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3.
Front Bioeng Biotechnol ; 11: 1153394, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37187886

RESUMO

Background: Acetabular metastasis is a type of metastatic bone cancer, and it mainly metastasizes from cancers such as lung cancer, breast cancer, and renal carcinoma. Acetabular metastasis often causes severe pain, pathological fractures, and hypercalcemia which may seriously affect the quality of life of acetabular metastasis patients. Due to the characteristics of acetabular metastasis, there is no most suitable treatment to address it. Therefore, our study aimed to investigate a novel treatment technique to relieve these symptoms. Methods: Our study explored a novel technique to reconstruct the stability of the acetabular structure. A surgical robot was used for accurate positioning and larger-bore cannulated screws were accurately inserted under the robot's guidance. Then, the lesion was curetted and bone cement was injected through a screw channel to further strengthen the structure and kill tumor cells. Results: A total of five acetabular metastasis patients received this novel treatment technique. The data relating to surgery were collected and analyzed. The results found that this novel technique can significantly reduce operation time, intraoperative bleeding, visual analogue score scores, Eastern Cooperative Oncology Group scores, and postoperative complications (e.g., infection, implant loosening, hip dislocation) after treatment. Follow-up time ranged from 3 months to 6 months, and the most recent follow-up results showed that all patients survived and no acetabular metastasis progressed in any of the patients after surgery. Conclusion: Surgical robot-assisted tripod percutaneous reconstruction combined with the bone cement filling technique may be a novel and suitable treatment in acetabular metastasis patients. Our study may provide new insights into the treatment of acetabular metastasis.

4.
bioRxiv ; 2023 Apr 21.
Artigo em Inglês | MEDLINE | ID: mdl-37131590

RESUMO

Zrt-/Irt-like protein (ZIP) divalent metal transporters play a central role in maintaining trace element homeostasis. The prototypical ZIP from Bordetella bronchiseptica (BbZIP) is an elevator-type transporter, but the dynamic motions and detailed transport mechanism remain to be elucidated. Here, we report a high-resolution crystal structure of a mercury-crosslinked BbZIP variant at 1.95 Å, revealing an upward rotation of the transport domain in the new inward-facing conformation and a water-filled metal release channel that is divided into two parallel pathways by the previously disordered cytoplasmic loop. Mutagenesis and transport assays indicated that the newly identified high-affinity metal binding site in the primary pathway acts as a "metal sink" to reduce the transport rate. The discovery of a hinge motion around an extracellular axis allowed us to propose a sequential hinge-elevator-hinge movement of the transport domain to achieve alternating access. These findings provide key insights into the transport mechanisms and activity regulation.

5.
Ann Clin Microbiol Antimicrob ; 22(1): 35, 2023 May 11.
Artigo em Inglês | MEDLINE | ID: mdl-37170137

RESUMO

BACKGROUND: The clinical symptoms of invasive fungal infections (IFI) are nonspecific, and early clinical diagnosis is challenging, resulting in high mortality rates. This study reports the development of a novel aptamer-G-quadruplex/hemin self-assembling color system (AGSCS) based on (1 → 3)-ß-D-glucans' detection for rapid, specific and visual diagnosis of IFI. METHODS: We screened high affinity and specificity ssDNA aptamers binding to (1 → 3)-ß-D-glucans, the main components of cell wall from Candida albicans via Systematic Evolution of Ligands by EXponential enrichment. Next, a comparison of diagnostic efficiency of AGSCS and the (1 → 3)-ß-D-glucans assay ("G test") with regard to predicting IFI in 198 clinical serum samples was done. RESULTS: Water-soluble (1 → 3)-ß-D-glucans were successfully isolated from C. albicans ATCC 10,231 strain, and these low degree of polymerization glucans (< 1.7 kD) were targeted for aptamer screening with the complementary sequences of G-quadruplex. Six high affinity single stranded DNA aptamers (A1, A2, A3, A4, A5 and A6) were found. The linear detection range for (1 → 3)-ß-D-glucans stretched from 1.6 pg/mL to 400 pg/mL on a microplate reader, and the detection limit was 3.125 pg/mL using naked eye observation. Using a microplate reader, the sensitivity and specificity of AGSCS for the diagnosis of IFI were 92.68% and 89.65%, respectively, which was higher than that of the G test. CONCLUSION: This newly developed visual diagnostic method for detecting IFI showed promising results and is expected to be developed as a point-of-care testing kit to enable quick and cost effective diagnosis of IFI in the future.


