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1.
J Control Release ; 365: 286-300, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37992875

RESUMO

Multidrug resistance (MDR) is an inevitable clinical problem in chemotherapy due to the activation of abundant P-glycoprotein (P-gp) that can efflux drugs. Limitations of current cancer therapy highlight the need for the development of a comprehensive cancer treatment strategy, including drug-resistant cancers. Small extracellular vesicles (sEVs) possess significant potential in surmounting drug resistance as they can effectively evade the efflux mechanism and transport small molecules directly to MDR cancer cells. One mechanism mediating MDR in cancer cells is sustaining increased levels of reactive oxygen species (ROS) and maintenance of the redox balance with antioxidants, including glutathione (GSH). Herein, we developed GSH-depleting benzoyloxy dibenzyl carbonate (B2C)-encapsulated sEVs (BsEVs), which overcome the efflux system to exert highly potent anticancer activity against human MDR ovarian cancer cells (OVCAR-8/MDR) by depleting GSH to induce oxidative stress and, in turn, apoptotic cell death in both OVCAR-8/MDR and OVCAR-8 cancer cells. BsEVs restore drug responsiveness by inhibiting ATP production through the oxidation of nicotinamide adenine dinucleotide with hydrogen (NADH) and inducing mitochondrial dysfunction, leading to the dysfunction of efflux pumps responsible for drug resistance. In vivo studies showed that BsEV treatment significantly inhibited the growth of OVCAR-8/MDR and OVCAR-8 tumors. Additionally, OVCAR-8/MDR tumors showed a trend towards a greater sensitivity to BsEVs compared to OVCAR tumors. In summary, this study demonstrates that BsEVs hold tremendous potential for cancer treatment, especially against MDR cancer cells.


Assuntos
Antineoplásicos , Neoplasias , Humanos , Antineoplásicos/farmacologia , Espécies Reativas de Oxigênio/metabolismo , Preparações Farmacêuticas , Resistencia a Medicamentos Antineoplásicos , Linhagem Celular Tumoral , Neoplasias/tratamento farmacológico
2.
Trials ; 23(1): 84, 2022 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-35090535

RESUMO

BACKGROUND: Return of gastrointestinal (GI) function is fundamental to patient recovery after colorectal surgery and is required before patients can be discharged from hospital safely. Up to 40% of patients suffer delayed return of GI function after colorectal surgery, causing nausea, vomiting and abdominal discomfort, resulting in longer hospital stay. Small, randomised studies have suggested perioperative intravenous (IV) lidocaine, which has analgesic and anti-inflammatory effects, may accelerate return of GI function after colorectal surgery. The ALLEGRO trial is a pragmatic effectiveness study to assess the benefit of perioperative IV lidocaine in improving return of GI function after elective minimally invasive (laparoscopic or robotic) colorectal surgery. METHODS: United Kingdom (UK) multi-centre double blind placebo-controlled randomised controlled trial in 562 patients undergoing elective minimally invasive colorectal resection. IV lidocaine or placebo will be infused for 6-12 h commencing at the start of surgery as an adjunct to usual analgesic/anaesthetic technique. The primary outcome will be return of GI function. DISCUSSION: A 6-12-h perioperative intravenous infusion of 2% lidocaine is a cheap addition to usual anaesthetic/analgesic practice in elective colorectal surgery with a low incidence of adverse side-effects. If successful in achieving quicker return of gut function for more patients, it would reduce the rate of postoperative ileus and reduce the duration of inpatient recovery, resulting in reduced pain and discomfort with faster recovery and discharge from hospital. Since colorectal surgery is a common procedure undertaken in every acute hospital in the UK, a reduced length of stay and reduced rate of postoperative ileus would accrue significant cost savings for the National Health Service (NHS). TRIAL REGISTRATION: EudraCT Number 2017-003835-12; REC Number 17/WS/0210 the trial was prospectively registered (ISRCTN Number: ISRCTN52352431 ); date of registration 13 June 2018; date of enrolment of first participant 14 August 2018.


