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1.
Chemistry ; : e202403514, 2024 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-39462757

RESUMO

Photo-triggered ROS-responsive supramolecular nanoprodrugs (BNN6@GBTC NPs) are constructed via supramolecular self-assembly of amphiphilic prodrug molecule (GBTC) and NO donor (BNN6). BNN6@GBTC NPs possess good stability, ROS responsiveness, and selective HepG2 cells targetability via overexpressed galactose receptors on the cell membrane. When BNN6@GBTC NPs are taken up by HepG2 cells, they can generate ROS upon light irradiation, which can not only be used for photodynamic therapy, but also cleave the thioketal linkage to release camptothecin for chemotherapy. Meanwhile, BNN6 triggering release NO for gas therapy. BNN6@GBTC NPs enable targeted and synergistic chemo/photodynamic/gas therapy, which results in reduced damage to normal cells and enhanced anti-cancer efficacy in vitro. This work provides a novel approach for the design of nanoprodrugs based on supramolecular self-assembly to achieve the multimodal synergistic anti-cancer therapy.

2.
World Neurosurg ; 2024 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-39343384

RESUMO

BACKGROUND: Aneurysmal subarachnoid hemorrhage (aSAH) is a common neurosurgical disorder with high morbidity and poor prognosis, and the associated delayed cerebral ischemia (DCI) is a key factor contributing to poor prognosis. Despite extensive research on the risk factors associated with DCI development, the evidence remains conflicting. Therefore, this meta-analysis of case-control studies aimed to investigate the risk factors for DCI occurrence during hospitalization in patients with aSAH. METHODS: We systematically searched PubMed, Embase, Web of Science, and the Cochrane Central Register of Controlled Trials for eligible studies published before November 20, 2023. Two independent reviewers extracted relevant data from the included studies using a pre-established data extraction form. The primary outcome was DCI occurrence during hospitalization in patients with aSAH. RESULTS: A total of 42 studies involving 21,726 patients with aSAH were included. The pooled meta-analysis showed that female sex; Hunt-Hess, modified Fisher, and World Federation of Neurosurgical Societies (WFNS) scale scores of 4-5, 3-4, and 4-5, respectively; vasospasm; combined intraventricular hemorrhage (IVH); pre-existing hypertension; hydrocephalus; intracranial infections (ICI); and high white blood cell (WBC) count on admission were independent risk factors for the development of postoperative DCIs in patients with aSAH. CONCLUSIONS: Patients with aSAH who have a Hunt-Hess scale score ≥4, a modified Fisher scale score ≥3, a WFNS scale score ≥4, IVH, pre-existing hypertension, cerebral vasospasm, a high WBC count on admission, ICI, and female sex are at high risk of DCI and hence should be carefully monitored in the intensive care unit.

3.
Artigo em Inglês | MEDLINE | ID: mdl-39226196

RESUMO

Panoptic Part Segmentation (PPS) unifies panoptic and part segmentation into one task. Previous works utilize separate approaches to handle things, stuff, and part predictions without shared computation and task association. We aim to unify these tasks at the architectural level, designing the first end-to-end unified framework, Panoptic-PartFormer. Moreover, we find the previous metric PartPQ biases to PQ. To handle both issues, we first design a meta-architecture that decouples part features and things/stuff features, respectively. We model things, stuff, and parts as object queries and directly learn to optimize all three forms of prediction as a unified mask prediction and classification problem. We term our model as Panoptic-PartFormer. Second, we propose a new metric Part-Whole Quality (PWQ), better to measure this task from pixel-region and part-whole perspectives. It also decouples the errors for part segmentation and panoptic segmentation. Third, inspired by Mask2Former, based on our meta-architecture, we propose Panoptic-PartFormer++ and design a new part-whole cross-attention scheme to boost part segmentation qualities further. We design a new part-whole interaction method using masked cross attention. Finally, extensive ablation studies and analysis demonstrate the effectiveness of both Panoptic-PartFormer and Panoptic-PartFormer++. Compared with previous Panoptic-PartFormer, our Panoptic-PartFormer++ achieves 2% PartPQ and 3% PWQ improvements on the Cityscapes PPS dataset and 5% PartPQ on the Pascal Context PPS dataset. On both datasets, Panoptic-PartFormer++ achieves new state-of-the-art results. Our models can serve as a strong baseline and aid future research in PPS. The source code and trained models will be available at https://github.com/lxtGH/Panoptic-PartFormer.

