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development of a Ready-to-Use PSMA-11 Kit Formulation and Biological Evaluation of Binding Affinity

Advances in Molecular Imaging 2024年第2期13卷 7-22页

作者： Maria Renata Valente Brandão Freire Natália Marchesan Bexiga Marco Antonio Stephano João Ezequiel Oliveira Carlos Roberto Jorge Soares Ana Cláudia Camargo Miranda anna carolina de alcântara barbosa Marycel Figols de Barboza Laura Fernanda Garcia Luiz Felipe S. Teixeira Maria Helena Marumo Bellini Natanael Gomes da Silva Luiza Mascarenhas Balieiro Joel Mendes Elaine Bortoleti de Araújo Centro de Radiofarmcia Instituto de Pesquisas Energticas e Nucleares (IPEN) Cidade Universitria So Paulo Brasil departamento de Tecnologia Farmacutica Faculdade de Cincias Farmacuticas (USP) Cidade Universitria So Paulo Brasil Centro de Biotecnologia Instituto de Pesquisas Energticas e Nucleares (IPEN) Cidade Universitria So Paulo Brasil departamento de Medicina Nuclear do Hospital Israelita Albert Einstein So Paulo/SP Brasil

Introduction: 68Ga-PSMA-11 is considered the gold standard in detection of micro and oligometastases in advanced prostate cancer, being used for therapeutic planning, as well as, potentially, for evaluating response to treatment. The development of ready-to-use lyophilized kit of PSMA-11 adds quality and safety to the routine use of this radiopharmaceutical and represents a pharmacotechnical challenge as it must preserve the integrity and specificity of the ligand. Methods: PSMA-11 kit formulation was proposed, considering radiolabeling parameters and the preservation of the peptide during the lyophilization process, using mannitol as an excipient. Critical temperature characterization studies were carried out using DSC equipment and the freeze-drying process was developed. The direct radiolabeling conditions were evaluated and standardized using 68Ge/68Ga generator eluate from two different manufacturers (ITG and Eckert & Ziegler). The radiochemical purity was evaluated by TLC and HPLC. Biological evaluation was carried out with lyophilized PSMA-11 to demonstrate the integrity of the peptide and preservation of biological activity after the lyophilization process. Results: Based on critical temperature characterization studies, the freeze-drying cycle was designed to reach a freezing temperature of around −40˚C and primary drying at 2˚C. Using 20 mg of mannitol, an intact and elegant lyophilized cake was obtained. PSMA-11 lyophilized kit was directly labeled with 68Ga eluate from 68Ge/68Ga GMP generators (ITG and Eckert & Ziegler) resulting in % RP > 95% at pH 4.0 to 4.5. The results obtained from in vitro and in vivo biological competition studies confirmed the preservation of PSMA-11 affinity for the receptor after lyophilization. Conclusion: A lyophilized formulation (Kit) of PSMA-11 was successfully obtained, which preserved the integrity and biological activity of the peptide and guaranteed radiolabeling efficiency.

关键词： 68Ga-PSMA-11 Prostate-Specific Membrane Antigen (PSMA) Ready-to-Use Kit GMP-Grade Generators Metastatic Prostate Cancer PET Imaging

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development of a Ready-to-Use PSMA-11 Kit Formulation and Biological Evaluation of Binding Affinity

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Advances in Molecular Imaging（分子影像学） 2024年第2期 7页

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Gastric fundoplication with endoscopic technique:A novel approach for gastroesophageal reflux disease treatment

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World Journal of Gastrointestinal Endoscopy 2024年第10期16卷 557-565页

作者： Eyad Gadour anna carolina Hoff department of Gastroenterology and Hepatology King Abdulaziz Hospital-National GuardAhsa 31982Saudi Arabia Internal Medicine Zamzam University CollegeSchool of MedicineKhartoum 11113Sudan Bariatric Endoscopy Angioskope ClinicSão Josédos Campos 12243-680São PauloBrazil

