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1.
Circulation ; 149(24): 1903-1920, 2024 Jun 11.
Artículo en Inglés | MEDLINE | ID: mdl-38357802

RESUMEN

BACKGROUND: S-Nitrosylation (SNO), a prototypic redox-based posttranslational modification, is involved in cardiovascular disease. Aortic aneurysm and dissection are high-risk cardiovascular diseases without an effective cure. The aim of this study was to determine the role of SNO of Septin2 in macrophages in aortic aneurysm and dissection. METHODS: Biotin-switch assay combined with liquid chromatography-tandem mass spectrometry was performed to identify the S-nitrosylated proteins in aortic tissue from both patients undergoing surgery for aortic dissection and Apoe-/- mice infused with angiotensin II. Angiotensin II-induced aortic aneurysm model and ß-aminopropionitrile-induced aortic aneurysm and dissection model were used to determine the role of SNO of Septin2 (SNO-Septin2) in aortic aneurysm and dissection development. RNA-sequencing analysis was performed to recapitulate possible changes in the transcriptome profile of SNO-Septin2 in macrophages in aortic aneurysm and dissection. Liquid chromatography-tandem mass spectrometry and coimmunoprecipitation were used to uncover the TIAM1-RAC1 (Ras-related C3 botulinum toxin substrate 1) axis as the downstream target of SNO-Septin2. Both R-Ketorolac and NSC23766 treatments were used to inhibit the TIAM1-RAC1 axis. RESULTS: Septin2 was identified S-nitrosylated at cysteine 111 (Cys111) in both aortic tissue from patients undergoing surgery for aortic dissection and Apoe-/- mice infused with Angiotensin II. SNO-Septin2 was demonstrated driving the development of aortic aneurysm and dissection. By RNA-sequencing, SNO-Septin2 in macrophages was demonstrated to exacerbate vascular inflammation and extracellular matrix degradation in aortic aneurysm. Next, TIAM1 (T lymphoma invasion and metastasis-inducing protein 1) was identified as a SNO-Septin2 target protein. Mechanistically, compared with unmodified Septin2, SNO-Septin2 reduced its interaction with TIAM1 and activated the TIAM1-RAC1 axis and consequent nuclear factor-κB signaling pathway, resulting in stronger inflammation and extracellular matrix degradation mediated by macrophages. Consistently, both R-Ketorolac and NSC23766 treatments protected against aortic aneurysm and dissection by inhibiting the TIAM1-RAC1 axis. CONCLUSIONS: SNO-Septin2 drives aortic aneurysm and dissection through coupling the TIAM1-RAC1 axis in macrophages and activating the nuclear factor-κB signaling pathway-dependent inflammation and extracellular matrix degradation. Pharmacological blockade of RAC1 by R-Ketorolac or NSC23766 may therefore represent a potential treatment against aortic aneurysm and dissection.


Asunto(s)
Aneurisma de la Aorta , Disección Aórtica , Macrófagos , Septinas , Proteína 1 de Invasión e Inducción de Metástasis del Linfoma-T , Proteína de Unión al GTP rac1 , Animales , Humanos , Masculino , Ratones , Angiotensina II/metabolismo , Aneurisma de la Aorta/metabolismo , Aneurisma de la Aorta/patología , Aneurisma de la Aorta/genética , Disección Aórtica/metabolismo , Disección Aórtica/patología , Disección Aórtica/genética , Modelos Animales de Enfermedad , Macrófagos/metabolismo , Macrófagos/patología , Ratones Endogámicos C57BL , Neuropéptidos , Proteína de Unión al GTP rac1/metabolismo , Proteína de Unión al GTP rac1/genética , Septinas/metabolismo , Septinas/genética , Transducción de Señal , Proteína 1 de Invasión e Inducción de Metástasis del Linfoma-T/metabolismo , Proteína 1 de Invasión e Inducción de Metástasis del Linfoma-T/genética
2.
J Neuroinflammation ; 21(1): 29, 2024 Jan 22.
Artículo en Inglés | MEDLINE | ID: mdl-38246987

