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The metabolic syndrome, by definition, is not a disease but is a clustering of individual metabolic risk factors including abdominal obesity, hyperglycemia, hypertriglyceridemia, hypertension, and low high-density lipoprotein cholesterol levels. These risk factors could dramatically increase the prevalence of type 2 diabetes and cardiovascular disease. The reported prevalence of the metabolic syndrome varies, greatly depending on the definition used, gender, age, socioeconomic status, and the ethnic background of study cohorts. Clinical and epidemiological studies have clearly demonstrated that the metabolic syndrome starts with central obesity. Because the prevalence of obesity has doubly increased worldwide over the past 30 years, the prevalence of the metabolic syndrome has markedly boosted in parallel. Therefore, obesity has been recognized as the leading cause for the metabolic syndrome since it is strongly associated with all metabolic risk factors. High prevalence of the metabolic syndrome is not unique to the USA and Europe and it is also increasing in most Asian countries. Insulin resistance has elucidated most, if not all, of the pathophysiology of the metabolic syndrome because it contributes to hyperglycemia. Furthermore, a major contributor to the development of insulin resistance is an overabundance of circulating fatty acids. Plasma fatty acids are derived mainly from the triglycerides stored in adipose tissues, which are released through the action of the cyclic AMP-dependent enzyme, hormone sensitive lipase. This review summarizes the latest concepts in the definition, pathogenesis, pathophysiology, and diagnosis of the metabolic syndrome, as well as its preventive measures and therapeutic strategies in children and adolescents.
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Immunotherapy has been applied successfully to treat B-cell lymphomas in preclinical models or clinical settings. However, immunotherapy resistance is a major challenge for B-cell lymphoma treatment. To overcome this issue, combinatorial therapeutic strategies have been pursued to achieve a better efficacy for treating B-cell lymphomas. One of such strategies is to combine immunotherapy with histone deacetylase (HDAC) inhibitors. HDAC inhibitors can potentially increase tumor immunogenicity, promote anti-tumor immune responses, or reverse immunosuppressive tumor environments. Thus, the combination of HDAC inhibitors and immunotherapy has drawn much attention in current cancer treatment. However, not all HDAC inhibitors are created equal and their net effects are highly dependent on the specific inhibitors used and the HDACs they target. Hence, we suggest that optimal treatment efficacy requires personalized design and rational combination based on prognostic biomarkers and unique profiles of HDAC inhibitors. Here, we discuss the possible mechanisms by which B-cell lymphomas acquire immunotherapy resistance and the effects of HDAC inhibitors on tumor cells and immune cells that could help overcome immunotherapy resistance.
ABSTRACT
Immunotherapy has been applied successfully to treat B-cell lymphomas in preclinical models or clinical settings. However, immunotherapy resistance is a major challenge for B-cell lymphoma treatment. To overcome this issue, combinatorial therapeutic strategies have been pursued to achieve a better efficacy for treating B-cell lymphomas. One of such strategies is to combine immunotherapy with histone deacetylase (HDAC) inhibitors. HDAC inhibitors can potentially increase tumor immunogenicity, promote anti-tumor immune responses, or reverse immunosuppressive tumor environments. Thus, the combination of HDAC inhibitors and immunotherapy has drawn much attention in current cancer treatment. However, not all HDAC inhibitors are created equal and their net effects are highly dependent on the specific inhibitors used and the HDACs they target. Hence, we suggest that optimal treatment efficacy requires personalized design and rational combination based on prognostic biomarkers and unique profiles of HDAC inhibitors. Here, we discuss the possible mechanisms by which B-cell lymphomas acquire immunotherapy resistance and the effects of HDAC inhibitors on tumor cells and immune cells that could help overcome immunotherapy resistance.
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To explore the diagnosis,treatment,surgical approach and prognosis of parapharyngeal space tumors.The clinical data of 188 patients with parapharyngeal space tumor who were treated from January 2007 to December 2016 were analyzed retrospectively.All patients underwent imaging examination before operation.Surgical approach was as follows:transcervical approach applied in 159 cases,endoscopic-assisted transnasal approach in 9 cases,transcervical-transmandibular approach in 8 cases,transcervical-transparotid approach in 8 cases,transoral approach in 7 cases,and infratemporal fossa approach in 4 case.Of the 188 cases,the tumor was benign in nature in 168 cases(89%)and malignant in 20 cases(11%).Complications occurred in 28(15%)patients,with the most common symptom being hoarseness.168 cases of benign tumors were followed up for 10 months to 10 years,and 3 cases were lost and 4 cases had recurrence.All cases underwent re-operation.Patients with malignant tumors received combined treatment after surgery,and 3 cases were lost to follow-up,1 case died of recurrence 9 months after surgery,the rest survived.Surgery is the preferred method for treating parapharyngeal space tumors and postoperative recurrence rate is pretty low.Endoscopy provides a new surgical management method,helping to reduce postoperative complications and recurrence rate.
