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1.
Artigo em Chinês | MEDLINE | ID: mdl-37248087

RESUMO

Objective: To explore the sound insulation, sound absorption and other noise reduction transformation methods in a noise workshop handover control room. Methods: In December 2021, through the occupational health investigation and on-site testing of the handover control room of a noise workshop, the causes of excessive noise were analyzed, and the transformation design scheme to reduce noise was proposed and the effect was analyzed. Results: Before the transformation, the peak frequency band noise intensity of the noise workshop handover control room was 112.8 dB (A), and the peak frequency was 1000 Hz. After noise reduction, the theoretical calculated control value was 61.0 dB (A), and the measured noise intensity was 59.8 dB (A) . Conclusion: The noise intensity of the handover control room is reduced after noise reduction, which is in line with the contact limit requirements of the control room in GBZ 1-2010 "Hygienic Standards for the Design of Industrial Enterprises", and has reference significance for noise control engineering.


Assuntos
Ruído Ocupacional , Saúde Ocupacional , Ruído/prevenção & controle , Indústrias , Padrões de Referência , Higiene , Ruído Ocupacional/prevenção & controle
2.
Artigo em Chinês | MEDLINE | ID: mdl-37248090

RESUMO

Interstitial lung abnormalities (ILAs) refer to the subtle or mild signs of ILAs pulmonary parenchyma on chest HRCT scans, which are not yet sufficient to diagnose a certain interstitial lung disease, may be potentially compatible an early stage of the diseases. The signs of ILAs usually includes ground-glass opacities, reticular abnormakicies, honeycombing, traction bronchiectasis or non-emphysematous cysts. This article reviews the research progreses in the definition and classification, risk factors, prognosis, comorbidities and management of ILAs in combination with domestic and foreign literatures.


Assuntos
Doenças Pulmonares Intersticiais , Pulmão , Humanos , Pulmão/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Doenças Pulmonares Intersticiais/diagnóstico , Prognóstico , Diagnóstico Diferencial
3.
Zhonghua Yu Fang Yi Xue Za Zhi ; 57(5): 701-709, 2023 May 06.
Artigo em Chinês | MEDLINE | ID: mdl-37165816

RESUMO

Objective: To explore the characteristics, patterns of multimorbidity and the impact on quality of life and the prognosis of middle-aged and elderly patients with chronic obstructive pulmonary disease (COPD). Methods: This is a cross-sectional study. From January 2012 to December 2021, 939 middle-aged and elderly COPD patients hospitalized in Beijing Hospital were selected by the convenient sampling method. The basic data of patients and the date of 16 common chronic diseases were collected. Patterns of multimorbidity were depicted by cluster analysis. Generalized linear regression model and logistic regression were used to evaluate the multimorbidity patterns and their prognosis. Results: At least one multimorbidity existed among 93.40% of COPD patients, and the median number of multimorbidity was 3. The top five multimorbidity among the patients were hypertension (57.93%, 544/939), coronary heart disease (33.76%,317/939), heart failure (31.95%,300/939), hyperlipidemia (31.63%,297/939) and arrhythmia (27.37%,257/939). Four multimorbidity patterns were identified, cardiometabolic and metabolic multimorbidity, kidney disease multimorbidity, respiratory-digestive-tumor multimorbidity and other multimorbidity. Cardiometabolic and metabolic multimorbidity was most common (590/939, 62.83%). Compared with non-cardiometabolic and metabolic multimorbidity, the incharge ADL score of patients with this multimorbidity decreased by 7 points (95%CI:-11.22- -3.34), Correspondingly, patients with kidney disease multimorbidity decreased by 14 points (95%CI:-24.12- -3.30) on the incharge score. The presence or absence of kidney disease multimorbidity had the greatest impact on discharge score, which was reduced by 12 points in comparison with patients without this multimorbidity (95%CI:-22.43- -2.40). ICU admission is mostly affected by the presence of cardiometabolic and metabolic multimorbidity (OR=2.44, 95%CI: 1.51-3.92) and kidney disease multimorbidity (OR=2.58, 95%CI: 1.01-6.60). The risk of death is the highest for cardiometabolic and metabolic multimorbidity (OR=2.24, 95%CI: 1.19-4.21). Conclusion: Multimorbidity is common in COPD patients. The most common pattern is cardiometabolic and metabolic multimorbidity. Cardiometabolic and metabolic multimorbidity and kidney disease multimorbidity significantly affect the quality of life and often associate with a poor prognosis.


