| 21. |
- Sylven, C., et al.
(author)
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Myocardial Doppler tissue velocity improves following myocardial gene therapy with VEGF-A(165) plasmid in patients with inoperable angina pectoris
- 2001
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In: Coronary Artery Disease. - : Ovid Technologies (Wolters Kluwer Health). - 0954-6928 .- 1473-5830. ; 12:3, s. 239-243
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Journal article (peer-reviewed)abstract
- Background Myocardial tissue velocity and perfusion were studied in patients with severe angina pectoris following gene therapy by intramyocardial injection of phVEGF-A(165) via thoracotomy. Plasma concentrations of VEGF-A increased postoperatively. Two months after treatment anginal status and myocardial tissue velocity improved and perfusion showed a tendency to improve. Tissue velocity imaging appears to be a sensitive, objective method for detecting changes in myocardial function following gene therapy. Objective To study effects on myocardial tissue velocity and perfusion in patients with angina pectoris following intramyocardial injection of phVEGF-A(165) via thoracotomy. Design Open label, phase I/II. Methods Six patients with Canadian Cardiovascular Society (CCS) angina pectoris functional Glass III - IV and with major defects at adenosine stress single-photon emission computerized tomography (SPECT) were studied. In addition to SPECT, coronary angiography and dobutamine stress echocardiography with tissue Doppler velocity imaging were performed before and two months after gene transfer. Results Plasma concentrations of VEGF-A increased 2 to 3 times (P < 0.04) over baseline from 2 to 14 days after injection with normalization after 4 weeks. The CCS class improved about 40%, from 3.3 +/- 0.2 to 2.0 +/- 0.3 (P < 0.02) and nitroglycerine consumption decreased 30 - 40%, from 44 +/- 17 to 15 +/- 5 tablets per week (P < 0.05). The maximal systolic myocardial tissue velocity increased in all patients about 25% (P < 0.02) but did not reach the reference range. Myocardial perfusion at SPECT improved in four of the six patients. Conclusions Anginal status, myocardial tissue velocity and perfusion can be improved by phVEGF-A(165) intramyocardial injection. Tissue velocity imaging appears to be a sensitive, objective method for detecting changes in myocardial function following gene therapy. Coron Artery Dis 12:239-243
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- Bäckström, Mattias, et al.
(author)
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Mobilisation of heavy metals by deicing salts in a roadside environment
- 2004
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In: Water Research. - : Elsevier BV. - 0043-1354 .- 1879-2448. ; 38:3, s. 720-732
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Journal article (peer-reviewed)abstract
- The seasonal variations of some selected heavy metals (Cd, Cu, Pb and Zn) and principal anions in soil solutions were monitored as a function of distance from the road at two field sites in Sweden. During the winter, the conductivity, concentrations of dissolved sodium and chloride increased dramatically due to the application of deicing agents (i.e. NaCl). Due to ion exchange, the pH decreased one unit in the soil solutions, whereas the concentrations of total organic carbon decreased due to coagulation and/or sorption to stationary solids. The heavy metal concentrations increased during the winter, but through different mechanisms. Cadmium concentrations in the aqueous phase increased as a response to ion exchange, possibly also enhanced by the formation of chloride complexes. Similarly, the concentrations of zinc increased, due to ion exchange, with calcium and protons. The mechanisms of mobilisation for copper and lead were not that clear probably due to association with coagulated or sorbed organic matter in combination with colloid dispersion.
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