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1.
Eur Rev Med Pharmacol Sci ; 24(14): 7548, 2020 07.
Article in English | MEDLINE | ID: mdl-32744653

ABSTRACT

Since this article has been suspected of research misconduct and the corresponding authors did not respond to our request to prove originality of data and figures, "Suppression of adriamycin resistance in osteosarcoma by blocking Wnt/ß-catenin signal pathway, by B.-Q. Wu, Y. Cao, Z.-G. Bi, published in Eur Rev Med Pharmacol Sci 2017; 21 (14): 3185-3192-PMID: 28770967" has been withdrawn. The Publisher apologizes for any inconvenience this may cause. https://www.europeanreview.org/article/13139.

2.
Zhonghua Wai Ke Za Zhi ; 58(3): 209-212, 2020 Mar 01.
Article in Chinese | MEDLINE | ID: mdl-32187924

ABSTRACT

Objective: To explore the psychological state and affected factors of elderly patients with hip fractures. Methods: A retrospective analysis of 156 elderly hip fracture patients(>65 years) admitted to the Department of Orthopaedics, the First Affiliated Hospital of Harbin Medical University from January 2016 to August 2019 was performed. General and psychological information were collected by questionnaire.General information included age, gender, education, whether surgery, length of stay.SCL-90, a self-assessment scale, was chosen as the psychological test to analyzed the elderly hip fracture patients' psychological status during hospitalization and the norms of SCL-90 in Chinese which were established in 1986 were used as the control group. The prognostic factors were examined by univariate and multivariate analysis. Results: Somatization, interpersonal sensitivity, depression, anxiety, paranoid factor scores, and total scores of the elderly hip fracture patients were significantly higher than control group(all P=0.00).Univariate analysis and logistic regression analysis showed that non-surgery treatment and more than 10 days of hospitalization were independent prognostic factors that affected the psychological state of elderly hip fracture patients (all P=0.00). Conclusion: Elderly patients hospitalized with osteoporosis and hip fractures are prone to have negative emotional and psychological changes.The length of hospitalization and the choice of treatment can affect patients' psychological state, suggesting that effective psychological intervention is necessary.


Subject(s)
Hip Fractures/psychology , Osteoporosis , Stress Disorders, Post-Traumatic/etiology , Aged , China , Hip Fractures/complications , Hospitalization , Humans , Retrospective Studies
3.
Zhonghua Wai Ke Za Zhi ; 57(11): 804-806, 2019 Nov 01.
Article in Chinese | MEDLINE | ID: mdl-31694126

ABSTRACT

Femoral neck fracture is a frequently occurring and dangerous disease of elderly patient, whose morbidity is increasing gradually with the aging of population and has become a serious social problem. Prosthetic joint replacement can relief pain and restore joint function effectively, so that more and more doctors consider it a main option for the treatment of displaced femoral neck fractures in the elderly. However, the extensive operation and high cost are burdens for patients and society. As medical technology development, the surgery strategy for fracture neck of femur should be redefined. The choice of treatment should be varied individually depend on therapeutic indication and patients' clinical condition. The treatment of aged patients with femoral neck fractures should be developed into personalized therapeutic strategies.


Subject(s)
Femoral Neck Fractures/surgery , Aged , Arthroplasty, Replacement, Hip , Fracture Fixation, Internal , Humans
4.
Zhonghua Wai Ke Za Zhi ; 57(11): 812-817, 2019 Nov 01.
Article in Chinese | MEDLINE | ID: mdl-31694128

ABSTRACT

Objective: To investigate the changes of internal fixation stress under different angles of interior fracture line and different screw placement modes in the case of A-type distal femoral fracture. Methods: A 24-year-old healthy male volunteer was recruited to collect the right femur data. CATIA V5R21 software produced a 10 mm fracture gap at the external side of the femur 6.5 cm proximal to the joint line and different angle fracture lines were generated on the internal of the femur at the same height. Based on the actual measured dimensions, the three-dimensional (3D) model of the locking plate and screw was reconstructed using CATIA V5R21 software, ignoring the screw surface threads and then the assembly of the internal fixation of the titanium plate, screws and femur was done. All models were meshed using Hypermesh 13.0 software. The assembled 3D model was input into ABAQUS 6.14 to generate a finite element model. Preliminary finite element biomechanical analysis was performed using the four medial fracture line angles and the stress distribution of the internal fixation under the three screw placement modes, and then the analysis was continued after the optimal screw placement method was re-determined. Results: Under an axial loading of 700 N, with the increase of the angle of the fracture line, the stress of the lateral internal fixation gradually increased, and the displacement of the proximal end of the fracture gradually increased. The sequential screw placement method was superior to the leaping screw placement method. The placement of the first screw at the proximal end of the fracture was critical to the distribution of the internal fixation stress. Conclusions: The operation plan of the type A of distal femoral fracture needs to be confirmed according to the internal and external fracture's condition. When the fracture line is at a excessive positive angle or a negative angle, a simple lateral fixation may not provide a stable fracture fixation so that other fixation methods are needed.