Assuntos
Multimorbidade , Doença Pulmonar Obstrutiva Crônica , Idoso , Pessoa de Meia-Idade , Humanos , Pacientes Internados , Prevalência , Estudos Transversais , Qualidade de Vida , Doença Pulmonar Obstrutiva Crônica/epidemiologia , Doença Crônica
5.
Zhonghua Nei Ke Za Zhi ; 55(9): 679-83, 2016 Sep 01.
Artigo em Chinês | MEDLINE | ID: mdl-27586974

RESUMO

OBJECTIVE: To study the distinct clinical phenotype of chronic airway diseases by hierarchical cluster analysis and two-step cluster analysis. METHODS: A population sample of adult patients in Donghuamen community, Dongcheng district and Qinghe community, Haidian district, Beijing from April 2012 to January 2015, who had wheeze within the last 12 months, underwent detailed investigation, including a clinical questionnaire, pulmonary function tests, total serum IgE levels, blood eosinophil level and a peak flow diary. Nine variables were chosen as evaluating parameters, including pre-salbutamol forced expired volume in one second(FEV1)/forced vital capacity(FVC) ratio, pre-salbutamol FEV1, percentage of post-salbutamol change in FEV1, residual capacity, diffusing capacity of the lung for carbon monoxide/alveolar volume adjusted for haemoglobin level, peak expiratory flow(PEF) variability, serum IgE level, cumulative tobacco cigarette consumption (pack-years) and respiratory symptoms (cough and expectoration). Subjects' different clinical phenotype by hierarchical cluster analysis and two-step cluster analysis was identified. RESULTS: (1) Four clusters were identified by hierarchical cluster analysis. Cluster 1 was chronic bronchitis in smokers with normal pulmonary function. Cluster 2 was chronic bronchitis or mild chronic obstructive pulmonary disease (COPD) patients with mild airflow limitation. Cluster 3 included COPD patients with heavy smoking, poor quality of life and severe airflow limitation. Cluster 4 recognized atopic patients with mild airflow limitation, elevated serum IgE and clinical features of asthma. Significant differences were revealed regarding pre-salbutamol FEV1/FVC%, pre-salbutamol FEV1% pred, post-salbutamol change in FEV1%, maximal mid-expiratory flow curve(MMEF)% pred, carbon monoxide diffusing capacity per liter of alveolar(DLCO)/(VA)% pred, residual volume(RV)% pred, total serum IgE level, smoking history (pack-years), St.George's respiratory questionnaire(SGRQ) score, acute exacerbation in the past one year, PEF variability and allergic dermatitis (P<0.05). (2) Four clusters were also identified by two-step cluster analysis as followings, cluster 1, COPD patients with moderate to severe airflow limitation; cluster 2, asthma and COPD patients with heavy smoking, airflow limitation and increased airways reversibility; cluster 3, patients having less smoking and normal pulmonary function with wheezing but no chronic cough; cluster 4, chronic bronchitis patients with normal pulmonary function and chronic cough. Significant differences were revealed regarding gender distribution, respiratory symptoms, pre-salbutamol FEV1/FVC%, pre-salbutamol FEV1% pred, post-salbutamol change in FEV1%, MMEF% pred, DLCO/VA% pred, RV% pred, PEF variability, total serum IgE level, cumulative tobacco cigarette consumption (pack-years), and SGRQ score (P<0.05). CONCLUSION: By different cluster analyses, distinct clinical phenotypes of chronic airway diseases are identified. Thus, individualized treatments may guide doctors to provide based on different phenotypes.


Assuntos
Doença Pulmonar Obstrutiva Crônica/genética , Doença Pulmonar Obstrutiva Crônica/fisiopatologia , Testes de Função Respiratória/métodos , Adulto , Idoso , Asma , Pequim , Bronquite Crônica , Doença Crônica , Tosse , Feminino , Volume Expiratório Forçado , Humanos , Imunoglobulina E/sangue , Pulmão/fisiopatologia , Masculino , Pessoa de Meia-Idade , Fenótipo , Valor Preditivo dos Testes , Doença Pulmonar Obstrutiva Crônica/metabolismo , Qualidade de Vida , Fumar , Escarro
6.
Ann R Coll Surg Engl ; 98(8): e200-e202, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27551902

RESUMO

Deciduosis (ectopic or extrauterine decidua) is a phenomenon seen in the ovary and cervix and on serosal surfaces of abdominal and pelvic organs. It is thought to be the result of progesterone effects on extrauterine mesenchymal cells during pregnancy. Although deposits are typically asymptomatic and incidentally found in surgically removed tissues on microscopy, deciduosis has also been known to cause pain and intraperitoneal haemorrhage. We sourced all cases of appendiceal deciduosis that have occurred in Sir Charles Gairdner Hospital and Bunbury Hospital between the years 2006 and 2014. Clinical information was obtained from patients' medical records. Four cases of ectopic decidua of the appendix, all of which were incidentally found in pregnant patients presenting with features highly suggestive of appendicitis, were reviewed. These patients underwent appendicectomy and subsequent histopathology findings showed deciduosis with no evidence of appendicitis. Deciduosis of the appendix can mimic acute appendicitis in pregnancy. At present, it is difficult to confidently differentiate one from the other either by way of clinical presentation or with current imaging modalities.