BACKGROUND Gastric fundoplication with endoscopic technique(GFET)is an innovative approach to managing gastroesophageal reflux disease(GERD).This minimally invasive procedure utilizes the GEN-2 Apollo endosuture device and Olympus H2T180 gastroscope to perform partial fundoplication by strategically placing Prolene 2-0 sutures at the 11,7,5,1,and 3 o’clock positions around the gastroesophageal *** To evaluate whether GFET enhances the lower esophageal sphincter function by creating comprehensive plication to improve the barrier against *** This single-center prospective study included patients undergoing *** beginning GFET,pH metrics and subsequent manometric measurements were *** analysis of variance was performed to determine statistically significant differences between quality of life(QOL)and deMeester scores at the time of the procedure and 6 and 12 months ***’sχ2 test was performed to identify statistically significant differences between categorical variables at the time of the procedure and 6 and 12 months *** Eighteen participants were enrolled(11 males and 7 females;mean age,35 years).More than 70%had an initial Hill grade of *** adverse event was recorded after the *** patient underwent valve reinforcement at 12 *** mean QOL score was markedly higher at the time of the procedure(39.9±4.0)compared to those at 6 and 12 months postoperatively(PdeMeester scores(P<0.001).CONCLUSION GFET is a minimally invasive alternative to traditional surgical interventions and endoscopic techniques for managing *** research is warranted to validate its long-term efficacy and effectiveness over existing treatments.

关键词： Gastric fundoplication with endoscopic technique Gastroesophageal reflux disease Therapeutic endoscopy

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Influence of obesity and bariatric surgery on gastric cancer

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Cancer Biology & Medicine 2016年第2期13卷 269-276页

作者： anna carolina Batista Dantas Marco Aurelio Santo Roberto de Cleva Rubens Antonio Aissar Sallum Ivan Cecconello department of Digestive Surgery University of Sao Paulo School of Medicine Sao Paulo-SP 05403-000 Brazil

Esophageal and gastric cancer(GC) are related to obesity and bariatric surgery. Risk factors, such as gastroesophageal reflux and Helicobacter pylori, must be investigated and treated in obese population. After surgery, GC reports are anecdotal and treatment is not standardized. This review aims to discuss GC related to obesity before and after bariatric surgery.

关键词： Obesity bariatric surgery stomach neoplasms esophageal neoplasms

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Associations between sociodemographic factors and physical activity and sedentary behaviors in adults with chronic diseases during COVID-19 pandemic

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Sports Medicine and Health Science 2020年第4期2卷 216-220页

作者： Jean Marinho da Silva Rozangela Verlengia JoséJonas de Oliveira anna Gabriela Silva Vilela Ribeiro carolina Gabriela Reis barbosa Uliana Sbeguen Stotzer Alex Harley Crisp Post-Graduate Program in Human Movement Sciences Methodist University of Piracicaba(UNIMEP)PiracicabaSPBrazil Physical Education department Faculty of S~ao Lourenço(UNISEPE)S~ao LourençoMinas GeraisBrazil Physical Education department University Centre of Itajubá(FEPI)ItajubáMinas GeraisBrazil

The pandemic of the new coronavirus(COVID-19)may be affecting the physical activity(PA)level in much of the *** study aimed to investigate the prevalence of physical inactivity and sedentary behavior(SB)among adults with chronic diseases and their associations with sociodemographic factors during the COVID-19 *** cross-sectional study included 249 participants(age:18-91 years;61.4%female)with chronic conditions and attended the Family Health Strategy program in a small town in *** were collected between 2020-07-13 and 2020-07-24 by face-to-face ***-reported PA,sitting time,chronic diseases,medication use,sociodemographic data,and self-isolation adherence were obtained by *** this specific time point of the COVID-19 pandemic,71.5%of participants did not meet the PA recommendations(≥500 METs-min/week),and the prevalence of SB risk(≥4 h sitting)was 62.7%.Adjusted logistic regression indicated that male participants(odds ratio[OR]:1.89[95%CI 1.02-3.53]),living alone(OR:2.92[95%CI 1.03-8.30])or in a two-person household(OR:2.32[95%CI 1.16-4.63]),and those who reported sometimes performing self-isolation(OR:3.07[95%CI 1.47-6.40])were more likely to meet the minimum PA *** smokers had a lower odds(OR:0.36[95%CI 0.14-0.95])of meeting the PA *** participants(OR:2.18[95%CI 1.06-4.50])and those who had multimorbidity(OR:1.92[95%CI 1.07-3.44])were more likely to have a higher degree of *** is an urgent need to mitigate physical inactivity and SB,and public health interventions must take into account sociodemographic status.

