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1.
Clin Exp Immunol ; 202(1): 28-46, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32562256

RESUMO

Bronchial asthma is believed to be provoked by the interaction between airway inflammation and remodeling. Airway remodeling is a complex and poorly understood process, and controlling it appears key for halting the progression of asthma and other obstructive lung diseases. Plants synthesize a number of valuable compounds as constitutive products and as secondary metabolites, many of which have curative properties. The aim of this study was to evaluate the anti-remodeling properties of extracts from transformed and transgenic Leonurus sibiricus roots with transformed L. sibiricus roots extract with transcriptional factor AtPAP1 overexpression (AtPAP1). Two fibroblast cell lines, Wistar Institute-38 (WI-38) and human fetal lung fibroblast (HFL1), were incubated with extracts from transformed L. sibiricus roots (TR) and roots with transcriptional factor AtPAP1 over-expression (AtPAP1 TR). Additionally, remodeling conditions were induced in the cultures with rhinovirus 16 (HRV16). The expressions of metalloproteinase 9 (MMP)-9, tissue inhibitor of metalloproteinases 1 (TIMP-1), arginase I and transforming growth factor (TGF)-ß were determined by quantitative polymerase chain reaction (qPCR) and immunoblotting methods. AtPAP1 TR decreased arginase I and MMP-9 expression with no effect on TIMP-1 or TGF-ß mRNA expression. This extract also inhibited HRV16-induced expression of arginase I, MMP-9 and TGF-ß in both cell lines (P < 0·05) Our study shows for the first time to our knowledge, that transformed AtPAP1 TR extract from L. sibiricus root may affect the remodeling process. Its effect can be attributed an increased amount of phenolic acids such as: chlorogenic acid, caffeic acid or ferulic acid and demonstrates the value of biotechnology in medicinal research.


Assuntos
Remodelação das Vias Aéreas/efeitos dos fármacos , Antígenos de Diferenciação/biossíntese , Fibroblastos/metabolismo , Regulação da Expressão Gênica/efeitos dos fármacos , Leonurus/química , Extratos Vegetais/farmacologia , Raízes de Plantas/química , Linhagem Celular , Feminino , Humanos , Extratos Vegetais/química
2.
J Chem Phys ; 152(12): 124101, 2020 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-32241125

RESUMO

DFTB+ is a versatile community developed open source software package offering fast and efficient methods for carrying out atomistic quantum mechanical simulations. By implementing various methods approximating density functional theory (DFT), such as the density functional based tight binding (DFTB) and the extended tight binding method, it enables simulations of large systems and long timescales with reasonable accuracy while being considerably faster for typical simulations than the respective ab initio methods. Based on the DFTB framework, it additionally offers approximated versions of various DFT extensions including hybrid functionals, time dependent formalism for treating excited systems, electron transport using non-equilibrium Green's functions, and many more. DFTB+ can be used as a user-friendly standalone application in addition to being embedded into other software packages as a library or acting as a calculation-server accessed by socket communication. We give an overview of the recently developed capabilities of the DFTB+ code, demonstrating with a few use case examples, discuss the strengths and weaknesses of the various features, and also discuss on-going developments and possible future perspectives.

4.
J Environ Manage ; 198(Pt 1): 277-288, 2017 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-28477569

RESUMO

A key component of California's cap-and-trade program is the use of carbon offsets as compliance instruments for reducing statewide GHG emissions. Under this program, offsets are tradable credits representing real, verifiable, quantifiable, enforceable, permanent, and additional reductions or removals of GHG emissions. This paper focuses on the permanence and additionality standards for offset credits as defined and operationalized in California's Compliance Offset Protocol for U.S. Forest Projects. Drawing on a review of the protocol, interviews, current offset projects, and existing literature, we discuss how additionality and permanence standards relate to project participation and overall program effectiveness. Specifically, we provide an overview of offset credits as compliance instruments in California's cap-and-trade program, the timeline for a forest offset project, and the factors shaping participation in offset projects. We then discuss the implications of permanence and additionality at both the project and program levels. Largely consistent with previous work, we find that stringent standards for permanent and additional project activities can present barriers to participation, but also, that there may be a trade-off between project quality and quantity (i.e. levels of participation) when considering overall program effectiveness. We summarize what this implies for California's forest offset program and provide suggestions for improvements in light of potential program diffusion and policy learning.


