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Biomedical subjects

M Zhou

Publications and source records attributed to M Zhou.

At least 55 records · Page 3Linked to original sources

Two point mutations in mitochondrial DNA of cytochrome c oxidase coexist with normal mtDNA in a patient with Alzheimer's disease.

The mitochondrial cytochrome c oxidase (CO) gene sequence was determined on a patient with Alzheimer's disease (AD). Compared to the standard Cambridge sequence to identify base changes,two missense mutations were found in the patient with AD. The mutations were a G to T transition at np 8206 and an A to T transition at np 8224. The np 8206 mutation changed a Met to an Ile and np 8224 mutation changed a Leu to a Phe. The normal bases and the mutations of mitochondrial DNA (mtDNA) coexist in the patient. Further studies will be required to demonstrate the role of the point mutations of mitochondrial DNA in the pathogenesis of Alzheimer's disease.

Aged↗

[Changes of ultrastructure and function of the aortic endothelium in streptozotocin-diabetic rats and effect of perindopril].

UNLABELLED: To investigate the alteration of ultrastructure and function of the aortic endothelium in streptozotocin (STZ)-diabetic rats and the effect of perindopril, male SD rats were randomly divided into normal group (NC), diabetes control group (DC), diabetes group treated with perindopril (2 mg.kg-1.d-1) which was administered after 4 weeks. At 4, 8, 16 weeks after injecting STZ, glucose, plasma endothelin-1 and angiotensin II were respectively measured, and we also observed aortic endothelial cell under the electron microscope. RESULTS: In DC group, there were mitochondrial edema and vacuolization obviously in aortic endothelial cells at 8 weeks, and extensive endothelial cell necrosis and exfoliation were observed at 16 weeks, while pathological changes in the DP group were abated significantly. Plasma Ang II levels were increased significantly at different times in DC group, and plasma ET-1 levels were obviously increased at 8 weeks and greatly decreased at 16 weeks. In DP groups, plasma Ang II levels obviously decreased, ET-1 levels declined at 8 weeks and statistically elevated at 16 weeks. CONCLUSION: There are changes of ultrastructure and function in aortic endothelial cell in different durations of diabetes. Plasma ET-1 level may be a marker of aortic endothelial cell injury, perindopril may have protective effect on aortic endothelial cell in diabetic rats.

Angiotensin II↗

Active site mutant transgene confers tolerance to human beta-glucuronidase without affecting the phenotype of MPS VII mice.

Mucopolysaccharidosis type VII (MPS VII; Sly syndrome) is an autosomal recessive lysosomal storage disorder due to an inherited deficiency of beta-glucuronidase. A naturally occurring mouse model for this disease was discovered at The Jackson Laboratory and shown to be due to homozygosity for a 1-bp deletion in exon 10 of the gus gene. The murine model MPS VII (gus(mps/mps)) has been very well characterized and used extensively to evaluate experimental strategies for lysosomal storage diseases, including bone marrow transplantation, enzyme replacement therapy, and gene therapy. To enhance the value of this model for enzyme and gene therapy, we produced a transgenic mouse expressing the human beta-glucuronidase cDNA with an amino acid substitution at the active site nucleophile (E540A) and bred it onto the MPS VII (gus(mps/mps)) background. We demonstrate here that the mutant mice bearing the active site mutant human transgene retain the clinical, morphological, biochemical, and histopathological characteristics of the original MPS VII (gus(mps/mps)) mouse. However, they are now tolerant to immune challenge with human beta-glucuronidase. This "tolerant MPS VII mouse model" should be useful for preclinical trials evaluating the effectiveness of enzyme and/or gene therapy with the human gene products likely to be administered to human patients with MPS VII.

Animals↗

MDC-9 (ADAM-9/Meltrin gamma) functions as an adhesion molecule by binding the alpha(v)beta(5) integrin.

MDC-9 is a widely expressed member of the metalloproteinase/disintegrin/cysteine-rich protein family. The disintegrin domain of MDC-9 lacks an RGD motif but has recently been reported to bind the alpha(6)beta(1) integrin; however, it is unclear whether MDC-9 can bind other integrins. In the present study myeloma cells, but not lymphoblastoid cells, were shown to bind to immobilised, recombinantly expressed MDC-9 disintegrin domain (A9dis). Binding was divalent cation-dependent, being supported by Mn(2+) and Ca(2+). Adhesion of myeloma cells to A9dis was completely inhibited by an antibody to the alpha(v)beta(5) integrin but not by antibodies to other subunits. RGD-containing peptides had no effect on binding, suggesting that MDC-9 interacts with alpha(v)beta(5) in an RGD-independent manner. Flow cytometric analyses demonstrated that myeloma cells, but not lymphoblastoid cells, expressed alpha(v)beta(5) on the cell membrane. These data indicated that the disintegrin domain of MDC-9 can function as an adhesion molecule by interacting with an alpha(v)beta(5) integrin.

