51
|
Neef K, Sabashnikov A, Madershahian N, Scherner M, Kuhn E, Lauer M, Chesnokova V, Wittwer T, Choi YH, Wahlers T. Endothelial damage as a predictive and diagnostic marker in aortic valve surgery: Automated assessment of circulating endothelial cell frequency in transcatheter aortic-valve replacement and conventional surgery. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
52
|
Kuhn E, Taksler G, Dayton O, Loganathan A, Bourland J, Ellis T, Laxton A, Shaw E, Chan M, Tatter S. Adverse Toxicity After Stereotactic Radiosurgery for Treatment of Meningiomas. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
53
|
Deppe AC, Liakopoulos OJ, Hoffmann I, Blettner M, Kuhn E, Choi YH, Weigang E, Wahlers T. Acute aortic dissection type A: Epidemiology and consequences of time delay between onset of symptoms and surgery – a GERAADA analysis. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
54
|
Deppe AC, Liakopoulos OJ, Kuhn E, Slottosch I, Stange S, Meller B, Choi YH, Wahlers T. Myocardial protection in mitral valve surgery: Comparison of crystalloid, warm and cold blood cardioplegia. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
55
|
Scherner M, Madershahian N, Slottosch I, Liakopoulos OJ, Kuhn E, Deppe A, Strauch J, Wippermann J, Wahlers T. Are women with pre-existing renal impairment at higher risk to develop contrast-induced nephropathy following transcatheter aortic valve replacement? Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
56
|
Kuhn E, Binart N, Lombès M. Brun, blanc, beige : la couleur du gras et nouvelles perspectives thérapeutiques de l’obésité…. ANNALES D'ENDOCRINOLOGIE 2012; 73 Suppl 1:S2-8. [PMID: 23089378 DOI: 10.1016/s0003-4266(12)70009-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
57
|
Kuhn E, Fève B, Lombès M. [New pathophysiological mechanisms of metabolic syndrome: implication of orphan nuclear receptors?]. ANNALES D'ENDOCRINOLOGIE 2012; 73 Suppl 1:S9-S16. [PMID: 23089382 DOI: 10.1016/s0003-4266(12)70010-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
This review focuses on a number of new data on biology and pathophysiology of the metabolic syndrome (MetS) and the involvement of nuclear receptors that have been presented during the last Endocrine Society meeting, held in Houston in June 2012. Several studies have reported beneficial effects of various orphan nuclear receptors, including SHP (Small Heterodimeric Partner, NR0B2) and LXR (Liver X Receptor, NR1H3 and NR1H2), on various components of MetS. By using an inactivation model of SHP, David Moore has shown that SHP exerts "antidiabetic" effects but associated with hepatic steatosis development. He also showed that DLPC (dilauroyl phosphatidylcholine), an unconventional phospholipid, exhibited anti-diabetic properties through its binding to LRH-1 (Liver Receptor Homolog-1, NR5A2), a molecular partner of SHP. Interestingly, Carolyn Cummins investigated LXR α and β isoforms knock-out mice and provided experimental evidence for the detailed mechanisms involved in the deleterious metabolic effects of glucocorticoids, pointing out to the functional interaction between LXRβ, and the glucocorticoid receptor. These new and original studies open new therapeutic opportunities for the management of metabolic disorders in humans by selective modulators of these receptors.
