combined treatments

综合治疗
  • 文章类型: Journal Article
    胶质母细胞瘤(IV级)是成人中最具侵袭性的原发性脑肿瘤,由于其高度侵略性,代表了最大的治疗挑战之一。在这项研究中,我们研究了毫米波对直接来源于患者肿瘤的三维胶质母细胞瘤器官的影响.我们的目标是在对抗这种具有挑战性的疾病的斗争中探索新的治疗可能性。
    曝光设置是在内部精心开发的,我们采用了全面的剂量测定方法,数值和实验相结合的方法。生物学终点包括全局转录谱分析,以突出可能的失调途径,细胞形态变化分析,和细胞表型表征都是控制胶质母细胞瘤进展的重要参与者。
    我们的结果显示30.5GHz的连续毫米波对细胞增殖和凋亡的显着影响,尽管不影响组成类器官的胶质母细胞瘤细胞的分化状态。令人兴奋的是,当应用0.1W(均方根)的功率水平时,当与化疗药物替莫唑胺联合使用时,我们发现了显着的(统计学上显著的)治疗效果,导致胶质母细胞瘤细胞死亡增加。这些发现为治疗胶质母细胞瘤细胞提供了一个有希望的介入窗口,利用30.5GHzCW暴露的潜在治疗益处。处理期间的温度升高被仔细监测和模拟,具有良好的一致性,证明温度升高对观察到的影响微不足道。通过探索这种创新方法,我们为改善胶质母细胞瘤的未来治疗方法铺平了道路,胶质母细胞瘤至今仍极具挑战性。
    UNASSIGNED: Glioblastoma (grade IV) is the most aggressive primary brain tumor in adults, representing one of the biggest therapeutic challenges due to its highly aggressive nature. In this study, we investigated the impact of millimeter waves on tridimensional glioblastoma organoids derived directly from patient tumors. Our goal was to explore novel therapeutic possibilities in the fight against this challenging disease.
    UNASSIGNED: The exposure setup was meticulously developed in-house, and we employed a comprehensive dosimetry approach, combining numerical and experimental methods. Biological endpoints included a global transcriptional profiling analysis to highlight possible deregulated pathways, analysis of cell morphological changes, and cell phenotypic characterization which are all important players in the control of glioblastoma progression.
    UNASSIGNED: Our results revealed a significant effect of continuous millimeter waves at 30.5 GHz on cell proliferation and apoptosis, although without affecting the differentiation status of glioblastoma cells composing the organoids. Excitingly, when applying a power level of 0.1 W (Root Mean Square), we discovered a remarkable (statistically significant) therapeutic effect when combined with the chemotherapeutic agent Temozolomide, leading to increased glioblastoma cell death. These findings present a promising interventional window for treating glioblastoma cells, harnessing the potential therapeutic benefits of 30.5 GHz CW exposure. Temperature increase during treatments was carefully monitored and simulated with a good agreement, demonstrating a negligible involvement of the temperature elevation for the observed effects. By exploring this innovative approach, we pave the way for improved future treatments of glioblastoma that has remained exceptionally challenging until now.
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  • 文章类型: Journal Article
    再生受损的脊髓是具有许多障碍的实质性挑战,需要克服这些障碍以实现稳健的功能益处。这种丰富的障碍可以部分解释在动物模型和/或人中应用再生干预治疗时的有限成功。在这篇文章中,我们详细阐述了其中的一些障碍,从动物模型的适用性开始,以及它们如何与临床环境进行比较。然后,我们讨论了组合干预措施的要求以及实验设计中的相关问题,包括增加康复训练。这篇文章扩展了人类和常见动物模型在病变大小和位置上的差异,以及这种差异如何决定干预的成败。在应用于神经再生领域以外的干预措施的翻译中,另一个经常被忽视的问题是报告偏见和报告结果缺乏透明度。新的数据授权正在解决这一问题,并最终将导致对该领域的更平衡的看法。最后,我们将讨论谈判成功翻译的挑战性过程的策略,以促进再生促进干预措施的成功翻译。
    Regenerating the injured spinal cord is a substantial challenge with many obstacles that need to be overcome to achieve robust functional benefits. This abundance of hurdles can partly explain the limited success when applying regenerative intervention treatments in animal models and/or people. In this article, we elaborate on a few of these obstacles, starting with the applicability of animal models and how they compare to the clinical setting. We then discuss the requirement for combinatorial interventions and the associated problems in experimental design, including the addition of rehabilitative training. The article expands on differences in lesion sizes and locations between humans and common animal models, and how this difference can determine the success or failure of an intervention. An additional and frequently overlooked problem in the translation of interventions that applies beyond the field of neuroregeneration is the reporting bias and the lack of transparency in reporting findings. New data mandates are tackling this problem and will eventually result in a more balanced view of the field. Finally, we will discuss strategies to negotiate the challenging course of successful translation to facilitate successful translation of regeneration promoting interventions.
