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1.
Artigo em Inglês | MEDLINE | ID: mdl-39395080

RESUMO

The effluent generated by textile industries is among the most polluting to the environment. Dyes such as methylene blue (MB) and indigo blue (IB) are used in cotton dyeing. This work proposes to evaluate the potential of in natura (BIN) and nanomodified (BNP) bamboo (Phyllostachys aurea) biomass as biosorbents for the removal of MB and IB dyes in an aqueous medium under high salinity conditions. These materials were characterized by Fourier transform infrared (FTIR) and X-ray (XRD) spectroscopies and scanning electron microscopy (SEM) to investigate their morphology and interaction with the dyes and the nanoparticles. The FTIR spectra revealed the existence of hydroxyl and carbonyl groups, ethers, phenols, and aromatic compounds, indicating the presence of a lignocellulosic structure. XRD and SEM analyses confirmed the effectiveness of the nanocomposite synthesis process. The dyes were quantified by ultraviolet-visible spectroscopy (UV/Vis). The material's pH at the point of zero charge (pHPZC) was 5.52 (BIN) and 4.84 (BNP), and the best IB and MB sorption pH were 3.0 and 9.0 for BNP, respectively, employing 30 min of contact time. The material sorption capacity (Qexp) was assessed using batch procedures, in which 100-1000 mg/L dye concentrations were tested with a 0.5 g/L adsorbent dose. The dye's Qexp for BIN and BNP was 25.41 ± 0.58 and 23.42 ± 0.07 mg/g (MB) and 84.26 ± 1.1 and 130.81 ± 0.20 mg/g (IB), respectively. The kinetic model that best fit BNP experimental data was the pseudo-2nd-order with r2 = 0.99868 (MB) and r2 = 0.99873 (IB), and Freundlich, D-R, and Temkin isotherms best fit the dye sorption data. The bamboo nanomodification facilitates the biosorbent removal from the medium after sorption, enabling large-scale studies and industrial applications-the investigated materials provided promising adsorption features for removing contaminant dyes in saline water.

2.
J Ethnopharmacol ; 337(Pt 1): 118782, 2024 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-39236777

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Ulcerative colitis (UC) is a chronic inflammatory bowel disease characterized by non-specific inflammation. Managing UC presents significant challenges due to its chronic nature and high recurrence rates. Indigo naturalis has emerged as a potential therapeutic agent in clinical UC treatment, demonstrating advantages in alleviating refractory UC and maintaining remission periods compared to other therapeutic approaches. AIM OF REVIEW: This review aims to elucidate the potential mechanisms underlying the therapeutic effects of indigo naturalis in UC treatment, assess its clinical efficacy, advantages, and limitations, and provide insights into methods and strategies for utilizing indigo naturalis in UC management. MATERIALS AND METHODS: Comprehensive data on indigo naturalis were collected from reputable online databases including PubMed, GreenMedical, Web of Science, Google Scholar, China National Knowledge Infrastructure Database, and National Intellectual Property Administration. RESULTS: Clinical studies have demonstrated that indigo naturalis, either alone or in combination with other drugs, yields favorable outcomes in UC treatment. Its mechanisms of action involve modulation of the AHR receptor, anti-inflammatory properties, regulation of intestinal flora, restoration of the intestinal barrier, and modulation of immunity. Despite its efficacy in managing refractory UC and prolonging remission periods, indigo naturalis treatment is associated with adverse reactions, quality variations, and inadequate pharmacokinetic investigations. CONCLUSION: The therapeutic effects of indigo naturalis in UC treatment are closely linked to its ability to regulate the AHR receptor, exert anti-inflammatory effects, mcodulate intestinal flora, restore the intestinal barrier, and regulate immunity. Addressing the current shortcomings, including adverse reactions, quality control issues, and insufficient pharmacokinetic data, is crucial for optimizing the clinical utility of indigo naturalis in UC management. By refining patient-centered treatment strategies, indigo naturalis holds promise for broader application in UC treatment, thereby alleviating the suffering of UC patients.

