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1.
Am J Transplant ; 2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38615902

RESUMO

BACKGROUND: The shortage of transplant organs remains a severe global issue. Normothermic machine perfusion (NMP) has the potential to increase organ availability, yet its efficacy is hampered by the inflammatory response during machine perfusion. METHODS: Mouse liver IRI models, discarded human liver models, and porcine marginal liver transplantation models were utilized to investigate whether FXR activation could mitigate inflammation-induced liver damage. FXR expression levels before and after reperfusion were measured. Gene editing and co-immunoprecipitation techniques were employed to explore the regulatory mechanism of FXR in inflammation inhibition. RESULTS: The expression of FXR correlates with the extent of liver damage after reperfusion. Activation of FXR significantly suppressed the inflammatory response triggered by IRI, diminished the release of pro-inflammatory cytokines, and improve liver function recovery during NMP, assisting discarded human livers to reach transplant standards. Mechanistically, FXR disrupts the interaction between p65 and p300, thus inhibiting modulating the nuclear factor kappa-B (NF-κB) signaling pathway, a key instigator of inflammation. CONCLUSION: Our research across multiple species confirms that activating FXR can optimize NMP by attenuating IRI-related liver damage, thereby improving the utilization of marginal livers for transplantation.

2.
Artif Organs ; 2024 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-38553973

RESUMO

BACKGROUND: The global incidence of liver diseases is rising, yet there remains a dearth of precise research models to mimic these diseases. The use of normothermic machine perfusion (NMP) to study diseased livers recovered from liver transplantation (LT) recipients presents a promising avenue. Accordingly, we have developed a machine perfusion system tailored specifically for the human whole diseased livers and present our experience from the NMP of diseased livers. METHODS: Six diseased livers recovered from LT recipients with different diagnoses were collected. The diseased livers were connected to the machine perfusion system that circulated tailored perfusate, providing oxygen and nutrients. The pressure and flow of the system were recorded, and blood gas analysis and laboratory tests of perfusate and bile were examined to analyze the function of the diseased livers. Liver tissues before and after NMP were collected for histological analysis. RESULTS: Experiments showed that the system maintained the diseased livers in a physiological state, ensuring stable hemodynamics and a suitable partial pressure of oxygen and carbon dioxide. The results of blood gas analysis and laboratory tests demonstrated a restoration and sustenance of metabolism with minimal damage. Notably, a majority of the diseased livers exhibited bile production continuously, signifying their vivid functional integrity. The pathological characteristics remained stable before and after NMP. CONCLUSION: We successfully established the machine perfusion system tailored specifically for diseased human whole livers. Through the application of this system, we have developed a novel in vitro model that faithfully recapitulates the main features of human liver disease. This model holds immense promise as an advanced disease modeling platform, offering profound insights into liver diseases and potential implications for research and therapeutic development.

3.
Int J Surg ; 2024 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-38329144

RESUMO

INTRODUCTION: Preservation fluid (PF) contaminations are common in conventional liver transplantation (CLT) and presumably originate from organ or PF exposures to the external environment in a non-strict sterile manner. Such exposures and PF contamination may be avoided in ischemia-free liver transplantation (IFLT) because of the strict sterile surgical procedures. In this study, we evaluated the impact of IFLT on organ PF contamination. METHODS: A post-hoc analysis using data from the first randomized controlled trial of IFLT was performed to compare the incidence, pathogenic spectrum of PF contamination, and incidence of early recipient infection between IFLT and CLT. Multivariable logistic regression was used to explore risk factors for PF contamination. RESULTS: Of the 68 cases recruited in the trial, 64 were included in this post-hoc analysis. The incidence of culture-positive PF was 9.4% (3/32) in the IFLT group versus 78.1% (25/32) in the CLT group (P<0.001). Three microorganisms were isolated from PF in the IFLT group, while 43 were isolated in the CLT group. The recipient infection rate within postoperative day 14 was 3.1% (1/32) in the IFLT group vs 15.6% (5/32) in the CLT group, although this difference did not reach statistical significance (P=0.196). Multivariate analysis revealed that adopting IFLT is an independent protective factor for culture-positive PF. CONCLUSION: PF contamination is substantially decreased in IFLT, and IFLT application is an independent protective factor for PF contamination. Using rigorous sterile measures and effective antibiotic therapy during IFLT may decrease PF contamination.

