December 12, 2020
Endosonograpy-confirmed long-term outcomes of ligation of the intersphincteric fistula tract procedure for complex perianal fistulas
By AlejandraGoal: Because the short-term outcomes might overestimate the true success charges of sphincter-sparing strategies, and follow- up protocols that had been reported based mostly on medical standards don’t ideally replicate actual world outcomes related to complicated perianal fistulas (CPF), this research aimed to disclose clinically and three dimensional endosonograpy confirmed long-term outcomes and analyze the components related to recurrences of ligation of intersphincteric fistula tract (LIFT) process.
Sufferers and strategies: A retrospective cross-sectional assessment was carried out for sufferers who underwent the LIFT process for complicated perianal fistulas between October 2015 and February 2017. Cox proportional regression mannequin was used to estimate the imply failure free survival charges and log-rank take a look at was used to match the end result distributions for sufferers who healed vs offered with failure.
Outcomes: A complete of 42 sufferers with the vast majority of males (n=34, %81), who underwent LIFT process for CPF had been analyzed. None of sufferers had been misplaced at follow-up. Endosonograpy-confirmed fistula sorts had been excessive transsphincteric( n=35), horseshoe fistula (n=5) and suprasphicteric (n=2). After a median follow-up of 25.1 (15-36) months, the general therapeutic price was 57.1%, which subsequently elevated to 85.7% with a easy secondary intervention. Based mostly on Cox regression evaluation, earlier perianal intervention was discovered to be impartial threat issue for failure (p=0.025). Having prior perianal surgical procedure considerably elevated the danger of recurrence 6.7 occasions (OR:6,7 95% CI:1,9-24,1 p=0,003). Outcomes had been confirmed by endoanal ultrasound for all sufferers.
Conclusions: Endoanal ultrasound confirmed long-term evaluation of the LIFT process gives a suitable success price, particularly when mixed with secondary easy interventions, with out impairment on continence for the complicated perianal fistulas.

Endosonograpy-confirmed long-term outcomes of ligation of the intersphincteric fistula tract procedure for complex perianal fistulas
Focused nanobody complicated enhanced photodynamic remedy for lung most cancers by overcoming tumor microenvironment
Background: To analyze the efficacy of a PLGA-based nanobody complicated in photodynamic remedy (PDT) and NIR-II imaging in A549 tumor hypoxic mannequin.
Technique: IR1048-MZ was firstly synthesized by conjugating a nitro imidazole group to IR1048. IR1048-MZ and Cat had been then encapsulated in PLGA-SH answer. Anti-EGFR-Nanobody was additionally expressed and purified, and at last [email protected] ([email protected]IC-NPs) nanobody complicated was obtained based mostly on the formation of desulfide bond between PLGA-SH and Anti-EGFR-Nanobody. Measurement distribution and morphology had been characterised by TEM and DLS. Spectrum of [email protected]IC-NPs in the direction of NTR was measured by UV and fluorescence, whereas the particle’s selective response was studied utilizing fluorescence. The uptake of [email protected]IC-NPs in A549 cells was noticed by stream cytometry and CLSM. Within the meantime, its’ catalytic skill that decomposes H2O2 each extra-and intra-cellular was noticed by fluorescence and CLSM. In vitro photodynamic toxicity of [email protected]IC-NPs was examined by MTT, Stay/Useless Cell Staining, Stream Cytometry and Apoptosis Assay. Tumor-bearing mannequin was constructed to look at a semi-quantitative fluorescent distribution and the potential of NIR-II fluorescence/photoacoustic (PA) imaging. Impact of NbIC-NPs on enhancing A549 tumor hypoxia and expression profile of HIF-1α was investigated within the presence of NIR. An A549 tumor metastasis mannequin was additionally constructed to substantiate the complicated’ potential to destroy main tumor, inhibit lung metastasis, and lengthen mice’ survival. Lastly, impression of [email protected]IC-NPs on mice’ essential organs and blood indices was noticed.
