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1.
Materials (Basel) ; 17(10)2024 May 11.
Article in English | MEDLINE | ID: mdl-38793346

ABSTRACT

Currently, one of the main causes of death in the world is cancer; therefore, it is urgent to obtain a precocious diagnosis, as well as boost research and development of new potential treatments, which should be more efficient and much less invasive for the patient. Magnetic hyperthermia (MH) is an emerging cancer therapy using nanoparticles, which has proved to be effective when combined with chemotherapy, radiotherapy and/or surgery, or even by itself, depending on the type and location of the tumor's cells. This article presents the results obtained by using a previously developed economic homemade hyperthermia device with different types of magnetite nanoparticles, with sizes ranging between 12 ± 5 and 36 ± 11 nm and presenting different shapes (spherical and cubic particles). These magnetic nanoparticles (MNPs) were synthesized by three different methods (co-precipitation, solvothermal and hydrothermal processes), with their final form being naked, or possessing different kinds of covering layers (polyethylene glycol (PEG) or citric acid (CA)). The parameters used to characterize the heating by magnetic hyperthermia, namely the Specific Absorption Rate (SAR) and the intrinsic loss power (ILP), have been obtained by two different methods. Among other results, these experiments allowed for the determination of which synthesized MNPs showed the best performance concerning hyperthermia. From the results, it may be concluded that, as expected, the shape of MNPs is an important factor, as well as the time that the MNPs can remain suspended in solution (which is directly related to the concentration and covering layer of the MNPs). The MNPs that gave the best results in terms of the SAR were the cubic particles covered with PEG, while in terms of total heating the spherical particles covered with citric acid proved to be better.

2.
Foods ; 12(17)2023 Aug 22.
Article in English | MEDLINE | ID: mdl-37685081

ABSTRACT

Green microalgae are single-celled eukaryotic organisms that, in recent years, are becoming increasingly important in the nutraceutical, cosmetic, and pharmaceutical fields because of their high content of bioactive compounds. In this study, a particular green microalga was isolated from freshwater highland lakes of Ecuador and morphologically and molecularly identified as Chlamydomonas agloeformis (ChA), and it was studied for nutritional and nutraceutical properties. The phenolic composition and the fatty acids profile of lyophilized cells were determined. The methanolic extract was analyzed for the phenolic compounds profile and the antioxidant capacity by means of in vitro tests. Finally, Human Microvascular Endothelial Cells (HMEC-1) were exploited to explore the capacity of ChA to reduce the endothelial damage induced by oxidized LDL-mediated oxidative stress. The extract showed a good antioxidant ability thanks to the high content in polyphenolic compounds. The observed decrease in HMEC-1 cells endothelial damage also was probably due to the antioxidant compounds present in the extract. Based on the outcomes of our in vitro assays, ChA demonstrated to be a promising source of bioactive compounds possessing exceptional antioxidant capacities which make it a prospective functional food.

3.
Molecules ; 28(13)2023 Jun 22.
Article in English | MEDLINE | ID: mdl-37446586

ABSTRACT

Seeds of Vitis vinifera L. with a high content of bioactive compounds are valuable by-products from grape processing. However, little is known about the bioactivity of seeds from other Vitis species. The aim of this study has been to compare the phenolic composition, antimicrobial activity, and antioxidant activity of extracts from seeds of four Vitis species (V. riparia Michx., V. californica Benth., V. amurensis Rupr., and V. vinifera L.). Antioxidant activities were assessed as ferric-reducing antioxidant power (FRAP), 2,2-diphenyl-1-picrylhydrazyl radical (DPPH•) scavenging activity, and oxygen radical absorbance capacity (ORAC). The antimicrobial activity was determined using the microdilution method against some Gram-negative (Escherichia coli, Salmonella enterica ser. Typhimurium, and Enterobacter aerogenes) and Gram-positive (Enterococcus faecalis and Staphylococcus aureus) bacteria. Liquid chromatography-tandem mass spectrometry (LC-MS/MS) was used to evaluate the phenolic profile of extracts. Flavan-3-ols, procyanidins, phenolic acids, flavonols, anthocyanins, and stilbenoids were detected. (+)-Catechin and (-)-epicatechin turned out to be the most abundant in the phenolic profile of V. amurensis seed extract. Phenolic acids prevailed in the extract from V. vinifera seeds. The V. riparia and V. californica seed extracts had higher contents of most individual phenolics compared to the other Vitis species. They also showed a higher total phenolic content, DPPH• scavenging activity, ORAC, and overall antibacterial activity. Total phenolic content significantly correlated with antioxidant activity and antimicrobial activity against E. coli. The principal component analysis (PCA) showed discrimination between V. vinifera, V. amurensis, and clustered V. riparia and V. californica with respect to variables. To recapitulate, this research demonstrates that seeds of different Vitis species, especially V. riparia and V. californica, are sources of molecules with antioxidant and antimicrobial activities that can be used in different sectors, such as in the food, cosmetic, and pharmaceutical industries.


