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Abou Taka M, Dugbartey GJ, Richard-Mohamed M, McLeod P, Jiang J, Major S, Arp J, O’Neil C, Liu W, Gabril M, Moussa M, Luke P, Sener A. Evaluating the Effects of Kidney Preservation at 10 °C with Hemopure and Sodium Thiosulfate in a Rat Model of Syngeneic Orthotopic Kidney Transplantation. Int J Mol Sci 2024; 25:2210. [PMID: 38396887 PMCID: PMC10889495 DOI: 10.3390/ijms25042210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Revised: 01/29/2024] [Accepted: 02/02/2024] [Indexed: 02/25/2024] Open
Abstract
Kidney transplantation is preferred for end-stage renal disease. The current gold standard for kidney preservation is static cold storage (SCS) at 4 °C. However, SCS contributes to renal graft damage through ischemia-reperfusion injury (IRI). We previously reported renal graft protection after SCS with a hydrogen sulfide donor, sodium thiosulfate (STS), at 4 °C. Therefore, this study aims to investigate whether SCS at 10 °C with STS and Hemopure (blood substitute), will provide similar protection. Using in vitro model of IRI, we subjected rat renal proximal tubular epithelial cells to hypoxia-reoxygenation for 24 h at 10 °C with or without STS and measured cell viability. In vivo, we preserved 36 donor kidneys of Lewis rats for 24 h in a preservation solution at 10 °C supplemented with STS, Hemopure, or both followed by transplantation. Tissue damage and recipient graft function parameters, including serum creatinine, blood urea nitrogen, urine osmolality, and glomerular filtration rate (GFR), were evaluated. STS-treated proximal tubular epithelial cells exhibited enhanced viability at 10 °C compared with untreated control cells (p < 0.05). Also, STS and Hemopure improved renal graft function compared with control grafts (p < 0.05) in the early time period after the transplant, but long-term function did not reach significance. Overall, renal graft preservation at 10 °C with STS and Hemopure supplementation has the potential to enhance graft function and reduce kidney damage, suggesting a novel approach to reducing IRI and post-transplant complications.
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Affiliation(s)
- Maria Abou Taka
- Department of Microbiology and Immunology, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada;
- Matthew Mailing Centre for Translational Transplant Studies, London Health Sciences Centre, London, ON N6A 5A5, Canada; (G.J.D.); (M.R.-M.); (P.L.)
| | - George J. Dugbartey
- Matthew Mailing Centre for Translational Transplant Studies, London Health Sciences Centre, London, ON N6A 5A5, Canada; (G.J.D.); (M.R.-M.); (P.L.)
- Multi-Organ Transplant Program, London Health Sciences Centre, London, ON N6A 5A5, Canada
- Department of Pharmacology and Toxicology, School of Pharmacy, College of Health Sciences, University of Ghana, Legon, Accra P.O. Box LG 1181, Ghana
- London Health Sciences Centre, Department of Surgery, Division of Urology, London, ON N6A 5A5, Canada
| | - Mahms Richard-Mohamed
- Matthew Mailing Centre for Translational Transplant Studies, London Health Sciences Centre, London, ON N6A 5A5, Canada; (G.J.D.); (M.R.-M.); (P.L.)
- Multi-Organ Transplant Program, London Health Sciences Centre, London, ON N6A 5A5, Canada
| | - Patrick McLeod
- Matthew Mailing Centre for Translational Transplant Studies, London Health Sciences Centre, London, ON N6A 5A5, Canada; (G.J.D.); (M.R.-M.); (P.L.)
| | - Jifu Jiang
- Matthew Mailing Centre for Translational Transplant Studies, London Health Sciences Centre, London, ON N6A 5A5, Canada; (G.J.D.); (M.R.-M.); (P.L.)
| | - Sally Major
- Matthew Mailing Centre for Translational Transplant Studies, London Health Sciences Centre, London, ON N6A 5A5, Canada; (G.J.D.); (M.R.-M.); (P.L.)
| | - Jacqueline Arp
- Matthew Mailing Centre for Translational Transplant Studies, London Health Sciences Centre, London, ON N6A 5A5, Canada; (G.J.D.); (M.R.-M.); (P.L.)
| | - Caroline O’Neil
- The Molecular Pathology Core, Robarts Research Institute, London, ON N6A 5A5, Canada
| | - Winnie Liu
- London Health Sciences Centre, Department of Pathology and Laboratory Medicine, London, ON N6A 5A5, Canada (M.G.); (M.M.)
| | - Manal Gabril
- London Health Sciences Centre, Department of Pathology and Laboratory Medicine, London, ON N6A 5A5, Canada (M.G.); (M.M.)
| | - Madeleine Moussa
- London Health Sciences Centre, Department of Pathology and Laboratory Medicine, London, ON N6A 5A5, Canada (M.G.); (M.M.)
| | - Patrick Luke
- Matthew Mailing Centre for Translational Transplant Studies, London Health Sciences Centre, London, ON N6A 5A5, Canada; (G.J.D.); (M.R.-M.); (P.L.)
- Multi-Organ Transplant Program, London Health Sciences Centre, London, ON N6A 5A5, Canada
- London Health Sciences Centre, Department of Surgery, Division of Urology, London, ON N6A 5A5, Canada
- London Health Sciences Centre, Department of Pathology and Laboratory Medicine, London, ON N6A 5A5, Canada (M.G.); (M.M.)
| | - Alp Sener
- Department of Microbiology and Immunology, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada;
- Matthew Mailing Centre for Translational Transplant Studies, London Health Sciences Centre, London, ON N6A 5A5, Canada; (G.J.D.); (M.R.-M.); (P.L.)
