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Success of susceptibility-guided eradication of Helicobacter pylori in a region with high secondary clarithromycin and levofloxacin resistance rates
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作者 Yan-Meng Wang Mo-Ye Chen +4 位作者 Jing Chen Xin-He Zhang Yan Feng Yu-Xi Han Yi-Ling Li 《World Journal of Gastroenterology》 SCIE CAS 2024年第2期184-195,共12页
BACKGROUND Resistance to clarithromycin(CLA)and levofloxacin(LFX)of Helicobacter pylori(H.pylori)is increasing in severity,and successful eradication is essential.Presently,the eradication success rate has greatly dec... BACKGROUND Resistance to clarithromycin(CLA)and levofloxacin(LFX)of Helicobacter pylori(H.pylori)is increasing in severity,and successful eradication is essential.Presently,the eradication success rate has greatly declined,leaving a large number of patients with previous treatment histories.AIM To investigate secondary resistance rates,explore risk factors for antibiotic resistance,and assess the efficacy of susceptibility-guided therapy.METHODS We recruited 154 subjects positive for Urea Breath Test who attended The First Affiliated Hospital of China Medical University between July 2022 and April 2023.Participants underwent a string test after an overnight fast.The gastric juice was obtained and transferred to vials containing storage solution.Subsequently,DNA extraction and the specific DNA amplification were performed using quantitative polymerase chain reaction(qPCR).Demographic information was also analyzed as part of the study.Based on these results,the participants were administered susceptibility-guided treatment.Efficacy was compared with that of the empiric treatment group.RESULTS A total of 132 individuals tested positive for the H.pylori ureA gene by qPCR technique.CLA resistance rate reached a high level of 82.6%(n=109),LFX resistance rate was 69.7%(n=92)and dual resistance was 62.1%(n=82).Gastric symptoms[odds ratio(OR)=2.782;95%confidence interval(95%CI):1.076-7.194;P=0.035]and rural residence(OR=5.152;95%CI:1.407-18.861;P=0.013)were independent risk factors for secondary resistance to CLA and LFX,respectively.A total of 102 and 100 individuals received susceptibility-guided therapies and empiric treatment,respectively.The antibiotic susceptibility-guided treatment and empiric treatment groups achieved successful eradication rates of 75.5%(77/102)and 59.0%(59/411)by the intention-to-treat(ITT)analysis and 90.6%(77/85)and 70.2%(59/84)by the per-protocol(PP)analysis,respectively.The eradication rates of these two treatment strategies were significantly different in both ITT(P=0.001)and PP(P=0.012)analyses.CONCLUSION H.pylori presented high secondary resistance rates to CLA and LFX.For patients with previous treatment failures,treatments should be guided by antibiotic susceptibility tests or regional antibiotic resistance profile. 展开更多
关键词 Helicobacter pylori Antibiotic resistance CLARITHROMYCIN LEVOFLOXACIN String-test Susceptibility-guided therapy Eradication rate
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The Roles of Four Multi-drug Resistance Proteins in Hepatocellular Carcinoma Multidrug Resistance 被引量:8
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作者 李高鹏 陈孝平 +3 位作者 王其 徐宗全 张万广 叶露 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2007年第2期173-175,共3页
The roles of multi-drug resistance protein 1 (MDR1), multi-drug resistance related protein 1 (MRP1), lung resistance protein (LRP) and breast cancer resistance protein (BCRP) in the multi-drug resistance (MDR... The roles of multi-drug resistance protein 1 (MDR1), multi-drug resistance related protein 1 (MRP1), lung resistance protein (LRP) and breast cancer resistance protein (BCRP) in the multi-drug resistance (MDR) of hepatocellular carcinoma (HCC) were studied. By exposing HepG2 cell line to progressively increased concentrations of adriamycin (ADM), HepG2 multi-drug resistant subline (HepG2/ADM) was induced. The MDR index of HepG2/ADM was detected by using MTT. The expressions of the four MDR proteins in the three cell lines (L02, HepG2, HepG2/ADM) were investigated at mRNA and protein levels by real-time RT-PCR and Western blot respectively. Our results showed that when the ADM concentration was under 100 pg/L, HepG2 could easily be induced to be drug-resistant. The IC50 of the HepG2/ADM to ADM was 282 times that of HepG2. The expression of MDR1 and BCRP mRNA in HepG2/ADM cells were 400 and 9 times that of HepG2 cells respectively while there was no difference in the mRNA expressions of MRPl and LRE There was no difference between HepG2 and L02 cells in the mRNA expressions of the four genes. At the protein level, the expressions of MDRI, BCRP and LRP but MRPl in HepG2/ADM were significantly higher than those of HepG2 and L02. Between HepG2 and L02, there was no difference in the expressions of four genes at the protein level. HepG2/ADM is a good model for the study of MDR. The four genes are probably the normally expressed gene in liver. The expressions of MDRl and BCRP could be up-regulated by anti-cancer agents in vitro. The MDR of HCC was mainly due to the up-regulation of MDR1 and BCRP but MRP1 and LRE These findings suggest they may serve as targets for the reversal of MDR of HCC. 展开更多
