Skip to main content
Erschienen in: Inflammation 1/2013

01.02.2013

Inhibition of LPS-Induced Retinal Microglia Activation by Naloxone Does Not Prevent Photoreceptor Death

verfasst von: Xiaoshuang Jiang, Yingqin Ni, Tianjin Liu, Meng Zhang, Hui Ren, Gezhi Xu

Erschienen in: Inflammation | Ausgabe 1/2013

Einloggen, um Zugang zu erhalten

Abstract

Microglia-associated inflammation is closely related to the pathogenesis of retinal degenerative disorders. We have previously shown in vivo that naloxone protected photoreceptors from light-induced apoptosis possibly through inhibiting microglial activation. In this study, we attempted to explore the effect of lipopolysaccharide (LPS)-activated microglia on photoreceptor death and the influence of naloxone treatment using an in vitro retinal microglia and 661 W photoreceptor co-culture system. Immunofluorescent staining and ELISA measurements demonstrated that LPS activated microglia by changing the morphology and increasing the production of proinflammatory factors interleukin (IL)-1beta and tumor necrosis factor (TNF)-alpha. Flow cytometry analysis of annexin V/propidium iodide staining showed that LPS-activated microglia promoted the apoptosis of co-cultured 661 W photoreceptor cells. Naloxone inhibited microglial activation and decreased the release of IL-1beta and TNF-alpha but could not prevent photoreceptors from undergoing apoptosis. Considering the dual role of microglia-associated inflammation in both neurotoxicity and neuroprotection, modulating the function, rather than simply inhibiting their activation, might be a new therapeutic method for preventing photoreceptor degeneration.
Literatur
1.
Zurück zum Zitat Donoso, L.A., D. Kim, A. Frost, A. Callahan, and G. Hageman. 2006. The role of inflammation in the pathogenesis of age-related macular degeneration. Survey of Ophthalmology 51: 137–152.PubMedCrossRef Donoso, L.A., D. Kim, A. Frost, A. Callahan, and G. Hageman. 2006. The role of inflammation in the pathogenesis of age-related macular degeneration. Survey of Ophthalmology 51: 137–152.PubMedCrossRef
2.
Zurück zum Zitat Komeima, K., B.S. Rogers, L. Lu, and P.A. Campochiaro. 2006. Antioxidants reduce cone cell death in a model of retinitis pigmentosa. Proceedings of the National Academy of Sciences of the United States of America 103: 11300–11305.PubMedCrossRef Komeima, K., B.S. Rogers, L. Lu, and P.A. Campochiaro. 2006. Antioxidants reduce cone cell death in a model of retinitis pigmentosa. Proceedings of the National Academy of Sciences of the United States of America 103: 11300–11305.PubMedCrossRef
3.
Zurück zum Zitat Kreutzberg, G.W. 1996. Microglia: a sensor for pathological events in the CNS. Trends in Neurosciences 19: 312–318.PubMedCrossRef Kreutzberg, G.W. 1996. Microglia: a sensor for pathological events in the CNS. Trends in Neurosciences 19: 312–318.PubMedCrossRef
4.
Zurück zum Zitat Chao, C.C., S. Hu, L. Ehrlich, and P.K. Peterson. 1995. Interleukin-1 and tumor necrosis factor-synergistically mediate neurotoxicity: involvement of nitric oxide and of N-methyl-d-aspartate receptors. Brain, Behavior, and Immunity 9: 355–365.PubMedCrossRef Chao, C.C., S. Hu, L. Ehrlich, and P.K. Peterson. 1995. Interleukin-1 and tumor necrosis factor-synergistically mediate neurotoxicity: involvement of nitric oxide and of N-methyl-d-aspartate receptors. Brain, Behavior, and Immunity 9: 355–365.PubMedCrossRef
5.
