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1.
J Colloid Interface Sci ; 677(Pt B): 617-625, 2025 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-39154453

RESUMO

Although the theoretical electrocatalytic activity of rhenium (Re) for the hydrogen evolution reaction is comparable to that of platinum, the experimental performance of reported rhenium-based electrocatalysts remains unsatisfactory. Herein, we report a highly efficient and stable electrocatalyst composed of rhenium and cobalt (Co) nanoalloy embedded in nitrogen-doped carbon film (Re3Co2@NCF). The Re3Co2@NCF electrocatalyst exhibited remarkable hydrogen evolution performance, with an overpotential as low as 30 ± 3 mV to reach a current density of 10 mA cm-2. In addition, the Re3Co2@NCF demonstrated exceptional stability over several days at a current density of 150 mA cm-2. Theoretical calculations revealed that alloying cobalt with rhenium altered the electronic structure of the metals, causing partial oxidation of the superficial metal atoms. This modification provided a balance for various intermediates' adsorption and desorption, thereby boosting the intrinsic activity of rhenium for hydrogen evolution reaction. This work improves the electrocatalytic performance of rhenium to its theoretical activity, suggesting a promising future for rhenium-based electrocatalysts.

2.
Dis Esophagus ; 2024 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-39387392

RESUMO

Radioactive esophageal stent, known for inhibiting tumor growth and delaying restenosis in malignant esophageal tumors, presents challenges due to potent radiation, leading to side effects. This study aims to support the clinical use of 188Re radioactive esophageal stent. The 188Re stent with 128 MBq initial activity was placed in a biomimetic esophageal membrane. Radiation absorption doses were measured by thermoluminescence and calculated using mathematical software. Under simulated positioning, the stent was implanted in the esophagus of an experimental pig, followed by the feeding of Kangfuxin solution and nursing care (KFX-RT). Non-implanted and implanted-only pigs served as normal (CR) and experimental (RT) controls. Blood samples collected on days 7 and 21 were analyzed for inflammatory factors (TGF-ß1, TNF-α, IL-6) using enzyme-linked immunosorbent assay. Esophageal tissue cells were assessed for deoxyribonucleic acid index (DI) and subdiploid content through flow cytometry. Absorbed doses at 0.5 mm and 5 mm reference points were 223.91 cGy and 20.55 cGy, respectively, with 92.64% absorbed within a 1 mm thickness. Radiation dose significantly decreased at 6.5 mm, with only 4.72% absorbed at depths ≥6.5 mm. On days 7 and 21, levels of inflammatory factors, DI and subdiploid content were significantly increased in the KFX-RT and RT groups compared to the CR group, while all levels in the KFX-RT group were significantly lower than in the RT group. The 188Re esophageal stent exhibits high radiation absorption in superficial tissues and low absorption in deeper tissues. Kangfuxin solution combined with nursing care alleviates radiation-induced inflammatory damage.

3.
Pharmaceutics ; 16(9)2024 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-39339249

RESUMO

Background/Objectives: Epidermal growth factor receptor (EGFR) plays a vital role in cell proliferation and survival, with its overexpression linked to various malignancies, including non-small cell lung cancer (NSCLC). Although EGFR tyrosine kinase inhibitors (TKIs) are a key therapeutic strategy, acquired resistance and relapse remain challenges. This study aimed to synthesize and evaluate novel rhenium-based complexes incorporating EGFR TKIs to enhance anticancer efficacy, particularly in radiosensitization. Methods: We synthesized a rhenium tricarbonyl complex (Complex 2) and its 99mTc analog (Complex 2') by incorporating triphenylphosphine instead of bromine as the monodentate ligand and PF6- as the counter-ion, resulting in a positively charged compound that forms cationic structures. Cytotoxicity and EGFR inhibition were evaluated in A431 cells overexpressing EGFR using MTT assays, Western blotting, and flow cytometry. Radiosensitization was tested through MTT and clonogenic assays. The 99mTc complex's radiochemical yield, stability, and lipophilicity were also assessed. Results: Complex 2 exhibited significant cytotoxicity with an IC50 of 2.6 µM and EGFR phosphorylation inhibition with an IC50 of 130.6 nM. Both complex 1 and 2 induced G0/G1 cell cycle arrest, with Complex 2 causing apoptosis. Radiosensitization was observed at doses above 2 Gy. Complex 2' demonstrated high stability and favorable lipophilicity (LogD7.4 3.2), showing 12% cellular uptake after 30 min. Conclusions: Complexes 2 and 2' show promise as dual-function anticancer agents, offering EGFR inhibition, apoptosis induction, and radiosensitization. Their potential as radiopharmaceuticals warrants further in-depth investigation in preclinical models.

