Publications by authors named "Gabriella Varga"

Background: Pulmonary air embolism (AE) and thromboembolism lead to severe ventilation-perfusion defects. The spatial distribution of pulmonary perfusion dysfunctions differs substantially in the two pulmonary embolism pathologies, and the effects on respiratory mechanics, gas exchange, and ventilation-perfusion match have not been compared within a study. Therefore, we compared changes in indices reflecting airway and respiratory tissue mechanics, gas exchange, and capnography when pulmonary embolism was induced by venous injection of air as a model of gas embolism or by clamping the main pulmonary artery to mimic severe thromboembolism.

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We have designed a new compound from the non-steroidal anti-inflammatory drug (NSAID) ketoprofen (Ket) and 2-amino-2-(hydroxymethyl)-1,3-propanediol (Tris) precursors, with the aim to reduce the gastrointestinal (GI) side effects of NSAID therapies. We investigated mucosal reactions in a standard rat model of colitis together with methane generation as a possible indicator of pro-inflammatory activation under this condition (approval number: V./148/2013).

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We describe a minimally invasive endovascular approach to treat an arteriovenous fistula of the scalp. We performed a direct puncture of the lesion through the patient's scalp for liquid embolic agent injection along with external compression of the superficial temporal artery to perform a "manual pressure-cooker technique." The combination of these minimally invasive techniques resulted in an excellent clinical and radiographic outcome.

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The mammalian HMGB1 is a high-mobility-group B protein, which is both an architectural and functional element of chromatin. Nhp6p, the extensively studied fungal homologue of HMGB1 in Saccharomyces cerevisiae has pleiotropic physiological functions. Despite the existence of Nhp6p orthologues in filamentous ascomycetes, little is known about their physiological roles besides their contribution to sexual development.

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Introduction: Sepsis can lead to organ dysfunctions with disturbed oxygen dynamics and life-threatening consequences. Since the results of organ-protective treatments cannot always be transferred from laboratory models into human therapies, increasing the translational potential of preclinical settings is an important goal. Our aim was to develop a standardized research protocol, where the progression of sepsis-related events can be characterized reproducibly in model experiments within clinically-relevant time frames.

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Article Synopsis
  • Veno-venous extracorporeal membrane oxygenation (vv-ECMO) is a life-saving technique for severe respiratory distress but can lead to serious side effects, including acute kidney injury (AKI).
  • The study used anesthetized miniature pigs to create a large animal model for testing the complications and renal responses associated with vv-ECMO over a 24-hour period.
  • Results showed significant reductions in renal artery flow and urine output in pigs that underwent vv-ECMO compared to control, alongside structural kidney damage indicative of ischemia and increased levels of an injury marker, nephrotoxic neutrophil gelatinase-associated lipocalin (NGAL).
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Despite their clinical effectiveness, a growing body of evidence has shown that many classes of antibiotics lead to mitochondrial dysfunction. Ceftriaxone and Rifaximin are first choice perioperative antibiotics in gastrointestinal surgery targeting fundamental processes of intestinal bacteria; however, may also have negative consequences for the host cells. In this study, we investigated their direct effect on mitochondrial functions in vitro, together with their impact on ileum, colon and liver tissue.

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Introduction: Mucus production by the intestinal segment used in bladder augmentation results in long term concerns especially stones and UTI. Bladder augmentation with demucosalized intestinal flap is a potential promising approach for mucus-free bladder augmentation, however the contraction of the flap remains a major concern. Mucosectomy has been shown to result in abrupt and immediate cessation of microcirculation in the ileum.

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A number of studies have demonstrated explicit bioactivity for exogenous methane (CH), even though it is conventionally considered as physiologically inert. Other reports cited in this review have demonstrated that inhaled, normoxic air-CH mixtures can modulate the in vivo pathways involved in oxidative and nitrosative stress responses and key events of mitochondrial respiration and apoptosis. The overview is divided into two parts, the first being devoted to a brief review of the effects of biologically important gases in the context of hypoxia, while the second part deals with CH bioactivity.

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The pathophysiology of acute pancreatitis (AP) is not well understood, and the disease does not have specific therapy. Tryptophan metabolite L-kynurenic acid (KYNA) and its synthetic analogue SZR-72 are antagonists of the N-methyl-D-aspartate receptor (NMDAR) and have immune modulatory roles in several inflammatory diseases. Our aims were to investigate the effects of KYNA and SZR-72 on experimental AP and to reveal their possible mode of action.

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Augmentation cystoplasty is an exemplary multiorgan intervention in urology which is particularly associated with microvascular damage. Our aim was to review the available intravital imaging techniques and data obtained from clinical and experimental microcirculatory studies involving the most important donor organs applied in bladder augmentation. Although numerous direct or indirect methods are available to assess the condition of microvessels the implementation of microcirculatory diagnostic methods in humans is still challenging and the assessment of organ microcirculation in the operating theatre has limitations.

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Albeit previous experiments suggest potential anti-inflammatory effect of exogenous methane (CH ) in various organs, the mechanism of its bioactivity is not entirely understood. We aimed to investigate the potential mitochondrial effects and the underlying mechanisms of CH in rat cardiomyocytes and mitochondria under simulated ischaemia/reperfusion (sI/R) conditions. Three-day-old cultured cardiomyocytes were treated with 2.

