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1.
Oral Oncol ; 135: 106234, 2022 12.
Article in English | MEDLINE | ID: mdl-36335816

ABSTRACT

We reported a case series of thin (n = 32) and ultrathin (n = 4) submental artery perforator flaps (SMAPF) for precise reconstruction following T1-2 oral cavity cancer resection. The former is indicated for tongue reconstruction involving the tongue tip, and buccal lining replacement involving the mouth corner, while the latter is specifically tailored to restore superficial buccal defects after resection of small early cancer originating from oral submucous fibrosis. All flaps survived. Most flap reconstructions reached satisfactory cosmetic results. Based on this series, we discussed the indications of thin and ultrathin SMAPFs in intaoral reconstruction, and surgical tips for flap thinning.


Subject(s)
Mouth Neoplasms , Perforator Flap , Plastic Surgery Procedures , Humans , Perforator Flap/surgery , Mouth Neoplasms/surgery , Plastic Surgery Procedures/methods , Arteries/surgery
2.
Materials (Basel) ; 15(9)2022 Apr 19.
Article in English | MEDLINE | ID: mdl-35591313

ABSTRACT

Polymers have an excellent effect in terms of moderating fast neutrons with rich hydrogen and carbon, which plays an indispensable role in shielding devices. As the shielding of neutrons is typically accompanied by the generation of γ-rays, shielding materials are developed from monomers to multi-component composites, multi-layer structures, and even complex structures. In this paper, based on the typical multilayer structure, the integrated design of the shield component structure and the preparation and performance evaluation of the materials is carried out based on the design sample of the heat-resistant lightweight polymer-based interlayer. Through calculation, the component structure of the polymer-based materials and the three-layer thickness of the shield are obtained. The mass fraction of boron carbide accounts for 11% of the polymer-based material. Since the polymer-based material is the weak link of heat resistance of the multilayer shield, in terms of material selection and modification, the B4C/TiO2/polyimide molded plate was prepared by the hot-pressing method, and characterization analysis was conducted for its structure and properties. The results show that the ball milling method can mix the materials well and realize the uniform dispersion of B4C and TiO2 in the polyimide matrices. Boron carbide particles are evenly distributed in the material. Except for Ti, the other elemental content of the selected areas for mapping is in good agreement with the theoretical values of the elemental content of the system. The prepared B4C/TiO2/polyimide molded plate presents excellent thermal properties, and its glass transition temperature and initial thermal decomposition temperature are as high as 363.6 °C and 572.8 °C, respectively. In addition, the molded plate has good toughness performs well in compression resistance, shock resistance, and thermal aging resistance, which allows it to be used for a long time under 300 °C. Finally, the prepared materials are tested experimentally on an americium beryllium neutron source. The experimental results match the simulation results well.

3.
Int J Biol Sci ; 18(8): 3313-3323, 2022.
Article in English | MEDLINE | ID: mdl-35637972

ABSTRACT

We examined the expression and the potential biological function of HBO1 in non-small cell lung cancer (NSCLC). TCGA and Oncomine databases showed that HBO1 transcripts were elevated in NSCLC. Furthermore, in local NSCLC tumor tissues HBO1 expression was higher than that in matched adjacent lung tissues. In primary and immortalized NSCLC cells, HBO1 shRNA robustly inhibited cell viability, proliferation and migration. Moreover, HBO1 knockout by CRISPR/Cas9 induced significant anti-tumor activity in NSCLC cells. Conversely, ectopic HBO1 overexpression in primary NSCLC cells increased proliferation and migration. H3-H4 histone acetylation and expression of several potential oncogenic genes (CCR2, MYLK, VEGFR2 and OCIAD2) were significantly decreased in NSCLC cells with HBO1 silencing or knockout. They were however increased after HBO1 overexpression. Intratumoral injection of HBO1 shRNA-expressing adeno-associated virus hindered the growth of A549 cell xenografts and primary NSCLC cell xenografts in nude mice. H3-H4 histone acetylation as well as expression of HBO1 and HBO1-dependent genes were decreased in HBO1-silenced NSCLC xenograft tissues. An HBO1 inhibitor WM-3835 potently inhibited NSCLC cell growth. Together, HBO1 overexpression promotes NSCLC cell growth.


