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1.
Data Brief ; 54: 110393, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38646192

RÉSUMÉ

The dataset includes a comparative analysis of Gonyostomum sp. and Tetraedron sp. to characterize their productivity, proximate composition, biochemical composition and pigments. Growth data were collected through cell density and optical density and subsequently mass-cultured to utilize biomass for other analyses. The onset of the stationary phase (12 to 18 days) varied between the species. Volumetric productivity, areal productivity, and SGR were also significantly higher (p ˂ 0.05) in Gonyostomum sp. whereas, Tetraedron sp. showed significantly higher (p ˂ 0.05) cell duplication time and cell doublings per day (K). Gonyostomum sp. showed significantly higher (p ˂ 0.05) protein (42.86±1.13%), carbohydrate (13.56±0.48%) and lipid (27.4 ± 0.69%) content than Tetraedron sp. Significantly higher (p ˂ 0.05) polyunsaturated fatty acids (PUFA) were obtained from both Gonyostomum sp. and Tetraedron sp. Non-essential amino acids were prevalent in both microalgae than essential amino acids. Significantly higher (p ˂ 0.05) chlorophyll-a (5.51±0.00), chlorophyll-b (2.27±0.04) and phycobiliprotein (2.32±0.05) were found in Tetraedron sp. Conversely, Gonyostomum sp. exhibited higher (p ˂ 0.05) carotenoid content (2.48±0.05). These findings may contribute to the screening and utilization of these microalgae in the aquaculture, pharmaceuticals, and nutraceuticals sectors.

2.
Data Brief ; 53: 110255, 2024 Apr.
Article de Anglais | MEDLINE | ID: mdl-38533122

RÉSUMÉ

Cyanobacteria are regarded as vital constituents of aquatic ecosystems which recently become viable option for bioremediation since it can remove contaminants from polluted water. They possess intriguing metabolic properties and exhibit differential growth patterns. This study elucidates the isolation and identification of two marine and two freshwater indigenous Oscillatoria spp., their growth performance, nutritional composition along with intricate biochemical profiles. Agar streak plate method was used for the isolation, growth curve was determined through chlorophyll content and optical density. Freshwater and marine Oscillatoria spp. were mass cultured in commercial Bold Basal Media and Conway media respectively. Wet biomass was harvested through centrifugation at the early stationary phase of their respective growth curve and oven-dried at 40 °C to determine the nutritional and biochemical profiles. Oscillatoria sp. 2 displayed significantly higher (p ˂ 0.05) chlorophyll-a (22.72 ± 0.04 µg/mL) and OD value (1.87 ± 0.03) in the stationary phase (9th to 11th day) than the other species. Crude protein contents (%) varied from 21.56 ± 0.09 to 56.97 ± 0.03. Crude lipid (%) ranged from 9.07 ± 0.07 to 17.13 ± 0.13 and Crude fiber content (%) showed the range from 7.49 ± 0.15 to 17.04 ± 0.08. Fatty acid and amino acid were also found variable among the species. Present study will contribute to the meticulous selection and characterization of Oscillatoria sp. to utilize it in the rigorous scientific investigations and diverse commercial applications.

3.
Z Gesundh Wiss ; : 1-11, 2023 Apr 15.
Article de Anglais | MEDLINE | ID: mdl-37361264

RÉSUMÉ

Aim: Coronavirus is an airborne and infectious disease and it is crucial to check the impact of climatic risk factors on the transmission of COVID-19. The main objective of this study is to determine the effect of climate risk factors using Bayesian regression analysis. Methods: Coronavirus disease 2019, due to the effect of the SARS-CoV-2 virus, has become a serious global public health issue. This disease was identified in Bangladesh on March 8, 2020, though it was initially identified in Wuhan, China. This disease is rapidly transmitted in Bangladesh due to the high population density and complex health policy setting. To meet our goal, The MCMC with Gibbs sampling is used to draw Bayesian inference, which is implemented in WinBUGS software. Results: The study revealed that high temperatures reduce confirmed cases and deaths from COVID-19, but low temperatures increase confirmed cases and deaths. High temperatures have decreased the proliferation of COVID-19, reducing the virus's survival and transmission. Conclusions: Considering only the existing scientific evidence, warm and wet climates seem to reduce the spread of COVID-19. However, more climate variables could account for explaining most of the variability in infectious disease transmission.

