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A review on saponins from medicinal plants: chemistry, isolation, and determination 药用植物中皂苷的化学、分离及测定研究进展
Pub Date : 2019-02-22 DOI: 10.15406/jnmr.2019.07.00199
A. Ashour, M. Aziz, Al Sadek Gomha Melad
It has been estimated that out of 4,22,000 flowering plants reported from the world, more than 50,000 are used for medicinal purposed.1 Since ancient times, bioactive medicinal plants are used in traditional or folk medicine for the treatment of various diseases. Recently using of phytochemicals is considered to be safer and congenial to the biology of the human body. Medicinal plants are the main source for the preparation and extraction of various modern drugs and pharmaceuticals like saponins. Signs of progress of Phytochemistry have been supported enormously by the rapid development and accumulation of chemical methods of screening of various medicinal plants for particular biochemical usage. The pharmaceutical and medicinal values of the applied medicinal plants are in the bioactive phytochemical constituents that produce specific physiological action on the human body. Some of the most important bioactive constituents are saponins, flavonoids, and alkaloids. Triterpenoid saponins are surface active glycosides of triterpenes that possess a wide, biologically active group of terpenoids and include a large chemical diversity of secondary metabolites with more than different 100 carbon skeletons identified from terrestrial, marine living organisms, and medicinal plants.2 Triterpenoids as a saponin have its own characteristics like cause hemolysis of red blood cells (RBC’s), form persistent froth if shaken with water, and it is soluble in water, alcohol and a mixture of both. These naturally occurring compounds form the backbone of modern medicine or drugs. Saponins are a class of bioorganic compounds found in particular abundance in the plant kingdom. More specifically, they are naturally occurring glycosides described by the soap-like foaming, and consequently, they produce foams when shaken in aqueous solutions. Structurally saponins are having one or more hydrophilic glycoside sugar moieties combined with a lipophilic triterpene molecule.3 Literature shows that saponins exhibit a biological role and medicinal properties such as hemolytic factor4 anti-inflammatory,5 antibacterial,6 antifungal,7 antiviral,8 insecticidal9, anticancer,10 cytotoxic11 and molluscicidal action.12 In addition, saponins are reported to exhibit cholesterol-lowering action in animals and human.13,14 Waheed et al.15 isolated a novel steroidal saponin glycoside from Fagonia indica that can induce cell-selective apoptosis or necrosis in cancer cells. Saponins were considered as a starting precursor for the semi-synthesis of steroidal drugs in the pharmaceutical industry. Sheng et al.16 reviewed the clinical significance of triterpenoid saponins in the prevention and treatment of metabolic and vascular disease. The above medicinal researches and applications reflect the increasing of the interest of saponins as a bionatural source material, but understanding of the relationship between the chemistry of saponins and its medical action is not easy task for many chemists, phy
