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1.
Water Sci Technol ; 88(8): 1927-1943, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37906450

RESUMO

In this paper, molybdenum disulfide was grown on the surface of iron-containing tailings by hydrothermal method, and a series of highly efficient activated persulfate (PMS) iron-based catalysts were successfully prepared. The results show that in the CTM 1-200/PMS system, the additional ratio of tailings and the hydrothermal temperature have important effects on the catalyst. The catalyst prepared under the conditions of CT:MoS2 (molar ratio 1:1) and hydrothermal temperature of 200 °C (CTM 1-200) had the best degradation effect on BPA, and the degradation effect was increased by four times. The reason for the improvement of degradation efficiency is that the introduction of MoS2 accelerates the REDOX cycle between Fe(II)/Fe(III), and the reduction of Fe(III) is mainly related to Mo(IV), while the reduction capacity of S is relatively weak. Molybdenum disulfide/iron tailing composite material provides a way for tailings to solve the problem of water pollution.


Assuntos
Ferro , Molibdênio , Compostos Férricos , Peróxidos
2.
J Colloid Interface Sci ; 628(Pt B): 670-681, 2022 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-36027777

RESUMO

Transition metal silicates (TMSS) have been studied as potential electrode materials for rechargeable batteries and supercapacitors (SCs), and delicate structural design can further enhance the capacity performance and cycling stability of TMSS electrode materials. Herein, a bimetallic doping modulation strategy was employed, and a novel metal-silicate structure was constructed to obtain SC anode materials with excellent electrochemical properties. Manganese cobalt silicate (AMMnCo) with a pleated flower-like structure was obtained by the reaction of Mn2+ and Co2+ with acid-etched montmorillonite (AM) substrates using a simple hydrothermal method. The benign, competitive bimetallic mechanism accelerates the growth of manganese silicate and cobalt silicate on treated montmorillonite (MMT), which results in more folded ion-transport channels on the lamellae and improves the electrochemical properties of the transition-metal silicates. AMMnCo exhibits a higher specific capacitance (979F·g-1/0.5 A·g-1) and better cycling performance (84 %/10,000 cycles) than its monometallic counterparts. Additionally, AMMnCo//AC (where AC is activated carbon), a hybrid supercapacitor (HSC) device, has a high mass specific capacitance and an energy density reaching 13.7 Wh·kg-1 at a power density of 246.9 W·kg-1. Therefore, AMMnCo is a prospective electrode material for high-performance SC applications.

3.
AAPS PharmSciTech ; 23(1): 65, 2022 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-35102461

RESUMO

Furosemide (FMD), as a potent circulating diuretic, is commonly used for the treatment of hypertension and edema arising from cardiac, renal, and hepatic failure. However, the low solubility of furosemide restricts its dissolution and bioavailability. In this study, Polyvinylpyrrolidone K30 (PVP-K30), mesoporous (Syloid 244FP, Syloid XDP 3050), and non-mesoporous (Aeroperl 300, Aerosil 200) silica were chosen as combined carrier to develop novel amorphous solid dispersions of furosemide, and then its dissolution and bioavailability were evaluated. Characterization study included XRD, DSC, TGA, SEM, FT-IR, and molecular docking. We found that FMD:PVP-K30:244FP achieved its best performance in terms of dissolution at the ratio of 1:1:1 when PVP-K30 and mesoporous silica Syloid 244FP (244FP) were chosen as combined carrier. SEM, DSC, and XRD studies indicated that furosemide existed in an amorphous form in the solid dispersion. FT-IR and molecular docking analysis showed that there might be an intermolecular interaction between FMD and the carrier. Moreover, the in vivo pharmacokinetics study revealed that the bioavailability of solid dispersion in rats had significant improvement. In particular, Cmax and AUClast were greatly increased by 2.69- and 2.08-fold in the solid dispersion (FMD-PVP-K30-244FP) group, respectively, and the relative bioavailability was 208.00%. In conclusion, the solid dispersion (FMD-PVP-K30-244FP) can significantly improve the solubility and oral bioavailability of furosemide. Mesoporous silica can be used as an excellent carrier material for furosemide, which can provide new ideas and methods for improving the stability of solid dispersion and further improving the dissolution of insoluble drugs. Graphical Abstract.


