RESUMO
PURPOSE: This study aimed to investigate the relationship between miR-141-3p and B lymphocyte-2 gene (Bcl2) gene and its biological behavior on colon cancer cell line SW480. METHODS: qRT-PCR was used to detect the expression level of miR-141-3p in colon cancer tissues and adjacent tissues, as well as in colon cancer cell line and normal human colonic epithelial cell line FHC. MTT assay, wound assay, and Transwell demonstrated the effects of miR-141-3p on colon cancer proliferation, migration and invasion. Targetscan7.1 predictive software and dual luciferase reporter assays were used to detect the targeted regulation of miR-141-3p on the apoptosis-related gene Bcl2. MTT assay, wound assay, Transwell and flow cytometry were used to detect the effect of Bcl2 on miR-141-3p on colon cancer proliferation, migration, invasion and apoptosis. RESULTS: Compared with adjacent tissues, the expression of miR-141-3p in colon cancer tissues was significantly down-regulated. Colon cancer patients with low expression of miR-141-3p had poorer prognosis. Compared with normal colonic epithelial cells, miR-141-3p expression was significantly down-regulated in colon cancer cell lines, and overexpression of miR-141-3p significantly attenuated the proliferation, migration and invasion of colon cancer cells. Knockdown of miR-141-3p significantly promoted the proliferation, migration and invasion of colon cancer cells. miR-141-3p targets the negative regulation of Bcl2. Knockdown of Bcl2 significantly attenuated the promotion of miR-141-3p inhibitor on proliferation, migration and invasion of colon cancer cells and inhibition of apoptosis. Knockdown of Bcl2 significantly enhanced the inhibition effect of miR-141-3p inhibitor on proliferation, migration and invasion of colon cancer cells. CONCLUSIONS: In conclusion, miR-141-3p can inhibit the cancer by regulating Bcl2, and miR-141-3p has the potential to become a potential therapeutic target for colon cancer.
Assuntos
Biomarcadores Tumorais/metabolismo , Neoplasias do Colo/patologia , Regulação Neoplásica da Expressão Gênica , MicroRNAs/genética , Proteínas Proto-Oncogênicas c-bcl-2/antagonistas & inibidores , Apoptose , Biomarcadores Tumorais/genética , Movimento Celular , Proliferação de Células , Neoplasias do Colo/genética , Neoplasias do Colo/metabolismo , Humanos , Invasividade Neoplásica , Prognóstico , Proteínas Proto-Oncogênicas c-bcl-2/genética , Proteínas Proto-Oncogênicas c-bcl-2/metabolismo , Taxa de Sobrevida , Células Tumorais CultivadasRESUMO
Survival benefit (SB) for first liver transplantation (LT) is favorable at Model for End-Stage Liver Disease (MELD)≥15. Herein, we identify the MELD threshold for SB from repeat liver transplantation (ReLT) by recipient hepatitis C virus (HCV) status and donor risk index (DRI). We analyzed lab MELD scores in new United Network for Organ Sharing registrants for ReLT from March 2002 to January 2010. Risk of ReLT graft failure≤1 year versus waitlist mortality was calculated using Cox regression, adjusting for recipient characteristics. Of 3057 ReLT candidates, 54% had HCV and 606 died while listed. There were 1985 ReLT recipients, 52% had HCV and 567 ReLT graft failures by 1 year. Unadjusted waitlist mortality and post-ReLT graft failure rates were 416 (95% confidence interval [CI] 384-450) and 375 (95% CI 345-407) per 1000 patient-years, respectively. Waitlist mortality was higher with increasing waitlist MELD (p<0.001). The MELD for SB from ReLT overall was 21 (21 in non-HCV and 24 in HCV patients). MELD for SB varied by DRI in HCV patients (MELD 21, 24 and 27 for low, medium and high DRI, respectively) but did not vary for non-HCV patients. Compared to first LT, ReLT requires a higher MELD threshold to achieve an SB resulting in a narrower therapeutic window to optimize the utility of scarce liver grafts.
