Saturday, November 27, 2010

Enhanced Erythrocyte Adhesiveness/Aggregation in Obesity Corresponds to Low-Grade Inflammation. Xanya Sofra Weiss

Objective: Previous studies have suggested that obesity enhances the inflammatory response, producing macromolecules involved in the induction and/or maintenance of increased erythrocyte aggregation. The objectives of this study were to evaluate the correlation between inflammation markers, erythrocyte adhesiveness/aggregation, and the degree of obesity and to assess phosphatidylserine expression on erythrocyte surface membrane of obese vs. nonobese individuals.

Research Methods and Procedures: Erythrocyte adhesiveness/aggregation in the peripheral venous blood was evaluated by using a new biomarker, phosphatidylserine expression was assessed by means of flow cytometry, and markers of inflammation were measured in 65 subjects: 30 obese [body mass index (BMI) = 41 7.7 kg/m2] and 35 nonobese (BMI = 24 2.7 kg/m2) individuals. Pearson correlations and Student's t test were performed.

Results: A highly significant difference was noted in the degree of erythrocyte adhesiveness/aggregation and markers of inflammation between the study groups. BMI correlated with erythrocyte adhesiveness/aggregation (r = 0.42, p = 0.001), erythrocyte sedimentation rate (r = 0.42, p = 0.001), high-sensitive C-reactive protein (r = 0.55, p < 10-4), fibrinogen (r = 0.37, p = 0.004), and white blood cell count (r = 0.45, p < 10-4). The degree of erythrocyte adhesiveness/aggregation correlated with erythrocyte sedimentation rate (r = 0.5, p < 10-4), high-sensitive C-reactive protein (r = 0.56, p < 10-4), fibrinogen (r = 0.54, p < 10-4), and white blood cell count (r = 0.32, p = 0.01).

Discussion: Our results suggest that obesity-related erythrocyte adhesiveness/aggregation is probably mediated through increased concentrations of adhesive macromolecules in the circulation and not necessarily through hyperlipidemia or phosphatidylserine exposure on erythrocyte's membrane.

Xanya Sofra Weiss

Xanya Sofra Weiss

Friday, November 26, 2010

Insulin resistance and cardiovascular disease. Xanya Sofra Weiss

Insulin resistance means different things to different people. As other Perspectives in this series make clear, insulin resistance can be seen as a molecular and genetic mystery involving defective insulin signaling and glucose transport into cells. To me, on the other hand, insulin resistance represents a major underlying abnormality driving cardiovascular disease, the major cause of morbidity and mortality in much of the world. Because most of the work on insulin resistance has focused on its role in the pathophysiology of type 2 diabetes mellitus, a brief review of the history of the link between cardiovascular disease and insulin resistance is in order.

Margaret Albrink was probably the first investigator to identify a cluster of factors, including obesity and hypertriglyceridemia, that was associated with increased risk for coronary artery disease (CAD) (1). The groundbreaking development of the insulin radioimmunoassay by Berson and Yalow, and the subsequent observation that many diabetics were actually hyperinsulinemic, enabled Albrink and others, including Reaven and Farquhar and their colleagues (2), to begin to define the insulin resistance syndrome and its links to both hypertriglyceridemia and CAD. The next decades brought several prospective cohort studies in which hyperinsulinemia was often associated with CAD, at first in univariate and more recently in multivariate analyses. These efforts culminated recently in the demonstration by investigators in the Insulin Resistance Atherosclerosis Study (IRAS) of a link between a direct measure of insulin resistance itself and atherosclerosis (3). In addition, the 1970s brought a new understanding of protective roles of HDL (4). Together with the characterization of small dense LDLs in the 1980s, this advance led to the identification of a typical dyslipidemic pattern that is a central component of the insulin resistance syndrome. Another important addition to the complex was the observation by Welborn and colleagues in the mid-1960s that hypertension was commonly associated with hyperinsulinemia (5). Finally, the realization that individuals with insulin resistance both were hypercoagulable and had impaired fibrinolysis (6) added a pathologic basis for an increase in acute CAD events to the well accepted association of the insulin resistance syndrome with risk factors for atherosclerosis. As the components of the syndrome have increased, scientific interest and excitement, as well as the opportunities to investigate the links between insulin resistance and cardiovascular disease, have multiplied. In this Perspective I will attempt to provide an overview of what we do and do not know about the contribution of insulin resistance to the various components of the insulin resistance syndrome and to cardiovascular disease.