4.
ACS Appl Mater Interfaces ; 16(40): 53864-53872, 2024 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-39327722

RESUMO

The strategic design of a heterostructure catalyst with a core-shell nanoarchitecture is imperative for enhancing the efficiency of the electrocatalytic hydrogen evolution reaction (HER). Herein, the core-shell catalyst comprising the rhenium disulfide nanosheets was vertically integrated onto a hollow nickel sulfide (NiS@ReS2) via coprecipitation and hydrothermal treatment. The morphology involves the sulfurization of a nickel-based Prussian blue analogue, effectively mitigating the aggregation of ReS2 nanosheets and maximizing the exposed active sites. By the synergistic effect of morphological design and heterostructure formation, the overpotential of NiS@ReS2 is 136 mV at 10 mA cm-2 in an alkaline electrolyte, and the rapid kinetics is confirmed by the small Tafel slope and low charge transfer resistance during the HER process. Moreover, the electrocatalytic durability of NiS@ReS2 is elucidated, and the boosted catalytic activity of NiS@ReS2 is confirmed by density functional theory. This study unveils a promising method for advancing ReS2-based electrocatalysts with potential implications for producing hydrogen.

5.
Chemphyschem ; : e202400432, 2024 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-39347606

RESUMO

We provide here a comprehensive investigation spectroscopic of the controlled hydration of Re2O7 using Raman, FTIR and XAS techniques in complement with ab initio modelling for confirming the spectral assignments. Hence, the Raman signature of Re2O7.2H2O was obtained, and the evolution kinetics was investigated to provide a detailed description of the hydration process.

6.
Appl Radiat Isot ; 213: 111486, 2024 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-39208474

RESUMO

Activation cross sections of alpha-particle-induced reactions on natural rhenium were measured. The stacked-foil activation technique and high-resolution gamma-ray spectrometry were used to derive the cross sections. The production cross sections of 190g, 189g, 188g, 187g, 186g, 185, 184Ir, 185Os, and 184g, 183gRe were determined up to 50 MeV. The cross sections of 185,184Ir were measured for the first time. The experimental results were compared with previous experimental data and theoretical calculations in the TENDL-2021 library.

7.
Molecules ; 29(16)2024 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-39202933

RESUMO

4-(2-furyl)-3-buten-2-one (FAc) is obtained by aldol condensation of furfural and acetone and has been used in hydrodeoxygenation reactions to obtain fuel products using noble metal catalysts. The hydrogenation of FAc in the aqueous phase using metallic- and Re oxide-supported catalysts on graphite was studied, within a temperature range of 200-240 °C, in a batch reactor over a 6 h reaction period. The catalysts were characterized using N2 adsorption-desorption, TPR-H2, TPD-NH3, XRD, and XPS analyses. Catalytic reactions revealed that metallic rhenium and rhenium oxide-supported catalysts are active for the hydrogenation and Piancatelli rearrangement of FAc. Notably, metallic rhenium exhibited a fourfold higher initial rate than rhenium oxide, which was attributed to the higher dispersion of Re in the Re/G catalyst over graphite. Re/G and ReOx/G catalysts tended to rearrange and hydrogenate FAc to 2-(2-oxopropyl)cyclopenta-1-one in water.

