Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “FLUORESCEINS”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 271 records · Page 15Linked to original sources

Synthesis, in vitro receptor binding, and in vivo evaluation of fluorescein and carbocyanine peptide-based optical contrast agents.

Site-specific delivery of drugs and contrast agents to tumors protects normal tissues from the cytotoxic effects of drugs and enhances the contrast between normal and pathologic tissues. One approach to achieve selectivity is to target overexpressed receptors on the membranes of tumor cells and to visualize the tumors by a noninvasive optical imaging method. Accordingly, we conjugated fluorescein and carbocyanine dyes to somatostatin and bombesin receptor-avid peptides and examined their receptor binding affinities. We also prepared potential dual imaging probes consisting of a bioactive peptide for tumor targeting, a biocompatible dye for optical imaging, and a radioactive or paramagnetic metal chelator for scintigraphic or magnetic resonance imaging of tumors. Using these approaches, the resulting carbocyanine derivatives of somatostatin and bombesin analogues retained high binding for their respective receptors. Further evaluation of representative molecules in rats bearing somatostatin- and bombesin-positive tumors showed selective uptake of the agents by the tumor cells. Unlike carbocyanine derivatives, the receptor binding of fluorescein-somatostatin peptide conjugates was highly sensitive to the type of linker and the site of fluorescein attachment on the nonreceptor binding region of the peptide. In general, the presence of flexible linkers disrupted binding affinity, possibly due to the interaction of the linker's thiourea group with the peptide's cyclic disulfide bond. While the receptor binding affinity of the dual probes was not dependent on the type of chelating group examined, it was affected by the relative positions of fluorescein and chelator on the lysine linker. For somatostatin compounds, best results were obtained when the chelator was on the alpha-amino lysine linker and fluorescein was on the epsilon-amino group. In contrast, conjugation of the chelator to epsilon- and fluorescein to the alpha-amino lysine linker of bombesin peptides resulted in high receptor binding. These findings indicate that despite their small size, conjugation of dyes to truncated somatostatin and bombesin peptide analogues results in promising diagnostic agents that retain high receptor binding activity in vitro. The results further show that these contrast agents can selectively and specifically localize in receptor-positive tumors in rat models.

Animals↗

D-glucose triggers multidrug resistance-associated protein (MRP)-mediated secretion of fluorescein across rat jejunum in vitro.

PURPOSE: To examine the transport characteristics of the multidrug resistance-associated protein (MRP) substrate fluorescein across the isolated rat small intestinal segments. METHODS: The transport of fluorescein was studied in side-by-side diffusion chambers under short-circuited conditions at physiological pH. RESULTS: The serosal-to-mucosal permeability of fluorescein significantly exceeded the permeability in the opposite direction in the jejunum, but not in the ileum. This asymmetry in transport in the jejunum was observed only when D-glucose was present at the mucosal side of the tissue, and not in the presence of D-galactose or D-mannitol. In the presence of D-glucose at the mucosal side, serosal-to-mucosal permeability of fluorescein in the jejunum can be divided into an active (Michaelis-Menten constant, KM = 1.07 mM; maximum flux of the substrate. Jmax = 14.0 nmol/h x cm2) and a passive component (passive permeability, Ppas = 2.51 x 10(-6) cm/s). The polarization of fluorescein transport was almost completely abolished by MRP inhibitor, benzbromarone (50 or 100 microM, applied apically), and by MRP/P-glycoprotein inhibitor, verapamil (200 microM, applied apically). CONCLUSIONS: D-glucose at the mucosal side activates fluorescein secretion across rat jejunum by an apical MRP, most probably by isoform 2 (MRP2), which could have an impact on the intestinal absorption of MRP substrates.

Animals↗

Anterior chamber and vitreous fluorescein kinetics in normal and diabetic subjects.

