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Yuan PD, Hu YW, Chen XQ, Chen GY, Pan Y, Lao HY, Liang D. Adalimumab Dose Reduction and Withdrawal in Stable Non-Infectious Pediatric Uveitis: An Open-Label, Prospective, Pilot Study. Ocul Immunol Inflamm 2024:1-8. [PMID: 38652891 DOI: 10.1080/09273948.2024.2343084] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Accepted: 04/09/2024] [Indexed: 04/25/2024]
Abstract
PURPOSES This study investigated the feasibility of adalimumab (ADA) dose reduction and withdrawal strategy in children with stable pediatric non-infectious uveitis (PNIU). METHODS This open-label prospective pilot trial recruited 18 stable PNIU patients (33 eyes) between two and eighteen years old who were treated with standard doses of ADA (20/40 mg every 2 weeks) plus oral methotrexate. The interval of ADA injection was extended to 4 weeks and followed up for 24 weeks. If the uveitis remained stable, ADA was discontinued and followed up for another 24 weeks. ADA was considered successfully stopped if no relapse occurred during this period. The relapse-free survival rate, best corrected visual acuity (BVCA), anterior chamber cell (ACC), vitritis, macular thickness (MT), and serum ADA levels were evaluated. Approval Number: 2021KYPJ201. ClinicalTrials.gov identifier: NCT05155592. RESULTS The relapse-free survival rate was 22.2% (4/18) at 48 weeks. 33.3% (6/18) of patients relapsed when ADA was given every 4 weeks, while 44.5% of patients (8/18) relapsed after ADA was stopped. The four patients successfully withdrawn from ADA were all diagnosed with BD. No statistically significant differences (p > 0.05) were observed in BCVA and MT between baseline and final follow-up. The proportion of ACC and vitritis exhibited an upward trend (p < 0.05) during follow-up. Serum ADA gradually decreased to zero during follow-up in both non-recurrence and recurrence groups. CONCLUSIONS In PNIU children who reached remission for 6 months, ADA dose reduction and withdrawal were associated with a high risk of inflammation recurrence. Timely adjustment of ADA to the last effective dosage frequency can regain control of the inflammation. Detection of ADA serum levels in patients with recurrence may help find the appropriate interval of ADA use.
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Affiliation(s)
- P D Yuan
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, Guangzhou, China
- Department of Ophthalmology, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China
| | - Y W Hu
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, Guangzhou, China
- Department of Ophthalmology, The Second Affiliated Hospital, Nanchang University, Nanchang, China
| | - X Q Chen
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, Guangzhou, China
| | - G Y Chen
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, Guangzhou, China
| | - Y Pan
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, Guangzhou, China
| | - H Y Lao
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, Guangzhou, China
| | - D Liang
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, Guangzhou, China
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Chen XQ, Zhou YB, Xiao YY, Ma L. [Prevention and control of pediatric tinea capitis]. Zhonghua Liu Xing Bing Xue Za Zhi 2023; 44:1988-1992. [PMID: 38129158 DOI: 10.3760/cma.j.cn112338-20230613-00373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 12/23/2023]
Abstract
Tinea capitis is a superficial fungal infection of the scalp and hair caused by Dermatophytes. It represents the most prevalent superficial fungal infection among preadolescent children worldwide, including in developing countries such as China. The highly contagious nature of tinea capitis can result in outbreaks within communal settings for children. Furthermore, pustular lesions associated with this condition can lead to permanent scarring and hair loss, imposing a significant psychological burden on affected children and their parents. This article aims to provide a comprehensive literature review encompassing the susceptible person, epidemiological characteristics, trends, etiology, modes of transmission, clinical manifestations, treatment, and prevention strategies of tinea capitis. The ultimate objective is to raise awareness, implement effective prevention and control measures, interrupt the transmission cycle, and ultimately reduce the incidence of tinea capitis in the pediatric population.
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Affiliation(s)
- X Q Chen
- Department of Dermatology, Beijing Children's Hospital, Capital Medical University/National Center for Children's Health, Beijing 100045, China
| | - Y B Zhou
- Department of Dermatology, Beijing Children's Hospital, Capital Medical University/National Center for Children's Health, Beijing 100045, China
| | - Y Y Xiao
- Department of Dermatology, Beijing Children's Hospital, Capital Medical University/National Center for Children's Health, Beijing 100045, China
| | - L Ma
- Department of Dermatology, Beijing Children's Hospital, Capital Medical University/National Center for Children's Health, Beijing 100045, China
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Wan QQ, Chen XQ. [Early recognition and prevention of systemic sclerosis]. Zhonghua Yu Fang Yi Xue Za Zhi 2023; 57:2224-2231. [PMID: 38186180 DOI: 10.3760/cma.j.cn112150-20230417-00294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 01/09/2024]
Abstract
Systemic sclerosis is a disease characterized by skin and internal organ fibrosis, lacking specific therapeutic drugs and having a poor prognosis. Early diagnosis and intervention of the disease is of significant value in improving patient prognosis. This article provides a systematic review of the early diagnosis and treatment of systemic sclerosis, including early symptom recognition, laboratory testing, and drug intervention. It will provide a reference for the prevention of this disease.
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Affiliation(s)
- Q Q Wan
- Department of Rheumatology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
| | - X Q Chen
- Department of Rheumatology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
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Chen XQ, Zhang S, Gou X, Zeng N, Duan B, Wang H, Dai J, Shen K, Zhong R, Tian R, Chen N, Yan D. Tumor Treatment Response Assessed During the Concurrent Chemoradiotherapy for Nasopharyngeal Patients. Int J Radiat Oncol Biol Phys 2023; 117:e652-e653. [PMID: 37785939 DOI: 10.1016/j.ijrobp.2023.06.2078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) To evaluate intratumoral treatment response distribution with using FDG-PET/CT during the chemoradiotherapy of nasopharyngeal patients (NPC). MATERIALS/METHODS A total of 5 of 30 patients with stage III-IVA NPC were enrolled in the institutional protocol for induction/concurrent chemoradiotherapy with radiation dose of 70 Gy in 33 fractions. For each patient, a pre-radiation treatment FDG-PET/MRI image (SUV0) and a mid-treatment image (SUVm) at the treatment dose of 31.8 Gy were obtained. Followed by deformable PET/MRI registration between SUV0 and SUVm, the tumor voxel SUV reduction ratio was obtained to construct a tumor dose response matrix (DRM). Tumor SUVavid was also constructed by limiting tumor voxel SUVm > a given value. Spatial correlations of the tumor SUV0, SUVm, SUVavid and DRM were determined. RESULTS The mean and coefficient variation (CV) of the SUV0, SUVm and DRM for all tumors were 5.05 (52%), 2.72 (49%) and 0.64 (63%) (Table contains the individual data), which were smaller than those on the SUVs of head-n-neck HPV+ patients reported previously due to the induction chemotherapy, but had much larger DRM mean and CV. The inter-tumoral CVs of SUV0 and DRM were 29% and 27%, which were much lower than those of the intra-tumoral CVs 43% and 57%. Meanwhile, the intra-tumoral variations on SUV0 was smaller than the one of head-neck HPV+ patients, but the DRM intra-variation was much larger. There was a weak correlation between SUV0 and SUVm with the correlation coefficient 0.13, a medium correlation of -0.55 between SUV0 and DRM, but a strong correlation, 0.72, between SUVm and DRM. However, the spatial correlation between tumor DRM and SUVavid was getting weaker as the SUVavid value increasing and equal 0.47 with SUVavid value > 3. CONCLUSION The spatial dose response DRM for NPC in the concurrent chemoradiotherapy was relatively high, while had relatively low baseline tumor metabolic activity SUV0. It was most likely due to the induction chemotherapy. In addition, the tumor dose response showed vary large intra-tumoral variation. The high correlations between DRM and SUVm imply that SUVavid could be used partially to guide adaptive modification of NPC treatment with carefully selected boundary value.
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Affiliation(s)
- X Q Chen
- Radiotherapy Physics and Technology Center, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - S Zhang
- Department of Head and Neck Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - X Gou
- Radiotherapy Physics and Technology Center, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - N Zeng
- Department of Head and Neck Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - B Duan
- Department of Head and Neck Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - H Wang
- Department of Nuclear Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - J Dai
- Department of Nuclear Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - K Shen
- Radiotherapy Physics and Technology Center, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - R Zhong
- Radiotherapy Physics and Technology Center, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - R Tian
- Department of Nuclear Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - N Chen
- Department of Head and Neck Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - D Yan
- Radiotherapy Physics and Technology Center, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China; Beaumont Health, Royal Oak, MI
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Cheng ZY, Chen PK, Feng YZ, Chen XQ, Qian L, Cai XR. Preliminary Feasibility Study on Diffusion Kurtosis Imaging to Monitor the Early Functional Alterations of Kidneys in Streptozocin-Induced Diabetic Rats. Acad Radiol 2023; 30:1544-1551. [PMID: 36244869 DOI: 10.1016/j.acra.2022.09.016] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 09/16/2022] [Accepted: 09/17/2022] [Indexed: 11/30/2022]
Abstract
RATIONALE AND OBJECTIVES The aim of this study was to investigate the potential of diffusion kurtosis imaging (DKI) to assess the early renal functional undulation of diabetic mellitus (DM). MATERIALS AND METHODS Fifty-seven Sprague-Dawley (SD) rats were randomly divided into two groups and eventually 48 rats were included in this study: the normal control (CON) group and diabetic mellitus (DM) group. Weeks 0, 4, 8, and 12 after the diabetes model was successfully established, all the rats were scanned on the 3.0T MRI. The DKI derived parameters of renal parenchyma, including fractional anisotropy (FAco, FAme), mean diffusivity (MDco, MDme), and mean kurtosis (MKco, MKme) were measured. Their alteration over time was analyzed and then correlated with urine volume (UV), blood urea nitrogen (BUN), and serum creatinine (Scr) using Pearson correlation analysis. Finally, hematoxylin and eosin (H&E) staining was performed on the kidneys of the two groups. RESULT There was a decreasing trend in FA, MK, and MD values over time in diabetic rats. Also, the gradually worsening histological damage of kidneys was noted over time in diabetic rats. The cortical FA and MK values and medullary FA, MK and MD values of diabetic rats were significantly lower than those of controls at most time points after DM induction. In addition, negative correlations were revealed between the BUN and FAco (r = -0.43, p = 0.03) or FAme value (r = -0.49, p = 0.01). The cortical MK value was moderately correlated with UV (r = -0.46, p = 0.03) and BUN (r = -0.55, p = 0.01). CONCLUSION The preliminary findings suggest that DKI might be an effective and sensitive tool to assess the early changes of renal function impairment in diabetic rats. The FA values of the cortex and medulla and the MK value of the cortex are sensitive markers in detecting renal injury in diabetic rats.
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Affiliation(s)
- Zhong-Yuan Cheng
- Medical Imaging Center, Jinan University First Affiliated Hospital, No.613 West Huangpu Avenue, Tianhe District, Guangzhou, Guangdong 510630, China
| | - Ping-Kang Chen
- Medical Imaging Center, Jinan University First Affiliated Hospital, No.613 West Huangpu Avenue, Tianhe District, Guangzhou, Guangdong 510630, China
| | - You-Zhen Feng
- Medical Imaging Center, Jinan University First Affiliated Hospital, No.613 West Huangpu Avenue, Tianhe District, Guangzhou, Guangdong 510630, China
| | - Xiao-Qiao Chen
- Radiology Department, Shenzhen Mental Health Center, Shenzhen Kangning Hospital, Shenzhen, Guangdong, China
| | - Long Qian
- Department of Biomedical Engineering, Peking University, Beijing, 100871, China
| | - Xiang-Ran Cai
- Medical Imaging Center, Jinan University First Affiliated Hospital, No.613 West Huangpu Avenue, Tianhe District, Guangzhou, Guangdong 510630, China.
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Yu TP, Hou J, Yang TJ, Lei S, Yang M, Su YY, Chen YC, Wu Y, Chen XQ. [Cardiac amyloidosis: pathological classification and clinical analysis of 48 cases]. Zhonghua Bing Li Xue Za Zhi 2023; 52:671-677. [PMID: 37408396 DOI: 10.3760/cma.j.cn112151-20221230-01082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 07/07/2023]
Abstract
Objective: To investigate the histological features and clinical manifestations in different types of cardiac amyloidosis to improve diagnostic accuracy. Methods: The histopathological features and clinical manifestations of 48 patients diagnosed with cardiac amyloidosis by Congo red stain and electron microscopy through endomyocardial biopsy were collected in West China Hospital of Sichuan University from January 2018 to December 2021. Immunohistochemical stains for immunoglobulin light chains (κ and λ) and transthyretin protein were carried out, and a review of literature was made. Results: The patients age ranged from 42 to 79 years (mean 56 years) and the male to female ratio was 1.1 to 1.0. The positive rate of endomyocardial biopsy was 97.9% (47/48), which was significantly higher than that of the abdominal wall fat (7/17). Congo red staining and electron microscopy were positive in 97.9% (47/48) and 93.5% (43/46), respectively. Immunohistochemical stains showed 32 cases (68.1%) were light chain type (AL-CA), including 31 cases of AL-λ type and 1 case of AL-κ type; 9 cases (19.1%) were transthyretin protein type (ATTR-CA); and 6 cases (12.8%) were not classified. There was no significant difference in the deposition pattern of amyloid between different types (P>0.05). Clinical data showed that ATTR-CA patients had less involvement of 2 or more organs and lower N-terminal pro-B-type natriuretic peptide (NT-proBNP) than the other type patients (P<0.05). The left ventricular stroke volume and right ventricular ejection fraction of ATTR-CA patients were better than the other patients (P<0.05). Follow-up data of 45 patients was obtained, and the overall mean survival time was 15.6±2.0 months. Univariate survival analysis showed that ATTR-CA patients had a better prognosis, while cardiac amyloidosis patients with higher cardiac function grade, NT-proBNP >6 000 ng/L, and troponin T >70 ng/L had a worse prognosis (P<0.05). Multivariate survival analysis showed that NT-proBNP and cardiac function grade were independent prognostic factors for cardiac amyloidosis patients. Conclusions: AL-λ is the most common type of cardiac amyloidosis in this group. Congo red staining combined with electron microscopy can significantly improve the diagnosis of cardiac amyloidosis. The clinical manifestations and prognosis of each type are different and can be classified based on immunostaining profile. However, there are still a few cases that cannot be typed; hence mass spectrometry is recommended if feasible.
