Topical clobetasol for the treatment of toxic epidermal necrolysis: study protocol for a randomized controlled trial.

BackgroundToxic epidermal necrolysis (TEN) is a rare systemic allergic drug eruption with high patient mortality. Currently, no established treatments have been shown to be effective for TEN beyond supportive care. Prior studies of systemic corticosteroids have yielded conflicting data, with some showing a possible benefit and others reporting in increased mortality. However, topical steroids have shown promise for treatment of ocular sequelae of TEN, such as scarring and vision loss. We have designed a randomized controlled trial to evaluate topical clobetasol for treatment of the epidermal manifestations of TEN. In addition, we propose genetic studies to characterize the TEN transcriptome and alterations in cutaneous gene expression that might occur following topical steroid treatment.Methods/designThis split-body randomized, double-blind, placebo-controlled Phase IIa proof-of-concept trial will evaluate the safety and efficacy of once-daily topical clobetasol applied to the skin of patients with TEN. This multicenter trial will recruit a total of 15 patients between the ages of 12 and 85 from the University of California Davis Medical Center and Shriners Hospital for Children inpatient burn units. Designated treatment areas on opposite sides of the body will be treated with blinded clobetasol 0.05% ointment or control petrolatum ointment daily for 14 days. On day 3 of therapy, a biopsy will be taken from the treated area for genetic studies. The primary study aims will be to establish the safety of topical clobetasol treatment and determine the time to cessation of skin detachment for the control and clobetasol-treated areas. Secondary endpoints will evaluate efficacy using parameters such as time to 90% re-epithelialization and percentage of affected skin at 0, 3, 6, 9, 12 and 15 days. Genomic DNA and RNA will be obtained from biopsy samples, to characterize the TEN transcriptome and identify changes in gene expression after topical steroid treatment.DiscussionTopical steroids have shown promise for treating ocular complications of TEN, but to date have not been evaluated for cutaneous manifestations of the disease. This trial will investigate clinical and molecular outcomes of topical clobetasol application and hopefully provide insight into the disease pathophysiology.Trial registrationClinicalTrials.gov NCT02319616. https://clinicaltrials.gov/ct2/show/NCT02351037

Global Advances and Frontiers of Phytochemicals in Tumor Research: A Bibliometric Study (2010-2023)

Objectives: Analysis of advances, hotspots and frontiers of tumor-related phytochemicals by scientifc bibliometric methods during 2012-2023. Background: Natural phytochemicals are abundantly found in nature and have a wide range of biological activities. Phytochem-icals have been shown to provide both curative and preventive benefts on many chronic diseases such as cancers. Tumor research on phyto-chemicals is one of the felds with the greatest potential for expansion in the world. However, there is still much to explore about the action mechanism of phytochemicals, the efcacy and safety of application in vivo, and the value of clinical practice. Methods: Atotal of 6523 arti-cles on tumor-related phytochemicals were identifed from the Web of Science Core Collection (WOSCC) database for research on tumor-re-lated phytochemicals. The bibliometric analysis was carried out using CiteSpace and the R package “Bibliometrix”. Results: The analysis includes 6523 publications from 144 nations or regions, with China leading the way. The number of annual publications increased rapidly from 2012 to 2022 and reached a maximum in 2022. China published the most articles, followed by India and the United States. There is a wide range of collaborations between countries, with Saudi Arabia and Egypt being the closest partners. LI Y has produced the most research outputs, yet Prof. Liu RH has received the most local citations. Although MOLECULES has the most articles, FOOD CHEMISTRY is the journal with the highest H-index. The main topics include phytochemical mechanisms and clinical applications in carcinogenesis and devel-opment. “Secondary metabolite”, “green synthesis”, “functional food”, and “degradation” all exhibit signifcant citation burstness between 2019-2023. Conclusions: This study is the frst to apply bibliometrics to examine the development of phytochemicals in oncology research over the period 2010-2023, which gives researchers a brief overview of advances, hotspots, and potential future trends in the feld

Length–weight relationship and condition factor of giant tiger shrimp, Penaeus monodon (Fabricius, 1798) from four breeding families

This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.Background: Length–weight relationships and condition factors of giant tiger shrimp Penaeus monodon (Fabricius, 1798) from four breeding families (family S: South China seas family, family A: African family, family SA: ♂ South China seas family × ♀ Africa family, family AS: ♂ Africa family × ♀ South China seas family) were evaluated in this study. Findings and conclusion: Length–weight relationships can be expressed as W = 0.0239BL2.789 (R2 = 0.8977) in family S, W = 0.0206BL2.9107 (R2 = 0.9107) in family A, W = 0.0211BL2.831 (R2 = 0.8869) in family SA, and W = 0.0249BL2.781 (R2 = 0.9159) in family AS. The growth of P. monodon from four breeding families follows a negative allometric trend. Fulton’s body condition factor (K) was not significantly different in males, while in females, the highest K (3.07) was observed in family AS, and the lowest K was found in family A (1.88). Results from the present study indicate that the cross group family AS (♂ Africa family × ♀ South China seas family) has obvious heterosis in females. This may suggest that the direction of further breeding of P. monodon, should be conducted by using Africa family as male parent, and South China seas family as female parent. Results from the present study will provide valuable information on selective breeding in P. monodon. Methodology used in the present study can also be applied in other similar species

