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1.
Ecotoxicol Environ Saf ; 171: 240-246, 2019 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-30612011

RESUMEN

Previous studies demonstrated long-term stimulation of some commercial personal care products (PCPs) on freshwater luminescent bacteria Vibrio qinghaiensis sp.-Q67 (Q67). However, whether a certain component can affect mixture's hormetic effect is still unknown. In this paper, two of ingredients in PCPs, 2-phenoxyethanol (PhE) and polyethylene glycol 400 (PEG400), were selected as object compounds to explore the relationship between concentration-response (CR) of mixtures and that of a single component. It was found that PEG400 has monotonic CR (MCR) on Q67 both at the short-term (0.25 h) and long-term (12 h) exposures while PhE has MCR at 0.25 h and hormetic CR (HCR) at 12 h. Here, the concentration-response curves (CRCs) of PEG400 at 0.25 and 12 h are overlapped each other and the CRCs of PEG400 are on the right of PhE. If the pEC50 is taken as a toxic index, the toxicities of PEG400 at two times are basically the same, and those of PhE are the same, too, but PhE is twice as toxic as PEG400. For the mixtures of PEG400 and PhE, all rays except R1 have MCRs at 0.25 h while all rays have HCRs at 12 h where the higher the mixture ratio of PhE is, the more negative the maximum stimulation effect is. More importantly, the Emin values of all rays are more negative (1.79-3.17-fold) than that of PhE worked alone, which implies that the introduction of PEG400 significantly enhances stimulative effect of PhE. At 0.25 h, all binary mixture rays but R1 produce a low-concentration additive action and high-concentration synergism. At 12 h, all rays display additive action, antagonism, additive action, and synergism in turn when the concentration changes from low to high. The overall findings suggested toxicological interactions should be considered in the risk assessment of PCPs and their potential impacts on ecological balances.


Asunto(s)
Glicoles de Etileno/toxicidad , Polietilenglicoles/toxicidad , Vibrio/efectos de los fármacos , Contaminantes Químicos del Agua/toxicidad , Cosméticos/química , Interacciones Farmacológicas , Hormesis , Luminiscencia , Factores de Tiempo , Pruebas de Toxicidad
2.
J Org Chem ; 81(23): 11743-11750, 2016 12 02.
Artículo en Inglés | MEDLINE | ID: mdl-27787990

RESUMEN

The cobalt-catalyzed cross-dehydrogenative coupling of (benz)oxazoles and ethers is described. Access to some important bioactive heteroaryl ether derivatives was achieved using CoCO3 as an inexpensive catalyst at levels as low as 1.0 mol %. Investigation of the mechanism indicates a catalytic cycle involving a radical process.

3.
Ecotoxicol Environ Saf ; 107: 16-21, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-24905692

RESUMEN

Various chemicals in the environment always exist as mixtures. Toxicity interaction within mixtures may pose potential hazards and risks to the environmental safety and human health. Recent studies showed that toxicity interaction by ionic liquid (IL) mixtures can be related to a certain component. To identify the component, we developed a novel procedure integrating an up-to-down process with the uniform design-based ray method (UDUD) and applied it into an IL mixture system of four 1-butyl-3-methylimidazolium ILs (simply [bmim]X) where X=Cl(-), Br(-), CH3OSO3(-) and CH3(CH2)7OSO3(-). It was shown that two mixture rays in the quaternary system exhibited significant antagonistic interaction. In this paper, the UDUD was first employed to design four ternary mixture systems. The microplate toxicity analysis was used to determine the toxicities of various mixtures to a freshwater photobacterium Vibrio qinghaiensis sp.-Q67. The concentration addition was taken as an additive reference to assess the toxicity interactions taking place in mixtures. The results revealed that some ternary mixture rays including [bmim]CH3(CH2)7OSO3 display antagonism while the ternary rays without [bmim]CH3(CH2)7OSO3 exhibit additivity. On these grounds, we again designed all binary mixtures containing [bmim]CH3(CH2)7OSO3, determined their toxicities and assessed toxicity interaction. The results showed that three binary mixture systems produce antagonism. Thus, it may be concluded that [bmim]CH3(CH2)7OSO3 is indeed a key component inducing mixture antagonism.


