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1.
Phys Chem Chem Phys ; 25(6): 5244-5250, 2023 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-36723202

RESUMO

Low-dimensional multiferroic systems with magnetoelectric coupling have attracted considerable attention due to their important applications in high-density low-power storage. Based on the first-principles calculations, we demonstrated that the recently proposed one-dimensional (1D) ferroelectric materials NbOCl3 and NbOBr3 have good stabilities, and found that they can be easily separated from the bulk phase. Due to the flat band near the Fermi level, the itinerant ferromagnetism can be induced over a wide range of electron-doping concentrations, and it leads to the coexistence of ferroelectricity and ferromagnetism in 1D NbOX3 (X = Cl, Br) and finite-length nanochains. More interestingly, there is strong magnetoelectric coupling on finite-length nanochains, which is caused by the spontaneous electrical polarization and redistribution of magnetic carriers. In addition, magnetism also can be introduced by oxygen vacancies. We also analyzed the effects of doping concentration, strain, and length on ferroelectric polarization and magnetism. Our findings provide a way to design and search low-dimensional multiferroics.

2.
J Aerosol Sci ; 171: 106166, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36938546

RESUMO

Elucidating the aerosol dynamics in the pulmonary acinar region is imperative for both health risk assessment and inhalation therapy, especially nowadays with the occurrence of the global COVID-19 pandemic. During respiration, the chest's outward elastic recoil and the lungs' inward elastic recoil lead to a change of transmural pressure, which drives the lungs to expand and contract to inhale and expel airflow and aerosol. In contrast to research using predefined wall motion, we developed a four-generation acinar model and applied an oscillatory pressure on the model outface to generate structure deformation and airflow. With such tools at hand, we performed a computational simulation that addressed both the airflow characteristic, structural mechanics, and aerosol dynamics in the human pulmonary acinar region. Our results showed that there is no recirculating flow in the sac. The structural displacement and stress were found to be positively related to the change of model volume and peaked at the end of inspiration. It was noteworthy that the stress distribution on the acinar wall was significantly heterogeneous, and obvious concentrations of stress were found at the junction of the alveoli and the ducts or the junction of the alveoli and alveoli in the sac. Our result demonstrated the effect of breathing cycles and aerosol diameter on deposition fraction and location of aerosols in the size range of 0.1-5 µm. Multiple respiratory cycles were found necessary for adequate deposition or escape of submicron particles while having a negligible influence on the transport of large particles, which were dominated by gravity. Our study can provide new insights into the further investigation of airflow, structural mechanics, and aerosol dynamics in the acinar depth.

3.
Molecules ; 28(3)2023 Jan 27.
Artigo em Inglês | MEDLINE | ID: mdl-36770903

RESUMO

Globally, dental caries is one of the most common non-communicable diseases for patients of all ages; Streptococcus mutans (S. mutans) is its principal pathogen. Lactobacillus paracasei (L. paracasei) shows excellent anti-pathogens and immune-regulation functions in the host. The aim of this study is to evaluate the effects of L. paracasei ET-22 on the formation of S. mutans biofilms. The living bacteria, heat-killed bacteria, and secretions of L. paracasei ET-22 were prepared using the same number of bacteria. In vitro, they were added into artificial-saliva medium, and used to coculture with the S. mutans. Results showed that the living bacteria and secretions of L. paracasei ET-22 inhibited biofilm-growth, the synthesis of water-soluble polysaccharide and water-insoluble polysaccharide, and virulence-gene-expression levels related to the formation of S. mutans biofilms. Surprisingly, the heat-killed L. paracasei ET-22, which is a postbiotic, also showed a similar regulation function. Non-targeted metabonomics technology was used to identify multiple potential active-substances in the postbiotics of L. paracasei ET-22 that inhibit the formation of S. mutans biofilms, including phenyllactic acid, zidovudine monophosphate, and citrulline. In conclusion, live bacteria and its postbiotics of L. paracasei ET-22 all have inhibitory effects on the formation of S. mutans biofilm. The postbiotics of L. paracasei ET-22 may be a promising biological anticariogenic-agent.


