CTCs (circulating tumor cells) are well-known for their use in clinical trials for tumor diagnosis. Capturing and isolating these CTCs from whole blood samples has enormous benefits in cancer diagnosis and treatment. In general, various approaches are being used to separate malignant cells, including immunomagnets, macroscale filters, centrifuges, dielectrophoresis, and immunological approaches. These procedures, on the other hand, are time-consuming and necessitate multiple high-level operational protocols. In addition, considering their low efficiency and throughput, the processes of capturing and isolating CTCs face tremendous challenges. Meanwhile, recent advances in microfluidic devices promise unprecedented advantages for capturing and isolating CTCs with greater efficiency, sensitivity, selectivity and accuracy. In this regard, this review article focuses primarily on the various fabrication methodologies involved in microfluidic devices and techniques specifically used to capture and isolate CTCs using various physical and biological methods as well as their conceptual ideas, advantages and disadvantages.
{"title":"Recent Advances in Microfluidic Platform for Physical and Immunological Detection and Capture of Circulating Tumor Cells.","authors":"Mahesh Padmalaya Bhat, Venkatachalam Thendral, Uluvangada Thammaiah Uthappa, Kyeong-Hwan Lee, Madhuprasad Kigga, Tariq Altalhi, Mahaveer D Kurkuri, Krishna Kant","doi":"10.3390/bios12040220","DOIUrl":"10.3390/bios12040220","url":null,"abstract":"<p><p>CTCs (circulating tumor cells) are well-known for their use in clinical trials for tumor diagnosis. Capturing and isolating these CTCs from whole blood samples has enormous benefits in cancer diagnosis and treatment. In general, various approaches are being used to separate malignant cells, including immunomagnets, macroscale filters, centrifuges, dielectrophoresis, and immunological approaches. These procedures, on the other hand, are time-consuming and necessitate multiple high-level operational protocols. In addition, considering their low efficiency and throughput, the processes of capturing and isolating CTCs face tremendous challenges. Meanwhile, recent advances in microfluidic devices promise unprecedented advantages for capturing and isolating CTCs with greater efficiency, sensitivity, selectivity and accuracy. In this regard, this review article focuses primarily on the various fabrication methodologies involved in microfluidic devices and techniques specifically used to capture and isolate CTCs using various physical and biological methods as well as their conceptual ideas, advantages and disadvantages.</p>","PeriodicalId":81727,"journal":{"name":"Journal of the Royal Asiatic Society of Great Britain & Ireland. Royal Asiatic Society of Great Britain and Ireland","volume":"48 1","pages":""},"PeriodicalIF":4.9,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9025399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78910730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Collective mourning is an expression of societal maturity, cohesion, and respect. The world is in grief, but in early January 2020, before nobody could even imagine that SARS-CoV-2 would turn into the COVID-19 pandemic, a music video version of a pop ballad about love and isolation was spread across a Chinese social network. The song 'You Are Not Alone' was adapted as a cover by young foreigners living in China to express their support to bereaved families and frontline workers and encourage the people of China, their second home. At that time, the rest of the world looked to distant China but could hardly expect to face the same adversity months later. The authors reported that the music video was a spontaneous artistic expression copying such traumatic events and the mourning process. The present work analyses how the music was blended with lyrics and images describing the outbreak in Wuhan to reach their goal. The original song and this shortened version for China were compared regarding musical and lyric structures and main characteristics. Additionally, an analysis of the two videos was done regarding cinemetric variables and non-verbal communication that emphasized the power of songs to express deep sorrow and sympathy but also to give hope. Psychological first aid, the five stages of the mourning process by Kübler-Ross, the dual-process model by Stroebe and Schut, and Taylor's tend-to-befriend provided a better understanding of the translation from interpersonal to societal mourning. Finally, other memorable songs that society spontaneously chose to be performed alone or together to cope with sudden and dramatic situations, mitigate physical distancing, and alleviate human suffering are discussed. Music, lyrics, and artistic performance are playing a key role in building social and emotional ties during this pandemic, hampering individual and social pain and sorrow despite cultural barriers.
