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  1. Article ; Online: High throughput microfluidics-based synthesis of PEGylated liposomes for precise size control and efficient drug encapsulation.

    Akar, Shima / Fardindoost, Somayeh / Hoorfar, Mina

    Colloids and surfaces. B, Biointerfaces

    2024  Volume 238, Page(s) 113926

    Abstract: The low scalability and reproducibility of existing synthesis methods have hindered the translation of liposome nanoparticles as carriers for targeted drug delivery from conventional laboratory techniques to mass production. To this end, in this study, ... ...

    Abstract The low scalability and reproducibility of existing synthesis methods have hindered the translation of liposome nanoparticles as carriers for targeted drug delivery from conventional laboratory techniques to mass production. To this end, in this study, we present a high-throughput microfluidics-based approach for the synthesis of PEGylated liposomes with a primary focus on achieving precise size control and efficient encapsulation of hydrophobic drug molecules. In this platform, liposomes were self-assembled through a controllable mixing of lipids (EYPC, cholesterol, and DSPE-PEG 2000) dissolved in ethanol and an aqueous solution. The key parameters, including the chip design, total flow rate, flow rate ratio, lipid concentrations, as well as variations in buffer (HEPES and NaCl) and solvent composition (commercial and reagent-grade ethanol) were explored in detail. Through comprehensive parametric studies, we gained valuable insights into the influence of these variables on the size distribution of liposomes and succeeded in producing highly reproducible liposomes ranging from approximately 60 nm (corresponding to small unilamellar vesicles) to 150 nm (representing large unilamellar vesicles), all while maintaining a polydispersity index (PDI) of less than 0.2. To assess the encapsulation efficiency of hydrophobic drug molecules, Nile red (NR) was employed as a surrogate. We meticulously examined the impact of NR concentration on the drug encapsulation process, resulting in up to 74% drug encapsulation efficiency within the PEGylated liposomes. This research offers crucial advances in liposome synthesis and drug delivery, providing a high-throughput, controllable method for PEGylated liposomes with potential in pharmaceutical and biomedical fields.
    Language English
    Publishing date 2024-04-22
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1500523-9
    ISSN 1873-4367 ; 0927-7765
    ISSN (online) 1873-4367
    ISSN 0927-7765
    DOI 10.1016/j.colsurfb.2024.113926
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Comment on: The Effects of Rehabilitation Following Anterior Cervical Microdiscectomy and Fusion Surgery.

    Akar, Semih / Bahadir, Sinan

    Turkish neurosurgery

    2022  

    Language English
    Publishing date 2022-07-19
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 1203779-5
    ISSN 2651-5032 ; 1019-5149
    ISSN (online) 2651-5032
    ISSN 1019-5149
    DOI 10.5137/1019-5149.JTN.40846-22.2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Depression and anxiety might not be increased during COVID-19 pandemic in patient with axial spondyloarthritis.

    Erpek, E / Solmaz, D / Bayraktar, D / Akar, S

    Clinical rheumatology

    2021  Volume 40, Issue 11, Page(s) 4773–4774

    MeSH term(s) Anxiety/epidemiology ; COVID-19 ; Depression/epidemiology ; Humans ; Pandemics ; SARS-CoV-2 ; Spondylarthritis/epidemiology
    Language English
    Publishing date 2021-07-03
    Publishing country Germany
    Document type Letter
    ZDB-ID 604755-5
    ISSN 1434-9949 ; 0770-3198
    ISSN (online) 1434-9949
    ISSN 0770-3198
    DOI 10.1007/s10067-021-05834-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Structure-function relationship of reading performance in patients with early to moderate glaucoma.

    Akar, Serpil / Tekeli, Oya / Idil, Aysun / Ozturker, Zeynep Kayaarasi

    European journal of ophthalmology

    2024  , Page(s) 11206721241231330

    Abstract: Purpose: To assess reading performance in patients with mild to moderate primary open-angle glaucoma (POAG), and to determine the relationship between reading ability and visual field (VF), microperimetry, and optical coherence tomography (OCT) ... ...

