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1.
Int J Mol Sci ; 25(9)2024 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-38732052

RESUMO

Fatty acid desaturase 1 (FADS1) is a rate-limiting enzyme in long-chain polyunsaturated fatty acid (LCPUFA) synthesis. Reduced activity of FADS1 was observed in metabolic dysfunction-associated steatotic liver disease (MASLD). The aim of this study was to determine whether adeno-associated virus serotype 8 (AAV8) mediated hepatocyte-specific overexpression of Fads1 (AAV8-Fads1) attenuates western diet-induced metabolic phenotypes in a rat model. Male weanling Sprague-Dawley rats were fed with a chow diet, or low-fat high-fructose (LFHFr) or high-fat high-fructose diet (HFHFr) ad libitum for 8 weeks. Metabolic phenotypes were evaluated at the endpoint. AAV8-Fads1 injection restored hepatic FADS1 protein levels in both LFHFr and HFHFr-fed rats. While AAV8-Fads1 injection led to improved glucose tolerance and insulin signaling in LFHFr-fed rats, it significantly reduced plasma triglyceride (by ~50%) and hepatic cholesterol levels (by ~25%) in HFHFr-fed rats. Hepatic lipidomics analysis showed that FADS1 activity was rescued by AAV8-FADS1 in HFHFr-fed rats, as shown by the restored arachidonic acid (AA)/dihomo-γ-linolenic acid (DGLA) ratio, and that was associated with reduced monounsaturated fatty acid (MUFA). Our data suggest that the beneficial role of AAV8-Fads1 is likely mediated by the inhibition of fatty acid re-esterification. FADS1 is a promising therapeutic target for MASLD in a diet-dependent manner.


Assuntos
Dessaturase de Ácido Graxo Delta-5 , Dieta Ocidental , Ácidos Graxos Dessaturases , Hepatócitos , Animais , Masculino , Ratos , Dessaturase de Ácido Graxo Delta-5/metabolismo , Dependovirus/genética , Dieta Ocidental/efeitos adversos , Modelos Animais de Doenças , Ácidos Graxos Dessaturases/metabolismo , Ácidos Graxos Dessaturases/genética , Frutose/metabolismo , Hepatócitos/metabolismo , Fígado/metabolismo , Fenótipo , Ratos Sprague-Dawley , Triglicerídeos/metabolismo
2.
Semin Liver Dis ; 43(4): 383-401, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37931901

RESUMO

Immune checkpoint inhibitors (ICIs) have emerged as effective therapeutics for multiple cancers. Nevertheless, as immunotherapeutic approaches are being extensively utilized, substantial hurdles have arisen for clinicians. These include countering ICIs resistance and ensuring precise efficacy assessments of these drugs, especially in the context of hepatocellular carcinoma (HCC). This review attempts to offer a holistic overview of the latest insights into the ICIs resistance mechanisms in HCC, the molecular underpinnings, and immune response. The intent is to inspire the development of efficacious combination strategies. This review also examines the unconventional response patterns, namely pseudoprogression (PsP) and hyperprogression (HPD). The prompt and rigorous evaluation of these treatment efficacies has emerged as a crucial imperative. Multiple clinical, radiological, and biomarker tests have been advanced to meticulously assess tumor response. Despite progress, precise mechanisms of action and predictive biomarkers remain elusive. This necessitates further investigation through prospective cohort studies in the impending future.


Assuntos
Carcinoma Hepatocelular , Neoplasias Hepáticas , Humanos , Carcinoma Hepatocelular/tratamento farmacológico , Inibidores de Checkpoint Imunológico/uso terapêutico , Estudos Prospectivos , Neoplasias Hepáticas/tratamento farmacológico , Progressão da Doença
3.
Altern Ther Health Med ; 29(1): 280-288, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36112792