{"title":"'You're Not Alone for China': The First Song in Times of COVID-19 to Keep the Faith in a World Crying in Silence.","authors":"Lydia Giménez-Llort","doi":"10.3390/bs12040088","DOIUrl":"10.3390/bs12040088","url":null,"abstract":"<p><p>Collective mourning is an expression of societal maturity, cohesion, and respect. The world is in grief, but in early January 2020, before nobody could even imagine that SARS-CoV-2 would turn into the COVID-19 pandemic, a music video version of a pop ballad about love and isolation was spread across a Chinese social network. The song 'You Are Not Alone' was adapted as a cover by young foreigners living in China to express their support to bereaved families and frontline workers and encourage the people of China, their second home. At that time, the rest of the world looked to distant China but could hardly expect to face the same adversity months later. The authors reported that the music video was a spontaneous artistic expression copying such traumatic events and the mourning process. The present work analyses how the music was blended with lyrics and images describing the outbreak in Wuhan to reach their goal. The original song and this shortened version for China were compared regarding musical and lyric structures and main characteristics. Additionally, an analysis of the two videos was done regarding cinemetric variables and non-verbal communication that emphasized the power of songs to express deep sorrow and sympathy but also to give hope. Psychological first aid, the five stages of the mourning process by Kübler-Ross, the dual-process model by Stroebe and Schut, and Taylor's tend-to-befriend provided a better understanding of the translation from interpersonal to societal mourning. Finally, other memorable songs that society spontaneously chose to be performed alone or together to cope with sudden and dramatic situations, mitigate physical distancing, and alleviate human suffering are discussed. Music, lyrics, and artistic performance are playing a key role in building social and emotional ties during this pandemic, hampering individual and social pain and sorrow despite cultural barriers.</p>","PeriodicalId":81727,"journal":{"name":"Journal of the Royal Asiatic Society of Great Britain & Ireland. Royal Asiatic Society of Great Britain and Ireland","volume":"110 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9026831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79234374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-01DOI: 10.2807/1560-7917.ES.2022.27.11.2100119
Katri Laatikainen, Markku Mesilaakso, Ilpo Kulmala, Erja Mäkelä, Petri Ruutu, Outi Lyytikäinen, Susanna Tella, Tarmo Humppi, Satu Salo, Tuuli Haataja, Kristiina Helminen, Henri Karppinen, Heli Kähkönen, Tarja Vainiola, Kirsimarja Blomqvist, Sirpa Laitinen, Kati Peltonen, Marko Laaksonen, Timo Ristimäki, Jouni Koivisto
BackgroundThe shortage of FFP2 and FFP3 respirators posed a serious threat to the operation of the healthcare system at the onset of the COVID-19 pandemic.AimOur aim was to develop and validate a large-scale facility that uses hydrogen peroxide vapour for the decontamination of used respirators.MethodsA multidisciplinary and multisectoral ad hoc group of experts representing various organisations was assembled to implement the collection and transport of used FFP2 and FFP3 respirators from hospitals covering 86% of the Finnish population. A large-scale decontamination facility using hydrogen peroxide vapour was designed and constructed. Microbiological tests were used to confirm efficacy of hydrogen peroxide vapour decontamination together with a test to assess the effect of decontamination on the filtering efficacy and fit of respirators. Bacterial and fungal growth in stored respirators was determined by standard methods.ResultsLarge-scale hydrogen peroxide vapour decontamination of a range of FFP2 and FFP3 respirator models effectively reduced the recovery of biological indicators: Geobacillus stearothermophilus and Bacillus atrophaeus spores, as well as model virus bacteriophage MS2. The filtering efficacy and facial fit after hydrogen peroxide vapour decontamination were not affected by the process. Microbial growth in the hydrogen peroxide vapour-treated respirators indicated appropriate microbial cleanliness.ConclusionsLarge-scale hydrogen peroxide vapour decontamination was validated. After effective decontamination, no significant changes in the key properties of the respirators were detected. European Union regulations should incorporate a facilitated pathway to allow reuse of appropriately decontaminated respirators in a severe pandemic when unused respirators are not available.
{"title":"Large-scale decontamination of disposable FFP2 and FFP3 respirators by hydrogen peroxide vapour, Finland, April to June 2020.","authors":"Katri Laatikainen, Markku Mesilaakso, Ilpo Kulmala, Erja Mäkelä, Petri Ruutu, Outi Lyytikäinen, Susanna Tella, Tarmo Humppi, Satu Salo, Tuuli Haataja, Kristiina Helminen, Henri Karppinen, Heli Kähkönen, Tarja Vainiola, Kirsimarja Blomqvist, Sirpa Laitinen, Kati Peltonen, Marko Laaksonen, Timo Ristimäki, Jouni Koivisto","doi":"10.2807/1560-7917.ES.2022.27.11.2100119","DOIUrl":"10.2807/1560-7917.ES.2022.27.11.2100119","url":null,"abstract":"<p><p>BackgroundThe shortage of FFP2 and FFP3 respirators posed a serious threat to the operation of the healthcare system at the onset of the COVID-19 pandemic.AimOur aim was to develop and validate a large-scale facility that uses hydrogen peroxide vapour for the decontamination of used respirators.MethodsA multidisciplinary and multisectoral ad hoc group of experts representing various organisations was assembled to implement the collection and transport of used FFP2 and FFP3 respirators from hospitals covering 86% of the Finnish population. A large-scale decontamination facility using hydrogen peroxide vapour was designed and constructed. Microbiological tests were used to confirm efficacy of hydrogen peroxide vapour decontamination together with a test to assess the effect of decontamination on the filtering efficacy and fit of respirators. Bacterial and fungal growth in stored respirators was determined by standard methods.ResultsLarge-scale hydrogen peroxide vapour decontamination of a range of FFP2 and FFP3 respirator models effectively reduced the recovery of biological indicators: <i>Geobacillus stearothermophilus</i> and <i>Bacillus atrophaeus</i> spores, as well as model virus bacteriophage MS2. The filtering efficacy and facial fit after hydrogen peroxide vapour decontamination were not affected by the process. Microbial growth in the hydrogen peroxide vapour-treated respirators indicated appropriate microbial cleanliness.ConclusionsLarge-scale hydrogen peroxide vapour decontamination was validated. After effective decontamination, no significant changes in the key properties of the respirators were detected. European Union regulations should incorporate a facilitated pathway to allow reuse of appropriately decontaminated respirators in a severe pandemic when unused respirators are not available.</p>","PeriodicalId":81727,"journal":{"name":"Journal of the Royal Asiatic Society of Great Britain & Ireland. Royal Asiatic Society of Great Britain and Ireland","volume":"107 1","pages":""},"PeriodicalIF":9.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8971915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79222694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01Epub Date: 2022-08-26DOI: 10.23937/2469-5718/1510231
Aston Dommel, R Drew Sayer
Background: Changes in eating and physical activity during the winter holiday season are commonly associated with weight gain in the general population. Concerns around weight and fat gain are also relevant to collegiate athletes who are generally unable to access on-campus dining and exercise facilities during this time. These concerns were exaggerated in 2020 due to changes in the academic and sports calendar as a result of the COVID-19 pandemic that lead to a holiday break that was 3 weeks longer than normal for many college athletes. The purpose of this study was to investigate changes in Body Mass Index (BMI), Fat Mass Index (FMI) and Muscle Mass Index (MMI) among college athletes during an extended and usual holiday break.
