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1.
Brain Behav Immun ; 2024 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-38579936

RESUMO

Depression is a prevalent psychological condition with limited treatment options. While its etiology is multifactorial, both chronic stress and changes in microbiome composition are associated with disease pathology. Stress is known to induce microbiome dysbiosis, defined here as a change in microbial composition associated with a pathological condition. This state of dysbiosis is known to feedback on depressive symptoms. While studies have demonstrated that targeted restoration of the microbiome can alleviate depressive-like symptoms in mice, translating these findings to human patients has proven challenging due to the complexity of the human microbiome. As such, there is an urgent need to identify factors upstream of microbial dysbiosis. Here we investigate the role of mucin 13 as an upstream mediator of microbiome composition changes in the context of stress. Using a model of chronic stress, we show that the glycocalyx protein, mucin 13, is selectively reduced after psychological stress exposure. We further demonstrate that the reduction of Muc13 is mediated by the Hnf4 transcription factor family. Finally, we determine that deleting Muc13 is sufficient to drive microbiome shifts and despair behaviors. These findings shed light on the mechanisms behind stress-induced microbial changes and reveal a novel regulator of mucin 13 expression.

2.
Comput Biol Med ; 174: 108321, 2024 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-38626511

RESUMO

BACKGROUND: Cardiovascular patients experience high rates of adverse outcomes following discharge from hospital, which may be preventable through early identification and targeted action. This study aimed to investigate the effectiveness and explainability of machine learning algorithms in predicting unplanned readmission and death in cardiovascular patients at 30 days and 180 days from discharge. METHODS: Gradient boosting machines were trained and evaluated using data from hospital electronic medical records linked to hospital administrative and mortality data for 39,255 patients admitted to four hospitals in New South Wales, Australia between 2017 and 2021. Sociodemographic variables, admission history, and clinical information were used as potential predictors. The performance was compared to LASSO regression, as well as the HOSPITAL and LACE risk score indices. Important risk factors identified by the gradient-boosting machine model were explored using Shapley values. RESULTS: The models performed well, especially for the mortality outcomes. Area under the receiver operating characteristic curve values were 0.70 for readmission and 0.87-0.90 for mortality using the full gradient boosting machine algorithms. Among the top predictors for 30-day and 180-day readmission were increased red cell distribution width, old age (especially above 80 years), high measured troponin and urea levels, not being married or in a relationship, and low albumin levels. For mortality, these included increased red cell distribution width, old age (especially older than 70 years), high measured troponin and urea levels, high neutrophil and monocyte counts, and low eosinophil and lymphocyte counts. The Shapley values gave clear insight into the dynamics of decision-tree-based models. CONCLUSIONS: We demonstrated an explainable predictive algorithm to identify cardiovascular patients who are at high risk of readmission or death at discharge from the hospital and identified key risk factors.

3.
Nat Commun ; 15(1): 3178, 2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609378

RESUMO

Chemo-immunotherapy combinations have been regarded as one of the most practical ways to improve immunotherapy response in cancer patients. In this study, we integrate the transcriptomics data from anti-PD-1-treated tumors and compound-treated cancer cell lines to systematically screen for chemo-immunotherapy synergisms in silico. Through analyzing anti-PD-1 induced expression changes in patient tumors, we develop a shift ability score to measure if a chemotherapy or a small molecule inhibitor treatment can shift anti-PD-1 resistance in tumor cells. By applying shift ability analysis to 41,321 compounds and 16,853 shRNA treated cancer cell lines transcriptomic data, we characterize the landscape of chemo-immunotherapy synergism and experimentally validated a mitochondrial RNA-dependent mechanism for drug-induced immune activation in tumor. Our study represents an effort to mechanistically characterize chemo-immunotherapy synergism and will facilitate future pre-clinical and clinical studies.