Assuntos
Infecções Fúngicas Invasivas , beta-Glucanas , Humanos , Hemina , Sensibilidade e Especificidade , Glucanos , Candida albicans
6.
Gastrointest Endosc ; 2023 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-37207844

RESUMO

BACKGROUND AND AIMS: Stenosis after esophageal Endoscopic Submucosal Dissection (ESD) has a high incidence, and muscular injury is an important risk factor for esophageal stenosis. Hence, this study aimed to classify muscular injury degrees and investigate their association with postoperative stenosis. METHODS: This retrospective study included 1,033 patients with esophageal mucosal lesions treated with ESD between August 2015 and March 2021. Demographic and clinical parameters were analyzed, and stenosis risk factors were identified using multivariate logistic regression. A novel muscular injury classification system was proposed and used to investigate the association between different muscular injury degrees and postoperative stenosis. Finally, a scoring system was established to predict muscular injury. RESULTS: Of 1,033 patients, 118 (11.4%) had esophageal stenosis. The multivariate analysis demonstrated that the history of endoscopic esophageal treatment, circumferential range, and muscular injury were significant risk factors for esophageal stenosis. Patients with Type II muscular injuries tended to develop complex stenosis (n = 13, 36.1%, p < 0.05), and Type II muscular injuries were more likely to predispose patients to severe stenosis than Type I (73.3 and 92.3%, respectively). The scoring system showed that patients with high scores (3-6) were more likely to suffer muscular injury. The score model presented good discriminatory power in the internal validation [area under the receiver operating characteristic (ROC) curve (AUC): 0.706; 95% confidence interval (CI): 0.645-0.767] and goodness-of-fit in the Hosmer-Lemeshow test (p = 0.865). CONCLUSIONS: Muscular injury was an independent risk factor for esophageal stenosis. The scoring system demonstrated good performance in predicting muscular injury during ESD.

7.
Signal Transduct Target Ther ; 8(1): 201, 2023 May 13.
Artigo em Inglês | MEDLINE | ID: mdl-37179402

RESUMO

In the past period, due to the rapid development of next-generation sequencing technology, accumulating evidence has clarified the complex role of the human microbiota in the development of cancer and the therapeutic response. More importantly, available evidence seems to indicate that modulating the composition of the gut microbiota to improve the efficacy of anti-cancer drugs may be feasible. However, intricate complexities exist, and a deep and comprehensive understanding of how the human microbiota interacts with cancer is critical to realize its full potential in cancer treatment. The purpose of this review is to summarize the initial clues on molecular mechanisms regarding the mutual effects between the gut microbiota and cancer development, and to highlight the relationship between gut microbes and the efficacy of immunotherapy, chemotherapy, radiation therapy and cancer surgery, which may provide insights into the formulation of individualized therapeutic strategies for cancer management. In addition, the current and emerging microbial interventions for cancer therapy as well as their clinical applications are summarized. Although many challenges remain for now, the great importance and full potential of the gut microbiota cannot be overstated for the development of individualized anti-cancer strategies, and it is necessary to explore a holistic approach that incorporates microbial modulation therapy in cancer.


Assuntos
Antineoplásicos , Microbioma Gastrointestinal , Microbiota , Neoplasias , Humanos , Microbiota/fisiologia , Neoplasias/genética , Neoplasias/terapia , Antineoplásicos/farmacologia , Antineoplásicos/uso terapêutico , Imunoterapia
8.
Plant Dis ; 2023 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-37189047

