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1.
Materials (Basel) ; 17(16)2024 Aug 07.
Artículo en Inglés | MEDLINE | ID: mdl-39203084

RESUMEN

Graphene platelets (GPLs) are gaining popularity across various sectors for enhancing the strength and reducing the weight of structures, thanks to their outstanding mechanical characteristics and low manufacturing cost. Among many engineering structures, wind turbine blades are a prime candidate for the integration of such advanced nanofillers, offering potential improvements in the efficiency of energy generation and reductions in the construction costs of support structures. This study aims to explore the potential of GPLs for use in wind turbine blades by evaluating their impact on material costs as well as mechanical performance. A series of finite element analyses (FEAs) were conducted to examine the variations of mechanical performances-specifically, free vibration, bending, torsional deformation, and weight reductions relative to conventional fiberglass-based blades. Details of computational modeling techniques are presented in this paper. Based on the outcomes of these analyses, the mechanical performances of GPL-reinforced wind turbine blades are reviewed along with a cost-benefit analysis, exemplified through a 5MW-class wind turbine blade. The findings affirm the practicality and benefits of employing GPLs in the design and fabrication of wind turbine blades.

2.
Materials (Basel) ; 17(13)2024 Jul 05.
Artículo en Inglés | MEDLINE | ID: mdl-38998411

RESUMEN

Renewable energy markets, particularly wind energy, have experienced remarkable growth, predominantly driven by the urgent need for decarbonization in the face of accelerating global warming. As the wind energy sector expands and turbines increase in size, there is a growing demand for advanced composite materials that offer both high strength and low density. Among these materials, graphene stands out for its excellent mechanical properties and low density. Incorporating graphene reinforcement into wind turbine blades has the potential to enhance generation efficiency and reduce the construction costs of foundation structures. As a pilot study of graphene reinforcement on wind turbine blades, this study aims to investigate the variations of mechanical characteristics and weights between traditional fiberglass-based blades and those reinforced with graphene platelets (GPLs). A finite element model of the SNL 61.5 m horizontal wind turbine blade is used and validated by comparing the analysis results with those presented in the existing literature. Case studies are conducted to explore the effects of graphene reinforcement on wind turbine blades in terms of mechanical characteristics, such as free vibration, bending, and torsional deformation. Furthermore, the masses and fabrication costs are compared among fiberglass, CNTRC, and GPLRC-based wind turbine blades. Finally, the results obtained from this study demonstrate the effectiveness of graphene reinforcement on wind turbine blades in terms of both their mechanical performance and weight reduction.

3.
Polymers (Basel) ; 16(14)2024 Jul 12.
Artículo en Inglés | MEDLINE | ID: mdl-39065319

RESUMEN

With the growth of the wind energy market and the increase in the size of wind turbines, the demand for advanced composite materials with high strength and low density for wind turbine blades has become imperative. Graphene platelets (GPLs) stand out as highly premising reinforcements due to their exceptional physical properties, resulting in their widespread adoption in the composite industry in recent years. The present study aims to analyze the applicability of a graphene-platelet-reinforced composite (GPLRC) to wind turbine blades in terms of structural performance. A finite element blade model is constructed by referring to the National Renewable Energy Laboratory (NREL) 5 MW wind turbine, and its reliability is verified through a convergence test. The performance of the wind turbine blade is quantitatively examined in terms of the deflection and stress, natural frequencies, and twist angle. The applicability of the GPL-reinforced wind blade is explored through a comparison with wind blades manufactured with glass fiber and carbon nanotubes (CNTs). The comparison indicates that the performance of a wind blade can be remarkably improved by reinforcing with GPLs instead of traditional fillers, and the weight of not only the wind blade itself but also the wind turbine system can be remarkably reduced. The present results can be useful in the development of next-generation high-strength lightweight wind turbine blades.