Asunto(s)
Imidazoles/toxicidad , Imidazoles/química , Líquidos Iónicos/química , Líquidos Iónicos/toxicidad , Pruebas de Toxicidad , Vibrio
4.
BMJ Open ; 14(7): e081627, 2024 Jul 17.
Artículo en Inglés | MEDLINE | ID: mdl-39019644

RESUMEN

BACKGROUND: The novel COVID-19 was rapidly spreading and was highly contagious. COVID-19 caused over 6 million deaths worldwide, with high mortality rates, particularly in severe cases. OBJECTIVE: This study aimed to investigate whether serum albumin-neutrophil count to lymphocyte count ratio (NLR) score (ANS) could be used as a prognostic indicator of COVID-19 severity. DESIGN: A retrospective study. PARTICIPANTS: Based on the WHO diagnostic criteria, patients were classified as either non-severe (n=270) or severe (n=100). PRIMARY AND SECONDARY OUTCOME MEASURES: NLR, serum albumin level and ANS. MAIN RESULTS: The NLR of patients with severe disease was significantly higher than that of those with non-severe disease. Serum albumin levels were significantly lower in patients with severe disease than in those with non-severe disease. The cut-off values representing the maximum potential effectiveness of serum albumin and NLR were 33.5 g/L and 8.25, respectively, according to the Youden index. In patients with severe COVID-19, we observed that the serum albumin level, NLR and ANS were independent prognostic indicators of severe COVID-19 using logistic analysis. The relative risk of severe COVID-19 was 7.65 (95% CI 3.72 to 15.75, p<0.05) in the ANS 2 group compared with that in ANS 0. CONCLUSIONS: ANS could be used as a prognostic indicator of COVID-19 severity.


Asunto(s)
Biomarcadores , COVID-19 , Neutrófilos , SARS-CoV-2 , Albúmina Sérica , Índice de Severidad de la Enfermedad , Humanos , COVID-19/sangre , COVID-19/diagnóstico , COVID-19/mortalidad , Estudios Retrospectivos , Femenino , Masculino , Persona de Mediana Edad , Anciano , Biomarcadores/sangre , Albúmina Sérica/análisis , Albúmina Sérica/metabolismo , Pronóstico , Recuento de Linfocitos , Hospitalización , Adulto , Recuento de Leucocitos
5.
Sci Rep ; 14(1): 18197, 2024 08 06.
Artículo en Inglés | MEDLINE | ID: mdl-39107340

RESUMEN

With the rapid spread of the novel coronavirus (COVID-19), a sustained global pandemic has emerged. Globally, the cumulative death toll is in the millions. The rising number of COVID-19 infections and deaths has severely impacted the lives of people worldwide, healthcare systems, and economic development. We conducted a retrospective analysis of the characteristics of COVID-19 patients. This analysis includes clinical features upon initial hospital admission, relevant laboratory test results, and imaging findings. We aimed to identify risk factors for severe illness and to construct a predictive model for assessing the risk of severe COVID-19. We collected and analyzed electronic medical records of confirmed COVID-19 patients admitted to the Affiliated Hospital of Jiangsu University (Zhenjiang, China) between December 18, 2022, and February 28, 2023. According to the WHO diagnostic criteria for the novel coronavirus, we divided the patients into two groups: severe and non-severe, and compared their clinical, laboratory, and imaging data. Logistic regression analysis, the least absolute shrinkage and selection operator (LASSO) regression, and receiver operating characteristic (ROC) curve analysis were used to identify the relevant risk factors for severe COVID-19 patients. Patients were divided into a training cohort and a validation cohort. A nomogram model was constructed using the "rms" package in R software. Among the 346 patients, the severe group exhibited significantly higher respiratory rates, breathlessness, altered consciousness, neutrophil-to-lymphocyte ratio (NLR), and lactate dehydrogenase (LDH) levels compared to the non-severe group. Imaging findings indicated that the severe group had a higher proportion of bilateral pulmonary inflammation and ground-glass opacities compared to the non-severe group. NLR and LDH were identified as independent risk factors for severe patients. The diagnostic performance was maximized when NLR, respiratory rate (RR), and LDH were combined. Based on the statistical analysis results, we developed a COVID-19 severity risk prediction model. The total score is calculated by adding up the scores for each of the twelve independent variables. By mapping the total score to the lowest scale, we can estimate the risk of COVID-19 severity. In addition, the calibration plots and DCA analysis showed that the nomogram had better discrimination power for predicting the severity of COVID-19. Our results showed that the development and validation of the predictive nomogram had good predictive value for severe COVID-19.


