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COL11A1 is Downregulated by miR-339-5p and Promotes Colon Carcinoma Progression COL11A1被miR-339-5p下调并促进结肠癌进展
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2022-05-28 DOI: 10.1155/2022/8116990
Weizhi Liu, Ke Meng
The roles of COL11A1 in cancer have been increasingly considered, but the understandings of the effects of COL11A1 on colon carcinoma progress are much limited yet. qRT-PCR and Western blot were utilized to evaluate COL11A1 expression at mRNA and protein levels, respectively, in colon carcinoma cell lines. Afterward, the tumorigenesis biological effects of COL11A1 were examined by CCK-8, colony formation, Transwell, and wound healing methods. Moreover, upstream miRNAs containing the binding sites with COL11A1 were predicted by the bioinformatics methods. The interplay between COL11A1 and miR-339-5p was identified by a dual-luciferase assay. COL11A1 expression was prominently upregulated in colon carcinoma cell lines relative to that in normal human colon mucosal epithelial cell lines, and it was related to tumor stages. The outcomes of in-vitro experiments suggested that interfering with COL11A1 remarkably repressed the malignant behaviors of SW480 and SW620 cells. MiR-339-5p was markedly lowly expressed in colon carcinoma cell lines. Furthermore, miR-339-5p directly targeted and negatively regulated COL11A1 expression. COL11A1 upregulation promoted colon carcinoma cell functions, while overexpressing miR-339-5p evidently attenuated the promotion. These results proved the modulation of the miR-339-5p/COL11A1 axis in colon carcinoma cells, and miR-339-5p repressed colon carcinoma progression via COL11A1 downregulation. These results offer new underlying targets for the accurate therapy of colon carcinoma patients.
COL11A1在癌症中的作用已被越来越多地考虑,但对COL11A1在结肠癌进展中的作用的理解还很有限。采用qRT-PCR和Western blot分别在mRNA和蛋白水平上检测COL11A1在结肠癌细胞系中的表达。随后,采用CCK-8法、菌落形成法、Transwell法和创面愈合法检测COL11A1的肿瘤发生生物学效应。此外,通过生物信息学方法预测了含有COL11A1结合位点的上游mirna。COL11A1和miR-339-5p之间的相互作用是通过双荧光素酶测定确定的。COL11A1在结肠癌细胞系中的表达较正常人结肠粘膜上皮细胞系显著上调,且与肿瘤分期有关。体外实验结果表明,干扰COL11A1可显著抑制SW480和SW620细胞的恶性行为。MiR-339-5p在结肠癌细胞系中显著低表达。此外,miR-339-5p直接靶向并负调控COL11A1的表达。COL11A1上调可促进结肠癌细胞功能,而过表达miR-339-5p可明显减弱这种促进作用。这些结果证明了miR-339-5p/COL11A1轴在结肠癌细胞中的调节作用,miR-339-5p通过下调COL11A1抑制结肠癌的进展。这些结果为结肠癌患者的精准治疗提供了新的潜在靶点。
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引用次数: 2
LncRNA PVT1 Promotes Cell Proliferation, Invasion, and Migration and Inhibits Cell Apoptosis by Phosphorylating YAP LncRNA PVT1通过磷酸化YAP促进细胞增殖、侵袭和迁移并抑制细胞凋亡
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2022-05-26 DOI: 10.1155/2022/5332129
Kaiyue Ji, Qi Zhang, W. Song, Tao Mao, Jing Guo, Congcong Min, Cuiping Zhang, Z. Tian, Xiaoyu Li
Gastric cancer (GC) as a serious global health problem is a threat to human longevity. Plasmacytoma variant translocation 1 (PVT1) participates in the formation and progression of various cancers, including GC. The aim of this study is to investigate the mechanism underlying the functions of PVT1 and explore a novel target for the diagnosis and treatment of GC. Analysis of the TCGA dataset using the R software identified that the lncRNA PVT1 was greatly upregulated in GC tissues. Twenty pairs of GC and adjacent normal tissues were acquired from patients with GC, and the expression of PVT1 was evaluated using RT-qPCR. Furthermore, PVT1 expression was knocked down in GC cells using siRNA, and the GC cells were divided into control, negative control (NC), and siRNA groups. Cell proliferation ability was analyzed using Cell Counting Kit-8 (CCK8) and colony formation assays, whereas cell migration and invasion ability were investigated through wound healing and Transwell assays. Moreover, Western blotting was used to analyze the expression of Yes-associated protein (YAP) and epithelial-to-mesenchymal transition (EMT) proteins. We also found that PVT1 and YAP expressions were upregulated in the GC tissues compared with those in the adjacent nontumor tissues. Knockdown of PVT1 was found to inhibit the proliferation, invasion, and migration and promote apoptosis of GC cells. Furthermore, knockdown of PVT1 downregulated YAP and promoted phosphorylation of YAP, suggesting that PVT1 exerts actions on GC cells by targeting YAP and inhibits cell apoptosis in vitro. The EMT process was also inhibited by the knockdown of PVT1. In summary, lncRNA PVT1 facilitated cell proliferation, invasion, and migration and suppressed cell apoptosis by targeting YAP. This study suggests that the expressions of PVT1 and YAP could be used for the early detection of GC and the occurrence and development of GC could be inhibited by interfering the interaction of PVT1 and YAP, which will provide new insights for the diagnosis, treatment, and prognosis of GC.
