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Protein expression analysis for predicting recurrent laryngeal squamous cell carcinoma 预测复发性喉鳞状细胞癌的蛋白质表达分析
IF 2.3 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-01 DOI: 10.3892/br.2023.1702
Siwaporn Thanasan, Komkrit Ruangritchankul, N. Kitkumthorn, S. Keelawat, Patnarin Mahattanasakul
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引用次数: 0
Arthritis caused by Cryptococcus neoformans infection: A case report 新型隐球菌感染引起的关节炎:病例报告
IF 2.3 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-20 DOI: 10.3892/br.2023.1694
Juan Min, Ying Zhao, Jie Du, Yongzhong Ning, Zhiqiang Wu
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引用次数: 0
CpG methylation changes in Alu repetitive sequences in normal aging due to diastolic hypertension in human dermal fibroblasts from the facial area 人面部真皮成纤维细胞中因舒张性高血压导致正常衰老的 Alu 重复序列中的 CpG 甲基化变化
IF 2.3 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-17 DOI: 10.3892/br.2023.1693
Suvinai Jiraboonsri, Panicha Hemvipat, Supitcha Kamolratanakul, Narumol Bhummaphan, T. Siritientong, N. Kitkumthorn, A. Mutirangura, Jiraroch Meevassana
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引用次数: 0
Myeloid osseous metaplasia of the lung: A case report 肺髓系骨性化生1例
Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-14 DOI: 10.3892/br.2023.1691
Ari Abdullah, Fahmi Kakamad, Aland Abdullah, Soran Tahir, Rezheen Rashid, Jihad Hama, Bnar Hama Amin, Pavel Kareem
Pulmonary osseous metaplasia is a disease in which mature bone is found within the parenchyma of the lung. The current study presents a case of pulmonary osseous metaplasia in a 64‑year‑old female. The patient was previously diagnosed with transitional cell carcinoma (TCC) of the lower ureter. During a routine check‑up, an enhancing basal lung nodule was found on chest computed tomography scan, which was suspected to be metastatic lung disease. The patient underwent a thoracoscopic resection of the nodule. The histopathological examination of the specimen confirmed it to be myeloid osseous metaplasia. The disease usually has no significant complications and can also be found in association with other pulmonary diseases. Very limited information is available on the phenomenon; therefore, there is no exact treatment guide for clinicians to follow. In conclusion, myeloid osseous metaplasia of the lung is a rare finding, and based on this report, it may be associated with TCC.
肺骨化生是一种在肺实质内发现成熟骨的疾病。本文报告一例64岁女性肺骨化生。患者先前被诊断为输尿管下段移行细胞癌(TCC)。在常规检查中,胸部计算机断层扫描发现一个增强的肺基底结节,怀疑是肺部转移性疾病。病人接受了胸腔镜切除结节。标本的组织病理学检查证实为髓性骨性化生。这种疾病通常没有明显的并发症,也可能与其他肺部疾病有关。关于这一现象的信息非常有限;因此,尚无确切的治疗指南供临床医生遵循。总之,肺髓性骨性化生是一种罕见的发现,根据本报告,它可能与TCC有关。
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引用次数: 0
PIVKA‑II is associated with liver function, bone metabolism, and muscle function in patients with liver disease PIVKA‑II与肝病患者的肝功能、骨代谢和肌肉功能相关
Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-13 DOI: 10.3892/br.2023.1690
Takuya Honda, Tatsuki Ichikawa, Mio Yamashima, Shinobu Yamamichi, Makiko Koike, Yusuke Nakano, Tetsurou Honda, Hiroyuki Yajima, Osamu Miyazaki, Yasutaka Kuribayashi, Tomonari Ikeda, Takuma Okamura, Kazuyoshi Nagata, Kazuhiko Nakao
Protein induced by vitamin K (VK) absence‑II (PIVKA‑II) is a sensitive marker for diagnosing hepatoma but is occasionally detected in patients without hepatoma Here, the clinical significance of serum PIVKA‑II levels in patients who were not administered warfarin and did not have hepatoma or liver disease were evaluated. As VK is related to muscle and bone metabolism, PIVKA‑II and clinical factors related to bone and muscle were compared. A total of 441 patients with various liver diseases were evaluated. Of these, 236 patients were female. Clinical factors and anthropometric measurements were obtained for each participant during outpatient visits. Among the clinical factors, type I procollagen N‑propeptide (P1NP), a low titer of undercarboxylated osteocalcin (ucOC), and 25(OH) vitamin D (VD) were used as bone metabolic markers, and SARC‑F and grip strength were used as muscle‑related markers. Serum PIVKA‑II levels above the upper limit were associated with Child B/C (Child‑Pugh score), high titers of total P1NP, and low titers of ucOC in females, and alcohol‑related liver disease and low VD in males. The titer of PIVKA‑II were associated with immunoglobulin (Ig) A and prothrombin time (PT)‑international normalized ratio (INR) in females, and fibrosis‑4‑4, IgG, total bilirubin, PT‑INR, and SARC‑F in males. Elevated PIVKA‑II levels were associated with abnormal bone physiology in females, weak muscles in males, and severe liver disease in both sexes. Assessing PIVKA‑II may assist in evaluating the clinical and bone‑muscle metabolic stages in liver disease. Nutrition and supplementation with fat‑soluble vitamins, including VK and VD may thus serve as a potential method to alleviate or prevent bone‑muscle pathophysiology in patients with liver disease.
