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1.
Chin Med J (Engl) ; 2024 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-38958034

RESUMO

BACKGROUND: Carotid intima-media thickness (IMT) and diameter, stiffness, and wave reflections, are independent and important clinical biomarkers and risk predictors for cardiovascular diseases. The purpose of the present study was to establish nationwide reference values of carotid properties for healthy Chinese adults and to explore potential clinical determinants. METHODS: A total of 3053 healthy Han Chinese adults (1922 women) aged 18-79 years were enrolled at 28 collaborating tertiary centers throughout China between April 2021 and July 2022. The real-time tracking of common carotid artery walls was achieved by the radio frequency (RF) ultrasound system. The IMT, diameter, compliance coefficient, ß stiffness, local pulse wave velocity (PWV), local systolic blood pressure, augmented pressure (AP), and augmentation index (AIx) were then automatically measured and reported. Data were stratified by age groups and sex. The relationships between age and carotid property parameters were analyzed by Jonckheere-Terpstra test and simple linear regressions. The major clinical determinants of carotid properties were identified by Pearson's correlation, multiple linear regression, and analyses of covariance. RESULTS: All the parameters of carotid properties demonstrated significantly age-related trajectories. Women showed thinner IMT, smaller carotid diameter, larger AP, and AIx than men. The ß stiffness and PWV were significantly higher in men than women before forties, but the differences reversed after that. The increase rate of carotid IMT (5.5 µm/year in women and 5.8 µm/year in men) and diameter (0.03 mm/year in both men and women) were similar between men and women. For the stiffness and wave reflections, women showed significantly larger age-related variations than men as demonstrated by steeper regression slopes (all P for age by sex interaction <0.05). The blood pressures, body mass index (BMI), and triglyceride levels were identified as major clinical determinants of carotid properties with adjustment of age and sex. CONCLUSIONS: The age- and sex-specific reference values of carotid properties measured by RF ultrasound for healthy Chinese adults were established. The blood pressures, BMI, and triglyceride levels should be considered for clinical application of corresponding reference values.

2.
BMC Cardiovasc Disord ; 24(1): 327, 2024 Jun 27.
Artigo em Inglês | MEDLINE | ID: mdl-38926680

RESUMO

BACKGROUND: The relationships among left heart remodeling, cardiac function, and cardiovascular events (CEs) in patients with heart failure (HF) with preserved ejection fraction (HFpEF) undergoing maintenance hemodialysis (MHD) remain unclear. We evaluated the echocardiographic characteristics and clinical outcomes of such patients with diverse left ventricular geometric (LVG) configurations. METHODS: Overall, 210 patients with HFpEF undergoing MHD (cases) and 60 healthy controls were enrolled. Cases were divided into four subgroups based on LVG and were followed up for three years. The primary outcomes were the first CEs and all-cause mortality. RESULTS: Left ventricular ejection fraction (LVEF) and right ventricular systolic function did significantly differ between cases and controls, whereas echocardiographic parameters of cardiac structure, diastolic function, and left ventricular global longitudinal strain (LVGLS) differed significantly. The proportion of cases with left ventricular hypertrophy (LVH) was 67.1%. In addition, 2.38%, 21.90%, 12.86%, and 62.86% of cases presented with normal geometry (NG), concentric remodeling (CR), eccentric hypertrophy (EH), and concentric hypertrophy (CH), respectively. The left atrial diameter (LAD) was the largest and cardiac output index was the lowest in the EH subgroup. The score of Acute Dialysis Quality Initiative Workgroup (ADQI) HF class was worse in the EH subgroup than in other subgroups at baseline. The proportions of cases free of adverse CEs in the EH subgroup at 12, 24, and 36 months were 40.2%, 14.8%, and 0%, respectively, and the survival rates were 85.2%, 29.6%, 3.7%, respectively, which were significantly lower than those in other subgroups. Multivariate Cox regression revealed that age, TNI (Troponin I), EH, left ventricular mass index (LVMI), age and EH configuration were independent risk factors for adverse CEs and all-cause mortality in the cases. CONCLUSION: Most patients with HFpEF receiving MHD have LVH and diastolic dysfunction. Among the four LVGs, patients with HFpEF undergoing MHD who exhibited EH had the highest risk of adverse CEs and all-cause mortality.


