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1.
J Hazard Mater ; 476: 134938, 2024 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-38901262

RESUMO

Microplastics (MPs) and heavy metals (HMs) are important pollutants in terrestrial ecosystems. In particular, the "island" landscape's weak resistance makes it vulnerable to pollution. However, there is a lack of research on MPs and HMs in island landscapes. Therefore, we used Helan Mountain as the research area. Assess the concentrations, spatial distribution, ecological risks, sources, and transport of MPs and HMs in the soil and blue sheep (Pseudois nayaur) feces. Variations in geographical distribution showed a connection between human activity and pollutants. Risk assessment indicated soil and wildlife were influenced by long-term pollutant polarization and multi-element inclusion (Igeo, Class I; PHI, Class V; RI (MPs), 33 % Class II, and 17 % Class IV; HI = 452.08). Source apportionment showed that tourism and coal combustion were the primary sources of pollutants. Meanwhile, a new coupling model of PMF/Risk was applied to quantify the source contribution of various risk types indicated transportation roads and tourism sources were the main sources of ecological and health risks, respectively. Improve the traceability of pollution source risks. Furthermore, also developed a novel tracing model for pollutant transportation, revealing a unique "source-sink-source" cycle in pollutant transportation, which provides a new methodological framework for the division of pollution risk areas in nature reserves and the evaluation of spatial transport between sources and sinks. Overall, this study establishes a foundational framework for conducting comprehensive risk assessments and formulating strategies for pollution control and management.

2.
Comput Biol Med ; 168: 107725, 2024 01.
Artigo em Inglês | MEDLINE | ID: mdl-38006827

RESUMO

Delineating lesion boundaries play a central role in diagnosing thyroid and breast cancers, making related therapy plans and evaluating therapeutic effects. However, it is often time-consuming and error-prone with limited reproducibility to manually annotate low-quality ultrasound (US) images, given high speckle noises, heterogeneous appearances, ambiguous boundaries etc., especially for nodular lesions with huge intra-class variance. It is hence appreciative but challenging for accurate lesion segmentations from US images in clinical practices. In this study, we propose a new densely connected convolutional network (called MDenseNet) architecture to automatically segment nodular lesions from 2D US images, which is first pre-trained over ImageNet database (called PMDenseNet) and then retrained upon the given US image datasets. Moreover, we also designed a deep MDenseNet with pre-training strategy (PDMDenseNet) for segmentation of thyroid and breast nodules by adding a dense block to increase the depth of our MDenseNet. Extensive experiments demonstrate that the proposed MDenseNet-based method can accurately extract multiple nodular lesions, with even complex shapes, from input thyroid and breast US images. Moreover, additional experiments show that the introduced MDenseNet-based method also outperforms three state-of-the-art convolutional neural networks in terms of accuracy and reproducibility. Meanwhile, promising results in nodular lesion segmentation from thyroid and breast US images illustrate its great potential in many other clinical segmentation tasks.


Assuntos
Processamento de Imagem Assistida por Computador , Redes Neurais de Computação , Humanos , Reprodutibilidade dos Testes , Processamento de Imagem Assistida por Computador/métodos , Ultrassonografia/métodos , Mama
3.
Comput Biol Med ; 169: 107856, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38154159

RESUMO

Multiple cardiac diseases are closely associated with functional parameters of the left ventricle, but functional parameter quantification still requires manual involvement, a time-consuming and less reproducible task. We develop a joint attention network (JANet) and expand it into two versions (V1 and V2) that can be used to segment the left ventricular region in echocardiograms to assist physicians in diagnosis. V1 is a smaller model with a size of 56.3 MB, and V2 has a higher accuracy. The proposed JANet V1 and V2 achieve a mean dice score (DSC) of 93.59/93.69(V1/V2), respectively, outperforming the state-of-the-art models. We grade 1264 patients with 87.24/87.50 (V1/V2) accuracy when using the 2-level classification criteria and 83.62/84.18 (V1/V2) when using the 5-level classification criteria. The results of the consistency analysis show that the proposed method is comparable to that of clinicians.