维生素K (VK)缺失- II (PIVKA - II)诱导的蛋白是诊断肝癌的敏感标志物,但偶尔在无肝癌患者中检测到。本文评估了未使用华法林且无肝癌或肝脏疾病的患者血清PIVKA - II水平的临床意义。由于VK与肌肉和骨骼代谢相关,我们将PIVKA‑II与骨骼肌相关的临床因素进行比较。共评估了441例各种肝脏疾病患者。其中236例为女性。临床因素和人体测量测量在门诊访问期间获得每个参与者。在临床因素中,以I型前胶原N -前肽(P1NP)、低滴度undercarboxylated osteocalcin (ucOC)和25(OH)维生素D (VD)作为骨代谢指标,以SARC - F和握力作为肌肉相关指标。高于上限的血清PIVKA - II水平与儿童B/C (Child - Pugh评分)、女性总P1NP滴度高、ucOC滴度低以及男性酒精相关肝病和低VD相关。PIVKA - II滴度在女性中与免疫球蛋白(Ig) A和凝血酶原时间(PT) -国际标准化比值(INR)相关,在男性中与纤维化- 4 - 4、IgG、总胆红素、PT - INR和SARC - F相关。PIVKA - II水平升高与女性骨骼生理异常、男性肌肉无力以及两性严重肝病有关。评估PIVKA - II可能有助于评估肝病的临床和骨骼肌代谢阶段。因此,营养和补充脂溶性维生素,包括VK和VD,可能是缓解或预防肝病患者骨骼肌病理生理的一种潜在方法。
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引用次数: 0
Novel noninvasive indices for the assessment of liver fibrosis in primary biliary cholangitis 评估原发性胆管炎肝纤维化的新型无创指标
Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-13 DOI: 10.3892/br.2023.1689
Yan Li, Meng-Jun Zhang, Xue-Hong Wang, Su-Hua Li
The present study aimed to investigate the accuracy of new noninvasive markers in predicting liver fibrosis among individuals with primary biliary cholangitis (PBC). This retrospective analysis included subjects with PBC who had liver biopsies. Scheuer's classification was used to determine the fibrosis stage. The bilirubin to albumin (Alb) ratio (BAR), fibrosis index based on the four factors (FIB‑4), γ‑glutamyl transpeptidase to platelet (PLT) ratio (GPR), red cell distribution width to PLT ratio (RPR), aspartate aminotransferase (AST) to alanine aminotransferase ratio (AAR), AST to PLT ratio index (APRI) and total bilirubin to PLT ratio (TPR) were calculated based on the laboratory parameters. A novel index called BARP was conceived as BAR x RPR. A total of 78 individuals with PBC were included in the study, 84.6% of whom had significant fibrosis, 30.8% had advanced fibrosis and 15.4% had cirrhosis. In the multivariate analysis, Alb was determined to be an independent predictor of advanced fibrosis (odds ratio=0.823, P=0.034). The area under the receiver operating characteristic curves (AUROCs) of the BAR, GPR, TPR and BARP were statistically significant in predicting severe fibrosis (P<0.05) and were 0.747, 0.684, 0.693 and 0.696, respectively. In assessing advanced fibrosis, the AUROCs for the AAR, APRI, BAR, FIB‑4, RPR, TPR and BARP were 0.726, 0.650, 0.742, 0.716, 0.670, 0.735 and 0.750, respectively. The AUROCs for the APRI, BAR, FIB‑4, RPR, TPR and BARP for cirrhosis prediction were 0.776, 0.753, 0.821, 0.819, 0.808 and 0.832, respectively. By comparing the AUROCs, it was demonstrated that the diagnostic capabilities of the BARP (P=0.021) and TPR (P=0.044) were superior to those of the APRI in predicting advanced fibrosis. In conclusion, the BAR, BARP and TPR were of predictive value for the grade of liver fibrosis in PBC and Alb had a diagnostic value in identifying early fibrosis. The aforementioned noninvasive indices may be used for predicting histologic stages of PBC.
