1
|
Lewis CTA, Melhedegaard EG, Ognjanovic MM, Olsen MS, Laitila J, Seaborne RAE, Gronset M, Zhang C, Iwamoto H, Hessel AL, Kuehn MN, Merino C, Amigo N, Frobert O, Giroud S, Staples JF, Goropashnaya AV, Fedorov VB, Barnes B, Toien O, Drew K, Sprenger RJ, Ochala J. Remodeling of skeletal muscle myosin metabolic states in hibernating mammals. eLife 2024; 13:RP94616. [PMID: 38752835 PMCID: PMC11098559 DOI: 10.7554/elife.94616] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/18/2024] Open
Abstract
Hibernation is a period of metabolic suppression utilized by many small and large mammal species to survive during winter periods. As the underlying cellular and molecular mechanisms remain incompletely understood, our study aimed to determine whether skeletal muscle myosin and its metabolic efficiency undergo alterations during hibernation to optimize energy utilization. We isolated muscle fibers from small hibernators, Ictidomys tridecemlineatus and Eliomys quercinus and larger hibernators, Ursus arctos and Ursus americanus. We then conducted loaded Mant-ATP chase experiments alongside X-ray diffraction to measure resting myosin dynamics and its ATP demand. In parallel, we performed multiple proteomics analyses. Our results showed a preservation of myosin structure in U. arctos and U. americanus during hibernation, whilst in I. tridecemlineatus and E. quercinus, changes in myosin metabolic states during torpor unexpectedly led to higher levels in energy expenditure of type II, fast-twitch muscle fibers at ambient lab temperatures (20 °C). Upon repeating loaded Mant-ATP chase experiments at 8 °C (near the body temperature of torpid animals), we found that myosin ATP consumption in type II muscle fibers was reduced by 77-107% during torpor compared to active periods. Additionally, we observed Myh2 hyper-phosphorylation during torpor in I. tridecemilineatus, which was predicted to stabilize the myosin molecule. This may act as a potential molecular mechanism mitigating myosin-associated increases in skeletal muscle energy expenditure during periods of torpor in response to cold exposure. Altogether, we demonstrate that resting myosin is altered in hibernating mammals, contributing to significant changes to the ATP consumption of skeletal muscle. Additionally, we observe that it is further altered in response to cold exposure and highlight myosin as a potentially contributor to skeletal muscle non-shivering thermogenesis.
Collapse
Affiliation(s)
| | | | - Marija M Ognjanovic
- Department of Biomedical Sciences, University of CopenhagenCopenhagenDenmark
| | - Mathilde S Olsen
- Department of Biomedical Sciences, University of CopenhagenCopenhagenDenmark
| | - Jenni Laitila
- Department of Biomedical Sciences, University of CopenhagenCopenhagenDenmark
| | - Robert AE Seaborne
- Department of Biomedical Sciences, University of CopenhagenCopenhagenDenmark
- Centre for Human and Applied Physiological Sciences, Faculty of Life Sciences & Medicine, King’s College LondonLondonUnited Kingdom
| | - Magnus Gronset
- Department of Cellular and Molecular Medicine, University of CopenhagenCopenhagenDenmark
| | - Changxin Zhang
- Department of Computational Medicine and Bioinformatics, University of MichiganAnn ArborUnited States
| | - Hiroyuki Iwamoto
- Spring-8, Japan Synchrotron Radiation Research InstituteHyogoJapan
| | - Anthony L Hessel
- Institute of Physiology II, University of MuensterMuensterGermany
- Accelerated Muscle Biotechnologies ConsultantsBostonUnited States
| | - Michel N Kuehn
- Institute of Physiology II, University of MuensterMuensterGermany
- Accelerated Muscle Biotechnologies ConsultantsBostonUnited States
| | | | | | - Ole Frobert
- Department of Clinical Medicine, Faculty of Health, Aarhus UniversityAarhusDenmark
- Faculty of Health, Department of Cardiology, Örebro UniversityÖrebroSweden
| | - Sylvain Giroud
- Energetics Lab, Department of Biology, Northern Michigan UniversityMarquetteUnited States
- Research Institute of Wildlife Ecology, Department of Interdisciplinary Life Sciences, University of Veterinary Medicine ViennaViennaAustria
| | - James F Staples
- Department of Biology, University of Western OntarioLondonCanada
| | - Anna V Goropashnaya
- Center for Transformative Research in Metabolism, Institute of Arctic Biology, University of Alaska FairbanksFairbanksUnited States
| | - Vadim B Fedorov
- Center for Transformative Research in Metabolism, Institute of Arctic Biology, University of Alaska FairbanksFairbanksUnited States
| | - Brian Barnes
- Center for Transformative Research in Metabolism, Institute of Arctic Biology, University of Alaska FairbanksFairbanksUnited States
| | - Oivind Toien
- Center for Transformative Research in Metabolism, Institute of Arctic Biology, University of Alaska FairbanksFairbanksUnited States
| | - Kelly Drew
- Center for Transformative Research in Metabolism, Institute of Arctic Biology, University of Alaska FairbanksFairbanksUnited States
| | - Ryan J Sprenger
- Department of Zoology, University of British ColumbiaVancouverCanada
| | - Julien Ochala
- Department of Biomedical Sciences, University of CopenhagenCopenhagenDenmark
| |
Collapse
|
2
|
Rae CD, Baur JA, Borges K, Dienel G, Díaz-García CM, Douglass SR, Drew K, Duarte JMN, Duran J, Kann O, Kristian T, Lee-Liu D, Lindquist BE, McNay EC, Robinson MB, Rothman DL, Rowlands BD, Ryan TA, Scafidi J, Scafidi S, Shuttleworth CW, Swanson RA, Uruk G, Vardjan N, Zorec R, McKenna MC. Brain energy metabolism: A roadmap for future research. J Neurochem 2024; 168:910-954. [PMID: 38183680 DOI: 10.1111/jnc.16032] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2023] [Revised: 11/29/2023] [Accepted: 12/05/2023] [Indexed: 01/08/2024]
Abstract
Although we have learned much about how the brain fuels its functions over the last decades, there remains much still to discover in an organ that is so complex. This article lays out major gaps in our knowledge of interrelationships between brain metabolism and brain function, including biochemical, cellular, and subcellular aspects of functional metabolism and its imaging in adult brain, as well as during development, aging, and disease. The focus is on unknowns in metabolism of major brain substrates and associated transporters, the roles of insulin and of lipid droplets, the emerging role of metabolism in microglia, mysteries about the major brain cofactor and signaling molecule NAD+, as well as unsolved problems underlying brain metabolism in pathologies such as traumatic brain injury, epilepsy, and metabolic downregulation during hibernation. It describes our current level of understanding of these facets of brain energy metabolism as well as a roadmap for future research.
