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1.
J Proteome Res ; 23(3): 916-928, 2024 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-38367214

RESUMO

Myopia accounts for a significant proportion of visual lesions worldwide and has the potential to progress toward pathological myopia. This study aims to reveal the difference in protein content in aqueous humor between high myopic and nonhigh myopic patients, as well as better understand the dysregulation of proteins in myopic eyes. Aqueous humor was collected for liquid chromatograph mass spectrometer (LC/MS) analysis from 30 individual eyes that underwent phacoemulsification and intraocular lens (IOL) implantation. Results showed that a total of 190 differentially expressed proteins were identified, which revealed their involvement in cell metabolism, immune and inflammatory response, and system and anatomical structure. Further analysis focused on 15 intensively interacted hub proteins, encompassing functions related to complement cascades, lipoprotein metabolism, and fibrin biological function. Subsequent validations demonstrated elevated levels of APOE (apolipoprotein E), C3 (complement 3), and AHSG (α-2-HS-glycoprotein) in the high myopia group (31 eyes of cataracts and 45 eyes of high myopia with cataracts). AHSG had a significant positive correlation with axial length in high myopic patients, with good efficacy in distinguishing between myopic and nonmyopic groups. AHSG may be a potential indicator of the pathological severity and participator in the pathological progress of high myopia. This study depicted differential expression characteristics of aqueous humor in patients with high myopia and provided optional information for further experimental research on exploring the molecular mechanisms and potential therapeutic targets for high myopia. Data are available via ProteomeXchange with the identifier PXD047584.


Assuntos
Extração de Catarata , Catarata , Miopia , Humanos , Humor Aquoso , Proteômica
2.
Exp Cell Res ; 429(1): 113649, 2023 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-37225012

RESUMO

BACKGROUND: Fibrotic scar is a severe side effect of trabeculectomy, resulting in unsatisfactory outcomes for glaucoma surgery. Accumulating evidence showed human Tenon's fibroblasts (HTFs) play an important role in fibrosis formation. We previously reported that the aqueous level of secreted protein acidic and rich in cysteine (SPARC) was higher in the patients with primary angle closure glaucoma, which was associated with the failure of trabeculectomy. In this study, the potential effect and mechanism of SPARC in promoting fibrosis were explored by using HTFs. METHODS: HTFs were employed in this study and examined under a phase-contrast microscope. Cell viability was determined by CCK-8. The expressions of SPARC-YAP/TAZ signaling and the fibrosis-related markers were examined with reverse transcription quantitative real-time polymerase chain reaction (RT-qPCR), Western blot, and immunofluorescence, subcellular fractionation was conducted to further determined the variation of YAP and phosphorylated YAP. The differential gene expressions were analyzed with RNA sequencing (RNAseq), followed by Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses. RESULTS: Exogenous SPARC induced HTFs-myofibroblast transformation, as evidenced by the increased expression of α-SMA, collagen I and fibronectin in both protein and mRNA levels. SPARC knockdown decreased the expressions of the above genes in TGF-ß2-treated HTFs. KEGG analysis showed that the Hippo signaling pathway was mostly enriched. SPARC treatment increased the expressions of YAP, TAZ, CTGF and CYR61 as well as enhanced YAP translocation from cytoplasm to nucleus, and decreased the phosphorylation of YAP and LAST1/2, which was reversed by SPARC knockdown. Knockdown of YAP1 decreased the fibrosis-related markers, such as α-SMA, collagen I and Fibronectin, in SPARC-treated HTFs. CONCLUSIONS: SPARC induced HTFs-myofibroblast transformation via activating YAP/TAZ signaling. Targeting SPARC-YAP/TAZ axis in HTFs might provide a novel strategy for inhibiting fibrosis formation after trabeculectomy.


Assuntos
Fibronectinas , Miofibroblastos , Humanos , Miofibroblastos/metabolismo , Fibronectinas/metabolismo , Osteonectina/genética , Osteonectina/metabolismo , Fibroblastos/metabolismo , Colágeno Tipo I/metabolismo , Fibrose , Células Cultivadas
3.
BMC Ophthalmol ; 24(1): 215, 2024 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-38760766

