RESUMO
While heparin has traditionally served as a key anticoagulant in clinical practice for nearly a century, recent years have witnessed a growing interest in its role as a potent antiinflammatory and antiviral agent, as well as an anticancer agent. To address challenges with injection-based delivery, exploring patient-friendly routes such as oral and pulmonary delivery is crucial. This review specifically highlights the multiple therapeutic benefits of inhaled heparin. In summary, this review serves as a valuable source of information, providing deep insights into the diverse therapeutic advantages of inhaled heparin and its potential applications within clinical contexts.
Assuntos
Anticoagulantes , Heparina , Humanos , Heparina/administração & dosagem , Administração por Inalação , Anticoagulantes/administração & dosagem , Anticoagulantes/farmacologia , Animais , Antineoplásicos/administração & dosagem , Antivirais/administração & dosagem , Anti-Inflamatórios/administração & dosagemRESUMO
BACKGROUND: Disseminated tumor cells (DTCs) are thought to be the initiators of tumor recurrence and metastasis. However, based on the current imaging examination methods, early detection of DTCs is extremely difficult due to their small number and dormant state. METHODS: We used the SE-iFISH approach to detect bone marrow DTCs (mDTCs) in patients with breast or prostate cancer, and compared it with various imaging examination methods to explore its role in predicting metastasis and prognosis. RESULTS: Fifteen patients were enrolled in this study. Among them, 11 patients showed imaging-confirmed bone metastases in different sites of the body, of which seven patients had iliac mDTCs and signs of iliac bone metastases on imaging. For the remaining four patients, imaging confirmed that the bone metastatic foci were far from the ilium, but in one patient, mDTCs were detected in the ilium. Interestedly, iliac mDTCs were also detected in two out of four patients who had no sign of bone metastases on imaging. Furthermore, the epithelial marker, CK18, was ubiquitously expressed in mDTCs, but its expression was very low in peripheral circulating tumor cells (pCTCs). The Kaplan-Meier plot suggested that CK18+ mDTCs ≥ 5 was related to poor overall survival (OS) compared with that of CK18+ mDTCs < 5 in breast cancer patients (median OS: 22.1 vs. 46.9 months; log-rank, p = 0.035). CONCLUSIONS: SE-iFISH examination for mDTCs is more sensitive than the conventional methods used for detecting bone metastases. mDTC detection facilitated the early finding of tumor cells in the bone marrow and ≥5 CK18+ mDTCs was associated with a poor prognosis in breast cancer patients.
RESUMO
Wideband omnidirectional antennas are essential components in radio monitoring and communication systems, enabling the reception of signals from all directions over a wide bandwidth. This paper presents a novel wideband omnidirectional antenna design that achieves a 1-dB gain variation across its azimuthal plane within a bandwidth of 1.8 GHz to 7.77 GHz. The antenna's exceptional performance is attributed to two flower-bud-shaped monopoles that, through pattern superposition, generate a wideband omnidirectional radiation pattern. Analysis shows that the use of a circular ground plane also reduces the azimuthal gain variation. Additionally, an embedded matching structure integrated into the antenna's base enhances the impedance bandwidth without compromising its compact size. Analytical investigations demonstrate that the matching structure effectively behaves as a five-order LC circuit, explaining its wideband matching capabilities. Furthermore, structural modifications effectively reduce side lobe levels, ensuring minimal interference. Experimental measurements corroborate the antenna's omnidirectional radiation pattern and confirm that the azimuthal gain variation remains within 1-dB throughout its bandwidth, while maintaining an S11 below -10 dB from 1.8 GHz to 7.7 GHz. The antenna's bandwidth overlaps with the spectrum intensively used in mobile communication technologies, such as LTE, Bluetooth, and IEEE 802.11be, as well as radiolocation applications, making it a promising choice for unmanned aerial vehicles conducting communication and radio monitoring missions.