1,131 publications from this institution
<p>Exposure-response relationship between CX-5461 levels and rDNA transcription rate in normal PBMCs</p>
Type 2 Diabetes Mellitus (T2DM) is a world-wide metabolic disease with no cure from drugs and treatment. In China, The Traditional Chinese Medicine (TCM) herbal formulations have been used to treat T2DM for centuries.In this study, we proposed a formula called ShenQi Compound (SQC), which has been used in clinical therapeutics in China for several years. We evaluated the effect of SQC in a spontaneous diabetic rat model (GK rats) by detecting a series of blood indicators and performing histological observations. Meanwhile, the gene microarray and RT-qPCR experiments were used to explore the molecular mechanism of SQC treatment. In addition, western medicine, sitagliptin was employed as a comparison.The results indicated that SQC and sitagliptin could effectively improve the serum lipid (blood Total Cholesterol (TC) and blood Triglycerides (TG)), hormone levels (serum insulin (INS), Glucagon (GC) and Glucagon-Like Peptide-1 (GLP-1)), alleviated the inflammatory response (hypersensitive C-Reactive Protein (hsCRP)), blood glucose fluctuation (Mean Blood Glucose (MBG), standard deviation of blood glucose (SDBG) and Largest Amplitude of plasma Glucose Excursions (LAGE)), pancreatic tissue damage and vascular injury for T2DM. Compared with sitagliptin, SQC achieved a better effect on blood glucose fluctuation (p<0.01). Meanwhile, the gene microarray and RT-qPCR experiments indicated that SQC and sitagliptin may improve the T2DM through affecting the biological functions related to apoptosis and circadian rhythm. Moreover, SQC might be able to influence the mTOR signaling pathway by regulating Pik3r1, Ddit4 expression.All these results indicate that SQC is an effective therapeutic drug on T2DM. Notably, SQC presents an obvious blood glucose fluctuation-preventing ability, which might be derived from the regulation of the mTOR signaling pathway.
<p>Pharmacokinetics analysis of CX-5461 in patients with advanced hematological disease</p>
202 Background: New therapies are needed for patients (pts) with mCRPC progressing after androgen-receptor signaling inhibitors (ARSIs) and taxane therapies. Niraparib is a once daily highly selective inhibitor of poly (ADP-ribose) polymerase (PARP-1 and 2). Methods: GALAHAD is an ongoing open label Ph 2 study assessing niraparib (300 mg daily) in pts with DRD progressing on/after ARSIs and taxane chemotherapy. Using a validated plasma assay, DRD status was defined as pathogenic mutations (including homozygous deletions) of BRCA1/2, ATM, FANCA, PALB2, CHEK2, BRIP1 or HDAC2. Composite response rate (RR) was defined as an objective response by RECIST 1.1 for measurable disease, circulating tumor cell (CTC) conversion to < 5/7.5 mL blood or prostate-specific antigen (PSA) decline of ≥50% (PSA 50 ). Here, preliminary data on RR and adverse events (AEs) are reported in pts with biallelic DRD. Results: As of 10 Sep 2018, 123 pts with mCRPC and DRD were enrolled, of whom 39 had biallelic DRD (23 BRCA1/2). The median follow-up was 5.7 mo (2.0–23.7). Table depicts RRs for pts with biallelic DRD by BRCA status. Composite and objective RRs were 65% and 38% in pts with biallelic BRCA1/2, respectively. 3/8 pts (38% [2/5 BRCA1/2 and 1/3 non-BRCA]) with measurable visceral metastases showed objective response. Among the 20 biallelic responders, the duration of treatment (tx) has exceeded 4 mo in 13 pts and 6 mo in 8 pts; 14 pts remain on tx. The most common grade 3/4 hematologic AEs were anemia (25%) and thrombocytopenia (15%) (manageable by dose reduction/interruption). The most common grade 3/4 nonhematologic AEs were asthenia (6%) and hypertension (5%). Conclusions: These results suggest niraparib has compelling activity as monotherapy for pts with treatment-resistant mCRPC, particularly those with biallelic BRCA1/2 identified by a blood assay. Clinical trial information: NCT02854436. [Table: see text]
Steel frames which are commonly used in multi-storey and industrial buildings, bridges and offshore structures may exhibit significantly nonlinear behavior prior to achieving their ultimate capacity. Thus, a second-order inelastic analysis or advanced analysis is the most rational mean for assessment of the performance of a whole structural system instead of using conventional analysis approach. This book presents an efficient numerical procedure for advanced analysis of three-dimensional steel frames under static and dynamic loadings. The formulations of catenary, truss and refined plastic hinge elements are presented for modeling inelastic behavior of cable, truss and beam-column members, respectively. The generalized displacement control method is adopted for tracing post-buckling equilibrium paths of structures exhibiting the snap-back and snap-through phenomena, whereas an incremental-iterative solution scheme based on Newmark and Newton-Raphson methods is employed for capturing time-history responses of structures under dynamic loadings.