Assuntos
Apêndice , Doenças do Ceco/diagnóstico , Coristoma/diagnóstico , Decídua , Complicações na Gravidez/diagnóstico , Adulto , Apêndice/diagnóstico por imagem , Doenças do Ceco/complicações , Doenças do Ceco/diagnóstico por imagem , Coristoma/complicações , Coristoma/diagnóstico por imagem , Feminino , Humanos , Imageamento por Ressonância Magnética , Gravidez , Complicações na Gravidez/diagnóstico por imagem , Adulto Jovem
7.
Atherosclerosis ; 251: 273-281, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27428295

RESUMO

BACKGROUND AND AIMS: Diabetes contributes to atherosclerosis partially through induction of oxidative stress. Both vitamin D receptor (VDR) and retinoid X receptor (RXR) agonists exhibit anti-atherogenic effects. METHODS: We explored the effects of combination treatment with VDR and RXR agonists (represented by calcitriol and bexarotene, respectively) on atherosclerosis progression and the mechanisms involved, using a diabetes model of mice. The animals were intragastrically fed calcitriol (200 ng/kg, twice-a-week), bexarotene (10 mg/kg, once-daily) either alone or in combination for 12 weeks. RESULTS: VDR and RXR agonists delayed atherosclerosis progression independent of serum lipid and glucose levels, and significantly reduced the protein expression of nicotinamide adenine dinucleotide phosphate (NADPH) oxidase subunit gp91phox and nuclear factor-kappa B (NF-κB) subunit p65, as well as plasma biomarkers of oxidative stress and inflammation. Combination therapy alleviated atherosclerosis and inhibited indexes of oxidative stress and inflammation to a greater extent than either monotherapy. In the in vitro study, naturally occurring VDR ligand 1α,25-dihydroxyvitamin D3 (1,25[OH]2D3) and RXR ligand 9-cis retinoic acid (9-cis-RA), both significantly inhibited high-glucose-induced endothelial cell apoptosis. Co-administration of VDR and RXR ligands produced synergistic protection against endothelial apoptosis by antagonizing the protein kinase C /NADPH oxidase/reactive oxygen species pathway. The inhibitory effects of 9-cis-RA on oxidative stress was attenuated when VDR was downregulated by VDR siRNA; however, downregulation of RXR by RXR siRNA imposed no influence on the effects of 1,25(OH)2D3. CONCLUSIONS: Combination treatment with VDR and RXR agonists synergistically alleviated diabetic atherosclerosis through inhibition of oxidative stress, and the preventive effects of RXR agonist may partially depend on VDR activation.


Assuntos
Aterosclerose/tratamento farmacológico , Complicações do Diabetes/tratamento farmacológico , Estresse Oxidativo , Receptores de Calcitriol/agonistas , Receptores X de Retinoides/agonistas , Animais , Aorta Torácica/metabolismo , Apoptose , Aterosclerose/fisiopatologia , Bexaroteno , Modelos Animais de Doenças , Células Endoteliais da Veia Umbilical Humana , Humanos , Inflamação , Interleucina-10/metabolismo , Interleucina-6/metabolismo , Masculino , Malondialdeído/química , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout para ApoE , NADPH Oxidase 2/metabolismo , NADPH Oxidases/metabolismo , Proteína Quinase C/metabolismo , RNA Interferente Pequeno/metabolismo , Espécies Reativas de Oxigênio/metabolismo , Superóxido Dismutase/metabolismo , Tetra-Hidronaftalenos/administração & dosagem , Tetra-Hidronaftalenos/farmacologia
9.
Am J Primatol ; 77(5): 563-78, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25676781