Assuntos
Insuficiência Cardíaca , Hipertrofia Ventricular Esquerda , Diálise Renal , Volume Sistólico , Função Ventricular Esquerda , Remodelação Ventricular , Humanos , Masculino , Feminino , Insuficiência Cardíaca/fisiopatologia , Insuficiência Cardíaca/mortalidade , Insuficiência Cardíaca/terapia , Insuficiência Cardíaca/diagnóstico , Insuficiência Cardíaca/diagnóstico por imagem , Pessoa de Meia-Idade , Idoso , Hipertrofia Ventricular Esquerda/fisiopatologia , Hipertrofia Ventricular Esquerda/diagnóstico por imagem , Hipertrofia Ventricular Esquerda/mortalidade , Fatores de Tempo , Resultado do Tratamento , Fatores de Risco , Medição de Risco , Estudos de Casos e Controles
3.
Imeta ; 3(1): e155, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38868513

RESUMO

The rapidly evolving landscape of biomarkers for colorectal cancer (CRC) necessitates an integrative, updated repository. In response, we constructed the Colorectal Cancer Biomarker Database (CBD), which collected and displayed the curated biomedicine information for 870 CRC biomarkers in the previous study. Building on CBD, we have now developed CBD2, which includes information on 1569 newly reported biomarkers derived from different biological sources (DNA, RNA, protein, and others) and clinical applications (diagnosis, treatment, and prognosis). CBD2 also incorporates information on nonbiomarkers that have been identified as unsuitable for use as biomarkers in CRC. A key new feature of CBD2 is its network analysis function, by which users can investigate the visible and topological network between biomarkers and identify their relevant pathways. CBD2 also allows users to query a series of chemicals, drug combinations, or multiple targets, to enable multidrug, multitarget, multipathway analyses, toward facilitating the design of polypharmacological treatments for CRC. CBD2 is freely available at http://www.eyeseeworld.com/cbd.

5.
Curr Gene Ther ; 24(4): 307-320, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38783530

RESUMO

BACKGROUND: Astrocyte elevated gene-1 (AEG-1) is overexpressed in various malignancies. Exostosin-1 (EXT-1), a tumor suppressor, is an intermediate for malignant tumors. Understanding the mechanism behind the interaction between AEG-1 and EXT-1 may provide insights into colon cancer metastasis. METHODS: AOM/DSS was used to induce tumor in BALB/c mice. Using an in vivo-jetPEI transfection reagent, transient transfection of AEG-1 and EXT-1 siRNAs were achieved. Histological scoring, immunohistochemical staining, and gene expression studies were performed from excised tissues. Data from the Cancer Genomic Atlas and GEO databases were obtained to identify the expression status of AEG-1 and itsassociation with the survival. RESULTS: In BALB/c mice, the AOM+DSS treated mice developed necrotic, inflammatory and dysplastic changes in the colon with definite clinical symptoms such as loss of goblet cells, colon shortening, and collagen deposition. Administration of AEG-1 siRNA resulted in a substantial decrease in the disease activity index. Mice treated with EXT-1 siRNA showed diffusely reduced goblet cells. In vivo investigations revealed that PTCH-1 activity was influenced by upstream gene AEG-1, which in turn may affect EXT-1 activity. Data from The Cancer Genomic Atlas and GEO databases confirmed the upregulation of AEG-1 and downregulation of EXT-1 in cancer patients. CONCLUSIONS: This study revealed that AEG-1 silencing might alter EXT-1 expression indirectly through PTCH-1, influencing cell-ECM interactions, and decreasing dysplastic changes, proliferation and invasion.