关键词 multi-drug resistance HCC MDRI BCRP LRP MRPI
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Effects of cooling rate on bio-corrosion resistance and mechanical properties of Mg-1Zn-0.5Ca casting alloy
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作者 王立东 李雪松 +2 位作者 王超 王立民 曹占义 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2016年第3期704-711,共8页
Mg?1Zn?0.5Ca alloys were prepared by traditional steel mould casting and water-cooled copper mould injection casting at higher cooling rate. Microstructure, mechanical properties and bio-corrosion resistance of two al... Mg?1Zn?0.5Ca alloys were prepared by traditional steel mould casting and water-cooled copper mould injection casting at higher cooling rate. Microstructure, mechanical properties and bio-corrosion resistance of two alloys were contrastively investigated. Grain size reduces remarkably and microstructure becomes homogenous when raising cooling rate. The bio-corrosion behaviour in 3.5% sodium chloride solution (3.5% NaCl) and Hank’s solution at 37°C was investigated using electrochemical polarization measurement and the results indicate that the alloy prepared at higher cooling rates has better corrosion resistance in both types of solution. Further mass loss immersion test in Hank’s solution reveals the same result. The reason of corrosion resistance improvement is that raising cooling rate brings about homogeneous microstructure, which leads to micro-galvanic corrosion alleviation. The tensile test results show that yield strength, ultimate tensile strength and elongation are improved by raising cooling rate and the improvement is mainly due to grain refinement. 展开更多
关键词 Mg-1Zn-0.5Ca alloy cooling rate bio-corrosion resistance micro-galvanic corrosion mechanical properties
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Relationship between Methylation Status of Multi-drug Resistance Protein(MRP) and Multi-drug Resistance in Lung Cancer Cell Lines 被引量:3
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作者 柳瑞军 钟竑 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2007年第4期277-282,共6页
Objective: To study the relationship between the methylation status of multi-drug resistance protein (MRP) gene and the expression of its mRNA and protein in lung cancer cell lines. Methods: Human embryo lung cell... Objective: To study the relationship between the methylation status of multi-drug resistance protein (MRP) gene and the expression of its mRNA and protein in lung cancer cell lines. Methods: Human embryo lung cell line WI-38, lung adenocarcinoma cell line SPCA-1 and its drug-resistant cells induced by different concentrations of doxorubicin were treated with restriction endonuclease Eco47III. The methylation status of MRP was examined by PCR, and the expressions of its mRNA and protein were evaluated by in situ hybridization and immunohistochemistry. Results: MRP gene promoter region of WI-38 cells was in hypermethylation status, but the promoter region of MRP in SPCA-1 cells and their resistant derivatives induced by different concentrations of doxorubicin were in hypomethylation status. There were significant differences in the expression of MRP mRNA among WI-38 cell line, SPCA-1 cells and their drug-resistant derivatives induced by different concentration of doxorubicin. Consistently, MRP immunostaining presented similar significant differences. Conclusion: The promoter region of MRP in SPCA-1 lung adenocarcinoma cells was in hypomethylation status. The hypomethylation status of 5' regulatory region of MRP promoter is an important structural basis that can increase the activity of transcription and results in the development of drug resistance in lung cancer. 展开更多
关键词 Lung cancer multi-drug resistance protein(MRP) METHYLATION multi-drug resistance(MDR)
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Apple SERRATE negatively mediates drought resistance by regulating MdMYB88 and MdMYB124 and microRNA biogenesis 被引量:4
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作者 Xuewei Li Pengxiang Chen +7 位作者 Yinpeng Xie Yan Yan Liping Wang Huan Dang Jing Zhang Lingfei Xu Fengwang Ma Qingmei Guan 《Horticulture Research》 SCIE 2020年第1期1388-1398,共11页
