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1.
ACS Pharmacol Transl Sci ; 7(3): 680-692, 2024 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-38481701

RESUMO

While stroke represents one of the main causes of death worldwide, available effective drug treatment options remain limited to classic thrombolysis with recombinant tissue plasminogen activator (rtPA) for arterial-clot occlusion. Following stroke, multiple pathways become engaged in producing a vicious proinflammatory cycle through the release of damage-associated molecular patterns (DAMPs) such as high-mobility group box 1 (HMGB1) and heat shock protein 70 kDa (HSP72). HMGB1, in particular, can activate proinflammatory cytokine production when acetylated (AcHMGB1), a form that prefers cytosolic localization and extracellular release. This study aimed at determining how HMGB1 and HSP72 are modulated and affected following treatment with the anti-inflammatory compound resveratrol and novel platelet membrane-derived nanocarriers loaded with rtPA (CSM@rtPA) recently developed by our group for ischemic artery recanalization. Under ischemic conditions of oxygen-glucose deprivation (OGD), nuclear abundance of HMGB1 and AcHMGB1 in microglia and macrophages decreased, whereas treatment with CSM@rtPA did not alter nuclear or cytosolic abundance. Resveratrol treatment markedly increased the cytosolic abundance of HSP72 in microglia. Using proximity ligation assays, we determined that HSP72 interacted with HMGB1 and with acetylated HMGB1. The interaction was differentially affected under the OGD conditions. Resveratrol treatment under the OGD further decreased HSP72-HMGB1 interactions, whereas, in contrast, treatment increased HSP72-AcHMGB1 interactions in microglia. This study points out a salient molecular interaction suited for a two-pronged nanotherapeutic intervention in stroke: enhancement of rtPA's thrombolytic activity and modulation of cytosolic interactions between HMGB1 and HSP72 by resveratrol.

2.
J Nanobiotechnology ; 22(1): 10, 2024 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-38166940

RESUMO

BACKGROUND: Intravenous administration of fibrinolytic drugs, such as recombinant tissue plasminogen activator (rtPA) is the standard treatment of acute thrombotic diseases. However, current fibrinolytics exhibit limited clinical efficacy because of their short plasma half-lives and risk of hemorrhagic transformations. Platelet membrane-based nanocarriers have received increasing attention for ischemic stroke therapies, as they have natural thrombus-targeting activity, can prolong half-life of the fibrinolytic therapy, and reduce side effects. In this study we have gone further in developing platelet-derived nanocarriers (defined as cellsomes) to encapsulate and protect rtPA from degradation. Following lyophilization and characterization, their formulation properties, biocompatibility, therapeutic effect, and risk of hemorrhages were later investigated in a thromboembolic model of stroke in mice. RESULTS: Cellsomes of 200 nm size and loaded with rtPA were generated from membrane fragments of human platelets. The lyophilization process did not influence the nanocarrier size distribution, morphology, and colloidal stability conferring particle preservation and long-term storage. Encapsulated rtPA in cellsomes and administered as a single bolus showed to be as effective as a continuous clinical perfusion of free rtPA at equal concentration, without increasing the risk of hemorrhagic transformations or provoking an inflammatory response. CONCLUSIONS: This study provides evidence for the safe and effective use of lyophilized biomimetic platelet-derived nanomedicine for precise thrombolytic treatment of acute ischemic stroke. In addition, this new nanoformulation could simplify the clinical use of rtPA as a single bolus, being easier and less time-consuming in an emergency setting than a treatment perfusion, particularly in stroke patients. We have successfully addressed one of the main barriers to drug application and commercialization, the long-term storage of nanomedicines, overcoming the potential chemical and physical instabilities of nanomedicines when stored in an aqueous buffer.


