Αρχειοθήκη ιστολογίου

Αλέξανδρος Γ. Σφακιανάκης
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5
Άγιος Νικόλαος Κρήτη 72100
2841026182
6032607174

Κυριακή 18 Σεπτεμβρίου 2016

Exercise and physical therapy help restore body and self in clients with severe anorexia nervosa

Publication date: Available online 16 September 2016
Source:Journal of Bodywork and Movement Therapies
Author(s): Liv-Jorunn Kolnes
Exercise in the context of anorexia nervosa is a multifaceted endeavour surrounded by controversy and uncertainty. A broader comprehension of this poorly understood phenomenon is required. Informed by the findings of a body examination of six individuals with anorexia nervosa, as well as exercise science, phenomenology and neurocognition, the purpose of this article is to elaborate on the potential role of exercise and physical therapy in the treatment of anorexia nervosa. The findings of the body assessment include constriction of posture, muscles and pattern of breathing. These bodily restraints are not necessarily merely associated with high levels of exercise, they may also reflect psychological strain accompanying the illness. The restricted breathing in particular is assumed to be associated with difficult thoughts and suppressed feelings. Based on the results of the body examination, as well as medical and psychological considerations accompanying the illness, it is suggested that interventions should focus on improving postural stability and restoring related muscular function. Integral to engaging in these activities, the potential to integrate proprioceptive information in this process may generate a more coherent experience of the body, as well as of the self, in these clients. Accordingly, constrictions of the body may have a vital role in constraining the experience of the self. As such, addressing bodily restraints in these clients may facilitate the experience of being the subject causing and controlling the movements. This is in marked contrast to clients' previous exercise experiences, which were associated with compulsion, rigidity and the absence of coherence and control.



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The influence of physical fitness on pressure pain threshold of elderly women

Publication date: Available online 17 September 2016
Source:Journal of Bodywork and Movement Therapies
Author(s): Fábio Marcon Alfieri, Alessandra Rodrigues de Souto Lima, Natália Cristina de Oliveira, Leslie Andrews Portes
Several factors may influence pressure pain threshold (PPT), including physical fitness. However, only a few authors have studied this relationship. The aim of this study was to investigate the relationships between muscle strength, functional capacity (ability to perform physical work and activities of daily living) and PPT in elderly women. This observational cross-sectional study involved 75 healthy women aged between 60 to 75 years. Volunteers underwent an evaluation consisting of anthropometry, functional capacity, muscle strength and PPT assessment by algometry in the following muscles: biceps brachii, flexor carpi ulnaris, flexor carpi radialis, vastus medialis, vastus lateralis and gluteus maximus. Mean age of the 75 volunteers was 66.8±4.6 years old. No significant correlations were found between handgrip or elbow flexion strength and PPT in the upper limb muscles evaluated. The same was observed regarding functional capacity, lower limbs strength and PPT in lower limb muscles. Functional capacity and muscle strength did not correlate with PPT in healthy elderly women.



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Nanoparticle-protein complexes mimicking corona formation in ocular environment

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Publication date: December 2016
Source:Biomaterials, Volume 109
Author(s): Dong Hyun Jo, Jin Hyoung Kim, Jin Gyeong Son, Ki Soon Dan, Sang Hoon Song, Tae Geol Lee, Jeong Hun Kim
Nanoparticles adsorb biomolecules to form corona upon entering the biological environment. In this study, tissue-specific corona formation is provided as a way of controlling protein interaction with nanoparticles in vivo. In the vitreous, the composition of the corona was determined by the electrostatic and hydrophobic properties of the associated proteins, regardless of the material (gold and silica) or size (20- and 100-nm diameter) of the nanoparticles. To control protein adsorption, we pre-incubate 20-nm gold nanoparticles with 5 selectively enriched proteins from the corona, formed in the vitreous, to produce nanoparticle-protein complexes. Compared to bare nanoparticles, nanoparticle-protein complexes demonstrate improved binding to vascular endothelial growth factor (VEGF) in the vitreous. Furthermore, nanoparticle-protein complexes retain in vitro anti-angiogenic properties of bare nanoparticles. In particular, priming the nanoparticles (gold and silica) with tissue-specific corona proteins allows nanoparticle-protein complexes to exert better in vivo therapeutic effects by higher binding to VEGF than bare nanoparticles. These results suggest that controlled corona formation that mimics in vivo processes may be useful in the therapeutic use of nanomaterials in local environment.



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Editorial board

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Publication date: November 2016
Source:Biomaterials, Volume 107





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Preparation and properties of Zr2MoP2O12 ceramics with negative thermal expansion

Publication date: 15 December 2016
Source:Materials & Design, Volume 112
Author(s): Toshihiro Isobe, Naoto Houtsuki, Yuko Hayakawa, Katsumi Yoshida, Sachiko Matsushita, Akira Nakajima
This study presents a synthetic method for preparing Zr2MoP2O12 powder and its sintered body using a solid-state reaction and a pressureless sintering method, respectively. The optimum heating sequence required to synthesize Zr2MoP2O12 was 873K for 4h, 1173K for 2h and 1323K for 30min. The specific surface area of the obtained powder was 4.2m2/g. Several sintering additives were evaluated to obtain the Zr2MoP2O12 sintered body, and the most stable additive was 2mass% ZnO, which yielded a relative density of >90% following sintering at 1173K for 2h. Young's modulus, Poisson's ratio, Vickers micro-hardness and fracture toughness of Zr2MoP2O12 sintered with 2mass% ZnO were 81GPa, 0.26, 3.1GPa and 0.6MPa·m1/2, respectively.