Subject(s)
Carcinoma, Non-Small-Cell Lung , Histone Acetyltransferases , Lung Neoplasms , Acetylation , Animals , Carcinoma, Non-Small-Cell Lung/genetics , Histone Acetyltransferases/genetics , Histones/genetics , Histones/metabolism , Humans , Lung Neoplasms/genetics , Mice , Mice, Nude , RNA, Small Interfering/genetics
4.
Rev Sci Instrum ; 93(4): 043104, 2022 Apr 01.
Article in English | MEDLINE | ID: mdl-35489950

ABSTRACT

The uncertainties of spot size and position need to be clarified for x-ray sources as they can affect the detecting precision of the x-ray probe beam in applications such as radiography. In particular, for laser-driven x-ray sources, they would be more significant as they influence the inevitable fluctuation of the driving laser pulses. Here, we have employed the penumberal coded aperture imaging technique to diagnose the two-dimensional spatial distribution of an x-ray emission source spot generated from a Cu solid target irradiated by an intense laser pulse. Taking advantage of the high detection efficiency and high spatial resolution of this technique, the x-ray source spot is characterized with a relative error of ∼5% in the full width at half maximum of the intensity profile in a single-shot mode for general laser parameters, which makes it possible to reveal the information of the unfixed spot size and position precisely. Our results show the necessity and feasibility of monitoring the spot of these novel laser-driven x-ray sources via the penumbral coded aperture imaging technique.

5.
J Clin Med ; 11(5)2022 Mar 03.
Article in English | MEDLINE | ID: mdl-35268487

ABSTRACT

Background: Transcranial color-coded sonography (TCCS) is used as a real-time tool to evaluate patients suspected of having vertebrobasilar insufficiency (VBI). However, the sonographic criteria for VBI remain inconclusive. The purpose of this study was to analyze the velocity in the vertebrobasilar system, which links the risk for posterior circulation infarction (POCI) and total ischemic stroke (TIS) in patients with VBI. Methods: Patients' data were retrospectively reviewed if they were suspected of having VBI within a 2-year period. Baseline characteristics, brain images, and a series of sonography data were recorded and analyzed. We compared vertebrobasilar (VB) velocities in different age groups and in patients with infarctions. Results: A total of 875 patients were enrolled, with 112 and 427 candidates in the POCI and TIS groups, respectively. The mean velocity (MV)s of BA and bilateral VAs were all negatively correlated with age (all p < 0.001). The adjusted odds ratio was 2.55 (1.58−4.13, p < 0.001) in POCI and 1.75 (1.15−2.67, p = 0.009) in TIS if the mean velocity of the VB arteries was below 15 cm/s. Conclusions: Low VB velocity detected in TCCS was more commonly associated with ageing-related changes and a higher risk of both POCI and TIS. Recognition and aggressive treatment for these patients are necessary.

6.
Nanomaterials (Basel) ; 12(5)2022 Feb 23.
Article in English | MEDLINE | ID: mdl-35269241

ABSTRACT

This work presents a novel approach to synthesizing magnetic core-shell nanocomposites, consisting of magnetic nanoparticles and a metal-organic framework, for environmental applications. The synthesis is based on the encapsulation of magnetic Fe3O4 nanoparticles with microporous zeolitic imidazolate framework-8 (ZIF-8) nanocrystals via ultrasonic activation under a continuous supply of precursor solutions. This sonochemical approach is proven to be a fast, cost-effective, and controllable route for the preparation of magnet-responsive Fe3O4@ZIF-8 nanoparticles with a core-shell structure. The functional nanomaterial possesses a high content of ZIF-8 and combined micro/mesoporosity, and thus can be used as adsorbents that can be easily separated using a magnet. In particular, the sonochemically prepared Fe3O4@ZIF-8 exhibits significant adsorption performance for the removal of copper ions from water: a short adsorption time (10 min), high maximum uptake capacity (345 mg g-1), and excellent removal efficiency (95.3%). These performances are interpreted and discussed based on the materials characteristics of Fe3O4@ZIF-8 established by microscopy, gas sorption, X-ray diffraction, and thermal analysis.