4.
Plant Physiol Biochem ; 206: 108183, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38016368

RESUMO

This study investigated how cold storage affects the nutraceutical diversity and physiological quality of Torreya yunnanensis seeds, using a widely targeted UPLC-MS/MS-based metabolomics analysis. The 373 identified metabolites were divided into nine categories: lipids, phenolic acids, amino acids and derivatives, organic acids, nucleotides, saccharides, vitamins and alcohols. Among them, 49 metabolites showed significant changes after 3 months of cold storage, affecting 28 metabolic pathways. The content of amino acid-related metabolites significantly increased, while the content of sugar-related metabolites decreased during storage. Notably, the content of proline acid, shikimic acid, α-linolenic acid and branched-chain amino acids showed significant changes, indicating their potential role in seed storage. This study deepens our understanding of the nutraceutical diversity and physiological quality of T. yunnanensis seeds during storage, providing insight for conservation efforts and habitat restoration.


Assuntos
Espectrometria de Massas em Tandem , Taxaceae , Cromatografia Líquida , Metabolômica , Sementes/metabolismo , Aminoácidos/metabolismo , Suplementos Nutricionais
5.
Artigo em Inglês | MEDLINE | ID: mdl-37971916

RESUMO

Inductive link prediction on temporal networks aims to predict the future links associated with node(s) unseen in the historical timestamps. Existing methods generate the predictions mainly by learning node representation from the node/edge attributes as well as the network dynamics or by measuring the distance between nodes on the temporal network structure. However, the attribute information is unavailable in many realistic applications and the structure-aware methods highly rely on nodes' common neighbors, which are difficult to accurately detect, especially in sparse temporal networks. Thus, we propose a distance-aware learning (DEAL) approach for inductive link prediction on temporal networks. Specifically, we first design an adaptive sampling method to extract temporal adaptive walks for nodes, increasing the probability of including the common neighbors between nodes. Then, we design a dual-channel distance measuring component, which simultaneously measures the distance between nodes in the embedding space and on the dynamic graph structure for predicting future inductive edges. Extensive experiments are conducted on three public temporal network datasets, i.e., MathOverflow, AskUbuntu, and StackOverflow. The experimental results validate the superiority of DEAL over the state-of-the-art baselines in terms of accuracy, area under the ROC curve (AUC), and average precision (AP), where the improvements are especially obvious in scenarios with only limited data.

6.
Rev Sci Instrum ; 94(9)2023 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-37756551

RESUMO

Cold-atom interferometers have matured into a powerful tool for fundamental physics research, and they are currently moving from realizations in the laboratory to applications in the field. A radio frequency (RF) generator is an indispensable component of these devices for controlling lasers and manipulating atoms. In this work, we developed a compact RF generator for fast switching and sweeping the frequencies and amplitudes of atomic-interference pulse sequences. In this generator, multi-channel RF signals are generated using a field-programmable gate array (FPGA) to control eight direct digital synthesizers (DDSs). We further propose and demonstrate a method for pre-loading the parameters of all the RF pulse sequences to the DDS registers before their execution, which eliminates the need for data transfer between the FPGA and DDSs to change RF signals. This sharply decreases the frequency-switching time when the pulse sequences are running. Performance characterization showed that the generated RF signals achieve a 100 ns frequency-switching time and a 40 dB harmonic-rejection ratio. The generated RF pulse sequences were applied to a cold-atom-interferometer gyroscope, and the contrast of atomic interference fringes was found to reach 38%. This compact multi-channel generator with fast frequency/amplitude switching and/or sweeping capability will be beneficial for applications in field-portable atom interferometers.

7.
Bioengineering (Basel) ; 10(8)2023 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-37627850

RESUMO

Taking COVID-19 as an example, we know that a pandemic can have a huge impact on normal human life and the economy. Meanwhile, the population flow between countries and regions is the main factor affecting the changes in a pandemic, which is determined by the airline network. Therefore, realizing the overall control of airports is an effective way to control a pandemic. However, this is restricted by the differences in prevention and control policies in different areas and privacy issues, such as how a patient's personal data from a medical center cannot be effectively combined with their passenger personal data. This prevents more precise airport control decisions from being made. To address this, this paper designed a novel data-sharing framework (i.e., PPChain) based on blockchain and federated learning. The experiment uses a CPU i7-12800HX and uses Docker to simulate multiple virtual nodes. The model is deployed to run on an NVIDIA GeForce GTX 3090Ti GPU. The experiment shows that the relationship between a pandemic and aircraft transport can be effectively explored by PPChain without sharing raw data. This approach does not require centralized trust and improves the security of the sharing process. The scheme can help formulate more scientific and rational prevention and control policies for the control of airports. Additionally, it can use aerial data to predict pandemics more accurately.

