Research progress of anti-acute marrow leukemia drugs by targeting FLT3 / 药学学报

Acute myeloid leukemia (AML) is a genetic heterogeneous disease in which primordial and juvenile myeloid cells proliferate or accumulate abnormally in bone marrow, peripheral blood and other tissues, resulting in damage to normal hematopoietic function. Studies have shown that about 30% of AML patients have FMS-like tyrosine kinase 3 (FLT3), FLT3 abnormal regulation is closely related to the occurrence and development of AML. At present, FLT3 has become an important target for developing small molecular targeted drugs. Currently, a variety of FLT3 inhibitors and FLT3 degraders have been developed targeting FLT3, and some compounds have exhibited good anti-AML activity. This article summarizes and sorts out the current mainstream drugs for AML therapeutic targeting FLT3, in order to provide a reference for the development and design of AML drugs.

Diagnosis, impact and management of hyperhidrosis including endoscopic thoracic sympathectomy

@#Introduction: Hyperhidrosis is a disorder of excessive and uncontrollable sweating beyond the body’s physiological needs. It can be categorised into primary or secondary hyperhidrosis based on its aetiology. Detailed history review including onset of symptoms, laterality of disease and family history are crucial which may suggest primary hyperhidrosis. Secondary causes such as neurological diseases, endocrine disorders, haematological malignancies, neuroendocrine tumours and drugs should be adequately examined and investigated prior to deciding on further management. The diagnosis of primary hyperhidrosis should only be made only after excluding secondary causes. Hyperhidrosis is a troublesome disorder that often results in social, professional, and psychological distress in sufferers. It remains, however, a treatment dilemma among some healthcare providers in this region. Methods: The medical records and clinical outcomes of 35 patients who underwent endoscopic thoracic sympathectomy for primary hyperhidrosis from 2008 to 2018 in Department of Cardiothoracic Surgery were reviewed. Results: The mean age of the patients was 27±10.1years, with male and female distribution of 18 and 17, respectively. Fifty-one percent of patients complained of palmar hyperhidrosis, while 35% of them had concurrent palmaraxillary and 14% had palmar-plantar-axillary hyperhidrosis. Our data showed that 77% (n=27) of patients were not investigated for secondary causes of hyperhidrosis, and they were not counselled on the non-surgical therapies. All patients underwent single-staged bilateral endoscopic thoracic sympathectomy. There was resolution of symptoms in all 35 (100%) patients with palmar hyperhidrosis, 13(76%) patients with axillary hyperhidrosis and only 2 (50%) patients with plantar hyperhidrosis. Postoperatively 34.3% (n=12) of patients reported compensatory hyperhidrosis. There were no other complications such as pneumothorax, chylothorax, haemothorax and Horner’s Syndrome. Conclusion: Clinical evaluation of hyperhidrosis in local context has not been well described, which may inadvertently result in the delay of appropriate management, causing significant social and emotional embarrassment and impair the quality of life of the subjects. Detailed clinical assessment and appropriate timely treatment, be it surgical or non-surgical therapies, are crucial in managing this uncommon yet distressing disease.

Intestinal absorption properties of ponicidin by single pass perfusion model in rats / 中国中药杂志

To determine the absorption properties and study the intestinal absorption kinetics of poncidin in rats. In situ single pass perfusion model was combined with High Performance Liquid Chromatography-Mass Spectrometry (HPLC-MS/MS) method to investigate the intestinal absorption characteristics and calculate absorption parameters with aspects of drug absorption, concentration and perfusion medium. The absorption of poncidin under acid condition at pH 6.5 was more stable, where intestinal enzymes showed little influence on metabolism, and the absorption was significantly higher than that in pH alkaline condition at pH 8.0 (<0.05). Drug concentrations had no significant influence on absorption rate constant of the same intestinal segment Ka and apparent permeability coefficient Papp values of poncidin. Different concentrations of poncidin showed no significant differences in the Ka and Papp values among duodenum, jejunum and colon, but the values were significantly lower than ileum absorption parameters, with significant differences (<0.05). There was no significant effect of verapamil on intestinal absorption of poncidin. The results showed that poncidin could be absorbed at all the studied intestinal segments while ileum seemed to be the best absorption segment in the concentration range of 10-1 000 μg·L⁻¹. The absorption was characterized by a linear dynamic process of passive transport, without absorption saturation. Weak acid environment was helpful for the intestinal absorption of poncidin, and ponicidin was not a substrate of P-glycoprotein (P-gp).

