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1.
Sci Rep ; 14(1): 2273, 2024 01 27.
Artículo en Inglés | MEDLINE | ID: mdl-38280937

RESUMEN

The study specifically focused on the Hongliulin mining area, where a total of 40 soil samples were meticulously collected and analyzed from within a 1000 m radius extending from the tailings dam. The findings revealed that soil pH within the 0-1000 m range generally leaned towards the alkaline side. In terms of soil nutrient content, encompassing factors such as soil organic matter (SOM), total nitrogen (TN), total phosphorus (TP), total potassium (TK), alkali nitrogen (AK), available phosphorus (AP), and quick-acting potassium (AK), the variations fell within the following ranges: 2.23-13.58 g/kg, 0.12-0.73 g/kg, 0.18-1.15 g/kg, 9.54-35.82 g/kg, 2.89-6.76 mg/kg, 3.45-11.25 mg/kg, and 5.86-130.9 mg/kg. Collectively, these values indicate relatively low levels of soil nutrients. Within the 0-500 m range of soil samples, the average concentrations of Cd, Hg, Pb, and As were 0.778, 0.198, 24.87, and 17.92 mg/kg, respectively. These concentrations exceeded the established soil background values of Shaanxi Province and emerged as the primary pollutants in the study area. Within this same range, the mean values of eight toxic metals (Pi) were ranked in the following descending order: 1.726 (Hg), 1.400 (As), 1.129 (Cr), 1.109 (Pb), 0.623 (Zn), 0.536 (Cd), 0.309 (Cu), and 0.289 (Ni). With the exception of Hg, As, Cr, and Pb, which exhibited slight pollution, the other toxic metals were found to be within acceptable pollution limits for this sampling range, in line with the results obtained using the geo-accumulation index method. The average potential ecological risk index for the eight toxic metals in the study area stood at 185.0, indicating a moderate overall pollution level. When assessing individual elements, the proportions of ecological risk attributed to Hg, As, Pb, and Cd were 34.57%, 27.44%, 25.11%, and 23.11%, respectively. This suggests that the primary potential ecological risk elements in the study area are Hg and As, followed by Cd and Pb. Notably, toxic metals Hg and Pb, as well as As and Pb, exhibited significant positive correlations within the sampling area, suggesting a common source. An analysis of the relationship between soil physicochemical properties and toxic metals indicated that soil pH, SOM, TN, and TP were closely linked to toxic metal concentrations. The toxic metal elements in the research area's soil exhibit moderate variability (0.16 < CV < 0.36) to high variability (CV > 0.36). Within the range of 0-200 m, the CV values for Cd and Hg exceed 1, indicating a high level of variability. The coefficient of variation for SOM, TP, AP, AK and TK is relatively high with the of 2.93, 2.36, 2.36, 21.01, 7.54. The soil in the sampling area has undergone significant disturbances due to human activities, resulting in toxic metal pollution and nutrient deficiencies.


Asunto(s)
Mercurio , Metales Pesados , Contaminantes del Suelo , Humanos , Suelo/química , Metales Pesados/toxicidad , Metales Pesados/análisis , Cadmio/análisis , Plomo/análisis , Contaminantes del Suelo/toxicidad , Contaminantes del Suelo/análisis , Monitoreo del Ambiente/métodos , Medición de Riesgo , Minería , Mercurio/análisis , Nitrógeno/análisis , Fósforo/análisis , Potasio/análisis , China
2.
Acta Biomater ; 172: 441-453, 2023 12.
Artículo en Inglés | MEDLINE | ID: mdl-37802309

RESUMEN

Photothermal therapy (PTT) combined with chemodynamic therapy (CDT) presents an appealing complementary anti-tumor strategy, wherein PTT accelerates the production of reactive oxygen species (ROS) in CDT and CDT eliminates residual tumor tissues that survive from PTT treatment. However, nanomaterials utilized in PTT/CDT are limited by non-specific damage to the entire organism. Herein, a glucose-responsive enzymatic Fe@HRP-ABTS/GOx nanodot is judiciously designed for tumor-specific PTT/CDT via a simple and clean protein-templated biomimetic mineralization synthesis. By oxidizing glucose in tumor cells, glucose oxidase (GOx) activates glucose-responsive tumor therapy and increases the concentration of H2O2 at the tumor site. More importantly, the self-supplied peroxide hydrogen (H2O2) can convert ABTS (2,2'-Hydrazine-bis(3-ethylbenzothiazoline-6-sulfonic acid) diamine salt) into oxidized ABTS (oxABTS) through horseradish peroxidase (HRP) catalysis for PTT and photoacoustic (PA) imaging. Furthermore, the Fe2+ arising from the reduction of Fe3+ by overexpressed GSH reacts with H2O2 to generate intensely reactive •OH through the Fenton reaction, concurrently depleting GSH and inducing efficient tumor CDT. The in vitro and in vivo experiments demonstrate superior cancer cell killing and tumor eradication effect of Fe@HRP-ABTS/GOx nanodot under near-infrared (NIR) laser irradiation. Collectively, the nanodots provide mutually reinforcing catalytic PTT/CDT anti-tumor strategies for treating liver cancer and potentially other malignancies. STATEMENT OF SIGNIFICANCE: Combinatorial antitumor therapy with nanomedicines presents great prospects for development. However, the limitation of non-specific damage to normal tissues hinders its further clinical application. In this work, we fabricated tumor-selective biomimetic Fe@HRP-ABTS/GOx nanodots for H2O2 self-supplied catalytic photothermal/chemodynamic therapy of tumors. The biomimetic synthesis strategy provides the nanodots with enzymatic activity in response to glucose to produce H2O2. The self-supplied H2O2 initiates photothermal therapy with oxidized ABTS and enhances chemodynamic therapy through simultaneous •OH generation and GSH depletion. Our work provides a new paradigm for developing tumor-selective catalytic nanomedicines and will guide further clinical translation of the enzymatic biomimetic synthesis strategy.


