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1.
Mol Cell Endocrinol ; 559: 111780, 2023 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-36179941

RESUMO

Molecular pathways that contribute to orbital fibroblast activation during thyroid-eye disease (TED) may promote TED progression. Non-coding RNAs, especially miRNAs, play a critical role in the pathogenesis of TED. In the present study, miR-103a-3p was dramatically upregulated and TGFBR3 was downregulated within TED orbital tissue samples and TGF-ß-stimulated TED orbital fibroblasts. miR-103a-3p inhibition in TGF-ß-stimulated TED orbital fibroblasts partially abolished TGF-ß-induced fibrotic alterations, as manifested by the impaired fibroblast cell viability and decreased vimentin and fibronectin levels. miR-103a-3p directly targeted TGFBR3 in TED orbital samples and TGF-ß-stimulated TED orbital fibroblasts. In TGF-ß-stimulated TED orbital fibroblasts, TGFBR3 overexpression inhibited fibroblast cell viability and decreased vimentin and fibronectin levels. TGFBR3 overexpression partially attenuated the inhibitory effects of miR-103a-3p overexpression on TGFBR3 expression and the promotive effects of miR-103a-3p overexpression on TGF-ß-induced fibrotic alterations. Under TGF-ß stimulation, miR-103a-3p overexpression significantly promoted, whereas TGFBR3 overexpression inhibited the phosphorylation of Erk1/2, JNK, Smad2, and Smad3. TGFBR3 overexpression also partially abolished the effects of miR-103a-3p overexpression on Erk1/2, JNK, Smad2, and Smad3 phosphorylation. In conclusion, the miR-103a-3p/TGFBR3 axis regulated TGF-ß-induced TED orbital fibroblast activation and fibrosis in TED, with the possible involvement of the Erk/JNK and TGF-ß/Smad signaling pathways.


Assuntos
Oftalmopatia de Graves , MicroRNAs , Humanos , Fator de Crescimento Transformador beta/metabolismo , Fibronectinas/metabolismo , Vimentina/metabolismo , Fibroblastos/metabolismo , Fibrose , Oftalmopatia de Graves/metabolismo , MicroRNAs/genética , MicroRNAs/metabolismo , Proliferação de Células
2.
J Hazard Mater ; 442: 130013, 2023 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-36155297

RESUMO

Viruses transmitted by water have raised considerable concerns for public health. A novel memory photocatalyst of g-C3N4/WO3/biochar was successfully developed for effective inactivation of human adenoviruses (HAdVs) in water, in which WO3 as an electron-storage reservoir and biochar as an electron shuttle is employed to synergistically improve photocatalytic activity of g-C3N4. The tertiary composite exhibited continuous photocatalytic performance for HAdVs inactivation without regrowth in water under light-dark cycles, i.e., ∼3.9-log inactivation under 6-h visible light irradiation and an additional ∼1.1-log inactivation under the following 6-h dark. The enhanced virucidal mechanism was attributed to the heterojunction formation and especially the electron-transfer pathway switching via biochar incorporation, contributing to electron transfer and storage in the light phase and then electron release in the dark phase, along with obviously increased generation of the virus-killing •OH radicals under light-dark cycles.


Assuntos
Adenovírus Humanos , Humanos , Catálise , Desinfecção , Fotoperíodo , Água , Luz
3.
Int J Biol Macromol ; 2022 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-36395942

RESUMO

The development of cancer vaccines based on tumor-associated antigens is hurdled by lack of an efficient adjuvant and insufficient efficacy. To improve the efficacy of vaccines, a genetically-engineered method was employed in this work to achieve the codelivery of antigen and adjuvant to enhance immune responses. Trichosanthin is a plant-derived protein that possesses cancer immune stimulation function. A genetically engineered protein vaccine composed of trichosanthin (adjuvant) and legumain domain (a peptidic antigen) was constructed, which was further chemically modified with mannose for targeting dendritic cells (DCs). The method is facile and ready for scaling up for massive production. Such a "two-in-one" vaccine is advantageous for codelivery for augmenting the immune responses. The vaccine inhibited the tumors by triggering a robust cytotoxic T lymphocyte response in the orthotopic-breast-tumor mice. Furthermore, the vaccine was loaded into the temperature-sensitive hydrogel based on Pluronic F127 for implanting use in the post-surgical site. The sustained-released vaccine from the hydrogel inhibited not only the tumor recurrence but also the lung metastases of breast cancer. These findings demonstrated that it was a safe and effective vaccination for breast cancer immunotherapy in either a prophylactical or therapeutical manner for remodeling the tumor immune microenvironment and arresting tumor growth.

