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1.
Ren Fail ; 46(1): 2325644, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38445391

RESUMO

OBJECTIVE: In China, most of the patients who underwent kidney transplants have unknown causes of end-stage renal disease (uESRD). However, little is known regarding the incidence of graft glomerulonephritis (GN) and graft survival in kidney transplant recipients (KTRs) with uESRD. METHODS: In this retrospective cohort study, 473 of the 565 KTRs who underwent kidney transplantation (KTx) from 2015 to 2020 were included. We mainly observed the occurrence of graft GN between uESRD group and definitively diagnosed GN group, and repeatedly compared after propensity score matching (PSM). RESULTS: The median follow-up was 50 months in 473 KTRs, and about 75% of KTRs of native kidney disease of unknown etiology. The total cumulative incidence of graft GN was 17%, and no difference was observed between the definitively diagnosed GN group and the uESRD group (p = 0.76). Further, PSM analysis also showed no difference in the incidence of graft GN between the 2 groups. Multivariable analysis disclosed males (p = 0.001), younger age (p = 0.03), and anti-endothelial cell anti-body (AECA) positive pre-KTx (p = 0.001) were independent risk factors for graft GN. CONCLUSIONS: The incidence of graft GN was similar between uESRD and definitively diagnosed GN group. The allograft survival was also similar between two groups.


Assuntos
Glomerulonefrite , Falência Renal Crônica , Masculino , Humanos , Incidência , Estudos Retrospectivos , Glomerulonefrite/complicações , Glomerulonefrite/epidemiologia , Falência Renal Crônica/epidemiologia , Falência Renal Crônica/cirurgia , China/epidemiologia
2.
BMC Nephrol ; 22(1): 328, 2021 10 02.
Artigo em Inglês | MEDLINE | ID: mdl-34600511

RESUMO

BACKGROUND: Some studies have suggested mizoribine (MZR) could inhibit the replication of BK polyomavirus (BKPyV). The purpose of this study was to explore whether conversion from mycophenolate mofetil (MMF) to MZR in the early stages of BKPyV infection can improve kidney allograft prognosis. METHODS: Twenty-one kidney transplant recipients with BKPyV viruria/viremia and ten with BK polyomavirus-associated allograft nephropathy (BKPyVAN) received MZR conversion therapy were retrospectively identified. The clearance rate of urine and blood BKPyV DNA, change of serum creatinine (SCr), uric acid (UA), hemoglobin (HB), white blood cell (WBC), lymphocyte ratio, platelet (PLT), routine urinalysis, panel reactive antibody (PRA), and gastrointestinal disorders during follow-up of the 2 groups were evaluated and compared. RESULTS: After MZR conversion therapy, the clearance rate of urine and blood viral load in BKPyV viruria/viremia group were 85.7 and 100 %, while that in BKPyVAN were 40 and 87.5 %, respectively. Stable SCr were observed in all cases of BKPyV viruria/viremia group, while that of BKPyVAN was only 40 % (P < 0.001) and one even progressed to end-stage renal disease. The results of routine urinalysis in the two groups showed no significant changes before and after MZR conversion therapy. However, in BKPyV viruria/viremia group, four cases developed acute rejection and one had positive PRA-II but no donor specific antibody, requiring conversion back to MMF. Hyperuricemia was the common adverse effect of MZR. CONCLUSIONS: Conversion from MMF to MZR could help clear BKPyV infection. As compared to BKPyVAN, patients who underwent initiation of MZR conversion therapy in the early stages of BKPyV infection maintained stable allograft function. Prospective studies with larger sample size are needed to ascertain this preliminary finding.


Assuntos
Antibióticos Antineoplásicos/administração & dosagem , Vírus BK , Substituição de Medicamentos , Transplante de Rim , Ácido Micofenólico/administração & dosagem , Infecções por Polyomavirus/tratamento farmacológico , Complicações Pós-Operatórias/tratamento farmacológico , Ribonucleosídeos/administração & dosagem , Infecções Tumorais por Vírus/tratamento farmacológico , Adulto , China , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Adulto Jovem
3.
Am J Nephrol ; 49(6): 425-434, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30991390

