Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 18 de 18
Filtrar
1.
Molecules ; 29(7)2024 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-38611853

RESUMEN

Gold nanoclusters (Au NCs) with bright emission and unique chemical reactivity characters have been widely applied for optical sensing and imaging. With a combination of surface modifications, effective therapeutic treatments of tumors are realized. In this review, we summarize the recently adopted biosensing and therapy events based on Au NCs. Homogeneous and fluorometric biosensing systems toward various targets, including ions, small molecules, reactive oxygen species, biomacromolecules, cancer cells, and bacteria, in vitro and in vivo, are presented by turn-off, turn-on, and ratiometric tactics. The therapy applications are concluded in three aspects: photodynamic therapy, photothermal therapy, and as a drug carrier. The basic mechanisms and performances of these systems are introduced. Finally, this review highlights the challenges and future trend of Au NC-based biosensing and therapy systems.


Asunto(s)
Fotoquimioterapia , Portadores de Fármacos , Fluorometría , Oro/uso terapéutico , Terapia Fototérmica
2.
Plants (Basel) ; 12(16)2023 Aug 19.
Artículo en Inglés | MEDLINE | ID: mdl-37631206

RESUMEN

In model plants, the BRI1-EMS suppressor 1 (BES1)/brassinazole-resistant 1 (BZR1) transcription factors play vital roles in regulating growth, development, and stimuli response. However, the roles of maize ZmBES1/BZR1 members are largely unknown. In this research, the ZmBES1/BZR1-9 gene was ectopically expressed in Arabidopsis and rice for the phenotyping of flowering. We found that the complementation and overexpression of ZmBES1/BZR1-9 in bes1-D mutant and wild type Arabidopsis both resulted in early flowering that was about 10 days shorter than in the untransformed control under long-day conditions. In addition, there was no difference in the rosette leaf number between all transgenic lines and the control. Subsequently, the ZmBES1/BZR1-9 gene was overexpressed in rice. It was found that overexpression lines of rice exhibited early flowering with heading dates that were 8 days shorter compared with untransformed plants. Moreover, the results of RNA-seq and qRT-PCR showed that five flowering-regulated genes, namely At2-MMP, AtPCC1, AtMYB56, AtPELPK1, and AtPRP10, were significantly up-regulated in all complementary and overexpressing lines of Arabidopsis. Meanwhile, the results of RNA-seq showed that 69 and 33 differentially expressed genes (DEGs) were up- and down-regulated in transgenic rice, respectively. Four flowering-related genes, namely OsGA20OX1, OsCCR19, OsBTBN19, and OsRNS4 were significantly up-regulated in transgenic lines. To sum up, our findings demonstrate that ZmBES1/BZR1-9 is involved in controlling flowering and provide insights into further underlying roles of BES1/BZR1s in regulating growth and development in crops.

3.
ACS Omega ; 8(32): 29262-29269, 2023 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-37599951

RESUMEN

The interfacial bonding between carbon fibers and the resin matrix affects the mechanical properties of carbon fibers, and the increase of modulus brings a challenge to the interfacial properties of carbon fibers. The traditional anodic oxidation with ammonium bicarbonate as an electrolyte has a limited effect on the surface treatment for high-modulus carbon fibers. In this paper, anodic oxidation with an acidic electrolyte is used to treat high-modulus carbon fibers. The influence mechanism of a graphitized structure on the anodizing reaction of the carbon fiber surface was studied. Raman spectroscopy, XPS, scanning electron microscopy, dynamic contact angle, and micro-debonding were used to characterize the effect of surface treatment and its influence on interfacial properties. The results show that with a certain concentration of sulfuric acid as an electrolyte, the oxidation of the carbon fiber surface with high modulus occurs more on the graphite boundary defects. Carbonylation occurs mainly in carbon fibers with high modulus. The surface of the carbon fiber with a relatively low modulus is mainly hydroxylated and carboxylated. The surface energy and interfacial properties of high-modulus carbon fibers were improved effectively by anodic oxidation with sulfuric acid as an electrolyte. Under the condition that the mechanical properties of carbon fibers are not decreased, the surface energy of high-modulus carbon fibers with 352 GPa increases from 36.17 to 45.41 mN/m, and the interfacial shear strength (IFSS) with the epoxy resin increases by 80.8% from 34.9 to 63.1 MPa. When the fiber modulus is 455 GPa, the surface energy of the carbon fiber increases from 32.32 to 43.73 mN/m, and IFSS increases by 253.4% from 11.8 to 41.7 MPa.

