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Background: Adipose-derived mesenchymal stem cells (ADMSCs) have recently been studied for the treatment of knee osteoarthritis. The goal is pain reduction and improvement of joint function leading to superior health-related quality of life. Objectives: The aim of this study was to provide a comprehensive meta-analysis assessing the evidence on the use of ADMSCs in knee osteoarthritis. Design: This is a Meta-analysis of randomised controlled trials. Data Sources and Methods: PubMed/MEDLINE, Embase, and Cochrane Databases were searched for randomized controlled trials using ADMSCs to treat patients with knee osteoarthritis. Only trials comparing ADMSCs to placebo or conservative treatment were included. The outcomes studied were improvement in functional, pain, and quality of life scores along with radiographic findings. Results: A total of four trials were included, representing 138 patients with knee osteoarthritis. WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) scores favored ADMSCs with a statistically and clinically significant difference over controls at 6- and 12-month follow-ups ( p value

The hygrometric method is used to determine new thermodynamic data on water activity and saturated aqueous solution of the water/d-sucrose/ammonium dihydrogen phosphate (ADP) system in a wide range of NH4H2PO4 molality, ranging from 0.1 to 3 mol⋅kg−1, and for various d-sucrose contents from 0 to 4 mol⋅kg−1. Powder X-ray diffraction (XRD) and attenuated total reflection Fourier-transform infrared (ATR-FTIR) spectroscopy were used to characterize the solid state. The Pitzer–Simonson–Clegg model (PSC) is used to fit the experimental data of osmotic coefficient obtained from water activities data. The predicted saturated aqueous solutions, with the PSC model, are in good agreement with experimental data. For the concentration inferior to 1 mol⋅kg−1, the negative deviation from ideality was shown with increasing the ADP concentrations. The estimated values of the activity coefficient of d-sucrose, activity coefficient of ADP, and the Gibbs energy of transfer of ADP from water to mixture (water/d-sucrose) show that both ADP and d-sucrose exert significant salting-out effects on the aqueous solution. [ABSTRACT FROM AUTHOR]

Regulatory T cells (Tregs) are key players in the regulation of inflammatory responses. In this study, two natural molecules, namely, sparteine sulfate (SS) and harpagoside (Harp), were investigated for their ability to induce Tregs in human peripheral blood mononuclear cells (PBMCs). PBMCs were isolated from healthy volunteers and grown in the presence or absence of ConA, with TGF-beta, SS or Harp. Expression of the mRNA of FoxP3, TGF-beta, IL-10 and GAPDH was assessed via q-PCR. The expression of Treg markers including CD4, CD25, CD127 and FoxP3 was measured via flow cytometry. The secretion of IL-10 and TGF-beta by cultured cells was assessed by ELISA. Furthermore, the suppressive role of SS and Harp on PBMCs in vitro was tested via allogeneic mixed lymphocyte reaction (MLR). Data obtained show that both compounds increased the expression of FoxP3, TGF-beta and IL-10 mRNA in resting PBMCs but to a lesser extent in activated cells. Moreover, they significantly increased the percent of CD4+CD25+FoxP3+CD127− Tregs in activated and naïve PBMCs. Functionally, both compounds caused a significant reduction in the stimulation index in allogeneic MLR. Together, our data demonstrate for the first time that SS and Harp can induce human Tregs in vitro and therefore have great potential as anti-inflammatory agents.

Background: Adipose-derived mesenchymal stem cells (ADMSCs) have recently been studied for the treatment of knee osteoarthritis. The goal is pain reduction and improvement of joint function leading to superior health-related quality of life. Objectives: The aim of this study was to provide a comprehensive meta-analysis assessing the evidence on the use of ADMSCs in knee osteoarthritis. Design: This is a Meta-analysis of randomised controlled trials. Data Sources and Methods: PubMed/MEDLINE, Embase, and Cochrane Databases were searched for randomized controlled trials using ADMSCs to treat patients with knee osteoarthritis. Only trials comparing ADMSCs to placebo or conservative treatment were included. The outcomes studied were improvement in functional, pain, and quality of life scores along with radiographic findings. Results: A total of four trials were included, representing 138 patients with knee osteoarthritis. WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) scores favored ADMSCs with a statistically and clinically significant difference over controls at 6- and 12-month follow-ups (p value < 0.0001). Pain, functional, and quality of life scores also favored ADMSCs at 12-month follow-up (p value < 0.0001). Conclusion: ADMSCs are effective in treating knee osteoarthritis symptoms as observed by functional and pain improvements. Furthermore, ADMSCs injection showed improvement of cartilage integrity, which indicates the potential for regenerating the knee cartilage. Future trials with larger number of patients and longer follow-up periods would help to elaborate further the therapeutic potential of ADMSCs. Plain Language Summary: Adipose-derived mesenchymal stem cells use in knee osteoarthritis Knee osteoarthritis is an extremely common disease that causes damage of the lining of the knee joint. This will lead to pain and limited range of motion of the knee hence limited functionality. Multiple treatments are used currently for knee osteoarthritis which all aim at slowing down the progression and limiting the need for knee replacement surgery. Adipose-derived mesenchymal stem cells (ADMSCs) are stem cells harvested from the fat around the belly. These stem cells have the potential to be converted into cells of a certain origin (cartilage, muscle, fat). Many studies are being performed to see whether these cells can transform to cartilage and repair the damaged knee joint. In this study, we tried to find how the results of different studies comparing the usual treatments for knee osteoarthritis with that of ADMSCs compared. We were mostly interested in the pain, functional, stiffness, and quality of life scores. We also reviewed the MRI findings to find out whether the lining of the knee joint improved. Four studies were included with 138 patients having knee osteoarthritis. WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) score which is a self-administered questionnaire evaluating hip and knee osteoarthritis, showed better results in patients receiving ADMSC injections compared with other usual treatments at 12-month follow-up. Pain, functional, stiffness, and quality of life scores also showed better results in ADMSCs at 12-month follow-up. MRI images also showed better cartilage lining in the patients treated with ADMSCs. We concluded that ADMSCs are both effective and safe to be used in treating knee osteoarthritis symptoms. However, studies with longer follow-up periods are needed to better assess the regenerative potential of ADMSCs. [ABSTRACT FROM AUTHOR]