Assuntos
Cárie Dentária , Lacticaseibacillus paracasei , Humanos , Streptococcus mutans , Cárie Dentária/prevenção & controle , Biofilmes , Saliva/microbiologia
4.
Genet Mol Biol ; 46(3): e20220313, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37548349

RESUMO

Enhancers are essential cis-acting regulatory elements that determine cell identity and tumor progression. Enhancer function is dependent on the physical interaction between the enhancer and its target promoter inside its local chromatin environment. Enhancer reprogramming is an important mechanism in cancer pathogenesis and can be driven by both cis and trans factors. Super enhancers are acquired at oncogenes in numerous cancer types and represent potential targets for cancer treatment. BET and CDK inhibitors act through mechanisms of enhancer function and have shown promising results in therapy for various types of cancer. Genome editing is another way to reprogram enhancers in cancer treatment. The relationship between enhancers and cancer has been revised by several authors in the past few years, which mainly focuses on the mechanisms by which enhancers can impact cancer. Here, we emphasize SE's role in cancer pathogenesis and the new therapies involving epigenetic regulators (BETi and CDKi). We suggest that understanding mechanisms of activity would aid clinical success for these anti-cancer agents.

5.
Biotechnol Bioprocess Eng ; 28(1): 1-16, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36627930

RESUMO

Virus-like particles (VLPs) are viral structural protein that are noninfectious as they do not contain viral genetic materials. They are safe and effective immune stimulators and play important roles in vaccine development because of their intrinsic immunogenicity to induce cellular and humoral immune responses. In the design of antiviral vaccine, VLPs based vaccines are appealing multifunctional candidates with the advantages such as self-assembling nanoscaled structures, repetitive surface epitopes, ease of genetic and chemical modifications, versatility as antigen presenting platforms, intrinsic immunogenicity, higher safety profile in comparison with live-attenuated vaccines and inactivated vaccines. In this review, we discuss the mechanism of VLPs vaccine inducing cellular and humoral immune responses. We outline the impact of size, shape, surface charge, antigen presentation, genetic and chemical modification, and expression systems when constructing effective VLPs based vaccines. Recent applications of antiviral VLPs vaccines and their clinical trials are summarized.

6.
Curr Genet ; 68(1): 91-96, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34779871

RESUMO

The linker of nucleoskeleton and cytoskeleton (LINC) complex is a protein complex across the nuclear envelope and has maintained its general assembly mode throughout evolution. SUN and KASH proteins, which are the major components of LINC complex, interact with each other in the nuclear lumen to transmit forces across the nuclear envelope and have diverse functions. However, research of LINC complex in budding yeast has been limited due to the lack of identification of a canonical KASH protein and a cytoskeleton factor. Here, we review recent findings that addressed these puzzles in budding yeast. We highlight the distinct assembly model of the telomere-associated LINC complex in budding yeast, which could be beneficial for identifying LINC variants in other eukaryotes.


Assuntos
Proteínas de Membrana , Saccharomyces cerevisiae , Citoesqueleto/genética , Citoesqueleto/metabolismo , Proteínas de Membrana/metabolismo , Membrana Nuclear/metabolismo , Matriz Nuclear , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/metabolismo
7.
Genet Res (Camb) ; 2022: 1391807, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35387179

RESUMO

X-chromosome inactivation (XCI) is the form of dosage compensation in mammalian female cells to balance X-linked gene expression levels of the two sexes. Many diseases are related to XCI due to inactivation escape and skewing, and the symptoms and severity of these diseases also largely depend on the status of XCI. They can be divided into 3 types: X-linked diseases, diseases that are affected by XCI escape, and X-chromosome aneuploidy. Here, we review representative diseases in terms of their definition, symptoms, and XCI's role in the pathogenesis of these diseases.


