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1.
J Environ Manage ; 313: 114995, 2022 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-35413651

RESUMEN

Cd pollution in sediments poses severe threats to environmental safety and human health. Mn oxides have potential merit for the remediation of Cd pollution in sediment but have not received enough attention. Although Mn oxides have proven effective as adsorbents for removing heavy metals from water/wastewater, the performance and the underlying mechanism of Cd immobilization in sediments by Mn oxides remain unclear. Here, three crystallographic Mn oxides δ-MnO2, γ-MnOOH, and Mn3O4 were used as amendments to investigate their potential for the in situ immobilization of Cd in lake sediment. Experimental data showed that when the sediment samples were treated with synthesized Mn oxides at dosages of 2% and 6% (w/w) for 56 days, the TCLP (toxicity characteristic leaching procedure) leachable Cd in the sediment decreased by 43.9-66.81%, and the PBET (physiologically based extraction test) extractable Cd decreased by 45.16-99.40%. Additionally, the acid-soluble fraction of Cd was partially transformed to a residual fraction, resulting in a 27.55-35.49% decrease in acid-soluble Cd and a 25.16-30.36% increase in the residual Cd fraction. Sediment pH and oxidation-reduction potential were important factors affecting the bioavailability of Cd in the remediation process. Furthermore, scanning electron microscopy, X-ray diffractometer, Fourier transform infrared spectroscopy, and X-ray photoelectron spectroscopy analysis illustrated that the interaction between the amendment and Cd mainly involved complexation with O-containing groups, ion-exchange as > OCd+, and precipitation with carbonate. The efficient remediation capacity and associated mechanism for Mn oxides provide insights for the improved restoration of heavy metal-contaminated sediment.


Asunto(s)
Restauración y Remediación Ambiental , Metales Pesados , Contaminantes del Suelo , Cadmio/química , Humanos , Lagos , Manganeso/análisis , Compuestos de Manganeso , Metales Pesados/análisis , Óxidos/química , Contaminantes del Suelo/análisis
2.
Front Mol Biosci ; 9: 781619, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35198601

RESUMEN

Psychological stress plays an important role in hair loss, but the underlying mechanisms are not well-understood, and the effective therapies available to regrow hair are rare. In this study, we established a chronic restraint stress (CRS)-induced hair growth inhibition mouse model and performed a comprehensive analysis of metabolomics and transcriptomics. Metabolomics data analysis showed that the primary and secondary metabolic pathways, such as carbohydrate metabolism, amino acid metabolism, and lipid metabolism were significantly altered in skin tissue of CRS group. Transcriptomics analysis also showed significant changes of genes expression profiles involved in regulation of metabolic processes including arachidonic acid metabolism, glutathione metabolism, glycolysis gluconeogenesis, nicotinate and nicotinamide metabolism, purine metabolism, retinol metabolism and cholesterol metabolism. Furthermore, RNA-Seq analyses also found that numerous genes associated with metabolism were significantly changed, such as Hk-1, in CRS-induced hair growth inhibition. Overall, our study supplied new insights into the hair growth inhibition induced by CRS from the perspective of integrated metabolomics and transcriptomics analyses.

3.
J Hazard Mater ; 425: 127998, 2022 03 05.
Artículo en Inglés | MEDLINE | ID: mdl-34986567

RESUMEN

Dissolved organic matter (DOM) or iron/manganese (hydro)oxides were important factors in the migration of Cd in sediments of wetlands. DOM and Fe oxides simultaneously affect the longitudinal and transverse migration of Cd in wetlands sediments of plants was still unclear. In this study, a 14-day rhizobox experiment was conducted and the result showed that the rhizosphere effect of Cd migration was only limited to the upper layer of sediments (- 2 to - 4 cm). Fe with fulvic acid (FA) simultaneously existed can precipitate Cd(II) from supernatant to sediments downward. Fe oxides at sediment concentration could effectively prevent Cd(II) from migrating to root surface (0.21 vs 0.02 at%). While Fe oxides with FA together at sediment concentration could effectively promoted the migration of Cd(II) to root surface (0.07 vs 0.08 at%). The formation of organo-metallic complexes of Fe in the presence of FA profoundly proved this finding (increased by ~33.0%). And the polysaccharides and aromatics in organic matter were the chief functional groups participating in the incorporation of Cd and Fe oxides. The findings reveal the migration rules of Cd(II) in sediments by FA and Fe oxides and give an insight into the mechanisms of Cd(II) migration to the root surface around wetland plants.


