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1.
Opt Lett ; 49(15): 4198-4201, 2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-39090893

RESUMEN

The complex external environment, such as obstruction and turbulence, poses significant limitations on the applications of rotational Doppler detection. The active manipulation of randomly fluctuated light has been proven effective in mitigating external environmental perturbations. Here, as an example, a partially coherent source with petal-like focal (or far) field distribution is constructed specifically for detecting rotational Doppler frequency shifts. The experiment involved conducting rotational Doppler detection under obstruction or turbulence conditions, and the results are compared with the fully coherent counterpart. The results demonstrate that the use of a partially coherent source can address the frequency-shift broadening problem due to the obstruction-induced beam information loss and mitigate it due to the turbulence-induced beam misalignment. These advantages make the proposed approach applicable to velocity metrology in complex environments.

2.
J Integr Neurosci ; 23(1): 15, 2024 Jan 16.
Artículo en Inglés | MEDLINE | ID: mdl-38287848

RESUMEN

The utilization of assisted reproductive technologies (ART) is on the rise, resulting in a growing population of ART-conceived offspring. The health concerns of this unique population have attracted significant attention. During ART procedures, gametes and early-stage embryos are exposed to various non-physiological conditions, such as manipulation, culture media, and cryopreservation, which may disrupt embryonic development and potentially impact the health of offspring. Notably, the potential impact of ART on neurodevelopment and its association with an increased risk of neurodevelopmental disorders (NDD) later in life remains a subject of debate. This review aims to summarize the current research advancements concerning the effects of ART on neurodevelopment, specifically focusing on the evidence of the relationship between ART, epigenetic modifications, and NDD, including autism spectrum disorder, intellectual disability, attention deficit hyperactivity disorder, and cerebral palsy. Future studies should prioritize large sample sizes, rigorous adjustment for confounding factors, and the use of interdisciplinary approaches to effectively monitor the neurodevelopmental outcomes of ART-conceived children.


Asunto(s)
Trastorno del Espectro Autista , Trastornos del Neurodesarrollo , Embarazo , Femenino , Niño , Humanos , Trastorno del Espectro Autista/etiología , Técnicas Reproductivas Asistidas/efectos adversos , Epigénesis Genética , Trastornos del Neurodesarrollo/etiología
3.
J Sci Food Agric ; 104(10): 6008-6017, 2024 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-38437455

RESUMEN

BACKGROUND: The alteration of chromatin accessibility plays an important role in plant responses to abiotic stress. Carbon-based nanomaterials (CBNMs) have attracted increasing interest in agriculture due to their potential impact on crop productivity, showcasing effects on plant biological processes at transcriptional levels; however, their impact on chromatin accessibility remains unknown. RESULTS: This study found that fullerenol can penetrate the seed coat of pea to mitigate the reduction of seed germination caused by osmotic stress. RNA sequencing (RNA-seq) revealed that the application of fullerenol caused the high expression of genes related to oxidoreduction to return to a normal level. Assay for transposase accessible chromatin sequencing (ATAC-seq) confirmed that fullerenol application reduced the overall levels of chromatin accessibility of numerous genes, including those related to environmental signaling, transcriptional regulation, and metabolism. CONCLUSION: This study suggests that fullerenol alleviates osmotic stress on various fronts, encompassing antioxidant, transcriptional, and epigenetic levels. This advances knowledge of the working mechanism of this nanomaterial within plant cells. © 2024 Society of Chemical Industry.


Asunto(s)
Ensamble y Desensamble de Cromatina , Fulerenos , Germinación , Ósmosis , Pisum sativum , Semillas , Semillas/química , Semillas/metabolismo , Semillas/crecimiento & desarrollo , Germinación/efectos de los fármacos , Fulerenos/farmacología , Pisum sativum/metabolismo , Pisum sativum/genética , Pisum sativum/química , Ensamble y Desensamble de Cromatina/efectos de los fármacos , Regulación de la Expresión Génica de las Plantas/efectos de los fármacos , Presión Osmótica
4.
Opt Express ; 31(6): 9308-9318, 2023 Mar 13.
Artículo en Inglés | MEDLINE | ID: mdl-37157503

RESUMEN

For a partially coherent Bessel-Gaussian (PCBG) vortex beam, information regarding the topological charge (TC) is hidden in the phase of the cross-spectral density (CSD) function. We theoretically and experimentally confirmed that during free-space propagation, the number of coherence singularities is equal to the magnitude of the TC. In contrast to the Laguerre-Gaussian vortex beam, this quantitative relationship only holds for the case with an off-axis reference point for the PCBG vortex beam. The phase winding direction is determined by the sign of the TC. We developed a scheme for CSD phase measurement of PCBG vortex beams and verified the aforementioned quantitative relationship at different propagation distances and coherence widths. The findings of this study may be useful for optical communications.

