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1.
Water Sci Technol ; 90(1): 303-313, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-39007321

RESUMEN

The composition of waste-activated sludge (WAS) is complex, containing a large amount of harmful substances, which pose a threat to the environment and human health. The reduction and resource utilization of sludge has become a development demand in sludge treatment and disposal. Based on the technical bottlenecks in the practical application of direct anaerobic digestion technology, this study adopted two different thermal and thermal-alkali hydrolysis technologies to pretreat sludge. A pilot-scale experiment was conducted to investigate the experimental conditions, parameters, and effects of two hydrolysis technologies. This study showed that the optimal hydrolysis temperature was 70 °C, the hydrolysis effect and pH can reach equilibrium with the hydrolysis retention time was 4-8 h, and the optimal alkali concentration range was 0.0125-0.015 kg NaOH/kg dry-sludge. Thermal-alkali combination treatment greatly improved the performance of methane production, the addition of NaOH increased methane yield by 31.2% than that of 70 °C thermal hydrolysis. The average energy consumption is 75 kWh/m3 80% water-content sludge during the experiment. This study provides a better pretreatment strategy for exploring efficient anaerobic digestion treatment technologies suitable for southern characteristic sewage sludge.


Asunto(s)
Aguas del Alcantarillado , Eliminación de Residuos Líquidos , Aguas del Alcantarillado/química , Anaerobiosis , Proyectos Piloto , Hidrólisis , Eliminación de Residuos Líquidos/métodos , Álcalis/química , Calor , Metano/metabolismo , Reactores Biológicos , Hidróxido de Sodio/química , Concentración de Iones de Hidrógeno
2.
Chem Biol Interact ; 399: 111141, 2024 Jul 09.
Artículo en Inglés | MEDLINE | ID: mdl-38992767

RESUMEN

Mitochondrial Pyruvate Carrier 1 (MPC1) is localized on mitochondrial outer membrane to mediate the transport of pyruvate from cytosol to mitochondria. It is also well known to act as a tumor suppressor. Hexavalent chromium (Cr (VI)) contamination poses a global challenge due to its high toxicity and carcinogenesis. This research was intended to probe the potential mechanism of MPC1 in the effect of Cr (VI)-induced carcinogenesis. First, Cr (VI)-treatments decreased the expression of MPC1 in vitro and in vivo. Overexpression of MPC1 inhibited Cr (VI)-induced glycolysis and migration in A549 cells. Then, high mobility group A2 (HMGA2) protein strongly suppressed the transcription of MPC1 by binding to its promoter, and HMGA2/MPC1 axis played an important role in oxidative phosphorylation (OXPHOS), glycolysis and cell migration. Furthermore, endoplasmic reticulum (ER) stress made a great effect on the interaction between HMGA2 and MPC1. Finally, the mammalian target of the rapamycin (mTOR) was determined to mediate MPC1-regulated OXPHOS, aerobic glycolysis and cell migration. Collectively, our data revealed a novel HMGA2/MPC-1/mTOR signaling pathway to promote cell growth via facilitating the metabolism reprogramming from OXPHOS to aerobic glycolysis, which might be a potential therapy for cancers.

3.
Anal Bioanal Chem ; 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38953916

RESUMEN

The majority of previously reported cathodic electrochemiluminescence (ECL) systems often required very negative potential to be carried out, which has greatly limited their applications in the sensing field. Screening high-performance cathodic ECL systems with low triggering potential is a promising way to broaden their applications. In this work, rhenium disulfide nanosheets (ReS2 NS) have been revealed as an efficient co-promoter to realize low-triggering-potential cathodic luminol ECL. One strong cathodic ECL signal appeared at a potential of -0.3 V and one anodic ECL peak was obtained at -0.15 V under the reverse potential scan, which were caused by electrogenerated reactive oxygen species (ROS) from hydrogen peroxide. The generation of strong luminol ECL at low potential was the result of the electrocatalytic effect of ReS2 NS on the reduction of H2O2. The scavenging effect of uric acid (UA) on the ROS could significantly inhibit the cathodic ECL. As a result, an ECL sensor was proposed, which showed outstanding performance for the detection of UA in the range of 10 nM to 0.1 mM with a low detection limit of 1.53 nM. Moreover, the ECL sensor was successfully applied in the sensitive detection of UA in real samples. This work provides a new avenue to establish a low-potential cathodic ECL system, which will sufficiently expand the potential application of cathodic ECL in the sensing field.