- Multi-Organ Transplant Program, London Health Sciences Centre, London, ON N6A 5A5, Canada
- London Health Sciences Centre, Department of Surgery, Division of Urology, London, ON N6A 5A5, Canada
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Wang M, Ching-Johnson JA, Yin H, O’Neil C, Li AX, Chu MWA, Bartha R, Pickering JG. Mapping microarchitectural degeneration in the dilated ascending aorta with ex vivo diffusion tensor imaging. Eur Heart J Open 2024; 4:oead128. [PMID: 38162403 PMCID: PMC10755346 DOI: 10.1093/ehjopen/oead128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 10/26/2023] [Accepted: 11/30/2023] [Indexed: 01/03/2024]
Abstract
Aims Thoracic aortic aneurysms (TAAs) carry a risk of catastrophic dissection. Current strategies to evaluate this risk entail measuring aortic diameter but do not image medial degeneration, the cause of TAAs. We sought to determine if the advanced magnetic resonance imaging (MRI) acquisition strategy, diffusion tensor imaging (DTI), could delineate medial degeneration in the ascending thoracic aorta. Methods and results Porcine ascending aortas were subjected to enzyme microinjection, which yielded local aortic medial degeneration. These lesions were detected by DTI, using a 9.4 T MRI scanner, based on tensor disorientation, disrupted diffusion tracts, and altered DTI metrics. High-resolution spatial analysis revealed that fractional anisotropy positively correlated, and mean and radial diffusivity inversely correlated, with smooth muscle cell (SMC) and elastin content (P < 0.001 for all). Ten operatively harvested human ascending aorta samples (mean subject age 61.6 ± 13.3 years, diameter range 29-64 mm) showed medial pathology that was more diffuse and more complex. Nonetheless, DTI metrics within an aorta spatially correlated with SMC, elastin, and, especially, glycosaminoglycan (GAG) content. Moreover, there were inter-individual differences in slice-averaged DTI metrics. Glycosaminoglycan accumulation and elastin degradation were captured by reduced fractional anisotropy (R2 = 0.47, P = 0.043; R2 = 0.76, P = 0.002), with GAG accumulation also captured by increased mean diffusivity (R2 = 0.46, P = 0.045) and increased radial diffusivity (R2 = 0.60, P = 0.015). Conclusion Ex vivo high-field DTI can detect ascending aorta medial degeneration and can differentiate TAAs in accordance with their histopathology, especially elastin and GAG changes. This non-destructive window into aortic medial microstructure raises prospects for probing the risks of TAAs beyond lumen dimensions.
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Affiliation(s)
- Mofei Wang
- Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, 1151 Richmond St. N. London, Canada, N6A 5B7
- Department of Biochemistry, Western University, 1151 Richmond St. N. London, Canada, N6A 3K7
| | - Justin A Ching-Johnson
- Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, 1151 Richmond St. N. London, Canada, N6A 5B7
- Department of Medical Biophysics, Western University, 1151 Richmond St. N. London, Canada, N6A 3K7
| | - Hao Yin
- Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, 1151 Richmond St. N. London, Canada, N6A 5B7
| | - Caroline O’Neil
- Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, 1151 Richmond St. N. London, Canada, N6A 5B7
| | - Alex X Li
- Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, 1151 Richmond St. N. London, Canada, N6A 5B7
| | - Michael W A Chu
- Department of Surgery, Western University, 1151 Richmond St. N. London, Canada, N6A 3K7
- London Health Sciences Centre, 339 Windermere Rd, London, Ontario, Canada, N6A 5A5
| | - Robert Bartha
- Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, 1151 Richmond St. N. London, Canada, N6A 5B7
- Department of Medical Biophysics, Western University, 1151 Richmond St. N. London, Canada, N6A 3K7
| | - J Geoffrey Pickering
- Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, 1151 Richmond St. N. London, Canada, N6A 5B7
- Department of Biochemistry, Western University, 1151 Richmond St. N. London, Canada, N6A 3K7
- Department of Medical Biophysics, Western University, 1151 Richmond St. N. London, Canada, N6A 3K7
- London Health Sciences Centre, 339 Windermere Rd, London, Ontario, Canada, N6A 5A5
- Department of Medicine, Western University, 1151 Richmond St. N. London, Canada N6A 3K7
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Mortuza R, Ching-Johnson JA, Yin H, O’Neil C, Cronin AE, Randhawa VK, Nong Z, Hashi AA, Li AX, Bartha R, Chu MW, Pickering JG. Imaging of Glycosaminoglycans in Ascending Aortic Aneurysms With Chemical Exchange Saturation Transfer MRI. JACC Cardiovasc Imaging 2022; 15:1670-1672. [DOI: 10.1016/j.jcmg.2022.04.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 01/31/2022] [Accepted: 04/07/2022] [Indexed: 10/18/2022]
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Sung A, Bailey A, Wallace M, Stewart HB, McDonald D, Miller CR, Reske K, O’Neil C, Fraser VJ, Fraser VJ, Diamond MS, Burnham CA, Burnham CA, Babcock H, Babcock H, Kwon JH. 354. SARS-CoV-2 Viral Viability Culture and Sequencing from Immunocompromised Patients with Persistently Positive SARS-CoV-2 PCR Results. Open Forum Infect Dis 2021. [PMCID: PMC8643965 DOI: 10.1093/ofid/ofab466.555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Immunocompromised (IC) patients (pts) can have prolonged SARS-CoV-2 PCR positivity, even after resolution of COVID-19 symptoms. This study aimed to determine if viable virus could be detected in samples collected > 21 days after an initial positive (pos) SARS-CoV-2 PCR in IC pts.
Methods
We obtained 20 remnant SARS-CoV-2 PCR pos nasopharyngeal swabs from IC pts (bone marrow or solid organ transplant, high dose steroids, immunosuppressive medications) with a pos repeat PCR within the previous 30 days. The repeat specimens were cultured on Vero-hACE2-TMPRSS2 cells and incubated for 96 hours to assess viral viability. Viable RNA and infectious virus in the cultured cells were measured by qPCR and infectious plaque assays. RNA sequencing was performed on a HiSeq platform (Illumina). Samples also underwent SARS-CoV-2 antigen (Ag) testing (BD Veritor). Clinical data were extracted from the electronic health record by chart review.
Results
Pt characteristics are in Table 1. Viral cultures from the repeat specimen were negative (neg) for 18 pts and pos for 2 (Table 2). Pt 1 is a 60M treated with obinatuzumab 19 days prior to his first pos PCR test, with repeat specimen collected 21 days later (cycle threshold (Ct) not available). Pt 1 had a low viral titer (27 PFU/mL) & a D614G mutation on sequencing. Pt 2 is a 75M treated with rituximab 10 days prior to his first pos PCR test, with repeat specimen collected 23 days later (Ct 27.56/27.74). Pt 2 had a high viral titer (2e6 PFU/mL) and D614G, S98F, and S813I mutations.
Demographics of Study Population (N=20)
Characteristics of patients with a positive SARS-CoV-2 viral culture
Conclusion
90% of specimens collected > 21 days after an initial pos SARS-CoV-2 PCR did not have viable virus detected on their repeat specimen. The 2 pts with pos viral cultures had active hematologic malignancies treated with an anti-CD20 mAb at the time of COVID-19 diagnosis. One pt had a high concentration of active, viable virus. No known variants of concern were noted in this cohort, collected in Q2 2020, though prolonged replication is a risk for variant development. Further data are needed about risk factors for persistent viable viral shedding & methods to prevent transmission of viable virus from IC hosts.