The function of serrate(SE)in miRNA biogenesis in Arabidopsis is well elucidated,whereas its role in plant drought resistance is largely unknown.In this study,we report that MdSE acts as a negative regulator of apple(... The function of serrate(SE)in miRNA biogenesis in Arabidopsis is well elucidated,whereas its role in plant drought resistance is largely unknown.In this study,we report that MdSE acts as a negative regulator of apple(Malus×domestica)drought resistance by regulating the expression levels of MdMYB88 and MdMYB124 and miRNAs,including mdm-miR156,mdm-miR166,mdm-miR172,mdm-miR319,and mdm-miR399.MdSE interacts with MdMYB88 and MdMYB124,two positive regulators of apple drought resistance.MdSE decreases the transcript and protein levels of MdMYB88 and MdMYB124,which directly regulate the expression of MdNCED3,a key enzyme in abscisic acid(ABA)biosynthesis.Furthermore,MdSE is enriched in the same region of the MdNECD3 promoter where MdMYB88/MdMYB124 binds.Consistently,MdSE RNAi transgenic plants are more sensitive to ABA-induced stomatal closure,whereas MdSE OE plants are less sensitive.In addition,under drought stress,MdSE is responsible for the biogenesis of mdm-miR399,a negative regulator of drought resistance,and negatively regulates miRNAs,including mdm-miR156,mdm-miR166,mdm-miR172,and mdm-miR319,which are positive regulators of drought resistance.Taken together,by revealing the negative role of MdSE,our results broaden our understanding of the apple drought response and provide a candidate gene for apple drought improvement through molecular breeding. 展开更多
关键词 DROUGHT resistance rate
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The status of Chinese medicine in reversing multi-drug resistance of hepatocellular carcinoma 被引量:3
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作者 Shengli Yang Yunxia Wang Xiaoli Pan Zhifan Xiong 《The Chinese-German Journal of Clinical Oncology》 CAS 2011年第9期541-546,共6页
Multi-drug resistance(MDR) is a major obstacle in the chemotherapy of hepatocellular carcinoma.Comparing with western reversal agents,traditional Chinese medicine have advantages of low cost,hypotoxicity,wide safety r... Multi-drug resistance(MDR) is a major obstacle in the chemotherapy of hepatocellular carcinoma.Comparing with western reversal agents,traditional Chinese medicine have advantages of low cost,hypotoxicity,wide safety range,broad-spectrum and multi-targets,etc.Therefore,traditional Chinese medicine may be expected to open up a new path to reverse MDR of liver cancer.Studies about applying traditional Chinese medicine to reverse MDR in hepatocellular carcinoma are outlined below. 展开更多
关键词 Chinese medicine multi-drug resistance reversing hepatocellular carcinoma
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Preparation and performance evaluation of the slickwater using novel polymeric drag reducing agent with high temperature and shear resistance ability
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作者 Ming-Wei Zhao Zhen-Feng Ma +5 位作者 Cai-Li Dai WeiWu Yong-Quan Sun Xu-Guang Song Yun-Long Cheng Xiang-Yu Wang 《Petroleum Science》 SCIE EI CAS CSCD 2024年第2期1113-1121,共9页
Slickwater fracturing fluids are widely used in the development of unconventional oil and gas resources due to the advantages of low cost,low formation damage and high drag reduction performance.However,their performa... Slickwater fracturing fluids are widely used in the development of unconventional oil and gas resources due to the advantages of low cost,low formation damage and high drag reduction performance.However,their performance is severely affected at high temperatures.Drag reducing agent is the key to determine the drag reducing performance of slickwater.In this work,in order to further improve the temperature resistance of slickwater,a temperature-resistant polymeric drag reducing agent(PDRA)was synthesized and used as the basis for preparing the temperature-resistant slickwater.The slickwater system was prepared with the compositions of 0.2 wt%PDRA,0.05 wt%drainage aid nonylphenol polyoxyethylene ether phosphate(NPEP)and 0.5 wt%anti-expansion agent polyepichlorohydrindimethylamine(PDM).The drag reduction ability,rheology properties,temperature and shear resistance ability,and core damage property of slickwater were systematically studied and evaluated.In contrast to on-site drag reducing agent(DRA)and HPAM,the temperature-resistant slickwater demonstrates enhanced drag reduction efficacy at 90℃,exhibiting superior temperature and shear resistance ability.Notably,the drag reduction retention rate for the slickwater achieved an impressive 90.52%after a 30-min shearing period.Additionally,the core damage is only 5.53%.We expect that this study can broaden the application of slickwater in high-temperature reservoirs and provide a theoretical basis for field applications. 展开更多
关键词 Unconventional resources Polymeric drag reducing agent Slickwater High drag reduction rate Temperature resistance
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Diagnostic and therapeutic progress of multi-drug resistance with anti-HBV nucleos(t)ide analogues 被引量:8
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作者 Zhuo-Lun Song Yu-Jun Cui +2 位作者 Wei-Ping Zheng Da-Hong Teng Hong Zheng 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第48期7149-7157,共9页
