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1.
Nanomedicine ; 55: 102723, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38007064

RESUMO

OBJECTIVE: Osteoarthritis (OA) is characterized by progressive cartilage degeneration and absence of curative therapies. Therefore, more efficient therapies are compellingly needed. Both mesenchymal stem cells (MSCs)-derived extracellular vesicles (EVs) and Icariin (ICA) are promising for repair of cartilage defect. This study proposes that ICA may be combined to potentiate the cartilage repair capacity of MSC-EVs. MATERIALS AND METHODS: MSC-EVs were isolated from sodium alginate (SA) and hyaluronic acid (HA) composite hydrogel (SA-HA) cell spheroid culture. EVs and ICA were combined in SA-HA hydrogel to test therapeutic efficacy on cartilage defect in vivo. RESULTS: EVs and ICA were synergistic for promoting both proliferation and migration of MSCs and inflammatory chondrocytes. The combination therapy led to strikingly enhanced repair on cartilage defect in rats, with mechanisms involved in the concomitant modulation of both cartilage degradation and synthesis makers. CONCLUSION: The MSC-EVs-ICA/SA-HA hydrogel potentially constitutes a novel therapy for cartilage defect in OA.


Assuntos
Vesículas Extracelulares , Células-Tronco Mesenquimais , Osteoartrite , Animais , Ratos , Hidrogéis/farmacologia , Ácido Hialurônico/farmacologia , Ácido Hialurônico/metabolismo , Cartilagem , Condrócitos/metabolismo , Osteoartrite/tratamento farmacológico , Regeneração , Vesículas Extracelulares/metabolismo
2.
Apoptosis ; 28(7-8): 1060-1075, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37060507

RESUMO

The aberrantly up-regulated CDK9 can be targeted for cancer therapy. The CDK inhibitor dinaciclib (Dina) has been found to drastically sensitizes cancer response to TRAIL-expressing extracellular vesicle (EV-T). However, the low selectivity of Dina has limited its application for cancer. We propose that CDK9-targeted siRNA (siCDK9) may be a good alternative to Dina. The siCDK9 molecules were encapsulated into EV-Ts to prepare a complexed nanodrug (siEV-T). It was shown to efficiently suppress CDK9 expression and overcome TRAIL resistance to induce strikingly augmented apoptosis in lung cancer both in vitro and in vivo, with a mechanism related to suppression of both anti-apoptotic factors and nuclear factor-kappa B pathway. Therefore, siEV-T potentially constitutes a novel, highly effective and safe therapy for cancers.


Assuntos
Neoplasias Pulmonares , NF-kappa B , Humanos , NF-kappa B/genética , NF-kappa B/metabolismo , Apoptose , Linhagem Celular Tumoral , RNA Interferente Pequeno/genética , Neoplasias Pulmonares/tratamento farmacológico , Neoplasias Pulmonares/genética , Neoplasias Pulmonares/metabolismo , Ligante Indutor de Apoptose Relacionado a TNF/genética , Ligante Indutor de Apoptose Relacionado a TNF/farmacologia , Receptores do Ligante Indutor de Apoptose Relacionado a TNF/genética , Quinase 9 Dependente de Ciclina/genética
3.
Eur Radiol ; 33(9): 6054-6065, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37067576

RESUMO

OBJECTIVES: To develop deep learning-assisted diagnosis models based on CT images to facilitate radiologists in differentiating benign and malignant parotid tumors. METHODS: Data from 573 patients with histopathologically confirmed parotid tumors from center 1 (training set: n = 269; internal-testing set: n = 116) and center 2 (external-testing set: n = 188) were retrospectively collected. Six deep learning models (MobileNet V3, ShuffleNet V2, Inception V3, DenseNet 121, ResNet 50, and VGG 19) based on arterial-phase CT images, and a baseline support vector machine (SVM) model integrating clinical-radiological features with handcrafted radiomics signatures were constructed. The performance of senior and junior radiologists with and without optimal model assistance was compared. The net reclassification index (NRI) and integrated discrimination improvement (IDI) were calculated to evaluate the clinical benefit of using the optimal model. RESULTS: MobileNet V3 had the best predictive performance, with sensitivity increases of 0.111 and 0.207 (p < 0.05) in the internal- and external-testing sets, respectively, relative to the SVM model. Clinical benefit and overall efficiency of junior radiologist were significantly improved with model assistance; for the internal- and external-testing sets, respectively, the AUCs improved by 0.128 and 0.102 (p < 0.05), the sensitivity improved by 0.194 and 0.120 (p < 0.05), the NRIs were 0.257 and 0.205 (p < 0.001), and the IDIs were 0.316 and 0.252 (p < 0.001). CONCLUSIONS: The developed deep learning models can assist radiologists in achieving higher diagnostic performance and hopefully provide more valuable information for clinical decision-making in patients with parotid tumors. KEY POINTS: • The developed deep learning models outperformed the traditional SVM model in predicting benign and malignant parotid tumors. • Junior radiologist can obtain greater clinical benefits with assistance from the optimal deep learning model. • The clinical decision-making process can be accelerated in patients with parotid tumors using the established deep learning model.


