One-Pot Synthesis of a pH-Sensitive MOF Integrated with Glucose Oxidase for Amplified Tumor Photodynamic/Photothermal Therapy.

Photothermal therapy (PTT) and photodynamic therapy (PDT) provide targeted approaches to cancer treatment, but each therapy has inherent limitations such as insufficient tissue penetration, uneven heat distribution, extreme hypoxia, and overexpressed HSP90 in tumor cells. To address these issues, herein, by encapsulating the IR780 dye and glucose oxidase (GOx) enzyme within ZIF-8 nanoparticles, we created a versatile system capable of combining photodynamic and enhanced photothermal therapy. The integration of the IR780 dye facilitated the generation of reactive oxygen species and hyperthermia upon light activation, enabling dual-mode cancer cell ablation. Moreover, GOx catalyzes the decomposition of glucose into gluconic acid and hydrogen peroxide, leading to the inhibition of ATP production and downregulation of heat shock protein 90 (HSP90) expression, sensitizing cancer cells to heat-induced cytotoxicity. This synergistic combination resulted in significantly improved therapeutic outcomes. Both in vitro and in vivo results validated that the nanoplatform demonstrated superior specificity and favorable therapeutic responses. Our innovative approach represents a promising strategy for overcoming current limitations in cancer treatments and offers the potential for clinical translation in the future.

Clinical and imaging differences between Stanford Type B intramural hematoma-like lesions and classic aortic dissection.

BACKGROUND: Intramural hematoma (IMH) and Aortic dissection (AD) have overlapping features. The aim of this study was to explore the differences between them by comparing the clinical manifestations and imaging features of patients with acute Stanford type B IMH-like lesions and acute Stanford type B AD (ATBAD). METHODS: This study retrospectively analysed the clinical and computed tomography angiography (CTA) imaging data of 42 IMH-like lesions patients with ulcer-like projection (ULP) and 38 ATBAD patients, and compared their clinical and imaging features. RESULTS: (1) The IMH-like lesions patients were older than the ATBAD patients (64.2 ± 11.5 vs. 50.9 ± 12.2 years, P < 0.001). The D-dimer level in the IMH-like lesions group was significantly higher than that in the ATBAD group (11.2 ± 3.6 vs. 9.2 ± 4.5 mg/L, P < 0.05). The incidence rate of back pain was significantly higher in the ATBAD group than in the IMH-like lesions group (71.1% vs. 26.2%, P < 0.05). (2) The ULPs of IMH-like lesions and the intimal tears of ATBAD were concentrated in zone 4 of the descending thoracic aorta. The ULPs of IMH-like lesions and the intimal tears of ATBAD were mainly in the upper quadrant outside the lumen (64.3% vs. 65.8%, P > 0.05). (3) The maximum diameter of the ULPs in IMH-like lesions was smaller than that of the intimal tears in ATBAD (7.4 ± 3.4 vs. 10.8 ± 6.8 mm, P = 0.005). The lumen compression ratio in the ULPs plane and the maximum compression ratio of the aortic lumen in the IMH-like lesions group were smaller than that in the ADBAD group (P < 0.05). Fewer aortic segments were involved in IMH-like lesions patients than in ATBAD patients (5.6 ± 2.2 vs. 7.1 ± 1.9 segments, P < 0.005). The IMH-like lesions group had less branch involvement than that of the ATBAD group (P < 0.001). CONCLUSION: The degree of intimal tears, lumen compression ratio, extent of lesion involvement, and impact on branch arteries in ATBAD are more severe than that of IMH-like lesions. But for the ULPs of IMH-like lesions and intimal tears of ATBAD, they have astonishing similarities in the location of the partition and the lumen quadrant, we have reason to believe that intimal tear is the initial factor in the pathogenesis of this kind of disease, and their clinical and imaging manifestations overlap, but the severity is different. Concerning similarities between these two conditions, these two may be a spectrum of one disease.

Potential of curcumin loaded nanoparticles in ovarian cancer: Investigation using gynecological color Doppler ultrasound technique.

Doppler ultrasonography is a type of medical ultrasonography that uses the Doppler effect to provide images of the movement of tissues and bodily fluids (typically blood) relative to the probe. To determine the potential of curcumin loaded nanoparticles in ovarian cancer which was diagnosed by using the gynecological color doppler ultrasound technique. Curcumin (CRMN) loaded chitosan nanoparticles were formulated using the ionotropic gelation method and characterized for particle size, zeta potential and polydispersity index (PDI). Clinical parameters like serum creatinine, blood serum urea nitrogen, resistance index and peak systolic velocity were evaluated. The drug loading efficiency was found between 11.38 to 17.45% with a particle size of 140-220nm. The zeta potential ranged between 19.12 to 23.14mV. Clinical parameters were found significantly changed when compared with before injection of CRMN-loaded nanoparticles. BUN was increased from 7.11±0.25to 28.27±6.65 mmol/L while SCr was also found to be increased from 52.71±3.14 µmol/L to 312.20±40.41 µmol/L. Collectively, these images of color doppler in animal model demonstrated efficient use in the diagnosis of ovarian cancer. This study confirms the potential of color doppler as an efficient medical imaging tool for ovarian cancer.

MicroRNA-302d downregulates TGFBR2 expression and promotes hepatocellular carcinoma growth and invasion.