胃癌是严重的全球性健康问题,严重威胁着人类的寿命。浆细胞瘤变异易位1 (PVT1)参与包括胃癌在内的多种癌症的形成和进展。本研究旨在探讨PVT1的功能机制,并为胃癌的诊断和治疗寻找新的靶点。使用R软件对TCGA数据集进行分析,发现lncRNA PVT1在GC组织中显著上调。取胃癌患者的20对胃癌及邻近正常组织,采用RT-qPCR技术检测PVT1的表达。利用siRNA敲除GC细胞中PVT1的表达,并将GC细胞分为对照组、阴性对照组和siRNA组。通过细胞计数试剂盒-8 (CCK8)和菌落形成试验分析细胞增殖能力,通过伤口愈合和Transwell试验研究细胞迁移和侵袭能力。此外,采用Western blotting分析yes相关蛋白(YAP)和上皮-间质转化(EMT)蛋白的表达。我们还发现,与癌旁非肿瘤组织相比,PVT1和YAP在胃癌组织中的表达上调。PVT1基因敲低可抑制胃癌细胞的增殖、侵袭和迁移,促进胃癌细胞凋亡。此外,PVT1的下调下调了YAP,促进了YAP的磷酸化,提示PVT1在体外通过靶向YAP作用于GC细胞,抑制细胞凋亡。PVT1的敲低也抑制了EMT过程。综上所述,lncRNA PVT1通过靶向YAP促进细胞增殖、侵袭和迁移,抑制细胞凋亡。本研究提示PVT1和YAP的表达可用于胃癌的早期发现,干扰PVT1和YAP的相互作用可抑制胃癌的发生发展,这将为胃癌的诊断、治疗和预后提供新的见解。
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引用次数: 1
Factors Associated with the Prevalence of Hepatitis B among Volunteer Blood Donors at Jimma Blood Bank, South Ethiopia 南埃塞俄比亚Jimma血库志愿献血者中乙型肝炎流行的相关因素
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2022-05-23 DOI: 10.1155/2022/7458747
H. Yigezu, Juhar Temam, Mitiku Bajiro, Leta Tesfaye Jule, N. Nagaprasad, A. Roy, A. Saka, K. Ramaswamy
Background Hepatitis B is a severe, widespread infectious disease of the liver that affects millions of people around the world. It is one of the life-threatening liver infections caused by the hepatitis B virus (HBV). HBV is the cause of up to 80% of cases of primary liver cancer. Due to the potential risk associated with HBV infection, it is important to study the factors which are associated with the seropositive volunteers. Objective The purpose of this study was to identify factors associated with seropositivity for the hepatitis B virus among volunteers who donated blood at the Jimma Blood Bank in southern Ethiopia. Methods Cross-sectional research was conducted on blood donors who came to the Jimma Blood Bank to donate their blood. Three hundred and fifty-nine volunteer blood donors who arrived at the Jimma Blood Bank were investigated face-to-face in order to collect sociodemographic characteristics and risk factors for HBV infection. The data were analyzed using statistical software SPSS version 20.0. The association between the risk factor for HBV infection and HBV infection was determined using chi-square tests. Result In total, there were 359 participants; their mean age was 22.5, among which 161 (44.8%) were males. Out of 359 volunteers, 13 (3.6%) were seropositive for HBsAg. The test positivity rate among males was 7/198 (3.54%), while the rate among females was 6/161 (3.7%). More than 3/4 of those who tested positive were under the age of 40. Chi-square analysis showed that volunteers whose income was between 12 and 26.84 USD were less likely to have the infectious disease than those whose income was less than 11.84 USD per month (p=0.042). Conclusion The prevalence of HBV was found to be 3.6% among selected volunteers. It was found that, out of 20 volunteers, 13 had infection. Chi-square analysis showed that HBV infection was associated with low monthly income and the use of unsafe therapeutic injections.
