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1.
J Sep Sci ; 46(24): e2300473, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37933715

RESUMO

Angelica sinensis (Oliv.) Diels. has been used for women to enrich the blood, prevent and treat blood deficiency syndrome in Traditional Chinese Medicine for thousands of years. Wine-processed Angelica sinensis, soil-processed Angelica sinensis, oil-processed Angelica sinensis, and charred-processed Angelica sinensis are the most significant four processed products used in Chinese clinic. However, there have been few studies aimed at comparing their chemical differences. Ultra-high-performance liquid chromatography coupled with quadrupole-orbitrap mass spectrometry combining with nontargeted metabolomics was applied to investigate the diversity of processed products of Angelica sinensis. A total of 74 compounds with the variable importance in the projection value more than 1.5 and P less than 0.05 in ANOVA were highlighted as the compounds that contribute most to the discrimination of Angelica sinensis and four processed products. The results showed the metabolic changes between Angelica sinensis and its four processed products, there were 19 metabolites, 3 metabolites, 6 metabolites, and 45 metabolites were tentatively assigned in soil-processed Angelica sinensis, wine-processed Angelica sinensis, oil-processed Angelica sinensis, and charred-processed Angelica sinensis, respectively. These results suggested that the proposed metabolomics approach was useful for the quality evaluation and control of processed products of Angelica sinensis.


Assuntos
Angelica sinensis , Medicamentos de Ervas Chinesas , Humanos , Feminino , Medicamentos de Ervas Chinesas/análise , Angelica sinensis/química , Cromatografia Líquida de Alta Pressão , Cromatografia Gasosa-Espectrometria de Massas , Espectrometria de Massas , Metabolômica , Solo
2.
Molecules ; 28(18)2023 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-37764423

RESUMO

(1) Background: Solanum nigrum L. is a plant of the genus Solanum in the family Solanaceae and is commonly used to treat tumors. Solasonin (SS) is a steroidal alkaloid extracted from Solanum nigrum L. that has anti-colorectal cancer (CRC) activity. (2) Methods: Column chromatography, semi-preparative HPLC and cellular activity screening were used to isolate potential anti-CRC active compounds in Solanum nigrum L., and structure identification using 1H-NMR and 13C-NMR techniques. Expression levels of HDAC in CRC were mined in the UALCAN database. The in vitro effects of SS on SW620 cell line and its mechanism were examined via Western blot, EdU staining, flow cytometry and immunofluorescence. CRC xenograft model and IHC staining were mainly used to evaluate the role of SS in vivo. (3) Results: The results showed that SS was the most potent anti-CRC component in Solanum nigrum L., which induced apoptosis and cell cycle arrest in the SW620 cell line. HDAC was highly expressed in CRC. The treatment of SW620 cell line with SS resulted in a significant downregulation of HDAC, an increase in the level of P53 acetylation and a subsequent increase in the level of P21. The in vivo validation results showed that SS could effectively inhibit CRC growth, which was associated with the downregulation of HDAC. (4) Conclusions: SS treatment for CRC mainly works through the induction of apoptosis and cycle arrest, and its mechanism of action is mainly related to HDAC-induced P53 acetylation, and the HDAC/P53 signaling pathway may be a potential pathway for the treatment of CRC.


Assuntos
Neoplasias , Solanum nigrum , Solanum , Humanos , Acetilação , Proteína Supressora de Tumor p53/genética , Regulação para Baixo
3.
J Nanobiotechnology ; 21(1): 244, 2023 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-37507785

RESUMO

BACKGROUND: Neuroblastoma is one of the common extracranial tumors in children (infants to 2 years), accounting for 8 ~ 10% of all malignant tumors. Few special drugs have been used for clinical treatment currently. RESULTS: In this work, herbal extract ginsenosides were used to synthesize fluorescent ginsenosides carbon nanodots via a one-step hydrothermal method. At a low cocultured concentration (50 µg·mL- 1) of ginsenosides carbon nanodots, the inhibition rate and apoptosis rate of SH-SY5Y cells reached ~ 45.00% and ~ 59.66%. The in vivo experiments showed tumor volume and weight of mice in ginsenosides carbon nanodots group were ~ 49.81% and ~ 34.14% to mice in model group. Since ginsenosides were used as sole reactant, ginsenosides carbon nanodots showed low toxicity and good animal response. CONCLUSION: Low-cost ginsenosides carbon nanodots as a new type of nanomedicine with good curative effect and little toxicity show application prospects for clinical treatment of neuroblastoma. It is proposed a new design for nanomedicine based on bioactive carbon nanodots, which used natural bioactive molecules as sole source.


