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Reply. 答复 Rondonotti 和 Radaelli 以及 Cao 和 Zhong。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-08-30 DOI: 10.1053/j.gastro.2024.08.023
Roupen Djinbachian, Douglas K Rex, Daniel Von Renteln
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引用次数: 0
Development and Implementation of a Clinical Decision Support Tool to Improve Adherence to Colonoscopy Follow-Up Guidelines. 开发和实施临床决策支持工具,提高结肠镜检查随访指南的依从性。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-08-08 DOI: 10.1053/j.gastro.2024.08.004
Brian A Sullivan, Hochong Gilles, Lyndsey Knauf, Steve S Choi, Jill Moore, Jason A Dominitz
{"title":"Development and Implementation of a Clinical Decision Support Tool to Improve Adherence to Colonoscopy Follow-Up Guidelines.","authors":"Brian A Sullivan, Hochong Gilles, Lyndsey Knauf, Steve S Choi, Jill Moore, Jason A Dominitz","doi":"10.1053/j.gastro.2024.08.004","DOIUrl":"10.1053/j.gastro.2024.08.004","url":null,"abstract":"","PeriodicalId":12590,"journal":{"name":"Gastroenterology","volume":" ","pages":"1446-1448.e4"},"PeriodicalIF":25.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141912382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply. 答复 Guo 和 Wang 以及 Chen 和 Ren。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-09-19 DOI: 10.1053/j.gastro.2024.09.018
Anna-Klara Wiklund, Giola Santoni, Jesper Lagergren
{"title":"Reply.","authors":"Anna-Klara Wiklund, Giola Santoni, Jesper Lagergren","doi":"10.1053/j.gastro.2024.09.018","DOIUrl":"10.1053/j.gastro.2024.09.018","url":null,"abstract":"","PeriodicalId":12590,"journal":{"name":"Gastroenterology","volume":" ","pages":"1508-1509"},"PeriodicalIF":25.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142283938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pancreatic Cancer-Induced Metabolic Dysregulation Syndrome: Clinical Profile, Proposed Mechanisms, and Unanswered Questions. 胰腺癌诱发的代谢失调综合征:临床概况、拟议机制和未解之谜。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-08-31 DOI: 10.1053/j.gastro.2024.08.029
LaNisha Patterson, Frederico G S Toledo, Anirban Maitra, Suresh T Chari
{"title":"Pancreatic Cancer-Induced Metabolic Dysregulation Syndrome: Clinical Profile, Proposed Mechanisms, and Unanswered Questions.","authors":"LaNisha Patterson, Frederico G S Toledo, Anirban Maitra, Suresh T Chari","doi":"10.1053/j.gastro.2024.08.029","DOIUrl":"10.1053/j.gastro.2024.08.029","url":null,"abstract":"","PeriodicalId":12590,"journal":{"name":"Gastroenterology","volume":" ","pages":"1251-1255"},"PeriodicalIF":25.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing Research on Helicobacter pylori Eradication and Esophageal Adenocarcinoma Risk: A Call for Broader Studies and Methodological Rigor. 加强幽门螺杆菌根除与食管腺癌风险的研究:呼吁开展更广泛的研究并采用更严谨的方法。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-09-20 DOI: 10.1053/j.gastro.2024.08.042
Xiaolong Guo, Yongfeng Wang, Hui Cai
{"title":"Enhancing Research on Helicobacter pylori Eradication and Esophageal Adenocarcinoma Risk: A Call for Broader Studies and Methodological Rigor.","authors":"Xiaolong Guo, Yongfeng Wang, Hui Cai","doi":"10.1053/j.gastro.2024.08.042","DOIUrl":"10.1053/j.gastro.2024.08.042","url":null,"abstract":"","PeriodicalId":12590,"journal":{"name":"Gastroenterology","volume":" ","pages":"1506-1507"},"PeriodicalIF":25.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142283925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interventions for Improving Quality of Colonoscopy. 提高结肠镜检查质量的干预措施。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-09-20 DOI: 10.1053/j.gastro.2024.05.040
Qing-Hua Wang, Min Zhang, Hua Chen, Wei Han