Assuntos
Isquemia Encefálica , AVC Isquêmico , Acidente Vascular Cerebral , Humanos , Camundongos , Animais , Ativador de Plasminogênio Tecidual , Fibrinolíticos/farmacologia , Fibrinolíticos/uso terapêutico , Terapia Trombolítica/efeitos adversos , Acidente Vascular Cerebral/tratamento farmacológico , Isquemia Encefálica/tratamento farmacológico , Isquemia Encefálica/etiologia
3.
J Colloid Interface Sci ; 648: 488-496, 2023 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-37302232

RESUMO

A surface-engineered cell-derived nanocarrier was developed for efficient cytosolic delivery of encapsulated biologically active molecules inside living cells. Thus, a combination of aromatic-labeled and cationic lipids, instrumental in providing fusogenic properties, was intercalated into the biomimetic shell of self-assembled nanocarriers formed from cell membrane extracts. The nanocarriers were loaded, as a proof of concept, with either bisbenzimide molecules, a fluorescently labeled dextran polymer, the bicyclic heptapeptide phalloidin, fluorescently labeled polystyrene nanoparticles or a ribonucleoprotein complex (Cas9/sgRNA). The demonstrated nanocarriers fusogenic behavior relies on the fusogen-like properties imparted by the intercalated exogenous lipids, which allows for circumventing lysosomal storage, thereby leading to efficient delivery into the cytosolic milieu where cargo regains function.


Assuntos
Sistemas de Liberação de Medicamentos , Nanopartículas , RNA Guia de Sistemas CRISPR-Cas , Citosol/metabolismo , Lipídeos/química , Nanopartículas/química , Portadores de Fármacos/química
4.
Adv Drug Deliv Rev ; 197: 114829, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37121275

RESUMO

The engagement with the immune system is one of the main cornerstones in the development of nanotechnologies for therapy and diagnostics. Recent advances have made possible the tuning of features like size, shape and biomolecular modifications that influence such interactions, however, the capabilities for immune modulation of nanoparticles are still not well defined and exploited. This review focuses on recent advances made in preclinical research for the application of nanoparticles to modulate immune responses, and the main features making them relevant for such applications. We review and discuss newest evidence in the field, which include in vivo experiments with an extensive physicochemical characterization as well as detailed study of the induced immune response. We emphasize the need of incorporating knowledge about immune response development and regulation in the design and application of nanoparticles, including the effect by parameters such as the administration route and the differential interactions with immune subsets.


Assuntos
Imunoterapia , Nanopartículas , Humanos , Nanopartículas/química , Nanotecnologia , Sistema Imunitário , Tamanho da Partícula
5.
Chem Commun (Camb) ; 59(20): 2869-2887, 2023 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-36757184

RESUMO

Metal-organic frameworks (MOFs) are extremely versatile materials, which serve to create platforms with exceptional porosity and specific reactivities. The production of MOFs at the nanoscale (NMOFs) offers the possibility of creating innovative materials for bioapplications as long as they maintain the properties of their larger counterparts. Due to their inherent chemical versatility, synthetic methods to produce them at the nanoscale can be combined with inorganic nanoparticles (NPs) to create nanocomposites (NCs) with one-of-a-kind features. These systems can be remotely controlled and can catalyze abiotic reactions in living cells, which have the potential to stimulate further research on these nanocomposites as tools for advanced therapies.

6.
Sci Total Environ ; 860: 160503, 2023 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-36442637

RESUMO

Severe acute respiratory syndrome coronavirus 2, abbreviated as SARS-CoV-2, has been associated with the transmission of infectious COVID-19 disease through breathing and speech droplets emitted by infected carriers including asymptomatic cases. As part of SARS-CoV-2 global pandemic preparedness, we studied the transmission of aerosolized air mimicking the infected person releasing speech aerosol with droplets containing CorNPs using a vibrating mesh nebulizer as human patient simulator. Generally speech produces nanoaerosols with droplets of <5 µm in diameter that can travel distances longer than 1 m after release. It is assumed that speech aerosol droplets are a main element of the current Corona virus pandemic, unlike droplets larger than 5 m, which settle down within a 1 m radius. There are no systemic studies, which take into account speech-generated aerosol/droplet experimental validation and their aerodynamics/particle kinetics analysis. In this study, we cover these topics and explore role of residual water in aerosol droplet stability by exploring drying dynamics. Furthermore, a candle experiment was designed to determine whether air pollution might influence respiratory virus like nanoparticle transmission and air stability.


