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Ethnic Enclaves and Incidence of Cancer Among US Ethnic Minorities in the Multi-Ethnic Study of Atherosclerosis. 动脉粥样硬化多因素研究中美国少数民族中的民族包膜和癌症发病率。
IF 4.3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-01 Epub Date: 2023-10-06 DOI: 10.1007/s40615-023-01814-z
Jinhee Cha, Gabriela Bustamante, Félice Lê-Scherban, Daniel Duprez, James S Pankow, Theresa L Osypuk

Background: Since immigrants and their descendants represent a growing proportion of the US population, there is a strong demographic imperative for scientists to better understand the cancer risk factors at multiple levels that exist for these populations. Understanding the upstream causes of cancer, including neighborhood context, may help prevention efforts. Residence in ethnic enclaves may be one such contextual cause; however, the evidence is mixed, and past research has not utilized prospective designs examining cancer incidence or mortality.

Methods: We examined the association between residency in ethnic enclaves and cancer events among Hispanic (n = 753) and Chinese (n = 451) participants without a history of cancer in the Multi-Ethnic Study of Atherosclerosis (MESA), a prospective cohort study that enrolled participants ages 45-84 in six US cities. Cancer events included deaths and hospitalization for any cancer diagnosis from 2000-2012. Residency in an ethnic enclave was operationalized as their geocoded baseline census tract having a concentration of residents of the same ethnicity greater than the 75th percentile (compared to non-ethnic enclave otherwise). Potential confounders were blocked into three categories: sociodemographic, acculturation, and biomedical/health behavior variables. To examine the association between ethnic enclaves and cancer, we estimated hazard ratios (HRs) and 95% confidence intervals (CIs) using Cox proportional hazards models.

Results: Among Hispanic participants, residing in ethnic enclaves (vs. not) was associated with a 39% reduction in cancer risk (HR 0.61, 95%CI: 0.31, 1.21) after adjusting for sociodemographic variables. Among Chinese participants, residing in ethnic enclaves was associated with a 2.8-fold increase in cancer risk (HR 2.86, 95%CI; 1.38, 5.94) after adjusting for sociodemographic variables.

Conclusions: Our results suggest that the association between ethnic enclaves and cancer events differs by ethnic group, suggesting that different social and contextual factors may operate in different communities.

背景:由于移民及其后代在美国人口中所占比例越来越大,因此科学家迫切需要更好地了解这些人群在多个层面上存在的癌症风险因素。了解癌症的上游病因,包括社区背景,可能有助于预防工作。居住在少数民族飞地可能是这样一个背景原因;然而,证据喜忧参半,过去的研究没有使用前瞻性设计来检查癌症的发病率或死亡率。方法:我们在动脉粥样硬化的多因素研究(MESA)中检测了没有癌症病史的西班牙裔(n=753)和中国(n=451)参与者在种族飞地的居住与癌症事件之间的关联,这是一项前瞻性队列研究,在美国六个城市招募了45-84岁的参与者。癌症事件包括2000-2012年任何癌症诊断的死亡和住院治疗。种族飞地的居住被视为其地理编码的基线人口普查区,其同一种族的居民集中度大于第75百分位(与其他非种族飞地相比)。潜在的混杂因素分为三类:社会人口学、文化适应和生物医学/健康行为变量。为了研究种族飞地与癌症之间的关系,我们使用Cox比例风险模型估计了风险比(HR)和95%置信区间(CI)。结果:在西班牙裔参与者中,在对社会人口统计学变量进行调整后,居住在少数民族飞地(与否)与癌症风险降低39%相关(HR 0.61,95%CI:0.31,1.21)。在中国参与者中,居住在少数民族飞地与癌症风险增加2.8倍相关(HR 2.86,95%CI;1.38,5.94),经社会人口统计学变量调整后。结论:我们的研究结果表明,种族飞地与癌症事件之间的关联因种族而异,这表明不同的社会和背景因素可能在不同的社区中起作用。
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引用次数: 0
Association Between Changes in Racial Residential Segregation and Trends in Racial Disparities in Early Mortality in 220 Metropolitan Areas, 2001-2018. 2001-2018年220个大都市地区种族居住隔离的变化与早期死亡率种族差异趋势之间的关系。
IF 4.3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-01 Epub Date: 2023-10-19 DOI: 10.1007/s40615-023-01830-z
Michael Siegel, Madeline Rieders, Hannah Rieders, Leighla Dergham, Rohan Iyer

Introduction: Racial residential segregation has been shown to affect the absolute levels of racial disparities in a wide variety of health outcomes in the USA but it is not known whether changes in segregation also influence these racial health disparities. This study examines the relationship between changes in racial residential segregation over four decades (1980-2020) and trends in racial disparities in early mortality (under age 65) rates among non-Hispanic Black and non-Hispanic White persons across a wide range of health outcomes in 220 metropolitan statistical areas (MSAs) during the period 2001-2018.

