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Aplastic anemia and severe pancytopenia during treatment with peg-interferon,ribavirin and telaprevir for chronic hepatitis C

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World Journal of Gastroenterology 2015年第17期21卷 5421-5426页

作者： Sabela Lens Jose L Calleja Ana Campillo Jose A Carrion Teresa Broquetas Christie Perello Juan de la Revilla Zoe Marino maria-carlota londono Jose M Sanchez-Tapias Alvaro Urbano-Ispizua Xavier Forns Liver Unit Hospital ClinicIDIBAPSCIBERehd08036 BarcelonaSpain Liver Unit Hospital Puerta del HierroIDIPHIMCIBERehd28222 MajadahondaMadridSpain Gastroenterology Department Hospital Reina Sofia31500 TudelaNavarraSpain Liver Unit Hospital Del MarIMIMCIBERehd08003 BarcelonaSpain Hematology Unit Hospital Clinic08036 BarcelonaSpain

Telaprevir and Boceprevir are the first direct acting antivirals approved for chronic hepatitis C in combination with peg-interferon alfa and ribavirin.Pancytopenia due to myelotoxicity caused by these drugs may occur,but severe hematological abnormalities or aplastic anemia(AA) have not been described.We collected all cases of severe pancytopenia observed during triple therapy with telaprevir in four Spanish centers since approval of the drug in 2011.Among 142 cirrhotic patients receiving treatment,7 cases of severe pancytopenia(5%) were identified and three were consistent with the diagnosis of AA.Mean age was 59 years,five patients had compensated cirrhosis and two patients had severe hepatitis C recurrence after liver transplantation.Severe pancytopenia was diagnosed a median of 10 wk after the initiation of therapy.Three patients had pre-treatment hematological abnormalities related to splenomegaly.In six patients,antiviral treatment was interrupted at the onset of hematological abnormalities.Two patients died due to septic complications and one patient due to acute alveolar hemorrhage.The remaining patients recovered.Severe pancytopenia and especially AA,are not rare during triple therapy with telaprevir in patients with advanced liver disease.Close monitoring is imperative in this setting to promptly detect serious hematological disorders and to prevent further complications.

关键词： Aplastic anemia Hepatitis C Telaprevir Interferon Protease inhibitors

Carotid stenosis in women:time for a reappraisal

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Stroke & Vascular Neurology 2016年第4期1卷 192-196页

作者： Erika Marulanda-londono Seemant Chaturvedi Department of Neurology and Stroke Program University of Miami Miller School of MedicineMiamiFloridaUSA

The treatment approach for patients with internal carotid artery stenosis is receiving increased scrutiny.Major advances in optimal medical therapy have been associated with a declining stroke rate for symptomatic and asymptomatic patients with carotid stenosis.Customising treatment according to gender is worthy of consideration,since earlier clinical trials showed reduced benefit with carotid endarterectomy in women compared to men.In this review,clinical trial results in women are summarised,studies pertaining to carotid plaque imaging in men and women are discussed and new clinical trials are identified.Finally,the rationale for a women’s carotid trial is provided.

关键词： stenosis clinical treatment

Esophagus and regenerative medicine

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World Journal of Gastroenterology 2012年第47期18卷 6894-6899页

作者： Ricardo londono Blair A Jobe Toshitaka Hoppo Stephen F Badylak McGowan Institute for Regenerative Medicine PittsburghPA 15219United States School of Medicine University of PittsburghPittsburghPA 15261United States Department of Cardiothoracic Surgery University of PittsburghPittsburghPA 15232United States Department of Surgery University of PittsburghPittsburghPA 15213United States Department of Bioengineering University of PittsburghPittsburghPA 15219United States

In addition to squamous cell carcinoma,the incidence of Barrett's esophagus with high-grade dysplasia and esophageal adenocarcinoma is rapidly increasing worldwide.Unfortunately,the current standard of care for esophageal pathology involves resection of the affected tissue,sometimes involving radical esophagectomy.Without exception,these procedures are associated with a high morbidity,compromised quality of life,and unacceptable mortality rates.Regenerative medicine approaches to functional tissue replacement include the use of biological and synthetic scaffolds to promote tissue remodeling and growth.In the case of esophageal repair,extracellular matrix(ECM) scaffolds have proven to be effective for the reconstruction of small patch defects,anastomosis reinforcement,and the prevention of stricture formation after endomucosal resection(EMR).More so,esophageal cancer patients treated with ECM scaffolds have shown complete restoration of a normal,functional,and disease-free epithelium after EMR.These studies provide evidence that a regenerative medicine approach may enable aggressive resection of neoplastic tissue without the need for radical esophagectomy and its associated complications.

