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Related Concept Videos

Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure01:16

Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure

Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue, improving...
Chronic Obstructive Pulmonary Disease II: Emphysema01:23

Chronic Obstructive Pulmonary Disease II: Emphysema

Emphysema, a major phenotype of chronic obstructive pulmonary disease (COPD), is characterized by irreversible destruction of alveolar walls and permanent enlargement of distal airspaces. Unlike chronic bronchitis, which primarily affects the airways, emphysema predominantly involves the lung parenchyma, where structural damage leads to airflow limitation.PathophysiologyIt most commonly results from prolonged exposure to cigarette smoke and other toxic gases, particularly cigarette smoke.
Acute Respiratory Failure-II01:21

Acute Respiratory Failure-II

Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
Physiological Control of Respiration01:23

Physiological Control of Respiration

Introduction
Breathing, a seemingly passive process, is regulated by the respiratory center in the brainstem. This center coordinates the involuntary control of respirations, which means it occurs without conscious effort, ensuring a smooth and uninterrupted pattern.
Regulation of Ventilation
The body maintains ventilation by monitoring levels of carbon dioxide (CO2), oxygen (O2), and hydrogen ion concentration (pH) in the arterial blood. Among these factors, the level of CO2 plays a crucial...
Chronic Obstructive Pulmonary Disease-II: Pathophysiology01:20

Chronic Obstructive Pulmonary Disease-II: Pathophysiology

Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation

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Use of Electron Paramagnetic Resonance in Biological Samples at Ambient Temperature and 77 K
06:45

Use of Electron Paramagnetic Resonance in Biological Samples at Ambient Temperature and 77 K

Published on: January 11, 2019

C/EBP{alpha} is required for pulmonary cytoprotection during hyperoxia.

Yan Xu1, Chika Saegusa, Angelica Schehr

  • 1Cincinnati Children's Hospital Medical Center, University of Cincinnati, Ohio 45229-3039, USA.

American Journal of Physiology. Lung Cellular and Molecular Physiology
|May 26, 2009
PubMed
Summary

CCAAT enhancer-binding protein alpha (C/EBPalpha) protects mature lungs from hyperoxic injury. Deleting C/EBPalpha in lung cells increases susceptibility to acute lung injury, highlighting its crucial protective role.

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Isolation of Pulmonary Artery Smooth Muscle Cells from Neonatal Mice
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Use of Electron Paramagnetic Resonance in Biological Samples at Ambient Temperature and 77 K
06:45

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Published on: January 11, 2019

Isolation of Pulmonary Artery Smooth Muscle Cells from Neonatal Mice
08:02

Isolation of Pulmonary Artery Smooth Muscle Cells from Neonatal Mice

Published on: October 19, 2013

Area of Science:

  • Pulmonary Medicine
  • Molecular Biology
  • Cellular Biology

Background:

  • Transcriptional pathways regulating fetal lung development are reactivated during lung injury repair.
  • CCAAT enhancer-binding protein alpha (C/EBPalpha) is vital for lung maturation.

Purpose of the Study:

  • To investigate the role of C/EBPalpha in protecting the alveolar epithelium from hyperoxic injury in mature lungs.
  • To determine if C/EBPalpha is essential for maintaining lung function under acute oxidative stress.

Main Methods:

  • Developed transgenic Cebpalpha(Delta/Delta) mice with conditional C/EBPalpha deletion in lung cells.
  • Exposed mice to 95% oxygen to induce hyperoxic injury.
  • Analyzed lung inflammation, surfactant homeostasis, lung mechanics, and gene expression via mRNA microarrays.

Main Results:

  • Cebpalpha(Delta/Delta) mice exhibited high susceptibility to hyperoxia, with rapid mortality, severe inflammation, and impaired surfactant production.
  • Hyperoxia led to reduced expression of genes involved in surfactant homeostasis (e.g., Srebf, Abca3, Sftpb) in Cebpalpha(Delta/Delta) mice.
  • Genes related to cell signaling and immune responses were upregulated, while those for redox homeostasis were downregulated in knockout mice.

Conclusions:

  • C/EBPalpha is indispensable for regulating genes critical for surfactant homeostasis, protein processing, and cellular defense during hyperoxic lung injury.
  • While not essential for normal lung function, C/EBPalpha mediates vital protection against acute lung injury induced by hyperoxia.