Assuntos
Furosemida , Animais , Disponibilidade Biológica , Varredura Diferencial de Calorimetria , Simulação de Acoplamento Molecular , Ratos , Solubilidade , Espectroscopia de Infravermelho com Transformada de Fourier
4.
Stem Cell Res ; 52: 102212, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33550137

RESUMO

Mucopolysaccharidosis type IIIB (MPS IIIB) is an autosomal recessive metabolic disorder caused by mutations in NAGLU gene, and characterized by progressive cognitive decline and behavioral difficulties and motor function retardation. A human induced pluripotent stem cell line, SDQLCHi041-A was generated from peripheral blood mononuclear cells of a 4 years and 9 months old patient with MPS IIIB, who carried compound heterozygous mutation of c.1336G > A and c.608G > A in NAGLU gene. SDQLCHi041-A offers a useful cell model to investigate pathogenic mechanisms in MPS IIIB.


Assuntos
Células-Tronco Pluripotentes Induzidas , Mucopolissacaridose III , Acetilglucosaminidase/genética , Humanos , Lactente , Leucócitos Mononucleares , Masculino , Mucopolissacaridose III/genética , Mutação
5.
Sci Total Environ ; 696: 133955, 2019 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-31446286

RESUMO

Palygorskite (Pal) is a natural abundant environment-friendly adsorbent that has shown high efficiency to decontaminate dye in water. However, the dye removal results in transformation of Pal to a very stable Maya Blue-like structure or waste Pal clay (WPal), which could not be easily regenerated by a commonly used desorption process. This paper presents a use of WPal as the precursor material to synthesize a highly-efficient mesoporous silicate/carbon composite adsorbent. The composite adsorbent has a large specific surface area (427.9 m2·g-1), a high negative potential (-40.6 mV) and a mesoporous size (3.48 nm). This adsorbent shows almost complete removal of tetracycline (TC), crystal violet (CV) and methylene blue (MB) (initial concentration, 200 mg·L-1) with the optimal adsorption capacities of 319.8 mg·g-1, 244.4 mg·g-1 and 281.7 mg·g-1, respectively. The active -Si-O- adsorption sites produced by the breaking of inert Si-O-Si (or M) bonds and the electrostatic interactions of negatively charged adsorbents to adsorbates play a major role in the adsorption process. Adsorption capacities of the developed composite are significantly higher than that of Pal, WPal and hydrothermally treated WPal (HWPal). Results demonstrate that the composite adsorbents have high potential in decontamination of organics in water efficiently.

6.
Materials (Basel) ; 11(1)2018 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-29316634

RESUMO

Activated clay minerals have been widely used in the edible oil refining industry for decolorization of crude oil by adsorption, and so far many methods have been used to improve their decolorization efficiency. Herein, we successfully prepared a series of carbon/attapulgite (C/APT) composite adsorbents by a one-step in-situ carbonization process with natural starch (St) as the carbon source. It has been revealed that the adsorbent had better decolorization efficiency for crude palm oil than acid-activated APT. However, more than a million tons of decolorized waste is produced every year in the oil-refining industry, which was often treated as solid waste and has not yet been reutilized effectively. In order to explore a viable method to recycle and reuse the decolorant, the waste decolorant was further prepared into new C/APT adsorbents for the removal of dyes from wastewater, and then the dyes adsorbed on the adsorbent were used as the carbon sources to produce new C/APT adsorbents by a cyclic carbonization process. The results showed that the adsorbents prepared from the decolorized waste could remove more than 99.5% of the methylene blue (MB), methyl violet (MV), and malachite green (MG) dyes from the simulated wastewater with the dye concentration of 200 mg/L, and the C/APT-Re adsorbent consecutively regenerated five times using the adsorbed dyes as a carbon source still exhibit good adsorption efficiency for dyes. As a whole, this process opens a new avenue to develop efficient decolorants of palm oil and achieves recyclable utilization of decolored waste.