据估计,在世界上报道的42.2万种开花植物中,有5万多种是药用的自古以来,具有生物活性的药用植物就被用于传统或民间医学中,用于治疗各种疾病。近年来,人们认为植物化学物质的使用更安全,更符合人体的生物学特性。药用植物是制备和提取各种现代药物和皂苷等药物的主要原料。筛选各种药用植物的化学方法的迅速发展和积累,极大地支持了植物化学的进步迹象。所应用药用植物的药学和药用价值在于其对人体产生特定生理作用的生物活性植物化学成分。一些最重要的生物活性成分是皂苷、类黄酮和生物碱。三萜皂苷是三萜的表面活性糖苷,具有广泛的生物活性萜类,包括次生代谢产物的化学多样性,从陆地、海洋生物和药用植物中鉴定出100多种不同的碳骨架三萜作为一种皂苷有其自身的特点,如引起红细胞溶血,如果与水摇晃会形成持久的泡沫,它可溶于水、酒精和两者的混合物。这些自然产生的化合物构成了现代医学或药物的支柱。皂苷是一类生物有机化合物,在植物界中含量特别丰富。更具体地说,它们是由肥皂样泡沫描述的天然存在的糖苷,因此,当它们在水溶液中摇晃时产生泡沫。从结构上讲,皂苷具有一个或多个亲水性糖苷糖段与亲脂性三萜分子结合文献表明,皂苷具有溶血因子、抗炎因子、抗菌因子、抗真菌因子、抗病毒因子、杀虫因子、抗癌因子、细胞毒因子和杀螺因子等生物学作用和药用价值此外,据报道,皂苷在动物和人类中表现出降低胆固醇的作用。13,14 Waheed et al.15从Fagonia indica中分离出一种新的甾体皂苷苷,可以诱导癌细胞的细胞选择性凋亡或坏死。在制药工业中,皂苷被认为是半合成甾体药物的起始前体。Sheng等16综述了三萜皂苷在预防和治疗代谢性和血管疾病中的临床意义。上述医学研究和应用反映了人们对皂苷作为一种生物来源材料的兴趣日益增加,但对许多化学家、医生和研究人员来说,了解皂苷的化学成分与其医学作用之间的关系并不容易。由于皂苷化学的复杂性、重要性和干扰性,本文主要介绍(1)皂苷的分类,(2)各类皂苷及其官能团的化学结构,(3)单、双硅酸三萜皂苷的举例,(4)实验室普通提取方法和索氏提取方法,最后(5)皂苷的定性、定量测定。
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引用次数: 124
A uncanny potential of plants for metal nanoparticles synthesis 植物合成金属纳米粒子的不可思议的潜力
Pub Date : 2018-06-29 DOI: 10.15406/jnmr.2018.07.00191
Mohit Rawat, Jagpreet Singh, Harman Kaur
In this era, metal nanoparticles have captivated researchers because of their impending applications in numerous fields such as biomedical, catalysis, electronics etc.1–4 The properties of nanoparticles can be tuned by their size, synthesis process, reaction parameters, which make them the special candidate for every field. Generally, these nanoparticles are synthesized by two methods top down and bottom up. The top-down suggests the nanoparticles preparation by lithographic techniques, ball milling, etching, sputtering, etc. The most effective approach for the synthesis of nanoparticles is the bottom-up methods, in which nanoparticles are grown from simpler molecules and size or shape of nanoparticles can be controlled or modulated by changing the concentration of chemicals and reaction condition (temperature, pH etc.).5
在这个时代,金属纳米粒子因其在生物医学、催化、电子等众多领域的应用而吸引了研究人员。1 - 4纳米粒子的性质可以通过它们的大小、合成过程、反应参数来调节,这使它们成为每个领域的特殊候选者。一般来说,这些纳米粒子的合成有两种方法:自上而下和自下而上。自上而下建议采用光刻、球磨、蚀刻、溅射等技术制备纳米颗粒。最有效的合成纳米粒子的方法是自下而上的方法,其中纳米粒子从更简单的分子中生长,纳米粒子的大小或形状可以通过改变化学物质的浓度和反应条件(温度,pH等)来控制或调节
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引用次数: 0
Nanosystems and magnetism 纳米系统与磁性
Pub Date : 2018-05-01 DOI: 10.15406/JNMR.2018.07.00186
D. Jana
Magnetic Nanoparticles (MNPs) generally consist of two components a magnetic material, most often iron, nickel and cobalt, (ferromagnetic one) and the other a chemical component having wide functionality, reactivity and stability.1–5 The typical size of such nanoparticles lies between 1–100 nanometer and may display superparamagnetism.6,7 In Figure 1, we schematically show the multifunctional character of various nanoparticles. In a common paramagnentic material, spins are not subjected to any exchange interaction and they do not show any hysterisis or domain like a ferromagnet. In the presence of an external magnetic field, the spins tend to align to it generating a weak attractive interaction. However, in a superparamagnetic material, spins are substituted by small ferromagnetic domains characterized by positive exchange interaction. In the presence of an external magnetic field, these domains tend to align to it generating a strong attractive interaction. Thus, superparamagnetism is another characteristic form of magnetism that does appear in small ferromagnetic or ferrimagnetic nanoparticles. Besides their magnetic response is significantly higher than paramagnetism. Moreover, magnetization in such smaller sized nanopartciles can randomly ip direction under the influence of temperature. Another significant characteristic feature is that it occurs below the Curie