Assuntos
Conservação dos Recursos Naturais , Agricultura Florestal , California , Carbono , Florestas
5.
J Mater Chem B ; 5(24): 4690-4696, 2017 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-32264311

RESUMO

Self-assembly of a tetrapeptide covalently attached to a thiophene-based monomer produced a gel with a fibrous, porous structure. Conditions were identified in which the thiophene end groups could undergo polymerization while retaining the 3D structure, resulting in the formation of nanofibrous gels with conductivities averaging 10-4 S cm-1.

6.
Biofabrication ; 7(1): 015011, 2015 Mar 02.
Artigo em Inglês | MEDLINE | ID: mdl-25727172

RESUMO

Albumin is rarely used for electrospinning because it does not form fibres in its native globular form. This paper presents a novel method for electrospinning human albumin from a solution containing pharmaceutical grade protein and 25% polyethylene oxide (PEO) used as the fibre-forming agent. After spontaneous cross-linking at body temperature, with no further chemicals added, the fibres become insoluble and the excess PEO can be washed out. Albumin deposited along the fibres retains its native characteristics, such as its non-adhesiveness to cells and its susceptibility for degradation by macrophages. To demonstrate this we evaluated the mechanical properties, biocompatibility and biodegradability of this novel product. After subcutaneous implantation in mice, albumin mats were completely resorbable within six days and elicited only a limited local inflammatory response. In vitro, the mats suppressed cell attachment and migration. As this product is inexpensive, produced from human pharmaceutical grade albumin without chemical modifications, retains its native protein properties and fulfils the specific requirements for anti-adhesive dressings, its clinical use can be expedited. We believe that it could specifically be used when treating paediatric patients with epidermolysis bullosa, in whom non-healing wounds occur after minor hand injuries which lead to rapid adhesions and devastating contractures.


Assuntos
Materiais Biocompatíveis/farmacologia , Teste de Materiais/métodos , Engenharia Tecidual , Albuminas/ultraestrutura , Animais , Dicroísmo Circular , Feminino , Fibroblastos/citologia , Fibroblastos/efeitos dos fármacos , Humanos , Leucócitos/efeitos dos fármacos , Camundongos Endogâmicos BALB C , Microscopia de Força Atômica , Projetos Piloto , Polietilenoglicóis/química , Implantação de Prótese , Solubilidade , Soluções
7.
Curr Med Chem ; 8(1): 51-64, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11172692

RESUMO

Multidrug resistance (MDR) in model systems is known to be conferred by two different integral proteins--the 170-kDa P-glycoprotein (P-gp) and the 190-kDa multidrug resistance-associated protein (MRP1)--that pump drugs out of MDR cells. The intracellular level of a drug, which influences the drug's cytotoxic effect, is a function of the amount of drug transported inside the cell (influx) and the amount of drug expelled from the cell (efflux). One possible pharmacological approach to overcoming drug resistance is the use of specific inhibitors that enhance the cytotoxicity of known antineoplastic agents. Many compounds have been proven to be very efficient in inhibiting P-gp activity, but only some of them can inhibit MRP1. However, the clinical results obtained so far by this approach have been rather disappointing. The other likely approach is based on the design and synthesis of new non-cross-resistant drugs whose physicochemical properties favor the uptake of such drug by resistant cells. Our recent studies have shown that whereas the P-gp- and MRP1-mediated efflux of different anthracycline-based drugs may not differ considerably, their kinetics of uptake do. Thus, the high uptake of drug by cells may lead to concentrations at the cellular target site high enough to achieve the needed cytotoxicity against MDR cells. Therefore, increased drug lipophilicity might be one factor in improving drug cytotoxicity in MDR cells. In vitro studies have shown that idarubicin, an analogue of daunorub cin, is more effective than daunorubicin and doxorubicin against MDR tumor cell lines and that this increased effectiveness is related in part to the increased lipophilicity of idarubicin. Other studies have also confirmed the strong impact of lipophilicity on the uptake and retention of anthracyclines in MDR cells.


