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1.
J Asian Nat Prod Res ; : 1-13, 2019 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-31496278

RESUMO

A UPLC-MS/MS method was developed and validated the determination and pharmacokinetic study of magnoflorine, cauloside C, hederagenin, and oleanolic acid from Caulophyllum robustum. Digoxin was used as the internal standard. The pretreated plasma samples were carried out on a Waters ACQUITYUPLC HSS T3 column at 35 °C with a mobile phase of acetonitrile-water (90:10, v/v) at a flow rate of 0.2 mL/min. This article describes the most simple, sensitive, and validated UPLC-MS/MS method to date for the simultaneous successful determination of four compounds in rat plasma after oral administration of the extract of C. robustum and their pharmacokinetic studies.

2.
PLoS One ; 14(9): e0222135, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31487326

RESUMO

OBJECTIVE: To investigate the association of bilateral high-frequency hearing loss (BHFHL) with blood pressure and hypertension among occupational noise exposed workers. METHODS: Occupational noise exposed workers were enrolled in 2017 from the occupational diseases survey of Chengdu. BHFHL was classified as normal, mild, or high by the bilateral high-frequency tone average. Linear regression model was used to assess the effects of occupational noise exposure time and BHFHL on blood pressure. Logistic regression model was performed to estimate hypertension risk odds ratios (ORs) associated to occupational noise exposure time and BHFHL. RESULTS: Increasing years of occupational noise exposure and BHFHL were significantly associated with systolic and diastolic blood pressure increase (all P<0.001). The lineal trend was only significant in males, with adjusted ORs for hypertension gradually increasing with increasing years of occupational noise exposure (P<0.001). Furthermore, subjects having mild and high BHFHL had a higher hypertension risk of 34% and 281%, respectively (both P<0.001). Dose-response relationship between BHFHL and hypertension was found in both males and females. CONCLUSIONS: Occupational noise exposure was positively associated with blood pressure levels and hypertension risk.

3.
Poult Sci ; 2019 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-31504884

RESUMO

Infectious bursal disease virus (IBDV) is still a vital etiological agent in poultry farms. IBDV outbreaks occasionally occur due to the presence of very virulent, reassortment or variant strains. Vaccine immunization has played crucial roles in IBD control for decades. However, survival pressure of IBDV from the vaccine immunization also increases the reassortments of circulating viruses. In this study, an IBDV strain was isolated from several broiler farms in Henan Province, central part of China, and named IBDV HN strain. Based on the results of RT-PCR, sequencing and phylogenic analyses of VP1 and VP2 genes, the IBDV HN strain is a novel reassortment strain in the Henan region. Segment A of this strain appears to originate from the very virulent IBDV strain, while segment B comes from the other field reassortment strains. This may be the result of natural reassortant of virus circulating in the field. About 60% (6/10) of experimentally infected specific pathogen-free chickens died after 3 to 5 d post-infection with typical symptom and pathological lesions. The IBDV HN strain was prone to horizontal transmission, which poses a serious threat to the chicken industry. Further investigation on the prevalence, virulence, and evolution of HN strain IBDV will provide a foundation for the prevention and control of the disease in this region.

4.
Mater Sci Eng C Mater Biol Appl ; 104: 109849, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31499944

RESUMO

A novel multifunctional nano-system, ZnPc-UCNPs-PEG-G, was designed for targeted and in-depth photodynamic therapy. The nano-system was built via covalent conjugation, in which phthalocyanine zinc (ZnPc), Gefitinib (G), NaYF4: Yb, Er (UCNPs) and PEG derivatives were employed as the photosensitizer, target moiety, upconversion nanomaterial and linker unit, respectively. The photophysical/chemical properties, in-depth photodynamic activity, cancer cell specificity and anticancer activity of ZnPc-UCNPs-PEG-G were investigated. The as-prepared ZnPc-UCNPs-PEG-G exhibits excellent photosensitizing ability, generating reactive oxygen species (ROS) via effective energy transfer from UCNP to phthalocyanine zinc. In addition, the composite exhibits specific affinity to HepG2 cancer cells and high anticancer activity. To the best of our knowledge, this is the only example of a UCNP platform that is capable of molecular targeted and in-depth photodynamic and chemo-anticancer therapy via the introduction of a small molecular targeting drug moiety.

