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1.
Proc Natl Acad Sci U S A ; 121(15): e2321116121, 2024 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-38557176

RESUMO

Multidrug resistance (MDR) is a major factor in the failure of many forms of tumor chemotherapy. Development of a specific ligand for MDR-reversal would enhance the intracellular accumulation of therapeutic agents and effectively improve the tumor treatments. Here, an aptamer was screened against a doxorubicin (DOX)-resistant human hepatocellular carcinoma cell line (HepG2/DOX) via cell-based systematic evolution of ligands by exponential enrichment. A 50 nt truncated sequence termed d3 was obtained with high affinity and specificity for HepG2/DOX cells. Multidrug resistance protein 1 (MDR1) is determined to be a possible recognition target of the selected aptamer. Aptamer d3 binding was revealed to block the MDR of the tumor cells and increase the accumulation of intracellular anticancer drugs, including DOX, vincristine, and paclitaxel, which led to a boost to the cell killing of the anticancer drugs and lowering their survival of the tumor cells. The aptamer d3-mediated MDR-reversal for effective chemotherapy was further verified in an in vivo animal model, and combination of aptamer d3 with DOX significantly improved the suppression of tumor growth by treating a xenograft HepG2/DOX tumor in vivo. This work demonstrates the feasibility of a therapeutic DNA aptamer as a tumor MDR-reversal agent, and combination of the selected aptamer with chemotherapeutic drugs shows great potential for liver cancer treatments.


Assuntos
Antineoplásicos , Resistencia a Medicamentos Antineoplásicos , Animais , Humanos , Antineoplásicos/farmacologia , Antineoplásicos/uso terapêutico , Resistência a Múltiplos Medicamentos , Doxorrubicina/farmacologia , Doxorrubicina/uso terapêutico , Quimioterapia Combinada , Linhagem Celular Tumoral
2.
Mol Biol Rep ; 51(1): 421, 2024 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-38483756

RESUMO

BACKGROUND: Osteophyte development is a common characteristic of inflammatory skeletal diseases. Elevated osteogenic differentiation of bone marrow mesenchymal stem cells (BMSCs) participates in pathological osteogenesis. Integrin-linked kinase (ILK) positively regulates the osteoblastic differentiation of osteoprogenitors, but whether the ILK blockage prevents osteophytes and its potential mechanism is still unknown. Furthermore, the low-dose tumor necrosis factor-α (TNF-α) promotes osteogenic differentiation, but a lack of study reports on the relationship between this cytokine and ILK. OSU-T315 is a small ILK inhibitor, which was used to determine the effect of ILK inhibition on osteogenesis and osteophyte formation. METHODS AND RESULTS: The osteogenesis of BMSCs was evaluated using Alizarin red S staining, alkaline phosphatase, collagen type I alpha 2 chain, and bone gamma-carboxyglutamate protein. The expression and phosphorylation of protein were assessed through western blot. Immunofluorescence was employed to display the distribution of ß-catenin. microCT, hematoxylin-eosin, and safranin O/fast green staining were utilized to observe the osteophyte formation in collagen antibody-induced arthritis mice. We found that ILK blockage significantly declined calcium deposition and osteoblastic markers in a dose- and time-dependent manner. Furthermore, it lowered osteogenesis in the TNF-α-induced inflammatory microenvironment by diminishing the effect of ILK and inactivating the Akt/ GSK-3ß/ ß-catenin pathway. Nuclear ß-catenin was descended by OSU-T315 as well. Finally, the ILK suppression restrained osteophyte formation but not inflammation in vivo. CONCLUSIONS: ILK inhibition lowered osteogenesis in TNF-α-related inflammatory conditions by deactivating the Akt/ GSK-3ß/ ß-catenin pathway. This may be a potential strategy to alleviate osteophyte development in addition to anti-inflammatory treatment.


