6 results on '"Hong, Fangxiao"'
Search Results
2. Hypertonic Saline for Brain Relaxation and Intracranial Pressure in Patients Undergoing Neurosurgical Procedures: A Meta-Analysis of Randomized Controlled Trials.
- Author
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Shao, Liujiazi, Hong, Fangxiao, Zou, Yi, Hao, Xiaofang, Hou, Haijun, and Tian, Ming
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NEUROSURGERY , *HYPERTONIC solutions , *INTRACRANIAL pressure , *BRAIN diseases , *RANDOMIZED controlled trials , *META-analysis , *PATIENTS - Abstract
Background: A wealth of evidence from randomized controlled trials (RCTs) has indicated that hypertonic saline (HS) is at least as effective as, if not better than, mannitol in the treatment of increased intracranial pressure(ICP). However, there is little known about the effects of HS in patients during neurosurgery. Thus, this meta-analysis was performed to compare the intraoperative effects of HS with mannitol in patients undergoing craniotomy. Methods: According to the research strategy, we searched PUBMED, EMBASE and Cochrane Central Register of Controlled Trials. Other sources such as the internet-based clinical trial registries and conference proceedings were also searched. After literature searching, two investigators independently performed literature screening, quality assessment of the included trials and data extraction. The outcomes included intraoperative brain relaxation, intraoperative ICP, total volume of fluid required, diuresis, hemodynamic parameters, electrolyte level, mortality or dependence and adverse events. Results: Seven RCTs with 468 participants were included. The quality of the included trials was acceptable. HS could significantly increase the odds of satisfactory intraoperative brain relaxation (OR: 2.25, 95% CI: 1.32–3.81; P = 0.003) and decrease the mean difference (MD) of maximal ICP (MD: −2.51mmHg, 95% CI: −3.39—1.93mmHg; P<0.00001) in comparison with mannitol with no significant heterogeneity among the study results. Compared with HS, mannitol had a more prominent diuretic effect. And patients treated with HS had significantly higher serum sodium than mannitol-treated patients. Conclusions: Considering that robust outcome measures are absent because brain relaxation and ICP can be influenced by several factors except for the hyperosmotic agents, the results of present meta-analysis should be interpreted with cautions. Well-designed RCTs in the future are needed to further test the present results, identify the impact of HS on the clinically relevant outcomes and explore the potential mechanisms of HS. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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3. Role of store-operated calcium channels and calcium sensitization in normoxic contraction of the ductus arteriosus.
- Author
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Hong Z, Hong F, Olschewski A, Cabrera JA, Varghese A, Nelson DP, Weir EK, Hong, Zhigang, Hong, Fangxiao, Olschewski, Andrea, Cabrera, Jesus A, Varghese, Anthony, Nelson, Daniel P, and Weir, E Kenneth
- Published
- 2006
4. Low potassium dextran lung preservation solution reduces reactive oxygen species production.
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Kelly, Rosemary F., Murar, Jozef, Hong, Zhigang, Nelson, Daniel P., Hong, Fangxiao, Varghese, Anthony, and Weir, E. Kenneth
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DEXTRAN ,POTASSIUM ,SMOOTH muscle ,LUNGS - Abstract
: BackgroundLow potassium dextran lung preservation solution has reduced primary graft failure in animal and human studies. Though the mechanism of reducing primary graft failure is unknown, low potassium dextran differs most significantly from solutions such as Euro-Collins (EC) and University of Wisconsin in its potassium concentration. The aim of this study was to investigate the impact that potassium concentration in lung preservation solutions had on pulmonary arterial smooth muscle cell depolarization and production of reactive oxygen species.: MethodsUsing isolated pulmonary artery smooth muscle cells from Sprague-Dawley rats, the patch-clamp technique was used to measure resting cellular membrane potential and whole cell potassium current. Measurements were recorded at base line and after exposure to low potassium dextran, EC, and University of Wisconsin solutions. Pulmonary arteries from rats were isolated from the main pulmonary artery to the fourth segmental branch. Arteries were placed into vials containing low potassium dextran, EC, low potassium EC, Celsior, and University of Wisconsin solutions with reactive oxygen species measured by lucigenin-enhanced chemiluminescence.: ResultsPulmonary artery smooth muscle cell membrane potentials had a significant depolarization when placed in the University of Wisconsin or EC solutions, with changes probably related to inhibition of voltage-gated potassium channels. Low potassium dextran solution did not alter the membrane potential. Production of reactive oxygen species as measured by chemiluminescence was significantly higher when pulmonary arteries were exposed to University of Wisconsin or EC solutions (51,289 ± 5,615 and 35,702 ± 4353 counts/0.1 minute, respectively) compared with low potassium dextran, Celsior, and low potassium EC (12,537 ± 3623, 13,717 ± 3,844 and 15,187 ± 3,792 counts/0.1 minute, respectively).: ConclusionsPreservation solutions with high potassium concentration are clearly able to depolarize the pulmonary artery smooth muscle cells and increase pulmonary artery reactive oxygen species production. Low potassium preservations solutions may limit reactive oxygen species production and thus reduce the incidence of primary graft failure in lung transplantation. [Copyright &y& Elsevier]
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- 2003
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5. Increased Neuroligin 2 Levels in the Postsynaptic Membrane in Spinal Dorsal Horn may Contribute to Postoperative Pain.