7.
J Environ Sci (China) ; 51: 31-43, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28115143

RESUMO

A series of mesoporous silicate adsorbents with superior adsorption performance for hazardous chlortetracycline (CTC) were sucessfully prepared via a facile one-pot hydrothermal reaction using low-cost illite/smectite (IS) clay, sodium silicate and magnesium sulfate as the starting materials. In this process, IS clay was "teared up" and then "rebuilt" as new porous silicate adsorbent with high specific surface area of 363.52m2/g (about 8.7 folds higher than that of IS clay) and very negative Zeta potential (-34.5mV). The inert SiOSi (Mg, Al) bonds in crystal framework of IS were broken to form Si(Al) O- groups with good adsorption activity, which greatly increased the adsorption sites served for holding much CTC molecules. Systematic evaluation on adsorption properties reveals the optimal silicate adsorbent can adsorb 408.81mg/g of CTC (only 159.7mg/g for raw IS clay) and remove 99.3% (only 46.5% for raw IS clay) of CTC from 100mg/L initial solution (pH3.51; adsorption temperature 30°C; adsorbent dosage, 3g/L). The adsorption behaviors of CTC onto the adsorbent follows the Langmuir isotherm model, Temkin equation and pseudo second-order kinetic model. The mesopore adsorption, electrostatic attraction and chemical association mainly contribute to the enhanced adsorption properties. As a whole, the high-efficient silicate adsorbent could be candidates to remove CTC from the wastewater with high amounts of CTC.


Assuntos
Silicatos de Alumínio/química , Antibacterianos/química , Clortetraciclina/química , Poluentes Químicos da Água/química , Adsorção , Antibacterianos/análise , Clortetraciclina/análise , Argila , Cinética , Minerais/química , Modelos Químicos , Silicatos/química , Temperatura , Águas Residuárias/química , Poluentes Químicos da Água/análise
8.
Sci Rep ; 6: 39599, 2016 12 21.
Artigo em Inglês | MEDLINE | ID: mdl-28000784

RESUMO

A mesoporous hybrid silicate microsphere with superior adsorption performance has been successfully synthesized by employing an "all-into-one" strategy and a simple one-pot hydrothermal process using naturally abundant low-grade red palygorskite (PAL) clay as raw material in the presence of non-toxic SiO32- and Mg2+ ions. As is expected, both the PAL and associated minerals transformed into a new amorphous mesoporous hybrid silicate microsphere without using any additional pore-forming template. The mesoporous silicate microsphere shows a large pore size of 37.74 nm, high specific surface area of 489.81 m2/g (only 54.67 m2/g for raw PAL) and negative surface potential of -43.3 mV, and its maximum adsorption capabilities for Methylene bule (MB) and Crystal violet (CV) reach 407.95 mg/g and 397.22 mg/g, respectively. Meanwhile, 99.8% of MB (only 53% for raw PAL) and 99.7% of CV (only 43% for raw PAL) were sucessfully removed from 200 mg/L of initial dye solution by only using 1 g/L of the adsorbent. In addition, the spent adsorbent can be easily regenerated and repeatly reused for muptiple cycles. The study on adsorption mechanism revealed that electrostatic attraction, hydrogen bonding and chemical complexing interactions are the main factors contributed to the high dye adsorption.