ADAM Proteins↗

Reactions of group V metal atoms with water molecules. Matrix isolation FTIR and quantum chemical studies.

Laser-ablated group V metal atoms (V, Nb, Ta) were co-deposited with water molecules in excess argon. The V atoms reacted with water to form the inserted HVOH molecule spontaneously. The Nb atoms reacted with water to form the NbOH2 complex and the inserted HNbOH molecule. Broad-band photolysis produced the H2VO and H2NbO molecules as well as the VO and NbO monoxides. For Ta + H2O reactions, neither TaOH2 nor HTaOH was observed, while the H2TaO molecule was produced on annealing, and the H2 elimination process was not observed on photolysis. The aforementioned species were identified via isotopic substitutions as well as density functional calculations. Qualitative analysis of the possible reaction paths leading to the observed products is proposed. The results have been compared with our earlier works concerning the Sc and group IV metal atoms with water reactions in order to observe existent trends for the early transition metal atoms.

Journal Article↗

Two-dimensional dynamic-director (13)C NMR of liquid crystals.

A novel nuclear magnetic resonance (NMR) experiment for facilitating the resolution and assignment of liquid crystalline (13)C NMR spectra is described. The method involves the motor-driven reorientation of the liquid crystalline director, in synchrony with the acquisition of a 2D chemical shift correlation spectrum. By monitoring in this fashion the (13)C NMR evolution of spins in the liquid crystal at two different director orientations with respect to the magnetic field, the method distinguishes anisotropic from isotropic displacements and can be utilized for assigning the resonances and estimating local degrees of order. Of various potential pairs of angles suitable for such a correlation, the (0 degrees, 90 degrees ) choice was found to be most convenient, as it avoids line broadening complications that may otherwise originate from heterogeneities of the oriented phase. The technique thus derived was employed in the analysis of a series of monomeric and polymeric liquid crystal systems.

Journal Article↗

The role of adrenomedullin in producing differential hemodynamic responses during sepsis.

Although the hemodynamic response to polymicrobial sepsis is characterized by an early, hyperdynamic phase followed by a late, hypodynamic phase, the factors responsible for producing the transition from the hyperdynamic to the hypodynamic stage are not fully understood. The failure to recognize or prevent this transition may lead to progressive deteriorations in cell and organ functions and ultimately result in multiple organ failure. Despite the fact that several vasoactive mediators (i.e., nitric oxide, prostacyclin, calcitonin gene-related peptide) have been implicated in producing cardiovascular alterations during sepsis, recent studies have indicated that adrenomedullin (AM), a novel vasodilatory peptide, plays an important role in initiating the hyperdynamic response during the early stage of polymicrobial sepsis. In addition, the reduced vascular responsiveness appears to be responsible for producing the transition from the early, hyperdynamic phase to the late, hypodynamic phase of sepsis. Moreover, modulation of AM vascular responsiveness reduces sepsis-induced mortality. In this review the physiological effects of AM, mechanisms of its action, and regulation of its production under various pathophysiological conditions will be discussed. Furthermore, the role of AM in producing the biphasic hemodynamic responses observed during polymicrobial sepsis and approaches for pharmacologically modulating vascular responsiveness and hemodynamic stability under such conditions will be described.

Adrenomedullin↗

Isolation and characterization of a novel cDNA, UBAP1, derived from the tumor suppressor locus in human chromosome 9p21-22.