Asunto(s)
Cadmio , Óxidos , Benzopiranos , Materia Orgánica Disuelta , Poaceae
4.
Environ Sci Pollut Res Int ; 28(35): 47838-47855, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34302242

RESUMEN

The pollution of heavy metals (HMs) in the soil has become one of the important factors affecting the national environment and human health. Phytoremediation, as a technology to deal with HM pollution in soil, has been extensively studied and applied due to its sustainability and environmental friendliness. However, hyperaccumulators polluted by HMs need to be properly treated to avoid secondary pollution to the environment. This paper reviews the migration and transformation of HMs during the incineration, pyrolysis, gasification, and hydrothermal treatment of hyperaccumulators; comprehensively evaluates the advantages and disadvantages of each technology in the treatment of HM-enriched hyperaccumulators; and analyzes the current development status and unsolved problems in detail for each technology. Generally speaking, thermal treatment technology can fix most of the HMs of exchangeable fraction in biochar, reducing its bioavailability and biotoxicity. In addition, the application direction and research focus of the target product are discussed, and it is clarified that in the future, it is necessary to further optimize the reaction conditions and explore the mechanism of HM immobilization to maximize the immobilization of HMs and improve the quality and output of the target product.


Asunto(s)
Metales Pesados , Contaminantes del Suelo , Biodegradación Ambiental , Humanos , Incineración , Metales Pesados/análisis , Suelo , Contaminantes del Suelo/análisis
5.
Environ Res ; 197: 111138, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-33844970

RESUMEN

Sediments are the major sinks for Cd(Ⅱ) in the aquatic environment. Here, the detailed binding mechanisms and effects of environmental factors on Cd(Ⅱ) adsorption onto lake sediment were tested by a batch of adsorption and characteristic experiments. Sediment samples and sediment-Cd complexes were characterized using Scanning electron microscopy, Energy dispersive spectroscopy, X-ray photoelectron spectroscopy, Fourier transform infrared spectroscopy, and X-ray diffraction spectral analyses. The interactive and main effect of parameters such as pH, flow velocity, Cd(II) concentration, sediment particle size, humic acid, fulvic acid and adsorption time involved in the adsorption process were determined using two models based on response surface methodology (RSM) and a back-propagation neural network with genetic algorithm (GABP). Results showed that Cd(II) adsorption onto sediment was mainly achieved through surface complexation with O-containing groups and precipitation with carbonate and sulfide. RSM was favorable for modeling Cd(II) adsorption in lake systems because it intuitively reflected the influence of the factors and had a good fitting precision (R2 = 0.8838, RSME = 2.5496) close to that of the GABP model (R2 = 0.8959, RSME = 2.5410). pH, sediment particle size, and humic acid exerted strong influences on Cd(II) immobilized by the sediment. Overall, our findings facilitate a better understanding of Cd(II) mobility in lakes and provide a reference for controlling heavy metals derived from both aqueous and sediment sources.


Asunto(s)
Lagos , Contaminantes Químicos del Agua , Adsorción , Cadmio , Concentración de Iones de Hidrógeno , Cinética , Laboratorios , Espectroscopía Infrarroja por Transformada de Fourier
6.
Nanomaterials (Basel) ; 11(2)2021 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-33525541

RESUMEN

Since the 1990s, supercritical fluids for the synthesis of nanomaterials have been paid more and more attention by researchers and have gradually become one of the most important ways to prepare nanomaterials. In this study, literature data on "supercritical fluids for the synthesis of nanomaterials" from 1998 to 2020 were obtained from the Web of Science database, and the data were processed and analyzed by the bibliometric method combined with Microsoft office 2019, Origin 2018, VOSviewer, and other software, so as to obtain the research status and development trend of "supercritical fluids for the synthesis of nanomaterials". The results show that since literature on "supercritical fluids for the synthesis of nanomaterials" appeared for the first time in 1998, the number of articles published every year has risen. In terms of this field, China has become the second-largest publishing country after the United States, and China and the United States display a lot of cooperation and exchanges in this field. "Supercritical CO2", "supercritical water", "supercritical antisolvent", "surface modification", and so on have become the research hotspots of "supercritical fluids for the synthesis of nanomaterials".