Assuntos
Células-Tronco Mesenquimais , Osteófito , Proteínas Serina-Treonina Quinases , Camundongos , Animais , Osteogênese , Glicogênio Sintase Quinase 3 beta/metabolismo , Proteínas Proto-Oncogênicas c-akt/metabolismo , beta Catenina/metabolismo , Osteófito/metabolismo , Fator de Necrose Tumoral alfa/metabolismo , Células-Tronco Mesenquimais/metabolismo , Diferenciação Celular , Células Cultivadas , Via de Sinalização Wnt
3.
Adv Rheumatol ; 64(1): 18, 2024 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-38438904

RESUMO

INTRODUCTION: If a large amount of urate crystals is deposited in a joint cavity for an extended period of time, bone erosion will occur and gradually cause skeletal muscle necrosis and joint deformity. The aim of this study was to describe the clinical characteristics and factors associated with bone erosion in gout patients with tophi. METHODS: A total of 210 gout patients with tophi were enrolled and divided into a bone erosion group (n = 135) and a non-bone erosion group (n = 75). Digital radiography (DR) was performed to detect bone erosion in the elbow, wrist, knee, ankle joints, interphalangeal and metatarsophalangeal joints. The clinical characteristics were recorded and compared between the two groups. Multivariate logistic regression analysis was conducted to explore the factors associated with bone erosion. RESULTS: Compared with the non-bone erosion group, the bone erosion group had an older age, longer disease duration of gout and tophi, higher level of serum creatinine (sCr), higher proportion of drinking history and ulceration, and a lower glomerular filtration rate (GFR). Univariate logistic regression analysis results showed that sex, age, body mass index (BMI), gout duration, tophi duration, GFR, white blood cell (WBC) count, sCr level, smoking history, drinking history, and presence of ulceration were associated with bone destruction. Multivariable logistic regression analysis results indicated that tophi duration, drinking history, ulceration and sCr were positively and independently related to bone erosion. CONCLUSIONS: Tophi patients with bone erosion presented different clinical characteristics. Tophi duration, drinking history, ulceration and sCr were associated with bone erosion in gout patients with tophi.


Assuntos
Gota , Humanos , Gota/complicações , Fatores de Risco , Fumar/efeitos adversos , Índice de Massa Corporal , Taxa de Filtração Glomerular
4.
Opt Lett ; 49(4): 842-845, 2024 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-38359196

RESUMO

An electrodynamic model is presented in this Letter to describe thresholdless lasers, utilizing the application of photonic time crystals (PTCs). By integrating the distinctive physical properties of PTCs and employing a comprehensive model based on a four-level system, the feasibility of achieving thresholdless laser operation is demonstrated. The proposed electrodynamic model comprehensively captures the intricate interplay between the electromagnetic field and the PTC medium. The model takes into account the ultrafast periodic variations in the refractive index of the PTCs, which arise from their time crystal-like behavior. Additionally, the dynamic response of the four-level system is considered, factoring in the processes of population inversion and relaxation. This Letter seeks to elucidate the underlying mechanisms that facilitate thresholdless laser operation in PTC-based systems. Through our electrodynamic modeling approach, we demonstrate that the ultrafast variations in the refractive index of PTCs give rise to a self-sustaining laser action, obviating the need for a lasing threshold. Moreover, we investigate the impact of various parameters, including pump power and modulation period, on the laser's performance and output characteristics. The developed electrodynamic model provides a comprehensive framework for comprehending and designing thresholdless lasers based on photonic time crystals. This research contributes to the advancement of thresholdless laser technology and opens up possibilities for applications in optical communications, sensing, and quantum photonics.

5.
Sci Transl Med ; 15(725): eadh7668, 2023 12 06.
Artigo em Inglês | MEDLINE | ID: mdl-38055802

RESUMO

Targeting angiotensin-converting enzyme 2 (ACE2) represents a promising and effective approach to combat not only the COVID-19 pandemic but also potential future pandemics arising from coronaviruses that depend on ACE2 for infection. Here, we report ubiquitin specific peptidase 2 (USP2) as a host-directed antiviral target; we further describe the development of MS102, an orally available USP2 inhibitor with viable antiviral activity against ACE2-dependent coronaviruses. Mechanistically, USP2 serves as a physiological deubiquitinase of ACE2, and targeted inhibition with specific small-molecule inhibitor ML364 leads to a marked and reversible reduction in ACE2 protein abundance, thereby blocking various ACE2-dependent coronaviruses tested. Using human ACE2 transgenic mouse models, we further demonstrate that ML364 efficiently controls disease caused by infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), as evidenced by reduced viral loads and ameliorated lung inflammation. Furthermore, we improved the in vivo performance of ML364 in terms of both pharmacokinetics and antiviral activity. The resulting lead compound, MS102, holds promise as an oral therapeutic option for treating infections with coronaviruses that are reliant on ACE2.


