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1.
Biochem Pharmacol ; 218: 115901, 2023 12.
Artigo em Inglês | MEDLINE | ID: mdl-38084678

RESUMO

The gastrin-releasing peptide receptor (GRPR) binds to ligands such as gastrin-releasing peptide (GRP) and plays a variety of biological roles. In this study, we investigated the therapeutic effect of a novel gastrin-releasing peptide receptor antagonist RH-1402 in hyperuricemia-induced kidney fibrosis and its underlying mechanisms. We conducted enzyme linked immunosorbent assay (ELISA) and immunohistochemical analyses and found that proGRP and GRPR expression levels were significantly increased in patients with hyperuricemic nephropathy (HN) and HN mice. GRPR knockdown significantly attenuated inflammatory and fibrotic responses in adenosine-treated human proximal tubule epithelial cells. GRPR knockout or GRPR conditional knockout in renal tubular epithelial cells significantly alleviated the decline in renal function and fibrosis in HN mice in vivo. RNA-seq and String database analysis revealed that GRP/GRPR promoted HN by suppressing the ABCG2/PDZK1 and increasing TGF-ß/Smad3 levels by activating the NF-κB pathway. Overexpression of GRPR increased TGF-ß/Smad3 levels, where as it reduced ABCG2/PDZK1 levels in adenosine-treated HK2 cells, which was reversed by the NF-κB inhibitor. Furthermore, we evaluated the therapeutic effects of the novel GRPR inhibitor RH-1402 on hyperuricaemia-induced renal injury and evaluated the inflammatory and fibrosis responses in vivo and in vitro. Pre-treatment with RH-1402 attenuated hyperuricaemia-induced renal injury, restored renal function, and suppressed renal inflammation and fibrosis. Taken together, GRPR enhances hyperuricaemia-induced tubular injury, inflammation, and renal fibrosis via ABCG2-dependent mechanisms and may serve as a promising therapeutic target for HN treatment.


Assuntos
Hiperuricemia , Nefropatias , Nefrite , Animais , Humanos , Camundongos , Adenosina , Membro 2 da Subfamília G de Transportadores de Cassetes de Ligação de ATP/genética , Membro 2 da Subfamília G de Transportadores de Cassetes de Ligação de ATP/metabolismo , Fibrose , Hiperuricemia/tratamento farmacológico , Inflamação , Nefropatias/etiologia , Proteínas de Neoplasias/metabolismo , Nefrite/etiologia , NF-kappa B/metabolismo , Receptores da Bombesina/metabolismo , Transdução de Sinais , Fator de Crescimento Transformador beta/metabolismo
2.
Mol Ther ; 31(9): 2734-2754, 2023 09 06.
Artigo em Inglês | MEDLINE | ID: mdl-37415332

RESUMO

Gastrin-releasing peptide (GRP) binds to its receptor (GRP receptor [GRPR]) to regulate multiple biological processes, but the function of GRP/GRPR axis in acute kidney injury (AKI) remains unknown. In the present study, GRPR is highly expressed by tubular epithelial cells (TECs) in patients or mice with AKI, while histone deacetylase 8 may lead to the transcriptional activation of GRPR. Functionally, we uncovered that GRPR was pathogenic in AKI, as genetic deletion of GRPR was able to protect mice from cisplatin- and ischemia-induced AKI. This was further confirmed by specifically deleting the GRPR gene from TECs in GRPRFlox/Flox//KspCre mice. Mechanistically, we uncovered that GRPR was able to interact with Toll-like receptor 4 to activate STAT1 that bound the promoter of MLKL and CCL2 to induce TEC necroptosis, necroinflammation, and macrophages recruitment. This was further confirmed by overexpressing STAT1 to restore renal injury in GRPRFlox/Flox/KspCre mice. Concurrently, STAT1 induced GRP synthesis to enforce the GRP/GRPR/STAT1 positive feedback loop. Importantly, targeting GRPR by lentivirus-packaged small hairpin RNA or by treatment with a novel GRPR antagonist RH-1402 was able to inhibit cisplatin-induced AKI. In conclusion, GRPR is pathogenic in AKI and mediates AKI via the STAT1-dependent mechanism. Thus, targeting GRPR may be a novel therapeutic strategy for AKI.


