Polymersome-Mediated Delivery of Combination Anticancer Therapy to Head and Neck Cancer Cells: 2D and 3D in Vitro Evaluation

Polymersomes have the potential to encapsulate and deliver chemotherapeutic drugs into tumor cells, reducing off-target toxicity that often compromises anticancer treatment. Here, we assess the ability of the pH-sensitive poly 2-(methacryloyloxy)ethyl phosphorylcholine (PMPC)- poly 2-(diisopropylamino)ethyl methacrylate (PDPA) polymersomes to encapsulate chemotherapeutic agents for effective combinational anticancer therapy. Polymersome uptake and ability to deliver encapsulated drugs into healthy normal oral cells and oral head and neck squamous cell carcinoma (HNSCC) cells was measured in two and three-dimensional culture systems. PMPC-PDPA polymersomes were more rapidly internalized by HNSCC cells compared to normal oral cells. Polymersome cellular uptake was found to be mediated by class B scavenger receptors. We also observed that these receptors are more highly expressed by cancer cells compared to normal oral cells, enabling polymersome-mediated targeting. Doxorubicin and paclitaxel were encapsulated into pH-sensitive PMPC-PDPA polymersomes with high efficiencies either in isolation or as a dual-load for both singular and combinational delivery. In monolayer culture, only a short exposure to drug-loaded polymersomes was required to elicit a strong cytotoxic effect. When delivered to three-dimensional tumor models, PMPC-PDPA polymersomes were able to penetrate deep into the center of the spheroid resulting in extensive cell damage when loaded with both singular and dual-loaded chemotherapeutics. PMPC-PDPA polymersomes offer a novel system for the effective delivery of chemotherapeutics for the treatment of HNSCC. Moreover, the preferential internalization of PMPC polymersomes by exploiting elevated scavenger receptor expression on cancer cells opens up the opportunity to target polymersomes to tumors

RAFT aqueous dispersion polymerization yields poly(ethylene glycol)-based diblock copolymer nano-objects with predictable single phase morphologies

A poly(ethylene glycol) (PEG) macromolecular chain transfer agent (macro-CTA) is prepared in high yield (>95%) with 97% dithiobenzoate chain-end functionality in a three-step synthesis starting from a monohydroxy PEG113 precursor. This PEG113-dithiobenzoate is then used for the reversible addition-fragmentation chain transfer (RAFT) aqueous dispersion polymerization of 2-hydroxypropyl methacrylate (HPMA). Polymerizations conducted under optimized conditions at 50 °C led to high conversions as judged by 1H NMR spectroscopy and relatively low diblock copolymer polydispersities (Mw/Mn < 1.25) as judged by GPC. The latter technique also indicated good blocking efficiencies, since there was minimal PEG113 macro-CTA contamination. Systematic variation of the mean degree of polymerization of the core-forming PHPMA block allowed PEG113-PHPMAx diblock copolymer spheres, worms, or vesicles to be prepared at up to 17.5% w/w solids, as judged by dynamic light scattering and transmission electron microscopy studies. Small-angle X-ray scattering (SAXS) analysis revealed that more exotic oligolamellar vesicles were observed at 20% w/w solids when targeting highly asymmetric diblock compositions. Detailed analysis of SAXS curves indicated that the mean number of membranes per oligolamellar vesicle is approximately three. A PEG 113-PHPMAx phase diagram was constructed to enable the reproducible targeting of pure phases, as opposed to mixed morphologies (e.g., spheres plus worms or worms plus vesicles). This new RAFT PISA formulation is expected to be important for the rational and efficient synthesis of a wide range of biocompatible, thermo-responsive PEGylated diblock copolymer nano-objects for various biomedical applications

"Delirium Day": A nationwide point prevalence study of delirium in older hospitalized patients using an easy standardized diagnostic tool