Assuntos
COVID-19 , SARS-CoV-2 , Animais , Humanos , Camundongos , Enzima de Conversão de Angiotensina 2 , Antivirais/farmacologia , Antivirais/uso terapêutico , Camundongos Transgênicos , Pandemias , Peptidil Dipeptidase A/metabolismo , Ubiquitina Tiolesterase
6.
Small ; : e2305207, 2023 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-37963824

RESUMO

2D perovskites have attracted tremendous attention due to their superior optoelectronic properties and potential applications in optoelectronic devices. Especially, the larger bandgap of 2D perovskite means that they are suitable for UV photodetection. However, the layered structure of 2D perovskites hinders the interlayer carrier transport, which limits the improvement of device performance. Therefore, nanoscale structures are normally used to enhance the light absorption ability, which is an effective strategy to improve the photocurrent in 2D perovskite-based photodetectors. Herein, a template-assisted low-temperature method is proposed to fabricate 2D perovskite ((C6 H5 C2 H4 NH3 )2 PbBr4 , (PEA)2 PbBr4 ) grating single crystal films (GSCFs). The crystallinity of the (PEA)2 PbBr4 GSCFs is significantly improved due to the slow evaporation of the precursor solution under low temperatures. Based on this high crystalline quality and extremely ordered microstructures, the metal-semiconductor-metal photodetectors are assembled. Finite-different time-domain (FDTD) simulation and experiment indicate that the GSCF-based photodetectors exhibit significantly improved performance in comparison with the plane devices. The optimized 2D perovskite photodetectors are sensitive to UV light and demonstrate a responsivity and detectivity of 28.6 mA W-1 and 2.4 × 1011 Jones, respectively. Interestingly, the photocurrent of this photodetector varies as the angle of the incident polarized light, resulting in a high polarization ratio of 1.12.

7.
Signal Transduct Target Ther ; 8(1): 347, 2023 09 14.
Artigo em Inglês | MEDLINE | ID: mdl-37704615

RESUMO

Coronavirus disease 2019 (COVID-19) was first reported three years ago, when a group of individuals were infected with the original SARS-CoV-2 strain, based on which vaccines were developed. Here, we develop six human monoclonal antibodies (mAbs) from two elite convalescents in Wuhan and show that these mAbs recognize diverse epitopes on the receptor binding domain (RBD) and can inhibit the infection of SARS-CoV-2 original strain and variants of concern (VOCs) to varying degrees, including Omicron strains XBB and XBB.1.5. Of these mAbs, the two most broadly and potently neutralizing mAbs (7B3 and 14B1) exhibit prophylactic activity against SARS-CoV-2 WT infection and therapeutic effects against SARS-CoV-2 Delta variant challenge in K18-hACE2 KI mice. Furthermore, post-exposure treatment with 7B3 protects mice from lethal Omicron variants infection. Cryo-EM analysis of the spike trimer complexed with 14B1 or 7B3 reveals that these two mAbs bind partially overlapped epitopes onto the RBD of the spike, and sterically disrupt the binding of human angiotensin-converting enzyme 2 (hACE2) to RBD. Our results suggest that mAbs with broadly neutralizing activity against different SARS-CoV-2 variants are present in COVID-19 convalescents infected by the ancestral SARS-CoV-2 strain, indicating that people can benefit from former infections or vaccines despite the extensive immune escape of SARS-CoV-2.


Assuntos
COVID-19 , SARS-CoV-2 , Humanos , Animais , Camundongos , Anticorpos Amplamente Neutralizantes , Anticorpos Monoclonais , Epitopos/genética
8.
Int Immunopharmacol ; 122: 110560, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37423153