RESUMO

Objective: We aimed to explore the relationship between the withdrawal of antiviral therapy after delivery and the risk for abnormal liver function (ALF) after delivery in pregnant women with high hepatitis B virus (HBV) DNA load by meta-analysis, in order to provide the corresponding theoretical basis for further guiding the clinical use of antiviral drugs in such pregnant women. Methods: We searched multiple databases for controlled studies that enrolled pregnant women with chronic HBV infection treated with antiviral therapy from January 1, 2010 to November 1, 2020. Study selection and data extraction were performed by pairs of independent reviewers. The main index was the percentage of ALF higher than the upper limit of normal at 0 to 12 and 12 to 24 weeks after delivery. Meta-analysis was used to compare the risk for ALF after stopping antiviral drugs at different time points following delivery, and subgroup analysis was conducted according to the types of drugs used. Results: We included 10 studies that enrolled 1080 pregnant women. There were 749 pregnant women in the treatment group and 331 pregnant women in the control group (who were not treated with antiviral therapy). The risk ratio (RR) for ALF in the 2 groups at 0 to 12 weeks after delivery: RR = 0.88; 95% CI, 0.71-1.09; at 12-24 weeks: RR = 0.46; 95% CI, 0.29-0.73, were compared. According to the different types of medication, subgroup analysis showed that the lamivudine treatment group compared with the control group at 0-12 weeks: RR = 0.67; 95% CI, 0.26-1.75; at 12-24 weeks, RR = 0.27; 95% CI, 0.11-0.67. The telbivudine treatment group was compared with the control group: at 0-12 weeks: RR = 0.77; 95% CI, 0.43-1.39; at 12-24 weeks: RR = 0.62, 95% CI, 0.23-1.64. The tenofovir treatment group was compared with the control group: at 0-12 weeks RR = 1.02; 95% CI, 0.67-1.55; at 12-24 weeks RR = 0.5; 95% CI, 0.25, 0.99. The lamivudine antiviral treatment group was further analyzed according to different treatment withdrawal time points. Compared with the control group, the immediate withdrawal of lamivudine in labor group at 0-12 weeks RR = 0.29; 95% CI, 0.11-0.77; at 12-24 weeks RR = 0.22; 95% CI, 0.05-0.88; the results were significantly different. There was no significant difference between the 4-week group and the 4-12 week group and the control group. Conclusion: In pregnant women with a high HBV DNA load, immediate withdrawal after antiviral treatment in the second or third trimester of pregnancy did not increase the risk for ALF after delivery.


Assuntos
Lamivudina , Complicações Infecciosas na Gravidez , Gravidez , Feminino , Humanos , Lamivudina/efeitos adversos , DNA Viral/uso terapêutico , Vírus da Hepatite B/genética , Complicações Infecciosas na Gravidez/tratamento farmacológico , Antígenos E da Hepatite B/uso terapêutico , Antivirais/efeitos adversos , Fígado
4.
Sensors (Basel) ; 23(19)2023 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-37837090

RESUMO

Due to the increased employment of robots in modern society, path planning methods based on human-robot collaborative mobile robots have been the subject of research in both academia and industry. The dynamic window approach used in the research of the robot local path planning problem involves a mixture of fixed weight coefficients, which makes it hard to deal with the changing dynamic environment and the issue of the sub-optimal global planning paths that arise after local obstacle avoidance. By dynamically modifying the combination of weight coefficients, we propose, in this research, the use of fuzzy control logic to optimize the evaluation function's sub-functions and enhance the algorithm's performance through the safe and dynamic avoidance of obstacles. The global path is introduced to enhance the dynamic window technique's ability to plan globally, and important points on the global path are selected as key sub-target sites for the local motion planning phase of the dynamic window technique. The motion position changes after local obstacle avoidance to keep the mobile robot on the intended global path. According to the simulation results, the enhanced dynamic window algorithm cuts planning time and path length by 16% and 5%, respectively, while maintaining good obstacle avoidance and considering a better global path in the face of various dynamic environments. It is difficult to achieve a local optimum using this algorithm.

