Abastract Plasmonic nanomaterials, especially a wide variety of gold nanoparticles, demonstrate great potential for theranostics of cancer. Herein, a gold nanotriangle with CD133 and hyaluronic acid on its surface loaded with a near-infrared photosensitizer was prepared for enhanced photodynamic/photothermal combined anti-tumor therapy. CD133 and hyaluronic acid provide the nanoprobe with dual tumor targeting, while the hyaluronic acid also protects photosensitive drugs from photodegradation. Thus, the nanoprobe has enhanced photothermal/photodynamic effects. This integrated treatment strategy significantly enhanced photodynamic/photothermal destruction of osteosarcoma cells. In addition, this treatment, induced by mild irradiation with a single wavelength laser, inhibited tumor growth in an osteosarcoma mouse model. These results indicate that this systemic treatment strategy can achieve enhanced anti-tumor therapeutic effects through active tumor targeting and protection of the loaded drugs.
Background: Iatrogenic supraclavicular nerve injury is frequent during surgical repair of clavicle fractures through a transverse incision. The use of an oblique incision may be a potential approach to avoiding this complication. This study compared the clinical effectiveness of oblique and transverse incisions in the treatment of fractures in the middle and outer thirds of the clavicle. Methods: This prospective observational study included patients with fracture of the mid-to-outer third of the clavicle between August 2011 and August 2016. We allocated the patients into 2 groups based on their choice of treatment: oblique incision (n ¼ 62) and transverse incision (n ¼ 64). We compared the following parameters between the 2 groups: operative time, intraoperative blood loss, postoperative fracture healing time, incision size, clinical complications, postoperative subjective satisfaction, and shoulder function. Results: Operative time, postoperative fracture healing time, postoperative shoulder function (Constant-Murley and disabilities of the arm, shoulder and hand [DASH] scores), and clinical complications did not differ significantly between groups (all P > .05). The oblique incision group had less intraoperative blood loss (41.4 AE 16.4 vs. 65.3 AE 10.4 mL, P < .001) and smaller surgical incisions (3.6 AE 1.6 vs. 10.3 AE 2.6 cm, P < .001). The oblique incision group showed better outcomes for postoperative satisfaction (85.5% vs. 64.1%, P ¼ .015), absence of shoulder numbness at the last follow-up (89.3% vs. 70.3%, P ¼ .010), and satisfaction with the scar (90.3% vs. 3.1%, P < .001). Conclusion: Oblique incisions have several advantages over transverse incisions: less bleeding, smaller incisions, less iatrogenic injury to supraclavicular nerves, and higher patient satisfaction. These 2 approaches have equivalent effects on recovery of shoulder joint function. This study was approved by the ethics committee of the Second Fuzhou Hospital Affiliated to Xiamen University (Approval No. FZSE2011-06-09). Written informed consent was obtained from all participants.
Closed reduction or limited open reduction with PFNA-long is an effective treatment for long-segment femoral fracture in middle-up part, with good strength in fixation, high rate of fracture union, early functional recovery and low rate of complications.