RESUMO

OBJECTIVES: Our study profiled the CD4 + T-cell-derived exosomes from patients with rheumatoid arthritis (RA) using proteomics. METHODS: Proteomic analysis of CD4 + T-cell-derived exosomes was performed by tandem mass tags (TMT) combined with LC-MS/MS. We validated the most significantly upregulated and downregulated proteins using ELISA and WB. RESULTS: The proteomic results showed that there were 3 upregulated differentially expressed proteins and 31 downregulated differentially expressed proteins in the RA group. The results indicated that dihydropyrimidinase-related protein 3 (DPYSL3) was significantly upregulated in CD4 + T-cell-derived exosomes, whereas proteasome activator complex subunit 1 (PSME1) was significantly downregulated in the RA group. Bioinformatics analysis showed that proteins were enriched in "positive regulation of gene expression", "antigen processing and presentation", "acute-phase response" and "PI3K-AKT signaling" pathways. ELISA verified that compared to the control group, the RA group showed significant upregulation of DPYSL3, and downregulation of PSME1 in CD4 + T-cell-derived exosomes. CONCLUSIONS: The proteomic analysis results of CD4 + T-cell-derived exosomes from patients with RA suggest that these differentially expressed proteins may be involved in RA pathogenesis. DPYSL3 and PSME1 may become useful biomarkers for RA.


Assuntos
Artrite Reumatoide , Exossomos , Humanos , Exossomos/metabolismo , Proteômica , Cromatografia Líquida , Fosfatidilinositol 3-Quinases/metabolismo , Espectrometria de Massas em Tandem , Linfócitos T CD4-Positivos
9.
Artigo em Inglês | MEDLINE | ID: mdl-37279130

RESUMO

Classical domain adaptation methods acquire transferability by regularizing the overall distributional discrepancies between features in the source domain (labeled) and features in the target domain (unlabeled). They often do not differentiate whether the domain differences come from the marginals or the dependence structures. In many business and financial applications, the labeling function usually has different sensitivities to the changes in the marginals versus changes in the dependence structures. Measuring the overall distributional differences will not be discriminative enough in acquiring transferability. Without the needed structural resolution, the learned transfer is less optimal. This article proposes a new domain adaptation approach in which one can measure the differences in the internal dependence structure separately from those in the marginals. By optimizing the relative weights among them, the new regularization strategy greatly relaxes the rigidness of the existing approaches. It allows a learning machine to pay special attention to places where the differences matter the most. Experiments on three real-world datasets show that the improvements are quite notable and robust compared to various benchmark domain adaptation models.

10.
Opt Express ; 31(11): 18468-18486, 2023 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-37381557

RESUMO

The preceding works introduced the leapfrog complying divergence implicit finite-difference time-domain (CDI-FDTD) method, which exhibits high accuracy and unconditional stability. In this study, the method is reformulated to simulate general electrically anisotropic and dispersive media. The auxiliary differential equation (ADE) method is employed to solve the equivalent polarization currents, which are then integrated into the CDI-FDTD method. The iterative formulae are presented, and the calculation method is similar to that of the traditional CDI-FDTD method. Additionally, the Von Neumann method is utilized to analyze the unconditional stability of the proposed method. To evaluate the performance of the proposed method, three numerical cases are conducted. These include calculating the transmission and reflection coefficients of a monolayer graphene sheet and a monolayer magnetized plasma, as well as the scattering properties of a cubic block plasma. The numerical results obtained by the proposed method demonstrate its accuracy and efficiency in simulating general anisotropic dispersive media, compared to both the analytical method and the traditional FDTD method.

11.
Molecules ; 28(9)2023 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-37175153

RESUMO

In this work, we theoretically investigate the linear and nonlinear optical absorption properties of open triangulene spin chains and cyclic triangulene spin chains in relation to their lengths and shapes. The physical mechanism of local excitation within the triangular alkene unit and the weak charge transfer between the units are discussed. The uniformly distributed electrostatic potential allows the system to have a small permanent dipole moment that blocks the electronic transition in the light excitation such that the electronic transition can only be carried out between adjacent carbon atoms. The one-photon absorption (OPA) spectra and two-photon absorption (TPA) spectra are red-shifted with the addition of triangulene units compared to N = 3TSCs (triangulene spin chains, TSCs). Here, TPA is mainly caused by the first step of the transition. The length of the spin chain has a significant adjustment effect on the photon cross-section. TSCs of different lengths and shapes can control chirality by adjusting the distribution of the electric dipole moment and transition magnetic dipole moment. These analyses reveal the photophysical properties of triangulene and provide a theoretical basis for studying the photophysical properties of triangulene and its derivatives.

