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Qi L, Li X, Yang Y, Zhao M, Lin A, Ma L. Accuracy of machine learning in the preoperative identification of ovarian borderline tumors: a meta-analysis. Clin Radiol 2024:S0009-9260(24)00134-X. [PMID: 38670918 DOI: 10.1016/j.crad.2024.02.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 01/07/2024] [Accepted: 02/22/2024] [Indexed: 04/28/2024]
Abstract
AIM The objective of this study is to explore the diagnostic value of machine learning (ML) in borderline ovarian tumors through meta-analysis. METHODS Pubmed, Embase, Web of Science, and Cochrane Library databases were comprehensively retrieved from database inception untill February 16, 2023. The Prediction Model Risk of Bias Assessment Tool (PROBAST) was adopted to evaluate the risk of bias in the original studies. Sub-group analyses of ML were conducted according to clinical features and radiomics features. We separately discussed the discriminative value of ML for borderline vs benign and borderline vs malignant tumors. RESULTS Eighteen studies involving 12,778 subjects were included in our analysis. The modeling variables mainly consisted of radiomics features (n=13) and a small number of clinical features (n=5). When distinguishing between borderline and benign tumors, the ML model based on radiomic features achieved a c-index of 0.782 (95% CI: 0.732-0.831), sensitivity of 0.75 (95% CI: 0.67-0.82), and specificity of 0.75 (95% CI: 0.67-0.81) in the validation set. When distinguishing between borderline and malignant tumors, the ML model based on radiomic features achieved a c-index of 0.916 (95% CI: 0.891-0.940), sensitivity of 0.86 (95% CI: 0.78-0.91), and specificity of 0.88 (95% CI: 0.82-0.92) in the validation set. In addition, we analyzed the discriminatory ability of radiologists and found that their sensitivity was 0.26 (95% CI: 0.12-0.46) and specificity was 0.94 (95% CI: 0.90-0.97). CONCLUSIONS ML has tremendous potential in the preoperative diagnosis and differentiation of borderline ovarian tumors and may be more accurate than radiologists in diagnosing and differentiating borderline ovarian tumors.
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Affiliation(s)
- L Qi
- Department of Gynecology and Obstetrics, Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai City, Shandong Province, China
| | - X Li
- Department of Pathology, Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai City, Shandong Province, China
| | - Y Yang
- Emergency Department, HongQi Hospital Affiliated to MuDanJiang Medical University, MuDanJiang City, Heilongjiang Province, China
| | - M Zhao
- Department of Gynecology and Obstetrics, Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai City, Shandong Province, China
| | - A Lin
- Department of Gynecology and Obstetrics, Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai City, Shandong Province, China.
| | - L Ma
- Center for Laboratory Diagnosis, Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai City, Shandong Province, China.
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Chen C, Cheng Y, Lei H, Feng X, Zhang H, Qi L, Wan J, Xu H, Zhao X, Zhang Y, Yang B. SHP2 potentiates anti-PD-1 effectiveness through intervening cell pyroptosis resistance in triple-negative breast cancer. Biomed Pharmacother 2023; 168:115797. [PMID: 37913735 DOI: 10.1016/j.biopha.2023.115797] [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: 08/22/2023] [Revised: 10/14/2023] [Accepted: 10/26/2023] [Indexed: 11/03/2023] Open
Abstract
Triple negative breast cancer (TNBC) presents a formidable challenge due to the lack of effective treatment modalities. Immunotherapy stands as a promising therapeutic approach; however, the emergence of drug resistance mechanisms within tumor cells, particularly those targeting apoptosis and pyroptosis, has hampered its clinical efficacy. SHP2 is intricately involved in diverse physiological processes, including immune cell proliferation, infiltration, and tumor progression. Nevertheless, the precise contribution of SHP2 to tumor cell pyroptosis resistance remains inadequately understood. Herein, we demonstrate that SHP2 inhibition hampers the proliferative, migratory, and invasive capabilities of TNBC, accompanied by noticeable alterations in cellular membrane architecture. Mechanistically, we provide evidence that SHP2 depletion triggers the activation of Caspase-1 and GSDMD, resulting in GSDMD-dependent release of LDH, IL-1β, and IL-18. Furthermore, computational analyses and co-localization investigations substantiate the hypothesis that SHP2 may hinder pyroptosis through direct binding to JNK, thereby impeding JNK phosphorylation. Our cellular experiments further corroborate these findings by demonstrating that JNK inhibition rescues pyroptosis induced by SHP2 knockdown. Strikingly, in vivo experiments validate the suppressive impact of SHP2 knockdown on tumor progression via enhanced JNK phosphorylation. Additionally, SHP2 knockdown augments tumor sensitivity to anti-PD-1 therapy, thus reinforcing the pro-pyroptotic effects and inhibiting tumor growth. In summary, our findings elucidate the mechanism by which SHP2 governs TNBC pyroptosis, underscoring the potential of SHP2 inhibition to suppress cell pyroptosis resistance and its utility as an adjunctive agent for tumor immunotherapy.
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Affiliation(s)
- Chao Chen
- Department of Pharmacology, College of Basic Medical Sciences, Jilin University, 126 Ximin street, Chaoyang District, Changchun, Jilin 130021, China
| | - Yuanyuan Cheng
- Department of Pharmacology, The State-Province Key Laboratories of Biomedicine-Pharmaceutics of China, Harbin Medical University, 157 Baojian Rd, Nangang District, Harbin, Heilongjiang 150081, China
| | - Haoqi Lei
- Department of Pharmacology, The State-Province Key Laboratories of Biomedicine-Pharmaceutics of China, Harbin Medical University, 157 Baojian Rd, Nangang District, Harbin, Heilongjiang 150081, China
| | - Xuefei Feng
- Department of Pharmacology, The State-Province Key Laboratories of Biomedicine-Pharmaceutics of China, Harbin Medical University, 157 Baojian Rd, Nangang District, Harbin, Heilongjiang 150081, China
| | - Hongxia Zhang
- Department of Pharmacology, The State-Province Key Laboratories of Biomedicine-Pharmaceutics of China, Harbin Medical University, 157 Baojian Rd, Nangang District, Harbin, Heilongjiang 150081, China
| | - Lingling Qi
- Department of Pharmacology, The State-Province Key Laboratories of Biomedicine-Pharmaceutics of China, Harbin Medical University, 157 Baojian Rd, Nangang District, Harbin, Heilongjiang 150081, China
| | - Jufeng Wan
- Department of Pharmacology, The State-Province Key Laboratories of Biomedicine-Pharmaceutics of China, Harbin Medical University, 157 Baojian Rd, Nangang District, Harbin, Heilongjiang 150081, China
| | - Haiying Xu
- Department of Pharmacology, The State-Province Key Laboratories of Biomedicine-Pharmaceutics of China, Harbin Medical University, 157 Baojian Rd, Nangang District, Harbin, Heilongjiang 150081, China
| | - Xin Zhao
- Department of Pharmacology, The State-Province Key Laboratories of Biomedicine-Pharmaceutics of China, Harbin Medical University, 157 Baojian Rd, Nangang District, Harbin, Heilongjiang 150081, China.
| | - Yan Zhang
- Department of Pharmacology, The State-Province Key Laboratories of Biomedicine-Pharmaceutics of China, Harbin Medical University, 157 Baojian Rd, Nangang District, Harbin, Heilongjiang 150081, China.
| | - Baofeng Yang
- Department of Pharmacology, College of Basic Medical Sciences, Jilin University, 126 Ximin street, Chaoyang District, Changchun, Jilin 130021, China.
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Zhang Y, Qi L, Wang R. Meta-analysis: reducing the recurrence rate of allergic rhinitis through oral administration of traditional Chinese medicine. Eur Rev Med Pharmacol Sci 2023; 27:7924-7934. [PMID: 37750621 DOI: 10.26355/eurrev_202309_33551] [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: 09/27/2023]
Abstract
OBJECTIVE A systematic review and meta-analysis were carried out to investigate the medical evidence of oral Chinese herbal medicine in reducing the recurrence of allergic rhinitis (AR). MATERIALS AND METHODS Through computer retrieval of PubMed, ScienceDirect, WOS, and other databases, relevant randomized controlled literature was obtained based on the inclusion criteria and retrieval strategies. The retrieval time was set from January 1, 2013, to December 31, 2022. The bias of the literature was evaluated using the bias evaluation module in Cochrane Manual Version 5.1.0, and the meta-analysis was conducted using RevMan software to verify the effectiveness of oral administration of traditional Chinese medicine (TCM) and its impact on reducing the recurrence rate. RESULTS The meta-analysis included 7 articles. In the meta-analysis of all articles, the effective treatment rate of oral administration of TCM reached 97.09%. Additionally, when comparing the recurrence rate of AR between patients taking Chinese medicine orally and other treatment groups, the recurrence rate of patients taking Chinese medicine orally was only 24.46%, which was significantly lower (p<0.05). Furthermore, the quality of life of patients taking Chinese medicine orally after treatment was significantly higher than that of patients in the control group (C), indicating the good safety of oral Chinese medicine. CONCLUSIONS Oral administration of TCM has demonstrated an effective reduction in the recurrence rate of AR, offering patients a good prognosis. This finding holds significant value for the clinical diagnosis and treatment of AR.