4.
Theor Appl Climatol ; 150(3-4): 1463-1475, 2022.
Article de Anglais | MEDLINE | ID: mdl-36276261

RÉSUMÉ

Infectious diseases such as severe acute respiratory syndrome (SARS) and influenza are influenced by weather conditions. Climate variables, for example, temperature and humidity, are two important factors in the severity of COVID-19's impact on the human respiratory system. This study aims to examine the effects of these climate variables on COVID-19 mortality. The data are collected from March 08, 2020, to April 30, 2022. The parametric regression under GAM and semiparametric regression under GAMLSS frameworks are used to analyze the daily number of death due to COVID-19. Our findings revealed that temperature and relative humidity are commencing to daily deaths due to COVID-19. A positive association with COVID-19 daily death counts was observed for temperature range and a positive association for humidity. In addition, one-unit increase in daily temperature range was only associated with a 1.08% (95% CI: 1.06%, 1.10%), and humidity range was only associated with a 1.03% (95% CI: 1.02%, 1.03%) decrease in COVID-19 deaths. A flexible regression model within the framework of Generalized Additive Models for Location Scale and Shape is used to analyze the data by adjusting the time effect. We used two adaptable predictor models, such as (i) the Fractional polynomial model and (ii) the B-spline smoothing model, to estimate the systematic component of the GAMLSS model. According to both models, high humidity and temperature significantly (and drastically) lessened the severity of COVID-19 death. The findings on the epidemiological trends of the COVID-19 pandemic and weather changes may interest policymakers and health officials.

5.
Environ Pollut ; 315: 120452, 2022 Dec 15.
Article de Anglais | MEDLINE | ID: mdl-36272605

RÉSUMÉ

Metal/loid pollution from shipwrecking activities has drawn significant concern due to their persistent threat to the marine ecosystem and human health. We investigated the spatiotemporal distribution, pollution characteristics, risks, sources, and potential impact of metal/loids in the sediments and seafood in the Bay of Bengal at nearby open beaching shipwrecking yards in Bangladesh. We collected 78 sediments and 208 seafood samples from the exposed and control sites from 2018 to 2020 during the dry and wet seasons. The concentrations of 16 elements, including cadmium, arsenic, lead, chromium, manganese, copper, zinc, iron, tin, antimony, nickel, cobalt, molybdenum, vanadium, selenium, and thallium were measured using validated inductively coupled plasma-mass spectrometry (ICP-MS) methods. Based on the pollution indices (enrichment factor, geoaccumulation index, pollution index, and pollution load index), lead, arsenic, cadmium, selenium, copper, zinc, and tin from the dry season showed higher contaminations compared to the wet and their concentrations were increased from 2018 to 2020 with seasonal fluctuations. Sediment cadmium and arsenic posed relatively higher and moderate ecological risks. Health risk analysis indicated that lead, cadmium, and inorganic arsenic (estimated) in seafood species pose a possible health threat to the general population. Further, there were possible ecological and health risks for the metal/loids in combination based on the ecological risk index in sediment and the hazard index in seafood, respectively. Source apportionment suggested that anthropogenic activities through uncontrolled shipwrecking operations over the last four decades were the largest polluting dominator, contributing 55-77% of the metal/loid concentrations. Therefore, the data may inform mitigation strategies for emission control at the shipwrecking yards to protect marine ecosystems and their local population.


Sujet(s)
Arsenic , Métaux lourds , Sélénium , Étain , Polluants chimiques de l'eau , Humains , Arsenic/analyse , Baies (géographie) , Cadmium/analyse , Cuivre/analyse , Écosystème , Surveillance de l'environnement , Sédiments géologiques/composition chimique , Métaux lourds/analyse , Produits de la mer/analyse , Sélénium/analyse , Étain/analyse , Polluants chimiques de l'eau/analyse , Zinc/analyse
6.
J Med Chem ; 65(15): 10441-10458, 2022 08 11.
Article de Anglais | MEDLINE | ID: mdl-35867655

