Red Blood Cell Homeostasis: Pharmacological Interventions to Explore Biochemical, Morphological and Mechanical Properties.

Duringtheirpassagethroughthecirculation,redbloodcells(RBCs)encounterseverephysiologicalconditionsconsistingofmechanicalstress,oxidativedamageandfastchangesinionicandosmoticconditions.Inordertosurvivefor120days,RBCsadapttotheirsurroundingsbysubtleregulationofmembraneorganizationandmetabolism.RBChomeostasisdependsoninteractionsbetweentheintegralmembraneproteinband3withothermembraneandcytoskeletalproteins,andwithkeyenzymesofvariousmetabolicpathways.Theseinteractionsareregulatedbythebindingofdeoxyhemoglobintoband3,andbyasignalingnetworkrevolvingaroundLynkinaseandSrcfamilykinase-mediatedphosphorylationofband3.Hereweshowthatmanipulationoftheinteractionbetweenthelipidbilayerandthecytoskeleton,usingvariouspharmacologicalagentsthatinterferewithprotein-proteininteractionsandmembranelipidorganization,hasvariouseffectson:(1)morphology,asshownbyhighresolutionmicroscopyandquantitativeimageanalysis;(2)organizationofmembraneproteins,asindicatedbyimmunofluorescenceconfocalmicroscopyandquantitativeaswellasqualitativeanalysisofvesiclegeneration;(3)membranelipidorganization,asindicatedbyflowcytometricanalysisofphosphatidylserineexposure;(4)deformability,asassessedincapillary-mimickingcircumstancesusingamicrofluidicssystem;(5)deformabilityasdeterminedusingaspleen-mimickingdevice;(6)metabolicactivityasindicatedbymetabolomics.Ourdatashowthatthereisacomplexrelationshipbetweenredcellmorphology,membraneorganizationanddeformability.Also,ourdatashowthatredbloodcellshavearelativelyhighresistancetodisturbanceofmembraneorganizationinvitro,whichmayreflecttheircapacitytowithstandmechanical,oxidativeandosmoticstressinvivo

The Dutch Idiopathic Ventricular Fibrillation Registry: progress report on the quest to identify the unidentifiable

Background: Idiopathic ventricular fibrillation (iVF) is a rare cause of sudden cardiac arrest and, by definition, a diagnosis of exclusion. Due to the rarity of the disease, previous and current studies are limited by their retrospective design and small patient numbers. Even though the incidence of iVF has declined owing to the identification of new disease entities, an important subgroup of patients remains. Aim: To expand the existing Dutch iVF Registry into a large nationwide cohort of patients initially diagnosed with iVF, to reveal the underlying cause of iVF in these patients, and to improve arrhythmia management. Methods: The Dutch iVF Registry includes sudden cardiac arrest survivors with an initial diagnosis of iVF. Clinical data and outcomes are collected. Outcomes include subsequent detection of a diagnosis other than ‘idiopathic’, arrhythmia recurrence and death. Non-invasive electrocardiographic imaging is used to investigate electropathological substrates and triggers of VF. Results: To date, 432 patients have been included in the registry (median age at event 40 years (interquartile range 28–52)), 61% male. During a median follow-up of 6 (2–12) years, 38 patients (9%) received a diagnosis other than ‘idiopathic’. Eleven iVF patients were characterised with electrocardiographic imaging. Conclusion: The Dutch iVF Registry is currently the largest of its kind worldwide. In this heterogeneous population of index patients, we aim to identify common functional denominators associated with iVF. With the implementation of non-invasive electrocardiographic imaging and other diagnostic modalities (e.g. echocardiographic deformation, cardiac magnetic resonance), we advance the possibilities to reveal pro-fibrillatory substrates

An investigation of the phase locking index for measuring of interdependency of cortical source signals recorded in the EEG

The phase locking index (PLI) was introduced to quantify in a statistical sense the phase synchronization of two signals. It has been commonly used to process biosignals. In this article, we investigate the PLI for measuring the interdependency of cortical source signals (CSSs) recorded in the Electroencephalogram (EEG). To this end, we consider simple analytical models for the mapping of simulated CSSs into the EEG. For these models, the PLI is investigated analytically and through numerical simulations. An evaluation is made of the sensitivity of the PLI to the amount of crosstalk between the sources through biological tissues of the head. It is found that the PLI is a useful interdependency measure for CSSs, especially when the amount of crosstalk is small. Another common interdependency measure is the coherence. A direct comparison of both measures has not been made in the literature so far. We assess the performance of the PLI and coherence for estimation and detection purposes based on, respectively, a normalized variance and a novel statistical measure termed contrast. Based on these performance measures, it is found that the PLI is similar or better than the CM in most cases. This result is also confirmed through analysis of EEGs recorded from epileptic patients

Age sensitivity of NFkappaB abundance and programmed cell death in erythrocytes induced by NFkappaB inhibitors

Contains fulltext : 125210.pdf (publisher's version ) (Open Access)BACKGROUND/AIMS: Erythrocytes may enter eryptosis, a suicidal death characterized by cell shrinkage and phosphatidylserine exposure at the erythrocyte outer membrane. Susceptibility to eryptosis is enhanced in aged erythrocytes and stimulated by NFkappaB-inhibitors Bay 11-7082 and parthenolide. Here we explored whether expression of NFkappaB and susceptibility to inhibitor-induced eryptosis is sensitive to erythrocyte age. METHODS: Human erythrocytes were separated into five fractions, based on age-associated characteristics cell density and volume. NFkappaB compared to ss-actin protein abundance was estimated by Western blotting and cell volume from forward scatter. Phosphatidylserine exposure was identified using annexin-V binding. RESULTS: NFkappaB was most abundant in young erythrocytes but virtually absent in aged erythrocytes. A 24h or 48h exposure to Ringer resulted in spontaneous decrease of forward scatter and increase of annexin V binding, effects more pronounced in aged than in young erythrocytes. Both, Bay 11-7082 (20 microM) and parthenolide (100 microM) triggered eryptosis, effects again most pronounced in aged erythrocytes. CONCLUSION: NFkappaB protein abundance is lowest and spontaneous eryptosis as well as susceptibility to Bay 11-7082 and parthenolide highest in aged erythrocytes. Thus, inhibition of NFkappaB signalling alone is not responsible for the stimulation of eryptosis by parthenolide or Bay 11-7082

EEG source localization in full-term newborns with hypoxic-ischemia

The aim of this study was to evaluate EEG source localization by standardized weighted low-resolution brain electromagnetic tomography (swLORETA) for monitoring of fullterm newborns with hypoxic-ischemic encephalopathy, using a standard anatomic head model. Three representative examples of neonatal hypoxic-ischemia were included. The method was validated with MRI data. Hypoxic-ischemic areas, visible on MRI, correlated well with swLORETA current density distributions. In addition, neonatal seizure activity may be localized. The calculated current density distributions provide easy-to-interpret localized information about neonatal brain function, which may enable detailed longitudinal monitoring and potential assessment of treatment efficacy