Background The poultry industry needs effective antibiotic alternatives to control outbreaks of necrotic enteritis(NE)caused by Clostridium perfringens.Methods The aim of this study was to investigate the effects of d...Background The poultry industry needs effective antibiotic alternatives to control outbreaks of necrotic enteritis(NE)caused by Clostridium perfringens.Methods The aim of this study was to investigate the effects of dietary supplementation with Macleaya cordata extract(MCE)on the immune function and gut microbiota of broilers with NE.A total of 2881-day-old broiler chicks were randomly assigned to a 2×2 factorial arrangement with two concentrations of dietary MCE supplementation(0 or 350 mg/kg of diet)and two disease challenge statuses(control or NE).Results The results revealed that NE significantly increased the feed conversion rate(FCR),mortality,intestinal lesion score,the levels of IL-1β,IL-17 and IFN-γ/IL-4 in serum and IL-17/IL-10 in the jejunal mucosa,m RNA levels of TLR2,IFN-γand p Ig R in the jejunum,and Clostridium perfringens concentrations in the cecum.NE significantly decreased the body weight(BW),body weight gain(BWG),jejunal villus height,V/C,m RNA level of AMPK-α1 in jejunum,IL-4 level in the jejunal mucosa and lactic acid bacteria abundance in the cecum.MCE significantly increased BW,BWG,jejunal villus height,V/C,m RNA levels of occludin,ZO-1 and AMPK-α1 in the jejunum,the levels of Ig A and Ig G in serum and IL-10 in the jejunal mucosa and m RNA levels of NF-κB,IL-10 and MHC-II in the jejunum.Additionally,MCE significantly decreased the FCR,mortality,intestinal lesion score,jejunal crypt depth,the levels of IFN-γand IL-17 in serum and IL-17/IL-10 in the jejunal mucosa,Clostridium perfringens concentrations in the cecum,and m RNA levels of IL-17/IL-10 in the jejunum.Moreover,NE significantly increased the abundance of bacteria that are associated with inflammation,obesity and depression(Alistipes,Barnesiella,Intestinimonas,RF39 and UCG-005)and significantly decreased the abundance of short-chain fatty acid(SCFA)-producing bacteria(Anaerotruncus,Butyricicoccus and Bacteroides)in the cecum.MCE significantly increased the abundance of SCFA-producing bacteria(Streptococcus,Ruminococcus_torques_group and Lachnospiraceae_NK4A136_group)and significantly reduced the abundance of bacteria that are associated with inflammation and obesity(Alistipes,Barnesiella and UCG-010)in the cecum.In the cecum of broilers with NE,the relative abundance of Barnesiella and Alistipes was higher and that of Lachnoclostridium and Shuttleworthia was lower.Interestingly,these trends were reversed by the addition of MCE to the diet.Spearman correlation analysis showed that Barnesiella and Alistipes were associated with enhanced intestinal inflammation and inhibited growth performance,whereas Lachnoclostridium and Shuttleworthia were associated with anti-inflammatory effects.Conclusions MCE ameliorated the loss of growth performance in broiler chickens with NE,probably by regulating the intestinal barrier,immune function,and gut microbiota.展开更多
Background Long non-coding RNAs(lncRNAs)regulate numerous biological processes,including adipogenesis.Research on adipogenesis will assist in the treatment of human metabolic diseases and improve meat quality in lives...Background Long non-coding RNAs(lncRNAs)regulate numerous biological processes,including adipogenesis.Research on adipogenesis will assist in the treatment of human metabolic diseases and improve meat quality in livestock,such as the content of intramuscular fat(IMF).However,the significance of lncRNAs in intramuscular adipogenesis remains unclear.This research aimed to reveal the lncRNAs transcriptomic profiles in the process of bovine intramuscular adipogenesis and to identify the lncRNAs involved in the adipogenesis of bovine intramuscular adipocytes.Results In this research,a landscape of lncRNAs was identified with RNA-seq in bovine intramuscular adipocytes at four adipogenesis stages(0 d,3 d,6 d,and 9 d after differentiation).A total of 7035 lncRNAs were detected,including 3396 novel lncRNAs.Based on the results of differential analysis,co-expression analysis,and functional prediction,we focused on the bovine intramuscular adipogenesis-associated long non-coding RNA(BIANCR),a novel lncRNA that may have an important regulatory function.The knockdown of BIANCR inhibited proliferation and promoted apoptosis of intramuscular preadipocytes.Moreover,BIANCR knockdown inhibited intramuscular adipogenesis by regulating the ERK1/2 signaling pathway.Conclusion This study obtained the landscape of lncRNAs during adipogenesis in bovine intramuscular adipocytes.BIANCR plays a crucial role in adipogenesis through the ERK1/2 signaling pathway.The results are noteworthy for improving beef meat quality,molecular breeding,and metabolic disease research.展开更多
BACKGROUND The diagnostic value of combined methylated branched chain amino acid transaminase 1(BCAT1)/IKAROS family zinc finger 1(IKZF1)in plasma for colorectal cancer(CRC)has been explored since 2015.Recently,severa...BACKGROUND The diagnostic value of combined methylated branched chain amino acid transaminase 1(BCAT1)/IKAROS family zinc finger 1(IKZF1)in plasma for colorectal cancer(CRC)has been explored since 2015.Recently,several related studies have published their results and showed its diagnostic efficacy.AIM To analyze the diagnostic value of methylated BCAT1/IKZF1 in plasma for screening and postoperative follow-up of CRC.METHODS The candidate studies were identified by searching the PubMed,Embase,Cochrane Library,CNKI,and Wanfang databases from May 31,2003 to June 1,2023.Sensitivity,specificity,and diagnostic accuracy were calculated by merging ratios or means.RESULTS Twelve eligible studies were included in the analysis,involving 6561 participants.The sensitivity of methylated BCAT1/IKZF1 in plasma for CRC diagnosis was 60%[95%confidence interval(CI)53-67]and specificity was 92%(95%CI:90-94).The positive and negative likelihood ratios were 8.0(95%CI:5.8-11.0)and 0.43(95%CI:0.36-0.52),respectively.Diagnostic odds ratio was 19(95%CI:11-30)and area under the curve was 0.88(95%CI:0.85-0.91).The sensitivity and specificity for CRC screening were 64%(95%CI:59-69)and 92%(95%CI:91-93),respectively.The sensitivity and specificity for recurrence detection during follow-up were 54%CONCLUSION The detection of methylated BCAT1/IKZF1 in plasma,as a non-invasive detection method of circulating tumor DNA,has potential CRC diagnosis,but the clinical application prospect needs to be further explored.展开更多
This paper investigated the effects of root-zone (RZ) CO<sub>2</sub> concentration ([CO<sub>2</sub>]) on root morphology and growth, nitrate (NO<sub>3</sub>-</sup>) uptake and...This paper investigated the effects of root-zone (RZ) CO<sub>2</sub> concentration ([CO<sub>2</sub>]) on root morphology and growth, nitrate (NO<sub>3</sub>-</sup>) uptake and assimilation of lettuce plants at different root-zone temperatures (RZT). Elevated RZ [CO<sub>2</sub>] stimulated root development, root and shoot growth compared to ambient RZ [CO<sub>2</sub>]. The greatest increase in root growth was observed in plants grown under elevated RZ [CO<sub>2</sub>] of 50,000 ppm. However, RZ [CO<sub>2</sub>] of 10,000 ppm was sufficient to achieve the maximal leaf area and shoot productivity. Lettuce plants exhibited faster shoot and root growth at 20°C-RZT than at ambient (A)-RZT. However, under elevated RZ [CO<sub>2</sub>], the magnitude of increased growth was greater at A-RZT than at 20°C-RZT. Compared to RZ [CO<sub>2</sub>] of 360 ppm, elevated RZ [CO<sub>2</sub>] of 10,000 ppm increased NO<sub>3</sub>-</sup> accumulation and nitrate reductase activity (NRA) in both leaves and roots. NO<sub>3</sub>-</sup> concentrations of leaf and root were higher at 20°C-RZT than at A-RZT in all plants. NRA was higher in root than in leaf especially under A-RZT. The total reduced nitrogen (TRN) concentration was significantly higher in plants grown under elevated RZ [CO<sub>2</sub>] of 10,000 ppm than under ambient RZ [CO<sub>2</sub>] of 360 ppm with greater concentration in 20°C-RZT plants than in A-RZT plants. These results imply that elevated RZ [CO<sub>2</sub>] significantly affected root morphology, root and shoot growth and N metabolism of temperate lettuce with greater impacts at A-RZT than at 20°C-RZT. These findings have practical significance to vegetable production by growing the vegetable crops at cool-RZT with elevated RZ [CO<sub>2</sub>] to enhance its productivity.展开更多