7.
J Hazard Mater ; 410: 124537, 2021 05 15.
Artículo en Inglés | MEDLINE | ID: mdl-33246820

RESUMEN

Biochar-derived dissolved organic matter (BDOM), which has a substantial impact on the environmental behavior of heavy metals, is critical for understanding the environmental efficacy of biochar. Here, we used a suite of advanced spectroscopic and mass spectroscopic methods to investigate the relationship among the pyrolysis temperature of biochar, composition of BDOM, and interactions of BDOM with Cu. The binding affinity of BDOM and Cu showed incredibly increase, with the increasing pyrolysis temperature (300-500 °C) which promoted the release of condensed aromatic compounds and oxygen-containing functional groups from biochar into dissolved phase. A notable difference in the sequences binding with Cu was occurred during the changing pyrolysis temperature. The amide only involved in the binding process between Cu and BDOM at low-temperature (300 and 400 °C), whereas phenolic only associated with the such binding process at high-temperature (500 °C). Apart from this, the carboxyl and polysaccharides took part in the binding process of Cu with BDOM, no matter how higher the temperature is. A further analysis by X-ray absorption spectroscopy revealed that bidentate carboxylic-Cu complexes appear to be the predominant binding pattern for Cu to BDOM. Our results might contribute to provide novel information for the environment applications of biochar.

8.
J Hazard Mater ; 402: 123541, 2021 01 15.
Artículo en Inglés | MEDLINE | ID: mdl-32745873

RESUMEN

The dispersion of hyperaccumulators used in the phytoremediation process has caused environmental concerns because of their heavy metal (HM) richness. It is important to reduce the environmental risks and prevent the HM to reenter the ecological cycle and thereby the human food web. In this work, supercritical water gasification (SCWG) technology was used to convert Sedum plumbizincicola into hydrogen (H2) gas and to immobilize HMs into biochar. The H2 production correlated with temperature ranging from 380 to 440 ℃ with the highest H2 yield of 2.74 mol/kg at 440 ℃. The free-radical reaction and steam reforming reaction at high temperatures were likely to be the mechanism behind the H2 production. The analyses of bio-oil by the Gas Chromatography-Mass Spectrometer (GC-MS) and Nuclear magnetic resonance spectroscopy (NMR) illustrated that the aromatic compounds, oxygenated compounds, and phenols were degraded into H2-rich gases. The increase of temperature enhanced the HM immobilization efficiency (>99.2 % immobilization), which was probably due to the quickly formed biochar that helped adsorb HMs. Then those HMs were chemically converted into stable forms through complexation with inorganic components on biochar, e.g., silicates, SiO2, and Al2O3. Consequently, the SCWG process was demonstrated as a promising approach for dispersing hyperaccumulators by immobilizing the hazardous HMs into biochar and simultaneously producing value-added H2-rich gases.


Asunto(s)
Metales Pesados , Agua , Biomasa , Gases , Humanos , Hidrógeno , Dióxido de Silicio
9.
Oncol Lett ; 20(6): 390, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33193850

RESUMEN

Despite advances in the diagnosis and treatment in recent years, lung cancer is still one of the primary causes of cancer-associated morbidity and mortality in globally. Abnormally expressed microRNAs (miRNAs/miRs) in tumor tissues serve vital roles in the pathological mechanism of tumors and have become prospective biomarkers for cancer diagnosis. The present study aimed to investigate the effects of the miR-140-5p/zinc finger protein 800 (ZNF800) axis in lung carcinoma, and determine its potential underlying molecular mechanisms. The degree of cell proliferation was assessed via the MTT assay, while the migratory and invasive abilities of lung cancer cells were determined via the Transwell and Matrigel assays. The expression levels of miR-140-5p and ZNF800 were detected via reverse transcription-quantitative PCR and western blot analyses. The results demonstrated that miR-140-5p expression was notably higher in normal human bronchial epithelial cells compared with the respective lung cancer cell lines, H292, PC-9, CL1-5 and H460. Furthermore, miR-140-5p expression increased in the lung cancer cells compared with the control cells following transfection with miR-140-5p mimic. Overexpressing miR-140-5p significantly suppressed the proliferative, invasive and migratory abilities of H460 and PC-9 cells, and stimulated cell apoptosis by upregulating the expression of cleaved-caspase-3. Notably, these effects were reversed following transfection with miR-140-5p inhibitor. miR-140-5p was predicted as a negative regulator of ZNF800, and ZNF800 knockdown significantly suppressed the proliferative and metastatic abilities of lung adenocarcinoma (LUAD) cells, which was comparable to the effects of miR-140-5p mimic. Taken together, these results suggest that miR-140-5p may block the malignant phenotype of LUAD by negatively regulating ZNF800 expression. Thus, the miR-140-5p/ZNF800 axis may be used as an alternative therapeutic target for lung carcinoma in general, and LUAD in particular.

