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1.
Spectrochim Acta A Mol Biomol Spectrosc ; 316: 124352, 2024 Aug 05.
Artículo en Inglés | MEDLINE | ID: mdl-38678841

RESUMEN

Mucin 1 is an essential tumor biomarker, and developing cost-effective and portable methods for mucin 1 detection is crucial in resource-limited settings. Herein, the pH-regulated dual-enzyme mimic activities of manganese dioxide nanosheets were demonstrated, which were integrated into an aptasensor for dual-mode detection of mucin 1. Under acidic conditions, manganese dioxide nanosheets with oxidase mimic activities catalyzed the oxidation of 3,3',5,5'-tetramethylbenzidine sulfate, producing visible multicolor signals; while under basic conditions, manganese dioxide nanosheets with catalase mimic activities were used as catalyst for the decomposition of hydrogen peroxide, generating gas pressure signals. The proposed method allows the naked eye detection of mucin 1 through multicolor signal readout and the quantitative detection of mucin 1 with a handheld pressure meter or a UV-vis spectrophotometer. The study demonstrates that manganese dioxide nanosheets with pH-regulated dual-enzyme mimic activities can facilitate multidimensional transducing signals. The use of manganese dioxide nanosheets for the transduction of different signals avoids extra labels and simplifies the operation procedures. Besides, the signal readout mode can be selected according to the available detection instruments. Therefore, the use of manganese dioxide nanosheets with pH-regulated dual-enzyme mimic activities for dual-signal readout provides a new way for mucin 1 detection.


Asunto(s)
Compuestos de Manganeso , Mucina-1 , Nanoestructuras , Óxidos , Compuestos de Manganeso/química , Concentración de Iones de Hidrógeno , Mucina-1/análisis , Óxidos/química , Nanoestructuras/química , Humanos , Colorimetría/métodos , Bencidinas/química , Presión , Técnicas Biosensibles/métodos , Peróxido de Hidrógeno/análisis , Peróxido de Hidrógeno/química , Aptámeros de Nucleótidos/química
2.
Biomolecules ; 13(11)2023 11 14.
Artículo en Inglés | MEDLINE | ID: mdl-38002332

RESUMEN

Recalcitrant rice blast disease is caused by Magnaporthe oryzae, which has a significant negative economic reverberation on crop productivity. In order to induce the disease onto the host, M. oryzae positively generates many types of small secreted proteins, here named as effectors, to manipulate the host cell for the purpose of stimulating pathogenic infection. In M. oryzae, by engaging with specific receptors on the cell surface, effectors activate signaling channels which control an array of cellular activities, such as proliferation, differentiation and apoptosis. The most recent research on effector identification, classification, function, secretion, and control mechanism has been compiled in this review. In addition, the article also discusses directions and challenges for future research into an effector in M. oryzae.


Asunto(s)
Ascomicetos , Magnaporthe , Oryza , Magnaporthe/metabolismo , Oryza/metabolismo , Ascomicetos/metabolismo , Proteínas Fúngicas/metabolismo
3.
Colloids Surf B Biointerfaces ; 215: 112490, 2022 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-35405536

RESUMEN

Theranostic nanoplatforms with accurate diagnosis and effective therapy show a bright prospect for tumor treatments. Herein, a novel boracic acid-modified graphite carbon nitride and Prussian blue nanohybrid (PB@B-g-C3N4) was developed, which provides sialic acid-targeted Raman recognition and synergistic photothermal/photodynamic therapy in the near-infrared region. Owing to the specific interaction between boracic acid and sialic acid and Raman response at 2157 cm-1 of PB, the nanohybrids exhibit high specificity and Raman sensitivity for detection of the overexpressed sialic acid on tumor cells. Moreover, the photothermal conversion efficiency of PB@B-g-C3N4 is as high as 47.0% with 808 nm laser irradiation due to the enhanced absorbance of PB@B-g-C3N4. PB@B-g-C3N4 also possesses excellent photodynamic activity, which is attributed to the energy transfer of PB (type I) and electron transfer between PB and B-g-C3N4 (type II). This nanotheranostic agent for Raman recognition of cancer markers and synergistic photothermal/photodynamic therapy holds great potential for the development of efficient theranostic nanoplatforms.