Assuntos
Injúria Renal Aguda , Cisplatino , Animais , Camundongos , Cisplatino/efeitos adversos , Necroptose , Injúria Renal Aguda/metabolismo , Rim/metabolismo , Inflamação/metabolismo , Camundongos Endogâmicos C57BL
3.
Biomed Pharmacother ; 161: 114497, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-36933382

RESUMO

The gastrin-releasing peptide receptor (GRPR), a member of the G protein-coupled receptors (GPCRs), binds to ligands such as gastrin-releasing peptide (GRP) and plays a variety of biological roles. GRP/GRPR signalling is involved in the pathophysiological processes of many diseases, including inflammatory diseases, cardiovascular diseases, neurological diseases, and various cancers. In the immune system, the unique function of GRP/GRPR in neutrophil chemotaxis suggests that GRPR can be directly stimulated through GRP-mediated neutrophils to activate selective signalling pathways, such as PI3K, PKC, and MAPK, and participate in the occurrence and development of inflammation-related diseases. In the cardiovascular system, GRP increases intercellular adhesion molecule 1 (ICAM-1) and induces vascular cell adhesion molecule-1 (VCAM-1). GRP activates ERK1/2, MAPK, and AKT, leading to cardiovascular diseases, including myocardial infarction. Central nervous system signal transduction mediated by the GRP/GRPR axis plays a vital role in emotional responses, social interaction, and memory. The GRP/GRPR axis is elevated in various cancers, including lung, cervical, colorectal, renal cell, and head and neck squamous cell carcinomas. GRP is a mitogen in a variety of tumour cell lines. Its precursor, pro-gastrin-releasing peptide (ProGRP), may play an important role as an emerging tumour marker in early tumour diagnosis. GPCRs serve as therapeutic targets for drug development, but their function in each disease remains unclear, and their involvement in disease progression has not been well explored or summarised. This review lays out the above mentioned pathophysiological processes based on previous research conclusions. The GRP/GRPR axis may be a potential target for treating multiple diseases, and the study of this signalling axis is particularly important.


Assuntos
Doenças Cardiovasculares , Receptores da Bombesina , Humanos , Receptores da Bombesina/metabolismo , Peptídeo Liberador de Gastrina , Transdução de Sinais , Linhagem Celular Tumoral
4.
Inorg Chem ; 61(42): 16707-16717, 2022 Oct 24.
Artigo em Inglês | MEDLINE | ID: mdl-36205461

RESUMO

The utilization of deep blue phosphorescent materials in high-performance displays and solid-state lighting requires high quantum efficiencies and color purities. Here, we describe the preparation and luminescent properties of novel platinum triplet emitters featuring cyclometalated N-pyridyl-carbazole ligands functionalized with closo-monocarborane clusters [CB11H12]-. All reported complexes were fully characterized by using standard small molecule techniques (UV-vis, cyclic voltammetry, nuclear magnetic resonance (NMR), high-resolution mass spectrometry (HRMS)), and their solid-state structures were elucidated by X-ray diffraction. These platinum phosphors emit in the blue region of the visible wavelength spectrum in both the solid and solution states. Complex 4a exhibits the highest luminous efficiency at λem = 439 nm with a photoluminescent quantum yield (PLQY) of 60% by dispersing in a PMMA matrix. Electrochemical and computational studies of complexes 4a and 4b revealed that the blue phosphorescence originates mainly from intraligand 3π → π* (3ILCT) transitions with relatively small 3MLCT mixing. A deep-blue OLED containing 4a as the light-emitting dopant was successfully fabricated using a solution-processed method, and the device exhibited blue photoluminescence with CIE coordinates of (0.17, 0.15) and a maximum external quantum efficiency (EQEmax) value of 6.2%. This article represents the pioneering study of a deep blue PhOLED using a Pt complex bearing a closo-monocarborane anion substituent, providing a new avenue into the preparation of novel triplet emitters based on boron-rich cluster anions.

5.
Dalton Trans ; 51(15): 5782-5787, 2022 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-35353878

RESUMO

A triphenylphosphine-modified tetra-nuclear Cu(I) coordinated cluster was constructed for enhanced chemodynamic therapy (CDT) by increasing the number of metal centers. Once inside human bladder cancer (T24) cells, a larger amount of copper accumulated compared with the mono-nuclear Cu(I) complex; the additional copper could generate more •OH and then induce more obvious apoptosis via a Fenton-like reaction, thus further increasing the tumor inhibition effect and ultimately improving the CDT efficiency.