Asunto(s)
COVID-19 , Nomogramas , Índice de Severidad de la Enfermedad , Humanos , COVID-19/epidemiología , COVID-19/diagnóstico , COVID-19/complicaciones , Masculino , Femenino , Factores de Riesgo , Persona de Mediana Edad , Estudios Retrospectivos , Anciano , Adulto , SARS-CoV-2/aislamiento & purificación , China/epidemiología , Curva ROC
6.
Oncol Lett ; 25(4): 135, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-36909371

RESUMEN

The present study aimed to evaluate the potential of the monocyte to red blood cell count ratio (MRR), the neutrophil to red blood cell count ratio (NRR), the lymphocyte to red blood cell count ratio (LRR) and the product of lymphocyte count and albumin concentration (LA) for the diagnosis of lung cancer. The cases of 216 patients with newly diagnosed lung cancer and 184 healthy volunteers were retrospectively analysed. The MRR and NRR were found to be higher in patients with lung cancer compared with those in healthy controls, while the LRR and LA were lower. The receiver operating characteristic curve analysis revealed that of the four markers, the MRR and LA yielded a higher area under the curve (AUC) (MRR: AUC, 0.810; 95% CI, 0.768-0.847; and LA: AUC, 0.721; 95% CI, 0.674-0.764). The combination of MRR, LA, carcinoembryonic antigen (CEA) and cytokeratin 19 fragment antigen 21-1 (CYFRA21-1) achieved the highest diagnostic value when compared with other single or combined markers (AUC, 0.882; 95% CI, 0.846-0.912; sensitivity, 81.9%; specificity, 81.0%). As the disease progressed, the MRR tended to increase, while LA exhibited a decreasing trend. Binary logistic regression analysis revealed an increase in the MRR, as well as in CEA and CYFRA21-1 concentrations, and a decrease in the LA, which could all be possible risk factors for lung cancer. Differences in the MRR and LA between patients with early stage (IA-IIIA) lung cancer and healthy controls were observed. Further analysis revealed that the MRR also exhibited the potential to detect early stage (IA-IIIA) lung cancer in the model. The present findings demonstrated that the MRR and LA may be used as auxiliary biomarkers for the diagnosis of lung cancer and could partly indicate disease progression.

7.
Int J Gen Med ; 16: 2175-2185, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37287502

RESUMEN

Objective: This study aims at assessing the potential benefits of observation of monocyte-to-albumin ratio (MAR) and neutrophil percentage-to-hemoglobin ratio (NPHR) in the detection of non-small cell lung cancer (NSCLC). Methods: This study retrospectively involved 195 NSCLC patients and 204 healthy volunteers. The correlations between the clinicopathological characteristics of NSCLC and the two ratios including MAR and NPHR were assessed. The diagnostic efficiency of NSCLC patients by MAR and NPHR, alone or in combination with carcinoembryonic antigen (CEA), was assessed by receiver operating characteristic (ROC) curve. The risk factors for NSCLC were analyzed with binary logistic regression. Results: Compared to healthy controls, the levels of MAR and NPHR in NSCLC patients were elevated. MAR and NPHR were related to clinicopathologic characteristics and increased significantly along with the progression of NSCLC. The area under the curve (AUC) for 95% confidence interval (95% CI) of MAR and NPHR in the diagnosis of NSCLC was 0.812 (0.769-0.854) and 0.724 (0.675-0.774), respectively. The combination of MAR, NPHR, and CEA achieved the highest diagnostic utility compared to each individually or combined markers (AUC, 0.86; 95% CI, 0.824-0.896; sensitivity, 72.8%; specificity, 87.3%). Further analysis showed that MAR combined with NPHR presented the potential to detect early-stage (IA-IIB) NSCLC (AUC, 0.794; 95% CI, 0.743-0.845; sensitivity, 55.1%; specificity, 87.7%). The result indicated that MAR and NPHR might be risk factors for NSCLC. Conclusion: MAR and NPHR could be novel and effective auxiliary indexes in the detection of NSCLC, especially when combined with CEA.