RESUMO

BACKGROUND: Transplant glomerulopathy (TG) represents a major cause of long-term allograft failure and is the leading cause of overall post-transplant proteinuria. The extent to which histopathologic features predicts prognostication is uncertain. METHODS: A single-center retrospective cohort with biopsy-proven TG was investigated. Renal biopsies were scored according to Banff 2017. The primary outcome was death-censored graft failure defined as return to dialysis or estimated glomerular filtration rate (eGFR) decreased to <15 mL/min/1.73 m2. The prognostic significance of clinical and histopathologic parameters was determined using Cox proportional hazards models. RESULTS: Data from 180 cases were available for analysis with a median follow-up of 5.0 (2.6-8.2) years. In multivariable models, ci + ct score (HR 3.1; 95% CI 2.0-4.9), cg score (HR 1.7; 95% CI 1.1-2.8), eGFR (HR 2.1; 95% CI 1.4-3.2) and proteinuria (HR 2.4; 95% CI 1.6-3.7) were independent predictors of the primary outcome. Mesangial Immunoglobulin A deposition did not significantly affect allograft survival. The only significant pathologic factors for the severity of proteinuria were cg and g + ptc (adjusted R2 = 0.46) as determined by multivariable stepwise linear regression analysis. CONCLUSIONS: Severe ci + ct and cg at biopsy were predictors of unfavorable allograft prognosis in TG patients even after taking into consideration clinical characteristics. Histologic severity of cg and g + ptc was significantly associated with clinical proteinuria.


Assuntos
Aloenxertos/patologia , Glomerulonefrite/diagnóstico , Rejeição de Enxerto/diagnóstico , Transplante de Rim/efeitos adversos , Proteinúria/diagnóstico , Adulto , Biópsia , China , Progressão da Doença , Feminino , Seguimentos , Taxa de Filtração Glomerular , Glomerulonefrite/patologia , Glomerulonefrite/terapia , Glomerulonefrite/urina , Rejeição de Enxerto/patologia , Rejeição de Enxerto/terapia , Rejeição de Enxerto/urina , Sobrevivência de Enxerto , Humanos , Glomérulos Renais/patologia , Masculino , Pessoa de Meia-Idade , Prognóstico , Proteinúria/patologia , Proteinúria/terapia , Proteinúria/urina , Diálise Renal/estatística & dados numéricos , Estudos Retrospectivos , Fatores de Risco , Índice de Gravidade de Doença , Transplante Homólogo/efeitos adversos
4.
Ren Fail ; 41(1): 855-861, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31535918

RESUMO

Objectives: To investigate the immunohistochemical features of different stages of BK virus allograft nephropathy (BKVN) and further elucidate the underlying immunological mechanism involved in the evolution of BKVN. Methods: Fifty-two renal transplant recipients with biopsy proven BKVN were retrospectively selected. According to the third edition of the American Society of Transplantation Infection guidelines, 10 patients were categorized as having mild BKVN (stage A), 25 were moderate (stage B) and 17 were severe (stage C). The differential infiltrations of CD3+ (T lymphocytes), CD4+ (helper T lymphocytes), CD8+ (cytotoxic T lymphocytes), CD20+ (B lymphocytes), CD68+ (macrophages) and CD138+ (plasma cells) cells and the expression of interleukin-2 receptor (IL-2R) and human leukocyte antigen DR (HLA-DR) were compared among the three groups. Results: CD3+, CD4+, CD8+, CD20+, CD138+ and CD68+ cells infiltrations, IL-2R and HLA-DR expression were positive in the BKVN patients. Moreover, with increasing stages of BKVN, the numbers of positively stained inflammatory cells and the expression of IL-2R were significantly increased in the severe group compared to the mild group, whereas no statistically significant differences were observed with regard to HLA-DR expression. Eosinophil and neutrophil infiltration could also be observed in moderate to advanced BKVN. Conclusion: Renal allograft damage caused by BKVN involved T lymphocyte-, B lymphocyte- and mononuclear macrophage-mediated immune responses. Inflammatory cell infiltrations in the renal allograft were probably the driving force for BKVN progression. Additionally, eosinophils and neutrophils may be involved in the pathophysiological mechanism of BKVN.


