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1.
ACS Omega ; 8(40): 37248-37263, 2023 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-37841127

RESUMO

A series of coal and gas outburst tests were conducted on coal seams in north China to determine the important order of gas pressure, in situ stress, and coal strength during coal and gas outbursts. And the typical phenomena of coal and gas outbursts were investigated. In addition, improved outburst energy equations were built to study the coal energy evolution process during coal and gas outbursts. The results show that the coal strength has the strongest influence on coal and gas outbursts, followed by the gas pressure and the in situ stress. The weights of pulverized coal with a particle size of less than 0.28 mm are consistent with the changing trend of the total weights of the pulverized coal particles in the corresponding outburst interval. Furthermore, the results suggest that the gas pressure monitored by the sensors close to the outburst hole begins to drop first and lasts for the longest time. The outburst coal presents obvious fracture and pulverization damage characteristics, and the pulverization damage features of the coal near the outburst hole are more obvious. In addition, the improved outburst energy equation was established, and the rationality of the improved outburst energy equation was verified by using the outburst orthogonal simulation experimental data and the on-site outburst accident cases. The results of this experiment have important guiding significance for preventing and controlling the occurrence of coal and gas outbursts and ensuring safe and efficient mining of coal mines.

2.
Transl Lung Cancer Res ; 12(5): 1093-1107, 2023 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-37323177

RESUMO

Background: Tumor local and distant relapse recurrence after radiotherapy (RT) is one of the critical factors leading to poor prognosis. The effective antitumor effects of RT are dependent upon the participation of innate and adaptive components of the immune system. C5a/C5aR1 signaling can regulate antitumor immune effect in the tumor microenvironment (TME). Thus, exploring the changes and mechanism in the TME induced by RT-mediated complement activation may provide a novel perspective for reversing radioresistance. Methods: First, fractionated radiation of 8 Gy ×3 fractions were targeted at Lewis lung carcinoma (LLC) tumor-bearing female mice to measure the infiltration of CD8+ T cell and analyze the RNA sequencing (RNA-seq) in RT-recruited CD8+ T cells. Second, tumor growth was measured in LLC tumor-bearing mice treated with RT either with or without C5aR1 inhibitor to clarify the antitumor effect of RT combined with C5aR1 inhibitor. Third, we detected the expression of C5a/C5aR1 and their signaling pathways on radiated tumor tissues. Furthermore, we investigated the expression of C5a in tumor cells at different time points after different doses of RT. Results: In our system, RT induced the increased infiltration of CD8+ T cells and local activation of complement C5a/C5aR. Concurrent administration of RT and blocking of C5aR improved radiosensitivity and tumor-specific immune response, which was reflected by high C5aR expression in CD8+ T cells. The AKT/NF-κB pathway was found to be an important signaling pathway in C5a/C5aR axis mediation by RT. Conclusions: RT promotes the release of C5a from tumor cells and leads to up-regulation of C5aR1 expression via the AKT/NF-κB pathway. Inhibition of the combination of complement C5a and C5aR could improve RT sensitivity. Our work provides evidence that the combination of RT and C5aR blockade opens a new window of opportunity to promote anti-tumor therapeutic effects in lung cancer.

3.
Appl Biochem Biotechnol ; 195(12): 7446-7464, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37004648

RESUMO

A suitable environment is essential for successful long-term cell culturing in vitro. Too high or too low temperature will affect the growth of cells, so we need to maintain the constant temperature of the cell culture environment. Usually, cells are cultured in a cell incubator, and the constant temperature is provided by the cell incubator. Recently, we have developed a multi-channel axon stretch growth bioreactor for rapid acquisition of autologous nerve tissue. Since the motor and controller are placed in the incubator for a long time, the service life of the equipment will be shortened or even damaged due to high humidity and weak acid environment. In order to enable the axon stretch growth bioreactor to culture cells independently, we designed a constant temperature control system for the device. Firstly, the simulation results show that the fuzzy PID control reduces the overshoot and improves the traditional PID control with large overshoot and low control precision. Then, the two control algorithms were applied to the multi-channel axon stretch growth bioreactor by STM32F4 microcontroller. The experimental data show that the fuzzy PID control algorithm has good control effect and can meet the requirement of constant temperature of cell growth. Finally, nerve cells derived from human pluripotent stem cells were successfully cultured in a cell culture amplification chamber under a constant temperature environment provided by a fuzzy PID controller, and well-developed axons could be seen. In the future, we may transplant stretch growth axons into living organisms to repair nerve damage.