Methods: Fat mass, muscle mass, and weight were measured using bioelectrical impedance analysis as part of routine care in college athletes within two weeks of leaving campus and return to campus during the extended winter break in 2020 (n = 124 athletes) and the usual winter break in 2021 (n = 64 athletes). Change values were calculated for each dependent variable. Differences between extended and normal winter breaks, male and female athletes, and a sex*break interaction were assessed using ANCOVA (BMI and FMI) and Kruskal-Wallis Test (MMI). All analyses were completed using SAS 9.4.
Results: A significant sex*break interaction was observed for BMI and FMI. Male athletes gained BMI and FMI during the extended winter break compared to other sex*break conditions. No differences were found for change in MMI across conditions.
Conclusions: These results demonstrate potential differences in weight and fat mass changes between male and female athletes during an extended holiday break. Future research should investigate whether body composition changes occur during other breaks athletes experience (e.g., summer break) and determine how weight-impacting behaviors such as diet and physical activity differ when they are on campus versus at home. This research can help athletics staff implement strategies to best help athletes maintain optimal body composition and performance during breaks.
{"title":"Body Composition Changes in College Athletes During Holiday Breaks.","authors":"Aston Dommel, R Drew Sayer","doi":"10.23937/2469-5718/1510231","DOIUrl":"10.23937/2469-5718/1510231","url":null,"abstract":"<p><strong>Background: </strong>Changes in eating and physical activity during the winter holiday season are commonly associated with weight gain in the general population. Concerns around weight and fat gain are also relevant to collegiate athletes who are generally unable to access on-campus dining and exercise facilities during this time. These concerns were exaggerated in 2020 due to changes in the academic and sports calendar as a result of the COVID-19 pandemic that lead to a holiday break that was 3 weeks longer than normal for many college athletes. The purpose of this study was to investigate changes in Body Mass Index (BMI), Fat Mass Index (FMI) and Muscle Mass Index (MMI) among college athletes during an extended and usual holiday break.</p><p><strong>Methods: </strong>Fat mass, muscle mass, and weight were measured using bioelectrical impedance analysis as part of routine care in college athletes within two weeks of leaving campus and return to campus during the extended winter break in 2020 (n = 124 athletes) and the usual winter break in 2021 (n = 64 athletes). Change values were calculated for each dependent variable. Differences between extended and normal winter breaks, male and female athletes, and a sex*break interaction were assessed using ANCOVA (BMI and FMI) and Kruskal-Wallis Test (MMI). All analyses were completed using SAS 9.4.</p><p><strong>Results: </strong>A significant sex*break interaction was observed for BMI and FMI. Male athletes gained BMI and FMI during the extended winter break compared to other sex*break conditions. No differences were found for change in MMI across conditions.</p><p><strong>Conclusions: </strong>These results demonstrate potential differences in weight and fat mass changes between male and female athletes during an extended holiday break. Future research should investigate whether body composition changes occur during other breaks athletes experience (e.g., summer break) and determine how weight-impacting behaviors such as diet and physical activity differ when they are on campus versus at home. This research can help athletics staff implement strategies to best help athletes maintain optimal body composition and performance during breaks.</p>","PeriodicalId":81727,"journal":{"name":"Journal of the Royal Asiatic Society of Great Britain & Ireland. Royal Asiatic Society of Great Britain and Ireland","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10846856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79025272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-01Epub Date: 2019-10-24DOI: 10.1007/s00018-019-03340-w
Krit Leemasawat, Arintaya Phrommintikul, Siriporn C Chattipakorn, Nipon Chattipakorn
Breast cancer is the most frequently occurring cancer among women worldwide. Human epidermal growth factor receptor 2 (HER2 or ErbB2) is overexpressed in between 20 and 25% of invasive breast cancers and is associated with poor prognosis. Trastuzumab, an anti-ErbB2 monoclonal antibody, reduces cancer recurrence and mortality in HER2-positive breast cancer patients, but unexpectedly induces cardiac dysfunction, especially when used in combination with anthracycline-based chemotherapy. Novel approved ErbB2-targeting drugs, including lapatinib, pertuzumab, and trastuzumab-emtansine, also potentially cause cardiotoxicity, although early clinical studies demonstrate their cardiac safety profile. Unfortunately, the mechanism involved in causing the cardiotoxicity is still not completely understood. In addition, the use of preventive interventions against trastuzumab-induced cardiac dysfunction, including angiotensin-converting enzyme inhibitors and beta-blockers, remain controversial. Thus, this review aims to summarize and discuss the evidence currently available from in vitro, in vivo, and clinical studies regarding the mechanism and potential interventions associated with the cardiotoxicity of ErbB2-targeted drugs.