Assuntos
Genes Ligados ao Cromossomo X , Inativação do Cromossomo X , Aneuploidia , Animais , Mecanismo Genético de Compensação de Dose , Feminino , Genes Ligados ao Cromossomo X/genética , Mamíferos/genética , Cromossomo X , Inativação do Cromossomo X/genética
8.
Biotechnol Appl Biochem ; 69(4): 1502-1508, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34278608

RESUMO

Squalene is a medically valuable bioactive compound that can be used as a raw material for fuels. Microbial fermentation is the preferred method for the squalene production. In this study, we employed several metabolic engineering strategies to increase squalene yield in Rhodopseudomonas palustris. A 57% increase in squalene titer was achieved by blocking the carotenoid pathway, thus directing more FPP into the squalene biosynthetic pathway. In order to cut down the conversion of squalene to haponoids, a recombinant strain R. palustris [Δshc, ΔcrtB] in which both carotenoid and haponoid pathways were blocked was then constructed, resulting in a 50-fold increase in squalene titer. Based on the expression of rate-limiting enzymes involved in the squalene pathway, the final squalene content reached 23.3 mg/g DCW, which was 178-times higher than that of the wild-type strain. In this study, several methods effective in improving squalene yield have been described and the potential of R. palustris for producing squalene has been demonstrated.


Assuntos
Rodopseudomonas , Esqualeno , Carotenoides/metabolismo , Engenharia Metabólica , Rodopseudomonas/metabolismo , Esqualeno/metabolismo
9.
World J Microbiol Biotechnol ; 38(11): 194, 2022 Aug 19.
Artigo em Inglês | MEDLINE | ID: mdl-35984526

RESUMO

Coenzyme Q10 (CoQ10) is the main CoQ species in human and is used extensively in food, cosmetic and medicine industries because of its antioxidant properties and its benefit in prophylactic medicine and therapy for a variety of diseases. Among various approaches to increase the production of CoQ10, microbial fermentation is the most effective. As knowledge of the biosynthetic enzymes and regulatory mechanisms modulating CoQ10 production increases, opportunities arise for metabolic engineering of CoQ10 in microbial hosts. In this review, we present various strategies used up to date to improve CoQ10 production and focus on metabolic engineering of CoQ10 overproduction in microbes. General strategies of metabolic engineering include providing sufficient precursors for CoQ10, increasing metabolic fluxes, and expanding storage capacity for CoQ10. Based on these strategies, CoQ10 production has been significantly improved in natural CoQ10 producers, as well as in heterologous hosts.


Assuntos
Escherichia coli , Ubiquinona , Antioxidantes/metabolismo , Escherichia coli/genética , Fermentação , Humanos , Engenharia Metabólica
10.
Genet Res (Camb) ; 2021: 6683460, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34035662

RESUMO

During X chromosome inactivation, many chromatin changes occur on the future inactive X chromosome, including acquisition of a variety of repressive covalent histone modifications, heterochromatin protein associations, and DNA methylation of promoters. Here, we summarize trans-acting factors and cis elements that have been shown to be involved in the human inactive X chromosome organization and compaction.


Assuntos
Histonas , Transativadores , Cromossomos Humanos X/genética , Heterocromatina/genética , Histonas/metabolismo , Humanos , Inativação do Cromossomo X/genética
11.
Arch Gynecol Obstet ; 301(5): 1173-1180, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32248298

RESUMO

OBJECTIVE: The aim of the study is to examine the association between Intraoperative cell salvage (ICS), allogeneic blood transfusion (ABT) and coagulation function in obstetrics. METHODS: A total of 486 pregnant women undergoing cesarean delivery, of whom 157 were enrolled in this retrospective study. Patients were divided into ICS group (n = 101, ICS used during operation) and control group (n = 56, ICS not used during operation). Clinical data, including plasma prothrombin time (PT), activated partial thromboplastin time (APTT), fibrinogen (Fib) and thrombin time (TT) levels, were collected from all patients preoperatively (within 12-24 h) and postoperatively (within 6-12 h) and analyzed by t test, two-way repeated-measures ANOVA and Spearman's correlation. RESULTS: The use of ICS is associated with lower requirement rate for ABT (P < .001), while the blood loss was similar between the two groups (P = .990). Mean volume of ICS transfusion was 432.65 mL. Compared to preoperative values, the postoperative PT and APTT levels were significantly increased, while Fib was decreased in the two groups (all P < .01). No significant difference in coagulation function was observed between groups in preoperative and postoperative phase (P > .05). Furthermore, PT, APTT and TT after surgery were not correlated with the transfused volume of salvaged blood (P > .05) while the levels of Fib were negatively correlated with the volume (P < .01). In addition, there were no transfusion reactions in both two groups. CONCLUSIONS: Intraoperative cell salvage is correlated with reduced allogeneic blood requirements but did not impair blood coagulation significantly in patients undergoing cesarean delivery.