Assuntos
Cirurgia Colorretal , Lidocaína , Anestésicos Locais/efeitos adversos , Carbazóis , Humanos , Lidocaína/efeitos adversos , Dor Pós-Operatória/diagnóstico , Dor Pós-Operatória/etiologia , Dor Pós-Operatória/prevenção & controle , Medicina Estatal , Triptaminas
3.
Chem Biol Drug Des ; 97(2): 325-340, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32909340

RESUMO

Spiropyrans have been extensively investigated because of their thermo- and photochromic characteristics, but their biotherapeutic properties have not been explored much. We report anti-proliferative properties of a novel 3,3'-azadimethylene dinaphthospiropyran 11. Dibenzospiropyrans and dinaphthospiropyrans were synthesized by a simple and expedient method using acid-catalyzed aldol condensation of salicylaldehyde and 2-hydroxy-1-naphthaldehyde, respectively, with cyclic ketones. Together with structural elucidation by 2D NMR and X-ray crystallography studies, we provide a putative mechanism for their formation. Compound 11 showed solvatochromism and exhibited altered spectral characteristics depending on the pH. In acidic conditions, 11 remains in open form, whereas upon alkalinization it reverts back to closed form. Based on the in vitro anti-proliferative activity in H441, HCT-116, MiaPaCa-2, and Panc-1 cancer cell lines, 11 was submitted to further investigation. It reduced HCT116 colonosphere formation and demonstrated induction of caspase cascade, suggesting apoptosis. In vitro proliferation assays also suggested that HCl and trifluoroacetate salts of 11 are more effective. Treatment of mice carrying HCT-116 xenografts with 11 (5 µg/day, intraperitoneal for 3 weeks) suppressed tumor growth by 62%. Overall, the results reveal a new series of structurally complex, but relatively easy to synthesize molecules of which compound 11 represents a lead for anticancer development.


Assuntos
Antineoplásicos/uso terapêutico , Benzopiranos/química , Neoplasias do Colo/tratamento farmacológico , Indóis/química , Nitrocompostos/química , Animais , Antineoplásicos/química , Antineoplásicos/farmacologia , Apoptose/efeitos dos fármacos , Benzopiranos/farmacologia , Benzopiranos/uso terapêutico , Pontos de Checagem do Ciclo Celular/efeitos dos fármacos , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Neoplasias do Colo/metabolismo , Neoplasias do Colo/patologia , Cristalografia por Raios X , Ensaios de Seleção de Medicamentos Antitumorais , Humanos , Indóis/farmacologia , Indóis/uso terapêutico , Camundongos , Conformação Molecular , Nitrocompostos/farmacologia , Nitrocompostos/uso terapêutico , Transplante Heterólogo
4.
Surg Endosc ; 35(1): 1-17, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33170335

RESUMO

BACKGROUND: COVID-19 pandemic presented an unexpected challenge for the surgical community in general and Minimally Invasive Surgery (MIS) specialists in particular. This document aims to summarize recent evidence and experts' opinion and formulate recommendations to guide the surgical community on how to best organize the recovery plan for surgical activity across different sub-specialities after the COVID-19 pandemic. METHODS: Recommendations were developed through a Delphi process for establishment of expert consensus. Domain topics were formulated and subsequently subdivided into questions pertinent to different surgical specialities following the COVID-19 crisis. Sixty-five experts from 24 countries, representing the entire EAES board, were invited. Fifty clinicians and six engineers accepted the invitation and drafted statements based on specific key questions. Anonymous voting on the statements was performed until consensus was achieved, defined by at least 70% agreement. RESULTS: A total of 92 consensus statements were formulated with regard to safe resumption of surgery across eight domains, addressing general surgery, upper GI, lower GI, bariatrics, endocrine, HPB, abdominal wall and technology/research. The statements addressed elective and emergency services across all subspecialties with specific attention to the role of MIS during the recovery plan. Eighty-four of the statements were approved during the first round of Delphi voting (91.3%) and another 8 during the following round after substantial modification, resulting in a 100% consensus. CONCLUSION: The recommendations formulated by the EAES board establish a framework for resumption of surgery following COVID-19 pandemic with particular focus on the role of MIS across surgical specialities. The statements have the potential for wide application in the clinical setting, education activities and research work across different healthcare systems.


Assuntos
COVID-19 , Controle de Infecções/normas , Procedimentos Cirúrgicos Minimamente Invasivos/normas , COVID-19/epidemiologia , COVID-19/prevenção & controle , Técnica Delphi , Procedimentos Cirúrgicos Eletivos/métodos , Procedimentos Cirúrgicos Eletivos/normas , Emergências , Saúde Global , Alocação de Recursos para a Atenção à Saúde/normas , Acessibilidade aos Serviços de Saúde/normas , Humanos , Controle de Infecções/métodos , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Pandemias , SARS-CoV-2
5.
Appl Microbiol Biotechnol ; 104(10): 4383-4395, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32189045

