Biomedical Research and Therapy

Can environmental factors increase the risk of multiple sclerosis? A narrative review

2020-01-23T12:56:29+00:00

Multiple sclerosis (MS) is one of the most common neurological disorders, which causes nontrauma in young adults in many countries. An important symptom of a disease is the presence of plaque in the brain or the spinal cord, which includes a demyelination region along with relative preservation of axons that may vary in acute and chronic stages. This review was conducted using related keywords through searching in scientific databases. Assessing the related papers showed that in general, MS is recognized as an autoimmune disease with genetic background caused by uncertain environmental factors. Epidemiological effects based on race, sex, geographical location are strongly linked to the frequency, types and severity of the disease. Vitamin D, infection, smoking and diet have been reported to be potential factors associated with MS. Due to the importance of these factors in MS disease, the control of them is potentially useful to prevent the disease and the rapid progression and exacerbation of its symptoms.

Evaluation of in vitro release kinetics and mechanisms of curcumin-loaded cockle shell-derived calcium carbonate nanoparticles

2020-01-23T12:56:28+00:00

Introduction: Curcumin has remarkable pharmacological activities but remains clinically constrained due to its poor bioavailability as a result of insolubility. This has necessitated the search for natural inorganic materials for curcumin delivery. Cockleshells are external hard materials of marine animals often treated as unwanted wastes, which are excellent sources of calcium carbonate. This study aimed to synthesize cockle shell-derived calcium carbonate (aragonite) nanoparticles (CSCaCO₃NP) for delivery of curcumin and to evaluate its kinetic release in vitro.

Methods: CSCaCO₃NP was synthesized and conjugated with curcumin (Cur-CSCaCO₃NP) using a simple top down approach and characterized for its physicochemical properties as a potential curcumin carrier. The in vitro release profile was assessed using the dialysis bag membrane method. The release data were fitted to Korsmeyer-Peppas, Zero order, and Higuchi models to evaluate the mechanism(s) of the release pattern.

Results: A spherical shaped CSCaCO₃NP with a surface area of 14.48+/-0.1 m²/g, with mean diameter size of 21.38+/-2.7 nm and zeta potential of -18.7 mV, was synthesized and found to have high loading content and encapsulation efficiency. The FT-IR and XRD revealed fewer observable changes on the peaks after conjugation. The profile of the in vitro kinetic release demonstrated a sustained release, and which was best fitted to the Higuchi equation model.

Conclusion: The results of this study showed the capacity of the synthesized CSCaCO₃NP to encapsulate curcumin efficiently with a stable release in vitro. This provides insight into and rationale for the potential of CSCaCO₃NP for curcumin delivery. Therefore, CSCaCO₃NP holds great prospects in the preclinical framework for enhancing curcumin efficacy in oral therapeutic applications.

Selecting euploid embryo for transfer by preimplantation genetic testing for aneuploidy improved clinical outcomes in patients with advanced maternal age

2020-01-23T12:56:27+00:00

Objectives: This study aimed to investigate whether selecting euploid embryos by preimplantation genetic testing for aneuploidy (PGT-A) can improve the clinical outcomes in patients with advanced maternal age. Hence, it provides evidence about the role of PGT-A in the treatment for patients with advanced maternal age in Vietnam.

Methods: This is a retrospective cohort study, conducted at IVFMD, My Duc Hospital, Vietnam, from March 2017 to March 2019. There were 244 patients taking preimplantation genetic testing for aneuploidy (PGT-A group). Biopsy was performed at the blastocyst stage. On the day of biopsy, about 5-6 trophectoderm cells were collected and sent to analysis, while the remaining was individually vitrified to be used for embryo transfer to the patient. When patients had PGT-A, the clinician consulted and indicated the euploid embryo for frozen embryo transfer cycle. The ongoing pregnancy rate was compared with the group of patients who only performed blastocyst transfer (non-PGT-A group). Other outcomes, such as the average number of transferred embryos, clinical pregnancy rate, implantation rate, miscarriage rate and multiple pregnancy rate, were also compared between the two groups.

Results: In the total of 493 patients fulfilled the inclusion criteria, there were 244 patients in PGT-A group and 249 patients in non-PGT-A group. The patient characteristics of the two groups were similar (p > 0.05). A total of 816 blastocysts were biopsied and 315 (38.6%) of these were aneuploidy. The ongoing pregnancy rate of PGT-A group was significantly higher than non-PGT-A group (43.9% vs. 32.1%, p = 0.01). Moreover, mean number of transferred embryos and multiple pregnancy rate of PGT-A group was lower than non-PGT-A group (1.3 vs. 2, p < 0.001; 5.7% vs. 12%, p < 0.001, respectively).

Conclusions: In patients with advanced maternal age, the transfer of euploidy embryos selected by PGT-A improved the ongoing pregnancy rate and reduced the number of transferred embryos and multiple pregnancy rate. Therefore, this group of patients may benefit from PGT-A.