9.
J Colloid Interface Sci ; 473: 84-92, 2016 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-27054770

RESUMO

A multifunctional palygorskite/polyaniline/Ag nanoparticles (PAL/PANI/AgNPs) nanocomposite was prepared at room temperature using a simple one-pot in-situ polymerization reaction of aniline monomers triggered by Ag(I) on the surface of natural PAL nanorods. Ag(I) served as both the oxidant and the precursor of the AgNPs, which initiated the polymerization of aniline monomers on PAL nanorods while simultaneously being reduced to form Ag(0) nanoparticles (AgNPs). The in-situ formed AgNPs were evenly distributed on the surface of the PAL nanorods because the interfacial effect of PAL prevents their aggregation. The density and size of the AgNPs and the catalytic activity of the nanocomposites could be controlled by altering the molar ratio of aniline to Ag(I). The performance evaluation revealed that the nanocomposites could be used as highly active catalysts, which rapidly catalyzed the reduction of 4-nitrophenol (4-NP) within 2min and Congo red (CR) within 10min. The nanocomposites are also an effective adsorbent for H2PO4(-) able to remove 99.40% of H2PO4(-) (only 61.77% for raw PAL) from a solution with an initial concentration of 50mg/L. This multifunctional nanocomposite synthesized by a simple one-pot approach is a promising material for environmental applications.

10.
J Environ Sci (China) ; 41: 33-43, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26969048

RESUMO

Herein, palygorskite (PAL) was activated via a simple hydrothermal process in the presence of ammonium sulfide, and the effects of activation on the microstructure, physico-chemical feature and adsorption behaviors of PAL were intensively investigated. The hydrothermal process evidently improved the dispersion of PAL crystal bundles, increased surface negative charges and built more active -Si-O(-) groups served as the new "adsorption sites". The adsorption property of the activated PAL for Methyl Violet (MV) was systematically investigated by optimizing the adsorption variables, including pH, ionic strength, contact time and initial MV concentration. The activated PAL exhibited a superior adsorption capability to the raw PAL for the removal of MV (from 156.05 to 218.11mg/g). The kinetics for MV adsorption followed pseudo second-order kinetic models, while the isotherm and thermodynamics results showed that the adsorption pattern well followed the Langmuir model. The structure analysis of PAL before and after adsorption demonstrated that electrostatic interaction and chemical association of -X-O(-) are the prominent driving forces for the adsorption process.


Assuntos
Corantes/química , Violeta Genciana/química , Compostos de Magnésio/química , Compostos de Silício/química , Sulfetos/química , Poluentes Químicos da Água/química , Adsorção , Cinética , Termodinâmica
11.
Int J Biol Macromol ; 73: 39-44, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25445685

RESUMO

The direct use of guar gum (GG) as a green reducing agent for the facile production of highly stable silver nanoparticles (Ag NPs) within this biopolymer and subsequent crosslinking with borax to form crosslinked Ag@GG beads with a 3D-structured network are presented here. These crosslinked Ag@GG beads were characterized using UV-vis absorption spectroscopy, X-ray diffraction (XRD), field emission scanning electron microscopy (FESEM), transmission electron microscopy (TEM) and Fourier transform infrared (FTIR) spectroscopy, and then tested as a solid-phase heterogenerous catalyst for the reduction of 4-nitrophenol (4-NP) to 4-aminophenol (4-AP) in the presence of excess borohydride. The results indicate that these crosslinked Ag@GG beads show excellent catalytic performance for the reduction of 4-NP within 20 min and can be readily used for 10 successive cycles.


