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1.
Cell ; 184(1): 257-271.e16, 2021 01 07.
Artigo em Inglês | MEDLINE | ID: mdl-33417862

RESUMO

Hardwired circuits encoding innate responses have emerged as an essential feature of the mammalian brain. Sweet and bitter evoke opposing predetermined behaviors. Sweet drives appetitive responses and consumption of energy-rich food sources, whereas bitter prevents ingestion of toxic chemicals. Here we identified and characterized the neurons in the brainstem that transmit sweet and bitter signals from the tongue to the cortex. Next we examined how the brain modulates this hardwired circuit to control taste behaviors. We dissect the basis for bitter-evoked suppression of sweet taste and show that the taste cortex and amygdala exert strong positive and negative feedback onto incoming bitter and sweet signals in the brainstem. Finally we demonstrate that blocking the feedback markedly alters responses to ethologically relevant taste stimuli. These results illustrate how hardwired circuits can be finely regulated by top-down control and reveal the neural basis of an indispensable behavioral response for all animals.


Assuntos
Tonsila do Cerebelo/fisiologia , Encéfalo/fisiologia , Mamíferos/fisiologia , Paladar/fisiologia , Animais , Tronco Encefálico/fisiologia , Calbindina 2/metabolismo , Córtex Cerebral/fisiologia , Retroalimentação Fisiológica , Camundongos Endogâmicos C57BL , Mutação/genética , Inibição Neural/fisiologia , Neurônios/fisiologia , Núcleo Solitário/fisiologia , Somatostatina/metabolismo
2.
Cell ; 179(2): 392-402.e15, 2019 10 03.
Artigo em Inglês | MEDLINE | ID: mdl-31543264

RESUMO

The ability to sense sour provides an important sensory signal to prevent the ingestion of unripe, spoiled, or fermented foods. Taste and somatosensory receptors in the oral cavity trigger aversive behaviors in response to acid stimuli. Here, we show that the ion channel Otopetrin-1, a proton-selective channel normally involved in the sensation of gravity in the vestibular system, is essential for sour sensing in the taste system. We demonstrate that knockout of Otop1 eliminates acid responses from sour-sensing taste receptor cells (TRCs). In addition, we show that mice engineered to express otopetrin-1 in sweet TRCs have sweet cells that also respond to sour stimuli. Next, we genetically identified the taste ganglion neurons mediating each of the five basic taste qualities and demonstrate that sour taste uses its own dedicated labeled line from TRCs in the tongue to finely tuned taste neurons in the brain to trigger aversive behaviors.


Assuntos
Encéfalo/fisiologia , Proteínas de Membrana/metabolismo , Papilas Gustativas/metabolismo , Paladar , Ácidos/farmacologia , Vias Aferentes/citologia , Vias Aferentes/metabolismo , Vias Aferentes/fisiologia , Animais , Encéfalo/citologia , Encéfalo/metabolismo , Feminino , Masculino , Proteínas de Membrana/genética , Camundongos , Camundongos Endogâmicos C57BL , Papilas Gustativas/efeitos dos fármacos , Papilas Gustativas/fisiologia , Percepção Gustatória
3.
Inorg Chem ; 62(44): 18009-18013, 2023 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-37870376

RESUMO

Ratiometric luminescent thermometers with excellent performance often require the luminescent materials to possess high thermal stability and relative sensitivity (Sr). However, such luminescent materials are very rare, especially in physiological (298-323 K) and high-temperature (>373 K) regions. Here we report the synthesis and luminescent property of [Tb0.995Eu0.005(pfbz)2(phen)Cl] (3), which not only exhibits high Sr in physiological temperature but also has a Sr up to 7.47% K-1 at 440 K, the largest Sr at 440 K in known lanthanide-based coordination compound luminescent materials.

