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The Identification and Clinical Value Evaluation of CYCS Related to Asthma through Bioinformatics Analysis and Functional Experiments. 通过生物信息学分析和功能实验鉴定与哮喘相关的 CYCS 并评估其临床价值。
4区 医学 Q3 Medicine Pub Date : 2023-04-14 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5746940
Yan Li, Li Li, Hua Zhao, Xiwen Gao, Shanqun Li

Background: Asthma is one of the most common respiratory diseases and one of the largest burdens of health care resources across the world. This study is aimed at using bioinformatics methods to find effective clinical indicators for asthma and conducting experimental validation.

Methods: We downloaded GSE64913 data and performed differentially expressed gene (DEG) screening. Weighted gene coexpression network analysis (WGCNA) on DEGs was applied to identify key module most associated with asthma for protein-protein interaction (PPI) analysis. According to the degree value, ten genes were obtained and subjected to expression analysis and receiver operating characteristic (ROC) analysis. Next, key genes were screened for expression analysis and immunological analysis. Finally, cell counting kit-8 (CCK-8) and qRT-PCR were also conducted to observe the influence of hub gene on cell proliferation and inflammatory cytokines.

Results: From the GSE64913 dataset, 711 upregulated and 684 downregulated DEGs were found. In WGCNA, the top 10 genes in the key module were examined by expression analysis in asthma, and CYCS was determined as an asthma-related oncogene with a good predictive ability for the prognosis of asthmatic patients. CYCS is significantly associated with immune cells, such as HHLA2, IDO1, TGFBR1, and CCL18 and promoted the proliferation of asthmatic cells in vitro.

Conclusion: CYCS plays an oncogenic role in the pathophysiology of asthma, indicating that this gene may become a novel diagnostic biomarker and promising target of asthma treatment.

背景:哮喘是最常见的呼吸系统疾病之一,也是全球医疗资源的最大负担之一。本研究旨在利用生物信息学方法寻找有效的哮喘临床指标并进行实验验证:方法:我们下载了 GSE64913 数据并进行了差异表达基因(DEG)筛选。方法:我们下载了 GSE64913 数据,对差异表达基因(DEG)进行了筛选,并对 DEG 进行了加权基因共表达网络分析(WGCNA),以确定与哮喘最相关的关键模块,并进行蛋白相互作用(PPI)分析。根据程度值,得到了十个基因,并对其进行了表达分析和接收者操作特征(ROC)分析。接着,对关键基因进行表达分析和免疫学分析。最后,还进行了细胞计数试剂盒-8(CCK-8)和 qRT-PCR,以观察枢纽基因对细胞增殖和炎症细胞因子的影响:结果:从 GSE64913 数据集中发现了 711 个上调 DEGs 和 684 个下调 DEGs。在 WGCNA 中,通过对哮喘关键模块中的前 10 个基因进行表达分析,确定 CYCS 为哮喘相关癌基因,对哮喘患者的预后具有良好的预测能力。CYCS与HHLA2、IDO1、TGFBR1和CCL18等免疫细胞明显相关,并在体外促进哮喘细胞的增殖:结论:CYCS 在哮喘的病理生理学中起着致癌作用,这表明该基因可能成为一种新型的诊断生物标志物和治疗哮喘的靶点。
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引用次数: 0
Identification of Inflammatory Gene in the Congenital Heart Surgery Patients following Cardiopulmonary Bypass via the Way of WGCNA and Machine Learning Algorithms. 应用WGCNA和机器学习算法鉴定先天性心脏手术患者体外循环后炎症基因
4区 医学 Q3 Medicine Pub Date : 2023-04-12 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5493415
Liang Cai, Bingdong Zhang

Performing cardiopulmonary bypass (CPB) to reduce ischemic injury during surgery is a common approach to cardiac surgery. However, this procedure can lead to systemic inflammation and multiorgan dysfunction. Therefore, elucidating the molecular mechanisms of CPB-induced inflammatory cytokine release is essential as a critical first step in identifying new targets for therapeutic intervention. The GSE143780 dataset which is mRNA sequencing from total circulating leukocytes of the neonatorum was downloaded from the Gene Expression Omnibus (GEO) database. A total of 21 key module genes were obtained by analyzing the intersection of differentially expressed gene (DEG) and gene coexpression network analysis (WGCNA), and then, 4 genes (TRAF3IP2-AS1, PPARGC1B, CD4, and PDLIM5) were further confirmed after the least absolute shrinkage and selection operator (LASSO) and support vector machine recursive feature elimination (SVM-RFE) screening and were used as hub genes for CPB-induced inflammatory cytokine release in patients with congenital heart defects. The enrichment analysis revealed 21 key module genes mainly related to the functions of developmental cell growth, regulation of monocyte differentiation, regulation of myeloid leukocyte differentiation, ERK1 and ERK2 cascade, volume-sensitive anion channel activity, and estrogen receptor binding. The result of gene set enrichment analysis (GSEA) showed that the hub genes were related to different physiological functions of cells. The ceRNA network established for hub genes includes 3 hub genes (PPARGC1B, CD4, and PDLIM5), 55 lncRNAs, and 34 miRNAs. In addition, 4 hub genes have 215 potential therapeutic agents. Finally, expression validation of the four hub genes revealed that they were all significantly low expressed in the surgical samples than before.

