1
|
李 芷, 俞 冰, 蔡 泽, 王 迎, 张 煦, 周 彪, 方 晓, 于 芳, 付 毅, 孙 金, 李 伟, 孔 炜. [Naringenin inhibits thoracic aortic aneurysm formation in mice with Marfan syndrome]. Beijing Da Xue Xue Bao Yi Xue Ban 2022; 54:896-906. [PMID: 36241232 PMCID: PMC9568379 DOI: 10.19723/j.issn.1671-167x.2022.05.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Indexed: 06/16/2023]
Abstract
OBJECTIVE To identify whether naringenin plays a protective role during thoracic aneurysm formation in Marfan syndrome. METHODS To validate the effect of naringenin, Fbn1C1039G/+ mice, the mouse model of Marfan syndrome, were fed with naringenin, and the disease progress was evaluated. The molecular mechanism of naringenin was further investigated via in vitro studies, such as bioluminescence resonance energy transfer (BRET), atomic force microscope and radioligand receptor binding assay. RESULTS Six-week-old Fbn1C1039G/+ mice were fed with naringenin for 20 weeks. Compared with the control group, naringenin significantly suppressed the aortic expansion [Fbn1C1039G/+ vs. Fbn1C1039G/++naringenin: (2.49±0.47) mm, n=18 vs. (1.87±0.19) mm, n=22, P < 0.05], the degradation of elastin, and the expression and activity of matrix metalloproteinase 2 (MMP2) and MMP9 in the ascending aorta of Fbn1C1039G/+ mice. Besides, treatment with naringenin for 6 weeks also attenuated the disease progress among the 20-week-old Fbn1C1039G/+ mice with established thoracic aortic aneurysms [Fbn1C1039G/+ vs. Fbn1C1039G/++naringenin: (2.24±0.23) mm, n=8 vs. (1.90±0.17) mm, n=8, P < 0.05]. To understand the underlying molecular mechanisms, we examined the effects of naringenin on angiotensin Ⅱ type 1 receptor (AT1) signaling and transforming growth factor-β (TGF-β) signaling respectively, which were the dominant signaling pathways contributing to aortopathy in Marfan syndrome as previously reported. The results showed that naringenin decreased angiotensin Ⅱ (Ang Ⅱ)-induced phosphorylation of protein kinase C (PKC) and extracellular regulating kinase 1/2 (ERK1/2) in HEK293A cell overexpressing AT1 receptor. Moreover, naringenin inhibited Ang Ⅱ-induced calcium mobilization and uclear factor of activated T-cells (NFAT) signaling. The internalization of AT1 receptor and its binding to β-arrestin-2 with Ang Ⅱ induction were also suppressed by naringenin. As evidenced by atomic force microscope and radioligand receptor binding assay, naringenin inhibited Ang Ⅱ binding to AT1 receptor. In terms of TGF-β signaling, we found that feeding the mice with naringenin decreased the phosphorylation of Smad2 and ERK1/2 as well as the expression of TGF-β downstream genes. Besides, the serum level of TGF-β was also decreased by naringenin in the Fbn1C1039G/+ mice. Furthermore, we detected the effect of naringenin on platelet, a rich source of TGF-β, both in vivo and in vitro. And we found that naringenin markedly decreased the TGF-β level by inhibiting the activation of platelet. CONCLUSION Our study showed that naringenin has a protective effect on thoracic aortic aneurysm formation in Marfan syndrome by suppressing both AT1 and TGF-β signaling.