RESUMO

The vaginal microbiome is believed to influence host health by providing protection from pathogens and influencing reproductive outcomes such as fertility and gestational length. In humans, age-associated declines in diversity of the vaginal microbiome occur in puberty and persist into adulthood. Additionally, menstruation has been associated with decreased microbial community stability. Adult female baboons, like other non-human primates (NHPs), have a different and highly diverse vaginal microbiome compared to that of humans, which is most commonly dominated by Lactobacillus spp. We evaluated the influence of age, reproductive cycling status (cycling vs. non-cycling) and menstruation on the vaginal microbiome of 38 wild-caught, captive female olive baboons (Papio anubis) by culture-independent sequencing of the V3-V5 region of the bacterial 16S rRNA gene. All baboons had highly diverse vaginal microbial communities. Adult baboons had significantly lower microbial diversity in comparison to subadult baboons, which was attributable to decreased relative abundance of minor taxa. No significant differences were detected based on cycling state or menstruation. Predictive metagenomic analysis showed uniformity in relative abundance of metabolic pathways regardless of age, cycle stage, or menstruation, indicating conservation of microbial community functions. This study suggests that selection of an optimal vaginal microbial community occurs at puberty. Since decreased diversity occurs in both baboons and humans at puberty, this may reflect a general strategy for selection of adult vaginal microbial communities. Comparative evaluation of vaginal microbial community development and composition may elucidate mechanisms of community formation and function that are conserved across host species or across microbial community types. These findings have implications for host health, evolutionary biology, and microbe-host ecosystems.


Assuntos
Menstruação/fisiologia , Microbiota , Papio anubis/microbiologia , Vagina/microbiologia , Fatores Etários , Animais , Feminino , Genoma Bacteriano , Metagenoma , Ovulação/fisiologia , Papio anubis/fisiologia , RNA Bacteriano/genética , RNA Ribossômico 16S/genética
10.
Vet Pathol ; 50(1): 200-8, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22446324

RESUMO

Genital Alphapapillomavirus (αPV) infections are one of the most common sexually transmitted human infections worldwide. Women infected with the highly oncogenic genital human papillomavirus (HPV) types 16 and 18 are at high risk for development of cervical cancer. Related oncogenic αPVs exist in rhesus and cynomolgus macaques. Here the authors identified 3 novel genital αPV types (PhPV1, PhPV2, PhPV3) by PCR in cervical samples from 6 of 15 (40%) wild-caught female Kenyan olive baboons (Papio hamadryas anubis). Eleven baboons had koilocytes in the cervix and vagina. Three baboons had dysplastic proliferative changes consistent with cervical squamous intraepithelial neoplasia (CIN). In 2 baboons with PCR-confirmed PhPV1, 1 had moderate (CIN2, n = 1) and 1 had low-grade (CIN1, n = 1) dysplasia. In 2 baboons with PCR-confirmed PhPV2, 1 had low-grade (CIN1, n = 1) dysplasia and the other had only koilocytes. Two baboons with PCR-confirmed PhPV3 had koilocytes only. PhPV1 and PhPV2 were closely related to oncogenic macaque and human αPVs. These findings suggest that αPV-infected baboons may be useful animal models for the pathogenesis, treatment, and prophylaxis of genital αPV neoplasia. Additionally, this discovery suggests that genital αPVs with oncogenic potential may infect a wider spectrum of non-human primate species than previously thought.


Assuntos
Alphapapillomavirus/isolamento & purificação , Doenças dos Macacos/virologia , Papio hamadryas , Displasia do Colo do Útero/veterinária , Neoplasias do Colo do Útero/veterinária , Alphapapillomavirus/classificação , Alphapapillomavirus/genética , Animais , Colo do Útero/química , Colo do Útero/patologia , DNA Viral/genética , Feminino , Humanos , Imuno-Histoquímica/veterinária , Antígeno Ki-67/análise , Doenças dos Macacos/patologia , Infecções por Papillomavirus/patologia , Infecções por Papillomavirus/veterinária , Infecções por Papillomavirus/virologia , Filogenia , Reação em Cadeia da Polimerase/veterinária , Análise de Sequência de DNA/veterinária , Displasia do Colo do Útero/patologia , Displasia do Colo do Útero/virologia , Neoplasias do Colo do Útero/patologia , Neoplasias do Colo do Útero/virologia , Vagina/patologia
12.
Genet Mol Res ; 12(4): 6692-707, 2013 Dec 13.
Artigo em Inglês | MEDLINE | ID: mdl-24391011