RESUMO

Aromatic prenyltransferases are known for their extensive promiscuity toward aromatic acceptor substrates and their ability to form various carbon-carbon and carbon-heteroatom bonds. Of particular interest among the prenyltransferases is NphB, whose ability to geranylate cannabinoid precursors has been utilized in several in vivo and in vitro systems. It has therefore been established that prenyltransferases can be utilized as biocatalysts for the generation of useful compounds. However, recent observations of non-native alkyl-donor promiscuity among prenyltransferases indicate the role of NphB in biocatalysis could be expanded beyond geranylation reactions. Therefore, the goal of this study was to elucidate the donor promiscuity of NphB using different acceptor substrates. Herein, we report distinct donor profiles between NphB-catalyzed reactions involving the known substrate 1,6-dihydroxynaphthalene and an FDA-approved drug molecule sulfabenzamide. Furthermore, we report the first instance of regiospecific, NphB-catalyzed N-alkylation of sulfabenzamide using a library of non-native alkyl-donors, indicating the biocatalytic potential of NphB as a late-stage diversification tool. KEY POINTS: • NphB can utilize the antibacterial drug sulfabenzamide as an acceptor. • The donor profile of NphB changes dramatically with the choice of acceptor. • NphB performs a previously unknown regiospecific N-alkylation on sulfabenzamide. • Prenyltransferases like NphB can be utilized as drug-alkylating biocatalysts.


Assuntos
Dimetilaliltranstransferase/metabolismo , Streptomyces/enzimologia , Alquilação , Biocatálise , Dimetilaliltranstransferase/química , Cinética , Espectroscopia de Ressonância Magnética , Naftóis/metabolismo , Prenilação , Sensibilidade e Especificidade , Streptomyces/genética , Especificidade por Substrato , Sulfonamidas/metabolismo
6.
Medchemcomm ; 10(8): 1465-1475, 2019 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-31534661

RESUMO

Aromatic prenyltransferases from natural product biosynthetic pathways display relaxed specificity for their aromatic substrates. While a growing body of evidence suggests aromatic prenyltransferases to be more tolerant towards their alkyl-donor substrates, most studies aimed at probing their donor-substrate specificity are limited to only a small set of alkyl pyrophosphate donors, restricting their broader utility as biocatalysts for synthetic applications. Here, we assess the donor substrate specificity of an l-tryptophan C4-prenyltransferase, also known as C4-dimethylallyltryptophan synthase, FgaPT2 from Aspergillus fumigatus, using an array of 34 synthetic unnatural alkyl-pyrophosphate analogues, and demonstrate FgaPT2 can catalyze the transfer of 25 of the 34 non-native alkyl groups from their corresponding synthetic alkyl-pyrophosphate analogues at N1, C3, C4 and C5 position of tryptophan in a normal and reverse manner. The kinetic studies and regio-chemical analysis of the alkyl-l-tryptophan products suggest that the alkyl-donor transfer by FgaPT2 is a function of the stability of the carbocation and the steric factors in the active site of the enzyme. Further, to demonstrate the biocatalytic utility of FgaPT2, this study also highlights the FgaPT2-catalyzed synthesis of a small set of alkyl-diversified indolocarbazole analogues. These results reveal FgaPT2 to be more tolerant to diverse non-native alkyl-donor substrates beyond their known acceptor substrate promiscuity and set the stage for its development as a novel biocatalytic tool for the differential alkylation of natural products for drug discovery and other synthetic applications.

7.
Acta Biomater ; 95: 176-187, 2019 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-30669003

RESUMO

Bioprinting technologies have tremendous potential for advancing regenerative medicine due to the precise spatial control over depositing a printable biomaterial, or bioink. Despite the growing interest in bioprinting, the field is challenged with developing biomaterials for extrusion-based bioprinting. The paradigm of contemporary bioink studies relies on trial-and-error methods for discovering printable biomaterials, which has little practical use for others who endeavor to develop bioinks. There is pressing need to follow the precedent set by a few pioneering studies that have attempted to standardize bioink characterizations for determining the properties that define printability. Here, we developed a pentenoate-functionalized hyaluronic acid hydrogel (PHA) into a printable bioink and used three recommended, quantitative rheological assessments to characterize the printability: 1) yield stress, 2) viscosity, and 3) storage modulus recovery. The most important characteristic is the yield stress; we found a yield stress upper limit of ∼1000 Pa for PHA. Measuring the viscosity was advantageous for determining shear-thinning behavior, which aided in extruding highly viscous PHA through a nozzle. Post-printing recovery is required to maintain shape fidelity and we found storage modulus recoveries above ∼85% were sufficient for PHA. Two formulations had superior printability (i.e., 1.5 MDa PHA - 4 wt%, and 1 MDa PHA - 8 wt%), and increasing cell concentrations in PHA up to 9 × 106 cells/mL had minimal effects on the printability. Even so, other factors such as sterilization and peptide modifications to enhance bioactivity may influence printability, highlighting the need for investigators to consider such factors when developing new bioinks. STATEMENT OF SIGNIFICANCE: Bioprinting has potential for regenerating damaged tissues; however, there are a limited number of printable biomaterials, and developing new bioinks is challenging because the required material physical properties for extrusion-based printing are not yet known. Most new bioinks are developed by trial-and-error, which is neither efficient nor comparable across materials. There is a need for the field to begin utilizing standard methods proposed by a few pioneering studies to characterize new bioinks. Therefore, we have developed the printability of a hyaluronic acid based-hydrogel and characterized the material with three quantitative rheological tests. The current work impacts the bioprinting field by demonstrating and encouraging the use of universal bioink characterizations and by providing printability windows to advance new bioink development.