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Guo, Ruijuan, Li, Huili, Li, Xueyang, Sun, Yuqing, Miao, Huihui, Ma, Danxu, Hong, Fangxiao, Zhang, Ye, Guan, Yun, Li, Junfa, Tian, Ming, and Wang, Yun
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CELL adhesion molecules , *SYNAPSES , *PROTEIN-protein interactions , *POSTOPERATIVE pain , *IMMUNOFLUORESCENCE , *IMMUNOPRECIPITATION - Abstract
Neuroligin 2 is a synaptic cell adhesion molecule that is mainly located in inhibitory synapses and is crucial in the regulation of synapse function through protein–protein interactions. However, researchers have not clearly determined whether neuroligin 2 is involved in the development of postoperative pain. In the current study, Western blot, immunofluorescence staining and co-immunoprecipitation were used to examine the critical role of neuroligin 2 in postoperative pain hypersensitivity. A small interfering ribonucleic acid (siRNA)-targeting neuroligin 2 was used to inhibit neuroligin 2 expression. Our data found that plantar incision induced postoperative pain hypersensitivity, which was characterized by paw withdrawal threshold and cumulative pain score. The upregulation of neuroligin 2 and GluR1 expression in the postsynaptic membranes of ipsilateral spinal dorsal horn was observed at 3 h and 1 day after plantar incision. Additionally, at 3 h after plantar incision, the amount of PSD-95 that was co-immunoprecipitated with neuroligin 2 antibody was significantly increased in the ipsilateral dorsal horn, as compared to that of the control group. Intrathecal pretreatment of siRNA-targeting neuroligin 2 to reduce the neuroligin 2 expression in the spinal cord significantly inhibited the pain hypersensitivity and reduced the synaptic targeting of GluR1 in ipsilateral dorsal horns. Our study indicates that the incision-induced interaction between neuroligin 2 and PSD-95 and subsequent synaptic targeting of GluR1 in ipsilateral dorsal horns contribute to postoperative pain hypersensitivity. [ABSTRACT FROM AUTHOR]
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- 2018
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6. Nordexfenfluramine causes more severe pulmonary vasoconstriction than dexfenfluramine.
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Hong Z, Olschewski A, Reeve HL, Nelson DP, Hong F, and Weir EK
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- Animals, Calcium metabolism, In Vitro Techniques, Lung blood supply, Lung metabolism, Male, Membrane Potentials drug effects, Patch-Clamp Techniques, Perfusion, Potassium Channels metabolism, Rats, Rats, Sprague-Dawley, Receptors, Serotonin, 5-HT2 metabolism, Sarcoplasmic Reticulum metabolism, Vasoconstriction drug effects, Dexfenfluramine pharmacology, Norfenfluramine pharmacology, Pulmonary Circulation drug effects, Serotonin Agents pharmacology, Serotonin Receptor Agonists pharmacology
- Abstract
The anorectic agent dexfenfluramine (dex) causes the development of primary pulmonary hypertension in susceptible patients by an unknown mechanism. We compared the effects of dex with those of its major metabolite, nordexfenfluamine (nordex), in the isolated perfused rat lung and in isolated rings of resistance pulmonary arteries. Nordex caused a dose-dependent and more intense vasoconstriction, which can be inhibited by the nonspecific 5-hydroxytryptamine type 2 (5-HT(2)) blocker ketanserin. Similarly a rise in cytosolic calcium concentration ([Ca(2+)](i)) in dispersed pulmonary artery smooth muscle cells (PASMCs) induced by nordex could be prevented by ketanserin. Unlike prior observations with dex, nordex did not inhibit K(+) current or cause depolarization in PASMCs. Removal of Ca(2+) from the tissue bath or addition of nifedipine (1 microM) reduced ring contraction to nordex by 60 +/- 9 and 63 +/- 4%, respectively. The addition of 2-aminoethoxydiphenyl borate (2-APB), a blocker of store-operated channels and the inositol 1,4,5-trisphosphate receptor, caused a dose-dependent decrease in the ring contraction elicited by nordex. The combination of 2-APB (10 microM) and nifedipine (1 microM) completely ablated the nordex contraction. Likewise the release of Ca(2+) from the sarcoplasmic reticulum by cyclopiazonic acid markedly reduced the nordex contraction while leaving the KCl contraction unchanged. We conclude that nordex may be responsible for much of the vasoconstriction stimulated by dex, through the activation of 5-HT(2) receptors and that the [Ca(2+)](i) increase in rat PASMCs caused by dex/nordex is due to both influx of extracellular Ca(2+) and release of Ca(2+) from the sarcoplasmic reticulum.
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- 2004
- Full Text
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