Assuntos
Cardiopatias , Ventrículos do Coração , Humanos , Ecocardiografia , Tórax
4.
Front Pharmacol ; 14: 1188893, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37920210

RESUMO

Alzheimer's disease (AD) is an age-related neurodegenerative disease that progressively impairs cognitive function and memory. The occurrence and development of Alzheimer's disease involves many processes. In response to the complex pathogenesis of AD, the Traditional Chinese medicine formula Liuwei Dihuang Pill (LWD) has been shown to improve the cognitive function of AD animal models. However, the active ingredients and mechanism of action of LWD have not been fully elucidated. In this study, network pharmacological analysis predicted 40 candidate compounds in LWD, acting on 227 potential targets, of which 185 were associated with AD. Through network pharmacological analysis, the mechanism of action of LWD therapy AD is related to the inhibition of inflammatory response, regulation of neuronal state, and autophagy. In this experiment, LWD was detected in the APP/PS1 transgenic mouse model. The objective was to observe the effects of LWD on hippocampal learning and memory ability, Aß clearance, autophagy and inflammatory response in APP/PS1 mice. The results showed that LWD improved long-term memory and working memory in APP/PS1 mice compared with the WT group. At the same time, LWD can increase the expression of hippocampal autophagy biomarkers, reduce the precipitation of Aß, and the activation of microglia and astrocytes. Its mechanism may be related to the regulation of the PI3K/Akt signaling pathway. Thus, we demonstrate for the first time that LWD has a neuroprotective effect on APP/PS1 mice and provide theoretical foundation for the development of a new clinical treatment for AD.

5.
J Orthop Surg Res ; 18(1): 777, 2023 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-37845720

RESUMO

BACKGROUND: Osteoporosis is a systemic bone disease which can increase the risk of osteoporotic fractures. Dual-energy X-ray absorptiometry (DXA) is considered as the clinical standard for diagnosing osteoporosis by detecting the bone mineral density (BMD) in patients, but it has flaws in distinguishing between calcification and other degenerative diseases, thus leading to inaccurate BMD levels in subjects. Mindways quantitative computed tomography (Mindways QCT) is a classical QCT system. Similar to DXA, Mindways QCT can directly present the density of trabecular bone, vascular or tissue calcification; therefore, it is more accurate and sensitive than DXA and has been widely applied in clinic to evaluate osteoporosis. iCare QCT osteodensitometry was a new phantom-based QCT system, recently developed by iCare Inc. (China). It has been gradually applied in clinic by its superiority of taking 3-dimensional BMD of bone and converting BMD values to T value automatically. This study aimed at evaluating the osteoporosis detection rate of iCare QCT, compared with synchronous Mindways QCT (USA). METHODS: In this study, 131 patients who underwent hip phantom-based CT scan were included. Bone mineral density (BMD) of the unified region of interests (ROI) defined at the European spine phantom (ESP, German QRM) including L1 (low), L2 (medium), and L3 (high) vertebral bodies was detected for QCT quality control and horizontal calibration. Every ESP scan were taken for 10 times, and the mean BMD values measured by iCare QCT and Mindways QCT were compared. Hip CT scan was conducted with ESP as calibration individually. T-scores gained from iCare QCT and Mindways QCT were analyzed with Pearson correlation test. The detection rates of osteoporosis were compared between iCare QCT and Mindways QCT. The unified region of interests (ROI) was delineated in the QCT software. RESULTS: The results showed that there was no significant difference between iCare QCT and Mindways QCT in the evaluation of L1, L2, and L3 vertebrae bodies in ESP. A strong correlation between iCare QCT and Mindways QCT in the assessment of hip T-score was found. It was illustrated that iCare QCT had a higher detection rate of osteoporosis with the assessment of hip T-score than Mindways QCT did. In patients < 50 years subgroup, the detection rate of osteoporosis with iCare QCT and Mindways QCT was equal. In patients ≥ 50 years subgroup, the detection rate of osteoporosis with iCare QCT (35/92, 38.0%) was higher than that with Mindways QCT. In female subgroup, the detection rate of osteoporosis with iCare QCT was significantly higher than Mindways QCT. In male subgroup, the detection rate of osteoporosis with iCare QCT was also markedly higher than Mindways QCT. The detection rate of osteoporosis by iCare QCT was higher than Mindways QCT with hip bone assessment. Of course, the results of the present study remain to be further verified by multicenter studies in the future.