PURPOSE: To clone the putative tumor suppressor gene(s) in a refined region at 9p21-22 undergoing loss of heterozygosity in nasopharyngeal carcinoma (NPC). METHODS: We systematically screened the expression patterns of 25 novel ESTs (expressed sequence tags) in a minimal common deleted region of 9p21-22 in NPC. One of these ESTs was found down-regulated in NPC. Subsequently, the corresponding gene sequence of this EST was established by cDNA cloning and RACE (rapid amplification of cDNA end) procedures. Furthermore, a mouse homologue of this gene was identified. The expression of this gene was examined using Northern blot or reverse transcription-polymerase chain reaction (RT-PCR) in various human and mouse tissues. A limited screen for mutation of coding sequence of this novel human gene was undertaken using RT-PCR and direct sequencing analysis. RESULTS: A novel gene was cloned. This gene is a new member of the UBA domain family, so we named it UBAPI for ubiquitin-associated protein 1 (HUGO Gene Nomenclature Committee-approved symbol). Northern blot and RT-PCR analysis demonstrate a ubiquitous pattern of gene expression in human and mouse tissues. The direct sequencing analysis of the coding region of hUBAP1 following RT-PCR failed to reveal any mutations in a preliminary screen of NPC cell line HNE1 and primary nasopharyngeal carcinoma samples. CONCLUSIONS: We cloned a novel gene UBAPI, which is highly conserved between human and mouse. Clearly, as a novel member of UBA domain protein family and taking its map location into account, a more extensive analysis is essential to establish whether subtle mutations are present in nasopharyngeal carcinomas.

Amino Acid Sequence↗

Detection and typing of human papillomavirus DNA in penile carcinoma: evidence for multiple independent pathways of penile carcinogenesis.

To clarify the role of human papillomavirus (HPV) in penile cancer we evaluated the prevalence of HPV DNA in different histological subtypes of penile carcinoma, dysplasia, and condyloma using a novel, sensitive SPF10 HPV polymerase chain reaction assay and a novel genotyping line probe assay, allowing simultaneous identification of 25 different HPV types. Formalin-fixed, paraffin-embedded tissue samples were collected from the United States and Paraguay. HPV DNA was detected in 42% cases of penile carcinoma, 90% cases of dysplasia, and 100% cases of condyloma. There were significant differences in HPV prevalence in different histological cancer subtypes. Although keratinizing squamous cell carcinoma and verrucous carcinoma were positive for HPV DNA in only 34.9 and 33.3% of cases, respectively, HPV DNA was detected in 80% of basaloid and 100% of warty tumor subtypes. There was no significant difference in HPV prevalence between cases from Paraguay and the United States. In conclusion, the overall prevalence of HPV DNA in penile carcinoma (42%) is lower than that in cervical carcinoma (approximately 100%) and similar to vulvar carcinoma (approximately 50%). In addition, specific histological subtypes of penile cancer--basaloid and warty--are consistently associated with HPV, however, only a subset of keratinizing and verrucous penile carcinomas is positive for HPV DNA, and thus these two tumor groups seem to develop along different pathogenetic pathways.

Adult↗

Inhibition of egg hatching success and larvae survival of the scallop, Chlamys farreri, associated with exposure to cells and cell fragments of the dinoflagellate Alexandrium tamarense.

We report an apparently novel toxic effect of the dinoflagellate Alexandrium tamarense, manifested by inhibition of the egg hatching success of the scallop, Chlamys farreri. The hatching rate of C. farreri approached only 30% of controls when its fertilised eggs were exposed for 36h to A. tamarense cells or cellular fragments at a concentration of 100 cells/ml, and the hatching rate was just 5% after exposure to A. tamarense of 500 cells/ml. Similar exposures of the fertilised scallop eggs to two other algal species, the diatom Phaeodactylum tricornutum and the raphidophyte Heterosigma carterae, resulted in no such toxicity or inhibitory effects. Likewise, exposure of eggs to standard STX toxin, as well as to A. tamarense cell contents (supernant of re-suspended algal cells following ultrasonication and centrifugation), did not elicit this inhibitory response. However, exposure of the scallop eggs to cell cultures, intact algal cells, or cell fragments of A. tamarense produced marked toxicity. The alga also influenced larvae at early D-shape stage of scallop. The survival rates began to decrease significantly after exposed for 6 days at concentration of 3000 cells/ml and above; no larvae could survive after 14-day exposure to A. tamarense at 10,000 cells/ml or 20-day at 5000 cells/ml. The results indicated the production of novel substances from A. tamarense which can cause adverse effects on egg hatching and survival of the scallop larvae. The experiment also found that the developmental stages before blastula was the developmental period most sensitive to the A. tamarense toxin(s) and the alga at early exponential stage had the strongest effect on egg hatching comparing with other growth phases. The adverse effect of A. tamarense on early development of scallops may cause decline of shellfish population and may have further impact on marine ecosystem.

