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1.
Sleep Adv ; 5(1): zpae035, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38966620

RESUMO

This perspective on alternatives to positive airway pressure (PAP) therapy for the treatment of obstructive sleep apnea (OSA) summarizes the proceedings of a focus group that was conducted by the Sleep Research Society Foundation. This perspective is from a multidisciplinary panel of experts from sleep medicine, dental sleep medicine, and otolaryngology that aims to identify the current role of oral appliance therapy and hypoglossal nerve stimulation for the treatment of OSA with emphasis on the US practice arena. A secondary aim is to identify-from an implementation science standpoint-the various barriers and facilitators for adoption of non-PAP treatment that includes access to care, multidisciplinary expertise, reimbursement, regulatory aspects, current treatment guidelines, health policies, and other factors related to the delivery of care. The panel has contextualized the review with recent events-such as a large-scale PAP device recall compounded by supply chain woes of the pandemic-and emerging science in the field of OSA and offers solutions for multidisciplinary approaches while identifying knowledge gaps and future research opportunities.

2.
medRxiv ; 2023 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-37986981

RESUMO

Introduction: The goal of this study was to evaluate the association between a polygenic risk score (PRS) for QT prolongation (QTc-PRS), QTc intervals and mortality in patients enrolled in the UK Biobank with and without sleep apnea. Methods: The QTc-PRS was calculated using allele copy number and previously reported effect estimates for each single nuclear polymorphism SNP. Competing-risk regression models adjusting for age, sex, BMI, QT prolonging medication, race, and comorbid cardiovascular conditions were used for sudden cardiac death (SCD) analyses. Results: 500,584 participants were evaluated (56.5 ±8 years, 54% women, 1.4% diagnosed with sleep apnea). A higher QTc-PRS was independently associated with the increased QTc interval duration (p<0.0001). The mean QTc for the top QTc-PRS quintile was 15 msec longer than the bottom quintile (p<0.001). Sleep apnea was found to be an effect modifier in the relationship between QTc-PRS and SCD. The adjusted HR per 5-unit change in QTc-PRS for SCD was 1.64 (95% CI 1.16 - 2.31, p=0.005) among those with sleep apnea and 1.04 (95% CI 0.95 - 1.14, p=0.44) among those without sleep apnea (p for interaction =0.01). Black participants with sleep apnea had significantly elevated adjusted risk of SCD compared to White participants (HR=9.6, 95% CI 1.24 - 74, p=0.03). Conclusion: In the UK Biobank population, the QTc-PRS was associated with SCD among participants with sleep apnea but not among those without sleep apnea, indicating that sleep apnea is a significant modifier of the genetic risk. Black participants with sleep apnea had a particularly high risk of SCD.

3.
Sleep Med ; 103: 159-164, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36805915

RESUMO

INTRODUCTION: Patients with obstructive sleep apnea (OSA) are at risk for QTc prolongation, a known risk factor for increased mortality. The pro-QTc score can help identify individuals at increased risk for mortality associated with increased QTc however, it has not been evaluated in patients with OSA. The goal of this study was to evaluate the pro-QTc score in patients with OSA. METHODS: Medical records of patients undergoing a sleep study at our sleep center from February 2012 to August 2020 were analyzed. Presence or absence of OSA was determined by polysomnography. The pro-QTc score was calculated with 1 point assigned for each of the following: female sex, QT-prolonging diagnoses and conditions, QT-prolonging electrolyte abnormalities, and medications with known risk for QT-prolongation. Mortality was determined from the electronic medical record of an integrated healthcare system. RESULTS: There were 2246 patients (age 58 ± 15 years, 54% male, 82 dead) with OSA and 421 patients (age 54 ± 18 years, 43% male, 18 dead) without OSA. Of those with OSA, 1628 (72.5%) had at least one risk factor for QTc prolongation. A higher pro-QTc score was associated with greater mortality in patients with OSA (HR 1.48 per pro-QTc score, p < 0.001, 95% CI 1.3-1.7) but not in patients without OSA (HR 1.25 per pro-QTc score, p = 0.30, 95% CI 0.82-1.9), after adjusting for age, body mass index (BMI), and smoking status. CONCLUSION: In patients with OSA, a higher pro-QTc score was associated with greater mortality.


