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  1. Article ; Online: The attenuation of renal fibrosis by histone deacetylase inhibitors is associated with the plasticity of FOXP3

    Wu, Wen-Pyng / Tsai, Yi-Giien / Lin, Tze-Yi / Wu, Ming-Ju / Lin, Ching-Yuang

    BMC nephrology

    2017  Volume 18, Issue 1, Page(s) 225

    Abstract: Background: The histone deacetylase (HDAC) inhibitor, which has potential effects on epigenetic modifications, had been reported to attenuate renal fibrosis. CD4: Methods: This study evaluated the roles of the HDAC inhibitor, Treg cells and their ... ...

    Abstract Background: The histone deacetylase (HDAC) inhibitor, which has potential effects on epigenetic modifications, had been reported to attenuate renal fibrosis. CD4
    Methods: This study evaluated the roles of the HDAC inhibitor, Treg cells and their differentiation into Th17 cells, which aggravate chronic inflammation and renal fibrosis in a unilateral ureteral obstruction (UUO) mouse model. The study groups included control and UUO mice that were monitored for 7, 14 or 21 days.
    Results: Juxtaglomerular (JG) hyperplasia, angiotensin II type 1 receptor (AT1R) expression and lymphocyte infiltration were observed in renal tissues after UUO but were decreased after trichostatin A (TSA) treatment, a HDAC inhibitor. The number of CD4
    Conclusions: TSA treatment decreased JG hyperplasia, the percentage of FOXP3
    Language English
    Publishing date 2017-07-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041348-8
    ISSN 1471-2369 ; 1471-2369
    ISSN (online) 1471-2369
    ISSN 1471-2369
    DOI 10.1186/s12882-017-0630-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Addition of immunosuppressive treatment to hemoperfusion is associated with improved survival after paraquat poisoning

    Wen-Pyng Wu / Ming-Nan Lai / Ching-Heng Lin / Yu-Fen Li / Ching-Yuang Lin / Ming-Ju Wu

    PLoS ONE, Vol 9, Iss 1, p e

    a nationwide study.

    2014  Volume 87568

    Abstract: Paraquat poisoning associates very high mortality rate. Early treatment with hemoperfusion is strongly suggested by animal and human studies. Although the survival benefit of additional immunosuppressive treatment (IST) in combination with hemoperfusion ... ...

    Abstract Paraquat poisoning associates very high mortality rate. Early treatment with hemoperfusion is strongly suggested by animal and human studies. Although the survival benefit of additional immunosuppressive treatment (IST) in combination with hemoperfusion is also reported since 1971, the large-scale randomized control trials to confirm the effects of IST is difficult to be executed. Therefore, we designed this nationwide large-scale population-based retrospective cohort study to investigate the outcome of paraquat poisoning with hemoperfusion and the additional effects of IST combined with hemoperfusion. This nationwide retrospective cohort study utilized data retrieved from the National Health Insurance Research Database (NHIRD) of Taiwan. A total of 1811 hospitalized patients with a diagnosis of paraquat poisoning who received hemoperfusion between 1997 and 2009 were enrolled. The mean age of all 1811 study subjects was 47.3 years. 70% was male. The overall survival rate was only 26.4%. Respiratory failure and renal failure were diagnosed in 56.2% and 36% patients. The average frequency of hemoperfusion was twice. IST was added in 42.2% patients. IST significantly increases survival rate (from 24.3% to 29.3%, P<0.001). The combined IST with methylprednisolone, cyclophosphamide and dexamethasone associates with the highest survival rate (48%, P<0.001). Moreover, patients younger than 45 years of age in the IST group had the best survival (41.0% vs. 33.7%, p<0.001). Our results support the use of IST with hemoperfusion for paraquat-poisoned patients. The best survival effect of IST is the combination of methylprednisolone, cyclophosphamide and daily dexamethasone, especially in patients with younger age.
    Keywords Medicine ; R ; Science ; Q
    Subject code 616
    Language English
    Publishing date 2014-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Addition of immunosuppressive treatment to hemoperfusion is associated with improved survival after paraquat poisoning: a nationwide study.

    Wu, Wen-Pyng / Lai, Ming-Nan / Lin, Ching-Heng / Li, Yu-Fen / Lin, Ching-Yuang / Wu, Ming-Ju

    PloS one

    2014  Volume 9, Issue 1, Page(s) e87568

    Abstract: Paraquat poisoning associates very high mortality rate. Early treatment with hemoperfusion is strongly suggested by animal and human studies. Although the survival benefit of additional immunosuppressive treatment (IST) in combination with hemoperfusion ... ...

