PACI

  • 文章类型: Journal Article
    癌症的早期发现和诊断对于获得积极的治疗结果至关重要。非常需要能够为临床医生提供给定治疗过程的结果的线索的生物标志物。氧是一种几乎普遍存在于生物组织中的小分子,通过与DNA自由基反应并随后损害双链断裂的细胞修复,在放射疗法的有效性中起关键作用。测量生物组织中氧的技术通常使用血氧饱和度来近似周围组织中的氧分压,尽管复杂,非线性,以及这两个独立的氧种群之间的动态关系。
    我们结合了直接对氧气敏感的,肿瘤靶向,化学对比纳米元素与基于光声寿命(PALT)的氧成像技术,以获得体内乳腺癌肿瘤中的氧图像图。在放疗过程之前和之后,对小鼠模型中患者来源的异种移植物的氧水平进行了表征。
    我们证明,与肿瘤大小无关,放疗引起肿瘤整体氧合水平的增加。Further,肿瘤氧合的增加与放疗的阳性反应显着相关,如治疗和组织学染色后的二十天监测期内肿瘤体积减少所证明的。
    我们这里的PALT成像很简单,快,非侵入性。通过PALT方法修饰,肿瘤复氧成像可以作为一个简单的,评估癌症对放疗反应的早期指标。复氧度的进一步表征,时间发作,和可能的热不可知论的含义是必要的。
    UNASSIGNED: Early detection and diagnosis of cancer is critical for achieving positive therapeutic outcomes. Biomarkers that can provide clinicians with clues to the outcome of a given therapeutic course are highly desired. Oxygen is a small molecule that is nearly universally present in biological tissues and plays a critical role in the effectiveness of radiotherapies by reacting with DNA radicals and subsequently impairing cellular repair of double strand breaks.Techniques for measuring oxygen in biological tissues often use blood oxygen saturation to approximate the oxygen partial pressure in surrounding tissues despite the complex, nonlinear, and dynamic relationship between these two separate oxygen populations.
    UNASSIGNED: We combined a directly oxygen-sensitive, tumor-targeted, chemical contrast nanoelement with the photoacoustic lifetime-based (PALT) oxygen imaging technique to obtain image maps of oxygen in breast cancer tumors in vivo. The oxygen levels of patient-derived xenografts in a mouse model were characterized before and after a course of radiotherapy.
    UNASSIGNED: We show that, independent of tumor size, radiotherapy induced an increase in the overall oxygenation levels of the tumor. Further, this increase in the oxygenation of the tumor significantly correlated with a positive response to radiotherapy, as demonstrated by a reduction in tumor volume over the twenty-day monitoring period following therapy and histological staining.
    UNASSIGNED: Our PALT imaging presented here is simple, fast, and non-invasive. Facilized by the PALT approach, imaging of tumor reoxygenation may be utilized as a simple, early indicator for evaluating cancer response to radiotherapy. Further characterization of the reoxygenation degree, temporal onset, and possible theragnostic implications are warranted.
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  • 文章类型: Journal Article
    钠在人体中具有许多重要和不同的作用,包括维持细胞的pH值,产生动作电位,和调节渗透压。在癌症中,钠失调与肿瘤生长有关,转移,和免疫细胞抑制。然而,大多数体内钠测量是通过Na23NMR进行的,这受到缓慢的收购时间的阻碍,低空间分辨率(以毫米为单位),和低信噪比。我们在这里介绍一种无增塑剂,基于离子载体的钠传感纳米颗粒,利用溶剂化变色染料换能器来规避大多数先前报道的钠纳米传感器的pH交叉敏感性。我们证明了这种纳米传感器是无毒的,拥有200μM的检测极限,对钠的选择性是对钾的1000倍以上。Further,所呈现的体外光声校准曲线证明了这种纳米传感器在整个生理相关浓度范围内进行钠的体内化学成像的潜力。
    Sodium has many vital and diverse roles in the human body, including maintaining the cellular pH, generating action potential, and regulating osmotic pressure. In cancer, sodium dysregulation has been correlated with tumor growth, metastasis, and immune cell inhibition. However, most in vivo sodium measurements are performed via Na23 NMR, which is handicapped by slow acquisition times, a low spatial resolution (in mm), and low signal-to-noise ratios. We present here a plasticizer-free, ionophore-based sodium-sensing nanoparticle that utilizes a solvatochromic dye transducer to circumvent the pH cross-sensitivity of most previously reported sodium nano-sensors. We demonstrate that this nano-sensor is non-toxic, boasts a 200 μM detection limit, and is over 1000 times more selective for sodium than potassium. Further, the in vitro photoacoustic calibration curve presented demonstrates the potential of this nano-sensor for performing the in vivo chemical imaging of sodium over the entire physiologically relevant concentration range.