Although tropical high ambient temperature and humidity severely reduced the productivity of temperate plants, temperate vegetable crops such as lettuce have been successfully grown in Singapore by only cooling its ro...Although tropical high ambient temperature and humidity severely reduced the productivity of temperate plants, temperate vegetable crops such as lettuce have been successfully grown in Singapore by only cooling its root-zone. In this paper, a cool Meditteranean vegetable, Eruca sativa, was studied to understand how different RZTs can impact its shoot productivity, photosynthesis and nutritional quality. All plants were cultivated using aeroponic systems in a tropical greenhouse under hot ambient conditions where roots were subjected to four different root-zone temperatures (RZTs) of 20°C-RZT, 25°C-RZT, 30°C-RZT and fluctuating ambient temperatures ranged from 25°C to 38°C [25°C/38°C (ambient)]-RZT. Parameters studied include shoot fresh weight (FW), photosynthetic gas exchange, midday chlorophyll (Chl) fluorescence F<sub>v</sub>/F<sub>m</sub> ratio, Chl fluorescence photochemical quenching (qP), non-photochemical quenching (qN) and electron transport rate (ETR), total phenolic compounds and mineral content such as potassium (K), calcium (Ca), magnesium (Mg) and iron (Fe). Among the 4 different RZT treatments, E. sativa plants grown under ambient-RZT (25/38°C-RZT) had the lowest shoot and root FW while those plants grown under 20°C-RZT had highest productivity of shoot and root. However, there were no significant differences in shoot and root FW in plants grown at 25°C- and 30°C-RZT. Compared to plants grown under 25°C/38°C (ambient-RZT), light-saturated photosynthetic CO<sub>2</sub> assimilation rate (A<sub>sat</sub>) and stomatal conductance (g<sub>ssat</sub>) were similarly higher in 20°C-, 25°C- and 30°C-RZT. All plants had midday Chl fluorescence F<sub>v</sub>/F<sub>m</sub> ratio lower than <0.8 ranged from 0.785 to 0.606 with the highest and lowest ratios recorded in 20°C-RZT and ambient-RZT plants, respectively. These results indicate that cooling the RZ of E. sativa plants protected their PS II from photoinactivation during midday in the greenhouse. There were no significant differences observed in photochemical quenching (qP), non-photochemical quenching (qN) and electron transport rate among plants grown under 20°C-, 25°C- and 30°C-RZT. However, plants grown under ambient-RZT had lower qP, qN and ETR compared to all other plants. E. sativa at 20°C-RZT with the best developed roots had the highest dietary mineral (K, Mg, Ca and Fe) contents but lower total phenolics content. In contrast, ambient-RZT, plants with poorly developed roots had the lowest mineral content but highest total phenolic content. The results of this study suggest that cooling of roots is a feasible method for the cultivation of E. sativa in the tropic, which enhances the content of dietary minerals in shoots.展开更多
During the mining process of impact-prone coal seams,drilling pressure relief can reduce the impact propensity of the coal seam,but it also reduces the integrity and strength of the coal mass at the side of the roadwa...During the mining process of impact-prone coal seams,drilling pressure relief can reduce the impact propensity of the coal seam,but it also reduces the integrity and strength of the coal mass at the side of the roadway.Therefore,studying the mechanical properties and energy evolution rules of coal samples containing holes and filled structures has certain practical significance for achieving coordinated control of coal mine rockburst disasters and the stability of roadway surrounding rocks.To achieve this aim,seven types of burst-prone coal samples were prepared and subject to uniaxial compression experiments with the aid of a TAW-3000 electro-hydraulic servo testing machine.Besides,the stress–strain curves,acoustic emission signals,DIC strain fields and other data were collected during the experiments.Furthermore,the failure modes and energy evolutions of samples with varying drilled hole sizes and filling materials were analyzed.The results show that the indexes related to burst propensity of the drilled coal samples decline to some extent compared with those of the intact one,and the decline is positively corelated to the diameter of the drilled hole.After hole filling,the strain concentration degree around the drilled hole is lowered to a certain degree,and polyurethane filling has a more remarkable effect than cement filling.Meanwhile,hole filling can enhance the strength and deformation resistance of coal.Hole drilling can accelerate the release of accumulated elastic strain energy,turning the acoustic emission events from low-frequency and high-energy ones to high-frequency and low-energy ones,whereas hole filling can reduce the intensity of energy release.The experimental results and theoretical derivation demonstrate that hole filling promotes coal deformability and strength mainly by weakening stress concentration surrounding the drilled holes.Moreover,the fillings can achieve a better filling effect if their elastic modulus and Poisson’s ratio are closer to those of the coal body.展开更多
In 2012, the National Central Cancer Registry (NCCR) of China collected cancer registration information for the year 2009 from local cancer registries and analyzed it to describe the incidences and mortalities of canc...In 2012, the National Central Cancer Registry (NCCR) of China collected cancer registration information for the year 2009 from local cancer registries and analyzed it to describe the incidences and mortalities of cancers in China. Based on the data quality criteria from NCCR, data from 104 registries covering 85,470,522 people (57,489,009 in urban areas and 27,981,513 in rural areas) were checked and evaluated. The data from 72 registries were qualified and accepted for the cancer registry annual report in 2012. The total cancer incident cases and cancer deaths were 244,366 and 154,310, respectively. The morphologically verified cases accounted for 67.23%, and 3.14% of the incident cases only had information from death certifications. The crude incidence in the Chinese cancer registration areas was 285.91/ 100,000 (317.97/100,000 in males and 253.09/100,000 in females). The age-standardized rates for incidences based on the Chinese standard population (ASRIC) and the world standard population (ASRIW) were 146.87/100,000 and 191.72/100,000, respectively, with a cumulative incidence of 22.08%. The cancer mortality in the Chinese cancer registration areas was 180.54/100,000 (224.20/100,000 in males and 135.85/100,000 in females). The age-standardized rates for mortalities based on the Chinese standard population (ASRMC) and the world standard population (ASRMW) were 85.06/100,000 and 115.65/100,000, respectively, and the cumulative mortality was 12.94% . Lung cancer, gastric cancer, colorectal cancer, liver cancer, esophageal cancer, pancreatic cancer, encephaloma, lymphoma, female breast cancer, and cervical cancer were the most common cancers, accounting for 75% of all cancer cases. Lung cancer, gastric cancer, liver cancer, esophageal cancer, colorectal cancer, pancreatic cancer, breast cancer, encephaloma, leukemia, and lymphoma accounted for 80% of all cancer deaths. The cancer registration's population coverage has been increasing, and its data quality is improving. As the basis of the cancer control program, the cancer registry plays an important role in directing anticancer strategies in the medium and long term. Because cancer burdens are different in urban and rural areas in China, prevention and control efforts should be based on practical situations.展开更多