4.
J Leukoc Biol ; 2024 Jun 04.
Artículo en Inglés | MEDLINE | ID: mdl-38833584

RESUMEN

As one molecule related to cytotoxicity, surface expression of C-X3-C motif receptor 1 (CX3CR1) was highly correlated with intracellular granzyme B (GZMB) in NK and cytolytic T cells. However, the expression of CX3CR1 and GZMB in B cells has not been clarified, and their clinical significance in systemic lupus erythematosus (SLE) remains unclear. This study aimed to clarify the changes and clinical significance of peripheral blood B cells expressing GZMB and/or CX3CR1 in SLE. Peripheral blood was collected from 39 SLE patients and 48 healthy controls. We found that GZMB and CX3CR1 expression varied in different B-cell subsets, with plasmablasts possessing the highest positive percentages, consistent with bioinformatics prediction. GZMB+ and CX3CR1+ percentages in circulating B cells and plasmablasts were increased in SLE patients. CX3CR1 was upregulated on B cells after in vitro stimulation. Notch intracellular domain (NICD) expression was significantly decreased in plasmablasts of SLE patients and CX3CR1 in plasmablasts was downregulated with the addition of JAG1. In conclusion, GZMB and CX3CR1 were increased in B cells and in plasmablasts of SLE patients and CX3CR1 was negatively regulated by Notch signal in plasmablasts, which may be involved in SLE pathogenesis.

5.
Medicine (Baltimore) ; 103(26): e38650, 2024 Jun 28.
Artículo en Inglés | MEDLINE | ID: mdl-38941438

RESUMEN

Previous studies have reported an association between physical activity and the occurrence and progression of knee osteoarthritis (KOA). However, the existing evidence remains limited and of low-quality. This study aimed to examine the causal relationship between different levels of physical activity and KOA. Instrumental variables, represented by single nucleotide polymorphisms (SNPs), were utilized to capture sedentary behavior, appropriate physical exercise, and excessive physical activity. Aggregated statistics from the UK Biobank genome-wide association study dataset were used to assess the impact of these SNPs on KOA. Causality was estimated using inverse variance weighting (IVW), MR Egger, simple model, weighted median, and weighted model approaches. The stability of the results was assessed through heterogeneity and sensitivity analyses. Mendelian randomization (MR) analysis revealed a strong association between sedentary behavior and KOA, with an odds ratio (OR) of 2.096 (95% CI: 1.506-2.917) and a P value of 1.14 × 10-5. Appropriate physical exercise behavior exhibited a strong negative association with KOA, with an OR of 0.147 (95% CI: 0.037-0.582) and a P value of 0.006. Conversely, excessive physical activity behavior showed a significant positive association with KOA, with an OR of 2.162 (95% CI: 1.327-3.521) and a P value of .002. Our findings indicate that sedentary behavior and excessive physical activity are identified as risk factors for KOA, whereas engaging in appropriate physical exercise emerges as a protective factor against the development of KOA.


Asunto(s)
Ejercicio Físico , Estudio de Asociación del Genoma Completo , Análisis de la Aleatorización Mendeliana , Osteoartritis de la Rodilla , Polimorfismo de Nucleótido Simple , Conducta Sedentaria , Humanos , Osteoartritis de la Rodilla/genética , Osteoartritis de la Rodilla/epidemiología , Masculino , Femenino , Factores de Riesgo , Reino Unido/epidemiología , Persona de Mediana Edad
6.
Chemistry ; : e202401436, 2024 Jun 13.
Artículo en Inglés | MEDLINE | ID: mdl-38869004

RESUMEN

An efficient and rapid protocol for the oxidative halogenation of tryptamines with 10% aqueous NaClO has been developed. This reaction is featured by its operational simplicity, metal-free conditions, no purification, and high yield. Notably, the resulting key intermediates are suitable for further functionalization with various nucleophiles, including amines, N-aromatic heterocycles, indoles and phenols. The overall transformation exhibits broad functional-group tolerance and is applicable to the late-stage functionalization of complex biorelevant molecules.