Assuntos
Síndrome do QT Longo , Apneia Obstrutiva do Sono , Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Fatores de Risco , Pacientes , Síndrome do QT Longo/complicações
4.
Sleep Med ; 95: 9-15, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35533628

RESUMO

INTRODUCTION: Variability and prolongation of ventricular repolarization - measured by changes in QT interval and QT variability are independently associated with ventricular arrhythmias, sudden death, and mortality but such studies did not examine the role of sleep-disordered breathing. We aimed to determine whether sleep-disordered breathing moderated the association between measures of ventricular repolarization and overall mortality. METHODS: Eight hundred participants were randomly selected from each of the following four groups in the Sleep Heart Health Study: mild, moderate, severe or no sleep disordered breathing (n = 200 each). Overnight electrocardiograms were analyzed for QTc duration and QT variability (standard deviation of QT intervals, normalized QT interval variance and the short-term interval beat-to-beat QT variability). Cox proportional hazards penalized regression modeling was used to identify predictors of mortality. RESULTS: Eight hundred of 5600 participants were randomly selected. The participants (68 ± 10 years; 56.8% male) were followed for an average of 8.2 years during which time 222 (28.4%) died. QTc, SDQT, and QTVN were associated with the presence of SDB (p = 0.002, p = 0.014, and p = 0.024, respectively). After adjusting for covariates, the presence of sleep-disordered breathing did not moderate the association between QTc length, QT variability and mortality (p > 0.05). CONCLUSION: Sleep-disordered breathing was associated with some measures of ventricular repolarization. However, sleep-disordered breathing was not an effect modifier for the relationship between QTc and QT variability and mortality.


Assuntos
Arritmias Cardíacas , Síndromes da Apneia do Sono , Idoso , Arritmias Cardíacas/diagnóstico , Arritmias Cardíacas/etiologia , Arritmias Cardíacas/mortalidade , Eletrocardiografia , Feminino , Frequência Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade , Polissonografia , Síndromes da Apneia do Sono/complicações , Síndromes da Apneia do Sono/mortalidade , Síndromes da Apneia do Sono/fisiopatologia
5.
Sci Total Environ ; 809: 151106, 2022 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-34688735

RESUMO

Global land-use changes and rapid infrastructure development necessitate identification and conservation of wildlife corridors. Connectivity through corridors is shaped by species' structural, ecological and behavioral constraints. In multi-use landscapes, species' interactions with humans could additionally influence connectivity. Using the tiger Panthera tigris as a case study, we make simultaneous assessments of potential connectivity, habitat use and examine their links with the species' negative interactions with humans in central India. We assessed potential connectivity across 10, 000 sq. km of the Kanha-Pench forest corridor using graph-theoretic methods. Combining indirect sign surveys and occupancy models, we examined habitat use, and evaluated its congruence with potential connectivity. Next, we estimated spatial probabilities of livestock depredation through application of multi-state occupancy models to interview-based survey data from local residents. Habitat use by tigers was negatively associated with forest fragmentation and anthropogenic disturbance. Livestock depredation was positively associated with size of settlements and areas most frequented by tigers, and negatively with anthropogenic disturbance within forests. We found high congruence between connectivity and habitat use (r = 0.80); but the strong correlation did not hold in areas with very high levels of livestock depredation levels. Our results indicate that when areas of high use by tigers are constrained by limited connectivity, there are higher chances of human-tiger conflict, and these areas may be ecological traps for the species. Interactions with humans can be crucial in mediating connectivity for large carnivores in shared habitats. Our findings present an opportunity to consolidate areas where carnivore conservation and local livelihood needs can be balanced. Our framework also provides a foundation for spatial prioritization that incorporates a plurality of dimensions, with utility for connectivity conservation of other wide-ranging carnivores.