Background: The increasing prevalence of colorectal cancer(CRC) in China and the paucity of information about relevant expenditure highlight the necessity of better understanding the financial burden and effect of CRC...Background: The increasing prevalence of colorectal cancer(CRC) in China and the paucity of information about relevant expenditure highlight the necessity of better understanding the financial burden and effect of CRC diagnosis and treatment. We performed a survey to quantify the direct medical and non-medical expenditure as well as the resulting financial burden of CRC patients in China.Methods: We conducted a multicenter, cross-sectional survey in 37 tertiary hospitals in 13 provinces across China between 2012 and 2014. Each enrolled patient was interviewed using a structured questionnaire. All expenditure data were inflated to the 2014 Chinese Yuan(CNY; 1 CNY = 0.163 USD). We quantified the overall expenditure and financial burden and by subgroup(hospital type, age at diagnosis, sex, education, occupation, insurance type, household income, clinical stage, pathologic type, and therapeutic regimen). We then performed generalized linear modeling to determine the factors associated with overall expenditure.Results: A total of 2356 patients with a mean age of 57.4 years were included, 57.1 % of whom were men; 13.9% of patients had stage I cancer; and the average previous-year household income was 54,525 CNY.The overall average direct expenditure per patient was estimated to be 67,408 CNY, and the expenditures for stage Ⅰ, Ⅱ, Ⅲ, and Ⅳ disease were 56,099 CNY, 59,952 CNY, 67,292 CNY, and 82,729 CNY, respectively. Non-medical expenditure accounted for 8.3%of the overall expenditure. The 1-year out-of-pocket expenditure of a newly diagnosed patient was 32,649 CNY, which accounted for 59.9% of their previous-year household income and caused 75.0% of families to suffer an unmanageable financial burden. Univariate analysis showed that financial burden and overall expenditure differed in almost all subgroups(P < 0.05), except for sex. Multivariate analysis showed that patients who were treated in specialized hospitals and those who were diagnosed with adenocarcinoma or diagnosed at a later stage were likely to spend more,whereas those with a lower household income and those who underwent surgery spent less(all P < 0.05).Conclusions: For patients in China, direct expenditure for the diagnosis and treatment of CRC seemed catastrophic,and non-medical expenditure was non-ignorable. The financial burden varied among subgroups, especially among patients with different clinical stages of disease, which suggests that, in China, CRC screening might be cost-effective.展开更多
Background: Esophageal squamous cell carcinoma(ESCC) is an aggressive malignancy, with a high incidence and poor prognosis. In the past several decades, hundreds of proteins have been reported to be associated with th...Background: Esophageal squamous cell carcinoma(ESCC) is an aggressive malignancy, with a high incidence and poor prognosis. In the past several decades, hundreds of proteins have been reported to be associated with the prognosis of ESCC, but none has been widely accepted to guide clinical care. This study aimed to identify proteins with great potential for predicting prognosis of ESCC.Methods: We conducted a systematic review on immunohistochemical(IHC) prognostic markers of ESCC according to the 2009 Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA) Guidelines. Literature related to IHC prognostic markers of ESCC were searched from PubMed, Embase, Web of Science, and Cochrane Library until January 30 th, 2017. The risk of bias of these original studies was evaluated using the Quality in Prognosis Studies(QUIPS) tool.Results: We identified 11 emerging IHC markers with reproducible results, including eight markers [epidermal growth factor receptor(EGFR), Cyclin D1, vascular endothelial growth factor(VEGF), Survivin, Podoplanin, Fascin,phosphorylated mammalian target of rapamycin(p-mTOR), and pyruvate kinase M2(PKM2)] indicating unfavorable prognosis and 3 markers(P27, P16, and E-cadherin) indicating favorable prognosis of ESCC.Conclusion: Strong evidence supports that these 11 emerging IHC markers or their combinations may be useful in predicting prognosis and aiding personalized therapy decision-making for ESCC patients.展开更多
Objective:The aim of this study was to investigate how the tumor immune microenvironment differs regarding tumor genomics,as well as its impact on prognoses and responses to immunotherapy in East Asian patients with n...Objective:The aim of this study was to investigate how the tumor immune microenvironment differs regarding tumor genomics,as well as its impact on prognoses and responses to immunotherapy in East Asian patients with non-small cell lung cancer(NSCLC).Methods:We performed an integrated analysis using publicly available data to identify associations between anti-programmed death 1(PD-1)/programmed death-ligand 1(PD-L1)immunotherapy efficacy and classic driver oncogene mutations in East Asian NSCLC patients.Four pooled and clinical cohort analyses were used to correlate driver oncogene mutation status and tumor microenvironment based on PD-L1 and CD8+tumor-infiltrating lymphocytes(TILs).Immune infiltrating patterns were also established for genomic NSCLC subgroups using the CIBERSORT algorithm.Results:Based on East Asian NSCLC patients,TIDE analyses revealed that for anti-PD-1/PD-L1 immunotherapy,epidermal growth factor receptor(EGFR)-mutant and anaplastic lymphoma kinase(ALK)-rearranged tumors yielded inferior responses;however,although Kirsten rat sarcoma viral oncogene homolog(KRAS)-mutant tumors responded better,the difference was not statistically significant(EGFR:P=0.037;ALK:P<0.001;KRAS:P=0.701).Pooled and clinical cohort analyses demonstrated tumor immune microenvironment heterogeneities correlated with oncogenic patterns.The results showed remarkably higher PD-L1-and TIL-positive KRAS-mutant tumors,suggesting KRAS mutations may drive an inflammatory phenotype with adaptive immune resistance.However,the EGFR-mutant or ALK-rearranged groups showed a remarkably higher proportion of PD-L1-/TIL-tumors,suggesting an uninflamed phenotype with immunological ignorance.Notably,similar to triple wild-type NSCLC tumors,EGFR L858R-mutant tumors positively correlated with an inflammatory phenotype,suggesting responsiveness to anti-PD-1/PD-L1 immunotherapy(P<0.05).Furthermore,the CIBERSORT algorithm results revealed that EGFR-mutant and ALK-rearranged tumors were characterized by an enriched resting memory CD4+T cell population(P<0.001),as well as a lack of CD8+T cells(P<0.01),and activated memory CD4+T cells(P=0.001).Conclusions:Our study highlighted the complex relationships between immune heterogeneity and immunotherapeutic responses in East Asian NSCLC patients regarding oncogenic dependence.展开更多
Biomarker identification is crucial for the selection of patients who might benefit from radiotherapy.To explore potential markers for response and prognosis in patients with locally advanced esophageal carcinoma trea...Biomarker identification is crucial for the selection of patients who might benefit from radiotherapy.To explore potential markers for response and prognosis in patients with locally advanced esophageal carcinoma treated with radiotherapy followed by surgery,we evaluated the expression of cell cycle checkpoint-related proteins Chk2,Cdc25C,and Cyclin D1.A total of 56 patients with locally advanced esophageal squamous cell carcinoma were treated with radiotherapy followed by surgery.Pretreatment tumor biopsy specimens were analyzed for Chk2,Cdc25C,and Cyclin D1 expression by immunohistochemistry.High expression of Chk2,Cyclin D1,and Cdc25C was observed in 44(78.6%),15(26.8%),and 27(48.2%) patients,respectively.The median survival was 16 months(range,3-154 months),with a 5-year overall survival rate of 19.6%.Overexpression of Chk2 was associated with smoking(P = 0.021),overexpression of Cdc25C was associated with patient age(P = 0.033) and tumor length(P = 0.001),and overexpression of Cdc25C was associated with pathologic complete response(P = 0.038).Univariate analysis demonstrated that overexpression of Cdc25C and pathologic complete response was associated with better survival.In multivariate analysis,Cdc25C was the most significant independent predictor of better survival(P = 0.014) for patients treated with radiotherapy followed by surgery.Overexpression of Cdc25C was significantly associated with pathologic complete response and better survival of patients with locally advanced esophageal cancer treated with radiotherapy followed by surgery.These results suggest that Cdc25C may be a biomarker of treatment response and good prognosis for esophageal carcinoma patients.Thus,immunohistochemical staining of Cdc25C in a pretreatment specimen may be a useful method of identifying optimal treatment for patients with esophageal carcinoma.展开更多