关键词：再生医学食管癌肿瘤组织鳞状细胞癌细胞外基质世界范围生活质量上皮细胞

Culture conditions for equine bone marrow mesenchymal stem cells and expression of key transcription factors during their differentiation into osteoblasts

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Journal of Animal Science and Biotechnology 2014年第2期5卷 163-172页

作者： Elizabeth R A Glynn Alfredo Sanchez londono Steven A Zinn Thomas A Hoagl Kristen E Govoni Department of Animal Science University of Connecticut3636 Horsebarn Road Ext.Unit 4040StorrsCT 06269-4040USA Department of Environmental and Population Health Tufts University North GraftonMA 01536USA

Background： The use of equine bone marrow mesenchymal stem cells （BMSC） is a novel method to improve fracture healing in horses. However, additional research is needed to identify optimal culture conditions and to determine the mechanisms involved in regulating BMSC differentiation into osteoblasts. The objectives of the experiments were to determine： 1） if autologous or commercial serum is better for proliferation and differentiation of equine BMSC into osteoblasts, and 2） the expression of key transcription factors during the differentiation of equine BMSC into osteoblasts. Equine BMSC were isolated from the sterna of 3 horses, treated with purchased fetal bovine serum （FBS） or autologous horse serum （HS）, and cell proliferation determined. To induce osteoblast differentiation, cells were incubated with L-ascorbic acid-2-phosphate and glycerol-2-phosphate in the presence or absence of human bone morphogenetic protein2 （BMP2）, dexamethasone （DEX）, or combination of the two. Alkaline phosphatase （ALP） activity, a marker of osteoblast differentiation, was determined by ELISA. Total RNA was isolated from differentiating BMSC between d 0 to 18 to determine expression of runt-reloted tronscrJption foctor2 （Runx2）, osterix （Osx）, and T-box3 （Tbx3）. Data were analyzed by ANOVA. Results： Relative to control, FBS and HS increased cell number （133 ± 5 and 116 ± 5%, respectively; P 〈 0.001） and 5-bromo- 2＇-deoxyuridine （BrdU） incorporation （167 ± 6 and 120 ± 6%, respectively; P 〈 0.001）. Treatment with DEX increased ALP activity compared with control （1,638 ± 38%; P 〈 0.001）. In the absence and presence of Dex, BMP-2 did not alter ALP activity （P 〉 0.8）. Runt-reloted transcription foctor2 expression increased 3-fold （P 〈 0.001） by d 6 of culture. Osterix expression increased 94old （P 〈 0.05） by d 18 of culture. Expression of Tbx3 increased 1.8-fold at d 3 （P 〈 0.01）; however expression was reduced 4-fold at d 18 （P 〈 0.01）. Conclusions： Dexamethasone, but not BMP-2, is required for differentiation of equine BMSC into osteo

关键词： Bone marrow mesenchymal stem cells Cell culture Equine Osteoblasts Transcription factors

Systematic review with meta-analysis on transplantation for alcohol-related liver disease:Very low evidence of improved outcomes

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World Journal of Gastroenterology 2019年第13期25卷 1628-1639页

作者： Nicole T Shen Cristina londono Stephanie Gold Ashley Wu Keith C Mages Robert S Jr Brown Department of Medicine Division of Gastroenterology and Hepatology Weill Cornell Medicine New York Department of Medicine Weill Cornell Medical College New York Department of Medicine Division of Internal Medicine Weill Cornell Medicine New York Department of Medicine Weill Cornell Medical College Samuel J. Wood Library and C.V. Starr Biomedical Information Center New York