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Effects of mold temperature on the microstructure and tensile properties of SiCp/2024 Al-based composites fabricated via powder thixoforming

Publication date: 15 December 2016
Source:Materials & Design, Volume 112
Author(s): P.B. Li, T.J. Chen, H. Qin
In this study, the effects of mold temperature on the microstructure and tensile properties of 2024 Al-based composites reinforced with SiC particles (SiCp; 10vol.%) and fabricated via powder thixoforming were investigated. The tensile properties of the composite were dependent upon the mold temperature because it affected the secondary solidification behavior, compactness of the secondary solidified structures, dislocation density introduced by the plastic deformation that occurs during thixoforming, and recrystallization behavior. The tensile properties of the composite that was thixoformed at 350°C exhibited the largest improvements, with the ultimate tensile strength (UTS) increasing by 235.4% (UTS=379MPa) and elongation decreasing by 31.0% (elongation=4.0%) compared to those of the as-cast 2024 alloy. The increased UTS was ascribed to the thermal-mismatch and load-transfer strengthening mechanisms, enhanced compactness, increased dislocation density, decreased grain size, and lower concentration of the deleterious θ-phase. The fracturing of the composites was caused by the cracking and debonding of the SiCp as the mold temperature increased, which in turn led to the total matrix failure.

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Deformation behavior and microstructure evolution of a Ti/TiB metal-matrix composite during high-temperature compression tests

Publication date: 15 December 2016
Source:Materials & Design, Volume 112
Author(s): M. Ozerov, M. Klimova, A. Kolesnikov, N. Stepanov, S. Zherebtsov
A Ti/TiB metal-matrix composite (MMC) was produced by spark plasma sintering (SPS) using a Ti-10wt.%TiB2 powder mixture at temperatures of 850 or 1000°C, corresponding to the α or β phase fields of Ti, respectively. The structures of both conditions were similar; however, a higher fraction of unreacted TiB2 and finer TiB whiskers were observed after sintering at 850°C. The mechanical behavior and microstructural response of the MMC to uniaxial compression in the temperature range from 500 to 1050°С was studied. At low temperatures of 500–700°C, the MMC sintered at 1000°C had a greater strength and lower ductility. At higher temperatures of 850–1050°C, the MMC sintered at 1000°C was compressed to a 70% strain without cracking, whereas surface cracks were observed in the specimen sintered at 850°C. Microstructure evolution of the Ti matrix was associated with the i) formation of a cell microstructure at 500°C, ii) continuous dynamic recrystallization at 700°C, and iii) discontinuous dynamic recrystallization at temperatures ≥850°C. A considerable decreasing the length of the TiB whiskers, which occurred much slower in the β phase, was observed during deformation. The mechanisms governing the mechanical behavior in different temperature regions were established using activation energy analysis.

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Investigation of a new type of composite ceramics for thermal barrier coatings

Publication date: 15 December 2016
Source:Materials & Design, Volume 112
Author(s): Dongbo Zhang, Zhongyu Zhao, Binyi Wang, Shuangshuang Li, Jianjun Zhang
In order to explore a novel material for thermal barrier coatings (TBCs), the composite ceramic materials of lanthanum zirconate (La2Zr2O7) and lanthanum phosphate (LaPO4) were prepared by calcining. The phases and micro-structures of La2Zr2O7/LaPO4 composite ceramic materials were studied by X-ray diffraction (XRD) and scanning electron microscopy (SEM). The properties of La2Zr2O7/LaPO4 material, such as thermal conductivity, coefficient of thermal expansion (CTE) and mechanical properties of La2Zr2O7/LaPO4 were investigated using laser flash method, high-temperature dilatometer and micro-hardness test. Based on XRD patterns, the pyrochlore and monazite phases were obtained in La2Zr2O7/LaPO4 composite ceramic material without any chemical reaction. According to SEM morphology, the La2Zr2O7 was closely near to LaPO4 along with a lot of pores, it might cause the decrease of thermal conductivity. The thermal conductivities of composite ceramics were similar to that of La2Zr2O7. The CTE of them were about 10×10−6K−1, which was close to the value of LaPO4. Because of doping LaPO4, hardness and Young's modulus of samples were lower than that of La2Zr2O7. The studies revealed that the La2Zr2O7/LaPO4 composite ceramics had good mechanical and thermal physical properties and could be applied as new candidate materials for TBCs in the future.

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Precipitation behavior of a novel cobalt-based superalloy subjected to prior plastic deformations

Publication date: 15 December 2016
Source:Materials & Design, Volume 112
Author(s): Huakang Bian, Yunping Li, Daixiu Wei, Yujie Cui, Fenglin Wang, Shihai Sun, Kenta Yamanaka, Yuichiro Koizumi, Akihiko Chiba
The precipitation behavior of a novel cobalt-based superalloy subjected to prior plastic deformations was investigated in details by using field emission scanning electron microscope (FE-SEM), transmission electron microscope (TEM), etc. The precipitation of a μ-phase, which appeared at temperatures of 1073–1373K, was confirmed, while MC-type carbide was observed at the temperatures >1173K. The prior plastic deformations promoted the precipitation of the μ-phase during subsequent aging. Further, the precipitation of the μ-phase at temperatures lower than 1173K was confirmed to occur predominantly along the {111} slip bands; this was the dominant deformation mechanism of this alloy during plastic deformation. In contrast, there was no evidence that the precipitation of the MC-type carbide was affected by the prior plastic deformations in the case of the specimens exposed at 1273 and 1373K.

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A step towards the white light

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Publication date: Available online 17 September 2016
Source:Materials Today
Author(s): David Bradley




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Long-term in-vivo tests assess the degradation of bone implants

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Publication date: Available online 17 September 2016
Source:Materials Today
Author(s): Laurie Winkless




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A better understanding of glass

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Publication date: Available online 17 September 2016
Source:Materials Today
Author(s): Laurie Donaldson




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Events

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Publication date: Available online 17 September 2016
Source:Materials Today





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Recognition of achievement – priorities and process

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Publication date: Available online 17 September 2016
Source:Materials Today
Author(s): Lynnette D. Madsen, Rita R. Colwell




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Printing 3D porous carbon networks in a zeolite

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Publication date: Available online 17 September 2016
Source:Materials Today
Author(s): David Bradley




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Solar boost

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Publication date: Available online 17 September 2016
Source:Materials Today
Author(s): David Bradley




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Carbon nanotubes in space!

