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1.
Nanotechnology ; 35(12)2024 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-38086071

RESUMO

At low temperatures about 230 °C, bilayer InGaZnO/In2O3thin film transistors (TFTs) were prepared by a solution process with lightwave annealing. The InGaZnO/In2O3bilayer TFTs with SiO2as dielectric layer show high electrical performances, such as a mobility of 7.63 cm2V-1s-1, a threshold voltage (Vth) of 3.8 V, and an on/off ratio higher than 107, which are superior to single-layer InGaZnO TFTs or In2O3TFTs. Moreover, bilayer InGaZnO/In2O3TFTs demonstrated a great bias stability enhancement due to the introduction of top InGaZnO film act as a passivation layer, which could prevent the interaction of ambient air with the bottom In2O3layer. By using high dielectric constant AlOxfilm, the InGaZnO/In2O3TFTs exhibit an improved mobility of 47.7 cm2V-1s-1. The excellent electrical performance of the solution-based InGaZnO/In2O3TFTs shows great application potential for low-cost flexible printed electronics.

2.
Langmuir ; 37(6): 2227-2235, 2021 Feb 16.
Artigo em Inglês | MEDLINE | ID: mdl-33534588

RESUMO

Liquid evaporation and the associated vapor transport in micro/nanopores are ubiquitous in nature and play an important role in industrial applications. Accurate modeling of the liquid evaporation process in nanopores is critical to achieving a better design of devices for enhanced evaporation. Although having high impact on evaporation rate, vapor transport resistance in micro/nanopores remains incompletely understood. In this study, we proposed a new model which, for the first time, considered vapor transport in finite-length pores under various Knudsen regimes and then coupled the transport resistance to liquid evaporation. Direct Simulation Monte Carlo and laboratory experiments were conducted to provide validation for our model. The model successfully predicts the variation of pore transmissivity with Knudsen number and nanopore size, which cannot be revealed by prior theories. The relative error of model-predicted evaporation rate was within 1% in L/r = 0 cases and within 3.5% in L/r > 0 cases. Our model is featured by its applicability under the entire range of Knudsen numbers. The evaporation of various types of liquids in arbitrarily sized pores can be modeled using a universal relation.

3.
Sci Rep ; 14(1): 9376, 2024 04 23.
Artigo em Inglês | MEDLINE | ID: mdl-38654043

RESUMO

This study aimed to develop and validate a nomogram model that includes clinical and laboratory indicators to predict the risk of metabolic-associated fatty liver disease (MAFLD) in young Chinese individuals. This study retrospectively analyzed a cohort of young population who underwent health examination from November 2018 to December 2021 at The Affiliated Hospital of Southwest Medical University in Luzhou City, Sichuan Province, China. We extracted the clinical and laboratory data of 43,040 subjects and randomized participants into the training and validation groups (7:3). Univariate logistic regression analysis, the least absolute shrinkage and selection operator regression, and multivariate logistic regression models identified significant variables independently associated with MAFLD. The predictive accuracy of the model was analyzed in the training and validation sets using area under the receiver operating characteristic (AUROC), calibration curves, and decision curve analysis. In this study, we identified nine predictors from 31 variables, including age, gender, body mass index, waist-to-hip ratio, alanine aminotransferase, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, uric acid, and smoking. The AUROC for the subjects in the training and validation groups was 0.874 and 0.875, respectively. The calibration curves show excellent accuracy of the nomogram. This nomogram which was based on demographic characteristics, lifestyle habits, anthropometrics, and laboratory data can visually and individually predict the risk of developing MAFLD. This nomogram is a quick and effective screening tool for assessing the risk of MAFLD in younger populations and identifying individuals at high risk of MAFLD, thereby contributing to the improvement of MAFLD management.