Background: To date, delirium prevalence in adult acute hospital populations has been estimated generally from pooled findings of single-center studies and/or among specific patient populations. Furthermore, the number of participants in these studies has not exceeded a few hundred. To overcome these limitations, we have determined, in a multicenter study, the prevalence of delirium over a single day among a large population of patients admitted to acute and rehabilitation hospital wards in Italy. Methods: This is a point prevalence study (called "Delirium Day") including 1867 older patients (aged 65 years or more) across 108 acute and 12 rehabilitation wards in Italian hospitals. Delirium was assessed on the same day in all patients using the 4AT, a validated and briefly administered tool which does not require training. We also collected data regarding motoric subtypes of delirium, functional and nutritional status, dementia, comorbidity, medications, feeding tubes, peripheral venous and urinary catheters, and physical restraints. Results: The mean sample age was 82.0 \ub1 7.5 years (58 % female). Overall, 429 patients (22.9 %) had delirium. Hypoactive was the commonest subtype (132/344 patients, 38.5 %), followed by mixed, hyperactive, and nonmotoric delirium. The prevalence was highest in Neurology (28.5 %) and Geriatrics (24.7 %), lowest in Rehabilitation (14.0 %), and intermediate in Orthopedic (20.6 %) and Internal Medicine wards (21.4 %). In a multivariable logistic regression, age (odds ratio [OR] 1.03, 95 % confidence interval [CI] 1.01-1.05), Activities of Daily Living dependence (OR 1.19, 95 % CI 1.12-1.27), dementia (OR 3.25, 95 % CI 2.41-4.38), malnutrition (OR 2.01, 95 % CI 1.29-3.14), and use of antipsychotics (OR 2.03, 95 % CI 1.45-2.82), feeding tubes (OR 2.51, 95 % CI 1.11-5.66), peripheral venous catheters (OR 1.41, 95 % CI 1.06-1.87), urinary catheters (OR 1.73, 95 % CI 1.30-2.29), and physical restraints (OR 1.84, 95 % CI 1.40-2.40) were associated with delirium. Admission to Neurology wards was also associated with delirium (OR 2.00, 95 % CI 1.29-3.14), while admission to other settings was not. Conclusions: Delirium occurred in more than one out of five patients in acute and rehabilitation hospital wards. Prevalence was highest in Neurology and lowest in Rehabilitation divisions. The "Delirium Day" project might become a useful method to assess delirium across hospital settings and a benchmarking platform for future surveys

Association of kidney disease measures with risk of renal function worsening in patients with type 1 diabetes

Background: Albuminuria has been classically considered a marker of kidney damage progression in diabetic patients and it is routinely assessed to monitor kidney function. However, the role of a mild GFR reduction on the development of stage 653 CKD has been less explored in type 1 diabetes mellitus (T1DM) patients. Aim of the present study was to evaluate the prognostic role of kidney disease measures, namely albuminuria and reduced GFR, on the development of stage 653 CKD in a large cohort of patients affected by T1DM. Methods: A total of 4284 patients affected by T1DM followed-up at 76 diabetes centers participating to the Italian Association of Clinical Diabetologists (Associazione Medici Diabetologi, AMD) initiative constitutes the study population. Urinary albumin excretion (ACR) and estimated GFR (eGFR) were retrieved and analyzed. The incidence of stage 653 CKD (eGFR &lt; 60 mL/min/1.73 m2) or eGFR reduction &gt; 30% from baseline was evaluated. Results: The mean estimated GFR was 98 \ub1 17 mL/min/1.73m2 and the proportion of patients with albuminuria was 15.3% (n = 654) at baseline. About 8% (n = 337) of patients developed one of the two renal endpoints during the 4-year follow-up period. Age, albuminuria (micro or macro) and baseline eGFR &lt; 90 ml/min/m2 were independent risk factors for stage 653 CKD and renal function worsening. When compared to patients with eGFR &gt; 90 ml/min/1.73m2 and normoalbuminuria, those with albuminuria at baseline had a 1.69 greater risk of reaching stage 3 CKD, while patients with mild eGFR reduction (i.e. eGFR between 90 and 60 mL/min/1.73 m2) show a 3.81 greater risk that rose to 8.24 for those patients with albuminuria and mild eGFR reduction at baseline. Conclusions: Albuminuria and eGFR reduction represent independent risk factors for incident stage 653 CKD in T1DM patients. The simultaneous occurrence of reduced eGFR and albuminuria have a synergistic effect on renal function worsening

RAFT polymerization of hydroxy-functional methacrylic monomers under heterogeneous conditions: effect of varying the core-forming block

