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1.
J Nanobiotechnology ; 22(1): 248, 2024 May 13.
Artículo en Inglés | MEDLINE | ID: mdl-38741193

RESUMEN

The use of nanomaterials in medicine offers multiple opportunities to address neurodegenerative disorders such as Alzheimer's and Parkinson's disease. These diseases are a significant burden for society and the health system, affecting millions of people worldwide without sensitive and selective diagnostic methodologies or effective treatments to stop their progression. In this sense, the use of gold nanoparticles is a promising tool due to their unique properties at the nanometric level. They can be functionalized with specific molecules to selectively target pathological proteins such as Tau and α-synuclein for Alzheimer's and Parkinson's disease, respectively. Additionally, these proteins are used as diagnostic biomarkers, wherein gold nanoparticles play a key role in enhancing their signal, even at the low concentrations present in biological samples such as blood or cerebrospinal fluid, thus enabling an early and accurate diagnosis. On the other hand, gold nanoparticles act as drug delivery platforms, bringing therapeutic agents directly into the brain, improving treatment efficiency and precision, and reducing side effects in healthy tissues. However, despite the exciting potential of gold nanoparticles, it is crucial to address the challenges and issues associated with their use in the medical field before they can be widely applied in clinical settings. It is critical to ensure the safety and biocompatibility of these nanomaterials in the context of the central nervous system. Therefore, rigorous preclinical and clinical studies are needed to assess the efficacy and feasibility of these strategies in patients. Since there is scarce and sometimes contradictory literature about their use in this context, the main aim of this review is to discuss and analyze the current state-of-the-art of gold nanoparticles in relation to delivery, diagnosis, and therapy for Alzheimer's and Parkinson's disease, as well as recent research about their use in preclinical, clinical, and emerging research areas.


Asunto(s)
Oro , Nanopartículas del Metal , Enfermedades Neurodegenerativas , alfa-Sinucleína , Proteínas tau , Humanos , Oro/química , Nanopartículas del Metal/química , Nanopartículas del Metal/uso terapéutico , Proteínas tau/metabolismo , Animales , Enfermedades Neurodegenerativas/tratamiento farmacológico , Enfermedades Neurodegenerativas/diagnóstico , Enfermedad de Parkinson/diagnóstico , Enfermedad de Parkinson/tratamiento farmacológico , Enfermedad de Alzheimer/tratamiento farmacológico , Enfermedad de Alzheimer/diagnóstico , Sistemas de Liberación de Medicamentos/métodos , Biomarcadores
2.
Artículo en Inglés | MEDLINE | ID: mdl-38640460

RESUMEN

A ß-cyclodextrin (ß-CD) nanosponge (NS) was synthesized using diphenyl carbonate (DPC) as a cross-linker to encapsulate the antitumor drug cyclophosphamide (CYC), thus obtaining the NSs-CYC system. The formulation was then associated with magnetite nanoparticles (MNPs) to develop the MNPs-NSs-CYC ternary system. The formulations mentioned above were characterized to confirm the deposition of the MNPs onto the organic matrix and that the superparamagnetic nature of the MNPs was preserved upon association. The association of the MNPs with the NSs-drug complex was confirmed through field emission scanning electron microscopy, energy dispersive spectroscopy, transmission electron microscopy, X-ray photoelectron spectroscopy, dynamic light scattering, ζ-potential, atomic absorption spectroscopy, X-ray powder diffraction, selected area electron diffraction, and vibrating-sample magnetometer. The superparamagnetic properties of the ternary system allowed the release of CYC by utilizing magnetic hyperthermia upon the exposure of an alternating magnetic field (AMF). The drug release experiments were carried out at different frequencies and intensities of the magnetic field, complying with the "Atkinson-Brezovich criterion". The assays in AMF showed the feasibility of release by controlling hyperthermia of the drug, finding that the most efficient conditions were F = 280 kHz, H = 15 mT, and a concentration of MNPs of 5 mg/mL. CYC release was temperature-dependent, facilitated by local heat generation through magnetic hyperthermia. This phenomenon was confirmed by DFT calculations. Furthermore, the ternary systems outperformed the formulations without MNPs regarding the amount of released drug. The MTS (3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium) assays demonstrated that including CYC within the magnetic NS cavities reduced the effects on mitochondrial activity compared to those observed with the free drug. Finally, the magnetic hyperthermia assays showed that the tertiary system allows the generation of apoptosis in HeLa cells, demonstrating that the MNPs embedded maintain their properties to generate hyperthermia. These results suggest that using NSs associated with MNPs could be a potential tool for a controlled drug delivery in tumor therapy since the materials are efficient and potentially nontoxic.