Zurück zum Zitat McGuire, S.O., Z.D. Ling, J.W. Lipton, C.E. Sortwell, T.J. Collier, and P.M. Carvey. 2001. Tumor necrosis factor alpha is toxic to embryonic mesencephalic dopamine neurons. Experimental Neurology 169: 219–230.PubMedCrossRef McGuire, S.O., Z.D. Ling, J.W. Lipton, C.E. Sortwell, T.J. Collier, and P.M. Carvey. 2001. Tumor necrosis factor alpha is toxic to embryonic mesencephalic dopamine neurons. Experimental Neurology 169: 219–230.PubMedCrossRef
6.
Zurück zum Zitat Zeng, H.Y., X.A. Zhu, C. Zhang, L.P. Yang, L.M. Wu, and M.O. Tso. 2005. Identification of sequential events and factors associated with microglial activation, migration, and cytotoxicity in retinal degeneration in rd mice. Investigative Ophthalmology & Visual Science 46: 2992–2999.CrossRef Zeng, H.Y., X.A. Zhu, C. Zhang, L.P. Yang, L.M. Wu, and M.O. Tso. 2005. Identification of sequential events and factors associated with microglial activation, migration, and cytotoxicity in retinal degeneration in rd mice. Investigative Ophthalmology & Visual Science 46: 2992–2999.CrossRef
7.
Zurück zum Zitat Zhang, C., J.K. Shen, T.T. Lam, H.Y. Zeng, S.K. Chiang, F. Yang, and M.O. Tso. 2005. Activation of microglia and chemokines in light-induced retinal degeneration. Molecular Vision 11: 887–895.PubMed Zhang, C., J.K. Shen, T.T. Lam, H.Y. Zeng, S.K. Chiang, F. Yang, and M.O. Tso. 2005. Activation of microglia and chemokines in light-induced retinal degeneration. Molecular Vision 11: 887–895.PubMed
8.
Zurück zum Zitat Lund, S., K.V. Christensen, M. Hedtjärn, A.L. Mortensen, H. Hagberg, J. Falsig, H. Hasseldam, A. Schrattenholz, P. Pörzgen, and M. Leist. 2006. The dynamics of the LPS triggered inflammatory response of murine microglia under different culture and in vivo conditions. Journal of Neuroimmunology 180: 71–87.PubMedCrossRef Lund, S., K.V. Christensen, M. Hedtjärn, A.L. Mortensen, H. Hagberg, J. Falsig, H. Hasseldam, A. Schrattenholz, P. Pörzgen, and M. Leist. 2006. The dynamics of the LPS triggered inflammatory response of murine microglia under different culture and in vivo conditions. Journal of Neuroimmunology 180: 71–87.PubMedCrossRef
9.
Zurück zum Zitat Yamada, K., Y. Komori, T. Tanaka, K. Senzaki, T. Nikai, H. Sugihara, T. Kameyama, and T. Nabeshima. 1999. Brain dysfunction associated with an induction of nitric oxide synthase following an intracerebral injection of lipopolysaccharide in rats. Neuroscience 88: 281–294.PubMedCrossRef Yamada, K., Y. Komori, T. Tanaka, K. Senzaki, T. Nikai, H. Sugihara, T. Kameyama, and T. Nabeshima. 1999. Brain dysfunction associated with an induction of nitric oxide synthase following an intracerebral injection of lipopolysaccharide in rats. Neuroscience 88: 281–294.PubMedCrossRef
10.
Zurück zum Zitat Qin, L., X. Wu, M.L. Block, Y. Liu, G.R. Breese, J.S. Hong, D.J. Knapp, and F.T. Crews. 2007. Systemic LPS causes chronic neuroinflammation and progressive neurodegeneration. Glia 55: 453–462.PubMedCrossRef Qin, L., X. Wu, M.L. Block, Y. Liu, G.R. Breese, J.S. Hong, D.J. Knapp, and F.T. Crews. 2007. Systemic LPS causes chronic neuroinflammation and progressive neurodegeneration. Glia 55: 453–462.PubMedCrossRef
11.
Zurück zum Zitat Yang, L.P., X.A. Zhu, and M.O. Tso. 2007. A possible mechanism of microglia–photoreceptor crosstalk. Molecular Vision 13: 2048–2057.PubMed Yang, L.P., X.A. Zhu, and M.O. Tso. 2007. A possible mechanism of microglia–photoreceptor crosstalk. Molecular Vision 13: 2048–2057.PubMed
12.
