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1.
J Mater Chem B ; 12(19): 4613-4628, 2024 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-38655586

RESUMEN

The clinical treatment of chronic diabetic wounds is a long-standing thorny issue. Strategies targeting the diabetic micro-environment have been developed to promote wound healing. However, it remains challenging to reverse the adverse conditions and re-activate tissue regeneration and angiogenesis. In this work, we develop injectable hydrogels that are responsive to acidic conditions, reactive oxygen species (ROS), and high glucose levels in a diabetic wound micro-environment to sustainably deliver tannic acid (TA) to augment antibacterial, anti-inflammatory, and anti-oxidative activities. This triple-responsive mechanism is designed by introducing dynamic acylhydrazone and phenylboronic ester bonds to crosslink modified hyaluronic acid (HA) chains. At a diabetic wound, the acylhydrazone bonds may be hydrolyzed at low pH. Meanwhile, glucose may compete with TA, and ROS may oxidize the C-B bond to release TA. Thus, sustained release of TA is triggered by the diabetic micro-environment. The released TA effectively scavenges ROS and kills bacteria. In vivo experiments on diabetic mice demonstrate that the hydrogel dressing highly promotes angiogenesis and extracellular matrix (ECM) deposition, leading to eventual full healing of diabetic skin wounds. This micro-environment-triggered triple-responsive drug release provides a promising method for chronic diabetic wound healing.


Asunto(s)
Antibacterianos , Diabetes Mellitus Experimental , Ácido Hialurónico , Hidrogeles , Cicatrización de Heridas , Ácido Hialurónico/química , Ácido Hialurónico/farmacología , Cicatrización de Heridas/efectos de los fármacos , Antibacterianos/farmacología , Antibacterianos/química , Animales , Hidrogeles/química , Hidrogeles/farmacología , Ratones , Diabetes Mellitus Experimental/tratamiento farmacológico , Neovascularización Fisiológica/efectos de los fármacos , Colágeno/química , Vendajes , Taninos/química , Taninos/farmacología , Pruebas de Sensibilidad Microbiana , Staphylococcus aureus/efectos de los fármacos , Escherichia coli/efectos de los fármacos , Masculino , Especies Reactivas de Oxígeno/metabolismo , Humanos , Angiogénesis
2.
Aging (Albany NY) ; 16(2): 1049-1076, 2024 Jan 17.
Artículo en Inglés | MEDLINE | ID: mdl-38240686

RESUMEN

BACKGROUND/AIMS: Diffuse large B-cell lymphoma (DLBCL), the most common subtype of non-Hodgkin lymphoma, has significant prognostic heterogeneity. This study aimed to generate a prognostic prediction model based on autophagy-related genes for DLBCL patients. METHODS: Utilizing bioinformatics techniques, we analyzed the clinical information and transcriptome data of DLBCL patients from the Gene Expression Omnibus (GEO) database. Through unsupervised clustering, we identified new autophagy-related molecular subtypes and pinpointed differentially expressed genes (DEGs) between these subtypes. Based on these DEGs, a prognostic model was constructed using Cox and Lasso regression. The effectiveness, accuracy, and clinical utility of this prognostic model were assessed using numerous independent validation cohorts, survival analyses, receiver operating characteristic (ROC) curves, multivariate Cox regression analysis, nomograms, and calibration curves. Moreover, functional analysis, immune cell infiltration, and drug sensitivity analysis were performed. RESULTS: DLBCL patients with different clinical characterizations (age, molecular subtypes, ECOG scores, and stages) showed different expression features of autophagy-related genes. The prediction model was constructed based on the eight autophagy-related genes (ADD3, IGFBP3, TPM1, LYZ, AFDN, DNAJC10, GLIS3, and CCDC102A). The prognostic nomogram for overall survival of DLBCL patients incorporated risk level, stage, ECOG scores, and molecular subtypes, showing excellent agreement between observed and predicted outcomes. Differences were noted in the proportions of immune cells (native B cells, Treg cells, CD8+ T cell, CD4+ memory activated T cells, gamma delta T cells, macrophages M1, and resting mast cells) between high-risk and low-risk groups. LYZ and ADD3 exhibited correlations with drug resistance to most chemotherapeutic drugs. CONCLUSIONS: This study established a novel prognostic assessment model based on the expression profile of autophagy-related genes and clinical characteristics of DLBCL patients, explored immune infiltration and predicted drug resistance, which may guide precise and individualized immunochemotherapy regimens.


