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1.
Front Immunol ; 15: 1340307, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38426097

RESUMO

Lung cancer is a disease of global concern, and immunotherapy has brought lung cancer therapy to a new era. Besides promising effects in the clinical use of immune checkpoint inhibitors, immune-related adverse events (irAEs) and low response rates are problems unsolved. Natural products and traditional medicine with an immune-modulating nature have the property to influence immune checkpoint expression and can improve immunotherapy's effect with relatively low toxicity. This review summarizes currently approved immunotherapy and the current mechanisms known to regulate immune checkpoint expression in lung cancer. It lists natural products and traditional medicine capable of influencing immune checkpoints or synergizing with immunotherapy in lung cancer, exploring both their effects and underlying mechanisms. Future research on immune checkpoint modulation and immunotherapy combination applying natural products and traditional medicine will be based on a deeper understanding of their mechanisms regulating immune checkpoints. Continued exploration of natural products and traditional medicine holds the potential to enhance the efficacy and reduce the adverse reactions of immunotherapy.


Assuntos
Produtos Biológicos , Neoplasias Pulmonares , Humanos , Neoplasias Pulmonares/terapia , Neoplasias Pulmonares/etiologia , Produtos Biológicos/uso terapêutico , Imunoterapia/efeitos adversos , Medicina Tradicional
2.
J Ethnopharmacol ; 326: 117778, 2024 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-38310990

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: In China, the Chinese patent drug Realgar-Indigo naturalis Formula (RIF) is utilized for the therapy of acute promyelocytic leukemia (APL). Comprising four traditional Chinese herb-Realgar, Indigo naturalis, Salvia miltiorrhiza, and Pseudostellaria heterophylla-it notably includes tetra-arsenic tetra-sulfide, indirubin, tanshinone IIa, and total saponins of Radix Pseudostellariae as its primary active components. Due to its arsenic content, RIF distinctly contributes to the therapy for APL. However, the challenge of arsenic resistance in APL patients complicates the clinical use of arsenic agents. Interestingly, RIF demonstrates a high remission rate in APL patients, suggesting that its efficacy is not significantly compromised by arsenic resistance. Yet, the current state of research on RIF's ability to reverse arsenic resistance remains unclear. AIM OF THE STUDY: To investigate the mechanism of different combinations of the compound of RIF in reversing arsenic resistance in APL. MATERIALS AND METHODS: The present study utilized the arsenic-resistant HL60-PMLA216V-RARα cell line to investigate the effects of various RIF compounds, namely tetra-arsenic tetra-sulfide (A), indirubin (I), tanshinone IIa (T), and total saponins of Radix Pseudostellariae (S). The assessment of cell viability, observation of cell morphology, and evaluation of cell apoptosis were performed. Furthermore, the mitochondrial membrane potential, changes in the levels of PMLA216V-RARα, apoptosis-related factors, and the PI3K/AKT/mTOR pathway were examined, along with autophagy in all experimental groups. Meanwhile, we observed the changes about autophagy after blocking the PI3K or mTOR pathway. RESULTS: Tanshinone IIa, indirubin and total saponins of Radix Pseudostellariae could enhance the effect of tetra-arsenic tetra-sulfide down-regulating PMLA216V-RARα, and the mechanism was suggested to be related to inhibiting mTOR pathway to activate autophagy. CONCLUSIONS: We illustrated that the synergistic effect of different compound combinations of RIF can regulate autophagy through the mTOR pathway, enhance cell apoptosis, and degrade arsenic-resistant PMLA216V-RARα.