Assuntos
Antineoplásicos/metabolismo , Antineoplásicos/farmacologia , Resistência a Múltiplos Medicamentos/genética , Resistencia a Medicamentos Antineoplásicos/genética , Neoplasias/tratamento farmacológico , Neoplasias/metabolismo , Animais , Antibióticos Antineoplásicos/metabolismo , Antibióticos Antineoplásicos/farmacologia , Transporte Biológico Ativo/efeitos dos fármacos , Transporte Biológico Ativo/genética , Humanos , Células Tumorais Cultivadas
8.
Obstet Gynecol ; 91(3): 396-400, 1998 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9491867

RESUMO

OBJECTIVE: To investigate the association between a low unconjugated estriol (uE3) in the second trimester and adverse pregnancy outcomes. METHODS: Three hundred nine women who underwent second-trimester maternal serum alpha-fetoprotein (AFP)-hCG-uE3 screening were divided into two groups: those with uE3 at most 0.75 multiples of the median (MoM) (n = 81) and those with uE3 exceeding 0.75 MoM (n = 228). Entry criteria included: hCG below 2 MoM, AFP below 2 MoM, age less than 35 years at delivery, complete prenatal records, and completed delivery. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated for a variety of adverse pregnancy outcomes. RESULTS: After adjusting for smoking and hCG, women with uE3 at or below 0.75 MoM were found to have significantly higher odds of developing fetal growth restriction, low amniotic fluid index (AFI), and small for gestational age (SGA) with ORs (and 95% CIs) of 6.73 (2.55, 17.74), 3.85 (1.53, 9.68), and 2.89 (1.27, 6.57), respectively, for each of the outcomes. CONCLUSION: Low uE3 in the second trimester appears to be associated with fetal growth restriction, low AFI, and SGA, and the risk seems to be independent of risk for adverse infant outcome associated with elevated AFP or hCG.


Assuntos
Estriol/sangue , Resultado da Gravidez , Adulto , Biomarcadores/sangue , Feminino , Retardo do Crescimento Fetal/etiologia , Humanos , Recém-Nascido Pequeno para a Idade Gestacional , Razão de Chances , Gravidez , Segundo Trimestre da Gravidez
9.
Brain Res ; 901(1-2): 184-94, 2001 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-11368966

RESUMO

The effect of different temperatures of ACSF (18-42 degrees C) on carbachol (CCH)-induced field potentials were examined in the present study. Two hundred and thirty one experiments were performed on hippocampal formation slices maintained in a gas-liquid interface chamber. All slices were perfused with 50 microM CCH. A recording electrode was positioned in the region of CA3c pyramidal cells. The experiments gave two main findings. First, in a presence of continuous cholinergic stimulation the temperature of the bathing medium per se determined the rate of synchronization of the field potentials and pattern of EEG activity recorded. Second, within the temperature range from 33 degrees to 37 degrees C a window effect of temperature on CCH-induced theta-like activity (TLA) was noted: in this temperature range all slices tested responded only with one pattern of EEG activity-TLA. The results are discussed in light of temperature effects on hippocampal neuronal networks.


Assuntos
Potenciais de Ação/fisiologia , Temperatura Corporal/fisiologia , Carbacol/farmacologia , Agonistas Colinérgicos/farmacologia , Hipocampo/fisiologia , Neurônios/fisiologia , Ritmo Teta/efeitos dos fármacos , Potenciais de Ação/efeitos dos fármacos , Animais , Epilepsia/induzido quimicamente , Epilepsia/fisiopatologia , Hipocampo/efeitos dos fármacos , Masculino , Neurônios/efeitos dos fármacos , Técnicas de Cultura de Órgãos , Ratos , Ratos Wistar
10.
Acta Biochim Pol ; 37(1): 163-7, 1990.
Artigo em Inglês | MEDLINE | ID: mdl-1965082

RESUMO

Polyphosphate glucokinase from Mycobacterium tuberculosis H37Ra was covalently bound to the glutaraldehyde-activated collagen coating silica gel, to the nylon, and to the CNBr-activated Sepharose. After immobilization kinetic properties of the enzyme were altered.


