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1.
Int J Med Sci ; 19(11): 1715-1723, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36237985

RESUMO

Objective: This study aimed to analyze the efficacy of autologous peripheral blood stem cell transplantation for high-risk neuroblastoma in China. Methods: The data of 90 high-risk neuroblastoma patients treated with the CCCG-NB 2015 regimen were reviewed. The baseline clinicopathological characteristics and prognosis were analyzed and compared. In addition, the prognoses of tandem autologous stem cell transplantation and single autologous stem cell transplantation groups were compared. Results: The results of survival analysis showed that autologous peripheral blood stem cell transplantation based on this pretreatment regimen significantly improved the prognosis of children in the high-risk group. The 3-year event-free survival (EFS) and overall survival (OS) rates for the transplantation group and the nontransplantation group were 65.5% vs. 41.3% (p=0.023) and 77.1% vs. 57.9% (p=0.03), respectively. There was no difference in the distribution of baseline clinical case characteristics between the single transplantation group and the tandem transplantation group (p>0.05), and there was no significant difference in EFS and OS between the two groups (p>0.05). Conclusion: Based on this pretreatment programme, autologous peripheral blood stem cell transplantation is safe and tolerable and significantly improves the prognosis of children in the high-risk group. The value of tandem autologous stem cell transplantation is worthy of further discussion, which should consider various aspects such as the transplantation medication regimen and the patient's state.


Assuntos
Transplante de Células-Tronco Hematopoéticas , Neuroblastoma , Transplante de Células-Tronco de Sangue Periférico , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Criança , Intervalo Livre de Doença , Humanos , Neuroblastoma/patologia , Prognóstico , Transplante Autólogo
2.
Biometals ; 27(1): 155-72, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24368745

RESUMO

Exploring novel chemotherapeutic agents is a great challenge in cancer medicine. To that end, 2-substituted benzimidazole copper(II) complex, [Cu(BMA)Cl2]·(CH3OH) (1) [BMA = N,N'-bis(benzimidazol-2-yl-methyl)amine], was synthesized and its cytotoxicity was characterized. The interaction between complex 1 and calf thymus DNA was detected by spectroscopy methods. The binding constant (K b = 1.24 × 10(4 )M(-1)) and the apparent binding constant (K app = 6.67 × 10(6 )M(-1)) of 1 indicated its moderate DNA affinity. Complex 1 induced single strand breaks of pUC19 plasmid DNA in the presence of H2O2 through an oxidative pathway. Cytotoxicity studies proved that complex 1 could inhibit the proliferation of human cervical carcinoma cell line HeLa in both time- and dose-dependent manners. The results of nuclei staining by Hoechst 33342 and alkaline single-cell gel electrophoresis proved that complex 1 caused cellular DNA damage in HeLa cells. Furthermore, treatment of HeLa cells with 1 resulted in S-phase arrest, loss of mitochondrial potential, and up-regulation of caspase-3 and -9 in HeLa cells, suggesting that complex 1 was capable of inducing apoptosis in cancer cells through the intrinsic mitochondrial pathway.


Assuntos
Antineoplásicos/farmacologia , Apoptose/efeitos dos fármacos , Benzimidazóis/química , Cobre/química , Dano ao DNA , DNA/efeitos dos fármacos , Compostos Organometálicos/farmacologia , Animais , Antineoplásicos/síntese química , Antineoplásicos/química , Bovinos , Proliferação de Células/efeitos dos fármacos , Relação Dose-Resposta a Droga , Ensaios de Seleção de Medicamentos Antitumorais , Feminino , Células HeLa , Humanos , Compostos Organometálicos/síntese química , Compostos Organometálicos/química , Relação Estrutura-Atividade , Fatores de Tempo , Neoplasias do Colo do Útero/genética , Neoplasias do Colo do Útero/patologia
3.
J Med Biochem ; 43(2): 299-305, 2024 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-38699693

RESUMO

Background: To study the changes in intestinal flora in patients with ulcerative colitis (UC), and to explore its correlations with micro ribonucleic acid (miR)-21 and serum tumor necrosis factor-a (TNF-α). Methods: A total of 150 patients with UC were selected and divided into remission group and seizure group according to the severity of disease. At the same time, 150 healthy people receiving physical examination in the hospital during the same period were selected as control group. The levels of fecal miR-21 and TNF-α in all subjects were determined via reverse transcription-polymerase chain reaction (RT-PCR). The correlation between miR-21 and TNF-α and their associations with the changes in intestinal bacteria in UC were analyzed using Pearson correlation analysis. The risk factors affecting the occurrence of UC were explored via multivariate logistic regression analysis.

