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1.
J Nutr Biochem ; 74: 108227, 2019 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-31675556

RESUMO

Curcumin, a major yellow pigment and spice in turmeric and curry, has been demonstrated to have an anticancer effect in human clinical trials. Mutation of KRAS has been shown in 35%-45% of colorectal cancer, and regorafenib has been approved by the US FDA to treat patients with colorectal cancer. Synthetic lethality is a type of genetic interaction between two genes such that simultaneous perturbations of the two genes result in cell death or a dramatic decrease of cell viability, while a perturbation of either gene alone is not lethal. Here, we reveal that curcumin significantly enhanced the growth inhibition of regorafenib in human colorectal cancer HCT 116 cells (KRAS mutant) to a greater extent than in human colorectal cancer HT-29 cells (KRAS wild-type), producing an additive or synergistic effect in HCT 116 cells and causing an antagonistic effect in HT-29 cells. Flow cytometric analysis showed that the addition of curcumin elevated apoptosis and greatly increased autophagy in HCT 116 cells but not in HT-29 cells. Mechanistically, curcumin behaved like MEK-specific inhibitor (U0126) to enhance regorafenib-induced growth inhibition, apoptosis and autophagy in HCT 116 cells. Our data suggest that curcumin may target one more gene other than mutant KRAS to enhance regorafenib-induced growth inhibition (synthetic lethality) in colorectal cancer HCT 116 cells, indicating a possible role of curcumin in regorafenib-treated KRAS mutant colorectal cancer.

2.
IEEE Trans Cybern ; 2019 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-31670689

RESUMO

The problem of quasi-synchronization (QS) for the Markovian jump master-slave neural networks with time-varying delay is studied in this article, where the mismatch parameters and unreliable communication channels are considered as well. A set of stochastic variables with different expectations are used to describe the fading phenomena of parallel communication channels. An impulsive-driven transmission strategy is designed to reduce the communication load, and a corresponding impulsive controller is then designed. A synchronization error system (SES) is obtained, and a convex QS condition is established for the SES. A linear matrix inequality-based iterative algorithm is proposed to reduce the bound of the SES, and the corresponding controller gains are calculated. A numerical example is provided to illustrate the effectiveness of the developed result.

3.
Cell Death Dis ; 10(11): 793, 2019 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-31624299

RESUMO

The tissue inhibitor of metalloproteinase-3 (TIMP3) is the only member of the TIMP family that binds to the extracellular matrix and suppresses cancer cell growth, angiogenesis, migration, and invasion. However, whether the abnormal expression and promoter methylation of TIMP3 facilitates oral cancer metastasis remain unclear. In this study, the DNA methylation levels of TIMP3 CpG islands were assessed through pyrosequencing. Artificial modulation of TIMP3 was performed to explore the role of TIMP3 in tumor metastasis in vitro and in vivo. Our results showed that the suppression of TIMP3 transcription by DNA methylation involves the inhibition of the binding of the transcription factor Sp1 to the TIMP3 promoter as well as the upregulation of DNMT1 and DNMT3B. Functional analyses revealed that TIMP3 overexpression reduced migration and invasion abilities in oral cancer cells and inhibited lymph node metastasis in vivo. Moreover, TIMP3 regulated epithelial-mesenchymal transition by increasing the expression of the epithelial markers and reducing the expression of the mesenchymal markers. In conclusion, our findings suggested that the suppression of TIMP3 by DNA methylation contributes to oral cancer metastasis.

4.
Proc Natl Acad Sci U S A ; 116(43): 21427-21437, 2019 Oct 22.
Artigo em Inglês | MEDLINE | ID: mdl-31601737

RESUMO

Pharmacology and optogenetics are widely used in neuroscience research to study the central and peripheral nervous systems. While both approaches allow for sophisticated studies of neural circuitry, continued advances are, in part, hampered by technology limitations associated with requirements for physical tethers that connect external equipment to rigid probes inserted into delicate regions of the brain. The results can lead to tissue damage and alterations in behavioral tasks and natural movements, with additional difficulties in use for studies that involve social interactions and/or motions in complex 3-dimensional environments. These disadvantages are particularly pronounced in research that demands combined optogenetic and pharmacological functions in a single experiment. Here, we present a lightweight, wireless, battery-free injectable microsystem that combines soft microfluidic and microscale inorganic light-emitting diode probes for programmable pharmacology and optogenetics, designed to offer the features of drug refillability and adjustable flow rates, together with programmable control over the temporal profiles. The technology has potential for large-scale manufacturing and broad distribution to the neuroscience community, with capabilities in targeting specific neuronal populations in freely moving animals. In addition, the same platform can easily be adapted for a wide range of other types of passive or active electronic functions, including electrical stimulation.