RESUMO

Creeping bentgrass (Agrostis stolonifera L.), is one of the major cool-season turfgrass species, which is widely planted in putting greens at golf courses in China (Zhou et al. 2022). In June 2022, an unknown disease with reddish-brown spots (2-5 cm in diameter) were observed on 'A4' creeping bentgrass putting greens at Longxi golf course in Bejing. As the disease progressed, the spots coalesced and formed irregular patches (15-30 cm in diameter). When looking closely, the leaves were wilting, yellowing and melting out from the foliar tips to the crowns. The disease incidence was estimated up to 10-20 % of each putting green and a total of five putting greens had similar symptoms as described above. Three to five symptomatic samples were collected from each green. Diseased leaves were cut into pieces, surface sterilized in 0.6% sodium hypochlorite (NaClO) for 1 min, washed three times with sterilized water, air dried and placed on potato dextrose agar (PDA) containing 50 mg L-1 streptomycin sulfate and tetracycline. Plates were incubated in the dark at 25 °C for 3 days, and fungal isolates with similar morphology (irregular cultures with dark-brown back and light-brown to white surface) was consistently recovered. Pure cultures were obtained by repeat hyphal-tip transfer. The fungus did not grow well on PDA medium, radial growth was estimated 1.5 mm/d, and dark-brown colony was surrounded by light-white margin. However, it grew fast on creeping bentgrass leaf extract (CBLE) medium, CBLE medium was produced by adding 0.75 g potato powder, 5 g agar and 20 mL creeping bentgrass leaf juice (with 1 g fresh creeping bentgrass leaf) into 250 mL sterile water. The colony was sparse and light-white, and radial growth was roughly 9 mm/d on CBLE medium. Conidia were spindle-shaped, olive to brown in color, pointy or obtuse at both ends, 4 to 8 septa, and a size range of 9.85 to 20.20 × 26.26 to 45.64 µm (14.85 µm × 40.62 µm average, n = 30). Genomic DNA of two representative isolates (HH2 and HH3) was extracted, the nuclear ribosomal internal transcribed spacer (ITS) and glyceraldehyde 3-phosphate dehydrogenase (GAPDH) region were amplified with primers ITS1/ITS4 (White et al. 1990) and gpd1/gpd2 (Berbee et al. 1999), respectively. The ITS (OQ363182 and OQ363183) and GAPDH (OQ378336 and OQ378337) sequences were deposited in GenBank. BLAST analyses revealed that the sequences shared 100% and 99% similarity with the published ITS (CP102792) and GAPDH (CP102794) of B. sorokiniana strain LK93, respectively. To complete Koch's postulates, 3 plastic pots (15 cm height × 10 cm top diameter × 5 cm bottom diameter, three replicates for the isolate HH2) were seeded with creeping bentgrass and inoculated with a spore suspension (1×105 conidia/mL) after two months of plant growths. Healthy creeping bentgrass inoculated with distilled water served as controls. All pots were covered with plastic bags, placed in a growth chamber with a 12-h day/night cycle at 30/25°C and 90% relative humidity. Disease symptoms (yellowing and melting out leaf) were noted after 7 days. B. sorokiniana was recovered from the diseased leaves and identified morphologically and molecularly as described above. To our knowledge, this is the first report of melting out on creeping bentgrass caused by B. sorokiniana in China. The report here will provide a scientific basis for developing management strategies on this disease in the future. Additional study is needed to investigate the prevalence of the disease on putting greens from golf courses in larger regions of China.

9.
Dev Comp Immunol ; 145: 104726, 2023 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-37149238

RESUMO

Piscidins participate in the innate immune response of fish, which aims to eliminate recognized foreign microbes and restore the homeostasis of immune system. We characterized two piscidin-like antimicrobial peptides (LjPL-3 and LjPL-2) isolated from Japanese sea bass (Lateolabrax japonicus). LjPL-3 and LjPL-2 showed different expression patterns in tissues. After Vibrio harveyi infection, the mRNA expression of LjPL-3 and LjPL-2 was upregulated in the liver, spleen, head kidney, and trunk kidney. The synthetic mature peptides LjPL-3 and LjPL-2 exhibited different antimicrobial spectra. Furthermore, LjPL-3 and LjPL-2 treatments decreased inflammatory cytokine production while promoting chemotaxis and phagocytosis in monocytes/macrophages (MO/MФ). LjPL-2, but not LjPL-3, displayed bacterial killing capability in MO/MФ. LjPL-3 and LjPL-2 administration increased Japanese sea bass survival after V. harveyi challenge, which was accompanied by a decline in bacterial burden. These data suggested that LjPL-3 and LjPL-2 participate in immune response through direct bacterial killing and MO/MФ activation.

