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Biomedical subjects

M Mohr

Publications and source records attributed to M Mohr.

99 records · Page 6Linked to original sources

Cardiac transplantation in an incomplete Kearns-Sayre syndrome with mitochondrial DNA deletion.

A 38-yr-old man with external ophthalmoplegia, cardiac conduction abnormalities, hearing loss, and ragged-red fibres in skeletal muscle biopsy, developed severe signs of cardiac failure within a few months. Echocardiography and angiography demonstrated a dilated cardiomyopathy. Ubiquinone 140 mg day-1 did not stop the worsening of the cardiac status and cardiac transplantation was performed. Molecular analysis showed a heteroplasmic 4.5 kb mitochondrial DNA deletion in endomyocardial tissue. Eighteen months later, cardiac evolution is good and neurological status is stable.

Adult↗

Neuropathological epidemiology of cerebral aging: a study of two genetic polymorphisms.

We studied whether ApoE and -219 GT (ApoE promoter) polymorphism modulates neurofibrillary tangle (NFT) and senile plaque (SP) development in aging among 190 non-institutionalized individuals (mean age 79.5 years). Analysis revealed that the mean Braak stage was higher in epsilon4 allele carriers. Once individuals with Braak stage V were excluded (n = 5), relationships between NFT and the two genotypes studied were weak, whereas in epsilon4 allele carriers, the risk of SP was multiplied by 4 to 7 in four areas (CA1, subiculum, isocortex and entorhinal cortex). This association was more pronounced in subjects under 80 years and was also observed when analysis was restricted to Braak stages 0, I and II. Epsilon 2 allele carriers appeared to have fewer lesions but, due to limited numbers, this trend was not significant. In two regions (CA1, subiculum), the number of SP increased significantly for individuals who were homozygous for the T allele of -219 GT. However the association was no longer significant when controlling for ApoE epsilon4. It should be noted that the brain of elderly subjects carrying one epsilon4 allele may not undergo senile changes.

Aged↗

A technique for extracorporeal circulation in the Goettingen minipig allowing recovery and long-term follow-up.

The objective of our study was to establish an animal model with extracorporeal circulation (ECC) for investigations on the long-term tolerability of different pericardial substitutes using the Goettingen minipig. A combination of halothane (0.4-0.6% vaporizer setting) in oxygen and nitrous oxide (FiO2 0.33), with the opioid piritramide (75 micrograms/kg/h i.v.) was used for anaesthesia. A muscle relaxant was not administered. Due to the size of the animals (mean body weight 37.6 kg) the operative procedure was the same as in humans. Specific changes preceding or following initiation of cardiopulmonary bypass (CPB), such as inactivation of the coagulation system (400 IU heparin/kg i.v.), haemodilution, and hypothermia (32 degrees C), did not result in any complication. We did not induce cardiac arrest during CPB in order to facilitate haemodynamic stability after weaning from CPB. In three animals a temporary increase in blood pressure occurred after protamine (2.5-3.0 mg/kg i.v.) was given to reverse the heparinization. Within 60 minutes after the end of surgery all animals could be extubated when spontaneous breathing and cough reflex were present. The postoperative follow-up period of nine months was uneventful apart from one animal which developed a superficial wound in the thoracic scar area. We conclude that our technique for ECC is a safe method allowing recovery and long-term follow-up after cardiac surgery in a porcine animal model.

Animals↗