Methods: Using the CDC WONDER Underlying Cause of Death database, we derived annual estimates of race-specific death rates and rate ratios for each MSA. We used latent trajectory analysis to examine the relationship between the level of segregation and changes in segregation over time in an MSA and trends in death rate disparities in that MSA.

Results: The trajectory analysis resulted in a linear, three group model in which trajectory Groups 1 and 2 had decreasing trends in the ratios of Black to White death rates over time while in Group 3, the disparity remained almost constant over time. Increases in the level of segregation in an MSA from 1980 to 2000 were significantly associated with the likelihood that the MSA was in Group 3 and experienced no improvement in racial health disparities in mortality over time.

Conclusion: This paper provides new evidence that changes in segregation are related to trends in racial health disparities in mortality rates over time.

引言:种族居住隔离已被证明会影响美国各种健康结果中种族差异的绝对水平,但尚不清楚隔离的变化是否也会影响这些种族健康差异。本研究调查了2001-2018年期间220个大都市统计区(MSAs)的各种健康结果中,40年来(1980-2020年)种族居住隔离的变化与非西班牙裔黑人和非西班裔白人早期死亡率(65岁以下)种族差异趋势之间的关系死因数据库,我们得出了每个MSA的特定种族死亡率和比率的年度估计值。我们使用潜在轨迹分析来检验MSA中的分离水平和分离随时间的变化与该MSA中死亡率差异趋势之间的关系。结果:轨迹分析产生了一个线性的三组模型,其中轨迹组1和2的黑人与白人死亡率随时间呈下降趋势,而在轨迹组3中,随着时间的推移,这种差距几乎保持不变。从1980年到2000年,MSA中种族隔离程度的增加与MSA属于第3组的可能性显著相关,并且随着时间的推移,死亡率的种族健康差异没有改善。结论:本文提供了新的证据,证明种族隔离的变化与死亡率随时间变化的种族健康差异趋势有关。
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引用次数: 0
Using causal mediation to examine self-efficacy as a mechanism through which continuing care interventions reduce alcohol use. 利用因果中介来研究自我效能作为持续护理干预减少酒精使用的机制。
IF 4.3 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-12-01 Epub Date: 2024-03-28 DOI: 10.1037/adb0001011
Ahnalee M Brincks, David P MacKinnon, David H Gustafson, James R McKay

Objective: Understanding the causal mechanisms through which telephone and mobile health continuing care approaches reduce alcohol use can help develop more efficient interventions that effectively target these mechanisms. Self-efficacy for successfully coping with high-risk alcohol relapse situations is a theoretically and empirically supported mediator of alcohol treatment. This secondary analysis aims to examine self-efficacy as a mechanism through which remote-delivered continuing care interventions reduce alcohol use.

Method: The study included 262 adults (Mage = 46.9, SD = 7.4) who had completed 3 weeks of an intensive outpatient alcohol treatment program. The sample was predominantly male (71%), African American (82%), and completed a high school education (71%). The four-arm randomized clinical trial compared three active continuing care interventions (telephone monitoring and counseling [TMC], addiction comprehensive health enhancement support system [ACHESS], and combined delivery of TMC and ACHESS) to usual care and assessed longitudinal measures of alcohol use and self-efficacy. Analyses employed the potential outcomes framework and sensitivity analyses to address threats to causal inference resulting from an observed mediator variable.

Results: Relative to usual care, the two intervention conditions that included TMC reduced alcohol use through improvements to self-efficacy. There was no evidence that self-efficacy mediated the effect of ACHESS on alcohol use.