    Abstract Paraquat poisoning associates very high mortality rate. Early treatment with hemoperfusion is strongly suggested by animal and human studies. Although the survival benefit of additional immunosuppressive treatment (IST) in combination with hemoperfusion is also reported since 1971, the large-scale randomized control trials to confirm the effects of IST is difficult to be executed. Therefore, we designed this nationwide large-scale population-based retrospective cohort study to investigate the outcome of paraquat poisoning with hemoperfusion and the additional effects of IST combined with hemoperfusion. This nationwide retrospective cohort study utilized data retrieved from the National Health Insurance Research Database (NHIRD) of Taiwan. A total of 1811 hospitalized patients with a diagnosis of paraquat poisoning who received hemoperfusion between 1997 and 2009 were enrolled. The mean age of all 1811 study subjects was 47.3 years. 70% was male. The overall survival rate was only 26.4%. Respiratory failure and renal failure were diagnosed in 56.2% and 36% patients. The average frequency of hemoperfusion was twice. IST was added in 42.2% patients. IST significantly increases survival rate (from 24.3% to 29.3%, P<0.001). The combined IST with methylprednisolone, cyclophosphamide and dexamethasone associates with the highest survival rate (48%, P<0.001). Moreover, patients younger than 45 years of age in the IST group had the best survival (41.0% vs. 33.7%, p<0.001). Our results support the use of IST with hemoperfusion for paraquat-poisoned patients. The best survival effect of IST is the combination of methylprednisolone, cyclophosphamide and daily dexamethasone, especially in patients with younger age.
    MeSH term(s) Adult ; Age Factors ; Cohort Studies ; Cyclophosphamide/therapeutic use ; Dexamethasone/therapeutic use ; Hemoperfusion/methods ; Humans ; Immunosuppression Therapy/methods ; Male ; Methylprednisolone/therapeutic use ; Middle Aged ; Paraquat/poisoning ; Poisoning/drug therapy ; Poisoning/epidemiology ; Poisoning/therapy ; Proportional Hazards Models ; Retrospective Studies ; Survival Rate ; Taiwan/epidemiology ; Treatment Outcome
    Chemical Substances Dexamethasone (7S5I7G3JQL) ; Cyclophosphamide (8N3DW7272P) ; Paraquat (PLG39H7695) ; Methylprednisolone (X4W7ZR7023)
    Language English
    Publishing date 2014-01-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0087568
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The subjective sleep quality and heart rate variability in hemodialysis patients.

    Wei, Cheng-Yu / Chung, Tieh-Chi / Wu, Shu-Chun / Chung, Chian-Fang / Wu, Wen-Pyng

    Renal failure

    2011  Volume 33, Issue 2, Page(s) 109–117

    Abstract: Introduction: Sleep disturbances and cardiovascular autonomic dysfunction are major complications of hemodialysis (HD). The goal of this study is to identify clinical, heart rate variability (HRV) or laboratory parameters that are independently ... ...

    Abstract Introduction: Sleep disturbances and cardiovascular autonomic dysfunction are major complications of hemodialysis (HD). The goal of this study is to identify clinical, heart rate variability (HRV) or laboratory parameters that are independently associated with subjective sleep quality.
    Patient and methods: Forty-six stable HD patients filled out sleep questionnaires - Pittsburgh sleep quality index (PSQI), Athens insomnia scale (AIS), and Epworth sleepiness scale (ESS). In addition, they received analyses of 5-minute HRV twice, in lying posture before and after HD. We also recruited 50 healthy subjects who received 5-min HRV.
    Results: The patients with end-stage renal disease have a high rate of poor sleep quality according to PSQI, AIS, and ESS. The activities of total power (0-0.5 Hz), high-frequency power (HF, 0.15-0.40 Hz), low-frequency power (0.04-0.15 Hz), and very-low-frequency power (0.003-0.04 Hz) in HD patients are obviously lower than that in the healthy people. The poor sleepers (PSQI > 5) show lower heart rate, higher HF and variance before HD, but did not show a significant difference after HD. There is no significant difference between HRV and global score of AIS, but the insomnia group (AIS > 5) has higher BMI. These patients with sleepiness (ESS > 9) only reveal lower hemoglobin, although the global score of ESS reveals no significant relationship with HRV.
    Conclusion: HD patients have a high rate of poor sleep quality and autonomic dysfunction. Greater attention for the evaluation of sleep quality is needed for the better care of HD patients.
    MeSH term(s) Aged ; Autonomic Nervous System/physiopathology ; Case-Control Studies ; Female ; Heart Rate ; Humans ; Kidney Failure, Chronic/complications ; Kidney Failure, Chronic/physiopathology ; Kidney Failure, Chronic/therapy ; Male ; Middle Aged ; Renal Dialysis ; Sleep ; Sleep Initiation and Maintenance Disorders/etiology
    Language English
    Publishing date 2011
    Publishing country England
    Document type Journal Article
    ZDB-ID 632949-4
    ISSN 1525-6049 ; 0886-022X
    ISSN (online) 1525-6049
    ISSN 0886-022X
    DOI 10.3109/0886022X.2010.541578
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Lower variability of tacrolimus trough concentration after conversion from prograf to advagraf in stable kidney transplant recipients.

