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1.
J Plast Reconstr Aesthet Surg ; 76: 315-321, 2023 Jan.
Article in English | MEDLINE | ID: mdl-36428198

ABSTRACT

BACKGROUND: To correct nasal tip cephalic rotation, SEG made of cartilage or Medpor are often used in rhinoplasty. These techniques require extensive experience for the surgeon, and not all patients can accept this procedure. In this research, we introduce a new method to correct nasal tip cephalic rotation that is relatively simple and rapid. METHODS: Fifty-nine patients who had rhinoplasty using our scaffold were enrolled in the study between January 2020 and January 2021. The authors evaluated the change of nasolabial angel by photogrammetry using standardized clinical photogrammetric techniques. Patients' satisfaction regarding postoperative results was also surveyed. RESULTS: The mean postoperative follow-up duration was 12 months. No complication (infection, extrusion, and displacement) was happened in all patients. Analysis showed our scaffold can correct nasal tip cephalic rotation effectively (98.61±1.21 preoperatively and 89.68±0.99 postoperatively, P<0.0001). And the patient satisfaction rate is 98%. CONCLUSION: We constructed an integrated scaffold by simply folding and suturing a high-density polyethylene sheet (Su-Por) sheet to correct nasal tip cephalic rotation. Using the scaffold we designed, we did not need to alter the structure of the nasal septum, which reduced the operative duration and simplified the surgical procedure.


Subject(s)
Nasal Septum , Rhinoplasty , Humans , Rotation , Treatment Outcome , Nasal Septum/surgery , Rhinoplasty/methods , Polyethylene
2.
J Hazard Mater ; 442: 130115, 2023 01 15.
Article in English | MEDLINE | ID: mdl-36303349

ABSTRACT

The enhancement of electron transport process on multiple channels of C-Fe and C-S-Fe bonds between dual-reaction centres was investigated for stimulating the antibiotics degradation in Fenton-like processes. Herein, multiple channels structure of sulfur-doped carbon coupled Fe7S8 cluster through C-Fe bond and C-S-Fe bond was constructed through density functional theory (DFT), and S-doped carbon framework coated Fe7S8 nanoparticles (Fe7S8/SC) Fenton-like catalyst was prepared through hydrothermal and subsequent sulfuration process. The DFT calculations revealed that electrons are thermodynamically transferred from carbon to iron along both C-Fe and C-S-Fe bonds. The optimized Fe7S8/SC catalyst exhibited desirable catalytic property for Fenton-like degradation for various antibiotics, the removal of amoxicillin, norfloxacin, and tetracycline hydrochloride reach 98.9%, 97.8%, and 99.3% respectively within 40 min under neutral pH, and catalyst also demonstrated excellent cycle stability after five runs. The excellent degradation effect of antibiotics by Fenton-like catalyst was attributed to the intensified electron transport process by multiple electron transfer channels between dual reaction centres, making FeII easier to regenerate. This study spreads a new route for the enhancement of electron transport process in Fenton-like catalysts by constructing multiple channels.


Subject(s)
Anti-Bacterial Agents , Electrons , Carbon , Hydrogen Peroxide/chemistry , Electron Transport , Catalysis
3.
J Craniofac Surg ; 34(2): 633-638, 2023.
Article in English | MEDLINE | ID: mdl-36000767

ABSTRACT

BACKGROUND: Midface rejuvenation is important to restore a youthful and appealing appearance. However, there are several problems existed in the treatment of fat grafting, including low fat retention and undesired aesthetic outcomes. OBJECTIVE: To objectively evaluate the efficacy of midface fat grafting, and analyze the problems encountered in this process to increase patient satisfaction. METHODS: Thirty-two patients who underwent autologous fat grafting for midface augmentation were included. Facial analysis was performed based on preoperative and postoperative photographs. Satisfaction outcome was assessed by the patient, the surgeon, and a layperson postoperatively. RESULTS: After treatment, 87.5% of the patients were assessed as satisfactory and mostly satisfactory based on facial proportion and complications. The postoperative medial cheek projection was 1.92±0.26 times the height of the preoperative one ( P <0.01). A smooth lid-cheek junction, a single convex, and ameliorated nasolabial groove were obtained. The dark coloration and wrinkles in lower eyelid were improved. The most common complication was overcorrection, which could be resolved with further treatments. CONCLUSIONS: Autologous fat grafting remains an optimal option for midface rejuvenation with satisfactory results. Most of the complications are preventable and optimal outcomes can be obtained through correct comprehension of aesthetic features and proper operations.