4.
J Am Chem Soc ; 144(30): 13787-13793, 2022 Aug 03.
Artigo em Inglês | MEDLINE | ID: mdl-35860923

RESUMO

Magnetic refrigerants with a large magnetocaloric effect (MCE) in a wide temperature range and low magnetic ordering temperature (To) in the sub-kelvin temperature region are not only crucial for adiabatic demagnetization refrigeration but also open up a broader parameter space for the optimal design of adiabatic demagnetization refrigerators. However, such magnetic refrigerants are extremely rare because they require magnetic materials to simultaneously satisfy three conditions: low To, weak magnetic interaction, and high magnetic density. Here, we report the syntheses, heat capacities, and magnetic properties of Gd(OH)3-xFx (1: x = 1, 2: x ≈ 1.5, and 3: x = 2), demonstrating for the first time that the introduction of fluoride anions into antiferromagnetic Gd(OH)3 can effectively regulate its To. Significantly, 3 not only has a To of 0.5 K but also exhibits a large MCE in the temperature range from 0.5 to 4 K, representing the best magnetic refrigerant reported to date in the temperature range of 0.5-4 K from the viewpoint of the MCE.

5.
Hematol Oncol ; 40(4): 637-644, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35141937

RESUMO

Autologous hematopoietic stem cell transplantation (ASCT) and chimeric antigen receptor T-cell therapy (CART) are salvage therapies that are utilised for treatment of relapsed or refractory (R/R) diffuse large B-cell lymphoma (DLBCL). However, whether the combination therapy of ASCT and CART (ASCT-CART) can improve the survival of R/R DLBCL remains unknown. Overall, 67 R/R DLBCL patients were included, among which 21 patients underwent ASCT-CART therapy and 46 patients underwent ASCT therapy. The median number of mononuclear cells numbers that were infused in the ASCT-CART and ASCT groups was 4.71 × 108 /kg and 5.36 × 108 /kg, respectively (p = 0.469). The median number of CD34+ cell numbers that were infused in the ASCT-CART and ASCT groups was 2.41 × 106 /kg and 3.05 × 106 /kg, respectively (p = 0.663). The median number of CART cells that were infused was 2.63 × 106 /kg with a median transduction rate of 59.83%. The objective response rates to ASCT-CART and ASCT therapy were 90% and 89%, respectively (p = 1.000). However, the ASCT-CART group showed higher complete remission (CR) rates than the ASCT group (71% vs. 33%; p = 0.003). The ASCT-CART group demonstrated superior 3 year progression-free survival (PFS) (80% vs. 44%; p = 0.036) and lower 3 year relapse/progression rate (15% vs. 56%; p = 0.015) compared to the ASCT group. However, the 3 year overall survival results indicated that there were no differences between the two groups (80% vs. 69%; p = 0.545). For R/R DLBCL patients, ASCT-CART therapy is associated with higher CR rate, better PFS, and lower relapse/progression rate. These data support that ASCT-CART therapy can be used as a salvage therapy for R/R DLBCL patients.


Assuntos
Transplante de Células-Tronco Hematopoéticas , Linfoma Difuso de Grandes Células B , Receptores de Antígenos Quiméricos , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Estudos de Coortes , Transplante de Células-Tronco Hematopoéticas/métodos , Humanos , Linfoma Difuso de Grandes Células B/tratamento farmacológico , Intervalo Livre de Progressão , Receptores de Antígenos Quiméricos/uso terapêutico , Recidiva , Estudos Retrospectivos , Rituximab , Transplante de Células-Tronco , Transplante Autólogo
6.
Bioorg Chem ; 119: 105577, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34959178

RESUMO

Phallus rubrovolvatus is an important commercially cultivated mushroom species in China. However, the volva of P. rubrovolvatus usually discarded as a by-product due to the unpleasant flavor and difficulty in processing. In this study, we investigated the chemical constituents and bioactivities of the volva of P. rubrovolvatus. As a result, fifteen rare aniline derivatives, including twelve new compounds (1-11, 14) and three new natural products (12, 13, 15) were isolated from the volva. Their structures were determined using 1D and 2D NMR data and HR-ESI-MS data, while the relative and absolute configurations were confirmed by NOESY correlations and comparison between experimental and calculated ECD spectra. In addition, compounds 1-15 were tested for anti-inflammatory activity against lipopolysaccharide (LPS)-induced NO production in RAW264.7 macrophages. Compounds 4, 9 and 10 exhibited anti-inflammatory activity with IC50 values ranging from 12.5 to 15.6 µM.