Assuntos
Coagulação Sanguínea/fisiologia , Transfusão de Sangue/métodos , Cesárea/métodos , Terapia de Salvação/métodos , Adulto , Feminino , Humanos , Masculino , Período Pós-Operatório , Gravidez , Estudos Retrospectivos
12.
Cancer Cell Int ; 18: 142, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30250400

RESUMO

BACKGROUND: Breast cancer is the leading cause of oncological mortality among women. Efficient detection of cancer cells in an early stage and potent therapeutic agents targeting metastatic tumors are highly needed to improve survival rates. Emerging evidence indicates that lncRNAs (long noncoding RNAs) are critical regulators of fundamental cellular processes in a variety of tumors including breast cancer. The functional details of these regulatory elements, however, remain largely unexplored. METHODS: In this study, lncRNA ROR (linc-ROR) was examined by real-time PCR in different breast cancer cell lines and breast tumor tissues/non-tumor tissues were collected from both breast cancer patients and healthy controls. Linc-ROR was knockdown in breast cancer cell lines and the effects on cell proliferation, migration and invasion were tested both in vitro and in vivo tumor model. Effects of linc-ROR knockdown on TGF-ß signaling pathway were investigated by Western blot. RESULTS: Our studies have suggested that linc-ROR, a critical factor for embryonic stem cell maintenance, probably acts as an oncogenic factor in breast cancer cells, causing poor prognostic outcomes. Overexpression of linc-ROR seems to be responsible for promoting proliferation and invasion of cancer cells as well as tumor growth in nude mice. The regulatory action of linc-ROR can affect the activity of the TGF-ß signaling pathway, which has been proven critical for mammary development and breast cancer. CONCLUSIONS: The results have highlighted the potential importance of linc-ROR in the progression of advanced breast cancer, and thus will stimulate efforts in the development of novel diagnostic and therapeutic strategies.

13.
Am J Med Genet A ; 173(8): 2101-2107, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28504353

RESUMO

Autism spectrum disorder (ASD) is a genetically heterogeneous group of disorders characterized by impairments in social communication and restricted interests. Though some patients with ASD have an identifiable genetic cause, the cause of most ASD remains elusive. Many ASD susceptibility loci have been identified through clinical studies. We report two patients with syndromic ASD and persistent gastrointestinal issues who carry de novo deletions involving the CMIP gene detected by genome-wide SNP microarray and fluorescence in situ hybridization (FISH) analysis. Patient 1 has a 517 kb deletion within 16q23.2q23.3 including the entire CMIP gene. Patient 2 has a 1.59 Mb deletion within 16q23.2q23.3 that includes partial deletion of CMIP in addition to 12 other genes, none of which have a known connection to ASD or other clinical phenotypes. The deletion of CMIP is rare in general population and was not found among a reference cohort of approximately 12,000 patients studied in our laboratory who underwent SNP array analysis for various indications. A 280 kb de novo deletion containing the first 3 exons of CMIP was reported in one patient who also demonstrated ASD and developmental delay. CMIP has previously been identified as a susceptibility locus for specific language impairment (SLI). It is notable that both patients in this study had significant gastrointestinal issues requiring enteral feedings, which is unusual for patients with ASD, in addition to unusually elevated birth length, further supporting a shared causative gene. These findings suggest that CMIP haploinsufficiency is the likely cause of syndromic ASD in our patients.