3.
Carbohydr Polym ; 346: 122655, 2024 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-39245533

RESUMO

Despite the significant amount of denim waste and its potential as a cellulose source, its use has been neglected. This study uses N-methyl morpholine-N-oxide, an eco-friendly solvent, to dissolve denim (including 100 % cotton) and create a denim film. Achieving a 10 % denim record solubility, a cellulosic film was also fabricated for comparison. Characterisation techniques were applied, and molecular dynamics simulations explored intramolecular interactions and the influence of indigo dye on dissolution process. FTIR spectra indicated no chemical reactions during dissolution and regeneration, though a shift in OH stretching suggested a change in crystallinity, confirmed by XRD results showing decreased crystallinity and a structural shift from cellulose I to cellulose II. 13C NMR analysis revealed disruptions in interchain hydrogen bonds after regeneration. TGA results showed lower decomposition temperatures for both films compared to the powders. Testing mechanical properties showed the denim film had higher elongation at break but lower tensile strength than the cellulose film. MD simulations indicated indigo dye did not significantly affect fundamental interactions but decreased denim solubility by reducing the diffusion coefficient. Rheological tests supported the simulation results, showing higher viscosity and molecular weight for the denim solution compared to cellulose.

4.
Molecules ; 29(17)2024 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-39274991

RESUMO

This study presents a comprehensive evaluation of catalytic ozonation as an effective strategy for indigo dye bleaching, particularly examining the performance of four carbon-based catalysts, activated carbon (AC), multi-walled carbon nanotubes (MWCNT), graphitic carbon nitride (g-C3N4), and thermally etched nanosheets (C3N4-TE). The study investigates the efficiency of catalytic ozonation in degrading Potassium indigotrisulfonate (ITS) dye within the constraints of short contact times, aiming to simulate real-world industrial wastewater treatment conditions. The results reveal that all catalysts demonstrated remarkable decolorization efficiency, with over 99% of indigo dye removed within just 120 s of mixing time. Besides, the study delves into the mechanisms underlying catalytic ozonation reactions, elucidating the intricate interactions between the catalysts, ozone, and indigo dye molecules with the processes being influenced by factors such as PZC, pKa, and pH. Furthermore, experiments were conducted to analyze the adsorption characteristics of indigo dye on the surfaces of the materials and its impact on the catalytic ozonation process. MWCNT demonstrated the highest adsorption efficiency, effectively removing 43.4% of the indigo dye color over 60 s. Although the efficiency achieved with C3N4-TE was 21.4%, which is approximately half of that achieved with MWCNT and less than half of that with AC, it is noteworthy given the significantly lower surface area of C3N4-TE.

5.
Molecules ; 29(17)2024 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-39275089

RESUMO

The reaction of indigo with two equivalents of the electrophile ethyl bromoacetate with caesium carbonate as a base result in the formation of structurally complex polyheterocyclics, including a fused spiroimidazole and a spiro[1,3]oxazino derivative, together with a biindigoid-type derivative, through a convenient one-pot reaction. Further assessment of the reaction using five equivalents of the electrophile gave rise to other molecules incorporating the 2-(7,13,14-trioxo-6,7,13,14-tetrahydropyrazino[1,2-a:4,3-a']diindol-6-yl) scaffold. The reaction of ethyl bromoacetate with the less reactive indirubin resulted in the synthesis of three derivatives of a new class of polyheterocyclic system via a cascade process, although yields were low. These compounds were derived from the parent indolo[1,2-b]pyrrolo[4,3,2-de]isoquinoline skeleton. Despite the modest yields of the reactions, they represent quick cascade routes to a variety of heterocycles from cheap starting materials, with these structures otherwise being difficult to synthesise in a traditional stepwise manner. These outcomes also contribute significantly to the detailed understanding of the indigo/indirubin cascade reaction pathways initiated by base-catalysed N-alkylation.