{"title":"Mechanisms and potential interventions associated with the cardiotoxicity of ErbB2-targeted drugs: Insights from in vitro, in vivo, and clinical studies in breast cancer patients.","authors":"Krit Leemasawat, Arintaya Phrommintikul, Siriporn C Chattipakorn, Nipon Chattipakorn","doi":"10.1007/s00018-019-03340-w","DOIUrl":"10.1007/s00018-019-03340-w","url":null,"abstract":"<p><p>Breast cancer is the most frequently occurring cancer among women worldwide. Human epidermal growth factor receptor 2 (HER2 or ErbB2) is overexpressed in between 20 and 25% of invasive breast cancers and is associated with poor prognosis. Trastuzumab, an anti-ErbB2 monoclonal antibody, reduces cancer recurrence and mortality in HER2-positive breast cancer patients, but unexpectedly induces cardiac dysfunction, especially when used in combination with anthracycline-based chemotherapy. Novel approved ErbB2-targeting drugs, including lapatinib, pertuzumab, and trastuzumab-emtansine, also potentially cause cardiotoxicity, although early clinical studies demonstrate their cardiac safety profile. Unfortunately, the mechanism involved in causing the cardiotoxicity is still not completely understood. In addition, the use of preventive interventions against trastuzumab-induced cardiac dysfunction, including angiotensin-converting enzyme inhibitors and beta-blockers, remain controversial. Thus, this review aims to summarize and discuss the evidence currently available from in vitro, in vivo, and clinical studies regarding the mechanism and potential interventions associated with the cardiotoxicity of ErbB2-targeted drugs.</p>","PeriodicalId":81727,"journal":{"name":"Journal of the Royal Asiatic Society of Great Britain & Ireland. Royal Asiatic Society of Great Britain and Ireland","volume":"120 1","pages":"1571-1589"},"PeriodicalIF":8.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79269799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-28DOI: 10.1007/s40615-016-0302-4
Bruce Shiramizu, Vicki Shambaugh, Helen Petrovich, Todd B Seto, Tammy Ho, Noreen Mokuau, Jerris R Hedges
Building research infrastructure capacity to address clinical and translational gaps has been a focus of funding agencies and foundations. Clinical and Translational Sciences Awards, Research Centers in Minority Institutions Infrastructure for Clinical and Translational Research (RCTR), and the Institutional Development Award Infrastructure for Clinical and Translational Research funded by the US government to fund clinical translational research programs have existed for over a decade to address racial and ethnic health disparities across the USA. While the impact on the nation's health cannot be made in a short period, assessment of a program's impact could be a litmus test to gauge its effectiveness at the institution and communities. We report the success of a Pilot Project Program in the University of Hawaii RCTR Award in advancing careers of emerging investigators and community collaborators. Our findings demonstrated that the investment has a far-reaching impact on engagement with community-based research collaborators, career advancement of health disparity investigators, and favorable impacts on health policy.