Assuntos
Nomogramas , Humanos , Feminino , Masculino , Adulto , Estudos Retrospectivos , Fatores de Risco , China/epidemiologia , Adulto Jovem , Curva ROC , Hepatopatia Gordurosa não Alcoólica/epidemiologia , Hepatopatia Gordurosa não Alcoólica/diagnóstico , Hepatopatia Gordurosa não Alcoólica/sangue , Medição de Risco/métodos
4.
Medicine (Baltimore) ; 102(5): e32834, 2023 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-36749241

RESUMO

RATIONALE: Visceral artery pseudoaneurysm is a rare complication of chronic pancreatitis (CP), all pancreatic or peripancreatic arteries have been reported to be involved, while hepatic artery is less common. PATIENT CONCERNS: This case report illustrated a 42-year-old man with CP who developed right hepatic artery pseudoaneurysm (HAP), and finally he was treated with intravascular embolization. DIAGNOSES: The patient suffered from HAP due to acute attack of CP. INTERVENTIONS: The pseudoaneurysm located in a fine branch of right hepatic artery was embolized. OUTCOMES: The HAP of the patient was cured. He had no recurrent bloody stool or abdominal pain. The symptoms gradually relieved. CONCLUSION: Herein, we report a patient with CP who developed right HAP causing infected hematoma, gastrointestinal bleeding, and obstructive jaundice, and a literature review is also presented. HAP caused by CP is a rare disease in the clinic, but rupture of pseudoaneurysm is fatal. Careful evaluation, early detection, and prompt treatment should be performed when the patient is admitted and followed up.


Assuntos
Falso Aneurisma , Pancreatite Crônica , Masculino , Humanos , Adulto , Falso Aneurisma/etiologia , Artéria Hepática , Pancreatite Crônica/complicações , Pâncreas/irrigação sanguínea , Hemorragia Gastrointestinal/etiologia
5.
PeerJ ; 11: e15681, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37953782

RESUMO

To investigate changes in fungal community characteristics under different Cr(VI) concentration stresses and the advantages of adding arbuscular mycorrhizal fungi (AMF), we used high throughput sequencing to characterize the fungal communities. Cr(VI) stress reduced rhizosphere soil SOM (soil organic matter) content and AMF addition improved this stress phenomenon. There were significant differences in fungal community changes under different Cr(VI) concentrations. The fungal community characteristics changed through inhibition of fungal metabolic ability, as fungal abundance increased after AMF addition, and the fungal diversity increased under high Cr(VI) concentration. The dominant phyla were members of the Ascomycota, Basidiomycota, Mortierellomycota, and Rozellomycota. Dominant groups relevant to Cr resistance were Ascomycota and Basidiomycota fungi. Moreover, Fungal community characteristics were analyzed using high-throughput sequencing of the cytochrome c metabolic pathway, NADH dehydrogenase, and NADH: ubiquinone reductase and all these functions were enhanced after AMF addition. Therefore, Cr(VI) stress significantly affects fungal community structure, while AMF addition could increase its SOM content, and metabolic capacity, and improve fungal community tolerance to Cr stress. This study contributed to the understanding response of rhizosphere fungal community in AMF-assisted wetland phytoremediation under Cr stress.


Assuntos
Acorus , Micobioma , Micorrizas , Micorrizas/genética , Rizosfera , Raízes de Plantas/microbiologia , Solo/química
6.
J Cancer Res Clin Oncol ; 149(13): 12131-12143, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37428251

RESUMO

BACKGROUND: A nomogram that integrates risk models and clinical characteristics can accurately predict the prognosis of individual patients. We aimed to identify the prognostic factors and establish nomograms for predicting overall survival (OS) and cause-specific survival (CSS) in patients with multi-organ metastatic colorectal cancer (CRC). METHODS: Demographic and clinical information on multi-organ metastases from 2010 to 2019 were extracted from the Surveillance, Epidemiology, and End Results (SEER) Program. Univariate and multivariate Cox analyses were used to identify independent prognostic factors that were used to develop nomograms to predict CSS and OS, and to assess the concordance index (C-index), area under the curve (AUC), and calibration curve. RESULTS: The patients were randomly assigned to the training and validation groups at a 7:3 ratio. A Cox proportional hazards model was conducted for CRC patients to identify independent prognostic factors, including age, sex, tumor size, metastases, degree of differentiation, stage T, stage N, primary and metastasis surgery. The competing risk models employed by Fine and Gray were used to identify the risk factors for CRC. Death from other causes was treated as a competing event, and Cox models were used to identify the factors for death to identify the independent factors of CSS. By incorporating the corresponding independent prognostic factors, we established prognostic nomograms for OS and CSS. Finally, we used the C-index, ROC curve, and calibration plots to assess the utility of the nomogram. CONCLUSIONS: Using the SEER database, we constructed a predictive model for CRC patients with multi-organ metastases. Nomograms provide clinicians with 1-, 3-, and 5-year OS and CSS predictions for CRC, allowing them to formulate appropriate treatment plans.


