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Stecoza CE, Nitulescu GM, Draghici C, Caproiu MT, Hanganu A, Olaru OT, Mihai DP, Bostan M, Mihaila M. Synthesis of 1,3,4-Thiadiazole Derivatives and Their Anticancer Evaluation. Int J Mol Sci 2023; 24:17476. [PMID: 38139304 PMCID: PMC10743895 DOI: 10.3390/ijms242417476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Revised: 12/11/2023] [Accepted: 12/12/2023] [Indexed: 12/24/2023] Open
Abstract
Thiadiazole derivatives have garnered significant attention in the field of medicinal chemistry due to their diverse pharmacological activities, including anticancer properties. This article presents the synthesis of a series of thiadiazole derivatives and investigates their chemical characterization and potential anticancer effects on various cell lines. The results of the nuclear magnetic resonance (NMR) analyses confirmed the successful formation of the target compounds. The anticancer potential was evaluated through in silico and in vitro cell-based assays using LoVo and MCF-7 cancer lines. The assays included cell viability, proliferation, apoptosis, and cell cycle analysis to assess the compounds' effects on cancer cell growth and survival. Daphnia magna was used as an invertebrate model for the toxicity evaluation of the compounds. The results revealed promising anticancer activity for several of the synthesized derivatives, suggesting their potential as lead compounds for further drug development. The novel compound 2g, 5-[2-(benzenesulfonylmethyl)phenyl]-1,3,4-thiadiazol-2-amine, demonstrated good anti-proliferative effects, exhibiting an IC50 value of 2.44 µM against LoVo and 23.29 µM against MCF-7 after a 48-h incubation and little toxic effects in the Daphnia test.
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Affiliation(s)
- Camelia Elena Stecoza
- Faculty of Pharmacy, “Carol Davila” University of Medicine and Pharmacy, 6 Traian Vuia Street, 020956 Bucharest, Romania; (C.E.S.); (O.T.O.); (D.P.M.)
| | - George Mihai Nitulescu
- Faculty of Pharmacy, “Carol Davila” University of Medicine and Pharmacy, 6 Traian Vuia Street, 020956 Bucharest, Romania; (C.E.S.); (O.T.O.); (D.P.M.)
| | - Constantin Draghici
- “Costin D. Neniţescu” Institute of Organic and Supramolecular Chemistry, Romanian Academy, 202B Splaiul Independenţei, 060023 Bucharest, Romania (A.H.)
| | - Miron Teodor Caproiu
- “Costin D. Neniţescu” Institute of Organic and Supramolecular Chemistry, Romanian Academy, 202B Splaiul Independenţei, 060023 Bucharest, Romania (A.H.)
| | - Anamaria Hanganu
- “Costin D. Neniţescu” Institute of Organic and Supramolecular Chemistry, Romanian Academy, 202B Splaiul Independenţei, 060023 Bucharest, Romania (A.H.)
| | - Octavian Tudorel Olaru
- Faculty of Pharmacy, “Carol Davila” University of Medicine and Pharmacy, 6 Traian Vuia Street, 020956 Bucharest, Romania; (C.E.S.); (O.T.O.); (D.P.M.)
| | - Dragos Paul Mihai
- Faculty of Pharmacy, “Carol Davila” University of Medicine and Pharmacy, 6 Traian Vuia Street, 020956 Bucharest, Romania; (C.E.S.); (O.T.O.); (D.P.M.)
| | - Marinela Bostan
- Stefan S. Nicolau Institute of Virology, 285 Mihai Bravu Street, 030304 Bucharest, Romania; (M.B.); (M.M.)
| | - Mirela Mihaila
- Stefan S. Nicolau Institute of Virology, 285 Mihai Bravu Street, 030304 Bucharest, Romania; (M.B.); (M.M.)
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Roman V, Mihaila M, Radu N, Marineata S, Diaconu CC, Bostan M. Cell Culture Model Evolution and Its Impact on Improving Therapy Efficiency in Lung Cancer. Cancers (Basel) 2023; 15:4996. [PMID: 37894363 PMCID: PMC10605536 DOI: 10.3390/cancers15204996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Revised: 10/10/2023] [Accepted: 10/13/2023] [Indexed: 10/29/2023] Open
Abstract
Optimizing cell culture conditions is essential to ensure experimental reproducibility. To improve the accuracy of preclinical predictions about the response of tumor cells to different classes of drugs, researchers have used 2D or 3D cell cultures in vitro to mimic the cellular processes occurring in vivo. While 2D cell culture provides valuable information on how therapeutic agents act on tumor cells, it cannot quantify how the tumor microenvironment influences the response to therapy. This review presents the necessary strategies for transitioning from 2D to 3D cell cultures, which have facilitated the rapid evolution of bioengineering techniques, leading to the development of microfluidic technology, including organ-on-chip and tumor-on-chip devices. Additionally, the study aims to highlight the impact of the advent of 3D bioprinting and microfluidic technology and their implications for improving cancer treatment and approaching personalized therapy, especially for lung cancer. Furthermore, implementing microfluidic technology in cancer studies can generate a series of challenges and future perspectives that lead to the discovery of new predictive markers or targets for antitumor treatment.
