Self-microemulsifying drug delivery systems(SMEDDSs)have recently returned to the limelight of academia and industry due to their enormous potential in oral delivery of biomacromolecules.However,information on gastroi...Self-microemulsifying drug delivery systems(SMEDDSs)have recently returned to the limelight of academia and industry due to their enormous potential in oral delivery of biomacromolecules.However,information on gastrointestinal lipolysis and trans-epithelial transport of SMEDDS is rare.Aggregation-caused quenching(ACQ)fuorescent probes are utilized to visualize the in vivo behaviors of SMEDDSs,because the released probes during lipolysis are quenched upon contacting water.Two SMEDDSs composed of medium chain triglyceride and different ratios of Tween-80 and PEG-400 are set as models,meanwhile Neoral?was used as a control.The SMEDDS droplets reside in the digestive tract for as long as 24 h and obey frst order kinetic law of lipolysis.The increased chain length of the triglyceride decreases the lipolysis of the SMEDDSs.Ex vivo imaging of main tissues and histological examination confrm the trans-epithelial transportation of the SMEDDS droplets.Approximately 2%-4%of the given SMEDDSs are transported via the lymph route following epithelial uptake,while liver is the main termination.Caco-2 cell lines confrm the cellular uptake and trans-epithelial transport.In conclusion,a fraction of SMEDDSs can survive the lipolysis in the gastrointestinal tract,permeate across the epithelia,translocate via the lymph,and accumulate mainly in the liver.展开更多
AIM：To compare the effectiveness and safety between modified cross-linking（MC）and standard cross-linking（SC）in mild or moderate progressive keratoconus.METHODS：Eligible studies were retrieved from four electroni...AIM：To compare the effectiveness and safety between modified cross-linking（MC）and standard cross-linking（SC）in mild or moderate progressive keratoconus.METHODS：Eligible studies were retrieved from four electronic databases,including CENTRAL,Clinical Trials gov,Pup Med and OVID MEDLINE.We set post-surgical maximum K value（Kmax）as the primary outcome.In addition,uncorrected and corrected distant visual acuity（UDVA and UDVA）,spherical equivalent（SE）,endothelial cell density（ECD）,central cornea thickness（CCT）and depth of demarcation line（DDL）were Meta-analyzed as secondary outcomes.Mean differences for these outcomes were pooled through either a random-effect model or fixed-effect model according to data heterogeneity.RESULTS：Twenty-four comparative studies either on accelerated cross-linking（AC）compared with SC or on transepithelial cross-linking（TC）compared with SC were included and pooled for analysis.The results indicated that MC was significantly inferior to SC at delaying Kmax deterioration[AC vs SC 0.49（95%CI：0.04-0.94,I2=75%,P=0.03）;TC vs SC 1.15（95%CI：0.54-1.75,I2=50%,P=0.0002）].SE decreased significantly for SC when compared to AC[0.62（95%CI：0.38-0.86,I2=22%,P〈0.00001）].DDL of SC was more significantly deeper than that of TC[-133.49（95%CI：-145.94 to-121.04,I2=33%,P〈0.00001）].Other outcomes demonstrated comparable results between MC and SC.CONCLUSION：SC is more favorable at halting the progression of keratoconus,but visual acuity improvement showed comparable results between MCs and SC.展开更多
AIM:To investigate the effect of preoperative factors on visual acuity,higher-order aberrations(HOAs),and index of success for spherical change(S.IOS)after transepithelial photorefractive keratectomy(t-PRK)for treatin...AIM:To investigate the effect of preoperative factors on visual acuity,higher-order aberrations(HOAs),and index of success for spherical change(S.IOS)after transepithelial photorefractive keratectomy(t-PRK)for treating different grades of myopia.METHODS:This was a retrospective one-armed cohort study where patients with high,moderate,or mild myopia treated with single-step t-PRK using Amaris 500 Hz excimer laser were evaluated for visual acuity,refractive status,corneal topography,HOAs,S.IOS,and mean efficiency and safety index before and 6 mo after surgery.RESULTS:A total of 154 eyes of 77 patients with mild(n=59),moderate(n=83),and high(n=12)myopia were reviewed.The efficiency and safety indices for vision recovery by single-step t-PRK were 98%and 100%,respectively.The achieved spherical equivalent(SE)was within 1 diopter(D)in 151(98%)eyes.The median of the S.IOS was 1.18[interquartile range(IQR)1.0,1.4].The change in S.IOS was significantly correlated with age(P=0.007),6.5 mm ablation zone(Mann-Whitney U test,P<0.01),and mild and moderate grade of myopia(Kruskal–Wallis test,P<0.001).Trefoil aberration,spherical aberration,and aberration coefficient types of HOA increased significantly(Wilcoxon test,P<0.001)6 mo post-surgery.There was a significant correlation between spherical aberration and aberration coefficient HOAs by myopia grades(P<0.05).CONCLUSION:Single-step t-PRK has promising short-term outcomes for refractive corrections and vision improvement to treat all three grades of myopia.展开更多