6.
Adv Mater ; : e1905146, 2019 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-31513323

RESUMO

Metal fluoride-lithium batteries with potentially high energy densities, even higher than lithium-sulfur batteries, are viewed as very promising candidates for next-generation lightweight and low-cost rechargeable batteries. However, so far, metal fluoride cathodes have suffered from poor electronic conductivity, sluggish reaction kinetics and side reactions causing high voltage hysteresis, poor rate capability, and rapid capacity degradation upon cycling. Herein, it is reported that an FeF3 @C composite having a 3D honeycomb architecture synthesized by a simple method may overcome these issues. The FeF3 nanoparticles (10-50 nm) are uniformly embedded in the 3D honeycomb carbon framework where the honeycomb walls and hexagonal-like channels provide sufficient pathways for the fast electron and Li-ion diffusion, respectively. As a result, the as-produced 3D honeycomb FeF3 @C composite cathodes even with high areal FeF3 loadings of 2.2 and 5.3 mg cm-2 offer unprecedented rate capability up to 100 C and remarkable cycle stability within 1000 cycles, displaying capacity retentions of 95%-100% within 200 cycles at various C rates, and ≈85% at 2C within 1000 cycles. The reported results demonstrate that the 3D honeycomb architecture is a powerful composite design for conversion-type metal fluorides to achieve excellent electrochemical performance in metal fluoride-lithium batteries.

7.
ACS Appl Mater Interfaces ; 11(34): 31291-31301, 2019 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-31381287

RESUMO

In this study, two novel composite membranes containing nanoscale ZIF-8 and polyphenylene sulfide (PPS) nonwoven fabric were prepared via hydrothermal (PPS-ZIF-8) and biomimetic mineralization (PPS-ZIF-8-BSA; BSA, bovine serum albumin) approaches. The biomimetic mineralization approach in particular was extremely rapid and mild, and crystalline ZIF-8 was coated on the PPS substrate in only a few seconds at room temperature. The maximum iodine adsorption capacities of the PPS-ZIF-8 and PPS-ZIF-8-BSA membranes were 2.51 and 2.07 g/g, respectively. The composite fibrous membranes were able to capture trace iodine vapor under differential pressures ranging from 0 to 1000 Pa without almost any iodine vapor leakage. The composite membranes can be applied in harsh environments because of the excellent stability of ZIF-8 and the PPS high-performance fibers. This study provides a promising strategy to fabricate novel adsorption materials for the collection of radioactive iodine during nuclear waste disposal.

8.
World Neurosurg ; 2019 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-31465849

RESUMO

OBJECTIVE: To explore the risk factors of delayed facial paralysis (DFP) after microvascular decompression (MVD) for hemifacial spasm (HFS) METHODS: :A retrospective study was conducted on 636 patients who had undergone MVD for HFS by the same neurosurgery department of China-Japan Friendship Hospital from January 2006 to May 2016. Of all patients, 7.9% (50 of 636) presented DFP, which occurred from the 2nd day to the 60th day after operation, with an average of 12.9 days (SD = 10.0005). All of 50 patients with DFP recovered completely from 10 to 300 days after the onset of DFP, with an average of 88.7 days (SD = 61.389). We randomly selected 100 patients from 586 patients without DFP as the control group. Univariate and multivariate logistic analysis was used to analyze the risk factors involved in the occurrence of DFP RESULTS: : Univariate analysis showed that course of disease was the only factor associated with DFP (P = 0.003). Furthermore, in the multivariate logistic analysis,the course of HFS was the only risk factor associated with DFP (P = 0.01). Additionally, Spearman test revealed a positive correlation between the time of DFP onset and the duration of DFP symptoms (rs = 0.682, P < 0.001) CONCLUSION: Although DFP frequently occurred after MVD, it can recover spontaneously. The longer the course of HFS lasts, the more frequently DFP will occur after MVD. The earlier DFP occurs, the shorter it takes to recover. Hemifacial spasm (HFS) is characterized by involuntary paroxysmal convulsions of one side facial muscles. The main cause of HFS is vascular compression of the root exit zoon (REZ) of facial nerve. 1-3 Microvascular decompression (MVD) is the only effective method to cure HFS. Complications of MVD includes hearing impairment, facial paralysis, meningitis, intracranial hemorrhage, intracranial infection, and delayed facial paralysis (DFP). 4,5 DFP refers to the facial paralysis which occurs more than 24 hours after MVD,and it can generally recover spontaneously. 6 It is common in the clinical observation and its mechanism is still unclear.7-9 To study the risk factors of DFP after MVD for HFS is of great significance for exploring the mechanism of DFP and further understanding the intrinsic pathophysiological process of cranial nerve diseases.