Subject(s)
Femoral Fractures/surgery , Finite Element Analysis , Fracture Fixation, Internal/methods , Biomechanical Phenomena , Bone Plates , Bone Screws , Fracture Fixation, Internal/instrumentation , Humans , Male , Young Adult
5.
Eur Rev Med Pharmacol Sci ; 21(14): 3185-3192, 2017 Jul.
Article in English | MEDLINE | ID: mdl-28770967

ABSTRACT

OBJECTIVE: Wnt/ß-catenin signal pathway plays a role in regulating cell proliferation and apoptosis, and is correlated with tumor onset, progression and drug resistance. B-cell lymphoma 2 (Bcl-2) is an anti-apoptotic factor inducing tumor cell drug resistance. Wnt/ß-catenin signal pathway can modulate Bcl-2 expression. This study established a cell model of drug resistance using adriamycin (ADM) treatment. Wnt/ß-catenin signal pathway was intervened to discuss its role in drug resistance of osteosarcoma cells. MATERIALS AND METHODS: Expression of ß-catenin and Bcl-2 was compared between U2OS and hFOB1.19 cells. ADM resistant cell line U2OS/ADM was established for comparing ß-catenin and Bcl-2 expression. Cell counting kit-8 (CCK-8) assay was used to test cell proliferation, followed by flow cytometry for apoptotic rate under ADM concentrations. U2OS/ADM cells were further treated with si-ß-catenin and/or ß-catenin inhibitor XAV939. ß-catenin and Bcl-2 expression were measured, followed by CCK-8 and flow cytometry. RESULTS: Comparing to hFOB1.19 cells, U2OS cells had significantly elevated ß-catenin and Bcl-2 expression. U2OS/ADM cells had higher ß-catenin and Bcl-2 expression than U2OS, plus lower ADM sensitivity and suppressed apoptotic rate. Transfection of si-ß-catenin and XAV939 suppressed ß-catenin and Bcl-2 expression, and significantly enhanced ADM sensitivity and ADM-induced apoptosis. CONCLUSIONS: Up-regulation of ß-catenin plays a role in potentiating expression and downstream anti-apoptotic factor Bcl-2, and in enhancing ADM resistance of osteosarcoma U2OS cells.


Subject(s)
Antineoplastic Agents/toxicity , Doxorubicin/toxicity , Drug Resistance, Neoplasm/drug effects , Heterocyclic Compounds, 3-Ring/toxicity , Wnt Signaling Pathway/drug effects , Antineoplastic Agents/therapeutic use , Apoptosis/drug effects , Bone Neoplasms/drug therapy , Bone Neoplasms/metabolism , Bone Neoplasms/pathology , Cell Line, Tumor , Cell Proliferation/drug effects , Doxorubicin/therapeutic use , Humans , Osteosarcoma/drug therapy , Osteosarcoma/metabolism , Osteosarcoma/pathology , Proto-Oncogene Proteins c-bcl-2/genetics , Proto-Oncogene Proteins c-bcl-2/metabolism , RNA Interference , RNA, Small Interfering/metabolism , beta Catenin/antagonists & inhibitors , beta Catenin/genetics , beta Catenin/metabolism
6.
J Biol Regul Homeost Agents ; 30(2): 381-7, 2016.
Article in English | MEDLINE | ID: mdl-27358124

ABSTRACT

This study was designed to investigate the regulatory effect of estrogen receptor-α (ERα)-mediated Wnt/ß-catenin signaling pathway on osteoblast proliferation. Mc3T3-El cells were infected by ERα and ERß small interfering ribose nucleic acid (siRNA) viruses and treated with estradiol 2 (E2) for 120 min after 24-h infection. Western blot was used to detect expressions of ß-catenin, Gsk 3ß, p-Gsk3ß (Ser9) and CyclinDl; and methyl thiazolyl tetrazolium (MTT) was applied to detect osteoblast proliferation after interference by different ERs. Western blot results indicated that the expressions of ß-catenin, p-Gsk3ß (Ser9) and CyclinDl decreased after ERß interference and ERα + ERß joint interference, and a more obvious decrease was found after the joint interference. After ERß interference, ß-catenin, p-Gsk3ß (Ser9) and CyclinDl were strongly expressed compared with expressions in the blank control group. MTT results demonstrated that the proliferation rate of osteoblast was lower after the joint interference than after ERß interference, while a slight increase was found in the proliferation rate after ERß interference in comparison with the blank control group. It can be concluded that estradiol is able to promote the proliferation of osteoblasts in mice by ERα-mediated Wnt/ß-catenin signaling pathway.


