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  • 1
    ISSN: 1432-1424
    Keywords: electrical potential difference (Δψ) ; membrane potential ; yeast electrophysiology ; microelectrode ; TPP+ distribution ; Pichia humboldtii
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Chemistry and Pharmacology
    Notes: Summary Electrical potential differences across the plasma membrane (Δψ) of the yeastPichia humboldtii were measured with microelectrodes (filled with 0.1m KCl) inserted into cells immobilized in microfunnels. The registered Δψ signals were reproducible and stable for several minutes. On attainment of stable reading for Δψ the specific membrane resistanceR sp was determined by applying square-current pulses to the preparation. Both Δψ andR sp were pH dependent and displayed equal but opposite deflection, Δψ reaching its maximal value of −88±9 mV (n=13) andR sp its minimal value of 10 kΩ·cm2 (maximal conductance) at pH 6.5. Uncouplers and the polyene antibiotic nystatin depolarized the cells, decreasing Δψ to −21±15 mV (n=10) with concomitant decrease ofR sp. Comparison of Δψ values from microelectrode measurements with those calculated from the steady-state distribution of tetraphenylphosphonium ions agreed within 10 mV under all physiological conditions tested, except at pH values above 7.0. During microelectrode insertion transient voltage signals (a few msec long) were detected by means of an oscilloscope. These voltage signals were superimposed on the stable Δψ recordings described above. These short voltage signals disappeared in uncoupled cells. The closely related Δψ values obtained by two independent methods (direct measurements with microelectrodes and calculation from steady-state distribution of a lipophilic cation) provide evidence that these values reffect the true membrane potential of intact cells.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 371 (1987), S. 49-58 
    ISSN: 1435-2451
    Keywords: Liver transplantation ; Bile duct reconstruction ; Biliary complications ; Bile sludge
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Komplikationen bei der Gallenwegsrekonstruktion treten nach der Lebertransplantation häufig auf. Eine anatomisch bedingte unzureichende Blutversorgung der extrahepatischen Gallenwege führt postoperativ zur Gallengangsnekrose. Biliodigestive Anastomosen haben ein erhöhtes Risiko für ascendierende Infektionen im Transplantat. Gallensludgebildung verursacht eine intra- und extrahepatische Gallenwegsobstruktion. Heute werden hauptsächlich die Sphincterfunktion erhaltende Methoden zur Gallendrainage angewandt, entweder Choledocho-Choledochostomie oder Gallenblasen-Conduit-Methode. Falls dies anatomisch nicht möglich ist, verwendet man eine biliodigestive Anastomose mit einer ausgeschalteten Jejunumschlinge nach Roux. Wird eine Gallenwegskomplikation festgestellt, ist die sofortige operative Revision der Gallendrainage lebensrettend.
    Notes: Summary In hepatic transplantation complications of the biliary drainage were frequently observed. Ischemia of the extrahepatic bile duct which occurs for anatomical reasons can cause necrosis of the bile duct. The reconstruction of biliary drainage by biliodigestive anastomosis results in ascending infections of the graft. Biliary sludge could obstruct the intra- or extrahepatic bile duct. Recently, operation methods are mainly applied in which the function of Oddi's sphincter is preserved, i. e. choledocho-choledochostomy or gallbladder conduit method. If it is not possible to perform these methods the Roux-y jejunum loop is used. Finally, an immediate operative revision of the biliary drainage is indicated if its complication is diagnosed.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 372 (1987), S. 893-894 
    ISSN: 1435-2451
    Keywords: Liver transplantation ; Pulmonary tuberculosis ; Tuberculostatic therapy ; Lebertransplantation ; Lungentuberkulose ; Tuberculostatica
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Bei einem 55jährigen Mann wurde 7 Monate nach orthotoper Lebertransplantation eine Lungentuberkulose diagnostiziert. Die tuberculostatische Therapie erfolgte mit Isoniazid (3 x 0,2 g/Wo) und Ethambutol (1,6 g/d) über 11 Monate. Nach 3 Monaten waren keine Mycobakte rien mehr nachweisbar, und der Patient ist im 3. Jahr nach Transplantation ohne Zeichen einer aktiven Tuberkulose in gutem Gesundheitszustand bei guter Transplantatfunktion. Die Tuberculostatica-Dosierung sollte je nach Metabolisierungsleistung des Transplantats reduziert werden. Bei Beachtung dieses Kardinalpunktes könnte eine Tuberkulose nach Lebertransplantation erfolgreich behandelt werden.