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Affiliation(s)
- Y Zhang
- First Clinical College, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
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Ye JM, Zhou JH, Wang J, Ye LL, Li CF, Wu B, Qi L, Chen C, Cui J, Qiu YQ, Liu SX, Li FY, Luo YF, Lyu YB, Ye L, Shi XM. [Association of greenness, nitrogen dioxide with the prevalence of hypertension among the elderly over 65 years old in China]. Zhonghua Yu Fang Yi Xue Za Zhi 2023; 57:641-648. [PMID: 37165811 DOI: 10.3760/cma.j.cn112150-20230118-00044] [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: 05/12/2023]
Abstract
Objective: To investigate the association of mixed exposure to greenness and nitrogen dioxide(NO2) and hypertension among the older adults aged 65 years and over in China. Methods: The study subjects were from the Chinese Longitudinal Healthy Longevity Survey from 2017 to 2018. A total of 15 423 older adults aged 65 years and over meeting the criteria were finally included in the study. A questionnaire survey was used to collect information on demographic characteristics, lifestyle habits and self-reported prevalence of hypertension. Blood pressure values were obtained through physical examination. The level of normalized difference vegetation index(NDVI) was measured by the Medium-resolution Imaging Spectral Radiator(MODIS) of the National Aeronautics and Space Administration(NASA). The concentration of NO2 was from China's surface air pollutant data set. Meteorological data was from NASA MERRA-2. The exposure to NDVI and NO2 for each study subject was calculated based on the area within a 1 km radius around their residence. The association between mixed exposure of NDVI and NO2 as well as their interaction and hypertension in older adults was analyzed by using the multivariate logistic regression model. The restrictive cubic spline(RCS) function was used to explore the exposure-response relationship between greenness and NO2 and the risk of hypertension in study subjects. Results: The mean age of 15 423 older adults were (85.6±11.6). Women accounted for 56.3%(8 685/15 423) and 55.6%(8 578/15 423) lived in urban areas. The mean time of residence was (60.9±28.5) years. 59.8% of participants were with hypertension. The mean NDVI level was 0.41±0.13, and the mean NO2 concentration was (32.18±10.36) μg/cm3. The results of multivariate logistic regression analysis showed that NDVI was inversely and linearly associated with the hypertension in older adults, with the OR(95%CI) value of 0.959(0.928-0.992). Compared with the T1 group of NDVI, the risk of hypertension was lower in the T3 group, with the OR(95%CI) value of 0.852(0.769-0.944), and the trend test was statistically significant(P<0.05). Compared with the T1 group of NO2, the risk of hypertension was higher in the T2 and T3 groups, with OR(95%CI) values of 1.160(1.055-1.275) and 1.244(1.111-1.393), and the trend test was statistically significant (P<0.05). The result of the RCS showed that NDVI was inversely and linearly associated with hypertension in older adults. NO2 was nonlinearly associated with hypertension in older adults. The interaction analysis showed that NDVI and NO2 had a negative multiplicative interaction on the risk of hypertension, with OR(95%CI) value of 0.995(0.992-0.997). Conclusion: Exposure to greenness and NO2 are associated with hypertension in older adults.
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Affiliation(s)
- J M Ye
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China School of Public Health, Jilin University, Changchun 130012, China
| | - J H Zhou
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - J Wang
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - L L Ye
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
| | - C F Li
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China School of Public Health, Anhui Medical University, He Fei 230032, China
| | - B Wu
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing 211166, China
| | - L Qi
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - C Chen
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - J Cui
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
| | - Y Q Qiu
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China School of Public Health, Southern Medical University, Guangzhou 510515, China
| | - S X Liu
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China School of Public Health, Southern Medical University, Guangzhou 510515, China
| | - F Y Li
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China School of Public Health, China Medical University, Shenyang 110013, China
| | - Y F Luo
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China School of Public Health, Anhui Medical University, He Fei 230032, China
| | - Y B Lyu
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - L Ye
- School of Public Health, Jilin University, Changchun 130012, China
| | - X M Shi
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
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Zhang XF, Wang Z, Liu WX, Li F, He J, Zhang F, Zhang MY, Qi L, Li Y. [Thoracoscopic laparoscopy-assisted Ivor-Lewis resection of esophagogastric junction cancer]. Zhonghua Zhong Liu Za Zhi 2023; 45:368-374. [PMID: 37078219 DOI: 10.3760/cma.j.cn112152-20220920-00641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 04/21/2023]
Abstract
Objective: To investigate the outcome of patients with esophagogastric junction cancer undergoing thoracoscopic laparoscopy-assisted Ivor-Lewis resection. Methods: Eighty-four patients who were diagnosed with esophagogastric junction cancer and underwent Ivor-Lewis resection assisted by thoracoscopic laparoscopy at the National Cancer Center from October 2019 to April 2022 were collected. The neoadjuvant treatment mode, surgical safety and clinicopathological characteristics were analyzed. Results: Siewert type Ⅱ (92.8%) and adenocarcinoma (95.2%) were predominant in the cases. A total of 2 774 lymph nodes were dissected in 84 patients. The average number was 33 per case, and the median was 31. Lymph node metastasis was found in 45 patients, and the lymph node metastasis rate was 53.6% (45/84). The total number of lymph node metastasis was 294, and the degree of lymph node metastasis was 10.6%(294/2 774). Among them, abdominal lymph nodes (100%, 45/45) were more likely to metastasize than thoracic lymph nodes (13.3%, 6/45). Sixty-eight patients received neoadjuvant therapy before surgery, and nine patients achieved pathological complete remission (pCR) (13.2%, 9/68). Eighty-three patients had negative surgical margins and underwent R0 resection (98.8%, 83/84). One patient, the intraoperative frozen pathology suggested resection margin was negative, while vascular tumor thrombus was seen on the postoperative pathological margin, R1 resection was performed (1.2%, 1/84). The average operation time of the 84 patients was 234.5 (199.3, 275.0) minutes, and the intraoperative blood loss was 90 (80, 100) ml. One case of intraoperative blood transfusion, one case of postoperative transfer to ICU ward, two cases of postoperative anastomotic leakage, one case of pleural effusion requiring catheter drainage, one case of small intestinal hernia with 12mm poke hole, no postoperative intestinal obstruction, chyle leakage and other complications were observed. The number of deaths within 30 days after surgery was 0. Number of lymph nodes dissection, operation duration, and intraoperative blood loss were not related to whether neoadjuvant therapy was performed (P>0.05). Preoperative neoadjuvant chemotherapy combined with radiotherapy or immunotherapy was not related to whether postoperative pathology achieved pCR (P>0.05). Conclusion: Laparoscopic-assisted Ivor-Lewis surgery for esophagogastric junction cancer has a low incidence of intraoperative and postoperative complications, high safety, wide range of lymph node dissection, and sufficient margin length, which is worthy of clinical promotion.
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Affiliation(s)
- X F Zhang
- Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Hebei Cancer Hospital, Chinese Academy of Medical Sciences, Langfang 065001, China
| | - Z Wang
- Department of Thoracic 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
| | - W X Liu
- Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Hebei Cancer Hospital, Chinese Academy of Medical Sciences, Langfang 065001, China
| | - F Li
- Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Hebei Cancer Hospital, Chinese Academy of Medical Sciences, Langfang 065001, China
| | - J He
- Department of Thoracic Surgery, Heibei General Hospital, Shijiazhuang 050051, China
| | - F Zhang
- Department of Thoracic 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
| | - M Y Zhang
- Department of Thoracic 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 Qi
- Department of Medical 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 Li
- Department of Thoracic 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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Qi L, Zhang B, Liu Y, Mu L, Li Q, Wang X, Xu JP, Wang XY, Huang J. [Clinical analysis of liver dysfunction induced by SHR-1210 alone or combined with apatinib and chemotherapy in patients with advanced esophageal squamous cell carcinoma]. Zhonghua Zhong Liu Za Zhi 2023; 45:259-264. [PMID: 36944547 DOI: 10.3760/cma.j.cn112152-20200927-00858] [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: 03/23/2023]
Abstract
Objective: To investigate the clinical characteristics of abnormal liver function in patients with advanced esophageal squamous carcinoma treated with programmed death-1 (PD-1) antibody SHR-1210 alone or in combination with apatinib and chemotherapy. Methods: Clinical data of 73 patients with esophageal squamous carcinoma from 2 prospective clinical studies conducted at the Cancer Hospital Chinese Academy of Medical Sciences from May 11, 2016, to November 19, 2019, were analyzed, and logistic regression analysis was used for the analysis of influencing factors. Results: Of the 73 patients, 35 had abnormal liver function. 13 of the 43 patients treated with PD-1 antibody monotherapy (PD-1 monotherapy group) had abnormal liver function, and the median time to first abnormal liver function was 55 days. Of the 30 patients treated with PD-1 antibody in combination with apatinib and chemotherapy (PD-1 combination group), 22 had abnormal liver function, and the median time to first abnormal liver function was 41 days. Of the 35 patients with abnormal liver function, 2 had clinical symptoms, including malaise and loss of appetite, and 1 had jaundice. 28 of the 35 patients with abnormal liver function returned to normal and 7 improved to grade 1, and none of the patients had serious life-threatening or fatal liver function abnormalities. Combination therapy was a risk factor for patients to develop abnormal liver function (P=0.007). Conclusions: Most of the liver function abnormalities that occur during treatment with PD-1 antibody SHR-1210 alone or in combination with apatinib and chemotherapy are mild, and liver function can return to normal or improve with symptomatic treatment. For patients who receive PD-1 antibody in combination with targeted therapy and chemotherapy and have a history of long-term previous smoking, alcohol consumption and hepatitis B virus infection, liver function should be monitored and actively managed in a timely manner.