RESUMO

An inflammatory response induced by high glucose is a cause of endothelial dysfunction in diabetes and is an important contributing link to atherosclerosis. Diabetes is an independent risk factor of atherosclerosis and activation of retinoid X receptor (RXR) has been shown to exert anti-atherogenic effects. In the present study, we examined the effects of the RXR ligands 9-cis-retinoic acid (9-cis-RA) and SR11237 on high glucose-induced inflammation in human umbilical endothelial vein endothelial cells (HUVECs) and explored the potential mechanism. Our results showed that the inflammation induced by high-glucose in HUVECs was mainly mediated by the activation of nuclear factor-B (NF- κB). High glucose-induced expression of intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1) were in comparison, significantly decreased by treatment with RXR. The effect of RXR agonists was mainly due to the inhibition of NF-κB activation. Using pharmacological inhibitors and siRNA, we confirmed that nicotinamide adenine dinucleotide phosphate (NADPH) oxidase was an upstream activator of NF-κB. Furthermore, RXR agonists significantly inhibited high glucose-induced activation of NADPH oxidase and significantly decreased the production of reactive oxygen species (ROS). To explore whether the rapid inhibitory effects of RXR agonists were in fact mediated by RXR, we examined the effect of RXR downregulation by RXR siRNA. Our results showed that RXR siRNA largely abrogated the effects of RXR agonists, suggesting the requirement of RXR expression. Therefore, we have shown that RXR is involved in the regulation of NADPH oxidase- NF-κB signal pathway, as the RXR ligands antagonized the inflammatory response in HUVECs induced by high glucose.


Assuntos
Glucose/farmacologia , Inflamação/imunologia , NADPH Oxidases/antagonistas & inibidores , Receptores X de Retinoides/agonistas , Fator de Transcrição RelA/antagonistas & inibidores , Alitretinoína , Antineoplásicos/farmacologia , Aterosclerose , Benzoatos/farmacologia , Células Cultivadas , Diabetes Mellitus , Endotélio Vascular/citologia , Endotélio Vascular/metabolismo , Regulação da Expressão Gênica/efeitos dos fármacos , Glucose/imunologia , Células Endoteliais da Veia Umbilical Humana/metabolismo , Humanos , Inflamação/tratamento farmacológico , Molécula 1 de Adesão Intercelular/biossíntese , NADPH Oxidase 4 , NADPH Oxidases/genética , Interferência de RNA , RNA Interferente Pequeno , Espécies Reativas de Oxigênio/metabolismo , Receptores X de Retinoides/genética , Receptores X de Retinoides/farmacologia , Retinoides/farmacologia , Tretinoína/farmacologia , Regulação para Cima , Molécula 1 de Adesão de Célula Vascular/biossíntese
13.
Hum Reprod ; 27(6): 1640-8, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22454459

RESUMO

BACKGROUND: Uterus transplantation (UTx) may provide the first available treatment for women affected by uterine infertility. The present study aimed to further develop a surgical technique for autologous UTx in a non-human primate species and to assess long-term function. METHODS: Female baboons (n= 16) underwent autologous transplantation of the uterus with the Fallopian tubes and ovaries, performed with a previously published surgical technique (n= 6, Group 1) or using a modified technique (n= 10; Group 2). The uterine arteries were dissected to the proximal end of the anterior branch (Group 1) or the entire (Group 2) internal iliac artery, and the ovarian veins were dissected to the crossing over the ureter (Group 1) or further cranially to include greater lengths and patches of the cava/renal vein (Group 2). Back-table preparation created common venous and arterial ends with arterial anastomosis either end-to-side to the left external iliac artery (Group 1) or end-to-end to the left internal iliac artery (Group 2). RESULTS: Overall short-time survival of the animals was 88% (66% in Group 1 and 100% in Group 2). Of all the operated animals, 75% (66% in Group 1 and 80% in Group 2) resumed ovarian cyclicity. Regular menstruation after UTx was demonstrated only in Group 2 (60%). Menstruating animals (n= 6) were each exposed to timed mating for ≥5 menstrual cycles, but pregnancy did not occur. Adhesions and tubal blockage were seen in post-mortem analysis. CONCLUSIONS: The modified UTx model of Group 2 is a safe procedure and shows resumed long-term uterine function in a majority of the animals, although pregnancy could not be demonstrated.


Assuntos
Papio , Útero/transplante , Animais , Artérias/cirurgia , Cruzamento , Tubas Uterinas/transplante , Feminino , Seguimentos , Artéria Ilíaca/cirurgia , Menstruação , Ovário/irrigação sanguínea , Ovário/transplante , Gravidez , Transplante Autólogo/métodos , Transplante Autólogo/veterinária , Resultado do Tratamento , Útero/irrigação sanguínea , Veias/cirurgia
14.
Clin Genet ; 81(1): 56-63, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21204797

