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In chronically infected HCV patients emergence and evolution of fibrosis, as a consequence of virus persistence, can be considered as an indicator of disease advancement. Therefore the aim of this study was to correlate alterations of immune response in chronic HCV patients with liver histopathology. Sera cytokine levels and frequency of circulating and liver infiltrating cells were evaluated using 13plex Kit Flow Cytomix, flow cytometry and immunohistochemistry. We found that the number of circulating T lymphocytes (including CD4+, CD8+ and Treg) and B lymphocytes, as well as DCs, was higher in patients with no fibrosis than in healthy subjects. In patients with fibrosis frequency of these cells decreased, and contrarily, in the liver, number of T and B lymphocytes gradually increased with fibrosis. Importantly, in patients with advanced fibrosis, liver infiltrating regulatory T cells and DC-SIGN+ mononuclear cells with immunosuppressive and wound-healing effector functions were abundantly present. Cytokine profiling showed predominance of proinflammatory cytokines in patients with no fibrosis and a tendency of decline in level of all cytokines with severity of liver injury. Lower but sustained IL-4 production refers to Th2 predominance in higher stages of fibrosis. Altogether, our results reveal graduall alterations of immunological parameters during fibrosis evolution and illustrate the course of immunological events through disease progression.
segmented poly(ester-ether)s based on poly(butylene succinate) and two different types of polyethers were investigated. The poly(ester-ether)s were synthesized by transesterification reaction of dimethyl succinate 1,4-butanediol and poly(ethylene oxide) (PEO, Mn = 1000 g/mol) in the first series, and poly(tetramethylene oxide) (PTMO,Mn = 1000 g/mol) in the second. The mass fraction of soft segments was varied between 10 and 50 mass. %. The effect of the introduction of two different polyether soft segments on the structure, thermal and rheological properties were investigated. The composition of the poly(ester-ether)s, determined from their 1H-NMR spectra showed that incorporation of soft polyether segments was successfully performed by the transesterification reaction in bulk. The molecular weight was estimated from solution viscosity measurements and complex dynamic viscosities. The thermal properties investigated by DSC indicated that the presence of soft segments lowers the melting and crystallization temperature of the hard phase, as well as the degree of crystallinity. Dynamical mechanical analysis was used to investigate the influence of composition on the rheological behavior of the segmented poly(ester-ether)s. The results obtained from an enzymatic degradation test performed on some of the synthesized polymers showed that the biodegradability is enhanced with increasing hydrophilicity.
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