7.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-940356

ABSTRACT

ObjectiveTo investigate the nephroprotective and anti-inflammatory effects of Fufang Shelong capsules (FFSL) in rats with membranous nephropathy (MN), and the role of the p38 mitogen-activated protein kinase (MAPK) signaling pathway. MethodMale SD rats of SPF grade were divided into a normal group and an experimental group. The MN model was induced by tail vein injection of cationized bovine serum albumin in the experimental group. After screening, the eligible model rats were included and divided into a positive control group (tripterygium glycosides tablets) and low-, medium-, and high-dose FFSL groups (0.375, 0.75, 1.5g·kg-1). The rats were treated correspondingly for eight weeks, and urine protein was detected during drug intervention. Renal function and inflammation-related indicators were detected after drug intervention. The changes in 24-hour urine total protein (24 h UP), interleukin-6 (IL-6), interleukin-8 (IL-8), tumor necrosis factor-α (TNF-α), creatinine (Cr), blood urea nitrogen (BUN), total protein (TP), albumin (Alb), and total cholesterol (TC) were detected. Flow cytometry was used to detect CD4+/CD8+ changes. Kidney tissues were collected to observe pathological changes under a light microscope and an electron microscope. The protein expression of p38 MAPK and phosphorylated p38 MAPK (p-p38 MAPK) in kidney tissues was detected by Western blot. ResultCompared with the normal group, the model group showed increased 24 h UP (P<0.01), elevated serum Cr, BUN, TC, IL-6, IL-8, and TNF-α (P<0.05,P<0.01), decreased serum Alb and TP levels (P<0.05,P<0.01), increased CD4+/CD8+ in the peripheral blood (P<0.01), and up-regulated protein expression of p38 MAPK and p-p38 MAPK in kidney tissues (P<0.05). Additionally, in the model group, immune complex deposition and foot process fusion, accompanied by infiltration of inflammatory cells, were observed on the epithelial side of the basement membrane in the pathological kidney tissues. Compared with the model group, the groups with drug intervention showed declining 24 h UP levels at six weeks (P<0.05,P<0.01), decreased serum Cr, BUN, TC, IL-6, IL-8, and TNF-α (P<0.05,P<0.01), increased serum Alb and TP levels (P<0.05,P<0.01), reduced CD4+/CD8+ in the peripheral blood (P<0.01), improved renal pathological damage, and down-regulated p38 MAPK and p-p38 MAPK in kidney tissues (P<0.05,P<0.01). ConclusionFFSL can decrease the expression of inflammatory factors, reduce proteinuria, delay kidney damage, and protect kidney function by inhibiting the expression of the p38 MAPK signaling pathway.

8.
Materials (Basel) ; 14(22)2021 Nov 19.
Article in English | MEDLINE | ID: mdl-34832404

ABSTRACT

In this research, a high-boron-content composite material with both neutron and γ rays shielding properties was developed by an optimized design and manufacture. It consists of 304 stainless steel as the matrix and spherical boron carbide (B4C) particles as the functional particles. The content of B4C is 24.68 wt%, and the particles' radius is 1.53 mm. The density of the newly designed material is 5.17 g·cm-3, about 68.02% of that of traditional borated stainless steel containing 1.7 wt% boron, while its neutrons shielding performance is much better. Firstly, focusing on shielding properties and material density, the content and the size of B4C were optimized by the Genetic Algorithm (GA) program combined with the MCNP program. Then, some samples of the material were manufactured by the infiltration casting technique according to the optimized results. The actual density of the samples was 5.21 g cm-3. In addition, the neutron and γ rays shielding performance of the samples and borated stainless steel containing 1.7 wt% boron was tested by using an 241Am-Be neutron source and 60Co and 137Cs γ rays sources, respectively, and the results were compared. It can be concluded that the new designed material could be used as a material for nuclear power plants or spent-fuel storage and transportation containers with high requirements for mobility.

