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活性氧和氮物种与血液相互作用的批判性评估,为非热等离子体治疗的临床转化提供信息。

Critical Evaluation of the Interaction of Reactive Oxygen and Nitrogen Species with Blood to Inform the Clinical Translation of Nonthermal Plasma Therapy.

机构信息

PLASMANT-Research Group, University of Antwerp, 2601 Antwerpen-Wilrijk, Belgium.

Center for Oncological Research-Integrated Personalized & Precision Oncology Network (IPPON), University of Antwerp, 2601 Antwerpen-Wilrijk, Belgium.

出版信息

Oxid Med Cell Longev. 2020 Dec 3;2020:9750206. doi: 10.1155/2020/9750206. eCollection 2020.

Abstract

Non-thermal plasma (NTP), an ionized gas generated at ambient pressure and temperature, has been an emerging technology for medical applications. Through controlled delivery of reactive oxygen and nitrogen species (ROS/RNS), NTP can elicit hormetic cellular responses, thus stimulating broad therapeutic effects. To enable clinical translation of the promising preclinical research into NTP therapy, a deeper understanding of NTP interactions with clinical substrates is profoundly needed. Since NTP-generated ROS/RNS will inevitably interact with blood in several clinical contexts, understanding their stability in this system is crucial. In this study, two medically relevant NTP delivery modalities were used to assess the stability of NTP-generated ROS/RNS in three aqueous solutions with increasing organic complexities: phosphate-buffered saline (PBS), blood plasma (BP), and processed whole blood. NTP-generated RNS collectively (NO , ONOO), HO, and ONOO exclusively were analyzed over time. We demonstrated that NTP-generated RNS and HO were stable in PBS but scavenged by different components of the blood. While RNS remained stable in BP after initial scavenging effects, it was completely reduced in processed whole blood. On the other hand, HO was completely scavenged in both liquids over time. Our previously developed luminescent probe europium(III) was used for precision measurement of ONOO concentration. NTP-generated ONOO was detected in all three liquids for up to at least 30 seconds, thus highlighting its therapeutic potential. Based on our results, we discussed the necessary considerations to choose the most optimal NTP modality for delivery of ROS/RNS to and via blood in the clinical context.

摘要

非热等离子体(NTP)是在环境压力和温度下产生的电离气体,它已成为医学应用的一种新兴技术。通过控制活性氧和氮物种(ROS/RNS)的传递,NTP 可以引发有益的细胞反应,从而刺激广泛的治疗效果。为了将有前途的 NTP 治疗的临床前研究转化为临床应用,需要更深入地了解 NTP 与临床基质的相互作用。由于 NTP 产生的 ROS/RNS 将不可避免地在几种临床情况下与血液相互作用,因此了解它们在该系统中的稳定性至关重要。在这项研究中,使用了两种与医学相关的 NTP 输送方式来评估在三种具有不同有机复杂性的水溶液中 NTP 产生的 ROS/RNS 的稳定性:磷酸盐缓冲盐水(PBS)、血浆(BP)和处理过的全血。随着时间的推移,分析了 NTP 产生的 RNS 集体(NO 、ONOO)、HO 和 ONOO 。我们证明,NTP 产生的 RNS 和 HO 在 PBS 中稳定,但被血液的不同成分清除。虽然 RNS 在初始清除作用后在 BP 中保持稳定,但在处理过的全血中完全被还原。另一方面,HO 在两种液体中随着时间的推移而被完全清除。我们之前开发的发光探针铕(III)用于精确测量 ONOO 浓度。在至少 30 秒的时间内,在所有三种液体中都检测到了 NTP 产生的 ONOO,从而突出了其治疗潜力。基于我们的结果,我们讨论了在临床环境中选择最优化的 NTP 方式来输送 ROS/RNS 到血液中和通过血液的必要考虑因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8341/7728471/d5fa91f23138/OMCL2020-9750206.001.jpg

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