Hepatocellular carcinoma (HCC) is the second leading cause of cancer-associated mortality in China and the third leading cause worldwide. A number of microRNAs (miRNAs) have been implicated in cell cycle progression, growth, apoptosis, angiogenesis and metastasis in HCC. In the present study, reverse transcription-quantitative polymerase chain reaction analysis was used to detect the levels of miR-302d expression in the tissues of 30 patients with HCC. Cell cycle, growth, apoptosis and migration were analyzed using a cell counting kit, flow cytometry and a Transwell migration assay. Dual-luciferase reporter assays and western blotting were also used to analyze the expression levels of transforming growth factor beta type II receptor (TGFBR2) in HCC cells. The present study evaluated the role of miR-302d in the development and progression of HCC. Abnormally high expression of miR-302d was observed in 80% of HCC specimens. Moreover, patients with lower levels of miR-302d expression experienced a longer survival time than those with higher levels of miR-302d expression. It was demonstrated that miR-302d promoted HCC cell growth and migration, suppressed cell apoptosis and affected cell cycle distribution in vitro, and augmented tumorigenicity in vivo. Furthermore, TGFBR2, which is a tumor suppressor, was confirmed as a target of miR-302d in HCC cells. Dual-luciferase reporter assays indicated that TGFBR2 expression was negatively regulated by miR-302d. Taken together, the results of the present study suggest that miR-302d may serve as a valuable tool for predicting the prognosis of patients with HCC.

Association Between microRNA-125a rs12976445 C>T Polymorphism and 18F-Fluorodeoxyglucose (18FDG) Uptake: Clinical and Metabolic Response in Patients with Non-Small Cell Lung Cancer.

BACKGROUND MicroRNA-125a (miR-125a) has been involved with many diseases, such as hepatocellular carcinoma and inflammation. In this study, we aimed to investigate the molecular mechanism, including the potential regulator and signaling pathways, of vascular endothelial growth factor (VEGF). MATERIAL AND METHODS We divided the participants into 3 groups by rs12976445 genotype and performed chi-square tests to evaluate the differences between CC and CT+TT groups for sex, age, grading, pT category, metastases, and fludeoxyglucose F18 injection (18FDG) metabolism. RESULTS We found all variables to be statistically significant. We searched the miRNA database online (www.mirdb.org) with the "seed sequence" located within the 3-prime untranslated region (3' UTR) of the target gene and then validated VEGF to be the direct gene via luciferase reporter assay system. We also established the negative regulatory relationship between MiR-125a and VEGF by studying the relative luciferase activity. We conducted real-time polymerase chain reaction and Western blot analysis to study the mRNA and protein expression level of VEGF among different groups (CC=18, CT=8, TT=3) or cells treated with scramble control, miR-125a mimics, VEGF RNA, and MiR-125a inhibitors. CONCLUSIONS We validated the negative regulatory relationship between MiR-125a and VEGF and found that rs12976445 may function as a biomarker to predict metabolism of 18FDG.

The value of CTPA for diagnosing acute pulmonary thromboembolism and the ensuing right ventricular dysfunction.

The value of computed tomography pulmonary angiography (CTPA) for the diagnosis of right ventricular dysfunction (RVD) subsequent to acute pulmonary embolism (PE). The ultrasonic cardiography (UCG) was used to assess RVD, one of the diagnostic criteria of PE caused hemodynamic collapse. Seventy six patients with confirmed PE were divided into massive (52 cases) and non-massive PE group (24 cases). The diagnostic criteria assessed for the imminent RVD were: (1) the ratio of axial diameters of the right and left ventricular chambers (RVd/LVd) exceeding 1, or (2) the right ventricular end-diastolic diameter measuring >30 mm. The CTPA diagnosed RVD was positive in 36 and negative in 40 cases. The RVD assessed by UCG was positive in 31 and negative in 45 cases. In comparison to UCG, the CTPA results UCG exhibited 96.77 % sensitivity 96.77 % and 86.67 specificity. The evaluated values both of these techniques were found in good agreement by the kappa value (κ) of 0.81, P < 0.001. In 52 cases of massive PE, CTPA determined RVD was positive in 34, and negative in 18 cases. In comparison, UCG diagnosed RVD was positive in 31 and negative in 21 cases. The sensitivity and specificity of CTPA results compared to those of UCG were 91.18 and 85.71 %, respectively. The estimates obtained were in good agreement as indicated by 0.88 κ value and P < 0.001. Twenty four cases of non-massive PE were RVD negative when assessed by CTPA, UCG however showed two cases positive in this group. Compared to UCG, the specificity of CTPA in evaluating RVD was 100 %. In the massive PE group, the average estimate of RVd/LVd ratio was significantly higher than 1 as analyzed by the non-parametric Mann-Whitney test (P < 0.001). The CTPA and UCG results showed a good correlation in massive PE cases. However, in non-massive PE group, results from two techniques were not correlated. The CTPA can accurately and reliably diagnose the PE and ensuing by estimating changes in the anatomical parameters of right ventricle. Hence, it can allow prompt diagnosis and an appropriate treatment leading to an improved prognosis.

Multiple renal arteries with renal cell carcinoma: preoperative evaluation using computed tomography angiography prior to laparoscopic nephrectomy.

OBJECTIVE: To investigate anatomical variations in the renal arteries of patients with renal cell carcinoma (RCC) using computed tomography angiography (CTA). METHODS: Patients diagnosed with RCC were evaluated using CTA prior to undergoing laparoscopic nephrectomy. Any anatomical variations of the renal arteries on the side affected by the RCC were recorded. The CTA results were compared with the observations made during surgery and those produced by conventional digital subtraction angiography. RESULTS: A total of 107 patients with RCC were enrolled in the study. Multiple renal arteries were found in 11 patients (10.3%). Accessory renal inferior polar arteries were the most common type of multiple renal arteries. Multiple renal arteries acting as the feeding arteries to the RCC were found in five patients (4.7%). CONCLUSION: CTA can be used as part of the preoperative evaluation prior to laparoscopic nephrectomy to provide anatomical information about the presence of multiple renal arteries in the affected kidney of patients with RCC. This could help with planning the surgery and reducing surgical complications.