Conclusions: Based on our findings, self-efficacy is an important mechanism through which telephone continuing care interventions affect alcohol use. Future research to identify which components of TMC influence self-efficacy and factors that mediate ACHESS effects could enhance the effectiveness of remote delivery of continuing care. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的:了解电话和移动健康持续护理方法减少酒精使用的因果机制,有助于开发更有效的干预措施,从而有效地针对这些机制进行干预。成功应对高风险复酒情况的自我效能感是酒精治疗的一个理论和经验支持的中介因素。本二次分析旨在研究自我效能是远程持续护理干预减少酒精使用的一种机制:研究对象包括 262 名成人(年龄 = 46.9,标准差 = 7.4),他们已完成为期 3 周的酒精强化门诊治疗项目。样本主要为男性(71%)、非裔美国人(82%)和高中毕业(71%)。这项四臂随机临床试验比较了三种积极的持续护理干预措施(电话监测和咨询 [TMC]、成瘾综合健康支持系统 [ACHESS] 以及电话监测和咨询与成瘾综合健康支持系统的联合实施)和常规护理,并对酒精使用和自我效能进行了纵向评估。分析采用了潜在结果框架和敏感性分析,以解决观察到的中介变量对因果推断造成的威胁:与常规护理相比,包含 TMC 的两种干预条件通过提高自我效能减少了酒精使用。没有证据表明自我效能在ACHESS对饮酒的影响中起中介作用:根据我们的研究结果,自我效能感是电话持续护理干预影响饮酒的一个重要机制。未来的研究将确定TMC的哪些因素会影响自我效能感,以及ACHESS效应的中介因素,从而提高远程持续护理的有效性。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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引用次数: 0
Multivariate Data Analysis Assisted Mining of Nutri-rich Genotypes from North Eastern Himalayan Germplasm Collection of Perilla (Perilla frutescens L.). 多变量数据分析辅助从东北喜马拉雅紫苏种质资源库中挖掘富含营养的基因型。
IF 4.3 2区 农林科学 Q2 CHEMISTRY, APPLIED Pub Date : 2024-12-01 Epub Date: 2024-08-17 DOI: 10.1007/s11130-024-01220-8
Simardeep Kaur, Samarth Godara, Naseeb Singh, Amit Kumar, Renu Pandey, Sneha Adhikari, Sandeep Jaiswal, Sanjeev Kumar Singh, Jai Chand Rana, Rakesh Bhardwaj, Binay Kumar Singh, Amritbir Riar

Understanding the nutritional diversity in Perilla (Perilla frutescens L.) is essential for selecting and developing superior varieties with enhanced nutritional profiles in the North Eastern Himalayan (NEH) region of India. In this study, we assessed the nutritional composition of 45 diverse perilla germplasm collected from five NEH states using standard protocols and advanced analytical techniques. Significant variability was observed in moisture (0.39-11.67%), ash (2.59-7.13%), oil (28.65-74.20%), protein (11.05-23.15%), total soluble sugars (0.34-3.67%), starch (0.01-0.55%), phenols (0.03-0.87%), ferric reducing antioxidant power (0.45-1.36%), palmitic acid (7.06-10.75%), stearic acid (1.96-2.29%), oleic acid (8.11-13.31%), linoleic acid (15.18-22.74%), and linolenic acid (55.47-67.07%). Similarly, significant variability in mineral content (ppm) was also observed for aluminium, calcium, cobalt, chromium, copper, iron, potassium, magnesium, manganese, molybdenum, sodium, nickel, phosphorus, and zinc. Multivariate analyses, including hierarchical clustering analysis (HCA) and principal component analysis (PCA), revealed the enriched nutritional diversity within the germplasm. Correlation analysis indicated significant positive and negative relationships between nutritional parameters, indicating potential biochemical and metabolic interactions present in the perilla seeds. TOPSIS-based ranking identified promising genotypes for functional foods, pharmaceuticals, and nutritional applications. This study provides a first in-depth report of the nutritional composition and diversity of perilla germplasm in the NEH region, thus aiding in the identification of superior varieties for food and nutritional diversification and security.

了解紫苏(Perilla frutescens L.)的营养多样性对于在印度东北喜马拉雅(NEH)地区选择和开发营养价值更高的优良品种至关重要。在这项研究中,我们采用标准方案和先进的分析技术评估了从东北喜马拉雅五个邦收集的 45 种不同紫苏种质的营养成分。87%)、铁还原抗氧化能力(0.45-1.36%)、棕榈酸(7.06-10.75%)、硬脂酸(1.96-2.29%)、油酸(8.11-13.31%)、亚油酸(15.18-22.74%)和亚麻酸(55.47-67.07%)。同样,铝、钙、钴、铬、铜、铁、钾、镁、锰、钼、钠、镍、磷和锌的矿物质含量(ppm)也存在明显差异。多变量分析,包括层次聚类分析(HCA)和主成分分析(PCA),揭示了种质内部丰富的营养多样性。相关性分析表明,营养参数之间存在明显的正相关和负相关关系,这表明紫苏种子中存在潜在的生化和代谢相互作用。基于 TOPSIS 的排序确定了有希望用于功能食品、药品和营养应用的基因型。这项研究首次深入报告了东北高原地区紫苏种质的营养成分和多样性,从而有助于鉴定优良品种,促进食品和营养多样化与安全。
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引用次数: 0
A Comparison of Active Pharmacovigilance Strategies Used to Monitor Adverse Events to Antiviral Agents: A Systematic Review. 用于监测抗病毒药物不良事件的主动药物警戒策略比较:系统回顾。
IF 5.4 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-01 Epub Date: 2024-08-19 DOI: 10.1007/s40264-024-01470-0
Renato Ferreira-da-Silva, Joana Reis-Pardal, Manuela Pinto, Matilde Monteiro-Soares, Bernardo Sousa-Pinto, Manuela Morato, Jorge Junqueira Polónia, Inês Ribeiro-Vaz