Assuntos
Bioimpressão , Ácido Hialurônico/química , Hidrogéis/química , Reologia , Animais , Sobrevivência Celular , Módulo de Elasticidade , Tinta , Células-Tronco Mesenquimais/citologia , Células-Tronco Neurais/citologia , Ratos Sprague-Dawley , Viscosidade
8.
Arch Biochem Biophys ; 653: 50-62, 2018 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-29944868

RESUMO

Dihydrodipicolinate synthase (DHDPS) catalyzes the first step in the pathway for the biosynthesis of L-lysine in most bacteria and plants. The substrates for the enzyme are pyruvate and L-aspartate-ß-semialdehyde (ASA). The product of the reaction was originally proposed to be 2,3-dihydrodipicolinate (DHDP), but has now generally been assumed to be (4S)-4-hydroxy-2,3,4,5-tetrahydro-(2S)-dipicolinate (HTPA). ASA is unstable at high pH and it is proposed that ASA reacts with itself. At high pH ASA also reacts with Tris buffer and both reactions are largely reversible at low pH. It is proposed that the basic un-protonated form of the amine of Tris or the α-amine of ASA reacts with the aldehyde functional group of ASA to generate an imine product. Proton NMR spectra of ASA done at different pH values shows new NMR peaks at high pH, but not at low pH, confirming the presence of reaction products for ASA at high pH. The enzymatic product of the DHDPS reaction was examined at low pH by proton NMR starting with either 3 h-pyruvate or 3 d-pyruvate and identical NMR spectra were obtained with four new NMR peaks observed at 1.5, 2.3, 3.9 and 4.1 ppm in both cases. The NMR results were most consistent with DHDP as the reaction product. The UV-spectral studies of the DHDPS reaction shows the formation of an initial product with a broad spectral peak at 254 nM. The DHDPS reaction product was further examined by reduction of the enzymatic reaction components with borohydride followed by GC-MS analysis of the mixture. Three peaks were found at 88, 119 and 169 m/z, consistent with pyruvate, homoserine (reduction product of ASA), and the reduction product of DHDP (1,2,3,6-tetrahydropyridine-2,6-dicarboxylate). There was no indication for a peak associated with the reduced form of HTPA.


Assuntos
Proteínas de Escherichia coli/metabolismo , Escherichia coli/enzimologia , Hidroliases/metabolismo , Ácidos Picolínicos/metabolismo , Ácido Aspártico/análogos & derivados , Ácido Aspártico/química , Ácido Aspártico/metabolismo , Cromatografia Gasosa-Espectrometria de Massas , Concentração de Íons de Hidrogênio , Espectroscopia de Prótons por Ressonância Magnética , Espectrofotometria Ultravioleta
9.
ACS Med Chem Lett ; 8(11): 1171-1176, 2017 Nov 09.
Artigo em Inglês | MEDLINE | ID: mdl-29152050

RESUMO

The acyldepsipeptide (ADEP) antibiotics operate through a clinically unexploited mechanism of action and thus have attracted attention from several antibacterial development groups. The ADEP scaffold is synthetically tractable, and deep-seated modifications have produced extremely potent antibacterial leads against Gram-positive pathogens. Although newly identified ADEP analogs demonstrate remarkable antibacterial activity against bacterial isolates and in mouse models of bacterial infections, stability issues pertaining to the depsipeptide core remain. To date, no study has been reported on the natural ADEP scaffold that evaluates the sole importance of the macrocyclic linkage on target engagement, molecular conformation, and bioactivity. To address this gap in ADEP structure-activity relationships, we synthesized three ADEP analogs that only differ in the linkage motif (i.e., ester, amide, and N-methyl amide) and provide a side-by-side comparison of conformational behavior and biological activity. We demonstrate that while replacement of the naturally occurring ester linkage with a secondary amide maintains in vitro biochemical activity, this simple substitution results in a significant drop in whole-cell activity. This study provides direct evidence that ester to amide linkage substitution is unlikely to provide a reasonable solution for ADEP instability.