4.
J Biopharm Stat ; 33(6): 770-785, 2023 11 02.
Artículo en Inglés | MEDLINE | ID: mdl-36843283

RESUMEN

Pediatric patients should have access to medicines that have been appropriately evaluated for safety and efficacy through revised labelling. Given this goal, the adequacy of the pediatric clinical development plan and resulting safety database are critical factors to inform a favorable benefit-risk assessment for the intended use of the medicinal product. While extrapolation from adults can be used to support efficacy of drugs in children, there may be a reluctance to use the same approach in safety assessments, wiping out potential gains in trial efficiency through a reduction of sample size. To address this issue, we explore safety review in pediatric trials, including specific types of safety assessments and precision on the estimation of event rates for specific adverse events (AEs) that can be achieved. In addition, we discuss the assessments which can provide a benchmark for the use of extrapolation of safety that focuses on on-target effects. Finally, we explore a unified approach for understanding precision using Bayesian approaches as the most appropriate methodology to describe or ascertain risk in probabilistic terms for the estimate of the event rate of specific AEs.


Asunto(s)
Teorema de Bayes , Adulto , Humanos , Niño , Tamaño de la Muestra , Bases de Datos Factuales , Medición de Riesgo
5.
Int J Mol Sci ; 23(24)2022 Dec 11.
Artículo en Inglés | MEDLINE | ID: mdl-36555363

RESUMEN

Early responsive dehydration (ERD) genes can be rapidly induced by dehydration. ERD15 genes have been confirmed to regulate various stress responses in plants. However, the maize ERD15 members have not been characterized. In the present study, a total of five ZmERD15 genes were identified from the maize genome and named ZmERD15a, ZmERD15b, ZmERD15c, ZmERD15d, and ZmERD15e. Subsequently, their protein properties, gene structure and duplication, chromosomal location, cis-acting elements, subcellular localization, expression pattern, and over-expression in yeast were analyzed. The results showed that the ZmERD15 proteins were characterized by a similar size (113-159 aa) and contained a common domain structure, with PAM2 and adjacent PAE1 motifs followed by an acidic region. The ZmERD15 proteins exhibited a close phylogenetic relationship with OsERD15s from rice. Five ZmERD15 genes were distributed on maize chromosomes 2, 6, 7, and 9 and showed a different exon-intron organization and were expanded by duplication. Besides, the promoter region of the ZmERD15s contained abundant cis-acting elements that are known to be responsive to stress and hormones. Subcellular localization showed that ZmERD15b and ZmERD15c were localized in the nucleus. ZmERD15a and ZmERD15e were localized in the nucleus and cytoplasm. ZmERD15d was localized in the nucleus and cell membrane. The results of the quantitative real-time PCR (qRT-PCR) showed that the expression of the ZmERD15 genes was regulated by PEG, salinity, and ABA. The heterologous expression of ZmERD15a, ZmERD15b, ZmERD15c, and ZmERD15d significantly enhanced salt tolerance in yeast. In summary, a comprehensive analysis of ZmERD15s was conducted in the study. The results will provide insights into further dissecting the biological function and molecular mechanism of ZmERD15s regulating of the stress response in maize.


