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1.
Front Endocrinol (Lausanne) ; 14: 1198944, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37780629

RESUMO

Introduction: In this study, we aimed to identify key genes in endometrial cancer by conducting single-cell analysis of macrophages. Methods: We sourced clinical data from the TCGA database as well as supplementary datasets GSE201926 and GSE173682. Using bulk-seq data of atypical endometrial hyperplasia and endometrial cancer, we pinpointed key differentially expressed genes. Single-cell RNA sequencing was utilized for further gene expression analysis. Cluster analysis was conducted on TCGA tumor data, identifying two distinct subtypes. Statistical methods employed included LASSO regression for diagnostic modeling and various clustering algorithms for subtype identification. Results: We found that subtype B was closely related to cellular metabolism. A diagnostic model was established using LASSO regression and was based on the genes CDH18, H19, PAGE2B, PXDN, and THRB. This model effectively differentiated the prognosis of cervical cancer. We also constructed a prognosis model and a column chart based on these key genes. Discussion: Through CIBERSORT analysis, CDH18 and PAGE2B were found to be strongly associated with macrophage M0. We propose that these genes influence the transformation from atypical endometrial hyperplasia to endometrial cancer by affecting macrophage M0. In conclusion, these key genes may serve as therapeutic targets for endometrial cancer. A new endometrial cancer risk prognosis model and column chart have been constructed based on these genes, offering a reliable direction for future cervical cancer treatment.


Assuntos
Hiperplasia Endometrial , Neoplasias do Endométrio , Neoplasias do Colo do Útero , Feminino , Humanos , Hiperplasia , Hiperplasia Endometrial/genética , Transcriptoma , Neoplasias do Endométrio/genética , Perfilação da Expressão Gênica , Macrófagos
2.
Front Surg ; 10: 1193961, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37576922

RESUMO

Objective: To introduce an effective approach using the hysteroscopy system for patients with old uterine false passage after a failed conservative treatment. Materials and methods: This study presents the case of a 34-year-old woman who was treated in the Department of Gynecology of Shenzhen Integrated Traditional Chinese and Western Medicine Hospital in 2018 with the complaint of "menstrual volumereduction for 2 years after abortion." A hysteroscopy was performed to make a clear diagnosis: (1) uterine cavity adhesion and (2) old uterine false passage. After the separation of adhesions, the patient was treated with estradiol and progesterone in sequence (estradiol valerate 3 mg, b.i.d., oral for 21 days; and dydrogesterone tablets 10 mg, b.i.d., oral for the second half of the cycle) for 3 months. After the review of the hysteroscopy results, it was found that there was no improvement in the old false passage; therefore, a suture and knotting surgery under hysteroscopy was performed to treat the old false passage in the uterus within 10 min, and the intraoperative blood loss was 2 ml. The patient was discharged 24 h postoperatively without any adverse perioperative complications. Results: Two months after the operation, the review of the hysteroscopy results showed that the old false passage in the uterus disappeared. After the 6-month follow-up, the menstrual volume increased compared with the previous one, close to the normal menstrual volume, and the patient experienced no pain and menstrual discomfort. The patient was lost to follow-up and was contacted again in 2022. It was found out that in 2019, she was pregnant with a baby boy who is now 3 years old and healthy. Conclusion: The intrauterine suture surgery presents a clear visual field to old uterine false passage after a failed conservative treatment. In patients with old uterine false passage suffering from reduced fertility, the intrauterine suture surgery can be a minimally invasive and effective alternative if the conservative treatment for old uterine false passage failed.