Assuntos
COVID-19 , Nanopartículas , Humanos , SARS-CoV-2 , Saliva Artificial , Aerossóis e Gotículas Respiratórios
7.
J Nanobiotechnology ; 20(1): 538, 2022 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-36544135

RESUMO

Nanoparticles have now long demonstrated capabilities that make them attractive to use in biology and medicine. Some of them, such as lipid nanoparticles (SARS-CoV-2 vaccines) or metallic nanoparticles (contrast agents) are already approved for their use in the clinic. However, considering the constantly growing body of different formulations and the huge research around nanomaterials the number of candidates reaching clinical trials or being commercialized is minimal. The reasons behind being related to the "synthetic" and "foreign" character of their surface. Typically, nanomaterials aiming to develop a function or deliver a cargo locally, fail by showing strong off-target accumulation and generation of adverse responses, which is connected to their strong recognition by immune phagocytes primarily. Therefore, rendering in negligible numbers of nanoparticles developing their intended function. While a wide range of coatings has been applied to avoid certain interactions with the surrounding milieu, the issues remained. Taking advantage of the natural cell membranes, in an approach that resembles a cell transfer, the use of cell-derived surfaces has risen as an alternative to artificial coatings or encapsulation methods. Biomimetic technologies are based on the use of isolated natural components to provide autologous properties to the nanoparticle or cargo being encapsulated, thus, improving their therapeutic behavior. The main goal is to replicate the (bio)-physical properties and functionalities of the source cell and tissue, not only providing a stealthy character to the core but also taking advantage of homotypic properties, that could prove relevant for targeted strategies. Such biomimetic formulations have the potential to overcome the main issues of approaches to provide specific features and identities synthetically. In this review, we provide insight into the challenges of nano-biointerfaces for drug delivery; and the main applications of biomimetic materials derived from specific cell types, focusing on the unique strengths of the fabrication of novel nanotherapeutics in cancer therapy.


Assuntos
Materiais Biomiméticos , COVID-19 , Nanopartículas , Neoplasias , Humanos , Biomimética , Vacinas contra COVID-19 , COVID-19/metabolismo , SARS-CoV-2 , Sistemas de Liberação de Medicamentos , Nanopartículas/uso terapêutico , Membrana Celular/metabolismo , Neoplasias/terapia , Neoplasias/metabolismo
8.
Nanoscale ; 14(18): 6789-6801, 2022 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-35467684

RESUMO

The synthesis of nanosized metal-organic frameworks (NMOFs) is requisite for their application as injectable drug delivery systems (DDSs) and other biorelevant purposes. Herein, we have critically examined the role of different synthetic parameters leading to the production of UiO-66 crystals smaller than 100 nm. Of note, we demonstrate the co-modulator role conferred by halide ions, not only to produce NMOFs with precise morphology and size, but also to significantly improve the reaction yield. The resulting NMOFs are highly crystalline and exhibit sustained colloidal stability in different biologically relevant media. As a proof of concept, these NMOFs were loaded with Rhodamine 6G (R6G), which remained trapped in most common biologically relevant media. When incubated with living mammalian cells, the R6G-loaded NMOFs were efficiently internalized and did not impair cell viability even at relatively high doses.


Assuntos
Compostos Inorgânicos , Estruturas Metalorgânicas , Compostos Organometálicos , Ácidos Ftálicos , Animais , Sistemas de Liberação de Medicamentos , Mamíferos , Estruturas Metalorgânicas/química
9.
J Nanobiotechnology ; 20(1): 46, 2022 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-35062954