4.
Science ; 378(6621): 790-794, 2022 11 18.
Artigo em Inglês | MEDLINE | ID: mdl-36395241

RESUMO

Vibrational strong coupling (VSC) between molecular vibrations and microcavity photons yields a few polaritons (light-matter modes) and many dark modes (with negligible photonic character). Although VSC is reported to alter thermally activated chemical reactions, its mechanisms remain opaque. To elucidate this problem, we followed ultrafast dynamics of a simple unimolecular vibrational energy exchange in iron pentacarbonyl [Fe(CO)5] under VSC, which showed two competing channels: pseudorotation and intramolecular vibrational-energy redistribution (IVR). We found that under polariton excitation, energy exchange was overall accelerated, with IVR becoming faster and pseudorotation being slowed down. However, dark-mode excitation revealed unchanged dynamics compared with those outside of the cavity, with pseudorotation dominating. Thus, despite controversies around thermally activated VSC modified chemistry, our work shows that VSC can indeed alter chemistry through a nonequilibrium preparation of polaritons.


Assuntos
Fótons , Vibração
5.
Cancer Sci ; 2022 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-36382614

RESUMO

Cancer cells prefer glycolysis to support their proliferation. Our previous studies have shown that the long palate, lung, and nasal epithelial cell clone 1 (LPLUNC1) can up-regulate prohibitin 1 (PHB1) expression to inhibit the proliferation of nasopharyngeal carcinoma (NPC) cells. Given that PHB1 is an important regulator of cell energy metabolism, we explored whether and how LPLUNC1 regulated glucose glycolysis in NPC cells. LPLUNC1 or PHB1 over-expression decreased glycolysis and increased oxidative phosphorylation (OXPHOS)-related protein expression in NPC cells, and promoting phosphorylated PHB1 nuclear translocation through 14-3-3σ. LPLUNC1 over-expression also increased p53, but decreased c-Myc expression in NPC cells, which were crucial for the decrease in glycolysis and increase in OXPHOS-related protein expression induced by LPLUNC1 over-expression. Finally, we found that treatment with all-trans retinoic acid (ATRA) reduced the viability and clonogenicity of NPC cells, decreased glycolysis and increased OXPHOS-related protein expression by enhancing LPLUNC1 expression in NPC cells. Therefore, the LPLUNC1-PHB1-p53/c-Myc axis decreased glycolysis in NPC cells and ATRA up-regulated LPLUNC1 expression, ATRA maybe a promising drug for intervention of NPC.

6.
Adv Sci (Weinh) ; : e2205109, 2022 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-36377432

RESUMO

To surmount the major concerns of commercial small molecule Gd chelates and reported Gd-based contrast agents (GBCAs) for magnetic resonance imaging (MRI), a new concept of organogadolinium macrochelates (OGMCs) constructed from the coordination between Gd3+ and macromolecules is proposed. A library of macromolecules were screened for Gd3+ coordination, and two candidates [i.e., poly(acrylic acid) (PAA), and poly(aspartic acid) (PASP)] succeeded in OGMC formation. Under optimized synthesis conditions, both Gd-PAA12 and Gd-PASP11 OGMCs are outstanding T1 -weighted CAs owing to their super high r1 values (> 50 mm-1  s-1 , 3.0 T) and ultralow r2 /r1 ratios (< 1.6, 3.0 T). The ferromagnetism of OGMCs is completely different from the paramagnetism of commercial and reported GBCAs. The ferromagnetism is very weak (Ms  < 1.0 emu g-1 ) leading to a low r2 , which is preferred for T1 MRI. Gd3+ is not released from the OGMC Gd-PAA12 and Gd-PASP11, ensuring biosafety for in vivo applications. The safety and T1 -weighted MRI efficiencies of the OGMC Gd-PAA12 and Gd-PASP11 are tested in cells and mice. The synthesis method of the OGMCs is facile and easy to be scaled up. Consequently, the OGMC Gd-PAA12 and Gd-PASP11 are superior T1 -weighted CAs with promising translatability to replace the commercial Gd chelates.

