Impact of extracellular alkalinization on the survival of human CD24-/CD44+ breast cancer stem cells associated with cellular metabolic shifts

Cancer stem cells reside in a distinct region within the tumor microenvironment that it is believed to play a fundamental role in regulating stemness, proliferation, survival, and metabolism of cancer cells. This study aimed to analyze the effect of extracellular alkalinization on metabolism and survival of human CD24-/CD44+ breast cancer stem cells (BCSCs). BCSCs were cultured in alkalinized DMEM-F12 and incubated at 37°C, 5% CO2, and 20% O2 for 30 min, 6, 24, and 48 h. After each incubation period, we analyzed the modulation of various mRNA expressions related to pH and cellular metabolic regulation using the qRT-PCR. Metabolic state was measured using colorimetric and fluorometric assays. To examine cell proliferation and apoptosis, we used trypan blue and annexin V/propidium iodide assay, respectively. This study demonstrated that alkalinization could stimulate extracellular carbonic anhydrase (CAe) activity, as well as CA9 and HIF1α expression. Under alkaline pH and HIF1α regulation, glucose consumption, extracellular lactate production, and LDH activity of BCSCs were upregulated while O2 consumption was downregulated. These metabolic shifts seemed to promote apoptosis and suppress the proliferation of BCSCs. To conclude, modulation of the extracellular environment through alkalinization could change the metabolic states of BCSCs, which in turn affect the cell survival.

Efeito do bicarbonato de sódio no tratamento de vinhaça em AnSBBR operado a 55 e 35ºC / Effect of the sodium bicarbonate in the treatment of vinasse in AnSBBR operated at 55 and 35ºC

Avaliou-se a influência do bicarbonato de sódio (NaHCO3) no desempenho do reator anaeróbio batelada sequencial com biomassa imobilizada tratando vinhaça a 55 e a 35ºC. O reator foi preenchido com espuma de poliuretano e agitado a 300 rpm. A adaptação a 55ºC estendeu-se por 50 dias, tendo o reator sido alimentado com vinhaça (DQO de 0,3 a 1,0 g/L). Para a operação a 35ºC, procedeu-se inicialmente ao enriquecimento da população metanogênica, durante 21 dias, com substrato à base de etanol (2,5 gDQO/L). Posteriormente, cargas orgânicas volumétricas (COV) de 0,85 a 5,70 gDQO/L.d foram aplicadas no reator a 55ºC, com suplementação de 1,2 a 0,4 gHCO3-/gDQO. A 35ºC, o reator foi submetido a COV de 2,85 a 36,0 gDQO/L.d com 0,4 a 0,2 gHCO3-/gDQO. A remoção de DQO variou de 43 a 78 por cento a 55ºC e de 75 a 85 por cento a 35ºC. A suplementação de alcalinidade mostrou-se essencial para a estabilidade do processo, sendo requerida em menor quantidade a 35ºC.

The influence of the sodium bicarbonate (NaHCO3) on the performance of an anaerobic sequencing batch biofilm reactor treating vinasse at 55 and 35ºC was evaluated. The reactor was filled with polyurethane foam and agitated at 300 rpm. The acclimatization period at 55ºC lasted 50 days, and the reactor was fed with vinasse (COD from 0.3 to 1.0 g/L). A previous enrichment of methanogenic population was provided for the reactor operated at 35ºC, feeding it with an ethanol based substrate (2.5 gCOD/L) during 21 days. Further on, organic loading rates (OLR) ranging from 0.85 to 5.70 gCOD/L.d were applied to the reactor at 55ºC, supplemented with 1.2 to 0.4 gHCO3-/gCOD. At 35ºC the reactor was subjected to OLR ranging from 2.85 to 36.0 gCOD/L.d with 0.4 to 0.2 gHCO3-/gCOD. COD removal ranged from 43 to 78 percent at 55ºC and from 75 to 85 percent at 35ºC. Alkalinity supplementation was found to be essential for process stability, but the amount required was lower at 35ºC.

