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Skeletal muscle atrophy in sedentary Zucker obese rats is not caused by calpain-mediated muscle damage or lipid peroxidation induced by oxidative stress. 久坐Zucker肥胖大鼠骨骼肌萎缩不是由钙蛋白酶介导的肌肉损伤或氧化应激引起的脂质过氧化引起的。
Pub Date : 2014-12-30 DOI: 10.1186/s12952-014-0019-z
Nancy Pompeani, Emma Rybalka, Heidy Latchman, Robyn M Murphy, Kevin Croft, Alan Hayes

Background: Skeletal muscle undergoes significant atrophy in Type 2 diabetic patients and animal models. We aimed to determine if atrophy of Zucker rat skeletal muscle was due to the activation of intracellular damage pathways induced by excess reactive oxygen species production (specifically those associated with the peroxidation of lipid membranes) and calpain activity. 14 week old obese Zucker rats and littermate lean controls were injected with 1% Evan's Blue Dye. Animals were anaesthetised and extensor digitorum longus and soleus muscles were dissected, snap frozen and analysed for ROS-mediated F2-isoprostane production and calpain activation/autolysis. Contralateral muscles were histologically analysed for markers of muscle membrane permeability and atrophy.

Results: Muscle mass was lower in extensor digitorum longus and soleus of obese compared with lean animals, concomitant with reduced fibre area. Muscles from obese rats had a higher proportional area of Evan's Blue Dye fluorescence, albeit this was localised to the interstitium/external sarcolemma. There were no differences in F2-isoprostane production when expressed relative to arachidonic acid content, which was lower in the obese EDL and soleus muscles. There were no differences in the activation of either μ-calpain or calpain-3.

Conclusions: This study highlights that atrophy of Zucker rat skeletal muscle is not related to sarcolemmal damage, sustained hyperactivation of the calpain proteases or excessive lipid peroxidation. As such, establishing the correct pathways involved in atrophy is highly important so as to develop more specific treatment options that target the underlying cause. This study has eliminated two of the potential pathways theorised to be responsible.

背景:在2型糖尿病患者和动物模型中,骨骼肌经历了明显的萎缩。我们的目的是确定Zucker大鼠骨骼肌萎缩是否由于过量活性氧产生(特别是与脂质膜过氧化有关的活性氧)和钙蛋白酶活性引起的细胞内损伤途径的激活。14周龄的肥胖朱克大鼠和同窝的瘦鼠被注射了1%的埃文蓝染料。麻醉动物,解剖指长伸肌和比目鱼肌,快速冷冻,分析ros介导的f2 -异前列腺素产生和钙蛋白酶激活/自溶。组织学分析对侧肌肉膜通透性和萎缩的标志物。结果:肥胖动物的指长伸肌和比目鱼肌的肌肉质量较瘦动物低,纤维面积减少。肥胖大鼠的肌肉具有更高比例的Evan’s Blue Dye荧光面积,尽管这仅限于间质/外肌膜。f2 -异前列腺素的表达量与花生四烯酸含量没有差异,肥胖EDL和比目鱼肌的花生四烯酸含量较低。μ-calpain和calpain-3的活性差异无统计学意义。结论:本研究提示,Zucker大鼠骨骼肌萎缩与肌层损伤、钙蛋白酶持续过度活化或脂质过氧化无关。因此,建立与萎缩相关的正确途径非常重要,以便针对潜在原因开发更具体的治疗方案。这项研究排除了两种可能的致病途径。
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引用次数: 15
Effects of antibody to receptor activator of nuclear factor κ-B ligand on inflammation and cartilage degradation in collagen antibody-induced arthritis in mice. 核因子κ b配体受体激活剂抗体对胶原抗体性关节炎小鼠炎症和软骨降解的影响。
Pub Date : 2014-12-12 DOI: 10.1186/s12952-014-0018-0
Sakie Funato, Akihiro Matsunaga, Koei Oh, Yoichi Miyamoto, Kentaro Yoshimura, Junichi Tanaka, Dai Suzuki, Risa Uyama, Hiroaki Suzuki, Kenji Mishima, Masanori Nakamura, Osamu Namiki, Kazuyoshi Baba, Katsunori Inagaki, Ryutaro Kamijo