10.
Environ Sci Pollut Res Int ; 26(35): 35687-35703, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31745800

RESUMEN

Facing the common treatment problems of dioxin whose major sources come from waste incineration and steel sintering, we handled a massive literature dataset from the Web of Science database and analyzed the research hotspot and development trend in this field in the past 40 years by bibliometric method. The result indicates that the field of dioxins generated from waste incineration and steel sintering has entered a stage of rapid development since 1990. China occupies a leading position in terms of comprehensive strength with the largest publications output as well as a greater influence in recent years. The most productive institutions and journals are Zhejiang University and Chemosphere, respectively. In addition, the most commonly used keywords in statistical analysis are "fly ash," "emission control," "risk assessment," "congener profile," "formation mechanisms," "sources," "catalysis," and "inhibition," which reflects the current main research direction in this field. The similarities and differences of dioxins generated in waste incineration and steel sintering are reviewed in this paper, which will provide guidance for the future research.


Asunto(s)
Ceniza del Carbón/análisis , Dioxinas/análisis , Incineración/métodos , Bibliometría , China , Dibenzodioxinas Policloradas/análisis , Medición de Riesgo , Acero
11.
J Cancer ; 10(4): 1004-1012, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30854106

RESUMEN

The tumor-associated inflammatory microenvironment plays a pivotal role in human non-small cell lung cancer (NSCLC) development. FGFR1 and TLR4 involve in the regulation of inflammatory microenvironment of NSCLC.However, the relationship between the FGFR1 and TLR4 signaling and the mechanisms that involved in tumor-associated microenvironment are still unclear. We investigated the expression of FGFR1 and TLR4 in cancerous tissues and noncancerous lung tissues from 60 primary NSCLC patients using immunohistochemical staining. Three cell lines (A549, PC-9 and SK-MES-1) were used for in vitro studies. We demonstrated that the expression of FGFR1 and TLR4 was significantly correlated (r=0.504, p<0.05) in NSCLC tissues. We revealed that activation of FGFR1 and TLR4 pathways by specific signaling agonist increased Akt phosphorylation. Further results showed that FGFR1 and TLR4 regulated cell proliferation and migration and promoted the production of proinflammatory or immunosuppressive cytokines TNF-α and IL-6. Meanwhile, the PI3K inhibitor LY294002 rescued these changes. Taken together, our results indicate that the FGFR1 expression level is positively correlated with TLR4 expression level in human NSCLC tissues. The activation of FGFR1 and TLR4 in cancer cells contributes to inflammatory microenvironment via PI3K/Akt signaling and may make a significant contribution to the progression of human NSCLC.

12.
Bioresour Technol ; 270: 278-285, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30223159

RESUMEN

In this research, the abundance and structure of AOA amoA gene during agricultural waste composting were determined by quantitative PCR and sequencing techniques, respectively. Pairwise correlations between potential ammonia oxidation (PAO) rate, physicochemical parameters and the AOA abundance were evaluated using Pearson correlation coefficient. Relationships between these parameters, PAO rates and AOA community structure were evaluated by redundancy analysis. Results showed that 22 AOA gene OTUs were divided into the soil/sediment lineage by phylogenetic analyses. Significant positive correlations were obtained between AOA amoA gene abundance and moisture, ammonium, water soluble carbon (WSC) and organic matter (OM), respectively. Redundancy analysis showed OM, pH and nitrate significantly explained the AOA amoA gene structure. Pearson correlation revealed the PAO rate correlated positively to ammonium, AOA amoA gene abundance. These results indicated that AOA communities sense the fluctuations in surrounding environment, and ultimately react and influence the nitrogen transformation during agricultural waste composting.