    Abstract Purpose: To assess reading performance in patients with mild to moderate primary open-angle glaucoma (POAG), and to determine the relationship between reading ability and visual field (VF), microperimetry, and optical coherence tomography (OCT) parameters.
    Methods: Reading performance of 30 POAG patients examined by the Minnesota Reading Acuity Chart (MNREAD) was compared to that of 21 age-matched controls collected from Ankara University in Turkey. Humphrey Field Analyzer (HFA) 24-2 SITA Standard and 10-2 patterns, and microperimetry were used for VF measurements. All subjects underwent OCT analysis for retinal nerve fiber layer thickness (RNFLT), optic nerve head (ONH) measurements, and ganglion cell inner plexiform layer thickness (GCIPLT). The linear relationship between reading parameters and VF, microperimetry, and OCT parameters was investigated. Univariate and multiple logistic regression models were used to identify the risk factors for glaucoma.
    Results: In POAG patients, maximum reading speed (MRS) had a significant association with average rim area, mean cup-to-disc ratio (CDR), and cup volume (
    Conclusion: POAG had significantly lower reading performance when compared to healthy subjects. Reading speed was associated with decreased macular GCIPLT indicating that reading performance may be affected in the earlier stages of the disease.
    Language English
    Publishing date 2024-02-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1089461-5
    ISSN 1724-6016 ; 1120-6721
    ISSN (online) 1724-6016
    ISSN 1120-6721
    DOI 10.1177/11206721241231330
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Factors associated with acute anterior uveitis history in patients with axial spondyloarthritis: Results of a longitudinal study.

    Cinakli, Haluk / Ediboglu, Elif Durak / Solmaz, Dilek / Akar, Servet

    International journal of rheumatic diseases

    2024  Volume 27, Issue 3, Page(s) e15076

    Abstract: Backgrounds: Acute anterior uveitis (AAU) is the most common extra-musculoskeletal manifestation in axial spondyloarthritis (axSpA).: Objectives: The aim of the study is to evaluate the factors associated with AAU attacks in patients with axSpA ... ...

    Abstract Backgrounds: Acute anterior uveitis (AAU) is the most common extra-musculoskeletal manifestation in axial spondyloarthritis (axSpA).
    Objectives: The aim of the study is to evaluate the factors associated with AAU attacks in patients with axSpA during a 36-month follow-up period.
    Methods: In total, 469 patients with axSpA were included in this observational study. Demographic data, clinical characteristics, disease activity measurements, and treatment patterns were compared between patients with and without a history of AAU. The development of AAU and its related factors were investigated using generalized estimating equations, which is a technique for longitudinal data analysis.
    Results: Overall, 99 (21%) out of 469 patients experienced at least one AAU attack, with 77 patients (78%) having a history of AAU and 53 patients (58% of whom had a history of AAU) experiencing AAU attacks during the follow-up period. At baseline, patients with a history of AAU were found to be older (p = .001), be more likely to have peripheral arthritis (p < .001), have higher serum CRP levels (p = .016), have a higher frequency of sulfasalazine (SLZ) and tumor necrosis factor inhibitors (TNFi) use (p < .001 and p < .001, respectively). In the longitudinal analysis, having a history of AAU was identified as the only independent determinant of the development of AAU.
    Conclusions: AAU history might be a risk factor for the development of AAU attacks in patients with axSpA. Although TNFi and SLZ were prescribed more frequently to patients with a history of AAU, the effectiveness of these agents in preventing further AAU attacks was not demonstrated.
    MeSH term(s) Humans ; Longitudinal Studies ; Spondylarthritis/diagnosis ; Spondylarthritis/drug therapy ; Spondylarthritis/epidemiology ; Spondylitis, Ankylosing/drug therapy ; Uveitis, Anterior/diagnosis ; Uveitis, Anterior/drug therapy ; Uveitis, Anterior/epidemiology ; Axial Spondyloarthritis ; Sulfasalazine/therapeutic use ; Acute Disease
    Chemical Substances Sulfasalazine (3XC8GUZ6CB)
    Language English
    Publishing date 2024-03-07
    Publishing country England
    Document type Observational Study ; Journal Article
    ZDB-ID 2426924-4
    ISSN 1756-185X ; 1756-1841
    ISSN (online) 1756-185X
    ISSN 1756-1841
    DOI 10.1111/1756-185X.15076
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A benzimidazolium salt induces apoptosis and arrests cells at sub-G1 phase in epithelial ovarian cancer cells.