    Wu, Ming-Ju / Cheng, Ching-Yao / Chen, Cheng-Hsu / Wu, Wen-Pyng / Cheng, Chi-Hung / Yu, Dong-Ming / Chuang, Ya-Wen / Shu, Kuo-Hsiung

    Transplantation

    2011  Volume 92, Issue 6, Page(s) 648–652

    Abstract: Backgrounds: Variability of blood trough concentration (C0) in immunosuppressant leads to rejection and graft loss after kidney transplantation.: Methods: The aim of this study is to prospectively investigate the change of within-patient variability ... ...

    Abstract Backgrounds: Variability of blood trough concentration (C0) in immunosuppressant leads to rejection and graft loss after kidney transplantation.
    Methods: The aim of this study is to prospectively investigate the change of within-patient variability among stable kidney transplant recipients with conversion from twice-daily Prograf to the same milligram-for-milligram daily dose of once-daily Advagraf.
    Results: The mean age of 129 patients was 51.3±12.1 years. The conversion to Advagraf was administrated at 6.3±4.8 years after transplantation. The daily dose was changed from 4.7±2.0 mg to 4.9±2.1 mg after conversion. Only six patients increased daily dose by 16.7% to 25% to maintain target levels. The whole blood C0 of tacrolimus before conversion was 5.9±1.7 ng/mL. The mean C0 was significantly reduced after conversion to Advagraf; it was 4.9±1.5 ng/mL on the seventh day (P<0.001) and 5.4 to 5.5 ng/mL at 1 to 6 months (P<0.05). Forty-one (31.8%) patients have reduced C0 of more than 25% on the seventh day. The percent coefficient of variation of tacrolimus C0 more than 22.5% before conversion is associated with higher risk of reduced C0 after conversion (P<0.05). Compared with before conversion, less kidney transplant recipients have percent coefficient of variation more than 22.5% after conversion (3.1% vs. 17.4% with P<0.01).
    Conclusions: The results support that conversion from Prograf to Advagraf among kidney transplant recipient leads to a significantly lower C0 and within-patient variability of tacrolimus C0. The within-patient variability of C0 before conversion influences C0 on the sevent day after conversion to Advagraf.
    MeSH term(s) Adult ; Humans ; Immunosuppressive Agents/therapeutic use ; Kidney Transplantation/methods ; Middle Aged ; Models, Statistical ; Postoperative Complications ; Prospective Studies ; ROC Curve ; Regression Analysis ; Reproducibility of Results ; Tacrolimus/administration & dosage ; Tacrolimus/therapeutic use ; Time Factors
    Chemical Substances Immunosuppressive Agents ; Tacrolimus (WM0HAQ4WNM)
    Language English
    Publishing date 2011-09-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 208424-7
    ISSN 1534-6080 ; 0041-1337
    ISSN (online) 1534-6080
    ISSN 0041-1337
    DOI 10.1097/TP.0b013e3182292426
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A reduction of unilateral ureteral obstruction-induced renal fibrosis by a therapy combining valsartan with aliskiren.

    Wu, Wen-Pyng / Chang, Chi-Hao / Chiu, Yung-Tsung / Ku, Cheng-Lung / Wen, Mei-Chin / Shu, Kuo-Hsiung / Wu, Ming-Ju

    American journal of physiology. Renal physiology

    2010  Volume 299, Issue 5, Page(s) F929–41

    Abstract: The protective effect of combination therapy with valsartan and aliskiren against renal fibrosis remains to be defined. This study was undertaken to examine the protective effects of the combination of valsartan and aliskiren against renal fibrosis ... ...