Asunto(s)
Neoplasias , Fotoquimioterapia , Ferrocianuros , Humanos , Ácido N-Acetilneuramínico , Neoplasias/terapia , Fototerapia/métodos
4.
J Fungi (Basel) ; 8(1)2022 Jan 11.
Artículo en Inglés | MEDLINE | ID: mdl-35050012

RESUMEN

Magnaporthe oryzae is the causal agent of rice blast outbreaks. L-ascorbic acid (ASC) is a famous antioxidant found in nature. However, while ASC is rare or absent in fungi, a five-carbon analog, D-erythroascorbic acid (EASC), seems to appear to be a substitute for ASC. Although the antioxidant function of ASC has been widely described, the specific properties and physiological functions of EASC remain poorly understood. In this study, we identified a D-arabinono-1,4-lactone oxidase (ALO) domain-containing protein, MoAlo1, and found that MoAlo1 was localized to mitochondria. Disruption of MoALO1 (ΔMoalo1) exhibited defects in vegetative growth as well as conidiogenesis. The ΔMoalo1 mutant was found to be more sensitive to exogenous H2O2. Additionally, the pathogenicity of conidia in the ΔMoalo1 null mutant was reduced deeply in rice, and defective penetration of appressorium-like structures (ALS) formed by the hyphal tips was also observed in the ΔMoalo1 null mutant. When exogenous EASC was added to the conidial suspension, the defective pathogenicity of the ΔMoalo1 mutant was restored. Collectively, MoAlo1 is essential for growth, conidiogenesis, and pathogenicity in M. oryzae.

5.
Environ Microbiol ; 24(3): 1076-1092, 2022 03.
Artículo en Inglés | MEDLINE | ID: mdl-34472190

RESUMEN

Magnaporthe oryzae is an important plant pathogen that causes rice blast. Hse1 and Vps27 are components of ESCRT-0 involved in the multivesicular body (MVB) sorting pathway and biogenesis. To date, the biological functions of ESCRT-0 in M. oryzae have not been determined. In this study, we identified and characterized Hse1 and Vps27 in M. oryzae. Disruption of MoHse1 and MoVps27 caused pleiotropic defects in growth, conidiation, sexual development and pathogenicity, thereby resulting in loss of virulence in rice and barley leaves. Disruption of MoHse1 and MoVps27 triggered increased lipidation of MoAtg8 and degradation of GFP-MoAtg8, indicating that ESCRT-0 is involved in the regulation of autophagy. ESCRT-0 was determined to interact with coat protein complex II (COPII), a regulator functioning in homeostasis of the endoplasmic reticulum (ER homeostasis), and disruption of MoHse1 and MoVps27 also blocked activation of the unfolded protein response (UPR) and autophagy of the endoplasmic reticulum (ER-phagy). Overall, our results indicate that ESCRT-0 plays critical roles in regulating fungal development, virulence, autophagy and ER-phagy in M. oryzae.


Asunto(s)
Magnaporthe , Oryza , Ascomicetos , Autofagia/genética , Complejos de Clasificación Endosomal Requeridos para el Transporte/genética , Proteínas Fúngicas/genética , Proteínas Fúngicas/metabolismo , Magnaporthe/metabolismo , Oryza/microbiología , Enfermedades de las Plantas/microbiología , Esporas Fúngicas/metabolismo , Virulencia
6.
Talanta ; 228: 122222, 2021 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-33773728