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Publication date: Available online 17 September 2016
Source:Materials Today
Author(s): Laurie Winkless




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From the Medical Board of the National Psoriasis Foundation: Perioperative management of systemic immunomodulatory agents in patients with psoriasis and psoriatic arthritis

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4
Author(s): Young M. Choi, Maya Debbaneh, Jeffrey M. Weinberg, Paul S. Yamauchi, Abby S. Van Voorhees, April W. Armstrong, Michael Siegel, Jashin J. Wu
Treatment with systemic immunomodulatory agents is indicated for patients with moderate to severe plaque psoriasis and psoriatic arthritis. In these patients, surgery may confer an increased risk of infectious or surgical complications. We conducted a literature review to examine studies addressing the use of methotrexate, cyclosporine, and targeted immunomodulatory agents (tumor necrosis factor-alfa inhibitors, interleukin [IL]-12/23 inhibitors, IL-17 inhibitors) in patients undergoing surgery. We examined 46 total studies; the majority were retrospective studies in patients with rheumatoid arthritis and inflammatory bowel disease. One study in patients with psoriasis and psoriatic arthritis reviewed 77 procedures and did not find an elevated risk of postoperative complications with tumor necrosis factor-alfa and IL-12/23 inhibitors even with major surgeries. Based on level III evidence, infliximab, adalimumab, etanercept, methotrexate, and cyclosporine can be safely continued through low-risk operations in patients with psoriasis and psoriatic arthritis. For moderate- and high-risk surgeries, a case-by-case approach should be taken based on the patient's individual risk factors and comorbidities.



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Self-pumped MFCs that need no external power source

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Publication date: Available online 17 September 2016
Source:Materials Today
Author(s): Laurie Donaldson




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Dermatology Calendar

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4





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Table of Contents

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4





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Blue-gray blotch: A helpful dermoscopic finding in optimal biopsy site selection for true vasculitis

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4
Author(s): Ji Yoon Choo, Jung Min Bae, Ji Hyun Lee, Jun Young Lee, Young Min Park




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Information for Readers

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4





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Association of insulin-like growth factor (IGF)-1 gene polymorphisms with plasma levels of IGF-1 and acne severity

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4
Author(s): Shekh Mohammad Amanur Rahaman, Dipankar De, Sanjeev Handa, Arnab Pal, Naresh Sachdeva, Tulikalipi Ghosh, Parul Kamboj
BackgroundPolymorphisms of the insulin-like growth factor (IGF)-1 gene consisting of variable cytosine adenosine repeats in the promoter region may directly influence the expression of IGF-1.ObjectiveWe sought to assess the role of IGF-1 gene polymorphisms in determination of plasma IGF-1 levels, acne, and its severity.MethodsIn this case-control study, 80 patients with acne vulgaris of 4 severity grades as per Global Acne Grading System and 80 age- and gender-matched control subjects without acne were studied. All the study subjects were without any disorder or a history of drug intake likely to affect IGF-1 level within a year before the study inclusion date. IGF-1 polymorphism was determined by polymerase chain reaction and plasma levels of IGF-1 by enzyme-linked immunosorbent assay. Acne severity was assessed by Global Acne Grading System.ResultsMean plasma IGF-1 level in acne cases was significantly higher than in non-acne controls (P = .04). Plasma IGF-1 level positively correlated with severity of acne (P = .01). Individuals homozygous for the 192-base pair (bp) allele had 4.29 times odds risk (95% confidence interval 1.38-13.33) of having acne and a significantly higher mean level of IGF-1 compared with non-192/non-192 participants. Individuals homozygous for the 192-bp allele had 3.08 times odds risk (95% confidence interval 1.15- 8.31) of having higher severity grade of acne compared with non-192/non-192 participants.LimitationsA relatively small number of participants were studied.ConclusionsPlasma IGF-1 levels positively correlate with severity of acne. The 192/192 homozygotes had higher risk of acne and higher severity grade of acne. Functional studies showing the relationship between IGF-1 promoter level polymorphism and actual gene expression in skin are warranted.



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JAAD Case Reports Article List

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4





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Multiple Mohs micrographic surgery is the most common reason for divergence from the appropriate use criteria: A single institution retrospective cohort study

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4
Author(s): Emily Stamell Ruiz, Pritesh S. Karia, Frederick C. Morgan, Christine A. Liang, Chrysalyne D. Schmults




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Journal Based CME Instructions and Information

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4





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See one, do one, teach one: The ethical dilemma of residents performing their first procedure on patients

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4
Author(s): Caroline LaRosa, Jane M. Grant-Kels




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Nevi and pregnancy

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4
Author(s): Amy Kalowitz Bieber, Kathryn J. Martires, Marcia S. Driscoll, Jane M. Grant-Kels, Miriam Keltz Pomeranz, Jennifer A. Stein
Changes in the moles of pregnant women are frequently attributed to pregnancy, but recent studies suggest that pregnancy does not induce significant physiologic changes in nevi. It is common for nevi on the breasts and abdomen to grow with normal skin expansion, but studies that have examined melanocytic nevi on the backs or lower extremities have found no significant changes in size during pregnancy. Several studies have also investigated the belief that moles darken during pregnancy and have found insufficient evidence to support this idea. Dermoscopically, transient changes have been identified, but none are suggestive of melanoma. Results vary in terms of histologic changes seen in samples taken from pregnant women, but all authors agree that any histopathologic features consistent with melanoma should be viewed as melanoma and not attributed to pregnancy. Biopsy specimens should be obtained promptly from any changing mole that would raise concern for malignancy in a nonpregnant patient. Such procedures can be performed safely during pregnancy.