Assuntos
Galactanos/química , Mananas/química , Nanopartículas Metálicas/química , Gomas Vegetais/química , Prata/química , Catálise , Nanopartículas Metálicas/ultraestrutura , Espectrofotometria Ultravioleta
12.
Tumour Biol ; 35(7): 6839-45, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25051913

RESUMO

Our aim was to evaluate the prognostic role of the pretreatment serum albumin level in patients with malignant pleural mesothelioma (MPM) receiving platinum-based systemic chemotherapy. From 1995 to 2013, a total of 97 patients receiving platinum-based systemic chemotherapy for newly diagnosed MPM were enrolled. All clinical information and laboratory results were retrospectively collected from the medical records. The Kaplan-Meier method was used to calculate survival. The Cox proportional hazards model was used to identify significant independent prognostic factors for predicting survival. In total, 34 of the 97 patients (35.1 %) had hypoalbuminaemia (albumin ≤ 35 g/l). The 1-year overall survival rate was 44.1 % for patients with hypoalbuminaemia and 72.0 % for patients with a normal albumin level. Multivariate analysis indicated that pretreatment albumin was an independent prognostic factor in MPM. Patients with hypoalbuminaemia had a greater risk of death than those with a normal albumin level [hazard ratio (HR) 1.778; 95 % confidence interval (CI) 1.504-2.998; P = 0.031]. When albumin was entered as a continuous variable in the Cox regression model, the HR of death was significantly decreased by 9.8 % (95 % CI 0.851-0.956) for each 1-g/l increment. The pretreatment serum albumin level is a simple, inexpensive and easily measurable marker with prognostic significance in MPM patients treated with platinum-based systemic chemotherapy.


Assuntos
Biomarcadores Farmacológicos/metabolismo , Neoplasias Pulmonares/sangue , Mesotelioma/sangue , Neoplasias Pleurais/sangue , Albumina Sérica/metabolismo , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Neoplasias Pulmonares/tratamento farmacológico , Neoplasias Pulmonares/patologia , Masculino , Mesotelioma/tratamento farmacológico , Mesotelioma/patologia , Mesotelioma Maligno , Pessoa de Meia-Idade , Platina/uso terapêutico , Neoplasias Pleurais/tratamento farmacológico , Neoplasias Pleurais/patologia , Prognóstico , Modelos de Riscos Proporcionais
13.
J Cancer Res Clin Oncol ; 139(12): 2117-23, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24149776

RESUMO

PURPOSE: Nutritional status has been associated with long-time outcomes in cancer patients. We investigated whether the prognostic nutritional index (PNI), an indicator of nutritional status, affects overall survival in patients with malignant pleural mesothelioma (MPM). METHODS: We enrolled 121 patients with histologically confirmed MPM, who had successfully undergone biopsy by medical thoracoscopy in this study. Demographic, clinical and laboratory data were collected retrospectively. The PNI was calculated as 10× serum albumin value (g/dl) + 0.005 × total lymphocyte count (per mm(3)) in peripheral blood. Univariate and multivariate analyses were used to identify prognostic factors. RESULTS: Mean pretreatment PNI was 44.6. PNI was significantly associated with age (P = 0.031), smoking habits (P = 0.039) and weight loss (P = 0.029). Survival analysis showed PNI to be an independent prognostic factor in MPM. Patients with lower PNIs (PNI < 44.6) had greater risk of death than those with higher PNIs (PNI ≥ 44.6; hazard ratio: 2.290; 95 % confidence interval: 1.415-3.706; P = 0.001). These analyses were adjusted for patient age, gender, smoking habits, dyspnea, chest pain, weight loss, primary site of tumor, histology, platinum-based systemic chemotherapy, hospital and stage. CONCLUSIONS: Pretreatment PNI is a novel independent prognostic factor in MPM.


Assuntos
Neoplasias Pulmonares/mortalidade , Mesotelioma/mortalidade , Avaliação Nutricional , Neoplasias Pleurais/mortalidade , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Mesotelioma Maligno , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Análise de Sobrevida , Adulto Jovem
14.
Respir Res ; 14(1): 56, 2013 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-23688086