RESUMEN

Demyelination and failure of remyelination in the central nervous system (CNS) characterize a number of neurological disorders. Spontaneous remyelination in demyelinating diseases is limited, as oligodendrocyte precursor cells (OPCs), which are often present in demyelinated lesions in abundance, mostly fail to differentiate into oligodendrocytes, the myelinating cells in the CNS. In addition to OPCs, the lesions are assembled numbers of activated resident microglia/infiltrated macrophages; however, the mechanisms and potential role of interactions between the microglia/macrophages and OPCs are poorly understood. Here, we generated a transcriptional profile of exosomes from activated microglia, and found that miR-615-5p was elevated. miR-615-5p bound to 3'UTR of myelin regulator factor (MYRF), a crucial myelination transcription factor expressed in oligodendrocyte lineage cells. Mechanistically, exosomes from activated microglia transferred miR-615-5p to OPCs, which directly bound to MYRF and inhibited OPC maturation. Furthermore, an effect of AAV expressing miR-615-5p sponge in microglia was tested in experimental autoimmune encephalomyelitis (EAE) and cuprizone (CPZ)-induced demyelination model, the classical mouse models of multiple sclerosis. miR-615-5p sponge effectively alleviated disease progression and promoted remyelination. This study identifies miR-615-5p/MYRF as a new target for the therapy of demyelinating diseases.


Asunto(s)
Encefalomielitis Autoinmune Experimental , Exosomas , MicroARNs , Vaina de Mielina , Animales , Ratones , Exosomas/metabolismo , Microglía/metabolismo , MicroARNs/genética
3.
Nano Lett ; 23(10): 4683-4692, 2023 05 24.
Artículo en Inglés | MEDLINE | ID: mdl-36912868

RESUMEN

The oral delivery of probiotics is commonly adopted for intestinal disease treatments in clinical settings; however, the probiotics suffer from a strong acidic attack in the gastric area and the low-efficiency intestinal colonization of naked probiotics. Coating living probiotics with synthetic materials has proven effective in enabling the adaption of bacteria to gastrointestinal environments, which, unfortunately, may shield the probiotics from initiating therapeutic responses. In this study, we report a copolymer-modified two-dimensional H-silicene nanomaterial (termed SiH@TPGS-PEI) that can facilitate probiotics to adapt to diverse gastrointestinal microenvironments on-demand. Briefly, SiH@TPGS-PEI electrostatically coated on the surface of probiotic bacteria helps to resist erosive destruction in the acidic stomach and spontaneously degrades by reacting with water to generate hydrogen, an anti-inflammatory gas in response to the neutral/weakly alkaline intestinal environment, thus exposing the probiotic bacteria for colitis amelioration. This strategy may shed new light on the development of intelligent self-adaptive materials.


Asunto(s)
Colitis , Probióticos , Humanos , Intestinos , Bacterias , Probióticos/metabolismo , Probióticos/uso terapéutico
4.
J Environ Sci (China) ; 139: 267-280, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38105054

RESUMEN

The coexistence of cadmium (Cd(II)) and arsenate (As(V)) pollution has long been an environmental problem. Biochar, a porous carbonaceous material with tunable functionality, has been used for the remediation of contaminated soils. However, it is still challenging for the dynamic quantification and mechanistic understanding of the simultaneous sequestration of multi-metals in biochar-engineered environment, especially in the presence of anions. In this study, ferrihydrite was coprecipitated with biochar to investigate how ferrihydrite-biochar composite affects the fate of heavy metals, especially in the coexistence of Cd(II) and As(V). In the solution system containing both Cd(II) and As(V), the maximum adsorption capacities of ferrihydrite-biochar composite for Cd(II) and As(V) reached 82.03 µmol/g and 531.53 µmol/g, respectively, much higher than those of the pure biochar (26.90 µmol/g for Cd(II), and 40.24 µmol/g for As(V)) and ferrihydrite (42.26 µmol/g for Cd(II), and 248.25 µmol/g for As(V)). Cd(II) adsorption increased in the presence of As(V), possibly due to the changes in composite surface charge in the presence of As(V), and the increased dispersion of ferrihydrite by biochar. Further microscopic and mechanistic results showed that Cd(II) complexed with both biochar and ferrihydrite, while As(V) was mainly complexed by ferrihydrite in the Cd(II) and As(V) coexistence system. Ferrihydrite posed vital importance for the co-adsorption of Cd(II) and As(V). The different distribution patterns revealed by this study help to a deeper understanding of the behaviors of cations and anions in the natural environment.


Asunto(s)
Cadmio , Contaminantes Químicos del Agua , Cadmio/análisis , Adsorción , Contaminantes Químicos del Agua/análisis , Carbón Orgánico
5.
J Am Chem Soc ; 145(10): 5803-5815, 2023 03 15.
Artículo en Inglés | MEDLINE | ID: mdl-36848658