5.
Artigo em Inglês | MEDLINE | ID: mdl-31494851

RESUMO

The different part powders of rape straw as adsorbents were performed to remove zinc ions from aqueous solution in this work. The various factors on influencing removal efficiency of Zn(II) were investigated, and the operational conditions were optimized using the Box-Behnken design of response surface methodology (RSM). Under the optimum conditions obtained, the removal rates of Zn(II) were attained to 100.00%, 78.02%, and 17.00% by straw pith core, seedpods, and shell of rape straw, respectively. Equilibrium and kinetic models were applied to evaluate the adsorption behaviors of Zn(II) on the adsorbents. The equilibrium data were best described by the Langmuir isotherm model, which indicated that the adsorption behaviors were favorably monolayer adsorption processes. The biosorption capacities of Zn(II) were 34.66 mg g-1, 36.41 mg g-1, and 36.74 mg g-1 of rape straw pith core; 23.33 mg g-1, 23.85 mg g-1, and 24.30 mg g-1 of seedpods; and 11.19 mg g-1, 11.23 mg g-1, and 11.27 mg g-1 of shell, respectively, at the various temperatures of 20 °C, 30 °C, and 40 °C based on Langmuir isotherm equation. The pseudo-second-order kinetic model was well to determine the adsorption kinetics, which suggested that ion exchange were occurred during adsorption processes of Zn(II). The characteristics of adsorbents before and after adsorption of Zn(II) were measured using the methods of scanning electron microscope (SEM), zeta potential classes, energy dispersive spectrometer (EDS), and Fourier transform infrared spectroscopy (FT-IR), respectively. The results provided evidences for the adsorption mechanisms of Zn(II) including electrostatic attraction, ion exchange, and functional group involvement on the three part powders of rape straw in aqueous water.

6.
Artigo em Inglês | MEDLINE | ID: mdl-31494565

RESUMO

In this article, a globally stable adaptive control strategy for uncertain strict-feedback systems is proposed within predefined neural network (NN) approximation sets, despite the presence of unknown system nonlinearities. In contrast to the conventional adaptive NN control results in the literature, a primary benefit of the developed approach is that the barrier Lyapunov function is employed to predefine the compact set for maintaining the validity of NN approximation at each step, thus accomplishing the global boundedness of all the closed-loop signals. Simulation results are performed to clarify the effectiveness of the proposed methodology.

7.
Artigo em Inglês | MEDLINE | ID: mdl-31403444

RESUMO

This paper investigates the distributed finite-time fault-tolerant containment control problem for multiple unmanned aerial vehicles (multi-UAVs) in the presence of actuator faults and input saturation. The distributed finite-time sliding-mode observer (SMO) is first developed to estimate the reference for each follower UAV. Then, based on the estimated knowledge, the distributed finite-time fault-tolerant controller is recursively designed to guide all follower UAVs into the convex hull spanned by the trajectories of leader UAVs with the help of a new set of error variables. Moreover, the unknown nonlinearities inherent in the multi-UAVs system, computational burden, and input saturation are simultaneously handled by utilizing neural network (NN), minimum parameter learning of NN (MPLNN), first-order sliding-mode differentiator (FOSMD) techniques, and a group of auxiliary systems. Furthermore, the graph theory and Lyapunov stability analysis methods are adopted to guarantee that all follower UAVs can converge to the convex hull spanned by the leader UAVs even in the event of actuator faults. Finally, extensive comparative simulations have been conducted to demonstrate the effectiveness of the proposed control scheme.