Assuntos
Algoritmos , Axônios , Humanos , Temperatura , Simulação por Computador , Axônios/fisiologia , Reatores Biológicos
4.
Front Immunol ; 14: 1166352, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36911679

RESUMO

[This corrects the article DOI: 10.3389/fimmu.2023.1102778.].

5.
ACS Omega ; 8(6): 5506-5521, 2023 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-36816662

RESUMO

As coal mines continue deep mining, the frequency of coal and rock dynamic disasters has also gradually increased. In this paper, dynamic tensile strength deformation, energy evolution, and crack development under an impact test were studied on Brazilian coal samples, using a split Hopkinson pressure bar (SHPB) test device. A high-speed camera was adopted to capture the failure process of the coal specimens. The research results demonstrate that when the impact velocity is greater than 4.75 m/s, the dynamic tensile strength of the vertical bedding direction is higher than that of the parallel bedding direction of the coal samples. With the increase in the impact velocity, the dynamic strain and ultimate strain rate of two types of coal samples are increased, and the average value of the first and second dynamic deformation moduli of coal samples shows decreasing characteristics. As the incident energy increases, the sum of reflected and transmitted energy increases, and the absorbed energy also increases in the two types of coal samples. The two types of Brazilian disc coal samples mainly showed tensile and shear failure characteristics. The dynamic tensile deformation characteristics of the two types of coal specimens are less affected by the impact angles. However, the crack propagation of coal samples was mainly influenced by the impact angles. The test results can be used for the prediction of coal and rock outburst in deep underground coal excavation.

6.
Front Immunol ; 14: 1102778, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36776832

RESUMO

Lung cancer is responsible for the leading cause of cancer-related death worldwide, which lacks effective therapies. In recent years, accumulating evidence on the understanding of the antitumor activity of the immune system has demonstrated that immunotherapy is one of the powerful alternatives in lung cancer therapy. T cells are the core of cellular immunotherapy, which are critical for tumorigenesis and the treatment of lung cancer. Based on the different expressions of surface molecules and functional points, T cells can be subdivided into regulatory T cells, T helper cells, cytotoxic T lymphocytes, and other unconventional T cells, including γδ T cells, nature killer T cells and mucosal-associated invariant T cells. Advances in our understanding of T cells' functional mechanism will lead to a number of clinical trials on the discovery and development of new treatment strategies. Thus, we summarize the biological functions and regulations of T cells on tumorigenesis, progression, metastasis, and prognosis in lung cancer. Furthermore, we discuss the current advancements of technologies and potentials of T-cell-oriented therapeutic targets for lung cancer.


Assuntos
Neoplasias Pulmonares , Humanos , Neoplasias Pulmonares/terapia , Linfócitos T Citotóxicos , Imunoterapia , Linfócitos T Reguladores , Carcinogênese
7.
Life (Basel) ; 12(10)2022 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-36294966

RESUMO

Liver cancer is the sixth most common cancer and the fourth most fatal cancer in the world. Immunotherapy has already achieved modest results in the treatment of liver cancer. Meanwhile, the novel and optimal combinatorial strategies need further research. The complement system, which consists of mediators, receptors, cofactors and regulators, acts as the connection between innate and adaptive immunity. Recent studies demonstrate that complement system can influence tumor progression by regulating the tumor microenvironment, tumor cells, and cancer stem cells in liver cancer. Our review concentrates on the potential role of the complement system in cancer treatment, which is a promising strategy for killing tumor cells by the activation of complement components. Conclusions: Our review demonstrates that complement components and regulators might function as biomarkers and therapeutic targets for liver cancer diagnosis and treatment.