Assuntos
Ginsenosídeos , Neuroblastoma , Humanos , Animais , Camundongos , Ginsenosídeos/farmacologia , Ginsenosídeos/uso terapêutico , Carbono/farmacologia , Neuroblastoma/tratamento farmacológico , Apoptose
4.
Front Pharmacol ; 14: 1070738, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36814491

RESUMO

Nephropathy is a general term for kidney diseases, which refers to changes in the structure and function of the kidney caused by various factors, resulting in pathological damage to the kidney, abnormal blood or urine components, and other diseases. The main manifestations of kidney disease include hematuria, albuminuria, edema, hypertension, anemia, lower back pain, oliguria, and other symptoms. Early detection, diagnosis, and active treatment are required to prevent chronic renal failure. The concept of nephropathy encompasses a wide range of conditions, including acute renal injury, chronic kidney disease, nephritis, renal fibrosis, and diabetic nephropathy. Some of these kidney-related diseases are interrelated and may lead to serious complications without effective control. In serious cases, it can also develop into chronic renal dysfunction and eventually end-stage renal disease. As a result, it seriously affects the quality of life of patients and places a great economic burden on society and families. Ginsenoside is one of the main active components of ginseng, with anti-inflammatory, anti-tumor, antioxidant, and other pharmacological activities. A variety of monomers in ginsenosides can play protective roles in multiple organs. According to the difference of core structure, ginsenosides can be divided into protopanaxadiol-type (including Rb1, Rb3, Rg3, Rh2, Rd and CK, etc.), and protopanaxatriol (protopanaxatriol)- type (including Rg1, Rg2 and Rh1, etc.), and other types (including Rg5, Rh4, Rh3, Rk1, and Rk3, etc.). All of these ginsenosides showed significant renal function protection, which can reduce renal damage in renal injury, nephritis, renal fibrosis, and diabetic nephropathy models. This review summarizes reports on renal function protection and the mechanisms of action of these ginsenosides in various renal injury models.

5.
Anal Methods ; 14(41): 4095-4105, 2022 10 27.
Artigo em Inglês | MEDLINE | ID: mdl-36205110

RESUMO

Adsorption and separation of dyes are extremely important as they damage the water environment and human health. ZIF-8 has the benefits of large specific surface area, explicit structure and a good confinement effect on POM, which can better facilitate the synergetic effect of POM and ZIF-8. Therefore, ZIF-8 was chosen as the support material to wrap H3PW12O40. In the present work, magnetic ZIF-8@H3PW12O40 composites were prepared by a facile impregnation synthesis strategy and applied to the adsorption of cationic dyes with methylene blue (MB) as a representative. Compared with the other three prepared materials, Fe3O4@ZIF-8@H3PW12O40 exhibited the best adsorption performance. The adsorption process conformed to the pseudo-second-order model and the Langmuir model, and the adsorption reaction was spontaneous with the maximum adsorption capacity of up to 431.03 mg g-1 within 20 min. The electrostatic attraction has been testified to be the major driving force of the adsorption process, and the material can still hold 90% of the max adsorption capacity after 5 cycles, which serve as the foundation for its further applications in the field of adsorption.


Assuntos
Poluentes Químicos da Água , Purificação da Água , Humanos , Adsorção , Corantes/química , Poluentes Químicos da Água/análise , Cátions , Fenômenos Magnéticos
6.
Front Pharmacol ; 13: 1008222, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36172186

RESUMO

MicroRNAs are small non-coding RNAs that play important roles in gene regulation by influencing the translation and longevity of various target mRNAs and the expression of various target genes as well as by modifying histones and DNA methylation of promoter sites. Consequently, when dysregulated, microRNAs are involved in the development and progression of a variety of diseases, including cancer, by affecting cell growth, proliferation, differentiation, migration, and apoptosis. Preparations from the dried root and rhizome of Salvia miltiorrhiza Bge (Lamiaceae), also known as red sage or danshen, are widely used for treating cardiovascular diseases. Accumulating data suggest that certain bioactive constituents of this plant, particularly tanshinones, have broad antitumor effects by interfering with microRNAs and epigenetic enzymes. This paper reviews the evidence for the antineoplastic activities of S. miltiorrhiza constituents by causing or promoting cell cycle arrest, apoptosis, autophagy, epithelial-mesenchymal transition, angiogenesis, and epigenetic changes to provide an outlook on their future roles in the treatment of cancer, both alone and in combination with other modalities.