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Affiliation(s)
- T P Yu
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - J Hou
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - T J Yang
- Department of Cardiology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - S Lei
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - M Yang
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Y Y Su
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Y C Chen
- Department of Cardiology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Y Wu
- Department of Hematology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - X Q Chen
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
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Xu YY, Su ZZ, Zheng LM, Zhang MN, Tan JY, Yang YL, Zhang MX, Xu M, Chen N, Chen XQ, Zhou Q. [Read-through circular RNA rt-circ-HS promotes hypoxia inducible factor 1α expression and renal carcinoma cell proliferation, migration and invasiveness]. Beijing Da Xue Xue Bao Yi Xue Ban 2023; 55:217-227. [PMID: 37042131 PMCID: PMC10091263] [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] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
Abstract
OBJECTIVE To identify and characterize read-through RNAs and read-through circular RNAs (rt-circ-HS) derived from transcriptional read-through hypoxia inducible factor 1α (HIF1α) and small nuclear RNA activating complex polypeptide 1 (SNAPC1) the two adjacent genes located on chromosome 14q23, in renal carcinoma cells and renal carcinoma tissues, and to study the effects of rt-circ-HS on biological behavior of renal carcinoma cells and on regulation of HIF1α. METHODS Reverse transcription-polymerase chain reaction (RT-PCR) and Sanger sequencing were used to examine expression of read-through RNAs HIF1α-SNAPC1 and rt-circ-HS in different tumor cells. Tissue microarrays of 437 different types of renal cell carcinoma (RCC) were constructed, and chromogenic in situ hybridization (ISH) was used to investigate expression of rt-circ-HS in different RCC types. Small interference RNA (siRNA) and artificial overexpression plasmids were designed to examine the effects of rt-circ-HS on 786-O and A498 renal carcinoma cell proliferation, migration and invasiveness by cell counting kit 8 (CCK8), EdU incorporation and Transwell cell migration and invasion assays. RT-PCR and Western blot were used to exa-mine expression of HIF1α and SNAPC1 RNA and proteins after interference of rt-circ-HS with siRNA, respectively. The binding of rt-circ-HS with microRNA 539 (miR-539), and miR-539 with HIF1α 3' untranslated region (3' UTR), and the effects of these interactions were investigated by dual luciferase reporter gene assays. RESULTS We discovered a novel 1 144 nt rt-circ-HS, which was derived from read-through RNA HIF1α-SNAPC1 and consisted of HIF1α exon 2-6 and SNAPC1 exon 2-4. Expression of rt-circ-HS was significantly upregulated in 786-O renal carcinoma cells. ISH showed that the overall positive expression rate of rt-circ-HS in RCC tissue samples was 67.5% (295/437), and the expression was different in different types of RCCs. Mechanistically, rt-circ-HS promoted renal carcinoma cell proliferation, migration and invasiveness by functioning as a competitive endogenous inhibitor of miR-539, which we found to be a potent post-transcriptional suppressor of HIF1α, thus promoting expression of HIF1α. CONCLUSION The novel rt-circ-HS is highly expressed in different types of RCCs and acts as a competitive endogenous inhibitor of miR-539 to promote expression of its parental gene HIF1α and thus the proliferation, migration and invasion of renal cancer cells.
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Affiliation(s)
- Y Y Xu
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Z Z Su
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - L M Zheng
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - M N Zhang
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - J Y Tan
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
- Research Laboratory of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Y L Yang
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - M X Zhang
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - M Xu
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - N Chen
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
- Research Laboratory of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - X Q Chen
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
- Research Laboratory of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Q Zhou
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
- Research Laboratory of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
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Zhang MY, Bao M, Shi DY, Shi HX, Liu XL, Xu N, Duan MH, Zhuang JL, Du X, Qin L, Hui WH, Liang R, Wang MF, Chen Y, Li DY, Yang W, Tang GS, Zhang WH, Kuang X, Su W, Han YQ, Chen LM, Xu JH, Liu ZG, Huang J, Zhao CT, Tong HY, Hu JD, Chen CY, Chen XQ, Xiao ZJ, Jiang Q. [Clinical and genetic characteristics of young patients with myeloproliferative neoplasms]. Zhonghua Xue Ye Xue Za Zhi 2023; 44:193-201. [PMID: 37356980 PMCID: PMC10119718 DOI: 10.3760/cma.j.issn.0253-2727.2023.03.004] [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] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/27/2023]
Abstract
Objectives: To investigate the clinical and genetic features of young Chinese patients with myeloproliferative neoplasms (MPN). Methods: In this cross-sectional study, anonymous questionnaires were distributed to patients with MPN patients nationwide. The respondents were divided into 3 groups based on their age at diagnosis: young (≤40 years) , middle-aged (41-60 years) , and elderly (>60 years) . We compared the clinical and genetic characteristics of three groups of MPN patients. Results: 1727 assessable questionnaires were collected. There were 453 (26.2%) young respondents with MPNs, including 274 with essential thrombocythemia (ET) , 80 with polycythemia vera (PV) , and 99 with myelofibrosis. Among the young group, 178 (39.3%) were male, and the median age was 31 (18-40) years. In comparison to middle-aged and elderly respondents, young respondents with MPN were more likely to present with a higher proportion of unmarried status (all P<0.001) , a higher education level (all P<0.001) , less comorbidity (ies) , fewer medications (all P<0.001) , and low-risk stratification (all P<0.001) . Younger respondents experienced headache (ET, P<0.001; PV, P=0.007; MF, P=0.001) at diagnosis, had splenomegaly at diagnosis (PV, P<0.001) , and survey (ET, P=0.052; PV, P=0.063) . Younger respondents had fewer thrombotic events at diagnosis (ET, P<0.001; PV, P=0.011) and during the survey (ET, P<0.001; PV, P=0.003) . JAK2 mutations were found in fewer young people (ET, P<0.001; PV, P<0.001; MF, P=0.013) ; however, CALR mutations were found in more young people (ET, P<0.001; MF, P=0.015) . Furthermore, mutations in non-driver genes (ET, P=0.042; PV, P=0.043; MF, P=0.004) and high-molecular risk mutations (ET, P=0.024; PV, P=0.023; MF, P=0.001) were found in fewer young respondents. Conclusion: Compared with middle-aged and elderly patients, young patients with MPN had unique clinical and genetic characteristics.
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Affiliation(s)
- M Y Zhang
- Peking University People's Hospital, Beijing 100044, China
| | - M Bao
- Peking University People's Hospital, Beijing 100044, China
| | - D Y Shi
- Peking University People's Hospital, Beijing 100044, China
| | - H X Shi
- Peking University People's Hospital, Beijing 100044, China
| | - X L Liu
- Nanfang Hospital, Southern Medical University, Guangzhou 510080, China
| | - N Xu
- Nanfang Hospital, Southern Medical University, Guangzhou 510080, China
| | - M H Duan
- Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China
| | - J L Zhuang
- Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China
| | - X Du
- Department of Hematology, Shenzhen Second People's Hospital (First Affiliated Hospital of Shenzhen University), Shenzhen 518035, China
| | - L Qin
- The First Affiliated Hospital and College of Clinical Medicine of Henan University of Science and Technology, Zhenzhou 471003, China
| | - W H Hui
- Xuanwu Hospital, Capital Medical University, Beijing 100053, China
| | - R Liang
- Xi Jing Hospital, The Fourth Military Medical University, Xi'an 710032, China
| | - M F Wang
- Second Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - Y Chen
- Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
| | - D Y Li
- Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
| | - W Yang
- Shengjing Hospital Affiliated to China Medical University, Shenyang 110020, China
| | - G S Tang
- Nanfang Hospital, Southern Medical University, Guangzhou 510080, China
| | - W H Zhang
- First Hospital of Shanxi Medical University, Taiyuan 300012, China
| | - X Kuang
- Kaifeng Central Hospital, Kaifeng 475000, China
| | - W Su
- Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China
| | - Y Q Han
- The Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China
| | - L M Chen
- The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China
| | - J H Xu
- Department of Hematology, the First Hospital of Qiqihar, Qiqihar 161005, China
| | - Z G Liu
- Shengjing Hospital Affiliated to China Medical University, Shenyang 110020, China
| | - J Huang
- The Fourth Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 322000, China
| | - C T Zhao
- The Affiliated Hospital of Qingdao University, Qingdao 266003, China
| | - H Y Tong
- The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou 310003, China
| | - J D Hu
- Fujian Medical University Union Hospital, Fuzhou 350001, China
| | - C Y Chen
- Shandong University Qilu Hospital, Jinan 250012, China
| | - X Q Chen
- Northwest University School of Medicine, Xi'an 710069, China
| | - Z J Xiao
- Institute of Hematology and Blood Diseases Hospital, CAMS & PUMC, National Clinical Research Center for Blood Diseases, The State Key Laboratory of Experimental Hematology, Tianjin 300020, China
| | - Q Jiang
- Peking University People's Hospital, Beijing 100044, China
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Ding JM, Tan H, Xu H, Chen XQ, Wu XS, Sun F. [Cognition and reflection on the "lateral ligament of rectum"]. Zhonghua Wei Chang Wai Ke Za Zhi 2022; 25:1126-1131. [PMID: 36562239 DOI: 10.3760/cma.j.cn441530-20220419-00163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
As total mesorectal excision (TME) for rectal cancer is widely carried out in China, lateral ligament of rectum, as an important anatomical structure of the lateral rectum with certain anatomical value and clinical significance, has been the focus of attention. In this paper, by comparing and analyzing the characteristics about ligaments of the abdomen and pelvis, reviewing the membrane anatomy and the theory of primitive gut rotation, and combining clinical observations and histological studies, the author came to a conclusion that lateral ligament of rectum does not exist, but is only a relatively dense space on the rectal side accompanied by numerous tiny nerve plexuses and small blood vessels penetrating through it.
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Affiliation(s)
- J M Ding
- Major of Traditional Chinese Medicine Surgery, First Clinical School of Medicine, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
| | - H Tan
- Major of Traditional Chinese Medicine Surgery, First Clinical School of Medicine, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
| | - H Xu
- Major of Traditional Chinese Medicine Surgery, First Clinical School of Medicine, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
| | - X Q Chen
- Major of Traditional Chinese Medicine Surgery, First Clinical School of Medicine, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
| | - X S Wu
- Department of Colorectal Surgery, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
| | - F Sun
- Department of Colorectal Surgery, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
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10
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Chen XQ, Jia XY, Wu JJ, Huang M, Sun W, Ji N. [Efficacy and safety of omalizumab in patients with refractory allergic asthma: a meta-analysis]. Zhonghua Yi Xue Za Zhi 2022; 102:2201-2209. [PMID: 35872585 DOI: 10.3760/cma.j.cn112137-20211109-02480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Objective: To evaluate the efficacy and safety of omalizumab in patients with refractory allergic asthma using meta-analysis. Methods: We searched databases including PubMed, Web of Science, Embase and the website of ClinicalTrials. gov registry for randomized controlled trials (RCTs), using the search terms: ("anti-IgE" OR "anti-immunoglobulin E" OR "anti-IgE antibody" OR "omalizumab" OR "rhuMAb-E25" OR "Xolair") AND ("allergic asthma"). The time was up to September 19th 2020. Review Manager 5.4 software and Stata16 software were used to calculate pooled RR or WMD, perform heterogeneity test, and assess publication bias. Results: Fifteen RCTs with 6 316 patients in total (omalizumab, n=3 469; placebo, n=2 847) met our selection criteria. Comparing with placebo, omalizumab reduced the risk of asthma exacerbations during both stable-inhaled corticosteroid (ICS) phase (RR=0.69, 95%CI: 0.63-0.75, P<0.001; I2=39.0%, P=0.090) and ICS-reduction phase (RR=0.55, 95%CI: 0.46-0.66, P<0.001; I2=41.0%, P=0.180), reduced emergency visits (RR=0.53, 95%CI: 0.38-0.73, P<0.001; I2=0, P=0.420), made a significant reduction in dosage of ICS (RR=1.35, 95%CI: 1.25-1.45, P<0.001; I2=22.0%, P=0.280) and even withdrew from ICS completely (RR=1.80, 95%CI: 1.41-2.31, P<0.001; I2=57.0%, P=0.070). Omalizumab significantly improved asthma-related quality of life (RR=1.81, 95%CI: 1.51-2.17). The use of rescue bronchodilators was significantly reduced in the omalizumab group (RR=0.78, 95%CI: 0.67-0.92) but there was no significant difference in the dosage of rescue bronchodilators (puff per day) (WMD=-0.32, 95%CI: -0.77-0.13). Patients taking omalizumab did not increase the frequency of any adverse events (RR=1.01, 95%CI: 0.98-1.03) and serious adverse events (RR=0.89, 95%CI: 0.74-1.06). Conclusions: Omalizumab is an ideal adjunctive treatment for refractory allergic asthma with good efficacy and safety. Further randomized controlled trials are needed to determine the appropriate duration of treatment.