10.
J Surg Oncol ; 116(5): 583-591, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28873505

RESUMO

Effective pain management is fundamental to enhanced recovery after surgery. Selection of strategies should be tailored to patient and operation. As well as improving the quality of recovery, effective analgesia reduces the host stress response, facilitates mobilization and allows resumption of oral intake. Multi-modal regimens combining paracetamol, non-steroidal anti-inflammatory agents where indicated, a potent opioid and a local anaesthetic technique achieve effective analgesia while limiting the dose and thereby side effects of any one agent.


Assuntos
Manejo da Dor/métodos , Dor Pós-Operatória/tratamento farmacológico , Procedimentos Cirúrgicos Operatórios/métodos , Acetaminofen/administração & dosagem , Analgésicos/uso terapêutico , Anti-Inflamatórios não Esteroides/administração & dosagem , Humanos , Dor Pós-Operatória/diagnóstico , Procedimentos Cirúrgicos Operatórios/efeitos adversos
11.
J Antibiot (Tokyo) ; 69(12): 871-878, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27189119

RESUMO

ß-Lactam antibiotics kill Staphylococcus aureus bacteria by inhibiting the function of cell wall penicillin-binding proteins (PBPs) 1 and 3. However, ß-lactams are ineffective against PBP2a, used by methicillin-resistant S. aureus (MRSA) to perform essential cell wall crosslinking functions. PBP2a requires teichoic acid to properly locate and orient the enzyme, and thus MRSA is susceptible to antibiotics that prevent teichoic acid synthesis in the bacterial cytoplasm. As an alternative, we have used branched poly(ethylenimine), BPEI, to target teichoic acid in the bacterial cell wall. The result is restoration of MRSA susceptibility to the ß-lactam antibiotic ampicillin with a MIC of 1 µg ml-1, superior to that of vancomycin (MIC=3.7 µg ml-1). A checkerboard assay shows synergy of BPEI and ampicillin. NMR data show that BPEI alters the teichoic acid chemical environment. Laser scanning confocal microscopy images show BPEI residing on the bacterial cell wall, where teichoic acids and PBPs are located.


Assuntos
Ampicilina/farmacologia , Staphylococcus aureus Resistente à Meticilina/efeitos dos fármacos , Polietilenoimina/farmacologia , Ampicilina/química , Antibacterianos/química , Antibacterianos/farmacologia , Parede Celular/efeitos dos fármacos , Parede Celular/metabolismo , Sinergismo Farmacológico , Testes de Sensibilidade Microbiana , Proteínas de Ligação às Penicilinas/genética , Proteínas de Ligação às Penicilinas/metabolismo , Polietilenoimina/química , Ácidos Teicoicos/antagonistas & inibidores , Ácidos Teicoicos/metabolismo , Vancomicina/farmacologia
12.
J Nat Prod ; 78(6): 1415-21, 2015 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-26061478

RESUMO

Deuterium is one of the few stable isotopes that have the capacity to significantly alter a compound's chemical and biological properties. The addition of a single neutron to a protium atom results in the near doubling of its mass, which gives rise to deuterium's characteristic isotope effects. Since the incorporation of deuterium into organic substrates is known to alter enzyme/protein-substrate interactions, we tested the extent to which deuterium enrichment would modify fungal secondary metabolite production. Several fungal cultures were tested, and in all cases their secondary metabolomes were marked by changes in natural product production. Workup of one Aspergillus sp. grown under deuterium-enrichment conditions resulted in the production of several secondary metabolites not previously detected from the fungus. Bioassay testing revealed that in comparison to the inactive crude fungal extract derived from growing the fungus under non-deuterium-enriched conditions, an extract derived from the same isolate cultured in a deuterium-enriched medium inhibited methicillin-resistant Staphylococcus aureus. Using an assortment of NMR and mass spectrometry experiments, we were able to identify the bacterial inhibitor as an isotope-labeled version of pigmentosin A (6). Five additional isotopically labeled metabolites were also obtained from the fungus including brevianamide F (1), stephacidin A (2), notoamide D (3), notoamide L (4), and notoamide C (5). Given the assorted changes observed in the secondary metabolite profiles of this and other fungi grown in deuterium-enriched environments, as well as the fact that 1 and 3-6 had not been previously observed from the Aspergillus sp. isolate used in this study, we propose that deuterium enrichment might offer an effective method for further expanding a fungus's chemical diversity potential.