8.
Molecules ; 29(16)2024 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-39202944

RESUMO

The very limited number of structurally known thionitrosyl complexes of technetium was increased by the synthesis of [TcII(NS)Cl3(PPh3)2] (3) and [TcII(NS)Cl3(PPh3)(OPPh3)] (4) and their reaction products with hydrotris(pyrazolyl)borates, {HB(pzR)3}-. Similar reactions were conducted with [TcI(NO)Cl2(PPh3)2(CH3CN)] and related rhenium thionitrosyls. Remarkably, most such reactions result in a rapid cleavage of the boron-nitrogen bonds of the ligands and the formation of pyrazole complexes of the two group 7 metals. Only one compound with an intact {HB(pzR)3}- ligand could be isolated: the technetium(I) complex [TcI(NO)Cl(PPh3){HB(pz)3}] (2). Other products show the coordination of one or four neutral pyrazole ligand(s) in the coordination spheres of technetium generated by thermal decomposition of the pyrazolylborates [TcI(NO)Cl2(PPh3)2(pzH)] (1) and [TcI(NS)Cl(pzHMe2)4]+ (5). Reactions with the corresponding thionitrosylrhenium complex [ReII(NS)Cl3(PPh3)2] require higher temperatures and only compounds with one pyrazole ligand, [ReI(NS)Cl2(PPh3)(pzHR)] (6a-6c), were isolated. The products were studied spectroscopically and by X-ray diffraction.

9.
Adv Sci (Weinh) ; : e2405694, 2024 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-39135514

RESUMO

Sensors that can accurately assess oxygen (O2) concentrations in real time are crucial for a wide range of applications spanning personal health monitoring, environmental protection, and industrial process development. Here a high-performance chemiresistive sensor that allows for the rapid detection of O2 at room temperature under visible light illumination is described. Inspired by the operating principles of dye-sensitized solar cells, the chemiresistor is based on a single-walled carbon nanotube-titania hybrid (SWCNT-TiO2) bearing a molecular Re-based photosensitizer [(Pbpy)(CO)3ReBr] (Pbpy = 4,4'-[P(O)(OH)2]2-2,2'-bipyridine). The resulting SWCNT-TiO2-Re composite undergoes photoinduced charge transfer that is sensitive to ppb levels of O2, thereby yielding a rapid and reversible chemiresistive response. Owing to its unique mode of operation and robust components, the sensor shows a high degree of selectivity for O2 over a range of interferants, humidity tolerance, and multimonth benchtop stability. The approach presented herein demonstrates the translatability of concepts in light harvesting to the development of robust, rapid, and low-power sensing technologies.

10.
Adv Sci (Weinh) ; 11(35): e2403795, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38995228

RESUMO

The constrained effectiveness of photodynamic therapy (PDT) has impeded its widespread use in clinical practice. Urgent efforts are needed to address the shortcomings faced in photodynamic therapy, such as photosensitizer toxicity, short half-life, and limited action range of reactive oxygen species (ROS). In this study, a biodegradable copolymer nanoamplifier is reported that contains ruthenium complex (Ru-complex) as photosensitizer (PS) and rhenium complex (Re-complex) as carbon monoxide (CO)-release molecule (CORM). The well-designed nanoamplifier brings PS and CORM into close spatial proximity, significantly promotes the utilization of light-stimulated reactive oxygen species (ROS), and cascaded amplifying CO release, thus enabling an enhanced synergistic effect of PDT and gas therapy for cancer treatment. Moreover, owing to its intrinsic photodegradable nature, the nanoamplifier exhibits good tumor accumulation and penetration ability, and excellent biocompatibility in vivo. These findings suggest that the biodegradable cascaded nanoamplifiers pave the way for a synergistic and clinically viable integration of photodynamic and gas therapy.


Assuntos
Monóxido de Carbono , Fotoquimioterapia , Fármacos Fotossensibilizantes , Espécies Reativas de Oxigênio , Rênio , Rutênio , Espécies Reativas de Oxigênio/metabolismo , Fotoquimioterapia/métodos , Camundongos , Animais , Fármacos Fotossensibilizantes/farmacologia , Rutênio/química , Rênio/química , Humanos , Modelos Animais de Doenças , Neoplasias/tratamento farmacológico , Neoplasias/metabolismo , Linhagem Celular Tumoral
11.
Water Res ; 262: 122089, 2024 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-39018586