5.
Int J Mol Sci ; 24(18)2023 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-37762432

RESUMEN

Soybean (Glycine max (L.) Merr.) is an important source of plant protein, the nutritional quality of which is considerably affected by the content of the sulfur-containing amino acid, methionine (Met). To improve the quality of soybean protein and increase the Met content in seeds, soybean cystathionine γ-synthase 2 (GmCGS2), the first unique enzyme in Met biosynthesis, was overexpressed in the soybean cultivar "Jack", producing three transgenic lines (OE3, OE4, and OE10). We detected a considerable increase in the content of free Met and other free amino acids in the developing seeds of the three transgenic lines at the 15th and 75th days after flowering (15D and 75D). In addition, transcriptome analysis showed that the expression of genes related to Met biosynthesis from the aspartate-family pathway and S-methyl Met cycle was promoted in developing green seeds of OE10. Ultimately, the accumulation of total amino acids and soluble proteins in transgenic mature seeds was promoted. Altogether, these results indicated that GmCGS2 plays an important role in Met biosynthesis, by providing a basis for improving the nutritional quality of soybean seeds.


Asunto(s)
Aminoácidos , Glycine max , Glycine max/metabolismo , Aminoácidos/metabolismo , Proteínas de Soja/genética , Proteínas de Soja/metabolismo , Proteínas de Plantas/metabolismo , Semillas/metabolismo , Plantas Modificadas Genéticamente/metabolismo , Regulación de la Expresión Génica de las Plantas
6.
Molecules ; 28(5)2023 Feb 24.
Artículo en Inglés | MEDLINE | ID: mdl-36903393

RESUMEN

DNA self-assembled fluorescent nanoprobes have been developed for bio-imaging owing to their high resistance to enzyme degradation and great cellular uptake capacity. In this work, we designed a new Y-shaped DNA fluorescent nanoprobe (YFNP) with aggregation-induced emission (AIE) characteristic for microRNA imaging in living cells. With the modification of the AIE dye, the constructed YFNP had a relatively low background fluorescence. However, the YFNP could emit a strong fluorescence due to the generation of microRNA-triggered AIE effect in the presence of target microRNA. Based on the proposed target-triggered emission enhancement strategy, microRNA-21 was detected sensitively and specifically with a detection limit of 122.8 pM. The designed YFNP showed higher bio-stability and cell uptake than the single-stranded DNA fluorescent probe, which has been successfully applied for microRNA imaging in living cells. More importantly, the microRNA-triggered dendrimer structure could be formed after the recognition of target microRNA, achieving a reliable microRNA imaging with a high spatiotemporal resolution. We expect that the proposed YFNP will become a promising candidate for bio-sensing and bio-imaging.


Asunto(s)
MicroARNs , MicroARNs/metabolismo , Colorantes Fluorescentes/química , Diagnóstico por Imagen , ADN/química , Fluorescencia
7.
BMC Plant Biol ; 21(1): 289, 2021 Jun 24.
Artículo en Inglés | MEDLINE | ID: mdl-34167466

RESUMEN

BACKGROUND: Blueberry (Vaccinium spp.) is characterized by the production of berries that are smaller than most common fruits, and the underlying mechanisms of fruit size in blueberry remain elusive. V. corymbosum 'O'Neal' and 'Bluerain' are commercial southern highbush blueberry cultivars with large- and small-size fruits, respectively, which mature 'O'Neal' fruits are 1 ~ 2-fold heavier than those of 'Bluerain'. In this study, the ontogenetical patterns of 'O'Neal' and 'Bluerain' hypanthia and fruits were compared, and comparative transcriptomic analysis was performed during early fruit development. RESULTS: V. corymbosum 'O'Neal' and 'Bluerain' hypanthia and fruits exhibited intricate temporal and spatial cell proliferation and expansion patterns. Cell division before anthesis and cell expansion after fertilization were the major restricting factors, and outer mesocarp was the key tissue affecting fruit size variation among blueberry genotypes. Comparative transcriptomic and annotation analysis of differentially expressed genes revealed that the plant hormone signal transduction pathway was enriched, and that jasmonate-related TIFYs genes might be the key components orchestrating other phytohormones and influencing fruit size during early blueberry fruit development. CONCLUSIONS: These results provided detailed ontogenetic evidence for determining blueberry fruit size, and revealed the important roles of phytohormone signal transductions involving in early fruit development. The TIFY genes could be useful as markers for large-size fruit selection in the current breeding programs of blueberry.