4.
Neurosurg Rev ; 47(1): 315, 2024 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-38992256

RESUMO

Previous research have demonstrated that the stress hyperglycemia ratio (SHR) accurately reflects acute hyperglycemic states and correlates with adverse outcomes. This study aims to explore the relationship between SHR and the prognosis of patients with aneurysmal subarachnoid hemorrhage (aSAH). Patients with aSAH were categorized into four groups based on SHR tertiles. Functional outcomes were evaluated at 12 months using the modified Rankin Scale (mRS), with scores ranging from 0 to 2 indicating a good outcome and 3-6 indicating a poor outcome. The associations between SHR and functional outcomes were analyzed using logistic regression models and restricted cubic spline analysis. A total of 127 patients exhibited poor functional outcomes. Following comprehensive adjustments, those in the highest SHR tertile had a significantly increased risk of poor prognosis compared to those in the lowest tertile (odds ratio [OR], 4.12; 95% confidence interval [CI]: 1.87-9.06). Moreover, each unit increase in SHR was associated with a 7.51-fold increase in the risk of poor prognosis (OR, 7.51; 95% CI: 3.19-17.70). Further analysis using restricted cubic spline confirmed a linear correlation between SHR and poor prognosis (P for nonlinearity = 0.609). Similar patterns were observed across all studied subgroups. Elevated SHR significantly correlates with poor functional prognosis at one year in patients with aSAH, independent of their diabetes status.


Assuntos
Hiperglicemia , Hemorragia Subaracnóidea , Humanos , Hemorragia Subaracnóidea/complicações , Masculino , Feminino , Pessoa de Meia-Idade , Hiperglicemia/complicações , Prognóstico , Estudos Retrospectivos , Idoso , Adulto , Glicemia
5.
Lipids Health Dis ; 23(1): 203, 2024 Jun 27.
Artigo em Inglês | MEDLINE | ID: mdl-38937793

RESUMO

BACKGROUND: Triglyceride glucose (TyG) index combined with obesity-related indicators [triglyceride glucose-body mass index (TyG-BMI), triglyceride glucose-waist to height ratio (TyG-WHtR), triglyceride glucose-waist circumference (TyG-WC)], represents emerging methodologies for assessing insulin resistance. The objective of this investigation was to explore the correlation between TyG-related indices and gallstone disease. METHODS: The study included 3740 adults from the 2017-2020 period of the National Health and Nutrition Examination Survey. TyG-BMI, TyG-WC, and TyG-WHtR were integrated as both continuous and categorical variables within the multivariate logistic model, respectively to evaluate the connection between various TyG-related indices and gallstone disease. Additionally, restriction cubic splines and subgroup analysis were employed to deepen our understanding of this relationship. RESULTS: When analyzed as continuous variables, positive correlations were observed between TyG-BMI, TyG-WC, TyG-WHtR and gallstone disease. The OR(95%CI) were 1.063(1.045,1.082) for TyG-BMI (per 10-unit), 1.026(1.018,1.034) for TyG-WC (per 10-unit) and 1.483(1.314,1.676) for TyG-WHtR (per 1-unit), respectively. When categorized into quartiles, these three TyG-related indices still show statistically significant associations with gallstone disease. Descending in order, the diagnostic capability for gallstone disease is demonstrated as follows: TyG-WHtR (AUC = 0.667), TyG-BMI (AUC = 0.647), and TyG-WC (AUC = 0.640). CONCLUSION: There were significantly positive associations between TyG-related indices, including TyG-BMI, TyG-WC, and TyG-WHtR, and gallstone disease. Of these indices, TyG-WHtR demonstrated the most favorable performance in identifying the risk of gallstone disease.