Introduction: The safety of antiviral agents in real-world clinical settings is crucial, as pre-marketing studies often do not capture all adverse events (AE). Active pharmacovigilance strategies are essential for detecting and characterising these AE comprehensively.

Objective: The aim of this study was to identify and characterise active pharmacovigilance strategies used in real-world clinical settings for patients under systemic antiviral agents, focusing on the frequency of AE and the clinical data sources used.

Methods: We conducted a systematic review by searching three electronic bibliographic databases targeting observational prospective active pharmacovigilance studies, phase IV clinical trials for post-marketing safety surveillance, and interventional studies assessing active pharmacovigilance strategies, focusing on individuals exposed to systemic antiviral agents.

Results: We included 36 primary studies, predominantly using Drug Event Monitoring (DEM), with a minority employing sentinel sites and registries. Human immunodeficiency virus (HIV) was the most common condition, with the majority using DEM. Within the DEM, there was a wide range of incidences of patients experiencing at least one AE, and most of these studies used one or two data sources. Sentinel site studies were less common, with two on hepatitis C virus (HCV) and one on HIV, each relying on one or two data sources. The single study using a registry focusing on HIV therapy reported using just one data source. Patient interviews were the most common data source, followed by medical records and laboratory tests. The quality of the studies was considered 'good' in 18/36, 'fair' in 1/36, and 'poor' in 17/36 studies.

Conclusion: DEM was the predominant pharmacovigilance strategy, employing multiple data sources, and appears to increase the likelihood of detecting higher AE incidence. Establishing such a framework would facilitate a more detailed and consistent approach across different studies and settings.

简介:抗病毒药物在实际临床环境中的安全性至关重要,因为上市前研究往往无法捕捉到所有不良事件(AE)。积极的药物警戒策略对于全面检测和描述这些不良事件至关重要:本研究旨在识别和描述在实际临床环境中针对使用全身性抗病毒药物的患者所采用的积极药物警戒策略,重点关注不良事件的发生频率和所使用的临床数据来源:我们检索了三个电子文献数据库,针对观察性前瞻性主动药物警戒研究、上市后安全性监测的IV期临床试验以及评估主动药物警戒策略的干预性研究进行了系统综述,重点关注暴露于全身性抗病毒药物的个体:我们纳入了 36 项主要采用药物事件监测 (DEM) 技术的初步研究,少数研究采用了哨点和登记制度。人类免疫缺陷病毒(HIV)是最常见的病症,其中大多数采用 DEM。在药物监测(DEM)中,至少有一种 AE 的患者发生率差异很大,其中大多数研究使用了一种或两种数据源。哨点研究并不常见,其中两项研究涉及丙型肝炎病毒 (HCV),一项涉及艾滋病病毒 (HIV),每项研究都依赖于一种或两种数据源。唯一一项使用登记册的研究报告称,该研究重点关注艾滋病治疗,仅使用了一个数据源。患者访谈是最常见的数据来源,其次是医疗记录和实验室检测。18/36 项研究的质量被认为是 "良好",1/36 项研究的质量被认为是 "一般",17/36 项研究的质量被认为是 "较差":DEM是最主要的药物警戒策略,采用了多种数据来源,似乎增加了发现较高AE发生率的可能性。建立这样一个框架将有助于在不同的研究和环境中采用更详细、更一致的方法。
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引用次数: 0
Circulating interleukin-33 levels in obesity and type 2 diabetes: a systematic review and meta-analysis. 肥胖和 2 型糖尿病患者的循环白细胞介素-33 水平:系统回顾和荟萃分析。
IF 5.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-12-01 Epub Date: 2024-08-22 DOI: 10.1152/ajpendo.00157.2024
Ghalia Missous, Nicholas Van Panhuys