temperature of the material. Note that generally any ferromagnet or ferrimagnet material transforms to a paramagnet only above the unique Curie temperature dependent on the strength of exchange interaction and the underlying lattice structure. This particular magnetism occurs in those nanoparticles composed of single domain. Further due to the magnetic anisotropy of the nanoparticles, the relevant magnetic moment possesses two stable orientations antiparallel to each other separated by an energy barrier (KV). The competition between this energy barrier and thermal energy (KV~25kBT ) gives rise to a characteristic relaxation time ( T=T0 exp(KV=kBT )) in this nanometerial. The exchange bias between ferromagnetic/ferrmagnetic and antiferromagnetic interface is the key parameter in controlling the magnetization and other related phenomena in these systems.8–10 In fact, the particles can invert their magnetization by tunneling without the help of thermal energy. Under the application of an external magnetic field, these materials develop magnetization and as a function of the external field, the magnetization looks like reversible S-shaped increasing curve (L(x) = coth(x) -1/x ). The AC susceptibility measurements of these nanoparticles can identify the various time scales and frequency dependent susceptibility. Discussion
磁性纳米颗粒(MNPs)通常由两种成分组成,一种是磁性材料,最常见的是铁、镍和钴(铁磁性的),另一种是具有广泛功能、反应性和稳定性的化学成分。这种纳米粒子的典型尺寸在1-100纳米之间,并可能表现出超顺磁性。在图1中,我们简要地展示了各种纳米颗粒的多功能特性。在普通顺磁材料中,自旋不受任何交换相互作用的影响,也不像铁磁体那样表现出任何滞回或域。在外部磁场存在的情况下,自旋倾向于与之对齐,产生弱的吸引相互作用。然而,在超顺磁性材料中,自旋被以正交换相互作用为特征的小铁磁畴所取代。在外部磁场存在的情况下,这些畴倾向于与之对齐,产生强烈的吸引相互作用。因此,超顺磁性是磁性的另一种特征形式,它确实出现在小的铁磁性或铁磁性纳米颗粒中。此外,它们的磁响应明显高于顺磁性。此外,在温度的影响下,这种小尺寸纳米颗粒的磁化可以随机地改变方向。另一个显著的特性是它发生在材料的居里温度以下。请注意,通常任何铁磁体或铁磁体材料仅在唯一居里温度以上转变为顺磁体,这取决于交换相互作用的强度和底层晶格结构。这种特殊的磁性发生在那些由单畴组成的纳米颗粒中。此外,由于纳米颗粒的磁各向异性,相关磁矩具有两个相互反平行的稳定方向,被能量势垒(KV)隔开。能量势垒与热能(KV~25kBT)之间的竞争产生了该纳米材料的特征弛豫时间(T=T0 exp(KV=kBT))。铁磁/铁磁和反铁磁界面之间的交换偏置是控制这些系统磁化和其他相关现象的关键参数。事实上,粒子可以在没有热能帮助的情况下通过隧穿来反转它们的磁化。在外加磁场作用下,这些材料发生磁化,磁化强度随外加磁场的变化呈可逆的s型递增曲线(L(x) = coth(x) -1/x)。这些纳米粒子的交流磁化率测量可以识别不同的时间尺度和频率相关的磁化率。讨论
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引用次数: 0
Future of graphene in bio-medical application 石墨烯在生物医学中的应用前景
Pub Date : 2018-04-24 DOI: 10.15406/jnmr.2018.07.00185
Ipsita Bhattacharya
stimuli.12 Graphene is also useful material for birth control and it prevents the sexually transmitted dieses reported by University of Manchester researcher’s team. The Graphene is one of the attractive material for cancer treatments. Recently a new microfluidic bio-chip based on graphene oxide being developed which can caught the tumor cells from blood and support their growth for further analysis.13 The graphene oxide (GO) is one of the efficient nano-carrier for drug delivery reported by Dai et al.14 The Genetic therapy using Graphene oxide (GO) is one of the promising approach to treat various diseases caused by genetic disorders, Parkinson’s disease, cystic fibrosis etc.15 Graphene is also useful for bio sensing and bio-imaging. Basically doped graphene, pristine graphene, graphene oxide (GO) and chemically reduced GO (rGO) are useful for bio-sensing application. Using these material we can detect different kind of biomolecules such as thrombin, dopamine, oligonucleotide, ATP, amino acid etc.16–20 Here, I have explained few recent review work on graphene based nano-material and its application in medical domain. Hopefully, in near future I can contribute some work on graphene for medical application.
