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Wick C, Moghadasi SA, Becker JT, Fanunza E, Oh S, Bournique E, Buisson R, Harris RS. Mitochondrial double-stranded RNA triggers induction of the antiviral DNA deaminase APOBEC3A and nuclear DNA damage. J Biol Chem 2023; 299:105073. [PMID: 37474103 PMCID: PMC10457583 DOI: 10.1016/j.jbc.2023.105073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 06/27/2023] [Accepted: 06/28/2023] [Indexed: 07/22/2023] Open
Abstract
APOBEC3A is an antiviral DNA deaminase often induced by virus infection. APOBEC3A is also a source of cancer mutation in viral and nonviral tumor types. It is therefore critical to identify factors responsible for APOBEC3A upregulation. Here, we test the hypothesis that leaked mitochondrial (mt) double-stranded (ds)RNA is recognized as foreign nucleic acid, which triggers innate immune signaling, APOBEC3A upregulation, and DNA damage. Knockdown of an enzyme responsible for degrading mtdsRNA, the exoribonuclease polynucleotide phosphorylase, results in mtdsRNA leakage into the cytosol and induction of APOBEC3A expression. APOBEC3A upregulation by cytoplasmic mtdsRNA requires RIG-I, MAVS, and STAT2 and is likely part of a broader type I interferon response. Importantly, although mtdsRNA-induced APOBEC3A appears cytoplasmic by subcellular fractionation experiments, its induction triggers an overt DNA damage response characterized by elevated nuclear γ-H2AX staining. Thus, mtdsRNA dysregulation may induce APOBEC3A and contribute to observed genomic instability and mutation signatures in cancer.
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Affiliation(s)
- Chloe Wick
- Department of Biochemistry, Molecular Biology and Biophysics, University of Minnesota, Minneapolis, Minnesota, USA
| | - Seyed Arad Moghadasi
- Department of Biochemistry, Molecular Biology and Biophysics, University of Minnesota, Minneapolis, Minnesota, USA
| | - Jordan T Becker
- Department of Biochemistry, Molecular Biology and Biophysics, University of Minnesota, Minneapolis, Minnesota, USA
| | - Elisa Fanunza
- Department of Biochemistry and Structural Biology, University of Texas Health San Antonio, San Antonio, Texas, USA; Department of Life and Environmental Sciences, University of Cagliari, Cittadella Universitaria di Monserrato, Monserrato, Cagliari, Italy
| | - Sunwoo Oh
- Department of Biological Chemistry, School of Medicine, University of California Irvine, Irvine, California, USA; Center for Epigenetics and Metabolism, Chao Family Comprehensive Cancer Center, University of California Irvine, Irvine, California, USA
| | - Elodie Bournique
- Department of Biological Chemistry, School of Medicine, University of California Irvine, Irvine, California, USA; Center for Epigenetics and Metabolism, Chao Family Comprehensive Cancer Center, University of California Irvine, Irvine, California, USA
| | - Rémi Buisson
- Department of Biological Chemistry, School of Medicine, University of California Irvine, Irvine, California, USA; Center for Epigenetics and Metabolism, Chao Family Comprehensive Cancer Center, University of California Irvine, Irvine, California, USA
| | - Reuben S Harris
- Department of Biochemistry, Molecular Biology and Biophysics, University of Minnesota, Minneapolis, Minnesota, USA; Department of Biochemistry and Structural Biology, University of Texas Health San Antonio, San Antonio, Texas, USA; Howard Hughes Medical Institute, University of Texas Health San Antonio, San Antonio, Texas, USA.
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Abstract
The main protease, Mpro, of SARS-CoV-2 is required to cleave the viral polyprotein into precise functional units for virus replication and pathogenesis. Here we demonstrate a quantitative reporter for Mpro function in living cells, in which protease inhibition by genetic or chemical methods results in strong eGFP fluorescence. This robust gain-of-function system readily distinguishes between inhibitor potencies and can be scaled-up to high-throughput platforms for drug testing.
