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Postural Stability Variables for Dynamic Equilibrium. 动态平衡的姿势稳定性变量
Pub Date : 2018-12-01
Aviroop Dutt-Mazumder, Sushmit Dhar, Courtney Dutt-Mazumder

Experiments on the maintenance of postural stability on flat stationary support surfaces (quiet standing) that show only limited modes of the potential configurations of balance stability have dominated investigations of balance in quiet upright standing. Recent studies have revealed coordination properties of the whole body in maintaining dynamic postural stability with the application of moving platform paradigms. This paper examines properties of candidate collective variables for postural control within the dynamic systems framework. Evidence is discussed in this paper for: (i) self-organization properties of dynamic postural balance; (ii) enhanced variability and entropy prior to a phase transition between center of mass and center of pressure coupling; (iii) co-existence of intermittent postural control strategies that oscillate between periodic to chaotic transitions to maintain upright postural balance. These collective findings indicate postural attractor dynamic states progressively emerge to the changing task constraints of a moving platform revealing insights into the deterministic and stochastic properties of the multiple time scales of human postural behavior.

关于在平坦的静止支撑表面(安静站立)上保持姿势稳定的实验只显示了平衡稳定的潜在配置的有限模式,这些实验主导了对安静直立站立中平衡的研究。最近的研究揭示了应用移动平台范例在维持动态姿势稳定性方面的全身协调特性。本文在动态系统框架内研究了姿势控制候选集体变量的特性。本文讨论了以下证据(i) 动态姿势平衡的自组织特性;(ii) 质量中心和压力中心耦合相变之前的可变性和熵的增强;(iii) 间歇性姿势控制策略的共存,这些策略在周期性过渡到混沌过渡之间摆动,以保持直立姿势平衡。这些研究结果表明,姿势吸引器的动态状态是根据移动平台上不断变化的任务限制而逐步出现的,揭示了人类姿势行为多时间尺度的确定性和随机性。
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引用次数: 0
Cigarette Smoking-Mediated Macrophage Reprogramming: Mechanistic Insights and Therapeutic Implications. 吸烟诱导的巨噬细胞重编程:机理认识和治疗意义
Pub Date : 2018-11-01
David C Yang, Ching-Hsien Chen

Macrophages, the mature form of the monocytes, play a significant role in tissue homeostasis and immunity. In response to environmental cues, they can undergo classical or alternative activation, polarizing into specialized functional subsets. A common hallmark of the pathologic environment is represented by cigarette smoking. Although the contribution of cigarette smoke to various cellular processes has been extensively studied, its roles in macrophage polarization have been conflicting. This review discusses the molecular and functional differences of cigarette smoke-exposed macrophages that exist between pro-inflammatory and anti-inflammatory states. We also highlight the most recent advances in therapeutic potential of targeting signaling molecules associated with smoking to modulate macrophage plasticity and polarized activation.

巨噬细胞是单核细胞的成熟形式,在组织稳态和免疫方面发挥着重要作用。为了对环境线索做出反应,它们可以进行经典或替代性活化,极化为专门的功能亚群。病理环境的一个共同特征就是吸烟。虽然香烟烟雾对各种细胞过程的作用已被广泛研究,但其在巨噬细胞极化中的作用却相互矛盾。本综述讨论了暴露于香烟烟雾的巨噬细胞在促炎和抗炎状态之间存在的分子和功能差异。我们还重点介绍了针对与吸烟有关的信号分子来调节巨噬细胞可塑性和极化活化的治疗潜力方面的最新进展。
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引用次数: 0
Evaluation of in-vitro cytotoxic effect of 5-FU loaded-chitosan nanoparticles against spheroid models. 5-FU负载壳聚糖纳米颗粒对球体模型的体外细胞毒作用评价。
Pub Date : 2018-10-01
Taylor Smith, Kevin Affram, Errol Bulumko, Edward Agyare

Purpose: The studies investigate the anticancer activity of 5-fluorouracil (5-FU)-hyaluronidase (Hase) enzyme-loaded chitosan nanoparticles (5-FUChnps) using three-dimensional (3D) spheroid HCT-116 culture. Hase-loaded nanoparticles (Chnps) have recently been used to improve the efficacy of chemotherapeutic drugs for cancer treatment. It has been found that administration of Hase improves tumor vessel densities and increase perfusion within tumor.

