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1.
Clin Lab ; 70(1)2024 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-38213197

RESUMO

BACKGROUND: Several nations around the world have utilized autologous immune enhancement therapy in the treatment of cancer, with initial positive outcomes. This study describes our experience with autologous gamma delta T cell immunotherapy for the treatment of non-small cell lung cancer patients in Vietnam, a developing nation. METHODS: Five patients with non-small cell lung cancer at stages III - IV were enrolled in the study. Each patient received six infusions of autologous γδT cells, separated by two weeks. Before, during, at the end of treatment, and three and six months after treatment, a comprehensive evaluation of clinical, laboratory, quality of life, and adverse events related to the method was conducted. RESULTS: At the time of culture seeding, the total number of cells ranged from 2.9 to 18.2 x 106, with γδT cells ranging in number from 10.7 to 19.6 x 104. On day 14 of the culture, the number of γδT cells ranged from 3.1 to 8.3 x 108. Regarding the safety of therapy in a total of 30 infusions, two (fever), one (myalgia), and one (joint pain) were graded as 1 by CTCAE criteria. After the course, no toxicity was observed in the hematopoietic system, kidney function, or liver function. Evaluation of the patient's response in accordance with the RECIST 1.1 criteria: 20% of patients (one patient) had partial response disease, and 80% of patients (four patients) had stable disease at the end of treatment. During the follow-up period of the study, three patients were still alive, and the disease remained stable. The patient's quality of life improved after treatment in most functional measures (activity, cognitive, and social), but physical and emotional scores decreased slightly. Two patients' fatigue symptoms increased, but after six months of treatment, the average value dropped from 25.3 to 8.3. Dyspnea symptoms decreased gradually from 33.3 at the start of treatment to 8.3 six months later. CONCLUSIONS: The initial results we obtained regarding the efficacy and safety of autologous γδT cell immunotherapy for patients with non-small cell lung cancer are extremely encouraging and comparable to those of previous studies.


Assuntos
Carcinoma Pulmonar de Células não Pequenas , Neoplasias Pulmonares , Humanos , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Ácido Zoledrônico/uso terapêutico , Neoplasias Pulmonares/tratamento farmacológico , Qualidade de Vida , Imunoterapia/métodos , Linfócitos T
2.
AIDS Care ; 36(5): 631-640, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-37339000

RESUMO

The Human Immunodeficiency Virus (HIV) epidemic remains a major public health issue worldwide. In Vietnam, the HIV epidemic is essentially driven by people who inject drugs (PWID). This study aims to compare mortality and loss to follow-up (LTFU) between PWID and other patients. From June 2017 to April 2018, HIV-infected adults were enrolled in a prospective cohort from time of ART initiation in six provinces of North Vietnam. The end date was July 2020. Mortality and LTFU were described using competing-risk survival models. Factors associated with mortality and with LTFU were identified using Cox models with a competing-risk approach. Of the 578 participants, 261 (45.2%) were PWID and almost exclusively male. 49 patients died, corresponding to a mortality rate (95% confidence interval (CI)) of 3.7 (2.8-4.9) per 100 person-months, and 79 were lost to follow-up, corresponding to a rate (95% CI) of 6.0 (4.8-7.4) per 100 person-months. PWID were at higher risk of death but not of LTFU. Overall, LTFU was high in both groups. Latecomers to clinical visits were more at risk of both death and LTFU. Therefore, this should be a warning to clinical teams and preventive actions taken in these patients.Trial registration: ClinicalTrials.gov identifier: NCT03249493..


Assuntos
Infecções por HIV , Abuso de Substâncias por Via Intravenosa , Adulto , Humanos , Masculino , HIV , Infecções por HIV/epidemiologia , Incidência , Perda de Seguimento , Estudos Prospectivos , Abuso de Substâncias por Via Intravenosa/complicações , Abuso de Substâncias por Via Intravenosa/epidemiologia , Vietnã/epidemiologia , Feminino
3.
World Neurosurg ; 175: e796-e803, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37061031