乙型肝炎是一种严重的、广泛存在的肝脏传染病,影响着全世界数百万人。它是由乙型肝炎病毒(HBV)引起的危及生命的肝脏感染之一。乙肝病毒是80%原发性肝癌病例的病因。由于HBV感染的潜在风险,研究与血清阳性志愿者相关的因素是很重要的。目的本研究的目的是确定在埃塞俄比亚南部Jimma血库献血的志愿者中乙型肝炎病毒血清阳性的相关因素。方法对到吉马血库献血的献血者进行横断面调查。对来到吉马血库的359名志愿献血者进行面对面调查,以收集HBV感染的社会人口学特征和危险因素。采用SPSS 20.0版统计软件对数据进行分析。HBV感染的危险因素与HBV感染之间的相关性采用卡方检验确定。结果共359名受试者;平均年龄22.5岁,其中男性161人,占44.8%。在359名志愿者中,13名(3.6%)HBsAg血清阳性。男性阳性率为7/198(3.54%),女性阳性率为6/161(3.7%)。超过四分之三的检测呈阳性的人年龄在40岁以下。卡方分析显示,收入在12 - 26.84美元之间的志愿者患传染病的可能性低于月收入低于11.84美元的志愿者(p=0.042)。结论在选定的志愿者中发现HBV的患病率为3.6%。结果发现,在20名志愿者中,有13人感染了病毒。卡方分析显示HBV感染与低月收入和使用不安全的治疗性注射有关。
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引用次数: 1
Glucocorticosteroids and the Risk of NAFLD in Inflammatory Bowel Disease 糖皮质激素与炎症性肠病NAFLD的风险
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2022-05-11 DOI: 10.1155/2022/4344905
Sara Jarmakiewicz-Czaja, A. Sokal, Piotr Pardak, R. Filip
Each year, the incidence of nonalcoholic fatty liver (NAFLD) disease increases. NAFLD is a chronic disease. One of the most common causes of NAFLD is an inadequate lifestyle, which is characterized by a lack or low physical activity and eating highly processed foods rich in saturated fat and salt and containing low amount of fiber. Moreover, disturbances in intestinal microbiome and the use of certain drugs may predispose to NAFLD. NAFLD is an increasingly described disease in patients with inflammatory bowel disease (IBD). Recent data also indicate a frequent coexistence of metabolic syndrome in this group of patients. Certain groups of drugs also increase the risk of developing inflammation, liver fibrosis, and cirrhosis. Particularly important in the development of NAFLD are steroids, which are used in the treatment of many diseases, for example, IBD. NAFLD is one of the most frequent parenteral manifestations of the disease in IBD patients. However, there is still insufficient information on what dose and exposure time of selected types of steroids may lead to the development of NAFLD. It is necessary to conduct further research in this direction. Therefore, patients with IBD should be constantly monitored for risk factors for the development of NAFLD.
每年,非酒精性脂肪肝(NAFLD)的发病率都在增加。NAFLD是一种慢性疾病。NAFLD最常见的原因之一是不适当的生活方式,其特点是缺乏或低体力活动,吃富含饱和脂肪和盐的高度加工食品,纤维含量低。此外,肠道微生物群紊乱和某些药物的使用可能使NAFLD易发。NAFLD是炎症性肠病(IBD)患者中越来越多被描述的疾病。最近的数据也表明,代谢综合征在这组患者中经常共存。某些药物组也会增加发生炎症、肝纤维化和肝硬化的风险。在NAFLD的发展中特别重要的是类固醇,它被用于治疗许多疾病,例如IBD。NAFLD是IBD患者最常见的肠外表现之一。然而,关于选定类型的类固醇的剂量和暴露时间可能导致NAFLD的发展,仍然没有足够的信息。有必要在这方面进行进一步的研究。因此,应持续监测IBD患者发生NAFLD的危险因素。
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引用次数: 9
Factors Prognostic of Survival in Liver Transplant Recipients with Hepatitis B Virus Related Acute-on-Chronic Liver Failure 乙型肝炎病毒相关性急慢性肝衰竭肝移植受者生存预后的影响因素
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2022-05-10 DOI: 10.1155/2022/6390809
Zhen‐jie Zhou, Junfang Yi, Qiang Li, Wei Hu, Guangshun Chen, Z. Si, Jiequn Li
Objectives Factors prognostic of survival in liver transplant (LT) recipients with hepatitis B virus related acute-on-chronic liver failure (HBV-ACLF) remain unclear. This study evaluated risk factors for survival in LT recipients with HBV-ACLF and determined the scoring system optimal for assessing patient prognosis. Methods This retrospective study included 323 HBV-ACLF related patients undergoing LT, including 112, 146, and 65 patients with HBV-ACLF grades 1, 2, and 3, respectively. Overall survival (OS) was estimated by the Kaplan–Meier method, and factors associated with survival were analysed by multivariate Cox proportional hazards models. Pretransplant prognostic scoring systems were compared by receiver operating characteristic (ROC) curve analysis. Results The one-year survival rate was significantly lower in HBV-ACLF grade 3 (80.0%) than in grades 1 (93.8%) and 2 (91.8%) recipients (p=0.0063). Cox multivariate analysis showed that age >53 years (hazard ratio (HR) 3.731; 95% confidence interval (CI) 1.640–8.407), WBC count >8.6 × 109/L (HR 4.544; 95% CI 1.140–18.107), HBV-ACLF 3 (HR 2.729; 95% CI 1.050–7.096), and cold ischaemia time >8.5 hours (HR 2.867; 95% CI, 1.38–5.921) were independently prognostic of 1-year survival. Comparisons of pretransplant scoring systems showed that chronic liver failure-consortium ACLF score (CLIF-C ACLFs) was superior to COSSH-ACLF, MELD-Na, and MELD scores in predicting 1-year OS in these patients. Conclusions Age >53 years, WBC counts >8.6 × 109/L, HBV-ACLF grade 3, and cold ischaemia time >8.5 hours are independently prognostic of OS in LT recipients with HBV-ACLF. CLIF-C ACLFs is superior to other scoring methods in predicting 1-year OS in these patients.