8.
Int J Biol Macromol ; 138: 37-48, 2019 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-31295491

RESUMO

Evidence suggests that amyloid fibril mitigation/inhibition is considered a promising approach toward treating amyloid diseases. In this work, we first examined how amyloid fibrillogenesis of lysozyme was affected by BBG, a safe triphenylmethane compound with nice blood-brain-barrier-permeability, and found that shorter fibrillar species were formed in the lysozyme samples treated with BBG. Next, alterations in the features including the secondary as well as tertiary structure, extent of aggregation, and molecular distribution of lysozyme triggered by the addition of BBG were examined by various spectroscopic techniques, right-angle light scattering, dynamic light scattering, and SDS-PAGE. In addition, we have investigated how BBG affected the lysozyme fibril-induced cytotoxicity in SH-SY5Y cells. We found that a large quantity of shorter fibrillar species and more lysozyme monomers were present in the samples treated with BBG. Also, the addition of BBG rescued SH-SY5Y cells from cell death induced by amyloid fibrils of lysozyme. Finally, information about the binding sites and interacting forces involved in the BBG-lysozyme interaction was further explored using synchronous fluorescence and molecular docking approaches. Molecular docking results revealed that, apart from the hydrophobic interaction(s), hydrogen bonding, electrostatic interactions, and van der Waal forces may also be involved in the binding interaction.

9.
Nanotechnology ; 30(45): 455401, 2019 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-31349236

RESUMO

The synthesis of LiNbO3-type R3C ZnSnO3 is still a challenging task under an extremely high-pressure condition. In this work, we have not only successfully synthesized R3C ZnSnO3 nanowires (NWs) through a hydrothermal process, but ZnSnO3 NWs with a high concentration of oxygen vacancies (referred to as [Formula: see text] NWs), exhibiting a highly efficient hydrogen evolution reaction compared to unannealed ZnSnO3 and ZnO NWs. The x-ray diffraction pattern and Raman spectra both confirm that the as-synthesized ZnSnO3 NWs mainly belong to the R3C space group with a second phase of ZnSn(OH)6. The conversion efficiency of the solar-to-hydrogen [Formula: see text] NWs and the unannealed ZnSnO3 NWs is 4.8% and 1.5%, respectively. The enhancement factor of the [Formula: see text] NWs is up to 320%. The photocurrent of the ZnSnO3 NWs and the [Formula: see text] NW photoelectrodes is even 5.39 and 16.23 times higher than that of the ZnO NWs, demonstrating that the high concentration of oxygen vacancies is regarded as a useful approach to enhance the photoelectrochemical response. To the best of our knowledge, this is the first report to reveal the performance of hydrogen evolution reaction by LiNbO3-type R3C ZnSnO3 NWs, which could offer a promising way of energy harvesting when using ferroelectric materials.

10.
Brain Pathol ; 2019 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-31267597

RESUMO

Experimental autoimmune encephalomyelitis (EAE) is the primary disease model of multiple sclerosis (MS), one of the most diffused neurological diseases characterized by fatigue, muscle weakness, vision loss, anxiety and depression. EAE can be induced through injection of myelin peptides to susceptible mouse or rat strains. In particular, EAE elicited by the autoimmune reaction against myelin oligodendrocyte glycoprotein (MOG) presents the common features of human MS: inflammation, demyelination and axonal loss. Optic neuritis affects visual pathways in both MS and in several EAE models. Neurophysiological evaluation through visual evoked potential (VEP) recording is useful to check visual pathway dysfunctions and to test the efficacy of innovative treatments against optic neuritis. For this purpose, we investigate the extent of VEP abnormalities in the dark agouti (DA) rat immunized with MOG, which develops a relapsing-remitting disease course. Together with the detection of motor signs, we acquired VEPs during both early and late stages of EAE, taking advantage of a non-invasive recording procedure that allows long follow-up studies. The validation of VEP outcomes was determined by comparison with ON histopathology, aimed at revealing inflammation, demyelination and nerve fiber loss. Our results indicate that the first VEP latency delay in MOG-EAE DA rats appeared before motor deficits and were mainly related to an inflammatory state. Subsequent VEP delays, detected during relapsing EAE phases, were associated with a combination of inflammation, demyelination and axonal loss. Moreover, DA rats with atypical EAE clinical course tested at extremely late time points, manifested abnormal VEPs although motor signs were mild. Overall, our data demonstrated that non-invasive VEPs are a powerful tool to detect visual involvement at different stages of EAE, prompting their validation as biomarkers to test novel treatments against MS optic neuritis.

11.
Sci Adv ; 5(7): eaaw5296, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31281895

RESUMO

Studies of the peripheral nervous system rely on controlled manipulation of neuronal function with pharmacologic and/or optogenetic techniques. Traditional hardware for these purposes can cause notable damage to fragile nerve tissues, create irritation at the biotic/abiotic interface, and alter the natural behaviors of animals. Here, we present a wireless, battery-free device that integrates a microscale inorganic light-emitting diode and an ultralow-power microfluidic system with an electrochemical pumping mechanism in a soft platform that can be mounted onto target peripheral nerves for programmed delivery of light and/or pharmacological agents in freely moving animals. Biocompliant designs lead to minimal effects on overall nerve health and function, even with chronic use in vivo. The small size and light weight construction allow for deployment as fully implantable devices in mice. These features create opportunities for studies of the peripheral nervous system outside of the scope of those possible with existing technologies.