{"title":"Leading by Success: Impact of a Clinical and Translational Research Infrastructure Program to Address Health Inequities.","authors":"Bruce Shiramizu, Vicki Shambaugh, Helen Petrovich, Todd B Seto, Tammy Ho, Noreen Mokuau, Jerris R Hedges","doi":"10.1007/s40615-016-0302-4","DOIUrl":"10.1007/s40615-016-0302-4","url":null,"abstract":"<p><p>Building research infrastructure capacity to address clinical and translational gaps has been a focus of funding agencies and foundations. Clinical and Translational Sciences Awards, Research Centers in Minority Institutions Infrastructure for Clinical and Translational Research (RCTR), and the Institutional Development Award Infrastructure for Clinical and Translational Research funded by the US government to fund clinical translational research programs have existed for over a decade to address racial and ethnic health disparities across the USA. While the impact on the nation's health cannot be made in a short period, assessment of a program's impact could be a litmus test to gauge its effectiveness at the institution and communities. We report the success of a Pilot Project Program in the University of Hawaii RCTR Award in advancing careers of emerging investigators and community collaborators. Our findings demonstrated that the investment has a far-reaching impact on engagement with community-based research collaborators, career advancement of health disparity investigators, and favorable impacts on health policy.</p>","PeriodicalId":81727,"journal":{"name":"Journal of the Royal Asiatic Society of Great Britain & Ireland. Royal Asiatic Society of Great Britain and Ireland","volume":"70 1","pages":"None"},"PeriodicalIF":3.9,"publicationDate":"2016-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5409875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78992942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-11DOI: 10.1002/14651858.CD002142.pub4
Sarah Burdett, Larysa Rydzewska, Jayne Tierney, David Fisher, Mahesh Kb Parmar, Rodrigo Arriagada, Jean Pierre Pignon, Cecile Le Pechoux
<p><strong>Background: </strong>The role of postoperative radiotherapy (PORT) in the treatment of patients with completely resected non-small cell lung cancer (NSCLC) was not clear. A systematic review and individual participant data meta-analysis was undertaken to evaluate available evidence from randomised controlled trials (RCTs). These results were first published in Lung Cancer in 2013.</p><p><strong>Objectives: </strong>To evaluate the effects of PORT on survival and recurrence in patients with completely resected NSCLC. To investigate whether predefined patient subgroups benefit more or less from PORT.</p><p><strong>Search methods: </strong>We supplemented MEDLINE and CANCERLIT searches (1965 to 8 July 2016) with information from trial registers, handsearching of relevant meeting proceedings and discussion with trialists and organisations.</p><p><strong>Selection criteria: </strong>We included trials of surgery versus surgery plus radiotherapy, provided they randomised participants with NSCLC using a method that precluded prior knowledge of treatment assignment.</p><p><strong>Data collection and analysis: </strong>We carried out a quantitative meta-analysis using updated information from individual participants from all randomised trials. We sought data on all participants from those responsible for the trial. We obtained updated individual participant data (IPD) on survival and date of last follow-up, as well as details on treatment allocation, date of randomisation, age, sex, histological cell type, stage, nodal status and performance status. To avoid potential bias, we requested information on all randomised participants, including those excluded from investigators' original analyses. We conducted all analyses on intention-to-treat on the endpoint of survival.</p><p><strong>Main results: </strong>We identified 14 trials evaluating surgery versus surgery plus radiotherapy. Individual participant data were available for 11 of these trials, and our analyses are based on 2343 participants (1511 deaths). Results show a significant adverse effect of PORT on survival, with a hazard ratio of 1.18, or an 18% relative increase in risk of death. This is equivalent to an absolute detriment of 5% at two years (95% confidence interval (CI) 2% to 9%), reducing overall survival from 58% to 53%. Subgroup analyses showed no differences in effects of PORT by any participant subgroup covariate.We did not undertake analysis of the effects of PORT on quality of life and adverse events. Investigators did not routinely collect quality of life information during these trials, and it was unlikely that any benefit of PORT would offset the observed survival disadvantage. We considered risk of bias in the included trials to be low.</p><p><strong>Authors' conclusions: </strong>Results from 11 trials and 2343 participants show that PORT is detrimental to those with completely resected non-small cell lung cancer and should not be used in the routine treatment of such