Asunto(s)
Nanopartículas , Neoplasias , Humanos , Biomimética , Peróxido de Hidrógeno , Terapia Fototérmica , Catálisis , Glucosa , Glucosa Oxidasa/farmacología , Peroxidasa de Rábano Silvestre , Línea Celular Tumoral , Microambiente Tumoral , Nanopartículas/uso terapéutico
3.
Front Pharmacol ; 14: 1229095, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37745064

RESUMEN

Introduction: Photoactivated Chromophore for Infectious Keratitis-Corneal Cross-Linking (PACK-CXL) has garnered substantial interest among researchers and ophthalmologists due to its high promise as a potential treatment for infectious keratitis. The aim of this study is to evaluate the efficacy and safety of high fluence PACK-CXL, using 10.0 J/cm2 (30 mW/cm2, 5 min, and 33 s) at the slit lamp. Methods: This prospective interventional, nonrandomized cohort study included 20 eyes of 20 patients with bacterial, fungal, or mixed origin keratitis who underwent high fluence PACK-CXL treatment as an adjunct therapy to conventional antimicrobial therapy per American Academy of Ophthalmology treatment guidelines. The re-epithelization time was recorded, and corneal endothelial cell density was counted before and after treatment. Results: The average re-epithelization time was 8.2 ± 2.8 days (range 3-14 days). After PACK-CXL treatment, eight patients (40%) were directly discharged, while the remained patients stayed in the hospital for an average of 5.6 ± 3.5 days. No eyes required keratoplasty. Endothelial cell density counts before and after the PACK-CXL procedure were 2,562.1 ± 397.3, and 2,564.8 ± 404.5 cells/mm2, respectively (p = 0.96). Conclusion: although it was not a randomized control trial, we conclude that high fluence PACK-CXL as an adjuvant therapy is safe with no complications observed, and efficient as time to re-epithelization was less than 14 days for all patients and no patients underwent tectonic keratoplasties. Further research is needed to compare it to the current standard of care.

4.
Biomater Sci ; 11(13): 4411-4429, 2023 Jun 27.
Artículo en Inglés | MEDLINE | ID: mdl-37067845

RESUMEN

Malignant tumours are a serious threat to human health. Traditional chemotherapy has achieved breakthrough improvements but also has significant detrimental effects, such as the development of drug resistance, immunosuppression, and even systemic toxicity. Photothermal therapy (PTT) is an emerging cancer therapy. Under light irradiation, the phototherapeutic agent converts optical energy into thermal energy and induces the hyperthermic death of target cells. To date, numerous photothermal agents have been developed. Prussian blue (PB) nanoparticles are among the most promising photothermal agents due to their excellent physicochemical properties, including photoacoustic and magnetic resonance imaging properties, photothermal conversion performance, and enzyme-like activity. By the construction of suitably designed PB-based nanotherapeutics, enhanced photothermal performance, targeting ability, multimodal therapy, and imaging-guided cancer therapy can be effectively and feasibly achieved. In this review, the recent advances in PB-based photothermal combinatorial therapy and imaging-guided cancer therapy are comprehensively summarized. Finally, the potential obstacles of future research and clinical translation are discussed.