8.
Front Microbiol ; 13: 840562, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35369425

RESUMO

Antibiotic resistance is one of the most important environmental challenges. Microalgae has been considered as a promising green media for environmental purification. In this work, sulfadimethoxine (SDM) biodegradation potential of Chlorella sp. L38 and Phaeodactylum tricornutum MASCC-0025 is investigated. Experimental results indicated that the tested freshwater and marine microalgae strains presented stress response to SDM addition. For Chlorella sp. L38, it has a good adaptability to SDM condition via antioxidant enzyme secretion (SOD, MDA, and CAT up to 23.27 U/mg, 21.99 µmol/g, and 0.31 nmol/min/mg) with removal rate around 88%. P. tricornutum MASCC-0025 exhibited 100% removal of 0.5 mg/L SDM. With increasing salinity (adding a certain amount of NaCl) of cultivation media, the removal rate of SDM by microalgae increased. Although its adaptive process was slower than Chlorella sp. L38, the salinity advantage would facilitate enzyme accumulation. It indicated that microalgae could be used to remove SDM from freshwater and marine environment via suitable microalgae strain screening.

9.
ACS Appl Mater Interfaces ; 13(50): 60413-60424, 2021 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-34894653

RESUMO

The alluring properties of a luminescent graphene quantum dot (GQD)-based nanocomposite are unquestionable to realize many advanced applications, such as sweat pH sensors. The well-suited hydrophilic polymers to host GQDs can face an unavoidable swelling behavior, which deteriorates the mechanical stability, whereas the hydrophobic polymers can prevent swelling but at the same time barricade the analyte pathways to GQDs. To resolve the two aforementioned obstacles, we develop a nanocomposite film containing nitrogen-doped GQDs (NGQDs) incorporated into a transparent, elastic, and self-healable polymer matrix, composed of a hydrophobic n-butyl acrylate segment and a hydrophilic N-(hydroxymethyl)acrylamide segment for wearable healthcare pH sensors on the human body. Besides serving as the fluorescence source, NGQDs are also designed as a nano-cross-linker to promote abundant chemical and physical interactions within the nanocomposite network. This synergetic effect gives rise to a 10-fold higher mechanical strength, 7-fold increment in Young's modulus, 4-fold increment in toughness, and 15-fold more sensitivity in pH detection (pH 3-10) compared to those of the pristine copolymer and NGQDs, respectively. Moreover, the mechanically enhanced nanocomposite possesses a high self-healing efficiency (94%) at room temperature even under water and demonstrates a stable sensing performance after repetitive usage for 30 days. Our work provides insights into the simple preparation of human skinlike nanocomposite elastomers usable for wearable pH sensors.

10.
Cancer Manag Res ; 13: 815-827, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33536789

RESUMO

BACKGROUND: Circular RNAs (circRNAs) are a class of non-coding RNAs which function as novel regulators in human cancers. In this study, we aimed to investigate the functional roles and related molecular mechanisms of circ_0006282 in gastric cancer (GC) progression. METHODS: Fifty-five GC patients were enrolled in this study. GC cells (AGS and HGC-27) and normal cells (GES-1) were cultured in RPMI1640 added with 10% FBS and 1% penicillin-streptomycin. Quantitative real-time polymerase chain reaction (qRT-PCR) assay was used to determine the expression levels of circ_0006282, transcription elongation factor B subunit 1 (TCEB1) mRNA, miR-144-5p and tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein ß (YWHAB; also known as 14-3-3ß). RNase R assay was used to determine the characteristic of circ_0006282. Cell Counting Kit-8 (CCK-8) assay and colony formation assay were employed for cell proliferation. Transwell assay was conducted for cell migration and invasion. Western blot assay was carried out to measure the protein levels of Cyclin D1, matrix metalloprotein 9 (MMP9) and YWHAB. Dual-luciferase reporter assay, RNA pull-down assay and RIP assay were adopted to analyze the interaction between miR-144-5p and circ_0006282 or YWHAB. Murine xenograft model assay was performed to explore the function of circ_0006282 in vivo. RESULTS: Circ_0006282 level was increased in GC tissues and cells compared to normal tissues and cells. Silencing of circ_0006282 restrained GC cell proliferation, migration and invasion. For mechanism analysis, circ_0006282 was identified to function as the sponge for miR-144-5p to positively regulate YWHAB expression in GC cells. Moreover, miR-144-5p inhibition or YWHAB overexpression effectively reversed the impacts of circ_0006282 knockdown on GC cell growth and motility. Additionally, circ_0006282 knockdown blocked tumor growth of GC in vivo. CONCLUSION: Circ_0006282 facilitated the malignant behaviors of GC cells through circ_0006282/miR-144-5p/YWHAB axis.

