteria tested. IgM antibody production induced by F. nucleatum was enhanced by the addition of T cells. The production of IgM antibodies to the bacteria was reproducible in cultures from a single person tested on 3 consecutive days. The concentration of antibodies in replicate cultures, however, fluctuated greatly. To obtain consistent responses on successive days, multiple replicate cultures were required. These results suggest that F. nucleatum, which is frequently present in subgingival plaque, could induce the production of antibodies not only to F. nucleatum, but also to other microorganisms associated with periodontal diseases.


Subject(s)
B-Lymphocytes/immunology , Fusobacterium/immunology , Immunoglobulin M/biosynthesis , Lymphocyte Activation , Periodontitis/immunology , Antibody Specificity , Chronic Disease , Dental Plaque/microbiology , Humans , Immunoglobulin M/analysis , Periodontitis/microbiology , T-Lymphocytes/immunology
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