目的肝移植(LT)受者合并乙型肝炎病毒相关急性-慢性肝衰竭(HBV-ACLF)的预后因素尚不清楚。本研究评估了影响HBV-ACLF肝移植患者生存的危险因素,并确定了评估患者预后的最佳评分系统。方法本回顾性研究纳入323例接受肝移植的HBV-ACLF相关患者,分别包括112例、146例和65例HBV-ACLF 1级、2级和3级患者。采用Kaplan-Meier法估计总生存期(OS),采用多变量Cox比例风险模型分析与生存相关的因素。采用受试者工作特征(ROC)曲线分析比较移植前预后评分系统。结果HBV-ACLF 3级患者的1年生存率(80.0%)明显低于1级(93.8%)和2级(91.8%)患者(p=0.0063)。Cox多因素分析显示,年龄>53岁(风险比(HR) 3.731;95%可信区间(CI) 1.640-8.407),白细胞计数>8.6 × 109/L (HR 4.544;95% ci 1.140-18.107), hbv - aclf3 (hr 2.729;95% CI 1.050-7.096),冷缺血时间>8.5小时(HR 2.867;95% CI, 1.38-5.921)是1年生存率的独立预后。移植前评分系统的比较显示,慢性肝衰竭-联合ACLF评分(cif -c ACLF)在预测这些患者的1年OS方面优于COSSH-ACLF、MELD- na和MELD评分。结论年龄>53岁、WBC计数>8.6 × 109/L、HBV-ACLF 3级、冷缺血时间>8.5小时是HBV-ACLF肝移植患者OS的独立预后因素。在预测这些患者的1年OS方面,CLIF-C ACLFs优于其他评分方法。
{"title":"Factors Prognostic of Survival in Liver Transplant Recipients with Hepatitis B Virus Related Acute-on-Chronic Liver Failure","authors":"Zhen‐jie Zhou, Junfang Yi, Qiang Li, Wei Hu, Guangshun Chen, Z. Si, Jiequn Li","doi":"10.1155/2022/6390809","DOIUrl":"https://doi.org/10.1155/2022/6390809","url":null,"abstract":"Objectives Factors prognostic of survival in liver transplant (LT) recipients with hepatitis B virus related acute-on-chronic liver failure (HBV-ACLF) remain unclear. This study evaluated risk factors for survival in LT recipients with HBV-ACLF and determined the scoring system optimal for assessing patient prognosis. Methods This retrospective study included 323 HBV-ACLF related patients undergoing LT, including 112, 146, and 65 patients with HBV-ACLF grades 1, 2, and 3, respectively. Overall survival (OS) was estimated by the Kaplan–Meier method, and factors associated with survival were analysed by multivariate Cox proportional hazards models. Pretransplant prognostic scoring systems were compared by receiver operating characteristic (ROC) curve analysis. Results The one-year survival rate was significantly lower in HBV-ACLF grade 3 (80.0%) than in grades 1 (93.8%) and 2 (91.8%) recipients (p=0.0063). Cox multivariate analysis showed that age >53 years (hazard ratio (HR) 3.731; 95% confidence interval (CI) 1.640–8.407), WBC count >8.6 × 109/L (HR 4.544; 95% CI 1.140–18.107), HBV-ACLF 3 (HR 2.729; 95% CI 1.050–7.096), and cold ischaemia time >8.5 hours (HR 2.867; 95% CI, 1.38–5.921) were independently prognostic of 1-year survival. Comparisons of pretransplant scoring systems showed that chronic liver failure-consortium ACLF score (CLIF-C ACLFs) was superior to COSSH-ACLF, MELD-Na, and MELD scores in predicting 1-year OS in these patients. Conclusions Age >53 years, WBC counts >8.6 × 109/L, HBV-ACLF grade 3, and cold ischaemia time >8.5 hours are independently prognostic of OS in LT recipients with HBV-ACLF. CLIF-C ACLFs is superior to other scoring methods in predicting 1-year OS in these patients.","PeriodicalId":48755,"journal":{"name":"Canadian Journal of Gastroenterology and Hepatology","volume":"10 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72607041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 1
Efficacy and Safety of the Combination of Transarterial Chemoembolization with Camrelizumab plus Apatinib for Advanced Hepatocellular Carcinoma: A Retrospective Study of 38 Patients from a Single Center Camrelizumab联合阿帕替尼经动脉化疗栓塞治疗晚期肝细胞癌的疗效和安全性:一项来自单一中心的38例患者的回顾性研究
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2022-05-09 DOI: 10.1155/2022/7982118
Jin-Xing Zhang, Yu-Xing Chen, Chun-gao Zhou, Jin Liu, Sheng Liu, Hai-bin Shi, Q. Zu
Objective To evaluate the effectiveness and safety of transarterial chemoembolization (TACE) combined with immune checkpoint inhibition (camrelizumab) plus an antiangiogenic agent (apatinib) for advanced hepatocellular carcinoma (HCC). Methods Between March 2019 and April 2021, the clinical data of 38 patients diagnosed with advanced HCC who initially received TACE combined with camrelizumab plus apatinib were reviewed retrospectively. The objective response rate (ORR) and disease control rate (DCR) according to modified response evaluation criteria in solid tumors, progression-free survival (PFS), overall survival (OS), and adverse events (AEs) were evaluated. Results At 2-3 months after initial therapy, the ORR and DCR was 50.0% (19/38) and 76.3% (29/38), respectively. The median PFS and OS were 7.3 months (range: 1.0–22.6 months) and 13.5 months (range: 2.3–24.3 months), respectively. Treatment-related AEs (grades 3-4) were observed in 25 patients (67.8%). No treatment-related deaths occurred. Conclusion The combination of TACE with camrelizumab plus apatinib for the treatment of patients with advanced HCC showed promising efficacy and a manageable safety profile.