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Editorial Board

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4





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CME examination

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4





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Pigmentation in African American skin decreases with skin aging

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4
Author(s): Anna L. Chien, Jean Suh, Sabrina Sisto Alessi Cesar, Alexander H. Fischer, Nancy Cheng, Flora Poon, Barbara Rainer, Sherry Leung, Jo Martin, Ginette A. Okoye, Sewon Kang
BackgroundTristimulus colorimetry, which uses the Commission Internationale de l'Eclairage L*a*b* model to quantify color, has previously been used to analyze pigmentation and erythema in human skin; however, colorimetry of African American skin is not well characterized.ObjectiveWe sought to analyze skin color patterns in African Americans and compare them with those of Caucasians.MethodsColorimetry readings of the sun-protected buttock and sun-exposed back of forearm were taken from 40 Caucasian and 43 African American participants from March 2011 through August 2015. African American participants also completed a lifestyle questionnaire. Correlation coefficients, paired t tests, and multivariable linear regression analyses were used for statistical comparisons.ResultsForearm skin was lighter in African Americans ages 65 years and older versus 18 to 30 years (P = .02) but darker in Caucasians ages 65 years or older versus 18 to 30 years (P = .03). In African Americans ages 18 to 30 years, the buttock was darker than the forearm (P < .001), whereas in Caucasians the buttock was lighter than the forearm (P < .001). A lighter forearm than buttock was correlated with supplement use, smoking (ages 18-30 years), and less recreational sun exposure (ages ≥65 years) in African Americans.LimitationsOur study was limited by the sample size and focal geographic source.ConclusionsPigmentation patterns regarding sun-protected and sun-exposed areas in African Americans may differ from that of Caucasians, suggesting that other factors may contribute to skin pigmentation in African Americans.



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Answers to CME examination

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4





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The study of nevi in children: Principles learned and implications for melanoma diagnosis

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4
Author(s): Alon Scope, Michael A. Marchetti, Ashfaq A. Marghoob, Stephen W. Dusza, Alan C. Geller, Jaya M. Satagopan, Martin A. Weinstock, Marianne Berwick, Allan C. Halpern
Melanocytic nevi are a strong phenotypic marker of cutaneous melanoma risk. Changes in nevi during childhood and adolescence make these prime periods for studying nevogenesis. Insights gained by the study of nevi in childhood have implications for melanoma detection in both adults and children. A more comprehensive understanding of the morphologic characteristics of nevi in different anatomic locations, in association with the patient's age and pigmentary phenotype may aid in the identification of melanomas. When monitoring melanocytic lesions over time, it is essential to differentiate normal from abnormal change. This review summarizes the rapidly expanding body of literature relevant to nevus phenotype, particularly in the context of our experience with the Study of Nevi in Children (SONIC) Project.



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The American Board of Dermatology, Inc Future Meeting & Exam Dates

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4





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Understanding patient experience in university-based dermatology clinics: Time motion analysis

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4
Author(s): Sameer Gupta, Suephy Chen, Pinar Keskinocak, Lori Houghtalen, Aimen Ismail, Monique Kumar




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Pregnancy and melanoma

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4
Author(s): Marcia S. Driscoll, Kathryn Martires, Amy Kalowitz Bieber, Miriam Keltz Pomeranz, Jane M. Grant-Kels, Jennifer A. Stein
Malignant melanoma is the most common malignancy during pregnancy, and is diagnosed during childbearing age in approximately one-third of women diagnosed with melanoma. The impact of hormonal changes during pregnancy and from iatrogenic hormones on melanoma is controversial. Women undergo immunologic changes during pregnancy that may decrease tumor surveillance. In addition, hormone receptors are found on some melanomas. In spite of these observations, the preponderance of evidence does not support a poorer prognosis for pregnancy-associated melanomas. There is also a lack of evidence that oral contraceptives or hormone replacement therapy worsens melanoma prognosis.



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The cutaneous expression of vitamin K-dependent and other osteogenic proteins in calciphylaxis stratified by clinical features and warfarin use: A case control study

Publication date: October 2016
Source:Journal of the American Academy of Dermatology, Volume 75, Issue 4
Author(s): Frances Tian, Andrew T. Patterson, Jonathan J. Davick, Steven W. Ing, Benjamin H. Kaffenberger, Alejandro A. Gru




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Targeted next-generation sequencing of TP53 in oral tongue carcinoma from non-smokers

Little is known regarding the etiology and genomic underpinnings of Oral Tongue Squamous Cell Carcinoma (OTSCC) in patients who lack traditional risk factors, yet the incidence is increasing. In particular, th...

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Modeling background radiation using geochemical data: A case study in and around Cameron, Arizona

Publication date: December 2016
Source:Journal of Environmental Radioactivity, Volume 165
Author(s): Kara E. Marsac, Pamela C. Burnley, Christopher T. Adcock, Daniel A. Haber, Russell L. Malchow, Elisabeth M. Hausrath
This study compares high resolution forward models of natural gamma-ray background with that measured by high resolution aerial gamma-ray surveys. The ability to predict variations in natural background radiation levels should prove useful for those engaged in measuring anthropogenic contributions to background radiation for the purpose of emergency response and homeland security operations. The forward models are based on geologic maps and remote sensing multi-spectral imagery combined with two different sources of data: 1) bedrock geochemical data (uranium, potassium and thorium concentrations) collected from national databases, the scientific literature and private companies, and 2) the low spatial resolution NURE (National Uranium Resource Evaluation) aerial gamma-ray survey. The study area near Cameron, Arizona, is located in an arid region with minimal vegetation and, due to the presence of abandoned uranium mines, was the subject of a previous high resolution gamma-ray survey. We found that, in general, geologic map units form a good basis for predicting the geographic distribution of the gamma-ray background. Predictions of background gamma-radiation levels based on bedrock geochemical analyses were not as successful as those based on the NURE aerial survey data sorted by geologic unit. The less successful result of the bedrock geochemical model is most likely due to a number of factors including the need to take into account the evolution of soil geochemistry during chemical weathering and the influence of aeolian addition. Refinements to the forward models were made using ASTER visualizations to create subunits of similar exposure rate within the Chinle Formation, which contains multiple lithologies and by grouping alluvial units by drainage basin rather than age.



