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Intriguingly, RHOC suppression-ameliorated proliferative and migratory ability in GC cells were significantly diminished by HDAC1 over-expression. Our in vivo studies finally confirmed that RHOC inhibition dramatically reduced the lung metastasis in nude mice. Collectively, all our results demonstrated that RNF168 directly interacted with RHOC to induce its degradation via promoting its ubiquitination, contributing to the inhibition of cell proliferation and metastasis in GC through decreasing HDAC1. Thus, targeting RNF168/RHOC/HDAC1 axis might be promising to develop effective therapies for GC treatment.Myocardial ischemia/reperfusion (MI/R) has high morbidity and mortality worldwide, but the underlying mechanisms have not been entirely understood. TRIM27 is one of the Tri-domain proteins (TRIM) family proteins with crucial roles in numerous life processes. Pluripotin nmr In the study, we attempted to explore the effects of heart-conditional knockout of TRIM27 (TRIM27cKO) on MI/R progression both in vivo and in vitro. Our results showed that TRIM27 was strongly decreased in murine hearts with MI/R injury and in cardiomyocytes with hypoxic reoxygenation (HR) treatment. TRIM27cKO could further accelerate the infarction size and cardiac dysfunction in MI/R mice. Function study demonstrated that heart-selective TRIM27 deletion significantly aggravated apoptosis in hearts of MI/R mice through enhancing Caspase-3 activities. Moreover, inflammatory response due to MI/R injury was remarkably exacerbated in TRIM27cKO mice by strengthening nuclear factor κB (NF-κB) activation. In addition, p53 expression levels were dramatically up-regulated in hearts of MI/R mice and cardiomyocytes with HR treatment, which were further aggravated by TRIM27cKO. Intriguingly, we found that TRIM27 could interact with p53 and promote its ubquitination. Of note, suppressing p53 remarkably ameliorated TRIM27cKO-intensified apoptotic cell death and inflammation in HR-treated cardiomyocytes. Taken together, all these findings revealed that TRIM27/p53 axis may be involved in MI/R progression, and thus could be a therapeutic target for this disease treatment.
To provide real-world data on the impact of autologous hematopoietic stem cell transplantation (AHSCT) on treatment costs of patients with multiple sclerosis (MS) in Poland.
Medical data of 105 patients who underwent AHSCT in the years 2011 to 2016 were obtained from the National Health Fund (NHF) database. Treatment costs were calculated from the public payer's perspective per patient-year for the total available period as well as 12 months before and after AHSCT. The statistical analysis was performed using MATLAB 2016b.
Mean treatment-related costs covered by the NHF per patient-year before and after the transplantation were €4314.9 and €1188.8 , respectively. The average cost of disease-modifying drugs per patient was reduced from €2497.9/year before to €65.3/year after AHSCT.
Although the initial cost of AHSCT is high, the costs involving AHSCT and post-AHSCT treatment could, according to our analysis, pay off in 3.9 years, when compared to the costs of disease-modifying drug therapy in aggressive MS. The study provides evidence that the AHSCT can lead to significant savings in treatment costs of aggressive MS from the public payer's perspective.
Although the initial cost of AHSCT is high, the costs involving AHSCT and post-AHSCT treatment could, according to our analysis, pay off in 3.9 years, when compared to the costs of disease-modifying drug therapy in aggressive MS. The study provides evidence that the AHSCT can lead to significant savings in treatment costs of aggressive MS from the public payer's perspective.
To investigate the effect of a 6-week stroboscopic balance training program on cortical activities in athletes with chronic ankle instability.
Randomized controlled trial.
Single-center.
Thirty-nine participants were assigned to the strobe group (SG, n=13), non-strobe group (NSG, n=13), and control group (CG, n=13).
Cortical activity and balance velocity were evaluated while the athletes were on the HUBER balance device. Electroencephalographic measurements of cortical activity were made at the transition from bipedal stance to single-leg stance.
The SG showed significant increases in Cz theta and alpha values and COP-v (center of pressure velocity) between pretest and posttest (p<0.001, p=0.003, p<0.001). Posttest Cz theta was significantly higher in the SG compared to the CG (p=0.009) and posttest Cz alpha was significantly higher in the SG compared to the NSG (p=0.039) and CG (p=0.001). Posttest COP-v was significantly higher in the SG than in the CG (p=0.031) and NSG (p=0.03).
Stroboscopic training may be clinically beneficial to improve balance parameters in athletes with CAI, and may have utility in sport-specific activity phases of rehabilitation to reduce visual input and increase motor control.
Stroboscopic training may be clinically beneficial to improve balance parameters in athletes with CAI, and may have utility in sport-specific activity phases of rehabilitation to reduce visual input and increase motor control.
To determine the role of limb dominance on energy absorption contribution (EAC) during a jump landing (JL) task at return to sport (RTS) after ACL-R.
Cross-sectional study.
Clinical Research Laboratory.
One hundred eight participants (age=16.19±1.74, Height=172.25±9.96cm, Weight=72.61±15.48kg).