To study the deterioration mechanisms of anhydrite rock under the freeze-thaw weathering process,the physico-mechanical characteristics and microstructure evolutions of anhydrite samples were determined by a series of...To study the deterioration mechanisms of anhydrite rock under the freeze-thaw weathering process,the physico-mechanical characteristics and microstructure evolutions of anhydrite samples were determined by a series of laboratory tests.Then,a descriptive-behavioral model was used to measure the integrity loss in anhydrite samples caused by cyclic freeze-thaw.Finally,the freeze-thaw damage mechanisms of anhydrite rock were revealed from the macro and micro aspects.The results show that the pore size of the anhydrite rock is mainly concentrated in the range of 0.001-10μm.As the number of freeze-thaw cycles increases,there is a growth in the proportion of macropores and mesopores.However,the proportion of micropores shows a declining trend.The relations of the uniaxial compressive strength,triaxial compressive strength,cohesion,and elastic modulus versus freeze-thaw cycles can be fitted by a decreasing exponential function,while the internal friction angle is basically unchanged with freezethaw cycles.With the increase of confining pressure,the disintegration rates of the compressive strength and the elastic modulus decrease,and the corresponding half-life values increase,which reveals that the increase of confining pressures could inhibit freeze-thaw damage to rocks.Moreover,it has been proven that the water chemical softening mechanism plays an essential role in the freeze-thaw damage to anhydrite rock.Furtherly,it is concluded that the freeze-thaw weathering process significantly influences the macroscopic and microscopic damages of anhydrite rock.展开更多
Objective： To evaluate the short-term outcomes of video-assisted thoracic surgery （VATS） for thoracic tumors. Methods： The data of 1,790 consecutive patients were retrospectively reviewed. These patients underwent...Objective： To evaluate the short-term outcomes of video-assisted thoracic surgery （VATS） for thoracic tumors. Methods： The data of 1,790 consecutive patients were retrospectively reviewed. These patients underwent VATS pulmonary resections, VATS esophagectomies, and VATS resections of mediastinal tumors or biopsies at the Cancer Institute ＆ Hospital, Chinese Academy of Medical Sciences between January 2009 and January 2012. Results： There were 33 patients converted to open thoracotomy （OT, 1.84%）. The overall morbidity and mortality rate was 2.79% （50/1790） and 0.28% （5/1790）, respectively. The overall hospitalization and chest tube duration were shorter in the VATS lobectomy group （n=949） than in the open thoracotomy （OT） lobectomy group （n=753）. There were no significant differences in morbidity rate, mortality rate and operation time between the two groups. In the esophageal cancer patients, no significant difference was found in the number of nodal dissection, chest tube duration, morbidity rate, mortality rate, and hospital length of stay between the VATS esophagectomy group （n=8 1） and open esophagectomy group （n=81）. However, the operation time was longer in the VATS esophagectomy group. In the thymoma patients, there was no significant difference in the chest tube duration, morbidity rate, mortality rate, and hospital length of stay between the VATS thymectomy group （n=41） and open thymectomy group （n=41）. However, the operation time was longer in the VATS group. The median tumor size in the VATS thymectomy group was comparable with that in the OT group. Conclusions： In early-stage （Ⅰ/Ⅱ） non-small cell lung cancer patients who underwent lobectomies, VATS is comparable with the OT approach with similar short-term outcomes. In patients with resectable esophageal cancer, VATS esophagectomy is comparable with OT esophagectomy with similar morbidity and mortality. VATS thymectomy for Masaoka stage I and II thymoma is feasible and safe, and tumor size is not contraindicated. Longer follow-ups are needed to determine the oncologic equivalency of VATS lobectomy, esophagectomy, and thymectomy for thymoma vs. OT.展开更多
Solidification experiments were carried out to investigate the kinetic behaviour of TiB2 particles in Al melt and their effect on the grain refinement of commercially-pure Al.A model was proposed to describe the kinet...Solidification experiments were carried out to investigate the kinetic behaviour of TiB2 particles in Al melt and their effect on the grain refinement of commercially-pure Al.A model was proposed to describe the kinetic behaviour of TiB2 particles during the whole process from the addition of TiB2 to the melt to the freezing of the melt.The results indicate that TiB2 particles are not stable in Al melt.They may dissolve and coarsen during the holding period and grow during the cooling period of the melt.The kinetic behaviour of TiB2 particles in the melt has a great influence on their number density and the grain refinement.Solute Ti addition can suppress the dissolution,Ostwald ripening and growth behaviours of TiB2 particles.展开更多
BACKGROUND This study determined the composition and diversity of intestinal microflora in patients with colorectal adenoma(CRA),which may provide precedence for investigating the role of intestinal microflora in the ...BACKGROUND This study determined the composition and diversity of intestinal microflora in patients with colorectal adenoma(CRA),which may provide precedence for investigating the role of intestinal microflora in the pathogenesis of colorectal tumors,the composition of intestinal microflora closely related to CRA,and further validating the possibility of intestinal flora as a biomarker of CRA.AIM To study the relationship between intestinal microflora and CRA.METHODS This is a prospective control case study from October 2014 to June 2015 involving healthy volunteers and patients with advanced CRA.High-throughput sequencing and bioinformatics analysis were used to investigate the composition and diversity of intestinal microflora in 36 healthy subjects and 49 patients with advanced CRA.Endpoints measured were operational taxonomic units of intestinal flora,as well as their abundance and diversity(αandβtypes).RESULTS In this study,the age,gender,body mass index,as well as location between controls and patients had no significant differences.The mucosa-associated gut microbiota diversity and bacterial distribution in healthy controls and colorectal adenomas were similar.The operational taxonomic unit,abundance,andαandβdiversity were all reduced in patients with CRA compared to controls.At the phylum level,the composition of intestinal microflora was comparable between patients and controls,but the abundance of Proteobacteria was increased,and Firmicutes and Bacteroides were significantly decreased(P<0.05).The increase in Halomonadaceae and Shewanella algae,and reduction in Coprococcus and Bacteroides ovatus,could serve as biomarkers of CRA.High-throughput sequencing confirms the special characteristics and diversity of intestinal microflora in healthy controls and patients with CRA.CONCLUSION The diversity of intestinal microflora was decreased in patients with CRA.An increase in Halomonadaceae and Shewanella algae are markers of CRA.展开更多
BACKGROUND Intravenous leiomyomatosis(IVL) is a rare and complicated disease, which requires surgery by a multidisciplinary team. However, the optimal surgical approach has not been determined.CASE SUMMARY Here we rep...BACKGROUND Intravenous leiomyomatosis(IVL) is a rare and complicated disease, which requires surgery by a multidisciplinary team. However, the optimal surgical approach has not been determined.CASE SUMMARY Here we report three cases of IVL treated with different surgical approaches. All patients presented with circulation symptoms. Two patients had lower extremity edema and the other had cardiopalmus. The diagnosis of IVL was confirmed based on the imagining examinations and pathological findings. All patients underwent surgical treatment and were discharged without any complications.CONCLUSION Preoperative examination is crucial for surgical planning and surgical approach is dependent on the patient's condition and tumor involvement.展开更多
Solar‐driven CO_(2)conversion to precious fossil fuels has been proved to become a potential way to decrease CO_(2)with producing renewable fuels,which mainly relies on photocatalysts with efficient charge separation...Solar‐driven CO_(2)conversion to precious fossil fuels has been proved to become a potential way to decrease CO_(2)with producing renewable fuels,which mainly relies on photocatalysts with efficient charge separation.In this work,a metal free heterostructure of covalent triazine framework(CTF)and graphite carbon nitride(g‐C_(3)N_(4),abbreviated as CN)is applied in the CO_(2)photoreduction for the first time.Detailed characterization methods such as photoluminescence(PL)and time‐resolved PL(TR‐PL)decay are utilized to reveal the photo‐induced carries separating process on g‐C_(3)N_(4)/CTF(CN/CTF)heterostructure.The introduced CTF demonstrated a great boosting photocatalytic activity for CN,bringing about the transform rates of CO_(2)to CO reaching 151.1μmol/(g·h)with a 30 h stabilization time,while negligible CH_(4)was detected.The optimal CN/CTF heterostructure could more efficiently separate charges with a lower probability of recombination under visible light irradiation,which made the photoreduction efficiency of CO_(2)to CO be 25.5 and 2.5 times higher than that of CTF and CN,respectively.This investigation is expected to offer a new thought for fabricating high‐efficiency photocatalyst without metal in solar‐energy‐driven CO_(2)reduction.展开更多