Asunto(s)
Hipertermia Inducida , Nanopartículas , Neoplasias , Humanos , Terapia Fototérmica , Fototerapia/métodos , Hipertermia Inducida/métodos , Nanopartículas/química , Neoplasias/tratamiento farmacológico
5.
Transl Vis Sci Technol ; 12(2): 12, 2023 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-36757342

RESUMEN

Purpose: To determine whether high-fluence photoactivated chromophore for keratitis cross-linking (PACK-CXL) can be accelerated. Methods: Solutions of Staphylococcus aureus and Pseudomonas aeruginosa with 0.1% riboflavin were prepared and exposed to 365 nm ultraviolet (UV)-A irradiation of intensities and fluences from 9 to 30 mW/cm2 and from 5.4 to 15.0 J/cm2, respectively, representing nine different accelerated PACK-CXL protocols. Irradiated solutions and unirradiated controls were diluted, plated, and inoculated on agar plates so that the bacterial killing ratios (BKR) could be calculated. Additionally, strains of Achromobacter xylosoxidans, Staphylococcus epidermidis, and Stenotrophomonas maltophilia were exposed to a single accelerated PACK-CXL protocol (intensity: 30 mW/cm2, total fluence: 15.0 J/cm2). Results: With total fluences of 5.4, 10.0, and 15.0 J/cm2, the range of mean BKR for S. aureus was 45.78% to 50.91%, 84.13% to 88.16%, and 97.50% to 99.90%, respectively; the mean BKR for P. aeruginosa was 69.09% to 70.86%, 75.37% to 77.93%, and 82.27% to 91.44%, respectively. The mean BKR was 41.97% for A. xylosoxidans, 65.38% for S. epidermidis, and 78.04% for S. maltophilia for the accelerated PACK-CXL protocol (30 mW/cm2, 15 J/cm2). Conclusions: The BKR of high-fluence PACK-CXL protocols can be accelerated while maintaining a high, but species-dependent, BKR. The Bunsen to Roscoe law is respected in fluences up to 10 J/cm2 in S. aureus and P. aeruginosa, whereas fluences above 10 J/cm2 show strain dependence. Translational Relevance: The high-fluence PACK-CXL protocols can be accelerated in clinical practice while maintaining high levels of BKR.


Asunto(s)
Antibacterianos , Queratitis , Fármacos Fotosensibilizantes , Pseudomonas aeruginosa , Staphylococcus aureus , Humanos , Antibacterianos/farmacología , Antibacterianos/uso terapéutico , Queratitis/tratamiento farmacológico , Queratitis/microbiología , Queratitis/terapia , Fármacos Fotosensibilizantes/farmacología , Fármacos Fotosensibilizantes/uso terapéutico , Riboflavina/farmacología , Riboflavina/uso terapéutico , Staphylococcus aureus/efectos de los fármacos , Pseudomonas aeruginosa/efectos de los fármacos , Fototerapia/métodos , Rayos Ultravioleta , Colágeno
6.
JPEN J Parenter Enteral Nutr ; 46(4): 878-886, 2022 05.
Artículo en Inglés | MEDLINE | ID: mdl-34609004

RESUMEN

OBJECTIVE: Ulcerative colitis (UC) is an independent risk factor for thromboembolism, especially during the perioperative period. This study aimed to determine the effects of perioperative parenteral nutrition (PN) supplemented with fish oil (FO) on coagulation function and postoperative outcomes in patients with UC. METHODS: This retrospective cohort included 92 consecutive patients who underwent colectomy for UC. Postoperative coagulation indices and outcomes, including thromboelastography (TEG) findings and comprehensive complication index (CCI), were compared. The relative change in serum D-dimer (ΔD-dimer) levels and maximal amplitude (ΔMA) on TEG were also determined. RESULTS: Patients receiving PN supplemented with FO (n = 48) had lower D-dimer (P = .036) levels on postoperative day (POD) 5 and a higher MA (P < 0.001) on POD 1 than those who did not receive it (n = 44). A lower ΔD-dimer level (P = .048) and ΔMA (P < 0.001) were also observed in patients receiving FO. The incidence of major postoperative complications (6.3 vs 22.7%; P = .017) and CCI (20.9 vs 23.4%; P = .044) were significantly lower in patients receiving FO. In multivariate analysis, FO (odds ratio, 0.231; 95% confidence interval, 0.055-0.971; P = .046) was a positive protector of major postoperative complications. CONCLUSION: Perioperative PN supplemented with FO improved coagulation function and reduced major postoperative complications in patients with UC requiring colectomy. These results may provide cues in formulating management strategies for preventing thromboembolisms and postoperative complications in patients with UC.


Asunto(s)
Colitis Ulcerosa , Colectomía/efectos adversos , Colitis Ulcerosa/cirugía , Suplementos Dietéticos , Aceites de Pescado , Humanos , Nutrición Parenteral , Complicaciones Posoperatorias/epidemiología , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/prevención & control , Estudios Retrospectivos
7.
Sci Total Environ ; 666: 685-693, 2019 May 20.
Artículo en Inglés | MEDLINE | ID: mdl-30812003

