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Biomedical subjects

W Noske

Publications and source records attributed to W Noske.

At least 19 recordsLinked to original sources

Fine structure of the developing avian corneal stroma as revealed by quick-freeze, deep-etch electron microscopy.

Corneal transparency depends on the precise organization of the stromal extracellular matrix. The morphology of the extracellular matrix of the embryonic and adult avian secondary posterior cornea was studied in glutaraldehyde-fixed, quick-frozen, deep-etched replicas with the electron microscope. Although the collagen fibrils changed from a loose network to a more ordered parallel lamellar arrangement during development, their mean diameter remained constant between 30.3 and 31.2 nm. Besides collagen fibrils, other extracellular matrix components were observed: (i) straight or Y-shaped cross-bridging interfibrillar 8-10 nm filaments with 18-22 nm globules; (ii) relatively loose networks of 10-20 nm beaded filaments, with a mean periodicity of 107 nm, often running perpendicular to the collagen fibrils and adhering to the plasma membrane of stromal cells at early developmental stages; (iii) straight or curved 6-12 nm strands forming sheets within the stromal matrix that progressively disappeared, whereas similar structures persisted at the Descemet's membrane-stroma interface; (iv) dense networks of filaments with 6-8 nm filaments, sometimes polygonally arranged, and a substructure of 2-3 nm filaments with globular domains, which progressively disappeared with maturation but remained at the Descemet's membrane-stroma interface; (v) polygonal networks of 9-10 nm filaments with globular domains adherent to the surface of cell plasma membranes at early developmental stages. The temporal expression of deep-etched supramolecular structural assemblies is compatible with that of the so-called 'interstitial basement membrane components' previously described. The quick-freeze and deep-etching method can reveal important aspects of the in situ organization of the corneal extracellular matrix.

Animals↗

Endothelin-like immunoreactivity in aqueous humor of patients with primary open-angle glaucoma and cataract.

BACKGROUND: Experimental evidence suggests a role of endothelin-1 (ET) in the regulation of intraocular pressure (IOP). METHOD: Therefore, in patients undergoing cataract surgery, ET-like immunoreactivity (ETIR) was measured by radioimmunoassay in pooled samples of aqueous humor of eyes with primary open-angle glaucoma (POAG) and normotensive eyes with cataract only. RESULTS: ETIR was significantly (P < 0.05) higher in patients with cataract and POAG (20.5 +/- 1.8 pg/ml, n = 12; preoperative IOP 21.4 +/- 1.1 mmHg, n = 33) than in patients with cataract only (15.8 +/- 1.6 pg/ml, n = 15; preoperative IOP 16.0 +/- 0.6 mmHg, n = 77). CONCLUSION: This finding may indicate a role of ET in POAG or ocular antihypertensive treatment, and its relevance should be further investigated.

Administration, Topical↗

[Oxygen in the anterior chamber before and after cataract operation].

The purpose of the study was to investigate whether removal of the lens would change the physiology of oxygen supply to the anterior segment of the eye. Oxygen partial pressure in the anterior chamber was measured using oxygen-sensitive electrodes during cataract surgery or removal of after-cataracts in aphacic and pseudophacic eyes. We found significantly reduced oxygen tension in the anterior chamber of aphacic or pseudophacic eyes compared to cataractous eyes. These results could be explained either by a reduced barrier between aqueous humor and vitreous or by atrophic changes of the iris vasculature after cataract surgery. These changes in oxygen supply to the anterior chamber after cataract surgery could be clinically relevant in the eyes with ischemic diseases.

Aged↗

Incomplete belts of tight junctions in cultured non-pigmented human ciliary epithelial cells.