PURPOSE: Describe and compare drug exchange between various parts of the eye. METHODS: Fluorophotometric measurements of the anterior chamber, vitreous and plasma fluorescein concentrations were performed and subjected to a kinetic two-compartment analysis. RESULTS: The overall barrier properties as revealed by a permeability-index were found to be 12.2% and 3.5% for the anterior chamber and the vitreous, respectively. The apparent rate constant of permeation into the anterior chamber was found to be significantly higher than into the vitreous and the apparent peripheral body compartment. The terminal rate constant of fluorescein disposition from the anterior chamber was in agreement with the terminal disposition rate constant for plasma fluorescein, whereas elimination from the vitreous was significantly slower. CONCLUSION: Compartment analysis of ocular fluorescein kinetics is suitable for the study of anterior and posterior barrier properties in the eye. In this study fluorescein elimination from the anterior chamber was restricted by terminal plasma fluorescein decay rather than by ocular tissue.

Adult↗

Anterior chamber fluorescein kinetics compared with vitreous kinetics in normal subjects.

PURPOSE: Describe and compare barrier properties in various parts of the eye. METHODS: Fluorophotometric measurements of the anterior chamber, vitreous and plasma fluorescein concentrations were performed and subjected to a kinetic two-compartment analysis. RESULTS: The overall barrier properties as revealed by a permeability-index was found to be 12.2% (anterior chamber) and 3.5% (vitreous). The apparent rate constant of permeation into the anterior chamber (Kin=1,59 h(-1)) was found to be significantly higher than into the vitreous (Kin=0,66 h(-1)) and into the apparent peripheral body compartment (Kin=0,23 h(-1)). The terminal rate constant of fluorescein disposition from the anterior chamber (Kout=0,21 h(-1)) was in agreement with the terminal disposition rate constant for plasma fluorescein (P=0,23 h(-1)), whereas elimination from the vitreous (Kout=0,072 h(-1)) was significantly slower. CONCLUSION: Compartment analysis of ocular fluorescein kinetics is suitable for the study of anterior and posterior barrier properties in the eye. In this study fluorescein elimination from the anterior chamber was restricted by terminal plasma fluorescein decay rather than by ocular tissue.

Adult↗

[Complications of lumbar administration of 5% sodium fluorescein solution for detection of cerebrospinal fluid fistula].

BACKGROUND: The detection of cerebrospinal fluid fistulas in the region of the anterior or lateral skull base can be difficult. The fluorescein test with lumbar administration of 5% sodium fluorescein solution can be used to detect cerebrospinal fluid leakage, identify weak points in the dura, achieve precise localisation of cerebrospinal fluid fistulas and to check intraoperatively that watertight dural closure has been achieved. However, use of the test is problematic as the fluorescein solution used is not licensed for this indication in Germany and severe neurological complications are described in the literature. In order to clarify the legal situation regarding use of the test, we therefore analysed the complications occurring in a sizeable patient sample. METHOD: The records of all patients in whom a fluorescein test had been performed between 1979 and June 2000 were analysed retrospectively for the occurrence of complications. RESULTS: The most frequent complication in the 368 fluorescein tests performed was headache, followed by nausea and vomiting, temperature elevation, dizziness and nuchal pain. These side-effects were no more frequent than described for lumbar puncture alone. Twenty-six patients experienced side-effects on the day of the operation, 65 on the first postoperative day, 36 on the second day, 34 on the third day and 13 patients after the third day. There were two cases of grand mal seizures following concomitant intrathecal contrast medium administration. None of the patients had side effects persisting longer than 4 weeks. CONCLUSIONS: Intrathecal administration of a 5 % fluorescein solution is a safe procedure provided that the maximum dosages are not exceeded and the solution is prepared and administered correctly and in accordance with the specified indications and contraindications. In view of its great diagnostic benefit and low risk when properly used, the dictates of therapeutic freedom allow use of this drug despite the fact that it is not licensed for this purpose in Germany. It is necessary to obtain written informed consent from the patient.

Adolescent↗

[Surgical occlusion of cerebrospinal fistulas of the anterior skull base using intrathecal sodium fluorescein].

