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1.
Langmuir ; 40(25): 13227-13235, 2024 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-38870102

RESUMO

Analysis of noncovalent interactions formed by the surface of a 2D silica bilayer and atrane molecules, as precursors of functional layers immobilized on a surface of silicatene, was performed. For this purpose, the systems of substituted silatranes and germatranes adsorbed on silicatene surfaces with different amounts of hydroxyl groups (0, 2, 4, and 30 per cell) were simulated by using quantum chemical modeling with periodic boundary conditions and full-electron basis sets. The observation results for interaction energy changes in the systems "atrane molecule-silicatene surface" with increasing silanol number of the silicatene surface can be used to predict the optimal degree of silicatene hydroxylation in order to control the effective progress of atrane deprotection on activated 2D silica materials. In addition to the typical hydrogen bonds, the ability of atranes to form noncovalent O···O and O···Hal interactions was discovered. In these bonds, the oxygen or halogen atoms of atranes act as electron-donor centers in relation to the silicatene oxygen atoms. The observed weakening of the Ge-O covalent bonds in germatranes, on which further deprotection reaction depends, is more manifested than for the Si-O bonds in adsorbed silatranes.

2.
Ann Surg Oncol ; 29(12): 7553-7563, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35876926

RESUMO

BACKGROUND: Survival of patients affected by mucinous appendiceal neoplasms with peritoneal dissemination (PD) is mainly related to histopathological features. However, prognostic stratification is still a concern, as the clinical course of the disease is often unpredictable. The aim of this study is to construct and externally validate a nomogram predicting disease-free survival (DFS) in mucinous appendiceal neoplasms with PD treated by cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC). PATIENTS AND METHODS: Patients treated in two referral centers were included: Hospital General Universitario Gregorio Marañón, Madrid, Spain (derivation cohort) and Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy (validation cohort). Cox regression analysis identified factors associated with shorter DFS in the derivation cohort. The nomogram performance was externally evaluated in the validation cohort using concordance index and calibration plots. Histology was classified according to the Peritoneal Surface Oncology Group International (PSOGI). RESULTS: The derivation cohort included 95 patients, and the validation cohort 348. Five-year DFS rates were 51.5 and 62%, respectively. Cox regression analysis (derivation cohort) identified PSOGI histology of the peritoneal components, number of preoperative elevated tumor marker, and peritoneal disease extent, as assessed by peritoneal carcinomatosis index, to be predictors of DFS. The model's predictive capacity was higher than that of PSOGI classification alone, with respective concordance indexes of 0.702 ± 0.023 and 0.610 ± 0.018 (validation cohort). The nomogram approximated the perfect model in the calibration plots at 3- and 5-year DFS. CONCLUSIONS: An easy-to-use model that provides better prognostic stratification than histopathological features has been constructed. This nomogram may help clinicians in individualized survival predictions and informed clinical decision-making.


Assuntos
Adenocarcinoma Mucinoso , Neoplasias do Apêndice , Apêndice , Hipertermia Induzida , Neoplasias Peritoneais , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias do Apêndice/patologia , Apêndice/patologia , Biomarcadores Tumorais , Terapia Combinada , Procedimentos Cirúrgicos de Citorredução/efeitos adversos , Humanos , Hipertermia Induzida/efeitos adversos , Quimioterapia Intraperitoneal Hipertérmica , Nomogramas , Neoplasias Peritoneais/cirurgia , Estudos Retrospectivos , Taxa de Sobrevida
3.
J Phys Chem A ; 126(8): 1393-1402, 2022 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-35192353

RESUMO

One strategy to improve the photovoltaic properties of nonfullerene acceptors (NFAs), employed in state-of-art organic solar cells, is the rational fluorination or chlorination of these molecules. Although this modification improves important acceptor properties, little is known about the effects on the triplet states. Here, we combine the polarizable continuum model with an optimally tuned range-separated hybrid functional to investigate this issue. We find that fluorination or chlorination of NFAs decreases the degree of the highest occupied molecular orbital-lowest unoccupied molecular orbital (HOMO-LUMO) overlap along these molecules. Consequently, the energy gap between T1 and S1 states, ΔEST = ES1 - ET1, also decreases. This effect reduces the binding energy of triplet excitons, which favors their dissociation into free charges. Furthermore, the reduction of ΔEST can contribute to mitigating the losses produced by the nonradiative deactivation of the T1 excitons. Interestingly, although Cl has a lower electronegativity than F, chlorination is more effective to reduce ΔEST. Since the chlorination of NFAs is easier than fluorination, Cl substitution can be a useful approach to enhance solar energy harvesting using triplet excitons.