9.
Artigo em Inglês | MEDLINE | ID: mdl-31469423

RESUMO

OBJECTIVE: To assess the utility of hematologic, inflammatory, and immunologic biomarkers for differentiating between ovarian cancer and endometriosis. METHODS: Data were retrospectively reviewed from women with diagnosed with ovarian cancer and endometriosis after ovarian cyst surgery in Zhejiang, China, 2014-2016. Serologic and hematologic biomarkers, including white blood cell count, lymphocyte count, neutrophil count, red blood cell count, hemoglobin, platelets, and D-dimer, albumin, globulin, cancer antigen 125 (CA125) and CA199 serum levels recorded pre-operatively were assessed by ROC curve and logistic regression analysis. RESULTS: Overall, 49 women were diagnosed with ovarian cancer and 192 with endometriosis. For predicting ovarian cancer, the area under the curve (AUC) was 0.96 (95% confidence interval [CI], 0.94-0.99); sensitivity, 93.2%; specificity, 87.5%) for log(D-dimer), 0.95 (95% CI, 0.91-0.98; sensitivity, 81.3%; specificity, 96.3%) for log(CA125), and 0.92 (95% CI, 0.86-0.98; sensitivity, 92.6%; specificity, 79.2%) for neutrophil-to-lymphocyte ratio (NLR). The AUC for the combination of D-dimer, NLR, and CA125 was 0.96 (95% CI, 0.94-0.99; sensitivity, 91.6%; specificity, 89.6%). CONCLUSION: Serum D-dimer, NLR, and CA125 were found to be potential diagnostic factors for ovarian cancer. Combined measurement of D-dimer, NLR, and CA125 might offer a convenient screening method. This article is protected by copyright. All rights reserved.

10.
Peptides ; 121: 170131, 2019 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-31408662

RESUMO

Extensive proliferation of vascular smooth muscle cell (VSMC) contributes to intimal hyperplasia following vascular injury, in which endoplasmic reticulum stress (ERS) plays a critical role. Intermedin (IMD) is a vascular paracrine/autocrine peptide exerting numerous beneficial effects in cardiovascular diseases. IMD overexpression could alleviate intimal hyperplasia. Here, we investigated whether endogenous IMD protects against intimal hyperplasia by inhibiting endoplasmic reticulum stress. The mouse left common carotid-artery ligation-injury model was established to induce intimal hyperplasia using IMD-/-mice and C57BL/6 J wild-type (WT) mice. Platelet-derived growth factor-BB (PDGF-BB) was used to stimulate the proliferation of VSMC. IMD-/- mice displayed exacerbated intimal hyperplasia induced by complete ligation of the left carotid artery at 14 d and 28 d compared to WT mice. However, IMD-deficiency had no effect on blood pressure, plasma triglyceride, and fasting blood glucose levels in mice. Furthermore, VSMCs derived from IMD-/- mice showed increased cell proliferation and dramatically elevated levels of glucose regulated protein 78 (GRP78), activating transcription factor 4 (ATF4), ATF6 mRNA under PDGF-BB treatment compared to WT mice-derived VSMCs. In addition, exogenous administration of IMD significantly attenuated PDGF-BB-induced cell proliferation and GRP78, phosphorylase-inositol requiring enzyme 1α, ATF4, and ATF6 protein levels. Thus, endogenous IMD may counteract ERS to exert protective role in response to vascular injury and IMD is expected to be a therapeutic target for the prevention and treatment of restenosis.