RESUMEN

Water sources used for plant identification coupled with stable isotopes are essential to improving the understanding of eco-hydrological processes and ecological management in water-limited ecosystems. Many approaches associated with stable isotopes have been used to determine plant water source apportionment. However, inter-comparisons of different methods are still limited, especially for Bayesian mixing models. In this study, we tested linear mixing models (IsoSource) and Bayesian models (SIAR, MixSIR and MixSIAR) to identify sources of water absorbed by Vitex negundo and Sophora viciifolia (shrubs) and Artemisia gmelinii (subshrub) during the growing season in the semiarid Loess Plateau. The results showed that there was no significant difference in the predicted plant water source fractions using only stable hydrogen isotope (δ2H) and only stable oxygen isotope (δ18O) with the IsoSource model. No significant difference was found in plant water source apportionment by the three Bayesian mixing models combined with δ2H and δ18O except for individual months. The SIAR and MixSIAR models detected no pronounced seasonal variations in plant water uptake, while the MixSIR model did detect seasonal variations. Overall, the SIAR and MixSIAR models exhibited relatively better water source apportionment performances than that of the MixSIR model. This discrepancy may be attributed to the difference in the post distribution simulation algorithm. This study provides critical insights into choosing a suitable method for identifying plant water source apportionment in arid and semiarid regions.


Asunto(s)
Artemisia/metabolismo , Monitoreo del Ambiente/métodos , Sophora/metabolismo , Vitex/metabolismo , Agua/metabolismo , China , Modelos Biológicos
8.
Environ Pollut ; 245: 950-956, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30682751

RESUMEN

Black phosphorus (BP), a superior two-dimensional (2D) semiconductor, has attracted much attention due to its unique properties. The graphene (GR)-BP hybrid was synthesized through one pot chemical vapor transport (CVT) approach. The characterization results indicated that P atom was successfully incorporated into GR by the formation of P-C bond. Remarkably, the newly-synthesized GR-BP represented high photocatalytic activity towards 2-chlorophenol (2-CP) degradation, due to the high efficiency of charge separation and transformation caused by the direct band gap of BP and carrier mobility of GR. The removal efficiency for 2-CP reached up to 87.08% within visible light irradiation for 180 min (λ > 420 nm). The degradation rate of GR-BP hybrid for 2-CP was approximately 7.29-fold than that of BP within 30 min. In addition, the little increasing of the peak for P-O bond in GR-BP hybrid was observed after being exposed in air for 15 days, meant that the stability of BP was significantly enhanced. It was caused by the decreasing of the oxidation sites in BP due to the formation of P-C bond in hybrid. In brief, our synthetic method for GR-BP not only provides a novel route for the improvement of the stability of BP, but also constitutes an insight into the promising practical application of BP in the photocatalysis field.


Asunto(s)
Clorofenoles/química , Grafito/química , Luz , Fósforo/química , Fotólisis , Contaminantes Químicos del Agua/química , Adsorción , Catálisis , Clorofenoles/efectos de la radiación , Grafito/síntesis química , Oxidación-Reducción , Contaminantes Químicos del Agua/efectos de la radiación
9.
SAGE Open Med ; 6: 2050312118798278, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30345053

RESUMEN

OBJECTIVES: Acute muscle injury and potentially fatal rhabdomyolysis may occur with the use of statins and certain enzyme inhibitors, but data on this topic from China are quite limited. This study aimed to measure the concomitant exposure of patients to different statins and their enzyme inhibitors or interacting medications in 76 hospitals in six Chinese cities. METHODS: Prescription database was retrieved from Hospital Prescription Analysis Cooperation Project from January 2015 to December 2015, covering 76 tertiary facilities in six cities in China. Every evidence-based enzyme inhibitor was included, and labeled enzyme inhibitors and other relevant information were identified and obtained using the Drug Safety Update from the UK Medicines and Healthcare Products Regulatory Agency. The proportions of different statin types among all patients and those co-medicated with their inhibitors were examined. RESULTS: A total of 296,765 patients exposed to statins were included in this study. 80% of patients (n = 144,863, 80.5%) were concomitantly prescribed a CYP3A4-metabolized statin with an interacting drug during the study period. Among those prescribed a non-CYP3A4-metabolized statin, 40.0% of patients were concomitantly given an interacting drug, and approximately 20% of patients were concomitantly given a labeled inhibitor, predominantly calcium channel blockers, other statins, and fibrates. Rates of co-prescription were higher in patients aged over 65 years and in patients taking high-dose statins. CONCLUSION: Statins were frequently co-prescribed with metabolic inhibitors in China, where drug safety strategy on highlighting warnings and contraindications of statins are still lacking. For high-dose statins patients who are over 65 years and co-administered with any metabolic inhibitors, prescribers and pharmacists should be more concerned in order to prevent adverse drug reactions.