Assuntos
Imunoterapia , Neoplasias , Humanos , Quimioterapia Combinada , Linhagem Celular , Perfilação da Expressão Gênica , Neoplasias/tratamento farmacológico , Neoplasias/genética
4.
Chemistry ; : e202400708, 2024 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-38529695

RESUMO

The synthesis of group 4 metal 1-metallacyclobuta-2,3-dienes as organometallic analogues of elusive 1,2-cyclobutadiene has so far been limited to SiMe3 substituted examples. We present the synthesis of two Ph substituted dilithiated ligand precursors for the preparation of four new 1-metallacyclobuta-2,3-dienes [rac-(ebthi)M] (M=Ti, Zr; ebthi=1,2-ethylene-1,10-bis(η5-tetrahydroindenyl)). The organolithium compounds [Li2(RC3Ph)] (1 b: R=Ph, 1 c: R=SiMe3) as well as the metallacycles of the general formula [rac-(ebthi)M(R1C3R2)] (2 b: M=Ti, R1=R2=Ph, 2 c: M=Ti, R1=Ph, R2=SiMe3; 3 b: M=Zr, R1=R2=Ph; 3 c: M=Zr, R1=Ph, R2=SiMe3) were fully characterised. Single crystal X-ray diffraction and quantum chemical bond analysis of the Ti and Zr complexes reveal ligand influence on the biradicaloid character of the titanocene complexes. X-band EPR spectroscopy of structurally similar Ti complexes [rac-(ebthi)Ti(Me3SiC3SiMe3)] (2 a), 2 b, and 2 c was carried out to evaluate the accessibility of an EPR active triplet state. Cyclic voltammetry shows that introduction of Ph groups renders the complexes easier to reduce. 13C CPMAS NMR analysis provides insights into the cause of the low field shift of the resonances of metal-bonded carbon atoms and provides evidence of the absence of the ß-C-Ti interaction.

5.
Anal Methods ; 16(8): 1175-1184, 2024 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-38305434

RESUMO

Ascorbic acid (AA), which plays a vital role in the metabolism of the human body, is closely correlated with various diseases, including rheumatoid arthritis, scurvy, Parkinson's disease, urinary stones, and diarrhea. The detection of AA is of great significance for early prevention and diagnosis of related diseases. In this paper, a high-performance photoelectrochemical (PEC) sensor was constructed based on cadmium sulfide-gold (CdS-Au) composite nanomaterials for ultrasensitive ascorbic acid (AA) detection. Due to the localized surface plasmon resonance (LSPR) effect of gold nanoparticles (AuNPs), the PEC performance of CdS-Au composite nanomaterials was significantly improved compared to CdS semiconductor nanomaterials. Under the optimal conditions, the AA concentration was linearly related to the photocurrent signal in the range of 0.01 µM-200 µM, with the detection limit being 0.2 nM (S/N = 3) and the sensitivity being 642.9 µA mM-1 cm-2. In addition, the mechanism of the PEC sensor based on CdS-Au composite nanomaterials for ultrasensitive AA detection was discussed. Lastly, the self-constructed PEC sensors have been successfully applied in detecting AA in vitamin C tablets and actual blood samples, meeting the detection criteria required by the Chinese Pharmacopoeia (CP, 2020 edition). The self-fabricated PEC sensors in this paper are expected to be used for quality assessment of AA-related drugs and diagnosis of relevant diseases.


Assuntos
Nanopartículas Metálicas , Nanoestruturas , Humanos , Ressonância de Plasmônio de Superfície , Ouro , Ácido Ascórbico
6.
J Agromedicine ; 29(2): 214-234, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38305358

RESUMO

OBJECTIVES: Agriculture is the one of the hazardous industries in the world. Though there is significant investment in agricultural safety, machine injuries continue to be the leading cause of agriculture injuries worldwide. The objective of this study was to provide a comprehensive literature review on global patterns in agricultural machine injuries and establish a framework for future research aimed at addressing safety concerns in the agriculture sector. METHODS: The existing scholarship on farm machine injuries can be categorized into three main areas: a) farming machine/equipment injuries, b) factors associated with these injuries, and c) injury patterns. RESULTS: Overall, the findings highlight that farm tractors are the primary source of injuries for both fatal and non-fatal incidents regardless of region. Other common sources of injuries were harvesting machinery and hand/power tools in Asia, ATVs in North America and woodworking machinery in Europe. Inadequate training in operating farm equipment was reported as the most likely factor contributing to machine-related injuries. Lastly, the patterns of injuries vary based on the interaction between humans and machinery. For instance, rollovers often result in severe head and fracture injuries, while thresher incidents can lead to amputation of hands, arms, and other body parts. CONCLUSION: Addressing these injuries by implementing safety protocols will not only enhance the well-being of farm workers but potentially attract more workers to the sector, which is currently experiencing labor shortages due to machine-related injuries.