8.
Acta Crystallogr Sect E Struct Rep Online ; 68(Pt 4): m506, 2012 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-22589858

RESUMEN

The title compound, [Co(C(7)H(5)O(2))(2)(C(12)H(16)N(3)O(2))(2)(H(2)O)(2)], was obtained from a conventional solvent evaporation method. The complex mol-ecule is centrosymmetric, so pairs of equivalent ligands lie trans to each other in a slightly distorted octa-hedral CoN(2)O(4) geometry. The Co(II) ion is coordinated by the pyridine N atoms from NITpPy ligands [NITpPy is 4,4,5,5-tetra-methyl-2-(pyridin-4-yl)imidazoline-1-oxyl 3-oxide), water O atoms and two monodentate benzoate O atoms. The complex mol-ecules are connected by O-H⋯O hydrogen bonds between water mol-ecules and benzoate ligands, forming chains parallel to [100]. π-π stacking inter-actions between the benzoate ligands with centroid-centroid distances of 3.752 (2) Šconnect the chains into layers parallel to (10-1).

9.
Artículo en Zh | MEDLINE | ID: mdl-22908821

RESUMEN

The quality index among "Medical Parasitology" exam papers and measured data for students in three majors from the university in 2010 were compared and analyzed. The exam papers were formed from the test item bank. The alpha reliability coefficients of the three exam papers were above 0.70. The knowledge structure and capacity structure of the exam papers were basically balanced. But the alpha reliability coefficients of the second major was the lowest, mainly due to quality of test items in the exam paper and the failure of revising the index of test item bank in time. This observation demonstrated that revising the test items and their index in the item bank according to the measured data can improve the quality of test item bank proposition and reduce the difference among exam papers.


Asunto(s)
Evaluación Educacional , Parasitología/educación , Animales
10.
Artículo en Inglés | MEDLINE | ID: mdl-35958919

RESUMEN

Objective: The aim of this study is to investigate the influence of grading rehabilitation nursing mode on limb function, speech function, and QOL of stroke patients. Methods: From January 2018 to April 2019, the stroke patients who received treatment in our hospital were selected as the study participants. Based on the random number table, they were assigned to CG (n = 60) and OG (n = 60). The routine rehabilitation nursing mode was used in the CG, and the grading rehabilitation nursing mode was used in the OG. The limb function, speech function, QOL, and nursing satisfaction were evaluated in both the groups, and the survival curve was analyzed after 12 months of follow-up. Results: The motor function of upper and lower limbs in OG was significantly higher than that in CG, and the total effective rate of speech function recovery in OG was 95.00%, which was obviously higher than 81.67% in CG (P < 0.05); the total QOL score in OG was (80.72 ± 7.15), which was significantly higher than (69.53 ± 6.42) in CG. The nursing satisfaction of the OG was higher (P < 0.05). The Kaplan-Meier curve analysis revealed that the difference of 12-month survival rate between CG and OG was statistically significant (χ 2 = 4.710, P=0.030). Conclusion: The application of grading rehabilitation nursing mode in stroke patients can effectively facilitate the recovery of extremity function and speech function, ameliorate the QOL and nursing satisfaction of patients, reduce the death and disability of patients, and prolong the survival time of patients.

11.
Mol Cell Biochem ; 352(1-2): 221-30, 2011 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-21344307

RESUMEN

Evidence is accumulating that estradiol (E2) may play a dual role in carcinogenic and anticarcinogenic effects by different metabolic pathways. It has been shown that some metabolites of E2 exert proliferative and others anti-proliferative properties on human cancer cells. In the present study, the effects of E2 and its four primary metabolites including 2-hydroxyestradiol (2OHE2), 4-hydroxyestradiol (4OHE2), 2-methoxyestradiol (2ME), and 4-methoxyestradiol (4ME) on proliferation and cell cycle in RL95-2 human endometrial cells were investigated. Our results indicate that 2ME and 2OHE2, but not E2, 4ME, and 4OHE2, exhibit the inhibitory effect through cell cycle arrest at G2/M. 2ME and 2OHE2-induced G2/M cell cycle arrest associated with activation of p53 (Ser15), upregulation of p21(WAF1/Cip1) (p21) and GADD45, inactivation of Cdc2 (Tyr15), as well as downregulation of Cyclin B1. 2ME and 2OHE2-mediated cell cycle arrest at G2/M was also related to activation of protein kinase Chk1 which is associated with p53 (Ser20) activation and downstream responses.