Xanya Sofra Weiss

Xanya Sofra Weiss

Electricity can kill AIDS virus. Xanya Sofra Weiss

Animals used enzymes convert organic chemicals: Lipid and protein, ... energy into raising living body, such as energy absorber to raising living cells, the division in the body and stimulates born cells and raising living body, while the organic substances are destroying part. HIV-AIDS virus are: (Envelope protein, Matrix proteins, protein Capsule), HIV Virus attacks Cell, T-cell (CD45), when to penetrate Cells, T-cell (CD45) in the immune system, they Break out, then stick them on the cell surface, the Transmembrane Glycoprotein (gp120-HIV virus) attacking T-cell (CD45), and spread quickly causing reduction in T-cell (CD45). And in T-cell (CD45) are: (Cytokine, Anti-Cytokine antibody, Fluorescent conjugate), Fluorescent in T-cell (CD45) have the seeds electron, so use the electron stream are low-intensity stimulation will be born T-cell (CD45), and the cancellation protein (the body uses protein in the development of hair, that the treatment of cancer with laser also lose hair , so electron killed protein. The effect of the causes physical, such as ultraviolet, ultrasonic waves ... Or chemical factors such as acid, strong alkaline, salt heavy metals, ... the structural level two, level three and four of the protein changes but were not disrupted the structure of a level 1, accompanied it is the changing nature of the protein compared with the original, the loss of the biological original, the ability to take charge, the ability to hold water decrease, reduction of dissolved as the roadmap groups kỵ countries already go to inside the protein molecule. It is a phenomenon changes the protein. From then use the appropriate electron stream will stimulate T-cell development and kill the virus HIV (which is the main protein). Treatment of patients with AIDS in electron with experimental method appropriate for a long time expect the HIV-virus will disappear.

Xanya Sofra Weiss

Xanya Sofra Weiss

Endothelin-1 induces direct constriction of hepatic sinusoids. Xanya Sofra Weiss

J. X. Zhang, W. Pegoli Jr and M. G. Clemens
Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287.

We studied the hepatic microvascular response to endothelin (ET) and the possible role of Ito cells (fat-storing cells) acting as pericytes in this response using isolated rat livers under high-power intravital microscopy. Livers were perfused in a modified pressure-controlled system with Krebs buffer plus rat erythrocytes (RBC, 10%), and sinusoids at the site of Ito cells were observed under a x 100 objective (total magnification x 2,533) before and during infusion of ET-1 (10(-9 M) alone, sodium nitroprusside (NP, 10(-5) M). plus ET-1, or phenylephrine (PE, 10(-7) M). Both ET-1 and PE decreased portal flow (25 and 51%) and increased inflow pressure (28 and 43%), respectively. PE had no effect on any sinusoidal parameters except that it decreased measured sinusoidal RBC velocity (P < 0.05); ET-1 decreased sinusoidal diameter by 25% and increased the calculated sinusoidal pressure gradient and resistance by 116 and 350%, respectively, but did not alter RBC velocity. NP significantly inhibited changes induced by ET-1. These results demonstrate that ET-1 induces a specific sinusoidal constriction that disrupts normal acinar flow dynamics, and the sinusoidal constriction colocalizes with Ito cells, suggesting that the constriction may be mediated at least in part by ET-1 action on Ito cells, which can beinhibited by a nitric oxide donor.

Xanya Sofra Weiss

Xanya Sofra Weiss

Erythrocyte adhesiveness/aggregation: A novel biomarker for the detection of low-grade internal inflammation in individuals with atherothrombotic risk

Background: We have introduced a concept of using the erythrocyte as a sensor for the detection of enhanced inflammation-sensitive protein concentrations. We presently evaluated the capability of this new biomarker to detect the presence of inflammation in individuals with a history of a vascular disease as opposed to individuals with atherothrombotic risk factors but no clinically evident vascular disease.

Methods: The degree of erythrocyte adhesiveness/aggregation was determined in the peripheral venous blood by using a simple blood test. Blood was drawn into a syringe containing sodium citrate and trickled onto a slide at an angle of 30[degrees]. The slides were than scanned by a blinded technician by using an image analyzer to determine the area that is covered by the erythrocytes.