基金supported by the National Natural Science Foundation of China(32272910)the Shandong Provincial Postdoctoral Program for Innovative Talent(SDBX2021013)the Shandong Province Agricultural Industry Technology(SDAIT-11-08)。
文摘Background The poultry industry needs effective antibiotic alternatives to control outbreaks of necrotic enteritis(NE)caused by Clostridium perfringens.Methods The aim of this study was to investigate the effects of dietary supplementation with Macleaya cordata extract(MCE)on the immune function and gut microbiota of broilers with NE.A total of 2881-day-old broiler chicks were randomly assigned to a 2×2 factorial arrangement with two concentrations of dietary MCE supplementation(0 or 350 mg/kg of diet)and two disease challenge statuses(control or NE).Results The results revealed that NE significantly increased the feed conversion rate(FCR),mortality,intestinal lesion score,the levels of IL-1β,IL-17 and IFN-γ/IL-4 in serum and IL-17/IL-10 in the jejunal mucosa,m RNA levels of TLR2,IFN-γand p Ig R in the jejunum,and Clostridium perfringens concentrations in the cecum.NE significantly decreased the body weight(BW),body weight gain(BWG),jejunal villus height,V/C,m RNA level of AMPK-α1 in jejunum,IL-4 level in the jejunal mucosa and lactic acid bacteria abundance in the cecum.MCE significantly increased BW,BWG,jejunal villus height,V/C,m RNA levels of occludin,ZO-1 and AMPK-α1 in the jejunum,the levels of Ig A and Ig G in serum and IL-10 in the jejunal mucosa and m RNA levels of NF-κB,IL-10 and MHC-II in the jejunum.Additionally,MCE significantly decreased the FCR,mortality,intestinal lesion score,jejunal crypt depth,the levels of IFN-γand IL-17 in serum and IL-17/IL-10 in the jejunal mucosa,Clostridium perfringens concentrations in the cecum,and m RNA levels of IL-17/IL-10 in the jejunum.Moreover,NE significantly increased the abundance of bacteria that are associated with inflammation,obesity and depression(Alistipes,Barnesiella,Intestinimonas,RF39 and UCG-005)and significantly decreased the abundance of short-chain fatty acid(SCFA)-producing bacteria(Anaerotruncus,Butyricicoccus and Bacteroides)in the cecum.MCE significantly increased the abundance of SCFA-producing bacteria(Streptococcus,Ruminococcus_torques_group and Lachnospiraceae_NK4A136_group)and significantly reduced the abundance of bacteria that are associated with inflammation and obesity(Alistipes,Barnesiella and UCG-010)in the cecum.In the cecum of broilers with NE,the relative abundance of Barnesiella and Alistipes was higher and that of Lachnoclostridium and Shuttleworthia was lower.Interestingly,these trends were reversed by the addition of MCE to the diet.Spearman correlation analysis showed that Barnesiella and Alistipes were associated with enhanced intestinal inflammation and inhibited growth performance,whereas Lachnoclostridium and Shuttleworthia were associated with anti-inflammatory effects.Conclusions MCE ameliorated the loss of growth performance in broiler chickens with NE,probably by regulating the intestinal barrier,immune function,and gut microbiota.
基金funded by the National Natural Science Foundation of China (31972994)Key Research and Development Program of Ningxia Province (2019BEF02004)+1 种基金National Beef and Yak Industrial Technology System (CARS-37)National Key Research and Development Program of China (2018YFD0501700)。
文摘Background Long non-coding RNAs(lncRNAs)regulate numerous biological processes,including adipogenesis.Research on adipogenesis will assist in the treatment of human metabolic diseases and improve meat quality in livestock,such as the content of intramuscular fat(IMF).However,the significance of lncRNAs in intramuscular adipogenesis remains unclear.This research aimed to reveal the lncRNAs transcriptomic profiles in the process of bovine intramuscular adipogenesis and to identify the lncRNAs involved in the adipogenesis of bovine intramuscular adipocytes.Results In this research,a landscape of lncRNAs was identified with RNA-seq in bovine intramuscular adipocytes at four adipogenesis stages(0 d,3 d,6 d,and 9 d after differentiation).A total of 7035 lncRNAs were detected,including 3396 novel lncRNAs.Based on the results of differential analysis,co-expression analysis,and functional prediction,we focused on the bovine intramuscular adipogenesis-associated long non-coding RNA(BIANCR),a novel lncRNA that may have an important regulatory function.The knockdown of BIANCR inhibited proliferation and promoted apoptosis of intramuscular preadipocytes.Moreover,BIANCR knockdown inhibited intramuscular adipogenesis by regulating the ERK1/2 signaling pathway.Conclusion This study obtained the landscape of lncRNAs during adipogenesis in bovine intramuscular adipocytes.BIANCR plays a crucial role in adipogenesis through the ERK1/2 signaling pathway.The results are noteworthy for improving beef meat quality,molecular breeding,and metabolic disease research.
基金Supported by Natural Science Foundation of Sichuan Province,No.2023NSFSC0729Wu Jieping Foundation Special Fund for Clinical Research,No.320.6750.2022-19-100+1 种基金Foundation of Key Clinical Specialty of Sichuan Province,No.2022School Foundation of Chengdu Medical College,No.CYZYB21-05.
文摘BACKGROUND The diagnostic value of combined methylated branched chain amino acid transaminase 1(BCAT1)/IKAROS family zinc finger 1(IKZF1)in plasma for colorectal cancer(CRC)has been explored since 2015.Recently,several related studies have published their results and showed its diagnostic efficacy.AIM To analyze the diagnostic value of methylated BCAT1/IKZF1 in plasma for screening and postoperative follow-up of CRC.METHODS The candidate studies were identified by searching the PubMed,Embase,Cochrane Library,CNKI,and Wanfang databases from May 31,2003 to June 1,2023.Sensitivity,specificity,and diagnostic accuracy were calculated by merging ratios or means.RESULTS Twelve eligible studies were included in the analysis,involving 6561 participants.The sensitivity of methylated BCAT1/IKZF1 in plasma for CRC diagnosis was 60%[95%confidence interval(CI)53-67]and specificity was 92%(95%CI:90-94).The positive and negative likelihood ratios were 8.0(95%CI:5.8-11.0)and 0.43(95%CI:0.36-0.52),respectively.Diagnostic odds ratio was 19(95%CI:11-30)and area under the curve was 0.88(95%CI:0.85-0.91).The sensitivity and specificity for CRC screening were 64%(95%CI:59-69)and 92%(95%CI:91-93),respectively.The sensitivity and specificity for recurrence detection during follow-up were 54%CONCLUSION The detection of methylated BCAT1/IKZF1 in plasma,as a non-invasive detection method of circulating tumor DNA,has potential CRC diagnosis,but the clinical application prospect needs to be further explored.
文摘This paper investigated the effects of root-zone (RZ) CO<sub>2</sub> concentration ([CO<sub>2</sub>]) on root morphology and growth, nitrate (NO<sub>3</sub>-</sup>) uptake and assimilation of lettuce plants at different root-zone temperatures (RZT). Elevated RZ [CO<sub>2</sub>] stimulated root development, root and shoot growth compared to ambient RZ [CO<sub>2</sub>]. The greatest increase in root growth was observed in plants grown under elevated RZ [CO<sub>2</sub>] of 50,000 ppm. However, RZ [CO<sub>2</sub>] of 10,000 ppm was sufficient to achieve the maximal leaf area and shoot productivity. Lettuce plants exhibited faster shoot and root growth at 20°C-RZT than at ambient (A)-RZT. However, under elevated RZ [CO<sub>2</sub>], the magnitude of increased growth was greater at A-RZT than at 20°C-RZT. Compared to RZ [CO<sub>2</sub>] of 360 ppm, elevated RZ [CO<sub>2</sub>] of 10,000 ppm increased NO<sub>3</sub>-</sup> accumulation and nitrate reductase activity (NRA) in both leaves and roots. NO<sub>3</sub>-</sup> concentrations of leaf and root were higher at 20°C-RZT than at A-RZT in all plants. NRA was higher in root than in leaf especially under A-RZT. The total reduced nitrogen (TRN) concentration was significantly higher in plants grown under elevated RZ [CO<sub>2</sub>] of 10,000 ppm than under ambient RZ [CO<sub>2</sub>] of 360 ppm with greater concentration in 20°C-RZT plants than in A-RZT plants. These results imply that elevated RZ [CO<sub>2</sub>] significantly affected root morphology, root and shoot growth and N metabolism of temperate lettuce with greater impacts at A-RZT than at 20°C-RZT. These findings have practical significance to vegetable production by growing the vegetable crops at cool-RZT with elevated RZ [CO<sub>2</sub>] to enhance its productivity.