Assuntos
Abietanos , Arsênio , Arsenicais , Medicamentos de Ervas Chinesas , Leucemia Promielocítica Aguda , Saponinas , Humanos , Arsênio/efeitos adversos , Leucemia Promielocítica Aguda/tratamento farmacológico , Leucemia Promielocítica Aguda/induzido quimicamente , Fosfatidilinositol 3-Quinases , Arsenicais/farmacologia , Arsenicais/uso terapêutico , Sulfetos/farmacologia , Sulfetos/uso terapêutico , Saponinas/uso terapêutico
3.
BMC Complement Med Ther ; 24(1): 33, 2024 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-38212731

RESUMO

BACKGROUND: Breast cancer (BC) is the most frequent malignancy in the world. Chemotherapy (CT) is a common treatment for BC but is accompanied by toxicity and side effects. Shenqi Fuzheng Injection (SFI) is an adjuvant therapy with promising results in improving efficacy and reducing toxicity in clinical studies. This overview of systematic reviews and meta-analysis (SRs/MAs) aimed to summarize the benefits and evaluate the quality of evidence supporting SFI adjuvant as CT for BC. METHODS: A systematic search for SRs/MAs of randomized controlled trials (RCTs) on SFI treatment for BC was performed by searching PubMed, Web of Science, EMbase, Cochrane Library, CNKI, Wanfang, VIP, and SinoMed databases from inception to October 1, 2022. The quality of SRs/MAs was evaluated using AMSTAR-2, PRISMA 2020, ROBIS, and GRADE by two reviewers. The corrected covered area (CCA) was used to quantify the degree of duplication of the original SRs/MAs. Finally, quantitative analysis of RCTs was conducted using RevMan 5.4 software. This study was registered with PROSPERO, CRD42022377290. RESULTS: Six SRs/MAs including 61 RCTs with 5593 patients were included in this study. Studies were published between 2015 and 2019, the original RCTs ranged from 7-49, with sample sizes ranging from 336-1989. The quantitative meta-analysis found that adjuvant CT of SFI improved the clinical response rate (RR=1.37, 95% CI=1.28, 1.46; P<0.00001) and the KPS score (RR=1.66, 95% CI 1.54, 1.79, P<0.00001) of patients with BC. In terms of immune function, CD3+ (SMD=1.51, 95% CI 0.91, 2.10; P<0.00001), CD4+ (SMD=1.87, 95% CI 1.18, 2.56; P<0.00001), CD4+/CD8+ (SMD=0.86, 95% CI 0.48, 1.23; P<0.00001), and NK cell levels (SMD=0.94, 95% CI 0.63, 1.24; P<0.00001) in the adjuvant CT group SFI were better than those with CT alone. Adverse reactions following SFI adjuvant CT showed reduced incidence of leukopenia (RR=0.53, 95% CI 0.46, 0.62; P<0.00001) and gastrointestinal reactions (RR=0.48, 95% CI 0.39, 0.58; P<0.00001). However, the GRADE results showed 'very low' to 'moderate' evidence for the 42 outcomes, without high-quality evidence supporting them, limited mainly by deficiencies in the design of RCTs (42/42, 100.00%), inconsistency (19/42, 45.24%), publication bias (41/42, 97.62%), and inaccuracy (3/42, 7.14%). The unsatisfactory results of AMSTAR-2, PRISMA 2020, and ROBIS were limited to lack of registration of study protocols, explanation of inclusion basis of RCTs, description of funding sources for the included studies, incomplete search strategy and screening process, addressing heterogeneity and sensitivity, and reporting potential conflicts of interest. CONCLUSION: Adjuvant CT with SFI for BC had better benefits and a lower risk of adverse events. The methodology and quality of the evidence are generally low, highlighting a need of greater attention during study implementation. More objective and high-quality studies are needed to verify the efficacy of adjuvant CT with SFI in clinical decision-making for BC.