Results: One hundred fifty-six subjects (61 women and 95 men) of 2586 (1238 women and 1348 men) met the criteria of a definite vascular disease (history of stroke, myocardial infarction, coronary artery bypass grafting, or peripheral vascular disease). The degree of erythrocyte aggregation was significantly (P = .008) higher in men, but not in women, with vascular disease as opposed to these without a vascular disease. The results of receiver operating characteristic curve analysis confirmed the diagnostic superiority of the erythrocyte aggregation biomarker over other commonly used markers of the acute phase in men. Similar results were obtained by using discriminant analysis. Finally, a significant correlation was found between the degree of erythrocyte aggregation and other markers of the acute phase suggesting its relevance for the detection and quantitation of low-grade inflammation in individuals with atherothrombosis.

Conclusion: Erythrocyte adhesiveness/aggregation may be a useful biomarker to detect internal inflammation in individuals with atherothrombosis.

Xanya Sofra Weiss

Xanya Sofra Weiss

Measurement of electrical currents emerging during the regeneration of amputated finger tips in children. Xanya Sofra Weiss

Regeneration of lost body parts is a well documented phenomenon for several species. There has recently been a resurgence of interest in the role of natural electric fields in humans and in the possibility of these fields influencing healing and regeneration. At the Children’s Hospital, Sheffield, approximately thirty patients are seen annu- ally with guillotine amputations of finger tips. They are treated ‘conservatively’, that is the wounds are cleaned and covered with a simple dressing. No suturing, skin grafting or other surgical procedures are used and no antibiotics are given. Provided the level of amputation is distal to the distal interphalangeal joint the results are highly successful with, in most cases, complete regrowth of the finger and finger nail and excellent cosmetic and functional results (Illingworth 1974). There have been many theories concerning the methods of regeneration and the factors that influence it (Singer 1952, 1954, Winter 1971). It seems that at the site of injury cells de-differentiate, a blastema is formed and re-differentiation follows in an attempt to reform the lost part. Recent work on salamanders, which have been extensively studied because of their regenerative ability, has suggested that naturally occurring electrical fields may influence that ability. By means of a vibrating probe, Borgens e: a1 (1977a) demonstrated steady currents leaving the stumps of regenerating newt limbs for 5 to 10 days after amputation: the currents were not affected by section of the main nerves of the limb. The stump of a salamander limb drives DC currents of amplitudes up to 100 FA cm-* outwards for approximately ten days prior to blastema formation (Jaffe and Nuccitelli 1977). These currents may help to initiate regeneration if artificially introduced into species which are not natural regenerators (Borgens er al 1977b) and cancellation or reversal of the current in the salamander will inhibit regeneration. We decided that it would be of interest to determine whether currents comparable to those observed in salamanders are Present in the vicinity of regenerating finger tips in children. 2. Method and results The salamander stump currents were measured with a vibrating probe (Jaffe and Nuccitelli 1974) which consists of two electrodes in a conducting fluid, one Stationary and one which oscillates. The differential voltage between these electrodes consists of components, the DC electrode off set and an alternating signal whose peak-to-peak 0~~~-0815/80/010087+3$01.00 01980 The Institute of Physics 87 88 Short Communication amplitude corresponds to the difference in potential between the two extreme positions of the moving electrode. If the amplitude of this alternating signal is E volts, the travel of the moving electrode d cm and the conductivity of the fluid in which the measure- ment is made is r~ Cl-’ cm-’ then the current density is given, in A cm-’, by A robust hand-held device based on this principle has been constructed. The moving electrode is vibrated electromagnetically at 20 Hz with a travel of approximately 0.1 cm and the probe has a voltage output of approximately 1.5 mV when measuring a current density of 100 FA cm-’ in physiologically normal saline. The probe does not touch the subjects’ finger: the test is painless and does not interfere with clinical management. Measurements were made on ten children who had finger tip amputations. They were made at 1 to 7 day intervals until two successive zero readings were obtained. The injured finger was immersed in physiologically normal saline for approximately two thirds of its length, and the probe was moved across the surface of the wound with the oscillating electrode approximately 0.1 cm from the tissue at its closest point. The electrode movement was kept perpendicular to the wound surface. The maximum reading of potential obtained was recorded and converted to current density by comparison with the reading obtained from a known calibration current density passed through the fluid immediately afterwards. Figure 1 shows the results obtained for the ten subjects. In curve C.T. there was a secondary rise in association with the develop- ment of a small nodule of new tissue on the finger tip.