Assuntos
Densidade Óssea , Osteoporose , Humanos , Masculino , Feminino , Corpo Vertebral , Tomografia Computadorizada por Raios X/métodos , Osteoporose/diagnóstico por imagem , Absorciometria de Fóton/métodos , Vértebras Lombares
6.
Mol Neurobiol ; 60(9): 5067-5089, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37247071

RESUMO

Synaptic impairment and loss are an important pathological feature of Alzheimer's disease (AD). Memory is stored in neural networks through changes in synaptic activity, and synaptic dysfunction can cause cognitive dysfunction and memory loss. Cholecystokinin (CCK) is one of the major neuropeptides in the brain, and plays a role as a neurotransmitter and growth factor. The level of CCK in the cerebrospinal fluid is decreased in AD patients. In this study, a novel CCK analogue was synthesized on the basis of preserving the minimum bioactive fragment of endogenous CCK to investigate whether the novel CCK analogue could improve synaptic plasticity in the hippocampus of the APP/PS1 transgenic mouse model of AD and its possible molecular biological mechanism. Our study found that the CCK analogue could effectively improve spatial learning and memory, enhance synaptic plasticity in the hippocampus, normalize synapse numbers and morphology and the levels of key synaptic proteins, up-regulate the PI3K/Akt signaling pathway and normalize PKA, CREB, BDNF and TrkB receptor levels in APP/PS1 mice. The amyloid plaque load in the brain was reduced by CCK, too. The use of a CCKB receptor antagonist and targeted knockdown of the CCKB receptor (CCKBR) attenuated the neuroprotective effect of the CCK analogue. These results demonstrate that the neuroprotective effect of CCK analogue is achieved by activating the PI3K/Akt as well as the PKA/CREB-BDNF/TrkB signaling pathway that leads to protection of synapses and cognition.


Assuntos
Doença de Alzheimer , Fármacos Neuroprotetores , Camundongos , Animais , Doença de Alzheimer/complicações , Doença de Alzheimer/tratamento farmacológico , Doença de Alzheimer/metabolismo , Fármacos Neuroprotetores/farmacologia , Fator Neurotrófico Derivado do Encéfalo/metabolismo , Fosfatidilinositol 3-Quinases/metabolismo , Proteínas Proto-Oncogênicas c-akt/metabolismo , Plasticidade Neuronal , Camundongos Transgênicos , Cognição , Hipocampo/metabolismo , Colecistocinina/farmacologia , Colecistocinina/metabolismo , Colecistocinina/uso terapêutico , Transdução de Sinais , Modelos Animais de Doenças , Precursor de Proteína beta-Amiloide/metabolismo , Peptídeos beta-Amiloides/metabolismo , Presenilina-1/metabolismo
7.
Eur J Med Chem ; 253: 115321, 2023 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-37037137

RESUMO

Histone lysine specific demethylase 1 (LSD1) is responsible for the demethylation of mono-/dimethylated lysine residue on histone proteins. LSD1 plays an extensive and essential role in the pathogenesis and progression of many human diseases such as cancers, and thus is becoming an attractive therapeutic target for cancer treatment. Tranylcypromine (TCP) is an important chemical template for developing irreversible LSD1 inhibitors, representing a major chemotype of clinical candidates. Here we report a novel pool of TCP derivatives with triazolopyrimidine as a privileged heterocylic motif. Starting from ticagrelor, a clinically available antiplatelet agent, as a hit compound, our medicinal efforts have led to the identification of compound 9j with nanomolar inhibitory potency against LSD1 as well as broad-spectrum antiproliferative activities against tumor cells. Enzyme studies show that compound 9j is selective over MAO-A/B enzymes, and also cellular active to elevate the expression of H3K4me2 by inhibiting LSD1 in cells. Furthermore, in a H1650 xenograft mouse model, oral administration of compound 9j at low 10 and 20 mg/kg dosages could enable a significant reduction in tumor size and a remarkable extension of survival. The current work is expected to provide an additional strategy to achieve new TCP-based LSD1 inhibitors.