Assuntos
Neoplasias do Colo , Nomogramas , Humanos , Prognóstico , Programa de SEER , Área Sob a Curva , Estadiamento de Neoplasias
7.
J Orthop Surg Res ; 17(1): 13, 2022 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-35016729

RESUMO

OBJECTIVES: A recently published genome-wide association study identified six novel loci associated with rheumatoid arthritis (RA) in Korean population. We aimed to investigate whether these newly reported RA-risk loci are associated with RA in the Chinese population and to further characterize the functional role of the susceptible gene. METHODS: The susceptible variants of RA were genotyped in 600 RA patients and 800 healthy controls, including rs148363003 of SLAMF6, rs117605225 of CXCL13, rs360136 of SWAP70, rs111597524 of NFKBIA, rs194757 of ZFP36L1 and rs1547233 of LINC00158. Synovial tissues were collected from the knee joint of 50 RA patients and 40 controls without osteoarthritis for the gene expression analysis. Inter-group comparisons were performed with the Chi-square test for genotyping data or with Student's t-test for gene expression analysis. RESULT: For rs148363003 of SLAMF6, RA patients were observed to have a significantly lower frequency of genotype CC (4.5% vs. 0.9%, p = 0.004) as compared with the controls. The frequency of allele C was remarkably higher in the patients than in the controls (11.5% vs. 8.0%, p = 0.002), with an odds ratio of 1.49 (95% CI = 1.16-1.92). There was no significant difference between the patients and the controls regarding genotype or allele frequency of the other 5 variants. The mRNA expression of SLAMF6 was 1.6 folds higher in the RA patients than in the controls. Moreover, SLAMF6 expression was 1.5 folds higher in patients with genotype CC than in the patients with genotype TT. CONCLUSIONS: SLAMF6 was associated with both the susceptibility and severity of RA in the Chinese population. Moreover, rs148363003 could be a functional variant regulating the tissue expression of SLAMF6 in RA patients. It is advisable to conduct further functional analysis for a comprehensive knowledge on the contribution of this variant to the development of RA.


Assuntos
Artrite Reumatoide/genética , Polimorfismo de Nucleotídeo Único/genética , Família de Moléculas de Sinalização da Ativação Linfocitária/genética , Adulto , Artrite Reumatoide/etnologia , Estudos de Casos e Controles , China/epidemiologia , Feminino , Frequência do Gene , Predisposição Genética para Doença , Humanos , Masculino , Pessoa de Meia-Idade , República da Coreia , Índice de Gravidade de Doença
8.
Nanoscale ; 14(1): 99-107, 2021 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-34897350

RESUMO

The addition of nanoparticles to a base fluid (i.e., nanofluids) is an effective strategy to achieve a higher thermal conductivity of a fluid. In a common nanofluid, the suspended nanoparticles are mostly symmetrical spheres. In the present paper, we propose to add Janus nanoparticles into a fluid (termed as Janus nanofluids), to further enhance the thermal conductivity of nanofluids. By using molecular dynamics simulations, it is found that the thermal conductivity can be distinctly improved by introducing Janus particles into the nanofluids in contrast with common nanofluids. Based on the calculation results of the molecular radial distribution function around the nanoparticle, and the diffusion coefficient of the base fluid and the Janus nanoparticle, the enhancement in the thermal conductivity of Janus nanofluids is attributed to the enhanced Brownian motion of Janus nanoparticles, which increases the probability of inter-molecular collisions and leads to enhanced energy transfer in nanofluids. The Janus nanofluids proposed in this work provide insights for the design of nanofluids with high thermal conductivity.