Purpose The present study aims to explore the regulatory function of Sema4D on bone metabolism in combination with leptin or melatonin, as well as the underlying mechanism. Methods The osteoporosis model was established in rats using the OVX method. The bilateral tibial specimens of rats were taken for Micro-CT scanning analysis and three-dimensional reconstruction. The pathological state of bone tissues was evaluated by the HE staining assay. The concentration of estradiol in the serum was detected by the ELISA assay. Six groups were divided in the present study: Control, OVX, OVX + NL, OVX + Sema4D, OVX + Sema4D + leptin, and OVX + Sema4D + MT groups. According to the above grouping, the Sema4D or leptin overexpressing vectors were injected into rats through the tail vein. 3D bone structure was detected by high-resolution micro-CT system. Serum bone-derived alkaline phosphatase (BALP) and tartrate-resistant acid phosphatase-5b (TRAP-5b) activities were measured by ELISA. TRAP staining was used to calculate the number of osteoclasts in the metaphysis of the upper tibia. The expressions of bone morphogenetic protein-2 (BMP-2) and leptin in bone tissue were detected by immunohistochemistry. Results Compared to OVX + NL, the level of V/TV, Tb.N, BMD, and BMC in the OVX + Sema4D + leptin and OVX + Sema4D + MT groups was extremely elevated, accompanied by a declined Tb.Sp level. Compared to the OVX group, in the OVX + Sema4D + leptin and OVX + Sema4D + MT groups, the structure of bone trabeculae was relatively complete and tended to be closely arranged. The number of bone trabeculae was greatly increased and the number of TRAP-positive osteoclasts decreased significantly, accompanied by an upregulation of BMP-2 and leptin, and a declined activity of BALP and TRAP-5b. Conclusion The function of Sema4d on the microstructure of trabecular bone, bone formation, and repairment on the trabecular bone damage in osteoporosis rats was improved by leptin or melatonin.
PurposeThis study aims to examine the effects of leptin and melatonin intervention on bone metabolism in ovariectomize (OVX) rodents, as well as their potential mechanisms of action.MethodsPrepare an OVX model of osteoporosis in rodents and validate the model by collecting bilateral tibia samples for Micro-CT scanning and histological analysis. A control group of normal size, the OVX group, the OVX+Sema4D (Semaphorin 4D) group, the OVX+Sema4D+Leptin group, the OVX+Sema4D+ Melatonin(MT) group and the OVX+Sema4D+Leptin+ MT group were the experimental groups. Adenovirus vector construction and tibial medullary injection validation were conducted in accordance with the aforementioned experimental groups. Four groups of rats were injected with the Sema4D overexpression adenovirus vector into the tibial medullary cavity, and two groups were injected with the Leptin overexpression adenovirus vector. The repair of osteoporosis was observed using micro-CT and histological analysis. Immunohistochemical detection of bone morphogenetic protein-2 (BMP-2) expression in bone tissue was employed to ascertain the amount of osteoclasts in the upper tibial metaphysis, utilizing TRAP(tartrate-resistant acid phosphatase) staining.ResultsIncreased levels of BV/TV, Tb.N, BMD, and BMC were seen in the OVX+ Sema4D+Leptin, OVX+ Sema4D+MT, and OVX+ Sema4D+Leptin+ MT groups compared to the OVX group, whereas Tb. Sp levels were lowered. When compared to the Sema4D overexpression group, the trabecular bone structure of the OVX + Sema4D + Leptin, OVX + Sema4D + MT, and OVX + Sema4D + Leptin + MT groups is largely intact, tends to be closer, and the amount of trabecular bone increases. The OVX + Sema4D + Leptin + MT group in particular.The expression of BMP-2 was dramatically upregulated (p<0.05), the number of TRAP-stained osteoclasts was significantly reduced (p<0.05), and BALP(bone-derived alkaline phosphatase) and TRAP-5b(tartrate-resistant acid phosphatase-5b) activities were significantly downregulated (p<0.05).ConclusionIn rats with osteoporosis, leptin and melatonin can be seen to augment the trabecular microstructure of the bone, augment bone growth, diminish trabecular harm, and mend the bone. The combined effect is more powerful.