Subject(s)
Cell Proliferation , Estrogen Receptor alpha/physiology , Osteoblasts/physiology , Wnt Signaling Pathway/physiology , beta Catenin/physiology , Animals , Base Sequence , Mice , Molecular Sequence Data , Osteoblasts/cytology
7.
Genet Mol Res ; 14(3): 11063-72, 2015 Sep 21.
Article in English | MEDLINE | ID: mdl-26400336

ABSTRACT

Bone morphogenetic protein 2 (BMP-2) can promote fracture healing. Although the complex role BMP-2 in bone formation is increasingly understood, the role of endogenous BMP-2 in nonunion remains unclear. Decorin (DCN) can promote the formation of bone matrix and calcium deposition to control bone morphogenesis. In this study, tissue composition and expression of BMP-2 and DCN were detected in different parts of old fracture zones to explore inherent anti-fibrotic ability and osteogenesis. Twenty-three patients were selected, including eight cases of delayed union and 15 cases of nonunion. Average duration of delayed union or nonunion was 15 months. Fracture fragments and surrounding tissues, including bone grafts, marrow cavity contents, and sticking scars, were categorically sampled during surgery. Through observation and histological testing, component comparisons were made between fracture fragments and surrounding tissue. The expression levels of DCN and BMP-2 in different tissues were detected by immunohistochemical staining and real-time polymerase chain reaction. The expression of DCN and BMP- 2 in different parts of the nonunion area showed that, compared with bone graft and marrow cavity contents, sticking scars had the highest expression of BMP-2. Compared with the marrow cavity contents and sticking scars, bone grafts had the highest expression of DCN. The low antifibrotic and osteogenic activity of the nonunion area was associated with non-co-expression of BMP-2 and DCN. Therefore, the co-injection of osteogenic factor BMP and DCN into the nonunion area can improve the induction of bone formation and enhance the conversion of the old scar, thereby achieving better nonunion treatment.


Subject(s)
Bone Morphogenetic Protein 2/metabolism , Bone and Bones/metabolism , Decorin/metabolism , Fractures, Ununited/metabolism , Adult , Aged , Aged, 80 and over , Biomarkers/metabolism , Bone Morphogenetic Protein 2/genetics , Bone and Bones/pathology , Decorin/genetics , Fracture Healing , Fractures, Ununited/pathology , Gene Expression , Humans , Middle Aged
8.
J Biol Regul Homeost Agents ; 29(2): 335-42, 2015.
Article in English | MEDLINE | ID: mdl-26122221

ABSTRACT

This study aims to research the effect of dihydroartemisinin on the proliferation, metastasis and apoptosis in human osteosarcoma cells 143B and the underlying mechanism. This study designed five groups for experiment and control, using dimethylsulfoxide (DMSO), and docosahexaenoic acid (DHA) at concentrations of 15, 25, 35 µmol.L-1 respectively. Experiments including methyl thiazolyl tetrazolium (MTT) assay, clone formation assay, Hoechst 33258 staining assay, luciferase reporter plasmid assay, Western blot and scratch test were carried out. In addition, SPSS 18.0 software from IBM was used for statistical analysis and all the data obtained from the experiments were expressed as mean ± SD, and variance was used to compare the difference between the groups. DHA is proved to be able to inhibit the proliferation and metastasis of osteosarcoma cells, as well as leaving a positive effect on apoptosis in the cytomorphosis. It achieves regulation over the human osteosarcoma cells by keeping the expression of related protein under control.


