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Inaccurate or cumbersome clinical pathogen diagnosis between Gram-positive bacteria (G+) and Gram-negative (G-) bacteria lead to delayed clinical therapeutic interventions. Microelectrode-based electrochemical sensors exhibit the significant advantages of rapid response and minimal sample consumption, but the loading capacity and discrimination precision are weak. Herein, we develop reversible fusion-fission MXene-based fiber microelectrodes for G+/G- bacteria analysis. During the fissuring process, the spatial utilization, loading capacity, sensitivity, and selectivity of microelectrodes were maximized, and polymyxin B and vancomycin were assembled for G+/G- identification. The surface-tension-driven reversible fusion facilitated its reusability. A deep learning model was further applied for the electrochemical impedance spectroscopy (EIS) identification in diverse ratio concentrations of G+ and G- of (1:100-100:1) with higher accuracy (>93%) and gave predictable detection results for unknown samples. Meanwhile, the as-proposed sensing platform reached higher sensitivity toward E. coli (24.3 CFU/mL) and S. aureus (37.2 CFU/mL) in 20 min. The as-proposed platform provides valuable insights for bacterium discrimination and quantification.
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Microeletrodos , Bactérias Gram-Positivas/isolamento & purificação , Bactérias Gram-Negativas/isolamento & purificação , Escherichia coli/isolamento & purificação , Staphylococcus aureus/isolamento & purificação , Técnicas Eletroquímicas/instrumentação , Vancomicina/farmacologia , Antibacterianos/farmacologia , Antibacterianos/análise , Polimixina B/química , Polimixina B/farmacologia , Espectroscopia DielétricaRESUMO
Global aging is a tendency of the world, as is the increasing prevalence of diabetes, and the two are closely linked. In our early research, Enteromorpha prolifera oligosaccharide (EPO) possesses the excellent ability of anti-oxidative, anti-inflammatory, and anti-diabetic. We aim to further explore the deeper mechanism of how EPO delays aging and regulates glycometabolism. EPO effectively impacts crotonylation procession to enhance glucose metabolism and reduce cell senescence in aging diabetic rats. Crotonylation modification of XPO1 influences the expression of critical genes, including p53, CDK1, and CCNB1, which affect cell cycle regulation and aging. Additionally, EPO improves glucose metabolism by inhibiting the crotonylation modification of HSPA8-K126 and activating the AKT pathway. EPO promotes crotonylation of histones in intestinal cells, influencing the aging process by increasing the butyric acid-producing bacteria Ruminococcaceae. The observed enhancement in pyrimidine metabolism underscores EPO's potential role in regulating intestinal health, presenting a promising avenue for delaying aging. In summary, our findings affirm EPO as a naturally bioactive ingredient with significant potential for anti-aging and antidiabetic interventions.
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Diabetes Mellitus Tipo 2 , Hipoglicemiantes , Oligossacarídeos , Animais , Diabetes Mellitus Tipo 2/tratamento farmacológico , Diabetes Mellitus Tipo 2/metabolismo , Oligossacarídeos/farmacologia , Oligossacarídeos/metabolismo , Hipoglicemiantes/farmacologia , Hipoglicemiantes/uso terapêutico , Masculino , Diabetes Mellitus Experimental/metabolismo , Diabetes Mellitus Experimental/tratamento farmacológico , Envelhecimento/metabolismo , Envelhecimento/efeitos dos fármacos , Senescência Celular/efeitos dos fármacos , Ratos Sprague-Dawley , Ratos , Humanos , Microbioma Gastrointestinal/efeitos dos fármacosRESUMO
In 2022, there were around 20 million new cases and over 9.7 million cancer-related deaths worldwide. An increasing number of metabolites with anticancer activity in algae had been isolated and identified, which were promising candidates for cancer therapy. Red algae are well-known for the production of brominated metabolites, including terpenoids and phenols, which have the capacity to induce cell toxicity. Some non-toxic biological macromolecules, including polysaccharides, are distinct secondary metabolites found in many algae, particularly green algae. They possess anticancer activities by inhibiting tumor angiogenesis, stimulating the immune response, and inducing apoptosis. However, the structure-activity relationship between these components and antitumor activity, as well as certain taxa within the algae, remains relatively unstudied. This work is based on the reports published from 2003 to 2024 in PubMed and ISI Web of Science databases. A comprehensive review of the characterized algal anticancer active compounds, together with their structure and mechanism of action was performed. Also, their structure-activity relationship was preliminarily summarized to better assess their potential properties as a natural, safe bioactive product to be used as an alternative for the treatment of cancers, leading to new opportunities for drug discovery.
