Eicosanoid-mediated contractility of hepatic stellate cells

To approach experimentally the problem of contractility, stellate cells from rats were isolated and grown on a flexible silicone rubber substrate. Increases or decreases in the number of wrinkles of the silicone membrane beneath the cells that were easily observable by microscopy was employed as semi-quantitative measure of stellate cell motility. Contraction of stellate cells accompanied by diminution of cell body size was induced by U46619 (a thromboxane A2 analogue) and prostaglandin (PG) F2 alpha. Wrinkle formation became detectable 1.5 min after addition of 2 microM-U46619 and reached its maximum 10-15 min later. The effect of PGF2 alpha was not so striking, but lasted for a longer period of time. On the other hand, dibutyryl cyclic AMP, Iloprost (a PGI2 analogue) and PGE2 led to the disappearance or decrease in the number of wrinkles, indicating relaxation of contracted stellate cells. For instance, after addition of 2 microM-Iloprost, 47, 75 and 82% of contracted stellate cells had relaxed within 5, 10 and 20 min respectively. Moreover, dibutyryl cyclic AMP induced disappearance of alpha-smooth muscle actin stress fibres. This response became recognizable 10 min after addition of dibutyryl cyclic AMP; 40 min later, 97% of stellate cells were devoid of stress fibres. Thus stellate cells are able to undergo reversible contraction in primary culture, and the contraction of these cells may be mediated by eicosanoids that can be produced within the liver.

Rat tumor necrosis factor-alpha. Transcription in rat Kupffer cells and in vitro posttranslational processing based on a PCR-derived cDNA

A DNA fragment with a reading frame of 708 basepairs coding for TNF-alpha from rat liver was cloned by the polymerase chain reaction. Using this species-specific cDNA a biotin-labelled antisense (-)RNA was transcribed. This probe was used for Northern blot analysis of TNF-alpha gene activation. Exposure of rat Kupffer cells to LPS led to a time-dependent change of TNF-alpha-mRNA expression with a maximum between one and two hours after stimulation. In vitro translation was carried out with sense (+)RNA in the presence of microsomes. SDS gel electrophoresis of the immunoprecipitated proteins revealed the formation of polypeptides with estimated molar masses of 26 and 17 kDa. They correspond to the estimated molar masses of a precursor of TNF-alpha encoded by the entire reading frame and of the mature form of TNF-alpha, respectively. A sequence of the cDNA assumed to code for the leader peptide was deleted and the remainder used for the construction of an expression plasmid. Using this construct, biologically active mature TNF-alpha was expressed in E. coli (10(6) units TNF-alpha per liter of culture medium). The propeptide as well as the biologically active TNF-alpha possess a homology of 92 and 76% to mouse and human TNF-alpha, respectively.

Proteinkinase C beta-isoform triggers the formation of prostanoids and superoxide in liver macrophages

The zymosan- and phorbolester-induced formation of prostanoids in cultured rat liver macrophages has been shown recently to be controlled by proteinkinase C (1). Using specific antibodies raised against the alpha-, beta-, gamma- and epsilon-isoforms of proteinkinase C, we show that proteinkinase-beta is the predominant isoform in rat liver macrophages. Northern blot analysis with a beta-isoform-specific c-DNA probe revealed the expression of m-RNA for proteinkinase-beta. In resting cells the beta-isoform of proteinkinase C is nearly equally distributed between the cytosolic and membrane fractions. Zymosan and phorbolester led to a translocation of proteinkinase-beta from the cytosol to the membranes, whereas exogenously added arachidonic acid and the calcium ionophore A23187 had no effect. These data indicate that the beta-isoform of proteinkinase C takes part in the prostaglandin and superoxide formation following PMA and zymosan treatment of rat liver macrophages.

How and why are some riboflavin coenzymes covalently attached to proteins?

Covalent flavinylation as elucidated by the formation of the histidyl(N3)-8 alpha-flavin bond in 6-hydroxy-D-nicotine oxidase of A. oxidans proceeds by an non-enzymatic mechanism. Incubation of the apoenzyme, FAD and a three-carbon phosphate ester at neutral pH leads to the formation of an enzymatically fully active holoenzyme. The role of His71 in this process was illustrated by site-directed mutagenesis. Nevertheless, the question whether covalent attachment of the cofactor in a holoenzyme has prevailed throughout the evolutionary screening process because of biological significance or whether it is a chance event of neutral selective value is still open.