10.
Medicine (Baltimore) ; 102(18): e33671, 2023 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-37144990

RESUMO

RATIONALE: Tuberculosis (TB) and post-transplant lymphoproliferative disorder are serious complications affecting the long-term survival of kidney transplant recipients (KTRs). Both of complications have overlapping clinical symptoms, signs, and high similar imaging presentation, which make early clinical diagnosis challenging. In this paper, we reported a rare case of post-transplant pulmonary TB combined with Burkitt lymphoma (BL) in KTR. PATIENT CONCERNS: A 20-year-old female KTR presented to our hospital with abdominal pain and multiple nodules throughout the body. DIAGNOSES: TB is diagnosed based on the lung histopathology showed fibrous connective tissue hyperplasia with number of chronic inflammatory changes, localized necrosis, granuloma formation and multinucleated giant cells were seen in the lung tissue. Moreover, lung histopathology specimen tested positive for TB gene. TB The culture for tuberculosis was positive. BL was diagnosed as metastatic after completion of liver and bone marrow biopsy. INTERVENTIONS: After an early diagnosis of TB, the patient received intensification of anti-tubercular therapy. Because the patient was diagnosed with BL, rituximab, cardioprotection, hepatoprotection and alkalinization of urine were added. OUTCOMES: After an early diagnosis of TB, the patient received anti-tubercular therapy and her clinical symptoms and imaging manifestations improved. After the diagnosis of BL was made, the patient's condition progressed rapidly, followed by multi-organ damage and died 3 months later. LESSONS: Therefore, in organ transplant patients, who present with multiple nodules and normal tumor markers, they should be alerted to the possibility of concurrent TB and post-transplant lymphoproliferative disorder, and perfect tests such as Epstein-Barr virus, ß2-microglobulin, lactate dehydrogenase, γ-interferon release test and Xpert Mycobacterium TB/rifampicin test and perform early lesion site biopsy to clarify the diagnosis with a view to improving the prognosis.


Assuntos
Linfoma de Burkitt , Infecções por Vírus Epstein-Barr , Transplante de Rim , Tuberculose , Humanos , Feminino , Adulto Jovem , Adulto , Linfoma de Burkitt/complicações , Linfoma de Burkitt/diagnóstico , Transplante de Rim/efeitos adversos , Infecções por Vírus Epstein-Barr/complicações , Herpesvirus Humano 4/genética , Tuberculose/diagnóstico
11.
J Anim Sci Biotechnol ; 14(1): 74, 2023 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-37147656

RESUMO

BACKGROUND: Carcass traits are crucial for broiler ducks, but carcass traits can only be measured postmortem. Genomic selection (GS) is an effective approach in animal breeding to improve selection and reduce costs. However, the performance of genomic prediction in duck carcass traits remains largely unknown. RESULTS: In this study, we estimated the genetic parameters, performed GS using different models and marker densities, and compared the estimation performance between GS and conventional BLUP on 35 carcass traits in an F2 population of ducks. Most of the cut weight traits and intestine length traits were estimated to be high and moderate heritabilities, respectively, while the heritabilities of percentage slaughter traits were dynamic. The reliability of genome prediction using GBLUP increased by an average of 0.06 compared to the conventional BLUP method. The Permutation studies revealed that 50K markers had achieved ideal prediction reliability, while 3K markers still achieved 90.7% predictive capability would further reduce the cost for duck carcass traits. The genomic relationship matrix normalized by our true variance method instead of the widely used [Formula: see text] could achieve an increase in prediction reliability in most traits. We detected most of the bayesian models had a better performance, especially for BayesN. Compared to GBLUP, BayesN can further improve the predictive reliability with an average of 0.06 for duck carcass traits. CONCLUSION: This study demonstrates genomic selection for duck carcass traits is promising. The genomic prediction can be further improved by modifying the genomic relationship matrix using our proposed true variance method and several Bayesian models. Permutation study provides a theoretical basis for the fact that low-density arrays can be used to reduce genotype costs in duck genome selection.