    Abstract The protective effect of combination therapy with valsartan and aliskiren against renal fibrosis remains to be defined. This study was undertaken to examine the protective effects of the combination of valsartan and aliskiren against renal fibrosis induced by unilateral ureteral obstruction (UUO). Combination therapy with valsartan (15 mg·kg(-1)·day(-1)) and aliskiren (10 mg·kg(-1)·day(-1)), valsartan monotherapy (30 mg·kg(-1)·day(-1)), and aliskiren monotherapy (20 mg·kg(-1)·day(-1)) all significantly ameliorated the increase in blood urea nitrogen and the degree of hydronephrosis determined by the increase in weight and length of the obstructed kidney. The dose titration study and blood pressure measurement confirmed that the combination therapy provided a greater benefit independent of the vasodilatory effect. There were no significant changes in serum levels of creatinine, sodium, and potassium in UUO rats and any treatment groups. Combination therapy also attenuated UUO-related increases in the scores of tubular dilatation, interstitial volume, interstitial collagen deposition, α-smooth muscle actin, the activation of ERK 1/2, the infiltration of monocytes/macrophages, the mRNA expression of snail-1, and transforming growth factor-β1 to a greater extent compared with aliskiren or valsartan used alone. The mRNA expression of renin and the (pro)renin receptor significantly increased after UUO. Combination therapy and monotherapy of valsartan and aliskiren had a comparable enhancing effect on the mRNA expression of renin, whereas all these treatments did not affect the expression of the (pro)renin receptor. In conclusion, a direct renin inhibitor in conjunction with an angiotensin II receptor blocker exerts increased renal protection against renal fibrosis and inflammation during obstruction over either agent alone.
    MeSH term(s) Actins/biosynthesis ; Amides/therapeutic use ; Anatomy, Cross-Sectional ; Animals ; Antihypertensive Agents/therapeutic use ; Blood Pressure/physiology ; Blotting, Western ; Collagen/metabolism ; Drug Therapy, Combination ; Extracellular Signal-Regulated MAP Kinases/metabolism ; Fibrosis ; Fumarates/therapeutic use ; Immunohistochemistry ; Kidney/pathology ; Kidney/physiopathology ; Kidney Diseases/drug therapy ; Kidney Diseases/etiology ; Kidney Diseases/genetics ; Kidney Function Tests ; Male ; Neutrophil Infiltration ; Rats ; Rats, Sprague-Dawley ; Reverse Transcriptase Polymerase Chain Reaction ; Snail Family Transcription Factors ; Tetrazoles/therapeutic use ; Transcription Factors/biosynthesis ; Ureteral Obstruction/complications ; Ureteral Obstruction/drug therapy ; Ureteral Obstruction/genetics ; Valine/analogs & derivatives ; Valine/therapeutic use ; Valsartan
    Chemical Substances Actins ; Amides ; Antihypertensive Agents ; Fumarates ; Snai2 protein, rat ; Snail Family Transcription Factors ; Tetrazoles ; Transcription Factors ; smooth muscle actin, rat ; aliskiren (502FWN4Q32) ; Valsartan (80M03YXJ7I) ; Collagen (9007-34-5) ; Extracellular Signal-Regulated MAP Kinases (EC 2.7.11.24) ; Valine (HG18B9YRS7)
    Language English
    Publishing date 2010-11
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 603837-2
    ISSN 1522-1466 ; 0363-6127
    ISSN (online) 1522-1466
    ISSN 0363-6127
    DOI 10.1152/ajprenal.00192.2010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Using bioinformatics approaches to identify survival-related oncomiRs as potential targets of miRNA-based treatments for lung adenocarcinoma.

    Liu, Chia-Hsin / Liu, Shu-Hsuan / Lai, Yo-Liang / Cho, Yi-Chun / Chen, Fang-Hsin / Lin, Li-Jie / Peng, Pei-Hua / Li, Chia-Yang / Wang, Shu-Chi / Chen, Ji-Lin / Wu, Heng-Hsiung / Wu, Min-Zu / Sher, Yuh-Pyng / Cheng, Wei-Chung / Hsu, Kai-Wen

    Computational and structural biotechnology journal

    2022  Volume 20, Page(s) 4626–4635

    Abstract: Lung cancer is a major cause of cancer-associated deaths worldwide, and lung adenocarcinoma (LUAD) is the most common lung cancer subtype. Micro RNAs (miRNAs) regulate the pattern of gene expression in multiple cancer types and have been explored as ... ...