Participants were grouped into two groups those who injured their dominant limb ACL (D-ACL) and those who injured their non-dominant limb ACL (ND-ACL). A multiple analysis of variance (MANOVA) was used to assess for between group differences in EAC across the three joints.
In the surgical limb, D-ACL demonstrated smaller hip (D-ACL=32.23±10.44%, ND-ACL=69.68±8.51%, p<0.008) and greater knee (D-ACL=45.86±10.36%, ND-ACL=9.41±5.68%, p<0.008) EAC than ND-ACL. In the non-surgical limb, D-ACL demonstrated greater hip (D-ACL=62.59±9.03%, ND-ACL=25.95±7.15%, p<0.008), and smaller knee (D-ACL=13.79±5.57%, ND-ACL=58.01±7.86%, p<0.008), EAC than ND-ACL.
After ACL-R, eccentric loading strategies during a JL task at RTS are different depending upon limb dominance. D-ACL demonstrated a greater knee loading strategy on the surgical side compared to ND-ACL.
After ACL-R, eccentric loading strategies during a JL task at RTS are different depending upon limb dominance. D-ACL demonstrated a greater knee loading strategy on the surgical side compared to ND-ACL.
Abnormal movement patterns have been shown during landing in patients who have undergone anterior cruciate ligament (ACL) reconstruction surgery. The purpose of this study was to investigate landing biomechanics over time in this patient group to determine whether asymmetry between limbs reduced with time and after a return to physical activity.
Prospective longitudinal study.
Biomechanics laboratory.
Fourteen patients who had undergone ACL reconstruction surgery.
Single limb landing assessments were made at two time points; within the first year (mean of 10 months) and at 3 years (after patients had returned to sport) following ACL reconstruction. Three-dimensional motion analysis was used to record kinematic and kinetic variables, which were compared across time and limb using ANOVA models.
Most biomechanical variables showed little change over time except for the external knee adduction moment at the operated knee, which increased (effect size d=0.5), but remained less than the contralateral side. In the sagittal plane, asymmetrical landing patterns were seen at both assessments. Patients landed with reduced knee flexion angles (effect size range 0.76-0.9) and moments (effect size range 0.56-0.9) compared to the uninjured limb and made compensations for this by increasing the hip flexion moment (effect size range d=0.6-0.75).
Asymmetrical landing biomechanics persisted at three years after ACL reconstruction in athletes who returned to sporting activity. Long term implications of controlling the landing by increasing the hip moment are unknown and require further investigation.
Asymmetrical landing biomechanics persisted at three years after ACL reconstruction in athletes who returned to sporting activity. Long term implications of controlling the landing by increasing the hip moment are unknown and require further investigation.
Determination of types and frequencies of complications related to ITDD therapy, and assessment of possible risk factors for such complications.
Retrospective study (1999-2014) including all ITDD-implantations at one regional center in Sweden. Descriptors comprised sex; age; medical condition; body weight index; preoperative ASA-grade; presence of indwelling urinary catheters, feeding tubes, and/or daily urinary or anal incontinence; primary or re-implantation; type of pump and catheter; drug delivered; weekday of surgery; surgical procedure time; surgeon; experience of surgeon; surgical theater; and type of antibiotic prophylaxis. All deaths during the study period were assessed as regards possible relation to ITDD. Data were analyzed with SPSS 25, using Chi
test for correlations between descriptors and complications.
231 ITDD pump implantations/re-implantations occurred in 159 patients. Seventy-eight (34%) instances of complications were found 33 catheter-associated; 6 pump-associated; and 29 infects due to improved protocols and equipment.
Hemifacial spasm (HFS) is a chronic, potentially disabling disorder that often requires long-term management with botulinum toxin (BoNT). In a country where healthcare costs limit compliance to medical follow-up and treatment, the study aims to provide a real-world experience on the use of BoNT for HFS among Filipinos.
We retrospectively collected data from 162 HFS patients who received 1138 botulinum toxin (BoNT) injections from 2006 to 2019 in our movement disorders center in the Philippines. We described their clinical profile and treatment response.
The mean age at onset of disease was 47.7±10.72 years. Majority of the patients reported a baseline moderate disease severity and disease frequency of >75% of waking time (59.8% and 46.9%, respectively). Most patients (61.73%) received 5 or less injections during the follow-up period. The mean duration of follow-up was 2.96±4.28 years. The overall duration of treatment effect per injection was 3.6±1.3 months while the mean interval between injections was 6±5 months. There was no difference in the symptom improvement and duration between onabotulinumtoxinA and abobotulinumtoxinA. Side effects were infrequent.
This study supports existing evidence on the efficacy and safety of BoNT for the symptomatic relief of HFS. In the Philippines, long-term treatment with BoNT may be limited by the cost of the procedure as majority of our patients had a few injections with long treatment intervals.
This study supports existing evidence on the efficacy and safety of BoNT for the symptomatic relief of HFS. In the Philippines, long-term treatment with BoNT may be limited by the cost of the procedure as majority of our patients had a few injections with long treatment intervals.
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