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Neoplasias , Humanos , Neoplasias/tratamento farmacológico , Relação Estrutura-Atividade , Rodófitas/química , Clorófitas/química , Antineoplásicos/farmacologia , Antineoplásicos/química , Animais , Produtos Biológicos/farmacologia , Produtos Biológicos/químicaRESUMO
Xanthine-functionalized molybdenum oxide nanodots (X-MoO3-x NDs) with peroxidase (POD)-like activity were developed for selective, sensitive, and facile colorimetric quantification of xanthine oxidase (XO). Xanthine functionalization can not only be favorable for the successful nanozyme preparation, but also for the specific recognition of XO as well as the simultaneous generation of hydrogen peroxide, which was subsequently transformed into hydroxyl radical to oxidize the chromogenic reagent based on the POD-like catalysis. Under the optimized conditions, the colorimetric biosensing platform was established for XO assay without addition of further substrates, showing good linearity relationship between absorbance difference (ΔA) and XO concentrations in the range 0.05-0.5 U/mL (R2 = 0.998) with a limit of detection (LOD) of 0.019 U/mL. The quantification of XO occurs in 25 min, which is superior to the previously reported and commercial XO assays. The proposed method has been successfully used in the assay of human serum samples, showing its high potential in the field of clinical monitoring.
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Colorimetria , Xantina Oxidase , Humanos , Molibdênio , Antioxidantes , XantinaRESUMO
In fringe projection profilometry, 1-bit processing of 8-bit raster patterns is a common method to suppress nonlinear errors in commercial projectors and realize high-speed projection in industrial projectors. In the process of generating 1-bit fringes from sinusoidal fringes, the generation of high-order harmonics is inevitable; choosing to introduce fewer high-order harmonics of the algorithm is conducive to defocus to obtain a better sinusoidal pattern. This paper proposes a method to expand the error-diffusion kernel of the conventional Floyd-Steinberg diffusion dithering algorithm from 2×3 to 3×5, which can reduce the grayscale change of surrounding pixels and generate 1-bit fringes with fewer high-order harmonics. Meanwhile, this paper optimizes the parameters of the 3×5 error-diffusion kernel and proposes the optimal parameters for this kind of diffusion kernel. The simulation results show that the fringes generated by the proposed 3×5 error-diffusion-kernel algorithms are closer to sinusoidal fringes after Gaussian low-pass filtering. The experimental results show that the accuracy of the 3×5 diffusion kernel algorithms is higher.
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Due to their distinctive flavors, edible mushrooms have gained attention in flavor-related research, and the quality of their flavors determines their consumption. The odor is a vital element of food flavor that significantly impacts consumers' perceptions and purchase decisions. The volatile organic compounds (VOCs) of the odorant ingredient is the primary factors affecting scent characteristics. VOCs analysis and identification require technical assistance. The production and use of edible mushrooms can be aided by a broader examination of their volatile constituents. This review discusses the composition of VOCs in edible mushrooms and how they affect flavors. The principles, advantages, and disadvantages of various methods for extraction, isolation, and characterization of the VOCs of edible mushrooms are also highlighted. The numerous VOCs found in edible mushrooms such as primarily C-8 compounds, organic sulfur compounds, aldehydes, ketones, alcohols, and esters are summarized along with their effects on the various characteristics of scent. Combining multiple extraction, isolation, identification, and quantification technologies will facilitate rapid and accurate analysis of VOCs in edible mushrooms as proof of sensory attributes and quality.