    Akar, Sakine / Cakir, Mustafa / Ozkol, Halil / Akkoc, Senem / Ozdem, Berna

    Molecular biology reports

    2024  Volume 51, Issue 1, Page(s) 66

    Abstract: Background: Ovarian cancer, also known as a silent killer, is the deadliest gynecological cancer in women worldwide. Epithelial ovarian cancers constitute the majority of ovarian cancers, and diagnosis can be made in advanced stages, which greatly ... ...

    Abstract Background: Ovarian cancer, also known as a silent killer, is the deadliest gynecological cancer in women worldwide. Epithelial ovarian cancers constitute the majority of ovarian cancers, and diagnosis can be made in advanced stages, which greatly reduces the likelihood of treatment and lowers the survival rate. For the treatment of epithelial ovarian cancers, the search for synthetic agents as well as agents of natural origin continues. The effects of 1-(2-cyanobenzyl)-3-(4-vinylbenzyl)-1H-benzo[d]imidazole-3-ium chloride (BD), a benzimidazole derivative, were investigated on epithelial ovarian cancer cells.
    Methods and results: In our study, the effects of BD on proliferation, colony formation, cell death by apoptosis and the cell cycle in A2780 and A2780 Adriamycin (ADR) ovarian cancer cell lines were investigated. Proliferation was examined with cell viability analysis, colony formation and apoptosis with Annexin V staining and cell cycle analyses with PI staining, respectively. As a result of the analyses, BD inhibited cell proliferation and colony formation, induced apoptosis and cell death at 48 h in A2780 and A2780 ADR cells at 10.10 and 10.36 µM concentrations, respectively. In addition, A2780 and A2780ADR cells were arrested in the Sub-G1 phase of the cell cycle.
    Conclusions: BD suppresses cancer cell progression by showing antiproliferative effects on ovarian cancer cells. Further analyses are required to determine the mechanism of action of this agent and to demonstrate its potential as a suitable candidate for the treatment of epithelial ovarian cancer.
    MeSH term(s) Humans ; Female ; Carcinoma, Ovarian Epithelial/drug therapy ; Ovarian Neoplasms/drug therapy ; Ovarian Neoplasms/metabolism ; Cell Line, Tumor ; G1 Phase ; Apoptosis ; Cell Proliferation
    Language English
    Publishing date 2024-01-03
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 186544-4
    ISSN 1573-4978 ; 0301-4851
    ISSN (online) 1573-4978
    ISSN 0301-4851
    DOI 10.1007/s11033-023-08981-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Correction: A benzimidazolium salt induces apoptosis and arrests cells at sub-G1 phase in epithelial ovarian cancer cells.

    Akar, Sakine / Cakir, Mustafa / Ozkol, Halil / Akkoc, Senem / Ozdem, Berna

    Molecular biology reports

    2024  Volume 51, Issue 1, Page(s) 457

    Language English
    Publishing date 2024-03-27
    Publishing country Netherlands
    Document type Published Erratum
    ZDB-ID 186544-4
    ISSN 1573-4978 ; 0301-4851
    ISSN (online) 1573-4978
    ISSN 0301-4851
    DOI 10.1007/s11033-024-09413-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Periventricular leukomalacia mimicking normal-tension glaucoma: a case report.

    Kayaarasi Ozturker, Zeynep / Akar, Serpil

    Clinical & experimental optometry

    2021  Volume 104, Issue 7, Page(s) 807–808

    MeSH term(s) Humans ; Infant, Newborn ; Intraocular Pressure ; Leukomalacia, Periventricular ; Low Tension Glaucoma/diagnosis ; Tomography, Optical Coherence ; Visual Field Tests
    Language English
    Publishing date 2021-02-28
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 639275-1
    ISSN 1444-0938 ; 0816-4622
    ISSN (online) 1444-0938
    ISSN 0816-4622
    DOI 10.1080/08164622.2021.1880864
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  9. Article: Challenges and insights in managing difficult-to-treat rheumatoid arthritis: real-world clinical perspectives.

    Alp, Gülay / Cinakli, Haluk / Kurut Aysin, İdil / Solmaz, Dilek / Akar, Servet

    Clinical and experimental rheumatology

    2024  

    Abstract: Objectives: The treatment options for rheumatoid arthritis (RA) have expanded with the availability of biological and targeted synthetic disease-modifying anti-rheumatic drugs. Despite all these developments and treatments, an important group of ... ...