Assuntos
Vírus BK/imunologia , Rejeição de Enxerto/imunologia , Transplante de Rim/efeitos adversos , Infecções por Polyomavirus/imunologia , Infecções Tumorais por Vírus/imunologia , Adulto , Aloenxertos/imunologia , Aloenxertos/patologia , Aloenxertos/virologia , Vírus BK/isolamento & purificação , Biópsia , Feminino , Rejeição de Enxerto/diagnóstico , Rejeição de Enxerto/virologia , Humanos , Imunidade Celular , Imunofenotipagem , Rim/imunologia , Rim/patologia , Rim/virologia , Masculino , Pessoa de Meia-Idade , Infecções por Polyomavirus/diagnóstico , Infecções por Polyomavirus/virologia , Estudos Retrospectivos , Índice de Gravidade de Doença , Transplante Homólogo , Infecções Tumorais por Vírus/diagnóstico , Infecções Tumorais por Vírus/virologia
5.
Biophys J ; 114(3): 675-687, 2018 02 06.
Artigo em Inglês | MEDLINE | ID: mdl-29414713

RESUMO

The mechanical and physical properties of substrate play a crucial role in regulating many cell functions and behaviors. However, how these properties affect cell volume is still unclear. Here, we show that an increase in substrate stiffness, available spread area, or effective adhesion energy density results in a remarkable cell volume decrease (up to 50%), and the dynamic cell spreading process is also accompanied by dramatic cell volume decrease. Further, studies of ion channel inhibition and osmotic shock suggest that these volume decreases are due to the efflux of water and ions. We also show that disrupting cortex contractility leads to bigger cell volume. Collectively, these results reveal the "mechanism of adhesion-induced compression of cells," i.e., stronger interaction between cell and substrate leads to higher actomyosin contractility, expels water and ions, and thus decreases cell volume.


Assuntos
Actomiosina/fisiologia , Adesão Celular , Tamanho Celular , Citoesqueleto/metabolismo , Mecanotransdução Celular , Fenômenos Físicos , Tensoativos/metabolismo , Células 3T3 , Animais , Movimento Celular , Células HeLa , Humanos , Canais Iônicos/metabolismo , Transporte de Íons , Células MCF-7 , Camundongos , Especificidade por Substrato
6.
Ren Fail ; 40(1): 442-446, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30052479

RESUMO

OBJECTIVES: BK virus (BKV) infection has become one of the main complications in renal transplant recipients (RTRs) with the arrival of newer potent immunosuppressive agents. However, reports on the epidemiology of BKV infection and risk factors in Chinese population after renal transplantation are scarce. METHODS: From June 2015 to July 2016, living-donor renal transplant recipients (LDRTRs) who routinely received the quantitative BKV DNA testing of urine and plasma samples using quantitative real-time polymerase chain reaction (PCR) for the first time after transplantation were selected, while dialysis patients and healthy living donors during that period served as controls. Potential variables were compared and analyzed using logistic regression model multivariate analysis to assess the BKV infection related factors in LDRTRs. RESULTS: Among the 52 LDRTRs identified, BKV DNA was detected in 16 urine samples (30.8%), significantly higher than that of dialysis patients (6.3%) and healthy living donors (4.2%) (p < .001). Nevertheless, no statistically significant difference wax noted between the latter two groups in urine samples (p = .842). Meanwhile, BKV DNA detection in blood samples was all negative in the three groups. Univariate analysis shown tacrolimus (Tac) trough level and lymphocyte percentage were associated with BKV infection in LDRTRs. Multivariate regression analysis also showed Tac trough level (HR, 1.644; p = .03), lymphocyte percentage (HR, 0.878; p = .026) were associated with BKV infection in LDRTRs. CONCLUSIONS: In Chinese population, the incidence of BKV infection increased significantly after living-donor renal transplantation. Significantly increased Tac trough level and decreased lymphocyte percentage might be the risk factors for BKV infection in LDRTRs.


Assuntos
Vírus BK/isolamento & purificação , Imunossupressores/farmacocinética , Falência Renal Crônica/epidemiologia , Transplante de Rim/efeitos adversos , Infecções por Polyomavirus/epidemiologia , Tacrolimo/farmacocinética , Adulto , China , DNA Viral/sangue , DNA Viral/isolamento & purificação , DNA Viral/urina , Feminino , Humanos , Imunossupressores/uso terapêutico , Falência Renal Crônica/terapia , Falência Renal Crônica/virologia , Transplante de Rim/métodos , Doadores Vivos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Infecções por Polyomavirus/patologia , Infecções por Polyomavirus/urina , Reação em Cadeia da Polimerase em Tempo Real , Fatores de Risco , Tacrolimo/uso terapêutico , Transplantados , Carga Viral , Adulto Jovem
7.
Opt Express ; 25(7): 8144-8157, 2017 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-28380921

RESUMO

In this paper, we present a focused femtosecond laser Bessel beam scanning technique for the rapid fabrication of large-area 3D complex microtube arrays. The femtosecond laser beam is converted into several Bessel beams by two-dimensional phase modulation using a spatial light modulator. By scanning the focused Bessel beam along a designed route, microtubes with variable size and flexible geometry are rapidly fabricated by two-photon polymerization. The fabrication time is reduced by two orders of magnitude in comparison with conventional point-to-point scanning. Moreover, we construct an effective microoperating system for single cell manipulation using microtube arrays, and demonstrate its use in the capture, transfer, and release of embryonic fibroblast mouse cells as well as human breast cancer cells. The new fabrication strategy provides a novel method for the rapid fabrication of functional devices using a flexibly tailored laser beam.