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Affiliation(s)
- X Q Chen
- Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - X Y Jia
- Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - J J Wu
- Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - M Huang
- Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - W Sun
- Department of Respiratory and Critical Care Medicine, Xishan People's Hospital of Wuxi City, Wuxi 214000, China
| | - Ningfei Ji
- Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
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11
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Nie L, Chen XQ, Song YK, Zhang MN, Xu M, Gong J, Zhou Q, Chen N. [Microfocal prostate cancer: a clinicopathological analysis of 206 cases]. Zhonghua Bing Li Xue Za Zhi 2022; 51:634-639. [PMID: 35785834 DOI: 10.3760/cma.j.cn112151-20210928-00718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Objective: To investigate the clinical and pathological features and prognosis of patients with microfocal prostate adenocarcinoma. Methods: Clinical and pathological data of the patients diagnosed with microfocal adenocarcinoma on prostate biopsy at the West China Hospital from 2013 to 2019 were collected. Microfocal adenocarcinoma was defined as follows: Gleason score of 3+3=6, total number of the cores ≥10, number of the positive cores ≤2, and proportion of the tumor in each positive core<50%. Clinicopathological parameters, treatment plans and follow-up data were collected. Pathological information of the biopsy and radical resection specimens was used to analyze the correlation between pathological parameters in the biopsy report and adverse pathological features of radical resection specimens, including increased Gleason score, capsule invasion, positive surgical margin and perineural invasion. Results: A total of 206 cases of microfocal adenocarcinoma were diagnosed on prostate biopsies from 2013 to 2019, accounting for 6.7% of all adenocarcinoma cases. There were 139 cases of 1 positive core and 67 cases of 2 positive cores. Patients with microfocal adenocarcinoma were younger than those with non-microfocal adenocarcinoma (69 years versus 71 years, P<0.001). Compared with patients with non-microfocal adenocarcinoma, the pre-biopsy total prostate specific antigen (tPSA) and free prostate specific antigen (fPSA) levels in patients with microfocal adenocarcinoma were both lower (11.2 μg/L2 versus 23.7 μg/L2; 1.4 μg/L2 versus 3.0 μg/L2, P<0.001), the fPSA/tPSA level was higher (12.9% versus 10.7%, P<0.05), the prostate volume was larger (38.9 mL versus 34.3 mL, P<0.05), and the PSA density was lower (0.3 μg/L2 versus 0.8 μg/L2, P<0.001). 130 patients underwent radical prostatectomy, 30 patients chose active monitoring, 31 patients chose endocrine or radiation therapy, and 15 patients were lost to follow-up. Three patients in the active surveillance group underwent radical prostatectomy for disease progression after 21-39 months observation. Biochemical relapses occurred in two patients in the radical prostatectomy group. The remaining patients have no disease progression or recurrence at present. Compared with radical prostatectomy specimens, Gleason score in the biopsy material was increased in 64/115 patients (55.7%). Among resection excision specimens, 14 cases (12.2%) had extraprostatic extension (EPE), 35 cases (30.4%) had perineural invasion, and 16 cases (13.9%) had a positive margin. Univariate and multivariate analyses showed that low fPSA/tPSA ratio and 2 positive cores were independent risk factors for Gleason score increase in the radical prostatectomy specimens. A low fPSA/tPSA ratio was an independent risk factor for perineural invasion. Low fPSA/tPSA ratio and low prostate volume were associated with a positive margin in radical prostatectomy specimens. Conclusions: In this study, patients diagnosed with microfocal adenocarcinoma on prostate biopsy account for a high proportion of the patients with increased Gleason score in the radical prostatectomy specimens, and there is a certain proportion of adverse pathological features in the radical specimens. Therefore, for the patients with only a small amount of low-grade adenocarcinoma found in biopsy, PSA levels and PSA density should be taken into consideration in treatment selection.
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Affiliation(s)
- L Nie
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - X Q Chen
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Y K Song
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - M N Zhang
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - M Xu
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - J Gong
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Q Zhou
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - N Chen
- Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
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12
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Wang P, Pu WJ, Tan HZ, Wang P, Chen XQ. [Morphological and molecular identification of trematode isloates from laying ducks in Nanchang City]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2022; 34:59-65. [PMID: 35266358 DOI: 10.16250/j.32.1374.2021114] [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] [Indexed: 06/14/2023]
Abstract
OBJECTIVE To identify the species of trematodes isolated from laying ducks in Nanchang City using morphological and molecular approaches. METHODS Trematodes were isolated from the hepatobiliary duct, gallbladder and large intestine of market-sold laying ducks in Nanchang City. Following morphological characterization, total DNA was extracted from all trematode specimens, and internal transcribed spacer region (ITS) and cytochrome C oxidase subunit 1 (Cox1) genes were amplified using PCR assay and sequenced. Sequence alignment was performed using the Blast software, and homology and phylogenetic analyses were done in the trematode isolates based on ITS and Cox1 gene sequences. RESULTS The morphological characteristics of two trematode isolates from the large intestine of laying ducks were similar to those of Echinostoma revolutum and E. miyagawai, and the morphological characteristics of eight trematode samples isolated from the hepatobiliary duct and gallbladder of laying ducks were similar to those of Amphimerus anatis. The ITS and Cox1 gene sequences of the two trematode isolates from the large intestine of laying ducks had 99.3% and 98.9%-99.4% homology with E. miyagawai, and the phylogenetic analysis showed that two trematode isolates had the closest genetic relationship with E. miyagawai based on ITS and Cox1 gene sequences. The ITS gene sequences of eight trematode isolates from the hepatobiliary duct and gallbladder of laying ducks shared 95.1%-95.5% with Opisthorchis sudarikovi and Clonorchis sinensis, while the Cox1 gene sequences of eight trematode isolates from the hepatobiliary duct and gallbladder of laying ducks shared 86.3%-86.4% and 85.5%-85.7% with O. viverrini and O. sudarikovi. ITS gene sequence-based phylogenetic analysis showed that the duck-derived trematode isolates had the closest genetic relationship with C. sinensis, and Cox1 gene sequence-based phylogenetic analysis showed that the duck-derived trematode isolates had the closest genetic relationship with Metorchis orientalis and O. viverrini. CONCLUSIONS The trematode isolates from the large intestine of laying ducts in Nanchang City may be E. miyagawai, and the trematode isolates from the hepatobiliary duct and gallbladder may be an unidentified trematode species of the family Opisthorchiidae.
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Affiliation(s)
- P Wang
- College of Animal Science and Technology, Jiangxi Agricultural University, Nanchang, Jiangxi 330045, China
| | - W J Pu
- College of Animal Science and Technology, Jiangxi Agricultural University, Nanchang, Jiangxi 330045, China
| | - H Z Tan
- College of Animal Science and Technology, Jiangxi Agricultural University, Nanchang, Jiangxi 330045, China
| | - P Wang
- College of Animal Science and Technology, Jiangxi Agricultural University, Nanchang, Jiangxi 330045, China
| | - X Q Chen
- College of Animal Science and Technology, Jiangxi Agricultural University, Nanchang, Jiangxi 330045, China
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13
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Yao Z, Liang G, Lv ZL, Lan LC, Zhu FL, Tang Q, Huang L, Chen XQ, Yang MX, Shan QW. Taurine Reduces Liver Damage in Non-Alcoholic Fatty Liver Disease Model in Rats by Down-Regulating IL-9 and Tumor Growth Factor TGF-β. Bull Exp Biol Med 2021; 171:638-643. [PMID: 34617180 DOI: 10.1007/s10517-021-05285-2] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Indexed: 02/08/2023]
Abstract
The study employed a rat model to examine the effects of taurine (Tau) on prevention and therapy of non-alcoholic fatty liver disease (NAFLD). In model rats maintained on a high-fat diet (HFD), the serum levels of ALT, AST, triglycerides, cholesterol, and LDL were higher than the corresponding levels in normal control and NP groups (p<0.05). In Tau-prevention and Tau-treatment groups, the serum levels of AST and triglycerides were lower than in HFD rats (p<0.05). In HFD rats, diffuse fatty degeneration and infiltration with inflammatory cells was observed in the liver; in the ileal mucosa, the villi were fractured or absent, the epithelium was exfoliated and infiltrated with inflammatory cells. The levels of TGF-β, IL-9, and their mRNA in the liver and ileal mucosa of HFD rats were significantly higher than in normal control and NP groups (p<0.05). In Tau-prevention and Tau-treatment groups, these levels were significantly lower than in HFD rats (p<0.05). Thus, TGF-β and IL-9 can be implicated in NAFLD genesis, while Tau can preventively or therapeutically diminish the damage to the liver and ileal mucosa in rats with this disease by down-regulating the expression of TGF-β and IL-9.
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Affiliation(s)
- Z Yao
- Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - G Liang
- Department of Pathophysiology, Basic Medicine College of Guangxi Medical University, Nanning, China
| | - Z L Lv
- Department of Pathology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - L C Lan
- Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - F L Zhu
- Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Q Tang
- Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - L Huang
- Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - X Q Chen
- Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - M X Yang
- Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Q W Shan
- Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
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14
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Feng YZ, Chen XQ, Cheng ZY, Lin QT, Chen PK, Si-Tu DK, Cao R, Qian L, Heng B, Cai XR. Non-invasive investigation of early kidney damage in streptozotocin-induced diabetic rats by intravoxel incoherent motion diffusion-weighted (IVIM) MRI. BMC Nephrol 2021; 22:321. [PMID: 34565330 PMCID: PMC8474753 DOI: 10.1186/s12882-021-02530-8] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Accepted: 09/10/2021] [Indexed: 11/21/2022] Open
Abstract
Background The current study investigated the performance of intravoxel incoherent motion diffusion (IVIM) technology in monitoring early renal injury in streptozotocin rats. Methods Forty-eight Sprague-Dawley (SD) rats were divided into a control group and a diabetic mellitus (DM) group. Six rats in each group were randomly selected for MR scans at four different time points (0, 4, 8, and 12 weeks). The IVIM-derived parameters (D, D*, f and ADC values) of the renal cortex (CO), outer and inner stripe of the outer medulla (OS, IS), and internal medulla (IM) were acquired. Changes in each IVIM-derived parameter over time were analyzed, and differences between the two groups at each point were assessed. The associations between the IVIM parameters and IV collagen expression, urine volume (UV), blood urea nitrogen (BUN), and serum creatinine (Scr) were investigated. Results The D and D* values of CO and the ADC values of CO, OS, IS and IM displayed significantly different trends between the two groups over time (P<0.05). In addition, significant correlations were discovered between the D* value of CO and UV and BUN (r=0.527, P=0.033; r=0.617, P=0.005), between the ADC value of IM and BUN (r=0.557, P=0.019) and between the f value of IM and BUN (r=0.527, P=0.033). No correlation was found between IVIM parameters and IV collagen expression and Scr. Conclusions IVIM is a potential sensitive and noninvasive technology for the simultaneous assessment of early renal cortical and medullary injuries induced by diabetes. Supplementary Information The online version contains supplementary material available at 10.1186/s12882-021-02530-8.
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Affiliation(s)
- You-Zhen Feng
- Medical Imaging Center, Jinan University First Affiliated Hospital, No.613 West Huangpu Avenue, Tianhe District, Guangzhou, 510630, Guangdong, China
| | - Xiao-Qiao Chen
- Medical Imaging Center, The Eighth Affiliated Hospital of Sun Yat-Sen University, Shenzhen, Guangdong, China
| | - Zhong-Yuan Cheng
- Medical Imaging Center, Jinan University First Affiliated Hospital, No.613 West Huangpu Avenue, Tianhe District, Guangzhou, 510630, Guangdong, China
| | - Qi-Ting Lin
- Medical Imaging Center, Jinan University First Affiliated Hospital, No.613 West Huangpu Avenue, Tianhe District, Guangzhou, 510630, Guangdong, China
| | - Ping-Kang Chen
- Medical Imaging Center, Jinan University First Affiliated Hospital, No.613 West Huangpu Avenue, Tianhe District, Guangzhou, 510630, Guangdong, China
| | - Ding-Kun Si-Tu
- Medical Imaging Center, Jinan University First Affiliated Hospital, No.613 West Huangpu Avenue, Tianhe District, Guangzhou, 510630, Guangdong, China
| | - Rui Cao
- Nephrology Department, Jinan University First Affiliated Hospital, Guangzhou, Guangdong, China
| | - Long Qian
- GE Healthcare, Beijing, China.,Department of Biomedical Engineering, Peking University, Beijing, 100871, China
| | - Baoli Heng
- Yingde Base, Institute of Kidney Surgery, Jinan University, Guangzhou, Guangdong, China.,Department of Urology, Jinan University First Affiliated Hospital, Guangzhou, China
| | - Xiang-Ran Cai
- Medical Imaging Center, Jinan University First Affiliated Hospital, No.613 West Huangpu Avenue, Tianhe District, Guangzhou, 510630, Guangdong, China.
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Chen XQ, Wang YY, Zhang MN, Lu Q, Pang LY, Liu LY, Li YF, Zou LP. Sirolimus Can Increase the Disappearance Rate of Cardiac Rhabdomyomas Associated with Tuberous Sclerosis: A Prospective Cohort and Self-Controlled Case Series Study. J Pediatr 2021; 233:150-155.e4. [PMID: 33631166 DOI: 10.1016/j.jpeds.2021.02.040] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Revised: 02/14/2021] [Accepted: 02/16/2021] [Indexed: 11/17/2022]
Abstract
OBJECTIVES To investigate the efficacy and safety of sirolimus in the treatment of cardiac rhabdomyomas associated with tuberous sclerosis complex and the specific benefits in different subgroups. STUDY DESIGN The study was a prospective cohort and self-controlled case series study. Based on the prevalence of cardiac rhabdomyoma at different ages, we estimated the natural tumor disappearance rate. The subgroup analysis was done by Cox regression. Self-controlled case series method was used to assess the magnitude and duration of the drug effect. Adverse events were described. RESULTS A total of 217 patients were included in the cohort study. Tumor disappearance rate was higher in younger age groups (hazard ratio = 0.99, P = .027) and female patients (hazard ratio = 2.08, P = .015). The age-adjusted incidence ratio showed that the disappearance of rhabdomyomas between 3 and 6 months was more related to sirolimus. Adverse events were observed 60 times in 42 of 217 children, mainly stomatitis. CONCLUSIONS Sirolimus can increase the disappearance rate of cardiac rhabdomyoma in the tuberous sclerosis complex population. Efficacy varies by sex and age: female and younger patients have higher tumor disappearance rate. Sirolimus is well-tolerated.
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Affiliation(s)
- Xiao-Qiao Chen
- Department of Pediatrics, First Medical Center, Chinese PLA General Hospital, Beijing, China; Department of Pediatrics, The 904th Hospital of Joint Logistic Support Force, Wuxi, China
| | - Yang-Yang Wang
- Department of Pediatrics, First Medical Center, Chinese PLA General Hospital, Beijing, China
| | - Meng-Na Zhang
- Department of Pediatrics, First Medical Center, Chinese PLA General Hospital, Beijing, China
| | - Qian Lu
- Department of Pediatrics, First Medical Center, Chinese PLA General Hospital, Beijing, China
| | - Ling-Yu Pang
- Department of Pediatrics, First Medical Center, Chinese PLA General Hospital, Beijing, China
| | - Li-Ying Liu
- Department of Pediatrics, First Medical Center, Chinese PLA General Hospital, Beijing, China; Department of Neurology, Beijing Jingdu Children's Hospital, Beijing, China
| | - Yu-Fen Li
- Department of Pediatrics, Shandong Linyi People's Hospital, Linyi, China
| | - Li-Ping Zou
- Department of Pediatrics, First Medical Center, Chinese PLA General Hospital, Beijing, China; Center of Epilepsy, Beijing Institute for Brain Disorders, Beijing, China.