4.
JAMA ; 327(18): 1795-1805, 2022 05 10.
Artigo em Inglês | MEDLINE | ID: mdl-35510389

RESUMO

Importance: The benefit of endovascular thrombectomy (EVT) for acute ischemic stroke is highly time-dependent, and it is challenging to expedite treatment for patients in remote areas. Objective: To determine whether deployment of a flying intervention team, compared with patient interhospital transfer, is associated with a shorter time to endovascular thrombectomy and improved clinical outcomes for patients with acute ischemic stroke. Design, Setting, and Participants: This was a nonrandomized controlled intervention study comparing 2 systems of care in alternating weeks. The study was conducted in a nonurban region in Germany including 13 primary telemedicine-assisted stroke centers within a telestroke network. A total of 157 patients with acute ischemic stroke for whom decision to pursue thrombectomy had been made and deployment of flying intervention team or patient interhospital transfer was initiated were enrolled between February 1, 2018, and October 24, 2019. The date of final follow-up was January 31, 2020. Exposures: Deployment of a flying intervention team for EVT in a primary stroke center vs patient interhospital transfer for EVT to a referral center. Main Outcomes and Measures: The primary outcome was time delay from decision to pursue thrombectomy to start of the procedure in minutes. Secondary outcomes included functional outcome after 3 months, determined by the distribution of the modified Rankin Scale score (a disability score ranging from 0 [no deficit] to 6 [death]). Results: Among the 157 patients included (median [IQR] age, 75 [66-80] y; 80 [51%] women), 72 received flying team care and 85 were transferred. EVT was performed in 60 patients (83%) in the flying team group vs 57 (67%) in the transfer group. Median (IQR) time from decision to pursue EVT to start of the procedure was 58 (51-71) minutes in the flying team group and 148 (124-177) minutes in the transfer group (difference, 90 minutes [95% CI, 75-103]; P < .001). There was no significant difference in modified Rankin Scale score after 3 months between patients in the flying team (n = 59) and transfer (n = 57) groups who received EVT (median [IQR] score, 3 [2-6] vs 3 [2-5]; adjusted common odds ratio for less disability, 1.91 [95% CI, 0.96-3.88]; P = .07). Conclusions and Relevance: In a nonurban stroke network in Germany, deployment of a flying intervention team to local stroke centers, compared with patient interhospital transfer to referral centers, was significantly associated with shorter time to EVT for patients with acute ischemic stroke. The findings may support consideration of a flying intervention team for some stroke systems of care, although further research is needed to confirm long-term clinical outcomes and to understand applicability to other geographic settings.


Assuntos
Isquemia Encefálica , Procedimentos Endovasculares , AVC Isquêmico , Transferência de Pacientes , Trombectomia , Idoso , Idoso de 80 Anos ou mais , Isquemia Encefálica/cirurgia , Procedimentos Endovasculares/métodos , Feminino , Alemanha , Humanos , AVC Isquêmico/cirurgia , Masculino , Acidente Vascular Cerebral/cirurgia , Trombectomia/métodos , Fatores de Tempo , Resultado do Tratamento , População Urbana
5.
Gynecol Oncol ; 163(3): 465-472, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34642026

RESUMO

PURPOSE: Insulin-like growth factor (IGF) signaling is implicated in pathogenesis and chemotherapy resistance of epithelial ovarian cancer (EOC). We explored efficacy and safety of adding ganitumab, a monoclonal antibody targeting IGF-1R, to carboplatin/paclitaxel (CP) chemotherapy in patients with primary EOC. DESIGN: Patients were randomly assigned to receive CP/ganitumab (18 mg/kg q3w) or CP/placebo for 6 cycles followed by 6 cycles of single agent ganitumab/placebo maintenance therapy as front-line therapy. Primary endpoint was progression free survival. Secondary endpoints were time to progression and overall survival. Pretreatment samples were prospectively collected for retrospective biomarker analyses. RESULTS: 170 patients enrolled. 165 patients assessable for toxicity. Median PFS was 15.7 months with CP/ganitumab and 16.7 months with CP/placebo (HR 1.23; 95% CI 0.82-1.83, P = 0.313). All grade neutropenia (84.1% vs 71.4%), thrombocytopenia (75.3% vs 57.1%) and hyperglycemia (15.9% vs 2.6%) were more common in the ganitumab group compared to the placebo group. Ganitumab/placebo related serious adverse events were reported in 26.1% of the patients with ganitumab and in 6.5% with placebo. Non-progression related fatal events were more common with ganitumab (5 versus 2 patients). The ganitumab group experienced more dose delays which resulted in lower relative dose intensity of chemotherapy in the experimental group. In an exploratory model IGFBP2 expression was predictive of ganitumab response (treatment interaction; PFS, P = 0.03; OS, P = 0.01). CONCLUSION: Addition of ganitumab to CP chemotherapy in primary EOC did not improve PFS. Our results do not support further study of ganitumab in unselected EOC patients.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Carcinoma Epitelial do Ovário/tratamento farmacológico , Neoplasias Ovarianas/tratamento farmacológico , Anticorpos Monoclonais Humanizados/administração & dosagem , Anticorpos Monoclonais Humanizados/efeitos adversos , Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Biomarcadores Tumorais/metabolismo , Carboplatina/administração & dosagem , Carboplatina/efeitos adversos , Carcinoma Epitelial do Ovário/metabolismo , Carcinoma Epitelial do Ovário/patologia , Feminino , Humanos , Proteína 2 de Ligação a Fator de Crescimento Semelhante à Insulina/metabolismo , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Neoplasias Ovarianas/metabolismo , Neoplasias Ovarianas/patologia , Paclitaxel/administração & dosagem , Paclitaxel/efeitos adversos , Intervalo Livre de Progressão , Somatomedinas/metabolismo
6.
Cerebrovasc Dis ; 50(3): 317-325, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33540410