Assuntos
Neoplasias da Mama , Medicamentos de Ervas Chinesas , Feminino , Humanos , Neoplasias da Mama/tratamento farmacológico , Terapia Combinada , Injeções , Revisões Sistemáticas como Assunto , Metanálise como Assunto
4.
Biometals ; 37(1): 131-142, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37682402

RESUMO

The repair and reconstruction of large bone defects after bone tumor resection is still a great clinical challenge. At present, orthopedic implant reconstruction is the mainstream treatment for repairing bone defects. However, according to clinical feedback, local tumor recurrence and nonunion of bone graft are common reasons leading to the failure of bone defect repair and reconstruction after bone tumor resection, which seriously threaten the physical and mental health of patients. On this basis, here the self-developed low modulus Ti-12Mo-10Zr alloy (TMZ) was chosen as substrate material. To improve its biological activity and osteointegration, calcium, oxygen, and phosphorus co-doped microporous coating was prepared on TMZ alloy by microarc oxidation (MAO). Then, black phosphorus (BP) nanosheets were incorporated onto MAO treated TMZ alloy to obtain multifunctional composites. The obtained BP-MAO-TMZ implant exhibited excellent photothermal effects and effective ablation of osteosarcoma cancer cells under the irradiation of 808 nm near infrared laser, while no photothermal or therapeutic effects were observed for TMZ alloy. Meanwhile, the structure/component bionic coating obtained after MAO treatment as well as the P-driven in situ biomineralization performance after incorporation of BP nanosheets endowed BP-MAO-TMZ implant with synergistic promoting effect on MC3T3-E1 osteoblasts' activity, proliferation and differentiation ability. This study is expected to provide effective clinical solutions for problems of difficult bone regeneration and tumor recurrence after tumor resection in patients with bone tumors and to solve a series of medical problems such as poor prognosis and poor postoperative quality of patients life with malignant bone tumors.


Assuntos
Neoplasias Ósseas , Osteossarcoma , Humanos , Fósforo , Titânio/farmacologia , Recidiva Local de Neoplasia , Osteossarcoma/tratamento farmacológico , Neoplasias Ósseas/tratamento farmacológico , Terapia Combinada , Ligas/farmacologia
6.
ACS Appl Mater Interfaces ; 15(50): 58693-58699, 2023 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-38051133

RESUMO

Active layer morphology is of vital importance for the photovoltaic performance of organic solar cells (OSCs). As fullerene derivatives and nonfullerene acceptors are highly complementary in many aspects, fullerene derivatives as a third component in nonfullerene OSCs could tune the blend morphology and improve the power conversion efficiency (PCE). Relative to PCBM, the indene-C60 bisadduct (IC60BA) as the third component in nonfullerene binary OSCs has not been extensively studied. Here, the fullerene derivative IC60BA is introduced into the PTZ1:IDIC blend system to finely tune the active layer morphology. Although the addition of IC60BA reduced the film absorption in the visible region and weakened the crystallinity, the more symmetric charge transport property, smaller domain size, and higher domain purity led to improved photovoltaic performance. This study indicates that IC60BA is a promising candidate to finely tune the morphology for achieving highly efficient OSCs.

7.
ACS Biomater Sci Eng ; 9(11): 6225-6240, 2023 11 13.
Artigo em Inglês | MEDLINE | ID: mdl-37906514

RESUMO

There is an urgent demand for antibacterial bone grafts in clinics. Worryingly, the misuse and overuse of antibiotics accelerate the emergence of drug-resistant bacteria. Therefore, this study prepared a novel injectable bioceramic cement without antibiotics (FS-BCS), which showed good antibacterial properties by loading iron and strontium onto a matrix composed of brushite and calcium sulfate. The setting time, injectability, microstructure, antibacterial properties, anti-biofilm properties, and cytocompatibility of the novel bioceramic cement were evaluated thoroughly. The results showed that the material was highly injectable and antiwashout. The antibacterial tests revealed that FS-BCS inhibited the growth of 99.9% E. coli and S. aureus separately in the broth due to the synergistic effect of strontium and iron. Simultaneously, crystal violet and fluorescent staining tests revealed that the material could significantly inhibit the formation of E. coli and S. aureus biofilms. In addition, the co-incorporation of iron and strontium promoted the proliferation and migration of osteoblasts. Therefore, FS-BCS has good application potential in antibiotic-free anti-infection bone grafting using minimally invasive surgery.