Tight junctions of cultured human non-pigmented ciliary epithelial cells were studied with the freeze-fracture technique and related to the transepithelial electrical resistance of these monolayers. Isolated tight junctional fibrils or small groups and networks of tight junctions sometimes associated with gap junctions were revealed in freeze-fracture images of the lateral plasma membrane. The tight junctions always formed incomplete belts, so that the apical and basolateral plasma membrane domains often were in continuity without morphological evidence of interposed intercellular junctions. The monolayers revealed a transepithelial resistance of 19.7 +/- 2.1 omega.cm2. Protamine induced a reversible increase of the transepithelial resistance of the cultures by 91 +/- 12%, but still the tight junctions formed incomplete belts. We conclude that contrary to complete networks of tight junctions in native non-pigmented ciliary epithelium, cultured monolayers only express incomplete belts of tight junctions which may be the morphological correlate of the relatively low transepithelial resistance of these monolayers. Interpretations on transepithelial transport and permeability characteristics of these cultures have to take into account the differences in junctional morphology from their native epithelium.

Cells, Cultured↗

Tight junctions of the human ciliary epithelium: regional morphology and implications on transepithelial resistance.

The tight junctions of the human ciliary epithelium have been studied using the freeze-fracture technique with particular regard to regional differences in the tight junction networks and implications on the transepithelial resistance. The tight junctions of the non-pigmented epithelium always form continuous networks and consist of from two to more than 20 superimposed strands (mean 3 to 4), suggesting that relatively tight and leaky sites of the paracellular pathway coexist within the same cell perimeter. The tight junction morphology is more complex in the anterior pars plicata than in the posterior pars plicata, but its complexity increases again towards the pars plana. The application of an electrical circuit analysis to morphometric freeze-fracture data suggests that the transepithelial resistance decreases from the anterior pars plicata (32 omega cm2) towards the posterior plicata (26 omega cm2) and becomes lowest in the pars plana (19 omega cm2) and that the transepithelial resistance of the native epithelium is lower than most reported calculations based on electrophysiological measurements. We conclude that human ciliary epithelium is a leaky layer, but that the anterior ciliary processes are less leaky than the posterior processes and the pars plana despite the occurrence of the breakdown of the blood-aqueous barrier predominantly in the anterior pars plicata.

Ciliary Body↗

Tight junctions and paracellular permeability in cultured bovine corneal endothelial cells.

Intramembrane specializations of cultured bovine corneal endothelial cells were studied with thin section and freeze-fracture electron microscopy and related to the paracellular permeability and the transendothelial resistance (Rt) of the monolayers. The following intercellular junctions were found: single and discontinuous networks of tight junctions (TJ) which girdle the apico-lateral cell perimeter incompletely, gap junctions, and membrane undulations suggesting intermediate junctions. The macromolecular tracer ruthenium red penetrated into the lateral intercellular space beyond the level of the incomplete belt of TJ. Rt of these monolayers was 20.9 +/- 1.0 omega.cm2. Protamine induced a reversible increase of Rt to 118 +/- 5% of its control value. We conclude that incomplete belts of TJ may be the morphological counterpart of the high paracellular permeability of this monolayer and functionally and morphologically resemble those of their native endothelium. Cultured corneal endothelial cells are an excellent model for studying the influence of incomplete belts of TJ on paracellular permeability of cells.

Animals↗

Tight junctions of the human corneal endothelium: morphological and electrophysiological features.

The corneal endothelium controls the hydration and nutrition of the avascular corneal stroma. To analyze the role of the tight junctions (TJ) for these functions, we examined human corneal endothelium by thin-section and freeze-fracture electron microscopy and by impedance analysis. On thin sections, tannic acid was seen to mark the external leaflet of the lateral plasma membrane also beyond the location of the TJ, indicating a significant macromolecular porosity of the TJ. On freeze-fracture images, the TJ surrounded the entire apicolateral plasma membrane but were found to be focally incomplete, suggesting a nonhomogeneous seal of the lateral intercellular space. Impedance analysis revealed a very leaky endothelial layer with a transendothelial resistance of 9.0 +/- 1.4 omega cm2. These findings are consistent with the hypothesized "pump-leak" model of the corneal endothelium: the TJ allow an effective dehydration of the corneal stroma, whereas the interruptions in the TJ network may be the morphological correlate for the passage of nutrients into the corneal stroma. Our data corroborate the assignment of the corneal endothelium to the group of "very leaky epithelia" that exhibit high transport rates of water and solutes against only minimal osmotic gradients.