12.
Gastrointest Endosc ; 2023 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-37150417

RESUMO

BACKGROUND AND AIMS: Reintervention modalities following myotomy failure in achalasia patients have yet to be established. The efficacy and safety of salvage peroral endoscopic myotomy (POEM) for treatment of achalasia following a myotomy failure were evaluated in the study. METHOD: Between August 2011 to August 2021, at the Endoscopy Center of Zhongshan Hospital, 219 achalasia patients who had previously undergone a myotomy underwent a salvage POEM and were thus retrospectively enrolled in this study. After propensity score matching (PSM), operation-related parameters were compared between the salvage POEM group and the naïve POEM group. Subgroup analysis was performed between patients with previous heller myotomy (HM) and patients with previous POEM. RESULT: With similar baseline characteristics between both groups after PSM, the salvage POEM group presented with shorter tunnel length (11.8±2.2 vs. 12.8±0.9, p<0.0001) and myotomy length (9.8±2.0 vs. 10.4±1.0, p<0.0001) than the naïve POEM group. There were no significant differences in procedure-related adverse events (AEs) between patients of salvage POEM and naïve POEM. The primary outcome of treatment success occurred in 175 of 193 patients (90.7%) in salvage POEM group vs. 362 of 374 patients (96.8%) in naïve POEM group (p = 0.0046). Significantly higher rate of clinical failures were observed at the 2-year and 5-year follow-ups in the previous HM subgroup than the previous POEM subgroup (p = 0.0433, p = 0.0230, respectively). CONCLUSION: Salvage POEM following a previous myotomy failure, especially after POEM failure, is a promising treatment option as it has a durable clinical relief rate.

13.
Int J Biol Macromol ; 242(Pt 1): 124738, 2023 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-37169056

RESUMO

Rod-shaped cellulose nanocrystals (CNCs), also called cellulose nanorods (CNRs), possess anisotropic properties that allow for their self-organization into chiral nematic liquid crystals. Interestingly, spherical cellulose nanocrystals (cellulose nanospheres, CNSs) have also been shown to form a chiral liquid-crystalline phase in recent years. Herein, to understand how the similar assembly takes places as particle dimension changes, the organization features of CNSs were investigated. Results of this study demonstrate that above a critical concentration in suspension, CNSs organize into a liquid-crystal phase consisting of periodically parallel-aligned layer structures. This structure persists after suspension drying. In comparison with CNRs, the alignment of CNSs exhibits a shorter layer distance, lower order degree, and weaker long-range orientation. To explain the early stages of tactoid formation, a "caterpillar-like" model was proposed, which was captured by freezing the CNS suspension in an intermediate aggregation state. This structure serves as the fundamental unit for further liquid-crystal assembly.

14.
Front Oncol ; 13: 1136729, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37213285

RESUMO

Background: The heterogeneous crosstalk between tumor cells and other cells in their microenvironment means a notable difference in clinical outcomes of head and neck squamous cell carcinoma (HNSCC). CD8+ T cells and macrophages are effector factors of the immune system, which have direct killing and phagocytosis effects on tumor cells. How the evolution of their role in the tumor microenvironment influences patients clinically remains a mystery. This study aims to investigate the complex communication networks in the HNSCC tumor immune microenvironment, elucidate the interactions between immune cells and tumors, and establish prognostic risk model. Methods: 20 HNSCC samples single-cell rna sequencing (scRNA-seq) data and bulk rna-seq data were derived from public databases. The "cellchat" R package was used to identify cell-to-cell communication networks and prognostic related genes, and then cell-cell communication (ccc) molecular subtypes were constructed by unsupervised clustering. Kaplan-Meier(K-M) survival analysis, clinical characteristics analysis, immune microenvironment analysis, immune cell infiltration analysis and CD8+T cell differentiation correlation analysis were performed. Finally, the ccc gene signature including APP, ALCAM, IL6, IL10 and CD6 was constructed based on univariate Cox analysis and multivariate Cox regression. Kaplan-Meier analysis and time-dependent receiver operating characteristic (ROC) analysis were used to evaluate the model in the train group and the validation group, respectively. Results: With CD8+T cells from naive to exhaustion state, significantly decreased expression of protective factor (CD6 gene) is associated with poorer prognosis in patients with HNSCC. The role of macrophages in the tumor microenvironment has been identified as tumor-associated macrophage (TAM), which can promote tumor proliferation and help tumor cells provide more nutrients and channels to facilitate tumor cell invasion and metastasis. In addition, based on the strength of all ccc in the tumor microenvironment, we identified five prognostic ccc gene signatures (cccgs), which were identified as independent prognostic factors by univariate and multivariate analysis. The predictive power of cccgs was well demonstrated in different clinical groups in train and test cohorts. Conclusion: Our study highlights the propensity for crosstalk between tumors and other cells and developed a novel signature on the basis of a strong association gene for cell communication that has a powerful ability to predict prognosis and immunotherapy response in patients with HNSCC. This may provide some guidance for developing diagnostic biomarkers for risk stratification and therapeutic targets for new therapeutic strategies.