RESUMO

BACKGROUND: Spetzler-Martin (SM) grade III arteriovenous malformations (AVMs) show angioarchitecture heterogeneity and lack a clearly defined treatment strategy. This study aims to evaluate outcomes after treatment of SM grade III AVMs with Gamma Knife radiosurgery (GKRS). METHODS: A single-institution retrospective analysis was conducted of 307 patients with SM grade III AVMs undergoing GKRS between October 2006 and December 2020 with follow-up times of at least 24 months. SM grade III AVMs were classified into 4 subtypes: IIIA (S1E1V1), IIIB (S2E0V1), subtype IIIC (S2E1V0), and IIID (S3E0V0). RESULTS: Over a median follow-up time of 50.3 months, complete AVM obliteration was achieved in 211 patients (68.7%). Complete obliteration rates in subtypes IIIA, IIIB, IIIC, and IIID were 80.8%, 55.4%, 53.4%, and 25.0%, respectively. Annual post-GKRS hemorrhage risk was 0.8%. Significant radiosurgery-induced imaging changes occurred in 7 patients (2.3%). Three variables were identified as predictors of obliteration in final forward stepwise regression models, including volume of AVM (B = -0.011; P < 0.001), age (B = -0.004; P = 0.024), and previous AVM hemorrhage (B = 0.187; P = 0.077). CONCLUSIONS: GKRS is a safe and effective treatment for SM grade III AVMs, particularly subtype IIIA (S1E1V1). AVM volume is the key predictor of post-GKRS obliteration.


Assuntos
Malformações Arteriovenosas Intracranianas , Malformações do Sistema Nervoso , Radiocirurgia , Humanos , Radiocirurgia/métodos , Estudos Retrospectivos , Malformações Arteriovenosas Intracranianas/radioterapia , Malformações Arteriovenosas Intracranianas/cirurgia , Resultado do Tratamento , Encéfalo , Malformações do Sistema Nervoso/cirurgia , Seguimentos
4.
Respir Med Case Rep ; 42: 101804, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36845645

RESUMO

Natural killer (NK) cells have developed as a potent tool in cancer immunotherapy. Especially, patients who have failed in the first-line or maintenance treatment received a good response with immunotherapy in association with other approaches. We report the case of a 61-year-old male patient with programmed cell death ligand - 1(PD-L1) expression in advanced non-small cell lung cancer (NSCLC) (stage IV). Even though the patient was treated with standard therapy using keytruda, he still appeared with new lesions. Therefore, the patient was treated in combination with autologous NK cells therapy, gemcitabine, bevacizumab. NK cells were expanded from peripheral blood mononuclear cells (PBMCs) of the patient, and after that, they were transferred back to the patient. After 6 infusions of autologous NK cells in combination with gemcitabine, bevacizumab, the patient decreased significantly the size of primary, metastatic lesions and had a marked improvement in the quality of life. Besides, during combination therapy, no side effects have been reported and there was no toxicity observed in the hematopoietic system, liver as well as kidneys. Our case suggests that this treatment regimen is a potential treatment approach for advanced NSCLC with PD-L1 expression.