Assuntos
Escherichia coli , Staphylococcus aureus , Cimentos Ósseos/química , Cimentos Ósseos/farmacologia , Antibacterianos/farmacologia , Antibacterianos/química , Biofilmes , Ferro/farmacologia , Estrôncio/farmacologia , Procedimentos Cirúrgicos Minimamente Invasivos
8.
J Cancer Res Clin Oncol ; 149(15): 13773-13792, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37532906

RESUMO

PURPOSE: Epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs) are the first-line therapy for patients with lung adenocarcinoma (LUAD) harboring activating EGFR mutations. However, the emergence of drug resistance to EGFR-TKIs remains a critical obstacle for successful treatment and is associated with poor patient outcomes. The overarching objective of this study is to apply bioinformatics tools to gain insights into the mechanisms underlying resistance to EGFR-TKIs and develop a robust predictive model. METHODS: The genes associated with gefitinib resistance in the LUAD cell Gene Expression Omnibus (GEO) database were identified using gene chip expression data. Functional enrichment analysis, gene set enrichment analysis (GSEA), and immune infiltration analysis were performed to comprehensively explore the mechanism of gefitinib resistance. Furthermore, a GRRG_score was constructed by integrating genes related to LUAD prognosis from The Cancer Genome Atlas (TCGA) database with the screened Gefitinib Resistant Related differentially expressed genes (GRRDEGs) using the Least Absolute Shrinkage and Selection Operator (LASSO) and Cox regression analyses. Furthermore, we conducted an in-depth analysis of the tumor microenvironment (TME) features and their association with immune infiltration between different GRRG_score groups. A prognostic model for LUAD was developed based on the GRRG_score and validated. The HPA database was used to validate protein expression. The CTR-DB database was utilized to validate the results of drug therapy prediction based on the relevant genes. RESULTS: A total of 110 differentially expression genes were identified. Pathway enrichment analysis of DEGs showed that the differentially expressed genes were mainly enriched in Mucin type O-glycan biosynthesis, Cytokine-cytokine receptor interaction, Sphingolipid metabolism. Gene set enrichment analysis showed that biological processes strongly correlated with gefitinib resistance were cell proliferation and immune-related pathways, EPITHELIAL_MESENCHYMAL_TRANSITION, APICAL_SURFACE, and APICAL_JUNCTION were highly expressed in the drug-resistant group; KRAS_SIGNALING_DN, HYPOXIA, and HEDGEHOG_SIGNALING were highly expressed in the drug-resistant group. The GRRG_score was constructed based on the expression levels of 13 genes, including HSPA2, ATP8B3, SPOCK1, EIF6, NUP62CL, BCAR3, PCSK9, NT5E, FLNC, KRT8, FSCN1, ANGPTL4, and ID1. We further screened and validated two key genes, namely, NUP62CL and KRT8, which exhibited predictive value for both prognosis and drug resistance. CONCLUSIONS: Our study identified several novel GRRDEGs and provided insight into the underlying mechanisms of gefitinib resistance in LUAD. Our results have implications for developing more effective treatment strategies and prognostic models for LUAD patients.