15.
Cell Syst ; 14(5): 404-417.e4, 2023 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-37164011

RESUMO

Cell populations in the tumor microenvironment (TME), including their abundance, composition, and spatial location, are critical determinants of patient response to therapy. Recent advances in spatial transcriptomics (ST) have enabled the comprehensive characterization of gene expression in the TME. However, popular ST platforms, such as Visium, only measure expression in low-resolution spots and have large tissue areas that are not covered by any spots, which limits their usefulness in studying the detailed structure of TME. Here, we present TESLA, a machine learning framework for tissue annotation with pixel-level resolution in ST. TESLA integrates histological information with gene expression to annotate heterogeneous immune and tumor cells directly on the histology image. TESLA further detects unique TME features such as tertiary lymphoid structures, which represents a promising avenue for understanding the spatial architecture of the TME. Although we mainly illustrated the applications in cancer, TESLA can also be applied to other diseases.


Assuntos
Ecossistema , Neoplasias , Humanos , Transcriptoma/genética , Perfilação da Expressão Gênica , Neoplasias/genética , Aprendizado de Máquina , Microambiente Tumoral/genética
16.
Int J Ophthalmol ; 16(5): 794-799, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37206172

RESUMO

AIM: To investigate the myopia awareness level, knowledge, attitude, and skills at baseline and to implement and evaluate the efficacy of myopia prevention health education among Chinese students. METHODS: A total of 1000 middle school students from 2 middle schools were invited to participate in the study, and myopia prevention health education was conducted. The students were assessed at baseline, followed by a survey. The efficacy of health education was evaluated using the self-comparison method pre- and post-health education. RESULTS: The study included 957 and 850 pre- and post-health education participants, respectively. The baseline knowledge of all respondents on myopic symptoms (87.5%), myopia is a risk of eyes (72.9%), myopia prevention (91.3%), myopia increases with age (86.7%), performing periodic eye examinations (92.8%), and one first, one foot, and one inch (84.8%) significantly increased after health education (P<0.001 for all). However, the percentage of students who still did not think it necessary to take breaks after 30-40min of continuous near work was 27.0%. The opinion that "myopia can be cured" was still present in 38.3%. CONCLUSION: Implementing school-based myopia prevention health education improves knowledge, attitudes, and skills regarding myopia among Chinese middle school students.

17.
Org Biomol Chem ; 21(19): 4022-4027, 2023 05 17.
Artigo em Inglês | MEDLINE | ID: mdl-37128802

RESUMO

Amino acids play an important role in the formation of proteins, enzymes, hormones and peptides in animals. Moreover, aspartic acid and glutamic acid have a critical impact on the central nervous system as excitatory neurotransmitters. Here, we report the highly selective detection of L-glutamic acid (L-Glu) and L-aspartic acid (L-Asp) using fluorescent microparticles constructed by the combination of aggregation-induced emission and self-assembly-induced Förster resonance energy transfer.


Assuntos
Ácido Aspártico , Ácido Glutâmico , Animais , Ácido Aspártico/química , Transferência Ressonante de Energia de Fluorescência , Aminoácidos , Peptídeos , Corantes
18.
Phys Chem Chem Phys ; 25(19): 13772-13783, 2023 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-37159254