RESUMEN

The antioxidant system, signed with reduced glutathione (GSH) overexpression, is the key weapon for tumor to resist the attack by reactive oxygen species (ROS). Counteracting the ROS depletion by GSH is an effective strategy to guarantee the antitumor efficacy of nanocatalytic therapy. However, simply reducing the concentration of GSH does not sufficiently improve tumor response to nanocatalytic therapy intervention. Herein, a well-dispersed MnOOH nanocatalyst is developed to catalyze GSH autoxidation and peroxidase-like reaction concurrently and respectively to promote GSH depletion and H2O2 decomposition to produce abundant ROS such as hydroxyl radical (·OH), thereby generating a highly effective superadditive catalytic therapeutic efficacy. Such a therapeutic strategy that transforms endogenous "antioxidant" into "oxidant" may open a new avenue for the development of antitumor nanocatalytic medicine. Moreover, the released Mn2+ can activate and sensitize the cGAS-STING pathway to the damaged intratumoral DNA double-strands induced by the produced ROS to further promote macrophage maturation and M1-polarization, which will boost the innate immunotherapeutic efficacy. Resultantly, the developed simple MnOOH nanocatalytic medicine capable of simultaneously catalyzing GSH depletion and ROS generation, and mediating innate immune activation, holds great potential in the treatment of malignant tumors.


Asunto(s)
Peróxido de Hidrógeno , Neoplasias , Humanos , Especies Reactivas de Oxígeno/metabolismo , Peróxido de Hidrógeno/farmacología , Glutatión/metabolismo , Antioxidantes , Neoplasias/tratamiento farmacológico , Inmunoterapia , Catálisis , Línea Celular Tumoral
6.
J Am Chem Soc ; 144(41): 19038-19050, 2022 10 19.
Artículo en Inglés | MEDLINE | ID: mdl-36215038

RESUMEN

A rationally designed immunostimulant (CC@SiO2-PLG) with a photoactivatable immunotherapeutic function for synergetic tumor therapy is reported. This CC@SiO2-PLG nanoplatform comprises catalase and a photosensitizer (Ce6) co-encapsulated in a silica capsule, to which an immunostimulant is conjugated through a reactive oxygen species-cleavable linker. After accumulating in tumor tissue, CC@SiO2-PLG generates O2 to relieve tumor hypoxia and promotes the production of singlet oxygen (1O2) upon laser irradiation, resulting in not only tumor destruction but also the release of tumor-associated antigens (TAAs). Simultaneously, the linker breakage by the photoproduced 1O2 leads to the remote-controlled release of conjugated indoleamine 2,3-dioxygenase (IDO) inhibitor from CC@SiO2-PLG and consequent immunosuppressive tumor microenvironment reversion. The released TAAs in conjunction with the inhibition of the IDO-mediated tryptophan/kynurenine metabolic pathway induced a boosted antitumor immune response to the CC@SiO2-PLG-mediated phototherapy. Therefore, the growth of primary/distant tumors and lung metastases in a mouse xenograft model was greatly inhibited, which was not achievable by phototherapy alone.


Asunto(s)
Neoplasias , Fármacos Fotosensibilizantes , Humanos , Animales , Ratones , Fármacos Fotosensibilizantes/farmacología , Fármacos Fotosensibilizantes/uso terapéutico , Quinurenina/metabolismo , Triptófano/farmacología , Indolamina-Pirrol 2,3,-Dioxigenasa/metabolismo , Catalasa , Nanomedicina , Especies Reactivas de Oxígeno/metabolismo , Dióxido de Silicio , Línea Celular Tumoral , Oxígeno Singlete , Preparaciones de Acción Retardada , Adyuvantes Inmunológicos , Neoplasias/tratamiento farmacológico
7.
J Nanobiotechnology ; 20(1): 4, 2022 Jan 04.
Artículo en Inglés | MEDLINE | ID: mdl-34983555

RESUMEN

Chemotherapy remains one of the most prevailing regimens hitherto in the fight against cancer, but its development has been being suffering from various fatal side effects associated with the non-specific toxicity of common chemical drugs. Advances in biomedical application of nanomedicine have been providing alternative but promising approaches for cancer therapy, by leveraging its excellent intrinsic physicochemical properties to address these critical concerns. In particular, nanomedicine-enabled chemotherapy has been established as a safer and promising therapeutic modality, especially the recently proposed nanocatalytic medicine featuring the capabilities to generate toxic substances by initiating diverse catalytic reactions within the tumor without directly relying on highly toxic but non-selective chemotherapeutic agents. Of special note, under exogenous/endogenous stimulations, nanomedicine can serve as a versatile platform that allows additional therapeutic modalities (photothermal therapy (PTT), photodynamic therapy (PDT), chemodynamic therapy (CDT), etc.) to be seamlessly integrated with chemotherapy for efficacious synergistic treatments of tumors. Here, we comprehensively review and summarize the representative studies of multimodal synergistic cancer treatments derived from nanomedicine and nanocatalytic medicine-enabled chemotherapy in recent years, and their underlying mechanisms are also presented in detail. A number of existing challenges and further perspectives for nanomedicine-synergized chemotherapy for malignant solid tumor treatments are also highlighted for understanding this booming research area as comprehensively as possible.