Asunto(s)
Saccharomyces cerevisiae , Zea mays , Zea mays/genética , Zea mays/metabolismo , Regiones Promotoras Genéticas , Filogenia , Saccharomyces cerevisiae/metabolismo , Deshidratación/genética , Proteínas de Plantas/metabolismo , Familia de Multigenes , Regulación de la Expresión Génica de las Plantas , Estrés Fisiológico/genética
6.
Front Plant Sci ; 13: 934195, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36212313

RESUMEN

Calcium (Ca2+) is the most abundant divalent cation in plants, and cellular levels of Ca2+, which functions as a nutrient and secondary messenger, play a critical role in plant immunity. In the present study, we found that FERONIA-like receptor 1 (FLR1) positively regulates Magnaporthe oryzae resistance and that expression of FLR1 is strongly induced in response to Ca2+ deficiency. In addition, the Ca content in the shoots of flr1 was lower than that in wild-type, and the M. oryzae-sensitive phenotype of the flr1 mutant was not rescued by exogenous application of Ca2+. Moreover, RNA sequencing revealed 2,697 differentially expressed genes (DEGs) in the flr1 mutant compared with wild-type, and some of these DEGs are involved in cellular metal ion homeostasis and transition metal ion homeostasis. Changes in expression of overlapping genes between the flr1 mutant and in plants under low-Ca2+ treatment were consistent in terms of direction, indicating that FLR1 is involved in Ca2+ homeostasis. In summary, we detected FLR1-mediated resistance to M. oryzae, a phenomenon associated with Ca2+ homeostasis.

7.
Materials (Basel) ; 15(4)2022 Feb 14.
Artículo en Inglés | MEDLINE | ID: mdl-35207949

RESUMEN

Affected by ambient oxygen and thermal diffusion mechanism, the radial structural distribution of polyacrylonitrile (PAN) fiber during the pre-oxidation process will be inherited to the carbon fiber, which had a remarkable effect on the mechanical properties of carbon fiber. It is important to understand the evolution mechanism of radial structure evolution of PAN fiber during the pre-oxidation process to manufacture the high-performance carbon fiber. In this paper, a series of fine denier model fibers were prepared by adjusting the oxygen concentration to describe the structural characteristics at different radial regions of pre-oxidized fibers. The evolution mechanism of the radial structure of pre-oxidized fiber, with the increase of heat treatment temperature, was studied by the methods of optical microscope, C13 nuclear magnetic resonance (13C-NMR), and thermogravimetric analyzer (TGA). The results showed that along the radial direction of pre-oxidized fiber from skin to core layer, the degree of cyclization changed little while the dehydrogenation and oxygen-containing structure gradually decreased. Specifically, the oxygen-containing functional groups in the core decreased to the lowest level or even disappeared. A moderate increase of temperature in the initial and middle pre-oxidation processes could effectively promote the formation of cyclized structure and stabilize cross-linked ladder structure in the skin region of the fiber. With it, the thermal stability of obtained pre-oxidation fiber was improved.

8.
ACS Appl Mater Interfaces ; 13(14): 17013-17021, 2021 Apr 14.
Artículo en Inglés | MEDLINE | ID: mdl-33783188

RESUMEN

The reaction behavior of carbon fiber in electrochemical grafting is related to its electrode potential. In this paper, carbon fiber and metals with different electrode potentials were used to form combined electrodes to regulate the electrode potential of carbon fiber. The results showed that galvanic coupling was formed in the combined anode when the potential difference between carbon fiber and the metal (Δϕ = ϕCF0 - ϕmetal) was higher than 0.05 V. The electrode potential of carbon fiber was reduced due to cathodic polarization. The electrode potential of carbon fiber after galvanic coupling was proportional to the self-corrosion potential of metals. By applying the electrode potential regulation of carbon fiber in the electrochemical grafting of poly(glycidyl methacrylate) onto the carbon fiber surface, the grafting effect was significantly improved with the decrease of the electrode potential of carbon fibers. The grafting amount of carbon fibers increased from 0.83 to 69.86% as the electrode potential of carbon fibers dropped from 0.55 to -0.72 V. Consequently, the interfacial shear strength of the carbon fiber composite was remarkably promoted from 47.59 to 81.41 MPa, increasing by 71.07%.