4.
Appl Radiat Isot ; 210: 111343, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38739998

RESUMO

This paper aimed to conduct a systematic review of 26 published articles from 13 different regions in the Republic of Yemen related to the study of natural radioactivity (NORM) and enhanced artificial radioactivity (TENORM). The study relied on the analysis of various sample types, including air, groundwater, surface water, hot spring water, soil, sand, rocks, building materials, and oil field samples. It also analyzed the study areas, the types of detectors employed, and the study's timeframe. The analytical results raised significant concerns regarding the high levels of radioactivity observed in many of the studied regions. Moreover, some regions indicated the absence of any prior radiological study, despite apparent effects on the population and the environment, which suggest the presence of potential radionuclide concentration. Based on this study, it is strongly recommended that researchers conduct further radiological studies in regions previously studied over extended periods and in areas where no prior radiological studies have been conducted to assess potential radionuclide concentration.

5.
Chin Med Sci J ; 27(3): 188-9, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23062644

RESUMO

Oral epidemic diseases of exposure personnel in long-term low-dose radiation yet have rarely been studied. Referred to WHO oral health survey method and symptom grading standard, data of 341 exposure persons in long-term low-dose radiation including α particle, ß particle, and γ rays, etc., were collected from one camp in China in 2011 with cluster sampling and analyzed? with Foxpro 6.0 and SPSS 16.0 software. The exposure persons worked in low-dose radiation for a long time aged between 23 and 56, whose average age were 27.1 years old.In addition, their lengths of service were from 2 to 34 years (average 7.9 years) and average exposure time was 8 hours a day each year for more than three months. Average annual radiation dose equivalent was from 1.8 to 16.5 mSv (average 7.3 mSv). Total radiation dose equivalent was from 3.8 to 425.0 mSv (average 97.3 mSv).


Assuntos
Pessoal de Saúde , Exposição Ocupacional/efeitos adversos , Lesões por Radiação/epidemiologia , Estomatite/epidemiologia , Adulto , Humanos , Pessoa de Meia-Idade , Doses de Radiação
6.
J Nanosci Nanotechnol ; 9(2): 1369-73, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19441527

RESUMO

Iron oxides and its hydrate nanoparticles, for example, nanoFe3O4 and nanoFe3O4 with hydroxyl, were synthesized by hydrothermal method, their sizes and features are evaluated by infrared spectra and Scanning Electron Microscope (SEM) etc. The dimensions of these nanoparticles produced are about 50-120 nm. In the investigation of influence of nanoFe3O4 and nanoFe3O4 with hydroxyl on crystalline states of amino acid molecules, their crystalline forms are different to that of pure amino acid molecules. The positions and widths of peaks of these nanoparticles in the infrared spectra of absorption are changed largely relative to that of pure amino acid molecules. From the experiments of microscope observation and infrared spectra of re-crytalline amino acids we see that the nanoFe3O4 and nanoFe3O4 with hydroxyl can change the structure of amino acid molecules. To study the toxicity of synthesized nanoparticles, the MTT (3-(4,5-dimethyl-thiazol 2-yl)-2,5 diphenyltetrazolium bromide) assay was used. The OD value (Optical Density) was used to calculated RGR (Relative Generation Rate) of cells, which determined the grade of cytotoxicity. The RGR of nanoparticles of iron oxide and its hydrate are about 1 to 2, which indicate that they have a lower toxicity.


Assuntos
Magnetismo , Nanoestruturas , Animais , Proliferação de Células , Embrião de Galinha , Compostos Férricos/química , Microscopia Eletrônica de Varredura
7.
Microb Genom ; 7(6)2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33629946