Subject(s)
Humans , Endoscopy , Neoplasm Recurrence, Local , Pharyngeal Neoplasms , Diagnosis , General Surgery , Retrospective StudiesABSTRACT
With the development of science and technology, microwave has been used in many fields such as industry, military, medicine and communication. People are living in a lapped and dynamic electromagnetic environment. Concerns about potential hazards of microwave are getting increasing attentions. The single biological effects of microwave were widely discussed which was considered harmful. Relevant safety standards had been formulated and applied. However, the real environment was more complex. Microwave was not the only factor that organisms might be affected. Other physical or chemical factors, such as ionizing radiation [IR], ultraviolet [UV], magnetic field and chemical drugs, often existed with the microwave radiation. Even the microwave itself could create combined exposure situation, because the environment consisted different frequency microwaves. Nuclear weapons and high-power radar could produce microwave and ionizing radiation. The ultraviolet ray and magnetic field generated by the instrument's operation could act on the human bodies along with the microwaves. The combination of radiofrequency therapy and chemotherapeutic agents was also commonly used in cancer therapy. Therefore, the combined biological effects of microwaves and other physical or chemical factors were very important. This review had covered the original articles in this aspect. In order to better, understand the combined biological effects; the comparative studies of different frequency microwaves were also included. Differences in biological effects were found among different frequency microwaves, and the combined biological effects contained both hazards and benefits. Findings in combined biological effects were very practical for rational uses of microwave technologies
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Background: the dynamic phantom is one of the best tools to study the impact of motion on tumor target delineation and absorbed dose verification during dose delivery
Materials and Methods: this study, a 6-DOF [degrees of freedom] phantom was designed following the stacked serial kinematics and assembled by six commercial motion stages to generate 6-DOF motion, which were RotX [pitch, around X], RotY [roll, around Y], TransZ [anterior-posterior], RotZ [yaw, around Z], TransY [superior-inferior] and TransX [left-right]. Tumor targets were designed by six plastic spheres for the delineation test. Also, an ionization chamber array detector and RW3 solid water were combined to measure the absorbed dose for dose verification tests
Results: the maximum translation speeds for LineX and LineY were 50mm/s and 35mm/s for LineZ, while the maximum rotation speeds for RotX, RotY, RotZ were 5.33° per second, 6degree per second and 15degree per second respectively. Spiral-CT and 4D-CT images acquired in the static and dynamic states successfully showed the influences of tumor motion on target delineation. In the absorbed dose verification, all cases did not pass the gamma test; the pass rate for the 6-DOF motion case was only 34.2% and the pass rates of all other cases were less than 90%
Conclusion: the phantom designed in this study is able to simulate complex tumor motion and can be used to study the influence of tumor motion in radiotherapy
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Waterborne outbreaks of pathogenic bacteria from contaminated water are serious threats for public health. Coliform bacteria have been regarded as one of the most important indicators for monitoring pathogenic bacteria. To address potential pathogenic bacterial outbreaks, the distribution and diversity of coliform bacteria in Jiahe river, which flows through densely-populated urban area in China, were detected. Escherichia Coli and other coliform bacteria were counted using the membrane filter technique to describe the distribution of the coliform bacteria. Phylogenetic analysis was applied to investigate the diversity of the coliform bacteria. The results suggested that the quantities of coliform bacteria varied greatly between five sampling sites with the highest value at site YT4 and the lowest value at site YT2. Highest concentrations of E. coli and other coliform bacteria were also observed at YT4, while the lowest value was detected at sites YT3 and YT2, respectively. Various coliform bacteria were classified by phylogenetic analysis, including Citrobacter, Klebsiella, Enterobacter, and Raoultella. Components of coliform bacteria affiliated into these four genera were various in all sampling sites. The statistical analysis suggested that the distribution of coliform bacteria were remarkably influenced by total bacteria amount. Multiple environmental parameters were proved to affect the diversity of coliform bacteria. The results of this study revealed the correlation between coliform bacteria and the environmental parameters, which is important for predicting and preventing waterborne transmission of pathogenic bacteria
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Objective To observe the electromyography (EMG) activities and kinematic characteristics of the back, abdomen and hip muscles under the static symmetric loading and unloading with the flexion and extension posture. Methods Six healthy male subjects stood on a specially designed testing platform, doing flexion/extension under symmetric loading and unloading, respectively. Each trial lasted 4 seconds and was repeated 3 times. The EMG activities of 10 muscles(rectus abdominis，obliquus externus abdominis，erector spinae，multifidus，gluteus Medius), the 3D angular movement, the plantar COP (center of pressure) were recorded during the trial.The normalized EMG, trunk angle and COP displacement were calculated, and statistical analyses of all data were made. Results Muscle activities of the back were greater (10.47~16.94) with flexion both under loading and unloading. Muscle activities of the abdomen were greater with extension under unloading, and those of the back (3.70~17.95) and hip (6.64~11.52) were increasing under loading, with muscle activities of the abdomen decreasing (10.66~4.18). The flashing trunk numbers was increased with the increase of loading, especially 1.55-time increase in the trunk angle. The COP displacement in anterior posterior direction was shifted greater than that in lateral direction, and this shift was more during flexion (14.60) than that during extension (7.65).Conclusions Extension increases the activities of back muscles, especially for multifidus, and it also increases the torso angular displacement and flashing trunk numbers, especially under loading.