Subject(s)
Rhytidoplasty , Humans , Rhytidoplasty/methods , Rejuvenation , Adipose Tissue/transplantation , Esthetics, Dental , Nasolabial Fold
4.
J Craniofac Surg ; 34(2): 785-789, 2023.
Article in English | MEDLINE | ID: mdl-36168117

ABSTRACT

Since autologous cartilage is a good transplant material, it is widely used in various fields of clinical medicine. In this study, we collected clinical specimens obtained at different numbers of years after transplantation and used histologic staining to explore the post-transplantation changes in auricular cartilage and costal cartilage. A retrospective analysis was performed on patients who underwent primary autologous cartilage rhinoplasty and secondary rhinoplasty from 2017 to 2021, and the remaining autologous cartilage tissue after surgery was used for histologic testing. As time progressed after transplantation, the density of costal chondrocytes decreased first and then increased, while the secretion of type II collagen and extracellular matrix both decreased slightly. There was a clear boundary between the cartilage tissue and the surrounding connective tissue, and there was no ingrowth of blood vessels in the cartilage. Auricular cartilage showed a decrease in the integrity of the matrix edge. Moreover, local fibrosis was visible, and vascular ingrowth was observed at the edge of the cartilage. The content of type II collagen first increased and then decreased, and the cell secretion function was lower than that of normal chondrocytes. The results of the study suggest that the histologic outcome of elastic cartilage after transplantation is significantly different from that of hyaline cartilage. Moreover, costal cartilage was more stable than auricular cartilage after transplantation.


Subject(s)
Costal Cartilage , Rhinoplasty , Humans , Rhinoplasty/methods , Ear Cartilage , Retrospective Studies , Collagen Type II , Chondrocytes , Transplantation, Autologous
5.
J Craniofac Surg ; 34(2): 520-524, 2023.
Article in English | MEDLINE | ID: mdl-36168124

ABSTRACT

Autologous auricular cartilage is used extensively as a good graft material in rhinoplasty. In this study, clinical specimens from patients who underwent revision rhinoplasty with auricular cartilage grafts were collected to compare the changes before and after auricular cartilage transplantation with the use of histologic, immunohistochemical, and quantitative assays. Patients who underwent revision rhinoplasty from 2018 to 2022 were analyzed. Fresh auricular cartilage left after surgery and auricular cartilage graft tissue were examined and compared. Compared with fresh auricular cartilage, local fibrosis was seen in the transplanted auricular cartilage with a slight decrease in elastic fibers, type II collagen, and extracellular matrix secretion. Quantitative assays showed a decrease in glycosaminoglycan, DNA, and total collagen content in the transplanted auricular cartilage tissue. The results of the study suggest that the histologic characteristics, cell functionality, and biochemical composition of the grafted cartilage changed to a certain extent after autologous auricular cartilage graft rhinoplasty. These results provide insights into the selection of graft/filler materials for rhinoplasty and what changes to expect.


Subject(s)
Ear Cartilage , Rhinoplasty , Humans , Ear Cartilage/transplantation , Rhinoplasty/methods , Autografts , Transplantation, Autologous , Bone Transplantation
6.
J Craniofac Surg ; 33(6): e604-e606, 2022 Sep 01.
Article in English | MEDLINE | ID: mdl-35882255

ABSTRACT

This study aimed to explore and analyze the factors influencing the drainage volume after comprehensive rhinoplasty. The clinical data of 102 patients who underwent comprehensive rhinoplasty at Shanghai Ninth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine from August 2019 to August 2021 were retrospectively analyzed. The effects of age, sex, body mass index, whether an osteotomy was performed, and whether a nasal septum flap was obtained on the indwelling time of the drainage tube after the operation were analyzed by single factor analysis and multiple logistic regression analysis. Age, body mass index, whether it was a primary rhinoplasty, whether an osteotomy was performed, and whether a nasal septum flap was obtained were the influencing factors for drainage time after augmentation rhinoplasty ( P <0.05). Sex had little effect on the drainage time after comprehensive rhinoplasty ( P >0.05). Body mass index, whether an osteotomy was performed and whether a nasal septum flap was obtained were the independent influencing factors for the postoperative drainage time ( P <0.05). For patients with multiple independent influencing factors, individualized management during the perioperative period should be promoted, and reasonable treatment strategies should be formulated, so as to reduce the indwelling time of the drainage tube after the operation.