RESUMO

BACKGROUND: To investigate the clinical effects of double-dose (4 mg) aflibercept treatment in neovascular age-related macular degeneration (nAMD), compared with the standard-dose (2 mg) treatment. METHODS: A total of 108 eyes from 97 patients with nAMD and received intravitreal aflibercept 2 mg and/or 4 mg treatment were retrospectively reviewed. The changes of central macular thickness (CMT)/ pigmental epithelium detachment height and the recurrence rate of exudation during the 12-month follow-up were compared between the 2 mg group and the 4 mg group. Self-control comparisons (2 mg switch to 4 mg) were also made between two regimens. RESULTS: Compared with the 2 mg group, tendencies of lower intraretinal fluid incidence and more CMT reduction were observed in the 4 mg group. The later one was also observed when eyes switching from 2 mg to 4 mg regimen. The median remission interval was 5 months in the 4 mg group, 2 months longer than the 3 months in the 2 mg group (P = 0.452). Injections needed in the 4 mg group were 3.644 ± 1.670, less than the 4.286 ± 2.334 injections in the 2 mg group within 12 months as well (P = 0.151). However, no associated vision benefits were gained from the double-douse regimen. No markedly increased-intraocular pressure events, or other adverse events were found in two groups. CONCLUSIONS: Compared to the aflibercept 2 mg treatment in nAMD, tendencies of anatomic gains and relieving treatment burden were brought by the aflibercept 4 mg treatment. This study may have additional importance, given the further application of high-dose aflibercept in real-world settings.


Assuntos
Inibidores da Angiogênese , Injeções Intravítreas , Receptores de Fatores de Crescimento do Endotélio Vascular , Proteínas Recombinantes de Fusão , Tomografia de Coerência Óptica , Acuidade Visual , Degeneração Macular Exsudativa , Humanos , Receptores de Fatores de Crescimento do Endotélio Vascular/administração & dosagem , Receptores de Fatores de Crescimento do Endotélio Vascular/uso terapêutico , Proteínas Recombinantes de Fusão/administração & dosagem , Proteínas Recombinantes de Fusão/uso terapêutico , Masculino , Feminino , Estudos Retrospectivos , Idoso , Inibidores da Angiogênese/administração & dosagem , Inibidores da Angiogênese/uso terapêutico , Acuidade Visual/fisiologia , Degeneração Macular Exsudativa/tratamento farmacológico , Degeneração Macular Exsudativa/diagnóstico , Tomografia de Coerência Óptica/métodos , Idoso de 80 Anos ou mais , Relação Dose-Resposta a Droga , Seguimentos , Fator A de Crescimento do Endotélio Vascular/antagonistas & inibidores , Resultado do Tratamento , Angiofluoresceinografia/métodos
4.
J Environ Manage ; 353: 120207, 2024 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-38281428

RESUMO

The release of uranium from uranium tailings into the aqueous environment is a complex process controlled by a series of interacting geochemical reactions. In this paper, uranium tailings from a uranium tailings pond in southern China were collected at different depths by means of borehole sampling and mixed to analyze the fugacity state of U. Static leaching experiments of U at different pH, oxidant concentration and solid-to-liquid ratios and dynamic leaching experiments of U at different pH were carried out, and the adsorption and desorption behaviour of U in five representative stratigraphic media were investigated. The results show that U is mainly present in the residue state in uranium tailings, that U release is strong in the lower pH range, that the leached U is mainly in the form of U(VI), mainly from the water-soluble, Fe/Mn oxides and exchangeable fraction of uranium tailings, and that the reduction in U leaching at higher pH is mainly due to the combined effect of precipitation formation and larger particle size of platelets in uranium tailings. Experiments with different oxidant concentrations and solid-liquid ratios showed that the oxygen-enriched state and low solid-liquid ratios were favorable for the leaching of U from uranium tailings. Adsorption and desorption experiments show that U is weakly adsorbed in representative strata, reversibly adsorbed, and that U is highly migratory in groundwater. The present research results have important guiding significance for the management of existing uranium tailings ponds and the control of U migration in groundwater, which is conducive to ensuring the long-term safety, stability and sustainability of uranium mining sites.


Assuntos
Poluentes Radioativos do Solo , Urânio , Poluentes Radioativos da Água , Urânio/análise , Adsorção , Poluentes Radioativos do Solo/análise , Poluentes Radioativos da Água/análise , Água , Oxidantes
5.
Ophthalmic Res ; 66(1): 445-456, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36596292

RESUMO

INTRODUCTION: The aim of the study was to evaluate efficacy and safety outcomes after implantation of the Visian Implantable Collamer Lens (ICL V4c) in myopia patients with shallow anterior chamber depth (ACD). METHODS: This retrospective study followed 163 eyes of 94 patients for at least 24 months. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity, intraocular pressure (IOP), manifest refraction, vault, endothelial cell density (ECD), anterior chamber angle (ACA), anterior chamber volume, and the distance from the corneal endothelium to the central ICL (C-ICL) were measured during follow-ups. Spearman's correlation and logistic regression were used to identify variables correlated with changes in ECD and potential risk factors for ineffective outcomes, respectively. RESULTS: All surgeries were performed safely. High IOP of 9 eyes and anterior capsular opacity of 5 eyes were observed. The last follow-up ACA had a significant difference between the high and normal IOP groups (p = 0.0003). The mean ECD and vault were 2,855.76 ± 270.82 cells/mm2 and 388.01 ± 135.28 µm at the last follow-up, respectively. The vault and C-ICL were significantly associated with ΔECD (all p < 0.05). Furthermore, the vault was most responsible for the ECD loss. Twenty-two eyes had unsatisfactory postoperative UDVA, and the low vault at the last follow-up was a significant risk factor for this ineffective outcome (p < 0.001, OR = 14.739). CONCLUSIONS: ICL V4c implantation in patients with shallow ACD achieved stable visual outcomes. The vault is related to postoperative visual acuity and ECD loss, which needs to be paid attention during follow-up.