5.
Molecules ; 28(13)2023 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-37446806

RESUMO

Cancer continues to pose a severe threat to global health, making pursuing effective treatments more critical than ever. Traditional therapies, although pivotal in managing cancer, encounter considerable challenges, including drug resistance, poor drug solubility, and difficulties targeting tumors, specifically limiting their overall efficacy. Nanomedicine's application in cancer therapy signals a new epoch, distinguished by the improvement of the specificity, efficacy, and tolerability of cancer treatments. This review explores the mechanisms and advantages of nanoparticle-mediated drug delivery, highlighting passive and active targeting strategies. Furthermore, it explores the transformative potential of nanomedicine in tumor therapeutics, delving into its applications across various treatment modalities, including surgery, chemotherapy, immunotherapy, radiotherapy, photodynamic and photothermal therapy, gene therapy, as well as tumor diagnosis and imaging. Meanwhile, the outlook of nanomedicine in tumor therapeutics is discussed, emphasizing the need for addressing toxicity concerns, improving drug delivery strategies, enhancing carrier stability and controlled release, simplifying nano-design, and exploring novel manufacturing technologies. Overall, integrating nanomedicine in cancer treatment holds immense potential for revolutionizing cancer therapeutics and improving patient outcomes.


Assuntos
Nanopartículas , Neoplasias , Humanos , Nanomedicina , Neoplasias/tratamento farmacológico , Sistemas de Liberação de Medicamentos , Imunoterapia , Diagnóstico por Imagem , Nanopartículas/uso terapêutico
6.
Cancer ; 128(3): 558-569, 2022 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-34623636

RESUMO

BACKGROUND: The objective of this study was to assess whether entecavir (ETV) in combination with interferon-α (IFN-α) could reduce hepatocellular cancer (HCC) and extrahepatic cancers (EHCs) in patients with chronic hepatitis B (CHB). METHODS: The cohort consisted of 4194 patients with CHB treated with ETV combined with IFN-α or ETV monotherapy at a tertiary hospital in Beijing, China, from January 2009 to December 2017. The risks, hazard ratios (HRs), and 95% confidence intervals (CIs) of HCC and EHCs were compared in the 2 groups. RESULTS: In a multivariate Cox regression analysis, a significantly lower risk of HCC (HR, 0.6; 95% CI, 0.3-0.9; P = .0310) and a marginally significantly lower risk of EHCs (HR, 0.2; 95% CI, 0.02-1.3; P = .0854) were observed in the group receiving ETV combined with IFN-α in comparison with the ETV monotherapy group. The annual virological response rates were significantly higher in the combination therapy group versus the monotherapy group (33.8% vs 21.2%; P < .0001), but the hepatitis B surface antigen (HBsAg) seroclearance rates were not (1.2% vs 0.9%; P = .8537). The HRs were consistent with propensity score-based matching, inverse probability weighting adjustments, and adjustments for virological response and HBsAg seroclearance. CONCLUSIONS: ETV combined with IFN-α therapy is superior to ETV monotherapy in reducing the risk of HCC and EHCs for patients with CHB. People who can tolerate and benefit from IFN-α therapy could consider combination therapy.


Assuntos
Carcinoma Hepatocelular , Hepatite B Crônica , Neoplasias Hepáticas , Antivirais/uso terapêutico , Carcinoma Hepatocelular/epidemiologia , Carcinoma Hepatocelular/prevenção & controle , Guanina/análogos & derivados , Antígenos E da Hepatite B/uso terapêutico , Vírus da Hepatite B , Hepatite B Crônica/complicações , Hepatite B Crônica/tratamento farmacológico , Humanos , Interferon-alfa/uso terapêutico , Neoplasias Hepáticas/epidemiologia , Neoplasias Hepáticas/prevenção & controle , Resultado do Tratamento
7.
Chemistry ; 28(24): e202200113, 2022 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-35324048

RESUMO

A new kind of small organic NIR-II fluorophore molecule (ZS-1010) based on intermolecular charge transfer was developed as a NIR-II fluorescent probe for trimethylamine (TMA) detection, which is important for the diagnosis of cardiovascular disease, chronic kidney disease and diabetes. ZS-1010 has a strong push-pull electron system composed of electron donor unit and electron acceptor unit, exhibiting strong absorption and emission in the NIR-II region. When mixed with TMA which possesses strong electron-donating characteristics, the push-pull system of ZS-1010 will be affected along with the dipole moment change, leading to the quenching of fluorescence. This is the first example of TMA fluorescent probe in the NIR-II window showing deep penetration, fast response speed, high selectivity and pH stability.