RESUMO

Klebsiella pneumoniae is a frequent cause of nosocomial and severe community-acquired infections. Multidrug-resistant (MDR) and hypervirulent (hv) strains represent major threats, and tracking their emergence, evolution and the emerging convergence of MDR and hv traits is of major importance. We employed whole-genome sequencing (WGS) to study the evolution and epidemiology of a large longitudinal collection of clinical K. pneumoniae isolates from the H301 hospital in Beijing, China. Overall, the population was highly diverse, although some clones were predominant. Strains belonging to clonal group (CG) 258 were dominant, and represented the majority of carbapenemase-producers. While CG258 strains showed high diversity, one clone, ST11-KL47, represented the majority of isolates, and was highly associated with the KPC-2 carbapenemase and several virulence factors, including a virulence plasmid. The second dominant clone was CG23, which is the major hv clone globally. While it is usually susceptible to multiple antibiotics, we found some isolates harbouring MDR plasmids encoding for ESBLs and carbapenemases. We also reported the local emergence of a recently described high-risk clone, ST383. Conversely to strains belonging to CG258, which are usually associated to KPC-2, ST383 strains seem to readily acquire carbapenemases of different types. Moreover, we found several ST383 strains carrying the hypervirulence plasmid. Overall, we detected about 5 % of simultaneous carriage of AMR genes (ESBLs or carbapenemases) and hypervirulence genes. Tracking the emergence and evolution of such strains, causing severe infections with limited treatment options, is fundamental in order to understand their origin and evolution and to limit their spread. This article contains data hosted by Microreact.

8.
Int J Hematol ; 88(2): 139-144, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18629603

RESUMO

The purpose of this study is to investigate the efficacy and safety of recombinant erythropoietin-beta in the treatment of anemic patients with multiple myeloma (MM), low-grade non-Hodgkin's lymphoma (NHL), and chronic lymphocytic leukemia (CLL). From December 2005 to November 2006, the patients with MM, low-grade NHL, and CLL were enrolled in this study, male or female, aged > or = 18 years, transfusion-dependant, and receiving anti-neoplasia chemotherapy. Recombinant human erythropoietin-beta was used in this study with the dose initiated at 150 IU/kg, thrice a week, subcutaneously. The total treatment duration was 12 weeks. The primary endpoint of the study is response rate (RR), which is defined as hemoglobin increasing > or = 2 g/dL comparing to baseline level, or returning to normal range, without any transfusion within 6 weeks of evaluation. Fifty out of 82 (64.6%) patients enrolled in this study responded to the treatment and 29 patients had no response. Hypertension (12.2%) is the most common adverse effect; however, all the adverse events were mild, categorized in NCI grade I or II. We conclude that recombinant erythropoietin-beta was effective in the treatment of anemia of the patients with MM, NHL, and CLL, as well as it is well-tolerated.


Assuntos
Anemia/tratamento farmacológico , Anemia/etiologia , Eritropoetina/administração & dosagem , Transtornos Linfoproliferativos/complicações , Adulto , Idoso , Idoso de 80 Anos ou mais , Povo Asiático , Eritropoetina/efeitos adversos , Eritropoetina/sangue , Feminino , Ferritinas/sangue , Humanos , Ferro/sangue , Leucemia Linfocítica Crônica de Células B/complicações , Linfoma não Hodgkin/complicações , Masculino , Pessoa de Meia-Idade , Mieloma Múltiplo/complicações , Proteínas Recombinantes , Resultado do Tratamento
10.
Clin Appl Thromb Hemost ; 21(5): 480-3, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24335247

RESUMO

BACKGROUND: Factor V (FV) Leiden mutation-related activated protein C resistance (APCR) is one of the common inherited risk factors for venous thromboembolism (VTE) in caucasian population. Although APCR could be identified in some of the Chinese healthy people and patients with VTE, it was not related to FV Leiden mutation. In 2008, we have identified a novel FV mutation (FV E666D) in exon 13 in a hereditary APCR family. And we presumed that the novel mutation might be a genetic defect of APCR in the Chinese population. The aim of our study was to evaluate the prevalence of FV E666D mutation and its correlation with APCR in the Chinese population in a larger series. METHODS: From June 2009 to January 2011, 163 consecutive patients who underwent thrombophilia tests in our hospital were recruited. The clinical data were retrospectively reviewed. Thrombophilia tests included APCR, anticoagulant proteins, and antiphospholipid antibodies. Factor V E666D mutation was detected. RESULT: Of the 163 patients, 6 (3.7%) were identified as APCR positive, 2.9% for patients without thrombosis and 5.1% for patients with thrombosis or thrombosis history. Factor V E666D mutation was not detectable in all the 163 patients including 6 APCR-positive patients. CONCLUSIONS: The prevalence of APCR either in the nonthrombotic patients or in the patients with thrombosis was lower than that reported in other Chinese studies. Our study couldn't provide illustration whether FV E666D mutation is correlated with APCR in the Chinese population.


