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Critical Shifts in Cerebral White Matter Lipid Profiles After Ischemic-Reperfusion Brain Injury in Fetal Sheep as Demonstrated by the Positive Ion Mode MALDI-Mass Spectrometry. 正离子模式maldi -质谱分析证实胎羊脑缺血-再灌注损伤后脑白质脂质谱的关键变化
Cell medicine Pub Date : 2020-01-01 DOI: 10.1177/2155179019897002
Suzanne M de la Monte, Gina M Gallucci, Amy Lin, Ming Tong, Xiaodi Chen, Barbara S Stonestreet
{"title":"Critical Shifts in Cerebral White Matter Lipid Profiles After Ischemic-Reperfusion Brain Injury in Fetal Sheep as Demonstrated by the Positive Ion Mode MALDI-Mass Spectrometry.","authors":"Suzanne M de la Monte,&nbsp;Gina M Gallucci,&nbsp;Amy Lin,&nbsp;Ming Tong,&nbsp;Xiaodi Chen,&nbsp;Barbara S Stonestreet","doi":"10.1177/2155179019897002","DOIUrl":"https://doi.org/10.1177/2155179019897002","url":null,"abstract":"<p><p>Ischemic-reperfusion (I/R) injury to cerebral white matter during the perinatal period leads to long-term cognitive and motor disabilities in children. Immature white matter oligodendrocytes are especially vulnerable to metabolic insults such as those caused by hypoxic, ischemic, and reperfusion injury. Consequences include an impaired capacity of oligodendrocytes to generate and maintain mature lipid-rich myelin needed for efficient neuronal conductivity. Further research is needed to increase an understanding of the early, possibly reversible myelin-associated pathologies that accompany I/R white matter injury. This experiment characterized I/R time-dependent alterations in cerebral white matter lipid profiles in an established fetal sheep model. Fetal sheep (127 days gestation) were subjected to 30 min of bilateral carotid artery occlusion followed by 4 h (<i>n</i> = 5), 24 h (<i>n</i> = 7), 48 h (<i>n</i> = 3), or 72 h (<i>n</i> = 5) of reperfusion, or sham treatment (<i>n</i> = 5). Supraventricular cerebral white matter lipids were analyzed using the positive ionization mode matrix-assisted laser desorption/ionization mass spectrometry. Striking I/R-associated shifts in phospholipid (PL) and sphingolipid expression with a prominent upregulation of cardiolipin, phosphatidylcholine, phosphatidylinositol monomannoside, sphingomyelin, sulfatide, and ambiguous or unidentified lipids were observed to occur mainly at I/R-48 and normalized or suppressed responses at I/R-72. In fetal sheep, cerebral I/R caused major shifts in white matter myelin lipid composition favoring the upregulated expression of diverse PLs and sphingolipids which are needed to support neuronal membrane, synaptic, metabolic, and cell signaling functions.</p>","PeriodicalId":9780,"journal":{"name":"Cell medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2155179019897002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10579487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Cryopreserved Alginate-Encapsulated Islets Can Restore Euglycemia in a Diabetic Animal Model Better than Cryopreserved Non-encapsulated Islets. 低温保存海藻酸盐包封胰岛比低温保存未包封胰岛能更好地恢复糖尿病动物模型的正常血糖。
Cell medicine Pub Date : 2019-09-13 eCollection Date: 2019-01-01 DOI: 10.1177/2155179019876641
Greg G Kojayan, Antonio Flores, Shiri Li, Michael Alexander, Jonathan Rt Lakey
{"title":"Cryopreserved Alginate-Encapsulated Islets Can Restore Euglycemia in a Diabetic Animal Model Better than Cryopreserved Non-encapsulated Islets.","authors":"Greg G Kojayan,&nbsp;Antonio Flores,&nbsp;Shiri Li,&nbsp;Michael Alexander,&nbsp;Jonathan Rt Lakey","doi":"10.1177/2155179019876641","DOIUrl":"https://doi.org/10.1177/2155179019876641","url":null,"abstract":"<p><p>Islet transplantation has been shown to restore normoglycemia clinically. One of the current limitations to the widespread clinical use of islet transplantation is culturing and preserving more than 1 million islet equivalents in preparation for transplant. One possible solution is to bank frozen islets and use them when needed. Although promising, the standard islet freezing protocol introduces stress and cell death, resulting in high variability of islet quality post thawing. This study aimed to develop an improved cryopreservation protocol using alginate-encapsulated islets to improve islet