BACKGROUND: For more than 25 years, intrathecal 5% sodium fluorescein has been routinely used at the University ENT Hospital at Graz during surgical closures of CSF leaks of the anterior skull base. Especially with endoscopic approaches, this technique has been of significant help in identifying and localizing dural defects. No fluorescein-related complications occurred in the series reported. MATERIAL AND METHODS: In a retrospective study, indications, techniques, and results of surgical closures of CSF leaks of the anterior skull base are reviewed. During 5 1/2 years from 1990-1995, 72 patients with CSF-rhinorrhea were operated on at our department, 69 of whom had sodium fluorescein applied intrathecally. In 41 patients strictly endoscopic techniques were applied, in 22 patients an external approach was chosen and in 9 cases combined approaches were used. Defects in the roof of the ethmoid, the lamina cribrosa, and in the sphenoid sinus almost exclusively were approached endoscopically. Defects in the posterior table of the frontal sinus, especially when located laterally, were approached from externally or via combined endonasal and external routes. The causes of the CSF leaks, their localization, and the surgical approaches chosen are analysed and the surgical techniques described in detail. RESULTS: The direct coronal CT of the paranasal sinuses/anterior skull base proved to be significantly better in detecting lesions compared to axial CT images (82% vs. 53%). In all cases intrathecal fluorescein allowed for a precise localization of the defect(s). There were no fluorescein related complications in this series. In one patient with massive frontobasal chip fractures and substantial dural defect, a rhinosurgical closure was not successful. Two patients developed recurrent fistulae after several months and years respectively. One of these patients had to be operated 3 times until permanent closure was achieved. Two patients had to be revised because of mucoceles of the frontal sinuses, in both cases the initial closure of the dural defect proved to be tight. CONCLUSION: Our results demonstrate that with exception of defects of the posterior lateral table of the frontal sinus, CSF leaks of the rhinobasis can be closed safely endoscopically. After a follow-up from 19-65 months, the overall success rate for 72 CSF leaks was at 94.5%. When applied correctly, the fluorescein technique proves to be an extremely helpful technique for diagnosis and surgery of CSF leaks.

Adolescent↗

Retrograde infusion of fluorescein to confirm location and patency of a glaucoma drainage device.

BACKGROUND: During surgical revision of a glaucoma drainage device, the status of the implant tube can be in question. We report two cases in which retrograde infusion of fluorescein-stained balanced salt solution was used to confirm the patency and location of the tube. METHODS: Fluorescein-stained balanced salt solution was made by dipping a sterile fluorescein strip into a 3-mL syringe of balanced salt solution until the fluid was visibly yellow. A 30-gauge canula was inserted into the tube at the reservoir end, and fluorescein-stained balanced salt solution was infused into the eye. RESULTS: Retrograde infusion of fluorescein-stained balanced salt solution confirmed the location and patency of the glaucoma drainage device implant tube, obviating the need for more extensive surgical intervention in these two cases. Neither patient experienced an adverse event. CONCLUSION: Retrograde infusion of fluorescein-stained balanced salt solution is a useful adjunctive technique for surgical revision of glaucoma drainage devices.

Acetates↗

The Effect of instilled fluorescein solution volume on the values and repeatability of TBUT measurements.

PURPOSE: To investigate how the volume of instilled fluorescein solution alters invasive tear breakup time (TBUT) and the standard deviation (SD) of multiple recordings, and to determine the volume of fluid supplied by traditional fluorescein-impregnated strips (FS) and a micropipette calibrated to dispense 1 microL. METHODS: TBUT was measured 3 times in the right eyes of 46 subjects following the instillation of 1, 2.7, and 7.4 microL of fluorescein solution by micropipette and the use of a wetted FS. The volume of fluid delivered to an eye by FS and a micropipette set for 1 microL was estimated by weighing each before and after use. RESULTS: The volume of fluorescein solution instilled before measurement influenced TBUT (P < 0.001). Increasing the delivered volume from 1 to 2.7 microL lengthened TBUT (P < 0.001), but an additional increase in volume to 7.4 microL was not associated with a further change in TBUT (P = 0.50). Differences between TBUT values measured after using FS and a micropipette calibrated for 1 microL were not significant (P = 0.95). No significant differences were found in the repeatability of TBUT recordings between the instillation techniques used in this study (P = 0.18), although measurement variability increased with mean TBUT for all techniques. With the FS instillation technique described herein, the average volume of fluorescein solution they supplied was less than that delivered by a micropipette set for 1 microL (P = 0.017), but the range of volumes transferred by FS was greater. CONCLUSIONS: Values of TBUT are dependent on the volume of fluorescein solution instilled before measurement; thus, attempts should be made to standardize this variable. Accurate estimation of TBUT requires more recordings to be averaged than are normally taken, unless breakup time is very short.