10.
ACS Appl Mater Interfaces ; 10(34): 28382-28389, 2018 Aug 29.
Artículo en Inglés | MEDLINE | ID: mdl-30085649

RESUMEN

Accurate diagnosis of tumor is promising to guide photothermal therapy (PTT) for efficacious tumor ablation with minimal damage to healthy tissues. Here, we report an activatable dual-modal imaging agent, which is based on PEGylated-gadolinium metallofullerene-polypyrrole nanoparticle (PEG-GMF-PPy NP) for imaging-guided PTT. A contrast agent (gadolinium metallofullerene, GMF) with excellent magnetic resonance imaging (MRI) performance and an ultra-pH-responsive polymer (PEG-PC7A) are successively modified to the surface of photothermal agent (PPy NP). The prepared PEG-GMF-PPy NPs show strong absorption in the near-infrared (NIR) region, so they can be utilized for photoacoustic imaging. Furthermore, in a tumor extracellular environment, the PEG-GMF-PPy NPs can achieve pH-enhanced MRI because of the hydrophobic-to-hydrophilic conversion of the PC7A. Upon accurate diagnosis-guided NIR laser irradiation, excellent tumor ablation effect is achieved. The results suggest that the PEG-GMF-PPy NPs are promising agents for activatable imaging-guided PTT.


Asunto(s)
Nanopartículas , Gadolinio , Fototerapia , Polímeros , Pirroles
11.
J Cardiovasc Electrophysiol ; 29(6): 908-915, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29608235

RESUMEN

INTRODUCTION: Although several electrocardiographic (ECG) algorithms have been proposed for differentiating the origins of outflow tract ventricular arrhythmias, the most optimal one has not been agreed on. The purpose of this study was to establish an ECG diagnostic model based on the previous ECG algorithms. METHODS AND RESULTS: The following ECG diagnostic model, Y=-1.15×( TZ )-0.494×(V2S/V3R), was developed by standard 12-lead ECG algorithms in 488 patients with idiopathic premature ventricular contractions or ventricular tachycardia with a left bundle branch block pattern and inferior axis QRS morphology. Binary logistic regression analysis was performed to establish the ECG diagnostic model. The ECG diagnostic model consisted of two ECG algorithms-the transition zone (TZ) index and V2S/V3R index. The area under the curve by receiver operating characteristic curve analysis for the ECG diagnostic model was 0.88, with a cut-off value of ≥ -0.76 predicting a left ventricular outflow tract (LVOT) origin with a sensitivity of 82% and a specificity of 86%, which was higher than other ECG algorithms in this study. The predictive accuracy of the ECG diagnostic model was also the best among all ECG algorithms in patients with a lead V3 precordial transition. This model was tested prospectively in 207 patients with a sensitivity of 90%, a specificity of 87%, and Youden index of 0.77. CONCLUSIONS: A highly accurate ECG diagnostic model for correctly differentiating LVOT origin from right ventricular outflow tract origin was developed.


Asunto(s)
Algoritmos , Electrocardiografía/métodos , Ventrículos Cardíacos/fisiopatología , Procesamiento de Señales Asistido por Computador , Taquicardia Ventricular/diagnóstico , Función Ventricular Izquierda , Función Ventricular Derecha , Complejos Prematuros Ventriculares/diagnóstico , Potenciales de Acción , Adulto , Anciano , Estimulación Cardíaca Artificial , Diagnóstico Diferencial , Técnicas Electrofisiológicas Cardíacas , Femenino , Frecuencia Cardíaca , Humanos , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Estudios Prospectivos , Reproducibilidad de los Resultados , Taquicardia Ventricular/fisiopatología , Complejos Prematuros Ventriculares/fisiopatología , Adulto Joven
12.
ACS Nano ; 12(2): 1580-1591, 2018 02 27.
Artículo en Inglés | MEDLINE | ID: mdl-29384652

RESUMEN

Alleviation of tumor hypoxia has been the premise for improving the effectiveness of radiotherapy, which hinges upon the advanced delivery and rapid release of oxygen within the tumor region. Herein, we propose a "bubble-enhanced oxygen diffusion" strategy to achieve whole tumor oxygenation for significant radiation enhancement based on the "bystander effect". Toward this end, sub-50 nm CuS-modified and 64Cu-labeled hollow mesoporous organosilica nanoparticles were constructed for tumor-specific delivery of O2-saturated perfluoropentane (PFP). Through the aid of PFP gasification arising from NIR laser-triggered mild hyperthermia, simultaneous PET/PA/US multimodality imaging and rapid oxygen diffusion across the tumor can be achieved for remarkable hypoxic radiosensitization. Furthermore, the multifunctional oxygen-carrying nanotheranostics also allow for other oxygen-dependent treatments, thus greatly advancing the development of bubble-enhanced synergistic therapy platforms.