stimuli.12据曼彻斯特大学研究小组报道,石墨烯也是节育的有用材料,它可以防止性传播疾病。石墨烯是治疗癌症最具吸引力的材料之一。最近,一种基于氧化石墨烯的新型微流控生物芯片被开发出来,它可以从血液中捕获肿瘤细胞并支持它们的生长以作进一步的分析据Dai等人报道,氧化石墨烯(GO)是一种高效的纳米药物载体。14使用氧化石墨烯(GO)的基因治疗是治疗由遗传疾病引起的各种疾病的有前途的方法之一,如帕金森病、囊性纤维化等。15石墨烯还可用于生物传感和生物成像。基本掺杂石墨烯、原始石墨烯、氧化石墨烯(GO)和化学还原氧化石墨烯(rGO)在生物传感应用中非常有用。利用这些材料,我们可以检测不同种类的生物分子,如凝血酶、多巴胺、寡核苷酸、ATP、氨基酸等。16 - 20在这里,我介绍了近年来关于石墨烯基纳米材料及其在医学领域应用的一些综述。希望在不久的将来,我能在石墨烯的医学应用方面做出一些贡献。
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引用次数: 1
Preparation & evaluation of paracetamol solid lipid nanoparticles by hot homogenization method 热均质法制备对乙酰氨基酚固体脂质纳米颗粒及评价
Pub Date : 2018-04-23 DOI: 10.15406/jnmr.2018.07.00184
Ayesha Siddiqua Gazi, A. Krishnasailaja
The solid lipid nanoparticles (SLNs) are sub-micron colloidal carriers (50-100nm) which are composed of physiological lipid dispersed in water or in an aqueous surfactant solution.1 SLNs are colloidal drug carrier combines the advantages of polymeric nanoparticles, fat emulsion and liposomes simultaneously and avoiding some of their disadvantages.2 To overcome the disadvantages associated with the liquid state of the oil droplets, the liquid lipid was replaced by a solid lipid which eventually transformed into solid lipid nanoparticles.3
固体脂质纳米颗粒(SLNs)是一种亚微米级的胶体载体(50-100nm),由分散在水中或表面活性剂水溶液中的生理脂质组成sln是一种胶体药物载体,它结合了高分子纳米颗粒、脂肪乳和脂质体的优点,同时又避免了它们的一些缺点为了克服与油滴液态相关的缺点,液体脂质被固体脂质所取代,最终转化为固体脂质纳米颗粒
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引用次数: 6
MIF G-173C polymorphism and susceptibility to cutaneous leishmaniasis in Iraq 伊拉克皮肤利什曼病的MIF G-173C多态性及易感性
Pub Date : 2018-04-17 DOI: 10.15406/JNMR.2018.07.00183
G. B. Alomashi, Hasan Khudhur
Human leishmaniasis is a parasitic disease transmitted by sand flies, its characteristic by a spectrum of cutaneous, mucocutaneous and visceral diseases that depend largely on the species of the parasite involved and host immune response.1,2 Cutaneous leishmaniasis is the most common form of leishmaniasis, about (1-1.5) million of cases every year, and about (50 to 70%) of all cases in the world.2,3 Cutaneous leishmaniasis occurs each year more than 90% of cases occur in five countries in the old word (Afghanistan, Algeria, Iran, Iraq and Saudi Arabia) and two countries in the new world including Brazil and Peru.4 Leishmania major and Leishmania tropica considered as common causes of Cutaneous leishmaniasis in Iraq.5 Macrophage migration inhibitory factor (MIF) is considered to be one of the first cytokines to be discovered, its consider an essential component of the immune response of host against microbial and induce activation and secretion of interleukins like TNF-α, IFN-γ, IL -1β, IL-12, IL-6 and IL-8 by immune cells.6 MIF increase survival of macrophage by inhibition activity of P53 and thus decrease activation-induced apoptosis.7,8 Finally, cDNA was cloned in 1989 in human, MIF genomic localization to chromosome 22q11 later mapped, the human MIF gene has three exons of 205, 173 and 183 bp, these are separated by two introns of 189 and 95 bp.6,9 Previous study refer to that MIF plays an essential role in resistance of host to Cutaneous leishmaniasis, were found human MIF activate infected macrophage to kill L. major at a concentration (1.5 -2.5μg/ ml) in vitro.10 Jesus et al in Brazil found that associated between MIF-173 C polymorphism and cutaneous leishmaniasis.11 Jesus suggest that the MIF-173C allele induce lower levels of MIF cytokine in serum, and this lower synthesis of MIF might behave correlation with susceptibility to leishmaniasis. The present study aims to investigate of MIF-173 C polymorphism with susceptibility to CL infection in Iraqi population in AL-Muthanna province. Material and methods