基金supported by the National Natural Science Foundation of China(Nos.82030107,81973247,81872815,81872826,and 81690263)Science and Technology Commission of Shanghai Municipality(Nos.19XD1400300,19430741400,and 19410761200,China)。
文摘Self-microemulsifying drug delivery systems(SMEDDSs)have recently returned to the limelight of academia and industry due to their enormous potential in oral delivery of biomacromolecules.However,information on gastrointestinal lipolysis and trans-epithelial transport of SMEDDS is rare.Aggregation-caused quenching(ACQ)fuorescent probes are utilized to visualize the in vivo behaviors of SMEDDSs,because the released probes during lipolysis are quenched upon contacting water.Two SMEDDSs composed of medium chain triglyceride and different ratios of Tween-80 and PEG-400 are set as models,meanwhile Neoral?was used as a control.The SMEDDS droplets reside in the digestive tract for as long as 24 h and obey frst order kinetic law of lipolysis.The increased chain length of the triglyceride decreases the lipolysis of the SMEDDSs.Ex vivo imaging of main tissues and histological examination confrm the trans-epithelial transportation of the SMEDDS droplets.Approximately 2%-4%of the given SMEDDSs are transported via the lymph route following epithelial uptake,while liver is the main termination.Caco-2 cell lines confrm the cellular uptake and trans-epithelial transport.In conclusion,a fraction of SMEDDSs can survive the lipolysis in the gastrointestinal tract,permeate across the epithelia,translocate via the lymph,and accumulate mainly in the liver.
文摘AIM：To compare the effectiveness and safety between modified cross-linking（MC）and standard cross-linking（SC）in mild or moderate progressive keratoconus.METHODS：Eligible studies were retrieved from four electronic databases,including CENTRAL,Clinical Trials gov,Pup Med and OVID MEDLINE.We set post-surgical maximum K value（Kmax）as the primary outcome.In addition,uncorrected and corrected distant visual acuity（UDVA and UDVA）,spherical equivalent（SE）,endothelial cell density（ECD）,central cornea thickness（CCT）and depth of demarcation line（DDL）were Meta-analyzed as secondary outcomes.Mean differences for these outcomes were pooled through either a random-effect model or fixed-effect model according to data heterogeneity.RESULTS：Twenty-four comparative studies either on accelerated cross-linking（AC）compared with SC or on transepithelial cross-linking（TC）compared with SC were included and pooled for analysis.The results indicated that MC was significantly inferior to SC at delaying Kmax deterioration[AC vs SC 0.49（95%CI：0.04-0.94,I2=75%,P=0.03）;TC vs SC 1.15（95%CI：0.54-1.75,I2=50%,P=0.0002）].SE decreased significantly for SC when compared to AC[0.62（95%CI：0.38-0.86,I2=22%,P〈0.00001）].DDL of SC was more significantly deeper than that of TC[-133.49（95%CI：-145.94 to-121.04,I2=33%,P〈0.00001）].Other outcomes demonstrated comparable results between MC and SC.CONCLUSION：SC is more favorable at halting the progression of keratoconus,but visual acuity improvement showed comparable results between MCs and SC.
文摘AIM:To investigate the effect of preoperative factors on visual acuity,higher-order aberrations(HOAs),and index of success for spherical change(S.IOS)after transepithelial photorefractive keratectomy(t-PRK)for treating different grades of myopia.METHODS:This was a retrospective one-armed cohort study where patients with high,moderate,or mild myopia treated with single-step t-PRK using Amaris 500 Hz excimer laser were evaluated for visual acuity,refractive status,corneal topography,HOAs,S.IOS,and mean efficiency and safety index before and 6 mo after surgery.RESULTS:A total of 154 eyes of 77 patients with mild(n=59),moderate(n=83),and high(n=12)myopia were reviewed.The efficiency and safety indices for vision recovery by single-step t-PRK were 98%and 100%,respectively.The achieved spherical equivalent(SE)was within 1 diopter(D)in 151(98%)eyes.The median of the S.IOS was 1.18[interquartile range(IQR)1.0,1.4].The change in S.IOS was significantly correlated with age(P=0.007),6.5 mm ablation zone(Mann-Whitney U test,P<0.01),and mild and moderate grade of myopia(Kruskal–Wallis test,P<0.001).Trefoil aberration,spherical aberration,and aberration coefficient types of HOA increased significantly(Wilcoxon test,P<0.001)6 mo post-surgery.There was a significant correlation between spherical aberration and aberration coefficient HOAs by myopia grades(P<0.05).CONCLUSION:Single-step t-PRK has promising short-term outcomes for refractive corrections and vision improvement to treat all three grades of myopia.