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Amino acid-based poly(ester amide)s are a new family of biodegradable polymers that exhibit "pseudo-protein" characteristics and the structural varieties of poly(ester amide)s make them hold great potential in multiple biomedical applications. In this study, a lysine-phenylalanine-based pseudo-protein is developed as the self-assembled nanomicellar carrier for efficient delivery of doxorubicin. The lysine moieties from the pseudo-protein provide available sites for further functionalization, and methylcoumarin is introduced for easy and photocontrollable crosslinking, to effectively improve the micellar stability in serum containing environment and against dilution. However, photocrosslinks do not bring in any barrier for the intracellular release of doxoubicin. Doxorubicin release is significantly accelerated by proteolytic enzyme, due to the biodegradability of pseudo-protein micelles. In addition, pseudo-protein delivery system exhibits unique interactions with HCT116 human colon cancer cells. Doxorubicin loaded in pseudo-protein micelles colocalizes with mitochondria and endolysosomes, while free doxorubicin is distributed only in the nuclei. Doxorubicin-loaded pseudo-protein micelles stimulate increased level of intracellular reactive oxygen species and mitochondrial damage. Free doxorubicin induces conditional apoptosis in HCT116 cells between 0.5× 10-6 and 2 × 10-6 m, while DOX loaded in pseudo-protein micelles induces apoptosis over a higher/broader concentration range (2 × 10-6 -10 × 10-6 m).
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Amidas/química , Antineoplásicos/farmacologia , Materiais Biocompatíveis/química , Sistemas de Liberação de Medicamentos , Micelas , Nanopartículas/química , Poliésteres/química , Morte Celular/efeitos dos fármacos , Reagentes de Ligações Cruzadas/química , Doxorrubicina/farmacologia , Liberação Controlada de Fármacos , Difusão Dinâmica da Luz , Endocitose/efeitos dos fármacos , Células HCT116 , Células HeLa , Humanos , Concentração de Íons de Hidrogênio , Potencial da Membrana Mitocondrial/efeitos dos fármacos , Mitocôndrias/efeitos dos fármacos , Mitocôndrias/metabolismo , Proteínas de Transporte da Membrana Mitocondrial/metabolismo , Poro de Transição de Permeabilidade Mitocondrial , Estresse Oxidativo/efeitos dos fármacos , Polietilenoglicóis/química , Espectroscopia de Prótons por Ressonância Magnética , Soro/metabolismo , Frações Subcelulares/efeitos dos fármacos , Frações Subcelulares/metabolismoRESUMO
The generic self-correction method for nonlinearity-induced phase error (GSCN) can effectively suppress nonlinear error. However, GSCN directly ignores the periodic error of the 2N multiplication frequency in the error analysis stage, which still leads to errors in the suppressed results. In this paper, we propose a new method named improved generic self-correction method for nonlinearity-induced phase error in three-step phase-shifting profilometry. We retain the periodic error of the 2N multiplication frequency in the error analysis stage. In addition, based on the error model, we directly use the original fringes to compute the wrapped phases with -π/6, π/6, and π/3 phase shifts, respectively. Then, we use the original wrapped phase as the target phase and shifted the other three groups of wrapped phases to the target phase. Finally, we unwrap and fuse the four sets of wrapped phases to obtain the final corrected phase. Based on experimental results, the proposed method yields excellent reconstruction results and effectively suppresses nonlinear errors, making it highly efficient and precise.
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Food processing transforms raw materials into different food forms using physical or chemical techniques. Recently, carbohydrates have gained attention for their diverse biological activities like antioxidant, anticancer, and antimutagenic effects. Selecting suitable processing methods is crucial to preserve the beneficial properties of carbohydrates. This review discusses the impact of non-thermal and thermal processing on the physicochemical and biological traits of carbohydrates, highlighting the need for understanding the mechanisms underlying these changes. Future research will focus on enhancing and safeguarding the biological and functional aspects of carbohydrates through improved processing techniques. The goal is to optimize methods that maintain the beneficial properties of carbohydrates, maximizing their health benefits for consumers.