Methods: Particle size and zeta potential of the nanoparticles were determined using a particle size analyzer while Fourier transform infrared (FTIR) was used to investigate the interactions among the various components making up the chitosan nanoparticles. Cytotoxic effects of 5-FU and 5FUchnps against dimensional (2D) and 3D spheroid cultures were assessed using trypan blue assay.

Results: Low molecular weight chitosan (ChiL) nanoparticle size was determined to between 215 to 670 nm while medium molecular weight chitosan (ChiM) nanoparticle size ranged from 151 to 778 nm. All 5FUChnps exhibited a zeta potential value ranging from +4 to +37 mV. Among the 16 formulations prepared, formulation #7 (5-FUChnps7) was selected for the in-vitro cytotoxic studies based on its high 5-FU entrapment efficiency (59%). 5FUchnps treated 3D HCT-116 culture exhibited significant growth inhibition compared with 5-FU treated groups. Further, spheroids with significant growth inhibition exhibited high spheroid volume and non-spherical shapes.

Conclusion: 5-FUChnps were significantly cytotoxic to the 3D HCT-116 cultures than that of the free 5-FU. Chnps proved to have the ability to deliver and improve the anticancer activity of 5-FU in 3D HCT-116 culture studies.

目的:通过三维(3D)球形HCT-116培养,研究5-氟尿嘧啶(5-FU)-透明质酸酶(Hase)负载壳聚糖纳米颗粒(5-FUChnps)的抗癌活性。装载酶的纳米颗粒(Chnps)最近被用于提高化疗药物治疗癌症的疗效。研究发现,Hase可改善肿瘤血管密度,增加肿瘤内灌注。方法:采用粒径分析仪测定壳聚糖纳米颗粒的粒径和zeta电位,利用傅里叶变换红外光谱(FTIR)研究壳聚糖纳米颗粒各组分之间的相互作用。采用台锥蓝法评估5-FU和5FUchnps对二维和三维球体培养物的细胞毒作用。结果:低分子量壳聚糖(ChiL)纳米颗粒粒径在215 ~ 670 nm之间,中分子量壳聚糖(ChiM)纳米颗粒粒径在151 ~ 778 nm之间。所有5fuchps的zeta电位值均在+4 ~ +37 mV之间。在制备的16个制剂中,选择制剂#7 (5-FUChnps7)进行体外细胞毒性研究,因为其具有较高的5-FU包封率(59%)。与5-FU处理组相比,5FUchnps处理3D HCT-116培养物表现出明显的生长抑制。此外,具有显著生长抑制的球体表现出高球体体积和非球形形状。结论:5-FUChnps对3D HCT-116培养物的细胞毒性显著高于游离5-FU。在3D HCT-116培养研究中,Chnps被证明具有传递和提高5-FU抗癌活性的能力。
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引用次数: 0
Effects of Bronchopulmonary Dysplasia on Swallow:Breath Interaction and Phase of Respiration with Swallow During Non-nutritive Suck. 支气管肺发育不良对吞咽的影响:非营养性吸吮时呼吸与吞咽的相互作用和呼吸相。
Pub Date : 2018-09-01
Eric W Reynolds, Debbie Grider, Rhonda Caldwell, Gilson Capilouto, Abhijit Patwardhan, Richard Charnigo

Objectives: The objective of this study is to describe swallow:breath interaction (SwBr) and phase of respiration incident to swallow (POR) during non-nutritive suck in infants with bronchopulmonary dysplasia and determine if speech-language intervention can modify the characteristics of non-nutritive suck in these infants.