Assuntos
Enzimas Imobilizadas/metabolismo , Fosfotransferases/metabolismo , Cromatografia de Afinidade , Concentração de Íons de Hidrogênio , Cinética , Mycobacterium tuberculosis/enzimologia , Fosfotransferases/isolamento & purificação , Especificidade por Substrato
11.
Acta Neurobiol Exp (Wars) ; 60(1): 67-85, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10769932

RESUMO

The generation of EEG theta rhythm in the mammalian limbic cortex is a prime example of rhythmic activity that involves central mechanisms of oscillations and synchrony. This EEG pattern has been extensively studied since 1938, when Jüng and Kornmüller (1938) demonstrated the first theta recordings in the hippocampal formation of rabbits. In 1986 in collaboration with Drs. B.H. Bland, S.H. Roth and B.M. MacIver we demonstrated for the first time that bath perfusion of hippocampal slices with the cholinergic agonist, carbachol, resulted in theta-like oscillations. Since this initial demonstration of in vitro theta-like activity, we have carried out a number of experiments in an attempt to answer the basic question: what are the similarities between cholinergic-induced in vitro theta-like activity and theta rhythm which naturally occurs in the in vivo preparation. Thus far, our studies have provided strong evidence that theta-like activity recorded in vitro shares many of the physiological and pharmacological properties of theta rhythm observed in vivo. The question whether in vitro theta-like oscillations reflect features of epileptiform activity is also addressed in this review.


Assuntos
Córtex Entorrinal/fisiopatologia , Epilepsia/fisiopatologia , Sistema Límbico/fisiopatologia , Ritmo Teta , Animais , Fibras Colinérgicas/fisiologia , Córtex Entorrinal/citologia , Técnicas In Vitro , Sistema Límbico/citologia
12.
Am J Vet Res ; 36(9): 1327-9, 1975 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-1163870

RESUMO

Plasma pepsinogen and plasma corticosteroid concentrations were found to be unrelated to the presence or severity of gastric lesions in swine. Mean plasma pepsinogen and corticosteroid concentrations were significantly different between collection periods, with significantly higher values occurring during cold weather. Seemingly, plasma pepsinogen and corticosteroid values are neither indicative of susceptibility to, nor of the presence of, gastric erosions or ulcers in swine. However, plasma pepsinogen concentration may be a potential indicator of stress.


Assuntos
Corticosteroides/sangue , Pepsinogênios/sangue , Gastropatias/veterinária , Doenças dos Suínos/sangue , Animais , Gastropatias/sangue , Úlcera Gástrica/sangue , Úlcera Gástrica/veterinária , Suínos
13.
Am J Vet Res ; 36(1): 33-9, 1975 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-1090220

RESUMO

In pigs treated with various doses of prednisone, pathologic changes appeared in the glandular region of the stomach, mainly in the fundic area and rarely and less severely in the cardiac and pyloric mucosae. The characteristic lesion was hemorrhagic gastritis; this was associated with massive gastric hemorrhages in pigs given the larger doses of prednisone. Epithelial changes were found in the esophageal area, but there were no ulcers. In pigs with gastric fistulas, prednisone administered at dose levels of 10 mg/kg of body weight for 8 days produced a significant increase in the volume and the acidity of gastric secretion. Hexosamine output, but not concentration, increased significantly during the treatment period. Change in pepsin secretion was sit significant. Prednisone did not produce an immediate change in gastric secretion--there being a latent period lasting 1 to 2 days before marked changes were observed. After peak changes occurred (3rd or 4th day of treatment), acidity gradually decreased to pretreatment level toward the end of the treatment period. This indicates that although increased acidity may be involved in the development of lesions in the glandular region, other factors probably have a role also in the pathogenesis of steroid-induced stomach lesions in swine.