Assuntos
Radiação Eletromagnética , Lasers , Microtecnologia/métodos , Microtúbulos , Fótons , Polimerização , Algoritmos , Animais , Neoplasias da Mama/patologia , Feminino , Fibroblastos , Humanos , Camundongos , Microtecnologia/instrumentação , Fatores de Tempo
8.
J Nephrol ; 36(1): 93-101, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-35867238

RESUMO

BACKGROUND: Proliferative glomerulonephritis with monoclonal IgG deposits (PGNMID) in renal allografts is a rare, renal-limited disease. No study has reported the long-term outcomes and prognostic features of PGNMID in renal allografts in the Chinese population. METHODS: We retrospectively included transplant patients diagnosed with PGNMID who underwent renal allograft biopsy at three transplant centers from April 2012 to July 2020. We observed the clinicopathologic features, explored the long-term graft survival, and investigated the characteristics associated with the prognosis. RESULTS: A total of 13 transplant patients with PGNMID were included, out of 3821 biopsies. The mean follow-up time was 55 months since kidney transplantation (KTx). At diagnosis, all patients presented with proteinuria (100%) and most of them with hematuria (92%). IgG3κ (69%) was the main immunofluorescence (IF) subtype. The median graft survival of the total cohort was 17 months from diagnosis and 49 months from kidney transplantation. During follow-up, 9 patients needed dialysis and 2 out of 9 patients who progressed to dialysis died of infection. Primary membranoproliferative glomerulonephritis (MPGN) (P = 0.014) and MPGN pattern at diagnostic biopsy (P < 0.001) were associated with a higher risk of graft loss. CONCLUSIONS: The long-term outcome of allograft PGNMID was relatively poor in the Chinese population. Primary MPGN and MPGN pattern in renal allograft were associated with  poor outcomes.


Assuntos
Glomerulonefrite Membranoproliferativa , Glomerulonefrite , Nefropatias , Transplante de Rim , Humanos , Transplante de Rim/efeitos adversos , Estudos Retrospectivos , Anticorpos Monoclonais , Glomerulonefrite/terapia , Glomerulonefrite/patologia , Glomerulonefrite Membranoproliferativa/terapia , Glomerulonefrite Membranoproliferativa/diagnóstico , Imunoglobulina G , Nefropatias/patologia , Biópsia , Aloenxertos
9.
Kidney Int ; 82(3): 321-9, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22513824

RESUMO

Transplant glomerulopathy is an important cause of late graft loss. Inflammatory lesions including glomerulitis and peritubular capillaritis, suggestive of endothelial injury, are prominent in this condition but the mechanism underlying this inflammation remains unclear. Here we measured the expression of T-bet (a member of the T-box family of transcription factors regulating Th1 lineage commitment) and its relationship with inflammation in 70 patients with transplant glomerulopathy. Within this cohort, 32 patients were diagnosed with transplant glomerulopathy, 23 with interstitial fibrosis/tubular atrophy, and 15 with stable grafts. There was a significant increase in T-bet expression in both glomerular and peritubular capillaries of the transplant glomerulopathy group. This expression was strongly correlated with CD4(+), CD8(+), and CD68(+) cell infiltration within glomerular and peritubular capillaries. The expression of GATA3, a Th2 regulator, was rarely found in the transplant glomerulopathy group. Transplant glomerulopathy was associated with diffuse peritubular capillary dilation without reduced capillary density. Moreover, the degree of capillary dilation was significantly correlated with the number of infiltrating CD68(+) cells. Since endothelial injury is a typical lesion that follows alloantibody reactivity, our results suggest that T-bet is involved in the pathogenesis of this glomerulopathy.