11.
Sci Total Environ ; 723: 138146, 2020 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-32222515

RESUMO

Microplastics have recently been identified as an important emerging global problem which affects marine organisms and even humans. As a green and cost-effective environmental purification alternative, microalgae have attracted more and more attention. In this work, the interaction between microplastics (PP, PE, PET and PVC) and microalgae (Chlorella sp. L38 and Phaeodactylum tricornutum MASCC-0025) has been investigated. In addition, SEM and TEM characterization were also carried out to observe interactions between microplastics and microalgae. Experimental results indicated that there was an obvious inhibition effect of microplastics on Phaeodactylum tricornutum MASCC-0025 growth with inhibition ratio up to 21.1%. By contrast, Chlorella sp. L38 presented strong adaptive capacity to microplastics. The key active enzymes concentration variation and characterization (SEM and TEM) images also verified the toxic effect of tested microplastics on Chlorella sp. L38 and Phaeodactylum tricornutum MASCC-0025. The toxic effect might be explained by the possible leaching of additives of four tested microplastics. It could also be observed that microalgae have a potential to be used as an alternative bio-solution for microplastics treatment.


Assuntos
Chlorella , Microalgas , Poluentes Químicos da Água , Microplásticos , Plásticos
13.
Zhongguo Gu Shang ; 30(6): 499-502, 2017 Jun 25.
Artigo em Chinês | MEDLINE | ID: mdl-29424167

RESUMO

OBJECTIVE: To investigate surgical skills and clinical effects of manipulative reduction and percutaneous Kirschner wire internal fixation in treating grade IV supination-external rotation ankle fractures. METHODS: From May 2013 to October 2016, 35 patients with grade IV supination-external rotation ankle fractures were treated with percutaneous Kirschner wire internal fixation, involving 22 males and 13 females with an average age of 38.2 years ranged from 18 to 65 years old. The time from injury to operation ranged from 2 h to 10 d with an average of 5 d. Reduction quality was assessed by Burwell-Charnley radiological criteria. Baird-Jackson ankle scoring system was used to assess clinical effects. RESULTS: Thirty-three patients were followed up from 10 to 28 months with an average of 14 months. Fracture healing time ranged from 10 to 18 weeks with an average of 12 weeks. According to Burwell-Charnley radiological criteria, 30 cases were obtained anatomic reduction, 3 cases moderate. According to Baird-Jackson ankle scoring system, total score was 93.8±5.4, 17 cases got excellent result, 12 good, 2 fair and 2 poor. CONCLUSIONS: Manipulative reduction and percutaneous Kirschner wire internal fixation in treating grade IV supination-external rotation ankle fractures has advantages of reliable efficacy, less complications. But higher require techniques were required for closed reduction. It is not suitable for severe crushed fracture and compressive articular surface fracture.