Assuntos
Glicemia , Índice de Massa Corporal , Cálculos Biliares , Inquéritos Nutricionais , Triglicerídeos , Humanos , Triglicerídeos/sangue , Feminino , Cálculos Biliares/sangue , Cálculos Biliares/epidemiologia , Masculino , Pessoa de Meia-Idade , Adulto , Glicemia/metabolismo , Circunferência da Cintura , Fatores de Risco , Resistência à Insulina , Estados Unidos/epidemiologia , Obesidade/sangue , Obesidade/epidemiologia , Idoso
6.
Biomed Mater ; 19(4)2024 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-38697132

RESUMO

During the process of malignant tumor treatment, photodynamic therapy (PDT) exerts poor efficacy due to the hypoxic environment of the tumor cells, and long-time chemotherapy reduces the sensitivity of tumor cells to chemotherapy drugs due to the presence of drug-resistant proteins on the cell membranes for drug outward transportation. Therefore, we reported a nano platform based on mesoporous silica coated with polydopamine (MSN@PDA) loading PDT enhancer MnO2, photosensitizer indocyanine green (ICG) and chemotherapeutic drug doxorubicin (DOX) (designated as DMPIM) to achieve a sequential release of different drugs to enhance treatment of malignant tumors. MSN was first synthesized by a template method, then DOX was loaded into the mesoporous channels of MSN, and locked by the PDA coating. Next, ICG was modified by π-π stacking on PDA, and finally, MnO2layer was accumulated on the surface of DOX@MSN@PDA- ICG@MnO2, achieving orthogonal loading and sequential release of different drugs. DMPIM first generated oxygen (O2) through the reaction between MnO2and H2O2after entering tumor cells, alleviating the hypoxic environment of tumors and enhancing the PDT effect of sequentially released ICG. Afterwards, ICG reacted with O2in tumor tissue to produce reactive oxygen species, promoting lysosomal escape of drugs and inactivation of p-glycoprotein (p-gp) on tumor cell membranes. DOX loaded in the MSN channels exhibited a delay of approximately 8 h after ICG release to exert the enhanced chemotherapy effect. The drug delivery system achieved effective sequential release and multimodal combination therapy, which achieved ideal therapeutic effects on malignant tumors. This work offers a route to a sequential drug release for advancing the treatment of malignant tumors.


Assuntos
Doxorrubicina , Liberação Controlada de Fármacos , Verde de Indocianina , Indóis , Compostos de Manganês , Óxidos , Fotoquimioterapia , Fármacos Fotossensibilizantes , Polímeros , Fotoquimioterapia/métodos , Doxorrubicina/química , Doxorrubicina/farmacologia , Doxorrubicina/administração & dosagem , Verde de Indocianina/química , Indóis/química , Animais , Compostos de Manganês/química , Humanos , Polímeros/química , Linhagem Celular Tumoral , Óxidos/química , Fármacos Fotossensibilizantes/química , Dióxido de Silício/química , Camundongos , Antineoplásicos/química , Antineoplásicos/farmacologia , Antineoplásicos/administração & dosagem , Neoplasias/tratamento farmacológico , Espécies Reativas de Oxigênio/metabolismo , Sistemas de Liberação de Medicamentos , Nanopartículas/química , Portadores de Fármacos/química , Porosidade
7.
Mol Genet Genomics ; 299(1): 53, 2024 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-38753163

RESUMO

SoxB subfamily is an important branch of Sox family and plays a key role in animal physiological process, but little is known about their function in planarian regeneration. This study aims to evaluate the function of DjSoxB family genes in intact and regenerating planarians Dugesia japonica. Here, we amplify the full-length cDNA of DjSoxB1 and DjSoxB2 in D. japonica by rapid amplification of the cDNA ends (RACE), detect the expression of DjSoxB family genes in planarian. The results show that DjSoxBs are expressed in parenchymal tissue and the hybridization signals partially disappear after irradiation indicates DjSoxB family genes are expressed in neoblasts. After the RNA interference (RNAi) of DjSoxB1, DjSoxB2 and DjSoxB3 separately, the numbers of proliferative cells are all reduced that causes planarians show slower growth of blastema in the early stage of regeneration, and nerves of planarians are affected that the movement speed of planarians decreases in varying degrees. Specially, planarians in the DjSoxB3 RNAi group show shrinkage and twisting. Overall, this study reveals that DjSoxB family genes play a role in cell proliferation during regeneration. They also play an important role in the maintenance of normal nerve function and nerve regeneration. These results provide directions for the functional study of SoxB family genes and provide an important foundation for planarian regeneration.