4.
Cardiovasc Res ; 120(9): 1037-1050, 2024 Jul 31.
Artículo en Inglés | MEDLINE | ID: mdl-38722811

RESUMEN

AIMS: Doxorubicin (DOX) is a widely used anthracycline anticancer agent; however, its irreversible effects on the heart can result in DOX-induced cardiotoxicity (DICT) after cancer treatment. Unfortunately, the pathophysiology of DICT has not yet been fully elucidated, and there are no effective strategies for its prevention or treatment. In this investigation, the novel role of transducin beta-like protein 1 (TBL1) in developing and regulating DICT was explored. METHODS AND RESULTS: We observed a reduction in TBL1 protein expression levels as well as cleavage events in the transplanted cardiac tissues of patients diagnosed with Dilated Cardiomyopathy and DICT. It was revealed that DOX selectively induces TBL1 cleavage at caspase-3 preferred sites-D125, D136, and D215. Interestingly, overexpression of the uncleaved TBL1 mutant (TBL1uclv) variant reduced apoptosis, effectively preventing DOX-induced cell death. We confirmed that cleaved TBL1 cannot form a complex with ß-catenin. As a result, Wnt reporter activity and Wnt target gene expression collectively indicate a decrease in Wnt/ß-catenin signalling, leading to DICT progression. Furthermore, the cleaved TBL1 triggered DOX-induced abnormal electrophysiological features and disrupted calcium homeostasis. However, these effects were improved in TBL1uclv-overexpressing human-induced pluripotent stem cell-derived cardiomyocytes. Finally, in a DICT mouse model, TBL1uclv overexpression inhibited the DICT-induced reduction of cardiac contractility and collagen accumulation, ultimately protecting cardiomyocytes from cell death. CONCLUSION: Our findings reveal that the inhibition of TBL1 cleavage not only mitigates apoptosis but also enhances cardiomyocyte function, even in the context of DOX administration. Consequently, this study's results suggest that inhibiting TBL1 cleavage may be a novel strategy to ameliorate DICT.


Asunto(s)
Apoptosis , Cardiotoxicidad , Doxorrubicina , Miocitos Cardíacos , Vía de Señalización Wnt , beta Catenina , Doxorrubicina/farmacología , Miocitos Cardíacos/efectos de los fármacos , Miocitos Cardíacos/metabolismo , Miocitos Cardíacos/patología , Miocitos Cardíacos/enzimología , Vía de Señalización Wnt/efectos de los fármacos , Humanos , Animales , Apoptosis/efectos de los fármacos , beta Catenina/metabolismo , beta Catenina/genética , Cardiomiopatía Dilatada/metabolismo , Cardiomiopatía Dilatada/patología , Cardiomiopatía Dilatada/inducido químicamente , Cardiomiopatía Dilatada/genética , Cardiomiopatía Dilatada/enzimología , Cardiomiopatía Dilatada/fisiopatología , Masculino , Transducina/metabolismo , Transducina/genética , Modelos Animales de Enfermedad , Ratones Endogámicos C57BL , Células Madre Pluripotentes Inducidas/metabolismo , Células Madre Pluripotentes Inducidas/efectos de los fármacos , Células Madre Pluripotentes Inducidas/enzimología , Células Madre Pluripotentes Inducidas/patología , Femenino , Estudios de Casos y Controles , Antibióticos Antineoplásicos/farmacología , Antibióticos Antineoplásicos/toxicidad
5.
Small ; 20(37): e2401916, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38712442

RESUMEN

Aqueous zinc-bromine batteries hold immense promise for large-scale energy storage systems due to their inherent safety and high energy density. However, achieving a reliable zinc metal electrode reaction is challenging because zinc metal in the aqueous electrolyte inevitably leads to dendrite growth and related side reactions, resulting in rapid capacity fading. Here, it is reported that combined cationic and anionic additives in the electrolytes using CeCl3 can simultaneously address the multiple chronic issues of the zinc metal electrode. Trivalent Ce3+ forms an electrostatic shielding layer to prevent Zn2+ from concentrating at zinc metal protrusions, while the high electron-donating nature of Cl- mitigates H2O decomposition on the zinc metal surface by reducing the interaction between Zn2+ and H2O. These combined cationic and anionic effects significantly enhance the reversibility of the zinc metal reaction, allowing the non-flow aqueous Zn─Br2 full-cell to reliably cycle with exceptionally high capacity (>400 mAh after 5000 cycles) even in a large-scale battery configuration of 15 × 15 cm2.

6.
ACS Macro Lett ; 12(12): 1659-1664, 2023 Dec 19.
Artículo en Inglés | MEDLINE | ID: mdl-37991797

RESUMEN

Employing small-angle X-ray scattering (SAXS), we explore the conditions under which assembly of gold nanoparticles (AuNPs) grafted with the thermosensitive polymer poly(N-isopropylacrylamide) (PNIPAM) emerges. We find that short-range order assembly emerges by combining the addition of electrolytes or polyelectrolytes with raising the temperature of the suspensions above the lower-critical solution temperature (LCST) of PNIPAM. Our results show that the longer the PNIPAM chain is, the better organization in the assembled clusters. Interestingly, without added electrolytes, there is no evidence of AuNPs assembly as a function of temperature, although untethered PNIPAM is known to undergo a coil-to-globule transition above its LCST. This study demonstrates another approach to assembling potential thermosensitive nanostructures for devices by leveraging the unique properties of PNIPAM.