    Abstract Objectives: The treatment options for rheumatoid arthritis (RA) have expanded with the availability of biological and targeted synthetic disease-modifying anti-rheumatic drugs. Despite all these developments and treatments, an important group of patients remain symptomatic and have not achieved clinical remission. The terminology "difficult-to-treat" (D2T) has been developed to describe this group. This study aimed to determine the frequency of D2T RA among our patients according to the EULAR 2021 definition of D2T RA and to identify the differences in demographic and disease characteristics, contributing factors, and disease burden.
    Methods: The study included 302 consecutive patients diagnosed with RA according to the 2010 ACR criteria. These patients were categorised into the D2T and non-D2T RA groups. Risk factors independently associated with D2T RA were identified using logistic regression analysis.
    Results: Of the 302 patients (mean age, 56.5 years, 80.1% female, 75% seropositive), 27 (8.9%) had D2T RA. Those with D2T RA had a lower age at diagnosis and longer disease duration and showed significantly higher rates of peripheral erosion, Sjögren's syndrome, extra-articular manifestations, and PtGA-PhGA discordance, together with high disease activity scores. Furthermore, the median number of comorbidities and concomitant fibromyalgia was significantly higher in the D2T RA group. In the multiple regression analysis, D2T RA was independently associated with higher HAQ-DI, RF levels, and concomitant fibromyalgia.
    Conclusions: D2T RA requires more intensive management, and patients with D2T RA have higher disease activity, poorer functional status, and quality of life than those without D2T RA.
    Language English
    Publishing date 2024-01-31
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 605886-3
    ISSN 1593-098X ; 0392-856X
    ISSN (online) 1593-098X
    ISSN 0392-856X
    DOI 10.55563/clinexprheumatol/nyu9er
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  10. Article ; Online: Green biosourced composite for efficient reactive dye decontamination: immobilized Gibberella fujikuroi on maize tassel biomatrix.

    Celik, Sema / Kurtulus Tas, Selen / Sayin, Fatih / Akar, Tamer / Tunali Akar, Sibel

    Environmental science and pollution research international

    2024  Volume 31, Issue 17, Page(s) 25836–25848

    Abstract: Biosorptive treatment with microbial biomass is regarded as an environmentally friendly and effective way to reduce dye contamination in contaminated aquatic environments. Immobilizing microbial cells for use in this process can significantly improve ... ...

    Abstract Biosorptive treatment with microbial biomass is regarded as an environmentally friendly and effective way to reduce dye contamination in contaminated aquatic environments. Immobilizing microbial cells for use in this process can significantly improve their effectiveness as biosorbents in the water treatment process. The current investigation searches for a sustainable and environmentally friendly approach to decolorization by employing a green biocomposite material sorbent system (ZM@GFC) created by immobilizing fungal cells (Gibberella fujikuroi) on maize tassel tissues to efficiently remove Reactive Yellow 2 (RY2) from contaminated water sources. Batch and dynamic flow tests were performed to evaluate the biodecolorization properties of the newly created immobilized biomaterial as well as the effects of several essential operating conditions factors on the sorption behavior. Biosorption yields of 95.7% and 90.0% in batch and dynamic modes were achieved for experimental dye decolorization. The biosorption of RY2 by ZM@GFC occurred fast and achieved equilibrium within 60 min. The pseudo-second-order kinetic model elucidated the dye biosorption onto ZM@GFC. The Langmuir model provided a more accurate representation of the results than the Freundlich model. At the same time, Redlich-Peterson isotherm demonstrated the best level of agreement with the experimental data. These findings indicate that the biosorption mechanism predominantly involved the formation of a monolayer covering and that the energy properties of the ZM@GFC surface were uniform. The breakthrough capacity at the exhaustion time was 537.32 mg g
    MeSH term(s) Zea mays ; Biodegradation, Environmental ; Decontamination ; Inflorescence ; Thermodynamics ; Kinetics ; Adsorption ; Hydrogen-Ion Concentration ; Water Pollutants, Chemical ; Biomass ; Fusarium
    Chemical Substances Water Pollutants, Chemical
    Language English
    Publishing date 2024-03-15
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1178791-0
    ISSN 1614-7499 ; 0944-1344
    ISSN (online) 1614-7499
    ISSN 0944-1344
    DOI 10.1007/s11356-024-32809-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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