Asunto(s)
Fluorocarburos/uso terapéutico , Nanopartículas/uso terapéutico , Neoplasias/diagnóstico por imagen , Neoplasias/terapia , Compuestos de Organosilicio/uso terapéutico , Oxígeno/metabolismo , Nanomedicina Teranóstica/métodos , Animales , Línea Celular Tumoral , Femenino , Humanos , Hipertermia Inducida/métodos , Ratones , Ratones Desnudos , Nanopartículas/ultraestructura , Neoplasias/radioterapia , Técnicas Fotoacústicas/métodos , Porosidad , Tomografía de Emisión de Positrones/métodos , Ultrasonografía/métodos
13.
BMC Cancer ; 17(1): 645, 2017 Sep 12.
Artículo en Inglés | MEDLINE | ID: mdl-28899349

RESUMEN

BACKGROUND: Sorafenib and transarterial chemoembolization (TACE) are recommended therapies for advanced hepatocellular carcinoma (HCC), but their combined efficacy remains unclear. METHODS: Between August 2004 and November 2014, 104 patients with BCLC stage B/C HCC were enrolled at the Affiliated Tumor Hospital of Guangxi Medical University, China. Forty-eight patients were treated with sorafenib alone (sorafenib group) and 56 with TACE plus sorafenib (TACE + sorafenib group). Baseline demographic/clinical data were collected. The primary outcomes were median overall survival (OS) and progression-free survival (PFS). Secondary outcomes were overall response rate (ORR) and sorafenib-related adverse events (AEs). Baseline characteristics associated with disease prognosis were identified using multivariate Cox hazards regression. RESULTS: The mean age of the 104 patients (94 males; 90.38%) was 49.02 ± 12.29 years. Of the baseline data, only albumin level (P = 0.028) and Child-Pugh class (P = 0.017) differed significantly between groups. Median OS did not differ significantly between the sorafenib and TACE + sorafenib groups (18.0 vs. 22.0 months, P = 0.223). Median PFS was significantly shorter in the sorafenib group than that in the TACE + sorafenib group (6.0 vs. 8.0 months, P = 0.004). Six months after treatments, the ORRs were similar between the sorafenib and TACE + sorafenib groups (12.50% vs. 18.75%, P = 0.425). The rates of grade III-IV adverse events in sorafenib and TACE + sorafenib groups were 29.2% vs. 23.2%, respectively. TACE plus sorafenib treatment (HR = 0.498, 95% CI = 0.278-0.892), no vascular invasion (HR = 0.354, 95% CI = 0.183-0.685) and Child-Pugh class A (HR = 0.308, 95% CI = 0.141-0.674) were significantly associated with better OS, while a larger tumor number was predictive of poorer OS (HR = 1.286, 95% CI = 1.031-1.604). TACE plus sorafenib treatment (HR = 0.461, 95% CI = 0.273-0.780) and no vascular invasion (HR = 0.557, 95% CI = 0.314-0.988) were significantly associated with better PFS. CONCLUSIONS: Compared with sorafenib alone, combining TACE with sorafenib might prolong survival and delay disease progression in patients with advanced HCC.


Asunto(s)
Carcinoma Hepatocelular/tratamiento farmacológico , Quimioembolización Terapéutica/métodos , Neoplasias Hepáticas/tratamiento farmacológico , Niacinamida/análogos & derivados , Compuestos de Fenilurea/administración & dosificación , Adulto , Anciano , Carcinoma Hepatocelular/sangre , Carcinoma Hepatocelular/patología , Quimioembolización Terapéutica/efectos adversos , Terapia Combinada , Supervivencia sin Enfermedad , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/clasificación , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/patología , Femenino , Antígenos de Superficie de la Hepatitis B/sangre , Humanos , Neoplasias Hepáticas/sangre , Neoplasias Hepáticas/patología , Masculino , Persona de Mediana Edad , Estadificación de Neoplasias , Niacinamida/administración & dosificación , Niacinamida/efectos adversos , Compuestos de Fenilurea/efectos adversos , Pronóstico , Sorafenib , Resultado del Tratamiento
14.
ACS Nano ; 11(10): 10539-10548, 2017 10 24.
Artículo en Inglés | MEDLINE | ID: mdl-28953351

RESUMEN

The clearance of nanoparticles (NPs) by mononuclear phagocyte system (MPS) from blood leads to high liver and spleen uptake and negatively impacts their tumor delivery efficiency. Here we systematically evaluated the in vitro and in vivo nanobio interactions of a two-dimensional (2D) model, gold (Au) nanorings, which were compared with Au nanospheres and Au nanoplates of similar size. Among different shapes, Au nanorings achieved the lowest MPS uptake and highest tumor accumulation. Among different sizes, 50 nm Au nanorings showed the highest tumor delivery efficiency. In addition, we demonstrated the potential use of Au naonrings in photoacoustic imaging and photothermal therapy. Thus, engineering the shape, surface area, and size of Au nanostructures is important in controlling NP-MPS interactions and improving the tumor uptake efficiency.