Asunto(s)
Linfoma de Células B Grandes Difuso , Humanos , Linfoma de Células B Grandes Difuso/tratamiento farmacológico , Linfoma de Células B Grandes Difuso/genética , Autofagia/genética , Probabilidad , Linfocitos B , Resistencia a Medicamentos , Pronóstico , Proteínas de Unión a Calmodulina
3.
Macromol Biosci ; 24(2): e2300274, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-37653597

RESUMEN

Wearable devices attract great attention in intelligent medicine, electronic skin, artificial intelligence robots, and so on. However, boundedness of traditional sensors based on rigid materials unconstrained self-multilayer structure assembly and dense substrate in stretchability and permeability limits their applications. The network structure of the elastomeric nanofibers gives them excellent air permeability and stretchability. By introducing metal nanofillers, intrinsic conductive polymers, carbon materials, and other methods to construct conductive paths, stretchable conductors can be effectively prepared by elastomeric nanofibers, showing great potential in the field of flexible sensors. This perspective briefly introduces the representative preparations of conductive thermoplastic polyurethane, nylon, and hydrogel nanofibers by electrospinning and the application of integrated electronic devices in biological signal detection. The main challenge is to unify the stretchability and conductivity of the fiber structure.


Asunto(s)
Nanofibras , Dispositivos Electrónicos Vestibles , Nanofibras/química , Inteligencia Artificial , Nylons , Polímeros
4.
Syst Rev ; 12(1): 237, 2023 12 14.
Artículo en Inglés | MEDLINE | ID: mdl-38098025

RESUMEN

BACKGROUND: Numerous studies have explored care interventions to improve the psychological outcome of intensive care unit (ICU) patients, but inconclusive evidence makes it difficult for decision-makers, managers, and clinicians to get familiar with all available literature and find appropriate interventions. This umbrella review aimed to analyze the relationship between care intervention and psychological outcomes of ICU patients based on existing systematic reviews. METHODS: An umbrella review of evidence across systematic reviews and meta-analyses published between 1987 and 2023 was undertaken. We systematically searched reviews that examined the association between care intervention and the improvement of adverse psychological outcomes in ICU patients using PubMed, EMBASE, Web of Science, Cochrane Library, and manual reference screening. The measurement tool (AMSTAR 2) was applied to evaluate the methodological quality of included studies. The excess significance bias, between-study heterogeneity expressed by I2, small-study effect, and evidence class were estimated. RESULTS: A total of 5110 articles were initially identified from the search databases and nine of them were included in the analysis. By applying standardized criteria, only weak evidence was observed in 13 associations, even though most included reviews were of moderate to high methodological quality. These associations pertained to eight interventions (music therapy, early rehabilitation, post-ICU follow-up, ICU diary, information intervention, preoperative education, communication and psychological support, surrogate decision-making) and five psychological outcomes (post-intensive care syndrome, transfer anxiety, post-traumatic stress disorder, anxiety, and depression). Weak or null association was shown among the rest of the associations (e.g., weak association between music therapy and maternal anxiety or stress level). CONCLUSIONS: The evidence of these eight supporting interventions to improve the adverse psychological outcomes of ICU patients and caregivers was weak. Data from more and better-designed studies with larger sample sizes are needed to establish robust evidence.


Asunto(s)
Hospitalización , Unidades de Cuidados Intensivos , Humanos , Ansiedad/terapia , Ansiedad/psicología , Cuidados Críticos/psicología , Revisiones Sistemáticas como Asunto , Metaanálisis como Asunto
5.
Mater Horiz ; 10(10): 4232-4242, 2023 10 02.
Artículo en Inglés | MEDLINE | ID: mdl-37530138

