Biological Effects of Small Sized Graphene Oxide Nanosheets on Human Leukocytes.

Since the discovery of graphene, there has been a wide range of the literature dealing with its versatile structure and easy binding of biomolecules as well as its large loading capacity. In the emerging field of immunotherapy, graphene and its derivatives have potential uses as drug delivery platforms directly into tumour sites or as adjuvants in cancer vaccines, as they are internalized by monocytes which in turn may activate adaptive anti-tumoral immune responses. In this study, we expose cells of the innate immune system and a human acute monocytic leukemia cell line (THP-1) to low doses of small-sized GO nanosheets functionalized with bovine serum albumin (BSA) and fluorescein isothiocyanate (FITC), to study their acute response after internalization. We show by flow cytometry, uptake in cells of GO-BSA-FITC reaches 80% and cell viability and ROS production are both unaffected by exposure to nanoparticles. On the contrary, GO-BSA nanosheets seem to have an inhibitory effect on ROS production, probably due to their antioxidant properties. We also provided results on chemotaxis of macrophages derived from peripheral blood monocytes treated with GO-BSA. In conclusion, we showed the size of nanosheets, the concentration used and the degree of functionalization were important factors for biocompatibility of GO in immune cells. Its low cytotoxicity and high adaptability to the cells of the innate immune system make it a good candidate for deployment in immunotherapy, in particular for delivering protein antigens to monocytes which activate adaptive immunity.

Non-Invasive Treatments for Failed Back Surgery Syndrome: A Systematic Review.

STUDY DESIGN: Systematic Review. OBJECTIVES: The aim of this systematic review is to evaluate the efficacy of non-invasive procedures in relieving chronic pain due to Failed Back Surgery Syndrome (FBSS). METHODS: Since patients who suffered from FBBS are often non-responders to analgesics, we compared Visual Analogical Scale for low back and leg pain, Oswestry Disability Index, trial success rate, adverse events and complications between conservative treatment groups and control groups. RESULTS: The included studies were 15. Spinal Cord Stimulation (SCS) was performed in 11 trials; 4 studies assessed the efficacy of different epidural injections; one study evaluated repetitive Transcranial Magnetic Stimulation. All the studies reported back and leg pain relief after treatment with SCS, with a significant superiority in high frequences (HFS) group, compared to low frequences (LFS) group. Moreover, disability decreased with each non-invasive treatment evaluated. Epidural injections of steroids and hyaluronidase have shown controversial results. Adverse events were described in 7 studies: lead migration, hardware-related events, infection and incisional pain were the most reported. Finally, trial success rate showed better outcomes for HFS. CONCLUSIONS: Our systematic review highlights the efficacy of conservative treatments in FBSS patients, with an improvement in pain scores and a decrease in disability index, especially after SCS with HFS. However, due to the lack of homogeneity among trials and population characteristics, further studies are needed to confirm the effectiveness of non-invasive interventions in patients affected by FBSS.

Should Entanglement Measures be Monogamous or Faithful?

"Is entanglement monogamous?" asks the title of a popular article [B. Terhal, IBM J. Res. Dev. 48, 71 (2004)], celebrating C. H. Bennett's legacy on quantum information theory. While the answer is affirmative in the qualitative sense, the situation is less clear if monogamy is intended as a quantitative limitation on the distribution of bipartite entanglement in a multipartite system, given some particular measure of entanglement. Here, we formalize what it takes for a bipartite measure of entanglement to obey a general quantitative monogamy relation on all quantum states. We then prove that an important class of entanglement measures fail to be monogamous in this general sense of the term, with monogamy violations becoming generic with increasing dimension. In particular, we show that every additive and suitably normalized entanglement measure cannot satisfy any nontrivial general monogamy relation while at the same time faithfully capturing the geometric entanglement structure of the fully antisymmetric state in arbitrary dimension. Nevertheless, monogamy of such entanglement measures can be recovered if one allows for dimension-dependent relations, as we show explicitly with relevant examples.

Strong monogamy conjecture for multiqubit entanglement: the four-qubit case.

We investigate the distribution of bipartite and multipartite entanglement in multiqubit states. In particular, we define a set of monogamy inequalities sharpening the conventional Coffman-Kundu-Wootters constraints, and we provide analytical proofs of their validity for relevant classes of states. We present extensive numerical evidence validating the conjectured strong monogamy inequalities for arbitrary pure states of four qubits.