目的评价经动脉化疗栓塞(TACE)联合免疫检查点抑制(camrelizumab) +抗血管生成药物(apatinib)治疗晚期肝细胞癌(HCC)的有效性和安全性。方法回顾性分析2019年3月至2021年4月期间,38例初始接受TACE联合camrelizumab +阿帕替尼治疗的晚期HCC患者的临床资料。根据改进的反应评价标准评估实体瘤的客观有效率(ORR)和疾病控制率(DCR)、无进展生存期(PFS)、总生存期(OS)和不良事件(ae)。结果治疗后2 ~ 3个月,ORR和DCR分别为50.0%(19/38)和76.3%(29/38)。中位PFS和OS分别为7.3个月(范围:1.0-22.6个月)和13.5个月(范围:2.3-24.3个月)。治疗相关不良事件(3-4级)25例(67.8%)。无治疗相关死亡发生。结论TACE联合camrelizumab + apatinib治疗晚期HCC患者具有良好的疗效和可控的安全性。
{"title":"Efficacy and Safety of the Combination of Transarterial Chemoembolization with Camrelizumab plus Apatinib for Advanced Hepatocellular Carcinoma: A Retrospective Study of 38 Patients from a Single Center","authors":"Jin-Xing Zhang, Yu-Xing Chen, Chun-gao Zhou, Jin Liu, Sheng Liu, Hai-bin Shi, Q. Zu","doi":"10.1155/2022/7982118","DOIUrl":"https://doi.org/10.1155/2022/7982118","url":null,"abstract":"Objective To evaluate the effectiveness and safety of transarterial chemoembolization (TACE) combined with immune checkpoint inhibition (camrelizumab) plus an antiangiogenic agent (apatinib) for advanced hepatocellular carcinoma (HCC). Methods Between March 2019 and April 2021, the clinical data of 38 patients diagnosed with advanced HCC who initially received TACE combined with camrelizumab plus apatinib were reviewed retrospectively. The objective response rate (ORR) and disease control rate (DCR) according to modified response evaluation criteria in solid tumors, progression-free survival (PFS), overall survival (OS), and adverse events (AEs) were evaluated. Results At 2-3 months after initial therapy, the ORR and DCR was 50.0% (19/38) and 76.3% (29/38), respectively. The median PFS and OS were 7.3 months (range: 1.0–22.6 months) and 13.5 months (range: 2.3–24.3 months), respectively. Treatment-related AEs (grades 3-4) were observed in 25 patients (67.8%). No treatment-related deaths occurred. Conclusion The combination of TACE with camrelizumab plus apatinib for the treatment of patients with advanced HCC showed promising efficacy and a manageable safety profile.","PeriodicalId":48755,"journal":{"name":"Canadian Journal of Gastroenterology and Hepatology","volume":"23 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74747723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 5
Does Preoperative Waiting Time Affect the Short-Term Outcomes and Prognosis of Colorectal Cancer Patients? A Retrospective Study from the West of China 术前等待时间是否影响结直肠癌患者的短期预后?中国西部地区的回顾性研究
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2022-04-30 DOI: 10.1155/2022/8235736
Xiao-yu Liu, Zi-Wei Li, Bing Kang, Yu-Xi Cheng, W. Tao, Bin Zhang, Hua Zhang, Zhengqiang Wei, D. Peng
Purpose The purpose of this study is to analyze the effect of preoperative waiting time on the short-term outcomes and prognosis in colorectal cancer (CRC) patients. Methods We retrospectively analyzed 3744 CRC patients who underwent primary CRC surgery at a single clinical medical center from Jan 2011 to Jan 2020. The baseline information, short-term outcomes, overall survival (OS), and disease-free survival (DFS) were compared among the short-waiting group, the intermediate-waiting group, and the long-waiting group. Results A total of 3744 eligible CRC patients were enrolled for analysis. There were no significant differences in all of the baseline information and short-term outcomes among the three groups. In multivariate analysis, older age (OS: p=0.000, HR = 1.947, 95% CI = 1.631–2.324; DFS: p=0.000, HR = 1.693, 95% CI = 1.445–1.983), advanced clinical stage (OS: p=0.000, HR = 1.301, 95% CI = 1.161–1.457; DFS: p=0.000, HR = 1.262, 95% CI = 1.139–1.400), overall complications (OS: p=0.000, HR = 1.613, 95% CI = 1.303–1.895; DFS: p=0.000, HR = 1.560, 95% CI = 1.312–1.855), and major complications (OS: p=0.001, HR = 1.812, 95% CI = 1.338–2.945; DFS: p=0.006, HR = 1.647, 95% CI = 1.153–2.352) were independent factors of OS and DFS. In addition, no significant difference was found in all stages (OS, p=0.203; DFS, p=0.108), stage I (OS, p=0.419; DFS, p=0.579), stage II (OS, p=0.465; DFS, p=0.385), or stage III (OS, p=0.539; DFS, p=0.259) in terms of OS and DFS among the three groups. Conclusion Preoperative waiting time did not affect the short-term outcomes or prognosis in CRC patients.