12.
Artigo em Inglês | MEDLINE | ID: mdl-37022390

RESUMO

Tiny objects, frequently appearing in practical applications, have weak appearance and features, and receive increasing interests in many vision tasks, such as object detection and segmentation. To promote the research and development of tiny object tracking, we create a large-scale video dataset, which contains 434 sequences with a total of more than 217K frames. Each frame is carefully annotated with a high-quality bounding box. In data creation, we take 12 challenge attributes into account to cover a broad range of viewpoints and scene complexities, and annotate these attributes for facilitating the attribute-based performance analysis. To provide a strong baseline in tiny object tracking, we propose a novel multilevel knowledge distillation network (MKDNet), which pursues three-level knowledge distillations in a unified framework to effectively enhance the feature representation, discrimination, and localization abilities in tracking tiny objects. Extensive experiments are performed on the proposed dataset, and the results prove the superiority and effectiveness of MKDNet compared with state-of-the-art methods. The dataset, the algorithm code, and the evaluation code are available at https://github.com/mmic-lcl/Datasets-and-benchmark-code.

13.
ACS Appl Mater Interfaces ; 15(18): 22744-22751, 2023 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-37116067

RESUMO

Photon-electron interactions are essential for many areas such as energy conversion, signal processing, and emerging quantum science. However, the current demonstrations are typically targeted to fiber and on-chip applications and lack of study in wave space. Here, we introduce a concept of optoelectronic metasurface that is capable of realizing direct and efficient optical-microwave interactions in free space. The optoelectronic metasurface is realized via a hybrid integration of microwave resonant meta-structures with a photoresponsive material. As a proof of concept, we construct an ultrathin optoelectronic metasurface using photodiodes that is bias free, which is modeled and analyzed theoretically by using the light-driven electronic excitation principle and microwave network theory. The incident laser and microwave from the free space will interact with the photodiode-based metasurface simultaneously and generate strong laser-microwave coupling, where the phase of output microwave depends on the input laser intensity. We experimentally verify that the reflected microwave phase of the optoelectronic metasurface decreases as the incident laser power becomes large, providing a distinct strategy to control the vector fields by the power intensity. Our results offer fundamentally new understanding of the metasurface capabilities and the wave-matter interactions in hybrid materials.

14.
Cell Discov ; 9(1): 9, 2023 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-36683074

RESUMO

Advanced mRNA vaccines play vital roles against SARS-CoV-2. However, most current mRNA delivery platforms need to be stored at -20 °C or -70 °C due to their poor stability, which severely restricts their availability. Herein, we develop a lyophilization technique to prepare SARS-CoV-2 mRNA-lipid nanoparticle vaccines with long-term thermostability. The physiochemical properties and bioactivities of lyophilized vaccines showed no change at 25 °C over 6 months, and the lyophilized SARS-CoV-2 mRNA vaccines could elicit potent humoral and cellular immunity whether in mice, rabbits, or rhesus macaques. Furthermore, in the human trial, administration of lyophilized Omicron mRNA vaccine as a booster shot also engendered strong immunity without severe adverse events, where the titers of neutralizing antibodies against Omicron BA.1/BA.2/BA.4 were increased by at least 253-fold after a booster shot following two doses of the commercial inactivated vaccine, CoronaVac. This lyophilization platform overcomes the instability of mRNA vaccines without affecting their bioactivity and significantly improves their accessibility, particularly in remote regions.

15.
Sensors (Basel) ; 22(21)2022 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-36365814

RESUMO

Due to the complexity of sea surface environments, such as speckles and side lobes of ships, ship wake, etc., the detection of ship targets in synthetic aperture radar (SAR) images is still confronted with enormous challenges, especially for small ship targets. Aiming at the key problem of ship target detection in the complex environments, the article proposes a constant false alarm rate (CFAR) algorithm for SAR ship target detection based on the attention contrast mechanism of intensity and texture feature fusion. First of all, the local feature attention contrast enhancement is performed based on the intensity dissimilarity and the texture feature difference described by local binary pattern (LBP) between ship targets and sea clutter, so as to realize the target enhancement and background suppression. Furthermore, the adaptive CFAR ship target detection method based on generalized Gamma distribution (GΓD) which can fit the clutter well by the goodness-of-fit analyses is carried out. Finally, the public datasets HRSID and LS-SSDD-v1.0 are used to verify the effectiveness of the proposed detection method. A large number of experimental results show that the proposed method can suppress clutter background and speckle noise and improve the target-to-clutter rate (TCR) significantly, and has the relative high detection rate and low false alarm rate in the complex background and multi-target marine environments.