Assuntos
Compostos de Anilina/farmacologia , Anti-Inflamatórios não Esteroides/farmacologia , Basidiomycota/química , Óxido Nítrico/antagonistas & inibidores , Extratos Vegetais/farmacologia , Resíduos/análise , Compostos de Anilina/química , Compostos de Anilina/isolamento & purificação , Animais , Anti-Inflamatórios não Esteroides/química , Anti-Inflamatórios não Esteroides/isolamento & purificação , Relação Dose-Resposta a Droga , Lipopolissacarídeos/antagonistas & inibidores , Lipopolissacarídeos/farmacologia , Camundongos , Estrutura Molecular , Óxido Nítrico/biossíntese , Extratos Vegetais/química , Extratos Vegetais/isolamento & purificação , Células RAW 264.7 , Relação Estrutura-Atividade
7.
Inorg Chem ; 60(13): 9259-9262, 2021 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-34128660

RESUMO

A 3D coordination polymer, [Gd(HCOO)(C2O4)]n was prepared. Its magnetocaloric effect (MCE) (32.7 J K-1 kg-1 at 2 K and 2 T) is significantly larger than that of commercial Gd3Ga5O12 (GGG) (14.6 J kg-1 K-1 at 2 K and 2 T), while its thermal conductivity (9.9 W m-1 K-1 at 3 K) is comparable to that of the commercial GGG (about 10 W m-1 K-1 at 3 K).

8.
Nature ; 520(7547): 349-52, 2015 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-25624099

RESUMO

Thirst is the basic instinct to drink water. Previously, it was shown that neurons in several circumventricular organs of the hypothalamus are activated by thirst-inducing conditions. Here we identify two distinct, genetically separable neural populations in the subfornical organ that trigger or suppress thirst. We show that optogenetic activation of subfornical organ excitatory neurons, marked by the expression of the transcription factor ETV-1, evokes intense drinking behaviour, and does so even in fully water-satiated animals. The light-induced response is highly specific for water, immediate and strictly locked to the laser stimulus. In contrast, activation of a second population of subfornical organ neurons, marked by expression of the vesicular GABA transporter VGAT, drastically suppresses drinking, even in water-craving thirsty animals. These results reveal an innate brain circuit that can turn an animal's water-drinking behaviour on and off, and probably functions as a centre for thirst control in the mammalian brain.


Assuntos
Comportamento de Ingestão de Líquido/fisiologia , Órgão Subfornical/citologia , Órgão Subfornical/fisiologia , Sede/fisiologia , Animais , Proteína Quinase Tipo 2 Dependente de Cálcio-Calmodulina/metabolismo , Proteínas de Ligação a DNA/metabolismo , Desidratação/fisiopatologia , Ingestão de Líquidos , Água Potável , Lasers , Camundongos , Optogenética , Resposta de Saciedade , Fatores de Transcrição/metabolismo , Proteínas Vesiculares de Transporte de Aminoácidos Inibidores/metabolismo
9.
Inorg Chem ; 59(17): 12404-12409, 2020 Sep 08.
Artigo em Inglês | MEDLINE | ID: mdl-32794735

RESUMO

A luminescent lanthanide-titanium oxo cluster of Eu2Ti4(µ2-O)2(µ3-O)4(phen)2(tbza)10·4CH3CN (1, Eu2Ti4-phen-tbza, phen = 1,10-phenanthroline, Htbza = 4-tert-butylbenzoic acid) was prepared through the reaction of phen, Htbza, Eu(Ac)3·xH2O, and Ti(OiPr)4 in acetonitrile. Its overall absolute quantum yield is 65.4% in solid state and 30.2% in CH2Cl2, and the detection limit of 1 for the nitrobenzene (NB) is 10.5 ppb. When the concentration of NB is 40 ppm, the luminescence quenching of 1 can be observed with the naked eye. Time-resolved excited-state decay measurements indicate that the static quenching process is dominated across the NB concentration of 0-9 ppm. The distinguishable shifts in 1H NMR spectra of NB together with 1 confirm the presence of π···π stacking interactions between the organic ligands in 1 and the NB, which plays a key contribution for the quenching of luminescence.

