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1.
Artículo en Inglés | MEDLINE | ID: mdl-39283758

RESUMEN

Nanomaterials show great promise for cancer treatment. Nonetheless, most nanomaterials lack selectivity for cancer cells, damaging healthy ones. Cerium dioxide (ceria, CeO2) nanoparticles have been shown to exert selective toxicity toward cancer cells due to the redox modulating properties they display as their size decreases. However, these particles suffer from poor suspension stability. The efficacy of CeO2 nanoparticles for cancer treatment is hampered by their innate high surface energy, which leads to particle agglomeration and, consequently, reactivity loss. This effect increases as particle size decreases; as such, quantum dots (QDs) suffer most from this phenomenon. In this study, it is proposed that silicon dioxide (silica, SiO2) nanoparticles can provide an inert platform for surface encrusted CeO2 QDs and that the resulting nanocomposite (hereafter QDCeO2/SiO2) not only will exhibit negligible agglomeration compared with CeO2 alone but also will improve the modulation of reactive oxygen species (ROS) leading to selective reduction of human A375 melanoma cell proliferation. The SiO2 nanoparticles had a bimodal size distribution with median particle size of 66 and 168 nm, while the CeO2 quantum dots encrusted on their surface had a size of 3.2 nm. An elevated Ce3+/Ce4+ ratio led to the QDCeO2/SiO2 nanocomposite displaying synergistic superoxide dismutase- and catalase-like activity, favoring the accumulation of ROS at pH 6.5 which translated into QDCeO2/SiO2 exerting selective oxidative stress in, and toward, the melanoma cells. Treatment with 50 µg mL-1 QDCeO2/SiO2 significantly reduced cell proliferation by 27% compared to untreated control cells in the colony formation assay. Treatment with either SiO2 or CeO2 alone did not affect the cell proliferation. These results highlight the benefit of dispersing CeO2 QDs on the surface of core nanoparticles and the resulting enhancement of selective redox reactivity and proliferation arrest when compared to CeO2 nanoparticles alone. Furthermore, the method employed here to encrust CeO2 QDs could lead to the facile synthesis of new nanocomposites with enhanced control of ROS activity, not only for in vitro studies using other cancer cell lines of interest but also in animal models and perhaps leading to clinical trials in melanoma patients.

2.
Ambio ; 2024 May 25.
Artículo en Inglés | MEDLINE | ID: mdl-38795283

RESUMEN

Globally, climate warming is increasing air temperatures and changing river flows, but few studies have explicitly considered the consequences for lake temperatures of these dual effects, or the potential to manage lake inflows to mitigate climate warming impacts. Using a one-dimensional model, we tested the sensitivity of lake temperatures to the separate and interacting effects of changes in air temperature and inflow on a small, short-residence time (annual average ≈ 20 days), temperate lake. Reducing inflow by 70% increased summer lake surface temperatures 1.0-1.2 °C and water column stability by 11-19%, equivalent to the effect of 1.2 °C air temperature warming. Conversely, similar increases in inflow could result in lake summer cooling, sufficient to mitigate 0.75 °C air temperature rise, increasing to more than 1.1 °C if inflow temperature does not rise. We discuss how altering lake inflow volume and temperature could be added to the suite of adaptation measures for lakes.

3.
Anal Chem ; 95(42): 15472-15476, 2023 Oct 24.
Artículo en Inglés | MEDLINE | ID: mdl-37830912

RESUMEN

An experimental platform is reported that allows for the online characterization of photochemical reactions by coupling a continuous flow photoreactor, equipped with LED light irradiation and a dual-tipped ESI source, directly to a mass spectrometer with electrospray ionization. The capabilities of this platform are demonstrated with two classes of photoreactions: (1) the photopolymerization of methyl methacrylate and (2) photocatalyzed alkyne insertion into a 1,2,3-benzotriazinone. The online technique provides rapid information to inform the underlying photochemical mechanism and evaluate the overall photochemistry.