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  • 文章类型: Journal Article
    软骨和骨软骨缺损的治疗具有挑战性。这些类型的病变是疼痛的,并且随着时间的推移发展为骨关节炎。组织工程提供了解决这种未满足的医疗需求的工具。已提出使用由嵌入富含生长因子的血浆(PRGF)中的透明软骨芯片组成的自体软骨构建体作为治疗替代方案。这项研究的目的是深入研究体外重塑过程背后的潜在机制,这些机制可能解释该技术的临床成功并促进其优化。体外培养八周的软骨细胞活力和细胞行为,II型胶原蛋白合成,透明软骨和PRGF基质双重传递生长因子,并对结构的超微结构及其重塑进行了表征。这项研究的主要发现是,嵌入三维PRGF支架中的软骨碎片含有能够迁移到纤维蛋白网络中的活软骨细胞,体外培养第二周后增殖和合成细胞外基质。该三维基质的表征是解开负责其功效的分子动力学的关键。
    The treatment of chondral and osteochondral defects is challenging. These types of lesions are painful and progress to osteoarthritis over time. Tissue engineering offers tools to address this unmet medical need. The use of an autologous cartilage construct consisting of hyaline cartilage chips embedded in plasma rich in growth factors (PRGF) has been proposed as a therapeutic alternative. The purpose of this study was to dig into the potential mechanisms behind the in vitro remodelling process that might explain the clinical success of this technique and facilitate its optimisation. Chondrocyte viability and cellular behaviour over eight weeks of in vitro culture, type II collagen synthesis, the dual delivery of growth factors by hyaline cartilage and PRGF matrix, and the ultrastructure of the construct and its remodelling were characterised. The main finding of this research is that the cartilage fragments embedded in the three-dimensional PRGF scaffold contain viable chondrocytes that are able to migrate into the fibrin network, proliferate and synthesise extracellular matrix after the second week of in vitro culture. The characterization of this three-dimensional matrix is key to unravelling the molecular kinetics responsible for its efficacy.
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  • 文章类型: Journal Article
    Aim: The roles of S1P in acute pancreatitis (AP) or non-AP patients with pancreatic acinar cell injury (PACI) are not well understood. Materials & methods: Serum S1P, in 40 healthy individuals and 99 patients with PACI, was retrospectively analyzed. Additionally, we detected and analyzed S1P in AP mice and the AR42J acinar cell line. Results: Serum S1P was significantly decreased in PACI patients, compared with that of healthy controls. Patients with gall stones, normal serum calcium or normal blood lipids showed relative higher levels of serum S1P. Interestingly, in patients with gall or liver disease, serum S1P was positively associated with γ-GT and ALT. Additionally, S1P and SPHK2 were decreased in AP mice and AR42J cells, relative to the levels of corresponding controls. Conclusion: Serum S1P is decreased in PACI, which may be partly due to downregulation of pancreatic SPHK2.