Assuntos
Neoplasias do Colo , Proteínas de Membrana , Camundongos Endogâmicos BALB C , RNA Interferente Pequeno , Proteínas de Ligação a RNA , Animais , Humanos , Camundongos , Moléculas de Adesão Celular/genética , Moléculas de Adesão Celular/metabolismo , Linhagem Celular Tumoral , Neoplasias do Colo/genética , Neoplasias do Colo/patologia , Neoplasias do Colo/terapia , Regulação Neoplásica da Expressão Gênica , Inativação Gênica , Proteínas de Membrana/genética , RNA Interferente Pequeno/genética , RNA Interferente Pequeno/farmacologia , Proteínas de Ligação a RNA/genética , Proteínas de Ligação a RNA/metabolismo , Masculino
6.
Food Chem ; 454: 139714, 2024 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-38797105

RESUMO

Food safety issues have received much attention. Biogenic amines are considered important markers of food spoilage. Accurate detection of biogenic amines is important for food quality monitoring. Herein, we developed two coumarin-difluoroboron ß-diketonate hybrid probes, 1 and 2, for detection of amines. Both probes possess large conjugated structures and donor-acceptor-donor configuration, exhibiting solvatochromic effects due to intramolecular charge transfer mechanism. Upon reaction with amines, the boron atom in difluoroboron unit can interact with lone pair electrons of nitrogen atom, thus resulting in significant changes in absorption and fluorescence properties. These probes were successfully utilized to image amine in live cells and liver tissues. Moreover, by photographing probe-loaded food extract supernatant, we establish the relationship between color parameters and food storage time, which can easily indicate food spoilage process. This work and its findings hold promise for providing potential strategies for real-time and convenient detection of food freshness.


Assuntos
Aminas Biogênicas , Corantes Fluorescentes , Corantes Fluorescentes/química , Aminas Biogênicas/análise , Aminas Biogênicas/química , Humanos , Contaminação de Alimentos/análise , Animais , Imagem Óptica , Inocuidade dos Alimentos
7.
Sci Total Environ ; 939: 173592, 2024 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-38810745

RESUMO

This study provides a comprehensive analysis of the vacuum drying process for sludge drying, with a focus on optimizing energy efficiency and emission control. The study used both lab-scale static and pilot-scale vacuum drying systems to test various parameters like vacuum levels, heat source temperatures, and sludge thicknesses. The results indicated that optimal drying conditions were achieved at a vacuum level of -0.06 MPa, a heat temperature of 140 °C, and a sludge thickness of 3.4 mm, where the drying rate reaches 0.13278 g·g-1·min-1. The study underscores the significant influence of vacuum level, temperature, and sludge thickness on drying rates. The Page model was used to analyze drying kinetics, elucidating how changes in these parameters affect drying characteristics. Furthermore, the study also examined the pollutant emissions and energy efficiency at the pilot scale. It found that high vacuum environments could efficiently dry sludge using low-temperature heat source, leading to average energy consumption per unit evaporation of 3020.29 kJ/kg, which is lower compared to traditional methods. By harnessing low-grade industrial waste heat, this can be further reduced to 875.76 kJ/kg. This study offers valuable insights for sustainable sludge management systems, highlighting the environmental and economic benefits of vacuum drying technology. The detailed experimental approach and thorough analysis make a significant contribution to the field of the sludge drying.

8.
Chem Commun (Camb) ; 60(41): 5419-5422, 2024 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-38683641

RESUMO

Achieving white-light emission, especially long-lived white circularly polarized luminescence, is challenging. Herein, chiral phosphorescent carbonized polymer dots (CPDs) have been prepared by using chiral polymer sodium alginate and chiral small molecule L-lysine as precursors. Benefiting from the efficient triplet-to-singlet phosphorescence resonance energy transfer (PRET), CPD-based long-lived warm white CPL has been achieved for the first time. This study provides a universal strategy for the convenient and efficient preparation of CPD-based long-lived white CPL materials.