Assuntos
Aspergillus/metabolismo , Fungos/metabolismo , Produtos Biológicos/química , Deutério , Alcaloides Indólicos/química , Alcaloides Indólicos/isolamento & purificação , Marcação por Isótopo , Metaboloma , Staphylococcus aureus Resistente à Meticilina , Estrutura Molecular , Ressonância Magnética Nuclear Biomolecular
13.
J Dent Educ ; 79(3): 331-6, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25729027

RESUMO

Dental clinicians have an expanding range of biomaterial choices for restoring tooth structure. Scientific developments in cariology, advances in dental biomaterials, and patients' esthetic concerns have led to a reduction in amalgam restorations and an increase in composite restorations. The aim of this study was to compare teaching time with students' clinical procedures in amalgam and composite posterior restorations in dental schools across the United States. Academic deans in 60 schools were invited to complete a survey that asked for the amount of instructional time for amalgam and composite posterior restorations and the number of clinical restorations performed by their Classes of 2009, 2010, and 2011. Of these 60, 12 returned surveys with complete data, for a 20% response rate. Responses from these schools showed little change in lecture and preclinical laboratory instruction from 2009 to 2011. There was a slight increase in two-surface restorations for both amalgam and composites; however, the total number of reported composite and amalgam restorations remained the same. Of 204,864 restorations reported, 53% were composite, and 47% were amalgam. There were twice as many multisurface large or complex amalgam restorations as composites. One-surface composite restorations exceeded amalgams. Among the participating schools, there was little to no change between curriculum time and clinical procedures. Findings from this preliminary study reflect a modest increase in two-surface resin-based restorations placed by dental students from 2009 to 2011 and little change in curricular time devoted to teaching amalgam restorations. The total number of posterior composite restorations placed by students in these schools was slightly higher than amalgams.


Assuntos
Resinas Compostas , Currículo , Amálgama Dentário , Materiais Dentários , Restauração Dentária Permanente , Dentística Operatória/educação , Educação em Odontologia , Resinas Compostas/economia , Desenho Assistido por Computador , Amálgama Dentário/economia , Clínicas Odontológicas/economia , Materiais Dentários/economia , Restauração Dentária Permanente/classificação , Restauração Dentária Permanente/estatística & dados numéricos , Custos de Medicamentos , Odontologia Baseada em Evidências/educação , Humanos , Laboratórios Odontológicos , Faculdades de Odontologia , Ensino/métodos , Fatores de Tempo , Estados Unidos
14.
Am J Dent ; 26(1): 28-32, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23724546

RESUMO

PURPOSE: To evaluate the clinical performance of two self-etching adhesives of different pH values when used to restore non-retentive cervical lesions. METHODS: 84 paired non-retentive class 5 restorations were originally placed in 21 subjects in need of 2, 4 or 6 restorations in incisors, canines and premolars. The retention of the placed restorations relied on the two adhesives only, which were iBOND NG plus B (iB), now marketed as iBOND Self Etch, and Clearfil SE (CB). Lesions were restored with a micro-hybrid composite (Venus). Following a baseline evaluation, the subjects were recalled and evaluated after 3 months, 1 year, 2 years and 4 years. RESULTS: At the 4-year evaluation, 17 subjects remained who had originally received 66 restorations (33 of each adhesive). Eight of these 66 restorations had dropped out during the 4 years (4 iB and 4 CB) for different reasons. Two of the drop-outs (one iB and one CB) had fractured in the same patient, leaving a large piece of the composite still bonded to the dentin. Two other drop outs (both material iB) were not available for evaluation because they had been crowned (one after endodontic treatment and one after cusp fracture), while the remaining drop-out iB restoration had debonded. Regarding material CB, except for the fractured and partly retained drop-out restoration, the remaining three drop-outs had debonded. Pair-wise comparison of the evaluated parameters using Fishers Exact Test revealed no statistically significant (P < 0.05) differences between the two materials.


Assuntos
Condicionamento Ácido do Dente/métodos , Adesivos Dentinários/química , Desgaste dos Dentes/terapia , Adulto , Idoso , Dente Pré-Molar/patologia , Cor , Resinas Compostas/química , Dente Canino/patologia , Colagem Dentária , Adaptação Marginal Dentária , Materiais Dentários/química , Falha de Restauração Dentária , Restauração Dentária Permanente/classificação , Feminino , Seguimentos , Humanos , Concentração de Íons de Hidrogênio , Incisivo/patologia , Masculino , Pessoa de Meia-Idade , Pacientes Desistentes do Tratamento , Cimentos de Resina/química , Propriedades de Superfície , Colo do Dente/patologia
15.
Sci Rep ; 3: 1820, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23673356