Assuntos
Nefropatias/etiologia , Transplante de Rim/efeitos adversos , Proteínas com Domínio T/metabolismo , Adulto , Estudos de Coortes , Endotélio Vascular/lesões , Endotélio Vascular/metabolismo , Endotélio Vascular/patologia , Feminino , Fator de Transcrição GATA3/metabolismo , Humanos , Imuno-Histoquímica , Rim/irrigação sanguínea , Rim/metabolismo , Rim/patologia , Nefropatias/metabolismo , Nefropatias/patologia , Transplante de Rim/patologia , Transplante de Rim/fisiologia , Masculino , Microvasos/metabolismo , Microvasos/patologia , Pessoa de Meia-Idade
10.
J Biomater Sci Polym Ed ; 32(1): 42-59, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32847454

RESUMO

Both osteogenesis and anti-inflammatory bioactive materials play a vital role in the regeneration of skeletal defects. Bone inflammation is hard to cure and can lead to malformation or amputation. The purpose of this study is to use anti-inflammatory drugs to endow polyetheretherketone (PEEK) with the dual ability to achieve anti-inflammatory effects while maintaining favorable biocompatibility. In this experiment, the porous PEEK was immersed in an aspirin (ASP) solution after sulfonation, and the obtained porous PEEK had significantly improved the anti-inflammatory abilities. Additionally, grafting the bone forming peptide (BFP) onto the porous PEEK can distinctly enchance the osteogenesis capability. The effects of the BFP polypeptide on the proliferation of MC3T3-E1 cells and ALP activity, and the effects of aspirin on inflammation were systematically investigated. The modified material showed favorable biocompatibility and osteogenic ability. The results suggest that the combination of the BFP polypeptide with aspirin may lead to a synergetic effect on the stimulation of osteogenesis and on the reduction of inflammation.


Assuntos
Cetonas , Osteogênese , Anti-Inflamatórios/farmacologia , Benzofenonas , Diferenciação Celular , Cetonas/farmacologia , Polietilenoglicóis/farmacologia , Polímeros , Propriedades de Superfície
11.
Transpl Immunol ; 69: 101404, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-33971294

RESUMO

INTRODUCTION: Antibody-mediated rejection (ABMR) is a major cause of kidney transplant failure which requires donor-specific antibodies (DSA) for a definitive diagnosis. Donor-derived cell-free DNA (ddcfDNA) is an emerging biomarker used to assess kidney allograft injury. However, current data is limited to predict the accuracy of ddcfDNA in ABMR diagnosis. This study was conducted to compare the performance of DSA with plasma ddcfDNA for the diagnosis of ABMR. METHODS: In this retrospective single-center observational study, we enrolled 50 kidney transplant recipients who were diagnosed with the suspicion of rejection between June 2018 and May 2019 at the Jinling Hospital. Plasma ddcfDNA was measured by using a novel target region capture sequencing methodology. A total of 37 patients who were tested with DSA and biopsy were divided into four subgroups (ABMR+/DSA+, ABMR+/DSA-, ABMR-/DSA+, ABMR-/DSA-) for the distribution of ddcfDNA (%) by ABMR and DSA. RESULTS: The median level of ddcfDNA in biopsy showed that the ABMR group (1.66%, IQR 1.34-3.76%) was significantly higher than the median level (0.63%, IQR 0.43-0.74%) in non-ABMR (p < 0.001). With a ddcfDNA cutoff of 0.96%, the AUC was 0.90 (95%CI, 0.86-0.95), which was associated with a sensitivity of 90.5% (95%CI, 69.6-98.8%) and specificity of 96.6% (95%CI, 82.2-100%), a PPV of 95% (95%CI, 73.4-99.2%) and NPV of 93.3% (95%CI, 78.9-98.1%) were also observed. Among the four subgroups, ddcfDNA had no significant difference in both DSA+ group and DSA-group (p > 0.05). In the diagnosis of ABMR, the specificity, sensitivity, PPV and NPV of DSA were 50%, 74.1%, 41.7%, 80%, respectively. CONCLUSIONS: ddcfDNA levels in the blood could highly distinguish (biopsy-supported) ABMR occurrence, irrespective of whether this method is accompanied by DSA or not.