RÉSUMÉ

Bromodomain and extraterminal domain (BET) proteins are important regulators of gene transcription and chromatin remodeling. BET family members BRD4 and BRDT are validated targets for cancer and male contraceptive drug development, respectively. Due to the high structural similarity of the acetyl-lysine binding sites, most reported inhibitors lack intra-BET selectivity. We surmised that protein-protein interactions induced by bivalent inhibitors may differ between BRD4 and BRDT, conferring an altered selectivity profile. Starting from nonselective monovalent inhibitors, we developed cell-active bivalent BET inhibitors with increased activity and selectivity for BRDT. X-ray crystallographic and solution studies revealed unique structural states of BRDT and BRD4 upon interaction with bivalent inhibitors. Varying spacer lengths and symmetric vs unsymmetric connections resulted in the same dimeric states, whereas different chemotypes induced different dimers. The findings indicate that the increased intra-BET selectivity of bivalent inhibitors is due to the differential plasticity of BET bromodomains upon inhibitor-induced dimerization.


Sujet(s)
Tumeurs , Protéines nucléaires , Protéines du cycle cellulaire/métabolisme , Humains , Mâle , Tumeurs/métabolisme , Conformation des protéines , Domaines protéiques , Facteurs de transcription/métabolisme
8.
Oncogene ; 41(14): 2095-2105, 2022 04.
Article de Anglais | MEDLINE | ID: mdl-35184157

RÉSUMÉ

Oncogenic mutations in the small GTPase RAS contribute to ~30% of human cancers. In a Drosophila genetic screen, we identified novel and evolutionary conserved cancer genes that affect Ras-driven tumorigenesis and metastasis in Drosophila including confirmation of the tetraspanin Tsp29Fb. However, it was not known whether the mammalian Tsp29Fb orthologue, TSPAN6, has any role in RAS-driven human epithelial tumors. Here we show that TSPAN6 suppressed tumor growth and metastatic dissemination of human RAS activating mutant pancreatic cancer xenografts. Whole-body knockout as well as tumor cell autonomous inactivation using floxed alleles of Tspan6 in mice enhanced KrasG12D-driven lung tumor initiation and malignant progression. Mechanistically, TSPAN6 binds to the EGFR and blocks EGFR-induced RAS activation. Moreover, we show that inactivation of TSPAN6 induces an epithelial-to-mesenchymal transition and inhibits cell migration in vitro and in vivo. Finally, low TSPAN6 expression correlates with poor prognosis of patients with lung and pancreatic cancers with mesenchymal morphology. Our results uncover TSPAN6 as a novel tumor suppressor receptor that controls epithelial cell identify and restrains RAS-driven epithelial cancer.


Sujet(s)
Oncogènes , Tumeurs du pancréas , Tétraspanines , Animaux , Carcinogenèse/génétique , Lignée cellulaire tumorale , Transformation cellulaire néoplasique/génétique , Gènes ras , Humains , Mammifères/génétique , Mammifères/métabolisme , Souris , Mutation , Tumeurs du pancréas/anatomopathologie , Protéines proto-oncogènes p21(ras)/génétique , Protéines proto-oncogènes p21(ras)/métabolisme , Tétraspanines/génétique , Tétraspanines/métabolisme
9.
J Med Chem ; 65(5): 4182-4200, 2022 03 10.
Article de Anglais | MEDLINE | ID: mdl-35191694

RÉSUMÉ

Bromodomains regulate chromatin remodeling and gene transcription through recognition of acetylated lysines on histones and other proteins. Bromodomain-containing protein TAF1, a subunit of general transcription factor TFIID, initiates preinitiation complex formation and cellular transcription. TAF1 serves as a cofactor for certain oncogenic transcription factors and is implicated in regulating the p53 tumor suppressor. Therefore, TAF1 is a potential target to develop small molecule therapeutics for diseases arising from dysregulated transcription, such as cancer. Here, we report the ATR kinase inhibitor AZD6738 (Ceralasertib) and analogues thereof as bona fide inhibitors of TAF1. Crystallographic and small-angle X-ray scattering studies established that newly identified and previously reported inhibitors stabilize distinct structural states of the TAF1 tandem bromodomain through "open-closed" transitions and dimerization. Combined with functional studies on p53 signaling in cancer cell lines, the data provide new insights into the feasibility and challenges of TAF1 inhibitors as chemical probes and therapeutics.