5.
Toxicol Rep ; 9: 1523-1527, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36518372

RESUMO

Background: Street food has been a typical culinary feature of many countries. These foods, mainly, meats and fish, were often fried, and grilled with varied marinade and preparation. However, foods that contain a lot of protein after processing at high temperatures always have many risks, including cancer risks of which heterocyclic aromatic amines (HAAs) have been one of the typical compounds. However, there is a lack of data on HAAs in low- and medium-income countries to date. Objective: The aim was to examine the concentration of HAAs including 2-Amino-1-methyl-6-phenylimidazo[4,5-b]pyridine (PhIP); 2-Amino-3,8-dimethylimidazo[4,5-f]quinoxaline (MeIQx); and 2-Amino-9H-pyrido[2,3-b]indole (AαC) in cooked meat and fish samples. Methods: Three standards including PhIP, MeIQx, AαC, and three isotopically labeled internal standards PhIP-d3, MeIQx-d3, and AαC-15N3 were purchased from Toronto Research Chemicals, Inc. (Toronto, Canada). Formic acid, HPLC-grade methanol, acetonitrile, water, sodium chloride, and magnesium sulfate were supplied by Sigma-Aldrich (St. Louis, MO, USA). We collected cooked meat and fish samples from street markets and restaurants in the area of Cau Giay district, Hanoi, Vietnam in 2020. The collected samples were prepared for LC-MS/MS analysis. Results: Among 23 selected samples of cooked beef, fish, chicken, and pork, we have detected PhIP(ng/g) in 9 samples (the mean 2.68, standard deviation 2.41, median 2.40, minimum 0.33, and maximum 7.19); and AαC(ng/g) in 6 samples (the mean 0.74, standard deviation 0.75, median 0.45, minimum 0.12, and maximum 1.90); and MeIQx(ng/g) was not detected in all samples. Three grilled pork samples were positive with AαC at a concentration of 0.75-1.95 ng/g. Five fish samples have been detected to contain PhIP at the concentration of mean of 3.17; the standard deviation of 1.47, and the median of 3.90 ng/g. Two fried chickens have been detected to contain PhIP at the concentration of 0.41 and 7.19 ng/g. Conclusions: We detected a considerable amount of PhIP concentration in the collected fried fish and other fried meat samples and AαC in grilled and fried pork, beef, and chicken samples. The findings warrant further measuring more compounds of the HAA group and extending the number of real samples, as well as types of samples for example cooked meats, fish, fried eggs, tofu, and other cooked food receipts by regions in Vietnam.

6.
Asian Pac J Cancer Prev ; 23(7): 2215-2224, 2022 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-35901325

RESUMO

BACKGROUND: In animal studies, heterocyclic amines (HCAs) are recognized as having strong carcinogenicity, therefore we have hypothesized that HCAs might be associated with the risk of colorectal adenoma (CRA) and cancer (CRC). METHODS: We used the Keywords of "Heterocyclic amines and colorectal cancer" to search, there were showing published articles (n=200). After reviews of titles, abstracts, and full articles, seven prospective cohort studies were included in the pooled analysis. Exposures to HCAs 2-amino-3,8-dimethylimidazo(4,5-j)quinoxaline (MeIQx), 2-amino-1-methyl-6-phenylimidazo(4,5-b)pyridine (PhIP), 2-amino-3,4,8-trimethylimidazo(4,5-f)quinoxaline (DiMeIQx), meat-derived mutagenicity (MDM), and the risk of CRA and CRC were examined. The estimated HCA intake as ng/day and ng/1,000 kcal/day by participants and by studies were examined. The ln(HR) and se(ln(HR)) were estimated from the multivariable-adjusted HR, 95%CI derived from seven published prospective studies in the US and EPIC. The random pooled multivariable-adjusted HR, 95%CI was analyzed using ln(HR) and se(ln(HR)) by STATA-10. RESULTS: For CRC and HCA intake, the null association was observed for MDM, the random pooled multivariable-adjusted HR, (95%CI): 1.11, (1.00, 1.23); for PhIP: 1.00, (0.91, 1.09); and for DiMeIQx: 1.03, (0.87, 1.22). A significant positive association was seen for MeIQx, the random pooled multivariable-adjusted HR, (95%CI):1.12, (1.03, 1.22). For CRA and HCA intake, the null association was observed for MDM, randomly pooled multivariable-adjusted HR, (95%CI): 1.15, (0.99, 1.34), and for DiMeIQx: 1.09, (0.97, 1.23). A significant positive association was seen for PhIP, the random pooled multivariable-adjusted HR, (95%CI): 1.19, (1.02, 1.39), and for MeIQx: 1.17, (1.01, 1.35). The major instances of HCAs were contributed by chicken (54%-74%) for PhIP and by red meat (83%-92%) for MeIQx. However, the estimated PhIP intake (ng/1,000 kcal/day) was remarkably different between studies. CONCLUSIONS: We observed a positive association between exposures to MeIQx and the risk of both CRC and CRA which supports the hypothesis of the role of HCAs in developing CRA and CRC. Improving the quality of the estimated HCA intake would be highly concerned for further investigation.