Assuntos
Miopia , Lentes Intraoculares Fácicas , Humanos , Refração Ocular , Estudos Retrospectivos , Implante de Lente Intraocular , Miopia/cirurgia , Câmara Anterior , Seguimentos
6.
Ophthalmic Res ; 66(1): 506-515, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36689936

RESUMO

INTRODUCTION: This study aimed to compare anatomical outcomes of air and perfluoropropane gas (C3F8) tamponade in pars plana vitrectomy for the treatment of rhegmatogenous retinal detachment (RRD). METHODS: In this retrospective study, data were gathered from 578 patients (578 eyes) with RRD. The follow-up records of all 578 patients that underwent primary vitrectomy for RRD with air or C3F8 were examined and analyzed. Surgical outcomes of the two groups were compared. RESULTS: A total of 342 eyes were treated with air and 236 with C3F8. The mean follow-up period was 37.65 ± 2.33 months. Baseline and preoperative clinical characteristics were similar between groups, but the period to intraocular bubble disappearance (p < 0.0001), intraocular pressure on the first postoperative day (p < 0.0001), number of cases with intraocular pressure >21 mm Hg within 3 days post-surgery (p < 0.0001), and the number with intraocular pressure >21 mm Hg during follow-up (p = 0.0002) differed significantly between groups. Primary reattachment rates for air and C3F8 groups were 95.03% and 95.34%, respectively. Clinical characteristics were similar in those with and without successful reattachment, and the frequency of new or unclosed breaks was similar between the two groups. There was no significant difference in two groups according to the presence or absence of inferior retinal breaks and inferior detached quadrants. Univariate and multivariate logistic regression identified no risk factor for surgical failure. CONCLUSIONS: Air showed equivalent effects to C3F8, with a shorter period to intraocular bubble disappearance, less risk of postoperative intraocular hypertension, and less expense.


Assuntos
Descolamento Retiniano , Humanos , Descolamento Retiniano/cirurgia , Descolamento Retiniano/etiologia , Estudos Retrospectivos , Vitrectomia/efeitos adversos , Acuidade Visual , Complicações Pós-Operatórias/cirurgia , Resultado do Tratamento
7.
Vascular ; : 17085381231192688, 2023 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-37522318

RESUMO

BACKGROUND: Abdominal aortic aneurysm (AAA) is a potentially fatal vascular disorder with a high mortality rate. It was previously reported that fibroblast growth factor 21 (FGF21) was highly expressed in AAA patients. Nonetheless, its underlying mechanism in AAA progression is unclarified. METHODS: Angiotensin II (Ang-II) was used to induce AAA in human aortic vascular smooth muscle cells (HASMCs) and mouse models. Western blotting and RT-qPCR were utilized for measuring protein and RNA levels. Immunofluorescence staining was utilized for detecting LC3B expression in HASMCs. Elastica van Gieson staining was conducted for histological analysis of the abdominal aortas of mice. RESULTS: FGF21 displayed a high level in Ang-II-stimulated HASMCs and AAA mice. FGF21 depletion ameliorated abdominal aorta dilation and Ang-II-triggered pathological changes in mice. FGF21 silencing hindered autophagy and PI3K/AKT/mTOR pathway. CONCLUSIONS: FGF21 contributes to AAA progression by enhancing autophagy and activating PI3K/AKT/mTOR pathway.