Assuntos
Planárias , Regeneração , Animais , Planárias/genética , Planárias/fisiologia , Regeneração/genética , Interferência de RNA , Proliferação de Células/genética , Proteínas de Helminto/genética , Proteínas de Helminto/metabolismo , Fatores de Transcrição SOXB1/genética
8.
J Pharm Biomed Anal ; 245: 116166, 2024 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-38669816

RESUMO

The study aimed to investigate the relieving effect of QingYan Formula (QYF) in treating perimenopausal syndrome. A combination of metabonomic analysis and in vitro pharmacodynamic experiments was employed to achieve this objective.Over a period of 12 weeks, ovariectomized (OVX) rats were orally administered QYF's 70 % ethanol extract or estradiol valerate (EV). The results demonstrate that QYF restored the estrous cycle of ovariectomized rats and exhibited significant estrogenic activity, as indicated by reversal of uterine and vagina atrophy, improvement of serum estradiol level and decrease of serum luteinizing hormone(LH) level. Additionally, QYF administration effectively reduced high bone turnover and repaired trabecular microstructure damage. Metabonomic analysis of the OVX rats treated with QYF revealed the identification of 55 different metabolites in the serum, out of which 35 may be potential biomarkers. QYF could regulate the disturbed metabolic pathways including the Biosynthesis of unsaturated fatty acids, arachidonic acid metabolism, bile secretion, and steroid hormone biosynthesis. PI3KCA, SRC, and MAPK3 are potential therapeutic targets for QYF therapeutic effects. These findings support the efficacy of QYF in alleviating perimenopausal syndrome and regulating lipid metabolic disorders in OVX rats.


Assuntos
Medicamentos de Ervas Chinesas , Metabolômica , Ovariectomia , Perimenopausa , Ratos Sprague-Dawley , Animais , Feminino , Metabolômica/métodos , Medicamentos de Ervas Chinesas/farmacologia , Ratos , Perimenopausa/efeitos dos fármacos , Estradiol/sangue , Estradiol/farmacologia , Cromatografia Líquida de Alta Pressão/métodos , Biomarcadores/sangue , Hormônio Luteinizante/sangue , Ciclo Estral/efeitos dos fármacos , Útero/efeitos dos fármacos , Útero/metabolismo , Modelos Animais de Doenças
9.
Sci Bull (Beijing) ; 69(9): 1323-1331, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38472018

RESUMO

The Indo-Pacific warm pool (IPWP) is crucial for regional and global climates. However, the development of the IPWP and its effect on the regional climate during the Cenozoic remain unclear. Here, using a compilation of sea surface temperature (SST) records (mainly since the middle Miocene) and multimodel paleoclimate simulations, our results indicated that the extent, intensity and warmest temperature position of the IPWP changed markedly during the Cenozoic. Specifically, its extent decreased, its intensity weakened, and its warmest temperature position shifted from the Indian to western Pacific Ocean over time. The atmospheric CO2 dominated its extent and intensity, while paleogeography, by restricting the distribution of the Indian Ocean and the width of the tropical seaways, controlled the shift in its warmest temperature position. In particular, the eastward shift to the western Pacific Ocean from the middle to late Miocene inferred from compiled SST records likely resulted from the constriction of tropical seaways. Furthermore, by changing the atmospheric thermal structure and atmospheric circulation, the reduced extent and intensity of the IPWP decreased the annual precipitation in the western Indian Ocean, eastern Asia and Australia, while the shift in the warmest temperature position from the Indian to western Pacific Ocean promoted aridification in Australia. Qualitative model-data agreements are obtained for both the IPWP SST and regional climate. From the perspective of past warm climates with high concentrations of atmospheric CO2, the expansion and strengthening of the IPWP will occur in a warmer future and favor excessive precipitation in eastern Asia and Australia.