Rocuronium Injection Pain is Attenuated by NaHCO3 / 대한마취과학회지

BACKGROUND: Rocuronium administration is associated with a severe burning pain during injection. However, the mechanistic cause of the pain has not been well established. The purpose of this study was to determine whether adjusting the pH of the rocuronium with NaHCO3 would ameliorate the pain. METHODS: We examined mixtures using microscope after NaHCO3 was mixed with rocuronium to exam solubility. Sixty of 80 patients scheduled for elective gynecologic surgery were randomly allocated to one of three groups as follows: group 1 (rocuronium only, n = 20), group 2 (rocuronium 50 mg/5 ml mixed with 0.9% NaCl 3 ml, n = 20), group 3 (rocuronium 50 mg/5 ml mixed with NaHCO3 3 ml, n = 20). All patients received 0.6 mg/kg of rocuronium over 10 sec and were asked to assess pain using a visual analogue scale (VAS) followed by injection of propofol 1.5 mg/kg and fentanyl 100 mcg. The onset and duration of rocuronium were measured in three groups. Twitch responses to cumulative incremental doses of rocuronium were measured in another 20 patients, allocated to group A (rocuronium only, n = 10) or group B (rocuronium 50 mg/5 ml mixed with NaHCO3 3 ml, n = 10). RESULTS: Over 24 hours, no precipitation or particles were found after mixing NaHCO3 with rocuronium. The VAS was significantly lower in group 3 (0.5+/-0.9) than in group 1 (5.4+/-3.2) or in group 2 (4.9+/-2.1) (P < 0.05). Eighteen of 20 patients in group 3 had no pain and only 2 had mild pain, but all patients in groups 1 and 2 had mild to severe pain. There were no differences in onset or duration between the three groups and in twitch responses between group A and B. CONCLUSIONS: NaHCO3 mixed with rocuronium attenuates rocuronium injection pain, and there were no problems or complications.

Investigation of increasing efficacy of aterial infusion of NaHCO3 to solid malignant tumors in interventional chemotherapy / 中国临床药理学与治疗学

Aim To observe the effect of interventional therapy of 5-fluorouracil(5-Fu), mitomycin C (MMC) and adriamycin (ADM) on solid malignant turmors in association with aterial infusion of NaHCO3.Methods Patients were randomly divided into two groups.With Seldinger technique,through the femoral atery to tumor atery.The patients in the control group were infused by anticarcinoma agents simply ,and patients in the treatment group were initially infused by NaHCO3,and then by NS 30 ml and anticarcinoma agents seperately. Results Partial remission (PR) in the group treated with NaHCO3 and anticarcinoma agents was significantly higher than in the group treated simply with anticarcinoma agents.Conclusion Aterial infusion of NaHCO3 into malignant tumors can increase the efficacy of ADM,MMC and 5-Fu.

Analysis of causes and management of bronchus-pleural fistula after pneumonectomy of lung cancer / 中国癌症杂志

Purpose: To evaluate the causes and management of bronchial pleural fistula after pneumonectomy. Methods: Retrqspective analysis for Bronchus-pleural fistula( BPF) of 16 cases after pneumonectomy of 820 cases of lung cancer in our hospital. BPF occurred in right peumonectomy( 13/320) is more than in left pneumonectomy(3/500) . BPF occurred in the positive stump of bronchus ( 10/41) more than in negative stump of bronchus (6/779) ; BPF occurred in preoperative chemotherapy cases( 5/110) more than in non-preoperative chemotherapy cases( 11/710), No BPF occurred in the 70 cases in which the bronchial stump was covered by autogenous tissue. The management principle in early stage is thoracocentesis and wash with antibiotics; after identification of the infection in thoracic cavity or BPF, closed drainage for thorax was done. If the results of drainage are not very good, open drainage is necessary. Results: 2 cases were discharged with completely healing, (the cavity of 1 case was washed again and again with 5% NaHC03and urokinase , another case was operated again to cover the BPF using muscle flaps 3 days after the first operation), 8 cases were discharged with closed drainage, 4 cases were discharged with open drainage changing the wound covering every day, the BPF did not heal for a long time after open drainage in 1 case, 1 case died of function failure of body organs. Conclusions: BPF is related to management of the bronchial stump and radical resection for tumor, It is a useful method to cover the bronchial stump with autogenous tissues to decrease BPF's, especially for right pneumonectomy and preoperative chemotherapy or radiotherapy cases. The management principle of BPF is thoracocentesis for early cases, especially washing with antibiotics and 5% NaHC03and urokinase repeatedly, closed drainage when necessary is also a good method for curing empyema and BPF.