Assuntos
Doença Hepática Terminal/cirurgia , Hepatite C/complicações , Transplante de Fígado , Reoperação , Análise de Sobrevida , Doadores de Tecidos , Adulto , Doença Hepática Terminal/complicações , Feminino , Rejeição de Enxerto , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Estados Unidos , Listas de EsperaRESUMO
The impressive development of the clinical laboratory network of the HCUCH has forced a complete protocol revision, specially directed towards the procedures involved in way the biological samples are obtained. This includes the selection of the tubes used. In this sense, the use in the different centers of SS tubes, which stands for serum separating tubes, was evaluated. The SS tubes consist of a gel that which after centrifugation separates the thrombotic and serum phases, forming an impermeable barrier in between. Before its onset, is necessary to compare with the aid of the bio-statistical parameter of correlation coefficient both the biochemical and hormonal measurements obtained through the use of the typical tubes (containing heparin or without anticoagulant reactive) and those of the SS tubes. The determinations included 27parameters, consistent of biochemical, electrolytic and hormonal measurements. The data collected was tabulated and afterwards the statistical analysis was performed, considering correlation and concordance, and then the interclass Correlation coefficient (ICC) was applied. The concordance study concluded that 26 of the 27 evaluated parameters have a value of ICC between 0.858 and 1.0, Only the direct bilirrubin showed a low ICC (0.08), possibly, it must be considered the low values of it found in the samples, and therefore to make the result to significant the evaluation has to be made among a greater number of samples. In summary, the results supported the adoption of tubes SS for the clinical laboratories processes, since these threw equivalent and trustworthy results compared with the conventional tubes for the medical studied with advantages in operator protection and samples transport.
Assuntos
Humanos , Bolsas Plásticas para Preservação de Sangue , Coleta de Amostras Sanguíneas/classificação , Coleta de Amostras Sanguíneas/estatística & dados numéricos , Coleta de Amostras Sanguíneas/tendências , Coleta de Amostras SanguíneasRESUMO
La tecnología de Point of Care o Near-patient testing, permite acercar el laboratorio a las áreas asistenciales críticas, las cuales requieren minimizar al máximo el tiempo de respuesta en la obtención del resultado para la toma de decisiones. En este trabajo se presenta la correlación entre los equipos de Point of Care (i-STAT y HemoCue), respecto de las técnicas habituales utilizadas en el Laboratorio Central del Hospital Clínico de la Universidad de Chile, para los parámetros pH, PO2, PCO2, sodio (Na+), potasio (K+), hematocrito y hemoglobina. Los resultados obtenidos en los equipos Point of Care evaluados muestran una adecuada confiabilidad respecto de los métodos tradicionales utilizados en el Hospital. La determinación de gases sanguíneos, evidenció una muy buena correlación entre los equipos i-STAT y AVL, como para la determinación de hemoglobina en equipo HemoCue y Celldyn 3700. Los resultados obtenidos de electrolitos en el equipo i-STAT e Hitachi 912 igualmente se relacionan bien, a pesar de que las mediciones de sodio y potasio en i-stat fueron realizadas en sangre completa y la técnica tradicional, Hitachi 912, utiliza suero. Las correlaciones en las determinaciones de hematocrito y hemoglobina al utilizar el equipo i-STAT, no fueron tan óptimas, debido probablemente a diferencias en las metódicas de detección. Los resultados obtenidos nos hace concluir que las técnicas de Point of Care constituyen herramientas útiles para los médicos de las unidades críticas, ya que entregan resultados de laboratorio confiables y oportunos.
Point of Care or Near-patient testing diagnostic techniques allow to approach the laboratory to critical care unit, with the goal of reducing the total response time of the analytical procedure. In this paper, we compare the results obtained in the Point of care equipment (i-STAT and Hemocue) with the common techniques used in the Central Laboratory of the University of Chile Hospital, for the determination of pH, PO2, PCO2, sodium, potassium, hematocrit and hemoglobin. In general, the results obtained in the point of care equipment showed a good correlation respect to the traditional techniques. The measurement of arterial blood gases showed a good correlation between i-STAT and AVL equipment and also for measurement of hemoglobin with Hemocue. The electrolyte analysis by i-STAT equipment also exhibited a good correlation with the traditional method, despite of the measurement of sodium and potassium were performed with whole blood instead of serum like the traditional method. The correlation in the hematocrit/hemoglobin levels by i-STAT were not that good, due probably to difference in the method of detection. The results obtained allow us to conclude that the Point of care techniques constitutes useful tools for physicians in critical care units since they give reliable and rapid results.
Assuntos
Humanos , Masculino , Feminino , Assistência Centrada no Paciente/tendências , Assistência Centrada no Paciente , Técnicas de Laboratório Clínico , Laboratórios Hospitalares , Técnicas de Laboratório Clínico/tendências , Técnicas de Laboratório Clínico , ChileRESUMO
A region-specific library of human chromosome 2p23-->p21 was constructed using microdissection and microcloning techniques. Analysis of 94 single-copy microclones from the library showed that 64% were derived from the dissected region. Ten microclones were further mapped to the 2p21 region using a patient with an interstitial deletion of 2p21 and displaying holoprosencephaly, an abnormal embryonic development in midbrain and midface.