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Affiliation(s)
- Viviana Roman
- Center of Immunology, Stefan S. Nicolau Institute of Virology, Romanian Academy, 030304 Bucharest, Romania; (V.R.); (M.B.)
| | - Mirela Mihaila
- Center of Immunology, Stefan S. Nicolau Institute of Virology, Romanian Academy, 030304 Bucharest, Romania; (V.R.); (M.B.)
| | - Nicoleta Radu
- Department of Biotechnology, University of Agronomic Sciences and Veterinary Medicine of Bucharest, 011464 Bucharest, Romania
- Biotechnology Department, National Institute for Chemistry and Petrochemistry R&D of Bucharest, 060021 Bucharest, Romania
| | - Stefania Marineata
- Faculty of Medicine, University of Medicine and Pharmacy Carol Davila, 050471 Bucharest, Romania;
| | - Carmen Cristina Diaconu
- Department of Cellular and Molecular Pathology, Stefan S. Nicolau Institute of Virology, 030304 Bucharest, Romania;
| | - Marinela Bostan
- Center of Immunology, Stefan S. Nicolau Institute of Virology, Romanian Academy, 030304 Bucharest, Romania; (V.R.); (M.B.)
- Department of Immunology, ‘Victor Babeș’ National Institute of Pathology, 050096 Bucharest, Romania
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Iordache TA, Badea N, Mihaila M, Crisan S, Pop AL, Lacatusu I. Polygonum cuspidatum Loaded Nanostructured Lipid Carriers for Dual Inhibition of TNF-α- and IL-6 Cytokines and Free Radical Species. Materials (Basel) 2023; 16:ma16093492. [PMID: 37176373 PMCID: PMC10179770 DOI: 10.3390/ma16093492] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 04/21/2023] [Accepted: 04/26/2023] [Indexed: 05/15/2023]
Abstract
The main objective of this study was the testing of natural compounds, such as Polygonum cuspidatum (PgnC) loaded into nanostructured lipid carriers (NLC), which can act as a "double-edged sword" aimed at simultaneously combating dangerous free radicals and inhibiting pro-inflammatory cytokines. Resveratrol-rich PgnC extract was paired with another phytochemical, Diosgenin (DSG), in NLC. The lipid nanocarriers carrying both herbals (NLC-DSG-PgnC) had spherical diameters (100 ± 2 50 nm), a polydispersity index of ~0.15, and electrokinetic potentials greater than -46.5 mV. Entrapment efficiencies of 65% for PgnC and 87% for DSG were determined by chromatographic and UV-Vis spectroscopy assays. Cell cytotoxicity analysis proved that 50 µg/mL of NLC-PgnC and dual-NLC ensured a biocompatible effect like the untreated cells. The dual-NLC assured a much slower in vitro release of DSG and PgnC (67% PgnC and 48% DSG) than the individual-NLC (78% PgnC and 47% DSG) after 4 h of experiments. NLC encapsulating PgnC presented a superior ability to capture cationic radicals: 74.5 and 77.9%. The chemiluminescence results pointed out the non-involvement of DSG in stopping oxygenated free radicals, while the antioxidant activity was maintained at a level higher than 97% for dual-NLC. NLC-DSG-PgnC ensured a promising capacity for inhibition of pro-inflammatory cytokine IL-6, ranging from 91.9 to 94.9%.
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Affiliation(s)
- Teodora-Alexandra Iordache
- Faculty of Chemical Engineering and Biotechnologies, University Politehnica of Bucharest, Polizu No. 1, 011061 Bucharest, Romania
- National Research & Development Institute for Food Bioresources-IBA Bucharest, 6th Dinu Vintila Street, 021101 Bucharest, Romania
| | - Nicoleta Badea
- Faculty of Chemical Engineering and Biotechnologies, University Politehnica of Bucharest, Polizu No. 1, 011061 Bucharest, Romania
| | - Mirela Mihaila
- Stefan S. Nicolau Institute of Virology, Mihai Bravu Street No. 285, 030304 Bucharest, Romania
- Faculty of Pharmacy, Titu Maiorescu University, 040314 Bucharest, Romania
| | - Simona Crisan
- R.D. Center, A.C. HELCOR, Victor Babes Street, 430082 Baia Mare, Romania
| | - Anca Lucia Pop
- Faculty of Pharmacy, "Carol Davila" University of Medicine and Pharmacy, 6 Traian Vuia Street, 020945 Bucharest, Romania
| | - Ioana Lacatusu
- Faculty of Chemical Engineering and Biotechnologies, University Politehnica of Bucharest, Polizu No. 1, 011061 Bucharest, Romania
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Tincu R, Mihaila M, Bostan M, Teodorescu F, Istrati D, Badea N, Lacatusu I. Novel Bovine Serum Albumin-Decorated–Nanostructured Lipid Carriers Able to Modulate Apoptosis and Cell-Cycle Response in Ovarian, Breast, and Colon Tumoral Cells. Pharmaceutics 2023; 15:pharmaceutics15041125. [PMID: 37111611 PMCID: PMC10144507 DOI: 10.3390/pharmaceutics15041125] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 03/27/2023] [Accepted: 03/29/2023] [Indexed: 04/05/2023] Open
Abstract
A novel nanoscale approach was developed for the improved cellular internalization of hybrid bovine serum albumin–lipid nanocarriers loaded with piperine (NLC-Pip–BSA) in different tumor cells. The effect of the BSA-targeted–NLC-Pip and untargeted-NLC-Pip on the viability, proliferation, and levels of cell-cycle damage and apoptosis in the colon (LoVo), ovarian (SKOV3) and breast (MCF7) adenocarcinoma cell lines was comparatively discussed. NLCs were characterized concerning particle size, morphology, zeta potential, phytochemical encapsulation efficiency, ATR-FTIR, and fluorescence spectroscopy. The results showed that NLC-Pip–BSA showed a mean size below 140 nm, a zeta potential of −60 mV, and an entrapment efficiency of 81.94% for NLC-Pip and 80.45% for NLC-Pip–BSA. Fluorescence spectroscopy confirmed the coating of the NLC with the albumin. By MTS and RTCA assays, NLC-Pip–BSA showed a more pronounced response against the LoVo colon cell line and MCF-7 breast tumor cell lines than against the ovarian SKOV-3 cell line. Flow cytometry assay demonstrated that the targeted NLC-Pip had more cytotoxicity and improved apoptosis than the untargeted ones in MCF-7 tumor cells (p < 0.05). NLC-Pip caused a significant increase in MCF-7 breast tumor cell apoptosis of ~8X, while NLC-Pip–BSA has shown an 11-fold increase in apoptosis.
