We acknowledge several limitations of this study. First, we used only one liver ischemic intervention protocol, i.e. three cycles of 5 min ischemia/5 min reperfusion; thus, it remains unknown whether other liver stimuli strategies can produce cardioprotection. Second, we did not use all three liver ischemic conditioned hearts for immunohistochemical analysis. Rather, we used only RPre+RPost treated hearts, to prove the concept that liver conditioning can inhibit apoptosis in the myocardium. Thus, it remains unknown whether RPre or RPost alone can affect apoptotic protein expression after I/R injury. In addition, the mechanisms by which remote liver conditioning enhance cytoprotective actions seem to be related to MAPK signaling pathways, since
The religion of Scientology is a very controversial topic all over the world and is even considered a cult by many. Those who chose to participate in the beliefs and practices of this faith form their own unique culture with other like-minded individuals. The purpose of my research is to gain insight into the world of Scientology by closely examining the lifestyles and opinions of its followers. What are the lives of Scientologists like and how does it affect them psychologically?
The MD Anderson Liver Tumor biospecimen resource has been invaluable for a large number of studies or clinical development. The sixth and subsequent editions of the American Joint Committee on Cancer (AJCC) staging of hepatocellular cancer, which was developed by an international consortium led by Jean-Nicolas Vauthey, MD, Professor of Surgery at MD Anderson and co-leader on project 2 of the SPORE, was based upon pathologic review of resected specimens in the Liver Tumor Bank (Vauthey JN J Clin Oncol 2002 20:1527-36). In addition, investigators at MD Anderson examined tissues in the Liver Tumor Bank to elucidate the prognostic significance of the ribonucleoprotein Human Antigen R (HuR) showing that patients with high HuR tumor expression had
I am conducting biomedical research in the laboratory of cardiac physiology under the mentorship of Dr. Elizabeth Murphy. Cardiovascular disease is the major cause of death in the US; therefore, a better understanding of the mechanisms regulating cardiomyocyte death in ischemia and reperfusion injury are important. Mitochondrial calcium plays a crucial role in the normal functioning of many processes, including the regulation of cardiac biochemical pathways and mediating ischemia-reperfusion injury. The uptake of calcium into the mitochondrial matrix is regulated by the mitochondrial calcium uniporter (MCU). An endogenous enzyme, Ca2+ Calmodulin Dependent Kinase II (CaMKII) has shown to regulate cell death and have increased activity during
Prospective randomized double-blind controlled study: Pros & Cons of Norepinephrine infusion versus Terlipressin in patients with hepatorenal syndrome type 1 in intensive care unit (ICU).
I thought going back to school would be a breeze. I told myself that since I’ve been in the veterinary field for fifteen years, going through the vet tech program would be quick and easy. Boy was I wrong! I’ve never felt so overwhelmed in my life. I’ve had to juggle many things on top of school and so far I’ve been able to tread water, hopefully my luck won't run out. Working as a vet tech in an emergency practice leaves little time to study. After working all night all I want to do is sleep all day. I do try to study at work when I get a break. Since starting this program, I have had to face many obstacles. The biggest obstacle was taking care of my grandmother as she slowly passed away from Alzheimer’s. Working anywhere from forty to seventy-five
Ischemia-reperfusion injury is seen in strokes, myocardial infarctions, acute kidney injury, mesenteric ischemia, shock liver and systemic shock. Both clinical and experimental data revealed that transplant IRI has deleterious long- and short -term effects, manifesting as augmented incidents of chronic allograft damage and acute rejection[1] Renal ischemia–reperfusion (IRI) is a main cause of acute kidney injury (AKI), which leads to many death in patients and may possibly development to chronic renal disease. Pathologically, ischemic AKI is characterized by lethal and sublethal damages in kidney tubules, especially the proximal tubules of the
Remote ischemic conditioning and local cardiac ischemic conditioning have many fundamental steps in common, including activation of different protein signaling pathways. The extracellular signal-regulated kinase (ERK) and glycogen synthase kinase-3β (GSK-3β) signaling molecules are key components of the pro-survival reperfusion injury salvage kinase (RISK) pathway5. Emerging evidence has indicated that the phosphorylation of GSK-3β at Ser9 results in the inhibition of GSK-3β activity, and that this inhibition of GSK-3β enhances cell survival and limits infarct size post I/R injury6. Also, the activation of ERK1/2 by various stimuli, including ischemic conditioning, may lead to cardioprotection against I/R injury7. These findings prompted us to postulate that liver ischemic conditioning might also protect the heart against I/R injury by the influence of RISK pathways, thereby promoting the myocardial cells towards
Ischemia-reperfusion (I/R) is a major cause of acute kidney injury (AKI). Ischemic AKI greatly contributes to patient morbidity and mortality in various clinical settings such as cardiac surgery and renal transplantation.1 Transplanted organs struggle with ischemia and subsequent reperfusion but also require pharmacological strategies to prevent graft rejection. Therefore immunosuppressive substances e.g. mTOR inhibitors had to be used in addition. Nevertheless, an effective therapy of ischemic AKI is still lacking. Ischemic preconditioning (IPC) is an intriguing phenomenon since it indicates the existence of intrinsic mechanisms that may be targeted for rendering the kidney resistant to ischemic stress. IPC can be achieved by pretreating the kidney itself (local IPC) or a remote organ (remote IPC). The conditioning stimulus may consist of one or several brief I/R cycles. This maneuver confers resistance against I/R injury upon subsequent long-lasting ischemia (“index ischemia”). IPC-mediated renoprotection occurs within the so-called early (minutes to few hours after IPC) and late windows of protection (24 hours to several days after IPC).