RESUMEN

Alkaline phosphatase (ALP), as an immunological label, is widely used in biochemical assays. Here, a simple yet effective strategy for ALP activity detection was proposed on the basis of in situ formation of Prussian blue nanoparticles and polychromatic superposition effect. Firstly, ascorbic acid, a product from ALP-catalyzed hydrolysis of 2-phospho-l-ascorbic acid (AAP), converted yellow ferricyanide into ferrocyanide. Then, the specific reaction between ferrocyanide and ferric ions (Fe3+) initiated the generation of Prussian blue nanoparticles in situ. Meanwhile, the residual AAP chelated with Fe3+, and a stable Fe3+-AAP complex was quickly formed. When Prussian blue nanoparticles mixed with brown Fe3+-AAP complex and yellow ferricyanide at different ratios, a distinct color variation was presented. Therefore, a sensitive multicolor assay of ALP activity with a detection limit of 1.0 U/L was realized by simply blending commercially available reagents. Furthermore, magnetic sandwich and competitive sensing platforms for multiple biomarkers detection were constructed by combining the ALP-regulated multicolor system with the well-developed aptasensor. The feasibility of the sensors was convincingly demonstrated by using thrombin and prostate specific antigen as model targets. In addition, the proposed multicolor strategy was employed for evaluating inhibition efficiency, and shows potential in visual screening of enzyme inhibitors. Such a facile, sensitive and low-cost sensing strategy provides a new perspective to develop universal platforms of point-of-care testing.


Asunto(s)
Fosfatasa Alcalina , Nanopartículas , Ácido Ascórbico , Colorimetría , Humanos , Masculino , Trombina
7.
Lab Chip ; 21(6): 1131-1138, 2021 03 21.
Artículo en Inglés | MEDLINE | ID: mdl-33533387

RESUMEN

In this work, we developed a digital microfluidic platform based on a shape memory micropillar array responsive to near-infrared light, and the droplets were programmatically manipulated through light-induced micropillar deformation. The micropillar array was constructed on the surface of a poly(ethylene-vinyl acetate) copolymer, a shape memory polymer sensitive to near-infrared light. Before droplet manipulation, the micropillar array was kept temporarily tilted by heating and pressing. Under the irradiation of a near-infrared laser, the micropillar array achieved the transition from the temporary shape to the original shape. Temperature gradient and micropillar deformation caused by near-infrared light irradiation produce the driving force for droplet movement. The movement of the laser mounted on an electronically controlled displacement platform was controlled by a computer to achieve the programmed control of the droplets. Moreover, we demonstrated light-manipulated droplet movement and fusion, and achieved ascorbic acid detection using this digital microfluidic platform. In particular, the micropillar array chip is able to manipulate droplets in a wide range of 0.1 µL to 10 µL. The proposed digital microfluidic platform will broaden the application of digital microfluidic technology in analytical chemistry and biomedicine.

8.
Virulence ; 11(1): 1685-1700, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-33200669

RESUMEN

The process of protein translocation into the endoplasmic reticulum (ER) is the initial and decisive step in the biosynthesis of all secretory proteins and many soluble organelle proteins. In this process, the Sec61 complex is the protein-conducting channel for transport. In this study, we identified and characterized the ß subunit of the Sec61 complex in Magnaporthe oryzae (MoSec61ß). Compared with the wild-type strain Guy11, the ΔMosec61ß mutant exhibited highly branched mycelial morphology, reduced conidiation, high sensitivity to cell wall integrity stress, severely reduced virulence to rice and barley, and restricted biotrophic invasion. The turgor pressure of ΔMosec61ß was notably reduced, which affected the function of appressoria. Moreover, ΔMosec61ß was also sensitive to oxidative stress and exhibited a reduced ability to overcome plant immunity. Further examination demonstrated that MoSec61ß affected the normal secretion of the apoplastic effectors Bas4 and Slp1. In addition, ΔMosec61ß upregulated the level of ER-phagy. In conclusion, our results demonstrate the importance of the roles played by MoSec61ß in the fungal development and pathogenesis of M. oryzae.