Asunto(s)
Antineoplásicos/uso terapéutico , Terapia Combinada , Nanomedicina , Neoplasias/terapia , Animales , Humanos , Ratones , Neoplasias/patología , Neoplasias/fisiopatología
8.
Immunology ; 163(2): 185-200, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-33480040

RESUMEN

Montelukast is a leukotriene receptor antagonist that is known to prevent allergic rhinitis and asthma. Blocking the Cysteinyl leukotriene receptor (CysLTR1), one of the primary receptors of leukotrienes, has been demonstrated to be efficacious in ameliorating experimental autoimmune encephalomyelitis (EAE), an animal model of multiple sclerosis (MS), through disrupting chemotaxis of infiltrating T cells. However, the role of CysLTR1 in the pathogenesis of MS is not well understood. Here, we show that MS patients had higher expression of CysLTR1 in the circulation and central nervous system (CNS). The majority of CD4+ T cells expressed CysLTR1 in MS lesions. Among T-cell subsets, Th17 cells had the highest expression of CysLTR1, and blocking CysLTR1 signalling abrogated their development in vitro. Inhibition of CysLTR1 by montelukast suppressed EAE development in both a prophylactic and therapeutic manner and inhibited myelin loss in EAE mice. Similarly, the in vivo results showed that montelukast inhibited Th17 response in EAE mice and that Th17 cells treated with montelukast had reduced encephalitogenic in adoptive EAE. Our findings strongly suggest that targeting Th17 response by inhibiting CysLTR1 signalling could be a promising therapeutic strategy for the treatment of MS and CNS inflammatory diseases.


Asunto(s)
Acetatos/uso terapéutico , Antiinflamatorios/uso terapéutico , Ciclopropanos/uso terapéutico , Encefalomielitis Autoinmune Experimental/tratamiento farmacológico , Inflamación/tratamiento farmacológico , Antagonistas de Leucotrieno/uso terapéutico , Esclerosis Múltiple/tratamiento farmacológico , Quinolinas/uso terapéutico , Sulfuros/uso terapéutico , Células Th17/inmunología , Traslado Adoptivo , Animales , Diferenciación Celular , Modelos Animales de Enfermedad , Femenino , Humanos , Ratones , Ratones Endogámicos C57BL , Terapia Molecular Dirigida , Receptores de Leucotrienos/genética , Receptores de Leucotrienos/metabolismo , Transducción de Señal
9.
Ecotoxicol Environ Saf ; 208: 111420, 2021 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-33080421

RESUMEN

Cadmium (Cd) contamination in soil-rice systems has become a global public concern. However, influencing factors and the contamination threshold of Cd in soils remain largely unknown owing to soil heterogeneity, which limits our ability to assess the risk to human health and to draft appropriate environmental policies. In this study, we selected the soil-rice system of Longtang and Shijiao town in southern China, which was characterized by multi-metal acidic soil contamination due to improper electronic waste recycling activities, as a case to analyze the influence of different soil properties on the Cd threshold in the soil and Cd accumulation in rice. The results showed that soil organic matter (SOM) was the main factor regulating Cd accumulation in the soil-rice system. Moreover, compared with the total Cd concentration, the DTPA-extractable Cd concentration in the soil was a better predictor of Cd transportation in the soil-rice system. According to the prediction model, when SOM was < 35 g kg-1, the CdDTPA threshold was 0.16 mg kg-1 with a 95% likelihood of Cdrice accumulation above the Chinese food standard limit (0.2 mg kg-1). Conversely, when SOM was ≥ 35 g kg-1, the CdDTPA threshold was only 0.03 mg kg-1. This study of the influence of SOM on Cd accumulation in a soil-rice system confirms that SOM is a crucial parameter for better and safer rice production, especially in multi-metal contaminated acidic soils.