Assuntos
Antineoplásicos , Tranilcipromina , Humanos , Animais , Camundongos , Tranilcipromina/farmacologia , Inibidores Enzimáticos/farmacologia , Antineoplásicos/química , Histonas/metabolismo , Lisina , Histona Desmetilases , Relação Estrutura-Atividade
8.
Ageing Res Rev ; 87: 101899, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-36871781

RESUMO

Alzheimer's disease (AD), a chronic and progressive neurodegenerative disease, generates a serious threat to the health of the elderly. The AD brain is microscopically characterized by amyloid plaques and neurofibrillary tangles. There are still no effective therapeutic drugs to restrain the progression of AD though much attention has been paid to exploit AD treatments. Ferroptosis, a type of programmed cell death, has been reported to promote the pathological occurrence and development of AD, and inhibition of neuronal ferroptosis can effectively improve the cognitive impairment of AD. Studies have shown that calcium (Ca2+) dyshomeostasis is closely related to the pathology of AD, and can drive the occurrence of ferroptosis through several pathways, such as interacting with iron, and regulating the crosstalk between endoplasmic reticulum (ER) and mitochondria. This paper mainly reviews the roles of ferroptosis and Ca2+ in the pathology of AD, and highlights that restraining ferroptosis through maintaining the homeostasis of Ca2+ may be an innovative target for the treatment of AD.


Assuntos
Doença de Alzheimer , Ferroptose , Doenças Neurodegenerativas , Humanos , Idoso , Doença de Alzheimer/metabolismo , Cálcio/metabolismo , Homeostase
9.
Front Pharmacol ; 14: 1115387, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36843923

RESUMO

Radix Rehmanniae Praeparata (RRP, Shu Dihuang in Cinese) is widely used as primal medicine in Chinese herbal formula for the treatment of Alzheimer's disease (AD). However, the underlying mechanism of RRP for AD remains unclear. The aim of this study was to investigate the therapeutic effect of RRP on intracerebroventricular injection of streptozotocin (ICV-STZ)-induced AD model mice and its potential mechanism. ICV-STZ mice were continuously gavaged with RRP for 21 days. The pharmacological effects of RRP were evaluated by behavioral tests, brain tissue H&E staining and hippocampal tau protein phosphorylation levels. The expression levels of insulin receptor (INSR), IRS-1, pSer473-AKT/AKT and pSer9-GSK-3ß/GSK-3ß proteins in hippocampal and cortical tissues were detected by Western-blot method. The 16S rRNA gene sequencing was used to analyze the changes of intestinal microbiota in mice. The compounds in RRP were analyzed by mass spectrometry and their binding ability to INSR proteins was detected by molecular docking. The results showed that RRP ameliorated cognitive dysfunction and neuronal pathological changes of brain tissue in ICV-STZ mice, reduced tau protein hyperphosphorylation, INSR, IRS-1, pSer473-AKT/AKT, and pSer9-GSK-3ß/GSK-3ß levels in hippocampal and cortical tissues. Meanwhile, RRP reversed ICV-STZ-induced dysregulation of intestinal microbiota in AD mice. Mass spectrometry analysis showed that the RRP consisted mainly of seven compounds, namely Acteoside (Verbascoside), 5-Hydroxymethyl-2-furaldehyde (5-HMF), Apigenin7-O-glucuronide, Icariin, Gallic acid, Quercetin-3ß-D-glucoside, and Geniposide. Molecular docking results further indicated that the compounds in RRP have binding ability to INSR protein and potential multiple synergistic effects. RRP ameliorates cognitive dysfunction and brain histopathological changes in AD mice. The mechanism of RRP ameliorating AD may be related to the regulation of INSR/IRS-1/AKT/GSK-3ß signaling pathway and intestinal microbiota. This study supports the potential anti-AD efficacy of RRP and initially reveals the pharmacological mechanism of RRP, providing a theoretical basis for further clinical application of RRP.

