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1.
Indian J Thorac Cardiovasc Surg ; 38(Suppl 1): 183-192, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35463707

RESUMO

Open surgery remains the mainstay of treatment for acute type A aortic dissection and should be offered to most patients. However, there are elderly patients in which surgical treatment may be deemed extremely high risk or futile. Endovascular treatment approaches have been applied to a small number of these patients and data are limited to case reports and small series. The application of endovascular therapies to ascending aorta is currently limited by anatomical and technical challenges posed by the dynamic motion of the ascending aorta and the proximity of vital structures to intended landing zones (aortic valve, coronary arteries, and supra-aortic branches) and lack of specially designed endografts to address these issues. While thoracic endovascular aortic repair (TEVAR) has replaced open aortic repair for a suitable lesion in distal aortic dissection, some selected patients with type A aortic dissection at high surgical may be candidates. Hence, there is potential because, in proximal (Stanford type A) dissections, 10-30% of patients are not accepted for surgery, and 30-50% are technically amenable for TEVAR. Recent experience has shown that carefully selected patients with favorable anatomical characteristics may be subject to endovascular stent-graft treatment as a last resort with mixed results. Technical improvement is necessary to offer. satisfactory endovascular options in non-surgical candidates.

3.
Nat Commun ; 13(1): 1596, 2022 Mar 24.
Artigo em Inglês | MEDLINE | ID: mdl-35332161

RESUMO

The discord between the insufficient abundance and the excellent electrocatalytic activity of Pt urgently requires its atomic-level engineering for minimal Pt dosage yet maximized electrocatalytic performance. Here we report the design of ultrasmall triphenylphosphine-stabilized Pt6 nanoclusters for electrocatalytic hydrogen oxidation reaction in alkaline solution. Benefiting from the self-optimized ligand effect and atomic-precision structure, the nanocluster electrocatalyst demonstrates a high mass activity, a high stability, and outperforms both Pt single atoms and Pt nanoparticle analogues, uncovering an unexpected size optimization principle for designing Pt electrocatalysts. Moreover, the nanocluster electrocatalyst delivers a high CO-tolerant ability that conventional Pt/C catalyst lacks. Theoretical calculations confirm that the enhanced electrocatalytic performance is attributable to the bifold effects of the triphenylphosphine ligand, which can not only tune the formation of atomically precise platinum nanoclusters, but also shift the d-band center of Pt atoms for favorable adsorption kinetics of *H, *OH, and CO.

5.
J Cancer ; 13(2): 527-540, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35069900

RESUMO

Background: Many transcription factors involved in embryonic development and reactivated in tumors are considered potential prognostic biomarkers and novel therapeutic targets in various cancers. Sine oculis homeobox homolog 1 (SIX1), a developmentally restricted transcriptional regulator, plays a critical role during tumor initiation and development. However, the prognostic value and biological function of SIX1 in non-small cell lung cancer (NSCLC) remain unclear. Methods: Bioinformatic analyses were conducted to investigate the expression of SIX1 in cancer and adjacent normal tissues of NSCLC and further explore the correlations between SIX1 expression and clinical outcomes. Western blotting and RT-PCR analysis were performed to detect of SIX1 expression level in NSCLC cell lines and normal bronchial epithelial cell. EdU, CCK-8, clonal formation assay, wound healing and transwell assay were performed to explore the effects of gain- or loss-of-function of SIX1 on cellular proliferation, migration and invasion in vitro. Gene set enrichment analysis (GSEA) was used to identify the potential signaling pathways involved in SIX1 mediated biological function and the correlation was confirmed by western blotting and RT-PCR analysis. In vivo experiment was conducted to further validate the tumor-promoting effects of SIX1. Results: Bioinformatic analysis indicated that SIX1 was markedly upregulated in NSCLC tissues of and positively correlated with poor prognosis of patients with NSCLC. Ectopic expression of SIX1 facilitated proliferation, migration, invasion, and epithelial-mesenchymal transition (EMT) of NSCLC cells. On the contrary, knocking down SIX1 exhibited the opposite effects. Mechanistic studies suggested that SIX1 activated the Notch pathway to promote the malignant biological behaviors of NSCLC, which could be reversed by inhibiting the Notch signaling with γ-secretase inhibitor. Conclusions: SIX1 could facilitate multiple malignant biological behaviors by activating the Notch signaling pathway and function as a promising prognostic biomarker.