BACKGROUND Alcohol-related liver disease(ALD) is a leading cause of liver failure and indication for liver transplantation that arises in the setting of alcohol use disorder(AUD). Previous reviews of transplantation for ALD are limited in scope of outcomes and type of ALD studied. A comprehensive systematic review could improve use of transplantation in ALD and improve future research. We hypothesize that while transplanting ALD may improve mortality and relapse,findings will be limited by pre-specified causes of heterogeneity-assessment and treatment of AUD, definition of ALD, spectrum of ALD studied, assessment and rates of relapse, and study quality and bias.AIM To optimize liver transplantation for ALD, understanding existing research to guide future research, we conducted a systematic review with meta-analysis.METHODS We conducted a systematic review, comparing liver transplant to no-transplant in patients with ALD, with a primary outcome of both short-and long-term mortality and relapse. We performed a comprehensive search of MEDLINE,EMBASE, Web of Science, and The Cochrane Library databases for peer-reviewed journal articles comparing use of liver transplant in ALD to no-transplant. Two reviewers independently conducted screening, full text review, and data extraction according to the PRISMA guidelines. We report the quality of the evidence according to the GRADE criteria.RESULTS We analyzed data from 10 studies. Of 1332 participants, 34.2%(456/1332) had undergone liver transplantation, while 65.8%(876/1332) had not. While random effects meta-analysis suggested transplant in comparison to no-transplant had an association of reduced mortality that did not reach statistical significance, relative risk(RR) = 0.51(0.25-1.05), but not relapse risk, RR = 0.52(0.18-1.53), significant heterogeneity limited these findings. When restricted to prospective data,transplant compared to no-transplant significantly reduced mortality, RR = 0.25(0.13-0.46, P < 0.01), and relapse, RR = 0.25(0.14-0.45, P < 0.01), with insigni

关键词： Alcohol-related hepatitis Alcohol-related cirrhosis Alcohol use disorder Liver transplantation Standardization

Effect of Pectin Lyase Enzyme on Fermentation and Drying of Cocoa (Theobroma cacao L.): An Alternative to Improve Raw Material in the Industry of Chocolate

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Food and Nutrition Sciences 2016年第4期7卷 215-226页

作者： Maritza Gil Francy Orrego Edith Cadena Rosa Alegria Julian londono-londono Facultad de Ciencias Agrarias Universidad Nacional de Colombia Bogotá D.C. Colombia Corporación Universitaria Lasallista Grupo de investigación de Ingeniería de Alimentos GRIAL Caldas Colombia

Cocoa (Theobroma cacao), in all its presentations, is consumed all over the world and is one of the main drivers of the economic in several countries. The world’s Cocoa tendency is focused on developing special beans. This category is subject to postharvest processes of utmost importance such as the fermentation and dry, which are currently carried out with traditional and poorly effective devices, which need to be improved to obtain a high quality product. The aim of this study was to evaluate the influence of the pectin lyase enzyme (E.C.4.***.2.10) on the postharvest cocoa process. We evaluated the enzyme dosage (1.0% and 0.5%) in fermentation and its effect on the variables temperature, acidity and drying time by convection at 60°C. The Pectin lyase activity during fermentation does not cause a significant effect on the variables of temperature and acidity;however, the drying process time required to achieve 7.0% moisture was reduced. The enzyme dosage of 1.0% was the best result, the amount of exudate obtained (115 ml) during fermentation and the best degree of fermentation (77% ± 3.8) were increased and further shows a change in porosity facilitating the scale surface and internal moisture diffusion. The drying rate (Nw) expressed in kgwater/m2 * min was determined based on the empirical model of Newton, where the higher speed was obtained during the falling period. In conclusion, enzyme dosage 1% was the best concentration evaluated because weaken grain husk, which allowed an adequate fermentation,and subsequent time drying reduction until 10.8 h.

关键词： Theobroma cacao L. Pectin Lyase Activity Fermentation Convection Drying Newton Model

Use of simulated sunlight radiation and hydrogen peroxide in azithromycin removal from aqueous solutions:Optimization&mineralization analysis

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Emerging Contaminants 2020年第1期6卷 53-61页

作者： Pablo Andres Cano Marcela Jaramillo-Baquero Henry Zúniga-Benítez Yudy A.londono Gustavo A.Penuela Facultad de Ingeniería Tecnologico de Antioquia Institucion UniversitariaCalle 78B#72A-220MedellínColombia Departamento de Ingeniería Química Facultad de IngenieríaUniversidad de Antioquia UdeACalle 70#52-21MedellínColombia Grupo GDCON Facultad de IngenieríaSede de Investigacion Universitaria(SIU)Universidad de Antioquia UdeACalle 70#52-21MedellínColombia

Azithromycin(AZT)is a broad-spectrum antibiotic from the group of macrolides that acts against several Gram-positive and Gram-negative bacteria,which has promoted its use in the treatment of different respiratory and sexually transmitted diseases.However,its presence in environmental matrices and in the effluents of conventional wastewater treatment plants has been evidenced in recent years,which reflects the need to develop new treatment alternatives that allow its total removal and minimize the eventual adverse effects,selection of resistant bacterial strains,associated with its presence in water bodies.Simulated sunlight radiation and H2O2 were used to remove AZT from water assessing the effects of operational parameters like the solution initial pH and the peroxide concentration.Results indicate that hydroxyl free radical is the main responsible for pollutant removal but acidic solution conditions and larger H2O2 doses negatively affect OHgeneration under the evaluated experimental conditions.Pollutant removal was almost complete after 120 min of photo-treatment.In addition,reduction of the organic carbon content in the treated samples was^50.0%;and a significant increase of nitrates concentration in solution was evidenced.