Zurück zum Zitat Liu, B., J.W. Jiang, B.C. Wilson, L. Du, S.N. Yang, J.Y. Wang, G.C. Wu, X.D. Cao, and J.S. Hong. 2000. Systemic infusion of naloxone reduces degeneration of rat substantia nigral dopaminergic neurons induced by intranigral injection of lipopolysaccharide. Journal of Pharmacology and Experimental Therapeutics 295: 125–132.PubMed Liu, B., J.W. Jiang, B.C. Wilson, L. Du, S.N. Yang, J.Y. Wang, G.C. Wu, X.D. Cao, and J.S. Hong. 2000. Systemic infusion of naloxone reduces degeneration of rat substantia nigral dopaminergic neurons induced by intranigral injection of lipopolysaccharide. Journal of Pharmacology and Experimental Therapeutics 295: 125–132.PubMed
13.
Zurück zum Zitat Liu, B., L. Du, L.Y. Kong, P.M. Hudson, B.C. Wilson, R.C. Chang, H.H. Abel, and J.S. Hong. 2000. Reduction by naloxone of lipopolysaccharide-induced neurotoxicity in mouse cortical neuron-glia co-cultures. Neuroscience 97: 749–756.PubMedCrossRef Liu, B., L. Du, L.Y. Kong, P.M. Hudson, B.C. Wilson, R.C. Chang, H.H. Abel, and J.S. Hong. 2000. Reduction by naloxone of lipopolysaccharide-induced neurotoxicity in mouse cortical neuron-glia co-cultures. Neuroscience 97: 749–756.PubMedCrossRef
14.
Zurück zum Zitat Dobrenis, K., M.H. Makman, and G.B. Stefano. 1995. Occurrence of the opiate alkaloid-selective mu3 receptor in mammalian microglia, astrocytes and Kupffer cells. Brain Research 686: 239–248.PubMedCrossRef Dobrenis, K., M.H. Makman, and G.B. Stefano. 1995. Occurrence of the opiate alkaloid-selective mu3 receptor in mammalian microglia, astrocytes and Kupffer cells. Brain Research 686: 239–248.PubMedCrossRef
15.
Zurück zum Zitat Ni, Y.Q., G.Z. Xu, W.Z. Hu, L. Shi, Y.W. Qin, and C.D. Da. 2008. Neuroprotective effects of naloxone against light-induced photoreceptor degeneration through inhibiting retinal microglial activation. Investigative Ophthalmology & Visual Science 49: 2589–2598.CrossRef Ni, Y.Q., G.Z. Xu, W.Z. Hu, L. Shi, Y.W. Qin, and C.D. Da. 2008. Neuroprotective effects of naloxone against light-induced photoreceptor degeneration through inhibiting retinal microglial activation. Investigative Ophthalmology & Visual Science 49: 2589–2598.CrossRef
16.
Zurück zum Zitat Wang, A.L., A.C. Yu, L.T. Lau, C. Lee, M. le Wu, X. Zhu, and M.O. Tso. 2005. Minocycline inhibits LPS-induced retinal microglia activation. Neurochemistry International 47: 152–158.PubMedCrossRef Wang, A.L., A.C. Yu, L.T. Lau, C. Lee, M. le Wu, X. Zhu, and M.O. Tso. 2005. Minocycline inhibits LPS-induced retinal microglia activation. Neurochemistry International 47: 152–158.PubMedCrossRef
17.
Zurück zum Zitat Al-Ubaidi, M.R., R.L. Font, A.B. Quiambao, M.J. Keener, G.I. Loiu, P.A. Overbeek, and W. Baehr. 1992. Bilateral retinal and brain tumors in transgenic mice expressing simian virus 40 large T antigen under control of the human interphotoreceptor retinoid-binding protein promoter. The Journal of Cell Biology 119: 1681–1687.PubMedCrossRef Al-Ubaidi, M.R., R.L. Font, A.B. Quiambao, M.J. Keener, G.I. Loiu, P.A. Overbeek, and W. Baehr. 1992. Bilateral retinal and brain tumors in transgenic mice expressing simian virus 40 large T antigen under control of the human interphotoreceptor retinoid-binding protein promoter. The Journal of Cell Biology 119: 1681–1687.PubMedCrossRef
18.
Zurück zum Zitat Tan, E., X. Ding, N. Agarwal, M.I. Naash, and M.R. Al-Ubaidi. 2004. Expression of cone-photoreceptor-specific antigens in a cell line derived from retinal tumors in transgenic mice. Investigative Ophthalmology & Visual Science 45: 764–768.CrossRef Tan, E., X. Ding, N. Agarwal, M.I. Naash, and M.R. Al-Ubaidi. 2004. Expression of cone-photoreceptor-specific antigens in a cell line derived from retinal tumors in transgenic mice. Investigative Ophthalmology & Visual Science 45: 764–768.CrossRef