7.
Opt Express ; 32(10): 17452-17463, 2024 May 06.
Artículo en Inglés | MEDLINE | ID: mdl-38858928

RESUMEN

Hardware implementation of reservoir computing (RC), which could reduce the power consumption of machine learning and significantly enhance data processing speed, holds the potential to develop the next generation of machine learning hardware devices and chips. Due to the existing solution only implementing reservoir layers, the information processing speed of photonics RC system are limited. In this paper, a photonic implementation of a VMM-RC system based on single Vertical Cavity Surface Emitting Laser (VCSEL) with two Mach Zehnder modulators (MZMs) has been proposed. Unlike previous work, both the input and reservoir layers are realized in the optical domain. Additionally, the impact of various mask signals, such as Two-level mask, Six-level mask, and chaos mask signal, employed in system, has been investigated. The system's performance improves with the use of more complex mask(t). The minimum Normalized mean square error (NMSE) can reach 0.0020 (0.0456) for Santa-Fe chaotic time series prediction in simulation (experiment), while the minimum Word Error Rate (WER) can 0.0677 for handwritten digits recognition numerically. The VMM-RC proposed is instrumental in advancing the development of photonic RC by overcoming the long-standing limitations of photonic RC systems in reservoir implementation. Linear matrix computing units (the input layer) and nonlinear computing units (the reservoir layer) are simultaneously implemented in the optical domain, significantly enhancing the information processing speed of photonic RC systems.

8.
Mitochondrial DNA B Resour ; 9(6): 762-765, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38895508

RESUMEN

In this study, the mitogenome of Vibrissina turrita (Meigen, 1824) (Diptera, Tachinidae) was sequenced based on the next-generation sequencing approach and analyzed here for the first time. The 17,387 bp genome has a high A + T content and consists of 13 protein-coding genes, 22 transfer RNA genes, two ribosomal RNA genes, and one noncoding control region. The phylogenetic analysis results support that Exoristinae is monophyletic and V. turrita belongs to the subfamily. This study reveals the systematic classification status of V. turrita and will enrich the genetic data on Tachinidae.

9.
ACS Appl Mater Interfaces ; 16(22): 29003-29015, 2024 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-38788155

RESUMEN

Navigating more effective methods to enhance the photon utilization of photodetectors poses a significant challenge. This study initially investigates the impact of morphological alterations in 2H-MoS2 on photodetector (PD) performance. The results reveal that compared to layered MoS2 (MoS2 NLs), MoS2 nanotubes (MoS2 NTs) impart a cavity enhancement effect through multiple light reflections. This structural feature significantly enhances the photodetection performance of the MoS2-based PDs. We further employ the heterojunction strategy to construct Y-TiOPc NPs:MoS2 NTs, utilizing Y-TiOPc NPs (Y-type titanylphthalocyanine) as the vis-NIR photosensitizer and MoS2 NTs as the photon absorption enhancer. This approach not only addresses the weak absorption of MoS2 NTs in the near-infrared region but also enhances carrier generation, separation, and transport efficiency. Additionally, the band bending phenomenon induced by trapped-electrons at the interface between ITO and the photoactive layer significantly enhances the hole tunneling injection capability from the external circuit. By leveraging the synergistic effects of the aforementioned strategies, the PD based on Y-TiOPc NPs:MoS2 NTs (Y:MT-PD) exhibits superior photodetection performance in the wavelength range of 365-940 nm compared to MoS2 NLs-based PD and MoS2 NTs-based PD. Particularly noteworthy are the peak values of key metrics for Y:MT-PD, such as EQE, R, and D* that are 4947.6%, 20588 mA/W, and 1.94 × 1012 Jones, respectively. The multiperiod time-resolved photocurrent response curves of Y:MT-PD also surpass those of the other two PDs, displaying rapid, stable, and reproducible responses across all wavelengths. This study provides valuable insights for the further development of photoactive materials with a high photon utilization efficiency.

10.
Zhongguo Zhong Yao Za Zhi ; 49(9): 2290-2298, 2024 May.
Artículo en Chino | MEDLINE | ID: mdl-38812129

RESUMEN

Ligustilide is the main active component of the volatile oil from Angelica sinensis and Ligusticum chuanxiong in the Umbelliferae family. It is a phthalein compound with anti-inflammatory, analgesic, antioxidant, anti-tumor, anti-atherosclerosis, neuroprotective, and other pharmacological effects. It can improve the permeability of the blood-brain barrier and has important potential in the treatment of neurodegenerative diseases and other nervous system diseases, such as Alzheimer's disease, ischemic stroke, Parkinson's disease, vascular dementia, and depression. Therefore, the mechanism of ligustilide in the treatment of nervous system diseases was summarized to provide a reference for drug development and clinical application.