Assuntos
Adenoma , Neoplasias Colorretais , Compostos Heterocíclicos , Adenoma/induzido quimicamente , Adenoma/epidemiologia , Aminas , Animais , Neoplasias Colorretais/induzido quimicamente , Neoplasias Colorretais/epidemiologia , Culinária , Humanos , Carne/efeitos adversos , Mutagênicos/toxicidade , Estudos Prospectivos
7.
World Neurosurg ; 163: 71-79, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35439625

RESUMO

BACKGROUND: In the present study, we aimed to identify the obliteration outcomes, complications, and predictors in gamma knife radiosurgery (GKRS) treatment of brain arteriovenous malformations (AVMs) at a tertiary center in a developing country in a 15-year experience. METHODS: We retrospectively reviewed the clinical data and GKRS procedures of patients who had undergone GKRS from 2006 to 2011 (cohort 1) and from 2011 to 2020 (cohort 2) at Cho Ray Hospital, Vietnam. The exclusion criteria included patients with <24 months of follow-up without obliteration or AVM-related hemorrhage during the study period. RESULTS: A total of 870 patients were included in the final analysis. The patients in cohort 1 had had significantly smaller AVMs (8.4 ± 11.6 cm3 vs. 11.2 ± 12.8 cm3; P < 0.001), and the AVMs were less frequently located in eloquent locations (46.6% vs. 65.5%; P < 0.001) than in cohort 2. The mean follow-up time was 49.6 ± 22.6 months (range, 5.9-102.6). The overall AVM obliteration rate was 66.6%. Cohort 1 had a significantly higher rate of complete obliteration compared with cohort 2 (81.0% vs. 55.1%; P < 0.001). The post-GKRS annual hemorrhage risk was 1.0%. Significant radiosurgery-induced brain edema and radiosurgery-induced cyst formation was reported in 24 (2.6%) and 4 (0.5%) patients in cohorts 1 and 2, respectively. Using multivariate analysis, we identified prior AVM hemorrhage (hazard ratio [HR], 1.430; 95% confidence interval [CI], 1.182-1.729), a higher margin dose (HR, 1.136; 95% CI, 1.086-1.188), a noneloquent location (HR, 0.765; 95% CI, 0.647-0.905), and smaller AVM volume (HR, 0.982; 95% CI, 0.968-0.997) as predictive factors for obliteration. CONCLUSIONS: GKRS is a safe and effective treatment of brain AVMs. The lack of prior AVM hemorrhage, an eloquent location, and higher AVM were unfavorable predictors for post-GKRS obliteration.


Assuntos
Malformações Arteriovenosas Intracranianas , Malformações do Sistema Nervoso , Radiocirurgia , Encéfalo , Seguimentos , Humanos , Malformações Arteriovenosas Intracranianas/epidemiologia , Malformações Arteriovenosas Intracranianas/radioterapia , Malformações Arteriovenosas Intracranianas/cirurgia , Malformações do Sistema Nervoso/cirurgia , Radiocirurgia/efeitos adversos , Radiocirurgia/métodos , Estudos Retrospectivos , Resultado do Tratamento , Vietnã/epidemiologia
8.
Qual Life Res ; 31(3): 733-743, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34258697

RESUMO

PURPOSE: This study aims to evaluate the quality of life (QoL) of chronic myeloid leukemia (CML) patients prescribed with nilotinib as a second-line therapy and explores the influential factors. METHODS: A multicenter retrospective survey was conducted via face-to-face interviews based on the EORTC QLQ-C30 questionnaire. A total of 121 adult CML patients resistant to imatinib and used nilotinib for at least 3 months were enrolled. The influential features were assessed by multiple linear regression models. RESULTS: Patients had the mean age of 47.49 (SD = 13.67) years, dominated by middle-aged and male groups. The mean scores of functions ranged from 75 to 83, and those of symptoms were from 5 to 28, with the highest of fatigue (28.28), insomnia (22.87), and pain (21.07). The mean global health status/QoL score was 67.70 (SD = 16.80) with considerable financial difficulties (52.34 (SD = 32.15)). Male patients reported higher functional scores and fewer symptoms compared with female patients. All aspects of QoL became worse with increasing age. Besides age and gender, level of education, duration of nilotinib usage, and comorbidities were also significantly influential factors in many QoL domains. A predicted model for expected mean scores of QoL domains was built based on these factors. CONCLUSIONS: The CML patients treated with nilotinib had the above-moderate QoL scores, a light decrease of functional scores, great financial difficulties, and still experienced symptoms. Strategies and more therapeutic considerations to enhance QoL for CML patients targeted toward women, the old, low educational level, and long duration of nilotinib usage, and many comorbidities are needed in the setting.