Asunto(s)
División Celular/efectos de los fármacos , Neoplasias Endometriales/patología , Estradiol/análogos & derivados , Fase G2/efectos de los fármacos , Proteínas Quinasas/metabolismo , Proteína p53 Supresora de Tumor/metabolismo , Apoptosis , Western Blotting , Quinasa 1 Reguladora del Ciclo Celular (Checkpoint 1) , Estradiol/farmacología , Femenino , Humanos , Células Tumorales Cultivadas
12.
Stem Cells Int ; 2021: 1496101, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34552631

RESUMEN

As an alternative mesenchymal stem cell- (MSC-) based therapy, MSC-derived extracellular vesicles (EVs) have shown promise in the field of regenerative medicine. We previously found that human umbilical cord mesenchymal stem cell-derived EVs (hUCMSC-EVs) improved functional recovery and nerve regeneration in a rat model of sciatic nerve transection. However, the underlying mechanisms are poorly understood. Here, we demonstrated for the first time that hUCMSC-EVs promoted the proliferation of Schwann cells by activating the PI3K/AKT signaling pathway. Furthermore, we showed that hUCMSC-EVs mediated Schwann cell proliferation via transfer of miR-21. Our findings highlight a novel mechanism of hUCMSC-EVs in treating peripheral nerve injury and suggest that hUCMSC-EVs may be an attractive option for clinical application in the treatment of peripheral nerve injury.

13.
Mol Med Rep ; 19(3): 1951-1957, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30628701

RESUMEN

Asthma is a common chronic inflammatory airway disease; however, whether microRNAs (miRs) could be used in the treatment of asthma remains unclear. The aim of the present study was to investigate the role of miR­625­5p in the inflammatory response of human bronchial epithelial cells (HBECs). Inflammation in the HBEC line, 16HBEC, was induced using different concentrations of lipopolysaccharide (LPS), which demonstrated that 1 µg/ml LPS was an appropriate concentration for further experiments. The association between protein kinase B2 (AKT2) and miR­625­5p was verified using a luciferase reporter assay. LPS was added to 16HBECs following the administration of miR­625­5p mimics or miR­625­5p inhibitors, and cells with silenced or overexpressed AKT2 levels. miR­625­5p was expressed at a high level in LPS­activated 16HBECs. Overexpression of miR­625­5p inhibited interleukin (IL)­6 and tumor necrosis factor (TNF)­α secretion in 16HBECs. Inhibition of miR­625­5p enhanced LPS­induced IL­6 and TNF­α secretion. miR­625­5p negatively regulated the expression of AKT2 in 16HBECs. A dual­luciferase reporter assay system confirmed that miR­625­5p directly targeted the 3'untranslated region of AKT2. Transfection with a small interfering RNA against AKT2 inhibited inhibitor of κB phosphorylation. In brief, miR­625­5p may protect LPS­induced HBECs by targeting AKT2 and inhibiting the nuclear factor­κB signaling pathway. Therefore, miR­625­5p may function as an inhibitor of asthma airway inflammation in HBECs by targeting AKT2.


Asunto(s)
Bronquios/metabolismo , Inflamación/genética , MicroARNs/genética , Proteínas Proto-Oncogénicas c-akt/genética , Células Epiteliales Alveolares/efectos de los fármacos , Células Epiteliales Alveolares/metabolismo , Células Epiteliales Alveolares/patología , Bronquios/patología , Regulación de la Expresión Génica/genética , Humanos , Inflamación/inducido químicamente , Inflamación/patología , Interleucina-6/genética , Lipopolisacáridos/toxicidad , FN-kappa B/genética , Fosforilación , Proteínas Proto-Oncogénicas c-akt/metabolismo , Transducción de Señal/genética , Factor de Necrosis Tumoral alfa
14.
Respirology ; 13(5): 664-9, 2008 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-18513241

