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Related Concept Videos

Blood Studies for Cardiovascular System I: Cardiac Biomarkers01:20

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Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
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Related Experiment Video

Updated: Jan 6, 2026

Screening Assays to Characterize Novel Endothelial Regulators Involved in the Inflammatory Response
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Bioassay for Endothelial Damage Mediators Retrieved by Hemoadsorption.

Maximilian Denzinger1, Ludger Staendker2, Keno Ehlers1

  • 1Division of Experimental Anesthesiology, University Hospital Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.

Scientific Reports
|October 12, 2019
PubMed
Summary

Hemoadsorption devices remove harmful substances in septic shock. This study identified specific molecular patterns, including nucleic acids bound to proteins, that damage endothelial cells, suggesting hemoadsorption can protect these cells.

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Area of Science:

  • Biomedical Engineering
  • Critical Care Medicine
  • Molecular Biology

Background:

  • Septic shock involves inflammatory cytokines and molecular patterns damaging microvascular endothelial cells (mEC).
  • Hemoadsorption aims to remove these damaging substances, ideally restoring mEC function and patient recovery.
  • Current understanding of specific endothelial damage mediators adsorbed by hemoadsorption devices is incomplete.

Purpose of the Study:

  • To prove that endothelial-specific damage mediators can be adsorbed and recovered from hemoadsorption devices.
  • To identify molecular components within hemoadsorber fractions responsible for endothelial cell damage.
  • To establish a novel endothelial bioassay for evaluating hemoadsorption efficacy.

Main Methods:

  • Utilized a hemoadsorption device with polystyrene-divinylbenzene core particles.
  • Fractionated proteins eluted from the device.
  • Assessed effects of fractions on mEC proliferation, cell death, apoptosis, and ATP levels using video-based imaging and biochemical assays.

Main Results:

  • Identified 3 out of 39 fractions that inhibited mEC proliferation, increased cell death, and induced apoptosis.
  • These damaging fractions contained ~15 kDa proteins and significant amounts of oxidized nucleic acids.
  • Reduced ATP content in mEC was observed upon exposure to these fractions.

Conclusions:

  • Hemoadsorption devices can effectively capture endothelial damage-mediating molecules.
  • Circulating nucleic acid-protein complexes may act as danger-associated molecular patterns (DAMPs) exacerbating septic shock inflammation.
  • Hemoadsorption shows potential in limiting endothelial damage and improving barrier function by binding these DAMPs.