RESUMO

Up to 90% of individuals affected by Sotos syndrome have a pathogenic alteration of NSD1 (encodes nuclear receptor-binding Su-var, enhancer of zeste, and trithorax domain protein 1), a histone methyltransferase that functions as both a transcriptional activator and a repressor. Genomic copy number variations may also cause a Sotos-like phenotype. We evaluated a three-generation family segregating a Sotos-like disorder characterized by typical facial features, overgrowth, learning disabilities, and advanced bone age. Affected individuals did not have a detectable NSD1 mutation, but rather were found to have a 1.9 Mb microduplication of 19p13.2 with breakpoints in two highly homologous Alu elements. Because the duplication included the DNA methyltransferase gene (DNMT1), we assessed DNA methylation of peripheral blood and buccal cell DNA and detected no alterations. We also examined peripheral blood gene expression and found evidence for increased expression of genes within the duplicated region. We conclude that microduplication of 19p13.2 is a novel genomic disorder characterized by variable neurocognitive disability, overgrowth, and facial dysmorphism similar to Sotos syndrome. Failed compensation of gene duplication at the transcriptional level, as seen in peripheral blood, supports gene dosage as the cause of this disorder.


Assuntos
Duplicação Cromossômica , Regulação da Expressão Gênica , Síndrome de Sotos/genética , Adolescente , Adulto , Idoso , Elementos Alu , Criança , Pré-Escolar , Cromossomos Humanos Par 19/genética , Anormalidades Craniofaciais/genética , DNA (Citosina-5-)-Metiltransferase 1 , DNA (Citosina-5-)-Metiltransferases/genética , Metilação de DNA , Análise Mutacional de DNA , Feminino , Genoma Humano , Humanos , Lactente , Deficiências da Aprendizagem/genética , Leucócitos Mononucleares/citologia , Masculino , Pessoa de Meia-Idade , Análise de Sequência com Séries de Oligonucleotídeos , Linhagem , Fenótipo
15.
Gynecol Oncol ; 119(3): 594-600, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20846713

RESUMO

OBJECTIVE: The paucity of data on the fetal effects of prenatal exposure to chemotherapy prompted us to study transplacental transport of chemotherapeutic agents. METHODS: Fluorouracil-epirubicin-cyclophosphamide (FEC) and doxorubicin-bleomycin-vinblastine-dacarbazine (ABVD) were administered to pregnant baboons. At predefined time points over the first 25 h after drug administration, fetal and maternal blood samples, amniotic fluid (AF), urine, fetal and maternal tissues, and cerebrospinal fluid (CSF) were collected. High-performance liquid chromatography (HPLC) and liquid chromatography-mass spectrometry (LC-MS) were used for bioanalysis of doxorubicin, epirubicin, vinblastine, and cyclophosphamide. RESULTS: In nine baboons, at a median gestational age of 139 days (range, 93-169), FEC 100% (n = 2), FEC 200% (n=1), ABVD 100% (n = 5), and ABVD 200% (n = 1) were administered. The obtained ratios of fetal/maternal drug concentration in the different simultaneously collected samples were used as a measure for transplacental transfer. Fetal plasma concentrations of doxorubicin and epirubicin averaged 7.5 ± 3.2% (n = 6) and 4.0 ± 1.6% (n = 8) of maternal concentrations, respectively. Fetal tissues contained 6.3 ± 7.9% and 8.7 ± 8.1% of maternal tissue concentrations for doxorubicin and epirubicin, respectively. Vinblastine concentrations in fetal plasma averaged 18.5 ± 15.5% (n=9) of maternal concentrations. Anthracyclines and vinblastine were neither detectable in maternal nor in fetal brain/CSF. 4-Hydroxy-cyclophosphamide concentrations in fetal plasma and CSF averaged 25.1 ± 6.3% (n = 3) and 63.0% (n = 1) of the maternal concentrations, respectively. CONCLUSION: This study shows limited fetal exposure after maternal administration of doxorubicin, epirubicin, vinblastine, and 4-hydroxy-cyclophosphamide.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/farmacocinética , Ciclofosfamida/análogos & derivados , Sangue Fetal/metabolismo , Placenta/metabolismo , Prenhez/metabolismo , Líquido Amniótico/metabolismo , Animais , Protocolos de Quimioterapia Combinada Antineoplásica/sangue , Bleomicina/sangue , Bleomicina/farmacocinética , Cromatografia Líquida de Alta Pressão , Ciclofosfamida/sangue , Ciclofosfamida/farmacocinética , Dacarbazina/sangue , Dacarbazina/farmacocinética , Doxorrubicina/sangue , Doxorrubicina/farmacocinética , Epirubicina/sangue , Epirubicina/farmacocinética , Feminino , Fluoruracila/sangue , Fluoruracila/farmacocinética , Espectrometria de Massas , Papio , Gravidez , Prenhez/sangue , Vimblastina/sangue , Vimblastina/farmacocinética
16.
Hum Reprod ; 25(8): 1980-7, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20519250

