98%
921
2 minutes
20
Membrane expansion integrates multiple forces to mediate precise tube growth and network formation. Defects lead to deformations, as found in diseases such as polycystic kidney diseases, aortic aneurysms, stenosis, and tortuosity. We identified a mechanism of sensing and responding to the membrane-driven expansion of tracheal tubes. The apical membrane is anchored to the apical extracellular matrix (aECM) and causes expansion forces that elongate the tracheal tubes. The aECM provides a mechanical tension that balances the resulting expansion forces, with Dumpy being an elastic molecule that modulates the mechanical stress on the matrix during tracheal tube expansion. We show in that the zona pellucida (ZP) domain protein Piopio interacts and cooperates with the ZP protein Dumpy at tracheal cells. To resist shear stresses which arise during tube expansion, Piopio undergoes ectodomain shedding by the Matriptase homolog Notopleural, which releases Piopio-Dumpy-mediated linkages between membranes and extracellular matrix. Failure of this process leads to deformations of the apical membrane, tears the apical matrix, and impairs tubular network function. We also show conserved ectodomain shedding of the human TGFβ type III receptor by Notopleural and the human Matriptase, providing novel findings for in-depth analysis of diseases caused by cell and tube shape changes.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10597583 | PMC |
http://dx.doi.org/10.7554/eLife.91079 | DOI Listing |
Anesth Prog
September 2025
Objective: We aimed to investigate the differences in the lengths and shapes of several preformed nasotracheal tubes (NTTs) among different manufacturers and compare our findings with a previous report.
Methods: Using reference points at the tube tip, the proximal edge of the cuff, and the flexion point, we measured tube lengths for NTTs with inner diameters of 6.5, 7.
Anaesthesia
September 2025
Department of Anesthesiology and Pain Medicine, Women's College Hospital, and Toronto Western Hospital, University Health Network, Toronto, Canada.
Introduction: The utility of bedside screening tests for the prediction of difficult airways is limited. There is growing interest in the role of point-of-care-ultrasound in airway assessment and management. This systematic review and meta-analysis aimed to determine the diagnostic utility and clinical application of various upper airway point-of-care-ultrasound parameters in the prediction of difficult airways.
View Article and Find Full Text PDFResusc Plus
September 2025
Southmead Hospital, North Bristol NHS Trust, Bristol, United Kingdom.
Objective: The 2025 European Resuscitation Council (ERC) Advanced Life Support (ALS) Guidelines writing group aims to produce inclusive guidelines enabling implementation by National Resuscitation Councils (NRC) based on local resources and practices. We aimed to describe ALS practices across NRCs to further inform the 2025 ERC ALS Guidelines.
Methods: A cross-sectional survey was conducted to assess clinical practices for defibrillation, drugs and airway management during ALS in out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA) amongst countries represented by an NRC.
Front Rehabil Sci
July 2025
Early Rehabilitation Department, Neurological Rehabilitation Center Godeshöhe, Bonn, Germany.
Introduction: Tracheostomy is one of the standard procedures in intensive care medicine. In the context of tracheostomy tube-, dysphagia- and decannulation management the selection of the appropriate tracheostomy tube model (angle, diameter, length) is crucial for the proper placement in the trachea. In spite of recent guidelines mentioning endoscopic control of the tube placement as a useful measure, data regarding the proper placement are rare in the present literature.
View Article and Find Full Text PDFAnesthesiology
August 2025
Department of Anesthesiology, surgery and pain management & Key Laboratory of Clinical Science and Research, Zhongda Hospital Southeast University || Southeast University School of Medicine, Nanjing, China.
Background: General anesthetic drugs may affect the risk of postoperative respiratory adverse events (PRAEs) in children, but the effect of anesthesia maintenance strategies on these events has not yet been widely validated. In this study, we tested the hypothesis that anesthesia maintenance with propofol infusion in addition to inhalation anesthesia or alone would lead to a progressive reduction in the incidence of PRAEs.
Methods: This multicenter randomized clinical trial (AmPRAEC study) enrolled 760 children aged 0-12 years who underwent adenotonsillectomy at 12 hospitals in China.