Subject(s)
Anti-Infective Agents , Vitis , Antioxidants/chemistry , Vitis/chemistry , Anthocyanins/analysis , Chromatography, Liquid , Escherichia coli , Tandem Mass Spectrometry , Phenols/pharmacology , Phenols/analysis , Seeds/chemistry , Plant Extracts/chemistry , Anti-Infective Agents/pharmacology , Anti-Infective Agents/analysis
4.
Antioxidants (Basel) ; 12(6)2023 Jun 20.
Article in English | MEDLINE | ID: mdl-37372038

ABSTRACT

Recently, green microalgae have gained importance due to their nutritional and bioactive compounds, which makes them some of the most promising and innovative functional foods. The aim of this study was to evaluate the chemical profile and the in vitro antioxidant, antimicrobial and antimutagenic activity of an aqueous extract of the green microalga Ettlia pseudoalveolaris, obtained from the freshwater lakes of the Ecuadorian Highlands. Human microvascular endothelial cells (HMEC-1) were used to determine the ability of the microalga to reduce the endothelial damage caused by hydrogen peroxide-induced oxidative stress. Furthermore, the eukaryotic system Saccharomyces cerevisiae was used to evaluate the possible cytotoxic, mutagenic and antimutagenic effect of E. pseudoalveolaris. The extract showed a notable antioxidant capacity and a moderate antibacterial activity mostly due to the high content in polyphenolic compounds. It is likely that the antioxidant compounds present in the extract were also responsible for the observed reduction in endothelial damage of HMEC-1 cells. An antimutagenic effect through a direct antioxidant mechanism was also found. Based on the results of in vitro assays, E. pseudoalveolaris proved to be a good source of bioactive compounds and antioxidant, antibacterial and antimutagenic capacities making it a potential functional food.

5.
Front Sociol ; 8: 1141750, 2023.
Article in English | MEDLINE | ID: mdl-37229283

ABSTRACT

The paper discusses the role that sociology and digital social research methods could play in developing E-health and Telemedicine, specifically after the COVID-19 pandemic, and the possibility of dealing with new pandemics. In this article, we will reflect on an interdisciplinary research pilot project carried out by a team of sociologists, medical doctors, and software engineers at The University of Calabria (Italy), to give a proof of concept of the importance to develop Telemedicine through the contribution of digital social research. We apply a web and app survey to administrate a structured questionnaire to a self-selected sample of the University Community. Digital social research has highlighted socioeconomic and cultural gaps that affect the perception of Telemedicine in the University Community. In particular, gender, age, educational, and professional levels influence medical choices and behaviors during Covid-19. There is often an unconscious involvement in Telemedicine (people use it but don't know it is Telemedicine), and an optimistic perception grows with age, education, professional, and income levels; equally important are the comprehension of digital texts and the effective use of Telemedicine. Limited penetration of technological advances must be addressed primarily by overcoming sociocultural and economic barriers and developing knowledge and understanding of digital environments. The key findings of this study could help direct public and educational policies to reduce existing gaps and promote Telemedicine in Calabria.

6.
Nanomaterials (Basel) ; 13(6)2023 Mar 15.
Article in English | MEDLINE | ID: mdl-36985945

ABSTRACT

Late diagnosis and systemic toxicity associated with conventional treatments make oncological therapy significantly difficult. In this context, nanomedicine emerges as a new approach in the prevention, diagnosis and treatment of cancer. In this work, pH-sensitive solid magnetoliposomes (SMLs) were developed for controlled release of the chemotherapeutic drug doxorubicin (DOX). Shape anisotropic magnetic nanoparticles of magnesium ferrite with partial substitution by calcium (Mg0.75Ca0.25Fe2O4) were synthesized, with and without calcination, and their structural, morphological and magnetic properties were investigated. Their superparamagnetic properties were evaluated and heating capabilities proven, either by exposure to an alternating magnetic field (AMF) (magnetic hyperthermia) or by irradiation with near-infrared (NIR) light (photothermia). The Mg0.75Ca0.25Fe2O4 calcined nanoparticles were selected to integrate the SMLs, surrounded by a lipid bilayer of DOPE:Ch:CHEMS (45:45:10). DOX was encapsulated in the nanosystems with an efficiency above 98%. DOX release assays showed a much more efficient release of the drug at pH = 5 compared to the release kinetics at physiological pH. By subjecting tumor cells to DOX-loaded SMLs, cell viability was significantly reduced, confirming that they can release the encapsulated drug. These results point to the development of efficient pH-sensitive nanocarriers, suitable for a synergistic action in cancer therapy with magnetic targeting, stimulus-controlled drug delivery and dual hyperthermia (magnetic and plasmonic) therapy.