3.
Antioxidants (Basel) ; 13(2)2024 Jan 26.
Artículo en Inglés | MEDLINE | ID: mdl-38397757

RESUMEN

Deficient wound healing is frequently observed in patients diagnosed with diabetes, a clinical complication that compromises mobility and leads to limb amputation, decreasing patient autonomy and family lifestyle. Fibroblasts are crucial for secreting the extracellular matrix (ECM) to pave the wound site for endothelial and keratinocyte regeneration. The biosynthetic pathways involved in collagen production and crosslinking are intimately related to fibroblast redox homeostasis. In this study, two sets of human dermic fibroblasts were cultured in normal (5 mM) and high (25 mM)-glucose conditions in the presence of 1 µM selenium, as sodium selenite (inorganic) and the two selenium amino acids (organic), Se-cysteine and Se-methionine, for ten days. We investigated the ultrastructural changes in the secreted ECM induced by these conditions using scanning electron microscopy (SEM). In addition, we evaluated the redox impact of these three compounds by measuring the basal state and real-time responses of the thiol-based HyPer biosensor expressed in the cytoplasm of these fibroblasts. Our results indicate that selenium compound supplementation pushed the redox equilibrium towards a more oxidative tone in both sets of fibroblasts, and this effect was independent of the type of selenium. The kinetic analysis of biosensor responses allowed us to identify Se-cysteine as the only compound that simultaneously improved the sensitivity to oxidative stimuli and augmented the disulfide bond reduction rate in high-glucose-cultured fibroblasts. The redox response profiles showed no clear association with the ultrastructural changes observed in matrix fibers secreted by selenium-treated fibroblasts. However, we found that selenium supplementation improved the ECM secreted by high-glucose-cultured fibroblasts according to endothelial migration assessed with a wound healing assay. Direct application of sodium selenite and Se-cysteine on purified collagen fibers subjected to glycation also improved cellular migration, suggesting that these selenium compounds avoid the undesired effect of glycation.

4.
Materials (Basel) ; 16(9)2023 May 05.
Artículo en Inglés | MEDLINE | ID: mdl-37176420

RESUMEN

This work aimed to synthesize and characterize a nanocarrier that consisted of a ternary system, namely ß-cyclodextrin-based nanosponge (NS) inclusion compounds (ICs) associated with silver nanoparticles (AgNPs) to increase the antimicrobial activity of quercetin (QRC). The nanosystem was developed to overcome the therapeutical limitations of QRC. The host-guest interaction between NSs and QRC was confirmed by field emission scanning electron microscopy (FE-SEM), X-ray powder diffraction (XRPD), thermogravimetric analysis (TGA), and proton nuclear magnetic resonance (1H-NMR). Moreover, the association of AgNPs with the NS-QRC was characterized using FE-SEM, energy-dispersive spectroscopy (EDS), transmission electron microscopy (TEM), dynamic light scattering (DLS), ζ-potential, and UV-Vis. Finally, the antimicrobial activity of the novel formulations was tested, which depicted that the complexation of QRC inside the supramolecular interstices of NSs increases the inhibitory effects against Escherichia coli ATCC25922, as compared to that observed in the free QRC. In addition, at the same concentrations used to generate an antibacterial effect, the NS-QRC system with AgNPs does not affect the metabolic activity of GES-1 cells. Therefore, these results suggest that the use of NSs associated with AgNPs resulted in an efficient strategy to improve the physicochemical features of QRC.

5.
Biomater Sci ; 9(11): 4178-4190, 2021 Jun 07.
Artículo en Inglés | MEDLINE | ID: mdl-33982040

RESUMEN

The development and use of nanosystems is an emerging strategy for the diagnosis and treatment of a broad number of diseases, such as Alzheimer's disease (AD). Here, we developed a neurotheranostic nanosystem based on gold nanorods (GNRs) that works as a therapeutic peptide delivery system and can be detected in vivo for microcomputed tomography (micro-CT), being a diagnostic tool. GNRs functionalized with the peptides Ang2 (a shuttle to the Central Nervous System) and D1 (that binds to the Aß peptide, also inhibiting its aggregation) allowed detecting differences in vivo between wild type and AD mice (APPswe/PSEN1dE9) 15 minutes after a single dose by micro-CT. Moreover, after a recurrent treatment for one month with GNRs-D1/Ang2, we observed a diminution of amyloid load and inflammatory markers in the brain. Thus, this new designed nanosystem exhibits promising properties for neurotheranostics of AD.