9.
Polymers (Basel) ; 12(1)2020 Jan 16.
Artículo en Inglés | MEDLINE | ID: mdl-31963164

RESUMEN

The composition and structure of polyacrylonitrile (PAN) precursors play an important role during thermal stabilization, which influences the properties of the resulting carbon fibers. In this paper, PAN homopolymer and PAN-itaconic (IA) copolymers with different IA contents were synthesized by aqueous phase precipitation polymerization. The effects of IA content on the structure and thermal properties were studied using scanning electron microscopy (SEM), Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), differential scanning calorimetry (DSC), and thermogravimetric analysis (TGA). The morphology of PAN polymers showed that the average size of the PAN particles increased with the increase of IA content in the feed. The content of the IA comonomer on the copolymers was quantitatively characterized by the relative absorbance intensity (A1735/A2243) in FTIR spectrum. With the increase of IA content in the feed, PAN-IA copolymers exhibited lower degree of crystallinity and crystal size than the control PAN homopolymer. The results from DSC curves indicated that PAN-IA1.0 copolymers had lower initial exothermic temperature (192.4 °C) and velocity of evolving heat (6.33 J g-1 °C-1) in comparison with PAN homopolymer (Ti = 238.1 °C and ΔH/ΔT = 34.6 J g-1 °C-1) in an air atmosphere. TGA results suggested that PAN-IA1.0 copolymers had higher thermal stability than PAN homopolymer, which can form a ladder structure easier during thermal processing. Therefore, PAN-IA1.0 copolymers would be a suitable candidate for preparing high performance PAN based carbon fibers.

10.
RSC Adv ; 10(18): 10599-10605, 2020 Mar 11.
Artículo en Inglés | MEDLINE | ID: mdl-35492904

RESUMEN

In this work, glycidyl methacrylate (GMA) was polymerised and grafted onto the surface of carbon fiber (CF) by using electrochemical grafting to improve the interfacial properties between the fibre and epoxy resin. The optimised conditions for electrochemical grafting and the reaction mechanism were also investigated. Results showed that GMA was covalently grafted to the CF surface by the assistance of aluminium chloride, which is a good electrolyte for electrochemical grafting. The GMA grafting ratio on the CF surface increased with electrolyte concentration and reaction time, and an optimal current intensity for the electropolymerisation was determined. On the basis of the strong correlation between the grafting ratio and the carboxyl content in the CF, a two-step mechanism of electrochemical grafting on the CF surface was proposed: first, the surface of CF was anodised to produce oxygen-containing functional groups, mainly including COOH, OH and C[double bond, length as m-dash]O. Next, when CF was used as the anode in the electrical grafting reaction, the COOH on the surface of CF would lose electrons and then remove carbon dioxide to generate carbon radicals on the surface of CF. The carbon radical would attack the carbon-carbon double bond in GMA to initiate the radical polymerisation of GMA monomers and graft polymers would be formed on the CF surface. Compared with untreated CF, the interfacial shear strength (IFSS) test proved the improvement of the interface adhesion of the modified carbon fibre (mCF) composites. This work provided a controllable electrochemical approach that could simply and quickly graft poly(glycidyl methacrylate) (PGMA) on the surface of CF.

11.
Curr Pharm Des ; 25(46): 4861-4876, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31854273

RESUMEN

Gold nanoparticles with special surface plasmon resonance have been widely used in sensing and therapy because of their easy preparation, unique optical properties, excellent biocompatibility, etc. The applications of gold nanoparticles in chemo/biosensing, imaging, and therapy reported in 2016-2019, are summarized in this review. Regarding the gold nanoparticle-based sensing or imaging, sensing mechanisms and strategies are provided to illustrate the concepts for designing sensitive and selective detection platforms. Gold nanoparticlemediated therapy is introduced by surface plasmon resonance-based therapy and delivery-based therapy. Beyond the sole therapeutic system, platforms through synergistic therapy are also discussed. In the end, discussion of the challenges and future trends of gold nanoparticle-based sensing and therapy systems is described.


