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Li LB, Yang LX, Liu L, Liu FR, Li AH, Zhu YL, Wen H, Xue X, Tian ZX, Sun H, Li PC, Zhao XG. Targeted inhibition of the HNF1A/SHH axis by triptolide overcomes paclitaxel resistance in non-small cell lung cancer. Acta Pharmacol Sin 2024; 45:1060-1076. [PMID: 38228910 PMCID: PMC11053095 DOI: 10.1038/s41401-023-01219-y] [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: 07/17/2023] [Accepted: 12/17/2023] [Indexed: 01/18/2024] Open
Abstract
Paclitaxel resistance is associated with a poor prognosis in non-small cell lung cancer (NSCLC) patients, and currently, there is no promising drug for paclitaxel resistance. In this study, we investigated the molecular mechanisms underlying the chemoresistance in human NSCLC-derived cell lines. We constructed paclitaxel-resistant NSCLC cell lines (A549/PR and H460/PR) by long-term exposure to paclitaxel. We found that triptolide, a diterpenoid epoxide isolated from the Chinese medicinal herb Tripterygium wilfordii Hook F, effectively enhanced the sensitivity of paclitaxel-resistant cells to paclitaxel by reducing ABCB1 expression in vivo and in vitro. Through high-throughput sequencing, we identified the SHH-initiated Hedgehog signaling pathway playing an important role in this process. We demonstrated that triptolide directly bound to HNF1A, one of the transcription factors of SHH, and inhibited HNF1A/SHH expression, ensuing in attenuation of Hedgehog signaling. In NSCLC tumor tissue microarrays and cancer network databases, we found a positive correlation between HNF1A and SHH expression. Our results illuminate a novel molecular mechanism through which triptolide targets and inhibits HNF1A, thereby impeding the activation of the Hedgehog signaling pathway and reducing the expression of ABCB1. This study suggests the potential clinical application of triptolide and provides promising prospects in targeting the HNF1A/SHH pathway as a therapeutic strategy for NSCLC patients with paclitaxel resistance. Schematic diagram showing that triptolide overcomes paclitaxel resistance by mediating inhibition of the HNF1A/SHH/ABCB1 axis.
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Affiliation(s)
- Ling-Bing Li
- Department of Thoracic Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji-nan, 250012, China
| | - Ling-Xiao Yang
- Department of Thoracic Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji-nan, 250012, China
| | - Lei Liu
- Department of Thoracic Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji-nan, 250012, China
| | - Fan-Rong Liu
- Department of Thoracic Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji-nan, 250012, China
| | - Alex H Li
- Division of Environmental Medicine, Department of Medicine, New York University Grossman School of Medicine, New York, NY, 10010, USA
| | - Yi-Lin Zhu
- Department of Thoracic Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji-nan, 250012, China
| | - Hao Wen
- Department of Thoracic Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji-nan, 250012, China
| | - Xia Xue
- Department of Pharmacy, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji-nan, 250012, China
| | - Zhong-Xian Tian
- Department of Thoracic Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji-nan, 250012, China
- Key Laboratory of Chest Cancer, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji-nan, 250012, China
| | - Hong Sun
- Division of Environmental Medicine, Department of Medicine, New York University Grossman School of Medicine, New York, NY, 10010, USA
| | - Pei-Chao Li
- Department of Thoracic Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji-nan, 250012, China.
- Key Laboratory of Chest Cancer, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji-nan, 250012, China.
| | - Xiao-Gang Zhao
- Department of Thoracic Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji-nan, 250012, China.
- Key Laboratory of Chest Cancer, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji-nan, 250012, China.
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Zhu YL, Li Y, Mu JL, Liu WC, Li X, Lu HZ. [Correlation of MYB/NFIB gene fusion with the grade and prognosis of head and neck adenoid cystic carcinoma and the concordance of two detection methods]. Zhonghua Bing Li Xue Za Zhi 2024; 53:149-154. [PMID: 38281782 DOI: 10.3760/cma.j.cn112151-20230914-00172] [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: 01/30/2024]
Abstract
Objective: To explore the correlation between MYB/NFIB gene fusion and clinicopathological features such as tumor grade and prognosis of head and neck adenoid cystic carcinoma (ACC), and to assess the concordant rate of fluorescent in situ hybridization (FISH) with MYB and NFIB immunohistochemistry. Methods: FISH detection of MYB/NFIB gene fusion was performed on 48 head and neck ACC cases and 15 non-ACC salivary gland tumors at National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China during April 2014 and January 2020. ACC cases were divided into grade Ⅰ-Ⅱ, grade Ⅲ and high-grade transformation, according to pathological grading criteria. Prognosis, FISH results and other clinicopathological characteristics were analyzed. MYB and NFIB immunohistochemistry was performed on the 48 ACC and 15 non-ACC cases. The diagnostic accuracy of FISH and immunohistochemistry was compared. Results: FISH detected MYB/NFIB gene fusion in 41.7% (20/48) of the ACC. Its positive rate was inversely correlated with higher pathological grades (P=0.036). The higher histological grade was linked to worse progression-free survival (P=0.024), whereas there was no correlation between the status of gene fusion detected by FISH and progression-free survival (P=0.536). FISH didnot detect MYB/NFIB gene fusion in 15 non-ACC salivary gland tumors The specificity of diagnosing ACC is 100% for both FISH detection of gene fusion and immunohistochemical detection of MYB expression. However, the sensitivity for both methods was only about 41.7%, respectively. By combining FISH and MYB immunohistochemistry, the sensitivity for diagnosing ACC was increased to 66.7%. Conclusions: MYB/NFIB gene fusion has a lower detection rate in grade Ⅲ ACC and high-grade transformation ACC. Meanwhile gene fusion status is not correlated with prognosis. The sensitivity for diagnosing ACC can be improved by combining FISH and MYB immunohistochemistry.
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Affiliation(s)
- Y L Zhu
- Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021,China
| | - Y Li
- Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021,China
| | - J L Mu
- Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021,China
| | - W C Liu
- Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021,China
| | - X Li
- Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021,China
| | - H Z Lu
- Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021,China
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Wu JH, Zhu YL, Wang HY, Liu YH, Lin DM. [Advances of pathological diagnosis and molecular pathology of lung neuroendocrine neoplasms]. Zhonghua Bing Li Xue Za Zhi 2024; 53:109-115. [PMID: 38281776 DOI: 10.3760/cma.j.cn112151-20230818-00079] [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: 01/30/2024]
Abstract
The pathological classification and diagnostic criteria for lung neuroendocrine neoplasms (NENs) in the 2021 World Health Organization (WHO) lung tumor classification are similar to the prior classifications. However, the advances on the molecular studies of lung NENs have shown that both small cell lung carcinoma and large cell neuroendocrine carcinoma are highly heterogeneous tumors with neuroendocrine characteristics and can be subclassified based on the features of genomics or transcriptomics, which are valuable in the diagnosis of lung NENs subtypes and patient treatment. In addition, it is necessary to interpret emerging concepts such as "lung neuroendocrine tumor G3" and "histological transformation" from pathological perspectives, as well as to know the novel neuroendocrine biomarkers such as INSM1 and POU2F3. This article summarized the diagnostic changes and the advances of molecular pathology of lung NENs based on the latest WHO classification and molecular research.
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Affiliation(s)
- J H Wu
- Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Pathology, Peking University Cancer Hospital and Institute, Beijing 100142, China
| | - Y L Zhu
- Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Pathology, Peking University Cancer Hospital and Institute, Beijing 100142, China
| | - H Y Wang
- Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Pathology, Peking University Cancer Hospital and Institute, Beijing 100142, China
| | - Y H Liu
- Department of Pathology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China
| | - D M Lin
- Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Pathology, Peking University Cancer Hospital and Institute, Beijing 100142, China
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Liu T, Li L, Jia YY, Zhu YL, Lu XR, Guo W. [Analysis on epidemiological characteristics of central obesity/pre-central obesity and influencing factors in Jilin Province]. Zhonghua Liu Xing Bing Xue Za Zhi 2023; 44:1928-1935. [PMID: 38129150 DOI: 10.3760/cma.j.cn112338-20230519-00311] [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
Objective: To understand the epidemiological characteristics of central obesity and pre-central obesity and influencing factors in residents in Jilin Province, and provide reference for the prevention and control of central obesity and pre-central obesity. Methods: Based on the results of early screening and comprehensive intervention program in high-risk groups of cardiovascular disease in Jilin dyring 2017-2018, a total of 11 903 participants aged 35-75 years in 6 project areas in Jilin were included as the survey subjects for physical examination, laboratory test and questionnaire survey. The prevalence of central obesity and pre-central obesity in populations with different characteristic and health status were analyzed by χ2 test, trend χ2 test, F-test. Multivariate logistic regression model was used for influencing factor analysis. Results: The central obesity rate was 33.35% (3 970/11 903), the standardized rate was 31.73%, the pre-central obesity rate was 28.79% (3 427/11 903), the standardized rate was 28.86%. Multifactor analysis results showed that being rural resident (OR=1.99, 95%CI: 1.78-2.23), being woman (OR=1.76, 95%CI: 1.57-1.97), 65-75 years old (OR=1.21, 95%CI: 1.03-1.45), senior high school and technical secondary school education level (OR=1.38, 95%CI: 1.17-1.63), annual family income >100 000 yuan (OR=1.65, 95%CI: 1.20-2.26), overweight (OR=9.27, 95%CI: 8.26-10.41), obesity (OR=82.82, 95%CI: 62.63-109.52), normal high blood pressure (OR=1.49, 95%CI: 1.27-1.74), hypertension (OR=1.70, 95%CI: 1.42-2.04), diabetes (OR=2.30, 95%CI: 1.94-2.73), dyslipidemia (OR=1.33, 95%CI: 1.18-1.50) were positively related to the risk for central obesity and pre central obesity. Conclusions: The prevalence rates of central obesity and pre central obesity in residents in Jilin were at high levels, being rural resident, being woman, older age, senior high school and technical secondary school education level, high income, overweight and obesity, normal high blood pressure and hypertension, diabetes, dyslipidemia were risk factors for central obesity and pre-central obesity in Jilin.
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Affiliation(s)
- T Liu
- Department of Chronic and Non-communicable Disease Control and Prevention, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
| | - L Li
- Department of Chronic and Non-communicable Disease Control and Prevention, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
| | - Y Y Jia
- Department of Chronic and Non-communicable Disease Control and Prevention, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
| | - Y L Zhu
- Department of Chronic and Non-communicable Disease Control and Prevention, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
| | - X R Lu
- Department of Chronic and Non-communicable Disease Control and Prevention, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
| | - W Guo
- Department of Chronic and Non-communicable Disease Control and Prevention, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
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Sun ZG, Xiang RS, Zhang Q, Luo ZK, Feng L, Fang H, Zhu YL, Zhang HZ. [Study on the recurrence pattern of rectal cancer patients undergoing radical surgery after neoadjuvant chemoradiotherapy]. Zhonghua Yi Xue Za Zhi 2023; 103:1836-1841. [PMID: 37357189 DOI: 10.3760/cma.j.cn112137-20230407-00560] [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: 06/27/2023]
Abstract
Objective: To analyze the recurrence pattern of rectal cancer patients with radical surgery after neoadjuvant chemoradiotherapy. Methods: The clinicopathological characteristics and follow-up information of rectal cancer patients with radical surgery after neoadjuvant chemoradiotherapy in the Cancer Hospital of the Chinese Academy of Medical Sciences from June 2004 to December 2017 were retrospectively collected. The recurrence pattern including the time and site was investigated. Results: The age of 537 patients was (55.5±11.7) years, of whom 361 were male (67.2%). The median follow-up time [M(Q1,Q3)] was 77.9 (64.5, 95.6) months. Moreover, 30.7% (165/537) of patients had distant metastasis or local recurrence; 26.8% (144/537) of patients had distant metastasis; 5.6% (30/537) of patients had local recurrence; 1.7% (9/537) of patients had both distant metastasis and local recurrence. In all the recurrent patients, 23.6% (39/165) were in the first year after surgery, followed by 27.3% (45/165) in the second year, 17.0% (28/165) in the third year, and 15.8% (26/165) after five years. According to the risk curve drawn by the life table, the highest metastasis risk of patients occurred in the second year after surgery, and the metastasis risk peak occurred again after more than five years. The lung was the most common metastatic organ, accounting for 47.9% (69/144), followed by the liver (18.8%, 27/144). The ratios of the recurrent patients in each ypTNM stage were 9.5% (8/84), 12.0% (12/100), 26.5% (41/155), 52.5% (104/198), respectively. The proportion of recurrent patients in tumor regression grade (TRG) 1-2 and TRG 3-5 patients were 19.2% (38/198) and 37.5% (127/339), respectively. Conclusions: The recurrence pattern of patients undergoing radical surgery after neoadjuvant chemoradiotherapy is mainly distant metastasis. The lung is the primary metastatic organ. The risk of distant metastasis and local recurrence is high in the first three years after surgery, and there is still high risk of recurrence after five years. For patients with ypTNM stage 2, 3 and TRG3-5, the postoperative adjuvant chemotherapy and long-term follow-up should be strengthened.
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Affiliation(s)
- Z G Sun
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - R S Xiang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Q Zhang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Z K Luo
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - L Feng
- State Key Laboratory of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - H Fang
- Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Y L Zhu
- Department of Pathological Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - H Z Zhang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Molecular Oncology, Beijing 100021, China
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Xu YD, Wang HT, Zhu YL, Dong Y, Zhang WB, Wang WP, Mao F, Ji ZB. [Diagnostic value of contrast-enhanced ultrasound in hepatic epithelioid hemangioendothelioma]. Zhonghua Gan Zang Bing Za Zhi 2023; 31:589-593. [PMID: 37400382 DOI: 10.3760/cma.j.cn501113-20230314-00114] [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] [Grants] [Subscribe] [Scholar Register] [Indexed: 07/05/2023]
Abstract
Objective: To investigate the features of contrast-enhanced ultrasound (CEUS) in hepatic epithelioid hemangioendothelioma (HEHE) in order to improve the preoperative diagnosis rate. Methods: CEUS images of 32 pathologically-proven cases of hepatic epithelioid hemangioendothelioma from January 2004 to August 2021 were collected. Lesions were analyzed to observe the features of enhancement mode, enhancement intensity, and distinct enhancement phases. Results: Among the 32 cases, one had a solitary lesion, 29 had multiple lesions, and two had diffuse-type lesions. Contrast-enhanced ultrasound revealed a total of 42 lesions in 32 cases. In terms of arterial phase enhancement, 18 lesions had overall enhancement, six lesions had uneven dendritic enhancement, 16 lesions had rim-like enhancement, and two lesions had just slight peripheral spot enhancement around the lesions. Among the three cases, there were multiple lesions that had overall enhancement and ring enhancement. In terms of the enhancement phase, 20 lesions showed "fast progression", 20 lesions showed "same progression", and two lesions showed "slow progression". During the late arterial or early portal venous phases with rapid washout, all lesions manifested as hypoechoic. With peaked enhanced intensity, 11 lesions had a lower enhancement intensity than the surrounding normal liver parenchyma; 11 lesions had the same enhancement degree as the surrounding normal liver parenchyma; and 20 lesions had a higher enhancement degree than the surrounding normal liver parenchyma. All 16 ring-enhancing lesions had marked hyperenhancement. In the typical enhancing lesions, four showed hyperenhancement, five showed low enhancement, and nine showed isoenhancement. In the dendrite-enhancing lesions, there were two isoenhancing and four hypoenhancing. Contrast-enhanced ultrasound delineated the boundaries of all lesions more clearly than two-dimensional ultrasound. Conclusion: Contrast-enhanced ultrasound has certain value in the diagnosis of hepatic epithelioid hemangioendothelioma.