Animals↗

Human dehydroepiandrosterone sulfotransferase: purification and characterization of a recombinant protein.

Dehydroepiandrosterone sulfate is the most abundant sulfated steroid transformed in human tissues and serves as a precursor for steroid hormones. Recombinant human dehydroepiandrosterone sulfotransferase (DHEA-ST) expressed in glutathione sulfotransferase fusion form in E. coli was purified using glutathione sepharose 4B affinity adsorption chromatography, a Factor Xa cleavage step, and Q-sepharose fast flow column chromatography. The homogeneous preparation had an activity toward dehydroepiandrosterone (DHEA) of 150+/-40 nmol/min per mg of protein under the assay conditions at an overall yield of 38.4%. The recombinant human DHEA-ST was shown to have a subunit mass of 34 kDa by sodium dodecyl sulfate polyacrylamide gel electrophoresis, while having a molecular mass of 67.2 kDa by Superose-12 gel filtration. Our results indicate that the active recombinant enzyme expressed in E. coli is a homodimer.Biochemical properties for purified DHEA-ST were studied using DHEA as a substrate. The optimum pH ranged from pH 7 to 8, and the optimum temperature 40-45 degrees C. Ninety percent of basal DHEA-ST activity remained even after the enzyme was treated at 45 degrees C for 15 min. The 50% inactivation concentration of NaCl for DHEA-ST activity was determined to be around 500 mM. The K(m) value for DHEA was 1.9+/-0.3 microM and V(max)=190+/-18 nmol/min per mg of protein at 37 degrees C, pH 7.5.

Chromatography, Affinity↗

Spectroscopic and theoretical investigations of vibrational frequencies in binary unsaturated transition-metal carbonyl cations, neutrals, and anions.