RESUMO

Microbes possessing electron transfer capabilities hold great promise for remediating subsurface contaminated by redox-active radionuclides such as technetium-99 (99TcO4-) through bio-transformation of soluble contaminants into their sparingly soluble forms. However, the practical application of this concept has been impeded due to the low electron transfer efficiency and long-term product stability under various biogeochemical conditions. Herein, we proposed and tested a pyrite-stimulated bio-immobilization strategy for immobilizing ReO4- (a nonradioactive analogue of 99TcO4-) using sulfate-reducing bacteria (SRB), with a focus on pure-cultured Desulfovibrio vulgaris. Pyrite acted as an effective stimulant for the bio-transformation of ReO4-, boosting the removal rate of ReO4- (50 mg/L) in a solution from 2.8 % (without pyrite) to 100 %. Moreover, the immobilized products showed almost no signs of remobilization during 168 days of monitoring. Dual lines of evidence were presented to elucidate the underlying mechanisms for the pyrite-enhanced bio-activity. Transcriptomic analysis revealed a global upregulation of genes associated with electron conductive cytochromes c network, extracellular tryptophan, and intracellular electron transfer units, leading to enhanced ReO4- bio-reduction. Spectroscopic analysis confirmed the long-term stability of the bio-immobilized products, wherein ReO4- is reduced to stable Re(IV) oxides and Re(IV) sulfides. This work provides a novel green strategy for remediation of radionuclides- or heavy metals-contaminated sites.


Assuntos
Sulfetos , Sulfetos/química , Rênio/química , Oxirredução , Ferro/química , Biodegradação Ambiental , Desulfovibrio vulgaris
12.
J Nucl Med ; 65(9): 1450-1455, 2024 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-39025650

RESUMO

Nonmelanoma skin cancer and its treatment represent a significant global cancer burden for health care systems and patients. Rhenium skin cancer therapy (Rhenium SCT) is a novel noninvasive radionuclide nonmelanoma skin cancer treatment, which can be provided in a single outpatient session. The aim of this prospective, multicenter, single-arm, international, phase IV study (EPIC-Skin) is to assess clinic- and patient-reported outcomes of Rhenium SCT as a treatment for basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). Methods: Eligible patients had biopsy-proven stage I or stage II BCC or SCC lesions no more than 3 mm deep and no larger than 8 cm2 in area. Rhenium SCT resin was applied to an adhesive foil affixed to the target lesion in a single session. Interim efficacy and safety analysis were planned once 50% of target patients had recorded a 6-mo follow-up visit. Primary outcome is the proportion of lesions achieving complete response using modified RECIST. Secondary and other outcome measures include patient-reported quality of life (QoL), treatment comfort, and cosmesis. Results: A total of 182 patients was enrolled and administered Rhenium SCT (50 Gy dose to deepest point of target) to at least 1 BCC or SCC. Of 81 patients who reached the 6-mo posttreatment follow-up, it was found that 97.2% (103/106) of lesions showed complete responses and 2.8% (3/106) had partial responses. Improvements in QoL were also reported, whereas no patients reported any pain or discomfort during treatment. Adverse events were reported in 15.9% (29/182) of patients and were rated grade 1 (n = 19), grade 2 (n = 9), or grade 3 (n = 1). Conclusion: This preliminary analysis of the EPIC-Skin study indicates that Rhenium SCT is safe and effective for the treatment of BCC and SCC and is associated with significant QoL improvements. It will be particularly beneficial for lesions that are difficult to treat surgically because of size and location. It is also beneficial for patients with comorbidities or those unable to receive conventional fractionated radiotherapy.


Assuntos
Carcinoma de Células Escamosas , Rênio , Neoplasias Cutâneas , Humanos , Neoplasias Cutâneas/radioterapia , Masculino , Feminino , Idoso , Pessoa de Meia-Idade , Rênio/uso terapêutico , Resultado do Tratamento , Carcinoma de Células Escamosas/radioterapia , Carcinoma Basocelular/radioterapia , Idoso de 80 Anos ou mais , Adulto , Estudos Prospectivos , Qualidade de Vida
13.
Acta Crystallogr E Crystallogr Commun ; 80(Pt 7): 742-745, 2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-38974165

