724 research outputs found

    Multiple Sclerosis: LIFNano-CD4 for Trojan Horse Delivery of the Neuro-Protective Biologic “LIF” Into the Brain: Preclinical Proof of Concept

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    Multiple sclerosis (MS) is a demyelinating autoimmune disease that attacks the brain, with year-on-year loss of brain volume, starting late teens and becoming manifest late twenties. There is no cure, and current therapies are immunosuppressive only. LIF is a vital stem cell growth factor active throughout life—and essential for health of the central nervous system (CNS), being tolerogenic, myelinogenic, and neuroprotective. Nano-formulation of LIF (LIFNano) using FDA-approved PLGA captures LIF's compound therapeutic properties, increasing potency 1,000-fold when targeted to CD4 (LIFNano-CD4). Moreover, circulating CD4+ lymphocytes are themselves regulated by LIF to express the Treg phenotype, known to release T cell-derived LIF upon engagement with cognate antigen, perpetuating antigen-specific self-tolerance. With the longer-term aim of treating inflammatory lesions of MS, we asked, does LIFNano-CD4 cross the blood–brain barrier (BBB)? We measure pK and pD using novel methodologies, demonstrate crossing of the BBB, show LIF-cargo-specific anti-inflammatory efficacy in the frontal cortex of the brain, and show safety of intravenous delivery of LIFNano-CD4 at doses known to provide efficacious concentrations of LIF cargo behind the BBB

    Pharmacokinetics and Pharmacodynamics of the Nitroimidazole DNDI-0690 in Mouse Models of Cutaneous Leishmaniasis.

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    The nitroimidazole DNDI-0690 is a clinical drug candidate for visceral leishmaniasis (VL) that also shows potent in vitro and in vivo activity against cutaneous leishmaniasis (CL). To support further development of this compound into a patient-friendly oral or topical formulation for the treatment of CL, we investigated the free drug exposure at the dermal site of infection and subsequent elimination of the causative Leishmania pathogen. This study evaluates the pharmacokinetics (PK) and pharmacodynamics (PD) of DNDI-0690 in mouse models of CL. Skin microdialysis and Franz diffusion cell permeation studies revealed that DNDI-0690 permeated poorly (<1%) into the skin lesion upon topical drug application (0.063% [wt/vol], 30 μl). In contrast, a single oral dose of 50 mg/kg of body weight resulted in the rapid and nearly complete distribution of protein-unbound DNDI-0690 from the plasma into the infected dermis (ratio of the area under the curve [0 to 6 h] of the free DNDI-0690 concentration in skin tissue to blood [fAUC0-6 h, skin tissue/fAUC0-6 h, blood] is greater than 80%). Based on in vivo bioluminescence imaging, two doses of 50 mg/kg DNDI-0690 were sufficient to reduce the Leishmania mexicana parasite load by 100-fold, while 6 such doses were needed to achieve similar killing of L. major; this was confirmed by quantitative PCR. The combination of rapid accumulation and potent activity in the Leishmania-infected dermis indicates the potential of DNDI-0690 as a novel oral treatment for CL

    Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

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    Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

    Campañas - PU122 201801

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    El curso integra todos los conocimientos y habilidades que el alumno ha adquirido en los ciclos anteriores y pretende simular el trabajo que se realiza en una agencia de publicidad considerando sus tres áreas principales: Planning, Creatividad y Medios, complementando este aprendizaje con el desarrollo de las competencias específicas de Estrategia Comunicacional, Creatividad y Ejecución Publicitaria que le permitirán diseñar y evaluar estrategias pertinentes de acuerdo a los objetivos establecidos. La comunicación publicitaria requiere de estrategias coherentes y consistentes a lo largo del tiempo, trabajadas de manera creativa y difundidas a través del mix adecuado de medios de comunicación