Assuntos
Fraturas Ósseas , Ferimentos e Lesões , Humanos , Acidentes de Trabalho , Agricultura , Fazendeiros , Fazendas , Ferimentos e Lesões/epidemiologia
7.
J Agromedicine ; 29(2): 122-135, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38251421

RESUMO

INTRODUCTION: Agricultural injuries remain a major concern in North America, with a fatal injury rate of 19.5 deaths per 100,000 workers in the United States. Numerous research efforts have sought to compile and analyze records of agricultural-related injuries and fatalities at a national level, utilizing resources, ranging from newspaper clippings and hospital records to Emergency Medical System (EMS) data, death certifications, surveys, and other multiple sources. Despite these extensive efforts, a comprehensive understanding of injury trends over extended time periods and across diverse types of data sources remains elusive, primarily due to the duration of data collection and the focus on specific subsets. METHODS: This systematic review, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, consolidates and analyzes agricultural injury surveillance data from 48 eligible papers published between 1985 and 2022 to offer a holistic understanding of trends and challenges. RESULTS: These papers, reporting an average of 25,000 injuries each, were analyzed by database source type, injury severity, nature of injury, body part, source of injury, event/exposure, and age. One key finding is that the top source of injury or event/exposure depends on the chosen surveillance system and injury severity, underscoring the need of diverse data sources for a nuanced understanding of agricultural injuries. CONCLUSION: This study provides policymakers, researchers, and practitioners with crucial insights to bolster the development and analysis of surveillance systems in agricultural safety. The overarching aim is to address the pressing issue of agricultural injuries, contributing to a safer work environment and ultimately enhancing the overall well-being of individuals engaged in agriculture.


Assuntos
Acidentes de Trabalho , Ferimentos e Lesões , Humanos , Estados Unidos/epidemiologia , Agricultura , Canadá/epidemiologia , América do Norte , Ferimentos e Lesões/epidemiologia
8.
Appl Environ Microbiol ; 90(2): e0213123, 2024 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-38265214

RESUMO

The ability to utilize dissolved organic phosphorus (DOP) gives phytoplankton competitive advantages in P-limited environments. Our previous research indicates that the diatom Phaeodactylum tricornutum could grow on glyphosate, a DOP with carbon-phosphorus (C-P) bond and an herbicide, as sole P source. However, direct evidence and mechanism of glyphosate utilization are still lacking. In this study, using physiological and isotopic analysis, combined with transcriptomic profiling, we demonstrated the uptake of glyphosate by P. tricornutum and revealed the candidate responsible genes. Our data showed a low efficiency of glyphosate utilization by P. tricornutum, suggesting that glyphosate utilization costs energy and that the alga possessed an herbicide-resistant type of 5-enolpyruvylshikimate-3-phosphate (EPSP) synthase. Compared to the P-limited cultures, the glyphosate-grown P. tricornutum cells up-regulated genes involved in DNA replication, cell growth, transcription, translation, carbon metabolism, and many genes encoding antioxidants. Additionally, cellular C and silicon (Si) increased remarkably while cellular nitrogen (N) declined in the glyphosate-grown P. tricornutum, leading to higher Si:C and Si:N ratios, which corresponded to the up-regulation of genes involved in the C metabolism and Si uptake and the down-regulation of those encoding N uptake. This has the potential to enhance C and Si export to the deep sea when P is limited but phosphonate is available. In sum, our study documented how P. tricornutum could utilize the herbicide glyphosate as P nutrient and how glyphosate utilization may affect the element content and stoichiometry in this diatom, which have important ecological implications in the future ocean.IMPORTANCEGlyphosate is the most widely used herbicide in the world and could be utilized as phosphorus (P) source by some bacteria. Our study first revealed that glyphosate could be transported into Phaeodactylum tricornutum cells for utilization and identified putative genes responsible for glyphosate uptake. This uncovers an alternative strategy of phytoplankton to cope with P deficiency considering phosphonate accounts for about 25% of the total dissolved organic phosphorus (DOP) in the ocean. Additionally, accumulation of carbon (C) and silicon (Si), as well as elevation of Si:C ratio in P. tricornutum cells when grown on glyphosate indicates glyphosate as the source of P nutrient has the potential to result in more C and Si export into the deep ocean. This, along with the differential ability to utilize glyphosate among different species, glyphosate supply in dissolved inorganic phosphorus (DIP)-depleted ecosystems may cause changes in phytoplankton community structure. These insights have implications in evaluating the effects of human activities (use of Roundup) and climate change (potentially reducing DIP supply in sunlit layer) on phytoplankton in the future ocean.


