| 1. |
- Anckarsäter, Rolf, 1956, et al.
(author)
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Association between thyroid hormone levels and monoaminergic neurotransmission during surgery.
- 2007
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In: Psychoneuroendocrinology. - : Elsevier BV. - 0306-4530 .- 1873-3360. ; 32:8-10, s. 1138-43
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Journal article (peer-reviewed)abstract
- BACKGROUND: Human studies assessing thyroid hormone metabolism in relation to brain monoaminergic activity in vivo are scarce. The few studies that do exist suggest significant associations between thyroid function and monoaminergic activity, but the cause-and-effect relationships are far from elucidated. METHODS: We simultaneously collected cerebrospinal fluid (CSF) and serum samples from 35 patients undergoing orthopaedic surgery before, 3h after and the morning after interventions and performed analyses for thyroid hormones and monoamine metabolites. RESULTS: At baseline, the CSF 3-methoxy-4-hydroxyphenylglycol concentrations were significantly correlated to the serum T(3)/T(4) ratio (rho=0.41, p=0.017). During surgery, serum thyroid hormones and the T(3)/T(4) ratio decreased (p<0.0001), while the CSF T(3)/T(4) ratio increased (p=0.0009). There were no correlations between serum and CSF levels of T(3) and T(4) at any of the samplings. Strong correlations were noted between baseline CSF thyroid hormone concentrations and subsequent increases in CSF 5-hydroxyindoleacetic acid (5-HIAA), and homovanillinic acid (HVA), but not vice versa. CONCLUSIONS: Thyroid hormone levels in serum and CSF during stress seem to be distinctly regulated. Baseline thyroid hormone activity may facilitate changes in brain monoaminergic neurotransmission in response to stress.
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| 2. |
- Anckarsäter, Rolf, 1956, et al.
(author)
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Cerebrospinal fluid protein reactions during non-neurological surgery.
- 2007
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In: Acta neurologica Scandinavica. - : Hindawi Limited. - 0001-6314 .- 1600-0404. ; 115:4, s. 254-9
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Journal article (peer-reviewed)abstract
- OBJECTIVE: To study changes in cerebrospinal fluid (CSF) protein markers of blood-CSF barrier integrity and immunological reactions during surgical stress. SUBJECTS AND METHODS: Thirty-five patients without neurological or psychiatric disorders undergoing knee replacements had CSF and serum samples drawn from spinal and arterial catheters before, 3 h after and the morning after surgery. RESULTS: Serum albumin decreased during surgery and CSF albumin decreased during and after surgery, and, as a consequence, the CSF/serum albumin ratio decreased significantly during the study period, especially after the intervention. In contrast, CSF concentrations of beta-2-microglobuline (beta2M) increased significantly during surgery and remained high. The CSF general marker beta-trace protein (betaTP) remained unchanged. CONCLUSIONS: Central nervous system protein reactions to a non-neurological surgical intervention include sharply decreased permeability of albumin into the CSF and signs of intrathecal inflammatory activity.
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| 3. |
- Anckarsäter, Rolf, 1956, et al.
(author)
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Non-neurological surgery and cerebrospinal fluid biomarkers for neuronal and astroglial integrity.
- 2014
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In: Journal of neural transmission (Vienna, Austria : 1996). - : Springer Science and Business Media LLC. - 1435-1463 .- 0300-9564. ; 121:6, s. 649-653
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Journal article (peer-reviewed)abstract
- Non-neurological surgery has both acute and long-term effects on the brain. Markers for Alzheimer pathology may be used to study surgically induced neurological changes relevant for postoperative confusion, asthenia or cognitive decline. Inflammatory biomarkers, total tau (T-tau) and phosphorylated tau (P-tau) were recently shown to increase progressively in the cerebrospinal fluid (CSF) during surgery for nasal CSF leak, suggesting a neuroinflammatory response with signs of neuronal damage. We used a study group of 35 patients, undergoing knee arthroplasty with a spinal blockade and propofol sedation, to replicate this finding. Five CSF biomarkers were analyzed before, 3h after and on the morning after the interventions: T-tau and P-tau for cortical axonal integrity and tangle pathology, respectively, the 42 amino acids form of amyloid β (Aβ42) for plaque formation, neurofilament light (NFL) for the integrity of large-caliber myelinated axons and glial fibrillary acidic protein (GFAp) for astroglial cell integrity. CSF T-tau concentrations increased significantly during and after surgery (p=0.028) and were significantly correlated with the administered doses of bupivacaine. P-tau, Aβ42 and NFL remained unchanged, while the mean GFAp concentration increased with a large standard deviation. CSF T-tau and P-tau correlated significantly with the CSF/serum albumin ratios as an indicator of blood-brain barrier permeability. Findings from earlier studies showing a significant increase in biomarkers for Alzheimer's pathology during surgery were partly replicated, as neurochemical signs of impaired cortical axonal integrity during non-neurological surgery were detected. Bupivacaine may be involved in these reactions.
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| 4. |
- Anckarsäter, Rolf, 1956, et al.
(author)
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Non-neurological surgery results in a neurochemical stress response.