Asunto(s)
Técnicas Biosensibles , Oro , Nanopartículas del Metal/uso terapéutico , Animales , Humanos , Resonancia por Plasmón de Superficie
12.
Polymers (Basel) ; 11(3)2019 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-30960406

RESUMEN

Polyacrylonitrile (PAN) grafted amino-functionalized multi walled carbon nanotubes (amino-MWCNTs) were synthesized by in situ polymerization under aqueous solvent. The grafted MWCNT/PAN nascent composite fibers were prepared by the wet spinning method. Fourier transform infrared spectroscopy and Raman spectroscopy indicated that the amino-MWCNTs and PAN macromolecular chains had interfacial interactions and formed chemical bonds. The grafting content of the PAN polymer on the amino-MWCNTs was up to 73.2% by thermo gravimetric analysis. The incorporation of the grafted MWCNTs improved the degree of crystallization and crystal size of PAN nascent fibers, and changed the thermal properties during exothermic processing in an air atmosphere. Morphology analysis and testing of mechanical properties showed that the grafted MWCNT/PAN nascent composite fibers with a more uniform diameter distribution and larger diameter had higher tensile strength and tensile modulus than the control PAN nascent fibers.

13.
Adv Healthc Mater ; 7(24): e1800990, 2018 12.
Artículo en Inglés | MEDLINE | ID: mdl-30565899

RESUMEN

Effective and quick screening and cardiotoxicity assessment are very crucial for drug development. Here, a novel composite hydrogel composed of carbon fibers (CFs) with high conductivity and modulus with polyvinyl alcohol (PVA) is reported. The conductivity of the composite hydrogel PVA/CFs is similar to that of natural heart tissue, and the elastic modulus is close to that of natural heart tissue during systole, due to the incorporation of CFs. PVA/CFs remarkably enhance the maturation of neonatal rat cardiomyocytes (NRCM) in vitro by upregulating the expression of α-actinin, troponin T, and connexin-43, activating the signaling pathway of α5 and ß1 integrin-dependent ILK/p-AKT, and increasing the level of RhoA and hypoxia-inducible factor-1α. As a result, the engineered cell sheet-like constructs NRCM@PVA/CFs display much more synchronous, stable, and robust beating behavior than NRCM@PVA. When exposed to doxorubicin or isoprenaline, NRCM@PVA/CFs can retain effective beating for much longer time or change the contractile rate much faster than NRCM@PVA, respectively, therefore representing a promising heart-like platform for in vitro drug screening and cardiotoxicity assessment.


Asunto(s)
Hidrogeles/química , Andamios del Tejido/química , Animales , Antineoplásicos/química , Antineoplásicos/farmacología , Materiales Biocompatibles/química , Materiales Biocompatibles/farmacología , Fibra de Carbono/química , Diferenciación Celular/efectos de los fármacos , Proliferación Celular/efectos de los fármacos , Células Cultivadas , Conexina 43/metabolismo , Evaluación Preclínica de Medicamentos , Módulo de Elasticidad , Conductividad Eléctrica , Hidrogeles/farmacología , Mecanotransducción Celular/efectos de los fármacos , Contracción Muscular/efectos de los fármacos , Miocitos Cardíacos/citología , Miocitos Cardíacos/metabolismo , Alcohol Polivinílico/química , Ratas , Ingeniería de Tejidos , Regulación hacia Arriba/efectos de los fármacos
14.
Pharm Stat ; 16(4): 232-249, 2017 07.
Artículo en Inglés | MEDLINE | ID: mdl-28448684

RESUMEN

Children represent a large underserved population of "therapeutic orphans," as an estimated 80% of children are treated off-label. However, pediatric drug development often faces substantial challenges, including economic, logistical, technical, and ethical barriers, among others. Among many efforts trying to remove these barriers, increased recent attention has been paid to extrapolation; that is, the leveraging of available data from adults or older age groups to draw conclusions for the pediatric population. The Bayesian statistical paradigm is natural in this setting, as it permits the combining (or "borrowing") of information across disparate sources, such as the adult and pediatric data. In this paper, authored by the pediatric subteam of the Drug Information Association Bayesian Scientific Working Group and Adaptive Design Working Group, we develop, illustrate, and provide suggestions on Bayesian statistical methods that could be used to design improved pediatric development programs that use all available information in the most efficient manner. A variety of relevant Bayesian approaches are described, several of which are illustrated through 2 case studies: extrapolating adult efficacy data to expand the labeling for Remicade to include pediatric ulcerative colitis and extrapolating adult exposure-response information for antiepileptic drugs to pediatrics.