Background: Rheumatoid arthritis (RA) is an inflammatory disease that leads to destruction of both articular cartilage and bone tissues. In rheumatic joints, synoviocytes and T-lymphocytes as well as bone cells produce the receptor activator of nuclear factor κ-B (RANK) ligand (RANKL), which binds to RANK on the surface of osteoclasts and their precursor cells to induce differentiation and activation of osteoclasts. Hence, inhibition of RANKL may be a promising approach to suppress osteolysis in RA. On the other hand, RANKL production by lymphocytes indicates the possibility that its inhibition would be effective to suppress inflammation in RA. In addition, it has been reported that cathepsin K, a predominant cysteine protease in osteoclasts, is involved in cartilage destruction in RA model mice. Here, we evaluated the effects of an anti-RANKL antibody on inflammation in footpads and degradation of articular cartilage in RA model mice.

Results: We induced arthritis in mice by injection of anti-type II collagen antibodies and lipopolysaccharide (LPS). Inhibition of RANKL by an anti-RANKL antibody (OYC1, Oriental Yeast, Tokyo, Japan) was confirmed by increased bone volume in the metaphysis of tibias. Swelling in either limb until day 14 was seen in 5 of 6 mice injected with anti-collagen antibodies and LPS without treatment with OYC1, while that was seen in 4 of 5 mice treated with OYC1. The average arthritis scores on day 14 in those groups were 2.17 and 3.00, respectively, indicating that OYC1 did not ameliorate inflammation in the limbs. Histological analyses indicated that OYC1 does not protect articular cartilage from destruction in mice with arthritis.

Conclusions: Our present study failed to show the effectiveness of an anti-RANKL antibody to ameliorate inflammation in the limbs or protect articular cartilage from degradation in a collagen antibody-induced arthritis mouse model.

背景:类风湿性关节炎(RA)是一种导致关节软骨和骨组织破坏的炎症性疾病。在风湿性关节中,滑膜细胞和t淋巴细胞以及骨细胞产生核因子κ-B (RANK)配体受体激活因子(RANKL),与破骨细胞及其前体细胞表面的RANK结合,诱导破骨细胞分化活化。因此,抑制RANKL可能是抑制RA骨溶解的一种有希望的方法。另一方面,淋巴细胞产生RANKL表明抑制RANKL可能有效抑制RA炎症。此外,据报道,组织蛋白酶K是破骨细胞中主要的半胱氨酸蛋白酶,参与RA模型小鼠的软骨破坏。在这里,我们评估了抗rankl抗体对RA模型小鼠脚垫炎症和关节软骨降解的影响。结果:通过注射抗II型胶原抗体和脂多糖(LPS)诱导小鼠关节炎。抗RANKL抗体(OYC1, Oriental Yeast, Tokyo, Japan)对RANKL的抑制作用通过胫骨干骺端骨体积的增加得到证实。注射抗胶原抗体和LPS的6只小鼠中有5只在未使用OYC1治疗的情况下出现四肢肿胀,直到第14天,而使用OYC1治疗的5只小鼠中有4只出现四肢肿胀。第14天,两组患者的平均关节炎评分分别为2.17分和3.00分,表明OYC1并没有改善肢体炎症。组织学分析表明,OYC1不能保护关节炎小鼠的关节软骨免受破坏。结论:在胶原抗体诱导的关节炎小鼠模型中,我们目前的研究未能显示抗rankl抗体改善四肢炎症或保护关节软骨免受降解的有效性。
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引用次数: 2
The feasibility of ureteral tissue engineering using autologous veins: an orthotopic animal model with long term results. 利用自体静脉进行输尿管组织工程的可行性:具有长期效果的原位动物模型。
Pub Date : 2014-11-08 DOI: 10.1186/1477-5751-13-17
Oliver Engel, Robert de Petriconi, Björn G Volkmer, Kilian M Gust, Jens Mani, Axel Haferkamp, Richard E Hautmann, Georg Bartsch