Disclosures
Victoria J. Fraser, MD, CDC Epicenters (Grant/Research Support)Cigna/Express Scripts (Other Financial or Material Support, Spouse is Chief Clinical Officer)Doris Duke Fund to Retain Clinical Scientists (Grant/Research Support, Research Grant or Support)Foundation for Barnes-Jewish Hospital (Grant/Research Support, Research Grant or Support)NIH (Grant/Research Support, Research Grant or Support) Victoria J. Fraser, MD, Centers for Disease Control and Prevention (Individual(s) Involved: Self): Grant/Research Support, Research Grant or Support; Cigna/Express Scripts (Individual(s) Involved: Spouse/Partner): Employee; Doris Duke Charitable Foundation (Individual(s) Involved: Self): Grant/Research Support, Research Grant or Support; National Institutes of Health (Individual(s) Involved: Self): Grant/Research Support, Research Grant or Support; The Foundation for Barnes-Jewish Hospital (Individual(s) Involved: Self): Grant/Research Support, Research Grant or Support Michael S. Diamond, MD, PhD, Carnival Corporation (Consultant)Emergent BioSolutions (Grant/Research Support)Fortress Biotech (Consultant)Immunome (Advisor or Review Panel member)Inbios (Consultant)Moderna (Grant/Research Support, Advisor or Review Panel member)Vir Biotechnology (Consultant, Grant/Research Support) Carey-Ann Burnham, PhD, BioFire (Grant/Research Support, Other Financial or Material Support)bioMerieux (Grant/Research Support)Cepheid (Consultant, Grant/Research Support)Luminex (Grant/Research Support)Roche (Other Financial or Material Support) Carey-Ann Burnham, PhD, BioFire (Individual(s) Involved: Self): Grant/Research Support; bioMerieux (Individual(s) Involved: Self): Grant/Research Support, Scientific Research Study Investigator, Speakers’ bureau; Cepheid (Individual(s) Involved: Self): Consultant, Grant/Research Support, Scientific Research Study Investigator; Luminex (Individual(s) Involved: Self): Scientific Research Study Investigator Hilary Babcock, MD, MPH, FIDSA, FSHEA, Nothing to disclose
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Affiliation(s)
- Abby Sung
- Washington University School of Medicine in St. Louis, Saint Louis, Missouri
| | | | | | - Henry B Stewart
- Washington University School of Medicine in St. Louis, Saint Louis, Missouri
| | | | | | | | | | | | | | | | | | | | | | | | - Jennie H Kwon
- Washington University School of Medicine, St. Louis, MO
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Arpino JM, Yin H, Prescott EK, Staples SCR, Nong Z, Li F, Chevalier J, Balint B, O’Neil C, Mortuza R, Milkovich S, Lee JJ, Lorusso D, Sandig M, Hamilton DW, Holdsworth DW, Poepping TL, Ellis CG, Pickering JG. Low-flow intussusception and metastable VEGFR2 signaling launch angiogenesis in ischemic muscle. Sci Adv 2021; 7:eabg9509. [PMID: 34826235 PMCID: PMC8626079 DOI: 10.1126/sciadv.abg9509] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
Efforts to promote sprouting angiogenesis in skeletal muscles of individuals with peripheral artery disease have not been clinically successful. We discovered that, contrary to the prevailing view, angiogenesis following ischemic muscle injury in mice was not driven by endothelial sprouting. Instead, real-time imaging revealed the emergence of wide-caliber, primordial conduits with ultralow flow that rapidly transformed into a hierarchical neocirculation by transluminal bridging and intussusception. This process was accelerated by inhibiting vascular endothelial growth factor receptor-2 (VEGFR2). We probed this response by developing the first live-cell model of transluminal endothelial bridging using microfluidics. Endothelial cells subjected to ultralow shear stress could reposition inside the flowing lumen as pillars. Moreover, the low-flow lumen proved to be a privileged location for endothelial cells with reduced VEGFR2 signaling capacity, as VEGFR2 mechanosignals were boosted. These findings redefine regenerative angiogenesis in muscle as an intussusceptive process and uncover a basis for its launch.
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Affiliation(s)
- John-Michael Arpino
- Robarts Research Institute, Western University, London, Canada
- Department of Medical Biophysics, Western University, London, Canada
| | - Hao Yin
- Robarts Research Institute, Western University, London, Canada
| | - Emma K. Prescott
- Robarts Research Institute, Western University, London, Canada
- Department of Medical Biophysics, Western University, London, Canada
| | - Sabrina C. R. Staples
- Robarts Research Institute, Western University, London, Canada
- Department of Medical Biophysics, Western University, London, Canada
| | - Zengxuan Nong
- Robarts Research Institute, Western University, London, Canada
| | - Fuyan Li
- Robarts Research Institute, Western University, London, Canada
| | - Jacqueline Chevalier
- Robarts Research Institute, Western University, London, Canada
- Department of Medical Biophysics, Western University, London, Canada
| | - Brittany Balint
- Robarts Research Institute, Western University, London, Canada
- Department of Medical Biophysics, Western University, London, Canada
| | - Caroline O’Neil
- Robarts Research Institute, Western University, London, Canada
| | | | - Stephanie Milkovich
- Robarts Research Institute, Western University, London, Canada
- Department of Medical Biophysics, Western University, London, Canada
| | - Jason J. Lee
- Robarts Research Institute, Western University, London, Canada
- Department of Medical Biophysics, Western University, London, Canada
- Department of Medicine, Western University, London, Canada
| | - Daniel Lorusso
- Robarts Research Institute, Western University, London, Canada
| | - Martin Sandig
- Department of Anatomy and Cell Biology, Western University, London, Canada
| | | | - David W. Holdsworth
- Robarts Research Institute, Western University, London, Canada
- Department of Medical Biophysics, Western University, London, Canada
| | - Tamie L. Poepping
- Department of Physics and Astronomy, Western University, London, Canada
| | - Christopher G. Ellis
- Robarts Research Institute, Western University, London, Canada
- Department of Medical Biophysics, Western University, London, Canada
- Department of Medicine, Western University, London, Canada
| | - J. Geoffrey Pickering
- Robarts Research Institute, Western University, London, Canada
- Department of Medical Biophysics, Western University, London, Canada
- Department of Medicine, Western University, London, Canada
- Department of Biochemistry, Western University, London, Canada
- Corresponding author.