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Affiliation(s)
- Y D Xu
- Department of Ultrasound, Zhongshan Hospital, Fudan University; Shanghai Institute of Medical Imaging; Institute of Ultrasound Medicine and Engineering, Fudan University, Shanghai 200032, China
| | - H T Wang
- Department of Ultrasound, Zhongshan Hospital, Fudan University; Shanghai Institute of Medical Imaging; Institute of Ultrasound Medicine and Engineering, Fudan University, Shanghai 200032, China
| | - Y L Zhu
- Department of Ultrasound, Zhongshan Hospital, Fudan University; Shanghai Institute of Medical Imaging; Institute of Ultrasound Medicine and Engineering, Fudan University, Shanghai 200032, China
| | - Y Dong
- Department of Ultrasound, Zhongshan Hospital, Fudan University; Shanghai Institute of Medical Imaging; Institute of Ultrasound Medicine and Engineering, Fudan University, Shanghai 200032, China
| | - W B Zhang
- Department of Ultrasound, Zhongshan Hospital, Fudan University; Shanghai Institute of Medical Imaging; Institute of Ultrasound Medicine and Engineering, Fudan University, Shanghai 200032, China
| | - W P Wang
- Department of Ultrasound, Zhongshan Hospital, Fudan University; Shanghai Institute of Medical Imaging; Institute of Ultrasound Medicine and Engineering, Fudan University, Shanghai 200032, China
| | - F Mao
- Department of Ultrasound, Zhongshan Hospital, Fudan University; Shanghai Institute of Medical Imaging; Institute of Ultrasound Medicine and Engineering, Fudan University, Shanghai 200032, China
| | - Z B Ji
- Department of Ultrasound, Zhongshan Hospital, Fudan University; Shanghai Institute of Medical Imaging; Institute of Ultrasound Medicine and Engineering, Fudan University, Shanghai 200032, China
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Sun ZG, Luo ZK, Xiang RS, Zhang Q, Feng L, Fang H, Zhu YL, Zhang HZ. [A long-term follow-up study on recurrence and benefit of standardized postoperative chemotherapy of rectal cancer patients with complete pathological response after neoadjuvant chemoradiotherapy]. Zhonghua Yi Xue Za Zhi 2023; 103:1546-1552. [PMID: 37246004 DOI: 10.3760/cma.j.cn112137-20230312-00384] [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: 05/30/2023]
Abstract
Objective: To analyze the clinicopathological factors affecting long-term disease-free survival and the characteristics of local recurrence or distance metastasis of rectal cancer patients with complete pathological response after neoadjuvant chemoradiotherapy. Methods: The clinicopathological data and follow-up information of patients with a complete pathological response of rectal cancer after neoadjuvant chemoradiotherapy in the Cancer Hospital of Chinese Academy of Medical Sciences from June 2004 to December 2019 were retrospectively collected. The clinicopathological factors affecting the long-term disease-free survival of patients were analyzed to build a prediction model of local recurrence and distant metastasis and to evaluate the benefits of postoperative chemotherapy. Results: The age of 108 patients was(56.3±11.6) years, of which 68 were males (63.0%); The median follow-up time was 79.9 (61.8, 112.6) months. There were 12 patients (11.1%) who had a local recurrence or distant metastasis. The 5-year disease-free survival rate was 91.1% with 9 patients who experienced recurrence. Multivariate Cox proportional hazards regression analysis showed that the maximum diameter of the residual tumor or scar (HR=8.41, 95%CI: 1.08-65.22, P=0.042) and the distance from the lower edge of the tumor to the anal margin before treatment (HR=4.54, 95%CI: 1.23-16.81, P=0.023) were independent risk factors affecting the prognosis. The prognosis of patients was stratified based on relevant factors. The 5-year cumulative disease-free survival rate of those patients receiving postoperative standardized chemotherapy was 92.0%, while for patients who did not receive or complete standardized chemotherapy, the 5-year cumulative disease-free survival rate was 82.3%. Conclusions: The maximum diameter of the residual tumor or scar and the distance from the lower edge of the tumor to the anal margin before treatment were independent risk factors affecting the prognosis of patients with a complete pathological response. Patients with independent risk factors could benefit from the standardized postoperative chemotherapy.
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Affiliation(s)
- Z G Sun
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Z K Luo
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - R S Xiang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Q Zhang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - L Feng
- State Key Laboratory of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - H Fang
- Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Y L Zhu
- Department of Pathological Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - H Z Zhang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Molecular Oncology, Beijing 100021, China
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Liu YC, Zhu YL, Wang F, Wang MG. [Analysis of recurrent factors and therapeutic effect after laparoscopic inguinal hernia repair]. Zhonghua Wai Ke Za Zhi 2023; 61:507-510. [PMID: 37088484 DOI: 10.3760/cma.j.cn112139-20230116-00028] [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: 04/25/2023]
Abstract
Objective: To analyze the recurrence factors and reoperation effect of laparoscopic inguinal hernia repair. Methods: A total of 41 patients with recurrence after laparoscopic repair of the inguinal hernia admitted to the Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University from January 2017 to December 2021 were retrospectively analyzed. All patients were males, aging (62±7) years (range: 51 to 75 years). The recurrence intervals were 3 days to 7 years postoperatively. The surgical methods, causes of recurrence, and treatment outcomes of the patients were analyzed. Fisher exact probability method is used to compare the rates. Results: Among all cases, the primary surgical procedures included transabdominal preperitoneal herniorrhaphy (TAPP) in 31 cases and total extraperitoneal herniorrhaphy in 10 cases. The reoperative procedures included the TAPP of 11 cases and the Lichtenstein procedure of 30 cases. The factors of recurrent cases in all patients could be divided into 4 categories, including insufficient mesh coverage in 23 cases, mesh curling in 9 cases, mesh contractuture in 7 cases, and improper mesh fixation in 2 cases. Recurrence, infection, chronic pain, foreign body sensation didn't occur in the followed period of(M(IQR)) 18(24) months(range: 12 to 50 months). There was no statistical difference in the incidence of postoperative seroma between the TAPP and Lichtenstein procedure (3/11 vs. 20.0% (6/30), P=0.68). Conclusions: Postoperative recurrence of laparoscopic inguinal hernia is mostly caused by the lack of mesh coverage. Due to the emphasis on standardized surgical operation, a good outcome could be achieved through reoperation by the TAPP or Lichtenstein procedure.
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Affiliation(s)
- Y C Liu
- Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China
| | - Y L Zhu
- Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China
| | - F Wang
- Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China
| | - M G Wang
- Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China
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Cai JL, Zhu YL, Li XP, Xia XH, Deng GM, Tong QZ, Yi GQ, Cheng B. [Mechanism of Huangjing Qianshi Decoction in treatment of prediabetic mice based on transcriptome sequencing]. Zhongguo Zhong Yao Za Zhi 2023; 48:1032-1042. [PMID: 36872274 DOI: 10.19540/j.cnki.cjcmm.20220915.402] [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: 03/07/2023]
Abstract
Based on transcriptome sequencing technology, the mouse model of prediabetes treated with Huangjing Qianshi Decoction was sequenced to explore the possible mechanism of treating prediabetes. First of all, transcriptome sequencing was performed on the normal BKS-DB mouse group, the prediabetic model group, and the Huangjing Qianshi Decoction treatment group(treatment group) to obtain differentially expressed genes in the skeletal muscle samples of mice. The serum biochemical indexes were detected in each group to screen out the core genes of Huangjing Qianshi Decoction in prediabetes. Gene Ontology(GO) database and Kyoto Encyclopedia of Genes and Genomes(KEGG) database were used to conduct signaling pathway enrichment analysis of differentially expressed genes, and real-time quantitative polymerase chain reaction(RT-qPCR) was used to verify them. The results showed that the levels of fasting blood glucose(FBG), fasting insulin(FINS), insulin resistance index(HOMA-IR), total cholesterol(TC), triglycerides(TG), and low-density lipoprotein cholesterol(LDL-C) in the mouse model were significantly decreased after treatment with Huangjing Qianshi Decoction. In the results of differential gene screening, there were 1 666 differentially expressed genes in the model group as compared with the normal group, and there were 971 differentially expressed genes in the treatment group as compared with the model group. Among them, interleukin-6(IL-6) and NR3C2 genes, which were closely related to the regulation of insulin resis-tance function, were significantly up-regulated between the model group and the normal group, and vascular endothelial growth factor A(VEGFA) genes were significantly down-regulated between the model group and the normal group. However, the expression results of IL-6, NR3C2, and VEGFA genes were adverse between the treatment group and the model group. GO functional enrichment analysis found that the biological process annotation mainly focused on cell synthesis, cycle, and metabolism; cell component annotation mainly focused on organelles and internal components; and molecular function annotation mainly focused on binding molecular functions. KEGG pathway enrichment analysis found that it involved the protein tyrosine kinase 6(PTK6) pathway, CD28-dependent phosphoinositide 3-kinase/protein kinase B(PI3K/AKT) pathway, p53 pathway, etc. Therefore, Huangjing Qianshi Decoction can improve the state of prediabetes, and the mechanism may be related to cell cycle and apoptosis, PI3K/AKT pathway, p53 pathway, and other biological pathways regulated by IL-6, NR3C2, and VEGFA.
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Affiliation(s)
- Jia-Luo Cai
- the First Hospital Affiliated to Hunan University of Chinese Medicine Changsha 410000, China Hunan University of Chinese Medicine Changsha 410208, China
| | - Yi-Lin Zhu
- Hunan University of Chinese Medicine Changsha 410208, China
| | - Xiao-Ping Li
- the First Hospital Affiliated to Hunan University of Chinese Medicine Changsha 410000, China
| | - Xin-Hua Xia
- Hunan University of Chinese Medicine Changsha 410208, China
| | - Gui-Ming Deng
- the First Hospital Affiliated to Hunan University of Chinese Medicine Changsha 410000, China
| | - Qiao-Zhen Tong
- Hunan University of Chinese Medicine Changsha 410208, China
| | - Gang-Qiang Yi
- Hunan University of Chinese Medicine Changsha 410208, China
| | - Bo Cheng
- the First Hospital Affiliated to Hunan University of Chinese Medicine Changsha 410000, China
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10
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Zhu YL, Li W, Yang BB, Dong A, Wu F, Liu AM, Mao JH. [Research progress of biomarkers in steroid-resistant nephrotic syndrome in children]. Zhonghua Er Ke Za Zhi 2022; 60:1354-1357. [PMID: 36444447 DOI: 10.3760/cma.j.cn112140-20220702-00610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Affiliation(s)
- Y L Zhu
- Department of Traditional Chinese Medicine, the Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310052, China
| | - W Li
- Department of Clinical Laboratory, the Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310052, China
| | - B B Yang
- Department of General Surgery, the Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310052, China
| | - A Dong
- Division of Hematology and Oncology, the Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310052, China
| | - F Wu
- Department of Traditional Chinese Medicine, the Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310052, China
| | - A M Liu
- Department of Nephrology, the Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310052, China
| | - J H Mao
- Department of Nephrology, the Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310052, China
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11
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Yu X, Shi ZB, Jiang M, Yu GY, Zhu YL, Yang ZC, Chen W, Zhu YR, Fang KR, Tong RH, Han JH, Zhang XR. Analysis of synthetic electron cyclotron emission from the high field side of HL-2M tokamak plasmas. Rev Sci Instrum 2022; 93:083518. [PMID: 36050087 DOI: 10.1063/5.0098907] [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] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 07/26/2022] [Indexed: 06/15/2023]
Abstract
A synthetic electron cyclotron emission (ECE) diagnostic is used to interpret ECE signals from preset plasma equilibrium profiles, including magnetic field, electron density, and electron temperature. According to the simulation results, the electron temperature (Te) profile covering the harmonic overlap region can be obtained by receiving ECE signals at the high field side (HFS) of the HL-2M plasma. The third harmonic ECE at the low field side (LFS) cannot pass through the second harmonic resonance layer at the HFS unless the optical thickness (τ) of the second harmonic becomes gray (τ ≤ 2). In addition, the impact of the relativistic frequency down-shift has been evaluated and corrected. The measurable range of the HFS ECE has been calculated by scanning different parameters (electron density, temperature, and magnetic field). Higher plasma parameters allow a wider radial range of electron temperature measurements. The minimum inner measurable position can reach R = 120 cm (r/a = -0.89) when the product of core temperature (Te0) and density (ne0) is greater than 35 × 1019 keV m-3, which is extended by more than 30 cm inward compared with that of the LFS measurement. The HFS ECE will greatly improve the diagnostic ability of ECE systems on the HL-2M tokamak.
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Affiliation(s)
- X Yu
- Southwestern Institute of Physics, Chengdu 610041, China
| | - Z B Shi
- Southwestern Institute of Physics, Chengdu 610041, China
| | - M Jiang
- Southwestern Institute of Physics, Chengdu 610041, China
| | - G Y Yu
- Department of Electrical and Computer Engineering, University of California, Davis, California 95616, USA
| | - Y L Zhu
- Department of Electrical and Computer Engineering, University of California, Davis, California 95616, USA
| | - Z C Yang
- Southwestern Institute of Physics, Chengdu 610041, China
| | - W Chen
- Southwestern Institute of Physics, Chengdu 610041, China
| | - Y R Zhu
- Southwestern Institute of Physics, Chengdu 610041, China
| | - K R Fang
- Southwestern Institute of Physics, Chengdu 610041, China
| | - R H Tong
- Southwestern Institute of Physics, Chengdu 610041, China
| | - J H Han
- Sichuan University, Chengdu 610065, China
| | - X R Zhang
- Key Laboratory of Materials Modification by Beams of the Ministry of Education, School of Physics, Dalian University of Technology, Dalian 116024, China
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12
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Zhu YL, Mai YJ, Ye HJ, Gan XL. [The analgesic efficacy and safety of non-steroidal anti-inflammatory drugs combined with medial canthus peribulbar block for postoperative pain in patients with thyroid-associated ophthalmopathy after orbital decompression]. Zhonghua Yi Xue Za Zhi 2022; 102:1579-1583. [PMID: 35644958 DOI: 10.3760/cma.j.cn112137-20220307-00470] [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 explore the analgesic efficacy and safety of non-steroidal anti-inflammatory drugs (NSAIDs) combined with medial canthus peribulbar block for postoperative pain in patients with thyroid-associated ophthalmopathy (TAO) after orbital decompression. Methods: This study was a single-center, single-blind, randomized controlled study. From June 2020 to December 2020, sixty TAO patients in Zhongshan Ophthalmic center, Sun Yat-sen University who were allocated to receive orbital decompression under general anesthesia, were randomly and equally divided into two groups (n=30): the control group (group C) and the medial canthus peribulbar block group (group PB). All patients received intravenous infusion of flurbiprofen axetil 50 mg at 15 min before the end of surgery. In PB group, patients received peribulbar block via caruncular approach for postoperative pain management upon completion of wound closure, while patients in group C did not receive the peribulbar block. If patient sufferred significant postoperative pain (NRS score≥4), Ketorolac 10 mg would be prescribed as analgesic rescue. Postoperative NRS pain scores were recorded at 2, 4, 8, 24, 48 h after the surgery. The usage of Ketorolac during 0-24 h and 24-48 h postoperatively were also recorded. Postoperative complications during the hospital stay were recorded. Severity of orbital swelling would also be evaluated at 24 h after surgery. Results: The NRS pain scores [M(Q1, Q3)] in group PB were 2.50(2.00, 3.00)and 2.00(1.75, 3.00), which were both significantly lower than those in group C of 4.50(3.00,5.00), 3.00(2.00,4.25)at 2 h, 4 h after surgery respectively(P=0.001,0.045). During the first 24 h, the usage rate of Ketorolac in group C was 40%(12/30), which was higher than that in the group PB (13.3%, 4/30) with statistical significance (P=0.041). There was no significant difference in the incidences of postoperative nausea, vomiting, dizziness during the first 48 h, as well as the moderate to severe intensity of orbital swelling at 24 h after surgery (all P>0.05). There were no obvious complications of medial canthus peribulbar block in group PB. Conclusions: NSAIDs combined with medial canthus peribulbar block can provide satisfactory analgesia for TAO patients after orbital decompression, which is safe with little complications, and is beneficial to enhanced recovery after surgery.