This work presents a simulation of the response of packets of microbubbles in an ultrasonic pulse-echo scan line. Rayleigh-Plesset equation has been used to predict the echo from numerically obtained radial dynamics of microbubbles. Varying the number of scattering microbubbles on the pulse wave form has been discussed. To improve microbubble-specific imaging at high frequencies, the subharmonic and second harmonic signals from individual microbubbles as well as microbubbles packets were simulated as a function of size and pressure. Two different modes of harmonic generation have been distinguished. The strength and bandwidth of the subharmonic component in the scattering spectrum of microbubbles is greater than that of the second harmonic. The pressure spectra provide quantitative and detailed information on the dynamic behaviour of ultrasound contrast agent microbubbles packet. [ABSTRACT FROM AUTHOR]

In this work, an approach to the design of broadband thickness-mode piezoelectric transducer is pre- sented. In this approach, simulation of discrete time model of the impulse response of matched and backed piezoelectric transducer is used to design high sensitivity, broad bandwidth, and short-duration impulse response transducers. The effect of matching the performance of transmitting and receiving air backed PZT-5A transducer working into water load is studied. The optimum acoustical characteristics of the quarter wavelength matching layers are determined by a compromise between sensitivity and pulse duration. The thickness of bonding layers is smaller than that of the quarter wavelength matching layers so that they do not change the resonance peak significantly. Our calculations show that the −3 dB air backed transducer bandwidth can be improved considerably by using quarter wavelength matching layers. The computer model developed in this work to predict the behavior of multilayer structures driven by a transient waveform agrees well with measured results. Furthermore, the advantage of this this model over other approaches is that the time signal for optimum set of matching layers can be predicted rapidly [ABSTRACT FROM AUTHOR]

Regulatory T cells (Tregs) are key players in the regulation of inflammatory responses. In this study, two natural molecules, namely, sparteine sulfate (SS) and harpagoside (Harp), were investigated for their ability to induce Tregs in human peripheral blood mononuclear cells (PBMCs). PBMCs were isolated from healthy volunteers and grown in the presence or absence of ConA, with TGF-beta, SS or Harp. Expression of the mRNA of FoxP3, TGF-beta, IL-10 and GAPDH was assessed via q-PCR. The expression of Treg markers including CD4, CD25, CD127 and FoxP3 was measured via flow cytometry. The secretion of IL-10 and TGF-beta by cultured cells was assessed by ELISA. Furthermore, the suppressive role of SS and Harp on PBMCs in vitro was tested via allogeneic mixed lymphocyte reaction (MLR). Data obtained show that both compounds increased the expression of FoxP3, TGF-beta and IL-10 mRNA in resting PBMCs but to a lesser extent in activated cells. Moreover, they significantly increased the percent of CD4+CD25+FoxP3+CD127− Tregs in activated and naïve PBMCs. Functionally, both compounds caused a significant reduction in the stimulation index in allogeneic MLR. Together, our data demonstrate for the first time that SS and Harp can induce human Tregs in vitro and therefore have great potential as anti-inflammatory agents. [ABSTRACT FROM AUTHOR]

The role of nonlinear stiffness in the performance of the piezoelectric vibrational energy harvester (pVEH) was discussed. Harmonic balance and numerical methods are applied to characterize the electromechanical response of pVEHs based on Duffing oscillator at a deterministic harmonic excitation of fundamental vibration characteristics (2 Hz, 1 m·s−2), which corresponds to human walking. Then, the response to a vibration with two harmonic waves, which has a fixed fundamental frequency (2 Hz, 1 m·s−2) and a frequency varied from 1.5 to 2.5 Hz. The numerical results obtained in this study indicate that nonlinearity does not have a significant advantage on the energy harvesting from human walking. [ABSTRACT FROM AUTHOR]