目的本研究旨在分析术前等待时间对结直肠癌(CRC)患者近期预后的影响。方法回顾性分析2011年1月至2020年1月在单一临床医疗中心接受原发性结直肠癌手术的3744例结直肠癌患者。比较短时间等待组、中间等待组和长时间等待组的基线信息、短期结局、总生存期(OS)和无病生存期(DFS)。结果共纳入3744例符合条件的结直肠癌患者。三组患者的所有基线信息和短期结果均无显著差异。多因素分析中,年龄较大(OS: p=0.000, HR = 1.947, 95% CI = 1.631-2.324;DFS: p=0.000, HR = 1.693, 95% CI = 1.445 ~ 1.983)、临床晚期(OS: p=0.000, HR = 1.301, 95% CI = 1.161 ~ 1.457;DFS: p = 0.000, HR = 1.262, 95% CI = 1.139 - -1.400),总体并发症(OS: p = 0.000, HR = 1.613, 95% CI = 1.303 - -1.895;DFS: p=0.000, HR = 1.560, 95% CI = 1.312-1.855)和主要并发症(OS: p=0.001, HR = 1.812, 95% CI = 1.338-2.945;DFS: p=0.006, HR = 1.647, 95% CI = 1.153 ~ 2.352)是影响OS和DFS的独立因素。此外,各组间比较差异无统计学意义(OS, p=0.203;DFS, p=0.108), I期(OS, p=0.419;DFS, p=0.579), II期(OS, p=0.465;DFS, p=0.385)或III期(OS, p=0.539;DFS, p=0.259)。结论术前等待时间对结直肠癌患者的短期预后及预后无影响。
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引用次数: 6
Geographic Distribution of HCV Genotypes and Efficacy of Direct-Acting Antivirals in Chronic HCV-Infected Patients in North and Northeast China: A Real-World Multicenter Study 华北和东北地区慢性HCV感染患者HCV基因型的地理分布和直接作用抗病毒药物的疗效:一项真实世界的多中心研究
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2022-04-29 DOI: 10.1155/2022/7395506
Wencong Li, Jing Liang, J. An, Lingdi Liu, Yihui Hou, Lu Li, W. Zhao, L. Cui, N. Xue, Zaid Al-Dhamin, T. Han, Y. Nan, Liaoyun Zhang
Objective To assess the geographic distribution of HCV genotypes, effectiveness, and safety of DAA treatment for HCV-infected patients in North and Northeast China. Methods The geographic distribution of HCV genotypes was analyzed in 2162 patients recruited from April 2018 to February 2021. Sustained virologic response rates at 12 (SVR12) or 24 (SVR24) weeks posttreatment and safety were analyzed in 405 patients who completed DAA treatment according to patient baseline characteristics and treatment. Results Four genotypes and six subtypes were identified as follows: 1b (1187, 54.90%), 2a (790, 36.54%), 3a/b (134, 6.20%), 6a/n (44, 2.04%), mixed genotypes (2a-6a or 2a-3a) (7, 0.32%). Overall, 99.01% patients achieved SVR12, while 98.43% achieved SVR24. All patients treated with elbasvir/grazoprevir (EBR/GZR), sofosbuvir/velpatasvir ± ribavirin (SOF/VEL ± RBV), and SOF/ledipasvir (LDV) achieved SVR12 or SVR24; 92.86% SVR12 and 95.83% SVR24 were observed in patients using SOF + RBV. SVR12 was higher in noncirrhosis versus compensated cirrhosis patients (100% vs. 97.09%, p=0.022). No severe drug-related adverse event was observed. Conclusions Genotypes 1b and 2a were dominant subtypes in North and Northeast China. The approved drug regimens EBR/GZR and SOF/LDV for subtype 1b and SOF/VEL for nongenotype 1b are the optimal effective and safety profile.