7.
Food Chem Toxicol ; 167: 113261, 2022 Sep.
Article in English | MEDLINE | ID: mdl-35787436

ABSTRACT

Herein we characterized the bioactive metabolites of the aqueous extract of Kavolì®, a commercial product composed of a mixture of Brassica oleracea leaves, and assessed its potential ameliorating effects in a rat model of non-alcoholic fatty liver disease (NAFLD). Kavolì® extract showed high levels of bioactive compounds and strong in vitro antioxidant activities. Chlorogenic and neochlorogenic acids were identified as the most representative polyphenols. The administration of brassica extract to steatotic rats significantly ameliorated the levels of blood lipids and transaminases, and lipid content and inflammatory markers in liver. Oxidative stress parameters were significantly improved in both liver and brain of steatotic rats. Moreover, plasma and feces levels of short chain fatty acids (SCFAs) were bring back close to control values by Kavolì® treatment, in spite of high fat diet/streptozotocin (HFD/STZ)-induced alterations. The efficacy of Kavolì® in treating hypercholesterolemia, reducing the level of inflammation and cardiovascular disease biomarkers, steatosis and oxidative stress parameters, as well as the ability in modulating SCFAs levels is probably related to the bioactive compounds of the water extract administered to the rat model of NAFLD. In particular, the ameliorating effects are largely attributable to the high content in polyphenols observed in our study.


Subject(s)
Brassica , Non-alcoholic Fatty Liver Disease , Animals , Anti-Inflammatory Agents/pharmacology , Anti-Inflammatory Agents/therapeutic use , Antioxidants/metabolism , Brassica/metabolism , Diet, High-Fat/adverse effects , Liver , Non-alcoholic Fatty Liver Disease/drug therapy , Non-alcoholic Fatty Liver Disease/metabolism , Oxidative Stress , Polyphenols/metabolism , Rats , Water
8.
Chem Sci ; 13(19): 5539-5545, 2022 May 18.
Article in English | MEDLINE | ID: mdl-35694350

ABSTRACT

Despite its essential role in the (patho)physiology of several diseases, CB2R tissue expression profiles and signaling mechanisms are not yet fully understood. We report the development of a highly potent, fluorescent CB2R agonist probe employing structure-based reverse design. It commences with a highly potent, preclinically validated ligand, which is conjugated to a silicon-rhodamine fluorophore, enabling cell permeability. The probe is the first to preserve interspecies affinity and selectivity for both mouse and human CB2R. Extensive cross-validation (FACS, TR-FRET and confocal microscopy) set the stage for CB2R detection in endogenously expressing living cells along with zebrafish larvae. Together, these findings will benefit clinical translatability of CB2R based drugs.

9.
Article in English | MEDLINE | ID: mdl-34639532

ABSTRACT

Stress is one of the most common problems among healthcare professionals, as they are exposed to potentially stressful and emotionally challenging situations in the workplace. Mindfulness-based stress reduction (MBSR) training programs have been shown to decrease stress. The objective of this study was to compare the effectiveness of an abbreviated 4-weeks MBSR training program in relation to a standard 8-weeks one on the stress levels. A controlled and randomized clinical trial was designed, in which 112 tutors and resident intern specialists in Family and Community Medicine and Nursing of six Spanish National Health System teaching units (TUs) participated. Participants included in the experimental groups (EGs) received a MBRS training program (standard or abbreviated), while control group (CG) participants did not receive any intervention. The stress levels were assessed by the Perceived Stress Questionnaire (PSQ) in three different moments during the study: before, immediately after, and 3 months after the intervention. Adjusted covariance analysis (ANCOVA), using pretest scores as the covariate, showed a significant reduction in stress (F(2,91) = 5.165; p = 0.008; η2 = 0.102) in the post-test visit, attributable to the implementation of the standard training program, but without the maintenance of its effects over time. No significant impact of the abbreviated training program on stress levels was observed in the intergroup comparison. A standard 8-weeks MBSR training program aimed at tutors and resident intern specialists in Family and Community Medicine and Nursing produces significant improvements in stress levels compared with the abbreviated intervention and no intervention. New studies about abbreviated training programs are needed to provide effective treatments which improve well-being of these professionals.