6.
Diabetes ; 71(4): 795-811, 2022 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-35043173

RESUMO

Methazolamide (MTZ), a carbonic anhydrase inhibitor, has been shown to inhibit cardiomyocyte hypertrophy and exert a hypoglycemic effect in patients with type 2 diabetes and diabetic db/db mice. However, whether MTZ has a cardioprotective effect in the setting of diabetic cardiomyopathy is not clear. We investigated the effects of MTZ in a mouse model of streptozotocin-induced type 1 diabetes mellitus (T1DM). Diabetic mice received MTZ by intragastric gavage (10, 25, or 50 mg/kg, daily for 16 weeks). In the diabetic group, MTZ significantly reduced both random and fasting blood glucose levels and improved glucose tolerance in a dose-dependent manner. MTZ ameliorated T1DM-induced changes in cardiac morphology and dysfunction. Mechanistic analysis revealed that MTZ blunted T1DM-induced enhanced expression of ß-catenin. Similar results were observed in neonatal rat cardiomyocytes (NRCMs) and adult mouse cardiomyocytes treated with high glucose or Wnt3a (a ß-catenin activator). There was no significant change in ß-catenin mRNA levels in cardiac tissues or NRCMs. MTZ-mediated ß-catenin downregulation was recovered by MG132, a proteasome inhibitor. Immunoprecipitation and immunofluorescence analyses showed augmentation of AXIN1-ß-catenin interaction by MTZ in T1DM hearts and in NRCMs treated with Wnt3a; thus, MTZ may potentiate AXIN1-ß-catenin linkage to increase ß-catenin degradation. Overall, MTZ may alleviate cardiac hypertrophy by mediating AXIN1-ß-catenin interaction to promote degradation and inhibition of ß-catenin activity. These findings may help inform novel therapeutic strategy to prevent heart failure in patients with diabetes.


Assuntos
Diabetes Mellitus Experimental , Diabetes Mellitus Tipo 1 , Diabetes Mellitus Tipo 2 , Cardiomiopatias Diabéticas , Animais , Proteína Axina/metabolismo , Diabetes Mellitus Experimental/tratamento farmacológico , Diabetes Mellitus Experimental/metabolismo , Diabetes Mellitus Tipo 1/tratamento farmacológico , Diabetes Mellitus Tipo 1/metabolismo , Diabetes Mellitus Tipo 2/metabolismo , Cardiomiopatias Diabéticas/tratamento farmacológico , Cardiomiopatias Diabéticas/metabolismo , Cardiomiopatias Diabéticas/prevenção & controle , Glucose/metabolismo , Humanos , Metazolamida/metabolismo , Metazolamida/farmacologia , Metazolamida/uso terapêutico , Camundongos , Camundongos Endogâmicos C57BL , Miócitos Cardíacos/metabolismo , Ratos , beta Catenina/metabolismo
7.
J Colloid Interface Sci ; 608(Pt 3): 2752-2759, 2022 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-34785052

RESUMO

Rocking-chair capacitive deionization (RCDI), as the next generation technique of capacitive deionization, has thrived to be one of the most promising strategies in the desalination community, yet was hindered mostly by its relatively low desalination rate and stability. Motivated by the goal of simultaneously enhancing the desalination rate and structural stability of the electrode, this paper reports an anion-driven flow-through RCDI (AFT-RCDI) system equipped with BiOCl nanostructure coated carbon sponge (CS@BiOCl for short; its backbone is derived from commercially available melamine foam with minimum capital cost) as the flow-through electrode. Owning to the rational design of the composite electrode material with minimum charge transfer resistance and ultrahigh structure stability as well as the superior flow-through cell architecture, the AFT-RCDI displays excellent desalination performance (desalination capacity up to 107.33 mg g-1; desalination rate up to 0.53 mg g-1s-1) with superior long-term stability (91.75% desalination capacity remained after 30 cycles). This work provides a new thought of coupling anion capturing electrode with flow-through cell architecture and employing a low-cost CS@BiOCl electrode with commercially available backbone material, which could shed light on the further development of low-cost electrochemical desalination systems.

