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  • 1
    ISSN: 1433-0458
    Keywords: Schlüsselwörter Mukoviszidose ; Zystische Fibrose ; Menschliches Nasalepithel ; Epithelialer Na+-Kanal ; Cl ; -Sekretion ; Key words Cystic fibrosis ; Human nasal epithelium ; Epithelial Na+ channels ; Cystic fibrosis transmembrane conductance regulator ; Cl ; secretion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Cystic fibrosis (CF) is the most commonly inherited disease in Caucasians and is caused by a mutation in the gene encoding a membrane transport protein. This cystic fibrosis transmembrane conductance regulator (CFTR) is thought to be an apical Cl– channel activated by intracellular cAMP. Most recent findings suggest that CFTR is more than a pure Cl– channel and might be involved in the regulation of other transport systems. In the present study we show that CFTR as a Cl– channel plays only a minor role in primary cultured human nasal epithelium derived from non-CF and CF patients. These findings are especially of interest for non-CF human nasal epithelia in which CFTR is correctly inserted. In both tissues Cl– secretion is negligible as compared with Na+ absorption. We confirm and expand our previous observations that Na+ absorption in human nasal epithelium is the dominant ion transport process and that Cl– secretion is detectable in both CF and non-CF tissue. Moreover, we show that cAMP and ATP were not able to stimulate any silent Cl– channels in CF or non-CF human nasal epithelial cells. We further give evidence that in human nasal CF and non-CF epithelium Na+ absorption is mediated by epithelial Na+ channels (ENaC) that are either different from those of other epithelia or which exhibit altered regulation. These differences between Na+ channels of human nasal epithelium and ”classical” epithelial Na+ channels include lack of activation by the intracellular second messenger cAMP and the steroid hormone aldosterone. We show further that human nasal Na+ channels are inhibited by Cl–-channel blockers and exhibit a different pharmacology towards common Na+ channel blockers.
    Notes: Zusammenfassung Mukoviszidose [zystische Fibrose (CF)] ist die häufigste Erbkrankheit in der kaukasischen Bevölkerung. Sie wird hervorgerufen durch Mutation eines Gens, welches für ein membranständiges Transportprotein kodiert, den „cystic fibrosis transmembrane conductance regulator” (CFTR). Dieser CFTR ist in der apikalen Membran von Epithelzellen lokalisiert und fungiert dort als cAMP-aktivierbarer Cl–-Kanal. Neuere Untersuchungen haben ergeben, daß der CFTR mehr als ein normaler Cl–-Kanal ist und wahrscheinlich in die Regulation einer Reihe weiterer Transportsysteme involviert ist. In dieser Studie zeigen wir, daß der CFTR in seiner Rolle als Cl–-Kanal nur eine untergeordnete Rolle in primärkultivierten menschlichen Nasenepithelzellen von CF- und Nicht-CF-Patienten spielt. Dieses Ergebnis ist besonders für das Nasenepithel von Nicht-CF-Patienten erstaunlich, da hier der CFTR korrekt eingebaut wird. In beiden Geweben spielt also eine Cl–-Sekretion verglichen mit der Na+-Absorption eine vergleichsweise geringe Rolle. Wir bestätigen mit dieser Untersuchung unsere früheren Beobachtungen, daß im menschlichen Nasenepithel Na+-Absorption der dominierende Ionentransportprozeß ist und eine Cl–-Sekretion weder in CF- noch in Nicht- CF-Geweben in relevantem Maße vorhanden ist. Zudem zeigen wir, daß weder cAMP noch ATP irgendeine Cl–-Sekretion in CF- oder Nicht-CF-Nasenepithelzellen stimulieren können. Desweiteren ergaben sich Hinweise darauf, daß sich die epithelialen Na+-Kanäle (ENaC) im Nasenepithel, welche für einen Teil der Na+-Absorption zuständig sind, von den epithelialen Na+-Kanälen in anderen Geweben unterscheiden. Diese Unterschiede zwischen den Na+-Kanälen im menschlichen Nasenepithel und den „klassischen” epithelialen Na+-Kanälen bestehen einerseits in ihrer fehlenden Aktivierbarkeit durch den intrazellulären Botenstoff cAMP und das Steroidhormon Aldosteron. Wir zeigen weiterhin, daß menschliche nasale Na+-Kanäle durch Cl–-Kanal-Blocker gehemmt werden können und eine andere Pharmakologie auf gebräuchliche Na+-Kanal-Blocker aufweisen.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European archives of oto-rhino-laryngology and head & neck 256 (1999), S. 316-322 
    ISSN: 1434-4726
    Keywords: Key words High-frequency ultrasound ; Larynx ; Microlaryngoscopy ; Endosonography ; Laryngeal cancer
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Over the last few years the development of new high-frequency ultrasound equipment has improved the application and resolution of endoluminal ultrasound. Following our in vitro study on the anatomical basis of endolaryngeal high-frequency ultrasound we present the preliminary results of our sonographic examinations during microlaryngoscopy in order to characterize clinical applications. For the present study 38 patients underwent endolaryngeal ultrasound examinations. Laryngeal pathology included vocal fold polyps, laryngeal cysts, chronic laryngitis, Reinke’s edema, epithelial dysplasia and cancer. The ultrasound examination was performed during microlaryngoscopy in a standardized pattern. A newly developed ultrasound apparatus was utilized with 10 MHz and 20 MHz catheters. Site, size and depth of the laryngeal lesion were evaluated. In 23 examinations of laryngeal carcinomas tumor size and infiltration could be measured and involvement of the thyroid cartilage or anterior commissure could be visualized. The exact extension of laryngeal cysts could also be seen. Ultrasound added no additional information to the endoscopic impression of the other laryngeal lesions. Present findings suggest that endoluminal high-frequency ultrasound might supplement microlaryngoscopy in the assessment of certain laryngeal lesions, especially for the evaluation of the size and infiltration of laryngeal tumors and to perform a more accurate preoperative staging without using computed tomography or magnetic resonance imaging.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    European archives of oto-rhino-laryngology and head & neck 254 (1997), S. 430-436 
    ISSN: 1434-4726
    Keywords: Larynx ; Cysts ; Classification ; Therapy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract To our knowledge only a few defined studies have been carried out on laryngeal cysts. These cysts represent a mixed group of benign laryngeal lesions that can cause diagnostic and therapeutic difficulties. The aim of this study was to characterize their histological structure and localizations in the larynx as well as to discuss theories about their genesis. Between 1973 and 1996, 342 laryngeal cysts were treated at Phillips University of Marburg, while from 1990 to 1996, 74 were treated at Justus Liebig University of Giessen. In all, 416 laryngeal cysts were treated by endolaryngeal microsurgery. All clinical charts were reviewed retrospectively and surgical specimens examined histomorphologically. Findings showed that 58.2% of the laryngeal cysts were located in the glottic area and 18.3% in the ventricular folds. The remainder were located on the aryepiglottic fold (2.2%) and interarythenoid region (0.7%). Two congenital cysts were also treated. Approximately 56% of the laryngeal cysts were lined by squamous cell epithelium, 37% by respiratory epithelium and 7% by oncocytic epithelium. In general, the laryngeal cysts were found to be a collection of inhomogenous lesions from different histogenetic origins with diverse symptoms related to their site and size. On the basis of our investigations, a new classification was established concerning the genesis and development of laryngeal cysts by subdividing cysts into congenital cysts, retention cysts, and inclusion cysts.
    Type of Medium: Electronic Resource
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