RESUMEN

Hydrogel-based wearable flexible pressure sensors have great promise in human health and motion monitoring. However, it remains a great challenge to significantly improve the toughness, sensitivity and stability of hydrogel sensors. Here, we demonstrate the fabrication of hierarchically structured hydrogel sensors by 3D printing microgel-reinforced double network (MRDN) hydrogels to achieve both very high sensitivity and mechanical toughness. Polyelectrolyte microgels are used as building blocks, which are interpenetrated with a second network, to construct super tough hydrogels. The obtained hydrogels show a tensile strength of 1.61 MPa, and a fracture toughness of 5.08 MJ m-3 with high water content. The MRDN hydrogel precursors exhibit reversible gel-sol transitions, and serve as ideal inks for 3D printing microstructured sensor arrays with high fidelity and precision. The microstructured hydrogel sensors show an ultra-high sensitivity of 0.925 kPa-1, more than 50 times that of plain hydrogel sensors. The hydrogel sensors are assembled as an array onto a shoe-pad to monitor foot biomechanics during gaiting. Moreover, a sensor array with a well-arranged spatial distribution of sensor pixels with different microstructures and sensitivities is fabricated to track the trajectory of a crawling tortoise. Such hydrogel sensors have promising application in flexible wearable electronic devices.


Asunto(s)
Hidrogeles , Microgeles , Humanos , Fenómenos Biomecánicos , Pie , Impresión Tridimensional
6.
Int J Biol Macromol ; 247: 125780, 2023 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-37433420

RESUMEN

To improve storage stability and gastrointestinal (GI) stability of liposomes, pectin and chitosan double layer coated liposome (P-C-L) was proposed and optimized using electrostatic deposition technique. The physical-chemical properties and GI fate of the carrier were then investigated in comparison to that of chitosan coated liposomes (C-L) and un-coated liposomes (L). The results showed P-C-L was successfully prepared at 0.2 % chitosan and 0.06 % pectin. It was hydrogen bonds between the amino groups in chitosan and liposomal interfacial region, and the interaction between the carboxyl groups in pectin layer and amino groups in chitosan layer maintained the structure of P-C-L after absorption by electrostatic interaction. The double layer coatings could improve chemical stability of the encapsulated ß-carotene (ßC), as well as the thermal stability of liposomes. What's more, the permeability of liposomal bilayers and ßC release mechanism in simulated GI fluids was changed by the polymer coating. P-C-L exhibited better controlled release for ßC than C-L and L, and displayer beneficial effect on delivering bioactive agents passing through intensity tract. This may assistant developing more efficient delivery system for bioactive agent.


Asunto(s)
Quitosano , Liposomas , Liposomas/química , Quitosano/química , beta Caroteno , Pectinas , Fenómenos Químicos , Tamaño de la Partícula
7.
J Mater Chem B ; 11(27): 6265-6289, 2023 07 12.
Artículo en Inglés | MEDLINE | ID: mdl-37318041

RESUMEN

Biomedical materials with outstanding biochemical and mechanical properties have great potential in tissue engineering, drug delivery, antibacterial, and implantable devices. Hydrogels have emerged as a most promising family of biomedical materials because of their high water content, low modulus, biomimetic network structures, and versatile biofunctionalities. It is critical to design and synthesize biomimetic and biofunctional hydrogels to meet demands of biomedical applications. Moreover, fabrication of hydrogel-based biomedical devices and scaffolds remains a great challenge, largely due to the poor processibility of the crosslinked networks. Supramolecular microgels have emerged as building blocks for fabrication of biofunctional materials for biomedical applications due to their excellent characteristics, including softness, micron size, high porosity, heterogeneity and degradability. Moreover, microgels can serve as vehicles to carry drugs, bio-factors, and even cells to augment the biofunctionalities to support or regulate cell growth and tissue regeneration. This review article summarizes the fabrication and the mechanism of supramolecular assemblies of microgels, and explores their application in 3D printing, along with detailed representative biomedical applications of microgel assemblies in cell culture, drug delivery, antibacterial and tissue engineering. Major challenges and perspectives of supramolecular microgel assemblies are presented to indicate future research directions.


Asunto(s)
Microgeles , Microgeles/química , Materiales Biocompatibles/química , Ingeniería de Tejidos , Hidrogeles/química , Cicatrización de Heridas
8.
Adv Mater ; 35(40): e2301300, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37358043