Figure 18 presents the C-O stretching vibrational frequencies of the first-row transition-metal monocarbonyl cations, neutrals, and anions in solid neon; similar diagrams have been reported for neutral MCO species in solid argon, but three of the early assignments have been changed by recent work and one new assignment added. The laser-ablation method produces mostly neutral atoms with a few percent cations and electrons for capture to make anions; in contrast, thermal evaporation gives only neutral species. Hence, the very recent neon matrix investigations in our laboratory provide carbonyl cations and anions for comparison to neutrals on a level playing field. Several trends are very interesting. First, for all metals, the C-O stretching frequencies follow the order cations > neutrals > anions with large diagnostic 100-200 cm-1 separations, which is consistent with the magnitude of the metal d to CO pi * donation. Second, for a given charge, there is a general increase in C-O stretching vibrational frequencies with increasing metal atomic number, which demonstrates the expected decrease in the metal to CO pi * donation with increasing metal ionization potential. Some of the structure in this plot arises from the extra stability of the filled and half-filled d shell and from the electron pairing that occurs at the middle of the TM row; the plot resembles the "double-humped" graph found for the variation in properties across a row of transition metals. For the anions, the variation with metal atom is the smallest since all of the metals can easily donate charge to the CO ligand. Third, for the early transition-metal Ti, V, and Cr families, the C-O stretching frequencies decrease when going down the family, but the reverse relationship is observed for the late transition-metal Fe, Co, and Ni families. In most of the present discussion, we have referred to neon matrix frequencies; however, the argon matrix frequencies are complementary, and useful information can be obtained from comparison of the two matrix hosts. In most cases, the neon-to-argon red shift for neutral carbonyls is from 11 to 26 cm-1, but a few (CrCO) lie outside of this range. In the case of FeCO and Fe(CO)2, it appears that neon and argon trap different low-lying electronic states. In general, the carbonyl neutrals and anions have similar shifts but carbonyl cations have larger matrix shifts. For example, the FeCO+ fundamental is at 2123.0 cm-1 in neon and 2081.5 cm-1 in argon, a 42.5 cm-1 shift, which is larger than those found for FeCO- (11.7 cm-1) and FeCO (11.7 cm-1). It is unusual for different low-lying electronic states to be trapped in different matrices, but CUO provides another example. The linear singlet state (1047.3, 872.2 cm-1) is trapped in solid neon, and a calculated 1.2 kcal/mol higher triplet state is trapped in solid argon (852.5, 804.3 cm-1) and stabilized by a specific interaction with argon. The bonding trends are well described by theoretical calculations of vibrational frequencies. Table 5 compares the scale factors (observed neon matrix/calculated) for the C-O stretching modes of the monocarbonyl cations, neutrals, and anions of the first-row transition metals observed in a neon matrix using the B3LYP and BP86 density functionals. Most of the calculated carbonyl harmonic stretching frequencies are within 1% of the experimental fundamentals at the BP86 level of theory, while calculations using the B3LYP functional give frequencies that are 3-4% higher as expected for these density functionals and calculations on saturated TM-carbonyls. For second- and third-row carbonyls using the BP86 density functional and the LANL effective core potential in conjunction with the DZ basis set, the agreement between theory and experiment is just as good. For example, the 16 M(CO)1-4 neutral and anion and 2 MCO+ cation (M = Ru, Os) carbonyl frequencies are fit within 1.5%. The 16 species (M = Rh, Ir) are fit within 1%, but the Rh(CO)1-4+ calculations are 2-3% too low and Ir(CO)1-4+ computations are 1-2% too low. In addition to predicting the vibrational frequencies, DFT can be used to calculate different isotopic frequencies, and isotopic frequency ratios can be computed as a measure of the normal vibrational mode in the molecule for an additional diagnostic. For diatomic CO, the 12CO/13CO ratio 1.0225 and C16O/C18O ratio 1.0244 characterize a pure C-O stretching mode. In a series of molecules such as RhCO+, RhCO, and RhCO-, where the metal-CO bonding varies, the Rh-C, C-O vibrational interaction is different and the unique isotopic ratios for the carbonyl vibration are characteristic of that particular molecule. Table 6 summarizes the isotopic ratios observed and calculated for the RhCO+,0,- species. Note that RhCO+ exhibits slightly more carbon-13 and less oxygen-18 involvement in the C-O vibration than CO itself and that this trend increases to RhCO and to RhCO- as the Rh-C bond becomes shorter and stronger. Note also how closely the calculated and observed ratios both follow this trend. In a molecule with two C-O stretching modes, for example, bent Ni(CO)2 exhibits a strong b2 mode at 1978.9 cm-1 and a weak a1 mode at 2089.7 cm-1 in solid neon, and these two modes involve different C and O participations. The symmetric mode shows substantially more C (1.0242) and less O (1.0217) participation than does the antisymmetric mode with C (1.0228) and O (1.0238) involvement, based on the given isotopic frequency ratios, which are nicely matched by DFT calculations (a1 1.0244, 1.0224 and b2 1.0232, 1.0241, respectively). These investigations of vibrational frequencies in unsaturated transition-metal carbonyl cations, neutrals, and anions clearly demonstrate the value of a close working relationship between experiment and theory to identify and characterize new molecular species.

Journal Article↗

Crystallization and preliminary X-ray diffraction analysis of the chloramphenicol acetyltransferase from Tn2424.

Crystals of chloramphenicol acetyltransferase B2, an enzyme encoded by the transposon Tn2424 from Escherichia coli, have been obtained utilizing polyethylene glycol as a precipitant. The enzyme inactivates the antibiotic chloramphenicol and is a member of the xenobiotic acetyltransferase family. Two crystal forms were obtained and complete data sets have been collected at a synchrotron source: form I, which diffracted to 3.2 A, and form II, grown in the presence of NiCl(2), for which crystals of the apoenzyme and of the enzyme-chloramphenicol complex have been obtained. For the form II crystals, complete data sets have been collected at 2.7 and 3.2 A resolution, respectively. The space group of the above two crystal forms is P2(1)3, with unit-cell parameter a = 130 A.

Apoenzymes↗

Norepinephrine-induced hepatocellular dysfunction in early sepsis is mediated by activation of alpha2-adrenoceptors.

Gut-derived norepinephrine (NE) has been shown to play a critical role in producing hepatocellular dysfunction in early sepsis, but it is not known whether alpha2-adrenoceptor activation mediates this dysfunction. We infused normal male adult rats with NE, NE plus the specific alpha2-adrenergic antagonist rauwolscine (RW), or vehicle (normal saline) for 2 h. Hepatocellular function was determined by in vivo indocyanine green (ICG) clearance. An isolated perfused liver preparation was also used to assess hepatocellular function by in vitro ICG clearance; NE alone or with RW was added to the perfusate. Rats were subjected to sepsis by cecal ligation and puncture (CLP). At 1 h after CLP, RW was infused for 15 min. At 5 h after CLP, we measured hepatocellular function and serum tumor necrosis factor-alpha (TNF-alpha) levels. Intraportal NE infusion in normal rats produced hepatocellular dysfunction, which was prevented by RW and NE infusion. This is confirmed by findings with the isolated perfused liver preparation. RW administration in early sepsis maintained hepatocellular function and downregulated TNF-alpha production at 5 h after CLP. These results suggest that NE-induced hepatocellular dysfunction in early sepsis is mediated by alpha2-adrenoceptor activation, which appears to upregulate TNF-alpha production. Modulation of hepatic responsiveness to NE by alpha2-adrenergic antagonists should provide a novel approach for maintaining cell and organ functions during sepsis.