Nucleos(t)ide analogues(NA) are a breakthrough in the treatment and management of chronic hepatitis B.NA could suppress the replication of hepatitis B virus(HBV) and control the progression of the disease.However,drug... Nucleos(t)ide analogues(NA) are a breakthrough in the treatment and management of chronic hepatitis B.NA could suppress the replication of hepatitis B virus(HBV) and control the progression of the disease.However,drug resistance caused by their long-term use becomes a practical problem,which influences the long-term outcomes in patients.Liver transplantation is the only choice for patients with HBV-related end-stage liver disease.But,the recurrence of HBV after transplantation often caused by the development of drug resistance leads to unfavorable outcomes for the recipients.Recently,the multi-drug resistance(MDR) has become a common issue raised due to the development and clinical application of a variety of NA.This may complicate the antiviral therapy and bring poorly prognostic outcomes.Although clinical evidence has suggested that combination therapy with different NA could effectively reduce the viral load in patients with MDR,the advent of new antiviral agents with high potency and high genetic barrier to resistance brings hope to antiviral therapy.The future of HBV researches relies on how toprevent the MDR occurrence and develop reasonable and effective treatment strategies.This review focuses on the diagnostic and therapeutic progress in MDR caused by the anti-HBV NA and describes some new research progress in this field. 展开更多
关键词 Hepatitis B virus multi-drug resistance Nucleos(t)ide analogues Gene mutation Liver transplantation
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Molecular characterization of antimicrobial multi-drug resistance in non-typhoidal Salmonellae from chicken and clam in Mangalore, India 被引量:2
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作者 Yemisi Olukemi Adesiji Santhosh Kogaluru Shivakumaraswamy +2 位作者 Vijaya Kumar Deekshit Girisha Shivani Kallappa Indrani Karunasagar 《The Journal of Biomedical Research》 CAS CSCD 2018年第3期237-244,共8页
Salmonella enterica has been documented as one of the leading causes of salmonellosis throughout the world and is most commonly associated with the consumption of contaminated food products. Thus, this research was ai... Salmonella enterica has been documented as one of the leading causes of salmonellosis throughout the world and is most commonly associated with the consumption of contaminated food products. Thus, this research was aimed at studying the antimicrobial susceptibility pattern and detection of quinolone resistance in Salmonella spp isolated from food of animal origin. Thirty-six Salmonella isolates comprising 8 from poultry and 28 from seafood(clams) were identified, serotyped and characterized for their antimicrobial susceptibility against 10 different antibiotics. Plasmid DNA was isolated from all the isolates by alkaline lysis, quinolone resistant non-typhoidal S. Weltevreden were examined for mutation in the DNA gyrase coding gene. Among the 36 Salmonella isolates, 20 were S. weltevreden(8 from poultry and 12 from seafood) and 16 were S. Typhimurium(from seafood). All the isolates showed multiple resistance to nalidixic acid, tetracycline, co-trimoxazole and nitrofurantoin, but, interestingly, the isolates were 100% susceptible to ampicillin, chloramphenicol and gentamicin. Resistant isolates from the study carried the genes responsible for resistance to respective antibiotics. The strain S130 isolated in the study showed single point mutation,Asp87Gly, at position 87 in quinolone resistance determining region. It revealed mutation in quinolone resistance determining region as a cause for quinolone resistance in non-typhoidal Salmonellae. The occurrence of genes accountable for plasmid mediated resistance to quinolones(viz., qnrA, qnrB and qnrS) in plasmid of non-typhoidal Salmonellae isolates provides evidence for plasmid mediated quinolone resistance. 展开更多
关键词 mutation multi-drug resistant non-typhoidal Salmonellae plasmid mediated quinolone resistance quinolone resistance determining region
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Multi-Drug Resistance Pattern of Lactose Non-Fermenting <i>Escherichia coli</i>as Causative Agent of Urine Tract Infections in Luanda, Angola 被引量:1
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作者 Aleksey Shatalov 《Open Journal of Medical Microbiology》 2019年第1期1-7,共7页