7.
Mol Oral Microbiol ; 38(5): 442-453, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37718989

RESUMEN

Several oral bacteria, including Prevotella melaninogenica (Pm), have aquaporin (AQP) proteins homologous to human AQP5, a major water channel protein targeted in Sjogren's syndrome. This study aimed to understand the antigenic characteristics that induce autoantibodies against an AQP5 "E" epitope (AQP5E) in a mouse model using C57BL/6 mice. Immunization with a PmE-L peptide derived from Pm AQP, which contains amino acid mismatches both at the B- and T-cell epitopes, efficiently induced anti-AQP5E autoantibodies accompanied by increased germinal center (GC) B and follicular helper T cells in the draining lymph nodes. However, PmE, a peptide lacking a T-cell epitope, and AQP5E-L, an AQP5-derived self-peptide, hardly induced either anti-AQP5E autoantibodies or GC responses. Surprisingly, OTII-AQP5E, a peptide that replaced the self T-cell epitope of AQP5E-L with an ovalbumin-derived foreign T-cell epitope, was not any better than AQP5E-L in the induction of anti-AQP5E autoantibodies and GC response, despite the substantial expansion of CD4+ T cells and production of anti-OTII-AQP5E antibodies. The complex of biotinylated PmE-L peptide and highly immunogenic streptavidin (SA) induced a strong extrafollicular B-cell response skewed toward the expansion of SA-specific B cells. However, the expansion of AQP5E-specific GC B cells was limited, resulting in the inefficient induction of anti-AQP5E autoantibodies. Collectively, our results have demonstrated that anti-AQP5E autoantibody production is only allowed when foreign B- and T-cell epitopes drive a strong GC response of AQP5E-specific B cells for affinity maturation. This study helps explain why cross-reactive anti-AQP5 autoantibodies are not produced during the immune response to Pm in most healthy people.

8.
Front Physiol ; 14: 1188678, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37700762

RESUMEN

Introduction: We propose an automatic sleep stage scoring model, referred to as SeriesSleepNet, based on convolutional neural network (CNN) and bidirectional long short-term memory (bi-LSTM) with partial data augmentation. We used single-channel raw electroencephalography signals for automatic sleep stage scoring. Methods: Our framework was focused on time series information, so we applied partial data augmentation to learn the connected time information in small series. In specific, the CNN module learns the time information of one epoch (intra-epoch) whereas the bi-LSTM trains the sequential information between the adjacent epochs (inter-epoch). Note that the input of the bi-LSTM is the augmented CNN output. Moreover, the proposed loss function was used to fine-tune the model by providing additional weights. To validate the proposed framework, we conducted two experiments using the Sleep-EDF and SHHS datasets. Results and Discussion: The results achieved an overall accuracy of 0.87 and 0.84 and overall F1-score of 0.80 and 0.78 and kappa value of 0.81 and 0.78 for five-class classification, respectively. We showed that the SeriesSleepNet was superior to the baselines based on each component in the proposed framework. Our architecture also outperformed the state-of-the-art methods with overall F1-score, accuracy, and kappa value. Our framework could provide information on sleep disorders or quality of sleep to automatically classify sleep stages with high performance.

9.
J Colloid Interface Sci ; 650(Pt B): 1941-1948, 2023 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-37517193

RESUMEN

HYPOTHESIS: Introducing charged terminal groups to polymers that graft nanoparticles enable Coulombic control over their assembly by tuning the pH and salinity of their aqueous suspensions. EXPERIMENTS: Gold nanoparticles (AuNPs) are grafted with poly (ethylene glycol) (PEG) terminated with (charge-neutral), (negatively charged) or groups (positively charged), and characterized with dynamic light scattering, ζ-potential, and thermal gravimetric analysis. Liquid surface X-ray reflectivity (XR) and grazing incidence small-angle X-ray scattering (GISAXS) are used to determine the density profile and in-plane structure of the AuNPs assembly at the aqueous surface. FINDINGS: Assembly of PEG-AuNPs at the liquid/vapor interface is tunable by adjusting pH or salinity for COOH but less for terminals. The distinct assembly behaviors are attributed to the overall charge of PEG-AuNPs as well as PEG conformation. COOH-PEG corona is more compact than those of the other terminal groups, leading to a crystalline structure with a smaller superlattice. The net charge per particle depends not only on the PEG terminal groups but also on the cation sequestration of PEG and the intrinsic negative charge of the AuNP surface. [1] The closeness to overall charge neutrality, and hydrogen bonding in play, brought by -PEG, drive -PEG-AuNPs to assembly and crystallinity without additives to the suspensions.