Asunto(s)
Ascomicetos/genética , Ascomicetos/patogenicidad , Retículo Endoplásmico/inmunología , Proteínas Fúngicas/genética , Inmunidad de la Planta , Canales de Translocación SEC/genética , Autofagia , Regulación Fúngica de la Expresión Génica , Hifa/crecimiento & desarrollo , Oryza/microbiología , Estrés Oxidativo , Enfermedades de las Plantas/inmunología , Enfermedades de las Plantas/microbiología , Esporas Fúngicas/crecimiento & desarrollo , Virulencia
9.
Anal Chim Acta ; 1138: 1-8, 2020 Nov 22.
Artículo en Inglés | MEDLINE | ID: mdl-33161970

RESUMEN

Acid phosphatase is widely used as a clinical indicator because of its close correlation with a variety of diseases. Herein, a label-free and colorimetric sensing method for detecting the activity of acid phosphatase was constructed based on hollow mesoporous manganese dioxide nanospheres. The nanospheres exhibit superior oxidase-like property and can oxidize colorless 3,3',5,5'-tetramethylbenzidine (TMB) to yellow TMB2+. Ascorbic acid from acid phosphatase-catalyzed hydrolysis of L-ascorbic acid-2-phosphate will inhibit the oxidization reaction, igniting vivid color variation. On the basis of this obvious multicolor change, the visual detection of acid phosphatase was achieved. Compared with the single-color change, the multicolor colorimetric method is more conducive for naked-eye discrimination. The absorbance difference at 450 nm exhibits a linear relationship with the concentration of acid phosphatase ranging from 1.0 to 25 U L-1, with a detection limit as low as 0.45 U L-1. Acid phosphatase in human serum samples was successfully determined. Moreover, the inhibition efficiency of NaF for acid phosphatase activity was investigated, proving the proposed colorimetric method will be a potential platform for screening acid phosphatase inhibitors and discovering new drugs.


Asunto(s)
Fosfatasa Ácida , Nanosferas , Colorimetría , Humanos , Límite de Detección , Compuestos de Manganeso , Óxidos
10.
Mikrochim Acta ; 187(3): 194, 2020 03 02.
Artículo en Inglés | MEDLINE | ID: mdl-32124079

RESUMEN

A controllable approach for preparing a portable colloidal photonic crystal (CPC) array chip is presented. The approach was inspired by the confinement effect of nanoparticle self-assembly on patterned surface. Hydrophobic polydimethylsiloxane substrate with reproducible micro-region array was fabricated by soft-lithography. The substrate was employed as the patterned template for self-assembly of monodisperse polystyrene nanoparticles. The CPC units can be prepared in several minutes, and exhibit consistent reflection wavelength. By adjusting the size of polystyrene nanoparticles and the shape of micro-regions, CPC units with multiple structure, colors and geometries were obtained. The CPC array chip features fluorescence enhancement owing to the optical modulation capability of the periodic nanostructure of the self-assembled CPC. With the reflection wavelength (523 nm) of green CPC units overlapping the emission wavelength (520 nm, with excitation wavelength of 490 nm) of 6-carboxyfluorescein-labeled DNA probe, the fluorescence intensity increased more than 10-fold. For signal-amplified assay of adenosine, the concentration range of linear response was 5.0 × 10-5 mol L-1 to 1.0 × 10-3 mol L-1, and the limit of detection was 1.3 × 10-6 mol L-1. Because of the enhancement effect of photonic crystal, the fluorescence images were more readable from the CPC array chip, compared with those from the planar substrate. The chip has potential applications in multiplex determination with high-throughput via encoding strategy based on the tunable structure, color or geometric shape. Graphical abstractSchematic diagram of signal-enhanced fluorescent detection of adenosine based on the colloidal photonic crystal array chip (PDMS, polydimethylsiloxane; PS NPs, polystyrene nanoparticles; CPC, colloidal photonic crystal; GO, graphene oxide; FAM, 6-carboxyfluorescein).


