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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Acta neuropathologica 99 (2000), S. 1-6 
    ISSN: 1432-0533
    Keywords: Key words APO2L/TRAIL ; Medulloblastoma ; Neuroblastoma ; Pilocytic astrocytoma ; Ependymoma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract APO2 ligand (APO2L)/TRAIL is a novel member of the tumor necrosis factor cytokine family and a potent inducer of apoptosis in tumor cell lines. We recently reported that APO2L is consistently expressed in low-grade astrocytomas, anaplastic astrocytomas, glioblastomas, and cell lines derived thereof, and that malignant glioma cell lines are susceptible to APO2L-induced apoptosis. In this study, we investigated whether APO2L is expressed in medulloblastoma or neuroblastoma cell lines and whether these cells are sensitive to APO2L-induced apoptosis. Immunoblot analyses revealed full-length APO2L protein expression in one (DAOY) of three medulloblastoma cell lines but not in two neuroblastoma cell lines (SKN-BE and SKN-LE). Viability assay performed after exposure to soluble APO2L for 16 h showed that DAOY medulloblastoma cells were the most sensitive and that apoptosis induced by APO2L was greatly enhanced when protein synthesis was inhibited by cycloheximide. Neuroblastoma cell lines were almost completely resistant to APO2L-induced apoptosis. We also carried out APO2L immunohistochemistry in a total of 115 tumors of the nervous system with different histogenesis and biological behavior. In all 9 pilocytic astrocytomas, the areas of dense fibrillary network showed diffuse and strong APO2L expression. In oligodendrogliomas, APO2L expression was observed in areas with a significant admixture of astrocytic cells, but was absent in neoplastic oligodendrocytes. In 13 of 14 ependymomas, APO2L was expressed in perivascular pseudorosettes. In all 12 medulloblastomas, strong APO2L expression was observed in intra-tumoral-reactive astrocytes, but neoplastic cells did not show APO2L immunoreactivity. Thus, the pattern of APO2L expression was largely similar to that of glial fibrillary acidic protein (GFAP), except for choroid plexus tumors and 3 of 8 anaplastic meningiomas, in which APO2L was focally expressed without concomitant GFAP expression. APO2L expression was absent in meningiomas, neurocytomas, and schwannomas. Thus, there is considerable heterogeneity of APO2L expression and susceptibility to APO2L-induced apoptosis among human brain tumors.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1440
    Keywords: Niereninsuffizienz ; Diuretika ; Dyspnoe ; Ödeme ; Flüssigkeitsbilanz ; Hämofiltration ; Renal failure ; Diuretics ; Dyspnoea ; Oedema ; Fluid balance ; Haemofiltration
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Fluid withdrawal in over-hydrated patients resistant to diuretics was obtained by means of a capillary haemofilter, using the arterio-venous pressure gradient for blood perfusion at a rate of 100 ml/min. The ultrafiltration rate was 200–600 ml/h and could be maintained as long as 48 h without changing the haemofilter. This method, which needs no technical investment, is easy and simple to handle for the physician, bears only a very low risk for the patient, and ensures a negative fluid balance even at a mean blood pressure of only 60 mm Hg.
    Notes: Zusammenfassung Unter Ausnutzung des arteriovenösen Blutdruckgradienten wurden überwässerte Patienten, bei denen eine Ausschwemmung mit Diuretika nicht mehr zu erreichen war, mit einem Kapillarhämofilter entwässert. Mit einer Blutperfusionsrate von 100 ml/min lag die Ultrafiltrationsrate bei 200–600 ml/h und konnte bis zu 48 h ohne Wechsel des Hämofilters aufrechterhalten werden. Der besondere Vorteil der arteriovenösen Hämofiltration liegt in der einfachen Handhabung für den Arzt und dem geringen Risiko für den Patienten im Vergleich zur maschinellen Hämofiltration. Eine technische Investition ist nicht erforderlich. Auch bei Blutdruckwerten um 60 mm Hg ist eine negative Flüssigkeitsbilanz möglich.
    Type of Medium: Electronic Resource
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