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Affiliation(s)
- L Qi
- Department of Medical 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
| | - B Zhang
- Department of Medical 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 Liu
- Department of Medical 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
| | - L Mu
- Department of Medical 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
| | - Q Li
- Department of Medical 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
| | - X Wang
- Department of Medical 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
| | - J P Xu
- Department of Medical 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
| | - X Y Wang
- Department of Medical 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
| | - J Huang
- Department of Medical 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
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Ye LL, Zhou JH, Tian YL, Liu SX, Liu JX, Ye JM, Cui J, Chen C, Wang J, Wu YQ, Qiu Y, Wei B, Qiu YD, Zheng XL, Qi L, Lv YB, Zhang J. [Association of greenness exposure with waist circumference and central obesity in Chinese adults aged 65 years and over]. Zhonghua Yu Fang Yi Xue Za Zhi 2023; 57:86-92. [PMID: 36854442 DOI: 10.3760/cma.j.cn112150-20221117-01118] [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: 03/02/2023]
Abstract
Objective: To examine the association of greenness exposure with waist circumference (WC) and central obesity in older adults in China. Methods: Based on the cross-sectional data from the Chinese Longitudinal Healthy Longevity Survey in 2017-2018, 14 056 participants aged 65 years and over were included. Demographic characteristics, lifestyle, WC, and other information were collected through a questionnaire and physical examination. Based on the satellite monitoring data of moderate-resolution imaging spectroradiometer (MODIS) provided by NASA, the annual mean of normalized difference vegetation index (NDVI) within a radius of 1 000 meters was obtained as the measurement value of greenness exposure. Multivariate linear regression model, multivariate logistic regression model, and restricted cubic splines (RCS) model were used to analyze the association and dose-response relationship between greenness exposure and WC and central obesity in older adults in China. Results: A total of 14 056 participants were enrolled with a median age of 84.0 years [IQR: 75.0-94.0 years]. About 45.0% (6 330) of them were male and 48.6% (5 853) were illiterate. There were 10 964 (78.0%) participants from rural. The mean of WC was (84.4±10.8) cm. Central obesity accounted for 60.2% (8 465), and the NDVI range was (-0.06, 0.78). After adjusting for confounding factors, the multivariate linear regression model showed that the change value of WC in the urban group [β (95%CI):-0.49 (-0.93, -0.06)] was smaller than that in the rural [-0.78 (-0.98, -0.58)] for every 0.1 unit increase in NDVI (Pinteraction=0.022). Compared with the Q1 group in NDVI, WC of Q2 and Q3 groups in rural decreased, and the β (95%CI) values were-1.74 (-2.5, -0.98) and-2.78 (-3.55, -2.00), respectively. The multivariate logistic regression model showed that after adjusting for confounding factors, the risk of central obesity decreased for urban and rural older adults with an increase of 0.1 unit in NDVI, and the OR (95%CI) values were 0.87 (0.80, 0.95) and 0.86 (0.82, 0.89), respectively (Pinteraction=0.284). Compared with the Q1 group in NDVI, the risk of central obesity in the Q2 and Q3 groups in rural was lower, and the OR (95%CI) values were 0.68 (0.58, 0.80) and 0.57 (0.49, 0.68), respectively. The results of the multivariate regression model with RCS showed that there was a non-linear association of NDVI with WC (Pnonlinear=0.006) and central obesity (Pnonlinear=0.025). Conclusion: Greenness exposure is negatively associated with WC and central obesity in older adults in China.
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Affiliation(s)
- L L Ye
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - J H Zhou
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - Y L Tian
- Laboratory of Earth Surface Processes, College of Urban and Environmental Sciences, Peking University, Beijing 100871, China
| | - S X Liu
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - J X Liu
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - J M Ye
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - J Cui
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - C Chen
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - J Wang
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - Y Q Wu
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - Y Qiu
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - B Wei
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - Y D Qiu
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - X L Zheng
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - L Qi
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - Y B Lv
- China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - J Zhang
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
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Wu PY, Wang T, Chen BJ, Shi MK, Huang B, Wu ND, Qi L, Chang XF, Wang LF, Liu BR, Ren W. [Efficacy and safety of neoadjuvant chemotherapy combined with PD-1 antibody for esophageal squamous cell carcinoma in the real world]. Zhonghua Zhong Liu Za Zhi 2023; 45:170-174. [PMID: 36781239 DOI: 10.3760/cma.j.cn112152-20210806-00586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
Objective: To evaluate the efficacy and safety of neoadjuvant chemotherapy combined with programmed death-1 (PD-1) antibody in operable, borderline or potentially resectable locally advanced esophageal squamous cell carcinoma(ESCC) in the real world. Methods: The study retrospectively analyzed 28 patients with operable or potentially resectable locally advanced ESCC patients treated with preoperative chemotherapy combined with PD-1 inhibitor in Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School from April 2020 to March 2021. According to the clinical TNM staging system of the 8th edition of the American Joint Committee on Cancer, there were 1, 15, 10, 1 and 1 case of stage Ⅱ, Ⅲ, ⅣA, ⅣB and unknown stage respectively. The treatment was two cycle of dual drug chemotherapy regimen including taxane plus platinum or fluorouracil combined with PD-1 antibody followed by tumor response assessment and surgery if the patient was eligible for resection. Results: Of the 28 patients, 1, 2, 3 and 4 cycles of chemotherapy combined with PD-1 antibody treatment completed in 1, 21, 5, and 1 patient, respectively. Objective response rate (ORR) was 71.4% (20/28), and disease control rate (DCR) was 100% (28/28). The incidence of adverse events exceeding grade 3 levels was 21.4% (6/28), including 3 neutropenia, 1 leukopenia, 1 thrombocytopenia and 1 immune hepatitis. There was no treatment-related death. Of the 23 patients underwent surgery, R0 resection rate was 87.0% (20/23), 13 patients had down staged to the T1-2N0M0 I stage, the pCR rate was 17.3% (4/23), and the pCR rate of primary tumor was 21.7% (5/23). Four patients received definitive chemoradiotherapy. One patient rejected surgery and other treatment after achieved PR response. Conclusion: Neoadjuvant chemotherapy combined PD-1 inhibitor is safe and has high efficacy in operable, borderline or potentially resectable locally advanced ESCC, and it is a promising regimen.
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Affiliation(s)
- P Y Wu
- The Comprehensive Cancer Center of Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
| | - T Wang
- Departement of General Thoracic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
| | - B J Chen
- Departement of General Thoracic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
| | - M K Shi
- Departement of General Thoracic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
| | - B Huang
- The Comprehensive Cancer Center of Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
| | - N D Wu
- The Comprehensive Cancer Center of Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
| | - L Qi
- The Comprehensive Cancer Center of Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
| | - X F Chang
- The Comprehensive Cancer Center of Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
| | - L F Wang
- The Comprehensive Cancer Center of Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
| | - B R Liu
- The Comprehensive Cancer Center of Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
| | - W Ren
- The Comprehensive Cancer Center of Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
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Kang N, Chen X, Yang H, Zhao S, Qi L. Effect of Different Placement Sequences of Water on the Methane Adsorption Properties of Coal. ACS Omega 2023; 8:6689-6698. [PMID: 36844514 PMCID: PMC9948196 DOI: 10.1021/acsomega.2c07283] [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] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Accepted: 01/19/2023] [Indexed: 06/18/2023]
Abstract
After the coal seam is injected with water, the moisture content in the coal body increases, which affects the output capacity of coalbed methane (CBM). In order to improve the effect of CBM mining, the classical anthracite molecular model has been selected. To analyze the influence of different placement orders of water and methane on the characteristics of coal-adsorbing methane from the micro point of view, a molecular simulation method is used for comprehensive consideration in the study. The results show that H2O does not change the mechanism of CH4 adsorption by anthracite, but it inhibits the adsorption of methane by anthracite. When water enters the system afterward, there arises an equilibrium pressure point where water plays the most significant role in inhibiting methane adsorption by anthracite coals, which increases with increasing moisture content. When water enters the system first, no equilibrium pressure point occurs. The excess adsorption of methane by anthracite when water enters second is higher. The reason is that H2O can replace CH4 at the higher energy adsorption sites of the anthracite structure, while CH4 can only be adsorbed at the lower energy sites, and some of CH4 is not adsorbed. For the coal samples with a low-moisture content system, the equivalent heat of adsorption of CH4 increases first rapidly and then slowly with the increase of pressure. However, it decreases with pressure in the high-moisture content system. The variation of the equivalent heat of adsorption further explains the variation of the magnitude of methane adsorption under different conditions.
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Affiliation(s)
- Ningning Kang
- State
Key Laboratory Cultivation Base for Gas Geology and Gas Control (Henan
Polytechnic University), Jiaozuo454003, China
| | - Xiangjun Chen
- State
Key Laboratory Cultivation Base for Gas Geology and Gas Control (Henan
Polytechnic University), Jiaozuo454003, China
- State
Collaborative Innovation Center of Coal Work Safety and Clean-efficiency
Utilization (Henan Polytechnic University), Jiaozuo454003, China
- College
of Safety Science and Engineering (Henan Polytechnic University), Jiaozuo454003, China
| | - Hongmin Yang
- State
Key Laboratory Cultivation Base for Gas Geology and Gas Control (Henan
Polytechnic University), Jiaozuo454003, China
- State
Collaborative Innovation Center of Coal Work Safety and Clean-efficiency
Utilization (Henan Polytechnic University), Jiaozuo454003, China
- College
of Safety Science and Engineering (Henan Polytechnic University), Jiaozuo454003, China
| | - San Zhao
- State
Key Laboratory Cultivation Base for Gas Geology and Gas Control (Henan
Polytechnic University), Jiaozuo454003, China
| | - Lingling Qi
- State
Key Laboratory Cultivation Base for Gas Geology and Gas Control (Henan
Polytechnic University), Jiaozuo454003, China
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Zhang B, Wang X, Zhu LJ, Zhu WY, Li Q, Liu Y, Qi L, Shu YQ, Huang J. [Combination of anlotinib and irinotecan in the second-line treatment of metastatic colorectal cancer: a multicenter phase 1/2 trial]. Zhonghua Zhong Liu Za Zhi 2023; 45:95-100. [PMID: 36709126 DOI: 10.3760/cma.j.cn112152-20210722-00535] [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: 01/30/2023]
Abstract
Objective: To evaluate the safety and efficacy of anlotinib plus irinotecan in the second-line treatment of patients with metastatic colorectal cancer (mCRC). Methods: This prospective phase 1/2 study was conducted in 2 centers in China (Cancer Hospital of Chinese Academy of Medical Sciences and Jiangsu Province Hospital). We enrolled patients with mCRC whose disease had progressed after first-line systemic therapy and had not previously treated with irinotecan to receive anlotinib plus irinotecan. In the phase 1 of the trial, patients received anlotinib (8 mg, 10 mg or 12 mg, po, 2 weeks on/1 week off) in combination with fixed-dose irinotecan (180 mg/m(2), iv, q2w) to define the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D). In the phase 2, patients were treated with the RP2D of anlotinib and irinotecan. The primary endpoints were MTD and objective response rate (ORR). Results: From May 2018 to January 2020, a total of 31 patients with mCRC were enrolled. Anlotinib was well tolerated in combination with irinotecan with no MTD identified in the phase 1, and the RP2D was 12 mg. Thirty patients were evaluable for efficacy analysis. Eight patients achieved partial response, and 21 had stable disease, 1 had progressive disease. The ORR was 25.8% and the disease control rate was 93.5%. With a median follow-up duration of 29.5 months, the median progression-free survival and overall survival were 6.9 months (95% CI: 3.7, 9.3) and 17.6 months (95% CI: 12.4, not evaluated), respectively. The most common grade 3 treatment-related adverse events (≥10%) were neutropenia (25.8%) and diarrhea (16.1%). There was no treatment-related death. Conclusion: The combination of anlotinib and irinotecan has promising anti-tumor activity in the second-line treatment of mCRC with a manageable safety profile.