8.
Int J Med Sci ; 19(4): 740-752, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35582415

RESUMO

Background: Oxidative stress-related apoptosis is considered as the key mechanism implicated in the pathophysiology of nephrotoxicity with vancomycin (VCM) therapy. We evaluated the possible effects of N-acetylcysteine (NAC) on VCM-induced nephrotoxicity and the underlying mechanism. Methods: VCM-induced nephrotoxicity was established using HK-2 cells and SD rats and observed by measuring cell survival, kidney histological changes, renal function and kidney injury related markers (KIM-1 and NGAL). Oxidative stress, renal cell apoptosis and the involved signaling pathways were also evaluated. Results: In model rats, NAC could protect against VCM-induced acute kidney injury with histological damage, renal dysfunction, and increased Cre and BUN levels. In HK-2 cells, VCM-induced decreased cell viability was restored by NAC. In addition, increased expression of caspase-3, KIM-1 and NGAL suffering from VCM was also reversed by NAC in vivo and in vitro. NAC inhibited ROS production, decreased cell apoptosis by decreasing the Bax/Bcl-2 ratio and caspase-3 expression in HK-2 cells and regulated oxidative stress indicators in the kidney by decreasing GSH, SOD and CAT activity and increasing MDA levels. Furthermore, NAC could effectively reverse VCM-associated increased P38 MAPK/JNK phosphorylation. Conclusions: The results demonstrated that NAC had a protective effect against nephrotoxicity from VCM by inhibiting oxidative stress and apoptosis via P38 MAPK/JNK.


Assuntos
Injúria Renal Aguda , Vancomicina , Acetilcisteína/farmacologia , Acetilcisteína/uso terapêutico , Injúria Renal Aguda/induzido quimicamente , Injúria Renal Aguda/tratamento farmacológico , Animais , Antibacterianos/efeitos adversos , Apoptose , Caspase 3/metabolismo , Rim/patologia , Lipocalina-2/metabolismo , Lipocalina-2/farmacologia , Estresse Oxidativo , Ratos , Ratos Sprague-Dawley , Ratos Wistar , Vancomicina/efeitos adversos , Vancomicina/metabolismo , Proteínas Quinases p38 Ativadas por Mitógeno/genética , Proteínas Quinases p38 Ativadas por Mitógeno/metabolismo
9.
BMC Ophthalmol ; 22(1): 69, 2022 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-35148716

RESUMO

BACKGROUND: The aim of this study is to identify the genetic defects in a Chinese family with fundus albipunctatus. METHODS: Complete ophthalmic examinations, including slit-lamp biomicroscopy, dilated indirect ophthalmoscopy, fundus photography, autofluorescence, swept source optical coherence tomography (SS-OCT) and full-field electroretinography (ffERG) were performed. Genomic DNA was extracted from blood samples and whole genome sequencing was performed. Variants were validated with Sanger sequencing. RESULTS: Six members in this Chinese family, including three affected individuals and three controls, were recruited in this study. The ophthalmic examination of three recruited patients was consistent with fundus albipunctatus. Three variants, a novel frameshift deletion c.39delA [p.(Val14CysfsX47] and a haplotype of two rare missense variants, c.683G > A [p.(Arg228Gln)] along with c.710A > G [p.(Tyr237Cys], within the retinal dehydrogenase 5 (RDH5) gene were found to segregate with fundus albipunctatus in this family in an autosomal recessive matter. CONCLUSION: We identified novel compound heterozygous variants in RDH5 responsible for fundus albipunctatus in a large Chinese family. The results of our study further broaden the genetic defects of RDH5 associated with fundus albipunctatus.


Assuntos
Oxirredutases do Álcool , Cegueira Noturna , Distrofias Retinianas , Oxirredutases do Álcool/genética , China , Eletrorretinografia , Humanos , Mutação , Linhagem , Reação em Cadeia da Polimerase , Retinal Desidrogenase , Doenças Retinianas , Tomografia de Coerência Óptica
10.
BMC Ophthalmol ; 22(1): 197, 2022 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-35484529

RESUMO

BACKGROUND: To evaluate the efficacy of MP-3 microperimeter biofeedback fixation training (MBFT) in vision rehabilitation of low-vision patients affected by macular disease with central vision loss. METHODS: Seventeen eyes (7 age-related macular degeneration, 10 myopic maculopathy) of 17 patients were included in this prospective, interventional study. The preferred retinal locus was determined by comprehensive ophthalmoscopic fundus evaluation including fundus photography, autofluorescence, optical coherence tomography, and microperimetry. The rehabilitation consisted of three 10-min sessions per eye to be performed twice per week for 20 consecutive weeks using the MP-3 microperimeter. Best corrected visual acuity (BCVA), reading speed, mean central sensitivity, the percentages of fixation points within specified regions, bivariate contour ellipse area (BCEA) and the 25-item National Eye Institute visual function questionnaire (NEI-VFQ-25) were recorded pre- and post-training. RESULTS: The final BCVA, reading speed and mean central sensitivity all showed significant improvements after rehabilitation (P <  0.0001, P = 0.0013, and P = 0.0002, respectively). The percentages of fixation points located within 2° and 4° diameter circles both significantly increased after training (P = 0.0008 and P = 0.0007, respectively). The BCEA encompassing 68.2, 95.4, 99.6% of fixation points were all significantly decreased after training (P = 0.0038, P = 0.0022, and P = 0.0021, respectively). The NEI-VFQ-25 scores were significantly increased at the end of the rehabilitation training (P <  0.0001). CONCLUSION: Rehabilitation with MP-3 MBFT is a user-friendly therapeutic option for improving visual function, fixation stability, and quality of life in advanced macular disease. TRIAL REGISTRATION: The prospective study was registered with the Chinese Clinical Trial Registry ( http://www.chictr.org.cn/ ). TRIAL REGISTRATION NUMBER: ChiCTR2000029586 . Date of registration: 05/02/2020.