Methods: Logistic regression models were used to describe SwBr and POR in 16 low-risk preterm (LRP) infants and 43 infants with bronchopulmonary dysplasia. Infants with bronchopulmonary dysplasia were randomized to receive individualized intervention from a speech-language pathologist (BPDwithTX) or standard care (BPDnoTX).

Results: No significant differences were noted between low-risk infants and either group of BPD infants for the distribution of SwBr types. Infants with bronchopulmonary dysplasia showed minor differences in the progression of POR. Speech-Language intervention did not change the progression of SwBr or POR in infants with bronchopulmonary dysplasia.

Conclusion: Infants with bronchopulmonary dysplasia can improve the progression of SwBr through practice as effectively as low-risk preterm infants can. The minor differences in POR in infants with bronchopulmonary dysplasia are consistent with dysmature development as seen with other feeding studies of infants with this disease. Speech-Language intervention did not modify the developmental progression of swallow:breath interaction or phase of respiration incident to swallow.

目的:本研究的目的是描述支气管肺发育不良婴儿在非营养性吸痰过程中的吞咽-呼吸相互作用(SwBr)和呼吸事件-吞咽阶段(POR),并确定语言干预是否可以改变这些婴儿的非营养性吸痰特征。方法:采用Logistic回归模型对16例低危早产儿(LRP)和43例支气管肺发育不良患儿的SwBr和POR进行分析。患有支气管肺发育不良的婴儿随机接受语言病理学家(BPDwithTX)或标准护理(BPDnoTX)的个性化干预。结果:低危婴儿和两组BPD婴儿在SwBr类型分布上无显著差异。支气管肺发育不良的婴儿在POR的进展中表现出轻微的差异。言语干预并未改变支气管肺发育不良婴儿SwBr或POR的进展。结论:支气管肺发育不良患儿与低危早产儿一样可以通过练习有效地改善SwBr的进展。支气管肺发育不良婴儿的POR的微小差异与其他对该疾病婴儿的喂养研究中所见的发育不良一致。言语语言干预并没有改变吞咽的发育进程:呼吸相互作用或呼吸发生于吞咽的阶段。
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引用次数: 0
Systemic Treatment of Advanced Hepatocellular Carcinoma in Older Adults. 老年人晚期肝细胞癌的系统治疗。
Pub Date : 2018-08-01
Luisa M Arellano, Sukeshi Patel Arora

Over the past 30 years, the incidence in of hepatocellular carcinoma (HCC) in the United States has tripled, largely due to untreated chronic Hepatitis C virus, alcoholic hepatitis, and non-alcoholic steatohepatitis (NASH). Additionally, the incidence of HCC among South Texas Hispanics is higher than elsewhere in the United States. The median age of HCC is 62 years in United States and 67 years in South Texas, with over 30% being 70 years of age or older. However, there is limited data on how to treat older adults with advanced HCC. In this review, we will discuss treatment options for older adults with advanced HCC, further emphasizing the need for prospective studies in this population.

在过去的 30 年中,美国的肝细胞癌(HCC)发病率增加了两倍,这主要是由于慢性丙型肝炎病毒、酒精性肝炎和非酒精性脂肪性肝炎(NASH)未经治疗所致。此外,南得克萨斯州西班牙裔的 HCC 发病率也高于美国其他地区。美国 HCC 患者的中位年龄为 62 岁,南德克萨斯州为 67 岁,其中超过 30% 的患者年龄在 70 岁或以上。然而,关于如何治疗患有晚期 HCC 的老年人的数据却很有限。在这篇综述中,我们将讨论晚期 HCC 老年人的治疗方案,进一步强调对这一人群进行前瞻性研究的必要性。
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引用次数: 0
Necroptosis: MLKL Polymerization. 坏死:MLKL聚合。
Pub Date : 2018-07-01
Andrea Johnston, Zhigao Wang