9.
Int Med Case Rep J ; 17: 341-346, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38646456

RESUMO

This study aimed to optimize bowel preparation efficacy for colonoscopy in elderly constipation patients. A 71-year-old patient with chronic constipation and a history of poor bowel preparation. To address these challenges, we implemented a personalized strategy combining of PEG administration and walking exercise. The PEG was administered according to a protocol, with intermittent exercise breaks of 10 minute. Bowel cleanliness was assessed using the Boston Bowel Preparation Scale (BBPS). Adverse reactions and tolerance were closely monitored throughout the intervention. The patient's BBPS score improved from 3 to 8 post-intervention. The exercise intervention was well-tolerated (rating I), and mild nausea was observed only after the first PEG dose. No severe adverse reactions occurred. Subsequent Follow-up revealed symptom relief. The personalized approach combining (PEG and exercise intervention) successfully improved bowel preparation quality in the elderly constipation patient undergoing colonoscopy. This approach considers age-related changes in gastrointestinal function and activity level, offering an effective strategy to improve patient tolerance and reduce adverse reactions during bowel preparation. The findings underscore the importance of tailoring interventions for elderly constipation patients to optimize the colonoscopy experience.

10.
Cancer Invest ; 42(3): 226-242, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38616304

RESUMO

Chronic inflammation promotes the development of pancreatic ductal adenocarcinoma (PDAC) and PDAC-related inflammatory tumor microenvironment facilitates tumor growth and metastasis. Thus, we aimed to study the association between inflammatory response and prognosis in patients with PDAC. We conducted the whole transcriptomic sequencing using tissue samples collected from patients diagnosed with PDAC (n = 106) recruited from Shandong Cancer Hospital. We first constructed a prognostic signature using 15 inflammation-related genes in The Cancer Genome Atlas (TCGA) cohort (n = 177) and further validated it in an independent International Cancer Genome Consortium (ICGC) cohort (n = 90) and our in-house cohort. PDAC patients with a higher risk score had poorer overall survival (OS) (P < 0.001; HR, 3.02; 95% CI, 1.94-4.70). The association between the prognostic signature and OS remained significant in the multivariable Cox regression adjusting for age, sex, alcohol exposure, diabetes, and stage (P < 0.001; HR, 2.91; 95% CI, 1.73-4.89). This gene signature also robustly predicted prognosis in the ICGC cohort (P = 0.01; HR, 1.94; 95% CI, 1.14-3.30) and our cohort (P < 0.001; HR, 2.40; 95% CI, 1.45-3.97). Immune subtype C3 (inflammatory) was enriched and CD8+ T cells were higher in patients with a lower risk score (P < 0.05). Furthermore, PDAC patients with higher risk scores were more sensitive to chemotherapy, immunotherapy, and PARP inhibitors (P < 0.05). In sum, we identified a novel gene signature that was associated with inflammatory response for risk stratification, prognosis prediction, and therapy guidance in PDAC patients. Future studies are warranted to validate the clinical utility of the signature.


Assuntos
Carcinoma Ductal Pancreático , Inflamação , Neoplasias Pancreáticas , Humanos , Carcinoma Ductal Pancreático/genética , Carcinoma Ductal Pancreático/mortalidade , Carcinoma Ductal Pancreático/patologia , Feminino , Masculino , Neoplasias Pancreáticas/genética , Neoplasias Pancreáticas/mortalidade , Neoplasias Pancreáticas/patologia , Prognóstico , Pessoa de Meia-Idade , Inflamação/genética , Idoso , Biomarcadores Tumorais/genética , Transcriptoma , Microambiente Tumoral/genética , Regulação Neoplásica da Expressão Gênica , Perfilação da Expressão Gênica/métodos
11.
Cancer Biol Ther ; 25(1): 2317999, 2024 12 31.
Artigo em Inglês | MEDLINE | ID: mdl-38445632