Signal transduction in endotoxin-stimulated synthesis of TNF-alpha and prostaglandin E2 by rat Kupffer cells. Role of extracellular calcium ions and protein kinase C

Endotoxin is a well established elicitor of cytokine production in mononuclear cells. Nevertheless, the path of signal transduction between the crucial contact of the cells with endotoxin (lipopolysaccharide) and the synthesis and release of the mediators is yet poorly understood. In particular, the involvement of Ca2+ and protein kinase C in this process is still a matter of controversy. Here, it will be demonstrated that removal of extracellular Ca2+ by EGTA does not have a significant effect on the endotoxin-stimulated production of tumor necrosis factor-alpha (TNF-alpha) and on total protein synthesis in rat Kupffer cells. However, the release of prostaglandin E2 could not be raised above the basal level under these conditions. Treatment with inhibitors of protein kinase C such as the isoquinoline derivative, H-7, or staurosporin is without influence on TNF-alpha synthesis. The depletion of protein kinase C through preincubation of rat Kupffer cells with phorbol 12-myristate 13-acetate for 24 h was also without effect on TNF-alpha production. The effectiveness of these inhibitors under the conditions used was ascertained by measurement of the O2- release from the same cell batches. Superoxide production known as protein kinase C-dependent in Kupffer cells (Dieter et al. (1986) Eur. J. Biochem. 86, 451-457) was suppressed in a dose-dependent manner by staurosporin or after prolonged pretreatment with the phorbol ester. H-7 decreased superoxide production only slightly in high doses that severely harm the Kupffer cells. Prostaglandin E2 release, although clearly protein-kinase C-dependent in phagocytosing rat Kupffer cells, is not decreased following exposure to lipopolysaccharide in the presence of protein kinase C inhibitors.

Ca(2+)-induced reversible translocation of phospholipase A2 between the cytosol and the membrane fraction of rat liver macrophages

In cell-free extracts of rat liver macrophages (Kupffer cells) phospholipase A2 was found to be rapidly associated with the particulate fraction in a Ca(2+)-dependent manner at Ca2+ concentrations of 0.1-1.0 microM. This is also the range of the levels of intracellular Ca2+ reported for basal and various stimulated conditions. After translocation, phospholipase A2 could be released from the membranes in the presence of Ca2+ chelators, increasing the specific activity of phospholipase A2 in the supernatant fraction. These findings support the view that translocation is a regulatory mechanism of phospholipase A2 by bringing the enzyme to its substrate. Unlike the situation with protein kinase C, Mg2+ exerted little effect on phospholipase A2 translocation, indicating that this process is regulated in vivo mainly by fluctuations of the intracellular Ca2+ content.

Synergistic effect of magnesium and calcium ions in the activation of phospholipase A2 of liver macrophages

In cell-free extracts of rat liver macrophages (Kupffer cells) phospholipase A2 was found to be strongly activated at free Ca2+ concentrations from 100 nM to 1 microM in the presence of 4 mM free Mg2+. This is within the range of intracellular free Ca2+ reported for basal and various stimulated conditions, respectively. Ca2+ alone increased phospholipase A2 activity at high Ca2+ concentrations (1 mM) whereas Mg2+ alone had only little stimulatory effect. Calmodulin does not seem to participate in the regulation of phospholipase A2 although it relieved the inhibition of phospholipase A2 activity by calmodulin antagonists.

Endotoxin-refractory liver macrophages secrete tumor necrosis factor-alpha upon viral infection

Rat liver macrophages (Kupffer cells) secrete tumor necrosis factor-alpha (cachectin) after exposure to Newcastle disease virus or bacterial endotoxin. Macrophages treated with endotoxin become refractory and fail to release tumor necrosis factor-alpha to a secondary challenge with endotoxin. The acquisition of the refractory state is dose-dependent, requires the continuous presence of endotoxin for a minimum of 8 h, is transient, and reversible. Endotoxin, however, renders Kupffer cells unresponsive only to itself. When endotoxin-refractory macrophages are activated by Newcastle disease virus, they still secrete tumor necrosis factor-alpha in amounts expected with this stimulus. Immunoprecipitation studies show that the precursor of tumor necrosis factor-alpha is found only in lysates of endotoxin-sensitive, but not in refractory macrophages, thus arguing against a post-translational regulatory process. Whereas prostaglandin E2 inhibits the production of tumor necrosis factor-alpha in response to endotoxin and viruses, it does not appear to mediate the refractory state.