Assuntos
Cobre , Neoplasias , Linhagem Celular Tumoral , Humanos , Peróxido de Hidrogênio , Compostos Organofosforados
6.
Int Immunopharmacol ; 101(Pt B): 108259, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34666303

RESUMO

Depression is a prevalent mental disorder. However, its pathophysiological mechanism has still remained elusive, and a limited number of effective treatments have been presented. Recent studies have shown that neuroinflammation and microglial activation are involved in the pathogenesis of depression. Histone deacetylase 3 (HDAC3) has neurotoxic effects on several neuropathological conditions. The inhibition of HDAC3 has been reported to induce anti-inflammatory and antioxidant effects. RGFP966 is a highly selective inhibitor of HDAC3. This study aimed to investigate the antidepressant effect of RGFP966 on lipopolysaccharide (LPS)-induced depressive-like behaviors in mice and to explore its possible mechanism. Adult male C57BL/6J mice were utilized in this study. The LPS and RGFP966 were injected intraperitoneally daily for 5 days. The behavior tests were performed to elucidate the depression-like behaviors. Western blot, ELISA and immunofluorescence staining were used to study the HDAC3/TLR4/NLRP3 pathway-related proteins. The results of behavioral tests showed that RGFP966 could improve the LPS-induced depressive-like behaviors in mice. The results of Western blotting showed that RGFP966 treatment downregulated the expression levels of toll-like receptor 4 (TLR4), nucleotide-binding oligomerization domain-like receptor pyrin domain-containing-3 (NLRP3), caspase-1, and interleukin-1ß (IL-1ß) (P < 0.05). Furthermore, the results of immunofluorescence staining showed that RGFP966 treatment inhibited microglial activation in the hippocampus of mice (P < 0.01). These findings suggested that RGFP966 could effectively ameliorate LPS-induced depressive-like behaviors in mice by inhibiting neuroinflammation and microglial activation. The anti-inflammatory mechanism of RGFP966 might be related to the inhibition of the HDAC3/TLR4/NLRP3 signaling pathway. Therefore, inhibition of HDAC3 using RGFP966 could serve as a potential treatment strategy for depression.


Assuntos
Depressão/metabolismo , Histona Desacetilases/metabolismo , Inflamação Neurogênica/metabolismo , Acrilamidas/administração & dosagem , Animais , Anti-Inflamatórios/administração & dosagem , Comportamento Animal , Modelos Animais de Doenças , Humanos , Lipopolissacarídeos/imunologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Microglia/fisiologia , Fenilenodiaminas/administração & dosagem , Receptor 4 Toll-Like/metabolismo
7.
Front Pharmacol ; 12: 667753, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34335246

RESUMO

Disorders of uric acid metabolism may be associated with pathological processes in many diseases, including diabetes mellitus, cardiovascular disease, and kidney disease. These diseases can further promote uric acid accumulation in the body, leading to a vicious cycle. Preliminary studies have proven many mechanisms such as oxidative stress, lipid metabolism disorders, and rennin angiotensin axis involving in the progression of hyperuricaemia-related diseases. However, there is still lack of effective clinical treatment for hyperuricaemia. According to previous research results, NPT1, NPT4, OAT1, OAT2, OAT3, OAT4, URAT1, GLUT9, ABCG2, PDZK1, these urate transports are closely related to serum uric acid level. Targeting at urate transporters and urate-lowering drugs can enhance our understanding of hyperuricaemia and hyperuricaemia-related diseases. This review may put forward essential references or cross references to be contributed to further elucidate traditional and novel urate-lowering drugs benefits as well as provides theoretical support for the scientific research on hyperuricemia and related diseases.

9.
Chem Commun (Camb) ; 57(22): 2732-2735, 2021 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-33629088

RESUMO

An unprecedented inner [Mn18(CO3)9] inorganic core and [Mn20] metal-organic periphery compose a high-nuclearity homometallic single-valent {MnII38} molecular aggregate with a [Mn6] ⊂ [Mn12] ⊂ [Mn8] ⊂ [Mn12] matryoshka doll-like skeleton that displays a significant magnetocaloric effect (MCE).