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Affiliation(s)
- Robert Tincu
- Faculty of Chemical Engineering and Biotechnologies, University POLITEHNICA of Bucharest, Polizu No. 1, 011061 Bucharest, Romania
- “C.D. Nenitzescu” Institute of Organic and Supramolecular Chemistry of the Romanian Academy, 202B Splaiul Independentei, 060023 Bucharest, Romania
| | - Mirela Mihaila
- Stefan S. Nicolau Institute of Virology, Mihai Bravu Street No. 285, 030304 Bucharest, Romania
- Faculty of Pharmacy, Titu Maiorescu University, 040314 Bucharest, Romania
| | - Marinela Bostan
- Stefan S. Nicolau Institute of Virology, Mihai Bravu Street No. 285, 030304 Bucharest, Romania
- Department of Immunology, Victor Babes National Institute of Pathology, 050096 Bucharest, Romania
| | - Florina Teodorescu
- “C.D. Nenitzescu” Institute of Organic and Supramolecular Chemistry of the Romanian Academy, 202B Splaiul Independentei, 060023 Bucharest, Romania
| | - Daniela Istrati
- Faculty of Chemical Engineering and Biotechnologies, University POLITEHNICA of Bucharest, Polizu No. 1, 011061 Bucharest, Romania
| | - Nicoleta Badea
- Faculty of Chemical Engineering and Biotechnologies, University POLITEHNICA of Bucharest, Polizu No. 1, 011061 Bucharest, Romania
| | - Ioana Lacatusu
- Faculty of Chemical Engineering and Biotechnologies, University POLITEHNICA of Bucharest, Polizu No. 1, 011061 Bucharest, Romania
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Iordache TA, Badea N, Mihaila M, Crisan S, Pop AL, Lacatusu I. Challenges in Coopted Hydrophilic and Lipophilic Herbal Bioactives in the Same Nanostructured Carriers for Effective Bioavailability and Anti-Inflammatory Action. Nanomaterials (Basel) 2021; 11:3035. [PMID: 34835798 PMCID: PMC8624441 DOI: 10.3390/nano11113035] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Revised: 11/05/2021] [Accepted: 11/09/2021] [Indexed: 12/20/2022]
Abstract
There is ongoing research on various herbal bioactives and delivery systems which indicates that both lipid nanocarriers and herbal medicines will be fine tunned and integrated for future bio-medical applications. The current study was undertaken to systematically develop NLC-DSG-yam extract for the improved efficacy of herbal Diosgenin (DSG) in the management of anti-inflammatory disorders. NLCs were characterized regarding the mean size of the particles, morphological characteristics, physical stability in time, thermal behaviour, and entrapment efficiency of the herbal bioactive. Encapsulation efficiency and in vitro antioxidant activity measured the differences between the individual and dual co-loaded-NLC, the co-loaded one assuring a prolonged controlled release of DSG and a more emphasized ability of capturing short-life reactive oxygen species (ROS). NLCs safety properties were monitored following the in vitro MTS ((3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) tetrazolium reduction assay) and RTCA (Real-Time Cell Analysis) assays. Concentrations less than 50 μg/mL showed no cytotoxic effects during in vitro cytotoxicity assays. Besides, the NLC-DSG-yam extract revealed a great anti-inflammatory effect, as the production of pro-inflammatory cytokines (TNF-alpha, IL-6) was significantly inhibited at 50 μg/mL NLC (e.g., 98.2% ± 1.07 inhibition of TNF-α, while for IL-6 the inhibition percentage was of 62% ± 1.07). Concluding, using appropriate lipid nanocarriers, the most desirable properties of herbal bioactives could be improved.
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Affiliation(s)
- Teodora-Alexandra Iordache
- Faculty of Applied Chemistry and Materials Science, University POLITEHNICA of Bucharest, Polizu No 1, 011061 Bucharest, Romania; (T.-A.I.); (N.B.)
- National Research & Development Institute for Food Bioresources—IBA Bucharest, 6th Dinu Vintila Street, 021102 Bucharest, Romania
| | - Nicoleta Badea
- Faculty of Applied Chemistry and Materials Science, University POLITEHNICA of Bucharest, Polizu No 1, 011061 Bucharest, Romania; (T.-A.I.); (N.B.)
| | - Mirela Mihaila
- Virology Institute “Stefan S. Nicolau”, Romanian Academy, Mihai Bravu Street No 285, 030304 Bucharest, Romania;
| | - Simona Crisan
- RD Center, AC HELCOR, Victor Babes St., 430082 Baia Mare, Romania;
| | - Anca Lucia Pop
- Faculty of Pharmacy, “Carol Davila” University of Medicine and Pharmacy, 6 Traian Vuia Street, 020945 Bucharest, Romania
| | - Ioana Lacatusu
- Faculty of Applied Chemistry and Materials Science, University POLITEHNICA of Bucharest, Polizu No 1, 011061 Bucharest, Romania; (T.-A.I.); (N.B.)