RESUMO

BACKGROUND: Ischemic stroke is the most common cerebrovascular disease and is caused by interruption of blood supply to the brain. To date, recombinant tissue plasminogen activator (rtPA) has been the main pharmacological treatment in the acute phase. However, this treatment has some drawbacks, such as a short half-life, low reperfusion rate, risk of hemorrhagic transformations, and neurotoxic effects. To overcome the limitations of rtPA and improve its effectiveness, we recently designed sonosensitive sub-micrometric capsules (SCs) loaded with rtPA with a size of approximately 600 nm, synthesized using the layer-by-layer (LbL) technique, and coated with gelatine for clot targeting. In this study, we evaluated the rtPA release of ultrasound (US)-responsive SCs in healthy mice and the therapeutic effect in a thromboembolic stroke model. RESULTS: In healthy mice, SCs loaded with rtPA 1 mg/kg responded properly to external US exposure, extending the half-life of the drug in the blood stream more than the group treated with free rtPA solution. The gelatine coating also contributed to stabilizing the encapsulation and maintaining the response to US. When the same particles were administered in the stroke model, these SCs appeared to aggregate in the ischemic brain region, probably generating secondary embolisms and limiting the thrombolytic effect of rtPA. Despite the promising results of these thrombolytic particles, at least under the dose and size conditions used in this study, the administration of these capsules represents a risk factor for stroke. CONCLUSIONS: This is the first study to report the aggregation risk of a drug carrier in neurological pathologies such as stroke. Biocompatibility analysis related to the use of nano-and microparticles should be deeply studied to anticipate the limitations and orientate the design of new nanoparticles for translation to humans.


Assuntos
Isquemia Encefálica , Encéfalo , Fibrinolíticos/efeitos adversos , Acidente Vascular Cerebral/patologia , Terapia Trombolítica , Animais , Encéfalo/diagnóstico por imagem , Encéfalo/efeitos dos fármacos , Encéfalo/patologia , Isquemia Encefálica/induzido quimicamente , Isquemia Encefálica/patologia , Cápsulas/efeitos adversos , Modelos Animais de Doenças , Imageamento por Ressonância Magnética , Masculino , Camundongos , Terapia Trombolítica/efeitos adversos , Terapia Trombolítica/métodos , Ativador de Plasminogênio Tecidual/metabolismo
10.
ACS Nano ; 15(10): 16924-16933, 2021 10 26.
Artigo em Inglês | MEDLINE | ID: mdl-34658232

RESUMO

We describe a microporous plasmonic nanoreactor to carry out designed near-infrared (NIR)-driven photothermal cyclizations inside living cells. As a proof of concept, we chose an intramolecular cyclization that is based on the nucleophilic attack of a pyridine onto an electrophilic carbon, a process that requires high activation energies and is typically achieved in bulk solution by heating at ∼90 °C. The core-shell nanoreactor (NR) has been designed to include a gold nanostar core, which is embedded within a metal-organic framework (MOF) based on a polymer-stabilized zeolitic imidazole framework-8 (ZIF-8). Once accumulated inside living cells, the MOF-based cloak of NRs allows an efficient diffusion of reactants into the plasmonic chamber, where they undergo the transformation upon near-IR illumination. The photothermal-driven reaction enables the intracellular generation of cyclic fluorescent products that can be tracked using fluorescence microscopy. The strategy may find different type of applications, such as for the spatio-temporal activation of prodrugs.


Assuntos
Estruturas Metalorgânicas , Ouro , Nanotecnologia , Polímeros
11.
Mol Pharm ; 17(12): 4667-4675, 2020 12 07.
Artigo em Inglês | MEDLINE | ID: mdl-33186043

RESUMO

Intracerebral hemorrhage (ICH), being the most severe cerebrovascular disease, accounts for 10-15% of all strokes. Hematoma expansion is one of the most important factors associated with poor outcome in intracerebral hemorrhage (ICH). Several studies have suggested that an "ischemic penumbra" might arise when the hematoma has a large expansion, but clinical studies are inconclusive. We performed a preclinical study to demonstrate the presence of hypoxic-ischemic tissue around the hematoma by means of longitudinal [18F]-fluoromisonidazole ([18F]-FMISO) PET/MRI studies over time in an experimental ICH model. Our results showed that all [18F]-FMISO PET/MRI images exhibited hypoxic-ischemic tissue around the hematoma area. A significant increase of [18F]-FMISO uptake was found at 18-24 h post-ICH when the maximum of hematoma volume is achieved and this increase disappeared before 42 h. These results demonstrate the presence of hypoxic tissue around the hematoma and open the possibility of new therapies aimed to reduce ischemic damage associated with ICH.