Assuntos
Ácidos Nucleicos Livres , Transplante de Rim , Anticorpos , Biomarcadores , Rejeição de Enxerto/diagnóstico , Humanos , Isoanticorpos , Estudos Retrospectivos
12.
Mater Sci Eng C Mater Biol Appl ; 116: 111212, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32806324

RESUMO

Two-dimensional (2D) MXene nanomaterials have explored as a great potential candidate for tumor therapy during recent decades, especially for photothermal therapeutic applications. However, MXene-based drug-carriers cannot be elaborately controlled in cancer therapy. To solve the problem, a heterostructured titanium carbide-cobalt nanowires (Ti3C2-CoNWs) nanocarrier is developed for synergetic anticancer with magnetic controlling ability, dual stimuli-responsive drug release, and chemo-photothermal therapy. The structure, drug loading/release behavior, magnetic controlling capacity, photothermal performance, and synergistic therapeutic efficiency of the Ti3C2-CoNWs nanocarrier heterojunction are investigated. The heterostructured Ti3C2-CoNWs nanocarrier exhibits excellent photothermal conversion efficiency under 808 nm laser irradiation and high drug loading ability (225.05%). The doxorubicin (DOX) release behavior can be triggered by acid pH value (4-6) or near-infrared (NIR) irradiation. The Ti3C2-CoNWs nanocarrier heterojunction with synergistic chemo-photothermal therapeutic effect exhibits strong lethality for cancer cells than that of chemotherapy or photothermal therapy (PTT) alone. Therefore, Ti3C2-CoNWs nanocarrier heterojunction will be a promising choice for improving the efficiency of cancer treatment.


Assuntos
Hipertermia Induzida , Nanopartículas , Nanofios , Linhagem Celular Tumoral , Cobalto , Doxorrubicina/farmacologia , Sistemas de Liberação de Medicamentos , Liberação Controlada de Fármacos , Fototerapia , Terapia Fototérmica
13.
ACS Appl Mater Interfaces ; 12(41): 45891-45903, 2020 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-33012164

RESUMO

After an osteosarcoma resection, the risks of cancer recurrence, postoperative infection, and large bone loss still threaten patients' health. Conventional treatment relies on implanting orthopedic materials to fill bone defects after surgery, but it has no ability of destroying residual tumor cells and preventing bacterial invasion. To tackle this challenge, here, we develop a novel multifunctional implant (SP@MX/GelMA) that mainly consists of MXene nanosheets, gelatin methacrylate (GelMA) hydrogels, and bioinert sulfonated polyetheretherketone (SP) with the purpose of facilitating tumor cell death, combating pathogenic bacteria, and promoting osteogenicity. Because of the synergistic photothermal effects of MXene and polydopamine (pDA), osteosarcoma cells are effectively killed on the multifunctional coatings under 808 nm near-infrared (NIR) irradiation through thermal ablation. After loading tobramycin (TOB), the SP@MX-TOB/GelMA implants display robust antibacterial properties against Gram-negative/Gram-positive bacteria. More importantly, the multifunctional implants are demonstrated to have superior cytocompatibility and osteogenesis-promoting capability in terms of cell replication, spreading, alkaline phosphatase activity, calcium matrix mineralization, and in vivo osseointegration. Accordingly, such photothermally controlled multifunctional implants not only defeat osteosarcoma cells and bacteria but also intensify osteogenicity, which hold a greatly promising countermeasure for curing postoperative tissue lesion from an osteosarcoma excision.


Assuntos
Antibacterianos/farmacologia , Antineoplásicos/farmacologia , Neoplasias Ósseas/tratamento farmacológico , Hidrogéis/farmacologia , Cetonas/farmacologia , Osteossarcoma/tratamento farmacológico , Polietilenoglicóis/farmacologia , Células 3T3 , Animais , Antibacterianos/química , Antineoplásicos/química , Benzofenonas , Neoplasias Ósseas/patologia , Diferenciação Celular/efeitos dos fármacos , Proliferação de Células/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Ensaios de Seleção de Medicamentos Antitumorais , Bactérias Gram-Negativas/efeitos dos fármacos , Bactérias Gram-Positivas/efeitos dos fármacos , Humanos , Hidrogéis/química , Cetonas/química , Camundongos , Camundongos Endogâmicos , Testes de Sensibilidade Microbiana , Osteogênese/efeitos dos fármacos , Osteossarcoma/patologia , Tamanho da Partícula , Terapia Fototérmica , Polietilenoglicóis/química , Polímeros , Ratos , Ratos Sprague-Dawley , Propriedades de Superfície
14.
Macromol Biosci ; 19(2): e1800376, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30549406

RESUMO

Defective osteogenesis and latent infections continue to be two major issues in the therapy of bone tissue regeneration. In this study, a unique hierarchically micro/nanoscale-architecture is first proposed and produced on polyetheretherketone (PEEK). Besides, a "simvastatin-PLLA film-tobramycin microspheres" delivery system is subsequently fabricated to endow the PEEK implant with osteogenic and antibacterial capabilities. In vitro antibacterial evaluations confirm that the decorated PEEK scaffolds possess excellent resistance against planktonic/adherent bacteria. In vitro cell attachment/proliferation, lactate dehydrogenase (LDH) content, alkaline phosphatase (ALP) activity, calcium mineral deposition experiments, and real-time PCR analysis all exhibit that the superior proliferation rate and osteo-differentiation potential of MC3T3-E1 pre-osteoblasts are presented on the PEEK samples with dual functional decoration. In the mouse calvarial defect model, the micro-CT and histological results demonstrate that our scaffolds display a remarkable bone forming capability. Generally, the PEEK scaffolds co-endowed with simvastatin and tobramycin microspheres possess great potential in clinics.