Asunto(s)
Adenosina/análisis , Técnicas Biosensibles/métodos , Fluoresceínas/química , Colorantes Fluorescentes/química , Dispositivos Laboratorio en un Chip , Coloides , Cristalización , Sondas de ADN/química , Dimetilpolisiloxanos/química , Interacciones Hidrofóbicas e Hidrofílicas , Límite de Detección , Fotones , Espectrometría de Fluorescencia , Propiedades de Superficie
11.
Colloids Surf B Biointerfaces ; 188: 110764, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-31901687

RESUMEN

Porous structures with highly dispersed and active catalytic sites are vital to improve the catalytic activity and stability of artificial enzyme-related catalytic reactions. Herein, a novel nanorod-like bimetal-organic framework serving as porous support and supplier of Co2+ and Cu2+ was used to prepare a beneficial porous metal oxide. By optimizing the calcination temperature, the composition of calcined product can be controlled and the nanorods with isolated and highly active CuCo2O4 nanoparticles were obtained. The porous CuCo2O4 nanorods exhibit a pH-dependent catalytic property, that is, they behave as oxidase in acid conditions and catalase in alkaline conditions. The CuCo2O4 nanorods perform dual-enzyme catalytic activity superior to monometallic oxides. What's more, compared with the reported Co3O4 nanoparticles, Co3O4/CuO hollow nanocage hybrids and NiCo2O4 mesoporous spheres, the porous CuCo2O4 nanorods show higher affinity to 3,3',5,5'-tetramethylbenzidine with a lower Km value. The superior dual-enzyme catalytic activities of CuCo2O4 nanorods benefit from the high catalytic activity of binary metal oxides and structural stability. After incubating in a wide range of pHs, temperatures and ionic strengths, the catalytic activity of CuCo2O4 nanorods can be maintained. The oxidase activity of CuCo2O4 nanorods can be inhibited in the presence of ascorbic acid, which can be applied in effective detection of ascorbic acid. This study opens a new path to prepare stable and highly active porous artificial enzymes.


Asunto(s)
Catalasa/metabolismo , Cobalto/metabolismo , Cobre/metabolismo , Estructuras Metalorgánicas/metabolismo , Óxidos/metabolismo , Oxidorreductasas/metabolismo , Biocatálisis , Catalasa/química , Cobalto/química , Cobre/química , Estructuras Metalorgánicas/química , Nanotubos/química , Óxidos/química , Oxidorreductasas/química , Tamaño de la Partícula , Porosidad , Propiedades de Superficie
12.
Environ Microbiol Rep ; 11(6): 784-796, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31621205

RESUMEN

Amino acids are vital components in cell metabolism. Leucine is a regulatory factor that generates significant impact on protein synthesis/turnover, modulates diverse cellular signalling pathways and participates in oxidative processes and immune responses. Here, we identified and characterized the functions of a leucine-associated Zn2 Cys6 -type transcription factor, MoLeu3. Disruption of MoLEU3 resulted in significantly reduced pathogenicity in barley and rice. Quantitative RT-PCR showed that the expression levels of the putative leucine biosynthesis-related genes, MoLEU1, MoLEU2 and MoLEU4 were downregulated in the ΔMoleu3 mutant. We used high-throughput gene knockout method to generate the null mutants of MoLEU1, MoLEU2 and MoLEU4 respectively. The ΔMoleu1, ΔMoleu2 and ΔMoleu4 mutants are leucine auxotroph and showed similar phenotypic characterizations, including reduced conidiation, delayed mobilization and degradation of glycogen and lipid droplets, limited appressorium-mediated penetration, and restricted invasive hyphae growth within host cells. Collectively, MoLEU1, MoLEU2, and MoLEU4 regulated by MoLEU3 play crucial roles in fungal development and infectious processes through modulation of leucine biosynthesis in Magnaporthe oryzae.