7.
Nat Commun ; 13(1): 6724, 2022 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-36344574

RESUMO

Multi-principal element alloys (MPEA) demonstrate superior synergetic properties compared to single-element predominated traditional alloys. However, the rapid melting and uniform mixing of multi-elements for the fabrication of MPEA structural materials by metallic 3D printing is challenging as it is difficult to achieve both a high temperature and uniform temperature distribution in a sufficient heating source simultaneously. Herein, we report an ultrahigh-temperature melt printing method that can achieve rapid multi-elemental melting and uniform mixing for MPEA fabrication. In a typical fabrication process, multi-elemental metal powders are loaded into a high-temperature column zone that can be heated up to 3000 K via Joule heating, followed by melting on the order of milliseconds and mixing into homogenous alloys, which we attribute to the sufficiently uniform high-temperature heating zone. As proof-of-concept, we successfully fabricated single-phase bulk NiFeCrCo MPEA with uniform grain size. This ultrahigh-temperature rapid melt printing process provides excellent potential toward MPEA 3D printing.

8.
Chem Sci ; 13(42): 12577-12587, 2022 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-36382274

RESUMO

In the present study, norbornene-tetrazine ligation chemistry is harnessed for developing clickable RNA switches in biological contexts. This RNA control strategy is explored with a variety of applications. We further demonstrate the application of RNA-based norbornene-tetrazine ligation chemistry for controlling CRISPR systems. Moreover, the manipulation of gene editing in human cells is accomplished.

9.
Vet Microbiol ; 275: 109598, 2022 Oct 29.
Artigo em Inglês | MEDLINE | ID: mdl-36332301

RESUMO

Duck circovirus (DuCV) is an immunosuppressive virus and can induce immunosuppression increasing rates of infection caused by other pathogens, which has resulted in gross economic losses in poultry industries. The genome sizes of DuCVs varied from 1987 to 1996 nucleotides (nt). Up to date two DuCV genotypes/lineages, DuCV1 and DuCV2, have been defined, with genome identities of around 83% between each other. In this study, a novel duck circovirus having a genome size of 1755 nt was identified from laying ducks with a disease of egg production declining or abrogation from Hunan province, China. Two major open reading frames (ORFs) were identified, with ORF1 (882 nt) and ORF2 (738 nt) encoding replicase (Rep) and capsid protein (Cap), respectively. Its genome showed the highest identities of 62.3-63.7% and 66.3%- 67.8% to the known genomes of DuCVs and goose circoviruses (GoCVs) available in GenBank, respectively, while it showed less than 50% identities to the genomes of other circoviruses. The amino acid sequence of capsid of this virus showed the highest identities of 45.4%- 47.3% and 42.9%- 44.5% to capsids of the known DuCVs and GoCVs, respectively, while it showed less than 27% identity to the capsid proteins of other circoviruses available in GenBank. Further phylogenetic analyses based on genomes, amino acid sequences of Rep and Cap proteins demonstrated that the present duck circovirus was clustered in a separate clade, distinct from other DuCVs and GoCVs, corroborating it is a distinct novel circovirus species in ducks, tentatively designated as duck cirovirus 3 (DuCV3). The clinical significance and pathogenesis of this virus needs further investigation.

10.
J Control Release ; 352: 793-812, 2022 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-36343761

RESUMO

As a promising cancer treatment, photodynamic therapy (PDT) still achieved limited clinical success due to the severe hypoxia and programmed death ligand-1 (PD-L1) over-expressed immunosuppression tumor microenvironment. At present, few methods have been proven to solve these two defects simply and effectively by a single drug or nano-system simultaneously. To ameliorate this situation, we designed and constructed MB@Bu@MnO2 nanoparticles with two-step oxygen regulation ability and PD-1/PD-L1 axis cascade-disruption capacity via a biomineralization method. In such a nanosystem, manganese dioxide albumin (MnO2@Alb) was used as the drug carrier, Butformin (Bu) as mitochondria-associated oxidative phosphorylation (OXPHOS) disruption agent with PD-L1 depression and oxygen reversion ability, and methylene blue (MB) as PDT drug with programmed cell death protein 1 (PD-1) inhibition capacity. Owing to the tumor-responsive capacity of MB@Bu@MnO2 nanoparticles, Bu and MB were selectively delivered and released in tumors. Then, the tumor hypoxia was dramatically reversed by Bu inhibited oxygen consumption, and MnO2 improved oxygen generation. Following this, the reactive oxygen species (ROS) generation was enhanced by MB@Bu@MnO2 nanoparticles mediated PDT owing to the reversed tumor hypoxia. Furthermore, the immunosuppression microenvironment was also obviously reversed by MB@Bu@MnO2 nanoparticles enhanced immunogenic cell death (ICD) and PD-1/PD-L1 axis cascade-disruption, which then enhanced T cell infiltration and improved its tumor cell killing ability. Finally, the growth of solid tumors was significantly depressed by MB@Bu@MnO2 nanoparticles mediated PDT. All in all, this well-designed nanosystem could solve the defects of traditional PDT via PD-1/PD-L1 axis dual disruption and reversing tumor hypoxia by two-step oxygen regulation.