Interaction and mechanism between poinicidin and BSA / 中国中药杂志

To establish a sensitive and specific LC-MS/MS method for determination of the binding conditions of ponicidin with bovine serum albumin (BSA) and analysis of its mechanism. The protein binding rates and related binding constants of ponicidin in BSA samples were determined by ultrafiltration and LC-MS/MS. Scatchard equation was used to calculate the binding constant (Ka) of ponicidin in BSA samples as well as the number of binding sites (n), and the mechanism on ponicidin binding with BSA was explored. The results showed that the average protein binding rate of ponicidin with BSA was 57.2%, mainly as grade Ⅰ intensive binding, and the relevant binding constant was 2.54×104 L•μg⁻¹, with a binding site number of n=0.75. The binding of ponicidin with BSA had no concentration dependence within the investigated concentrations. The established method in this study showed high sensitivity, specificity, simple operation and met the analysis requirements, and the calculation of binding constant laid foundation for the clinical drug interactions and pharmacokinetics research.

Comparison of computed tomography versus magnetic resonance imaging in assessing radiofrequency ablation margins after radiofrequency ablation in patients with hepatocellular carcinomas / 中国医学科学院学报

<p><b>OBJECTIVE</b>To assess the diagnostic value of magnetic resonance imaging (MRI) in the follow-up of patients with hepatocellular carcinomas treated with radiofrequency ablation (RFA) and to compare it with that of computed tomography (CT).</p><p><b>METHODS</b>From December 2009 to September 2011, 40 patients (47 hepatocellular carcinomas) were treated with RFA after transcatheter arterial chemoembolization and underwent MRI and CT for follow-up. RFA margins were assessed on a five-point scale with receiver operating characteristic curve analysis. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were evaluated.</p><p><b>RESULTS</b>The interobserver agreement rate for MRI was significantly higher (Kappa=0.935) than for CT (Kappa=0.714; P < 0.05). The scores of 1 and 5 points for MRI, which confirms the presence or absence of residual tumor, accounted for 89.4% (84/94), while for CT accounting for only 31.9% (30/94). The area under the receiver operating characteristic curve of MRI was significantly higher than that of CT (P < 0.05), as were the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of detection rate (mean, 100%, 96.4%, 76.9%, 100%, and 96.8% for MRI, respectively, vs. 30.0%, 57.1%, 10.3%, 87.7%, and 63.8% for CT).</p><p><b>CONCLUSION</b>MRI is superior to CT in assessing the RFA margins in terms of the diagnostic accuracy and detection rate .</p>

Psychological factors influencing individual seasickness / 第二军医大学学报

Objective: To explore the psychological factors influencing seasickness in different individuals, so as to provide guidelines for prevention and treatment of seasickness from psychological perspective. Methods: Medical undergraduate students (n=124) were subjected to the following tests before training on the sea: rod and frame apparatus, motion sickness history questionnaire, seasickness self-efficacy scale, body vigilance scale, EPQ, and state-trait anxiety inventory. The total number of valid questionnaires was 123. During sailing the seasickness state of students was assessed by Graybiel's diagnostic criteria based on their seasickness symptoms and signs. Results: Among the 123 students 75 had seasickness and 48 did not have. Single factor analysis showed that motion sickness history and seasickness self-efficacy were statistically significant(P<0.001). Binary logistic regression analysis also showed motion sickness history and seasickness self-efficacy were statistically significant (P< 0.05), indicating they were the important psychological factors influencing the development of seasickness. Conclusion: Motion sickness history and seasickness self-efficacy may provide important guidelines for psychological training on anti-seasicknes.

Investigation and research in self-congruence characteristic of nurses in military hospitals / 中国实用护理杂志

Objective To understand the state of self-congruence in nurses and discuss their rela-tion with psychological health. Methods Self coasisteney and congruence scale (SCCS) and state-trait anxiety inventory (STAI)were used to test 216 nurses. Results The degree of self-congruence of nurses was relatively low,difference existed in self-congruence among nurses in different departments (P<0.05). Self-congruence was significantly related with state-trait anxiety(P<0.01). Conclusions Selective psy-chological intervention needs be given to some nurses to maintain their psychological health.

Psychological factors influencing individual seasickness / 第二军医大学学报

Objective:To explore the psychological factors influencing seasickness in different individuals, so as to provide guidelines for prevention and treatment of seasickness from psychological perspective. Methods: Medical undergraduate students (n=124) were subjected to the following tests before training on the sea: rod and frame apparatus, motion sickness history questionnaire, seasickness self-efficacy scale, body vigilance scale, EPQ, and state-trait anxiety inventory. The total number of valid questionnaires was 123. During sailing the seasickness state of students was assessed by Graybiel’s diagnostic criteria based on their seasickness symptoms and signs. Results: Among the 123 students 75 had seasickness and 48 did not have. Single factor analysis showed that motion sickness history and seasickness self-efficacy were statistically significant(P

A psychology review on seasickness prevention and treatment / 第二军医大学学报

Seasickness is a leading factor causing reduction in battle efficiency, and psychological factor is one of the important factors influencing the development and progression. This article reviews the mechanism, affecting factors, predictive indications, prevention and treatment of seasickness from a psychological perspective, in an attempt to provide psychological guidelines for military training, enhance the anti-seasickness ability of military staff and decrease its incidence.