6.
Spectrochim Acta A Mol Biomol Spectrosc ; 325: 125073, 2024 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-39260241

RESUMO

Indigo carmine (IN-CR) is a synthetic blue dye widely used as a coloring agent in various food and beverage products. It is recognized for its ability to enhance the visual appeal, hue, and consistency of food products. However, recent studies have raised concerns about the potential health risks associated with this substance. Therefore, a highly sensitive analytical tool is required for the trace determination of IN-CR in food products. This study describes the spectral characteristics of micellar-enhanced fluorescence of europium (III)-doxycycline complex and its employment as a sensor for the development of a highly sensitive fluorimetric assay for the trace determination of IN-CR. The complex was formed in an alkaline medium containing hydrogen peroxide and encapsulated into cetyltrimethylammonium bromide micelles. This micellar-encapsulated complex exhibited significantly enhanced fluorescence at a wavelength of 613.5 nm, overlapping with the maximum absorption peak of IN-CR at 610 nm. This inner-filter effect phenomenon resulted in IN-CR's concentration-dependent quenching of the complex's fluorescence. The fluorescence quenching of the complex by inner-filter effect of IN-CR was adopted in the development of a highly sensitive fluorimetric assay for IN-CR. The conditions of the assay were refined, and the optimum procedures were established. The assay was validated for its performance characteristics, and all the validation criteria were met. The assay displayed linearity within the IN-CR concentration range of 100-1250 ng mL-1, with a limit of detection at 41.2 ng mL-1. Importantly, the assay exhibited no interference from other substances commonly used as food additives. The recoveries ranged from 99.11 % to 101.57 %, with relative standard deviations ranging from 1.34 % to 1.89 %.The assay was successfully applied to the determination of IN-CR in commercial syrup products, and the recoveries ranged from 93.5 % to 106.32 % with relative standard deviations ≤4.72 %, confirming the reliability of the assay. The proposed assay provides some key advantages, including a novel application of the europium (III)-doxycycline complex as a fluorescence sensor for the determination of IN-CR in real syrups innovative, high sensitivity and selectivity, simplicity of analysis procedures, time-saving of entire analysis protocol. In conclusion, the assay serves as a valuable tool for quantifying IN-CR in food products, facilitating the assessment of both food quality and safety.

7.
Artigo em Inglês | MEDLINE | ID: mdl-39302605

RESUMO

PURPOSE OF REVIEW: The identification of isocitrate dehydrogenase (IDH) mutations has led to a transformation in our understanding of gliomas and has paved the way to a new era of targeted therapy. In this article, we review the classification of IDH-mutant glioma, standard of care treatment options, clinical evidence for mutant IDH (mIDH) inhibitors, and practical implications of the recent landmark INDIGO trial. RECENT FINDINGS: In the phase 3 randomized placebo-controlled INDIGO trial, mIDH1/2 inhibitor vorasidenib increased progression-free survival among non-enhancing grade 2 IDH-mutant gliomas following surgery. This marks the first positive randomized trial of targeted therapy in IDH-mutant glioma, and led to the US Food and Drug Administration's approval of vorasidenib in August 2024 for grade 2 IDH-mutant glioma. Vorasidenib is a well-tolerated treatment that can benefit a subset of patients with IDH-mutant glioma. Targeting mIDH also remains a promising strategy for select groups of patients excluded from the INDIGO trial. Ongoing and future studies, including with new agents and with combination therapy approaches, may expand the benefit and unlock the potential of mIDH inhibitors.

8.
Ann Med ; 56(1): 2329261, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-39316667

RESUMO

BACKGROUND: Indigo naturalis is effective against psoriasis. Indigo, indirubin and tryptanthrin, the main active components of indigo naturalis, have anti-inflammatory properties. OBJECTIVE: To evaluate the efficacy and safety of indigo naturalis and its active components in the treatment of psoriasis. METHODS: Seven databases were searched for studies of indigo naturalis and its active components for the treatment of psoriasis. RESULTS: The findings demonstrated a higher response rate in the Chinese herbal medicine (CHM) formula groups than in the control group for Psoriasis Area and Severity Index 60 (PASI60) (Rate difference [RD] = 0.22, p < .0001). Among all adverse events, only the incidence of gastrointestinal adverse reactions was higher in the CHM formula group than in the control group (RD = 0.09, p < .0001). In preclinical in vivo studies, indirubin showed better performance in improving the phenotype of psoriasis-like mice compared to that in controls, including the PASI score (mean difference [MD] = -3.58, p < .0001), epidermal thickness (MD = -29.13, p < .0001), interleukin-(IL) 17 A mRNA expression (MD = -2.27, p = .0066) and IL-23 mRNA (MD = -5.36, p = .01). CONCLUSION: Indigo naturalis combined with conventional treatments is useful for treating psoriasis. Indigo naturalis display anti-proliferative, anti-inflammatory and anti-angiogenic effects by regulating the TAK1, JAK3/STAT3, Wnt/ß-catenin, Akt/PKB, FAK and AP-1/c-Jun pathway.