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Affiliation(s)
- B Zhang
- Department of Medical 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
| | - X Wang
- Daycare Center, Peking University Cancer Hospital & Institute, Beijing 100142, China
| | - L J Zhu
- Department of Medical Oncology, Jiangsu Province Hospital, Nanjing 210029, China
| | - W Y Zhu
- Department of Medical Oncology, Jiangsu Province Hospital, Nanjing 210029, China
| | - Q Li
- Department of Medical 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 Liu
- Department of Medical 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
| | - L Qi
- Department of Medical 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 Q Shu
- Department of Medical Oncology, Jiangsu Province Hospital, Nanjing 210029, China
| | - J Huang
- Department of Medical 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
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Qi L, Zhou X, Peng X, Chen X, Wang Z, An F. Study on the difference of pore structure of anthracite under different particle sizes using low-temperature nitrogen adsorption method. Environ Sci Pollut Res Int 2023; 30:5216-5230. [PMID: 35982386 DOI: 10.1007/s11356-022-22533-8] [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] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 08/09/2022] [Indexed: 06/15/2023]
Abstract
The low-temperature nitrogen adsorption test was used to study anthracite from Jiulishan coal mine with different particle size ranges of 60-80 mesh, 150-200 mesh, and > 200 mesh. The adsorption isotherm, adsorption capacity, pore volume, pore specific surface area, and average pore diameter of coal samples were analyzed by BET and DFT models in order to study the influence of particle size on the pore structure of anthracite and determine the optimal range of particle size for low-temperature nitrogen adsorption test. The results indicate that the particle size plays a significant effect on the pore structure of anthracite and the adsorption capacity of soft coal is less affected by particle size, while hard coal is substantially affected by particle size. The adsorption capacity of hard coal with particle size of > 200 mesh is increased by 7 times when compared with the particle size of 60-80 mesh, indicating that the gas molecular mobility hindrance decline and pore connectivity improves with the decrease of particle size. The average pore diameter of hard coal decreases continuously from 3.1424 to 2.854 nm, while that of soft coal expands from 2.8947 to 3.2515 nm and then to 3.0362 nm with the decrease of particle size. The effects of particle size on the pore surface area of soft and hard coal are concentrated within the < 10 nm pore aperture. Effect of particle size on hard coal pore volume is mainly focused in the pore size < 10 nm, whereas that of soft coal is primarily concentrated in the pore with aperture ranges of 2-100 nm. When the particle sizes varies from 60-80 mesh to 150-200 mesh, the collapse of large pore of hard coal appears better than that of closed pore. When the particle size of hard coal reaches > 200 mesh, the collapse of closed pores and the damage to small pores are stronger than the collapse of large pores. The fractal dimensions with relative pressure of 0-0.20 and 0.20-0.995 are defined as D1 and D2, respectively, and when the fractal dimension D1 increases, the surface roughness and structural complexity of coal samples increase with the decrease of anthracite particle size, while the fractal dimension D2 shows the opposite trend, which indicates that anthracite of smaller particle size possess higher adsorption capacity. Therefore, 150-200 mesh is recommended as the preferred anthracite particle size in low-temperature nitrogen adsorption test.
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Affiliation(s)
- Lingling Qi
- School of Safety Science and Engineering, Henan Polytechnic University, Jiaozuo, 454000, Henan, China.
- MOE Engineering Research Center of Coal Mine Disaster Prevention and Emergency Rescue, Jiaozuo, 454000, Henan, China.
- Collaborative Innovation Center of Coal Work Safety and Clean High Efficiency Utilization, Jiaozuo, 454000, Henan, China.
- State Key Laboratory Cultivation Base for Gas Geology and Gas Control, Jiaozuo, 454000, China.
| | - Xiaoqing Zhou
- School of Safety Science and Engineering, Henan Polytechnic University, Jiaozuo, 454000, Henan, China
| | - Xinshan Peng
- School of Safety Science and Engineering, Henan Polytechnic University, Jiaozuo, 454000, Henan, China
| | - Xiangjun Chen
- School of Safety Science and Engineering, Henan Polytechnic University, Jiaozuo, 454000, Henan, China
- MOE Engineering Research Center of Coal Mine Disaster Prevention and Emergency Rescue, Jiaozuo, 454000, Henan, China
- Collaborative Innovation Center of Coal Work Safety and Clean High Efficiency Utilization, Jiaozuo, 454000, Henan, China
- State Key Laboratory Cultivation Base for Gas Geology and Gas Control, Jiaozuo, 454000, China
| | - Zhaofeng Wang
- School of Safety Science and Engineering, Henan Polytechnic University, Jiaozuo, 454000, Henan, China
- MOE Engineering Research Center of Coal Mine Disaster Prevention and Emergency Rescue, Jiaozuo, 454000, Henan, China
- Collaborative Innovation Center of Coal Work Safety and Clean High Efficiency Utilization, Jiaozuo, 454000, Henan, China
- State Key Laboratory Cultivation Base for Gas Geology and Gas Control, Jiaozuo, 454000, China
| | - Fenghua An
- School of Safety Science and Engineering, Henan Polytechnic University, Jiaozuo, 454000, Henan, China
- MOE Engineering Research Center of Coal Mine Disaster Prevention and Emergency Rescue, Jiaozuo, 454000, Henan, China
- Collaborative Innovation Center of Coal Work Safety and Clean High Efficiency Utilization, Jiaozuo, 454000, Henan, China
- State Key Laboratory Cultivation Base for Gas Geology and Gas Control, Jiaozuo, 454000, China
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12
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Jia MM, Liu XZ, Qi L, Dai PX, Li Q, Jiang MY, Tang WW, Tan MW, Li TT, Jiang BS, Ren YH, Rao JL, Yan ZY, Cao YL, Yang WZ, Ran H, Feng L. [Application of pretrained model based on electronic medical record in recognition of acute respiratory infection]. Zhonghua Yu Fang Yi Xue Za Zhi 2022; 56:1543-1548. [PMID: 36372741 DOI: 10.3760/cma.j.cn1112150-20220805-00789] [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: 06/16/2023]
Abstract
Objective: To evaluate the recognition of acute respiratory infection (ARI) by a pretrained model based on electronic medical records (EMRs). Methods: 38 581 EMRs were obtained from Chongqing University Three Gorges Hospital in December 2021. Bidirectional encoder representation from transformers (BERT) pretrained model was used to identify ARI in EMRs. The results of medical professionals were considered as the gold standard to calculate the sensitivity, specificity, Kappa value, and area under the curve of the receiver operating characteristic (AUC). Results: There were 3 817 EMRs in the test set, with 1 200 ARIs. A total of 1 205 cases were determined as ARI by the model, with a sensitivity of 92.67% (1 112/1 200) and a specificity of 96.45% (2 524/2 617). The model identified ARI with similar accuracy in males and females (AUCs 0.95 and 0.94, respectively), and was more accurate in identifying ARI cases in those aged less than 18 than in adults 18-59 and adults 60 and older (AUCs 0.94, 0.89 and 0.94, respectively). The current model had a better identification of ARIs in outpatient patients than that in hospitalized patients, with AUCs of 0.74 and 0.95, respectively. Conclusion: The use of the BERT pretrained model based on EMRs has a good performance in the recognition of ARI cases, especially for the outpatients and juveniles. It shows a great potential to be applied to the monitoring of ARI cases in medical institutions.
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Affiliation(s)
- M M Jia
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730,China
| | - X Z Liu
- Department of Infection Management, Chongqing University Three Gorges Hospital, Chongqing 404000, China
| | - L Qi
- Department of Infectious Disease Control and Prevention, Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China
| | - P X Dai
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730,China
| | - Q Li
- Department of Infectious Disease Control and Prevention, Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China
| | - M Y Jiang
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730,China
| | - W W Tang
- Department of Infectious Disease Control and Prevention, Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China
| | - M W Tan
- Department of Infection Management, Chongqing University Three Gorges Hospital, Chongqing 404000, China
| | - T T Li
- Department of Infectious Disease Control and Prevention, Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China
| | - B S Jiang
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730,China
| | - Y H Ren
- Department of Infectious Disease Prevention and Control, Wanzhou District Center for Disease Control and prevention, Chongqing 404199, China
| | - J L Rao
- Department of Infection Management, Chongqing University Three Gorges Hospital, Chongqing 404000, China
| | - Z Y Yan
- Department of Infectious Disease Prevention and Control, Wanzhou District Center for Disease Control and prevention, Chongqing 404199, China
| | - Y L Cao
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730,China
| | - W Z Yang
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730,China
| | - H Ran
- Department of Infectious Disease Prevention and Control, Wanzhou District Center for Disease Control and prevention, Chongqing 404199, China
| | - Luzhao Feng
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730,China
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Wu C, Li Y, Qi L. Assessing the Impact of Green Transformation on Ecological Well-Being Performance: A Case Study of 78 Cities in Western China. Int J Environ Res Public Health 2022; 19:ijerph191811200. [PMID: 36141465 PMCID: PMC9517600 DOI: 10.3390/ijerph191811200] [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] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Revised: 09/01/2022] [Accepted: 09/02/2022] [Indexed: 06/02/2023]
Abstract
The contradiction between the endless pursuit of material possessions and finite natural resources hampers ecological well-being performance (EWP) improvement. Green transformation, recognized as an emerging strategy in sustainable development, can help to coordinate ecological, social, and economic growth by optimizing resource usage, with the ultimate objective of enhancing EWP. This research quantifies how green transformation influences EWP by using panel data from 78 prefecture-level cities in western China from 2012 to 2019. Using the super-SBM and entropy weight models, we assess the EWP and green transformation index (GTI) of 78 prefecture-level cities in western China. On this basis, we quantify the spatial characteristics of EWP by an analysis of the Theil index and spatial autocorrelation. Finally, we examine how GTI affects EWP using the Spatial Durbin model. The results demonstrate that the GTI can raise the EWP of local and nearby cities in western China. According to a GTI analysis of internal indicators, the industrial solid waste usage, harm-less treatment rate of domestic waste, savings level, and R&D expenditure significantly affect EWP. In contrast, the soot emission and consumption levels impede EWP advancement. The analysis of effect decomposition indicates that the sewage treatment rate, expenditure on science and technology, and green patents have a significant spatial spillover effect on the improvement of EWP.