Assuntos
Aprendizado Profundo , Neoplasias Parotídeas , Humanos , Neoplasias Parotídeas/diagnóstico por imagem , Estudos Retrospectivos , Área Sob a Curva , Tomografia Computadorizada por Raios X
4.
Phys Chem Chem Phys ; 25(34): 22744-22754, 2023 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-37605513

RESUMO

The two-state non-adiabatic potential energy matrices of the CaH2+ system are calculated via a diabatization approach by using a neural network model. Subsequently, the adiabatic and non-adiabatic potential energy surfaces (PESs) are constructed based on these non-adiabatic potential energy matrices. Furthermore, based on the adiabatic and non-adiabatic PESs, the Ca+(4s2S) + H2(X1Σ+g) → H(2S) + CaH+(X1Σ+) reaction is studied using the time-dependent wave packet method. Comparative analysis of the experimental and theoretical integral reaction cross-sections (ICSs) indicates that the maximum deviation between the results obtained from the adiabatic PES and the corresponding experimental value is 12.7 bohr2; in contrast, the maximum discrepancy between the theoretical result derived from the non-adiabatic PES and the experimental value is merely 0.42 bohr2. The potential well along the reaction path acts as a 'filter', selectively guiding intermediates with longer lifetimes in the potential well back to the reactant channel. This phenomenon indicates that the non-adiabatic effects significantly influence the reaction dynamics of the CaH2+ system.

5.
Phys Chem Chem Phys ; 25(12): 8799-8808, 2023 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-36912257

RESUMO

To enhance understanding of the correlation between the intermolecular interaction and second-order nonlinear optical (NLO) properties, we studied a "molecular tweezer" with two corannulene substituents linked by a tetrahydro[5]helicene imide, which enabled highly sensitive and selective complexation of C60/C70 through convex-concave π-π interactions. The geometric structure, molecular orbitals, intermolecular interactions, electron absorption spectra and second-order NLO properties of the charge-transfer (CT) complexes formed by molecular tweezers and C60/C70 were studied by density functional theory. Larger fullerenes helped to increase the intermolecular interaction and CT, thereby increasing the first hyperpolarizabilities of CT complexes. Embedding of lithium ions helped to enhance the electron-absorption ability of fullerenes, thereby increasing the intermolecular interaction and intermolecular CT and, thus, enhancing their first hyperpolarizability significantly. Our data indicated that, through structure adjustment (including increasing the volume of fullerene and embedding alkali metal ions), we could enhance intermolecular interactions and improve intermolecular CT significantly. These actions could improve the second-order NLO properties of CT complexes.

6.
Nanotechnology ; 33(24)2022 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-35263720

RESUMO

At present, there is a general contradiction between permeability and selectivity of reverse osmosis (RO) membranes for desalination; a membrane with higher water permeability will give a lower salt rejection or selectivity, and vice versa. In this work, single-layer nanoporous graphene is used as RO membrane to investigate the effects of pore shape to reduce this contradiction by molecular dynamics simulations. Two kinds of pores (round and rectangular pores) with different sizes are simulated. For round pore, although the water permeability increases with the increase of the pore size, the salt rejection rate drops rapidly. For rectangular pore, reasonable designed pore structure can achieve improved water permeability and high salt rejection of graphene membrane by keeping one-dimensional length (i.e. the width) of the pore less than the size of the hydrated ions and increasing the other dimensional length. The restriction of one dimension can prevent the passage of hydrated ions through the pore effectively. This 'one-dimensional restriction' provides a simple strategy for designing RO membrane with variable pore structures to obtain a better desalination performance.