4.
J Biomed Mater Res A ; 111(8): 1253-1263, 2023 08.
Artículo en Inglés | MEDLINE | ID: mdl-36866394

RESUMEN

The current study investigates the therapeutic and optical properties of bismuth oxide (Bi2 O3 ) particles for selective melanoma therapy and prevention. The Bi2 O3 particles were prepared using a standard precipitation method. The Bi2 O3 particles induced apoptosis in human A375 melanoma cells but not human HaCaT keratinocytes or CCD-1090Sk fibroblast cells. This selective apoptosis appears to be associated with a combination of factors: increased particle internalization (2.29 ± 0.41, 1.16 ± 0.08 and 1.66 ± 0.22-fold of control) and enhanced production of reactive oxygen species (ROS) (3.4 ± 0.1, 1.1 ± 0.1 and 2.05 ± 0.17-fold of control) in A375 cells compared to HaCaT and CCD-1090SK cells, respectively. As a high-Z element, bismuth is also an excellent contrast agent for computer tomography, which renders Bi2 O3 a theranostic material. Moreover, Bi2 O3 displays high UV absorption and low photocatalytic activity compared to other semiconducting metal oxides, which opens further potential fields of application as a pigment or as an active ingredient in sunscreens. Overall, this study demonstrates the multifunctional properties of Bi2 O3 particles surrounding the treatment and prevention of melanoma.


Asunto(s)
Bismuto , Melanoma , Humanos , Bismuto/farmacología , Bismuto/uso terapéutico , Óxidos , Melanoma/tratamiento farmacológico , Especies Reactivas de Oxígeno
5.
J Neurosci ; 2022 Jul 25.
Artículo en Inglés | MEDLINE | ID: mdl-35882556

RESUMEN

The activation of self-destructive cellular programs helps sculpt the nervous system during development, but the molecular mechanisms used are not fully understood. Prior studies have investigated the role of the APP in the developmental degeneration of sensory neurons with contradictory results. In this work, we sought to elucidate the impact of APP deletion in the development of the sensory nervous system in vivo and in vitro. Our in vivo data show an increase in the number of sciatic nerve axons in adult male and female APP-null mice, consistent with the hypothesis that APP plays a pro-degenerative role in the development of peripheral axons. In vitro, we show that genetic deletion of APP delays axonal degeneration triggered by nerve growth factor deprivation, indicating that APP does play a pro-degenerative role. Interestingly, APP depletion does not affect caspase-3 levels but significantly attenuates the rise of axoplasmic Ca2+ that occurs during degeneration. We examined intracellular Ca2+ mechanisms that could be involved and found that APP-null DRG neurons had increased Ca2+ levels within the endoplasmic reticulum and enhanced store-operated Ca2+ entry. We also observed that DRG axons lacking APP have more mitochondria than their WT counterparts, but these display a lower mitochondrial membrane potential. Finally, we present evidence that APP deficiency causes an increase in mitochondrial Ca2+ buffering capacity. Our results support the hypothesis that APP plays a pro-degenerative role in the developmental degeneration of DRG sensory neurons, and unveil the importance of APP in the regulation of calcium signaling in sensory neurons.Significance Statement:The nervous system goes through a phase of pruning and programmed neuronal cell death during development to reach maturity. In such context, the role played by the APP in the peripheral nervous system has been controversial, ranging from pro-survival to pro-degenerative. Here we present evidence in vivo and in vitro supporting the pro-degenerative role of APP, demonstrating the ability of APP to alter intracellular Ca2+ homeostasis and mitochondria, critical players of programmed cell death. This work provides a better understanding of the physiological function of APP and its implication in developmental neuronal death in the nervous system.

6.
J Photochem Photobiol B ; 230: 112435, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-35398656

RESUMEN

Discussion continues over various aspects of sunscreen science: regulation, test methods, sun protection factor (SPF), labelling claims, potentially harmful components, among others. In this paper the UV transmission properties of a number of commercial sunscreens have been determined at constant sunscreen film thickness under different local UV Index conditions. The data demonstrate difficulties facing the public and the sunscreen industry as a whole, even though SPF values and other data stated on the sunscreen packaging are assumed to be correct according to standard testing methods. This work has shown that at realistic application rates the critical factors are the intensity of the incident solar radiation and the accumulated erythema UV dose transmitted over time. In one example, on 'Extreme' UV Index days, an SPF 30 sunscreen under test transmitted one minimal erythema dose (MED) of UV in only 35 min. In another example, although it should not, in theory, transmit one MED until several hours of exposure, this level was reached in 1 h by an SPF 50 sunscreen under these typical Australian summer conditions (UV Index 12) in Wollongong, NSW (34.4°S). Such properties could have severe consequnces if these sunscreens were used by individuals with Fitzpatrick Skin Type 1, organ transplant recipients or other immuno-compromised individuals.