9.
Aging (Albany NY) ; 13(6): 8055-8067, 2021 03 03.
Article in English | MEDLINE | ID: mdl-33686961

ABSTRACT

The homeoprotein SIX1 is upregulated in non-small cell lung cancer (NSCLC) and associated with NSCLC tumorigenesis and progression. We identified microRNA-7160 (miR-7160) as a SIX1-targeting miRNA. RNA immunoprecipitation results confirmed a direct binding between miR-7160 and SIX1 mRNA in NSCLC cells. In the primary and established NSCLC cells, forced overexpression of miR-7160 downregulated SIX1 and inhibited cancer cell growth, proliferation, migration and invasion. Furthermore, miR-7160 overexpression induced apoptosis activation in NSCLC cells. Conversely, miR-7160 inhibition elevated SIX1 expression and enhanced NSCLC cell progression in vitro. Restoring SIX1 expression, by an untranslated region-depleted SIX1 expression construct, reversed miR-7160-induced anti-NSCLC cell activity. CRISPR/Cas9-inudced knockout of SIX1 mimicked miR-7160-induced actions and produced anti-NSCLC cell activity. In vivo, intratumoral injection of miR-7160-expressing lentivirus downregulated SIX1 mRNA and inhibited NSCLC xenograft growth in severe combined immunodeficient mice. Significantly, miR-7160 expression is downregulated in human NSCLC tissues and is correlated with SIX1 mRNA upregulation. Collectively, miR-7160 silenced SIX1 and inhibited NSCLC cell growth in vitro and in vivo.


Subject(s)
Carcinoma, Non-Small-Cell Lung/pathology , Gene Expression Regulation, Neoplastic/physiology , Homeodomain Proteins/metabolism , Lung Neoplasms/pathology , MicroRNAs/metabolism , Animals , Carcinoma, Non-Small-Cell Lung/genetics , Carcinoma, Non-Small-Cell Lung/metabolism , Heterografts , Homeodomain Proteins/genetics , Humans , Lung Neoplasms/genetics , Lung Neoplasms/metabolism , Male , Mice , MicroRNAs/genetics , Middle Aged
10.
Huan Jing Ke Xue ; 42(4): 1923-1929, 2021 Apr 08.
Article in Chinese | MEDLINE | ID: mdl-33742827

ABSTRACT

The specific ammonia uptake rates (SAUR) and ammonia oxidizing bacteria (AOB) community of influent sewage and activated sludge in the 2nd wastewater treatment plant (WWTP) of Xi'an without the primary settling tank were analyzed over multiple years to explore the seasonal effects of the influent AOB on the activated sludge systems. During the experiment, the SAUR of the raw sewage and activated sludge were 0.48-3.02 mg·(g·h)-1 and 0.68-2.25 mg·(g·h)-1, respectively. Meanwhile, the correlation analysis indicated that the monthly SAUR of the raw sewage was highly correlated with that of the activated sludge of the following month (r=0.862,P<0.05), which indicated that influent nitrifiers had a significant effect on the nitrification performance of activated sludge. Considering that the estimated AOB seeding intensities based on the ammonia oxidizing activity were 0.21-0.92 g·(g·d)-1, the nitrifier immigration from the raw sewage should added to the design of WWTP and the activated sludge modeling. Moreover, the qPCR results revealed that the AOB abundance of activated sludge in winter decreased but remained at 1010 cells·g-1, indicating that the immigration of influent nitrifiers could partially compensate for the reduction of the AOB abundance in the activated sludge caused by decreasing temperatures. Finally, the Illumina MiSeq sequencing demonstrated that the shared dominant AOB between the raw sewage and activated sludge were Nitrosomonas sp. Nm58, Nitrosomonas sp. JL21, and bacterium CYCU-0253. These findings can provide theoretical support for the design and operation of a WWTP.