We report herein that trefoil factor 3 (TFF3) is oncogenic and mediates anti-estrogen resistance in human mammary carcinoma. Forced expression of TFF3 in mammary carcinoma cells increased cell proliferation and survival, enhanced anchorage-independent growth, and promoted migration and invasion. Moreover, forced expression of TFF3 increased tumor size in xenograft models. Conversely, depletion of endogenous TFF3 with small interfering RNA (siRNA) decreased the oncogenicity and invasiveness of mammary carcinoma cells. Neutralization of secreted TFF3 by antibody promoted apoptosis, decreased cell growth in vitro, and arrested mammary carcinoma xenograft growth. TFF3 expression was significantly correlated to decreased survival of estrogen receptor (ER)-positive breast cancer patients treated with tamoxifen. Forced expression of TFF3 in mammary carcinoma cells increased ER transcriptional activity, promoted estrogen-independent growth, and produced resistance to tamoxifen and fulvestrant in vitro and to tamoxifen in xenograft models. siRNA-mediated depletion or antibody inhibition of TFF3 significantly enhanced the efficacy of antiestrogens. Increased TFF3 expression was observed in tamoxifen-resistant (TAMR) cells and antibody inhibition of TFF3 in TAMR cells improved tamoxifen sensitivity. Functional antagonism of TFF3 therefore warrants consideration as a novel therapeutic strategy for mammary carcinoma.
院面对日趋复杂和多变的外部经济环境,中小企业面临的风险也越来越多。建立企业的全面风险管理体系,可以保障企业整体目标的实现,全面提升企业的价值。本文从全面风险管理的现状分析入手,从风险管理组织结构、风险管理流程等方面探讨了全面风险管理体系的构建,最后提出实施全面风险管理的保障措施。
<sec> <title>BACKGROUND</title> Multiple myeloma (MM) is associated with the greatest symptom burden of all hematological cancers and despite substantial improvements in treatment options with high response and survival rates, is still considered incurable, with patients undergoing multiple lines of therapy over many years. Subcutaneous (SC) injections are a common mode of delivery for current and future MM therapy, with evidence to suggest programs that give patients or carers responsibility for administration can bring benefits to the patient and health care system by reducing the number of required visits to hospital. </sec> <sec> <title>OBJECTIVE</title> This study will explore and describe barriers and enablers to implementing nurse-enabled SC therapy self-administration programs for patients with MM to develop a Roadmap for national scalability. </sec> <sec> <title>METHODS</title> This qualitative descriptive study is informed by the Consolidated Framework for Implementation Research (CFIR). Participants will include key stakeholders from across Australia, including patients, carers, health professionals and policy makers with experience of implementation, facilitation and participation in nurse enabled, SC therapy self-administration programs. Data will be collected via virtual focus groups or semi-structured interviews and analyzed using the Framework Method to identify barriers and enablers. The Expert Recommendations for Implementing Change matching tool will be used to development strategies to target barriers and enhance enablers, informing the development of a national Roadmap. </sec> <sec> <title>RESULTS</title> Not applicable, protocol only </sec> <sec> <title>CONCLUSIONS</title> To our knowledge, this study will be the first of its kind to identify and compare barriers and enablers to implementing nurse-enabled SC self-administration programs for patients with MM. Applying the CFIR to guide the study provides an evidence-informed approach to understanding how discrete and intersecting factors influence program implementation and sustainability, informing development of a comprehensive implementation Roadmap. The implications of this work extend beyond MM. As the availability of SC therapies for other cancers and chronic diseases grows, this model of care could serve as a blueprint for broader applications, impacting patient quality of life (QoL) and optimization of healthcare utilization. </sec>