RESUMEN

Information encryption technologies are very important for security, health, commodity, and communications, etc. Novel information encryption mechanisms and materials are desired to achieve multimode and reprogrammable encryption. Here, a supramolecular strategy is demonstrated to achieve multimodal, erasable, reprogrammable, and reusable information encryption by reversibly modulating fluorescence. A butyl-naphthalimide with flexible ethylenediamine functionalized ß-cyclodextrin (N-CD) is utilized as a fluorescent responsive ink for printing or patterning information on polymer brushes with dangling adamantane group grafted on responsive hydrogels. The photoluminescent naphthalimide moiety is bonded to ß-CD and entrapped in the cavity. Its fluorescence is highly weakened in ß-CD cavity and recovers after being expelled from the cavity by a competing guest molecule to emit bright green photoluminescence under UV. Experiments and theoretical calculations suggest π-π stacking and ICT as the primary mechanism for the naphthalimides assembly and fluorescence, which can be quenched through insertion of conjugated molecules and recover by removing the insert. Such reversible quenching and recovering are used to achieve repeated writing, erasing, and re-writing of information. Supramolecular recognition and hydrogel shape memory are further combined to achieve reversible dual-encryption. This study provides a novel strategy to develop smart materials with improved information security for broad applications.

9.
Adv Sci (Weinh) ; 10(12): e2206386, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-36815394

RESUMEN

White-light-emitting carbon dots (WCDs) show innate advantages as phosphors in white light-emitting diodes (WLEDs). For WLEDs, the color rendering index (CRI) is the most important metric to evaluate its performance. Herein, WCDs are prepared by a facile one-step solvothermal reaction of trimellitic acid and o-phenylenediamine. It consists of four CDs identified by column chromatography as blue, green, yellow, red, and thus white light is a superposition of these four types of light. The mixture of the four CDs undergoes Förster resonance energy transfer to induce the generation of white light. The photoluminescence of WCDs originates from the synergistic effect of carbon core and surface states. Thereinto, the carbon core states dominate in RCDs, and the increase of amide contents and degree of conjugation promote the redshift of the emission spectra, which is further confirmed by theoretical calculations. In addition, a high CRI of 97 is achieved when the WCDs are used as phosphors to fabricate WLEDs, which is almost the highest value up to now. The multicolor LEDs can also be fabricated by using the four multicolor CDs as phosphors, respectively. This work provides a novel approach to explore the rapid preparation of low-cost, high-performance WCDs and CDs-based WLEDs.

10.
Adv Mater ; 35(20): e2211716, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-36822599

RESUMEN

Thermochromic smart windows are widely developed to modulate building energy exchange to save building energy consumption. However, most smart windows have fixed working temperatures, moderate energy-saving efficiency, and are not suitable for diverse (cold and hot) climates. Here smart windows with strong temperature modulation over a broad range of hydrogels with adjustable transition temperatures for all-weather building temperature regulation in different climates are reported. Thermochromic poly(N-isopropylacrylamide-co-N, N-dimethylacrylamide) hydrogels, with lower critical transition temperatures ranging from 32.5 to 43.5 °C, are developed for smart windows with solar modulation up to 88.84% and intrinsic transmittance up to 91.30% over full spectrum without energy input. Simulated indoor investigations are performed in different cities from 23 °N to 39 °N from winter to summer. The results indicate that smart windows have a strong solar modulation in summer to reduce indoor temperature up to 7.3 °C and efficient heat conservation in winter to save energy up to 4.30 J m-3 , in comparison to glass windows. Smart windows with grid patterns and Chinese kirigami are fabricated by using 3D printing of the hydrogels to achieve both solar modulation and light incidence. The strategy offers an innovative path for thermochromic smart windows for low carbon economy.

11.
RSC Adv ; 12(42): 27431-27441, 2022 Sep 22.
Artículo en Inglés | MEDLINE | ID: mdl-36276008

RESUMEN

In order to explore the surface state modulation mechanism of carbon dots (CDs) with high quantum yield (QY) and high product yield (PY), CDs were synthesized from different carbon sources with different contents of oxygen-containing functional groups and different silane coupling agents with nitrogen-containing functional groups. The highest QY of as-prepared CDs can reach 97.32% and the PY values of CDs are all high ranging from 46.33-58.76%. It is found that the high content of C[double bond, length as m-dash]O and pyrrolic N on the surface of CDs can endow CDs with high QY. Moreover, the PY of CDs not only depends on whether CDs have the crosslinked structure, but also is closely and positively correlated with pyridinic N. Consequently, our findings suggest that raw materials rich in carboxyl groups and amino groups are beneficial to the synthesis of CDs with high QY, and whether CDs with crosslinked structure and high content of pyridinic N decide the high PY of CDs. This work provides a theoretical guidance for large-scale synthesis of CDs with high QY and high PY.