Subject(s)
Rhinoplasty , China , Drainage , Humans , Nasal Septum/surgery , Retrospective Studies , Treatment Outcome
7.
Chemosphere ; 303(Pt 2): 135105, 2022 Sep.
Article in English | MEDLINE | ID: mdl-35640682

ABSTRACT

The immobilized coatings as a kind of promising Fenton-like catalysts with excellent performance and reusability for the efficient degradation of antibiotics and phenol under solar light irradiation is investigated. Herein, the porous γ-Fe2O3/SiO2 immobilized ceramic coating on TC4 titanium alloy as photo-Fenton catalyst was prepared via plasma electrolytic oxidation technology. The as-obtained immobilized coating manifested a remarkable catalytic activity that the removal efficiencies of phenol and various antibiotics could reach more than 92% within 90 min, and presented excellent reusability after six runs in phenol removal. The high activity and excellent reusability of γ-Fe2O3 were attributed to the synergistic effect of multiple pathways to jointly produce abundant •OH, and the combination of γ-Fe2O3 and SiO2 in the coating could effectively reduce iron leaching during the heterogeneous photo-Fenton process, respectively. This work provides a novel strategy for the synthesis of high-performance photo-Fenton catalysts to dispose of wastewater in the future.


Subject(s)
Silicon Dioxide , Titanium , Alloys , Anti-Bacterial Agents , Catalysis , Hydrogen Peroxide , Phenol
8.
Chemosphere ; 289: 133195, 2022 Feb.
Article in English | MEDLINE | ID: mdl-34883124

ABSTRACT

To develop a heterogeneous Fenton-like catalyst with desirable activity and reusability remains a great challenge for the practical degradation of environmental remediation. Herein, we demonstrate a dendritic Fe-Cu bimetallic catalyst consisted of a Cu/Fe3O4 shell and a FeCu core (E100). In comparisons of single Cu, Fe and Fe3O4, E100 performs far better performance for the Fenton-like degradation of phenol, and its dominant Fenton-like active centers are Fe species under acidic pH or Cu species under neutral pH. Particularly, Cu-based Fenton-like reactions are greatly accelerated by galvanic micro-cells effects that come from the special co-existence of Cu/Fe3O4 shell, and subsequently, owing to the Cu leaching from the shell, the inner FeCu core of E100 is able to be exposed and further strengthen Fe-based Fenton-like reactions. Overall, the appropriate synergistic effects endow E100 with superior catalytic activity and reusability than other catalysts. Our work pushes forward a step for understanding the catalytic mechanism of Fe-Cu bimetallic catalysts and provides new sights for fabricating efficient Fenton-like catalysts for environmental remediation.


Subject(s)
Environmental Restoration and Remediation , Phenol , Catalysis , Hydrogen Peroxide , Iron
9.
J Craniofac Surg ; 32(8): 2878-2882, 2021.
Article in English | MEDLINE | ID: mdl-34224459

ABSTRACT

OBJECTIVE: To obtain further understanding of the eyelid lymphatic anatomy. METHOD: Thirty-two halves of eyelids from 16 fresh fetus cadavers were studied by microdissection using a mixture of 3% Prussian blue and chloroform to visualize the lymphatic vessels. RESULTS: Three layers of lymphatic plexuses were demonstrated in the eyelids: a superficial or preorbicularis muscle plexus; a pretarsal or postorbicular muscle plexus; and a deep or posttarsal plexus. Furthermore, communicating branches among these plexuses were also spotted. CONCLUSIONS: The study results demonstrated the topographic distribution of the eyelid lymphatic vessels and confirmed the existence of communicating branches. This discovery will be conducive to understanding the route and mechanism by which inflammation of the eyelid spreads and cancer disseminates. It also provides anatomical insights to apply during eyelid surgery with regard to the prevention of possible eyelid lymphatic injury.