Assuntos
Leucemia Mielogênica Crônica BCR-ABL Positiva , Qualidade de Vida , Adulto , Feminino , Humanos , Leucemia Mielogênica Crônica BCR-ABL Positiva/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Pirimidinas/uso terapêutico , Qualidade de Vida/psicologia , Estudos Retrospectivos
9.
Sci Rep ; 11(1): 17130, 2021 08 24.
Artigo em Inglês | MEDLINE | ID: mdl-34429501

RESUMO

The role of matrix metalloproteinase-2 (MMP-2) in tumor cell migration has been widely studied, however, the characteristics and effects of MMP-2 in clinical sample of metastatic colorectal cancer (CRC) remain poorly understood. Here, in order to unveil the perturbed proteomic signal during MMP-2 induced cancer progression, we analyzed plasma proteome of CRC patients according to disease progression, HCT116 cancer secretome upon MMP-2 knockdown, and publicly available CRC tissue proteome data. Collectively, the integrative analysis of multi-layered proteomes revealed that a protein cluster containing EMT (Epithelial-to-Mesenchymal Transition)-associated proteins such as CD9-integrin as well as MMP-2. The proteins of the cluster were regulated by MMP-2 perturbation and exhibited significantly increased expressions in tissue and plasma as disease progressed from TNM (Tumor, Node, and Metastasis) stage I to II. Furthermore, we also identified a plausible association between MMP-2 up-regulation and activation of focal adhesion kinase signaling in the proteogenomic analysis of CRC patient tissues. Based on these comparative and integrative analyses, we suggest that the high invasiveness in the metastatic CRC resulted from increased secretion of MMP-2 and CD9-integrin complex mediated by FAK signaling activation.


Assuntos
Neoplasias Colorretais/metabolismo , Quinase 1 de Adesão Focal/metabolismo , Metaloproteinase 2 da Matriz/metabolismo , Células Cultivadas , Neoplasias Colorretais/genética , Neoplasias Colorretais/patologia , Transição Epitelial-Mesenquimal , Quinase 1 de Adesão Focal/genética , Células HCT116 , Humanos , Metaloproteinase 2 da Matriz/genética , Metástase Neoplásica , Proteoma/genética , Proteoma/metabolismo , Transdução de Sinais , Tetraspanina 29/genética , Tetraspanina 29/metabolismo
10.
J Pediatr Surg ; 56(7): 1179-1185, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33965236

RESUMO

AIMS: In RCT of adults with decompensated cirrhosis, GCSF mobilizes hematopoietic stem cells HSC and improves short-term outcome. An FDA-IND for sequential Kasai-GCSF treatment in biliary atresia BA was approved. This phase 1 study examines GCSF safety in Kasai subjects. Preliminary short-term outcome was evaluated. METHODS: GCSF (Neupogen) at 5 or 10 µg/kg (n = 3/group) was given in 3 daily doses starting on day 3 of Kasai surgery (NCT03395028). Serum CD34+ HSC cell counts, and 1-month of GCSF-related adverse events were monitored. The 6-months Phase 1 clinical outcome was compared against 10 subsequent post Phase 1 Kasai patients who did not receive GCSF. RESULTS: With GCSF, WBC and platelet count transiently increased, LFT and serum creatinine remained stable. Reversible splenic enlargement (by 8.5-20%) occurred in 5/6 subjects. HSC count increased 12-fold and 17.5-fold for the 5 µg/kg and10 ug/kg dose respectively; with respective median total bilirubin levels for GCSF vs no-GCSF groups of 55 vs 91 µM at 1 month, p = 0.05; 15 vs 37 µM at 3 months, p = 0.24); and the 6-months cholangitis frequency of 40% vs 90%, p = 0.077. CONCLUSIONS: GCSF safely mobilizes HSC in Kasai infants and may improve short-term biliary drainage and cholangitis. Phase 2 efficacy outcome of GCSF adjunct therapy for sequential Kasai and GCSF is pending.