Assuntos
Hemorragia Cerebral/complicações , Hematoma/diagnóstico , Hipóxia-Isquemia Encefálica/diagnóstico , Misonidazol/análogos & derivados , Acidente Vascular Cerebral/prevenção & controle , Idoso , Animais , Encéfalo/irrigação sanguínea , Encéfalo/diagnóstico por imagem , Encéfalo/patologia , Hemorragia Cerebral/diagnóstico , Hemorragia Cerebral/patologia , Modelos Animais de Doenças , Hematoma/etiologia , Hematoma/patologia , Humanos , Hipóxia-Isquemia Encefálica/etiologia , Hipóxia-Isquemia Encefálica/patologia , Imageamento por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade , Misonidazol/administração & dosagem , Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada/métodos , Ratos , Acidente Vascular Cerebral/etiologia
13.
Cell Rep Phys Sci ; 1(6): 100076, 2020 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-32685935

RESUMO

Translating the potential of transition metal catalysis to biological and living environments promises to have a profound impact in chemical biology and biomedicine. A major challenge in the field is the creation of metal-based catalysts that remain active over time. Here, we demonstrate that embedding a reactive metallic core within a microporous metal-organic framework-based cloak preserves the catalytic site from passivation and deactivation, while allowing a suitable diffusion of the reactants. Specifically, we report the fabrication of nanoreactors composed of a palladium nanocube core and a nanometric imidazolate framework, which behave as robust, long-lasting nanoreactors capable of removing propargylic groups from phenol-derived pro-fluorophores in biological milieu and inside living cells. These heterogeneous catalysts can be reused within the same cells, promoting the chemical transformation of recurrent batches of reactants. We also report the assembly of tissue-like 3D spheroids containing the nanoreactors and demonstrate that they can perform the reactions in a repeated manner.

14.
J Nanobiotechnology ; 18(1): 85, 2020 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-32503549

RESUMO

BACKGROUND: The unique upconversion properties of rare-earth-doped nanoparticles offers exciting opportunities for biomedical applications, in which near-IR remote activation of biological processes is desired, including in vivo bioimaging, optogenetics, and light-based therapies. Tuning of upconversion in purposely designed core-shell nanoparticles gives access to biological windows in biological tissue. In recent years there have been several reports on NIR-excitable upconverting nanoparticles capable of working in biological mixtures and cellular settings. Unfortunately, most of these nanosystems are based on ytterbium's upconversion at 980 nm, concurrent with water's absorption within the first biological window. Thus, methods to produce robust upconverting nanoplatforms that can be efficiently excited with other than 980 nm NIR sources, such as 808 nm and 1064 nm, are required for biomedical applications. RESULTS: Herein, we report a synthetic method to produce aqueous stable upconverting nanoparticles that can be activated with 808 nm excitation sources, thus avoiding unwanted heating processes due to water absorbance at 980 nm. Importantly, these nanoparticles, once transferred to an aqueous environment using an amphiphilic polymer, remain colloidally stable for long periods of time in relevant biological media, while keeping their photoluminescence properties. The selected polymer was covalently modified by click chemistry with two FDA-approved photosensitizers (Rose Bengal and Chlorin e6), which can be efficiently and simultaneously excited by the light emission of our upconverting nanoparticles. Thus, our polymer-functionalization strategy allows producing an 808 nm-activable photodynamic nanoplatform. These upconverting nanocomposites are preferentially stored in acidic lysosomal compartments, which does not negatively affect their performance as photodynamic agents. Upon 808 nm excitation, the production of reactive oxidative species (ROS) and their effect in mitochondrial integrity were demonstrated. CONCLUSIONS: In summary, we have demonstrated the feasibility of using photosensitizer-polymer-modified upconverting nanoplatforms that can be activated by 808 nm light excitation sources for application in photodynamic therapy. Our nanoplatforms remain photoactive after internalization by living cells, allowing for 808 nm-activated ROS generation. The versatility of our polymer-stabilization strategy promises a straightforward access to other derivatizations (for instance, by integrating other photosensitizers or homing ligands), which could synergistically operate as multifunctional photodynamic platforms nanoreactors for in vivo applications.


