4.6 Article

Flow Cytometry Characterization of Cerebrospinal Fluid Monocytes in Patients With Postoperative Cognitive Dysfunction: A Pilot Study

Journal

ANESTHESIA AND ANALGESIA
Volume 129, Issue 5, Pages E150-E154

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1213/ANE.0000000000004179

Keywords

-

Categories

Funding

  1. DREAM Innovation grant from the Duke Anesthesiology department
  2. National Institutes of Health [T32-GM08600, R03-AG050918, K76-AG057022, R01-HL130443, P30-AI064518]
  3. International Anesthesia Research Society Mentored Research Award
  4. Jahnigen Scholars Fellowship award
  5. American Geriatrics Society
  6. William L. Young Neuroscience Research Award from the Society for Neuroscience in Anesthesiology and Critical Care
  7. National Institute on Aging [P30-AG028716]
  8. Society of Cardiovascular Anesthesiologists/International Anesthesia Research Society starter grant
  9. [1R01DA043241]

Ask authors/readers for more resources

Animal models suggest postoperative cognitive dysfunction may be caused by brain monocyte influx. To study this in humans, we developed a flow cytometry panel to profile cerebrospinal fluid (CSF) samples collected before and after major noncardiac surgery in 5 patients >= 60 years of age who developed postoperative cognitive dysfunction and 5 matched controls who did not. We detected 12,654 +/- 4895 cells/10 mL of CSF sample (mean +/- SD). Patients who developed postoperative cognitive dysfunction showed an increased CSF monocyte/lymphocyte ratio and monocyte chemoattractant protein 1 receptor downregulation on CSF monocytes 24 hours after surgery. These pilot data demonstrate that CSF flow cytometry can be used to study mechanisms of postoperative neurocognitive dysfunction.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Surgery

Recent Smoking History Is Not Associated With Adverse 30-Day Standardized Postoperative Outcomes Following Microsurgical Reconstructive Procedures of the Upper Extremity: Un Antecedent de Tabagisme Recent n'est Pas Associe a des evenements Indesirables Postoperatoires Standardises 30 Jours apres des Procedures Microchirurgicales de Reconstruction du Membre Superieur

Olachi O. Oleru, Neil V. Shah, Peter L. Zhou, Dillon Sedaghatpour, Jaydev B. Mistry, Bradley C. Wham, Joey Kurtzman, Suhail K. Mithani, Steven M. Koehler

Summary: This study investigated the impact of smoking on 30-day standardized outcomes following upper extremity microsurgical reconstruction. The results showed that recent smoking history was not associated with any adverse outcomes in replantation/revascularization or free flap transfer surgeries.

PLASTIC SURGERY (2023)

Article Anesthesiology

Association of Brain Injury Biomarkers and Circulatory Shock Following Moderate-Severe Traumatic Brain Injury: A TRACK-TBI Study

Camilo Toro, Sonia Jain, Shelly Sun, Nancy Temkin, Jason Barber, Geoffrey M. Manley, Jordan M. Komisarow, Tetsu Ohnuma, Brandon Foreman, Frederick L. Korley, Michael L. James, Daniel S. Laskowitz, Monica S. Vavilala, Adrian P. Hernandez, Joseph P. J. Mathew, Amy J. Markowitz, Vijay Krishnamoorthy

Summary: This retrospective cohort study assessed the impact of brain injury biomarkers on the risk of circulatory shock in patients with moderate-severe traumatic brain injury. The study found an association between the levels of neuronal injury biomarkers and the development of circulatory shock. The results suggest that neuronal injury biomarkers may provide early identification of patients at risk for early circulatory shock following TBI.

JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY (2023)

Review Urology & Nephrology

International Alliance of Urolithiasis guideline on retrograde intrarenal surgery

Guohua Zeng, Olivier Traxer, Wen Zhong, Palle Osther, Margaret S. Pearle, Glenn M. Preminger, Giorgio Mazzon, Christian Seitz, Petrisor Geavlete, Cristian Fiori, Khurshid R. Ghani, Ben H. Chew, Kah Ann Git, Fabio Carvalho Vicentini, Athanasios Papatsoris, Marianne Brehmer, Juan Lopez Martinez, Jiwen Cheng, Fan Cheng, Xiaofeng Gao, Nariman Gadzhiev, Amelia Pietropaolo, Silvia Proietti, Zhangqun Ye, Kemal Sarica

Summary: This study aims to provide a clinical framework for urologists performing retrograde intrarenal surgery (RIRS). A total of 36 recommendations covering various aspects of RIRS were developed and graded. The recommendations include indications and contraindications, preoperative preparation, surgical procedures, and complications management.

BJU INTERNATIONAL (2023)

Review Cardiac & Cardiovascular Systems

Neuromodulation therapy for atrial fibrillation

Maham F. Karatela, Marat Fudim, Joseph P. Mathew, Jonathan P. Piccini

Summary: Atrial fibrillation is influenced by both sympathetic and parasympathetic influences through cardiac autonomic innervation. Innovative therapies targeting the neurocardiac axis, such as catheter ablation or pharmacologic suppression of ganglionated plexi, renal sympathetic denervation, low-level vagal stimulation, and stellate ganglion blockade, have variable efficacy. Improving our understanding of atrial fibrillation and the cardiac nervous system will lead to further advancements in therapeutic neuromodulation for the benefit of patients with AF.

HEART RHYTHM (2023)

Article Urology & Nephrology

Development of an optically transparent kidney model for laser lithotripsy research

Sabrina Tran, Junqin Chen, Gunnar Kozel, Eric T. Chang, Trina Phung, Yanxi Peng, Zachary Dionise, Yuan Wu, W. Neal Simmons, Michael E. Lipkin, Glenn M. Preminger, Pei Zhong

BJU INTERNATIONAL (2023)

Article Cardiac & Cardiovascular Systems

Inhaled Epoprostenol Compared With Nitric Oxide for Right Ventricular Support After Major Cardiac Surgery

Kamrouz Ghadimi, Jhaymie L. Cappiello, Mary Cooter Wright, Jerrold H. Levy, Benjamin S. Bryner, Adam D. Devore, Jacob N. Schroder, Chetan B. Patel, Sudarshan Rajagopal, Svati H. Shah, Carmelo A. Milano

Summary: In patients undergoing major cardiac surgery for advanced heart failure, inhaled pulmonary-selective vasodilator treatment using iEPO was associated with similar risks for RVF development and development of other postoperative secondary outcomes compared with treatment using iNO.

CIRCULATION (2023)

Article Education, Scientific Disciplines

Underrepresentation of African Americans in Plastic Surgery: Examining Demographics, Specialty Factors, and Medical School Experiences

Jason L. Green, Kate B. Krucoff, Tracy Truong, Amie Kim, Brian J. Conway, Alexandra O. Polovneff, Kristen Rezak, Suhail K. Mithani, Paris D. Butler

Summary: This study aims to address the underrepresentation of African Americans in plastic surgery by improving the understanding of factors that may contribute to their interest in this field. The results show significant differences in demographics, specialty factors, and medical school experiences between African American medical students interested in plastic surgery and their Caucasian counterparts.

JOURNAL OF SURGICAL EDUCATION (2023)

Article Clinical Neurology

In vivo cortical diffusion imaging relates to Alzheimer's disease neuropathology

Mario Torso, Gerard R. Ridgway, Michele Valotti, Ian Hardingham, Steven A. Chance

Summary: This study aimed to investigate the associations between cortical diffusion imaging and post-mortem neuropathology of Alzheimer's disease (AD). The results showed significant associations between cortical diffusivity measures and AD neuropathological hallmarks. The study also highlighted the impact of co-pathologies on cortical microstructure, emphasizing the importance of recognizing these factors in diagnosis and treatment decision-making.