Subject(s)
Antineoplastic Agents, Phytogenic/pharmacology , Apoptosis/drug effects , Artemisinins/pharmacology , Bone Neoplasms/pathology , Osteosarcoma/pathology , Bisbenzimidazole , Cell Line, Tumor , Cell Movement/drug effects , Cell Proliferation/drug effects , Coloring Agents , Dimethyl Sulfoxide/pharmacology , Docosahexaenoic Acids/pharmacology , Drug Screening Assays, Antitumor , Gene Expression Regulation, Neoplastic/drug effects , Genes, Reporter , Humans , Neoplasm Proteins/biosynthesis , Neoplasm Proteins/genetics , Tetrazolium Salts , Thiazoles , Tumor Stem Cell Assay
9.
Braz. j. med. biol. res ; 48(7): 637-643, 07/2015. tab, graf
Article in English | LILACS | ID: lil-751350

ABSTRACT

We investigated whether 6-gingerol affects the maturation and proliferation of osteoblast-like MG63 cells in vitro. Osteoblast-like MG63 cells were treated with 6-gingerol under control conditions, and experimental inflammation was induced by tumor necrosis factor-α (TNF-α). Expression of different osteogenic markers and cytokines was analyzed by real-time PCR, Western blotting, and enzyme-linked immunosorbent assay. In addition, alkaline phosphatase (ALP) enzyme activity and biomineralization as markers for differentiation were measured. Treatment with 6-gingerol resulted in insignificant effects on the proliferation rate. 6-Gingerol induced the differentiation of osteoblast-like cells with increased transcription levels of osteogenic markers, upregulated ALP enzyme activity, and enhanced mineralized nodule formation. Stimulation with TNF-α led to enhanced interleukin-6 and nuclear factor-κB expression and downregulated markers of osteoblastic differentiation. 6-Gingerol reduced the degree of inflammation in TNF-α-treated MG-63 cells. In conclusion, 6-gingerol stimulated osteoblast differentiation in normal physiological and inflammatory settings, and therefore, 6-gingerol represents a promising agent for treating osteoporosis or bone inflammation.


Subject(s)
Female , Humans , Infant, Newborn , Male , Chromosome Disorders/complications , Chromosome Disorders/mortality , Down Syndrome/complications , Down Syndrome/mortality , Infant, Very Low Birth Weight , Trisomy , Retrospective Studies
10.
Braz J Med Biol Res ; 48(7): 637-43, 2015 Jul.
Article in English | MEDLINE | ID: mdl-25923459

ABSTRACT

We investigated whether 6-gingerol affects the maturation and proliferation of osteoblast-like MG63 cells in vitro. Osteoblast-like MG63 cells were treated with 6-gingerol under control conditions, and experimental inflammation was induced by tumor necrosis factor-α (TNF-α). Expression of different osteogenic markers and cytokines was analyzed by real-time PCR, Western blotting, and enzyme-linked immunosorbent assay. In addition, alkaline phosphatase (ALP) enzyme activity and biomineralization as markers for differentiation were measured. Treatment with 6-gingerol resulted in insignificant effects on the proliferation rate. 6-Gingerol induced the differentiation of osteoblast-like cells with increased transcription levels of osteogenic markers, upregulated ALP enzyme activity, and enhanced mineralized nodule formation. Stimulation with TNF-α led to enhanced interleukin-6 and nuclear factor-κB expression and downregulated markers of osteoblastic differentiation. 6-Gingerol reduced the degree of inflammation in TNF-α-treated MG-63 cells. In conclusion, 6-gingerol stimulated osteoblast differentiation in normal physiological and inflammatory settings, and therefore, 6-gingerol represents a promising agent for treating osteoporosis or bone inflammation.


Subject(s)
Catechols/pharmacology , Cell Differentiation/drug effects , Cell Proliferation/drug effects , Fatty Alcohols/pharmacology , Osteoblasts/drug effects , Osteogenesis/drug effects , Alkaline Phosphatase/analysis , Blotting, Western , Catechols/therapeutic use , Cell Survival/drug effects , Cells, Cultured , Collagen Type I/analysis , Enzyme-Linked Immunosorbent Assay , Fatty Alcohols/therapeutic use , Humans , Osteoblasts/cytology , Osteoporosis/drug therapy , Real-Time Polymerase Chain Reaction , Reproducibility of Results , Time Factors , Tumor Necrosis Factor-alpha/drug effects
11.
Panminerva Med ; 55(2): 211-6, 2013 Jun.
Article in English | MEDLINE | ID: mdl-23676961