Sujet(s)
Facteurs associés à la protéine de liaison à la boite TATA , Histone acetyltransferases/métabolisme , Ligands , Facteurs associés à la protéine de liaison à la boite TATA/métabolisme , Facteur de transcription TFIID/métabolisme , Protéine p53 suppresseur de tumeur
10.
ChemistrySelect ; 7(45): e202203290, 2022 Dec 06.
Article de Anglais | MEDLINE | ID: mdl-36718183

RÉSUMÉ

Alcohol-based hand sanitizers (ABHSs) containing ethanol (EtOH) or isopropyl alcohol (IPA) to inactivate microorganisms help prevent the spread of respiratory diseases. These products have become very popular during the COVID-19 pandemic. Apart from vaccines or other preventative antiseptic measures, the majority of consumers have relied on different types of ABHSs to disinfect their hands. As a result, there has been a global rush in the demand for these ABHSs and other antiseptic hygiene products. This has resulted in the formation of many new commercial sanitizer producers. There are around fifty companies of varying sizes that have been marketing their ABHSs in Bangladesh, most of which have only been manufacturing their products for the first time since the COVID-19 pandemic. To monitor the quality and components of these products, the Bangladesh Council of Scientific and Industrial Research (BCSIR) analyzed approximately 200 different hand sanitizer samples using GC-FID method. All samples were alcohol-based except for 3 which were alcohol-free aqueous hand sanitizers. Of the supplied formulated ABHSs, 80 samples were found to contain only IPA and 54 contained only EtOH. However, 28 samples were found to be contaminated with methanol (MeOH), 7 samples contained only MeOH and 18 samples contained both EtOH and IPA. This is the first study to explore the analysis of alcohol content in formulated ABHSs and their marketing status in Bangladesh, but the findings could be of use in other jurisdictions as similar issues have been raised in many parts of the world.

11.
J Med Chem ; 64(21): 15772-15786, 2021 11 11.
Article de Anglais | MEDLINE | ID: mdl-34710325

RÉSUMÉ

BRD4 and other members of the bromodomain and extraterminal (BET) family of proteins are promising epigenetic targets for the development of novel therapeutics. Among the reported BRD4 inhibitors are dihydropteridinones and benzopyrimidodiazepinones originally designed to target the kinases PLK1, ERK5, and LRRK2. While these kinase inhibitors were identified as BRD4 inhibitors, little is known about their binding potential and structural details of interaction with the other BET bromodomains. We comprehensively characterized a series of known and newly identified dual BRD4-kinase inhibitors against all eight individual BET bromodomains. A detailed analysis of 23 novel cocrystal structures of BET-kinase inhibitor complexes in combination with direct binding assays and cell signaling studies revealed significant differences in molecular shape complementarity and inhibitory potential. Collectively, the data offer new insights into the action of kinase inhibitors across BET bromodomains, which may aid the development of drugs to inhibit certain BET proteins and kinases differentially.


Sujet(s)
Protéines du cycle cellulaire/antagonistes et inhibiteurs , Inhibiteurs de protéines kinases/pharmacologie , Facteurs de transcription/antagonistes et inhibiteurs , Protéines du cycle cellulaire/composition chimique , Cristallographie aux rayons X , Cellules HEK293 , Humains , Simulation de docking moléculaire , Liaison aux protéines , Conformation des protéines , Domaines protéiques , Facteurs de transcription/composition chimique
12.
Int J Food Sci ; 2021: 6627265, 2021.
Article de Anglais | MEDLINE | ID: mdl-34423026

RÉSUMÉ

Nowadays, the socioeconomic status has been changed a lot, so people are now more concerned about their life style and health. They have knowledge about the detrimental effects of synthetic products. That is why they are interested in natural products. Utilization of natural products of plant origin having fewer side effects has gained popularity over the years. There is immense scope for natural products that can intimate health benefits beyond traditional nutrients. Moringa oleifera is one such tree having tremendous nutritional and medicinal benefits. It is rich in macro- and micronutrients and other bioactive compounds which are important for normal functioning of the body and prevention of certain diseases. Leaves, flowers, seeds, and almost all parts of this tree are edible and have immense therapeutic properties including antidiabetic, anticancer, antiulcer, antimicrobial, and antioxidant. Most of the recent studies suggested that Moringa should be used as a functional ingredient in food. The aim of this review is to focus the use of Moringa oleifera as a potential ingredient in food products.