Asunto(s)
4-Butirolactona , Enfermedades del Sistema Nervioso , Humanos , Animales , 4-Butirolactona/análogos & derivados , 4-Butirolactona/farmacología , 4-Butirolactona/química , Enfermedades del Sistema Nervioso/tratamiento farmacológico , Medicamentos Herbarios Chinos/química , Medicamentos Herbarios Chinos/farmacología , Medicamentos Herbarios Chinos/uso terapéutico
11.
Microorganisms ; 12(5)2024 May 03.
Artículo en Inglés | MEDLINE | ID: mdl-38792763

RESUMEN

Pyridoxine, also known as vitamin B6, is an essential cofactor in numerous cellular processes. Its importance in various applications has led to a growing interest in optimizing its production through microbial biosynthesis. However, an imbalance in the net production of NADH disrupts intracellular cofactor levels, thereby limiting the efficient synthesis of pyridoxine. In our study, we focused on multiple cofactor engineering strategies, including the enzyme design involved in NAD+-dependent enzymes and NAD+ regeneration through the introduction of heterologous NADH oxidase (Nox) coupled with the reduction in NADH production during glycolysis. Finally, the engineered E. coli achieved a pyridoxine titer of 676 mg/L in a shake flask within 48 h by enhancing the driving force. Overall, the multiple cofactor engineering strategies utilized in this study serve as a reference for enhancing the efficient biosynthesis of other target products.

13.
RSC Adv ; 14(21): 14982-14991, 2024 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-38720989

RESUMEN

Catalytic hydrogenolysis of 5-hydroxymethylfurfural (HMF) to 2,5-dimethylfuran (DMF) has become a hot topic in the bioenergy field in recent years. It remains a challenge to mediate the activation/hydrogenation/hydrogenolysis of C-O and C[double bond, length as m-dash]O bonds of HMF at high temperatures. Herein, bimetallic Ru-Co/AC catalysts were prepared by the "two-step" reduction method and were used to catalyze the hydrogenolysis of HMF to DMF. The effects of different reduction methods, Ru/Co ratios, and Ru loading on the catalytic performances of the Ru-Co/AC catalysts were investigated, and the physicochemical properties of the catalysts were characterized by TEM, XPS, H2-TPR, etc. It was found that the catalysts reduced by the "two-step" reduction method exhibited better catalytic activities than those fabricated by a single H2 or NaBH4 reduction method. The introduction of Co metals promoted the dispersion of Ru nanoparticles (NPs) on AC and the transfer of electrons from Co to Ru, thereby improving the catalytic activity. An excellent yield of DMF up to 97.9% and 98.7% conversion of HMF were achieved in a short time (1.5 h) under the optimal conditions (200 °C, 1 MPa). Furthermore, the possible reaction pathway for the hydrogenolysis of HMF to DMF over 5%Ru-1%Co/AC catalyst is also discussed. The work shows that the Ru-Co/AC catalysts have great potentials for the conversion of HMF into liquid fuel DMF.

14.
J Hazard Mater ; 471: 134455, 2024 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-38691931

RESUMEN

Bacteria-driven strategies have gained attention because of their effectiveness, viability, and cost-efficiency in the soil formation process of bauxite residues. However, further investigation is needed to enhance the extreme environment of bauxite residues and facilitate long-term sustainable development of bacteria. Here, soil, phosphogypsum, and leaf litter were selected as amendments, and soil and leaf litter were also used as bacterial inoculants in a 12-month microcosm experiment with bauxite residues. The results showed significant improvements in physicochemical properties, including alkalinity, organic carbon content, nutrient availability, and physical structure, when bauxite residue was mixed with amendments, particularly when different amendments were combined. The diversity, structure, and function of the bacterial community were significantly enhanced with the amelioration of the physicochemical properties. In the treated samples, especially those treated with a combination of different amendments, the relative abundance (RA) of alkali-resistant bacterial taxa decreased, whereas the RA of some common taxa found in normal soil increased, and the structure of the bacterial community gradually changed towards that of normal soil. A strong correlation between physicochemical and biological properties was found. These findings suggest that rational application of soil, phosphogypsum, and leaf litter effectively improves the environmental conditions of bauxite residues and facilitate long-term sustainable bacterial communities.