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Affiliation(s)
- Y L Zhu
- State key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
| | - Y J Mai
- State key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
| | - H J Ye
- State key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
| | - X L Gan
- State key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
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13
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Zhang TT, Yang XL, Yang SX, Shang J, Xue Q, Zhang X, Zhu YL, Huang YY, Zhang DH, Sun YL, Lang C, Gao XZ, Cai HB, Zhang JQ, Xu Y, Gao Y. [Analysis of clinical features and etiological diagnostic indices of reproductive age women with hyperandrogenism]. Zhonghua Yi Xue Za Zhi 2022; 102:412-417. [PMID: 35144340 DOI: 10.3760/cma.j.cn112137-20210728-01683] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the clinical features and the value of different diagnostic indices for etiology in reproductive age women with hyperandrogenism. Methods: The medical records of 96 reproductive age women with hyperandrogenism in the multi-disciplinary team of Peking University First Hospital from January 2020 to April 2021 were collected. The patients were divided into four groups based on final diagnosis: congenital adrenal hyperplasia (CAH) (n=8), polycystic ovary syndrome (PCOS) (n=67), idiopathic hyperandrogenism (n=13) and other specific diseases (n=8), respectively. The indices related to androgens in different groups were compared, and then their efficiency for diagnosis of CAH and PCOS were analyzed with receiver operator characteristic curve (ROC curve). Results: A total of 96 patients with hyperandrogenism were recruited, with the age of 19-45 (29±6) years old. Overall, 4.2% (4/96) of the patients were with single clinical hyperandrogenism, 56.3% (54/96) were with single laboratory hyperandrogenaemia and 39.6% (38/96) were with both. The breakdown into laboratory hyperandrogenaemia subtypes was as follows: only T elevation 22.8% (21/92), only A2 elevation 7.6% (7/92), none DHEAS elevation, only FAI elevation 5.4% (5/92) and elevation of more than one of the androgen indices mentioned above accounted for 64.1% (59/92). In the reasons of consultation, simple irregular menstruation (36.0%, 32/89) or accompanied by clinical hyperandrogenism with or without infertility (36.0%, 32/89) were the most common. As for primary visiting departments, Obstetrics and Gynecology accounted for 53.2% (51/96), and then Endocrinology as 39.5% (38/96). The 17-OHP level of CAH, PCOS and idiopathic hyperandrogenism group was 20.0 (8.2, 33.1), 1.1 (0.8, 1.4), 0.9 (0.8, 1.3) ng/ml, respectively. The androstenedione level in these groups was 6.3 (4.6, 8.7), 3.8 (2.9, 4.8) and 3.2 (2.7, 3.7) ng/ml, respectively. The 17-OHP and androstenedione levels of CAH group were significantly higher than that in PCOS or idiopathic hyperandrogenism group (all P<0.05). The ratio of LH and FSH in these three groups was 0.8(0.5, 1.0), 1.3(0.6, 1.9) and 0.6(0.3, 0.7), respectively. The ratio of LH and FSH was significantly higher in PCOS than that in idiopathic hyperandrogenism group (P=0.024), but yet there was no significant difference compared with CAH group (P>0.05). The AUC of ROC curve of 17-OHP for CAH diagnosis was 0.94, followed by androstenedione 0.83, whereas LH/FSH for PCOS diagnosis was only 0.63. Conclusions: Among the reasons of consultation in reproductive age women who visited our multi-disciplinary team for female hyperandrogenism, simple irregular menstruation or accompanied by clinical hyperandrogenism with or without infertility are the most common. PCOS accounts for the majority of different androgen excess disorders. 17-OHP is the most valuable parameter for the diagnosis of CAH and secondly androstenedione.
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Affiliation(s)
- T T Zhang
- Department of Endocrinology, Peking University First Hospital, Beijing 100034, China
| | - X L Yang
- Reproductive Genetics Center of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, China
| | - S X Yang
- Department of Dermatology, Peking University First Hospital, Beijing 100034, China
| | - J Shang
- Reproductive Genetics Center of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, China
| | - Q Xue
- Reproductive Genetics Center of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, China
| | - X Zhang
- Department of Pediatrics, Peking University First Hospital, Beijing 100034, China
| | - Y L Zhu
- Department of Endocrinology, Peking University First Hospital, Beijing 100034, China
| | - Y Y Huang
- Department of Endocrinology, Peking University First Hospital, Beijing 100034, China
| | - D H Zhang
- Department of Endocrinology, Peking University First Hospital, Beijing 100034, China
| | - Y L Sun
- Department of Endocrinology, Peking University First Hospital, Beijing 100034, China
| | - C Lang
- LIANREN Digital Health, Shanghai 201210, China
| | - X Z Gao
- LIANREN Digital Health, Shanghai 201210, China
| | - H B Cai
- LIANREN Digital Health, Shanghai 201210, China
| | - J Q Zhang
- Department of Endocrinology, Peking University First Hospital, Beijing 100034, China
| | - Y Xu
- Reproductive Genetics Center of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, China
| | - Ying Gao
- Department of Endocrinology, Peking University First Hospital, Beijing 100034, China
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Zhu YL, Ren WH, Wang Q, Lai YM. [Metastatic clear cell sarcoma of soft tissue which is easily misdiagnosed by cytology: report of a case]. Zhonghua Bing Li Xue Za Zhi 2022; 51:149-151. [PMID: 35152638 DOI: 10.3760/cma.j.cn112151-20210525-00381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- Y L Zhu
- Department of Pathology, Peking University Cancer Hospital and Institute, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China
| | - W H Ren
- Department of Pathology, Peking University Cancer Hospital and Institute, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China
| | - Q Wang
- Department of Pathology, Peking University Cancer Hospital and Institute, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China
| | - Y M Lai
- Department of Pathology, Peking University Cancer Hospital and Institute, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China
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Cai JL, Li XP, Zhu YL, Deng GM, Yang L, Xia XH, Yi GQ, Chen XY. [Mechanism of Huangjing Qianshi Decoction in treatment of prediabetes based on network pharmacology and molecular docking]. Zhongguo Zhong Yao Za Zhi 2022; 47:1039-1050. [PMID: 35285205 DOI: 10.19540/j.cnki.cjcmm.20210924.401] [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
This study analyzed the molecular mechanism of Huangjing Qianshi Decoction(HQD) in the treatment of prediabetes based on network pharmacology and molecular docking. The active components of HQD were identified and screened based on Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform(TCMSP, http://Lsp.nwu.edu.cn/tcmsp.php) and then the targets of the components and the genes related to prediabetes were retrieved, followed by identifying the common targets of the decoction and the disease. The medicinal component-target network was constructed by Cytoscape to screen key components. The protein-protein interaction(PPI) network was established by STRING and hub genes were identified by Cytoscape-CytoNCA, followed by Gene Ontology(GO) term enrichment and Kyoto Encyclopedia of Genes and Genomes(KEGG) of the hub genes with R-clusterProfi-ler. Thereby, the possible signaling pathways were predicted and the molecular mechanism was deduced. A total of 79 active components of HQD and 785 diabetes-related targets of the components were screened out. The hub genes mainly involved the GO terms of tricarboxylic acid cycle, peptide binding, amide binding, hydrolase activity, and kinase activity regulation, and the KEGG pathways of AGE-RAGE signaling pathway, TNF signaling pathway, AMPK signaling pathway, IL-17 signaling pathway, and insulin signaling pathway. Western blot result showed that HQD-containing serum significantly reduced the expression of AKT1, AGE, and RAGE proteins in insulin resistance model cells. HQD's treatment of prediabetes is characterized by multiple pathways, multiple targets, and multiple levels. The main mechanism is that the components zhonghualiaoine, baicalein, kaempferol, and luteolin act on AKT1 and inhibit the AGE-RAGE axis.
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Affiliation(s)
- Jia-Luo Cai
- the First Hospital Affiliated to Hunan University of Chinese Medicine Changsha 410000, China ZHANG Zhi-guo Inheritance Studio of the National Expert of Traditional Chinese Medicine Changsha 410000, China
| | - Xiao-Ping Li
- the First Hospital Affiliated to Hunan University of Chinese Medicine Changsha 410000, China
| | - Yi-Lin Zhu
- Hunan University of Chinese Medicine Changsha 410208, China
| | - Gui-Ming Deng
- the First Hospital Affiliated to Hunan University of Chinese Medicine Changsha 410000, China ZHANG Zhi-guo Inheritance Studio of the National Expert of Traditional Chinese Medicine Changsha 410000, China
| | - Lei Yang
- the First Hospital Affiliated to Hunan University of Chinese Medicine Changsha 410000, China ZHANG Zhi-guo Inheritance Studio of the National Expert of Traditional Chinese Medicine Changsha 410000, China
| | - Xin-Hua Xia
- Hunan University of Chinese Medicine Changsha 410208, China
| | - Gang-Qiang Yi
- Hunan University of Chinese Medicine Changsha 410208, China
| | - Xin-Yu Chen
- the First Hospital Affiliated to Hunan University of Chinese Medicine Changsha 410000, China
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Wang KN, Chen QQ, Zhu YL, Wang CL. Complete androgen insensitivity syndrome caused by the c.2678C>T mutation in the androgen receptor gene: A case report. World J Clin Cases 2021; 9:11036-11042. [PMID: 35047615 PMCID: PMC8678886 DOI: 10.12998/wjcc.v9.i35.11036] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 08/09/2021] [Accepted: 10/27/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Androgen insensitivity syndrome is an X-linked recessive genetic disease caused by mutations in the androgen receptor gene (AR). However, the underlying molecular mechanisms for the majority of AR variants remain unclear. In this study, we identified a point variant in three patients with complete androgen insensitivity syndrome (CAIS), summarized the correlation analysis, and performed a literature review.
CASE SUMMARY The proband was raised as a girl. In infancy, she was first referred to hospital with a right inguinal hernia. Ultrasonography revealed the absence of a uterus and ovaries, and a testis-like structure located at the inguinal canal. Further diagnostic workup detected a 46, XY karyotype, and fluorescence in situ hybridization analysis showed the presence of the SRY gene. Histological analysis revealed the excised tissue to be testicular. Twelve years later, she was admitted to our hospital with a lack of breast development. Her pubic hair and breasts were Tanner stage I. She had normal female external genitalia. Blood hormone tests showed normal testosterone levels, low estradiol levels, and high gonadotropin levels. Her two siblings underwent similar examinations, and all three had a rare hemizygous missense mutation in AR: c.2678C>T. In vitro functional analyses revealed decreased nuclear translocation in AR-c.2678C>T mutation cells.
CONCLUSION This case of CAIS was caused by an AR variant (c.2678C>T). Functional studies showed impaired nuclear translocation ability of the mutant protein.
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Affiliation(s)
- Ka-Na Wang
- Department of Pediatrics, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China
| | - Qing-Qing Chen
- Department of Pediatrics, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China
| | - Yi-Lin Zhu
- Department of Pediatrics, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China
| | - Chun-Lin Wang
- Department of Pediatrics, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China
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Cai JL, Li XP, Zhu YL, Yi GQ, Wang W, Chen XY, Deng GM, Yang L, Cai HZ, Tong QZ, Zhou L, Tian M, Xia XH, Liu PA. Polygonatum sibiricum polysaccharides (PSP) improve the palmitic acid (PA)-induced inhibition of survival, inflammation, and glucose uptake in skeletal muscle cells. Bioengineered 2021; 12:10147-10159. [PMID: 34872451 PMCID: PMC8810107 DOI: 10.1080/21655979.2021.2001184] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [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] [Indexed: 12/22/2022] Open
Abstract
Polygonatum sibiricum polysaccharides (PSP) can decrease the levels of fasting blood glucose, total cholesterol, and triglyceride (TG) in hyperlipidemic and diabetic animals. It can also reduce inflammatory cytokines and promote glucose uptake in adipocytes. However, the underlying molecular mechanisms of PSP in improving insulin resistance (IR) in skeletal muscle remain unclear. In this study, palmitic acid (PA) induced an IR model in L6 myotubes. After treatment, cell proliferation was measured using the CCK8. miR-340-3p, glucose transporter 4 (GLUT-4), and interleukin-1 receptor-associated kinase 3 (IRAK3) expression was measured by qRT-PCR. IRAK3 protein levels were measured by Western blotting. Glucose in the cell supernatant, TG concentration in L6 myotubes, and the levels of IL-1β, IL-6, and TNF-α were measured by an ELISA. We found that cell survival, glucose uptake, and GLUT-4 expression in L6 myotubes were significantly suppressed, while lipid accumulation and inflammatory factor levels were enhanced by PA stimulation. Furthermore, PSP treatment markedly alleviated these effects. Interestingly, PSP also significantly reduced the upregulated expression of miR-340-3p in the L6 myotube model of IR. Furthermore, overexpression of miR-340-3p reversed the beneficial effects of PSP in the same IR model. miR-340-3p can bind to the 3′-untranslated regions of IRAK3. Additionally, PA treatment inhibited IRAK3 expression, whereas PSP treatment enhanced IRAK3 expression in L6 myotubes. Additionally, miR-340-3p also inhibited IRAK3 expression in L6 myotubes. Taken together, PSP improved inflammation and glucose uptake in PA-treated L6 myotubes by regulating miR-340-3p/IRAK3, suggesting that PSP may be suitable as a novel therapeutic agent for IR.
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Affiliation(s)
- Jia-Luo Cai
- Preventive Treatment of Disease Center, The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, China.,School of Pharmacy, Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Xiao-Ping Li
- Preventive Treatment of Disease Center, The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Yi-Lin Zhu
- Student Affairs Office, Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Gang-Qiang Yi
- Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Wei Wang
- Tcm and Ethnomedicine Innovation & Development International Laboratory, School of Pharmacy, Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Xin-Yu Chen
- The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Gui-Ming Deng
- Department of Scientific Research, The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Lei Yang
- Preparation Center, the First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Hu-Zhi Cai
- Department of Scientific Research, The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Qiao-Zhen Tong
- Hunan University of Chinese Medicine, Changsha, Hunan, China.,Yueyang Affiliated Hospital of Hunan University of Chinese Medicine, Yueyang, Hunan, China
| | - Li Zhou
- Preventive Treatment of Disease Center, The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Mengying Tian
- Preventive Treatment of Disease Center, The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Xin-Hua Xia
- School of Pharmacy, Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Ping-An Liu
- Hunan University of Chinese Medicine, Changsha, Hunan, China
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Zhu YL, Xu ZP, Yu WJ, Xin YN, Zhao ZZ, Liu SS, Lyu KR. [Quantitative analysis of non-alcoholic fatty liver disease based on MRI proton density fat fraction in the coastal region of Qingdao]. Zhonghua Gan Zang Bing Za Zhi 2021; 29:1077-1082. [PMID: 34933426 DOI: 10.3760/cma.j.cn501113-20201110-00607] [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 explore the clinical application value of MRI-PDFF on different liver segments for the evaluation of non-alcoholic fatty liver disease (NAFLD). Methods: 178 volunteers from March 2019 to February 2020 were included. PDFF values of all nine segments of the liver were measured using CSE3.0T MRI scan. The obtained average value was used to represent the average liver fat content. PDFF values of each or combined liver segment were equally compared with the average value to observe the representativeness of fat content. Receiver operating characteristic curve was used to analyze the diagnostic performance of each liver segment, and the Youden index was used to calculate the cutoff value. Paired-sample t-test or non-parametric Kruskal-Wallis test were used to compare measurement data among groups. Results: 178 volunteers average liver fat content ranged from 0.89% to 42.61% with MRI-PDFF, and 71.35% (127/178) of the volunteers had PDFF > 5%. There was no significant difference between SIII, SIVb, SV, and SVIII liver segments when compared with the average value (P > 0.05). PDFF values of SI, SII, and SIV a liver segments were all lower than the average value, while the PDFF values of SVI and SVII liver segments were all higher than the average value (P < 0.05). MRI-PDFF sensitivity value for diagnosing liver steatosis of nine liver segments was 85.8% ~ 94.5%, and the specificity was higher than 96.0%. Among them, the SV liver segment had the highest sensitivity (94.5%), and the corresponding optimal diagnostic threshold value was 5.13%. Compared with single and combined liver segment, the PDFF value of SII, SV, SVI combined liver segment had the highest diagnostic performance for fatty liver, with the sensitivity and specificity of 96.9%, and 100%, respectively, and the corresponding optimal diagnostic threshold value was 5.17%. Conclusion: Compared with single and other combined liver segments, MRI-PDFF values of SII, SV, and SVI combined liver segments have higher sensitivity and specificity for the diagnosis of NAFLD, and it can be used as the first choice for the determination of liver fat content with MRI.