Collapse
Affiliation(s)
- 芷晴 李
- 北京大学基础医学院生理学与病理生理学系,北京 100191Department of Physiology and Pathophysiology, Peking University School of Basic Medical Sciences, Beijing 100191, China
| | - 冰 俞
- 北京大学基础医学院生理学与病理生理学系,北京 100191Department of Physiology and Pathophysiology, Peking University School of Basic Medical Sciences, Beijing 100191, China
| | - 泽宇 蔡
- 北京大学基础医学院生理学与病理生理学系,北京 100191Department of Physiology and Pathophysiology, Peking University School of Basic Medical Sciences, Beijing 100191, China
| | - 迎宝 王
- 北京大学基础医学院生理学与病理生理学系,北京 100191Department of Physiology and Pathophysiology, Peking University School of Basic Medical Sciences, Beijing 100191, China
| | - 煦 张
- 北京大学基础医学院生理学与病理生理学系,北京 100191Department of Physiology and Pathophysiology, Peking University School of Basic Medical Sciences, Beijing 100191, China
| | - 彪 周
- 中日友好医院普外科,北京 100029Department of General Surgery, China-Japan Friendship Hospital, Beijing 100029, China
| | - 晓红 方
- 中国科学院化学研究所,北京 100190Institute of Chemistry, Chinese Academy of Sciences, Beijing 100190, China
| | - 芳 于
- 北京大学基础医学院生理学与病理生理学系,北京 100191Department of Physiology and Pathophysiology, Peking University School of Basic Medical Sciences, Beijing 100191, China
| | - 毅 付
- 北京大学基础医学院生理学与病理生理学系,北京 100191Department of Physiology and Pathophysiology, Peking University School of Basic Medical Sciences, Beijing 100191, China
| | - 金鹏 孙
- 北京大学基础医学院生理学与病理生理学系,北京 100191Department of Physiology and Pathophysiology, Peking University School of Basic Medical Sciences, Beijing 100191, China
| | - 伟 李
- 北京大学人民医院血管外科,北京 100044Department of Vascular Surgery, Peking University People's Hospital, Beijing 100044, China
| | - 炜 孔
- 北京大学基础医学院生理学与病理生理学系,北京 100191Department of Physiology and Pathophysiology, Peking University School of Basic Medical Sciences, Beijing 100191, China
| |
Collapse
|
2
|
李 伟, 李 伟, 张 学, 李 清, 焦 洋, 张 韬, 蒋 京, 张 小. [Comparison of the outcomes between open and hybrid approaches in the treatment of thoracoabdominal aortic aneurysms repair]. Beijing Da Xue Xue Bao Yi Xue Ban 2022; 54:177-181. [PMID: 35165487 PMCID: PMC8860664 DOI: 10.19723/j.issn.1671-167x.2022.01.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Indexed: 06/14/2023]
Abstract
OBJECTIVE Thoracoabdominal aortic aneurysm is one of the most challenging aortic diseases. Open surgical repair remains constrained with considerable perioperative morbidity and mortality. The emergence of a hybrid approach utilizing visceral debranching with endovascular aneurysm repair has brought an alternative for high-risk patients. This study aimed to compare the short- and long-term outcomes between hybrid and open repairs in the treatment of thoracoabdominal aortic aneurysms. METHODS In this retrospectively observational study, patients with thoracoabdominal aortic aneurysm treated in a single center between January 2008 and December 2019 were reviewed, of whom 11 patients with hybrid repair, and 18 patients with open repair were identified. Demographic characteristic, operative data, perioperative morbidity and mortality, freedom from reintervention, and long-term survival were compared between the two groups. RESULTS In the hybrid repair group, the patients with dissection aneurysm, preoperative combined renal insufficiency, and American Society of Anesthesiologists (ASA) score of 3 or more were significantly overwhelming than in the open repair group. The operation time of debranching hybrid repair was (445±85) min, and the intraoperative blood loss was (955±599) mL. There were 2 cases of complications in the early 30 days after surgery, without paraplegia, and 1 case died. The 30-day complication rate was 18.2%, and the 30-day mortality was 9.1%. The operation time of the patients with open repair was (560±245) min, and the intraoperative blood loss was (6 100±4 536) mL. Twelve patients had complications in the early 30 days after surgery, including 1 paraplegia and 4 deaths within 30 days. The 30-day complication rate was 66.7%, and the 30-day mortality was 22.2%. The bleeding volume in hybrid repair was significantly reduced compared with open repair (P < 0.001). Besides, the incidence of 30-day complications in hybrid surgery was significantly reduced (P=0.011). During the follow-up period, there were 4 reinterventions and 3 deaths in hybrid repair group. The 1-year, 5-year, and 10-year all-cause survival rates were 72%, 54%, and 29%, respectively. In open repair group, reintervention was performed in 1 case and 5 cases died, and the 1-year, 5-year, and 10-year all-cause survival rates were 81%, 71%, and 35%, respectively. There was no significant difference between hybrid repair and open repair in all-cause survival and aneurysm-specific survival. CONCLUSION Hybrid approach utilizing visceral debranching with endovascular aneurysm repair is a safe and effective surgical method for high-risk patients with thoracoabdominal aortic aneurysms. The incidence of early postoperative complications and mortality is significantly reduced compared with traditional surgery, but the efficacy in the medium and long term still needs to be improved.