9.
Chempluschem ; 88(8): e202300341, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37587086

RESUMO

MnO2 has the advantages of low cost and abundant resources, so it is considered to be an important electrode material in zinc ion batteries. However, its practical application is still challenged by easy collapse and capacity loss. In this paper, a stable single crystal ß-MnO2 nanorod cathode material was prepared. When used as ZIBs cathode material, single crystal ß-MnO2 has high ionic diffusion kinetics and calculability. In this paper, we prepared single-crystal MnO2 through hydrothermal nanotechnology. By leveraging the benefits of the single-crystal structure, we optimized the structural stability, ion conductivity, surface reactions, and phase control of the cathode material, resulting in improved battery performance and cycle life. In the fabricated single-crystal MnO2 aqueous zinc-ion battery, the elimination of internal crystal faces in MnO2 leads to ordered lattice arrangement, enabling a more direct and unobstructed diffusion path for H+ ions within the lattice. This significantly enhances the ion conductivity of the cathode material, promoting the rate and efficiency of the battery's charge and discharge processes. Therefore, single-crystal MnO2 exhibits excellent cycling performance for zinc-ion storage in ZIBs, achieving a high specific capacity of 224.7 mA h g-1 after 250 cycles under a current density of 0.3 A g-1 , while maintaining a Coulombic efficiency of 99.58 %.

10.
Sensors (Basel) ; 23(15)2023 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-37571494

RESUMO

The emerging physical-layer unclonable attribute-aided authentication (PLUA) schemes are capable of outperforming traditional isolated approaches, with the advantage of having reliable fingerprints. However, conventional PLUA methods face new challenges in artificial intelligence of things (AIoT) applications owing to their limited flexibility. These challenges arise from the distributed nature of AIoT devices and the involved information, as well as the requirement for short end-to-end latency. To address these challenges, we propose a security authentication scheme that utilizes intelligent prediction mechanisms to detect spoofing attack. Our approach is based on a dynamic authentication method using long short term memory (LSTM), where the edge computing node observes and predicts the time-varying channel information of access devices to detect clone nodes. Additionally, we introduce a Savitzky-Golay filter-assisted high order cumulant feature extraction model (SGF-HOCM) for preprocessing channel information. By utilizing future channel attributes instead of relying solely on previous channel information, our proposed approach enables authentication decisions. We have conducted extensive experiments in actual industrial environments to validate our prediction-based security strategy, which has achieved an accuracy of 97%.

11.
Int J Biol Macromol ; 241: 124496, 2023 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-37086763

RESUMO

Polysaccharide hydrogels are one of the most promising hydrogel materials due to their inherent characteristics, including biocompatibility, biodegradability, renewability, and easy modification, and their structure and functional designs have been widely researched to adapt to different application scenarios as well as to broaden their application fields. As typical wet-soft materials, the high water content and water-absorbing ability of polysaccharide-based hydrogels (PHs) are conducive to their wide biomedical applications, such as wound healing, tissue repair, and drug delivery. In addition, along with technological progress, PHs have shown potential application prospects in some high-tech fields, including human-computer interaction, intelligent driving, smart dressing, flexible sensors, etc. However, in practical applications, due to the poor ability of PHs to resist freezing below zero, dehydration at high temperature, and acid-base/swelling-induced deformation in a solution environment, they are prone to lose their wet-soft peculiarities, including structural integrity, injectability, flexibility, transparency, conductivity and other inherent characteristics, which greatly limit their high-tech applications. Hence, reducing their freezing point, enhancing their high-temperature dehydration resistance, and improving their extreme solution tolerance are powerful approaches to endow PHs with multienvironmental adaptability, broadening their application areas. This report systematically reviews the study advances of environmentally adaptive polysaccharide-based hydrogels (EAPHs), comprising anti-icing hydrogels, high temperature/dehydration resistant hydrogels, and acid/base/swelling deformation resistant hydrogels in recent years. First, the construction methods of EAPHs are presented, and the mechanisms and properties of freeze-resistant, high temperature/dehydration-resistant, and acid/base/swelling deformation-resistant adaptations are simply demonstrated. Meanwhile, the features of different strategies to prepare EAPHs as well as the strategies of simultaneously attaining multienvironmental adaptability are reviewed. Then, the applications of extreme EAPHs are summarized, and some meaningful works are well introduced. Finally, the issues and future outlooks of PH environment adaptation research are elucidated.