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Heavy metal pollution in the sediment of the Yellow River draws wide attention in the recent years. The Yellow River wetland nature reserve of Zhengzhou is one of the major wetlands of the river and located at the beginning of the lower reach. In this article, we aimed to investigate the degree and the sources of the metal pollution in the reserve. Metals as Cu, Pb, Cr, Cd and Mn in the sediment were monitored using flame atomic absorption spectrometry. The index of geo-accumulation [I[geo]] and the modified degree of contamination [mC[d]] were developed to evaluate individual metal pollution and overall enrichment impact of the elements. Compared with sediment quality guidelines, the effect of Cr and Pb are more serious than others. I [geo] values show Pb pollution are moderate at the Xinzhai, Langchenggang and Nansutan sites, and mC[d] analysis indicate the whole contamination at the Wantan, Langchenggang and Nansutan sites was low. Principal component analysis indicated that the first factor was Cu, Mn and Cd, mainly from soil erosion and the irrational use of phosphate fertilizers; the second Pb from fossil fuel burning; and the third Cr from weathering process. We conclude that Pb contamination is serious in the reserve, and the main sources of the metal are crude oil consumption and coal combustion of the brick kilns around. We also draw a conclusion that it is vital to evaluate contamination degree with both individual elements and overall average
Subject(s)
Metals, Heavy/analysis , Geologic Sediments/chemistry , RiversABSTRACT
Separation of metal laden solid wastes for their recycling utilization using passive pulsed air and active pulsing air classifiers was studied. Laboratory investigation showed that the active pulsing air separator performs more efficiently than the passive pulsed air separator due to the ability to accurately control operating parameters. By studying the difference of drag coefficients of the particles moving through the airflow of varying Reynolds numbers, models of the dynamic particle motion were developed and a computer simulation was prepared. Results of the simulation were reported to predict the observed results with artificial tracing spheres being separated by the laboratory equipment. Two different, real world feed materials were separated with the laboratory scale active pulsing air classifier. The discarded catalyst consisting of precious metal components and sintered magnetic beads was separated with the separation efficiency, of 97.6%. The second real-world feed, electronic scrap crushed to a size of 0.5 to 2 mm, showed a separation efficiency of 92.41%. At the same time, the grade of the recovered concentrate of metals was above 98%
Subject(s)
Industrial Waste , Metals , Air , RecyclingABSTRACT
<p><b>OBJECTIVE</b>To investigate the protective role of transient receptor potential vanilloid subtype 1 (TRPV1) in inflammatory process after myocardial infarction.</p><p><b>METHODS</b>The survival rate, infarct size, the levels of plasma cardiac troponin I, infiltration of inflammatory cells, the levels of cytokines and chemokines, and cardiac function were monitored 3 and 7 days post-myocardial infarction in TRPV1 gene knockout (TRPV1(-/-)) and wild type (WT) mice.</p><p><b>RESULTS</b>The survival rate was significantly lower in TRPV1(-/-) mice than that in WT mice (62.5% vs. 82.1%, P < 0.05). The infarct size on day 3 after MI was significantly larger in TRPV1(-/-) mice than that in WT mice (INF/AAR: 69.5% +/- 3.1% vs. 40.1% +/- 2.6%, P < 0.05). Plasma cardiac troponin I level, number of infiltrated inflammatory cells including neutrophils and macrophages were significant increased in TRPV1(-/-) mice compared to WT mice. Expressions of cytokines including TNF-alpha, IL-1beta, and IL-6, chemokines including MCP-1 and MIP-2 in the infarct area at 3 and 7 days after MI were significantly higher in TRPV1(-/-) mice than those in WT mice (all P < 0.05). Furthermore, end-systolic and -diastolic diameters were significantly increased and contractile function of the heart significantly reduced in TRPV1(-/-) mice compared to WT mice.</p><p><b>CONCLUSION</b>TRPV1 gene deletion results in reduced survival rate, excessive inflammation, deteriorated cardiac function and aggravated left ventricular remodelling after MI, indicating that TRPV1 may prevent infarct expansion and cardiac injury by inhibiting inflammation and reservation cardiac function.</p>