Collapse
Affiliation(s)
- 伟浩 李
- />北京大学人民医院血管外科,北京 100044Department of Vascular Surgery, Peking University People's Hospital, Beijing 100044, China
| | - 伟 李
- />北京大学人民医院血管外科,北京 100044Department of Vascular Surgery, Peking University People's Hospital, Beijing 100044, China
| | - 学民 张
- />北京大学人民医院血管外科,北京 100044Department of Vascular Surgery, Peking University People's Hospital, Beijing 100044, China
| | - 清乐 李
- />北京大学人民医院血管外科,北京 100044Department of Vascular Surgery, Peking University People's Hospital, Beijing 100044, China
| | - 洋 焦
- />北京大学人民医院血管外科,北京 100044Department of Vascular Surgery, Peking University People's Hospital, Beijing 100044, China
| | - 韬 张
- />北京大学人民医院血管外科,北京 100044Department of Vascular Surgery, Peking University People's Hospital, Beijing 100044, China
| | - 京军 蒋
- />北京大学人民医院血管外科,北京 100044Department of Vascular Surgery, Peking University People's Hospital, Beijing 100044, China
| | - 小明 张
- />北京大学人民医院血管外科,北京 100044Department of Vascular Surgery, Peking University People's Hospital, Beijing 100044, China
| |
Collapse
|
3
|
李 伟, 黄 正, 李 琦. [A preliminary study on low temperature plasma obliteration for pyriform sinus fistula by visual laryngoscope]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 36:51-54. [PMID: 34979620 PMCID: PMC10128214 DOI: 10.13201/j.issn.2096-7993.2022.01.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Indexed: 06/14/2023]
Abstract
Objective:To investigate the effect of low-temperature plasma obliteration for pyriform sinus fistula by visual laryngoscope. Methods:The clinical data of 29 cases with congenital pyriform sinus fistula receiving low temperature plasma obliteration by visual laryngoscope during March 2019 to August 2021 was retrospectively analyzed in department of Otolaryngology Head and Neck Surgery of Children's Hospital of Nanjing Medical University. Nineteen cases accepted the pyriform sinus fistula probing + fistula obliteration, 6 cases accepted the pyriform sinus fistula probing + fistula obliteration + neck abscess incision and drainage, and 4 cases with cervical abscess accepted the pyriform sinus fistula probing + fistula obliteration. Results:All cases had no obvious complications. Two cases had vocal cord impairment after operations and recovered after one month. There was no recurrence in 2 to 30 months follow up, with mean 16 months follow up. Conclusion:Low-temperature plasma obliteration of pyriform sinus fistula by visual laryngoscope is a safe and effective surgical method with little trauma and short hospital stay. It could be the first choice for the treatment of pyriform sinus fistula. Incision and drainage of neck abscess and pyriform sinus fistula obliteration could be performed concurrently.
Collapse
Affiliation(s)
- 伟 李
- 南京医科大学附属儿童医院耳鼻咽喉头颈外科(南京,210008)Department of Otolaryngology Head and Neck Surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China
| | - 正华 黄
- 南京医科大学附属儿童医院耳鼻咽喉头颈外科(南京,210008)Department of Otolaryngology Head and Neck Surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China
| | - 琦 李
- 南京医科大学附属儿童医院耳鼻咽喉头颈外科(南京,210008)Department of Otolaryngology Head and Neck Surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China
| |
Collapse
|
4
|
陈 晓, 李 伟, 李 海, 戴 春. [Surgical management of 27 cases with temporal bone cerebrospinal fluid leakage]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021; 35:998-1003. [PMID: 34886603 PMCID: PMC10128364 DOI: 10.13201/j.issn.2096-7993.2021.11.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Indexed: 06/13/2023]
Abstract
Objective:To study the clinical manifestations and surgical treatment of temporal bone cerebrospinal fluid leakage. Methods:The clinical data of twenty seven cases with temporal bone cerebrospinal fluid leakage were analyzed retrospectively. Different surgical procedures were adopted according to the location of the leak and the hearing status of the affected ear.If the leakage location was clear before surgery, direct repair was performed via mastoid path or middle cranial fossa path with or without mastoid abdominal fat packing.For patients with unclear leak, large lesion or intractable CEREBROspinal fluid leakage of temporal bone, subtotal petrosal resection and abdominal fat packing were performed.Subtotal temporal bone resection and abdominal fat packing were performed for patients with cochlear involvement. Results:In this study, cases of temporal bone CSF leakage including 13 cases of inner ear malformation; 5 cases secondary to head trauma or previous surgery,5 cases of idiopathic intracranial hypertension or meningocele, 2 cases of langerhans histiocytosis in the temporal bone and 2 cases of inner ear inflammation. High resolution CT (HRCT) of temporal bone showed bone defect of inner auditory canal with vestibular communication in 13 patients with inner ear malformation.The temporal bone HRCT of the remaining 14 patients showed bone defects in the middle cranial fossa or posterior cranial fossa, while MRI of the temporal bone showed meningeal continuity interruption with cerebrospinal fluid inflow into the temporal bone or meningoencephalocele in 12 patients. The 26 patients were followed up from 6 months to 6 years. 1 patient lost follow-up.Meningitis recurred in only 1 patient with inner ear malformation, and subtotal resection of rock bone plus abdominal fat packing was performed.Postoperative hearing was preserved or improved in 7 patients.None of the patients had serious complications, and only 1 patient developed HB Grade Ⅱ facial paralysis after vestibular obliteration, and the facial paralysis recovered within one week. Conclusion:Temporal bone cerebrospinal fluid leakage is relatively rare. Surgical intervention should be taken as early as possible when conservative treatment is failure. Preoperative HRCT and MRI examination are necessary for the localization of the leakage, and individualized surgical approaches can be adopted according to the location of the leakage and the features of the lesion.