10.
Carbohydr Polym ; 306: 120612, 2023 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-36746592

RESUMO

Polysaccharide films containing protein additives have good application prospects in agriculture and food field. However, interfacial incompatibility between hydrophobic proteins and hydrophilic polymers remains a major technical challenge. In this work, the interfacial compatibility between hydrophobic zein and hydrophilic chitosan (CS) is improved by the chemical crosslinking between zinc ions of curcumin-loaded zeolitic imidazolate framework-8 (Cur-ZIF-8) with CS and zein. With the improvement of interface compatibility, the results show that the elongation at break and O2 barrier property of synthesized Cur-ZIF-8/CS/Zein are 9.2 and 1.5 times higher than CS/Zein, respectively. And the Cur-ZIF-8/CS/Zein exhibits superior antibacterial and antioxidant properties as well. Importantly, Cur-ZIF-8/CS/Zein can also be used as an intelligent-responsive release platform for curcumin. As a result, Cur-ZIF-8/CS/Zein can keep the freshness and appearance of litchi at least 8 days longer than that of CS/Zein. Therefore, this study provides a novel method to improve the interfacial compatibility between hydrophobic proteins and hydrophilic polymers, and is expected to expand the application of protein/polymer composites in agriculture and food field.


Assuntos
Quitosana , Curcumina , Litchi , Nanopartículas , Zeína , Curcumina/farmacologia , Curcumina/química , Quitosana/química , Zeína/química , Preparações de Ação Retardada/farmacologia , Polímeros , Antibacterianos/farmacologia , Nanopartículas/química
11.
J Asian Nat Prod Res ; 25(1): 44-52, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35113741

RESUMO

One new 6a,11a-dehydropterocarpan derivative, 6-O-methyl-anhydrotuberosin (1), one new 6a-hydroxypterocarpan, (6aR,11aR,11bR)-hydroxytuberosone (7), and seven known compounds including two 6a,11a-dehydropterocarpans (2 and 4), two coumestans (3 and 5), one isoflavonoid (6) and two other phenolic compounds (8 and 9) were isolated from the roots of Pueraria lobata. The structures of the isolated compounds were elucidated with spectroscopic and spectrometric methods (1 D and 2DNMR, HRESIMS). Compounds 1, 2, 4-5 showed potent LSD1 inhibitory activities with IC50 values ranging from 1.73 to 4.99 µM. Furthermore, compound 2 showed potent cytotoxicity against gastric cancer cell lines MGC-803 and BGC-823, and lung cancer cell lines H1299 and H460.


Assuntos
Isoflavonas , Pueraria , Pueraria/química , Linhagem Celular , Fenóis , Histona Desmetilases/análise , Raízes de Plantas/química , Isoflavonas/farmacologia , Isoflavonas/química
12.
Zhongguo Zhong Yao Za Zhi ; 47(20): 5574-5583, 2022 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-36471975

RESUMO

Histone lysine-specific demethylase 1(LSD1) has become a promising molecular target for lung cancer therapy. Upon the screening platform for LSD1 activity, some Chinese herbal extracts were screened for LSD1 activity inhibition, and the underlying mechanism was preliminarily investigated at both molecular and cellular levels. The results of LSD1 inhibition showed that Puerariae Lobatae Radix extract can effectively reduce LSD1 expression to elevate the expression of H3 K4 me2 and H3 K9 me2 substrates in H1975 and H1299 cells. Furthermore, Puerariae Lobatae Radix was evaluated for its anti-lung cancer activity. It had a potent inhibitory ability against the proliferation and colony formation of both H1975 and H1299 cells. Flow cytometry and DAPI staining assays indicated that Puerariae Lobatae Radix can induce the apoptosis of lung cancer cells. In addition, it can significantly suppress the migration and reverse the epithelial-mesenchymal transition(EMT) process of lung cancer cells by activating E-cadherin and suppressing the expression of N-cadherin, slug and vimentin. To sum up, Puerariae Lobatae Radix displayed a robust inhibitory activity against lung cancer, and the mechanism may be related to the down-regulation of LSD1 expression to induce the cell apoptosis and suppress the cell migration and EMT process. These findings will provide new insights into the action of Puerariae Lobatae Radix as an anti-lung cancer agent and offer new ideas for the study on the anti-cancer action of Chinese medicine based on the epigenetic modification.