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Editorial Board

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Publication date: October 2016
Source:Dental Materials, Volume 32, Issue 10





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Botanical drugs in Ayurveda and Traditional Chinese Medicine

Publication date: 24 December 2016
Source:Journal of Ethnopharmacology, Volume 194
Author(s): Yogini Jaiswal, Zhitao Liang, Zhongzhen Zhao
Ethnopharmacological relevanceChina and India have a long history in the therapeutic application of botanical drugs in traditional medicine. Traditional Chinese Medicine (TCM) and Ayurveda are considered as two of the most ancient systems of medicine, with history of more than two millennia. Medicinal plants are the principal medicinal materials used in both these systems.Aim of the reviewThis review discusses about the histories of Ayurveda and TCM, the common medicinal plants species, the drug processing strategies used, and the current statuses of these traditional systems of medicine (TSM). Through the views presented in this article, we aim to provide a new perspective to herbal drug researchers for expanding and improving the utilization of botanical drugs and their therapeutic applications.MethodsA bibliographic investigation of Chinese and Indian pharmacopoeias, monographs and official websites was performed. Furthermore, information was obtained from scientific databases on ethnobotany and ethno medicines.ResultsThe review of Ayurveda and TCM ethno medicine indicates that both these systems have many medicinal materials in common. The studies carried out by the authors for comparison of plants from same genus from both these TSM's have been discussed to further bring focus to the utilization of "qualitatively" similar species which can be utilized and substituted for endangered or economically valued species. The overview of ancient literature and scientific findings for drugs in both these systems suggests that, the botanical drugs used in common and their processing methods can be explored further for extensive utilization in traditional medicine.ConclusionThis review describes the histories, common medicinal plant species, their processing methods and therapeutic applications in Ayurveda and TCM. The insights provided through this article may be used by herbal drug researchers and pharmacologists for further exploration of botanical drugs from these two traditional systems of medicine.

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Effect of fenugreek on hyperglycaemia and hyperlipidemia in diabetes and prediabetes: A meta-analysis

Publication date: 24 December 2016
Source:Journal of Ethnopharmacology, Volume 194
Author(s): Jing Gong, Ke Fang, Hui Dong, Dingkun Wang, Meilin Hu, Fuer Lu
Ethnopharmacological relevanceFenugreek is a widely used herb for the treatment of diabetes mellitus (DM) but the effects in randomized controlled trials (RCTs) were controversial. Therefore, a meta-analysis was conducted to estimate the overall effects of fenugreek on hyperglycaemia and hyperlipidemia in diabetes and prediabetes.Materials and methodsPubMed, EMBASE, web of science, Chinese Biomedical Literature database (CBM), the Cochrane library, China Doctor Dissertations Full-text Database (CDFD), Wan Fang medical database, China Proceedings of Conference Full-text Database (CPCD), China national knowledge internet (CNKI) and China Master's Theses Full-text Database (CMFD) were searched to find the available literatures. RCTs with regard to the efficacy and safety of fenugreek on prediabetes or DM were included. The data of fasting blood glucose (FBG), postprandial 2h blood glucose (2hBG), glycosylated hemoglobin (HbA1c), triglyceride (TG), total cholesterol (TC), low density lipoprotein cholesterol (LDL-c) and high density lipoprotein cholesterol (HDL-c) were extracted to appraise the net change with fixed or randomized effect model.ResultsA total of 10 articles (12 studies) were included in the analysis. Pooled results showed fenugreek significantly decreased the levels of FBG (MD −0.84mmol/L; 95% CI −1.38 to −0.31; p=0.002), 2hBG (MD −1.30mmol/L; 95% CI −1.78 to −0.83; p<0.0001), HbA1c (MD −1.16; 95% CI −1.23 to −1.09; p<0.00001) and TC (MD −0.30mmol/L; 95% CI-0.56 to −0.03; p=0.03). In spite of the reductive trends in the TG or LDL-c levels and incremental trends of HDL-c, these results were not statistically significant or need further verification for fenugreek in the treatment of DM and prediabetes. Some studies were of low quality. No liver and kidney toxicity were found in all included studies, and the main side effects were gastrointestinal discomfort.ConclusionsThe results suggest fenugreek has the hypoglycaemic and TC-lowering efficacy; however, the effects on TG, LDL-c and HDL-c need further confirmations.

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Screening study on the anti-angiogenic effects of Traditional Chinese Medicine – Part I: Heat-clearing and detoxicating TCM