10.
Phys Chem Chem Phys ; 22(36): 20421-20433, 2020 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-32914822

RESUMO

The multidomain kinase enzyme leucine-rich-repeat kinase 2 (LRRK2), activated through a homodimerization manner, has been identified as an important pathogenic factor in Parkinson's disease (PD), the second most common neurodegenerative disease wordwide. The Trp-Asp-40 (WD40) domain, located in the C-terminal LRRK2, harbours one of the most frequent PD-related variants, G2385R. However, the detailed dynamics of WD40 during LRRK2 dimerization and the underlying mechanism through which the pathogenic mutations disrupt the formation of the WD40 dimer have remained elusive. Here, microsecond-scale molecular dynamics simulations were employed to provide a mechanistic view underlying the WD40 dimerization and unveil the structural basis by which the interface-based mutations G2385R, H2391D and R2394E compromise the corresponding process. The simulation results identified important residues, D2351, R2394, E2395, R2413, and R2443, involved in establishing the complex binding network along the dimerization interface, which was significantly weakened in the presence of interfacial mutations. A "sag-bulge" model was proposed to explain the unfavorable dimer formation in the mutant systems. In addition, mutations altered the community configuration in the wild-type system in which inter-monomeric interplay is prominent, leading to the destabilization of the WD40 dimer under mutation.


Assuntos
Serina-Treonina Proteína Quinase-2 com Repetições Ricas em Leucina/química , Humanos , Ligação de Hidrogênio , Serina-Treonina Proteína Quinase-2 com Repetições Ricas em Leucina/genética , Simulação de Dinâmica Molecular , Mutação , Doença de Parkinson/genética , Domínios Proteicos/genética , Multimerização Proteica/genética , Eletricidade Estática
11.
J Neurosci ; 33(45): 17884-96, 2013 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-24198377

RESUMO

Nav1.8 is a tetrodotoxin-resistant voltage-gated sodium channel selectively expressed in primary sensory neurons. Peripheral inflammation and nerve injury induce Nav1.8 accumulation in peripheral nerves. However, the mechanisms and related significance of channel accumulation in nerves remains unclear. Here we report that KIF5B promotes the forward transport of Nav1.8 to the plasma membrane and axons in dorsal root ganglion (DRG) neurons of the rat. In peripheral inflammation induced through the intraplantar injection of complete Freund's adjuvant, increased KIF5 and Nav1.8 accumulation were observed in the sciatic nerve. The knock-down of KIF5B, a highly expressed member of the KIF5 family in DRGs, reduced the current density of Nav1.8 in both cultured DRG neurons and ND7-23 cells. Overexpression of KIF5B in ND7-23 cells increased the current density and surface expression of Nav1.8, which were abolished through brefeldin A treatment, whereas the increases were lost in KIF5B mutants defective in ATP hydrolysis or cargo binding. Overexpression of KIF5B also decreased the proteasome-associated degradation of Nav1.8. In addition, coimmunoprecipitation experiments showed interactions between the N terminus of Nav1.8 and the 511-620 aa sequence in the stalk domain of KIF5B. Furthermore, KIF5B increased Nav1.8 accumulation, Nav1.8 current, and neuronal excitability detected in the axons of cultured DRG neurons, which were completely abolished by the disruption of interactions between KIF5B and the N terminus of Nav1.8. Therefore, our results reveal that KIF5B is required for the forward transport and axonal function of Nav1.8, suggesting a mechanism for axonal accumulation of Nav1.8 in inflammatory pain.


Assuntos
Axônios/metabolismo , Gânglios Espinais/metabolismo , Cinesinas/metabolismo , Canal de Sódio Disparado por Voltagem NAV1.8/metabolismo , Neurônios/metabolismo , Potenciais de Ação/fisiologia , Animais , Membrana Celular/metabolismo , Células Cultivadas , Gânglios Espinais/citologia , Inflamação/metabolismo , Cinesinas/genética , Masculino , Canal de Sódio Disparado por Voltagem NAV1.8/genética , Neurônios/citologia , Transporte Proteico/fisiologia , Ratos , Ratos Sprague-Dawley
12.
Nat Prod Res ; : 1-6, 2024 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-38329014

RESUMO

Three new griseofulvin derivatives, griseofulvinoside A-C (1-3), were isolated from the ethyl acetate extract of the solid fermentation product of Aureobasidium pullulans. Their structures were elucidated based on extensive spectroscopic data analysis of MS, 1D and 2D NMR. The antifungal activities of new compounds were evaluated against four phytopathogenic fungi in vitro, and all test compounds demonstrated inhibitory effects. Among them, compound 2 exhibited the most potent activities against the four selected phytopathogenic fungi with inhibitory rates ranging from 40.2 to 75.8% at 0.2 mg/mL.