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Affiliation(s)
- Chuansheng Wu
- School of Economics and Management, Chongqing Jiaotong University, Chongqing 400074, China
| | - Yuyue Li
- School of Economics and Management, Chongqing Jiaotong University, Chongqing 400074, China
| | - Lingling Qi
- School of Management Science and Real Estate, Chongqing University, Chongqing 400044, China
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Yamamoto T, Kabus S, Bal M, Keall P, Moran A, Wright C, Benedict S, Holland D, Mahaffey N, Qi L, Daly M. EP05.01-019 4D CT Ventilation Image-Guided Lung Functional Avoidance Radiotherapy: A Single-Arm Prospective Pilot Clinical Trial. J Thorac Oncol 2022. [DOI: 10.1016/j.jtho.2022.07.466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Jia B, Fei C, Ren J, Wang M, He JL, Xu ZC, Lu YF, Qi L, Liao YH, Qiao F. [Clinical study of digital six-axis external fixation frame based on CT data for tibiofibular fractures]. Zhonghua Wai Ke Za Zhi 2022; 60:552-557. [PMID: 35658342 DOI: 10.3760/cma.j.cn112139-20211206-00580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Objective: To investigate the clinical effect of applying the digital six-axis external fixation frame based on CT data in the treatment of tibiofibular fractures. Methods: The clinical data of 43 patients with tibiofibular fractures treated by the self-developed digital six-axis external fixation frame based on CT data at Integrated Orthopedic Department of Traditional Chinese Medicine (TCM) and Western Medicine,HongHui Hospital from January 2018 to January 2021 were retrospective analysis.There were 27 males and 16 females,aged (36.0±9.4) years(range:25 to 50 years).AO classification:15 cases of 42A,11 cases of 42B, and 17 cases of 42C.There were 7 open fractures and Gustilo fracture classification:2 cases of type Ⅰ,4 cases of type Ⅱ,and 1 case of type Ⅲ.The two or three plane rings were connected with six connecting rods to form a complete six-axis external fixation frame,and the distal and proximal fracture blocks were connected to the distal and proximal rings by fixation pins,and the lengths of the six connecting rods needed to be adjusted were calculated by using the supporting software according to the CT data after surgery,and then the lengths of the connecting rods were adjusted one by one to complete the reduction of the fracture. The reduction accuracy of this six-axis external fixation brace was evaluated by measuring postoperative radiographs; postoperative recovery and complications were collected,the time of brace removal was recorded,and the function of the affected limb was evaluated according to the Johner-Wruhs score at the final follow-up. Results: Postoperative radiographs showed that all patients achieved satisfactory reduction with lateral displacement(M(IQR)) of 2.3(2.5) mm (range:0.3 to 7.3 mm),anteroposterior displacement of 2.1 (2.4) mm (range:0.3 to 5.7 mm),anteroposterior angulation of 2.5(2.4)°(range:0 to 5°),internal and external angulation of 2.1(1.5)°(range:0 to 4°), and no significant internal or external rotational deformity was detected on the exterior.On the second postoperative day,all patients were able to walk with partial weight-bearing on crutches. All 43 patients were followed up for more than 6 months,with a follow-up period of (33.3±7.3) weeks (range:24 to 42 weeks).The external fixation frame was removed after the fracture healed.The external frame was removed at 20(3)weeks (range:18 to 25 weeks) postoperatively. Up to the final follow up, no secondary fracture occurred in any of them.The Johner-Wruhs score of the affected limb at the last follow-up was excellent in 39 cases and good in 4 cases. Conclusion: The digital six-axis external fixator based on CT data for tibiofibular fractures has the advantages of precise reduction,firm fixation,simple operation,rapid fracture healing,and minimal trauma, which is a minimally invasive method for treating tibiofibular fractures,especially suitable for patients with poor skin and soft tissue conditions such as open injuries.
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Affiliation(s)
- B Jia
- Integrated Orthopedic Department of Traditional Chinese Medicine (TCM) and Western Medicine,HongHui Hospital, Xi'an Jiaotong University, Xi'an 710054, China
| | - C Fei
- Integrated Orthopedic Department of Traditional Chinese Medicine (TCM) and Western Medicine,HongHui Hospital, Xi'an Jiaotong University, Xi'an 710054, China
| | - J Ren
- Integrated Orthopedic Department of Traditional Chinese Medicine (TCM) and Western Medicine,HongHui Hospital, Xi'an Jiaotong University, Xi'an 710054, China
| | - M Wang
- Integrated Orthopedic Department of Traditional Chinese Medicine (TCM) and Western Medicine,HongHui Hospital, Xi'an Jiaotong University, Xi'an 710054, China
| | - J L He
- Integrated Orthopedic Department of Traditional Chinese Medicine (TCM) and Western Medicine,HongHui Hospital, Xi'an Jiaotong University, Xi'an 710054, China
| | - Z C Xu
- Integrated Orthopedic Department of Traditional Chinese Medicine (TCM) and Western Medicine,HongHui Hospital, Xi'an Jiaotong University, Xi'an 710054, China
| | - Y F Lu
- Integrated Orthopedic Department of Traditional Chinese Medicine (TCM) and Western Medicine,HongHui Hospital, Xi'an Jiaotong University, Xi'an 710054, China
| | - L Qi
- Integrated Orthopedic Department of Traditional Chinese Medicine (TCM) and Western Medicine,HongHui Hospital, Xi'an Jiaotong University, Xi'an 710054, China
| | - Y H Liao
- Integrated Orthopedic Department of Traditional Chinese Medicine (TCM) and Western Medicine,HongHui Hospital, Xi'an Jiaotong University, Xi'an 710054, China
| | - F Qiao
- Integrated Orthopedic Department of Traditional Chinese Medicine (TCM) and Western Medicine,HongHui Hospital, Xi'an Jiaotong University, Xi'an 710054, China
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Guo YH, Shen XX, Liu Y, Qi L, Zhang XY, Jin DC, Jin HX. [Influencing factors analysis on live birth outcome of D3 cleavage stage frozen-thawed embryo after overnight culture and development of nomogram prediction model]. Zhonghua Yi Xue Za Zhi 2022; 102:877-883. [PMID: 35330582 DOI: 10.3760/cma.j.cn112137-20211127-02658] [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: 06/14/2023]
Abstract
Objective: To analyze the factors affecting the live birth outcome of D3 cleavage stage frozen-thawed embryos after overnight culture, and establish a nomogram model to predict the live birth probability. Methods: The clinical data of assisted reproductive patients treated with D3 cleavage stage frozen-thawed embryo transfer in the First Affiliated Hospital of Zhengzhou University from January 2017 to July 2020 were analyzed retrospectively. A total of 5 456 patients were divided into modeling group and validation group according to the ratio of 7∶3. The modeling group [3 831 patients with average age of (33±6) years] was used to evaluate the independent risk factors of the patient's live birth outcome through multivariate logistic regression analysis and construct the nomogram prediction model. The validation group [1 625 patients with average age of (33±6) years] was used to verify and calibrate the performance of the model. Results: The results of multivariate logistic regression analysis showed that the risk factors related to live birth outcome of D3 frozen-thawed embryos after overnight culture included: female age (OR=0.901,95%CI:0.889-0.914,P<0.001), body mass index (BMI) (OR=0.979,95%CI:0.957-1.002,P=0.072), endometrial thickness on the transfer day (OR=1.121,95%CI:1.080-1.164,P<0.001), the number of transferred embryos (OR=2.192,95%CI:1.867-2.579,P<0.001) and embryo division resumed after overnight culture (OR=1.405,95%CI:1.213-1.627,P<0.001). The area under the curve (AUC) of the nomogram model in the modeling group was 0.716 and that in the validation group was 0.739.Both sets of calibration curves fited well with the ideal curve, which illustrated that the model had good predictive ability. Conclusions: The female age, BMI endometrial thickness on the transfer day, the number of transferred embryos and the embryo division resumed after overnight culture are risk factors for the live birth outcome of frozen-thawed embryos after overnight culture. The nomogram established based on the above factors can help predict the probability of live birth after frozen-thawed embryo transfer.