在手术中进行体外循环(CPB)以减少缺血性损伤是一种常见的心脏手术方法。然而,该手术可导致全身炎症和多器官功能障碍。因此,阐明cpb诱导的炎症细胞因子释放的分子机制是确定治疗干预新靶点的关键第一步。从Gene Expression Omnibus (GEO)数据库下载新生儿总循环白细胞mRNA测序数据集GSE143780。通过差异表达基因交集分析(DEG)和基因共表达网络分析(WGCNA)共获得21个关键模块基因,然后,TRAF3IP2-AS1、PPARGC1B、CD4、经最小绝对收缩和选择算子(LASSO)和支持向量机递归特征消除(SVM-RFE)筛选后,进一步证实了PDLIM5),并将其作为cpb诱导的先天性心脏缺陷患者炎症细胞因子释放的枢纽基因。富集分析发现21个关键模块基因,主要与发育细胞生长、单核细胞分化调控、髓系白细胞分化调控、ERK1和ERK2级联、体积敏感阴离子通道活性、雌激素受体结合等功能相关。基因集富集分析(GSEA)结果表明,这些中心基因与细胞的不同生理功能有关。中心基因建立的ceRNA网络包括3个中心基因(PPARGC1B、CD4和PDLIM5)、55个lncrna和34个mirna。此外,4个枢纽基因有215种潜在的治疗药物。最后,对这四个中心基因的表达验证显示,它们在手术样本中的表达都比以前明显低。
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引用次数: 0
Keloid Core Factor CTRP3 Overexpression Significantly Controlled TGF-β1-Induced Propagation and Migration in Keloid Fibroblasts. 瘢痕疙瘩核心因子 CTRP3 的过表达能显著控制 TGF-β1 诱导的瘢痕疙瘩成纤维细胞的繁殖和迁移。
4区 医学 Q3 Medicine Pub Date : 2023-04-12 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9638322
Lin He, Chan Zhu, Huicong Dou, Xueyuan Yu, Jing Jia, Maoguo Shu

Purpose: Keloid is a type of benign fibrous proliferative tumor characterized by excessive scarring. C1q/TNF-related protein 3 (CTRP3) has been proven to possess antifibrotic effect. Here, we explored the role of CTRP3 in keloid. In the current research, we examined the influence of CTRP3 on keloid fibroblasts (KFs) and investigated the potential molecular mechanism.

Methods: KF tissue specimens and adjacent normal fibroblast (NF) tissues were collected cultured from 10 keloid participants. For the TGF-β1 stimulation group, KFs were processed with human recombinant TGF-β1. Cell transfection of pcDNA3.1-CTRP3 or pcDNA3.1 was performed. The siRNA of CTRP3 (si-CTRP3) or negative control siRNA (si-scramble) was transfected into KFs.

Results: CTRP3 was downregulated in keloid tissues and KFs. CTRP3 overexpression significantly controlled TGF-β1-induced propagation and migration in KFs. Col I, α-SMA, and fibronectin mRNA and protein levels were enhanced by TGF-β1 stimulation, whereas they were inhibited by CTRP3 overexpression. In contrast, CTRP3 knockdown exhibited the opposite effect. In addition, CTRP3 attenuated TGF-β receptors TRI and TRII in TGF-β1-induced KFs. Furthermore, CTRP3 prevented TGF-β1-stimulated nuclear translocation of smad2 and smad3 and suppressed the expression levels of p-smad2 and p-smad3 in KFs.

Conclusion: CTRP3 exerted an antifibrotic role through inhibiting proliferation, migration, and ECM accumulation of KFs via regulating TGF-β1/Smad signal path.

目的:瘢痕疙瘩是一种以过度瘢痕增生为特征的良性纤维增生性肿瘤。C1q/TNF相关蛋白3(CTRP3)已被证实具有抗纤维化作用。在此,我们探讨了 CTRP3 在瘢痕疙瘩中的作用。在本研究中,我们探讨了CTRP3对瘢痕疙瘩成纤维细胞(KFs)的影响,并研究了其潜在的分子机制:方法:收集 10 名瘢痕疙瘩患者的 KF 组织标本和邻近的正常成纤维细胞(NF)组织。在 TGF-β1 刺激组,用人重组 TGF-β1 处理 KF。进行 pcDNA3.1-CTRP3 或 pcDNA3.1 细胞转染。si-CTRP3)或阴性对照 siRNA(si-scramble)转染 KFs:结果:CTRP3在瘢痕疙瘩组织和KFs中下调。结果:CTRP3在瘢痕疙瘩组织和KFs中下调,过表达CTRP3可明显控制TGF-β1诱导的KFs繁殖和迁移。Col I、α-SMA和纤连蛋白的mRNA和蛋白水平在TGF-β1刺激下升高,而CTRP3过表达则抑制了它们的升高。相反,CTRP3 基因敲除则表现出相反的效果。此外,在 TGF-β1 诱导的 KFs 中,CTRP3 可抑制 TGF-β 受体 TRI 和 TRII。此外,CTRP3还阻止了TGF-β1刺激的smad2和smad3的核转位,并抑制了KFs中p-smad2和p-smad3的表达水平:结论:CTRP3通过调节TGF-β1/Smad信号通路,抑制KFs的增殖、迁移和ECM积累,从而发挥抗纤维化作用。
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引用次数: 1
Efficacy of Butylphthalide in Combination with Edaravone in the Treatment of Acute Ischemic Stroke and the Effect on Serum Inflammatory Factors. 丁苯酞联合依达拉奉治疗急性缺血性脑卒中的疗效及对血清炎症因子的影响
4区 医学 Q3 Medicine Pub Date : 2023-04-11 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9969437
Yan Li, Zhen Hong, Shaoquan Li, Songwang Xie, Junyong Wang, Jian Wang, Yongchang Liu

Objective: To investigate the efficacy of butylphthalide combined with edaravone in the treatment of acute ischemic stroke and the effect on serum inflammatory factors.