RESUMO

Rectal cancer accounts for the second highest cancer-related mortality, which is predominant in Western civilizations. The treatment for rectal cancers includes surgery, radiotherapy, chemotherapy, and immunotherapy. Radiotherapy, specifically external beam radiation therapy, is the most common way to treat rectal cancer because radiation not only limits cancer progression but also significantly reduces the risk of local recurrence. However, therapeutic radiation-induced radioresistance to rectal cancer cells and toxicity to normal tissues are major drawbacks. Therefore, understanding the mechanistic basis of developing radioresistance during and after radiation therapy would provide crucial insight to improve clinical outcomes of radiation therapy for rectal cancer patients. Studies by various groups have shown that radiotherapy-mediated changes in the tumor microenvironment play a crucial role in developing radioresistance. Therapeutic radiation-induced hypoxia and functional alterations in the stromal cells, specifically tumor-associated macrophage (TAM) and cancer-associated fibroblasts (CAF), play a crucial role in developing radioresistance. In addition, signaling pathways, such as - the PI3K/AKT pathway, Wnt/ß-catenin signaling, and the hippo pathway, modulate the radiation responsiveness of cancer cells. Different radiosensitizers, such as small molecules, microRNA, nanomaterials, and natural and chemical sensitizers, are being used to increase the effectiveness of radiotherapy. This review highlights the mechanism responsible for developing radioresistance of rectal cancer following radiotherapy and potential strategies to enhance the effectiveness of radiotherapy for better management of rectal cancer.


Assuntos
Fibroblastos Associados a Câncer , MicroRNAs , Segunda Neoplasia Primária , Neoplasias Retais , Humanos , Fosfatidilinositol 3-Quinases , Neoplasias Retais/radioterapia , Imunoterapia , Microambiente Tumoral
12.
Biosens Bioelectron ; 254: 116225, 2024 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-38502997

RESUMO

Conventional molecularly imprinted polymers (MIPs) perform their functions principally depended on their three dimensional (3D) imprinted cavities (recognition sites) of templates. Here, retaining the function of recognition sites resulted from the imprinting of template molecules, the role of functional monomers is explored and expanded. Briefly, a class of dual-functional renin imprinted poly(methyldopa) (RMIP) is prepared, consisting of a drug-type function monomer (methyldopa, clinical high blood pressure drug) and a corresponding disease biomarker (renin, biomarker for high blood pressure disease). To boost target-to-receptor binding ratio and sensitivity, the microstructure of recognition sites is beforehand calculated and designed by Density Functional Theory calculations, and the whole interfacial structure, property and thickness of RMIP film is regulated by adjusting the polymerization techniques. The dual-functional applications of RMIP for biomarker detection and disease therapy in vivo is explored. Such RMIP-based biosensors achieves highly sensitive biomarker detection, where the LODs reaches down to 1.31 × 10-6 and 1.26 × 10-6 ng mL-1 for electrochemical and chemical polymers, respectively, and the application for disease therapy in vivo has been verified where displays the obviously decreased blood pressure values of mice. No acute and long-term toxicity is found from the pathological slices, declaring the promising clinical application potential of such engineered RMIP nanostructure.


Assuntos
Técnicas Biossensoriais , Hipertensão , Impressão Molecular , Animais , Camundongos , Impressão Molecular/métodos , Metildopa , Renina , Biomarcadores , Poli A
13.
Zool Res ; 45(2): 415-428, 2024 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-38485509

RESUMO

In eukaryotic organisms, the most common internal modification of messenger RNA (mRNA) is N6-methyladenosine (m6A). This modification can be dynamically and reversibly controlled by specific enzymes known as m6A writers and erasers. The fat-mass and obesity-associated protein (FTO) catalyzes RNA demethylation and plays a critical role in various physiological and pathological processes. Our research identified dynamic alterations in both m6A and FTO during the assembly of primordial follicles, with an inverse relationship observed for m6A levels and nuclear-localized FTO expression. Application of Fto small interfering RNA (siRNA) altered the expression of genes related to cell proliferation, hormone regulation, and cell chemotaxis, and affected RNA alternative splicing. Overexpression of the full-length Fto gene led to changes in m6A levels, alternative splicing of Cdk5, cell proliferation, cell cycle progression, and proportion of primordial follicles. Conversely, overexpression of Fto lacking a nuclear localization signal (NLS) did not significantly alter m6A levels or primordial follicle assembly. These findings suggest that FTO, localized in the nucleus but not in the cytoplasm, regulates RNA m6A demethylation and plays a role in cell proliferation, cell cycle progression, and primordial follicle assembly. These results highlight the potential of m6A and its eraser FTO as possible biomarkers and therapeutic targets.