Obesity and type 2 diabetes (T2D) are increasingly prevalent worldwide, and there is a critical need for novel interventions. Interleukin-33 (IL-33), an anti-inflammatory cytokine that regulates metabolism, is a promising biomarker for these conditions. The goal of this systematic review and meta-analysis is to examine the role of IL-33 in obesity and T2D, assessing its potential in predicting disease progression. A systematic search was performed on Scopus, Web of Science, and PubMed up until May 30, 2023. Each study was assessed for quality and sources of bias using the relevant critical appraisal checklists. Meta-analyses were conducted to compare IL-33 levels in individuals with obesity and T2D versus healthy controls (HC), and in obesity alone versus HC. Eighteen studies were included in the systematic review, and nine qualified for meta-analyses. The analyses showed insufficient evidence to suggest a significant difference in IL-33 levels between individuals with T2D and HC (mean difference, MD = -79.95, 95% CI [-241.38; 81.48]), with substantial heterogeneity across the studies observed (I2 = 97.1%, τ2 = 33,549.15). Similarly, there was insufficient evidence to suggest a significant difference between nondiabetic individuals with obesity and HC (MD = -7.31, 95% CI [-25.74; 11.13]), and heterogeneity was noted (I2 = 86.2%, τ2 = 342.45). There is insufficient evidence to indicate significant differences in IL-33 levels in individuals with T2D or obesity compared with HC. The results suggest a need for improved IL-33 measurement methods to reduce heterogeneity, enhancing understanding of the role of IL-33 in obesity and T2D, and informing future research and therapeutic strategies.NEW & NOTEWORTHY Our research finds an inconclusive relationship between IL-33 serum levels in individuals with type 2 diabetes (T2D) and nondiabetic individuals with obesity. In addition, we note a potential gender association with IL-33 serum levels. Further studies with larger cohorts are required to assess the significance of serum IL-33 in T2D and obesity. Urgent standardization is needed in IL-33 quantification and reporting methods for reliable comparisons.

肥胖症和 2 型糖尿病(T2D)在全球的发病率越来越高,亟需新型干预措施。白细胞介素-33(IL-33)是一种调节新陈代谢的抗炎细胞因子,是治疗这些疾病的一种很有前景的生物标志物。本系统综述和荟萃分析旨在研究 IL-33 在肥胖和 T2D 中的作用,评估其预测疾病进展的潜力。截至 2023 年 5 月 30 日,我们在 Scopus、Web of Science 和 PubMed 上进行了系统检索。每项研究都使用相关的批判性评估核对表对其质量和偏倚来源进行了评估。进行了元分析,以比较肥胖和 T2D 患者与健康对照组 (HC) 的 IL-33 水平,以及单纯肥胖与健康对照组 (HC) 的 IL-33 水平。系统综述共纳入了 18 项研究,其中 9 项符合荟萃分析的条件。分析结果显示,没有足够的证据表明 T2D 患者与 HC 患者之间的 IL-33 水平存在显著差异(MD = -79.95,95% CI [-241.38;81.48]),同时观察到各研究之间存在很大的异质性(I 2 = 97.1%,Tau 2 = 33549.15)。同样,也没有足够的证据表明非糖尿病肥胖症患者与 HC 患者之间存在显著差异(MD = -7.31,95% CI [-25.74; 11.13]),且存在异质性(I2 = 86.2%,Tau2 = 342.45)。没有足够的证据表明,与 HC 相比,T2D 或肥胖症患者的 IL-33 水平存在显著差异。研究结果表明,需要改进IL-33的测量方法以减少异质性,从而加深对IL-33在肥胖和T2D中作用的理解,并为未来的研究和治疗策略提供依据。
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引用次数: 0
Case report & review: Bilateral NIFTP harboring concomitant HRAS and KRAS mutation: Report of an unusual case and literature review. 病例报告与综述:同时携带 HRAS 和 KRAS 突变的双侧 NIFTP:罕见病例报告与文献综述。
IF 4.3 2区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-01 Epub Date: 2024-09-04 DOI: 10.1002/mc.23813
Marianna Rita Brogna, Francesca Collina, Maria Grazia Chiofalo, Debora De Bartolo, Angela Montone, Maria Rosaria Schiano, Michele Del Sesto, Nubia Pizza, Gerardo Ferrara