This prospective study was carried out to assess the sensitivity and resistance pattern of lactose non-fermenting Escherichia coli from July 2018 to December 2018 in the Laboratory of Microbiology at Luanda Medical Ce... This prospective study was carried out to assess the sensitivity and resistance pattern of lactose non-fermenting Escherichia coli from July 2018 to December 2018 in the Laboratory of Microbiology at Luanda Medical Center, Angola. Out of 1170 patient, a total of 120 urine specimens infected with Escherichia coli (>105 CFU/ml) were collected according to the routine protocol of urinalysis. Among these 120 isolates, 25 (21%) isolates were determined as “atypical”, lactose non-fermenting E. colis trains. The twenty-five lactose non-fermenting Escherichia coli strains isolated from urine samples in Luanda Medical Center were declared as Multiple Drugs-Resistant strains with high resistance to Cefalexine (100%), Cefuroxime (100%), Ceftriaxone (92%), Gentamycin (92%), Ciprofloxacin (72%) and Amoxiciclin/Clavulanic (80%). The alarming resistance level to the first-choice drugs for the treatment of urinary tract infections caused by non-fermentative lactose E. coli was observed. 展开更多
关键词 Escherichia coli multi-drugs resistance (MDR) LACTOSE Non-Fermenting URINE Tract Infections Colony Forming Unit (CFU)
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Effect of Cooling Rate after hot Deformation on Structure and Mechanical Properties of Low Alloy Wear Resistance Cast iron
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作者 刘剑平 李丽霞 《Journal of Rare Earths》 SCIE EI CAS CSCD 2007年第S2期258-261,共4页
The effect of cooling rate after 40% hot deformation on structure and mechanical properties of low alloy wear resistance cast iron was investigated by metallographic, scanning electron microscopes and detection of pro... The effect of cooling rate after 40% hot deformation on structure and mechanical properties of low alloy wear resistance cast iron was investigated by metallographic, scanning electron microscopes and detection of properties. The results show that for the cast steel after deformed, the amount of granular carbides of precipitation during the cooling decreased with the increase of the cooling rate, but the hardness was obviously enhanced, as a result, better mechanical properties will be obtained by force air cooling(cooling rate is about 7 ℃·s-1). And the reason of the change for structure and mechanical properties of the cast steel were analyzed. 展开更多
关键词 hot deformation low alloy wear resistance cast iron cooling rate structure and mechanical properties rare earths
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Reversal of Multi-Drug Resistance by Vector-Based-ShRNA-Mdr1 In Vitro and In Vivo
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作者 卢实 黄畦 +2 位作者 王泽华 宋银峰 王丽君 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2009年第5期620-624,共5页
In order to investigate the effects of vector-based hairpin small interference RNA (shRNA) on the reversal of multi-drug resistance (mdr) of A2780/Taxol cells, a novel vector pEGFP-HI/mdrl containing mdrl-shRNA ta... In order to investigate the effects of vector-based hairpin small interference RNA (shRNA) on the reversal of multi-drug resistance (mdr) of A2780/Taxol cells, a novel vector pEGFP-HI/mdrl containing mdrl-shRNA targeting at position 2943-2963 of mdrl was designed and synthesized. Subsequently, A2780/Taxol cells were transfected with pEGFP-H1/rndrl, and the expression ofmdrl mRNA and P-gp was detected by using RT-PCR and Western blot respectively. MTT was used to measure the 50% inhibition concentration (IC50) of Taxol to A2780/Taxol cells. The results showed that at the 24th and 48th h after transfection, the expression of mdrl mRNA was decreased to (52.1±1.0)% and (0.01±1.7)%, and that of P-gp decreased to (88.3±2.1)% and 0%, respectively. At the 48th h after transfection, the relative reversal rate of A2780/Taxol cells to Taxol was 69.54%. In vivo, the nude mice xenografts were injected with pEGFP-H1/mdrl, and then administrated Taxol. The tumor volume in pEGFP-H1/mdrl-transfected group was significantly reduced as compared with that in blank control group or pEGFP-Hl-transfected group (807.20±103.16 vs 1563.78±210.54 or 1480.78±241.24 mm^3, both P〈0.01). These results suggested that transfection of pEGFP-HI/mdrl could efficiently down-regulate the expression of mdrl mRNA and P-gp in A2780/Taxol cells, and effectively restore the sensitivity of A2780/Taxol ceils to Taxol both in vitro and in vivo. 展开更多
关键词 RNA interference multi-drug resistance gene therapy
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The expression and significance of multi-drug resistance genes in breast cancer stem cells
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作者 Zhi Li Chunping Liu Yanli He Jinghui Zhang Tao Huang 《The Chinese-German Journal of Clinical Oncology》 CAS 2008年第9期538-541,共4页