Assuntos
Atresia Biliar , Adulto , Atresia Biliar/tratamento farmacológico , Atresia Biliar/cirurgia , Fatores Estimuladores de Colônias , Granulócitos , Células-Tronco Hematopoéticas , Humanos , Lactente , Portoenterostomia Hepática , Estudos Retrospectivos , Resultado do Tratamento
11.
Sci Rep ; 9(1): 12908, 2019 09 09.
Artigo em Inglês | MEDLINE | ID: mdl-31501460

RESUMO

Focal adhesion kinase (FAK) is a 125 kDa protein recruited as a participant in focal adhesion dynamics and serves as a signaling scaffold for the assembly and subsequent maturation of focal contact. Identification of new FAK binding proteins could reveal potential signaling targets and contribute to further development of therapeutic drugs in the treatment of colon cancer. Here, we applied a functional proteomic strategy to identify proteins that interact with FAK in human colon cancer cell line HCT-116. Proteins were targeted by coimmunoprecipitation with an anti-FAK antibody and resolved on 1D-SDS-PAGE. The gel was excised, reduced, alkylated, and trypsin digested. Tryptic peptides were separated by nano-LC-MS/MS by an LTQ-Orbitrap-Velos spectrometer. We identified 101 proteins in the immunocomplex under epithelial growth factor (EGF) stimulation. Three proteins, zyxin, nesprin-1, and desmoplakin, were discovered and validated using reciprocal immunoprecipitation and Western blot analysis. Then, we sought to study the biological relevance of these proteins by siRNA transfection of HCT-116 cells. According to the results, zyxin might play a central role as an upstream regulator to mediate critical cancer-related signaling pathways. Zyxin and nesprin-1 depletion significantly impaired cell migration and invasion capabilities. Additionally, we performed ELISA assays on serum samples from patients with colon cancer instead of cell models to quantify the protein levels of zyxin and nesprin-1. Our results suggested that zyxin and nesprin-1 are not only promising therapeutic targets but also potential diagnostic biomarkers for colon cancer.


Assuntos
Proteínas de Transporte/metabolismo , Proteína-Tirosina Quinases de Adesão Focal/metabolismo , Imunoprecipitação , Mapeamento de Interação de Proteínas/métodos , Espectrometria de Massas em Tandem , Proteínas de Transporte/genética , Linhagem Celular Tumoral , Movimento Celular/genética , Neoplasias do Colo , Ensaio de Imunoadsorção Enzimática , Técnicas de Silenciamento de Genes , Células HCT116 , Humanos , Imunoprecipitação/métodos , Ligação Proteica , Reprodutibilidade dos Testes , Zixina/genética , Zixina/metabolismo
12.
Arch Environ Contam Toxicol ; 77(4): 514-526, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31297565

RESUMO

The goals of the current study were (1) to examine seasonal and spatial variation of selected OCPs concentrations and (2) to identify potential sources of the pollutants in the lower reaches of the Dong Nai River system. Forty-eight water and sediment samples were taken from 12 stations in the dry and rainy seasons to determine the concentrations of dichlorodiphenyltrichloroethane and its metabolites (total DDTs), hexachlorocyclohexane isomers (total HCHs), heptachlor, aldrin, dieldrin, and endrin. The concentrations of total DDTs (0.30), total HCHs (0.29), Aldrin (0.068), heptachlor (0.04, µg L-1) in water, and total DDTs (8.04), total HCHs (4.51), and Aldrin (1.52, µg kg-1) in sediment were significantly higher in the rainy season than in the dry season (0.14, 0.12, 0.008, 0.009 in water and 3.49, 2.29, and 0.4 in sediment, respectively). Cluster analysis grouped 12 sampling stations into 2 groups, of which group 1 (3 stations) had higher concentrations of total DDTs, total HCHs, Aldrin, heptachlor, and dieldrin in both water and sediment than in group 2. Compositional analysis of total DDTs revealed that DDT residue could be decomposed significantly for the past years and that anaerobic decomposition could be predominant. Principal component analysis/factor analysis (PCA/FA) indicated that the potential sources of OCPs in the study stations could come from residential and agricultural areas located in the upper catchment or areas surrounding the studied stations. In short, OCPs concentration in the studies area could depend on seasonal, spatial variation, and transport of OCPs from upper parts or surrounding areas.