RESUMO

The title compound, [Re(C17H22N3O2S)(CO)3] is a net neutral fac-Re(I)(CO)3 complex of the 4-methyl-biphenyl sulfonamide derivatized di-ethyl-enetri-amine ligand. The NNN-donor monoanionic ligand coordinates with the Re core in tridentate fashion, establishing an inner coordination sphere resulting in a net neutral complex. The complex possesses pseudo-octa-hedral geometry where one face of the octa-hedron is occupied by three carbonyl ligands and the other faces are occupied by one sp 2 nitro-gen atom of the sulfonamide group and two sp 3 nitro-gen atoms of the dien backbone. The Re-Nsp 2 bond distance, 2.173 (4) Å, is shorter than the Re-Nsp 3 bond distances, 2.217 (5) and 2.228 (6) Å, and is similar to the range reported for typical Re-Nsp 2 bond lengths (2.14 to 2.18 Å).

14.
Chemistry ; 30(49): e202401233, 2024 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-38825747

RESUMO

The reaction of Re(CO)5Br with deprotonated 1H-(5-(2,2':6',2''-terpyridine)pyrid-2-yl)tetrazole yields a triangular assembly formed by tricarbonyl Re(I) vertices. Photophysical measurements reveal blue-green emission with a maximum at 520 nm, 32 % quantum yield, and 2430 ns long-lived excited state decay lifetime in deaerated dichloromethane solution. Coordination of lanthanoid ions to the terpyridine units red-shifts the emission to 570 nm and also reveals efficient (90 %) and fast sensitisation of both Eu(III) and Yb(III) at room temperature, with a similar rate constant kET on the order of 107 s-1. Efficient sensitisation of Eu(III) from Re(I) is unprecedented, especially when considering the close proximity in energy between the donor and acceptor excited states. On the other hand, comparative measurements at 77 K reveal that energy transfer to Yb(III) is two orders of magnitude slower than that to Eu(III). A two-step mechanism of sensitisation is therefore proposed, whereby the rate-determining step is a thermally activated energy transfer step between the Re(I) centre and the terpyridine functionality, followed by rapid energy transfer to the respective Ln(III) excited states. At 77 K, the direct Re(I) to Eu(III) energy transfer seems to proceed via a ligand-mediated superexchange Dexter-type mechanism.

15.
Materials (Basel) ; 17(11)2024 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-38893996

RESUMO

To investigate the influence of different rhenium contents on the helium desorption behavior in tungsten-rhenium alloys, pure tungsten and tungsten-rhenium alloys were irradiated with helium under the same conditions. All irradiated samples were characterized using TDS and DBS techniques. The results indicate that the addition of rhenium can reduce the total helium desorption quantity in tungsten-rhenium alloys and slightly accelerate the reduction in the concentration of vacancy-type defects accompanying helium dissociation. The desorption activation energy of helium is approximately 2 eV at the low-temperature peak (~785 K) and about 4 eV at the high-temperature peak (~1475 K). An increase in rhenium content causes the desorption peak to shift towards higher temperatures (>1473 K), which is attributed to the formation of the stable complex structures between rhenium and vacancies. Besides, the migration of He-vacancy complexes towards traps and dynamic annealing processes both lead to the recovery of vacancy-type defects, resulting in a decrease in the positron annihilation S parameters.

16.
Materials (Basel) ; 17(11)2024 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-38894001

RESUMO

The depletion of valuable mineral reserves has rendered effluents generated from mining and industrial processing activities a promising resource for the production of precious elements. The synthesis and improvement of new adsorbents to extract valuable compounds from industrial wastes and pregnant leach solutions, besides increasing wealth, can play a significant role in reducing environmental concerns. In this work, a new and low-cost adsorbent for the selective extraction of rhenium (perrhenate ions, ReO4-) was synthesized by the free-radical polymerization (FRP) of a diallyl dimethylammonium chloride monomer (quaternary amine) in the presence of a crosslinker. Various methods were employed to characterize the polymeric adsorbent. The results revealed that the designed polymeric adsorbent had a high surface area and pores with nano-metric dimensions and a pore volume of 6.4 × 10-3 cm3/g. Four environments-single, binary, multicomponent, and real solutions-were applied to evaluate the adsorbent's performance in the selective separation of Re. Additionally, these environments were used to understand the behavior of molybdenum ions, the primary competitors of perrhenate ions in the ion exchange process. In competitive conditions, using variations in qe,mix/qe, an antagonism phenomenon (qe,mix/qe < 1) occurred due to the inhibitory effect of surface-adsorbed molybdenum ions on the binding of the perrhenate ions. However, across all conditions, the separation values for Re were higher than those for the other studied elements (Mo, Cu, Fe).