8.
Clin Transl Gastroenterol ; 14(7): e00602, 2023 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-37235793

RESUMO

INTRODUCTION: Keverprazan is a novel potassium-competitive acid blocker for the treatment of acid-related disorders requiring potent acid inhibition. This study aimed to establish the noninferiority of keverprazan to lansoprazole in the treatment of patients with duodenal ulcer (DU). METHODS: In this phase III, double-blind, multicenter study, 360 Chinese patients with endoscopically confirmed active DU were randomized 1:1 to take either keverprazan (20 mg) or lansoprazole (30 mg) treatment for up to 6 weeks. The primary end point was DU healing rate at week 6. The secondary end point was DU healing rate at week 4. Symptom improvement and safety were also assessed. RESULTS: Based on the full analysis set, the cumulative healing rates at week 6 were 94.4% (170/180) and 93.3% (166/178) for keverprazan and lansoprazole, respectively (difference: 1.2%; 95% confidence intervel: -4.0%-6.5%). At week 4, the respective healing rates were 83.9% (151/180) and 80.3% (143/178). In the per protocol set, the 6-week healing rates in keverprazan and lansoprazole groups were 98.2% (163/166) and 97.6% (163/167), respectively (difference: 0.6%; 95% confidence intervel: -3.1%-4.4%); the 4-week healing rates were respectively 86.8% (144/166) and 85.6% (143/167). Keverprazan was noninferior to lansoprazole in DU healing after the treatment for 4 and 6 weeks. The incidence of treatment-emergent adverse events was comparable among groups. DISCUSSION: Keverprazan 20 mg had a good safety profile and was noninferior to lansoprazole 30 mg once daily for DU healing.


Assuntos
Antiulcerosos , Úlcera Duodenal , Humanos , Lansoprazol/efeitos adversos , Úlcera Duodenal/tratamento farmacológico , Úlcera Duodenal/induzido quimicamente , Antiulcerosos/efeitos adversos , Método Duplo-Cego
9.
J Hepatol ; 79(2): 394-402, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37086919

RESUMO

BACKGROUND & AIMS: Ischemia-reperfusion injury (IRI) has thus far been considered as an inevitable component of organ transplantation, compromising outcomes, and limiting organ availability. Ischemia-free organ transplantation is a novel approach designed to avoid IRI, with the potential to improve outcomes. METHODS: In this randomized-controlled clinical trial, recipients of livers from donors after brain death were randomly assigned to receive either an ischemia-free or a 'conventional' transplant. The primary endpoint was the incidence of early allograft dysfunction. Secondary endpoints included complications related to graft IRI. RESULTS: Out of 68 randomized patients, 65 underwent transplants and were included in the analysis. 32 patients received ischemia-free liver transplantation (IFLT), and 33 received conventional liver transplantation (CLT). Early allograft dysfunction occurred in two recipients (6%) randomized to IFLT and in eight (24%) randomized to CLT (difference -18%; 95% CI -35% to -1%; p = 0.044). Post-reperfusion syndrome occurred in three recipients (9%) randomized to IFLT and in 21 (64%) randomized to CLT (difference -54%; 95% CI -74% to -35%; p <0.001). Non-anastomotic biliary strictures diagnosed with protocol magnetic resonance cholangiopancreatography at 12 months were observed in two recipients (8%) randomized to IFLT and in nine (36%) randomized to CLT (difference, -28%; 95% CI -50% to -7%; p = 0.014). The comprehensive complication index at 1 year after transplantation was 30.48 (95% CI 23.25-37.71) in the IFLT group vs. 42.14 (95% CI 35.01-49.26) in the CLT group (difference -11.66; 95% CI -21.81 to -1.51; p = 0.025). CONCLUSIONS: Among patients with end-stage liver disease, IFLT significantly reduced complications related to IRI compared to a conventional approach. CLINICAL TRIAL REGISTRATION: chictr.org. ChiCTR1900021158. IMPACT AND IMPLICATIONS: Ischemia-reperfusion injury has thus far been considered as an inevitable event in organ transplantation, compromising outcomes and limiting organ availability. Ischemia-free liver transplantation is a novel approach of transplanting donor livers without interruption of blood supply. We showed that in patients with end-stage liver disease, ischemia-free liver transplantation, compared with a conventional approach, led to reduced complications related to ischemia-reperfusion injury in this randomized trial. This new approach is expected to change the current practice in organ transplantation, improving transplant outcomes, increasing organ utilization, while providing a clinical model to delineate the impact of organ injury on alloimmunity.


