Serum selenium predicts achievement of full-dose cisplatin in concurrent chemoradiotherapy for locally advanced head and neck squamous cell carcinoma: A prospective, observational study.

OBJECTIVE: Concurrent chemoradiotherapy (CCRT) with three-weekly high-dose cisplatin (100 mg/m2) is a standard treatment for locally advanced head and neck squamous cell carcinoma (HNSCC), but compliance with cisplatin is often poor due to various adverse events. The aim of this prospective, observational study was to determine the predictors of achievement of full-dose cisplatin. METHODS: A prospective, observational study was conducted involving 60 patients who received CCRT with three-weekly high-dose cisplatin (100 mg/m2) for locally advanced HNSCC. Possible predictors affecting compliance with cisplatin were subjected to univariate and multivariate logistic regression analyses. Age, sex, primary site, clinical stage, treatment intent, history of hypertension, diabetes mellitus, smoking and drinking habits, body mass index, creatinine clearance, serum albumin, controlling nutrition status, trace elements (Fe, Zn, Cu, Se), acute kidney injury, white blood cell count decrease, neutrophilia, and weight loss were the variables evaluated. RESULTS: Twenty-seven patients achieved full-dose cisplatin (300 mg/m2), and the other 33 patients did not. Multivariate logistic regression analysis showed that both mild renal dysfunction and selenium deficiency before treatment independently had negative impacts on achievement of full-dose cisplatin. CONCLUSIONS: As well as renal function, selenium deficiency is a potential therapeutic target for CCRT with high-dose cisplatin in HNSCC patients.

Dynamics of Cortical Local Connectivity during Sleep-Wake States and the Homeostatic Process.

Sleep exerts modulatory effects on the cerebral cortex. Whether sleep modulates local connectivity in the cortex or only individual neural activity, however, is poorly understood. Here we investigated functional connectivity, that is, covarying activity between neurons, during spontaneous sleep-wake states and during and after sleep deprivation using calcium imaging of identified excitatory/inhibitory neurons in the motor cortex. Functional connectivity was estimated with a statistical learning approach glasso and quantified by "the probability of establishing connectivity (sparse/dense)" and "the strength of the established connectivity (weak/strong)." Local cortical connectivity was sparse in non-rapid eye movement (NREM) sleep and dense in REM sleep, which was similar in both excitatory and inhibitory neurons. The overall mean strength of the connectivity did not differ largely across spontaneous sleep-wake states. Sleep deprivation induced strong excitatory/inhibitory and dense inhibitory, but not excitatory, connectivity. Subsequent NREM sleep after sleep deprivation exhibited weak excitatory/inhibitory, sparse excitatory, and dense inhibitory connectivity. These findings indicate that sleep-wake states modulate local cortical connectivity, and the modulation is large and compensatory for stability of local circuits during the homeostatic control of sleep, which contributes to plastic changes in neural information flow.

Increasing particle size of a synthetic smectite for polymer nanocomposites using a supercritical hydrothermal treatment.

We have studied the effect of a supercritical hydrothermal process on the structural and surface morphological properties of synthetic smectite clay, stevensite (ST), in terms of the particle size, in order to enhance the functionality of the synthetic smectites as an inorganic filler for transparent clay/polymer nanocomposites. The ST aqueous suspensions were treated in a flow reactor system at 673 K and 25 MPa. The structural characterizations revealed that the ST retained a layered structure composed of polymeric sheets of SiO(4) tetrahedra after the treatment. The treated ST possessed a particle size of 71 nm, approximately twice that of the original ST (36 nm) for the 0.1 wt.% suspension using an operation condition at a flow rate of 0.085 g s(-1). SEM observation revealed that an enlarged particle was formed from cohesive aggregates, suggesting that the increase in size of the particles was caused by the cohesion of the microcrystallites or primary particles of ST. The treated ST was subsequently used to prepare nanocomposites with carboxymethylcellulose sodium salt (CMC Na) to evaluate the effect of the supercritical treatment. The treated ST nanocomposite films retained their transparency which is very similar to the original ST nanocomposite films. Furthermore, the nanocomposite films, which had a high CMC Na ratio ranging from 40 to 90 wt.%, showed improved oxygen barrier properties when compared with those of original ST. The tortuous model revealed that this improvement was mainly due to the increase of the particle size. Consequently, the supercritical treatment successfully brought about the growth of the ST particles, leading to the development of functional synthetic clays for clay/polymer nanocomposites.