Aristotle was known as one of the three most important Greek philosophers along with Plato and Socrates. Aristotle was born circa 384 B.C. in Stagira, Greece. He had siblings named Arimneste and Arimnestus. His mother was Phaestis and his father was Nicomachus. Nicomachus was the court physician to the Macedonian King Amynthas II. Aristotles parents died when he was young. His older sister Arimneste and her husband took care of Aristotle.
Free radicals are thought to play an important role in the pathogenesis of reperfusion abnormalities including myocardial stunning, irreversible injury, and reperfusion arrhythmias. Free radical accumulation has been measured in ischemic and reperfused myocardium directly using techniques such as electron paramagnetic resonance spectroscopy and tissue chemiluminescence and indirectly using biochemical assays of lipid per oxidation products. In Ischemia free radicals are generated in myocytes, vascular endothelium, and leukocytes. Injury to processes involved in regulation of the intracellular Ca2+ concentration may be a common mechanism underlying both free radical- induced and reperfusion abnormalities.
The Th17 cells, as well as Th1 and Th2 cells, play vital roles in handling immune responses in acute myocarditis to dilated myocarditis (in which the heart increases in size and is weakened to the point that it cannot pump blood properly) (35, 36). The Th1 immune response can inhibit that of Th2, thus reducing viral replication and preventing dilated myocarditis, as well as keeping the acute myocarditis from becoming chronic. Th2 cells can inhibit Th1 cells and acute myocarditis as well by reducing the amount of Treg cells and the inflammatory cytokines (37), but it would ultimately induce acute myocarditis and would result in chronic myocarditis or dilated cardiomyopathy; it only prolongs the disease (38). Moreover, an anti-CD4 monoclonal antibody can be combined with CD4 to increase immune tolerance and reduce the amount of Th1 while regulating how much Th2 there is, thus increasing the cardiac function (39). Some monoclonal antibodies can reduce the mortality rate and inflammation, inhibit viral replication, and delay myocardial injury – the combination of using two drugs as opposed to one leads to an increased effectiveness (40). In addition to this, c-Fos, a nuclear proto-oncogene, may partially induce apoptosis in pro-B cells. If c-Fos’ activity is
Many people use dietary supplements to boost their health and prevent disease. It is reported that up to 40% of adults use at least one over-the-counter dietary supplement daily and most of these people do not ask or inform their doctors about taking these supplements. Herbal and nonherbal health supplements are popular because some people believe it is easier to take these than to buy and prepare healthy meals, especially when they are busy with work or if quality foods are not easily available. To others, taking specific food supplements is a means to increase immunity to certain diseases, support bodybuilding, or achieve weight loss. Some health care providers recommend taking dietary supplements to replace nutritional deficiencies but most experts advise consuming a healthy, balance diet that provides most of the nutrients one needs to maintain health.
Myocardial ischemia occurs in the coronary arteries. It reduces the ability to pump the blood to the heart, which will prevent the heart from getting enough oxygen to work efficiently. According to the Mayo Clinic, “A sudden, severe blockage of a coronary artery can lead to a heart attack.”[1] Myocardial ischemia can cause a severe abnormal heart rhythm, which sometimes leads to death. Myocardial ischemia also is known as ischemic cardiomyopathy. This essay will cover, the causes, risk factors, and lifestyle changes in ischemic cardiomyopathy.
Various contributing mechanisms have been identified, including the negative inotropic effects of different circulating factors, especially cytokines (TNFα, IL-1β and IL-6), lysozyme c and endothelin-1, disturbances of intracellular calcium trafficking within cardiac myocytes, alterations of myocardial microvascular blood flow, mitochondrial abnormalities and autonomic dysfunction [71-73]. There are various effects which may be responsible for the toxic actions of peroxynitrite on the heart, including myocardial cell death, either by caspase-3-dependent apoptosis [74], or PARP mediated necrosis [75]. A direct correlation linking the degree of myocardial PARP activation and the severity of cardiac functional alterations has been established in humans with septic shock [76]. Myocardial contractility can also be impaired by peroxynitrite due to disturbance in regulatory mechanism of intracellular calcium through the inactivation of SERCA2A [77], by altering different myofibrillar proteins including actin, myosin [78] and alpha-actinin [79], by interrupting myofibrillar energetics through inactivation of the myofibrillar isoform of creatine kinase [80] and by activating matrix metalloproteinases [81], which promotes contractile failure by cleaving key sarcomeric proteins including troponin and myosin light chain
The Liver is the body's largest gland, weighing about three to four pounds. It is located beneath the diaphragm in the right upper quadrant (RUQ) of the abdominal cavity. Without the liver, our bodies would be poisoned and unfit for us to do anything at all. It is a metabolically active organ responsible for many vital life functions. The primary functions of the liver are: Bile productions and excretion. Excretion of bilirubin, cholesterol, hormones, and drugs. Metabolism of fats, proteins, and carbohydrates. Enzyme activation. Storage of glycogen, vitamins, and minerals. Synthesis of plasma proteins, such as albumin, and clotting factors. And blood detoxification and purification.