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1.
World J Gastrointest Oncol ; 16(3): 968-978, 2024 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-38577459

RESUMO

BACKGROUND: Traditional treatments for pancreatic cancer (PC) are inadequate. Photodynamic therapy (PDT) is non-invasive, and proven safe to kill cancer cells, including PC. However, the mitochondrial concentration of the photosensitizer, such as verteporfin, is key. AIM: To investigate the distribution of fluorescence of verteporfin in PC cells treated with antitumor drugs, post-PDT. METHODS: Workable survival rates of PC cells (AsPC-1, BxPC-3) were determined with chemotherapy [doxorubicin (DOX) and gemcitabine (GEM)] and non-chemotherapy [sirolimus (SRL) and cetuximab (CTX)] drugs in vitro, with or without verteporfin, as measured via MTT, flow cytometry, and laser confocal microscopy. Reduced cell proliferation was associated with GEM that was more enduring compared with DOX. Confocal laser microscopy allowed observation of GEM- and verteporfin-treated PC cells co-stained with 4',6-diamidino-2-phenylindole and MitoTracker Green to differentiate living and dead cells and subcellular localization of verteporfin, respectively. RESULTS: Cell survival significantly dropped upon exposure to either chemotherapy drug, but not to SRL or CTX. Both cell lines responded similarly to GEM. The intensity of fluorescence was associated with the concentration of verteporfin. Additional experiments using GEM showed that survival rates of the PC cells treated with 10 µmol/L verteporfin (but not less) were significantly lower relative to nil verteporfin. Living and dead stained cells treated with GEM were distinguishable. After GEM treatment, verteporfin was observed primarily in the mitochondria. CONCLUSION: Verteporfin was observed in living cells. In GEM -treated human PC cells, verteporfin was particularly prevalent in the mitochondria. This study supports further study of PDT for the treatment of PC after neoadjuvant chemotherapy.

2.
Anesthesiology ; 135(3): 419-432, 2021 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-34192298

RESUMO

BACKGROUND: Regional anesthesia and analgesia reduce the stress response to surgery and decrease the need for volatile anesthesia and opioids, thereby preserving cancer-specific immune defenses. This study therefore tested the primary hypothesis that combining epidural anesthesia-analgesia with general anesthesia improves recurrence-free survival after lung cancer surgery. METHODS: Adults scheduled for video-assisted thoracoscopic lung cancer resections were randomized 1:1 to general anesthesia and intravenous opioid analgesia or combined epidural-general anesthesia and epidural analgesia. The primary outcome was recurrence-free survival (time from surgery to the earliest date of recurrence/metastasis or all-cause death). Secondary outcomes included overall survival (time from surgery to all-cause death) and cancer-specific survival (time from surgery to cancer-specific death). Long-term outcome assessors were blinded to treatment. RESULTS: Between May 2015 and November 2017, 400 patients were enrolled and randomized to general anesthesia alone (n = 200) or combined epidural-general anesthesia (n = 200). All were included in the analysis. The median follow-up duration was 32 months (interquartile range, 24 to 48). Recurrence-free survival was similar in each group, with 54 events (27%) with general anesthesia alone versus 48 events (24%) with combined epidural-general anesthesia (adjusted hazard ratio, 0.90; 95% CI, 0.60 to 1.35; P = 0.608). Overall survival was also similar with 25 events (13%) versus 31 (16%; adjusted hazard ratio, 1.12; 95% CI, 0.64 to 1.96; P = 0.697). There was also no significant difference in cancer-specific survival with 24 events (12%) versus 29 (15%; adjusted hazard ratio, 1.08; 95% CI, 0.61 to 1.91; P = 0.802). Patients assigned to combined epidural-general had more intraoperative hypotension: 94 patients (47%) versus 121 (61%; relative risk, 1.29; 95% CI, 1.07 to 1.55; P = 0.007). CONCLUSIONS: Epidural anesthesia-analgesia for major lung cancer surgery did not improve recurrence-free, overall, or cancer-specific survival compared with general anesthesia alone, although the CI included both substantial benefit and harm.