Collapse
Affiliation(s)
- Caroline D Rae
- School of Psychology, The University of New South Wales, NSW 2052 & Neuroscience Research Australia, Randwick, New South Wales, Australia
| | - Joseph A Baur
- Department of Physiology and Institute for Diabetes, Obesity and Metabolism, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Karin Borges
- School of Biomedical Sciences, Faculty of Medicine, The University of Queensland, St Lucia, QLD, Australia
| | - Gerald Dienel
- Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
- Department of Cell Biology and Physiology, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA
| | - Carlos Manlio Díaz-García
- Department of Biochemistry and Molecular Biology, Center for Geroscience and Healthy Brain Aging, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
| | | | - Kelly Drew
- Center for Transformative Research in Metabolism, Institute of Arctic Biology, University of Alaska Fairbanks, Fairbanks, Alaska, USA
| | - João M N Duarte
- Department of Experimental Medical Science, Faculty of Medicine, Lund University, Lund, & Wallenberg Centre for Molecular Medicine, Lund University, Lund, Sweden
| | - Jordi Duran
- Institut Químic de Sarrià (IQS), Universitat Ramon Llull (URL), Barcelona, Spain
- Institute for Bioengineering of Catalonia (IBEC), The Barcelona Institute of Science and Technology, Barcelona, Spain
| | - Oliver Kann
- Institute of Physiology and Pathophysiology, University of Heidelberg, D-69120; Interdisciplinary Center for Neurosciences (IZN), University of Heidelberg, Heidelberg, Germany
| | - Tibor Kristian
- Veterans Affairs Maryland Health Center System, Baltimore, Maryland, USA
- Department of Anesthesiology and the Center for Shock, Trauma, and Anesthesiology Research (S.T.A.R.), University of Maryland School of Medicine, Baltimore, Maryland, USA
| | - Dasfne Lee-Liu
- Facultad de Medicina y Ciencia, Universidad San Sebastián, Santiago, Región Metropolitana, Chile
| | - Britta E Lindquist
- Department of Neurology, Division of Neurocritical Care, Gladstone Institute of Neurological Disease, University of California at San Francisco, San Francisco, California, USA
| | - Ewan C McNay
- Behavioral Neuroscience, University at Albany, Albany, New York, USA
| | - Michael B Robinson
- Departments of Pediatrics and System Pharmacology & Translational Therapeutics, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Douglas L Rothman
- Magnetic Resonance Research Center and Departments of Radiology and Biomedical Engineering, Yale University, New Haven, Connecticut, USA
| | - Benjamin D Rowlands
- School of Chemistry, Faculty of Science, The University of Sydney, Sydney, New South Wales, Australia
| | - Timothy A Ryan
- Department of Biochemistry, Weill Cornell Medicine, New York, New York, USA
| | - Joseph Scafidi
- Department of Neurology, Kennedy Krieger Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Susanna Scafidi
- Anesthesiology & Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - C William Shuttleworth
- Department of Neurosciences, University of New Mexico School of Medicine Albuquerque, Albuquerque, New Mexico, USA
| | - Raymond A Swanson
- Department of Neurology, University of California, San Francisco, and San Francisco Veterans Affairs Medical Center, San Francisco, California, USA
| | - Gökhan Uruk
- Department of Neurology, University of California, San Francisco, and San Francisco Veterans Affairs Medical Center, San Francisco, California, USA
| | - Nina Vardjan
- Laboratory of Cell Engineering, Celica Biomedical, Ljubljana, Slovenia
- Laboratory of Neuroendocrinology-Molecular Cell Physiology, Institute of Pathophysiology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
| | - Robert Zorec
- Laboratory of Cell Engineering, Celica Biomedical, Ljubljana, Slovenia
- Laboratory of Neuroendocrinology-Molecular Cell Physiology, Institute of Pathophysiology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
| | - Mary C McKenna
- Department of Pediatrics and Program in Neuroscience, University of Maryland School of Medicine, Baltimore, Maryland, USA
| |
Collapse
|
3
|
Zanetti F, Chen CY, Baker H, Sugiura H, Drew K, Barati* ZB. Cardiac rhythms and variation in hibernating arctic ground squirrels. Physiol Biochem Zool 2023. [DOI: 10.1086/724688] [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: 02/18/2023]
|
4
|
Carlson Z, Drew K. Characterization and Seasonal Modulation of Adenosine A 1 Receptors in the Arctic Ground Squirrel Brain. Int J Mol Sci 2023; 24:ijms24021598. [PMID: 36675112 PMCID: PMC9867220 DOI: 10.3390/ijms24021598] [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] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 01/07/2023] [Accepted: 01/08/2023] [Indexed: 01/15/2023] Open
Abstract
Hibernation is an adaptation that allows animals such as the Arctic ground squirrel (AGS) to survive the absence of food or water during the winter season. Understanding mechanisms of metabolic suppression during hibernation torpor promises new therapies for critical care. The activation of the Adenosine A1 receptor (A1AR) has been shown to be necessary and sufficient for entrance into hibernation with a winter season sensitization to the agonist, but the role of the A1AR in seasonal sensitization is unknown. In the current study, we characterize the A1AR in the forebrain, hippocampus and hypothalamus of summer and torpid AGS. For the first time, we define the pharmacological characteristics of the A1AR agonist, N6-cyclohexyladenosine and the A1AR antagonist dipropylcyclopentylxanthine (DPCPX) in the AGS brain. In addition, we test the hypothesis that increased A1AR agonist efficacy is responsible for sensitization of the A1AR during the torpor season. The resulting 35S-GTPγS binding data indicate an increase in agonist potency during torpor in two out of three brain regions. In addition to 35S-GTPγS binding, [3H]DPCPX saturation and competition assays establish for the first-time pharmacological characteristics for the A1AR agonist, N6-cyclohexyladenosine and the A1AR antagonist dipropylcyclopentylxanthine (DPCPX) in AGS brain.