Assuntos
Corantes Fluorescentes , Metilaminas , Elétrons , Fluorescência , Corantes Fluorescentes/química
8.
Neurochem Res ; 47(12): 3659-3669, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35829942

RESUMO

Estrogen is a steroid hormone produced mainly by the ovaries. It has been found that estrogen could regulate iron metabolism in neurons and astrocytes in different ways. The role of estrogen on iron metabolism in microglia is currently unknown. In this study, we investigated the effect and mechanism of 17ß-estrogen (E2) on iron transport proteins. We found that following E2 treatment for 24h in BV2 microglial cell lines, the iron importer divalent metal transporter 1 (DMT1) and iron exporter ferroportin 1 (FPN1) were up-regulated , iron storage protein ferritin (FT) was increased. The protein levels of iron regulatory proteins (IRPs) and hepcidin remained unchanged, but hypoxia inducible factor 1 alpha (HIF-1α) was up-regulated. Two kinds of estrogen receptor ß (ERß) antagonist G15 and G protein estrogen receptor (GPER) antagonist PHTPPcould block the effects of E2 in BV2 microglial cell lines. These results suggest that estrogen could increase the protein expressions of DMT1, FPN1, FT-L and FT-H in BV2 microglia cells, which were not related to the regulation of IRP1 and hepcidin, but to the upregulation of HIF-1α. In addition, estrogen might regulate the expressions of iron-related proteins through both ER ß and GPER in BV2 microglia cells.


Assuntos
Hepcidinas , Microglia , Hepcidinas/metabolismo , Microglia/metabolismo , Ferro/metabolismo , Receptor beta de Estrogênio/metabolismo , Receptores de Estrogênio , Estrogênios/farmacologia , Estrogênios/metabolismo , Proteínas de Ligação ao GTP/metabolismo
9.
Int J Med Sci ; 19(14): 2080-2086, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36483591

RESUMO

Background & Aims: Accurately identifying liver necroinflammation was essential for the timely implementation of antiviral therapy in chronic hepatitis B(CHB) patients. The sphingolipids were involved in various chronic inflammatory processes. This study aimed to evaluate the association between serum sphingolipids and liver necroinflammation in CHB patients. Methods: The study prospectively enrolled patients with a diagnosis of chronic hepatitis B who were subsequently treated with nucleos(t)ide analogs (NAs). Liver biopsy was performed at baseline and 5-year follow-up, and serum sphingolipid levels were measured by ultra-high-performance liquid chromatography tandem mass spectrometry. Results: A total of 70 CHB patients were enrolled with baseline liver necroinflammation of 27(38.6%) G1, 23(32.9%) G2, and 20(28.6%) G ≥ 3, respectively. A total of 126 liver biopsies were performed on the study population over a 5-year period, of which 80 (63.5%) G<2 and 46 (36.5%) G≥2. Serum ALT, ALP, SM d16:0/16:1, SM d16:0/17:1, SM d18:0/17:0 and Cer d18:2/22:0 showed significant differences between two groups (P<0.01). Multivariate analysis showed that serum ALT (OR 1.006, 95% CI: 1.000-1.011), SM d16:0/16:1 (OR 1.552, 95% CI: 1.150-2.093), Cer d18:2/22:0 (OR 0.003, 95% CI: 0.000-0.173) were associated with G ≥ 2. In the subgroup of patients with normal serum ALT, serum Cer d18:2/22:0 was lower in patients with G ≥ 2 than that with G < 2. After 5 years, alleviated inflammation was accompanied by decreased serum SM d16:0/16:1 and increased serum Cer d18:2/22:0 in patients with baseline G ≥ 2. Conclusions: Lower serum Cer d18:2/22:0 could reflect hepatic necroinflammation (G ≥ 2) in CHB patients including those with normal serum ALT, and its elevation predicts the inflammation improvement after NAs treatment.