Asunto(s)
Cadmio/análisis , Modelos Químicos , Contaminantes del Suelo/análisis , Ácidos , China , Contaminación Ambiental , Humanos , Oryza/efectos de los fármacos , Suelo
10.
BMC Cancer ; 20(1): 1217, 2020 Dec 10.
Artículo en Inglés | MEDLINE | ID: mdl-33302909

RESUMEN

BACKGROUND: Metastases are the leading cause of breast cancer-related deaths. The tumor microenvironment impacts cancer progression and metastatic ability. Fibrillar collagen, a major extracellular matrix component, can be studied using the light scattering phenomenon known as second-harmonic generation (SHG). The ratio of forward- to backward-scattered SHG photons (F/B) is sensitive to collagen fiber internal structure and has been shown to be an independent prognostic indicator of metastasis-free survival time (MFS). Here we assess the effects of heterogeneity in the tumor matrix on the possible use of F/B as a prognostic tool. METHODS: SHG imaging was performed on sectioned primary tumor excisions from 95 untreated, estrogen receptor-positive, lymph node negative invasive ductal carcinoma patients. We identified two distinct regions whose collagen displayed different average F/B values, indicative of spatial heterogeneity: the cellular tumor bulk and surrounding tumor-stroma interface. To evaluate the impact of heterogeneity on F/B's prognostic ability, we performed SHG imaging in the tumor bulk and tumor-stroma interface, calculated a 21-gene recurrence score (surrogate for OncotypeDX®, or S-ODX) for each patient and evaluated their combined prognostic ability. RESULTS: We found that F/B measured in tumor-stroma interface, but not tumor bulk, is prognostic of MFS using three methods to select pixels for analysis: an intensity threshold selected by a blinded observer, a histogram-based thresholding method, and an adaptive thresholding method. Using both regression trees and Random Survival Forests for MFS outcome, we obtained data-driven prediction rules that show F/B from tumor-stroma interface, but not tumor bulk, and S-ODX both contribute to predicting MFS in this patient cohort. We also separated patients into low-intermediate (S-ODX < 26) and high risk (S-ODX ≥26) groups. In the low-intermediate risk group, comprised of patients not typically recommended for adjuvant chemotherapy, we find that F/B from the tumor-stroma interface is prognostic of MFS and can identify a patient cohort with poor outcomes. CONCLUSIONS: These data demonstrate that intratumoral heterogeneity in F/B values can play an important role in its possible use as a prognostic marker, and that F/B from tumor-stroma interface of primary tumor excisions may provide useful information to stratify patients by metastatic risk.


Asunto(s)
Neoplasias de la Mama/ultraestructura , Carcinoma Ductal de Mama/ultraestructura , Estrógenos , Colágenos Fibrilares/ultraestructura , Metástasis de la Neoplasia , Proteínas de Neoplasias/ultraestructura , Neoplasias Hormono-Dependientes/ultraestructura , Microscopía de Generación del Segundo Armónico , Neoplasias de la Mama/química , Carcinoma Ductal de Mama/química , Carcinoma Ductal de Mama/secundario , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Neoplasias Hormono-Dependientes/química , Pronóstico , Riesgo , Método Simple Ciego , Células del Estroma/química , Células del Estroma/ultraestructura , Microambiente Tumoral
11.
J Am Chem Soc ; 141(29): 11531-11539, 2019 07 24.
Artículo en Inglés | MEDLINE | ID: mdl-31251050

RESUMEN

The antitumor activity of disulfiram (DSF), a traditional US Food and Drug Administration-approved drug for the treatment of "alcohol-dependence", is Cu2+-dependent, but the intrinsic anfractuous biodistribution of copper in the human body and copper toxicity induced by exogenous copper supply have severely hindered its in vivo application. Herein, we report an in situ Cu2+ chelation-enhanced DSF-based cancer chemotherapy technique, using a tumor-specific "nontoxicity-to-toxicity" transition strategy based on hollow mesoporous silica nanoparticles as the functional carrier. Cu2+-doped, DSF-loaded hollow mesoporous silica nanoparticles were constructed for the rapid release of Cu2+ ions induced by the mild acidic conditions of the tumor microenvironment. This resulted in the rapid biodegradation of the nanoparticles and accelerated DSF release once the particles were endocytosed into tumor cells. The resulting in situ chelation reaction between the coreleased Cu2+ ions and DSF generated toxic CuET products and concurrently, Fenton-like reactions between the generated Cu+ ions and the high levels of H2O2 resulted in the production of reactive oxygen species (ROS) in the acidic tumor microenvironment. Both in vitro cellular assays and in vivo tumor-xenograft experiments demonstrated the efficient Cu-enhanced and tumor-specific chemotherapeutic efficacy of DSF, with cocontributions from highly toxic CuET complexes and ROS generated within tumors. This work provides a conceptual advancement of nanoparticle-enabled "nontoxicity-to-toxicity" transformation in tumors, to achieving high chemotherapeutic efficacy and biosafety.