survival and function for future transplants. Our data showed that encapsulation improved islet survival and function after thawing the frozen islets. Frozen encapsulated islets have an islet yield recovery of 84% when compared to non-encapsulated islets at 72% after thawing. Post-thaw viability was 78% for non-encapsulated islets compared to 88% for encapsulated islets. The stimulation index values after a static glucose test following thawing were 1.9 ± 0.5, 2.9 ± 0.1, and 3.3 ± 0.3 for the non-encapsulated, 1.75% alginate, and 2.5% alginate groups, respectively. In a transplant study, the mice that received 1.75% alginate-encapsulated cryopreserved islets achieved normoglycemia on average 5 days after transplant. In comparison, control mice that received fresh islets took 4 days, while those receiving unencapsulated cryopreserved islets took 18 days. In conclusion, encapsulating islets in 1.75% alginate prior to freezing was shown to improve islet survival, function post thawing, and graft response significantly when compared to islets frozen without encapsulation.</p>","PeriodicalId":9780,"journal":{"name":"Cell medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2155179019876641","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39443225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
MicroRNAs as Key Regulators of Ovarian Cancers. 微rna作为卵巢癌的关键调控因子。
Cell medicine Pub Date : 2019-09-06 eCollection Date: 2019-01-01 DOI: 10.1177/2155179019873849
Sandeep Satapathy, Chanchal Kumar, Roshan Kumar Singh
{"title":"MicroRNAs as Key Regulators of Ovarian Cancers.","authors":"Sandeep Satapathy,&nbsp;Chanchal Kumar,&nbsp;Roshan Kumar Singh","doi":"10.1177/2155179019873849","DOIUrl":"https://doi.org/10.1177/2155179019873849","url":null,"abstract":"<p><p>The tumor microenvironment can be realistically viewed as an active battle ground between the host immune system and the growing tumor cells. This reactive space surrounding the tumor possesses several possibilities and facilitates the progression of a tumor from a neoplastic stage to that of metastasis. The contemporary approach of understanding the cancer biology from a \"within the cell\" perspective has been largely challenged with complex and intricate \"outside the cell\" events. Thus understanding the biology of the tumor microenvironment has been of scientific and clinical interest. Small non-coding microRNAs with a pleotropic and wide range of cellular gene targets can be reasonably hypothesized to regulate the events of carcinogenesis and progression. MicroRNAs have been investigated in different cancer models, and evidence of their involvement in the regulation of the tumor microenvironment has been of much interest. In particular, a major interest has been exploring the role of the tumor microenvironment in regulating the interaction of cancer cells with surrounding stromal components and the effect of such interactions on the cancer cells. Fine-tuned regulation by these microRNAs extends our contemporary understanding of these small biomolecules in epigenetic regulations. This review focuses on microRNAs that are dysregulated in ovarian carcinomas, their effect on the components of the tumor microenvironment, and the correlation of their heterogeneous expression profiles with disease severity and prognosis in patients. In addition, this paper also discusses the differential expression of exosomal microRNAs that are known to link the cancer cell with its microenvironment, facilitating the development of an improved prognostic/diagnostic marker and effective therapeutic regime.</p>","PeriodicalId":9780,"journal":{"name":"Cell medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2155179019873849","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38126688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
A Case of Acute Lymphocytic Leukaemia with t(3;13) and Central Nervous System Leukemia after Allogenic Cord Blood Transplantation. 同种异体脐带血移植后急性淋巴细胞白血病合并t(3;13)和中枢神经系统白血病1例。
Cell medicine Pub Date : 2019-09-04 eCollection Date: 2019-01-01 DOI: 10.1177/2155179019873850
Xiaofan Li, Yaqun Hong, Jiafu Huang, Nainong Li