Statistical copolymerization of a 1 : 1 molar ratio of a water-miscible monomer (2-hydroxyethyl methacrylate, HEMA) with a water-immiscible monomer (4-hydroxybutyl methacrylate, HBMA) has been conducted in water via reversible addition–fragmentation chain transfer (RAFT) polymerization using a water-soluble poly(glycerol monomethacrylate) macromolecular chain transfer agent (PGMA macro- CTA). In principle, such a hybrid formulation might be expected to be intermediate between RAFT dispersion polymerization and RAFT emulsion polymerization. Under such circumstances, it is of particular interest to examine whether both monomers are actually consumed and, if so, whether their rates of reaction are comparable. Given the water-solubility of both the PGMA macro-CTA and the free radical azo initiator, it is perhaps counter-intuitive that the water-immiscible HBMA is initially consumed significantly faster than the water-miscible HEMA, as judged by 1H NMR studies of this copolymerization. However, both comonomers are eventually almost fully consumed at 70 �C. A detailed phase diagram has been constructed for this RAFT formulation that enables reproducible syntheses of various pure copolymer morphologies, including spheres, worms and vesicles. It is emphasized that utilizing a 1 : 1 HEMA/HBMA molar ratio produces a core-forming statistical copolymer block that is isomeric with the poly(2-hydroxypropyl methacrylate) (PHPMA) core-forming block previously synthesized via RAFT aqueous dispersion polymerization (see A. Blanazs et al., Macromolecules, 2012, 45, 5099–5107). Hence it is rather remarkable that the thermo-responsive behavior of PGMA–P(HBMA-stat-HEMA) statistical block copolymer worm gels differs qualitatively from that exhibited by PGMA–PHPMA diblock copolymer worm gels

I prezzi di borsa riflettono i fondamentali delle aziende quotate? Un'analisi comparata dei mercati azionari bancari

Il lavoro ha per oggetto l'analisi dell'efficienza valutativa dei mercati bancari. Postulando che l'efficienza valutativa possa essere espressa mediante la stima del grado di correlazione esistente tra il rapporto P/BV e una serie di altri quozienti, espressione dei "fondamentali" delle banche quotate, il lavoro, di natura empirica, mira a fornire un giudizio critico sulla efficienza valutativa dei principali mercati bancari del mondo e, conseguentemente, sull'impiego dei metodi diretti per la stima del valore economico del capitale delle banche.This work is the result of an empirical research on the bank market efficiency. If the capital market efficiency can be expressed in terms of statistical correlation between P/BV multiple and fundamentals of a bank, it is possible to esteem and compare the efficiency of some of the most important bank markets in the world. Following this method, the authors assume a critical perspective on the efficiency of bank markets and on the possiblity to apply market approach for evaluating a bank

Synthesis of Coordination Polymers and Discrete Complexes from the Reaction of Copper(II) Carboxylates with Pyrazole: Role of Carboxylates Basicity

The reaction of select copper(II) monocarboxylates Cu(RCOO)2(H2O)x (R = C4H3O, C6H5, H; x = 2, 4) with pyrazole (Hpz), carried out in protic solvents, yields mono- or dinuclear species [Cu(RCOO)2(Hpz)n]m (n = 2, 4; m = 1, 2), always accompanied by tri- or hexanuclear derivatives based on the triangular [Cu3(μ3-OH)(μ-pz)3]2+ fragment. The molecular structures of all isolated compounds have been established through XRD determinations. In some cases, the mono-, or dinuclear species act as secondary building units, self-assembling into 1D or 3D coordination polymers. The hexanuclear benzoate cluster contains coordinated and crystallization MeOH molecules, whose removal generates a crystalline 1D coordination polymer that can be reconverted into the hexanuclear cluster by soaking in MeOH. The relatively high pKb values of carboxylate anions employed in the syntheses are responsible for the preferential formation of mono- or dinuclear species rather than tri- or hexanuclear ones

The development of anisotropic behaviours of 3T3 fibroblasts on microgrooved patterns

3T3 fibroblasts cultured on microgrooved polydimethylsiloxane (PDMS) surfaces of two different widths (25μm and 55μm) were individually tracked using confocal microscopy with a novel live-cell staining technique over several hours without noticeable cytotoxic effects. By quantifying the cell morphology, orientation, and migration over time, we identified the timescale (about 2-4h after seeding) over which cell behaviours transitioned from isotropy to anisotropy, where the preference is in the direction parallel to the pattern. The development of anisotropy occurred more rapidly and distinctly when a narrower ridge width was used, suggesting that it is the ridge width that imposed a physical barrier on the cells' morphology and motility. Furthermore, while we found a weak but statistically significant correlation between cell orientation and morphology on the single-cell level, there is a lack of correlation on the same level between cell orientation and migratory direction. This suggests that while morphology and migration are affected anisotropically by topographical patterns in a similar way, the underlying processes giving rise to the anisotropy is slightly different in the two cases