Assuntos
Diatomáceas , Herbicidas , Organofosfonatos , Humanos , 60658 , Silício/metabolismo , Fósforo/metabolismo , Matéria Orgânica Dissolvida , Ecossistema , Fitoplâncton/metabolismo , Herbicidas/metabolismo , Carbono/metabolismo , Organofosfonatos/metabolismo
9.
Int J Biol Sci ; 20(2): 801-817, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38169563

RESUMO

Somatostatin analogues (SSTA) are first-line pharmacological treatment choice for acromegaly, which received satisfying tumor shrinkage and normalization of growth hormone. However, there are still patients unresponsive to SSTA, and the underline mechanism remains unknown. Besides, there is no evidence regarding the role of endoplasmic reticulum stress (ERS) and its transmission in SSTA resistance, which also require investigation. Primary growth hormone adenoma cells and cell lines were treated with SSTA; autophagy double-labeled LC3 (mRFP-GFP) adenovirus transfection, flow cytometry sorting, western blotting, calcium imaging as well as immunofluorescence staining were used to determine ERS and autophagy signal transmission; xenograft and syngeneic tumor in vivo model were exploited to confirm the ERS signal transmission mediated effect. Our results revealed that SSTA induces ERS in pituitary growth hormone (GH) adenoma cells. The ERS signals can be intercellularly transmitted, leading to less responsible to SSTA treatment. Moreover, SSTA stimulates inositol triphosphate (IP3) elevation, mediating ERS intercellular transfer. In addition, connexin 36 tunnels ERS transmission, and its blocker, Quinine, exhibits a synergistic effect with SSTA treating GH adenoma. Our study provided insight into ERS intercellular transmission mediated SSTA resistance, which could be translated into clinical usage to improve SSTA efficiency in GH adenoma treatment.


Assuntos
Adenoma , Neoplasias Hipofisárias , Humanos , Somatostatina/farmacologia , Somatostatina/uso terapêutico , Hormônio do Crescimento/metabolismo , Hormônio do Crescimento/uso terapêutico , Neoplasias Hipofisárias/tratamento farmacológico , Neoplasias Hipofisárias/genética , Neoplasias Hipofisárias/metabolismo , 60545 , Adenoma/tratamento farmacológico , Estresse do Retículo Endoplasmático
10.
Neuro Oncol ; 26(1): 137-152, 2024 01 05.
Artigo em Inglês | MEDLINE | ID: mdl-37555799

RESUMO

BACKGROUND: Approximately 35% of pituitary adenoma (PA) display an aggressive profile, resulting in low surgical total resection rates, high recurrence rates, and worse prognosis. However, the molecular mechanism of PA invasion remains poorly understood. Although "a disintegrin and metalloproteinases" (ADAMs) are associated with the progression of many tumors, there are no reports on ADAM22 in PA. METHODS: PA transcriptomics databases and clinical specimens were used to analyze the expression of ADAM22. PA cell lines overexpressing wild-type ADAM22, the point mutation ADAM22, the mutated ADAM22 without disintegrin domain, and knocking down ADAM22 were generated. Cell proliferation/invasion assays, flow cytometry, immunohistochemistry, immunofluorescence, co-immunoprecipitation, mass spectrometry, Reverse transcription-quantitative real-time PCR, phos-tag SDS-PAGE, and Western blot were performed for function and mechanism research. Nude mice xenograft models and rat prolactinoma orthotopic models were used to validate in vitro findings. RESULTS: ADAM22 was significantly overexpressed in PA and could promote the proliferation, migration, and invasion of PA cells. ADAM22 interacted with integrin ß1 (ITGB1) and activated FAK/PI3K and FAK/ERK signaling pathways through its disintegrin domain to promote PA progression. ADAM22 was phosphorylated by PKA and recruited 14-3-3, thereby delaying its degradation. ITGB1-targeted inhibitor (anti-itgb1) exerted antitumor effects and synergistic effects in combination with somatostatin analogs or dopamine agonists in treating PA. CONCLUSIONS: ADAM22 was upregulated in PA and was able to promote PA proliferation, migration, and invasion by activating ITGB1 signaling. PKA may regulate the degradation of ADAM22 through post-transcriptional modification levels. ITGB1 may be a potential therapeutic target for PA.