RESUMO

BACKGROUND: The COVID-19 pandemic lockdown (CPL) lead to a significant decrease in emergency admissions worldwide. We performed a timely analysis of ischemic stroke (IS) and related consultations using the telestroke TEMPiS "working diagnosis" database prior (PL), within (WL), and after easing (EL) of CPL. METHODS: Twelve hospitals were selected and data analyzed regarding IS (including intravenous thrombolysis [intravenous recombinant tissue plasminogen; IV rtPA] and endovascular thrombectomy [EVT]) and related events from February 1 to June 15 during 2017-2020. In addition, we aimed to correlate events to various mobile phone mobility data. RESULTS: Following the significant reduction of IS, IV rtPA, and EVT cases during WL compared to PL in 2020 longitudinally (p values <0.048), we observed increasing numbers of consultations, IS, recommendations for EVT, and IV rtPA with the network in EL over WL not reaching PL levels yet. Absolute numbers of all consultations paralleled best to mobility data of public transportation over walking and driving mobility. CONCLUSIONS: While the decrease in emergency admissions including stroke during CPL can only be in part attributed by patients not seeking medical attention, stroke awareness in the pandemic, and direct COVID-19 triggered stroke remains of high importance. The number of consultations in TEMPiS during the lockdown parallels best with mobility of public transportation. As a consequence, exposure to common viruses, well-known triggers for acute cerebrovascular events and other diseases, are reduced and may add to the decline in stroke consultations. Further studies comparing national responses toward the course of the COVID-19 pandemic and stroke incidences are needed.


Assuntos
COVID-19/complicações , SARS-CoV-2/patogenicidade , Acidente Vascular Cerebral/tratamento farmacológico , Acidente Vascular Cerebral/virologia , COVID-19/terapia , Controle de Doenças Transmissíveis , Humanos , Terapia Trombolítica/métodos , Tempo para o Tratamento , Ativador de Plasminogênio Tecidual/uso terapêutico
7.
Cerebrovasc Dis ; 50(4): 375-382, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33849042

RESUMO

BACKGROUND: Endovascular treatment of large vessel occlusion in acute ischemic stroke patients is difficult to establish in remote areas, and time dependency of treatment effect increases the urge to develop health care concepts for this population. SUMMARY: Current strategies include direct transportation of patients to a comprehensive stroke center (CSC) ("mothership model") or transportation to the nearest primary stroke center (PSC) and secondary transfer to the CSC ("drip-and-ship model"). Both have disadvantages. We propose the model "flying intervention team." Patients will be transported to the nearest PSC; if telemedically identified as eligible for thrombectomy, an intervention team will be acutely transported via helicopter to the PSC and endovascular treatment will be performed on site. Patients stay at the PSC for further stroke unit care. This model was implemented at a telestroke network in Germany. Fifteen remote hospitals participated in the project, covering 14,000 km2 and a population of 2 million. All have well established telemedically supported stroke units, an angiography suite, and a helicopter pad. Processes were defined individually for each hospital and training sessions were implemented for all stroke teams. An exclusive project helicopter was installed to be available from 8 a.m. to 10 p.m. during 26 weeks per year. Key Messages: The model of the flying intervention team is likely to reduce time delays since processes will be performed in parallel, rather than consecutively, and since it is quicker to move a medical team rather than a patient. This project is currently under evaluation (clinicaltrials NCT04270513).