10.
IEEE Trans Pattern Anal Mach Intell ; 46(7): 5092-5113, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38315601

RESUMO

In the field of visual scene understanding, deep neural networks have made impressive advancements in various core tasks like segmentation, tracking, and detection. However, most approaches operate on the close-set assumption, meaning that the model can only identify pre-defined categories that are present in the training set. Recently, open vocabulary settings were proposed due to the rapid progress of vision language pre-training. These new approaches seek to locate and recognize categories beyond the annotated label space. The open vocabulary approach is more general, practical, and effective than weakly supervised and zero-shot settings. This paper thoroughly reviews open vocabulary learning, summarizing and analyzing recent developments in the field. In particular, we begin by juxtaposing open vocabulary learning with analogous concepts such as zero-shot learning, open-set recognition, and out-of-distribution detection. Subsequently, we examine several pertinent tasks within the realms of segmentation and detection, encompassing long-tail problems, few-shot, and zero-shot settings. As a foundation for our method survey, we first elucidate the fundamental principles of detection and segmentation in close-set scenarios. Next, we examine various contexts where open vocabulary learning is employed, pinpointing recurring design elements and central themes. This is followed by a comparative analysis of recent detection and segmentation methodologies in commonly used datasets and benchmarks. Our review culminates with a synthesis of insights, challenges, and discourse on prospective research trajectories. To our knowledge, this constitutes the inaugural exhaustive literature review on open vocabulary learning.

12.
Biofabrication ; 16(2)2024 02 07.
Artigo em Inglês | MEDLINE | ID: mdl-38277678

RESUMO

The inflammatory response is one of the general symptoms that accompany tumorigenesis, the pro-inflammatory factors cyclooxygenase-2 (COX-2) and COX-2-derived prostaglandin-2 (PGE-2) in the inflammatory environment surrounding tumors possess promoting tumor development, metastasis and angiogenesis effects. In addition, the hypoxic environment of tumors severely limits the effectiveness of photodynamic therapy (PDT). In this study, a universal extracellular-intracellular 'on-demand' release nanomedicine DOX@PDA-ICG@MnO2@GN-CEL was developed for the combined fight against malignant tumors using a spatiotemporal controlled gelatin coated polydopamine (PDA@GN) as the carrier and loaded with the chemotherapeutic drug doxorubicin (DOX), the photosensitizer indocyanine green (ICG), the PDT enhancer MnO2and the anti-inflammatory drug celecoxib (CEL) individually. Our results showed that DOX@PDA-ICG@MnO2@GN-CEL could release CEL extracellularly by matrix metalloproteinase-2 response and inhibit the COX-2/PGE-2 pathway, reduce chemotherapy resistance and attenuate the concurrent inflammation. After entering the tumor cells, the remaining DOX@PDA-ICG@MnO2released DOX, ICG and MnO2intracellularly through PDA acid response. MnO2promoted the degradation of endogenous H2O2to generate oxygen under acidic conditions to alleviate the tumor hypoxic environment, enhance PDT triggered by ICG. PDA and ICG exhibited photothermal therapy synergistically, and DOX exerted chemotherapy with reduced chemotherapy resistance. The dual responsive drug release switch enabled the chemotherapeutic, photothermal, photodynamic and anti-inflammatory drugs precisely acted on different sites of tumor tissues and realized a promising multimodal combination therapy.


Assuntos
Hipertermia Induzida , Nanopartículas , Neoplasias , Humanos , Metaloproteinase 2 da Matriz , Liberação Controlada de Fármacos , Microambiente Tumoral , Ciclo-Oxigenase 2 , Compostos de Manganês , Hipertermia Induzida/métodos , Óxidos , Doxorrubicina/farmacologia , Verde de Indocianina/farmacologia , Anti-Inflamatórios , Linhagem Celular Tumoral
13.
Biomed Mater ; 19(2)2024 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-38266273