Asunto(s)
Antineoplásicos/farmacología , Cobre/farmacocinética , Disulfiram/farmacología , Portadores de Fármacos/administración & dosificación , Nanopartículas/química , Animales , Antineoplásicos/administración & dosificación , Antineoplásicos/efectos adversos , Línea Celular Tumoral , Quelantes/farmacocinética , Quelantes/farmacología , Disulfiram/administración & dosificación , Disulfiram/efectos adversos , Portadores de Fármacos/química , Liberación de Fármacos , Endocitosis/efectos de los fármacos , Femenino , Humanos , Peróxido de Hidrógeno/metabolismo , Ratones Endogámicos BALB C , Nanopartículas/administración & dosificación , Dióxido de Silicio/química , Distribución Tisular , Microambiente Tumoral/efectos de los fármacos , Ensayos Antitumor por Modelo de Xenoinjerto
12.
Bull Environ Contam Toxicol ; 103(1): 140-146, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-30600392

RESUMEN

Para-chloronitrobenzene (p-CNB) in soil has posed significant health risks because of its persistence and high toxicity. The efficacy of catalyzed Zero-Valent Iron (ZVI), activated persulfate, and ZVI-persulfate processes for the degradation of p-CNB in soil was investigated. The p-CNB removal rate significantly increased from 10.8 to 90.1% with increased ZVI dosage from 0.1 mmol g-1 to 1.0 mmol g-1. The p-CNB removal increased with the decrease of initial pH and a removal efficiency of 85.3% was obtained at an initial pH value of 6.8 in combined system. The p-CNB removal rate in the single persulfate system and ZVI system was 36.5% and 60.2%, while the ZVI-persulfate system showed more sufficient p-CNB removal capacity and the removal rate of p-CNB was 88.7%. Scanning electron microscopy (SEM) and Electron paramagnetic resonance (EPR) was adopted in order to explore the degradation mechanism by ZVI-Persulfate system in soil.


Asunto(s)
Nitrobencenos/química , Contaminantes del Suelo/química , Suelo/química , Sulfatos/química , Contaminantes Químicos del Agua/química , Catálisis , Hierro/química , Oxidación-Reducción
14.
Arch Psychiatr Nurs ; 32(2): 180-187, 2018 04.
Artículo en Inglés | MEDLINE | ID: mdl-29579510

RESUMEN

Hospital discharge planning for clients with schizophrenia reduces client rehospitalization rates and improves their medication adherence. The effectiveness of caregiver participation in hospital discharge planning has seldom been explored. The purpose of this study was to examine the effectiveness of caregiver participation in hospital discharge planning for clients with schizophrenia in reducing caregiver burden and improving health status. A quasi-experimental research design was adopted. The research location was in a psychiatric hospital in Northern Taiwan. The target population was caregivers of inpatients with schizophrenia. Nurses served as care coordinators and provided six-step hospital discharge planning services to caregivers. Structured questionnaires were employed to measure caregiver burden and health status. Intervention effect was tested using analysis of covariance in which outcome measure at pretest and selected demographic variables were treated as covariates. A total of 114 caregivers completed pretest and posttest evaluations, with 57 people in each group. A significant difference was found between the experimental and the control group regarding the caregiver burden and health status (P<0.001) The caregiver burden and health status of the experimental group improved more significantly compared with the control group. The caregiver-involved discharge planning process developed in this study effectively reduced the burden placed on caregivers and improved their health status. Mental health nurses can serve as the main care coordinators for assessment, planning, referral and provision of the required services. Caregiver-involved hospital discharge planning should become part of the routine care process.


Asunto(s)
Cuidadores/estadística & datos numéricos , Investigación sobre la Eficacia Comparativa , Hospitales Psiquiátricos , Pacientes Internos/estadística & datos numéricos , Alta del Paciente , Esquizofrenia/enfermería , Adulto , Cuidadores/psicología , Femenino , Estado de Salud , Humanos , Masculino , Persona de Mediana Edad , Enfermería Psiquiátrica , Encuestas y Cuestionarios , Taiwán
15.
Ecotoxicol Environ Saf ; 143: 322-329, 2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-28578263