Assuntos
Nanopartículas , Fotoquimioterapia , Fármacos Fotossensibilizantes , Polímeros , Química Click , Estabilidade de Medicamentos , Células HeLa , Humanos , Raios Infravermelhos , Espaço Intracelular/química , Substâncias Luminescentes/química , Substâncias Luminescentes/farmacocinética , Substâncias Luminescentes/efeitos da radiação , Nanopartículas/química , Nanopartículas/metabolismo , Nanopartículas/efeitos da radiação , Fármacos Fotossensibilizantes/química , Fármacos Fotossensibilizantes/farmacocinética , Fármacos Fotossensibilizantes/efeitos da radiação , Polímeros/química , Polímeros/farmacocinética , Polímeros/efeitos da radiação , Espécies Reativas de Oxigênio/metabolismo
15.
Adv Biosyst ; 4(3): e1900260, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32293149

RESUMO

Translating the potential of thermoplasmonics to cell-derived nanomaterials offers exciting opportunities to fabricate beyond state-of-art artificial biomimetic nanocomposites that upon illumination perform active tasks such as delivery of cargo in complex, dynamic media such as the cytosol of cells. Cell-derived nanoparticles have shown stunning potential to implement cell-specific functions, such as long blood circulation or targeting capabilities, into advanced drug delivery nanosystems. The biomimicry nanotechnology has now advanced to offer new and exciting opportunities to improve the commonly poor in vivo performance of most current nanomedicines, including evading the immune system and targeting specific tissues such as tumors, the latest remaining among the most wanted breakthroughs in nanomedicine. However, the use of cell-derived nanocomposites as stimulus-controlled drug delivery agents remains virtually unexplored. This study reports the fabrication of a plasmonic cell-derived nanocomposite by integrating near-infrared active gold nanorods in its structure. As a proof of concept, the plasmonic nanomembranes are loaded with cell non-permeant antibodies, which upon near-infrared stimulation can be released from the plasmonic nanomembranes into the cytosol of living cells, without impairing cell viability or the antibodies' function. These results set the stage for the development of photoactive cell-derived nanocarriers, which in addition to cell-specific functions promise straightforward access to spatiotemporal-controlled intracellular delivery of antibodies.


Assuntos
Materiais Biomiméticos , Micropartículas Derivadas de Células , Sistemas de Liberação de Medicamentos/métodos , Nanocompostos , Nanomedicina Teranóstica/métodos , Micropartículas Derivadas de Células/química , Micropartículas Derivadas de Células/metabolismo , Preparações de Ação Retardada , Ouro/química , Células HeLa , Humanos , Nanotubos/química
16.
Nat Commun ; 10(1): 4731, 2019 10 21.
Artigo em Inglês | MEDLINE | ID: mdl-31636264

RESUMO

Compounds with specific cytotoxic activity in senescent cells, or senolytics, support the causal involvement of senescence in aging and offer therapeutic interventions. Here we report the identification of Cardiac Glycosides (CGs) as a family of compounds with senolytic activity. CGs, by targeting the Na+/K+ATPase pump, cause a disbalanced electrochemical gradient within the cell causing depolarization and acidification. Senescent cells present a slightly depolarized plasma membrane and higher concentrations of H+, making them more susceptible to the action of CGs. These vulnerabilities can be exploited for therapeutic purposes as evidenced by the in vivo eradication of tumors xenografted in mice after treatment with the combination of a senogenic and a senolytic drug. The senolytic effect of CGs is also effective in the elimination of senescence-induced lung fibrosis. This experimental approach allows the identification of compounds with senolytic activity that could potentially be used to develop effective treatments against age-related diseases.