ALZHEIMERS RESEARCH & THERAPY (2023)

Article Genetics & Heredity

Interactions between genes involved in physiological dysregulation and axon guidance: role in Alzheimer's disease

Konstantin G. Arbeev, Svetlana Ukraintseva, Olivia Bagley, Hongzhe Duan, Deqing Wu, Igor Akushevich, Eric Stallard, Alexander Kulminski, Kaare Christensen, Mary F. Feitosa, Jeffrey R. O'Connell, Daniel Parker, Heather Whitson, Anatoliy I. Yashin

Summary: Dysregulation of physiological processes may contribute to the development of Alzheimer's disease, and genes associated with an increase in physiological dysregulation may play a major role in AD onset.

FRONTIERS IN GENETICS (2023)

Meeting Abstract Clinical Neurology

Higher Cardiovagal Baroreflex Sensitivity Predicts Increased Pain Severity After Cardiothoracic Surgery

Heberto Suarez-Roca, Negmeldeen Mamoun, Lana L. Watkins, Andrey V. Bortsov, Joseph P. Mathew

JOURNAL OF PAIN (2023)

Meeting Abstract Clinical Neurology

Mouse Brain Regions Activated By Isoflurane Anesthesia Marked By C-Fos Labeling

Matthew Z. Yuan, Junli Zhao, Aidan McGinnis, Joseph P. Mathew, Fan Wang, Ru-Rong Ji

JOURNAL OF PAIN (2023)

Review Geriatrics & Gerontology

Engineering Virtuous health habits using Emotion and Neurocognition: Flexibility for Lifestyle Optimization and Weight management (EVEN FLOW)

Patrick J. Smith, Heather E. Whitson, Rhonda M. Merwin, C. Virginia O'Hayer, Timothy J. Strauman

Summary: Interventions to preserve functional independence in older adults are crucial, as chronic disease management is a major factor contributing to the loss of independence. Both cognitive and psychological factors play important roles in maintaining health behaviors, and social and structural supports can be beneficial in behavior change.

FRONTIERS IN AGING NEUROSCIENCE (2023)

Article Urology & Nephrology

Exploring optimal settings for safe and effective thulium fibre laser lithotripsy in a kidney model

Arpit Mishra, Robert Medairos, Junqin Chen, Francois Soto-Palou, Yuan Wu, Jodi Antonelli, Glenn M. Preminger, Michael E. Lipkin, Pei Zhong

Summary: This study aimed to explore the optimal laser settings and treatment strategies for thulium fibre laser (TFL) lithotripsy. The findings suggest that high energy/low frequency settings are optimal for TFL lithotripsy in the treatment of calcium oxalate monohydrate (COM) stones, providing improved treatment efficiency and reduced residual fragments.

BJU INTERNATIONAL (2023)

Article Urology & Nephrology

In vitro investigation of stone ablation efficiency, char formation, spark generation, and damage mechanism produced by thulium fiber laser

Junqin Chen, Arpit Mishra, Robert Medairos, Jodi Antonelli, Glenn M. Preminger, Michael E. Lipkin, Pei Zhong

Summary: In this study, the stone ablation characteristics of thulium fiber laser (TFL) were investigated. The experiments were conducted using BegoStone phantoms and different types of stones, and various parameters were adjusted. The results showed that TFL had higher ablation efficiency and less char formation at high pulse energy/low frequency settings.

UROLITHIASIS (2023)

Article Andrology

Initial Longitudinal Outcomes of Risk-Stratified Men in Their Forties Screened for Prostate Cancer Following Implementation of a Baseline Prostate-Specific Antigen

Zoe D. Michael, Srinath Kotamarti, Rohith Arcot, Kostantinos Morris, Anand Shah, John Anderson, Andrew J. Armstrong, Rajan T. Gupta, Steven Patierno, Nadine J. Barrett, Daniel J. George, Glenn M. Preminger, Judd W. Moul, Kevin C. Oeffinger, Kevin Shah, Thomas J. Polascik

Summary: Preliminary outcomes of a multidisciplinary screening algorithm showed that prostate cancer could be detected in a small percentage of men in their forties, highlighting the importance of early risk stratification and detection of high-risk patients.

WORLD JOURNAL OF MENS HEALTH (2023)

No Data Available