Assuntos
Resgate Aéreo/organização & administração , Prestação Integrada de Cuidados de Saúde/organização & administração , Procedimentos Endovasculares , AVC Isquêmico/terapia , Serviços de Saúde Rural/organização & administração , Telemedicina/organização & administração , Trombectomia , Terapia Trombolítica , Área Programática de Saúde , Procedimentos Endovasculares/efeitos adversos , Humanos , AVC Isquêmico/diagnóstico , Trombectomia/efeitos adversos , Terapia Trombolítica/efeitos adversos , Fatores de Tempo , Tempo para o Tratamento/organização & administração , Resultado do Tratamento
8.
Cerebrovasc Dis ; 50(3): 245-261, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33756459

RESUMO

BACKGROUND: Coronavirus disease 2019 (COVID-19) has placed a tremendous strain on healthcare services. This study, prepared by a large international panel of stroke experts, assesses the rapidly growing research and personal experience with COVID-19 stroke and offers recommendations for stroke management in this challenging new setting: modifications needed for prehospital emergency rescue and hyperacute care; inpatient intensive or stroke units; posthospitalization rehabilitation; follow-up including at-risk family and community; and multispecialty departmental developments in the allied professions. SUMMARY: The severe acute respiratory syndrome coronavirus 2 uses spike proteins binding to tissue angiotensin-converting enzyme (ACE)-2 receptors, most often through the respiratory system by virus inhalation and thence to other susceptible organ systems, leading to COVID-19. Clinicians facing the many etiologies for stroke have been sobered by the unusual incidence of combined etiologies and presentations, prominent among them are vasculitis, cardiomyopathy, hypercoagulable state, and endothelial dysfunction. International standards of acute stroke management remain in force, but COVID-19 adds the burdens of personal protections for the patient, rescue, and hospital staff and for some even into the postdischarge phase. For pending COVID-19 determination and also for those shown to be COVID-19 affected, strict infection control is needed at all times to reduce spread of infection and to protect healthcare staff, using the wealth of well-described methods. For COVID-19 patients with stroke, thrombolysis and thrombectomy should be continued, and the usual early management of hypertension applies, save that recent work suggests continuing ACE inhibitors and ARBs. Prothrombotic states, some acute and severe, encourage prophylactic LMWH unless bleeding risk is high. COVID-19-related cardiomyopathy adds risk of cardioembolic stroke, where heparin or warfarin may be preferable, with experience accumulating with DOACs. As ever, arteritis can prove a difficult diagnosis, especially if not obvious on the acute angiogram done for clot extraction. This field is under rapid development and may generate management recommendations which are as yet unsettled, even undiscovered. Beyond the acute management phase, COVID-19-related stroke also forces rehabilitation services to use protective precautions. As with all stroke patients, health workers should be aware of symptoms of depression, anxiety, insomnia, and/or distress developing in their patients and caregivers. Postdischarge outpatient care currently includes continued secondary prevention measures. Although hoping a COVID-19 stroke patient can be considered cured of the virus, those concerned for contact safety can take comfort in the increasing use of telemedicine, which is itself a growing source of patient-physician contacts. Many online resources are available to patients and physicians. Like prior challenges, stroke care teams will also overcome this one. Key Messages: Evidence-based stroke management should continue to be provided throughout the patient care journey, while strict infection control measures are enforced.


Assuntos
Antagonistas de Receptores de Angiotensina/farmacologia , COVID-19/complicações , Heparina de Baixo Peso Molecular/farmacologia , SARS-CoV-2/patogenicidade , Acidente Vascular Cerebral/etiologia , COVID-19/virologia , Humanos , Glicoproteína da Espícula de Coronavírus/metabolismo , Acidente Vascular Cerebral/diagnóstico
9.
Nat Chem Biol ; 14(3): 311-316, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29377001

RESUMO

CRISPR-Cas9 is a versatile RNA-guided genome editing tool. Here we demonstrate that partial replacement of RNA nucleotides with DNA nucleotides in CRISPR RNA (crRNA) enables efficient gene editing in human cells. This strategy of partial DNA replacement retains on-target activity when used with both crRNA and sgRNA, as well as with multiple guide sequences. Partial DNA replacement also works for crRNA of Cpf1, another CRISPR system. We find that partial DNA replacement in the guide sequence significantly reduces off-target genome editing through focused analysis of off-target cleavage, measurement of mismatch tolerance and genome-wide profiling of off-target sites. Using the structure of the Cas9-sgRNA complex as a guide, the majority of the 3' end of crRNA can be replaced with DNA nucleotide, and the 5 - and 3'-DNA-replaced crRNA enables efficient genome editing. Cas9 guided by a DNA-RNA chimera may provide a generalized strategy to reduce both the cost and the off-target genome editing in human cells.