Asunto(s)
Enfermedad de Alzheimer , Nanotubos , Enfermedad de Alzheimer/diagnóstico por imagen , Enfermedad de Alzheimer/tratamiento farmacológico , Péptidos beta-Amiloides/metabolismo , Animales , Encéfalo/metabolismo , Modelos Animales de Enfermedad , Oro , Ratones , Ratones Transgénicos , Microtomografía por Rayos X
6.
J Control Release ; 328: 859-872, 2020 12 10.
Artículo en Inglés | MEDLINE | ID: mdl-33160006

RESUMEN

Angiotensin-(1-9), a component of the non-canonical renin-angiotensin system, has a short half-life in blood. This peptide has shown to prevent and/or attenuate hypertension and cardiovascular remodeling. A controlled release of angiotensin-(1-9) is needed for its delivery to the heart. Our aim was to develop a drug delivery system for angiotensin-(1-9). Thermosensitive liposomes (LipoTherm) were prepared with gold nanoclusters (LipoTherm-AuNC) to increase the stability and reach a temporal and spatial control of angiotensin-(1-9) release. Encapsulation efficiencies of nearly 50% were achieved in LipoTherm, reaching a total angiotensin-(1-9) loading of around 180 µM. This angiotensin-(1-9)-loaded LipoTherm sized around 100 nm and exhibited a phase transition temperature of 43 °C. AuNC were grown on LipoTherm and the new hybrid nanosystem showed energy absorption in the near-infrared (NIR) wavelength range. By NIR laser irradiation, a controlled release of angiotensin-(1-9) was achieved from the LipoTherm-AuNC nanosystem. These nanosystems did not show any cytotoxic effect on cultured cardiomyocytes. Biological activity of angiotensin-(1-9) released from the LipoTherm-AuNC-based nanosystem was confirmed using an ex vivo Langendorff heart model.


Asunto(s)
Oro , Liposomas , Angiotensina I , Doxorrubicina , Sistemas de Liberación de Medicamentos
7.
PLoS One ; 15(5): e0233591, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32453773

RESUMEN

The heart is critically dependent on mitochondrial respiration for energy supply. Ischemia decreases oxygen availability, with catastrophic consequences for cellular energy systems. After a few minutes of ischemia, the mitochondrial respiratory chain halts, ATP levels drop and ion gradients across cell membranes collapse. Activation of cellular proteases and generation of reactive oxygen species by mitochondria during ischemia alter mitochondrial membrane permeability, causing mitochondrial swelling and fragmentation and eventually cell death. The mitochondria, therefore, are important targets of cardioprotection against ischemic injury. We have previously shown that ixazomib (IXA), a proteasome inhibitor used for treating multiple myeloma, effectively reduced the size of the infarct produced by global ischemia in isolated rat hearts and prevented degradation of the sarcoplasmic reticulum calcium release channel RyR2. The aim of this work was to further characterize the protective effect of IXA by determining its effect on mitochondrial morphology and function after ischemia. We also quantified the effect of IXA on levels of mitofusin-2, a protein involved in maintaining mitochondrial morphology and mitochondria-SR communication. We found that mitochondria were significantly preserved and functional parameters such as oxygen consumption, the ability to generate a membrane potential, and glutathione content were improved in mitochondria isolated from hearts perfused with IXA prior to ischemia. IXA also blocked the release of cytochrome c observed in ischemia and significantly preserved mitofusin-2 integrity. These beneficial effects resulted in a significant decrease in the left ventricular end diastolic pressure upon reperfusion and a smaller infarct in isolated hearts.


Asunto(s)
Compuestos de Boro/farmacología , Glicina/análogos & derivados , Corazón/efectos de los fármacos , Mitocondrias/efectos de los fármacos , Isquemia Miocárdica/tratamiento farmacológico , Animales , Quimotripsina/farmacología , Modelos Animales de Enfermedad , Glutatión/genética , Glutatión/metabolismo , Glicina/farmacología , Corazón/fisiopatología , Humanos , Potenciales de la Membrana/efectos de los fármacos , Mitocondrias/genética , Isquemia Miocárdica/genética , Isquemia Miocárdica/fisiopatología , Consumo de Oxígeno/genética , Complejo de la Endopetidasa Proteasomal/efectos de los fármacos , Inhibidores de Proteasoma/farmacología , Ratas
8.
Int J Nanomedicine ; 15: 1837-1851, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32256063