Methods: One hundred and sixty patients with acute ischemic stroke who attended the neurovascular intervention department of our hospital from May 2020 to June 2022 were enrolled as study subjects for prospective analysis and were equally divided into a control group and an experimental group using the random number table method, with 80 cases in each group. The control group was treated with edaravone injection, while the experimental group was treated with butylphthalide combined with edaravone. The disease was recorded to compare the efficacy, erythrocyte sedimentation rate, homocysteine, serum inflammatory factors including tumor necrosis factor-α, C-reactive protein and interleukin-6 levels, and the incidence of adverse reactions between the two groups.

Results: The total effective rate of treatment in the experimental group was 90.0% (72/80), while that of the control group was 62.5% (50/80), the total effective rate of the experimental group was significantly higher than that of the control group, and the difference was statistically significant (P < 0.05). After treatment, the erythrocyte sedimentation rate, homocysteine level, and serum TNF-α, CRP, and IL-6 levels of patients in the experimental group improved compared with those before treatment, and the degree of improvement was better than that of the control group, and the difference was statistically significant (P < 0.05). After 3 months of treatment, a comparison of the incidence of adverse reactions in the two groups showed no statistically significant difference between the two groups (P > 0.05).

Conclusion: The treatment of acute ischemic stroke with butylphthalide combined with edaravone has positive significance in improving blood circulation regulation and serum inflammatory factor levels and is reliable and worthy of clinical promotion.

目的研究丁苯酞联合依达拉奉治疗急性缺血性脑卒中的疗效及对血清炎症因子的影响:选取 2020 年 5 月至 2022 年 6 月在我院神经血管介入科就诊的 160 例急性缺血性脑卒中患者作为研究对象,采用随机数字表法将其平均分为对照组和实验组,每组 80 例,进行前瞻性分析。对照组采用依达拉奉注射液治疗,实验组采用丁苯酞联合依达拉奉治疗。记录两组患者的疗效、红细胞沉降率、同型半胱氨酸、血清炎症因子(包括肿瘤坏死因子-α、C反应蛋白和白细胞介素-6水平)以及不良反应发生率:实验组治疗总有效率为 90.0%(72/80),对照组为 62.5%(50/80),实验组总有效率明显高于对照组,差异有统计学意义(P<0.05)。治疗后,实验组患者的红细胞沉降率、同型半胱氨酸水平、血清TNF-α、CRP、IL-6水平较治疗前均有所改善,改善程度优于对照组,差异有统计学意义(P<0.05)。治疗3个月后,对比两组不良反应发生率,两组差异无统计学意义(P>0.05):丁苯酞联合依达拉奉治疗急性缺血性脑卒中在改善血液循环调节、提高血清炎症因子水平方面具有积极意义,疗效可靠,值得临床推广。
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引用次数: 1
Relationship between Changes in Blood Glucose and Blood Lipid Levels and the Risk of Thyroid Cancer in Patients with Type 2 Diabetes Mellitus. 2 型糖尿病患者血糖和血脂水平的变化与甲状腺癌风险之间的关系
4区 医学 Q3 Medicine Pub Date : 2023-04-11 eCollection Date: 2023-01-01 DOI: 10.1155/2023/4814328
Bowei Zhang, Zhe Song, Li Ren, Jinju Wang, Yi Gu, Chao Feng, Tong Liu

Objective: To investigate the relationship between changes in blood glucose and blood lipid levels and the risk of thyroid cancer in patients with type 2 diabetes mellitus.

Methods: A total of 159 patients with type 2 diabetes who were treated in our hospital between June 2018 and February 2021 were recruited and assigned into the observation group, including 136 patients with type 2 diabetes without thyroid cancer (nonthyroid cancer group) and 23 patients with type 2 diabetes complicated with thyroid cancer (thyroid cancer group), and 120 healthy subjects during the same period were selected as the control group. Glycated hemoglobin (HbAlc), total cholesterol (TC), triacylglycerol (TG), high density lipoprotein cholesterol (HDL-C), and low density lipoprotein cholesterol (LDL-C) were detected and compared. Pearson's method was conducted to analyze the correlation between serum HbAlc level and TC, TG, HDL-C, and LDL-C levels in patients with type 2 diabetes mellitus; multivariate logistic regression analysis was performed to analyze the influencing factors of thyroid cancer in patients with type 2 diabetes mellitus.

Results: The serum HbAlc level and the incidence of thyroid cancer in patients with type 2 diabetes mellitus in the observation group were significantly higher than those in the control group (P < 0.05). The levels of TC, TG, and LDL-C in patients with type 2 diabetes mellitus in the observation group were significantly higher than those in the control group, and the level of HDL-C was significantly lower than that in the control group (P < 0.05). The correlation analysis showed that serum HbAlc levels in patients with type 2 diabetes were positively correlated with TC and TG levels and negatively correlated with HDL-C levels (P < 0.05) and not correlated with LDL-C levels (P > 0.05). Compared with the type 2 diabetes patients without thyroid cancer, the serum HbAlc, TC, and TG levels of the patients with type 2 diabetes mellitus in the thyroid cancer group were significantly higher, and the levels of HDL-C were significantly lower (P < 0.05). There was no significant change in the level of LDL-C (P > 0.05). Multivariate logistic regression analysis showed that serum HbAlc, TC, and TC levels were all risk factors for thyroid cancer in patients with type 2 diabetes mellitus (P < 0.05), while serum HDL-C level was a protective factor for thyroid cancer in patients with type 2 diabetes mellitus (P < 0.05).