Regulation of nitric oxide production by stimulated rat Kupffer cells

Macrophages have been described to release nitric oxide (NO) as a cytotoxic radical. This highly unstable substance is as well known as endothelium-derived relaxing factor produced by vascular endothelial cells. Because of its cytotoxic activity the synthesis of NO by rat Kupffer cells, the liver macrophages, upon stimulation with endotoxin (lipopolysaccharide; LPS) and tumor necrosis factor-alpha (TNF-alpha) in combination with prostaglandin E2 (PGE2) and dibutyryl cAMP (dBcAMP) was studied. Kupffer cells were stimulated after 48 h of primary culture. NO was quantified as NO2- in the cell medium 24 h after stimulation. LPS stimulated NO generation 5- to 10-fold over the basal level. This increase could be further enhanced by PGE2 and dBcAMP, especially when added 1 h after LPS. NO generation after stimulation with LPS or LPS + PGE2 depended on the simultaneous production of PGE2 by the stimulated Kupffer cells. It could be partly inhibited by anti-PGE2 antibody or acetylsalicylic acid. While murine TNF-alpha did not stimulate NO synthesis significantly, added PGE2 raised NO synthesis about 6-fold. The addition of dBcAMP to TNF-alpha in the same concentration as with LPS, however, had no effect. Thus, stimulation by LPS + PGE2 equals that of LPS + dBcAMP whereas TNF-alpha + PGE2 does not equal TNF-alpha + dBcAMP, indicating differences in the mode of action of PGE2 on LPS- or TNF-alpha-treated Kupffer cells.

Interleukin-6 release by rat liver macrophages

Tissue macrophages of the liver (Kupffer cells) release interleukin-6 (IL-6) in vitro. Since Kupffer cells reside in close proximity to hepatocytes, which are major target cells of IL-6, the regulation of IL-6 release by hepatic macrophages has been investigated in this study. Using the hybridoma growth test to detect IL-6, we found that Kupffer cells already maximally release IL-6 at endotoxin concentrations as low as 1.0 ng/ml. The stimulated secretion of IL-6 was increased 4-8-fold by endotoxin when compared to the control macrophages incubated in serum-containing medium alone. The preincubation of macrophages with interferon-gamma enhanced the capacity of Kupffer cells to respond to endotoxin. The secretion of IL-6 could also be induced by interleukin (IL)-1 beta and tumor necrosis factor (TNF-alpha). The most potent inducers, however, were the paramyxoviruses Newcastle Disease Virus and Sendai Virus. The release of IL-6 by macrophages upon stimulation with endotoxin was almost completely inhibited by 1 microM dexamethasone. Whereas 100 nM of prostaglandin E2 (PGE2) inhibited the release of TNF-alpha in rat Kupffer cells, it did not affect the secretion of IL-6.

Labeling of precursor pools for glycosphingolipid biosynthesis. Incorporation of [3H]galactose by rat hepatocytes in primary culture

UDP-galactose and UDP-glucose are the immediate sources of monosaccharide residues in glycosphingolipid biosynthesis. The incorporation of [6-3H]D-galactose into these compounds was measured in primary cultures of rat hepatocytes, which take up and metabolize galactose rapidly. The UDP-glucose and UDP-galactose content of hepatocytes, determined enzymatically and by the HPLC-analysis of UDP-sugars, was 1.87 +/- 0.22 and 0.51 +/- 0.06 nmol/mg protein, respectively. Galactose concentrations in the medium of up to 7.5 microM did not influence the intracellular levels of UDP-glucose and UDP-galactose. Although the specific radioactivity of these precursor pools did not reach a constant plateau, conditions were defined that allow the calculation of rates of glycolipid synthesis from added labeled galactose. They include the replacement of glucose in the culture medium by sodium pyruvate and D-galactose.

Activation of GD3 synthase by sex steroid hormones in cultured rat hepatocytes

The influence of sex steroid hormones on the activities of GM3 and GD3 synthases in isolated hepatocytes was studied. Progesterone (0.1 - 2.0 microM), beta-estradiol (0.1 - 1 microM), and testosterone (0.1 - 1 microM) activate GD3 but not GM3 synthase when added directly to hepatocytes cultured in modified William's E medium.

Sialyltransferase activities in cultured rat hepatocytes

Previous studies on the age and sex dependency of the ganglioside patterns in rat liver in vivo and the concomitant determination of the activities of some enzymes involved in these pathways revealed the prominent role of the sialylation of GM3 to GD3 in determining the flow to the mono (a)- and polysialo (b)-series, respectively. Here, the influence of hormones on the activities of GM3 and GD3 synthases in isolated hepatocytes was studied. The combination of several factors (insulin, glucagon, epidermal growth factor, glucocorticoids) was found to be necessary for maintaining in vivo activity levels of GD3- but not of GM3-synthase.