Asunto(s)
Antineoplásicos/farmacología , Oro/farmacología , Sistema Mononuclear Fagocítico/química , Nanopartículas/química , Neoplasias/tratamiento farmacológico , Fototerapia , Animales , Antineoplásicos/química , Diagnóstico por Imagen , Oro/química , Macrófagos/efectos de los fármacos , Ratones , Sistema Mononuclear Fagocítico/inmunología , Neoplasias/diagnóstico , Tamaño de la Partícula , Tomografía de Emisión de Positrones , Células RAW 264.7 , Propiedades de Superficie , Distribución Tisular
15.
Adv Mater ; 29(35)2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-28703340

RESUMEN

Integration of magnetic resonance imaging (MRI) and other imaging modalities is promising to furnish complementary information for accurate cancer diagnosis and imaging-guided therapy. However, most gadolinium (Gd)-chelator MR contrast agents are limited by their relatively low relaxivity and high risk of released-Gd-ions-associated toxicity. Herein, a radionuclide-64 Cu-labeled doxorubicin-loaded polydopamine (PDA)-gadolinium-metallofullerene core-satellite nanotheranostic agent (denoted as CDPGM) is developed for MR/photoacoustic (PA)/positron emission tomography (PET) multimodal imaging-guided combination cancer therapy. In this system, the near-infrared (NIR)-absorbing PDA acts as a platform for the assembly of different moieties; Gd3 N@C80 , a kind of gadolinium metallofullerene with three Gd ions in one carbon cage, acts as a satellite anchoring on the surface of PDA. The as-prepared CDPGM NPs show good biocompatibility, strong NIR absorption, high relaxivity (r 1 = 14.06 mM-1 s-1 ), low risk of release of Gd ions, and NIR-triggered drug release. In vivo MR/PA/PET multimodal imaging confirms effective tumor accumulation of the CDPGM NPs. Moreover, upon NIR laser irradiation, the tumor is completely eliminated with combined chemo-photothermal therapy. These results suggest that the CDPGM NPs hold great promise for cancer theranostics.


Asunto(s)
Indoles/química , Polímeros/química , Gadolinio , Humanos , Imagen Multimodal , Neoplasias , Fototerapia
16.
Sci Total Environ ; 609: 27-37, 2017 Dec 31.
Artículo en Inglés | MEDLINE | ID: mdl-28734247

RESUMEN

Water is a limiting factor and significant driving force for ecosystem processes in arid and semi-arid areas. Knowledge of plant water uptake pattern is indispensable for understanding soil-plant interactions and species coexistence. The 'Grain for Green' project that started in 1999 in the Loess Plateau of China has led to large scale vegetation change. However, little is known about the water uptake patterns of the main plant species that inhabit in this region. In this study, the seasonal variations in water uptake patterns of three representative plant species, Stipa bungeana, Artemisia gmelinii and Vitex negundo, that are widely distributed in the semi-arid area of the Loess Plateau, were identified by using dual stable isotopes of δ2H and δ18O in plant and soil water coupled with a Bayesian mixing model MixSIAR. The soil water at the 0-120cm depth contributed 79.54±6.05% and 79.94±8.81% of the total water uptake of S. bungeana and A. gmelinii, respectively, in the growing season. The 0-40cm soil contributed the most water in July (74.20±15.20%), and the largest proportion of water (33.10±15.20%) was derived from 120-300cm soils in August for A. gmelinii. However, V. negundo obtained water predominantly from surface soil horizons (0-40cm) and then switched to deep soil layers (120-300cm) as the season progressed. This suggested that V. negundo has a greater degree of ecological plasticity as it could explore water sources from deeper soils as the water stress increased. This capacity can mainly be attributed to its functionally dimorphic root system. V. negundo may have a competitive advantage when encountering short-term drought. The ecological plasticity of plant water use needs to be considered in plant species selection and ecological management and restoration of the arid and semi-arid ecosystems in the Loess Plateau.


Asunto(s)
Artemisia/fisiología , Poaceae/fisiología , Estaciones del Año , Vitex/fisiología , Agua/metabolismo , Teorema de Bayes , China , Ecosistema , Isótopos/análisis , Suelo
17.
Biomaterials ; 126: 39-48, 2017 05.
Artículo en Inglés | MEDLINE | ID: mdl-28254692

RESUMEN

The combination of hyperthermia and chemotherapy is able to greatly enhance the treatment efficacy mainly due to the synergistic interactions between these two treatments. In this study, we propose a new concept of mild hyperthermia enhanced chemotherapy to explore and validate the synergistic mechanism in vitro and in vivo. To do this, a novel kind of biodegradable nanotheranostics based on copper sulfide doped periodic mesoporous organosilica nanoparticles (CuS@PMOs) was constructed via an in situ growth method for light-triggered mild hyperthermia and drug delivery. The as-prepared CuS@PMOs exhibit a high doxorubicin (DOX) loading capacity of 470 mg/g. The DOX release from CuS@PMOs can be precisely controlled by three stimuli, including intracellular glutathione (GSH), acidic environment in tumor cells, and external laser irradiation. Most intriguingly, mild hyperthermia induced by laser-irradiated CuS nanoparticles can dramatically improve the cell uptake of nanotheranostics both in vitro and in vivo, thus significantly enhancing the chemotherapeutic efficacy for complete tumor growth suppression without recurrence. Meanwhile, the fluorescence recovery following the DOX release can be used as an indicator to monitor the chemotherapeutic progress.


