Laparoscopic appendectomy using the LigaSure (TM) Vessel Sealing System

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Title:	Laparoscopic appendectomy using the LigaSure (TM) Vessel Sealing System
Authors:	Yang, HR;Wang, YC;Chung, PK;Jeng, LB;Chen, RJ
Contributors:	附設醫院外科部;China Med Univ Hosp, Dept Surg, Taichung 404, Taiwan
Date:	2005
Issue Date:	2010-09-24 14:23:21 (UTC+8)
Publisher:	MARY ANN LIEBERT INC
Abstract:	Exposure to environmental tobacco smoke has been epidemiologically linked to heart disease among nonsmokers. However, the molecular mechanism behind the pathogenesis of cardiac disease is unknown. In this study, we found that Wistar rats, exposed to tobacco cigarette smoke at doses of 5, 10, or 15 cigarettes for 30 min twice a day for 1 month, had a dose-dependently reduced heart weight to body weight ratio and enhanced interstitial fibrosis as identified by histopathologic analysis. The mRNA and activity of matrix metafloprotease-2 (MMP-2), representing the progress of cardiac remodeling, were also elevated in the heart. In addition, we used reverse-transcriptase polymerase chain reaction and Western blotting to demonstrate significantly increased levels of the apoptotic effecter caspase-3 in treated animal hearts. Dose-dependently elevated mRNA and protein levels of Fas, and promoted apoptotic initiator caspase-8 (active form), a molecule of a deathreceptor-dependent pathway, coupled with unaltered or decreased levels of cytosolic cytochrome c and the apoptotic initiator caspase-9 (active form), molecules of mitochondria-dependent pathways, may be indicative of cardiac apoptosis, which is Fas death-receptor apoptotic-signaling dependent, but not mitochondria pathway dependent in rats exposed to second-hand smoke (SHS). With regard to the regulation of survival pathway, using dot blotting, we found cardiac insulin-like growth factor-1 (IGF-1) and IGF-1 receptor mRNA levels to be significantly increased, indicating that compensative effects of IGF-1 survival signaling could occur. In conclusion, we found that the effects of SHS on cardiomyocyte are mediated by the Fas death-receptor-dependent apoptotic pathway and might be related to the epidemiologic incidence of cardiac disease of SHS-exposed nonsmokers.
Relation:	JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES 15(4):353-356
Appears in Collections:	[China Medical University Hospital] Jurnal articles

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