Virus-vs endotoxin-induced activation of liver macrophages

The response of liver macrophages (Kupffer cells) to distinct pathogenic material was investigated by comparing virus- and endotoxin-induced macrophage activation. Endotoxin-induced stimulation and induction with Newcastle disease virus (NDV) or Sendai virus led to the release of the same pattern of prostanoids characterized by a predominant production of prostaglandin E2 (PGE2). With respect to peptide mediators, hepatic macrophages secreted tumor necrosis factor-alpha (TNF-alpha) and interleukin-6 after viral induction and endotoxin treatment, respectively. In response to viruses, however, much more interleukin-6 and TNF-alpha was detected than after endotoxin stimulation. Interferon type I (interferon-alpha/beta), on the other hand, was only detected in the supernatants of macrophages infected with viruses, but not of those exposed to endotoxin. This study also revealed that rat TNF-alpha exists in several soluble species, some of which are glycosylated.

Interdependence of tumor necrosis factor, prostaglandin E2, and protein synthesis in lipopolysaccharide-exposed rat Kupffer cells

Kupffer cells are the main producers of tumor necrosis factor-alpha (TNF; cachectin) and eicosanoids in the liver exposed to lipopolysaccharide (endotoxin; LPS). A very rapid but transient release of TNF is followed by a slow, steady synthesis of prostaglandin E2 (PGE2). TNF itself is able to provoke eicosanoid synthesis in Kupffer cells; the rate and pattern of prostaglandin production are similar to those observed after treatment with LPS. Anti-TNF antibodies completely neutralize TNF action on Kupffer cells, thus ruling out any participation of contaminating LPS. LPS stimulation of PGE2 production in Kupffer cells is reduced by the antiserum to 50%, indicating an involvement of TNF in the stimulatory action of LPS. On the other hand, PGE2, a potent inhibitor of LPS-elicited TNF release, is able to suppress LPS- but not TNF-stimulated eicosanoid synthesis in rat Kupffer cells. In addition to this autocrine circuit, extrahepatic factors participate in the regulation of Kupffer cell activation: glucocorticoids not only inhibit TNF or prostaglandin production, they also reverse the LPS-specific changes in the prostaglandin pattern of Kupffer cells. LPS, TNF or cycloheximide when given alone in the concentration range applied in this study do not affect the viability of rat Kupffer cells. However, the combinations of cycloheximide and either LPS or TNF cause rapid death of the cultured cells. The cytolytic potential of either combination cannot be alleviated by treatment with glucocorticoids.

Ganglioside biosynthesis in rat liver: different distribution of ganglioside synthases in hepatocytes, Kupffer cells, and sinusoidal endothelial cells

The activities of five glycolipid-glycosyltransferases, GL2, GM3, GM2, GM1, and GD1a synthase, were determined in a cell-free system with homogenate protein of total rat liver, isolated hepatocytes, Kupffer cells, and sinusoidal endothelial cells. In rat liver parenchymal and nonparenchymal cells ganglioside synthases were distributed differently. Compared to hepatocytes, Kupffer cells expressed a nearly sevenfold greater activity of GM3 synthase, but only 14% of GM2, 19% of GM1, and 67% of GD1a synthase activity. Sinusoidal endothelial cells expressed a pattern of enzyme activities quite similar to that of Kupffer cells with the exception of higher GM2 synthase activity. Activity of GL2 synthase was distributed unifromly in parenchymal and nonparenchymal cells of rat liver, but differed by sex. It was 1 to 2 orders of magnitude below that of all the other ganglioside synthases investigated. The results indicate GL2 synthase regulates the total hepatic ganglioside content, and hepatocytes but not nonparenchymal liver cells have high enzymatic capacities to form a-series gangliosides more complex than GM3.