    Campañas - PU122 - 202101

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    El curso integra todos los conocimientos y habilidades que el alumno ha adquirido en los ciclos anteriores y pretende simular el trabajo que se realiza en una agencia de publicidad considerando sus tres áreas principales: Planning, Creatividad y Medios, complementando este aprendizaje con el desarrollo de las competencias específicas de Estrategia Comunicacional, Creatividad y Ejecución Publicitaria que le permitirán diseñar y evaluar estrategias pertinentes de acuerdo a los objetivos establecidos. La comunicación publicitaria requiere de estrategias coherentes y consistentes a lo largo del tiempo, trabajadas de manera creativa y difundidas a través del mix adecuado de medios de comunicación

    Campañas - PU122 - 202102

    No full text
    El curso integra todos los conocimientos y habilidades que el alumno ha adquirido en los ciclos anteriores y pretende simular el trabajo que se realiza en una agencia de publicidad considerando sus tres áreas principales: Planning, Creatividad y Medios, complementando este aprendizaje con el desarrollo de las competencias específicas de Estrategia Comunicacional, Creatividad y Ejecución Publicitaria que le permitirán diseñar y evaluar estrategias pertinentes de acuerdo a los objetivos establecidos. La comunicación publicitaria requiere de estrategias coherentes y consistentes a lo largo del tiempo, trabajadas de manera creativa y difundidas a través del mix adecuado de medios de comunicación

    FĂ­sica - MA651 - 202102

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    Descripción: Física es un curso general que corresponde a la línea de Física para la carrera de Arquitectura, de carácter teórico-práctico. Propósito: Este curso está dirigido a estudiantes del segundo ciclo, que busca desarrollar las competencias generales de razonamiento cuantitativo en el nivel 1. El curso brinda el soporte de conceptos físicos necesarios para que el estudiante de arquitectura analice, cuantifique magnitudes físicas, desarrolle estrategias y habilidades básicas para resolver problemas de Fluidos, calor, electricidad, ondas y equilibrio estático, usando leyes físicas que son esenciales para el estudio de todas las Ciencias Naturales, su aplicación en la vida cotidiana

    FĂ­sica II - MA462 - 202102

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    1 Descripción: Es el segundo curso de la línea de Física que desarrolla los principios de electricidad y magnetismo basada en el cálculo, que son esenciales para el estudio de todas las Ciencias Naturales, su aplicación a la vida cotidiana y la tecnología. Propósito: El curso de Física II desarrolla la competencia de razonamiento cuantitativo en el nivel 2, está dirigido a estudiantes del cuarto ciclo para las carreras de Ingeniería Civil, Industrial, Electrónica, Mecatrónica, Sistemas de Información y Software, y a estudiantes del quinto ciclo para la carrera de Ingeniería de Gestión Minera, cuenta con pre-requisito de Física I. Este curso brinda el soporte de conceptos físicos que requiere el estudiante de ingeniería, necesarios para las asignaturas posteriores propias de cada especialidad

    FĂ­sica I - MA466 - 202102

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    Descripción: Es el primer curso de la línea de Física que desarrolla los principios fundamentales de la mecánica (cinemática, dinámica, leyes de conservación, oscilaciones y elasticidad) basada en el cálculo, que son esenciales para el estudio de todas las Ciencias Naturales, su aplicación en la vida cotidiana y la tecnología. Propósito: El curso de Física I desarrolla la competencia de razonamiento cuantitativo en el nivel 2, Está dirigido a estudiantes del tercer ciclo para las carreras de Ingeniería Civil, Electrónica, Industrial, Mecatrónica, Gestión Minera, Sistemas de Información y Software y a estudiantes del cuarto ciclo para las carreras de Ingeniería de Gestión Empresarial y Ciencias de la Computación, cuenta con pre-requisitos como nivelación de Física y Cálculo I. Este curso brinda una base conceptual sólida de la mecánica, que le permite continuar con el curso de Física II de la Facultad de Ingeniería
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