Assuntos
Desintegrinas , Neoplasias Hipofisárias , Camundongos , Humanos , Animais , Ratos , Integrina beta1/metabolismo , Camundongos Nus , Metaloproteases , Linhagem Celular Tumoral , Movimento Celular , Proliferação de Células
11.
J Ethnopharmacol ; 319(Pt 3): 117306, 2024 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-37839770

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Echinacea purpurea (L.) Moench (EP) is a perennial herbaceous flowering plant with immunomodulatory effects. However, the immunomodulatory effects of EP on broilers after vaccination are still unclear. AIM OF THE STUDY: The aim is to study the effect of EP and Echinacea purpurea (L.) Moench extracts(EE) on avian influenza virus (AIV) immunity, and further explore the potential mechanism of immune regulation. MATERIALS AND METHODS: Broilers were fed with feed additives containing 2% EP or 0.5% EE, and vaccinated against avian influenza. The samples were collected on the 7th, 21st, and 35th day after vaccination, and the feed conversion ratio (FCR) was calculated. Blood antibody titer, jejunal sIgA content, tight junction protein, gene and protein expression of TLR4-MAPK signaling pathway were also detected. RESULTS: The results showed that vaccination could cause immune stress, weight loss, increase sIgA content, and up-regulate the expression of tight junction proteins, including zonula occludens-1 (ZO-1), Occludin, and Claudin-1, as well as the genes of Toll-like receptor 4 (TLR4), myeloid differentiation primary response 88 (MyD88), receptor-associated factor 6 (TRAF6), activator protein 1 (AP-1) protein gene expression on TLR4-mitogen-activated protein kinase (MAPK) signaling pathway, and the protein expression of MyD88, extracellular regulated protein kinases (ERK), and c-Jun N-terminal kinase (JNK). EP and EE could increase the body weight of broilers, further improve antibody titers, decrease FCR, increase sIgA levels, up-regulate the expression of tight junction proteins, including ZO-1, Occludin, and Claudin-1, as well as the genes of TLR4, MyD88, TRAF6, and AP-1 and the protein expression of MyD88, ERK, and JNK in the TLR4-MAPK signaling pathway. CONCLUSION: In conclusion, EP and EE can increase the broiler's production performance and improve vaccine immune effect through the TLR4-MAPK signaling pathway.


Assuntos
Echinacea , Vacinas contra Influenza , Influenza Aviária , Animais , Galinhas , Receptor 4 Toll-Like/genética , Claudina-1 , Fator 88 de Diferenciação Mieloide , Ocludina , Fator 6 Associado a Receptor de TNF , Fator de Transcrição AP-1 , Imunização , Vacinação , Proteínas Adaptadoras de Transdução de Sinal , Proteínas Quinases Ativadas por Mitógeno , Imunoglobulina A Secretora
12.
Drug Des Devel Ther ; 17: 3723-3748, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38107658

RESUMO

Purpose: This study aimed to investigate the main pharmacological action and underlying mechanisms of Jin Gu Lian Capsule (JGL) against rheumatoid arthritis (RA) based on network pharmacology and experimental verification. Methods: Network pharmacology approaches were performed to explore the core active compounds of JGL, key therapeutic targets, and signaling pathways. Molecular docking was used to predict the binding affinity of compounds with targets. In vivo experiments were undertaken to validate the findings from network analysis. Results: A total of 52 targets were identified as candidate JGL targets for RA. Sixteen ingredients were identified as the core active compounds, including, quercetin, myricetin, salidroside, etc. Interleukin-1 beta (IL1B), transcription factor AP-1 (JUN), growth-regulated alpha protein (CXCL1), C-X-C motif chemokine (CXCL)3, CXCL2, signal transducer and activator of transcription 1 (STAT1), prostaglandin G/H synthase 2 (PTGS2), matrix metalloproteinase (MMP)1, inhibitor of nuclear factor kappa-B kinase subunit beta (IKBKB) and transcription factor p65 (RELA) were obtained as the key therapeutic targets. Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis showed that the efficacy of JGL was functionally involved in regulating immune-mediated inflammation, in which IL-17/NF-κB signaling was recommended as one of the main pathways. Molecular docking suggested that the core active compounds bound strongly to their respective targets. Experimentally, JGL treatment mitigated inflammation, showed analgesic activity, and ameliorated collagen-induced arthritis. Enzyme-linked immunosorbent assay showed that JGL effectively reduced the serum levels of cytokines, chemokines, and MMPs. Immunohistochemistry staining showed that JGL markedly reduced the expression of the targets in IL-17/NF-κB pathway including IL-17A, IL-17RA, NF-κB p65, C-X-C motif ligand 2, MMP1 and MMP13. Conclusion: This investigation provided evidence that JGL may alleviate RA symptoms by partially inhibiting the immune-mediated inflammation via IL-17/NF-κB pathway.