Subject(s)
Sewage , Water Purification , Ammonia , Bacteria/genetics , Bioreactors , Nitrification , Oxidation-Reduction , Seasons
11.
ACS Appl Mater Interfaces ; 13(7): 7945-7954, 2021 Feb 24.
Article in English | MEDLINE | ID: mdl-33588525

ABSTRACT

HJS and DHJS, two near-infrared emissive and mitochondria-targeted therapy probes, have been designed. They exhibited photothermal & photodynamic cytotoxicity and aggregation-induced emission (AIE) characteristics. Interestingly, we could receive fluorescence immediately after adding the probes without washing in 1 min. They could quickly enter cancer cells and selectively localized to the mitochondria firstly. When the concentration of probes was low (<5 µM), they could respond sensitively to the mitochondrial membrane potential and would selectively enter the mitochondria with red fluorescence. However, when the concentration was high (≥5 µM), they would preferentially enter the mitochondria and have the property of dual-channel fluorescence imaging (red and near-infrared) even after 24 h. What's more, they increased the intracellular reactive oxygen species (ROS) levels, decreased the mitochondrial membrane potentials, and then induced apoptosis, which were proved by confocal imaging and flow cytometry experiments. In addition, the results of photothermal experiment and cytotoxicity test showed that the probes had good photothermal and photodynamic toxicity to cancer cells. In vitro and in vivo experiments also proved the excellent near-infrared (NIR) imaging ability, good biocompatibility and certain inhibition of tumor growth ability of DHJS.


Subject(s)
Antineoplastic Agents/pharmacology , Fluorescent Dyes/pharmacology , Mitochondria/drug effects , Photochemotherapy , Prostatic Neoplasms/drug therapy , Animals , Antineoplastic Agents/chemistry , Cell Proliferation/drug effects , Cell Survival/drug effects , Drug Screening Assays, Antitumor , Fluorescent Dyes/chemistry , Humans , Male , Mice , Mice, Inbred BALB C , Mice, Nude , Neoplasms, Experimental/diagnostic imaging , Neoplasms, Experimental/drug therapy , Optical Imaging , PC-3 Cells , Particle Size , Prostatic Neoplasms/diagnostic imaging , Surface Properties , Tumor Cells, Cultured
12.
Cancer Research and Clinic ; (6): 109-113, 2021.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-886017

ABSTRACT

Objective:To investigate the expressions of krüppel-like factor 4 (KLF4) in human glioma tissues and its effect on the activity of tumor cells.Methods:The glioma tissues specimens of 74 patients with primary malignant gliomas who were admitted to Nanyang Second General Hospital of Henan Province from March 2018 to May 2019 were collected. During the same period, 50 cases of benign meningioma tissues and 31 cases of normal brain tissues receiving surgery because of head injury were also collected. Real-time fluorescence quantitative polymerase chain reaction (RT-PCR) was used to detect the expression of KLF4 mRNA in tissues. Glioma U-87MG cells were selected and the glioma cell models with low-expression of KLF4 were constructed and were divided into the blank control group, KLF4-NC group and KLF4-siRNA group. The proliferation ability of cells was detected by using MTS cell proliferation detection kit, and the expression levels of E-cadherin, vimentin and zonula occludens protein 1 (ZO-1) were detected by using Western blot.Results:The relative expression level of KLF4 mRNA in low-grade glioma, benign meningioma, and normal brain tissues was 0.26±0.04, 0.13±0.02, 0.11±0.02, respectively, which were lower than that in high-grade glioma(0.34±0.06), and the difference was statistically significant ( t = 8.381, 15.720, 15.984, all P<0.05). The relative expression level of KLF4 mRNA in benign meningiomas and normal brain tissues was lower than that in low-grade gliomas, and the difference was statistically significant ( t = 13.771, 14.239, all P<0.05). At each time point of cell culture, the proliferation ability of U-87MG cells in KLF4-siRNA group was lower than that of the blank control group and KLF4-NC group, and the difference was statistically significant (all P < 0.05). There was no significant difference in U-87MG cell proliferation ability between the blank control group and KLF4-NC group ( P > 0.05). The relative expression level of E-cadherin and ZO-1 protein in KLF4-siRNA group was 0.82±0.10, 0.79±0.11, respectively, which were higher than that in the blank control group (0.24±0.08, 0.39±0.05) and KLF4-NC group (0.26±0.05, 0.42±0.09), and the difference was statistically significant (all P < 0.01); and the relative expression level of vimentin in KLF4-siRNA group (0.31±0.08) was lower than that in the blank control group (0.90±0.08) and KLF4-NC group (0.92±0.05), and the difference was statistically significant (all P < 0.01). There was no statistically significant difference in the expression level of E-cadherin, vimentin and ZO-1 between the blank control group and KLF4-NC group (all P > 0.05). Conclusion:The expression level of KLF4 is increased in human glioma tissues, especially in high-grade glioma. Down-regulating the expression of KLF4 may inhibit glioma cell proliferation and epithelial-mesenchymal transition, and reduce cell activity.