Asunto(s)
Arándanos Azules (Planta)/crecimiento & desarrollo , Flores/crecimiento & desarrollo , Frutas/crecimiento & desarrollo , Perfilación de la Expresión Génica , Arándanos Azules (Planta)/anatomía & histología , Arándanos Azules (Planta)/metabolismo , Proliferación Celular , Flores/anatomía & histología , Flores/metabolismo , Frutas/anatomía & histología , Frutas/metabolismo , Reguladores del Crecimiento de las Plantas/metabolismo , Reguladores del Crecimiento de las Plantas/fisiología , ARN de Planta/metabolismo , Transducción de Señal/genética
8.
Opt Express ; 28(25): 38106-38114, 2020 Dec 07.
Artículo en Inglés | MEDLINE | ID: mdl-33379630

RESUMEN

We perform a Young's double-slit experiment with a partially coherent vortex beam (PCVB) and explore its cross-spectral density (CSD) at the focal plane after passing through a double-slit. Our results reveal that the phase of the CSD distribution with respect to an on-axis reference point can simultaneously quantitatively characterize the sign and magnitude of the topological charge (TC) carried by such a beam. In particular, the magnitude of the TC is half of the number of coherence singularities and the sign of the TC is determined by the phase winding of the coherence singularities (i.e., counterclockwise- and clockwise increases correspond to positive and negative, respectively). Based on this property, we present and demonstrate experimentally a simple technique to measure the sign and magnitude of the TC of a PCVB through its CSD distribution after a double-slit. Our method allows for easy measurement of the TC by being conceptually simpler than other methods.

9.
J Chem Inf Model ; 60(12): 5995-6006, 2020 12 28.
Artículo en Inglés | MEDLINE | ID: mdl-33140954

RESUMEN

Semi-supervised learning has proved its efficacy in utilizing extensive unlabeled data to alleviate the use of a large amount of supervised data and improve model performance. Despite its tremendous potential, semi-supervised learning has yet to be implemented in the field of drug discovery. Empirical testing of drugs and their classification is costly and time-consuming. In contrast, predicting therapeutic applications of drugs from their structural formulas using semi-supervised learning would reduce costs and time significantly. Herein, we employ a new multicontrastive-based semi-supervised learning algorithm-MultiCon-for classifying drugs into 12 categories, according to therapeutic applications, on the basis of image analyses of their structural formulas. By rational use of data balancing, online augmentations of the drug image data during training, and the combined use of multicontrastive loss with consistency regularization, MultiCon achieves better class prediction accuracies when compared with the state-of-the-art machine learning methods across a variety of existing semi-supervised learning benchmarks. In particular, it performs exceptionally well with a limited number of labeled examples. For instance, with just 5000 labeled drugs in a PubChem (D3) data set, MultiCon achieved a class prediction accuracy of 97.74%.


Asunto(s)
Preparaciones Farmacéuticas , Aprendizaje Automático Supervisado , Algoritmos
10.
Hepatobiliary Pancreat Dis Int ; 19(6): 524-531, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33071179

RESUMEN

BACKGROUND: Hepatic artery occlusion (HAO) after liver transplantation (LT) is typically comprised of hepatic artery thrombosis (HAT) and stenosis (HAS), both of which are severe complications that coexist and interdependent. This study aimed to evaluate an integrated endovascular treatment (EVT) strategy for the resolution of early HAO and identify the risk factors associated with early HAO as well as the procedural challenge encountered in the treatment strategy. METHODS: Consecutive orthotopic LT recipients (n = 366) who underwent transplantation between June 2017 and December 2018 were retrospectively investigated. EVT was performed using an integrated strategy that involved thrombolytic therapy, shunt artery embolization plus vasodilator therapy, percutaneous transluminal angioplasty, and/or stent placement. Simple EVT was defined as the clinical resolution of HAO by one round of EVT with thrombolytic therapy and/or shunt artery embolization plus vasodilator therapy. Otherwise, it was defined as complex EVT. RESULTS: Twenty-six patients (median age 52 years) underwent EVT for early HAO that occurred within 30 days post-LT. The median interval from LT to EVT was 7 (6-16) days. Revascularization time (OR = 1.027; 95% CI: 1.005-1.050; P = 0.018) and the need for conduit (OR = 3.558; 95% CI: 1.241-10.203, P = 0.018) were independent predictors for early HAO. HAT was diagnosed in eight patients, and four out of those presented with concomitant HAS. We achieved 100% technical success and recanalization by performing simple EVT in 19 patients (3 HAT+/HAS- and 16 HAT-/HAS+) and by performing complex EVT in seven patients (1 HAT+/HAS-, 4 HAT+/HAS+, and 2 HAT-/HAS+), without major complications. The primary assisted patency rates at 1, 6, and 12 months were all 100%. The cumulative overall survival rates at 1, 6, and 12 months were 88.5%, 88.5%, and 80.8%, respectively. Autologous transfusion < 600 mL (94.74% vs. 42.86%, P = 0.010) and interrupted suture for hepatic artery anastomosis (78.95% vs. 14.29%, P = 0.005) were more prevalent in simple EVT. CONCLUSIONS: The integrated EVT strategy was a feasible approach providing effective resolution with excellent safety for early HAO after LT. Appropriate autologous transfusion and interrupted suture technique helped simplify EVT.