7.
Clin Transl Med ; 12(7): e891, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35858239

RESUMO

BACKGROUND: An impeccable female meiotic prophase is critical for producing a high-quality oocyte and, ultimately, a healthy newborn. SYCP3 is a key component of the synaptonemal complex regulating meiotic homologous recombination. However, what regulates SYCP3 stability is unknown. METHODS: Fertility assays, follicle counting, meiotic prophase stage (leptotene, zygotene, pachytene and diplotene) analysis and live imaging were employed to examine how FBXW24 knockout (KO) affect female fertility, follicle reserve, oocyte quality, meiotic prophase progression of female germ cells, and meiosis of oocytes. Western blot and immunostaining were used to examined the levels & signals (intensity, foci) of SYCP3 and multiple key DSB indicators & repair proteins (γH2AX, RPA2, p-CHK2, RAD51, MLH1, HORMAD1, TRIP13) after FBXW24 KO. Co-IP and immuno-EM were used to examined the interaction between FBXW24 and SYCP3; Mass spec was used to characterize the ubiquitination sites in SYCP3; In vivo & in vitro ubiquitination assays were utilized to determine the key sites in SYCP3 & FBXW24 for ubiquitination. RESULTS: Fbxw24-knockout (KO) female mice were infertile due to massive oocyte death upon meiosis entry. Fbxw24-KO oocytes were defective due to elevated DNA double-strand breaks (DSBs) and inseparable homologous chromosomes. Fbxw24-KO germ cells showed increased SYCP3 levels, delayed prophase progression, increased DSBs, and decreased crossover foci. Next, we found that FBXW24 directly binds and ubiquitinates SYCP3 to regulate its stability. In addition, several key residues important for SYCP3 ubiquitination and FBXW24 ubiquitinating activity were characterized. CONCLUSIONS: We proposed that FBXW24 regulates the timely degradation of SYCP3 to ensure normal crossover and DSB repair during pachytene. FBXW24-KO delayed SYCP3 degradation and DSB repair from pachytene until metaphase II (MII), ultimately causing failure in oocyte maturation, oocyte death, and infertility.


Assuntos
Proteínas de Ciclo Celular , Proteínas F-Box/metabolismo , Meiose , Animais , Proteínas de Ciclo Celular/genética , Proteínas de Ciclo Celular/metabolismo , Proteínas de Ligação a DNA/genética , Proteínas de Ligação a DNA/metabolismo , Feminino , Meiose/genética , Camundongos , Prófase , Complexo Sinaptonêmico/genética , Complexo Sinaptonêmico/metabolismo , Ubiquitinação/genética
8.
Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi ; 37(9): 808-814, 2021 Sep.
Artigo em Chinês | MEDLINE | ID: mdl-34533128

RESUMO

Objective To investigate the effect of lysine-specific demethylase 3A (KDM3A) on the invasion and migration of MDA-MB-231 breast cancer cells. Methods The mRNA and the protein expressions of KDM3A in MDA-MB-231 breast cancer cells and MCF-10A normal breast cells were detected by real-time quantitative PCR and Western blotting, respectively; the KDM3A level of MDA-MB-231 cells was knocked down by lentivirus infection of KDM3A short hairpin RNA (shKDM3A). The change of invasion and migration ability of MDA-MB-231 cells was detected by TranswellTM assay, and the change in the cell cycle was detected by flow cytometry. Results The expression of KDM3A in MDA-MB-231 breast cancer cells was significantly increased compared with that in MCF-10A epithelial cells; after KDM3A knockdown, the invasion and migration abilities of MDA-MB-231 cells were significantly decreased, and the cell cycle was arrested in the G0/G1 phase. Conclusion Knockdown of KDM3A inhibits the invasion and migration of MDA-MB-231 breast cancer cells and arrests the cell cycle in G0/G1 phase.