10.
Inorg Chem ; 60(4): 2372-2380, 2021 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-33497206

RESUMO

The controllable construction and function expansion of some sophisticated aggregations represent a current hot topic in scientific research. In this paper, using a prefabricated {Co14} cluster as a synthetic precursor, a homometallic {Co24} and a heterometallic {Co12Cd12} giant cluster possessing similar dual-[M12] (M = Co/Cd) skeletons was prepared by reacting the precursor with excess CoCl2 and Cd(OAc)2 salts, respectively. The detailed structural information on {Co24} and {Co12Cd12} was characterized by single-crystal X-ray diffraction and further analyzed by X-ray photoelectron spectroscopy, inductively coupled plasma-mass spectroscopy, and scanning electron microscopy with energy dispersive X-ray (EDX) spectroscopy in the solid state. Compared to the {Co14} precursor, magnetic difference revealed that spin-canting and magnetic ordering had been enhanced in {Co24} and suppressed in {Co12Cd12} when dotted with diamagnetic Cd2+ ions.

11.
Int Immunopharmacol ; 88: 106943, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33182053

RESUMO

Depression is a complex and heterogeneous mental disorder. Yet, the mechanisms behind depression remain elusive. Increasing evidence suggests that inflammatory reaction and microglia activation are involved in the pathogenesis of depression. Scutellarin has been found to have anti-inflammatory and antioxidant effects in various diseases. The aim of the present study was to investigate the anti-depressant effects and potential mechanism of scutellarin in the lipopolysaccharide (LPS)-induced depression animal model. The behavioral tests showed that scutellarin administration ameliorated LPS-induced depressive-like behaviors. Additionally, the scutellarin treatment inhibited reactive oxygen species (ROS) generation. Western blot analysis results showed that scutellarin pretreatment suppressed LPS-induced the protein levels of NLRP3, caspase-1, and IL-1ß. Furthermore, immunostaining results showed that scutellarin pretreatment inhibited LPS-induced microglia activation in the hippocampus of rats. These findings suggest that scutellarin effectively improves LPS-induced inflammation-related depressive-like behaviors by inhibiting LPS-induced neuroinflammation and microglia activation, possibly via regulation of the ROS/NLRP3 signaling pathway and microglia activation. Thus, scutellarin may serve as a potential therapeutic strategy for depression.


Assuntos
Anti-Inflamatórios/uso terapêutico , Antidepressivos/uso terapêutico , Apigenina/uso terapêutico , Depressão/tratamento farmacológico , Encefalite/tratamento farmacológico , Glucuronatos/uso terapêutico , Animais , Anti-Inflamatórios/farmacologia , Antidepressivos/farmacologia , Apigenina/farmacologia , Comportamento Animal/efeitos dos fármacos , Caspase 1/metabolismo , Depressão/metabolismo , Encefalite/metabolismo , Glucuronatos/farmacologia , Hipocampo/efeitos dos fármacos , Hipocampo/metabolismo , Inflamassomos/metabolismo , Interleucina-1beta/metabolismo , Lipopolissacarídeos , Masculino , Microglia/efeitos dos fármacos , Proteína 3 que Contém Domínio de Pirina da Família NLR/metabolismo , Ratos Sprague-Dawley , Espécies Reativas de Oxigênio/metabolismo
12.
ACS Appl Mater Interfaces ; 12(41): 45916-45928, 2020 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-33021090

RESUMO

Porous liquids are porous materials that have exhibited unique properties in various fields. Herein, we developed a method to synthesize the type I porous liquids via liquefaction of cyclodextrins by chemical modification. The cyclodextrin porous liquids were characterized by Fourier-transform infrared (FTIR) spectroscopy, NMR, matrix-assisted laser desorption ionization-time-of-flight mass spectrometry (MALDI-TOF MS), circular dichroism (CD), and UV-vis spectroscopy. The measured ionic conductivity of the γ-cyclodextrin porous liquid was 500 times as great as that of its reactants, which was found to be the first instance with such great conductivity for a type I porous liquid. What is more, the γ-cyclodextrin porous liquid had been demonstrated experimentally to have outstanding chiral recognition ability toward pyrimidine nucleosides in water, which was further confirmed by computational simulations. Additionally, enantiomeric excess of the extracted nucleoside was achieved up to 84.81% by convenient extraction from the mixture of racemic nucleosides and γ-cyclodextrin porous liquid. The great features of the novel cyclodextrin porous liquids could bring opportunities in many fields, including the preparation of chiral separation materials, development of new drug screening mechanisms, and construction of chiral response materials.