RESUMEN

INTRODUCTION: Gold nanorods are highly reactive, have a large surface-to-volume ratio, and can be functionalized with biomolecules. Gold nanorods can absorb infrared electromagnetic radiation, which is subsequently dispersed as local heat. Gold nanoparticles can be used as powerful tools for the diagnosis and therapy of different diseases. To improve the biological barrier permeation of nanoparticles with low cytotoxicity, in this study, we conjugated gold nanorods with cell-penetrating peptides (oligoarginines) and with the amphipathic peptide CLPFFD. METHODS: We studied the interaction of the functionalized gold nanorods with biological membrane models (liposomes) by dynamic light scattering, transmission electron microscopy and the Langmuir balance. Furthermore, we evaluated the effects on cell viability and permeability with an MTS assay and TEM. RESULTS AND DISCUSSION: The interaction study by DLS, the Langmuir balance and cryo-TEM support that GNR-Arg7CLPFFD enhances the interactions between GNRs and biological membranes. In addition, cells treated with GNR-Arg7CLPFFD internalized 80% more nanoparticles than cells treated with GNR alone and did not induce cell damage. CONCLUSION: Our results indicate that incorporation of an amphipathic sequence into oligoarginines for the functionalization of gold nanorods enhances biological membrane nanoparticle interactions and nanoparticle cell permeability with respect to nanorods functionalized with oligoarginine. Overall, functionalized gold nanorods with amphipathic arginine rich peptides might be candidates for improving drug delivery by facilitating biological barrier permeation.


Asunto(s)
Péptidos de Penetración Celular/química , Liposomas/farmacocinética , Nanotubos/química , Arginina/química , Línea Celular Tumoral , Supervivencia Celular , Péptidos de Penetración Celular/farmacocinética , Sistemas de Liberación de Medicamentos , Dispersión Dinámica de Luz , Oro/química , Humanos , Liposomas/química , Nanopartículas del Metal/química , Microscopía Electrónica de Transmisión , Péptidos/química
9.
Curr Pharm Des ; 26(12): 1365-1376, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31931693

RESUMEN

The ß-amyloid peptide (1-42) is a molecule capable of aggregating into neurotoxic structures that have been implicated as potential etiological factors of Alzheimer's Disease. The aim of this study was to evaluate the inhibition of ß-amyloid aggregation of ethyl acetate and ethanolic extracts obtained from Ugni molinae leaves on neurotoxic actions of ß-amyloid aggregates. Chemical analyses were carried out with the extracts in order to determine their phenolic profile and its quantification. Both extracts showed a tendency to reduce neuronal deaths caused by ß-amyloid. This tendency was inversely proportional to the evaluated concentrations. Moreover, the effect of EAE and ETE on ß-amyloid aggregation was studied by fluorimetric T Thioflavin assay and transmission electronic microscopy (TEM); the extracts showed a modulation in the aggregation process. Partly, it is believed that these effects can be attributed to the polyphenolic compounds present in the extracts.


Asunto(s)
Enfermedad de Alzheimer , Myrtaceae , Enfermedad de Alzheimer/tratamiento farmacológico , Péptidos beta-Amiloides/metabolismo , Humanos , Fragmentos de Péptidos/química , Fragmentos de Péptidos/metabolismo , Fenoles/química , Extractos Vegetales/farmacología , Hojas de la Planta/química
11.
Int J Nanomedicine ; 13: 6839-6854, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30498346

RESUMEN

BACKGROUND: Perinatal asphyxia interferes with neonatal development, resulting in long-term deficits associated with systemic and neurological diseases. Despite the important role of poly (ADP-ribose) polymerase 1 (PARP-1) in the regulation of gene expression and DNA repair, overactivation of PARP-1 in asphyxia-exposed animals worsens the ATP-dependent energetic crisis. Inhibition of PARP-1 offers a therapeutic strategy for diminishing the effects of perinatal asphyxia. METHODS: We designed a nanosystem that incorporates a specific siRNA for PARP-1 knockdown. The siRNA was complexed with gold nanorods (AuNR) conjugated to the peptide CLPFFD for brain targeting. RESULTS: The siRNA was efficiently delivered into PC12 cells, resulting in gene silencing. The complex was administered intraperitoneally in vivo to asphyxia-exposed rat pups, and the ability of the AuNR-CLPFFD/siRNA complex to reach the brain was demonstrated. CONCLUSION: The combination of a nanosystem for delivery and a specific siRNA for gene silencing resulted in effective inhibition of PARP-1 in vivo.


Asunto(s)
Asfixia/terapia , Técnicas de Silenciamiento del Gen , Oro/administración & dosificación , Nanotubos/química , Poli(ADP-Ribosa) Polimerasas/metabolismo , ARN Interferente Pequeño/administración & dosificación , Animales , Animales Recién Nacidos , Asfixia/patología , Encéfalo/metabolismo , Supervivencia Celular , Endocitosis , Femenino , Oro/química , Hidrodinámica , Nanotubos/ultraestructura , Células PC12 , Péptidos/química , Embarazo , Ratas , Espectrofotometría Ultravioleta , Electricidad Estática
12.
Nanomaterials (Basel) ; 8(12)2018 Nov 28.
Artículo en Inglés | MEDLINE | ID: mdl-30486514

RESUMEN

The inclusion compound (IC) of cyclodextrin (CD) containing the antitumor drug Methotrexate (MTX) as a guest molecule was obtained to increase the solubility of MTX and decrease its inherent toxic effects in nonspecific cells. The IC was conjugated with gold nanoparticles (AuNPs), obtained by a chemical method, creating a ternary intelligent delivery system for MTX molecules, based on the plasmonic properties of the AuNPs. Irradiation of the ternary system, with a laser wavelength tunable with the corresponding surface plasmon of AuNPs, causes local energy dissipation, producing the controlled release of the guest from CD cavities. Finally, cell viability was evaluated using MTS assays for ß-CD/MTX and AuNPs + ß-CD/MTX samples, with and without irradiation, against HeLa tumor cells. The irradiated sample of the ternary system AuNPs + ß-CD/MTX produced a diminution in cell viability attributed to the photothermal release of MTX.