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16
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Zhu WX, Jiang SH, Liang YQ, Chen XQ. [Williams-Beuren syndrome associated with chronic granulomatous disease: a case report]. Zhonghua Er Ke Za Zhi 2021; 59:334-336. [PMID: 33775057 DOI: 10.3760/cma.j.cn112140-20200922-00899] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Affiliation(s)
- W X Zhu
- Department of Pediatrics, First People's Hospital of Foshan, Foshan 528000, China
| | - S H Jiang
- Department of Pediatrics, First People's Hospital of Foshan, Foshan 528000, China
| | - Y Q Liang
- Department of Pediatrics, First People's Hospital of Foshan, Foshan 528000, China
| | - X Q Chen
- Department of Pediatrics, First People's Hospital of Foshan, Foshan 528000, China
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He W, Chen J, Wang YY, Zhang MN, Lu Q, Wang QH, Luo XM, Chen XQ, Zou LP. Erratum to "Sirolimus improves seizure control in pediatric patients with tuberous sclerosis: A prospective cohort study" [Seizure: Eur. J. Epilepsy, 79 (2020) 20-26]. Seizure 2020; 81:342. [PMID: 32912814 DOI: 10.1016/j.seizure.2020.08.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- Wen He
- Department of Pediatrics, The First Medical Center of Chinese, PLA General Hospital, China
| | - Jian Chen
- Department of Pediatrics, The First Medical Center of Chinese, PLA General Hospital, China
| | - Yang-Yang Wang
- Department of Pediatrics, The First Medical Center of Chinese, PLA General Hospital, China
| | - Meng-Na Zhang
- Department of Pediatrics, The First Medical Center of Chinese, PLA General Hospital, China
| | - Qian Lu
- Department of Pediatrics, The First Medical Center of Chinese, PLA General Hospital, China
| | - Qiu-Hong Wang
- Department of Pediatrics, The First Medical Center of Chinese, PLA General Hospital, China
| | - Xiao-Mei Luo
- Center for Brain Disorders Research, Capital Medical University, Beijing Institute for Brain Disorders, China
| | - Xiao-Qiao Chen
- Department of Pediatrics, The First Medical Center of Chinese, PLA General Hospital, China
| | - Li-Ping Zou
- Department of Pediatrics, The First Medical Center of Chinese, PLA General Hospital, China; Center for Brain Disorders Research, Capital Medical University, Beijing Institute for Brain Disorders, China.
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Tang HL, Xu L, Chen XQ. [Bortezomib interferes with DNA repair and exerts synergistic anti-multiple myeloma activity with doxorubicin]. Zhonghua Xue Ye Xue Za Zhi 2020; 41:417-421. [PMID: 32447936 PMCID: PMC7364921 DOI: 10.3760/cma.j.issn.0253-2727.2020.04.010] [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] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
目的 探讨系统性免疫球蛋白轻链淀粉样变性(AL)初治患者的外周血免疫细胞表型特征及其与临床指标的相关性。 方法 采用流式细胞仪多参数免疫荧光分析技术,对36例AL初诊患者和28名健康供者的外周血单个核细胞的表面抗原CD3、CD56、CD4、CD8、CD25、CD45RA、CD28、CD57及核内抗原FOXP3进行检测和比较。根据梅奥2012分期对AL患者进行分期,比较Ⅰ~Ⅱ、Ⅲ~Ⅳ期患者的免疫细胞表型差异。分析λ轻链型AL患者T细胞亚群比例与多项临床指标的相关性。 结果 AL患者的外周血T(CD3+CD56−)和NKT(CD3+CD56+)细胞比例,T细胞中的CD4+CD8−、CD4−CD8+、Treg(CD4+CD25+FOXP3+)细胞比例与健康供者相比差异无统计学意义(P>0.05)。AL患者的CD4−CD8+细胞中,CD57+细胞的比例较健康供者显著降低(P<0.05),但CD45RA+和CD28+细胞的比例在AL和健康供者间差异无统计学意义。Ⅰ~Ⅱ期和Ⅲ~Ⅳ期AL患者T细胞及其亚群的比例差异无统计学意义(P>0.05)。在λ轻链型AL患者中,外周血CD4−CD8+细胞的比例与24 h尿蛋白和血肌酐呈正相关(P<0.05),与eGFR呈负相关(P<0.05),与其他临床指标无显著相关性。与此相反,CD4+CD8−细胞的比例与eGFR呈正相关,而与24 h尿蛋白和血肌酐呈负相关(P<0.05)。 结论 AL患者外周血的T细胞亚群与健康供者相比差异无统计学意义,但CD8+ T细胞的比例与肾脏损伤程度呈正相关,提示CD8+ T细胞的比例在评估AL患者肾脏预后中具有一定的价值。
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Affiliation(s)
- H L Tang
- Department of Hematology, Xijing Hospital, Air Force Medical University, Hematologic Diseases Center of Chinese People's Liberation Army, Xi'an 710032, China
| | - L Xu
- Department of Hematology, Xijing Hospital, Air Force Medical University, Hematologic Diseases Center of Chinese People's Liberation Army, Xi'an 710032, China
| | - X Q Chen
- Department of Hematology, Xijing Hospital, Air Force Medical University, Hematologic Diseases Center of Chinese People's Liberation Army, Xi'an 710032, China
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Wang YB, Mao HH, Chen XQ, Chen CF. Oblique coronal view through oral fissure on two-dimensional grayscale and color Doppler ultrasound: diagnostic value for fetal cleft palate. Ultrasound Obstet Gynecol 2020; 56:287-288. [PMID: 31671475 DOI: 10.1002/uog.21906] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Revised: 10/05/2019] [Accepted: 10/17/2019] [Indexed: 06/10/2023]
Affiliation(s)
- Y B Wang
- Department of Medical Ultrasound, Xiangya Hospital, Central South University, Changsha, China
| | - H H Mao
- Department of Medical Ultrasound, The Affiliated Zhuzhou Hospital Xiangya Medical College CSU, Central South University, Zhuzhou, China
| | - X Q Chen
- Department of Medical Ultrasound, The Affiliated Zhuzhou Hospital Xiangya Medical College CSU, Central South University, Zhuzhou, China
| | - C F Chen
- Department of Medical Ultrasound, The Affiliated Zhuzhou Hospital Xiangya Medical College CSU, Central South University, Zhuzhou, China
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Tian L, Yu ZZ, Chen XQ, Xue Y, Li M, Li GY. [Desmoplastic fibroblastoma in parapharyngeal space: a case report]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020; 55:268-269. [PMID: 32268699 DOI: 10.3760/cma.j.issn.1673-0860.2020.03.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- L Tian
- Department of Otorhinolaryngology Head and Neck Surgery, Taihe Hospital, Shiyan 442000, Hubei Province, China
| | - Z Z Yu
- Department of Otorhinolaryngology Head and Neck Surgery, Taihe Hospital, Shiyan 442000, Hubei Province, China
| | - X Q Chen
- Department of Medical Imaging, Taihe Hospital, Shiyan 442000, Hubei Province, China
| | - Y Xue
- Department of Otorhinolaryngology Head and Neck Surgery, Wudang Mountain Hospital, Taihe Hospital, Shiyan 442714, Hubei Province, China
| | - M Li
- Department of Otorhinolaryngology Head and Neck Surgery, Taihe Hospital, Shiyan 442000, Hubei Province, China
| | - G Y Li
- Department of Otorhinolaryngology Head and Neck Surgery, Taihe Hospital, Shiyan 442000, Hubei Province, China
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He W, Chen J, Wang YY, Zhang MN, Qian-Lu, Wang QH, Luo XM, Chen XQ, Zou LP. Sirolimus improves seizure control in pediatric patients with tuberous sclerosis: A prospective cohort study. Seizure 2020; 79:20-26. [DOI: 10.1016/j.seizure.2020.03.018] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Revised: 02/27/2020] [Accepted: 03/29/2020] [Indexed: 12/01/2022] Open
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Dun S, Zou LP, Zhang MN, Wang YY, He W, Chen HM, Hu LY, Chen XQ, Lu Q, Pang LY, Liu LY, Tang LN, Wang B. [Rapamycin in the treatment of renal diseases associated with tuberous sclerosis complex]. Zhonghua Er Ke Za Zhi 2019; 57:852-856. [PMID: 31665839 DOI: 10.3760/cma.j.issn.0578-1310.2019.11.007] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the efficacy and safety of rapamycin in children with tuberous sclerosis complex (TSC) associated renal disease. Methods: A prospective self-control study was conducted. The clinical data of 92 children diagnosed with tuberous sclerosis complex associated kidney disease at the People's Liberation Army General Hospital from January 2011 to January 2019 were collected. The long-term rapamycin treatment for all patients initiated at 1 mg/(m(2)·d), which was gradually adjusted to reach a blood concentration of 5-10 μg/L. The changes of the maximum diameter of renal lesions in children after rapamycin treatment were observed and analyzed with Wilcoxon test. Results: Ninety-two children, including 52 males and 40 females, who met the criteria were analyzed. Sixty patients had only renal angiomyolipoma(RAML), while 24 patients had only multiple renal cysts(MRC), and 8 patients had both lesions. The age of TSC diagnosis was 16.0 (7.0, 42.0) months, and the age of initial treatment with rapamycin was 63.5 (21.0, 103.0) months. The follow-up lasted for 12.0 (4.0, 23.0) months. Sequencing of TSC1 and TSC2 genes was performed in 54 children with TSC, including 3 patients (6%) with mutations in TSC1 gene and 51 patients (94%) with mutations in TSC2 gene. The maximum RAML diameter before treatment was 7.0 (4.0, 9.0) mm. The best effect reached at 3 months of treatment, with the diameter of 4.0 (0,7.0) mm. The maximum diameters at 6 months, 1 year and 1-2 years were 5.0 (0,9.8) mm, 5.0 (1.5, 8.5) mm, 5.5 (3.0, 9.0) mm, respectively, and were significantly different from the baseline (Z=-2.404,-2.350,-2.750,P=0.016,0.019,0.006, respectively). The maximum diameter after 2-3 years, and ≥3 years were 5.0 (3.9,7.0) mm and 6.0 (1.0, 11.0) mm, without significant difference from the baseline (Z=-0.856,-0.102,P=0.393,0.919, respectively).The maximum diameters of MRC after 3 months, 6 months, 1 year,1-2 years, 2-3 years, and ≥3 years were 11.0 (5.0, 14.0) mm,3.0 (0.0,11.0) mm,5.0 (0,21.0) mm,0 (0,14.0) mm,0 (0,10.0) mm, and 0 (0,18.3) mm, respectively, but were not significantly different rom the baseline (7.0 (5.0, 15.7) mm)(Z=-0.944,-1.214,-1.035,-1.896,-1.603,-1.214,P=0.345,0.225,0.301,0.058,0.109,0.225, respectively).Twenty-nine patients (32%) had oral ulcers during the entire treatment period, and no serious adverse reactions were observed. Conclusions: Rapamycin could decrease the diameter of TSC-related RAML, but could not inhibit the growth of cysts. It is well tolerated in the treatment of renal diseases associated with tuberous sclerosis complex.
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Affiliation(s)
- S Dun
- Department of Pediatrics, First Medical Center of the People's Liberation Army General Hospital, Beijing 100853, China
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Wang ZW, Chen Y, Cheng FJ, Chen XQ, Yang Y, Lu KZ. [Preliminary study on effect of intraoperative goal-directed fluid management on pulmonary function and oxygen dynamics in patients with severe burns]. Zhonghua Shao Shang Za Zhi 2019; 35:733-739. [PMID: 31658544 DOI: 10.3760/cma.j.issn.1009-2587.2019.10.006] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To preliminarily investigate the effect of intraoperative goal-directed fluid management (GDFM) on pulmonary function and oxygen dynamics in patients with severe burns. Methods: From February 2017 to May 2018, 30 patients admitted to Burn Department of our hospital with severe burns who met the criteria for inclusion and needed escharectomy and skin grafting were enrolled in this prospective randomized controlled trial. The patients were divided into group GDFM of 15 cases [14 males and 1 female, (45±14) years old] and conventional liquid management group of 15 cases [12 males and 3 females, (42±10) years old] according to the random number table. During escharectomy and skin grafting, volume of patients in group GDFM was managed according to the GDFM scheme, based on cardiac output index, stroke volume variation, stroke volume index, hemoglobin, central venous oxygen saturation (ScvO(2)), and other parameters; volume of patients in conventional liquid management group was managed according to clinical experience and conventional liquid management scheme, based on mean arterial pressure, central venous pressure, urine output, hemoglobin, and other parameters. At post operation hour (POH) 1, 6, 12, and 24, arterial and venous blood was collected from patients of the two groups to determine the levels of extravascular lung water index (ELWI), global end-diastolic volume index (GEDI), oxygenation index, ScvO(2), central venous-to-arterial blood carbon dioxide partial pressure difference (Pcv-aCO(2)), lactic acid, pH value, bicarbonate ion, and base excess routinely. Data were processed with Fisher's exact probability test, t test, analysis of variance for repeated measurement, and least significant difference test. Results: (1) The ELWI of patients in group GDFM was (4.3±1.1) mL/kg at POH 1, which was significantly lower than (6.5±3.6) mL/kg in conventional liquid management group (t=2.26, P<0.05). The ELWI levels of patients in group GDFM at POH 6, 12, and 24 were (6.8±2.2), (6.6±2.0), and (6.9±1.6) mL/kg, respectively, significantly higher than the level at POH 1 within the same group (P<0.01), and similar to (8.5±3.1), (7.8±2.3), and (8.0±3.5) mL/kg in conventional liquid management group (t=1.73, 1.53, 1.10, P>0.05). The GEDI levels between patients of the two groups were similar, and there was no significantly statistical difference between the two groups as a whole (treatment factor main effect F=2.35, time factor main effect F=0.44, interaction F=0.07, P>0.05). (2) The oxygenation index of patients in group GDFM was (350±78) mL/kg at POH 1, which was significantly higher than (259±109) mL/kg in conventional liquid management group (t=2.63, P<0.05). In conventional liquid management group, the oxygenation index of patients at POH 6 was significantly higher than that at POH 1, 12, or 24 (P<0.01). The ScvO(2) levels of patients in group GDFM at POH 1, 6, and 12 were 0.516±0.105, 0.679±0.121, and 0.713±0.104, respectively, which were significantly higher than 0.382±0.194, 0.545±0.194, and 0.595±0.191 in conventional liquid management group (t=2.35, 2.27, 2.10, P<0.05). The ScvO(2) levels of patients in the two groups at POH 6, 12, and 24 were significantly higher than those levels at POH 1 within the same group (P<0.01), and the ScvO(2) of patients in conventional liquid management group at POH 24 was significantly higher than that at POH 6 or 12 within the same group (P<0.05 or P<0.01). The Pcv-aCO(2) levels of patients in group GDFM were significantly lower than those in conventional liquid management group at POH 1 and 6 (t=2.55, 2.71, P<0.05). The Pcv-aCO(2) of patients in group GDFM at POH 12 was significantly lower than that at POH 6 or 24 within the same group (P<0.05). (3) The blood lactic acid levels and pH values between patients of the two groups were similar at POH 1, 6, 12, and 24 (t=0.89, 0.19, 0.26, 0.23; 1.55, 0.71, 0.77, 0.77, P>0.05). In conventional liquid management group, the blood lactic acid levels of patients at POH 6, 12, and 24 were significantly lower than the level at POH 1 within the same group (P<0.05), and the pH values of patients at POH 6, 12, and 24 were significantly higher than the value at POH 1 within the same group (P<0.05). The levels of bicarbonate ion and base excess between patients of the two groups were similar, and there were no significantly statistical differences between the two groups as a whole (treatment factor main effect F=0.06, 0.11, time factor main effect F=2.07, 1.59, interaction F=1.45, 0.91, P>0.05). Conclusions: GDFM is helpful to improve the pulmonary function and oxygen dynamics in patients with severe burns in the short term after escharectomy and skin grafting. It has certain significance in preventing and reducing pulmonary edema and pulmonary complications in patients with severe burn after operation.