Outcomes: NbIC-NPs was efficiently fabricated with good homogeneity. The fluorescent absorbance of [email protected]IC-NPs confirmed a linear relationship with the focus of NTR, and a better focus of NTR corresponded to a stronger photoacoustic sign. As well as, [email protected]IC-NPs confirmed a steady selectivity towards NTR. Our outcomes additionally advised a excessive environment friendly uptake of [email protected]IC-NPs in A549 cells, which was extra environment friendly than IC-NPs and IR1048-MZ alone. In vitro assays confirmed the results of [email protected]IC-NPs on catalytic O2 era even in hypoxic cells. The cell viability was upregulated with the nanocomplex on the absence of the laser, whereas it was dramatically declined with laser remedy that excited at 980 nm. [email protected]IC-NPs achieved tumor hypoxia NIR-II/PA imaging by way of helping A549 gathering. When NIR was utilized, [email protected]IC-NPs can considerably relieve A549 mobile/tumor hypoxia by producing extra reactive oxygen species (ROS), which in flip helps decrease the expression degree of HIF-1α. In abstract, [email protected]IC-NPs based mostly PDT can effectively decimate A549 main tumor, inhibit metastatic lung most cancers, and lengthen the lifespan of the mice beneath tolerable dosage. Eventually, in vivo toxicity assessments of the nanocomplex confirmed its biosafety to the principle organs and regular blood indices values.
Miconazole nitrate |
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20-abx184229 | Abbexa |
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Barium nitrate |
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BB0119 | Bio Basic | 1Kg | EUR 147.7 |
Sertaconazole nitrate |
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B1831-5.1 | ApexBio | 10 mM (in 1mL DMSO) | EUR 135.6 |
Description: Sertaconazole nitrate is a topical broad-spectrum antifungal that is developed to provide an additional agent for the treatment of superficial cutaneous and mucosal infections. |
Butoconazole nitrate |
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B1902-5.1 | ApexBio | 10 mM (in 1mL DMSO) | EUR 129.6 |
Description: Butoconazole nitrate |
Butoconazole nitrate |
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B1902-50 | ApexBio | 50 mg | EUR 153.6 |
Description: Butoconazole nitrate |
Butoconazole nitrate |
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B1902-S | ApexBio | Evaluation Sample | EUR 97.2 |
Description: Butoconazole nitrate |
Econazole nitrate |
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B1937-5.1 | ApexBio | 10 mM (in 1mL DMSO) | EUR 129.6 |
Description: Econazole nitrate |
Econazole nitrate |
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B1937-50 | ApexBio | 50 mg | EUR 153.6 |
Description: Econazole nitrate |
Econazole nitrate |
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B1937-S | ApexBio | Evaluation Sample | EUR 97.2 |
Description: Econazole nitrate |
Isoconazole nitrate |
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B1956-5.1 | ApexBio | 10 mM (in 1mL DMSO) | EUR 129.6 |
Description: Isoconazole nitrate |
Isoconazole nitrate |
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B1956-50 | ApexBio | 50 mg | EUR 153.6 |
Description: Isoconazole nitrate |
Isoconazole nitrate |
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B1956-S | ApexBio | Evaluation Sample | EUR 97.2 |
Description: Isoconazole nitrate |
Miconazole Nitrate |
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B1978-5.1 | ApexBio | 10 mM (in 1mL DMSO) | EUR 129.6 |
Description: Miconazole Nitrate |
Miconazole Nitrate |
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B1978-50 | ApexBio | 50 mg | EUR 153.6 |
Description: Miconazole Nitrate |
Miconazole Nitrate |
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B1978-S | ApexBio | Evaluation Sample | EUR 97.2 |
Description: Miconazole Nitrate |
Sulconazole Nitrate |
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B2036-5.1 | ApexBio | 10 mM (in 1mL DMSO) | EUR 170.4 |
Description: Sulconazole Nitrate is an imidazole derivative with broad-spectrum antifungal activity. |
Sulconazole Nitrate |
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B2036-50 | ApexBio | 50 mg | EUR 153.6 |
Description: Sulconazole Nitrate is an imidazole derivative with broad-spectrum antifungal activity. |
Sulconazole Nitrate |
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B2036-S | ApexBio | Evaluation Sample | EUR 97.2 |
Description: Sulconazole Nitrate is an imidazole derivative with broad-spectrum antifungal activity. |
Oxiconazole (nitrate) |
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C3418-1000 | ApexBio | 1 g | EUR 195.6 |
Description: Oxiconazole is a new imidazole derivative with a broad fungistatic spectrum against the agents of human mycoses in vitro. Subinhibitory concentrations of oxiconazole inhibited synthesis of DNA and decreased synthesis of RNA, protein and carbohydrate to a lesser extent. |
Oxiconazole (nitrate) |
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C3418-25000 | ApexBio | 25 g | EUR 1422 |