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Butler AM, Newland J, Sahrmann J, O’Neil C, Sayood S, McGrath L. 1383. Characterizing Real-world Patterns of Early Childhood Vaccination. Open Forum Infect Dis 2020. [PMCID: PMC7777071 DOI: 10.1093/ofid/ofaa439.1565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background Vaccine hesitancy is increasingly common, but more information is needed on patterns of childhood vaccination. We characterized patterns of vaccine delay among commercially-insured children in the U.S. Methods Using the IBM MarketScan Commercial Database, we identified infants who received a timely first dose of diphtheria-tetanus-acellular pertussis (DTaP) vaccine from October 2009 to June 2017. We used CPT codes to collect vaccine administration history on antigen, formulation, dose, and date. We ascertained injectable and oral vaccine antigens (DTaP, polio, pneumococcal conjugate, rotavirus, Haemophilus influenza type b (Hib), measles, mumps, rubella, varicella). Timely receipt was defined as concomitant administration of the CDC-recommended number of antigens during the following time windows: 2, 4, 6, and 12-15 months of age (grace period: -7, +21 days). We generated heat maps to illustrate age distributions at receipt of specific antigens and doses. We created Sankey diagrams to illustrate the number of antigens received concomitantly during each time window and depict transitions to different states over time (e.g., no vaccine delay to vaccine delay). For each antigen and dose, we estimated the cumulative incidence of receipt. Results Among 1,066,216 eligible infants, the majority (84%) concomitantly received all 5 CDC-recommended antigens at 2 months of age while others only received 1 (1%), 2 (2%), 3 (4%) or 4 (9%) antigens. Many vaccinations were delayed – 30% and 39% of children did not receive all recommended antigens concomitantly at 4 and 6 months, respectively. The heat map shows wide variation in age at vaccination. For several antigens including Hib, measles, mumps, rotavirus, rubella, and varicella, the cumulative incidence increased steeply at ≥2 time points, suggesting vaccine delay for some infants (e.g., the first dose of Hib was administered to 85% of infants by 2 months of age, with subsequent small but distinct increases at 4, 6, 12, and 15 months of age). Conclusion Using real-world data to study early childhood vaccination patterns, we observed evidence of substantial deviation from the CDC-recommended schedule. These results expand current knowledge on the magnitude and timing of antigen- and dose-specific vaccine delay on a population level. Disclosures Jason Newland, MD, MEd, FPIDS, Merck (Grant/Research Support)Pfizer (Other Financial or Material Support, Industry funded clinical trial) Leah McGrath, PhD, NoviSci, Inc. (Employee)
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Affiliation(s)
- Anne M Butler
- Washington University in St. Louis, St. Louis, Missouri
| | | | | | | | - Sena Sayood
- Washington University School of Medicine, St. Louis, MO
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Watson A, Ghoreishi S, Hawrylyshyn K, Nong Z, Yin H, O’Neil C, Pickering JG. Nicotinamide Riboside Maintains Cell Survival and DNA Integrity During Acute Surges in Oxidative and Hemodynamic Aortic Stress. ATHEROSCLEROSIS SUPP 2018. [DOI: 10.1016/j.atherosclerosissup.2018.04.350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Li J, Leavey A, Wang Y, O’Neil C, Wallace MA, Burnham CAD, Boon ACM, Babcock H, Biswas P. Comparing the performance of 3 bioaerosol samplers for influenza virus. J Aerosol Sci 2018; 115:133-145. [PMID: 32287370 PMCID: PMC7125700 DOI: 10.1016/j.jaerosci.2017.08.007] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Respiratory viral diseases can be spread when a virus-containing particle (droplet) from one individual is aerosolized and subsequently comes into either direct or indirect contact with another individual. Increasing numbers of studies are examining the occupational risk to healthcare workers due to proximity to patients. Selecting the appropriate air sampling method is a critical factor in assuring the analytical performance characteristics of a clinical study. The objective of this study was to compare the physical collection efficiency and virus collection efficiency of a 5 mL compact SKC BioSampler®, a gelatin filter, and a glass fiber filter, in a laboratory setting. The gelatin filter and the glass fiber filter were housed in a home-made filter holder. Submersion (with vortexing and subsequent centrifugation) was used for the gelatin and glass fiber filters. Swabbing method was also tested to retrieve the viruses from the glass fiber filter. Experiments were conducted using the H1N1 influenza A virus A/Puerto Rico/8/1934 (IAV-PR8), and viral recovery was determined using culture and commercial real-time-PCR (BioFire and Xpert). An atomizer was used to aerosolize a solution of influenza virus in PBS for measurement, and two Scanning Mobility Particle Sizers were used to determine particle size distributions. The SKC BioSampler demonstrated a U-shaped physical collection efficiency, lowest for particles around 30-50 nm, and highest at 10 nm and 300-350 nm within the size range examined. The physical collection efficiency of the gelatin filter was strongly influenced by air flow and time: a stable collection across all particle sizes was only observed at 2 L/min for the 9 min sampling time, otherwise, degradation of the filter was observed. The glass fiber filter demonstrated the highest physical collection efficiency (100% for all sizes) of all tested samplers, however, its overall virus recovery efficiency fared the worst (too low to quantify). The highest viral collection efficiencies for the SKC BioSampler and gelatin filter were 5% and 1.5%, respectively. Overall, the SKC BioSampler outperformed the filters. It is important to consider the total concentration of viruses entering the sampler when interpreting the results.