Indigo naturalis, a Chinese herb and its main active components, indigo, indirubin and tryptanthrin are effective in treating psoriasis.Indigo naturalis, indirubin, indigo and tryptanthrin have anti-proliferative, anti-inflammatory and anti-angiogenic effects via regulating the TAK1, JAK3/STAT3, Wnt/ß-catenin, Akt/PKB, FAK and AP-1/c-Jun pathways.


Assuntos
Medicamentos de Ervas Chinesas , Indóis , Psoríase , Psoríase/tratamento farmacológico , Humanos , Animais , Medicamentos de Ervas Chinesas/farmacologia , Medicamentos de Ervas Chinesas/uso terapêutico , Indóis/farmacologia , Indóis/uso terapêutico , Camundongos , Anti-Inflamatórios/farmacologia , Anti-Inflamatórios/uso terapêutico , Índigo Carmim , Indigofera/química , Quinazolinas
9.
Heliyon ; 10(17): e36733, 2024 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-39281597

RESUMO

The soaking and fermentation of the stems and leaves is an important intermediate step in the processing of Indigo Naturalis. However, the relationship between microbiota and Indigo Naturalis yields is still poorly understood. This study aimed to compare microbial communities and metabolite profiles at various stages of soaking fermentation, followed by validation of the results using HPLC. A total of 731 compounds were identified through metabolite analysis, with the levels of indigo and indirubin peaking after 36 h of fermentation. Metagenomes revealed Firmicutes, Proteobacteria, Bacteroidetes and Actinobacteria were identified as the most abundant microbial phyla in soaking fermentation. Correlation analysis indicated that the yields of indigo and indirubin may be affected by Lactococcus, Clostridium, and Enterobacter through the regulation of related synthetic enzymes. The findings offered novel perspectives on the relationship of microorganisms and Indigo Naturalis yields.

10.
Foods ; 13(16)2024 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-39200534

RESUMO

In this study, indigo carmine (IC)-calcium carbonate lakes with different crystalline forms of calcium carbonate were prepared through co-precipitation methods, and the properties of these lakes and their formation mechanisms were investigated. The results showed that amorphous calcium carbonate (ACC) exhibited the smallest particle size and the largest specific surface area, resulting in the highest adsorption efficiency. Vaterite, calcite, and aragonite followed after ACC in decreasing order of adsorption efficiency. Kinetic analysis and isothermal analysis revealed the occurrence of chemisorption and multilayer adsorption during formation of the lakes. The FTIR and Raman spectra suggested participation of sulfonic acid groups in chemisorption. Appearance of IC significantly altered TGA curves by changing weight loss rate before decomposition of calcium carbonate. EDS analysis revealed the adsorption of IC predominantly happened on the surface of calcium carbonate particles rather than the interior.