Collapse
Affiliation(s)
- 晓红 陈
- 嘉兴市第二医院(嘉兴学院附属第二医院)耳鼻咽喉科(浙江嘉兴,314000)Department of Otorhinolaryngology, the Second Hospital of Jiaxing [ the Second Affiliated Hospital of Jiaxing University], Jiaxing, 314000, China
| | - 伟 李
- 复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科Department of Otorhinolaryngology Head and Neck Surgery, Eye Ear Nose and Throat Hospital, Fudan University
| | - 海同 李
- 嘉兴市第二医院(嘉兴学院附属第二医院)耳鼻咽喉科(浙江嘉兴,314000)Department of Otorhinolaryngology, the Second Hospital of Jiaxing [ the Second Affiliated Hospital of Jiaxing University], Jiaxing, 314000, China
| | - 春富 戴
- 复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科Department of Otorhinolaryngology Head and Neck Surgery, Eye Ear Nose and Throat Hospital, Fudan University
| |
Collapse
|
5
|
陈 国, 崔 磊, 陈 鹏, 李 伟, 尤 田, 王 琛, 江 长, 刘 岗. [Experimental study on reconstruction of anterior labrum of shoulder joint by chemical extraction of allogeneic tendon and allogeneic chondrocytes]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020; 34:1184-1189. [PMID: 32929914 PMCID: PMC8171730 DOI: 10.7507/1002-1892.201911156] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Revised: 04/25/2020] [Indexed: 11/03/2022]
Abstract
OBJECTIVE To study the effect of chemical extraction of allogeneic tendon and allogeneic chondrocytes for reconstruction of anterior labrum of shoulder joint in rabbits. METHODS The body weight of 45 adult New Zealand white rabbits ranged from 2.5 to 3.0 kg. The Achilles tendons of 15 rabbits were taken and the allogeneic tendons were prepared by chemical extraction with antigen inactivation. The extracted tendons were compared with untreated tendons by HE and Masson stainings. Chondrocytes were isolated and cultured by trypsin method and identified by immunohistochemical staining of collagen type Ⅱ. The remaining 30 rabbits were used to prepare the model of anterior labrum defect of shoulder joint. After the allogeneic tendon was transplanted to the damaged labrum, the rabbits was randomly divided into two groups (15 in each group). In group A, the allogeneic chondrocytes were injected into the joint immediately after transplantation, while in group B, no treatment was made. At 4, 6, and 8 weeks after operation, 5 transplanted tendons of each group were taken. After general observation, HE staining was used to observe the number of nuclei, Masson staining was used to observe the expression of collagen fibers in muscle fiber tissues, and AB staining was used to detect the glycosaminoglycan level after transplantation, to evaluate the cell growth in the tissues of the two groups of allogeneic tendon. RESULTS By HE and Masson stainings, the allogeneic tendon antigen prepared by chemical extraction method was inactivated and the fibrous tissue structure was intact; collagen type Ⅱ immunohisto-chemistry staining showed that the cultured cells were chondrocytes. After tendon transplantation, the content of glycosaminoglycan in group A was significantly higher than that in group B ( P<0.05). At 6 weeks after operation, HE staining showed that the nuclear in tendon tissue of group A was significantly more than that of group B ( t=20.043, P=0.000). Masson staining showed that the number of nuclei in tendon tissue of group A was significantly increased, the muscle fibers and collagen fibers were interlaced, the tissue structure was more compact, and the tendon tissue was mainly blue stained; while the number of nuclei in group B was less, mainly collagen fibers of the original graft. CONCLUSION The allogeneic tendon inactivated by chemical extraction can be used to reconstruct the defect of anterior labrum of shoulder joint in rabbits, and the combination of allogeneic chondrocytes can promote the healing of tendon transplantation.
