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Assessment of early oxidative stress following the use of radiotheranostics agents 177Lu-PSMA for prostate cancer and 177Lu-DOTATATE for neuroendocrine tumors; Radioprotective effect of vitamin C
No full textBackground: We aimed first to evaluate the early oxidative stress following radionuclide therapy (RNT) with 177Lu-PSMA and 177Lu-DOTATATE and second to evaluate the protective effect of vitamin C on oxidative stress. Materials and methods: Prostate cancer and neuroendocrine tumor (NET) patients referred to therapy with 177Lu-PSMA and 177Lu-DOTATATE, respectively, were enrolled in this study. The patients divided into the control group underwent routine RNT without any intervention and the intervention group was asked to take effervescent tablets (500 mg) of vitamin C for two days prior to the RNT (three tablets per day). To measure oxidative stress, blood samples were taken immediately before treatment and 48 h after treatment, and the serums were separated and frozen. To evaluate oxidative stress, the serum levels of malondialdehyde (MDA) and glutathione (GSH) and the activity of glutathione reductase were measured before and two days after treatment. Results: In total, 61 RNT cycles were evaluated in 34 patients with age of 65 ± 2.83 (median ± SE) years (range of 27-99); this total included 20 (59%) prostate cancer patients [35 cycles (57.4%)] and 14 patients (41%) with NET [26 cycles (42.6%)]. Of the 61 evaluated cycles, 27 cycles were given in the control group and 34 cycles were given in the intervention group. The serum level of MDA was significantly increased after treatment compared to before treatment (P = 0.02) in the control group, while no significant change in the serum level of MDA was observed in the intervention group (P = 0.52). The serum level of GSH was insignificantly decreased after treatment compared to before treatment in the control group and slightly increased after treatment in the intervention group (P > 0.05). The serum level of glutathione reductase was insignificantly increased in all groups of patients after treatment (P > 0.05). Conclusion: According to the results of this study, RNT with Lu-PSMA and Lu-DOTATATE may induce oxidative stress via the generation of free radicals and reactive oxygen species. Consumption of vitamin C prior to RNT may ameliorate this oxidative stress. These preliminary results have positive implications for clinical practice. Verification of these noteworthy results is needed and can be conducted with larger randomized controlled trials with longer time points
[Somatostatin receptor scintigraphy in a patient with myocarditis] [Miyokarditli bir hastada somatostatin reseptör sintigrafisi]
Get PDFWe report a case of myocarditis imaged with technetium-99m octreotide cardiac single-photon emission computed tomography which showed diffuse uptake in the myocardium, indicating inflammatory reaction to myocardial damage. Somatostatin receptor scintigraphy of the heart could be considered in patients with suspected cardiac inflammation. This could facilitate early diagnosis and guide appropriate treatment
Evaluation of a passive low-back support exoskeleton (Ergo-Vest) for manual waste collection
No full textThe purpose of study was to determine the biomechanical, physiological, and subjective effect of a Passive Exoskeleton device (called Ergo-Vest) among 20 waste collectors in the working environment. Compression force and moment on L4/L5 related to 400 critical postures of the participants were estimated using the 3DSSPP software. The heart rate and energy expenditure are measured as the physiological strain using the Polar RS400 Heart Rate Monitor. Borg scale perceived exertion, system usability scale, and ergonomic design indicators of the device were collected as the subjective parameters. Compression force and moment on L4/L5 disc were decreased when the Ergo-Vest was utilised. There was no significant difference in energy expenditure and heart rate with and without the device. The workers' perceived physical exertion was decreased while using the Ergo-Vest. From the perspective of end users, the usability and ergonomic design features of the Ergo-Vest was acceptable. Practitioner summary: The prevalence of musculoskeletal disorders is high among the Iranian waste collectors. To mitigate this occupational problem, the effect of a passive exoskeleton for lower-back support (Ergo-Vest) was investigated on the workers' spine loading, physiological parameters, and perceived physical exertion. The result shows spine force reduction and lower subjective responses
Document details - A Systematic Review and Meta-analysis on Blood Lead Level in Opium Addicts: an Emerging Health Threat
No full textThis meta-analysis was conducted aiming to summarize the results obtained from the previous studies so that the effect of opium on blood lead levels (BLLs) can be investigated. Scopus, Embase, PubMed, and Web of Science (ISI) were systematically searched up to June 2020. Heterogeneity of the included studies was evaluated using Cochrane’s Q test and the I2 statistic. A random-effects model was used to pool the weighted mean differences (WMDs) and their 95% confidence intervals (CIs). Out of a total of 2372 citations, eleven articles with 916 participants (487 opium addicts and 429 controls) were included in the study. The meta-analysis results showed that there were higher lead levels (WMD = 14.59 μg/dL, 95% CI = 11.59 to 17.92, Z = 8.60, P < 0.001) in opium addicts than in the control group. The degree of heterogeneity observed (P < 0.001, I2 = 98.1%) might be mainly the result of the type of sampling and of consumption. Moreover, the findings of meta-regression analyses indicated that publication year (β = 1.23, P = 0.287), total sample size (β = 0.05, P = 0.728), and quality scores (β = − 2.91, P = 0.546) had no effects on lead levels in opium addicts. In the sensitivity analysis, it was found that the pooled WMDs remained stable after excluding one by one study. Oral opium consumption increased the amount of lead in the bloodstream, and the measurement of lead levels in opium addicts’ blood may be regarded as a useful test to diagnosis and prognosis of disorders that may lead poisoning causes