Assuntos
Artrite Reumatoide , Medicamentos de Ervas Chinesas , Humanos , NF-kappa B , Fator de Transcrição RelA , Interleucina-17 , Simulação de Acoplamento Molecular , Farmacologia em Rede , Artrite Reumatoide/tratamento farmacológico , Inflamação/tratamento farmacológico , Medicamentos de Ervas Chinesas/farmacologia
13.
Insects ; 14(11)2023 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-37999091

RESUMO

Ants are one of the largest insect groups, with the most species and individuals in the world, and they have an important ecological function. Ants are not only an important part of the food chains but are also one of the main decomposers on the Earth; they can also improve soil fertility, etc. However, some species of ants are harmful to human beings, which leads to people's panic or worry about coming into contact with these insects during their daily home life or in their tourism or leisure activities. The presence of ants in indoor living facilities and in outdoor green spaces, parks, gardens, and tourist attractions seriously interferes with the leisure life and entertainment activities of all people (especially children). How can we control ants in these environments? Do we kill them by spraying insecticides, or do we adopt green prevention and control technology for the ecological management of ants? This topic is related to healthy life for the public and the protection of the ecological environment. In this paper, the species and diversity of ants are introduced, and research progress regarding ant tropism is introduced according to the three aspects of phototaxis, chromotaxis, and chemotaxis (i.e., "3-tropisms"). The research on repellent substances from plants and insects and the related ant attractants are also summarized, analyzed, and discussed, in order to help the research and application of green prevention and control technology for ant diversity protection and conservation.

14.
EClinicalMedicine ; 64: 102246, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37781162

RESUMO

Background: Pneumonitis is a common complication for patients with locally advanced non-small cell lung cancer undergoing definitive chemoradiotherapy (CRT). It remains unclear whether there is ethnic difference in the incidence of post-CRT pneumonitis. Methods: PubMed, Embase, Cochrane Library, and Web of Science were searched for eligible studies from January 1, 2000 to April 30, 2023. The outcomes of interest were incidence rates of pneumonitis. The random-effect model was used for statistical analysis. This meta-analysis was registered with PROSPERO (CRD42023416490). Findings: A total of 248 studies involving 28,267 patients were included. Among studies of CRT without immunotherapy, the pooled rates of pneumonitis for Asian patients were significantly higher than that for non-Asian patients (all grade: 66.8%, 95% CI: 59.2%-73.9% vs. 28.1%, 95% CI: 20.4%-36.4%; P < 0.0001; grade ≥2: 25.1%, 95% CI: 22.9%-27.3% vs. 14.9%, 95% CI: 12.0%-18.0%; P < 0.0001; grade ≥3: 6.5%, 95% CI: 5.6%-7.3% vs. 4.6%, 95% CI: 3.4%-5.9%; P = 0.015; grade 5: 0.6%, 95% CI: 0.3%-0.9% vs. 0.1%, 95% CI: 0.0%-0.2%; P < 0.0001). Regarding studies of CRT plus immunotherapy, Asian patients had higher rates of all-grade (74.8%, 95% CI: 63.7%-84.5% vs. 34.3%, 95% CI: 28.7%-40.2%; P < 0.0001) and grade ≥2 (34.0%, 95% CI: 30.7%-37.3% vs. 24.6%, 95% CI: 19.9%-29.3%; P = 0.001) pneumonitis than non-Asian patients, but with no significant differences in the rates of grade ≥3 and grade 5 pneumonitis. Results from subgroup analyses were generally similar to that from the all studies. In addition, the pooled median/mean of lung volume receiving ≥20 Gy and mean lung dose were relatively low in Asian studies compared to that in non-Asian studies. Interpretation: Asian patients are likely to have a higher incidence of pneumonitis than non-Asian patients, which appears to be due to the poor tolerance of lung to radiation. Nevertheless, these findings are based on observational studies and with significant heterogeneity, and need to be validated in future large prospective studies focusing on the subject. Funding: None.