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Affiliation(s)
- Z W Wang
- Department of Anesthesiology, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China
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Shi K, Ge MN, Chen XQ. Coordinated DNA Methylation and Gene Expression Data for Identification of the Critical Genes Associated with Childhood Atopic Asthma. J Comput Biol 2019; 27:109-120. [PMID: 31460781 DOI: 10.1089/cmb.2019.0194] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Asthma is a chronic inflammatory disorder of airways that involves in many cells and factors. This study aimed to screen critical genes and miRNAs involved in childhood atopic asthma. DNA methylation and gene expression data (access numbers GSE65163 and GSE65204) were downloaded from Gene Expression Omnibus (GEO) database, which included 72 atopic asthmatic subject samples and 69 healthy samples. The differentially expressed genes (DEGs) with DNA methylation changes were identified, followed by Gene Ontology (GO) function and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis. Gene coexpression network and miRNA-target gene regulatory networks were then constructed. Besides, we screened critical drug molecules that have high correlation with atopic asthma in children. A total of 146 critical DEGs with DNA methylation changes were screened from atopic asthmatic samples compared with healthy control samples. GO and KEGG pathway enrichment analysis showed that the critical genes were mainly related to 20 GO terms and 13 KEGG pathways. In the coexpression network, tumor necrosis factor (TNF) and major histocompatibility complex, class II, DP alpha 1 (HLA-DPA1) were identified that were significantly related to immune response process. Analysis of miRNA-target gene network showed that hsa-miR-148b had the highest number of target genes(degree = 21). Besides, we found that Alsterpaullone had a correlation value closest to -1 (correlation = -0.884, p = 0.0031), which indicated that the agent might be considered as a potential agent that antagonized to asthma. The dysregulation of TNF, HLA-DPA1, and miR-148b might be related to the immune response of childhood atopic asthma.
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Affiliation(s)
- Ke Shi
- Department of Pediatrics and No. 904th Hospital of the Joint Logistics Support Force of PLA, Wuxi, China
| | - Meng-Na Ge
- Department of Pharmacy, No. 904th Hospital of the Joint Logistics Support Force of PLA, Wuxi, China
| | - Xiao-Qiao Chen
- Department of Pediatrics and No. 904th Hospital of the Joint Logistics Support Force of PLA, Wuxi, China
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Pan ZP, Han B, Chen XQ, Zhao YQ, Qin DY, Pang N, Li XY. [Advances in the research of smart dressings]. Zhonghua Shao Shang Za Zhi 2019; 35:552-556. [PMID: 31357830 DOI: 10.3760/cma.j.issn.1009-2587.2019.07.016] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Smart dressings, which show obvious advantage and potential in wound treatment and real-time monitoring, attract widespread attention in recent years. Real-time and dynamic acquiring wound information is vital to the treatment and prognosis of wound. Further research on smart dressings is helpful for wound management, personalized treatment, and realization of medical application translation of health monitoring technology. In the article, we categorize smart dressings and conclude their functions according to the type of micro-environment information of wound gathered by smart dressings.
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Affiliation(s)
- Z P Pan
- Department of Burns and Plastic Surgery, the Second Affiliated Hospital, Air Force Medical University, Xi'an 710038, China
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Zhao JG, Nie L, Chen XQ, Chen N, Zeng H. [The subgroup analysis of the prognostic value of the intraductal carcinoma of the prostate in patients with metastatic prostate cancer]. Zhonghua Wai Ke Za Zhi 2019; 57:422-427. [PMID: 31142066 DOI: 10.3760/cma.j.issn.0529-5815.2019.06.006] [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] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Objective: To determine the prognostic value of the intraductal carcinoma of the prostate IDC-P in metastatic prostate cancer (mPCa) patients of different subgroups. Methods: Data of 582 de novo mPCa patients between January 2011 and December 2017 diagnosed at Departments of Urology, West China Hospital, Sichuan University were retrospectively analyzed. The age was (70±8) years (range: 45 to 89 years). IDC-P was identified from 12-core prostate biopsy. The prognostic role of IDC-P was assessed by Kaplan-Meier curves and Cox regression. Subgroup analysis was conducted by the forest plot. The endpoints were castration-resistant prostate cancer free survival (CFS) and overall survival (OS). Results: In total, 177/582 (30.4%) patients harbored IDC-P. Patients with IDC-P had poorer CFS and OS than those without IDC-P (mCFS: 12.1 months vs. 16.9 months, P=0.000; mOS: 39.7 months vs. not reached, P=0.000). Multivariate Cox regression analysis indicated that, the existence of IDC-P was an independent prognosticator of both CFS (HR=1.40, 95% CI: 1.10 to 1.79, P=0.006) and OS (HR=1.51, 95% CI: 1.02 to 2.25, P=0.041). Subanalysis indicated that, in most subgroups, IDC-P was an adverse prognosticator of both CFS and OS. Even in subgroups with adverse clinicopathological features, e.g. Gleason score 9 to 10 (CFS: HR=1.467, P=0.007; OS: HR=1.807, P=0.013), baseline prostate specific antigen≥50 μg/L (CFS: HR=1.616, P=0.000; OS: HR=1.749, P=0.006), anemia (CFS: HR=1.653, P=0.036; OS: HR=2.100, P=0.038), alkaline phosphatase≥160 U/L (CFS: HR=1.326, P=0.038; OS: HR=1.725, P=0.010) or abnormal lactate dehydrogenase level (CFS: HR=1.614, P=0.001; OS: HR=1.900, P=0.003), IDC-P was still closely associated with shorter CFS and OS. Conclusions: The presence of IDC-P was closely related to poor survival outcomes for patients with mPCa. IDC-P was an adverse prognosticator in most subgroup patients. The description of IDC-P in the pathological report of prostate biopsy would help clinicians to evaluate the prognosis of mPCa patients more accurately and make better treatment choices.
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Affiliation(s)
- J G Zhao
- Departments of Urology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - L Nie
- Departments of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - X Q Chen
- Departments of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - N Chen
- Departments of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - H Zeng
- Departments of Urology, West China Hospital, Sichuan University, Chengdu 610041, China
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Liu QQ, Yin XX, Zou Y, Yu TP, Gong J, Chen XQ, Nie L, Xu M, Zhang MN, Zhou Q, Chen N. [Prognostic significance of combined TERT and IDH gene mutation analysis in diffusely infiltrating gliomas]. Zhonghua Bing Li Xue Za Zhi 2018; 47:658-663. [PMID: 30220117 DOI: 10.3760/cma.j.issn.0529-5807.2018.09.002] [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] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Objective: To investigate the status and prognostic significance of TERT and IDH1/2 genes mutations in diffusely infiltrating gliomas. Methods: Hot spot mutations of TERT and IDH1/2 genes were detected by DNA sequencing in 236 cases of gliomas at West China Hospital from 2012 to 2016, including pilocytic astrocytoma (WHO grade Ⅰ, 16 cases), diffuse astrocytoma and oligodendroglioma (WHO grade Ⅱ, 89 cases), anaplastic astrocytoma and oligodendroglioma (WHO grade Ⅲ, 72 cases) and glioblastoma (WHO grade Ⅳ, 59 cases). The prognostic significance of TERT and IDH1/2 hot spot mutations was evaluated. Results: No IDH or TERT mutations were detected in pilocytic gliomas. TERT promoter mutation frequency was higher in patients aged ≥40 years(60.8%, 93/153) than in patients aged <40 years (32.8%, 22/67; P<0.01). TERT promoter mutation rate was also significantly higher in oligodendroglioma (87.5% , 56/64) than that in astrocytoma(37.8%, 59/156; P<0.01). Young age (<40 years), oligodendroglioma and IDH1 mutation were favorable prognostic factors for diffusely infiltrating astrocytic and oligodendroglial tumors. TERT mutation alone was not of prognostic significance. Diffusely infiltrating astrocytic and oligodendroglial tumors were divided into four molecular subtypes according to TERT and IDH1 mutation status: IDH(+ )/TERT(+ ), IDH(+ )/TERT(-), IDH(-)/TERT(-) and IDH(-)/TERT(+ ). There was significant prognostic difference among the 4 subtypes. Conclusions: Combined IDH and TERT gene mutation analysis may be useful for prognostic subgrouping. Notably, IDH1 wild-type cases can be further subdivided into TERT(+ ) or (-) subgroups with significant prognostic difference.
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Affiliation(s)
- Q Q Liu
- Department of Pathology, West China Hospital, Chengdu 610041, China
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Chen XQ, Zhang W, Li XY. [Advances in the research of biomechanical effects of negative-pressure wound therapy in promoting wound healing]. Zhonghua Shao Shang Za Zhi 2018; 34:243-246. [PMID: 29690743 DOI: 10.3760/cma.j.issn.1009-2587.2018.04.010] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Recently, researchers have focused on the micro-mechano-environment and the resulting mechanical cues which can regulate the morphology, structure, and function of cells. As a novel mechanotherapy, negative-pressure wound therapy (NPWT) has revolutionized the treatment of acute and chronic wounds. The effects of mechanics in use of NPWT has been noticed by researchers, and sporadic results have been reported, while the mechanisms of mechanosensitivity and mechanotransduction in affecting cell behaviors and promoting wound healing haven't been elucidated yet. In this article, we review the progress about the relevant mechanical forces of NPWT and the mechanical effects on major repairing cells involved in wound healing, in order to provide references for the better understanding of mechanobiology of NPWT to better wound healing.
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Affiliation(s)
- X Q Chen
- Department of Burns and Plastic Surgery, Tangdu Hospital, Air Force Medical University, Xi'an 710038, China
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Li SJ, Wang Y, Qian L, Liu G, Liu SF, Zou LP, Zhang JS, Hu N, Chen XQ, Yu SY, Guo SL, Li K, He MW, Wu HT, Qiu JX, Zhang L, Wang YL, Lou X, Ma L. Alterations of White Matter Connectivity in Preschool Children with Autism Spectrum Disorder. Radiology 2018; 288:209-217. [PMID: 29584599 DOI: 10.1148/radiol.2018170059] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Purpose To investigate the topologic architecture of white matter connectivity networks in preschool-aged children with a diagnosis of autism spectrum disorder (ASD) versus typical development (TD). Materials and Methods Forty-two participants were enrolled, including 21 preschool children with ASD (14 male children and seven female children; mean age, 4.56 years ± 0.97 [standard deviation]) and 21 children with TD (11 males and 10 females; mean age, 5.13 years ± 0.82). The diagnosis of ASD was determined according to the Diagnostic and Statistical Manual of Mental Disorders Global Assessment of Functioning scores (mean score, 8.00 ± 0.50). All participants underwent diffusion-tensor imaging (DTI) and T2-weighted imaging on a 3-T magnetic resonance system. A graph theoretical analysis was applied to investigate the topologic organization of the brain network including global and local topologic parameters. Statistical analysis was then performed for the comparison between the groups. Results Compared with the TD group, children with ASD demonstrated shortened characteristic path length (t1 = 0.536, t2 = 0.534, t3 = 0.523, t4 = 0.510, and t5 = 0.501; P < .05) and increased global efficiency (t1 = 0.499, t2 = 0.497, t3 = 0.486, t4 = 0.473, and t5 = 0.465; P < .05) and clustering coefficient (t1 = 0.673, t2 = 0.750, t3 = 0.757, t4 = 0.738, and t5 = 0.741; P < .05). Significant increases in nodal efficiency were mainly found in left pallidum (0.037 vs 0.032, respectively; P < .01) and right caudate nucleus (0.037 vs 0.032, respectively; P < .01) of the basal ganglia network. Conclusion Significantly altered patterns of global and local brain network topography may underlie the abnormal brain development in preschool children with ASD compared with those who have TD. The identification of altered structural connectivity in basal ganglia and paralimbic-limbic networks may point toward potential imaging biomarkers for preschool-age patients with ASD. © RSNA, 2018.
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Affiliation(s)
- Shi-Jun Li
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Yi Wang
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Long Qian
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Gang Liu
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Shuang-Feng Liu
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Li-Ping Zou
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Ji-Shui Zhang
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Nan Hu
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Xiao-Qiao Chen
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Sheng-Yuan Yu
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Sheng-Li Guo
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Ke Li
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Mian-Wang He
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Hai-Tao Wu
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Jiang-Xia Qiu
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Lei Zhang
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Yu-Lin Wang
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Xin Lou
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
| | - Lin Ma
- From the Departments of Medical Instruments (S.J.L.), Stomatology (Y.W.), Radiology (G.L., S.F.L., Y.L.W., X.L., L.M.), Pediatrics (L.P.Z., X.Q.C.), Rehabilitation Medicine (N.H.), Neurology (S.Y.Y., M.W.H.), Neurosurgery (S.L.G.), and Medical Information (L.Z.), Chinese PLA General Hospital, 28th Fuxing Road, Beijing 100853, China; Department of Biomedical Engineering, Peking University, Beijing, China (L.Q.); Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing, China (J.S.Z., K.L.); and Department of Neurobiology, Institute of Basic Medical Sciences, Beijing, China (H.T.W., J.X.Q.)