Assuntos
Radar , Navios , Algoritmos , Atenção
16.
Appl Opt ; 61(23): 6761-6769, 2022 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-36255755

RESUMO

Opto-electro modulators with nanometer-scale footprint are indispensable in integrated photonic electronic circuits. Due to weak light-matter interactions and limits of micro-nano fabrication technology, it is challenging to shrink a modulator to subwavelength size. In recent years, hybrid modulators based on surface plasmons have been proposed to solve this problem. Although the introduced high lossy surface plasmons provide large modulation depth, the polarization selectivity limits its application. Toward this end, in this paper, we present a design of an ultra-compact vanadium oxide (VO2)-based plasmonic waveguide modulator for both transverse electric (TE) and transverse magnetic (TM) modes. The device consists of two silicon tapers and a silicon waveguide embedded with a VO2 wedge. When electrical signals put on the device change the phase of VO2 from a metal to an insulator, the output optical signals along the waveguide are significantly modulated. For a 1.5 µm length modulator operating at 1.55 µm wavelength, the extinction ratio is 11.62 dB for the TE mode and 8.86 dB for the TM mode, while the insertion loss is 4.31 dB for the TE mode and 4.12 dB for the TM mode. Furthermore, the proposed design has excellent tolerance for fabrication process error, which greatly increases the yield rate of products and indicates a promotable application prospect.

17.
World J Surg Oncol ; 20(1): 345, 2022 Oct 18.
Artigo em Inglês | MEDLINE | ID: mdl-36253768

RESUMO

BACKGROUND: Robotic surgery has been widely used in the radical treatment of colonic cancer. However, it is unclear what advantages the robotic approach offers over other approaches in left colectomy. This study aims to explore the advantage of robotic surgery in left colectomy by comparing open, laparoscopic, and robotic surgery. METHODS: A retrospective analysis was performed on the clinical data of patients with radical left colectomy for colon cancer who were admitted to the Department of General Surgery, The First Affiliated Hospital of Nanchang University, from November 2012 to November 2017. Two hundred eleven patients included were divided into the open surgery group (OS, n=49), laparoscopic surgery group (LS, n=92), and robotic surgery group (RS, n=70) according to surgical techniques. The clinicopathologic data were collected for clinical outcome assessment. Finally, the clinical value of RS in radical left colectomy was further evaluated by propensity score matching (PSM) analysis. RESULTS: Three groups were similar in demographics and clinical characteristics. Compared with OS, LS and RS groups had better intraoperative and perioperative clinical outcomes. Moreover, the RS group exhibited the minimum operative times, length of stay (LOS), and evaluated blood loss. LS and RS also exhibited less perioperative and postoperative long-term complications. Three groups showed similar postoperative pathological outcomes. The overall survival and disease-free survival were also similar among the three groups (all P > 0.05). Cox regression analysis showed surgical approach was not a prognostic factor for overall survival (P = 0.671) and disease-free survival (P = 0.776). PSM analysis of RS and LS by clinical characteristics showed RS showed shorter operation time (P < 0.001) and LOS for patients without complications (P = 0.005). However, no significant differences were found in perioperative and long-term postoperative complications, pathological outcomes, overall survival, and disease-free survival. CONCLUSIONS: Among three techniques for radical left colectomy, LS and RS had significant advantages over OS in short-term clinical outcomes, and no significant differences were found in overall, disease-free survival, local recurrence, and distant metastasis incidence. Moreover, RS shows better perioperative clinical outcomes but without compromising survival compared with LS.