目的评估华北和东北地区HCV基因型的地理分布、DAA治疗HCV感染患者的有效性和安全性。方法分析2018年4月至2021年2月招募的2162例HCV基因型患者的地理分布。根据患者基线特征和治疗,分析405例完成DAA治疗的患者在治疗后12周(SVR12)或24周(SVR24)的持续病毒学缓解率和安全性。结果共鉴定出4个基因型和6个亚型:1b(1187, 54.90%)、2a(790, 36.54%)、3a/b(134, 6.20%)、6a/n(44, 2.04%)和混合基因型(2a-6a或2a-3a)(7, 0.32%)。总体而言,99.01%的患者达到SVR12, 98.43%的患者达到SVR24。所有接受elbasvir/grazoprevir (EBR/GZR)、sofosbuvir/velpatasvir±利巴韦林(SOF/VEL±RBV)和SOF/ledipasvir (LDV)治疗的患者均达到SVR12或SVR24;SOF + RBV组SVR12和SVR24分别为92.86%和95.83%。非肝硬化患者的SVR12高于代偿性肝硬化患者(100% vs. 97.09%, p=0.022)。未观察到严重的药物相关不良事件。结论基因型1b和2a是华北和东北地区的优势亚型。已批准的治疗1b亚型的药物方案为EBR/GZR和SOF/LDV,治疗非基因型1b的药物方案为SOF/VEL,具有最佳的有效性和安全性。
{"title":"Geographic Distribution of HCV Genotypes and Efficacy of Direct-Acting Antivirals in Chronic HCV-Infected Patients in North and Northeast China: A Real-World Multicenter Study","authors":"Wencong Li, Jing Liang, J. An, Lingdi Liu, Yihui Hou, Lu Li, W. Zhao, L. Cui, N. Xue, Zaid Al-Dhamin, T. Han, Y. Nan, Liaoyun Zhang","doi":"10.1155/2022/7395506","DOIUrl":"https://doi.org/10.1155/2022/7395506","url":null,"abstract":"Objective To assess the geographic distribution of HCV genotypes, effectiveness, and safety of DAA treatment for HCV-infected patients in North and Northeast China. Methods The geographic distribution of HCV genotypes was analyzed in 2162 patients recruited from April 2018 to February 2021. Sustained virologic response rates at 12 (SVR12) or 24 (SVR24) weeks posttreatment and safety were analyzed in 405 patients who completed DAA treatment according to patient baseline characteristics and treatment. Results Four genotypes and six subtypes were identified as follows: 1b (1187, 54.90%), 2a (790, 36.54%), 3a/b (134, 6.20%), 6a/n (44, 2.04%), mixed genotypes (2a-6a or 2a-3a) (7, 0.32%). Overall, 99.01% patients achieved SVR12, while 98.43% achieved SVR24. All patients treated with elbasvir/grazoprevir (EBR/GZR), sofosbuvir/velpatasvir ± ribavirin (SOF/VEL ± RBV), and SOF/ledipasvir (LDV) achieved SVR12 or SVR24; 92.86% SVR12 and 95.83% SVR24 were observed in patients using SOF + RBV. SVR12 was higher in noncirrhosis versus compensated cirrhosis patients (100% vs. 97.09%, p=0.022). No severe drug-related adverse event was observed. Conclusions Genotypes 1b and 2a were dominant subtypes in North and Northeast China. The approved drug regimens EBR/GZR and SOF/LDV for subtype 1b and SOF/VEL for nongenotype 1b are the optimal effective and safety profile.","PeriodicalId":48755,"journal":{"name":"Canadian Journal of Gastroenterology and Hepatology","volume":"16 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74904296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 1
Genetic Characteristics of Resectable Colorectal Cancer with Pulmonary Metastasis 可切除结直肠癌伴肺转移的遗传特征
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2022-04-28 DOI: 10.1155/2022/2033876
Yanfen Qiu, D. Peng, Zhengqiang Wei, Jin-Dou Li, Yong-Jia Huang, Jian-Guo Yang, Z. Song, Yong Cheng
The lung is the most common extra-abdominal metastasis site of colorectal cancer (CRC). This study aimed to investigate the genetic variation of pulmonary metastases (PM) and primary tumors in resectable CRC. The clinical data of 410 patients with PM after CRC surgery and 33 paraffin-embedded tissue samples from January 2012 to July 2019 in our hospital were collected retrospectively. Next, 450-panel gene detection technologies based on next-generation sequencing (NGS) were used to analyze the changes in the gene map and the overall variation in cancer-related genes in PM and primary tumors. After quality control, 19 samples were included in the final gene analysis. The results showed that APC (89.5%), TP53 (89.5%), and KRAS (53%) were the most common mutations in PM and primary tumors, but the gene amplification variation was enriched in primary tumors (4.6% vs. 11.4%). KRAS G12D was the most common site variation of the KRAS gene in both PM and primary tumors of CRC. There was no hotspot mutation in the TP53 locus in CRC, and the TP53 mutation in the PM was consistent with that in the primary lesion. The microsatellite instability (MSI) levels of 10 patients were MSS. The mean tumor mutation burden (TMB) of the primary tumor (5.3 muts·Mb−1) was slightly higher than that of metastasis (5.0 muts·Mb−1). In our institution, the genetic characteristics of resectable PM from CRC may be highly consistent with those of the primary tumor.