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Affiliation(s)
- Jiayu Li
- Aerosol and Air Quality Research Laboratory, Department of Energy, Environmental, and Chemical Engineering, Washington University School of Engineering and Applied Science, St. Louis, MO, USA
| | - Anna Leavey
- Aerosol and Air Quality Research Laboratory, Department of Energy, Environmental, and Chemical Engineering, Washington University School of Engineering and Applied Science, St. Louis, MO, USA
| | - Yang Wang
- Aerosol and Air Quality Research Laboratory, Department of Energy, Environmental, and Chemical Engineering, Washington University School of Engineering and Applied Science, St. Louis, MO, USA
| | - Caroline O’Neil
- Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA
| | - Meghan A. Wallace
- Department of Pathology & Immunology, Washington University School of Medicine, St. Louis, MO, USA
| | - Carey-Ann D. Burnham
- Department of Pathology & Immunology, Washington University School of Medicine, St. Louis, MO, USA
| | - Adrianus CM Boon
- Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA
| | - Hilary Babcock
- Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA
| | - Pratim Biswas
- Aerosol and Air Quality Research Laboratory, Department of Energy, Environmental, and Chemical Engineering, Washington University School of Engineering and Applied Science, St. Louis, MO, USA
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9
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O’Neil C. Gairdner recipient improved stroke treatment globally. CMAJ 2017; 189:E1403-E1404. [DOI: 10.1503/cmaj.109-5467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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O’Neil C. Gairdner award winner recognized for sharing his techniques. CMAJ 2017; 189:E1402. [DOI: 10.1503/cmaj.109-5518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Li J, Leavey A, Yang W, O’Neil C, Wallace M, Boon A, Biswas P, Burnham CAD, Babcock HM. Defining Aerosol Generating Procedures and Pathogen Transmission Risks in Healthcare Settings. Open Forum Infect Dis 2017. [PMCID: PMC5631702 DOI: 10.1093/ofid/ofx162.085] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Background Questions remain about the degree to which small particle aerosols are generated during patient care activities and whether such aerosols could transmit viable pathogens to healthcare personnel. This project measured aerosol production during common medical procedures and collected samples for pathogen recovery. Methods Six procedures were targeted for aerosol sampling: extubation, bronchoscopy, mechanical ventilation, noninvasive ventilation, suctioning (open or tracheostomy), and nebulized medication administration. Any patient undergoing one of these procedures was eligible for sampling, with a preference for patients with a respiratory viral infection. Baseline samples were collected when possible. Four real-time aerosol characterization instruments were used to detect small particle aerosols generated during procedures. SKC Biosamplers, placed at 3 feet and 6 feet from the patient, were used for pathogen recovery. All samples were subjected to bacterial culture; viral PCR, and viral culture were added depending on the patient’s respiratory disease profile. Results Samples were collected during extubation (n = 1), bronchoscopy (n = 3), mechanical ventilation (n = 13), noninvasive ventilation (n = 6), suctioning (n = 6), and nebulized medication administration (n = 9). Only nebulized medication administration exhibited differences in particle mass concentration between baseline and procedure aerosol measurements. None of the Biosampler samples were PCR positive for a respiratory virus and none had a positive influenza culture. Five samples had positive bacterial cultures, mainly with common environmental or skin contaminants such as Micrococcus luteus, Staphylococcus pasturei, and Bacillus flexus. Conclusion Significant small particle aerosol generation was only seen with nebulized medication administration. No viruses were recovered and minimal viable bacteria were recovered. Additional study is needed to confirm these findings and examine aerosol generation during other procedures commonly considered to be aerosol-generating. Disclosures C. A. D. Burnham, bioMerieux: Grant Investigator, Research grant; ThermoFisher: Consultant, Salary; Cepheid: Grant Investigator, Research grant
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Affiliation(s)
- Jiayu Li
- Engineering, Washington University, Saint Louis, Missouri
| | - Anna Leavey
- Engineering, Washington University, Saint Louis, Missouri
| | - Wang Yang
- Engineering, Washington University, Saint Louis, Missouri
| | | | - Meghan Wallace
- Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri
| | | | - Pratim Biswas
- Engineering, Washington University, Saint Louis, Missouri
| | - Carey-Ann D Burnham
- Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri
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12
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Watson A, Nong Z, Yin H, O’Neil C, Fox S, Balint B, Guo L, Leo O, Chu MW, Gros R, Pickering JG. Nicotinamide Phosphoribosyltransferase in Smooth Muscle Cells Maintains Genome Integrity, Resists Aortic Medial Degeneration, and Is Suppressed in Human Thoracic Aortic Aneurysm Disease. Circ Res 2017; 120:1889-1902. [DOI: 10.1161/circresaha.116.310022] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2016] [Revised: 03/25/2017] [Accepted: 03/29/2017] [Indexed: 12/19/2022]
Abstract
Rationale:
The thoracic aortic wall can degenerate over time with catastrophic consequences. Vascular smooth muscle cells (SMCs) can resist and repair artery damage, but their capacities decline with age and stress. Recently, cellular production of nicotinamide adenine dinucleotide (NAD
+
) via nicotinamide phosphoribosyltransferase (Nampt) has emerged as a mediator of cell vitality. However, a role for Nampt in aortic SMCs in vivo is unknown.
Objectives:
To determine whether a Nampt-NAD
+
control system exists within the aortic media and is required for aortic health.
Methods and Results:
Ascending aortas from patients with dilated aortopathy were immunostained for NAMPT, revealing an inverse relationship between SMC NAMPT content and aortic diameter. To determine whether a Nampt-NAD
+
control system in SMCs impacts aortic integrity, mice with
Nampt
-deficient SMCs were generated. SMC-
Nampt
knockout mice were viable but with mildly dilated aortas that had a 43% reduction in NAD
+
in the media. Infusion of angiotensin II led to aortic medial hemorrhage and dissection. SMCs were not apoptotic but displayed senescence associated-ß-galactosidase activity and upregulated p16, indicating premature senescence. Furthermore, there was evidence for oxidized DNA lesions, double-strand DNA strand breaks, and pronounced susceptibility to single-strand breakage. This was linked to suppressed poly(ADP-ribose) polymerase-1 activity and was reversible on resupplying NAD
+
with nicotinamide riboside. Remarkably, we discovered unrepaired DNA strand breaks in SMCs within the human ascending aorta, which were specifically enriched in SMCs with low NAMPT.
NAMPT
promoter analysis revealed CpG hypermethylation within the dilated human thoracic aorta and in SMCs cultured from these tissues, which inversely correlated with
NAMPT
expression.
Conclusions:
The aortic media depends on an intrinsic NAD
+
fueling system to protect against DNA damage and premature SMC senescence, with relevance to human thoracic aortopathy.
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Affiliation(s)
- Alanna Watson
- From the Robarts Research Institute (A.W., Z.N., H.Y., C.O., R.G., J.G.P.), Division of Cardiology, Department of Medicine (J.G.P.), Department of Biochemistry (A.W., J.G.P.), Department of Medical Biophysics (B.B., J.G.P.), Department of Surgery (S.F., L.G., M.W.A.C.), and Department of Physiology and Pharmacology (R.G.), The University of Western Ontario, London Health Sciences Centre, Canada; and Department of Molecular Biology, Université Libre de Bruxelles, Gosselies, Belgium (O.L.)
| | - Zengxuan Nong
- From the Robarts Research Institute (A.W., Z.N., H.Y., C.O., R.G., J.G.P.), Division of Cardiology, Department of Medicine (J.G.P.), Department of Biochemistry (A.W., J.G.P.), Department of Medical Biophysics (B.B., J.G.P.), Department of Surgery (S.F., L.G., M.W.A.C.), and Department of Physiology and Pharmacology (R.G.), The University of Western Ontario, London Health Sciences Centre, Canada; and Department of Molecular Biology, Université Libre de Bruxelles, Gosselies, Belgium (O.L.)