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3
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Booth TN, Wick C, Clarke R, Kutz JW, Medina M, Gorsage D, Xi Y, Isaacson B. Evaluation of the Normal Cochlear Second Interscalar Ridge Angle and Depth on 3D T2-Weighted Images: A Tool for the Diagnosis of Scala Communis and Incomplete Partition Type II. AJNR Am J Neuroradiol 2018; 39:923-927. [PMID: 29545247 DOI: 10.3174/ajnr.a5585] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2017] [Accepted: 01/12/2018] [Indexed: 01/23/2023]
Abstract
BACKGROUND AND PURPOSE Cochlear malformations may be be subtle on imaging studies. The purpose of this study was to evaluate the angle and depth of the lateral second interscalar ridge or notch in ears without sensorineural hearing loss (normal ears) and compare them with ears that have a documented incomplete type II partition malformation. MATERIALS AND METHODS The second interscalar ridge notch angle and depth were measured on MR imaging in normal ears by a single experienced neuroradiologist. The images of normal and incomplete partition II malformation ears were then randomly mixed for 2 novice evaluators to measure both the second interscalar ridge notch angle and depth in a blinded manner. For the mixed group, interobserver agreement was calculated, normal and abnormal ear measurements were compared, and receiver operating characteristic curves were generated. RESULTS The 94 normal ears had a mean second interscalar ridge angle of 80.86° ± 11.4° and depth of 0.54 ± 0.14 mm with the 98th percentile for an angle of 101° and a depth of 0.3 mm. In the mixed group, agreement between the 2 readers was excellent, with significant differences for angle and depth found between normal and incomplete partition type II ears for angle and depth on average (P < .001). Receiver operating characteristic cutoffs for delineating normal from abnormal ears were similar for both readers (depth, 0.31/0.34 mm; angle, 114°/104°). CONCLUSIONS A measured angle of >114° and a depth of the second interscalar ridge notch of ≤0.31 mm suggest the diagnosis of incomplete partition type II malformation and scala communis. These measurements can be accurately made by novice readers.
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Affiliation(s)
- T N Booth
- From the Departments of Radiology (T.N.B., R.C., D.G.)
| | - C Wick
- Otolaryngology (C.W., J.W.K., M.M., B.I.), Children's Medical Center of Dallas, University of Texas Southwestern Medical Center, Dallas, Texas
| | - R Clarke
- From the Departments of Radiology (T.N.B., R.C., D.G.)
| | - J W Kutz
- Otolaryngology (C.W., J.W.K., M.M., B.I.), Children's Medical Center of Dallas, University of Texas Southwestern Medical Center, Dallas, Texas
| | - M Medina
- Otolaryngology (C.W., J.W.K., M.M., B.I.), Children's Medical Center of Dallas, University of Texas Southwestern Medical Center, Dallas, Texas
| | - D Gorsage
- From the Departments of Radiology (T.N.B., R.C., D.G.)
| | - Y Xi
- Department of Radiology (Y.X.), University of Texas Southwestern Medical Center, Dallas, Texas
| | - B Isaacson
- Otolaryngology (C.W., J.W.K., M.M., B.I.), Children's Medical Center of Dallas, University of Texas Southwestern Medical Center, Dallas, Texas
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Lu X, Tang Q, Lindroos E, Lindh M, Agerberth B, Lundberg I, Wick C. SAT0187 The Antimicrobial Peptide LL-37 and Type I Interferon in Idiopathic Inflammatory Myopathies. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.5559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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5
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Steel A, Ansaripour A, Collett S, Wick C, Wagih S, Bakhai A. Unmet Needs And Solutions For Heart Failure Admission. Value Health 2014; 17:A494. [PMID: 27201476 DOI: 10.1016/j.jval.2014.08.1468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- A Steel
- Barnet & Chase Farm Hospitals NHS Trust, London, UK
| | - A Ansaripour
- Barnet & Chase Farm Hospitals NHS Trust, London, UK
| | - S Collett
- Barnet & Chase Farm Hospitals NHS Trust, London, UK
| | - C Wick
- Barnet & Chase Farm Hospitals NHS Trust, London, UK
| | - S Wagih
- Barnet & Chase Farm Hospitals NHS Trust, London, UK
| | - A Bakhai
- Barnet & Chase Farm Hospitals NHS Trust, London, UK
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6
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Schenk P, Siebert T, Hiepe P, Güllmar D, Reichenbach JR, Wick C, Blickhan R, Böl M. Determination of three-dimensional muscle architectures: validation of the DTI-based fiber tractography method by manual digitization. J Anat 2013; 223:61-8. [PMID: 23678961 DOI: 10.1111/joa.12062] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/22/2013] [Indexed: 11/29/2022] Open