Conclusion: Thyroid cancer in type 2 diabetes patients may be linked to elevated levels of blood HbAlc, TC, and TG. HbAlc may raise the risk of thyroid cancer in type 2 diabetes patients by modulating blood lipid levels, which might serve as a marker to assess the risk of thyroid cancer in type 2 diabetes mellitus patients. However, since this study did not conduct in vitro and in vivo experim

目的:研究2型糖尿病患者血糖和血脂水平的变化与甲状腺癌风险之间的关系:方法:探讨2型糖尿病患者血糖、血脂水平变化与甲状腺癌发病风险的关系:招募2018年6月至2021年2月期间在我院接受治疗的2型糖尿病患者共159例,将其分为观察组,其中包括136例无甲状腺癌的2型糖尿病患者(非甲状腺癌组)和23例并发甲状腺癌的2型糖尿病患者(甲状腺癌组),选取同期120例健康人作为对照组。检测并比较糖化血红蛋白(HbAlc)、总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)。用皮尔逊法分析2型糖尿病患者血清HbAlc水平与TC、TG、HDL-C和LDL-C水平的相关性;用多变量Logistic回归分析2型糖尿病患者甲状腺癌的影响因素:观察组2型糖尿病患者血清HbAlc水平和甲状腺癌发病率明显高于对照组(P<0.05)。观察组2型糖尿病患者的TC、TG和LDL-C水平明显高于对照组,HDL-C水平明显低于对照组(P<0.05)。相关分析显示,2 型糖尿病患者血清 HbAlc 水平与 TC 和 TG 水平呈正相关,与 HDL-C 水平呈负相关(P < 0.05),与 LDL-C 水平无相关性(P > 0.05)。与未患甲状腺癌的2型糖尿病患者相比,甲状腺癌组2型糖尿病患者的血清HbAlc、TC和TG水平显著升高,HDL-C水平显著降低(P<0.05)。低密度脂蛋白胆固醇水平无明显变化(P > 0.05)。多变量逻辑回归分析显示,血清HbAlc、TC和TC水平都是2型糖尿病患者甲状腺癌的危险因素(P<0.05),而血清HDL-C水平是2型糖尿病患者甲状腺癌的保护因素(P<0.05):结论:2型糖尿病患者的甲状腺癌可能与血液中HbAlc、TC和TG水平升高有关。HbAlc可能会通过调节血脂水平来增加2型糖尿病患者罹患甲状腺癌的风险,因此可作为评估2型糖尿病患者罹患甲状腺癌风险的标志物。然而,由于本研究没有进行体外和体内实验,因此HbAlc如何影响甲状腺癌的发病机制在本研究中还没有描述,这也是我们今后的研究方向。希望能为甲状腺癌的预防和治疗提供新的思路。
{"title":"Relationship between Changes in Blood Glucose and Blood Lipid Levels and the Risk of Thyroid Cancer in Patients with Type 2 Diabetes Mellitus.","authors":"Bowei Zhang, Zhe Song, Li Ren, Jinju Wang, Yi Gu, Chao Feng, Tong Liu","doi":"10.1155/2023/4814328","DOIUrl":"10.1155/2023/4814328","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the relationship between changes in blood glucose and blood lipid levels and the risk of thyroid cancer in patients with type 2 diabetes mellitus.</p><p><strong>Methods: </strong>A total of 159 patients with type 2 diabetes who were treated in our hospital between June 2018 and February 2021 were recruited and assigned into the observation group, including 136 patients with type 2 diabetes without thyroid cancer (nonthyroid cancer group) and 23 patients with type 2 diabetes complicated with thyroid cancer (thyroid cancer group), and 120 healthy subjects during the same period were selected as the control group. Glycated hemoglobin (HbAlc), total cholesterol (TC), triacylglycerol (TG), high density lipoprotein cholesterol (HDL-C), and low density lipoprotein cholesterol (LDL-C) were detected and compared. Pearson's method was conducted to analyze the correlation between serum HbAlc level and TC, TG, HDL-C, and LDL-C levels in patients with type 2 diabetes mellitus; multivariate logistic regression analysis was performed to analyze the influencing factors of thyroid cancer in patients with type 2 diabetes mellitus.</p><p><strong>Results: </strong>The serum HbAlc level and the incidence of thyroid cancer in patients with type 2 diabetes mellitus in the observation group were significantly higher than those in the control group (<i>P</i> < 0.05). The levels of TC, TG, and LDL-C in patients with type 2 diabetes mellitus in the observation group were significantly higher than those in the control group, and the level of HDL-C was significantly lower than that in the control group (<i>P</i> < 0.05). The correlation analysis showed that serum HbAlc levels in patients with type 2 diabetes were positively correlated with TC and TG levels and negatively correlated with HDL-C levels (<i>P</i> < 0.05) and not correlated with LDL-C levels (<i>P</i> > 0.05). Compared with the type 2 diabetes patients without thyroid cancer, the serum HbAlc, TC, and TG levels of the patients with type 2 diabetes mellitus in the thyroid cancer group were significantly higher, and the levels of HDL-C were significantly lower (<i>P</i> < 0.05). There was no significant change in the level of LDL-C (<i>P</i> > 0.05). Multivariate logistic regression analysis showed that serum HbAlc, TC, and TC levels were all risk factors for thyroid cancer in patients with type 2 diabetes mellitus (<i>P</i> < 0.05), while serum HDL-C level was a protective factor for thyroid cancer in patients with type 2 diabetes mellitus (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Thyroid cancer in type 2 diabetes patients may be linked