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Superselective intraarterial cerebral infusion of cetuximab with blood brain barrier disruption combined with Stupp Protocol for newly diagnosed glioblastoma. 超选择性脑动脉灌注西妥昔单抗合并血脑屏障破坏联合Stupp方案治疗新诊断的胶质母细胞瘤。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-05-01
Kay O Kulason, Julia R Schneider, Shamik Chakraborty, Christopher G Filippi, Bidyut Pramanik, Tamika Wong, Sherese Fralin, Karissa Tan, Ashley Ray, Rachel A Alter, Rafael Ortiz, Alexis Demopoulos, David J Langer, John A Boockvar

Objective: We describe the first case of a novel treatment for a newly diagnosed glioblastoma (GBM) using superselective intraarterial cerebral infusion (SIACI) of cetuximab after osmotic disruption of the blood-brain barrier (BBB) with mannitol. A 51year-old female underwent craniotomy for removal of a right frontal GBM. Pathology confirmed EGFR amplification, and she underwent three treatments of SIACI of cetuximab to the tumor site. The first treatment was given within a week of starting standard of care chemoradiation (Stupp protocol), which is a combination of radiation treatment (2 Gy per/ day x 30 days, total of 60 Gy) and oral temozolomide (75 mg/m2). The second and third SIACI of cetuximab were administered 3 and 6 months later, while the patient continued on maintenance temozolomide. Post-radiation changes on MRI were stable, and there were no signs of recurrence at 4 and 6 months post-resection. Herein, we detail the technical aspects of this novel treatment paradigm and suggest that SIACI of cetuximab after BBB disruption using mannitol, combined with the standard of care chemoradiation therapy, may be an effective treatment method for newly diagnosed EGFR amplified glioblastoma.

目的:我们描述了在甘露醇渗透破坏血脑屏障(BBB)后,使用西妥昔单抗超选择性脑动脉输注(SIACI)治疗新诊断的胶质母细胞瘤(GBM)的第一例新疗法。一名51岁女性接受开颅手术切除右额部GBM。病理证实EGFR扩增,患者接受了三次西妥昔单抗对肿瘤部位的SIACI治疗。第一次治疗在开始标准护理放化疗(Stupp方案)的一周内进行,这是放射治疗(2 Gy /天x 30天,总计60 Gy)和口服替莫唑胺(75 mg/m2)的组合。第二次和第三次西妥昔单抗SIACI分别在3个月和6个月后给予,同时患者继续使用替莫唑胺维持治疗。放疗后MRI变化稳定,术后4、6个月无复发迹象。在此,我们详细介绍了这种新治疗模式的技术方面,并建议在使用甘露醇破坏血脑屏障后西妥昔单抗的SIACI,结合标准护理放化疗,可能是新诊断的EGFR扩增胶质母细胞瘤的有效治疗方法。
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引用次数: 0
Necrotising sialometaplasia: a diagnostic perplexity? An innocent entity to malignant masquerade. 坏死性唾液化生:一个诊断难题?一个无辜的实体以恶意的伪装。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-05-01
Neeti Swarup, Meghanand T Nayak, Zoya Chowdhary, S Chandarani

Objective: Necrotising Sialometaplasia is a benign self limiting reactive condition of major and minor salivary glands, which can arouse suspicion for malignancy, clinically and histopathologically. Here, we report a case of 38-year-old female with a painful ulcer on the palate. The case enlightens the importance of clinicopathologic correlation and diligent follow up in diagnosis and management of the case.

目的:坏死性涎化生是大、小唾液腺的一种良性自限性反应性疾病,临床和病理上均可引起恶性怀疑。在这里,我们报告一个38岁的女性与疼痛溃疡的上颚。本病例提示临床病理相关及随访对诊断及治疗的重要性。
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引用次数: 0
Impact of low level radiation on concentrations of some trace elements in radiation workers. 低水平辐射对辐射工作人员体内某些微量元素浓度的影响。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-05-01
Nima Rostampour, Tinoosh Almasi, Masoumeh Rostampour, Hamid Reza Sadeghi, Ehsan Khodamoradi, Reyhaneh Razi, Zahra Derakhsh

Introduction: Small variations in trace element levels may cause important physiological changes in the human body. This study aims to evaluate five important trace elements in radiation workers.