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Affiliation(s)
- Y L Zhu
- Department of Radiology, Qingdao Municipal Hospital Affiliated to Qingdao University, Qingdao 266071, China
| | - Z P Xu
- Department of Radiology, Qingdao Municipal Hospital Affiliated to Qingdao University, Qingdao 266071, China
| | - W J Yu
- Department of Radiology, Qingdao Municipal Hospital Affiliated to Qingdao University, Qingdao 266071, China
| | - Y N Xin
- Department of Infectious Diseases, Qingdao Municipal Hospital Affiliated to Qingdao University, Qingdao 266071, China
| | - Z Z Zhao
- Clinical Research Center, Qingdao Municipal Hospital Affiliated to Qingdao University, Qingdao 266071, China
| | - S S Liu
- Clinical Research Center, Qingdao Municipal Hospital Affiliated to Qingdao University, Qingdao 266071, China
| | - K R Lyu
- Department of Radiology, Qingdao Municipal Hospital Affiliated to Qingdao University, Qingdao 266071, China
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19
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Qian B, Liu JY, Zhang FM, Kong FJ, Zhou W, Gu QC, Fang Y, Han ZD, Jiang XF, Zhu YL, Wang Y, Hu J, Mao ZQ. Coupled electronic and magnetic relaxation in Fe 1+yTe: direct evidence for the interaction between itinerant carriers and local moments. J Phys Condens Matter 2021; 34:025601. [PMID: 34619673 DOI: 10.1088/1361-648x/ac2db9] [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] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Accepted: 10/07/2021] [Indexed: 06/13/2023]
Abstract
Iron chalcogenides are of particular interests among iron-based superconductors due to their distinct properties such as high-Tcon FeSe monolayer and competing magnetic correlations in Fe1+yTe. Here we report unusual transport properties observed near the critical composition of Fe1+yTe (y∼ 0.09) where competing magnetic correlations exist. The resistivity exhibits surprising temperature-dependent relaxation behavior belowTN, resulting in the increase of resistivity with time for 35 K <T<TN, but the decrease of resistivity with time for 10 K <T< 35 K. Such resistivity relaxation is intimately coupled to the magnetization relaxation and can be attributed to the glassy magnetic states induced by the competing magnetic orders. These findings demonstrate strong coupling between itinerant carriers and local ordered moments in Fe1+yTe.
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Affiliation(s)
- B Qian
- Advanced Functional Materials Lab and Department of Physics, Changshu Institute of Technology, Changshu 215500, People's Republic of China
- Department of Physics and Engineering Physics, Tulane University, New Orleans, Louisiana 70118, United States of America
| | - J Y Liu
- Department of Physics and Engineering Physics, Tulane University, New Orleans, Louisiana 70118, United States of America
| | - F M Zhang
- Advanced Functional Materials Lab and Department of Physics, Changshu Institute of Technology, Changshu 215500, People's Republic of China
| | - F J Kong
- Advanced Functional Materials Lab and Department of Physics, Changshu Institute of Technology, Changshu 215500, People's Republic of China
| | - W Zhou
- Advanced Functional Materials Lab and Department of Physics, Changshu Institute of Technology, Changshu 215500, People's Republic of China
| | - Q C Gu
- Advanced Functional Materials Lab and Department of Physics, Changshu Institute of Technology, Changshu 215500, People's Republic of China
| | - Y Fang
- Advanced Functional Materials Lab and Department of Physics, Changshu Institute of Technology, Changshu 215500, People's Republic of China
| | - Z D Han
- Advanced Functional Materials Lab and Department of Physics, Changshu Institute of Technology, Changshu 215500, People's Republic of China
| | - X F Jiang
- Advanced Functional Materials Lab and Department of Physics, Changshu Institute of Technology, Changshu 215500, People's Republic of China
| | - Y L Zhu
- Department of Physics and Engineering Physics, Tulane University, New Orleans, Louisiana 70118, United States of America
| | - Y Wang
- Department of Physics and Engineering Physics, Tulane University, New Orleans, Louisiana 70118, United States of America
| | - J Hu
- Department of Physics and Engineering Physics, Tulane University, New Orleans, Louisiana 70118, United States of America
- Department of Physics, University of Arkansas, Fayetteville, AR 72701, United States of America
| | - Z Q Mao
- Department of Physics and Engineering Physics, Tulane University, New Orleans, Louisiana 70118, United States of America
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20
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Yuan K, Chen QQ, Zhu YL, Luo F. Hepatic portal venous gas without definite clinical manifestations of necrotizing enterocolitis in a 3-day-old full-term neonate: A case report. World J Clin Cases 2021; 9:9269-9275. [PMID: 34786413 PMCID: PMC8567523 DOI: 10.12998/wjcc.v9.i30.9269] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 06/20/2021] [Accepted: 08/30/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Neonatal hepatic portal venous gas (HPVG) is associated with a high risk of necrotizing enterocolitis (NEC) and was previously believed to be associated with an increased risk of surgery.
CASE SUMMARY A 3-day-old full-term male infant was admitted to the pediatrics department after presenting with “low blood glucose for 10 min”. Hypoglycemia was corrected by intravenous glucose administration and oral breast milk. On the 3rd d after admission, an ultrasound examination showed gas accumulation in the hepatic portal vein; this increased on the next day. Abdominal vertical radiograph showed intestinal pneumatosis. Routine blood examination showed that the total number of white blood cells was normal, but neutrophilia was related to age. There was a significant increase in C-reactive protein (CRP). The child was diagnosed with neonatal NEC (early-stage). With nil per os, rehydration, parenteral nutritional support, and anti-infection treatment with no sodium, his hepatic portal vein pneumatosis resolved. In addition, routine blood examination and CRP examination showed significant improvement and his symptoms resolved. The patient was given timely refeeding and gradually transitioned to full milk feeding and was subsequently discharged. Follow-up examination after discharge showed that the general condition of the patient was stable.
CONCLUSION The presence of HPVG in neonates indicates early NEC. Early active anti-infective treatment is effective in treating NEC, minimizes the risk of severe NEC, and reduces the need for surgery. The findings of this study imply that early examination of the liver by ultrasound in a sick neonate can help with the early diagnosis of conditions such as NEC.
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Affiliation(s)
- Ke Yuan
- Department of Pediatrics, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China
| | - Qing-Qing Chen
- Department of Pediatrics, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China
| | - Yi-Lin Zhu
- Department of Pediatrics, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China
| | - Fang Luo
- Department of Pediatrics, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China
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21
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Wu YL, Zhang QQ, Shen SH, Li DD, Zhu YL, Zhang HZ. [The risk factors for regional lymph node metastasis of mismatch repair deficient colorectal cancer]. Zhonghua Zhong Liu Za Zhi 2021; 43:1082-1087. [PMID: 34695899 DOI: 10.3760/cma.j.cn112152-20210109-00032] [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 explore the risk factors for regional lymph node (RLN) metastasis in colorectal cancer patients with mismatch repair deficiency (dMMR). Methods: The data of 357 dMMR colorectal cancer patients who underwent surgery in National Cancer Center from January 2012 to December 2016 was retrospectively analyzed. Univariate and multivariate analysis were used to identify the risk factors for RLN metastasis. Results: Among the 357 patients, 204 were male and 153 were female, 61.6% (220/357) lesion located in right half colon, while the other 16.2% (58/357) located in rectum. Univariate analysis showed that tumor size, differentiation, lymphovascular invasion, tumor deposit, postoperative pathologic T stage (pT), the number of negative lymph nodes and the expression of the MSH6 protein were significantly associated with RLN metastasis (P<0.05). All of the patients with well differentiation tumors (15 patients) or staged pT1 (13 patients) had no RLN metastasis. Multivariate analysis showed that tumor differentiation (OR=2.582, 95%CI=1.567-4.274, P<0.001), pT (OR=3.778, 95%CI=1.448-12.960, P=0.015) and the expression of MSH6 protein (OR=2.188, 95%CI=1.159-4.401, P=0.021) were independent risk factors for RLN metastasis. Conclusions: The postoperative pT stage, tumor differentiation and the expression of MSH6 protein are independent risk factors for RLN metastasis of dMMR colorectal cancer. Preoperative assessment of these factors may further improve the accuracy of predicting the risk of RLN metastasis.
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Affiliation(s)
- Y L Wu
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Q Q Zhang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - S H Shen
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - D D Li
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Y L Zhu
- Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - H Z Zhang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
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22
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Liu JY, Yu J, Ning JL, Yi HM, Miao L, Min LJ, Zhao YF, Ning W, Lopez KA, Zhu YL, Pillsbury T, Zhang YB, Wang Y, Hu J, Cao HB, Chakoumakos BC, Balakirev F, Weickert F, Jaime M, Lai Y, Yang K, Sun JW, Alem N, Gopalan V, Chang CZ, Samarth N, Liu CX, McDonald RD, Mao ZQ. Spin-valley locking and bulk quantum Hall effect in a noncentrosymmetric Dirac semimetal BaMnSb 2. Nat Commun 2021; 12:4062. [PMID: 34210963 PMCID: PMC8249485 DOI: 10.1038/s41467-021-24369-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [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: 10/14/2020] [Accepted: 06/16/2021] [Indexed: 02/06/2023] Open
Abstract
Spin-valley locking in monolayer transition metal dichalcogenides has attracted enormous interest, since it offers potential for valleytronic and optoelectronic applications. Such an exotic electronic state has sparsely been seen in bulk materials. Here, we report spin-valley locking in a Dirac semimetal BaMnSb2. This is revealed by comprehensive studies using first principles calculations, tight-binding and effective model analyses, angle-resolved photoemission spectroscopy measurements. Moreover, this material also exhibits a stacked quantum Hall effect (QHE). The spin-valley degeneracy extracted from the QHE is close to 2. This result, together with the Landau level spin splitting, further confirms the spin-valley locking picture. In the extreme quantum limit, we also observed a plateau in the z-axis resistance, suggestive of a two-dimensional chiral surface state present in the quantum Hall state. These findings establish BaMnSb2 as a rare platform for exploring coupled spin and valley physics in bulk single crystals and accessing 3D interacting topological states.
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Affiliation(s)
- J Y Liu
- Department of Physics and Engineering Physics, Tulane University, New Orleans, LA, USA
- Department of Physics and Astronomy, University of California, Irvine, CA, USA
| | - J Yu
- Department of Physics, The Pennsylvania State University, University Park, PA, USA
- Condensed Matter Theory Center, Department of Physics, University of Maryland, College Park, MD, USA
| | - J L Ning
- Department of Physics and Engineering Physics, Tulane University, New Orleans, LA, USA
| | - H M Yi
- Department of Physics, The Pennsylvania State University, University Park, PA, USA
| | - L Miao
- Department of Materials Science and Engineering, The Pennsylvania State University, University Park, PA, USA
| | - L J Min
- Department of Materials Science and Engineering, The Pennsylvania State University, University Park, PA, USA
| | - Y F Zhao
- Department of Physics, The Pennsylvania State University, University Park, PA, USA
| | - W Ning
- Department of Physics, The Pennsylvania State University, University Park, PA, USA
| | - K A Lopez
- Department of Materials Science and Engineering, The Pennsylvania State University, University Park, PA, USA
| | - Y L Zhu
- Department of Physics, The Pennsylvania State University, University Park, PA, USA
| | - T Pillsbury
- Department of Physics, The Pennsylvania State University, University Park, PA, USA
| | - Y B Zhang
- Department of Physics and Engineering Physics, Tulane University, New Orleans, LA, USA
| | - Y Wang
- Department of Physics, The Pennsylvania State University, University Park, PA, USA
| | - J Hu
- Department of Physics, University of Arkansas, Fayetteville, AR, USA
| | - H B Cao
- Neutron Scattering Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA
| | - B C Chakoumakos
- Neutron Scattering Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA
| | - F Balakirev
- Los Alamos National Laboratory, Los Alamos, NM, USA
| | - F Weickert
- Los Alamos National Laboratory, Los Alamos, NM, USA
| | - M Jaime
- Los Alamos National Laboratory, Los Alamos, NM, USA
| | - Y Lai
- Los Alamos National Laboratory, Los Alamos, NM, USA
| | - Kun Yang
- Physics Department and National High Magnetic Field Laboratory, Florida State University, Tallahassee, FL, USA
| | - J W Sun
- Department of Physics and Engineering Physics, Tulane University, New Orleans, LA, USA
| | - N Alem
- Department of Materials Science and Engineering, The Pennsylvania State University, University Park, PA, USA
| | - V Gopalan
- Department of Materials Science and Engineering, The Pennsylvania State University, University Park, PA, USA
| | - C Z Chang
- Department of Physics, The Pennsylvania State University, University Park, PA, USA
| | - N Samarth
- Department of Physics, The Pennsylvania State University, University Park, PA, USA
| | - C X Liu
- Department of Physics, The Pennsylvania State University, University Park, PA, USA.
| | - R D McDonald
- Los Alamos National Laboratory, Los Alamos, NM, USA.
| | - Z Q Mao
- Department of Physics and Engineering Physics, Tulane University, New Orleans, LA, USA.
- Department of Physics, The Pennsylvania State University, University Park, PA, USA.
- Department of Materials Science and Engineering, The Pennsylvania State University, University Park, PA, USA.
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Zhu YY, Guo LL, Tian Z, Liu YT, Lai JZ, Zhu YL, Zhang SY, Fang LG. [Clinical and imaging characteristics of patients with primary cardiac angiosarcoma]. Zhonghua Xin Xue Guan Bing Za Zhi 2021; 49:374-379. [PMID: 33874688 DOI: 10.3760/cma.j.cn112148-20200427-00351] [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 investigate the clinical, cardiac imaging characteristics and prognosis of patients with primary cardiac angiosarcoma. Methods: The clinical data of 14 patients hospitalized with primary cardiac angiosarcoma from January 2001 to December 2017 in Peking Union Medical College Hospital were collected and analyzed. Metastatic cardiac angiosarcoma was not included in this study. Patients were followed up post discharge per telephone call or clinical visit. Results: Of the 14 patients, 8 were males and 6 were females, average age was 48 years. The main clinical symptoms were shortness of breath (8/14), hemoptysis (6/14), fever (5/14), chest pain (4/14) and cough (3/14). Imaging examinations showed that the tumors of 8 patients were located in the right heart and 6 in the pericardial cavity. Tumors in the right heart often infiltrate the atrial wall and cause pericardial effusion (7/8). Tumors in the pericardium were characterized by recurrent bloody pericardial effusion (6/6), prone to progressive constrictive pericarditis (3/6), pericardial fluid cytology was often negative (6/6). MRI showed heterogeneous high signal intensity (cauliflower aspect) on T2-weighted image and heterogeneous enhancement with a"sunray" aspect at the perfusion study. At the time of diagnosis, 8 patients developed lung or adrenal metastasis (8/14). The median survival was only 305 days. Conclusions: Primary cardiac angiosarcoma is a rare disease with non-specific clinical manifestation and poor prognosis. Imaging examinations may help diagnosis. The high invasiveness and the easy-to-metastasis feature of the tumor contribute to the poor prognosis of cardiac angiosarcoma.