Assuntos
Fraturas do Tornozelo/cirurgia , Fios Ortopédicos , Fraturas Ósseas/cirurgia , Adulto , Idoso , Fraturas do Tornozelo/patologia , Traumatismos do Tornozelo/cirurgia , Feminino , Fixação de Fratura/métodos , Fixação Interna de Fraturas , Fraturas Ósseas/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Manipulações Musculoesqueléticas/métodos , Rotação , Supinação , Resultado do Tratamento
14.
Metab Brain Dis ; 30(3): 755-65, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25430946

RESUMO

It is hypothesized that dopaminergic genes-dopamine type-2 receptor (DRD2), aldehyde dehydrogenase 2 (ALDH2), and catechol-O-methyltransferase (COMT)-are associated with bipolar disorder (BP) and anxiety disorder (AD). Bipolar II (BP-II) is reported to be highly comorbid with AD. We examined whether interactions among these three genes are susceptibility factors in BP-II with AD (BP-II(+AD)) and without AD (BP-II(-AD)). In this study, we hypothesize that the interaction of the dopaminergic genes between BP-II(+AD) and BP-II(-AD) is significant different. We recruited 1260 participants: 495 with BP-II(-AD), 170 with BP-II(+AD), and 595 healthy controls without BP-II or AD. Genotyping was done using polymerase chain reactions plus restriction fragment length polymorphism analysis. Genotypic frequencies of the DRD2TaqIA, COMT, and ALDH2 polymorphisms between the two BP-II groups were nonsignificant. In logistic regression, the ALDH2 and DRD2TaqIA genes showed a main effect that was protective against BP-II(-AD) (odds ratio [OR] = 0.497, p = 0.010, and OR = 0.415, p = 0.017, respectively). The interaction of DRD2TaqIA A1/A1 and ALDH2*1/*1 had a significant risk effect on the BP-II(-AD) group (OR = 7.177, p < 0.001). However, the interaction of DRD2TaqIA A1/A1, ALDH2*1/*1, and COMTMet/Met&Val/Met become a weak protective factor against BP-II(-AD) (OR = 0.205, p = 0.047). All of the significant results described above are found only in BP-II(-AD). This study supports the hypothesis the interaction of the dopaminergic genes between BP-II(+AD) and BP-II(-AD) is significant different,, and provides additional evidence that the DRD2TaqIA A1/A1, ALDH2*1/*1 and COMT genes interact in BP-II(-AD) but not in BP-II(+AD).


Assuntos
Aldeído Desidrogenase/genética , Transtornos de Ansiedade/genética , Povo Asiático/genética , Transtorno Bipolar/genética , Catecol O-Metiltransferase/genética , Receptores de Dopamina D2/genética , Adulto , Aldeído-Desidrogenase Mitocondrial , Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/epidemiologia , Transtorno Bipolar/diagnóstico , Transtorno Bipolar/epidemiologia , Comorbidade , Epistasia Genética/genética , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Taiwan/epidemiologia , Adulto Jovem
15.
J Biol Chem ; 289(30): 21028-39, 2014 Jul 25.
Artigo em Inglês | MEDLINE | ID: mdl-24891513

RESUMO

Wnt5a has been found recently to be involved in inflammation regulation through a mechanism that remains unclear. Immunohistochemical staining of infected human dental pulp and tissue from experimental dental pulpitis in rats showed that Wnt5a levels were increased. In vitro, Wnt5a was increased 8-fold in human dental pulp cells (HDPCs) after TNF-α stimulation compared with control cells. We then investigated the role of Wnt5a in HDPCs. In the presence of TNF-α, Wnt5a further increased the production of cytokines/chemokines, whereas Wnt5a knockdown markedly reduced cytokine/ chemokine production induced by TNF-α. In addition, in HDPCs, Wnt5a efficiently induced cytokine/chemokine expression and, in particular, expression of IL-8 (14.5-fold) and CCL2 (25.5-fold), as assessed by a Luminex assay. The cytokine subsets regulated by Wnt5a overlap partially with those induced by TNF-α. However, no TNF-α and IL-1ß was detected after Wnt5a treatment. We then found that Wnt5a alone and the supernatants of Wnt5a-treated HDPCs significantly increased macrophage migration, which supports a role for Wnt5a in macrophage recruitment and as an inflammatory mediator in human dental pulp inflammation. Finally, Wnt5a participates in dental pulp inflammation in a MAPK-dependent (p38-, JNK-, and ERK-dependent) and NF-κB-dependent manner. Our data suggest that Wnt5a, as an inflammatory mediator that drives the integration of cytokines and chemokines, acts downstream of TNF-α.