RESUMO

The non-heme Fe(II) and 2-oxoglutarate (2OG) dependent ethylene-forming enzyme (EFE) catalyzes both ethylene generation and L-Arg hydroxylation. Despite experimental and computational progress in understanding the mechanism of EFE, no EFE variant has been optimized for ethylene production while simultaneously reducing the L-Arg hydroxylation activity. In this study, we show that the two L-Arg binding conformations, associated with different reactivity preferences in EFE, lead to differences in the intrinsic electric field (IntEF) of EFE. Importantly, we suggest that applying an external electric field (ExtEF) along the Fe-O bond in the EFE·Fe(III)·OO-˙·2OG·L-Arg complex can switch the EFE reactivity between L-Arg hydroxylation and ethylene generation. Furthermore, we explored how applying an ExtEF alters the geometry, electronic structure of the key reaction intermediates, and the individual energy contributions of second coordination sphere (SCS) residues through combined quantum mechanics/molecular mechanics (QM/MM) calculations. Experimentally generated variant forms of EFE with alanine substituted for SCS residues responsible for stabilizing the key intermediates in the two reactions of EFE led to changes in enzyme activity, thus demonstrating the key role of these residues. Overall, the results of applying an ExtEF indicate that making the IntEF of EFE less negative and stabilizing the off-line binding of 2OG is predicted to increase ethylene generation while reducing L-Arg hydroxylation.


Assuntos
Arginina , Compostos Férricos , Hidroxilação , Arginina/química , Etilenos/química
19.
Surg Endosc ; 2023 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-37069428

RESUMO

BACKGROUNDS: Esophageal gastrointestinal stromal tumors (E-GISTs) are extremely rare and surgical resection is the recommended approach. However, surgical resection usually causes severe trauma that may result in significant postoperative morbidity. Endoscopic resection (ER) has developed rapidly in recent years and has been widely used in gastrointestinal lesions. Nevertheless, the feasibility and efficacy of ER in the management of E-GISTs are unknown. METHODS: Retrospective data were collected from January 2011 to December 2020 in a large tertiary center of China. Twenty-eight patients with E-GISTs treated by ER were included in the study. RESULTS: Of the 28 patients, there were 21 males and 7 females, with a median age of 55 years (40-70 years). The median tumor size was 15 mm (5-80 mm). The technical success rate was 100% (28/28), while the en bloc resection rate was 96.4% (27/28). The median operation time was 35 min (10-410 min). Sixteen (57.2%) tumors were categorized into very low risk group, six (21.4%) into low risk group, and six (21.4%) into high risk group. Pathologists carefully examined margins of each lesion. There were 11 lesions (39.3%) determined as R0 resection and 17 lesions (60.7%) as R1 resection with positive margins. The median hospital stay was 2 days (range, 1-8 days). One patient suffered from hydrothorax and required drainage, leading to a major adverse event rate of 3.6% (1/28). There was no conversion to surgery, and no death occurred within 30 days after the procedure. Imatinib was given to two patients after ER under multidisciplinary team surveillance. During follow-up (median of 54 months, 9-122 months), no recurrences or metastasis were observed. CONCLUSION: ER is safe and effective for E-GISTs and might become an optional choice in the future. Multicenter, prospective, large samples with long-term follow-up studies are still needed.

20.
Blood Adv ; 2023 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-37078706

RESUMO

Relapsed or refractory (r/r) mantle cell lymphoma (MCL) is an aggressive B-cell malignancy with poor prognosis. Bruton's tyrosine kinase (BTK) is a mediator of B-cell receptor signaling and is associated with the development of B-cell lymphomas. Patients with r/r MCL were enrolled in this phase 1/2 study and treated with orelabrutinib, a novel, highly selective BTK inhibitor. The median number of prior regimens was two (range, 1 to 4). The median age was 62 years (range, 37 to 73 years). Eligible patients received oral orelabrutinib 150 mg once daily (n = 86) or 100 mg twice daily (n = 20) until disease progression or unacceptable toxicity. 150 mg once daily was chosen as the preferred RP2D. After a median follow-up of 23.8 months, the overall response rate was 81.1%, with 27.4% achieving complete response and 53.8% achieving partial response. The median duration of response and progression-free survival were 22.9 and 22.0 months, respectively. The median overall survival (OS) was not reached and the rate of OS at 24 months was 74.3%. Adverse events (AE) occurring in > 20% of patients were thrombocytopenia (34.0%), upper respiratory tract infection (27.4%), and neutropenia (24.5%). Grade ≥ 3 AE were infrequent and most commonly included thrombocytopenia (13.2%), neutropenia (8.5%), and anemia (7.5%). Three patients discontinued treatment due to treatment-related adverse events (TRAE) and no fatal TRAE were reported. Orelabrutinib showed substantial efficacy and was well tolerated in patients with r/r MCL. This trial was registered at www.clinicaltrials.gov as #NCT03494179.

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