9.
Nanotechnology ; 21(34): 345601, 2010 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-20671360

RESUMO

A Gd(2)O(3):Eu nanocrystal phosphor has been directly synthesized by a mild solution combustion method with a single step approach while avoiding further thermal annealing. The as-combusted Gd(2)O(3):Eu powders have been characterized by x-ray diffraction, infrared spectroscopy, transmission electron microscopy and photoluminescence spectra. The ratio of citric acid to metal nitrate (C/M) has a critical impact on the phase composition and crystallization of as-combusted Gd(2)O(3):Eu. An optimal C/M ratio of 0.7 gave highly crystalline powders with a single cubic phase, and a high luminescence intensity comparable with that of a commercial Y(2)O(3):Eu phosphor, even without further thermal annealing. This direct solution combustion method can be used to prepare a variety of high quality oxide nanocrystals.

10.
Nanotechnology ; 21(48): 485302, 2010 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-21051798

RESUMO

L1(0) ordered alloys, such as FePt, CoPt and FePd alloys with high magnetocrystalline anisotropy, have attracted much attention due to their potential applications in ultrahigh density data storage. The assembly or organization of nanoparticle arrays is necessary for device application. A facile and general method to fabricate highly ordered ferromagnetic nanostructure arrays was demonstrated. It is found that simple oxygen plasma can make a hydrophilic polymer template, which would easily integrate with the widely used spin-coating process. With simple block copolymer lithography and spin-coating process, uniform ferromagnetic nanoparticle arrays can be easily fabricated over a large area. It is also significant that a very high coercivity up to 10 kOe was obtained in CoPt nanodot arrays. This method can find attractive applications in ultrahigh density storage media.

11.
Phys Rev E ; 101(1-1): 013103, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32069626

RESUMO

In the present paper, we theoretically study the drag force on nanoparticles in the free-molecule regime. It has been widely assumed that the particle temperature is equal to the gas media temperature in the open literature. However, this assumption can be invalid in some real applications. Based on the kinetic theory, we obtain the generalized formulas for the drag force on nanoparticles in the free-molecule regime. It is found that there exists a significant error induced by the assumption of equal temperature between the particle and the surrounding gas. Therefore, it is necessary to consider the effect of the particle temperature in the analysis of the particle transport properties.

12.
Nanotechnology ; 20(22): 225301, 2009 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-19433872

RESUMO

Spin coating of multicomponent precursor solutions was employed in conjunction with block copolymer nanotemplates to fabricate nanopatterned functional multielemental materials. Nanodot and nanowire arrays of several multielemental materials exhibiting optoelectronic and multiferroic properties have been fabricated on various substrates to demonstrate the versatility of our approach. The shape, size and density of nanopatterned multielemental materials can be tuned in a variety of ways. This low cost and large scale solution nanopatterning process without a harsh etching step may offer a new opportunity for development of ultrahigh density device nanostructures.

13.
Nanoscale ; 11(27): 13051-13057, 2019 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-31265030

RESUMO

In this work, we propose a negative differential thermal resistance (NDTR) system using a nanoscale sandwiched fluid. Non-equilibrium molecular dynamics simulations and kinetic theory analyses show that the heat flux through the system can be suppressed and even prohibited when the temperature difference across the system becomes sufficiently high. The phenomenon of NDTR is caused by the fluid adsorption on the solid surface at the cold end, which reduces the number density of the free fluid molecules and increases the total thermal resistance of the whole system. The proposed NDTR system provides theoretical insights for the design of certain thermal devices.

14.
J BUON ; 24(4): 1568-1573, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31646810

RESUMO

PURPOSE: To investigate the significance of endoscopic retrograde cholangiopancreatography (ERCP) combined with tumor markers in the differential diagnosis of pancreatic cancer (PC) and pseudotumor-like pancreatitis (PLP). METHODS: A total of 186 patients with PC (pancreatic cancer group) and 89 patients with PLP (pseudotumor-like pancreatitis group) were selected as subjects, and another 268 healthy people during the same period were enrolled as control group. Serum carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9) levels of subjects were compared among three groups, these subjects underwent ERCP, and its diagnostic value was analyzed. RESULTS: The levels of serum CEA and CA199 in both PLP and PC group were markedly higher than those in control group and PC group had considerably higher serum CEA and CA19-9 levels in comparison with PLP group (p<0.05). The results of area under curve (AUC) showed that ERCP had the highest diagnostic value, CA19-9 had the lowest diagnostic value, and the combined diagnosis had significantly increased accuracy and sensitivity and decreased specificity. CONCLUSION: The application of ERCP in combination with tumor markers in the differential diagnosis of PC and PLP can evidently improve the diagnostic sensitivity and accuracy, reduce the rate of missed diagnosis of PC, and elevate the survival rate . Therefore, ERCP combined with tumor markers has good application value in clinical practice.