9.
J Colloid Interface Sci ; 609: 289-296, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34896829

RESUMO

Slow desalination kinetics and poor durability of the electrodes are two key limitations of electrochemical deionization (EDI) that are considered to be the next generation of capacitive desalination (CDI). Herein, we report the design of a high-efficiency chloride removal electrode material for accelerating the desalination kinetics and concurrently improving the durability of EDI, which is based on coating NiMn-Cl layered double hydroxides (LDHs) on the surface of electrospun carbon nanofibers (CNFs@LDHs). The salient features of the as-developed CNFs@LDHs are that applying layer-structured LDHs with abundant redox-active sites to accelerate the pseudo-capacitive ion storage via fast ion intercalation/deintercalation, and leveraging the rigid CNF backbone to strengthen its durability by preventing the potential aggregation of LDHs. As expected, the CNFs@LDH based EDI system displays an ultrafast desalination rate of 0.51 mg g-1 s-1 and outstanding long-term stability (only 10.66 % desalination capacity reduction after 35 cycles), which is achieved without sacrificing its excellent desalination capacity (72.04 mg g-1). This work could be inspirational for the future design of ultrafast yet durable EDI approaching industrial desalination applications.

10.
Nanoscale ; 13(45): 18996-19003, 2021 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-34763346

RESUMO

Long-lasting yet visible-light-driven bacterial inhibition is highly desired for environmental protection and public health maintenance. However, conventional semiconductors such as titanium dioxide (TiO2) are impotent for such antibacterial application due to their low utilization rate for visible light. Herein we report the design of a long-lasting yet visible-light-driven antibacterial agent based on marrying luminescent Au nanoclusters (Au NCs for short) to TiO2 (TiO2-NH2@Au NCs). The as-obtained TiO2-NH2@Au NC antibacterial agent not only possesses superior utilization for visible light due to the participation of Au NCs as a good photosensitizer, but also has excellent separation efficacy of photogenerated carriers, thereby efficiently enhancing the generation of reactive oxygen species (ROS) for killing bacteria. Consequently, the TiO2-NH2@Au NCs display excellent antibacterial activity with good durability against both Gram-positive and Gram-negative bacteria such as Staphylococcus aureus (99.37%) and Escherichia coli (99.92%) under visible-light irradiation (λ ≥ 400 nm). This study is interesting because it provides a paradigm change in the design of long-lasting yet visible-light-driven NC-based antibacterial agents for diversified bactericidal applications.


Assuntos
Antibacterianos , Bactérias Gram-Negativas , Antibacterianos/farmacologia , Bactérias Gram-Positivas , Luz , Titânio
13.
Clin Case Rep ; 9(8): e04634, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34430006

RESUMO

Although Thoracic Endovascular Aortic Repair is usually applied to patients without connective tissue disorders, our case shows its potential for complicated type B aortic dissection in a Marfan patient as a feasible alternative to open redo surgery with good short-term outcomes.