Assuntos
Polpa Dentária/metabolismo , Mediadores da Inflamação/metabolismo , Sistema de Sinalização das MAP Quinases , NF-kappa B/metabolismo , Proteínas Proto-Oncogênicas/metabolismo , Proteínas Wnt/metabolismo , Animais , Quimiocina CCL2/genética , Quimiocina CCL2/metabolismo , Polpa Dentária/patologia , Feminino , Humanos , Inflamação/genética , Inflamação/metabolismo , Inflamação/patologia , Interleucina-1beta/genética , Interleucina-1beta/metabolismo , Interleucina-8/genética , Interleucina-8/metabolismo , Macrófagos/metabolismo , Macrófagos/patologia , Masculino , NF-kappa B/genética , Proteínas Proto-Oncogênicas/genética , Ratos , Ratos Wistar , Fator de Necrose Tumoral alfa/genética , Fator de Necrose Tumoral alfa/metabolismo , Proteínas Wnt/genética , Proteína Wnt-5a
17.
Int J Neuropsychopharmacol ; 17(2): 211-22, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24229495

RESUMO

Findings on the association between the risk for developing bipolar disorder and the functions of the serotonin transporter-linked polymorphic region gene (5-HTTLPR) and dopamine D2 receptor gene (DRD2) variants are contradictory. One explanation for this is that a gender difference may exist for genetic contributions. We compared the gender-related main effects and the gene-to-gene interaction between serotonin transporter gene (SLC6A4) and DRD2 in adult male and female patients with bipolar I (BP-I) and bipolar II (BP-II) disorder. Patients with BP-I (n = 400) and BP-II (n = 493), and healthy controls (n = 442) were recruited from Taiwan's Han Chinese population. The genotypes of the 5-HTTLPR and DRD2 Taq-IA polymorphisms were determined using polymerase chain reaction-restriction fragment length polymorphism analysis. Logistic regression analysis showed a significant gender-specific association of the DRD2 A1/A1 and the 5-HTTLPR S/S, S/LG , and LG/LG (S+) (p = 0.01) genotypes in men with BP-I (p = 0.002 and 0.01, respectively) and BP-II (p = 0.001 and 0.007, respectively), but not in women. A significant interaction for the DRD2 A1/A1 and 5-HTTLPR S+ polymorphisms was also found only in men with BP-I and BP-II (p = 0.003 and 0.001, respectively). We provide preliminary evidence for a gender-specific effect of the SLC6A4 and DRD2 gene variants for the risk of BP-I and of BP-II. We also found gender-specific interaction between 5-HTTLPR and DRD2 Taq-IA polymorphisms in patients with bipolar disorder.


Assuntos
Transtorno Bipolar/genética , Variação Genética/genética , Receptores de Dopamina D2/genética , Proteínas da Membrana Plasmática de Transporte de Serotonina/genética , Caracteres Sexuais , Adulto , Povo Asiático/etnologia , Povo Asiático/genética , Transtorno Bipolar/diagnóstico , Transtorno Bipolar/etnologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Polimorfismo Genético/genética , Taiwan/etnologia , Adulto Jovem
18.
Int J Neuropsychopharmacol ; 17(2): 189-97, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24103632