ABSTRACT

AIM: The purpose of this article was to explore the effects of different anesthesia drugs and techniques on the immune function of patients with osteosarcoma around the knee undergoing radical resection. METHODS: Forty-five ASA (American Society of Anesthesiologists) I-II patients were randomized and divided into three groups: the epidural anesthesia group (Group A), the general anesthesia group (Group B), and the combination of epidural anesthesia and general anesthesia group (Group C). The populations of T lymphocyte subsets (CD3+, CD4+, CD8+, CD4+/CD8+) and a possible association between these variables were investigated 2 h before anesthesia, before and after skin incision, and on the 1st, 3rd and 5th days after operation. RESULTS: The serum sIL-2 levels and T lymphocyte subset populations did not show significant differences among the three groups before anesthesia and skin incision. Serum sIL-2R increased 2 h after skin incision and on the 1st and 3rd day after operation in groups A and B (P < 0.01), and was higher than that of group C 2 h after skin incision and on the 1st day after operation (P < 0.01). Serum sIL-2R increased on the 1st postoperative day in group C. The CD3+, CD4+ and CD4+/CD8+ populations decreased significantly in all groups 2 h after skin incision, and on the 1st and 3rd days after operation (P < 0.05). However, in group C, CD4+/CD8+ levels had almost returned to baseline values on the 3rd day after operation (P > 0.05), and were significantly higher than those of groups A and B (P < 0.05). On the 5th day after operation, CD3+, CD4+ and CD4+/CD8+ levels had returned to baseline values before anesthesia in group C (P > 0.05), and were significantly higher than those of groups A and B (P < 0.05). CONCLUSION: Epidural anesthesia combined with general anesthesia might reduce the stress reaction and the effect of anesthetic drugs on sIL-2 levels and T lymphocyte subsets, contributing to the restoration of immune function in cancer patients.


Subject(s)
Anesthesia, Epidural , Anesthesia, General , Bone Neoplasms/surgery , Knee/surgery , Osteosarcoma/surgery , Osteotomy , T-Lymphocyte Subsets/immunology , Adolescent , Adult , Anesthesia, Epidural/adverse effects , Anesthesia, General/adverse effects , Biomarkers/blood , Bone Neoplasms/immunology , Bone Neoplasms/pathology , CD4-CD8 Ratio , Child , China , Female , Humans , Interleukin-2/blood , Knee/pathology , Male , Osteosarcoma/immunology , Osteosarcoma/pathology , Osteotomy/adverse effects , Time Factors , Treatment Outcome , Young Adult
12.
Scand J Rheumatol ; 41(6): 413-20, 2012.
Article in English | MEDLINE | ID: mdl-23157225

ABSTRACT

OBJECTIVES: The aim of this study was to investigate the tissue distribution of regulatory T cells (Treg cells) and their interaction with dendritic cells (DCs) in synovium from patients with rheumatoid arthritis (RA) or osteoarthritis (OA). METHODS: Immunohistochemical staining was used to investigate the distribution of Treg cells and the interaction between Treg cells and DCs in RA (n = 30) and OA synovium (n = 8). mRNA levels were measured by quantitative real-time reverse transcription polymerase chain reaction (RT-PCR). RESULTS: Large numbers of Treg cells were observed in lymphoid aggregates and perivenular infiltration areas in the RA synovium. Specific cellular markers for Treg cells (Foxp3, CD39, LAG-3, and Nrp-1) were found in lymphoid aggregates, perivenular infiltration, and scattered in lining layer areas. As molecular markers for DCs, DC-LAMP, DEC-205, CD80/86, and CD83 were also detected in the lymphoid aggregates and perivenular infiltration areas in RA. Furthermore, the co-localization of Treg cells and DCs was confined mainly in the lymphoid aggregation areas. The number of DCs increased significantly more than the number of Treg cells with inflammatory progression in RA. mRNA expression of the cellular markers for Treg cells (Foxp3, LAG-3, and Nrp-1) and the molecular markers for DCs (DC-LAMP and DEC-205) was increased in RA compared with OA synovium. CONCLUSIONS: Our results indicate that DCs play a dominant role in regulating the activation and progression of immune responses in RA, even though the number of Treg cells was upregulated at the same time. This suggests that Treg cells do not function normally to suppress the maturation of DCs in the RA synovium.


Subject(s)
Arthritis, Rheumatoid/immunology , Dendritic Cells/immunology , Synovial Membrane/immunology , T-Lymphocytes, Regulatory/immunology , Aged , Antigens, CD/metabolism , Arthritis, Rheumatoid/metabolism , Biomarkers/metabolism , Dendritic Cells/metabolism , Female , Forkhead Transcription Factors/metabolism , Humans , Lysosomal-Associated Membrane Protein 3/metabolism , Male , Middle Aged , Neuropilin-1/metabolism , Osteoarthritis/immunology , Osteoarthritis/metabolism , Synovial Membrane/metabolism , T-Lymphocytes, Regulatory/metabolism
13.
Cell Death Dis ; 2: e117, 2011 Jan 27.
Article in English | MEDLINE | ID: mdl-21368888