Method: In this study, 44 radiation workers and an equal number of non-radiation workers were selected as the case and control group, respectively. The concentrations of iron, magnesium, zinc, copper, and selenium in the serum of the participants were measured using an Atomic Absorption Spectrometry (AAS).

Results: The mean concentrations of iron, magnesium, zinc, copper, and selenium for the case group were 107.3 µg/dl, 2.3 mg/dl, 80.9 µg/dl, 112.6 µg/dl and 216.7 ng/ml, respectively. The results for the control group were 121.9 µg/dl, 2.3 mg/dl, 82.3 µg/dl, 112.8 µg/dl and 225.2 ng/ml, respectively.

Conclusions: The mean concentration of iron in the case group was significantly lower than the control group (p-value = 0.012), while the concentrations of other elements in both of the groups were not significantly different. In the case group, except magnesium (p-value = 0.021), no significant relationship was found between age and the elemental concentrations. According to Spearman's test, there was a meaningful statistical correlation between the sex and concentration of iron, Mg, Zn, and Se. Also, the correlation between the concentration of magnesium and the weights of radiation workers was significant (p-value =0.044).

微量元素水平的微小变化可能引起人体重要的生理变化。本研究旨在评估辐射工作人员体内五种重要的微量元素。方法:选取44名放射工作人员作为病例组,44名非放射工作人员作为对照组。采用原子吸收光谱法(AAS)测定了受试者血清中铁、镁、锌、铜和硒的浓度。结果:病例组的铁、镁、锌、铜和硒的平均浓度分别为107.3µg/dl、2.3 mg/dl、80.9µg/dl、112.6µg/dl和216.7 ng/ml。对照组的结果分别为121.9µg/dl、2.3 mg/dl、82.3µg/dl、112.8µg/dl和225.2 ng/ml。结论:病例组铁元素的平均浓度显著低于对照组(p值= 0.012),而两组其他元素的浓度无显著差异。在病例组中,除镁(p值= 0.021)外,年龄与元素浓度之间无显著关系。根据斯皮尔曼的检验,性别与铁、镁、锌和硒的浓度之间存在有意义的统计相关性。镁浓度与辐射工作人员体重之间存在显著相关性(p值=0.044)。
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引用次数: 0
Anticancer activity of chlorhexidine and cranberry extract: an in-vitro study. 氯己定和蔓越莓提取物的抗癌活性:体外研究。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-05-01
Mahesh R Khairnar, Umesh Wadgave, Harish Jadhav, Rahul Naik

Introduction: Oral cancer is considered to be a global pandemic. The study was conducted to assess the anti-cancer activities of Chlorhexidine (CHX) and Cranberry against oral cancer cell lines.

Material and methods: Anticancer activity of CHX and Cranberry extract (CE) was assessed against AW13516 (poorly to moderately differentiated squamous cell carcinoma of tongue) and KB (Nasopharyngeal carcinoma) using Sulforhodamine B (SRB) assay at the Advanced Centre for Treatment Research and Education in Cancer (ACTREC) Mumbai, India. Three dose related parameters GI50, TGI and LC50 were calculated for each drug.

Results: CE (80µg/ml) showed no anti-cancer property against AW13516 cell line; however it showed 70.6% growth inhibition against KB cell line. CHX demonstrated 80.15% & 95.7% of growth inhibition against AW13516 & KB cell line respectively. Both the drugs were less potential than positive control drug Adriamycin, as reflected by their GI50, TGI and LC50 values.

Conclusion: CHX exhibited better anti-cancer properties than CE for both the oral cancer cell lines.

口腔癌被认为是一种全球性流行病。研究了氯己定(CHX)和蔓越莓对口腔癌细胞株的抗癌作用。材料和方法:在印度孟买的高级癌症治疗研究和教育中心(ACTREC),采用硫代氨基B (SRB)法评估CHX和蔓越莓提取物(CE)对AW13516(低分化至中分化鳞状细胞癌)和KB(鼻咽癌)的抗癌活性。计算每种药物的三个剂量相关参数GI50、TGI和LC50。结果:CE(80µg/ml)对AW13516细胞株无抗癌作用;对KB细胞株的生长抑制率为70.6%。CHX对AW13516和KB细胞系的生长抑制作用分别为80.15%和95.7%。两种药物的GI50、TGI和LC50值均低于阳性对照药物阿霉素。结论:CHX对两种口腔癌细胞系的抗癌作用均优于CE。
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引用次数: 0
Inhibitory effects of mushroom extracts on progression of carcinogenesis in mice. 香菇提取物对小鼠癌变进程的抑制作用。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-05-01
Caroline Wasonga, Charles Omwandho