Asunto(s)
Materiales Biocompatibles/química , Doxorrubicina/uso terapéutico , Hipertermia Inducida , Nanomedicina Teranóstica , Animales , Línea Celular Tumoral , Supervivencia Celular/efectos de los fármacos , Diagnóstico por Imagen , Doxorrubicina/farmacología , Liberación de Fármacos , Humanos , Ratones , Nanopartículas/química , Nanopartículas/ultraestructura , Porosidad , Dióxido de Silicio/química
18.
Sci Rep ; 7: 42803, 2017 02 17.
Artículo en Inglés | MEDLINE | ID: mdl-28211485

RESUMEN

The association of female reproductive factors (FRFs) with cardiovascular risk factors among different population was variable and inconsistent. The objective of this study was to examine the association between FRFs and hypertension, type 2 diabetes mellitus (DM), and long heart-rate-corrected QT interval (LQTc) in Chinese post-menopausal women (Post-MW). A total of 8046 Post-MW from the China Chaoshan Biobank Cohort Study were included for analysis. Logistic regression and general linear regression models were used to estimate the association between FRFs and hypertension, DM, and LQTc. Compared with women with 0 or 1 live birth, increasing risk of hypertension (odds ratio [OR], 1.51; 95% confidence interval [CI], 1.16-1.96), DM (OR, 1.65; 95% CI, 1.22-2.22), and LQTc (OR, 1.45; 95% CI, 1.01-2.09) were observed in women who had five or more live births. Further analysis demonstrated that the association between parity and hypertension, DM, and LQTc was mediated by lifestyle and dyslipidemia. Women with more live births had increased body mass index and waist circumstance, and were inclined to consume more salty food, animal fat, and alcohol, but less meat, vegetable, fish, plant oil, and tea, compared with that had fewer live births (all P < 0.05).


Asunto(s)
Diabetes Mellitus Tipo 2/epidemiología , Hipertensión/epidemiología , Nacimiento Vivo/epidemiología , Anciano , Anciano de 80 o más Años , Índice de Masa Corporal , China/epidemiología , Estudios de Cohortes , Femenino , Frecuencia Cardíaca , Humanos , Estilo de Vida , Modelos Logísticos , Persona de Mediana Edad , Posmenopausia , Prevalencia , Factores de Riesgo
19.
Nanoscale ; 9(4): 1466-1474, 2017 Jan 26.
Artículo en Inglés | MEDLINE | ID: mdl-28066849

RESUMEN

To date, clinicians still lack an effective strategy to treat triple negative breast cancer (TNBC). In this work, we design for the first time a gold nanorod embedded large-pore mesoporous organosilica (GNR@LPMO) nanoplatform for gene and photothermal cooperative therapy of TNBC. The synthesized GNR@LPMOs possess a uniform size (175 nm), high surface area (631 m2 g-1), large pore size, excellent photothermal efficiency, and good biocompatibility. Thanks to the large-pore mesoporous organosilica layer, the GNR@LPMO nanoplatforms display much higher loading capacity of siRNA compared with traditional liposome and bare gold nanorods. Thus, functional siRNA can be efficiently delivered into TNBC cells by GNR@LPMOs, causing much higher cell apoptosis through knocking down the PLK1 proteins. By combining the effective gene delivery and photothermal abilities, the GNR@LPMO nanoplatforms are further used for gene and photothermal cooperative therapy of TNBC, which induce a 15 fold higher mice tumor inhibition rate than sole therapy modality, indicating the potential clinical use of this novel nanoplatform in treating TNBC.


Asunto(s)
Terapia Genética , Oro , Nanosferas , Fototerapia , Neoplasias de la Mama Triple Negativas/terapia , Animales , Apoptosis , Proteínas de Ciclo Celular/genética , Línea Celular Tumoral , Femenino , Técnicas de Silenciamiento del Gen , Calor , Humanos , Ratones , Ratones Endogámicos BALB C , Ratones Desnudos , Nanotubos , Proteínas Serina-Treonina Quinasas/genética , Proteínas Proto-Oncogénicas/genética , Ensayos Antitumor por Modelo de Xenoinjerto , Quinasa Tipo Polo 1
20.
Nat Prod Commun ; 12(4): 537-540, 2017 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-30520591

RESUMEN

An efficient palladium catalyzed C-H bond activation for the synthesis of benzo[c]chromen-6-ones using diazonium salts is described. In the presence of Pd(OAc)2, dppp, PivOH and K2CO3, the diazonium salt can be transformed into the product through a denitrogenation/C-H bond activation/cyclization sequence in acetonitrile. Altogether, nine structurally diverse substituted benzoLc]chromen-6-ones were prepared in excellent yields through two different methods.


Asunto(s)
Compuestos de Diazonio/química , Compuestos Heterocíclicos/química , Paladio/química , Catálisis , Ciclización , Estructura Molecular
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