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1.
Indian J Pathol Microbiol ; 2022 Jun; 65(2): 288-295
Article | IMSEAR | ID: sea-223220

ABSTRACT

Background: Deregulation of long noncoding RNAs (lncRNAs) was considered one of the main characteristics of several human cancers. However, detailed genome-wide expression and functional significance studies of lnc RNAs in lung adenocarcinoma are still limited. This study aims to discover a new lncRNA that may play an important role in regulating the pathogenesis of lung adenocarcinoma (ADC). Methods: We conducted a comprehensive analysis of three Gene Expression Omnibus (GEO) microarray datasets and TCGA datasets. Differentially expressed lncRNAs between ADC and normal tissues were screened and verified using Gene Expression Profiling Interactive Analysis (GEPIA). Moreover, Kaplan-Meier plotter was used to construct the gene prognosis profile. The downstream targets of miRNA and related functional pathways were predicted and validated. Results: With microarray gene expression analysis, we found that only lncRNAs-PCAT6 was commonly upregulated among four datasets, and four lncRNAs (LINC00968, PGM5-AS1, LHFPL3-AS2 and SFTA1P) were significantly downregulated in the ADC samples as compared to the normal tissues. Meanwhile, for LHFPL3-AS2, high-risk patients showed better overall survival (HR=0.6 or 0.62; P < .0001 or P = 0.0014), overall survival from TCGA datasets (HR=0.72; P = 0.015) and recurrence-free survival (HR=0.72; P = 0.015). Then, LHFPL3-AS2 was predicted to bind to two miRNAs, miR-127-5p and miR-424-5p. Finally, validation and functional enrichment analysis of the downstream key mRNAs showed significant enrichment in some cancer-related pathways, such as cell adhesion in cancer and small cell lung cancer. Conclusions: Taken together, our study indicated that LHFPL3-AS2 was associated with tumorigenesis, and it could be used as a useful biomarker in the diagnosis, prognosis and treatment of ADC.

2.
Braz. j. med. biol. res ; 51(2): e6950, 2018. tab, graf
Article in English | LILACS | ID: biblio-889028

ABSTRACT

Alveolar epithelia play an essential role in maintaining the integrity and homeostasis of lungs, in which alveolar epithelial type II cells (AECII) are a cell type with stem cell potential for epithelial injury repair and regeneration. However, mechanisms behind the physiological and pathological roles of alveolar epithelia in human lungs remain largely unknown, partially owing to the difficulty of isolation and culture of primary human AECII cells. In the present study, we aimed to characterize alveolar epithelia generated from A549 lung adenocarcinoma cells that were cultured in an air-liquid interface (ALI) state. Morphological analysis demonstrated that A549 cells could reconstitute epithelial layers in ALI cultures as evaluated by histochemistry staining and electronic microscopy. Immunofluorescent staining further revealed an expression of alveolar epithelial type I cell (AECI) markers aquaporin-5 protein (AQP-5), and AECII cell marker surfactant protein C (SPC) in subpopulations of ALI cultured cells. Importantly, molecular analysis further revealed the expression of AQP-5, SPC, thyroid transcription factor-1, zonula occludens-1 and Mucin 5B in A549 ALI cultures as determined by both immunoblotting and quantitative RT-PCR assay. These results suggest that the ALI culture of A549 cells can partially mimic the property of alveolar epithelia, which may be a feasible and alternative model for investigating roles and mechanisms of alveolar epithelia in vitro.


Subject(s)
Humans , Culture Media, Conditioned , Cell Culture Techniques/methods , Alveolar Epithelial Cells/physiology , A549 Cells/physiology , Reference Values , Time Factors , Microscopy, Electron, Scanning , Immunoblotting , Cell Count , Reproducibility of Results , Analysis of Variance , Pulmonary Surfactant-Associated Protein C/analysis , Aquaporin 5/analysis , Mucin-5B/analysis , Real-Time Polymerase Chain Reaction , Zonula Occludens-1 Protein/analysis , Thyroid Nuclear Factor 1/analysis
3.
Braz. j. med. biol. res ; 49(8): e5291, 2016. tab, graf
Article in English | LILACS | ID: lil-787385