[Microbiology studies of intra- and postoperative autotransfusion in orthopedics]

In order to determine the risk of bacterial contamination of blood during autotransfusion, blood samples were taken from the autotransfusion system of 25 consecutive total hip replacements at various stages and at different times (9 samples per patient). According to the same principle, samples were taken from the identical system after processing the postoperative drainage blood. Since the danger of contamination depends on the quality of the air which is sucked into the autotransfusion system along with the blood, we also measured the amount of bacteria in the air in two different operating rooms: Horizontal laminar air flow was provided for 20, conventional ventilation for a further 5 operations. Evaluation of airborne contamination in the operating rooms showed at most 656 cfu/m3 in the conventionally ventilated room and at most 344 cfu/m3 in the room with laminar air flow. Micrococci and peptococci were cultivated from 2 samples out of 225. The isolates were derived from 2 different patients (1 in the LAF-OR, 1 in the conventionally ventilated OR); both samples were taken from the retransfusion bag towards the completion of surgery. From these results we conclude that even in a conventionally ventilated operating room during primarily aseptic surgery intraoperative autotransfusion does not involve an increased risk of infection. This also applies to the retransfusion of processed blood from Redon drainages using the identical autotransfusion set.

Mikrobiologische Untersuchungen bei intra- und postoperativer Autotransfusion in der Orthopädie

Um die Gefahr der bakteriellen Kontamination des Blutes während der Autotransfusion zu untersuchen, wurden bei 25 konsekutiven Hüftprothesenimplantationen zu verschiedenen Zeitpunkten und von unterschiedlichen Stellen Proben aus dem Autotransfusions-system entnommen (9 Proben pro Patient). Nach dem gleichen Prinzip erfolgte die Probenentnahme nach Aufbereitung des postoperativen Drainageblutes aus demselben System. Da die Kontaminationsgefahr von der Qualität der Luft abhängt, die zusammen mit dem Blut angesaugt wird, bestimmten wir auch den Keimgehalt der Luft in zwei unterschiedlichen Operationssälen: 20 Operationen fanden in einem Raum mit Laminar Flow, 5 in einem mit konventioneller Belüftung statt. Bei den Raumluftmessungen lagen die Werte im konventionell belüfteten OP maximal bei 656, im Raum mit Laminar Flow bei 344 KBE/m3. Von insgesamt 225 Proben wurden in 2 Proben von verschiedenen Patienten (einmal aus dem LAF-OP, einmal aus dem konventionell belüfteten OP) in der Anreicherungskultur aus dem Retransfusions-beutel bei Operationsende Mikrokokken bzw. Peptokokken isoliert. Wir schlieβen aus den Ergebnissen, daβ bei der Anwendung der intraoperativen Autotransfusion auch unter den Bedingungen eines konventionell belüfteten OP bei primär aseptischen Eingriffen kein erhöhtes Infektionsrisiko besteht. Dies gilt auch für die Retransfusion von postoperativ aufbereitetem Blut aus Redon-Drainagen mit dem identischen Autotransfusions-Set.

The activity of GD3 synthase modulates the ganglioside pattern in rat liver

Variations of the ganglioside composition in the livers of Wistar rats correlated with the activity of GD3 synthase in the corresponding liver homogenates. With increasing enzyme activity, higher proportions of b-series gangliosides (GD3, GD1b, GT1b) were detected. No significant changes in the activity of GM2 synthase or GM1 synthase were observed, indicating a regulatory function for GD3 synthase in this tissue. Young animals showed an average GD3 synthase activity of 0.5-0.6 nmol.h-1.mg protein-1 without sex-dependent variations. Among the older animals, however, males expressed an activity five-fold higher than females, suggesting that this enzyme might be affected by hormones.

Theory in action. The geriatric assessment team

The scientific principles of homeodynamics explain the older person in terms of unique wholeness; continuous interaction, and growth. Assessing the functional status of the older adult requires evaluation of both the person and the environment. Comparing the older adult to himself is often more accurate than comparing findings to so-called norms. The role of the clinical nurse specialist as a member of the geriatric assessment team is clarified when nursing actions are theory-based.

Fc receptors mediate prostaglandin and superoxide synthesis in cultured rat Kupffer cells

Latex beads with covalently bound bovine serum albumin were prepared and coated with anti-BSA immunoglobulin G. These particles were shown to possess on their surfaces a defined quantity of the antibody with the Fc portions exposed to the medium. One homologous and two heterologous antibodies of the G class were used and compared in terms of their binding to the rat Kupffer cells and their ability to elicit the typical phagocytotic responses. These particles were phagocytosed by rat Kupffer cells and elicited synthesis of prostaglandins and superoxide anion radicals. A significant release of superoxide into the medium was observed in the presence of cytochalasin B only. The data presented here suggest that a) Fc-carrying particles can be bound to Kupffer cells and elicit responses via specific receptors; b) coating with the homologous antibody yields the most effective particles; c) superoxide release into the surrounding medium is most abundant when the particle-binding membrane areas are prevented from forming phagocytotic vesicles.