Abstract
In the last decade, diffusion tensor imaging (DTI) has been used increasingly to investigate three-dimensional (3D) muscle architectures. So far there is no study that has proved the validity of this method to determine fascicle lengths and pennation angles within a whole muscle. To verify the DTI method, fascicle lengths of m. soleus as well as their pennation angles have been measured using two different methods. First, the 3D muscle architecture was analyzed in vivo applying the DTI method with subsequent deterministic fiber tractography. In a second step, the muscle architecture of the same muscle was analyzed using a standard manual digitization system (MicroScribe MLX). Comparing both methods, we found differences for the median pennation angles (P < 0.001) but not for the median fascicle lengths (P = 0.216). Despite the statistical results, we conclude that the DTI method is appropriate to determine the global fiber orientation. The difference in median pennation angles determined with both methods is only about 1.2° (median pennation angle of MicroScribe: 9.7°; DTI: 8.5°) and probably has no practical relevance for muscle simulation studies. Determining fascicle lengths requires additional restriction and further development of the DTI method.
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Affiliation(s)
- P Schenk
- Institute of Motion Science, Friedrich Schiller University, Jena, Germany.
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Granacher U, Wick C, Rueck N, Esposito C, Roth R, Zahner L. Promoting Balance and Strength in the Middle-Aged Workforce. Int J Sports Med 2010; 32:35-44. [DOI: 10.1055/s-0030-1267214] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Hirlinger W, Wick C, Stodtmeister R. Vergleichende Untersuchung zum Verhalten des intraokularen Druckes unter Narkoseeinleitung mit Diazepam und Midazolam. Anasthesiol Intensivmed Notfallmed Schmerzther 2008. [DOI: 10.1055/s-2007-1002491] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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9
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Wick C, Egger M, Trelle S, Jüni P, Fey MF. The characteristics of unsolicited clinical oncology literature provided by pharmaceutical industry. Ann Oncol 2007; 18:1580-2. [PMID: 17761713 DOI: 10.1093/annonc/mdm402] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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10
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Abstract
The activity of chymosin, plasmin, and Lactococcus lactis enzymes (cell envelope proteinase, intracellular peptidases, and glycolytic enzymes) were determined after 5-min exposures to pressures up to 800 MPa. Plasmin was unaffected by any pressure treatment. Chymosin activity was unaffected up to 400 MPa and decreased at 500 to 800 MPa. Fifty percent of control chymosin activity remained after the 800 MPa treatment. The lactococcal cell envelope proteinase (CEP) and intracellular peptidase activities were monitored in cell extracts of pressure-treated cells. A pressure of 100 MPa increased the CEP activity, whereas 200 MPa had no effect. At 300 MPa, CEP activity was reduced, and 400 to 800 MPa inactivated the enzyme. X-Prolyl-dipeptidyl aminopeptidase was insensitive to 5-min pressure treatments of 100 to 300 MPa, but was inactivated at 400 to 800 MPa. Aminopeptidase N was unaffected by 100 and 200 MPa. However, 300 MPa significantly reduced its activity, and 400 to 800 MPa inactivated it. Aminopeptidase C activity increased with increasing pressures up to 700 MPa. High pressure did not affect aminopeptidase A activity at any level. Hydrolysis of Lys-Ala-p-NA doubled after 300-MPa exposure, and was eliminated at 400 to 800 MPa. Glycolytic enzyme activities of pressure-treated cells were evaluated collectively by determining the titratable acidity as lactic acid produced by cell extracts in the presence of glucose. The titratable acidities produced by the 100 and 200 MPa samples were slightly increased compared to the control. At 300 to 800 MPa, no significant acid production was observed. These data demonstrate that high pressure causes no effect, activation, or inactivation of proteolytic and glycolytic enzymes depending on the pressure level and enzyme. Pressure treatment of cheese may alter enzymes involved in ripening, and pressure-treating L. lactis may provide a means to generate attenuated starters with altered enzyme profiles.