Asunto(s)
Angioplastia , Arteriopatías Oclusivas/terapia , Embolización Terapéutica , Arteria Hepática , Trasplante de Hígado/efectos adversos , Terapia Trombolítica , Trombosis/terapia , Adulto , Angioplastia/efectos adversos , Angioplastia/instrumentación , Arteriopatías Oclusivas/diagnóstico por imagen , Arteriopatías Oclusivas/etiología , Arteriopatías Oclusivas/fisiopatología , Constricción Patológica , Bases de Datos Factuales , Embolización Terapéutica/efectos adversos , Femenino , Arteria Hepática/diagnóstico por imagen , Arteria Hepática/fisiopatología , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Riesgo , Stents , Terapia Trombolítica/efectos adversos , Trombosis/diagnóstico por imagen , Trombosis/etiología , Trombosis/fisiopatología , Factores de Tiempo , Resultado del Tratamiento , Grado de Desobstrucción Vascular , Vasodilatadores/uso terapéutico
11.
Biochim Biophys Acta Gen Subj ; 1862(10): 2226-2235, 2018 10.
Artículo en Inglés | MEDLINE | ID: mdl-30036601

RESUMEN

Protein misfolding and aggregation are associated with amyloidosis. The toxic aggregation of amyloid-ß 1-42 (Aß42) may disrupt cell membranes and lead to cell death and is thus regarded as a contributing factor in Alzheimer's disease (AD). 1,4-naphthoquinone (NQ) has been shown to exhibit strong anti-aggregation effects on amyloidogenic proteins such as insulin and α-synuclein; however, its high toxicity and poor solubility limit its clinical application. Menadione sodium bisulfite (MSB, also known as vitamin K3), is used clinically in China to treat hemorrhagic diseases caused by vitamin K deficiency and globally as a vitamin K supplement. We hypothesized that MSB could inhibit amyloid formation since its backbone structure is similar to NQ. To test our hypothesis, we first investigated the effects of MSB on Aß42 amyloid formation in vitro. We found that MSB inhibited Aß42 amyloid formation in a dose dependent manner, delayed the secondary structural conversion of Aß42 from random coil to ordered ß-sheet, and attenuated the ability of Aß42 aggregates to disrupt membranes; moreover, the quinone backbone rather than lipophilicity is esstial for the inhibitory effects of MSB. Next, in cells expressing a pathogenic APP mutation (Osaka mutation) that results in the formation of intraneuronal Aß oligomers, MSB inhibited the intracellular aggregation of Aß. Moreover, MSB treatment significantly extended the life span of Caenorhabditis elegans CL2120, a strain that expresses human Aß42. Together, these results suggest that MSB and its derivatives may be further explored as potential therapeutic agents for the prevention or treatment of AD.


Asunto(s)
Péptidos beta-Amiloides/química , Animales Modificados Genéticamente/crecimiento & desarrollo , Caenorhabditis elegans/crecimiento & desarrollo , Fragmentos de Péptidos/química , Agregación Patológica de Proteínas/prevención & control , Vitamina K 3/farmacología , Vitaminas/farmacología , Péptidos beta-Amiloides/efectos de los fármacos , Animales , Animales Modificados Genéticamente/genética , Animales Modificados Genéticamente/metabolismo , Caenorhabditis elegans/genética , Caenorhabditis elegans/metabolismo , Humanos , Longevidad , Fragmentos de Péptidos/efectos de los fármacos
12.
J Gastroenterol Hepatol ; 33(5): 1092-1099, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-28984386