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Internal hemorrhage is a medical emergency, which requires immediate causal therapy, but the recognition may be difficult. The reactive changes of the mesenteric circulation may be part of the earliest hemodynamic responses to bleeding. Methane is present in the luminal atmosphere; thus, we hypothesized that it can track the intestinal circulatory changes, induced by hemorrhage, non-invasively.

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Introduction: Augmenting the bladder with a seromuscular gastrointestinal flap is a promising alternative approach aiming for a mucus-free bladder augmentation; however, the contraction (shrinkage) of the flaps remains a major concern. Enteric nervous system (ENS) abnormalities cause a failure of relaxation of the intestinal muscle layers in motility disorders such as Hirschsprung's disease and intestinal neuronal dysplasia. In mammals, the submucosal enteric nervous plexus contains nitrergic inhibitory motor neurons responsible for muscle relaxation.

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Article Synopsis
  • The study investigates the relationship between exhaled methane (CH4) and changes in splanchnic blood flow to identify intestinal perfusion failure in gastrointestinal disorders.
  • The research utilizes an in vivo animal model, specifically anesthetized rats and pigs, to monitor blood flow and CH4 levels during induced mesenteric ischemia and reperfusion scenarios.
  • Results indicate a significant correlation between intestinal blood flow changes and CH4 concentration in exhaled breath, suggesting methane breath tests could be used to assess intestinal perfusion issues.*
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Objectives: Extracorporeal circulation induces cellular and humoral inflammatory reactions, thus possibly leading to detrimental secondary inflammatory responses. Previous data have demonstrated the bioactive potential of methane and confirmed its anti-inflammatory effects in model experiments. Our goal was to investigate the in vivo consequences of exogenous methane administration on extracorporeal circulation-induced inflammation.

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  • A study was conducted to create a large animal model using Vietnamese mini pigs to simulate pericardial tamponade, a critical condition that affects heart function and blood flow.
  • The researchers induced tamponade in one group of pigs by injecting their own blood into the pericardium while monitoring various hemodynamic and circulatory parameters.
  • The results showed significant changes in blood flow and increased inflammation in the intestines, indicating that this model effectively replicates the clinical aspects of pericardial tamponade and can be used for further study of cardiogenic shock.
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Introduction: Infected wounds are difficult to treat and there are no standardized protocols.

Presentation Of Case: We report a case of infected postoperative wound and entero-cutaneous fistula in a 83 years-old woman. An innovative treatment protocol for Human amniotic membrane (HAM)-assisted dressing of infected wound as the Idea Stage following the IDEAL recommendations is presented.

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Our aim was to characterize the main components of the nitrosative response with quantitative changes of the nitrergic myenteric neurons in adjacent intestinal segments after transient superior mesenteric artery occlusion. We also tested the hypothesis that exogenous methane may modulate the evolution of nitroxidation by influencing xanthine oxidoreductase (XOR) activity. The microcirculatory consequences of a 50 min ischemia or ischemia-reperfusion were investigated in anesthetized rats (n = 124) inhaling normoxic air with or without 2.

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Article Synopsis
  • Acute pericardial tamponade is a critical condition in cardiac surgery that can cause severe complications like cardiogenic shock and even death.
  • Although diagnosing tamponade has become easier with modern methods, managing it effectively and understanding its long-term impacts remain complex challenges.
  • The review aims to provide a comprehensive overview of pericardial tamponade, covering its historical significance, underlying mechanisms, and importance in surgical models.
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Article Synopsis
  • Pericardial tamponade (PT) is a critical condition that reduces blood flow, impacting circulation in vital organs like the kidneys and intestines, prompting researchers to create a large animal model for study.
  • Vietnamese minipigs were used in the experiment, with one group undergoing PT induction and a control group for comparison, while monitoring various circulatory parameters and tissue effects during the procedure.
  • Results showed PT increased central venous pressure and heart rate, decreased blood flow to the mesentery and kidneys, and caused noticeable tissue damage, highlighting the model's effectiveness for future medical research on PT's effects.
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This review summarizes the current knowledge on the role of mitochondria in the context of hypoxic cell biology, while providing evidence of how these mechanisms are modulated by methane (CH). Recent studies have unambiguously confirmed CH bioactivity in various and experimental models and established the possibility that CH can affect many aspects of mitochondrial physiology. To date, no specific binding of CH to any enzymes or receptors have been reported, and it is probable that many of its effects are related to physico-chemical properties of the non-polar molecule.

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Introduction: Non-occlusive mesenteric ischemia (NOMI) develops without anatomical causes. Early diagnosis is challenging and treatments are of questionable effectiveness. We investigated the role of complement activation in the pathophysiology of NOMI in animal models through the inhibition of complement C5a.

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Human amniotic membranes (HAMs) are assumed to have a number of unique characteristics including durability, hypoallergenic and anti-inflammatory properties. Multilayer HAMs from caesarian sections were applied to repair defined bladder defects in male Sprague-Dawley rats. The animals were sacrificed at 7, 21 and 42 days after implantation.

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