Assuntos
Suco Gástrico/metabolismo , Prednisona , Úlcera Gástrica/veterinária , Doenças dos Suínos/induzido quimicamente , Animais , Determinação da Acidez Gástrica , Hemorragia Gastrointestinal/induzido quimicamente , Hemorragia Gastrointestinal/patologia , Hemorragia Gastrointestinal/veterinária , Hexosaminas/metabolismo , Injeções Intramusculares , Pepsina A/metabolismo , Prednisona/administração & dosagem , Prednisona/farmacologia , Estômago/patologia , Úlcera Gástrica/induzido quimicamente , Úlcera Gástrica/patologia , Suínos , Doenças dos Suínos/patologia
14.
Ginekol Pol ; 63(7): 324-8, 1992.
Artigo em Polonês | MEDLINE | ID: mdl-1305136

RESUMO

The applicability of clinical examination was studied in women with symptoms of medium-advanced or advanced primary gestosis of subpopulation of T lymphocytes (CD3+, CD4+, CD8+) in the peripheral blood. Also studied was the usefulness of the proliferative activity of lymphocytes in in vitro cultures: spontaneous and mitogenic (PHA, ConA, PWM)--in the environment of fetal calf serum (FCS) and autologous sera: heat-inactivated and heat-non-inactivated. It has observed that the percentages of particular T Lymphocyte subpopulations and the proportion of CD4+ lymphocytes to CD8+ lymphocytes in the peripheral blood and the mitogenic activity of the heat-non in activated autologous serum in the test of lymphocyte spontaneous blastic transformation reveal a correlation with an enhancement of particular clinical symptoms of EPH gestosis and with the birth condition of newborns.


Assuntos
Pré-Eclâmpsia/imunologia , Subpopulações de Linfócitos T/imunologia , Adulto , Feminino , Humanos , Imunidade Celular , Gravidez
15.
Ginekol Pol ; 63(7): 329-36, 1992.
Artigo em Polonês | MEDLINE | ID: mdl-1305137

RESUMO

The spontaneous proliferative activity of lymphocytes and CD4+/CD8+ ratio has been estimated in normal and EPH gestosis-affected pregnancy; also the effects of autologous and allogenic sera on this lymphocyte activity was evaluated. Although in normal pregnancy there was a very low CD4+/CD8+ ratio, the spontaneous proliferative activity of lymphocytes and the effects of autologous sera exerted thereupon were the same in either healthy pregnant women or in non-pregnant controls, what indicates a normal cellular immunity in physiological pregnancy. In gestosis an increased proliferative activity of lymphocytes and very high CD4+/CD8+ ratio was observed, when referred to non-pregnant controls. The serum of normal pregnant women did not reveal any immunosuppressive features against the activity of both autologous lymphocytes and gestosis--affected pregnancy, whereas it clearly inhibited the lymphocyte proliferation in non-pregnant controls. A different model of the autologous sera effects on the lymphocyte activity in gestosis women--when compared with the other examined women--is an evidence for altered immuno-modulating parameters of the serum in question.


Assuntos
Ativação Linfocitária/imunologia , Linfócitos/imunologia , Pré-Eclâmpsia/imunologia , Gravidez/imunologia , Relação CD4-CD8 , Feminino , Humanos , Valores de Referência
16.
Ginekol Pol ; 63(9): 439-46, 1992 Sep.
Artigo em Polonês | MEDLINE | ID: mdl-1305596

RESUMO

The purpose of this study was to analyze the immunosuppressive properties of sera of normal pregnant women. Effects of pregnancy sera on the proliferation of mitogen (PHA, Con A, PWM)-induced lymphocytes were examined in healthy primiparas. The sera of normal pregnant women inhibited the proliferation of PHA- and Con A- induced both autologous and allogenic lymphocytes (obtained from nonpregnant and pre-eclamptic women), while remaining neutral towards the proliferation of PWM- induced lymphocytes in comparison with fetal calf serum. The basic immunomodulatory activity of the sera in pregnant women was contained in the heat-stable fraction.