15.
Geriatr Nurs ; 54: 258-263, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37897931

RESUMO

BACKGROUND: Dysphagia is a health concern that causes severe complications and affects the life quality of the older population. This study aimed to determine the diagnostic performance of the Eating Assessment Tool (EAT)-2 compared with the EAT-10 and the Water Swallow Test (WST) in screening for dysphagia. METHODS: A cross-sectional study was conducted among 5,090 community-dwelling older adults. Dysphagia was evaluated using both a subjective measure, the 10-item EAT (EAT-10) and an objective measure, the WST. The kappa index in pairs were analyzed. The validity and reliability of EAT-2 were also assessed. RESULTS: The sensitivity and specificity of the EAT-2 were 96.3 % and 94.8 %, respectively. The kappa index between the EAT-2 and EAT-10 was 0.64, whereas it was 0.11 between the EAT-10 and WST. CONCLUSIONS: The EAT-2 was a simpler screening tool for dysphagia. Combining the subjective questionnaire (EAT-10 or EAT-2) and the objective test (WST) is recommended.


Assuntos
Transtornos de Deglutição , Humanos , Idoso , Transtornos de Deglutição/diagnóstico , Vida Independente , Estudos Transversais , Reprodutibilidade dos Testes , Inquéritos e Questionários
16.
J Neuroinflammation ; 20(1): 242, 2023 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-37865779

RESUMO

Microglia, the primary immune cells of the central nervous system (CNS), are derived from the yolk sac and populate the brain during development. Once microglia migrate to the CNS, they are self-renewing and require CSF1R signaling for their maintenance. Pexidartinib (PLX3397, PLX), a small molecule inhibitor of the CSF1R, has been shown to effectively deplete microglia since microglial maintenance is CSF1R-dependent. There have, however, been several conflicting reports that have shown the potential off-target effects of PLX on peripheral immune cells particularly those of lymphoid origin. Given this controversy in the use of the PLX family of drugs, it has become important to ascertain to what extent PLX affects the peripheral immune profile in lymphoid (spleen, and bone marrow) and non-lymphoid (kidney, lungs, and heart) organs. PLX3397 chow treatment at 660 mg/kg for 7 days significantly reduced CD45+ macrophages, CX3CR1-GFP cells, CD11b+CD45intermediate cells, and P2RY12 expression in the brain. However, there were minimal effects on peripheral immune cells from both lymphoid and non-lymphoid organs except in the heart where there was a significant decrease in CD3+ cells, inflammatory and patrolling monocytes, and CD11b+Ly6G+ neutrophils. We then stimulated the immune system with 1 mg/kg of LPS which resulted in a significant reduction in the number of innate immune cells. In this context, PLX did not alter the cytokine profile in the serum and the brain of naïve mice but did so in the LPS-stimulated group resulting in a significant reduction in TNFα, IL-1α, IFN-γ and IL-1ß. Furthermore, PLX did not alter locomotor activity in the open field test suggesting that microglia do not contribute to LPS-induced sickness behavior. Our results provide an assessment of immune cell populations with PLX3397 treatment on brain, lymphoid and non-lymphoid organs without and during LPS treatment that can serve as a resource for understanding consequences of such approaches.


Assuntos
Lipopolissacarídeos , Microglia , Camundongos , Animais , Microglia/metabolismo , Lipopolissacarídeos/toxicidade , Lipopolissacarídeos/metabolismo , Macrófagos , Aminopiridinas/farmacologia , Receptores de Fator Estimulador de Colônias/metabolismo , Receptores Proteína Tirosina Quinases/metabolismo
17.
Res Sq ; 2023 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-37790509

RESUMO

Chemo-immunotherapy combinations have been regarded as one of the most practical ways to improve immunotherapy response in cancer patients. In this study, we integrated the transcriptomics data from immunotherapy-treated tumors and compound-treated cell lines to systematically identify chemo-immunotherapy synergisms and their underlying mechanisms. Through analyzing anti-PD-1 treatment induced expression changes in patient tumors, we developed a shift ability score that can measure whether a chemotherapy treatment shifts anti-PD-1 response. By applying the shift ability analysis on 41,321 compounds and 16,853 shRNA treated cancer cell line expression profiles, we characterized a systematic landscape of chemo-immunotherapy synergism and prioritized 17 potential synergy targets. Further investigation of the treatment induced transcriptomic data revealed that a mitophagy-dsRNA-MAVS-dependent activation of type I IFN signaling may be a novel mechanism for chemo-immunotherapy synergism. Our study represents the first comprehensive effort to mechanistically characterize chemo-immunotherapy synergism and will facilitate future pre-clinical and clinical studies.