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Lacatusu I, Iordache TA, Mihaila M, Mihaiescu DE, Pop AL, Badea N. Multifaced Role of Dual Herbal Principles Loaded-Lipid Nanocarriers in Providing High Therapeutic Efficacity. Pharmaceutics 2021; 13:pharmaceutics13091511. [PMID: 34575585 PMCID: PMC8465057 DOI: 10.3390/pharmaceutics13091511] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Revised: 09/13/2021] [Accepted: 09/14/2021] [Indexed: 12/18/2022] Open
Abstract
Although many phytochemicals have been used in traditional medicine, there is a great need to refresh the health benefits and adjust the shortcomings of herbal medicine. In this research, two herbal principles (Diosgenin and Glycyrrhiza glabra extract) coopted in the Nanostructured Lipid Carriers have been developed for improving the most desirable properties of herbal medicine—antioxidant and anti-inflammatory actions. The contribution of phytochemicals, vegetable oils and of lipid matrices has been highlighted by comparative study of size, stability, entrapment efficiency, morphological characteristics, and thermal behavior. According to the in vitro MTS and RTCA results, the dual herbal-NLCs were no cytotoxic toward endothelial cells at concentrations between 25 and 100 µg/mL. A rapid release of Glycyrrhiza glabra and a motivated delay of Diosgenin was detected by the in vitro release experiments. Dual herbal-NLCs showed an elevated ability to annihilate long-life cationic radicals (ABTS•+) and short-life oxygenated radicals (an inhibition of 63.4% ABTS•+, while the ability to capture radical oxygen species reached 96%). The production of pro-inflammatory cytokines was significantly inhibited by the newly herbals-NLC (up to 97.9% inhibition of TNF-α and 62.5% for IL-6). The study may open a new pharmacotherapy horizon; it provides a comprehensive basis for the use of herbal-NLC in the treatment of inflammatory diseases.
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Affiliation(s)
- Ioana Lacatusu
- Faculty of Applied Chemistry and Materials Science, University Politehnica of Bucharest, Polizu No 1, 011061 Bucharest, Romania; (I.L.); (T.A.I.); (D.E.M.)
| | - Teodora Alexandra Iordache
- Faculty of Applied Chemistry and Materials Science, University Politehnica of Bucharest, Polizu No 1, 011061 Bucharest, Romania; (I.L.); (T.A.I.); (D.E.M.)
| | - Mirela Mihaila
- Virology Institute Stefan S. Nicolau, Romanian Academy, Mihai Bravu Street No 285, 030304 Bucharest, Romania;
| | - Dan Eduard Mihaiescu
- Faculty of Applied Chemistry and Materials Science, University Politehnica of Bucharest, Polizu No 1, 011061 Bucharest, Romania; (I.L.); (T.A.I.); (D.E.M.)
| | - Anca Lucia Pop
- Faculty of Pharmacy, “Carol Davila” University of Medicine and Pharmacy, 6 Traian Vuia Street, 020945 Bucharest, Romania
- RD Center, AC Helcor, Victor Babes St., 430082 Baia Mare, Romania
- Correspondence: (A.L.P.); (N.B.)
| | - Nicoleta Badea
- Faculty of Applied Chemistry and Materials Science, University Politehnica of Bucharest, Polizu No 1, 011061 Bucharest, Romania; (I.L.); (T.A.I.); (D.E.M.)
- Correspondence: (A.L.P.); (N.B.)
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Stecoza CE, Nitulescu GM, Draghici C, Caproiu MT, Olaru OT, Bostan M, Mihaila M. Synthesis and Anticancer Evaluation of New 1,3,4-Oxadiazole Derivatives. Pharmaceuticals (Basel) 2021; 14:438. [PMID: 34066442 PMCID: PMC8148175 DOI: 10.3390/ph14050438] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 05/01/2021] [Accepted: 05/03/2021] [Indexed: 12/24/2022] Open
Abstract
In order to develop novel chemotherapeutic agents with potent anticancer activities, a series of new 2,5-diaryl/heteroaryl-1,3,4-oxadiazoles were designed and synthesized. The structures of the new compounds were established using elemental analyses, IR and NMR spectral data. The compounds were evaluated for their anticancer potential on two standardized human cell lines, HT-29 (colon adenocarcinoma) and MDA-MB-231 (breast adenocarcinoma). Cytotoxicity was measured by MTS assay, while cell cycle arrest and apoptosis assays were conducted using a flow cytometer, the results showing that the cell line MDA-MB-231 is more sensitive to the compounds' action. The results of the predictive studies using the PASS application and the structural similarity analysis indicated STAT3 and miR-21 as the most probable pharmacological targets for the new compounds. The promising effect of compound 3e, 2-[2-(phenylsulfanylmethyl)phenyl]-5-(4-pyridyl)-1,3,4-oxadiazole, especially on the MDA-MB-231 cell line motivates future studies to improve the anticancer profile and to reduce the toxicological risks. It is worth noting that 3e produced a low toxic effect in the D. magna 24 h assay and the predictive studies on rat acute toxicity suggest a low degree of toxic risks.