14.
PLoS One ; 16(5): e0251717, 2021.
Article de Anglais | MEDLINE | ID: mdl-33984045

RÉSUMÉ

BACKGROUND: Suicide is a serious public health concern all over the world including Bangladesh. About 9% of the patients admitted with suicidal ideation (SI) or suicide attempt (SA) later complete suicide. To understand and prevent suicide, the study of SI and SA is necessary but research in this area is scanty in Bangladesh. Therefore, we studied suicidality (SI and SA) among married adults in Rajshahi City, Bangladesh. METHODS: This was a household cross-sectional study. A total of 708 married adults were selected for this study using a multi-stage random sampling. Suicidality was measured based on two factors: (i) suicidal ideation, and (ii) suicide attempt. Frequency distribution, Chi-square test and multiple binary logistic regression model were used in this study according to our objectives. RESULTS: The prevalence of suicidal ideation, suicide attempt, and suicidality was 5.8%, 3.4%, and 8.3% respectively among married adults. A multiple binary logistic regression model provided the following risk factors of suicidality: (i) joint family (AOR = 0.310, p<0.01), (ii) ≥26 years of age at the first marriage (AOR = 0.379, p<0.05), (iii) twice or more marriage (AOR = 0.214, p<0.01), (iv) conjugal life of ≥16 years (AOR = 0.410, p<0.05), (v) having no child (AOR = 6.343, p<0.01) and (vi) having 1-2 children (AOR = 6.190, p<0.01), (vii) medical comorbidity (AOR = 0.421, p<0.01), (viii) mental comorbidity (AOR = 0.253, p<0.01), (ix) stress-anxiety (AOR = 0.311, p<0.01), (x) family history of mental disorders (AOR = 0.059, p<0.01), (xi) family history of suicide/suicide attempt (AOR = 0.009, p<0.01), (xii) substance abuse (AOR = 0.065, p<0.01), (xiii) poor relationship with spouse (AOR = 0.209, p<0.01), and (xiv) poor relationship with other family members (AOR = 0.347, p<0.05). CONCLUSION: The prevalence of suicidality is remarkable in Rajshahi city, Bangladesh. The government and non-government agencies can use the findings of this study to identify the vulnerable groups and undertake measures for preventing and reducing suicidality.


Sujet(s)
Mariage/psychologie , Conjoints/psychologie , Idéation suicidaire , Tentative de suicide/statistiques et données numériques , Adolescent , Adulte , Bangladesh/épidémiologie , Villes/statistiques et données numériques , Études transversales , Femelle , Humains , Mâle , Mariage/statistiques et données numériques , Prévalence , Facteurs de risque , Conjoints/statistiques et données numériques , Tentative de suicide/prévention et contrôle , Tentative de suicide/psychologie , Jeune adulte
15.
Int J Equity Health ; 20(1): 65, 2021 02 24.
Article de Anglais | MEDLINE | ID: mdl-33627120

RÉSUMÉ

BACKGROUND: Physician-patient communication behavior (PPCB) is the primary process by which medical decision-making occurs and health outcome depends. Physician-patient communication differences may partly from the ethnic disparities. To examine this problem, this study aims to explore whether physician-patient communication differs by ethnicity during primary care medical consultations. METHODS: The study was conducted among the Bengali and ethnic minority patients (N = 850) who visited a physician for medical consultations. Data were collected using a structured post-consultation questionnaire. T-test was conducted to compare the communication between the Bengali and ethnic minority patients. Multiple linear regression analyses were performed to identify the factors associated with favorable communication behavior from the physicians. RESULTS: Bengali patients received more supportive communication behaviors from the Bengali doctors than that of ethnic minority patients including physicians' cheerful greetings, encouraging patients to express health problems and asking questions, listening carefully, responding to questions and concerns, explaining to patients about medical examination procedures, medication, probable side effects, discussing treatment options, involved the patients in decisions, and spending adequate time. Results of linear regression showed that respondents' level of education, internet use, knowledge about the health issue, having a pre-organized plan about the content of medical consultation, information seeking about the health problem, visiting female doctors, and a quiet ambience of the doctor's room are significantly associated with a better PPCB score for the Bengali patients. In contrast, age, being the resident of an urban area, perception of affecting a minor health problem, having a pre-organized plan about the content of medical consultation, patients' involvement in physicians' decision-making about the treatment, and talking time resulted in better physician-patient communication for the ethnic minority patients. CONCLUSION: This study suggests that reducing disparity in the socio-economic status of the ethnic minority groups through development programs and educating healthcare providers on how to use patient-centered communication skills to engage with their patients is one solution to improve equity in the delivery of healthcare and ensure than patients are receiving high-quality treatment, no matter their race or ethnicity.