关键词： Moderate-to-vigorous physical activity Sitting time Morbidity Coronavirus Quarantine

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Role of lysophosphatidic acid and its receptors in health and disease:novel therapeutic strategies

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Signal Transduction and Targeted Therapy 2021年第3期6卷 630-647页

作者： Luiz Henrique Medeiros Geraldo Tania Cristina Leite de Sampaio Spohr Rackele Ferreira do Amaral anna carolina Carvalho da Fonseca Celina Garcia Fabio de Almeida Mendes Catarina Freitas Marcos Fabio dosSantos Flavia Regina Souza Lima Institute de Ciencias BiomedicasUniversidade Federal do Rio de JaneiroRio de JaneiroBrazil Universite de Paris PARCCINSERMF-75015 ParisFrance Institute Estadual do Cerebro Paulo Niemeyer-Secretaria de Estado de Saude Rio de JaneiroBrazil Instituto de Saiide de Nova Friburgo Universidade Federal Fluminense28625-650 Nova FriburgoBrazil

Lysophosphatidic acid(LPA)is an abundant,bioactive phospholipid,with multiple functions both in development and in pathological ***,we review the literature about the differential signaling of LPA through its specific receptors,which makes this lipid a versatile signaling *** differential signaling is important for understanding how this molecule can have such diverse effects during central nervous system development and angiogenesis;and also,how it can act as a powerful mediator of pathological conditions,such as neuropathic pain,neurodegenerative diseases,and cancer ***,we review the preclinical and clinical uses of Autotaxin,LPA,and its receptors as therapeutic targets,approaching the most recent data of promising molecules modulating both LPA production and *** review aims to summarize the most update knowledge about the mechanisms of LPA production and signaling in order to understand its biological functions in the central nervous system both in health and disease.

关键词： therapeutic clinical diseases

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Status of bariatric endoscopy–what does the surgeon need to know? A review

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World Journal of Gastrointestinal Surgery 2022年第2期14卷 185-199页

作者： Diogo Turiani Hourneaux de Moura anna carolina Batista Dantas Igor Braga Ribeiro Thomas R McCarty Flávio Roberto Takeda Marco Aurelio Santo Sergio Carlos Nahas Eduardo Guimarães Hourneaux de Moura departamento de Gastroenterologia Faculdade de MedicinaUniversidade de Sao PauloServiço de Endoscopia Gastrointestinal do Hospital das Clínicas HCFMUSPSao Paulo 05403-010Brazil departamento de Gastroenterologia Hospital das Clinicas HCFMUSPFaculdade de MedicinaUniversidade de Sao PauloUnidade de Cirurgia Bariátrica e MetabólicaDisciplina de Cirurgia do Aparelho Digestivo e ColoproctologiaSao Paulo 05403-010Brazil Division of Gastroenterology Hepatology and EndoscopyBrigham and Women’s HospitalBostonMA 021115United States