13.
Cancer Med ; 13(10): e7310, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38785213

RESUMO

BACKGROUND: To explore the effects of monitoring measurable residual disease and post-remission treatment selection on the clinical outcomes of B-cell acute lymphoblastic leukemia (B-ALL) in adults. METHODS: Between September 2010 and January 2022, adult patients with B-ALL who received combination chemotherapy, with or without allogeneic hematopoietic stem cell transplantation (allo-HSCT), were included in the retrospective study, which was approved by the Ethics Committee and the observation of Declaration of Helsinki conditions. RESULTS: One hundred and forty-three B-ALL patients achieved complete remission (CR) were included in the study, of whom 94 patients (65.7%) received allo-HSCT in first complete remission (CR1). Multivariate analysis showed that the most powerful factors affecting OS were transplantation (hazard ratio [HR] = 0.540, p = 0.037) and sustained measurable residue disease (MRD) negativity (HR = 0.508, p = 0.037). The subgroup analysis showed that the prognosis of the allo-HSCT group was better than that of the chemotherapy group, regardless of whether MRD was negative or positive after two courses of consolidation therapy. After consolidation therapy, the prognosis of patients with positive MRD remained significantly better in the allo-HSCT group than in the chemotherapy group. However, no significant difference was observed in the prognosis between the allo-HSCT and chemotherapy groups with negative MRD after consolidation therapy. CONCLUSIONS: B-ALL patients who achieve sustained MRD negativity during consolidation therapy have excellent long-term outcomes even without allo-HSCT. Allo-HSCT is associated with a significant benefit in terms of OS and DFS for patients who were with positive MRD during consolidation therapy.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica , Transplante de Células-Tronco Hematopoéticas , Neoplasia Residual , Leucemia-Linfoma Linfoblástico de Células Precursoras , Indução de Remissão , Humanos , Masculino , Adulto , Feminino , Estudos Retrospectivos , Prognóstico , Pessoa de Meia-Idade , Adulto Jovem , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Leucemia-Linfoma Linfoblástico de Células Precursoras/terapia , Leucemia-Linfoma Linfoblástico de Células Precursoras/mortalidade , Adolescente , Resultado do Tratamento , Transplante Homólogo
14.
ACS Appl Mater Interfaces ; 16(25): 32394-32401, 2024 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-38875495

RESUMO

Adiabatic demagnetization refrigeration is known to be the only cryogenic refrigeration technology that can achieve ultralow temperatures (≪1 K) at gravity-free conditions. The key indexes to evaluate the performance of magnetic refrigerants are their magnetic entropy changes (-ΔSm) and magnetic ordering temperature (T0). Although, based on the factors affecting the -ΔSm of magnetic refrigerants, one has been able to judge if a magnetic refrigerant has a large -ΔSm, how to accurately predict their T0 remains a huge challenge due to the fact that the T0 of magnetic refrigerants is related to not only magnetic exchange but also single-ion anisotropy and magnetic dipole interaction. Here, we, taking GdCO3F (1), Gd(HCOO)F2, Gd2(SO4)3·8H2O, GdF3, Gd(HCOO)3 and Gd(OH)3 as examples, demonstrate that the T0 of magnetic refrigerants with very weak magnetic interactions and small anisotropy can be accurately predicted by integrating mean-field approximation with quantum Monte Carlo simulations, providing an effective method for predicting the T0 of ultralow-temperature magnetic refrigerants. Thus, the present work lays a solid foundation for the rational design and preparation of ultralow-temperature magnetic refrigerants in the future.