    Abstract Lung cancer is a major cause of cancer-associated deaths worldwide, and lung adenocarcinoma (LUAD) is the most common lung cancer subtype. Micro RNAs (miRNAs) regulate the pattern of gene expression in multiple cancer types and have been explored as potential drug development targets. To develop an oncomiR-based panel, we identified miRNA candidates that show differential expression patterns and are relevant to the worse 5-year overall survival outcomes in LUAD patient samples. We further evaluated various combinations of miRNA candidates for association with 5-year overall survival and identified a four-miRNA panel: miR-9-5p, miR-1246, miR-31-3p, and miR-3136-5p. The combination of these four miRNAs outperformed any single miRNA for predicting 5-year overall survival (hazard ratio [HR]: 3.47, log-rank p-value = 0.000271). Experiments were performed on lung cancer cell lines and animal models to validate the effects of these miRNAs. The results showed that singly transfected antagomiRs largely inhibited cell growth, migration, and invasion, and the combination of all four antagomiRs considerably reduced cell numbers, which is twice as effective as any single miRNA-targeted transfected. The
    Language English
    Publishing date 2022-08-22
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2694435-2
    ISSN 2001-0370
    ISSN 2001-0370
    DOI 10.1016/j.csbj.2022.08.042
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Distinct Immunogenetic Profiles of Chronic Lymphocytic Leukemia in Asia: A Taiwan Cooperative Oncology Group Registry Study.

    Yao, Chi-Yuan / Agathangelidis, Andreas / Chuang, Shih-Sung / Tsou, Hsiao-Hui / Feng, Wei-Lien / Liu, Ta-Chih / Chen, Tsai-Yun / Yu, Yuan-Bin / Yeh, Su-Peng / Yao, Ming / Wang, Chuan-Cheng / Lin, Johnson / Hwang, Wen-Li / Gau, Jyh-Pyng / Chou, Wen-Chien / Chao, Tsu-Yi / Lin, Liang-In / Tien, Hwei-Fang / Ghia, Paolo /
    Wu, Shang-Ju

    HemaSphere

    2022  Volume 6, Issue 12, Page(s) e803

    Abstract: Asian patientswith chronic lymphocytic leukemia (CLL) exhibit immunoglobulin heavy variable (IGHV) gene repertoires that are distinct from those observed in Western populations, and a higher proportion of Asian CLL patients carry heavy loads of somatic ... ...

    Abstract Asian patientswith chronic lymphocytic leukemia (CLL) exhibit immunoglobulin heavy variable (IGHV) gene repertoires that are distinct from those observed in Western populations, and a higher proportion of Asian CLL patients carry heavy loads of somatic hypermutations (SHM) within the B-cell receptor immunoglobulins (BcR IG). Due to the low regional incidence of CLL in Asia, only a limited number of studies had attempted to probe the phenomenon of BcR IG stereotypy in Asian populations. In this study, we analyzed the IGHV-IGHD-IGHJ gene rearrangements from a series of 255 CLL patients recruited in a nationwide, multicenter study in Taiwan. Our analysis revealed that the IGHV gene repertoire was characterized by evident biases, with IGHV3-7, IGHV4-34, and IGHV3-23 being the most frequent rearranged IGHV genes, and a higher proportion of cases carrying mutated IGHV. In terms of BcR stereotypy, the incidence of major subsets was less frequent in this cohort, with subsets #77 and #28A being the most common, while the incidence of minor subsets was approximately equivalent to that reported in the Western cohorts. With this study, we provide evidence that CLL in Asia is indeed associated with distinct immunogenetic characteristics regarding IGHV gene usage, SHM status, and BcR IG stereotypy.
    Language English
    Publishing date 2022-11-25
    Publishing country United States
    Document type Journal Article
    ISSN 2572-9241
    ISSN (online) 2572-9241
    DOI 10.1097/HS9.0000000000000803
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: NOVEL-1st: an observational study to assess the safety and efficacy of nilotinib in newly diagnosed patients with Philadelphia chromosome-positive chronic myeloid leukemia in chronic phase in Taiwan.