Assuntos
Resistência à Proteína C Ativada/genética , Resistência à Proteína C Ativada/metabolismo , Adulto , Povo Asiático , Fator V/genética , Feminino , Humanos , Masculino , Mutação , Prevalência , Estudos Retrospectivos , Fatores de Risco
11.
J Inorg Biochem ; 136: 13-23, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24690556

RESUMO

Four novel thiosemicarbazone metal complexes, [Cu(Am4M)(OAc)]·H2O (1), [Zn(HAm4M)Cl2] (2), [Zn2(Am4M)2Br2] (3) and [Zn2(Am4M)2(OAc)2]·2MeOH (4) [HAm4M=(Z)-2-(amino(pyridin-2-yl)methylene)-N-methylhydrazinecarbothioamide], have been synthesized and characterized by X-ray crystallography, elemental analysis, ESI-MS and IR. X-ray analysis revealed that complexes 1 and 2 are mononuclear, which possess residual coordination sites for Cu(II) ion in 1 and good leaving groups (Cl(-)) for Zn(II) ion in 2. Both 3 and 4 displayed dinuclear units, in which the metal atoms are doubly bridged by S atoms of two Am4M(-) ligands in 3 and by two acetate ions in bi- and mono-dentate forms, respectively, in 4. Their antiproliferative activities on human epithelial cervical cancer cell line (HeLa), human liver hepatocellular carcinoma cell line (HepG-2) and human gastric cancer cell line (SGC-7901) were screened. Inspiringly, IC50 value (11.2±0.9 µM) of complex 1 against HepG-2 cells was nearly 0.5 fold of that against human hepatic cell lines LO2, showing a lower toxicity to human liver cells. Additionally, it displayed a stronger inhibition on the viability of HepG-2 cells than cisplatin (IC50=25±3.1 µM), suggesting complex 1 might be a potential high efficient antitumor agent. Furthermore, fluorescence microscopic observation and flow cytometric analysis revealed that complex 1 could significantly suppress HepG-2 cell viability and induce apoptosis. Several indexes, such as DNA cleavage, reactive oxygen species (ROS) generation, comet assay and cell cycle analysis indicated that the antitumor mechanism of complex 1 on HepG-2 cells might be via ROS-triggered apoptosis pathway.


Assuntos
Antineoplásicos/farmacologia , Apoptose/efeitos dos fármacos , Complexos de Coordenação/farmacologia , Cobre/química , Tiossemicarbazonas/química , Zinco/química , Antineoplásicos/síntese química , Ciclo Celular/efeitos dos fármacos , Proliferação de Células , Sobrevivência Celular/efeitos dos fármacos , Complexos de Coordenação/síntese química , Cristalografia por Raios X , Clivagem do DNA , Ensaios de Seleção de Medicamentos Antitumorais , Células HeLa , Células Hep G2 , Humanos , Concentração Inibidora 50 , Modelos Moleculares , Conformação Molecular , Plasmídeos/química , Espécies Reativas de Oxigênio
12.
Hua Xi Kou Qiang Yi Xue Za Zhi ; 31(1): 80-5, 2013 Feb.
Artigo em Zh | MEDLINE | ID: mdl-23484309

RESUMO

OBJECTIVE: To identify Streptococcus mutans (S. mutans) strains from clinical samples. METHODS: Plaque samples from caries-active and caries-free sites on enamel surfaces were obtained and cultivated for S. mutans isolation. Morphology, biochemistry, automatic microorganism analysis system and polymerase chain reaction using primers homologous to surface protein antigen I/II (spaP), glucosyltransferase B (gtfB) and dextranase (dexA) were used to identify S. mutans. Genotype of isolated S. mutans was determined by arbitrarily primed polymerase chain reaction. RESULTS: Forty-six strains of S. mutans were obtained from the 32 subjects and were identified as S. mutans by biochemistry, automatic microorganism analysis system and polymerase chain reaction. Five identical genotypes were found by arbitrarily primed polymerase chain reaction. CONCLUSION: Forty-one strains of S. mutans with different genotype were obtained from clinical samples.