7.
J Phys Chem A ; 126(6): 870-878, 2022 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-35112861

RESUMO

π-conjugated aromatic diimides with chemical stability, heat resistance, and redox activity have attracted more attention due to their excellent fluorescence quantum yield in solution. The planar perylene diimide (PDI) derivatives generally have aggregation-induced emission quenching in the solid state, while the cyclic trimers based on pyromellitic diimides (PMDIs), naphthalene diimides (NDIs), and PDIs can increase the fluorescence quantum yield in the solid state and have large two-photon absorption cross section, which can be used as excellent nonlinear optical (NLO) materials. Therefore, this paper will study the effects of multiple assembly modes of the three monomers on the NLO responses of materials. It was found that the assembly modes of 2PMDI-1NDI and 2NDI-1PDI exhibit larger third-order NLO response (γ) values, which was due to the larger conjugate surface of PDI effectively reducing the energy gap between the HOMO and LUMO. Compared with other assembly methods, 2PMDI-1NDI and 2NDI-1PDI were conducive to causing redshifts (150 nm) in the absorption spectrum. Therefore, the larger conjugate surface of PDI and the assembly mode of the isosceles triangle were more favorable for intramolecular charge transfer, thus improving its NLO properties.

8.
Phys Chem Chem Phys ; 23(1): 405-414, 2021 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-33315031

RESUMO

In the formation of noncovalent complexes, the stacking arrangements of corannulene and fullerene are diverse, most of which are combinations of multiple corannulenes and fullerene. Here, a composition ratio of 2 : 1 was selected for the complex between corannulene and fullerene (C60 and C70) to investigate the effects of different superposition modes, including concave-convex and convex-convex interactions, on the stability and third-order nonlinear optical (NLO) properties of the composite materials. It was found that the concave-convex interaction was stronger and it was reported to stabilize the charge-transfer (CT) complex more effectively than the convex-convex interaction. The dispersion range of the concave-convex interaction was larger than that of the convex-convex interaction, which is consistent with the interaction energy results. The packing design with the double convex-convex interactions exhibited the largest linear optical response and third-order NLO response, which showed that the convex-convex interaction was more likely to be excited and cause intermolecular CT as compared to the concave-convex interaction. This work confirmed that the packing arrangement significantly affected the NLO response and will advance the development of NLO crystals.

9.
Nano Lett ; 20(10): 7304-7312, 2020 10 14.
Artigo em Inglês | MEDLINE | ID: mdl-32866018

RESUMO

Surface-enhanced Raman scattering (SERS) technique with naturally born analyte identification capability can achieve ultrahigh sensitivity. However, the sensitivity and quantification capability of SERS are assumed to be mutually exclusive. Here, we prohibit the formation of the ultrasensitive SERS sites to achieve a high quantification capability through separating the gold (Au) nanorods from approaching each other with thick metal organic framework (MOF) shells. The sensitivity decrease caused by the absence of the ultrasensitive SERS sites is compensated by the analyte enrichment function of a slippery surface. The porous MOF shell around the Au nanorod only allows analytes smaller than the pore size to approach the Au nanorods and contribute to the SERS spectrum within the complex sample, greatly enhancing the analyte identification capability. Overall, we have demonstrated an integrated SERS platform with analyte enrichment and analyte filtration function, realizing sensitive, quantitative, and size selective analyte identification in complex environments.


Assuntos
Nanopartículas Metálicas , Nanotubos , Filtração , Ouro , Análise Espectral Raman
10.
Nanotechnology ; 31(28): 285201, 2020 Apr 24.
Artigo em Inglês | MEDLINE | ID: mdl-32197266

RESUMO

Rare earth metals exhibit strong chemical activity and have many unique properties in the aspects of magnetic susceptibility, photo-absorption, catalytic activity and electrical property. Precious metals have strong chemical stability and great surface-enhanced Raman scattering (SERS) enhancing activity, providing a good platform for detecting SERS signals from molecules. Combining precious metals with rare earth metals could form new composite materials, providing more possibilities for SERS substrates. In this work, the SERS and absorption spectra of the probe molecule adsorbed on scandium-doped silver/copper clusters are theoretically simulated by time-dependent density functional theory. The contributions of charge-transfer (CT) enhancement and electromagnetic enhancement are treated uniformly in calculations based on a short-time approximation for the Raman scattering cross-section, and distinguished by using visualization of electron transitions. The largest Raman enhancement factor of the probe molecule adsorbed on Sc@Cu7 and Sc@Ag7 alloy clusters could reach the order of 105, due to the enhancement of resonance excitation to the CT transition. The factors influencing SERS are systematically investigated, including the composition of the substrate, local chemical environment of the binding site, form of electron transition, oscillator strength of excitation and excitation wavelength.