Assuntos
Colangiopancreatografia Retrógrada Endoscópica/métodos , Diagnóstico Diferencial , Granuloma de Células Plasmáticas/diagnóstico , Neoplasias Pancreáticas/diagnóstico , Pancreatite/diagnóstico , Adulto , Idoso , Antígenos Glicosídicos Associados a Tumores/sangue , Biomarcadores Tumorais/sangue , Antígeno Carcinoembrionário/sangue , Feminino , Granuloma de Células Plasmáticas/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Pancreáticas/sangue , Neoplasias Pancreáticas/patologia , Pancreatite/sangue , Pancreatite/patologia
15.
Phys Rev E ; 97(5-1): 053106, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29906953

RESUMO

The present paper is devoted to studying the thermophoresis of a nonspherical convex particle suspended in a gas with nonuniform temperature distribution in the free-molecule regime. Based on the gas kinetic theory and the assumption of a rigid-body collision for the gas-particle interaction, analytical expressions for the thermophoretic forces are obtained for several typical nonspherical bodies, including cylinders, spheroids, needles, disks, and cuboids. The orientation dependences of the thermophoretic forces and thermophoretic velocities are evaluated based on these expressions. It is found that the influence of the pitching effect of the nonspheres can be significant. The expressions for the orientation-averaged thermophoretic forces are also obtained under the assumption of a uniform particle orientation distribution.

16.
World J Gastroenterol ; 13(21): 2992-8, 2007 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-17589953

RESUMO

AIM: To investigate the dynamic changes and significance of platelet activating factor receptor (PAF-R) mRNA and protein in pancreatic tissues of rats with severe acute pancreatitis (SAP) and effects of BN52021 (Ginkgolide B). METHODS: Wistar male rats were randomly assigned to the negative control group (NC group), SAP model group (SAP group), and BN52051-remedy group (BN group), and each of the groups was divided into 6 subgroups at different time points after operation (1 h, 2 h, 3 h, 6 h, 12 h, and 24 h) (n = 10 in each). PT-PCR and Western blot methods were used to detect PAF-RmRNA and protein expression in pancreatic tissues of rats respectively. Pathological examination of pancreatic tissues was performed and the serum amylase change was detected. RESULTS: Serum amylase and pathological results showed the that SAP model was successfully prepared, BN52021 was able to decrease serum amylase, and the pathological ratings in BN group at 3 h, 6 h, and 12 h significantly decreased compared with those in the SAP group (8.85 +/- 0.39 vs 5.95 +/- 0.19, 9.15 +/- 0.55 vs 5.55 +/- 0.36, 10.10 +/- 0.65 vs 6.72 +/- 0.30, P < 0.05). The result of PAF-mRNA showed dynamic changes in SAP and BN groups, which increased gradually in early stage, reached a peak at 3 h (0.71 +/- 0.14 vs 0.54 +/- 0.14, 0.69 +/- 0.13 vs 0.59 +/- 0.04, P < 0.05), and decreased gradually later. There were significant differences at each time point except 1 h and 2 h, when compared with those in the NC group (0.71 +/- 0.14 or 0.69 +/- 0.13 vs 0.47 +/- 0.10, 0.38 +/- 0.08 or 0.59 +/- 0.04 vs 0.47 +/- 0.09, 0.25 +/- 0.07 or 0.29 +/- 0.05 vs 0.46 +/- 0.10, 0.20 +/- 0.06 or 0.20 +/- 0.04 vs 0.43 +/- 0.09, P < 0.05), whereas there was no significant difference between BN and SAP groups at each time point. The result of PAF-R protein showed that the change of PAF-R protein in the SAP group and the BN group was consistent with that of PAF-R mRNA. There were significant differences at each time point except 1 h, when compared with those in the NC group (0.90 +/- 0.02 or 0.80 +/- 0.05 vs 0.48 +/- 0.02, 1.69 +/- 0.06 or 1.58 +/- 0.02 vs 0.48 +/- 0.03, 1.12 +/-0.10 or 0.98 +/- 0.03 vs 0.49 +/- 0.09, 1.04 +/- 0.14 or 0.87 +/- 0.02 vs 0.52 +/- 0.08, 0.97 +/- 0.16 or 0.90 +/- 0.05 vs 0.49 +/- 0.10, P < 0.05), whereas there was no significant difference between the BN group and the SAP group. CONCLUSION: PAF-R plays an important role in occurrence and development of SAP. BN52021 exerts biological effects through competitively inhibiting the binding of increased both PAF and PAF-R expression rather than through decreasing PAF-R expression in pancreatic tissues.