3.
Artigo em Chinês | WPRIM (Pacífico Ocidental) | ID: wpr-980753

RESUMO

OBJECTIVE@#To observe the effect of acupuncture combined with infantile tuina on intestinal flora and its efficacy in children with tic disorders (TD), and to explore its mechanism.@*METHODS@#A total of 15 children with TD were recruited as an observation group and 10 healthy children as a healthy control group. Regulating spleen and stomach acupuncture combined with infantile tuina were received in the observation group. First, acupuncture was applied to Zhongwan (CV 12), Tianshu (ST 25), Guanyuan (CV 4), Hegu (LI 4), Zusanli (ST 36), etc., and then abdominal massage and other tuina techniques were applied, once a day, 6 times a week, 2 weeks as a course of treatment, a total of 2 courses of treatment were required. No intervention was given in the healthy control group. In the observation group, Yale global tic severity scale (YGTSS) score and TCM syndrome score were compared before treatment and after 1 and 2 courses of treatment. 16S rRNA sequencing technology was used to detect the intestinal flora in the healthy control group and before and after treatment in the observation group.@*RESULTS@#After 1 and 2 courses of treatment, the scores of YGTSS and TCM syndrome in the observation group were lower than those before treatment (P<0.01, P<0.05). Compared with the healthy control group, the number of operational taxonomic units (OTU) and indexes of Chao1, Sobs, Ace and Shannon were decreased in the observation group before treatment (P<0.05, P<0.01). Compared with before treatment, the number of OTU and indexes of Chao1, Sobs, Ace and Shannon were increased in the observation group after treatment (P<0.01, P<0.05). Compared with the healthy control group, the relative abundance of Firmicutes in the observation group before treatment was decreased (P<0.001), while the relative abundance of Bacteroidetes, Bacteroides and Erysipelatoclostridium was increased (P<0.001, P<0.05). Compared with before treatment, the relative abundance of Bacteroidetes in the observation group was decreased (P<0.001) after treatment, while the relative abundance of Actinobacteria, Bifidobacterium and Atopobium was increased (P<0.05, P<0.01).@*CONCLUSION@#Acupuncture combined with infantile tuina based on the principle of regulating spleen and stomach could effectively improve TD symptoms in children, which may be related to regulating the diversity of intestinal flora, increasing beneficial bacteria, maintaining intestinal microecological balance, and playing a role in improving neurological disorders.


Assuntos
Criança , Humanos , Microbioma Gastrointestinal , RNA Ribossômico 16S , Terapia por Acupuntura , Baço , Transtornos de Tique
4.
Int J Mol Sci ; 22(20)2021 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-34681958

RESUMO

Chemotherapy is one of the most effective treatments for cancer. However, intracellular delivery of many anticancer drugs is hindered by their hydrophobicity and low molecular weight. Here, we describe highly biocompatible and biodegradable amphiphilic vitamin conjugates comprising hydrophobic vitamin E and hydrophilic vitamin B labeled with dual pH and glutathione-responsive degradable linkages. Vitamin-based micelles (vitamicelles), formed by self-assembly in aqueous solutions, were optimized based on their stability after encapsulation of doxorubicin (DOX). The resulting vitamicelles have great potential as vehicles for anticancer drugs because they show excellent biocompatibility (>94% after 48 h of incubation) and rapid biodegradability (>90% after 2.5 h). Compared with free DOX, DOX-loaded vitamicelles showed a markedly enhanced anticancer effect as they released the drug rapidly and inhibited drug efflux out of cells efficiently. By exploiting these advantages, this study not only provides a promising strategy for circumventing existing challenges regarding the delivery of anticancer drugs but also extends the utility of current DOX-induced chemotherapy.


Assuntos
Antibióticos Antineoplásicos/farmacologia , Doxorrubicina/farmacologia , Portadores de Fármacos/química , Micelas , Nanopartículas/administração & dosagem , Neoplasias/tratamento farmacológico , Vitaminas/química , Antibióticos Antineoplásicos/química , Apoptose , Proliferação de Células , Doxorrubicina/química , Células Hep G2 , Humanos , Células MCF-7 , Nanopartículas/química , Neoplasias/patologia
5.
Int J Mol Sci ; 22(11)2021 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-34071237

RESUMO

Cell division cycle 25A (Cdc25A) is a dual-specificity phosphatase that is overexpressed in several cancer cells and promotes tumorigenesis. In normal cells, Cdc25A expression is regulated tightly, but the changes in expression patterns in cancer cells that lead to tumorigenesis are unknown. In this study, we showed that ubiquitin-specific protease 29 (USP29) stabilized Cdc25A protein expression in cancer cell lines by protecting it from ubiquitin-mediated proteasomal degradation. The presence of USP29 effectively blocked polyubiquitination of Cdc25A and extended its half-life. CRISPR-Cas9-mediated knockdown of USP29 in HeLa cells resulted in cell cycle arrest at the G0/G1 phase. We also showed that USP29 knockdown hampered Cdc25A-mediated cell proliferation, migration, and invasion of cancer cells in vitro. Moreover, NSG nude mice transplanted with USP29-depleted cells significantly reduced the size of the tumors, whereas the reconstitution of Cdc25A in USP29-depleted cells significantly increased the tumor size. Altogether, our results implied that USP29 promoted cell cycle progression and oncogenic transformation by regulating protein turnover of Cdc25A.