Asunto(s)
Ensayos Clínicos como Asunto , Adulto , Teorema de Bayes , Colitis Ulcerosa , Evaluación de Medicamentos , Humanos , Modelos Estadísticos , Proyectos de Investigación
15.
J Biopharm Stat ; 26(5): 823-41, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26247350

RESUMEN

The gold standard for evaluating treatment efficacy of a medical product is a placebo-controlled trial. However, when the use of placebo is considered to be unethical or impractical, a viable alternative for evaluating treatment efficacy is through a noninferiority (NI) study where a test treatment is compared to an active control treatment. The minimal objective of such a study is to determine whether the test treatment is superior to placebo. An assumption is made that if the active control treatment remains efficacious, as was observed when it was compared against placebo, then a test treatment that has comparable efficacy with the active control, within a certain range, must also be superior to placebo. Because of this assumption, the design, implementation, and analysis of NI trials present challenges for sponsors and regulators. In designing and analyzing NI trials, substantial historical data are often required on the active control treatment and placebo. Bayesian approaches provide a natural framework for synthesizing the historical data in the form of prior distributions that can effectively be used in design and analysis of a NI clinical trial. Despite a flurry of recent research activities in the area of Bayesian approaches in medical product development, there are still substantial gaps in recognition and acceptance of Bayesian approaches in NI trial design and analysis. The Bayesian Scientific Working Group of the Drug Information Association provides a coordinated effort to target the education and implementation issues on Bayesian approaches for NI trials. In this article, we provide a review of both frequentist and Bayesian approaches in NI trials, and elaborate on the implementation for two common Bayesian methods including hierarchical prior method and meta-analytic-predictive approach. Simulations are conducted to investigate the properties of the Bayesian methods, and some real clinical trial examples are presented for illustration.


Asunto(s)
Teorema de Bayes , Ensayos Clínicos Controlados Aleatorios como Asunto , Proyectos de Investigación , Interpretación Estadística de Datos , Humanos , Placebos , Resultado del Tratamiento
16.
Virus Res ; 192: 114-20, 2014 Nov 04.
Artículo en Inglés | MEDLINE | ID: mdl-25197039

RESUMEN

To investigate the antiviral effects of genistein on the replication of avian leukosis virus subgroup J (ALV-J) in DF-1 cells, the cells were treated with genistein at different time points and the antiviral effects were examined by using a variety of assays. We determined that genistein strongly inhibited viral gene expression and decreased the viral protein level in the cell supernatant and the cytoplasm without alerting virus receptor expression and viral attachment. We also observed that genistein was not found to interfere with virus entry, but significantly inhibited both viral gene transcriptions at 24h post infection and virus release, which indicate that genistein exerts its inhibitory effects on the late phase of ALV-J replicative cycle. These results demonstrate that genistein effectively block ALV-J replication by inhibiting virus transcription and release in DF-1 cells, which may be useful for therapeutic drug design.


Asunto(s)
Antivirales/farmacología , Virus de la Leucosis Aviar/efectos de los fármacos , Virus de la Leucosis Aviar/fisiología , Genisteína/farmacología , Liberación del Virus/efectos de los fármacos , Replicación Viral/efectos de los fármacos , Animales , Línea Celular , Pollos , Pruebas de Sensibilidad Microbiana , Transcripción Genética/efectos de los fármacos
17.
Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi ; 30(3): 284-8, 2014 Mar.
Artículo en Chino | MEDLINE | ID: mdl-24606748