RESUMO

The rapid, irreversible change of active Fe2+to inactive Fe3+after the Fenton reaction occurring reduces the chemodynamic therapeutic (CDT) effect. Therefore, manipulation of the tumor microenvironment to provide sufficient hydrogen peroxide (H2O2) while maintaining metal ion catalyst activity is critical for effective CDT. Here,ß-Lapachone (LPC) was loaded by mesoporous silica nanoparticles (MSNs) and coated with polydopamine (PDA) to further chelate Fe3+and link aptamer AS1411, and a pH-controlled released, chemotherapy-photothermal therapy (PTT)-enhanced CDT-small molecule therapy combination drug delivery system with passive and active tumor targeting was engineered (designated asß-LPC@MSN@PDA/Fe3+-AS1411, LMPFA). The results showed that LFMPA nanoparticles massively accumulated in tumor tissues to achieve tumor targeting through AS1411 mediating and enhanced permeability and retention (EPR) effect. Subsequently, PDA released Fe3+and LPC through acid response to exhibited CDT and chemotherapeutic therapy. Meanwhile, the photothermal effect of PDA promoted the release of LPC from the pores of MSN. LPC exerted chemotherapy effect and cyclically producing of H2O2by the catalysis of NQO1, which enhanced the CDT activated by Fe3+. In addition, while serving as a targeted ligand, AS1411 could also exhibit a small molecule therapeutic effect by binding to nucleoli of tumor cells. This unique nano delivery system achieved the combination of chemotherapy, PTT, enhanced CDT and small molecule therapy, and fought against malignant tumors synergistically through multi-target and multi-dimension.


Assuntos
Nanopartículas , Naftoquinonas , Neoplasias , Humanos , Peróxido de Hidrogênio , Sistemas de Liberação de Medicamentos , Linhagem Celular Tumoral , Microambiente Tumoral
14.
Nat Commun ; 14(1): 7993, 2023 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-38042861

RESUMO

Chemical reaction kinetics can be evaluated by probing dynamic changes of chemical substrates or physical phenomena accompanied during the reaction process. Chemiluminescence, a light emitting exoenergetic process, involves random reaction positions and kinetics in solution that are typically characterized by ensemble measurements with nonnegligible average effects. Chemiluminescent reaction dynamics at the single-molecule level remains elusive. Here we report direct imaging of single-molecule chemiluminescent reactions in solution and probing of their reaction dynamics under catalytic conditions. Double-substrate Michaelis-Menten type of catalytic kinetics is found to govern the single-molecule reaction dynamics in solution, and a heterogeneity is found among different catalyst particles and different catalytic sites on a single particle. We further show that single-molecule chemiluminescence imaging can be used to evaluate the thermodynamics of the catalytic system, resolving activation energy at the single-particle level. Our work provides fundamental insights into chemiluminescent reactions and offers an efficient approach for evaluating catalysts.

15.
Phys Rev Lett ; 131(14): 140601, 2023 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-37862647

RESUMO

Quantum neural networks (QNNs) have become an important tool for understanding the physical world, but their advantages and limitations are not fully understood. Some QNNs with specific encoding methods can be efficiently simulated by classical surrogates, while others with quantum memory may perform better than classical classifiers. Here we systematically investigate the problem-dependent power of quantum neural classifiers (QCs) on multiclass classification tasks. Through the analysis of expected risk, a measure that weighs the training loss and the generalization error of a classifier jointly, we identify two key findings: first, the training loss dominates the power rather than the generalization ability; second, QCs undergo a U-shaped risk curve, in contrast to the double-descent risk curve of deep neural classifiers. We also reveal the intrinsic connection between optimal QCs and the Helstrom bound and the equiangular tight frame. Using these findings, we propose a method that exploits loss dynamics of QCs to estimate the optimal hyperparameter settings yielding the minimal risk. Numerical results demonstrate the effectiveness of our approach to explain the superiority of QCs over multilayer Perceptron on parity datasets and their limitations over convolutional neural networks on image datasets. Our work sheds light on the problem-dependent power of QNNs and offers a practical tool for evaluating their potential merit.