Assuntos
Neoplasias , Pueraria , Pueraria/química , Histona Desmetilases/genética , Histona Desmetilases/análise , Raízes de Plantas/química , Transição Epitelial-Mesenquimal
13.
Front Pharmacol ; 13: 1020556, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36386192

RESUMO

Alzheimer's disease (AD) is a common chronic neurodegenerative disease characterized by cognitive learning and memory impairments, however, current treatments only provide symptomatic relief. Lysine-specific demethylase 1 (LSD1), regulating the homeostasis of histone methylation, plays an important role in the pathogenesis of many neurodegenerative disorders. LSD1 functions in regulating gene expression via transcriptional repression or activation, and is involved in initiation and progression of AD. Pharmacological inhibition of LSD1 has shown promising therapeutic benefits for AD treatment. In this review, we attempt to elaborate on the role of LSD1 in some aspects of AD including neuroinflammation, autophagy, neurotransmitters, ferroptosis, tau protein, as well as LSD1 inhibitors under clinical assessments for AD treatment.

14.
Comput Biol Med ; 150: 106082, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36195044

RESUMO

Early accurate mammography screening and diagnosis can reduce the mortality of breast cancer. Although CNN-based breast cancer computer-aided diagnosis (CAD) systems have achieved significant results in recent years, precise diagnosis of lesions in mammogram remains a challenge due to low signal-to-noise ratio (SNR) and physiological characteristics. Many researchers achieved excellent performance in detecting mammographic images by inputting region of interest (ROI) annotations while ROI annotations require a great quantity of manual labor, time and resources. We propose a two-stage method that combines images preprocessing and model optimization to address the aforementioned challenges. Firstly, we propose the breast database preprocess (BDP) method to preprocess INbreast then we get INbreast†. The only label we need is benign or malignant label of one mammogram, not manual labeling such as ROI annotations. Secondly, we apply focal loss to ECA-Net50 which is an improved model based on ResNet50 with efficient channel attention (ECA) module. Our method can adaptively extract the key features of mammograms, meanwhile solving the problem of hard-to-classify samples and unbalanced categories. The AUC value of our method on INbreast† is 0.960, accuracy is 0.929, Recall is 0.928. The precision of our method on INbreast† is 0.883 which improved by 0.254 compared to ResNet50. In addition, we use Grad-CAM to visualize the effect of our model. The visualized heatmaps extracted by our method can focus more on lesion regions. Both numerical and visualized experiments demonstrate that our method achieves satisfactory performance.


Assuntos
Neoplasias da Mama , Aprendizado de Máquina , Humanos , Feminino , Mamografia/métodos , Redes Neurais de Computação , Neoplasias da Mama/diagnóstico por imagem , Neoplasias da Mama/patologia , Diagnóstico por Computador/métodos
15.
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue ; 34(7): 762-763, 2022 Jul.
Artigo em Chinês | MEDLINE | ID: mdl-36100418

RESUMO

The establishment of a nutritional pathway is the premise and basis of nutritional therapy for patients with malignant tumor. The nasogastric tube, nasoenteric tube, and percutaneous endoscopic gastric/jejunostomy are commonly used clinical pathways for enteral nutrition (EN) therapy. However, these EN pathways are often difficult to establish in patients with malignant obstructive jaundice (MOJ) with pyloric or duodenum primary obstruction. For this reason, a new type biliary-intestinal nutrient tube placed through percutaneous transhepatic cholangiography drainage (PTCD) pathway was designed by the medical staff of hepatobiliary surgery department of Yinchuan First People's Hospital, and National Utility Model Patent of China were obtained (ZL 2020 2 0283951.5, ZL 2020 2 0288938.9). The new biliary-intestinal nutrient tube has two types: double-lumen tube and single-lumen tube, which consists of tube head, tube body, tail ring and developing ring. The double lumen tube realizes bile internal drainage and EN simultaneously through the double lumen structure of the tube body. The single-lumen tube is used for nutrient infusion after bile duct metal stent implantation, which is not limited by the type of nutrient solution. The tail ring of the two types of nutrient tube is placed in the upper jejunum to reduce retrograde infection and unexpected extubation. Compared with the prior art, the utility model has the advantages of simple structure, reasonable design, safe and effective placement through PTCD pathway, and opens up a new EN path for MOJ patients.