Assuntos
Adenina/análogos & derivados , Processamento Alternativo , RNA , Animais , RNA/metabolismo , RNA Mensageiro/genética , Biomarcadores
14.
Cancer Med ; 13(7): e6994, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38545852

RESUMO

BACKGROUND: While previous studies have indicated variability in distant metastatic potential among different mismatch repair (MMR) states in colorectal cancer (CRC), their findings remain inconclusive, especially considering potential differences across various ethnic backgrounds. Furthermore, the gene regulatory networks and the underlying mechanisms responsible for these variances in metastatic potential across MMR states have yet to be elucidated. METHODS: We collected 2058 consecutive primary CRC samples from the South West of China and assessed the expression of MMR proteins (MLH1, MSH2, MSH6, and PMS2) using immunohistochemistry. To explore the inconsistencies between different MMR statuses and recurrence, we performed a meta-analysis. To delve deeper, we employed Weighted Gene Co-expression Network Analysis (WGCNA), ClueGo, and iRegulon, pinpointing gene expression networks and key regulatory molecules linked to metastasis and recurrence in CRC. Lastly, both univariate and multivariate Cox regression analyses were applied to determine the impact of core regulatory molecules on metastasis. RESULTS: Of the samples, 8.2% displayed deficient MMR (dMMR), with losses of MLH1 and PSM2 observed in 40.8% and 63.9%, respectively. A unique 24.3% isolated loss of PMS2 without concurrent metastasis was identified, a result that diverges from established literature. Additionally, our meta-analysis further solidifies the reduced recurrence likelihood in dMMR CRC samples compared to proficient MMR (pMMR). Two gene expression networks tied to distant metastasis and recurrence were identified, with a majority of metastasis-related genes located on chromosomes 8 and 18. An IRF1 positive feedback loop was discerned in the metastasis-related network, and IRF1 was identified as a predictive marker for both recurrence-free and distant metastasis-free survival across multiple datasets. CONCLUSION: Geographical and ethnic factors might influence peculiarities in MMR protein loss. Our findings also highlight new gene expression networks and crucial regulatory molecules in CRC metastasis, enhancing our comprehension of the mechanisms driving distant metastasis.


Assuntos
Neoplasias Colorretais , Deficiência de Proteína , Humanos , Proteínas de Ligação a DNA/genética , Proteínas de Ligação a DNA/metabolismo , Reparo de Erro de Pareamento de DNA , Endonuclease PMS2 de Reparo de Erro de Pareamento/metabolismo , Neoplasias Colorretais/patologia
15.
J Phys Chem Lett ; 15(7): 2049-2056, 2024 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-38350644

RESUMO

Circularly polarized luminescence (CPL) materials are the research frontier of chiral luminescence. As a kind of luminescent carbon material, carbon dots (CDs) are expected to become excellent candidates for the construction of CPL materials. However, the construction of CD-based circularly polarized afterglow emission, especially multicolor and near-infrared emission, remains a great challenge due to aggregation-caused quenching and the instability of triplet excitons. In this work, we synthesized chiral CDs with aggregation-induced emission using dithiosalicylic acid and l/d-arginine as precursors through a one-step solvothermal method. Notably, the CDs exhibit green delayed fluorescence (DF) in poly(vinyl alcohol) films. Furthermore, multicolor and near-infrared circularly polarized delayed fluorescence is successfully realized via engineering a chiral light-harvesting system in which the CDs with green DF emission act as energy donors and fluorescent dyes with emission colors ranging from yellow to the near infrared serve as energy acceptors.