Publication date: 24 December 2016
Source:Journal of Ethnopharmacology, Volume 194
Author(s): Xiang Tu, YuanPing Deng, Jing Chen, Quan Hu, ChengShi He, James B. Jordan, Sen zhong
Ethnopharmacological relevanceFew studies have explored the anti-angiogenic effects of TCM - even more so, as it applies to cancer treatment research. Heat-clearing and detoxicating TCM is the most frequently used category in the treatment of cancerous tumors, but lacks sufficient validation studies.Aim of the studyThe present research (in our series of studies) aims to explore the anti-angiogenic effects of TCM; so we begin with heat-clearing and detoxicating TCM.Materials and MethodsSix typical heat-clearing and detoxicating TCM (Philippine Violet Herb, Wild Chrysanthemum, Heartleaf Houttuynia Herb, Chinese Lobelia Herb, Spreading Hedyotis Herb and Uniflower Swisscentaury Root) were decocted, concentrated, sieved and desiccated to attain the water extract. This study utilized the vascular organism research model for Fli1a-EGFP zebrafish, which were raised and maintained under standard conditions. 22h post-fertilization (hpf) embryos were distributed into 12-well plates for a treatment period of 26h. The TCM water extracts which were diluted in 0.1% dimethyl sulfoxide (DMSO), were added to each well at a concentration of 200μg/ml. The positive control was 5μg/ml PTK787 (vatalanib) and the vehicle control was 0.1% DMSO. At 48hpf larvae were tricaine anesthetized and imaged. To demonstrate if TCM shows angiogenesis defects, ten larvae were randomly chosen to conduct a quantitative assay. Quantitative real-time PCR was conducted to dissect the mechanisms involved by analyzing the contributions of signaling pathways and molecules concerning angiogenesis, with a total of ten genes examined.ResultsAll 30 larvae treated with Wild Chrysanthemum, Uniflower Swisscentaury Root and PTK787 showed angiogenesis defects. Embryos treated with Wild Chrysanthemum and Uniflower Swisscentaury Root showed a lower number of complete intersegmental vessels (ISVs) and there was statistically significant differences between TCM and the vehicle control. Wild Chrysanthemum and Uniflower Swisscentaury Root have a higher inhibition rate and the statistical difference between TCM and the vehicle control was significant. Compared with vehicle controls, Wild Chrysanthemum could significantly modulate the relative mRNA expression of all ten genes. Whereas, Uniflower Swisscentaury Root could significantly regulate the relative mRNA expression of seven genes, it did not show a significant impact on the remaining three genes.ConclusionsThe present research demonstrates that Wild Chrysanthemum and Uniflower Swisscentaury Root have anti-angiogenic effects in zebrafish and that they could regulate both proangiogenic mechanisms and negative angiogenesis regulators. Their anti-angiogenic effects result from effects on negative regulators overriding their effects on proangiogenic mechanisms. The results provide new insights into their clinical application and therapeutic potential for the management of angiogenesis-dependent diseases such as cancer.

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Total flavonoid aglycones extract in Radix scutellariae inhibits lung carcinoma and lung metastasis by affecting cell cycle and DNA synthesis

Publication date: 24 December 2016
Source:Journal of Ethnopharmacology, Volume 194
Author(s): Yang Wang, Hui-juan Cao, Shu-jun Sun, Jian-ye Dai, Jun-wei Fang, Qian-hua Li, Chao Yan, Wen-wei Mao, Yong-yu Zhang
Ethnopharmacological relevanceRadix Scutellariae (Scutellaria baicalensis Georgi, RS), a traditional herbal medicine commonly used to treat inflammation, hypertension, cardiovascular disease, bacterial and viral infections, is reported to treat lung cancer by supplements of modern medicine. The total flavonoid aglycones extract (TFAE) from RS is the most important composition for the pharmacodynamic effects. The present study was designed to evaluate the anti-lung tumor effect of TFAE on A549 cells and A549 cell nude mice xenografts. The aim of the study is to investigate the effect and mechanism of TFAE treating non-small cell lung cancer both in vitro and in vivo.Materials and methodsThe anti-tumor activity of TFAE in vitro was investigated using the MTT assay. The changes of cell invasion and migration were detected by Transwell assay and tube formation experiments were used to detect the anti-angiogenic effect. The anti-tumor effects of TFAE in vivo were evaluated in A549 cell nude mice xenografts. The mechanism of TFAE was detected by flow cytometry technology, western blot assay and immuno-histochemistry assay.ResultsIn vitro, TFAE inhibited the proliferation, invasion and migration of A549 cells in a dose- and time-dependent manner. In vivo, TFAE by oral administration at 100mg/kg for 30 days decreased the tumor volume and tumor weight in A549 cell xenograft by 25.5% with no statistical significance (P<0.05) compared to the cis-platinum positive control group (30.0%). The cell cycle and DNA synthesis experiment illustrated that TFAE could induce A549 cell cycle to arreste in S phase and DNA synthesis in A549 cells be inhibited, while TFAE had no influence on apoptosis of A549 cells. Western Blot assay demonstrated that the treatment of TFAE could make Cyclin D1 decrease and p53 increase both in vitro and in vivo.ConclusionTFAE displayed the inhibition effects of non-small cell lung cancer both in vitro and in vivo and the underlying mechanism might be related to the increased p53 protein expression and decreased Cyclin D1 expression, leading to cell cycle arrested in S phase and the decrease of DNA synthesis.

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Jiangzhi Capsule improves fructose-induced insulin resistance in rats: Association with repair of the impaired sarcolemmal glucose transporter-4 recycling

Publication date: 24 December 2016
Source:Journal of Ethnopharmacology, Volume 194
Author(s): Lirong Jiang, Ling Yao, Yifan Yang, Dazhi Ke, Robert Batey, Jianwei Wang, Yuhao Li
Ethnopharmacological relevanceJiangzhi Capsule, originated from an experienced formula in traditional Chinese Medicine, has been listed and used for the management of metabolic abnormalities in Australia for a long time. To better understand Jiangzhi Capsule, this study investigated its effect on insulin resistance.Materials and methodsMale rats were treated with liquid fructose in their drinking water over 14 weeks. Jiangzhi Capsule was co-administered (once daily, by oral gavage) during the last 7 weeks. Indexes of lipid and glucose homeostasis were determined enzymatically, by ELISA and/or histologically. Gene expression was analyzed by real-time PCR, Western blot and/or immunohistochemistry.ResultsTreatment with Jiangzhi Capsule (100mg/kg) attenuated fructose overconsumption-induced increases in basal plasma insulin concentrations, the homeostasis model assessment of insulin resistance index and the adipose tissue insulin resistance index in rats. The increased plasma glucose concentrations during oral glucose tolerance test were also inhibited. Furthermore, Jiangzhi Capsule had a trend to attenuate the decreased ratios of glucose and non-esterified fatty acids to plasma insulin concentrations. Mechanistically, this insulin-sensitizing action was accompanied by normalization of the downregulated sarcolemmal glucose transporter (GLUT)-4 protein expression and the decreased phosphorylated Akt to total Akt protein ratio in gastrocnemius.ConclusionsThese results suggest that Jiangzhi Capsule ameliorates fructose-induced insulin resistance with a link to repair of the impaired sarcolemmal GLUT-4 recycling through modulation of the ratio of phosphorylated Akt to total Akt in gastrocnemius. Our findings provide an evidence-based and mechanistic understanding of Jiangzhi Capsule for the management of insulin resistance-associated disorders.