Assuntos
Hepatite B Crônica , Humanos , Hepatite B Crônica/tratamento farmacológico , Esfingolipídeos
10.
Appl Opt ; 61(33): 9762-9772, 2022 Nov 20.
Artigo em Inglês | MEDLINE | ID: mdl-36606804

RESUMO

We verified the feasibility of an alternative solution to generate temperature and pressure profiles with the U.S. standard atmosphere model (USSA-76). We simultaneously integrated this model with conventional meteorological parameters measured by a weather station in the course of estimating the refractive index structure constant (C n2). Moreover, a continuous-time-series estimation method of the refractive index structure constant was established within the marine atmospheric boundary layer (ABL) based on wind data obtained from a coherent Doppler wind lidar (CDWL). We also analyzed the optical turbulence characteristics induced by wind shear during the conducted experiment. Laminated and patchy stratified turbulences, which affect the performance of imaging and light transmission systems, were found within the marine ABL. Additionally, the relationship between the ABL and all atmospheric optical turbulence factors shows that the ratio of marine ABL in the entire layer differs from that reported in previous studies. Moreover, the influence of thermal turbulence factors within the marine ABL was less than that of the entire layer in our case. We report a real-time C n2 estimation method based on a CDWL. The characteristics of the marine ABL C n2 constitute a reference for optoelectronic applications.

11.
Asia Pac J Clin Nutr ; 31(2): 215-221, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35766557

RESUMO

BACKGROUND AND OBJECTIVES: Patients with liver failure often have energy metabolism disorders and malnutrition, which lead to poor prognosis, rendering nutritional interventions essential. METHODS AND STUDY DESIGN: Individualized nutritional interventions were offered according to the resting energy expenditure (REE) of patients with liver failure, and the patients were followed up for 180 days. RESULTS: Sixty patients with liver failure were enrolled and grouped by their prognosis and energy intake. Model for end-stage liver disease (MELD) score and body fat mass of the nonsurvival group were significantly higher than those of the survival group (p<0.05), whereas the mean energy intake/REE (MEI/REE) and mean respiratory quotient (RQ) of the nonsurvival group were significantly lower than those of the survival group (p<0.01). Prediction REE (PredREE) was calculated using the Harris-Benedict formula. Most patients in the nonsurvival and survival groups had hypometabolic (REE/PredREE <0.9) and normal metabolic status (0.9

Assuntos
Doença Hepática Terminal , Metabolismo Basal , Calorimetria Indireta , Ingestão de Energia , Metabolismo Energético , Humanos , Prognóstico , Índice de Gravidade de Doença
12.
BMC Infect Dis ; 21(1): 1273, 2021 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-34930163

RESUMO

BACKGROUND: The manifestations and prognoses of acute-on-chronic liver failure (ACLF) with different precipitating events remain heterogeneous. We aimed to investigate the characteristics and prognosis of patients with hepatotropic viral insult (HVI)-induced hepatitis B-related ACLF (HBV-ACLF). METHODS: 452 patients with confirmed diagnosis of ACLF were screened in three medical centers in China, and 203 HBV-ACLF patients with definite acute precipitating events were retrospectively analyzed. According to the precipitating events, HBV-ACLF patients induced by HBV reactivation and super-infection with HAV were classified as the hepatotropic viral insult group and those induced by other factors, as the non-virus insult (NVI) group. The clinical characteristics, predictive scoring model, and prognosis of the two groups were compared. RESULTS: Hepatitis B virus reactivation accounted for the largest proportion (39.9%) among all precipitating events. Exacerbation time frame of the HVI group was significantly longer than that of the NVI group (20 days vs. 10 days, P < 0.001). Comparison of intergroup prognosis showed that there was no significant difference in the 28 day mortality (20.9 vs. 13.7%, P = 0.125), while the 90 day and 1 year mortality in the HVI group were higher than those in the NVI group (36.3 vs. 24.4%, P = 0.014; 39.5% vs. 27.5%, P = 0.020, respectively). In the HVI group, the lactic acid-free APASL-ACLF Research Consortium (AARC) had better predictive value for 90 day mortality (0.741). CONCLUSIONS: The 90 day and 1 year survival rate was lower in HBV-ACLF patients induced by HVI than by NVI. The lactate-free AARC score was a better predictor of short- and long-term prognosis in patients with HVI-induced HBV-ACLF.