Assuntos
Analgesia Epidural/métodos , Anestesia Epidural/métodos , Neoplasias Pulmonares/cirurgia , Dor Pós-Operatória/prevenção & controle , Cirurgia Torácica Vídeoassistida/efeitos adversos , Idoso , Analgesia Epidural/mortalidade , Analgésicos Opioides/administração & dosagem , Anestesia Epidural/mortalidade , Anestesia Geral/métodos , Anestesia Geral/mortalidade , Intervalo Livre de Doença , Feminino , Seguimentos , Humanos , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/mortalidade , Masculino , Pessoa de Meia-Idade , Dor Pós-Operatória/diagnóstico , Dor Pós-Operatória/mortalidade , Cirurgia Torácica Vídeoassistida/métodos
3.
Ultrasound Med Biol ; 46(8): 2030-2043, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32475714

RESUMO

Sono-photodynamic therapy (SPDT) activates the same photo-/sonosensitizer and exerts more marked antitumor effects than sonodynamic therapy or photodynamic therapy. We aimed to explore the utilization of curcumin (CUR)-loaded poly(L-lactide-co-glycolide) microbubble (MB)-mediated SPDT (CUR-PLGA-MB-SPDT) in HepG2 liver cancer cells. The cytotoxicity and intracellular accumulation of CUR were determined. We used 40 µM CUR as the photo-/sonosensitizer for 3 h. In a comparison of CUR-SDT or CUR-PDT, HepG2 cell viability decreased and apoptotic rate increased in CUR-SPDT. The CUR-PLGA MBs had round spheres with smooth surfaces and an average size of 3.7 µm. In CUR-PLGA MBs, drug entrapment efficiency and drug-loading capacity were 74.29 ± 2.60% and 17.14 ± 0.60%, respectively. CUR-loaded PLGA MBs (CUR-PLGA MBs) had good biocompatibility with normal L02 cells and were almost non-cytotoxic to HepG2 cells. Among CUR-SDT, CUR-PDT, CUR-SPDT or CUR-PLGA-MB-SDT, the cell CUR-PLGA-MB-SPDT had the lowest viability. Transmission electron microscopy revealed pyroptosis and apoptosis in the CUR-PLGA-MB-SPDT group; the potential mechanism was related to the mitochondrial membrane potential loss and increased production of intracellular reactive oxygen species. These findings suggested that CUR-PLGA-MB-SPDT may be a promising treatment for liver cancer.


Assuntos
Antineoplásicos/administração & dosagem , Curcumina/administração & dosagem , Neoplasias Hepáticas/tratamento farmacológico , Microbolhas/uso terapêutico , Fotoquimioterapia/métodos , Terapia por Ultrassom/métodos , Antineoplásicos/uso terapêutico , Curcumina/uso terapêutico , Sistemas de Liberação de Medicamentos , Células Hep G2/efeitos dos fármacos , Humanos , Microscopia Confocal , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Espectrometria de Fluorescência
4.
J Fluoresc ; 28(6): 1347-1355, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30242629

RESUMO

Derivatives of oxazine dyes were synthesized on mulitigram scales via efficient synthetic strategies. One practical route was selected to prepare compounds 6, 9 and 10, especially water-soluble compound 6 was obtained in better yield than reported, and compound 10 was insoluble in aqueous media in absence of phenolic-OH. Compounds 3 and 9 were found to be clear pH-dependent between pH = 4.0 and 10.0, and could be used as acid-base indicators to measure intracellular pH. Compounds 6, 9, 10 all have carboxylic acid functionalities, which could be activated and used to conjugate the dyes to biomolecules. In addition, compounds 6 and 9 with good solubility in aqueous media were used to develop a simple, quick, safe, highly sensitive staining method to detect PHAs-producing bacteria on heat-fixed smears, which was confirmed by fluorescence images of PHAs granules of bacteria.