11.
Nanotechnology ; 28(47): 475201, 2017 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-28885195

RESUMO

Surface-enhanced Raman scattering (SERS) and absorption spectra of the pyridine molecule adsorbed on Au m Ag n (m + n = 6) bimetallic clusters are theoretically investigated by time-dependent density functional theory. The contributions of static chemical enhancement to the ground-state system are analyzed, and the static Raman intensity of Py-Au m Ag n complexes are enhanced by an order of 10. A method of visualization on charge transfer is used to distinguish the contributions of charge-transfer enhancement and electromagnetic enhancement. The intensity of surface-enhanced resonance Raman scattering (SERRS) spectroscopy of Py-Au m Ag n is strongly enhanced by an order of 103-105, compared to the static Raman intensity of pyridine. The influence of the static external electric field on SERS is investigated by calculating the optical properties of the Py-Au3Ag3 complex. The intensity of SERRS spectra and normal Raman spectra can be significantly enhanced by the positive electric fields, and the intensities of specific Raman vibrational modes could be selectively enhanced or weakened by tuning the direction and strength of the static electric field applied on Py-Au3Ag3.

12.
J Chem Phys ; 140(3): 034312, 2014 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-25669384

RESUMO

We report a combined photoelectron velocity-map imaging spectroscopy and density functional theory investigation on lutetium monoxide anion. Transition between the X (1)Σ(+) anion electronic ground state and the neutral X (2)Σ(+) electronic ground state is observed. Vibrationally resolved spectra were obtained at four different photon energies, providing a wealth of spectroscopic information for the electronic ground states of the anionic lutetium monoxide and corresponding neutral species. Franck-Condon simulations of the ground-state transition are performed to assign vibrational structure in the spectra and to assist in identifying the observed spectral bands. The electronic ground state of LuO(-) is found to have a vibrational frequency of 743 ± 10 cm(-1) and an equilibrium bond length of 1.841 Å. The electron affinity of LuO is measured to be 1.624 ± 0.002 eV. The fundamental frequency of ground-state LuO is estimated to be 839 ± 10 cm(-1).


Assuntos
Lutécio/química , Óxidos/química , Ânions/química , Elétrons , Espectroscopia Fotoeletrônica , Fótons
13.
Biomater Sci ; 12(7): 1750-1760, 2024 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-38375548

RESUMO

Diabetes mellitus (DM) is characterized by prolonged hyperglycemia, impaired vascularization, and serious complications, such as blindness and chronic diabetic wounds. About 25% of patients with DM are estimated to encounter impaired healing of diabetic wounds, often leading to lower limb amputation. Multiple factors are attributed to the non-healing of diabetic wounds, including hyperglycaemia, chronic inflammation, and impaired angiogenesis. It is imperative to develop more efficient treatment strategies to tackle healing difficulties in diabetic wounds. Mesenchymal stem cell (MSC)-derived extracellular vesicles (EVs) are promising for diabetic wound healing considering their anti-inflammatory, pro-angiogenic and pro-proliferative activities. A histone deacetylase 7 (HDAC7)-derived 7-amino-acid peptide (7A) was shown to be highly effective for angiogenesis. However, it has never been investigated whether MSC-EVs are synergistic with 7A for the healing of diabetic wounds. Herein, we propose that MSC-EVs can be combined with 7A to greatly promote diabetic wound healing. The combination of EVs and 7A significantly improved the migration and proliferation of skin fibroblasts. Moreover, EVs alone significantly suppressed LPS-induced inflammation in macrophages, and notably, the combination treatment showed an even better suppression effect. Importantly, the in vivo study revealed that the combination therapy consisting of EVs and 7A in an alginate hydrogel was more efficient for the healing of diabetic wounds in rats than monotherapy using either EV or 7A hydrogels. The underlying mechanisms include suppression of inflammation, improvement of skin cell proliferation and migration, and enhanced collagen fiber disposition and angiogenesis in wounds. In summary, the MSC-EV-7A hydrogel potentially constitutes a novel therapy for efficient healing of chronic diabetic wounds.