Assuntos
Tigres , Animais , Efeitos Antropogênicos , Conservação dos Recursos Naturais , Ecossistema , Florestas , Humanos
6.
Afr J Reprod Health ; 25(3): 113-120, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37585848

RESUMO

HIV/AIDS has taken a pandemic form affecting 40 million people around the world. The present study aimed to determine the knowledge, attitude, and concerns of dental students towards HIV/AIDS infected individuals. A cross sectional study was conducted among 224 subjects, among them 112 final year (FY) students and 112 interns. Subjects were selected from 10 dental colleges in Bangalore city, India. Data was collected through a self-administered questionnaire. The mean knowledge score of FY students and interns was 73.66+5.9 and 80.4+7.2 respectively; the mean attitude score was 71.25+1.707 and 87.75+1.8 and the mean concern score was 92+2.645 and 97.75+3.171 respectively. Differences in the mean score were significant. Dental interns had slightly higher knowledge, attitude, and concern than the FY students. There is a need to add HIV/AIDS patient's infection control measures in the dental curriculum.

7.
Br J Radiol ; 93(1114): 20200228, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-32726141

RESUMO

OBJECTIVES: Software re-calculation of proton pencil beam scanning plans provides a method of verifying treatment planning system (TPS) dose calculations prior to patient treatment. This study describes the implementation of AutoMC, a Geant4 v10.3.3/Gate v8.1 (Gate-RTion v1.0)-based Monte-Carlo (MC) system for automated plan re-calculation, and presents verification results for 153 patients (730 fields) planned within year one of the proton service at The Christie NHS Foundation Trust. METHODS: A MC beam model for a Varian ProBeam delivery system with four range-shifter options (none, 2 cm, 3 cm, 5 cm) was derived from beam commissioning data and implemented in AutoMC. MC and TPS (Varian Eclipse v13.7) calculations of 730 fields in solid-water were compared to physical plan-specific quality assurance (PSQA) measurements acquired using a PTW Octavius 1500XDR array and PTW 31021 Semiflex 3D ion chamber. RESULTS: TPS and MC showed good agreement with array measurements, evaluated using γ analyses at 3%, 3 mm with a 10% lower dose threshold:>94% of fields calculated by the TPS and >99% of fields calculated by MC had γ ≤ 1 for>95% of measurement points within the plane. TPS and MC also showed good agreement with chamber measurements of absolute dose, with systematic differences of <1.5% for all range-shifter options. CONCLUSIONS: Reliable independent verification of the TPS dose calculation is a valuable complement to physical PSQA and may facilitate reduction of the physical PSQA workload alongside a thorough delivery system quality assurance programme. ADVANCES IN KNOWLEDGE: A Gate/Geant4-based MC system is thoroughly validated against an extensive physical PSQA dataset for 730 clinical fields, showing that clinical implementation of MC for PSQA is feasible.


Assuntos
Terapia com Prótons/métodos , Garantia da Qualidade dos Cuidados de Saúde , Planejamento da Radioterapia Assistida por Computador , Algoritmos , Calibragem , Inglaterra , Humanos , Método de Monte Carlo , Dosagem Radioterapêutica , Reprodutibilidade dos Testes
8.
R Soc Open Sci ; 6(5): 182008, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31218031

RESUMO

Many carnivores inhabit human-dominated landscapes outside protected reserves. Spatially explicit assessments of carnivore distributions and livestock depredation patterns in human-use landscapes are crucial for minimizing negative interactions and fostering coexistence between people and predators. India harbours 23% of the world's carnivore species that share space with 1.3 billion people in approximately 2.3% of the global land area. We examined carnivore distributions and human-carnivore interactions in a multi-use forest landscape in central India. We focused on five sympatric carnivore species: Indian grey wolf Canis lupus pallipes, dhole Cuon alpinus, Indian jackal Canis aureus indicus, Indian fox Vulpes bengalensis and striped hyena Hyaena hyaena. Carnivore occupancy ranged from 12% for dholes to 86% for jackals, mostly influenced by forests, open scrublands and terrain ruggedness. Livestock/poultry depredation probability in the landscape ranged from 21% for dholes to greater than 95% for jackals, influenced by land cover and livestock- or poultry-holding. The five species also showed high spatial overlap with free-ranging dogs, suggesting potential competitive interactions and disease risks, with consequences for human health and safety. Our study provides insights on factors that facilitate and impede co-occurrence between people and predators. Spatial prioritization of carnivore-rich areas and conflict-prone locations could facilitate human-carnivore coexistence in shared habitats. Our framework is ideally suited for making socio-ecological assessments of human-carnivore interactions in other multi-use landscapes and regions, worldwide.