Collapse
Affiliation(s)
- Zachary Carlson
- Institute of Arctic Biology, University of Alaska, Fairbanks, AK 99775, USA
| | - Kelly Drew
- Institute of Arctic Biology, University of Alaska, Fairbanks, AK 99775, USA
- Center for Transformative Research in Metabolism, University of Alaska, Fairbanks, AK 99775, USA
- Correspondence:
| |
Collapse
|
5
|
Wong A, Bhuiyan MIH, Rothman J, Drew K, Pourrezaei K, Sun D, Barati Z. Near infrared spectroscopy detection of hemispheric cerebral ischemia following middle cerebral artery occlusion in rats. Neurochem Int 2023; 162:105460. [PMID: 36455748 PMCID: PMC10263189 DOI: 10.1016/j.neuint.2022.105460] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 11/22/2022] [Accepted: 11/25/2022] [Indexed: 11/29/2022]
Abstract
Timely and sensitive in vivo estimation of ischemic stroke-induced brain infarction are necessary to guide diagnosis and evaluation of treatments' efficacy. The gold standard for estimation of the cerebral infarction volume is magnetic resonance imaging (MRI), which is expensive and not readily accessible. Measuring regional cerebral blood flow (rCBF) with Laser Doppler flowmetry (LDF) is the status quo for confirming reduced blood flow in experimental ischemic stroke models. However, rCBF reduction following cerebral artery occlusion often does not correlate with subsequent infarct volume. In the present study, we employed the continuous-wave near infrared spectroscopy (NIRS) technique to monitor cerebral oxygenation during 90 min of the intraluminal middle cerebral artery occlusion (MCAO) in Sprague-Dawley rats (n = 8, male). The NIRS device consisted of a controller module and an optical sensor with two LED light sources and two photodiodes making up two parallel channels for monitoring left and right cerebral hemispheres. Optical intensity measurements were converted to deoxyhemoglobin (Hb) and oxyhemoglobin (HbO2) changes relative to a 2-min window prior to MCAO. Area under the curve (auc) for Hb and HbO2 was calculated for the 90-min occlusion period for each hemisphere (ipsilateral and contralateral). To obtain a measure of total ischemia, auc of the contralateral side was subtracted from the ipsilateral side resulting in ΔHb and ΔHbO2 parameters. Infarct volume (IV) was calculated by triphenyl tetrazolium chloride (TTC) staining at 24h reperfusion. Results showed a significant negative correlation (r = -0.81, p = 0.03) between ΔHb and infarct volume. In conclusion, our results show feasibility of using a noninvasive optical imaging instrument, namely NIRS, in monitoring cerebral ischemia in a rodent stroke model. This cost-effective, non-invasive technique may improve the rigor of experimental models of ischemic stroke by enabling in vivo longitudinal assessment of cerebral oxygenation and ischemic injury.
Collapse
Affiliation(s)
- Ardy Wong
- Drexel University School of Biomedical Engineering, Science and Health Systems, Philadelphia, PA, USA
| | - Mohammad Iqbal Hossain Bhuiyan
- Department of Neurology, University of Pittsburgh, Pittsburgh, PA, PA, 15260, USA; Veterans Affairs Pittsburgh Health Care System, Geriatric Research, Education and Clinical Center, Pennsylvania, PA, 15260, USA; Department of Pharmaceutical Sciences, School of Pharmacy, University of Texas at El Paso, El Paso, TX, 79968, USA
| | | | - Kelly Drew
- Center for Transformative Research in Metabolism, Institute of Arctic Biology, University of Alaska Fairbanks, USA
| | - Kambiz Pourrezaei
- Drexel University School of Biomedical Engineering, Science and Health Systems, Philadelphia, PA, USA
| | - Dandan Sun
- Department of Neurology, University of Pittsburgh, Pittsburgh, PA, PA, 15260, USA; Veterans Affairs Pittsburgh Health Care System, Geriatric Research, Education and Clinical Center, Pennsylvania, PA, 15260, USA
| | - Zeinab Barati
- Barati Medical LLC, Fairbanks, AK, USA; Center for Transformative Research in Metabolism, Institute of Arctic Biology, University of Alaska Fairbanks, USA.
| |
Collapse
|
6
|
Krishnan JK, Rice S, Mikes M, Sugiura MH, Drew K, Barati Z, Oliver SR. In Arctic ground squirrels, diet and torpor alter skeletal muscle relaxation kinetics but not force development. FASEB J 2022. [DOI: 10.1096/fasebj.2022.36.s1.r5525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Jishnu K. Krishnan
- Department of Chemistry and BiochemistryUniversity of Alaska FairbanksFairbanksAK
- Institute of Arctic BiologyUniversity of Alaska FairbanksFairbanksAK
| | - Sarah Rice
- Department of Chemistry and BiochemistryUniversity of Alaska FairbanksFairbanksAK
- Institute of Arctic BiologyUniversity of Alaska FairbanksFairbanksAK
| | - Monica Mikes
- Institute of Arctic BiologyUniversity of Alaska FairbanksFairbanksAK
| | - M. Hoshi Sugiura
- Institute of Arctic BiologyUniversity of Alaska FairbanksFairbanksAK
| | - Kelly Drew
- Department of Chemistry and BiochemistryUniversity of Alaska FairbanksFairbanksAK
| | - Zeinab Barati
- Institute of Arctic BiologyUniversity of Alaska FairbanksFairbanksAK
| | - S. Ryan Oliver
- Department of Chemistry and BiochemistryUniversity of Alaska FairbanksFairbanksAK
| |
Collapse
|
7
|
Bagoyo EA, Drew K, Jenkins M. Day and Night Comparison to Maximize Learning in Sprague Dawley Rats (
Rattus norvegicus
). FASEB J 2020. [DOI: 10.1096/fasebj.2020.34.s1.09886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
8
|
Krishnan JK, Rice S, Mikes M, Hunstiger M, Drew K, Oliver SR. Effects of diet and torpor on skeletal muscle relaxation in hibernating animals. FASEB J 2020. [DOI: 10.1096/fasebj.2020.34.s1.09342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
9
|
Rice S, Mikes M, Drew K, Bibus D. Impacts of a Balanced Omega 6:3 Diet on Fatty Acid Deposition in White and Brown Adipose Tissue and Circulating Plasma in the Hibernating Arctic Ground Squirrel. FASEB J 2019. [DOI: 10.1096/fasebj.2019.33.1_supplement.lb321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Sarah Rice
- Chemistry and BiochemistryUniversity of Alaska at FairbanksFairbanksAK
- Institute of Arctic BiologyUniversity of Alaska at FairbanksFairbanksAK
| | - Monica Mikes
- Chemistry and BiochemistryUniversity of Alaska at FairbanksFairbanksAK
| | - Kelly Drew
- Chemistry and BiochemistryUniversity of Alaska at FairbanksFairbanksAK
- Institute of Arctic BiologyUniversity of Alaska at FairbanksFairbanksAK
| | | |
Collapse
|
10
|
Jenkins M, Frare C, Drew K. Effect of adenosine A
1
receptor agonist induced‐hibernation on the arousal pathway in the Arctic Ground Squirrel. FASEB J 2019. [DOI: 10.1096/fasebj.2019.33.1_supplement.791.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - Carla Frare