Assuntos
Genótipo , Streptococcus mutans , Cárie Dentária , Placa Dentária , Glucosiltransferases , Humanos , Reação em Cadeia da Polimerase
13.
J Inorg Biochem ; 117: 1-9, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23073509

RESUMO

In this study, we investigated the newly synthesized Schiff base copper(II) complex, [Cu(II)(5-Cl-pap)(OAc)(H(2)O)]·2H(2)O (1) (5-Cl-pap=N-2-pyridiylmethylidene-2-hydroxy-5-chloro-phenylamine), inducing growth inhibition and apoptosis in human breast cancer cell line MCF-7 and its potential antitumor mechanism. The results of cytotoxicity research, fluorescence microscopic observation and flow cytometric analysis revealed that complex 1 could significantly suppress MCF-7 cell viability and induce apoptosis. Comet assay indicated that severe DNA fragmentation in MCF-7 cells was induced after treatment with complex 1. Flow cytometric analysis showed that the antitumor effect of complex 1 on MCF-7 cells was associated with the cell cycle arrest. In addition, atomic absorption analyses displayed that complex 1 caused a rapid increase of intracellular copper uptake in MCF-7 cells in a time-dependent manner. The present work suggested that the antitumor mechanism of complex 1 on MCF-7 cells might be via the mitochondrial pathway, based on the up-regulated expression of Bax and activation of caspase-9 and caspase-3.


Assuntos
Antineoplásicos/farmacologia , Apoptose , Complexos de Coordenação/farmacologia , Cobre , Mitocôndrias/metabolismo , Bases de Schiff/farmacologia , Antineoplásicos/química , Neoplasias da Mama , Caspase 3/metabolismo , Caspase 9/metabolismo , Proliferação de Células/efeitos dos fármacos , Complexos de Coordenação/química , Feminino , Humanos , Células MCF-7 , Mitocôndrias/efeitos dos fármacos , Bases de Schiff/química , Regulação para Cima
14.
J Inorg Biochem ; 105(5): 728-37, 2011 May.
Artigo em Inglês | MEDLINE | ID: mdl-21463568

RESUMO

A new cytotoxic copper(II) complex with Schiff base ligand [Cu(II)(5-Cl-pap)(OAc)(H(2)O)]·2H(2)O (1) (5-Cl-pap=N-2-pyridiylmethylidene-2-hydroxy-5-chloro-phenylamine), was synthesized and structurally characterized by X-ray diffraction. Single-crystal analysis revealed that the copper atom shows a 4+1 pyramidal coordination, a water oxygen appears in the apical position, and three of the basal positions are occupied by the NNO tridentate ligand and the fourth by an acetate oxygen. The interaction of Schiff base copper(II) complex 1 with DNA was investigated by UV-visible spectra, fluorescence spectra and agarose gel electrophoresis. The apparent binding constant (K(app)) value of 6.40×10(5) M(-1) for 1 with DNA suggests moderate intercalative binding mode. This copper(II) complex displayed efficient oxidative cleavage of supercoiled DNA, which might indicate that the underlying mechanism involve hydroxyl radical, singlet oxygen-like species, and hydrogen peroxide as reactive oxygen species. In addition, our present work showed the antitumor effect of 1 on cell cycle and apoptosis. Flow cytometric analysis revealed that HeLa cells were arrested in the S phase after treatment with 1. Fluorescence microscopic observation indicated that complex 1 can induce apoptosis of HeLa cells, whose process was mediated by intrinsic mitochondrial apoptotic pathway owing to the activation of caspase-9 and caspase-3.


Assuntos
Antineoplásicos/química , Antineoplásicos/toxicidade , Apoptose , Complexos de Coordenação/química , Complexos de Coordenação/toxicidade , DNA/metabolismo , Antineoplásicos/síntese química , Caspase 3/metabolismo , Caspase 9/metabolismo , Linhagem Celular Tumoral , Complexos de Coordenação/síntese química , Cobre/química , Cristalografia por Raios X , DNA/química , Células HeLa , Humanos , Ligantes , Modelos Moleculares , Bases de Schiff/química , Espectrometria de Fluorescência
15.
ACS Appl Mater Interfaces ; 1(1): 90-6, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20355759