Necroptosis is a subtype of regulated necrosis that occurs when caspases are inhibited or fail to activate. Stimulus of cell death receptors results in a signaling cascade that triggers caspase independent, immunogenic cell death. The core pathway relies on receptor interacting protein kinase (RIPK) 1 and 3, which interact through their receptor homotypic interacting motif (RHIM) domains, and form amyloid-like structures termed the necrosome. RIPK3 recruits and phosphorylates mixed lineage kinase domain-like pseudokinase (MLKL), the terminal mediator in the necroptotic pathway. MLKL polymerizes to form a second amyloid-like structure that causes cell membrane disruption resulting in cell death. Although the core necroptosis pathway has been elucidated, the details of MLKL membrane translocation and membrane disruption remain an open area of research.

坏死是一种调节性坏死的亚型,当半胱天冬酶被抑制或未能激活时就会发生。细胞死亡受体的刺激导致信号级联,触发胱天蛋白酶非依赖性的免疫原性细胞死亡。核心途径依赖于受体相互作用蛋白激酶(RIPK)1和3,它们通过受体同源相互作用基序(RHIM)结构域相互作用,并形成称为坏死小体的淀粉样结构。RIPK3募集并磷酸化坏死途径中的末端介质混合谱系激酶结构域样假激酶(MLKL)。MLKL聚合形成第二个淀粉样结构,导致细胞膜破裂,导致细胞死亡。尽管核心坏死途径已经阐明,但MLKL膜移位和膜破坏的细节仍然是一个开放的研究领域。
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引用次数: 0
Skeletal Muscle Metrics on Clinical 18F-FDG PET/CT Predict Health Outcomes in Patients with Sarcoma. 临床 18F-FDG PET/CT 中的骨骼肌指标可预测肉瘤患者的健康状况。
Pub Date : 2018-01-01
Brent Foster, Robert D Boutin, Leon Lenchik, David Gedeon, Yu Liu, Vinay Nittur, Ramsey D Badawi, Chin-Shang Li, Robert J Canter, Abhijit J Chaudhari

The aim of this study was to determine the association of measures of skeletal muscle determined from 18F-FDG PET/CT with health outcomes in patients with soft-tissue sarcoma. 14 patients (8 women and 6 men; mean age 66.5 years) with sarcoma had PET/CT examinations. On CTs of the abdomen and pelvis, skeletal muscle was segmented, and cross-sectional muscle area, muscle volume, and muscle attenuation were determined. Within the segmented muscle, intramuscular fat area, volume, and density were derived. On PET images, the standardized uptake value (SUV) of muscle was determined. Regression analyses were conducted to determine the association between the imaging measures and health outcomes including overall survival (OS), local recurrence-free survival (LRFS), distant cancer recurrence (DCR), and major surgical complications (MSC). The association between imaging metrics and pre-therapy levels of serum C-reactive protein (CRP), creatinine, hemoglobin, and albumin was determined. Decreased volumetric muscle CT attenuation was associated with increased DCR. Increased PET SUV of muscle was associated with decreased OS and LRFS. Lower muscle SUV was associated with lower serum hemoglobin and albumin. Muscle measurements obtained on routine 18F-FDG PET/CT are associated with outcomes and serum hemoglobin and albumin in patients with sarcoma.

