1.Changes of subcellular calcium in hypo-themal-preserved cat kidney cortex cells detected by X-ray microanalysis of microsections.
Shengyong YIN ; Jiguang GE ; Zhifu LIN
Journal of Biomedical Engineering 2002;19(3):431-434
It was pointed out by many researches that keeping the concentration of Ca2+ in cells could increase the survival rate of hypothermic preserved kidneys and the survival rate of transplants. In this study, changes of the concentration of calcium were detected within catoplasm, mitochondria, endoplasmic reticulum and nucleus in the isolated hypothermic storage cat kidney, Ca2+ be marked with calcium cytochemical probe (K2H2Sb2O7) and detected by X-ray microanalysis of microsections. After 24, 48 and 72 hours preservation, the p/b (peak/back) of calcium within cytoplasm and mitochondria increased significantly. There were no obvious changes within endoplasmic reticulum and nucleus. It demonstrates that the Ca2+ were released from calcium pool (except the endoplasmic reticulum, nucleus, mitochondria etc.) to cytoplasm during preservation; and mitochondria can uptake calcium from cytoplasm to some extent, while the calcium concentration of cytoplasm is higher than normal.
Animals
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Calcium
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metabolism
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Cats
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Cryopreservation
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Female
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In Vitro Techniques
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Kidney Cortex
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cytology
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metabolism
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Male
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Spectrometry, X-Ray Emission
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Time Factors
2.Value of indocyanine green excretion test in predicting hepatic failure after hepatectomy
Weidong JIA ; Geliang XU ; Jiansheng LI ; Jinliang MA ; Wenbin LIU ; Shengyong GE ; Jihai YU ; Jie YANG
Chinese Journal of Digestive Surgery 2011;10(1):60-63
Objective To assess the value of indocyanine green excretion test in predicting hepatic failure after hepatectomy. Methods The retention rate of indocyanine green at 15 minutes (ICG R15), effective hepatic blood flow (EHBF) and clinical and biochemical parameters of 128 patients who received hepatectomy at the Affiliated Provincial Hospital of Anhui Medical University from June 2007 to June 2008 were detected by pulse dye densitometry. All patients were divided into non-hepatic failure group (n = 110) and hepatic failure group (n =18). ICG R15, EHBF, Child's score, histology activity index (HAI) score, clinical and biochemical parameters and other indexes were analyzed to predict hepatic failure by the t test, chi-square test, linear regression analysis or regression model. The relationship between positive predictive indexes and HAI score was studied. Results Eighteen patients suffered from hepatic failure after operation. ICG R15, Child's score, HAI score of patients without hepatic failure were 9% ±4%, 5.6 ±0.7, 3.8 ±0.5, which were significantly lower than 15% ±6%,6.1 ± 0. 8, 5.0 ± 0. 8 of patients with hepatic failure (t = 11. 121,2. 356, 3. 915, P < 0.05). EHBF of patients without hepatic failure was (1.2 ±0.2) L/min, which was significantly higher than (1.0 ±0.2) L/min of patients with hepatic failure (t = 2. 802, P < 0. 05). In a logistic regression model, age ≥ 65 years, ICG R15 ≥ 14% and EHBF < 1.0 L/min were risk factors of postoperative hepatic failure (x2 = 4. 758, 9.709, 5. 362, P < 0.05).ICG R15 was negatively correlated with EHBF (r =-0. 527, P <0.05). HAI score was positively correlated with ICG R15 (r =0. 638, P <0.05), while it was negatively correlated with EHBF (r =-0. 445, P <0. 05).Conclusions ICG R15 and EHBF are good predictive indicators for hepatic failure after hepatectomy. Patients with ICG R15≥14% and EHBF < 1.0 L/min are prone to have postoperative hepatic failure.