RESUMO

Owing to the genetic flexibility and error-free bulk production, bio-nanostructures such as filamentous phage showed great potential in materials synthesis, however, their photo-responsive behaviour is neither explored nor unveiled. Here we show M13 phage genetically engineered with tyrosine residues precisely fused to the major coat protein is converted into a photo-responsive organic nanowire by a site-specific chemical reaction with an aromatic amine to form an azo dye structure on the surface. The resulting azo-M13-phage nanowire exhibits reversible photo-responsive properties due to the photo-switchable cis-trans isomerisation of the azo unit formed on the phage. This result shows that site-specific display of a peptide on bio-nanostructures through site-directed genetic mutagenesis can be translated into site-directed chemical reaction for developing advanced materials. The photo-responsive properties of the azo-M13-phage nanowires may open the door for the development of light controllable smart devices for use in non-linear optics, holography data storage, molecular antenna, and actuators.


Assuntos
Compostos Azo/química , Bacteriófago M13/química , Nanoestruturas/química , Nanofios/química , Fragmentos de Peptídeos/química , Processos Fotoquímicos , Bacteriófago M13/genética , Proteínas do Capsídeo/química , Proteínas do Capsídeo/metabolismo , Espectroscopia de Ressonância Magnética , Mutagênese Sítio-Dirigida , Fragmentos de Peptídeos/metabolismo , Espectroscopia de Infravermelho com Transformada de Fourier , Estereoisomerismo
16.
Gastroenterology ; 142(3): 543-551.e7, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22108198

RESUMO

BACKGROUND & AIMS: Enterococcus faecalis is a human intestinal commensal that produces extracellular superoxide and promotes chromosome instability via macrophage-induced bystander effects. We investigated the ability of 4-hydroxy-2-nonenal (4-HNE), a diffusible breakdown product of ω-6 polyunsaturated fatty acids, to mediate these effects. METHODS: 4-HNE was purified from E faecalis-infected macrophages; its genotoxicity was assessed in human colon cancer (HCT116) and primary murine colon epithelial (YAMC) cell lines. RESULTS: 4-HNE induced G(2)-M cell cycle arrest, led to formation γH2AX foci, and disrupted the mitotic spindle in both cell lines. Binucleate tetraploid cells that formed after incubation with 4-HNE were associated with the activation of stathmin and microtubule catastrophe. Silencing glutathione S-transferase α4, a scavenger of 4-HNE, increased the susceptibility of epithelial cells to 4-HNE-induced genotoxicity. Interleukin-10 knockout mice colonized with superoxide-producing E faecalis developed inflammation and colorectal cancer, whereas colonization with a superoxide-deficient strain resulted in inflammation but not cancer. 4-HNE-protein adducts were found in the lamina propria and macrophages in areas of colorectal inflammation. CONCLUSIONS: 4-HNE can act as an autochthonous mitotic spindle poison in normal colonic epithelial and colon cancer cells. This finding links the macrophage-induced bystander effects to colorectal carcinogenesis.


Assuntos
Aldeídos/metabolismo , Comunicação Autócrina , Efeito Espectador , Colo/microbiologia , Dano ao DNA , Enterococcus faecalis/patogenicidade , Células Epiteliais/microbiologia , Infecções por Bactérias Gram-Positivas/microbiologia , Macrófagos/microbiologia , Animais , Biópsia , Técnicas de Cocultura , Colo/metabolismo , Colo/patologia , Neoplasias Colorretais/metabolismo , Neoplasias Colorretais/microbiologia , Neoplasias Colorretais/patologia , Modelos Animais de Doenças , Enterococcus faecalis/genética , Enterococcus faecalis/metabolismo , Células Epiteliais/metabolismo , Células Epiteliais/patologia , Pontos de Checagem da Fase G2 do Ciclo Celular , Glutationa Transferase/genética , Glutationa Transferase/metabolismo , Infecções por Bactérias Gram-Positivas/genética , Infecções por Bactérias Gram-Positivas/metabolismo , Infecções por Bactérias Gram-Positivas/patologia , Células HCT116 , Histonas/metabolismo , Humanos , Interleucina-10/deficiência , Interleucina-10/genética , Macrófagos/metabolismo , Camundongos , Camundongos Knockout , Interferência de RNA , Fuso Acromático/metabolismo , Fuso Acromático/patologia , Estatmina/metabolismo , Tetraploidia , Fatores de Tempo , Transfecção
17.
Chem Sci ; 3(8): 2639-2645, 2012 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-23630644

RESUMO

Biomimetic silica formation is strongly dependent on the presence of cationic amine groups which hydrolyze organosilicate precursors and bind to silicate oligomers. Since most biological species possess anionic surfaces, the dependence on amine groups limits utilization of biotemplates for fabricating materials with specific morphologies and pore structures. Here, we report a general aminopropyltriethoxysilane (APTES) directed method for preparing hollow silica with well-defined morphologies using varying biotemplates (proteins, viruses, flagella, bacteria and fungi). Control experiments, pH evolution measurements and 29Si NMR spectroscopic studies have revealed a mechanism of the assembly of APTES on bio-surfaces with subsequent nucleation and growth of silica. The APTES assembly and nuclei formation on bio-surfaces ensured precise transcription of the morphologies of biotemplates to the resulting silica. This method could be extended to the preparation of other oxides.