Assuntos
Bactérias/metabolismo , Corantes Fluorescentes/química , Corantes Fluorescentes/síntese química , Oxazinas/química , Oxazinas/síntese química , Polímeros/metabolismo , Água/química , Bactérias/isolamento & purificação , Corantes Fluorescentes/metabolismo , Microscopia de Fluorescência , Oxazinas/metabolismo , Solubilidade
5.
Spectrochim Acta A Mol Biomol Spectrosc ; 73(5): 789-93, 2009 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-19501543

RESUMO

A simple, sensitive and selective fluorimetric determination for trace nitrites was developed using an unsymmetrical rhodamine with a high fluorescence quantum yield and large Stokes shift. The method is based on the reaction of the unsymmetrical rhodamine with nitrite in an acidic medium to form a nitroso product, which has much lower fluorescence because the electron-withdrawing effect of the nitroso group influences the system of p-pi conjugation between N atom and benzene ring. Under optimum conditions, the fluorescence quenching intensity is linear over a nitrite concentration range of 1.0 x 10(-8) to 3.5 x 10(-7)M. The detection limit is 2.0 x 10(-10)M (S/N=3). The method was applied to the determination of nitrite in tap water and lake water with satisfactory results. The mechanism for the reaction is also reported.


Assuntos
Corantes Fluorescentes/química , Água Doce/análise , Nitritos/análise , Rodaminas/química , Espectrometria de Fluorescência/métodos , Água/análise , Corantes Fluorescentes/análise , Corantes Fluorescentes/síntese química , Ácido Clorídrico/química , Modelos Lineares , Estrutura Molecular , Nitritos/química , Rodaminas/análise , Rodaminas/síntese química , Sensibilidade e Especificidade , Temperatura , Fatores de Tempo
6.
Acta Crystallogr Sect E Struct Rep Online ; 64(Pt 12): o2419, 2008 Nov 22.
Artigo em Inglês | MEDLINE | ID: mdl-21581387

RESUMO

In the title compound, C(16)H(15)NO(4)·CH(4)O, the dihedral angle between the benzene rings is 75.21 (5)°. The structure is stabilized by an intra-molecular O-H⋯O inter-action [O⋯O = 2.589 (2) Å]. The solvent mol-ecule links symmetry-related mol-ecules of the complex via hydrogen bonds with O⋯O separations of 2.631 (2) and 2.815 (2) Å. C-H⋯O hydrogen bonds are also present.

7.
Di Yi Jun Yi Da Xue Xue Bao ; 25(8): 979-82, 2005 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-16109554

RESUMO

OBJECTIVE: To study the role of extrinsic (CNTF) in the regeneration of severed facial nerve in cats. METHOD: The facial nerve in temporal bone of adult cats were severed and the severed ends were connected with CNTF or saline applied at the connection. Electrophysiological examination and immunocytochemistry were performed with immunoelectron microscope for morphological analysis at 2, 4 and 8 weeks after the operation. RESULTS: Two weeks after operation, both CNTF and saline groups failed to exhibit muscular excitement by facial nerve stimulation, but the amount of myelinated nerve fibers had statistical difference between the two groups (P<0.05). At 4 weeks, the latency of the facial muscle excitement was 7.832+/-2.695 ms in CNTF group and 16.120+/-3.516 ms in saline group, and the average number of myelinated axons was significantly different between the two groups (1,435+/-318 vs 957+/-269, P<0.05). At the 8th weeks, the latency of facial muscle excitement was reduced to 3.125+/-0.165 ms in CNTF group and to a comparable level of 3.095+/-0.178 ms in saline group (P>0.05), and the average number of myelinated axons increased to 1,695+/-283 and 1,543+/-320 respectively in the two groups (P>0.05). Significant increase of Schwann cells was noted in both groups at this stage. CONCLUSION: Local application of CNTF may enhance facial early-stage nerve regeneration in adult cats, but its long-term effects remain unclear.


Assuntos
Fator Neurotrófico Ciliar/administração & dosagem , Traumatismos do Nervo Facial/tratamento farmacológico , Nervo Facial/fisiopatologia , Regeneração Nervosa/efeitos dos fármacos , Animais , Gatos , Fator Neurotrófico Ciliar/farmacologia , Traumatismos do Nervo Facial/fisiopatologia , Feminino , Masculino , Distribuição Aleatória
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