- 2008
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In: Journal of neural transmission (Vienna, Austria : 1996). - : Springer Science and Business Media LLC. - 0300-9564 .- 1435-1463. ; 115:3, s. 397-9
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Journal article (peer-reviewed)abstract
- There is a paucity of studies assessing changes in measures of human neurotransmission during stressful events, such as surgery. Thirty-five patients without any neurological disorders undergoing knee replacements with spinal bupivacaine anaesthesia and propofol sedation had cerebrospinal fluid (CSF) drawn from a spinal catheter before, three hours after and the morning after surgery. The CSF concentrations of the dopamine metabolite homovanillinic acid (HVA) and the serotonin metabolite 5-hydroxyindoleacetic acid (5-HIAA), which are related to the activity of the dopaminergic and serotonergic systems of the brain, increased sharply during surgery and reached 188% and 166% of their initial concentrations on the morning after the intervention (p < 0.0001). The CSF concentrations of the norepinephrine metabolite 3-methoxy-4-hydroxyphenylglucol (MHPG) increased modestly (non-significantly) during and after surgery. The HVA/5-HIAA ratios initially increased but returned to the initial level during the night after surgery. We conclude that non-neurological surgery, in this case to the lower limb, is accompanied by a marked central nervous stress response in spite of a spinal blockade.
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| 5. |
- Bjerke, Maria, 1977, et al.
(author)
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Confounding factors influencing amyloid Beta concentration in cerebrospinal fluid.
- 2010
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In: International journal of Alzheimer's disease. - : Hindawi Limited. - 2090-0252. ; 2010
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Journal article (peer-reviewed)abstract
- Background. Patients afflicted with Alzheimer's disease (AD) exhibit a decrease in the cerebrospinal fluid (CSF) concentration of the 42 amino acid form of beta-amyloid (Abeta(42)). However, a high discrepancy between different centers in measured Abeta(42) levels reduces the utility of this biomarker as a diagnostic tool and in monitoring the effect of disease modifying drugs. Preanalytical and analytical confounding factors were examined with respect to their effect on the measured Abeta(42) level. Methods. Aliquots of CSF samples were either treated differently prior to Abeta(42) measurement or analyzed using different commercially available xMAP or ELISA assays. Results. Confounding factors affecting CSF Abeta(42) levels were storage in different types of test tubes, dilution with detergent-containing buffer, plasma contamination, heat treatment, and the origin of the immunoassays used for quantification. Conclusion. In order to conduct multicenter studies, a standardized protocol to minimize preanalytical and analytical confounding factors is warranted.
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| 6. |
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| 7. |
- Bromander, Sara, et al.
(author)
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Cerebrospinal fluid insulin during non-neurological surgery.
- 2010
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In: J Neural Transm (Vienna, Austria:1996). - : Springer Science and Business Media LLC. - 1435-1463 .- 0300-9564. ; 20, s. 328-329
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Journal article (peer-reviewed)abstract
- Insulin plays an important metabolic and transmitter role in the central nervous system, but few studies have investigated the relationship between central and peripheral insulin concentrations. 35 patients undergoing knee surgery had cerebrospinal fluid (CSF) samples drawn before, 3 h after, and in the morning following surgery. Serum insulin concentrations increased after surgery and CSF insulin concentrations changed in the same direction with far smaller amplitude. These results indicate that the blood-brain barrier protects the brain from stress-induced peripheral hormonal fluctuations.
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| 8. |
- Bromander, Sara, et al.
(author)
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Changes in serum and cerebrospinal fluid cytokines in response to non-neurological surgery: an observational study.
- 2012
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In: Journal of neuroinflammation. - : Springer Science and Business Media LLC. - 1742-2094. ; 9
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Journal article (peer-reviewed)abstract
- ABSTRACT: Background: Surgery launches an inflammatory reaction in the body, as seen through increased peripheral levels of cytokines and cortisol. However, less is known about perioperative inflammatory changes in the central nervous system (CNS). Our aim was to compare inflammatory markers in serum and cerebrospinal fluid (CSF) before and after surgery and evaluate their association with measures of blood–brain barrier (BBB) integrity. Methods: Thirty-five patients undergoing knee arthroplastic surgery with spinal anesthesia had CSF and serum samples drawn before, after and on the morning following surgery. Cytokines and albumin in serum and CSF and cortisol in CSF were assessed at all three points. Results: Cytokines and cortisol were significantly increased in serum and CSF after surgery (Ps <0.01) and CSF increases were greater than in serum. Ten individuals had an increased cytokine response and significantly higher CSF/serum albumin ratios (Ps <0.01), five of whom had albumin ratios in the pathological range (>11.8). Serum and CSF levels of cytokines were unrelated, but there were strong correlations between CSF IL-2, IL-10 and IL-13, and albumin ratios (Ps <0.05) following surgery. Conclusion: Cytokine increases in the CNS were substantially greater than in serum, indicating that the CNS inflammatory system is activated during peripheral surgery and may be regulated separately from that in the peripheral body. CSF cytokine increase may indicate sensitivity to trauma and is linked to BBB macromolecular permeability.