18.
J Antimicrob Chemother ; 78(11): 2612-2629, 2023 11 06.
Artigo em Inglês | MEDLINE | ID: mdl-37791382

RESUMO

Over the past few years, therapeutic drug monitoring (TDM) has gained practical significance in antimicrobial precision therapy. Yet two categories of mainstream TDM techniques (chromatographic analysis and immunoassays) that are widely adopted nowadays retain certain inherent limitations. The use of biosensors, an innovative strategy for rapid evaluation of antimicrobial concentrations in biological samples, enables the implementation of point-of-care testing (POCT) and continuous monitoring, which may circumvent the constraints of conventional TDM and provide strong technological support for individualized antimicrobial treatment. This comprehensive review summarizes the investigations that have harnessed biosensors to detect antimicrobial drugs in biological matrices, provides insights into the performance and characteristics of each sensing form, and explores the feasibility of translating them into clinical practice. Furthermore, the future trends and obstacles to achieving POCT and continuous monitoring are discussed. More efforts are necessary to address the four key 'appropriateness' challenges to deploy biosensors in clinical practice, paving the way for personalized antimicrobial stewardship.


Assuntos
Anti-Infecciosos , Técnicas Biossensoriais , Monitoramento de Medicamentos/métodos , Anti-Infecciosos/uso terapêutico , Imunoensaio
19.
J Environ Manage ; 345: 118880, 2023 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-37660425

RESUMO

Ecosystem services (ESs) play vital roles in meeting the needs of human well-being and supporting sustainable development. However, there is limited research on how the types, amounts, interactions, and changes of the ESs collectively impact human well-being under the context of sustainable development goals (SDGs) of the United Nations. This study selected Qinghai Province of China as the study area and intended to make such an attempt to fill this gap in terms of the following aspects: (1) analyzing the spatial patterns and changing trends of ten ESs (food supply, water supply, carbon sink, soil retention, sand fixation, hydrological regulation, flood mitigation,cultural service,net primary productivity, and habitat quality) in Qinghai Province from 2000 to 2018; (2)constructing a multi-level index system of human well-being under the framework of the SDGs, and setting the criteria to assess the level of local human well-being; and (3) building a structural equation model to explore the direct and indirect impacts of the types, amounts, interactions and changes of the ESs on actual human well-being and the gaps between actual and targeted human well-being. The findings revealed that: (1) most of the ecosystem services fluctuated with significant downward or upward trends during 2000-2018, except for four ESs (i.e., carbon sink, soil retention, flood mitigation, and habitat quality); (2) only a few indicators of local residents' well-being such as meat production, milk production, the numbers of medical technical personnel in hospitals and health centers, and the numbers of scientific and technical personnel met the SDG criteria in most time, while other indicators remained at low levels and there were large gaps between them and the SDG criteria; (3) actual human well-being and the gaps between actual and targeted human well-being were affected by the types, amounts, interactions and changes of the ESs with different degrees directly or indirectly. The approaches and results in this study are instructive for other regions of the world to make certain the roles of ESs in promoting human well-being and substantiating the SDGs.


Assuntos
Ecossistema , Desenvolvimento Sustentável , Humanos , Sequestro de Carbono , China , Solo
20.
Heliyon ; 9(9): e19305, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37662820

RESUMO

The official media are the mouthpiece of the Chinese Communist Party, the government and the people, having an authoritative status and special influence that is beyond compare by unofficial media. Whereas many official media are now in a difficult situation, with their influence and people's trust in them being lower than that of unofficial media, some have figured out a path to success and have emerged as "model students" over time. This qualitative comparative analysis of 60 cases of official media aims at exploring the multi-causes path and realization mechanism of these "model students". The results show that there are five parallel multi-causes paths for official media to become "model students". From the perspective of these paths, the realization mechanism for official media to become "model students" is as follows: the governments adhere to the principle of "serving the people", bring people a sense of political efficacy, effectively expands their information channels, ensure the substantiality, objectivity and authenticity of their information, and adopt the communication strategy of empathy, so as to gain credibility and social influence. Meanwhile, a higher administrative level of government departments/state-owned enterprises to which official media belong has no significant correlation with official media' becoming "model students".

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