Diagnosis and treatment of thyroid disease are affected by the wide range of thyroid cancer subtypes and their varying degrees of aggressiveness. To better describe the indolent nature of thyroid neoplasms previously classified as noninvasive follicular variant of papillary thyroid carcinoma (NI-FVPTC), the Endocrine Pathology Society working group has recently coined the term "noninvasive follicular thyroid neoplasm with papillary-like nuclear features" (NIFTP). The purpose of this nomenclature change is to avoid patients the distress of cancer diagnosis and to decrease the overtreatment of thyroid nodules with a RAS-LIKE molecular profile similar to follicular adenoma. Consequently, the reclassification has a significant impact on thyroid nodule clinical care as well as histopathologic and cytopathologic diagnosis. This paper will focus on a unique case of Bilateral NIFTP harboring concomitant HRAS and KRAS mutation; we will also review the background, molecular features, and clinical implications of NIFTP as well as the factors behind the nomenclature update. It also seemed helpful to emphasize the impact of NIFTP on clinical practice to avoid overtreating nodules that could be safely managed with lobectomy alone. Actually, despite the diagnosis is postsurgery, a comprehensive preoperative evaluation may raise a suspicion of NIFTP and suggest a more careful plan for treatment. Here, we present a unique case of bilateral NIFTP after total thyroidectomy; subsequent molecular analysis revealed that the patient's right nodule harbored an isolated p.(Q61K) HRAS mutation, while the left a p.(Q61K) KRAS mutation. To the best of our knowledge, this is the first case report of this nature. The existence of simultaneous mutations highlights the occurrence of intratumoral heterogeneity (ITH) also in the context of FVPTC, which requires comprehensive investigation. The available information shows that NIFTP, identified in accordance with stringent inclusion and exclusion criteria, exhibits a very latent clinical behavior even in the face of conservative lobectomy, lacking of radioactive iodine therapy. However, it cannot be regarded as a benign lesion because there is a small but significant incidence of adverse events, such as lymph nodes and distant metastases. Currently, NIFTP can only be suspected before surgery: several efforts could be explored to identify key molecular, cytological, and ultrasonographic traits that may be helpful in raising the possibility of NIFTP in the preoperative context. Additionally, our discovery of simultaneous mutations within the same lesion strengthens the evidence of ITH even in FVPTC. Although the extent and biological impact of this phenomenon in NIFTP are still debated, a deeper understanding is essential to ensure appropriate clinical management.

甲状腺癌亚型种类繁多,侵袭性程度各异,这影响了甲状腺疾病的诊断和治疗。为了更好地描述以前被归类为甲状腺乳头状癌非侵袭性滤泡变异型(NI-FVPTC)的甲状腺肿瘤的惰性,内分泌病理学协会工作组最近创造了 "具有乳头状核特征的非侵袭性滤泡甲状腺肿瘤"(NIFTP)一词。这一术语变化的目的是避免患者因被诊断为癌症而苦恼,并减少对具有类似滤泡腺瘤的 RAS-LIKE 分子特征的甲状腺结节的过度治疗。因此,重新分类对甲状腺结节的临床治疗以及组织病理学和细胞病理学诊断都有重大影响。本文将重点讨论一例独特的同时携带 HRAS 和 KRAS 突变的双侧 NIFTP;我们还将回顾 NIFTP 的背景、分子特征和临床意义,以及术语更新背后的因素。此外,强调 NIFTP 对临床实践的影响似乎也很有帮助,可避免过度治疗仅通过肺叶切除术就能安全处理的结节。事实上,尽管诊断是在手术后进行的,但全面的术前评估可能会引起对 NIFTP 的怀疑,并建议采取更谨慎的治疗方案。在此,我们介绍了一例独特的甲状腺全切除术后双侧 NIFTP 病例;随后的分子分析显示,患者右侧结节携带孤立的 p.(Q61K) HRAS 突变,而左侧结节携带 p.(Q61K) KRAS 突变。据我们所知,这是首例此类病例报告。同时存在突变突显了 FVPTC 也存在瘤内异质性 (ITH),需要进行全面调查。现有资料表明,根据严格的纳入和排除标准确定的 NIFTP,即使在保守的肺叶切除术和缺乏放射性碘治疗的情况下,也会表现出非常潜伏的临床表现。然而,由于淋巴结和远处转移等不良事件的发生率虽小但却很高,因此不能将其视为良性病变。目前,NIFTP 只能在手术前进行怀疑:可以通过多种努力来确定关键的分子、细胞学和超声特征,这些特征可能有助于在术前提高 NIFTP 的可能性。此外,我们在同一病灶中同时发现了突变,这也加强了 ITH 甚至在 FVPTC 中存在的证据。尽管对这种现象在 NIFTP 中的程度和生物学影响仍有争议,但深入了解这种现象对确保适当的临床管理至关重要。
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引用次数: 0
ADAR1 Promotes Invasion and Migration and Inhibits Ferroptosis via the FAK/AKT Pathway in Colorectal Cancer. ADAR1 通过 FAK/AKT 通路促进结直肠癌的侵袭和迁移并抑制铁凋亡
IF 4.3 2区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-01 Epub Date: 2024-09-06 DOI: 10.1002/mc.23818
Dongsheng He, Chao Niu, Rilan Bai, Naifei Chen, Jiuwei Cui