BACKGROUND Obesity is a chronic and multifactorial disease with a variety of potential treatment options ***,there are several multidisciplinary therapeutic options for its management,including conservative,endoscopic,and surgical *** To clarify indications,technical aspects,and outcomes of bariatric *** Narrative review of current literature based on electronic databases including MEDLINE(PubMed),Cochrane Library,and *** Bariatric endoscopy is in constant development and comprises primary and revisional treatment options as well as management of surgical *** devices act upon different mechanisms of action,which may be individualized to each *** favorable results for the endoscopic treatment of obesity,prospective randomized studies with long-term follow-up are required to fully validate primary and revisional endoscopic *** the management of bariatric surgery complications,endoscopic therapy may be considered the procedure of choice in a variety of ***,as there is no standardized algorithm,local experience should be considered in *** The treatment of patients with obesity is complex,and a multidisciplinary approach is *** endoscopy has shown impressive results both in the treatment of obesity and its surgical complications,and therefore,must be part of the armamentarium in the fight against this disease.

关键词： Endoscopy Gastrointestinal Surgery Obesity Bariatric Weight regain

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Acute right insular ischaemic lesions and poststroke left ventricular dysfunction

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Stroke & Vascular Neurology 2023年第4期8卷 301-306页

作者： Klemens Winder carolina Villegas Millar Gabriela Siedler Michael Knott Arnd Dörfler anna Engel Stephan Achenbach Max J Hilz Bernd Kallmünzer Stefan Schwab Frank Seifert Kilian Fröhlich Neurology University Hospital ErlangenFriedrich-Alexander-Universität(FAU)Erlangen-NürnbergErlangenGermany Neurology University Hospital and University of ZürichZürichSwitzerland Neuroradiology University Hospital ErlangenFriedrich-Alexander Universität(FAU)Erlangen-NürnbergErlangenGermany Cardiology University Hospital ErlangenFriedrich-Alexander-Universität(FAU)Erlangen-NürnbergErlangenGermany

Introduction Myocardial injury related to acute ischaemic stroke is common even without primary cardiac *** intended to determine associations between values of left ventricular ejection fraction(LVEF)and ischaemic stroke lesion *** Of a local database,patients with acute first-ever ischaemic stroke confirmed by brain imaging but without pre-existing heart disease were *** cardiac morphology and LVEF were obtained from transthoracic or transesophageal echocardiography,and impaired LVEF was categorised as mild(35%-50%),moderate(34%-25%)and severe(0.1 ng/mL),atrial fibrillation and cardiac wall motion abnormalities were assessed and compared between patients with and without impaired LVEF after stroke(significance:p50%.The multivariate voxelwise lesion analysis yielded associations between decreased LVEF and damaged voxels in the insula,amygdala and operculum of the right *** Our imaging analysis unveils a prominent role of the right hemispheric central autonomic network,especially of the insular cortex,in the brain-heart *** results support preliminary evidence that acute ischaemic stroke in distinct brain regions of the central autonomic network may directly impair cardiac function and thus further supports the concept of a distinct stroke-heart syndrome.

关键词： impaired ischaemic ventricular

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Local administration of porcine immunomodulatory,chemotactic and angiogenic extracellular vesicles using engineered cardiac scaffolds for myocardial infarction

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Bioactive Materials 2021年第10期6卷 3314-3327页

作者： Marta Monguió-Tortajada Cristina Prat-Vidal Miriam Moron-Font Marta Clos-Sansalvador Alexandra Calle Paloma Gastelurrutia Adriana Cserkoova anna Morancho Miguel Angel Ramírez anna Rosell Antoni Bayes-Genis carolina Gàlvez-Montón Francesc E.Borràs Santiago Roura ICREC Research Program Health Science Research Institute Germans Trias i Pujol(IGTP)Can Ruti CampusBadalonaSpain REMAR-IVECAT Group Health Science Research Institute Germans Trias i Pujol(IGTP)Can Ruti CampusBadalonaSpain department of Cell Biology Physiology and ImmunologyUniversitat Autónoma de Barcelona(UAB)BellaterraSpain CIBERCV Instituto de Salud Carlos IIIMadridSpain Institut d’InvestigacióBiomèdica de Bellvitge-IDIBELL L’Hospitalet de LlobregatSpain departamento de Reproducción Animal Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria(INIA)MadridSpain Neurovascular Research Laboratory Vall d’Hebron Research Institute(VHIR)UABBarcelonaSpain Cardiology Service Germans Trias i Pujol University HospitalBadalonaSpain department of Medicine UABBarcelonaSpain Nephrology Service Germans Trias i Pujol University HospitalBadalonaSpain Faculty of Medicine University of Vic-Central University of Catalonia(UVic-UCC)VicBarcelona08500Spain