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  • 文章类型: Journal Article
    固体食品和饲料中的霉菌毒素危害人类和动物的公共健康,并引起粮食安全问题。在收获前和收获后阶段,控制食品和饲料中真菌产生的大多数预防措施无效,这引起了人们对减轻这些真菌毒素的兴趣,这些真菌毒素可以通过应用各种化学物质来进行,物理,和/或生物治疗。这些治疗单独实施或通过两种或更多种治疗的组合同时或随后实施。方法的还原率差异很大,它们对感官属性的影响也是如此,营养质量,和环境。这篇重要的综述旨在总结与固体食品和饲料中霉菌毒素缓解相关的最新研究。它讨论和评估了单一和组合的霉菌毒素减少治疗,比较它们的效率,阐述它们的优点和缺点,照亮处理过的食物或饲料,以及对环境的影响。
    Mycotoxins in solid foods and feeds jeopardize the public health of humans and animals and cause food security issues. The inefficacy of most preventive measures to control the production of fungi in foods and feeds during the pre-harvest and post-harvest stages incited interest in the mitigation of these mycotoxins that can be conducted by the application of various chemical, physical, and/or biological treatments. These treatments are implemented separately or through a combination of two or more treatments simultaneously or subsequently. The reduction rates of the methods differ greatly, as do their effect on the organoleptic attributes, nutritional quality, and the environment. This critical review aims at summarizing the latest studies related to the mitigation of mycotoxins in solid foods and feeds. It discusses and evaluates the single and combined mycotoxin reduction treatments, compares their efficiency, elaborates on their advantages and disadvantages, and sheds light on the treated foods or feeds, as well as on their environmental impact.
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  • 文章类型: Journal Article
    β-地中海贫血是世界上最常见的遗传性血红蛋白病之一,是编码β-珠蛋白的基因的常染色体突变的结果,导致成人血红蛋白(HbA)缺失或低水平产生。胎儿血红蛋白(HbF)的诱导被认为对于开发β-地中海贫血的治疗方案至关重要,并且需要提出新的HbF诱导剂用于临床前开发。本研究的主要目的是分析金鸡纳生物碱(辛可尼丁,奎尼丁和辛可宁)作为人类红系细胞中的天然HbF诱导剂。采用的分析方法是逆转录定量实时PCR(RT-qPCR)(用于定量γ-珠蛋白mRNA)和高效液相色谱法(HPLC)(用于分析血红蛋白模式)。在使用K562细胞系作为实验模型系统进行初步分析后,显示血红蛋白和γ-珠蛋白mRNA的诱导,我们验证了两种更具活性的化合物,辛可尼丁和奎尼丁,能够在从β-地中海贫血患者分离的红系祖细胞中诱导HbF。获得的数据表明,辛可尼丁和奎尼丁是从9名β-地中海贫血患者分离的红系祖细胞中γ-珠蛋白mRNA和HbF的有效诱导物。此外,发现两种化合物均与HbF诱导剂西罗莫司协同作用,以最大程度地产生HbF。获得的数据强烈表明,在开发β-地中海贫血治疗方案的临床前方法时,这些化合物值得考虑。
    β-thalassemias are among the most common inherited hemoglobinopathies worldwide and are the result of autosomal mutations in the gene encoding β-globin, causing an absence or low-level production of adult hemoglobin (HbA). Induction of fetal hemoglobin (HbF) is considered to be of key importance for the development of therapeutic protocols for β-thalassemia and novel HbF inducers need to be proposed for pre-clinical development. The main purpose on this study was to analyze Cinchona alkaloids (cinchonidine, quinidine and cinchonine) as natural HbF-inducing agents in human erythroid cells. The analytical methods employed were Reverse Transcription quantitative real-time PCR (RT-qPCR) (for quantification of γ-globin mRNA) and High Performance Liquid Chromatography (HPLC) (for analysis of the hemoglobin pattern). After an initial analysis using the K562 cell line as an experimental model system, showing induction of hemoglobin and γ-globin mRNA, we verified whether the two more active compounds, cinchonidine and quinidine, were able to induce HbF in erythroid progenitor cells isolated from β-thalassemia patients. The data obtained demonstrate that cinchonidine and quinidine are potent inducers of γ-globin mRNA and HbF in erythroid progenitor cells isolated from nine β-thalassemia patients. In addition, both compounds were found to synergize with the HbF inducer sirolimus for maximal production of HbF. The data obtained strongly indicate that these compounds deserve consideration in the development of pre-clinical approaches for therapeutic protocols of β-thalassemia.