13.
Clin Exp Rheumatol ; 36(6): 1008-1013, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29745892

RESUMEN

OBJECTIVES: To determine whether the CD4+CD28null T-cells subpopulation predicts the occurrence of damage in SLE. METHODS: This longitudinal study was conducted in consecutive SLE patients seen every six months in our Rheumatology Department since 2012. Patients in whom CD4+CD28null T-cells had been measured and who had at least one subsequent visit were included in the study. Survival analyses (univariable and multivariable Cox-regression models) were performed to determine the risk of overall and domain damage (as per the SLICC Damage Index - SDI) as a function of the frequency of this T-cell subpopulation. The multivariable model was adjusted for pertinent confounders. All analyses were performed using SPSS 21.0. RESULTS: One hundred and nineteen patients were evaluated; their mean (SD) age was 43.5 (11.9) years, 113 (95.0%) were female. Disease duration was 7.8 (7.0) years, the SLEDAI 5.3 (4.1) and the SDI 1.0 (1.4). The percentage of CD4+CD28null T-cells was 17.4 (14.0). The mean follow-up was 2.1 (0.8) years, and the mean number of visits per patient 3.5 (1.1). Forty-six (38.7%) patients increase at least one SDI point. In the univariable and multivariable analyses, the percentage of CD4+CD28null predicted the occurrence of lung damage [HR: 1.042 (CI95%: 1.001-1.085); p=0.047 and HR: 1.099 (CI95%1.020-1.184); p=0.013, respectively] but neither the total SDI score nor all other SDI domain scores were predicted by the percentage of CD4+CD28null cells. CONCLUSIONS: In SLE patients, CD4+CD28null T-cells predict the occurrence of new lung damage, independently of other risk factors but not of overall damage or damage on other domains.


Asunto(s)
Antígenos CD28/inmunología , Linfocitos T CD4-Positivos/inmunología , Pulmón/inmunología , Lupus Eritematoso Sistémico/inmunología , Adulto , Antimaláricos/uso terapéutico , Antígenos CD28/sangre , Antígenos CD28/deficiencia , Linfocitos T CD4-Positivos/efectos de los fármacos , Linfocitos T CD4-Positivos/metabolismo , Progresión de la Enfermedad , Femenino , Humanos , Inmunosupresores/uso terapéutico , Estudios Longitudinales , Pulmón/efectos de los fármacos , Pulmón/metabolismo , Pulmón/patología , Lupus Eritematoso Sistémico/sangre , Lupus Eritematoso Sistémico/diagnóstico , Lupus Eritematoso Sistémico/tratamiento farmacológico , Masculino , Persona de Mediana Edad , Perú , Pronóstico , Factores de Riesgo , Factores de Tiempo
14.
Cir. parag ; 41(2): 30-32, ago. 2017. ilus
Artículo en Español | LILACS, BDNPAR | ID: biblio-972610

RESUMEN

Se reporta el caso de una joven con esplenomegalia, que consulta por dolor abdominal crónico en hipocondrio izquierdo. Los estudios mostraron un quiste tabicado de gran tamaño, con desplazamiento de órganos. Se realizó una esplenectomía total, confirmándose al estudio histopatológico, un quiste epitelial esplénico


We report the case of a girl with splenomegaly, who consults for chronicabdominal pain in the left hypochondrium. The studies showed a largecyst with organ displacement. A total splenectomy was performed, confirmingto the histopathological study, a splenic epithelial cyst.


Asunto(s)
Femenino , Humanos , Adolescente , Dolor Abdominal/diagnóstico , Dolor Abdominal/cirugía , Quistes/diagnóstico , Quistes/cirugía , Esplenectomía , Esplenomegalia
15.
Nanomedicine ; 13(7): 2341-2350, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28673851

RESUMEN

The properties of nanometric materials make nanotechnology a promising platform for tackling problems of contemporary medicine. In this work, gold nanorods were synthetized and stabilized with polyethylene glycols and modified with two kinds of peptides. The D1 peptide that recognizes toxic aggregates of Aß, a peptide involved in Alzheimer's disease (AD); and the Angiopep 2 that can be used to deliver nanorods to the mammalian central nervous system. The nanoconjugates were characterized using absorption spectrophotometry, dynamic light scattering, and transmission electron microscopy, among other techniques. We determined that the nanoconjugate does not affect neuronal viability; it penetrates the cells, and decreases aggregation of Aß peptide in vitro. We also showed that when we apply our nanosystem to a Caenorhabditis elegans AD model, the toxicity of aggregated Aß peptide is decreased. This work may contribute to the development of therapies for AD based on metallic nanoparticles.