Assuntos
Carcinogênese/metabolismo , Regulação Neoplásica da Expressão Gênica , Proteases Específicas de Ubiquitina/metabolismo , Fosfatases cdc25/metabolismo , Animais , Apoptose , Sistemas CRISPR-Cas , Carcinogênese/genética , Ciclo Celular , Pontos de Checagem do Ciclo Celular , Proliferação de Células , Sobrevivência Celular , Transformação Celular Neoplásica , Técnicas de Silenciamento de Genes , Células HEK293 , Células HeLa , Xenoenxertos , Humanos , Masculino , Camundongos , Camundongos Nus , Camundongos SCID , Oncogenes , Ubiquitina/metabolismo , Proteases Específicas de Ubiquitina/genética , Ubiquitinação , Fosfatases cdc25/genética
6.
Cancers (Basel) ; 13(11)2021 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-34072621

RESUMO

Colorectal carcinoma is the third foremost cause of cancer-related deaths and accounts for 5.8% of all deaths globally. The molecular mechanisms of colon cancer progression and metastasis control are not well studied. Ubiquitin-specific protease 29 (USP29), a deubiquitinating enzyme, is involved in the occurrence and development of wide variety of cancers. However, its clinical significance and biological roles in colorectal carcinoma (CRC) remain unexplored. In this research, we observed that the rate of USP29 overexpression was higher in colon cancer patient tissues relative to its corresponding normal tissues. CRISPR-Cas9-mediated depletion of USP29 triggered DNA double strand breaks and delayed cell-cycle progression in HCT116 cells. We also demonstrated that USP29 depletion hampers the colony formation and increases apoptosis of HCT116 cells. USP29 knockdown significantly decreased CRC cell proliferation in vitro. Depletion of USP29 in HCT116 cells substantially reduced the tumor volume of mouse xenografts. In conclusion, our study shows that elevated expression of USP29 promotes malignancy in CRC, suggesting that USP29 could be a promising target for colon cancer therapy.

7.
Oncol Lett ; 20(4): 72, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32863905

RESUMO

Tumor necrosis factor-related apoptosis inducing ligand (TRAIL)-mediated apoptosis is a safe method for the treatment of various types of cancer. However, TRAIL therapy is less effective in certain types of cancer, including cervical cancer. To address this problem, a combinatorial approach was employed to sensitize cervical cancer at low dosages. YM155, a survivin inhibitor, was used at low dosages along with TRAIL to induce apoptosis in HeLa cells. The effects of the individual treatment with TRAIL and YM155 on apoptosis were assessed by propidium iodide assay. In addition, to validate the DNA damage exhibited by the combination treatment, the phosphorylation status of γH2A histone family member X was investigated by immunofluorescence and western blot analysis. TRAIL or YM155 alone had no significant effect on DNA damage and apoptosis. However, the TRAIL/YM155 combination triggered a synergistic pro-apoptotic stimulus in HeLa cells. The mRNA and protein levels of CASP8- and FADD-like apoptosis regulator (cFLIP), death receptor 5 (DR5) and survivin were monitored using RT-PCR and western blot analysis, respectively. This combinatorial approach downregulated both mRNA and protein expression levels of cFLIP and survivin. Further experimental results suggested that the combination treatment significantly reduced cell viability, invasion and migration of HeLa cells. Overall, the present findings indicated that the low dosage of YM155 sensitized HeLa cells to TRAIL-induced apoptosis via a mechanism involving downregulation of cFLIP and survivin. The results indicated the importance of combination drug treatment and reveal an effective therapeutic alternative for TRAIL therapy in human cervical cancer.