背景:术后放疗(PORT)在治疗完全切除的非小细胞肺癌(NSCLC)患者中的作用尚不明确。研究人员对随机对照试验(RCT)中的现有证据进行了系统回顾和个体参与者数据荟萃分析。这些结果于 2013 年首次发表在《肺癌》杂志上:评估PORT对完全切除的NSCLC患者的生存率和复发率的影响。研究预定义的患者亚群是否更多或更少地从PORT中获益:我们对MEDLINE和CANCERLIT的检索(1965年至2016年7月8日)进行了补充,并从试验登记册、相关会议记录的手工检索以及与试验者和组织的讨论中获得了信息:我们纳入了手术治疗与手术加放疗治疗的试验,条件是这些试验采用事先不知道治疗分配的方法对NSCLC参与者进行随机分配:我们利用所有随机试验中参与者的最新信息进行了定量荟萃分析。我们从试验负责人处获得了所有参与者的数据。我们获得了关于生存期和最后一次随访日期的最新个体参与者数据(IPD),以及关于治疗分配、随机化日期、年龄、性别、组织细胞类型、分期、结节状态和表现状态的详细信息。为避免潜在偏倚,我们要求提供所有随机参与者的信息,包括研究者原始分析中排除的参与者。我们以生存率为终点进行了所有意向治疗分析:我们确定了 14 项评估手术与手术加放疗的试验。我们对 2343 名参与者(1511 人死亡)进行了分析。结果显示,PORT对生存有明显的不利影响,危险比为1.18,即死亡风险相对增加18%。这相当于两年的绝对不利影响为 5%(95% 置信区间 (CI):2% 至 9%),使总生存率从 58% 降至 53%。亚组分析表明,任何参与者亚组协变量对 PORT 效果的影响均无差异。在这些试验中,研究者并未例行收集生活质量信息,而且 PORT 的任何益处都不太可能抵消观察到的生存劣势。我们认为纳入试验的偏倚风险较低:11项试验和2343名参与者的结果表明,PORT对完全切除的非小细胞肺癌患者不利,不应在此类患者的常规治疗中使用。正在进行的RCT研究结果将明确现代放疗对N2肿瘤患者的影响。
{"title":"Postoperative radiotherapy for non-small cell lung cancer.","authors":"Sarah Burdett, Larysa Rydzewska, Jayne Tierney, David Fisher, Mahesh Kb Parmar, Rodrigo Arriagada, Jean Pierre Pignon, Cecile Le Pechoux","doi":"10.1002/14651858.CD002142.pub4","DOIUrl":"10.1002/14651858.CD002142.pub4","url":null,"abstract":"<p><strong>Background: </strong>The role of postoperative radiotherapy (PORT) in the treatment of patients with completely resected non-small cell lung cancer (NSCLC) was not clear. A systematic review and individual participant data meta-analysis was undertaken to evaluate available evidence from randomised controlled trials (RCTs). These results were first published in Lung Cancer in 2013.</p><p><strong>Objectives: </strong>To evaluate the effects of PORT on survival and recurrence in patients with completely resected NSCLC. To investigate whether predefined patient subgroups benefit more or less from PORT.</p><p><strong>Search methods: </strong>We supplemented MEDLINE and CANCERLIT searches (1965 to 8 July 2016) with information from trial registers, handsearching of relevant meeting proceedings and discussion with trialists and organisations.</p><p><strong>Selection criteria: </strong>We included trials of surgery versus surgery plus radiotherapy, provided they randomised participants with NSCLC using a method that precluded prior knowledge of treatment assignment.</p><p><strong>Data collection and analysis: </strong>We carried out a quantitative meta-analysis using updated information from individual participants from all randomised trials. We sought data on all participants from those responsible for the trial. We obtained updated individual participant data (IPD) on survival and date of last follow-up, as well as details on treatment allocation, date of randomisation, age, sex, histological cell type, stage, nodal status and performance status. To avoid potential bias, we requested information on all randomised participants, including those excluded from investigators' original analyses. We conducted all analyses on intention-to-treat on the endpoint of survival.</p><p><strong>Main results: </strong>We identified 14 trials evaluating surgery versus surgery plus radiotherapy. Individual participant data were available for 11 of these trials, and our analyses are based on 2343 participants (1511 deaths). Results show a significant adverse effect of PORT on survival, with a hazard ratio of 1.18, or an 18% relative increase in risk of death. This is equivalent to an absolute detriment of 5% at two years (95% confidence interval (CI) 2% to 9%), reducing overall survival from 58% to 53%. Subgroup analyses showed no differences in effects of PORT by any participant subgroup covariate.We did not undertake analysis of the effects of PORT on quality of life and adverse events. Investigators did not routinely collect quality of life information during these trials, and it was unlikely that any benefit of PORT would offset the observed survival disadvantage. We considered risk of bias in the included trials to be low.</p><p><strong>Authors' conclusions: </strong>Results from 11 trials and 2343 participants show that PORT is detrimental to those with completely resected non-small cell lung cancer and should not be used in the routine treatment of such ","PeriodicalId":81727,"journal":{"name":"Journal of the Royal Asiatic Society of Great Britain & Ireland. Royal Asiatic Society of Great Britain and Ireland","volume":"110 1","pages":"CD002142"},"PeriodicalIF":8.4,"publicationDate":"2016-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5642866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79235619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Plant polyketides are a structurally diverse family of natural products. In the biosynthesis of plant polyketides, the construction of the carbocyclic scaffold is a key step in diversifying the polyketide structure. Olivetolic acid cyclase (OAC) from Cannabis sativa L. is the only known plant polyketide cyclase that catalyzes the C2-C7 intramolecular aldol cyclization of linear pentyl tetra-β-ketide-CoA to generate olivetolic acid in the biosynthesis of cannabinoids. The enzyme is also thought to belong to the dimeric α+β barrel (DABB) protein family. However, because of a lack of functional analysis of other plant DABB proteins and low sequence identity with the functionally distinct bacterial DABB proteins, the catalytic mechanism of OAC has remained unclear. To clarify the intimate catalytic mechanism of OAC, the enzyme was overexpressed in Escherichia coli and crystallized using the vapour-diffusion method. The crystals diffracted X-rays to 1.40 Å resolution and belonged to space group P3121 or P3221, with unit-cell parameters a = b = 47.3, c = 176.0 Å. Further crystallographic analysis will provide valuable insights into the structure-function relationship and catalytic mechanism of OAC.