{"title":"Interventions for Improving Quality of Colonoscopy.","authors":"Qing-Hua Wang, Min Zhang, Hua Chen, Wei Han","doi":"10.1053/j.gastro.2024.05.040","DOIUrl":"10.1053/j.gastro.2024.05.040","url":null,"abstract":"","PeriodicalId":12590,"journal":{"name":"Gastroenterology","volume":" ","pages":"1509-1510"},"PeriodicalIF":25.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142283930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Rare Cause of Hepatic Mass With High Metabolic Activity and Jaundice. 一种罕见的肝包块病因,伴有高代谢活性和黄疸。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-06-29 DOI: 10.1053/j.gastro.2024.06.020
Tao Zeng, Jing Xiong, Xinhua Li
{"title":"A Rare Cause of Hepatic Mass With High Metabolic Activity and Jaundice.","authors":"Tao Zeng, Jing Xiong, Xinhua Li","doi":"10.1053/j.gastro.2024.06.020","DOIUrl":"10.1053/j.gastro.2024.06.020","url":null,"abstract":"","PeriodicalId":12590,"journal":{"name":"Gastroenterology","volume":" ","pages":"1274-1277"},"PeriodicalIF":25.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141476393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comments on "Effectiveness and Cost-Effectiveness of Colorectal Cancer Screening With a Blood Test That Meets the Centers for Medicare & Medicaid Services Coverage Decision". 关于 "使用符合医疗保险和医疗补助服务中心承保范围决定的血液测试进行结直肠癌筛查的有效性和成本效益 "的通讯。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-08-30 DOI: 10.1053/j.gastro.2024.05.038
Amar K Das, Craig Eagle, AmirAli Talasaz
{"title":"Comments on \"Effectiveness and Cost-Effectiveness of Colorectal Cancer Screening With a Blood Test That Meets the Centers for Medicare & Medicaid Services Coverage Decision\".","authors":"Amar K Das, Craig Eagle, AmirAli Talasaz","doi":"10.1053/j.gastro.2024.05.038","DOIUrl":"10.1053/j.gastro.2024.05.038","url":null,"abstract":"","PeriodicalId":12590,"journal":{"name":"Gastroenterology","volume":" ","pages":"1502-1503"},"PeriodicalIF":25.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142106450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Enterotype-Dependent Stability of the Gut Microbiome on Postgastrectomy Malnutrition in Gastric Cancer Patients. 肠道微生物群的肠型稳定性对胃癌患者胃切除术后营养不良的影响。
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-08-14 DOI: 10.1053/j.gastro.2024.08.006
Han Na Oh, Woo Jun Sul, Sang-Yong Son, Sang-Uk Han, Hoon Hur, Sun Gyo Lim
{"title":"Effect of Enterotype-Dependent Stability of the Gut Microbiome on Postgastrectomy Malnutrition in Gastric Cancer Patients.","authors":"Han Na Oh, Woo Jun Sul, Sang-Yong Son, Sang-Uk Han, Hoon Hur, Sun Gyo Lim","doi":"10.1053/j.gastro.2024.08.006","DOIUrl":"10.1053/j.gastro.2024.08.006","url":null,"abstract":"","PeriodicalId":12590,"journal":{"name":"Gastroenterology","volume":" ","pages":"1449-1452.e3"},"PeriodicalIF":25.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spatially Resolved Niche and Tumor Microenvironmental Alterations in Gastric Cancer Peritoneal Metastases. 胃癌腹膜转移瘤的空间分辨龛位和肿瘤微环境改变
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2024-12-01 Epub Date: 2024-08-13 DOI: 10.1053/j.gastro.2024.08.007
Joseph J Zhao, Chin-Ann Johnny Ong, Supriya Srivastava, Daryl Kai Ann Chia, Haoran Ma, Kiekyon Huang, Taotao Sheng, Kalpana Ramnarayanan, Xuewen Ong, Su Ting Tay, Takeshi Hagihara, Angie Lay Keng Tan, Melissa Ching Ching Teo, Qiu Xuan Tan, Gillian Ng, Joey Wee-Shan Tan, Matthew Chau Hsien Ng, Yong Xiang Gwee, Robert Walsh, Jia Hao Law, Asim Shabbir, Guowei Kim, Yvonne Tay, Zhisheng Her, Giuseppe Leoncini, Bin Tean Teh, Jing Han Hong, Ryan Yong Kiat Tay, Chong Boon Teo, Mark P G Dings, Maarten Bijlsma, Jeffrey Huey Yew Lum, Sachin Mathur, Filippo Pietrantonio, Steven M Blum, Hanneke van Laarhoven, Samuel J Klempner, Wei Peng Yong, Jimmy Bok Yan So, Qingfeng Chen, Patrick Tan, Raghav Sundar