本研究旨在探讨新的无创标志物预测原发性胆道胆管炎(PBC)患者肝纤维化的准确性。本回顾性分析包括肝活检的PBC患者。采用Scheuer分级法确定纤维化分期。根据实验室参数计算胆红素/白蛋白比值(BAR)、基于四因子的纤维化指数(FIB - 4)、γ -谷氨酰转肽酶/血小板比值(GPR)、红细胞分布宽度/血小板比值(RPR)、天冬氨酸转氨酶/丙氨酸转氨酶比值(AAR)、AST / PLT比值指数(APRI)和总胆红素/血小板比值(TPR)。一个名为BARP的新指数被设想为BAR x RPR。该研究共纳入78例PBC患者,其中84.6%患有显著纤维化,30.8%患有晚期纤维化,15.4%患有肝硬化。在多变量分析中,Alb被确定为晚期纤维化的独立预测因子(优势比=0.823,P=0.034)。BAR、GPR、TPR、BARP的受试者工作特征曲线下面积(auroc)预测严重纤维化有统计学意义(P<0.05),分别为0.747、0.684、0.693、0.696。在评估晚期纤维化时,AAR、APRI、BAR、FIB - 4、RPR、TPR和BARP的auroc分别为0.726、0.650、0.742、0.716、0.670、0.735和0.750。预测肝硬化的APRI、BAR、FIB - 4、RPR、TPR和BARP的auroc分别为0.776、0.753、0.821、0.819、0.808和0.832。通过比较auroc, BARP (P=0.021)和TPR (P=0.044)在预测晚期纤维化方面的诊断能力优于APRI。综上所述,BAR、BARP和TPR对PBC患者肝纤维化程度有预测价值,Alb对早期纤维化有诊断价值。上述无创指标可用于预测PBC的组织学分期。
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引用次数: 0
Loss of ST3GAL4 exhibits an anticancer effect in breast cancer via the glycolysis pathway ST3GAL4的缺失通过糖酵解途径在乳腺癌中显示出抗癌作用
Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-03 DOI: 10.3892/br.2023.1688
Xiaoqing Chen, Chongyang Ren, Zhisheng Zhou, Jintao Chen, Xulong Fan, Ruijian Liang, Haiyan Liu, Jing Zhu, Jin Gong
Sialyltransferases responsible for glycoprotein sialylation are key regulators in cancer progression. Although ST3 β‑galactoside α‑2,3‑sialyltransferase 4 (ST3GAL4), an important sialyltransferase, is upregulated in breast cancer, its biological functions remain unclear. The present study aimed to investigate the impact and mechanisms of ST3GAL4 on glycolysis in breast cancer. ST3GAL4 expression was examined in tumor tissue specimens and microarrays and breast cancer cell lines BT‑474, SKBR3, MCF‑7, and T47D. ST3GAL4 was silenced or overexpressed by lentivirus transfection in breast cancer cells. Cell viability and cell cycle were evaluated by Cell Counting Kit‑8 and flow cytometry, respectively. Extracellular acidification rate, glucose uptake and lactate production were used for glycolysis assessment. ST3GAL4 was consistently upregulated in tumor tissues and cell lines of breast cancer. High ST3GAL4 expression was associated with poor prognosis of patients with breast cancer. Cell viability was decreased, cell cycle progression was inhibited and glycolysis was inhibited in ST3GAL4‑silenced cells compared with control cells. ST3GAL4 silencing led to suppression of tumor growth and cell proliferation in xenograft mouse models. ST3GAL4 overexpression promoted cell viability and accelerated cell cycle, which were reversed by glycolysis inhibitor. The study provided in vivo and in vitro evidence that ST3GAL4 promoted cell viability and tumor growth by regulating the glycolysis pathway in breast cancer. ST3GAL4 inhibition may serve as a strategy for treatment of breast cancer.