{"title":"A Case of Acute Lymphocytic Leukaemia with t(3;13) and Central Nervous System Leukemia after Allogenic Cord Blood Transplantation.","authors":"Xiaofan Li,&nbsp;Yaqun Hong,&nbsp;Jiafu Huang,&nbsp;Nainong Li","doi":"10.1177/2155179019873850","DOIUrl":"https://doi.org/10.1177/2155179019873850","url":null,"abstract":"<p><strong>Background: </strong>Acute lymphoblastic leukemia (ALL) is a neoplastic cancer characterized by clonal expansion of leukemic cells in lymph organs and bone marrow. Lots of kinds of different chromosomal translocations can be found in those leukemic cells. However, the role of abnormal chromosomes and genes in leukemogenesis is not yet fully understood. Identifying new chromosomal translocations can facilitate a better understanding of pathogenesis of this disease.</p><p><strong>Case presentation: </strong>We report a rare case of acute lymphocytic leukaemia with t(3;13)(q29, q21). The patient was diagnosed pre-B-ALL with no abnormal chromosomal or gene fusion and achieved complete remission (CR) after induction chemotherapy; 10 months later, she relapsed in the consolidation, with cytogenetics tests showing 46, XX, t(3;13)(q29, q21). Given no CR after two chemotherapy regimens, the patient received salvage cord blood transplantation. Regular intrathecal methotrexate was applied to prevent central nervous system leukemia. Good graft versus leukemia was induced by daily injection of a low dose of IL-2 2 months post-transplantation. Minimal residual disease negativity was maintained until central nervous system (CNS) leukemia was found 8 months after transplantation. A whole exome sequencing was performed. Nine driver mutation genes and seven tumor genes were found.</p><p><strong>Conclusions: </strong>We highly suspect that the relapse in the CNS after transplantation is associated with a rare chromosomal translocation.</p>","PeriodicalId":9780,"journal":{"name":"Cell medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2155179019873850","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38126687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unsurpassed Intrahepatic Islet Engraftment - the Quest for New Sites for Beta Cell Replacement. 无与伦比的肝内胰岛移植-寻找β细胞替代的新位点。
Cell medicine Pub Date : 2019-06-24 eCollection Date: 2019-01-01 DOI: 10.1177/2155179019857662
Hanna Liljebäck, Daniel Espes, Per-Ola Carlsson
{"title":"Unsurpassed Intrahepatic Islet Engraftment - the Quest for New Sites for Beta Cell Replacement.","authors":"Hanna Liljebäck,&nbsp;Daniel Espes,&nbsp;Per-Ola Carlsson","doi":"10.1177/2155179019857662","DOIUrl":"https://doi.org/10.1177/2155179019857662","url":null,"abstract":"<p><p>The liver is currently the site of choice for clinical islet transplantation, even though many alternative implantation sites have lately been proposed as more ideal for graft survival. The suggested sites, for example intramuscular space, omentum, bone marrow, and spleen, are sometimes difficult to compare due to differences in animal model, islet isolation procedure, and islet quality. In addition, the variation in transplanted islet mass is vast. The aim of this commentary is to review alternative implantation sites tested experimentally as well as in clinical islet transplantation. Although many sites have been investigated, none have convincingly proved better suited for clinical islet transplantation than intraportal injection to the liver, regardless of whether it is autologous or allogeneic transplantation. However, in order to fully evaluate upcoming bioengineering techniques, such as scaffolds containing insulin-producing cells derived from stem cells, the need of an alternative site has arisen to enable cellular monitoring, which currently cannot be achieved within the liver.</p>","PeriodicalId":9780,"journal":{"name":"Cell medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2155179019857662","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38126686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Bone Grafts, Bone Substitutes and Regenerative Medicine Acceptance for the Management of Bone Defects Among French Population: Issues about Ethics, Religion or Fear? 骨移植、骨替代品和再生医学在法国人骨缺损治疗中的接受程度:道德、宗教或恐惧问题?