Subject(s)
Mindfulness , Community Medicine , Empathy , Humans , Spain , Stress, Psychological/prevention & control , Surveys and Questionnaires
10.
Nanomaterials (Basel) ; 11(7)2021 Jun 23.
Article in English | MEDLINE | ID: mdl-34201717

ABSTRACT

Cubic nanoparticles are referred to as the best shaped particles for magnetic hyperthermia applications. In this work, the best set of values for obtaining optimized shape and size of magnetic particles (namely: reagents quantities and proportions, type of solvents, temperature, etc.) is determined. A full industrial implementation study is also performed, including production system design and technical and economic viability.

11.
J Environ Manage ; 285: 112155, 2021 May 01.
Article in English | MEDLINE | ID: mdl-33652186

ABSTRACT

Fenton reaction is an oxidation process of interest in wastewater treatment because of its ability to degrade organic compounds. Iron-based magnetic particles can be a very useful catalyst when using heterogeneous Fenton process. The major problem of this heterogeneous process is the saturation of the Fe 3+ on the surface, which limits the process. In this study, the possibility of using magnetite particles as a substrate is presented, increasing its degradation efficiency by Fenton reaction through a regeneration process that achieves the electronic reduction of its surface using reducing agents. The results indicate that the regeneration process is quite effective, increasing the efficiency of the degradation of Methylene Blue up to 99%. The concentration of magnetite is the most influential factor in the efficiency of the reaction, while the regeneration time and the concentration of reducing agent do not significantly affect the results considering the range used. The presence of mechanical stirring may adversely affect the reaction in the long term. Increasing the oxidant agent concentration reduces the initial speed of the reaction but not the long-term efficiency. The use of hydrazine in this process allows the successive reuse of these particles maintaining a high percentage of elimination of methylene blue, above 70% even after 10 uses, compared to an elimination below 20% for particles not regenerated after the second use and for particles regenerated with ascorbic acid after the eighth use.


Subject(s)
Water Pollutants, Chemical , Water Purification , Catalysis , Hydrogen Peroxide , Magnetic Phenomena , Oxidation-Reduction , Water , Water Pollutants, Chemical/analysis
12.
J Environ Manage ; 285: 112177, 2021 May 01.
Article in English | MEDLINE | ID: mdl-33662763

ABSTRACT

Magnetic sorption process is applied to real wastewater effluents from a Wastewater Treatment Plant. The complex media sorption is done by using different types of magnetic particles (resin and polymeric covered magnetite) giving good results for removing detergents, phosphates and COD and moderate results for the sorption of nitrogen and several heavy metals. Important kinetic parameters were obtained by data fitting for the pseudo first and second order, and for simplified Elovich models. Regeneration and reuse of the magnetic particles using a chemical-free method was also tested, as well as the effect of the concentration of the particles in the removal efficiency (which proved to be relevant).


Subject(s)
Metals, Heavy , Water Pollutants, Chemical , Water Purification , Adsorption , Hydrogen-Ion Concentration , Kinetics , Magnetic Phenomena , Wastewater , Water Pollutants, Chemical/analysis
13.
J Environ Manage ; 281: 111872, 2021 Mar 01.
Article in English | MEDLINE | ID: mdl-33387738

ABSTRACT

The application of magnetic sorption to treat wastewaters is nowadays seen as a potential industrial method. In this work we apply magnetite particles to remediate real wastewater samples, with several contaminants competing for the same active sorption center at the same time. We also apply our studies at three different sampling points of a Wastewater Treatment Plant. In general terms, magnetite particles have shown a very good behaviour concerning the reduction of detergents and COD, while phosphates and total nitrogen, and the majority of heavy metals are high to moderately removed. The influence of the type of wastewater (i.e., sampling point) has also shown to be important especially for high concentration of contaminants.