to elevated levels of blood HbAlc, TC, and TG. HbAlc may raise the risk of thyroid cancer in type 2 diabetes patients by modulating blood lipid levels, which might serve as a marker to assess the risk of thyroid cancer in type 2 diabetes mellitus patients. However, since this study did not conduct in vitro and in vivo experim","PeriodicalId":11201,"journal":{"name":"Disease Markers","volume":"2023 ","pages":"4814328"},"PeriodicalIF":0.0,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10113056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9379228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Use of Cytotoxic Drugs as First Line Chemotherapy for EGFR (+) Nonsquamous NSCLC: A Network Meta-Analysis. 将细胞毒性药物作为表皮生长因子受体(+)非鳞状 NSCLC 的一线化疗:网络 Meta 分析。
4区 医学 Q3 Medicine Pub Date : 2023-04-10 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5272125
Duo Li, Meng Li, Hong Li, Puyu Shi, Mingwei Chen, Tian Yang
Objective To assess the use of cytotoxic drugs as first-line chemotherapy for nonsquamous non-small-cell lung cancer (NSCLC) with EGFR mutation. Method This study uses the network meta-analysis (NMA) method, with the inclusion of prospective randomized control studies related to the treatment of EGFR-positive nonsquamous NSCLC, to compare the efficacy of various EGFR-TKIs. As of September 4, 2022, 16 studies on a total of 4180 patients were included. The retrieved literature was comprehensively evaluated as per the established inclusion and exclusion criteria, and valid data were extracted and included for analysis. Results The 6 treatment regimens included cetuximab, CTX (cyclophosphamide), icotinib, gefitinib, afatinib, and erlotinib. All of the 16 studies reported their findings about overall survival (OS), and 15 of them also reported findings about progression-free survival (PFS). The NMA results showed that there was no significant difference in OS among the 6 treatment regimens. It was observed that erlotinib had the highest likelihood of obtaining the best OS, followed by afatinib, gefitinib, icotinib, CTX, and cetuximab, in descending order. This indicates that the highest possibility of achieving the best OS was with erlotinib, while the lowest was with cetuximab. The NMA results also showed that the PFS achieved with treatment using afatinib, erlotinib, and gefitinib were all higher than that with treatment using CTX, with statistically significant differences. The results showed that there was no significant difference in PFS among erlotinib, gefitinib, afatinib, cetuximab, and icotinib. CTX, cetuximab, icotinib, gefitinib, afatinib, and erlotinib were ranked in descending order based on the PFS indicator SUCRA values, which implied that erlotinib had the highest possibility in achieving the best PFS, while CTX had the lowest. Discussion. EGFR-TKIs must be carefully selected for the treatment of different histologic subtypes of NSCLC. For EGFR mutation (+) nonsquamous NSCLC, erlotinib is most likely to achieve the best OS and PFS, which makes it the first choice in the formulation of a treatment plan.
目的评估细胞毒性药物作为表皮生长因子受体(EGFR)突变的非鳞状非小细胞肺癌(NSCLC)一线化疗的应用情况:本研究采用网络荟萃分析(NMA)方法,纳入与治疗表皮生长因子受体(EGFR)阳性非鳞状非小细胞肺癌相关的前瞻性随机对照研究,比较各种EGFR-TKIs的疗效。截至2022年9月4日,共纳入了16项研究,涉及4180名患者。按照既定的纳入和排除标准对检索到的文献进行了全面评估,提取有效数据并纳入分析:6种治疗方案包括西妥昔单抗、CTX(环磷酰胺)、伊可替尼、吉非替尼、阿法替尼和厄洛替尼。所有 16 项研究都报告了总生存期(OS)的结果,其中 15 项研究还报告了无进展生存期(PFS)的结果。NMA结果显示,6种治疗方案的OS无显著差异。据观察,厄洛替尼获得最佳OS的可能性最大,其次依次是阿法替尼、吉非替尼、伊可替尼、CTX和西妥昔单抗。这表明,厄洛替尼获得最佳OS的可能性最高,而西妥昔单抗最低。NMA结果还显示,使用阿法替尼、厄洛替尼和吉非替尼治疗的PFS均高于使用CTX治疗的PFS,差异有统计学意义。结果显示,厄洛替尼、吉非替尼、阿法替尼、西妥昔单抗和伊可替尼的 PFS 无明显差异。根据PFS指标SUCRA值,CTX、西妥昔单抗、伊戈替尼、吉非替尼、阿法替尼和厄洛替尼的PFS从高到低排序,这意味着厄洛替尼获得最佳PFS的可能性最高,而CTX最低。讨论在治疗不同组织学亚型的NSCLC时,必须谨慎选择EGFR-TKIs。对于表皮生长因子受体突变(+)的非鳞状NSCLC,厄洛替尼最有可能获得最佳的OS和PFS,这使其成为制定治疗方案的首选。
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引用次数: 1
Development and Interpretation of a Clinicopathological-Based Model for the Identification of Microsatellite Instability in Colorectal Cancer. 基于临床病理学的结直肠癌微卫星不稳定性鉴定模型的开发与解读
4区 医学 Q3 Medicine Pub Date : 2023-02-18 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5178750
Zhenxing Jiang, Lizhao Yan, Shenghe Deng, Junnan Gu, Le Qin, Fuwei Mao, Yifan Xue, Wentai Cai, Xiu Nie, Hongli Liu, Fumei Shang, Kaixiong Tao, Jiliang Wang, Ke Wu, Yinghao Cao, Kailin Cai