RESUMEN

BACKGROUND AND AIM: Cholangitis, bacteremia, and pyogenic liver abscess (PLA) can be often caused by intrahepatic bile ducts stone (IBDS), which is endemic to South-East Asia. The association between IBDS and cholangiocarcinoma has been well recognized. Concomitant cholangiocarcinoma in the PLA related to IBDS is often missed. METHODS: A case-control study consisting of 64 patients with PLA related to IBDS and 256 control patients with PLA not related to IBDS was used to investigate clinical features of PLA and incidence of concomitant cholangiocarcinoma in patients with PLA related to IBDS. RESULTS: The main imaging manifestations of PLA related to IBDS was cystic-solid lesions and solid lesions. Of seven patients (10.9%) with pathology-proven cholangiocarcinoma in the same area of PLA related to IBDS among 64 patients, only two patients were initially diagnosed as having concomitant cholangiocarcinoma by biopsy, and other five patients diagnosed as acute inflammatory lesion. Within 60 days after onset, the infection-related death rate and recurrence rate in patients with PLA related to IBDS were 12.9% and 20.3%, respectively, whereas in patients with PLA not related to IBDS were 3.9% and 3.1%, respectively. Only 25% of patients with PLA related to IBDS underwent surgery after admission. The main pathogens in PLA patients related to IBDS were Escherichia coli and extended-spectrum beta-lactamase-producing Enterobacteriaceae. CONCLUSIONS: The imaging manifestations of PLA related to IBDS often present cystic-solid or solid lesions. PLA related to IBDS is characterized by high rate of recurrence and infection-related death, difficulty in diagnosis of concomitant cholangicarcinoma.


Asunto(s)
Neoplasias de los Conductos Biliares/diagnóstico , Neoplasias de los Conductos Biliares/etiología , Conductos Biliares Intrahepáticos , Colangiocarcinoma/diagnóstico , Colangiocarcinoma/etiología , Colelitiasis/complicaciones , Infecciones por Enterobacteriaceae/etiología , Infecciones por Escherichia coli/etiología , Absceso Piógeno Hepático/etiología , Adulto , Anciano , Asia Sudoriental/epidemiología , Neoplasias de los Conductos Biliares/epidemiología , Estudios de Casos y Controles , Colangiocarcinoma/epidemiología , Comorbilidad , Diagnóstico Diferencial , Infecciones por Enterobacteriaceae/epidemiología , Infecciones por Escherichia coli/epidemiología , Femenino , Humanos , Incidencia , Absceso Piógeno Hepático/diagnóstico , Absceso Piógeno Hepático/diagnóstico por imagen , Absceso Piógeno Hepático/epidemiología , Masculino , Persona de Mediana Edad
13.
Int J Med Sci ; 15(9): 892-899, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30008601

RESUMEN

CD8+CD28-T cells (CD8Ts) exert immunosuppressive effects in various autoimmune diseases. The current study was designed to investigate the role of defects in CD8Ts in liver transplantation (LT). The proportion of CD8Ts in peripheral blood was determined by flow cytometry. The mean proportion of CD8Ts was 23.39% in recipients with stable graft function and 16.64% in those with graft dysfunction following LT compared with 19.86% in the healthy cohort. After receiving enhanced immunosuppressive therapy, patients in the rejection group who achieved recovery of graft function showed an increase in the proportion of CD8Ts (from 17.39% to 25.55%), but those in the group with refractory graft dysfunction showed no significant change (12.49% to 10.30%). Furthermore, in the first year after LT, recipients longer removed in time from the LT date exhibited a higher proportion of CD8Ts. Patients benefited most from tacrolimus concentrations of 5-10 ng/ml in the first year after LT and 0-5 ng/ml thereafter. Moreover, the change in the proportion of CD8Ts (ΔCD8Ts) was significantly higher in recipients with stable graft function than in those with graft dysfunction. These results suggest that a high frequency of CD8Ts prevents rejection and contributes to reduce immunosuppressant dosage and even induces tolerance.