8.
Biochim Biophys Acta Mol Cell Res ; 1867(12): 118835, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32860838

RESUMO

Resistance to DNA-damaging agents is one of the main reasons for the low survival of cervical cancer patients. Previous reports have suggested that the Cdc25A oncoprotein significantly affects the level of susceptibility to DNA-damaging agents, but the molecular mechanism remains unclear. In this study, we used Western blot and flow cytometry analyses to demonstrate that the deubiquitinating enzyme HAUSP stabilizes Cdc25A protein level. Furthermore, in a co-immunoprecipitation assay, we found that HAUSP interacts with and deubiquitinates Cdc25A both exogenously and endogenously. HAUSP extends the half-life of the Cdc25A protein by circumventing turnover. HAUSP knockout in HeLa cells using the CRISPR/Cas9 system caused a significant delay in Cdc25A-mediated cell cycle progression, cell migration, and colony formation and attenuated tumor progression in a mouse xenograft model. Furthermore, HAUSP-mediated stabilization of the Cdc25A protein produced enhanced resistance to DNA-damaging agents. Overall, our study suggests that targeting Cdc25A and HAUSP could be a promising combinatorial approach to halt progression and minimize antineoplastic resistance in cervical cancer.


Assuntos
Resistencia a Medicamentos Antineoplásicos/genética , Peptidase 7 Específica de Ubiquitina/genética , Neoplasias do Colo do Útero/genética , Fosfatases cdc25/genética , Animais , Sistemas CRISPR-Cas , Dano ao DNA/genética , Feminino , Citometria de Fluxo , Regulação Neoplásica da Expressão Gênica/genética , Técnicas de Inativação de Genes , Células HEK293 , Células HeLa , Xenoenxertos , Humanos , Camundongos , Neoplasias do Colo do Útero/tratamento farmacológico , Neoplasias do Colo do Útero/patologia
9.
Nanomaterials (Basel) ; 10(1)2020 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-31906509

RESUMO

Dual stimuli-responsive degradable carbon-based nanoparticles (DS-CNPs) conjugated with Herceptin (HER) and polyethylene glycol (PEG) have been designed for the treatment of HER2-positive breast cancer. Each component has been linked through disulfide linkages that are sensitive to glutathione in a cancer microenvironment. ß-cyclodextrin (ß-CD) on the surface of DS-CNPs formed an inclusion complex (DL-CNPs) with doxorubicin (DOX) at a high loading capacity of 5.3 ± 0.4%. In response to a high level of glutathione (GSH) and low pH in a tumor environment, DL-CNPs were rapidly degraded and released DOX in a controlled manner via disruption of host-guest inclusion. These novel DL-CNPs exhibited high cellular uptake with low toxicity, which induced the efficient inhibition of antitumor activity both in vitro and in vivo. Cell viability, confocal laser scanning microscopy, and animal studies indicate that DL-CNPs are a great platform with a synergistically enhanced antitumor effect from the dual delivery of HER and DOX in DL-CNPs.

10.
Medicine (Baltimore) ; 98(18): e15461, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31045821

RESUMO

PURPOSE: The aim of the present study is to evaluate the effects of deliberate hypotensive anesthesia on intraocular pressure (IOP) and ocular perfusion pressure (OPP) and compare the effects of propofol total intravenous anesthesia (TIVA) and desflurane anesthesia on IOP and OPP. METHODS: A total of 50 patients undergoing arthroscopic shoulder surgery in the lateral decubitus position were randomized to receive desflurane or propofol anesthesia. Mean arterial pressure (MAP) was maintained in the range of 60-75 mm Hg during hypotensive anesthesia. IOP was measured using a handheld tonometer at 7 time points: before induction (T1, baseline); immediately after endotracheal intubation (T2); 10 minutes after position change to lateral decubitus (T3); 10, 30, and 50 minutes after the start of hypotensive anesthesia (T4-T6); and at the end of surgery (T7). RESULTS: MAP decreased about 35% to 38% during hypotensive anesthesia. Compared to baseline values, the IOP at T6 in dependent and non-dependent eyes decreased by 0.43 and 2.74 mm Hg, respectively in desflurane group; 3.61 and 6.05 mm Hg, respectively in the propofol group. IOP of both eyes in the propofol group was significantly lower than in the desflurane group from T2 to T7. OPP of both eyes in both groups was significantly lower than at baseline, except at T2 in the desflurane group. OPP of both eyes in the propofol group was significantly higher than that in the desflurane group at T5 and T6. CONCLUSIONS: Hypotensive anesthesia reduced IOP and OPP, but propofol TIVA maintained higher OPP than desflurane anesthesia. These findings suggest that propofol TIVA can help mitigate the decrease of OPP during hypotensive anesthesia.