RESUMEN

BACKGROUND AND OBJECTIVE: Serum levels of high-sensitivity CRP (hs-CRP) are associated with asthma but the relationship between higher levels of hs-CRP and the degree of asthma severity remains unclear. This study investigated whether hs-CRP is associated with asthma severity as well as with other clinical indices of asthma activity (pulmonary function, total serum IgE, and peripheral blood eosinophil counts). METHODS: Levels of hs-CRP and clinical indices of asthma were determined among 177 control subjects and 281 asthmatic patients (84 intermittent, 30 mild, 63 moderate and 104 severe). RESULTS: The level of hs-CRP was examined as both a continuous variable and by quartiles (<0.23, 0.23-0.51, 0.51-1.42 and >or=1.42 mg/L) in the five groups. Compared with the first quartile of hs-CRP, patients with higher levels were at increased risk of severe asthma independently of other clinical indices (adjusted OR 3.49, 95% CI: 1.51-8.12 for the third quartile; adjusted OR 6.46, 95% CI: 2.85-16.62 for fourth quartile, respectively). CONCLUSIONS: These findings suggest that hs-CRP might be a sensitive marker for severe asthma.


Asunto(s)
Asma/sangre , Asma/diagnóstico , Proteína C-Reactiva/metabolismo , Índice de Severidad de la Enfermedad , Adolescente , Adulto , Asma/patología , Biomarcadores/sangre , Proteína C-Reactiva/análisis , Estudios de Casos y Controles , Femenino , Humanos , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Sensibilidad y Especificidad
15.
J Spinal Disord Tech ; 21(7): 514-7, 2008 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-18836364

RESUMEN

STUDY DESIGN: A method of atlantoaxial stabilization using individual fixation of the C1 posterior arch and the C2 pedicle with C2 pedicle screws and plates combined with C1 titanium cables is described. In addition, the clinical results of this method on 8 patients are described. OBJECTIVE: To describe the method and the clinical and radiographic results for posterior C1-C2 fixation with a combined implant system. SUMMARY OF BACKGROUND DATA: Stabilization of the atlantoaxial complex is a challenging procedure because of the unique anatomy of this region. Fixation by plate or rod and C1 and C2 screw and structural bone grafting leads to excellent fusion rates. The technique is technically demanding and has a potential risk of the injuries to the vertebral artery, the internal carotid artery, spinal cord, and hypoglossal nerves. In addition, how to stabilize the atlantoaxial complex in the cases not suitable for placement of C1 screw is not described in the literature. To address these limitations, a method of C1-C2 fixation has been developed: bilateral insertion of C2 pedicle screws and rolling of C1 titanium cable through the posterior arch of atlas and the cranial hole of the plate, followed by C1-C2 plate fixation. METHODS: From February 2003 to March 2006, 8 patients with atlantoaxial instability and not suitable for placement of C1 screw were included in this study: 5 cases of broken C1 pedicle screw trajectory and 3 cases of C1 anatomic anomalies. Skull traction was performed in each patient preoperatively. The pedicle screws were inserted into C2 pedicles in the direction as its axis. C1 titanium cable was rolled superior to lower through posterior arch of atlas in the cases not suitable for placement of C1 screw. The C1-C2 plate was slightly bent to fit the upper cervical contour. Hyperflexion alignment of the atlantoaxial complex was corrected by application of extension force created by tightening of the nut on the pedicle screws and the C1 titanium cable, which was passed through the cranial hole of the plate. Morselized autogenous cancellous iliac grafts were placed on the surface of the posterior arches of both atlas and axis. All patients were assessed clinically for neurologic recovery by Odom's method. RESULTS: There were 5 males and 3 females with a mean age of 37.8 years (range, 17 to 59 y). There were 2 cases of old odontoid fracture, 2 cases fresh odontoid fracture (Aderson II C), 2 cases atlas transverse ligament laxation, 2 cases atlas transverse ligament rupture, and in these cases, 5 cases had failed placement of C1 screw because of broken C1 pedicle screw trajectory and 3 cases not suitable for placement of C1 screw because of anatomic anomalies. There were no spinal cord and vertebral artery and nerve injury after surgery. Follow-up duration was from 18 to 55 months with the average of 29 months. The plant bones all fused and there were no internal fixation rupture and mobility. All the patients showed improvement. CONCLUSIONS: C2 pedicle screw and plate combined with C1 titanium cable could be used to treat atlantoaxial instability in the cases not suitable for placement of C1 screw.