Asunto(s)
Protectores Solares , Rayos Ultravioleta , Australia , Eritema/tratamiento farmacológico , Humanos , Piel , Protectores Solares/uso terapéutico
7.
Front Mol Neurosci ; 15: 852181, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35370552

RESUMEN

Axons that are physically separated from their soma activate a series of signaling events that results in axonal self-destruction. A critical element of this signaling pathway is an intra-axonal calcium rise that occurs just prior to axonal fragmentation. Previous studies have shown that preventing this calcium rise delays the onset of axon fragmentation, yet the ion channels responsible for the influx, and the mechanisms by which they are activated, are largely unknown. Axonal injury can be modeled in vitro by transecting murine dorsal root ganglia (DRG) sensory axons. We coupled transections with intra-axonal calcium imaging and found that Ca2+ influx is sharply reduced in axons lacking trpv1 (for transient receptor potential cation channel vanilloid 1) and in axons treated with capsazepine (CPZ), a TRPV1 antagonist. Sensory neurons from trpv1 -/- mice were partially rescued from degeneration after transection, indicating that TRPV1 normally plays a pro-degenerative role after axonal injury. TRPV1 activity can be regulated by direct post-translational modification induced by reactive oxygen species (ROS). Here, we tested the hypothesis that mitochondrial ROS production induced by axotomy is required for TRPV1 activity and subsequent axonal degeneration. We found that reducing mitochondrial depolarization with NAD+ supplementation or scavenging ROS using NAC or MitoQ sharply attenuates TRPV1-dependent calcium influx induced by axotomy. This study shows that ROS-dependent TRPV1 activation is required for Ca2+ entry after axotomy.

8.
Sci Adv ; 8(9): eabj0112, 2022 03 04.
Artículo en Inglés | MEDLINE | ID: mdl-35245123

RESUMEN

Microglia interact with neurons to facilitate synapse plasticity; however, signal(s) contributing to microglia activation for synapse elimination in pathology are not fully understood. Here, using in vitro organotypic hippocampal slice cultures and transient middle cerebral artery occlusion (MCAO) in genetically engineered mice in vivo, we report that at 24 hours after ischemia, microglia release brain-derived neurotrophic factor (BDNF) to downregulate glutamatergic and GABAergic synapses within the peri-infarct area. Analysis of the cornu ammonis 1 (CA1) in vitro shows that proBDNF and mBDNF downregulate glutamatergic dendritic spines and gephyrin scaffold stability through p75 neurotrophin receptor (p75NTR) and tropomyosin receptor kinase B (TrkB) receptors, respectively. After MCAO, we report that in the peri-infarct area and in the corresponding contralateral hemisphere, similar neuroplasticity occurs through microglia activation and gephyrin phosphorylation at serine-268 and serine-270 in vivo. Targeted deletion of the Bdnf gene in microglia or GphnS268A/S270A (phospho-null) point mutations protects against ischemic brain damage, neuroinflammation, and synapse downregulation after MCAO.