Assuntos
Anestésicos Intravenosos/administração & dosagem , Desflurano/administração & dosagem , Hipotensão Controlada/métodos , Pressão Intraocular/efeitos dos fármacos , Propofol/administração & dosagem , Idoso , Pressão Arterial/efeitos dos fármacos , Artroscopia/métodos , Olho/irrigação sanguínea , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Ombro/cirurgia , Tonometria Ocular , Resultado do Tratamento
11.
Medicine (Baltimore) ; 97(16): e0440, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29668608

RESUMO

BACKGROUND: Adjuvant perineural dexmedetomidine can be used to prolong the analgesic effect of interscalene brachial plexus block (ISB). We investigated the optimal dose of dexmedetomidine in ISB for postoperative analgesia in patients undergoing arthroscopic shoulder surgery. METHODS: One hundred patients scheduled for elective shoulder arthroscopic surgery were enrolled in this randomized, double-blind study. Ultrasound-guided ISB was performed before general anesthesia using 22 mL of ropivacaine 0.5% combined with 1, 1.5, or 2 µg/kg of dexmedetomidine (group D1, D2, and D3, respectively) or with normal saline as a control (group R, n = 25 per group). The primary outcome was the duration of analgesia (DOA), numeric pain rating scale (NRS), and consumption of additional analgesics during 36 h after ISB. Secondary outcome included durations of motor and sensory block (DOM and DOS), hemodynamic variables and sedation and dyspnea scores. RESULTS: Ninety-seven patients completed the study. The DOS, DOM, and DOA were significantly longer in the dexmedetomidine groups than in group R. The DOA was significantly longer in group D3 than in groups D1 (P = .026) and D2 (P = .039). The DOA was 808.13 ±â€Š179.97, 1032.60 ±â€Š288.14, 1042.04 ±â€Š188.13, and 1223.96 ±â€Š238.06 min in groups R, D1, D2, and D3, respectively. The NRS score was significantly higher in group R than in the dexmedetomidine groups 12 h after ISB (P < .001) and significantly lower in group D3 than in the other groups 18 h after ISB (P = .02). The incidence of hypotension was higher in groups D2 and D3 than in group R during surgery (P = .008 and P = .011, respectively). There were no significant differences in consumption of rescue analgesics, sedation, and dyspnea scores between the study groups. CONCLUSION: Perineural dexmedetomidine 2 µg/kg could be the optimal dose in ISB for arthroscopic shoulder surgery in that it provides an adequate DOA. However, this dose was associated with increased risk of hypotension.


Assuntos
Analgésicos não Narcóticos/administração & dosagem , Artroscopia/efeitos adversos , Bloqueio do Plexo Braquial/métodos , Dexmedetomidina/administração & dosagem , Dor Pós-Operatória/prevenção & controle , Ombro/cirurgia , Idoso , Analgésicos não Narcóticos/efeitos adversos , Dexmedetomidina/efeitos adversos , Método Duplo-Cego , Feminino , Hemodinâmica , Humanos , Hipotensão/induzido quimicamente , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos
12.
Artigo em Chinês | WPRIM (Pacífico Ocidental) | ID: wpr-662164

RESUMO

Objective To investigate passive smoking status and to analyze health influencing factors among infants in Minhang District of Shanghai.Methods All 1 686 infants in Minhang District from May 2011 to May 2013 were recruited to be the subjects,and a questionnaire-based survey was conducted among their parents to collect the characteristics,passive smoking and health status of the infants.Results The prevalence of passive smoking in infants during their mothers' pregnancy and within one year after birth was 52.7% and 19.2%,respectively.Total of 571 (33.9%) infants surveyed were reported to suffer from health problems.The investigated infants who suffered from passive smoking during mothers' pregnancy (OR =1.920,P<0.001) and within one year after birth (OR=1.596,P<0.001) were more likely to get health problems.Compared to the infants with six-month exclusive breast feeding,the infants with six-month artificially feeding were more likely to get health problems (OR=1.710,P<0.001).Conclusions The prevalence of passive smoking for the investigated infants was high.Passive smoking during mothers' pregnancy as well as after birth were the risk factors for the infants' health.