Assuntos
Apoptose/efeitos dos fármacos , Glicosídeos Cardíacos/farmacologia , Senescência Celular/efeitos dos fármacos , Condrócitos/efeitos dos fármacos , Fibroblastos/efeitos dos fármacos , Células A549 , Animais , Antibióticos Antineoplásicos/farmacologia , Bleomicina/farmacologia , Neoplasias da Mama , Linhagem Celular Tumoral , Membrana Celular/efeitos dos fármacos , Digoxina/farmacologia , Feminino , Humanos , Concentração de Íons de Hidrogênio/efeitos dos fármacos , Camundongos , Osteoartrite , Ouabaína/farmacologia , Proscilaridina/farmacologia , Fibrose Pulmonar , Ensaios Antitumorais Modelo de Xenoenxerto
17.
Prog. obstet. ginecol. (Ed. impr.) ; 62(5): 436-442, sept.-oct. 2019. tab
Artigo em Inglês | IBECS | ID: ibc-192125

RESUMO

OBJECTIVE: To assess the perception and personal opinions of gynecologists regarding genitourinary syndrome of menopause (GSM) and to analyze potential differences with those of postmenopausal women. MATERIAL AND METHODS: Spanish gynecologists completed a web-based survey. Each item had four possible answers: < 10%, 10%-50%, 50%-90%, and virtually all women. Results were then compared with those of the Spanish cohort of the REVIVE study. RESULTS: From 633 gynecologists, a third would ask all postmenopausal women about genitourinary syndrome of menopause symptoms and 43.68% would perform a vulvovaginal examination on all postmenopausal women. According to the most frequent answers, 50-90% of women would have genitourinary syndrome of menopause symptoms but < 10% would know that genitourinary syndrome of menopause is a chronic and treatable condition. Up to 90% of women with genitourinary syndrome of menopause would avoid sexual intercourse because of vulvovaginal discomfort or pain. Moreover, 50-90% of women with genitourinary syndrome of menopause would not have any treatment. When comparing results for gynecologists and postmenopausal women, there were some coincidences but also some worrying disparities. CONCLUSIONS: Spanish gynecologists know about genitourinary syndrome of menopause. However, they must be more proactive, to improve the patient-doctor relationship and to be more aware of the sexual life of postmenopausal women. Moreover, many postmenopausal women could benefit from genitourinary syndrome of menopause treatments. Good patient-doctor relationships, and more patient education, are essential


OBJETIVO: evaluar la percepción y las opiniones personales de los ginecólogos sobre el síndrome genitourinario de la menopausia y analizar las posibles diferencias con la percepción de las de las mujeres posmenopáusicas. MATERIAL Y MÉTODOS: los ginecólogos españoles completaron una encuesta en la web. Cada elemento tenía cuatro respuestas posibles: < 10%, 10%-50%, 50%-90% y prácticamente todas las mujeres. Los resultados se compararon entonces con los de la cohorte española del estudio REVIVE. RESULTADOS: de los 633 ginecólogos, un tercio preguntaría a todas las mujeres posmenopáusicas sobre los síntomas del síndrome genitourinario de la menopausia y el 43,68% realizaría un examen vulvovaginal a todas las mujeres posmenopáusicas. Según las respuestas más frecuentes, 50-90% de las mujeres tendrían síntomas del síndrome genitourinario de la menopausia, pero < 10% sabría que el síndrome genitourinario de la menopausia es una condición crónica y con tratamiento. Hasta el 90% de las mujeres con síndrome genitourinario de la menopausia evitarían las relaciones sexuales debido a molestias o dolores vulvovaginales. Además, el 50-90% de las mujeres con síndrome genitourinario de la menopausia no estarían recibiendo ningún tratamiento. Al comparar los resultados de los ginecólogos y los de las mujeres posmenopáusicas hubo algunas coincidencias, pero también algunas discrepancias preocupantes. CONCLUSIONES: los ginecólogos españoles conocen el síndrome genitourinario de la menopausia. Sin embargo, deben ser más proactivos, para mejorar la relación médico-paciente y para ser más conscientes de la vida sexual de las mujeres posmenopáusicas. Además, muchas mujeres posmenopáusicas podrían beneficiarse de los tratamientos del síndrome genitourinario de la menopausia. La buena relación médico-paciente y una mayor educación de la paciente son esenciales


