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Calcium-overloaded Sympathetic Preganglionic Neurons in a Case of Severe Sepsis with Anorexia Nervosa

Overview
Journal Acute Med Surg
Specialty Critical Care
Date 2017 Nov 11
PMID 29123716
Citations 1
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Abstract

Aim: We aimed to show the status of intracellular elements in sympathetic preganglionic neurons in an autopsy case of a 55-year-old woman with severe sepsis and cardiac dysfunction with anorexia nervosa.

Methods: Our methods include a case report and pathological examinations of autopsied tissues using synchrotron-generated microbeam X-ray fluorescence analysis.

Results: A case report of severe sepsis and myocardial dysfunction. The patient had sudden short cardiac arrest without arrhythmia and sequelae, and echocardiogram showed negative inotropic change. The X-ray fluorescence analysis of autopsied tissues indicated an unusually high concentration of cytosolic calcium in sympathetic preganglionic neurons. However, there were no significant pathological findings of damage in the heart or the cardiovascular autonomic nuclei in the central nervous system.

Conclusion: The data indicate that dysfunction of the sympathetic preganglionic neurons exists in a patient of severe sepsis and cardiac dysfunction with anorexia nervosa.

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Kinebuchi M, Matsuura A, Kiyono T, Nomura Y, Kimura S Sci Rep. 2016; 6:33247.

PMID: 27629586 PMC: 5024095. DOI: 10.1038/srep33247.

References
1.
Liang C, Rounds N, Dong E, Stevens S, Shite J, Qin F . Alterations by norepinephrine of cardiac sympathetic nerve terminal function and myocardial beta-adrenergic receptor sensitivity in the ferret: normalization by antioxidant vitamins. Circulation. 2000; 102(1):96-103. DOI: 10.1161/01.cir.102.1.96. View

2.
Lukewich M, Lomax A . Endotoxemia enhances catecholamine secretion from male mouse adrenal chromaffin cells through an increase in Ca(2+) release from the endoplasmic reticulum. Endocrinology. 2013; 155(1):180-92. DOI: 10.1210/en.2013-1623. View

3.
Huang H, Chen H, Gibson G . Thiamine and oxidants interact to modify cellular calcium stores. Neurochem Res. 2010; 35(12):2107-16. PMC: 3085841. DOI: 10.1007/s11064-010-0242-z. View

4.
Tadic V, Prell T, Lautenschlaeger J, Grosskreutz J . The ER mitochondria calcium cycle and ER stress response as therapeutic targets in amyotrophic lateral sclerosis. Front Cell Neurosci. 2014; 8:147. PMC: 4039088. DOI: 10.3389/fncel.2014.00147. View

5.
Sharshar T, Annane D, de la GrandMaison G, Brouland J, Hopkinson N, Francoise G . The neuropathology of septic shock. Brain Pathol. 2004; 14(1):21-33. PMC: 8095740. DOI: 10.1111/j.1750-3639.2004.tb00494.x. View