10.
Small ; 19(22): e2207966, 2023 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-36861366

RESUMEN

Herein, a novel combination of Mg- and Ga-co-doped ZnO (MGZO)/Li-doped graphene oxide (LGO) transparent electrode (TE)/electron-transporting layer (ETL) has been applied for the first time in Cu2 ZnSn(S,Se)4 (CZTSSe) thin-film solar cells (TFSCs). MGZO has a wide optical spectrum with high transmittance compared to that with conventional Al-doped ZnO (AZO), enabling additional photon harvesting, and has a low electrical resistance that increases electron collection rate. These excellent optoelectronic properties significantly improved the short-circuit current density and fill factor of the TFSCs. Additionally, the solution-processable alternative LGO ETL prevented plasma-induced damage to chemical bath deposited cadmium sulfide (CdS) buffer, thereby enabling the maintenance of high-quality junctions using a thin CdS buffer layer (≈30 nm). Interfacial engineering with LGO improved the Voc of the CZTSSe TFSCs from 466 to 502 mV. Furthermore, the tunable work function obtained through Li doping generated a more favorable band offset in CdS/LGO/MGZO interfaces, thereby, improving the electron collection. The MGZO/LGO TE/ETL combination achieved a power conversion efficiency of 10.67%, which is considerably higher than that of conventional AZO/intrinsic ZnO (8.33%).

11.
Nat Commun ; 13(1): 7076, 2022 11 18.
Artículo en Inglés | MEDLINE | ID: mdl-36400772

RESUMEN

The ProQ/FinO family of RNA binding proteins mediate sRNA-directed gene regulation throughout gram-negative bacteria. Here, we investigate the structural basis for RNA recognition by ProQ/FinO proteins, through the crystal structure of the ProQ/FinO domain of the Legionella pneumophila DNA uptake regulator, RocC, bound to the transcriptional terminator of its primary partner, the sRNA RocR. The structure reveals specific recognition of the 3' nucleotide of the terminator by a conserved pocket involving a ß-turn-α-helix motif, while the hairpin portion of the terminator is recognized by a conserved α-helical N-cap motif. Structure-guided mutagenesis reveals key RNA contact residues that are critical for RocC/RocR to repress the uptake of environmental DNA in L. pneumophila. Structural analysis and RNA binding studies reveal that other ProQ/FinO domains also recognize related transcriptional terminators with different specificities for the length of the 3' ssRNA tail.


Asunto(s)
ARN Pequeño no Traducido , Proteínas de Unión al ARN , Proteínas de Unión al ARN/metabolismo , ARN Pequeño no Traducido/genética
12.
Membranes (Basel) ; 12(10)2022 Oct 19.
Artículo en Inglés | MEDLINE | ID: mdl-36295773

RESUMEN

Uncontrollable Zn dendrite formations and parasitic side reactions on Zn electrodes induce poor cycling stability and safety issues, preventing the large-scale commercialization of Zn-ion batteries. Herein, to achieve uniform Zn deposition and suppress side reactions, an electrospun ferroelectric poly(vinylidene fluoride-co-trifluoroethylene) copolymer, a P(VDF-TrFE) nanofiber layer, is introduced as an artificial solid-electrolyte interface on a Cu substrate acting as a current collector. The aligned molecular structure of ß-P(VDF-TrFE) can effectively suppress localized current density on the Cu surface, lead to uniform Zn deposition, and suppress side reactions by preventing direct contact between electrodes and aqueous electrolytes. The half-cell configuration formed by the newly fabricated electrode can achieve an average coulombic efficiency of 99.2% over 300 cycles without short-circuiting at a current density of 1 mA cm-2 and areal capacity of 1 mAh cm-2. Stable cycling stability is also maintained for 200 cycles at a current density of 0.5 A g-1 in a full-cell test using MnO2 as a cathode.

13.
PLoS One ; 17(9): e0274981, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36107981

RESUMEN

[This corrects the article DOI: 10.1371/journal.pone.0267908.].