Cell medicine Pub Date : 2019-06-20 eCollection Date: 2019-01-01 DOI: 10.1177/2155179019857661
Damien Offner, Gabriel Fernandez de Grado, Inès Meisels, Luc Pijnenburg, Florence Fioretti, Nadia Benkirane-Jessel, Anne-Marie Musset
{"title":"Bone Grafts, Bone Substitutes and Regenerative Medicine Acceptance for the Management of Bone Defects Among French Population: Issues about Ethics, Religion or Fear?","authors":"Damien Offner, Gabriel Fernandez de Grado, Inès Meisels, Luc Pijnenburg, Florence Fioretti, Nadia Benkirane-Jessel, Anne-Marie Musset","doi":"10.1177/2155179019857661","DOIUrl":"10.1177/2155179019857661","url":null,"abstract":"<p><p>Several techniques exist to manage bone defects in patients: bone grafts (autograft, allograft, xenograft), use of synthetic bone substitutes, or use of the products of bone regenerative medicine. Studies generally focus on their efficacy, but few focus on their acceptance. Our objectives were to assess their theoretical acceptance among the French general population, and to identify issues justifying refusals, by mean of an open e-questionnaire. The questionnaire was submitted to a general French population, and explained these techniques in an understandable way. Participants were asked to say whether they would accept or refuse these techniques, specifying why in case of refusal (fear of the technique, ethical reasons, religious reasons). In total, 562 persons participated. Autograft and use of the products of bone regenerative medicine were the most accepted techniques (93.4% and 94.1%, respectively). Xenograft was the least accepted technique (58.2%). Most refusals were due to fear such as failure, pain, infection (autograft 8%, allograft 14.9%, xenograft 25.3%, synthetic bone substitutes 14.6%, and products of bone regenerative medicine 6.8%). Ethical reasons were mostly mentioned for allograft (6.4%) and xenograft (18.3%). Religious reasons were scarcely mentioned, only for xenograft (1.2%). Thus, acceptance of techniques does not seem to be greatly linked to sociodemographic characteristics in France. However, other countries with their own cultural, religious, and population patterns may show different levels of acceptance. This study shows that bone regenerative medicine is a promising research direction, reaching biological and also humanist quality standards, expected to improve the health of patients. Information is still the cornerstone to defuse issues about fear.</p>","PeriodicalId":9780,"journal":{"name":"Cell medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/93/3e/10.1177_2155179019857661.PMC6587382.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38126685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mitochondrial Respiratory Capacity is Restored in Hibernating Cardiomyocytes Following Co-Culture with Mesenchymal Stem Cells. 与间充质干细胞共培养后,冬眠心肌细胞的线粒体呼吸能力恢复。
Cell medicine Pub Date : 2019-03-06 eCollection Date: 2019-01-01 DOI: 10.1177/2155179019834938
Laura L Hocum Stone, Erin Chappuis, Maribel Marquez, Edward O McFalls, Rosemary F Kelly, Tammy Butterick
{"title":"Mitochondrial Respiratory Capacity is Restored in Hibernating Cardiomyocytes Following Co-Culture with Mesenchymal Stem Cells.","authors":"Laura L Hocum Stone, Erin Chappuis, Maribel Marquez, Edward O McFalls, Rosemary F Kelly, Tammy Butterick","doi":"10.1177/2155179019834938","DOIUrl":"10.1177/2155179019834938","url":null,"abstract":"<p><p>Hibernating myocardium is a subset of ischemic cardiac disease characterized by viable but dysfunctional tissue. Standard treatment for hibernating myocardium is coronary artery bypass graft, which reduces arrhythmias and improves survival but does not fully restore function, presenting a gap in currently available treatments. Large animal studies of hibernating myocardium have identified impaired mitochondrial dynamics as a root cause of persistent cardiac dysfunction despite surgical revascularization. This study presents a novel <i>in vitro</i> model of hibernating myocardium cardiomyocytes to study active mitochondrial respiration in hibernating myocardium cells, and to test the paracrine effect of mesenchymal stem cells on impaired mitochondrial function. Exposure of cardiomyocytes to hypoxic conditions of 1% oxygen for 24 hours resulted in a phenotype consistent with hibernating myocardium cardiac tissue, including decreased respiratory capacity under high work states, decreased expression of mitochondrial proteins, and preserved cellular viability. Co-culture of hibernating myocardium cardiomyocytes with mesenchymal stem cells restored mitochondrial respiratory function, potentially via an increase in proliferator-activated receptor gamma coactivator 1-alpha-driven mitochondrial biogenesis. Co-culture treatment of hibernating myocardium cardiomyocytes with mesenchymal stem cells shows improvement in both mitochondrial function and ATP production, both of which are critical for effectively functioning cardiac tissue. These results suggest that mesenchymal stem cell therapy as an adjunct treatment to revascularization may address the current gap in treatment for hibernating myocardium patients.</p>","PeriodicalId":9780,"journal":{"name":"Cell medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/07/be/10.1177_2155179019834938.PMC6404044.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38126753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Approval of First CAR-Ts: Have we Solved all Hurdles for ATMPs? 第一批car - t的批准:我们已经解决了atmp的所有障碍吗?