Assuntos
Insuficiência Hepática Crônica Agudizada , Hepatite B , China/epidemiologia , Hepatite B/complicações , Humanos , Prognóstico , Estudos Retrospectivos
13.
J Cell Physiol ; 234(4): 4232-4242, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30132882

RESUMO

Previous studies have demonstrated an effect of estrogen on iron metabolism in peripheral tissues. The role of estrogen on brain iron metabolism is currently unknown. In this study, we investigated the effect and mechanism of estrogen on iron transport proteins. We demonstrated that the iron exporter ferroportin 1 (FPN1) and iron importer divalent metal transporter 1 (DMT1) were upregulated and iron content was decreased after estrogen treatment for 12 hr in primary cultured astrocytes. Hypoxia-inducible factor-1 alpha (HIF-1α) was upregulated, but HIF-2α remained unchanged after estrogen treatment for 12 hr in primary cultured astrocytes. In primary cultured neurons, DMT1 was downregulated, FPN1 was upregulated, iron content decreased, iron regulatory protein (IRP1) was downregulated, but HIF-1α and HIF-2α remained unchanged after estrogen treatment for 12 hr. These results suggest that the regulation of iron metabolism by estrogen in astrocytes and neurons is different. Estrogen increases FPN1 and DMT1 expression by inducing HIF-1α in astrocytes, whereas decreased expression of IRP1 may account for the decreased DMT1 and increased FPN1 expression in neurons.


Assuntos
Astrócitos/efeitos dos fármacos , Estradiol/farmacologia , Ferro/metabolismo , Neurônios/efeitos dos fármacos , Animais , Animais Recém-Nascidos , Astrócitos/metabolismo , Proteínas de Transporte de Cátions/metabolismo , Células Cultivadas , Idade Gestacional , Subunidade alfa do Fator 1 Induzível por Hipóxia/metabolismo , Proteína 1 Reguladora do Ferro/metabolismo , Neurônios/metabolismo , Ratos Wistar , Fatores de Tempo
14.
Int J Cancer ; 144(6): 1421-1431, 2019 03 15.
Artigo em Inglês | MEDLINE | ID: mdl-30070688

RESUMO

Gestational choriocarcinoma (GC) is a highly aggressive tumor. In our study, we systematically investigated EpCAM/CD147 expression characteristics in patients with GC and assessed the role of circulating tumor cells (CTCs) in predicting chemotherapy response and disease progression. GC tissues were positive for either epithelial cellular adhesion molecule (EpCAM) or CD147, and all samples exhibited strong human chorionic gonadotropin (HCG) expression. Among all the recruited patients (n = 115), 103 had at least 1 CTC in a 7.5-mL peripheral blood sample, and the percentage of patients with ≥4 CTCs in a particular FIGO stage group increased with a higher FIGO stage (p < 0.001). Furthermore, the pretreatment CTC count was related to tumor size (r = 0.225, p = 0.015) and the number of metastases (r = 0.603, p < 0.001). A progression analysis showed that among the 115 included patients who qualified for further examination, 52 of the 64 patients defined as progressive had ≥4 pretreatment CTCs, while only 7 of the 51 non-progressive patients had ≥4 pretreatment CTCs (p < 0.001). In multivariate analysis, CTCs (≥4) remained the strongest predictor of PFS when other prognostic markers, FIGO score and FIGO stage were included. Moreover, based on the chemotherapy response, patients with ≥4 CTCs were more likely to be resistant to chemotherapy than those with <4 CTCs (P < 0.001). These findings demonstrates the feasibility of CTC detection in cases of GC by adopting EpCAM/CD147 antibodies together as capturing antibodies. The CTC count is a promising indicator in the evaluation of biological activities and the chemotherapy response in GC patients.