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Chen XQ, Ma Q, Zhou LY, Ma HA, Wu JY, Zhao JJ, Yan DN. [Experimental study on the effect of Yiqi Wenyang Decoction on nasal mucosa infiltration of NK cells in mice with allergic rhinitis]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018; 52:921-926. [PMID: 29262451 DOI: 10.3760/cma.j.issn.1673-0860.2017.12.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To observe the effect of Yiqi Wenyang Decoction on the infiltration and activation of NK cells in nasal mucosa of mouse model with allergic rhinitis (AR), and to explore the potential mechanism for effective intervention of AR with Yiqi Wenyang Decoction. Methods: Fourty-eight mice were randomly divided into blank group, model group, low, medium and high dose of Yiqi Wenyang Decoction group and Cetirizine group, with 8 rats in each group. After modeling of AR, the model group was filled with 0.9% sodium chloride solution. Yiqi Wenyang Decoction groups of each dose were given different concentrations of Yiqi Wenyang Decoction water extract, while the Cetirizine group was given aqueous solution of Cetirizine. The behavior, morphological changes of nasal mucosa and infiltration of NK cells in nasal mucosa were observed. The levels of IL-4 and INF-γ in nasal lavage fluid were measured. Besides, the drug safety was observed by acute toxicity test. Results: In the respect of behavioral scoring, middle and high dose of Yiqi Wenyang Decoction group were superior to the model group (number of sneezing: q value was 7.189, 8.748, respectively; number of scratching nose: q value was 12.074, 14.560, respectively; all P<0.05). In middle and high dose of Yiqi Wenyang Decoction group, the infiltration of NK cells and nasal lavage fluid IL-4 levels were lower than those in model group (IOD: q value was 10.073, 12.322, respectively; IOD/Area: q value was 10.954, 14.073, respectively; IL-4: q value was 4.705, 6.801, respectively; all P<0.05). There was no significant difference in nasal lavage fluid of INF-γ among each group (Fv=1.166, P>0.05). In acute toxicity test, no obvious poisoning symptoms and death occurred in mice. Conclusion: Yiqi Wenyang Decoction can control the nasal symptom, reduce the local NK cell infiltration of nasal mucosa and inhibit the expression of the 2-type cytokines released by NK cells, which may be related with the potential mechanism of effective intervention of AR with Yiqi Wenyang Decoction.
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Affiliation(s)
- X Q Chen
- Department of Otorhinolaryngology, Affiliated Hospital of Nanjing University of TCM, Nanjing 210029, China
| | - Q Ma
- Department of Otorhinolaryngology, Affiliated Hospital of Nanjing University of TCM, Nanjing 210029, China
| | - L Y Zhou
- Institute of Spine Diseases, Longhua Hospital, Shanghai University of TCM, Shanghai 200032, China
| | - H A Ma
- Department of Otorhinolaryngology, Affiliated Hospital of Nanjing University of TCM, Nanjing 210029, China
| | - J Y Wu
- Department of Otorhinolaryngology, Affiliated Hospital of Nanjing University of TCM, Nanjing 210029, China
| | - J J Zhao
- Department of Otorhinolaryngology, Affiliated Hospital of Nanjing University of TCM, Nanjing 210029, China
| | - D N Yan
- Department of Otorhinolaryngology, Affiliated Hospital of Nanjing University of TCM, Nanjing 210029, China
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Li SJ, Yu SS, Luo HY, Li X, Rao B, Wang Y, Li ZZ, Liu G, Zou LP, Zhang JS, Feng C, Liu J, Liu JW, Hu N, Chen XQ, Yu SY, Li K, He MW, Yu XG, Wang J, Guo SL, Chen ZY, Zhang L, Ma L. Two de novo variations identified by massively parallel sequencing in 13 Chinese families with children diagnosed with autism spectrum disorder. Clin Chim Acta 2018; 479:144-147. [PMID: 29366832 DOI: 10.1016/j.cca.2018.01.025] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Revised: 01/10/2018] [Accepted: 01/16/2018] [Indexed: 01/09/2023]
Abstract
Autism spectrum disorder (ASD) is a genetically heterogeneous neurodevelopmental disorder characterized by impairments in social interaction and communication, and by restricted and repetitive behaviors. The genetic architecture of ASD has been elucidated, including chromosomal rearrangements, de novo or inherited rare variants, and copy number variants. However, the genetic mechanism of Chinese families with ASD children is explored rarely. To identify genetic pathogenesis, we performed massively parallel sequencing on 13 Chinese ASD trio families, and found two de novo variations. The novel de novo splice alteration c.664 + 2T > G in the DEAF1 gene and the novel de novo missense mutation c.95 C > T in the AADAT gene associated with ASD may be important clues for exploring the etiology of this disorder.
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Affiliation(s)
- Shi-Jun Li
- Department of Medical Instruments, Chinese PLA General Hospital, Beijing 100853, China.
| | | | | | - Xin Li
- BGI-shenzhen, Shenzhen 518083, China
| | - Bin Rao
- BGI-shenzhen, Shenzhen 518083, China
| | - Yi Wang
- Department of Stomatology, Chinese PLA General Hospital, Beijing 100853, China
| | - Zhen-Zhen Li
- Department of Medical Instruments, Chinese PLA General Hospital, Beijing 100853, China
| | - Gang Liu
- Department of Radiology, Chinese PLA General Hospital, Beijing 100853, China
| | - Li-Ping Zou
- Department of Pediatrics, Chinese PLA General Hospital, Beijing 100853, China
| | - Ji-Shui Zhang
- Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing 100045, China
| | - Chen Feng
- Department of Pediatrics, Chinese PLA General Hospital, Beijing 100853, China
| | - Jing Liu
- Institute of Geriatric Medicine, Chinese PLA General Hospital, Beijing 100853, China
| | - Jian-Wei Liu
- Institute of Geriatric Medicine, Chinese PLA General Hospital, Beijing 100853, China
| | - Nan Hu
- Department of Rehabilitation Medicine, Chinese PLA General Hospital, Beijing 100853, China
| | - Xiao-Qiao Chen
- Department of Neurology, Beijing Children's Hospital of Capital Medical University, Beijing 100045, China
| | - Sheng-Yuan Yu
- Department of Neurology, Chinese PLA General Hospital, Beijing 100853, China
| | - Ke Li
- Department of Neurology, Chinese PLA General Hospital, Beijing 100853, China
| | - Mian-Wang He
- Department of Neurology, Chinese PLA General Hospital, Beijing 100853, China
| | - Xin-Guang Yu
- Department of Neurosurgery, Chinese PLA General Hospital, Beijing 100853, China
| | - Jun Wang
- Department of Neurosurgery, Chinese PLA General Hospital, Beijing 100853, China
| | - Sheng-Li Guo
- Department of Neurosurgery, Chinese PLA General Hospital, Beijing 100853, China
| | - Zhi-Ye Chen
- Department of Radiology, Chinese PLA General Hospital, Beijing 100853, China
| | - Lei Zhang
- Department of Medical Information, Chinese PLA General Hospital, Beijing 100853, China
| | - Lin Ma
- Department of Radiology, Chinese PLA General Hospital, Beijing 100853, China
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Wang DN, Zhao SQ, Li Y, Ma XB, Ren R, Chen XQ, Li YL. [Vibrant soundbridge implantation of congenital atresia of oval window(with summary of nine cases]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017; 31:588-589. [PMID: 29871320 DOI: 10.13201/j.issn.1001-1781.2017.08.004] [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] [Subscribe] [Scholar Register] [Received: 02/09/2017] [Indexed: 11/12/2022]
Abstract
Objective:To investigate the surgical effects of round window implantation of vibrant soundbridge(VSB)for patients with congenital oval window atresia.Method:Retrospectively analyze the clinical information of 9 cases of congenital oval window atresia as well as the pre-and post-operative hearing and speech results. Three of them had undergone or attempted the vestibulotomy but obtained poor results. All cases underwent round window implantation of VSB. Result:All patients obtained an improvement of 21-33 dBHL after implantation. In the speech recognition rate test, the average increase of disyllabic words was 62%, and 60% in the sentence test. During the follow-up of 51 months in average, 2 cases had a decline of auditory benefit and finally 1 case regained the improvement after reoperation. Conclusion:Round window implantation can get a fairly good result in congenital oval windows atresia cases.
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Affiliation(s)
- D N Wang
- Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery
| | - S Q Zhao
- Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery
| | - Y Li
- Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery
| | - X B Ma
- Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery
| | - R Ren
- Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery
| | - X Q Chen
- Beijing Institute of Otolaryngology
| | - Y L Li
- Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery
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Yang JY, Zhang H, Chen J, Chen XQ, Wang S, Li YL, Wu YJ, Kong Y. [The application of mandarin acceptable noise level and COS in hearing aid fitting for presbyacusis]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2016; 30:1850-1853;1858. [PMID: 29798011 DOI: 10.13201/j.issn.1001-1781.2016.23.004] [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] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Indexed: 11/12/2022]
Abstract
Objective:The purpose of this study was to inquiry into the application of mandarin acceptable noise level(M-ANL) and client oriented scale of improvement in evaluation of hearing aid fitting for presbyacusis. Method:Thirty-two adults with presbycusis who used the hearing aid for the first time were selected for the study. M-ANL tests were done prior to the hearing aid fitting. Six weeks later, these patients were asked to fill in questionnaire of client oriented scale of improvement (COSI).The subjects were divided into 3 groups according to the time of hearing aid using in their daily lives: less than one hour per day, 1 to 4 hours per day and more than 4 hours per day. The relativity of M-ANL and the score of COSI were compared. Result:①There were significant differences of the M-ANL among 3 groups(P<0.05); ②The scores of COSI of group 1(less than one hour per day) was lower than group 2(1 to 4 hours per day), while there were no significant differences between the scores of group 2(1 to 4 hours per day) and group 3(more than 4 hours per day); ③There was good correlation between the score of M-ANL and COSI. Conclusion:M-ANL can forecast the satisfaction of hearing aids fitting. And COSI can play an effective role in outcome measurement.
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Affiliation(s)
- J Y Yang
- Department of Otorhinolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing Institute of Otolaryngology,Beijing,100005,China
| | - H Zhang
- Department of Otorhinolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing Institute of Otolaryngology,Beijing,100005,China
| | - J Chen
- Department of Otorhinolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing Institute of Otolaryngology,Beijing,100005,China
| | - X Q Chen
- Department of Otorhinolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing Institute of Otolaryngology,Beijing,100005,China
| | - S Wang
- Department of Otorhinolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing Institute of Otolaryngology,Beijing,100005,China
| | - Y L Li
- Department of Otorhinolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing Institute of Otolaryngology,Beijing,100005,China
| | - Y J Wu
- Department of Otorhinolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing Institute of Otolaryngology,Beijing,100005,China
| | - Y Kong
- Department of Otorhinolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing Institute of Otolaryngology,Beijing,100005,China
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Jin R, Lu HY, Luo YY, Xu YX, Hu YH, Chen XQ. [Evaluation of the level of urinary cysteinyl leukotriene E4 in diagnosis of bronchopulmonary dysplasia in premature infants]. Zhonghua Er Ke Za Zhi 2016; 54:703-7. [PMID: 27596087 DOI: 10.3760/cma.j.issn.0578-1310.2016.09.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To explore the correlation of urinary cysteinyl leukotriene E4 (CysLTE4) and diagnosis of bronchopulmonary dysplasia (BPD) in premature infants. METHOD One hundred and fifty-eight newborn infants were consecutively admitted to the neonatal intensive care units of First Affiliated Hospital of Nanjing Medical University from November 2014 to October 2015.The infants were divided into 3 groups according to the diagnosis on discharge.Sixty-one term infants were classified as having no pulmonary diseases, 52 premature infants were classified as without BPD, and 45 premature infants with BPD were diagnosed at 28 d after birth.Urinary CysLTE4 levels of newborns within 3 days after birth were measured in a blinded way by enzyme- linked immunosorbent assay and were compared among 3 groups, and were evaluated for the diagnostic value and the correlation of gestational age and birth weight.Statistical analysis was performed using correlation analysis, one-way analysis of variance and χ(2) test etc. RESULT In infants with BPD, the mean urinary CysLTE4 level was (191.0±29.3) ng/L which significantly higher than the premature group without BPD ((164.1±22.7) ng/L) and term infant group ((151.6±41.9) ng/L, F=18.70, P<0.05). Urinary CysLTE4 level within 3 days of life in newborn inversely correlated with gestational age and birth weight (Pearson=-0.33, -0.38, P<0.01). The area under the curve was 0.78, 95%CI: 0.70-0.86, P<0.01, when cutoff was 187.7 ng/L, with Youden index 0.59, sensitivity 77.8% and specificity 81.4%, respectively. CONCLUSION Urinary CysLTE4 level is up-regulated in BPD infants within early days of life which may be a useful biomarker of early diagnoses of BPD.