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Ethnobotanical investigations on plants used in folk medicine in the regions of Constantine and Mila (North-East of Algeria)

Publication date: 24 December 2016
Source:Journal of Ethnopharmacology, Volume 194
Author(s): Rayene Ouelbani, Souheir Bensari, Toma Nardjes Mouas, Douadi Khelifi
Ethno-pharmacological relevanceConstantine and Mila regions have been investigated in an ethnobotanical study for the first time. A total of 102 medicinal plants have been cited to treat human ailments. Twenty-eight new species of 31 common plants with 151 new therapeutic applications and 12 new cited species including one endemic specie Zygophyllum cornutum Coss were found as compared to other Algerian regions. In addition, to the best of our knowledge, 369 new medicinal uses of 75 known plants, were reported for the first time in the Mediterranean basin.Aim of the studyThis study is aimed at contributing to safeguard world cultural heritage and document ethnomedicinal uses of plants in Algeria and the Mediterranean basin; data on the national and global uses in the world were obtained to extract new potential species for further phytochemical and clinical investigations.Materials and methodsThe survey was carried out in two cities in the northeast of Algeria: Constantine and Mila. It was based on semi-structured interviews of 79 local informants. Data were analyzed using quantitative indices, namely, informant consensus factor, fidelity level (FL), use value (UV), and relative frequency citation (RFC), to evaluate the reliability and richness of herbal knowledge in the region.ResultsThe interviewed persons used 102 plant species belonging to 90 genera and distributed among 53 families, represented mainly by Lamiaceae, Apiaceae, and Asteraceae (30%, 13%, and 10%, respectively), which were used to treat 14 ailment categories. The category of most frequent ailments (16%) was digestive disorders (diarrhea, constipation, and stomach bloating). The highest RFC was found for Origanum glandulosum Desf. With regard to the fidelity level, a higher FL was found for Tilia cordata Mill. (100%), followed by Artemisia herba alba Asso. with an FL of 95.74% and Punica granatum L. with an FL of 93.09%) to treat gastrointestinal system diseases, and Aloe sp. L. with an FL of 96.67% for skin diseases. The highest UV was found for Origanum glandulosum Desf. (2.280). Moreover, new medicinal uses were recorded for the first time in Algeria and Mediterranean regions.ConclusionThe present study has highlighted the rich herbal knowledge about newfound medicinal plants and their new uses in the Mediterranean region, which could be useful not only in facilitating other studies such as phytochemical and pharmacological investigations and upgrading the sources of biomolecules beneficial to people but also in reopening discussion on pharmacovigilance in herbal medicine as an imperative requirement for local authorities.

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α-Cyperone of Cyperus rotundus is an effective candidate for reduction of inflammation by destabilization of microtubule fibers in brain

Publication date: 24 December 2016
Source:Journal of Ethnopharmacology, Volume 194
Author(s): Azam Azimi, Seyed Mahmood Ghaffari, Gholam Hossein Riazi, Seyed Shahriar Arab, Mohammad Mehdi Tavakol, Shahriar Pooyan
Ethnopharmacological relevanceCyperus rotundus L. (Cyperaceae), commonly known as purple nutsedge or nut grass is one of the most invasive and endemic weeds in tropical, subtropical and temperate regions. This plant has been extensively used in traditional medicine for anti-arthritic, antidiarrheal and antiplatelet properties as well as treatment for several CNS disorders such as epilepsy, depression and inflammatory disorders. Inflammation is evidently occurring in pathologically susceptible regions of the Alzheimer's disease (AD) brain as well as other disorders. Many cellular processes are responsible in chronic inflammation. Microtubule-based inflammatory cell chemotaxis is a well-recognized process that influences production of cytokines and phagocytosis. The effect of α-Cyperone, one of main ingredients of Cyperus rotundus on microtubule assembly and dynamics has not been examined and is the purpose of this investigation.Materials and methodsMicrotubules and tubulin were extracted in order to explore their interaction with α-Cyperone by utilization of turbidimetric examinations, intrinsic fluorescence and circular dichroism spectroscopy (CD) studies. The molecular docking analysis was executed in order to facilitate a more detail and stronger evidence of this interaction. The BINding ANAlyzer (BINANA) algorithm was used to evaluate and further substantiate the binding site of α-Cyperone.ResultsIt was demonstrated that α-Cyperone had a pronounced influence on the tubulin structure, decreased polymerization rate and reduced concentration of polymerized tubulin in vitro. The CD deconvolution analysis concluded that significant conformational changes occurred, demonstrated by a drastic increase in content of β-strands upon binding of α-Cyperone. The fluorescence spectroscopy revealed that a static type of quenching mechanism is responsible for binding of α-Cyperone to tubulin. Upon characterization of various biophysical parameters, it was further deduced that ligand binding was spontaneous and a single site of binding was confirmed. Transmission electron microscopy revealed that upon binding of α-Cyperone to microtubule the number and complexity of fibers were noticeably decreased. The computational analysis of docking suggested that α-Cyperone binds preferably to β-tubulin at a distinct location with close proximity to the GTP binding and hydrolysis site. The ligand interaction with β-tubulin is mostly hydrophobic and occurs at amino acid residues that are exclusively on random coil. The BINANA 1.2.0 algorithm which counts and tallies close molecular interaction by performing defined set of simulations revealed that amino acid residues Arg 48 and Val 62 have registered the highest scores and are possibly crucial in ligand-protein interaction.Conclusionα-Cyperone binds and interacts with tubulin and is capable of distinctly destabilizing microtubule polymerization. The effect of this interaction could result in reduction of inflammation which would be highly beneficial for treatment of inflammatory diseases such as AD.