Assuntos
Antineoplásicos/farmacologia , Biomarcadores Tumorais/metabolismo , Coriocarcinoma/sangue , Resistencia a Medicamentos Antineoplásicos , Células Neoplásicas Circulantes , Adulto , Antineoplásicos/uso terapêutico , Basigina/metabolismo , Biópsia , Contagem de Células , Linhagem Celular Tumoral , Coriocarcinoma/tratamento farmacológico , Coriocarcinoma/mortalidade , Coriocarcinoma/patologia , Gonadotropina Coriônica/metabolismo , Progressão da Doença , Molécula de Adesão da Célula Epitelial/metabolismo , Estudos de Viabilidade , Feminino , Seguimentos , Humanos , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Intervalo Livre de Progressão , Fatores de Risco , Adulto Jovem
15.
Asia Pac J Clin Nutr ; 28(3): 428-434, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31464388

RESUMO

BACKGROUND AND OBJECTIVES: Malnutrition and energy metabolism disorders are characterized by a low respiratory quotient in patients with liver failure and often lead to poor prognosis. Therefore, early nutrition interventions are crucial for patients with liver failure to ameliorate abnormal metabolic status and malnutrition. This study explored the effect of an individualized nutrition intervention on the respiratory quotient of patients with liver failure. METHODS AND STUDY DESIGN: An individualized 2-week nutrition intervention was conducted on patients with nutritional risk caused by liver failure according to patient resting energy expenditure. Patients were separated into two groups for further analysis according to whether their energy intake reached 1.2 times their resting energy expenditure. RESULTS: Fifty-two patients with nutritional risk caused by liver failure were enrolled. Their average respiratory quotient was 0.79 (0.76-0.84) at the baseline. Patients with an energy intake of >=1.2 times their resting energy expenditure had a higher respiratory quotient and lower scores on the model for endstage liver disease and Child-Pugh test than those with an energy intake of <1.2 times their resting energy expenditure at weeks 1 and 2 after the intervention. Moreover, no significant differences were observed between the two groups at the baseline. Respiratory quotient was negatively correlated with the model for end-stage liver disease and Child-Pugh scores. CONCLUSIONS: Individualized nutrition interventions with an energy intake >=1.2 times the patient's resting energy expenditure can effectively improve the respiratory quotient and reduce disease severity in patients with nutritional risk caused by liver failure.


Assuntos
Falência Hepática/dietoterapia , Terapia Nutricional , Consumo de Oxigênio/fisiologia , Adulto , Dieta , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
16.
Sheng Li Xue Bao ; 69(5): 598-610, 2017 Oct 25.
Artigo em Inglês | MEDLINE | ID: mdl-29063108

RESUMO

Hypoxia-inducible factors (HIFs) are central mediators of cellular adaption to hypoxia. The heterodimeric HIF transcription factors consist of HIF-α and HIF-ß, that form functional HIFs. Mammals contain HIF-1α, HIF-2α, and HIF-3α. HIFs play a key role in iron metabolism by regulating the expression of iron-related proteins, such as divalent metal transporter 1 (DMT1), ferroportin 1 (FPN1), duodenal cytochrome b (Dcytb), and transferrin receptor (TfR). Hepcidin and iron regulatory proteins (IRPs), the central mediators for systematic and intracellular iron homeostasis, are also regulated by HIFs. In this review, we summarized the regulatory effects of HIFs on iron-related proteins, thus providing insights into the control of HIFs as therapeutic strategies for some iron related disorders.


Assuntos
Fatores de Transcrição Hélice-Alça-Hélice Básicos/fisiologia , Subunidade alfa do Fator 1 Induzível por Hipóxia/fisiologia , Ferro/metabolismo , Animais , Hepcidinas , Humanos
17.
Sheng Li Xue Bao ; 68(5): 637-643, 2016 Oct 25.
Artigo em Inglês | MEDLINE | ID: mdl-27778028

RESUMO

Estrogen is a steroid hormone produced mainly by the ovaries. It combines with the nuclear receptors to exert the biological effects influencing the metabolism of body. Elevated levels of estrogen are often associated with altered iron levels in mammals. Furthermore, the findings of estrogen response element (ERE) have demonstrated that estrogen affects iron metabolism directly in peripheral tissues. In this review, we will briefly summarize the effect of estrogen on iron metabolism in mammals, and discuss recent progress in the mechanisms of estrogen on some iron related proteins in order to provide guidance for clinical use of estrogen. Estrogen and iron metabolism are closely related, but the exact regulatory mechanisms still need further exploration.