Chemotherapy is not recommended for patients with deficient mismatch repair (dMMR) in colorectal cancer (CRC); therefore, assessing the status of MMR is crucial for the selection of subsequent treatment. This study is aimed at building predictive models to accurately and rapidly identify dMMR. A retrospective analysis was performed at Wuhan Union Hospital between May 2017 and December 2019 based on the clinicopathological data of patients with CRC. The variables were subjected to collinearity, least absolute shrinkage and selection operator (LASSO) regression, and random forest (RF) feature screening analyses. Four sets of machine learning models (extreme gradient boosting (XGBoost), support vector machine (SVM), naive Bayes (NB), and RF) and a conventional logistic regression (LR) model were built for model training and testing. Receiver operating characteristic (ROC) curves were plotted to evaluate the predictive performance of the developed models. In total, 2279 patients were included in the study and were randomly divided into either the training or test group. Twelve clinicopathological features were incorporated into the development of the predictive models. The area under curve (AUC) values of the five predictive models were 0.8055 for XGBoost, 0.8174 for SVM, 0.7424 for NB, 8584 for RF, and 0.7835 for LR (Delong test, P value < 0.05). The results showed that the RF model exhibited the best recognition ability and outperformed the conventional LR method in identifying dMMR and proficient MMR (pMMR). Our predictive models based on routine clinicopathological data can significantly improve the diagnostic performance of dMMR and pMMR. The four machine learning models outperformed the conventional LR model.

对于存在错配修复缺陷(dMMR)的结直肠癌(CRC)患者,不建议进行化疗;因此,评估 MMR 的状态对于选择后续治疗至关重要。本研究旨在建立预测模型,以准确、快速地识别 dMMR。2017年5月至2019年12月期间,武汉协和医院根据CRC患者的临床病理数据进行了回顾性分析。对变量进行了共线性分析、最小绝对收缩和选择算子(LASSO)回归分析以及随机森林(RF)特征筛选分析。建立了四套机器学习模型(极梯度提升(XGBoost)、支持向量机(SVM)、天真贝叶斯(NB)和 RF)和一个传统的逻辑回归(LR)模型,用于模型训练和测试。绘制了接收者操作特征(ROC)曲线,以评估所开发模型的预测性能。研究共纳入了 2279 例患者,并将其随机分为训练组或测试组。开发预测模型时纳入了 12 个临床病理特征。五个预测模型的曲线下面积(AUC)值分别为:XGBoost 0.8055、SVM 0.8174、NB 0.7424、RF 8584 和 LR 0.7835(德龙检验,P 值小于 0.05)。结果表明,RF 模型的识别能力最强,在识别 dMMR 和熟练 MMR(pMMR)方面优于传统的 LR 方法。我们基于常规临床病理数据的预测模型能显著提高dMMR和pMMR的诊断性能。四种机器学习模型的表现优于传统的LR模型。
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引用次数: 0
Peptide ARHGEF9 Inhibits Glioma Progression via PI3K/AKT/mTOR Pathway. 多肽 ARHGEF9 通过 PI3K/AKT/mTOR 通路抑制胶质瘤进展
4区 医学 Q3 Medicine Pub Date : 2023-02-18 eCollection Date: 2023-01-01 DOI: 10.1155/2023/7146589
Jie Huang, Xiaoling Fu, Qiang Xue, Peng Ma, Yating Yin, Minjie Jiang, Yunpeng Lu, Qi Ying, Jun Jiang, Hua He, Da Wu

Background: The most prevalent malignant tumor in a human brain nervous system is called glioma. Peptide is a compound formed by the peptide bond of α-amino acids, and the development of polypeptide drugs has been widely used in many fields. We plan to investigate the underlying peptides with clinical value in glioma.

Method: Based on public databases, we targeted the common genes between glioma differentially expressed genes (DEGs) and peptide genes related to glioma prognosis. Then, these common genes were analyzed by LASSO-Cox analysis, prognostic risk model, and nomogram to identify key prognostic peptide genes and the target gene in this study. Next, the mechanism of target gene in glioma was explored by bioinformatics analysis and functional experiments.

Results: We obtained a total of 26 overlapping genes for the following study. After that, 6 independent prognostic factors (REPIN1, PSD3, RDX, CDK4, FANCI, and ARHGEF9) were obtained and applied to construct the prognostic nomogram, and ARHGEF9 was the target gene in the study. Next, peptide ARHGEF9 was found to inhibit glioma cell development. Through Spearman's correlation analysis, ARHGEF9 had a close relation with PI3K/AKT/mTOR pathway. In functional experiments, peptide ARHGEF9 could suppress the protein expressions of p-PIK3K, p-AKT and p-mTOR, while IGF-1 could reverse this effect.

Conclusion: This study identifies 6 new prognostic biomarkers for glioma patients. Among them, peptide ARHGEF9 gene is an inhibitory gene functioning by targeting PI3K/AKT/mTOR pathway.