The administration of extracellular vesicles(EV)from mesenchymal stromal cells(MSC)is a promising cell-free nanotherapy for tissue repair after myocardial infarction(MI).However,the optimal EV delivery strategy remains ***,we designed a novel MSC-EV delivery,using 3D scaffolds engineered from decellularised cardiac tissue as a cell-free product for cardiac *** from porcine cardiac adipose tissue-derived MSC(cATMSC)were purified by size exclusion chromatography(SEC),functionally analysed and loaded to ***-EV markedly reduced polyclonal proliferation and pro-inflammatory cytokines production(IFNγ,TNFα,IL12p40)of allogeneic ***,cATMSC-EV recruited outgrowth endothelial cells(OEC)and allogeneic MSC,and promoted *** labelled cATMSC-EV were mixed with peptide hydrogel,and were successfully retained in decellularised ***,cATMSC-EV-embedded pericardial scaffolds were administered in vivo over the ischemic myocardium in a pig model of *** days from implantation,the engineered scaffold efficiently integrated into the post-infarcted ***-EV were detected within the construct and MI core,and promoted an increase in vascular density and reduction in macrophage and T cell infiltration within the damaged *** confined administration of multifunctional MSC-EV within an engineered pericardial scaffold ensures local EV dosage and release,and generates a vascularised bioactive niche for cell recruitment,engraftment and modulation of short-term post-ischemic inflammation.

关键词： Exosomes Mesenchymal stem/stromal cells Migration Infiltration Cardiac tissue engineering

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Remnant gastric cancer:An ordinary primary adenocarcinoma or a tumor with its own pattern?

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World Journal of Gastrointestinal Surgery 2021年第4期13卷 366-378页

作者： Marcus Fernando Kodama Pertille Ramos Marina Alessandra Pereira Andre Roncon Dias anna carolina Batista Dantas Daniel Jose Szor Ulysses Ribeiro Jr Bruno Zilberstein Ivan Cecconello department of Gastroenterology Instituto do CancerHospital das Clínicas da Faculdade de Medicina da Universidade de São PauloSão PauloSão Paulo 01249000Brazil

BACKGROUND Remnant gastric cancer(RGC)is defined as a tumor that develops in the stomach after a previous gastrectomy and is generally associated with a worse ***,there little information available regarding RGCs and their prognostic factors and *** To evaluate the clinicopathological characteristics and prognosis of RGC after previous gastrectomy for benign *** Patients who underwent curative resection for primary gastric cancer(GC)at our institute between 2009 and 2019 were retrospectively *** RGC resections with histological diagnosis of gastric adenocarcinoma were enrolled in this *** proximal GC(PGC)who underwent total gastrectomy was selected as the comparison *** and pathological data were collected from a prospective medical *** A total of 41 patients with RGC and 120 PGC were *** age(P=0.001),lower body mass index(P=0.006),hemoglobin level(Pdes resected(LN)(Pde-metastasis,and perioperative morbimortality were similar between RGC and *** was no difference in disease-free survival(P=0.592)and overall survival(P=0.930)between *** status was the only independent factor related to *** RGC had similar clinicopathological characteristics to *** the lower number of resected LN,RGC had a similar prognosis.

关键词： Stomach neoplasms Gastric remnant Gastric cancer Remnant gastric cancer Peptic ulcer Gastric stump

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