人类利什曼病是一种由沙蝇传播的寄生虫病,其特点是一系列皮肤、粘膜和内脏疾病,主要取决于所涉寄生虫的种类和宿主的免疫反应。1,2皮肤利什曼病是利什曼病最常见的形式,每年约有(100 - 150万)例,约占全世界所有病例的(50 - 70%)。2,3皮肤利什曼病每年发生,90%以上的病例发生在旧世界的五个国家(阿富汗、阿尔及利亚、伊朗、伊拉克和沙特阿拉伯)和新世界的两个国家,包括巴西和秘鲁。4在伊拉克,主要利什曼原虫和热带利什曼原虫被认为是皮肤利什曼病的常见病因。5巨噬细胞迁移抑制因子(MIF)被认为是最早发现的细胞因子之一。它被认为是宿主对微生物免疫反应的重要组成部分,并诱导免疫细胞激活和分泌白细胞介素,如TNF-α、IFN-γ、IL -1β、IL-12、IL-6和IL-8MIF通过抑制P53活性提高巨噬细胞存活率,从而减少活化诱导的细胞凋亡。7,8最后,1989年在人体内克隆了cDNA, MIF基因组定位于22q11染色体,人类MIF基因有3个外显子,分别为205、173和183 bp,由两个内含子分隔,分别为189和95 bp。6,9既往研究表明,MIF在宿主对皮肤利什曼病的抵抗中起着至关重要的作用,发现人MIF在体外以1.5 -2.5μg/ ml的浓度激活被感染的巨噬细胞杀死L. majorJesus等在巴西发现MIF-173 C多态性与皮肤利什曼病相关Jesus提示,MIF- 173c等位基因诱导血清中MIF细胞因子水平降低,而这种低水平的MIF合成可能与利什曼病易感性相关。本研究旨在探讨AL-Muthanna省伊拉克人群中mif - 173c多态性与CL感染易感性的关系。材料与方法
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引用次数: 1
Nanomedicine: a hope for mankind 纳米医学:人类的希望
Pub Date : 2018-04-11 DOI: 10.15406/JNMR.2018.07.00182
T. Qiao, J. Suriyaprakash
Quality. Current statistics unfold that due to the poor quality of the present system, 15 % of the patient admitted to the hospitals suffered from the adverse event.10-20 % of all adverse events are caused by a medication error. The outcome of the conventional health care R&D labs is lesser than the cost invested. Usually, the patient responds to the therapy is always lower than 50 % in most chronic disease such as; Migraine, Rheumatoid arthritis, Osteoporosis, Alzheimer, Oncology, etc.2 Moreover, the present diagnostic system is based on the symptoms rather than prediction / prevention and lacking in early diagnosis/managing illness. To overcome these issues, development of the new technology is crucial. Hence, nanomedicine made the revolution in the healthcare by greatly improved directed therapies for treating cancer and cardiovascular disease using new nano-drug / gene delivery systems. The tiny implantable devices help to supervise the health precisely and nano-biosensor provides the data at the earliest stage of the disease.
质量。目前的统计数据显示,由于现有系统的质量差,15%的住院患者遭受了不良事件。10- 20%的不良事件是由用药错误引起的。传统医疗卫生研发实验室的成果低于投入的成本。通常,在大多数慢性疾病中,患者对治疗的反应总是低于50%,例如;偏头痛、类风湿关节炎、骨质疏松症、阿尔茨海默病、肿瘤等。2此外,目前的诊断系统是基于症状而不是预测/预防,缺乏疾病的早期诊断/管理。为了克服这些问题,开发新技术至关重要。因此,纳米医学通过使用新的纳米药物/基因传递系统大大改善治疗癌症和心血管疾病的定向疗法,在医疗保健领域掀起了一场革命。微型植入式装置有助于精确监测健康状况,纳米生物传感器在疾病的早期阶段提供数据。
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引用次数: 0
Self–assembling protein nanoparticles open a new avenue for next generation veterinary vaccines 自组装蛋白质纳米颗粒为下一代兽医疫苗开辟了新的途径
Pub Date : 2018-04-04 DOI: 10.15406/jnmr.2018.07.00181
Jianping Li, Zeinab H. Helal, Mazhar I. Khan
Vaccines have been implemented for more than two centuries and have saved millions of lives, which is one of the most outstanding inventions in medicine. The concept of vaccine was conceived two centuries ago by the English physician Edward Jenner, “the father of immunology”. He had initiated the first protective vaccine against smallpox using live cowpox virus in 1798. Many effective vaccines have been developed in the past two hundred years. The majority of them was produced by traditional methods by attenuating live pathogens or by chemically inactivate whole pathogenic organisms. Live attenuated vaccines are highly protective but bear inherent safety concern due to the potential reactivation of virulent state. In contrast, chemically inactivated vaccines cannot regain the virulent state of derivative pathogens and are safe. However, they are poorly immunogenic, and induce weak protection. Besides, tediously laborintensive efforts are required for formulation preparation of killed vaccines.