14.
Huan Jing Ke Xue ; 41(8): 3691-3698, 2020 Aug 08.
Article in Chinese | MEDLINE | ID: mdl-33124343

ABSTRACT

The long-term effects of a decreasing temperature on the nitrification performance, biofilm characteristics, and nitrifier community in a moving-bed biofilm reactor (MBBR) and integrated fixed-film activated sludge (IFAS) system were investigated at various temperatures (20, 15, and 10℃) to explore the adaptability of nitrifying biofilm systems to low temperatures. During the experiment, the extracellular polymeric substances (EPS) in the biofilms increased with decreasing temperature, which resulted in an increased biofilm mass and thickness. As there was only a biofilm phase in the MBBR to remove ammonia, the part of the carriers in the MBBR at 10℃ became plugged, which partially led to a deterioration in the effluent water quality. This indicated that the IFAS system was more adaptable to low temperatures than was the MBBR. Meanwhile, the results for the nitrifier activities showed that, although the nitrification contribution rate of the suspended phase in the IFAS system always dominated during the experiment, that of the fixed phase with regards to the ammonia uptake rate (AUR) gradually increased from 30.72% at 20℃ to 39.85% at 10℃. This indicated that the biofilm played an enhanced role in nitrification in the IFAS system. Moreover, the qPCR results revealed that the nitrifier copies of the number of biofilms increased slightly with decreased temperature, and coincided with an increase in biomass, which partially compensated for the decreased nitrification activity. These findings provide a theoretical basis for the application of the biofilm systems to wastewater treatment.


Subject(s)
Biofilms , Sewage , Bioreactors , Nitrification , Temperature
15.
Phys Rev Lett ; 125(4): 044802, 2020 Jul 24.
Article in English | MEDLINE | ID: mdl-32794799

ABSTRACT

The production of a highly polarized positron beam via nonlinear Breit-Wheeler processes during the interaction of an ultraintense circularly polarized laser pulse with a longitudinally spin-polarized ultrarelativistic electron beam is investigated theoretically. A new Monte Carlo method employing fully spin-resolved quantum probabilities is developed under the local constant field approximation to include three-dimensional polarization effects in strong laser fields. The produced positrons are longitudinally polarized through polarization transferred from the polarized electrons by the medium of high-energy photons. The polarization transfer efficiency can approach 100% for the energetic positrons moving at smaller deflection angles. This method simplifies the postselection procedure to generate high-quality positron beams in further applications. In a feasible scenario, a highly polarized (40%-65%), intense (10^{5}-10^{6}/bunch), collimated (5-70 mrad) positron beam can be obtained in a femtosecond timescale. The longitudinally polarized positron sources are desirable for applications in high-energy physics and material science.

16.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao ; 42(2): 275-278, 2020 Apr 28.
Article in Chinese | MEDLINE | ID: mdl-32385038

ABSTRACT

Fibrous meningioma is a common subtype of meningioma. Contrast-enhanced scan typically shows evident homogeneous enhancement,while ring enhancement has not been described. In this article,we report a case of fibrous meningioma with ring enhancement in cerebellopontine angle region.