Assuntos
Neoplasias do Colo , Laparoscopia , Procedimentos Cirúrgicos Robóticos , Colectomia/efeitos adversos , Colectomia/métodos , Neoplasias do Colo/patologia , Humanos , Laparoscopia/efeitos adversos , Laparoscopia/métodos , Tempo de Internação , Complicações Pós-Operatórias/etiologia , Estudos Retrospectivos , Procedimentos Cirúrgicos Robóticos/efeitos adversos , Procedimentos Cirúrgicos Robóticos/métodos , Resultado do Tratamento
18.
Front Immunol ; 13: 914265, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35874753

RESUMO

Background: Macrophage activation syndrome (MAS) is a severe complication of autoimmune diseases with high mortality. We report the effectiveness of baricitinib as an option for the maintenance therapy in MAS secondary to nodular panniculitis. Case summary: A 24-year-old female came to our hospital with repeated fever and a skin nodule on right tibial tuberosity. Results were notable for raised serum ferritin (SF), triglycerides (TG), elevated liver function enzymes, interleukin-6 (IL-6), interferon-γ (IFN-γ), soluble interleukin-2 receptor (sIL-2R) and decreased activity of NK cells. The pathological biopsy of the subcutaneous nodules indicated nodular panniculitis. Hemophagocytic cells were found in bone marrow aspiration. She was diagnosed as MAS secondary to nodular panniculitis. With the treatment of methylprednisolone (MP) and immunoglobulin, her symptoms and laboratory data gradually improved. Nevertheless, her disease relapsed when the MP dose was tapered. Regarding the usage of JAK inhibitors in MAS, we used baricitinib (JAK1/2 inhibitor) to treat MAS and her symptom and abnormal laboratory findings returned to normal. During follow-up, though the MP dose was tapered, she was stable without a MAS recurrence. Conclusion: The case report suggested baricitinib is an option for MAS in the maintenance therapy phase and is potentially beneficial to prevent recurrence.


Assuntos
Azetidinas , Síndrome de Ativação Macrofágica , Paniculite , Neoplasias Cutâneas , Adulto , Azetidinas/uso terapêutico , Feminino , Humanos , Síndrome de Ativação Macrofágica/diagnóstico , Síndrome de Ativação Macrofágica/tratamento farmacológico , Síndrome de Ativação Macrofágica/etiologia , Metilprednisolona/uso terapêutico , Purinas/uso terapêutico , Pirazóis , Neoplasias Cutâneas/complicações , Sulfonamidas , Adulto Jovem
19.
Inorg Chem ; 61(21): 8283-8290, 2022 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-35583467

RESUMO

The rational design and synthesis of highly efficient electrocatalysts for oxygen evolution reaction (OER) is of critical importance to the large-scale production of hydrogen by water electrolysis. Here, we develop a bimetallic, synergistic, and highly efficient Co-Fe-P electrocatalyst for OER, by selecting a two-dimensional metal-organic framework (MOF) of Co-ZIF-L as the precursor. The Co-Fe-P electrocatalyst features pronounced synergistic effects induced by notable electron transfer from Co to Fe, and a large electrochemical active surface area achieved by organizing the synergistic Co-Fe-P into hierarchical nanosheet arrays with disordered grain boundaries. Such features facilitate the generation of abundant and efficiently exposed Co3+ sites for electrocatalytic OER and thus enable Co-Fe-P to deliver excellent activity (overpotential and Tafel slope as low as 240 mV and 36 mV dec-1, respectively, at a current density of 10 mA cm-2 in 1.0 M KOH solution). The Co-Fe-P electrocatalyst also shows great durability by steadily working for up to 24 h. Our work thus provides new insight into the development of highly efficient electrocatalysts based on nanoscale and/or electronic structure engineering.

20.
Sensors (Basel) ; 22(5)2022 Feb 24.
Artigo em Inglês | MEDLINE | ID: mdl-35270911

RESUMO

This paper reports on a sensor based on multi-element complementary split-ring resonator for the measurement of liquid materials. The resonator consists of three split rings for improved measurement sensitivity. A hole is fabricated at the centre of the rings to accommodate a hollow glass tube, through which the liquid sample can be injected. Electromagnetic simulations demonstrate that both the resonant frequency and quality factor of the sensor vary considerably with the dielectric constant and loss tangent of the liquid sample. The volume ratio between the liquid sample and glass tube is 0.36, yielding great sensitivity in the measured results for high loss liquids. Compared to the design based on rectangular split rings, the proposed ring structure offers 37% larger frequency shifts and 9.1% greater resonant dips. The relationship between dielectric constant, loss tangent, measured quality factor and resonant frequency is derived. Experimental verification is conducted using ethanol solution with different concentrations. The measurement accuracy is calculated to be within 2.8%, and this validates the proposed approach.

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