| | - Hao Yin
- From the Robarts Research Institute (A.W., Z.N., H.Y., C.O., R.G., J.G.P.), Division of Cardiology, Department of Medicine (J.G.P.), Department of Biochemistry (A.W., J.G.P.), Department of Medical Biophysics (B.B., J.G.P.), Department of Surgery (S.F., L.G., M.W.A.C.), and Department of Physiology and Pharmacology (R.G.), The University of Western Ontario, London Health Sciences Centre, Canada; and Department of Molecular Biology, Université Libre de Bruxelles, Gosselies, Belgium (O.L.)
| | - Caroline O’Neil
- From the Robarts Research Institute (A.W., Z.N., H.Y., C.O., R.G., J.G.P.), Division of Cardiology, Department of Medicine (J.G.P.), Department of Biochemistry (A.W., J.G.P.), Department of Medical Biophysics (B.B., J.G.P.), Department of Surgery (S.F., L.G., M.W.A.C.), and Department of Physiology and Pharmacology (R.G.), The University of Western Ontario, London Health Sciences Centre, Canada; and Department of Molecular Biology, Université Libre de Bruxelles, Gosselies, Belgium (O.L.)
| | - Stephanie Fox
- From the Robarts Research Institute (A.W., Z.N., H.Y., C.O., R.G., J.G.P.), Division of Cardiology, Department of Medicine (J.G.P.), Department of Biochemistry (A.W., J.G.P.), Department of Medical Biophysics (B.B., J.G.P.), Department of Surgery (S.F., L.G., M.W.A.C.), and Department of Physiology and Pharmacology (R.G.), The University of Western Ontario, London Health Sciences Centre, Canada; and Department of Molecular Biology, Université Libre de Bruxelles, Gosselies, Belgium (O.L.)
| | - Brittany Balint
- From the Robarts Research Institute (A.W., Z.N., H.Y., C.O., R.G., J.G.P.), Division of Cardiology, Department of Medicine (J.G.P.), Department of Biochemistry (A.W., J.G.P.), Department of Medical Biophysics (B.B., J.G.P.), Department of Surgery (S.F., L.G., M.W.A.C.), and Department of Physiology and Pharmacology (R.G.), The University of Western Ontario, London Health Sciences Centre, Canada; and Department of Molecular Biology, Université Libre de Bruxelles, Gosselies, Belgium (O.L.)
| | - Linrui Guo
- From the Robarts Research Institute (A.W., Z.N., H.Y., C.O., R.G., J.G.P.), Division of Cardiology, Department of Medicine (J.G.P.), Department of Biochemistry (A.W., J.G.P.), Department of Medical Biophysics (B.B., J.G.P.), Department of Surgery (S.F., L.G., M.W.A.C.), and Department of Physiology and Pharmacology (R.G.), The University of Western Ontario, London Health Sciences Centre, Canada; and Department of Molecular Biology, Université Libre de Bruxelles, Gosselies, Belgium (O.L.)
| | - Oberdan Leo
- From the Robarts Research Institute (A.W., Z.N., H.Y., C.O., R.G., J.G.P.), Division of Cardiology, Department of Medicine (J.G.P.), Department of Biochemistry (A.W., J.G.P.), Department of Medical Biophysics (B.B., J.G.P.), Department of Surgery (S.F., L.G., M.W.A.C.), and Department of Physiology and Pharmacology (R.G.), The University of Western Ontario, London Health Sciences Centre, Canada; and Department of Molecular Biology, Université Libre de Bruxelles, Gosselies, Belgium (O.L.)
| | - Michael W.A. Chu
- From the Robarts Research Institute (A.W., Z.N., H.Y., C.O., R.G., J.G.P.), Division of Cardiology, Department of Medicine (J.G.P.), Department of Biochemistry (A.W., J.G.P.), Department of Medical Biophysics (B.B., J.G.P.), Department of Surgery (S.F., L.G., M.W.A.C.), and Department of Physiology and Pharmacology (R.G.), The University of Western Ontario, London Health Sciences Centre, Canada; and Department of Molecular Biology, Université Libre de Bruxelles, Gosselies, Belgium (O.L.)
| | - Robert Gros
- From the Robarts Research Institute (A.W., Z.N., H.Y., C.O., R.G., J.G.P.), Division of Cardiology, Department of Medicine (J.G.P.), Department of Biochemistry (A.W., J.G.P.), Department of Medical Biophysics (B.B., J.G.P.), Department of Surgery (S.F., L.G., M.W.A.C.), and Department of Physiology and Pharmacology (R.G.), The University of Western Ontario, London Health Sciences Centre, Canada; and Department of Molecular Biology, Université Libre de Bruxelles, Gosselies, Belgium (O.L.)
| | - J. Geoffrey Pickering
- From the Robarts Research Institute (A.W., Z.N., H.Y., C.O., R.G., J.G.P.), Division of Cardiology, Department of Medicine (J.G.P.), Department of Biochemistry (A.W., J.G.P.), Department of Medical Biophysics (B.B., J.G.P.), Department of Surgery (S.F., L.G., M.W.A.C.), and Department of Physiology and Pharmacology (R.G.), The University of Western Ontario, London Health Sciences Centre, Canada; and Department of Molecular Biology, Université Libre de Bruxelles, Gosselies, Belgium (O.L.)
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13
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Arpino JM, Nong Z, Li F, Yin H, Ghonaim N, Milkovich S, Balint B, O’Neil C, Fraser GM, Goldman D, Ellis CG, Pickering JG. Four-Dimensional Microvascular Analysis Reveals That Regenerative Angiogenesis in Ischemic Muscle Produces a Flawed Microcirculation. Circ Res 2017; 120:1453-1465. [DOI: 10.1161/circresaha.116.310535] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2016] [Revised: 01/20/2017] [Accepted: 02/07/2017] [Indexed: 12/19/2022]
Abstract
Rationale:
Angiogenesis occurs after ischemic injury to skeletal muscle, and enhancing this response has been a therapeutic goal. However, to appropriately deliver oxygen, a precisely organized and exquisitely responsive microcirculation must form. Whether these network attributes exist in a regenerated microcirculation is unknown, and methodologies for answering this have been lacking.
Objective:
To develop 4-dimensional methodologies for elucidating microarchitecture and function of the reconstructed microcirculation in skeletal muscle.