Objective: Hepatocellular carcinoma is a common primary malignancy of hepatocytes that has caused many fatalities globally. To manage the increasing cases of hepatocellular carcinoma, natural products like mushrooms have been tested for their anti-oxidant, anti-tumour and therapeutic properties. This study aimed to investigate the effect of Agaricus bisporus on progression of chemically induced carcinogenesis in mice. Carcinogenesis was induced in experimental and positive group of mice. Development and progression of carcinogenesis was monitored by quantifying levels of Lactate dehydrogenase, total sialic acid and by histological analysis. The results of the study showed that, unlike lactate dehydrogenase, the levels of sialic acid consistently decreased throughout the experimental period in mice that were fed on mushroom extracts compared to the positive control. Histological analysis also showed protection of the hepatocytes from carcinogenesis progression. Overall, the results from tumour markers and histological analysis, showed that addition of Agaricus bisporus extracts to diet slowed down progression of carcinogenesis and these extracts therefore may be useful as supplementary diet to conventional cancer therapies.

目的:肝细胞癌是一种常见的原发性肝细胞恶性肿瘤,在全球范围内造成许多死亡。为了控制不断增加的肝细胞癌病例,人们对蘑菇等天然产品进行了抗氧化、抗肿瘤和治疗特性的测试。本研究旨在探讨双孢蘑菇对小鼠化学致癌进程的影响。在实验组和阳性组小鼠中诱导癌变。通过乳酸脱氢酶、总唾液酸和组织学分析来监测癌变的发生和进展。研究结果表明,与乳酸脱氢酶不同,在整个实验期间,与阳性对照相比,喂食蘑菇提取物的小鼠唾液酸水平持续下降。组织学分析也显示肝细胞免受癌变进展的保护。总体而言,肿瘤标志物和组织学分析的结果表明,在饮食中添加双孢蘑菇提取物可以减缓癌变进程,因此这些提取物可能是传统癌症治疗的补充饮食。
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引用次数: 0
Chronic non-healing ulcer of the oral cavity: tuberculosis or carcinoma? 口腔慢性不愈合溃疡:结核还是癌?
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-05-01
Neeti Swarup, Meghanand T Nayak, Nitali Arun, S Chandarani, Zoya Chowdhary

Objective: Tuberculosis is a chronic granulomatous lesion, which primarily has an affinity for the lungs. It can involve other sites like lymph nodes, kidney, oral cavity. Infection of the oral cavity by M. tuberculosis can be as a Primary infection or as a Secondary infection. Primary presentation of oral tuberculosis is in the form of the chronic non healing ulcer. A Primary infection or an Asymptomatic Secondary infection can impose a great diagnostic dilemma, as it may mimic neoplasia. Here we present a case of a 32-year-old asymptomatic female with secondary infection.

目的:结核病是一种慢性肉芽肿性病变,主要与肺部密切相关。它可以涉及其他部位,如淋巴结,肾脏,口腔。口腔感染结核分枝杆菌可作为原发性感染或继发性感染。口腔结核的主要表现是慢性无法愈合的溃疡。原发性感染或无症状继发感染可造成很大的诊断困境,因为它可能类似于肿瘤。我们在此报告一位32岁无症状女性继发感染的病例。
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引用次数: 0
Invasive molar pregnancy in rudimentary uterine horn. 初生子宫角侵袭性磨牙妊娠。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-05-01
Zeynep Aslı Oskovi Kaplan, Ali Levent Şirvan, Hasan Onur Topçu

Objective: Incidence of molar pregnancy is 1-3/1000 pregnancies. Invasive mole is a local invasive form of gestational trophoblastic neoplasias which is mostly seen in reproductive age and usually follows a molar pregnancy and rarely has an initial presentation. Ectopic pregnancy in rudimentary uterine horn is extremely rare and is seen in 1/100,000 - 140,000 pregnancies. Invasive mole has seldom been reported in ectopic localizations but not in a patient with Müllerian duct anomaly. Here we represent a case of invasive mole in a reproductive age patient with unicornuate uterus and rudimentary communicating uterine horn. Invasive mole presented initially, mimicking ectopic pregnancy. The patient underwent diagnostic laparoscopy and resection of rudimentary uterine horn was performed. The pathology result was reported as an invasive mole. Serum b-hCG levels normalized on post-operative first month and no additional chemotherapy was needed.