ABSTRACT

Fluoride, which is often added to toothpaste or mouthwash in order to protect teeth from decay, may be a novel therapeutic approach for acceleration of periodontal regeneration. Therefore, we investigated the effects of fluoride on proliferation and mineralization in human periodontal ligament cells in vitro. The periodontal ligament cells were stimulated with various concentrations of NaF added into osteogenic inductive medium. Immunohistochemistry of cell identification, cell proliferation, alkaline phosphatase (ALP) activity assay, Alizarin red S staining and quantitative real-time-polymerase chain reaction (RT-PCR) were performed. Moderate concentrations of NaF (50-500 μmol/L) had pro-proliferation effects, while 500 μmol/L had the best effects. ALP activity and calcium content were significantly enhanced by 10 μmol/L NaF with osteogenic inductive medium. Quantitative RT-PCR data varied in genes as a result of different NaF concentrations and treatment periods. We conclude that moderate concentrations of NaF can stimulate proliferation and mineralization in periodontal ligament cells. These in vitro findings may provide a novel therapeutic approach for acceleration of periodontal regeneration by addition of suitable concentrations of NaF into the medication for periodontitis treatment, i.e., into periodontal packs and tissue patches.


Subject(s)
Humans , Child , Adolescent , Adult , Young Adult , Cell Proliferation/drug effects , Periodontal Ligament/drug effects , Sodium Fluoride/pharmacology , Alkaline Phosphatase/drug effects , Alkaline Phosphatase/metabolism , Calcium/metabolism , Cells, Cultured/drug effects , Periodontal Ligament/cytology , Real-Time Polymerase Chain Reaction/methods
4.
Tropical Biomedicine ; : 663-667, 2016.
Article in English | WPRIM | ID: wpr-630849

ABSTRACT

Ticks are vectors of diseases that affect humans and animals worldwide. In current study, the intestinal bacterial flora associated with the blood feeding ticks (Haemaphysalis flava, Haemaphysalis longicornis, Rhipicephalus haemaphysaloides, Boophilus microplus and Dermacentor sinicus) were analyzed using polymerase chain reaction and denaturing gradient gel electrophoresis (PCR-DGGE) and then sequenced. The five ticks were collected from cattle, dog, hedgehog and goats in Fujian, Shandong, Henan, Jiangxi, Hunan, Shanxi and Guangxi provinces, China. Our results show that nine distinct DGGE bands were found using PCR-DGGE method. Sequences analyses indicated that they belonged to Rickettsia peacockii, Rickettsia raoultii, Rickettsia helvetica, Rickettsia slovaca, Rickettsia tarasevichiae, Coxiella sp., Erwinia sp., Klebsiella pneumoniae and Pseudomonas aeruginos. The present results indicate that zoonotic pathogens are present in ticks in many provinces of China. This useful information will aid in the epidemiology of tick-borne zoonotic diseases in China as well as in raising awareness to avoid tick bites is an important measure to prevent the infection and transmission of zoonotic pathogens.

5.
Braz. j. med. biol. res ; 48(5): 420-426, 05/2015. tab, graf
Article in English | LILACS | ID: lil-744378

ABSTRACT

An enterovirus 71 (EV71) vaccine for the prevention of hand, foot, and mouth disease (HMFD) is available, but it is not known whether the EV71 vaccine cross-protects against Coxsackievirus (CV) infection. Furthermore, although an inactivated circulating CVA16 Changchun 024 (CC024) strain vaccine candidate is effective in newborn mice, the CC024 strain causes severe lesions in muscle and lung tissues. Therefore, an effective CV vaccine with improved pathogenic safety is needed. The aim of this study was to evaluate the in vivo safety and in vitro replication capability of a noncirculating CVA16 SHZH05 strain. The replication capacity of circulating CVA16 strains CC024, CC045, CC090 and CC163 and the noncirculating SHZH05 strain was evaluated by cytopathic effect in different cell lines. The replication capacity and pathogenicity of the CC024 and SHZH05 strains were also evaluated in a neonatal mouse model. Histopathological and viral load analyses demonstrated that the SHZH05 strain had an in vitro replication capacity comparable to the four CC strains. The CC024, but not the SHZH05 strain, became distributed in a variety of tissues and caused severe lesions and mortality in neonatal mice. The differences in replication capacity and in vivo pathogenicity of the CC024 and SHZH05 strains may result from differences in the nucleotide and amino acid sequences of viral functional polyproteins P1, P2 and P3. Our findings suggest that the noncirculating SHZH05 strain may be a safer CV vaccine candidate than the CC024 strain.