15.
J Physiol ; 591(13): 3233-51, 2013 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-23568892

RESUMO

Voltage-gated K(+) (KV) channels play critical roles in shaping neuronal signals. KV channels distributed in the perisomatic regions and thick dendrites of cortical pyramidal neurons have been extensively studied. However, the properties and regulation of KV channels distributed in the thin axons remain unknown. In this study, by performing somatic and axonal patch-clamp recordings from layer 5 pyramidal neurons of prefrontal cortical slices, we showed that the rapidly inactivating A-currents mediated the transient K(+) currents evoked by action potential (AP) waveform command (KAP) at the soma, whereas the rapidly activating but slowly inactivating KV1-mediated D-currents dominated the KAP at the axon. In addition, activation of D1-like receptors for dopamine decreased the axonal K(+) currents, as a result of an increase in the activity of cAMP-PKA pathway. In contrast, activation of D2-like receptors showed an opposite effect on the axonal K(+) currents. Further experiments demonstrated that functional D1-like receptors were expressed at the main axon trunk and their activation could broaden the waveforms of axonal APs. Together, these results show that axonal KV channels were subjected to dopamine modulation, and this modulation could regulate the waveforms of propagating APs at the axon, suggesting an important role of dopaminergic modulation of axonal KV channels in regulating neuronal signalling.


Assuntos
Axônios/fisiologia , Dopamina/fisiologia , Canais de Potássio de Abertura Dependente da Tensão da Membrana/fisiologia , Córtex Pré-Frontal/fisiologia , Células Piramidais/fisiologia , Potenciais de Ação , Animais , AMP Cíclico/metabolismo , Proteínas Quinases Dependentes de AMP Cíclico/metabolismo , Técnicas In Vitro , Ratos , Ratos Sprague-Dawley , Receptores de Dopamina D1/fisiologia , Receptores de Dopamina D2/fisiologia
16.
J Biol Chem ; 287(18): 14973-83, 2012 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-22399292

RESUMO

Cone snail venoms are a rich source of peptides, many of which are potent and selective modulators of ion channels and receptors. Here we report the isolation and characterization of two novel conotoxins from the venom of Conus imperialis. These two toxins contain a novel cysteine framework, C-C-C-CC-C, which has not been found in other conotoxins described to date. We name it framework XXIII and designate the two toxins im23a and im23b; cDNAs of these toxins exhibit a novel signal peptide sequence, which defines a new K-superfamily. The disulfide connectivity of im23a has been mapped by chemical mapping of partially reduced intermediates and by NMR structure calculations, both of which establish a I-II, III-IV, V-VI pattern of disulfide bridges. This pattern was also confirmed by synthesis of im23a with orthogonal protection of individual cysteine residues. The solution structure of im23a reveals that im23a adopts a novel helical hairpin fold. A cluster of acidic residues on the surface of the molecule is able to bind calcium. The biological activity of the native and recombinant peptides was tested by injection into mice intracranially and intravenously to assess the effects on the central and peripheral nervous systems, respectively. Intracranial injection of im23a or im23b into mice induced excitatory symptoms; however, the biological target of these new toxins has yet to be identified.


Assuntos
Conotoxinas/química , Caramujo Conus/química , Motivos de Aminoácidos , Sequência de Aminoácidos , Animais , Conotoxinas/genética , Conotoxinas/toxicidade , Caramujo Conus/genética , Dissulfetos/química , Espectroscopia de Ressonância Magnética , Camundongos , Dados de Sequência Molecular , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Recombinantes/toxicidade , Relação Estrutura-Atividade
17.
Urol Oncol ; 41(3): 149.e1-149.e9, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36463084

RESUMO

BACKGROUND: The association between postoperative acute kidney injury (AKI) and long-term renal function after nephrectomy has not been fully explored, with accurate prognostic models in which AKI is an independent predicting variable still being absent. METHODS: We conducted a retrospective study of 528 patients who underwent unilateral radical nephrectomy or partial nephrectomy owing to renal cell carcinoma between January 2013 and December 2016. Postoperative AKI was defined as an absolute increase in serum creatinine level by 0.3 mg/dl or ≥5 0% increase from the preoperative value within 48 hours after surgery. The endpoint was the time to the incident stage 3 or higher chronic kidney disease (defined as eGFR<60 ml/min/1.73m²), or any claim for initiation of dialysis. Cox proportional hazards regression analysis was conducted to construct the final model. Internal validation was performed using 10-fold cross-validation. The model was evaluated in discrimination by Harrell's C-index and area under curve (AUC) values, and calibration by calibration plots. RESULTS: Five hundred twenty-eight patients were finally enrolled in the study cohort, and the median follow-up period was 38 months. Among 528 admitted patients, 232 (43.9%) developed AKI, and stage 3 or higher CKD occurred in 47 (8.9%) patients during the follow-up time, with 33 in 47 patients (70.2%) having postoperative AKI. AKI was significantly correlated with poor prognosis of renal function (HR = 3.079, P < 0.001). After the adjustment of conventional predictors, AKI was still independently related to kidney function deterioration, and the correlation was influenced by the severity of AKI. Five variables were selected to establish the prognostic model, including age, surgery type, preoperative estimated glomerular filtration rate, preoperative blood urea nitrogen, and postoperative AKI. The model had good discrimination, with the Harrell's C-index of 0.92 (95% CI 0.89-0.95), and AUC values varying from 87.7 to 95.7 at different time points. CONCLUSIONS: AKI during the perioperative period is an independent predicting factor of stage 3 or higher CKD after nephrectomy.


