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放射治疗的临床试验与设计 被引量:1
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作者 yunfeng cui Ying Xiao 《科学通报》 北大核心 2025年第33期5651-5662,共12页
临床试验对于医学知识发展和患者护理改善至关重要,在放射治疗领域尤其如此.本文全面概述了放疗临床试验在设计、开展和分析环节的关键点,强调了严谨的试验设计的重要性,并着重讨论了放疗试验的具体注意事项,包括标准化治疗方案的执行... 临床试验对于医学知识发展和患者护理改善至关重要,在放射治疗领域尤其如此.本文全面概述了放疗临床试验在设计、开展和分析环节的关键点,强调了严谨的试验设计的重要性,并着重讨论了放疗试验的具体注意事项,包括标准化治疗方案的执行、技术应用的一致性,以及质量控制的鲁棒性.伦理考量作为开展临床试验的必要基础,在本文中进行了详细的叙述.本文还介绍了试验实施的过程,涵盖参与者的招募和保留、方案的遵循和不良事件监测,以及放疗特有的挑战.本文讨论了数据分析和解释,聚焦于统计分析、缺失数据的处理和亚组分析,并强调了报告透明性和结果宣传的重要性.本文探讨了放疗临床试验的当前挑战,如招募困难和参与者多样性的需求,探究了未来发展方向,包括与自适应放疗、闪疗、人工智能等新技术的整合.本文还强调了提高试验效率和降低成本,从而增强可持续性和可扩展性的重要性.总之,该综述主要聚焦精心设计和开展的临床试验在推进放疗和改善癌症治疗效果上的关键作用.它为涉及放疗临床试验的研究人员、临床医师和其他利益相关者提供了一个全面的指南,强调严谨方法、伦理原则和有效的结果宣传的必要性,以推动癌症护理的进步. 展开更多
关键词 放射治疗临床试验 试验设计和方法 放疗中的质量保证 先进放疗技术
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Anthelmintics nitazoxanide protects against experimental hyperlipidemia and hepatic steatosis in hamsters and mice 被引量:5
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作者 Fengfeng Li Man Jiang +9 位作者 Minghui Ma Xuyang Chen Yidan Zhang Yixin Zhang Yuanyuan Yu yunfeng cui Jiahui Chen Hui Zhao Zhijie Sun Deli Dong 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2022年第3期1322-1338,共17页
Lipid metabolism disorders contribute to hyperlipidemia and hepatic steatosis.It is ideal to develop drugs simultaneous improving both hyperlipidemia and hepatic steatosis.Nitazoxanide is an FDA-approved oral antiprot... Lipid metabolism disorders contribute to hyperlipidemia and hepatic steatosis.It is ideal to develop drugs simultaneous improving both hyperlipidemia and hepatic steatosis.Nitazoxanide is an FDA-approved oral antiprotozoal drug with excellent pharmacokinetic and safety profile.We found that nitazoxanide and its metabolite tizoxanide induced mild mitochondrial uncoupling and subsequently activated AMPK in Hep G2 cells.Gavage administration of nitazoxanide inhibited high-fat diet(HFD)-induced increases of liver weight,blood and liver lipids,and ameliorated HFD-induced renal lipid accumulation in hamsters.Nitazoxanide significantly improved HFD-induced histopathologic changes of hamster livers.In the hamsters with pre-existing hyperlipidemia and hepatic steatosis,nitazoxanide also showed therapeutic effect.Gavage administration of nitazoxanide improved HFD-induced hepatic steatosis in C57BL/6J mice and western diet(WD)-induced hepatic steatosis in Apoe-/-mice.The present study suggests that repurposing nitazoxanide as a drug for hyperlipidemia and hepatic steatosis treatment is promising. 展开更多
关键词 NITAZOXANIDE Tizoxanide HYPERLIPIDEMIA Hepatic steatosis AMPK Autophagy SQSTM1/P62 Mitochondrial uncoupling
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Efficient enzymatic synthesis of(S)-1-(30-bromo-20-methoxyphenyl)ethanol,the key building block of lusutrombopag
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作者 yunfeng cui Yangyang Ji +6 位作者 Xi Chen Jianjiong Li Jinhui Feng Qing Zhao Peiyuan Yao Qiaqing Wu Dunming Zhu 《Green Synthesis and Catalysis》 2023年第3期268-271,共4页
(S)-1-(30-Bromo-20-methoxyphenyl)ethanol((S)-1b)is the key precursor for the synthesis of Lusutrombopag.The bioreduction of 1-(30-bromo-20-methoxyphenyl)ethanone(1a)offers an attractive method to access this important... (S)-1-(30-Bromo-20-methoxyphenyl)ethanol((S)-1b)is the key precursor for the synthesis of Lusutrombopag.The bioreduction of 1-(30-bromo-20-methoxyphenyl)ethanone(1a)offers an attractive method to access this important compound.Through screening the available carbonyl reductases,we obtained a carbonyl reductase from Novosphingobium aromaticivorans(CBR),which could completely convert 100 g/L of 1a to(S)-1b.Furthermore,a carbonyl reductase from Novosphingobium sp.Leaf2(NoCR)was identified to completely convert 200 g/L of 1a to(S)-1b with excellent enantioselectivity(>99%ee)and 77%isolated yield using FDH/formate system for NADH regeneration.The K_(m) and k_(cat) of recombinant NoCR towards 1a were 0.66 mmol/L and 7.5 s-1,and the catalytic efficiency k_(cat)/K_(m) was 11.3 mmol/s.L.Meanwhile,NoCR showed high catalytic activity and stereoselectivity towards acetophenone derivatives with halogen or methoxy substitution on the benzene ring,indicating that NoCR is a valuable biocatalyst with potential practical applications. 展开更多
关键词 BIOCATALYSIS Carbonyl reductase Asymmetric reduction Chiral aryl alcohols Lusutrombopag
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