Assuntos
Sedimentos Geológicos/análise , Hidrocarbonetos Clorados/análise , Praguicidas/análise , Rios/química , Poluentes Químicos da Água/análise , DDT/análise , Monitoramento Ambiental , Hexaclorocicloexano/análise , Análise de Componente Principal , Chuva , Estações do Ano , Análise Espaço-Temporal , Vietnã
13.
Eur J Health Econ ; 20(5): 763-777, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30840166

RESUMO

OBJECTIVE: To review and assess the quality of the available evidence on the cost-effectiveness of erlotinib in the first-line treatment of advanced non-small cell lung cancer (NSCLC). METHODS: A systematic review was conducted to identify full-text original economic evaluations of erlotinib in the first-line treatment of advanced NSCLC written in English and published from the year 2000 onwards. Study characteristics and results were recorded and compared. The quality of the studies was assessed by the Quality of Health Economic Studies (QHES) questionnaire. RESULTS: Eleven out of 130 papers were chosen for this review. Comparative regimens consisted of a best supportive care, reverse strategy, bevacizumab, cisplatin plus pemetrexed, carboplatin plus gemcitabine or gefitinib. The methods most used in these studies were modeling and sensitivity analysis and cost-effectiveness analysis. All of the studies evaluated direct costs and used quality-adjusted life-year (QALY) and life-years gained (LYG) as outcome, with 3% and 3.5% discount rate. The studies assigned ICER that ranged from dominant to I$305,510.31/QALY and from I$31,209.55/LYG to I$66,540.20/LYG. Based on the willingness to pay threshold, seven studies concluded that erlotinib was cost-effective, two studies showed that erlotinib was cost-effective on specific patients with certain conditions, and two studies comparing erlotinib with reverse strategy did not find a difference in cost-effectiveness. The high quality of these studies was confirmed using the QHES tool: the mean score was 75.77 out of 100 (SD 9.38). CONCLUSION: Most of these high-quality studies suggested that erlotinib was cost-effective in the first-line treatment of advanced NSCLC.


Assuntos
Antineoplásicos/economia , Antineoplásicos/uso terapêutico , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Farmacoeconomia , Cloridrato de Erlotinib/economia , Cloridrato de Erlotinib/uso terapêutico , Neoplasias Pulmonares/tratamento farmacológico , Humanos
14.
Electrophoresis ; 37(23-24): 3146-3153, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27783407

RESUMO

An assay for protein kinase C delta (PKCδ) activity based on the quantification of a synthetic substrate using capillary electrophoresis with laser-induced fluorescence detection was developed. The peptides labeled with fluorescein isothiocyanate F-ERK (where ERK is extracellular signal-regulated kinase) and the phosphorylated form, P-F-ERK, were utilized for the method development and validation. The migration time of F-ERK and P-F-ERK were 6.3 ± 0.1 and 8.7 ± 0.2 min, respectively. LOD and LOQ values of F-ERK were 2 and 6 ng/mL and those of P-F-ERK were 4 and 12 ng/mL. The correlation coefficients obtained from two standard curves were approximately 0.99. The reproducibility and accuracy of the method for F-ERK ranged 1.5-4.7 and 86-109%, respectively, and those for P-F-ERK were 1.6-6.1 and 93-109%, respectively. The activity of PKCδ was studied in vitro using the human gastric cancer cell line MKN-1. The use of PKCδ inhibitor candidates, including GÓ§6983, bisindolylmaleimide II, staurosporine, and rottlerin in the assay resulted in IC50 values of 50 nM, 15 nM, 795 nM, and 4 µM, respectively. Comparison of our assay with a commercial PKC kit revealed that our assay is more adaptable to differing enzyme isoforms. This method has potential for high throughput screening for kinase inhibitors as part of a drug discovery program.