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  • 文章类型: Journal Article
    Juvenile fibromyalgia is a common referral in pediatric rheumatology settings. Providing a clear diagnosis and explanation of altered pain processing offers reassurance that pain has a biologic basis and the symptoms are part of a recognized pain syndrome. Physicians should acknowledge the impact of chronic pain and associated symptoms on patient\'s lives and take time to understand contributing factors including stress, mood, inactivity, and lifestyle factors. The optimal treatment for juvenile fibromyalgia is multidisciplinary, focusing on education about juvenile fibromyalgia, along with physical therapy, cognitive behavioral therapy, sleep hygiene, healthy lifestyle habits, and medications for symptom management as appropriate.
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  • 文章类型: Journal Article
    胰岛素样生长因子(IGF)系统的异常生物活性导致包括癌症在内的几种病理状况的发展和进展。临床前研究显示了抗IGF靶向治疗的有希望的抗癌治疗潜力。然而,仅在少数肉瘤患者中观察到明显但有限的临床获益.IGF系统的分子复杂性,它包括多种调节因子和与其他癌症相关通路的相互作用,在抗IGF药物的使用中构成了主要限制,并支持需要组合治疗策略来更好地解决这个轴。在这次审查中,我们将首先强调癌症中IGF失调的多种机制,然后重点关注IGF系统的影响及其在肉瘤发生和进展中的复杂性,以及对抗IGF治疗的反应.我们还将讨论Ephrin受体的作用,河马通路,BET蛋白和CXCR4信号,作为肿瘤细胞中恶性肉瘤的介质和与IGF系统相关的相互作用者。对这些分子相互作用的更深入理解可能为治疗肉瘤的新型和更有效的治疗组合提供了理论基础。
    Aberrant bioactivity of the insulin-like growth factor (IGF) system results in the development and progression of several pathologic conditions including cancer. Preclinical studies have shown promising anti-cancer therapeutic potentials for anti-IGF targeted therapies. However, a clear but limited clinical benefit was observed only in a minority of patients with sarcomas. The molecular complexity of the IGF system, which comprises multiple regulators and interactions with other cancer-related pathways, poses a major limitation in the use of anti-IGF agents and supports the need of combinatorial therapeutic strategies to better tackle this axis. In this review, we will initially highlight multiple mechanisms underlying IGF dysregulation in cancer and then focus on the impact of the IGF system and its complexity in sarcoma development and progression as well as response to anti-IGF therapies. We will also discuss the role of Ephrin receptors, Hippo pathway, BET proteins and CXCR4 signaling, as mediators of sarcoma malignancy and relevant interactors with the IGF system in tumor cells. A deeper understanding of these molecular interactions might provide the rationale for novel and more effective therapeutic combinations to treat sarcomas.