Assuntos
Estrogênios/metabolismo , Ferro/metabolismo , Animais , Humanos , Mamíferos , Elementos de Resposta
18.
United European Gastroenterol J ; 12(2): 194-202, 2024 03.
Artigo em Inglês | MEDLINE | ID: mdl-38376886

RESUMO

It is essential to identify the subgroup of patients who experience poorer outcomes in order to adapt clinical management effectively. In the context of liver disease, the earlier the identification occurs, the greater the range of therapeutic options that can be offered to patients. In the past, patients with acute decompensation (AD) of chronic liver disease were treated as a homogeneous group, with emphasis on identifying those at the highest risk of death. In the last 15 years, a differentiation has emerged between acute-on-chronic liver failure syndrome (ACLF) and AD, primarily due to indications that the latter is linked to a less favorable short-term prognosis. Nevertheless, the definition of ACLF varies among the different knowledge societies, making it challenging to assess its true impact compared with AD. Therefore, the purpose of this review is to provide a detailed analysis emphasizing the critical importance of identifying ACLF in the field of advanced liver disease. We will discuss the differences between Eastern and Western approaches, particularly in relation to the occurrence of liver failure and disease onset. Common characteristics, such as the dynamic nature of the disease course, will be highlighted. Finally, we will focus on two key clinical implications arising from these considerations: the prevention of ACLF before its onset and the clinical management strategies once it develops, including liver transplantation and withdrawal of care.


Assuntos
Insuficiência Hepática Crônica Agudizada , Transplante de Fígado , Humanos , Insuficiência Hepática Crônica Agudizada/diagnóstico , Insuficiência Hepática Crônica Agudizada/epidemiologia , Insuficiência Hepática Crônica Agudizada/etiologia , Cirrose Hepática/complicações , Cirrose Hepática/diagnóstico , Cirrose Hepática/terapia , Prognóstico , Progressão da Doença , Síndrome
19.
Micromachines (Basel) ; 15(8)2024 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-39203689

RESUMO

Passive fluid control has mostly been used for valves, pumps, and mixers in microfluidic systems. The basic principle is to generate localized losses in special channel structures, such as branches, grooves, or spirals. The flow field in two-dimensional space can be easily calculated using the typical Stokes formula, but it is challenging in three-dimensional space. Moreover, the flow field with periodic variable cross-sections channeled of polyhedral units has been neglected in this research field due to previous limitations in manufacturing technology. With the continuous progress of 3D printing technology, the field of microfluidic devices ushered in a new era of manufacturing three-dimensional irregular channels. In this study, we present finite analysis results for a periodic nodular-like channel. The experiments involve variations in the Reynold number (Re), periodic frequency, and comparative analyses with conventional structures. The findings indicate that this variable 3D cross-section structure can readily achieve performance comparable to other passive fluid control methods in valve applications. A 3D model of the periodic tetrahedron channel was fabricated using 3D printing to validate these conclusions. This research has the potential to significantly enhance the performance of passive fluid control units that have long been constrained by manufacturing dimensions.

20.
PLoS One ; 19(10): e0311701, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39453973

RESUMO

BACKGROUND: The slewing crane is easily affected by the wind and the manipulation level of the operator when it is working, which in turn impacts its swing angle, affects the working efficiency and safety of the crane. OBJECTIVE: Toimprove the operation safety andreduce the swing angle, this study design and research the anti-swing control system for the slewing crane. METHODS: Firstly, based on the Lagrange equation, the dynamic model of the crane hoisting system is established. Then, the mechanical anti-swing mechanism driven by a four-motor rope is established. Finally, based on fuzzy PID control, an anti-swing platform is established, and the performance of anti-swing control is verified. RESULTS: Compared to no anti-swing control, the in-plane swing angle θ1 and out-of-plane swing angle θ2 of the lifting arm are reduced by 88% and 75% respectively. CONCLUSION: The results show that the four-motor rope-driven anti-swing mechanism can achieve better anti-swing effect, which provides an effective swing suppression method for the slewing crane in the actual operation.


Assuntos
Lógica Fuzzy , Desenho de Equipamento , Modelos Teóricos , Humanos , Algoritmos , Vento
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