Assuntos
Doença Hepática Terminal , Transplante de Fígado , Traumatismo por Reperfusão , Humanos , Transplante de Fígado/efeitos adversos , Transplante de Fígado/métodos , Doença Hepática Terminal/complicações , Isquemia/patologia , Fígado/patologia , Traumatismo por Reperfusão/etiologia , Traumatismo por Reperfusão/prevenção & controle , Traumatismo por Reperfusão/patologia , Perfusão/métodos , Preservação de Órgãos/métodos
10.
Gastroenterol Res Pract ; 2023: 2824573, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37065685

RESUMO

Aims: To evaluate the value of endoscopic screening during endoscopic submucosal dissection (ESD) in the detection of synchronous multiple early gastric cancer (SMEGC) and the risk factors for missed diagnosis of SMEGC. Methods: We conducted gastric endoscopic screening during ESD operation in 271 patients with early gastric cancer (EGC) referred for ESD, and endoscopic follow-up within 1 year after the operation. The detection and characteristics of SMEGC were analyzed in three stages: before ESD, during ESD operation, and within 1 year after ESD. Results: SMEGC was detected in 37 of 271 patients (13.6%). Among them, 21 patients with SMEGC (56.8%) were diagnosed before ESD, 9 (24.3%) were diagnosed with SMEGC by endoscopic screening during ESD operation, and 7 (18.9%) were found to have EGC lesions in the stomach during postoperative endoscopic follow-up within 1 year. The preoperative missed detection rate of SMEGC was 43.2%, and the rate of missed detection could be reduced by 24.3% (9/37) with endoscopic screening during ESD operation. Missed SMEGC lesions were more common in flat or depressed type and smaller in size than the lesions found before ESD. The presence of severe atrophic gastritis and age ≥60 years were significantly correlated with SMEGC (P < 0.05), while multivariate analysis showed that age ≥60 years was an independent risk factor (OR = 2.63, P < 0.05) for SMEGC. Conclusions: SMEGC lesions are apt to be missed endoscopically. Special attention should be paid to small, depressed, or flat lesions in detecting SMEGC, especially in elderly patients or (and) patients with severe atrophic gastritis. Endoscopic screening during ESD operation can effectively reduce the missed diagnosis rate of SMEGC.

11.
Carcinogenesis ; 44(4): 328-340, 2023 06 24.
Artigo em Inglês | MEDLINE | ID: mdl-36999803

RESUMO

OBJECTIVES: Although great progress has made in gastric cancer (GC) in the past years, the overall 5-year survival rate remains to be low for advanced GC patients. A recent study showed that PLAGL2 was increased in GC and enhanced the proliferation and metastasis of GC. Nevertheless, the underlying mechanism still needs to be investigated. METHODS: Gene and protein expressions were assessed using RT-qPCR and western blot. The migration, proliferation and invasion of GC cells were examined using scratch assay, CCK-8 assay and Transwell assay, respectively. ChIP-PCR, dual-luciferase assay, RIP-qPCR and CoiP were utilized to confirm the interaction among PLAGL2, UCA1, miR-145-5p and YTHDF1 as well as METTL3, YTHDF1 and eEF-2. A mouse xenograft model was used utilized to further confirm the regulatory network. RESULTS: PLAGL2 bound to the upstream promoter of UCA1, which regulated YTHDF1 by sponging miR-145-5p. METTL3 can mediate the m6A modification level of Snail. YTHDF1 recognized m6A-modified Snail by interacting with eEF-2 and thus promoted Snail expression, which eventually induced epithelial-mesenchymal transition (EMT) in GC cells and metastasis of GC. CONCLUSIONS: Overall, our study demonstrates that PLAGL2 enhances Snail expression and GC progression via the UCA1/miR-145-5p/YTHDF1 axis, suggesting that PLAGL2 may become a therapeutic target for GC treatment.