12.
Environ Pollut ; 249: 1106-1114, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31146316

RESUMO

Graphene oxide (GO) has been demonstrated to be key component for diverse applications. However, their potential environmental reactivity, fate and risk have not been fully evaluated to date. In this study, we investigated the photochemical reactivity of four types of GO with different oxidation degrees in aqueous environment, and their related toxicity to two bacterial models Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus) was further compared. After UV-irradiation, a large amount of oxygen functional groups on GO were reduced and the electronic conjugations within GO were restored as indicated by UV-visible absorption spectra, X-ray photoelectron spectroscopy and Raman spectroscopy analysis. Moreover, the higher the oxidation degree of the pristine GO was, the more obvious of the photo-transformation changes were. In order to further reveal the photochemical reactivity mechanisms, the reactive oxygen species (ROS) generation of GO was monitored. The quantity of ROS including singlet oxygen (1O2), superoxide anions (O2·-), and hydroxyl radicals (·OH) increased with increasing oxidation degree of GO, which was in accordance with the previous characterization results. Scanning electron microscopy and cell growth analyses of E. coli and S. aureus showed that the photochemical transformation enhanced the toxicity of GO, which might be due to an increase in functional group density. The higher conductivity of the reduced graphene oxide (RGO) was responsible for its stronger toxicity than GO through membrane damage and oxidative stress to bacteria. This study revealed that the oxidation degrees play important roles in photochemical transformation and the resulting toxicity of GO, which is helpful for understanding the environmental behaviors and risks of GO in aquatic environments.


Assuntos
Escherichia coli/efeitos dos fármacos , Grafite/toxicidade , Estresse Oxidativo/efeitos dos fármacos , Staphylococcus aureus/efeitos dos fármacos , Poluentes Químicos da Água/toxicidade , Escherichia coli/crescimento & desenvolvimento , Grafite/efeitos da radiação , Oxirredução , Processos Fotoquímicos , Espécies Reativas de Oxigênio/metabolismo , Staphylococcus aureus/crescimento & desenvolvimento , Poluentes Químicos da Água/efeitos da radiação
13.
Nutrients ; 11(6)2019 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-31234318

RESUMO

Curcumin is a polyphenol derived from curcumin longa that exhibits anticancer and anti-inflammatory properties. The consumption of foods at supernutritional levels to obtain health benefits may paradoxically result in negative health outcomes. In the present study, multiple targeting characteristics of curcumin were analyzed using our gene expression screening system, which utilized the gene expression signatures of curcumin from human hepatocellular carcinoma and colorectal cancer cells to query gene expression databases and effectively identify the molecular actions of curcumin. In agreement with prediction, curcumin inhibited NF-κB and Aurora-A, and induced G2/M arrest and apoptosis. Curcumin-suppressed NF-κB was identified through inhibition of PLCG1, PIK3R1, and MALT1 in the CD4-T-cell-receptor-signaling NF-κB cascade pathway. The results suggest that our novel gene expression screening platform is an effective method of rapidly identifying unknown biological functions and side effects of compounds with potential nutraceutical benefits.

14.
Development ; 146(13)2019 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-31189664

RESUMO

Astrocytes display diverse morphologies in different regions of the central nervous system. Whether astrocyte diversity is attributable to developmental processes and bears functional consequences, especially in humans, is unknown. RNA-seq of human pluripotent stem cell-derived regional astrocytes revealed distinct transcript profiles, suggesting differential functional properties. This was confirmed by differential calcium signaling as well as effects on neurite growth and blood-brain barrier formation. Distinct transcriptional profiles and functional properties of human astrocytes generated from regionally specified neural progenitors under the same conditions strongly implicate the developmental impact on astrocyte diversity. These findings provide a rationale for renewed examination of regional astrocytes and their role in the pathogenesis of psychiatric and neurological disorders.