Assuntos
Biofilmes/crescimento & desenvolvimento , Desenvolvimento Ósseo/fisiologia , Regeneração Óssea/fisiologia , Substitutos Ósseos/farmacologia , Cetonas/farmacologia , Osteogênese/fisiologia , Polietilenoglicóis/farmacologia , Células 3T3 , Fosfatase Alcalina/análise , Animais , Antibacterianos/farmacologia , Aderência Bacteriana/efeitos dos fármacos , Benzofenonas , Osso e Ossos/citologia , Linhagem Celular , Sistemas de Liberação de Medicamentos , Escherichia coli/crescimento & desenvolvimento , L-Lactato Desidrogenase/análise , Camundongos , Osteoblastos/citologia , Osteogênese/efeitos dos fármacos , Polímeros , Sinvastatina/farmacologia , Staphylococcus aureus/crescimento & desenvolvimento , Propriedades de Superfície , Tobramicina/farmacologia
16.
Cancer Manag Res ; 10: 3657-3668, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30271214

RESUMO

BACKGROUND: A prognostic model to predict the individual disease-specific survival (DSS) rates of non-metastatic esophageal cancer (nMEC) patients after preoperative radiotherapy (pRT) has not been established. In the current study, we aimed to establish a survival nomogram for nMEC patients after pRT. METHODS: We identified 2,424 nMEC patients who underwent pRT from the Surveillance, Epidemiology, and End Results database. Approximately, 80% (n=1,948) of the included patients were randomly selected and designated as training data set, and the remaining patients (n=476) were defined as external validation set. Nomogram was established by the training set and validated by the validation set. RESULTS: According to the results of the multivariate analysis, a nomogram combined with age at diagnosis, sex, tumor location, yp-T stage, yp metastatic lymph node ratio stage (yp-mLNRS), and grade was developed. The C-index of the model was significantly higher than that of yp-TNM staging system (0.62, 95% CI, 0.58 to 0.66 vs 0.55, 95% CI, 0.51 to 0.60; p<0.001). Calibration plots of the nomogram showed that the probability of DSS rates optimally corresponded to the survival rates were observed. CONCLUSION: The proposed nomogram resulted in more reliable DSS prediction for nMEC patients in general population, regardless of the patient's histological type. Upon validation, it will aid in individualized survival prediction and prove useful in clinical decision making in nMECs after pRT.

17.
RSC Adv ; 8(3): 1210-1217, 2018 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-35540898

RESUMO

Ferromagnetic metal nanoparticle/graphene nanocomposites are promising as excellent electromagnetic (EM) wave absorption materials. In this work, we used a facile method to synthesize a cobalt nanoparticle-graphene (CoNP-G) nanocomposite. The obtained CoNPs-G exhibited a saturation magnetization (M s) of 31.3 emu g-1 and a coercivity (H C) of 408.9 Oe at 298.15 K. In particular, the CoNPs-G nanocomposite provided high-performance EM wave absorption with multiband, wide effective absorption bandwidth, which was mainly attributed to the synergy effects generated by the magnetic loss of cobalt and the dielectric loss of graphene. In the range of 2-18 GHz, the sample (55 wt% CoNPs-G) held three effective reflection loss (RL) peaks (frequency ranges of 2.4-3.84, 7.84-11.87 and 13.25-18 GHz, respectively, RL ≤ -10 dB) with the coating thickness of 4.5 mm, and the effective bandwidth reached the maximum of 10.22 GHz, and the minimal RL reached -40.53 dB at 9.50 GHz. Therefore, the CoNPs-G nanocomposite presents a great promising application in the electromagnetic wave absorption field.