Assuntos
Proteínas Adaptadoras de Transdução de Sinal/genética , Transtorno do Espectro Autista/genética , Gastroenteropatias/genética , Haploinsuficiência/genética , Adolescente , Transtorno do Espectro Autista/complicações , Transtorno do Espectro Autista/fisiopatologia , Deficiências do Desenvolvimento/genética , Deficiências do Desenvolvimento/fisiopatologia , Éxons , Gastroenteropatias/complicações , Gastroenteropatias/fisiopatologia , Humanos , Hibridização in Situ Fluorescente , Masculino , Fenótipo , Deleção de Sequência/genética
14.
Nat Genet ; 40(9): 1056-8, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18711365

RESUMO

To identify susceptibility loci for bipolar disorder, we tested 1.8 million variants in 4,387 cases and 6,209 controls and identified a region of strong association (rs10994336, P = 9.1 x 10(-9)) in ANK3 (ankyrin G). We also found further support for the previously reported CACNA1C (alpha 1C subunit of the L-type voltage-gated calcium channel; combined P = 7.0 x 10(-8), rs1006737). Our results suggest that ion channelopathies may be involved in the pathogenesis of bipolar disorder.


Assuntos
Anquirinas/genética , Transtorno Bipolar/genética , Canais de Cálcio Tipo L/genética , Estudo de Associação Genômica Ampla , Cromossomos Humanos Par 10 , Cromossomos Humanos Par 12 , Cromossomos Humanos Par 15 , Predisposição Genética para Doença , Humanos , Modelos Logísticos , Polimorfismo de Nucleotídeo Único
15.
Wei Sheng Wu Xue Bao ; 55(4): 484-91, 2015 Apr 04.
Artigo em Zh | MEDLINE | ID: mdl-26211323

RESUMO

OBJECTIVE: We studied the system immunofuctions of two Bifidobacterium strains isolated from food. METHODS: There were 10 SPF BALB/c mice in each group. The control group was given only sterile skim milk. The positive control group was given sterile skim milk containing commercial strain BB-12. The treatment group was given sterile skim milk containing different dosages of B. adolescentis BB-2 or B. longum BB-3. The immune parameters including cellular immunity (delayed-type hypersensitivity [DTH], splenic lymphocyte proliferation and natural killer [NK] cell activity), humoral immunity (serum hemolytic activity in immunized animals), and nonspecific immunity (peritoneal macrophages phagocytsis) were measured. RESULTS: Ingestion of B. adolescentis BB-2 or B. longum BB-3 could increase the DTH response. Macrophage phagocytsis was also enhanced, while activities of the NK cells and levels of the serum hemolysin were also significantly higher than that in the control group. There was a significant increase in splenic lymphocyte proliferation in bifidobacteria treated mice compared to the control. CONCLUSION: Ingestion of B. adolescentis BB-2 or B. longum BB-3 could enhance both innate and acquired immunity in healthy BALB/c mice.


Assuntos
Bifidobacterium/imunologia , Imunidade/efeitos dos fármacos , Probióticos/administração & dosagem , Animais , Feminino , Humanos , Células Matadoras Naturais/efeitos dos fármacos , Células Matadoras Naturais/imunologia , Macrófagos/efeitos dos fármacos , Macrófagos/imunologia , Camundongos , Camundongos Endogâmicos BALB C , Fagocitose/efeitos dos fármacos
16.
Br J Psychiatry ; 205(1): 29-35, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24764546