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Interpenetrated metal-organic frameworks (MOFs) with nonaromatic ligands provide a unique platform for adsorption, catalysis, and sensing applications. However, nonemission and the lack of optical property tailoring make it challenging to fabricate smart responsive devices with nonaromatic interpenetrated MOFs based on ligand-centered emission. In this paper, the pressure-induced aggregation effect is introduced in nonaromatic interpenetrated Zn4O(ADC)4(Et3N)6 (IRMOF-0) nanocrystals (NCs), where carbonyl groups aggregation results in OâO distances smaller than the sum of the van der Waals radii (3.04 Å), triggering the photoluminescence turn-on behavior. It is noteworthy that the IRMOF-0 NCs display an ultrabroad emission tunability of 130 nm from deep blue (440 nm) to yellow (570 nm) upon release to ambient conditions at different pressures. The eventual retention of through-space n-π* interactions in different degrees via pressure treatment is primarily responsible for achieving a controllable multicolor emission behavior in initially nonemissive IRMOF-0 NCs. The fabricated multicolor phosphor-converted light-emitting diodes based on the pressure-treated IRMOF-0 NCs exhibit excellent thermal, chromaticity, and fatigue stability. The proposed strategy not only imparts new vitality to nonaromatic interpenetrated MOFs but also offers new perspectives for advancements in the field of multicolor displays and daylight illumination.
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This study aimed to explore the use of Ulva lactuca polysaccharide (ULP) as a preservative for perch (Lateolabrax maculatus) fillets stored under refrigeration at 4 °C. Fresh perch fillets were treated with ULP (7-10 kDa) and potassium sorbate, respectively, to evaluate their effectiveness in inhibiting bacterial growth and maintain freshness. A 0.5% ULP solution significantly decreased the pH value, total volatile basic nitrogen value, thiobarbituric acid value, and total bacterial count of perch fillets. ULP solution delayed the changes in whiteness and texture of fillets, as well as protein degradation. The acute toxicity experiment further evaluates the safety and reliability of ULP. Simultaneously, utilizing 16S rRNA techniques, the ULP solution inhibited microorganisms known for their strong spoilage capabilities, such as Pseudomonas, Actinetobacter, and Shewanella. Microorganisms with a weaker ability to cause corruption became the dominant bacteria, such as Acetobacter, Lactobacillus, and Faecalibacterium, thereby exerting a degree of inhibition against spoilage.
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Patulin is one of the mycotoxins that exists in abundance in fruits and derivative products and is easily exposed in daily life, leading to various toxicities such as genotoxicity, teratogenicity, immunotoxicity, and carcinogenicity in the human body, while the efficient removal or degradation measures are still in urgent demand. In this work, Saccharomyces cerevisiae, a natural yeast with both patulin degradation and intestine damage protection abilities, was first applied to prevent and decrease the hazard after patulin intake. In vitro, Saccharomyces cerevisiae KD (S. cerevisiae KD) could efficiently degrade patulin at high concentrations. In a Canenorhabditis elegans (C. elegans) model fed on S. cerevisiae KD, locomotion, oxidative stress, patulin residual, intestine damage, and gene expression were investigated after exposure to 50 µg mL-1 patulin. The results demonstrated that S. cerevisiae KD could efficiently degrade patulin, as well as weaken the oxidative stress and intestinal damage caused by patulin. Moreover, S. cerevisiae KD could regulate the gene expression levels of daf-2 and daf-16 through the IGF-1 signaling pathway to control the ROS level and glutathione (GSH) content, thus decreasing intestinal damage. In summary, this work uncovers the outstanding characteristic of an edible probiotic S. cerevisiae KD in patulin degradation and biotoxicity alleviation and provides enlightenment toward solving the hazards caused by the accumulation of patulin.