18.
J Biomater Sci Polym Ed ; 29(18): 2237-2251, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30307376

RESUMO

A strategy developed for obtaining positive cellular responses remains to be focused in the filed of functional biomimetics. In this study, a hydrogel covered simvastatin-loaded polyetheretherketone (PEEK) bio-composites was constructed with the purpose of bone tissue regeneration therapy. Briefly, a three-dimensional (3D) porous structure was fabricated on PEEK surface; then the substrate was functionalized with the poly(L-lactic acid)/simvastatin porous film and hyaluronic acid hydrogel subsequently. In vitro cell attachment, proliferation, and cytoskeletal observation experiments reveal that our scaffolds show better bio-affinity due to the layer of hyaluronic acid hydrogel compared with control. Furthermore, the alkaline phosphatase activity, calcium mineral deposition evaluation, and gene expression for osteogenic potential all exhibit that the superior osteogenic differentiation of MC3T3-E1 pre-osteoblasts on our scaffolds. Therefore, our PEEK samples loaded with simvastatin and covered with hyaluronic acid hydrogel hold great potential in clinical applications for bone repair.


Assuntos
Portadores de Fármacos/química , Hidrogéis/química , Cetonas/química , Osteogênese/efeitos dos fármacos , Polietilenoglicóis/química , Sinvastatina/administração & dosagem , Alicerces Teciduais/química , Células 3T3 , Animais , Benzofenonas , Materiais Biocompatíveis , Regeneração Óssea , Adesão Celular/efeitos dos fármacos , Diferenciação Celular/efeitos dos fármacos , Proliferação de Células/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Liberação Controlada de Fármacos , Humanos , Ácido Hialurônico/química , Camundongos , Osteoblastos/química , Poliésteres/química , Polímeros
19.
Colloids Surf B Biointerfaces ; 160: 483-492, 2017 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-28992487

RESUMO

Polyetheretherketone (PEEK) is an ideal substitute material for bone tissue engineering, which can avoid the stress shielding phenomenon due to its similar mechanical properties to natural human bone. Complex bone defect and postoperative infection are still two enormous challenges in orthopedic clinics. It's well-known that additive manufacturing possesses the merits of high-precision and rapid prototyping, thus it easily meets the needs of mold processing. In the present study, we developed a novel Ag-decorated 3D printed PEEK via catecholamine chemistry. SEM image showed that silver nanoparticles (AgNPs) were evenly anchored on the surface. The following antibacterial tests, including bacterial inhibition ring, bacterial dynamics curves and antibiofilm test, indicated that the Ag-decorated 3D PEEK scaffolds displayed significant antibacterial effect towards Gram-negative and Gram-positive bacteria. Then MG-63 cells were seeded on samples for cell proliferation and ALP activity tests. The results demonstrated the scaffold modified with AgNPs could support cell proliferation, and enhanced higher alkaline phosphatase activity compared with pure PEEK scaffold. Expectedly, this dual functional 3D material holds great potential application in clinical bone tissue repair.


Assuntos
Controle de Infecções/métodos , Cetonas/química , Nanopartículas Metálicas/química , Polietilenoglicóis/química , Próteses e Implantes , Prata/química , Bactérias/classificação , Bactérias/efeitos dos fármacos , Bactérias/crescimento & desenvolvimento , Benzofenonas , Materiais Biocompatíveis/química , Materiais Biocompatíveis/farmacologia , Regeneração Óssea/efeitos dos fármacos , Substitutos Ósseos/química , Substitutos Ósseos/farmacologia , Osso e Ossos/efeitos dos fármacos , Osso e Ossos/patologia , Osso e Ossos/fisiopatologia , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Humanos , Nanopartículas Metálicas/ultraestrutura , Microscopia Eletrônica de Varredura , Polímeros , Impressão Tridimensional , Cicatrização/efeitos dos fármacos
20.
Beilstein J Nanotechnol ; 8: 1769-1773, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28904838

RESUMO

A rapid, template-free method was developed to prepare magnetic, bimetallic Co-Cu nanowires via liquid phase reduction and metal replacement under an external magnetic field. The characterization results confirmed that the as-prepared product was bimetallic Co-Cu nanowires with a desirable linear structure. Additionally, the magnetic hysteresis loop showed that the bimetallic Co-Cu nanowires were paramagnetic, which meant they could be easily separated from the reaction mixture. Furthermore, they were applied to the hydrolysis system of ammonia borane as a catalyst for the first time. More importantly, the catalysis results showed that the bimetallic nanowires possessed appealing catalytic performance. Therefore, a rapid and facile synthesis method is introduced which is capable of preparing bimetallic Co-Cu nanowires with great potential for industrial applications.

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