Asunto(s)
Isquemia Encefálica , Factor Neurotrófico Derivado del Encéfalo , Animales , Factor Neurotrófico Derivado del Encéfalo/genética , Infarto , Ratones , Microglía , Receptor trkB , Serina , Sinapsis
9.
Hosp Pharm ; 56(4): 287-295, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34381263

RESUMEN

Background: Few studies have compared clinical outcomes and medication use between obese and nonobese children in the pediatric intensive care unit (PICU). Objectives: The primary objective was to compare clinical outcomes including mortality, PICU length of stay (LOS), and mechanical ventilation (MV) requirement between obese and nonobese children. Secondary objectives included analysis of factors associated with these outcomes and medication use between groups. Methods: This retrospective study included children 2 to 17 years old admitted to the PICU over a 1-year time frame. Patients were categorized as obese, body mass index (BMI) ≥ 95th percentile, and nonobese (BMI < 95th percentile). Three binary regression models assessed the impact of obesity on clinical outcomes. Results: There were 834 admissions, with 22.1% involving obese children. There was no difference in mortality, MV requirement, or PICU LOS between groups. There were no associations with obesity and clinical outcomes found, but an association was noted for medication classes and receipt of continuous infusions on clinical outcomes. There was no difference noted in the median number (interquartile range [IQR]) of medications between obese and nonobese children, 8 (6-13) versus 9 (6-15), P = .38, but there was a difference in patients receiving a continuous infusion between obese and nonobese children, 24.4% versus 8.8%, P < .01. The 15 most used medications in both groups included analgesics, antimicrobials, corticosteroids, bronchodilators, and gastrointestinal agents. Conclusions: One-fifth of all admissions included obese children. Obesity was not associated with mortality, PICU LOS, and MV requirement, but the number of medication classes and continuous infusions were associated with these outcomes.

10.
Mar Pollut Bull ; 170: 112606, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34153852

RESUMEN

Bioindicators are useful for determining nutrient regimes in marine environments, but their ability to evaluate corals reefs in different ecological states is poorly understood. The precision, availability and congruency of eight potential bioindicators (brown macroalgae, green macroalgae, turf algae, cyanobacteria, soft corals, zoanthids, sponges, and sediment) and their stable isotopic and elemental signatures (δ15N, δ13C, %N, %C, and C:N Ratio) were assessed across 21 reefs in the Inner Seychelles. The coefficient of variation (CoV) for δ15N showed that green and brown macroalgae were highly precise (2.47 ± 0.95, n = 11; 4.68 ± 1.33, n = 16, respectively), though were less common on coral-mortality reefs relative to macroalgal-dominated ones. Zoanthids were also highly precise for δ15N (2.98 ± 1.20), but were more readily available regardless of reef state (n = 18). Congruency was low among these indicators, suggesting that different physiological mechanisms for nutrient processing have a stronger influence on a bioindicator's effectiveness than reef state.


Asunto(s)
Antozoos , Arrecifes de Coral , Animales , Análisis Costo-Beneficio , Biomarcadores Ambientales , Nutrientes
11.
eNeuro ; 8(1)2021.
Artículo en Inglés | MEDLINE | ID: mdl-33372032

RESUMEN

The nerve growth factor (NGF) and brain-derived neurotrophic factor (BDNF) are trophic factors required by distinct population of sensory neurons during development of the nervous system. Neurons that fail to receive appropriate trophic support are lost during this period of naturally occurring cell death. In the last decade, our understanding of the signaling pathways regulating neuronal death following NGF deprivation has advanced substantially. However, the signaling mechanisms promoting BDNF deprivation-induced sensory neuron degeneration are largely unknown. Using a well-established in vitro culture model of dorsal root ganglion (DRG), we have examined degeneration mechanisms triggered on BDNF withdrawal in sensory neurons. Our results indicate differences and similarities between the molecular signaling pathways behind NGF and BDNF deprivation-induced death. For instance, we observed that the inhibition of Trk receptors (K252a), PKC (Gö6976), protein translation (cycloheximide; CHX), or caspases (zVAD-fmk) provides protection from NGF deprivation-induced death but not from degeneration evoked by BDNF-withdrawal. Interestingly, degeneration of BDNF-dependent sensory neurons requires BAX and appears to rely on reactive oxygen species (ROS) generation rather than caspases to induce degeneration. These results highlight the complexity and divergence of mechanisms regulating developmental sensory neuron death.