ABSTRACT

Histone deacetylase inhibitors (HDACIs) have shown promising anti-tumor effects for a variety of malignancies, however, many tumors are reportedly resistant to them. In this study, we made a novel discovery that co-administration of HDACIs (Trichostatin A (TSA) and others) and exogenous cell-permeable short-chain ceramide (C6) results in striking increase in cancer cell death and apoptosis in multiple cancer cells. These events are associated with perturbations in diverse cell signaling pathways, including inactivation of Akt/mTOR and increase in α-tubulin acetylation (both in vivo and in vitro). TSA interacts in a highly synergistic manner with C6-ceramide to disrupt HDAC6/protein phosphatase 1 (PP1)/tubulin complex, to induce α-tubulin hyperacetylation, and to release and activate PP1, which then leads to AKT dephosphorylation and eventually causes cancer cell death. Interestingly, TSA itself results in short-term ceramide accumulation, which as a result of metabolic (glycosylation) removal, does not result in evident increase of cancer cell death. However, adding C6-ceramide led to a very pronounced increase in ceramide level and marked increase in cell death. Importantly, the effective synergistic anti-tumor activity of TSA plus C6-ceramide is also seen in in vivo mice xenograft pancreatic and ovarian cancer models, indicating that this regimen (HDACI plus C6-ceramide) may represent a more effective form of therapy against pancreatic and ovarian carcinoma.


Subject(s)
Antineoplastic Agents/pharmacology , Ceramides/pharmacology , Histone Deacetylase Inhibitors/pharmacology , Oncogene Protein v-akt/metabolism , Tubulin/metabolism , Acetylation/drug effects , Animals , Antineoplastic Agents/administration & dosage , Apoptosis/drug effects , Ceramides/administration & dosage , Drug Synergism , Gene Expression Regulation, Neoplastic/drug effects , Histone Deacetylase 6 , Histone Deacetylase Inhibitors/administration & dosage , Histone Deacetylases/genetics , Histone Deacetylases/metabolism , Humans , Hydroxamic Acids/administration & dosage , Hydroxamic Acids/pharmacology , Mice , Mice, Nude , Neoplasms/drug therapy , Neoplasms/genetics , Neoplasms/metabolism , Neoplasms/physiopathology , Oncogene Protein v-akt/genetics , Phosphorylation/drug effects , Tubulin/genetics
14.
Oncogene ; 29(50): 6557-68, 2010 Dec 16.
Article in English | MEDLINE | ID: mdl-20802518

ABSTRACT

New chemotherapy-enhancing strategies are needed for better cancer therapy. Previous studies suggest that exogenous cell-permeable C6 ceramide may be a useful adjunct to the anti-tumor effects of chemotherapeutic agents (such as Taxol) against multiple cancers. Here we demonstrate that exogenous cell-permeable C6 ceramide largely sensitizes multiple progressive cancer cell lines to Doxorubicin-induced cell death and apoptosis. We found for the first time that Doxorubicin induces AMP-activated protein kinase (AMPK) activation in a reactive oxygen species-dependent manner. Activation of AMPK contributes to Doxorubicin-induced cancer cell death and apoptosis. Inhibition of AMPK by small interfering RNA knockdown or a pharmacological inhibitor reduces Doxorubicin-induced cancer cell apoptosis, whereas AMPK activator AICAR enhances it. Importantly, we found that C6 ceramide largely enhances Doxorubicin-induced activation of AMPK, which leads to mTOR complex 1 inhibition and chemo-sensitization. Our data suggest that the combination of C6 ceramide with traditional chemotherapy drugs such as Doxorubicin may have the potential to be used as a new therapeutic intervention against multiple cancers.


Subject(s)
AMP-Activated Protein Kinases/metabolism , Antineoplastic Agents/therapeutic use , Apoptosis/drug effects , Ceramides/therapeutic use , Doxorubicin/therapeutic use , Drug Resistance, Neoplasm/drug effects , Neoplasms/drug therapy , Proteins/antagonists & inhibitors , Aminoimidazole Carboxamide/analogs & derivatives , Aminoimidazole Carboxamide/pharmacology , Antineoplastic Combined Chemotherapy Protocols , Cell Line, Tumor , Ceramides/pharmacology , Humans , Mechanistic Target of Rapamycin Complex 1 , Multiprotein Complexes , Proteins/metabolism , Reactive Oxygen Species/metabolism , Ribonucleotides/pharmacology , TOR Serine-Threonine Kinases
15.
Br J Dermatol ; 155(4): 680-7, 2006 Oct.
Article in English | MEDLINE | ID: mdl-16965415