Asunto(s)
Amoníaco/metabolismo , Archaea/metabolismo , Compostaje , Agricultura , Archaea/genética , Oxidación-Reducción , Filogenia , Suelo , Microbiología del Suelo
13.
Biochem Biophys Res Commun ; 503(1): 242-248, 2018 09 03.
Artículo en Inglés | MEDLINE | ID: mdl-29885840

RESUMEN

Lung metastasis is a primary obstacle in the clinical treatment of metastatic breast cancer. Most patients with lung metastasis eventually die of recurrence. Recurrence may be related to self-seeding, which occurs when circulating tumor cells re-seed into the tumors they originated from (metastasis or carcinoma in situ). Tumor-derived exosomes have been intensively revealed to promote the progression of various cancers. However, whether tumor-derived exosomes play roles in tumor self-seeding has not yet been identified. By establishing a self-seeding nude mouse model, we found that exosomes derived from MDA231-LM2 cells (subpopulations of breast cancer lung metastasis) potentiate the growth of MDA-MB-231 xenografts. More importantly, laser confocal microscopy and flow cytometry results identified that MDA231-LM2-secreted exosomes promote the seeding of MDA231-LM2 cells into MDA-MB-231 xenografts. These findings suggest MDA231-LM2-secreted exosomes as a promising target to treat breast cancer lung metastasis.


Asunto(s)
Neoplasias de la Mama/patología , Neoplasias Pulmonares/secundario , Siembra Neoplásica , Animales , Línea Celular Tumoral , Exosomas/patología , Femenino , Xenoinjertos , Humanos , Neoplasias Pulmonares/patología , Ratones , Ratones Endogámicos BALB C , Ratones Desnudos , Recurrencia Local de Neoplasia/patología , Células Neoplásicas Circulantes/patología
14.
Sensors (Basel) ; 18(4)2018 Apr 05.
Artículo en Inglés | MEDLINE | ID: mdl-29621142

RESUMEN

Traffic speed meters are important legal measuring instruments specially used for traffic speed enforcement and must be tested and verified in the field every year using a vehicular mobile standard speed-measuring instrument to ensure speed-measuring performances. The non-contact optical speed sensor and the GPS speed sensor are the two most common types of standard speed-measuring instruments. The non-contact optical speed sensor requires extremely high installation accuracy, and its speed-measuring error is nonlinear and uncorrectable. The speed-measuring accuracy of the GPS speed sensor is rapidly reduced if the amount of received satellites is insufficient enough, which often occurs in urban high-rise regions, tunnels, and mountainous regions. In this paper, a new standard speed-measuring instrument using a dual-antenna Doppler radar sensor is proposed based on a tradeoff between the installation accuracy requirement and the usage region limitation, which has no specified requirements for its mounting distance and no limitation on usage regions and can automatically compensate for the effect of an inclined installation angle on its speed-measuring accuracy. Theoretical model analysis, simulated speed measurement results, and field experimental results compared with a GPS speed sensor with high accuracy showed that the dual-antenna Doppler radar sensor is effective and reliable as a new standard speed-measuring instrument.

15.
Oncol Lett ; 15(2): 1566-1572, 2018 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-29434851

RESUMEN

Bufadienolides are a type of cardiotonic steroids isolated from the skin and parotid venom glands of the toad Bufo bufo gargarizans Cantor, and exhibit wide-spectrum anticancer activities. However, the effects and mechanisms of bufadienolides on esophageal squamous cell carcinoma (ESCC) cells remain unknown. In the present study, the anticancer activities of two bufadienolides, bufotalin and bufalin, were examined in vitro and in vivo. The results demonstrated that bufotalin and bufalin effectively inhibited the viability of ESCC cells, with half-maximal inhibitory concentration (IC50) values of 0.8-3.6 µM. However, bufotalin and bufalin exhibited lower toxicity towards Het-1A human esophageal squamous cells, indicating their high selectivity towards cancer cells. Mechanistic studies revealed that bufotalin effectively induced ESCC cell apoptosis, as characterized by DNA fragmentation and nuclear condensation, which was primarily mediated through activation of caspase family members. In addition, treatment of ESCC cells with bufotalin markedly activated tumor protein p53 (p53) phosphorylation. Transfection of cells with p53 small interfering RNA markedly inhibited bufotalin-induced p53 phosphorylation and significantly inhibited bufotalin-induced cell apoptosis. Furthermore, bufotalin demonstrated in vivo anticancer efficacy in a tumor-bearing nude mice model, where bufotalin effectively inhibited Eca-109 xenograft tumor growth in a time- and dose-dependent manner, through activation of the p53 signaling pathway. Collectively, the results from the present study suggested that bufadienolides exert anticancer effects against ESCC by regulating the p53 signaling pathway.