11.
FASEB J ; : fj201900788RR, 2019 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-31373847

RESUMO

The protection of constantly proliferating gut epithelia and hematopoietic tissues from cytotoxicity could improve conventional chemotherapy efficacy and widen its therapeutic window. Previously, we reported that, in mouse models, pretreatment of recombinant human IL-1 receptor antagonist (rhIL-1Ra) protected both types of vulnerable tissues from chemotherapeutics. Here, we showed that rhIL-1Ra treatment up-regulated the protein levels of phosphorylated p38, p53, and p21 and induced transient hematopoietic stem/progenitor cell (HS/PC) quiescence. Knockout of IL-1 receptor I (IL-1RI), p53, or p21 alleles and pharmacological inactivation of p38 mapped the rhIL-1Ra pathway in the induction of HS/PC quiescence. Therefore, rhIL-1Ra administration before but not after chemotherapy alleviated 5-fluorouracil-induced neutropenia. In addition, in vivo and in vitro cell proliferation assays revealed that the rhIL-1Ra treatment did not affect cancer cell proliferation or chemosensitivity. Lastly, we propose an IL-1/IL-1Ra pathway (IL-1RI → p38 → p53 → p21), which regulates HS/PC quiescence. The rhIL-1Ra may provide a new route for p53-based cyclotherapy, which spares normal cells but kills cancer cells during chemotherapy.-Ye, H., Qian, L., Zhu, S., Deng, S., Wang, X., Zhu, J., Chan, G. L., Yu, Y., Han, W. IL-1Ra protects hematopoietic cells from chemotoxicity through p53-induced quiescence.

12.
Medicine (Baltimore) ; 98(33): e16778, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31415381

RESUMO

BACKGROUND: Tenofovir disoproxil fumarate (TDF) has been widely recommended as a first-line antiviral agent to treat chronic hepatitis B (CHB). Qingzhong and Viread, formulations of TDF commercialized by Jiangsu Chia-tai Tianqing Pharmaceutical Co Ltd and GlaxoSmithKline, respectively, have both been approved by the State Food and Drug Administration, China. This study analyzed the efficacy and safety of these 2 TDF agents in Chinese patients with CHB. METHODS: In this multicenter, randomized, double-blind, double-dummy, noninferiority phase 3 clinical trial (ClinicalTrials.gov identifier: NCT02287857), 330 Chinese patients with CHB [hepatitis B envelope antigen-positive (HBeAg) (+): 232] were randomly assigned to receive Qingzhong (group A: 161 patients) or Viread (group B: 169 patients) 300 mg once daily for 48 weeks. Subsequently, all patients were administered Qingzhong 300 mg once daily from week 49 to week 240. The primary end point was the degree of decline of plasma hepatitis B virus (HBV) DNA levels at week 48 and the secondary endpoints were viral suppression, normalization of alanine aminotransferase (ALT) levels, hepatitis B surface antigen (HBsAg)/HBeAg loss or seroconversion, and virological breakthrough. RESULTS: Among patients with CHB who were HBeAg (+), the mean HBV DNA titer decreased similarly between the groups at week 48. The percentages of patients who achieved undetectable HBV DNA were similar between the groups (85.11% and 82.35% in groups A and B, respectively) and similar losses of HBeAg and HBeAg seroconversion rates were achieved. Moreover, for patients with CHB who were HBeAg (-), reductions in HBV DNA were similar. Among all patients with CHB, the rates of normalization of ALT and the loss of HBsAg were similar. The overall incidence of adverse events was comparable between the groups. CONCLUSION: In conclusion, the 48-week administration of Qingzhong showed noninferior efficacy and safety profiles compared to Viread in Chinese patients with CHB.