Background: In an earlier study we demonstrated the feasibility to create tissue engineered venous scaffolds in vitro and in vivo. In this study we investigated the use of tissue engineered constructs for ureteral replacement in a long term orthotopic minipig model. In many different projects well functional ureretal tissue was established using tissue engineering in animals with short-time follow up (12 weeks). Therefore urothelial cells were harvested from the bladder, cultured, expanded in vitro, labelled with fluorescence and seeded onto the autologous veins, which were harvested from animals during a second surgery. Three days after cell seeding the right ureter was replaced with the cell-seeded matrices in six animals, while further 6 animals received an unseeded vein for ureteral replacement. The animals were sacrificed 12, 24, and 48 weeks after implantation. Gross examination, intravenous pyelogram (IVP), H&E staining, Trichrome Masson's Staining, and immunohistochemistry with pancytokeratin AE1/AE3, smooth muscle alpha actin, and von Willebrand factor were performed in retrieved specimens.

Results: The IVP and gross examination demonstrated that no animals with tissue engineered ureters and all animals of the control group presented with hydronephrosis after 12 weeks. In the 24-week group, one tissue engineered and one unseeded vein revealed hydronephrosis. After 48 weeks all tissue engineered animals and none of the control group showed hydronephrosis on the treated side. Histochemistry and immunohistochemistry revealed a multilayer of urothelial cells attached to the seeded venous grafts.

Conclusions: Venous grafts may be a potential source for ureteral reconstruction. The results of so far published ureteral tissue engineering projects reveal data up to 12 weeks after implantation. Even if the animal numbers of this study are small, there is an increasing rate of hydronephrosis revealing failure of ureteral tissue engineering with autologous matrices in time points longer than 3 months after implantation. Further investigations have to prove adequate clinical outcome and appropriate functional long-term results.

背景:在早期的研究中,我们证明了在体外和体内制造组织工程静脉支架的可行性。在这项研究中,我们研究了组织工程构建体在长期原位迷你猪输尿管置换中的应用。在许多不同的项目中,利用组织工程技术在短时间随访(12周)的动物身上建立了功能良好的输尿管组织。因此,从膀胱中采集尿路上皮细胞,在体外培养、扩增,用荧光标记,然后植入在第二次手术中从动物身上采集的自体静脉中。细胞播种3天后,6只动物用细胞种子基质代替右输尿管,另外6只动物用未播种的静脉代替输尿管。植入后12、24、48周处死。对检索到的标本进行大体检查、静脉肾盂造影(IVP)、H&E染色、三色马松染色、全细胞角蛋白AE1/AE3、平滑肌α -肌动蛋白和血管性血友病因子的免疫组化。结果:IVP和肉眼检查显示,12周后,输尿管组织工程化组动物无肾积水,对照组动物无肾积水。在24周组中,一个组织工程静脉和一个非种子静脉显示肾积水。48周后,所有组织工程动物和对照组均未出现治疗侧肾积水。组织化学和免疫组织化学显示,静脉移植物上有多层尿路上皮细胞附着。结论:静脉移植物可能是输尿管重建的一个潜在来源。迄今为止发表的输尿管组织工程项目的结果显示了植入后12周的数据。即使本研究的动物数量较少,在植入后超过3个月的时间点上,肾盂积水的发生率也在增加,这表明自体基质输尿管组织工程失败。进一步的研究必须证明足够的临床结果和适当的功能长期结果。
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引用次数: 8
P2X7 protein expression and polymorphism in non-small cell lung cancer (NSCLC). P2X7蛋白在非小细胞肺癌(NSCLC)中的表达与多态性
Pub Date : 2014-09-01 DOI: 10.1186/1477-5751-13-16
Laura Boldrini, Mirella Giordano, Greta Alì, Adele Servadio, Serena Pelliccioni, Cristina Niccoli, Alfredo Mussi, Gabriella Fontanini