Methods and Results:
We established a model of complete microcirculatory regeneration after ischemia-induced obliteration in the mouse extensor digitorum longus muscle. Dynamic imaging of red blood cells revealed the regeneration of an extensive network of flowing neo-microvessels, which after 14 days structurally resembled that of uninjured muscle. However, the skeletal muscle remained hypoxic. Red blood cell transit analysis revealed slow and stalled flow in the regenerated capillaries and extensive arteriolar-venular shunting. Furthermore, spatial heterogeneity in capillary red cell transit was highly constrained, and red blood cell oxygen saturation was low and inappropriately variable. These abnormalities persisted to 120 days after injury. To determine whether the regenerated microcirculation could regulate flow, the muscle was subjected to local hypoxia using an oxygen-permeable membrane. Hypoxia promptly increased red cell velocity and flux in control capillaries, but in neocapillaries, the response was blunted. Three-dimensional confocal imaging revealed that neoarterioles were aberrantly covered by smooth muscle cells, with increased interprocess spacing and haphazard actin microfilament bundles.
Conclusions:
Despite robust neovascularization, the microcirculation formed by regenerative angiogenesis in skeletal muscle is profoundly flawed in both structure and function, with no evidence for normalizing over time. This network-level dysfunction must be recognized and overcome to advance regenerative approaches for ischemic disease.
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Affiliation(s)
- John-Michael Arpino
- From the Robarts Research Institute (J.-M.A., Z.N., F.L., H.Y., B.B., C.O., J.G.P.), Departments of Medicine (C.G.E., J.G.P.), Medical Biophysics (J.-M.A., S.M., B.B., G.M.F., D.G., C.G.E., J.G.P.), Biochemistry (J.G.P.), and Biomedical Engineering (N.G., D.G.), Western University, London, Canada; and Division of BioMedical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Canada (G.M.F.)
| | - Zengxuan Nong
- From the Robarts Research Institute (J.-M.A., Z.N., F.L., H.Y., B.B., C.O., J.G.P.), Departments of Medicine (C.G.E., J.G.P.), Medical Biophysics (J.-M.A., S.M., B.B., G.M.F., D.G., C.G.E., J.G.P.), Biochemistry (J.G.P.), and Biomedical Engineering (N.G., D.G.), Western University, London, Canada; and Division of BioMedical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Canada (G.M.F.)
| | - Fuyan Li
- From the Robarts Research Institute (J.-M.A., Z.N., F.L., H.Y., B.B., C.O., J.G.P.), Departments of Medicine (C.G.E., J.G.P.), Medical Biophysics (J.-M.A., S.M., B.B., G.M.F., D.G., C.G.E., J.G.P.), Biochemistry (J.G.P.), and Biomedical Engineering (N.G., D.G.), Western University, London, Canada; and Division of BioMedical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Canada (G.M.F.)
| | - Hao Yin
- From the Robarts Research Institute (J.-M.A., Z.N., F.L., H.Y., B.B., C.O., J.G.P.), Departments of Medicine (C.G.E., J.G.P.), Medical Biophysics (J.-M.A., S.M., B.B., G.M.F., D.G., C.G.E., J.G.P.), Biochemistry (J.G.P.), and Biomedical Engineering (N.G., D.G.), Western University, London, Canada; and Division of BioMedical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Canada (G.M.F.)
| | - Nour Ghonaim
- From the Robarts Research Institute (J.-M.A., Z.N., F.L., H.Y., B.B., C.O., J.G.P.), Departments of Medicine (C.G.E., J.G.P.), Medical Biophysics (J.-M.A., S.M., B.B., G.M.F., D.G., C.G.E., J.G.P.), Biochemistry (J.G.P.), and Biomedical Engineering (N.G., D.G.), Western University, London, Canada; and Division of BioMedical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Canada (G.M.F.)
| | - Stephanie Milkovich
- From the Robarts Research Institute (J.-M.A., Z.N., F.L., H.Y., B.B., C.O., J.G.P.), Departments of Medicine (C.G.E., J.G.P.), Medical Biophysics (J.-M.A., S.M., B.B., G.M.F., D.G., C.G.E., J.G.P.), Biochemistry (J.G.P.), and Biomedical Engineering (N.G., D.G.), Western University, London, Canada; and Division of BioMedical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Canada (G.M.F.)
| | - Brittany Balint
- From the Robarts Research Institute (J.-M.A., Z.N., F.L., H.Y., B.B., C.O., J.G.P.), Departments of Medicine (C.G.E., J.G.P.), Medical Biophysics (J.-M.A., S.M., B.B., G.M.F., D.G., C.G.E., J.G.P.), Biochemistry (J.G.P.), and Biomedical Engineering (N.G., D.G.), Western University, London, Canada; and Division of BioMedical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Canada (G.M.F.)
| | - Caroline O’Neil
- From the Robarts Research Institute (J.-M.A., Z.N., F.L., H.Y., B.B., C.O., J.G.P.), Departments of Medicine (C.G.E., J.G.P.), Medical Biophysics (J.-M.A., S.M., B.B., G.M.F., D.G., C.G.E., J.G.P.), Biochemistry (J.G.P.), and Biomedical Engineering (N.G., D.G.), Western University, London, Canada; and Division of BioMedical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Canada (G.M.F.)
| | - Graham M. Fraser
- From the Robarts Research Institute (J.-M.A., Z.N., F.L., H.Y., B.B., C.O., J.G.P.), Departments of Medicine (C.G.E., J.G.P.), Medical Biophysics (J.-M.A., S.M., B.B., G.M.F., D.G., C.G.E., J.G.P.), Biochemistry (J.G.P.), and Biomedical Engineering (N.G., D.G.), Western University, London, Canada; and Division of BioMedical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Canada (G.M.F.)
| | - Daniel Goldman
- From the Robarts Research Institute (J.-M.A., Z.N., F.L., H.Y., B.B., C.O., J.G.P.), Departments of Medicine (C.G.E., J.G.P.), Medical Biophysics (J.-M.A., S.M., B.B., G.M.F., D.G., C.G.E., J.G.P.), Biochemistry (J.G.P.), and Biomedical Engineering (N.G., D.G.), Western University, London, Canada; and Division of BioMedical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Canada (G.M.F.)
| | - Christopher G. Ellis
- From the Robarts Research Institute (J.-M.A., Z.N., F.L., H.Y., B.B., C.O., J.G.P.), Departments of Medicine (C.G.E., J.G.P.), Medical Biophysics (J.-M.A., S.M., B.B., G.M.F., D.G., C.G.E., J.G.P.), Biochemistry (J.G.P.), and Biomedical Engineering (N.G., D.G.), Western University, London, Canada; and Division of BioMedical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Canada (G.M.F.)
| | - J. Geoffrey Pickering
- From the Robarts Research Institute (J.-M.A., Z.N., F.L., H.Y., B.B., C.O., J.G.P.), Departments of Medicine (C.G.E., J.G.P.), Medical Biophysics (J.-M.A., S.M., B.B., G.M.F., D.G., C.G.E., J.G.P.), Biochemistry (J.G.P.), and Biomedical Engineering (N.G., D.G.), Western University, London, Canada; and Division of BioMedical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Canada (G.M.F.)