Assuntos
Antivirais/uso terapêutico , Hepatite B Crônica/tratamento farmacológico , Tenofovir/uso terapêutico , Adolescente , Adulto , Idoso , Antivirais/administração & dosagem , China , Método Duplo-Cego , Esquema de Medicação , Composição de Medicamentos , Feminino , Antígenos E da Hepatite B/sangue , Hepatite B Crônica/sangue , Humanos , Masculino , Pessoa de Meia-Idade , Tenofovir/administração & dosagem , Resultado do Tratamento , Adulto Jovem
13.
Adv Mater ; : e1901414, 2019 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-31456280

RESUMO

Potassium-ion batteries (KIBs) are a core energy storage device that can meet the need for scalable and affordable stationary applications because they use low-cost and earth-abundant potassium. In addition, KIB shares a similar storage mechanism with current Li-ion batteries. As the key to optimizing a battery's performance, the development of high-performance electrode materials helps to increase the feasibility of KIB technology. In this sense, phosphorus-based materials (i.e., phosphorus and metal phosphide) with high theoretical capacity and low redox potential tick all the right boxes as a material of choice. A rapid glimpse at recent studies on phosphorus-based anode materials for advanced KIBs is provided, covering the synthetic methods, reaction mechanisms, electrochemical properties, and performances. In addition, several promising strategies are highlighted to address the imminent challenges faced by phosphorus-based anode materials, hoping to cast an insightful outlook for possible future direction in this field.

14.
Biomaterials ; 219: 119394, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31382208

RESUMO

To explore novel materials graded for biological functions is one of the grand challenges and ambitions of robotics. In this study, the design, development, and external guidance of micron-sized hair-derived robots (hairbots) are shown as autologous cargo carriers for guided drug delivery, untethered osteogenesis, and sonographic contrast agents. Having biogenic origin, the hairbots show excellent biocompatibility, as demonstrated with cell adhesion, spreading and proliferation. External magnetic fields are used to enhance differentiation of mesenchymal stem cells (MSCs) into bone like cells, which can be used as magnetic therapy for bone healing. Effect of external magnetic forces was simulated by COMSOL Multiphysics® modelling software. The action of hairbots as osteoconductive material triggering osteogenic differentiations of MSCs is studied via calcium signaling by fluorescence microscopy. Further, by exploiting the hollow medullary region, the proposed hairbots are designed to perform theranostic dual functions (therapy + diagnostic) - as Doxorubicin drug delivery vehicle, and for Ultrasound contrast imaging. Harnessing sensing and actuation due to magnetic capabilities of hairbots, for enhanced biological functionality shown herein, provides a novel material in the search of new multifunctional microrobots.

15.
Aging (Albany NY) ; 11(16): 6069-6088, 2019 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-31444970

RESUMO

Family with sequence similarity 83, member A (FAM83A), as a potential tumor promoter, was reported to contribute to the progression of several malignant tumors. However, the significance of FAM83A in invasion and metastasis of non-small cell lung cancer (NSCLC) remains largely unknown. In this study, we found that FAM83A expression was significantly increased in NSCLC tissues. High expression of FAM83A was positively associated with tumor metastasis and poor survival of NSCLC patients. Functional experiments revealed that FAM83A knockdown could suppress NSCLC cell migration and invasion both in vivo and in vitro. While opposite results were observed in FAM83A-transfected cells. Mechanically, we found that FAM83A promoted NSCLC cell migration and invasion by inducing epithelial-mesenchymal transition (EMT) via PI3K/ATK/Snail signaling. Rescue experiment demonstrated that inhibition of either AKT or Snail could partially counteract the promoting effect of FAM83A overexpression in NSCLC metastasis. Taken together, our findings are the first time to demonstrate that increased expression of FAM83A in NSCLC was correlated with EMT and tumor metastasis, which may provide a novel therapeutic target in NSCLC treatment.