Subject(s)
Metals, Heavy , Water Pollutants, Chemical , Water Purification , Magnetic Phenomena , Waste Disposal, Fluid , Wastewater , Water Pollutants, Chemical/analysis
15.
J Am Chem Soc ; 142(40): 16953-16964, 2020 10 07.
Article in English | MEDLINE | ID: mdl-32902974

ABSTRACT

Pharmacological modulation of cannabinoid type 2 receptor (CB2R) holds promise for the treatment of numerous conditions, including inflammatory diseases, autoimmune disorders, pain, and cancer. Despite the significance of this receptor, researchers lack reliable tools to address questions concerning the expression and complex mechanism of CB2R signaling, especially in cell-type and tissue-dependent contexts. Herein, we report for the first time a versatile ligand platform for the modular design of a collection of highly specific CB2R fluorescent probes, used successfully across applications, species, and cell types. These include flow cytometry of endogenously expressing cells, real-time confocal microscopy of mouse splenocytes and human macrophages, as well as FRET-based kinetic and equilibrium binding assays. High CB2R specificity was demonstrated by competition experiments in living cells expressing CB2R at native levels. The probes were effectively applied to FACS analysis of microglial cells derived from a mouse model relevant to Alzheimer's disease.


Subject(s)
Alzheimer Disease/metabolism , Fluorescent Dyes/chemistry , Microglia/metabolism , Receptor, Cannabinoid, CB2/analysis , Animals , CHO Cells , Cricetulus , Disease Models, Animal , Flow Cytometry , Fluorescence Resonance Energy Transfer , Humans , Ligands , Mice , Molecular Docking Simulation , Molecular Probes/chemistry , Optical Imaging , Sensitivity and Specificity , Signal Transduction
16.
Rev Esp Enferm Dig ; 112(10): 813-814, 2020 Oct.
Article in English | MEDLINE | ID: mdl-32954782

ABSTRACT

We present the case of an 87-year-old male with Parkinson's disease, admitted to the Emergency Room due to acute abdomen, without leukocytosis or neutrophilia, with PCR of 0.74 and lactate of 2.5. The emergency abdominal computed tomography (CT) scan showed a pneumoperitoneum and significant intestinal pneumatosis on the small bowel loops in the right abdomen. There was a 3.2 cm slight dilation, without portal venous gas and an adequate opacification of the superior mesenteric artery and its main branches. An emergency laparotomy was performed that showed subserosal cysts in the jejunum and ileum, with no signs of transmural perforation. The patient was discharged after a good postoperative evolution.


Subject(s)
Abdomen, Acute , Pneumatosis Cystoides Intestinalis , Pneumoperitoneum , Abdomen, Acute/diagnostic imaging , Abdomen, Acute/etiology , Aged, 80 and over , Humans , Intestine, Small , Laparotomy , Male , Pneumatosis Cystoides Intestinalis/complications , Pneumatosis Cystoides Intestinalis/diagnostic imaging , Pneumatosis Cystoides Intestinalis/surgery , Pneumoperitoneum/diagnostic imaging , Pneumoperitoneum/etiology
17.
Materials (Basel) ; 13(11)2020 May 29.
Article in English | MEDLINE | ID: mdl-32485890

ABSTRACT

Very few economical and process engineering studies have been made concerning the scale-up and implementation of nanomagnetic particle manufacturing into a full-scale plant, and determination of its viability. In this work we describe such a study for two types of industrial plants, one for manufacturing magnetic particles for applications in the environmental area, and the other for manufacturing nanomagnetic particles for applications in the biotechnology area; the two different applications are compared. The following methodology was followed: establish the manufacturing process for each application; determine the market demand of the product (magnetic nanoparticles) for both applications; determine the production capacity of each plant; engineer all the manufacturing process, determining all the process units and performing all the mass and energy balances for both plants; scale-up the main equipment; and determine the global economic impact and profitability. At the end both plants are found to be technologically and economically viable, the characteristics of the final products being, however, quite different, as well as the process engineering, economic analysis, and scale-up.

18.
Materials (Basel) ; 13(10)2020 May 12.
Article in English | MEDLINE | ID: mdl-32408621

ABSTRACT

Many different processes for manufacturing of magnetic particles are present in scientific literature. However, the large majority are not able to be applied to large-scale real operations. In this study, we present an experiment undertaken to determine advisable values and options for the main variables and factors for the application of the reverse co-precipitation method to produce magnetic particles for real environmental applications. In such, we have tried a conjugation of values/factors that has led to 12 main experiments and production of 12 different particles. After an initial study concerning their main characteristics, these 12 different particles were applied for the sorption removal of COD from real wastewater samples (efficiencies between 70% and 81%) and degradation of Methylene blue by Fenton reaction (degradation efficiencies up to 100%). The main conclusion from this work is that the best set of values depends on the target environmental application, and this set of values were determined for the two applications studied.