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Affiliation(s)
- Y H Guo
- Center for Reproductive Medicine of the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - X X Shen
- Center for Reproductive Medicine of the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Y Liu
- Center for Reproductive Medicine of the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - L Qi
- Center for Reproductive Medicine of the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - X Y Zhang
- Center for Reproductive Medicine of the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - D C Jin
- Center for Reproductive Medicine of the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - H X Jin
- Center for Reproductive Medicine of the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
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Liu X, Ju Y, Liu M, Huang L, Luo Y, Qi L, Ye J, Zhang S, Yan Y, Li Y. Effect of dietary Auricularia cornea culture supplementation on growth performance, serum biochemistry profile and meat quality in growing-finishing pigs. J Anim Feed Sci 2021. [DOI: 10.22358/jafs/143105/2021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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18
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Evans T, Liang B, Yan Z, Sun X, Yi Y, Vegter A, Guo L, Yang Y, Feng Z, Park S, Qi L, Bartels D, Gibson K, Meyerholz D, Engelhardt J. 658: In utero CFTR modulator therapy protects from meconium ileus and improves postnatal survival in F508del ferrets. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)02081-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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19
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Qi L, Liu C, Zhang Y, Zhang Z, Duan H, Zhao H, Xin X, Chen L, Jin M, Guan Y, Gao Z, Huang W. Development of Mitomycin C-Loaded Nanoparticles Prepared Using the Micellar Assembly Driven by the Combined Effect of Hydrogen Bonding and π-π Stacking and Its Therapeutic Application in Bladder Cancer. Pharmaceutics 2021; 13:1776. [PMID: 34834192 PMCID: PMC8624376 DOI: 10.3390/pharmaceutics13111776] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2021] [Revised: 09/16/2021] [Accepted: 10/12/2021] [Indexed: 11/16/2022] Open
Abstract
Micelle is mainly used for drug delivery and is prepared from amphiphilic block copolymers. It can be formed into an obvious core-shell structure that can incorporate liposoluble drugs. However, micelles are not suitable for the encapsulation of water-soluble drugs, and it is also difficult to maintain stability in the systemic circulation. To solve these problems, a type of polymer material, Fmoc-Lys-PEG and Fmoc-Lys-PEG-RGD, was designed and synthesized. These copolymers could self-assemble into micelles driven by π-π stacking and the hydrophobic interaction of 9-fluorenylmethoxycarbony (Fmoc) and, at the same time, form a framework for a hydrogen-bonding environment in the core. Mitomycin C (MMC), as a water-soluble drug, can be encapsulated into micelles by hydrogen-bonding interactions. The interaction force between MMC and the polymers was analyzed by molecular docking simulation and Fourier transform infrared (FTIR). It was concluded that the optimal binding conformation can be obtained, and that the main force between the MMC and polymers is hydrogen bonding. Different types of MMC nanoparticles (NPs) were prepared and the physicochemical properties of them were systematically evaluated. The pharmacodynamics of the MMC NPs in vitro and in vivo were also studied. The results show that MMC NPs had a high uptake efficiency, could promote cell apoptosis, and had a strong inhibitory effect on cell proliferation. More importantly, the as-prepared NPs could effectively induce tumor cell apoptosis and inhibit tumor growth and metastasis in vivo.
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Affiliation(s)
- Lingling Qi
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China; (L.Q.); (C.L.); (Y.Z.); (Z.Z.); (H.D.); (H.Z.); (X.X.); (L.C.); (M.J.)
| | - Chao Liu
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China; (L.Q.); (C.L.); (Y.Z.); (Z.Z.); (H.D.); (H.Z.); (X.X.); (L.C.); (M.J.)
| | - Yingying Zhang
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China; (L.Q.); (C.L.); (Y.Z.); (Z.Z.); (H.D.); (H.Z.); (X.X.); (L.C.); (M.J.)
| | - Zheao Zhang
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China; (L.Q.); (C.L.); (Y.Z.); (Z.Z.); (H.D.); (H.Z.); (X.X.); (L.C.); (M.J.)
| | - Hongxia Duan
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China; (L.Q.); (C.L.); (Y.Z.); (Z.Z.); (H.D.); (H.Z.); (X.X.); (L.C.); (M.J.)
| | - Heming Zhao
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China; (L.Q.); (C.L.); (Y.Z.); (Z.Z.); (H.D.); (H.Z.); (X.X.); (L.C.); (M.J.)
| | - Xin Xin
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China; (L.Q.); (C.L.); (Y.Z.); (Z.Z.); (H.D.); (H.Z.); (X.X.); (L.C.); (M.J.)
| | - Liqing Chen
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China; (L.Q.); (C.L.); (Y.Z.); (Z.Z.); (H.D.); (H.Z.); (X.X.); (L.C.); (M.J.)
| | - Mingji Jin
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China; (L.Q.); (C.L.); (Y.Z.); (Z.Z.); (H.D.); (H.Z.); (X.X.); (L.C.); (M.J.)
| | - Youyan Guan
- Department of Urology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Zhonggao Gao
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China; (L.Q.); (C.L.); (Y.Z.); (Z.Z.); (H.D.); (H.Z.); (X.X.); (L.C.); (M.J.)
| | - Wei Huang
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China; (L.Q.); (C.L.); (Y.Z.); (Z.Z.); (H.D.); (H.Z.); (X.X.); (L.C.); (M.J.)
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20
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Che XY, Hu XB, Lu J, Li QE, Wang C, Quan PQ, Qi L. [Health-related quality of life of diabetes patients and related factors before and after healthcare reform in Gansu province]. Zhonghua Liu Xing Bing Xue Za Zhi 2021; 42:1670-1676. [PMID: 34814599 DOI: 10.3760/cma.j.cn112338-20200714-00942] [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: 06/13/2023]
Abstract
Objective: The study investigated and analyzed the health-related quality of life of diabetes patients in Gansu province before and after the healthcare reform and its influencing factors, so as to provide scientific evidence to improve the health-related quality of life of diabetes patients. Methods: The study used data of the fourth and sixth national health service household survey in Gansu province before (2008) and after (2018) medical reform separately, and EQ-5D health utility index was calculated on the basis of Chinese time frade-off values for EuroQol Five-Dimensions Questionnaire Utility Value scoring system. Results: Compared with the period before the healthcare reform, the five dimensions of EQ-5D for residents, aged 15 and above in Gansu, changed significantly after the healthcare reform: action capability improved by 8.08% (27.43% vs. 19.35%), self-care improved by 16.16% (26.55% vs. 10.39%), normal activity improved by 8.97% (28.32% vs. 19.35%), pain/discomfort worsened by 1.38% (38.05% vs. 39.43%), anxiety/depression worsened by 1.83% (16.81% vs. 18.64%), and the EQ-VAS score increased by 3.36 (60.53 vs. 63.89). The health utility index increased by 0.04 (0.83 vs. 0.87). Multivariate regression analysis results showed that the dimension influence factors were not completely consistent, on the whole, the health-related quality of life of diabetes patients with older age, lower education level, no physical exercise and multi chronic diseases was worse (P<0.05), and multiple chronic disease had the most serious effect on the health of patients with diabetes. The health-related quality of life of diabetes patients with the medical insurance in urban area and after the new medical reform was higher (P<0.05). Conclusion: The new healthcare reform has active influence on the health-related quality of life of diabetes patients in Gansu province, health care providers and policy makers should pay attention to the impacts of multi prechronic diseases on the health-related quality of life of diabetes patients and the mental health of patients with diabetes.
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Affiliation(s)
- X Y Che
- Department of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - X B Hu
- Department of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - J Lu
- Health Statistics Information Center of Gansu Province,Lanzhou 730000, China
| | - Q E Li
- Department of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - C Wang
- Department of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - P Q Quan
- Department of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - L Qi
- Department of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
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21
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Han M, Xing H, Chen L, Cui M, Zhang Y, Qi L, Jin M, Yang Y, Gao C, Gao Z, Xing X, Huang W. Efficient antiglioblastoma therapy in mice through doxorubicin-loaded nanomicelles modified using a novel brain-targeted RVG-15 peptide. J Drug Target 2021; 29:1016-1028. [PMID: 33825602 DOI: 10.1080/1061186x.2021.1912053] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Glioblastoma (GBM) is an aggressive malignancy and therapeutic options are limited due to the presence of the blood-brain barrier (BBB). RVG-29, a 29-amino-acid polypeptide derived from the rabies virus glycoprotein (RVG), has excellent brain-targeted capacity across the BBB. We reduced the size of this peptide to get a15-amino-acid polypeptide (RVG-15), while retaining its brain-targeted capacity across the BBB. First, we synthesized a novel nanocarrier RVG-15-PEG2000-DSPE. Next, DOX-loaded polymeric micelles (DOX RVG-15-PMs) were prepared in an electrostatic interaction-dependent manner. Finally, we evaluated its antitumor benefits in vitro at the cellular level and in vivo using an in situ tumour-bearing mouse model. MALDI-TOF-MS and FTIR spectra confirmed the successful synthesis of the novel nanocarrier. The prepared DOX RVG-15-PMs displayed even size distribution, a high entrapment efficiency and satisfactory in vitro release behaviour. In vitro blank RVG-15-PMs were excellent, safe and highly biocompatible as drug delivery carriers. DOX-loaded micelles were easily taken up by C6 cells and could effectively inhibit cancer development and metastasis. In vivo, DOX RVG-15-PMs delayed weight loss, prevented cancer cell metastasis and accelerated cancer cell apoptosis in tumour-bearing mice. Our novel brain-targeted nanocarrier is highly feasible, while DOX RVG-15-PMs exert significant antiglioma effects, both in vitro and in vivo.
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Affiliation(s)
- Mingfeng Han
- Department of Pharmaceutics, State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | | | - Liqing Chen
- Department of Pharmaceutics, State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Minhu Cui
- Yanbian University Hospital, Jilin, China
| | - Yingying Zhang
- Department of Pharmaceutics, State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Lingling Qi
- Department of Pharmaceutics, State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Mingji Jin
- Department of Pharmaceutics, State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Yang Yang
- State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Institute of Pharmacology and Toxicology, Beijing, China
| | - Chunsheng Gao
- State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Institute of Pharmacology and Toxicology, Beijing, China
| | - Zhonggao Gao
- Department of Pharmaceutics, State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Xuezhong Xing
- National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Wei Huang
- Department of Pharmaceutics, State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
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22
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Liu SR, Yang X, Qi L, Zhu Z, Ji YZ. SMARCA4 promotes benign skin malignant transformation into melanoma through Adherens junction signal transduction. Clin Transl Oncol 2021; 23:591-600. [PMID: 32720055 DOI: 10.1007/s12094-020-02453-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Accepted: 07/04/2020] [Indexed: 12/17/2022]
Abstract
PURPOSE Melanoma is a malignant skin tumor, and its incidence is rising. To explore the specific differences in benign and malignant melanoma at the genetic level, we performed a series of bioinformatics analyses, including differential gene analysis, co-expression analysis, enrichment analysis, and regulatory prediction. METHODS The microarray data of benign and malignant melanocytes were downloaded from GEO, and 1917 differential genes were obtained by differential analysis (p < 0.05). Weighted gene co-expression network analysis obtained three functional barrier modules. The essential genes of each module are SMARTA4, HECA, and C1R. RESULTS The results of the enrichment analysis showed that the dysfunctional module gene was mainly associated with RNA splicing and Adherens junction. Through the pivotal analysis of ncRNA, it was found that miR-448, miR-152-3p, and miR-302b-3p essentially regulate three modules, which we consider to be critical regulators. In the pivot analysis of TF, more control modules include ARID3A, E2F1, E2F3, and E2F8. CONCLUSIONS We believe that the regulator (miR-448, miR-152-3p, miR-302b-3p) regulates the expression of the core gene SMARCA4, which in turn affects the signal transduction of the Adherens junction. It eventually leads to the deterioration of benign skin spasms into melanoma.