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Patulina , Animais , Humanos , Patulina/toxicidade , Saccharomyces cerevisiae/metabolismo , Caenorhabditis elegans/metabolismo , Estresse Oxidativo , Dano ao DNARESUMO
The formation of Aß into amyloid fibrils was closely connected to AD, therefore, the Aß aggregates were the primary therapeutic targets against AD. Previous studies demonstrated that epicatechin-3-gallate (ECG), which possessed a gallate moiety, exhibited a greater ability to disrupt the preformed Aß amyloid fibrils than epicatechin (EC), indicating that the gallate moiety was crucial. In the present study, the molecular mechanisms were investigated. Our results demonstrated that ECG had more potent disruptive impacts on the ß-sheet structure and K28-A42 salt bridges than EC. We found that ECG significantly interfered the interactions between Peptide-4 and Peptide-5. However, EC could not. The disruption of K28-A42 salt bridges by ECG was mainly due to the interactions between ECG and the hydrophobic residues located at C-terminus. Interestingly, EC disrupted the K28-A42 salt bridges by the interactions with C-terminal hydrophobic residues and the cation-π interactions with K28. Moreover, our results indicated that hydrophobic interactions, H-bonds, π-π interactions and cation-π interactions between ECG and the bend of L-shaped region caused the disaggregation of interactions between Peptide-4 and Peptide-5. Significantly, gallate moiety in ECG had contributed tremendously to the disaggregation. We believed that our findings could be useful for designing prospective drug candidates targeting AD.
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Doença de Alzheimer , Catequina , Humanos , Simulação de Dinâmica Molecular , Peptídeos beta-Amiloides/química , Catequina/farmacologia , Catequina/uso terapêutico , Amiloide/química , Cátions , Eletrocardiografia , Fragmentos de Peptídeos/química , Doença de Alzheimer/tratamento farmacológicoRESUMO
The Taklimakan desert is known as the largest dunefield in China and also as the world's second largest shifting sand desert. The Tarim Desert Highway, which is the first highway to cross the Taklimakan desert, was built for the purpose of oil and gas resources extraction in the Tarim area, as well as for the development of the southern area of the Xinjiang Uygur Autonomous Region. Shelterbelts have been planted along the highway to prevent shifting sand from burying the road. This paper analyzes the variations of moisture and salinity of the unirrigated desert soil under natural conditions in the center of Taklimakan Desert. A number of important findings indicating the moisture and salinity of the soil at capillary saturation zone were determined by the groundwater and related to the evaporation on the top. Salinity could be affected by vegetation, which was different from moisture in the soil. Meanwhile, clay layer played an important role in water preservation in the soil, which was also beneficial to the accumulation of salinity in soil. Compared with clay layer, vegetation was a decisive factor for the gathering of salinity. The findings were significant for reasonable adjustment of irrigation in the shelterbelts for the further development of the Tarim Desert Highway.
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Clima Desértico , Cloreto de Sódio/química , Solo/química , Água/química , China , Ecossistema , Monitoramento AmbientalRESUMO
Microplastic pollution has attracted growing attention due to its prevalent and persistent exposure to general population through the food chain, but few reports have focused on the toxicological prevention of polystyrene (PS). Using the wild-type and mutant strains, this study explored the impacts of PS and cyanidin-3-O-glucoside (C3G) on stress tolerance and lifespan of Caenorhabditis elegans (C. elegans). In N2 nematodes, PS exposure initiated the oxidative stress and subsequent lifespan reduction, while these adverse impacts could be positively improved by C3G treatment. Considering the pivotal role of DAF-16 pathway in stress tolerance and lifespan regulation, the expression of the daf-16 gene and its downstream antioxidant genes (clt-2, hsp-16.1, sod-3, sod-5) were examined, and found to be significantly enhanced by C3G. Since the sod-3 gene was up-regulated the most fold by C3G, the activity of SOD enzyme that encoded by the sod-3 was examined, and could be obviously enhanced upon C3G treatment. This explained the improved oxidative stress and delayed oxidation-associated aging after C3G intervention. Nevertheless, these positive effects of C3G were weakened in daf-16(-) mutant strain (with deleted DAF-16 gene), for which the beneficial effects of C3G in promoting stress resistance and lifespan extension were inhibited. These findings suggested that the DAF-16 gene and its downstream antioxidant genes, have participated in C3G's regulations on redox balance and lifespan that impacted by nano-polystyrene particles. This study highlighted the link between dietary components and environmentally driven disturbance.