Cell medicine Pub Date : 2019-01-22 eCollection Date: 2019-01-01 DOI: 10.1177/2155179018822781
Diane Seimetz, Karl Heller, Jan Richter
{"title":"Approval of First CAR-Ts: Have we Solved all Hurdles for ATMPs?","authors":"Diane Seimetz,&nbsp;Karl Heller,&nbsp;Jan Richter","doi":"10.1177/2155179018822781","DOIUrl":"https://doi.org/10.1177/2155179018822781","url":null,"abstract":"<p><p>T cells are known as the most potent killer cells of the immune system, designed by nature to prevent unwanted challenges. The first class of therapeutic products harnessing the power of T cells for target-specific treatment of oncological diseases was bispecific antibodies. The first T-cell engaging bispecific antibodies that obtained approval were catumaxomab and blinatumomab<sup>1,2</sup>. Eight years later, the first chimeric antigen receptor (CAR)-T cells received regulatory approval<sup>3</sup>. CAR-T cells are the cellular interpretation of T-cell engaging therapies and have shown remarkable clinical results. CAR-T cells belong to the regulatory group of advanced therapy medicinal products (ATMPs). Due to the cell-/gene-based complex nature, ATMPs are far more challenging to develop than other, more defined, medicinal products. Despite very encouraging clinical results, there have been many set-backs in the development of ATMPs during the past 20 years. Therefore, the approval of the first two CAR-Ts KYMRIAH and YESCARTA is highly encouraging for the field. In this article we review the current landscape of CAR-Ts as a special class of ATMPs. This comprises the pathway to approval including the use of dedicated regulatory tools and challenges that were faced during the procedure. Furthermore, we highlight important future trends in the field.</p>","PeriodicalId":9780,"journal":{"name":"Cell medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2155179018822781","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38126752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 67
Risk Factors for Perinatal Arterial Ischemic Stroke: A Case-Control Study. 围产期动脉缺血性中风的危险因素:一项病例-对照研究。
Cell medicine Pub Date : 2018-07-11 eCollection Date: 2018-01-01 DOI: 10.1177/2155179018785341
Daniela Munoz, María José Hidalgo, Fernanda Balut, Mónica Troncoso, Susana Lara, Andrés Barrios, Patricia Parra
{"title":"Risk Factors for Perinatal Arterial Ischemic Stroke: A Case-Control Study.","authors":"Daniela Munoz,&nbsp;María José Hidalgo,&nbsp;Fernanda Balut,&nbsp;Mónica Troncoso,&nbsp;Susana Lara,&nbsp;Andrés Barrios,&nbsp;Patricia Parra","doi":"10.1177/2155179018785341","DOIUrl":"https://doi.org/10.1177/2155179018785341","url":null,"abstract":"<p><strong>Introduction: </strong>Arterial ischemic stroke in newborns is an important cause of neonatal morbidity and mortality. Its pathophysiology and associated risk factors are not yet clearly understood and defined.</p><p><strong>Objective: </strong>The aim of this retrospective study was to investigate possible risk factors in diagnosed cases of PAIS (perinatal arterial ischemic stroke).</p><p><strong>Materials and methods: </strong>Case-control study. Clinical data of patients with PAIS diagnosis were analyzed. Two healthy controls were selected for each PAIS case, matched for gestational age. Risk factors were explored using univariable and multivariable analysis.