16.
Eur Radiol ; 2024 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-38374482

RESUMO

OBJECTIVES: To evaluate the additional advantages of integrating contrast-enhanced ultrasound (CEUS) into the Ovarian-Adnexal Reporting and Data System (O-RADS) ultrasound (US) for the characterization of adnexal lesions with solid components. MATERIALS AND METHODS: This prospective multicenter study recruited women suspected of having adnexal lesions with solid components between September 2021 and December 2022. All patients scheduled for surgery underwent preoperative CEUS and US examinations. The lesions were categorized according to the O-RADS US system, and quantitative CEUS indexes were recorded. Pathological results served as the reference standard. Univariable and multivariable analyses were performed to identify risk factors for malignancy in adnexal lesions with solid components. Receiver operating characteristic (ROC) curve analysis was employed to assess diagnostic performance. RESULTS: A total of 180 lesions in 175 women were included in the study. Among these masses, 80 were malignant and 100 were benign. Multivariable analysis revealed that serum CA-125, the presence of acoustic shadowing, and peak intensity (PI) ratio (PImass/PIuterus) of solid components on CEUS were independently associated with adnexal malignancy. The modified CEUS risk stratification model demonstrated superior diagnostic value in assessing adnexal lesions with solid components compared to O-RADS US (AUC: 0.91 vs 0.78, p < 0.001) and exhibited comparable performance to the Assessment of Different NEoplasias in the adnexa (ADNEX) model (AUC 0.91 vs 0.86, p = 0.07). CONCLUSION: Our findings underscore the potential value of CEUS as an adjunctive tool for enhancing the precision of diagnostic evaluations of O-RADS US. CLINICAL RELEVANCE STATEMENT: The promising performance of the modified CEUS risk stratification model suggests its potential to mitigate unnecessary surgeries in the characterization of adnexal lesions with solid components. KEY POINTS: • The additional value of CEUS to O-RADS US in distinguishing between benign and malignant adnexal lesions with solid components requires further evaluation. • The modified CEUS risk stratification model displayed superior diagnostic value and specificity in characterizing adnexal lesions with solid components when compared to O-RADS US. • The inclusion of CEUS demonstrated potential in reducing the need for unnecessary surgeries in the characterization of adnexal lesions with solid components.

17.
Cancer Invest ; 42(2): 119-140, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38404236

RESUMO

Common detection methods in practice for diagnosing colorectal cancer (CRC) are painful and invasive leading to less participation of individuals for CRC diagnosis. Whereas, improved or enhanced imaging systems and other minimally invasive techniques with shorter detection times deliver greater detail and less discomfort in individuals. Thus, this review is a summary of the diagnostic tests, ranging from the simple potential use in developing a flexible CRC treatment to the patient's potential benefits in receiving less invasive procedures and the advanced treatments that might provide a better assessment for the diagnosis of CRC and reduce the mortality related to CRC.


Assuntos
Neoplasias Colorretais , Humanos , Neoplasias Colorretais/diagnóstico , Detecção Precoce de Câncer/métodos , Colonoscopia
18.
Cancer Cell Int ; 24(1): 75, 2024 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-38355625