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Affiliation(s)
- Camelia Elena Stecoza
- Department of Pharmaceutical Chemistry, Faculty of Pharmacy, “Carol Davila” University of Medicine and Pharmacy, 6 Traian Vuia Street, 020956 Bucharest, Romania; (C.E.S.); (O.T.O.)
| | - George Mihai Nitulescu
- Department of Pharmaceutical Chemistry, Faculty of Pharmacy, “Carol Davila” University of Medicine and Pharmacy, 6 Traian Vuia Street, 020956 Bucharest, Romania; (C.E.S.); (O.T.O.)
| | - Constantin Draghici
- “Costin D. Neniţescu” Centre of Organic Chemistry Romanian Academy, 202 B Splaiul Independenţei, 060023 Bucharest, Romania; (C.D.); (M.T.C.)
| | - Miron Teodor Caproiu
- “Costin D. Neniţescu” Centre of Organic Chemistry Romanian Academy, 202 B Splaiul Independenţei, 060023 Bucharest, Romania; (C.D.); (M.T.C.)
| | - Octavian Tudorel Olaru
- Department of Pharmaceutical Chemistry, Faculty of Pharmacy, “Carol Davila” University of Medicine and Pharmacy, 6 Traian Vuia Street, 020956 Bucharest, Romania; (C.E.S.); (O.T.O.)
| | - Marinela Bostan
- Center of Immunology, “Stefan S. Nicolau” Institute of Virology, 030304 Bucharest, Romania; (M.B.); (M.M.)
| | - Mirela Mihaila
- Center of Immunology, “Stefan S. Nicolau” Institute of Virology, 030304 Bucharest, Romania; (M.B.); (M.M.)
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Iancu IV, Botezatu A, Plesa A, Huica I, Fudulu A, Albulescu A, Bostan M, Mihaila M, Grancea C, Manda DA, Dobrescu R, Vladoiu SV, Anton G, Badiu CV. Alterations of regulatory factors and DNA methylation pattern in thyroid cancer. Cancer Biomark 2021; 28:255-268. [PMID: 32390600 DOI: 10.3233/cbm-190871] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
PURPOSE DNA methylation plays an important role in thyroid oncogenesis. The aim of this study was to investigate the connection between global and local DNA methylation status and to establish the levels of important DNA methylation regulators (TET family and DNMT1) in thyroid tumours: follicular adenoma-FA, papillary thyroid carcinoma-PTC (classic papillary thyroid carcinoma-cPTC and papillary thyroid carcinoma follicular variant fvPTC). METHODS Global DNA methylation profile in thyroid tumours tissue (41 paired samples) was assessed by 5-methylcytosine and 5-hydroxymethylcytosine levels evaluation (ELISA), along with TETs and DNMT1 genes expression quantification. Also, it was investigated for the first time TET1 and TET2 promoter's methylation in thyroid tumours. BRAF V600E mutation and RET/PTC translocation testing were performed on all investigated samples. In vitro studies upon DNA methylation in K1 thyroid cancer cells were performed with demethylating agents (5-AzaC and vitamin C). RESULTS TET1 and TET2 displayed a significantly reduced gene expression level in PTC, while DNMT1 gene presented a high level of expression. PTC samples presented increased levels of 5-methylcytosine and low levels of 5-hydroxymethylcytosine. 5-methylcytosine levels were associated with TET1/TET2 expression levels. TET1 gene expression was significantly lower in patients positive for BRAF mutation and with RET/PTC rearrangement. TET2 gene was found hypermethylated in thyroid carcinoma patients overall, especially in PTC-follicular variant samples (p= 0.0002), where TET2 gene expression levels were significantly reduced (p= 0.0031). Furthermore, the data indicate for all thyroid cancer patients a good sensitivity (81.08%) and specificity (86.49%) regarding the use of TET1 (p< 0.0001), and TET2 (71.79%, 64.10%, p= 0.0001) hypermethylation as biomarkers for thyroid oncogenesis. CONCLUSIONS These results suggest that TET1/TET2 gene expression and methylation may serve as potential diagnostic tools for thyroid neoplasia. Our study showed that the methylation of TET1 increases in malignant thyroid tumours. fvPTC patients presented lower methylation levels compared to cPTC and could be a discriminatory factor between two cancer types and benign lesions. TET2 is a poorer discriminator between FA and fvPTC, but it can be useful for cPTC identification. K1-cells treated with demethylating agents showed a demethylation effect, especially upon TET2 gene. The cumulative effect of L-AA and 5-AzaC proved to have a potent combined demethylating effect on genes promoter's activation and could open new perspectives for thyroid cancer therapy.