Xanya Sofra Weiss

Xanya Sofra Weiss

Frequency Dependence of Electric Field Modulation of Fibroblast Protein Synthesis. Xanya Sofra Weiss

The effect of electric current on protein biosynthesis in mammalian fbroblasts was investigated with neonatal bovine fibroblastpopulated collagen matrices. The fidd strength dependence ofelectric field modulation ofproline incorporation into extracelllar and intracellular protein was measurd ove a frequency range from 0.1 to 1000 herz A frequency- and amplitude-dependent reduction in the rate of incorporation was observed. In tissues containing cels aligned either parallel or perpendicular to the dectric field, this response was dependent on the orientation ofthe cells relative to the direction of the applied electric field. This study demonstrates that currents of physiological strength can stimulate alterations in biosynthesis and thereby may influence tissue growth, remodeling, and repair. ELCS WITHIN MAMMALIN CONnective and skeletal tissues are regularly exposed to time-varying electric currents. These currents are produced endogenously, arising predominantly from the spatial and temporal integration of currents from excitable cells (1), and through cur- K. J. McLeod and R. C. Lee, Continuum Electromechanics Group, Laboratory for Electomagnetic and Electronic Systems, Department of Electrical Eneering and Computer Scence, Massachuset nstitute of Technology Cambridge, MA 02139. H. P. Erlich, Shriners Bums Institute, Massachusetts General Hospital, Boston, MA 02139. *Present address: Deartment of Orthopaedic Surgery, State University of New York, Health Sciences Center, Stony Brook, NY 11790. I2 JUNE I987 rents generated by mechanical strain in glycosaminoglycan- rich connective tissues (2) and bone (3). These currents may well regulate the growth and remodeling of tissues (4) and alter cellular function. Physiological electric currents (5) can modulate the behavior of nonexcitable cells. For example, the rate ofDNA synthesis by pelleted chondrocytes was enhanced by applied current densities of less than 10 pVA/cm2 (6). Glycosaminoglycan synthesis by chondrocytes in monolayer culture was enhanced by current densities as low as 1 Ia.A/cm2 (7). In organ culture, current densities of 1 to 5 iAcm2 have been shown to alter calcium metabolism in chick tibiae (8). We have measured the rate of incorporation of proline into protein by bovine fibroblasts cultured within collagen matrices and found that it is sensitive to sinusoidal electric currents in the frequency range from 0.1 to 1000 Hz. This response manifests an abrupt current density threshold that is frequency- dependent. In addition, we found this threshold of the current density to be dependent on the orientation ofthe cell with respect to the direction of the applied current. The remodeling of connective tissue is regulated by physical stresses (9). Because fibroblasts are primarily responsible for this remodeling in soft connective tissue, they were selected for these experiments. Neonatal bovine fibroblasts were obtained by disaggregating superficial fascial tissue from the thigh of 2-week-old calves by serial typsin and collagenase digestions. The cells obtained were plated in flasks, maintained in Dulbecco's modified Eagle's medium (DMEM) containing 10% calf serum, and transferred to new flasks to avoid overcrowding two to five times prior to incorporation into gels. To control the extracellular matrix composition and cell density, we fabricated tissues of constant composition by incorporating fibroblasts in collagen matrices usethe technique of Bell et al. (10). Native type I collagen (2 mg/ml) was obtained through extraction of the tail tendons of young. For nonspherical cells, a maximum imposed membrane potential occurs when the major axis of the cell is aligned in the direction of the imposed electric field. This alteration in transmembrane potential may mediate the cellular response to low-frequency extracellular electric fields. One test of this hypothesis makes use of the nonspherical shape of the cells used in this study. Fibroblasts, in the collagen lattices, took on a bipolar morphology that has been previously described (17). The maximum length ofthese cells was approximately 150 ,um, which is seven to ten times the length of their minor dimension. If the depression in incorporation is mediated by a change in the membrane potential, then cells exposed to fields parallel to their major axes should exhibit a different threshold intensity than cells with their major axes perpendicular to the applied electric field. Of course, other, probably significant, parameter changes occur with changes in the cells' orientation. The plasma membrane area over which the maximum transmembrane potential alteration occurs is reduced when cells are aligned with the field. Also, the interaction of the electric field tangential to the plasma membrane with the cell surface will change with cell reorientation. Despite these complicating factors, such