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C Kyriakides

Publications and source records attributed to C Kyriakides.

23 records · Page 2Linked to original sources

The microvascular unit of the 6-day chick chorioallantoic membrane: a fluorescent confocal microscopic and ultrastructural morphometric analysis of endothelial permselectivity.

The chorioallantoic membrane (CAM) of the chick embryo provides a unique model for investigating endothelial permselectivity during normal angiogenesis. Chick embryos were incubated using established shell-less culture techniques for intravital and ultrastructural observations at Day 6 of the normal 21-day gestation. Morphometric analyses of the precapillary, capillary, and postcapillary microvascular segments served to demonstrate a continuous endothelium of uniform cytoplasmic thickness and few plasmalemmal vesicles. Average widths and depths of the endothelial junctional clefts were also homogeneous, except the significantly longer junctional depths of the second-order postcapillaries. The frequency of endothelial junctions per unit length of segmental luminal surface, like the vesicle densities, were uniformly less than those reported previously for adult continuous endothelia. Qualitative observations of systemically microinjected FITC-dextrans (40, 70, and 150 KDa), using real-time fluorescent confocal microscopy, failed to identify substantial interstitial accumulation of any dextrans during 10-min perfusion periods. Ultrastructural examination of the same dextran probes, on the other hand, served to detect small, sporadic interstitial foci of the dextran tracers. Such foci created a wide scattering of particle counts in the extravascular space, and extravascular accumulation was not sufficient to elicit an observable fluorescent signal. These results are consistent with the interpretation that during early stages of the normal angiogenic process, macromolecules > or = 40,000 MW can traverse the CAM segmental microvascular endothelium. The extent of extravasation, however, was less than that reported previously during pathologic angiogenesis associated with wound healing or tumor growth.

Allantois↗

The pulmonary microcirculation of the rat: differential ultrastructural responses of the endothelia to protamine sulfate.

Protamine sulfate is used clinically to reverse the anti-coagulant effects of heparin and in certain cases high protein, non-cardiogenic pulmonary edema develops. In the present study an initial stage of edema formation, namely, interstitial fluid accumulation around partially muscular extra-alveolar microvessels was observed in rats in situ after right ventricular injections of protamine. In addition, the endothelium of these microvessels displayed marked increases in plasmalemmal vesicles; however, disruption of the endothelium was not observed. Further, endothelial vesicle densities were unchanged and perivascular cuffs were not observed in either the nonmuscular extra-alveolar microvessels or the alveolar capillaries. Left ventricular injections of protamine failed to elicit the ultrastructural responses to protamine. Predosing the pulmonary microcirculation with heparin also served to prevent protamine-induced changes in the partially muscular microvessels. If it is assumed that heparin lowers the threshold for protamine-mediated responses in patients who develop edema, inhibition of protamine-induced changes by heparin predosing cannot be explained by the present data. Although evidence of increased endothelial vesiculation in the partially muscular microvessels was obtained, relative contributions of vesicles or of the junctional clefts to efflux from the pulmonary microvessels is not known. Thus, the mechanisms associated with a reduction of endothelial selectivity to macromolecular efflux after protamine administration remain to be defined.

Animals↗

Investigation of haematuria.

Haematuria is a common symptom and sign that may be encountered in almost all medical specialties. The possibility that haematuria may signal an underlying malignancy means that it must not be ignored. This article outlines the diagnostic procedures relevant to haematuria, such that serious causes of bleeding are identified and treatment may be initiated.

Cystoscopy↗