本研究旨在确定通过 18F-FDG PET/CT 确定的骨骼肌测量值与软组织肉瘤患者健康状况的关联。14 名肉瘤患者(8 名女性和 6 名男性,平均年龄 66.5 岁)接受了 PET/CT 检查。在腹部和骨盆的 CT 上,对骨骼肌进行了分割,并测定了肌肉横截面积、肌肉体积和肌肉衰减。在分割后的肌肉中,得出肌肉内脂肪的面积、体积和密度。在 PET 图像上,确定肌肉的标准化摄取值 (SUV)。我们进行了回归分析,以确定成像指标与健康结果(包括总生存率(OS)、无局部复发生存率(LRFS)、远处癌症复发率(DCR)和主要手术并发症(MSC))之间的关联。还确定了成像指标与治疗前血清 C 反应蛋白 (CRP)、肌酐、血红蛋白和白蛋白水平之间的关系。肌肉 CT 容量衰减与 DCR 增加有关。肌肉 PET SUV 的增加与 OS 和 LRFS 的降低有关。肌肉SUV降低与血清血红蛋白和白蛋白降低有关。常规18F-FDG PET/CT获得的肌肉测量值与肉瘤患者的预后及血清血红蛋白和白蛋白有关。
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引用次数: 0
Variability in Quantitative DCE-MRI: Sources and Solutions. 定量DCE-MRI的可变性:来源和解决方案。
Pub Date : 2018-01-01
Harrison Kim

DCE-MRI has been extensively used for diagnosis, prognosis and therapy monitoring of various diseases including cancer. However, it has been reported that the perfusion parameters measured by DCE-MRI largely vary across different research sites, preventing data comparison in multi-institutional clinical trials. Recently, novel perfusion phantoms have been developed to correct scanner-driven errors, enabling quality assurance of quantitative DCE-MRI measurement. However, the sources for the variability in quantitating perfusion parameters are not only MRI scanners but also software packages and imaging protocols set by the operators. In this manuscript, the various sources influencing the variability in quantitative DCE-MRI measurement are reviewed, and the proper solutions to minimize those are discussed.

DCE-MRI已广泛应用于包括癌症在内的多种疾病的诊断、预后和治疗监测。然而,据报道,DCE-MRI测量的灌注参数在不同的研究地点差异很大,妨碍了多机构临床试验的数据比较。最近,已经开发出新的灌注幻象来纠正扫描仪驱动的错误,从而保证定量DCE-MRI测量的质量。然而,定量灌注参数的可变性来源不仅是MRI扫描仪,还包括软件包和操作员设置的成像协议。本文回顾了影响定量DCE-MRI测量变异性的各种来源,并讨论了最小化这些来源的适当解决方案。
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引用次数: 0
The Role of HSP40 Conserved Motifs in the Response to Cytotoxic Stress. HSP40保守基序在细胞毒性应激反应中的作用。
Pub Date : 2018-01-01
Samantha J Sojourner, Willie M Graham, Aurellia M Whitmore, Jana S Miles, Devon Freeny, Hernan Flores-Rozas

Doxorubicin, a highly effective therapeutic agent against several types of cancer, is associated with serious side-effects, particularly cardiotoxicity. In addition, drug resistance leads to unsuccessful outcomes in many patients. There are no current biomarkers to indicate doxorubicin treatment response in patients. To understand the mechanisms of toxicity of doxorubicin, a whole-genome sensitivity screen was performed in the yeast S. cerevisiae. A deletion mutant of the yeast DNAJ (YDJ1), a J-domain heat-shock protein 40 (HSP40) was among the most sensitive strains. HSP40 is a co-chaperone to HSP70 and together refold denatured proteins into native conformation. The HSP40 YDJ1 is comprised of several highly-conserved domains and motifs that are essential in the heat-shock response. The cysteine-rich region has been implicated in protein-protein interaction with client proteins, farnesylation of YDJ1 facilitates attachment of YDJ1 to the ER and perinuclear membranes, and the histidine-proline-aspartic acid (HPD) tripeptide motif present in the J-domain, is responsible for the regulation of the ATPase activity of HSP70s. We have investigated the role of these motifs in the protection cytotoxic stress. We find that mutations in the HPD motif and cysteine-rich region of YDJ1 sensitize cells to doxorubicin and cisplatin, while a mutation in farnesylation results in a slightly protective effect. The sensitivity of the HPD and cysteine mutants is specific to oxidative stress and not to DNA double-strand breaks.