- Chemistry and BiochemistryUniversity of Alaska FairbanksFairbanksAK
- Institute of Arctic BiologyUniversity of Alaska FairbanksFairbanksAK
| | - Kelly Drew
- Chemistry and BiochemistryUniversity of Alaska FairbanksFairbanksAK
- Institute of Arctic BiologyUniversity of Alaska FairbanksFairbanksAK
| |
Collapse
|
11
|
Gehrke S, Rice S, Stefanoni D, Wilkerson RB, Nemkov T, Reisz JA, Hansen KC, Lucas A, Cabrales P, Drew K, D'Alessandro A. Red Blood Cell Metabolic Responses to Torpor and Arousal in the Hibernator Arctic Ground Squirrel. J Proteome Res 2019; 18:1827-1841. [PMID: 30793910 DOI: 10.1021/acs.jproteome.9b00018] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Arctic ground squirrels provide a unique model to investigate metabolic responses to hibernation in mammals. During winter months these rodents are exposed to severe hypothermia, prolonged fasting, and hypoxemia. In the light of their role in oxygen transport/off-loading and owing to the absence of nuclei and organelles (and thus de novo protein synthesis capacity), mature red blood cells have evolved metabolic programs to counteract physiological or pathological hypoxemia. However, red blood cell metabolism in hibernation has not yet been investigated. Here we employed targeted and untargeted metabolomics approaches to investigate erythrocyte metabolism during entrance to torpor to arousal, with a high resolution of the intermediate time points. We report that torpor and arousal promote metabolism through glycolysis and pentose phosphate pathway, respectively, consistent with previous models of oxygen-dependent metabolic modulation in mature erythrocytes. Erythrocytes from hibernating squirrels showed up to 100-fold lower levels of biomarkers of reperfusion injury, such as the pro-inflammatory dicarboxylate succinate. Altered tryptophan metabolism during torpor was here correlated to the accumulation of potentially neurotoxic catabolites kynurenine, quinolinate, and picolinate. Arousal was accompanied by alterations of sulfur metabolism, including sudden spikes in a metabolite putatively identified as thiorphan (level 1 confidence)-a potent inhibitor of several metalloproteases that play a crucial role in nociception and inflammatory complication to reperfusion secondary to ischemia or hemorrhage. Preliminary studies in rats showed that intravenous injection of thiorphan prior to resuscitation mitigates metabolic and cytokine markers of reperfusion injury, etiological contributors to inflammatory complications after shock.
Collapse
Affiliation(s)
- Sarah Gehrke
- Department of Biochemistry and Molecular Genetics , University of Colorado Denver - Anschutz Medical Campus , Aurora , Colorado 80045 , United States
| | - Sarah Rice
- Department of Chemistry and Biochemistry , University of Alaska Fairbanks , Fairbanks , Alaska 99775 , United States
| | - Davide Stefanoni
- Department of Biochemistry and Molecular Genetics , University of Colorado Denver - Anschutz Medical Campus , Aurora , Colorado 80045 , United States
| | - Rebecca B Wilkerson
- Department of Biochemistry and Molecular Genetics , University of Colorado Denver - Anschutz Medical Campus , Aurora , Colorado 80045 , United States
| | - Travis Nemkov
- Department of Biochemistry and Molecular Genetics , University of Colorado Denver - Anschutz Medical Campus , Aurora , Colorado 80045 , United States
| | - Julie A Reisz
- Department of Biochemistry and Molecular Genetics , University of Colorado Denver - Anschutz Medical Campus , Aurora , Colorado 80045 , United States
| | - Kirk C Hansen
- Department of Biochemistry and Molecular Genetics , University of Colorado Denver - Anschutz Medical Campus , Aurora , Colorado 80045 , United States
| | - Alfredo Lucas
- Department of Bioengineering , University of California San Diego , La Jolla , California 92093 , United States
| | - Pedro Cabrales
- Department of Bioengineering , University of California San Diego , La Jolla , California 92093 , United States
| | - Kelly Drew
- Department of Chemistry and Biochemistry , University of Alaska Fairbanks , Fairbanks , Alaska 99775 , United States
| | - Angelo D'Alessandro
- Department of Biochemistry and Molecular Genetics , University of Colorado Denver - Anschutz Medical Campus , Aurora , Colorado 80045 , United States
| |
Collapse
|
12
|
Oiamo TH, Davies H, Rainham D, Rinner C, Drew K, Sabaliauskas K, Macfarlane R. A combined emission and receptor-based approach to modelling environmental noise in urban environments. Environ Pollut 2018; 242:1387-1394. [PMID: 30138831 DOI: 10.1016/j.envpol.2018.08.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2018] [Revised: 08/01/2018] [Accepted: 08/05/2018] [Indexed: 05/23/2023]
Abstract
The state of practice for noise assessment utilizes established standards for emission and propagation modelling of linear and point sources. Recently, land use regression (LUR) modelling has emerged as an alternative method due to relatively low data and computing resource demands. However, a limitation of LUR modelling is that is does not account for noise attenuation and reflections by features of the built environment. This study demonstrates and validates a method that combines the two modelling frameworks to exploit their respective strengths: Emission and propagation based prediction of traffic noise, the predominant source of noise at the level of streetscapes, and a LUR-based correction for noise sources that vary on spatial scales beyond the streetscape. Multi-criteria analysis, location-allocation modelling and stakeholder consultation identified 220 monitoring sites with optimal coverage for a 1-week sampling period. A subset of sites was used to validate a road traffic noise emission and propagation model and to specify a LUR model that predicted the contribution of other sources. The equivalent 24-h sound pressure level (LAeq) for all sites was 62.9 dBA (SD 6.4). This varied by time of day, weekday, types of roads and land uses. The traffic noise emission model demonstrated a high level of covariance with observed noise levels, with R2 values of 0.58, 0.60 and 0.59 for daytime, nighttime and 24-h periods, respectively. Combined with LUR models to correct for other noise sources, the hybrid models R2 values were 0.64, 0.71 and 0.67 for the respective time periods. The study showed that road traffic noise emissions account for most of the variability of total environmental noise in Toronto. The combined approach to predict fine resolution noise exposures with emission and receptor-based models presents an effective alternative to noise modelling approaches based on emission and propagation or LUR modelling.