13.
Artigo em Chinês | WPRIM (Pacífico Ocidental) | ID: wpr-662162

RESUMO

Objective To explore health literacy and the related factors among enterprise employees in Minhang District of Shanghai,and to provide scientific basis for the development of health literacy promotion strategies for occupational population.Methods Through cluster random sampling,15 manufacturing enterprises of Minhang District were selected.The information of health-supportive environment in the workplace was collected through field observation.And the general demographic characteristics,occupational characteristics,health literacy and self-efficacy of the subjects were collected through the survey.Results Only about 28.36% of the 1 421 employees surveyed possessed basic health literacy.Education level,marital status,working nature and payment pressure were the factors affecting the health literacy level of respondents.Compared with the employees who had at least a bachelor degree,the health literacy level of the employees who had a lower degree of bachelor was relatively low (P<0.05).The health literacy level of employees in non-marital status was relatively lower than those who were married (OR =1.515,P =0.021).Compared with the managers,the health literacy levels of clericals,production operators and logistical service personnel were low (P <0.05).Employees who had the pressure to pay possessed a low level of health literacy (OR =1.641,P<0.001).Conclusions The health literacy level of employees in this region was better than the average level of Chinese citizen,but it was still not optimistic.The health literacy level of enterprise employees was affected by many factors,and these factors were closely related.Improving the health supportive environment in the workplace may be an effective strategy for promoting health literacy among occupational populations.

14.
Artigo em Chinês | WPRIM (Pacífico Ocidental) | ID: wpr-659504

RESUMO

Objective To investigate passive smoking status and to analyze health influencing factors among infants in Minhang District of Shanghai.Methods All 1 686 infants in Minhang District from May 2011 to May 2013 were recruited to be the subjects,and a questionnaire-based survey was conducted among their parents to collect the characteristics,passive smoking and health status of the infants.Results The prevalence of passive smoking in infants during their mothers' pregnancy and within one year after birth was 52.7% and 19.2%,respectively.Total of 571 (33.9%) infants surveyed were reported to suffer from health problems.The investigated infants who suffered from passive smoking during mothers' pregnancy (OR =1.920,P<0.001) and within one year after birth (OR=1.596,P<0.001) were more likely to get health problems.Compared to the infants with six-month exclusive breast feeding,the infants with six-month artificially feeding were more likely to get health problems (OR=1.710,P<0.001).Conclusions The prevalence of passive smoking for the investigated infants was high.Passive smoking during mothers' pregnancy as well as after birth were the risk factors for the infants' health.

15.
Artigo em Chinês | WPRIM (Pacífico Ocidental) | ID: wpr-659500

RESUMO

Objective To explore health literacy and the related factors among enterprise employees in Minhang District of Shanghai,and to provide scientific basis for the development of health literacy promotion strategies for occupational population.Methods Through cluster random sampling,15 manufacturing enterprises of Minhang District were selected.The information of health-supportive environment in the workplace was collected through field observation.And the general demographic characteristics,occupational characteristics,health literacy and self-efficacy of the subjects were collected through the survey.Results Only about 28.36% of the 1 421 employees surveyed possessed basic health literacy.Education level,marital status,working nature and payment pressure were the factors affecting the health literacy level of respondents.Compared with the employees who had at least a bachelor degree,the health literacy level of the employees who had a lower degree of bachelor was relatively low (P<0.05).The health literacy level of employees in non-marital status was relatively lower than those who were married (OR =1.515,P =0.021).Compared with the managers,the health literacy levels of clericals,production operators and logistical service personnel were low (P <0.05).Employees who had the pressure to pay possessed a low level of health literacy (OR =1.641,P<0.001).Conclusions The health literacy level of employees in this region was better than the average level of Chinese citizen,but it was still not optimistic.The health literacy level of enterprise employees was affected by many factors,and these factors were closely related.Improving the health supportive environment in the workplace may be an effective strategy for promoting health literacy among occupational populations.