12.
BMC Public Health ; 22(1): 2163, 2022 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-36424566

RESUMO

BACKGROUND: Based on individual-level studies, previous literature suggested that conservatives and liberals in the United States had different perceptions and behaviors when facing the COVID-19 threat. From a state-level perspective, this study further explored the impact of personal political ideology disparity on COVID-19 transmission before and after the emergence of Omicron. METHODS: A new index was established, which depended on the daily cumulative number of confirmed cases in each state and the corresponding population size. Then, by using the 2020 United States presidential election results, the values of the built index were further divided into two groups concerning the political party affiliation of the winner in each state. In addition, each group was further separated into two parts, corresponding to the time before and after Omicron predominated. Three methods, i.e., functional principal component analysis, functional analysis of variance, and function-on-scalar linear regression, were implemented to statistically analyze and quantify the impact. RESULTS: Findings reveal that the disparity of personal political ideology has caused a significant discrepancy in the COVID-19 crisis in the United States. Specifically, the findings show that at the very early stage before the emergence of Omicron, Democratic-leaning states suffered from a much greater severity of the COVID-19 threat but, after July 2020, the severity of COVID-19 transmission in Republican-leaning states was much higher than that in Democratic-leaning states. Situations were reversed when the Omicron predominated. Most of the time, states with Democrat preferences were more vulnerable to the threat of COVID-19 than those with Republican preferences, even though the differences decreased over time. CONCLUSIONS: The individual-level disparity of political ideology has impacted the nationwide COVID-19 transmission and such findings are meaningful for the government and policymakers when taking action against the COVID-19 crisis in the United States.

13.
Materials (Basel) ; 15(21)2022 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-36363355

RESUMO

In engineering, loose sandy (gravelly) strata are often filled with cement-based grout to form a mixed material with a certain strength and impermeability, so as to improve the mechanical properties of sandy (gravelly) strata. The tortuosity effect of sandy (gravelly) strata and the time-varying viscosity of slurry play a key role in penetration grouting projects. In order to better understand the influence of the above factors on the penetration and diffusion mechanism of power-law slurry, based on the capillary laminar flow model, this research obtained the seepage motion equation of power-law slurry, the time-varying constitutive equations of tortuosity and power-law fluid viscosity were introduced, and the spherical diffusion equation of penetration grouting considering both the tortuosity of porous media and time-varying slurry viscosity was established, which had already been verified by existing experiments. In addition, the time-varying factors of grouting pressure, the physical parameters of the injected soil layer, and slurry viscosity on penetration grouting diffusion law and the influencing factors were analyzed. The results show that considering the tortuosity of sandy (gravelly) strata and the time-varying of slurry viscosity at the same time, the error is smaller than the existing theoretical error, only 13~19%. The diffusion range of penetration grouting in the sandy (gravelly) strata is controlled by the tortuosity of sandy (gravelly) strata, the water-cement ratio of slurry, and grouting pressure. The tortuosity of sandy (gravelly) strata is inversely proportional to the diffusion radius of the slurry, and the water-cement ratio of slurry and grouting pressure are positively correlated with the diffusion radius. In sandy (gravelly) strata with a smaller particle size, the tortuosity effect of porous media dominates the slurry pressure attenuation. When the particle size is larger, the primary controlling factor of slurry pressure attenuation is the tortuosity effect of porous media in the initial stage and the time-varying viscosity of slurry in the later stage. The research results are of great significance to guide the penetration grouting of sandy (gravelly) strata.

14.
Artigo em Inglês | MEDLINE | ID: mdl-36317753

RESUMO

Carbon-coated metal chalcogenide composites have been demonstrated as one type of promising anode material for sodium-ion batteries (SIBs). However, combining carbon materials with micronanoparticles of metal chalcogenide always involve complicated processes, such as polymer coating, carbonization, and sulfidation/selenization. To address this issue, herein, we reported a series of carbon-coated FexSey@CN (FexSey = FeSe2, Fe3Se4, Fe7Se8) composites prepared via the thermodynamic transformation of a crystalline organic hybrid iron selenide [Fe(phen)2](Se4) (phen = 1,10-phenanthroline). By pyrolyzing the bulk crystals of [Fe(phen)2](Se4) at different temperatures, FexSey microrods were formed in situ, where the nitrogen-doped carbon layers were coated on the surface of the microrods. Moreover, all the as-prepared FexSey@CN composites exhibited excellent sodium-ion storage capabilities as anode materials in SIBs. This work proves that crystalline organic hybrid metal chalcogenides can be used as a novel material system for the in situ formation of carbon-coated metal chalcogenide composites, which could have great potential in the application of electrochemical energy storage.