Subject(s)
Humans , Anti-Infective Agents/therapeutic use , Drug Utilization Review , Anti-Infective Agents/adverse effects , Anti-Infective Agents/economics , Cost Control , Drug Costs , Drug Resistance, Microbial , Drug Utilization , Drug Utilization Review/methods , Drug Utilization Review/organization & administration , Drug Utilization Review/standards , Outcome and Process Assessment, Health Care , Patient Safety
6.
Braz. j. med. biol. res ; 48(4): 344-348, 4/2015. tab, graf
Article in English | LILACS | ID: lil-744360

ABSTRACT

We aimed to evaluate the effects of the barrier agent sodium carboxymethyl cellulose (SCMC) with and without dexamethasone for the prevention of postoperative adhesion formation in a rat model of postoperative peritoneal adhesion. A total of 160 three-month old male and female Wistar rats underwent a laparotomy, and adhesions were induced by ileocecal abrasion. Rats were randomly assigned to 4 groups (n=40 each): group A, untreated; group B, treated with SCMC only; group C1, treated with SCMC + 3 mg dexamethasone, and group C2, treated with SCMC + 8 mg dexamethasone. After 12 days, adhesion formation and histopathological changes were compared. In groups A, B, C1, and C2, the mortality rates were 10, 5, 5, and 5%, respectively. In groups C1 and C2, the adhesions were filmy and easy to dissect and were milder compared with those in groups A and B. The total adhesion score in group C1 (3.38±0.49) was significantly lower than that of group B (6.01±0.57; P<0.01) or group A (8.01±0.67; P<0.05). There was no significant difference in adhesion formation between groups C1 and C2. Compared with groups A and B, groups C1 and C2 exhibited milder histopathological changes. SCMC in combination with dexamethasone can prevent adhesion formation and is a better barrier agent than SCMC alone. The safety and feasibility of SCMC in combination with dexamethasone to prevent adhesion formation after abdominal surgery warrants further clinical study.


Subject(s)
Animals , Female , Male , Carboxymethylcellulose Sodium/therapeutic use , Dexamethasone/therapeutic use , Peritoneal Diseases/prevention & control , Peritoneum/surgery , Postoperative Complications/prevention & control , Disease Models, Animal , Drug Therapy, Combination/methods , Laparotomy , Random Allocation , Rats, Wistar , Tissue Adhesions/prevention & control
7.
Braz. j. med. biol. res ; 47(12): 1062-1067, 12/2014. graf
Article in English | LILACS | ID: lil-727659

ABSTRACT

The aim of this study was to investigate the effect of propofol pretreatment on lipopolysaccharide (LPS)-induced acute lung injury (ALI) and the role of the phosphoinositide-3-kinase/protein kinase B (PI3K/Akt) pathway in this procedure. Survival was determined 48 h after LPS injection. At 1 h after LPS challenge, the lung wet- to dry-weight ratio was examined, and concentrations of protein, tumor necrosis factor-α (TNF-α), and interleukin-6 (IL-6) in bronchoalveolar lavage fluid (BALF) were determined using the bicinchoninic acid method or ELISA. Lung injury was assayed via lung histological examination. PI3K and p-Akt expression levels in the lung tissue were determined by Western blotting. Propofol pretreatment prolonged survival, decreased the concentrations of protein, TNF-α, and IL-6 in BALF, attenuated ALI, and increased PI3K and p-Akt expression in the lung tissue of LPS-challenged rats, whereas treatment with wortmannin, a PI3K/Akt pathway specific inhibitor, blunted this effect. Our study indicates that propofol pretreatment attenuated LPS-induced ALI, partly by activation of the PI3K/Akt pathway.


Subject(s)
Animals , Male , Acute Lung Injury/drug therapy , /metabolism , Propofol/therapeutic use , Proto-Oncogene Proteins c-akt/metabolism , Signal Transduction/drug effects , Acute Lung Injury/chemically induced , Acute Lung Injury/enzymology , Acute Lung Injury/metabolism , Blotting, Western , Bronchoalveolar Lavage Fluid/chemistry , Enzyme-Linked Immunosorbent Assay , Indicators and Reagents , /analysis , Kaplan-Meier Estimate , Lipopolysaccharides , Lung/drug effects , Lung/metabolism , Propofol/metabolism , Quinolines , Rats, Sprague-Dawley , Tumor Necrosis Factor-alpha/metabolism
8.
Braz. j. med. biol. res ; 47(9): 811-817, 09/2014. tab, graf
Article in English | LILACS | ID: lil-719314