Complete mitochondrial genome of Metapenaeus affinis (H. Milne Edwards, 1837) and Metapenaeus ensis (De Haan, 1844)

Penaeid shrimp is one of the marine germplasm resources in tropical and subtropical regions. To better understand shrimp germplasm resources and develop cultured shrimp species, the complete mitochondrial genome of Metapenaeus affinis and Metapenaeus ensis was assembled. The length of M. affinis and M. ensis mitochondrial sequences is 15,957 and 15,943, respectively. Both mitochondrial sequences contain 13 protein coding, 22 tRNA, and two rRNA genes. The GC content of the genome was 34.23% and 34.12% in M. affinis and M. ensis, respectively. Phylogenetic analysis indicated that the M. affinis and M. ensis are closely related, and assigned to a branch of Metapenaeus. We assembled and published the mitochondrial genome sequences of these two species, which will provide important information for the research and utilization of shrimp germplasm resources

Association analysis of alpha-amylase (AMY) and cathepsin L (CTSL) SNPs with growth traits in giant tiger shrimp Penaeus monodon

Alpha-amylase (AMY) and cathepsin-L (CTSL) were selected as candidate genes for SNP discovery for growth traits of P. monodon. Six SNPs were found in AMY and three in CTSL in P. monodon. Association analyses for the candidate SNPs with important economic traits were performed in populations. That allele A at CTLS-213 SNP, AA, and GA, tended to be associated with increased body weight. Shrimps with genotype GG had significantly smaller CL, CW, and CH values than those with GT and TT genotypes (P < 0.05). While CTLS-820 SNP was found to be significantly associated with CH and FSL (P <0.05). These SNPs will be valid for marker-assisted selection breeding programs in P. monodon

Layer-dependent mechanical properties and enhanced plasticity in the van der Waals chromium trihalide magnets

The mechanical properties of magnetic materials are instrumental for the development of the magnetoelastic theory and the optimization of strain-modulated magnetic devices. In particular, two-dimensional (2D) magnets hold promise to enlarge these concepts into the realm of low-dimensional physics and ultrathin devices. However, no experimental study on the intrinsic mechanical properties of the archetypal 2D magnet family of the chromium trihalides has thus far been performed. Here, we report the room temperature layer-dependent mechanical properties of atomically thin CrI3 and CrCl3, finding that bilayers of CrI3 and CrCl3 have Young's moduli of 62.1 GPa and 43.4 GPa, with the highest sustained strain of 6.09% and 6.49% and breaking strengths of 3.6 GPa and 2.2 GPa, respectively. Both the elasticity and strength of the two materials decrease with increased thickness, which is attributed to a weak interlayer interaction that enables interlayer sliding under low levels of applied load. The mechanical properties observed in the few-layer chromium trihalide crystals provide evidence of outstanding plasticity in these materials, which is qualitatively demonstrated in their bulk counterparts. This study will contribute to various applications of the van der Waals magnetic materials, especially for their use in magnetostrictive and flexible devices.Comment: Main text and supplementary informatio

Outstanding Thermal Conductivity of Single Atomic Layer Isotope-Modified Boron Nitride

Materials with high thermal conductivities (k) is valuable to solve the challenge of waste heat dissipation in highly integrated and miniaturized modern devices. Herein, we report the first synthesis of atomically thin isotopically pure hexagonal boron nitride (BN) and its one of the highest k among all semiconductors and electric insulators. Single atomic layer (1L) BN enriched with 11B has a k up to 1009 W/mK at room temperature. We find that the isotope engineering mainly suppresses the out-of-plane optical (ZO) phonon scatterings in BN, which subsequently reduces acoustic-optical scatterings between ZO and transverse acoustic (TA) and longitudinal acoustic (LA) phonons. On the other hand, reducing the thickness to single atomic layer diminishes the interlayer interactions and hence Umklapp scatterings of the out-of-plane acoustic (ZA) phonons, though this thickness-induced k enhancement is not as dramatic as that in naturally occurring BN. With many of its unique properties, atomically thin monoisotopic BN is promising on heat management in van der Waals (vdW) devices and future flexible electronics. The isotope engineering of atomically thin BN may also open up other appealing applications and opportunities in 2D materials yet to be explored