阿霉素是一种对几种癌症非常有效的治疗药物,但它有严重的副作用,特别是心脏毒性。此外,耐药性导致许多患者预后不佳。目前还没有生物标志物表明患者对阿霉素的治疗反应。为了了解多柔比星的毒性机制,对酿酒酵母进行了全基因组敏感性筛选。酵母DNAJ缺失突变体(YDJ1)、j结构域热休克蛋白40 (HSP40)是最敏感的菌株。HSP40是HSP70的共同伴侣,它们一起将变性蛋白重新折叠成天然构象。HSP40 YDJ1由几个高度保守的结构域和基序组成,这些结构域和基序在热休克反应中至关重要。富含半胱氨酸的区域参与了蛋白与客户蛋白的相互作用,YDJ1的法尼化促进了YDJ1与内质网和核周膜的附着,j结构域中存在的组氨酸-脯氨酸-天冬氨酸(HPD)三肽基元,负责调节hsp70的atp酶活性。我们已经研究了这些基序在保护细胞毒性应激中的作用。我们发现HPD基序和YDJ1富含半胱氨酸区域的突变使细胞对阿霉素和顺铂敏感,而法尼化的突变则产生轻微的保护作用。HPD和半胱氨酸突变体的敏感性是氧化应激特异性的,而不是DNA双链断裂。
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引用次数: 0
Impact of Chronic Neonatal Intermittent Hypoxia on Severity of Retinal Damage in a Rat Model of Oxygen-Induced Retinopathy. 慢性新生儿间歇性缺氧对氧致视网膜病变大鼠视网膜损伤严重程度的影响。
Pub Date : 2018-01-01
Kay D Beharry, Charles L Cai, Taimur Ahmad, Sibel Guzel, Gloria B Valencia, Jacob V Aranda

Neonatal intermittent hypoxia (IH) followed by re-oxygenation in normoxia or supplemental oxygen (IHR) increases the risk for severe retinopathy of prematurity (ROP). The exact timing for the onset of retinal damage which may guide strategic interventions during retinal development, is unknown. We tested the hypothesis that chronic exposure of the immature retina to neonatal IH induces early manifestations of retinal damage that can be utilized as key time points for strategic pharmacologic intervention. Newborn rats were exposed to IH within 2 hours of birth (P0) until P14, or allowed to recover in room air (RA) from P14 to P21 (IHR). Retinal integrity and angiogenesis biomarkers were progressively assessed before (P0), during IH, and post IH (recovery in RA), or IHR, and compared to normoxic age-matched controls. Retinal damage occurred as early as day 3 of neonatal IH, consistent with vascular abnormalities and disturbances in the astrocytic template. These abnormalities worsened during IHR. Pharmacologic and non-pharmacologic interventions to identify, prevent, or minimize neonatal IH should be implemented shortly after birth in high risk preterm newborns. This strategy may lead to a reduction in the outcome of severe ROP requiring later invasive treatments.

新生儿间歇性缺氧(IH)后再缺氧或补充氧(IHR)会增加严重早产儿视网膜病变(ROP)的风险。视网膜损伤发生的确切时间是未知的,这可能指导视网膜发育过程中的战略干预。我们检验了未成熟视网膜长期暴露于新生儿IH会诱发视网膜损伤的早期表现的假设,这可以作为战略性药物干预的关键时间点。新生大鼠在出生2小时内暴露于IH (P0)至P14,或允许在室内空气中从P14恢复到P21 (IHR)。视网膜完整性和血管生成生物标志物在IH之前(P0), IH期间和IH后(RA恢复)或IHR进行逐步评估,并与正常年龄匹配的对照组进行比较。视网膜损伤早在新生儿IH的第3天就发生了,与血管异常和星形细胞模板紊乱一致。这些异常在《国际卫生条例》期间恶化。应在高危早产新生儿出生后不久实施药物和非药物干预,以识别、预防或减少新生儿IH。这种策略可以减少严重ROP需要后期侵入性治疗的结果。
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引用次数: 0
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