Assuntos
MicroRNAs , Neoplasias Gástricas , Animais , Humanos , Camundongos , Linhagem Celular Tumoral , Proliferação de Células/genética , Proteínas de Ligação a DNA/genética , Regulação Neoplásica da Expressão Gênica , Metiltransferases/genética , Metiltransferases/metabolismo , MicroRNAs/genética , Proteínas de Ligação a RNA/genética , Proteínas de Ligação a RNA/metabolismo , Neoplasias Gástricas/patologia , Fatores de Transcrição/genética , Fatores de Transcrição/metabolismo
12.
IEEE Trans Neural Netw Learn Syst ; 34(7): 3636-3649, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34587100

RESUMO

Hierarchical context modeling plays an important role in the response generation for multi-turn conversational systems. Previous methods mainly model context as multiple independent utterances and rely on attention mechanisms to obtain the context representation. They tend to ignore the explicit responds-to relationships between adjacent utterances and the special role that the user's latest utterance (the query) plays in determining the success of a conversation. To deal with this, we propose a multi-turn response generation model named KS-CQ, which contains two crucial components, the Keep and the Select modules, to produce a neighbor-aware context representation and a context-enriched query representation. The Keep module recodes each utterance of context by attentively introducing semantics from its prior and posterior neighboring utterances. The Select module treats the context as background information and selectively uses it to enrich the query representing process. Extensive experiments on two benchmark multi-turn conversation datasets demonstrate the effectiveness of our proposal compared with the state-of-the-art baselines in terms of both automatic and human evaluations.


Assuntos
Redes Neurais de Computação , Fala , Humanos , Fala/fisiologia , Semântica , Comunicação , Benchmarking
14.
Front Pharmacol ; 13: 953641, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36081953

RESUMO

Purpose: This is the first study to compare the pharmacokinetics, safety and, immunogenicity of QL1209, a biosimilar of Perjeta®. Methods: This study was a randomized, double-blind, parallel-controlled clinical trial evaluating the biosimilarity between QL1209 (specification: 420 mg:14 ml, single use via, manufacturer: Qilu Pharmaceutical Co., Ltd., batch number: 201808001KJL) and Perjeta® (specification: 420 mg: 14 ml, single use via, manufacturer: Roche Pharma AG, batch number: H0309H02). The trial period was 99 days (blood samples for PK were collected 99 days after infusion). Serum concentrations were determined using a validated assay. PK parameters were calculated using a non-compartmental model and analyzed statistically. Anti-drug antibody (ADA)-positive samples were further tested for the presence of neutralization antibody detection (NAb). Results: A total of 137 healthy subjects were administrated. The subjects were randomized 1:1 to receive QL1209 or Perjeta® 420 mg intravenously. The geometric mean ratio (GMRs) for QL1209 versus Perjeta® are 104.14%, 104.09%, and 110.59% for Cmax, AUC0-t, and AUC0-∞, respectively, and their 90% confidence interval (CIs) all fell within the predefined bioequivalence margin 80.00-125%. The incidence of drug-related adverse events was 95.6% and 95.5% in the QL1209 and Perjeta® groups, respectively, also comparable between the two groups. Conclusion: The results of this comparative clinical pharmacology study demonstrated the PK similarity of QL1209 (420 mg: 14 ml) and Perjeta® (420 mg: 14 ml) and there was no significant difference in safety and immunogenicity between QL1209 and Perjeta® manufactured by Roche Pharma AG.