Collapse
|
58
|
Slottosch I, Liakopoulos O, Kuhn E, Deppe A, Schwarz D, Lopez A, Choi YH, Jung K, Mühlfeld C, Wahlers T. Controlled lung reperfusion for prevention of CPB-related pulmonary dysfunction. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
|
59
|
Slottosch I, Liakopoulos O, Kuhn E, Deppe A, Stange S, Choi YH, Wahlers T. ECMO therapy in patients undergoing emergency CABG for acute myocardial infarction. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
|
60
|
Slottosch I, Liakopoulos O, Staupendahl L, Kuhn E, Deppe A, Choi YH, Madershahian N, Wahlers T. IABP therapy in patients undergoing urgent coronary artery bypass grafting for acute coronary syndrome. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
|
61
|
Madershahian N, Wippermann J, Liakopoulos O, Wittwer T, Kuhn E, Er F, Hoppe U, Wahlers T. The acute effect of IABP-induced pulsatility on coronary vascular resistance and graft flow in critical ill patients during ECMO. THE JOURNAL OF CARDIOVASCULAR SURGERY 2011; 52:411-418. [PMID: 21577195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
AIM The combination of the two cardiac support mechanisms of intra-aortic balloon pumping (IABP) and non-pulsatile circulatory extracorporeal membrane oxygenation (ECMO) has been confirmed to improve efficacy of the cardiac support as a whole. However, reports on benefits of diastolic augmentation on coronary vascular bed and graft flowmetry during concomitant use of IABP and ECMO are lacking. The aim of this study was to evaluate the acute impact of IABP support on coronary vascular resistance (CVR) and coronary bypass flows (CBF) in high-risk patients with peripheral ECMO following coronary artery bypass grafting (CABG). METHODS In eight emergency CABG patients (mean age=67.8±1.9 years; gender: six male and two female; EF=25.5±2.4%) requiring mechanical circulatory support with ECMO hemodynamic parameters, CVR, CBF, diastolic filling index (DFI), graft flow reserve (GFR), and pulsatility index (PI) were analyzed with and without diastolic augmentation using a transit time flowmeter. RESULTS The addition of IABP to ECMO decreased CVR significantly by 6.5%±1.9% compared to baseline with ECMO alone (1.62±0.2 versus 1.78±0.2; P<0.0045). Accordingly, significant higher mean CBF were found during IABP assist, resulting in a 21.6%±2.6% increase (60.7±8.7 mL/min with versus 51.3±7.4 mL/min without IABP; P<0.0001). IABP also significantly increased DFI by 9.8±0.9% (73.2%±1.4% with versus 66.7%±1.3% without IABP; P<0.0001). GFR was recruited during IABP in all grafts (GFR>1). There were no statistically significant differences in PI with and without IABP assistance (2.6±0.1 versus 2.5±0.2). CONCLUSION IABP-induced pulsatility significantly improves diastolic filling index and mean coronary bypass graft flows by lowering coronary vascular resistance during non-pulsatile peripheral ECMO. The combination of ECMO with IABP may provide more optimal myocardial oxygen conditions resulting in an improved efficacy of the cardiac support as a whole in critical ill patients with postcardiotomy myocardial dysfunction following CABG.
Collapse
|
62
|
Liakopoulos OJ, Kuhn E, Stabbert AC, Slottosch I, Sodagar M, Choi YH, Neef K, Wahlers T. Rosuvastatin reloading augments myocardial and coronary function after cardiac surgery with cardiopulmonary bypass. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
63
|
Kuhn E, Choi YH, Liakopoulos OJ, Schönherr M, Wittwer T, Wippermann J, Wahlers T. Higher stress levels for experienced supervisors during coronary artery bypass graft teaching cases compared to trainee residents. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
64
|
Choi YH, Zeriouh M, Neef K, Liakopoulos OJ, Stamm C, Scherner M, Kuhn E, Wittwer T, Wahlers T. Dysregulation of pro-angiogenic factors results in failure of the hypertrophied heart. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
65
|
Slottosch I, Liakopoulos OJ, Staupendahl L, Kuhn E, Stabbert AC, Choi YH, Wippermann J, Wahlers T. Cold blood vs. warm blood cardioplegia in patients with acute coronary syndrome undergoing coronary artery bypass grafting. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
66
|
Kuhn E, Liakopoulos OJ, Brehmer L, Slottosch I, Stabbert AC, Choi YH, Wippermann J, Wahlers T. Comparison of warm versus cold blood cardioplegia for myocardial protection in patients with prolonged aortic cross-clamp times during isolated CABG and aortic valve surgery. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