Animals↗

The small intestine plays an important role in upregulating CGRP during sepsis.

Although studies have indicated that calcitonin gene-related peptide (CGRP), a potent vasodilatory peptide, is upregulated after endotoxic shock, it remains controversial whether this peptide increases during sepsis and, if so, whether the gut is a significant source of CGRP under such conditions. To study this, polymicrobial sepsis was induced by cecal ligation and puncture (CLP) followed by fluid resuscitation. Plasma levels of CGRP were measured at 2, 5, and 10 h after CLP (i.e., early, hyperdynamic sepsis) and at 20 h after CLP (late, hypodynamic sepsis). The results indicate that plasma CGRP did not increase at 2--5 h but increased by 177% at 10 h after CLP (P < 0.05). At 20 h after the onset of sepsis, however, the elevated plasma CGRP returned to the sham level. To determine the source of the increased plasma CGRP, the liver, spleen, small intestine, lungs, and heart were harvested, and tissue CGRP was assayed at 10 h after CLP in additional animals. Only the small intestine showed a significant increase in tissue levels of CGRP (by 129%, P < 0.05). Determination of portal vs. systemic levels of CGRP indicates that portal CGRP was 65.7 +/- 22.7% higher than the systemic level at 10 h after CLP, whereas portal CGRP in sham-operated rats was only 4.9 +/- 2.1% higher. Immunohistochemistry examination revealed that CGRP-positive stainings increased in the intestinal tissue but not in the liver at 10 h after the onset of sepsis. The distribution of CGRP stainings was associated with intestinal nerve fibers. These results, taken together, demonstrate that upregulation of CGRP occurs transiently during the progression of sepsis (at the late phase of the hyperdynamic sepsis), and the gut appears to be a major source of such an increase in circulating levels of this peptide.

Animals↗

The small intestine is an important source of adrenomedullin release during polymicrobial sepsis.

Adrenomedullin (AM), a potent vasodilatory peptide, has recently been reported to be involved in the altered cardiovascular responses under various pathophysiological conditions. Although the increase in plasma AM levels is associated with upregulation of AM gene expression in various tissues, it remains unknown whether the gut is an important source of AM release under such conditions. To determine this, adult male rats were subjected to sepsis by cecal ligation and puncture (CLP) followed by fluid resuscitation. Systemic and portal blood samples were collected simultaneously at 10 and 20 h after CLP or sham operation. A portion of the jejunum was also harvested. Plasma and tissue levels of AM were then determined by RIA. The localization of AM in the intestinal tissue was examined using immunohistochemistry. In an additional group of normal rats, synthetic rat AM (8.5 microg/kg body wt) was infused for 15 min at a constant rate via the portal vein (which produces a similar level of AM as observed during sepsis). Cardiac output, stroke volume, total peripheral resistance, and microvascular blood flow in various organs were determined before and 30 min after AM administration. The results indicate that AM levels in portal blood were significantly higher than in systemic blood at 10 and 20 h after CLP. Intestinal AM was also markedly elevated. Immunohistochemical visualization shows that AM immunostainings were localized in the mucosa, submucosa, and intestinal nerve fibers, and they were increased at 10-20 h post-CLP. Because AM-immunopositive nerve fibers increase in the gut during sepsis, a nerve pathway may be involved in the regulation of vascular reactivity by this peptide. Moreover, intraportal administration of AM increased cardiac output, stroke volume, and microvascular blood flow in the liver, kidney, small intestine, and spleen. In contrast, total peripheral resistance was significantly reduced. Thus the gut plays an important role in increasing the levels of circulating AM during the progression of sepsis. Gut-derived AM appears to be a major factor in initiating the hyperdynamic response after the onset of sepsis.

Adrenomedullin↗