9.
J Biophotonics ; 12(9): e201900028, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31081280

RESUMO

Stimulated Raman scattering (SRS) microscopy is a label-free method generating images based on chemical contrast within samples, and has already shown its great potential for high-sensitivity and fast imaging of biological specimens. The capability of SRS to collect molecular vibrational signatures in bio-samples, coupled with the availability of powerful statistical analysis methods, allows quantitative chemical imaging of live cells with sub-cellular resolution. This application has substantially driven the development of new SRS microscopy platforms. Indeed, in recent years, there has been a constant effort on devising configurations able to rapidly collect Raman spectra from samples over a wide vibrational spectral range, as needed for quantitative analysis by using chemometric methods. In this paper, an SRS microscope which exploits spectral shaping by a narrowband and rapidly tunable acousto-optical tunable filter (AOTF) is presented. This microscope enables spectral scanning from the Raman fingerprint region to the Carbon-Hydrogen (CH)-stretch region without any modification of the optical setup. Moreover, it features also a high enough spectral resolution to allow resolving Raman peaks in the crowded fingerprint region. Finally, application of the developed SRS microscope to broadband hyperspectral imaging of biological samples over a large spectral range from 800 to 3600 cm-1 , is demonstrated.


Assuntos
Microscopia Óptica não Linear/métodos , Análise Espectral Raman/métodos , Carbono/química , Linhagem Celular Tumoral , Células Hep G2 , Humanos , Hidrogênio/química , Oscilometria , Polimetil Metacrilato/química , Poliestirenos/química , Vibração
10.
PLoS One ; 9(9): e106283, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25188340

RESUMO

We applied surface-enhanced Raman spectroscopy (SERS) to cationic gold-labeled endothelial cells to derive SERS-enhanced spectra of the bimolecular makeup of the plasma membrane. A two-step protocol with cationic charged gold nanoparticles followed by silver-intensification to generate silver nanoparticles on the cell surface was employed. This protocol of post-labelling silver-intensification facilitates the collection of SERS-enhanced spectra from the cell membrane without contribution from conjugated antibodies or other molecules. This approach generated a 100-fold SERS-enhancement of the spectral signal. The SERS spectra exhibited many vibrational peaks that can be assigned to components of the cell membrane. We were able to carry out spectral mapping using some of the enhanced wavenumbers. Significantly, the spectral maps suggest the distribution of some membrane components are was not evenly distributed over the cells plasma membrane. These results provide some possible evidence for the existence of lipid rafts in the plasma membrane and show that SERS has great potential for the study and characterization of cell surfaces.


Assuntos
Membrana Celular/metabolismo , Células Endoteliais/metabolismo , Análise Espectral Raman/métodos , Animais , Humanos , Microscopia Eletrônica de Varredura , Análise Multivariada
11.
Nano Lett ; 14(9): 5229-37, 2014 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-25157643

RESUMO

Functionalizing nanoparticles with cell-penetrating peptides is a popular choice for cellular delivery. We investigated the effects of TAT peptide concentration and arrangement in solution on functionalized nanoparticles' efficacy for membrane permeation. We found that cell internalization correlates with the positive charge distribution achieved prior to nanoparticle encountering interactions with membrane. We identified a combination of solution based properties required to maximize the internalization efficacy of TAT-functionalized nanoparticles.


