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Prevention of vascular inflammation by nanoparticle targeting of adherent neutrophils.

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Prevention of vascular inflammation by nanoparticle targeting of adherent neutrophils.

Nat Nanotechnol. 2014 Feb 23;

Authors: Wang Z, Li J, Cho J, Malik AB

Abstract
Inflammatory diseases such as acute lung injury and ischaemic tissue injury are caused by the adhesion of a type of white blood cell-polymorphonuclear neutrophils-to the lining of the circulatory system or vascular endothelium and unchecked neutrophil transmigration. Nanoparticle-mediated targeting of activated neutrophils on vascular endothelial cells at the site of injury may be a useful means of directly inactivating neutrophil transmigration and hence mitigating vascular inflammation. Here, we report a method employing drug-loaded albumin nanoparticles, which efficiently deliver drugs into neutrophils adherent to the surface of the inflamed endothelium. Using intravital microscopy of tumour necrosis factor-α-challenged mouse cremaster post-capillary venules, we demonstrate that fluorescently tagged albumin nanoparticles are largely internalized by neutrophils adherent to the activated endothelium via cell surface Fcɣ receptors. Administration of albumin nanoparticles loaded with the spleen tyrosine kinase inhibitor, piceatannol, which blocks 'outside-in' β2 integrin signalling in leukocytes, detached the adherent neutrophils and elicited their release into the circulation. Thus, internalization of drug-loaded albumin nanoparticles into neutrophils inactivates the pro-inflammatory function of activated neutrophils, thereby offering a promising approach for treating inflammatory diseases resulting from inappropriate neutrophil sequestration and activation.

PMID: 24561355 [PubMed - as supplied by publisher]

Hematopoietic and Mesenchymal Stem Cells for the Treatment of Chronic Respiratory Diseases: Role of Plasticity and Heterogeneity.

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Hematopoietic and Mesenchymal Stem Cells for the Treatment of Chronic Respiratory Diseases: Role of Plasticity and Heterogeneity.

ScientificWorldJournal. 2014;2014:859817

Authors: Conese M, Piro D, Carbone A, Castellani S, Di Gioia S

Abstract
Chronic lung diseases, such as cystic fibrosis (CF), asthma, and chronic obstructive pulmonary disease (COPD) are incurable and represent a very high social burden. Stem cell-based treatment may represent a hope for the cure of these diseases. In this paper, we revise the overall knowledge about the plasticity and engraftment of exogenous marrow-derived stem cells into the lung, as well as their usefulness in lung repair and therapy of chronic lung diseases. The lung is easily accessible and the pathophysiology of these diseases is characterized by injury, inflammation, and eventually by remodeling of the airways. Bone marrow-derived stem cells, including hematopoietic stem/progenitor cells (HSPCs) and mesenchymal stromal (stem) cells (MSCs), encompass a wide array of cell subsets with different capacities of engraftment and injured tissue regenerating potential. Proof-of-principle that marrow cells administered locally may engraft and give rise to specialized epithelial cells has been given, but the efficiency of this conversion is too limited to give a therapeutic effect. Besides the identification of plasticity mechanisms, the characterization/isolation of the stem cell subpopulations represents a major challenge to improving the efficacy of transplantation protocols used in regenerative medicine for lung diseases.

PMID: 24563632 [PubMed - as supplied by publisher]

Efficacy and safety of a fixed-dose combination of indacaterol and glycopyrronium (qva149) for the treatment of copd: a systematic review.

CONCLUSIONS: Once-daily inhaled QVA149 showed superior efficacy compared with glycopyrronium, and the current standard of care tiotropium, in patients with moderate-to-severe COPD. PMID: 24556877 [PubMed - as supplied by publisher] (Source: Chest)

Comparison of clinical characteristics of chronic cough due to non‐acid and acid gastroesophageal reflux

ConclusionsThere are some differences in the clinical manifestations between non‐acid and acid GERC, but MII‐pH is essential to diagnose non‐acid GERC. (Source: The Clinical Respiratory Journal)

Predicting malignant and tuberculous pleural effusions through demographics and pleural fluid analysis of patients

ConclusionsThe results obtained to estimate the probability of tuberculous and malignant pleural effusion confirm that this model achieves a high diagnostic accuracy. This model should be applied to determine which patients with a pleural effusion of unknown origin would not benefit from further invasive procedures. (Source: The Clinical Respiratory Journal)

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