Collapse
Affiliation(s)
- Tor H Oiamo
- Department of Geography and Environmental Studies, Ryerson University, 350 Victoria Street, Toronto, ON, M5B 2K3, Canada.
| | - Hugh Davies
- School of Population and Public Health, Faculty of Medicine, The University of British Columbia, Canada
| | - Daniel Rainham
- Healthy Populations Institute, Dalhousie University, Canada
| | - Claus Rinner
- Department of Geography and Environmental Studies, Ryerson University, 350 Victoria Street, Toronto, ON, M5B 2K3, Canada
| | - Kelly Drew
- Toronto Public Health, Healthy Public Policy, City of Toronto, Canada
| | | | - Ronald Macfarlane
- Toronto Public Health, Healthy Public Policy, City of Toronto, Canada
| |
Collapse
|
13
|
Rice SA, D'Alessandro A, Barati Z, Gehrke S, Reisz JA, Drew K. Shifting Nitrogen Balance Induces Arousal from Hibernation in Arctic Ground Squirrels. FASEB J 2018. [DOI: 10.1096/fasebj.2018.32.1_supplement.lb172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Sarah A Rice
- Department of Chemistry and BiochemistryUniversity of Alaska at FairbanksFairbanksAK
- Institute of Arctic BiologyFairbanksAK
| | - Angelo D'Alessandro
- Department of Biochemistry and Molecular GeneticsUniversity of Colorado at DenverAuroraCO
| | | | - Sarah Gehrke
- Department of Biochemistry and Molecular GeneticsUniversity of Colorado at DenverAuroraCO
| | - Julie A Reisz
- Department of Biochemistry and Molecular GeneticsUniversity of Colorado at DenverAuroraCO
| | - Kelly Drew
- Department of Chemistry and BiochemistryUniversity of Alaska at FairbanksFairbanksAK
| |
Collapse
|
14
|
Jenkins M, Frare C, Drew K. Neurochemical Pathways Involved in A
1
Adenosine Receptor Agonist‐Induced Hibernation in the Arctic Ground Squirrel (
Urocitellus parryii
). FASEB J 2018. [DOI: 10.1096/fasebj.2018.32.1_supplement.805.29] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Mackenzie Jenkins
- Department of Chemistry and BiochemistryUniversity of Alaska FairbanksFairbanksAK
| | - Carla Frare
- Department of Chemistry and BiochemistryUniversity of Alaska FairbanksFairbanksAK
- Institute of Arctic BiologyUniversity of Alaska FairbanksFairbanksAK
| | - Kelly Drew
- Department of Chemistry and BiochemistryUniversity of Alaska FairbanksFairbanksAK
- Institute of Arctic BiologyUniversity of Alaska FairbanksFairbanksAK
| |
Collapse
|
15
|
Frare C, Lokken E, Drew K. Seasonal Changes in the Central Nervous System of the Arctic Ground Squirrel. FASEB J 2018. [DOI: 10.1096/fasebj.2018.32.1_supplement.805.28] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Carla Frare
- Department of Chemistry and BiochemistryUAFFairbanksAK
- Institute of Arctic BiologyUAFFairbanksAK
| | | | - Kelly Drew
- Department of Chemistry and BiochemistryUAFFairbanksAK
- Institute of Arctic BiologyUAFFairbanksAK
| |
Collapse
|
16
|
Mikes ML, Rice SA, Bibus D, Drew K. Analysis of experimental feed impacts on fatty acid profiles of captive and wild Arctic Ground Squirrels. FASEB J 2018. [DOI: 10.1096/fasebj.2018.32.1_supplement.lb179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | | | - Kelly Drew
- Biochemistry/NeurochemistryUniversity of AlaskaFairbanksAK
| |
Collapse
|
17
|
Laughlin BW, Baily I, Tagaban S, Drew K. REVERSAL OF PERIPHERAL AND CNS MEDIATED A1 ADENOSINE RECEPTOR HYPOTENSION. FASEB J 2018. [DOI: 10.1096/fasebj.2018.32.1_supplement.lb103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - Isaac Baily
- Institute of Arctic BiologyUniversity of Alaska FairbanksFairbanksAK
| | | | - Kelly Drew
- Institute of Arctic BiologyUniversity of Alaska FairbanksFairbanksAK
| |
Collapse
|
18
|
Campbell CE, Bogren LK, Murphy CJ, Drew K, Coker RH. Determination of Metabolic Pathway in Response to Cycling Versus Vinyasa Yoga. Med Sci Sports Exerc 2017. [DOI: 10.1249/01.mss.0000518512.63028.78] [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: 11/21/2022]
|
19
|
Bhowmick S, Drew K. The good, the bad and the ugly of nitric oxide, superoxide and peroxynitrite signaling during oxygen‐glucose deprivation in rat and arctic ground squirrel. FASEB J 2017. [DOI: 10.1096/fasebj.31.1_supplement.lb213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Saurav Bhowmick
- Department of Chemistry and BiochemistryUniversity of Alaska FairbanksFairbanksAK
| | - Kelly Drew
- Department of Chemistry and BiochemistryUniversity of Alaska FairbanksFairbanksAK
| |
Collapse
|
20
|
Duffy L, Bult-Ito A, Castillo M, Drew K, Harris M, Kuhn T, Ma Y, Schulte M, Taylor B, van Muelken M. Arctic Peoples and Beyond: research opportunities in neuroscience and behaviour. Int J Circumpolar Health 2016; 66:264-75. [PMID: 17655067 DOI: 10.3402/ijch.v66i3.18265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES Arctic and northern peoples are spread across Alaska, Canada, Russia and the Scandinavian countries. Inhabiting a variety of ecosystems, these 4 million residents include Indigenous populations who total about 10% of the population. Although Arctic peoples have very diverse cultural and social systems, they have health issues related to environmental impacts and knowledge/treatment disparities that are common to other minority and Indigenous peoples around the world. Research that explores the neuroscience and behavioural aspects of these health disparities offers challenges and significant opportunities. As the next generation of neuroscientists enter the field, it is imperative that they view their contributions in terms of translational medicine to address health disparities. STUDY DESIGN A workshop was designed to bring neuroscientists together to report on the current directions of neuroscience research and how it could impact health disparities in the North. This workshop produced research recommendations for the growth of neuroscience in the North. METHODS On May 31, 2006 the National Institute of Neurological Disorders and Stroke, the Burroughs Wellcome Foundation, the Arctic Division of AAAS and the University of Alaska co-sponsored a workshop entitled "Arctic Peoples and Beyond: Decreasing Health Disparities through Basic and Clinical Research." Also, the role and goals of the International Union for Circumpolar Health (IUCH) were presented at the meeting. RESULTS A set of recommendations related to research opportunities in neuroscience and behaviour research and ways to facilitate national and international partnerships were developed. CONCLUSIONS These recommendations should help guide the development of future health research in circumpolar neuroscience and behaviour. They provide ideas about research support and informational exchange that will address health challenges.
