Abstract
The reasons for the typical bowel dysfunction following traumatic injury are unclear. Corticotropin-releasing factor (CRF) in peripheral blood/tissue may induce intestinal barrier dysfunction via receptor-mediated mechanisms independently of the hypothalamic–pituitary–adrenal axis. This mechanism seems to involve interactions of CRF with enteric nerves and mast cells, which results in increased gut intercellular tight junction permeability to macromolecules, as well as increased epithelial cell apoptosis leading to loss of mucosal integrity. We investigated whether blood and intestinal tissue CRF is associated with postoperative gut dysfunction in shock.
Highlights
To clarify the relation between ATP and prostaglandinE2 (PGE2) in the immunologic system, we investigated the acute and chronic effects of PGE2 on activation of purinergic signaling in monocytes by measuring the ATP-induced elevation of intracellularCa2+ ([Ca]i) in fura-2-loaded THP-1 monocytes
THP-1 monocytes were grown for about 2 days
IFNγ plays a critical role in host defense by promoting Th1 phenotype and bacterial clearance
Summary
To clarify the relation between ATP and prostaglandinE2 (PGE2) in the immunologic system, we investigated the acute and chronic effects of PGE2 on activation of purinergic signaling in monocytes by measuring the ATP-induced elevation of intracellularCa2+ ([Ca]i) in fura-2-loaded THP-1 monocytes. Several experimental studies suggest that thrombolysis therapy acts directly on thrombi or emboli and enhances microcirculatory reperfusion In this retrospective study we investigated the extent of blood coagulation and fibrin formation via the plasma D-dimer level, an indicator of endogenous fibrinolytic activity, in patients who underwent inhospital and out-of-hospital cardiac arrest from nontraumatic causes. Methods MEDLINE, EMBASE, CINAHL, and the Cochrane Library were searched, and studies were included if they reported on ICU patients > 16 years old who were evaluated for CINMA clinically and electrophysiologically, and they contained sufficient data to quantitatively measure the association between CINMA and clinically relevant exposures and/or outcomes. Our aim was to evaluate the role of the cardiac markers NT-proBNP, Troponin T (TnT) and myoglobin as predictors of inhospital and 6-month all-cause mortality in patients admitted to a general adult ICU with severe sepsis/septic shock. Aging is associated with decreased cardiopulmonary and renal reserve as well as the development of progressive organ failure
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