Assuntos
Fibrinolíticos/farmacologia , Regulação da Expressão Gênica/efeitos dos fármacos , Ginkgolídeos/farmacologia , Lactonas/farmacologia , Pancreatite/metabolismo , Glicoproteínas da Membrana de Plaquetas/metabolismo , Receptores Acoplados a Proteínas G/metabolismo , Doença Aguda , Amilases/sangue , Animais , Fibrinolíticos/uso terapêutico , Ginkgolídeos/uso terapêutico , Lactonas/uso terapêutico , Masculino , Pancreatite/tratamento farmacológico , Pancreatite/patologia , Fator de Ativação de Plaquetas/genética , Fator de Ativação de Plaquetas/metabolismo , Glicoproteínas da Membrana de Plaquetas/genética , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Distribuição Aleatória , Ratos , Ratos Wistar , Receptores Acoplados a Proteínas G/genética
17.
Phys Rev E ; 95(3-1): 033101, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28415262

RESUMO

We theoretically investigate the thermophoresis of nanocylinders in the free molecule regime, wherein the nonrigid-body effect is taken into account. The analytical formulas of the thermophoretic forces on cylinders suspended in both simple gases and binary gas mixtures are derived for the two limiting collision models, i.e., specular and diffuse scatterings, based on the gas kinetic theory. In the limit of the rigid-body collision, the expressions can be reduced to the theoretical results of Garcia-Ybarra and Rosner [AIChE J. 35, 139 (1989)10.1002/aic.690350115]. The thermophoretic velocities of the nanocylinders (including carbon nanotubes and long-chain n-alkanes) have been evaluated and it is found that the influence of the nonrigid-body effect on thermophoresis is significant for the case of small cylinder radius and low temperatures.