15.
J Gastroenterol Hepatol ; 37(11): 2060-2066, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36068945

RESUMO

BACKGROUND AND AIM: Considering the limitation of varying acid suppression of proton pump inhibitors, this study was aimed to assess the efficacy, safety, and dose-effect relationship of keverprazan, a novel potassium-competitive acid blocker, in the treatment of duodenal ulcer (DU) compared with lansoprazole. METHODS: A randomized, double-blind, double-dummy, multicenter, low-dose, high-dose, and positive-drug parallel-controlled study was conducted to verify the non-inferiority of keverprazan (20 or 30 mg) to lansoprazole of 30 mg once daily for 4 to 6 weeks and dose-effect relationship of keverprazan in the treatment of patients with active DU confirmed by endoscopy. RESULTS: Of the 180 subjects randomized, including 55 cases in the keverprazan_20 mg group, 61 cases in the keverprazan_30 mg group, and 64 cases in the lansoprazole_30 mg group, 168 subjects (93.33%) completed the study. The proportions of healed DU subjects in the keverprazan_20 mg, keverprazan_30 mg, and lansoprazole_30 mg groups were respectively 87.27%, 90.16%, and 79.69% at week 4 (P = 0.4595) and were respectively 96.36%, 98.36%, and 92.19% at week 6 (P = 0.2577). The incidence of adverse events in the keverprazan_20 mg group was lower than that in the lansoprazole_30 mg (P = 0.0285) and keverprazan_30 mg groups (P = 0.0398). CONCLUSIONS: Keverprazan was effective and non-inferior to lansoprazole in healing DU. Based on the comparable efficacy and safety data, keverprazan of 20 mg once daily is recommended for the follow-up study of acid-related disorders. (Trial registration number: ChiCTR2100043455.).


Assuntos
Antiulcerosos , Úlcera Duodenal , Humanos , Úlcera Duodenal/tratamento farmacológico , Úlcera Duodenal/induzido quimicamente , Antiulcerosos/uso terapêutico , Seguimentos , Lansoprazol/efeitos adversos , Inibidores da Bomba de Prótons/efeitos adversos , Método Duplo-Cego , 2-Piridinilmetilsulfinilbenzimidazóis/efeitos adversos
16.
Sensors (Basel) ; 22(16)2022 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-36015838

RESUMO

Unmanned Aerial Vehicles, commonly known as drones, have been widely used in transmission line inspection and traffic patrolling due to their flexibility and environmental adaptability. To take advantage of drones and overcome their limited endurance, the patrolling tasks are parallelized by concurrently dispatching the drones from a truck which travels on the road network to the nearby task arc. The road network considered in previous research is undirected; however, in reality, the road network usually contains unidirectional arcs, i.e., the road network is asymmetric. Hence, we propose an asymmetric coordinated vehicle-drones arc routing mode for traffic patrolling. In this mode, a truck travelling on an asymmetric road network with multiple drones needs to patrol multiple task arcs, and the drones can be launched and recovered at certain nodes on the truck route, making it possible for drones and the truck to patrol the task in parallel. The total patrol time is the objective function that needs to be minimized given the time limit constraints of drones. The whole problem can be considered as an asymmetric arc routing problem of coordinating a truck and multiple drones. To solve this problem, a large-scale neighborhood search with simulated annealing algorithm (LNS-SA) is proposed. Finally, extensive computation experiments and a real case are carried out. The experimental results show the efficiency of the proposed algorithm. Moreover, a detailed sensitivity analysis is performed on several drone-parameters of interest.


Assuntos
Veículos Automotores , Dispositivos Aéreos não Tripulados
17.
Expert Opin Investig Drugs ; 31(10): 1133-1142, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36045484

RESUMO

OBJECTIVES: To compare the pharmacokinetics (PK), pharmacodynamics (PD), safety, and immunogenicity of LY06006 (denosumab biosimilar) and denosumab in healthy Chinese adult male subjects. METHODS: In this randomized, double-blind, parallel-controlled, single-dose, comparative biosimilar study, a total of 168 subjects received 60 mg of LY06006 or denosumab by subcutaneous (SC) abdominal injections in a 1:1 ratio with a follow-up period of 168 days. RESULTS: After a single SC abdominal injection of 60 mg LY06006/denosumab, the geometric mean ratio of the main pharmacokinetic parameters, Cmax and AUC0-∞, of the two drugs were 97.57% and 104.27%, respectively; the geometric mean ratio of the main pharmacodynamic parameters AUEC0-t and Emax, were 101.00% and 99.64%, respectively, and the 90% confidence interval was observed to be within 80-125%. The subjects in the test group (LY06006) and control group (denosumab) were all negative for anti-drug antibody (ADA). The incidence and severity of treatment-emergent adverse events (TEAEs)were similar for both groups, and no grade 3 or higher TEAEs occurred in either group. CONCLUSIONS: This study demonstrated that LY06006 and denosumab have similar characteristics and bioequivalence in pharmacokinetics. Moreover, they had similar pharmacodynamic profiles, safety, and immunogenicity. CLINICAL TRIAL REGISTRATION: www.clinicaltrials.gov identifier is NCT04973722.