ABSTRACT

We aimed to investigate miRNAs and related mRNAs through a network-based approach in order to learn the crucial role that they play in the biological processes of esophageal cancer. Esophageal squamous-cell carcinoma (ESCC) and adenocarcinoma (EAC)-related miRNA and gene expression data were downloaded from the Gene Expression Omnibus database, and differentially expressed miRNAs and genes were selected. Target genes of differentially expressed miRNAs were predicted and their regulatory networks were constructed. Differentially expressed miRNA analysis selected four miRNAs associated with EAC and ESCC, among which hsa-miR-21 and hsa-miR-202 were shared by both diseases. hsa-miR-202 was reported for the first time to be associated with esophageal cancer in the present study. Differentially expressed miRNA target genes were mainly involved in cancer-related and signal-transduction pathways. Functional categories of these target genes were related to transcriptional regulation. The results may indicate potential target miRNAs and genes for future investigations of esophageal cancer.


Subject(s)
Humans , Adenocarcinoma/genetics , Carcinoma, Squamous Cell/genetics , Esophageal Neoplasms/genetics , MicroRNAs/analysis , RNA, Messenger/analysis , Gene Expression Profiling , Gene Ontology , Microarray Analysis , MicroRNAs/genetics , RNA, Messenger/genetics , Survival Analysis , Signal Transduction/genetics
9.
Braz. j. med. biol. res ; 47(5): 369-375, 02/05/2014. tab, graf
Article in English | LILACS | ID: lil-709431

ABSTRACT

To investigate signal regulation models of gastric cancer, databases and literature were used to construct the signaling network in humans. Topological characteristics of the network were analyzed by CytoScape. After marking gastric cancer-related genes extracted from the CancerResource, GeneRIF, and COSMIC databases, the FANMOD software was used for the mining of gastric cancer-related motifs in a network with three vertices. The significant motif difference method was adopted to identify significantly different motifs in the normal and cancer states. Finally, we conducted a series of analyses of the significantly different motifs, including gene ontology, function annotation of genes, and model classification. A human signaling network was constructed, with 1643 nodes and 5089 regulating interactions. The network was configured to have the characteristics of other biological networks. There were 57,942 motifs marked with gastric cancer-related genes out of a total of 69,492 motifs, and 264 motifs were selected as significantly different motifs by calculating the significant motif difference (SMD) scores. Genes in significantly different motifs were mainly enriched in functions associated with cancer genesis, such as regulation of cell death, amino acid phosphorylation of proteins, and intracellular signaling cascades. The top five significantly different motifs were mainly cascade and positive feedback types. Almost all genes in the five motifs were cancer related, including EPOR, MAPK14, BCL2L1, KRT18, PTPN6, CASP3, TGFBR2, AR, and CASP7. The development of cancer might be curbed by inhibiting signal transductions upstream and downstream of the selected motifs.


Subject(s)
Humans , Data Mining , Gene Regulatory Networks , Signal Transduction/genetics , Stomach Neoplasms/genetics , Amino Acid Motifs/genetics , Cell Death , Carcinogenesis/genetics , Feedback, Physiological , Gene Expression Regulation , Gene Ontology , Molecular Sequence Annotation , Phosphorylation , Stomach Neoplasms/metabolism
10.
Braz. j. med. biol. res ; 46(8): 681-688, ago. 2013. tab, graf
Article in English | LILACS | ID: lil-684528

ABSTRACT

Hepatic oval cells (HOCs) are recognized as facultative liver progenitor cells that play a role in liver regeneration after acute liver injury. Here, we investigated the in vitro proliferation and differentiation characteristics of HOCs in order to explore their potential capacity for intrahepatic transplantation. Clusters or scattered HOCs were detected in the portal area and interlobular bile duct in the liver of rats subjected to the modified 2-acetylaminofluorene and partial hepatectomy method. Isolated HOCs were positive for c-kit and CD90 staining (99.8% and 88.8%, respectively), and negative for CD34 staining (3.6%) as shown by immunostaining and flow cytometric analysis. In addition, HOCs could be differentiated into hepatocytes and bile duct epithelial cells after leukemia inhibitory factor deprivation. A two-cuff technique was used for orthotopic liver transplantation, and HOCs were subsequently transplanted into recipients. Biochemical indicators of liver function were assessed 4 weeks after transplantation. HOC transplantation significantly prolonged the median survival time and improved the liver function of rats receiving HOCs compared to controls (P=0.003, Student t-test). Administration of HOCs to rats also receiving liver transplantation significantly reduced acute allograft rejection compared to control liver transplant rats 3 weeks following transplantation (rejection activity index score: control=6.3±0.9; HOC=3.5±1.5; P=0.005). These results indicate that HOCs may be useful in therapeutic liver regeneration after orthotopic liver transplantation.