Assuntos
Degeneração Macular , Doenças Retinianas , Baixa Visão , Biorretroalimentação Psicológica/métodos , Humanos , Estudos Prospectivos , Qualidade de Vida , Retina , Acuidade Visual
11.
Korean J Physiol Pharmacol ; 26(5): 347-355, 2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-36039735

RESUMO

Abdominal aortic aneurysm (AAA) is a life-threatening disorder worldwide. Fibroblast growth factor 21 (FGF21) was shown to display a high level in the plasma of patients with AAA; however, its detailed functions underlying AAA pathogenesis are unclear. An in vitro AAA model was established in human aortic vascular smooth muscle cells (HASMCs) by angiotensin II (Ang-II) stimulation. Cell counting kit-8, wound healing, and Transwell assays were utilized for measuring cell proliferation and migration. RT-qPCR was used for detecting mRNA expression of FGF21 and activating transcription factor 4 (ATF4). Western blotting was utilized for assessing protein levels of FGF21, ATF4, and markers for the contractile phenotype of HASMCs. ChIP and luciferase reporter assays were implemented for identifying the binding relation between AFT4 and FGF21 promoters. FGF21 and ATF4 were both upregulated in Ang-II-treated HASMCs. Knocking down FGF21 attenuated Ang-II-induced proliferation, migration, and phenotype switch of HASMCs. ATF4 activated FGF21 transcription by binding to its promoter. FGF21 overexpression reversed AFT4 silencing-mediated inhibition of cell proliferation, migration, and phenotype switch. ATF4 transcriptionally upregulates FGF21 to promote the proliferation, migration, and phenotype switch of Ang-II-treated HASMCs.

12.
BMC Ophthalmol ; 21(1): 353, 2021 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-34610801

RESUMO

BACKGROUND: The aim of this study is to identify the genetic defect in a Chinese family with congenital aniridia combined with cataract and nystagmus. METHODS: Complete ophthalmic examinations, including slit-lamp biomicroscopy, dilated indirect ophthalmoscopy, anterior segment photography, and anterior segment optical coherence tomography (OCT) were performed. Blood samples were collected from all family members and genomic DNA was extracted. Genome sequencing was performed in all family members and Sanger sequencing was used to verify variant breakpoints. RESULTS: All the thirteen members in this Chinese family, including seven patients and six normal people, were recruited in this study. The ophthalmic examination of affected patients in this family was consistent with congenital aniridia combined with cataract and nystagmus. A novel heterozygous deletion (NC_000011.10:g.31802307_31806556del) containing the 5' region of PAX6 gene was detected that segregated with the disease. CONCLUSION: We detected a novel deletion in PAX6 responsible for congenital aniridia in the affected individuals of this Chinese family. The novel 4.25 kb deletion in PAX6 gene of our study would further broaden the genetic defects of PAX6 associated with congenital aniridia.


Assuntos
Aniridia , Catarata , Proteínas do Olho , Fator de Transcrição PAX6 , Aniridia/complicações , Aniridia/genética , Catarata/complicações , Catarata/genética , China , Proteínas do Olho/genética , Humanos , Fator de Transcrição PAX6/genética , Linhagem
13.
BMC Med Educ ; 21(1): 511, 2021 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-34579726

RESUMO

BACKGROUND: Microsurgery training has become an important part of ophthalmology teaching and one of the main topics of examination. Accurate and effective evaluation of microsurgery skills is vital for the training and teaching of residents. In this study, we aimed to establish a pterygium surgery assessment scale for use by ophthalmic residents and evaluate its reliability and validity. METHODS: Based on a literature search, experienced pterygium surgeons developed the preliminary scale according to the standard surgical procedure. The preliminary scale and a questionnaire were sent to teaching and research experts in the field for feedback. Face and content validity and reliability of the scale were determined by rounds of modifications based on expert feedback. For construct validity, existing assessment scales were obtained and a range of factors were tested. RESULTS: Nineteen expert surgeons completed the questionnaire and modifications were made until all surgeons agreed on the final scale. Good construct validity was found by evaluation against 257 existing scales. For reliability, 280 evaluation scales were completed. Inter- and intra-rater reliability analysis both found Intraclass Correlation Coefficient (ICC) > 0.8 for all items and total scores. CONCLUSION: The pterygium surgery assessment scale developed in this study has good reliability and validity, and is an effective measurement tool for the evaluation of ophthalmology residents' pterygium surgical skills.