Assuntos
Ouro/química , Bicamadas Lipídicas/química , Nanopartículas/química , Peptídeos/química , Produtos do Gene tat do Vírus da Imunodeficiência Humana/química , Simulação por Computador , Sistemas de Liberação de Medicamentos , Células HeLa , Humanos , Microscopia Eletrônica de Transmissão , Simulação de Dinâmica Molecular , Nanotecnologia/métodos , Temperatura , Água/química
12.
Appl Spectrosc ; 68(8): 812-22, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25061782

RESUMO

The epithelial-cell layer lining the two morphologically and functionally distinct segments of the mammalian intestinal tract, small intestine, and colon is constantly being renewed. This renewal is necessitated by a harsh lumen environment and is hypothesized to be driven by a small population of stem cells (SCs) that are believed to reside at the base of intestinal crypts. A lack of specific markers has hampered previous attempts to identify their exact location. We obtained tissue sections containing small intestine and colon crypts derived from normal (benign) or adenocarcinoma (AC) human intestine. The samples were floated onto BaF2 windows and analyzed using synchrotron radiation-based Fourier transform infrared microspectroscopy via an aperture size of 10 × 10 µm. Derived infrared (IR) spectral data was then analyzed using principal component analysis and/or linear discriminant analysis. Hypothesized cell types (as a function of aperture location along the length of individual crypts) within benign crypts were classed based on exploratory unsupervised IR spectral point clustering. Scores plots derived from individual small intestine crypts consistently generated one or two distinct spectra that clustered away from the remaining cell categories; these were retrospectively classed as "distinct base region" spectra. In these plots, a clear progression of locations along crypt lengths designated as from putative stem cells (SCs) to transit-amplifying (TA) cells to terminally differentiated (TD) cells was observed in benign small intestine and colon crypts. This progression of spectral points was crypt specific, pointing away from a unifying cell lineage model in human intestinal crypts. On comparison of AC-derived spectra versus corresponding benign, a subpopulation of AC-derived spectra suggested a putative SC-like spectral fingerprint; remaining IR spectra were classed as exhibiting TA cell-like or TD cell-like spectral characteristics. These observations could point to a cancer SC phenotype; an approach capable of identifying their in situ location has enormous therapeutic applications.


Assuntos
Focos de Criptas Aberrantes/química , Adenocarcinoma/química , Neoplasias Intestinais/química , Espectroscopia de Infravermelho com Transformada de Fourier/métodos , Células-Tronco/química , Focos de Criptas Aberrantes/patologia , Adenocarcinoma/patologia , Colo/química , Colo/citologia , Colo/patologia , Histocitoquímica , Humanos , Processamento de Imagem Assistida por Computador , Neoplasias Intestinais/patologia , Intestino Delgado/química , Intestino Delgado/citologia , Intestino Delgado/patologia , Fenótipo , Síncrotrons
13.
Methods ; 68(2): 354-63, 2014 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-24583117

RESUMO

Understanding uptake of nanomaterials by cells and their use for intracellular sensing is important for studying their interaction and toxicology as well as for obtaining new biological insight. Here, we investigate cellular uptake and intracellular dynamics of gold nanoparticles and demonstrate their use in reporting chemical information from the endocytotic pathway and cytoplasm. The intracellular gold nanoparticles serve as probes for surface-enhanced Raman spectroscopy (SERS) allowing for biochemical characterisation of their local environment. In particular, in this work we compare intracellular SERS using non-functionalised and functionalised nanoparticles in their ability to segregate different but closely related cell phenotypes. The results indicate that functionalised gold nanoparticles are more efficient in distinguishing between different types of cells. Our studies pave the way for understanding the uptake of gold nanoparticles and their utilisation for SERS to give rise to a greater biochemical understanding in cell-based therapies.


Assuntos
Ouro/química , Imageamento Tridimensional/métodos , Nanopartículas Metálicas/química , Análise Espectral Raman/métodos , Rastreamento de Células/métodos , Citoplasma/química , Endocitose , Humanos
14.
Cancer Biol Ther ; 15(2): 225-35, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24107651