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Affiliation(s)
- R Jin
- Department of Pediatrics, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
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Liang R, Wang Z, Zhu MN, Hao CX, Zhang N, Wang JH, Zhang T, Yang L, Gu HT, Dong BX, Bai QX, Gao GX, Chen XQ. [Clinical analysis of the character and prognostic factors of 23 cases of mantle cell lymphoma]. Zhonghua Xue Ye Xue Za Zhi 2016; 37:491-6. [PMID: 27431074 PMCID: PMC7348349 DOI: 10.3760/cma.j.issn.0253-2727.2016.06.010] [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] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/08/2015] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To investigate the clinical characteristics and prognostic factors of mantle cell lymphoma (MCL) patients. METHODS The clinical data of 23 MCL patients were retrospectively analyzed. Immunohistochemical stain was performed to detect the protein expressions of Mcl-1, pNF-κB p65 and 14-3-3ζ of MCL patients to analyze its prognostic factors. RESULTS Among 23 MCL patients, there were 17(73.9%) patients with IPI 0-2 (low risk group) and 6(26.1%) patients with IPI 3-4. Only the rate of 2y-progression-free survival (PFS) of group IPI 0-2 was superior to that of group IPI 3-4 patients (47.1% vs 0, P=0.049); There were 16 (69.5%) patients with MIPI < 5.7, whose rates of overall response rate (ORR), 2y overall survival (OS) and PFS were better than those of the ones with MIPI ≥ 5.7(ORR: 81.3% vs 33.3% P=0.032; OS: 68.8% vs 16.7% P=0.041; PFS: 50% vs 0, P=0.040 respectively). The rates of ORR, 2y-OS and 2y-PFS (100.0%, 80.0% and 70.0%) of patienets received regimen R+CHOP(E) were all superior to those (38.5%, 30.8% and 7.7%) of ones received regimen CHOP(E) (P=0.002, P= 0.024, P=0.003, respectively). Among 12 patients, 2 out of 6 cases with Mcl-1 positive expression achieved good response (CR+PR) and 2y-OS, 1 case 2y-PFS; All 6 cases with Mcl-1 negative expression achieved good response (CR+PR) and 2y-OS, 5 cases 2y-PFS. 3 out of 6 cases with pNF-κB p65 positive expression achieved good response (CR+PR) and 2y-OS, 1 case 2y-PFS; 5 out of 6 cases with pNF-κB p65 negative expression achieved good response (CR+ PR) and 2y-OS/PFS. 5 out of 8 cases with 14-3-3ζ positive expression achieved good response (CR+PR), 4 cases 2y-OS, and 3 cases 2y-PFS. 3 out of 4 cases with 14-3-3ζ negative expression achieved CR, 4 cases 2y-OS, and 3 cases 2y-PFS. CONCLUSION MCL patients had high heterogeneity. MIPI has better prognostic significance than IPI. R+CHOP(E) as first line treatment improved the rates of OS/PFS. The expressions of Mcl-1, pNF-κB p65 and 14-3-3ζ proteins in MCL might be related to prognosis.
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Affiliation(s)
- R Liang
- Department of Hematology, Xijing Hosptial, Fourth Military Medical University, Xi'an 710032, China
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Lu W, Chen LL, Lu Q, Sun SP, Lei YB, Chen XQ, Mi S, Mo LY. [Cortical auditory evoked potentials in congenital hearing impaired children with cochlear implants]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2016; 51:241-6. [PMID: 27095714 DOI: 10.3760/cma.j.issn.1673-0860.2016.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE By investigating the auditory cortical evoked potential in congenital hearing impaired children with cochlear implants, the association between central auditory development and the age of implantation was studied. METHODS P1-N1-P2 were recorded in 110 profound hearing impaired children, aged from 12 to 80 months old and being implanted with cochlear implants before the age of 5 years. Their implant using time ranged from just at the switch-on to 48 months. The stimuli were /m/, /t/, /g/, presented at 65 dB SPL in sound field. The presence rate of each wave was obtained and the relationship between P1 latency and implant age, the time of speech processor switch-on were analyzed. RESULTS The presence rate of P1, N1 and P2 was 66.4%, 15.5% and 12.7%, respectively. The presence of P1 was significantly higher than that of N1(χ(2)=228.542, P=0.00)and P2(χ(2)=257.438, P=0.00). There was no significant difference of P1 presence rate elicited by /m/, /t/ and /g/(64.1%, 66.9% and 68.3%, χ(2)=0.589, P=0.75). There existed no significant difference either among P1 latency(P=0.22)or amplitude(P=0.09) elicited by /m/, /t/ and /g/. There was significant difference between the implant age before and after 42-month-old regarding the proportion that entered the age-appropriate normal P1 latency range(P=0.02). No significant difference was found among groups of implant using time of 1, 2, 3 and 4 years in aspect of the proportion that entered the age-appropriate normal P1 latency range(P=1.00). CONCLUSIONS Compared with implanted after the age of 42-month-old children with prelingual hearing impairment younger than 5 years old, the ones implanted before 42-month-old have more chance for normal development for central auditory system. Once implanted before 42-month-old, the cortical auditory system restored its normal development as early as 1 year after implantation.
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Affiliation(s)
- W Lu
- Department of Otology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | | | - Q Lu
- Department of Otology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - S P Sun
- Department of Otology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Y B Lei
- Department of Otology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - X Q Chen
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, Beijing 100730, China
| | - S Mi
- Tongzhou Rehabilitation Center for Cochlear Implants, Beijing 101100, China
| | - L Y Mo
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, Beijing 100730, China
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Qiu L, Liu XL, Liu SR, Weng ZP, Chen XQ, Feng YZ, Cai XR, Guo CY. Role of quantitative intravoxel incoherent motion parameters in the preoperative diagnosis of nodal metastasis in patients with rectal carcinoma. J Magn Reson Imaging 2016; 44:1031-9. [PMID: 27019309 DOI: 10.1002/jmri.25250] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Accepted: 03/08/2016] [Indexed: 12/25/2022] Open
Abstract
PURPOSE To evaluate the diagnostic value of intravoxel incoherent motion imaging (IVIM) in differentiating metastatic and nonmetastatic lymph nodes in patients with rectal carcinoma. MATERIALS AND METHODS In all, 68 patients with histologically proven rectal carcinoma underwent an IVIM sequence (b = 0, 25, 50, 75, 100, 150, 200, 400, 600, 800, 1000, 1200, 1500, and 2000 s/mm(2) ) on a 3.0T MRI scanner. The IVIM parameters (D, D*, f, and apparent diffusion coefficient [ADC] values) in metastatic and nonmetastatic lymph nodes were measured and calculated. Receiver-operating characteristic (ROC) analyses were conducted to determine the optimal thresholds, the sensitivities, and specificities for differentiation. RESULTS Mean D, f, and ADC values of metastatic lymph nodes were significantly greater than those of the normal lymph nodes (P < 0.01), whereas the mean D* value of metastatic lymph node was statistically lower (P = 0.03). The AUC, sensitivity, specificity, and the cutoff value, respectively, for differentiating metastatic from nonmetastatic lymph nodes for D, D*, f, and ADC were as follows: D, 0.9460, 89.25%, 91.04%, and 1.14 × 10(-3) mm(2) /s; D*, 0.6930, 64.18%, 82.80%, and 7.02 × 10(-3) mm(2) /s; f, 0.7810, 92.47%, 55.22%, and 0.27%; ADC, 0.8970, 87.10%, 88.06%, and 0.80 × 10(-3) mm(2) /s. The ROC curves demonstrated that the area under the ROC (AUC) of the D, ADC, f, and D* values successively decreased, and D had the highest AUC, with D* values being lowest. CONCLUSION An IVIM sequence may be helpful in diagnosing metastatic lymph nodes of rectal carcinoma. Average D and ADC values are more sensitive than f and D* values in this differentiation. J. MAGN. RESON. IMAGING 2016;44:1031-1039.
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Affiliation(s)
- Lin Qiu
- Medical Imaging Center, First Affiliated Hospital, Jinan University, Guangzhou, Guangdong, China
| | - Xiao-Ling Liu
- Medical Imaging Center, First Affiliated Hospital, Jinan University, Guangzhou, Guangdong, China
| | - Si-Run Liu
- Medical Imaging Center, First Affiliated Hospital, Jinan University, Guangzhou, Guangdong, China
| | - Ze-Ping Weng
- Department of Pathology, First Affiliated Hospital, Jinan University, Guangzhou, Guangdong, China
| | - Xiao-Qiao Chen
- Medical Imaging Center, First Affiliated Hospital, Jinan University, Guangzhou, Guangdong, China
| | - You-Zhen Feng
- Medical Imaging Center, First Affiliated Hospital, Jinan University, Guangzhou, Guangdong, China
| | - Xiang-Ran Cai
- Medical Imaging Center, First Affiliated Hospital, Jinan University, Guangzhou, Guangdong, China.
| | - Chang-Yu Guo
- Serviço de Imagiologia, Centro Hospitalar Conde de São Januário (CHCSJ), Estrada do Visconde de S. Januário, Macau.
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Chen XQ, Zhang WN, Yang ZX, Zhao M, Cai FC, Huang SP, Gao L, Pang BD, Chen X, Zou LP. Efficacy of levetiracetam in electrical status epilepticus during sleep of children: a multicenter experience. Pediatr Neurol 2014; 50:243-9. [PMID: 24316167 DOI: 10.1016/j.pediatrneurol.2013.10.015] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2013] [Revised: 10/15/2013] [Accepted: 10/28/2013] [Indexed: 10/26/2022]
Abstract
BACKGROUND Electrical status epilepticus during sleep is characterized by epilepsy, a specific electroencephalographic pattern, and neuropsychological impairment. This study aims to evaluate the efficacy and safety of levetiracetam in treating children with electrical status epilepticus during sleep. METHODS A multicenter, retrospective, open-label study enrolled 73 children (mean age: 8 years) affected by electrical status epilepticus during sleep. The efficacy was rated according to the seizure frequency and electroencephalography response. RESULTS After a mean treatment period of 19 months (range: 6 to 24 months), 33 (63.5%) of 52 patients became seizure-free or had experienced remarkable reduction in seizures. The electrical status epilepticus of 41 (56.2%) of 73 patients disappeared off their electroencephalography. The electroencephalography efficacy of levetiracetam treatment was noted in the monotherapy (61.9%) and add-on (53.9%) groups. The clinical (67.7%) and electroencephalography (64.3%) response rates of the idiopathic group were better than those of the symptomatic group (57.1% and 45.2%, respectively). No patient discontinued the trial because of intolerability of side effects. CONCLUSIONS Levetiracetam is effective in individuals with electrical status epilepticus during sleep with tolerable side effects.
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Affiliation(s)
- Xiao-Qiao Chen
- Department of Pediatrics, Chinese PLA General Hospital, Beijing, China
| | - Wei-Na Zhang
- Department of Pediatrics, Chinese PLA General Hospital, Beijing, China
| | - Zhi-Xian Yang
- Department of Pediatrics, Peking University First Hospital, Beijing, China
| | - Meng Zhao
- Department of Pediatrics, Chinese PLA General Hospital, Beijing, China
| | - Fang-Cheng Cai
- Department of Neurology, Children's Hospital of Chongqing Medical University, Chongqing, China
| | - Shao-Ping Huang
- Department of Pediatrics, the Second Affiliated Hospital of Medical College, Xi'an Jiao Tong University, Xi'an, China
| | - Li Gao
- Department of Pediatrics, Henan provincial People's Hospital, Zhengzhou, China
| | - Bao-Dong Pang
- Department of Pediatrics, Tangshan Maternal and Health Care Hospital, Tangshan, China
| | - Xi Chen
- Department of Neurology, Urumqi Children's Hospital, Urumqi, China
| | - Li-Ping Zou
- Department of Pediatrics, Chinese PLA General Hospital, Beijing, China.
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Chen XQ, Wang F, Zheng YL, Fan QX, Yue DL, Ma ZJ. Association between the c.910A>G genetic variant of the XRCC1 gene and susceptibility to esophageal cancer in the Chinese Han population. Braz J Med Biol Res 2013; 46:1028-1032. [PMID: 24345911 PMCID: PMC3935274 DOI: 10.1590/1414-431x20133396] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2013] [Accepted: 08/21/2013] [Indexed: 12/11/2022] Open
Abstract
Esophageal cancer (EC) is a common malignancy worldwide. The X-ray repair cross-complementing 1 gene (XRCC1) is one of the most important candidate genes for influencing susceptibility to EC. This study aimed to investigate the effect of XRCC1 genetic variants on susceptibility to EC. A total of 383 EC patients (males: 239, females: 144, mean age: 56.62) and 387 cancer-free controls (males: 251, females: 136, mean age: 58.23) were enrolled in this study. The c.910A>G genetic variant of the XRCC1 gene was determined by polymerase chain reaction-restriction fragment length polymorphism and DNA sequencing methods. The allele and genotype frequencies indicated statistical differences between EC patients and cancer-free controls. The c.910A>G genetic variant was statistically associated with increased susceptibility to EC [GG vs AA: odds ratio (OR)=1.79, 95% confidence interval (CI)=1.12-2.86, P=0.014; GG vs AG/AA: OR=1.76, 95%CI=1.13-2.75, P=0.013; G vs A: OR=1.25, 95%CI=1.01-1.55, P=0.041]. The allele G and genotype GG could contribute to the increased susceptibility to EC. Our findings suggest that the c.910A>G genetic variant is associated with susceptibility to EC in the Chinese Han population, and might be used as a molecular marker for detecting susceptibility to EC.
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Affiliation(s)
- X Q Chen
- Zhengzhou University, The First Affiliated Hospital, Department of Internal Medicine-Oncology, ZhengzhouHenan Province, China
| | - F Wang
- Zhengzhou University, The First Affiliated Hospital, Department of Internal Medicine-Oncology, ZhengzhouHenan Province, China
| | - Y L Zheng
- Zhengzhou University, The First Affiliated Hospital, Department of Internal Medicine-Oncology, ZhengzhouHenan Province, China
| | - Q X Fan
- Zhengzhou University, The First Affiliated Hospital, Department of Internal Medicine-Oncology, ZhengzhouHenan Province, China
| | - D L Yue
- Zhengzhou University, The First Affiliated Hospital, Department of Internal Medicine-Oncology, ZhengzhouHenan Province, China
| | - Z J Ma
- Zhengzhou University, The First Affiliated Hospital, Department of Internal Medicine-Oncology, ZhengzhouHenan Province, China
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Abstract
Overviews were evaluated of tritium releases and related doses to the public from airborne and liquid effluents from nuclear power plants on the mainland of China before 2009. The differences between tritium releases from various nuclear power plants were also evaluated. The tritium releases are mainly from liquid pathways for pressurised water reactors, but tritium releases between airborne and liquid effluents are comparable for heavy water reactors. The airborne release from a heavy water reactor is obviously higher than that from a pressurised water reactor.
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Affiliation(s)
- D J Yang
- Nuclear and Radiation Safety Centre, Ministry of Environmental Protection, Beijing 100082, People's Republic of China.