Assuntos
Internato e Residência , Oftalmologia , Pterígio , Competência Clínica , Avaliação Educacional , Humanos , Oftalmologia/educação , Pterígio/diagnóstico , Pterígio/cirurgia , Reprodutibilidade dos Testes
14.
Eur J Clin Invest ; 48(1)2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28981139

RESUMO

BACKGROUND: Combined treatment with intravitreal anti-vascular endothelial growth factor (anti-VEGF) and verteporfin photodynamic therapy (PDT) is widely used for patients with polypoidal choroidal vasculopathy (PCV), although clinical evidence regarding the therapeutic efficacy and safety of such treatment remains lacking. DESIGN/METHODS: We performed a meta-analysis of previously reported studies comparing combination treatment, PDT monotherapy, and anti-VEGF monotherapy. Primary outcome measures included changes in best-corrected visual acuity (BCVA) and central retinal thickness (CRT). The proportion of patients with polyp regression was regarded as the secondary outcome measure. RESULTS: Twenty studies (three RCTs and 19 retrospective studies) involving 1,178 patients with PCV were selected. Significant differences in the proportion of patients with polyps were observed between the PDT and anti-VEGF monotherapy groups at 3 and ≥6 months (P < .00001; and P = .0001, respectively). Significantly greater reductions in CRT were observed in the anti-VEGF than in the PDT group at the 3-month follow-up (P = .04). Significantly greater improvements in BCVA were observed in the combined therapy group than in the PDT monotherapy group at 3, 6, 12, and 24 months (P = .03; P = .005; P = .02; and P < .00001, respectively). Combined treatment also resulted in significantly greater improvements in BCVA than monotherapy with anti-VEGF at 6 and 24 months (P = .001; P < .00001, respectively), and significantly greater polyp regression than that observed following anti-VEGF treatment at 3 and ≥6 months (P < .00001; P < .0001, respectively). CONCLUSIONS: Combined therapy involving anti-VEGF agents and PDT may be more effective in improving long-term outcomes for patients with PCV than monotherapy.


Assuntos
Inibidores da Angiogênese/administração & dosagem , Doenças da Coroide/tratamento farmacológico , Fotoquimioterapia/métodos , Fármacos Fotossensibilizantes/administração & dosagem , Pólipos/tratamento farmacológico , Porfirinas/administração & dosagem , Fator A de Crescimento do Endotélio Vascular/antagonistas & inibidores , Doenças da Coroide/fisiopatologia , Terapia Combinada , Humanos , Injeções Intravítreas , Pólipos/fisiopatologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Verteporfina , Acuidade Visual/efeitos dos fármacos
15.
Water Environ Res ; 88(8): 694-703, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27456140

RESUMO

Polysaccharide-stabilized zero-valent iron (ZVI) nanoparticles were synthesized using sodium carboxymethyl cellulose (CMC) or starch as stabilizer, and tested for reductive removal of selenate in water. Batch kinetic tests showed that the stabilized ZVI nanoparticles offer much faster selenate removal than bare ZVI particles at both pH 6.0 and pH 8.4. X-ray photoelectron spectroscopy (XPS) analyses confirmed Se(VI) was transformed to Se(IV) and Se(0), which are removed along with the nanoparticles. Neutral pH (~7) was found to be most favorable for the reductive removal. Decreasing pH to 5.0 or increasing it to 8.0 reduced the removal rate of CMC-stabilized ZVI by a factor of 4.6 or 1.3, respectively, based on the observed first-order-rate constant. Dissolved organic matter (DOM) at 5 mg/L as total organic carbon (TOC) had modest inhibitive effect, but DOM at 25 mg/L TOC decreased selenate removal by 25%. The stabilized nanoparticles hold the potential to facilitate in situ remediation of selenate-contaminated soil and groundwater.


Assuntos
Ferro/química , Nanopartículas Metálicas/química , Ácido Selênico/isolamento & purificação , Poluentes Químicos da Água/isolamento & purificação , Carboximetilcelulose Sódica/química , Concentração de Íons de Hidrogênio , Compostos Orgânicos/química , Ácido Selênico/química , Poluentes Químicos da Água/química
16.
Guang Pu Xue Yu Guang Pu Fen Xi ; 35(2): 543-6, 2015 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-25970929