RESUMO

PURPOSE: To examine the role of RhoB expression in relation to chemotherapy response, clinical outcomes and associated signaling pathways in colorectal cancer patients. MATERIALS AND METHODS: The study included 5 colon cancer cell lines, zebrafish embryos and 260 colorectal cancer patients treated with 5-fluorouracil (5-FU) and oxaliplatin (OXL). The methods consisted of CRISPR/Cas9, reactive oxygen species (ROS), caspase-3 activity, autophagy flux, in-silico RNA sequencing and immunohistochemistry. Gene expression analysis and pathway analysis were conducted using RNA-seq data. RESULTS: All cancer lines tested, including SW480, SW480-KO13 (RhoB knockout), SW480-KO55 (RhoB knockout), HCT116 and HCT116-OE (RhoB overexpressed), exhibited cytotoxicity to 5-FU and OXL. RhoB knockout cell lines demonstrated significantly reduced migration compared to the control cell lines. Furthermore, RhoB played a role in caspase-3-dependent apoptosis, regulation of ROS production and autophagic flux. The mRNA sequencing data indicated lower expression levels of oncogenes in RhoB knockout cell lines. The zebrafish model bearing SW480-KO showed a light trend toward tumor regression. RhoB expression by immunohistochemistry in patients was increased from normal mucosa to tumor samples. In patients who received chemotherapy, high RhoB expression was related to worse survival compared to low RhoB expression. Furthermore, the molecular docking analysis revealed that OXL had a higher binding affinity for RhoB than 5-FU, with a binding affinity of -7.8 kcal/mol and HADDOCK predicted molecular interactions between RhoB and caspase 3 protein. Gene-set enrichment analysis supported these findings, showing that enrichment of DNA damage response pathway and p53 signaling in RhoB overexpression treatment group, while the RhoB knockout treatment group exhibited enrichment in the negative regulation pathway of cell migration. CONCLUSION: RhoB was negatively associated with chemotherapy response and survival in colorectal cancers. Therefore, RhoB inhibition may enhance chemotherapeutic responses and patient survival.

19.
Small ; 20(15): e2306969, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37994220

RESUMO

Carbonized polymer dots (CPDs) with a circularly polarized fluorescence property have received increasing attention in recent years. However, it is still a great challenge to construct circularly polarized room-temperature phosphorescence (CPRTP) CPDs. Herein, a simple approach to the synthesis of intrinsically CPRTP CPDs for the first time by utilizing sodium alginate and l-/d-arginine as precursors under relatively mild reaction conditions is presented. Notably, the CPDs exhibit both chirality and green RTP in solid states. Furthermore, color-tunable CPRTP is successfully achieved by engineering chiral light-harvesting systems based on circularly polarized phosphorescence resonance energy transfer (C-PRET) where the CPDs with green RTP function as an initiator of chirality and light absorbance, and commercially available fluorescent dyes with different emission colors ranging from yellow to red serve as the terminal acceptors. Through one-step or sequential C-PRET, the light-harvesting systems can simultaneously furnish energy transfer and chirality transmission/amplification. Given the multicolor long afterglow, lifetime-tunable, and CPRTP properties, their potential applications in multiple information encryption are demonstrated.

20.
Environ Sci Pollut Res Int ; 31(5): 7194-7213, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38158523

RESUMO

In this report, we have attempted to experimentally and theoretically reveal a new piezo-photocatalyst Bi2O2CO3 for efficient removal of ciprofloxacin (CIP) from water. Bi2O2CO3 nanoplates were synthesized to evaluate their photocatalytic (irradiation source: simulated-sunlight), piezocatalytic (irradiation source: ultrasonic) and piezo-photocatalytic (irradiation source: simulated-sunlight and ultrasonic) performances for CIP elimination. Under the condition CCIP = 10 mg/L and Ccatalyst = 1 g/L, the piezo-photodegradation rate constant is obtained as kapp = 0.07811 min-1, which surpasses that of photocatalysis (kapp = 0.04686 min-1) and piezocatalysis (kapp = 0.01233 min-1); this phenomenon manifests an obvious piezo-enhanced photocatalytic behavior in terms of the "1 + 1 > 2" principle. The ultrasonic-induced piezoelectric behavior in Bi2O2CO3 nanoplates and involved piezo-photocatalytic mechanism were theoretically elucidated by density functional theory (DFT) and finite-element method (FEM) studies. Additionally, the effects of various factors on the CIP degradation, decomposition mechanism of CIP and toxicity of the decomposition intermediates were also analyzed.


Assuntos
Ciprofloxacina , Água , Ultrassom
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