Subject(s)
Cerebellopontine Angle/diagnostic imaging , Meningeal Neoplasms/diagnostic imaging , Meningioma/diagnostic imaging , Cerebellopontine Angle/pathology , Humans , Magnetic Resonance Imaging
17.
Cancer Med ; 9(5): 1683-1693, 2020 03.
Article in English | MEDLINE | ID: mdl-31945265

ABSTRACT

BACKGROUND: Pembrolizumab (Pembro) in combination with chemotherapy has been approved for the treatment of pretreated advanced NSCLC in the United States and China for its significant efficacy. However, the cost-effectiveness is unknown considering Pembro's high price. The impact of programmed death ligand 1 (PD-L1) test on the cost-effectiveness is also unknown. The current study assessed the cost-effectiveness of combination therapy for nonsquamous NSCLC from the United States and China public payers' perspective. MATERIALS AND METHODS: A literature-based Markov model was conducted using KEYNOTE-189 trial data to compare cost and quality-adjusted life years (QALYs) of three treatment strategies for nonsquamous NSCLC: Pembro-chemotherapy combination and chemotherapy strategy without PD-L1 test, and treatment strategy according to their PD-L1 status. RESULTS: In base case analysis, the combination strategy generated an additional 0.78 QALYs and 0.59 QALYs over chemotherapy in the United States and China respectively, resulting in an ICER of $132 392/QALY in the United States and $92 533/QALY in China. In the PD-L1 ≥1% base case, the ICERs were $77 754/QALY and $56 768/QALY respectively in the United States and China for PD-L1 test strategy. In the PD-L1 ≥50% base case, the ICERs were $44 731/QALY and $34 388/QALY respectively in the United States and China for PD-L1 test strategy. Lowering Pembro price can also partly decrease the ICERs. CONCLUSION: Compared with chemotherapy, the combination strategy is not cost-effective for the treatment of NSCLC in the American and Chinese health care system at WTP threshold of $100 000/QALY for the United States and $27 351/QALY for China. Using PD-L1 test for patient selection and price reduction could improve the cost-effective probabilities of immunotherapy for nonsquamous NSCLC.


Subject(s)
Antibodies, Monoclonal, Humanized/administration & dosage , Antineoplastic Combined Chemotherapy Protocols/administration & dosage , B7-H1 Antigen/analysis , Carcinoma, Non-Small-Cell Lung/drug therapy , Lung Neoplasms/drug therapy , Antibodies, Monoclonal, Humanized/economics , Antineoplastic Combined Chemotherapy Protocols/economics , B7-H1 Antigen/metabolism , Carcinoma, Non-Small-Cell Lung/economics , Carcinoma, Non-Small-Cell Lung/mortality , Carcinoma, Non-Small-Cell Lung/pathology , China/epidemiology , Clinical Trials, Phase III as Topic , Cost Savings/statistics & numerical data , Cost-Benefit Analysis/statistics & numerical data , Health Care Costs/statistics & numerical data , Humans , Kaplan-Meier Estimate , Lung/pathology , Lung Neoplasms/economics , Lung Neoplasms/mortality , Lung Neoplasms/pathology , Markov Chains , Patient Selection , Progression-Free Survival , Quality-Adjusted Life Years , United States/epidemiology
18.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-782444

ABSTRACT

OBJECTIVE@#To compare the clinical features and follow-up results of systemic lupus erythematosus (SLE) between boys and girls.@*METHODS@#A retrospective analysis was performed for the clinical data of 79 children (18 boys and 61 girls), aged ≤14 years, who were diagnosed with SLE from 2008 to 2018. The boys and the girls were compared in terms of initial and major clinical symptoms, injury of organs/systems, related laboratory markers, and follow-up results.@*RESULTS@#As for the initial and non-initial symptoms, fever had the highest incidence rate in the boys, while facial erythema had the highest incidence rate in the girls. The boys tended to develop renal injury and hematological damage (P80%) of anti-nuclear antibody, dsDNA, complement C3, and erythrocyte sedimentation rate in both boys and girls (P>0.05). The boys had a significantly higher disease activity than the girls at the first visit and in year 9 of follow-up (P<0.05). A one-month to ten-year follow-up showed that among the boys, 3 were lost to follow-up, 1 died, 7 were well controlled but required oral administration of large doses of hormones or immunosuppression, 2 progressed to chronic renal failure, and 1 developed lupus encephalopathy. Among the girls, 3 were lost to follow-up; 5 died; 34 were well controlled, among whom 5 were maintained on oral prednisone acetate with a dose of <10 mg, 1 was withdrawn from the drug for 1 year, and 2 were withdrawn from the drug for 2 years; 4 developed lupus encephalopathy; 1 developed depression and anxiety and had suicidal tendency in the 7th year after disease onset; 2 experienced impaired vision, blurred vision, and chloropsia; 1 developed a vascular necrosis of both femoral heads in the 3rd year of hormone administration.@*CONCLUSIONS@#There are differences in clinical features, several laboratory markers, and prognosis between boys and girls with SLE. Boys tend to have a high severity at disease onset, develop renal injury and hematological damage, and have poor long-term prognosis, while girls tend to have joint involvement.