Background: P2X7, a purinergic receptor, plays important roles in inflammatory diseases, but recently its expression has been found in several tumors, suggesting a potential role as a cancer cell biomarker. Moreover, the relative amount of P2X7 varies among human individuals due to numerous single nucleotide polymorphisms resulting in either a loss- or gain-of-function; the P2X7 gene is highly polymorphic, and polymorphisms in the promoter or coding region may modify its expression or function. A polymorphism in exon 13 of the P2X7 receptor gene at the +1513 position (Glu496Ala substitution, corresponding to SNP rs3751143) has been shown to eradicate the function of this receptor and has been correlated with histological variants and clinical parameters in thyroid cancer. Until now, no data regarding P2X7 expression and polymorphisms in lung cancer have been published; based on these premises, we decided to evaluate the impact of the P2X7 expression and polymorphisms in ninety-seven cases of non-small cell lung cancer (NSCLC).

Results: No significant difference in the genotype frequency of the A1513C polymorphism was found between the two histological variants of NSCLC, adenocarcinoma and squamous cell carcinoma, and no statistically significant associations were observed between P2X7 protein expression and the main clinico-pathological characteristics of the NSCLC patients.

Conclusions: Based on our results, P2X7 expression and polymorphisms seem to have no potential impact in patients with non-small cell lung cancer; however, further studies will surely provide deeper insights regarding the role of this receptor at the clinical level in NSCLC.

背景:P2X7是一种嘌呤能受体,在炎症性疾病中发挥重要作用,但最近在几种肿瘤中发现了其表达,提示其作为癌细胞生物标志物的潜在作用。此外,由于许多单核苷酸多态性导致功能丧失或功能获得,P2X7的相对数量在人类个体中有所不同;P2X7基因具有高度多态性,启动子或编码区的多态性可能改变其表达或功能。P2X7受体基因外显子13 +1513位置的多态性(Glu496Ala替换,对应SNP rs3751143)已被证明可以消除该受体的功能,并与甲状腺癌的组织学变异和临床参数相关。到目前为止,还没有关于P2X7在肺癌中的表达和多态性的数据发表;基于这些前提,我们决定评估P2X7表达和多态性在97例非小细胞肺癌(NSCLC)中的影响。结果:A1513C多态性基因型频率在非小细胞肺癌腺癌和鳞状细胞癌两种组织学变异间无显著差异,P2X7蛋白表达与非小细胞肺癌患者主要临床病理特征间无显著相关性。结论:基于我们的研究结果,P2X7的表达和多态性似乎对非小细胞肺癌患者没有潜在的影响;然而,进一步的研究必将对该受体在非小细胞肺癌临床水平上的作用提供更深入的认识。
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引用次数: 17
Tracing the emergence of multidrug-resistant Acinetobacter baumannii in a Taiwanese hospital by evaluating the presence of integron gene intI1. 通过评估整合子基因intI1的存在来追踪台湾某医院多药耐药鲍曼不动杆菌的出现。
Pub Date : 2014-08-14 DOI: 10.1186/1477-5751-13-15
Chang-Hua Chen, Chieh-Chen Huang

Background: In Changhua County, Taiwan, the number of clinical Acinetobacter baumannii isolates has risen since 2002, and multidrug-resistant Acinetobacter baumannii (MDRAB) has spread rapidly throughout Taiwan. In this study, to reveal the mechanism involved with the rapid dissemination of MDRAB emergence, the utility of the class 1 integron, intI1 integrase gene, as an MDRAB-associated biomarker was examined. A cross-sectional, clinical epidemiological study was performed at Changhua Christian Hospital between January 1st, 2001 and December 31st, 2004. Besides the existence of intI1 gene was examined, the pulse-field gel electrophoresis (PFGE) was also performed to determine the epidemiological characteristics of the isolates.

Findings: The overall hospital infection rate was 5-6%, while the infection rate of the intensive care unit (ICU) fluctuated. No positive correlation was observed between MDRAB isolates and the presence of intI1 (r = 0.168, P = 0.254). Additionally, no positive correlation was observed between the infection rate in the ICU and the presence of intI1 (r = -0.107, P = 0.468) or between the hospital infection rate and the presence of intI1 (r = -0.189, P = 0.199). However, two predominant clones among the MDRAB isolates were identified by PFGE.