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Affiliation(s)
- Y Y Zhu
- Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China
| | - L L Guo
- Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China
| | - Z Tian
- Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China
| | - Y T Liu
- Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China
| | - J Z Lai
- Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China
| | - Y L Zhu
- Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China
| | - S Y Zhang
- Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China
| | - L G Fang
- Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China
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Zhang QQ, Wu YL, Li DD, Shen SH, Fang H, Zhu YL, Zhang HZ. [Clinicopathological and prognostic features of young onset patients with middle-low rectal cancer received neoadjuvant chemoradiotherapy]. Zhonghua Zhong Liu Za Zhi 2021; 43:574-580. [PMID: 34034478 DOI: 10.3760/cma.j.cn112152-20201220-01083] [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 explore the clinicopathological and prognostic features of young onset patients with middle-low rectal cancer who received neoadjuvant chemoradiotherapy (NCRT). Methods: After NCRT, a total of 441 patients with primary middle-low rectal cancer treated with radical surgery at the Cancer Hospital, Chinese Academy of Medical Sciences (CHCAMS) from January 2004 to December 2016 were included. According to the age of disease onset, the patients were divided into the young group (51cases) and the middle-old group (390 cases), and the clinicopathological characteristics and survival of these patients were analyzed. Results: In the young group, 68.6% of patients received radical surgery within 7 weeks after NCRT, which was higher than 52.8% in the middle-old group (P=0.047). The stage ypTNM Ⅲ in the young group was 51.0%, higher than 34.1% in the middle-old group (P=0.027). The stage ypN+ in the young group was 51.0%, higher than 34.1% in the middle-old group (P=0.047), The incidence of disease progression in the young group was 39.2%, higher than 25.1% in the middle-old group (P=0.049). The incidence of distant metastasis in the young group was 35.3%, higher than 21.5% in the middle-old group(P=0.044). Most cases of disease progression occurred in the first 3 years after surgery for the young group, especially in the second year after surgery, the incidence of disease progression in the young group was 55.0%, higher than 26.5% in middle-old group (P=0.025). The 3-year and 5-year disease-free survival (DFS) rates for the young group were 63.7% and 58.2%, lower than 81.0% and 74.3% in the middle-old group (P=0.016), respectively. The 3-year and 5-year overall survival in the middle-old group (OS) rates for the young group were 85.4% and 69.2%, lower than 93.6% and 84.1% in the middle-old group (P=0.033), respectively. The multivariate analysis showed that, response of primary tumor (HR=4.804, 95% CI: 1.360-16.973) and total number of dissected lymph nodes (HR=4.336, 95% CI: 1.739-10.809) in the young group were independent prognostic factors related to DFS. The total dissected number of lymph nodes(HR=3.295, 95% CI: 1.076-10.091)was an independent prognostic factor related to OS. In the middle-old group, response of primary tumor (HR=2.626, 95% CI: 1.354-5.091), ypTNM stage (ypTNM Ⅲ: HR=5.837, 95% CI: 2.968-11.479) and tumor location distance from the anal verge (HR=0.500, 95% CI: 0.308-0.812) were independent prognostic factors related to DFS. Lymphovascular invasion (HR=0.500, 95% CI: 0.308-0.812) and ypTNM stage (ypTNM Ⅲ: HR=16.322, 95% CI: 5.049-52.771) were independent prognostic factors related to OS. Conclusions: Young onset rectal cancer patients are associated with shorter operation time interval, advanced pathological stage and poorer prognosis. More intensive adjuvant treatment and post-treatment surveillance should be conducted to young onset rectal cancer with NCRT.
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Affiliation(s)
- Q Q Zhang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Y L Wu
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - D D Li
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - S H Shen
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - H Fang
- Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Y L Zhu
- Department of Pathological Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - H Z Zhang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
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Li DD, Zhang QQ, Wu YL, Shen SH, Fang H, Zhu YL, Zhang HZ. [Clinicopathological characteristics and prognostic analysis of patients with pathological complete response and near complete response after neoadjuvant treatment of rectal cancer]. Zhonghua Yi Xue Za Zhi 2021; 101:1357-1362. [PMID: 34015870 DOI: 10.3760/cma.j.cn112137-20210104-00009] [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 investigate the clinicopathological characteristics and prognosis of rectal cancer patients with pathological complete response and near complete response after neoadjuvant therapy. Methods: The clinicopathological data of patients who underwent neoadjuvant chemoradiotherapy plus radical surgery of rectal cancer in the Cancer Hospital of Chinese Academy of Medical Sciences from January 2004 to December 2016 were retrospectively collected. The clinicopathological characteristics and prognostic factor of patients with pathological complete response and near complete response were analyzed. Results: The clinical data of 142 patients were collected. There were 93 males and 49 females, aged from 24 to 81 years. The median disease-free survival was 53.9 months and the median overall survival was 55.0 months. Univariate analysis showed that the maximum diameter of scar or lesion, the status of lymph node metastasis and the distance between the lower edge of tumor and anal edge were associated with disease-free survival time; the maximum diameter of scar or lesion and the status of lymph node metastasis were associated with overall survival time. Multivariate Cox proportional hazards regression analysis showed that patients with scar or lesion diameter>3 cm (HR=4.406,95%CI:1.619-12.006), positive lymph node metastasis status (HR=4.102,95%CI:1.461-11.513) and tumor lower margin to anal margin distance ≤4 cm (HR=18.171,95%CI:2.357-140.073) had shorter disease-free survival time.The patients with scar or lesion diameter>3 cm (HR=8.573,95%CI:1.630-45.099) and lymph node metastasis status (HR=4.721, 95%CI:1.068-20.860) had shorter overall survival time. Conclusions: The overall prognosis of patients with pathological complete response or near complete response after neoadjuvant therapy for rectal cancer is better. The distance between the lower margin of the tumor and the anal edge, the status of lymph node metastasis and the maximum diameter of scars or lesion were the related factors affecting the prognosis of patients with rectal cancer.
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Affiliation(s)
- D D Li
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Q Q Zhang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Y L Wu
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - S H Shen
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - H Fang
- Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Y L Zhu
- Department of Pathological Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - H Z Zhang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
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Hou XJ, Zhao F, Wang CD, Liu JL, Zhang R, Zhu YL, Wang C, Wang LY, Zhang JJ. [Literature research of Passiflora incarnata and discussion of its traditional Chinese medicine properties]. Zhongguo Zhong Yao Za Zhi 2021; 46:1943-1950. [PMID: 33982503 DOI: 10.19540/j.cnki.cjcmm.20200915.401] [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: 11/18/2022]
Abstract
Based on the research literatures of Passiflora incarnata and the theory of traditional Chinese medicine, the paper discussed the traditional Chinese medicinal properties of P. incarnate, so as to provide a theoretical basis for the compatibility and application of P. incarnata. The literature databases of CNKI, Wanfang, VIP, Web of Science, PubMed and Scopus were selected, and the literatures relating to P. incarnata were reviewed to screen out the scientific research literatures with a high credibility, rational design and reliable conclusions. Foreign pharmacopoeia was consulted, and the listed products were summarized. The traditional Chinese medicine properties of P. incarnata were studied based on 32 clinical trials, 66 pharmacological researches, 64 chemical constituents researches as well as the theory of traditional Chinese medicine. It was preliminarily concluded that the medicinal properties of P. incarnata are sweet, cool, and enter heart, liver channels. The function is mainly to calm the heart and tranquilizing the mind, and calm the liver wind. It is used for hyperactivity of liver-Yang, stagnation of liver-Qi, restlessness of mind, depression, nervousness, insomnia. This paper summarized the source, characteristics of natures, tastes and channel tropism, usage and dosage, function indications of P. incarnata, and defined its clear traditional Chinese medicine property, which lays a theoretical foundation for the compatibility and clinical application of P. incarnata and Chinese medicine.
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Affiliation(s)
- Xin-Juan Hou
- School of Chinese Medicine, Beijing University of Chinese Medicine Beijing 100029, China
| | - Fan Zhao
- School of Chinese Medicine, Beijing University of Chinese Medicine Beijing 100029, China
| | - Chan-di Wang
- School of Chinese Medicine, Beijing University of Chinese Medicine Beijing 100029, China
| | - Jin-Lian Liu
- School of Chinese Medicine, Beijing University of Chinese Medicine Beijing 100029, China
| | - Rui Zhang
- School of Chinese Medicine, Beijing University of Chinese Medicine Beijing 100029, China
| | - Yi-Lin Zhu
- School of Chinese Materia Medica, Beijing University of Chinese Medicine Beijing 100029, China
| | - Chun Wang
- School of Chinese Medicine, Beijing University of Chinese Medicine Beijing 100029, China
| | - Lin-Yuan Wang
- School of Chinese Materia Medica, Beijing University of Chinese Medicine Beijing 100029, China
| | - Jian-Jun Zhang
- School of Chinese Medicine, Beijing University of Chinese Medicine Beijing 100029, China
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Zhu X, Han X, Zhang P, Wang S, Li G, Li Y, Zhu Y, Du H, Liu S. A Clinical Study of Minilaparoscopy in the Treatment of Cryptorchidism with an Ipsilateral Inguinal Hernia. J Laparoendosc Adv Surg Tech A 2021; 32:237-243. [PMID: 33945343 DOI: 10.1089/lap.2020.1038] [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] [Indexed: 11/13/2022] Open
Abstract
Introduction: The aim of this study was to investigate the safety and efficacy of performing minilaparoscopy compared with standard laparoscopy in the treatment of cryptorchidism with an ipsilateral inguinal hernia. Materials and Methods: In total, 46 patients with cryptorchidism and an ipsilateral inguinal hernia were admitted to the Urology and Hernia and Abdominal Wall Surgery Departments of Beijing Chaoyang Hospital between October 2009 and July 2019. They were assigned to two groups: Group M and Group S. In Group M, 24 patients underwent herniorrhaphy and orchiopexy using minilaparoscopy, and in Group S, 22 patients underwent herniorrhaphy and orchiopexy using standard laparoscopy. Surgeons chose the procedure at random, and the patients were blinded to the selected procedure. Results: Postoperative painkiller demand (P = .043) and first postoperative day Numerical Rating Scale scores (P = .032) were lower in Group M than Group S, and the average hospital stay was shorter (P = .041) in Group M. Furthermore, 21 of the 24 procedures in Group M were successful, 3 procedures of Group M were converted from mini- to standard laparoscopy, and all 22 procedures in Group S were successful. The Observer Scar Assessment Scale questionnaire results of Group M were significantly higher than for patients in Group S (P = .038). Conclusion: Our findings suggest that treatment of cryptorchidism with ipsilateral inguinal hernia using minilaparoscopy is as safe and effective as standard laparoscopy.
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Affiliation(s)
- Xuhui Zhu
- Institute of Urology, Capital Medical University, Beijing, P. R. China.,Department of Urology, Capital Medical University, Beijing Chaoyang Hospital, Beijing, P. R. China
| | - Xiuwu Han
- Institute of Urology, Capital Medical University, Beijing, P. R. China.,Department of Urology, Capital Medical University, Beijing Chaoyang Hospital, Beijing, P. R. China
| | - Peng Zhang
- Institute of Urology, Capital Medical University, Beijing, P. R. China.,Department of Urology, Capital Medical University, Beijing Chaoyang Hospital, Beijing, P. R. China
| | - Siyuan Wang
- Institute of Urology, Capital Medical University, Beijing, P. R. China.,Department of Urology, Capital Medical University, Beijing Chaoyang Hospital, Beijing, P. R. China
| | - Gao Li
- Institute of Urology, Capital Medical University, Beijing, P. R. China.,Department of Urology, Capital Medical University, Beijing Chaoyang Hospital, Beijing, P. R. China
| | - Yansheng Li
- Institute of Urology, Capital Medical University, Beijing, P. R. China.,Department of Urology, Capital Medical University, Beijing Chaoyang Hospital, Beijing, P. R. China
| | - YiLin Zhu
- Department of Hernia and Abdominal Wall Surgery, Capital Medical University, Beijing Chaoyang Hospital, Beijing, P. R. China
| | - Huadong Du
- Department of Hernia and Abdominal Wall Surgery, Capital Medical University, Beijing Chaoyang Hospital, Beijing, P. R. China
| | - SuJun Liu
- Department of Hernia and Abdominal Wall Surgery, Capital Medical University, Beijing Chaoyang Hospital, Beijing, P. R. China
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Zhang JF, Zhang HY, Zhang SP, Tian T, Du XB, Zhu YL, Wu DK, Gao Y, Ma J, Zhan Y, Li Y, Zhang QJ, Tian WJ, Yu XJ, Zhao YS, Jiao GY, Sun DJ. [COVID-19 epidemic and its characteristics in Heilongjiang province]. Zhonghua Liu Xing Bing Xue Za Zhi 2020; 41:2005-2009. [PMID: 33378811 DOI: 10.3760/cma.j.cn112338-20200521-00752] [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: 06/12/2023]
Abstract
Objective: To describe the COVID-19 epidemic and its characteristics in Heilongjiang province, and provide evidence for the further prevention and control of COVID-19 in the province. Methods: The information of COVID-19 cases and clusters were collected from national notifiable disease report system and management information system for reporting public health emergencies of China CDC. The Software's of Excel 2010 and SPSS 23.0 were applied for data cleaning and statistical analysis on the population, time and area distributions of COVID-19 cases. Results: On January 22, 2020, the first confirmed case of COVID-19 was reported in Heilongjiang. By March 11, 2020, a total of 482 cases domestic case of COVID-19, The incidence rate was 1.28/100 000, the mortality rate was 2.70% (13/482) in 13 municipalities in Heilongjiang. There were 81 clusters of COVID-19, The number of confirmed cases accounted for 79.25% (382/482) of the total confirmed cases and 12 cases of deaths. The family clusters accounted for 86.42% (70/81). Compared with the sporadic cases, the mortality rate, proportion of elderly cases aged 60 or above and severe or critical cases of clinical classification were all higher in the clusters especially the family clusters, but the differences were not significant (P>0.05). There were 34 clusters involving more than 5 confirmed cases accounted for 41.98% (34/81) of the total clusters, the involved cases accounted for 68.31% (261/382) of the total cases of clusters. There were significant differences in age distribution of the cases among the case clusters with different case numbers. In the clusters involving 6-9 cases, the proportion of cases aged 65 years or above was more (26.53%, 39/147). Conclusions: The incidence rate of COVID-19 was relatively high and the early epidemic was serious in Heilongjiang, The number of cases was large in clusters especially family clusters.
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Affiliation(s)
- J F Zhang
- Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China
| | - H Y Zhang
- Public Health Emergency Response Office, Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China
| | - S P Zhang
- Institute of Aging Health, Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China
| | - T Tian
- Department of Epidemiology and Health Statistics, School of Public Health, Harbin Medical University, Harbin 150081, China
| | - X B Du
- Institute of Disease Surveillance Information, Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China
| | - Y L Zhu
- Institute of Infectious Disease Prevention and Control, Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China
| | - D K Wu
- Public Health Emergency Response Office, Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China
| | - Y Gao
- Public Health Emergency Response Office, Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China
| | - J Ma
- Institute of STD/AIDS Prevention and Control, Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China
| | - Y Zhan
- Institute of Disease Surveillance Information, Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China
| | - Y Li
- Department of Nutrition and Food Health, School of Public Health, Harbin Medical University, Harbin 150081, China
| | - Q J Zhang
- Department of Epidemiology and Health Statistics, School of Public Health, Harbin Medical University, Harbin 150081, China
| | - W J Tian
- Department of Epidemiology and Health Statistics, School of Public Health, Harbin Medical University, Harbin 150081, China
| | - X J Yu
- Institute of Infectious Disease Prevention and Control, Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China
| | - Y S Zhao
- Department of Epidemiology and Health Statistics, School of Public Health, Harbin Medical University, Harbin 150081, China
| | - G Y Jiao
- Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China
| | - D J Sun
- Centre for Endemic Disease Control, Harbin Medical University, Harbin 150081, China
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Xue LY, Fu TT, Ding H, Zhu YL, Shen YH, Sun HC, Wang WP. [Predictive value of two-dimentional shear wave elastography in posthepatoectomy liver failure]. Zhonghua Yi Xue Za Zhi 2020; 100:3075-3080. [PMID: 33105958 DOI: 10.3760/cma.j.cn112137-20200228-00506] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the value of two-dimensional shear wave elastography (2D SWE) combined with clinical biochemical data in predicting posthepatoectomy liver failure (PHLF) in patients with hepatocellular carcinoma (HCC). Methods: A total of 274 HCC patients who underwent hepatectomy in Zhongshan Hospital Fudan University from January 2015 to January 2016 were retrospectively collected, including 235 males and 39 females, age 19-80 (56±11) years. All patients were confirmed to be HCC by postoperative pathology. The preoperative 2D SWE examination, laboratory examination results and intraoperative indicators were analyzed. According to the occurrence of PHLF after surgery, single factor analysis and multiple logistic regression analysis were performed on the above indicators to obtain a binary logistic regression model, and evaluate the diagnostic effect of the model on PHLF. In addition, 103 HCC patients from October 2019 to January 2020 were retrospectively collected as an external validation set, including 89 males and 14 females, age 23-80 (55±11) years old. Results: The liver stiffness measurement (LSM) obtained from 2D SWE, INR and Laminin (LN) were independent predictors of PHLF. The formula of prediction model PM=-15.451+0.095×LSM+11.7×INR+0.012×LN was obtained by combining above three factors. The area under the curve (AUC) of PHLF was 0.82, which was higher than that of end-stage liver disease model (MELD) score and Child-Pugh grading diagnosis of PHLF. The AUC of PHLF predicted by PM in the external validation group was 0.81. Conclusion: 2D SWE is helpful for clinicians to evaluate liver reserve function preoperatively and to predict the occurrence of PHLF in patients with HCC.