Assuntos
Materiais Biocompatíveis , Hidrogéis , Humanos , Materiais Biocompatíveis/química , Hidrogéis/química , Desidratação , Polissacarídeos/química , Água
12.
Micromachines (Basel) ; 14(3)2023 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-36985024

RESUMO

Modular components for rapid assembly of microfluidics must put extra effort into solving leakage and alignment problems between individual modules. Here, we demonstrate a conductive elastomer with self-healing properties and propose a modular microfluidic component configuration system that utilizes self-healing without needing external interfaces as an alternative to the traditional chip form. Specifically, dual dynamic covalent bond crosslinks (imine and borate ester bonds) established between Polyurethane (PU) and 2-Formylbenzeneboronic acid (2-FPBA) are the key to a hard room-temperature self-healing elastomeric substrate PP (PU/2-FPBA). An MG (MXene/GO) conductive network with stable layer spacing (Al-O bonds) obtained from MXene and graphene oxide (GO) by in situ reduction of metals confers photothermal conductivity to PP. One-step liquid molding obtained a standardized modular component library of puzzle shapes from PP and MGPP (MG/PP). The exosomes were used to validate the performance of the constructed microfluidic electrochemical biosensing platform. The device has a wide detection range (50-105 particles/µL) and a low limit of detection (LOD) (42 particles/µL) (S/N = 3), providing a disposable, reusable, cost-effective, and rapid analysis platform for quantitative detection of colorectal cancer exosomes. In addition, to our knowledge, this is the first exploration of self-healing conductive elastomers for a modular microfluidic electrochemical biosensing platform.

13.
Chemistry ; 29(31): e202300206, 2023 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-36938659

RESUMO

In this paper, a waxberry-like MnS/Ni3 S4 composite catalyst was designed and synthesized. In this coating structure, MnS is located inside and Ni3 S4 is wrapped on the surface to form a spherical structure. This structure makes the material show excellent stability in the electrocatalytic process. The diffusion staggered region structure formed at the two-phase interface greatly enhances the synergistic interaction between MnS and Ni3 S4 . At the same time, the defects and vacancies formed by the diffusion mechanism at the interface of the two phases increase the active site and improve the interfacial electron transfer kinetics. Therefore, MnS/Ni3 S4 composites showed good catalytic performance for ORR/OER. At 10 mA cm-2 , the overpotential of it is only 320 mV, and the half-wave potential can reach 0.81 V. The catalyst also exhibited extraordinary cycle stability and small voltage gap when used as cathode of Zn-air batteries. When the current density is 3 mA cm-2 , the cyclic discharge can be stable for 400 h and the voltage difference between the front and back does not increase more than. When the current density increases to 5 mA cm-2 , the cyclic charge and discharge can be stable for more than 300 h.

14.
Micromachines (Basel) ; 14(1)2023 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-36677199

RESUMO

Exosomes are extracellular vesicles that exist in body circulation as intercellular message transmitters. Although the potential of tumor-derived exosomes for non-invasive cancer diagnosis is promising, the rapid detection and effective capture of exosomes remains challenging. Herein, a portable electrochemical aptasensor of cubic AuPt dendritic nanocrystals (AuPt DNs)/Ti3C2 assisted in signal amplification, and aptamer CD63 modified graphene oxide (GO) was immobilized on a screen-printed carbon electrode (SPCE) as the substrate materials for the direct capture and detection of colorectal carcinoma exosomes. Cubic AuPt DNs/Ti3C2 was synthesized according to a simple hydrothermal procedure, and the AuPt DNs/Ti3C2-Apt hybrid demonstrated an efficient recognition of exosomes. Under optimal conditions, a detection limit of down to 20 exosomes µL-1 was achieved with the linear range from 100 exosomes µL-1 to 5.0 × 105 exosomes µL-1. The proposed immunosensor could be suitable for the analysis of exosomes and has clinical value in the early diagnosis of cancer.