19.
Zurück zum Zitat Roque, R.S., A.A. Rosales, L. Jingjing, N. Agarwal, and M.R. Al-Ubaidi. 1999. Retina-derived microglial cells induce photoreceptor cell death in vitro. Brain Research 836: 110–119.PubMedCrossRef Roque, R.S., A.A. Rosales, L. Jingjing, N. Agarwal, and M.R. Al-Ubaidi. 1999. Retina-derived microglial cells induce photoreceptor cell death in vitro. Brain Research 836: 110–119.PubMedCrossRef
20.
Zurück zum Zitat Streit, W,J.1995. Microglial cells. In: Kettenmann HaR, BR. Neuroglia. Oxford University Press, New York. Streit, W,J.1995. Microglial cells. In: Kettenmann HaR, BR. Neuroglia. Oxford University Press, New York.
21.
Zurück zum Zitat Streit, W.J. 2002. Microglia as neuroprotective, immunocompetent cells of the CNS. Glia 40: 133–139.PubMedCrossRef Streit, W.J. 2002. Microglia as neuroprotective, immunocompetent cells of the CNS. Glia 40: 133–139.PubMedCrossRef
22.
Zurück zum Zitat Gupta, N., K.E. Brown, and A.H. Milam. 2003. Activated microglia in human retinitis pigmentosa, late-onset retinal degeneration, and age-related macular degeneration. Experimental Eye Research 76: 463–471.PubMedCrossRef Gupta, N., K.E. Brown, and A.H. Milam. 2003. Activated microglia in human retinitis pigmentosa, late-onset retinal degeneration, and age-related macular degeneration. Experimental Eye Research 76: 463–471.PubMedCrossRef
23.
Zurück zum Zitat Dickson, D.W., S.C. Lee, L.A. Mattiace, S.H. Yen, and C. Brosnan. 1993. Microglia and cytokines in neurological disease, with special reference to AIDS and Alzheimer's disease. Glia 7: 75–83.PubMedCrossRef Dickson, D.W., S.C. Lee, L.A. Mattiace, S.H. Yen, and C. Brosnan. 1993. Microglia and cytokines in neurological disease, with special reference to AIDS and Alzheimer's disease. Glia 7: 75–83.PubMedCrossRef
24.
Zurück zum Zitat Pang, Y., L. Campbell, B. Zheng, L. Fan, Z. Cai, and P. Rhodes. 2010. Lipopolysaccharide-activated microglia induce death of oligodendrocyte progenitor cells and impede their development. Neuroscience 166: 464–475.PubMedCrossRef Pang, Y., L. Campbell, B. Zheng, L. Fan, Z. Cai, and P. Rhodes. 2010. Lipopolysaccharide-activated microglia induce death of oligodendrocyte progenitor cells and impede their development. Neuroscience 166: 464–475.PubMedCrossRef
25.
Zurück zum Zitat Lu, X., G. Bing, and T. Hagg. 2000. Naloxone prevents microglia-induced degeneration of dopaminergic substantia nigra neurons in adult rats. Neuroscience 97: 285–291.PubMedCrossRef Lu, X., G. Bing, and T. Hagg. 2000. Naloxone prevents microglia-induced degeneration of dopaminergic substantia nigra neurons in adult rats. Neuroscience 97: 285–291.PubMedCrossRef
26.
Zurück zum Zitat Boje, K.M., and P.K. Arora. 1992. Microglial-produced nitric oxide and reactive nitrogen oxides mediate neuronal cell death. Brain Research 587: 250–256.PubMedCrossRef Boje, K.M., and P.K. Arora. 1992. Microglial-produced nitric oxide and reactive nitrogen oxides mediate neuronal cell death. Brain Research 587: 250–256.PubMedCrossRef
27.
Zurück zum Zitat Shimojo, M., K. Nakajima, N. Takei, M. Hamanoue, and S. Kohsaka. 1991. Production of basic fibroblast growth factor in cultured rat brain microglia. Neuroscience Letters 123: 229–231.PubMedCrossRef Shimojo, M., K. Nakajima, N. Takei, M. Hamanoue, and S. Kohsaka. 1991. Production of basic fibroblast growth factor in cultured rat brain microglia. Neuroscience Letters 123: 229–231.PubMedCrossRef