Objective: To approach the expressions of MDR1 and BCRP in breast cancer stem cells and differentiated cells. Methods: The breast cancer stem cells were separated from human breast cancer primary tissues and MCF-7 by ... Objective: To approach the expressions of MDR1 and BCRP in breast cancer stem cells and differentiated cells. Methods: The breast cancer stem cells were separated from human breast cancer primary tissues and MCF-7 by flow cytometry. Then we measured the expressions of MDR1 and BCRP with different subset cells by Realtime-PCR. Results: Contrasted with breast cancer differentiated cells, the expressions of MDR1 and BCRP in breast cancer stem cells were higher (P < 0.01), and the proportion of stem cells rose after chemotherapy (P < 0.01). Conclusion: Contrasted with breast cancer differentiated cells, breast cancer stem cells have stronger ability of drug-resistance with higher level of multi-drug resistance genes, and it is one of key points for chemotherapy failure of breast cancer. 展开更多
关键词 stem cell breast cancer CHEMOTHERAPY multi-drug resistance
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Antibiotic Resistance of <i>Helicobacter pylori</i>and Eradication Rate in Japanese Pediatric Patients
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作者 Tamaki Ikuse Yo Aoyagi +6 位作者 Naho Obayashi Keisuke Jimbo Takahiro Kudo Yoshikazu Ohtsuka Thomas G. Blanchard Steven J. Czinn Toshiaki Shimizu 《Advances in Microbiology》 2017年第4期241-252,共12页
Helicobacter pylori (H. pylori) eradication rates achieved with a proton pump inhibitor (PPI), amoxicillin and clarithromycin have recently decreased to about 75% because of the increase in clarithromycin resistance i... Helicobacter pylori (H. pylori) eradication rates achieved with a proton pump inhibitor (PPI), amoxicillin and clarithromycin have recently decreased to about 75% because of the increase in clarithromycin resistance in Japan. In the present study, H. pylori resistance rates against clarithromycin, amoxicillin and metronidazole were investigated in pediatric patients and eradication rates were evaluated when tailored antibiotics regimens based on antibiotic sensitivity data were used. We isolated H. pylori endoscopically from 77 pediatric patients suffering from abdominal symptoms. The susceptibility tests of H. pylori strains to clarithromycin, amoxicillin and metronidazole were examined and eradication therapy was tailored using the appropriate antibiotics. Seventy-seven patients were treated with a mean age of 12.16 ± 3.34 years (range, 4.92-19.75) consisting of 40 males and 37 females. The average resistance rates between 1998 and 2016 to clarithromycin, amoxicillin and metronidazole were 54.5% (42 of 77), 6.5% (5 of 77) and 5.2% (4 of 77) respectively. The prevalence of clarithromycin resistance increased significantly over time to reach 88.9% by 2013-2016. Successful eradication rates using tailored antibiotic treatment was 93.8% (61 of 65). Clarithromycin-based eradication therapy rate reached 92.6% against clarithromycin-sensitive strains. Metronidazole-based initial eradication therapy also had a high successful rate (97.0%) to clarithromycin-resistant strains. Although high rates of clarithromycin resistant H. pylori reaching about 90% were observed in Japanese children, tailored eradication therapy using the appropriate antibiotic agents were highly successful. H. pylori sensitivity testing and eradication therapy with appropriate antibacterial agents may contribute to accomplishment of high initial eradication rates and consequently reducing the incidence of developing gastric cancer. 展开更多
关键词 resistance ERADICATION rate Susceptibility Test CLARITHROMYCIN METRONIDAZOLE
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Cancerous multi-drug resistance is reduced by Leptomycin B treatment in CCRF-CEM/Taxol cellsCancerous multi-drug resistance is reduced by Leptomycin B treatment in CCRF-CEM/Taxol cells
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作者 Jin-Wu Zhu Yong-Xiang Zhang Yong-Biao Guan 《Health》 2012年第10期845-855,共11页
Objectives: Multi-drug resistance (MDR) to chemotherapy remains a major obstacle to overcome in the successful treatment of patients with cancers. It was recently discovered that Leptomycin B (LMB) reduces the paclita... Objectives: Multi-drug resistance (MDR) to chemotherapy remains a major obstacle to overcome in the successful treatment of patients with cancers. It was recently discovered that Leptomycin B (LMB) reduces the paclitaxel-induced MDR in CCRF-CEM/Taxol cells. However, the mechanism remains unclear. Here we sought to explore the mechanism of LMB to reduce the MDR induced by paclitaxel. Results: LMB has remarkable cytotoxic effects in both sensitive CCRF-CEM and resistant CCRF-CEM/Taxol cell lines. The paclitaxel-induced MDR was reduced by 0.013 μm of LMB. Lower concentration of LMB regulated cell cycle progress, in situ expressions of P-gp, MRP1, and LRP, expression of CRM1, and localization of P-gp and CRM1 in CCRF-CEM/taxol cells. Study Design: Cytotoxicity of LMB on cancerous cell lines was determined by MTT assay. Cell cycle progress and in situ expressions of P-gp, MRP1, and LRP were analyzed by flow cytometry. Expression of CRM1 in the cells was examined by Western blot. And co-localization between P-gp and CRM1 was determined by laser confocal microscopy. Conclusion: The paclitaxel-induced MDR of CCRFCEM/Taxol cells was reduced by lower concentration of LMB. The mechanisms might be related to decreasing in situ expression of drug transporter proteins, promoting cell cycle progress, and altering co-localization between P-gp and CRM1 in the resistant cells. 展开更多