文摘Although tropical high ambient temperature and humidity severely reduced the productivity of temperate plants, temperate vegetable crops such as lettuce have been successfully grown in Singapore by only cooling its root-zone. In this paper, a cool Meditteranean vegetable, Eruca sativa, was studied to understand how different RZTs can impact its shoot productivity, photosynthesis and nutritional quality. All plants were cultivated using aeroponic systems in a tropical greenhouse under hot ambient conditions where roots were subjected to four different root-zone temperatures (RZTs) of 20°C-RZT, 25°C-RZT, 30°C-RZT and fluctuating ambient temperatures ranged from 25°C to 38°C [25°C/38°C (ambient)]-RZT. Parameters studied include shoot fresh weight (FW), photosynthetic gas exchange, midday chlorophyll (Chl) fluorescence F<sub>v</sub>/F<sub>m</sub> ratio, Chl fluorescence photochemical quenching (qP), non-photochemical quenching (qN) and electron transport rate (ETR), total phenolic compounds and mineral content such as potassium (K), calcium (Ca), magnesium (Mg) and iron (Fe). Among the 4 different RZT treatments, E. sativa plants grown under ambient-RZT (25/38°C-RZT) had the lowest shoot and root FW while those plants grown under 20°C-RZT had highest productivity of shoot and root. However, there were no significant differences in shoot and root FW in plants grown at 25°C- and 30°C-RZT. Compared to plants grown under 25°C/38°C (ambient-RZT), light-saturated photosynthetic CO<sub>2</sub> assimilation rate (A<sub>sat</sub>) and stomatal conductance (g<sub>ssat</sub>) were similarly higher in 20°C-, 25°C- and 30°C-RZT. All plants had midday Chl fluorescence F<sub>v</sub>/F<sub>m</sub> ratio lower than <0.8 ranged from 0.785 to 0.606 with the highest and lowest ratios recorded in 20°C-RZT and ambient-RZT plants, respectively. These results indicate that cooling the RZ of E. sativa plants protected their PS II from photoinactivation during midday in the greenhouse. There were no significant differences observed in photochemical quenching (qP), non-photochemical quenching (qN) and electron transport rate among plants grown under 20°C-, 25°C- and 30°C-RZT. However, plants grown under ambient-RZT had lower qP, qN and ETR compared to all other plants. E. sativa at 20°C-RZT with the best developed roots had the highest dietary mineral (K, Mg, Ca and Fe) contents but lower total phenolics content. In contrast, ambient-RZT, plants with poorly developed roots had the lowest mineral content but highest total phenolic content. The results of this study suggest that cooling of roots is a feasible method for the cultivation of E. sativa in the tropic, which enhances the content of dietary minerals in shoots.
基金National Natural Science Foundation of China(Grant Nos.52174080 and 51974160)Science Foundation of Tiandi Technology Co.,Ltd.(2022-2-TD-ZD016).
文摘During the mining process of impact-prone coal seams,drilling pressure relief can reduce the impact propensity of the coal seam,but it also reduces the integrity and strength of the coal mass at the side of the roadway.Therefore,studying the mechanical properties and energy evolution rules of coal samples containing holes and filled structures has certain practical significance for achieving coordinated control of coal mine rockburst disasters and the stability of roadway surrounding rocks.To achieve this aim,seven types of burst-prone coal samples were prepared and subject to uniaxial compression experiments with the aid of a TAW-3000 electro-hydraulic servo testing machine.Besides,the stress–strain curves,acoustic emission signals,DIC strain fields and other data were collected during the experiments.Furthermore,the failure modes and energy evolutions of samples with varying drilled hole sizes and filling materials were analyzed.The results show that the indexes related to burst propensity of the drilled coal samples decline to some extent compared with those of the intact one,and the decline is positively corelated to the diameter of the drilled hole.After hole filling,the strain concentration degree around the drilled hole is lowered to a certain degree,and polyurethane filling has a more remarkable effect than cement filling.Meanwhile,hole filling can enhance the strength and deformation resistance of coal.Hole drilling can accelerate the release of accumulated elastic strain energy,turning the acoustic emission events from low-frequency and high-energy ones to high-frequency and low-energy ones,whereas hole filling can reduce the intensity of energy release.The experimental results and theoretical derivation demonstrate that hole filling promotes coal deformability and strength mainly by weakening stress concentration surrounding the drilled holes.Moreover,the fillings can achieve a better filling effect if their elastic modulus and Poisson’s ratio are closer to those of the coal body.
文摘In 2012, the National Central Cancer Registry (NCCR) of China collected cancer registration information for the year 2009 from local cancer registries and analyzed it to describe the incidences and mortalities of cancers in China. Based on the data quality criteria from NCCR, data from 104 registries covering 85,470,522 people (57,489,009 in urban areas and 27,981,513 in rural areas) were checked and evaluated. The data from 72 registries were qualified and accepted for the cancer registry annual report in 2012. The total cancer incident cases and cancer deaths were 244,366 and 154,310, respectively. The morphologically verified cases accounted for 67.23%, and 3.14% of the incident cases only had information from death certifications. The crude incidence in the Chinese cancer registration areas was 285.91/ 100,000 (317.97/100,000 in males and 253.09/100,000 in females). The age-standardized rates for incidences based on the Chinese standard population (ASRIC) and the world standard population (ASRIW) were 146.87/100,000 and 191.72/100,000, respectively, with a cumulative incidence of 22.08%. The cancer mortality in the Chinese cancer registration areas was 180.54/100,000 (224.20/100,000 in males and 135.85/100,000 in females). The age-standardized rates for mortalities based on the Chinese standard population (ASRMC) and the world standard population (ASRMW) were 85.06/100,000 and 115.65/100,000, respectively, and the cumulative mortality was 12.94% . Lung cancer, gastric cancer, colorectal cancer, liver cancer, esophageal cancer, pancreatic cancer, encephaloma, lymphoma, female breast cancer, and cervical cancer were the most common cancers, accounting for 75% of all cancer cases. Lung cancer, gastric cancer, liver cancer, esophageal cancer, colorectal cancer, pancreatic cancer, breast cancer, encephaloma, leukemia, and lymphoma accounted for 80% of all cancer deaths. The cancer registration's population coverage has been increasing, and its data quality is improving. As the basis of the cancer control program, the cancer registry plays an important role in directing anticancer strategies in the medium and long term. Because cancer burdens are different in urban and rural areas in China, prevention and control efforts should be based on practical situations.
