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Simple Summary: Hepatocellular carcinoma (HCC) is a common cancer and a leading cause of cancer-related deaths worldwide. However, HCC can be effectively treated in selected cases, with liver transplantation representing one of the limited options for potential cure. Unfortunately, many patients are ineligible for liver transplantation either due to an advanced tumor at initial diagnosis or due to disease progression while awaiting liver transplantation. Our review discusses the role of systemic therapies as a bridging treatment to liver transplantation, thereby enabling more HCC patients to undergo potentially curative liver transplantation. Hepatocellular carcinoma (HCC) is the third most common cause of cancer-related deaths. Classically, liver transplantation (LT) can be curative for HCC tumors within the Milan criteria. Bridging strategies to reduce the dropouts from LT waiting lists and/or to downstage patients who are beyond the Milan criteria are widely utilized. We conducted a literature-based review to evaluate the role of systemic therapies as a bridging treatment to liver transplantation (LT) in HCC patients. Tyrosine kinase inhibitors (TKIs) can be used as a systemic bridging therapy to LT in patients with contraindications for locoregional liver-directed therapies. Immune checkpoint inhibitor (ICI) treatment can be utilized either as a monotherapy or as a combination therapy with bevacizumab or TKIs prior to LT. Acute rejection after liver transplantation is a concern in the context of ICI treatment. Thus, a safe ICI washout period before LT and cautious post-LT immunosuppression strategies are required to reduce post-LT rejections and to optimize clinical outcomes. Nevertheless, prospective clinical trials are needed to establish definitive conclusions about the utility of systemic therapy as a bridging modality prior to LT in HCC patients. [ABSTRACT FROM AUTHOR]

Thermal characteristics of several novel self-dyed wholly aromatic polyamide-hydrazides covalently bonded with azo groups in their main chains and containing o-hydroxy group as a substituent group in the aryl ring of the aminohydrazide part of the polymers have been investigated in nitrogen and in air atmospheres using differential scanning calorimetry, thermogravimetric analyses, infrared spectroscopy, and elemental analyses. The effect of introducing different predetermined proportions of para- and meta-phenylene moieties into the backbone chain of the polymers on their thermal characteristics has been evaluated. Azopolymers having different molecular masses of all para-oriented phenylene type units were also thermally characterized. These polymers were prepared by a low temperature solution polycondensation reaction of either 4-amino-3-hydroxybenzhydrazide or 3-amino-4-hydroxybenzhydrazide with an equimolar amount of either 4,4′-azodibenzoyl chloride (4,4′ADBC), 3,3′-azodibenzoyl chloride (3,3′ADBC), or mixtures of various molar ratios of 4,4′ADBC and 3,3′ADBC in anhydrous N, N-dimethyl acetamide containing 3 % m v LiCl as a solvent at −10 °C. All the polymers have the same structural formula except the mode of linking phenylene units in the polymer chain. The content of para- and meta-phenylene moieties was varied within these polymers so that the changes in the latter were 10 mol% from polymer to polymer, starting from an overall content of 0-100 mol%. The results reveal that these polymers are characterized by high thermal stability and could be cyclodehydrated into linear aromatic polymers with alternating 1,3,4-oxadiazole and benzoxazole structural units within the same polymer approximately in the region of 200-480 °C, either in nitrogen or in air atmospheres by losing water from the hydrazide and o-hydroxybenzamide groups, respectively. Along with the cyclodehydration, the polymer may lose molecular nitrogen from the azo groups. This is not a true degradation, but rather a thermo-chemical transformation reaction of the evaluated polymers into the corresponding poly(1,3,4-oxadiazolyl-benzoxazoles). The resulting poly(1,3,4-oxadiazolyl-benzoxazoles) start to decompose in the temperature range above 330-560 °C, either in nitrogen or in air atmospheres without mass loss at a lower temperature. The thermal and thermo-oxidative stabilities of the polymers are affected by the nature and amount of arylene groups incorporated into their chains, being higher for polymers with greater content of para-oriented phenylene rings, which permits more interchain hydrogen bonds as a result of greater chain symmetry, packing efficiency, and rod-like structure. Increasing the content of para-oriented phenylene rings leads to a strong improvement in both the initial decomposition temperature as well as in the residual mass at a particular temperature. The stability of the polymers was found to be independent of their molecular masses. This confirms that high thermal stability is not a polymer property which would depends upon the length of its macromolecular chains, but rather upon its chemical structure in which all and every atomic group contributes by its own thermal stability to the macroscopic properties of the whole polymer. [ABSTRACT FROM AUTHOR]

Twelve novel intrinsically colored wholly aromatic azopolyamide-hydrazides containing various proportions of para- and meta-phenylene units were successfully synthesized by a low temperature (-10 °C) solution polycondensation reaction of either 4-amino-3-hydroxybenzhydrazide (4A3HBH) or 3-amino-4-hydroxybenzhydrazide (3A4HBH) with an equimolar amount of either 4,4'-azodibenzoyl chloride (4,4'ADBC), 3,3'-azodibenzoyl chloride (3,3'ADBC), or mixtures of various molar ratios of 4,4'ADBC and 3,3'ADBC in anhydrous N,N-dimethyl acetamide (DMAc) containing 3% (wt/v) LiCl as a solvent. The structures of the polymers were proven by elemental analysis, FTIR, 1H- and 13C-NMR spectroscopy. The polymers' properties were strongly affected by their various structures. The intrinsic viscosities of the polymers were ranged from 0.7 to 4.75 dL g-1 and increased with the para-phenylene units content. The polymers are partially soluble in DMAc, dimethyl formamide (DMF) and N-methyl-2-pyrrolidone (NMP). Their solubility increases with the introduction of meta-phenylene moieties into the polymer chains. The polymers exhibit a great affinity for water sorption. Their hydrophilicity increases as a function of the content of meta-phenylene rings incorporated into the polymer. Mechanical properties of the polymer films are improved markedly by substitution of para-phenylene units for meta-phenylene units. The completely para-oriented type polymer has the best thermal and thermo-oxidative stability relative to those of the other polymers. [ABSTRACT FROM AUTHOR]