19.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-664579

ABSTRACT

Aim To evaluate the effects of salvianolic acid B ( Sal B ) on bone metabolism and its potential mechanism in high fat diet ( HFD) mice.Methods Thirty C57BL/6J male mice were divided into three groups with 10 mice each, namely normal , HFD and HFD+Sal B.HFD and HFD+Sal B mice were treated with HFD, and HFD+Sal B group mice were also with Sal B (125 mg· kg -1· d-1).After 12 weeks' treat-ment, femurs were harvested .The effects of Sal B on biomechanical strength were evaluated by biomechani-cal tests, and the effects of Sal B on bone microstruc-ture were evaluated by Safranin O/fast green staining and hematoxylin and eosin staining .The expression of nuclear factor-kappa B ( NF-κB)-p65 and NADPH ox-idase 4 ( Nox4 ) and cathepsin K in femurs was deter-mined by immunohistochemical staining . Results Maximum load and elastic load significantly decreased ,and the trabeculae became thinner and irregular in the femurs of HFD mice , while Sal B treatment could re-verse the descending biomechanical strength and the disorganized femurs bone micro-structures in HFD mice.In addition, the expressions of Nox4, NF-κB-p65 and cathepsin Kmarkedly increased in HFD mice , and Sal B possessed the ability to down-regulate the ex-pression of Nox4, NF-κB-p65, and cathepsin K in the femurs triggered by HFD .Conclusions Sal B treat-ment improves bone metabolism via regulating Nox 4/NF-κB/cathepsin K signaling pathway in HFD mice . The findings contribute to the understanding and exten-sion of the applications of Salvia miltiorrhiza and its constituents on osteoporosis .

20.
Colloids Surf B Biointerfaces ; 157: 261-267, 2017 Sep 01.
Article in English | MEDLINE | ID: mdl-28601754

ABSTRACT

Fullerenols, known as polyhydroxylated derivatives of fullerene, have attracted great attention due to their distinctive material properties and potential applications in biology and medicine. As a step toward the elucidation of basic behavior in biological systems, a variety of spectroscopic measurements as well as isothermal titration calorimetry (ITC) were applied to study the interaction between fullerenol (C60(OH)44) and serum proteins (bovine serum albumin (BSA) and γ-globulins). The results of fluorescence spectra indicated that the intrinsic fluorescence of proteins could be effectively quenched by the dynamic mechanism. The affinity values of both proteins bound to fullerenol were of the same order of magnitude. Meanwhile, ITC results showed that the interaction between fullerenol and BSA was enthalpy favorable, while the interaction with γ-globulins was enthalpy unfavorable. Furthermore, fullerenol had little influence on the secondary structure of both proteins. Additional cytotoxicity tests showed that the presence of proteins attenuated the toxic effect of fullerenol on human normal gastric epithelial cell line (GES-1). Thus, the interaction between fullerenol and proteins is indispensable to evaluate the biosafety of fullerenol, which may in turn promotes the development of its biological applications.


Subject(s)
Fullerenes/chemistry , Serum Albumin, Bovine/chemistry , gamma-Globulins/chemistry , Calorimetry , Cell Line , Fullerenes/adverse effects , Humans , Protein Binding , Thermodynamics
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