Sujet(s)
Communication , Ethnies , Disparités d'accès aux soins , Relations médecin-patient , Médecins/psychologie , Adulte , Bangladesh , Études transversales , Femelle , Humains , Mâle , Adulte d'âge moyen , Minorités , Facteurs socioéconomiques
16.
Oncogene ; 39(29): 5187-5200, 2020 07.
Article de Anglais | MEDLINE | ID: mdl-32555331

RÉSUMÉ

Transcription factors are attractive therapeutic targets that are considered non-druggable because they do not have binding sites for small drug-like ligands. We established a cell-free high-throughput screening assay to search for small molecule inhibitors of DNA binding by transcription factors. A screen was performed using p53 as a target, resulting in the identification of NSC194598 that inhibits p53 sequence-specific DNA binding in vitro (IC50 = 180 nM) and in vivo. NSC194598 selectively inhibited DNA binding by p53 and homologs p63/p73, but did not affect E2F1, TCF1, and c-Myc. Treatment of cells with NSC194598 alone paradoxically led to p53 accumulation and modest increase of transcriptional output owing to disruption of the MDM2-negative feedback loop. When p53 was stabilized and activated by irradiation or chemotherapy drug treatment, NSC194598 inhibited p53 DNA binding and induction of target genes. A single dose of NSC194598 increased the survival of mice after irradiation. The results suggest DNA binding by p53 can be targeted using small molecules to reduce acute toxicity to normal tissues by radiation and chemotherapy.


Sujet(s)
ADN/métabolisme , Lésions radiques/génétique , Lésions radiques/prévention et contrôle , Protéine p53 suppresseur de tumeur/antagonistes et inhibiteurs , Animaux , Sites de fixation , Techniques de culture cellulaire , Souris
17.
J Med Chem ; 63(6): 3227-3237, 2020 03 26.
Article de Anglais | MEDLINE | ID: mdl-32091206

RÉSUMÉ

Inhibition of the bromodomain containing protein 9 (BRD9) by small molecules is an attractive strategy to target mutated SWI/SNF chromatin-remodeling complexes in cancer. However, reported BRD9 inhibitors also inhibit the closely related bromodomain-containing protein 7 (BRD7), which has different biological functions. The structural basis for differential potency and selectivity of BRD9 inhibitors is largely unknown because of the lack of structural information on BRD7. Here, we biochemically and structurally characterized diverse inhibitors with varying degrees of potency and selectivity for BRD9 over BRD7. Novel cocrystal structures of BRD7 liganded with new and previously reported inhibitors of five different chemical scaffolds were determined alongside BRD9 and BRD4. We also report the discovery of first-in-class dual bromodomain-kinase inhibitors outside the bromodomain and extraterminal family targeting BRD7 and BRD9. Combined, the data provide a new framework for the development of BRD7/9 inhibitors with improved selectivity or additional polypharmacologic properties.


Sujet(s)
Protéines chromosomiques nonhistones/antagonistes et inhibiteurs , Composés hétérobicycliques/composition chimique , Domaines protéiques/effets des médicaments et des substances chimiques , Facteurs de transcription/antagonistes et inhibiteurs , Sites de fixation , Calorimétrie/méthodes , Protéines du cycle cellulaire/antagonistes et inhibiteurs , Protéines du cycle cellulaire/métabolisme , Protéines chromosomiques nonhistones/métabolisme , Cristallographie aux rayons X , Fluorimétrie/méthodes , Composés hétérobicycliques/métabolisme , Humains , Ligands , Structure moléculaire , Liaison aux protéines , Relation structure-activité , Facteurs de transcription/métabolisme
19.
J Cardiopulm Rehabil Prev ; 40(1): 29-34, 2020 01.
Article de Anglais | MEDLINE | ID: mdl-31714393