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Affiliation(s)
- Iulia V Iancu
- "Stefan S. Nicolau" Institute of Virology, Bucharest, Romania.,"Stefan S. Nicolau" Institute of Virology, Bucharest, Romania
| | - Anca Botezatu
- "Stefan S. Nicolau" Institute of Virology, Bucharest, Romania.,"Stefan S. Nicolau" Institute of Virology, Bucharest, Romania
| | - Adriana Plesa
- "Stefan S. Nicolau" Institute of Virology, Bucharest, Romania.,"Stefan S. Nicolau" Institute of Virology, Bucharest, Romania
| | - Irina Huica
- "Stefan S. Nicolau" Institute of Virology, Bucharest, Romania
| | - Alina Fudulu
- "Stefan S. Nicolau" Institute of Virology, Bucharest, Romania.,"Stefan S. Nicolau" Institute of Virology, Bucharest, Romania
| | - Adrian Albulescu
- "Stefan S. Nicolau" Institute of Virology, Bucharest, Romania.,National Institute for Chemical Pharmaceutical Research and Development, Bucharest, Romania
| | - Marinela Bostan
- "Stefan S. Nicolau" Institute of Virology, Bucharest, Romania
| | - Mirela Mihaila
- "Stefan S. Nicolau" Institute of Virology, Bucharest, Romania
| | - Camelia Grancea
- "Stefan S. Nicolau" Institute of Virology, Bucharest, Romania
| | - Dana Alice Manda
- "CI Parhon" National Institute of Endocrinology, Bucharest, Romania.,"Stefan S. Nicolau" Institute of Virology, Bucharest, Romania
| | - Ruxandra Dobrescu
- "CI Parhon" National Institute of Endocrinology, Bucharest, Romania.,"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.,"Stefan S. Nicolau" Institute of Virology, Bucharest, Romania
| | - Susana Vilma Vladoiu
- "CI Parhon" National Institute of Endocrinology, Bucharest, Romania.,"Stefan S. Nicolau" Institute of Virology, Bucharest, Romania
| | - Gabriela Anton
- "Stefan S. Nicolau" Institute of Virology, Bucharest, Romania.,"Stefan S. Nicolau" Institute of Virology, Bucharest, Romania
| | - Corin Virgil Badiu
- "CI Parhon" National Institute of Endocrinology, Bucharest, Romania.,"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.,"Stefan S. Nicolau" Institute of Virology, Bucharest, Romania
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Munteanu A, Musat MG, Mihaila M, Badea M, Olar R, Nitulescu GM, Rădulescu FȘ, Brasoveanu LI, Uivarosi V. New heteroleptic lanthanide complexes as multimodal drugs: Cytotoxicity studies, apoptosis, cell cycle analysis, DNA interactions, and protein binding. Appl Organomet Chem 2021. [DOI: 10.1002/aoc.6062] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Alexandra‐Cristina Munteanu
- Department of General and Inorganic Chemistry, Faculty of Pharmacy Carol Davila University of Medicine and Pharmacy Bucharest Romania
| | - Mihaela Georgiana Musat
- Department of Biochemistry, Faculty of Pharmacy Carol Davila University of Medicine and Pharmacy Bucharest Romania
| | - Mirela Mihaila
- Center of Immunology Stefan S. Nicolau Institute of Virology Bucharest Romania
| | - Mihaela Badea
- Department of Inorganic Chemistry, Faculty of Chemistry University of Bucharest Bucharest Romania
| | - Rodica Olar
- Department of Inorganic Chemistry, Faculty of Chemistry University of Bucharest Bucharest Romania
| | - George Mihai Nitulescu
- Department of Pharmaceutical Chemistry, Faculty of Pharmacy Carol Davila University of Medicine and Pharmacy Bucharest Romania
| | - Flavian Ștefan Rădulescu
- Center for Drug Sciences, Faculty of Pharmacy Carol Davila University of Medicine and Pharmacy Bucharest Romania
| | | | - Valentina Uivarosi
- Department of General and Inorganic Chemistry, Faculty of Pharmacy Carol Davila University of Medicine and Pharmacy Bucharest Romania
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Maciuca AM, Munteanu AC, Mihaila M, Badea M, Olar R, Nitulescu GM, Munteanu CVA, Bostan M, Uivarosi V. Rare-Earth Metal Complexes of the Antibacterial Drug Oxolinic Acid: Synthesis, Characterization, DNA/Protein Binding and Cytotoxicity Studies. Molecules 2020; 25:molecules25225418. [PMID: 33228104 PMCID: PMC7699381 DOI: 10.3390/molecules25225418] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Revised: 11/14/2020] [Accepted: 11/17/2020] [Indexed: 01/04/2023] Open
Abstract
"Drug repositioning" is a current trend which proved useful in the search for new applications for existing, failed, no longer in use or abandoned drugs, particularly when addressing issues such as bacterial or cancer cells resistance to current therapeutic approaches. In this context, six new complexes of the first-generation quinolone oxolinic acid with rare-earth metal cations (Y3+, La3+, Sm3+, Eu3+, Gd3+, Tb3+) have been synthesized and characterized. The experimental data suggest that the quinolone acts as a bidentate ligand, binding to the metal ion via the keto and carboxylate oxygen atoms; these findings are supported by DFT (density functional theory) calculations for the Sm3+ complex. The cytotoxic activity of the complexes, as well as the ligand, has been studied on MDA-MB 231 (human breast adenocarcinoma), LoVo (human colon adenocarcinoma) and HUVEC (normal human umbilical vein endothelial cells) cell lines. UV-Vis spectroscopy and competitive binding studies show that the complexes display binding affinities (Kb) towards double stranded DNA in the range of 9.33 × 104 - 10.72 × 105. Major and minor groove-binding most likely play a significant role in the interactions of the complexes with DNA. Moreover, the complexes bind human serum albumin more avidly than apo-transferrin.
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Affiliation(s)
- Ana-Madalina Maciuca
- Department of General and Inorganic Chemistry, Faculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, 6 Traian Vuia St, 020956 Bucharest, Romania;
| | - Alexandra-Cristina Munteanu
- Department of General and Inorganic Chemistry, Faculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, 6 Traian Vuia St, 020956 Bucharest, Romania;
- Correspondence: (A.-C.M.); (V.U.); Tel.: +4-021-318-0742 (V.U.); Fax: +4-021-318-0750 (V.U.)
| | - Mirela Mihaila
- Center of Immunology, Stefan S. Nicolau Institute of Virology, 285 Mihai Bravu Ave, 030304 Bucharest, Romania; (M.M.); (M.B.)
| | - Mihaela Badea
- Department of Inorganic Chemistry, Faculty of Chemistry, University of Bucharest, 90-92 Panduri Str, 050663 Bucharest, Romania; (M.B.); (R.O.)
| | - Rodica Olar
- Department of Inorganic Chemistry, Faculty of Chemistry, University of Bucharest, 90-92 Panduri Str, 050663 Bucharest, Romania; (M.B.); (R.O.)