{"title":"Expression, purification and crystallization of a plant polyketide cyclase from Cannabis sativa.","authors":"Xinmei Yang, Takashi Matsui, Takahiro Mori, Futoshi Taura, Hiroshi Noguchi, Ikuro Abe, Hiroyuki Morita","doi":"10.1107/S2053230X15020385","DOIUrl":"10.1107/S2053230X15020385","url":null,"abstract":"<p><p>Plant polyketides are a structurally diverse family of natural products. In the biosynthesis of plant polyketides, the construction of the carbocyclic scaffold is a key step in diversifying the polyketide structure. Olivetolic acid cyclase (OAC) from Cannabis sativa L. is the only known plant polyketide cyclase that catalyzes the C2-C7 intramolecular aldol cyclization of linear pentyl tetra-β-ketide-CoA to generate olivetolic acid in the biosynthesis of cannabinoids. The enzyme is also thought to belong to the dimeric α+β barrel (DABB) protein family. However, because of a lack of functional analysis of other plant DABB proteins and low sequence identity with the functionally distinct bacterial DABB proteins, the catalytic mechanism of OAC has remained unclear. To clarify the intimate catalytic mechanism of OAC, the enzyme was overexpressed in Escherichia coli and crystallized using the vapour-diffusion method. The crystals diffracted X-rays to 1.40 Å resolution and belonged to space group P3121 or P3221, with unit-cell parameters a = b = 47.3, c = 176.0 Å. Further crystallographic analysis will provide valuable insights into the structure-function relationship and catalytic mechanism of OAC.</p>","PeriodicalId":81727,"journal":{"name":"Journal of the Royal Asiatic Society of Great Britain & Ireland. Royal Asiatic Society of Great Britain and Ireland","volume":"68 1","pages":"1470-4"},"PeriodicalIF":0.9,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4666474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78953290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-10-01DOI: 10.1379/1466-1268(2001)006<0368:iosrrh>2.0.co;2
A Khar, A M Ali, B V Pardhasaradhi, C H Varalakshmi, R Anjum, A L Kumari
Curcumin, a well-known dietary pigment derived from Curcuma longa, has been shown to be a potent antiinflammatory, antioxidant, and anticarcinogenic compound. The present study was designed to investigate the cytotoxic potential of curcumin against a range of human tumor cell lines in an attempt to understand its mechanism of action, which may lead to its possible therapeutic applications. We have shown that different cancer cell lines differ in their sensitivity to curcumin. Cell lines established from malignancies like leukemia, breast, colon, hepatocellular, and ovarian carcinomas underwent apoptosis in the presence of curcumin, whereas cell lines from lung, kidney, prostate, cervix, CNS malignancies, and melanomas showed resistance to the cytotoxic effects of curcumin. Sensitivity of the cancer cell lines to curcumin correlated with the generation of superoxide radicals as determined by the reduction of ferricytochrome C. Curcumin-resistant tumor cell lines showed significantly higher production of Hsp70, thus mounting a stress response and protecting the cells from the apoptotic cell death. These observations yield clues toward understanding the regulation of the cell death machinery by the stress proteins. Interestingly, curcumin had no effect on nontransformed cell lines, which showed neither superoxide generation nor the induction of a stress response. These observations demonstrate that curcumin is an interesting molecule with varied actions, depending on the cell type.
{"title":"Induction of stress response renders human tumor cell lines resistant to curcumin-mediated apoptosis: role of reactive oxygen intermediates.","authors":"A Khar, A M Ali, B V Pardhasaradhi, C H Varalakshmi, R Anjum, A L Kumari","doi":"10.1379/1466-1268(2001)006<0368:iosrrh>2.0.co;2","DOIUrl":"10.1379/1466-1268(2001)006<0368:iosrrh>2.0.co;2","url":null,"abstract":"<p><p>Curcumin, a well-known dietary pigment derived from Curcuma longa, has been shown to be a potent antiinflammatory, antioxidant, and anticarcinogenic compound. The present study was designed to investigate the cytotoxic potential of curcumin against a range of human tumor cell lines in an attempt to understand its mechanism of action, which may lead to its possible therapeutic applications. We have shown that different cancer cell lines differ in their sensitivity to curcumin. Cell lines established from malignancies like leukemia, breast, colon, hepatocellular, and ovarian carcinomas underwent apoptosis in the presence of curcumin, whereas cell lines from lung, kidney, prostate, cervix, CNS malignancies, and melanomas showed resistance to the cytotoxic effects of curcumin. Sensitivity of the cancer cell lines to curcumin correlated with the generation of superoxide radicals as determined by the reduction of ferricytochrome C. Curcumin-resistant tumor cell lines showed significantly higher production of Hsp70, thus mounting a stress response and protecting the cells from the apoptotic cell death. These observations yield clues toward understanding the regulation of the cell death machinery by the stress proteins. Interestingly, curcumin had no effect on nontransformed cell lines, which showed neither superoxide generation nor the induction of a stress response. These observations demonstrate that curcumin is an interesting molecule with varied actions, depending on the cell type.</p>","PeriodicalId":81727,"journal":{"name":"Journal of the Royal Asiatic Society of Great Britain & Ireland. Royal Asiatic Society of Great Britain and Ireland","volume":"56 1","pages":"368-76"},"PeriodicalIF":3.8,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC434420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73211825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1990-04-01DOI: 10.1017/S0035869X00108731
Godfrey Goodwin