16.
Front Cardiovasc Med ; 10: 1207219, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37808879

RESUMO

Background: Previous studies have indicated that the soluble suppression of tumorigenicity 2 protein (sST2) is associated with new-onset atrial fibrillation (NOAF) in patients diagnosed with coronary artery disease (CAD). However, the predictive value of sST2 in patients with acute ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI) has not been well studied. Methods: A total of 580 patients with STEMI undergoing primary PCI were consecutively recruited between January 2021 and January 2023. These patients were then categorized into two groups: the NOAF group and the no NOAF groups based on the presence of NOAF during admission. The concentration of sST2 in blood samples was measured in all patients. The clinical data from the two groups were prospectively analyzed to investigate the predictive factors of NOAF in patients with STEMI undergoing primary PCI. Results: A total of 41 (7.1%) patients developed NOAF. The presence of NOAF has been found to be associated with various factors, including age, diabetes mellitus, hypertension, the left atrial (LA) diameter, N-terminal pro-brain natriuretic peptide, C-reactive protein (CRP), sST2, a Killip class of ≥2, and a final TIMI flow grade of <3. After including multiple factors, it was observed that LA diameter, CRP, sST2, a Killip class of ≥2, and a final TIMI flow grade of <3 remained significant risk factors for developing NOAF. The receiver operating characteristic (ROC) curve showed the following findings: (1) when the LA diameter exceeded 38.5 mm, the sensitivity and specificity values were observed to be 67.2% and 68.2%, respectively, and the area under the ROC curve (AUC) was 0.683 [95% confidence interval (CI): 0.545-0.732; p = 0.003]; (2) when the CRP level exceeded 8.59, the sensitivity and specificity values were observed to be 68.6% and 69.2%, respectively, and the AUC was 0.713 (95% CI: 0.621-0.778; p < 0.001); and (3) when the sST2 value exceeded 53.3, the sensitivity and specificity values were 79.2% and 68.7%, respectively, and the AUC was 0.799 (95% CI: 0.675-0.865; p < 0.001). Conclusion: sST2 has been identified as an independent predictor of NOAF in patients with STEMI undergoing PCI.

17.
J Biomater Sci Polym Ed ; 34(18): 2551-2576, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37768314

RESUMO

Graphene oxide (GO), as a kind of two-dimensional sp2 carbon nanomaterials, has attracted great attention in many fields in the past decade. Due to its unique physical and chemical properties, GO is showing great promise in the field of biomedicine. For GO, all the atoms on its surface are exposed to the surface with ultra-high specific surface area, and a variety of groups on the surface, such as carboxyl, hydroxyl and epoxy groups, can effectively bind/load various biomolecules. Due to the availability of these groups, GO also possesses excellent hydrophilicity and biocompatibility for the modification of the desired biocompatible molecules or polymers on the surface of GO. The nano-network structure and hydrophobicity of GO enable it to load a large number of hydrophobic drugs containing benzene rings and it has been widely used as a multi-functional nano-carrier for chemotherapeutic drug or gene delivery. This review article will give an in-depth overview of the synthesis methods of GO, the advantages and disadvantages of GO used in nano-drug delivery system, the research progress of GO as a stimulus-responsive nano-drug carrier, and the application of these intelligent systems in cancer treatment.


Assuntos
Grafite , Nanoestruturas , Neoplasias , Humanos , Neoplasias/tratamento farmacológico , Portadores de Fármacos , Grafite/química , Nanoestruturas/química
18.
Langmuir ; 39(29): 10230-10239, 2023 Jul 25.
Artigo em Inglês | MEDLINE | ID: mdl-37439136

RESUMO

Magnesium alloys are among the most promising materials for medical implants, and by preparing a superhydrophobic surface, the rate of corrosion can be effectively slowed down and durability be improved. However, the anticorrosion surfaces are inevitable to be damaged for the conventional micro-nanostructured superhydrophobic magnesium alloys, which highly limits their application prospects. This work proposes the development of a Terracotta Warrior pit superhydrophobic structure (TWPSS), consisting of a wall structure with a Terracotta Warrior-like pit and a lotus-like surface papillae structure within the wall. For the first time, top-down laser ablation of the pits to prepare the lotus-like surface papilla structure is used in conjunction with a bottom-up laser-guided melt stacking of the raised wall structure to achieve rapid fabrication of a TWPSS on a magnesium alloy surface. The Cassie-Baxter-based design of the wall structure spacing effectively protects the internal lotus-like surface papillae from damage and the disappearance of low surface energy material, and the results show that the superhydrophobic surfaces of magnesium alloys have excellent mechanical durability and repairability. In addition, it was found that the recast layer and laser melting stacked layers produced on the surface of the alloy during femtosecond laser processing refined the grain size of the magnesium alloy and effectively suppressed the corrosion rate. The combination of the superhydrophobic gas layer and the resulting grain refinement slowed down the corrosion of the magnesium alloy. Thus, the rapid preparation of TWPSS structures with mechanical durability and corrosion resistance by femtosecond lasers expands the clinical applications of superhydrophobic surface magnesium alloys in medical devices.