RESUMO

Studies of the decades-long latent stages of breast carcinogenesis have been limited to when hyperplastic lesions are already present. Investigations of earlier stages of breast cancer (BC) latency have been stymied by the lack of fiducial biomarkers needed to identify where in histologically normal tissues progression toward a BC might be taking place. Recent evidence suggests that a marker of chronic oxidative stress (OxS), protein adducts of 4-hydroxy-2-nonenal (4HNE), can meet this need. Specifically: (1) 4HNE immunopositive (4HNE+) mammary epithelial (ME) cells were found to be prevalent in normal (reduction mammoplasty) tissues of most women (including many teenagers) studied, representative of those living in the United States' high risk-posing environment and: (2) marked (> 1.5-fold) differences were identified between tissues of healthy young women with many vs. few 4HNE+ ME cells in the relative levels of transcripts for 42 of the 84 OxS-associated genes represented in SABioscience Oxidative-Stress/Oxidative-Defense PCR array. Herein we used synchrotron radiation-based Fourier-transform infrared (SR-FTIR) microspectroscopy to identify molecular changes associated with 4HNE adducts in basal and luminal ME cells in terminal ductal units (TDLU), which are the cells of origin of BC, and associated intralobular and interlobular stroma, known contributors to carcinogenesis. Multivariate analysis-derived wavenumbers differentiated 4HNE+ and 4HNE- cells in each of the anatomical compartments. Specifically, principal component and linear discriminant analyses of mid-infrared spectra obtained from these cells revealed unambiguous, statistically highly significant differences in the "biochemical fingerprint" of 4HNE+ vs. 4HNE- luminal and basal ME cells, as well as between associated intralobular and interlobular stroma. These findings demonstrate further SR-FTIR microspectroscopy's ability to identify molecular changes associated with altered physiological and/or pathophysiological states, in this case with a state of chronic OxS that provides a pro-carcinogenic microenvironment.


Assuntos
Mama/citologia , Células Epiteliais/citologia , Estresse Oxidativo , Adulto , Aldeídos/análise , Biomarcadores/análise , Mama/química , Neoplasias da Mama/metabolismo , Neoplasias da Mama/patologia , Transformação Celular Neoplásica/química , Transformação Celular Neoplásica/patologia , Células Epiteliais/química , Feminino , Humanos , Técnicas In Vitro , Valores de Referência , Espectroscopia de Infravermelho com Transformada de Fourier , Células Estromais/química , Células Estromais/citologia , Adulto Jovem
15.
J Biophotonics ; 7(11-12): 906-13, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24343869

RESUMO

Coherent anti-Stokes Raman scattering (CARS) is becoming an established tool for label-free multi-photon imaging based on molecule specific vibrations in the sample. The technique has proven to be particularly useful for imaging lipids, which are abundant in cells and tissues, including cytoplasmic lipid droplets (LD), which are recognized as dynamic organelles involved in many cellular functions. The increase in the number of lipid droplets in cells undergoing cell proliferation is a common feature in many neoplastic processes [1] and an increase in LD number also appears to be an early marker of drug-induced cell stress and subsequent apoptosis [3]. In this paper, a CARS-based label-free method is presented to monitor the increase in LD content in HCT116 colon tumour cells treated with the chemotherapeutic drugs Etoposide, Camptothecin and the protein kinase inhibitor Staurosporine. Using CARS, LDs can easily be distinguished from other cell components without the application of fluorescent dyes and provides a label-free non-invasive drug screening assay that could be used not only with cells and tissues ex vivo but potentially also in vivo.


Assuntos
Ensaios de Seleção de Medicamentos Antitumorais/métodos , Gotículas Lipídicas/química , Neoplasias/metabolismo , Análise Espectral Raman/métodos , Algoritmos , Antineoplásicos/administração & dosagem , Antineoplásicos/química , Apoptose , Camptotecina/administração & dosagem , Linhagem Celular Tumoral , Proliferação de Células , Citoplasma/metabolismo , Etoposídeo/administração & dosagem , Corantes Fluorescentes/química , Células HCT116 , Humanos , Lipídeos/química , Microscopia de Fluorescência/métodos , Estaurosporina/administração & dosagem
16.
Bioanalysis ; 5(21): 2697-711, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24180508

RESUMO

Biospectroscopy is an emerging field that harnesses the platform of physical sciences with computational analysis in order to shed novel insights on biological questions. An area where this approach seems to have potential is in screening or diagnostic clinical settings, where there is an urgent need for new approaches to objectively interrogate large numbers of samples in an objective fashion with acceptable levels of sensitivity and specificity. This review outlines the benefits of biospectroscopy in screening for precancer lesions of the cervix due to its ability to separate different grades of dysplasia. It evaluates the feasibility of introducing this technique into cervical screening programs on the basis of its ability to identify biomarkers of progression within derived spectra ('biochemical­cell fingerprints').