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Affiliation(s)
- A S Malone
- Department of Food Science and Technology, Ohio State University, Columbus 43210, USA
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11
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Trochim S, Weidenbach M, Pieper S, Wick C, Berlage T. An enabling system for echocardiography providing adaptive support through behavioral analysis. Stud Health Technol Inform 2001; 81:528-33. [PMID: 11317802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
Echocardiography requires the integrated application of a broad spectrum of cognitive and practical skills, e.g. diagnostic knowledge (symbolic), image interpretation (visual perception) and handling of the ultrasound probe (sensorimotor). This complex expertise is acquired through extensive practical training guided by a skilled cardiologist that is often incompatible with clinical reality. Especially for beginners, the most critical point during an echocardiographic examination is the steering of the ultrasound probe to navigate between different cardiological standard planes (sensorimotor skill) without loosing orientation. These transitions or "standard trajectories" can roughly be described by specific movement patterns. We propose an enabling system based on an Augmented Reality simulator for two-dimensional echocardiography imitating this apprenticeship [1]-[3]. During a simulated ultrasound examination the system monitors the activities of the trainee and analyzes the motion pattern of the ultrasound probe. The simulator reacts by mapping the motion patterns onto cognitive orientation demands and providing adaptive feedback in the form of context sensitive help (animations). It partly takes the role of the critical teacher.
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Affiliation(s)
- S Trochim
- GMD German National Research Center for Information Technology, Institute for Applied Information Technology, Schloss Birlinghoven, D-53754 St. Augustin, Germany.
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12
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Wick C, Weidenbach M, Pieper S, Fox T, Berlage T. An echocardiographic teleconsultation environment using a virtual heart model for visual guidance. Stud Health Technol Inform 2000; 70:375-7. [PMID: 10977576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Affiliation(s)
- C Wick
- German National Research Center for Information Technology, Sankt Augustin, Germany.
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13
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Weidenbach M, Wick C, Pieper S, Redel DA. [Augmented reality in echocardiography. A new method of computer-assisted training and image processing using virtual and real three-dimensional data sets]. Z Kardiol 2000; 89:168-75. [PMID: 10798272 DOI: 10.1007/s003920050463] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Augmented reality (AR) applications link real with virtual image data, in order to increase their information content. In medicine they are especially useful for education and for supporting the interpretation of three-dimensional (3D) image data. Simulators are used to train risky or expensive procedures. In the AR application EchoCom2 a 3D surface model of the human heart is linked with echocardiographic volume data sets. The 3D echocardiographic data sets are registered with the heart model to synchronize it's temporal and spatial orientation. The heart model together with an animated ultrasound sector represents a reference scenario, which displays the currently selected cutting plane within the echocardiographic volume data set. Modifications of the cutting plane within the echocardiographic data are transferred simultaneously and in real time to the reference scenario. The AR application is used as a simulator to train two-dimensional echocardiographic examinations and as an orientation and navigation aid for the exploration of 3D echocardiographic data sets. Beginners in echocardiography have only a rudimentary conception of the spatial relationship between the actual ultrasound image and the 3D anatomy of the heart. They are unable to translate multiple two-dimensional slices into a coherent 3D mental image of the heart. In EchoCom2 the trainee can interactively explore the 3D heart model and the registered 3D echocardiographic data sets by the animated ultrasound sector, whose position is controlled by an electromagnetic orientation and position system (EPOS). The data from the EPOS are used to calculate the echocardiographic images that are analogue to the position of the animated ultrasound sector. EchoCom2 is also used to support the interpretation of 3D echocardiographic data sets. The analysis of 3D echocardiographic data has to be done during a post processing. Defining the exact position of a cutting plane within the volume is difficult due to the lack of a standardized representation, the independence of the cutting plane of any transducer position and the possibility to calculate an indefinite number of views. The simultaneous representation of the current cutting plane both in the volume data, and in the heart model enables the examiner ad hoc to recognize it's position and the visualized structures.