Cell Membrane↗

Anterior-chamber hypoxia and iris vasculopathy in pseudoexfoliation syndrome.

Iris vasculopathy is a well-recognized clinical feature in pseudoexfoliation syndrome (PES). In the present study we examined the morphology of the iris vasculature in PES using electron microscopy and we tested whether these iris vascular changes were correlated with an impaired oxygen supply to the anterior chamber. In the affected vessels we found a gradual degeneration of vascular cells, progressing from adventitial to endothelial cells, associated with the production of excess extracellular material, including pseudoexfoliative fibers. Oxygen partial pressure (pO2) was measured in the anterior chamber during cataract surgery using a polarographic oxygen electrode in eyes with and without PES. The pO2 value measured in the anterior chamber of 10 eyes without PES was 45 +/- 11 mmHg (mean +/- SD) in the chamber angle, 33 +/- 12 mmHg in front of the pupillary margin, and 13 +/- 8 mmHg in the center of the pupil. This spatial distribution of pO2 indicates that aqueous humor oxygenation occurs along the anterior iris surface. The mean pO2 values obtained in 8 patients with PES were 19 +/- 6 mmHg in the chamber angle, 16 +/- 4 mmHg in front of the pupillary margin, and 8 +/- 3 mmHg in the center of the pupil. We conclude that anterior-chamber hypoxia due to iris vasculopathy may represent a complication of PES that could play a role in the pathogenesis of PES-associated alterations in the anterior segment of the eye.

Aged↗

HLA-B and -DR match reduces the allograft reaction after keratoplasty.

Since 1983, corneal grafts have been routinely obtained from multiorgan donors and allocated to the patient with the greatest HLA compatibility. At follow-ups in 248 primarily clear corneal grafts, grouping according to the HLA mismatch rate revealed that the incidence of allograft reactions did not differ significantly for HLA-A but certainly did for HLA-B (P < 0.01) and, in patients with a poor prognosis, for HLA-DR as well (P < 0.05). Grouping the patients according to the mismatch rate of the total of four HLA-B and -DR antigens disclosed the incidence of allograft reactions to be markedly increased by a mismatch of more than two antigens (P < 0.05). The relative risk of an allograft reaction is increased by factors of 5.1 in patients with a good prognosis and 5.5 in those with a poor prognosis. The adverse influence of a postoperative inflammation on the occurrence of an allograft reaction as seen in nonmatched donor material is no longer present in matched donor material if the prognosis is good and no longer significant if it is poor (P < 0.09). The inflammation-promoted expression of HLA antigens is of less importance for graft survival if the difference in the HLA antigens is reduced by the match.

Cornea↗

Detection and localization of perfluorodecalin in the human eye by fluorine 19 magnetic resonance.

Perfluorocarbons are applied as heavy liquids during vitreoretinal surgery. They are removed again intraoperatively because of possible harmful long-term effects. Following vitreoretinal surgery, residual perfluorodecalin (PFD) was detected in four eyes and localized in two others by fluorine 19 magnetic resonance (19F-MR). In vitro analysis of 19F-MR spectra shows that chemical shift artifacts can be avoided much better with PFD than with perfluorotributylamine and perfluoroctane. Therefore, PFD localization by 19F-MR imaging is superior to that of perfluorotributylamine and perfluoroctane. This examination can be performed on currently employed magnetic resonance imaging systems equipped with a fluorine channel. In the event of significant inadvertent residual quantities of PFD and obscured media, 19F-MR may specifically detect and localize PFD.