Assuntos
Diabetes Mellitus , Células-Tronco Mesenquimais , Humanos , Ratos , Animais , Hidrogéis/química , Angiogênese , Cicatrização , Inflamação
14.
PLoS Genet ; 6(3): e1000879, 2010 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-20300657

RESUMO

MicroRNAs play key roles in tumor metastasis. Here, we describe the regulation and function of miR-218 in gastric cancer (GC) metastasis. miR-218 expression is decreased along with the expression of one of its host genes, Slit3 in metastatic GC. However, Robo1, one of several Slit receptors, is negatively regulated by miR-218, thus establishing a negative feedback loop. Decreased miR-218 levels eliminate Robo1 repression, which activates the Slit-Robo1 pathway through the interaction between Robo1 and Slit2, thus triggering tumor metastasis. The restoration of miR-218 suppresses Robo1 expression and inhibits tumor cell invasion and metastasis in vitro and in vivo. Taken together, our results describe a Slit-miR-218-Robo1 regulatory circuit whose disruption may contribute to GC metastasis. Targeting miR-218 may provide a strategy for blocking tumor metastasis.


Assuntos
Metástase Linfática/patologia , MicroRNAs/metabolismo , Proteínas do Tecido Nervoso/metabolismo , Receptores Imunológicos/metabolismo , Neoplasias Gástricas/patologia , Regiões 3' não Traduzidas/genética , Adulto , Idoso , Animais , Sequência de Bases , Linhagem Celular Tumoral , Feminino , Regulação Neoplásica da Expressão Gênica , Humanos , Peptídeos e Proteínas de Sinalização Intercelular/genética , Peptídeos e Proteínas de Sinalização Intercelular/metabolismo , Metástase Linfática/genética , Masculino , Proteínas de Membrana/genética , Proteínas de Membrana/metabolismo , Camundongos , MicroRNAs/genética , Pessoa de Meia-Idade , Dados de Sequência Molecular , Invasividade Neoplásica , Estadiamento de Neoplasias , Proteínas do Tecido Nervoso/genética , Hibridização de Ácido Nucleico , Prognóstico , Ligação Proteica , Receptores Imunológicos/genética , Reprodutibilidade dos Testes , Neoplasias Gástricas/diagnóstico , Neoplasias Gástricas/genética , Proteínas Roundabout
15.
Discov Med ; 35(174): 57-72, 2023 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-37024442

RESUMO

OBJECTIVE: IKBKB-interacting protein (IKBIP) has rarely been reported in tumor research. This study aimed to evaluate IKBIP role in tumor progression. mRNA (messenger ribonucleic acid) expression, clinical characteristics and predictive values of IKBIP were assessed. METHODS: R package "clusterProfiler" was used to examine the potential mechanisms in which IKBIP may involve. Immune cell infiltration and its correlation with IKBIP was also analyzed. We further evaluated IKBIP influence on drug resistance. RESULTS: It was found that IKBIP was overexpressed and related to poorer survival in most types of tumors. IKBIP expression was strongly related to immunosuppressive cells in the TCGA (The Cancer Genome Atlas) pan-cancer samples. These immunosuppressive cells included tumor-related macrophages, tumor-related fibroblasts, and regulatory T cells. Moreover, immunosuppressive genes and immune checkpoints were positively related to IKBIP expression in several tumor types. Furthermore, patients with IKBIP overexpressed did not respond to most anti-cancer medications. It was also found that compared to control group, the number of invasive cells is four times that of IKBIP overexpression group, and the number of clone forming cells is six times that of IKBIP overexpression group. IKBIP overexpression promoted colon cancer cells invasiveness and clonogenesis by Transwell assay and colon formation assay. CONCLUSIONS: According to current findings, IKBIP is a probable oncogene and predictive marker for most of tumor types. High IKBIP expression is associated with tumor immunosuppression.