Asunto(s)
Proteínas Fúngicas/genética , Genes Reguladores , Leucina/biosíntesis , Magnaporthe/crecimiento & desarrollo , Magnaporthe/metabolismo , Redes y Vías Metabólicas/genética , Factores de Virulencia/metabolismo , Proteínas Fúngicas/metabolismo , Eliminación de Gen , Regulación Fúngica de la Expresión Génica , Hordeum , Magnaporthe/genética , Magnaporthe/patogenicidad , Oryza , Enfermedades de las Plantas/microbiología , Virulencia
13.
mBio ; 10(4)2019 08 20.
Artículo en Inglés | MEDLINE | ID: mdl-31431550

RESUMEN

The blast fungus initiates infection using a heavily melanized, dome-shaped infection structure known as the appressorium, which forcibly ruptures the cuticle to enter the rice leaf tissue. How this process takes place remains not fully understood. Here, we used untargeted metabolomics analyses to profile the metabolome of developing appressoria and identified significant changes in six key metabolic pathways, including early sphingolipid biosynthesis. Analyses employing small molecule inhibitors, gene disruption, or genetic and chemical complementation demonstrated that ceramide compounds of the sphingolipid biosynthesis pathway are essential for normal appressorial development controlled by mitosis. In addition, ceramide was found to act upstream from the protein kinase C-mediated cell wall integrity pathway during appressorium repolarization and pathogenicity in rice blast. Further discovery of the sphingolipid biosynthesis pathway revealed that glucosylceramide (GlcCer) synthesized by ceramide is the key substance affecting the pathogenicity of Magnaporthe oryzae Our results provide new insights into the chemical moieties involved in the infection-related signaling networks, thereby revealing a potential target for the development of novel control agents against the major disease of rice and other cereals.IMPORTANCE Our untargeted analysis of metabolomics throughout the course of pathogenic development gave us an unprecedented high-resolution view of major shifts in metabolism that occur in the topmost fungal pathogen that infects rice, wheat, barley, and millet. Guided by these metabolic insights, we demonstrated their practical application by using two different small-molecule inhibitors of sphingolipid biosynthesis enzymes to successfully block the pathogenicity of M. oryzae Our study thus defines the sphingolipid biosynthesis pathway as a key step and potential target that can be exploited for the development of antifungal agents. Furthermore, future investigations that exploit such important metabolic intermediates will further deepen our basic understanding of the molecular mechanisms underlying the establishment of fungal blast disease in important cereal crops.


Asunto(s)
Magnaporthe/metabolismo , Metabolómica , Morfogénesis/fisiología , Transducción de Señal/fisiología , Esfingolípidos/análisis , Esfingolípidos/biosíntesis , Antifúngicos/farmacología , Vías Biosintéticas/efectos de los fármacos , Vías Biosintéticas/fisiología , Pared Celular/metabolismo , Grano Comestible/microbiología , Proteínas Fúngicas/genética , Proteínas Fúngicas/metabolismo , Eliminación de Gen , Regulación Fúngica de la Expresión Génica , Genes Fúngicos/genética , Glucosilceramidas/metabolismo , Magnaporthe/citología , Magnaporthe/genética , Magnaporthe/patogenicidad , Proteínas de la Membrana/genética , Proteínas de la Membrana/metabolismo , Metaboloma , Mitosis , Oryza/microbiología , Fenotipo , Enfermedades de las Plantas/microbiología , Poaceae , Proteína Quinasa C/metabolismo , Transducción de Señal/efectos de los fármacos , Esfingolípidos/genética , Transcriptoma , Virulencia
14.
J Colloid Interface Sci ; 553: 631-638, 2019 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-31247502