| | - George Mihai Nitulescu
- Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, 6 Traian Vuia Str, 020956 Bucharest, Romania;
| | - Cristian V. A. Munteanu
- Department of Bioinformatics and Structural Biochemistry, Institute of Biochemistry of the Romanian Academy (IBRA), 296 Spl. Independenţei, 060031 Bucharest, Romania;
| | - Marinela Bostan
- Center of Immunology, Stefan S. Nicolau Institute of Virology, 285 Mihai Bravu Ave, 030304 Bucharest, Romania; (M.M.); (M.B.)
| | - Valentina Uivarosi
- Department of General and Inorganic Chemistry, Faculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, 6 Traian Vuia St, 020956 Bucharest, Romania;
- Correspondence: (A.-C.M.); (V.U.); Tel.: +4-021-318-0742 (V.U.); Fax: +4-021-318-0750 (V.U.)
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11
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Botezatu A, Iancu IV, Plesa A, Manda D, Popa O, Bostan M, Mihaila M, Albulescu A, Fudulu A, Vladoiu SV, Huica I, Dobrescu R, Anton G, Badiu C. Methylation of tumour suppressor genes associated with thyroid cancer. Cancer Biomark 2019; 25:53-65. [PMID: 31006665 DOI: 10.3233/cbm-182265] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
BACKGROUND Thyroid carcinoma is the most common endocrine malignancy worldwide. Changes in DNA methylation can cause silencing of normally active genes, especially tumour suppressor genes (TSG) or activation of normally silent genes. OBJECTIVE The aim of this study is to evaluate the degree of promoter methylation for a panel of markers for thyroid neoplasms and to establish their relationship with thyroid oncogenesis. METHODS To generate a comprehensive DNA methylation signature of TSGs involved in thyroid neoplasia, we use Human TSG EpiTect Methyl II Signature PCR Array-Qiagen for 24 samples (follicular adenomas and papillary thyroid carcinomas) compared with normal thyroid tissue. We extended the evaluation for three TSGs (TP73, WIF1, PDLIM4) using qMS-PCR. Statistical analysis was performed with GraphPad Prism. RESULTS We noted four important genes NEUROG1, ESR1, RUNX3, MLH1, which presented methylated promoter in tumour samples compared to normal. We found new characteristic of thyroid tumours: methylation of TP73, WIF1 and PDLIM4 TSGs, which can contribute to thyroid neoplasia. A significant correlation between BRAF V600E mutation and RET/PTC rearrangements with TIMP3 and CDH13, RARB methylation, respectively was observed. CONCLUSIONS TSGs promoter hypermethylation is a hallmark of cancer and a test that uses methylation quantification method is suitable for diagnosis and prognosis of thyroid cancer.
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Affiliation(s)
- Anca Botezatu
- 'Stefan S. Nicolau' Institute of Virology, Bucharest, Romania
| | - Iulia V Iancu
- 'Stefan S. Nicolau' Institute of Virology, Bucharest, Romania
| | - Adriana Plesa
- 'Stefan S. Nicolau' Institute of Virology, Bucharest, Romania
| | - Dana Manda
- 'CI Parhon' National Institute of Endocrinology, Bucharest, Romania
| | - Oana Popa
- 'CI Parhon' National Institute of Endocrinology, Bucharest, Romania
| | - Marinela Bostan
- 'Stefan S. Nicolau' Institute of Virology, Bucharest, Romania
| | - Mirela Mihaila
- 'Stefan S. Nicolau' Institute of Virology, Bucharest, Romania
| | - Adrian Albulescu
- 'Stefan S. Nicolau' Institute of Virology, Bucharest, Romania.,National Institute for Chemical pharmaceutical Research and Development, Calea Vitan, Romania
| | - Alina Fudulu
- 'Stefan S. Nicolau' Institute of Virology, Bucharest, Romania
| | - Susana V Vladoiu
- 'CI Parhon' National Institute of Endocrinology, Bucharest, Romania
| | - Irina Huica
- 'Stefan S. Nicolau' Institute of Virology, Bucharest, Romania
| | - Ruxandra Dobrescu
- 'CI Parhon' National Institute of Endocrinology, Bucharest, Romania.,'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania
| | - Gabriela Anton
- 'Stefan S. Nicolau' Institute of Virology, Bucharest, Romania
| | - Corin Badiu
- 'CI Parhon' National Institute of Endocrinology, Bucharest, Romania.,'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania
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Dumitru M, Gruia M, Botezatu A, Mihaila M, Hotnog C, Hortopan M, Panait M, Anton G, Brasoveanu L. HER2 Ile655Val polymorphism, EGFR expression and cellular proliferation in urinary bladder carcinomas. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz413.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Lacatusu I, Badea N, Badea G, Mihaila M, Ott C, Stan R, Meghea A. Advanced bioactive lipid nanocarriers loaded with natural and synthetic anti-inflammatory actives. Chem Eng Sci 2019. [DOI: 10.1016/j.ces.2019.01.044] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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14
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Munteanu AC, Badea M, Olar R, Silvestro L, Mihaila M, Brasoveanu LI, Musat MG, Andries A, Uivarosi V. Cytotoxicity studies, DNA interaction and protein binding of new Al (III), Ga (III) and In (III) complexes with 5-hydroxyflavone. Appl Organomet Chem 2018. [DOI: 10.1002/aoc.4579] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- Alexandra-Cristina Munteanu