Subject(s)
Animals , Female , Male , Rats , Cell Proliferation , Cell Differentiation/physiology , Cell Transplantation/methods , Hepatocytes/cytology , Liver Transplantation/methods , Flow Cytometry , Graft Rejection/diagnosis , Hepatectomy , Immunohistochemistry , Liver/anatomy & histology , Liver/surgery , Primary Cell Culture , Rats, Inbred Lew , Real-Time Polymerase Chain Reaction/methods , Survival Rate
11.
Braz. j. med. biol. res ; 43(1): 17-24, Jan. 2010. tab, ilus
Article in English | LILACS | ID: lil-535634

ABSTRACT

We have demonstrated that a synthetic DNA enzyme targeting early growth response factor-1 (Egr-1) can inhibit neointimal hyperplasia following vascular injury. However, the detailed mechanism of this inhibition is not known. Thus, the objective of the present study was to further investigate potential inhibitory mechanisms. Catalytic DNA (ED5) and scrambled control DNA enzyme (ED5SCR) were synthesized and transfected into primary cultures of rat vascular smooth muscle cells (VSMCs). VSMC proliferation and DNA synthesis were analyzed by the MTT method and BrdU staining, respectively. Egr-1, TGF-â1, p53, p21, Bax, and cyclin D1 expression was detected by RT-PCR and Western blot. Apoptosis and cell cycle assays were performed by FACS. Green fluorescence could be seen localized in the cytoplasm of 70.6 ± 1.52 and 72 ± 2.73 percent VSMCs 24 h after transfection of FITC-labeled ED5 and ED5SCR, respectively. We found that transfection with ED5 significantly inhibited cultured VSMC proliferation in vitro after 24, 48, and 72 h of serum stimulation, and also effectively decreased the uptake of BrdU by VSMC. ED5 specifically reduced serum-induced Egr-1 expression in VSMCs, further down-regulated the expression of cyclin D1 and TGF-â1, and arrested the cells at G0/G1, inhibiting entry into the S phase. FACS analysis indicated that there was no significant difference in the rate of apoptosis between ED5- and ED5SCR-transfected cells. Thus, ED5 can specifically inhibit Egr-1 expression, and probably inhibits VSMC proliferation by down-regulating the expressions of cyclin D1 and TGF-â1. However, ED5 has no effect on VSMC apoptosis.


Subject(s)
Animals , Rats , Cell Proliferation , Cyclin D1/metabolism , Early Growth Response Protein 1/antagonists & inhibitors , Intercellular Signaling Peptides and Proteins/physiology , Muscle, Smooth, Vascular/cytology , Transforming Growth Factor beta1/metabolism , Apoptosis/physiology , Blotting, Western , Catalytic Domain/physiology , Cyclin D1/physiology , DNA , Down-Regulation/physiology , Hyperplasia/prevention & control , Intercellular Signaling Peptides and Proteins/metabolism , Rats, Wistar , Reverse Transcriptase Polymerase Chain Reaction , Tunica Intima/pathology
12.
Biol. Res ; 42(1): 69-77, 2009. ilus, tab
Article in English | LILACS | ID: lil-519085

ABSTRACT

The complete coding sequences of three sheep genes- BCKDHA, NAGA and HEXA were amplified using the reverse transcriptase polymerase chain reaction (RT-PCR), based on the conserved sequence information of the mouse or other mammals. The nucleotide sequences of these three genes revealed that the sheep BCKDHA gene encodes a protein of 313 amino acids which has high homology with the BCKDHA gene that encodes a protein of 447 amino acids that has high homology with the Branched chain keto acid dehydrogenase El, alpha polypeptide (BCKDHA) of five species chimpanzee (93 percent), human (96 percent), crab-eating macaque (93 percent), bovine (98 percent) and mouse (91 percent). The sheep NAGA gene encodes a protein of 411 amino acids that has high homology with the alpha-N-acetylgalactosaminidase (NAGA) of five species human (85 percent), bovine (94 percent), mouse (91 percent), rat (83 percent) and chicken (74 percent). The sheep HEXA gene encodes a protein of 529 amino acids that has high homology with the hexosaminidase A(HEXA) of five species bovine (98 percent), human (84 percent), Bornean orangután (84 percent), rat (80 percent) and mouse (81 percent). Finally these three novel sheep genes were assigned to GenelDs: 100145857, 100145858 and 100145856. The phylogenetic tree analysis revealed that the sheep BCKDHA, NAGA, and HEXA all have closer genetic relationships to the BCKDHA, NAGA, and HEXA of bovine. Tissue expression profile analysis was also carried out and results revealed that sheep BCKDHA, NAGA and HEXA genes were differentially expressed in tissues including muscle, heart, liver, fat, kidney, lung, small and large intestine. Our experiment is the first to establish the primary foundation for further research on these three sheep genes.