RESUMO

BACKGROUND: Recent evidence has demonstrated the role of angiogenesis in the pathogenesis of pulmonary fibrosis. Endostatin, a proteolytic fragment of collagen XVIII, is a potent inhibitor of angiogenesis. The aim of our study was to assess whether endostatin has beneficial effects on bleomycin (BLM)-induced pulmonary fibrosis in rats. METHODS: The rats were randomly divided into five experimental groups: (A) saline only, (B) BLM only, (C) BLM plus early endostatin treatment, (D) BLM plus late endostatin treatment, and (F) BLM plus whole-course endostatin treatment. We investigated the microvascular density (MVD), inflammatory response and alveolar epithelial cell apoptosis in rat lungs in each group at different phases of disease development. RESULTS: Early endostatin administration attenuated fibrotic changes in BLM-induced pulmonary fibrosis in rats. Endostatin treatment decreased MVD by inhibiting the expression of VEGF/VEGFR-2 (Flk-1) and the activation of extracellular signal-regulated protein kinase 1/2 (ERK1/2). Endostatin treatment also decreased the number of inflammatory cells infiltrating the bronchoalveolar lavage fluid during the early inflammatory phase of BLM-induced pulmonary fibrosis. In addition, the levels of tumour necrosis factor-α (TNF-α) and transforming growth factor ß1 (TGF-ß1) were reduced by endostatin treatment. Furthermore, endostatin decreased alveolar type II cell apoptosis and had an epithelium-protective effect. These might be the mechanism underlying the preventive effect of endostatin on pulmonary fibrosis. CONCLUSIONS: Our findings suggest that endostatin treatment inhibits the increased MVD, inflammation and alveolar epithelial cell apoptosis, consequently ameliorating BLM-induced pulmonary fibrosis in rats.


Assuntos
Indutores da Angiogênese/uso terapêutico , Bleomicina , Modelos Animais de Doenças , Endostatinas/uso terapêutico , Fibrose Pulmonar/induzido quimicamente , Fibrose Pulmonar/tratamento farmacológico , Animais , Humanos , Masculino , Fibrose Pulmonar/patologia , Ratos , Ratos Sprague-Dawley , Resultado do Tratamento
15.
Oncol Rep ; 30(1): 313-9, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23624653

RESUMO

Malignant pleural mesothelioma (MPM) is a highly aggressive and conventional treatment-resistant tumor with a dismal prognosis. Among the three histological subtypes of MPM, the epithelioid is the most common type. Numb is considered as a tumor suppressor playing a critical role in controlling asymmetric cell division, maintenance of stem cell compartments, ubiquitination of specific substrates and regulating Notch-, Hedgehog- and TP53-activated pathways. The present study was designed to analyze the role of Numb in epithelioid MPM. We investigated the expression of Numb in 39 epithelioid MPM and 22 normal pleural tissues by immunohistochemistry. Furthermore, we overexpressed Numb in NCI-H2452, an epithelioid human MPM cell line, and investigated the effect of Numb overexpression on the proliferation, apoptosis and sensitivity to cisplatin in cells. The expression of Numb was significantly lower in MPM compared to the control group and Numb had an inverse correlation with the ki-67 labeling index. Loss of Numb expression was associated with poor prognosis in epithelioid MPM. Overexpression of Numb in NCI-H2452 cells significantly inhibited proliferation, promoted apoptosis and enhanced sensitivity to cisplatin. Moreover, Numb overexpression activated caspase-9 and caspase-3 through release of cytochrome c as well as downregulation of XIAP and survivin. We speculate that cytochrome c/caspase signaling is a possible mechanism through which Numb enhances the apoptosis of NCI-H2452 cells. These results suggest that Numb may be involved in epithelioid MPM development, and its upregulation may confer sensitivity to cisplatin, suggesting potential therapeutic options for MPM.