Subject(s)
Lymphatic Vessels , Microdissection , Cadaver , Eyelids , Humans , Lymphatic System
10.
Gland Surg ; 10(6): 1865-1873, 2021 Jun.
Article in English | MEDLINE | ID: mdl-34268071

ABSTRACT

BACKGROUND: Microcystic lymphatic malformations (LMs) are congenital lesions with the diameter of the majority of cysts <1 cm. Bleomycin sclerotherapy has been shown to yield beneficial results for macrocystic LMs. This study aims to evaluate the safety and efficacy of consecutive bleomycin sclerotherapy for large diffuse microcystic LMs. METHODS: The location and size of the lesions were detected by ultrasound for the 46 patients included in this study. Bleomycin lavage was performed in larger cysts and intradermal injection for the superficial lesion. The outcome and complications were assessed for its efficacy and safety. RESULTS: The large diffuse microcystic LMs mainly located in the neck, abdominal wall and axilla/lateral chest wall. The average lesion size was 10.6 cm × 7.2 cm. The mean number of treatment sessions was 4.5 with 7.3 mg bleomycin for per session averagely. Excellent (69.6%) and moderate (23.9%) responses were obtained. There was no recurrence for the 6 patients (13%) who received a long follow-up. Obvious local swelling, slight intralesional hemorrhage and low-grade fever were the most commonly occurred complications. No lung fibrosis was identified for the patients who received more than 6 sessions. CONCLUSIONS: Local lavage combined with intradermal injection of bleomycin is effective and safe for large diffuse microcystic LMs with good therapeutic effect and low complication rates, and can be regarded as the mainstay of therapy for microcystic LMs.

11.
Gland Surg ; 10(5): 1800-1805, 2021 May.
Article in English | MEDLINE | ID: mdl-34164324

ABSTRACT

Hidradenitis suppurativa (HS) is a chronic, recurrent inflammatory cutaneous disease affecting apocrine glands. It can be associated with lymphedema of the surrounding tissues and most commonly affects scrotum. As a debilitating complication of HS, lymphedema can cause significant morbidity and further exacerbate HS condition, thus causing a vicious cycle. Surgery was reported to be the most common treatment for this complication. Here, we present a 41-year-old patient with massive scrotal lymphedema following a 2-year history of HS. To reduce the volume of the scrotal mass and improve the appearance and function of the scrotum, we modified the Charle's procedure by complete excision of the affected tissue while retaining the scrotal septum, preserving the subcutaneous lymphatic tissue flap, turnover of the perididymis, and primary closure. We found that this approach achieved satisfactory cosmetic results, maintained cutaneous sensation and restored erections. There was no adverse event following surgery. No recurrence occurred over 6-month of follow-up. We believe that this modified Charles' procedure can improve the morphology and lymphatic function of the scrotum and recommend its use whenever possible. While rare, HS associated lymphedema should alert clinician to the potential consequence of an advanced disease situation. Collaborative approach with surgery in the management of this condition should be considered at early stage.

12.
Polymers (Basel) ; 13(2)2021 Jan 17.
Article in English | MEDLINE | ID: mdl-33477292

ABSTRACT

The low dielectric constant of the nonpolar polymer poly(1-butene) (PB-1) limits its application as a diaphragm element in energy storage capacitors. In this work, Ba(Zr0.2Ti0.8)O3-coated multiwalled carbon nanotubes (BZT@MWCNTs) were first prepared by using the sol-gel hydrothermal method and then modified with polydopamine (PDA) via noncovalent polymerization. Finally, PB-1 matrix composite films filled with PDA-modified BZT@MWCNTs nanoparticles were fabricated through a solution-casting method. Results indicated that the PDA-modified BZT@MWCNTs had good dispersion and binding force in the PB-1 matrix. These characteristics improved the dielectric and energy storage performances of the films. Specifically, the PDA-modified 10 vol% BZT@ 0.5 vol% MWCNTs/PB-1 composite film exhibited the best dielectric performance. At 1 kHz, the dielectric constant of this film was 25.43, which was 12.7 times that of pure PB-1 films. Moreover, its dielectric loss was 0.0077. Furthermore, under the weak electric field of 210 MV·m-1, the highest energy density of the PDA-modified 10 vol% BZT@ 0.5 vol% MWCNTs/PB-1 composite film was 4.57 J·cm-3, which was over 3.5 times that of PB-1 film (≈1.3 J·cm-3 at 388 MV·m-1).