28.
Zurück zum Zitat Elkabes, S., E.M. DiCicco-Bloom, and I.B. Black. 1996. Brain microglia/macrophages express neurotrophins that selectively regulate microglial proliferation and function. Journal of Neuroscience 16: 2508–2521.PubMed Elkabes, S., E.M. DiCicco-Bloom, and I.B. Black. 1996. Brain microglia/macrophages express neurotrophins that selectively regulate microglial proliferation and function. Journal of Neuroscience 16: 2508–2521.PubMed
29.
Zurück zum Zitat Hayashi, Y., Y. Tomimatsu, H. Suzuki, J. Yamada, Z. Wu, H. Yao, Y. Kagamiishi, N. Tateishi, M. Sawada, and H. Nakanishi. 2006. The intra-arterial injection of microglia protects hippocampal CA1 neurons against global ischemia-induced functional deficits in rats. Neuroscience 142: 87–96.PubMedCrossRef Hayashi, Y., Y. Tomimatsu, H. Suzuki, J. Yamada, Z. Wu, H. Yao, Y. Kagamiishi, N. Tateishi, M. Sawada, and H. Nakanishi. 2006. The intra-arterial injection of microglia protects hippocampal CA1 neurons against global ischemia-induced functional deficits in rats. Neuroscience 142: 87–96.PubMedCrossRef
30.
Zurück zum Zitat Fedoroff, S., O. Berezovskaya, and D. Maysinger. 1997. Role of colony stimulating factor-1 in brain damage caused by ischemia. Neuroscience and Biobehavioral 21: 187–191.CrossRef Fedoroff, S., O. Berezovskaya, and D. Maysinger. 1997. Role of colony stimulating factor-1 in brain damage caused by ischemia. Neuroscience and Biobehavioral 21: 187–191.CrossRef
31.
Zurück zum Zitat Lai, A.Y., and K.G. Todd. 2008. Differential regulation of trophic and proinflammatory microglial effectors is dependent on severity of neuronal injury. Glia 56: 259–270.PubMedCrossRef Lai, A.Y., and K.G. Todd. 2008. Differential regulation of trophic and proinflammatory microglial effectors is dependent on severity of neuronal injury. Glia 56: 259–270.PubMedCrossRef
32.
Zurück zum Zitat Saha, R.N., X. Liu, and K. Pahan. 2006. Up-regulation of BDNF in astrocytes by TNF-alpha: a case for the neuroprotective role of cytokine. Journal of Neuroimmune Pharmacology 1: 212–222.PubMedCrossRef Saha, R.N., X. Liu, and K. Pahan. 2006. Up-regulation of BDNF in astrocytes by TNF-alpha: a case for the neuroprotective role of cytokine. Journal of Neuroimmune Pharmacology 1: 212–222.PubMedCrossRef
33.
Zurück zum Zitat Chertoff, M., N. Di Paolo, A. Schoeneberg, A. Depino, C. Ferrari, W. Wurst, K. Pfizenmaier, U. Eisel, and F. Pitossi. 2011. Neuroprotective and neurodegenerative effects of the chronic expression of tumor necrosis factor α in the nigrostriatal dopaminergic circuit of adult mice. Experimental Neurology 227: 237–251.PubMedCrossRef Chertoff, M., N. Di Paolo, A. Schoeneberg, A. Depino, C. Ferrari, W. Wurst, K. Pfizenmaier, U. Eisel, and F. Pitossi. 2011. Neuroprotective and neurodegenerative effects of the chronic expression of tumor necrosis factor α in the nigrostriatal dopaminergic circuit of adult mice. Experimental Neurology 227: 237–251.PubMedCrossRef
34.
Zurück zum Zitat Fontaine, V., S. Mohand-Said, N. Hanoteau, C. Fuchs, K. Pfizenmaier, and U. Eisel. 2002. Neurodegenerative and neuroprotective effects of tumor necrosis factor (TNF) in retinal ischemia: opposite roles of TNF receptor 1 and TNF receptor 2. Journal of Neuroscience 22(7): RC216.PubMed Fontaine, V., S. Mohand-Said, N. Hanoteau, C. Fuchs, K. Pfizenmaier, and U. Eisel. 2002. Neurodegenerative and neuroprotective effects of tumor necrosis factor (TNF) in retinal ischemia: opposite roles of TNF receptor 1 and TNF receptor 2. Journal of Neuroscience 22(7): RC216.PubMed