    Notes: Summary Pulmonary tuberculosis was clinically diagnosed and verified with sputum cultures in a 55-year-old patient 7 months after liver transplantation. After 3 months of tuberculostatic therapy with isoniazid (3 x 0.2 g/week) and ethambutol (1.6 g/day), sputum cultures became negative and therapy was discontinued after 11 months. The patient is now in the 3rd year after transplantation in good general condition with excellent graft function and no signs of active tuberculosis. The dosage of the tuberculostatic drugs should be reduced according to the metabolic state of the graft to avoid drug hepatotoxicity. Then tuberculosis after liver transplantation can be treated successfully.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Research in experimental medicine 187 (1987), S. 379-384 
    ISSN: 1433-8580
    Keywords: Hepatic regeneration ; Thymus alteration ; Monoclonal antibodies
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We performed 70% hepatectomy in LEW rats and examined immunologic alterations during hepatic regeneration; especially, thymus weight and cell count, T-cell subpopulations, differentiation ratio of thymocytes (DR) and ratio of T-helper to T-suppressor/cytotoxic cells (Th-Tsc). Strongest liver regeneration was observed on postoperative days 2–5 and it was completed on day 7. During hepatic regeneration a significant thymus atrophy in weight and cell count was found on day 3 and 5, it normalized from the 7th day on. T-cells were highly differentiated during liver regeneration with a DR of 35.7 ± 2.5%, 64.0 ± 4.4% and 38.8 ± 3.0% on postoperative days 3, 5, and 7, respectively, and at the same time Th-Tsc ratio was reduced to 0.57 ± 0.11, 0.38 ± 0.04 and 0.57 ± 0.05, respectively. DR and Th-Tsc ratio showed a trend to normalization from the 7th day on. No changes of thymus and T-cell subpopulations occurred in a sham-operated control group. Since we found such thymus alterations also in spontaneous or drug induced tolerant graft recipients, we conclude that the hepatic regenerative potential possesses a suppressive effect on immune responses.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1433-8580
    Keywords: Acute hepatic damage ; Chronic hepatic damage ; Immunoregulatory factor ; Antifibroblast factor ; Thymus
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We studied in this paper the behavior of immunosuppressive and fibroblast proliferation inhibitory factors in the acute, chronic damage and cirrhotic alteration of the liver. We induced in LEW-rats acute hepatic necrosis by i.v. application of dimethylnitrosamine (DMNA: 35 mg/kg b.wt.) and by i.m. injection of CCl4 (1 ml/kg b.wt., twice a week). After 2–4 weeks we found chronic hepatic damage and after 8–10 weeks liver cirrhosis. As a control, untreated animals were used. Sera and liver factors were prepared from the animals and used for inhibition tests of fibroblast proliferation and MLC reaction. Furthermore, cell count and cell subpopulation of the thymus were determined by monoclonal antibodies (W3/25, OX-8). LF of untreated and DMNA-treated animals exhibited very strong unspecific inhibition effects of fibroblast proliferation and allogenic stimulation. However, with progression of hepatic damage (chronic hepatitis and cirrhosis) both suppressive abilities were gradually reduced. Normal sera showed very slight inhibition of allogenic stimulation but sera of animals with acute hepatic damage showed very strong inhibition. In the 2 weeks of CCl4 treatment, their inhibitory abilities were more than 40%, and with progression of hepatic damage they were gradually reduced. Normal sera or sera of animals with chronic hepatic damage could not suppress the fibroblast proliferation; however, sera of acute hepatic damage inhibited it very strongly. With chronic hepatic damage, the thymus gradually atrophied and, after 10 weeks of CCl4 treatment, it had atrophied completely. Thymocyte differentiation was found only in animals with acute hepatic damage. This suggests that factors which were liberated from the damaged hepatocytes caused differentiation of the thymocytes.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Research in experimental medicine 188 (1988), S. 305-317 
    ISSN: 1433-8580
    Keywords: Immune tolerance ; Thymocyte subpopulations ; Monoclonal antibodies ; Differentiation ratio ; Cyclosporine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary LEW with BDE-heart graft received 0 (control), 15, or 40 mg cyclosporine (CsA)/kg b. wt. per day. On postoperative days 3, 5, 7, 10, and 14 in four animals each weight and cell count of thymus and spleen were determined, and thymus and spleen cell subpopulations were examined with monoclonal antibodies. The same tests were performed in FiS heart graft recipients without immunosuppression and ungrafted LEW which received 15 or 40 mg CsA. We expressed alterations in thymocyte subpopulations by using the differentiation ratio (DR), i.e., differentiated in % of all T-cells and by the ratio of helper to suppressor/cytotoxic T-cells (Th-Ts/c). In graft rejection the thymus showed no significant change in DR or Th-Ts/c. However, in the CsA-induced graft tolerance DR was elevated and at the same time Th-Ts/c declined, both showing maximum values on days 5 and 7 and a return to normal thereafter. FiS graft recipients exhibited similar thymus alterations as tolerant recipients, but less marked. In CsA-treated ungrafted LEW, elevation of DR was slight after 15 mg but very strong after 40 mg CsA (93% on day 7), and it did not return to normal in the latter group. Th-Ts/c was decreased in these ungrafted animals, but not as strongly as in tolerant graft recipients. Such thymus alterations were not observed in graft rejection. Spleen weights were strongly increased in graft rejection and unchanged in graft tolerance. Splenic Ts/c and Th-Ts/s were increased in CsA-treated tolerant recipients but not in graft rejection. We conclude that elevation of DR and decline of thymic Th-Ts/c in the initial postoperative phase are indicators of graft tolerance in organ recipients.
    Type of Medium: Electronic Resource
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