17.
ACS Appl Bio Mater ; 7(5): 3337-3345, 2024 05 20.
Artigo em Inglês | MEDLINE | ID: mdl-38700956

RESUMO

A stimuli-responsive drug delivery nanocarrier with a core-shell structure combining photothermal therapy and chemotherapy for killing cancer cells was constructed in this study. The multifunctional nanocarrier ReS2@mSiO2-RhB entails an ReS2 hierarchical nanosphere coated with a fluorescent mesoporous silica shell. The three-dimensional hierarchical ReS2 nanostructure is capable of effectively absorbing near-infrared (NIR) light and converting it into heat. These ReS2 nanospheres were generated by a hydrothermal synthesis process leading to the self-assembly of few-layered ReS2 nanosheets. The mesoporous silica shell was further coated on the surface of the ReS2 nanospheres through a surfactant-templating sol-gel approach to provide accessible mesopores for drug uploading. A fluorescent dye (Rhodamine B) was covalently attached to silica precursors and incorporated during synthesis in the mesoporous silica walls toward conferring imaging capability to the nanocarrier. Doxorubicin (DOX), a known cancer drug, was used in a proof-of-concept study to assess the material's ability to function as a drug delivery carrier. While the silica pores are not capped, the drug molecule loading and release take advantage of the pH-governed electrostatic interactions between the drug and silica wall. The ReS2@mSiO2-RhB enabled a drug loading content as high as 19.83 mg/g doxorubicin. The ReS2@mSiO2-RhB-DOX nanocarrier's cumulative drug release rate at pH values that simulate physiological conditions showed significant pH responsiveness, reaching 59.8% at pH 6.8 and 98.5% and pH 5.5. The in vitro testing using HeLa cervical cancer cells proved that ReS2@mSiO2-RhB-DOX has a strong cancer eradication ability upon irradiation with an NIR laser owing to the combined drug delivery and photothermal effect. The results highlight the potential of ReS2@mSiO2-RhB nanoparticles for combined cancer therapy in the future.


Assuntos
Doxorrubicina , Liberação Controlada de Fármacos , Ensaios de Seleção de Medicamentos Antitumorais , Teste de Materiais , Nanopartículas , Tamanho da Partícula , Terapia Fototérmica , Rênio , Dióxido de Silício , Dióxido de Silício/química , Humanos , Doxorrubicina/farmacologia , Doxorrubicina/química , Concentração de Íons de Hidrogênio , Nanopartículas/química , Rênio/química , Rênio/farmacologia , Dissulfetos/química , Porosidade , Materiais Biocompatíveis/química , Materiais Biocompatíveis/farmacologia , Materiais Biocompatíveis/síntese química , Sobrevivência Celular/efeitos dos fármacos , Antineoplásicos/química , Antineoplásicos/farmacologia , Portadores de Fármacos/química , Células HeLa
18.
J Nucl Med ; 65(7): 1095-1100, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38754957