Adolescent↗

Is fluorescein pattern analysis a valid method of assessing the accuracy of reverse geometry lenses for orthokeratology?

BACKGROUND: The aims of this study were to investigate the relative frequencies of correct identifications of variations in the fit of conventional rigid gas permeable (RGP) lenses and reverse geometry lenses (RGL) from fluorescein pattern analysis by orthokeratology (ortho-k) practitioners and non-ortho-k practitioners and to determine whether fluorescein pattern analysis is sensitive for assessing ortho-k lens fittings. METHODS: Slides of fluorescein patterns of different lens fittings were shown to the practitioners, who were asked to identify the ideal, flatter, flattest, steeper and steepest lens fittings. RESULTS: Observed frequencies of correct identifications of most of the conventional RGP lens fittingss were not significantly different from the expected frequencies for both groups of practitioners. The observed frequencies of correct identifications of all of the RGL fittings were either not significantly different or were lower than the expected frequencies. CONCLUSION: The relative frequencies of correct identifications of fluorescein patterns of both conventional RGP lens and RGL fittings by experienced ortho-k practitioners were not different from those by non-experienced ortho-k practitioners. Practitioners from the two groups were not always able to diagnose conventional RGP lens and RGL fittings adequately from fluorescein pattern analysis alone. Fluorescein pattern analysis alone may not be sufficiently sensitive for assessing ortho-k lens fitting.

Contact Lenses↗

Effect of lacrimal punctal occlusion on tear production and tear fluorescein dilution in normal dogs.

OBJECTIVE: To evaluate effects of lacrimal punctal plugs positioned in either the upper, lower, or combination of upper and lower lacrimal canaliculi on plug retention and tolerance; tear production, as measured by the Schirmer tear test; and the dilution of fluorescein within the tear film in normal dogs. MATERIAL AND METHODS: Lacrimal punctal plugs were positioned in the lower, upper, or combination of lower and upper plugs in six laboratory-quality Beagles under topical anesthesia. Retention of plugs was evaluated daily from 8 to 23 days by visual inspection and slit-lamp biomicroscopy. Schirmer tear tests (STT 1 without topical anesthesia) were performed at 48-h intervals. Dilution of fluorescein was determined at 5- and 45-min post-fluorescein instillations once weekly. RESULTS: Lacrimal punctal plugs of 0.4 and 0.6 mm in diameter were retained for 14 (lower plugs: 100%) and 23 days (75%), and for the upper plugs at 8 days less often (75%), and were infrequently locally nonirritating. Combination of lower and upper plugs seemed to adversely affect retention of either plug. When loss of the plugs occurred, a next larger size plug was necessary suggesting some stretching of the lacrimal canaliculi occurred. Pre- and postplug placement STT results indicated no change with lower and combination lacrimal punctal plugs, but decreased levels following upper lacrimal punctal plugs. Tear fluorescein levels at 5 and 45 min in control eye (no punctum plugs) were 3.39% and 0.14%, respectively. With lower, upper, and the combination of lower and upper lacrimal puncta plugs, tear fluorescein levels at 45 min were higher than the controls (lower: 0.76%; upper: 0.45%, and combination 0.56%). CONCLUSION: Lacrimal punctal silicone plugs are retained for 8-23 days in the lower, upper, and combined lower and upper canaliculi at high rates. Effects on STT levels appear limited. Fluorescein within the tear film persists longer with all different positioned lacrimal punctum plugs than in the control eyes.

Animals↗

The normal retinal fluorescein angiogram I. A study of the fluoresceinangiographic appearance of the retina in normal subjects without ophthalmoscopically obvious pathological changes.