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14
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Balint B, Yin H, Nong Z, Fox S, Rogers S, O’Neil C, Watson A, Arpino JM, Chase L, Chu MM, Pickering G. Abstract 249: Thoracic Aortic Dilation in Patients with Bicuspid Aortic Valves is Marked by Accelerated Vascular Smooth Muscle Cell Aging. Arterioscler Thromb Vasc Biol 2015. [DOI: 10.1161/atvb.35.suppl_1.249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Individuals with a bicuspid aortic valve (BAV) are at increased risk for ascending aortic dilation and dissection. Loss of aortic medial smooth muscle cells (SMCs) and disruption of the extracellular matrix are well-recognized pathologies, but the underlying cellular mechanisms remain elusive. We tested the hypothesis that the dilated aorta in patients with BAV was marked by accelerated cellular aging. Samples of human ascending aorta were obtained from individuals with BAV undergoing thoracic aorta replacement (n=37, age 54.7±2.2, aortic diameter 4.8±0.9 cm) or patients with a tricuspid aortic valve and non-dilated aorta undergoing heart transplantation or coronary bypass procedures (n=6, age 55.3±8.1, aortic diameter 3.1±0.3 cm). Assessment of fresh aortic samples for senescence-associated β-galactosidase revealed evidence for rare medial cell senescence that was 4.2-fold more prevalent in dilated aortas (0.83±0.10%) than in non-dilated aortas (0.20±0.10%, p=0.048). Expression of p16 was abundantly detected in medial SMCs within dilated aortas (27.0±2.1%) and 3-fold more abundant than in non-dilated aortas (8.9±1.8%, p<0.0001). Interestingly, immunostaining for γH2A.X (phosphorylated Ser139) revealed discrete nuclear DNA double-strand breakage signals in 25.7±3.8% of medial cells in dilated aortas from patients with BAV, which was 2.3-fold higher than that found in non-dilated aortas (11.0±4.9, p=0.03). CONCLUSION: These findings identify a previously unrecognized phenomenon of accelerated SMC aging in the aortas of patients with BAV, with cellular senescence and unresolved DNA breaks. Accelerated cell aging could thus be a driver of aortic wall degeneration in these patients and a potential therapeutic target.
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Affiliation(s)
| | - Hao Yin
- Biochemistry, Robarts Rsch Institute, London, Canada
| | - Zengxuan Nong
- Med Biophysics, Robarts Rsch Institute, London, Canada
| | - Stephanie Fox
- Surgery, London Health Sciences Cntr, London, Canada
| | | | | | - Alanna Watson
- Biochemistry, Robarts Rsch Institute, London, Canada
| | | | - Lindsay Chase
- Surgery, London Health Sciences Cntr, London, Canada
| | - Michael M Chu
- Surgery, London Health Sciences Cntr, London, Canada
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15
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Arpino JM, Yin H, Frontini MJ, Nong Z, O’Neil C, Xu Y, Balint B, Ward AD, Chakrabarti S, Ellis CG, Gros R, Pickering JG. Abstract 431: Conversion of Tumor Microvessels into a Hierarchical and Vasoreactive Network, and Suppression of Metastases, by Fibroblast Growth Factor 9. Arterioscler Thromb Vasc Biol 2015. [DOI: 10.1161/atvb.35.suppl_1.431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Normalizing the tumor vasculature has been proposed as a therapeutic paradigm. However, to function normally, microvessels must exist as a vasoreactive and hierarchical network with red blood cells flowing single file through capillaries. Such a network has not been identified in malignant tumors. We previously found that fibroblast growth factor 9 (FGF9) could stabilize new blood vessels in ischemic muscle. To determine if FGF9 impacted tumors vessels, renal carcinoma (Renca) cells, expressing GFP or FGF9, were implanted into the subcapsular space of female Balb/c mice. After 14 days, the resulting FGF9-tumors had 17% fewer microvessels than control tumors (p=0.003) but the vessels had a collagen-fortified basement membrane and were more extensively covered with pericytes (4-fold, p=0.015) and smooth muscle cells (14-fold, p=0.002). Notably, this was associated with reduced pulmonary metastases (p=0.029). Intravital video microscopy revealed that FGF9 converted a haphazard web of channels into a hierarchal network with arterioles, capillaries, and venules. There was also a 33% reduction in vessel length density (p=0.034), a 67% reduction in mean lumen diameter (p<0.001), and 57% fewer bifurcations (p=0.019). Moreover, whereas vasoreactivity was absent in control tumors, arterioles in FGF9-tumors could constrict and dilate in response to adrenergic and nitric oxide releasing agents, respectively. Pimonidazole infusion revealed a 33% reduction of hypoxia in the tumor core (p=0.031) with a 35% reduction in VEGFA expression (p=0.031). Immunostaining and selective cell harvesting revealed that FGF9 selectively amplified a population of PDGFRß-positive stromal cells in the tumor (p=0.045). Furthermore, in vivo blocking of PDGFRß prevented microvascular differentiation by FGF9 and worsened metastases (p=0.002).
Conclusion:
FGF9 can impart an otherwise dysfunctional tumor microvasculature with hierarchy, vasoreactivity, and improved oxygen delivery, via selective amplification of PDGFRß-expressing mesenchymal stromal cells. These findings suggest an approach to driving microvascular network differentiation, to an extent not observed previously, to pacify the tumor.
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Affiliation(s)
| | - Hao Yin
- Med Biophysics, Robarts Rsch Institute, Western Univ, London, Canada
| | | | - Zengxuan Nong
- Med Biophysics, Robarts Rsch Institute, Western Univ, London, Canada
| | - Caroline O’Neil
- Med Biophysics, Robarts Rsch Institute, Western Univ, London, Canada
| | - Yiwen Xu
- Med Biophysics, Robarts Rsch Institute, Western Univ, London, Canada
| | - Brittany Balint
- Med Biophysics, Robarts Rsch Institute, Western Univ, London, Canada
| | - Aaron D Ward
- Med Biophysics and Biomedical Engineering, Western Univ, London, Canada
| | | | | | - Robert Gros
- Physiology and Pharmacology, Robarts Rsch Institute, Western Univ, London, Canada
| | - J. Geoffrey Pickering
- Medicine, Med Biophysics, Biochemistry, Robarts Rsch Institute, Western Univ, London, Canada
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