16.
Onco Targets Ther ; 10: 1261-1267, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28280360

RESUMEN

Esophageal squamous cell carcinoma (ESCC) is often diagnosed at late incurable stage and lacks effective treatment strategy. Bufadienolides are cardiotonic steroids isolated from the skin and parotid venom glands of the toad Bufo bufo gargarizans Cantor with novel anticancer activity. However, there is little information about the effects and action mechanisms of bufadienolides on ESCC cells. In this study, the in vitro and in vivo anti-ESCC activities of bufadienolides, including bufalin (Bu) and arenobufagin (ArBu), were examined and the underlying molecular mechanisms were elucidated. The results showed that ArBu exhibited higher anticancer efficacy than Bu against a panel of five ESCC cells, with IC50 values ranging from 0.8 µM to 3.6 µM. However, ArBu showed lower toxicity toward Het-1A human normal esophageal squamous cells, indicating its great selectivity between cancer and normal cells. Moreover, ArBu effectively induced ESCC cell apoptosis mainly by triggering caspase activation through intrinsic and extrinsic pathways. Treatment of ESCC cells also significantly activated p53 signaling by enhancing its phosphorylation. Interestingly, transfection of cells with p53 small interfering RNA significantly inhibited the ArBu-induced p53 phosphorylation and the overall apoptotic cell death. Furthermore, ArBu also demonstrated novel in vivo anticancer efficacy by inhibiting the tumor growth through activation of p53 pathway. Taken together, these results demonstrate the p53-targeting therapeutic potential of bufadienolides against ESCC.

17.
Nan Fang Yi Ke Da Xue Xue Bao ; 26(7): 1039-40, 2006 Jul.
Artículo en Chino | MEDLINE | ID: mdl-16864108

RESUMEN

OBJECTIVE: To propose a new computer software-based medical image processing technique with high resolution digital scanner for radiotherapy verification. METHODS: Under the platform of Windows 2000, the software, programmed with Visual C++.NET, was developed according to modular design. All data of the films and the treatment planning system could be processed as images or dose curves for a robust result. RESULTS: Many functions such as data acquisition, automatic analysis and computation and image processing were integrated in the system. Both geometric and dosimetric errors could be calculated at the same time to verify the radiotherapy accuracy. CONCLUSION: This system has good accuracy and stability for cost-effective radiotherapy verification.


Asunto(s)
Dosimetría por Película/instrumentación , Procesamiento de Imagen Asistido por Computador , Planificación de la Radioterapia Asistida por Computador/métodos , Humanos , Dosificación Radioterapéutica/normas , Reproducibilidad de los Resultados , Programas Informáticos
18.
Zhonghua Zhong Liu Za Zhi ; 27(7): 432-4, 2005 Jul.
Artículo en Chino | MEDLINE | ID: mdl-16188132

RESUMEN

OBJECTIVE: To evaluate the radiation induced parotid dysfunction in nasopharyngeal carcinoma (NPC) patients who had received different methods of radiotherapy. METHODS: From January 1996 to January 2000, 380 NPC patients were divided into conventional fraction (CF-175 patients), late-course accelerated hyperfractionation (LCAF-63 patients) and intensity modulated radiation therapy (IMRT-142 patients) groups. Conventional radiotherapy was given with a total dose of 70 Gy. Patients in the LCAF group were treated with the same fractionation as CF group until the dose of 36 - 40 Gy, then followed by LCAF radiotherapy to a total dose of 75 Gy. IMRT in the form of full-course was given to a total dose of 72 Gy. Acute parotiditis was observed during the treatment. The parotid secretory function was examined 2 years after radiotherapy. RESULTS: The dose of parotid in IMRT was much lower than those in the other 2 groups. Extreme damage rates of parotid secretory function in CF, LCAF and IMRT groups were 81.7%, 81.0% and 69.7% (P < 0.05); acute parotiditis rates were 23.4%, 20.4% and 41.3% respectively, with the differences among the 3 groups significant (P < 0.05). CONCLUSION: The radiation parotid functional damage differs in the various methods of radiotherapy. IMRT, being able to improve the tumor target coverage and spare the adjacent critical structures, is indicated for NPC.


Asunto(s)
Carcinoma de Células Escamosas/radioterapia , Neoplasias Nasofaríngeas/radioterapia , Glándula Parótida/efectos de la radiación , Traumatismos por Radiación/fisiopatología , Radioterapia de Intensidad Modulada/métodos , Adolescente , Adulto , Fraccionamiento de la Dosis de Radiación , Femenino , Humanos , Masculino , Persona de Mediana Edad , Glándula Parótida/fisiopatología , Parotiditis/etiología
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