RESUMO

Selenium (Se) is an elementary trace nutrient element for human but there is a very narrow range between deficit and toxic levels. Furthermore, excessive intake of Selenium is harmful for human. The product species of selenite which was removal by pyrite particles was studied in the present research In the experiments, the pyrite particles were prepared by the wet ball mill method, and surface analyses of pyrite before and after contact with Se(IV) were conducted using X-ray photoelectron spectroscopy (XPS). Besides, the prepared pyrite samples were also characterized using both X-ray diffraction (XRD) and scanning electron microscope (SEM). X-ray diffraction analysis indicated that the purity of the prepared pyrite particles was above 97%, and the characteristic diffraction peaks of the particles well matched with that of FeS2 crystalline. Scanning electron microscope determination showed the shape of the particles was approximate ball and the size was range from 80 to 180 nm. And thus the pyrite particles prepared by the wet ball mill method had less particle size, larger specific surface area and higher reactive ability. The batch experiments exhibited the pyrite particles were able to remove 95% of Se(IV) (20 mg x L(-1)) from water within 12 hours. And the kinetic tests indicated reaction process between pyrite and Se(IV) fits a pseudo-first order kinetic model, which gives a pseudo-first order rate constant(kobs) of 0.26 h(-1). XPS analyses were using the XPSPEAK program which has a Gaussian Lorentzian function. The results clearly displays that Se(IV) prefer to react with the surface-bound S2(2-) rather than reacted with the surface-bound Fe2+ of pyrite particles. From XPS graph, it can be seen that the binding energy of sulfur element and iron element composed of pyrite shifted to the left a little, which means expensive state of sulfur element and iron element appeared on the pyrite surface. Analysis of the oxidation state of Se on the surface of pyrite particles by X-ray photoelectron spectra showed evidence for the reduction of Se(VI) to insoluble element Se(0) species. Besides, a spot of Se(IV) was existence on the surface of pyrite particles. The calculation results displayed that zero-valent selenium was dominarnt. At that, redox reaction was the main process when removal of Se( IVN)in aqueous environment with pyrite, along with sorption reaction at the same time. The results of removal of Se(IV) in groundwater using pyrite offer important theoretical value and practical significance.

17.
Heliyon ; 10(1): e23607, 2024 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-38173510

RESUMO

Purpose: Human trabecular meshwork cell (HTMC) dysfunction results in imbalanced aqueous humor inflow and outflow, leading to an increase in intraocular pressure (IOP). Uncontrolled high IOP can promote the occurrence of glaucoma, an irreversible optic neuropathy. Here, we explored whether the long non-coding RNA plasmacytoma variant translocation 1 (lncRNA PVT1)/microRNA-29a-3p (miR-29a-3p) axis could ameliorate HTMC dysfunction under oxidative stress by modulating the expression of the proangiogenic factor vascular endothelial growth factor (VEGFA) and the profibrotic factor metalloproteinase-2 (MMP-2). Methods: HTMCs were cultured under H2O2-induced oxidative stress for 48 h. The expression of lncRNA PVT1, miR-29a-3p, VEGFA, MMP-2, intracellular adhesion molecule-1 (ICAM-1), and alpha-smooth muscle actin (α-SMA) was detected by reverse transcription quantitative real-time polymerase chain reaction, western blotting, and immunofluorescence. Interference experiments were conducted via the transfection of HTMCs with small interfering RNA (siRNA) targeting lncRNA PVT1 or miR-29a-3p mimics. A luciferase reporter assay was undertaken to identify the presence of a miR-29a-3p binding site in lncRNA PVT1. Flow cytometry and Transwell and Cell Counting Kit-8 assays were employed to evaluate HTMC functions under oxidative stress with different treatments. Results: In HTMCs, the expression of lncRNA PVT1 was induced by H2O2 treatment, whereas that of miR-29a-3p was inhibited. The levels of angiogenic factors (VEGFA, ICAM-1) and fibrosis-associated mediators (MMP-2, α-SMA) were upregulated in HTMCs under oxidative stress. The siRNA-mediated suppression of lncRNA PVT1 or the upregulation of miR-29a-3p significantly suppressed the expression of VEGFA, MMP-2, ICAM-1, and α-SMA. A luciferase reporter assay confirmed that lncRNA PVT1 directly targeted miR-29a-3p and acted as a miR-29a-3p sponge. The knockdown of lncRNA PVT1 restored the level of miR-29a-3p in H2O2-treated HTMCs, thereby inhibiting VEGFA and MMP-2, its target mRNAs. HTMC dysfunction, including increased apoptosis and decreased cell mobility and viability, could be effectively ameliorated by lncRNA PVT1 downregulation or miR-29a-3p overexpression under oxidative stress. Conclusion: LncRNA PVT1 has potential as a therapeutic target for inhibiting VEGFA and MMP-2, thus protecting HTMCs, suppressing the progression of fibrosis, and, consequently, improving the outcome of glaucoma filtration surgery.

18.
J Hazard Mater ; 470: 134272, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38613953

RESUMO

As a global emerging contaminant, microplastics (MPs) in water or soil can accumulate in vegetables, making them easily ingested through the diet. With excellent and tunable optical properties, carbon dots (CDs) are highly advantageous for tracing the entry process of MPs. Originally, long-wavelength CDs were synthesized from leaf-derived extracts, and fluorescent submicrometer plastics (CDs-MPs) with clean surfaces and concentrated particle sizes were obtained by soap-free microemulsion polymerization. The concentration of CDs-MPs exhibits a significant linear relationship with long-wavelength fluorescence intensity (λEx/λEm: 415/676 nm). Soybean sprouts (SBS), as an important type of food, are susceptible to contamination of MPs due to their soft epidermis and rapidly growing biomass. The results showed that CDs-MPs could be embedded into the cortex of SBS and enter the plant with cell division and elongation, leading to an increase in pore size on the cell wall surface. After entering the root system, CDs-MPs will pass through the Casparian strip and migrate in the vessels. Then, CDs-MPs enter the leaves through vascular bundles, and the distribution and size of epicuticular wax on leaves have changed. Furthermore, SBS showed resistant growth and increased levels of oxidative response when exposed to MPs/CDs-MPs. It is the first study to demonstrate the application of leaf-derived CDs in the prevention of MPs pollution by revealing the migration behavior of submicrometre plastics in SBS.


Assuntos
Carbono , Glycine max , Folhas de Planta , Pontos Quânticos , Folhas de Planta/química , Glycine max/química , Carbono/química , Pontos Quânticos/química , Microplásticos/toxicidade , Tamanho da Partícula , Raízes de Plantas , Plásticos/química , Fluorescência
19.
Sci Total Environ ; 918: 170744, 2024 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-38325483

RESUMO

Microorganisms capable of simultaneously remediating heavy metals (HMs) and polycyclic aromatic hydrocarbons (PAHs) pollution hold significant importance in bioremediation efforts. In this study, we investigated the ability of Pseudomonas aeruginosa AO-4 to simultaneously degrade phenanthrene (PHE) and reduce Cr (VI). Specifically, it has the ability to reduce 100 % of Cr (VI) (30 mg/L) while degrading 43.8 % of PHE (50 mg/L). In batch experiments, it was observed that the presence of Cr (VI) can enhance the degradation of PHE by strain AO-4. The solubility of PHE in soluble extracellular polymeric substances (S-EPS) was found to be related to the initial concentration of Cr (VI), which could explain why Cr (VI) promotes the degradation of PHE. Additionally, XPS analysis confirmed that Cr (VI) was reduced to Cr (III) with S-EPS produced by Pseudomonas aeruginosa AO-4. GC-MS analysis was conducted to analyze the degradation metabolites of phenanthrene, di(2-ethylhexyl) phthalate and 2TMS derivatives of salicylic acid were detected, indicating that Pseudomonas aeruginosa AO-4 is capable of degrading phenanthrene through two distinct pathways. These findings demonstrate the potential of Pseudomonas aeruginosa AO-4 in the treatment of co-contamination scenarios involving PAHs and HMs.


Assuntos
Metais Pesados , Fenantrenos , Hidrocarbonetos Policíclicos Aromáticos , Pseudomonas aeruginosa/metabolismo , Biodegradação Ambiental , Fenantrenos/metabolismo , Hidrocarbonetos Policíclicos Aromáticos/metabolismo , Metais Pesados/metabolismo
20.
Water Res ; 262: 122089, 2024 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-39018586

RESUMO

Microbes possessing electron transfer capabilities hold great promise for remediating subsurface contaminated by redox-active radionuclides such as technetium-99 (99TcO4-) through bio-transformation of soluble contaminants into their sparingly soluble forms. However, the practical application of this concept has been impeded due to the low electron transfer efficiency and long-term product stability under various biogeochemical conditions. Herein, we proposed and tested a pyrite-stimulated bio-immobilization strategy for immobilizing ReO4- (a nonradioactive analogue of 99TcO4-) using sulfate-reducing bacteria (SRB), with a focus on pure-cultured Desulfovibrio vulgaris. Pyrite acted as an effective stimulant for the bio-transformation of ReO4-, boosting the removal rate of ReO4- (50 mg/L) in a solution from 2.8 % (without pyrite) to 100 %. Moreover, the immobilized products showed almost no signs of remobilization during 168 days of monitoring. Dual lines of evidence were presented to elucidate the underlying mechanisms for the pyrite-enhanced bio-activity. Transcriptomic analysis revealed a global upregulation of genes associated with electron conductive cytochromes c network, extracellular tryptophan, and intracellular electron transfer units, leading to enhanced ReO4- bio-reduction. Spectroscopic analysis confirmed the long-term stability of the bio-immobilized products, wherein ReO4- is reduced to stable Re(IV) oxides and Re(IV) sulfides. This work provides a novel green strategy for remediation of radionuclides- or heavy metals-contaminated sites.

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