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Proteínas de Caenorhabditis elegans , Caenorhabditis elegans , Animais , Antocianinas , Antioxidantes/metabolismo , Caenorhabditis elegans/genética , Caenorhabditis elegans/metabolismo , Proteínas de Caenorhabditis elegans/genética , Proteínas de Caenorhabditis elegans/metabolismo , Fatores de Transcrição Forkhead/genética , Fatores de Transcrição Forkhead/metabolismo , Fatores de Transcrição Forkhead/farmacologia , Glucosídeos/farmacologia , Humanos , Longevidade/fisiologia , Microplásticos , Estresse Oxidativo , Plásticos/metabolismo , Plásticos/farmacologia , Poliestirenos/metabolismo , Poliestirenos/toxicidade , Espécies Reativas de Oxigênio/metabolismo , Superóxido Dismutase/genética , Superóxido Dismutase/metabolismoRESUMO
Bulk metallic glass (BMG) is a new kind of material which is made by rapid condensation of alloy. With excellent properties like high strength, high hardness, corrosion resistance, BMG is increasingly applied in mold manufacturing, weapon equipment and other fields. However, BMG is also one of hard-to-machine materials, which is arduous to be processed precisely and efficiently by the means of conventional cutting. Compared with conventional cutting, ultrasonic machining has a multitude of technological advantages such as reducing the cutting force, extending the tool life, etc. In ultrasonic machining, the ultrasonic electric signal is transformed into high frequency mechanical vibration on the tool, which changes the relationship between the tool and the workpiece in the process of machining. In this study, the longitudinal ultrasonic assisted turning (LUAT) system is established for processing BMG. Its resonant frequency and vibration characteristics are first simulated by modal analysis and harmonic response analysis, and then tested by displacement testing experiments, so that the suitable frequency and the amplitude for BMG turning can be selected and verified. On this basis, the two-dimensional turning finite element model is established to study the effect of ultrasonic vibration on cutting force under different cutting speeds. The research manifest that during the BMG turning, the assistance of longitudinal ultrasonic vibration can significantly reduce the average cutting force as well as the von Mises stress when the turning speed is below the critical turning speed. In addition, the tip of the tool contacts the workpiece discontinuously during cutting process which makes the instantaneous turning force in LUAT more periodic than that in conventional turning (CT).
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OBJECTIVE: This study aimed to systematically analyze the effectiveness and safety of the local application of vancomycin powder to prevent surgical site infection (SSI) after spinal surgeries and provide guidance for clinical practice. METHODS: Two researchers independently searched PubMed, Web of Science, Elsevier, and China National Knowledge Infrastructure using the MeSH terms "spinal surgery," "vancomycin," "local," "topical," "prophylactic," "surgical site infection," and "SSI" to identify studies published between January 2010 and January 2020 on the local application of vancomycin powder for preventing SSI after spinal surgeries. The outcome assessment indicators were analyzed using RevMan 5.3 software. RESULTS: Three randomized controlled trials, two prospective studies, and 26 retrospective studies were included in the current research. The results of the meta-analysis revealed significant differences between the vancomycin and control groups (non-vancomycin group) concerning the incidence of SSI (risk ratio = 0.39, 95% confidence interval = 0.28-0.55, Z = 5.46), indicating that local application of vancomycin powder can significantly reduce the incidence of SSI. CONCLUSION: Local application of vancomycin powder is an effective and safe method to prevent SSI after spinal surgeries.