Assuntos
Sistemas CRISPR-Cas , DNA/genética , Edição de Genes , RNA Guia de Cinetoplastídeos/genética , Alelos , Linhagem Celular Tumoral , Separação Celular , Citometria de Fluxo , Proteínas de Fluorescência Verde/química , Células HEK293 , Humanos , Células Jurkat , Nucleotídeos/genética , Oligonucleotídeos/genética
10.
Chemphyschem ; 21(4): 275-279, 2020 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-31875351

RESUMO

The article proposes a new way for visualization of mesopores and quantitative evaluation of the pore structure in zeolite crystals. The approach is based on platinum tracking inside the zeolite material after its incorporation from a gaseous precursor using an electron beam prior to preparing a TEM specimen by the focused ion beam technique. The pores in mesoporous silica and purely microporous zeolite Y were visualized in TEM images in a demonstration of the capabilities of the approach. Finally, platinum tracking was used for studying the pore structure of zeolite Y (CBV 720) containing mesopores both inside the crystal and those emerging at its surface, which were unambiguously distinguished from each other. The obtained sizes of the mesopores and the calculated material porosity are in good agreement with the results obtained by the low-temperature argon sorption isotherms method.

11.
BJOG ; 127(8): 957-965, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32086987

RESUMO

OBJECTIVE: To analyse populational trends and perioperative complications following conservative surgery versus oophorectomy in women <50 years of age with ovarian torsion. DESIGN: Population-based retrospective observational study. SETTING: Nationwide Inpatient Sample in the USA (2001-2015). POPULATION: In all, 89 177 ovarian torsions including 20 597 (23.1%) conservative surgeries and 68 580 (76.9%) oophorectomies. METHODS: (1) Trend analysis to assess utilisation of conservative surgery over time, (2) multivariable binary logistic regression to identify independent factors associated with conservative surgery and (3) inverse probability of treatment weighting with a generalised estimating equation to analyze perioperative complications. MAIN OUTCOME MEASURES: Trends, characteristics and complications related to conservative surgery. RESULTS: Performance of conservative surgery increased from 18.9 to 25.1% between 2001 and 2015 (32.8% relative increase, P = 0.001) but decreased steadily after age 15, and sharply declined after age 35 (P < 0.001). On multivariable analysis, younger age exhibited the largest effect size for conservative surgery among the independent factors (adjusted odds ratios 3.39-7.96, P < 0.001). In the weighted model, conservative surgery was associated with an approximately 30% decreased risk of perioperative complications overall (10.0% versus 13.6%, odds ratio 0.73, 95% confidence interval 0.62-0.85, P < 0.001) and was not associated with venous thromboembolism (0.2 versus 0.3%, P = 0.457) or sepsis (0.4 versus 0.3%, P = 0.638). CONCLUSION: There has been an increasing utilisation of conservative surgery for ovarian torsion in the USA in recent years. Our study suggests that conservative surgery for ovarian torsion may not be associated with increased perioperative complications. TWEETABLE ABSTRACT: Conservative surgery for ovarian torsion may not be associated with increased perioperative complications.


Assuntos
Doenças dos Anexos/cirurgia , Tratamento Conservador , Complicações Intraoperatórias/epidemiologia , Ovariectomia , Padrões de Prática Médica/tendências , Anormalidade Torcional/cirurgia , Doenças dos Anexos/epidemiologia , Adolescente , Adulto , Tratamento Conservador/estatística & dados numéricos , Feminino , Preservação da Fertilidade , Humanos , Pessoa de Meia-Idade , Ovariectomia/estatística & dados numéricos , Pontuação de Propensão , Estudos Retrospectivos , Anormalidade Torcional/epidemiologia , Resultado do Tratamento , Estados Unidos/epidemiologia , Adulto Jovem
12.
Wiad Lek ; 73(1): 58-62, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32124807

RESUMO

OBJECTIVE: The aim: To improve the psoriatic arthritis treatment outcomes by establishing and implementing into practice operative treatment. PATIENTS AND METHODS: Materials and methods: The study basis is represented with the results of examination and treatment of 252 patients with psoriatic arthritis. The biopsy samples from the problem psoriatic eruption and intact skins regions, received from 74 patients, were studied. RESULTS: Results: The study has established presence of Staphylococcus aureus in affected skin regions. The authors present their classification of structural muscular-skeletal disorders associated with psoriatic arthritis, which will substantiate the volume and character of operative interventions. CONCLUSION: Conclusions: Detection of numerous opportunistic pathogenic microorganism colonies stipulates for the necessary skin debridement while planning further operative treatment, aimed at correction of anatomical and biological abnormalities. The operative intervention volume depends on the severity of structural dysfunctions.


