Comparative study of treatment efficacy in severe intraepithelial squamous cell lesions and preinvasive cervical cancer by conization and chlorin e6-mediated fluorescence-assisted systemic photodynamic therapy.

BACKGROUND: Cervical cancer (CC) occupies a leading position in incidence among young women of reproductive age. In this connection, it is urgent to search for the most effective approaches to the diagnosis and treatment of this pathology. The purpose of the study was to evaluate the effectiveness of the PDT method using Cе6 with the control of the photobleaching using video and spectral fluorescence diagnostic methods, to develop the method of fluorescence-assisted systemic photodynamic therapy mediated with chlorin e6 for treatment CIN 3 and CIS. MATERIALS AND METHODS: A randomized comparative clinical study was conducted involving 94 women aged 18 to 49 years with histologically verified severe intraepithelial squamous cell lesions of the cervix or preinvasive cervical cancer. The patients were included in 2 groups: in the first group conization of the cervix was performed with curettage of the remaining part of the cervical canal; patients in the second group underwent the chlorin e6-mediated fluorescence-assisted systemic photodynamic therapy. RESULTS: The absolute majority of patients in the main group after the first course of chlorin e6-mediated fluorescence-assisted systemic photodynamic therapy showed normalization of cytological parameters and colposcopic picture, while women from the comparison group showed signs of cervical lesions statistically significantly more often. These changes corresponded to the dynamics of the proliferation markers expression in the cells of intraepithelial squamous cell lesions. Also, patients of the second group who were planning a pregnancy had better reproductive outcomes after treatment compared to those of the first group. CONCLUSION: In general, higher clinical efficacy and safety of the use of the chlorin e6-mediated fluorescence-assisted systemic photodynamic therapy in the treatment of intraepithelial squamous cell lesions and preinvasive cervical cancer have been established compared to the use of standard treatment methods.

Retrieval of the particle size distribution function from the data of lidar sensing under the assumption of known refractive index.

This paper presents a method to retrieve the particle size distribution function from the data of vertical lidar sensing. We have used 462 data models obtained at the Zvenigorod AERONET site obtained in 2011-2012. For each laser shot, we considered both fine (with particle sizes in a range from 0.05 to 0.6 µm) and coarse aerosol fractions (from 0.6 to 10 µm), with emphasize on the coarse fraction. Our suggested method is a modification of the Tikhonov method. The Tikhonov method is not optimal for coarse particles because its stabilizer does not and cannot account for the presence of the coarse mode, i.e., existence of more than one maximum of the size distribution function. The components of the matrix Wu-1 located in quadrants II and IV are sensitive to the change of these parameters. Neglecting this fact will lead again to arbitrary estimates of the contribution of the coarse particles even for exact values on the main diagonal and the two diagonals adjacent to it. Our method allows the coarse fraction up to 2.5 µm to be determined unambiguously. For larger particles (>2.5 µm) we recommend using the available sets of the coefficients, but with the level of values to be determined.

Retrieval of cloud optical parameters from space-based backscatter lidar data.

We present an approach to estimating the multiple-scattering (MS) contribution to lidar return signals from clouds recorded from space that enables us to describe in more detail the return formation at the depth where first orders of scattering dominate. Estimates made have enabled us to propose a method for correcting solutions of single-scattering lidar equations for the MS contribution. We also describe an algorithm for reconstructing the profiles of the cloud scattering coefficient and the optical thickness tau under conditions of a priori uncertainties. The approach proposed is illustrated with results for optical parameters of cirrus and stratiform clouds determined from return signals calculated by the Monte Carlo method as well as from return signals acquired with the American spaceborne lidar during the Lidar In-Space Technology Experiment (LITE).

Virulence of pPst+ and pPst- strains of Yersinia pestis for guinea-pigs.

Guinea-pigs were infected subcutaneously or by respiratory challenge with plasmid-containing (pPst+pCad+pFra+) Yersinia pestis strain 358 and its pPst-pCad+pFra+, pPst+pCad+pFra- and pPst-pCad+pFra- derivatives, grown in vitro at 28 degrees C or at 37 degrees C. Lack of plasmid pPst did not lead to an increase in LD50 with either route of challenge. When the virulence of the four Y. pestis strains grown at the two temperatures was compared, the LD50 values of those grown at 37 degrees C were lower. Respiratory challenge with cultures grown at 37 degrees C mimics the man-to-man pneumonic plague cycle. The average LD50 values decreased c. two-fold and 10-fold for pPst+ and pPst- Y. pestis variants, respectively. The data suggest that historical epidemic outbreaks of pneumonic plague in the human population residing in the Caucasus region where there are natural plague foci in common voles may have been caused by pPst- Y. pestis strains.

Virulent non-capsulate Yersinia pestis variants constructed by insertion mutagenesis.

Insertion mutagenesis with the help of the plasmid pFS23 was used to generate Yersinia pestis fra mutants. The results of pFra- strain production under non-selective conditions suggested that such Y. pestis variants may be generated in natural plague foci at high frequency and may participate in supporting the epizootic process. Present data suggest that the reduction of virulence in Fra- strains reported by the majority of investigators was connected with the use of Y. pestis variants carrying additional unidentified mutations. It was shown that the loss of the ability to produce capsular antigen (FI) alone or in combination with absence of murine toxin production did not lead to an increase in LD50 absolute values. Simultaneous loss of these two virulence determinants did not influence the duration of survival of the infected animals. However, absence of only FI antigen production in the infecting strain resulted in prolonged survival of the infected animals. Conversion of plague infection from acute to chronic form is probably dependent on the animal host species and the Y. pestis parent strain subjected to mutagenesis.