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Affiliation(s)
- M Weidenbach
- Abteilung für Kinderkardiologie, Zentrum für Kinderheilkunde, Universität Bonn
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14
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Weidenbach M, Wick C, Pieper S, Quast KJ, Fox T, Grunst G, Redel DA. Augmented reality simulator for training in two-dimensional echocardiography. Comput Biomed Res 2000; 33:11-22. [PMID: 10772781 DOI: 10.1006/cbmr.1999.1527] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
In two-dimensional echocardiography the sonographer must synthesize multiple tomographic slices into a mental three-dimensional (3D) model of the heart. Computer graphics and virtual reality environments are ideal to visualize complex 3D spatial relationships. In augmented reality (AR) applications, real and virtual image data are linked, to increase the information content. In the presented AR simulator a 3D surface model of the human heart is linked with echocardiographic volume data sets. The 3D echocardiographic data sets are registered with the heart model to establish spatial and temporal congruence. The heart model, together with an animated ultrasound sector represents a reference scenario, which displays the currently selected two-dimensional echocardiographic cutting plane calculated from the volume data set. Modifications of the cutting plane within the echocardiographic data are transferred and visualized simultaneously and in real time within the reference scenario. The trainee can interactively explore the 3D heart model and the registered 3D echocardiographic data sets by an animated ultrasound probe, whose position is controlled by an electromagnetic tracking system. The tracking system is attached to a dummy transducer and placed on a plastic puppet to give a realistic impression of a two-dimensional echocardiographic examination.
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Affiliation(s)
- M Weidenbach
- Department of Pediatric Cardiology, University of Bonn, Bonn, Germany
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15
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Seidel EJ, Wick C, Günther R. [Cold-assisted electrical nerve stimulation (CAENS)--a new method of analgesia]. Vopr Kurortol Fizioter Lech Fiz Kult 1996:28-32. [PMID: 9036663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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16
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Wick C, Schirmer U. [Analgosedation of ventilated children]. Anasthesiol Intensivmed Notfallmed Schmerzther 1992; 27:432-5. [PMID: 1482739 DOI: 10.1055/s-2007-1000329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- C Wick
- Abteilung Klinische Anästhesiologie, Universität Ulm
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Fösel T, Schirmer U, Wick C, Pfenninger E, Siegler W, Altemeyer KH. [Mechanical ventilation in an anesthetic circle system using the lowest tidal volume--studies of 3 anesthesia ventilators in a lung model and an animal experiment]. Anaesthesist 1991; 40:624-8. [PMID: 1755533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
No anesthesia ventilator attached to a circle system is manufactured for use in neonates. However, a small bellows can be supplied for the following anesthesia ventilators: Spiromat NS 656 (NS), Ventilog 2 (V2) and AV1 (Draeger Co.) We investigated the minimal tidal volume delivered by each of the three ventilators. In addition, we tested the performance of the AV1 in neonatal piglets for manual and controlled ventilation, and in decreased lung compliance. MATERIALS AND METHODS. All circuits were equipped with one CO2 canister (750 ml) and the low-compliance tubes of the "Ulmer Kinder Set" (Ruesch Co.) The circuits were connected to a lung model consisting of a glass cylinder filled with copper wool with a compliance of 3.0 ml/mbar. By using calibrated glass syringes we created a pressure-volume correlation for the entire system, i.e., the lung model, the anesthesia circuit and the ventilator, which was linear for each of the three ventilators. The pressure was measured in the test lung. The pressure increase caused by the tidal volume therefore reflected the actual tidal volume delivered, which was calculated using the pressure-volume correlation. Tidal volumes were determined for varying the fresh gas flow (FGF), the respiratory rate (RR), which was varied between 20 and 60/min and the I:E ratio (IE), which was varied between 