Collapse
Affiliation(s)
- 国飞 陈
- 中国科学院大学深圳医院(光明)创伤骨关节科(广东深圳 518000)Department of Traumatic Osteoarthritis, Shenzhen Hospital, University of Chinese Academy of Sciences, Shenzhen Guangdong, 518000, P.R.China
| | - 磊 崔
- 中国科学院大学深圳医院(光明)创伤骨关节科(广东深圳 518000)Department of Traumatic Osteoarthritis, Shenzhen Hospital, University of Chinese Academy of Sciences, Shenzhen Guangdong, 518000, P.R.China
| | - 鹏 陈
- 中国科学院大学深圳医院(光明)创伤骨关节科(广东深圳 518000)Department of Traumatic Osteoarthritis, Shenzhen Hospital, University of Chinese Academy of Sciences, Shenzhen Guangdong, 518000, P.R.China
| | - 伟 李
- 中国科学院大学深圳医院(光明)创伤骨关节科(广东深圳 518000)Department of Traumatic Osteoarthritis, Shenzhen Hospital, University of Chinese Academy of Sciences, Shenzhen Guangdong, 518000, P.R.China
| | - 田 尤
- 中国科学院大学深圳医院(光明)创伤骨关节科(广东深圳 518000)Department of Traumatic Osteoarthritis, Shenzhen Hospital, University of Chinese Academy of Sciences, Shenzhen Guangdong, 518000, P.R.China
| | - 琛 王
- 中国科学院大学深圳医院(光明)创伤骨关节科(广东深圳 518000)Department of Traumatic Osteoarthritis, Shenzhen Hospital, University of Chinese Academy of Sciences, Shenzhen Guangdong, 518000, P.R.China
| | - 长青 江
- 中国科学院大学深圳医院(光明)创伤骨关节科(广东深圳 518000)Department of Traumatic Osteoarthritis, Shenzhen Hospital, University of Chinese Academy of Sciences, Shenzhen Guangdong, 518000, P.R.China
| | - 岗 刘
- 中国科学院大学深圳医院(光明)创伤骨关节科(广东深圳 518000)Department of Traumatic Osteoarthritis, Shenzhen Hospital, University of Chinese Academy of Sciences, Shenzhen Guangdong, 518000, P.R.China
| |
Collapse
|
6
|
李 伟, 张 学, 贺 致, 张 小, 蒋 京, 张 韬, 李 伟, 李 清. [Spinal cord stimulation for non-reconstructable chronic ritical limb ischemiae: a case report]. Beijing Da Xue Xue Bao Yi Xue Ban 2019; 51:362-364. [PMID: 30996384 PMCID: PMC7441201 DOI: 10.19723/j.issn.1671-167x.2019.02.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/28/2017] [Indexed: 06/09/2023]
Abstract
Peripheral arterial disease is one part of systematic atherosclerosis, becoming a heavy burden of human health. Patients in end stage of peripheral arterial disease manifest critical limb ischemia with severe rest pain and refractory ulcer. Surgical revascularization is the optimal option for patients with critical limb ischemia to avoid major amputation and improve quality of life. However, some of them contraindicate surgical revascularizations owing to coexisting morbidities. Spinal cord stimulation is reported to be effective and minimally invasive in pain relief and limb salvage for patients with limb ischemia. Here, we reported one case with chronic critical limb ischemia and gangrene of foot who underwent spinal cord stimulation, which was, as we knew, the first case in China. He was diagnosed with Burger disease and accompanied with history of stroke, chronic obstructive pulmonary disease and Castleman's disease. It showed totally occlusive lesions of external iliac and femoropopliteal artery and no outflows below the knee in the computed tomography angiography. Given the complexity of lesions and weakness of the patient, spinal cord stimulation was indicated for control of rest pain and limb salvage. As specified, we implanted the temporary neurostimulator as the first step. After 2 weeks from temporary neurostimulator implantation, the patient achieved significant relief in intensity of pain, and acquired 20% improvement of transcutaneous oxygen pressure. The satisfactory results indicated probable effectiveness of spinal cord stimulation, thus we performed the permanent neurostimulator implantation 1 month later. During 2 months of follow-up, the patients stabilized at Fountain III with pain relief with one kind of nonsteroidal anti-inflammatory drug. In our case, we confirmed the significant validity of spinal cord stimulation for pain control and consequent improvement of quality of life in non-reconstructable chronic critical limb ischemia. Furthermore, we reviewed that a number of published studies suggested that spinal cord stimulation be a reasonable option for patients with critical rest pain, especially who contraindicated surgical revascularization. The application of spinal cord stimulation in pain relief for non-reconstructable chronic critical limb ischemia was approved by related guidelines released by European Society of Cardiology and Trans-Atlantic Inter-Society Consensus. Further investigations are required for assessing the long-term outcome in limb salvage.