Asunto(s)
Enfermedad de Alzheimer/tratamiento farmacológico , Péptidos beta-Amiloides/metabolismo , Oro/uso terapéutico , Oligopéptidos/uso terapéutico , Péptidos/uso terapéutico , Agregación Patológica de Proteínas/tratamiento farmacológico , Enfermedad de Alzheimer/metabolismo , Animales , Animales Modificados Genéticamente , Caenorhabditis elegans , Modelos Animales de Enfermedad , Portadores de Fármacos/química , Portadores de Fármacos/uso terapéutico , Sistemas de Liberación de Medicamentos , Oro/química , Humanos , Nanotubos/química , Oligopéptidos/química , Péptidos/química , Agregado de Proteínas/efectos de los fármacos , Agregación Patológica de Proteínas/metabolismo
16.
Rev. Fed. Argent. Soc. Otorrinolaringol ; 24(3): 53-59, 2017. ilus, tab
Artículo en Español | LILACS | ID: biblio-908155

RESUMEN

Introducción: la deficiencia del nervio coclear se define como un nervio coclear hipoplásico o aplásico, presente en más del 18% de los niños con hipoacusias neurosensoriales profundas y cuya indicación de implante coclear sigue generando controversias. Objetivo: Analizar el protocolo de estudio en pacientes con sospecha de deficiencia del nervio coclear y exponer los resultados clínico-audiológicos pos-implante coclear en nuestro servicio. Material y método: Estudio retrospectivo de historias clínicas en el período 2011-2017, analizando los estudios solicitados dentro de la evaluación preimplante coclear y el estudio extendido en pacientes con sospecha de deficiencia del nervio coclear. Resultados: Dentro de la población, un caso correspondió a un paciente con hipoacusia neurosensorial profunda bilateral con sospecha de deficiencia del nervio coclear (Birman: GRADO I y Casselman: TIPO I/IIa bilateral). El potencial evocado auditivo de tronco encefálico eléctrico permitió determinar el oído a implantar, mostrando mejor configuración de ondas para el oído derecho. Actualmente, presenta una óptima adaptación al implante (categoría de performance auditivo: 2-categoría de Moog-Geers: 3), con una puntuación de 8/40 en el cuestionario IT-MAIS. Conclusión: El protocolo de estudio prequirúrgico extendido es aplicable a pacientes con sospecha de deficiencia del nervio coclear. Estudios funcionales aportan datos de utilidad para determinar cuál de estos pacientes podrían beneficiarse tras la colocación del mismo. El asesoramiento familiar sobre las limitaciones y los objetivos reales es fundamental.


Introduction: cochlear nerve deficiency is defined as a hypoplastic or aplastic cochlear nerve present in more than 18% of children with profound sensorineural hearing loss. Cochlear implant indication continues to generate controversy. Objective: Analyze the study protocol in patients with suspected cochlear nerve deficiency and expose the clinical-audiological results after cochlear implant in our service. Material and method: Retrospective study of medical records in the period 2011-2017. Analyzing the studies requested within the cochlear pre-implant evaluation and the extended study in patients with suspected cochlear nerve deficiency. Results: Within the population, one case corresponded to a patient with bilateral profound sensorineural hearing loss with suspicion of Cochlear nerve deficiency (Birman GRADE I and Casselman TYPE I/IIa bilateral). The auditory evoked potentials by electrical stimulation allowed to determine the ear to be implanted, showing better configuration of waves for the right ear. Currently, it presents an optimal adaptation to the implant (Auditory per formance category: 2- Category of Moog-Geers: 3), with a score of 8/40 in the IT-MAIS questionnaire. Conclusion: The extended preoperative study protocol is appropriate for patients with suspected cochlear nerve deficiency. Functional studies provide useful data to determine which patients could benefit. Family counseling about real limitations and goals is critical.