Retinal fluorescein angiography and colour fundus photography was performed in the one eye of 48 clinically healthy middle aged subjects, 21 females and 27 males, without ophthalmoscopically obvious fundus abnormalities. A region of retina 45 degrees around the fovea was analysed for morphological elements in colour photographs, red-free photographs and fluorescein angiograms. Subtle morphological elements, small and 'large' fluorescent spots, were noted in 20 out of 48 subjects (= eyes) (42%) during the early and middle phases of the fluorescein angiogram. In 15 subjects the number and location of fluorescent spots (n = 40) corresponded to spots in the colour and red-free photographs. In 10 out of the 15 subjects (67%) with fluorescent spots the corresponding spots in the colour and red-free photographs were indistinctly outlined. Fluorescent spots without corresponding spots in colour and red-free photographs (n = 18) were found in 10 subjects. Thirty-eight per cent of all the fluorescent spots (n = 22) persisted with variable intensity in the late phases of the angiograms. Colour photographs disclosed variable numbers of yellowish spots in 34 subjects (71%). Sixty-four per cent of the spots (71 our of 111 spots) in colour photographs could not be visualized by fluorescein angiography. These spots were characteristically distinctly outlined. The retinal spots were chiefly located in the upper and lower regions temporal to the fovea both in colour photographs (71% of the spots) and the fluorescein angiograms (62% of the spots). The occurrence of morphological elements of the retina did not correlate with age or smoking habits. The appearance of minor morphological elements in the retina of normal subjects seems to variate widely as assessed by fluorescein angiography and fundus colour photography.

Adult↗

Fluorescein angiography and fluorophotometry of the iris in pseudoexfoliation of the lens capsule.

Fluorescein iris angiography and fluorophotometry were performed on a series of 9 patients with bilateral and 11 with unilateral pseudoexfoliation, 12 bilateral aphakes with pseudoexfoliation, and 7 unilateral aphakes with bilateral pseudoexfoliation. Angiography showed a loss of radial iris vessels, a heavy leak of fluorescein from the pupil margin, progressive neovascularisation of the outer 2/3 of the iris, and less constantly a network of fine new vessels in the inner 1/3 of the iris stroma. These changes were absent in unaffected eyes. After cataract extraction there seemed to be a definite lessening of fluorescein leak from the pupil margin. Fluorophotometry showed a much higher fluorescein concentration at the anterior focus in eyes with pseudoexfoliation than in normal controls or in fellow unaffected eyes. There was a much smaller rise in fluorescein concentration at the posterior focus in a minority of affected eyes. The ranges of fluorescein concentrations at the anterior focus in both phakic and aphakic patients with bilateral pseudoexfoliation did not differ significantly. The concentration at the anterior focus of unilateral aphakes with bilateral pseudoexfoliation was lower than in the fellow phakic eye. These findings suggest that the neovascular reaction seen in pseudoexfoliation is associated with patchy occlusion of the normal iris vasculature, occurs in the anterior segment of the eye, and does not continue to progress after removal of the lens.

Aged↗

Flow system fluorescence polarization measurements on fluorescein diacetate-stained EL4 cells.

We have adapted a multiparameter cell sorter to measure the distribution of fluorescence polarization in cell populations. Measurements carried out on EL4 cells show that the percent polarization of fluorescein fluorescence decreases with increasing fluorescence intensity. This inverse relationship between polarization and intensity is shown both within the cell population and by the average values of the two quantities during both the increase and decrease of fluorescence intensity. The quantitative relation between intensity and polarization is different in hypertonic than in isotonic media. These results suggest that polarization measurements carried out at a fixed time after incubation of cells with fluorescein diacetate, which is converted to fluorescein within the cells, may depend in part on the rate of fluorescein accumulation, and that agents that have been reported to change the polarization of fluorescein in living cells may do so by changing the kinetics of fluorescein accumulation.

Cell Line↗

The use of fluorescein diacetate to assess embryo viability in the mouse.

Preimplantation mouse embryos that were exposed to fluorescein diacetate (FDA) accumulated intracellular fluorescein and fluoresced brightly under ultraviolet (u.v.) light. The rate at which intracellular fluorescein was lost from the cells was measured at 37, 28 and 4 degrees C and the rate decreased as the storage temperature decreased. The rate at which intracellular fluorescein accumulated increased as FDA concentration increased until a maximum rate was attained. The ability to accumulate intracellular fluorescein could be removed by heating embryos at 56 degrees C for 30 min or by damaging the cell membrane. Cells grown under inadequate culture conditions lost the ability to accumulate intracellular fluorescein. Exposure of 2-cell mouse embryos to FDA and u.v. light did not alter the rate of blastocyst formation in vitro, and exposure of blastocysts to FDA and u.v. light did not alter the rate of implantation or post-implantation development in vivo.