RESUMEN

Recently, several studies have showed that both organic and inorganic fertilizers are effective in immobilizing heavy metals at low cost, in comparison to other remediation strategies for heavy metal-contaminated farmlands. A pot trial was conducted in this study to examine the effects of inorganic P fertilizer and organic fertilizer, in single application or in combination, on growth of maize, heavy metal availabilities, enzyme activities, and microbial community structure in metal-contaminated soils from an electronic waste recycling region. Results showed that biomass of maize shoot and root from the inorganic P fertilizer treatments were respectively 17.8 and 10.0 folds higher than the un-amended treatments (CK), while the biomass in the organic fertilizer treatments was only comparable to the CK. In addition, there were decreases of 85.0% in Cd, 74.3% in Pb, 66.3% in Cu, and 91.9% in Zn concentrations in the roots of maize grown in inorganic P fertilizer amended soil. Consistently, urease and catalase activities in the inorganic P fertilizer amended soil were 3.3 and 2.0 times higher than the CK, whereas no enhancement was observed in the organic fertilizer amended soil. Moreover, microbial community structure was improved by the application of inorganic P fertilizer, but not by organic fertilizer; the beneficial microbial groups such as Kaistobacter and Koribacter were most frequently detected in the inorganic P fertilizer amended soil. The negligible effect from the organic fertilizer might be ascribed to the decreased pH value in soils. The results suggest that the application of inorganic P fertilizer (or in combination with organic fertilizer) might be a promising strategy for the remediation of heavy metals contaminated soils in electronic waste recycling region.


Asunto(s)
Catalasa/metabolismo , Fertilizantes/análisis , Metales Pesados/metabolismo , Fósforo/análisis , Microbiología del Suelo , Contaminantes del Suelo/metabolismo , Ureasa/metabolismo , Zea mays/crecimiento & desarrollo , Biomasa , Metales Pesados/análisis , Consorcios Microbianos/efectos de los fármacos , Raíces de Plantas/crecimiento & desarrollo , Raíces de Plantas/metabolismo , Suelo/química , Suelo/normas , Contaminantes del Suelo/análisis , Zea mays/metabolismo
16.
Psychiatry Clin Neurosci ; 71(10): 716-724, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28523821

RESUMEN

AIM: We attempted to determine risk factors, particularly pathophysiological changes, for early cardiovascular mortality in bipolar disorder (BD). METHODS: A total of 5416 inpatients with bipolar I disorder were retrospectively followed through record linkage for cause of death. A total of 35 patients dying from cardiovascular disease (CVD; ICD 9: 401-443) before the age of 65 years were identified. Two living BD patients and two mentally healthy adults were matched with each deceased patient as control subjects according to age (±2 years), sex, and date (±3 years) of the final/index admission or the date of general health screening. Data were obtained through medical record reviews. RESULTS: Eighty percent of CVD deaths occurred within 10 years following the index admission. Conditional logistic regression revealed that the variables most strongly associated with CVD mortality were the leukocyte count and heart rate on the first day of the index hospitalization, as the deceased BD patients were compared with the living BD controls. Systolic pressure on the first day of the index hospitalization can be substituted for heart rate as another risk factor for CVD mortality. CONCLUSION: It is suggested that systemic inflammation and sympathetic overactivity during the acute phase of BD may be risk factors for early CVD mortality.


Asunto(s)
Trastorno Bipolar/mortalidad , Enfermedades Cardiovasculares/mortalidad , Mortalidad Prematura , Trastorno Bipolar/complicaciones , Enfermedades Cardiovasculares/complicaciones , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Riesgo
17.
Hu Li Za Zhi ; 63(1): 49-58, 2016 Feb.
Artículo en Zh | MEDLINE | ID: mdl-26813063

RESUMEN

BACKGROUND: Being overweight is a common problem among chronic schizophrenic patients. However, these patients lack related exercise interventions that are both effective and convenient. PURPOSE: To explore the effects of a biosensing game intervention on the health-related fitness of chronic schizophrenic patients. METHODS: Two rehabilitation wards at a psychiatric hospital in New Taipei City were selected as the study sites. Simple random sampling was used to recruit participants. Participants in the experimental group received a 12-week biosensing game intervention, while participants in the control group received routine nursing care only. The study instruments included a demographic data sheet and anthropometric measurements. In addition, health-related fitness variables including cardiovascular endurance, muscular endurance, flexibility, and body composition (e.g., body mass index (BMI), waist-hip ratio, and body fat) were used as outcome indicators. RESULTS: A total of 35 patients participated in the experimental group and 35 patients participated in the control group. The results showed that the mean differences between the pre-test and post-test values for body weight (t=6.07, p<.01), BMI (t=5.79, p<.01), and waist-hip ratio (t=2.87, p<.05) differed significantly, with the experimental group performing better than the control group on all three indicators. CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The results indicate that this 12-week intervention holds the potential to help chronic schizophrenic patients improve their health-related fitness, especially in terms of body weight, BMI, and waist-hip ratio. This study may be used as a reference for the promotion of health-related fitness programs in psychiatric institutes in the future.