目的:磨牙妊娠发生率为1-3/1000。侵袭性痣是一种局部侵袭性的妊娠滋养细胞肿瘤,常见于育龄期,通常发生在磨牙妊娠之后,很少有最初的表现。子宫初生角异位妊娠极为罕见,约为十万分之一至十四万分之一。侵袭性痣在异位定位中很少有报道,但在胆管异常患者中却没有报道。在这里,我们报告一例侵袭性痣的育龄患者,子宫呈独角状,子宫角相通。最初出现侵袭性痣,模仿异位妊娠。患者接受诊断性腹腔镜检查并切除子宫角。病理结果报告为侵袭性痣。术后第一个月血清b-hCG水平恢复正常,无需额外化疗。
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引用次数: 0
Cavitary myiasis and its management. 空洞蝇蛆病及其治疗。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-05-01
Shreya Gour, Gayathri Ramesh, Vijayendra Kumar, G K Thapliyal, Ramesh Nagarajappa

Objective: Myiasis is a parasitic disease of humans and vertebrates, caused by fly larvae feeding on the host's necrotic or living tissue. Myiasis is classified into cutaneous and cavitary myiasis. Cavitary myiasis is rare and occurs more frequently in tropical and subtropical regions of Africa and America associated with low economic status and poor hygiene. This article reviews current literature, provides general descriptions, and discusses life cycles of each species. It also gives diagnosis, treatment techniques and descriptions of each type of illness that result from interaction / infestation.

目的:蝇蛆病是人类和脊椎动物的一种寄生虫病,由蝇幼虫取食宿主的坏死或活组织引起。蝇蛆病分为皮肤蝇蛆病和空洞蝇蛆病。空洞蝇蛆病很少见,多发生于非洲和美洲的热带和亚热带地区,这些地区的经济地位低,卫生条件差。本文回顾了目前的文献,提供了一般的描述,并讨论了每个物种的生命周期。它还提供了诊断、治疗技术和描述由相互作用/感染引起的每种疾病。
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引用次数: 0
Quality of life of cancer patients. 癌症患者的生活质量。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-05-01
Solanki Jitender, Rajive Mahajan, Vikram Rathore, Rahul Choudhary

Objective: Cancer is a one of the major public health problem both in developed and developing countries around the globe. Quality-of-life (QOL) of a cancer patient before and after the treatment is an important issue especially for the cancer survivors, their families, and the care providers. In cancer prospective, Quality-of-life can been defined as a sense of well-being, it is a multidimensional perspective that includes dimensions such as physical, psychological, social, and spiritual, changes in one QOL dimension can influence perceptions in other dimensions also. Cancer patients should demand information related to adverse effects of chemotherapy and actions to be taken to reduce them, also there should be provision of providing sufficient information prior to beginning of the treatment procedure irrespective to type of treatment, so that patient is aware of all the treatment modalities and their side effects and self-care strategies so as to reduce treatment-related concerns.

目的:癌症是全球发达国家和发展中国家的主要公共卫生问题之一。癌症患者治疗前后的生活质量(QOL)是一个重要的问题,特别是对癌症幸存者,他们的家人和护理提供者。从癌症的角度来看,生活质量可以定义为一种幸福感,它是一个多维度的视角,包括身体、心理、社会和精神等维度,一个生活质量维度的变化也会影响其他维度的感知。癌症患者应要求了解化疗的不良影响,以及减少不良影响的措施。此外,无论采用何种治疗,在开始治疗前都应提供足够的信息,以便患者了解所有的治疗方式及其副作用和自我护理策略,以减少与治疗有关的担忧。
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引用次数: 0
Cancer medicine: a direction. 癌症医学:一个方向。
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-05-01
Sunil Kumar Kashyap, Birendra Kumar Sharma, Amitabh Banerjee, Anil Kumar Tiwari, Vikas Kumar Jain, Swati Jain, Ashutosh Pandey

Objective: The medicine of cancer is directed in this paper. The pie theory is applied for the proposed medicine. The improbability and un-constancy are the major theories, which are used to design this anti-cancer medicine.

目的:为癌症的治疗提供指导。饼理论适用于所提议的药物。非概率和非恒常是设计这种抗癌药物的主要理论。
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引用次数: 0
期刊
Journal of Experimental Therapeutics and Oncology
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