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  • 文章类型: Journal Article
    目的:部分羊水二氧化碳(CO2)吹入(PACI)用于改善可视化并促进复杂的胎儿镜手术。然而,人们担心胎儿高碳酸血症和术后胎膜炎症。我们评估是否使用加热和加湿,而不是寒冷和干燥,CO2可能降低PACI对绵羊胎儿和胎膜的影响。
    方法:将12只胎龄105天(足月=145天)的胎儿羔羊部分外植体,通过中线剖腹手术和子宫切开术,通过手术插入动脉导管和流量探头。10个存活的胎儿被送回子宫,然后关闭并注入寒冷,干(22°C,0-5%湿度,n=5)或加热,加湿(湿度为40°C,湿度为100%,n=5)CO2在15mmHg下保持180min。吹入后立即收集胎膜用于组织学分析。生理数据和膜白细胞计数,提示膜炎症,对两组进行比较。
    结果:吹气180分钟后,在接受PACI感冒的组中,胎儿存活率为0%,干CO2,在接受加热的组中有60%(n=3),加湿气体。当所有吹入的胎儿逐渐变得高碳酸血症(PaCO2>68mmHg)时,在那些加热的地方,使用加湿气体:吹入120分钟后,与那些接受寒冷的人相比,干燥气体(n=3),胎儿受热,湿化PACI(n=5)的CO2动脉分压较低(平均值±平均值的标准误差,加热82.7±9.1mmHg,加湿CO2vs寒冷时170.5±28.5,PACI期间的干CO2,P<0.01),较低的乳酸水平(1.4±0.4vs8.5±0.9mmol/L,P<0.01)和更高的pH(pH,7.10±0.04vs6.75±0.04,P<0.01)。PACI加热后,胎儿颈动脉压力升高的趋势也不明显,与寒冷相比加湿,干二氧化碳(30.5±1.3vs8.7±5.5mmHg,P=0.22)。此外,在接受加热的PACI的组中,绒毛膜中白细胞的中位数(四分位距)明显较低,加湿的CO2与接受寒冷的组相比,干燥CO2(每平方微米0.7×10-5(0.5×10-5)vs3.2×10-5(1.8×10-5)细胞,P=0.02)。
    结论:PACI与寒冷,干燥的二氧化碳会导致高碳酸血症,酸中毒,胎儿绵羊的低血压和胎膜炎症,引起人们对其在人类中使用的潜在担忧。似乎使用加热,用于吹气的加湿CO2部分缓解了这些影响,这可能是降低胎儿酸碱紊乱风险的合适替代方法,和胎膜炎症之后,复杂的胎儿镜手术。©2018作者由JohnWiley&SonsLtd代表国际妇产科超声学会出版的妇产科超声。
    OBJECTIVE: Partial amniotic carbon dioxide (CO2 ) insufflation (PACI) is used to improve visualization and facilitate complex fetoscopic surgery. However, there are concerns about fetal hypercapnic acidosis and postoperative fetal membrane inflammation. We assessed whether using heated and humidified, rather than cold and dry, CO2 might reduce the impact of PACI on the fetus and fetal membranes in sheep.
    METHODS: Twelve fetal lambs of 105 days\' gestational age (term = 145 days) were exteriorized partially, via a midline laparotomy and hysterotomy, and arterial catheters and flow probes were inserted surgically. The 10 surviving fetuses were returned to the uterus, which was then closed and insufflated with cold, dry (22 °C at 0-5% humidity, n = 5) or heated, humidified (40 °C at 100% humidity, n = 5) CO2 at 15 mmHg for 180 min. Fetal membranes were collected immediately after insufflation for histological analysis. Physiological data and membrane leukocyte counts, suggestive of membrane inflammation, were compared between the two groups.
    RESULTS: After 180 min of insufflation, fetal survival was 0% in the group which underwent PACI with cold, dry CO2 , and 60% (n = 3) in the group which received heated, humidified gas. While all insufflated fetuses became progressively hypercapnic (PaCO2  > 68 mmHg), this was considerably less pronounced in those in which heated, humidified gas was used: after 120 min of insufflation, compared with those receiving cold, dry gas (n = 3), fetuses undergoing heated, humidified PACI (n = 5) had lower arterial partial pressure of CO2 (mean ± standard error of the mean, 82.7 ± 9.1 mmHg for heated, humidified CO2 vs 170.5 ± 28.5 for cold, dry CO2 during PACI, P < 0.01), lower lactate levels (1.4 ± 0.4 vs 8.5 ± 0.9 mmol/L, P < 0.01) and higher pH (pH, 7.10 ± 0.04 vs 6.75 ± 0.04, P < 0.01). There was also a non-significant trend for fetal carotid artery pressure to be higher following PACI with heated, humidified compared with cold, dry CO2 (30.5 ± 1.3 vs 8.7 ± 5.5 mmHg, P = 0.22). Additionally, the median (interquartile range) number of leukocytes in the chorion was significantly lower in the group undergoing PACI with heated, humidified CO2 compared with the group receiving cold, dry CO2 (0.7 × 10-5 (0.5 × 10-5 ) vs 3.2 × 10-5 (1.8 × 10-5 ) cells per square micron, P = 0.02).
    CONCLUSIONS: PACI with cold, dry CO2 causes hypercapnia, acidosis, hypotension and fetal membrane inflammation in fetal sheep, raising potential concerns for its use in humans. It seems that using heated, humidified CO2 for insufflation partially mitigates these effects and this may be a suitable alternative for reducing the risk of fetal acid-base disturbances during, and fetal membrane inflammation following, complex fetoscopic surgery. © 2018 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of the International Society of Ultrasound in Obstetrics and Gynecology.
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