Animals↗

Reproducibility of the fluorescein dilaurate pancreatic function test.

The indirect pancreatic function test, the fluorescein dilaurate test, was performed twice on nine healthy volunteers. The test is based on the renal excretion of fluorescein liberated from an ingested fluorescein ester by pancreatic enzymes. As a control, fluorescein sodium was ingested under similar conditions. The results of the test are expressed as the ratio of the amount of fluorescein excreted in the test part and the control part, forming the test/control (T/C) ratio. The mean values of excreted fluorescein correlated well with those reported by other authors. The coefficient of variation was 35% in the repeated test and of the same order in the series of individuals. The test cannot be recommended as a quantitative test until further investigation has been performed. Its use as a screening test is found questionable.

Adult↗

Movement of fluorescein monoglucuronide in the rabbit cornea. Diffusion in the stroma and endothelial permeability.

The movement of fluorescein monoglucuronide, a fluorescent metabolite of fluorescein, was studied in the rabbit cornea in vitro and in vivo. A stromal strip was exposed to fluorescein monoglucuronide, and the diffusion rate and the distribution in the stroma were measured every hr for 24 hr. The diffusion coefficient was 0.94 +/- 0.11 (+/- S.D.) X 10(-6) cm2/sec, and the saline/stroma distribution ratio was in a range of 0.67 to 0.69. The concentration of fluorescein monoglucuronide in the anterior chamber and the cornea was measured every hr for 8 hr following intravenous administration. The endothelial permeability was 4.7 +/- 1.0 X 10(-4) cm/min, and the aqueous/cornea distribution ratio was 0.56 +/- 0.05. It appears that the corneal endothelial permeability in the living eye determined hitherto from systemic administration of fluorescein is most likely the permeability to fluorescein monoglucuronide.

Animals↗

Fluorescein angiography of retinoblastoma.

This study was undertaken to determine the fluorescein angiographic characteristics of retinoblastomas, to determine the effect of various methods of treatment of these fluorescein patterns, and to determine whether fluorescein angiography can be of value in determining the response to treatment. We performed fluorescein angiography one or more times on 31 patients with retinoblastoma. Small tumors confined to the retina characteristically showed a well-defined pattern of retinal capillaries that filled during the arterial phase and became diffusely hyperfluorescent in the later phases. The fluorescein pattern varied with endophytic or exophytic tumors, depending upon the size of the tumor and the extent of vitreous or subretinal seeding. Following successful photocoagulation of a retinoblastoma, the tumor vascularity is markedly decreased and the tumor is replaced by fibrovascular tissue. Following successful radiotherapy, the tumor vasculature is altered but not typically obliterated. Three cases of presumed spontaneously regressed or arrested retinoblastomas showed much less vascularity than the active viable tumors. It is concluded that fluorescein angiography can be useful in the diagnosis and management of children with retinoblastoma.

Brachytherapy↗

Fine structure of three different anti-fluorescein combining sites: induced circular dichroism of hapten bound to autologous and heterologous recombinants.

We have previously reported the sequential appearance in hyperimmunized rabbits of three distinct types of antifluorescein-combining sites that can be distinguished by the characteristic induced circular dichroism (CD) of the bound hapten, fluorescein. Such induced CD depends on the configuration of the surrounding residues, and, in the case of anti-fluorescein, can be localized to the configuration of the sub-site which binds the hydroxyxanthenone moiety of fluorescein. In the present investigation, we have studied the fine structure of both autologous and heterologous recombinant sites and of the free chains by measuring the induced CD of bound hapten. Heavy chain dimers at pH 5.4 bound fluorescein that displayed a weak negative CD band which is different from that observed in any of the native antibodies. No induced CD was observed with light chains. Thus, the hydroxyxanthenone subsite does not exist intact in any of the isolated chains. Fluorescein bound to purified autologous recombinants, when studied at pH 7.5, exhibited CD spectra very similar to those observed for the original antibodies. Most significantly, fluorescein bound to purified heterologous recombinants, prepared in all possible combinations, showed CD spectra most similar to those exhibited by sites from which the heavy chain was derived. Thus, the microenvironment of the subsite appears to be due primarily to the heavy chain.

Animals↗