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Pós-Menopausa , Relações Médico-Paciente , Exame Ginecológico , Doenças dos Genitais Femininos/diagnóstico , Doenças dos Genitais Femininos/etiologia , Inquéritos e Questionários , Estudos de Coortes , Atrofia , Espanha
18.
J Nanobiotechnology ; 17(1): 98, 2019 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-31530277

RESUMO

The authors apologized for the unfortunate error in figure during publication of the article and they also explained that some of the solid grey graphs in Fig. 5 are intentionally based on the same data. For 8 different surface makers (CD14, CD73, CD34, CD105, CD19, CD90, CD45, HA-DR) in accordance to the guidelines of the manufacturer a panel of 4 different isotype controls were used, corresponding to 4 different fluorescence channels.

19.
J Control Release ; 308: 162-171, 2019 08 28.
Artigo em Inglês | MEDLINE | ID: mdl-31310784

RESUMO

External stimuli such as light, magnetic fields or ultrasounds allow for controlled drug release from nanocarriers with spatiotemporal resolution. Such tetherless approaches may become a straightforward solution to overcome the specificity problems typically associated with nanomedicines. Most of current nanomedicines suffer of very low specificity in vivo, thus rendering efficient targeted delivery among the most wanted breakthroughs in the fields of nanotechnology and medicine. Here we present a sonosensitive, sub-micrometric layer-by-layer capsule system for ultrasound-controlled delivery of macromolecules in vivo. As a proof of concept, the serine protease recombinant tissue plasminogen activator (rtPA), a thrombolytic drug widely employed for the treatment of acute ischemic stroke and other thromboembolic pathologies, is used as encapsulated active compound. The activity of encapsulated rtPA and its ultrasound-induced delivery from the cavity of the capsules are demonstrated. We show, first, that rtPA encapsulation prevents its endogenous biological inactivation and do not interfere with the thrombolytic activity of the drug. Second, upon ultrasound application, delivery of rtPA promotes breakdown of blood clots in vitro. Finally, the ultrasound-triggered in vivo delivery of rtPA from capsules intravenously administrated in mice is demonstrated.


Assuntos
Sistemas de Liberação de Medicamentos , Ativador de Plasminogênio Tecidual/administração & dosagem , Ondas Ultrassônicas , Administração Intravenosa , Animais , Isquemia Encefálica/tratamento farmacológico , Cápsulas , Fibrinolíticos/administração & dosagem , Fibrinolíticos/farmacologia , Masculino , Camundongos , Proteínas Recombinantes , Acidente Vascular Cerebral/tratamento farmacológico , Ativador de Plasminogênio Tecidual/farmacologia
20.
Angew Chem Int Ed Engl ; 58(21): 7078-7082, 2019 05 20.
Artigo em Inglês | MEDLINE | ID: mdl-30897254

RESUMO

A plasmonic core-shell gold nanostar/zeolitic-imidazolate-framework-8 (ZIF-8) nanocomposite was developed for the thermoplasmonic-driven release of encapsulated active molecules inside living cells. The nanocomposites were loaded, as a proof of concept, with bisbenzimide molecules as functional cargo and wrapped with an amphiphilic polymer that prevents ZIF-8 degradation and bisbenzimide leaking in aqueous media or inside living cells. The demonstrated molecule-release mechanism relies on the use of near-IR light coupled to the plasmonic absorption of the core gold nanostars, which creates local temperature gradients and thus, bisbenzimide thermodiffusion. Confocal microscopy and surface-enhanced Raman spectroscopy (SERS) were used to demonstrate bisbenzimide loading/leaking and near-IR-triggered cargo release inside cells, thereby leading to DNA staining.

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