12.
iScience ; 25(9): 104884, 2022 Sep 16.
Artículo en Inglés | MEDLINE | ID: mdl-36039289

RESUMEN

Delayed fluorescent (DF) materials have high internal quantum efficiency because of the triplet excitons involved in the radiation transition, and the spin-forbidden transition can effectively improve their luminescent lifetime. Compared with traditional afterglow materials including metal-containing inorganic coordination compounds and organic compounds, the DF materials based on carbon dots (CDs) have drawn extensive attention because of their advantages of low toxicity, environmental friendliness, stable luminescence, easy preparation and low cost. Most CDs-based DF materials can be realized by embedding CDs in matrix with covalent bonds, hydrogen bonds or/and other supramolecular interactions. Recently, matrix-free self-protective CDs-based DF materials are emerging. This review systematically summarizes the DF mechanism and structural regulation strategies of CDs-based DF materials, and the applications of CDs-based DF materials in anti-counterfeiting, information encryption, temperature sensing and other fields are introduced. Finally, the existing problems and future potentials of CDs-based DF materials are proposed and prospected.

13.
Ann Palliat Med ; 10(12): 12072-12085, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-35016408

RESUMEN

BACKGROUND: Tongfu traditional Chinese medicine (TCM) preparation is a common alternative therapy for clinical treatment of patients with septic gastrointestinal dysfunction. In recent years, a number of randomized controlled trials (RCTs) have been conducted to verify the effectiveness of Tongfu TCM preparation in the treatment of sepsis gastrointestinal dysfunction, but all of them have been small sample studies, and the research conclusions have been controversial. Here, this study conducted a meta-analysis on the clinical efficacy of the treatment of septic gastrointestinal dysfunction with TCM preparation, to produce a more objective and comprehensive systematic review to guide clinical application. BACKGROUND: To evaluate the efficacy and safety of Tongfu traditional Chinese medicine (TCM) preparation in the treatment of patients with septic gastrointestinal dysfunction. METHODS: Randomized controlled trials (RCTs) of Tongfu TCM preparation in the treatment of septic gastrointestinal dysfunction published before February 2021 were searched for in the Chinese databases China National Knowledge Infrastructure (CNKI), Wanfang, Chinese Biomedical Literature Disk (CBMdisc), and Chongqing VIP (CQVIP), and English databases PubMed, Web of Science, EBSCO, and The Cochrane Library. Meta-analysis was performed using RevMan 5.3 software, and funnel plots were drawn to evaluate the bias of literatures. RESULTS: A total of 22 RCTs involving 1,558 patients were included. There were 772 patients in the control group and 786 in the trial group. Meta-analysis results showed that: gastrointestinal dysfunction score [mean difference (MD) =-0.50, 95% confidence interval (CI): -0.61 to -0.38], Acute Physiology and Chronic Health Evaluation II (APACHE II) score (MD =-3.30, 95% CI: -3.73 to -2.86), and mortality (MD =0.34, 95% CI: 0.25-0.47) in the experimental group were significantly lower than those in the control group, and the difference was statistically significant (P<0.001). The funnel plot results showed that there was little possibility of publication bias. DISCUSSION: Tongfu TCM preparation can effectively improve the gastrointestinal function of patients with sepsis gastrointestinal dysfunction, prevent the deterioration of the disease, and reduce the mortality; however, more evidence is required to substantiate these findings.


Asunto(s)
Medicina Tradicional China , Sepsis , China , Humanos , Resultado del Tratamiento
14.
Nanomaterials (Basel) ; 10(2)2020 Feb 10.
Artículo en Inglés | MEDLINE | ID: mdl-32050661

RESUMEN

Aggregation-caused quenching (ACQ) effect, known as the main cause to restrain solid-state luminescence of carbon quantum dots (CQDs), hinders further application of CQDs in white light-emitting diodes (WLED). Here, a complex of CQDs and phthalimide crystals (CQDs/PC) was prepared through a one-step solvothermal method. CQDs/PC prevented CQDs from touching directly by embedding the CQDs in phthalimide crystal matrix in situ, which effectively reduced the ACQ effect. Furthermore, CQDs/PC exhibited multi-peak fluorescence spectra that span the green, yellow and orange spectral regions. Finally, a WLED fabricated based on CQDs/PC achieved a color-rendering index of 82 and a correlated color temperature of 5430 K. This work provides a quick and effective strategy to apply CQDs to WLED.