Asunto(s)
Articulación Atlantooccipital/cirugía , Placas Óseas , Tornillos Óseos , Vértebras Cervicales/cirugía , Fijadores Internos , Desplazamiento del Disco Intervertebral/cirugía , Inestabilidad de la Articulación/cirugía , Fusión Vertebral/instrumentación , Titanio , Adolescente , Adulto , Diseño de Equipo , Análisis de Falla de Equipo , Femenino , Humanos , Masculino , Persona de Mediana Edad , Resultado del Tratamiento , Adulto Joven
16.
Chin Med J (Engl) ; 121(3): 205-12, 2008 Feb 05.
Artículo en Inglés | MEDLINE | ID: mdl-18298910

RESUMEN

BACKGROUND: CD4(+)CD25(+) regulatory T cells (Tregs) mediate immune suppression through cell-cell contact with surface molecules, particularly cytotoxic T lymphocyte-associated antigen 4 (CTLA-4), glucocorticoid-induced tumor necrosis factor receptor family-related protein (GITR), and transforming growth factor beta (TGF-beta), but little is known about the exact role of Tregs in the pathogenesis of asthma. This study sought to characterize the expression of surface markers on peripheral blood mononuclear cells-derived Tregs in patients with atopic asthma and healthy subjects, and to investigate the effect of inhaled corticosteroid on them. METHODS: The expression of surface molecules on CD4(+)CD25(high) Tregs was detected by flow cytometry. The effect of inhaled corticosteroid on expression of the surface molecules on Tregs was determined in vivo and in vitro. Total serum immunoglobulin E (IgE) and high-sensitivity C-reactive protein were measured by enzyme linked immunosorbent assay and latex enhanced immunoturbidimetric assay, respectively. RESULTS: Equivalent numbers of peripheral Tregs were found in patients with atopic asthma (stable and acute) and healthy subjects. Tregs preferentially expressed CTLA-4, GITR, toll-like receptor 4 (TLR4), latency-associated peptide (LAP/TGF-beta1), and forkhead box P3 (FOXP3). Patients with acute asthma had decreased numbers of CD4(+)CD25(high)LAP(+) T cells compared to healthy subjects and stable asthmatics. Inhaled corticosteroid enhanced the percentage of Tregs expressing LAP in vivo and in vitro dose-dependently. Furthermore, the percentages of Tregs expressing LAP were negatively correlated with total serum IgE levels and severity of asthma, but positively correlated with forced expiratory volume in one second percentage of the predicted value in patients with asthma. CONCLUSIONS: The results suggest that membrane-bound TGF-beta1 is a potential candidate for predicting the severity of asthma, and may contribute to the sustained remission of asthma. Strategies targeting Tregs on their surface markers, especially TGF-beta1, are promising for future therapy of asthma.


Asunto(s)
Corticoesteroides/administración & dosificación , Asma/inmunología , Linfocitos T Reguladores/inmunología , Administración por Inhalación , Adulto , Antígenos CD/sangre , Antígenos de Diferenciación/sangre , Asma/tratamiento farmacológico , Budesonida/farmacología , Antígeno CTLA-4 , Femenino , Factores de Transcripción Forkhead/sangre , Proteína Relacionada con TNFR Inducida por Glucocorticoide , Humanos , Masculino , Persona de Mediana Edad , Receptores de Factor de Crecimiento Nervioso/sangre , Receptores del Factor de Necrosis Tumoral/sangre , Linfocitos T Reguladores/efectos de los fármacos , Receptor Toll-Like 4/sangre , Factor de Crecimiento Transformador beta1/sangre
17.
Chin Med J (Engl) ; 121(4): 355-62, 2008 Feb 20.
Artículo en Inglés | MEDLINE | ID: mdl-18304470