负责糖蛋白唾液酰化的唾液酰转移酶是癌症进展的关键调节因子。ST3 β -半乳糖苷α - 2,3 -唾液基转移酶4 (ST3GAL4)是一种重要的唾液基转移酶,在乳腺癌中表达上调,但其生物学功能尚不清楚。本研究旨在探讨ST3GAL4对乳腺癌糖酵解的影响及其机制。在肿瘤组织标本、微阵列和乳腺癌细胞系BT - 474、SKBR3、MCF - 7和T47D中检测ST3GAL4的表达。慢病毒转染后,ST3GAL4在乳腺癌细胞中沉默或过表达。分别用细胞计数试剂盒- 8和流式细胞术评估细胞活力和细胞周期。细胞外酸化速率、葡萄糖摄取和乳酸产量用于糖酵解评估。ST3GAL4在乳腺癌肿瘤组织和细胞系中持续上调。ST3GAL4高表达与乳腺癌患者预后不良相关。与对照细胞相比,ST3GAL4沉默细胞的细胞活力降低,细胞周期进程受到抑制,糖酵解受到抑制。ST3GAL4沉默导致异种移植小鼠模型中肿瘤生长和细胞增殖受到抑制。ST3GAL4过表达可促进细胞活力,加速细胞周期,而糖酵解抑制剂可逆转这一作用。本研究提供了体内和体外证据,表明ST3GAL4通过调节乳腺癌糖酵解途径促进细胞活力和肿瘤生长。抑制ST3GAL4可能是治疗乳腺癌的一种策略。
{"title":"Loss of ST3GAL4 exhibits an anticancer effect in breast cancer via the glycolysis pathway","authors":"Xiaoqing Chen, Chongyang Ren, Zhisheng Zhou, Jintao Chen, Xulong Fan, Ruijian Liang, Haiyan Liu, Jing Zhu, Jin Gong","doi":"10.3892/br.2023.1688","DOIUrl":"https://doi.org/10.3892/br.2023.1688","url":null,"abstract":"Sialyltransferases responsible for glycoprotein sialylation are key regulators in cancer progression. Although ST3 β‑galactoside α‑2,3‑sialyltransferase 4 (ST3GAL4), an important sialyltransferase, is upregulated in breast cancer, its biological functions remain unclear. The present study aimed to investigate the impact and mechanisms of ST3GAL4 on glycolysis in breast cancer. ST3GAL4 expression was examined in tumor tissue specimens and microarrays and breast cancer cell lines BT‑474, SKBR3, MCF‑7, and T47D. <em>ST3GAL4</em> was silenced or overexpressed by lentivirus transfection in breast cancer cells. Cell viability and cell cycle were evaluated by Cell Counting Kit‑8 and flow cytometry, respectively. Extracellular acidification rate, glucose uptake and lactate production were used for glycolysis assessment. ST3GAL4 was consistently upregulated in tumor tissues and cell lines of breast cancer. High ST3GAL4 expression was associated with poor prognosis of patients with breast cancer. Cell viability was decreased, cell cycle progression was inhibited and glycolysis was inhibited in <em>ST3GAL4</em>‑silenced cells compared with control cells. <em>ST3GAL4</em> silencing led to suppression of tumor growth and cell proliferation in xenograft mouse models. ST3GAL4 overexpression promoted cell viability and accelerated cell cycle, which were reversed by glycolysis inhibitor. The study provided <em>in</em> <em>vivo</em> and <em>in</em> <em>vitro</em> evidence that ST3GAL4 promoted cell viability and tumor growth by regulating the glycolysis pathway in breast cancer. ST3GAL4 inhibition may serve as a strategy for treatment of breast cancer.","PeriodicalId":8863,"journal":{"name":"Biomedical reports","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135819843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
10‑Gingerol, a novel ginger compound, exhibits antiadipogenic effects without compromising cell viability in 3T3‑L1 cells 姜辣素(Gingerol)是一种新型生姜化合物,在不影响3T3‑L1细胞活力的情况下显示出抗脂肪作用
Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 DOI: 10.3892/br.2023.1687
María Preciado‑Ortiz, Erika Martinez‑Lopez, Roberto Rodriguez‑Echevarría, Mariana Perez‑Robles, Gildardo Gembe‑Olivarez, Juan Rivera‑Valdés
Obesity is defined as excessive fat accumulation that can be detrimental to health and currently affects a large part of the global population. Obesity arises from excessive energy intake along with a sedentary lifestyle and leads to adipocytes with aggravated hypertrophy. Strategies have been designed to prevent and treat obesity. Nutrigenomics may serve a role in prevention of obesity using bioactive compounds present in certain foods with anti‑obesogenic effects. Ginger (Zingiber officinale Roscoe) contains gingerols, key bioactive compounds that inhibit hypertrophy and hyperplasia of adipocytes. The present study aimed to evaluate the antiadipogenic activity of 10‑gingerol (10‑G) in the 3T3‑L1 cell line. Three study groups were formed: Negative (3T3‑L1 preadipocytes) and positive control (mature 3T3‑L1 adipocytes) and 10‑G (3T3‑L1 preadipocytes stimulated with 10‑G during adipogenic differentiation). Cell viability and lipid content were evaluated by MTT assay and Oil Red O staining, respectively. mRNA expression of CCAAT enhancer‑binding protein α (C/ebpα), peroxisome proliferator‑activated receptor γ (Pparγ), mechanistic target of rapamycin complex (Mtor), sterol regulatory element binding transcription factor 1 (Srebf1), acetyl‑coenzyme A carboxylase (Acaca), fatty acid binding protein 4 (Fabp4), and 18S rRNA (Rn18s), was quantified by quantitative PCR. The protein expression of C/EPBα was analyzed by western blot. In the 10‑G group, lipid content was decreased by 28.83% (P<0.0001) compared with the positive control; notably, cell viability was not affected (P=0.336). The mRNA expression in the 10‑G group was higher for C/ebpα (P<0.001) and lower for Acaca (P<0.001), Fabp4 (P<0.001), Mtor (P<0.0001) and Srebf1 (P<0.0001) compared with the positive control group, while gene expression of Pparγ did not present significant changes. The presence of 10‑G notably decreased C/EBPα protein levels in 3T3‑L1 adipocytes. In summary, the antiadipogenic effect of 10‑G during the differentiation of 3T3‑L1 cells into adipocytes may be explained by mRNA downregulation of adipogenic transcriptional factors and lipid metabolism‑associated genes.
肥胖被定义为对健康有害的脂肪过度积累,目前影响着全球很大一部分人口。肥胖是由能量摄入过多和久坐不动的生活方式引起的,导致脂肪细胞肥大加剧。已经制定了预防和治疗肥胖的策略。营养基因组学可能在利用某些具有抗致肥作用的食物中存在的生物活性化合物预防肥胖方面发挥作用。生姜(Zingiber officinale Roscoe)含有姜辣素,这是抑制脂肪细胞肥大和增生的关键生物活性化合物。本研究旨在评估10 -姜辣素(10 - G)在3T3 - L1细胞系中的抗脂肪活性。形成三个研究组:阴性组(3T3 - L1前脂肪细胞)、阳性对照组(成熟的3T3 - L1脂肪细胞)和10 - G组(在成脂分化过程中用10 - G刺激的3T3 - L1前脂肪细胞)。MTT法和油红O染色法分别测定细胞活力和脂质含量。定量PCR检测CCAAT增强子结合蛋白α (C/ebpα)、过氧化物酶体增殖物激活受体γ (Pparγ)、雷帕霉素复合物机制靶点(Mtor)、甾醇调节元件结合转录因子1 (Srebf1)、乙酰辅酶A羧化酶(Acaca)、脂肪酸结合蛋白4 (Fabp4)、18S rRNA (Rn18s) mRNA表达量。western blot检测C/EPBα蛋白表达。在10‑G组中,脂质含量比阳性对照组降低了28.83% (P<0.0001);细胞活力不受影响(P=0.336)。与阳性对照组相比,10‑G组C/ebpα (P<0.001) mRNA表达量较高,Acaca (P<0.001)、Fabp4 (P<0.001)、Mtor (P<0.0001)和Srebf1 (P<0.0001) mRNA表达量较低,而Pparγ基因表达量无显著变化。10‑G的存在显著降低了3T3‑L1脂肪细胞中的C/EBPα蛋白水平。综上所述,10 - G在3T3 - L1细胞向脂肪细胞分化过程中的抗脂肪作用可能与成脂转录因子和脂质代谢相关基因的mRNA下调有关。