Assuntos
Ciclodextrinas/química , Nucleosídeos/isolamento & purificação , Estrutura Molecular , Nucleosídeos/química , Tamanho da Partícula , Porosidade , Propriedades de Superfície
13.
Dalton Trans ; 49(5): 1375-1379, 2020 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-31935006

RESUMO

A novel discrete {Co14Mo24} nanoscale cluster, {CoIII2CoII10Cl2(dpbt)3(H2O)2[CoIIMoV12O31(CH3O)9]2}·24CH3OH (1) (here, dpbt = 5,5'-di(pyridin-2-yl)-3,3'-bi(1,2,4-triazole)), with a triangular Co4 core encapsulated in two novel capped Co-substituted Keggin-type Co5Mo12O40 anions, has been isolated from alkaline methanol solution. The high-resolution electrospray ionization mass spectrum (HRESI-MS) of microcrystalline 1 in MeOH/CH2Cl2 (v : v = 2 : 1) was recorded. Two prominent overlapping peaks in the range of m/z = 2740-2840 and 1820-1880 for the discrete fragments of [CoIII2CoII12MoV24O62Cl2(dpbt)3(H2O)2(CH3O)x(OH)18-x-2H]2- (x = 9-18, F1) and [CoIII2CoII12MoV24O62Cl2(dpbt)3(H2O)2(CH3O)x(OH)19-x-2H]3- (x = 6-13, F2), respectively, are obtained, confirming the {Co14Mo24} composition in 1. In addition, weak anti-ferromagnetic interactions in 1 are observed.

14.
Inorg Chem ; 59(1): 308-314, 2020 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-31809031

RESUMO

In this study, four in situ hydro(solvo)thermal metal-ligand reactions, including oxidation (H2L1), C-C coupling (H4L2), nitration (H2L3), and condensation (HL4-6), based on bis[3-(pyridin-2-yl)-1H-1,2,4-triazol-5-yl]methane (H2L0), in the presence of DyIII ions, were carried out. The in situ metal-ligand reaction gave six new ligands existing in eight novel DyIII coordination complexes, which were characterized by crystal structure, mass spectrometry, and magnetism.

15.
Carbohydr Polym ; 228: 115385, 2020 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-31635747

RESUMO

A novel copper(II)-ß-cyclodextrin and CuO functionalized graphene oxide composite (CD-CuO/NH2-GO) was successfully synthesized by reacting mono-6-O-toluenesulfonyl-copper(II)-ß-cyclodextrin with amino and CuO functionalized graphene oxide. The characterization results showed that the CD-CuO/NH2-GO was well-characterized and has a BET surface area of 746.5 m2 g-1 and good thermal stability, and CD and CuO were uniformly dispersed. The unique structure of CD-CuO/NH2-GO is conducive to the synergistic effect of the different components, especially for the inclusion ability of CD. Benefiting from that, CD-CuO/NH2-GO could quickly and efficiently remove the thiophenic sulfides, which are difficult to be economically removed by hydrodesulfurization. The removal efficiency for the three sulfides was in the order of benzothiophene > dibenzothiophene > thiophene. The desulfurization process of benzothiophene has the fastest desulfurization rate (0.121 g mg-1 min-1) and maximum sulfur capacity (12.75 mg S g-1). The different molecular inclusion ability of CD for the thiophenic sulfides demonstrates the difference in the desulfurization of CD-CuO/NH2-GO. The work highlights the synthesis and the potential application in fuel desulfurization of supramolecular GO composite nanomaterials.

16.
J Mol Graph Model ; 92: 32-43, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31306864

RESUMO

The structural, fluorescence properties and binding interaction of benzazaborole derivatives 1-hydroxy-2-(α-methyl) benzyl-1,2-benzo boron nitrogen heterocyclic-3-phosphate diethyl ester (PADE) and 1-hydroxy-2-(2-chloro) benzyl-1,2-benzo boron nitrogen heterocyclic-3-phosphate diethyl ester (PADC) with iodide ion have been investigated utilizing density functional theory (DFT) and Time-dependent density functional theory (TD-DFT) method, in which the PADE and PADC showed strong emission in aqueous solution and fluorescence quenching was observed upon addition of iodide ion. The theoretical study indicates that the strong hydrogen-bond (O-H…I) between benzazaborole derivatives and iodide ion leads to the formation of the benzazaborole-iodide ion complexes. The excited state properties have been explored by theoretical calculation to understand the fluorescent quenching upon introduction of iodide ion. The strong fluorescent emission is originated by the electron transfer from benzyl and phosphate moieties to benzo boron nitrogen fused heterocycle moiety, while the fluorescence quenching is attributed to the electron transfer between the PADE (PADC) and iodide ion. The density difference (EDD) maps and the frontier molecular orbitals diagrams during excitation and de-excitation process demonstrate that the photoinduced electron transfer process between PADE (PADC) and iodide ion leads to fluorescence quenching after a significant internal conversion.