Asunto(s)
Ganglios Espinales , Factor de Crecimiento Nervioso , Factor Neurotrófico Derivado del Encéfalo , Células Cultivadas , Neuronas Aferentes , Células Receptoras Sensoriales , Transducción de Señal
12.
J Pain Res ; 13: 1223-1241, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32547184

RESUMEN

Nerve growth factor (NGF) is a neurotrophic protein essential for the growth, differentiation, and survival of sympathetic and sensory afferent neurons during development. A substantial body of evidence, based on both animal and human studies, demonstrates that NGF plays a pivotal role in modulation of nociception in adulthood. This has spurred development of a variety of novel analgesics that target the NGF signaling pathway. Here, we present a narrative review designed to summarize how NGF receptor activation and downstream signaling alters nociception through direct sensitization of nociceptors at the site of injury and changes in gene expression in the dorsal root ganglion that collectively increase nociceptive signaling from the periphery to the central nervous system. This review illustrates that NGF has a well-known and multifunctional role in nociceptive processing, although the precise signaling pathways downstream of NGF receptor activation that mediate nociception are complex and not completely understood. Additionally, much of the existing knowledge derives from studies performed in animal models and may not accurately represent the human condition. However, available data establish a role for NGF in the modulation of nociception through effects on the release of inflammatory mediators, nociceptive ion channel/receptor activity, nociceptive gene expression, and local neuronal sprouting. The role of NGF in nociception and the generation and/or maintenance of chronic pain has led to it becoming a novel and attractive target of pain therapeutics for the treatment of chronic pain conditions.

13.
Am J Health Syst Pharm ; 77(13): 1018-1025, 2020 06 23.
Artículo en Inglés | MEDLINE | ID: mdl-32470108

RESUMEN

PURPOSE: Prophylactic warfarin with an International Normalized Ratio (INR) goal of 1.5 to 2.0 is one antithrombotic therapy utilized in children after cardiothoracic surgery (CTS); published sources suggest a dose of 0.1 mg/kg per day to achieve this goal. However, few studies have evaluated dosing in this population. The purpose of this study was to evaluate dosing and safety outcomes in children receiving warfarin after CTS. METHODS: A descriptive, retrospective review was conducted to evaluate warfarin dosing and INR outcomes in patients 18 years of age or younger who underwent CTS and received prophylactic warfarin with an INR goal of 1.5 to 2.0 from January 2014 through December 2018. The primary objective was to determine the median initial warfarin dose. Secondary objectives included identifying the percentage of documented INR values that were outside the therapeutic range, the percentage of patients with therapeutic INRs at discharge, and the 30-day readmission rate. RESULTS: Twenty-six patients were included in the review. The median initial warfarin dosage was 0.07 mg/kg/d (interquartile range [IQR], 0.05-0.10 mg/kg/d). Of the total of 177 INR values collected during the entire study period, 67 (37.9%) were therapeutic, 64 (36.2%) were subtherapeutic, and 46 (26.0%) were supratherapeutic. Eighteen patients (69.2%) had at least 1 supratherapeutic INR at any point during the study period, most frequently on days 2 through 4 of therapy. At discharge, 11 patients (42.3%) had therapeutic INRs. Four patients (15.4%) were readmitted within 30 days, with bleeding documented in 2 patients during their readmission. CONCLUSION: The majority of patients received an initial warfarin dose less than that specified in published recommendations but still had a supratherapeutic INR at least once during the study period. When initiating warfarin after CTS, a dosage of <0.1 mg/kg per day and frequent monitoring may be needed to achieve an INR goal of 1.5 to 2.0.


Asunto(s)
Anticoagulantes/administración & dosificación , Procedimientos Quirúrgicos Cardíacos/métodos , Profilaxis Posexposición/métodos , Cuidados Posoperatorios/métodos , Warfarina/administración & dosificación , Adolescente , Anticoagulantes/efectos adversos , Procedimientos Quirúrgicos Cardíacos/tendencias , Niño , Preescolar , Relación Dosis-Respuesta a Droga , Femenino , Estudios de Seguimiento , Procedimiento de Fontan/métodos , Procedimiento de Fontan/tendencias , Humanos , Lactante , Relación Normalizada Internacional/métodos , Relación Normalizada Internacional/tendencias , Masculino , Profilaxis Posexposición/tendencias , Cuidados Posoperatorios/tendencias , Estudios Retrospectivos , Resultado del Tratamiento , Warfarina/efectos adversos
14.
J Photochem Photobiol B ; 207: 111883, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32344334