Background & aims: Peritoneal metastasis (PM) in gastric cancer (GC) is associated with poor prognosis and significant morbidity. We sought to understand the genomic, transcriptomic, and tumor microenvironment (TME) features that contribute to peritoneal organotropism in GC.

Methods: We conducted a comprehensive multi-omic analysis of 548 samples from 326 patients, including primary tumors, matched normal tissues; peritoneal metastases, and adjacent-normal peritoneal tissues. We used whole exome sequencing, whole transcriptome sequencing, and digital spatial profiling to investigate molecular alterations, gene expression patterns, and TME characteristics associated with PM.

Results: Our analysis identified specific genomic alterations in primary tumors, including mutations in ELF3, CDH1, and PIGR, and TME signatures, such as stromal infiltration and M2 macrophage enrichment, associated with increased risk of PM. We observed distinct transcriptional programs and immune compositions in GCPM compared with liver metastases, highlighting the importance of the TME in transcoelomic metastasis. We found differential expression of therapeutic targets between primary tumors and PM, with lower CLDN18.2 and FGFR2b expression in PM. We unravel the roles of the TME in niche reprogramming within the peritoneum, and provide evidence of pre-metastatic niche conditioning even in early GC without clinical PM. These findings were further validated using a humanized mouse model, which demonstrated niche remodeling in the peritoneum during transcoelomic metastasis.

Conclusion: Our study provides a comprehensive molecular characterization of GCPM and unveils key biological principles underlying transcoelomic metastasis. The identified predictive markers, therapeutic targets, and TME alterations offer potential avenues for targeted interventions and improved patient outcomes.

背景和目的:胃癌(GC)的腹膜转移(PM)与预后不良和严重的发病率有关。我们试图了解导致胃癌腹膜器官转移的基因组、转录组和肿瘤微环境(TME)特征:我们对来自 326 名患者的 548 份样本进行了全面的多组学分析,包括原发肿瘤、匹配的正常组织、腹膜转移瘤和邻近的正常腹膜组织。我们采用了全外显子组测序、全转录组测序和数字空间图谱分析来研究与 PM 相关的分子改变、基因表达模式和 TME 特征:我们的分析确定了原发性肿瘤中的特定基因组改变,包括ELF3、CDH1和PIGR突变,以及与原发性骨髓瘤风险增加相关的TME特征,如基质浸润和M2巨噬细胞富集。与肝转移瘤相比,我们在GCPM中观察到了不同的转录程序和免疫组成,这凸显了TME在跨肝转移中的重要性。我们发现原发肿瘤和肺转移瘤的治疗靶点表达存在差异,肺转移瘤的CLDN18.2和FGFR2b表达较低。我们揭示了TME在腹膜内生态位重塑中的作用,并提供了转移前生态位调节的证据,即使在没有临床原发癌的早期GC中也是如此。这些发现通过人源化小鼠模型得到了进一步验证,该模型证明了在经腹膜转移过程中腹膜龛的重塑:我们的研究提供了 GCPM 的全面分子特征,并揭示了经腹膜转移的关键生物学原理。已确定的预测标记物、治疗靶点和TME改变为有针对性的干预和改善患者预后提供了潜在途径。
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引用次数: 0
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Gastroenterology
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