RESUMEN
Transcatheter arterial chemoembolization (TACE), the mainstream treatment for hepatocellular carcinoma (HCC), is a method of blocking tumor blood vessels with a mixture of lipiodol and chemotherapeutics. And the contrast-enhanced computed tomography (CT) is the commonly used way for follow-up of HCC after TACE. However, it is noteworthy that when lipiodol deposition plays an embolic effect, it also produces high-density artifacts in CT images. These artifacts usually conceal the enhancement effect of iodine contrast agents. As a result, the residual region is difficult to be visualized. To overcome this obstacle, we developed one kind of Lu3+/Gd3+ doped fluoride nanoprobe modified with Dp-PEG2000 to realize CT/MRI dual-modality imaging of HCC. Compared with lipiodol or ioversol, the obtained PEGylated product LG-PEG demonstrated a greater density value in high keV CT images. In vitro experiments showed the lipiodol artifacts can be removed in virtual non-contrast (VNC) imaging, but the density of ioversol was also removed at the same time. However, the LG-PEG synthesized in this work can still maintain a high density in VNC imaging, which indicates that LG-PEG can exploit its advantages to the full in VNC imaging. Furthermore, LG-PEG successfully exerted tumor enhancement effects in the in vivo VNC images of HCC with lipiodol deposition. In addition, LG-PEG exhibited a strong T2 enhancement effect with low biological toxicity and less side-effect on the main organ and blood. Thus, the LG-PEG reported in this research can serve as an effective and safe VNC contrast agent for HCC imaging after TACE.
Asunto(s)
Carcinoma Hepatocelular , Quimioembolización Terapéutica , Yodo , Neoplasias Hepáticas , Carcinoma Hepatocelular/diagnóstico por imagen , Carcinoma Hepatocelular/patología , Carcinoma Hepatocelular/terapia , Quimioembolización Terapéutica/métodos , Medios de Contraste , Aceite Etiodizado , Fluoruros , Humanos , Neoplasias Hepáticas/diagnóstico por imagen , Neoplasias Hepáticas/patología , Neoplasias Hepáticas/terapia , Polietilenglicoles , Tomografía Computarizada por Rayos X/métodos , Ácidos TriyodobenzoicosRESUMEN
Adjuvants have been used in vaccines for a long time to promote the body's immune response, reducing vaccine dosage and production costs. Although many vaccine adjuvants are developed, the use in human vaccines is limited because of either limited action or side effects. Therefore, the development of new vaccine adjuvants is required. Many studies have found that natural polysaccharides derived from Traditional Chinese medicine (TCM) possess good immune promoting effects and simultaneously improve humoral, cellular and mucosal immunity. Recently polysaccharide adjuvants have attracted much attention in vaccine preparation because of their intrinsic characteristics: immunomodulation, biocompatibility, biodegradability, low toxicity and safety. This review article systematically analysed the literature on polysaccharides possessing vaccine adjuvant activity from TCM plants, such as Astragalus polysaccharide (APS), Rehmannia glutinosa polysaccharide (RGP), Isatis indigotica root polysaccharides (IRPS), etc. and their derivatives. We believe that polysaccharide adjuvants can be used to prepare the vaccines for clinical use provided their mechanisms of action are studied in detail.
Asunto(s)
Adyuvantes de Vacunas/farmacología , Medicamentos Herbarios Chinos/química , Polisacáridos/química , Polisacáridos/farmacología , Adyuvantes Inmunológicos/farmacología , Adyuvantes de Vacunas/química , Animales , Planta del Astrágalo/química , Humanos , Inmunidad Celular/efectos de los fármacos , Inmunidad Mucosa/efectos de los fármacos , Inmunomodulación/efectos de los fármacos , Isatis/química , Medicina Tradicional China/métodos , Ratones , Nanopartículas/química , Plantas Medicinales/química , Polisacáridos/análisis , Rehmannia/química , Vacunas/inmunologíaRESUMEN
Arsenic trioxide (ATO, As2O3), an active ingredient of traditional Chinese medicine, has been approved by the U.S. Food and Drug Administration as an effective therapeutic agent for acute promyelocytic leukemia (APL). However, the application of ATO in treating advanced solid tumors like hepatocellular carcinoma (HCC) is still restricted by limited therapeutic efficacy and insufferable side effects. To solve this problem, we reported a general and facile strategy using human serum albumin (HSA) as a template for synthesizing a series of ATO-based nanoparticles with uniform single-albumin size. Then, we prepared a multifunctional drug delivery system (MDDS) based on MnAs/HSA termed MnAs/ICG/HSA-RGD, and tested its efficacy both in vitro and in vivo. Our results revealed that the photothermal effect of MnAs/ICG/HSA-RGD can not only cause irreversible damage to the tumor but also accelerate the discharge of As and Mn2+ ions, enabling responsive chemotherapy and magnetic resonance imaging. Interestingly, the expression of HSP90, vimentin, and MMP-9 in tumor cells was inhibited during the treatment, resulting in less metastasis and recurrence. Moreover, no apparent side effect has been observed during the treatment. Therefore, MnAs/ICG/HSA-RGD can be considered as a promising option for HCC with excellent therapeutic efficacy and minimum side effects.