RÉSUMÉ

PURPOSE: Cardiovascular disease is the leading cause of mortality and morbidity in lower-middle income countries (LMICs), including Bangladesh. Cardiac rehabilitation (CR) as part of secondary prevention of cardiovascular disease has been shown to reduce mortality and morbidity and improve quality of life and exercise capacity. However, to date, very few controlled trials of CR have been conducted in LMICs. METHODS: A quasi-randomized controlled trial comparing home-based CR plus usual care with usual care alone was undertaken with patients following coronary artery bypass graft surgery. Participants in the CR group received an in-hospital CR class and were introduced to a locally developed educational booklet with details of a home-based exercise program and then received monthly telephone calls for 12 mo. Primary outcomes were coronary heart disease (CHD) risk factors, health-related quality of life (HRQOL), and mental well-being. Maximal oxygen uptake as a measure of exercise capacity was a secondary outcome. RESULTS: In total, 142 of 148 eligible participants took part in the trial (96%); 71 in each group. At 12-mo follow-up, 61 patients (86%) in the CR group and 40 (56%) in the usual care group provided complete outcome data. Greater reductions in CHD risk factors and improvements in HRQOL, mental well-being, and exercise capacity were seen for the CR group compared with the usual care group. CONCLUSIONS: In the context of a single-center LMIC setting, this study demonstrated the feasibility of home-based CR programs and offers a model of service delivery that could be replicated on a larger scale.


Sujet(s)
Réadaptation cardiaque/méthodes , Traitement par les exercices physiques/méthodes , Prévention secondaire/méthodes , Télémédecine/méthodes , Adulte , Sujet âgé , Bangladesh , Pays en voie de développement , Études de faisabilité , Femelle , Humains , Mâle , Adulte d'âge moyen , Pauvreté , Qualité de vie
20.
EMBO Mol Med ; 11(8): e9266, 2019 08.
Article de Anglais | MEDLINE | ID: mdl-31267692

RÉSUMÉ

Angiogenesis is a hallmark of cancer, promoting growth and metastasis. Anti-angiogenic treatment has limited efficacy due to therapy-induced blood vessel alterations, often followed by local hypoxia, tumor adaptation, progression, and metastasis. It is therefore paramount to overcome therapy-induced resistance. We show that Apelin inhibition potently remodels the tumor microenvironment, reducing angiogenesis, and effectively blunting tumor growth. Functionally, targeting Apelin improves vessel function and reduces polymorphonuclear myeloid-derived suppressor cell infiltration. Importantly, in mammary and lung cancer, Apelin prevents resistance to anti-angiogenic receptor tyrosine kinase (RTK) inhibitor therapy, reducing growth and angiogenesis in lung and breast cancer models without increased hypoxia in the tumor microenvironment. Apelin blockage also prevents RTK inhibitor-induced metastases, and high Apelin levels correlate with poor prognosis of anti-angiogenic therapy patients. These data identify a druggable anti-angiogenic drug target that reduces tumor blood vessel densities and normalizes the tumor vasculature to decrease metastases.


Sujet(s)
Inhibiteurs de l'angiogenèse/pharmacologie , Récepteur de l'apeline/métabolisme , Apeline/métabolisme , Mouvement cellulaire/effets des médicaments et des substances chimiques , Résistance aux médicaments antinéoplasiques , Tumeurs du poumon/traitement médicamenteux , Tumeurs expérimentales de la mamelle/traitement médicamenteux , Néovascularisation pathologique , Inhibiteurs de protéines kinases/pharmacologie , Sunitinib/pharmacologie , Animaux , Apeline/antagonistes et inhibiteurs , Apeline/déficit , Apeline/génétique , Récepteur de l'apeline/antagonistes et inhibiteurs , Récepteur de l'apeline/déficit , Récepteur de l'apeline/génétique , Lignée cellulaire tumorale , Cellules endothéliales/effets des médicaments et des substances chimiques , Cellules endothéliales/métabolisme , Cellules endothéliales/anatomopathologie , Femelle , Régulation de l'expression des gènes tumoraux , Humains , Tumeurs du poumon/génétique , Tumeurs du poumon/métabolisme , Tumeurs du poumon/anatomopathologie , Tumeurs expérimentales de la mamelle/génétique , Tumeurs expérimentales de la mamelle/métabolisme , Tumeurs expérimentales de la mamelle/anatomopathologie , Souris , Souris de lignée C57BL , Souris knockout , Cellules souches embryonnaires de souris/effets des médicaments et des substances chimiques , Cellules souches embryonnaires de souris/métabolisme , Cellules souches embryonnaires de souris/anatomopathologie , Métastase tumorale , Transduction du signal , Charge tumorale/effets des médicaments et des substances chimiques , Microenvironnement tumoral
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