RESUMEN

BACKGROUND: Beta(2)-adrenoceptor (beta(2)AR) desensitization is a common problem in clinical practice. beta(2)AR desensitization proceeds by at least such three mechanisms as heterologous desensitization, homologous desensitization and a kind of agonist-induced rapid phosphorylation by a variety of serine/threonine kinases. It is not clear whether there are other mechanisms. This study aimed to investigate potential mechanisms of beta(2)AR desensitization. METHODS: Twenty-four BALB/c (6-8 weeks old) mice were divided into three groups, which is, group A, phosphate buffered saline (PBS)-treated; group B, ovalbumin (OVA)-induced; and group C, salbutamol-treated. Inflammatory cell counts, cytokine concentrations of bronchoalveolar lavage fluid (BALF), pathological sections, total serum IgE, airway responsiveness, membrane receptor numbers and total amount of beta(2)AR were observed. Asthmatic mouse model and beta(2)AR desensitization asthmatic mouse model were established. Groups B and C were selected for two-dimensional gel electrophoresis (2DE) analysis so as to find key protein spots related to beta(2)AR desensitization. RESULTS: Asthmatic mouse model and beta(2)AR desensitization asthmatic mouse model were verified by inflammatory cell count, cytokine concentration of BALF, serum IgE level, airway hyperreactivity measurement, radioligand receptor binding assay, Western blot analysis, and pathologic examination. Then the two groups (groups B and C) were subjected to 2DE. Two key protein spots associated with beta(2)AR desensitization, Rho GDP-dissociation inhibitor 2 (RhoGDI(2)) and peroxiredoxin 5, were found by comparative proteomics (2DE and mass spectrum analysis). CONCLUSION: Oxidative stress and small G protein regulators may play an important role in the process of beta(2)AR desensitization.


Asunto(s)
Asma/metabolismo , Inhibidores de Disociación de Guanina Nucleótido/análisis , Pulmón/química , Peroxirredoxinas/análisis , Proteómica , Receptores Adrenérgicos beta 2/fisiología , Albuterol/uso terapéutico , Animales , Asma/tratamiento farmacológico , Modelos Animales de Enfermedad , Electroforesis en Gel Bidimensional , Femenino , Pulmón/patología , Ratones , Ratones Endogámicos BALB C , Estrés Oxidativo , Inhibidores de la Disociación del Nucleótido Guanina rho-Específico
18.
Artículo en Zh | MEDLINE | ID: mdl-18771612

RESUMEN

OBJECTIVE: To observe the effect of mitogen activated protein kinase (MAPK) signal transduction system on the apoptosis induced by electromagnetic exposure in PC12 cells. METHODS: After pretreated by SB203580 alone or together with U0126, PC12 cells were exposed to 65 mW/cm(2) electromagnetic wave for 20 min. The phosphorylations of ERK1/2, JNK and P38 MAPK were tested by Western-blot at 3 h and 24 h after electromagnetic exposure. The apoptosis of PC12 cells were detected by Annexin-V-FITC flow cytometry. RESULTS: U0126, but not SB203580 could inhibit the activation of ERK1/2 induced by electromagnetic exposure. U0126 and SB203580 had no effects on the activation of JNK. SB203580 could inhibit the activation of P38 MAPK significantly. But U0126 had no such effect on the activation of P38 MAPK. After pretreated by SB203580 alone or together with U0126, the apoptosis of PC12 cells decreased. But the pretreatment by U0126 alone had no influence on the apoptosis of PC12 cells. CONCLUSION: The P38 MAPK signal transduction modulate the apoptosis of PC12 cells induced by electromagnetic exposure. ERK signal transduction has no effect on the apoptosis of PC12 cells. JNK signal transduction may promote the apoptosis of PC12 cells in the early stage after electromagnetic exposure.


Asunto(s)
Apoptosis/efectos de la radiación , Radiación Electromagnética , Proteínas Quinasas Activadas por Mitógenos/metabolismo , Transducción de Señal , Animales , Células PC12 , Fosforilación , Ratas
19.
Org Lett ; 19(20): 5589-5592, 2017 10 20.
Artículo en Inglés | MEDLINE | ID: mdl-28991486

RESUMEN

A cobalt-catalyzed decarboxylative cross-coupling reaction of (hetero)aryl carboxylic acids with benzothiazoles or benzoxazoles is reported. This represents a first example of metal-catalyzed decarboxylative C-H heteroarylation of benzo-fused heterocycles. The transformation provides a convenient route, with good yields and functional group tolerance, to various important arylheteroaryl and unsymmetrical biheteroaryl structural motifs.

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