Asunto(s)
Arsenitos , Carcinoma Hepatocelular , Neoplasias Hepáticas , Nanopartículas , Carcinoma Hepatocelular/tratamiento farmacológico , Línea Celular Tumoral , Humanos , Neoplasias Hepáticas/tratamiento farmacológico , Terapia Fototérmica , Albúmina Sérica HumanaRESUMEN
Ixeris sonchifolia (IS), principally its dried form, is widely used as traditional and folk medicines in some Asian countries, especially China. In this review, we summarized its traditional uses, chemical constituents, quality control measures, pharmacological activities, therapeutic evaluation, toxicity evaluation and clinical applications. 130 chemical constituents isolated from IS have been reported, including flavones, sesquiterpenes, triterpenes, phenylpropanoids, organic acids and others. They showed various pharmacological activities, such as protecting cardiocerebral vascular system, anticancer effect and antiviral etc. The quality control evaluation studies, clinical applications, other possible applications and suggestions for future research also were discussed. The aim of this review is to critically appraise the available literature and suggest directions for further development of IS to improve its medical value and use.
Asunto(s)
Asteraceae/química , Extractos Vegetales/química , Extractos Vegetales/farmacología , Plantas Medicinales/química , Animales , Estudios Clínicos como Asunto , Evaluación Preclínica de Medicamentos , Humanos , Medicina Tradicional/métodos , Medicina Tradicional/normas , Estructura Molecular , Fitoquímicos/química , Fitoquímicos/aislamiento & purificación , Fitoquímicos/farmacología , Fitoquímicos/uso terapéutico , Extractos Vegetales/aislamiento & purificación , Extractos Vegetales/uso terapéutico , Relación Estructura-ActividadRESUMEN
Anthropogenic activities such as agricultural practices can have large effects on the ecological components and overall health of stream ecosystems. Therefore, having a better understanding of those effects and relationships allows for better design of mitigating strategies. The objectives of this study were to identify influential stream variables that correlate with macroinvertebrate indices using biophysical and statistical models. The models developed were later used to evaluate the impact of three agricultural management practices on stream integrity. Our study began with the development of a high-resolution watershed model for the Saginaw River watershed in Michigan for generating in-stream water quality and quantity data at stream reaches with biological sampling data. These in-stream data were then used to explain macroinvertebrate measures of stream health including family index of biological integrity (FamilyIBI), Hilsenhoff biotic index (HBI), and the number of Ephemeroptera, Plecoptera , and Trichoptera taxa (EPTtaxa). Two methods (stepwise linear regression and adaptive neuro-fuzzy inference systems (ANFIS)) were evaluated for developing predictive models for macroinvertebrate measures. The ANFIS method performed the best on average and the final models displayed the highest R(2) and lowest mean squared error (MSE) for FamilyIBI (R(2)=0.50, MSE=29.80), HBI (R(2)=0.57, MSE=0.20), and EPTtaxa (R(2)=0.54, MSE=6.60). Results suggest that nutrient concentrations have the strongest influence on all three macroinvertebrate measures. Consistently, average annual organic nitrogen showed the most significant association with EPTtaxa and HBI. Meanwhile, the best model for FamilyIBI included average annual ammonium and average seasonal organic phosphorus. The ANFIS models were then used in conjunction with the Soil and Water Assessment Tool to forecast and assess the potential effects of different best management practices (no-till, residual management, and native grass) on stream integrity. Based on the model predictions, native grass resulted in the largest improvement for all macroinvertebrate measures.