16.
Hormones (Athens) ; 2019 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-31446546

RESUMO

PURPOSE: The cumulative incidence of hypothyroidism, in 131I-treated patients with hyperthyroidism caused by Graves' disease, has been gradually increasing each year. Meanwhile, the role of the genes that control radiation sensitivity (GCRS) involved in 131I therapy is yet to be defined. The main purpose of the present study is to find GCRS that could indicate hypothyroidism in Graves' disease patients treated with 131I. METHODS: Thyroid tissue was collected from 59 patients who were diagnosed with Graves' disease. GCRS (including Bcl-2, NF-κB, Survivin, Ku-70, Tob1, EGFR, Egr-1, TP-53, BRCA-1, and ATM) mRNA levels were analyzed with qRT-PCR before radioiodine therapy. Patients were followed up and then grouped by end-point outcomes. The association of the variation of target genes with susceptibility to hypothyroidism was analyzed. RESULTS: Altogether 44 patients were enrolled, including 11 men and 33 women with an average age of 44.79 ± 12.94 years. Based on their clinical outcomes after at least 2-year follow-up, 59% (26/44) patients were evaluated as hypothyroid, while the remaining 41% (18/44) patients were non-hypothyroid, including 18% (8/44) with persistent hyperthyroidism. The hypothyroid group showed significantly lower Ku-70 mRNA expression levels than the non-hypothyroid group (p = 0.022), whereas no significance was detected regarding other target genes (p > 0.1). Multivariate analysis showed that Ku-70 was significantly correlated with hypothyroidism after 131I treatment (p = 0.033). CONCLUSIONS: The opposing changes in mRNA expression levels of Ku-70 in patients with hypothyroidism indicate its potential as a prognostic marker for hypothyroidism induced by 131I treatment.

17.
Ying Yong Sheng Tai Xue Bao ; 30(8): 2822-2828, 2019 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-31418208

RESUMO

To explore the characteristics of carbon and nitrogen stable isotope and trophic niche between two forms (medium-form and dwarf-form) of the purple flying squid Sthenoteuthis ouala-niensis, we collected samples from the central and western South China Sea in August 2017 to analyze the values of carbon and nitrogen stable isotope and the changes of trophic level for different mantle lengths. We further compared the trophic niche differences of the two forms populations. The results showed that for the medium-form, the δ13C value ranged from -19.54‰ to -18.10‰ and the δ15N value ranged from 7.79‰ to 9.45‰. The average trophic level of medium-form was 2.90 and ranged from 2.72 to 3.21. For the dwarf-form, the δ13C value ranged from -19.69‰ to -18.43‰, and the δ15N value ranged from 8.02‰ to 8.99‰. The average trophic level of the dwarf-form was 2.91 and ranged from 2.79 to 3.08. There were significant differences of δ15N but no differences of δ13C values between the medium-form and dwarf-form of purple flying squid. The mantle length had a significant impact on δ13C and δ15N, with the value of δ15N increasing with the mantle length. The trophic niche breadth and the trophic level of the medium-form purple flying squid were more diverse than those of dwarf-form.


Assuntos
Decapodiformes/fisiologia , Animais , Isótopos de Carbono , China , Nitrogênio , Isótopos de Nitrogênio
18.
Surg Endosc ; 2019 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-31321537

RESUMO

BACKGROUND: The risk factors of duodenal injury from distal migrated biliary plastic stents remain uncertain. The aim of this study was to determine the risk factors of distal migration and its related duodenal injury in patients who underwent placement of a single biliary plastic stent for biliary strictures. METHODS: We retrospectively reviewed all patients with biliary strictures who underwent endoscopic placement of a single biliary plastic stent from January 2006 to October 2017. RESULTS: Two hundred forty-eight patients with 402 endoscopic retrograde cholangiopancreatography procedures were included. The incidence of distal migration was 6.2%. The frequency of duodenal injury was 2.2% in all cases and 36% in cases with distal migration. Benign biliary strictures (BBS), length of the stent above the proximal end of the stricture (> 2 cm), and duration of stent retention (< 3 months) were independently associated with distal migration (p = 0.018, p = 0.009, and p = 0.016, respectively). Duodenal injury occurred more commonly in cases with larger angle (≥ 30°) between the distal end of the stent and the centerline of the patient's body (p = 0.018) or in cases with stent retention < 3 months (p = 0.031). CONCLUSIONS: The risk factors of distal migration are BBS and the length of the stent above the proximal end of the stricture. The risk factor of duodenal injury due to distal migration is large angle (≥ 30°) between the distal end of the stent and the centerline of the patient's body. Distal migration and related duodenal injury are more likely to present during the early period after biliary stenting.