15.
Nanomaterials (Basel) ; 10(1)2020 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-31906342

RESUMEN

To greatly improve the production quality and efficiency of carbon quantum dots (CQDs), and provide a new approach for the large-scale production of high-quality CQDs, green carbon quantum dots (g-CQDs) with high product yield (PY) and high fluorescent quantum yield (QY) were synthesized by an efficient one-step solvothermal method with 2,7-dihydroxynaphthalene as the carbon source and ethylenediamine as the nitrogen dopant in this study. The PY and QY of g-CQDs were optimised by adjusting reaction parameters such as an amount of added ethylenediamine, reaction temperature, and reaction duration. The results showed that the maximum PY and QY values of g-CQDs were achieved, which were 70.90% and 62.98%, respectively when the amount of added ethylenediamine, reaction temperature, and reaction duration were 4 mL, 180 °C, and 12 h, respectively. With the optimised QY value of g-CQDs, white light emitting diodes (white LEDs) were prepared by combining g-CQDs and blue chip. The colour rendering index of white LEDs reached 87, and the correlated colour temperature was 2520 K, which belongs to the warm white light area and is suitable for indoor lighting. These results indicate that g-CQDs have potential and wide application prospects in the field of white LEDs.

16.
Int J Hematol ; 111(5): 681-685, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-31993938

RESUMEN

Previous studies showed albumin at diagnosis could be used to predict outcome in patients with diffuse large B-cell lymphoma (DLBCL), but whether albumin could improve the international prognostic index (IPI) risk stratification remains unknown. Herein, we retrospectively analyzed 440 de novo DLBCL patients in this study. The cutoff value of albumin was 39.2 g/L. Patients with high serum albumin showed superior OS and PFS (p = 0.002 and p < 0.001, respectively). According to IPI, there were 163 patients (37.0%) in low-risk group, 107 (24.3%) in low-intermediate risk group, 114 (25.9%) in high-intermediate risk group and 56 (12.7%) in high-risk group. Further analysis showed high albumin could identify a subgroup of patients with extremely superior OS and PFS in low IPI risk patients (p = 0.022 and p = 0.034, respectively). Multivariate analysis revealed that high albumin was an independent prognostic factor for OS (relative ratio [RR] 0.122; 95% confidence interval [CI] 0.021-0.715, p = 0.020) and trend for PFS (RR 0.417; 95% CI 0.168-1.035, p = 0.059). In conclusion, our study suggests that albumin at diagnosis is a simple and effective prognostic factor in DLBCL patients, allowing the identification of a superior outcome subgroup in low-risk patients, which may help to guide treatment in clinical trial.


Asunto(s)
Linfoma de Células B Grandes Difuso/diagnóstico , Albúmina Sérica/análisis , Biomarcadores/sangre , Análisis Multivariante , Pronóstico , Estudios Retrospectivos , Riesgo
17.
Front Oncol ; 10: 610681, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33585232

RESUMEN

The prognostic value of albumin changes between diagnosis and end-of-treatment (EoT) in diffuse large B-cell lymphoma (DLBCL) remains unknown. We retrospectively analyzed 574 de novo DLBCL patients treated with R-CHOP from our and two other centers. All patients were divided into a training cohort (n = 278) and validation cohort (n = 296) depending on the source of the patients. Overall survival (OS) and progression-free survival (PFS) were analyzed by the method of Kaplan-Meier and Cox proportional hazard regression model. In the training cohort, 163 (58.6%) patients had low serum albumin at diagnosis, and 80 of them were present with consecutive hypoalbuminemia at EoT. Patients with consecutive hypoalbuminemia showed inferior OS and PFS (p = 0.010 and p = 0.079, respectively). Similar survival differences were also observed in the independent validation cohort (p = 0.006 and p = 0.030, respectively). Multivariable analysis revealed that consecutive hypoalbuminemia was an independent prognostic factor OS [relative risk (RR), 2.249; 95% confidence interval (CI), 1.441-3.509, p < 0.001] and PFS (RR, 2.001; 95% CI, 1.443-2.773, p < 0.001) in all DLBCL patients independent of IPI. In conclusion, consecutive hypoalbuminemia is a simple and effective adverse prognostic factor in patients with DLBCL, which reminds us to pay more attention to patients with low serum albumin at EoT during follow-up.