Assuntos
Neoplasias do Colo do Útero/diagnóstico , Detecção Precoce de Câncer/métodos , Feminino , Humanos , Programas de Rastreamento/métodos , Neoplasias do Colo do Útero/patologia , Neoplasias do Colo do Útero/prevenção & controle
17.
Analyst ; 138(14): 3909-16, 2013 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-23338619

RESUMO

Cervical cancer screening programmes have greatly reduced the burden associated with this disease. However, conventional cervical cytology screening still lacks sensitivity and specificity. There is an urgent need for the development of a low-cost robust screening technique. By generating a spectral "biochemical-cell fingerprint", Fourier-transform infrared (FTIR) spectroscopy has been touted as a tool capable of segregating grades of dysplasia. A total of 529 specimens were collected over a period of one year at two colposcopy centres in Dublin, Ireland. Of these, n = 128 were conventionally classed as high-grade, n = 186 as low-grade and n = 215 as normal. Following FTIR spectroscopy, derived spectra were examined for segregation between classes in scores plots generated with subsequent multivariate analysis. A degree of crossover between classes was noted and this could be associated with imperfect conventional screening resulting in an inaccurate diagnosis or an incomplete transition between classes. Maximal crossover associated with n = 102 of 390 specimens analyzed was found between normal and low-grade specimens. However, robust spectral differences (P≤ 0.0001) were still observed at 1512 cm(-1), 1331 cm(-1) and 937 cm(-1). For high-grade vs. low-grade specimens, spectral differences (P≤ 0.0001) were observed at Amide I (1624 cm(-1)), Amide II (1551 cm(-1)) and asymmetric phosphate stretching vibrations (νasPO2(-); 1215 cm(-1)). Least crossover (n = 50 of 343 specimens analyzed) was seen when comparing high-grade vs. normal specimens; significant inter-class spectral differences (P≤ 0.0001) were noted at Amide II (1547 cm(-1)), 1400 cm(-1) and 995 cm(-1). Deeper understanding of the underlying changes in the transition between cervical cytology classes (normal vs. low-grade vs. high-grade) is required in order to develop biospectroscopy tools as a screening approach. This will then allow for the development of blind classification algorithms.


Assuntos
Colo do Útero/patologia , Citodiagnóstico , Espectroscopia de Infravermelho com Transformada de Fourier/métodos , Neoplasias do Colo do Útero/diagnóstico , Estudos de Casos e Controles , Colposcopia , Detecção Precoce de Câncer , Feminino , Humanos , Análise dos Mínimos Quadrados , Gradação de Tumores , Estadiamento de Neoplasias , Análise de Componente Principal , Esfregaço Vaginal
18.
Analyst ; 138(1): 240-8, 2013 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-23152953

RESUMO

Understanding stem cell (SC) biology remains challenging and one of the few human tissues within which their in situ location is well characterized is the cornea. Individual human corneal epithelial cells were isolated from biopsies of live tissues using fluorescence-activated cell sorting (FACS); these were divided into putative SCs, transit-amplifying (TA) cells and terminally-differentiated (TD) cells. Employing synchrotron radiation-based Fourier-transform infrared (SR-FTIR) microspectroscopy with a focal plane array (FPA), sub-cellular spatial resolution analysis of unstained isolated cells was achieved as a consequence of the brilliance of a 12 collimated beams arrangement allowing rapid spectral acquisition. Infrared (IR) spectra were extracted and pre-processed. Subsequent categorization with multivariate analysis of IR spectra derived from FPA images was used to investigate biomolecular changes between classes. A progressive segregation in cell-specific spectral categories with differentiation from SC to TA cell to TD cell was noted. Multiple different absorption peaks that discriminated putative SCs, TA cells and TD cells across DNA, protein and lipid spectral regions were identified. DNA regions (1080 and 1225 cm(-1)) and some protein regions (1443 cm(-1)) primarily segregated SCs from TA cells and TD cells, whilst amide regions and lipids (1,550, 1650 and 1740 cm(-1)) segregated TA cells and TD cells. Scanning electron microscopy images verified the external phenotypic characteristics of the different isolated cell types. These findings highlight the applicability of SR-FTIR microspectroscopy towards distinguishing SCs, TA cells and TD cells, and suggest that cellular classification via traditional methods of immunolabelling can be greatly aided by the use of spectral biomarkers.