11.
Phytochemistry ; 229: 114268, 2024 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-39216631

RESUMO

Indigo and indirubin are derived from indoxyl molecules, which generally occur as indoxyl glycosides in woad (Isatis tinctoria L.) and other indigo-producing plants. Indoxyl glycosides are biosynthesized from indole via 3-hydroxylation to form indoxyl, followed by one or more glycosylations. Enzymes that attach and remove sugars to and from indoxyl have already been isolated and characterized, while enzymes that convert indole into indoxyl in plants have remained elusive, until the identification of P450s and flavin-containing monooxygenases that hydroxylate indole. A P450 gene from woad (named CYP71B102) was heterologously expressed in E. coli, resulting in the formation of indigo and indirubin, as well as isatin and 2-oxindole, which along with indoxyl are putative precursors of indirubin. The addition of either isatin or 2-oxindole to the recombinant E. coli reduced the levels of indigo and increased the amount of indirubin, whereas coexpression of CYP71B102 with isatin hydroxylase (which degrades isatin) increased the levels of indigo and decreased the amount of indirubin, albeit slightly. The results suggest that CYP71B102 hydroxylates indole at both the 2- and 3- positions to produce 2-oxindole and indoxyl, respectively, and that the coupling of indoxyl with either 2-oxindole or isatin forms indirubin, while dimerization of indoxyl forms indigo. This P450 gene is thus likely involved in the biosynthesis of indirubin in woad, as well as the formation of indigo and its glycosidic precursors, even if other types of enzymes, such as flavin-containing monooxygenases, may be involved in indole hydroxylation in other indigo-producing plants.

12.
Heliyon ; 10(12): e32552, 2024 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-39183835

RESUMO

Development of nanofiber membranes with the ability to remove organic dye such as Indigo Carmine (IC) from effluent wastewater is of immense help to the textile industry. In the present study, we investigate the preparation of cellulose acetate (CA) nanofiber membranes with optimized performances using electrospinning technique for effective removal of Indigo Carmine (IC) dye. Electrospinning parameters and solvent system containing acetic acid were adjusted to obtain CA nanofibers membranes which better suits dye removal application. The obtained nanofiber membranes were characterized using Scanning Electron Microscopy (SEM), Fourier-Transform Infrared Spectroscopy (FT-IR) and contact angle analysis. Results show that nanofiber webs with optimized electrospinning parameters were continuously formed and are substantially free of defects such as beading, with an average diameter of 950 ± 50 nm. Hydrophobicity of membranes were successfully modified and showed important increase of contact angle values from 37° to 107°. The stirring time was varied to improve the solution homogeneity and consequently the response of membranes in filtration treatment. The CA membranes performance was evaluated through water flux and permeability measurement and tested on IC dye removal. The results showed a rate of dye removal around 83 % and a maximum adsorption capacity (Qm) of 13.09 mg/g for the optimized CA membranes.

13.
Arch Dermatol Res ; 316(8): 531, 2024 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-39154058

RESUMO

Despite recent advancements in psoriasis treatment, challenges in management persist. Recently, there has been a rising interest amongst patients in complementary and alternative medicines (CAM), driven by the desire for more natural, holistic approaches and dissatisfaction with conventional treatments. Up to 41% of patients with psoriasis reported using alternative therapies and 39.5% use complementary therapies (Murphy EC, Nussbaum D, Prussick R, Friedman AJ (2019) Use of complementary and alternative medicine by patients with psoriasis. J Am Acad Dermatol 81:280-283). Despite their rapidly growing prevalence, literature on CAM therapies for psoriasis is lacking, making their recommendation difficult. Since the last systematic review on this topic published in 2018, evidence for new alternative therapies has emerged, promoting a further investigation of their efficacy (Gamret AC, Price A, Fertig RM, Lev-Tov H, Nichols AJ (2018) Complementary and Alternative Medicine Therapies for Psoriasis: A Systematic Review. JAMA Dermatol 154:1330-1337). This systematic review aims to compile recent literature on the most studied alternative therapies for psoriasis and further discuss their effectiveness in order to counsel clinicians in guiding patients on the use of these non-standard approaches. A literature search was conducted in the PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Clinicaltrials.gov databases for randomized controlled trials (RCT) on complementary and alternative therapies in psoriasis from March 2018 through April 2024, resulting in 12 studies being included in this review. The preliminary results for many treatments such as curcumin, dietary modification and additions, indigo naturalis, meditation, acupuncture, and balneotherapy showed positive clinical effects. However, additional well-designed randomized trials are needed to confirm the potential beneficial effects and to establish safety of use.