Description: Oxiconazole is a new imidazole derivative with a broad fungistatic spectrum against the agents of human mycoses in vitro. Subinhibitory concentrations of oxiconazole inhibited synthesis of DNA and decreased synthesis of RNA, protein and carbohydrate to a lesser extent. |
Oxiconazole (nitrate) |
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C3418-5.1 | ApexBio | 10 mM (in 1mL DMSO) | EUR 135.6 |
Description: Oxiconazole is a new imidazole derivative with a broad fungistatic spectrum against the agents of human mycoses in vitro. Subinhibitory concentrations of oxiconazole inhibited synthesis of DNA and decreased synthesis of RNA, protein and carbohydrate to a lesser extent. |
Oxiconazole (nitrate) |
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C3418-5000 | ApexBio | 5 g | EUR 468 |
Description: Oxiconazole is a new imidazole derivative with a broad fungistatic spectrum against the agents of human mycoses in vitro. Subinhibitory concentrations of oxiconazole inhibited synthesis of DNA and decreased synthesis of RNA, protein and carbohydrate to a lesser extent. |
Econazole nitrate |
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E001-100G | TOKU-E | 100 g | EUR 598.8 |
Econazole nitrate |
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E001-25G | TOKU-E | 25 g | EUR 249.6 |
Econazole nitrate |
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E001-5G | TOKU-E | 5 g | EUR 94.8 |
Miconazole nitrate |
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M005-1G | TOKU-E | 1 g | EUR 74.4 |
Miconazole nitrate |
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M005-5G | TOKU-E | 5 g | EUR 207.6 |
NITRATE BROTH |
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N14-106-10kg | Alphabiosciences | 10 kg | EUR 1713.6 |
NITRATE BROTH |
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N14-106-2kg | Alphabiosciences | 2kg | EUR 420 |
NITRATE BROTH |
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N14-106-500g | Alphabiosciences | 500 g | EUR 157.2 |
NITRATE AGAR |
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N14-107-10kg | Alphabiosciences | 10 kg | EUR 1563.6 |
NITRATE AGAR |
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N14-107-2Kg | Alphabiosciences | 2 Kg | EUR 386.4 |
NITRATE AGAR |
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N14-107-500g | Alphabiosciences | 500 g | EUR 148.8 |
Silver nitrate |
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GK7224-100G | Glentham Life Sciences | 100 g | EUR 265.2 |
Silver nitrate |
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GK7224-10G | Glentham Life Sciences | 10 g | EUR 84 |
Silver nitrate |
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GK7224-250G | Glentham Life Sciences | 250 g | EUR 447.6 |
Silver nitrate |
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GK7224-25G | Glentham Life Sciences | 25 g | EUR 112.8 |
Silver nitrate |
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GK7224-50G | Glentham Life Sciences | 50 g | EUR 170.4 |
Silver nitrate |
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GK7224-5G | Glentham Life Sciences | 5 g | EUR 67.2 |
Fenticonazole nitrate |
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GP1083-100MG | Glentham Life Sciences | 100 mg | EUR 93.6 |
Fenticonazole nitrate |
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GP1083-250MG | Glentham Life Sciences | 250 mg | EUR 141.6 |
Butoconazole (nitrate) |
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HY-B0293 | MedChemExpress | 10mM/1mL | EUR 151.2 |
Fenticonazole (Nitrate) |
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HY-B0359 | MedChemExpress | 10mM/1mL | EUR 160.8 |
Econazole (nitrate) |
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HY-B0453 | MedChemExpress | 5g | EUR 192 |
Miconazole (nitrate) |
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HY-B0454A | MedChemExpress | 5g | EUR 192 |
Isoconazole nitrate |
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GA9375-1G | Glentham Life Sciences | 1 g | EUR 74.4 |
Sodium nitrate |
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GK2648-100G | Glentham Life Sciences | 100 g | EUR 69.6 |
Sertaconazole (nitrate) |
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HY-B0736A | MedChemExpress | 10mM/1mL | EUR 135.6 |
Pilocarpine (nitrate) |
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HY-B1006 | MedChemExpress | 100mg | EUR 159.6 |
Oxiconazole nitrate |
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HY-B1324 | MedChemExpress | 10mg | EUR 159.6 |
Isoconazole (nitrate) |
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HY-B1444 | MedChemExpress | 100mg | EUR 189.6 |
Sulconazole (nitrate) |
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HY-B1460A | MedChemExpress | 100mg | EUR 159.6 |
Thiamine nitrate |
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HY-B2223 | MedChemExpress | 10mM/1mL | EUR 151.2 |
Dehydrocorydaline (nitrate) |
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HY-N4238 | MedChemExpress | 1mg | EUR 214.8 |
isa nitrate |