RESUMO

BACKGROUND: Techniques for uterus transplantation (UTx) have been developed in rodent/domestic animals towards future clinical introduction of UTx to treat uterine factor infertility. The aim of this study was to extend the UTx research into a non-human primate species by developing surgical techniques for uterus retrieval and transplantation in the baboon. METHODS: Female baboons (n = 15) underwent surgery, with the initial five animals used for studies of pelvic vascular anatomy. Retrieval surgery included isolation of the ovarian veins and the uterine arteries together with the anterior branches of the internal iliacs. The utero-tubal-ovarian specimen was removed, flushed and kept ex vivo for 2 h when the two arterial ends and two venous ends were anastomosed side-to-side to construct one arterial and one venous end. These were, at auto-transplantation, anastomosed end-to-side to the external iliacs and the animals (n = 10) were evaluated concerning cyclicity and later by laparoscopy/laparotomy. RESULTS: The total duration of organ retrieval, backtable preparation and transplantation was around 6 h with an overall ischaemic time of the specimen of about 3 h. One animal died due to cardiomyopathy. Five out of the nine surviving animals resumed cyclicity, as a sign of re-established ovarian function. Only two out of these five animals exhibited resumed menstruation, indicating re-established ovarian and uterine function. Laparoscopy confirmed normal-sized uteri in these two animals. CONCLUSIONS: This study demonstrates the feasibility of UTx by vascular anastomosis in a non-human primate species. The low success rate demonstrates the complexity involved in UTx surgery and the need for further methodological developments.


Assuntos
Fertilidade/fisiologia , Útero/transplante , Anastomose Cirúrgica , Animais , Tubas Uterinas/irrigação sanguínea , Tubas Uterinas/fisiologia , Tubas Uterinas/transplante , Feminino , Procedimentos Cirúrgicos em Ginecologia/métodos , Ovário/irrigação sanguínea , Ovário/fisiologia , Ovário/transplante , Papio , Transplante Autólogo , Resultado do Tratamento , Útero/irrigação sanguínea , Útero/fisiologia
17.
Osteoarthritis Cartilage ; 18(2): 249-56, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19800448

RESUMO

OBJECTIVE: Our goal was to test the hypothesis that specific integrin receptors regulate chondrocyte biosynthetic response to dynamic compression at early times in 3D gel culture, during initial evolution of the pericellular matrix, but prior to significant accumulation of further-removed matrix. The study was motivated by increased use of dynamic loading, in vitro, for early stimulation of tissue engineered cartilage, and the need to understand the effects of loading, in vivo, at early times after implantation of constructs. METHODS: Bovine articular chondrocytes were seeded in 2% agarose gels (15x10(6)cells/mL) and incubated for 18 h with and without the presence of specific integrin blockers (small-molecule peptidomimetics, function-blocking antibodies, and RGD-containing disintegrins). Samples were then subjected to a 24-h dynamic compression regime found previously to stimulate chondrocyte biosynthesis in 3D gel as well as cartilage explant culture (1 Hz, 2.5% dynamic strain amplitude, 7% static offset strain). At the end of loading, proteoglycan (PG) synthesis ((35)S-sulfate incorporation), protein synthesis ((3)H-proline incorporation), DNA content (Hoechst dye 33258) and total glycosaminoglycan (GAG) content (dimethyl methylene blue (DMMB) dye binding) were assessed. RESULTS: Consistent with previous studies, dynamic compression increased PG synthesis and total GAG accumulation compared to free-swelling controls. Blocking alphavbeta3 abolished this response, independent of effects on controls, while blocking beta1 abolished the relative changes in synthesis when changes in free-swelling synthesis rates were observed. CONCLUSIONS: This study suggests that both alphavbeta3 and beta1 play a role in pathways that regulate stimulation of PG synthesis and accumulation by dynamic compression, but through distinct complementary mechanisms.