Assuntos
Terapias Complementares , Psoríase , Humanos , Psoríase/terapia , Psoríase/imunologia , Terapias Complementares/métodos , Resultado do Tratamento , Ensaios Clínicos Controlados Aleatórios como Assunto , Terapia por Acupuntura/métodos
14.
J Integr Med ; 22(5): 614-620, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39183097

RESUMO

INTRODUCTION: There is currently no standard treatment for relapsed and arsenic trioxide (ATO)-resistant acute promyelocytic leukemia (APL). Here, we report a case series of realgar-indigo naturalis formula (RIF) for the successful treatment of patients with relapsed and ATO-resistant APL. CASE PRESENTATION: Two patients in the first relapse and one in the second relapse failed to achieve hematologic complete remission (HCR) when reinduced by ATO; the other five patients progressed to relapse during ATO-based regimens for post-remission therapy. These eight patients received RIF in three doses per day totaling 130 mg/kg (≤ 30 pills) as induction therapy and achieved HCR at a median time of 46.5 days. They received 5 years of post-remission therapy, which consisted of combined chemotherapy followed by RIF. During this period, the patients did not experience renal dysfunction or QT interval prolongation. At the last follow-up, three patients survived without relapse, two patients survived with a second or third relapse and third or fourth remission, and the other three patients relapsed for a third or fourth time and died. The 5-year overall survival and event-free survival rates were 75.0% (95% confidence interval [CI]: 31.5-93.1) and 37.5% (95% CI: 5.6-71.7), respectively. CONCLUSION: RIF for induction therapy and RIF combined with chemotherapy for post-remission therapy may represent an effective and safe protocol for the treatment of patients with relapsed and ATO-resistant APL. Please cite this article as: Fang YG, Huang SL, Chen NN. Realgar-indigo naturalis formula for the treatment of patients with relapsed and arsenic trioxide-resistant acute promyelocytic leukemia: a case series. J Integr Med. 2024; 22(5): 614-620.


Assuntos
Trióxido de Arsênio , Resistencia a Medicamentos Antineoplásicos , Medicamentos de Ervas Chinesas , Leucemia Promielocítica Aguda , Humanos , Leucemia Promielocítica Aguda/tratamento farmacológico , Trióxido de Arsênio/uso terapêutico , Trióxido de Arsênio/administração & dosagem , Masculino , Adulto , Pessoa de Meia-Idade , Feminino , Resistencia a Medicamentos Antineoplásicos/efeitos dos fármacos , Medicamentos de Ervas Chinesas/uso terapêutico , Medicamentos de Ervas Chinesas/administração & dosagem , Recidiva , Indução de Remissão , Antineoplásicos/uso terapêutico , Adulto Jovem
15.
Heliyon ; 10(14): e33656, 2024 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-39100470

RESUMO

This work designed and prepared an organic-inorganic nanocomposite using layered double hydroxide (LDH) inorganic substrate and trimesic acid (TMA) as chelating agent. Subsequently, the synthesized organic-inorganic nanocomposite was assessed using multiple identification methods, including FTIR, EDX, XRD, TGA, and FESEM, and the outcomes demonstrated that the intended structure was successfully prepared. Also, in order to investigate the efficiency of the Mg-Al LDH-TMA nanocomposite as an efficient nano adsorbent, it was used for removal of indigo carmine (IC) and methylene blue (MB) from aqueous solutions. This synthetic nanocomposite showed a high adsorption capacity. The efficiency of the produced nanocomposite in the adsorption of selected dyes was investigated with the help of batch adsorption studies performed in a variety of experimental settings, including dye concentration, adsorbent dose, pH, adsorption temperature and contact time. Furthermore, the produced Mg-Al LDH-TMA nanocomposite exhibits strong stability and can be recycled and reused five times in a row, which is well consistent with the principles of green chemistry.