RESUMEN

Nanoparticulate titanium dioxide (TiO2) is widely used in cosmetic products and sunscreens. However, primarily due to their photocatalytic activity, some TiO2 products have been shown to be cytotoxic. Thus, the aim of this study was to reduce the photoactivity and consequent cytotoxicity of TiO2nanoparticles. As such, in this work, yttrium oxide (Y2O3) was deposited onto TiO2, at 5% and 10% Y/Ti weight ratio, via a hydrothermal method. The nanocomposites produced, TiO2@Y2O3 5 and 10 wt%, were characterised to assess their physical, photochemical and toxicological properties. These materials exhibit a uniform yttria coating, enhanced UV attenuation in the 280-350 nm range and significantly reduced photoactivity compared with a pristine commercial TiO2 sample (Degussa Aeroxide® P25). Furthermore, the comparative cytotoxicity and photo-cytotoxicity of these materials to a human keratinocyte cell line (HaCaT), was assessed using a colorimetric tetrazolium salt (MTS) assay. Following 24-hour incubation with cells, both Y2O3 loadings exhibited improved biocompatibility with HaCaT cells, compared to the pristine TiO2 sample, under all subsequent test conditions. In conclusion, the results highlight the potential of these materials for use in products, applied topically, with sun protection in mind.


Asunto(s)
Cosméticos/química , Nanopartículas del Metal/química , Nanocompuestos/química , Titanio/química , Itrio/química , Catálisis , Supervivencia Celular/efectos de los fármacos , Relación Dosis-Respuesta en la Radiación , Células HaCaT , Humanos , Luz , Exposición Profesional , Oxidación-Reducción , Procesos Fotoquímicos , Sales de Tetrazolio/química , Factores de Tiempo , Rayos Ultravioleta , Contaminantes Químicos del Agua/química
15.
J Mater Chem B ; 8(18): 4016-4028, 2020 05 14.
Artículo en Inglés | MEDLINE | ID: mdl-32347289

RESUMEN

The cytotoxic and genotoxic effects of titanium dioxide (TiO2) nanoparticles when exposed to ultraviolet (UV) radiation, particularly wavelengths between 320-400 nm, has raised concern over their safe use in health and cosmetic related products such as sunscreens. Cerium dioxide (CeO2) nanoparticles have been demonstrated to display biocompatible properties and antioxidant activity due to redox cycling of the Ce3+/Ce4+ oxidation states. In this work, CeO2/TiO2 nanocomposites were prepared through a standard precipitation method at atomic concentrations (at%) of Ce relative to Ti of 2.5, 5 and 10 at%, with the aim of reducing the photocatalytic activity of the core TiO2 nanoparticles and improve biocompatibility. The UV absorptive properties of the nanocomposite samples revealed excellent absorbance across the UV region as compared to pristine TiO2 and CeO2. Furthermore, a drastic reduction in the photocatalysed decomposition of crystal violet, when in the presence of the nanocomposite samples, under both UV and solar simulated light was observed compared to the highly photoactive pristine TiO2. An optimal CeO2 nanodot loading, displaying both high UV attenuation and low photocatalytic performance was determined at 5 at% and further in vitro biological testing revealed minimal impact on the cell viability of the human keratinocyte cell line (HaCaT) over a 24 h period with and without prior exposure to UV irradiation. In contrast, pristine TiO2 nanoparticles induced toxicity to HaCaT cells with prior UV exposure before incubation, particularly at a dosage of 100 mg L-1. Our findings demonstrate the effectiveness of CeO2 nanodots in improving biocompatibility and its potential as a coating material for active inorganic UV filters.