15.
Chemistry ; 2022 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-36372776

RESUMO

As a sustainable energy technology, electrocatalytic energy conversion and storage has become increasingly prominent. Oxygen reduction reaction (ORR), oxygen evolution reaction (OER), hydrogen evolution reaction (HER), nitrogen reduction reaction (NRR), and carbon dioxide reduction reaction (CO2RR) are the key steps in the industrial applications of energy conversion and storage. Compared to the widely used precious metal catalysts, less-noble transition metal oxides (TMOs) and TMO-like materials have attracted board attentions as electrocatalysts in the above reactions. In this concept, we summarize the challenges and opportunities of some typical TMOs in electrocatalysis, and modification strategies of TMOs as electrocatalysts are discussed.

16.
Small ; 18(46): e2200510, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36209383

RESUMO

To improve the photoelectrochemical (PEC) performance of photocatalysts, the doping strategy through covalent functionalization is often adopted to adjust material electronic structures. By contrast, this work demonstrates that the noncovalent interaction in the case of iodinated graphitic carbon nitride (g-CN) film can also enhance the PEC performance. Through a facile synthesis method of rapid thermal vapor condensation (RTVC), the prepared iodinated g-CN film shows a significantly improved photocurrent density (38.9 µA cm-2 ), three times that of pure g-CN film (13.0 µA cm-2 ) at 1.23 V versus reversible hydrogen electrode. Computations reveal that the noncovalent attachment of iodine anion (I- ) on g-CN plays a crucial role in modulating the bandgap states and broadening of the visible-light absorption range as well as the charge carrier separation with the photo-induced hole confined to I- and electron to g-CN film. The fully filled valence orbitals (4d10 5s2 5p6 ) of I- determine its noncovalent attachment on the g-CN film and so do the iodine species of I3 - , I5 - , etc. This work offers a favorable synthesis method to achieve efficient doping through noncovalent charge transfer between thin film and certain dopants and provides a useful modification strategy for the establishment of multi-channel transportation of charge carriers in general photocatalysts.

17.
Nanomedicine (Lond) ; 17(18): 1253-1279, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36250937

RESUMO

Targeted drug-delivery systems are a growing research topic in tumor treatment. In recent years, mesoporous silica nanoparticles (MSNs) have been extensively studied and applied in noninvasive and biocompatible drug-delivery systems for tumor therapy due to their outstanding advantages, which include high surface area, large pore volume, tunable pore size, easy surface modification and stable framework. The advances in the application of MSNs for anticancer drug targeting are covered and highlighted in this review, and the challenges and prospects of MSN-based targeted drug-delivery systems are discussed. This review provides new insights for researchers interested in targeted drug-delivery systems against cancer.


Assuntos
Nanopartículas , Neoplasias , Humanos , Dióxido de Silício , Porosidade , Sistemas de Liberação de Medicamentos , Nanopartículas/uso terapêutico , Neoplasias/tratamento farmacológico , Neoplasias/patologia , Portadores de Fármacos/uso terapêutico
18.
Polymers (Basel) ; 14(19)2022 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-36236002

RESUMO

In order to study the effect of polypropylene fibers on the frost resistance of natural sand and machine-made sand concrete, polypropylene fibers (PPF) of different volumes and lengths were mixed into natural sand and machine-made sand concrete, respectively. The freeze-thaw cycle test was carried out on polypropylene-fiber-impregnated natural sand concrete (PFNSC) and polypropylene-fiber-impregnated manufactured sand concrete (PFMSC), respectively, and the apparent structural changes before and after freezing and thawing were observed. Its strength damage was analyzed. A freeze-thaw damage model and a response surface model (RSM) were established used to analyze the antifreeze performance of PFMSC, and the effects of the fiber content, fiber length, and freeze-thaw times on the antifreeze performance of PFMSC were studied. The results show that with the increase in the number of freeze-thaw cycles, the apparent structures of the PFMSC gradually deteriorated, the strength decreased, and the degree of freeze-thaw damage increased. According to the strength damage model, the optimum volume of PPF for the PFNSC specimens is 1.2%, and the optimum volume of PPF for the PFMSC specimens is 1.0%. According to the prediction of RSM, PFNSC can maintain good antifreeze performance within 105 freeze-thaw cycles, and when the PPF length is 11.8 mm, the antifreeze performance of PFNSC reaches the maximum, its maximum compressive strength value is 33.8 MPa, and the split tensile strength value is 3.1 MPa; PFMSC can maintain a good antifreeze performance within 96 freeze-thaw cycles. When the length of PPF is 9.1 mm, the antifreeze performance of PFMSC reaches the maximum, its maximum compressive strength value is 45.8 MPa, and its split tensile strength value is 3.2 MPa. The predicted values are in good agreement with the measured values, and the model has high reliability.