Asunto(s)
Antígenos CD28 , Linfocitos T CD8-positivos , Rechazo de Injerto/inmunología , Inmunosupresores/administración & dosificación , Trasplante de Hígado , Adulto , Linfocitos T CD4-Positivos , Femenino , Humanos , Masculino , Persona de Mediana Edad
14.
Hepatobiliary Pancreat Dis Int ; 17(3): 204-209, 2018 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-29807766

RESUMEN

BACKGROUND: Previous studies have emphasized the need to reduce tacrolimus (TAC) trough levels in the early post-liver transplantation (LT) period. However, whether late-period TAC trough levels influence the long-term outcomes of liver recipients is not clear. METHODS: We enrolled 155 adult liver recipients survived more than 3 years after living donor liver transplantation because of non-malignant liver diseases. The maintenance immunosuppressive regimens were TAC monotherapy and combined therapy with mycophenolate mofetil. Patients were divided into three groups according to their late-period TAC trough levels: < 3 ng/mL group, 3-5 ng/mL group, and  >5 ng/mL group. The complications and adverse effects of TAC were analyzed. RESULTS: Each group showed similar rejection, graft loss and mortality. Patients achieved the < 5 ng/mL state in less than 4 years had fewer new-onset diabetes, hyperlipidemia, de novo malignancies, and hepatitis B virus recurrence; the complications of renal dysfunction and hypertension rates were the same among these 3 groups. CONCLUSIONS: Collectively, our findings indicated that lower TAC trough levels in the late period of liver transplantation are safe, improve the long-term outcomes.


Asunto(s)
Inhibidores de la Calcineurina/sangre , Inmunosupresores/sangre , Trasplante de Hígado/métodos , Donadores Vivos , Tacrolimus/sangre , Adulto , Anciano , Inhibidores de la Calcineurina/administración & dosificación , Inhibidores de la Calcineurina/efectos adversos , Inhibidores de la Calcineurina/farmacocinética , Monitoreo de Drogas , Quimioterapia Combinada , Femenino , Rechazo de Injerto/inmunología , Rechazo de Injerto/prevención & control , Supervivencia de Injerto/efectos de los fármacos , Humanos , Inmunosupresores/administración & dosificación , Inmunosupresores/efectos adversos , Inmunosupresores/farmacocinética , Estimación de Kaplan-Meier , Trasplante de Hígado/efectos adversos , Trasplante de Hígado/mortalidad , Masculino , Persona de Mediana Edad , Ácido Micofenólico/administración & dosificación , Estudios Retrospectivos , Factores de Riesgo , Tacrolimus/administración & dosificación , Tacrolimus/efectos adversos , Tacrolimus/farmacocinética , Resultado del Tratamiento , Adulto Joven
16.
Hepatobiliary Pancreat Dis Int ; 14(2): 145-9, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25865686

RESUMEN

BACKGROUND: Liver transplantation is the optimal treatment for a selected group of patients with moderate to severe cirrhosis and hepatocellular carcinoma (HCC). Despite the strict selection of candidates, post-transplant recurrence often occurs and markedly reduces the long-term survival of patients with HCC. The present review focuses on the current strategies on preventing the recurrence of HCC after liver transplantation. DATA SOURCES: Relevant articles were identified by extensive searching of PubMed using the keywords "hepatocellular carcinoma", "recurrence" and "liver transplantation" between January 1996 and January 2014. Additional papers were searched manually from the references in key articles. RESULTS: The current theories of HCC recurrence after liver transplantation are: (i) the growth of pre-transplant occult metastases; (ii) the engraftment of circulating tumor cells released at the time of transplantation. Pre-transplant treatment aims to control local tumor by radiofrequency ablation, transarterial embolization and transarterial chemoembolization. The main objective during the operation is to prevent tumor cell dissemination. Post-transplant treatment includes systemic anticancer therapy, antiviral therapy, and most recently, immunotherapy. These strategies concentrate on the control of the tumor when the patients are waiting for transplant, to reduce the release of HCC cells during surgical procedures and to clear the occult HCC cells after transplantation. CONCLUSIONS: Much can be done to prevent HCC recurrence after liver transplantation. In future, effort is likely to be directed towards combining multidisciplinary approaches and various treatment modalities.


Asunto(s)
Carcinoma Hepatocelular/prevención & control , Neoplasias Hepáticas/prevención & control , Recurrencia Local de Neoplasia/prevención & control , Antineoplásicos/uso terapéutico , Antivirales/uso terapéutico , Carcinoma Hepatocelular/secundario , Carcinoma Hepatocelular/cirugía , Carcinoma Hepatocelular/terapia , Quimioterapia Adyuvante , Humanos , Inmunoterapia , Neoplasias Hepáticas/patología , Neoplasias Hepáticas/cirugía , Neoplasias Hepáticas/terapia , Trasplante de Hígado , Células Neoplásicas Circulantes
17.
Hepatobiliary Pancreat Dis Int ; 13(4): 395-401, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-25100124