背景:胶质瘤是人类脑神经系统中最常见的恶性肿瘤。多肽是由α-氨基酸的肽键形成的化合物,多肽药物的开发已广泛应用于多个领域。我们计划研究胶质瘤中具有临床价值的多肽:方法:基于公共数据库,我们锁定了胶质瘤差异表达基因(DEGs)和与胶质瘤预后相关的多肽基因之间的共同基因。然后,通过LASSO-Cox分析、预后风险模型和提名图分析这些共同基因,确定关键的预后肽基因和本研究的靶基因。接下来,通过生物信息学分析和功能实验探讨了靶基因在胶质瘤中的作用机制:结果:我们共获得了 26 个重叠基因用于后续研究。随后,我们得到了6个独立的预后因子(REPIN1、PSD3、RDX、CDK4、FANCI和ARHGEF9),并将其应用于构建预后提名图,ARHGEF9是本研究的靶基因。接着,研究发现多肽 ARHGEF9 可抑制胶质瘤细胞的发展。通过斯皮尔曼相关分析,ARHGEF9与PI3K/AKT/mTOR通路关系密切。在功能实验中,多肽ARHGEF9能抑制p-PIK3K、p-AKT和p-mTOR的蛋白表达,而IGF-1则能逆转这种效应:结论:这项研究为胶质瘤患者确定了6种新的预后生物标志物。结论:本研究发现了胶质瘤患者的6个新预后生物标志物,其中多肽ARHGEF9基因是通过靶向PI3K/AKT/mTOR通路发挥作用的抑制基因。
{"title":"Peptide ARHGEF9 Inhibits Glioma Progression via PI3K/AKT/mTOR Pathway.","authors":"Jie Huang, Xiaoling Fu, Qiang Xue, Peng Ma, Yating Yin, Minjie Jiang, Yunpeng Lu, Qi Ying, Jun Jiang, Hua He, Da Wu","doi":"10.1155/2023/7146589","DOIUrl":"10.1155/2023/7146589","url":null,"abstract":"<p><strong>Background: </strong>The most prevalent malignant tumor in a human brain nervous system is called glioma. Peptide is a compound formed by the peptide bond of <i>α</i>-amino acids, and the development of polypeptide drugs has been widely used in many fields. We plan to investigate the underlying peptides with clinical value in glioma.</p><p><strong>Method: </strong>Based on public databases, we targeted the common genes between glioma differentially expressed genes (DEGs) and peptide genes related to glioma prognosis. Then, these common genes were analyzed by LASSO-Cox analysis, prognostic risk model, and nomogram to identify key prognostic peptide genes and the target gene in this study. Next, the mechanism of target gene in glioma was explored by bioinformatics analysis and functional experiments.</p><p><strong>Results: </strong>We obtained a total of 26 overlapping genes for the following study. After that, 6 independent prognostic factors (REPIN1, PSD3, RDX, CDK4, FANCI, and ARHGEF9) were obtained and applied to construct the prognostic nomogram, and ARHGEF9 was the target gene in the study. Next, peptide ARHGEF9 was found to inhibit glioma cell development. Through Spearman's correlation analysis, ARHGEF9 had a close relation with PI3K/AKT/mTOR pathway. In functional experiments, peptide ARHGEF9 could suppress the protein expressions of p-PIK3K, p-AKT and p-mTOR, while IGF-1 could reverse this effect.</p><p><strong>Conclusion: </strong>This study identifies 6 new prognostic biomarkers for glioma patients. Among them, peptide ARHGEF9 gene is an inhibitory gene functioning by targeting PI3K/AKT/mTOR pathway.</p>","PeriodicalId":11201,"journal":{"name":"Disease Markers","volume":"2023 ","pages":"7146589"},"PeriodicalIF":0.0,"publicationDate":"2023-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9966571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10017280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
NNMT Is an Immune-Related Prognostic Biomarker That Modulates the Tumor Microenvironment in Pan-Cancer. NNMT 是一种与免疫相关的预后生物标志物,可调节泛癌症的肿瘤微环境。
4区 医学 Q3 Medicine Pub Date : 2023-02-09 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9226712
Wenxiu Liu, Meng Zhu, Xiaoming Li, Limian Er, Shengmian Li

Emerging evidence has revealed the significant roles of nicotinamide n-methyltransferase (NNMT) in cancer initiation, development, and progression; however, a pan-cancer analysis of NNMT has not been conducted. In this study, we first thoroughly investigated the expression and prognostic significance of NNMT and the relationship between NNMT and the tumor microenvironment using bioinformatic analysis. NNMT was significantly increased and associated with poor prognosis in many common cancers. NNMT expression correlated with the infiltration levels of cancer-associated fibroblasts and macrophages in pan-cancer. Function enrichment analysis discovered that NNMT related to cancer-promoting and immune pathways in various common cancers, such as colon adenocarcinoma, head and neck squamous cell carcinoma, ovarian serous cystadenocarcinoma, and stomach adenocarcinoma. NNMT expression was positively correlated with tumor-associated macrophages (TAMs), especially M2-like TAMs. The results suggest that NNMT might be a new biomarker for immune infiltration and poor prognosis in cancers, providing new direction on therapeutics of cancers.

越来越多的证据表明,烟酰胺正甲基转移酶(NNMT)在癌症的发生、发展和恶化过程中起着重要作用;然而,目前还没有对NNMT进行过泛癌症分析。在本研究中,我们首先利用生物信息学分析深入研究了 NNMT 的表达和预后意义,以及 NNMT 与肿瘤微环境之间的关系。在许多常见癌症中,NNMT明显增高并与不良预后相关。在泛癌症中,NNMT的表达与癌症相关成纤维细胞和巨噬细胞的浸润水平相关。功能富集分析发现,在结肠腺癌、头颈部鳞状细胞癌、卵巢浆液性囊腺癌和胃腺癌等多种常见癌症中,NNMT与促癌和免疫通路相关。NNMT 的表达与肿瘤相关巨噬细胞(TAMs),尤其是 M2 样 TAMs 呈正相关。结果表明,NNMT可能是癌症免疫浸润和不良预后的新生物标志物,为癌症治疗提供了新方向。
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引用次数: 0
Novel Prognostic Biomarkers for Cervical Squamous Cell Carcinoma and Endocervical Adenocarcinoma (CESC) Patients via Analysis of Competing Endogenous RNA (ceRNA) Network. 通过竞争内源性RNA(ceRNA)网络分析宫颈鳞状细胞癌和子宫内膜腺癌(CESC)患者的新预后生物标志物。
4区 医学 Q3 Medicine Pub Date : 2023-02-08 eCollection Date: 2023-01-01 DOI: 10.1155/2023/1766080
Yanru Dong, Weibo Wen, Tiezheng Yuan, Lan Liu, Xiangdan Li

Background: Cervical squamous cell carcinoma and endocervical adenocarcinoma (CESC) is a common malignant gynecological cancer. The ceRNA networks play important roles in many tumors, while RILPL2-related ceRNA network has been seldom studied in CESC.