16.
Colloids Surf B Biointerfaces ; 126: 178-87, 2015 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-25561416

RESUMO

The development of a versatile strategy to synthesize cationic nanocarriers capable of co-delivery and enhanced release of drugs and oligonucleotides is promising for synergic dual chemotherapy and gene therapy. Herein, we report a novel cationic amphiphilic diblock copolymer having a single reduction-responsive disulfide linkage at a junction between a FDA-approved polylactide (PLA) block and a cationic methacrylate block (C-ssABP). The amphiphilic design of the C-ssABP enables the formation of cationic micellar aggregates possessing hydrophobic PLA cores, encapsulating anticancer drugs; cationic coronas, ensuring complementary complexation with negatively-charged oligonucleotides through electrostatic interactions; and disulfides at interfaces, leading to enhanced release of both encapsulated drugs and complexed oligonucleotides. The reduction-responsive intracellular trafficking results from flow cytometry, confocal laser scanning microscopy, and cell viability, as well as in vitro gene transfection assay suggest that C-ssABP offers versatility as an effective nanocarrier platform for dual chemotherapy and gene therapy.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/química , Portadores de Fármacos/química , Terapia Genética , Nanoestruturas/química , Cátions/síntese química , Cátions/química , Interações Hidrofóbicas e Hidrofílicas , Metacrilatos/química , Estrutura Molecular , Oxirredução , Tamanho da Partícula , Poliésteres/síntese química , Poliésteres/química , Propriedades de Superfície , Tensoativos/síntese química , Tensoativos/química
17.
Colloids Surf B Biointerfaces ; 122: 693-700, 2014 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-25159511

RESUMO

Stimuli-responsive block copolymers and their self-assembled nanostructures have been extensively studied as effective building blocks in construction of various nanomaterials in nanoscience and nanotechnology. A promising stimuli-responsive platform involves an incorportion of reduction-responsive disulfide linkages that can be cleaved to corresponding thiols when needed. Herein, we describe a novel approach utilizing a combination of ring-opening polymerization and a facile coupling reaction to synthesize a reduction-responsive triblock copolymer comprising biocompatible polylactide (PLA) and poly(ethylene glycol) (PEG) blocks, thus PEG-b(PLA-ss-PLA)-b-PEG (ssBCP). This copolymer self-assembles to form colloidally-stable mono-cleavable micelles having single disulfides in hydrophobic PLA cores surrounded with PEG coronas in aqueous solution. The reductive cleavage of the core disulfides results in changes in micelle morphologies to smaller nanostructures or larger aggregates, depending on the nature of reducing agents. In the presence of glutathione (a cellular reducing agent), the micelle size increases, which enhances the release of encapsulated anticancer drugs in vitro. For biological perspectives, the ssBCP micelles having hydrophilic PEG corona are non-cytotoxic and exhibit enhanced colloidal stability as well as non-specific interactions with proteins.


Assuntos
Ácido Láctico/química , Micelas , Polímeros/química , Cromatografia em Gel , Microscopia Eletrônica de Transmissão , Oxirredução , Poliésteres , Espectroscopia de Prótons por Ressonância Magnética
18.
Biomacromolecules ; 15(8): 3180-9, 2014 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-25026022

RESUMO

Reduction-responsive degradation based on disulfide-thiol chemistry is highly desirable in the development of self-assembled block copolymer nanocarriers for multifunctional polymer-based drug delivery applications. Most conventional approaches involve the incorporation of disulfide linkages at a single location. Herein, we report a new dual disulfide located degradable polylactide (PLA)-based block copolymer (DL-ssABP) synthesized by a combination of ring opening polymerization, facile coupling reactions, and controlled radical polymerization. The amphiphilic design of the DL-ssABP enables the formation of self-assembled micelles having disulfides positioned both in the hydrophobic PLA core and at the core/corona interface. The reductive response to glutathione as a cellular trigger results in the cleavage of the disulfide linkage at the interface shedding hydrophilic coronas as well as the disulfides in the PLA core causing disintegration of PLA cores. Such dual disulfide degradation process leads to a synergistically enhanced release of encapsulated anticancer drugs in cellular environments. These results, combined with flow cytometry and confocal laser scanning microscopy (CLSM) as well as cell viability measurements, suggest that DL-ssABP offers versatility in tumor-targeting controlled/enhanced drug delivery applications.