Assuntos
Injúria Renal Aguda , Neoplasias Renais , Insuficiência Renal Crônica , Humanos , Estudos Retrospectivos , Resultado do Tratamento , Nefrectomia , Taxa de Filtração Glomerular , Neoplasias Renais/patologia , Rim/patologia
18.
Front Oncol ; 12: 932254, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36353549

RESUMO

Burkitt lymphoma or leukemia (BL) is a highly aggressive non-Hodgkin lymphoma. Older age (over 60 years old) and the presence of high-risk factors (such as abdominal mass, high levels of the serum lactic dehydrogenase, Ann Arbor stage II-IV and so on) usually predict a poorer outcome. Chimeric antigen receptor T cells (CART) have achieved remarkable success in the treatment of B-cell leukemia and lymphoma. Here, for the first time, we report a 61-year-old, high-risk BL patient with autologous stem cell transplantation (ASCT) bridging therapy prior to CART as consolidation therapy. Our findings demonstrate that the combination of ASCT and CART for BL is safe and feasible.

19.
Nanomaterials (Basel) ; 13(1)2022 Dec 25.
Artigo em Inglês | MEDLINE | ID: mdl-36616012

RESUMO

In this work, aramid nanofibers (ANFs)/reduced graphene oxide (ANFs/RGO) film electrodes were prepared by vacuum-assisted filtration, followed by hydroiodic acid reduction. Compared with thermal reduced ANFs/RGO, these as-prepared film electrodes exhibit a combination of mechanical and electrochemical properties with a tensile strength of 184.5 MPa and a volumetric specific capacitance of 134.4 F/cm3 at a current density of 0.125 mA/cm2, respectively. In addition, the film electrodes also show a superior cycle life with 94.6% capacitance retention after 5000 cycles. This kind of free-standing film electrode may have huge potential for flexible energy-storage devices.

20.
Cancers (Basel) ; 14(24)2022 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-36551519

RESUMO

In the past, different bacterial species have been tested for cancer therapy in preclinical and clinical studies. The success of bacterial cancer therapy is mainly dependent on the ability of the utilized bacteria to overcome the host immune defense system to colonize the tumors and to initiate tumor-specific immunity. In recent years, several groups have demonstrated that the gut microbiome plays an important role of modulation of the host immune response and has an impact on therapeutic responses in murine models and in cohorts of human cancer patients. Here we analyzed the impact of the gut microbiome on tumor colonization and tumor therapy by the Escherichia coli Nissle 1917 (EcN) strain. This EcN strain is a promising cancer therapy candidate with probiotic properties. In our study, we observed significantly better tumor colonization by EcN after antibiotic-induced temporal depletion of the gut microbiome and after two intranasal applications of the EcN derivate (EcN/pMUT-gfp Knr) in 4T1 tumor-bearing syngeneic BALB/c mice. In addition, we demonstrated significant reduction in tumor growth and extended survival of the EcN-treated mice in contrast to phosphate-buffered saline (PBS)-treated tumor-bearing control animals. Multispectral imaging of immune cells revealed that depletion of the gut microbiome led to significantly lower infiltration of cytotoxic and helper T cells (CD4 and CD8 cells) in PBS tumors of mice pretreated with antibiotics in comparison with antibiotic untreated PBS-or EcN treated mice. These findings may help in the future advancement of cancer treatment strategies using E. coli Nissle 1917.

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