1.Advances in common long-term complications of Mycoplasma pneumoniae pneumonia
International Journal of Pediatrics 2019;46(1):36-39
Mycoplasma pneumoniae pneumonia (MPP) is one of the most common community-acquired pneumonia (CAP).Some MPP especially the refractory mycoplasma pneumoniae pneumonia (RMPP) and the severe mycoplasma pneumoniae pneumonia may cause bronchiectasia,bronchitis obliterans,bronchiolitis obliterans,unilateral hyperlucent lung and some other long term concurrent diseases.A large number of foreign research show that MP may cause asthma.Most cases of MPP show favourable prognosis,so sometimes the lack knowledge of poor prognosis of MPP bothers clinicians.Therefore,the paper summarizes the long term concurrent diseases of MPP.
2.Progress in minimally invasive surgical treatment of esophageal cancer
Qinghao LIU ; Yuetong ZHAO ; Shijie ZHANG
Clinical Medicine of China 2024;40(4):248-253
Carcinoma of the esophagus is one of the common malignant tumors, and surgical treatment is still the main method for the treatment of esophageal cancer. With the development of thoracoscopic and laparoscopic instruments, minimally invasive esophagectomy is more and more widely used in the treatment of esophageal cancer. At present, minimally invasive esophagectomy mainly includes thoracoscopic and laparoscopic esophagectomy, mediastinoscopic esophagectomy, robot assisted esophagectomy, etc. At present, there are many studies on the comparison between minimally invasive esophagectomy and open esophagectomy. Although it is not clear which minimally invasive surgical method is more superior, each method may be superior to open esophagectomy in terms of blood loss, pulmonary complications and hospital stay. No matter what method is used, surgeons must be trained in a structured system to improve the level of experience required for independent operation. Ultimately, with the implementation of experienced doctors, the minimally invasive method in esophagectomy is superior to open esophagectomy in technically feasible cancer cases.
3.Cocktail hepatocarcinoma therapy by a super-assembled nano-pill targeting XPO1 and ATR synergistically
Liuyun GONG ; Yinliang LU ; Jing WANG ; Xinyue LI ; Jing ZHAO ; Yuetong CHEN ; Rongze MA ; Jinlu MA ; Tianya LIU ; Suxia HAN
Journal of Pharmaceutical Analysis 2023;13(6):603-615
Intensive cancer treatment with drug combination is widely exploited in the clinic but suffers from inconsistent pharmacokinetics among different therapeutic agents.To overcome it,the emerging nanomedicine offers an unparalleled opportunity for encapsulating multiple drugs in a nano-carrier.Herein,a two-step super-assembled strategy was performed to unify the pharmacokinetics of a pep-tide and a small molecular compound.In this proof-of-concept study,the bioinformatics analysis firstly revealed the potential synergies towards hepatoma therapy for the associative inhibition of exportin 1(XPO1)and ataxia telangiectasia mutated-Rad3-related(ATR),and then a super-assembled nano-pill(gold nano drug carrier loaded AZD6738 and 97-110 amino acids of apoptin(AP)(AA@G))was con-structed through camouflaging AZD6738(ATR small-molecule inhibitor)-binding human serum albumin onto the AP-Au supramolecular nanoparticle.As expected,both in vitro and in vivo experiment results verified that the AA@G possessed extraordinary biocompatibility and enhanced therapeutic effect through inducing cell cycle arrest,promoting DNA damage and inhibiting DNA repair of hepatoma cell.This work not only provides a co-delivery strategy for intensive liver cancer treatment with the clinical translational potential,but develops a common approach to unify the pharmacokinetics of peptide and small-molecular compounds,thereby extending the scope of drugs for developing the advanced com-bination therapy.