18.
J Prosthodont ; 19(7): 586-8, 2010 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-20723017

RESUMO

It is important to obtain an accurate interocclusal record for the restoration of patients undergoing implant treatment. Atrophic alveolar bone in the mandible not only limits the placement of implants, but also contributes to deficient ridge morphology resulting in unstable record bases. Securing the record base to the implants is a useful way to obtain an accurate registration. The technique presented in this article uses two widely spaced implants as the optimal number of implants to stabilize record bases.


Assuntos
Relação Central , Implantação Dentária Endóssea/métodos , Planejamento de Prótese Dentária , Prótese Dentária Fixada por Implante , Bases de Dentadura , Registro da Relação Maxilomandibular , Dente Suporte , Implantes Dentários , Técnica de Moldagem Odontológica , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Dentários
19.
J Nat Prod ; 72(7): 1344-7, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19485331

RESUMO

Many references to the use of Lantana spp. can be found in the ethnopharmacological literature from locations around the globe. This study was focused on examining constituents from the polar extracts of Lantana radula Sw. and Lantana canescens Kunth, for which no prior chemical investigations had been reported. A new phenylethanoid glycoside, raduloside, and lignan glycoside, radulignan, were identified along with the known compounds alyssonoside, arenarioside, calceolarioside E, isonuomioside, samioside, and verbascoside.


Assuntos
Glicosídeos/isolamento & purificação , Lantana/química , Lignanas/isolamento & purificação , Plantas Medicinais/química , Ácidos Cafeicos/isolamento & purificação , Glucosídeos/isolamento & purificação , Glicosídeos/química , Glicosídeos/farmacologia , Lignanas/química , Lignanas/farmacologia , Estrutura Molecular , Fitoterapia
20.
Arch Biochem Biophys ; 487(2): 85-90, 2009 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-19501038

RESUMO

O-Acetylserine sulfhydrylase (OASS) is a pyridoxal 5'-phosphate (PLP)-dependent enzyme that catalyzes the conversion of O-acetylserine and bisulfide to l-cysteine and acetate in bacteria and higher plants. Enteric bacteria have two isozymes of OASS, A and B, produced under aerobic and anaerobic growth conditions, respectively, with different substrate specificities. The (31)P chemical shift of the internal and external Schiff bases of PLP in OASS-B are further downfield compared to OASS-A, suggesting a tighter binding of the cofactor in the B-isozyme. The chemical shift of the internal Schiff base (ISB) of OASS-B is 6.2 ppm, the highest value reported for the ISB of a PLP-dependent enzyme. Considering the similarity in the binding sites of the PLP cofactor for both isozymes, torsional strain of the C5-C5' bond (O4'-C5'-C5-C4) of the Schiff base is proposed to contribute to the further downfield shift. The chemical shift of the lanthionine external Schiff base (ESB) of OASS-B is 6.0 ppm, upfield from that of unliganded OASS-B, while that of serine ESB is 6.3 ppm. Changes in chemical shift suggest the torsional strain of PLP changes as the reaction proceeds. The apoenzyme of OASS-B was prepared using hydroxylamine as the resolving reagent. Apoenzyme was reconstituted to holoenzyme by addition of PLP. Reconstitution is pseudo-first order and exhibits a final maximum recovery of 81.4%. The apoenzyme shows no visible absorbance, while the reconstituted enzyme has a UV-visible spectrum that is nearly identical to that of the holoenzyme. Steady-state fluorescence spectra gave tryptophan emission of the apoenzyme that is 3.3-fold higher than the emission of either the native or reconstituted enzyme, suggesting that PLP is a potent quencher of tryptophan emission.


Assuntos
Cisteína Sintase/química , Salmonella typhimurium/enzimologia , Apoenzimas/química , Apoenzimas/metabolismo , Domínio Catalítico , Coenzimas/metabolismo , Cisteína Sintase/metabolismo , Hidroxilamina/metabolismo , Isoenzimas/química , Isoenzimas/metabolismo , Cinética , Espectroscopia de Ressonância Magnética , Modelos Moleculares , Fosfato de Piridoxal/metabolismo
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