Assuntos
Córnea/citologia , Espaço Intracelular/metabolismo , Microtecnologia/instrumentação , Imagem Molecular/instrumentação , Espectroscopia de Infravermelho com Transformada de Fourier/instrumentação , Síncrotrons , Separação Celular , Análise Discriminante , Humanos , Análise de Componente Principal
19.
Anal Bioanal Chem ; 404(6-7): 1745-58, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22945554

RESUMO

Normal function and physiology of the epidermis is maintained by the regenerative capacity of this tissue via adult stem cells (SCs). However, definitive identifying markers for SCs remain elusive. Infrared (IR) spectroscopy exploits the ability of cellular biomolecules to absorb in the mid-IR region (λ = 2.5-25 µm), detecting vibrational transitions of chemical bonds. In this study, we exploited the cell's inherent biochemical composition to discriminate SCs of the inter-follicular skin epidermis based on IR-derived markers. Paraffin-embedded samples of human scalp skin (n = 4) were obtained, and 10-µm thick sections were mounted for IR spectroscopy. Samples were interrogated in transmission mode using synchrotron radiation-based Fourier-transform IR (FTIR) microspectroscopy (15 × 15 µm) and also imaged employing globar-source FTIR focal plane array (FPA) imaging (5.4 × 5.4 µm). Dependent on the location of derived spectra, wavenumber-absorbance/intensity relationships were examined using unsupervised principal component analysis. This approach showed clear separation and spectral differences dependent on cell type. Spectral biomarkers concurrently associated with segregation of SCs, transit-amplifying cells and terminally-differentiated cells of epidermis were primarily PO(2)(-) vibrational modes (1,225 and 1,080 cm(-1)), related to DNA conformational alterations. FPA imaging coupled with hierarchical cluster analysis also indicated the presence of specific basal layer cells potentially originating from the follicular bulge, suggested by co-clustering of spectra. This study highlights PO (2) (-) vibrational modes as potential putative SC markers.


Assuntos
Folículo Piloso/citologia , Imagem Molecular/métodos , Espectroscopia de Infravermelho com Transformada de Fourier/métodos , Células-Tronco/química , Células-Tronco/citologia , Biomarcadores/análise , Diferenciação Celular , Células Epidérmicas , Epiderme/química , Folículo Piloso/química , Humanos
20.
Biophys J ; 103(2): 357-64, 2012 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-22853914

RESUMO

The chemical composition and sulfur (S) speciation of developing chick corneas at embryonic days 12, 14, and 16 were investigated using synchrotron scanning x-ray fluorescence microscopy and x-ray absorption near-edge structure spectroscopy. The aim was to develop techniques for the analysis of bulk tissue and identify critical physicochemical variations that correlate with changes in corneal structure-function relationships. Derived data were subjected to principal component analysis and linear discriminant analysis, which highlighted differences in the elemental and S species composition at different stages of embryonic growth. Notably, distinct elemental compositions of chlorine, potassium, calcium, phosphorus, and S altered with development during the transition of the immature opaque cornea to a mature transparent tissue. S structure spectroscopy revealed developmentally regulated alterations in thiols, organic monosulfides, ester sulfate, and inorganic sulfate species. The transient molecular structures and compositional changes reported here provide a deeper understanding of the underlying basis of corneal development during the acquisition of transparency. The experimental and analytical approach is new, to our knowledge, and has wide potential applicability in the life sciences.


Assuntos
Córnea/embriologia , Desenvolvimento Embrionário , Microscopia/métodos , Enxofre/metabolismo , Espectroscopia por Absorção de Raios X/métodos , Animais , Embrião de Galinha , Galinhas , Análise Discriminante , Análise de Componente Principal , Termodinâmica , Raios X
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