RESUMO

Solution-processable polyelectrolyte complexes (PECs) between poly(diallyldimethylammonium chloride) (PDDA) and poly(acrylic acid) (PAA) were synthesized in aqueous NaOH and obtained in their solid forms by protection and deprotection of carboxylic acid groups. Elemental analysis, conductance measurement, and FT-IR showed that the composition and ionic complexation degree (ICD) of the PECs can be controlled effectively by tuning the NaOH concentration in both parent polyelectrolyte solutions. Thermal gravity analysis showed that PECs revealed good thermal stability, and differential scanning calorimetry showed that the glass transition temperature (Tg) of PECs increased with increasing ICD and finally became undetectable when ICD was above 0.16. Viscosity properties of the PEC solutions were well correlated to the ICD of PECs, and it was found that solid PECs could be redissolved in dilute NaOH without breaking the ionic complexation between PDDA and PAA. Homogeneous PEC membranes (HPECMs) were made from their concentrated solutions, and their morphologies were examined by field emission scanning electron microscopy. These novel HPECMs were subjected to dehydration of organics for the first time, and a very promising performance was obtained. Furthermore, another two solution-processable PECs between weak anionic polyelectrolyte and cationic polyelectrolyte were also synthesized by the same method and showed a very high separation performance.

16.
Conf Proc IEEE Eng Med Biol Soc ; 2005: 1244-7, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-17282419

RESUMO

The proliferation behavior of the person's liver cell under actions of the nanoTiO2has been looked into by 3-(4,5-dimethylthiazol 2-yl)-2,5 diphenyltetrazolium bromide (MTT) colorimetric method of Mosmann. In this case we first give some elementary properties of the nanoTiO2and do further the liver cell cultures, and add the nano TiO2into the cells. In accordance with biological rules we measure the proliferation state of the liver cell in normal condition. The result obtained show that the influence of the nanoTiO2on the proliferation of the person's liver cell is very small, when compared with that of the control group. We found further out the size of the toxicity of the nanoTiO2to the chick embryo fibroblast (CEF) cells by the MTT colorimetric method. Thus we determine the toxicity for the TiO2s of 100nm and of 1000nm by the toxicology which are all first score (or degree).

17.
Conf Proc IEEE Eng Med Biol Soc ; 2005: 1240-3, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-17282418

RESUMO

The influences of the carbon nanotubes on proliferation state of chick embryo fibroblast cells and toxicity of the nanotubes to the cells have been investigated by 3-(4,5-dimethylthiazol 2-yl)-2,5 diphenylte-trazolium bromide (MTT) colorimetric method of Mosmann and the toxicology. We found that the toxicity of the carbon nanotubes to the chick embryo fibroblast cells is small, it is about first score (or degree).

18.
Cardiovasc Drugs Ther ; 17(4): 343-8, 2003 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-14618096

RESUMO

BACKGROUND: To investigate the dose dependent effect of aprotinin on aggravated pro-inflammatory cytokines in patients with pulmonary hypertension (PH) after cardiopulmonary bypass (CPB). METHODS: Thirty-two patients with pulmonary arterial pressure (PAP) above 60 mmHg were recruited. They were assigned randomly to control (Group A, n = 8), and treated groups (Group B with aprotinin = 0.5 x 10(5) KIU/Kg, and Group C with aprotinin = 1.0 x 10(5) KIU/Kg, n = 12 each group). Blood samples were collected at various intervals of time and analyzed, from "0" hour (before CPB as baseline), at the completion of CPB, 4 hours and 24 hours after CPB, to measure the concentrations of interleukin 1beta (IL-1beta), interleukin-8 (IL-8), interleukin-10 (IL-10) and tumor necrosis factor-alpha (TNF-alpha). RESULTS: All the biomarkers significantly increased after CPB. There was no significant difference in cytokine levels between Group A and group B after CPB. But IL-1beta, IL-8 and TNF-alpha of Group C were not only significantly lower than Group A (p < 0.05), but also lower than Group B at various time points after CPB (p < 0.05). IL-10 of group C was significantly higher than Group A and Group B after CPB (p < 0.05). CONCLUSIONS: High dose aprotinin can suppress the release of pro-inflammatory cytokines IL-1beta, IL-8 and TNF-alpha, and enhance the release of IL-10 in patients with PH after CPB. For patients having PH, there exists a simple and potential way to reduce the inflammatory response by applying high dose aprotinin.


Assuntos
Aprotinina/farmacologia , Ponte Cardiopulmonar/efeitos adversos , Citocinas/sangue , Hipertensão Pulmonar/fisiopatologia , Inibidores de Serina Proteinase/farmacologia , Idoso , Aprotinina/administração & dosagem , Biomarcadores/sangue , Relação Dose-Resposta a Droga , Feminino , Humanos , Hipertensão Pulmonar/cirurgia , Masculino , Pessoa de Meia-Idade , Inibidores de Serina Proteinase/administração & dosagem
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