Assuntos
Sistemas de Liberação de Medicamentos/métodos , Liberação Controlada de Fármacos , Glutationa/química , Poliésteres/química , Antineoplásicos/química , Sobrevivência Celular/efeitos dos fármacos , Doxorrubicina/farmacologia , Células HeLa , Humanos , Interações Hidrofóbicas e Hidrofílicas , Micelas , Microscopia Eletrônica de Transmissão , Nanoestruturas/química , Polimerização , Polímeros/química , Compostos de Sulfidrila/química
19.
Macromol Rapid Commun ; 35(4): 447-53, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24089393

RESUMO

Polylactide (PLA) is a class of promising biomaterials that hold great promise for various biological and biomedical applications, particularly in the field of vascular tissue engineering where it can be used as a fibrous mesh to coat the inside of vascular prostheses. However, its hydrophobic surface providing nonspecific interactions and its limited ability to further modifications are challenges that need to be overcome. Here, the development of new air-spun PLA nanofibers modified with hydrophilic surfaces exhibiting reduction response is reported. Surface-initiated atom transfer radical polymerization allows for grafting pendant oligo(ethylene oxide)-containing polymethacrylate (POEOMA) from PLA air-spun fibers labeled with disulfide linkages. The resulting PLA-ss-POEOMA fibers exhibit enhanced thermal stability and improved surface properties, as well as thiol-responsive shedding of hydrophilic POEOMA by the cleavage of its disulfide linkages in response to reductive reactions, thus tuning the surface properties.


Assuntos
Nanofibras/química , Poliésteres/química , Dissulfetos/química , Radicais Livres/química , Interações Hidrofóbicas e Hidrofílicas , Polimerização , Ácidos Polimetacrílicos/química , Compostos de Sulfidrila/química , Propriedades de Superfície , Engenharia Tecidual
20.
Chinese Journal of Epidemiology ; (12): 109-113, 2014.
Artigo em Chinês | WPRIM (Pacífico Ocidental) | ID: wpr-321654

RESUMO

<p><b>OBJECTIVE</b>To explore the spatial and temporal distributions of animal plague in Junggar Basin natural plague focus.</p><p><b>METHODS</b>Data regarding plague antibody (F1) in serum of Great Gerbil (Rhombomys opimus, R. opimus) which were collected from 2005 to 2012 in Junggar Basin and analyzed. The changing rates on the positivity of F1 that appeared spatially and temporally were also analyzed.</p><p><b>RESULTS</b>A total of 4 825 R. opimus serum samples were collected in 13 administrative regions in Junggar Basin.</p><p><b>RESULTS</b>showed that plague R. opimus existed in two areas-Gurbantonggut desert in the eastern-center and the clay desert of western Junggar Basin. However, in these two areas, the intensity of animal plague prevalence was different. In the former region where Yesinia pestis positive serum was detected from R. opimus, the detected rate of R. opimus was 8.39%. However, in the latter areas, the average positive rate was 1.56%. The changing trends of R. opimus plague prevalence were also varied annually. In the western Junggar Basin, the trend showed a slowly downward profile. The serum positive rate of R. opimus for Yesinia pestis decreased, from 7.59% in 2005 to 0.61% in 2008, and appeared as a resting state that none of the positive sample could be found since then. However, in the eastern-center Junggar Basin area-also named as Gurbantonggut desert which had been divided into 3 segments(western, central and eastern, according to related geographical characteristics), the changing trends of animal plague seemed quite complex. In the western segment, the animal plague had two epidemic peaks-in 2006 and 2010, with the interval of 4 years, with the higher peak of all the three geographic segments as 45.65% in 2010 and the positive serum of R. opimus for plague could be detected each year from 2006 to 2012. However, there were 3 epidemic peaks in the same period in the central and eastern segments. In the central segment, the peaks appeared in 2006, 2009 and 2011, with the intervals as 2.5 years and the average positive rate 8.92% was seen the lowest in Gurbantonggut desert. In the eastern segment, the first 2 peaks appeared the same season as in the central segment, but the third peak appeared in 2012, with the peak interval as 3 years. The positive rate of R. opimus for plague was also different in seasons, with the positive rate higher in autumn than in spring. These findings showed that the animal plague could be continuously prevalent from spring to autumn in the natural foci of plague in the Junggar Basin.</p><p><b>CONCLUSION</b>Both geographical and temporal fluctuations of animal plague existed in the natural foci of Junggar Basin which was also named as geographical heterogeneity. Consequently, animal plague could be divided into two areas-the clay plains desert in the western and the Gurbantonggut desert in the eastern-center Junggar Basin.</p>


Assuntos
Animais , Gerbillinae , Peste , Epidemiologia , Tempo , Yersinia pestis
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