肺是结直肠癌(CRC)最常见的腹外转移部位。本研究旨在探讨可切除的结直肠癌肺转移瘤(PM)和原发肿瘤的遗传变异。回顾性收集我院2012年1月至2019年7月CRC术后PM患者410例及石蜡包埋组织标本33例的临床资料。接下来,利用基于下一代测序(NGS)的450面板基因检测技术,分析PM和原发肿瘤中基因图谱的变化和癌症相关基因的总体变异。经质量控制后,19份样品被纳入最终基因分析。结果显示,APC(89.5%)、TP53(89.5%)和KRAS(53%)是PM和原发肿瘤中最常见的突变,但基因扩增变异在原发肿瘤中富集(4.6% vs. 11.4%)。KRAS G12D是KRAS基因在PM和CRC原发肿瘤中最常见的位点变异。结直肠癌TP53位点未发现热点突变,PM TP53突变与原发病变TP53突变一致。10例患者微卫星不稳定(MSI)水平为MSS。原发肿瘤的平均肿瘤突变负荷(TMB) (5.3 muts·Mb−1)略高于转移瘤(5.0 muts·Mb−1)。在我们的机构中,CRC可切除的PM的遗传特征可能与原发肿瘤的遗传特征高度一致。
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引用次数: 1
Clinical Evaluation of a Novel Stool Antigen Test Using Bioluminescent Enzyme Immunoassay for Detecting Helicobacter pylori 新型粪便抗原生物发光酶免疫法检测幽门螺杆菌的临床评价
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2022-04-21 DOI: 10.1155/2022/5571542
T. Kakiuchi, M. Matsuo, Y. Sakata, K. Fujimoto
Background BLEIA ™ “EIKEN” Helicobacter pylori antigen (B[EIA]) is based on the bioluminescent enzyme immunoassay (BLEIA) method that was newly developed with high sensitivity in detecting Helicobacter pylori (H. pylori) antigen in feces. Methods In the project for H. pylori screening and treatment in Saga Prefecture in 2019, 141 students received the stool H. pylori antigen test as a secondary test. For 141 students, a comparative test was conducted between B (EIA) and extracorporeal diagnostic agents that were marketed in Japan as of 2019. The detection performance of H. pylori ATCC43504 standard strain and H. pylori antigen in commercial human fecal specimens were conducted. Results The comparison of B (EIA) with Quick Chaser TMH. pylori (Q [IC]) revealed positive and negative concordance ratios of B (EIA) to Q (IC) of 100.0% (110/110) and 71.0% (22/31), respectively. A comparative test was conducted between B (EIA) and extracorporeal diagnostic agents that were marketed in Japan as of 2019, and B (EIA) was most sensitive on “detecting H. pylori antigen of ATCC43504 standard strain” and “detecting H. pylori antigen in commercial human fecal specimens,” compared with other kits. Nine dissociated specimens that were negative for Q (IC) and positive for B (EIA) were confirmed. The measured value of B (EIA) in the dissociation samples were 1.3–87.4 cutoff index in the range that can be evaluated as negative by other fecal H. pylori antigen test kits, all the dissociation samples were H. pylori antigen-positive cases, and finally the cause of result divergence was presumed as false negative due to insufficient sensitivity of Q (IC). Conclusion B (EIA) that is based on the BLEIA method, which applies firefly luciferase luminescence, is more sensitive than stool antigen test kits that are currently marketed in Japan and is very useful in diagnosing H. pylori infection, especially in situations where noninvasive tests are preferred, such as in children.
BLEIA™“EIKEN”幽门螺杆菌抗原(Helicobacter pylori antigen, B[EIA])是基于新开发的生物发光酶免疫分析法(BLEIA),该方法具有检测粪便中幽门螺杆菌(h.p ylori)抗原的高灵敏度。方法2019年佐贺县幽门螺杆菌筛查与治疗项目对141名学生进行粪便幽门螺杆菌抗原检测作为二次检测。对141名学生进行了B (EIA)和截至2019年在日本上市的体外诊断剂的比较测试。对商品人粪便标本中幽门螺杆菌ATCC43504标准株和幽门螺杆菌抗原的检测性能进行了研究。结果B (EIA)与Quick Chaser TMH的比较。幽门螺杆菌(Q [IC])的B (EIA)与Q (IC)的阳性和阴性符合率分别为100.0%(110/110)和71.0%(22/31)。将B (EIA)与截至2019年在日本上市的体外诊断试剂进行对比测试,结果显示,B (EIA)对“检测ATCC43504标准菌株的幽门螺杆菌抗原”和“检测商业人类粪便标本中的幽门螺杆菌抗原”比其他试剂盒最敏感。9例分离标本Q (IC)阴性,B (EIA)阳性。解离样品中B (EIA)的测定值为1.3 ~ 87.4,在其他粪便幽门螺杆菌抗原检测试剂盒可评价为阴性的临界值范围内,解离样品均为幽门螺杆菌抗原阳性病例,最后由于Q (IC)灵敏度不足,推定结果出现分歧的原因为假阴性。结论基于BLEIA方法(萤火虫荧光素酶发光)的B (EIA)比目前在日本销售的粪便抗原检测试剂盒更敏感,在诊断幽门螺杆菌感染方面非常有用,特别是在儿童等首选非侵入性检测的情况下。
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引用次数: 4
期刊
Canadian Journal of Gastroenterology and Hepatology
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