Assuntos
Eletroforese Capilar/métodos , Proteína Quinase C/antagonistas & inibidores , Inibidores de Proteínas Quinases/análise , Linhagem Celular Tumoral , Fluoresceína-5-Isotiocianato , Humanos , Limite de Detecção , Modelos Lineares , Reprodutibilidade dos Testes
15.
Neurochem Int ; 74: 24-35, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24768841

RESUMO

Runt-related transcription factor-2 (Runx2) is the master regulator of osteoblastogenesis with an ability to promote differentiation of mesenchymal stem cells into the osteoblastic lineage. We have previously shown constitutive and functional expression of Runx2 by astroglial cells. In this study, we investigated the possible expression of Runx2 by both murine microglia and microglial cell line BV-2 cells. Runx2 expression was seen in cultured microglia and BV-2 cells, while sustained exposure to 1mM ATP led to a significant but transient increase in mRNA and corresponding protein expression of Runx2 within 24 h. The increase in Runx2 expression was invariably prevented by several chemicals with antagonistic properties for P2X7 purinergic receptor, calmodulin and calcineurin in BV-2 cells, with a P2X7 receptor agonist more than quadrupling Runx2 expression. A significant increase in Runx2 expression was seen in osteoclastic cells, but not in osteoblastic or chondrocytic cells, when exposed to a high concentration of ATP. In BV2-cells with control siRNA, a significant decrease was found in the number of cells with at least one process within 3 h after the exposure to 1mM ATP, followed by an increase up to 24 h. However, Runx2 siRNA significantly deteriorated the property to induce delayed process extension during 6-24 h after exposure to ATP along with drastically decreased Runx2 protein levels. These results suggest that Runx2 is constitutively and functionally expressed by microglial cells with responsiveness to ATP for upregulation in the murine brain.


Assuntos
Subunidade alfa 1 de Fator de Ligação ao Core/metabolismo , Microglia/metabolismo , Trifosfato de Adenosina/farmacologia , Animais , Sequência de Bases , Linhagem Celular , Subunidade alfa 1 de Fator de Ligação ao Core/genética , Primers do DNA , Feminino , Masculino , Camundongos , Microglia/efeitos dos fármacos , Gravidez , RNA Mensageiro/genética , Receptores Purinérgicos P2X7/metabolismo
16.
Environ Sci Technol ; 44(9): 3324-31, 2010 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-20384335

RESUMO

Global warming accelerates decomposition of soil organic carbon (SOC) pools with varying rates and temperature sensitivities. Black carbon (BC) materials are among the slowest decomposing components of the SOC pool. Although BC is a large component of SOC in many systems, the influence of temperature on decomposition of BC bearing different chemical and physical structures remains poorly understood. Four BC materials, produced by carbonizing corn residue and oak wood at 350 and 600 degrees C (corn-350-BC, corn-600-BC, oak-350-BC, and oak-600-BC), were mixed with pure sand and incubated at 4, 10, 20, 30, 45, and 60 degrees C for 1 year. Corn-BC was more porous than oak-BC as determined by scanning electron microscopy (SEM). Increasing the charring temperature from 350 to 600 degrees C led to greater aromaticity with 5-15% more C in aromatic rings and a 39-57% increase in both nonprotonated aromatic C and aromatic bridgehead C quantified by nuclear magnetic resonance (NMR) spectroscopy and a greater degree of order and development of C layers as observed by transmission electron microscopy (TEM). With a temperature increase from 4 to 60 degrees C, C loss of corn-350-BC increased from 10 to 20%, corn-600-BC, from 4 to 20%, oak-350-BC, from 2.3 to 15%, and oak-600-BC from 1.5 to 14% of initial C content, respectively. Temperature sensitivity (Q(10)) decreased with increasing incubation temperature and was highest in oak-600-BC, followed by oak-350-BC, corn-600-BC, and corn-350-BC, indicating that decomposition of more stable BC was more sensitive to increased temperature than less stable materials. Carbon loss and potential cation exchange capacity (CECp) significantly (p < 0.05) correlated with O/C ratios and change in O/C ratios, suggesting that oxidative processes were the most important mechanism controlling BC decomposition in this study.


Assuntos
Carbono/química , Oxigênio/química , Biomassa , Cátions , Monitoramento Ambiental/métodos , Aquecimento Global , Microscopia Eletrônica de Varredura , Microscopia Eletrônica de Transmissão/métodos , Nanotecnologia/métodos , Solo , Fuligem/química , Temperatura , Fatores de Tempo , Madeira , Zea mays/metabolismo
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