RESUMO

BACKGROUND: Early identification of patients with bipolar disorder during their first depressive episode is beneficial to the outcome of the disorder and treatment, but traditionally this has been a great challenge to clinicians. Recently, brain-derived neurotrophic factor (BDNF) has been suggested to be involved in the pathophysiology of bipolar disorder and major depressive disorder (MDD), but it is not clear whether BDNF levels can be used to predict bipolar disorder among patients in their first major depressive episode. AIMS: To explore whether BDNF levels can differentiate between MDD and bipolar disorder in the first depressive episode. METHOD: A total of 203 patients with a first major depressive episode as well as 167 healthy controls were recruited. After 3 years of bi-annual follow-up, 164 patients with a major depressive episode completed the study, and of these, 21 were identified as having bipolar disorder and 143 patients were diagnosed as having MDD. BDNF gene expression and plasma levels at baseline were compared among the bipolar disorder, MDD and healthy control groups. Logistic regression and decision tree methods were applied to determine the best model for predicting bipolar disorder at the first depressive episode. RESULTS: At baseline, patients in the bipolar disorder and MDD groups showed lower BDNF mRNA levels (P<0.001 and P = 0.02 respectively) and plasma levels (P = 0.002 and P = 0.01 respectively) compared with healthy controls. Similarly, BDNF levels in the bipolar disorder group were lower than those in the MDD group. These results showed that the best model for predicting bipolar disorder during a first depressive episode was a combination of BDNF mRNA levels with plasma BDNF levels (receiver operating characteristics (ROC) = 0.80, logistic regression; ROC = 0.84, decision tree). CONCLUSIONS: Our findings suggest that BDNF levels may serve as a potential differential diagnostic biomarker for bipolar disorder in a patient's first depressive episode.


Assuntos
Transtorno Bipolar/diagnóstico , Fator Neurotrófico Derivado do Encéfalo/sangue , Transtorno Depressivo Maior/diagnóstico , Adulto , Biomarcadores/sangue , Transtorno Bipolar/sangue , Transtorno Depressivo Maior/sangue , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Adulto Jovem
17.
Arthritis Rheum ; 65(4): 1122-8, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23280346

RESUMO

OBJECTIVE: Familial aggregation of fibromyalgia has been increasingly recognized. The goal of this study was to conduct a genome-wide linkage scan to identify susceptibility loci for fibromyalgia. METHODS: We genotyped members of 116 families from the Fibromyalgia Family Study and performed a model-free genome-wide linkage analysis of fibromyalgia with 341 microsatellite markers, using the Haseman-Elston regression approach. RESULTS: The estimated sibling recurrence risk ratio (λs ) for fibromyalgia was 13.6 (95% confidence interval 10.0-18.5), based on a reported population prevalence of 2%. Genome-wide suggestive evidence of linkage was observed at markers D17S2196 (empirical P [Pe ]=0.00030) and D17S1294 (Pe=0.00035) on chromosome 17p11.2-q11.2. CONCLUSION: The estimated sibling recurrence risk ratio (λs ) observed in this study suggests a strong genetic component of fibromyalgia. This is the first report of genome-wide suggestive linkage of fibromyalgia to the chromosome 17p11.2-q11.2 region. Further investigation of these multicase families from the Fibromyalgia Family Study is warranted to identify potential causal risk variants for fibromyalgia.


Assuntos
Cromossomos Humanos Par 17/genética , Fibromialgia/genética , Adulto , Feminino , Ligação Genética , Predisposição Genética para Doença , Estudo de Associação Genômica Ampla , Genótipo , Humanos , Masculino , Repetições de Microssatélites/genética , Pessoa de Meia-Idade , Fenótipo , Irmãos
18.
Polymers (Basel) ; 15(2)2023 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-36679337

RESUMO

Sandwich panels are often subjected to unpredictable impacts and crashes in applications. The core type and impactor shape affect their impact response. This paper investigates the responses of five tandem Nomex honeycomb sandwich panels with different core-types under low-velocity-impact conditions with flat and hemispherical impactors. From the force response and impact displacement, gradient-tandem and foam-filled structures can improve the impact resistance of sandwich panels. Compared with the single-layer sandwich panel, the first peak of contact force of the foam-gradient-filled tandem honeycomb sandwich panels increased by 34.84%, and maximum impact displacement reduced by 50.98%. The resistance of gradient-tandem Nomex honeycomb sandwich panels under low-velocity impact outperformed uniform-tandem structures. Foam-filled structures change the impact responses of the tandem sandwich panels. Impact damage with a flat impactor was more severe than the hemispherical impactor. The experimental results are helpful in the design of tandem Nomex honeycomb sandwich panels.