Assuntos
Medicamentos Biossimilares , Adulto , Anticorpos , Área Sob a Curva , Medicamentos Biossimilares/efeitos adversos , China , Denosumab/efeitos adversos , Método Duplo-Cego , Humanos , Masculino , Equivalência Terapêutica
19.
J Gastrointest Oncol ; 13(3): 1058-1072, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35837165

RESUMO

Background: The Chromobox homolog 4 (CBX4) has been found to be overexpressed in multiple malignancies. However, the associations between CBX4 and gastric cancer (GC) have remained unclear. This study aimed to determine the biological roles of CBX4 in GC and identify effective therapeutic targets. Methods: The 3-(4,5-dimethylthiazol-2-yl) (MTT) assays were used to screen CBX family members. Differential analysis was utilized to evaluate the CBX4 levels. Kaplan-Meier analysis was used to perform prognostic analysis. Western blotting assay, quantitative polymerase chain reaction (qPCR) assay and immunohistochemistry (IHC) were used to assess CBX4 expressions. Colony formation assay, Cell Counting Kit-8 (CCK-8) assay, and Transwell assay were used to assess progression features of cells. The tail vein injection model was utilized to determine the metastatic efficacy of GC cells. Tumor sphere formation assay was used to assess tumor stemness maintenance ability. Chromatin immunoprecipitation (ChIP)-qPCR assay was used to evaluate the associations between CBX4 and CDC20. A subcutaneous tumor model was used to assess the in vivo growth ability of GC. Results: The MTT assay revealed that only CBX4 inhibition could lead to notable restriction of GC growth, as compared to others. Differential analysis suggested that CBX4 was upregulated in tumor samples relative to normal tissues. Less favorable overall survival (OS) outcomes were noticed in GC patients with high CBX4 in comparison to those with low CBX4. High CBX4 could notably enhance cell proliferation capacity, migration ability, and in vivo metastatic efficacy. Gene set enrichment analysis (GSEA) indicated the relationships between CBX4 and GC stemness, and CBX4 overexpression could remarkably elevate self-renewal ability of GC cells. In addition, CBX4 could mainly promote CDC20 messenger RNA (mRNA) levels, and targeting CBX4 suppressed the relative CDC20 levels. The ChIP-qPCR assay further demonstrated that CBX4 coordinated with H3K4me3 to bind at the CDC20 promoter region. Additionally, CBX4 depended on CDC20 to drive GC growth. Lastly, downregulated CBX4 could notably inhibit the growth of GC in vivo. Conclusions: This study highlights the oncogenic roles of CBX4 in GC. CBX4 activates CDC20 to maintain stemness features of GC, thereby creating therapeutic vulnerabilities in the treatment of GC.

20.
Artigo em Inglês | MEDLINE | ID: mdl-35666789

RESUMO

Event representation aims to transform individual events from a narrative event chain into a set of low-dimensional vectors to help support a series of downstream applications, e.g., similarity differentiation and missing event prediction. Traditional event representation models tend to focus on single modeling perspectives and thus are incapable of capturing physically disconnected yet semantically connected event segments. We, therefore, propose a heterogeneous event graph model (HeterEvent) to explicitly represent such event segments. Furthermore, another challenge in traditional event representation models is inherited from the datasets themselves. Data sparsity and insufficient labeled data are commonly encountered in event chains, easily leading to overfitting and undertraining. Therefore, we extend HeterEvent with a multistructure contrastive learning framework (MulCL) to alleviate the training risks from two structural perspectives. From the sequential perspective, a sequential-view contrastive learning component (SeqCL) is designed to facilitate the acquisition of sequential characteristics. From the graph perspective, a graph-view contrastive learning component (GraCL) is proposed to enhance the robustness of graph training by comparing different corrupted graphs. Experimental results confirm that our proposed MulCL [W+E] model outperforms state-of-the-art baselines. Specifically, compared with the previously proposed supervised model HeterEvent [W+E] [Zheng et al. (2020)], MulCL [W+E] shows an average improvement of 5.3% in terms of accuracy for the inference-ability-based tasks. For the representation-ability-based tasks, MulCL [W+E] achieves an average improvement of 2.7% in terms of accuracy for the hard similarity tasks and an improvement of 4.1% in terms of the Spearman's correlation for the transitive sentence similarity task, respectively.

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