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ISA31 | Consort | ea | EUR 109.2 |
nitrate electrode |
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ISE31B | Consort | ea | EUR 422.4 |
Thiamine nitrate |
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GV4958-100G | Glentham Life Sciences | 100 g | EUR 146.4 |
Thiamine nitrate |
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GV4958-25G | Glentham Life Sciences | 25 g | EUR 84 |
Potassium nitrate |
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PD0444 | Bio Basic | 500g | EUR 76.7 |
Sodium nitrate |
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SD0484 | Bio Basic | 500g | EUR 73.57 |
Silver nitrate |
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SB0479 | Bio Basic | 25g | EUR 170.66 |
Dehydrocorydaline nitrate |
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TBW01112 | ChemNorm | 20mg | Ask for price |
5-(Trifluoromethyl)indole |
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20-abx181189 | Abbexa |
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Indole-6-Carboxaldehyde |
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abx188736-5g | Abbexa | 5 g | EUR 376.8 |
Indole-3-carbinol |
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B2839-1 | Biovision | 1 g | EUR 127.2 |
Description: Indole-3-carbinol is an anticancer phytochemical in cruciferous vegetables. It is produced by the breakdown of the glucosinolate glucobrassicin by the action of enzyme myrosinase. It induces apoptosis in cancer cells. It inhibits NF-?B, Akt and MAPK signaling pathways. It inactivates a ubiquitin E3 ligase (WWP1), which restores the tumor suppressive activity of PTEN. |
Indole-3-carbinol |
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B2839-5 | Biovision | 5 g | EUR 176.4 |
Description: Indole-3-carbinol is an anticancer phytochemical in cruciferous vegetables. It is produced by the breakdown of the glucosinolate glucobrassicin by the action of enzyme myrosinase. It induces apoptosis in cancer cells. It inhibits NF-?B, Akt and MAPK signaling pathways. It inactivates a ubiquitin E3 ligase (WWP1), which restores the tumor suppressive activity of PTEN. |
Indole-3-carbinol |
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B3667-100 | ApexBio | 100 mg | EUR 115.2 |
Indole-3-carbinol |
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B3667-5.1 | ApexBio | 10 mM (in 1mL DMSO) | EUR 129.6 |
Indole-3-carbinol |
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E1KS2313 | EnoGene | 100mg | EUR 296.4 |
Indole-3-carbinol |
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GK5424-1G | Glentham Life Sciences | 1 g | EUR 55.2 |
Indole-3-carbinol |
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GK5424-25G | Glentham Life Sciences | 25 g | EUR 189.6 |
Indole-3-carbinol |
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GK5424-5G | Glentham Life Sciences | 5 g | EUR 84 |
Indole-3-carboxaldehyde |
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GK9020-100G | Glentham Life Sciences | 100 g | EUR 180 |
Indole-3-carboxaldehyde |
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GK9020-10G | Glentham Life Sciences | 10 g | EUR 69.6 |
Indole-3-carboxaldehyde |
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GK9020-25G | Glentham Life Sciences | 25 g | EUR 93.6 |
Indole-3-carboxaldehyde |
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GK9020-5G | Glentham Life Sciences | 5 g | EUR 57.6 |
Indole-3-acetamide |
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HY-W016784 | MedChemExpress | 100mg | EUR 129.6 |
Indole-3-carbinol |
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I034-1G | TOKU-E | 1 g | EUR 75.6 |
Indole-3-carbinol |
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I034-25G | TOKU-E | 25 g | EUR 238.8 |
Indole-3-carbinol |
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I034-5G | TOKU-E | 5 g | EUR 92.4 |
Indole-3-carbinol |
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HY-N0170 | MedChemExpress | 1g | EUR 176.4 |
Indole-3-glyoxylamide |
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TBP03437 | ChemNorm | unit | Ask for price |
Indole-3-carbinol |
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B2839-100 | Biovision | each | EUR 130.8 |
Indole-3-carbinol |
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B2839-500 | Biovision | each | EUR 183.6 |
Econazole Nitrate (powder) |
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50R-R14827 | Fitzgerald | 50 mg | EUR 159.6 |
Description: Econazole Nitrate chemical reference substance |
Aluminium nitrate nonahydrate |
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abx184820-100g | Abbexa | 100 g | EUR 292.8 |
Rhodium nitrate solution |
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20-abx186014 | Abbexa |
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Calcium nitrate tetrahydrate |
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CB0258 | Bio Basic | 500g | EUR 77.75 |
Nitrate Standard, 200UL |
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C086-200UL | Arbor Assays | 200UL | EUR 147.6 |
