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Aplikace mesalazinu do peritoneální dutiny potkana
Hönigová, Kateřina
The objective of this diploma thesis was to determine the influence of the application of 5-aminosalicylic acid (5-ASA) in the peritoneal cavity on the initiation and course of the inflammatory reaction. For these purposes, the rat was chosen as the model animal on which the model of intraperitoneal lavage was applied. The rat’s peritoneal cavity is easily accessible and reflects the functions and reactions of the immune system. For the purposes of the experiment, the rats were divided into 3 groups; in the first group, the peritoneal cavity was assessed in its physiological condition, without any prior application of the substance. PBS was applied to the second group of rats, and the evaluation of the absolute numbers of cells followed after 4 and 24 hours using the Bürker counting chamber and optical microscopy. In the last group, mesalazine was applied, the exposure of which was 4 hours for one half of the group and 24 hours for the other. These time intervals were followed by the evaluation of the absolute number of cells. In order to determine the differential numbers of cells for all the samples, the coated glasses were coloured and evaluated. The greatest statistically relevant difference was identified in the case of the neutrophil population, where the neutrophil share increased from 0-5 % in the intact cavity to up to 35 % in the cavity after the PBS application. Out of all the experimental groups, the population of lymphocytes was relatively stable; the share of macrophages was, statistically, considerably lower for the groups after the mesalazine application. These results indicate that the application of PBS as an inert substance did not cause such a major reaction regarding the influx of neutrophils as the application of 5-ASA.
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Tertiary lymphoid organs in inflammatory reaction
Miltrová, Veronika ; Krulová, Magdaléna (advisor) ; Brdička, Tomáš (referee)
Tertiary lymphoid organs (TLOs) are associated with inflammatory reactions in autoimmune diseases or chronic inflammation. These organized T and B cell aggregates are structurally and functionally similar to secondary lymphoid organs (SLOs). TLOs, due to their location in peripheral tissues, enable the immune system to respond more quickly and effectively to antigens and pathogens occurring in the body and to develop adaptive immune response. It is currently debatable whether TLOs have pathogenic or protective functions. This work focuses on the postnatal emergence of these new structures, the so-called neogenesis and interaction of cells, cytokines and chemokines occurring in TLOs. And last but not least, the impact of TLOs on the transplant response. Keywords: tertiary lymphoid organs, immune system, inflammatory reaction, lymphoid neogenesis
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The effect of hypothermia on outcome and neurologic injury after prolonged cardiac arrest treated by emergency preservation and delayed resuscitation
Drábek, Tomáš ; Jech, Robert (advisor) ; Hess, Ladislav (referee) ; Mareš, Jan (referee)
5 Summary: Currently, the outcomes from traumatic exsanguination cardiac arrest (CA) show that over 50% of deaths due to trauma occur at the scene, where medical care is limited. Less than 10% of patients who become pulseless from trauma survive. However, in an appropriate setting, some of those traumatic injuries could be surgically repairable. Emergency preservation and resuscitation (EPR) is a novel approach for resuscitation of exsanguination CA victims. EPR uses deep hypothermic preservation for prolonged CA to buy time for transport, damage control surgery, and delayed resuscitation with cardiopulmonary bypass (CPB). Initially, we used a dog model to maximize clinical relevance. We showed that the efficacy of EPR is related to the depth of hypothermia and duration of CA. Pharmacologic adjuncts tested to augment hypothermia generally failed. Extended hemorrhagic shock did not prevent the success of EPR vs. conventional resuscitation if extended post-resuscitative hypothermia was provided. Oxygenation of the flush allowed extending of survivable duration of deep hypothermic CA. Because of the lack of molecular tools available for use in dogs, we developed a rat EPR model to study the cellular and molecular mechanisms underlying deep hypothermic neuroprotection to allow us to define specific targets for...
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