Assuntos
Gravidez/imunologia , Adulto , Divisão Celular/efeitos dos fármacos , Concanavalina A/farmacologia , Feminino , Humanos , Tolerância Imunológica/imunologia , Ativação Linfocitária/imunologia , Linfócitos/efeitos dos fármacos , Mitógenos/farmacologia , Gravidez/sangue , Valores de Referência
17.
Ginekol Pol ; 63(9): 433-8, 1992 Sep.
Artigo em Polonês | MEDLINE | ID: mdl-1305595

RESUMO

T lymphocyte subpopulations (CD3+, CD4+, CD8+) and the lymphocyte proliferative responses to mitogens (PHA, Con A, PWM), in the environment of fetal calf serum (FCS) were examined in 16 normal primigravidas in the third trimester of pregnancy and in 15 healthy nonpregnant women. In normal pregnant women significantly lower absolute and percentage numbers of CD3+ and CD4+ T cells and almost twice reduced CD4+/CD8+ ratio were found, in comparison with nonpregnant subjects. Despite the shifts among particular T lymphocyte subsets in the peripheral blood, non disorders were found in the lymphocyte proliferative responses to mitogens in normal pregnancy.


Assuntos
Gravidez/imunologia , Subpopulações de Linfócitos T/imunologia , Adulto , Feminino , Humanos , Contagem de Leucócitos , Valores de Referência
18.
J Biomater Sci Polym Ed ; 25(8): 802-25, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24754323

RESUMO

The study was conducted to evaluate the cytocompatibility and hydrolytic degradability of the new poly(lactic acid)/polyethylene glycol-polyhedral oligomeric silsesquioxane (peg-POSS/PLLA) nanocomposite as potential material for cartilage regeneration. PLLA scaffolds containing 0 to 5% of peg-POSS were fabricated by electrospinning. Human mesenchymal stem cells (hMSC's) were cultured in vitro to evaluate the cytocompatibility of the new nanocomposite material. Hydrolytic degradation studies were also carried out to analyze the mass loss rate of the nanocomposites through time. The addition of the peg-POSS to the PLLA did not affect the processability of the nanocomposite by electrospinning. It was also observed that peg-POSS did not show any relevant change in fibers morphology, concluding that it was well dispersed. However, addition of peg-POSS caused noticeable decrease in mean fiber diameter, which made the specific surface area of the scaffold to rise. hMSC's were able to attach, to proliferate, and to differentiate into chondrocytes in a similar way onto the different types of electrospun peg-POSS/PLLA and pure PLLA scaffolds, showing that the peg-POSS as nano-additive does not exhibit any cytotoxicity. The hydrolytic degradation rate of the material was lower when peg-POSS was added, showing a higher durability of the nanocomposites through time. Results demonstrate that the addition of peg-POSS to the PLLA scaffolds does not affect its cytocompatibility to obtain hyaline cartilage from hMSC's.


Assuntos
Materiais Biocompatíveis/química , Condrogênese/efeitos dos fármacos , Eletricidade , Ácido Láctico/química , Nanocompostos/química , Compostos de Organossilício/química , Polímeros/química , Regeneração/efeitos dos fármacos , Materiais Biocompatíveis/farmacologia , Condrócitos/citologia , Condrócitos/efeitos dos fármacos , Humanos , Hidrólise , Células-Tronco Mesenquimais/citologia , Células-Tronco Mesenquimais/efeitos dos fármacos , Poliésteres , Alicerces Teciduais/química , Viscosidade
19.
Eur J Surg Oncol ; 38(6): 490-6, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22381671