Highlighting the interplay of microRNAs from Leishmania parasites and infected-host cells
No full textLeishmania parasites, the causative agents of leishmaniasis, are protozoan parasites with the ability to modify the signaling pathway and cell responses of their infected host cells. These parasite strategies alter the host cell environment and conditions favoring their replication, survival, and pathogenesis. Since microRNAs (miRNAs) are able to post-transcriptionally regulate gene expression processes, these biomolecules can exert critical roles in controlling Leishmania-host cell interplay. Therefore, the identification of relevant miRNAs differentially expressed in Leishmania parasites as well as in infected cells, which affect the host fitness, could be critical to understand the infection biology, pathogenicity, and immune response against these parasites. Accordingly, the current review aims to address the differentially expressed miRNAs in both, the parasite and infected host cells and how these biomolecules change cell signaling and host immune responses during infection. A deep understanding of these processes could provide novel guidelines and therapeutic strategies for managing and treating leishmaniasis
Association of regional cerebral perfusion impairment with gait and balance performance in dizzy patients using brain perfusion spect: Voxel-based analysis of a pilot sample
Get PDFObjective(s): The purpose of this study was to investigate regional cerebral blood flow (rCBF) reduction in patients with dizziness and perfusion-related clinical impairment using brain perfusion single photon emission tomography (SPECT). Methods: Thirty-four patients with subjective dizziness and 13 age-and sexmatched healthy controls were studied. Dizziness-related impairments were assessed using the Dizziness Handicap Inventory (DHI) and Short Physical Performance Battery (SPPB). Brain perfusion SPECT scan was acquired from all participants. The carotid intima-media thickness (CIMT) was also measured. Brain perfusion data were qualitatively interpreted in all cases. Voxel-wise analysis was also conducted in 11 patients compared to healthy controls. Results: Thirty-four patients (mean age=53.8±13.4 years, m/f: 19/15) and 13 ageand sex-matched controls (mean age=51.5±13.1, m/f: 7/6) were included. The dizziness severity was mild in 58.8% (n=20), moderate in 26.5% (n=9), and severe in 14.7% (n=5). Qualitative interpretation of SPECT images showed normal scans in 4 (11.2%) patients and abnormal scans in 30 (88.2%) patients. Patients with dizziness showed a significantly decreased brain perfusion in the precuneus, cuneus, occipital lobe (superior and inferior parts), frontal lobe (inferior and middle parts), temporal lobe, parietal lobe (inferior and superior parts), cerebellum, insula, and putamen nucleus. Based on both qualitative SPECT interpretation and voxel-wise analysis, perfusion defect had a significant association with the total SPPB score and the scores of two sub-domains (p[removed]0.05) score . Conclusion: The perfusion-and atherosclerosis-related impairments of gait and balance were largely independent of subjective dizziness and dizziness severity. Moreover, this study provided support for contribution of perfusion impairment to the disturbance of gait and balance in older populations along with other pathologic processes. © 2021 mums.ac.ir All rights reserved
Developing a thin film composite membrane with hydrophilic sulfonated substrate on nonwoven backing fabric support for forward osmosis
Get PDFThis study describes the fabrication of sulfonated polyethersulfone (SPES) as a super-hydrophilic substrate for developing a composite forward osmosis (FO) membrane on a nonwoven backing fabric support. SPES was prepared through an indirect sulfonation procedure and then blended with PES at a certain ratio. Applying SPES as the substrate affected membrane properties, such as porosity, total thickness, morphology, and hydrophilicity. The PES-based FO membrane with a finger-like structure had lower performance in comparison with the SPES based FO membrane having a sponge-like structure. The finger-like morphology changed to a sponge-like morphology with the increase in the SPES concentration. The FO membrane based on a more hydrophilic substrate via sulfonation had a sponge morphology and showed better water flux results. Water flux of 26.1 L m−2 h−1 and specific reverse solute flux of 0.66 g L−1 were attained at a SPES blend ratio of 50 wt.% when 3 M NaCl was used as the draw solution and DI water as feed solution under the FO mode. This work offers significant insights into understanding the factors affecting FO membrane performance, such as porosity and functionality. © 2021 by the authors. Licensee MDPI, Basel, Switzerland