13.
J Phys Chem Lett ; 11(17): 7261-7266, 2020 Sep 03.
Article in English | MEDLINE | ID: mdl-32700911

ABSTRACT

Methane (CH4), the main component of natural gas, is one of the most valuable products facilitating energy storage via electricity conversion. However, the poor selectivity and high overpotential for CH4 formation with metallic Cu catalysts prevent realistic applications. Introducing a second element to tune the electronic state of Cu has been widely used as an effective method to improve catalytic performance, but achieving high selectivity and activity toward CH4 remains challenging. Here, we successfully synthesized Cu-Bi NPs, which exhibit a CH4 Faradaic efficiency (FE) as high as 70.6% at -1.2 V versus reversible hydrogen electrode (RHE). The FE of Cu-Bi NPs has increased by approximately 25-fold compared with that of Cu NPs. DFT calculations showed that alloying Cu with Bi significantly decreases the formation energy of *COH formation, the rate-determining step, which explains the improved performance. Further analysis showed that Cu that has been partially oxidized because of electron withdrawal by Bi is the most possible active site.

14.
Polymers (Basel) ; 12(6)2020 Jun 09.
Article in English | MEDLINE | ID: mdl-32527026

ABSTRACT

The traditional two-component waterborne polyurethane coating system cannot effectively inhibit the undesirable side reaction between polyisocyanate and water during curing hardening. It is difficult to avoid the microbubbles formed by this reaction during the film formation process, which severely degrades the appearance and decreases the performance of the film. Therefore, the addition of an amphiphilic Linear-Dendritic carbosilane Block Surfactant (LDBS) to the hardener can physically separate the polyisocyanate emulsion from water through self-assembly. The bubble-free film thickness (BFFT) of the two-component waterborne polyurethane coating in this study is approximately 1.5-fold greater than commercial waterborne polyurethane coatings in today's coating industry. Fourier transform infrared spectroscopy (FT-IR) varied the effectiveness of LDBS for inhibition of the undesirable side reaction. The successful application of the waterborne polyurethane coating with LDBS on the 600 km/h high-speed maglev train provides a technical solution for large-scale industrialization of waterborne polyurethane coating and complete replacement of solvent polyurethane coating.

15.
Gland Surg ; 9(2): 575-581, 2020 Apr.
Article in English | MEDLINE | ID: mdl-32420292

ABSTRACT

BACKGROUND: Primary genital lymphedema is caused by congenital lymphatic dysplasia, which is often accompanied by lymphedema of the lower extremities. A lack of effective diagnostics and treatments are available in clinical practice. The purpose of this study is to present the experience of surgical treatment of genital lymphedema and follow-up magnetic resonance lymphangiography (MRL) examinations. METHODS: The clinical records of 40 patients diagnosed with primary genital lymphedema between 2010 and 2019 were retrospectively reviewed. The surgical management of all patients consisted of complete excision of the edematous subcutaneous tissue and plastic reconstruction of the penis or scrotum. This involved excision of the affected tissue while retaining the scrotal septum, preserving the subcutaneous lymphatic tissue flap, turnover of the perididymis, and primary closure. All patients were examined by MRL to assess the extent of lymphedema pre- and postoperatively. The cosmetic results, recovery of sexual function, patient satisfaction, and complications are discussed. RESULTS: A total of 40 patients underwent surgical treatment. Scrotal hematoma (2.5%) and poor wound healing (5%) were encountered postoperatively. During follow-up period, no recurrence of edema occurred. The appearance of the scrotum and penis, as well as the sexual function was improved. MRL confirmed tissue edema and lymphatic malformation in the enlarged penis and scrotum preoperatively. In follow-up MRL, new formation or reopen of lymphatic drainage can be detect in 25 (62.5%) patients. All patients showed decreased area of dermal backflow. CONCLUSIONS: Surgical treatment is necessary for genital lymphedema when swelling develops. The use of a retained scrotal septum and subcutaneous lymphatic tissue flaps can achieve improved morphology and function. MRL is a safe and accurate diagnostic imaging method for pre- and postoperative evaluation of lymphedema in patients undergoing lymphatic surgery.