18.
PLoS One ; 11(10): e0163743, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27723762

RESUMO

BACKGROUND: Traditional Helicobacter pylori (H. pylori) eradication therapies have shown efficacies below 80% in several studies, and their use has been accompanied by antibiotic-related side effects. Some recent studies have reported that supplementing standard therapies with probiotics can improve the efficacy and tolerability of Helicobacter pylori eradication therapy. OBJECTIVE: To assess the effects of probiotic supplementation on the eradication rates and therapy-related adverse event rates of anti-Helicobacter pylori regimens. METHODS: We searched PubMed, Medline, the Cochrane Central Registry of Controlled Trials and the Chinese Biomedical Database for eligible randomized controlled trials published through July, 2015. Review Manager 5.3 was used for all statistical analyses. RESULTS: Thirteen randomized controlled trials involving a total of 2306 patients were included in our analysis. Intent-to-treat (ITT) analysis performed using a fixed-effects model (test for heterogeneity I2 = 45%) showed that the pooled relative risk (RR) of eradication was significantly higher in the probiotic supplementation group than in the control group [RR 1.15, 95% confidence interval (CI): 1.10-1.20, P<0.00001]. The incidence of total antibiotic-related side effects was lower in the probiotic supplementation group than in the control group, and the pooled RR (studies n = 9) was 0.71 (95% CI: 0.54-0.94, P = 0.02), as determined using a random-effects model (heterogeneity test I2 = 59%). Certain adverse events, such as nausea and vomiting (RR = 0.58, 95% CI 0.35-0.95, P = 0.03), diarrhea (RR = 0.51, 95% CI: 0.31-0.84, P = 0.008) and constipation (RR = 0.47, 95% CI: 0.28-0.80, P = 0.005), were reported at lower rates in the probiotic supplementation group than in the control group. Subgroup analysis showed that eradication rates were significantly improved in both adults (RR = 1.14, 95% CI: 1.09-1.19, P<0.00001) and children (RR = 1.24, 95% CI: 1.05-1.47, P = 0.01) in the probiotic supplementation group and that no regional differences between Europe (RR = 1.17, 95% CI: 1.09-1.24, P<0.00001) and Asia were present (RR = 1.14, 95% CI: 1.06-1.22, P = 0.0002). However, the total adverse event rate was not decreased in the adult group (RR = 0.80, 95% CI: 0.61-1.04, P = 0.1) or the Asian group (RR = 0.68, 95% CI: 0.39-1.18, P = 0.17). Subgroup analyses examining therapy regimens and treatment durations showed that probiotic supplementation increased eradication rates in the triple-therapy (RR = 1.18, 95% CI: 1.12-1.25, P<0.00001), seven-day treatment (RR = 1.21, 95% CI: 1.12-1.31, P<0.00001) and fourteen-day treatment (RR = 1.13, 95% CI: 1.06-1.20, P = 0.0002) groups. The incidence of antibiotic-related side effects was significantly reduced in all groups, with the exception of the quadruple-therapy subgroup (RR = 1.13, 95% CI: 0.60-2.13, P = 0.07) and the fourteen-day therapy subgroup (RR = 0.96, 95% CI 0.61-1.51, P = 0.86). Supplementation with Lactobacillus alone (RR = 1.24, 95% CI: 1.12-1.38, P<0.0001) or multi-strain probiotics (RR = 1.12, 95% CI 1.07-1.18, P<0.00001) was effective at improving H. pylori eradication rates. However, supplementation with Lactobacillus alone did not significantly decrease the overall incidence of side effects (RR = 0.61, 95% CI: 0.11-3.51, P = 0.58). Our study also showed that probiotic supplementation before, during or after H. pylori eradication therapy improved eradication rates, regardless of supplementation duration. Furthermore, probiotic supplementation during H. pylori treatment reduced the incidence of side effects. CONCLUSION: Probiotic supplementation during anti-Helicobacter pylori treatment may be effective for improving H. pylori eradication rates, minimizing the incidence of therapy-related adverse events and alleviating most disease-related clinical symptoms. However, our results should be interpreted with caution because of the presence of heterogeneity across the trials included in this analysis.


Assuntos
Suplementos Nutricionais , Infecções por Helicobacter/terapia , Helicobacter pylori , Probióticos/administração & dosagem , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Ensaios Clínicos Controlados Aleatórios como Assunto
19.
Mol Med Rep ; 12(2): 2336-42, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25845395

RESUMO

When gene therapy is performed for the treatment of malignant tumors, gene transfer efficiency and selectivity are highly important. Polymer vehicle microspheres are a novel type of therapy, which have been developed rapidly in recent years and are able to control drug release, prolong the biological half-life of drugs, decrease side effects and achieve targeted delivery. The present study was designed to construct a polymer microsphere-encapsulated recombinant adenovirus with human tissue inhibitors of the matrix metalloproteinase-1 (TIMP-1) gene, and to discuss its characterization for the purpose of liver cancer gene therapy. The microsphere was prepared from biodegradable poly-DL-lactide-poly(ethylene glycol) (PELA) encapsulating rAdTIMP-1, the recombinant adenovirus carrying TIMP-1, by a modified double-emulsion method. The particle morphology, diameter, virus encapsulation, loading rate and release kinetics of the rAd-microspheres were determined in vitro. Hepatocellular carcinoma (HCC) HepG2 cells were transfected with the rAd-microsphere and the efficiency of transfection was assessed by fluorescent microscopy. The production and expression of TIMP-1 was identified by gelatin zymography and western blot analysis, and the invasiveness was detected by a matrigel matrix invasion assay. The microsphere encapsulating rAdTIMP-1 was successfully constructed with a diameter of 1.965 µm, encapsulation efficiency of 60.0%, a viral load of 10.5 x 10(8)/mg, a virus release of ~60% within 120 h and a total release time of >240 h. The resultant rAd-microspheres were able to efficiently transfect HepG2 cells with the transfection efficiency enhanced by ~90%. As a result, the transfected HepG2 cells had significantly increased TIMP-1 enzyme activity and the expression of TIMP-1 was detected by western blot analysis. In addition, the proliferation and invasion ability of the HCC cells was markedly inhibited by the rAd-microspheres. The resultant rAd-microspheres, PELA-encapsulated recombinant TIMP-1 adenovirus, had enhanced transfection efficiency and were able to markedly inhibit the in vitro biological behavior of HepG2 cells. This provides an experimental basis for this polymer application and may pave the way for prospective in vivo clinical trials and further comprehensive therapy for liver cancer.