Asunto(s)
Óxido de Aluminio , Bacterias , Microbiología del Suelo , Óxido de Aluminio/química , Hojas de la Planta/química , Sulfato de Calcio/química , Suelo/química , Fósforo/química
15.
Microb Cell Fact ; 23(1): 137, 2024 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-38750497

RESUMEN

BACKGROUND: Microbial engineering aims to enhance the ability of bacteria to produce valuable products, including vitamin B6 for various applications. Numerous microorganisms naturally produce vitamin B6, yet the metabolic pathways involved are rigorously controlled. This regulation by the accumulation of vitamin B6 poses a challenge in constructing an efficient cell factory. RESULTS: In this study, we conducted transcriptome and metabolome analyses to investigate the effects of the accumulation of pyridoxine, which is the major commercial form of vitamin B6, on cellular processes in Escherichia coli. Our omics analysis revealed associations between pyridoxine and amino acids, as well as the tricarboxylic acid (TCA) cycle. Based on these findings, we identified potential targets for fermentation optimization, including succinate, amino acids, and the carbon-to-nitrogen (C/N) ratio. Through targeted modifications, we achieved pyridoxine titers of approximately 514 mg/L in shake flasks and 1.95 g/L in fed-batch fermentation. CONCLUSION: Our results provide insights into pyridoxine biosynthesis within the cellular metabolic network for the first time. Our comprehensive analysis revealed that the fermentation process resulted in a remarkable final yield of 1.95 g/L pyridoxine, the highest reported yield to date. This work lays a foundation for the green industrial production of vitamin B6 in the future.


Asunto(s)
Escherichia coli , Fermentación , Piridoxina , Vitamina B 6 , Escherichia coli/metabolismo , Escherichia coli/genética , Vitamina B 6/metabolismo , Vitamina B 6/biosíntesis , Piridoxina/metabolismo , Ingeniería Metabólica/métodos , Redes y Vías Metabólicas , Transcriptoma , Ciclo del Ácido Cítrico , Metaboloma , Carbono/metabolismo , Metabolómica , Aminoácidos/metabolismo , Nitrógeno/metabolismo
16.
J Mol Med (Berl) ; 102(6): 787-799, 2024 06.
Artículo en Inglés | MEDLINE | ID: mdl-38740600

RESUMEN

Nucleotide-binding oligomerization domain containing 2 (NOD2), located in the cell cytoplasm, is a pattern recognition receptor belonging to the innate immune receptor family. It mediates the innate immune response by identifying conserved sequences in bacterial peptide glycans and plays an essential role in maintaining immune system homeostasis. Gene mutations of NOD2 lead to the development of autoimmune diseases such as Crohn's disease and Blau syndrome. Recently, NOD2 has been shown to be associated with the pathogenesis of diabetes, cardiac-cerebral diseases, and cancers. However, the function of NOD2 in these non-communicable diseases (CNCDs) is not well summarized in reviews. Our report mainly discusses the primary function and molecular mechanism of NOD2 as well as its potential clinical significance in CNCDs.


Asunto(s)
Proteína Adaptadora de Señalización NOD2 , Enfermedades no Transmisibles , Humanos , Proteína Adaptadora de Señalización NOD2/genética , Proteína Adaptadora de Señalización NOD2/metabolismo , Animales , Enfermedad Crónica , Mutación , Predisposición Genética a la Enfermedad , Inmunidad Innata
17.
Langmuir ; 40(21): 11160-11172, 2024 May 28.
Artículo en Inglés | MEDLINE | ID: mdl-38748754

RESUMEN

The development of catalysts with high photon utilization efficiency is crucial for enhancing the catalytic performance of photocatalysts. Graphitic carbon nitride (g-C3N4) is a prominent material in the field of photocatalysis. However, it still exhibits drawbacks such as low utilization of visible light and severe recombination of photogenerated carriers. To address these issues, this study employs MoS2 nanotubes (NTs) as cocatalysts and constructs MoS2 NTs/g-C3N4. The MoS2 NTs/g-C3N4 exhibits a significant cavity enhancement effect through multiple light reflections. This results in a broad spectral absorption range and high photon utilization efficiency, while also reducing the recombination of photogenerated carriers. The photocatalyst demonstrates outstanding performance in both photocatalytic hydrogen production and photodegradation of organic pollutants. Specifically, the hydrogen production rate is 1921 µmol·g-1·h-1, which is approximately 2.4 times that of g-C3N4. Furthermore, the photodegradation rate of Rhodamine B reaches 98.6% within 30 min, which is approximately three times higher than that of g-C3N4. Free radical capture experiments confirm that holes (h+) are the primary active species in photodegradation. A plausible photocatalytic mechanism for the catalyst is proposed. This study provides valuable insights into the development of heterojunction photocatalysts with high photon utilization efficiency.