of Ottoman rule, the industry recovered and abandoned facilities were repaired. Soap-making became an ever-more-profitable venture during the sixteenth century, as evidenced by the growing number of factories, the continued improvement of existing facilities, advance purchases of olive oil directly from the villages and the continual rise in income registered from the olive oil scales in the Jerusalem market. In addition to olive oil, soap-making required alkali, supplied in general by Bedouin tribes, thus making them an integral link in this part of the economy. The soap made in Jerusalem was marketed throughout Palestine, and Jerusalem merchants exported growing amounts of their product, primarily to Egypt. Jerusalem was not a major economic centre of the Ottoman Empire, not in this or any period. Damascus, Aleppo and Cairo were the focus of commercial and trade activity in the Arab provinces. Jerusalem was the largest and most active manufacturing and market town in its region, and was linked to the larger network through its export of locally-produced soap and the import of supplementary foodstuffs such as meat and grain, other edibles and luxury items. The religious importance of the city made it the focus of attention from all over Palestine and Syria. A long list of people were involved in the production and supply connected to each of the commodities which Cohen discusses. He not only dissects each industry into its component occupations, but analyses the social hierarchy which was defined through the professions, with the butchers most consistently in the strongest position. These latter could be found serving in the office of muhtasib, general supervisor of the markets. The muhtasib was usually a local merchant or wealthy professional, at times a butcher but not a soap manufacturer or a miller, certainly never a baker. Among the owners of soap factories, however, were some Jerusalem notables, including members of the 'ulama. In addition to the structural analysis of the city's food supply, Cohen also provides a host of statistics which he extracted from the sijill: prices of meat, bread and soap; numbers of animals; quantities of soap and bread; measures of olive oil. For each item, Cohen gives a breakdown of the different qualities available, their relative prices, as well as seasonal changes in supply and demand. Several lists of raw figures are provided in the appendices, but within the text Cohen sets the numbers in relation to one another, giving us relative prices and price fluctuations for different kinds of meat and bread, wages vs. prices of foodstuffs, and other combinations which allow us to make sense of the numbers. If we search for weaknesses in this work, they are a result of what is not in the book. It would be interesting to know more about how supplies were provided during hard times and what happened to surplus crops, or the course of the industries described in later centuries, or more on other food commodities and s
{"title":"Kitab-i Bahriye II . By Pîrî Reis. pp. 425, 430 pp. of reproductions, 7 maps. Ankara, Ministry of Culture and Tourism of the Turkish Republic. Prepared for publication by the Historical Research Unit, Istanbul Research Centre, 1988.","authors":"Godfrey Goodwin","doi":"10.1017/S0035869X00108731","DOIUrl":"https://doi.org/10.1017/S0035869X00108731","url":null,"abstract":"of Ottoman rule, the industry recovered and abandoned facilities were repaired. Soap-making became an ever-more-profitable venture during the sixteenth century, as evidenced by the growing number of factories, the continued improvement of existing facilities, advance purchases of olive oil directly from the villages and the continual rise in income registered from the olive oil scales in the Jerusalem market. In addition to olive oil, soap-making required alkali, supplied in general by Bedouin tribes, thus making them an integral link in this part of the economy. The soap made in Jerusalem was marketed throughout Palestine, and Jerusalem merchants exported growing amounts of their product, primarily to Egypt. Jerusalem was not a major economic centre of the Ottoman Empire, not in this or any period. Damascus, Aleppo and Cairo were the focus of commercial and trade activity in the Arab provinces. Jerusalem was the largest and most active manufacturing and market town in its region, and was linked to the larger network through its export of locally-produced soap and the import of supplementary foodstuffs such as meat and grain, other edibles and luxury items. The religious importance of the city made it the focus of attention from all over Palestine and Syria. A long list of people were involved in the production and supply connected to each of the commodities which Cohen discusses. He not only dissects each industry into its component occupations, but analyses the social hierarchy which was defined through the professions, with the butchers most consistently in the strongest position. These latter could be found serving in the office of muhtasib, general supervisor of the markets. The muhtasib was usually a local merchant or wealthy professional, at times a butcher but not a soap manufacturer or a miller, certainly never a baker. Among the owners of soap factories, however, were some Jerusalem notables, including members of the 'ulama. In addition to the structural analysis of the city's food supply, Cohen also provides a host of statistics which he extracted from the sijill: prices of meat, bread and soap; numbers of animals; quantities of soap and bread; measures of olive oil. For each item, Cohen gives a breakdown of the different qualities available, their relative prices, as well as seasonal changes in supply and demand. Several lists of raw figures are provided in the appendices, but within the text Cohen sets the numbers in relation to one another, giving us relative prices and price fluctuations for different kinds of meat and bread, wages vs. prices of foodstuffs, and other combinations which allow us to make sense of the numbers. If we search for weaknesses in this work, they are a result of what is not in the book. It would be interesting to know more about how supplies were provided during hard times and what happened to surplus crops, or the course of the industries described in later centuries, or more on other food commodities and s","PeriodicalId":81727,"journal":{"name":"Journal of the Royal Asiatic Society of Great Britain & Ireland. Royal Asiatic Society of Great Britain and Ireland","volume":"122 1","pages":"391 - 392"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0035869X00108731","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57102769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}