RESUMO

Radiosynoviorthesis is approved in several European countries and the United States to treat refractory synovitis in many inflammatory joint diseases, such as rheumatoid arthritis, spondyloarthropathies, and other arthritic joint diseases. No radiopharmaceuticals for radiosynoviorthesis are currently approved in Canada. The aim of this Health Canada-approved trial was to demonstrate the safety and efficacy of radiosynoviorthesis. Methods: Between July 2012 and November 2017, we conducted a multicenter, prospective, interventional Canadian trial. Patients (n = 360) with synovitis refractory to standard treatments after failing 2 intraarticular glucocorticoid injections were included. They were followed up at 3, 6, and 12 mo. Outcome measures included adverse events (AEs) and clinical signs of synovitis (pain, swelling, and joint effusion) measured with the Health Assessment Questionnaire Disability Index, the Disease Activity Score, and the Visual Analog Scale. Results: In total, 392 joints were treated, including those reinjected after 6 mo (n = 34). Of these, 83.4% (327/392) were injected with [90Y]Y-citrate for the knees and 9.9% (39/392) with [186Re]Re-sulfide for medium-sized joints. Of the joints treated, 82.7% (324/392) were knees. Fifty-five AEs, most of them of mild grade, occurred and resolved without sequelae and were not life-threatening. The incidence of radiosynoviorthesis-related AEs was 9.4% (34/360). The proportion of patients showing an improvement in synovitis symptoms after radiosynoviorthesis was significant at 3 mo and was maintained up to 12 mo (P < 0.001). Conclusion: This study confirmed the safety of radiosynoviorthesis in the treatment of patients with synovitis refractory to standard treatments. There is evidence of sustained clinical efficacy at 12 mo, suggesting that radiosynoviorthesis is an effective treatment for improving synovitis symptoms.


Assuntos
Sinovite , Humanos , Sinovite/radioterapia , Masculino , Feminino , Estudos Prospectivos , Pessoa de Meia-Idade , Canadá , Resultado do Tratamento , Idoso , Adulto , Radioisótopos de Ítrio/uso terapêutico , Radioisótopos de Ítrio/efeitos adversos , Segurança , Injeções Intra-Articulares
19.
Healthcare (Basel) ; 12(9)2024 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-38727478

RESUMO

BACKGROUND: Non-melanoma skin cancers (NMSCs) are responsible for up to one-third of all human malignancies. Surgery is usually the treatment of choice, but patients often experience pain during the procedure. Topical rhenium-188 resin skin cancer treatment (RSCT) may be a valid therapeutic alternative. METHODS: In this monocentric pilot study, 19 patients suffering from NMSC were treated with RSCT. Most of these patients had also experienced surgery, either because they developed a new NMSC in aftercare, or they had suffered previously from NMSC. Three RSCT-treated patients, who had no exposure to surgery so far, were paired with three matched patients, who had received surgery. We sought to evaluate and compare the patients' experience with both treatments. A questionnaire assessed patients' perceptions regarding side effects, aesthetic outcomes, wound care, fear of complications, and personal treatment preferences. Patients evaluated the different parameters of their either RSCT- or surgery-treated lesions on a scale from 0-10. RESULTS: Patients were more afraid of complications before surgery than before RSCT (p = 0.04). Treatment with RSCT caused significantly less pain on treatment day (mean 0.56) than surgery (mean 2.32) (0 no pain, 10 maximum pain) (p = 0.02) and 14 days after the procedure (mean 0.89 versus mean 2.47) (p = 0.02). On day 14, RSCT-treated lesions were also significantly less itchy (mean 0.34) than after surgery (mean 1.50). Most patients were very satisfied with the aesthetic outcome after both RSCT (mean 8.42) and surgery (mean 8.31) (p = 0.89). In the case of a new NMSC, the majority of patients who experienced both treatments would rather be treated primarily with RSCT (44%) or would consider both options (31%); only 19% preferred surgery. CONCLUSION: Patients evaluated RSCT as less painful than surgery. The aesthetic outcomes of both treatments were comparable. For pain-sensitive patients, RSCT might be a preferable treatment option.

20.
Front Chem ; 12: 1259032, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38690011

RESUMO

In this study, we report the synthesis of a new cubic neodymium-rhenium metallic alloy NdRe2 through the utilization of high pressure and laser heating in a diamond anvil cell. NdRe2 crystallizes in the Fd3¯m space group with a lattice parameter equal to 7.486 (2) Å and Z = 8 at 24 (1) GPa and 2,200 (100) K. It was studied using high-pressure single-crystal X-ray diffraction. The compound crystallizes in the cubic MgCu2 structure type. Its successful synthesis further proves that high-pressure high-temperature conditions can be used to obtain alloys holding a Laves phase structure. Ab initio calculations were done to predict the mechanical properties of the material. We also discuss the usage of extreme conditions to synthesize and study materials present in the nuclear waste.

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