Assuntos
Neoplasias da Mama , Lisina , Neoplasias da Mama/genética , Ciclo Celular/genética , Linhagem Celular Tumoral , Movimento Celular/genética , Proliferação de Células/genética , Feminino , Fase G1/genética , Regulação Neoplásica da Expressão Gênica , Humanos , Histona Desmetilases com o Domínio Jumonji/genética , Invasividade Neoplásica/genética
9.
Cell Prolif ; 53(6): e12825, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32391621

RESUMO

OBJECTIVES: Little is known about the roles of integral membrane proteins beyond channels, carriers or receptors in meiotic oocytes. The transmembrane protein Fam70A was previously identified as a likely "female fertility factor" in Fox3a-knockout mouse ovaries where almost all follicles underwent synchronous activation and the mice became infertile very early. However, whether Fam70A functions in oocyte meiosis remains unknown. Therefore, the present study aimed to address this question. MATERIALS AND METHODS: Co-immunoprecipitation, immunogold labelling-electron microscopy, co-localization and yeast two-hybrid assays were used to verify the interaction. Antibody or small interfering RNA transfection was used to deplete the proteins. Immunofluorescence, immunohistochemistry and live tracker staining were used to examine the localization or characterize phenotypes. Western blot was used to examine the protein level. RESULTS: Fam70A was enriched in oocyte membranes important for normal meiosis. Fam70A depletion remarkably disrupted spindle assembly, chromosome congression and first polar body extrusion, which subsequently increased aneuploidy and abnormal fertilization. Moreover, Fam70A directly bound Wnt5a, the most abundant Wnt member within oocytes. Depletion of either Fam70A or Wnt5a remarkably increased adenomatous polyposis coli (APC), which stabilizes active ß-catenin and microtubules. Consequently, depletion of either Fam70A or Wnt5a remarkably increased p-ß-catenin (inactive form) and acetylated tubulin, while APC knockdown remarkably decreased these two. Furthermore, Fam70A depletion remarkably reduced Akt phosphorylation. CONCLUSIONS: Fam70A regulates meiosis and quality of mouse oocytes through both canonical and non-canonical Wnt5a signalling pathways.


Assuntos
Peptídeos e Proteínas de Sinalização Intracelular/metabolismo , Meiose , Proteínas de Membrana/metabolismo , Oócitos/metabolismo , Proteína Wnt-5a/metabolismo , Proteína da Polipose Adenomatosa do Colo/metabolismo , Animais , Camundongos , Microtúbulos/metabolismo , Células NIH 3T3 , Proteínas Proto-Oncogênicas c-akt/metabolismo , beta Catenina/metabolismo
10.
Cell Prolif ; 53(3): e12769, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32003502

RESUMO

OBJECTIVES: M-phase phosphoprotein 6 (MPP6) is important for 5.8S pre-rRNA maturation in somatic cells and was screened as a female fertility factor. However, whether MPP6 functions in oocyte meiosis and fertility is not yet known. We aimed to address this. MATERIALS AND METHODS: Mouse oocytes with surrounded nucleus (SN) or non-surrounded nucleus (NSN) were used for all experiments. Peptide nanoparticle-mediated antibody transfection was used to deplete MPP6. Immunofluorescence staining, immunohistochemistry and live tracker staining were used to examine MPP6 localization and characterize phenotypes after control or MPP6 depletion. High-fidelity PCR and fluorescence in situ hybridization (FISH) were used to examine the localization and level of 5.8S rRNAs. Western blot was used to examine the protein level. MPP6-EGFP mRNA microinjection was used to do the rescue. RESULTS: MPP6 was enriched within ovaries and oocytes. MPP6 depletion significantly impeded oocyte meiosis. MPP6 depletion increased 5.8S pre-rRNA. The mRNA levels of MPP6 and 5.8S rRNA decreased within ageing oocytes, and MPP6 mRNA injection partially increased 5.8S rRNA maturation and improved oocyte quality. CONCLUSIONS: MPP6 is required for 5.8S rRNA maturation, meiosis and quality control in mouse oocytes, and MPP6 level might be a marker for oocyte quality.