Introdução: a deficiência do nervo coclear é definida como um nervo coclear hipoplásico ou aplástico presente em mais de 18% das crianças com perda auditiva neurossensorial profunda onde a indicação do implante coclear continua a gerar polêmica. Objetivo: Analisar o protocolo do estudo em pacientes com suspeita de deficiência do nervo coclear e apresentar os resultados clínico-audiológicos após o implante coclear em nosso serviço. Material e método: Estudo retrospectivo dos registros clínicos no período de 2011-2017, analisando os estudos solicitados na avaliação pré-implante coclear e o estudo prolongado em pacientes com suspeita de deficiência de nervo coclear. Resultados: Dentro da população, um caso correspondeu a um paciente com perda auditiva neurossensorial profunda bilateral com suspeita de deficiência do nervo coclear (Birman: GRADO I e Casselman: TIPO bilateral I/IIa). O potenciais evocados auditivos elétrico permitiu determinar a orelha a ser implantada, mostrando melhor configuração de ondas para a orelha direita. Atualmente, apresenta uma ótima adaptação ao implante (categoria de desempenho auditivo: 2- categoria de Moog-Geers: 3), com uma pontuação de 8/40 no questionário IT-MAIS. Conclusão: O protocolo de estudo pré-operatório estendido é aplicável a pacientes com suspeita de deficiência do nervo coclear. Estudos funcionais fornecem dados úteis para determinar quais pacientes poderiam se beneficiar do implante coclear. O aconselhamento familiar sobre limitações e metas reais é crítico.


Asunto(s)
Masculino , Femenino , Humanos , Adolescente , Adulto , Preescolar , Niño , Adulto Joven , Persona de Mediana Edad , Nervio Coclear , Implantación Coclear/estadística & datos numéricos , Implantación Coclear , Pérdida Auditiva Sensorineural/diagnóstico , Pérdida Auditiva Sensorineural/cirugía , Enfermedades del Nervio Vestibulococlear/diagnóstico , Enfermedades del Nervio Vestibulococlear/cirugía
17.
Mater Sci Eng C Mater Biol Appl ; 69: 1391-409, 2016 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-27612841

RESUMEN

The development of polymer nanocomposites with antimicrobial properties has been a key factor for controlling or inhibiting the growth of microorganisms and preventing foodborne diseases and nosocomial infections. Commercially available antibacterial products based on silver-polymer are the most widely used despite the fact that copper is considerably less expensive. The incorporation of copper nanoparticles as antibacterial agents in polymeric matrices to generate copper-polymer nanocomposites have presented excellent results in inhibiting the growth of a broad spectrum of microorganisms. The potential applications in food packaging, medical devices, textiles and pharmaceuticals and water treatment have generated an increasing number of investigations on preparing copper based nanocomposites and alternative polymeric matrices, as potential hosts of nano-modifiers. This review presents a comprehensive compilation of previous published work on the subject, mainly related to the antimicrobial activity of copper polymer nanocomposites. Within all the phenomenology associated to antibacterial effects we highlight the possible mechanisms of action. We discuss the differences in the susceptibility of Gram negative and positive bacteria to the antibacterial activity of nanocomposites, and influencing factors. As well, the main applications of copper polymer-metal nanocomposites are described, considering their physical and chemical characteristics. Finally, some commercially available copper-polymer nanocomposites are described.


Asunto(s)
Antibacterianos/economía , Antibacterianos/farmacología , Cobre/farmacología , Nanocompuestos/química , Polímeros/farmacología , Análisis Costo-Beneficio , Contaminantes Ambientales/análisis
18.
Colloids Surf B Biointerfaces ; 145: 634-642, 2016 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-27288818

RESUMEN

Inorganic materials contain remarkable properties for drug delivery, such as a large surface area and nanoporous structure. Among these materials, CaCO3 microparticles (CMPs) exhibit a high encapsulation efficiency and solubility in acidic media. The extracellular pH of tumor neoplastic tissue is significantly lower than the extracellular pH of normal tissue facilitating the release of drug-encapsulating CMPs in this area. Conducting polyaniline (PANI) absorbs light energy and transforms it into localized heat to produce cell death. This work aimed to generate hybrid CMPs loaded with PANI for photothermal therapy (PTT). The hybrid nanomaterial was synthesized with CaCO3 and carboxymethyl cellulose in a simple, reproducible manner. The CMP-PANI-Cys particles were developed for the first time and represent a novel type of hybrid biomaterial. Resultant nanoparticles were characterized utilizing scanning electron microscopy, dynamic light scattering, zeta potential, UV-vis, FTIR and Raman spectroscopy. In vitro HeLa cells in dark and irradiated conditions showed that CMP-PANI-Cys and PANI-Cys are nontoxic at the assayed concentrations. Hybrid biomaterials displayed high efficiency for potential PTT compared with PANI-Cys. In summary, hierarchical hybrid biomaterials composed of CMPs and PANI-Cys combined with near infrared irradiation represents a useful alternative in PTT.