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Affiliation(s)
- L Y Xue
- Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai Institute of Medical Imaging, Shanghai 200032, China
| | - T T Fu
- Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai Institute of Medical Imaging, Shanghai 200032, China
| | - H Ding
- Department of Ultrasound, Huashan Hospital, Fudan University, Shanghai 200040, China
| | - Y L Zhu
- Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai Institute of Medical Imaging, Shanghai 200032, China
| | - Y H Shen
- Department of Liver Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China
| | - H C Sun
- Department of Liver Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China
| | - W P Wang
- Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai Institute of Medical Imaging, Shanghai 200032, China
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Zhu YL, Ding H, Fu TT, Xu ZT, Xue LY, Chen SY, Wang WP. [Diagnostic accuracy of liver and spleen stiffness by two dimensional shear wave elastography for portal hypertension in hepatitis B-related cirrhosis]. Zhonghua Yi Xue Za Zhi 2020; 100:1654-1657. [PMID: 32486601 DOI: 10.3760/cma.j.cn112137-20191029-02340] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To assess the diagnostic accuracy of liver and spleen stiffness measured by two dimensional shear wave elastography (2D-SWE) in hepatitis B-related cirrhosis. Methods: The clinical data of fifty-eight hepatitis B-related cirrhosis patients were collected in Zhongshan Hospital, Fudan University from September 2017 to April 2018. Pearson's correlation analyses were used to assess the relationship between liver/spleen stiffness (L-SWE and S-SWE) and hepatic venous pressure gradient (HVPG), as well as the comparison with serological model. The SWE diagnostic performances of Liver (L-SWE), Spleen (S-SWE) were also evaluated. Results: Of all 58 patients, 47 were found HVPG ≥10 mmHg, diagnosed as clinically significant portal hypertension (CSPH) and severe portal hypertension (SPH), which patients are at increased risk of developing complications. Thirty-four patients were found HVPG≥12 mmHg, diagnosed as SPH, which patients were at increased risk of variceal bleeding. Moderate positive correlation was found between L-SWE and HVPG (r=0.42, P<0.01), and S-SWE were significantly correlated with HVPG (r=0.68, P<0.01), while serological models and HVPG were slightly correlated (r=0.36 and 0.28, all P<0.01). The area under the receiver operating characteristic curves of L-SWE, S-SWE and the combination for CSPH were 0.78, 0.88 and 0.89. When L-SWE was>12.86 kPa or S-SWE was>35.73 kPa, patients were at increased risk of developing complications. The area under the receiver operating characteristic curves for SPH were 0.68, 0.81 and 0.77 and the S-SWE had the highest specificity, so when S-SWE was>41.5 kPa, patients were at increased risk of variceal bleeding. Conclusion: L-SWE and S-SWE are reliable and promising non-invasive parameters to assess CSPH and SPH.
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Affiliation(s)
- Y L Zhu
- Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai Institute of Medical Imaging, Shanghai 200032, China
| | - H Ding
- Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai Institute of Medical Imaging, Shanghai 200032, China
| | - T T Fu
- Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai Institute of Medical Imaging, Shanghai 200032, China
| | - Z T Xu
- Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai Institute of Medical Imaging, Shanghai 200032, China
| | - L Y Xue
- Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai Institute of Medical Imaging, Shanghai 200032, China
| | - S Y Chen
- Department of Gastroenterology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
| | - W P Wang
- Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai Institute of Medical Imaging, Shanghai 200032, China
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Wang YJ, Feng YP, Zhu YL, Tang YL, Yang LX, Zou MJ, Geng WR, Han MJ, Guo XW, Wu B, Ma XL. Polar meron lattice in strained oxide ferroelectrics. Nat Mater 2020; 19:881-886. [PMID: 32483242 DOI: 10.1038/s41563-020-0694-8] [Citation(s) in RCA: 51] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Accepted: 04/24/2020] [Indexed: 06/11/2023]
Abstract
A topological meron features a non-coplanar structure, whose order parameters in the core region are perpendicular to those near the perimeter. A meron is half of a skyrmion, and both have potential applications for information carrying and storage. Although merons and skyrmions in ferromagnetic materials can be readily obtained via inter-spin interactions, their behaviour and even existence in ferroelectric materials are still elusive. Here we observe using electron microscopy not only the atomic morphology of merons with a topological charge of 1/2, but also a periodic meron lattice in ultrathin PbTiO3 films under tensile epitaxial strain on a SmScO3 substrate. Phase-field simulations rationalize the formation of merons for which an epitaxial strain, as a single alterable parameter, plays a critical role in the coupling of lattice and charge. This study suggests that by engineering strain at the nanoscale it should be possible to fabricate topological polar textures, which in turn could facilitate the development of nanoscale ferroelectric devices.
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Affiliation(s)
- Y J Wang
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Shenyang, China
| | - Y P Feng
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Shenyang, China
- Center of Materials Science and Optoelectronics Engineering, University of Chinese Academy of Sciences, Beijing, China
| | - Y L Zhu
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Shenyang, China.
| | - Y L Tang
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Shenyang, China
| | - L X Yang
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Shenyang, China
| | - M J Zou
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Shenyang, China
- School of Materials Science and Engineering, University of Science and Technology of China, Hefei, China
| | - W R Geng
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Shenyang, China
- School of Materials Science and Engineering, University of Science and Technology of China, Hefei, China
| | - M J Han
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Shenyang, China
- Center of Materials Science and Optoelectronics Engineering, University of Chinese Academy of Sciences, Beijing, China
| | - X W Guo
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Shenyang, China
- School of Materials Science and Engineering, University of Science and Technology of China, Hefei, China
| | - B Wu
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Shenyang, China
| | - X L Ma
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Shenyang, China.
- State Key Laboratory of Advanced Processing and Recycling on Non-Ferrous Metals, Lanzhou University of Technology, Lanzhou, China.
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Sun J, Fang JQ, Shen Z, Zhu YL, Chen Q, Fang F, Wang JL, Li F, Shao XM. [Comparison of the effect between electroacupuncture and NSAIDs on pain memory based on cAMP/PKA/CREB pathway in anterior cingulate gyrus]. Zhongguo Zhen Jiu 2020; 40:397-404. [PMID: 32275369 DOI: 10.13703/j.0255-2930.20190130-k0002] [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: 11/06/2022]
Abstract
OBJECTIVE To observe the direct intervention effects of electroacupuncture (EA) and non-steroid anti-inflammatory drugs (NSAIDs) on pain memory, and to explore their effects on cAMP/PKA/cAMP pathway in anterior cingulate gyrus (ACC). METHODS Fifty clean healthy male SD rats were randomly divided into a control group, a model group, an indomethacin group, an EA group and a sham EA group, 10 rats in each group. Except the control group, the pain memory model was established in the remaining four groups by twice injection of carrageenan at foot; 0.1 mL of 2%λ-carrageenan was subcutaneously injected at the left foot of rats; 14 days later, when the pain threshold of rats of each group returned to the basic level, the second injection was performed with the same procedure. The rats in the EA group were treated with EA at bilateral "Zusanli" (ST 36) for 30 min; the rats in the indomethacin group was treated with indomethacin intragastric administration with the dose of 3 mg/kg; the rats in the sham EA group was treated with EA without electricity at the point 0.3 mm forward "Zusanli" (ST 36) with the depth of 2 mm for 30 min; the rats in the control group was not given any invention. All the above interventions were performed 5 h, 1 d, 2 d and 3 d after the second injection of 2% λ-carrageenan. The left-side paw withdrawal thresholds (PWT) were observed before the first injection, 4 h, 3 d, 5 d after the first injection, before the second injection and 4 h, 1 d, 2 d, 3 d after the second injection. Three days after the second injection, the number of positive cells of cAMP, p-PKA, p-CREB and the number of positive cells of protein co-expression in the right ACC brain area were detected by immunofluorescence, and the relative protein expression of p-PKA and p-CREB were detected by Western blot. RESULTS Compared with the control group, the PWTs in the model group decreased significantly 4 h, 3 d and 5 d after the first injection and 1 d, 2 d and 3 d after the second injection (P<0.05); compared with the control group, the positive expression of cAMP, p-PKA and p-CREB in the right ACC brain area in the model group increased significantly (P<0.05), and the number of positive cells of the co-expression of cAMP/p-PKA and p-PKA/p-CREB also increased significantly (P<0.05). Compared with the model group, indomethacin group and sham EA group, the PWTs in the EA group were increased significantly 1 d, 2 d and 3 d after the second injection (P<0.05); compared with the model group, indomethacin group and sham EA group, the positive expression of p-PKA and p-CREB in the right ACC brain area in the EA group decreased significantly (P<0.05), and the number of positive cells of co-expression of cAMP/p-PKA and p-PKA/p-CREB was decreased significantly (P<0.05). Compared with the model group and sham EA group, the positive expression of cAMP in the right ACC brain area was decreased in the EA group (P<0.05). CONCLUSION EA have a direct intervention effect on pain memory, which have significant advantage over NSAIDs in the treatment of chronic pain. The advantage effect of EA on pain memory may be related to the inhibition of cAMP/PKA/CREB pathway in ACC area.
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Affiliation(s)
- Jing Sun
- Third Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou 310005, China; Zhejiang Key Laboratory of Acupuncture-Moxibustion and Neurology, Hangzhou 310053
| | - Jian-Qiao Fang
- Third Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou 310005, China; Zhejiang Key Laboratory of Acupuncture-Moxibustion and Neurology, Hangzhou 310053
| | - Zui Shen
- Third Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou 310005, China; Zhejiang Key Laboratory of Acupuncture-Moxibustion and Neurology, Hangzhou 310053
| | - Yi-Lin Zhu
- Third Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou 310005, China
| | - Qin Chen
- Third Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou 310005, China; Zhejiang Key Laboratory of Acupuncture-Moxibustion and Neurology, Hangzhou 310053
| | - Fang Fang
- Department of Acupuncture-Moxibustion and Physiotherapy, Wenzhou Hospital of TCM
| | - Jia-Ling Wang
- Department of Rehabilitation, Zhenhai Refinind and Chemical Hospital of Ningbo
| | - Fei Li
- Department of Acupuncture-Moxibustion and Tuina, First People's Hospital of Huzhou
| | - Xiao-Mei Shao
- Third Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou 310005, China; Zhejiang Key Laboratory of Acupuncture-Moxibustion and Neurology, Hangzhou 310053
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Ruan Y, Guo YF, Yu M, Liu F, Zhu YL, Sun SY, Huang ZZ, Zheng Y, Shi Y, Wu F. [Association between edentulism and cognition among people aged 50 and over]. Zhonghua Liu Xing Bing Xue Za Zhi 2019; 40:1234-1239. [PMID: 31658523 DOI: 10.3760/cma.j.issn.0254-6450.2019.10.012] [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: 06/10/2023]
Abstract
Objective: To investigate the association between edentulism and cognition in people aged 50 and over in China. Methods: Cross-sectional data was collected from the first wave of World Health Organization Study on global AGEing and adult health in China, among people aged 50 and over in China. A comprehensive cognitive test was used to assess cognitive functions, including verbal recall (VR), verbal fluency (VF), forward digit span (FDS) and backward digit span (BDS) among the subjects. Association between edentulism and cognition was examined by a two-level (individual level and community level) linear model. Results: A total of 12 843 individuals aged 50 years and over were included for analysis, with an average age of (63.0±9.3) years. The overall prevalence of edentulism was 11.0%. The edentulous adults had lower mean scores of VR (4.55), VF (10.88), FDS (6.25), BDS (2.96) and overall cognition (49.15) (P<0.001). Edentulism was negatively associated with VR (β=-0.216, 95%CI: -0.370 - -0.062), FDS (β=-0.186, 95%CI: -0.293 - -0.078) and overall cognition (β=-1.703, 95%CI: -3.025 - -0.381) after adjusted for age, sex, residence, education level, marital status, household income, co-morbidity of chronic conditions, BMI, smoking and drinking alcohol. Conclusion: Edentulism was related with lower cognition level in people aged 50 and over in China.
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Affiliation(s)
- Y Ruan
- Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - Y F Guo
- Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - M Yu
- Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
| | - F Liu
- Shaanxi Provincial Center for Disease Control and Prevention, Xi'an 710054, China
| | - Y L Zhu
- Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
| | - S Y Sun
- Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - Z Z Huang
- Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - Y Zheng
- Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - Y Shi
- Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - F Wu
- Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China; Shanghai Medical College, Fudan University, Shanghai 200032, China
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Song YT, Xu GH, Zhu YL, Ma TH, Yu H, Wang TX, Yu WB, Wei W, Zhang B. [The value of multi-gene testing in benign or malign diagnosis of thyroid nodules with indeterminate cytology]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019; 54:764-768. [PMID: 31606990 DOI: 10.3760/cma.j.issn.1673-0860.2019.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To study the diagnostic value of a multi-gene molecular testing in cytologically indeterminate thyroid nodules. Methods: From February 2018 to September 2018, patients with thyroid nodules who underwent fine needle aspiration(FNA) at Peking University Cancer Hospital were enrolled. Three hundred and sixty patients were included, consisting of 86 men and 274 women, with a mean age of 45.8 years (between 13 and 89 years old). Among 391 nodules, 141 were cytologically inderminate and 75 were resected. FNA samples underwent prospective testing using a next-generation sequencing (NGS) assay, which included 16 genes for point mutations and 26 types of gene fusions. The testing results of indeterminate nodules were compared with surgical outcomes, to determine the diagnostic performance. The results were compared with the BRAF V600E single gene mutation analysis by χ(2) test. Results: The multi-gene testing showed a sensitivity of 73.2%, specificity of 96.8%, positive predictive value of 96.8%, and negative predictive value of 73.2%. The diagnostic accuracy of multi-gene testing was significantly higher than the BRAF V600E mutation test (83.3% vs 73.6%, χ(2)=31.588, P<0.01). Conclusion: Multi-gene testing in FNA samples is an effective method to diagnose cytologically indeterminate thyroid nodules, which has a higher accuracy than BRAF V600E mutation detection.
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Affiliation(s)
- Y T Song
- Department of Head and Neck Surgery, Beijing Cancer Hosptial, Beijing Institute for Cancer Research, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China
| | - G H Xu
- Department of Head and Neck Surgery, Beijing Cancer Hosptial, Beijing Institute for Cancer Research, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China
| | - Y L Zhu
- Department of Pathology, Beijing Cancer Hosptial, Beijing Institute for Cancer Research, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China
| | - T H Ma
- Beijing Fanshengzi Gene Technology Co., Ltd, Beijing 102206, China
| | - H Yu
- Department of Head and Neck Surgery, Beijing Cancer Hosptial, Beijing Institute for Cancer Research, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China
| | - T X Wang
- Department of Head and Neck Surgery, Beijing Cancer Hosptial, Beijing Institute for Cancer Research, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China
| | - W B Yu
- Department of Head and Neck Surgery, Beijing Cancer Hosptial, Beijing Institute for Cancer Research, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China
| | - W Wei
- Department of Head and Neck Surgery, Beijing Cancer Hosptial, Beijing Institute for Cancer Research, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China
| | - B Zhang
- Department of Head and Neck Surgery, Beijing Cancer Hosptial, Beijing Institute for Cancer Research, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China
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Chen WX, Cheng L, Xu LY, Zhu YL. A short follow-up of prosthesis-based breast reconstruction using TiLOOP ® Bra surgical mesh. Niger J Clin Pract 2019; 22:1115-1119. [PMID: 31417055 DOI: 10.4103/njcp.njcp_487_18] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background A new approach for prosthesis-based breast reconstruction is the use of a titanium-coated polypropylene mesh TiLOOP® Bra. However, the safety and outcomes are currently unclear in Chinese breast cancer patients. Methods A retrospective study of patients undergoing prosthesis-based breast reconstruction using TiLOOP® Bra was carried out. Complications were divided into minor complications (require conservative treatment) and major complications (require surgical intervention). The influence of patient- and surgery-related characteristics on complications was analyzed. Results Postoperative hematoma and seroma were respectively found in one and two breasts and could be treated conservatively. In three breasts skin infection occurred immediately after surgery resulting in skin necrosis of two breasts and wound dehiscence of one breast. These three breasts were treated with mesh removal, and revisionary surgery. Increased risk of mesh removal and implant explantation were observed in case of skin infection (P = 0.011) and skin necrosis (P = 0.033). Neither patient-related characteristics including age >50 years, BMI >25 kg/m2, and postoperative radiotherapy/chemotherapy, nor surgery-related characteristics including sentinel lymph node biopsy or axillary dissection alone, and curative/prophylactic surgery were significantly correlated with minor and major complications. Ultrasound evaluation showed a well-incorporated mesh into surrounding tissue. Conclusion This titanium-coated polypropylene mesh showed acceptable complications and could be used safely in prosthesis-based breast reconstruction by stabilizing the implant pocket. Longer follow-up data and more randomized trials are necessary to determine the clinical use of this mesh.