基金supported by the grants from the Beijing Hope Run Special Fund(#LC2012YF44)National Natural Science Foundation of China(No.81402740)+1 种基金Specialized Research Fund for the Doctoral Program of Higher Education(No.20131106120014)The National Health and Family Planning Committee of P.R.China
文摘Background: The increasing prevalence of colorectal cancer(CRC) in China and the paucity of information about relevant expenditure highlight the necessity of better understanding the financial burden and effect of CRC diagnosis and treatment. We performed a survey to quantify the direct medical and non-medical expenditure as well as the resulting financial burden of CRC patients in China.Methods: We conducted a multicenter, cross-sectional survey in 37 tertiary hospitals in 13 provinces across China between 2012 and 2014. Each enrolled patient was interviewed using a structured questionnaire. All expenditure data were inflated to the 2014 Chinese Yuan(CNY; 1 CNY = 0.163 USD). We quantified the overall expenditure and financial burden and by subgroup(hospital type, age at diagnosis, sex, education, occupation, insurance type, household income, clinical stage, pathologic type, and therapeutic regimen). We then performed generalized linear modeling to determine the factors associated with overall expenditure.Results: A total of 2356 patients with a mean age of 57.4 years were included, 57.1 % of whom were men; 13.9% of patients had stage I cancer; and the average previous-year household income was 54,525 CNY.The overall average direct expenditure per patient was estimated to be 67,408 CNY, and the expenditures for stage Ⅰ, Ⅱ, Ⅲ, and Ⅳ disease were 56,099 CNY, 59,952 CNY, 67,292 CNY, and 82,729 CNY, respectively. Non-medical expenditure accounted for 8.3%of the overall expenditure. The 1-year out-of-pocket expenditure of a newly diagnosed patient was 32,649 CNY, which accounted for 59.9% of their previous-year household income and caused 75.0% of families to suffer an unmanageable financial burden. Univariate analysis showed that financial burden and overall expenditure differed in almost all subgroups(P < 0.05), except for sex. Multivariate analysis showed that patients who were treated in specialized hospitals and those who were diagnosed with adenocarcinoma or diagnosed at a later stage were likely to spend more,whereas those with a lower household income and those who underwent surgery spent less(all P < 0.05).Conclusions: For patients in China, direct expenditure for the diagnosis and treatment of CRC seemed catastrophic,and non-medical expenditure was non-ignorable. The financial burden varied among subgroups, especially among patients with different clinical stages of disease, which suggests that, in China, CRC screening might be cost-effective.
基金supported by the National Key R&D Program of China (No.2016YFC1303200)the National Natural Science Foundation of China (No. 81502060)Institutional Basic Research Funding (No.NCC2016YKY-06, JK2014B14)
文摘Background: Esophageal squamous cell carcinoma(ESCC) is an aggressive malignancy, with a high incidence and poor prognosis. In the past several decades, hundreds of proteins have been reported to be associated with the prognosis of ESCC, but none has been widely accepted to guide clinical care. This study aimed to identify proteins with great potential for predicting prognosis of ESCC.Methods: We conducted a systematic review on immunohistochemical(IHC) prognostic markers of ESCC according to the 2009 Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA) Guidelines. Literature related to IHC prognostic markers of ESCC were searched from PubMed, Embase, Web of Science, and Cochrane Library until January 30 th, 2017. The risk of bias of these original studies was evaluated using the Quality in Prognosis Studies(QUIPS) tool.Results: We identified 11 emerging IHC markers with reproducible results, including eight markers [epidermal growth factor receptor(EGFR), Cyclin D1, vascular endothelial growth factor(VEGF), Survivin, Podoplanin, Fascin,phosphorylated mammalian target of rapamycin(p-mTOR), and pyruvate kinase M2(PKM2)] indicating unfavorable prognosis and 3 markers(P27, P16, and E-cadherin) indicating favorable prognosis of ESCC.Conclusion: Strong evidence supports that these 11 emerging IHC markers or their combinations may be useful in predicting prognosis and aiding personalized therapy decision-making for ESCC patients.
基金This work was supported by grants from the National Natural Science Foundation of China(Grant Nos.81802299,81502514,and 81702841)the Fundamental Research Funds for the Central Universities(Grant No.3332018070)+4 种基金the CAMS Innovation Fund for Medical Sciences(CIFMS)(Grant Nos.2016-I2M-1-001 and 2017-I2M-1-005)the National Key Basic Research Development Plan(Grant No.2018YFC1312105)the Graduate Innovation Funds of Peking Union Medical College(Grant No.2019-1002-06)the China Postdoctoral Science Foundation Grant(Grant No.2019M650568)the Guangci Distinguished Young Scholars Training Program(Grant No.GCQN-2018-A09).
文摘Objective:The aim of this study was to investigate how the tumor immune microenvironment differs regarding tumor genomics,as well as its impact on prognoses and responses to immunotherapy in East Asian patients with non-small cell lung cancer(NSCLC).Methods:We performed an integrated analysis using publicly available data to identify associations between anti-programmed death 1(PD-1)/programmed death-ligand 1(PD-L1)immunotherapy efficacy and classic driver oncogene mutations in East Asian NSCLC patients.Four pooled and clinical cohort analyses were used to correlate driver oncogene mutation status and tumor microenvironment based on PD-L1 and CD8+tumor-infiltrating lymphocytes(TILs).Immune infiltrating patterns were also established for genomic NSCLC subgroups using the CIBERSORT algorithm.Results:Based on East Asian NSCLC patients,TIDE analyses revealed that for anti-PD-1/PD-L1 immunotherapy,epidermal growth factor receptor(EGFR)-mutant and anaplastic lymphoma kinase(ALK)-rearranged tumors yielded inferior responses;however,although Kirsten rat sarcoma viral oncogene homolog(KRAS)-mutant tumors responded better,the difference was not statistically significant(EGFR:P=0.037;ALK:P<0.001;KRAS:P=0.701).Pooled and clinical cohort analyses demonstrated tumor immune microenvironment heterogeneities correlated with oncogenic patterns.The results showed remarkably higher PD-L1-and TIL-positive KRAS-mutant tumors,suggesting KRAS mutations may drive an inflammatory phenotype with adaptive immune resistance.However,the EGFR-mutant or ALK-rearranged groups showed a remarkably higher proportion of PD-L1-/TIL-tumors,suggesting an uninflamed phenotype with immunological ignorance.Notably,similar to triple wild-type NSCLC tumors,EGFR L858R-mutant tumors positively correlated with an inflammatory phenotype,suggesting responsiveness to anti-PD-1/PD-L1 immunotherapy(P<0.05).Furthermore,the CIBERSORT algorithm results revealed that EGFR-mutant and ALK-rearranged tumors were characterized by an enriched resting memory CD4+T cell population(P<0.001),as well as a lack of CD8+T cells(P<0.01),and activated memory CD4+T cells(P=0.001).Conclusions:Our study highlighted the complex relationships between immune heterogeneity and immunotherapeutic responses in East Asian NSCLC patients regarding oncogenic dependence.
基金supported by grants from the National High Technology Research and Development Program of China(863 Program)(No.2006AA020707 and No.2006AA02A403)
文摘Biomarker identification is crucial for the selection of patients who might benefit from radiotherapy.To explore potential markers for response and prognosis in patients with locally advanced esophageal carcinoma treated with radiotherapy followed by surgery,we evaluated the expression of cell cycle checkpoint-related proteins Chk2,Cdc25C,and Cyclin D1.A total of 56 patients with locally advanced esophageal squamous cell carcinoma were treated with radiotherapy followed by surgery.Pretreatment tumor biopsy specimens were analyzed for Chk2,Cdc25C,and Cyclin D1 expression by immunohistochemistry.High expression of Chk2,Cyclin D1,and Cdc25C was observed in 44(78.6%),15(26.8%),and 27(48.2%) patients,respectively.The median survival was 16 months(range,3-154 months),with a 5-year overall survival rate of 19.6%.Overexpression of Chk2 was associated with smoking(P = 0.021),overexpression of Cdc25C was associated with patient age(P = 0.033) and tumor length(P = 0.001),and overexpression of Cdc25C was associated with pathologic complete response(P = 0.038).Univariate analysis demonstrated that overexpression of Cdc25C and pathologic complete response was associated with better survival.In multivariate analysis,Cdc25C was the most significant independent predictor of better survival(P = 0.014) for patients treated with radiotherapy followed by surgery.Overexpression of Cdc25C was significantly associated with pathologic complete response and better survival of patients with locally advanced esophageal cancer treated with radiotherapy followed by surgery.These results suggest that Cdc25C may be a biomarker of treatment response and good prognosis for esophageal carcinoma patients.Thus,immunohistochemical staining of Cdc25C in a pretreatment specimen may be a useful method of identifying optimal treatment for patients with esophageal carcinoma.