    Hwang, Wen-Li / Chen, Tsung-Chih / Lin, Hsuan-Yu / Chang, Ming-Chih / Hsiao, Pei-Ching / Bai, Li-Yuan / Kuo, Ching-Yuan / Chen, Yeu-Chin / Liu, Ta-Chih / Gau, Jyh-Pyng / Wang, Po-Nan / Hwang, Wei-Shou / Kuo, Ming-Chung / Liu, Chun-Yu / Liu, Yi-Chang / Ma, Ming-Chun / Su, Nai-Wen / Wang, Chuan-Cheng / Wu, Yi-Ying /
    Yao, Ming / Yeh, Su-Peng / Cheng, Hao-Wei / Lee, Yee-Ming / Ku, Fan-Chen / Tang, Jih-Luh

    International journal of hematology

    2022  Volume 115, Issue 5, Page(s) 704–712

    Abstract: Nilotinib has been approved for the treatment of Philadelphia chromosome-positive chronic myeloid leukemia in chronic phase ( ... ...

    Abstract Nilotinib has been approved for the treatment of Philadelphia chromosome-positive chronic myeloid leukemia in chronic phase (Ph
    MeSH term(s) Antineoplastic Agents/adverse effects ; Humans ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive/diagnosis ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive/drug therapy ; Leukopenia/chemically induced ; Philadelphia Chromosome ; Protein Kinase Inhibitors/therapeutic use ; Pyrimidines ; Taiwan/epidemiology ; Thrombocytopenia/chemically induced ; Treatment Outcome
    Chemical Substances Antineoplastic Agents ; Protein Kinase Inhibitors ; Pyrimidines ; nilotinib (F41401512X)
    Language English
    Publishing date 2022-02-25
    Publishing country Japan
    Document type Journal Article ; Multicenter Study ; Observational Study
    ZDB-ID 1076875-0
    ISSN 1865-3774 ; 0917-1258 ; 0925-5710
    ISSN (online) 1865-3774
    ISSN 0917-1258 ; 0925-5710
    DOI 10.1007/s12185-022-03311-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Recruitment maneuver leads to increased expression of pro-inflammatory cytokines in acute respiratory distress syndrome.

    Lan, Chou-Chin / Huang, Hsu-Kai / Wu, Chin-Pyng / Tu, Chuan-Chou / Huang, Tsai-Wang / Tsai, Wen-Chiuan / Tseng, Neng-Chuan / Chang, Hung

    Respiratory physiology & neurobiology

    2019  Volume 271, Page(s) 103284

    Abstract: Acute respiratory distress syndrome (ARDS) is a disease with high morbidity and mortality rates. The recruitment maneuver (RM) is one of the interventions used for ARDS patients suffering from severe hypoxemia. RM works by opening the atelectatic lungs ... ...

    Abstract Acute respiratory distress syndrome (ARDS) is a disease with high morbidity and mortality rates. The recruitment maneuver (RM) is one of the interventions used for ARDS patients suffering from severe hypoxemia. RM works by opening the atelectatic lungs using high transpulmonary pressure. RM has therefore been widely used for many years in patients with ARDS. However, because of the high transpulmonary pressure used in this intervention, there are concerns about both biotrauma and hemodynamic instability. To assess the effects of RM in ARDS, we conducted a study using three groups of pigs (n = 6 in each group): group I (control), group II (ARDS), and group III (ARDS with RM). After measuring the baseline values, ARDS was induced by deactivating the surfactant with 5% Tweens lavage. For pigs of group III, the RM protocol used was positive end-expiratory pressure (PEEP) of 25 cmH
    MeSH term(s) Animals ; Bronchoalveolar Lavage Fluid ; Cytokines/biosynthesis ; Cytokines/genetics ; Gene Expression ; Inflammation Mediators/metabolism ; Pulmonary Gas Exchange/physiology ; Respiratory Distress Syndrome, Adult/genetics ; Respiratory Distress Syndrome, Adult/metabolism ; Respiratory Mechanics/physiology ; Swine
    Chemical Substances Cytokines ; Inflammation Mediators
    Language English
    Publishing date 2019-08-28
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2077867-3
    ISSN 1878-1519 ; 1569-9048
    ISSN (online) 1878-1519
    ISSN 1569-9048
    DOI 10.1016/j.resp.2019.103284
    Database MEDical Literature Analysis and Retrieval System OnLINE

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