A lung targeted miR-29 mimic as a therapy for pulmonary fibrosis.

BACKGROUND: MicroRNAs are non-coding RNAs that negatively regulate gene networks. Previously, we reported that systemically delivered miR-29 mimic MRG-201 reduced fibrosis in animal models, supporting the consideration of miR-29-based therapies for idiopathic pulmonary fibrosis (IPF). METHODS: We generated MRG-229, a next-generation miR-29 mimic based on MRG-201 with improved chemical stability due to additional sugar modifications and conjugation with the internalization moiety BiPPB (PDGFbetaR-specific bicyclic peptide)1. We investigated the anti-fibrotic efficacy of MRG-229 on TGF-ß1 treated human lung fibroblasts (NHLFs), human precision cut lung slices (hPCLS), and in vivo bleomycin studies; toxicology was assessed in two animal models, rats, and non-human primates. Finally, we examined miR-29b levels in a cohort of 46 and 213 patients with IPF diagnosis recruited from Yale and Nottingham Universities (Profile Cohort), respectively. FINDINGS: The peptide-conjugated MRG-229 mimic decreased expression of pro-fibrotic genes and reduced collagen production in each model. In bleomycin-treated mice, the peptide-conjugated MRG-229 mimic downregulated profibrotic gene programs at doses more than ten-fold lower than the original compound. In rats and non-human primates, the peptide-conjugated MRG-229 mimic was well tolerated at clinically relevant doses with no adverse findings observed. In human peripheral blood from IPF patients decreased miR-29 concentrations were associated with increased mortality in two cohorts potentially identified as a target population for treatment. INTERPRETATION: Collectively, our results provide support for the development of the peptide-conjugated MRG-229 mimic as a potential therapy in humans with IPF. FUNDING: This work was supported by NIH NHLBI grants UH3HL123886, R01HL127349, R01HL141852, U01HL145567.

Introduction of patient electronic medical records (EMR) into undergraduate nursing education: An integrated literature review.

BACKGROUND: To prepare student nurses for clinical practice where patient electronic medical records (EMR) competence is required, nursing undergraduate curricula must provide simulation access to developing this skill set. At this stage, however, the integration of electronic documentation into the Australian undergraduate nursing curriculum has been piecemeal. Aim The aim of this integrated literature review was to identify benefits and challenges for faculty nursing staff and nursing students in relation to the integration, use and evaluation of EMR in an undergraduate nursing program. METHODS: A systematic search of relevant peer-reviewed research and project report articles was conducted in the electronic databases. Generic qualitative thematic analysis was then undertaken with themes generated from the data itself. RESULTS: Fifty eight articles were identified, of these 23 were found to meet the inclusion criteria. Three major themes were identified: 1) Advantages of using EMR in academic settings, 2) Identified Challenges and Limitations of EMR programs; and 3) Developing an academic EMR program and implementing EMR education program in stages. All papers acknowledged that EMR will be standard in healthcare and should be viewed as an 'essential tool' for inclusion in undergraduate nursing programs. CONCLUSION AND IMPLICATIONS FOR PRACTICE: There is a significant increase of electronic technology in healthcare settings, especially relating to patient documentation. Therefore, teaching the use of EMR in the simulated clinical learning environment for new healthcare providers such as nursing students is essential. The papers reviewed identified an urgent need for higher education nursing programs to support undergraduate nursing students and faculty staff to ensure EMR can be implemented effectively into the undergraduate nursing curriculum.

Studies of structural effects on the half-wave potentials of mononuclear and dinuclear nickel(II) diphosphine/dithiolate complexes.

Two series of mononuclear Ni(II) complexes of the formula (PNP)Ni(dithiolate) where PNP = R2PCH2N(CH3)CH2PR2, R = Et and Ph, have been synthesized containing dithiolate ligands that vary from five- to seven-membered chelate rings. Two series of dinuclear Ni(II) complexes of the formula {[(diphosphine)Ni]2(dithiolate)}(X)2 (X = BF4 or PF6) have been synthesized in which the chelate ring size of the dithiolate and diphosphine ligands have been systematically varied. The structures of the alkylated mononuclear complex, [(PNPEt)Ni(SC2H4SMe)]OTf, and the dinuclear complex, [(dppeNi)2(SC3H6S)](BF4)2, have been determined by X-ray diffraction studies. The complexes have been studied by cyclic voltammetry to determine how the half-wave potentials of the Ni(II/I) couples vary with chelate ring size of the ligands. For the mononuclear complexes, this potential becomes more positive as the natural bite angle of the dithiolate ligand increases. However, the potentials of the Ni(II/I) couples of the dinuclear complexes do not show a dependence on the chelate ring size of the ligands. Other aspects of the reduction chemistry of these complexes have been explored.

Hydrogen oxidation and production using nickel-based molecular catalysts with positioned proton relays.