35.
Zurück zum Zitat Stoll, G., S. Jander, and M. Schroeter. 2000. Cytokines in CNS disorders: neurotoxicity versus neuroprotection. Journal of Neural Transmission. Supplementum 59: 81–89.PubMed Stoll, G., S. Jander, and M. Schroeter. 2000. Cytokines in CNS disorders: neurotoxicity versus neuroprotection. Journal of Neural Transmission. Supplementum 59: 81–89.PubMed
36.
Zurück zum Zitat Yang, L.P., X.A. Zhu, and M.O. Tso. 2007. Role of NF-kappaB and MAPKs in light-induced photoreceptor apoptosis. Investigative Ophthalmology & Visual Science 48(10): 4766–4776.CrossRef Yang, L.P., X.A. Zhu, and M.O. Tso. 2007. Role of NF-kappaB and MAPKs in light-induced photoreceptor apoptosis. Investigative Ophthalmology & Visual Science 48(10): 4766–4776.CrossRef
37.
Zurück zum Zitat Harada, T., C. Harada, S. Kohsaka, E. Wada, K. Yoshida, S. Ohno, H. Mamada, K. Tanaka, L.F. Parada, and K. Wada. 2002. Microglia–Müller glia cell interactions control neurotrophic factor production during light-induced retinal degeneration. Journal of Neuroscience 22(21): 9228–9236.PubMed Harada, T., C. Harada, S. Kohsaka, E. Wada, K. Yoshida, S. Ohno, H. Mamada, K. Tanaka, L.F. Parada, and K. Wada. 2002. Microglia–Müller glia cell interactions control neurotrophic factor production during light-induced retinal degeneration. Journal of Neuroscience 22(21): 9228–9236.PubMed
38.
Zurück zum Zitat Yang, L.P., Y. Li, X.A. Zhu, and M.O. Tso. 2007. Minocycline delayed photoreceptor death in rds mice through iNOS-dependent mechanism. Molecular Vision 13: 1073–1082.PubMed Yang, L.P., Y. Li, X.A. Zhu, and M.O. Tso. 2007. Minocycline delayed photoreceptor death in rds mice through iNOS-dependent mechanism. Molecular Vision 13: 1073–1082.PubMed
Metadaten
Titel
Inhibition of LPS-Induced Retinal Microglia Activation by Naloxone Does Not Prevent Photoreceptor Death
verfasst von
Xiaoshuang Jiang
Yingqin Ni
Tianjin Liu
Meng Zhang
Hui Ren
Gezhi Xu
Publikationsdatum
01.02.2013
Verlag
Springer US
Erschienen in
Inflammation / Ausgabe 1/2013
Print ISSN: 0360-3997
Elektronische ISSN: 1573-2576
DOI
https://doi.org/10.1007/s10753-012-9518-6

Weitere Artikel der Ausgabe 1/2013

Inflammation 1/2013 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Erhöhte Mortalität bei postpartalem Brustkrebs

07.05.2024 Mammakarzinom Nachrichten

Auch für Trägerinnen von BRCA-Varianten gilt: Erkranken sie fünf bis zehn Jahre nach der letzten Schwangerschaft an Brustkrebs, ist das Sterberisiko besonders hoch.

Hypertherme Chemotherapie bietet Chance auf Blasenerhalt

07.05.2024 Harnblasenkarzinom Nachrichten

Eine hypertherme intravesikale Chemotherapie mit Mitomycin kann für Patienten mit hochriskantem nicht muskelinvasivem Blasenkrebs eine Alternative zur radikalen Zystektomie darstellen. Kölner Urologen berichten über ihre Erfahrungen.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Medizinstudium Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Vorhofflimmern bei Jüngeren gefährlicher als gedacht

06.05.2024 Vorhofflimmern Nachrichten

Immer mehr jüngere Menschen leiden unter Vorhofflimmern. Betroffene unter 65 Jahren haben viele Risikofaktoren und ein signifikant erhöhtes Sterberisiko verglichen mit Gleichaltrigen ohne die Erkrankung.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.