Conclusions: Although the presence of the intI1 gene does not seem suitable for tracing MDRAB emergence in Changhua County, two predominant clones were identified by PFGE, and subsequent studies to identify whether these clones were responsible for original nosocomial infection are needed.

背景:自2002年以来,台湾彰化县鲍曼不动杆菌临床分离株数上升,且耐多药鲍曼不动杆菌(MDRAB)在台湾迅速蔓延。在这项研究中,为了揭示与mdrb出现的快速传播有关的机制,研究了1类整合子intI1整合酶基因作为mdrb相关生物标志物的效用。本文于2001年1月1日至2004年12月31日在彰化基督教医院进行了横断面临床流行病学研究。除检测intI1基因是否存在外,还采用脉冲场凝胶电泳(PFGE)分析分离株的流行病学特征。结果:医院整体感染率为5-6%,重症监护病房(ICU)感染率波动较大。MDRAB分离株与intI1的存在无正相关(r = 0.168, P = 0.254)。ICU感染率与intI1存在无正相关(r = -0.107, P = 0.468),医院感染率与intI1存在无正相关(r = -0.189, P = 0.199)。然而,在MDRAB分离株中,通过PFGE鉴定出两个优势克隆。结论:尽管intI1基因的存在似乎不适合用于追踪彰化县MDRAB的出现,但通过PFGE鉴定出了两个优势克隆,并且需要后续研究来确定这些克隆是否与原始医院感染有关。
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引用次数: 1
Reduction in hSOD1 copy number significantly impacts ALS phenotype presentation in G37R (line 29) mice: implications for the assessment of putative therapeutic agents. hSOD1拷贝数的减少显著影响G37R(29号线)小鼠的ALS表型表现:对推定治疗剂评估的影响。
Pub Date : 2014-08-08 DOI: 10.1186/1477-5751-13-14
Pierre Zwiegers, Grace Lee, Christopher A Shaw

Background: In vivo animal models of familial amyotrophic lateral sclerosis (fALS) are widely used to delineate the potential role that genetic mutations play in the neurodegenerative process. While these models are extensively used for establishing the safety and efficacy of putative therapeutics during pre-clinical development, effective clinical translation of pharmacological interventions has been largely unsuccessful.

Results: In this report we compare a recent cohort of G37R (line 29) mice generated from mating wild-type females with transgenic males obtained commercially to a previous set of offspring produced with transgenic male breeders from a colony established at a local collaborator's facility. Commercially derived progeny presented with a tightly clustered genomic signature for the mutant human superoxide dismutase1 transgene (hSOD1) locus, and exhibited a greater than two-fold reduction in the number of transgene copies present in the genome compared to offspring derived locally. Decrease in transgene levels corresponded with delayed ALS progression and a significant increase in overall lifespan (146%).

Conclusions: These results highlight some key challenges inherent to the use of G37R (line 29) animals in pre-clinical studies for the development of ALS therapeutics. Without stringent assessment of mutant SOD1 copy number/protein levels, heterogeneity of transgene levels within cohorts may influence the behavioural and pathological presentation of disease and thus calls to question the validity of any detected therapeutic effects. Nuanced changes in mutant SOD1 copy number that currently remain unreported may undermine research endeavours, delay efforts for clinical translation, and compromise the rigor of animal studies by limiting reproducibility amongst research groups.