Collapse
Affiliation(s)
- 伟浩 李
- />北京大学人民医院血管外科, 北京 100044Department of Vascular Surgery, Peking University People’s Hospital, Beijing 100044, China
| | - 学民 张
- />北京大学人民医院血管外科, 北京 100044Department of Vascular Surgery, Peking University People’s Hospital, Beijing 100044, China
| | - 致宾 贺
- />北京大学人民医院血管外科, 北京 100044Department of Vascular Surgery, Peking University People’s Hospital, Beijing 100044, China
| | - 小明 张
- />北京大学人民医院血管外科, 北京 100044Department of Vascular Surgery, Peking University People’s Hospital, Beijing 100044, China
| | - 京军 蒋
- />北京大学人民医院血管外科, 北京 100044Department of Vascular Surgery, Peking University People’s Hospital, Beijing 100044, China
| | - 韬 张
- />北京大学人民医院血管外科, 北京 100044Department of Vascular Surgery, Peking University People’s Hospital, Beijing 100044, China
| | - 伟 李
- />北京大学人民医院血管外科, 北京 100044Department of Vascular Surgery, Peking University People’s Hospital, Beijing 100044, China
| | - 清乐 李
- />北京大学人民医院血管外科, 北京 100044Department of Vascular Surgery, Peking University People’s Hospital, Beijing 100044, China
| |
Collapse
|
7
|
谢 超, 田 杰, 李 伟, 梁 敏, 孔 耀. [Association of plasma level of advanced oxidation protein products with Framingham risk score in type 2 diabetic patients without vascular diseases]. Nan Fang Yi Ke Da Xue Xue Bao 2018; 38:620-624. [PMID: 29891462 PMCID: PMC6743899 DOI: 10.3969/j.issn.1673-4254.2018.05.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 12/28/2017] [Indexed: 06/08/2023]
Abstract
OBJECTIVE To explore the association of plasma level of advanced oxidation protein products (AOPPs) with Framingham risk score in type 2 diabetic patients without vascular diseases. METHDOS This cross-sectional study was conducted among type 2 diabetic patients without vascular diseases recruited from 3 affiliated hospitals of Southern Medical University between March, 2010 and May, 2011, with age- and gender-matched healthy individuals as the control group. The demographic data were collected from all the participants, and the biochemical indexes and plasma levels of AOPPs were examined. The risk of cardiovascular disease in 10 years was assessed for all the participants based on their Framingham risk scores. RESULTS A total of 112 diabetic patients and 49 healthy subjects were enrolled in this study. The diabetic patients had significantly higher body mass index (BMI), blood glucose, triglyceride, low-density lipoprotein (LDL), plasma AOPPs and Framingham risk score but lower high-density lipoprotein level than the control subjects. Spearman correlation analysis showed that plasma level of AOPPs was positively correlated with the Framingham risk score (r=-0.44, P<0.001), and further multiple linear regression analysis suggested that plasma AOPPs level was independently correlated with the Framingham risk score (β0.305, P<0.001). CONCLUSION Type 2 diabetic patients without vascular diseases have significantly higher plasma levels of AOPPs and are at a greater risk of cardiovascular events in 10 years than healthy individuals. Plasma AOPPs are positively correlated with the Framingham risk score, suggesting the value of plasma AOPPs level in predicting the risk of cardiovascular events in these patients.