The role of adenosine deaminase acting on RNA1 (ADAR1) in colorectal cancer (CRC) is poorly understood. This study investigated the roles and underlying molecular mechanisms of ADAR1 and its isoforms, explored the correlations between ADAR1 expression and the immune microenvironment and anticancer drug sensitivity, and examined the potential synergy of using ADAR1 expression and clinical parameters to determine the prognosis of CRC patients. CRC samples showed significant upregulation of ADAR1, and high ADAR1 expression was correlated with poor prognosis. Silencing ADAR1 inhibited the proliferation, invasion, and migration of CRC cells and induced ferroptosis by suppressing FAK/AKT activation, and the results of rescue assays were consistent with these mechanisms. Both ADAR1-p110 and ADAR1-p150 were demonstrated to regulate the FAK/AKT pathway, with ADAR1-p110 playing a particularly substantial role. In evaluating the prognosis of CRC patients, combining ADAR1 expression with clinical parameters produced a substantial synergistic effect. The in vivo tumorigenesis of CRC was significantly inhibited by silencing ADAR1. Furthermore, ADAR1 expression was positively correlated with tumor mutational burden (TMB) and microsatellite status (p < 0.05), indicating that ADAR1 plays a complex role in CRC immunotherapy. In conclusion, ADAR1 plays oncogenic roles in CRC both in vitro and in vivo, potentially by inhibiting ferroptosis via downregulation of the FAK/AKT pathway. Thus, ADAR1 serves as a potential prognostic biomarker and a promising target for CRC therapy.

人们对作用于RNA1的腺苷脱氨酶(ADAR1)在结直肠癌(CRC)中的作用知之甚少。本研究探讨了ADAR1及其同工型的作用和潜在分子机制,探索了ADAR1表达与免疫微环境和抗癌药物敏感性之间的相关性,并研究了利用ADAR1表达和临床参数判断CRC患者预后的潜在协同作用。CRC样本显示ADAR1明显上调,ADAR1高表达与预后不良相关。沉默ADAR1可抑制CRC细胞的增殖、侵袭和迁移,并通过抑制FAK/AKT活化诱导铁变态反应。ADAR1-p110和ADAR1-p150都被证明能调节FAK/AKT通路,其中ADAR1-p110的作用尤为重要。在评估 CRC 患者的预后时,将 ADAR1 表达与临床参数相结合会产生很大的协同效应。沉默 ADAR1 能显著抑制 CRC 的体内肿瘤发生。此外,ADAR1的表达与肿瘤突变负荷(TMB)和微卫星状态呈正相关(p
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引用次数: 0
Effect of Variation in Temperature and Light Duration on Morpho-physiology and Phytochemical Content in Sprouts and Microgreens of Common Buckwheat (Fagopyrum esculentum Moench). 温度和光照时间变化对普通荞麦(Fagopyrum esculentum Moench)新芽和微芽的形态生理学和植物化学物质含量的影响
IF 4.3 2区 农林科学 Q2 CHEMISTRY, APPLIED Pub Date : 2024-12-01 Epub Date: 2024-09-07 DOI: 10.1007/s11130-024-01221-7
Marry Albright Johnson, Mahesh Kumar, Sveta Thakur

Common buckwheat (Fagopyrum esculentum Moench) is a gluten-free underutilized pseudocereal with excellent therapeutic and nutraceutical potential. Sprouts and microgreens produced from this plant species can be consumed regularly owing to a rich nutritional profile that can be improved by regulating the abiotic factors during their growth. Therefore, this study explores the responses of common buckwheat sprouts and microgreens in terms of growth and phytochemicals accumulation under temperature (16, and 25 ºC) and photoperiodic (16/8 h and 20/4 h, light/dark intervals) variations. Some analyses were also performed at 4 and 8 ºC. The findings highlight the beneficial effects of mild stress induced by extended photoperiod and moderate temperature like enhanced yield and phytochemical content. Extending the photoperiodic duration from 16/8 h to 20/4 h significantly triggered the biosynthesis of pigments such as carotenoids and chlorophyll in 12-day-old microgreen leaves. Likewise, a moderate temperature i.e., 16 ºC was proved more effective in inducing the accumulation of secondary metabolites including phenolics and flavonoids. However, extreme cold conditions hindered the sprouting and growth rate underscoring common buckwheat sensitivity to low temperature. These findings are crucial for refining the production strategies, ensuring the nutritional values, and optimizing the potential of common buckwheat sprouts and microgreens as "superfoods".