RESUMEN

BACKGROUND: The established procedure for ABO-incompatible liver transplantation (ABO-I LT) was too complicated to be used in case of emergency. We developed a protocol consisting of rituximab and intravenous immunoglobulin (IVIG) for ABO-I LT in patients with acute liver failure (ALF). METHODS: The data from 101 patients who had undergone liver transplantation (LT) for ALF were retrospectively analyzed. The patients were divided into two groups: ABO-compatible liver transplantation group (ABO-C LT, n=66) and ABO-I LT group (n=35). All the patients in the ABO-I LT group received a single dose of rituximab (375 mg/m2) and IVIG (0.4 g/kg per day) at the beginning of the operation. IVIG was administered for 10 consecutive days after LT. Plasma exchange, splenectomy and graft local infusion were omitted in the protocol. Quadruple immunosuppressive therapy including basiliximab, corticosteroids, tacrolimus and mycophenolatemofetil was used to reinforce immunosuppression. RESULTS: The 3-year cumulative patient survival rates in the ABO-I LT and ABO-C LT groups were 83.1% and 86.3%, respectively (P>0.05), and the graft survival rates were 80.0% and 86.3%, respectively (P>0.05). Two patients (5.7%) suffered from antibody-mediated rejection in the ABO-I LT group. Other complications such as acute cellular rejection, biliary complication and infection displayed no significant differences between the two groups. CONCLUSIONS: The simplified treatment consisting of rituximab and IVIG prevented antibody-mediated rejection for LT of blood-type incompatible patients. With this treatment, the patients did not need plasma exchange, splenectomy and graft local infusion. This treatment was safe and efficient for LT of the patients with ALF.


Asunto(s)
Sistema del Grupo Sanguíneo ABO/sangre , Anticuerpos Monoclonales de Origen Murino/administración & dosificación , Incompatibilidad de Grupos Sanguíneos/inmunología , Inmunoglobulinas Intravenosas/administración & dosificación , Inmunosupresores/administración & dosificación , Fallo Hepático Agudo/cirugía , Trasplante de Hígado/métodos , Corticoesteroides/administración & dosificación , Adulto , Anciano , Incompatibilidad de Grupos Sanguíneos/sangre , Esquema de Medicación , Quimioterapia Combinada , Urgencias Médicas , Femenino , Rechazo de Injerto/inmunología , Rechazo de Injerto/prevención & control , Supervivencia de Injerto/efectos de los fármacos , Humanos , Estimación de Kaplan-Meier , Fallo Hepático Agudo/sangre , Fallo Hepático Agudo/diagnóstico , Fallo Hepático Agudo/inmunología , Fallo Hepático Agudo/mortalidad , Trasplante de Hígado/efectos adversos , Trasplante de Hígado/mortalidad , Masculino , Persona de Mediana Edad , Ácido Micofenólico/administración & dosificación , Ácido Micofenólico/análogos & derivados , Estudios Retrospectivos , Factores de Riesgo , Rituximab , Tacrolimus/administración & dosificación , Factores de Tiempo , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Adulto Joven
18.
J Glob Antimicrob Resist ; 38: 1-5, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38777179

RESUMEN

BACKGROUND: Enterococcus faecium (E. faecium) stands as a prominent pathogen contributing to Gram-positive bacterial infections in individuals who have undergone liver transplantation. CASE PRESENTATION: A 66-year-old male with a three-year history of treated anxiety disorder was admitted to our hospital due to recurrent abdominal distension and oliguria. He was diagnosed with hepatic veno-occlusive disease (HVOD), hepatic failure, pneumonia, renal insufficiency and abdominal ascites. A liver transplantation procedure was performed, but the patient's infection index increased on the first day after surgery. Empirical antibiotic therapy with ceftriaxone and meropenem and preventive antifungal therapy were applied. Sputum culture, blood culture, ascites culture and bronchoalveolar lavage fluid (BALF) next-generation sequencing (NGS), revealed the presence of E. faecium. Given the application of various nephrotoxic immunosuppressive agents after liver transplantation, pre-existing renal insufficiency, severe bone marrow suppression, and a history of anxiety disorder treated with sertraline, contezolid was added for the treatment of the Gram-positive bacterial infection. Sixteen days after surgery, cultures from ascites and sputum yielded negative results for fungi and bacteria. Contezolid was subsequently discontinued without any reported adverse events during follow-up. CONCLUSION: Treatment with contezolid as the first-line therapy for sepsis and pneumonia caused by E. faecium following liver transplantation has shown satisfactory efficacy and safety. Therefore, contezolid may hold great promise for managing this life-threatening condition.