Assuntos
Neoplasias do Sistema Digestório , Humanos , Imunossupressores/farmacologia , Imunossupressores/uso terapêutico , Oncogenes , Biomarcadores , Colo , Microambiente Tumoral
16.
Spectrochim Acta A Mol Biomol Spectrosc ; 302: 123108, 2023 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-37423097

RESUMO

The new necklace-type molecules were formed by [8-13]CPP and carborane, which further manipulated the size of the macroring, revealing the effect of size on its luminescence behavior. In this work, the effects of ring size on the absorption spectrum, electron excitation and nonlinear optical properties of the compounds were investigated in detail, aiming to reveal an effective way to improve the optical properties of these necklace-type compounds. The absorption spectra of the compounds showed that the size of the CPP ring had little effect on the spectral shape and position, but the electron transition information showed that there were the significant charge transfer within the CPP ring and a gradual enhancement of interfragment charge transfer from the CPP ring to carborane. The increasing order of polarizability, first and second hyperpolarizability values of these compounds with the increase of CPP size indicated that increasing the size of the CPP ring was an effective way to increase the nonlinear optical properties of necklace-type molecules. Among the frequency dependent hyperpolarizability values, the γ(-ω;ω,0,0) value increased by a factor of 4 from complex 1 to 6 with the increase of CPP ring size, which indicated that increasing the size of the CPP ring was an effective way to increase the optical Kerr effect of necklace-type molecules. Therefore, these the new necklace-type nolecules formed by carborane and [n]Cycloparaphenylenes would be excellent nonlinear optical materials in the field of the all-optical switch.

17.
Diagnostics (Basel) ; 13(2)2023 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-36673110

RESUMO

BACKGROUND: Nasopharyngeal carcinoma (NPC) is a common tumor in China. Accurate stages of NPC are crucial for treatment. We therefore aim to develop radiomics models for discriminating early-stage (I-II) and advanced-stage (III-IVa) NPC based on MR images. METHODS: 329 NPC patients were enrolled and randomly divided into a training cohort (n = 229) and a validation cohort (n = 100). Features were extracted based on axial contrast-enhanced T1-weighted images (CE-T1WI), T1WI, and T2-weighted images (T2WI). Least absolute shrinkage and selection operator (LASSO) was used to build radiomics signatures. Seven radiomics models were constructed with logistic regression. The AUC value was used to assess classification performance. The DeLong test was used to compare the AUCs of different radiomics models and visual assessment. RESULTS: Models A, B, C, D, E, F, and G were constructed with 13, 9, 7, 9, 10, 7, and 6 features, respectively. All radiomics models showed better classification performance than that of visual assessment. Model A (CE-T1WI + T1WI + T2WI) showed the best classification performance (AUC: 0.847) in the training cohort. CE-T1WI showed the greatest significance for staging NPC. CONCLUSION: Radiomics models can effectively distinguish early-stage from advanced-stage NPC patients, and Model A (CE-T1WI + T1WI + T2WI) showed the best classification performance.

18.
Acad Radiol ; 30(12): 3022-3031, 2023 12.
Artigo em Inglês | MEDLINE | ID: mdl-37777428

RESUMO

RATIONALE AND OBJECTIVES: Accurate staging of laryngeal carcinoma can inform appropriate treatment decision-making. We developed a radiomics model, a deep learning (DL) model, and a combined model (incorporating radiomics features and DL features) based on the venous-phase CT images and explored the performance of these models in stratifying patients with laryngeal carcinoma into stage I-II and stage III-IV, and also compared these models with radiologists. MATERIALS AND METHODS: Three hundreds and nineteen patients with pathologically confirmed laryngeal carcinoma were randomly divided into a training set (n = 223) and a test set (n = 96). In the training set, the radiomics features with inter- and intraclass correlation coefficients (ICCs)> 0.75 were screened by Spearman correlation analysis and recursive feature elimination (RFE); then support vector machine (SVM) classifier was applied to develop the radiomics model. The DL model was built using ResNet 18 by the cropped 2D regions of interest (ROIs) in the maximum tumor ROI slices and the last fully connected layer of this network served as the DL feature extractor. Finally, a combined model was developed by pooling the radiomics features and extracted DL features to predict the staging. RESULTS: The area under the curves (AUCs) for radiomics model, DL model, and combined model in the test set were 0.704 (95% confidence interval [CI]: 0.588-0.820), 0.724 (95% CI: 0.613-0.835), and 0.849 (95% CI: 0.755-0.943), respectively. The combined model outperformed the radiomics model and the DL model in discriminating stage I-II from stage III-IV (p = 0.031 and p = 0.020, respectively). Only the combined model performed significantly better than radiologists (p < 0.050 for both). CONCLUSION: The combined model can help tailor the therapeutic strategy for laryngeal carcinoma patients by enabling more accurate preoperative staging.