Highly efficient electrocatalysts for both hydrogen evolution and hydrogen oxidation have been designed, synthesized, and characterized. The catalysts in their resting states are air-stable, mononuclear nickel(II) complexes containing cyclic diphosphine ligands with nitrogen bases incorporated into the ligand backbone. X-ray diffraction studies have established that the cation of [Ni(P(Ph)(2)N(Ph)(2))(2)(CH(3)CN)](BF(4))(2), 6a, (where P(Ph)(2)N(Ph)(2) is 1,3,5,7-tetraphenyl-1,5-diaza-3,7-diphosphacyclooctane) is a trigonal bipyramid with bonds to four phosphorus atoms of the two bidentate diphosphine ligands and the nitrogen atom of an acetonitrile molecule. Two of the six-membered rings formed by the diphosphine ligands and Ni have boat conformations with an average Ni- - -N distance to the two pendant bases of 3.4 A. The cation of [Ni(P(Cy)(2)N(Bz)(2))(2)](BF(4))(2), 6b, (where Cy = cyclohexyl and Bz = benzyl) is a distorted square planar complex. For 6b, all four six-membered rings formed upon coordination of the diphosphine ligands to the metal are in the boat form. In this case, the average Ni- - -N distance to the pendant base is 3.3 A. Complex 6a is an electrocatalyst for hydrogen production in acidic acetonitrile solutions, and compound 6b is an electrocatalyst for hydrogen oxidation in basic acetonitrile solutions. It is demonstrated that the high catalytic rates observed with these complexes are a result of the positioning of the nitrogen base so that it plays an important role in the formation and cleavage of the H-H bond.

Concentration of carbon dioxide by electrochemically modulated complexation with a binuclear copper complex.

The reactions of bicarbonate ion with a series of binuclear Cu(II) complexes in buffered aqueous solution have been studied, and effective binding constants for bicarbonate have been determined at pH 7.4 for the complexes [Cu2(taec)]4+ (taec = N,N',N'',N'''-tetrakis(2-aminoethyl)-1,4,8,11-tetraazacyclotetradecane) and [Cu2(tpmc)(OH)]3+ (tpmc = N, N',N'',N'''-tetrakis(2-pyridylmethyl)-1,4,8,11-tetraazacyclotetradecane). [Cu2(o-xyl-DMC2)]4+ (o-xyl-DMC2 = alpha,alpha'-bis(5,7-dimethyl-1,4,8,11-tetraazacyclotetradecan-6-yl)-o-xylene) did not react with bicarbonate ion in an aqueous solution buffered at this pH. The complexes were reduced by controlled-potential electrolysis, and the stability of the Cu(I) derivatives in aqueous solution and their affinity for bicarbonate/carbonate ion were investigated. On the basis of these fundamental studies, [Cu2(tpmc)(mu-OH)]3+ has been identified as an air-stable, water-soluble carrier for the capture and concentration of CO2 by electrochemically modulated complexation. The carrier binds to the carbonate ion strongly in its oxidized, Cu(II) form and releases the ion rapidly when reduced to the Cu(I) complex. In small-scale electrochemical pumping experiments designed to demonstrate the feasibility of this approach, CO2 has been pumped from an initial 10% CO2/N2 mixture up to a final concentration of 75%.

Studies of bicarbonate binding by dinuclear and mononuclear Ni(II) complexes.

Bicarbonate ion reacts with the dinuclear nickel(II) complex containing the taec ligand (taec = N,N',N' ',N' ''-tetrakis(2-aminoethyl)-1,4,8,11-tetraazacyclotetradecane) in buffered aqueous solution to form the mu-eta(2),eta(2)-carbonate complex with a large effective binding constant for bicarbonate ion, log K(B) = 4.39 at pH = 7.4. In contrast, the dinuclear nickel(II) complex containing the o-xyl-DMC(2) ligand (o-xyl-DMC(2) = alpha,alpha'-bis(5,7-dimethyl-1,4,8,11-tetraazacyclotetradecan-6-yl)-o-xylene) does not react with bicarbonate or carbonate ion in aqueous solution. In propylene carbonate, the reaction of [Ni(2)(o-xyl-DMC(2))](4+) with bicarbonate proceeds rapidly to form the mu-eta(1),eta(1)-carbonate complex. The structure of this carbonate complex has been determined by an X-ray diffraction study that confirms the mu-eta(1),eta(1)-carbonate binding mode. A mononuclear analogue of [Ni(2)(taec)](4+), [Ni(2,3,2-tetraamine)](2+) does not form a detectable mononuclear or dinuclear product with bicarbonate ion in aqueous solution, but [NiDMC](2+) (DMC = 5,7-dimethyl-1,4,8,11-tetraazacyclotetradecane) reacts slowly with carbonate ion in aqueous solution to form a 2:1 complex.