Prevention of Oxidative Damage in Spinal Cord Ischemia Upon Aortic Surgery: First-In-Human Results of Shock Wave Therapy Prove Safety and Feasibility.


Journal

Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524

Informations de publication

Date de publication:
18 10 2022
Historique:
pubmed: 11 10 2022
medline: 21 10 2022
entrez: 10 10 2022
Statut: ppublish

Résumé

Background Spinal cord ischemia (SCI) remains a devastating complication after aortic dissection or repair. A primary hypoxic damage is followed by a secondary damage resulting in further cellular loss via apoptosis. Affected patients have a poor prognosis and limited therapeutic options. Shock wave therapy (SWT) improves functional outcome, neuronal degeneration and survival in murine spinal cord injury. In this first-in-human study we treated 5 patients with spinal cord ischemia with SWT aiming to prove safety and feasibility. Methods and Results Human neurons were subjected to ischemic injury with subsequent SWT. Reactive oxygen species and cellular apoptosis were quantified using flow cytometry. Signaling of the antioxidative transcription factor NRF2 (nuclear factor erythroid 2-related factor 2) and immune receptor Toll-like receptor 3 (TLR3) were analyzed. To assess whether SWT act via a conserved mechanism, transgenic

Identifiants

pubmed: 36216458
doi: 10.1161/JAHA.122.026076
pmc: PMC9673656
doi:

Substances chimiques

Toll-Like Receptor 3 0
NF-E2-Related Factor 2 0
Reactive Oxygen Species 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e026076

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Auteurs

Michael Graber (M)

Department of Cardiac Surgery Medical University of Innsbruck Austria.

Felix Nägele (F)

Department of Cardiac Surgery Medical University of Innsbruck Austria.

Bernhard Tobias Röhrs (BT)

Institute of Molecular Biology/CMBI University of Innsbruck Austria.

Jakob Hirsch (J)

Department of Cardiac Surgery Medical University of Innsbruck Austria.

Leo Pölzl (L)

Department of Cardiac Surgery Medical University of Innsbruck Austria.

Bernhard Moriggl (B)

Division of Clinical and Functional Anatomy Medical University of Innsbruck Austria.

Agnes Mayr (A)

Department of Radiology Medical University of Innsbruck Austria.

Felix Troger (F)

Department of Radiology Medical University of Innsbruck Austria.

Elke Kirchmair (E)

Department of Cardiac Surgery Medical University of Innsbruck Austria.

Julian Frederik Wagner (JF)

Department of Anesthesiology Medical University of Innsbruck Austria.

Martha Nowosielski (M)

Department of Neurology Medical University of Innsbruck Austria.

Lukas Mayer (L)

Department of Neurology Medical University of Innsbruck Austria.

Jakob Voelkl (J)

Institute for Physiology and Pathophysiology Johannes Kepler University Linz Linz Austria.
Department of Nephrology and Medical Intensive Care Charité-Universitätsmedizin Berlin Berlin Germany.
DZHK (German Centre for Cardiovascular Research) Partner Site Berlin Berlin Germany.

Ivan Tancevski (I)

Department of Internal Medicine II Medical University of Innsbruck Austria.

Dirk Meyer (D)

Institute of Molecular Biology/CMBI University of Innsbruck Austria.

Michael Grimm (M)

Department of Cardiac Surgery Medical University of Innsbruck Austria.

Michael Knoflach (M)

Department of Neurology Medical University of Innsbruck Austria.

Johannes Holfeld (J)

Department of Cardiac Surgery Medical University of Innsbruck Austria.

Can Gollmann-Tepeköylü (C)

Department of Cardiac Surgery Medical University of Innsbruck Austria.

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Classifications MeSH