Objective.This paper is an initial work towards developing particle-mediated histotripsy(PMH)as a novel method of treating catheter-based medical device(CBMD)intraluminal biofilms.Impact Statement.CBMDs commonly becom...Objective.This paper is an initial work towards developing particle-mediated histotripsy(PMH)as a novel method of treating catheter-based medical device(CBMD)intraluminal biofilms.Impact Statement.CBMDs commonly become infected with bacterial biofilms leading to medical device failure,infection,and adverse patient outcomes.Introduction.Histotripsy is a noninvasive focused ultrasound ablation method that was recently proposed as a novel method to remove intraluminal biofilms.Here,we explore the potential of combining histotripsy with acoustically active particles to develop a PMH approach that can noninvasively remove biofilms without the need for high acoustic pressures or real-time image guidance for targeting.Methods.Histotripsy cavitation thresholds in catheters containing either gas-filled microbubbles(MBs)or fluid-filled nanocones(NCs)were determined.The ability of these particles to sustain cavitation over multiple ultrasound pulses was tested after a series of histotripsy exposures.Next,the ability of PMH to generate selective intraluminal cavitation without generating extraluminal cavitation was tested.Finally,the biofilm ablation and bactericidal capabilities of PMH were tested using both MBs and NCs.Results.PMH significantly reduced the histotripsy cavitation threshold,allowing for selective luminal cavitation for both MBs and NCs.Results further showed PMH successfully removed intraluminal biofilms in Tygon catheters.Finally,results from bactericidal experiments showed minimal reduction in bacteria viability.Conclusion.The results of this study demonstrate the potential for PMH to provide a new modality for removing bacterial biofilms from CBMDs and suggest that additional work is warranted to develop histotripsy and PMH for treatment of CBMD intraluminal biofilms.展开更多
Microglia were long hailed as solely infammatory cells,and though they are responsible for the brain's immuneresponse,they perform a variety of neuroprotective func-tions including the clearance of cellular and to...Microglia were long hailed as solely infammatory cells,and though they are responsible for the brain's immuneresponse,they perform a variety of neuroprotective func-tions including the clearance of cellular and toxic debris^([1]).One toxic molecule known to be cleared by microglia isthe protein aggregate found in Alzheimer's Disease(AD),amyloid-B.展开更多
Human lifespan and life expectancy have increased worldwide,but the number of years that we spend free of chronic or debilitating disorders,known as healthspan,has not shifted along with increased lifespan.This unfavo...Human lifespan and life expectancy have increased worldwide,but the number of years that we spend free of chronic or debilitating disorders,known as healthspan,has not shifted along with increased lifespan.This unfavourable trend presents a tremendous global social-economical problem.We propose a model of promoting optimal human health with proactive,holistic interventions across the lifespan,which require multi-disciplinary,innovative approaches to research and care.We contend that this is the only hope that we have to face the challenges of population growth and aging,as well as the upward trend in non-communicable disease prevalence.展开更多
文摘Objective.This paper is an initial work towards developing particle-mediated histotripsy(PMH)as a novel method of treating catheter-based medical device(CBMD)intraluminal biofilms.Impact Statement.CBMDs commonly become infected with bacterial biofilms leading to medical device failure,infection,and adverse patient outcomes.Introduction.Histotripsy is a noninvasive focused ultrasound ablation method that was recently proposed as a novel method to remove intraluminal biofilms.Here,we explore the potential of combining histotripsy with acoustically active particles to develop a PMH approach that can noninvasively remove biofilms without the need for high acoustic pressures or real-time image guidance for targeting.Methods.Histotripsy cavitation thresholds in catheters containing either gas-filled microbubbles(MBs)or fluid-filled nanocones(NCs)were determined.The ability of these particles to sustain cavitation over multiple ultrasound pulses was tested after a series of histotripsy exposures.Next,the ability of PMH to generate selective intraluminal cavitation without generating extraluminal cavitation was tested.Finally,the biofilm ablation and bactericidal capabilities of PMH were tested using both MBs and NCs.Results.PMH significantly reduced the histotripsy cavitation threshold,allowing for selective luminal cavitation for both MBs and NCs.Results further showed PMH successfully removed intraluminal biofilms in Tygon catheters.Finally,results from bactericidal experiments showed minimal reduction in bacteria viability.Conclusion.The results of this study demonstrate the potential for PMH to provide a new modality for removing bacterial biofilms from CBMDs and suggest that additional work is warranted to develop histotripsy and PMH for treatment of CBMD intraluminal biofilms.
文摘Microglia were long hailed as solely infammatory cells,and though they are responsible for the brain's immuneresponse,they perform a variety of neuroprotective func-tions including the clearance of cellular and toxic debris^([1]).One toxic molecule known to be cleared by microglia isthe protein aggregate found in Alzheimer's Disease(AD),amyloid-B.
基金supported by the Healthspan Institute Initiative of University of Virginia.
文摘Human lifespan and life expectancy have increased worldwide,but the number of years that we spend free of chronic or debilitating disorders,known as healthspan,has not shifted along with increased lifespan.This unfavourable trend presents a tremendous global social-economical problem.We propose a model of promoting optimal human health with proactive,holistic interventions across the lifespan,which require multi-disciplinary,innovative approaches to research and care.We contend that this is the only hope that we have to face the challenges of population growth and aging,as well as the upward trend in non-communicable disease prevalence.