RESUMEN

This work demonstrated a microfluidic preparation process for novel Janus microparticles with individual drug release properties in each compartment. A flow-focusing microfluidic chip was designed to produce oil-in-water droplets from a mixed solution of poly(lactic-co-glycolic acid) and a triglyceride type lipid. Based on solvent evaporation-induced phase separation, droplets evolved and were solidified into Janus particles, each of which had a polymer compartment and a lipid compartment. The ratio of the two compartments in a particle can be discretionarily regulated, and the particle structure can also be flexibly altered to Janus-patchy, triple, quadruple or core-shell type. Phase transition of the chosen lipid from solid to liquid would occur under physiological temperature, which was applied for rapid release of the loaded drug. The polymer compartment would undergo a slow degradation process in physiological environment, facilitating sustained drug release. Paclitaxel was loaded into Janus particles during preparation, and staged release was achieved, leading to a combination of rapid and sustained release, which is highly desired in target drug delivery. This study would start the application of hybrid Janus particles of polymer-lipid type with novel release kinetics in drug delivery systems.


Asunto(s)
Sistemas de Liberación de Medicamentos , Lípidos/química , Técnicas Analíticas Microfluídicas , Polímeros/síntesis química , Técnicas Analíticas Microfluídicas/instrumentación , Tamaño de la Partícula , Polímeros/química , Propiedades de Superficie
15.
Int J Immunopathol Pharmacol ; 32: 2058738418778121, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29798687

RESUMEN

Thrombotic storm (TS) is a rare disease, especially with thrombus in the heart of pediatric patient. We present a case of a 4-year-old boy, who was diagnosed with TS during his first hospitalization due to lower extremity deep venous thrombosis, pulmonary embolism, and thrombosis of the inferior vena cava, cerebral, left internal jugular, portal, renal, and iliac veins. He was eventually prescribed with rivaroxaban to control thrombosis after 30 days of successive use of low-molecular-weight heparin, unfractionated heparin, and warfarin, which were demonstrating little effect on preventing thrombosis, and the patient was intolerant to argatroban. While his lupus anticoagulant ratio was slightly above the normal range and no other potential causes such as congenital thrombophilia, severe infection, malignancy, and trauma were confirmed, we suspected antiphospholipid antibody syndrome and prescribed glucocorticoid and rituximab to control the disease. After 36 days of admission, ultrasonography showed recanalization of the former thrombus. One month after discharge, a tumor embolus resembling a mass emerged in his right atrium under effective anticoagulant therapy. During his second admission, he underwent surgical thrombectomy, and pathological examination confirmed the mass to be a platelet-rich thrombus rather than tumor embolus or infection. Considering the suspected antiphospholipid antibody syndrome as the cause of the TS, we prescribed aspirin combined with rivaroxaban to prevent thrombosis. In this case, surgery and pathology shed light on the type of thrombus that emerged from the inferior vena cava and traveled to the heart, which is the possible potential cause of TS. It also changed our therapeutic strategy to antiplatelet therapy combined with anticoagulant therapy to control the disease.


Asunto(s)
Síndrome Antifosfolípido/complicaciones , Coagulación Sanguínea , Cardiopatías/etiología , Embolia Pulmonar/etiología , Tromboembolia/etiología , Trombosis de la Vena/etiología , Anticoagulantes/uso terapéutico , Síndrome Antifosfolípido/sangre , Síndrome Antifosfolípido/diagnóstico , Biopsia , Coagulación Sanguínea/efectos de los fármacos , Preescolar , Quimioterapia Combinada , Ecocardiografía , Atrios Cardíacos/diagnóstico por imagen , Cardiopatías/sangre , Cardiopatías/diagnóstico , Cardiopatías/terapia , Humanos , Masculino , Inhibidores de Agregación Plaquetaria/uso terapéutico , Embolia Pulmonar/sangre , Embolia Pulmonar/diagnóstico , Embolia Pulmonar/terapia , Trombectomía , Tromboembolia/sangre , Tromboembolia/diagnóstico , Tromboembolia/terapia , Resultado del Tratamiento , Trombosis de la Vena/sangre , Trombosis de la Vena/diagnóstico , Trombosis de la Vena/terapia
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