关键词 Leptomycin B CCRF-CEM multi-drug resistance CRM1 PACLITAXEL
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Isolation of Multi-Drug Resistant Paenibacillus sp. from Fertile Soil: An Imminent Menace of Spreading Resistance
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作者 Pallavi B. Pednekar Roopesh Jain +1 位作者 Narsinh L. Thakur Girish B. Mahajan 《Journal of Life Sciences》 2010年第5期15-19,共5页
There are a good number of reports in the literature stating spread of resistance from normal soil flora to nosocomial microorganism through various ways. Similarly during the study of antimicrobial susceptibility pat... There are a good number of reports in the literature stating spread of resistance from normal soil flora to nosocomial microorganism through various ways. Similarly during the study of antimicrobial susceptibility pattern in the microflora, a multidrug resistant bacterium has been isolated from soil collected in Maharashtra state (India). The bacterium exhibited a resistance to various classes of antibiotics namely glycopeptide, beta-lactams, aminoglycosides, macrolides and lincosomides. The bacterial strain showed its resemblance to the genus Paenibacillus. This constitutes the first report of its kind as to the multi-drug resistance trait in the genus Paenibacillus phenotype, especially in close phylogenetic neighbour of Paenibacillus daejeonensis. The resistance pattern displayed by this strain particularly highlights the possible presence of multiple resistant determinants in microflora of the soil rhizosphere. In view of the recent reports about the Paenibacillus spp. in clinical derived strains, such multi-drug resistance factors in this genus adds to menace of transmission of resistance to common soil originating pathogen. The data also supports the fact that the resistances to certain antibiotics need not always be due to exposure to particular antibiotic or similar substance. 展开更多
关键词 Paenibacillus daejeonensis multi-drug resistant PAENIBACILLUS
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Analysis of Multi-Drug Resistant Organism Surveillance and Antimicrobial Resistance Early Warning in a Hospital in 2022
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作者 Henggui Xu Qinggui Zhao 《Journal of Clinical and Nursing Research》 2023年第3期60-69,共10页
Objective:To determine the clinical distribution of multi-drug resistant organism(MDRO)in Jiangyan Hospital and the monitoring and warning of drug-resistance bacteria to provide an important basis for guiding the appl... Objective:To determine the clinical distribution of multi-drug resistant organism(MDRO)in Jiangyan Hospital and the monitoring and warning of drug-resistance bacteria to provide an important basis for guiding the application of broad-spectrum antibiotics in clinical treatment and reducing the occurrence of nosocomial infection.Methods:Retrospective screening and analysis were conducted on the pathogenic strains of hospitalized patients in our hospital in 2022.Results:A total of 2,769 strains of pathogenic bacteria and 390 strains of MDRO were detected and isolated in our hospital in 2022;the detection rate of MDRO was 14.08%.A total of 516 strains(18.64%)Klebsiella pneumoniae(KP)and 62 strains(12.02%)of carbapenem-resistant Klebsiella pneumoniae(CR-KP)were detected;436 strains(15.75%)of Escherichia coli(ECO)were detected,including 8 strains(1.83%)of CR-ECO;342 strains(12.35%)of Pseudomonas aeruginosa(PA)and 116 strains(33.92%)of CR-PA were detected;there were 194 strains(7.01%)of Acinetobacter baumannii(AB),among which 125 strains(64.43%)were CR-AB;there were 291 strains(10.51%)of Staphylococcus aureus,among which 79 strains(27.15%)of methicillin-resistant Staphylococcus aureus(MRSA)were detected;78 strains(2.82%)of Enterococcus faecalis were detected,and vancomycin-resistant enterococcus(VRE)was not detected.The first five MDROs were CR-AB,CR-PA,MRSA,CR-KP,and CR-ECO.The top five departments with the highest MDRO detection rate in 2022 were the ICU(37.44%),the Pulmonology Department(ward 13;31.03%),the Department of Rehabilitation(ward 5;6.67%),the Department of Neurosurgery(ward 11;4.62%),and the Department of General Surgery(ward 10;3.59 The resistance rate of antibacterial drugs is divided into four levels for early warning:30%to 40%,41%to 50%,51%to 75%,and 75%or more.Conclusion:Our hospital should strengthen the monitoring of antimicrobial resistance warning related to MDRO and the abuse of antimicrobial drugs.Based on the results of drug sensitivity and antimicrobial resistance warning,the use of antibiotics should be standardized in clinical practice to reduce nosocomial infection。 展开更多