67
|
Slottosch I, Liakopoulos OJ, Kuhn E, Stabbert AC, Choi YH, Scherner M, Strauch J, Wahlers T. Peripheral ECMO therapy for postcardiotomy failure in cardiac surgery patients: A single centre experience. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269097] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
68
|
Strauch J, Haldenwang P, Klose I, Kuhn E, Slottosch I, Wahlers T. Aortic valve replacement in elderly patients: are octogenariens automatically high risk patients? Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
69
|
Kuhn E, Liakopoulos O, Choi YH, Wittwer T, Madershahian N, Wassmer G, Wahlers T. Myocardial protection in cardiac surgery patients requiring prolonged aortic cross-clamp times: a single-center evaluation of clinical outcomes comparing two blood cardioplegic strategies. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
70
|
Kuhn E, Liakopoulos O, Stabbert AC, Slottosch I, Choi YH, Madershahian N, Wittwer T, Wahlers T. Short-term statin pretreatment with rosuvastatin fails to enhance myocardial and endothelial function following cardiac surgery with cardiopulmonary bypass. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1247008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
71
|
Strauch J, Haldenwang P, Kuhn E, Slottosch I, Brandt C, Hoppe U, Wahlers T. Transcatheter aortic valve implantation as the treatment of choice in patients with previous open heart surgery. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
72
|
Kuhn E. Klaus Holldack. Dtsch Med Wochenschr 2009. [DOI: 10.1055/s-0029-1235604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
73
|
Brodan V, Brodanová M, Kuhn E, Kordač V, Válek J. Influence of Fructose on Iron Absorption from the Digestive System of Healthy Subjects. ANNALS OF NUTRITION AND METABOLISM 2008. [DOI: 10.1159/000175196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
|
74
|
Kuhn E, Holldack K, Winckler H. Betrachtungen über die Häufigkeit von Magengeschwüren bei organischen Gefäßerkrankungen. Cardiology 2008. [DOI: 10.1159/000165768] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
|
75
|
Martinelli M, Bonezzi K, Riccardi E, Kuhn E, Frapolli R, Zucchetti M, Ryan AJ, Taraboletti G, Giavazzi R. Sequence dependent antitumour efficacy of the vascular disrupting agent ZD6126 in combination with paclitaxel. Br J Cancer 2007; 97:888-94. [PMID: 17848949 PMCID: PMC2360417 DOI: 10.1038/sj.bjc.6603969] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
The clinical success of small-molecule vascular disrupting agents (VDAs) depends on their combination with conventional therapies. Scheduling and sequencing remain key issues in the design of VDA-chemotherapy combination treatments. This study examined the antitumour activity of ZD6126, a microtubule destabilising VDA, in combination with paclitaxel (PTX), a microtubule-stabilising cytotoxic drug, and the influence of schedule and sequence on the efficacy of the combination. Nude mice bearing MDA-MB-435 xenografts received weekly cycles of ZD6126 (200 mg kg(-1) i.p.) administered at different times before or after PTX (10, 20, and 40 mg kg(-1) i.v.). ZD6126 given 2 or 24 h after PTX showed no significant benefit, a result that was attributed to a protective effect of PTX against ZD6126-induced vascular damage and tumour necrosis, a hallmark of VDA activity. Paclitaxel counteracting activity was reduced by distancing drug administrations, and ZD6126 given 72 h after PTX potentiated the VDA's antitumour activity. Schedules with ZD6126 given before PTX improved therapeutic activity, which was paralleled by a VDA-induced increase in cell proliferation in the viable tumour tissue. Paclitaxel given 72 h after ZD6126 yielded the best response (50% tumours regressing). A single treatment with ZD6126 followed by weekly administration of PTX was sufficient to achieve a similar response (57% remissions). These findings show that schedule, sequence and timing are crucial in determining the antitumour efficacy of PTX in combination with ZD6126. Induction of tumour necrosis and increased proliferation in the remaining viable tumour tissue could be exploited as readouts to optimise schedules and maximise therapeutic efficacy.
Collapse
|