Collapse
Affiliation(s)
- Lawrence Duffy
- Specialized Neuroscience Research Program, University of Alaska Fairbanks, Fairbanks, Alaska 99775-6160, USA.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
21
|
Travlos V, Drew K, Gotti L, Patman S. The value of the cough assist® in the daily respiratory care of children with neuromuscular disorders: a local research journey. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.1521] [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: 10/23/2022]
|
22
|
Frare C, Drew K. The Role of the Hypothalamus in the Seasonal Response to Adenosine A
1
Receptor Agonist‐Induced Hibernation. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.828.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Carla Frare
- Institute of Arctic Biology UAFFairbanksAKUnited States
- Dept. of Chemistry and Biochemistry UAFFairbanksAKUnited States
| | - Kelly Drew
- Institute of Arctic Biology UAFFairbanksAKUnited States
- Dept. of Chemistry and Biochemistry UAFFairbanksAKUnited States
| |
Collapse
|
23
|
Bailey I, Bogren L, Drew K. Targeted temperature management with novel adenosine agonist (LB604). FASEB J 2014. [DOI: 10.1096/fasebj.28.1_supplement.lb604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Isaac Bailey
- Institute of Arctic Biology University of Alaska FairbanksFairbanksAKUnited States
| | - Lori Bogren
- Institute of Arctic Biology University of Alaska FairbanksFairbanksAKUnited States
| | - Kelly Drew
- Institute of Arctic Biology University of Alaska FairbanksFairbanksAKUnited States
| |
Collapse
|
24
|
Bogren L, Murphy C, Johnston E, Serkova N, Drew K. 1H‐NMR metabolomic biomarkers of poor outcome after hemorrhagic shock are absent in hibernators (590.1). FASEB J 2014. [DOI: 10.1096/fasebj.28.1_supplement.590.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Lori Bogren
- Chemistry and Biochemistry University of Alaska FairbanksFairbanksAKUnited States
| | - Carl Murphy
- Chemistry and Biochemistry University of Alaska FairbanksFairbanksAKUnited States
| | - Erin Johnston
- Chemistry and Biochemistry University of Alaska FairbanksFairbanksAKUnited States
| | - Natalie Serkova
- Department of Pharmacology University of Colorado DenverAuroraCOUnited States
| | - Kelly Drew
- Chemistry and Biochemistry University of Alaska FairbanksFairbanksAKUnited States
| |
Collapse
|
25
|
Bogren L, Johnston E, Van Tets I, LeBlanc A, Drew K. Bone density is maintained during forced disuse in hibernators throughout both the active and hibernation seasons (1166.1). FASEB J 2014. [DOI: 10.1096/fasebj.28.1_supplement.1166.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Lori Bogren
- Chemistry and Biochemistry University of Alaska FairbanksFairbanksAKUnited States
| | - Erin Johnston
- Chemistry and Biochemistry University of Alaska FairbanksFairbanksAKUnited States
| | - Ian Van Tets
- Biological Science University of Alaska Anchorage Anchorage AKUnited States
| | - Adrian LeBlanc
- Division of Space Life Sciences Universities Space Research AssociationHoustonTXUnited States
| | - Kelly Drew
- Chemistry and Biochemistry University of Alaska FairbanksFairbanksAKUnited States
| |
Collapse
|
26
|
|
27
|
Pentony MM, Winters P, Penfold-Brown D, Drew K, Narechania A, DeSalle R, Bonneau R, Purugganan MD. The plant proteome folding project: structure and positive selection in plant protein families. Genome Biol Evol 2012; 4:360-71. [PMID: 22345424 PMCID: PMC3318447 DOI: 10.1093/gbe/evs015] [Citation(s) in RCA: 13] [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: 11/16/2022] Open
Abstract
Despite its importance, relatively little is known about the relationship between the structure, function, and evolution of proteins, particularly in land plant species. We have developed a database with predicted protein domains for five plant proteomes (http://pfp.bio.nyu.edu) and used both protein structural fold recognition and de novo Rosetta-based protein structure prediction to predict protein structure for Arabidopsis and rice proteins. Based on sequence similarity, we have identified ∼15,000 orthologous/paralogous protein family clusters among these species and used codon-based models to predict positive selection in protein evolution within 175 of these sequence clusters. Our results show that codons that display positive selection appear to be less frequent in helical and strand regions and are overrepresented in amino acid residues that are associated with a change in protein secondary structure. Like in other organisms, disordered protein regions also appear to have more selected sites. Structural information provides new functional insights into specific plant proteins and allows us to map positively selected amino acid sites onto protein structures and view these sites in a structural and functional context.