疫苗已经实施了两个多世纪,挽救了数百万人的生命,这是医学上最杰出的发明之一。疫苗的概念是两个世纪前由“免疫学之父”英国医生爱德华·詹纳(Edward Jenner)提出的。他在1798年使用活牛痘病毒研制了第一种预防天花的疫苗。在过去的两百年里,人们研制出了许多有效的疫苗。它们大多数是通过传统方法通过减毒活病原体或通过化学灭活整个致病生物体来生产的。减毒活疫苗具有高度的保护作用,但由于可能再次激活毒力状态,因此存在固有的安全性问题。相反,化学灭活疫苗不能恢复衍生病原体的毒力状态,是安全的。然而,它们的免疫原性较差,保护性较弱。此外,灭活疫苗的配方制备需要耗费大量的劳动。
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引用次数: 1
Challenges in circulating tumor DNA analysis for cancer diagnosis 循环肿瘤DNA分析在癌症诊断中的挑战
Pub Date : 2018-03-21 DOI: 10.15406/JNMR.2018.07.00180
Y. Hu, Shuya Li, Yanmin Gao, Hao Qi
People knew that the DNA molecule existed outside of cell even before finding out its famous double helix structure. Mandel and colleagues identified DNA molecule, termed as cell-free nucleic acids (cfDNA) later, in human bloodstream in as early as 1948.1 However, at that time no people realized how these DNA molecules associate with human diseases. Thing started turning around until 1964, DNA was found being released into sera for certain systemic lupus erythematosus patients.2 Since then, many clinical studies were carried out, more evidences demonstrated the strong correlation between cell free DNA and human diseases, especially for cancer.3,4 It was observed that even DNA could be isolated from blood of healthy people, but the amount of DNA significantly increased in the blood sample from patients with serious tumor. Particularly, as the earliest research, DNA fragments from mutant Kras gene were found in blood of pancreatic carcinoma patients5 and mutant N-ras gene fragment for myelodysplastic syndrome patients.6 These studies successfully demonstrated the direct correlation between circulating DNA and tumor. Recently it has been widely accepted that the levels of circulating nucleic acids strongly connected with tumor burden and malignant progression.7–11 For not being confused with cell-free DNA in healthy people, tumor cell related DNA circulating in human cardiovascular system were specially termed as circulating tumor DNA, ctDNA. Generally, it is widely considered that most DNA in circulation system is the debris of dead tumor cells. However, due to the complexity of cancer development, more fundamental studies are required to investigate questions, such as which processes contribute to ctDNA release from tumor cells12 and how the release process change the state of ctDNA in the circulation system. Besides being the debris left behind by dead cells, DNA is the key component of neutrophil extracellular traps (NETs), a host immune defense system against invading pathogens. Recently, increasing studies have demonstrated that NETs got involved in cancer development at every stages.13–15 With the development of molecular oncology, more and more tumor specific gene mutations were identified,16 and detail information about relevant tumor specific mutation could be found in systematically organized database, such as My Cancer Genome (www. mycancergenome.org). Up to now, ctDNA has been investigated with numerous of prevalent tumors, including Breast,17,18 