PEGylated superparamagnetic iron oxide nanoparticles (SPIONs) ameliorate learning and memory deficit in a rat model of Alzheimer's disease: Potential participation of STIMs
No full textThe amyloid-beta (Aβ) fibrillation process seems to execute a principal role in the neuropathology of Alzheimer's disease (AD). Accordingly, novel therapeutic plans have concentrated on the inhibition or degradation of Aβ oligomers and fibrils. Biocompatible nanoparticles (NPs), e.g., gold and iron oxide NPs, take a unique capacity in redirecting Aβ fibrillation kinetics; nevertheless, their impacts on AD-related memory impairment have not been adequately evaluated in vivo. Here, we examined the effect of commercial PEGylated superparamagnetic iron oxide nanoparticles (SPIONs) on the learning and memory of an AD-animal model. The outcomes demonstrated the dose-dependent effect of SPIONs on Aβ fibrillation and learning and memory processes. In vitro and in vivo findings revealed that Low doses of SPIONs inhibited Aβ aggregation and ameliorated learning and memory deficit in the AD model, respectively. Enhanced level of hippocampal proteins, including brain-derived neurotrophic factor, BDNF, phosphorylated-cAMP response element-binding protein, p-CREB, and stromal interaction molecules, e.g., STIM1 and STIM2, were also observed. However, at high doses, SPIONs did not improve the detrimental impacts of Aβ fibrillation on spatial memory and hippocampal proteins expression. Overall, we revealed the potential capacity of SPIONs on retrieval of behavioral and molecular manifestations of AD in vivo, which needs further investigations to determine the mechanistic effect of SPIONs in the AD conundrum
In vitro breast cancer targeting using Trastuzumab-conjugated mesoporous silica nanoparticles: Towards the new strategy for decreasing size and high drug loading capacity for drug delivery purposes in MSN synthesis
No full textIn the present study, an efficient protocol was introduced for synthesis of biocompatible mesoporous silica nanoparticles (MSN) with an adequate size and high drug loading capacity. Herein, the tri-ethanolamine, TEA, dominantly controlled the pH of solution in addition to regulate nanoparticle sizes via complexing with ortho silicate functional group. Furthermore, ammonium nitrate as a weak acid was used for micellar template extraction and the results were compared with a common salt such as sodium chloride. The obtained results of BET analysis showed ammonium nitrate led to creation of pore sizes with 3.2 nm and enhanced specific surface area with 563 m2/g which were higher than NaCl route. In the next step, the surfaces of MSNs were functionalized with particular compounds, (3- Aminopropyl) tri-ethoxysilane, APTES, applied for amine functionalization whereas 1-Ethyl-3-(3- dimethylaminopropyl)-carbodiimide/N-hydroxysuccinimide, EDC/NHS, as cross link agent was used for Trastuzumab modification of silica nanoparticles which were subsequently loaded with doxorubicin for studying the targeted breast cancer therapy. Moreover, fluorescein dye was optimized on the surface modified nanoparticles. The molecular fluorescence imaging was used to confirm the significant attachments of our surface modified MSNs to plasma membrane of breast cancer cell lines (HER2 overexpressed SKBR3 cell lines). Furthermore, drug loading capacity of the presented nano-carriers was calculated and shown to be 57.40% for doxorubicin suggesting its priority in the biological application comparing to other reported ones. Finally, quantum chemical study at B3lyp/6–311++g** level of theory was performed to reveal the pH-triggered release of doxorubicin loaded on these nanoparticles which the obtained results were in agreement with experimental evidences
Molecular epidemiology of enteroviruses and predominance of echovirus 30 in an Iranian population with aseptic meningitis
Get PDFHuman enteroviruses are the most prevalent causes of aseptic meningitis worldwide. However, despite such predominancy, defining the enteroviral etiology of aseptic meningitis remains a diagnostic dilemma for the clinician in Iran. Therefore, this study was conducted to characterize the prevalence and clinical significance of enteroviral aseptic meningitis as well as the predominant enterovirus serotypes among patients with aseptic meningitis in the South of Iran. Cerebrospinal fluid (CSF) specimens were obtained from 73 patients with aseptic meningitis (52.1% males and 47.9% females), ages ranging from 1 month to 88 years. Following the extraction of nucleic acid, the detection of enteroviruses was performed by RT-PCR, targeting the 5′ untranslated region of the genome, and sequencing. Enteroviruses were found in 46.6% of samples (34/73). The most predominant serotype was echovirus 30, followed by coxsackievirus B5 and poliovirus type 1 Sabin strain. The enterovirus infections were more prevalent among female patients (58.8%) and those below 5 years of age (52.9%). Although enterovirus infections were observed throughout the year, the infections were more prevalent during autumn with fever as the predominant clinical symptom. The outcomes revealed that enteroviruses are significant causes of aseptic meningitis in the South of Iran, while suspected cases of aseptic meningitis are usually monitored by bacterial culture and biochemical testing of CSF samples. Therefore, the etiology remains unknown in most cases. Molecular detection of viral pathogens should be included as a common approach in the screening of patients with aseptic meningitis to prevent unnecessary treatment and to improve clinical management