Subject(s)
Animals , Cattle , Humans , Mice , Rats , /genetics , Cloning, Molecular , Gene Expression Profiling , Hexosaminidase A/genetics , Sheep/genetics , alpha-N-Acetylgalactosaminidase/genetics , /metabolism , Base Sequence , Chickens , Expressed Sequence Tags , Hexosaminidase A/metabolism , Macaca fascicularis , Pan troglodytes , Phylogeny , Reverse Transcriptase Polymerase Chain Reaction , Sequence Analysis, RNA , Tissue Distribution , alpha-N-Acetylgalactosaminidase/metabolism
13.
Southeast Asian J Trop Med Public Health ; 1999 Mar; 30(1): 42-6
Article in English | IMSEAR | ID: sea-31107

ABSTRACT

The major surface antigen (P30) of the Toxoplasma gondii was expressed by an insect cell culture system infected with recombinant baculovirus. About 750 microg of purified (95% purity) P30 was obtained from a culture of 10(8) insect Sf21 cells. The recombinant P30 was used to immunize mice to induce immune response. Mice injected with the recombinant protein produced specific humoral and cellular immune responses. Immunization with P30 also prolonged the period of survival of mice infected by Toxoplasma. The average survival time of control group is 13.25+/-1.16 days, but are 16.13+/-2.1 days, 19.50+/-3.21 days, 20.38+/-3.38 days in different immunized groups, respectively.


Subject(s)
Animals , Antibodies, Protozoan/blood , Antibody Formation/immunology , Antigens, Protozoan , Baculoviridae/genetics , Blotting, Western , Cloning, Molecular/methods , Drug Evaluation, Preclinical , Gene Expression Regulation, Viral/genetics , Immunity, Cellular/immunology , Mice , Mice, Inbred BALB C , Polymerase Chain Reaction , Protozoan Proteins/genetics , Protozoan Vaccines/immunology , Toxoplasma/immunology , Transfection
14.
Southeast Asian J Trop Med Public Health ; 1997 Sep; 28(3): 476-81
Article in English | IMSEAR | ID: sea-32914

ABSTRACT

One hundred and two Chinese out-patients with naturally acquired, previously untreated, falciparum malaria were selected to evaluate the efficacy of a new combination anti-malaria therapy, CGP 56697 (artemether plus benflumetol). In this open non-comparative trial each patient received a combination of 80 mg artemether and 480 mg benflumetol given orally at 0, 8, 24 and 48 hours (total: 320 mg artemether, 1,920 mg benflumetol). Patients were kept for 28 days in a transmission-free hospital in an area with chloroquine resistant falciparum malaria to prevent reinfection and to aid diagnosis of recrudescence. Progress and possible adverse effects were monitored by blood film parasitology, blood biochemistry assays, urinalysis, ECG and X-ray. Ninety-eight of the 102 patients were shown to be free of infection at 28 days, a 96.1% cure rate. Parasite reduction at 24 hours was 99.4%. Time to effect complete parasite clearance ranged from 24 to 54 hours (median 30 hours). Time for fever clearance ranged from 6 to 78 hours (median 18 hours). Recrudescence was low (3.9%). No significant adverse side-effects were encountered. It is concluded that CGP 56697, a combination anti-malaria therapy of artemether with benflumetol, offered a rapid and highly effective treatment for acute uncomplicated falciparum malaria in an area of chloroquine-resistant malaria in China.


Subject(s)
Administration, Oral , Adolescent , Adult , Antimalarials/therapeutic use , Artemisinins , China , Chloroquine , Drug Combinations , Drug Resistance , Female , Fluorenes/therapeutic use , Humans , Malaria, Falciparum/drug therapy , Male , Middle Aged , Sesquiterpenes/therapeutic use , Time Factors , Treatment Outcome
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