Assuntos
Proteínas de Ciclo Celular/metabolismo , Oócitos/citologia , RNA Ribossômico 5,8S/metabolismo , Proteínas de Ligação a RNA/metabolismo , Animais , Proteínas de Ciclo Celular/genética , Divisão Celular , Células Cultivadas , Senescência Celular , Feminino , Fertilidade , Fertilização in vitro , Masculino , Meiose , Camundongos , Camundongos Endogâmicos ICR , Oócitos/metabolismo , Oócitos/ultraestrutura , Proteínas de Ligação a RNA/genética
11.
Aging Cell ; 18(6): e13024, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31389140

RESUMO

Prolonging the ovarian lifespan is attractive and challenging. An optimal clinical strategy must be safe, long-acting, simple, and economical. Allotransplantation of brown adipose tissue (BAT), which is most abundant and robust in infants, has been utilized to treat various mouse models of human disease. Could we use BAT to prolong the ovarian lifespan of aging mice? Could we try BAT xenotransplantation to alleviate the clinical need for allogeneic BAT due to the lack of voluntary infant donors? In the current study, we found that a single rat-to-mouse (RTM) BAT xenotransplantation did not cause systemic immune rejection but did significantly increase the fertility of mice and was effective for more than 5 months (equivalent to 10 years in humans). Next, we did a series of analysis including follicle counting; AMH level; estrous cycle; mTOR activity; GDF9, BMP15, LHR, Sirt1, and Cyp19a level; ROS and annexin V level; IL6 and adiponectin level; biochemical blood indices; body temperature; transcriptome; and DNA methylation studies. From these, we proposed that rat BAT xenotransplantation rescued multiple indices indicative of follicle and oocyte quality; rat BAT also improved the metabolism and general health of the aging mice; and transcriptional and epigenetic (DNA methylation) improvement in F0 mice could benefit F1 mice; and multiple KEGG pathways and GO classified biological processes the differentially expressed genes (DEGs) or differentially methylated regions (DMRs) involved were identical between F0 and F1. This study could be a helpful reference for clinical BAT xenotransplantation from close human relatives to the woman.


Assuntos
Tecido Adiposo Marrom/metabolismo , Senescência Celular , Longevidade , Folículo Ovariano/metabolismo , Ovário/metabolismo , Animais , Feminino , Masculino , Camundongos , Ratos , Ratos Sprague-Dawley , Transplante Heterólogo
12.
Aging (Albany NY) ; 11(4): 1110-1128, 2019 02 20.
Artigo em Inglês | MEDLINE | ID: mdl-30786262

RESUMO

Tight control of energy metabolism is essential for normal cell function and organism survival. PKM (pyruvate kinase, muscle) isoforms 1 and 2 originate from alternative splicing of PKM pre-mRNA. They are key enzymes in oxidative phosphorylation and aerobic glycolysis, respectively, and are essential for ATP generation. The PKM1:PKM2 expression ratio changes with development and differentiation, and may also vary under metabolic stress and other conditions. Until now, there have been no reports about the function and regulation of PKM isozymes in oocytes. Here, we demonstrate that PKM1 or PKM2 depletion significantly disrupts ATP levels and mitochondrial integrity, and exacerbates free-radical generation and apoptosis in mouse oocytes. We also show that KBTBD8, a female fertility factor in the KBTBD ubiquitin ligase family, selectively regulates PKM1 levels through a signaling cascade that includes Erk1/2 and Aurora A kinases as intermediates. Finally, using RNA sequencing and protein network analysis, we identify several regulatory proteins that may be govern generation of mature PKM1 mRNA. These results suggest KBTBD8 affects PKM1 levels in oocytes via a KBTBD8→Erk1/2→Aurora A axis, and may also affect other essential processes involved in maintaining oocyte quality.


Assuntos
Proteínas Adaptadoras de Transdução de Sinal/fisiologia , Aurora Quinase A/metabolismo , Proteínas de Transporte/metabolismo , Sistema de Sinalização das MAP Quinases/fisiologia , Proteínas de Membrana/metabolismo , Oócitos/fisiologia , Piruvato Quinase/metabolismo , Hormônios Tireóideos/metabolismo , Proteínas Adaptadoras de Transdução de Sinal/genética , Animais , Aurora Quinase A/genética , Proteínas de Transporte/genética , MAP Quinases Reguladas por Sinal Extracelular/genética , MAP Quinases Reguladas por Sinal Extracelular/metabolismo , Regulação da Expressão Gênica , Técnicas de Maturação in Vitro de Oócitos , Meiose , Proteínas de Membrana/genética , Camundongos , Hormônios Tireóideos/genética , Proteínas de Ligação a Hormônio da Tireoide
13.
J Healthc Eng ; 2019: 9414937, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31934325