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引用次数: 0
Association of KRAS, NRAS, BRAF and PIK3CA gene mutations with clinicopathological features, prognosis and ring finger protein 215 expression in patients with colorectal cancer KRAS、NRAS、BRAF和PIK3CA基因突变与结直肠癌患者临床病理特征、预后及无名指蛋白215表达的关系
Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-10-31 DOI: 10.3892/br.2023.1686
Jing-Bo Wu, Xiao-Jing Li, Hui Liu, Yong-Juan Liu, Xiu-Ping Liu
The relationships of KRAS, NRAS, BRAF and PIK3CA gene mutations with the clinicopathological features and prognosis of colorectal cancer (CRC) in patient are lacking. Furthermore, the role of ring finger protein 215 (RNF215) in CRC patients with KRAS, NRAS, BRAF and PIK3CA mutations remains unclear. In the present study, 182 surgical resection specimens from patients with primary CRC for retrospective analysis, were collected. KRAS/NRAS/BRAF/PIK3CA gene mutations were confirmed by an amplification‑refractory mutation system. Immunohistochemistry (IHC) was conducted to confirm KRAS, NRAS, BRAF and PIK3CA protein expression. RNF215 expression in patients with CRC was evaluated using TIMER 2.0 database and IHC. The individual mutation rates of KRAS, NRAS, BRAF and PIK3CA were 40.7% (74/182), 4.4% (8/182), 4.4% (8/182) and 3.3% (6/182), respectively. The KRAS exon 2 mutation rate was the highest (61.5%, 64/104), and these mutations mainly occurred at codons 12 and 13. KRAS/NRAS/BRAF/PIK3CA wild‑type CRC patients had significantly longer overall survival and disease‑free survival than mutated KRAS/NRAS/BRAF/PIK3CA CRC patients (P<0.05). Overall, 45.4% (5/11) of patients with PIK3CA mutations had concomitant KRAS mutations. The KRAS/NRAS/BRAF/PIK3CA gene mutation rate in patients with lymph node metastasis (76.1%, 35/46) was significantly higher than that in patients without lymph node metastasis (50.8%, 69/136) (P=0.0027). There were no significant differences in IHC expression between patients with and without KRAS, NRAS, BRAF and PIK3CA mutations (P>0.05). The TIMER 2.0 analysis showed that RNF215 expression was significantly higher in the mutated BRAF group than in the wild‑type BRAF group in CRC (P<0.05). In conclusion, KRAS is the most commonly mutated gene, and KRAS mutations may be a poor prognostic factor for patients with CRC. KRAS wild‑type patient resistance may be related to PIK3CA gene mutations, although this needs further verification in larger cohorts. BRAF mutations may be associated with RNF215 expression in patients with CRC.