16.
Blood Lymphat Cancer ; 14: 63-69, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39100972

RESUMO

Background: The aim of the study was to evaluate the efficacy and safety of induction and consolidation with all-trans retinoic acid (ATRA) +arsenic trioxide (ATO) +anthracyclines and maintenance with ATRA +Realgar-Indigo naturalis formula (RIF) for high-risk APL. Methods: Twenty-one patients with high-risk APL treated with ATRA+ATO+ anthracyclines for induction and consolidation and ATRA+RIF for maintenance from 2012 to 2021 were analyzed. Endpoints include morphological complete remission (CR) and complete molecular remission (CMR), early death (ED) and relapse, survival and adverse events (AEs). Results: After induction treatment, all 21 patients (100%) achieved morphological CR and 14 people (66.7%) achieved CMR. Five of the 21 patients did not undergo immunological minimal residual disease (MRD) examination after induction; however, 14 of the remaining 16 patients were MRD negative (87.5%). The median time to achieve CR and CMR was 26 days (range: 16-44) and 40 days (range: 22-75), respectively. The cumulative probability of achieving CR and CMR in 45 days was 100% and 76.2% (95% CI: 56.9-91.3%), respectively. All patients achieved CMR and MRD negativity after the three courses of consolidation treatment. The median follow-up was 66 months (25-142), with no central nervous system relapse and bone marrow morphological or molecular relapse until now, and all patients survived with 100% overall survival and 100% event-free survival. Grade 4 adverse events (AEs) were observed in 3 patients (14.3%) during the induction period including arrhythmia (n = 1), pulmonary infection (n = 1) and respiratory failure (n = 1); and the most frequent grade 3 AEs were pulmonary infection, accounting for 62.0% and 28.6%, respectively, during induction and consolidation treatment, followed by neutropenia, accounting for 42.9% and 38.1%, respectively. Conclusion: For newly diagnosed high-risk APL patients, induction and consolidation with ATRA+ATO+anthracyclines and maintenance with ATRA+RIF is a highly curative treatment approach.

17.
Heliyon ; 10(15): e35505, 2024 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-39165952

RESUMO

This study explores the adsorption of indigo carmine dye using bio-combusted cerium oxide nanoparticles (CeO2 NPs). CeO2 NPs were synthesized using a bio-combustion method, and then subjected to structural, morphological, and optical characterization for thorough investigation. Structural investigation was carried out using X-ray diffraction (XRD), which revealed a cubic structure with evaluated average crystallite size of 11.55 nm. Later, the same was verified by employing W-H plot (13.57 nm). UV-Vis spectroscopy revealed an effective band gap of 3 eV suited for photocatalytic applications. The metal-oxygen phonon band at 986.32 cm-1 and 871.96 cm-1 is confirmed using Infrared Spectroscopy (FTIR). The morphological analysis was done using Transmission and Scanning Electron Microscopy (TEM and SEM), which revealed well-dispersed, aggregated structure enclosing spherical nanoparticles with an average size of ∼14 nm. The early precursors were validated using EDAX analysis and SEM. Optical characteristics were investigated using photoluminescence (PL), which revealed a large charge transfer band between 360 nm and 435 nm. The dye removal efficiency of CeO2 NPs was evaluated against Indigo Carmine dye using UV light. The results showed that the significantly adsorption, with more than 70 % removed after 150 min. Kinetic experiments revealed that the depreciation occurred via a pseudo-first-order reaction process. Furthermore, the impacts of certain factors such as dye dosage, pH, reusability, and scavenger on adsorption rate were explored and shown to be effective values for the adsorption process. This study emphasizes the potential of CeO2 NPs as excellent photocatalysts for environmental remediation, especially in dye removal applications.

18.
Ann Hematol ; 2024 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-39167181

RESUMO

Liver injury during arsenic treatment for acute promyelocytic leukemia was previously reported in adults, but not comprehensively in children until now. This study aims to investigate liver injury in pediatric patients with APL, changes in liver function during treatment, and compare the effects of Arsenic trioxide (ATO) and Realgar-Indigo naturalis formula (RIF) on liver function. One hundred and eighty-six patients with 3076 patient tests were analyzed, who were enrolled in the Chinese Children's Leukemia Group (CCLG)-APL2016 Protocol database between November 2016 and November 2018 in 38 hospitals across China(ChiCTR-OIN-17011227). Twenty of 164 patients (12.2%) suffered from liver injury after treatment with arsenic. In addition, sixteen (80%) cases of liver injury occurred during the induction period of treatment. What's not disheartening was that 18 (90%) cases of liver injury were transient, occurring at a median time of 17 days after exposure to arsenic. More importantly, the risk of liver injury associated with RIF was not higher than that associated with ATO (RR = 0.854, 95% CI: 0.292-2.495). Otherwise, the ALP of 18 cases of liver injury was not higher than the ULN of ALP. Thus, the incidence of liver injury associated with arsenic in pediatric patients with APL was similar to that in adult patients and the risk of liver injury associated with RIF was not higher than that associated with ATO. Since ALP was not higher in pediatric APL patients with liver injury, further research is needed to explore whether ALP is an index of liver injury in children.