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Affiliation(s)
- S-R Liu
- Department of Dermatology, The Second Hospital of Jilin University, No.218 Ziqiang Street, Nanguan District, Changchun, 130041, Jilin, People's Republic of China
| | - X Yang
- Department of Urology, The Second Hospital of Jilin University, Changchun, 130041, Jilin, People's Republic of China
| | - L Qi
- Department of Dermatology, The Second Hospital of Jilin University, No.218 Ziqiang Street, Nanguan District, Changchun, 130041, Jilin, People's Republic of China
| | - Z Zhu
- Department of Hand Surgery, The Second Hospital of Jilin University, Changchun, 130041, Jilin, People's Republic of China
| | - Y-Z Ji
- Department of Dermatology, The Second Hospital of Jilin University, No.218 Ziqiang Street, Nanguan District, Changchun, 130041, Jilin, People's Republic of China.
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23
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Liu X, Chen L, Zhang Y, Xin X, Qi L, Jin M, Guan Y, Gao Z, Huang W. Enhancing anti-melanoma outcomes in mice using novel chitooligosaccharide nanoparticles loaded with therapeutic survivin-targeted siRNA. Eur J Pharm Sci 2021; 158:105641. [DOI: 10.1016/j.ejps.2020.105641] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 10/17/2020] [Accepted: 11/08/2020] [Indexed: 12/17/2022]
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24
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Wilson JN, Thisse D, Lebois M, Jovančević N, Gjestvang D, Canavan R, Rudigier M, Étasse D, Gerst RB, Gaudefroy L, Adamska E, Adsley P, Algora A, Babo M, Belvedere K, Benito J, Benzoni G, Blazhev A, Boso A, Bottoni S, Bunce M, Chakma R, Cieplicka-Oryńczak N, Courtin S, Cortés ML, Davies P, Delafosse C, Fallot M, Fornal B, Fraile L, Gottardo A, Guadilla V, Häfner G, Hauschild K, Heine M, Henrich C, Homm I, Ibrahim F, Iskra ŁW, Ivanov P, Jazrawi S, Korgul A, Koseoglou P, Kröll T, Kurtukian-Nieto T, Le Meur L, Leoni S, Ljungvall J, Lopez-Martens A, Lozeva R, Matea I, Miernik K, Nemer J, Oberstedt S, Paulsen W, Piersa M, Popovitch Y, Porzio C, Qi L, Ralet D, Regan PH, Rezynkina K, Sánchez-Tembleque V, Siem S, Schmitt C, Söderström PA, Sürder C, Tocabens G, Vedia V, Verney D, Warr N, Wasilewska B, Wiederhold J, Yavahchova M, Zeiser F, Ziliani S. Angular momentum generation in nuclear fission. Nature 2021; 590:566-570. [PMID: 33627809 DOI: 10.1038/s41586-021-03304-w] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 12/09/2020] [Indexed: 01/31/2023]
Abstract
When a heavy atomic nucleus splits (fission), the resulting fragments are observed to emerge spinning1; this phenomenon has been a mystery in nuclear physics for over 40 years2,3. The internal generation of typically six or seven units of angular momentum in each fragment is particularly puzzling for systems that start with zero, or almost zero, spin. There are currently no experimental observations that enable decisive discrimination between the many competing theories for the mechanism that generates the angular momentum4-12. Nevertheless, the consensus is that excitation of collective vibrational modes generates the intrinsic spin before the nucleus splits (pre-scission). Here we show that there is no significant correlation between the spins of the fragment partners, which leads us to conclude that angular momentum in fission is actually generated after the nucleus splits (post-scission). We present comprehensive data showing that the average spin is strongly mass-dependent, varying in saw-tooth distributions. We observe no notable dependence of fragment spin on the mass or charge of the partner nucleus, confirming the uncorrelated post-scission nature of the spin mechanism. To explain these observations, we propose that the collective motion of nucleons in the ruptured neck of the fissioning system generates two independent torques, analogous to the snapping of an elastic band. A parameterization based on occupation of angular momentum states according to statistical theory describes the full range of experimental data well. This insight into the role of spin in nuclear fission is not only important for the fundamental understanding and theoretical description of fission, but also has consequences for the γ-ray heating problem in nuclear reactors13,14, for the study of the structure of neutron-rich isotopes15,16, and for the synthesis and stability of super-heavy elements17,18.
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Affiliation(s)
- J N Wilson
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France.
| | - D Thisse
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - M Lebois
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - N Jovančević
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - D Gjestvang
- Department of Physics, University of Oslo, Blindern, Oslo, Norway
| | - R Canavan
- Department of Physics, University of Surrey, Guildford, UK.,National Physical Laboratory, Teddington, UK
| | - M Rudigier
- Department of Physics, University of Surrey, Guildford, UK.,Technische Universität Darmstadt, Fachbereich Physik, Institut für Kernphysik, Darmstadt, Germany
| | | | - R-B Gerst
- Institut für Kernphysik, Universität zu Köln, Cologne, Germany
| | | | - E Adamska
- Faculty of Physics, University of Warsaw, Warsaw, Poland
| | - P Adsley
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - A Algora
- IFIC, CSIC-University of Valencia, Valencia, Spain.,Institute for Nuclear Research (Atomki), Debrecen, Hungary
| | - M Babo
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - K Belvedere
- Department of Physics, University of Surrey, Guildford, UK
| | - J Benito
- Grupo de Fisica Nuclear & IPARCOS, Universidad Complutense de Madrid, CEI Moncloa, Madrid, Spain
| | | | - A Blazhev
- Institut für Kernphysik, Universität zu Köln, Cologne, Germany
| | - A Boso
- National Physical Laboratory, Teddington, UK
| | - S Bottoni
- INFN, Milan, Italy.,Dipartimento di Fisica, Universitá degli Studi di Milano, Milan, Italy
| | - M Bunce
- National Physical Laboratory, Teddington, UK
| | - R Chakma
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | | | - S Courtin
- Université de Strasbourg, CNRS, IPHC UMR 7178, Strasbourg, France
| | | | - P Davies
- School of Physics and Astronomy, University of Manchester, Manchester, UK
| | - C Delafosse
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - M Fallot
- Subatech, IMT-Atlantique, Université de Nantes, Nantes, France
| | - B Fornal
- Institute of Nuclear Physics, Polish Academy of Sciences, Krakow, Poland
| | - L Fraile
- Grupo de Fisica Nuclear & IPARCOS, Universidad Complutense de Madrid, CEI Moncloa, Madrid, Spain
| | - A Gottardo
- INFN Laboratori Nazionali di Legnaro, Legnaro, Italy
| | - V Guadilla
- Subatech, IMT-Atlantique, Université de Nantes, Nantes, France
| | - G Häfner
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France.,Institut für Kernphysik, Universität zu Köln, Cologne, Germany
| | - K Hauschild
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - M Heine
- Université de Strasbourg, CNRS, IPHC UMR 7178, Strasbourg, France
| | - C Henrich
- Technische Universität Darmstadt, Fachbereich Physik, Institut für Kernphysik, Darmstadt, Germany
| | - I Homm
- Technische Universität Darmstadt, Fachbereich Physik, Institut für Kernphysik, Darmstadt, Germany
| | - F Ibrahim
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - Ł W Iskra
- INFN, Milan, Italy.,Institute of Nuclear Physics, Polish Academy of Sciences, Krakow, Poland
| | - P Ivanov
- National Physical Laboratory, Teddington, UK
| | - S Jazrawi
- Department of Physics, University of Surrey, Guildford, UK.,National Physical Laboratory, Teddington, UK
| | - A Korgul
- Faculty of Physics, University of Warsaw, Warsaw, Poland
| | - P Koseoglou
- Technische Universität Darmstadt, Fachbereich Physik, Institut für Kernphysik, Darmstadt, Germany.,GSI Helmoltzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
| | - T Kröll
- Technische Universität Darmstadt, Fachbereich Physik, Institut für Kernphysik, Darmstadt, Germany
| | | | - L Le Meur
- Subatech, IMT-Atlantique, Université de Nantes, Nantes, France
| | - S Leoni
- INFN, Milan, Italy.,Dipartimento di Fisica, Universitá degli Studi di Milano, Milan, Italy
| | - J Ljungvall
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - A Lopez-Martens
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - R Lozeva
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - I Matea
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - K Miernik
- Faculty of Physics, University of Warsaw, Warsaw, Poland
| | - J Nemer
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - S Oberstedt
- European Commission, Joint Research Centre, Geel, Belgium
| | - W Paulsen
- Department of Physics, University of Oslo, Blindern, Oslo, Norway
| | - M Piersa
- Faculty of Physics, University of Warsaw, Warsaw, Poland
| | - Y Popovitch
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - C Porzio
- INFN, Milan, Italy.,Dipartimento di Fisica, Universitá degli Studi di Milano, Milan, Italy.,TRIUMF, Vancouver, British Columbia, Canada
| | - L Qi
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - D Ralet
- Grand Accélérateur National d'Ions Lourds, Caen, France
| | - P H Regan
- Department of Physics, University of Surrey, Guildford, UK.,National Physical Laboratory, Teddington, UK
| | - K Rezynkina
- Institute for Nuclear and Radiation Physics, Katholieke Universiteit Leuven, Leuven, Belgium
| | - V Sánchez-Tembleque
- Grupo de Fisica Nuclear & IPARCOS, Universidad Complutense de Madrid, CEI Moncloa, Madrid, Spain
| | - S Siem
- Department of Physics, University of Oslo, Blindern, Oslo, Norway
| | - C Schmitt
- Université de Strasbourg, CNRS, IPHC UMR 7178, Strasbourg, France
| | - P-A Söderström
- Technische Universität Darmstadt, Fachbereich Physik, Institut für Kernphysik, Darmstadt, Germany.,Extreme Light Infrastructure-Nuclear Physics, Horia Hulubei National Institute for Physics and Nuclear Engineering, Bucharest-Măgurele, Romania
| | - C Sürder
- Technische Universität Darmstadt, Fachbereich Physik, Institut für Kernphysik, Darmstadt, Germany
| | - G Tocabens
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - V Vedia
- Grupo de Fisica Nuclear & IPARCOS, Universidad Complutense de Madrid, CEI Moncloa, Madrid, Spain
| | - D Verney
- Université Paris-Saclay, CNRS/IN2P3, IJC Laboratory, Orsay, France
| | - N Warr
- Institut für Kernphysik, Universität zu Köln, Cologne, Germany
| | - B Wasilewska
- Institute of Nuclear Physics, Polish Academy of Sciences, Krakow, Poland
| | - J Wiederhold
- Technische Universität Darmstadt, Fachbereich Physik, Institut für Kernphysik, Darmstadt, Germany
| | - M Yavahchova
- Institute for Nuclear Research and Nuclear Energy, Bulgarian Academy of Sciences, Sofia, Bulgaria
| | - F Zeiser
- Department of Physics, University of Oslo, Blindern, Oslo, Norway
| | - S Ziliani
- INFN, Milan, Italy.,Dipartimento di Fisica, Universitá degli Studi di Milano, Milan, Italy
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25
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Qi L, Guo CY, Huangfu MG, Zhang Y, Wu L, Zhi XX, Liu JG, Zhang XM. Highly solvent-stable polyimide ultrafine fibrous membranes fabricated by a novel ultraviolet-assisted electrospinning technique via organo-soluble intrinsically negative photosensitive varnishes. EXPRESS POLYM LETT 2021. [DOI: 10.3144/expresspolymlett.2021.8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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26
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Wu X, Wu L, Qi L, Yin LM, Yang Y, Jiang GL, Zhi XX, Zhang Y, Liu JG, Wu JT. Preparation, characterization, and continuous manufacturing of nonflammable colorless and transparent semi-alicyclic polyimide film modified with phenoxy- phosphazene oligomer flame retardant. EXPRESS POLYM LETT 2021. [DOI: 10.3144/expresspolymlett.2021.29] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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27
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Cui Y, Huo Y, Li X, Yang G, Huang Z, Zhao X, Qi L, Deng H, Zheng S, An P, Sun X, Li H, Wu X, Qian L. Tafolecimab, a novel potential long-acting PCSK9 monoclonal antibody: efficacy and safety in healthy and hypercholesterolemia subjects. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.3327] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
LDL cholesterol (LDL-C) is a well-established risk factor for cardiovascular disease. PCSK9 binds LDL receptors, targeting them for degradation. The dosing intervals for currently available PCSK9 monoclonal antibodies are once every 2 or 4 weeks. Tafolecimab, a novel recombinant human PCSK9 monoclonal antibody, was found to have higher affinity with PCSK9 and show longer LDL-C reduction compared to evolocumab in preclinical studies.