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Liu Y, Zhao YF, Huang JT, Wu Y, Jiang L, Wang GD, Li W, Chen XQ, Shi RH. Analysis of 13 cases of venous compromise in 178 radial forearm free flaps for intraoral reconstruction. Int J Oral Maxillofac Surg 2012; 41:448-52. [PMID: 22361300 DOI: 10.1016/j.ijom.2012.01.016] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2011] [Accepted: 01/20/2012] [Indexed: 11/27/2022]
Abstract
The purpose of this study was to analyse the causes of venous compromise and flap failure in radial forearm free flap (RFFF) surgery for intraoral reconstruction. One hundred seventy-eight RFFF reconstructions were reviewed retrospectively for intraoral defects. Of the 13 flaps with venous obstruction, 9 flaps were salvaged, and 4 were lost, with a salvage rate of 69.2%. Eleven venous occlusions occurred within the first 72h. The main reasons for venous failure were mechanical obstruction or technical errors due to inadequate pedicle length and geometry, inadequate venous drainage, compression and kinking of the vein. The main cause of failure for oropharynx reconstruction was unrecognized vascular events due to the lack of reliable monitoring for buried flap. Oozing of dusky blood from the flap margin may be directly related to venous congestion in the early postoperative period and a late indication of a change in skin colour. In conclusion, a thorough operative plan, including carefully selected drainage vein for the flap and recipient vessels, adequate pedicle length and geometry, precise surgical technique, avoidance of haematoma, and expert monitoring of buried flaps may improve the success rate of RFFF transfer in intraoral reconstruction.
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Affiliation(s)
- Y Liu
- Department of Stomatology, Changzheng Hospital, Second Military Medical University, Shanghai, PR China
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Xu ZX, Gao HJ, Zhang LM, Chen XQ, Qiao XG. The biomimetic immunoassay based on molecularly imprinted polymer: a comprehensive review of recent progress and future prospects. J Food Sci 2011; 76:R69-75. [PMID: 21535786 DOI: 10.1111/j.1750-3841.2010.02020.x] [Citation(s) in RCA: 64] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
UNLABELLED Immunoassay, based on a selective affinity of the biological antibody for its antigen, is one of the most usual analytical methods in food safety and environmental chemistry. However, it presents several drawbacks because of the nature of the antibody. Molecular imprinting technique, due to its high selectivity and stability, ease of preparation and low cost, has shown great potential in producing artificial antibodies in biomimetic immunoassays. This article focuses on the recent states, advantages, current problems and outlooks of molecularly imprinted radio, fluoro, enzyme-linked and chemiluminescent immunoassays, and biomimetic immunosensor, with special emphasis on the challenges in developing biomimetic enzyme-linked immunosorbent assays (BELISAs). The biomimetic immunoassay method will provide an important new analysis platform in food safety, although the sensitivity and specificity is relatively low. PRACTICAL APPLICATION As a new simple analysis method, the biomimetic immunoassay has attractive prospect, although some limitations were existed in real-sample assay. In this critical review, some promising solutions for overcoming its drawbacks were put forward, which may promote the more quick development and extensive application of this method in food safety.
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Affiliation(s)
- Z X Xu
- College of Food Science and Engineering, Shandong Agricultural Univ, Taian 271018, China
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Meng ZX, Zheng W, Ding MH, Zhou HM, Chen XQ, Chen JC, Liu MK, Zheng YF. Fabrication and characterization of elastomeric polyester/carbon nanotubes nanocomposites for biomedical application. J Nanosci Nanotechnol 2011; 11:3126-3133. [PMID: 21776679 DOI: 10.1166/jnn.2011.3761] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
A novel biodegradable polymer elastomer nanocomposite composing of poly(1,8-octanediol-citrate) (POC) polymer matrix and carbon nanotubes (CNTs) additive was successfully fabricated and systematically investigated using Fourier transform infrared (FT-IR), X-ray diffractometer (XRD), differential scanning calorimetry (DSC), tensile test, incubation and cytotoxicity tests. It was found that the addition of CNTs in POC elastomer did not result in any noticeable change in its chemical structure and the amorphous state. However, the tensile strength and elongation at break were greatly improved by the addition of CNTs in POC polymer matrix. It revealed that the swelling ratio and percentage of weight loss of POC/CNTs nanocomposite were lower, compared with the pure POC material. Moreover, the adsorption amount of bovine serum albumin (BSA) increased with an increase of the CNTs mass content in POC matrix revealing the enhanced hydrophilicity of POC/CNTs nanocomposites contributed by the carboxyl of the CNTs. Additionally, the cytotoxicity tests with L929 cell line revealed that the experimental POC/CNTs nanocomposites possessed good in vitro biocompatibility.
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Affiliation(s)
- Z X Meng
- Center for Biomedical Materials and Engineering, Harbin Engineering University, Harbin 150001, China
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Jiang P, Bai JJ, Ye X, Jian Q, Chen M, Chen XQ. Shoaling and mate choice of wild-type Tanichthys albonubes in the presence of the red fluorescent transgenic conspecifics. J Fish Biol 2011; 78:127-37. [PMID: 21235550 DOI: 10.1111/j.1095-8649.2010.02840.x] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Shoaling and sexual behaviour of wild-type male and female white cloud mountain minnow Tanichthys albonubes were measured in the presence of the red fluorescent transgenic conspecifics under laboratory conditions. Wild-type female test fish showed no significant preference, whereas wild-type male test fish preferred to be near a shoal of red transgenic fish rather than wild-type fish. When placed in a potentially reproductive context, wild-type males had a higher competitive ability over transgenic males; wild-type females spent more time with wild-type males in visually mediated experiments, but wild-type males performed more courtship displays towards transgenic females. These results suggest that the red body colouration does not appear to disturb signal communication between wild-type and transgenic T. albonubes in shoaling behaviour; transgenic males have no mating advantage over wild-type males, but the red body colouration of transgenic females may affect mate choice of wild-type males.
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Affiliation(s)
- P Jiang
- Key Laboratory of Tropical and Subtropical Fish Breeding and Cultivation, Pearl River Fisheries Research Institute, Chinese Academy of Fishery Sciences, Guangzhou, Guangdong 510380, PR China
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Chen KW, Yang HL, Lu J, Liu JY, Chen XQ. Prognostic factors of sacral chordoma after surgical therapy: a study of 36 patients. Spinal Cord 2009; 48:166-71. [DOI: 10.1038/sc.2009.95] [Citation(s) in RCA: 64] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Zhang YL, Liu FJ, Sun DQ, Chen XQ, Zhang Y, Zheng YM, Zhao MT, Wang GH. Phytohemagglutinin improves efficiency of electrofusing mammary gland epithelial cells into oocytes in goats. Theriogenology 2008; 69:1165-71. [PMID: 18400286 DOI: 10.1016/j.theriogenology.2007.10.028] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2007] [Revised: 10/28/2007] [Accepted: 10/20/2007] [Indexed: 11/16/2022]
Abstract
The objective was to investigate the effect of phytohemagglutinin (PHA) on the fusion of mammary gland epithelial (MGE) cells into enucleated oocytes in goats. The toxicity of PHA was evaluated by testing its effect on the development of parthenogenetic caprine oocytes. The effective dose and duration of PHA treatment (100 microg/mL, 20 min incubation) was selected and used to compare fusion efficiency and embryo development following nuclear transfer. Two electrofusion protocols, chamber fusion (CF) and pressurized microelectrode fusion (pMEF), were also compared, when couplets were treated with and without PHA (100 microg/mL, 20 min). Fusion rate of couplets increased from 52.8 to 74.0% for the CF protocol (P<0.05), but was not significantly different for the pMEF protocol (72.7% vs. 78.1%) after PHA treatment. There were no significant differences between treated group and control in rates of subsequent cleavage or blastocyst development. Following transfer of the cloned blastocysts derived from the PHA-treated group and the control group into synchronized recipients, pregnancy rates (Day 30) were not significantly different between treated group and control (28.6% vs. 25.0%). However, all recipients aborted within 120d, microsatellite DNA analyses confirmed that the aborted fetuses were genetically identical to the donor goat. In conclusion, the fusion rate of caprine MGE cell couplets was improved by pre-incubating couplets in medium containing 100 microg/mL PHA prior to electrical pulsing, and embryos derived from PHA treatment established early pregnancies.
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Affiliation(s)
- Y L Zhang
- Institute of Biotechnology, Northwest Sci-Tech University of Agriculture & Forestry, Yangling, Shaanxi 712100, China
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47
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Abstract
The genesis and development of tumor are closely connected with immune system and neuroendocrine system. To investigate the changes of neuroendocrine and immune system in leukemia patients and their probable connection with leukemia, we studied five groups of patients including leukemia patients with normal temperature, leukemia patients with high temperature and infection (high-leukocyte count group and low leukocyte count group), general patients with fever and healthy Chinese adult blood donors as control group. We determined their blood cell counts by blood count meter, determined their arginine vasopressin (AVP) levels in blood plasma by radioimmunoassay and their cross-reacting protein (CRP), and lipopolysaccharide (LPS) levels by immunoturbidimetry. Then we studied the difference and association among these indexes. Our results revealed a significant increase of AVP, LPS, and CRP levels in the blood of leukemia patients with normal temperature vs. normal people; Individual leukemia patients had high AVP levels although they had normal LPS and CRP levels; In the group of leukemia patients with high temperature and low leukocyte counts, the CRP level is significantly higher than some of other groups, while there was no significant increase in its AVP level. We conclude that no matter the temperature is normal or not, there were always neuroendocrine disturbance, inflammation, and inapparent infection in leukemia patient; To the leukemia patients with low leukocyte counts, the relationship between inflammation and neuroendocrine is more complicated.
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Affiliation(s)
- D M Han
- Department of Hematology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China
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48
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Abstract
The cytotoxicity of three extracts (petroleum ether, ethyl acetate and n-butanol) from a plant used in folk medicine, Marchantia convoluta, to human non-small cell lung carcinoma (H1299) and liver carcinoma (HepG2) cell lines was tested. After 72-h incubation of lung and liver cancer cell cultures with varying concentrations of extracts (15 to 200 microg/mL), cytotoxicity was determined by the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay and reported in terms of cell viability. The extracts that showed a significant cytotoxicity were subjected to gas chromatography-mass spectrometry analysis to identify the components. The ethyl acetate, but not the petroleum ether or n-butanol extract, had a significant cytotoxicity against lung and liver carcinoma cells with IC50 values of 100 and 30 microg/mL, respectively. A high concentration of ethyl acetate extract (100 microg/mL) rapidly reduced the number of H1299 cells. At lower concentrations of ethyl acetate extract (15, 30, and 40 microg/mL), the numbers of HepG2 cells started to decrease markedly. Gas chromatography-mass spectrometry analysis of the ethyl acetate extract revealed the presence of several compounds such as phytol (23.42%), 1,2,4-tripropylbenzene (13.09%), 9-cedranone (12.75%), ledene oxide (7.22%), caryophyllene (1.82%), and caryophyllene oxide (1.15%). HPLC analysis result showed that there were no flavonoids in ethyl acetate extract, but flavonoids are abundant in n-butanol extract. Further studies are needed regarding the identification, toxicity, and mechanism of action of active compounds.
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Affiliation(s)
- J B Xiao
- College of Chemistry and Chemical Engineering, Central South University, Changsha, China.
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49
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Pan BC, Meng FW, Chen XQ, Pan BJ, Li XT, Zhang WM, Zhang X, Chen JL, Zhang QX, Sun Y. Application of an effective method in predicting breakthrough curves of fixed-bed adsorption onto resin adsorbent. J Hazard Mater 2005; 124:74-80. [PMID: 15975712 DOI: 10.1016/j.jhazmat.2005.03.052] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2004] [Revised: 02/25/2005] [Accepted: 03/24/2005] [Indexed: 05/03/2023]
Abstract
Removal of many organic pollutants including phenolic compounds from industrial wastewater can always be achieved by fixed-bed adsorption onto the polymeric resin adsorbent, and the relevant breakthrough curves would provide much valuable information to help to design a fixed-bed adsorption process in field application. In the present study, a model developed based on the constant-pattern wave approach theory and the Freundlich model was adopted to describe the breakthrough curves of phenol and p-nitrophenol adsorption onto a macroreticular resin adsorbent NDA-100 from aqueous solution. Column experiments were performed at different conditions to verify the model and the results proved that the model would describe the breakthrough curves well. Effect of the operation parameters on breakthrough curves was also discussed to get helpful information in choosing the adsorption process.
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Affiliation(s)
- B C Pan
- School of the Environment, and State Key Laboratory of Pollution Control and Resources Reuse, Nanjing University, Nanjing 210093, PR China.
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50
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Hu K, Li QQ, Yang J, Chen XQ, Hu SP, Wu XJ. The role of high-frequency jet ventilation in the treatment of Cheyne-Stokes respiration in patients with chronic heart failure. Int J Cardiol 2005; 106:224-31. [PMID: 16126290 DOI: 10.1016/j.ijcard.2005.02.005] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2004] [Revised: 02/05/2005] [Accepted: 02/06/2005] [Indexed: 11/17/2022]
Abstract
BACKGROUND Cheyne-Stokes respiration with central sleep apnea (CSR-CSA) is common in patients with severe cardiac failure. Various modes of positive airway pressure have been suggested as treatments. The authors hypothesized that high frequency jet ventilation (HFJV) can improve central sleep apnea in patients with chronic heart failure. METHODS Eleven subjects with stable, optimally treated chronic heart failure and Cheyne-Stokes respiration were tested untreated and on four treatment nights in random order: nasal oxygen (4 L/min), continuous positive airway pressure (CPAP) (mean 9.3 cm H(2)O), bilevel positive airway pressure (BiPAP)(mean 12.0/5.3 cm H(2)O), or HFJV(60 approximately 80 breaths per minute) during polysomnography (EMBLA, Flaga, Reykjavik, Iceland). RESULTS The apnea-hypopnea index (AHI) declined from 30.9 +/- 8.3/h in untreated night to 23.6 +/- 6.6/h oxygen night and 18.5 +/- 5.0/h CPAP, 14.3 +/- 3.9/h BiPAP, and 20.1 +/- 4.1/h HFJV (all P < 0.001 versus control). There was no significant difference between the AHI of HFJV and that of CPAP (P = 0.541). Arousal index decreased from 31.4+/-13.2/h untreated to 25.0 +/- 7.1/h oxygen and 13.6 +/- 4.7/h CPAP, to 13.7 +/- 4.9/h BiPAP and 14.4 +/- 4.7/h HFJV. HFJV had the similar effect to the other therapeutic groups in arousal index (P > 0.05). There were large increases in slow-wave and rapid eye movement (REM) sleep with HFJV. All subjects preferred HFJV to CPAP. CONCLUSIONS One night of therapy with HFJV improved nocturnal breathing pattern and sleep quality in patients with Cheyne-Stokes respiration in chronic heart failure. HFJV therapy for sleep and breathing were the same as those during a nasal CPAP night. A long-term study of the effect of HFJV on cardiovascular function is needed.
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Affiliation(s)
- K Hu
- Division of Respiratory Disease, Renmin Hospital of Wuhan University, Wuchang, China.
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