Assuntos
Corantes Fluorescentes/química , Iodetos/química , Íons/química , Modelos Teóricos , Teoria da Densidade Funcional , Transporte de Elétrons , Fluorescência , Ligação de Hidrogênio , Modelos Moleculares , Conformação Molecular , Estrutura Molecular
17.
Polymers (Basel) ; 11(2)2019 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-30960365

RESUMO

Delayed crosslinking polymer gel systems are widely utilized in deep profile control processes for water production control in oilfields. In this paper, a kind of delayed crosslinking amphiphilic polymer gel system with adjustable gelation time based on competitive inclusion was prepared and its delayed crosslinking gelling properties were studied. The amphiphilic polymer of P(acrylamide (AM)⁻sodium acrylate (NaA)⁻N-dodecylacrylamide (DDAM)) was synthesized and it showed much better salt resistance, temperature resistance, and shear resistance performance compared with hydrolyzed polyacrylamide (HPAM). Phenol can be controlled released from the the cavity of ß-cyclodextrin (ß-CD) ring in the presence of the hydrophobic group used as the competitive inclusion agent in the amphiphilic polymer backbone. Accordingly, the gelation time of the delayed crosslinking amphiphilic polymer gel system is closely related to release rate of the crosslinker from the the cavity of ß-CD ring. This study screened an amphiphilic polymer with good salt resistance and temperature resistance performance, which can be used in high temperature and high salinity reservoirs, and provided a feasible way to control the gelation time of the polymer gel system by the competitive inclusion method.

18.
J Vasc Surg ; 68(4): 1228-1240.e9, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-30126785

RESUMO

OBJECTIVE: Spontaneous isolated celiac artery dissection (SICAD) and spontaneous isolated superior mesenteric artery dissection (SISMAD) represent the major types of spontaneous visceral artery dissection. However, no quantitative meta-analysis of SICAD and SISMAD is available. The aim of our study was to pool current evidence concerning basic profiles, treatment strategies, long-term adverse events, and morphologic changes of lesioned vessels in SICAD and SISMAD patients. METHODS: We searched the MEDLINE, Embase, Scopus, and Cochrane Databases (January 1, 1946-September 21, 2017) for studies of SICAD and SISMAD. Related cohort studies or case series with sample size larger than 10 were included. Two reviewers independently extracted and summarized the data. A random-effects model was used to calculate pooled estimates. RESULTS: In total, 43 studies were included. An estimated 8% (95% confidence interval [CI], 0.01-0.21) symptomatic SICAD and 12% (95% CI, 0.06-0.19) symptomatic SISMAD patients with initial conservative management required secondary intervention during follow-up, whereas none of the asymptomatic patients treated conservatively required secondary intervention. As for morphologic changes during follow-up, a higher proportion of SICAD patients (64%; 95% CI, 0.47-0.80) achieved complete remodeling compared with SISMAD patients (25%; 95% CI, 0.19-0.32), and an estimated 6% (95% CI, 0.00-0.16) of SICAD and 12% (95% CI, 0.05-0.20) of SISMAD patients had morphologic progression. Overall, the pooled estimate of long-term all-cause mortality was 0% (95% CI, 0.00-0.03) in SICAD and 1% (95% CI, 0.00-0.02) in SISMAD. When stratified by symptoms, symptomatic patients were associated with a significantly increased probability of accomplishing complete remodeling (odds ratio, 3.95; 95% CI, 1.31-11.85) compared with asymptomatic patients. CONCLUSIONS: Initial conservative treatment is safe for asymptomatic SICAD or SISMAD patients. Symptomatic patients managed conservatively have relatively high occurrence of late secondary intervention, which may require closer surveillance, especially in SISMAD because of a lower rate of remodeling.