15.
Nat Prod Res ; 37(9): 1536-1543, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-35018880

RESUMO

Seven diterpenes including two new seco-cembranoid basmanoids A (1) and B (2), and two new labdane basmadanes A (3) and B (4), and three known compounds (-)-dehydro-nor-ambreinolid (5), (13E)-8-hydroxy-13-labden-12-one (6), and 14,15,16-dinor-7-oxolabda-8-ene-13-oic acid (7) were isolated from oriental tobacco Nicotiana tabacum 'YNOTBS1'. Compounds 1-3 and 5 showed anti-tobacco mosaic virus (TMV) activity with inhibition rates in the range of 30-69% at the concentration of 1 mg/mL. However, none of them exhibited any inhibitory effects against nitric oxide (NO) production in LPS and IFN-γ-induced RAW 264.7 murine macrophages and anti-proliferative activities against cancer cell lines SMMC-7721 and A-549.


Assuntos
Diterpenos , Vírus do Mosaico do Tabaco , Animais , Camundongos , Estrutura Molecular , Linhagem Celular Tumoral , Diterpenos/farmacologia
16.
Clin Lymphoma Myeloma Leuk ; 23(2): e78-e84, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36567214

RESUMO

BACKGROUND: Early death is a major factor of treatment failure in acute promyelocytic leukemia (APL), however, the recent trends in the incidence of early death based on the population-level are not clear. Hence, this study is aimed at describing the incidence, recent trends, causes and characteristics of early death in APL based on the real world. MATERIALS AND METHODS: APL patients diagnosed from 1986 to 2015 in the Surveillance, Epidemiology, and End Results (SEER) dataset were enrolled, and categorized based on gender, age, year of diagnosis, race, marital status, resident county and socioeconomic status (SES). The risk factors for all-cause and acute myelocytic leukemia (AML) specific early death were determined by univariate and multivariate logistic regression analyses, and stratified analysis was conducted by age. RESULTS: Overall, 3212 APL patients were included in analysis between 1986 and 2015, of which a total of 683 (21.3%) patients were noted for early death. Significant differences were recognized for patient distribution by age, year of diagnosis, marital status, and SES. The early death rate of APL patients diagnosed during 2006-2015 was significantly lower than that of the early stage, but this trend was not evident in juvenile patients. At the same time, older age, and lower SES score were independent risk factors for early death in the multivariate analysis. CONCLUSION: We established that the early death trend in APL has decreased over the past few years, but the early death rate remains high, especially in older patients and those with lower SES.


Assuntos
Leucemia Mieloide Aguda , Leucemia Promielocítica Aguda , Humanos , Idoso , Leucemia Promielocítica Aguda/diagnóstico , Leucemia Promielocítica Aguda/epidemiologia , Leucemia Mieloide Aguda/epidemiologia , Fatores de Risco , Análise Multivariada , Incidência
17.
J Mater Chem B ; 10(44): 9188-9201, 2022 11 16.
Artigo em Inglês | MEDLINE | ID: mdl-36314575

RESUMO

Engineered hydrogels with excellent mechanical properties and multi-functionality have great potential as soft electronic skins, tissue substitutes and flexible robotic joints. However, it has been a challenge to construct multifunctional hydrogels, especially when integrating high stretchability, toughness and strength, low hysteresis, good self-healing and adhesion abilities into a hydrogel system simultaneously. Here, we successfully developed a structural hydrogel composed of a reversible covalently cross-link-based poly-N-(2-hydroxyethyl)acrylamide (PHEMAA) network and available plastically deformable casein micelles. Such a design enabled the reversible covalent cross-links and casein micelles to enhance energy dissipation and toughen the PHEMAA/casein hybrid hydrogel synergistically. More importantly, the hydrogel could respond to the imposed strains reversibly by cross-link and micelle deformation induced-network reconstitution, which led to low hysteresis of the hydrogels. The recoverable gel networks still exhibited their effects on energy dissipation at the stress-focused area, endowing the hydrogels with fatigue resistance. As a result, the hydrogels exhibited a compressive strength of 36.5 MPa, high stretchability (1460%), high toughness (∼5.98 MJ m-3), low hysteresis (<30%) and fatigue resistance with almost completely overlapped hysteresis curves during 10 loading cycles. In addition, the introduction of casein micelles and reversible covalent bonding endowed the elastomer hydrogels with high adhesivity, self-healing abilities and biocompatibility.