关键词 Antimicrobial resistance ANTIBIOTICS Early warning multi-drug resistant organism
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Corrosion resistance of 2195 aluminum alloy treated by multi-step-heating-rate controlled process
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作者 许越 刘玉峰 耿季平 《中国有色金属学会会刊:英文版》 CSCD 2006年第A03期1528-1531,共4页
2195 aluminum-lithium alloy was widely applied in the aviation and aerospace industry, but it is highly susceptible to pitting and intergranular corrosion undergoing sever corrosive circumstance and moisture atmospher... 2195 aluminum-lithium alloy was widely applied in the aviation and aerospace industry, but it is highly susceptible to pitting and intergranular corrosion undergoing sever corrosive circumstance and moisture atmosphere. To solve this problem and consequently to prolong its service life, a multi-step-heating-rate(MSRC) process was carried out. Investigations were carried out to find the effect of the MSRC process on the alloys corrosion resistance. It is found that the MSRC process is more favorable for the uniform phase precipitation by comparing the corrosion resistance of samples treated by traditional heat treatments. The potential difference between phases can be reduced and intergranular corrosion is able to be prohibited efficiently. Besides, the rare earth infiltration is beneficial to improving the corrosion resistance. As heating time increases, the corrosion resistance declines gradually, samples treated by artificial aging and solid solution also exhibit a better corrosion resistance. 展开更多
关键词 金属腐蚀 抗蚀性 热处理 铝合金 结构材料
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Effect of purification treatment on corrosion resistance of Mg-Gd-Y-Zr alloy 被引量:8
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作者 王杰 杨院生 童文辉 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2011年第4期949-954,共6页
Mg-Gd-Y-Zr alloys were purified by filtering purification with and without vacuum. The type, morphology, size distribution and volume fraction of inclusion were analyzed with OM and SEM. The effect of inclusion in Mg-... Mg-Gd-Y-Zr alloys were purified by filtering purification with and without vacuum. The type, morphology, size distribution and volume fraction of inclusion were analyzed with OM and SEM. The effect of inclusion in Mg-Gd-Y-Zr alloys on anticorrosion ability was investigated with salt spray test and electrochemical test. The results show that the inclusions in the alloy can be removed effectively by filtering purification. The average size of inclusions in the alloys is decreased from 12.7 μm to 2.0 μm and the volume fraction of inclusions is reduced from 0.30% to 0.04%. With the decrease of the size of inclusions in the alloys, the corrosion rate of the alloys decreases dramatically from 38.8 g/(m 2 ·d) to 2.4 g/(m 2 ·d) in the salt spray test. The corrosion potential increases while the corrosion current decreases and the polarization resistance increases in the electrochemical tests, which indicates that the anticorrosion ability is improved. 展开更多
关键词 Mg-Gd-Y-Zr alloy filtering purification INCLUSION corrosion rate polarization curve polarization resistance
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Effect of additive BaO on corrosion resistance of xCu/(10NiO-NiFe_2O_4) cermet inert anodes for aluminum electrolysis 被引量:5
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作者 何汉兵 肖汉宁 周科朝 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2011年第1期102-108,共7页
xCu/(10NiO-NiFe2O4) cermet and 1BaO-xCu/(10NiO-NiFe2O4) cermet(x=5,10,17) inert anodes were prepared as potential inert anodes for aluminum electrolysis and their corrosion resistance to traditional electrolyte ... xCu/(10NiO-NiFe2O4) cermet and 1BaO-xCu/(10NiO-NiFe2O4) cermet(x=5,10,17) inert anodes were prepared as potential inert anodes for aluminum electrolysis and their corrosion resistance to traditional electrolyte was studied with anodic current density of 1.0 A/cm2 in laboratory electrolysis.The substantial corrosion of metal Cu was observed,many pores appeared on the surface of anode and electrolytes infiltrated inside anodes during the electrolysis.The wear rates of 5Cu/(10NiO-NiFe2O4),10Cu/(10NiO-NiFe2O4),17Cu/(10NiO-NiFe2O4),1BaO-5Cu/(10NiO-NiFe2O4),1BaO-10Cu/(10NiO-NiFe2O4) and 1BaO-17Cu/(10NiO-NiFe2O4) are 2.15,6.50,8.30,4.88,4.70 and 4.48 cm/a,respectively.The addition of BaO to 10Cu/(10NiO-NiFe2O4) cermet and 17Cu/(10NiO-NiFe2O4) cermet is advantageous because BaO can effectively promote densification and thus improve corrosion resistance.But the addition of BaO to 5Cu/(10NiO-NiFe2O4) cermet is unfavorable to corrosion resistance because additive BaO at the grain boundary of anode accelerates possibly the corrosion of cermet. 展开更多
关键词 BAO inert anode aluminum electrolysis CERMET corrosion resistance wear rate
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