15.
Cardiorenal Med ; 9(5): 297-307, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31238317

RESUMO

BACKGROUND: In dialysis patients, loss of the normal gradient in arterial compliance, assessed by the pulse wave velocity (PWV) ratio, predicts all-cause mortality better than does carotid-femoral PWV (CF-PWV) alone. However, the prognostic significance of the PWV ratio for outcome in chronic kidney disease (CKD) patients remains unclear. METHODS: In this longitudinal cohort study, CKD patients who visited our CKD management clinic between April 27, 2006, and March 27, 2008, were included and followed up. To assess the gradient in arterial compliance, the PWV ratio was calculated using CF-PWV divided by carotid-radial PWV. RESULTS: A total of 209 patients in CKD stages 1-4 with a median follow-up of 3.74 years were included. Patients with higher PWV ratio were relatively older (p < 0.001) and had worse renal function (p < 0.001), more hypertension (p < 0.001), diabetes mellitus (p < 0.001), and cardiovascular or cerebrovascular disease (p < 0.001). The median time to patient outcome (death, renal replacement therapy, or double increase in serum creatinine from baseline) in the group with a PWV ratio above the median (89.8 months, 95% CI 84.2-95.5) was shorter than that in the group with a PWV ratio below the median (105.3 months, 95% CI 101.3-109.3, p = 0.001). Univariate Cox regression analysis showed that both PWV ratio and CF-PWV were significantly associated with patient outcome. In multivariate Cox regression analysis, both PWV ratio and CF-PWV were associated with patient outcome. However, the HR for CF-PWV (2.177, 95% CI 1.064-4.453, p = 0.033) was slightly higher than that for PWV ratio (2.091, 95% CI 1.049-4.167, p = 0.036). There was a significant interaction effect between PWV ratio and CKD stage. It was shown that patients with advanced CKD stages and higher PWV ratios had a significantly higher risk of adverse CKD outcome (p = 0.006). CONCLUSIONS: The PWV ratio, as a measure of loss of the normal gradient in arterial compliance, was associated with CKD patient outcome. Patients with advanced CKD and a higher PWV ratio had a significantly higher risk of adverse CKD outcome.

16.
Biomaterials ; 214: 119227, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31174067

RESUMO

Though the cross-induction of either acute kidney (AKI) injury to ischemic stroke (IS) or IS to AKI might not be encountered in the early stages of cerebrorenal syndrome (CRS), both pathologies coexist in late stages. Therefore, we firstly established a late stage CRS rat model by simultaneous induction of both diseases, and further, cerebro and reno-protective activities of human platelet-rich plasma (hPRP), a blood-derived tissue engineering biomaterial, were tested in this pathology. hPRP was administrated via left common carotid artery and abdominal aorta 2 h post-sham procedure in Sprague-Dawley rats. Circulatory inflammatory markers (TNF-α/MPO/IL-6/Ly6G/CD11b/c), histopathologic cerebro and renal changes and oxidative stress were determined. Inflammation, infarct size, brain-associated inflammatory/DNA and mitochondrial damage and oxidative-stress with reduced neurons and neurological function were manifested in CRS group compared to other groups. CRS group also demonstrated declined renal function, accelerated renal collagen deposition, fibrosis and compromised glomerular podocyte components (podocin/ZO-1/fibronectin/synaptopodin). However, hPRP simultaneously suppressed all the inflammatory, cerebral and renal pathologic characteristics. hPRP also inhibited the expression of brain-associated inflammatory/DNA/mitochondrial damage and oxidative-stress biomarkers. These findings imply that hPRP may effectively exert cerebro- and renoprotective activities in late stage CRS through anti-oxidative, anti-inflammatory, anti-DNA and anti-mitochochondrial damaging activities.

17.
J Nanosci Nanotechnol ; 19(12): 7645-7653, 2019 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-31196271

RESUMO

This study synthesizes iron(III) oxide magnetic nanoparticles (MNPs) using a facile and eco-friendly microwave-assisted solvothermal method. The highly porous particles become stable after a 60-min reaction when the temperature is fixed at 200 °C, in which the particle size is kept at 100-150 nm. The magnetic properties, crystal structure, surface morphology, and microstructures of the prepared MNPs are then analyzed. The microstructure analysis suggests that a MNP consists of numerous small Fe3O4 particles with a size smaller than 10 nm; therefore, a large amount of microcracks is observed between grains. Moreover, the orientations in these particles are very close, implying that they grow toward the same direction that may be provided by the nuclei. The prepared MNPs thus possess a highly porous structure and have a 3-times larger specific surface area than the commercially-available MNPs. Finally, the growth mechanism of iron(III) oxide MNPs by the present process is proposed.