ABSTRACT

BACKGROUND: Staphylococcus aureus has a peculiar ability to colonize the skin of patients with eczema and atopic dermatitis (AD), and is consistently found in eczematous skin lesions in these patients. A correlation between the severity of the eczema and colonization with S. aureus has been demonstrated, and it has been determined that bacterial colonization is an important factor aggravating skin lesions. Patients colonized with S. aureus have been treated with antibiotics in several open and double-blind placebo-controlled studies, with conflicting results. OBJECTIVES: To investigate the colonizing features of S. aureus in the lesional and nonlesional skin of patients with eczema and AD in China and to compare the therapeutic effect of mupirocin plus hydrocortisone butyrate with vehicle ointment plus hydrocortisone butyrate. METHODS: A multicentre, double-blind randomized trial was conducted. Eczema Area and Severity Index (EASI) scores were evaluated before the start of the trial and on the 7th, 14th and 28th day of treatment. Swabs for bacterial isolation were taken from lesional skin before the start of the trial and on the 7th, 14th and 28th day of treatment, and from nonlesional skin only before the start of the trial. A combination topical therapy with mupirocin plus hydrocortisone butyrate ointment was used in the experimental group, with vehicle ointment plus hydrocortisone butyrate ointment as a control. RESULTS: Of 327 patients enrolled in the study, 208 had eczema and 119 had AD. Bacteria were isolated from 70.2% of lesional and 32.7% of nonlesional skin samples from patients with eczema, of which S. aureus accounted for 47.3% and 27.9%, respectively. Bacteria were isolated from 74.8% of lesional and 34.5% of nonlesional skin samples from patients with AD, of which S. aureus accounted for 79.8% and 80.5%, respectively. The colonization density of S. aureus was markedly higher in lesional than in nonlesional skin, both in patients with eczema and with AD (P < 0.01, P < 0.05), and was positively correlated with lesion severity. Considering the EASI scores before and after treatment and the final effective rate, good therapeutic effects were obtained in both the combination experimental groups and the control groups (P < 0.01), and there were no differences in the global therapeutic effect between the two groups in patients with eczema and with AD (P > 0.05). However, in patients with eczema with a clinical score of > 8 or in patients with AD with a clinical score of > 7, the therapeutic effect in the experimental groups was superior to that in the control groups (P < 0.05) on the 7th day of treatment. There were no differences between the two groups on the 14th and 28th days of treatment (P > 0.05). Following the improvement of symptoms and signs of eczema and AD, the positive rates of bacteria and S. aureus were reduced on the 7th day of treatment. CONCLUSIONS: This study confirmed that lesional skin of patients with eczema and AD was more frequently colonized with S. aureus than was nonlesional skin. The more severe the eczema, the higher the colonization rate of S. aureus, and S. aureus was also more often present in lesional and nonlesional skin in patients with AD than in those with eczema. Staphylococcus aureus infection is related to the pathogenesis of eczema and AD. An antibiotic-corticosteroid combination and corticosteroid alone both gave good therapeutic effect in eczema and in AD, and both reduced colonization by S. aureus. Early combined topical therapy is beneficial to patients with moderate to severe eczema and AD, and it is unnecessary to use antibiotics at later stages of disease or in mild eczema or AD.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Dermatitis, Atopic/microbiology , Eczema/microbiology , Staphylococcal Skin Infections/microbiology , Staphylococcus aureus/isolation & purification , Adolescent , Adult , Aged , Anti-Inflammatory Agents/therapeutic use , Child , Child, Preschool , Dermatitis, Atopic/drug therapy , Dermatologic Agents/therapeutic use , Double-Blind Method , Drug Therapy, Combination , Eczema/drug therapy , Female , Humans , Hydrocortisone/analogs & derivatives , Hydrocortisone/therapeutic use , Male , Middle Aged , Mupirocin/therapeutic use , Severity of Illness Index , Staphylococcal Skin Infections/drug therapy , Treatment Outcome
16.
J Dermatolog Treat ; 13(2): 67-72, 2002 Jun.
Article in English | MEDLINE | ID: mdl-12060504