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Affiliation(s)
- W X Chen
- Department of Breast Surgery, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, China
| | - L Cheng
- Department of Breast Surgery, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, China
| | - L Y Xu
- Department of Breast Surgery, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, China
| | - Y L Zhu
- Department of Breast Surgery, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, China
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Tian JN, Yang CX, Liang SL, Wang S, Shi XD, Wang XK, Zhu YL. Cerebral small-vessel disease in the prognosis of acute cerebral hemorrhage in northeastern China: a retrospective study. J BIOL REG HOMEOS AG 2019; 33:1249-1254. [PMID: 31339020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
- J N Tian
- Department of Neurology, The Second Affiliated Hospital, Harbin Medical University, Harbin, China
| | - C X Yang
- Department of Neurology, The Second Affiliated Hospital, Harbin Medical University, Harbin, China
| | - S L Liang
- Department of Neurology, The Second Affiliated Hospital, Harbin Medical University, Harbin, China
| | - S Wang
- Department of Neurology, The Second Affiliated Hospital, Harbin Medical University, Harbin, China
| | - X D Shi
- Department of Neurology, The Second Affiliated Hospital, Harbin Medical University, Harbin, China
| | - X K Wang
- Department of Neurology, The Second Affiliated Hospital, Harbin Medical University, Harbin, China
| | - Y L Zhu
- Department of Neurology, The Second Affiliated Hospital, Harbin Medical University, Harbin, China
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37
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Zhu YL, Qiu T, Zhang HF, Ying JM, Zhang HT. [Clinicopathological characteristics and differential diagnosis of interdigitating dendritic cell sarcoma]. Zhonghua Zhong Liu Za Zhi 2019; 41:449-453. [PMID: 31216832 DOI: 10.3760/cma.j.issn.0253-3766.2019.06.010] [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 analyze the clinicopathological features and differential diagnosis of interdigitating dendritic cell sarcoma (IDCS). Methods: The clinical pathological features of 7 IDCS were analyzed. Among them, the follow-up results of 6 cases were available. Results: Among the 7 IDCS patients, 4 cases were male and 3 were female. The age of the patients ranged from 26 to 69 years.Three cases were originated from lymph nodes and 4 cases were originated from skin, stomach, adrenal gland and mesentery, respectively. Microscopically, the tumor cells presented as fascicular and storiform proliferation and infiltrated by lymphocytes. The tumor cells were short-spindle or ovoid, with indistinct border of cytoplasm. The immunohistochemistry results showed that tumor cells were S-100, Vim, CD68 and CD163 positive, and AE1/AE3, EMA, CD117, CD34, Desmin, SMA, CD1α, CD21, CD23, CD35, HMB45, Melan-A, MelanPan and ALK negative.The BRAF mutation and clonal rearrangement of T and B cells were not detected. Among the follow-up period of 7 IDCS patients, 3 occurred disease progressions. Conclusions: IDCS is extremely rare with unique pathological features, and its lesion is not limited to the lymph node. The IDCS patients with extensive lesions may have worse prognose. The differential diagnosis of IDCS includes other histiocytic and dendritic cell neoplasms, malignant melanoma and soft tissue neoplasms.
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Affiliation(s)
- Y L Zhu
- Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
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Zhu YL, Hu J, Womack FN, Graf D, Wang Y, Adams PW, Mao ZQ. Emergence of intrinsic superconductivity below 1.178 K in the topologically non-trivial semimetal state of CaSn 3. J Phys Condens Matter 2019; 31:245703. [PMID: 30861508 DOI: 10.1088/1361-648x/ab0f0d] [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] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Topological materials which are also superconducting are of great current interest, since they may exhibit a non-trivial topologically-mediated superconducting phase. Although there have been many reports of pressure-tuned or chemical-doping-induced superconductivity in a variety of topological materials, there have been few examples of intrinsic, ambient pressure superconductivity in a topological system having a stoichiometric composition. Here, we report that the pure intermetallic CaSn3 not only exhibits topological fermion properties, but also has a superconducting phase at ~1.178 K under ambient pressure. The topological fermion properties, including the nearly zero quasi-particle mass and the non-trivial Berry phase accumulated in cyclotron motions, were revealed from the de Haas-van Alphen (dHvA) quantum oscillation studies of this material. Although CaSn3 was previously reported to be superconducting with T c = 4.2 K, our studies show that the T c = 4.2 K superconductivity is extrinsic and caused by Sn on the degraded surface, whereas its intrinsic bulk superconducting transition occurs at 1.178 K. These findings make CaSn3 a promising candidate for exploring new exotic states arising from the interplay between non-trivial band topology and superconductivity, e.g. topological superconductivity (TSC).
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Affiliation(s)
- Y L Zhu
- Physics and Engineering Physics department, Tulane University, New Orleans, LA 70118, United States of America
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Xie XL, Yang ZJ, Pan XM, Zhu YL, Zhou J, Zhou H, Zhuang G. Hyperbolic lens design of local oscillator optics system for electron cyclotron emission imaging on J-TEXT. Rev Sci Instrum 2018; 89:10H101. [PMID: 30399902 DOI: 10.1063/1.5035098] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
An electron cyclotron emission imaging diagnostic system that contains two 16-antenna arrays is being developed on J-TEXT tokamak. In this heterodyne system, the mixers in the front microwave antenna are used to down-convert the electron cyclotron emission to a 2-12 GHz radio frequency. All of the 24 antenna mixers in the individual enclosure box are driven by shining local oscillator (LO) power via launching optics. The previous approach for LO optics was designed with spherical and cylinder lenses, which has limitations such as the inhomogeneity of the energy deposition on different channels and the difficulty of optics alignment. A new generation of LO optics has been designed and applied on J-TEXT with a hyperbolic lens for uniform power deposition across the entire antenna array. The robustness of the optical alignment will be significantly increased with three hyperbolic lenses. Furthermore, the simulation results and robustness analysis of these LO optics are discussed in this paper.
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Affiliation(s)
- X L Xie
- International Joint Research Laboratory of Magnetic Confinement Fusion and Plasma Physics, State Key Laboratory of Advanced Electromagnetic Engineering and Technology, School of Electrical and Electronic Engineering, Huazhong University of Science and Technology, Wuhan 430074, China
| | - Z J Yang
- International Joint Research Laboratory of Magnetic Confinement Fusion and Plasma Physics, State Key Laboratory of Advanced Electromagnetic Engineering and Technology, School of Electrical and Electronic Engineering, Huazhong University of Science and Technology, Wuhan 430074, China
| | - X M Pan
- International Joint Research Laboratory of Magnetic Confinement Fusion and Plasma Physics, State Key Laboratory of Advanced Electromagnetic Engineering and Technology, School of Electrical and Electronic Engineering, Huazhong University of Science and Technology, Wuhan 430074, China
| | - Y L Zhu
- University of California, Davis, California 95616, USA
| | - J Zhou
- International Joint Research Laboratory of Magnetic Confinement Fusion and Plasma Physics, State Key Laboratory of Advanced Electromagnetic Engineering and Technology, School of Electrical and Electronic Engineering, Huazhong University of Science and Technology, Wuhan 430074, China
| | - H Zhou
- International Joint Research Laboratory of Magnetic Confinement Fusion and Plasma Physics, State Key Laboratory of Advanced Electromagnetic Engineering and Technology, School of Electrical and Electronic Engineering, Huazhong University of Science and Technology, Wuhan 430074, China
| | - G Zhuang
- Department of Modern Physics, School of Physical Sciences, University of Science and Technology of China, Hefei, Anhui 230026, China
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Li JX, Zhu YL, Chen M, Cao JH, Dannenberg J, Domier C, Luhmann NC. A new method of out-of-focus millimeter wave imaging in fusion plasma diagnostics using Bessel beams. Rev Sci Instrum 2018; 89:093506. [PMID: 30278691 DOI: 10.1063/1.5012778] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2017] [Accepted: 08/26/2018] [Indexed: 06/08/2023]
Abstract
Electron cyclotron emission imaging (ECEI) and microwave imaging reflectometry diagnostics have been employed on a number of magnetic fusion plasma confinement devices. The common approach is based on a Gaussian beam assumption, which generates good spatial resolution (centimeter level). However, the radial focal depth is limited by the poloidal resolution, which is comparable with the Rayleigh length (∼150 mm). By contrast, a new Bessel beam approach has been developed and demonstrated to generate much longer focal depth with the property of propagation stability. To test the new approach, the DIII-D tokamak LCP ECEI optics have been re-designed to support a Bessel beam approach based on an axicon lens. The achievable radial coverage can exceed that of the current Gaussian approach by 3×. The imaging result is discussed in this paper based on the simulation analysis and laboratory testing result.
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Affiliation(s)
- J X Li
- State Key Laboratory of Modern Optical Instrumentation, College of Optical Science and Engineering, Zhejiang University, Hangzhou 310027, China
| | - Y L Zhu
- University of California at Davis, Davis, California 95616, USA
| | - M Chen
- University of California at Davis, Davis, California 95616, USA
| | - J H Cao
- University of California at Davis, Davis, California 95616, USA
| | - J Dannenberg
- University of California at Davis, Davis, California 95616, USA
| | - C Domier
- University of California at Davis, Davis, California 95616, USA
| | - N C Luhmann
- University of California at Davis, Davis, California 95616, USA
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41
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Zhu YL, Wang AF, Fan XX, Zhao NM, Ma YC. [DS2, a newly synthetic ent-kaurane diterpenoid analog, inhibits proliferation and migration of human gastric cancer cell]. Zhonghua Zhong Liu Za Zhi 2018; 40:493-498. [PMID: 30060356 DOI: 10.3760/cma.j.issn.0253-3766.2018.07.003] [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 effects and the underlying mechanism of DS2, a newly synthetic analog of natural ent-kaurane diterpenoid, on the proliferation and migration capabilities of human gastric cancer cells. Methods: MTT assay, colony formation assay and flow cytometry were used to measure the effects of DS2 on growth, apoptosis and cell cycle of several human gastric cancer cell lines. The function of DS2 in the migration was further detected by wound healing and transwell assays. The expression of migration related proteins were determined by western blot. Results: DS2 inhibited the growth of MGC-803, SGC-7901 and HGC-27 cells in a dose dependent manner. After treatment of DS2 at a concentration of 6.25 μmol/L for 24 h, the survival rates of MGC-803, SGC-7901 and HGC-27 cells were 53.87±3.05%, 55.91±6.97% and 32.41±2.64%, respectively. However, for the normal gastric epithelial cell GES-1, no obvious growth inhibition was observed. In addition, DS2 caused significant G(2)/M arrest and induced apoptosis in MGC-803 cells. Furthermore, compared with the negative control, the colony formation, wound healing rate as well as the number of migrating cells of MGC-803 were significantly decreased in a dose dependent manner after DS2 treatment. DS2 induced the expression of E-cadherin, whereas β-catenin and N-cadherin levels were downregulated in MGC-803. Conclusion: The new compound DS2 has a strong anti-cancer activity, and this study will help us to design and synthesize better diterpenoids derivatives.
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Affiliation(s)
- Y L Zhu
- Clinical Pharmacology Laboratory, People's Hospital of Zhengzhou University, Zhengzhou 450003, China
| | - A F Wang
- Department of Pharmacy, Fuwai Central China Cardiovascular Hospital, Zhengzhou 451464, China
| | - X X Fan
- Clinical Pharmacology Laboratory, People's Hospital of Zhengzhou University, Zhengzhou 450003, China
| | - N M Zhao
- Clinical Pharmacology Laboratory, People's Hospital of Zhengzhou University, Zhengzhou 450003, China
| | - Y C Ma
- Department of Pharmacy, Fuwai Central China Cardiovascular Hospital, Zhengzhou 451464, China
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Tang YL, Zhu YL, Wang YJ, Ma XL. Multiple strains and polar states in PbZr 0.52Ti 0.48O 3/PbTiO 3 superlattices revealed by aberration-corrected HAADF-STEM imaging. Ultramicroscopy 2018; 193:84-89. [PMID: 29957330 DOI: 10.1016/j.ultramic.2018.06.012] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2018] [Revised: 04/13/2018] [Accepted: 06/15/2018] [Indexed: 11/28/2022]
Abstract
Tuning multiple strain and polar states of ferroelectrics by using strain engineering is an essential approach for designing multifunctional electric devices such as multiple state memories. However, integrating multiple strain states is still a challenge, and in addition, revealing such strains and the resultant polar behaviors on the atomic level remains difficult. In this work we prepare PbZr0.52Ti0.48O3/PbTiO3 (PZT/PTO) superlattices on SrRuO3-buffered SrTiO3(001) substrates. Aberration-corrected high angle annular dark field scanning transmission electron microscopy (HAADF-STEM) reveals that the superlattice is coherent in both c (out-of-plane polar direction) and a (in-plane polar direction) domains. We find that the strain states of both PZT and PTO in c and a domains are variant, leading to four special strain states. For example, the tetragonality for PTO in c and a domains is 1.061 and 1.045, respectively. In contrast, PZT in c domains displays a tetragonality as giant as 1.107, which corresponds to 110 µC cm-2 spontaneous polarization, much larger than the bulk PZT; while PZT in a domains exhibits 1.010 tetragonality with about 70 µC cm-2 polarization. This study reveals a practical way to integrate multiple strain states and enhanced polarizations in ferroelectric films, which could be used as multifunctional electric elements.
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Affiliation(s)
- Y L Tang
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Wenhua Road 72, Shenyang, Liaoning 110016, China
| | - Y L Zhu
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Wenhua Road 72, Shenyang, Liaoning 110016, China
| | - Y J Wang
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Wenhua Road 72, Shenyang, Liaoning 110016, China
| | - X L Ma
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Wenhua Road 72, Shenyang, Liaoning 110016, China; State Key Lab of Advanced Processing and Recycling on Non-ferrous Metals, Lanzhou University of Technology, Lanzhou 730050, China.
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Guo YF, Ma WJ, Zhang QJ, Yu M, Xiao YZ, Guo XL, Zhu YL, Liu F, Ruan Y, Sun SY, Huang ZZ, Zheng Y, Wu F. [Incidence of fall related injury in people aged 50 and above and risk factors in 8 provinces in China: a cross-sectional study]. Zhonghua Liu Xing Bing Xue Za Zhi 2018; 39:258-263. [PMID: 29609235 DOI: 10.3760/cma.j.issn.0254-6450.2018.03.002] [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: 11/05/2022]
Abstract
Objective: To estimate the incidence and distribution characteristics of fall related injury in people aged ≥50 years in 8 provinces in China and related physiological, psychological and social risk factors. Methods: Cross-sectional data were collected from adults aged ≥50 years participating in the World Health Organization (WHO) study on global ageing and adult health (SAGE) round 1 in China. Two-level hierarchical logistic model was used to identify the related factors for fall-related injury. All the models were stratified by living area (urban/rural). Results: Estimated incidence of fall related injury (road traffic injury was not included) was 3.2%. Ageing and multiple chronic conditions (OR=2.55, 95%CI: 1.41-4.64) was significantly associated with the incidence of fall related injury in urban area. In rural area, depression (OR=4.33, 95% CI: 2.52-7.42) and multiple chronic conditions (OR=2.46, 95%CI: 1.37-4.41) were associated with the incidence of fall related injury. Conclusions: This study estimated the incidence of fall related injury in adults aged ≥50 years in 8 provinces in China. A significant association between multiple chronic conditions and fall related injury were found in both urban and rural residents. Targeted measures should be taken for the prevention and control of chronic diseases in elderly population.