1:1 and 1:2. Six newborn piglets aged 2-12 h and with body weight 1000-1300 g were anesthetized, tracheotomized and ventilated with an oxygen-nitrous oxide mixture (FIO2 0.25). The manual ventilation lasted 30 min (period 1) and was followed by mechanical ventilation for 60 min (period 2). Thereafter, a left pneumothorax with constant pressure of 20 mbar and then 40 mbar for 15 min each was created (period 3). A fall in blood pressure was treated with 10 ml colloids in five of the six animals. During the experiment arterial blood pressure in the carotid artery, mean airway pressure at the distal end of the tracheal tube and end-tidal CO2 were continuously recorded. Arterial blood gases were analyzed at the end of each period. RESULTS. The tidal volumes delivered with an identical position of the bellows varied in ventilators NS and V2 with changes in FGF, RR and IE. Decrease in FGF, higher RR and longer expiration resulted in a decrease in the tidal volume. The "smallest" tidal volume delivered by NS varied from 50 ml (FGF 2 l/min, RR 60, IE 1:2) to 188 ml (FGF 4 l/min, RR 20, IE 1:1) and from 11 ml (FGF 2 l/min, RR 60, IE 1:2) to 110 (FGF 4 l/min, RR 20, IE 1:1) in the V2. The AV1 showed a minimal tidal volume of about 5 ml, and no changes in tidal volume attributable to alterations in FGF, RR or IE could be observed. No problems occurred during manual or mechanical ventilation in the piglets. With the experimental decrease in lung compliance no increase in airway pressure was noted, but an increase in arterial pCO2 by 8 mmHg (mean) reflects hypoventilation that was not corrected by the ventilator. DISCUSSION. We believe that the changes in tidal volume in ventilators NS and V2 are caused by adding FGF to the volume delivered by the below during inspiration. Because of the unpredictability of the tidal volumes, these ventilators are not suitable for the use in neonates. The AV1 has a very low systemic compliance which makes it suitable for use in neonatal anesthesia. However, a decrease in lung compliance is not compensated by an increase in airway pressure and leads to hypoventilation. When small tidal volumes are used in patients with low lung compliance, it does not act as expected of a volume-cycled ventilator.
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Affiliation(s)
- T Fösel
- Universitätsklinik für Anaesthesiologie, Universitätsklinikum Ulm
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Abstract
Summary
A deviated well with an undersection trajectory (i.e., a trajectory lying below the conventional tangent section and constantly building to target) can exhibit lower drag and torque than a conventional well geometry in certain circumstances. The influence of well geometry on drag and torque is discussed, making use of the results of the theoretical model. Although an undersection well may have a reduced overall drag, the side forces in the drill collars will be increased. This can lead to a greater danger of sticking in the bottomhole assembly (BHA). Furthermore, because of the enhanced side forces near the bit, an undersection well may also exhibit greater torque. The relative merits of constant-build and catenary trajectories are discussed.
Introduction
Drag and torque loss are phenomena particularly associated with deviated wells. Drag is experienced as a load in addition to the rotating string weight when tripping out of the hole. Torque is lost from the rotating drillstring during drilling so that the power available at the bit for rock destruction is considerably lower than that applied at the rotary table. Problems of drag and torque loss are normally found to occur together and can be particularly marked in long-reach wells.
There are a variety of sources of drag and torque loss, including differential sticking, key seating, hole instabilities, poor hole cleaning, and the frictional interaction associated with the side forces along the drillstring. The side-force profile is essentially determined by well geometry, so we can broadly separate drag problems into those caused by poor hole condition or inappropriate mud weight, and those associated with the well path.
In this paper, we discuss the extent to which the drag and torque loss associated with the frictional interaction of the drillstring with the wellbore can be reduced by a suitable choice of well path. It has been suggested1 that a catenary well path will reduce torque and drag. We will analyze this proposal and investigate the efficacy of less exotic solutions.