Aged↗

Chloral hydrate for pediatric ophthalmologic examinations.

Although chloral hydrate sedation has been recommended as an alternative to general anesthesia for pediatric examinations, we have had inconsistent effects after rectal applications for ophthalmologic examinations. A retrospective analysis of rectal chloral hydrate for computer-assisted tomographic (CT) examinations on 20 pediatric patients revealed that after a single application, sedation was sufficient in only 4 cases. In 14 cases, additional doses and/or drugs were required. Altogether, 6 examinations were canceled because of insufficient sedation. Therefore, the safety and effectiveness of oral chloral hydrate (60-100 mg/kg) was studied prospectively in 32 pediatric ophthalmologic examinations of 20 patients. The unpalatable taste of chloral hydrate may result in inconsistent intake, but all intended examinations and manipulations could be carried out with only minimal side effects. Oral chloral hydrate seems to be safe and effective for painless pediatric examinations and may be more reliable than rectal chloral hydrate.

Anesthesia, General↗

[Multiple evanescent white dot syndrome].

A 38-year-old male patient experienced a unilateral visual acuity decrease to 20/60 and showed white dots at the level of the retinal pigment epithelial interface characteristic of multiple evanescent white dot-syndrome. Fluorescein angiography demonstrated early hyperfluorescent defects and some late staining. In spite of improvement of the visual acuity and the alterations of the fundus, an enlargement of the blind spot and some sharply demarcated depigmentations of the retinal pigment epithelium remain. This case shows, that already at the beginning of symptoms the characteristic white dots may be present. Enlargement of the blind spot and depigmentations of the retinal pigment epithelium may remain as defects after multiple evanescent white dot-syndrome.

Adult↗

Human eye: visualization of perfluorodecalin with F-19 MR imaging.

Perfluorodecalin (PFD) was demonstrated in a human eye with fluorine-19 magnetic resonance (MR) imaging by employing a standard two-dimensional fast low-angle shot (FLASH) sequence. The presence and intraocular distribution of PFD were revealed despite the posterior eye segment being obscured by a narrow pupil, multiple small intraocular gas bubbles, and an intraocular hemorrhage. This examination can be performed with standard sequences on MR imaging systems equipped with a fluorine channel.

Cataract Extraction↗

Endothelin-like immunoreactivity in the aqueous humour and in conditioned medium from cultured ciliary epithelial cells.

Endothelin-like immunoreactivity was detected in human (15.6 +/- 2.7 pg/ml) and bovine (11.1 +/- 0.98 pg/ml) aqueous humour of the eye. These concentrations are 2-3 times higher than the corresponding plasma levels. Cultured human nonpigmented ciliary epithelial cells released endothelin-like immunoreactivity with a maximum of 2.1 +/- 0.32 pg/(cm2* 48 h). The release was stimulated by fetal calf serum, thrombin, carbachol and phorbol ester and blocked by cycloheximide. Immunocytochemistry showed cytoplasmic staining of cultured human nonpigmented ciliary epithelial cells for endothelin-1. Endothelin-1 was shown to induce contractions in isolated human ciliary muscle by isometric force measurements. Endothelin in the aqueous humour may play a role in the regulation of intraocular pressure.

Animals↗

Filipin-induced deformations in plasma membranes of cultured bovine corneal endothelial cells with incomplete belts of tight junctions.

Complete belts of intact tight junctions are thought to act as barriers to the movement of cholesterol in the plane of the plasma membrane. As cholesterol can be revealed by filipin-induced membrane deformations on freeze-fracture images, we studied the distribution of these deformation in cultured bovine corneal endothelial cells with incomplete belts of tight junctions. While the extent of filipin-induced deformations differed between individual cells, there is a homogeneous distribution of filipin-induced deformations on both sides of the incomplete junctional belt of endothelial cells. Our results suggest that cultured endothelial cells do not polarize cholesterol, possibly because of the incomplete tight-junctional barrier.

Animals↗