Assuntos
Dissecção Aórtica/cirurgia , Artéria Celíaca/cirurgia , Tratamento Conservador , Procedimentos Endovasculares , Artéria Mesentérica Superior/cirurgia , Procedimentos Cirúrgicos Vasculares , Adulto , Idoso , Idoso de 80 Anos ou mais , Dissecção Aórtica/diagnóstico por imagem , Dissecção Aórtica/mortalidade , Dissecção Aórtica/fisiopatologia , Anticoagulantes/uso terapêutico , Doenças Assintomáticas , Artéria Celíaca/diagnóstico por imagem , Artéria Celíaca/fisiopatologia , Tomada de Decisão Clínica , Tratamento Conservador/efeitos adversos , Tratamento Conservador/mortalidade , Procedimentos Endovasculares/efeitos adversos , Procedimentos Endovasculares/mortalidade , Feminino , Fibrinolíticos/uso terapêutico , Humanos , Masculino , Artéria Mesentérica Superior/diagnóstico por imagem , Artéria Mesentérica Superior/fisiopatologia , Pessoa de Meia-Idade , Razão de Chances , Inibidores da Agregação Plaquetária/uso terapêutico , Fatores de Risco , Fatores de Tempo , Resultado do Tratamento , Remodelação Vascular , Procedimentos Cirúrgicos Vasculares/efeitos adversos , Procedimentos Cirúrgicos Vasculares/mortalidade
19.
Inorg Chem ; 57(15): 9182-9189, 2018 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-29985614

RESUMO

We present the synthesis, structural characterization, and magnetic properties of two high-nuclearity cobalt clusters formulated as [Co13(µ3-OH)3(µ3-Cl)(dpbt)5(ptd)Cl10][Co(H2O)2Cl2]·(CH3)2CHOH (1) and [Co24(µ3-OH)6(µ3-Cl)2(dpbt)10(ptd)2Cl16]·2CH3CH2OH (2), respectively (H2dpbt = 5,5'-bis(pyridin-2-yl)-3,3'-bis(1,2,4-triazole) and H2ptd = 3-(pyridin-2-yl)-1,2,4-triazine-5,6-diol). Compound 1 is composed of an inner [Co4(µ3-OH)3(µ3-Cl)] cubane and an outer [Co9(dpbt)5(ptd)Cl10] defective adamantane. Compound 2 reveals a giant {Co24} cluster possessing a dual-[Co12] skeleton from 1. The hierarchical assembly from 1 to 2 has been established and tracked through high-resolution electrospray ionization (HRESI-MS) analyses from the solvothermal reaction mother solution. Magnetic studies of 1 and 2 revealed the highly correlated spins, a glasslike magnetic phase transition at ca. 8 K, and slow relaxation behavior of SMM nature in the lower-temperature region (below 4 K).

20.
Neuropsychiatr Dis Treat ; 14: 1183-1198, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29785110

RESUMO

OBJECTIVE: Impairments in emotion regulation, and more specifically in cognitive reappraisal, are thought to play a key role in the pathogenesis of anxiety disorders. However, the available evidence on such deficits is inconsistent. To further illustrate the neurobiological underpinnings of anxiety disorder, the present meta-analysis summarizes functional magnetic resonance imaging (fMRI) findings for cognitive reappraisal tasks and investigates related brain areas. METHODS: We performed a comprehensive series of meta-analyses of cognitive reappraisal fMRI studies contrasting patients with anxiety disorder with healthy control (HC) subjects, employing an anisotropic effect-size signed differential mapping approach. We also conducted a subgroup analysis of medication status, anxiety disorder subtype, data-processing software, and MRI field strengths. Meta-regression was used to explore the effects of demographics and clinical characteristics. Eight studies, with 11 datasets including 219 patients with anxiety disorder and 227 HC, were identified. RESULTS: Compared with HC, patients with anxiety disorder showed relatively decreased activation of the bilateral dorsomedial prefrontal cortex (dmPFC), bilateral dorsal anterior cingulate cortex (dACC), bilateral supplementary motor area (SMA), left ventromedial prefrontal cortex (vmPFC), bilateral parietal cortex, and left fusiform gyrus during cognitive reappraisal. The subgroup analysis, jackknife sensitivity analysis, heterogeneity analysis, and Egger's tests further confirmed these findings. CONCLUSIONS: Impaired cognitive reappraisal in anxiety disorder may be the consequence of hypo-activation of the prefrontoparietal network, consistent with insufficient top-down control. Our findings provide robust evidence that functional impairment in prefrontoparietal neuronal circuits may have a significant role in the pathogenesis of anxiety disorder.

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