14.
Nanomaterials (Basel) ; 12(15)2022 Jul 29.
Artículo en Inglés | MEDLINE | ID: mdl-35957056

RESUMEN

Lithium-ion batteries with ultra-thick electrodes have high energy density and low manufacturing costs because of the reduction of the inactive materials in the same battery volume. However, the partial usage of the full capacity and the low rate capability are caused by poor ionic and electronic conduction. In this work, the effects of two approaches, such as electrode binder carbonization by heat treatment and 3-dimensionalization by the laser structuring of ultra-thick graphite anodes to lithium-ion batteries for high energy density, are investigated. During the heat treatment, the polyvinylidene fluoride (PVDF) binder is carbonized to form fluorinated graphitic carbons, thereby increasing the number of lithium-ion storage sites and the improvement of the electrode capacity by 14% (420 mAh g-1 and 20 mAh cm-2). Further, the carbonization improves the rate capability by 31% at 0.1 C by simultaneously reducing the ionic and electronic resistances. Furthermore, after the laser structuring of the carbonized electrode, the areal discharge capacity increases to 50% at the increasing current rates, resulting from drastically improved ionic conduction. In addition to the electrochemical characteristics, these two approaches contribute considerably to the fast wetting of the electrolyte into the ultra-thick electrode. The carbonization and laser structuring of the ultra-thick graphite anodes are practical approaches for high-energy batteries to overcome the thickness limitation.

15.
Stem Cell Res ; 63: 102874, 2022 08.
Artículo en Inglés | MEDLINE | ID: mdl-35917599

RESUMEN

Hypertrophic cardiomyopathy (HCM) is a common inherited cardiovascular disease and is characterized by hypertrophy of the left ventricle. We reprogrammed peripheral blood mononuclear cells (PBMCs) from a HCM patient into pluripotent stem cells (iPSC) (YCMi006-A) carrying a heterozygous c.1029C > G mutation in ACTA1. The YCMi006-A cells expressed high levels of pluripotent markers, had a normal 46XX karyotype and demonstrated the capacity to differentiate into derivatives of all three germ layers. This cell line can be a valuable tool for investigating the pathogenesis of HCM.


Asunto(s)
Cardiomiopatía Hipertrófica , Línea Celular , Células Madre Pluripotentes Inducidas , Cardiomiopatía Hipertrófica/patología , Humanos , Células Madre Pluripotentes Inducidas/metabolismo , Leucocitos Mononucleares/metabolismo , Mutación/genética
16.
PLoS One ; 17(5): e0267908, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35511912

RESUMEN

With the development of cloud computing, interest in database outsourcing has recently increased. In cloud computing, it is necessary to protect the sensitive information of data owners and authorized users. For this, data mining techniques over encrypted data have been studied to protect the original database, user queries and data access patterns. The typical data mining technique is kNN classification which is widely used for data analysis and artificial intelligence. However, existing works do not provide a sufficient level of efficiency for a large amount of encrypted data. To solve this problem, in this paper, we propose a privacy-preserving parallel kNN classification algorithm. To reduce the computation cost for encryption, we propose an improved secure protocol by using an encrypted random value pool. To reduce the query processing time, we not only design a parallel algorithm, but also adopt a garbled circuit. In addition, the security analysis of the proposed algorithm is performed to prove its data protection, query protection, and access pattern protection. Through our performance evaluation, the proposed algorithm shows about 2∼25 times better performance compared with existing algorithms.


Asunto(s)
Nube Computacional , Privacidad , Algoritmos , Inteligencia Artificial , Seguridad Computacional
17.
J Phys Chem Lett ; 13(15): 3424-3430, 2022 Apr 21.
Artículo en Inglés | MEDLINE | ID: mdl-35411773

RESUMEN

We have created two-dimensional (2D) binary superlattices by cocrystallizing gold nanoparticles (AuNPs) of two distinct sizes into √3 × âˆš3 and 2 × 2 complex binary superlattices, derived from the hexagonal structures of the single components. The building blocks of these binary systems are AuNPs that are functionalized with different chain lengths of poly(ethylene glycol) (PEG). The assembly of these functionalized NPs at the air-water interface is driven by the presence of salt, causing PEG-AuNPs to migrate to the aqueous surface and assemble into a crystalline lattice. We have used liquid surface X-ray reflectivity (XR) and grazing incidence small-angle X-ray scattering (GISAXS) to examine the assembly and crystallization at the liquid interface.