16.
Nanotechnology ; 31(31): 315702, 2020 Jul 31.
Article in English | MEDLINE | ID: mdl-32299076

ABSTRACT

In the field of clean solar-to-current devices, the photoelectron transfer process is essential for photovoltaic conversion in the typical n-i-p solar-cell structure. With regard to the oriented injection and ejection of photoelectrons, the development of hole-blocking layer (HBL) materials with a high electron transfer capability are exceedingly desirable. Profiting from the distortion of the p-π electron cloud attracted by a doped aprotic cation, a modified n-type polyaniline (PANI) as the HBL of a photoanode has been successfully fabricated through a facial one-pot square-wave potentiostatic electropolymerization method. In terms of flat-band potential, charge-carrier concentration and device impedance, the synthesized n-type polyaniline layer doped by aprotic ionic liquid (AIL; [EMIM] [EtSO4]) (AIL-PA layer) for quantum dot solar cells (QDSCs) directly facilitates the high electron carrying capacity as well as the electron transfer driving force. Furthermore, the n-type polyaniline layer doped by AIL ([EMIM] [EtSO4]) (AIL-PA layer) has a widely matching band gap for electron exportation and improved photovoltaic performance of CdSxSe1-x QDSCs: the power conversion efficiency is 10.5% and the J sc is 21.59 mA cm-2 for the device with an AIL-PA HBL. The electron diffusion length L D is 8.07 µm for the photoanode with AIL-PA I and 7.58 µm for the photoanode with AIL-PA II.

17.
Materials (Basel) ; 13(3)2020 Feb 07.
Article in English | MEDLINE | ID: mdl-32046036

ABSTRACT

In this work, poly(1-butene) (PB-1) composite films with multi-walled carbon nanotubes (MWCNT) were prepared by a solution casting method. The relationship between the dielectric properties and the crystal transformation process of the films was investigated. It was indicated that there were two crystal forms of I and II of PB-1 during the solution crystallization process. With the prolongation of the phase transition time, form II was converted into form I. The addition of the conductive filler (MWCNT) accelerated the rate of phase transformation and changed the nucleation mode of PB-1. The presence of crystal form I in the system increased the breakdown strength and the dielectric constant of the films and reduced the dielectric loss, with better stability. In addition, the dielectric constant and the dielectric loss of the MWCNT/PB-1 composite films increased with the addition of MWCNT, due to the interfacial polarization between MWCNT and PB-1 matrix. When the mass fraction of the MWCNT was 1.0%, the composite film had a dielectric constant of 43.9 at 25 °C and 103 Hz, which was 20 times that of the original film.

18.
Plast Reconstr Surg ; 145(2): 420-431, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31985635

ABSTRACT

BACKGROUND: Secondary lymphedema is a refractory disease, for which adipose-derived stem cells have shown some therapeutic potential. However, the mechanism of this action remains poorly understood. METHODS: The authors identified podoplanin-expressing adipose-derived stem cells, which allowed them to divide adipose-derived stem cells into podoplanin-positive and podoplanin-negative groups that they characterized in vitro. The authors then used a mouse hindlimb model for lymphedema to trace the fate of podoplanin-positive, podoplanin-negative, and unsorted adipose-derived stem cells in vivo. RESULTS: When induced in culture, podoplanin-positive cells were noted to up-regulate the expression of lymphatic endothelial cell markers, including LYVE-1, and assumed a cobblestone morphology. In addition, a substantial increase in lymphangiogenic cytokines was detected in the podoplanin-positive supernatant. The above findings were largely absent from the podoplanin-negative and unsorted groups. In the mouse model, the implanted cells relieved the limb lymphedema by promoting lymphangiogenesis, with the podoplanin-positive group showing the most significant effect. Immunocolocalization further revealed that the podoplanin-positive cells incorporated into lymphatic vessels were positive for LYVE-1. CONCLUSIONS: These data demonstrated that actions by means of both paracrine and differentiation pathways were involved in the adipose-derived stem cell-mediated therapeutic effects. The podoplanin-positive cells possessed lymphatic paracrine and differentiation abilities and may represent lymphatic endothelial cell precursor cells. The podoplanin-negative cells, which constitute a considerable proportion of the adipose-derived stem cells, may play an important paracrine role by secreting mesenchymal stem cell-related factors.