Asunto(s)
Materiales Biocompatibles/farmacología , Cerio/farmacología , Queratinocitos/efectos de los fármacos , Nanopartículas/química , Titanio/farmacología , Materiales Biocompatibles/química , Catálisis , Línea Celular , Supervivencia Celular/efectos de los fármacos , Cerio/química , Humanos , Queratinocitos/citología , Tamaño de la Partícula , Procesos Fotoquímicos , Propiedades de Superficie , Titanio/química , Rayos Ultravioleta
16.
eNeuro ; 7(2)2020.
Artículo en Inglés | MEDLINE | ID: mdl-32001550

RESUMEN

In contrast to neurons in the CNS, damaged neurons from the peripheral nervous system (PNS) regenerate, but this process can be slow and imperfect. Successful regeneration is orchestrated by cytoskeletal reorganization at the tip of the proximal axon segment and cytoskeletal disassembly of the distal segment. Collapsin response mediator protein 4 (CRMP4) is a cytosolic phospho-protein that regulates the actin and microtubule cytoskeleton. During development, CRMP4 promotes growth cone formation and dendrite development. Paradoxically, in the adult CNS, CRMP4 impedes axon regeneration. Here, we investigated the involvement of CRMP4 in peripheral nerve injury in male and female Crmp4-/- mice following sciatic nerve injury. We find that sensory axon regeneration and Wallerian degeneration are impaired in Crmp4-/- mice following sciatic nerve injury. In vitro analysis of dissociated dorsal root ganglion (DRG) neurons from Crmp4-/- mice revealed that CRMP4 functions in the proximal axon segment to promote the regrowth of severed DRG neurons and in the distal axon segment where it facilitates Wallerian degeneration through calpain-dependent formation of harmful CRMP4 fragments. These findings reveal an interesting dual role for CRMP4 in proximal and distal axon segments of injured sensory neurons that coordinately facilitate PNS axon regeneration.


Asunto(s)
Traumatismos de los Nervios Periféricos , Degeneración Walleriana , Animales , Axones , Femenino , Ganglios Espinales , Masculino , Ratones , Proteínas Musculares , Regeneración Nerviosa , Nervio Ciático , Semaforina-3A
17.
J Pediatr Intensive Care ; 8(4): 226-232, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31673458

RESUMEN

This retrospective study compared the continuous infusions prescribed for obese and nonobese children. Ninety-five (13.2%) received an infusion. A greater percentage of obese ( n = 42/168) versus nonobese (53/552) children received infusions, p < 0.01. No difference was noted in the median number of infusions between the obese and nonobese groups, 2 versus 2, p = 0.975. The top 20 prescribed infusions included ten (50%) for sedation/analgesia or neuromuscular blockade and six (30%) for hemodynamic support. A literature search was performed for these 20 agents to determine pharmacokinetics, pharmacodynamics, and dosing in obese children and revealed six studies evaluating fentanyl ( n = 2), midazolam ( n = 1), and propofol ( n = 3).

18.
J Opioid Manag ; 15(2): 159-167, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31343717

RESUMEN

OBJECTIVES: The primary objective was to compare median time to symptom relief (time from methadone initiation until two consecutive modified Finnegan [neonatal abstinence syndrome, NAS] scores < 8) between neonates receiving low-dose (≤0.275 mg/kg/day) versus high-dose (>0.275 mg/kg/day) methadone. Secondary objectives included assessment of factors associated with symptom relief. DESIGN: Retrospective cross-sectional study. SETTING: Ninety-nine bed neonatal intensive care unit within a tertiary-care academic hospital. PARTICIPANTS: Seventy-two neonates who received methadone for NAS over a 7.5-year period. MAIN OUTCOME MEASURES(S): Kaplan-Meier curves with a log-rank test and a stepwise Cox proportional-hazard model were used to analyze outcomes. RESULTS: The median dose for the low-dose (n = 40) and high-dose (n = 32) groups were 0.19 mg/kg/day (interquartile range [IQR], 0.12-0.24) divided every 6-12 hours and 0.4 mg/kg/day (0.3-0.44) divided every 6-8 hours, respectively. The median time to symptom relief was higher in the low-dose versus high-dose groups, 9.3 (5.8-24.6) versus 6.0 (5.4-12.5) hours, respectively (p = 0.014). Low-dose males had a longer time to symptom resolution than other groups (p = 0.008). Female premature neonates (<37 weeks gestation) had a shorter time to symptom relief than term neonates [adjusted hazard ratio = 2.96 (1.02-8.62)]. The median total duration of methadone was shorter but not statistically significant between high- versus low-dose groups, 17.5 (IQR: 11.0-25.0) versus 21.0 days (IQR: 10.0-28.0), respectively (p = 0.483). CONCLUSIONS: Neonates receiving high-dose methadone had a significantly shorter time to symptom relief. Differences in sex were noted in response to therapy with low-dose males having a longer time to symptom relief and premature neonates a shorter time to symptom relief.