Asunto(s)
Compuestos de Anilina/química , Materiales Biocompatibles/farmacología , Carbonato de Calcio/química , Hipertermia Inducida/métodos , Nanopartículas/química , Fototerapia/métodos , Supervivencia Celular/efectos de los fármacos , Cisteína/química , Células HeLa , Humanos , Nanopartículas/ultraestructura , Tamaño de la Partícula , Espectrofotometría Ultravioleta , Espectroscopía Infrarroja por Transformada de Fourier , Electricidad Estática
19.
Rheumatology (Oxford) ; 54(7): 1302-7, 2015 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25413944

RESUMEN

OBJECTIVE: The aim of this study was to determine whether the proportions of naive and memory CD4(+) T cell are independently associated with the metabolic syndrome (MetS) in patients with SLE. METHODS: This cross-sectional study was conducted in SLE patients seen at our rheumatology department between September 2013 and April 2014. CD4(+) T cell subpopulations were examined by flow cytometry. The association of MetS and CD4(+) T cell subpopulations was examined by Mann-Whitney U-test and by multivariable analysis, adjusting for all possible confounding variables. RESULTS: One hundred and seventeen patients were evaluated. Their mean age was 44.6 years (S.D. 12.6), 109 (93.2%) were female and all patients were Mestizo (mixed Caucasian and Amerindian ancestry). Fifty-two patients (44.4%) presented with MetS. Disease duration was 7.6 years (S.D. 6.8). The percentage of naive CD4(+) T cells was 25.0 (S.D. 12.7) and memory CD4(+) T cells was 66.7 (S.D. 13.2) and the memory:naive CD4(+) T cell ratio was 4.3 (S.D. 5.6). In multivariable analysis, the percentage of naive CD4(+) T cells was negatively associated with the presence of MetS [odds ratio (OR) 0.959 (95% CI 0.923, 0.997), P = 0.033], whereas the percentage of memory CD4(+)T cells and the memory:naive CD4(+) T cell ratio were positively associated with its presence [OR 1.040 (95% CI 1.003, 1.078), P = 0.031 and OR 1.238 (95% CI 1.041, 1.472), P = 0.016, respectively]. CONCLUSION: In the SLE patients studied, a lower percentage of naive CD4(+) T cells, a higher percentage of memory CD4(+) T cells and the memory:naive CD4(+) T cell ratio were independently associated with the presence of MetS. This association could reflect the impact of immunosenescence among SLE patients with cardiovascular morbidity.


Asunto(s)
Linfocitos T CD4-Positivos/patología , Indígenas Sudamericanos , Lupus Eritematoso Sistémico/epidemiología , Síndrome Metabólico/epidemiología , Subgrupos de Linfocitos T/patología , Población Blanca , Adulto , Linfocitos T CD4-Positivos/clasificación , Comorbilidad , Estudios Transversales , Femenino , Humanos , Memoria Inmunológica , Incidencia , Indígenas Sudamericanos/etnología , Lupus Eritematoso Sistémico/etnología , Lupus Eritematoso Sistémico/patología , Masculino , Síndrome Metabólico/etnología , Síndrome Metabólico/patología , Persona de Mediana Edad , Análisis Multivariante , Perú/epidemiología , Fenotipo , Subgrupos de Linfocitos T/clasificación , Población Blanca/etnología
20.
ACS Appl Mater Interfaces ; 5(10): 4076-85, 2013 May 22.
Artículo en Inglés | MEDLINE | ID: mdl-23597259

RESUMEN

Gold nanorods used in therapy and diagnosis must be nontoxic and stable in biological media and should be specific for the target. The complete combination of these three factors has hindered the use of gold nanorods as carriers in biological and biomedical applications. In this study, we produced a conjugate of gold nanorods with the peptide CLPFFD that recognizes toxic ß-amyloid aggregates present in Alzheimer's disease, demonstrates colloidal stability, maintains plasmonic properties, and shows no effects on cell viability in the SH-SY5Y cell line. Furthermore, the irradiation of ß-amyloid in the presence of the conjugate with near-infrared region irradiation energy reduces the amyloidogenic process reducing also its cytotoxicity. The nanorods were synthesized following the seed-mediated method in cetyltrimethylammonium bromide (CTAB) and were conjugated with the N-terminal cysteine peptide, CLPFFD. The conjugate was exhaustively characterized using different techniques (Absorption spectroscopy, X-ray photoelectron spectroscopy, electron energy loss spectroscopy, and zeta potential). The effects on cell viability and cell penetration by transmission electron microscopy of the conjugate were evaluated. The chemisorption of the peptide on the surface of gold nanorods increases their stability and reduces their effects on cell viability.


Asunto(s)
Oro/química , Nanotubos , Péptidos/química , Supervivencia Celular , Microscopía Electrónica de Transmisión de Rastreo , Espectroscopía de Fotoelectrones , Espectroscopía Infrarroja Corta
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