Assuntos
Nutrição Enteral , Desenho de Equipamento , China , Drenagem , Nutrição Enteral/instrumentação , Nutrição Enteral/métodos , Humanos , Jejuno/cirurgia
16.
Iran J Basic Med Sci ; 25(6): 781-788, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35949313

RESUMO

Objectives: Lysine-specific demethylase1 (LSD1), an important class of histone demethylases, plays a crucial role in regulation of mammalian biology. The up-regulated LSD1 expression was frequently associated with progress and oncogenesis of multiple human cancers, including non-small cell lung cancer (NSCLC). Therefore, inhibition of LSD1 may provide an attractive strategy for cancer treatment. We investigated the effect of sanguinarine against lung cancer cells as a natural alkaloid LSD1 inhibitor. Materials and Methods: The inhibition properties of sanguinarine to the recombinant LSD1 were evaluated by a fluorescence-based method. Subsequently, assays such as viability, apoptosis, clonogenicity, wound healing, and transwell were performed on H1299 and H1975 cells after treatment with sanguinarine. Results: Upon screening our in-house natural chemical library toward LSD1, we found that sanguinarine possessed a potent inhibitory effect against LSD1 with the IC50 value of 0.4 µM in a reversible manner. Molecular docking simulation suggested that sanguinarine may inactivate LSD1 by inserting into the binding pocket of LSD1 to compete with the FAD site. In H1299 and H1975 cells, sanguinarine inhibited the demethylation of LSD1, validating its cellular activity against the enzyme. Further studies showed that sanguinarine exhibited a strong capacity to suppress colony formation, inhibit migration and invasion, as well as induce apoptosis of H1299 and H1975 cells. Conclusion: Our findings present a new chemical scaffold for LSD1 inhibitors, and also provide new insight into the anti-NSCLC action of sanguinarine.

17.
Eur J Pharmacol ; 926: 175029, 2022 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-35584709

RESUMO

Parkinson's disease (PD) is the second most common neurodegenerative disease, and no treatment is available to stop its progression. Studies have shown that the colonic pathology of PD precedes that of the brain. The 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced PD mouse model and the human A53T α-synuclein (α-syn) transgenic PD mouse model show colonic pathology and intestinal dopaminergic neuronal damage, which is comparable to the intestinal pathology of PD. Cholecystokinin (CCK) and glucagon-like peptide-1 (GLP-1), which are brain-gut peptides, have neurotrophic and anti-inflammatory properties. Two GLP-1R agonists have already shown robust effects in phase II trials in PD patients. However, whether they have beneficial effects on colonic pathology in PD remains unclear. In this study, MPTP-treated mice and human A53T α-syn transgenic mice were intraperitoneally injected with a CCK analogue or Liraglutide, a GLP-1 analogue, once a day for 5 weeks. Levels of colonic epithelial tight junction proteins including occludin and zonula occludens-1 (ZO-1), inflammatory biomarkers including inducible nitric oxide synthase (iNOS) and tumor necrosis factor-alpha (TNF-α), brain-derived neurotrophic factor (BDNF), tyrosine hydroxylase (TH) and α-syn were analyzed. The results show that the CCK analogue and Liraglutide both restored the disruption of intestinal tight junction, reduced colonic inflammation, inhibited colonic dopaminergic neurons reduction and the accumulation of α-syn oligomers in the colon of both PD mice models. This study suggested that CCK or GLP-1 analogues could be beneficial to the improvement of leaky gut barrier, inflammation, dopaminergic neuron impairment and accumulation of α-syn in the colon of PD patients.


Assuntos
Doenças Neurodegenerativas , Doença de Parkinson , 1-Metil-4-Fenil-1,2,3,6-Tetra-Hidropiridina , Animais , Colecistocinina , Colo/patologia , Modelos Animais de Doenças , Neurônios Dopaminérgicos/patologia , Peptídeo 1 Semelhante ao Glucagon/farmacologia , Humanos , Inflamação/tratamento farmacológico , Liraglutida , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Doença de Parkinson/tratamento farmacológico , Doença de Parkinson/patologia , Junções Íntimas/patologia , alfa-Sinucleína
18.
Front Neurosci ; 16: 814430, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35368248

