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  • Adenine nucleotides  (1)
  • Critical illness  (1)
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  • 1
    Digitale Medien
    Digitale Medien
    Springer
    Intensive care medicine 26 (2000), S. S124 
    ISSN: 1432-1238
    Schlagwort(e): Key words Immune function ; Sepsis ; Immune therapy ; Critical illness ; Inflammation
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Despite advances in critical care medicine, mortality from sepsis in ICU patients remains high. In response to several infectious and non-infectious stimuli, monocytes/macrophages release a number of mediators, including cytokines, involved in the proinflammatory response that underlies sepsis. The excessive release of these mediators results in the development of whole body inflammation, and plays an important role in the pathogenesis of sepsis and septic shock. In addition, patients with sepsis also undergo an anti-inflammatory phase (the compensatory anti-inflammatory response syndrome) and at times, a mixed response with both pro-and anti-inflammatory components (the mixed antagonistic response syndrome). The initial systemic hyperinflammation is caused by production of inflammatory cytokines, especially tumour necrosis factor-α (TNF-α), and also interleukin-1 (IL-1), IL-6, and interferon gamma, which act synergistically with TNF-α in inducing shock in animal models. However, clinical trials aimed at downregulating these mediators using antibodies against endotoxin, TNF-α, antagonists of IL-1 or platelet activating factor have proved to be uniformly disappointing. Not only have these agents been found to have no effect, but they may also increase mortality. One of the reasons for such failure may be the lack of precise immunological monitoring during the course of sepsis.¶We have recently demonstrated that sepsis shows a biphasic immunological pattern during the initial and later phase: the early hyperinflammatory phase is counterbalanced by an anti-inflammatory response which may lead to a hypoinflammatory state. The latter is associated with immunodeficiency that is characterised by monocytic deactivation, so-called immunoparalysis. Interferon gamma-1 b has an immunoregulatory effect in patients with immunoparalysis during the compensatory anti-inflammatory response syndrome, not only restoring levels of HLA-DR expression but also re-establishing the ability of monocytes to secrete cytokines such as TNF-α. By monitoring immune status in septic patients, targeted intervention may lead to more success in immunomodulation of sepsis.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    ISSN: 1432-1424
    Schlagwort(e): Cortical collecting duct ; Flufenamic acid ; Amiloride ; Adenine nucleotides ; cGMP dependent protein kinase ; Patch clamp
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Biologie , Chemie und Pharmazie
    Notizen: Abstract We recently reported that M-1 mouse cortical collecting duct cells show nonselective cation (NSC) channel activity (Proc. Natl. Acad. Sci. USA 89:10262–10266, 1992). In this study, we further characterize the M-1 NSC channel using single-channel current recordings in excised inside-out patches. The M-1 NSC channel does not discriminate between Na+, K+, Rb+, Cs+, and Li+. It has a linear I-V relation with a conductance of 22.7±0.5 pS (n=78) at room temperature. The Pcation/ Panion ratio is about 60 and there is no measurable conductance for NMDG, Ca2+, Ba2+, and Mn2+. Cytoplasmic calcium activates the M-1 NSC channel at a threshold of 10−6 m and depolarization increases channel activity (NP o ). Cytoplasmic application of adenine nucleotides inhibits the M-1 NSC channel. At doses of 10−4 m and 10−3 m, ATP reduces NP o by 23% and 69%, respectively. Furthermore, since ADP (10−3 m) reduces NP o by 93%, the inhibitory effect of adenine nucleotides is not dependent on the presence of a γ-phosphoryl group and therefore does not involve protein phosphorylation. The channel is not significantly affected by 8-Br-cGMP (10−4 m) or by cGMP-dependent protein kinase (10−7 m) in the presence of 8-Br-cGMP (10−5 m) and ATP (10−4 m). The NSC channel is not sensitive to amiloride (10−4 m cytoplasmic and/or extracellular) but flufenamic acid (10−4 m) produces a voltage-dependent block, reducing NP o by 35% at depolarizing voltages and by 80% at hyperpolarizing voltages. We conclude that the NSC channel of M-1 mouse cortical collecting duct cells belongs to an emerging family of calcium-activated and nucleotide-sensitive nonselective cation channels. It does not contribute to amiloride-sensitive sodium absorption and is unlikely to be a major route for calcium entry. The channel is normally quiescent but may be activated under special physiological conditions, e.g., during volume regulation.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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