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Inhibitory effects of Saussurea involucrata (Kar. et Kir.) Sch. -Bip. on adjuvant arthritis in rats

Publication date: 24 December 2016
Source:Journal of Ethnopharmacology, Volume 194
Author(s): Xiaoli Han, Dan Su, Xiaoyan Xian, Mingyang Zhou, Xianzhe Li, Jian Huang, Jinhui Wang, Huiyuan Gao
Ethnopharmacological relevanceSaussurea involucrate (Kar. et Kir.) Sch. -Bip is an endangered species of the Compositae family, and this species has long been used for the treatment of rheumatoid arthritis, dysmenorrhea, stomachache, and altitude sickness in Uighur folk and Chinese medicine.Aim of the studyThis study aimed to investigate the different therapeutic efficacy of alcohol infusion (SEI) and water decoction (SWD) of S. involucrata in treating rheumatoid arthritis using complete Freund's adjuvant (CFA)-induced arthritis (AA) in a rat model.Materials and methodsMale Wistar rats (160–180g) were immunized by intradermal injection of 0.1mL of CFA into the left hind metatarsal footpad. Aspirin was chosen as the positive drug. Alcohol infusion (SEI, 400 and 800mg/kg) and water decoction (SWD, 443 and 886mg/kg) of S. involucrata aerial parts were orally administered from day 1 and continued for 21 days. Arthritis severity was evaluated by arthritic score, body weight loss, and paw swelling. The levels of TNF-α, IL-β, and IL-6 in the serum of AA rats were detected by enzyme linked immunosorbent assay (ELISA). Histological changes in the ankle joint were also analyzed in the AA rats.ResultsBoth SEI and SWD significantly ameliorated AA severity, as suggested by the modulatory effects on body weight loss, paw swelling, and arthritic score. Histopathological improvement in the joint architecture was also observed in the SEI- and SWD-treated AA rats. The overproduction of TNF-α, IL-1β, and IL-6 was remarkably attenuated in the serum of all treated rats. Furthermore, the therapeutic effect of SWD was more potent than that of SEI in treating rheumatoid arthritis using AA in a rat model, which was reported for the first time.ConclusionsThese results suggested that the extract of S. involucrata significantly attenuated adjuvant arthritis in rats by decreasing the levels of TNF-α, IL-1β, and IL-6 in the serum. S. involucrata has the potential to be regarded as a candidate for the treatment of human arthritis. Moreover, the therapeutic effect of SWD was much better than alcohol infusion, indicting that active constituents are mainly in the water extract, which is helpful for the clinical treatments to choose the appropriate process.

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(3′R)-hydroxytabernaelegantine C: A bisindole alkaloid with potent apoptosis inducing activity in colon (HCT116, SW620) and liver (HepG2) cancer cells

Publication date: 24 December 2016
Source:Journal of Ethnopharmacology, Volume 194
Author(s): Angela Paterna, Sofia E. Gomes, Pedro M. Borralho, Silva Mulhovo, Cecília M.P. Rodrigues, Maria-José U. Ferreira
Ethnopharmacological relevanceTabernaemontana elegans Stapf. (Apocynaceae) is a medicinal plant traditionally used in African countries to treat cancer.Aims of the studyTo discover new apoptosis inducing lead compounds from T. elegans and provide scientific validation of the ethnopharmacological use of this plant.Materials and methodsThrough fractionation, (3′R)-hydroxytaberanelegantine C (1), a vobasinyl-iboga bisindole alkaloid, was isolated from a cytotoxic alkaloid fraction of the methanol extract of T. elegans roots. Its structure was identified by spectroscopic methods, mainly 1D and 2D NMR experiments. Compound 1 was evaluated for its ability to induce apoptosis in HCT116 and SW620 colon and HepG2 liver carcinoma cells. The cell viability of compound 1 was evaluated by the MTS and lactate dehydrogenase (LDH) assays. Induction of apoptosis was analyzed through Guava ViaCount assay, by flow cytometry, caspase-3/7 activity assays and evaluation of nuclear morphology by Hoechst staining. To determine the molecular pathways elicited by 1 exposure, immunoblot analysis was also performed.Results(3′R)-hydroxytaberanelegantine C (1) displayed strong apoptosis induction activity as compared to 5-fluorouracil (5-FU), the most used anticancer agent in colorectal cancer treatment. In the MTS assay, compound 1 exhibited IC50 values similar or lower than 5-FU in the three cell lines tested. The IC50 value of 1 was also calculated in CCD18co normal human colon fibroblasts. The lactate dehydrogenase assay showed increased LDH release by compound 1, and the Guava ViaCount assay revealed that 1 significantly increased the incidence of apoptosis to a further extent than 5-FU. Moreover, the induction of apoptosis was corroborated by evaluation of nuclear morphology by Hoechst staining and caspase-3/7 activity assays of 1 treated cells. As expected, in immunoblot analysis, compound 1 treatment led to poly(ADP-ribose) polymerase cleavage. This was accompanied by decreased anti-apoptotic proteins Bcl-2 and XIAP steady state levels in all three cancer cell lines tested.ConclusionsCompound 1 showed remarkable induction of apoptosis in HCT116, SW620 and HepG2 cells. Together, the results suggest that compound 1 is a promising lead structure for inducing apoptosis.

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