18.
Adv Mater ; 31(25): e1901284, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31038236

RESUMO

Mixed perovskites have achieved substantial successes in boosting solar cell efficiency, but the complicated perovskite crystal formation pathway remains mysterious. Here, the detailed crystallization process of mixed perovskites (FA0.83 MA0.17 Pb(I0.83 Br0.17 )3 ) during spin-coating is revealed by in situ grazing-incidence wide-angle X-ray scattering measurements, and three phase-formation stages are identified: I) precursor solution; II) hexagonal δ-phase (2H); and III) complex phases including hexagonal polytypes (4H, 6H), MAI-PbI2 -DMSO intermediate phases, and perovskite α-phase. The correlated device performance and ex situ characterizations suggest the existence of an "annealing window" covering the duration of stage II. The spin-coated film should be annealed within the annealing window to avoid the formation of hexagonal polytypes during the perovskite crystallization process, thus achieving a good device performance. Remarkably, the crystallization pathway can be manipulated by incorporating Cs+ ions in mixed perovskites. Combined with density functional theory calculations, the perovskite system with sufficient Cs+ will bypass the formation of secondary phases in stage III by promoting the formation of α-phase both kinetically and thermodynamically, thereby significantly extending the annealing window. This study provides underlying reasons of the time sensitivity of fabricating mixed-perovskite devices and insightful guidelines for manipulating the perovskite crystallization pathways toward higher performance.

19.
Cells ; 8(4)2019 04 03.
Artigo em Inglês | MEDLINE | ID: mdl-30987218

RESUMO

Knee osteoarthritis (OA) is one of the most prevalent disorders in elderly population. Among various therapeutic alternatives, we employed stromal vascular fraction (SVF), a heterogeneous cell population, to regenerate damaged knee cartilage. OA patients were classified on the basis of age, gender, body mass index (BMI), and x-ray-derived Kellgren-Lawrence (KL) grade. They were treated with SVF and followed-up for 24 months. Visual analogue scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Index were used to determine treatment efficacy. Cartilage healing was assessed using the MRI-based Outerbridge score (OS) and evaluation of bone marrow edema (BME) lesions, while a placebo group was used as a control. Time- and KL-dependent changes were also monitored. We observed a decreasing trend in VAS score and WOMAC index in the SVF-treated group up to 24 months, as compared with the placebo group. Besides, a significant increase and decrease in Lysholm and OS, respectively, were observed in the treatment group. Compared with the values before treatment, the greatly reduced WOMAC scores of KL3 than KL2 groups at 24 months, indicate more improvement in the KL3 group. Highly decreased BME in the treated group was also noted. In conclusion, the SVF therapy is effective in the recovery of OA patients of KL3 grade in 24 months.

20.
J Ultrasound Med ; 38(11): 3037-3042, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31020689

RESUMO

OBJECTIVES: Vertebrobasilar dolichoectasia (VBD) and vertebral artery hypoplasia (VAH) are known predisposing factors of posterior circulation stokes. These vascular conditions have unique hemodynamic patterns in neuroimaging studies; however, they have been presented as a single entity in some reports. The aim of this retrospective study was to clarify the relationship between these conditions with regard to ultrasound (US) findings. METHODS: A total of 465 patients with strokes were recruited. Brain magnetic resonance imaging of vertebrobasilar arteries and differences in extracranial side-to-side vertebral artery (VA) flow were recorded by US and compared in groups. RESULTS: The mean age of the 465 patients ± SD was 67.23 ± 12.13 years; 296 were men. The prevalence of VBD was 13.5% (n = 63), and 10.8% (n = 50) of the patients had coexisting VAH and VBD. These patients also had the highest prevalence of posterior circulation strokes (58% [n = 29]). A cutoff value of 55.65 mL/min and a ratio discrepancy of 5.28 (group median) for the side-to-side extracranial VA flow volume as detected by conventional US were also observed in the patients with both VAH and VBD. CONCLUSIONS: Our study revealed a higher prevalence of posterior circulation strokes in the patients with both VBD and VAH. Chronic asymmetric hemodynamic shear force in extracranial VAs leading to deformity of the vertebrobasilar system may explain our observations. Accordingly, the blood flow volume and the ratio difference could potentially be used to detect patients at risk of VBD and reduce stroke risk factors.

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