Assuntos
Apoptose/genética , Cisplatino/uso terapêutico , Neoplasias Pulmonares/tratamento farmacológico , Neoplasias Pulmonares/metabolismo , Proteínas de Membrana/metabolismo , Mesotelioma/tratamento farmacológico , Mesotelioma/metabolismo , Proteínas do Tecido Nervoso/metabolismo , Caspase 3/metabolismo , Caspase 9/metabolismo , Linhagem Celular Tumoral , Proliferação de Células , Sobrevivência Celular , Citocromos c/metabolismo , Regulação para Baixo , Feminino , Células HEK293 , Humanos , Proteínas Inibidoras de Apoptose/biossíntese , Antígeno Ki-67 , Neoplasias Pulmonares/mortalidade , Masculino , Proteínas de Membrana/biossíntese , Mesotelioma/mortalidade , Mesotelioma Maligno , Pessoa de Meia-Idade , Proteínas do Tecido Nervoso/biossíntese , Prognóstico , Transdução de Sinais , Survivina , Proteínas Inibidoras de Apoptose Ligadas ao Cromossomo X/biossíntese
16.
Oncol Rep ; 27(3): 880-90, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22134479

RESUMO

The aim of the present study was to evaluate the therapeutic effects and adverse reactions of Tarceva treatment for malignant pleural effusion (MPE) caused by metastatic lung adenocarcinomas. One hundred and twenty-eight patients who failed first-line chemotherapy drug treatment were divided into a mutation and a non-mutation group according to the presence or absence of epidermal growth factor receptor (EGFR) mutations. Each patient received closed drainage combined with simple negative pressure suction after thoracoscopic talc poudrage pleurodesis and oral Tarceva treatment. Short-term and long-term clinical therapeutic effects of Tarceva were evaluated. The EGFR mutation rate in pleural metastatic tissues of lung adenocarcinoma acquired through video-assisted thoracoscopic surgery was higher compared to that in surgical resection specimens, plasma specimens and pleural effusion specimens compared to previously reported results. There were significant statistical differences in the average extubation time (p<0.01), drainage volume of pleural effusion (p<0.05), Karnofsky score and formation of encapsulated pleural effusion 4 weeks after surgery (p<0.05) between these two groups. The number of patients with mild pleural hypertrophy in the mutation group was significantly higher compared to the non-mutation group (p<0.01), while the number of patients with severe pleural hypertrophy was significantly reduced (p<0.05). There was significant statistical discrepancy between these two groups in terms of improvement of peripheral blood carcinoembryonic antigen and tissue polypeptide antigen after 4 weeks of therapy. The complete remission rate and the efficacy rate were higher in the mutation group compared to that in the non-mutation group (p<0.05). There was a longer overall survival time after Tarceva treatment in patients with EGFR mutations than those without EGFR mutation. EGFR mutations predict a favorable outcome for malignant pleural effusion of lung adenocarcinoma with Tarceva therapy. Detection of EGFR mutations may determine the responsiveness of malignant pleural effusion to Tarceva treatment.


Assuntos
Adenocarcinoma/tratamento farmacológico , Receptores ErbB/genética , Neoplasias Pulmonares/tratamento farmacológico , Mutação , Derrame Pleural Maligno/tratamento farmacológico , Inibidores de Proteínas Quinases/uso terapêutico , Quinazolinas/uso terapêutico , Adenocarcinoma/genética , Adenocarcinoma/metabolismo , Adenocarcinoma/patologia , Adenocarcinoma de Pulmão , Antígeno Carcinoembrionário/metabolismo , Drenagem , Receptores ErbB/antagonistas & inibidores , Cloridrato de Erlotinib , Feminino , Seguimentos , Humanos , Neoplasias Pulmonares/genética , Neoplasias Pulmonares/metabolismo , Neoplasias Pulmonares/patologia , Masculino , Pessoa de Meia-Idade , Pleura/efeitos dos fármacos , Pleura/metabolismo , Derrame Pleural Maligno/genética , Derrame Pleural Maligno/metabolismo , Inibidores de Proteínas Quinases/efeitos adversos , Quinazolinas/efeitos adversos , Cirurgia Torácica Vídeoassistida/métodos , Antígeno Polipeptídico Tecidual/metabolismo , Resultado do Tratamento
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