- Department of General and Inorganic Chemistry, Faculty of Pharmacy; Carol Davila University of Medicine and Pharmacy; 6 Traian Vuia Str Bucharest 020956 Romania
| | - Mihaela Badea
- Department of Inorganic Chemistry, Faculty of Chemistry; University of Bucharest; 90-92 Panduri Str Bucharest 050663 Romania
| | - Rodica Olar
- Department of Inorganic Chemistry, Faculty of Chemistry; University of Bucharest; 90-92 Panduri Str Bucharest 050663 Romania
| | - Luigi Silvestro
- PharmaServ. International SRL; 52 Sabinelor Str Bucharest 050853 Romania
| | - Mirela Mihaila
- Center of Immunology; Stefan S. Nicolau Institute of Virology; 285 Mihai Bravu Ave Bucharest 030304 Romania
| | - Lorelei Irina Brasoveanu
- Center of Immunology; Stefan S. Nicolau Institute of Virology; 285 Mihai Bravu Ave Bucharest 030304 Romania
| | - Mihaela Georgiana Musat
- Department of Biochemistry, Faculty of Pharmacy; Carol Davila University of Medicine and Pharmacy; 6 Traian Vuia Str Bucharest 020956 Romania
| | - Adrian Andries
- Department of Industrial Drugs and Pharmaceutical Biotechnology, Faculty of Pharmacy; Carol Davila University of Medicine and Pharmacy; 6 Traian Vuia Str. Bucharest 020956 Romania
| | - Valentina Uivarosi
- Department of General and Inorganic Chemistry, Faculty of Pharmacy; Carol Davila University of Medicine and Pharmacy; 6 Traian Vuia Str Bucharest 020956 Romania
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Badea G, Badea N, Brasoveanu LI, Mihaila M, Stan R, Istrati D, Balaci T, Lacatusu I. Naringenin improves the sunscreen performance of vegetable nanocarriers. NEW J CHEM 2017. [DOI: 10.1039/c6nj02318e] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Naringenin enhances the UV protection, photostability and cell viability of lipid based vegetable nanocarriers.
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Affiliation(s)
- Gabriela Badea
- Faculty of Applied Chemistry and Material Science
- University POLITEHNICA of Bucharest
- 011061 Bucharest
- Romania
| | - Nicoleta Badea
- Faculty of Applied Chemistry and Material Science
- University POLITEHNICA of Bucharest
- 011061 Bucharest
- Romania
| | | | - Mirela Mihaila
- Romanian Academy
- Stefan S. Nicolau Institute of Virology
- 030304 Bucharest
- Romania
| | - Raluca Stan
- Faculty of Applied Chemistry and Material Science
- University POLITEHNICA of Bucharest
- 011061 Bucharest
- Romania
| | - Daniela Istrati
- Faculty of Applied Chemistry and Material Science
- University POLITEHNICA of Bucharest
- 011061 Bucharest
- Romania
| | - Teodora Balaci
- University of Medicine and Pharmacy Carol Davila
- 70183 Bucharest
- Romania
| | - Ioana Lacatusu
- Faculty of Applied Chemistry and Material Science
- University POLITEHNICA of Bucharest
- 011061 Bucharest
- Romania
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Brasoveanu L, Hotnog C, Bostan M, Matei G, Hotnog D, Gruia M, Mihaila M. P22. Immunomodulation induced by resveratrol or genistein on proliferation and apoptosis of tumour colon cells. J Immunother Cancer 2014. [PMCID: PMC4072252 DOI: 10.1186/2051-1426-2-s2-p13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
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Tase AG, Tase A, Tetiu O, Savoiu G, Stanciulescu G, Mihaila M. HMG-CoA-reductase inhibitor co-therapy lowers the risk for incident heart failure in farmorubicin recipients for two cancer locations. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht307.141] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Brasoveanu LI, Mihaila M, Matei G, Predescu D, Gruia MI, Anghel R. Biomarkers associated to human esophageal stem cell-like. J Stem Cells Regen Med 2010; 6:138. [PMID: 24693146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- L I Brasoveanu
- "Stefan S. Nicolau" Institute of Virology, Center of Immunology , Bucharest, Romania
| | - M Mihaila
- "Stefan S. Nicolau" Institute of Virology, Center of Immunology , Bucharest, Romania
| | - G Matei
- "Stefan S. Nicolau" Institute of Virology, Center of Immunology , Bucharest, Romania
| | - D Predescu
- "Saint Mary" Clinical Hospital, Surgery , Bucharest, Romania
| | - M I Gruia
- "Prof. Dr. Alex. Treatioreanu" Institute of Oncology, Cancer Biochemistry , Bucharest, Romania
| | - R Anghel
- "Prof. Dr. Alex. Treatioreanu" Institute of Oncology, Cancer Biochemistry , Bucharest, Romania
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Hotnog C, Mihaila M, Brasoveanu L. 309 Gene expression analysis of tumour markers associated to apoptosis and proliferation in head and neck cancer. EJC Suppl 2010. [DOI: 10.1016/s1359-6349(10)71113-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Mandric C, Dimitriu AG, Miron I, Covic A, Mihaila M, Dumitriu I. H026 Cardiac biomarkers: early predictors of anthracycline-induced cardiotoxicity in children ? – A prospective follow-up study. Arch Cardiovasc Dis 2009. [DOI: 10.1016/s1875-2136(09)72325-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Prokop R, Jyoti A, Eslamian M, Garg A, Mihaila M, del Río O, Susnar S, Policova Z, Neumann A. A study of captive bubbles with axisymmetric drop shape analysis. Colloids Surf A Physicochem Eng Asp 1998. [DOI: 10.1016/s0927-7757(96)03940-4] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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