KRAS、NRAS、BRAF和PIK3CA基因突变与结直肠癌患者临床病理特征及预后的关系尚缺乏研究。此外,无名指蛋白215 (RNF215)在KRAS、NRAS、BRAF和PIK3CA突变的结直肠癌患者中的作用尚不清楚。本研究收集了182例原发性结直肠癌患者的手术切除标本进行回顾性分析。KRAS/NRAS/BRAF/PIK3CA基因突变通过扩增-难解突变系统确认。免疫组化(IHC)检测KRAS、NRAS、BRAF和PIK3CA蛋白表达。RNF215在结直肠癌患者中的表达采用TIMER 2.0数据库和免疫组化检测。KRAS、NRAS、BRAF和PIK3CA的个体突变率分别为40.7%(74/182)、4.4%(8/182)、4.4%(8/182)和3.3%(6/182)。KRAS外显子2突变率最高(61.5%,64/104),这些突变主要发生在密码子12和13上。KRAS/NRAS/BRAF/PIK3CA野生型CRC患者的总生存期和无病生存期明显长于KRAS/NRAS/BRAF/PIK3CA突变型CRC患者(P<0.05)。总体而言,45.4%(5/11)的PIK3CA突变患者伴有KRAS突变。淋巴结转移患者KRAS/NRAS/BRAF/PIK3CA基因突变率(76.1%,35/46)显著高于无淋巴结转移患者(50.8%,69/136)(P=0.0027)。KRAS、NRAS、BRAF和PIK3CA突变患者与未突变患者的IHC表达差异无统计学意义(P>0.05)。TIMER 2.0分析显示,CRC中突变BRAF组的RNF215表达显著高于野生型BRAF组(P<0.05)。综上所述,KRAS是最常见的突变基因,KRAS突变可能是CRC患者预后不良的因素。KRAS野生型患者耐药可能与PIK3CA基因突变有关,尽管这需要在更大的队列中进一步验证。BRAF突变可能与CRC患者的RNF215表达相关。
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引用次数: 0
Diagnostic accuracy of optic nerve sheath diameter on ultrasound for the detection of increased intracranial pressure in patients with traumatic brain injury: A systematic review and meta‑analysis 超声检测外伤性脑损伤患者颅内压增高视神经鞘直径的诊断准确性:一项系统综述和meta分析
Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-10-30 DOI: 10.3892/br.2023.1685
Weiting Chen, Xia Zhang, Xiuxiu Ye, Pan Ying
The timely diagnosis and treatment of elevated intracranial pressure (ICP) reduces morbidity rates and prevents mortality. The aim of the present systematic review and meta‑analysis was to determine the diagnostic accuracy of optic nerve sheath diameter (ONSD) vs. standard invasive ICP measurements in patients with traumatic brain injury (TBI). The PubMed, Embase, Web of Science and Cochrane Library databases were systematically searched for studies including adult patients with TBI with suspected elevated ICP, and the sonographic ONSD measurements were compared with those from a standard invasive method. The quality of the studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies‑2 tool by two independent authors. A bivariate random effects model was used to summarize the pooled sensitivity, specificity and diagnostic odds ratio (DOR). A total of eight prospective studies with 222 patients with TBI were included. The pooled sensitivity was 0.82 [95% confidence interval (CI), 0.75‑0.88], the specificity was 0.82 (95% CI, 0.71‑0.90) and the DOR was 17.75 (95% CI, 7.02‑44.83) with partial evidence of heterogeneity. The accuracy of the area under the summary ROC was 0.87. An ultrasound‑determined elevated ICP has reasonable performance indicators with high sensitivity and specificity in patients with TBI. As such, this method may be a useful complementary monitoring tool in acute care.
及时诊断和治疗颅内压增高可降低发病率,预防死亡率。本系统综述和meta分析的目的是确定视神经鞘直径(ONSD)与标准侵入性颅内压测量在外伤性脑损伤(TBI)患者中的诊断准确性。我们系统地检索PubMed、Embase、Web of Science和Cochrane Library数据库,寻找疑似颅内压升高的成年TBI患者,并将超声ONSD测量结果与标准侵入方法进行比较。研究的质量由两位独立作者使用诊断准确性研究质量评估- 2工具进行评估。采用双变量随机效应模型总结合并敏感性、特异性和诊断优势比(DOR)。共纳入8项前瞻性研究,共222例TBI患者。合并敏感性为0.82[95%可信区间(CI), 0.75 ~ 0.88],特异性为0.82 (95% CI, 0.71 ~ 0.90), DOR为17.75 (95% CI, 7.02 ~ 44.83),部分证据表明存在异质性。汇总ROC下面积的准确度为0.87。超声测定颅内压升高具有合理的性能指标,对TBI患者具有较高的敏感性和特异性。因此,这种方法可能是一个有用的补充监测工具,在急性护理。
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引用次数: 0
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