18.
Nanotechnology ; 30(8): 085406, 2019 Feb 22.
Artículo en Inglés | MEDLINE | ID: mdl-30523804

RESUMEN

A one-step hydrothermal synthesis of nitrogen and silicon co-doped fluorescence carbon quantum dots (N,Si-CQDs), from citric acid monohydrate and silane coupling agent KH-792 with a high product yield (PY) of 52.56% and high quantum yield (QY) of 97.32%, was developed. This greatly improves both the PY and QY of CQDs and provides a new approach for a large-scale production of high-quality CQDs. Furthermore, N,Si-CQDs were employed as phosphors without dispersants to fabricate white light-emitting diodes (WLEDs) with the color coordinates at (0.29, 0.32). It is suggested that N,Si-CQDs have great potential as promising fluorescent materials to be applied in WLEDs.

19.
J Agric Food Chem ; 67(1): 406-414, 2019 Jan 09.
Artículo en Inglés | MEDLINE | ID: mdl-30566345

RESUMEN

Fortifying food and beverage products with combinations of bioactive agents is a major initiative within the food industry because of their potentially additive or even synergistic benefits for human health. Coix seed oil (CSO) has been reported to possess anticancer activity, whereas ß-carotene (ßC) is a natural antioxidant that may also exhibit anticancer activity. However, both of these bioactives are insoluble in water and have poor oral bioavailability. The aim of this study was to overcome these obstacles by encapsulating both ßC and CSO into liposomes (L-ßC-CSO). The effect of different combinations of these two bioactive agents on the physiochemical properties, stability, release, antioxidant activity, and anticancer activity of the liposomes was then determined. Increasing the CSO level decreased the ßC entrapment efficiency, increased the particle size, reduced the polydispersity, and raised the magnitude of the surface potential of the bioactive-loaded liposomes. Moreover, the ßC and CSO levels affected their orientation within the lipid bilayer, which also influences the physiochemical properties, stability, and in vitro release behavior of the system. Compared to liposomes containing single bioactive types, the combined systems exhibited higher bioavailability and increased anticancer and antioxidant activity. These results suggest that the combined bioactive-loaded liposomes could be an efficient formulation for potential applications in functional foods and supplements.


Asunto(s)
Antineoplásicos Fitogénicos/química , Antioxidantes/química , Coix/química , Sistemas de Liberación de Medicamentos/métodos , Liposomas/química , Aceites de Plantas/química , beta Caroteno/química , Antineoplásicos Fitogénicos/farmacología , Antioxidantes/farmacología , Línea Celular Tumoral , Supervivencia Celular/efectos de los fármacos , Sistemas de Liberación de Medicamentos/instrumentación , Estabilidad de Medicamentos , Humanos , Aceites de Plantas/farmacología , Semillas/química , beta Caroteno/farmacología
20.
Nanoscale ; 10(23): 11211-11221, 2018 Jun 14.
Artículo en Inglés | MEDLINE | ID: mdl-29873657

RESUMEN

First, oleophilic carbon dots (CDs) with a fluorescence quantum yield (QY) of 41% were synthesized by a one-pot microwave-assisted carbonization method. Then, CD-based electroluminescent light emitting diodes (CD-LEDs) were prepared. The impact of CD aggregation on the brightness of CD-LEDs was studied. The results show that, to some extent, with the decrease of the aggregation of the CD film, the luminescence quenching of the CD-LEDs gradually decreased, and the luminance of the CD-LEDs gradually increased. Hence, in order to improve the dispersion of CDs and reduce the aggregation of CDs and the luminescence quenching of the devices, host-guest doping was adopted to effectively improve the brightness of CD-LEDs. In this work, the yellow emission of the doped devices is mainly derived from the direct carrier trapping on CDs. Moreover, white and yellow CD-LEDs were obtained from the same oleophilic CDs by tuning the structure of the devices. The white CD-LEDs exhibit a high color rendering index (CRI) of 83 with a luminance of 455.2 cd m-2. The yellow CD-LEDs show the maximum brightness of 339.5 cd m-2 and excellent color stability. The results show that the luminescence quenching of CD-LEDs was resisted and the brightness of CD-LEDs was improved by using host-guest doping.

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