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| 9. |
- Brorström-Lundén, Eva, et al.
(author)
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Screening of benzothiazoles, benzenediamines, dicyclohexylamine and benzotriazoles 2009
- 2012
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Reports (other academic/artistic)abstract
- En screeningundersökning av bensotiazoler, bensendiaminer, dicyclohexylamin och bensotriazoler har genomförts inom ramen för Naturvårdsvekets screeningprogram. Avsikten med en screeningundersökning är att bestämma koncentrationer av de utvalda substanserna i olika delar av den svenska miljön och därigenom belysa viktiga emissions- och transportvägar. Denna undersökning har genomförts i sammarbete med forskningsprogrammet ChEmiTecs “Organic Chemicals Emitted from Technosphere Articles" (www.chemitecs.se) finansierat av Naturvårdsverket. Målet med Chemitecs är att öka kunskapen om emissioner av organiska ämnen från varor. Resultaten ska stödja utvecklingen av svenska och europeiska handlingsprogram som ska minska riskerna med särskilt farliga ämnen. Bensotiazolerna MBT, CBS, DBS och DBD fanns i en eller flera av de undersökta provtyperna. Detektionsfrekvenserna varierade både mellan substanserna och provtyperna. Fördelningsmönstret påverkades troligen både av föreningarnas egenskaper, såsom kemisk stabilitet och tendens att fördelas mellan olika faser, och av användningen. MBT hade högst detektionsfrekvens medan de andra bensotiazolerna hittades mera sporadiskt. En viktig spridningsväg till miljön för MBT är via reningsverk vilket pekar på diffusa emissioner från konsumentprodukter. Förekomst i dagvatten indikerar trafik-relaterade emissioner. MBT och övriga bensotiazoler förekom främst i vattenmiljön medan lufttransport verkar vara av mindre betydelse. Bensendiaminen DPP hittades i vissa fall i till exempel ytvatten, dagvatten och reningsverksslam.DCHA var vanligt förekommande i alla provtyper utom i gröda. Att DCHA återfinns i luft och deposition indikerar att substansen emitteras till luft och att lufttransport är en viktig spridningsväg. Förekomsten i dagvatten och i jord visar att trafikrelaterade emissioner är viktiga. DCHA hittades emellertid inte i gröda insamlad i närheten av trafikerade vägar. En annan viktig spridningsväg för DCHA är via reningsverk vilket antyder diffusa emissioner från till exempel konsumentprodukter Bensotriazoler är vanligt förekommande i miljön både i bakgrundsmiljö och i urbana områden. Substanserna förekom i alla analyserade matriser: luft, deposition, ytvatten, sediment, jord och biota. Resultaten visade också att diffus spridning via reningsverk, deponier och dagvatten kan vara viktigt för förekomsten i miljön. Detta indikerar emissioner via användning av produkter. UVP är den bensotriazol som används mest följd av UV 328 och UV 327. Dessa substanser hittades också i högst koncentrationer.I en enkel riskbedömning för vattenmiljöns pelagiska ekosystem identifierades inga större risker, dvs halterna var generellt lägre än PNEC i ytvatten och i avloppsvatten med hänsyn till förväntad utspädning. DPP förekom dock i koncentrationer över PNEC i Viskan. Koncentrationen av DPP och DCHA i outspätt avloppsvatten överskred vid några tillfällen PNEC. Inga toxicitets eller ekotoxicitetsdata har hittats för någon av benzotriazolerna i tillgänglig litteratur. Några riskbedömningar för dessa har därför inte utförts.
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| 10. |
- Constantinescu, Radu, 1966, et al.
(author)
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Proteomic profiling of cerebrospinal fluid in parkinsonian disorders.
- 2010
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In: Parkinsonism & related disorders. - : Elsevier BV. - 1873-5126 .- 1353-8020. ; :16, s. 545-49
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Journal article (peer-reviewed)abstract
- Parkinson's disease (PD) and atypical parkinsonian disorders (APD), including multiple system atrophy (MSA), progressive supranuclear palsy (PSP), and corticobasal degeneration (CBD), are a group of neurodegenerative diseases sharing many similar signs and symptoms but distinguished by their particular clinical features, treatment response, prognosis and mortality. The differential diagnosis may be challenging, especially in early disease stages. Considering the importance of an accurate diagnosis both for clinical management and for research, new diagnostic tools are needed. In this study, we investigated 56 PD, 42 MSA, 39 PSP, 9 CBD patients, and 24 healthy controls. After screening the cerebrospinal fluid (CSF) proteome using surface-enhanced laser desorption/ionization time-of-flight mass spectrometry (SELDI-TOF MS), we identified 4 proteins (ubiquitin [mass-to-charge ratio (m/z) 8590], beta2-microglobulin [m/z 11730], and 2 secretogranin 1 [chromogranin B] fragments [m/z 7260 and m/z 6250]) that differentiated healthy controls and PD patients from patients with APD. However, they could not differentiate PD patients from controls. As none of these changes were APD subgroup-specific, they most likely reflect the intensity and/or extent of the neurodegenerative process in general.
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