</p><p><strong>Outcome: </strong>40 patients were included in the study, 24 males and 16 females; 52.5% of cases were diagnosed within the first month of birth, and 47.5% were retrospectively diagnosed. The results showed a male predominance (66.7%). The distribution of cerebral ischemic injury was predominantly medial cerebral artery (87.5%) and occurred more commonly in the left cerebral hemisphere (62.5%). Significant risk factors in the univariate analysis (P < 0.05) were primiparity, stillbirth, neonatal sepsis, asphyxia, twin pregnancy, placenta abruption, emergency cesarean section, Apgar score ≤7 after 5 min, breech presentation, and hyperbilirubinemia. In the multivariate analysis, primiparity (OR 11.74; CI 3.28-42.02), emergency cesarean section (OR 13.79; CI 3.51-54.13), birth asphyxia (OR 40.55; CI 3.08-532.94) and Apgar score ≤7 after 5 min (OR 13.75; CI 1.03-364.03) were significantly associated factors with PAIS. Only five (16.6%) patients had an abnormal thrombophilia study.</p><p><strong>Conclusion: </strong>Risk factors of primiparity, emergency cesarean section, birth asphyxia, and Apgar score ≤7 after 5 min were significantly associated with perinatal stroke. More studies with a larger number of patients and with prolonged follow up are required to establish more clearly the associated risk factors involved in this pathology.</p>","PeriodicalId":9780,"journal":{"name":"Cell medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2155179018785341","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38126751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Comparison of Tissue Loading Before and After the Creation of a Continuous Density Gradient in Porcine Islet Purification. 猪胰岛纯化中连续密度梯度产生前后组织负荷的比较。
Cell medicine Pub Date : 2018-06-29 DOI: 10.1177/2155179018781343
Chika Miyagi-Shiohira, Yoshiki Nakashima, Nana Ebi, Eri Hamada, Yoshihito Tamaki, Kazuho Kuwae, Naoya Kobayashi, Issei Saitoh, Masami Watanabe, Takao Kinjo, Hirofumi Noguchi
{"title":"Comparison of Tissue Loading Before and After the Creation of a Continuous Density Gradient in Porcine Islet Purification.","authors":"Chika Miyagi-Shiohira,&nbsp;Yoshiki Nakashima,&nbsp;Nana Ebi,&nbsp;Eri Hamada,&nbsp;Yoshihito Tamaki,&nbsp;Kazuho Kuwae,&nbsp;Naoya Kobayashi,&nbsp;Issei Saitoh,&nbsp;Masami Watanabe,&nbsp;Takao Kinjo,&nbsp;Hirofumi Noguchi","doi":"10.1177/2155179018781343","DOIUrl":"10.1177/2155179018781343","url":null,"abstract":"<p><p>The purification step is one of the most important and difficult procedures in islet isolation for pancreatic islet transplantation. We previously reported that a purification method using large plastic bottles effectively achieved a high yield of islets from the porcine pancreas. In this study, we evaluated the impact of the timing of tissue loading on porcine islet purification using large plastic bottles. One method involved loading digested tissue after creating a continuous density gradient (tissue after gradient [TAG]). The other method involved loading digested tissue before creating a continuous density gradient (tissue before gradient [TBG]). There were no significant differences between TAG and TBG in terms of the islet yield, rates of viability and purity, score, and in the stimulation index after purification. Furthermore, there were no marked differences in the attainability or suitability of post-transplantation normoglycemia. Our study shows the equivalency of these two methods of islet purification.</p>","PeriodicalId":9780,"journal":{"name":"Cell medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2155179018781343","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38126750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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