19.
Sci Rep ; 12(1): 17268, 2022 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-36241905

RESUMO

Climate change is becoming more and more remarkable which has an obvious impact on crop yields all over the world. Future climate scenario data was simulated by 5 climate models recommended by ISI-MIP under 4 RCP scenarios, in which the approximate scenarios with global warming by 1.5 °C and 2 °C were selected. Applying DSSAT and GTAP models, the per unit yield changes of maize in the world under global warming by 1.5 °C and 2.0 °C were analyzed and the market prices of maize at national and global levels were simulated. The results showed that, the risk of maize yield reduction under 2.0 °C scenario was much more serious than 1.5 °C scenario; the ratios of yield changes were separately 0.18% and - 10.8% under 1.5 °C and 2.0 °C scenarios. The reduction trend of total maize production is obvious in the top five countries and the main producing regions of the world, especially under the 2.0 °C scenario. The market price of maize would increase by around 0.7% and 3.4% under 1.5 °C and 2.0 °C scenarios. With the quickly increasing population in the world, it is urgent for all countries to pay enough attention to the risk of maize yield and take actions of mitigation and adaptation to climate change.


Assuntos
Aquecimento Global , Zea mays , Aclimatação , Adaptação Fisiológica , Mudança Climática
20.
BMC Musculoskelet Disord ; 23(1): 914, 2022 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-36242007

RESUMO

PURPOSE: Restoration of the segment lordosis angle (SLA) can effectively reduce the risk of adjacent segment degeneration. This study aimed to perform a comprehensive multifactor analysis of the risk factors affecting restoration and maintenance of the SLA in oblique lumbar interbody fusion (OLIF). METHODS: Seventy-three patients (93 segments) who underwent OLIF with posterior pedicle screw fixation due to lumbar degenerative disease between January 2015 and December 2019 were included. Radiographic parameters including the middle disc height (MDH), segment lordosis angle (SLA), cage center point ratio (CPR), cage subsidence, and L1 CT Hounsfield Unit (HU) were measured. RESULTS: The postoperative SLA increased from 3.5° to 8.7°, and decreased to 6.7° at the last follow-up. Multivariate analysis showed that preoperative SLA, CPR and cage subsidence were significantly correlated with SLA restoration. The significant correlations were between restoration of SLA with pre-operative SLA (r=-0.575, adjusted R2 = 0.323, P < 0.01) and between SLA restoration and CPR (r = 0.526, adjusted R2 = 0.268, P < 0.01). Cage subsidence was found in 12.9% (12/93) of segments and was the main factor affecting SLA loss (4.2 ± 1.0° versus 1.7 ± 2.1°, P < 0.01). Logistic regression analysis showed that CPR < 50%, L1 CT HU < 110 and cage height > preoperative MDH were risk factors for cage subsidence. Cages placed anteriorly (CPR ≥ 50%) showed a large SLA increase and lower incidence of cage subsidence than those placed posteriorly (5.9 ± 3.9° versus 4.2 ± 3.2°, P < 0.05; 1.8% versus 28.9%, P < 0.05, respectively). CONCLUSION: SLA restoration is dependent on preoperative SLA, cage subsidence and cage position in OLIF. Cage position is the key determinant of SLA restoration and placement of the cage at the anterior position (CPR ≥ 50%) can achieve better restoration of the SLA and reduce the incidence of cage subsidence.


Assuntos
Lordose , Fusão Vertebral , Humanos , Lordose/diagnóstico por imagem , Lordose/etiologia , Lordose/cirurgia , Vértebras Lombares/diagnóstico por imagem , Vértebras Lombares/cirurgia , Região Lombossacral , Estudos Retrospectivos , Fusão Vertebral/efeitos adversos , Resultado do Tratamento
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