ABSTRACT

BACKGROUND: Herpes simplex facialis/labialis (HSFL) is a common infectious skin disorder, caused mainly by herpes simplex virus (HSV) type 1, for which the topical application of a cream containing an antiviral agent for treatment of the disease has been widely utilized. OBJECTIVE: To explore the efficacy of the topical application of 1% penciclovir cream in the treatment of HSFL, and to compare its efficacy and safety with 3% aciclovir cream. METHODS: A total of 248 patients with a diagnosis of HSFL were randomly allocated to one of the two treatment groups (n = 124 each), using stratified randomization based on a table of random numbers. Before treatment (day 0) and at every visit (days 3, 5 and 7) during the study, the sign and symptom scores were recorded by the same doctor. RESULTS: Excluding 23 patients (10 in the penciclovir and 13 in the aciclovir groups), 225 completed the study, and no severe adverse events were noted with any of the treatment regimens. Results show that an encouraging improvement in the clinical course was found simultaneously for patients with each episode type and each treatment assignment. There were no significant differences in terms of efficacy endpoint, clinical cure rate, and safety between the two treatment arms, but there was a trend towards a shorter time to resolution of all symptoms, cessation of new blisters, and loss of crust (p

Subject(s)
Acyclovir/analogs & derivatives , Acyclovir/administration & dosage , Antiviral Agents/administration & dosage , Facial Dermatoses/drug therapy , Herpes Labialis/drug therapy , Herpes Simplex/drug therapy , Acyclovir/adverse effects , Acyclovir/therapeutic use , Administration, Cutaneous , Adolescent , Adult , Aged , Antiviral Agents/adverse effects , Double-Blind Method , Drug Administration Schedule , Female , Guanine , Humans , Male , Middle Aged , Ointments , Pruritus/chemically induced , Treatment Outcome
17.
Article in Chinese | MEDLINE | ID: mdl-12080847

ABSTRACT

OBJECTIVE: To measure the length and extent of the injured blood vessels in an avulsion amputation model. METHODS: Twenty rabbits were randomly divided into 2 groups. Group A was a sharp amputation group, and group B was an avulsion amputation group. The length and extent of the injured blood vessel was observed with naked eye, operation microscope and electron microscope, and the limbs were replanted. Group A and B were explored at three days and ten days after the replantation respectively. The patency rate and healing process were compared. RESULTS: All the severed ends of vessels in group A were neat with almost the same injured range in the three layers of the vessel wall about 1 mm away from the severed end. The vessels of group B were damaged seriously, the endothelial cells were deleted. The "jumping-like" damage could be observed in the elastic fibers. The injury of 2 to 3 mm away from the normal vessel wall could be observed by operation microscope. CONCLUSION: The damage of avulsion amputation vessels was irregular, 2 to 3 mm or more tissues should be excised under the microscope in the process of operation in order to ensure the healthy intact blood vessel walls.


Subject(s)
Amputation, Traumatic/surgery , Brachial Artery/injuries , Brachial Artery/surgery , Animals , Disease Models, Animal , Femoral Artery/injuries , Femoral Artery/surgery , Male , Rabbits , Random Allocation , Replantation
18.
Shanghai Kou Qiang Yi Xue ; 6(3): 151-3, 1997 Sep.
Article in Chinese | MEDLINE | ID: mdl-15160218

ABSTRACT

Tumor-infiltrating lymphocyte (TIL) in the primary site of oral SCC treated with S-PVP of PVP therapy was collected respectively and its yield,that is calculating the amount of TIL per tumor tissue.The cytotoxicity of TIL against the target,Tca8113 was detected.The results showed that the yield of TIL in S-PVP group was three times over that in PVP group.At the ratio of 5 to 1 (effector to target) the cytotoxicity was 38% in S-PVP group and 32% in PVP group.There was no significant difference in its cytotoxicity between two groups.The results revealed that immunochemotherapy of S-PVP regimen for treating oral SCC had neither direct damage to tumor cell from the agents nor antitumor immune reactivity with BRM stimulating an increasing in numbers of TIL.

19.
J Pediatr Surg ; 25(2): 282-4, 1990 Feb.
Article in English | MEDLINE | ID: mdl-2406410

ABSTRACT

Eight cases of imperforate anus with short colon were seen in our hospital from April 1982 to December 1987. Five were boys, three were girls, and their ages ranged from 2 days to 2 years. The international literature about this kind of disease was reviewed. The disease's name, embryology, diagnoses, differential diagnosis, treatment, and prognosis are discussed herein. We suggest that this case, which was not combined with exstrophy of the bladder and/or intestine, be called association of imperforate anus with short colon (AIASC). Other cases, combined with exstrophy of the bladder and/or intestine could be called, association of imperforate anus with exstrophy splanchnica (AIAES). This distinction is necessary because each group differs in symptoms, signs, diagnosis, treatment, and prognosis.


Subject(s)
Anus, Imperforate/complications , Colon/abnormalities , Anal Canal/surgery , Colon/surgery , Female , Humans , Infant , Infant, Newborn , Male , Rectum/surgery
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