19.
BMC Ophthalmol ; 19(1): 154, 2019 Jul 19.
Artigo em Inglês | MEDLINE | ID: mdl-31324167

RESUMO

BACKGROUND: Torpedo maculopathy is a rare, benign, and congenital macular lesion that typically appears in a 'torpedo-shape' and is located at the temporal macula region. This study aimed to describe in detail regarding torpedo maculopathy in a Chinese woman using multimodal imaging. CASE PRESENTATION: A 30-year-old Chinese woman with occasional yellowish-white macular lesions in her right eye during a routine examination was presented to our hospital. She had no other symptoms, and the best-corrected visual acuity of both eyes was 6/6. Funduscopic examination revealed a torpedo-shaped and mild hypopigmented lesion in the temporal macular area of her right eye. Infrared fundal (IR) images showed visible lesion contour, transverse elliptical, and with a tip pointing towards the central fovea of the macula. Microperimetry visual field appeared normal. The spectral-domain optical coherence tomography (SD-OCT) showed a normal inner retina, with mild thinner outer retina and retinal pigment epithelium in the temporal macular area, and correspondingly increased choroidal reflectivity. Other OCT findings included outer retinal loss/attenuation with significant atrophy of an intact ellipsoid zone. OCT angiography (OCTA) of choroid capillary layer revealed increased density of choroidal vasculature in corresponding to the area of the lesion, while the superficial and deep layers revealed normal vasculature. Fundus autofluorescence (FAF) revealed normal signal with slight hyperautofluorescence at the nasal lesion margin. Fundus fluorescence angiography (FFA) of the lesion showed variegated fluorescence and no leakage and change in the morphology during the whole imaging process. CONCLUSIONS: This is the first report to include a thorough and detailed description of torpedo maculopathy by using fundal photograph, IR, microperimetry visual field, OCT, OCTA, FAF, and FFA. Multimodal imaging provides precious and detailed information to further clarify the characteristics and development of this rare disease.


Assuntos
Angiofluoresceinografia , Macula Lutea/patologia , Imagem Multimodal , Doenças Retinianas/diagnóstico por imagem , Tomografia de Coerência Óptica , Adulto , Feminino , Angiofluoresceinografia/métodos , Humanos , Doenças Retinianas/patologia , Epitélio Pigmentado da Retina/patologia , Tomografia de Coerência Óptica/métodos
20.
Chem Res Toxicol ; 32(8): 1528-1544, 2019 Aug 19.
Artigo em Inglês | MEDLINE | ID: mdl-31271030

RESUMO

Human hepatocellular carcinoma cells, HepG2, are often used for drug mediated mitochondrial toxicity assessments. Glucose in HepG2 culture media is replaced by galactose to reveal drug-induced mitochondrial toxicity as a marked shift of drug IC50 values for the reduction of cellular ATP. It has been postulated that galactose sensitizes HepG2 mitochondria by the additional ATP consumption demand in the Leloir pathway. However, our NMR metabolomics analysis of HepG2 cells and culture media showed very limited galactose metabolism. To clarify the role of galactose in HepG2 cellular metabolism, U-13C6-galactose or U-13C6-glucose was added to HepG2 culture media to help specifically track the metabolism of those two sugars. Conversion to U-13C3-lactate was hardly detected when HepG2 cells were incubated with U-13C6-galactose, while an abundance of U-13C3-lactate was produced when HepG2 cells were incubated with U-13C6-glucose. In the absence of glucose, HepG2 cells increased glutamine consumption as a bioenergetics source. The requirement of additional glutamine almost matched the amount of glucose needed to maintain a similar level of cellular ATP in HepG2 cells. This improved understanding of galactose and glutamine metabolism in HepG2 cells helped optimize the ATP-based mitochondrial toxicity assay. The modified assay showed 96% sensitivity and 97% specificity in correctly discriminating compounds known to cause mitochondrial toxicity from those with prior evidence of not being mitochondrial toxicants. The greatest significance of the modified assay was its improved sensitivity in detecting the inhibition of mitochondrial fatty acid ß-oxidation (FAO) when glutamine was withheld. Use of this improved assay for an empirical prediction of the likely contribution of mitochondrial toxicity to human DILI (drug induced liver injury) was attempted. According to testing of 65 DILI positive compounds representing numerous mechanisms of DILI together with 55 DILI negative compounds, the overall prediction of mitochondrial mechanism-related DILI showed 25% sensitivity and 95% specificity.

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