scholarly journals The role of L-arginine metabolism in neurocritical care patients

2022 ◽  
Vol 17 (7) ◽  
pp. 1446
Author(s):  
MariusMarc-Daniel Mader ◽  
Patrick Czorlich
2007 ◽  
Vol 35 (Suppl) ◽  
pp. S216-S223 ◽  
Author(s):  
Maher Saqqur ◽  
David Zygun ◽  
Andrew Demchuk

2020 ◽  
Author(s):  
Taiana Ferreira-Paes ◽  
Karen S. Charret ◽  
Merienny R.S. Ribeiro ◽  
Raquel F. Rodrigues ◽  
Leon L. Leon

AbstractLeishmania infantum infantum (LII) is one of the species that causes visceral leishmaniasis (VL) in the Old World, while L. infantum chagasi (LIC), and is present in the New World. Few studies address the biological differences, as well as the behaviour of these strains during infection. These parasites live inside the cells of their hosts, continuously evading the microbicidal mechanisms and modulating the immune response of these cells. One of the mechanisms used by these protozoa involves the L-arginine metabolism. Given the importance of the understanding of differences between Leishmania species, as well as establishing a better murine model to study leishmaniases, the objectives of this work were to analyse the biological and molecular differences between two Leishmania infantum strains (LII and LIC) and the degree of susceptibility of mice with different genetic backgrounds to infection, as well as to understand the role of arginase (ARG)/nitric oxide synthase (NOS) in the parasite-host relationship. The infectivity in vivo and in vitro of LII and LIC was performed in BALB/c and Swiss Webster mice, as well the NOS and ARG activities. The LII strain showed more infective than the LIC strain both in vivo and in vitro. In animals infected by both strains, a difference in NOS and ARG activities occurred. In vitro, promastigotes of LII isolated from BALB/c and Swiss Webster mice showed higher ARG activity than the LIC during the growth curve, however, no difference was observed in intracellular NO production by promastigotes between these strains. A comparison of the sequences of the ARG gene was made and both strains were identical. However, despite the similarity, the strains showed different expression of this gene. It can be concluded that although L. chagasi strains are considered identical to L. infantum strains, both have different biological behaviour.


2021 ◽  
Author(s):  
Thierry Hernández-Gilsoul ◽  
Jose de Jesús Vidal-Mayo ◽  
Alan Alexis Chacon-Corral

Patients under neurocritical care may require mechanical ventilation for airway protection; respiratory failure can occur simultaneously or be acquired during the ICU stay. In this chapter, we will address the ventilatory strategies, in particular the role of protective lung ventilation, and the potential increase in intracranial pressure as a result of permissive hypercapnia, high airway pressures during recruitment maneuvers, and/or prone position. We will also describe some strategies to achieve mechanical ventilation liberation, including evaluation for tracheostomy, timing of tracheostomy, mechanical ventilation modalities for weaning and extubation, or tracheostomy weaning for mechanical ventilation.


2002 ◽  
Vol 282 (2) ◽  
pp. F316-F323 ◽  
Author(s):  
Marcella M. Hallemeesch ◽  
Peter B. Soeters ◽  
Nicolaas E. P. Deutz

The kidney has an important function in arginine metabolism, because the kidney is the main endogenous source for de novo arginine production from circulating citrulline. In conditions such as sepsis, nitric oxide (NO) production is increased and is dependent on extracellular arginine availability. To elucidate the adaptive role of renal de novo arginine synthesis in a condition of increased NO production, we studied renal arginine metabolism in a mouse model of endotoxemia. Because arginine flux is largely dependent on protein flux, we also measured protein metabolism in mice. Female mice were injected intraperitoneally with lipopolysaccharide; control mice received 0.9% NaCl. Six hours later, renal blood flow was measured with the use of para-aminohippuric acid. Arginine and protein metabolism were studied using organ-balance, stable-isotope techniques. Systemic NO production was increased in the endotoxin-treated mice. In addition, renal protein synthesis and de novo arginine production from citrulline were increased. However, no effect on renal NO production was observed. In conclusion, increased renal de novo arginine production may serve to sustain systemic NO production. To our knowledge, it was shown for the first time that renal protein synthesis is enhanced in the early response to endotoxemia.


2010 ◽  
Vol 75 (5) ◽  
pp. 549-553 ◽  
Author(s):  
V. O. Tkachev ◽  
E. B. Menshchikova ◽  
N. K. Zenkov ◽  
N. V. Kandalintseva ◽  
N. N. Volsky

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