Assuntos
Artrite Psoriásica , Humanos , Pele , Resultado do Tratamento
13.
Ann Oncol ; 29(5): 1195-1202, 2018 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-29447329

RESUMO

Background: Capecitabine is an approved standard therapy for anthracycline- and taxane-pretreated locally advanced or metastatic breast cancer (BC). Vinflunine has demonstrated single-agent activity in phase II studies in this setting and activity and tolerability when combined with capecitabine. We compared the combination of vinflunine plus capecitabine (VC) with single-agent capecitabine. Patients and methods: Patients with locally recurrent/metastatic BC previously treated or resistant to an anthracycline and resistant to taxane therapy were randomly assigned to either vinflunine (280 mg/m2, day 1) plus oral capecitabine [825 mg/m2 twice daily (b.i.d.), days 1-14] every 3 weeks (q3w) or single-agent oral capecitabine (1250 mg/m2 b.i.d., days 1-14) q3w. The primary end point was progression-free survival (PFS) assessed by an independent review committee. The study had 90% power to detect a 30% improvement in PFS. Results: Overall, 770 patients were randomised. PFS was significantly longer with VC than with capecitabine alone [hazard ratio, 0.84, 95% confidence interval (CI), 0.71-0.99; log-rank P = 0.043; median 5.6 versus 4.3 months, respectively]. Median overall survival was 13.9 versus 11.7 months with VC versus capecitabine alone, respectively (hazard ratio, 0.98; 95% CI, 0.83-1.15; log-rank P = 0.77). No difference in quality of life was observed between the two treatment arms. The most common adverse events (NCI CTCAE version 3.0) in the combination arm were haematological and gastrointestinal. Grade 4 neutropenia was more frequent with VC (12% versus 1% with capecitabine alone); febrile neutropenia occurred in 2% versus 0.5%, respectively. Hand-foot syndrome was less frequent with VC (grade 3: 4% versus 19% for capecitabine alone). Peripheral neuropathy was uncommon in both arms (grade 3: 1% versus 0.3%). Conclusions: Vinflunine combined with capecitabine demonstrated a modest improvement in PFS and an acceptable safety profile compared with capecitabine alone in patients with anthracycline- and taxane-pretreated locally recurrent/metastatic BC. ClinicalTrials.gov: NCT01095003.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Neoplasias da Mama/tratamento farmacológico , Capecitabina/efeitos adversos , Recidiva Local de Neoplasia/tratamento farmacológico , Vimblastina/análogos & derivados , Adulto , Idoso , Idoso de 80 Anos ou mais , Antraciclinas/farmacologia , Antraciclinas/uso terapêutico , Protocolos de Quimioterapia Combinada Antineoplásica/administração & dosagem , Neoplasias da Mama/mortalidade , Neoplasias da Mama/patologia , Hidrocarbonetos Aromáticos com Pontes/farmacologia , Hidrocarbonetos Aromáticos com Pontes/uso terapêutico , Capecitabina/administração & dosagem , Neutropenia Febril Induzida por Quimioterapia/diagnóstico , Neutropenia Febril Induzida por Quimioterapia/epidemiologia , Neutropenia Febril Induzida por Quimioterapia/etiologia , Resistencia a Medicamentos Antineoplásicos/efeitos dos fármacos , Feminino , Síndrome Mão-Pé/diagnóstico , Síndrome Mão-Pé/epidemiologia , Síndrome Mão-Pé/etiologia , Humanos , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/mortalidade , Recidiva Local de Neoplasia/patologia , Síndromes Neurotóxicas/diagnóstico , Síndromes Neurotóxicas/epidemiologia , Síndromes Neurotóxicas/etiologia , Doenças do Sistema Nervoso Periférico/diagnóstico , Doenças do Sistema Nervoso Periférico/epidemiologia , Doenças do Sistema Nervoso Periférico/etiologia , Intervalo Livre de Progressão , Qualidade de Vida , Análise de Sobrevida , Taxoides/farmacologia , Taxoides/uso terapêutico , Vimblastina/administração & dosagem , Vimblastina/efeitos adversos
14.
Nature ; 485(7399): 465-70, 2012 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-22622570

RESUMO

An outstanding question is how cells control the number and size of membrane organelles. The small GTPase Rab5 has been proposed to be a master regulator of endosome biogenesis. Here, to test this hypothesis, we developed a mathematical model of endosome dependency on Rab5 and validated it by titrating down all three Rab5 isoforms in adult mouse liver using state-of-the-art RNA interference technology. Unexpectedly, the endocytic system was resilient to depletion of Rab5 and collapsed only when Rab5 decreased to a critical level. Loss of Rab5 below this threshold caused a marked reduction in the number of early endosomes, late endosomes and lysosomes, associated with a block of low-density lipoprotein endocytosis. Loss of endosomes caused failure to deliver apical proteins to the bile canaliculi, suggesting a requirement for polarized cargo sorting. Our results demonstrate for the first time, to our knowledge, the role of Rab5 as an endosome organizer in vivo and reveal the resilience mechanisms of the endocytic system.