RESUMO

Multicenter sharing is an effective method to increase the data size for glioma research, but the data inconsistency among different institutions hindered the efficiency. This paper proposes a histogram specification with automatic selection of reference frames for magnetic resonance images to alleviate this problem (HSASR). The selection of reference frames is automatically performed by an optimized grid search strategy with coarse and fine search. The search range is firstly narrowed by coarse search of intraglioma samples, and then the suitable reference frame in histogram is selected by fine search within the sample selected by coarse search. Validation experiments are conducted on two datasets GliomaHPPH2018 and BraTS2017 to perform glioma grading. The results demonstrate the high performance of the proposed method. On the mixed dataset, the average AUC, accuracy, sensitivity, and specificity are 0.9786, 94.13%, 94.64%, and 93.00%, respectively. It is about 15% higher on all indicators compared with those without HSASR and has a slight advantage over the result of a manually selected reference frame by radiologists. Results show that our methods can effectively alleviate multicenter data inconsistencies and lift the performance of the prediction model.


Assuntos
Neoplasias Encefálicas/diagnóstico por imagem , Glioma/diagnóstico por imagem , Interpretação de Imagem Assistida por Computador/métodos , Algoritmos , Encéfalo/diagnóstico por imagem , Bases de Dados Factuais , Humanos , Imageamento por Ressonância Magnética/métodos , Gradação de Tumores , Sensibilidade e Especificidade
14.
Pancreas ; 43(8): 1232-8, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25102439

RESUMO

OBJECTIVE: To clarify and to understand the potential for misinterpretation of change in fecal fat quantitation during pancreatic enzyme replacement therapy (PERT) trials for treatment of exocrine pancreatic insufficiency. METHODS: Analysis of clinical trials submitted to the U.S. Food and Drug Administration (FDA) for approval of PERT that enrolled 123 cystic fibrosis adult and pediatric patients treated with Creon, Pertzye, Ultresa, and Zenpep. RESULTS CONCLUSIONS: The CFA% defines lipase activity as a percentage of converting substrate of "Total Daily Dietary Fat Intake." PERT trials performed to date have modified the definition to converting the "Shared Daily Fat Intake," generating "Partial CFA" for the exogenous lipase: the higher the activity of coexisting endogenous lipase, the lower the "Partial CFA" of exogenous measured. This review shows that "Partial CFA" is not CFA. Enrollment of patients with low HPLA during treatment may improve the interpretability of "Partial CFA" measured by PERT trials.


Assuntos
Gorduras na Dieta/farmacocinética , Terapia de Reposição de Enzimas , Insuficiência Pancreática Exócrina/tratamento farmacológico , Fezes/química , Absorção Intestinal/efeitos dos fármacos , Lipídeos/análise , Pancrelipase/uso terapêutico , Adolescente , Adulto , Criança , Pré-Escolar , Ensaios Clínicos como Assunto/estatística & dados numéricos , Fibrose Cística/complicações , Hipersensibilidade a Drogas/etiologia , Monitoramento de Medicamentos , Terapia de Reposição de Enzimas/efeitos adversos , Insuficiência Pancreática Exócrina/genética , Insuficiência Pancreática Exócrina/metabolismo , Gastroenteropatias/induzido quimicamente , Humanos , Pessoa de Meia-Idade , Pancrelipase/efeitos adversos
15.
J Pediatr Gastroenterol Nutr ; 54(1): 8-14, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21946832

RESUMO

The Food and Drug Administration has completed its review of 4 clinical trials evaluating the use of proton pump inhibitors (PPIs) in infants (ages 1 month to <12 months) for the treatment of gastroesophageal reflux disease (GERD). An Advisory Committee meeting was held in November 2010 to discuss the potential reasons why PPI use in these trials failed to show a benefit in infants with GERD, and directions for future study. The present review summarizes the findings from the clinical trials. Potential mechanisms for the failed clinical trials are discussed. The safety of long-term use is also discussed. As a result of our analysis and review, the authors agree with the Advisory Committee members that PPIs should not be administered to treat the symptoms of GERD in the otherwise healthy infant without the evidence of acid-induced disease.


Assuntos
Refluxo Gastroesofágico/tratamento farmacológico , Avaliação de Resultados em Cuidados de Saúde , Inibidores da Bomba de Prótons/uso terapêutico , Comitês Consultivos , Humanos , Lactente , Inibidores da Bomba de Prótons/efeitos adversos , Falha de Tratamento , Estados Unidos , United States Food and Drug Administration
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