19.
Am J Surg Pathol ; 46(7): 921-932, 2022 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-35195579

RESUMO

Mesonephric-like endometrial carcinoma is a rare but frequently misclassified and aggressive malignancy. KRAS mutations, limited estrogen receptor (ER) expression, and TTF-1, GATA3, and luminal CD10 expression are described in these tumors, but an immunohistochemistry-based screening approach has not been studied. We assessed 300 endometrial carcinomas/carcinosarcomas to ascertain the specificity of TTF-1/GATA3/luminal CD10 expression with or without ER staining for this diagnosis. Next-generation sequencing and morphologic review were performed on screen-positive cases. In all, 3% (9/300) were TTF-1+; 2 coexpressed GATA3. No cases expressed luminal CD10 or GATA3 in isolation. Two TTF-1+/ER- cases, one of which was also GATA3+, were reclassified as mesonephric-like based on morphology and molecular results (KRAS mutations without mismatch repair deficiency, TP53 mutations, or PTEN mutations): these represented 0.7% of all cases (2/300). The reclassified cases were originally diagnosed as grade 1 and 2 endometrioid carcinoma, and the latter had pulmonary metastases and pelvic recurrences. Six TTF-1+ cases retained their original serous (3) and endometrioid (3) diagnoses; 1 was reclassified as dedifferentiated. All had negative or low ER. KRAS mutations were identified in 4 TTF-1+ non-mesonephric-like cases, including 1 serous and 1 grade 3 endometrioid with p53 abnormalities, 1 mismatch repair-deficient endometrioid with a complex molecular profile, and 1 endometrioid with mucinous differentiation. These findings suggest that TTF-1 and ER are good first-line screens for mesonephric-like carcinoma, but caution that a TTF-1+/ER- immunoprofile is not specific, even in the setting of KRAS mutations. A final diagnosis of mesonephric-like carcinoma requires integration of morphologic and immunohistochemical features, with molecular support when relevant.


Assuntos
Carcinoma Endometrioide , Carcinossarcoma , Neoplasias do Endométrio , Biomarcadores Tumorais/genética , Carcinoma Endometrioide/patologia , Neoplasias do Endométrio/diagnóstico , Neoplasias do Endométrio/genética , Neoplasias do Endométrio/metabolismo , Feminino , Humanos , Neprilisina , Proteínas Proto-Oncogênicas p21(ras)/genética , Receptores de Estrogênio/metabolismo
20.
Environ Int ; 162: 107153, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35202929

RESUMO

Since December 2019, coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has become a great challenge to the world's public health system. Nosocomial infections have occurred frequently in medical institutions worldwide during this pandemic. Thus, there is an urgent need to construct an effective surveillance and early warning system for pathogen exposure and infection to prevent nosocomial infections in negative-pressure wards. In this study, visualization and construction of an infection risk assessment of SARS-CoV-2 through aerosol and surface transmission in a negative-pressure ward were performed to describe the distribution regularity and infection risk of SARS-CoV-2, the critical factors of infection, the air changes per hour (ACHs) and the viral variation that affect infection risk. The SARS-CoV-2 distribution data from this model were verified by field test data from the Wuhan Huoshenshan Hospital ICU ward. ACHs have a great impact on the infection risk from airborne exposure, while they have little effect on the infection risk from surface exposure. The variant strains demonstrated significantly increased viral loads and risks of infection. The level of protection for nurses and surgeons should be increased when treating patients infected with variant strains, and new disinfection methods, electrostatic adsorption and other air purification methods should be used in all human environments. The results of this study may provide a theoretical reference and technical support for reducing the occurrence of nosocomial infections.


Assuntos
COVID-19 , SARS-CoV-2 , Aerossóis , Humanos , Isoladores de Pacientes , Medição de Risco
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