19.
World J Gastrointest Oncol ; 16(8): 3529-3538, 2024 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-39171159

RESUMO

BACKGROUND: Minute gastric cancers (MGCs) have a favorable prognosis, but they are too small to be detected by endoscopy, with a maximum diameter ≤ 5 mm. AIM: To explore endoscopic detection and diagnostic strategies for MGCs. METHODS: This was a real-world observational study. The endoscopic and clinicopathological parameters of 191 MGCs between January 2015 and December 2022 were retrospectively analyzed. Endoscopic discoverable opportunity and typical neoplastic features were emphatically reviewed. RESULTS: All MGCs in our study were of a single pathological type, 97.38% (186/191) of which were differentiated-type tumors. White light endoscopy (WLE) detected 84.29% (161/191) of MGCs, and the most common morphology of MGCs found by WLE was protruding. Narrow-band imaging (NBI) secondary observation detected 14.14% (27/191) of MGCs, and the most common morphology of MGCs found by NBI was flat. Another three MGCs were detected by indigo carmine third observation. If a well-demarcated border lesion exhibited a typical neoplastic color, such as yellowish-red or whitish under WLE and brownish under NBI, MGCs should be diagnosed. The proportion with high diagnostic confidence by magnifying endoscopy with NBI (ME-NBI) was significantly higher than the proportion with low diagnostic confidence and the only visible groups (94.19% > 56.92% > 32.50%, P < 0.001). CONCLUSION: WLE combined with NBI and indigo carmine are helpful for detection of MGCs. A clear demarcation line combined with a typical neoplastic color using nonmagnifying observation is sufficient for diagnosis of MGCs. ME-NBI improves the endoscopic diagnostic confidence of MGCs.

20.
Sheng Wu Gong Cheng Xue Bao ; 40(8): 2444-2456, 2024 Aug 25.
Artigo em Chinês | MEDLINE | ID: mdl-39174464

RESUMO

Indigo, as a water-soluble non-azo colorant, is widely used in textile, food, pharmaceutical and other industrial fields. Currently, indigo is primarily synthesized by chemical methods, which causes environmental pollution, potential safety hazards, and other issues. Therefore, there is an urgent need to find a safer and greener synthetic method. In this study, a dual-enzyme cascade pathway was constructed with the tryptophan synthase (tryptophanase, EcTnaA) from Escherichia coli and flavin-dependent monooxygenase (flavin-dependent monooxygenase, MaFMO) from Methylophaga aminisulfidivorans to synthesize indigo with L-tryptophan as substrate. A recombinant strain EM-IND01 was obtained. The beneficial mutant MaFMOD197E was obtained by protein engineering of the rate-limiting enzyme MaFMO. MaFMOD197E showed the specific activity and kcat/Km value 2.36 times and 1.34 times higher than that of the wild type, respectively. Furthermore, MaFMOD197E was introduced into the strain EM-IND01 to construct the strain EM-IND02. After the fermentation conditions were optimized, the strain achieved the indigo titer of (1 288.59±7.50) mg/L, the yield of 0.86 mg/mg L-tryptophan, and the productivity of 26.85 mg/(L·h) in a 5 L fermenter. Protein engineering was used to obtain mutants with increased MaFMO activity in this study, which laid a foundation for industrial production of indigo.


Assuntos
Escherichia coli , Índigo Carmim , Triptofano , Índigo Carmim/metabolismo , Triptofano/metabolismo , Triptofano/biossíntese , Escherichia coli/genética , Escherichia coli/metabolismo , Engenharia de Proteínas , Triptofanase/genética , Triptofanase/metabolismo , Triptofano Sintase/metabolismo , Triptofano Sintase/genética , Fermentação , Oxigenases/genética , Oxigenases/metabolismo
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