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  • 文章类型: Journal Article
    A wide variety of chemical compounds are used in human activities; however, part of these compounds reach surface water, groundwater and even water considered for potable uses. Due to the limited efficiency of water treatment by the Water and Wastewater Treatment Plants, the presence of these compounds in natural and human consumption waters can be very harmful due to their high persistence and adverse effects; these characteristics define the contaminants of emerging concern (CECs). Water treatment by Electrochemical Advanced Oxidation Processes (EAOPs) has been evaluated as a promising process for the removal of persistent and recalcitrant organic contaminants. With this background, the present review aims to gather studies and information published between 2015 and 2020 regarding the occurrence of CECs in surface, potable and groundwater, its treatment by EAOPs, the main operating conditions and by-product generation of EAOPs, contaminant toxicity assessments and international statutory guideline values concerning CEC standards and allowable concentrations in the environment and treated drinking water. Therefore, in this review it was found that the compounds bisphenol A (BPA), diethyltoluamide (DEET), 17α-ethinyl estradiol (EE2), perfluorobutanoic acid (PFBA), carbamazepine, caffeine and atrazine were the most frequently detected in water sources, with concentrations ranging from 35.54-4800, 1.21-98, 0.005-38.5, 5-742.904, 0.0071-586, 0.89-1040, and 100-323 (ng L-1), respectively. Among the operational conditions of EAOPs, current density, pH and oxidant concentration are the main operational parameters that have an influence on these treatment technologies, besides the by-products generated, which might be removed by the integration of EAOPs with biological digestion treatments. Regarding the values of water quality standards, many CECs do not have established standard allowable concentration values, which represents a concern toward the possible toxic effects of these compounds on non-target organisms.
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  • 文章类型: Journal Article
    Glioblastoma (GBM) is one of the most lethal types of tumor due to its high recurrence level in spite of aggressive treatment regimens involving surgery, radiotherapy and chemotherapy. Hypoxia is a feature of GBM, involved in radioresistance, and is known to be at the origin of treatment failure. The aim of this work was to assess the therapeutic potential of a new targeted c-SRC inhibitor molecule, named Si306, in combination with X-rays on the human glioblastoma cell lines, comparing normoxia and hypoxia conditions. For this purpose, the dose modifying factor and oxygen enhancement ratio were calculated to evaluate the Si306 radiosensitizing effect. DNA damage and the repair capability were also studied from the kinetic of γ-H2AX immunodetection. Furthermore, motility processes being supposed to be triggered by hypoxia and irradiation, the role of c-SRC inhibition was also analyzed to evaluate the migration blockage by wound healing assay. Our results showed that inhibition of the c-SRC protein enhances the radiotherapy efficacy both in normoxic and hypoxic conditions. These data open new opportunities for GBM treatment combining radiotherapy with molecularly targeted drugs to overcome radioresistance.
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  • 文章类型: Letter
    MKK3 is a member of the dual specificity kinase group specific upstream activator of p38 MAPK proteins. We originally identified MKK3 as mutant p53 (mutp53) gain-of-function (GOF) upregulated target gene in different tumor models. To deeply investigate the MKK3 functions in cancer, taking advantage of a panel of authenticated colorectal cancer (CRC) lines and primary colonocytes, we found that MKK3 activates specifically p38delta MAPK protein, which signaling is further triggered by 5-fluorouracil (5-FU) treatments, a largely adopted chemotherapeutic drug in CRC clinical practice. The overall achieved results proposed the MKK3/p38delta MAPK as relevant molecular axis involved in abrogating efficacy to 5-FU treatments in CRC. This commentary will provide an overall discussion of the results that have been achieved contextualizing them in the overview of the knowledge in the p38 MAPK field in cancer disease.
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  • 文章类型: Journal Article
    Pancreatic cancer (PC) is one of the most lethal, chemoresistant malignancies and it is of paramount importance to find more effective therapeutic agents. Repurposing of non-anticancer drugs may expand the repertoire of effective molecules. Studies on repurposing of benzimidazole-based anthelmintics in PC and on their interaction with agents approved for PC therapy are lacking. We analyzed the effects of four Food and Drug Administration (FDA)-approved benzimidazoles on AsPC-1 and Capan-2 pancreatic cancer cell line viability. Notably, parbendazole was the most potent benzimidazole affecting PC cell viability, with half maximal inhibitory concentration (IC50) values in the nanomolar range. The drug markedly inhibited proliferation, clonogenicity and migration of PC cell lines through mechanisms involving alteration of microtubule organization and formation of irregular mitotic spindles. Moreover, parbendazole interfered with cell cycle progression promoting G2/M arrest, followed by the emergence of enlarged, polyploid cells. These abnormalities, suggesting a mitotic catastrophe, culminated in PC cell apoptosis, are also associated with DNA damage in PC cell lines. Remarkably, combinations of parbendazole with gemcitabine, a drug employed as first-line treatment in PC, synergistically decreased PC cell viability. In conclusion, this is the first study providing evidence that parbendazole as a single agent, or in combination with gemcitabine, is a repurposing candidate in the currently dismal PC therapy.
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