Methods: All CESC data was obtained from TCGA database. Differentially expressed RNAs and predicted target RNAs were cross analyzed to construct ceRNA network. RNA and clinicopathological characteristics' influence on overall survival (OS) were determined by univariate and multivariate Cox regression analyses. Lasso regression was used to construct the prediction model. Coexpression analysis was performed to explore the association of gene expression with CESC. This was followed by an experimental validation based on these results.

Results: Between high and low RILPL2 expression CESC patients, totally 1227 DEmRNAs, 39 DEmiRNAs, and 1544 DElncRNAs were identified. After multiple cross analyses, 1 miRNA hsa-miR-1293, 20 mRNAs, and 43 lncRNAs were maintained to construct ceRNA network. CADM3-AS1, LINC00092, and ZNF667-AS1 in ceRNA network were significantly associated with the OS of CESC patients, and patients with low expression of these lncRNAs had worse prognosis. Significant lower expressions of these lncRNAs were also observed in CESC cell line compared with normal cell line.

Conclusion: Low expressions of CADM3-AS1, LINC00092, and ZNF667-AS1 in ceRNA network were probably promising poor prognostic biomarkers for CESC patients. The genes show a prospective research area for CESC-targeted treatment in the future.

背景:宫颈鳞状细胞癌和宫颈腺癌(CESC)是癌症常见的恶性肿瘤。ceRNA网络在许多肿瘤中发挥着重要作用,而RILPL2相关的ceRNA网络很少在CESC中进行研究。方法:所有CESC数据均来自TCGA数据库。对差异表达的RNA和预测的靶RNA进行交叉分析,构建ceRNA网络。通过单变量和多变量Cox回归分析确定RNA和临床病理特征对总生存率(OS)的影响。采用Lasso回归方法构建预测模型。共表达分析旨在探讨基因表达与CESC的关系。随后根据这些结果进行了实验验证。结果:在高和低RILPL2表达的CESC患者中,共鉴定出1227个DEmRNA、39个DEmiRNA和1544个DElncRNA。经过多次交叉分析,维持了1个miRNA hsa-miR-1293、20个mRNA和43个lncRNA来构建ceRNA网络。ceRNA网络中的CADM3-AS1、LINC00092和ZNF667-AS1与CESC患者的OS显著相关,这些lncRNA低表达的患者预后较差。与正常细胞系相比,在CESC细胞系中也观察到这些lncRNA的表达显著降低。结论:CADM3-AS1、LINC00092和ZNF667-AS1在ceRNA网络中的低表达可能是CESC患者预后较差的生物标志物。这些基因显示了未来CESC靶向治疗的前瞻性研究领域。
{"title":"Novel Prognostic Biomarkers for Cervical Squamous Cell Carcinoma and Endocervical Adenocarcinoma (CESC) Patients via Analysis of Competing Endogenous RNA (ceRNA) Network.","authors":"Yanru Dong,&nbsp;Weibo Wen,&nbsp;Tiezheng Yuan,&nbsp;Lan Liu,&nbsp;Xiangdan Li","doi":"10.1155/2023/1766080","DOIUrl":"10.1155/2023/1766080","url":null,"abstract":"<p><strong>Background: </strong>Cervical squamous cell carcinoma and endocervical adenocarcinoma (CESC) is a common malignant gynecological cancer. The ceRNA networks play important roles in many tumors, while RILPL2-related ceRNA network has been seldom studied in CESC.</p><p><strong>Methods: </strong>All CESC data was obtained from TCGA database. Differentially expressed RNAs and predicted target RNAs were cross analyzed to construct ceRNA network. RNA and clinicopathological characteristics' influence on overall survival (OS) were determined by univariate and multivariate Cox regression analyses. Lasso regression was used to construct the prediction model. Coexpression analysis was performed to explore the association of gene expression with CESC. This was followed by an experimental validation based on these results.</p><p><strong>Results: </strong>Between high and low RILPL2 expression CESC patients, totally 1227 DEmRNAs, 39 DEmiRNAs, and 1544 DElncRNAs were identified. After multiple cross analyses, 1 miRNA hsa-miR-1293, 20 mRNAs, and 43 lncRNAs were maintained to construct ceRNA network. CADM3-AS1, LINC00092, and ZNF667-AS1 in ceRNA network were significantly associated with the OS of CESC patients, and patients with low expression of these lncRNAs had worse prognosis. Significant lower expressions of these lncRNAs were also observed in CESC cell line compared with normal cell line.</p><p><strong>Conclusion: </strong>Low expressions of CADM3-AS1, LINC00092, and ZNF667-AS1 in ceRNA network were probably promising poor prognostic biomarkers for CESC patients. The genes show a prospective research area for CESC-targeted treatment in the future.</p>","PeriodicalId":11201,"journal":{"name":"Disease Markers","volume":"2023 ","pages":"1766080"},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9936453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9929654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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Disease Markers
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