关键词： Advanced oxidation Antibiotics Azithromycin Hydrogen peroxide Sunlight Wastewater treatment

Exploring the synthesis conditions to control the morphology of gold-iron oxide heterostructures

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Nano Research 2019年第8期12卷 1781-1788页

作者： Pablo Tancredi Luelc Souza da Costa Sebastian Calderon Oscar Moscoso-londono Leandro M. Socolovsky Paulo J. Ferreira Diego Muraca Daniela Zanchet Marcelo Knobel Laboratory of Amorphous Solids INTECINFaculty of EngineeringUniversity of Buenos Aires - CONICETBuenos AiresCP C1063ACVArgentina Department of Inorganic Chemistry Institute of ChemistryUniversity of Campinas (UNICAMP)CP615413083-970CampinasSPBrazil Brazilian Nanotechnology National Laboratory (LNNano) Rua Giuseppe Maximo Scolfaro 10000CampinasSPBrazil International Iberian Nanotechnology Laboratory (INL) Av. Mestre Jose Veiga s/n4715-330 BragaPortugal “Gleb Wataghin” Institute of Physics University of Campinas (UNICAMP)CEP 13083-859CampinasSPBrazil Autonomous University of Manizales Antigua Estacion del FerrocarrilManizalesCP 170001Colombia Facultad Regional Santa Cruz Universidad Tecnoldgica Nacional - CIT Santa Cruz (CONICET)- Av delos Inmigrantes 555Rio GallegosSanta CruzArgentina Materials Science and Engineering Program The University of Texas at AustinAustinTexas 78712USA

Gold-iron oxide nano-heterostructures with a clear and well-defined morphology were prepared via a seed-assisted method. The synthesis process and the events of heterogeneous nucleation during the decomposition of the iron precursor were carefully studied in order to understand the mechanism of the reaction and to tailor the architecture of the fabricated heterostructures. When employing Au seeds of 3 and 5 nm, nanoparticles with a dimer-like morphology were produced due to the occurrence of a single iron oxide nucleation event. Otherwise, multi-nucleation events could be favored by two mechanisms:(i) by the incorporation of a reducing agent and the slowing down of the heating protocol, leading to a core-shell system;(ii) by the increase of the Au seed size to 8 nm, leading to a flower-like system. Further increase of the Au seed size to 12 nm using similar synthesis conditions promotes the homogeneous nucleation and growth of the iron oxide phase, without formation of heterostructures. An in-depth study was performed on the gold-iron oxide heterostructures to confirm the epitaxial growth of the oxide domain over the Au seed and to analyze the elemental distribution of the components within the heterostructures. Finally, it was found that the modification of the plasmonic properties of the Au nanoparticles are strongly influenced by the architecture of the heterostructure, with a more pronounced damping effect for the systems produced after multi-nucleation events.

关键词： nanoparticles gold-iron oxide heterostructures heterogeneous nucleation epitaxial growth HR-microscopy

Preparation and Microstructural,Structural,Optical and Electro-Optical Properties of La Doped Pmn-Pt Transparent Ceramics

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Optics and Photonics Journal 2012年第3期2卷 157-162页

作者： Fernando Andres londono Badillo Jose Antonio Eiras Flavio Paulo Milton Ducinei Garcia Ferroelectric Ceramics Group Physics DepartmentFederal University of Sao CarlosSao CarlosBrazil

Transparent relaxor ferroelectric ceramics of the system lanthanum modified lead magnesium niobate have been investigated for a variety of electro-optic properties could make these materials alternatives to (Pb,La)(Zr,Ti)O3. However, a study that relates the properties in function stoichiometric formula, it has not been analyzed heretofore. Therefore, in this work the effect of A-site substitution of La+3 in the characterization microstructural, structural, optical and electro-optical on (1-x)[Pb(1-3/2y)Lay(Mg1/3Nb2/3)O3]-xPbTiO3 and (1-z)[(1-x)Pb(Mg1/3Nb2/3)O3+xPbTiO3]+zLa2O3 has been performed. It was observed that the properties according to the stoichiometric formula and the PT had a maximum whose behavior was related to the addition of lanthanum in each stoichiometries.

关键词： Ferroelectric Optics Transmittance Electro-Optical