Assuntos
Cartilagem Articular/fisiologia , Glicosaminoglicanos/biossíntese , Integrinas/antagonistas & inibidores , Proteoglicanas/biossíntese , Animais , Cartilagem Articular/citologia , Bovinos , Células Cultivadas , Condrócitos , Força Compressiva/fisiologia , Técnicas de Cultura/métodos , Sefarose/química , Estresse Mecânico
18.
Acta Biomater ; 6(5): 1783-91, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-19815098

RESUMO

Mg/Ca (1 wt.%, 5 wt.%, 10 wt.% Ca) composites were prepared from pure magnesium and calcium powders using the powder metallurgy method, aiming to enlarge the addition of Ca content without the formation of Mg(2)Ca. The microstructures, mechanical properties and cytotoxicities of Mg/Ca composite samples were investigated. The corrosion of Mg/Ca composites in Dulbecco's modified Eagle's medium (DMEM) for various immersion intervals was studied by electrochemical impedance spectroscopy measurements and environmental scanning electron microscope, with the concentrations of released Mg and Ca ions in DMEM for various immersion time intervals being measured. It was shown that the main constitutional phases were Mg and Ca, which were uniformly distributed in the Mg matrix. The ultimate tensile strength (UTS) and elongation of experimental composites decreased with increasing Ca content, and the UTS of Mg/1Ca composite was comparable with that of as-extruded Mg-1Ca alloy. The corrosion potential increased with increasing Ca content, whereas the current density and the impedance decreased. It was found that the protective surface film formed quickly at the initial immersion stage. With increasing immersion time, the surface film became compact, and the corrosion rate of Mg/Ca composites slowed down. The surface film consisted mainly of CaCO(3), MgCO(3)x3H(2)O, HA and Mg(OH)(2) after 72 h immersion in DMEM. Mg/1Ca and Mg/5Ca composite extracts had no significant toxicity (p>0.05) to L-929 cells, whereas Mg/10Ca composite extract induced approximately 40% reduced cell viability.


Assuntos
Materiais Biocompatíveis/farmacologia , Cálcio/farmacologia , Fibroblastos/citologia , Fibroblastos/efeitos dos fármacos , Magnésio/farmacologia , Teste de Materiais , Metalurgia/métodos , Animais , Morte Celular/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Corrosão , Impedância Elétrica , Eletricidade , Elementos Químicos , Camundongos , Microscopia Eletrônica de Varredura , Potenciometria , Pós , Soluções , Propriedades de Superfície/efeitos dos fármacos , Temperatura , Resistência à Tração/efeitos dos fármacos , Difração de Raios X
19.
J Med Primatol ; 38(5): 321-7, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19594664

RESUMO

BACKGROUND: In order to consider the non-human primate as an adequate model for studying prenatal diagnosis and therapy, comparative data on fetal growth should be available. METHODS: Sixty ultrasound scans were performed in 22 baboons between 14 and 167 days of gestation. MEASUREMENTS: included greatest length, head circumference, biparietal diameter (BPD), transcerebellar diameter, abdominal circumference (AC), femur length (FL), and amniotic fluid index. For all parameters growth curves were established and compared with human curves. In 18 animals, birth weight and placental weight were determined. Different equations described in the literature for estimating the human fetal weight were tested in the baboon. RESULTS: The fetal and placental growth pattern in the baboon was comparable with humans. The best predictor of fetal weight was the formula presented by Combs: 0.23966 x AC(2) x FL + 1.623 x BPD(3). CONCLUSIONS: A high similarity between baboon and human growth charts is shown. The best equation for estimating the baboon fetal weight is proposed.


Assuntos
Peso Fetal , Papio anubis , Ultrassonografia Pré-Natal , Animais , Biometria , Feminino , Humanos , Modelos Animais , Gravidez , Prenhez
20.
J Med Primatol ; 38(2): 145-50, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19367739

RESUMO

BACKGROUND: Baboon in vitro fertilization requires capacitated sperm inappropriate media. In this study, we compared the effect of baboon serum (Bas), human serum albumin (HSA) and bovine serum albumin (BSA) on baboon sperm capacitation. METHODS: Five males (n = 5) were electroejaculated and 43 oocytes retrieved from super-ovulated female baboons (n = 10). Each sperm sample was assessed for initial motility and concentration before and after swim-up. For swim-up, each sperm sample was incubated separately in Biggers-Whitten-Whittingham media containing either BaS, HSA, BSA or without protein supplementation (control). After swim-up, each sperm aliquot was incubated with two to three oocytes. The number of sperm bound to the zona was evaluated after overnight incubation. RESULTS: Sperm motility and zona binding was significantly higher after capacitation in media supplemented with BaS than in HSA or BSA or in media without protein supplementation (P < 0.05). CONCLUSION: Baboon serum is superior to HSA or BSA for baboon sperm capacitation and zona binding.


Assuntos
Fertilização in vitro , Papio/fisiologia , Soro/fisiologia , Capacitação Espermática , Animais , Bovinos , Meios de Cultura , Feminino , Humanos , Masculino , Especificidade da Espécie
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