18.
Langmuir ; 37(33): 10143-10149, 2021 Aug 24.
Artículo en Inglés | MEDLINE | ID: mdl-34370486

RESUMEN

We report on the assembly of gold nanoparticle (AuNPs) superlattices at the liquid/vapor interface and in the bulk of their suspensions. Interparticle distances in the assemblies are achieved on multiple length scales by varying chain lengths of surface grafted AuNPs by polyethylene glycol (PEG) with molecular weights in the range 2000-40,000 Da. Crystal structures and lattice constants in both 2D and 3D assemblies are determined by synchrotron-based surface-sensitive and small-angle X-ray scattering. Assuming knowledge of grafting density, we show that experimentally determined interparticle distances are adequately modeled by spherical brushes close to the θ point (Flory-Huggins parameter, χ≈12) for 2D superlattices at a liquid interface and a nonsolvent (χ = ∞) for the 3D dry superlattices.

19.
Oncol Lett ; 21(6): 492, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33968208

RESUMEN

Silymarin is a purified mixture of four isomeric flavonoids extracted from the seeds and fruit of the milk thistle plant, Silybum marianus (L.). Silymarin exhibits a wide variety of biological effects and is commonly used in traditional medicine. Therefore, the anticancer effects of silymarin on human breast cancer cells were investigated to determine its pharmacological mechanisms in vitro and in vivo. The viability and proliferation of MDA-MB- 231 and MCF-7 breast cancer cells were investigated using MTT and wound healing assays. Silymarin decreased the viability and proliferation of MDA-MB-231 and MCF-7 cells in a concentration-dependent manner. The number of apoptotic bodies, as shown by DAPI staining, was increased in a concentration-dependent manner, indicating that silymarin induces apoptosis. Additionally, changes in the expression levels of apoptosis-related proteins were demonstrated in human breast cancer cells using western blotting. Silymarin increased the levels of Bax, cleaved poly-ADP ribose polymerase, cleaved caspase-9 and phosphorylated (p-)JNK, and decreased the levels of Bcl-2, p-P38 and p-ERK1/2. Furthermore, the inhibitory effects of silymarin on MCF-7 tumor growth were investigated. In mice treated with silymarin for 3 weeks (25 and 50 mg/kg), MCF-7 tumor growth was inhibited without organ toxicity. In MCF-7 tumors, silymarin induced apoptosis and decreased p-ERK1/2 levels, as assessed using a TUNEL assay and immunohistochemistry. These results indicated that silymarin inhibited breast cancer cell proliferation both in vitro and in vivo by modulating the MAPK signaling pathway. Therefore, silymarin may potentially be used as a chemo-preventive or therapeutic agent.

20.
Medicine (Baltimore) ; 100(21): e26133, 2021 May 28.
Artículo en Inglés | MEDLINE | ID: mdl-34032763

RESUMEN

ABSTRACT: Tailored therapy based on dual priming oligonucleotide-based polymerase chain reaction (DPO-PCR) can be considered an alternative to overcome the low eradication rate in high clarithromycin-resistance areas. The triple therapy (TT) duration of the tailored approach in most studies was 7 days for patients without point mutation. However, recent western guidelines have recommended a treatment duration of 14 days. The aim of this study was to compare the success rate of 7 and 14 days of TT for eradicating Helicobacter pylori without point mutation, as determined by DPO-PCR.Between Feb 2016 and Feb 2019, medical records of patients who underwent DPO-PCR were reviewed. Patients without point mutation as determined by DPO-PCR were enrolled in this study. The eradication success rate and adverse events were evaluated.A total of 366 patients without A2142G and A2143G point mutation were enrolled. The success rates of 7-day and 14-day TT were 88.4% (168/190) and 85.9% (151/176) by intention to treat analysis (P = .453) and 90.8% (168/185) and 90.4% (151/167) by per-protocol analysis (P = .900), respectively. The adverse event rates showed no significant difference between the 2 groups.In patients without point mutation based on DPO-PCR results, 7-day TT is as effective as 14-day TT. Therefore, 7 days may be considered as a cost-effective treatment duration in Korea.


Asunto(s)
Antibacterianos/administración & dosificación , Infecciones por Helicobacter/tratamiento farmacológico , Antibacterianos/efectos adversos , Antibacterianos/economía , Análisis Costo-Beneficio , Esquema de Medicación , Farmacorresistencia Bacteriana , Quimioterapia Combinada , Infecciones por Helicobacter/microbiología , Helicobacter pylori/genética , Humanos , Pruebas de Sensibilidad Microbiana , Mutación Puntual , ARN Ribosómico 23S/genética , República de Corea
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