背景:家族性肌萎缩性侧索硬化症(fALS)的体内动物模型被广泛用于描述基因突变在神经退行性过程中发挥的潜在作用。虽然这些模型在临床前开发期间广泛用于确定假定治疗方法的安全性和有效性,但药理干预措施的有效临床转化在很大程度上是不成功的。结果:在本报告中,我们比较了最近一组由野生型雌性与商业获得的转基因雄性交配产生的G37R(29系)小鼠与先前在当地合作机构建立的一个群体中由转基因雄性繁殖者产生的后代。商业衍生的后代具有突变的人类超氧化物歧化酶1转基因(hSOD1)位点的紧密聚集的基因组特征,并且与本地衍生的后代相比,在基因组中存在的转基因拷贝数减少了两倍以上。转基因水平的降低与ALS进展的延迟和总寿命的显著增加相对应(146%)。结论:这些结果突出了在临床前研究中使用G37R(29号线)动物来开发ALS治疗方法所固有的一些关键挑战。如果没有对SOD1突变拷贝数/蛋白水平进行严格的评估,队列中转基因水平的异质性可能会影响疾病的行为和病理表现,因此对任何检测到的治疗效果的有效性提出质疑。目前尚未报道的SOD1突变体拷贝数的细微变化可能会破坏研究成果,延迟临床翻译的努力,并通过限制研究小组之间的可重复性而损害动物研究的严谨性。
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引用次数: 16
A double-blind, randomized controlled, prospective trial assessing the effectiveness of oral corticoids in the treatment of symptomatic lumbar canal stenosis. 一项双盲、随机对照、前瞻性试验评估口服皮质激素治疗症状性腰椎管狭窄的有效性。
Pub Date : 2014-08-07 DOI: 10.1186/1477-5751-13-13
Luiz Claudio L Rodrigues, Jamil Natour

Background: Corticoids have potent anti-inflammatory effects, which may help in relieving pain and dysfunction associated with lumbar canal stenosis. We assessed the effectiveness of a decreasing-dose regimen of oral corticoids in the treatment of lumbar canal stenosis in a prospective, double-blind, randomized, placebo-controlled trial.

Results: Sixty-one patients with lumbar canal stenosis (50-75 years; canal area < 100 mm2 at L3/L4, L4/L5, and/or L5/S1on magnetic resonance imaging; and claudication within 100 m were electronically randomized to an oral corticoid group (n = 31) or a placebo group (n = 30). The treatment group received 1 mg/kg of oral corticoids daily, with a dose reduction of one-third per week for 3 weeks. Patients and controls were assessed by the Short Form 36 Health Survey, Roland-Morris Questionnaire, 6-min walk test, visual analog scale, and a Likert scale. All instruments showed similar outcomes for the corticoid and placebo groups (P > 0.05). Obese patients exhibited more severe symptoms compared with non-obese patients. L4/L5 stenosis was associated with more severe symptoms compared with stenosis at other levels.

Conclusion: The oral corticoid regimen used in this study was not effective in the treatment of lumbar canal stenosis.

背景:皮质激素具有有效的抗炎作用,可能有助于缓解与腰椎管狭窄相关的疼痛和功能障碍。我们在一项前瞻性、双盲、随机、安慰剂对照试验中评估了口服皮质激素减少剂量方案治疗腰椎管狭窄的有效性。结果:腰椎管狭窄61例(50 ~ 75岁;管面积0.05)。肥胖患者比非肥胖患者表现出更严重的症状。与其他级别的狭窄相比,L4/L5狭窄与更严重的症状相关。结论:本研究中使用的口服皮质激素治疗腰椎管狭窄无效。
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引用次数: 12
Comparison of vilanterol, a novel long-acting beta2 agonist, with placebo and a salmeterol reference arm in asthma uncontrolled by inhaled corticosteroids. 维兰特罗是一种新型长效β 2受体激动剂,与安慰剂和沙美特罗对照组在吸入皮质类固醇控制哮喘患者中的比较
Pub Date : 2014-06-13 DOI: 10.1186/1477-5751-13-9
Jan Lötvall, Eric D Bateman, William W Busse, Paul M O'Byrne, Ashley Woodcock, William T Toler, Loretta Jacques, Caroline Goldfrad, Eugene R Bleecker

Background: Current maintenance therapies for asthma require twice-daily dosing. Vilanterol (VI) is a novel long-acting beta2 agonist, under development in combination with fluticasone furoate, a new inhaled corticosteroid (ICS). Findings from a previous 4-week study suggested that VI has inherent 24-hour activity and is therefore suitable for once-daily dosing. The study described here was a double-blind, double-dummy, randomised, placebo-controlled trial, the aim of which was to assess the efficacy of once-daily VI compared with placebo in patients with persistent asthma. The primary endpoint was change from baseline in 24-hour weighted mean forced expiratory volume in 1 second after 12 weeks of treatment vs. placebo. An active control arm received salmeterol (SAL) twice daily. All patients were maintained on a stable background dose of ICS.