Collapse
Affiliation(s)
- 超 谢
- 佛山市第一人民医院肾内科,广东 佛山 528000Department of Nephrology, Foshan First People's Hospital, Foshan 528000, China
| | - 杰 田
- 佛山市妇幼保健院病理科,广东 佛山 528000Department of Pathology, Foshan Maternal and Child Healthcare Hospital, Foshan 528000, China
| | - 伟 李
- 佛山市第一人民医院肾内科,广东 佛山 528000Department of Nephrology, Foshan First People's Hospital, Foshan 528000, China
| | - 敏 梁
- 南方医科大学南方医院肾内科,广东 广州 510515Department of Nephrology, Nanfang Hospital, Southern Medical
| | - 耀中 孔
- 佛山市第一人民医院肾内科,广东 佛山 528000Department of Nephrology, Foshan First People's Hospital, Foshan 528000, China
| |
Collapse
|
8
|
谢 超, 田 杰, 李 伟, 梁 敏, 孔 耀. [Association of plasma level of advanced oxidation protein products with Framingham risk score in type 2 diabetic patients without vascular diseases]. Nan Fang Yi Ke Da Xue Xue Bao 2018; 38:620-624. [PMID: 29891462 PMCID: PMC6743899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 12/28/2017] [Indexed: 10/15/2023]
Abstract
OBJECTIVE To explore the association of plasma level of advanced oxidation protein products (AOPPs) with Framingham risk score in type 2 diabetic patients without vascular diseases. METHDOS This cross-sectional study was conducted among type 2 diabetic patients without vascular diseases recruited from 3 affiliated hospitals of Southern Medical University between March, 2010 and May, 2011, with age- and gender-matched healthy individuals as the control group. The demographic data were collected from all the participants, and the biochemical indexes and plasma levels of AOPPs were examined. The risk of cardiovascular disease in 10 years was assessed for all the participants based on their Framingham risk scores. RESULTS A total of 112 diabetic patients and 49 healthy subjects were enrolled in this study. The diabetic patients had significantly higher body mass index (BMI), blood glucose, triglyceride, low-density lipoprotein (LDL), plasma AOPPs and Framingham risk score but lower high-density lipoprotein level than the control subjects. Spearman correlation analysis showed that plasma level of AOPPs was positively correlated with the Framingham risk score (r=-0.44, P<0.001), and further multiple linear regression analysis suggested that plasma AOPPs level was independently correlated with the Framingham risk score (β0.305, P<0.001). CONCLUSION Type 2 diabetic patients without vascular diseases have significantly higher plasma levels of AOPPs and are at a greater risk of cardiovascular events in 10 years than healthy individuals. Plasma AOPPs are positively correlated with the Framingham risk score, suggesting the value of plasma AOPPs level in predicting the risk of cardiovascular events in these patients.
Collapse
Affiliation(s)
- 超 谢
- 佛山市第一人民医院肾内科,广东 佛山 528000Department of Nephrology, Foshan First People's Hospital, Foshan 528000, China
| | - 杰 田
- 佛山市妇幼保健院病理科,广东 佛山 528000Department of Pathology, Foshan Maternal and Child Healthcare Hospital, Foshan 528000, China
| | - 伟 李
- 佛山市第一人民医院肾内科,广东 佛山 528000Department of Nephrology, Foshan First People's Hospital, Foshan 528000, China
| | - 敏 梁
- 南方医科大学南方医院肾内科,广东 广州 510515Department of Nephrology, Nanfang Hospital, Southern Medical
| | - 耀中 孔
- 佛山市第一人民医院肾内科,广东 佛山 528000Department of Nephrology, Foshan First People's Hospital, Foshan 528000, China
| |
Collapse
|
9
|
王 建, 左 占, 张 洪, 李 伟, 王 坤. [Comparison of Clinical Outcomes of VATS and SBRT in the Treatment of NSCLC]. Zhongguo Fei Ai Za Zhi 2016; 19:136-46. [PMID: 27009818 PMCID: PMC5999824 DOI: 10.3779/j.issn.1009-3419.2016.03.04] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/28/2015] [Revised: 01/16/2016] [Accepted: 01/20/2016] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND OBJECTIVE More and more chest physicians chose video-assisted thoracoscopic surgery (VATS) to treat early stage non-small cell lung cancer (NSCLC). In recent years, there is still lack of a random trial comparing the clinical outcomes of VATS and stereotactic body radiotherapy (SBRT) in treating NSCLC. To provide