Assuntos
Elastômeros , Hidrogéis , Hidrogéis/química , Micelas , Caseínas , Adesivos
18.
Biometals ; 35(6): 1271-1280, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36131043

RESUMO

To address the clinical challenges of modulus mismatch, lack of initial osteointegration and contain toxic elements towards traditional titanium and its alloys with surrounding bone tissue, a new ß-type titanium alloy (Ti-12Mo-10Zr) designed by our group will be chosen as dental implant in this proposal due to its excellent properties, e.g. low young's modulus (~ 50.8 GPa) and excellent compressive yield strength (~ 430.89 MPa). A modified hydrothermal and pressure method will be deployed to create tailored micro/nano topography and chemistry (phosphorus) on implant surface with the aim of promoting osteointegration. The formation process and mechanism of micro/nano-scaled hierarchical hybrid coating containing phosphorous will be revealed from the perspective of energetics and crystallography to realize co-design of multiple structure and chemical on Ti-12Mo-10Zr surface. The in vitro cytological performance of this hierarchical hybrid coating containing phosphorous will also be evaluated by co-culturing with rat bone marrow stromal cells This proposal will not only provide guidance and experimental database for next generation potential implant named Ti-12Mo-10Zr, but also display new insights to improve long-lasting stability for dental implant which demonstrate tremendous scientific significance.


Assuntos
Implantes Dentários , Titânio , Ratos , Animais , Titânio/química , Ligas/química , Materiais Biocompatíveis/química , Teste de Materiais
19.
Chemistry ; 28(67): e202202062, 2022 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-35959702

RESUMO

Due to the energy crisis by the excessive consumption of fossil fuels, Zinc-air batteries (ZABs) with high theoretical energy density have attracted people's attention. The overall performance of ZABs is largely determined by the air cathode catalyst. Therefore, it is necessary to develop high-efficiency and low-cost bifunctional catalysts to replace noble metal catalysts to promote the development of ZABs. Among a variety of cathode catalysts, TMS has become a research hotspot in recent years because of its better electrical conductivity than metal phosphides and metal oxides. In this work, we focus on the means of improving the electrocatalytic performance of transition-metal sulfides (TMS) providing ideas for us to rationally design high-performance catalysts. Furthermore, the performance improvement law between catalyst performance and ZABs is also discussed in this work. Finally, some challenges and opportunities faced in the research of TMS electrocatalysis are briefly proposed, and strategies for improving the performance of ZABs are prospected.

20.
Chemistry ; 28(19): e202200036, 2022 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-35166404

RESUMO

Exploring the application of high-efficiency bifunctional oxygen catalysts to rechargeable zinc-air batteries has been a research hotspot in recent years. We succeeded in obtaining NiCo2 NS with a hollow capsule structure through the self-sacrificing template method, which has a larger specific surface area and can provide more active sites for electrocatalysis relative to his solid. The introduction of S can change the valence distribution of N and the electronic structure of the M-N bond, so that NiCo2 NS exhibits excellent performance in the overpotential and stability of the oxygen reduction and oxygen evolution reactions. It shows an overpotential of 154 mV at 10 mA cm-2 and a half-wave potential of 0.76 V. When used as a bi-functional catalyst in zinc-air batteries, it exhibits good stability within 400 h. The flexible battery assembled by NiCo2 NS also shows excellent performance, and can be cycled stably for 20 h. The current maintains good stability when it is bent at different angles during the cycle.

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