普通荞麦(Fagopyrum esculentum Moench)是一种不含麸质的未充分利用的假谷物,具有极佳的治疗和营养保健潜力。用这种植物生产的芽菜和小芽菜营养丰富,可以通过调节其生长过程中的非生物因素来改善营养状况,因此可以经常食用。因此,本研究探讨了普通荞麦芽菜和微芽菜在温度(16 和 25 ºC)和光周期(16/8 h 和 20/4 h,光/暗间隔)变化下的生长和植物化学物质积累反应。在 4 和 8 ºC 温度条件下也进行了一些分析。研究结果表明,延长光周期和适度温度所引起的轻度胁迫会产生有利影响,如提高产量和植物化学物质含量。将光周期从 16/8 小时延长到 20/4 小时,能显著促进 12 天龄的小绿叶中类胡萝卜素和叶绿素等色素的生物合成。同样,16 ºC 的适度温度在诱导酚类和类黄酮等次生代谢物的积累方面也被证明更为有效。然而,极度寒冷的条件阻碍了荞麦的发芽和生长速度,突出表明了普通荞麦对低温的敏感性。这些发现对于改进生产策略、确保营养价值以及优化普通荞麦芽和微菜作为 "超级食品 "的潜力至关重要。
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引用次数: 0
Sex differences in morphine sensitivity of neuroligin-3 knockout mice. 神经胶质蛋白-3基因敲除小鼠对吗啡敏感性的性别差异。
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2024-07-31 DOI: 10.1007/s00213-024-06660-3
Dieter D Brandner, Mohammed A Mashal, Nicola M Grissom, Patrick E Rothwell

Sex has a strong influence on the prevalence and course of brain conditions, including autism spectrum disorders. The mechanistic basis for these sex differences remains poorly understood, due in part to historical bias in biomedical research favoring analysis of male subjects, and the exclusion of female subjects. For example, studies of male mice carrying autism-associated mutations in neuroligin-3 are over-represented in the literature, including our own prior work showing diminished responses to chronic morphine exposure in male neuroligin-3 knockout mice. We therefore studied how constitutive and conditional genetic knockout of neuroligin-3 affects morphine sensitivity of female mice, using locomotor activity as a proxy for differences in opioid sensitivity that may be related to the pathophysiology and treatment of autism spectrum disorders. In contrast to male mice, female neuroligin-3 knockout mice showed normal psychomotor sensitization after chronic morphine exposure. However, in the absence of neuroligin-3 expression, both female and male mice show a similar change in the topography of locomotor stimulation produced by morphine. Conditional genetic deletion of neuroligin-3 from dopamine neurons increased the locomotor response of female mice to high doses of morphine, contrasting with the decrease in psychomotor sensitization caused by the same manipulation in male mice. Together, our data reveal that knockout of neuroligin-3 has both common and distinct effects on morphine sensitivity in female and male mice. These results also support the notion that female sex can confer resilience against the impact of autism-associated gene variants.

性别对包括自闭症谱系障碍在内的脑部疾病的发病率和病程有很大影响。人们对这些性别差异的机理基础仍然知之甚少,部分原因是生物医学研究中偏向于分析男性受试者和排除女性受试者的历史偏见。例如,对携带自闭症相关神经胶质蛋白-3突变的雄性小鼠的研究在文献中占很大比例,包括我们自己之前的研究,结果显示雄性神经胶质蛋白-3基因敲除小鼠对慢性吗啡暴露的反应减弱。因此,我们研究了神经ligin-3的组成型基因敲除和条件型基因敲除如何影响雌性小鼠对吗啡的敏感性,并以运动活动作为阿片类药物敏感性差异的替代物,这种差异可能与自闭症谱系障碍的病理生理学和治疗有关。与雄性小鼠相反,雌性神经ligin-3基因敲除小鼠在长期接触吗啡后表现出正常的精神运动敏感性。然而,在没有神经ligin-3表达的情况下,雌性和雄性小鼠在吗啡产生的运动刺激拓扑图上表现出相似的变化。多巴胺神经元中神经ligin-3的条件性基因缺失增加了雌性小鼠对高剂量吗啡的运动反应,而对雄性小鼠进行同样的操作则会降低其精神运动敏感性。总之,我们的数据显示,敲除神经胶质蛋白-3对雌性和雄性小鼠的吗啡敏感性既有共同的影响,也有不同的影响。这些结果也支持了这样一种观点,即雌性小鼠可以抵御自闭症相关基因变异的影响。
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