14.
Transl Lung Cancer Res ; 10(5): 2163-2171, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34164267

RESUMO

BACKGROUND: Small cell lung cancer (SCLC) makes up 13% of lung malignancies. Only one-third of SCLC patients received their diagnosis at the limited stage. Treatment for symptomatic extensive-stage (ES) SCLC with persistent intrathoracic disease is still controversial. The present research aimed to analyze the impact of palliative thoracic radiotherapy (TRT) as a treatment for this patient group and build a prognostic nomogram. METHODS: In this retrospective, multi-center study, we analyzed 120 patients with ES-SCLC and a World Health Organization performance status of 1-2 who were diagnosed between March 2014 and September 2019. A nomogram was formulated to predict the patients' 1- and 2-year overall survival (OS). RESULTS: The study cohort had a median age of 62 years, and males accounted for 85% of enrollees. A significant extension was observed in the median OS in the TRT group compared to the no TRT group (P<0.001). When the patients were stratified by TRT dose, no significant differences in OS were noted (P=0.530). However, higher levels of inflammatory markers prior to TRT were associated with a shorter OS (neutrophil-to-lymphocyte ratio, P=0.002; platelet/lymphocyte ratio, P=0.023). The nomogram's Harrell's concordance (C)-statistic reached 0.70, and the calibration curve analysis revealed goodness of fit. CONCLUSIONS: The neutrophil-to-lymphocyte ratio is an independent factor predicting survival in ES-SCLC patients treated with palliative TRT. Our nomogram, which incorporates immunological markers, has higher accuracy than existing models for the prediction of individuals' chances of survival, and it could be a significant tool for clinicians in the development of tailored therapeutic strategies.

15.
Clin Case Rep ; 9(5): e04097, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34026140

RESUMO

Endografting for atretic coarctation is technically feasible to avoid the risks of open surgery. It requires a strategic and structured endovascular approach such as the "Railway" technique for safe and successful restructuring of complete aortic atresia and avoiding rupture or bleeding.

16.
Int J Biochem Cell Biol ; 136: 106002, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33962022

RESUMO

Preclinical data suggest that head and neck cancer is an intrinsically immunosuppressive disease with abnormal inflammatory components in the tumor microenvironment. The development of immune checkpoint inhibitors, which are monoclonal antibodies capable of inhibiting immune suppressive signals to prime anticancer immunity, has revolutionized the therapeutic landscape in recurrent/metastatic head and neck cancer. However, patients with head and neck cancer present primary resistance to immunotherapy. Many ongoing trials include combinations of immunotherapy with different therapeutic interventions, aiming to improve response rates and overall survival. As novel therapy strategies are leveraged, the significance of immunotherapy in recurrent/metastatic head and neck cancer continues to be revealed. This review aims to summarize combinational immunotherapy in head and neck cancer.


Assuntos
Neoplasias de Cabeça e Pescoço/terapia , Imunoterapia/métodos , Recidiva Local de Neoplasia/terapia , Carcinoma de Células Escamosas de Cabeça e Pescoço/terapia , Animais , Neoplasias de Cabeça e Pescoço/imunologia , Neoplasias de Cabeça e Pescoço/patologia , Humanos , Recidiva Local de Neoplasia/imunologia , Recidiva Local de Neoplasia/patologia , Carcinoma de Células Escamosas de Cabeça e Pescoço/imunologia , Carcinoma de Células Escamosas de Cabeça e Pescoço/secundário , Microambiente Tumoral
17.
Carbohydr Polym ; 262: 117937, 2021 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-33838814

RESUMO

Antibacterial property for scaffolds is an urgent problem to prevent infections in bone repair. Ag nanoparticles possess excellent bactericidal activities, whereas their agglomeration restricts the full play of antibacterial property in scaffold. Herein, a mace-like nanosystem was constructed to improve their dispersion by in-situ growth of Ag nanoparticles on cellulose nanocrystal (CNC), which was labeled CNC@Ag nanosystem. Subsequently, the CNC@Ag nanosystem was introduced into poly-L-lactide (PLLA) scaffolds. Results demonstrated that the nanosystem uniformly dispersed in scaffold. The antibacterial tests demonstrated that the scaffolds possessed robust antibacterial activities against E. coli, with bacterial inhibition rate over 95%. Moreover, ion release behavior corroborated the scaffolds continuously released Ag+ for more than 28 days, which benefited from the immobilization effect of CNC on Ag. Encouragingly, the mechanical properties of the scaffolds were remarkably higher than that of PLLA/CNC scaffolds, owing to the mace-like CNC@Ag nanosystem improved the load transfer efficiency in the scaffold.