RESUMEN

OBJECTIVE: To prepare an affinity purified polyclonal antibody against chicken high mobility group box 1 protein (chHMGB1) and put it in a practical application. METHODS: The full-length chHMGB1 cDNA was amplified by reverse transcription PCR (RT-PCR). The specific peptides was selected by sequence alignment and conjugated with KLH. Then it was used to immunize the New Zealand rabbits to obtain the anti-serum. The polyclonal antibody was purified by protein A column and peptide-conjugated Seprose4B sequentially. ELISA, Western blotting, indirect fluorescence assay (IFA) and immunohistochemistry were used for the identification and application of the affinity purified polyclonal antibody. RESULTS: These examinations demonstrated the successful generation of the affinity purified polyclonal antibody against chHMGB1 protein and the specificity of the polyclonal antibody to both the recombinant protein and the natural chHMGB1 protein. CONCLUSION: The affinity purified polyclonal antibody was successfully prepared.


Asunto(s)
Anticuerpos/inmunología , Afinidad de Anticuerpos , Proteína HMGB1/inmunología , Animales , Especificidad de Anticuerpos , Western Blotting , Pollos , Ensayo de Inmunoadsorción Enzimática , Proteína HMGB1/análisis , Proteína HMGB1/genética , Inmunohistoquímica , Conejos
18.
Lancet ; 381(9861): 117-24, 2013 Jan 12.
Artículo en Inglés | MEDLINE | ID: mdl-23141817

RESUMEN

BACKGROUND: Glucagon-like peptide-1 receptor agonists exenatide and liraglutide have been shown to improve glycaemic control and reduce bodyweight in patients with type 2 diabetes. We compared the efficacy and safety of exenatide once weekly with liraglutide once daily in patients with type 2 diabetes. METHODS: We did a 26 week, open-label, randomised, parallel-group study at 105 sites in 19 countries between Jan 11, 2010, and Jan 17, 2011. Patients aged 18 years or older with type 2 diabetes treated with lifestyle modification and oral antihyperglycaemic drugs were randomly assigned (1:1), via a computer-generated randomisation sequence with a voice response system, to receive injections of once-daily liraglutide (1·8 mg) or once-weekly exenatide (2 mg). Participants and investigators were not masked to treatment assignment. The primary endpoint was change in glycated haemoglobin (HbA(1c)) from baseline to week 26. Analysis was by intention to treat. This trial is registered with ClinicalTrials.gov, number NCT01029886. FINDINGS: Of 912 randomised patients, 911 were included in the intention-to-treat analysis (450 liraglutide, 461 exenatide). The least-squares mean change in HbA(1c) was greater in patients in the liraglutide group (-1·48%, SE 0·05; n=386) than in those in the exenatide group (-1·28%, 0·05; 390) with the treatment difference (0·21%, 95% CI 0·08-0·33) not meeting predefined non-inferiority criteria (upper limit of CI <0·25%). The most common adverse events were nausea (93 [21%] in the liraglutide group vs 43 [9%] in the exenatide group), diarrhoea (59 [13%] vs 28 [6%]), and vomiting 48 [11%] vs 17 [4%]), which occurred less frequently in the exenatide group and with decreasing incidence over time in both groups. 24 (5%) patients allocated to liraglutide and 12 (3%) allocated to exenatide discontinued participation because of adverse events. INTERPRETATION: Both once daily liraglutide and once weekly exenatide led to improvements in glycaemic control, with greater reductions noted with liraglutide. These findings, plus differences in injection frequency and tolerability, could inform therapeutic decisions for treatment of patients with type 2 diabetes. FUNDING: Eli Lilly and Company and Amylin Pharmaceuticals LLC.


Asunto(s)
Diabetes Mellitus Tipo 2/tratamiento farmacológico , Péptido 1 Similar al Glucagón/análogos & derivados , Hipoglucemiantes/uso terapéutico , Péptidos/uso terapéutico , Ponzoñas/uso terapéutico , Esquema de Medicación , Exenatida , Péptido 1 Similar al Glucagón/administración & dosificación , Péptido 1 Similar al Glucagón/uso terapéutico , Hemoglobina Glucada/análisis , Humanos , Hipoglucemiantes/administración & dosificación , Liraglutida , Masculino , Persona de Mediana Edad , Péptidos/administración & dosificación , Resultado del Tratamiento , Ponzoñas/administración & dosificación
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA