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1.
Faraday Discuss ; 216(0): 339-362, 2019 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-31038132

RESUMO

It is generally presumed that the vast majority of carriers created by chemical doping of semiconducting polymer films are coulombically trapped by the counteranion, with only a small fraction that are free and responsible for the increased conductivity essential for organic electronic applications. At higher doping levels, it is also possible for bipolarons to form, which are expected to be less conductive than single polarons. Unfortunately, there is no simple way to distinguish free polarons, trapped polarons and bipolarons using steady-state spectroscopy. Thus, in this work, we use ultrafast transient absorption spectroscopy to study the dynamics of polarons in 2,3,5,6-tetrafluoro-7,7,8,8-tetracyanoquinodimethane (F4TNCQ)-doped films of poly(3-hexylthiophene-2,5-diyl) (P3HT) as a function of dopant concentration and excitation wavelength. When exciting on the red side of the polaron P1 transition, our transient absorption spectra and kinetics match well with what is expected for free 2-D-delocalized polarons; the measurements are not consistent with a recent theory of doped conjugated polymer electronic structure that suggests that the half-filled state lies deeper in the conduction band rather than in the bandgap. As we tune the excitation wavelength to the blue, our measurements reveal an increasing amount of slower transient kinetics that are consistent with the presence of coulombically-trapped polarons rather than bipolarons. Taking advantage of their distinct ultrafast relaxation kinetics as a type of action spectroscopy, we are able to extract the steady-state absorption spectra of free and trapped polarons as a function of dopant concentration. By comparing the results to theoretical models, we determine that in F4TCNQ-doped P3HT films, trapped polarons sit ∼0.4 nm away from the anion while free polarons reside between 0.7 and 0.9 nm from the counteranion. Perhaps counterintuitively, the ratio of trapped to free polarons increases at higher doping levels, an observation that is consistent with a plateau in the concentration-dependent conductivity of F4TCNQ-doped P3HT films.

2.
Bioorg Med Chem Lett ; 28(8): 1397-1403, 2018 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-29545102

RESUMO

Imidazo-[1, 2-a]pyrazine 1 is a potent inhibitor of Aurora A and B kinase in vitro and is effective in in vivo tumor models, but has poor oral bioavailbility and is unsuitable for oral dosing. We describe herein our effort to improve oral exposure in this class, resulting ultimately in the identification of a potent Aurora inhibitor 16, which exhibited good drug exposure levels across species upon oral dosing, and showed excellent in vivo efficacy in a mouse xenograft tumor model when dosed orally.


Assuntos
Antineoplásicos/uso terapêutico , Aurora Quinase A/antagonistas & inibidores , Aurora Quinase B/antagonistas & inibidores , Imidazóis/uso terapêutico , Inibidores de Proteínas Quinases/uso terapêutico , Pirazinas/uso terapêutico , Administração Oral , Animais , Antineoplásicos/administração & dosagem , Antineoplásicos/síntese química , Antineoplásicos/farmacocinética , Cães , Células HCT116 , Haplorrinos , Histonas/metabolismo , Humanos , Imidazóis/administração & dosagem , Imidazóis/síntese química , Imidazóis/farmacocinética , Camundongos , Fosforilação , Inibidores de Proteínas Quinases/administração & dosagem , Inibidores de Proteínas Quinases/síntese química , Inibidores de Proteínas Quinases/farmacocinética , Pirazinas/administração & dosagem , Pirazinas/síntese química , Pirazinas/farmacocinética , Ratos , Estereoisomerismo , Ensaios Antitumorais Modelo de Xenoenxerto
3.
J Phys Chem A ; 118(45): 10531-7, 2014 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-25112797

RESUMO

Laser-induced optoacoustic spectroscopy (LIOAS), diffuse reflectance laser flash photolysis (DRLFP), and laser-induced luminescence (LIL) have been applied in conjunction to the determination of triplet state quantum yields of Rose Bengal (RB) supported on microcrystalline cellulose, a strongly light-scattering solid. Among the three used methods, the only one capable of providing absolute triplet quantum yields is LIOAS, but DRLFP and LIL aid in demonstrating that the LIOAS signal arises in fact from the triplet state and confirm the trend found with RB concentration. The coherence found for the three techniques demonstrates the usefulness of the approach. Observed triplet quantum yields are nearly constant within a limited concentration range, after which they decay strongly due to the generation of inactive dye aggregates or energy trapping centers. When quantum yields are divided by the fraction of absorbed light exciting the dye, the quotient falls off steadily with concentration, following the same trend as the observed fluorescence quantum yield. The conditions that maximize triplet formation are determined as a compromise between the rising light absorption and the decrease of quantum yield with RB concentration.

4.
Bioorg Med Chem Lett ; 22(9): 3311-6, 2012 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-22475558

RESUMO

We describe an isostere-driven approach to improve upon a previously-described series of capped dipeptide antagonists of CC Chemokine Receptor 2 (CCR2). Modification of the substitution around the isostere was combined with additional changes in a distal aromatic substituent to provide single-digit nanomolar antagonists of CCR2. These studies led to the identification of 18, a compound that was suitable for studies in murine models of CCR2 activity.


Assuntos
Amino Álcoois/química , Receptores CCR2/antagonistas & inibidores , Amino Álcoois/farmacologia , Animais , Disponibilidade Biológica , Camundongos
5.
Bioorg Med Chem Lett ; 22(10): 3544-9, 2012 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-22503250

RESUMO

The structure-activity relationships of new Aurora A/B kinase inhibitors derived from the previously identified kinase inhibitor 12 are described. Introduction of acetic acid amides onto the pyrazole of compound 12 was postulated to influence Aurora A/B selectivity and improve the profile against off-target kinases. The SAR of the acetic acid amides was explored and the effect of substitution on enzyme inhibition as well as mechanism-based cell activity was studied. Additionally, several of the more potent inhibitors were screened for their off-target kinase selectivity.


Assuntos
Imidazóis/farmacologia , Inibidores de Proteínas Quinases/farmacologia , Proteínas Serina-Treonina Quinases/antagonistas & inibidores , Pirazinas/farmacologia , Aurora Quinases , Cristalografia por Raios X , Modelos Moleculares , Relação Estrutura-Atividade
6.
Adv Mater ; 33(3): e2000228, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33296113

RESUMO

Molecular dopants are often added to semiconducting polymers to improve electrical conductivity. However, the use of such dopants does not always produce mobile charge carriers. In this work, ultrafast spectroscopy is used to explore the nature of the carriers created following doping of conjugated push-pull polymers with both F4 TCNQ (2,3,5,6-tetrafluoro-7,7,8,8-tetracyanoquinodimethane) and FeCl3 . It is shown that for one particular push-pull material, the charge carriers created by doping are entirely non-conductive bipolarons and not single polarons, and that transient absorption spectroscopy following excitation in the infrared can readily distinguish the two types of charge carriers. Based on density functional theory calculations and experiments on multiple push-pull conjugated polymers, it is argued that the size of the donor push units determines the relative stabilities of polarons and bipolarons, with larger donor units stabilizing the bipolarons by providing more area for two charges to co-reside.

7.
J Med Chem ; 64(21): 16213-16241, 2021 11 11.
Artigo em Inglês | MEDLINE | ID: mdl-34714078

RESUMO

Identification of low-dose, low-molecular-weight, drug-like inhibitors of protein-protein interactions (PPIs) is a challenging area of research. Despite the challenges, the therapeutic potential of PPI inhibition has driven significant efforts toward this goal. Adding to recent success in this area, we describe herein our efforts to optimize a novel purine carboxylic acid-derived inhibitor of the HDM2-p53 PPI into a series of low-projected dose inhibitors with overall favorable pharmacokinetic and physical properties. Ultimately, a strategy focused on leveraging known binding hot spots coupled with biostructural information to guide the design of conformationally constrained analogs and a focus on efficiency metrics led to the discovery of MK-4688 (compound 56), a highly potent, selective, and low-molecular-weight inhibitor suitable for clinical investigation.


Assuntos
Imidazóis/química , Proteínas Proto-Oncogênicas c-mdm2/antagonistas & inibidores , Piridinas/química , Proteína Supressora de Tumor p53/antagonistas & inibidores , Humanos , Ligação Proteica , Proteínas Proto-Oncogênicas c-mdm2/química , Proteínas Proto-Oncogênicas c-mdm2/metabolismo , Relação Estrutura-Atividade , Proteína Supressora de Tumor p53/metabolismo
8.
Bioorg Med Chem Lett ; 20(8): 2425-30, 2010 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-20346664

RESUMO

We describe the design, synthesis, and evaluation, of gamma-lactams as glycinamide replacements within a series of di- and trisubstituted cyclohexane CCR2 antagonists. The lactam-containing trisubstituted cyclohexanes proved to be more potent than the disubstituted analogs, as trisubstituted analog, lactam 13, displayed excellent activity (CCR2 binding IC(50)=1.0 nM and chemotaxis IC(50) = 0.5 nM) and improved metabolic stability over its parent glycinamide.


Assuntos
Cicloexanos/farmacologia , Glicina/análogos & derivados , Lactamas/química , Receptores CCR2/antagonistas & inibidores , Animais , Quimiotaxia/efeitos dos fármacos , Cicloexanos/química , Glicina/química , Camundongos
9.
J Org Chem ; 74(16): 6368-70, 2009 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-19588919

RESUMO

An efficient enantioselective synthesis of benzyl (1S,2R,4R)-4-(tert-butoxycarbonylamino)-2-(hydroxymethyl)cyclohexylcarbamate 2, an essential intermediate for a series of potent CCR2 antagonists, is described. The key step in the sequence is an iodolactamization to yield the highly functionalized (1R,2S,4S,5S)-tert-butyl 2-(benzyloxycarbonylamino)-4-iodo-7-oxo-6-azabicyclo[3.2.1]octane-6-carboxylate 11. An examination of the reaction mechanism within the 2-step iodolactamization sequence led to the discovery of a single-pot transformation of increased efficiency.


Assuntos
Carbamatos/química , Carbamatos/síntese química , Cicloexanos/química , Cicloexanos/síntese química , Lactamas/química , Anidridos Ftálicos/química , Estereoisomerismo , Especificidade por Substrato
10.
Bioorg Med Chem Lett ; 19(13): 3418-22, 2009 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-19481449

RESUMO

Potent sulfone-containing di- and trisubstituted cyclohexanes were synthesized and evaluated as CC chemokine receptor 2 (CCR2) antagonists. This led to the trisubstituted derivative 54, which exhibited excellent binding (CCR2 IC(50)=1.3nM) and functional antagonism (calcium flux IC(50)=0.5nM and chemotaxis IC(50)=0.2nM). The superiority of the trisubstituted scaffold was rationalized to be the result of a conformational rigidification, which provided insight into the bioactive conformation of this chemotype.


Assuntos
Cicloexanos/síntese química , Receptores CCR2/antagonistas & inibidores , Sulfonas/química , Cicloexanos/química , Cicloexanos/farmacologia , Conformação Molecular , Receptores CCR2/metabolismo , Sulfonas/síntese química
11.
Bioorg Med Chem Lett ; 19(4): 1245-9, 2009 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-19147348

RESUMO

Versatile intermediates 12'-iodovinblastine, 12'-iodovincristine and 11'-iodovinorelbine were utilized as substrates for transition metal based chemistry which led to the preparation of novel analogues of the vinca alkaloids. The synthesis of key iodo intermediates, their transformation into final products, and the SAR based upon HeLa and MCF-7 cell toxicity assays is presented. Selected analogues 27 and 36 show promising anticancer activity in the P388 murine leukemia model.


Assuntos
Antineoplásicos Fitogênicos/síntese química , Vimblastina/análogos & derivados , Alcaloides de Vinca/síntese química , Alcaloides de Vinca/farmacologia , Vincristina/análogos & derivados , Animais , Antineoplásicos Fitogênicos/química , Antineoplásicos Fitogênicos/farmacologia , Modelos Animais de Doenças , Ensaios de Seleção de Medicamentos Antitumorais , Células HeLa , Humanos , Leucemia P388 , Camundongos , Estrutura Molecular , Relação Estrutura-Atividade , Vimblastina/síntese química , Vimblastina/química , Vimblastina/farmacologia , Alcaloides de Vinca/química , Vincristina/síntese química , Vincristina/química , Vincristina/farmacologia
12.
Clin Case Rep ; 7(9): 1821-1822, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31534766

RESUMO

Aortic dissection is a rare but life- threatening complication of transcatheter aortic valve replacement, clinicians should be aware of this complication and should consider timely diagnostic evaluations, as well as, establish a prompt treatment plan based on a multidisciplinary team approach.

13.
J Med Chem ; 51(7): 2302-6, 2008 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-18314943
14.
Sensors (Basel) ; 8(5): 3020-3036, 2008 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-27879863

RESUMO

The objective of the current study was to analyze the seasonal effect on differentiating tree species in an urban environment using multi-temporal hyperspectral data, Light Detection And Ranging (LiDAR) data, and a tree species database collected from the field. Two Airborne Imaging Spectrometer for Applications (AISA) hyperspectral images were collected, covering the Summer and Fall seasons. In order to make both datasets spatially and spectrally compatible, several preprocessing steps, including band reduction and a spatial degradation, were performed. An object-oriented classification was performed on both images using training data collected randomly from the tree species database. The seven dominant tree species (Gleditsia triacanthos, Acer saccharum, Tilia Americana, Quercus palustris, Pinus strobus and Picea glauca) were used in the classification. The results from this analysis did not show any major difference in overall accuracy between the two seasons. Overall accuracy was approximately 57% for the Summer dataset and 56% for the Fall dataset. However, the Fall dataset provided more consistent results for all tree species while the Summer dataset had a few higher individual class accuracies. Further, adding LiDAR into the classification improved the results by 19% for both fall and summer. This is mainly due to the removal of shadow effect and the addition of elevation data to separate low and high vegetation.

15.
Cognition ; 179: 202-212, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-29966913

RESUMO

Although widely studied, the process of how mind wandering occurs and is subsequently sustained still remains unclear. Moreover, the traditional concept of mind wandering tendency/frequency based on the self- or probe-caught methods alone is incoherent and problematic. We developed a new approach to characterize the mind wandering process by combining the self-caught and probe-caught methods to estimate the time of focus and time of mind wandering separately, and examined their relationship to working memory capacity. Participants performed an OSPAN task and subsequently a basic Mindfulness Meditation Task (focus on breath). During the meditation task, participants indicated when they became aware that they were mind wandering (self-caught method), or were asked if they were mind wandering when probed (probe-caught method). Results showed that time of focus but not time of mind wandering increased with greater working memory capacity. This suggests that individuals with higher working memory capacity were able to focus on the current task longer, but had little effect on the ability to monitor and terminate mind wandering once it occurred. The theoretical and methodological implications of this new approach are discussed.


Assuntos
Memória de Curto Prazo , Pensamento , Adolescente , Adulto , Atenção , Humanos , Atenção Plena , Testes Neuropsicológicos , Adulto Jovem
16.
Nat Commun ; 9(1): 5363, 2018 12 18.
Artigo em Inglês | MEDLINE | ID: mdl-30560893

RESUMO

The gain-of-function MUC5B promoter variant rs35705950 is the dominant risk factor for developing idiopathic pulmonary fibrosis (IPF). Here we show in humans that MUC5B, a mucin thought to be restricted to conducting airways, is co-expressed with surfactant protein C (SFTPC) in type 2 alveolar epithelia and in epithelial cells lining honeycomb cysts, indicating that cell types involved in lung fibrosis in distal airspace express MUC5B. In mice, we demonstrate that Muc5b concentration in bronchoalveolar epithelia is related to impaired mucociliary clearance (MCC) and to the extent and persistence of bleomycin-induced lung fibrosis. We also establish the ability of the mucolytic agent P-2119 to restore MCC and to suppress bleomycin-induced lung fibrosis in the setting of Muc5b overexpression. Our findings suggest that mucociliary dysfunction might play a causative role in bleomycin-induced pulmonary fibrosis in mice overexpressing Muc5b, and that MUC5B in distal airspaces is a potential therapeutic target in humans with IPF.


Assuntos
Predisposição Genética para Doença , Fibrose Pulmonar Idiopática/genética , Mucina-5B/genética , Mucina-5B/metabolismo , Depuração Mucociliar/genética , Mucosa Respiratória/patologia , Animais , Bleomicina/toxicidade , Modelos Animais de Doenças , Células Epiteliais/metabolismo , Células Epiteliais/patologia , Expectorantes/farmacologia , Expectorantes/uso terapêutico , Feminino , Mutação com Ganho de Função , Humanos , Fibrose Pulmonar Idiopática/induzido quimicamente , Fibrose Pulmonar Idiopática/tratamento farmacológico , Fibrose Pulmonar Idiopática/patologia , Pulmão/citologia , Pulmão/metabolismo , Pulmão/patologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Depuração Mucociliar/efeitos dos fármacos , Regiões Promotoras Genéticas/genética , Proteína C Associada a Surfactante Pulmonar/metabolismo , Mucosa Respiratória/citologia , Mucosa Respiratória/metabolismo
17.
J Med Chem ; 49(6): 2138-42, 2006 Mar 23.
Artigo em Inglês | MEDLINE | ID: mdl-16539403

RESUMO

Novel dihydropyrrolopyrazole-substituted benzimidazoles were synthesized and evaluated in vitro as inhibitors of transforming growth factor-beta type I receptor (TGF-beta RI), TGF-beta RII, and mixed lineage kinase-7 (MLK-7). These compounds were found to be potent TGF-beta RI inhibitors and selective versus TGF-beta RII and MLK-7 kinases. Benzimidazole derivative 8b was active in an in vivo target (TGF-beta RI) inhibition assay.


Assuntos
Benzimidazóis/síntese química , MAP Quinase Quinase Quinases/antagonistas & inibidores , Proteínas Serina-Treonina Quinases/antagonistas & inibidores , Pirazóis/síntese química , Pirróis/síntese química , Receptores de Fatores de Crescimento Transformadores beta/antagonistas & inibidores , Animais , Benzimidazóis/química , Benzimidazóis/farmacologia , Células Cultivadas , Humanos , Camundongos , Camundongos Nus , Vison , Estrutura Terciária de Proteína , Pirazóis/química , Pirazóis/farmacologia , Pirróis/química , Pirróis/farmacologia , Receptor do Fator de Crescimento Transformador beta Tipo I , Relação Estrutura-Atividade , Ensaios Antitumorais Modelo de Xenoenxerto
18.
Chem Biol ; 10(3): 215-23, 2003 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-12670535

RESUMO

Inhibition of tumor necrosis factor-alpha converting enzyme (TACE) is a widespread objective in the search for disease modifying agents to combat rheumatoid arthritis and other autoimmune diseases. Until recently, most of the inhibitors in the literature have shown concomitant activity against the related matrix metalloproteinases (MMPs), producing undesired side effects. Here we describe the successful search for a TACE selectivity mechanism. We built a homology model based on the crystal structure of the related snake venom protein atrolysin. Comparison of the model with crystal structures of MMPs suggested a uniquely shaped S1' pocket that might be exploited for selectivity. A novel gamma-lactam scaffold was used to explore the activity profile of P1' sidechains, resulting in highly selective compounds consistent with this hypothesis. Transferability of the hypothesis was then demonstrated with five other distinct scaffolds.


Assuntos
Metaloendopeptidases/antagonistas & inibidores , Metaloendopeptidases/química , Modelos Químicos , Modelos Moleculares , Proteínas ADAM , Proteína ADAM17 , Sequência de Aminoácidos , Domínio Catalítico , Cristalografia por Raios X , Desenho de Fármacos , Inibidores Enzimáticos/química , Lactamas/química , Metaloproteinases da Matriz/química , Dados de Sequência Molecular , Estrutura Molecular , Homologia de Sequência de Aminoácidos , Venenos de Serpentes/química , Fator de Necrose Tumoral alfa/química
19.
J Med Chem ; 46(10): 1811-23, 2003 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-12723945

RESUMO

Elevated levels of tumor necrosis factor-alpha (TNF-alpha) have been associated with several inflammatory diseases, and therefore, strategies for its suppression have become important targets in drug discovery. Our efforts to suppress TNF-alpha have centered on the inhibition of TNF-alpha converting enzyme (TACE) through the use of hydroxamate inhibitors. Starting from broad-spectrum matrix metalloproteinase (MMP) inhibitors, we have designed and synthesized novel benzothiadiazepines as potent and selective TACE inhibitors. The benzothiadiazepines were synthesized with variation in P1 and P1' in order to effect potency and selectivity. The inhibitors were evaluated versus porcine TACE (pTACE), and the initial selectivity was assessed with counterscreens of MMP-1, -2, and -9. Several potent and selective inhibitors were discovered with compound 41 being the most active against pTACE (K(i) = 5 nM) while still maintaining good selectivity versus the MMP's (at least 75-fold). Most compounds were assessed in the human peripheral blood mononuclear cell assay (PBMC) and the human whole blood assay (WBA) to determine their ability to suppress TNF-alpha. Compound 32 was the most potent compound in the PBMC assay (IC(50) = 0.35 microM), while compound 62 was the most active in the WBA (IC(50) = 1.4 microM).


Assuntos
Benzodiazepinonas/síntese química , Inibidores Enzimáticos/síntese química , Ácidos Hidroxâmicos/síntese química , Metaloendopeptidases/antagonistas & inibidores , Tiazepinas/síntese química , Fator de Necrose Tumoral alfa/antagonistas & inibidores , Proteínas ADAM , Proteína ADAM17 , Animais , Benzodiazepinonas/química , Benzodiazepinonas/farmacologia , Proteínas Sanguíneas/metabolismo , Inibidores Enzimáticos/química , Inibidores Enzimáticos/farmacologia , Humanos , Ácidos Hidroxâmicos/química , Ácidos Hidroxâmicos/farmacologia , Leucócitos Mononucleares/efeitos dos fármacos , Inibidores de Metaloproteinases de Matriz , Modelos Moleculares , Ligação Proteica , Relação Estrutura-Atividade , Suínos , Tiazepinas/química , Tiazepinas/farmacologia , Fator de Necrose Tumoral alfa/biossíntese
20.
J Am Coll Cardiol ; 50(21): 2029-36, 2007 Nov 20.
Artigo em Inglês | MEDLINE | ID: mdl-18021868

RESUMO

OBJECTIVES: We investigated the effectiveness and safety of drug-eluting stents (DES) as used in routine clinical practice. BACKGROUND: Randomized trials have shown that DES prevent target vessel revascularization in selected patients, but whether this translates into superior outcomes, compared with bare-metal stents (BMS), for the full spectrum of patients treated with DES in North America is unknown. METHODS: Patients in the National Heart, Lung, and Blood Institute Dynamic Registry enrolled in 2004 who received at least 1 DES (n = 1,460) were compared with 1,763 patients enrolled in the recruitment period immediately preceding the approval of DES (2001 to 2002) who received at least 1 BMS. RESULTS: Patients receiving DES more often had diabetes mellitus and less often presented with an acute myocardial infarction (MI). At 1 year, cumulative death and MI was 7.6% in DES- and 8.7% in BMS-treated patients (adjusted hazard ratio [HR] 0.88, 95% confidence interval [CI] 0.68 to 1.15; p = 0.34). The 1-year rate of target vessel revascularization was 5.0% in DES and 9.2% in BMS patients (p < 0.001), and the risk of any repeat revascularization by percutaneous coronary intervention or coronary bypass was lower in DES patients (adjusted HR 0.38, 95% CI 0.25 to 0.60; p < 0.001). Patients with both simple and complex lesion characteristics benefited from DES with lower risk of repeat target vessel revascularization by percutaneous coronary intervention compared with BMS (any complex lesion: adjusted HR 0.57, 95% CI 0.39 to 0.83; absence of any complex lesion: adjusted HR 0.44, 95% CI 0.28 to 0.71). The 1-year incidence of stent thrombosis was 1.0% in DES patients. CONCLUSIONS: The generalized use of DES resulted in better outcomes than BMS, with fewer clinically driven revascularization procedures and similar rates of death and MI at 1 year.


Assuntos
Angioplastia Coronária com Balão , Doença das Coronárias/terapia , Stents Farmacológicos , Idoso , Angiografia Coronária , Ponte de Artéria Coronária , Oclusão Coronária/terapia , Reestenose Coronária/terapia , Trombose Coronária/cirurgia , Trombose Coronária/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , National Heart, Lung, and Blood Institute (U.S.) , Resultado do Tratamento , Estados Unidos
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