Collapse
Affiliation(s)
- M M Pentony
- Center for Genomics and Systems Biology, Department of Biology, New York University, NY, USA
| | | | | | | | | | | | | | | |
Collapse
|
28
|
Wang CR, Drew K, Luo T, Lu MJ, Lu QB. Response to “Comment on ‘Resonant dissociative electron transfer of the presolvated electron to CCl4 in liquid: Direct observation and lifetime of the CCl4∗− transition state’ [J. Chem. Phys. 129, 027101 (2008)]”. J Chem Phys 2008. [DOI: 10.1063/1.2953728] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
29
|
Wang CR, Drew K, Luo T, Lu MJ, Lu QB. Resonant dissociative electron transfer of the presolvated electron to CCl4 in liquid: Direct observation and lifetime of the CCl4*− transition state. J Chem Phys 2008; 128:041102. [DOI: 10.1063/1.2836749] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
|
30
|
Ferreira-Cravo M, Welker A, Andrade Jr. R, Drew K, Hermes-Lima M. 15.P6. Physiological oxidative stress in the animal world. Comp Biochem Physiol A Mol Integr Physiol 2007. [DOI: 10.1016/j.cbpa.2007.06.163] [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: 10/23/2022]
|
31
|
Zhu X, Lee HG, Casadesus G, Avila J, Drew K, Perry G, Smith MA. Oxidative imbalance in Alzheimer's disease. Mol Neurobiol 2006; 31:205-17. [PMID: 15953822 DOI: 10.1385/mn:31:1-3:205] [Citation(s) in RCA: 100] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2004] [Accepted: 11/15/2004] [Indexed: 12/12/2022]
Abstract
Oxidative stress is a striking feature of susceptible neurons in the Alzheimer's disease brain. Importantly, because oxidative stress is an early event in Alzheimer's disease, proximal to the development of hallmark pathologies, it likely plays an important role in the pathogenesis of the disease. Investigations into the cause of such oxidative stress show that interactions between abnormal mitochondria and disturbed metal metabolism are, at least in part, responsible for cytoplasmic oxidative damage observed in these susceptible neurons, which could ultimately lead to their demise. Oxidative stress not only temporally precedes the pathological lesions of the disease but could also contribute to their formation, which, in turn, could provide some protective mechanism to reduce oxidative stress and ensure that neurons do not rapidly succumb to oxidative insults. In this review, we present the evidence for oxidative stress in Alzheimer's disease and its likely sources and consequence in relation to other pathological changes.
Collapse
Affiliation(s)
- Xiongwei Zhu
- Institute of Pathology, Case Western Reserve University, Cleveland, OH, USA.
| | | | | | | | | | | | | |
Collapse
|
32
|
Hurlstone DP, Sanders DS, Cross SS, Adam I, Shorthouse AJ, Brown S, Drew K, Lobo AJ. Colonoscopic resection of lateral spreading tumours: a prospective analysis of endoscopic mucosal resection. Gut 2004; 53:1334-9. [PMID: 15306595 PMCID: PMC1774165 DOI: 10.1136/gut.2003.036913] [Citation(s) in RCA: 208] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
BACKGROUND Lateral spreading tumours are superficial spreading neoplasms now increasingly diagnosed using chromoscopic colonoscopy. The clinicopathological features and safety of endoscopic mucosal resection for lateral spreading tumours (G-type "aggregate" and F-type "flat") has yet to be clarified in Western cohorts. METHODS Eighty two patients underwent magnification chromoscopic colonoscopy using the Olympus CF240Z by a single endoscopist. All patients had received a previous colonoscopy where an endoscopic diagnosis of lateral spreading tumour was made. All lesions were examined initially using indigo carmine chromoscopy to delineate contour followed by crystal violet for magnification crypt pattern analysis. A 20 MHz "mini probe" ultrasound was used if T2 disease was suspected. Following endoscopic mucosal resection, patients were followed up at 3, 6, 12, and 24 months using total colonoscopy. RESULTS Eighty two lateral spreading tumours were diagnosed in 80 patients (32% (26/82) F-type and 68% (56/82) G-type). G-type lesions were larger than F-type (G-type mean 42 (SD 14) mm v F-type 24 (6.4) mm; p<0.01). F-type lesions were more common in the right colon (F-type 77% (20/26) compared with G-type 39% (22/56); p<0.01) and more often associated with invasive disease (stage T2) (66% (10/15) v 33% (5/15); p<0.001). Fifty eight lesions underwent endoscopic mucosal resection (G-type 64% (37/58)/F-type 36% (21/58)). Local recurrent disease was detected in 17% of patients (10/58), all within six months of the index resection. Piecemeal resection and G-type morphology were significantly associated with recurrent disease (p<0.1). Overall "cure" rates for lateral spreading tumours using endoscopic mucosal resection at two years of follow-up was 96% (56/58). CONCLUSIONS Endoscopic mucosal resection for lateral spreading tumours, staged as T1, is a safe and effective treatment despite their large size. Endoscopic mucosal resection may be an alternative to surgery in selected patients.
Collapse
Affiliation(s)
- D P Hurlstone
- 17 Alexandra Gardens, Lyndhurst Rd, Nether Edge, Sheffield S11 9DQ, UK.
| | | | | | | | | | | | | | | |
Collapse
|
33
|
Hurlstone DP, Cross SS, Drew K, Adam I, Shorthouse AJ, Brown S, Sanders DS, Lobo AJ. An evaluation of colorectal endoscopic mucosal resection using high-magnification chromoscopic colonoscopy: a prospective study of 1000 colonoscopies. Endoscopy 2004; 36:491-8. [PMID: 15202044 DOI: 10.1055/s-2004-814397] [Citation(s) in RCA: 73] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
BACKGROUND AND STUDY AIMS Endoscopic mucosal resection provides an alternative to surgery for resection of sessile and flat colorectal lesions. High-magnification chromoscopic colonoscopy may allow early detection and anticipate histological diagnosis by identifying colonic crypt patterns. The aim of the present study was to assess the efficacy and safety of en-bloc endoscopic mucosal resection with high-magnification chromoendoscopy in the management of sessile and flat colorectal lesions </= 20 mm. PATIENTS AND METHODS A single endoscopist using high-magnification chromoendoscopy prospectively examined 1000 patients attending for routine colonoscopy. Patients were selected for inclusion in the study if they were considered to be at high risk for underlying colorectal neoplasia or polyps. Within the study period, 1000 patients (29 %) qualified for entry from a total of 3480 colonoscopies conducted in our institution. Endoscopic mucosal resection was carried out in appropriate flat and sessile lesions. RESULTS Endoscopic mucosal resection was carried out in 599 lesions. Complete histological resection was confirmed in 576 (96 %). Perforation occurred in one patient (0.2 %) and bleeding in 12 (2 %). A total of 254 lesions (40 %; excluding hyperplasia/metaplasia) were flat or depressed, and 374 (60 %) were sessile. Fifty-eight flat lesions (23 %) contained high-grade dysplasia or beyond, compared to 33 sessile lesions (9.0 %; P = 0.001). After resection, 21 lesions were upgraded histologically, with 17 being defined as adenoma with high-grade dysplasia or beyond. CONCLUSIONS This study confirms that flat adenomas and carcinomas occur in the West and demonstrates the malignant potential of such lesions, which can be managed successfully using endoscopic techniques. Endoscopic mucosal resection with high-magnification chromoscopy is a safe and effective form of treatment for sessile or flat colorectal lesions. Complete resection can improve the accuracy of histopathological diagnosis. However, colonoscopists require training in these procedures in order to improve the rate of colorectal cancer detection.