Results: Patients (n = 347) received VI, placebo or SAL (1:1:1). For the primary endpoint, substantial improvements in lung function were seen with VI (359 ml), SAL (283 ml) and placebo (289 ml). There were no statistically significant treatment differences between either the VI (70 ml, P = 0.244) or SAL (-6 ml, P = 0.926) groups and placebo. Both active treatments were well tolerated, with similarly low rates of treatment-related adverse events compared with placebo. No treatment-related serious adverse events occurred.

Conclusions: This study failed to show a treatment difference between VI and placebo for the primary endpoint, in the presence of a placebo response of unforeseen magnitude. Because the placebo response was so large, it is not possible to draw meaningful conclusions from the data. The reason for this magnitude of effect is unclear but it may reflect increased compliance with the anti-inflammatory therapy regimen during the treatment period.

Trial registration: NCT01181895 at ClinicalTrials.gov.

背景:目前哮喘的维持治疗需要每日两次给药。Vilanterol (VI)是一种新型长效β 2激动剂,正在与糠酸氟替卡松(一种新型吸入皮质类固醇(ICS))联合开发。先前一项为期4周的研究结果表明,维甲酸具有固有的24小时活性,因此适合每天服用一次。本文描述的研究是一项双盲、双虚拟、随机、安慰剂对照试验,其目的是评估每日一次的VI与安慰剂对持续性哮喘患者的疗效。主要终点是治疗12周后与安慰剂相比1秒内24小时加权平均用力呼气量的基线变化。主动控制组每天服用两次沙美特罗(SAL)。所有患者均维持稳定的ICS背景剂量。结果:347例患者接受VI、安慰剂或SAL(1:1:1)治疗。对于主要终点,使用VI (359 ml)、SAL (283 ml)和安慰剂(289 ml)可以显著改善肺功能。VI组(70 ml, P = 0.244)或SAL组(-6 ml, P = 0.926)与安慰剂组的治疗差异均无统计学意义。两种积极治疗均具有良好的耐受性,与安慰剂相比,治疗相关不良事件发生率同样较低。未发生治疗相关的严重不良事件。结论:该研究未能显示VI和安慰剂在主要终点的治疗差异,存在不可预见的安慰剂反应。由于安慰剂反应如此之大,因此不可能从数据中得出有意义的结论。这种影响程度的原因尚不清楚,但它可能反映了治疗期间抗炎治疗方案的依从性增加。试验注册:NCT01181895, ClinicalTrials.gov。
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引用次数: 21
Lack of association between serotonin transporter 5-HTT gene polymorphism and endometriosis in an Italian patient population. 5-羟色胺转运体5-HTT基因多态性与子宫内膜异位症在意大利患者群体中缺乏相关性。
Pub Date : 2014-06-12 DOI: 10.1186/1477-5751-13-12
Francesca Megiorni, Serena Resta, Deliar Yazdanian, Gabriele Cavaggioni, Claudia Lia, Pierluigi Benedetti Panici, Antonio Pizzuti, Maria Grazia Porpora

Background: The aim of this study was to determine whether the serotonin transporter gene (5-HTT), a key component in the control of the serotonergic system, is associated with endometriosis in an Italian population.

Findings: A case-control study, comprising 137 Italian patients with surgically confirmed endometriosis and 120 healthy controls, was carried out. 5-HTT genotypes (LL, SL and SS) were obtained by polymerase chain reaction and gel electrophoresis analysis. We found no overall difference in genotypic and allelic distributions of the 5-HTT gene between cases and controls.

Conclusions: Our results suggest that the 5-HTT L/S promoter polymorphism is not associated with susceptibility to endometriosis in the studied Italian patients.

