注射用腺苷钴胺联合物理疗法治疗腰椎间盘突出症的疗效观察

目的通过注射用腺苷钴胺联合物理疗法治疗腰椎盘突出症引起的临床症状产生的效果分析。方法选择2018年8月至2019年8月在我院进行治疗的腰椎间盘突出症患者共80例作为研究对象,将所有患者随机分为治疗组、对照组,对照组患者使用绝对卧床以及物理疗法红光热疗进行治疗,治疗组在对照组患者的治疗基础上加用腺苷钴胺,同时两组适时进行腰背肌锻炼,酌情使用非甾体抗炎镇痛药缓解疼痛症状。将两组患者治疗后各项指标进行对比分析。结果治疗组的麻木症状改善程度明显高于对照组,评定量表(NRS)疼痛评分、Oswestry下腰痛残疾指数(ODI)明显的低于对照组(P<0.05)。治疗过程中未出现腺苷钴胺药物的不良反应。结论在治疗腰椎间盘突出症引起的临床症状中使用腺苷钴胺联合物理疗法配合适时康复训练及非甾体抗炎镇痛药物的使用有显著的疗效。

Stable metallic 1T-WS2 ultrathin nanosheets as a promising agent for near-infrared photothermal ablation cancer therapy

In this study, we present the preparation of stable 1T-WS2 ultrathin nanosheets with NH~ intercalation using a bottom-up hydrothermal method and the potential application of this material in light-induced photothermal cancer therapy. Our results revealed that nanosheets with a size of 150 nm were highly hydrophilic and exhibited strong light absorption and excellent photostability in the broad near-infrared wavelength region. The in vitro experimental results indicated good biocompatibility of the nanosheets. More notably, our in vivo antitumor experiments illustrated that light-induced photothermal ablation originating from irradiation of the 1T-WS2 nanosheets with an 808 nm laser could efficiently kill tumor cells; these effects were obtained not only at the cellular level but also in the living organs of mice. This result may lead to new applications of two-dimensional layered materials in novel photothermal therapies and other photothermal related fields.

Conjugated microporous polymers for near-infrared photothermal control of shape change

Herein,a facile and highly efficient synthetic method to prepare organic photothermal materials with high photo-stability and outstanding photothermal performance is reported.Through direct polymerization of commercial aromatic monomers in the presence of anhydrous aluminium chloride and dichloromethane,four kinds of conjugated microporous polymers(CMPs)were obtained.Detailed structural analysis confirmed that the resultant CMPs possessed abundant micropores with an extendedπ-conjugated skeleton.Under near-infrared(NIR)light irradiation(808 nm,1.0 W cm−2),all the CMPs showed fast heating-up behavior with their maximum temperatures higher than 150℃.Moreover,the efficiency of photothermal conversion(η)of the CMPs was found to increase linearly with the increase in the number of conjugated benzene rings within the monomer.Poly-TPE from tetraphenylethylene(TPE)and Poly-TP from o-terphenyl(TP)showed highηvalues of over 47%.Poly-TPE was additionally used as a photothermal filler to remotely and spatially control the shape recovery of thermal-sensitive shape memory polymers(SMPs),while its introduction(1 wt%)had little influence on the thermal and mechanical properties of the polymer matrixes.Owing to their excellent NIR photothermal performance as well as a one-step synthetic preparation,these CMPs may be promising photothermal materials for practical applications.

Confined structure regulations of molybdenum oxides for efficient tumor photothermal therapy

Molybdenum oxide nanoparticles(NPs) with tunable plasmonic resonance in the near-infrared region display superior semiconducting features and photothermal properties, which are highly related to the crystalline and defective structures such as oxygen deficiencies. However,fundamental understanding on the structure-function relationship between crystalline/defective structures and photothermal properties is still unclear. To address this, herein,we have developed an "in-situ confined oxidation-reduction"strategy to regulate the defect features of molybdenum oxide NPs in the dual-mesoporous silica nanoreactor. Especially, the effects of crystalline structure/oxygen defects of molybdenum oxides on the photothermal performances were investigated by facilely tuning the amount of molybdenum resource and the reduction temperature. As a photothermal nanoagent, the optimal defective molybdenum oxide NPs encapsulated in PEGylated porous silica nanoreactor(designated as MoO_(3)@PPSNs) exhibit excellent biological stability and strong localized surface plasmon resonance effect in nearinfrared absorption range with the highest photothermal conversion efficiency up to 78.7% under 808 nm laser irradiation. More importantly, the remarkable photothermal effects of MoO_(3)@PPSNs were comprehensively demonstrated both in vitro and in vivo. Consequently, we envision that the plasmonic MoO_(3)NPs in a biocompatible porous silica nanoreactor could be used as an efficient photothermal therapy agent for photothermal ablation of tumors.

Chemically exfoliated WS2 nanosheets efficiently inhibit amyloid β-peptide aggregation and can be used for photothermal treatment of Alzheimer＇s disease

Polymerization of amyloid-β peptide （Aβ） into amyloid fibrils is a critical step in the pathogenesis of Alzheimer＇s disease （AD）. Inhibition of Aβ aggregation and destabilization of preformed Aβ fibrils have promising effects against AD and have been used in clinic trials. Herein, we demonstrate, for the first time, the application of WS2 nanosheets, to not only effectively inhibit Aβ aggregation, but also dissociate preformed Aβ aggregates upon near infrared （NIR） irradiation. Additionally, the biocompatible WS2 nanosheets possess the ability to cross the blood-brain barrier （BBB） to overcome the limitations of most previously reported Aβ inhibitors. Through van der Waals and electrostatic interactions between Aβ40 and WS2, Aβ40 monomers can be selectively adsorbed on the surface of the nanosheet to inhibit the Aβ40 aggregation process. Intriguingly, the unique high NIR absorption property of WS2 enables amyloid aggregates to be dissolved upon NIR irradiation. These results will promote biological applications of WS2 and provide new insight into the design of multifunctional nanomaterials for AD treatment.

Light-triggered plasmonic vesicles with enhanced catalytic activity of glucose oxidase for programmable photothermal/starvation therapy

Glucose oxidase(GOx)-based nanotheranostic agents hold great promise in tumor starvation and its synergistic therapy. Self-assembled plasmonic gold vesicles(GVs) with unique optical properties, large hollow cavity, and strong localized surface plasmon resonance, can be used as multi-functional nanocarriers for synergistic therapy. Herein,GOx-loaded GVs(GV-GOx) were developed for light-triggered GOx release as well as enhanced catalytic activity of GOx, achieving programmable photothermal/starvation therapy. Under near-infrared laser irradiation, the GV-GOx generated strong localized hyperthermia due to plasmon coupling effect of GVs, promoting the release of encapsulated GOx and increasing its catalytic activity, resulting in enhanced tumor starvation effect. In addition, the high photothermal effect improved the cellular uptake of GV-GOx and allowed an efficient monitoring of synergistic tumor treatment via photoacoustic/photothermal duplex imaging in vivo. Impressively, the synergistic photothermal/starvation therapy demonstrated complete tumor eradication in 4 T1 tumorbearing mice, verifying superior synergistic anti-tumor therapeutic effects than monotherapy with no apparent systemic side effects. Our work demonstrated the development of a light-triggered nanoplatform for cancer synergistic therapy.