Asunto(s)
Técnicas Biosensibles , Aptitud Física , Esquizofrenia/fisiopatología , Juegos de Video , Adulto , Anciano , Enfermedad Crónica , Femenino , Humanos , Masculino , Persona de Mediana Edad
18.
J Hered ; 106(6): 741-4, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26503825

RESUMEN

Clonal species are common among plants. Clonal F1 progenies are derived from the hybridization between 2 heterozygous clones. In self- and cross-pollinated species, double crosses can be made from 4 inbred lines. A clonal F1 population can be viewed as a double cross population when the linkage phase is determined. The software package GACD (Genetic Analysis of Clonal F1 and Double cross) is freely available public software, capable of building high-density linkage maps and mapping quantitative trait loci (QTL) in clonal F1 and double cross populations. Three functionalities are integrated in GACD version 1.0: binning of redundant markers (BIN); linkage map construction (CDM); and QTL mapping (CDQ). Output of BIN can be directly used as input of CDM. After adding the phenotypic data, the output of CDM can be used as input of CDQ. Thus, GACD acts as a pipeline for genetic analysis. GACD and example datasets are freely available from www.isbreeding.net.


Asunto(s)
Mapeo Cromosómico , Cruzamientos Genéticos , Plantas/genética , Programas Informáticos , Ligamiento Genético , Hibridación Genética , Fitomejoramiento , Sitios de Carácter Cuantitativo
19.
Eur J Pharm Biopharm ; 200: 114333, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38768766

RESUMEN

Developing co-amorphous systems is an attractive strategy to improve the dissolution rate of poorly water-soluble drugs. Various co-formers have been investigated. However, previous studies revealed that it is a challenge to develop satisfied acidic co-formers, e.g., acidic amino acids showed much poorer co-former properties than neutral and basic amino acids. Only a few acidic co-formers have been reported, such as aspartic acid, glutamic acid, and some other organic acids. Thus, this study aims to explore the possibility of adenosine monophosphate and adenosine diphosphate used as acidic co-formers. Mebendazole, celecoxib and tadalafil were used as the model drugs. The drug-co-former co-amorphous systems were prepared via ball milling and confirmed using XRPD. The dissolution study suggested that the solubility and dissolution rate of the drug-co-formers systems were increased significantly compared to the corresponding crystalline and amorphous drugs. The stability study revealed that using the two nucleotides as co-formers enhanced the physical stability of pure amorphous drugs. Molecular interactions were observed in MEB-co-former and TAD-co-former systems and positively affected the pharmaceutical performance of the investigated co-amorphous systems. In conclusion, the two nucleotides could be promising potential acidic co-formers for co-amorphous systems.


Asunto(s)
Celecoxib , Estabilidad de Medicamentos , Nucleótidos , Solubilidad , Agua , Agua/química , Nucleótidos/química , Celecoxib/química , Tadalafilo/química , Química Farmacéutica/métodos , Mebendazol/química , Liberación de Fármacos
20.
Chemosphere ; 354: 141689, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38492677

RESUMEN

Quantitative studies of nanoplastics (NPs) abundance on agricultural crops are crucial for understanding the environmental impact and potential health risks of NPs. However, the actual extent of NP contamination in different crops remains unclear, and therefore insufficient quantitative data are available for adequate exposure assessments. Herein, a method with nitric acid digestion, multiple organic extraction combined with pyrolysis gas chromatography-mass spectrometry (Py-GC/MS) quantification was used to determine the chemical composition and mass concentration of NPs in different crops (cowpea, flowering cabbage, rutabagas, and chieh-qua). Recoveries of 74.2-109.3% were obtained for different NPs in standard products (N = 6, RSD <9.6%). The limit of detection (LOD) and the limit of quantitation (LOQ) were 0.02-0.5 µg and 0.06-1.5 µg, respectively. The detection method for NPs exhibited good external calibration curves and linearity with 0.99. The results showed that poly (vinylchloride) (PVC), poly (ethylene terephthalate) (PET), polyethylene (PE), and polyadiohexylenediamine (PA66) NPs could be detected in crop samples, although the accumulation levels associated with the various crops varied significantly. PVC (N.D.-954.3 mg kg-1, dry weight (DW)) and PE (101.3-462.9 mg kg-1, DW) NPs were the dominant components in the samples of all four crop species, while high levels of PET (414.3-1430.1 mg kg-1, DW) NPs were detected in cowpea samples. Furthermore, there were notable differences in the accumulation levels of various edible crop parts, such as stems (60.2%) > leaves (39.8%) in flowering cabbage samples and peas (58.8%) > pods (41.2%) in cowpea samples. This study revealed the actual extent of NP contamination in different types of crops and provided crucial reference data for future research.


Asunto(s)
Microplásticos , Pirólisis , Cromatografía de Gases y Espectrometría de Masas/métodos , Límite de Detección , Productos Agrícolas
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