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Affiliation(s)
- Y F Guo
- Institute of Chronic and Non-communicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - W J Ma
- Guangdong Provincial Institute of Public Health, Guangzhou 511430, China
| | - Q J Zhang
- Institute of Chronic and Non-communicable Diseases, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
| | - M Yu
- Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
| | - Y Z Xiao
- Institute of Chronic and Non-communicable Diseases, Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China
| | - X L Guo
- Institute of Chronic and Non-communicable Diseases, Shandong Provincial Center for Disease Control and Prevention, Jinan 250014, China
| | - Y L Zhu
- Institute of Chronic and Non-communicable Diseases, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
| | - F Liu
- Shaanxi Provincial Center for Disease Control and Prevention, Xi'an 710054, China
| | - Y Ruan
- Institute of Chronic and Non-communicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - S Y Sun
- Institute of Chronic and Non-communicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - Z Z Huang
- Institute of Chronic and Non-communicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - Y Zheng
- Institute of Chronic and Non-communicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - F Wu
- Institute of Chronic and Non-communicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
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Wu YF, Zhu YL, Yan XW. [A case report of Sjögren syndrome combined with cardiac amyloidosis]. Zhonghua Nei Ke Za Zhi 2018; 57:363-364. [PMID: 29747295 DOI: 10.3760/cma.j.issn.0578-1426.2018.05.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
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Lin Y, Ding H, Zhuang Y, Zhang Y, Zhu YL, Wang WP. [Expanded clinical verification of effectiveness of two-dimensional-shear wave elastography in the noninvasive evaluation of hepatic fibrosis]. Zhonghua Yi Xue Za Zhi 2018; 98:1148-1151. [PMID: 29690726 DOI: 10.3760/cma.j.issn.0376-2491.2018.15.005] [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 evaluate the diagnostic value of two-dimensional shear wave elastography(2D-SWE)in the assessment of hepatic fibrosis in a large-scale clinical setting. Methods: A total of 1 079 subjects who underwent partial hepatectomy were examined with 2D-SWE to measure liver stiffness before operation and the liver stiffness measurements were compared with histologic findings.The published cutoff values of liver stiffness examined with 2D-SWE were used as a reference, as 7.2, 9.2, and 10.4 kPa for diagnosing substantial fibrosis(S2), severe fibrosis(S3), and cirrhosis(S4), respectively.The area under curve(AUC)was calculated to verify the value of 2D-SWE in the evaluation of hepatic fibrosis. Results: Compared with the pathological diagnosis, the AUC of 2D-SWE in diagnosing substantial fibrosis(S2), severe fibrosis(S3), and cirrhosis(S4)were 0.976, 0.981, and 0.968, the sensitivity were 95.3%, 92.6%, and 93.5%, the specificity were 87.8%, 87.5% and 89.3%, and the accuracy were 88.8%, 90.0% and 91.0%, respectively(P<0.05). Conclusion: 2D-SWE is an effective imaging tool for noninvasive diagnosis of hepatic fibrosis.
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Affiliation(s)
- Y Lin
- Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai 200032, China
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Zhu YL, Zhang HS, Zhao XS, Xue HH, Xue J, Sun YH. Composition, Distribution, and Antioxidant Activity of Phenolic Compounds in 18 Soybean Cultivars. J AOAC Int 2018; 101:520-528. [PMID: 28847347 DOI: 10.5740/jaoacint.17-0156] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Natural phenols are an important functional compound widely distributed in plants with benefits that promote human health. The content of total phenols, flavonoids, and anthocyanins and their composition distribution in 18 soybean cultivars was investigated. There are four phenolic acid distribution forms in these soybean cultivars, namely free, esterified, glycosided, and insoluble-bound. Total phenols, flavonoids, and anthocyanins from 6 black soybean cultivars were found in higher numbers than those from 12 other yellow soybean cultivars. Free and esterified phenolic acids were the main phenolic acid form in all 18 soybean samples. Chlorogenic acid and caffeic acid were the dominant phenolic acids in eight detected phenolic acids, and daidzin and genistin were the abundant isoflavones in five detected isoflavones. Furthermore, the antioxidant activities of total phenols from the 6 black soybean cultivars were greater than those from the 12 yellow soybean cultivars, and there was a significant positive correlation between antioxidant activity and total phenolic content. Black soybeans could be a potential resource for developing natural antioxidants that may play a crucial role in human health protection.
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Affiliation(s)
- Yi-Lin Zhu
- Shaanxi Normal University, Food Engineering and Nutrition Science College, Xi'an 710062, People's Republic of China
| | - Hai-Sheng Zhang
- Shaanxi Normal University, Food Engineering and Nutrition Science College, Xi'an 710062, People's Republic of China
| | - Xin-Shuai Zhao
- Shaanxi Normal University, Food Engineering and Nutrition Science College, Xi'an 710062, People's Republic of China
| | - Huan-Huan Xue
- Shaanxi Normal University, Food Engineering and Nutrition Science College, Xi'an 710062, People's Republic of China
| | - Jing Xue
- Shaanxi Normal University, Food Engineering and Nutrition Science College, Xi'an 710062, People's Republic of China
| | - Yu-Han Sun
- Shaanxi Normal University, Food Engineering and Nutrition Science College, Xi'an 710062, People's Republic of China
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Li C, Zhu YL, Li Q, Li DS, Yang GB. [Relationship between Helicobacter pylori infection and miR-24-3p expression during the development of gastric mucosa lesions]. Zhonghua Yi Xue Za Zhi 2017; 97:2852-2855. [PMID: 29050151 DOI: 10.3760/cma.j.issn.0376-2491.2017.36.015] [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: 06/07/2023]
Abstract
Objectives: To explore the expression of micro RNA-24-3p (miR-24-3p) in different gastric mucosa lesions, and analyze the potential correlation between Helicobacter pylori (H.pylori) infection and miR-24-3p expression in different gastric lesions. Methods: 158 gastric biopsy specimens were divided into four groups, including 35 chronic superficial gastritis (CSG) samples, 43 chronic atrophic gastritis (CAG) samples, 41 intestinal metaplasia (IM) samples and 39 dysplasia (Dys) samples. Those samples were collected from patients undergoing gastroscopy at the Department of Gastroenterology, Aerospace Center Hospital, from September 2005 to June 2012. The expression of miR-24-3p was detected using in situ hybridization. H. pylori infection status was determined by rapid urease test and Warthin-Starry stain. Results: Higher expression rate of miR-24-3p was observed in CSG compared with those in CAG, IM and Dys, respectively. The miR-24-3p expression rate in CSG with H. pylori infection was significantly lower than that without H. pylori infection (P=0.001), but it was not observed in CAG, IM and Dys groups (all P>0.05). Conclusions: MiR-24-3p was highly expressed at the early stage of gastric mucosal lesion. Attenuation of miR-24-3p expression is associated with the development of severe gastric mucosa lesions. H. pylori may play a role in miR-24-3p regulation in the early stage of gastric mucosa lesions.
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Affiliation(s)
- C Li
- Peking University Aerospace School of Clinical Medicine, Aerospace Center Hospital, Beijing 100049, China
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Liu JY, Hu J, Zhang Q, Graf D, Cao HB, Radmanesh SMA, Adams DJ, Zhu YL, Cheng GF, Liu X, Phelan WA, Wei J, Jaime M, Balakirev F, Tennant DA, DiTusa JF, Chiorescu I, Spinu L, Mao ZQ. A magnetic topological semimetal Sr 1-yMn 1-zSb 2 (y, z < 0.1). Nat Mater 2017; 16:905-910. [PMID: 28740190 DOI: 10.1038/nmat4953] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/09/2015] [Accepted: 06/28/2017] [Indexed: 06/07/2023]
Abstract
Weyl (WSMs) evolve from Dirac semimetals in the presence of broken time-reversal symmetry (TRS) or space-inversion symmetry. The WSM phases in TaAs-class materials and photonic crystals are due to the loss of space-inversion symmetry. For TRS-breaking WSMs, despite numerous theoretical and experimental efforts, few examples have been reported. In this Article, we report a new type of magnetic semimetal Sr1-yMn1-zSb2 (y, z < 0.1) with nearly massless relativistic fermion behaviour (m∗ = 0.04 - 0.05m0, where m0 is the free-electron mass). This material exhibits a ferromagnetic order for 304 K < T < 565 K, but a canted antiferromagnetic order with a ferromagnetic component for T < 304 K. The combination of relativistic fermion behaviour and ferromagnetism in Sr1-yMn1-zSb2 offers a rare opportunity to investigate the interplay between relativistic fermions and spontaneous TRS breaking.
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Affiliation(s)
- J Y Liu
- Department of Physics and Engineering Physics, Tulane University, New Orleans, Louisiana 70018, USA
| | - J Hu
- Department of Physics and Engineering Physics, Tulane University, New Orleans, Louisiana 70018, USA
| | - Q Zhang
- Department of Physics and Astronomy, Louisiana State University, Baton Rouge, Louisiana 70803, USA
- Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - D Graf
- National High Magnetic Field Laboratory, Tallahassee, Florida 32310, USA
| | - H B Cao
- Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - S M A Radmanesh
- Department of Physics and Advanced Materials Research Institute, University of New Orleans, New Orleans, Louisiana 70148, USA
| | - D J Adams
- Department of Physics and Advanced Materials Research Institute, University of New Orleans, New Orleans, Louisiana 70148, USA
| | - Y L Zhu
- Department of Physics and Engineering Physics, Tulane University, New Orleans, Louisiana 70018, USA
| | - G F Cheng
- Department of Physics and Engineering Physics, Tulane University, New Orleans, Louisiana 70018, USA
- Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai 200050, China
| | - X Liu
- Department of Physics and Engineering Physics, Tulane University, New Orleans, Louisiana 70018, USA
| | - W A Phelan
- Department of Physics and Astronomy, Louisiana State University, Baton Rouge, Louisiana 70803, USA
| | - J Wei
- Department of Physics and Engineering Physics, Tulane University, New Orleans, Louisiana 70018, USA
| | - M Jaime
- Los Alamos National Laboratory, Los Alamos, New Mexico 87545, USA
| | - F Balakirev
- Los Alamos National Laboratory, Los Alamos, New Mexico 87545, USA
| | - D A Tennant
- Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - J F DiTusa
- Department of Physics and Astronomy, Louisiana State University, Baton Rouge, Louisiana 70803, USA
| | - I Chiorescu
- National High Magnetic Field Laboratory, Tallahassee, Florida 32310, USA
- Department of Physics, Florida State University, Tallahassee, Florida 32306, USA
| | - L Spinu
- Department of Physics and Advanced Materials Research Institute, University of New Orleans, New Orleans, Louisiana 70148, USA
| | - Z Q Mao
- Department of Physics and Engineering Physics, Tulane University, New Orleans, Louisiana 70018, USA
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Suriyaprakash J, Xu YB, Zhu YL, Yang LX, Tang YL, Wang YJ, Li S, Ma XL. Designing of metallic nanocrystals embedded in non-stoichiometric perovskite nanomaterial and its surface-electronic characteristics. Sci Rep 2017; 7:8343. [PMID: 28827672 PMCID: PMC5567205 DOI: 10.1038/s41598-017-09031-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [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: 04/04/2017] [Accepted: 07/20/2017] [Indexed: 11/17/2022] Open
Abstract
Engineering of novel functional nanocomposite as like as the metallic nanocrystals supported non-stoichiometric perovskite nanomaterial in controlled parameters (size, shape and ratio of chemical characteristics) is a challengeable task. In this context, we present a facile route to fabricate and study its physicochemical property at real time mode in this report. Nanoscale pure Pb crystals surfaced on non-stoichiometric A-site deficient Pb1-xTiO3-y nanoparticle were fabricated when a precursor lead titanate (PbTiO3) nanoparticle was exposed to an electron beam irradiation (EBI) in a transmission electron microscope (TEM) at ambient temperature. In the state of the art, the chemical states and electronic structure of non-irradiated and irradiated PbTiO3 were studied by X-ray photoelectron spectroscopy (XPS). Electron bombardment resulted in a new visible feature at low binding energy in the Pb 4f core level, while Ti 2p and O 1s line shape showed slight changes. The Fermi level of the corresponding materials was determined to be 1.65 ± 0.1 eV and 2.05 ± 0.1 eV above the valence band maximum, respectively. The normal, weakly p-type PTO exhibits peculiar n-type feature after EBI process (The Fermi level moves near to the conduction band). A feasible mechanism is proposed involving the electron-stimulated local bond-breaking phenomenon in PbTiO3.
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Affiliation(s)
- Jagadeesh Suriyaprakash
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, 72 Wenhua Road, 110016, Shenyang, China.,University of Chinese Academy of Sciences, 100039, Beijing, China
| | - Y B Xu
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, 72 Wenhua Road, 110016, Shenyang, China
| | - Y L Zhu
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, 72 Wenhua Road, 110016, Shenyang, China
| | - L X Yang
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, 72 Wenhua Road, 110016, Shenyang, China
| | - Y L Tang
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, 72 Wenhua Road, 110016, Shenyang, China
| | - Y J Wang
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, 72 Wenhua Road, 110016, Shenyang, China
| | - S Li
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, 72 Wenhua Road, 110016, Shenyang, China.,University of Chinese Academy of Sciences, 100039, Beijing, China
| | - X L Ma
- Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, 72 Wenhua Road, 110016, Shenyang, China. .,State Key Laboratory of Advanced Processing and Recycling of Non-ferrous Metals, Lanzhou University of Technology, 730050, Lanzhou, China.
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50
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Zhu YL, Li WX, Li J. [Screening for effective antibiotics in chronic suppurative otitis media]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017; 31:1243-1246. [PMID: 29798370 DOI: 10.13201/j.issn.1001-1781.2017.16.06] [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: 04/27/2017] [Indexed: 11/12/2022]
Abstract
Objective:To explore the method of screening effective antibiotics in active stage of otitis media, in order to lay ground for rational clinical application of antibiotics in this scenario.Method:The clinical data of 198 patients diagnosed as otitis media were analyzed. Based on the results of bacterial culture and drug sensitivity test of middle ear secretion, the clinical availability and the ototoxicity of corresponding drugs, first and second line drugs were screened to control infection. The therapeutic effect of drugs was summarized.Result:In 21 out of 198 cases, there was no growth of common bacteria, while in the remaining 177 cases, there were 36 cases(20.34%) of coagulase negative staphylococcus, which was sensitive to linezolid, vancomycin, cefuroxime, levofloxacin, SMZ-TMP, and rifampin; 30 cases(16.95%) of pseudomonas aeruginosa, which was sensitive to meropenem, imipenem, ceftazidime, amikacin, and piperacillin; and 26 cases(14.69%) of staphylococcus aureus, which was sensitive to linezolid, vancomycin, oxacilin, gentamycin, levofloxacin, ciprofloxacin, moxifloxacin. Drugs that were administrated based on experience including: local use of levofloxacin eardrops, cefuroxime and moxifloxacin as first line oral antibiotics, and ceftazidime as second line oral antibiotics. There were 3 cases of post-operational infection, which recovered after systemic and local use of sensitive drugs and dressing.Conclusion:In otitis media, sensitive antibiotics chosen from results of bacterial culture and drug sensitivity test, are useful in reducing the complication of infection after surgery.
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Affiliation(s)
- Y L Zhu
- 1Department of Otorhinolaryngology Head and Neck Surgery, Chinese PLA General Hospital, Beijing, 100853, China
| | - W X Li
- Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Soochow University
| | - J Li
- 1Department of Otorhinolaryngology Head and Neck Surgery, Chinese PLA General Hospital, Beijing, 100853, China
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