RESUMO

Memantine is a non-competitive N-methyl-d-asparate (NMDA) receptor antagonist with a mood-stabilizing effect. We investigated whether using valproic acid (VPA) plus add-on memantine to treat bipolar II disorder (BP-II) is more effective than using VPA alone (VPA + Pbo). We also evaluated, in BP-II patients, the association between the brain-derived neurotrophic factor (BDNF) Val66Met polymorphism with treatment response to VPA + add-on memantine and to VPA + Pbo. In this randomized, double-blind, controlled 12 wk study, BP-II patients undergoing regular VPA treatments were randomly assigned to a group: VPA + Memantine (5 mg/day) (n = 115) or VPA + Pbo (n = 117). The Hamilton Depression Rating Scale (HDRS) and Young Mania Rating Scale (YMRS) were used to evaluate clinical response during week 0, 1, 2, 4, 8 and 12. The genotypes of the BDNF Val66Met polymorphisms were determined using polymerase chain reactions plus restriction fragment length polymorphism analysis. To adjust within-subject dependence over repeated assessments, multiple linear regression with generalized estimating equation methods was used to analyze the effects of the BDNF Val66Met polymorphism on the clinical performance of memantine. Both groups showed significantly decreased YMRS and HDRS scores after 12 wk of treatment; the differences between groups were non-significant. When stratified by the BDNF Val66Met genotypes, significantly greater decreases in HDRS scores were found in the VPA + memantine group in patients with the Val Met genotype (p = 0.004). We conclude that the BDNF Val66Met polymorphism influenced responses to add-on memantine by decreasing depressive symptoms in patients with BP-II.


Assuntos
Transtorno Bipolar/tratamento farmacológico , Transtorno Bipolar/genética , Fator Neurotrófico Derivado do Encéfalo/genética , Variação Genética/genética , Memantina/administração & dosagem , Ácido Valproico/administração & dosagem , Adulto , Transtorno Bipolar/diagnóstico , Método Duplo-Cego , Quimioterapia Combinada , Feminino , Humanos , Masculino , Polimorfismo Genético/genética , Adulto Jovem
19.
Zhonghua Yi Xue Za Zhi ; 94(39): 3071-4, 2014 Oct 28.
Artigo em Chinês | MEDLINE | ID: mdl-25549680

RESUMO

OBJECTIVE: To investigate qualitatively and quantitatively the diagnostic performance of 320-slice CT for detection of coronary artery disease with respect to different atherosclerotic plaque characteristics. METHODS: A retrospective search was performed for inpatients underwent both coronary CT and further coronary angiography (CAG) from December 1, 2008 to December 31, 2012. The diagnostic performance of 320-slice CTA for detecting significant stenosis ( ≥ 50% diameter) with respect to atherosclerotic plaque characteristics were analyzed by calculating sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), accuracy, kappa index (κ), and area under the receiver operating characteristic curve (AUC). Chi-square test was used to evaluate whether there were significant differences of the true-case frequency (true positive + true negative) and false-case frequency (false positive + false negative) among groups. Bland-Altman analysis was used to determine limits of agreement between CTA and CAG. RESULTS: A total of 454 patients and 6 779 segments were analyzed. Diagnostic accuracy was higher in non-calcified segments; whereas they decreased in the presence of both mild-moderately and heavily calcified plaques. Excellent agreement (κ = 0.810) between CT and CAG was observed for non-calcified segments, while good agreement was observed for both mild-moderately (κ = 0.701) and heavily calcified segments (κ = 0.750). Both mild-moderate (P = 0.000) and heavy (P = 0.000) calcification decreased the true-case frequency and increased the false-case frequency when compared to non-calcification. There were no significant underestimation or overestimation for non-calcified (P = 0.087) and mild-moderately calcified (P = 0.704) segments, while there was significant overestimation for heavily calcified segments (P = 0.001). CONCLUSIONS: Great qualitative and quantitative diagnostic performances of 320-slice CT were observed in non-calcified coronary segments. However, qualitative diagnostic performance decreased in both mild-moderately and heavily calcified segments, and quantitative overestimation were observed in heavily calcified segments.


Assuntos
Doença da Artéria Coronariana , Placa Aterosclerótica , Calcinose , Angiografia Coronária , Humanos , Curva ROC , Estudos Retrospectivos , Tomografia Computadorizada por Raios X
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