Collapse
Affiliation(s)
- D P Hurlstone
- Gastroenterology and Liver Unit, Royal Hallamshire Hospital, Sheffield, United Kingdom.
| | | | | | | | | | | | | | | |
Collapse
|
34
|
Logan JC, Callan MB, Drew K, Marryott K, Oakley DA, Jefferies L, Giger U. Clinical indications for use of fresh frozen plasma in dogs: 74 dogs (October through December 1999). J Am Vet Med Assoc 2001; 218:1449-55. [PMID: 11345309 DOI: 10.2460/javma.2001.218.1449] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To document reasons for use of fresh frozen plasma (FFP) in dogs and determine variables that apparently triggered the decision to use FFP. DESIGN Retrospective study. ANIMALS 74 dogs. PROCEDURE Medical records of dogs that received FFP at a veterinary teaching hospital during a 3-month period were reviewed. RESULTS The 74 dogs underwent 144 transfusion episodes (TE; a TE was defined as 1 day of transfusion therapy) and received 252 units (120 ml/unit) of FFP. Fresh frozen plasma was administered to provide coagulation factors (67 TE), albumin (91), alpha-macroglobulin (15), or immunoglobulins (19); for some TE, multiple clinical indications were identified. Variables that apparently triggered the decision to administer FFP included active hemorrhage with or without prolongation of coagulation times, low total plasma protein concentration, persistent vomiting associated with pancreatitis, and sepsis. Mean doses of FFP for each indication were between 8.5 and 9.4 ml/kg (3.9 and 4.3 ml/lb). Small dogs were generally given higher doses (mean dose, 13.9 ml/kg [6.3 ml/lb]) than large dogs (mean dose, 5.1 ml/kg [2.3 ml/lb]). Fifty (68%) dogs were alive at the time of discharge from the hospital. CONCLUSIONS AND CLINICAL RELEVANCE Results suggest that FFP plays an important role in the care of critically ill dogs. Because the supply of FFP is limited, guidelines for when administration of FFP may be clinically useful should be developed.
Collapse
Affiliation(s)
- J C Logan
- Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia 19104-6010, USA
| | | | | | | | | | | | | |
Collapse
|
35
|
Abstract
This research pilot study evaluates the usefulness of capnography for patients being weaned from mechanical ventilation in a medical intensive care unit (MICU). The hypothesis that capnography would allow for more rapid weaning from mechanical ventilation, and require fewer arterial blood gases (ABGs) during the process, was found to be untrue. Several implications for critical care nursing practices were derived from the literature review and findings of this study.
Collapse
Affiliation(s)
- K Drew
- Vanderbilt University Medical Center, USA
| | | | | | | |
Collapse
|
36
|
Price BJ, Bernard GR, Drew K, Foss J, Wheeler AP. Impact of a critical care pathway for unstable mechanically ventilated patients. Crit Care Nurs Clin North Am 1998; 10:75-85. [PMID: 9644350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- B J Price
- Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | | | | | | | | |
Collapse
|
37
|
Jenkins D, Goodall A, Drew K, Scott BB. What is colitis? Statistical approach to distinguishing clinically important inflammatory change in rectal biopsy specimens. J Clin Pathol 1988; 41:72-9. [PMID: 3343381 PMCID: PMC1141338 DOI: 10.1136/jcp.41.1.72] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Measurements of mucosal dimension, architecture, and cell counts in both lamina propria and epithelium were made on rectal biopsy specimens from 20 patients with irritable bowel syndrome ("normal" controls); 54 patients with ulcerative colitis, Crohn's disease, and non-specific proctitis; eight patients with small bowel Crohn's disease; and 34 in whom the rectal biopsy specimen was not diagnostic. Discriminant analysis was applied to multiple variables based on the measurements, and three variables were identified as of high predictive value. The most powerful discriminant was increased lamina propria cellularity in all forms of chronic colitis. The ratios of surface length to mucosal length and of surface epithelial height to crypt epithelial height also emerged as discriminants. Chronic inflammatory bowel disease was distinguished from normal in 95% of cases with a definite pathological diagnosis, and 85% of borderline cases were correctly classified as either normal or inflammatory when judged by the final diagnosis after follow up. This study provides a basis for automated diagnosis of rectal biopsy specimens and provides objectively validated criteria which can also be applied in routine histological diagnosis.
Collapse
Affiliation(s)
- D Jenkins
- Department of Pathology, Whittington Hospital, London
| | | | | | | |
Collapse
|
38
|
Smith MT, Wills ED, Drew K, Maxwell C, Daly JR, Reader SC, Robertson WR. The use of an inexpensive, general purpose microcomputer in quantitative cytochemistry. Histochemistry 1980; 68:321-3. [PMID: 7462006 DOI: 10.1007/bf00493261] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
A 32K Commodore Pet microcomputer has been interfaced with two Vickers microdensitometers. This system allows for the simultaneous logging of data from two densitometers being operated independently of each other. Software for the statistical analysis of data generated by the densitometers, and for use with the cytochemical bioassay of hormones, is described. The densitometer/Pet system is relatively cheap, reliable, and readily adaptable to other applications.
Collapse
|