19.
Sci Total Environ ; 898: 165555, 2023 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-37454842

RESUMO

Mineral-associated organic matter (MAOM), the largest soil carbon pool, is formed through a series of organo-mineral interaction mechanisms. However, different organo-mineral fractions relevant to specific stabilization mechanisms and their response to environmental variables are poorly understood, which hinders accurate prediction of MAOM preservation under climate change. We applied sequential chemical extraction to separate MAOM into different organo-mineral fractions. To assess of response of different organo-mineral fractions to climate change, alpine forest soils with high environmental sensitivity along a controlled environmental gradient were selected. Residual OM and weakly adsorbed OM were the primary organo-mineral fractions, accounting for approximately 45.1-67.7 % and 16.4-30.6 %, respectively, of the total organic carbon (TOC). Climate exerted considerable indirect effects on the preservation of organo-mineral fractions through weathering and edaphic and biotic variables. Moreover, organo-mineral fractions were closely associated with metal cations (mainly Fe3+/Al3+) and secondary minerals, forming complex networks. Water-soluble OM (WSOM), weakly adsorbed OM and Fe/Al oxyhydroxides-stabilized OM were tightly linked, occupying the central position of the networks, and were closely related to soil pH, moisture and prokaryotic composition, indicating that edaphic and biotic factors might play important roles in maintaining the network structure and topology. In addition, Fe/Al-OM complexes, oxyhydroxides-stabilized OM and residual OM in the network were greatly impacted by climate and weathering factors, including precipitation, temperature and the plagioclase index of alteration (PIA). The complex network among organo-mineral fractions sheds light on MAOM dynamic stabilization for better predicting MAOM preservation under climate change.

20.
Environ Int ; 178: 108058, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37392731

RESUMO

Mineral-associated organic matter (MAOM) is the largest soil organic carbon (OC) pool with the longest turnover. MAOM is expected to have relatively little sensitivity to climate change due to mineral protection, but its persistence involves several organo-mineral fractions. The uncertainty in the response of specific organo-mineral fractions to climate change hampers the reliability of predictions of MAOM preservation in the future. Here, we applied a sequential chemical fractionation method integrated with network analysis to investigate MAOM stabilization mechanisms across five alpine ecosystems: alpine desert, alpine steppe, alpine meadow, alpine wetland, and alpine forest. Hierarchical cluster analysis revealed grouping of seven extractable OM fractions in MAOM into three OM clusters: a cluster with weak bondings consisting of water-soluble OM (WSOM) and weakly adsorbed fractions (2.1-21.3% of total OC); a cluster with metal-bound complexes comprising Ca-OM complexes and Fe/Al-OM complexes (3.8-12.2% of total OC); and a cluster with strong bonding composed of Al oxyhydroxides, carbonates and Fe oxyhydroxides (12.2-33.5% of total OC). The relative percentages of OM from soils of the five ecosystems in the three clusters exhibited distinct pH dependence patterns. With the increase in pH, the cluster with weak bondings decreased, and that with strong bondings increased, while the one with metal-bound complexes showed a maximum at weakly acidic pH. Organo-mineral fractions and metal cations in MAOM constructed a complex network with pH as the central node. Results suggest that precipitation does not only alter vegetation type and microbial biomass but also regulate soil pH, which is balanced by specific metal cations, thus resulting in particular pH preference of specific OM clusters. These findings demonstrate that soil pH plays a central role in unveiling MAOM dynamics and can serve as a good predictor of soil organo-mineral fractions across alpine ecosystems.


Assuntos
Carbono , Solo , Solo/química , Carbono/análise , Ecossistema , Reprodutibilidade dos Testes , Minerais/análise , Metais/análise , Cátions , Concentração de Íons de Hidrogênio
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