Colorectal,7,19 Hepatocellular carcinoma,20,21 lung,22–24 Melanoma,25,26 Ovarian,27 Pancreatic28 and so on. In comparison with other biomarkers, e.g. protein, ctDNA is more informative with more precise analysis methods.29 Due to its nature, ctDNA is becoming a remarkable clinical tool. Especially, the convenience in collecting blood sample grant the liquid biopsy application great potential through ctDNA analysis in cancer diagnosis. However, precise analysis of ctDNA is still a challenge for
甚至在发现DNA分子著名的双螺旋结构之前,人们就知道它存在于细胞外。曼德尔和他的同事早在1948年就在人类血液中发现了DNA分子,后来被称为无细胞核酸(cfDNA)。然而,当时没有人意识到这些DNA分子与人类疾病的关系。事情开始好转,直到1964年,DNA被发现释放到某些系统性红斑狼疮患者的血清中此后,许多临床研究的开展,越来越多的证据表明游离细胞DNA与人类疾病,特别是癌症之间存在很强的相关性。3、4观察到,即使从健康人的血液中也能分离出DNA,但在严重肿瘤患者的血液样本中,DNA的含量明显增加。特别是,作为最早的研究,在胰腺癌患者的血液中发现了Kras基因突变的DNA片段5,在骨髓增生异常综合征患者的血液中发现了N-ras基因突变片段6这些研究成功地证明了循环DNA与肿瘤之间的直接关系。近年来,人们普遍认为循环核酸水平与肿瘤负荷和恶性进展密切相关。7-11为了不与健康人的无细胞DNA相混淆,在人类心血管系统中循环的肿瘤细胞相关DNA被专门命名为循环肿瘤DNA, ctDNA。一般认为,循环系统中的DNA大部分是死亡肿瘤细胞的碎片。然而,由于癌症发展的复杂性,需要更多的基础研究来调查问题,例如哪些过程有助于肿瘤细胞释放ctDNA,以及释放过程如何改变循环系统中ctDNA的状态。除了作为死细胞留下的碎片外,DNA还是中性粒细胞胞外陷阱(NETs)的关键组成部分,NETs是宿主抵御入侵病原体的免疫防御系统。最近,越来越多的研究表明,net参与了癌症发展的各个阶段。13-15随着分子肿瘤学的发展,越来越多的肿瘤特异性基因突变被发现,16在系统组织的数据库中可以找到相关肿瘤特异性突变的详细信息,如My Cancer Genome (www。mycancergenome.org)。到目前为止,ctDNA已经在许多常见肿瘤中进行了研究,包括乳腺癌,17、18结肠直肠癌,7、19肝细胞癌,20、21肺癌,22-24黑色素瘤,25、26卵巢,27胰腺等。与其他生物标记物(如蛋白质)相比,ctDNA具有更精确的分析方法,信息更丰富由于其性质,ctDNA正在成为一种非凡的临床工具。特别是血液采集的便捷性,使ctDNA分析在癌症诊断中的应用具有很大的潜力。然而,由于一些技术和生物物理原因,ctDNA的精确分析仍然是一个挑战。为了成为肿瘤诊断的可靠工具,还需要更多的临床研究来解决生理机制和分析技术方面的一些关键问题。本文综述了基于ctDNA的癌症诊断的关键问题,特别是导致不同研究结果相互矛盾的实验问题。
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引用次数: 2
When theory tells what is possible 当理论告诉我们什么是可能的
Pub Date : 2018-03-16 DOI: 10.15406/JNMR.2018.07.00179
J. Geneste
Nobody should be shocked if we say that a human body is a system! Now, if we consider a human being as a system and therefore as a combinatorial game, we can easily assume that if the human is hit by any illness, we can assume that the illness is a player and has played the first turn. As doctors, if we want to cure the patient, we need to play in our turn and there will of course be a reaction of the illness which will be considered as another round and so on. In the end, what we target is winning the game so that the illness will lose! As an assumption we take that the illness plays the best as possible and is therefore the strongest adversary we can have. Now, we must know to which game we are going to play because depending on the game, the strategy will change and this will be, in our referential, the essential role of the doctor: which game to play to be the most efficient?
如果我们说人体是一个系统,没有人会感到震惊!现在,如果我们将人类视为一个系统,因此作为一个组合游戏,我们可以很容易地假设,如果人类受到任何疾病的袭击,我们可以假设疾病是一个玩家,并且已经进行了第一轮。作为医生,如果我们想治愈病人,我们需要在我们的回合中发挥作用,当然会有疾病的反应,这将被视为另一轮等等。最后,我们的目标是赢得比赛,让疾病输掉!作为一种假设,我们认为疾病发挥得最好,因此是我们最强大的对手。现在,我们必须知道我们要玩哪一种游戏因为根据游戏的不同,策略会发生变化这将是,在我们的参考资料中,医生的基本角色:哪一种游戏最有效?
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Journal of Nanomedicine Research
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