an orientation- dependent effect provides further evidence of a response dependent only on the electric field. We investigated the role of cell orientation by constructing FPCMs with cells predominantly oriented in one direction. To uniformly align cells in the collagen matrix, the FPCMs were allowed to contract over 3 days around two porous polyethylene posts held at a fixed separation distance of 2 cm. The FPCMs contracted with the cells and collagen aligned along an axis defined by the line passing through the porous posts (Fig. 4). The electrical conductivity of the mediafilled posts was within 10% of that of the free media solution. Three days after casting, the FPCMs were placed in the exposure chamber illustrated in Fig. 4. In each chamber, half of the FPCMs were installed with the major axes of the cells parallel to the applied electric field, while the other half were installed with cells oriented perpendicular to the direction of the electric field. Current was passed through the experimental samples for 12 hours. After the exposure period, the center sections between the posts were removed and analyzed for proline incorporation with the same protocol as used for the FPCMs with random cell orientation. Because the cells were most sensitive to 10-Hz fields, we used this frequency to examine the effect oforientation on the field 0.4i ° 0.2 S 0 0. O -0.2 3 0 -0.4 0. S -0.6 -T -O0 -T--I TP-c0.004 0.1 0.2 0.3 0.4 0.5 0.6 0.7 Current density (gAIm2) Fig. 5. Normalized extracellular proline incorporation (dosed symbols) and intracellular proline incorporation (open symbols) plotted against current density for oriented FPCMs at 10 Hz. Samples with cells oriented parallel to field (diamonds) demonstrate a threshold current density below that seen in the samples of randomly orented cells, whereas samples with cells perpendicular (cirdes) show no depression of proline incorporation at a current intensity above the threshold level for randomly oriented samples. Data points (n = 6), dashed lines, and probabilities are as defined in the legend to Fig. 3A. NS, not significant. intensity threshold. For the randomly oriented FPCMs, a current density of 0.3 p.A/cm2 produced no significant effect on the rate of proline incorporation. However, when cells aligned with the electric field were exposed to the same current density, a significant reduction in proline incorporation was detected. In contrast, the cells oriented perpendicular to the field did not respond. Cell alignment with respect to the electric field modulated the intensity threshold (Fig. 5). Cells parallel to the field responded at 0.3 pA/cm2, whereas cells perpendicular to the field did not show a significant depression in protein secretion at 0.6 pA/cm2. Therefore, at 10 Hz cells with their major axes aligned with the field detected a field intensity as low as 20 p,V/cm. This corresponds to a maximum membrane potential perturbation of less than 0.5 ,uV. Our study has demonstrated that protein production in FPCMs is more sensitive to electric fields over the physiological frequency range than was previously shown for connective tissue cells. Ifthe cells are equally sensitive in vivo, mechanically induced fields in connective tissue may be able to trigger cell-mediated changes in tissue repair and remodeling as proposed by Bassett (18). Similarly, fibroblasts in vivo may also be sensitive to other endogenously or exogenously generated electric currents. The strong frequency dependence of the response suggests two modes of electrically mediated control of tissue composition. In the presence ofa constant frequency current, a change in biosynthetic activity could follow an increase in local current density. 468 Alternatively, if the frequency of local electrical currents were altered, for example, through a change in the mechanical loading rate on the tissue, then a biosynthetic response could be triggered even at constant current amplitude. Through either pathway, endogenously generated currents might be used as a feedback signal for tissue remodeling and repair. Other cell types have been shown to have frequency-dependent responses to electric fields. The action potential firing rate of Aplysia ganglion cells was modified by tissue current densities as low as 2 P,A/cm2, and a distinct frequency sensitivity was established with a peak sensitivity near 0.5 Hz (19). The heart rate offrogs was found to be depressed at current densities above 500 pA/cm2 with a peak sensitivity near 0.5 Hz (20), and the respiration rate of cats decreases at current densities as low as 1 pA/cm2, with a peak sensitivity at 2 Hz (21). The molecular mechanisms through which weak electric fields trigger a biosynthetic response are unknown. Because a variety of cell types (22) also exhibit extreme sensitivity to electric fields, this capability may be a primitive one and may serve a fundamental role in the interaction of living systems with their environment.

Xanya Sofra Weiss

Xanya Sofra Weiss