Friction Model for Drag and Torque Loss
To estimate the drag and torque loss associated with different well geometries, a "frictional model" will be used that is based on the assumption that the drag force on the drill string at any location is proportional to the side force acting there. The coefficient of proportionality, K (not necessarily constant), thus appears in the model as a sliding-friction coefficient. The resultant frictional force acts against the motion of the drillstring and leads to drag when tripping out and torque loss when rotating.
The tension and drag profiles for a well are derived in Appendix A. The well trajectory may be parameterized by the distance s along the well path from the bit (so that s=0 is the bottom of the well).
It is convenient to work in terms of an effective tension, se(s), which is the sum of the true tension, s(s), and the product of the mud pressure acting at s and the cross-sectional area of the pipe; i.e.,Equation 1
The tension profile may then be derived from the se profile, which is given byEquation 2
where Wb is the buoyed weight per unit length of the pipe/collar. The +K term applies in cases of tripping out, while -K applies in cases of tripping in. In cases of a rotating drill string, the tension profile is derived from Eq. 2 with K=0. The + sign in front of Wb takes account of the parameter s running from the bit up the drillstring.
Johancsik et al.2 propose an expression in terms of the tension only and take no account of the mud pressure. Explicit inclusion of the mud pressure avoids confusion over the location of the neutral point (effective tension=0) and the influence of buoyancy forces on curved pipe sections. Tension and effective tension agree at the surface.
From the profile derived from Eq. 2, the drag profile, F(s), is given byEquation 3
In cases of a rotating drillstring, the drag, F(s), is considered to act at an appropriate radius (usually the tool-joint radius in the drill-pipe, the collar radius in the drill collar, or the stabilizer radius in the BHA), giving rise to a local torque loss. The total torque loss is the sum of these contributions.
Drag Profiles for Planned and Drilled Wells.
Analytical solutions of Eq. 2 for planar wells (i.e., ?ß/?s=0) are described in Appendix B. In general, however, Eq. 2 will be solved by an iterative method.
Integrating Eq. 2 and applying Eq. 3 allows the construction of the entire drag profile for a particular well. This (1) allows estimation of hook load during tripping out and torque loss and (2) provides insight into distribution of drag in a particular geometry. The construction depends, however, on a reasonable estimation of K(s).
For a well already drilled, an effective value of K can be determined by comparing the hook load during tripping or the torque losses during drilling with the solutions of Eqs. 2 and 3 expressed as functions of K. This approach leads to the evaluation of a global friction factor for the entire well. Experiments2 have consistently given rise to values of K in the range of 0.2 to 2.4 with a preponderance of values around 0.3.
Drag Profiles for Planned and Drilled Wells.
Analytical solutions of Eq. 2 for planar wells (i.e., ?ß/?s=0) are described in Appendix B. In general, however, Eq. 2 will be solved by an iterative method.
Integrating Eq. 2 and applying Eq. 3 allows the construction of the entire drag profile for a particular well. This (1) allows estimation of hook load during tripping out and torque loss and (2) provides insight into distribution of drag in a particular geometry. The construction depends, however, on a reasonable estimation of K(s).
For a well already drilled, an effective value of K can be determined by comparing the hook load during tripping or the torque losses during drilling with the solutions of Eqs. 2 and 3 expressed as functions of K. This approach leads to the evaluation of a global friction factor for the entire well. Experiments2 have consistently given rise to values of K in the range of 0.2 to 2.4 with a preponderance of values around 0.3.