基金the National Natural Science Foundation of China for financial support (Grant No. 51578091)
文摘To study the deterioration mechanisms of anhydrite rock under the freeze-thaw weathering process,the physico-mechanical characteristics and microstructure evolutions of anhydrite samples were determined by a series of laboratory tests.Then,a descriptive-behavioral model was used to measure the integrity loss in anhydrite samples caused by cyclic freeze-thaw.Finally,the freeze-thaw damage mechanisms of anhydrite rock were revealed from the macro and micro aspects.The results show that the pore size of the anhydrite rock is mainly concentrated in the range of 0.001-10μm.As the number of freeze-thaw cycles increases,there is a growth in the proportion of macropores and mesopores.However,the proportion of micropores shows a declining trend.The relations of the uniaxial compressive strength,triaxial compressive strength,cohesion,and elastic modulus versus freeze-thaw cycles can be fitted by a decreasing exponential function,while the internal friction angle is basically unchanged with freezethaw cycles.With the increase of confining pressure,the disintegration rates of the compressive strength and the elastic modulus decrease,and the corresponding half-life values increase,which reveals that the increase of confining pressures could inhibit freeze-thaw damage to rocks.Moreover,it has been proven that the water chemical softening mechanism plays an essential role in the freeze-thaw damage to anhydrite rock.Furtherly,it is concluded that the freeze-thaw weathering process significantly influences the macroscopic and microscopic damages of anhydrite rock.
文摘Objective： To evaluate the short-term outcomes of video-assisted thoracic surgery （VATS） for thoracic tumors. Methods： The data of 1,790 consecutive patients were retrospectively reviewed. These patients underwent VATS pulmonary resections, VATS esophagectomies, and VATS resections of mediastinal tumors or biopsies at the Cancer Institute ＆ Hospital, Chinese Academy of Medical Sciences between January 2009 and January 2012. Results： There were 33 patients converted to open thoracotomy （OT, 1.84%）. The overall morbidity and mortality rate was 2.79% （50/1790） and 0.28% （5/1790）, respectively. The overall hospitalization and chest tube duration were shorter in the VATS lobectomy group （n=949） than in the open thoracotomy （OT） lobectomy group （n=753）. There were no significant differences in morbidity rate, mortality rate and operation time between the two groups. In the esophageal cancer patients, no significant difference was found in the number of nodal dissection, chest tube duration, morbidity rate, mortality rate, and hospital length of stay between the VATS esophagectomy group （n=8 1） and open esophagectomy group （n=81）. However, the operation time was longer in the VATS esophagectomy group. In the thymoma patients, there was no significant difference in the chest tube duration, morbidity rate, mortality rate, and hospital length of stay between the VATS thymectomy group （n=41） and open thymectomy group （n=41）. However, the operation time was longer in the VATS group. The median tumor size in the VATS thymectomy group was comparable with that in the OT group. Conclusions： In early-stage （Ⅰ/Ⅱ） non-small cell lung cancer patients who underwent lobectomies, VATS is comparable with the OT approach with similar short-term outcomes. In patients with resectable esophageal cancer, VATS esophagectomy is comparable with OT esophagectomy with similar morbidity and mortality. VATS thymectomy for Masaoka stage I and II thymoma is feasible and safe, and tumor size is not contraindicated. Longer follow-ups are needed to determine the oncologic equivalency of VATS lobectomy, esophagectomy, and thymectomy for thymoma vs. OT.
基金Projects(51901231,51971227,51771210,51774264)supported by the National Natural Science Foundation of ChinaProject(2019-BS-253)supported by the Natural Science Foundation of Liaoning Province,China。
文摘Solidification experiments were carried out to investigate the kinetic behaviour of TiB2 particles in Al melt and their effect on the grain refinement of commercially-pure Al.A model was proposed to describe the kinetic behaviour of TiB2 particles during the whole process from the addition of TiB2 to the melt to the freezing of the melt.The results indicate that TiB2 particles are not stable in Al melt.They may dissolve and coarsen during the holding period and grow during the cooling period of the melt.The kinetic behaviour of TiB2 particles in the melt has a great influence on their number density and the grain refinement.Solute Ti addition can suppress the dissolution,Ostwald ripening and growth behaviours of TiB2 particles.
基金Supported by Guangdong Provincial Department of Science and Technology,No.2014A020212568National Key Clinical Specialized Special Funds Programs of China,No.2013544
文摘BACKGROUND This study determined the composition and diversity of intestinal microflora in patients with colorectal adenoma(CRA),which may provide precedence for investigating the role of intestinal microflora in the pathogenesis of colorectal tumors,the composition of intestinal microflora closely related to CRA,and further validating the possibility of intestinal flora as a biomarker of CRA.AIM To study the relationship between intestinal microflora and CRA.METHODS This is a prospective control case study from October 2014 to June 2015 involving healthy volunteers and patients with advanced CRA.High-throughput sequencing and bioinformatics analysis were used to investigate the composition and diversity of intestinal microflora in 36 healthy subjects and 49 patients with advanced CRA.Endpoints measured were operational taxonomic units of intestinal flora,as well as their abundance and diversity(αandβtypes).RESULTS In this study,the age,gender,body mass index,as well as location between controls and patients had no significant differences.The mucosa-associated gut microbiota diversity and bacterial distribution in healthy controls and colorectal adenomas were similar.The operational taxonomic unit,abundance,andαandβdiversity were all reduced in patients with CRA compared to controls.At the phylum level,the composition of intestinal microflora was comparable between patients and controls,but the abundance of Proteobacteria was increased,and Firmicutes and Bacteroides were significantly decreased(P<0.05).The increase in Halomonadaceae and Shewanella algae,and reduction in Coprococcus and Bacteroides ovatus,could serve as biomarkers of CRA.High-throughput sequencing confirms the special characteristics and diversity of intestinal microflora in healthy controls and patients with CRA.CONCLUSION The diversity of intestinal microflora was decreased in patients with CRA.An increase in Halomonadaceae and Shewanella algae are markers of CRA.
文摘BACKGROUND Intravenous leiomyomatosis(IVL) is a rare and complicated disease, which requires surgery by a multidisciplinary team. However, the optimal surgical approach has not been determined.CASE SUMMARY Here we report three cases of IVL treated with different surgical approaches. All patients presented with circulation symptoms. Two patients had lower extremity edema and the other had cardiopalmus. The diagnosis of IVL was confirmed based on the imagining examinations and pathological findings. All patients underwent surgical treatment and were discharged without any complications.CONCLUSION Preoperative examination is crucial for surgical planning and surgical approach is dependent on the patient's condition and tumor involvement.
文摘Solar‐driven CO_(2)conversion to precious fossil fuels has been proved to become a potential way to decrease CO_(2)with producing renewable fuels,which mainly relies on photocatalysts with efficient charge separation.In this work,a metal free heterostructure of covalent triazine framework(CTF)and graphite carbon nitride(g‐C_(3)N_(4),abbreviated as CN)is applied in the CO_(2)photoreduction for the first time.Detailed characterization methods such as photoluminescence(PL)and time‐resolved PL(TR‐PL)decay are utilized to reveal the photo‐induced carries separating process on g‐C_(3)N_(4)/CTF(CN/CTF)heterostructure.The introduced CTF demonstrated a great boosting photocatalytic activity for CN,bringing about the transform rates of CO_(2)to CO reaching 151.1μmol/(g·h)with a 30 h stabilization time,while negligible CH_(4)was detected.The optimal CN/CTF heterostructure could more efficiently separate charges with a lower probability of recombination under visible light irradiation,which made the photoreduction efficiency of CO_(2)to CO be 25.5 and 2.5 times higher than that of CTF and CN,respectively.This investigation is expected to offer a new thought for fabricating high‐efficiency photocatalyst without metal in solar‐energy‐driven CO_(2)reduction.