Subject(s)
Lymphangiogenesis/physiology , Lymphatic Vessels/physiology , Membrane Glycoproteins/metabolism , Mesenchymal Stem Cells/physiology , Animals , Biomarkers/metabolism , Cells, Cultured , Cytokines/metabolism , Disease Models, Animal , Endothelial Cells/physiology , Female , Green Fluorescent Proteins , Lymphedema/physiopathology , Mice, Inbred C57BL , Mice, Transgenic , Neovascularization, Physiologic/physiology , Phenotype
19.
Ann Plast Surg ; 84(1): 100-105, 2020 01.
Article in English | MEDLINE | ID: mdl-31261176

ABSTRACT

BACKGROUND: Magnetic resonance lymphangiography (MRL) has been proven to be able to visualize pathological lymphatic networks and accompanying complications through subcutaneous injection of commonly used contrast agents. However, no comprehensive prior studies have previously been reported regarding MRL for the evaluation of upper extremity lymphedema in patients with breast cancer-related lymphedema (BCRL). In this study, we establish a novel MRL protocol to characterize the normal and abnormal characteristics of different clinical stages of BCRL in patients using high-spatial-resolution MRL. METHODS: Fifty females with unilateral upper extremity BCRL underwent MRL. Lymphatic vessel morphology in normal and affected limbs was compared. The appearance, distribution pattern, morphologic characteristics, and maximum transversal diameter of the lymphatic vessels, dermal backflow, and regeneration of lymphatic vessels were analyzed. RESULTS: Lymph fluid was retained in the subcutis of the affected limbs, and no edema was observed in the subfascial compartment. In stage 1, tortuous and dilated lymphatic vessels exhibited a beaded appearance, and their diameters were larger than those in the contralateral forearm (P < 0.05). In stage 2, the dilated lymphatic vessels exhibited larger diameters. "Dermal backflow" and tiny regenerated lymphatic vessels appeared. The thickened subcutaneous tissue showed a honeycomb pattern induced by soft tissue fibrosis and adipose hypertrophy. In stage 3, disordered and unrecognizable affected lymphatic vessels were observed with many small regenerated lymphatics and confluent dermal backflow; the tissue fibrosis was more serious. CONCLUSIONS: Each stage presents different characteristics, and the deformity degree of the lymphatic network is consistent with the severity of the disease. Magnetic resonance lymphangiography could provide adequate information for clinical staging in patients with BCRL.


Subject(s)
Breast Neoplasms/complications , Lymphatic Vessels/diagnostic imaging , Lymphedema/diagnostic imaging , Lymphedema/etiology , Lymphography/methods , Magnetic Resonance Imaging , Adult , Female , Humans , Middle Aged , Upper Extremity
20.
FEBS Lett ; 593(19): 2706-2715, 2019 10.
Article in English | MEDLINE | ID: mdl-31380564

ABSTRACT

Angiopoietins (Angs) are a family of vascular growth factors that share multiple cellular functions related to cell survival, proliferation, and migration. Angs play physiological and pathological roles through the Tie tyrosine kinase receptors. The Ang-Tie signaling pathway participates in the developmental and tumor-induced angiogenesis and is also involved in many disease settings, such as vascular diseases, systemic inflammation, and cancers. Since Angs are widely expressed in the kidney, an enormous amount of research focuses on their roles in the kidney. In this review, we describe the biological functions of the Ang-Tie signaling pathway and summarize their roles in kidney development and maturation, acute and chronic kidney diseases, diabetic nephropathy, lupus nephropathy, hemolytic uremic syndrome, end-stage renal diseases, and renal cell carcinoma. Understanding the molecular mechanisms of Ang-Tie signaling may reveal potential therapeutic targets for preventing or alleviating kidney diseases.


Subject(s)
Angiopoietins/metabolism , Kidney Diseases/metabolism , Receptors, TIE/metabolism , Animals , Humans , Signal Transduction
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