19.
Sci Total Environ ; 648: 636-668, 2019 Jan 15.
Article in English | MEDLINE | ID: mdl-30340309

ABSTRACT

Leachates are still an open issue in environmental protection. Many of the applied methods for their treatment present low efficiency and thus need to be used collectively. In practice reverse osmosis is mostly used, as it is the most effective option, regardless of its cost. Magnetic methods to treat effluents have been used for water and wastewater treatment by the use of magnetic particles together with magnetic separation for the removal of contaminants. However, large-scale applications are few or even non-existent when we deal with complex contaminated media such as landfill leachates, for which not even research studies at laboratorial scale with real samples have been done yet. In this work, we apply for the first time magnetic sorption for the treatment of leachates, and close the full cycle by studying the regeneration and re-use of the magnetic particles; we also study the influence of the concentration of magnetic particles, the use of several pre-treatment methodologies and the type of particle used in the process, in real landfill samples from the waste treatment plant of Salamanca (Spain), for the removal of COD, NO3-, NO2-, NH4+, Total-N, PO43-, SO42- and Cl-. Regeneration of the magnetic particles after being used in the sorption stage is also studied, as well as their efficiency regarding their re-use. It is also determined the optimum number of batches for complete desorption and for regeneration of the particles, the effect of successive regeneration and re-use cycles, the use of two different regeneration methods, the efficiency of the desorption, the effect of the quantity of solvent and the influence of the time of sorption. Due to its innovative character and the complexity of the media, this work represents a first preliminary approach and, although some promising results have been obtained, further studies are required to completely understand and evaluate the proposed treatment process.

20.
Breast ; 31: 40-45, 2017 Feb.
Article in English | MEDLINE | ID: mdl-27810698

ABSTRACT

PURPOSE: Sentinel lymph node (SLN) biopsy has been shown to be both accurate and feasible for women who receive neoadjuvant chemotherapy (NAC). Intraoperative assessment of SLN by frozen sections can produce false negative results. The aim of this study was to compare two different techniques of intraoperative assessment of SLN in breast cancer patients treated with NAC: frozen section (FS) and molecular assay (OSNA). METHODS: A multicenter cohort of 320 consecutive breast cancer patients treated with NAC between 2010 and 2014 was analyzed. FS was performed intraoperatively in 166 patients (H&E cohort) and OSNA in 154 patients (OSNA cohort). RESULTS: A mean of 2.15 SLNs by FS and 1.22 SLNs by OSNA was assessed (p = 0.03). SLN metastasis was found in 44 patients (26.5%) by FS and in 48 (31.2%) by OSNA (p = 0.4). There was no statistical significance in rates of macrometastasis (75%), micrometastasis (20.5%) or ITCs (4.5%) when assessed by FS compared to OSNA (52.3%, 36.3% and 11.4%, respectively) (p = 0.06). There were 10 patients in the H&E cohort with positive-SLN in the definitive pathology assessment with negative intraoperative FS. When OSNA and definitive pathology were compared, there were no differences in rates of macrometastasis (61.1%), micrometastasis (33.3%) nor ITCs (5.6%) (p = 0.5). Fifty-four patients in the H&E cohort and 44 in the OSNA cohort had ALND after positive-SLNs. ALND was performed in a second surgery in 10 patients (18.5%) in the H&E cohort for intraoperative FS false negative results, 90% being micrometastasis. 42 out of 44 patients (95.5%) in the OSNA cohort had an ALND in the same surgery (p = 0.03). CONCLUSIONS: OSNA assay detects SLNs metastases as accurately as conventional pathology in the NAC setting. Intraoperative definitive assessment of the SLN by OSNA reduces the need for a second surgery for ALND in 18.5% of breast cancer patients with a positive-SLN after NAC.


Subject(s)
Breast Neoplasms/pathology , Intraoperative Care/methods , Nucleic Acid Amplification Techniques/methods , Sentinel Lymph Node Biopsy/methods , Sentinel Lymph Node/pathology , Adult , Aged , Aged, 80 and over , Antineoplastic Agents/therapeutic use , Axilla , Breast Neoplasms/drug therapy , Breast Neoplasms/surgery , Case-Control Studies , Female , Frozen Sections , Humans , Intraoperative Period , Lymph Node Excision , Middle Aged , Neoadjuvant Therapy/methods , Neoplasm Micrometastasis/pathology , Reoperation , Sentinel Lymph Node/surgery , Young Adult
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