Asunto(s)
Antibacterianos , Enterococcus faecium , Infecciones por Bacterias Grampositivas , Trasplante de Hígado , Sepsis , Humanos , Masculino , Enterococcus faecium/efectos de los fármacos , Enterococcus faecium/aislamiento & purificación , Trasplante de Hígado/efectos adversos , Anciano , Infecciones por Bacterias Grampositivas/microbiología , Infecciones por Bacterias Grampositivas/tratamiento farmacológico , Sepsis/microbiología , Sepsis/etiología , Sepsis/tratamiento farmacológico , Antibacterianos/uso terapéutico , Neumonía/microbiología , Neumonía/tratamiento farmacológico , Neumonía/etiología
19.
Heliyon ; 10(16): e36405, 2024 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-39253237

RESUMEN

Objective: To evaluate the predictive performance of metagenomic next-generation sequencing (mNGS) in identifying and predicting pulmonary infections following liver transplantation and to investigate its association with patient outcomes within the initial four-week post-transplantation period. Methods: We retrospectively analyzed 41 liver transplant patients with suspected pulmonary infections from August 2022 to May 2023. Bronchoalveolar lavage fluid (BALF) samples were collected on the first postoperative day for metagenomic next generation sequencing (mNGS) and culture. The predictive capability of mNGS for subsequent infections was assessed by monitoring inflammatory biomarkers and comparing the detection rates with culture methods. Real-time Polymerase Chain Reaction (Rt-PCR) was used to monitor Human betaherpesvirus 5 (CMV) and Human parvovirus B19 (B19) weekly during a four-week postoperative period. Inflammatory biomarkers and blood coagulation function were evaluated on specific days throughout the first, third, fifth, and during four weeks following surgery. The study was conducted until August 2023 to evaluate the patients' prognostic survival outcome, classifying them into groups based on the mortality and survival. Results: The analysis included a total of 41 patients, comprising 32 males and 9 females, with an average age of 52 (47, 63) years. Within one week after liver transplantation, there were 7 cases of bacterial infections, 5 cases of fungal infections, 19 cases of mixed infections, 8 cases without any infection, and 2 cases with unidentified pathogen-associated infections. mNGS successfully predicted 39 (72 %) strains of pathogens, while culture-based methods only detected 28 (52 %) strains. Among the 8 patients diagnosed as non-infected, culture methods identified positive results in 4 cases (50 %), whereas mNGS yielded positive results in 7 cases (87.5 %). The detection rates of CMV and B19 by Rt-PCR within 4 weeks after liver transplantation were 61 % and 17 %, respectively (25/41, 7/41) among the patients. During the study period, a total of 9 patients succumbed while 32 patients survived. The death group and the survival group exhibited significant differences in CRP, HGB, and INR levels at specific monitoring time points. The proportion of CMV detection in blood was significantly higher in the death group compared to the surviving group. Elevated CRP level was identified as a prognostic risk factor. Conclusions: Despite the presence of false positives, mNGS still presents a potential advantage in predicting pulmonary infection pathogens following liver transplantation. Furthermore, the levels of CRP and CMV carrier status within four weeks post-surgery exhibit significant associations with patient survival and prognosis.

20.
J Hazard Mater ; 421: 126756, 2022 01 05.
Artículo en Inglés | MEDLINE | ID: mdl-34352523

RESUMEN

Widespread heavy metal pollution in soils has posed serious threat to vegetable production and food security, yet little is still known about heavy metal accumulation and distribution in the majority of vegetable crops. Here, we report the generation of a tissue atlas of cadmium accumulation in zucchini (Cucurbita pepo var. Giromontial), a globally important cucurbit crop, based on two-season experiment with six genotypes grown under cadmium contaminated soils. Plant growth and development as manifested by biomass, flowering time and plant architecture were unaffected by 10 mg/kg cadmium treatment, but high level of cadmium enrichment was detected in all genotypes. Roots accumulated the largest amount of cadmium, whereas the cadmium concentrations in fruits was also considerable. The exocarps of fruits possessed nearly half of the total cadmium in fruits, rendering it a "hotspot" of safety risk. Measurement of the thiol-containing chelates revealed that concentration of GSH but not PCs was correlated with the cadmium concentration in subdivided fruit tissues, suggesting a mechanism of phloem-specific transportation of cadmium in the form of Cd-GSH. Based on the collective data, a tentative model describing the relationship between long-distance phloem transport and cadmium distribution in sink organs is proposed. The implications for food safety are discussed.


Asunto(s)
Cadmio , Contaminantes del Suelo , Cadmio/análisis , Inocuidad de los Alimentos , Raíces de Plantas/química , Contaminantes del Suelo/análisis , Compuestos de Sulfhidrilo , Verduras
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