RESUMO

BACKGROUND: Metastatic gastric cancer remains a significant problem as the majority of Western patients are diagnosed with disseminated disease and no routine therapeutic regimen is accepted in such cases. METHODS: A cohort of 3141 patients with gastric cancer operated between 1990 and 2005 was evaluated using a multicenter data set held by the Polish Gastric Cancer Study Group to determine potential risks and benefits of non-curative gastrectomy for metastatic disease. Additionally, parameters of Quality of Life (QoL) were evaluated prospectively in 140 patients undergoing gastrectomy using the QLQ-C30 questionnaire. RESULTS: Gastrectomy was carried out in 2258 patients. Distant organ metastases were diagnosed in 951 patients, 415 of which underwent non-curative gastrectomy. The overall mortality rates were significantly higher in patients undergoing non-resectional surgery (10%) than either curative (3%, P < 0.001) or non-curative (4%, P = 0.002) gastrectomy. The overall median survival in patients with metastatic disease was significantly higher for non-curative gastrectomy (10.6 months, 95% confidence interval (CI) 9.3-11.9) than for non-resective operations (4.4 months, 95% CI 4.0 to 4.8, P < 0.001). The hazard ratio of death in patients subject to non-resectional surgery compared to those treated by gastrectomy was 2.923 (95% CI 2.473 to 3.454, P < 0.001). A gradual impairment in QoL parameters was found over 12 months after non-curative resections but changes did not reach statistical significance and individual parameters were similar to gastrectomy without distant metastases. CONCLUSION: Non-curative gastrectomy for metastatic gastric cancer is associated with significantly better survival compared to non-resective surgery and does not impair quality of life.


Assuntos
Gastrectomia , Qualidade de Vida , Neoplasias Gástricas/patologia , Neoplasias Gástricas/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Constipação Intestinal/etiologia , Diarreia/etiologia , Feminino , Gastrectomia/efeitos adversos , Humanos , Masculino , Prontuários Médicos , Pessoa de Meia-Idade , Razão de Chances , Polônia , Modelos de Riscos Proporcionais , Estudos Prospectivos , Estudos Retrospectivos , Inquéritos e Questionários , Análise de Sobrevida , Fatores de Tempo , Resultado do Tratamento
20.
Neuroscience ; 194: 220-6, 2011 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-21839809

RESUMO

A goal of our studies is to develop a potential therapeutic for Parkinson's disease (PD) by a human glial cell line-derived neurotrophic factor (hGDNF) expression plasmid administered to the rat striatum as a compacted DNA nanoparticle (DNP) and which will generate long-term hGDNF expression at biologically active levels. In the present study, we used a DNA plasmid encoding for hGDNF and a polyubiquitin C (UbC) promoter that was previously shown to have activity in both neurons and glia, but primarily in glia. A two-fold improvement was observed at the highest plasmid dose when using hGDNF DNA incorporating sequences found in RNA splice variant 1 compared with splice variant 2; of note, the splice variant 2 sequence is used in most preclinical studies. This optimized expression cassette design includes flanking scaffold matrix attachment elements (S/MARs) as well as a CpG-depleted prokaryotic domain and, where possible, eukaryotic elements. Stable long-term GDNF activity at levels 300-400% higher than baseline was observed following a single intracerebral injection. In a previous study, DNP plasmids encoding for reporter genes had been successful in generating long-term reporter transgene activity in the striatum (>365 days) and in this study produced sustained GDNF activity at the longest assessed time point (6 months).


Assuntos
Química Encefálica/genética , Corpo Estriado/metabolismo , DNA/administração & dosagem , Terapia Genética/métodos , Fator Neurotrófico Derivado de Linhagem de Célula Glial/genética , Nanopartículas/administração & dosagem , Animais , Modelos Animais de Doenças , Sistemas de Liberação de Medicamentos/métodos , Regulação da Expressão Gênica/genética , Fator Neurotrófico Derivado de Linhagem de Célula Glial/administração & dosagem , Humanos , Masculino , Microinjeções/métodos , Nanopartículas/uso terapêutico , Transtornos Parkinsonianos/genética , Transtornos Parkinsonianos/metabolismo , Transtornos Parkinsonianos/terapia , Cultura Primária de Células , Ratos , Ratos Sprague-Dawley
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