Assuntos
Antibacterianos/química , Celulose/química , Nanopartículas Metálicas/química , Poliésteres/química , Prata/química , Tecidos Suporte/química , Antibacterianos/farmacologia , Osso e Ossos/química , Escherichia coli/efeitos dos fármacos , Humanos , Nanocompostos/química , Prata/farmacologia
19.
J Int Med Res ; 49(3): 3000605211002379, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33788649

RESUMO

OBJECTIVE: To determine if plasma exosomal microRNAs (miRNAs) can predict survival in patients with idiopathic pulmonary arterial hypertension (IPAH). METHODS: The study enrolled patients with IPAH that underwent right heart catheterization. Plasma was collected and exosomal miRNAs were extracted. Exosomes were evaluated using transmission electron microscopy, Western blot analysis and particle size distribution analysis. MiRNAs were evaluated using a miRNA microarray and validated using real-time polymerase chain reaction. RESULTS: This study included 12 patients with IPAH in the study group and 48 patients with IPAH in the validation group. The mean ± SD follow-up duration was 60.3 ± 35.4 months in the overall cohort. The levels of miR-596 were higher in the nonsurvivors compared with the survivors. The levels of miR-596 significantly correlated with survival time, mean right atrial pressure, pulmonary vascular resistance (PVR) and cardiac index. High levels of miR-596 and PVR were significantly associated with poor overall survival. Multivariate analysis demonstrated that exosomal miR-596 (hazard ratio [HR] = 2.119; 95% confidence interval [CI] 1.402, 3.203) and PVR (HR = 1.146; 95% CI 1.010, 1.300) were independent predictors of survival. CONCLUSIONS: High levels of plasma exosomal miR-596 were significantly associated with disease severity and poor prognosis of patients with IPAH.


Assuntos
Hipertensão , MicroRNAs , Biomarcadores , Hipertensão Pulmonar Primária Familiar , Humanos , MicroRNAs/genética , Prognóstico , Artéria Pulmonar
20.
Aging (Albany NY) ; 13(6): 7733-7744, 2021 03 18.
Artigo em Inglês | MEDLINE | ID: mdl-33735106

RESUMO

BACKGROUND: The novel coronavirus infectious disease (COVID-19) is an international concern as it spreads through human populations and across national and international borders. METHODS: In this retrospective study, we consecutively included all cancer patients who had been identified as having a nucleic acid-confirmed COVID-19 from two designated hospitals in Wuhan, China. COVID-19 patients without cancer were also enrolled for comparison. The clinical data were gathered from the medical records from Jan 14 to March 12, 2020. RESULTS: Among the 117 cancer patients diagnosed with COVID-19, the median age was 63 years and 48.7% were male. Male sex, hematologic cancer, dyspnea on admission, and anti-cancer therapies were associated with an increased risk of mortality in cancer patients with COVID-19. We found that elevated levels of TNF-α, IL-2R, IL-6, and IL-8 were associated with a poorer prognosis in cancer patients with COVID-19, but no statistically significant association was found in patients without cancer. In addition, IL-2R and IL-6 markedly decreased in cancer patients who recovered from COVID-19. However, lymphocyte subsets were diminished in cancer patients who died from COVID-19, including total T cells, total B cells, helper T (Th) cells and suppressor T (Ts) cells. CONCLUSIONS: Cancer patients with COVID-19 were associated with high mortality (23.9%). A decrease in lymphocyte subsets and higher levels of cytokines were associated with a higher risk of severe outcome and could be utilized as the reference index to predict the survival outcome of cancer patients with COVID-19.


Assuntos
COVID-19/complicações , Neoplasias/imunologia , Adulto , Idoso , COVID-19/imunologia , COVID-19/virologia , China , Citocinas/sangue , Feminino , Humanos , Contagem de Linfócitos , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , SARS-CoV-2/isolamento & purificação
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