RESUMO

Parkinson's disease (PD) is a chronic neurodegenerative disease. Type 2 diabetes mellitus (T2DM) has been identified as a risk factor for PD. Drugs originally developed for T2DM treatment such as liraglutide have shown neuroprotective effects in mouse models of PD. Cholecystokinin (CCK) is a peptide hormone with growth factor properties. Here, we demonstrate the neuroprotective effects of the (pGLu)-(Gln)-CCK8 analogue in an acute PD mouse model induced by 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP). Administration of CCK analogue (50 nmol/kg ip.) for 14 days treatment improved the locomotor and exploratory activity of mice, and improved bradykinesia and movement balance of mice. The CCK analogue administration also restored tyrosine hydroxylase (TH) positive dopaminergic neurons number and synapse number (synaptophysin levels) in the substantia nigra pars compacta (SNpc). The CCK analogue decreased glia activation and neuroinflammation in the SNpc, and regulated autophagy dysfunction induced by MPTP. CCK analogue protected against mitochondrial damage and ER stress, and also decreased the ratio of apoptosis signaling molecules Bax/Bcl-2. Importantly, the CCK analogue improved the decrease of p-CREBS133 growth factor signaling in the SNpc. Therefore, the CCK analogue promotes cell survival of dopaminergic neuron in the SNpc by activating the cAMP/PKA/CREB pathway that also inhibits apoptosis and regulates autophagy impairment. The present results indicate that CCK analogue shows a promising potential for the treatment of PD.

19.
Nat Prod Res ; 36(5): 1230-1235, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33401972

RESUMO

Two new sesquiterpenes, named selina-4(14),7,11-trien-9-ol (1) and selina-4(14),11-dien-7-ol (2), along with two known compounds were isolated from rhizomes of Atractylodes macrocephala Koidz. All structures were assigned on the basis of detailed spectroscopic analyses. The absolute configuration of 1 was established by TDDFT-ECD calculations. Compound 1 was found to moderately inhibit LSD1 activity with IC50 value of 34.0 µM. Compounds 1 and 4 exhibited a regulate effect on Keap1-Nrf2-ARE pathway.[Formula: see text].


Assuntos
Atractylodes , Sesquiterpenos , Atractylodes/química , Proteína 1 Associada a ECH Semelhante a Kelch/análise , Proteína 1 Associada a ECH Semelhante a Kelch/metabolismo , Fator 2 Relacionado a NF-E2/metabolismo , Rizoma/química , Sesquiterpenos/química
20.
Int J Comput Assist Radiol Surg ; 17(2): 363-372, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34881409

RESUMO

PURPOSE: It plays a significant role to accurately and automatically segment lesions from ultrasound (US) images in clinical application. Nevertheless, it is extremely challenging because distinct components of heterogeneous lesions are similar to background in US images. In our study, a transfer learning-based method is developed for full-automatic joint segmentation of nodular lesions. METHODS: Transfer learning is a widely used method to build high performing computer vision models. Our transfer learning model is a novel type of densely connected convolutional network (SDenseNet). Specifically, we pre-train SDenseNet based on ImageNet dataset. Then our SDenseNet is designed as a multi-channel model (denoted Mul-DenseNet) for automatically jointly segmenting lesions. As comparison, our SDenseNet using different transfer learning is applied to segmenting nodules, respectively. In our study, we find that more datasets for pre-training and multiple pre-training do not always work in segmentation of nodules, and the performance of transfer learning depends on a judicious choice of dataset and characteristics of targets. RESULTS: Experimental results illustrate a significant performance of the Mul-DenseNet compared to that of other methods in the study. Specially, for thyroid nodule segmentation, overlap metric (OM), dice ratio (DR), true-positive rate (TPR), false-positive rate (FPR) and modified Hausdorff distance (MHD) are [Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text] and [Formula: see text] mm, respectively; for breast nodule segmentation, OM, DR, TPR, FPR and MHD are [Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text] and [Formula: see text] mm, respectively. CONCLUSIONS: The experimental results illustrate our transfer learning models are very effective in segmentation of lesions, which also demonstrate that it is potential of our proposed Mul-DenseNet model in clinical applications. This model can reduce heavy workload of the physicians so that it can avoid misdiagnosis cases due to excessive fatigue. Moreover, it is easy and reproducible to detect lesions without medical expertise.


Assuntos
Mama , Nódulo da Glândula Tireoide , Humanos , Processamento de Imagem Assistida por Computador , Aprendizado de Máquina , Ultrassonografia
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