Assuntos
Adenoviridae/genética , Terapia Genética/métodos , Lactatos/química , Polietilenoglicóis/química , Inibidor Tecidual de Metaloproteinase-1/genética , Transfecção/métodos , Adenoviridae/química , Animais , Movimento Celular , Proliferação de Células , Colágeno/química , Combinação de Medicamentos , Composição de Medicamentos/métodos , Expressão Gênica , Vetores Genéticos , Células Hep G2 , Humanos , Laminina/química , Microesferas , Tamanho da Partícula , Proteoglicanas/química , Ratos , Inibidor Tecidual de Metaloproteinase-1/metabolismo , Transgenes
20.
J Clin Pathol ; 67(6): 491-8, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24570042

RESUMO

AIMS: The incidence and mortality rates from right-sided colorectal cancers (CRCs) have not decreased in recent years. It is very likely that a significant proportion of these cancers evolve from undetected sessile serrated adenomas (SSAs). The prevalence and molecular features of the SSAs in the Chinese population have seldom been investigated. METHODS: We retrospectively reviewed the colonoscopy database and pathology archives in our medical centre. Adenomatous polyposis coli (APC) and ß-catenin expressions were examined in 28 right hyperplastic polyps (RHPs) and 21 SSAs by immunohistochemical staining. The mutations of BRAF, KRAS, APC and ß-CATENIN were analysed by direct sequencing. The methylation status of APC promoter in these polyps was analysed by methylation-specific PCR and bisulfite sequencing. Samples of left hyperplastic polyps, traditional adenomas and CRC were used as controls. RESULTS: SSAs accounted for 4.9% of serrated polyps and 1.0% of all colorectal polyps. BRAF((V600E)) mutations were found in 14.3% of SSAs and 7.1% of RHPs. Nuclear accumulation of ß-catenin was seen in 28.6% of SSAs and 17.9% of RHPs. APC mutations were detected in 57.1% of SSAs and 67.9% of RHPs. APC methylation was detected in 14.3% of RHPs and 23.8% of SSAs. CONCLUSIONS: The prevalence of SSAs in a subset of the Chinese population is much lower than that in the Western population. BRAF((V600E)) mutation is not a frequent event in right colon serrated polyps in a subset of the Chinese population. APC mutation is possibly the main cause for the Wnt signalling activation in right colon serrated polyps.


Assuntos
Adenoma/etnologia , Adenoma/genética , Povo Asiático/genética , Biomarcadores Tumorais/genética , Pólipos do Colo/etnologia , Pólipos do Colo/genética , Neoplasias Colorretais/etnologia , Neoplasias Colorretais/genética , Adenoma/química , Adenoma/classificação , Adenoma/patologia , Proteína da Polipose Adenomatosa do Colo/análise , Proteína da Polipose Adenomatosa do Colo/genética , Adulto , Idoso , Idoso de 80 Anos ou mais , Biomarcadores Tumorais/análise , Biópsia , China/epidemiologia , Pólipos do Colo/química , Pólipos do Colo/classificação , Pólipos do Colo/patologia , Colonoscopia , Neoplasias Colorretais/química , Neoplasias Colorretais/classificação , Neoplasias Colorretais/patologia , Metilação de DNA , Análise Mutacional de DNA , Feminino , Predisposição Genética para Doença , Humanos , Imuno-Histoquímica , Masculino , Pessoa de Meia-Idade , Mutação , Fenótipo , Valor Preditivo dos Testes , Prevalência , Prognóstico , Regiões Promotoras Genéticas , Proteínas Proto-Oncogênicas/genética , Proteínas Proto-Oncogênicas B-raf/genética , Proteínas Proto-Oncogênicas p21(ras) , Estudos Retrospectivos , beta Catenina/análise , beta Catenina/genética , Proteínas ras/genética
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