BACKGROUND Choledochal cyst is a rare biliary tract disorder with five subtypes categorized based on the anatomical location of cystic dilatation.Type IV(which affects the intrahepatic and extrahepatic ducts)is the mo...BACKGROUND Choledochal cyst is a rare biliary tract disorder with five subtypes categorized based on the anatomical location of cystic dilatation.Type IV(which affects the intrahepatic and extrahepatic ducts)is the most common subtype in adults.Its clinical manifestations are diverse and the disease can potentially become malignant.Currently,the mainstay treatment is surgical excision which is used as a definitive treatment to prevent complications and avoid carcinogenesis.However,the surgical operation for giant choledochal cysts is technically challenging.CASE SUMMARY Here,we present a case of a giant choledochal cyst in an 18-year-old female.The diagnosis of patient was confirmed through magnetic resonance cholangiopancreatography.The patient developed acute cholangitis,and was treated with percutaneous transhepatic cholangial drainage to alleviate symptoms.The final treatment approach was cyst excision followed by Roux-en-Y hepaticojejunostomy,which successfully achieved excellent postoperative recovery.CONCLUSION Ultrasonography and magnetic resonance cholangiopancreatography can effectively diagnose choledochal cysts.Combined percutaneous transhepatic cholangial drainage surgery for giant choledochal cysts is safe and effective.展开更多
Porphyrin-based photodynamic therapy(PDT)has emerged as a promising approach in clinic.However,its therapeutic efficacy is remarkedly constrained due to the intrinsic hydrophobicity of porphyrins and their limited abs...Porphyrin-based photodynamic therapy(PDT)has emerged as a promising approach in clinic.However,its therapeutic efficacy is remarkedly constrained due to the intrinsic hydrophobicity of porphyrins and their limited absorption in the near-infrared(NIR)region.Inspired by the unique supramolecular structures and optical properties of pigment-binding proteins during photosynthesis,we herein developed a carbon dot derived from porphyrin and amino acid mixture(TPP-AA-CDs)for efficient PDT.Having precisely tuned the optical properties of TPP-AA-CDs in the range of visible to NIR region,such a pigment-binding protein-mimicking system leveraged the hydrophilic amino acid-hybrid framework as a light-harvesting scaffold to support the hydrophobic porphyrin centre.TPP-AA-CDs exhibited enhanced light-harvesting efficiency in the presence of amino and hydroxyl residues from amino acid side chains,which facilitate the incorporation of porphyrin within the framework.Among the variants,histidine-derived carbon dots(TPP-H-CDs)performed markedly improved PDT efficiency with high biocompatibility,leading to accelerated wound healing and boosted antitumor effects under NIR light irradiation.This light-harvesting pigment-binding protein-mimicking framework that scaffolded the porphyrin,offered a promising strategy for developing the next-generation of efficient NIR-absorbing materials with potential clinical translations.展开更多
基金Supported by Cuiying Scientific and Technological Innovation Program of Lanzhou University Second Hospital,No.CY2024-MS-B04Gansu Provincial Natural Science Foundation Project,No.24JRRA331the Traditional Chinese Medicine Research Project of Gansu Province,No.GZKZ-2024-26.
文摘BACKGROUND Choledochal cyst is a rare biliary tract disorder with five subtypes categorized based on the anatomical location of cystic dilatation.Type IV(which affects the intrahepatic and extrahepatic ducts)is the most common subtype in adults.Its clinical manifestations are diverse and the disease can potentially become malignant.Currently,the mainstay treatment is surgical excision which is used as a definitive treatment to prevent complications and avoid carcinogenesis.However,the surgical operation for giant choledochal cysts is technically challenging.CASE SUMMARY Here,we present a case of a giant choledochal cyst in an 18-year-old female.The diagnosis of patient was confirmed through magnetic resonance cholangiopancreatography.The patient developed acute cholangitis,and was treated with percutaneous transhepatic cholangial drainage to alleviate symptoms.The final treatment approach was cyst excision followed by Roux-en-Y hepaticojejunostomy,which successfully achieved excellent postoperative recovery.CONCLUSION Ultrasonography and magnetic resonance cholangiopancreatography can effectively diagnose choledochal cysts.Combined percutaneous transhepatic cholangial drainage surgery for giant choledochal cysts is safe and effective.
基金supported by the Key Research and Development Joint Fund of the Department of Science and Technology of Liaoning Province(No.2021JH2/1030005)the General Program of the Education Department of Liaoning Province(No.JYTMS20230101)。
文摘Porphyrin-based photodynamic therapy(PDT)has emerged as a promising approach in clinic.However,its therapeutic efficacy is remarkedly constrained due to the intrinsic hydrophobicity of porphyrins and their limited absorption in the near-infrared(NIR)region.Inspired by the unique supramolecular structures and optical properties of pigment-binding proteins during photosynthesis,we herein developed a carbon dot derived from porphyrin and amino acid mixture(TPP-AA-CDs)for efficient PDT.Having precisely tuned the optical properties of TPP-AA-CDs in the range of visible to NIR region,such a pigment-binding protein-mimicking system leveraged the hydrophilic amino acid-hybrid framework as a light-harvesting scaffold to support the hydrophobic porphyrin centre.TPP-AA-CDs exhibited enhanced light-harvesting efficiency in the presence of amino and hydroxyl residues from amino acid side chains,which facilitate the incorporation of porphyrin within the framework.Among the variants,histidine-derived carbon dots(TPP-H-CDs)performed markedly improved PDT efficiency with high biocompatibility,leading to accelerated wound healing and boosted antitumor effects under NIR light irradiation.This light-harvesting pigment-binding protein-mimicking framework that scaffolded the porphyrin,offered a promising strategy for developing the next-generation of efficient NIR-absorbing materials with potential clinical translations.