Nitrate Reductase, 1EA |
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C088-1EA | Arbor Assays | 1EA | EUR 104.4 |
Magnesium nitrate hexahydrate |
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MB0586 | Bio Basic | 500g | EUR 80.88 |
2-Ethylhexyl nitrate |
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GK6026-100ML | Glentham Life Sciences | 100 ml | EUR 60 |
2-Ethylhexyl nitrate |
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GK6026-1L | Glentham Life Sciences | 1 l | EUR 160.8 |
2-Ethylhexyl nitrate |
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GK6026-500ML | Glentham Life Sciences | 500 ml | EUR 103.2 |
(4-Acetamidocyclohexyl) nitrate |
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HY-100295 | MedChemExpress | 10mg | EUR 1383.6 |
Miconazole nitrate salt |
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GA3642-1G | Glentham Life Sciences | 1 g | EUR 64.8 |
Miconazole nitrate salt |
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GA3642-25G | Glentham Life Sciences | 25 g | EUR 274.8 |
Miconazole nitrate salt |
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GA3642-5G | Glentham Life Sciences | 5 g | EUR 103.2 |
Econazole nitrate salt |
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GA5978-100G | Glentham Life Sciences | 100 g | EUR 346.8 |
Econazole nitrate salt |
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GA5978-25G | Glentham Life Sciences | 25 g | EUR 160.8 |
Econazole nitrate salt |
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GA5978-5G | Glentham Life Sciences | 5 g | EUR 74.4 |
Calcium nitrate tetrahydrate |
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GE9273-10KG | Glentham Life Sciences | 10 kg | EUR 199.2 |
Calcium nitrate tetrahydrate |
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GE9273-1KG | Glentham Life Sciences | 1 kg | EUR 64.8 |
Calcium nitrate tetrahydrate |
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GE9273-500G | Glentham Life Sciences | 500 g | EUR 55.2 |
Calcium nitrate tetrahydrate |
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GE9273-5KG | Glentham Life Sciences | 5 kg | EUR 132 |
Magnesium nitrate hexahydrate |
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GK0164-1KG | Glentham Life Sciences | 1 kg | EUR 79.2 |
Magnesium nitrate hexahydrate |
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GK0164-250G | Glentham Life Sciences | 250 g | EUR 52.8 |
Magnesium nitrate hexahydrate |
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GK0164-500G | Glentham Life Sciences | 500 g | EUR 64.8 |
Magnesium nitrate hexahydrate |
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GK0164-5KG | Glentham Life Sciences | 5 kg | EUR 213.6 |
Potassium nitrate, 99% |
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GK1121-1KG | Glentham Life Sciences | 1 kg | EUR 93.6 |
Potassium nitrate, 99% |
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GK1121-250G | Glentham Life Sciences | 250 g | EUR 60 |
Potassium nitrate, 99% |
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GK1121-500G | Glentham Life Sciences | 500 g | EUR 70.8 |
Potassium nitrate, 99% |
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GK1121-5KG | Glentham Life Sciences | 5 kg | EUR 217.2 |
L-Anserine · nitrate |
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G-4555.0100 | Bachem | 100.0mg | EUR 254.4 |
Description: Sum Formula: C10H16N4O3·HNO3; CAS# [10030-52-1] |
L-Anserine · nitrate |
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G-4555.0250 | Bachem | 250.0mg | EUR 471.6 |
Description: Sum Formula: C10H16N4O3·HNO3; CAS# [10030-52-1] |
calibration solution nitrate |
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ISC31 | Consort | ea | EUR 109.2 |
Cycloguanil (D6 Nitrate) |
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HY-12784S1 | MedChemExpress | 1mg | EUR 325.2 |
Zinc nitrate hexahydrate |
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GX0843-100G | Glentham Life Sciences | 100 g | EUR 52.8 |
Zinc nitrate hexahydrate |
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GX0843-1KG | Glentham Life Sciences | 1 kg | EUR 117.6 |
Zinc nitrate hexahydrate |
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GX0843-250G | Glentham Life Sciences | 250 g | EUR 64.8 |
Zinc nitrate hexahydrate |
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GX0843-500G | Glentham Life Sciences | 500 g | EUR 84 |
Zinc nitrate hexahydrate |
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GX0843-5KG | Glentham Life Sciences | 5 kg | EUR 279.6 |
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Conclusion: [email protected]IC-NPs improves tumor hypoxia by way of catalytic response and lowers the expression degree of HIF-1α. It achieves tumor PA imaging by way of intensified NIR-II fluorescence sign that attributable to response of the complicated to the lesion’s nitroreductase (NTR). [email protected]IC-NPs based mostly PDT can effectively kill A549 main tumor, inhibit a lung metastasis, in addition to lengthen mice’ survival cycle.
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