Assuntos
Endossomos/metabolismo , Lisossomos/metabolismo , Proteínas rab5 de Ligação ao GTP/metabolismo , Animais , Polaridade Celular , Células Cultivadas , Endocitose , Técnicas de Silenciamento de Genes , Hepatócitos/citologia , Hepatócitos/metabolismo , Isoenzimas/biossíntese , Isoenzimas/deficiência , Isoenzimas/genética , Isoenzimas/metabolismo , Lipoproteínas LDL/metabolismo , Fígado/citologia , Fígado/enzimologia , Fígado/metabolismo , Camundongos , Corpos Multivesiculares/metabolismo , Especificidade de Órgãos , Biossíntese de Proteínas , Interferência de RNA , RNA Mensageiro/análise , RNA Mensageiro/genética , Fatores de Tempo , Proteínas de Transporte Vesicular/metabolismo , Proteínas rab5 de Ligação ao GTP/biossíntese , Proteínas rab5 de Ligação ao GTP/deficiência , Proteínas rab5 de Ligação ao GTP/genética
15.
Wiad Lek ; 71(5): 992-995, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30176628

RESUMO

OBJECTIVE: Introduction: The human prostate gland is a complex organ that consists of two main components - glandular and non-glandular. The first of them represents a compound of components of different origin, structure, location, and complexity of spatial organization. Their stereomorphology and microanatomical interrelations remain understudied for a number of reasons. The aim: The objective of the research was to study the stereomorphological features of the glandular component of the peripheral zone of the prostate in view of its zonal structure concept. PATIENTS AND METHODS: Materials and methods: The material for the study was the glandular zone of the human prostate, which corresponds to the peripheral zone of the prostate according to the classification (Mc.Neal J.E., 1988). The following methods were used in the study: histological (4 mkm thick paraffin sections), microscopic (light microscopy using the Olympus BX-41 microscope), stereomorphological (obtaining waxed model reconstructions based on graphic ones). The study was conducted on 10 isolated prostate preparations (10 series of 50 preparations in each) taken from the deceased men without changes in the organ under investigation. The prostate gland was fixed in a 10% solution of buffered formalin, followed by obtaining serial plane-parallel sections and staining with hematoxylin and eosin according to the conventional technique. RESULTS: Results and conclusions: The ducts of the glands of the peripheral zone of the human prostate normally have recurrent luminal dilatations, which, like the multi-cavity terminal portions, can serve as a place for depositing a secret. The ducts of the peripheral zone glands, with the exception of the main duct, visually differ little in diameter. Their walls and walls of intra-acinar cavities are lined with homologous epithelial cells. Therefore, there is no clear morphological boundary between the transfer of the terminal portion to the duct and from one excretory duct to the other.


Assuntos
Modelos Biológicos , Próstata/anatomia & histologia , Humanos , Processamento de Imagem Assistida por Computador , Masculino , Microscopia
16.
J Clin Microbiol ; 55(2): 606-615, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27927929

RESUMO

The poliovirus (PV) is currently targeted for worldwide eradication and containment. Sanger-based sequencing of the viral protein 1 (VP1) capsid region is currently the standard method for PV surveillance. However, the whole-genome sequence is sometimes needed for higher resolution global surveillance. In this study, we optimized whole-genome sequencing protocols for poliovirus isolates and FTA cards using next-generation sequencing (NGS), aiming for high sequence coverage, efficiency, and throughput. We found that DNase treatment of poliovirus RNA followed by random reverse transcription (RT), amplification, and the use of the Nextera XT DNA library preparation kit produced significantly better results than other preparations. The average viral reads per total reads, a measurement of efficiency, was as high as 84.2% ± 15.6%. PV genomes covering >99 to 100% of the reference length were obtained and validated with Sanger sequencing. A total of 52 PV genomes were generated, multiplexing as many as 64 samples in a single Illumina MiSeq run. This high-throughput, sequence-independent NGS approach facilitated the detection of a diverse range of PVs, especially for those in vaccine-derived polioviruses (VDPV), circulating VDPV, or immunodeficiency-related VDPV. In contrast to results from previous studies on other viruses, our results showed that filtration and nuclease treatment did not discernibly increase the sequencing efficiency of PV isolates. However, DNase treatment after nucleic acid extraction to remove host DNA significantly improved the sequencing results. This NGS method has been successfully implemented to generate PV genomes for molecular epidemiology of the most recent PV isolates. Additionally, the ability to obtain full PV genomes from FTA cards will aid in facilitating global poliovirus surveillance.


Assuntos
Sequenciamento de Nucleotídeos em Larga Escala/métodos , Poliovirus/classificação , Poliovirus/genética , Manejo de Espécimes/métodos , Humanos , Epidemiologia Molecular/métodos , Projetos Piloto
18.
Bioorg Med Chem Lett ; 27(7): 1588-1592, 2017 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-28237762

RESUMO

The novel classes of acylated phenoxyanilide and thiourea compounds were investigated for their ability to inhibit TEM type ß-lactamase enzyme. Two compounds 4g and 5c reveal the inhibition potency in micromolar range and show their action by non-covalent binding in the vicinity of the TEM-171 active site. The structure activity relationship around carbon chain length and different substituents in ortho- and para-positions of acylated phenoxyanilide as well as molecular modelling study has been performed.