a reference for the choice between VATS and SBRT, in the current meta-analysis, we compared the clinical outcomes of these two therapies in treating NSCLC. METHODS Five major medical databases, CNKI, CPVIP (http://www.cqvip.com/), PubMed, Embase, and ISI web of science were systematically searched to identify all studies from January 2010 to February 2016 on VATS and SBRT therapies. Finally, original English or Chinese publications of stage I and II NSCLC with adequate patients and adequate SBRT doses were enrolled. A multivariate random effects model was used to perform a meta-analysis to compare overall survival and disease free survival between VATS and SBRT while adjusting for median age and operable patient numbers. RESULTS Fourteen VATS studies (included 3,482 patients) and nineteen SBRT studies (included 3,997 patients) published in the same period were eligible. The median age and follow-up duration were 64 years and 43.4 months for VATS patients and 74 years and 29.5 months for SBRT patients, respectively. The mean unadjusted overall survival rates at 1, 2, 3, and 5 years with VATS were 93.5%, 84.9%, 77.0% and 76.3% compared to 89.0% 73.3% 59.0% and 36.7% with SBRT. The mean unadjusted disease free survival rates at 1, 2, 3, and 5 years with VATS were 93.6%, 88.6%, 85.6% and 75.6% compared to 79.3%, 72.1%, 64.9% and 58.9% with SBRT. While, after adjusted for proportion of operable patients and median age, the estimate overall survival rates at 1, 2, 3, and 5 years with VATS were 94%, 92%, 84% and 71% compared to 98%, 95%, 87% and 83% with SBRT. And the estimate disease free survival rates at 1, 2, 3, and 5 years with VATS were 97%, 94%, 85% and 75% compared to 88%, 81%, 74% and 63% with SBRT. CONCLUSION Before adjustment, the SBRT group showed worse clinical outcomes (overall survival and disease free survival) than VATS group. When take consider of median age and operability, the patients with SBRT differ substantially from patients treated with VATS. After adjustment of median age and operability, there are no significant differences between these two therapy in treating NSCLC.
Collapse
Affiliation(s)
- 建东 王
- />100027 北京,武警北京总队医院胸部肿瘤治疗中心Thoracic Cancer Treatment Center, Armed police Beijing Corps Hospital, Beijing 100027, China
| | - 占杰 左
- />100027 北京,武警北京总队医院胸部肿瘤治疗中心Thoracic Cancer Treatment Center, Armed police Beijing Corps Hospital, Beijing 100027, China
| | - 洪波 张
- />100027 北京,武警北京总队医院胸部肿瘤治疗中心Thoracic Cancer Treatment Center, Armed police Beijing Corps Hospital, Beijing 100027, China
| | - 伟 李
- />100027 北京,武警北京总队医院胸部肿瘤治疗中心Thoracic Cancer Treatment Center, Armed police Beijing Corps Hospital, Beijing 100027, China
| | - 坤峰 王
- />100027 北京,武警北京总队医院胸部肿瘤治疗中心Thoracic Cancer Treatment Center, Armed police Beijing Corps Hospital, Beijing 100027, China
| |
Collapse
|
10
|
刘 玉, 张 志, 窦 硕, 李 伟, 王 鹏, 谢 平. 利用磁镊研究促旋酶与DNA的结合. Chin Sci Bull 2012. [DOI: 10.1360/csb2012-57-24-2269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
11
|
奚 绪, 窦 硕, 王 鹏, 徐 雅, 李 伟, 丁 秀. zijiRECQ5β 解旋酶DNA 退火特性的动力学研究. Chin Sci Bull 2012. [DOI: 10.1360/csb2012-57-8-618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
12
|
李 亮, 陈 硕, 吴 昊, 祝 宁, 客 建, 李 伟, 谢 亮, 王 礼. 综合考虑偏压和温度因素实现光探测器本征频率响应的提取. Chin Sci Bull 2010. [DOI: 10.1360/csb2010-55-17-1654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
13
|
|
14
|
羊 小, 李 伟, 谭 蔚, 唐 红, 王 柯. 硫代修饰分子信标用于活细胞内mRNA的检测. Chin Sci Bull 2008. [DOI: 10.1360/csb2008-53-17-2034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
15
|
李 慧, 李 伟, 谭 蔚, 何 晓, 王 柯, 杨 柳, 金 容. 基于AFM的血管生成素与其核酸识体(Aptamer)的相互作用力. Chin Sci Bull 2007. [DOI: 10.1360/csb2007-52-19-2271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
16
|
郭 应, 辛 殿, 李 伟. PKB与SMAD3相互作用调节前列腺癌细胞株PC-3对TGF-β 的敏感性. Chin Sci Bull 2006. [DOI: 10.1360/csb2006-51-11-1269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
17
|
|
18
|
|
19
|
李 伟. 关于拟对称函数的Beurling-Ahlfors扩张的伸缩商. Chin Sci Bull 1984. [DOI: 10.1360/csb1984-29-18-1151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|