Background: Femoral nonunion is mainly caused by factors such as instability of the fracture end, insufficient blood supply, or infection. However, these factors are mainly related to the different fracture types and inappropriate treatment plans. It is important to analyze the etiology of femoral nonunion and use a simple and effective treatment method to resolve it. The purpose of this study was to divide femoral nonunion into different types and give corresponding treatment strategies.Methods: We retrospectively evaluated 50 patients with femoral nonunion. Patients were divided into six groups and each group was treated with a different strategy. All patients were followed up clinically and radiologically every month until fracture healing.Results: All 50 patients were followed up with an average follow-up time of 17.44 ± 5.48 months. Based on the type of primary femoral fracture and the factors causing nonunion, we divided the femoral nonunion into six types. These included Type I: nonunion caused by instability of simple fracture (AO classification 32-A); Type II: nonunion caused by stress shielding at fracture ends of a simple fracture (AO/OTA classification 32-A); Type III: nonunion in femoral fracture with third fragment (AO/OTA classification 32-B); Type IV: nonunion in femoral fracture with segmental femoral fracture (AO/OTA classification 32-C2); Type V: nonunion in comminuted femoral fracture (AO/OTA classification 32-C3); and Type VI: nonunion caused by infection. Based on these classifications, the following methods are used to treat femoral nonunion. Type I femoral nonunion will achieve fracture healing by blocking screws, exchanging intramedullary nails, or adding plates. Type II femoral nonunion can be addressed through dynamitization or bone graft (possibly in combination with plate fixation) to achieve fracture healing. Type III femoral nonunion requires a treatment plan of bone graft or bone graft combined with plate fixation. The treatment plan for Type IV femoral nonunion is to add a plate, and autogenous bone graft if necessary. Type V femoral nonunion treatment is bone graft combined with plate fixation, or external fixation with subsequent bone segment transport or lengthening. Type VI requires placement of antibiotic bone cement or external fixation added to fix the fracture end.Conclusions: There are several factors associated with failure of femoral fracture treatments by intramedullary nailing. We need to carefully analyze the causes of fracture treatment failure. Our six classifications and corresponding treatment strategies resulted in satisfactory clinical outcomes.
Purpose The current study aims to investigate the regulatory impact of leptin or melatonin on bone metabolism as well as the underlying mechanism in conjunction with Sema4D (monoclonal antibody to semaphorin 4D). Methods Rats were used to create the osteoporosis model utilizing the OVX (OVariectomize) technique. Rat tibial specimens from each side were collected for three-dimensional reconstruction and Micro-CT scanning examination. The Hematoxylin-osinstaining (HE) staining technique was used to determine the pathological condition of bone tissues. The ELISA (Enzyme-Linked Immunosorbent Assay) assay was used to measure the amount of estradiol present in the serum. In the current study, there were six groups: control, OVX, OVX + NL (no load group), OVX + Sema4D, OVX + Sema4D + leptin, and OVX + Sema4D + MT (melatonin). Rats were given injections of the Sema4D or leptin overexpressing vectors via the tail vein in accordance with the aforementioned classification. By using a high-resolution micro-CT technology, 3D bone structure was discovered. The activity of tartrate-resistant acid phosphatase-5b (TRAP-5b) and bone-derived alkaline phosphatase (BALP) in serum was assessed using an ELISA. The number of osteoclasts in the metaphysis of the upper tibia was determined using TRAP (tartrate-resistant acid phosphatase) staining. Immunohistochemistry was used to find leptin and bone morphogenetic protein-2 (BMP-2) expressions in bone tissue. Results The BV/TV (Bone volume/Tissue volume), Tb.N (Trabecular number), BMD (Bone Mineral Density), and BMC (Bone Mineral Content) levels were significantly higher in the OVX + Sema4D + leptin and OVX + Sema4D + MT groups compared to OVX + NL, while Tb.Sp (Trabecular separation) levels were significantly lower. In contrast to the OVX group, the bone trabeculae in the OVX + Sema4D + leptin and OVX + Sema4D + MT groups had a relatively complete structure and tended to be organized closely. The amount of bone trabeculae grew drastically, whereas the proportion of TRAP-positive osteoclasts declined dramatically. BMP-2 and leptin were also elevated, while BALP and TRAP-5b activity was reduced. Conclusion Leptin or melatonin improved Sema4d's role in trabecular bone microstructure, bone production, and repairment of trabecular bone loss in osteoporosis rats.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.