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Wick C, Altemeyer KH, Ahnefeld FW, Kilian J. [Comparative humidity measurements in semiclosed and semiopen systems with the additional use of artificial noses]. Anaesthesist 1987; 36:172-6. [PMID: 3474907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
The administration of dry anesthetic gases for ventilation lasting more than 1 h leads to morphological changes of the tracheobronchial epithelium that may cause postoperative pulmonary complications. Therefore, additional humidification is suggested for ventilation during anesthesia, particularly when using semiopen breathing systems. Recommendations concerning the use of semiclosed systems are controversial: previous studies have shown sufficient humidification on the one hand, and insufficient water content in the inspired air on the other hand. In this study, comparative humidity measurements in a semiopen and a semiclosed system were carried out during anesthesia and mechanical ventilation. We particularly wanted to find out whether placement of the fresh gas inlet into the circle before or behind the soda lime canister influences the humidity of the inspired gas. In addition, we tested three types of "heat and moisture exchanges"--Engström "Edith", Siemens "Servo Humidifier", and Portex "Humid Vent". A total of 58 patients between 23 and 78 years of age were studied. They were divided into three groups. Group I: In 10 patients comparative humidity measurements were carried out using both a semiopen and a semiclosed system. Group II: The time course of water saturation during a 3-h period was determined in 10 patients ventilated with a semiopen and 8 patients ventilated with a semiclosed circle system. Group III: In 20 patients we tested the effect of "heat and moisture exchangers". All patients were intubated and ventilated with the Spiromat 656 and the Circle System 8 (Drger) that made ventilation in both a semiclosed and a semiopen system possible. The humidity measurements were carried out using a psychometric method.(ABSTRACT TRUNCATED AT 250 WORDS)
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Hirlinger WK, Wick C, Stodtmeister R. [Comparative study of the behavior of intraocular pressure in anesthesia induction by diazepam and midazolam]. Anasth Intensivther Notfallmed 1986; 21:324-6. [PMID: 3544940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
20 patients scheduled for cataract extraction were randomly assigned to two groups. Before anaesthesia was induced, group A patients received 0.3 mg/kg body weight diazepam, whereas group B was given 0.15 mg/kg body weight midazolam. The ocular pressure, blood pressure, pulse and respiratory rate were determined and a capillary blood gas analysis was performed prior to the administration of the tranquilizer (time I), after the patient fell asleep (time II) as well as 5 min. after intubation (time III). Before intubation the patients received fentanyl and succinylcholin. The reduction in ocular pressure is initially somewhat less in the midazolam group, but is identical to that in the diazepam group at time III where it fell to 57% of the preinduction value. In combination with fentanyl, these two drugs are suitable for anaesthesia in intraocular surgery.
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Abstract
In a semi-closed circle system, the inspiratory and expiratory limbs are completely separated and part of the patient's expired air recirculates. CO2 rebreathing is prevented by CO2- absorption with soda lime, which is always incorporated in such a circle. The inspiratory and expiratory valves ensure that gas flow is unidirectional and also prevent rebreathing, even at tidal volumes of 10 ml and ventilation frequencies of 60 c . min-1. This circuit can be used as an universal anaesthetic system for all age groups, simply by changing the hoses and connecting pieces. The values of expiratory resistance are within the recommended limits of the ISO; prewarming and humidification of the inspiratory gas mixture are sufficient without additional equipment. Standard monitoring of the circuit such as measurement of inspiratory O2 concentration and ventilation pressure, including a disconnection alarm, can be used for all age groups; spirometry or end-tidal CO2 measurements ensure normoventilation. The fresh gas flow required in a semi-closed circle system is about 2-4 1 . min-1, so that costs and environmental contamination with anaesthetic gases are relatively low in comparison with a semi-open system.
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Speit G, Wick C, Wolf M. Induction of sister chromatid exchanges by hydroxylamine, hydrazine and isoniazid and their inhibition by cysteine. Hum Genet 1980; 54:155-8. [PMID: 7390490 DOI: 10.1007/bf00278964] [Citation(s) in RCA: 25] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Experiments were performed in order to gain information about the primary process leading to the production of sister chromatid exchanges (SCEs). Radical-forming substances (hydroxylamine, hydrazine and the antituberculous drug isoniazid) were examined for their effectiveness in inducing SCEs. All three substances proved successful in the induction of SCEs in the V-79 cell line of the Chinese hamster. By simultaneous application of a sulfhydryl compound (cysteine), a reduction of the hydrazine- and isoniazid-induced SCEs was achieved. Isoniazid was additionally examined in the in vivo SCE-test. At concentrations of 2-100 mg/kg body weight, it does not increase the rate of SCEs in the bone marrow of the Chinese hamster.
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