背景:本研究的目的是确定5-羟色胺转运基因(5-HTT)是否与意大利人群的子宫内膜异位症有关,5-羟色胺转运基因是控制5-羟色胺能系统的关键成分。研究结果:进行了一项病例对照研究,包括137名手术确诊的意大利子宫内膜异位症患者和120名健康对照者。聚合酶链反应和凝胶电泳分析得到5-HTT基因型(LL、SL和SS)。我们发现5-HTT基因的基因型和等位基因分布在病例和对照组之间没有总体差异。结论:我们的研究结果表明,在研究的意大利患者中,5-HTT L/S启动子多态性与子宫内膜异位症的易感性无关。
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引用次数: 2
Effects of camptothecin derivatives and topoisomerase dual inhibitors on Trypanosoma cruzi growth and ultrastructure. 喜树碱衍生物和拓扑异构酶双抑制剂对克氏锥虫生长和超微结构的影响。
Pub Date : 2014-06-10 DOI: 10.1186/1477-5751-13-11
Otto Kischlat Lacombe, Aline Araujo Zuma, Camila Cristina da Silva, Wanderley de Souza, Maria Cristina M Motta

Background: Trypanosoma cruzi is the etiological agent of Chagas' disease that is an endemic disease in Latin America and affects about 8 million people. This parasite belongs to the Trypanosomatidae family which contains a single mitochondrion with an enlarged region, named kinetoplast that harbors the mitochondrial DNA (kDNA). The kinetoplast and the nucleus present a great variety of essential enzymes involved in DNA replication and topology, including DNA topoisomerases. Such enzymes are considered to be promising molecular targets for cancer treatment and for antiparasitic chemotherapy. In this work, the proliferation and ultrastructure of T. cruzi epimastigotes were evaluated after treatment with eukaryotic topoisomerase I inhibitors, such as topotecan and irinotecan, as well as with dual inhibitors (compounds that block eukaryotic topoisomerase I and topoisomerase II activities), such as baicalein, luteolin and evodiamine. Previous studies have shown that such inhibitors were able to block the growth of tumor cells, however most of them have never been tested on trypanosomatids.

Results: Considering the effects of topoisomerase I inhibitors, our results showed that topotecan decreased cell proliferation and caused unpacking of nuclear heterochromatin, however none of these alterations were observed after treatment with irinotecan. The dual inhibitors baicalein and evodiamine decreased cell growth; however the nuclear and kinetoplast ultrastructures were not affected.

Conclusions: Taken together, our data showed that camptothecin is more efficient than its derivatives in decreasing T. cruzi proliferation. Furthermore, we conclude that drugs pertaining to a certain class of topoisomerase inhibitors may present different efficiencies as chemotherapeutical agents.

背景:克氏锥虫是恰加斯病的病原,恰加斯病是拉丁美洲的一种地方病,影响约800万人。这种寄生虫属于锥虫科,它包含一个线粒体和一个扩大的区域,称为着丝体,其中包含线粒体DNA (kDNA)。着丝体和细胞核中存在多种参与DNA复制和拓扑结构的基本酶,包括DNA拓扑异构酶。这些酶被认为是癌症治疗和抗寄生虫化疗的有希望的分子靶点。在这项工作中,研究了真核拓扑异构酶I抑制剂,如拓扑替康和伊立替康,以及双重抑制剂(阻断真核拓扑异构酶I和拓扑异构酶II活性的化合物),如黄芩素、木犀草素和evolodiine,对克氏T. cruzi外生马齿的增殖和超微结构的影响。先前的研究表明,这些抑制剂能够阻断肿瘤细胞的生长,但大多数抑制剂从未在锥虫身上进行过测试。结果:考虑到拓扑异构酶I抑制剂的作用,我们的研究结果显示拓扑替康降低细胞增殖并导致核异染色质解包,但伊立替康治疗后没有观察到这些改变。黄芩素和evolodiamine双抑制剂抑制细胞生长;细胞核和着丝体超微结构未受影响。结论:综上所述,我们的数据表明喜树碱比其衍生物更有效地降低克氏t细胞的增殖。此外,我们得出结论,与某一类拓扑异构酶抑制剂相关的药物可能作为化疗药物呈现不同的效率。
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引用次数: 14
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Journal of negative results in biomedicine
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