18.
BMC Musculoskelet Disord ; 25(1): 299, 2024 Apr 17.
Artículo en Inglés | MEDLINE | ID: mdl-38627663

RESUMEN

OBJECTIVES: Comorbidities, as components of these heterogeneous features, often coexist with knee osteoarthritis, and are particularly prevalent in end-stage knee osteoarthritis. Here, we attempted to identify the different clinical phenotypes of comorbidities in patients with end-stage knee osteoarthritis by cluster analysis. METHODS: A total of 421 inpatients diagnosed with end-stage knee osteoarthritis who underwent inpatient surgery were included in this cross-sectional study. 23 demographic, comorbidity, inflammatory immune and evaluation scale variables were collected. Systematic clustering after factor analysis and separate two-step cluster analysis were performed for individual comorbidity variables and all variables, respectively, to objectively identify the different clinical phenotypes of the study patients. RESULTS: Four clusters were finally identified. Cluster 1 had the largest proportion of obese patients (93.8%) and hypertension was common (71.2%). Almost all patients in cluster 2 were depressed (95.8%) and anxiety disorders (94.7%). Cluster 3 combined patients with isolated end-stage knee osteoarthritis and a few comorbidities. Cluster 4 had the highest proportion of patients with rheumatoid arthritis (58.8%). CONCLUSIONS: Patients with end-stage knee osteoarthritis may be classified into four different clinical phenotypes: "isolated end-stage knee osteoarthritis"; "obesity + hypertension"; "depression + anxiety"; and "rheumatoid arthritis", which may help guide individualized patient care and treatment strategies.


Asunto(s)
Hipertensión , Osteoartritis de la Rodilla , Humanos , Osteoartritis de la Rodilla/diagnóstico , Osteoartritis de la Rodilla/epidemiología , Osteoartritis de la Rodilla/cirugía , Estudios Transversales , Comorbilidad , Obesidad/diagnóstico , Obesidad/epidemiología , Obesidad/complicaciones , Hipertensión/epidemiología , Análisis por Conglomerados , Fenotipo
19.
Eur J Immunol ; 54(5): e2350739, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38461541

RESUMEN

Using data from single-cell RNA sequencing and flow cytometry, we initially examined the expression of FCRL3, finding it to be elevated and positively associated with TIGIT expression in the regulatory T cells of patients with systemic lupus erythematosus. This also suggests that the co-expression of FCRL3 and TIGIT warrants further attention.


Asunto(s)
Lupus Eritematoso Sistémico , Receptores Inmunológicos , Linfocitos T Reguladores , Humanos , Receptores Inmunológicos/genética , Receptores Inmunológicos/metabolismo , Lupus Eritematoso Sistémico/inmunología , Lupus Eritematoso Sistémico/genética , Linfocitos T Reguladores/inmunología , Regulación hacia Arriba/inmunología , Femenino , Masculino , Adulto
20.
J Clin Pharmacol ; 2024 03 18.
Artículo en Inglés | MEDLINE | ID: mdl-38497347

RESUMEN

Eltrombopag was approved as a first-line treatment for patients older than 2 years old with severe aplastic anemia (SAA). However, data on eltrombopag in children with different types of aplastic anemia (AA), especially non-severe AA (NSAA), are limited. We performed a prospective, single-arm, and observational study to investigate eltrombopag's efficacy, safety, and pharmacokinetics in children with NSAA, SAA, and very severe AA (VSAA). The efficacy and safety were assessed every 3 months. The population pharmacokinetic (PPK) model was used to depict the pharmacokinetic profile of eltrombopag. Twenty-three AA children with an average age of 7.9 (range of 3.0-14.0) years were enrolled. The response (complete and partial response) rate was 12.5%, 50.0%, and 100.0% after 3, 6, and 12 months in patients with NSAA. For patients with SAA and VSAA, these response rates were 46.7%, 61.5%, and 87.5%. Hepatotoxicity occurred in one patient. Fifty-three blood samples were used to build the PPK model. Body weight was the only covariate for apparent clearance (CL/F) and volume of distribution. The allele-T carrier of adenosine triphosphate-binding cassette transporter G2 was found to increase eltrombopag's clearance. However, when normalized by weight, the clearance between the wild-type and variant showed no statistical difference. In patients with response, children with NSAA exhibited lower area under the curve from time zero to infinity, higher CL/F, and higher weight-adjusted CL/F than those with SAA or VSAA. However, the differences were not statistically significant. The results may support further individualized treatment of eltrombopag in children with AA.

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