Assuntos
Carcinoma , Aprendizado Profundo , Humanos , Área Sob a Curva , Radiologistas , Tomografia Computadorizada por Raios X , Estudos Retrospectivos
19.
Zhongguo Zhen Jiu ; 43(10): 1128-33, 2023 Oct 12.
Artigo em Zh | MEDLINE | ID: mdl-37802518

RESUMO

OBJECTIVE: To compare the clinical efficacy between the combined therapy of fire needling and cupping, and western medication on herpes zoster of acute stage, as well as the effects on Th17 and Treg cells and inflammatory factors, i.e. IL-10 and IL-17 in the peripheral blood. METHODS: Eighty patients with herpes zoster of acute stage were randomly divided into a combined therapy (fire needling plus cupping) group and a western medication group, 40 cases in each one. In the combined therapy group, the pricking and scattering techniques with fire needle were used at ashi points and Jiaji (EX-B 2) corresponding to the affected spinal segments; afterwards, cupping therapy was delivered. The combined treatment was given once daily. In the western medication group, valaciclovir hydrochloride tablet and vitamin B1 tablet were administered orally. The duration of treatment in each group was 10 days. Before each treatment from day 1 to day 10 and on day 11 , the score of symptoms and physical signs was observed in the two groups separately. Before each treatment from day 1 to day 10 and on day 11, 30, 60, the score of visual analogue scale (VAS) and skin lesion indexes were observed in the two groups. On day 60, the incidence of postherpetic neuralgia was recorded in the two groups. The levels of Th17 and Treg cells, Th17/Treg ratio in the peripheral blood, as well as serum levels of IL-10 and IL-17 were detected before and after treatment in the two groups. The clinical efficacy was compared between the two groups. RESULTS: From day 6 to day 10 during treatment and on day 11, the scores of symptoms and physical signs in the combined therapy group were lower than those of the western medication group (P<0.05, P<0.01). On day 3, day 6 to day 10 during treatment and day 11, day 30, VAS scores in the combined therapy group were lower than those of the western medication group (P<0.05, P<0.01). On day 60, the incidence of postherpetic neuralgia in the combined therapy group was lower compared with that in the western medication group (P<0.05). The blister arresting time and scabbing time in the combined therapy group were shorter than those of the western medication group (P<0.05). After treatment, the level of Th17, and Th17/Treg ratio in the peripheral blood, as well as the serum levels of IL-10 and IL-17 were all lower in comparison with those in the western medication group (P<0.05). The curative and remarkably effective rate was 82.5% (33/40) in the combined therapy group, higher than 62.5% (25/40) in the western medication group (P<0.05). CONCLUSION: The early application of fire needling combined with cupping therapy can effectively treat herpes zoster of acute stage, relieve pain, and reduce the incidence of postherpetic neuralgia, which may be related to reducing the levels of Th17 and Treg cells, and Th17/Treg ratio in the peripheral blood, as well as the serum levels of IL-10 and IL-17 so that the cellular immune balance is modulated.


Assuntos
Terapia por Acupuntura , Ventosaterapia , Herpes Zoster , Neuralgia Pós-Herpética , Humanos , Terapia por Acupuntura/métodos , Interleucina-10 , Interleucina-17 , Linfócitos T Reguladores , Células Th17 , Herpes Zoster/terapia , Resultado do Tratamento , Comprimidos
20.
Nanomaterials (Basel) ; 12(3)2022 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-35159805

RESUMO

In this work, we used multi-scale computational simulation methods combined with density functional theory (DFT) and finite element analysis (FEA) in order to study the optical properties of substitutional doped aluminium nitride (AlN). There was strong surface plasmon resonance (SPR) in the near-infrared region of AlN substituted with different alkali metal doping configurations. The strongest electric field strength reached 109 V/m. There were local exciton and charge transfer exciton behaviours in some special doping configurations. These research results not only improve the application of multi-scale computational simulations in quantum surface plasmons, but also promote the application of AlN in the field of surface-enhanced linear and non-linear optical spectroscopy.

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