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Infecção da Ferida Cirúrgica , Vancomicina , Antibacterianos/uso terapêutico , China , Humanos , Pós , Estudos Prospectivos , Estudos Retrospectivos , Infecção da Ferida Cirúrgica/tratamento farmacológico , Infecção da Ferida Cirúrgica/prevenção & controle , Vancomicina/uso terapêuticoRESUMO
Reduction-sensitive nanomedicine is a promising strategy to achieve controlled release of payloads in response to intracellular reductive milieu. However, endolysosomal sequestration of internalized carriers and insufficient redox potential in endolysosomes may delay the release of payloads and impact their therapeutic efficacy. Photochemical internalization (PCI), which takes advantage of light-induced endolysosomal rupture, is an effective technique for endosomal escape and cytosolic release of cargos. In this study, a biodegradable and reduction-sensitive nanocomplex was developed from arginine based poly(ester amide)s and hyaluronic acid (HA), and the PCI-photosensitizer AlPcS2a was conjugated to the surface of the nanocomplex (ArgPEA-ss-HA(AP)). This nanocomplex was used for the co-delivery of both PCI-photosensitizers and therapeutic agents to eliminate the biodistribution discrepancy resulting from the separated administration of free therapeutics. The PCI effect of the ArgPEA-ss-HA(AP) nanocomplex was validated in both monolayers and 3D spheroid models of MDA-MB-231 breast cancer cells. Synergism was detected between the PCI effect and doxorubicin-loaded nanocomplex in the inhibition of MDA-MB-231 cells. In addition, the ArgPEA-ss-HA(AP) nanocomplex also provided enhanced intratumoral penetration in 3D spheroids compared to free AlPcS2a. The in vivo results suggested that the conjugation of AlPCs2a in the nanocomplex enabled the consistent and preferential accumulation of both doxorubicin and AlPcS2a in tumor sites. A light-enhanced anti-tumor effect was observed for the doxorubicin-loaded nanocomplex at well-tolerable dosage. The ArgPEA-ss-HA(AP) nanocomplex, as a reduction-responsive delivery vehicle, can hold great potential to achieve spatio-temporally controllable anti-tumor effects.
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Portadores de Fármacos/química , Ácido Hialurônico/química , Nanoestruturas/química , Peptídeos/química , Animais , Antineoplásicos/química , Antineoplásicos/farmacologia , Antineoplásicos/uso terapêutico , Arginina/química , Linhagem Celular Tumoral , Sobrevivência Celular/efeitos dos fármacos , Doxorrubicina/química , Doxorrubicina/farmacologia , Doxorrubicina/uso terapêutico , Portadores de Fármacos/metabolismo , Endocitose , Feminino , Humanos , Luz , Camundongos , Camundongos Nus , Nanoestruturas/toxicidade , Neoplasias/tratamento farmacológico , Distribuição TecidualRESUMO
BACKGROUND: Despite great advances in aseptic surgical techniques, surgical site infection (SSI) is still one of the main complications after spine surgery. SSI can bring tremendous physical, psychological, and economic challenges to patients. Intrawound vancomycin application is a much disputed method for the prevention of SSI after spine surgery. OBJECTIVE: The aim of this study is to review the current literature for studies on the intra-wound application of vancomycin powder and to analyze its effectiveness in the prevention of postoperative SSI. METHODS: PubMed, Medline, Elsevier, and CNKI were searched for the key words "vancomycin", "local/intraoperative/topical/intra-wound", "spine/spinal/lumbar/cervical/thoracolumbar surgery", "infection", and "SSI" in published studies on the effectiveness of intrawound vancomycin application to prevent postoperative SSI. RevMan 5.3 was used to compare the data extracted from the studies included. RESULTS: A total of 27 studies involving 17,321 patients were included in the final analysis. Among those patients, 7,423 patients were treated with vancomycin to prevent SSI, with 9,898 in control groups. SSI incidence after surgery in experimental groups was 0.39 times as high as control groups, and this difference was statistically significant (P<0.01). Among patients who underwent internal fixation, vancomycin application significantly reduced the incidence of postoperative SSI (OR 0.31 95% CI 0.19-0.50; P<0.01). Meanwhile, vancomycin did not affect SSI incidence in patients who did not receive internal fixation (P=0.17) or received deformity correction (P=0.25). CONCLUSION: SSI incidence after spinal surgery can be significantly reduced by intrawound application of vancomycin in most circumstances. This method can be applied in various spinal procedures involving instrumentation to prevent postoperative SSI.