Assuntos
Proteínas de Escherichia coli/antagonistas & inibidores , Tioureia/análogos & derivados , Inibidores de beta-Lactamases/química , beta-Lactamases/química , Anilidas/química , Domínio Catalítico , Proteínas de Escherichia coli/química , Ligação de Hidrogênio , Cinética , Simulação de Acoplamento Molecular , Éteres Fenílicos/química , Relação Estrutura-Atividade , Tioureia/química
19.
Fish Shellfish Immunol ; 64: 437-445, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28359945

RESUMO

The main objective of this study was to assess the effects of graded levels of dietary arachidonic acid (ARA), supplemented from alternative sources, on fatty acid composition of plasma and head kidney leucocytes of European sea bass (Dicentrarchus labrax). For that purpose, sea bass juveniles were fed four diets containing graded levels of ARA as follows: 0.5% (ARA0.5), 1% (ARA1), 2% (ARA2) and 4% (ARA4) during 60 days. At the end of the feeding trial fatty acid profiles of plasma and head kidney leucocytes were analyzed. Besides, plasma prostaglandins levels, head kidney leucocytes respiratory burst activity; peroxidase activity and phagocytic index were assayed. Reducing dietary ARA levels below 1% markedly reduced European sea bass growth performance. However, fish fed diet ARA0.5 tried to compensate this dietary ARA deficiency by a selective deposition of ARA on plasma and head kidney leucocytes, reaching similar levels to those fish fed diet ARA1 after 60 days of feeding. Nevertheless, head kidney phagocytic capacity was reduced as dietary ARA content in relation not only to variations on membrane composition but also to changes on fish basal prostaglandins levels. Results obtained demonstrated the importance to supply the necessary quantity n-6 LC-PUFA, and not only n-3 LC-PUFA levels, in European sea bass diets, in relation to not only growth performance but also immune system function.


Assuntos
Ácido Araquidônico/metabolismo , Bass/imunologia , Suplementos Nutricionais , Ácidos Graxos/sangue , Rim Cefálico/imunologia , Leucócitos/imunologia , Prostaglandinas/sangue , Ração Animal/análise , Animais , Ácido Araquidônico/administração & dosagem , Bass/sangue , Bass/metabolismo , Dieta/veterinária , Suplementos Nutricionais/análise , Relação Dose-Resposta a Droga , Distribuição Aleatória
20.
Nature ; 476(7360): 341-5, 2011 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-21685886

RESUMO

Mitochondria from diverse organisms are capable of transporting large amounts of Ca(2+) via a ruthenium-red-sensitive, membrane-potential-dependent mechanism called the uniporter. Although the uniporter's biophysical properties have been studied extensively, its molecular composition remains elusive. We recently used comparative proteomics to identify MICU1 (also known as CBARA1), an EF-hand-containing protein that serves as a putative regulator of the uniporter. Here, we use whole-genome phylogenetic profiling, genome-wide RNA co-expression analysis and organelle-wide protein coexpression analysis to predict proteins functionally related to MICU1. All three methods converge on a novel predicted transmembrane protein, CCDC109A, that we now call 'mitochondrial calcium uniporter' (MCU). MCU forms oligomers in the mitochondrial inner membrane, physically interacts with MICU1, and resides within a large molecular weight complex. Silencing MCU in cultured cells or in vivo in mouse liver severely abrogates mitochondrial Ca(2+) uptake, whereas mitochondrial respiration and membrane potential remain fully intact. MCU has two predicted transmembrane helices, which are separated by a highly conserved linker facing the intermembrane space. Acidic residues in this linker are required for its full activity. However, an S259A point mutation retains function but confers resistance to Ru360, the most potent inhibitor of the uniporter. Our genomic, physiological, biochemical and pharmacological data firmly establish MCU as an essential component of the mitochondrial Ca(2+) uniporter.


Assuntos
Canais de Cálcio/química , Canais de Cálcio/metabolismo , Genômica , Sequência de Aminoácidos , Animais , Cálcio/metabolismo , Canais de Cálcio/genética , Células HEK293 , Células HeLa , Humanos , Transporte de Íons , Camundongos , Mitocôndrias Hepáticas/metabolismo , Membranas Mitocondriais/química , Membranas Mitocondriais/metabolismo , Dados de Sequência Molecular , Proteínas Mutantes/genética , Proteínas Mutantes/metabolismo , Filogenia , Estrutura Quaternária de Proteína , Estrutura Terciária de Proteína
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