Asunto(s)
Analgésicos Opioides/administración & dosificación , Metadona/administración & dosificación , Síndrome de Abstinencia Neonatal , Estudios Transversales , Relación Dosis-Respuesta a Droga , Femenino , Humanos , Recién Nacido , Masculino , Síndrome de Abstinencia Neonatal/tratamiento farmacológico , Embarazo , Estudios Retrospectivos
19.
Crit Rev Toxicol ; 49(2): 122-139, 2019 02.
Artículo en Inglés | MEDLINE | ID: mdl-30950677

RESUMEN

Nanotechnology has the potential to bring about revolutionary changes in manufacturing products, including sunscreens. However, a knowledge gap between benefits and detriments of engineered nano-materials used in sunscreens exists, which gives rise to safety concerns. This article is concerned with the protection of consumers without impairing the embellishment of this promising technology. It is widely argued that the harm associated with nano-sunscreens may only occur under certain conditions related mainly to users skin vulnerability, which can be avoided by informed and careful use of such a product. We thus recognize the need for fostering the growth of nanotech simultaneously with preventing potential harm. We revisit the Australian sunscreens regulatory policies, which embrace a "wait and see" approach, through the lens of regulatory policies in the European Union (EU) that are influenced by a "precautionary principle." We highlight the importance of informing consumers about the sunscreen they are using and recommend that product labels should disclose the presence of nano-ingredients in line with the EU disclosure requirements. This will allow users to carefully apply the product in order to avoid any potential harm and to protect manufacturers from possible costly litigation in future. This can be achieved through a combined collaborative effort of regulators, supply chain entities, and end users.


Asunto(s)
Política Ambiental , Nanoestructuras , Protectores Solares , Australia , Unión Europea
20.
eNeuro ; 6(1)2019.
Artículo en Inglés | MEDLINE | ID: mdl-30838324

RESUMEN

Development of the nervous system relies on a balance between axon and dendrite growth and subsequent pruning and degeneration. The developmental degeneration of dorsal root ganglion (DRG) sensory axons has been well studied in part because it can be readily modeled by removing the trophic support by nerve growth factor (NGF) in vitro. We have recently reported that axonal fragmentation induced by NGF withdrawal is dependent on Ca2+, and here, we address the mechanism of Ca2+ entry required for developmental axon degeneration of mouse embryonic DRG neurons. Our results show that the transient receptor potential vanilloid family member 1 (TRPV1) cation channel plays a critical role mediating Ca2+ influx in DRG axons withdrawn from NGF. We further demonstrate that TRPV1 activation is dependent on reactive oxygen species (ROS) generation that is driven through protein kinase C (PKC) and NADPH oxidase (NOX)-dependent pathways that become active upon NGF withdrawal. These findings demonstrate novel mechanistic links between NGF deprivation, PKC activation, ROS generation, and TRPV1-dependent Ca2+ influx in sensory axon degeneration.


Asunto(s)
Axones/metabolismo , Calcio/metabolismo , Ganglios Espinales/embriología , Ganglios Espinales/metabolismo , Degeneración Nerviosa/metabolismo , Canales Catiónicos TRPV/metabolismo , Animales , Cationes Bivalentes/metabolismo , Células Cultivadas , Ganglios Espinales/citología , Ratones Endogámicos C57BL , Ratones Transgénicos , NADPH Oxidasas/metabolismo , Factor de Crecimiento Nervioso/metabolismo , Proteína Quinasa C/metabolismo , Especies Reactivas de Oxígeno/metabolismo , Canales Catiónicos TRPV/genética
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