Purposes
The objectives for the SAD and MAD studies were to investigate the safety and efficacy of tafolecimab and explore the optimal dosing schedule.
Methods
The phase 1 study was a randomized, placebo-controlled, double-blind, single-ascending dose study (SAD) in Chinese healthy subjects, who were randomized 3:1 to tafolecimab and placebo (n=58). SAD subjects received tafolecimab subcutaneously at 25/75/150/300/450/600mg, or intravenously at 75/450mg, monitored up to day 84. The phase 2 study was a randomized, double-blind, placebo-controlled, repeated-dosing, multiple ascending dose (MAD) study in patients with hypercholesterolemia, who were randomized 4:1 to tafolecimab and placebo (n=60). MAD subjects received tafolecimab subcutaneously at 75/140mg every 2 weeks, 300/420mg every 4weeks, 450/600mg every 6 weeks up to day 84 or 98 with 3 months follow-up.
Results
In the SAD, the maximum mean reduction in LDL-C ranged from 52.2% to 72.1% and was achieved as early as 5 days (figure 1a). The duration of LDL-C reduction was tafolecimab dose dependent. In the MAD, the mean LDL-C concentrations were reduced by tafolecimab for each dose at 12 weeks relative to baseline (ranging from 54.30% to 72.26%; p<0.001). Particularly, a 56.52% (−72.50%, −40.54%) reduction of LDL-C was observed in the cohort of 600mg Q6W. The effect sustained till week 14 (8 weeks after the last dose) where there was still a 43.46% (−60.96%, −25.96%) reduction from baseline (figure 1b). The mean reduction of Lp(a) at week 12 ranged from 24.04% to 50.59% relative to baseline. Tafolecimab reduced the other lipids when comparing with placebo. The pharmacokinetics/pharmadynamics (LDL-C) profiles of tafolecimab were well characterised and support the potential dosing interval of 6–8 weeks subcutaneously.
Both healthy and hypercholesterolemia subjects are generally tolerable to tafolecimab. Reported treatment-emergent adverse events (TEAEs) were: tafolecimab 23 (52.3%) vs. placebo 8 (57.1%); tafolecimab 34 (70.8%) vs. placebo 9 (75.0%) in the SAD and MAD respectively. There were no serious TEAEs or events leading to death or treatment discontinuation in both SAD and MAD.
Conclusions
Tafolecimab was well tolerated in both healthy and hypercholesterolemia in Chinese subjects, and improved lipid profile including LDL-C, Lp(a) and other lipids. The sustained effects on LDL-C suggests the potential of tafolecimab as a long-lasting PCSK9 inhibitor with dosing interval of 6–8 weeks or beyond.
Figure 1. LDL-C: Percent change from baseline
Funding Acknowledgement
Type of funding source: Private company. Main funding source(s): Innovent Biologics (Suzhou), China
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Affiliation(s)
- Y Cui
- Peking University First Hospital, Department of pharmacy, Beijing, China
| | - Y Huo
- Peking University First Hospital, Department of cardiology, Beijing, China
| | - X Li
- The third hospital of Changsha, Department of pharmacy, Changsha, China
| | - G Yang
- The third Xiangya hospital of Central South University, School of pharmaceutical science, Changsha, China
| | - Z Huang
- The third Xiangya hospital of Central South University, Clinical trial research center, Changsha, China
| | - X Zhao
- Peking University First Hospital, Department of pharmacy, Beijing, China
| | - L Qi
- Peking University First Hospital, Department of cardiology, Beijing, China
| | - H Deng
- Innovent Biologics (Suzhou), Suzhou, China
| | - S Zheng
- Innovent Biologics (Suzhou), Suzhou, China
| | - P An
- Innovent Biologics (Suzhou), Suzhou, China
| | - X Sun
- Innovent Biologics (Suzhou), Suzhou, China
| | - H Li
- Innovent Biologics (Suzhou), Suzhou, China
| | - X Wu
- Innovent Biologics (Suzhou), Suzhou, China
| | - L Qian
- Innovent Biologics (Suzhou), Suzhou, China
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28
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Yamamoto T, Kabus S, Bal M, Keall P, Moran A, Wright C, Benedict S, Qi L, Daly M. CT Ventilation Image-Guided Lung Functional Avoidance Radiotherapy: A Single-Arm Prospective Pilot Clinical Trial. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.1233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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29
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Wang L, Chen X, Song Y, Qi L. Experimental Investigation on Diffusion Coefficients of CH 4 in Coal under High-Temperature and -Pressure Conditions. ACS Omega 2020; 5:25634-25646. [PMID: 33073089 PMCID: PMC7557266 DOI: 10.1021/acsomega.0c02571] [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] [Figures] [Subscribe] [Scholar Register] [Received: 05/31/2020] [Accepted: 09/15/2020] [Indexed: 06/11/2023]
Abstract
Here, a self-developed experimental system of diffusion at high temperatures and pressures was utilized to clarify the impacts of high pressure and temperature (303, 323, 343, and 363 K; 2, 6, 12, and 20 MPa) and coal ranks on diffusion properties in coal. At constant temperature and pressure, the diffusion coefficients of CH4 gradually decrease with increasing particle size and increase gradually with the increasing pressure and temperature. However, the diffusion coefficients first decrease and then increase with the increasing coal rank. The minimum diffusion coefficients occur at about R o,max = 1.7%. The temperature and pressure sensitivity of CH4 diffusion was quantified via the experimental data. The increase extent first increases and then decreases with the increasing pressure. The peak pressure for the increase extent was 6 MPa for all coals. The increments of diffusion rate per pressure unit were 1.50, 0.90, and 0.61%, indicating that the impact of pressure at the low-pressure stage (2-6 MPa) was more significant than that at the high-pressure stage (6-20 MPa). At the same pressure, the diffusion rates overall increase with the increasing temperature. At the low-pressure stage (2-6 MPa), the impacts of pressure were more significant than at the high-pressure stage. However, as for the temperature dependence, the impacts of temperature were more significant at the high-pressure stage than at the low-pressure stage.
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Affiliation(s)
- Lin Wang
- State
Key Laboratory Cultivation Base for Gas Geology and Gas Control, Henan Polytechnic University, Jiaozuo 454003, China
- State
Collaborative Innovation Center of Coal Work Safety and Clean-Efficiency
Utilization, Jiaozuo 454003, China
- School
of Resources and Earth Science, China University
of Mining and Technology, Xuzhou 221116, China
| | - Xiangjun Chen
- State
Key Laboratory Cultivation Base for Gas Geology and Gas Control, Henan Polytechnic University, Jiaozuo 454003, China
- State
Collaborative Innovation Center of Coal Work Safety and Clean-Efficiency
Utilization, Jiaozuo 454003, China
| | - Yu Song
- School
of Resources and Earth Science, China University
of Mining and Technology, Xuzhou 221116, China
| | - Lingling Qi
- State
Key Laboratory Cultivation Base for Gas Geology and Gas Control, Henan Polytechnic University, Jiaozuo 454003, China
- State
Collaborative Innovation Center of Coal Work Safety and Clean-Efficiency
Utilization, Jiaozuo 454003, China
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30
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Zhu Y, Xiaoan L, Qi L, Xian W, Tiansong X, Junzhe Y, Xingmeng W, Chaoran Y, Ruyu C, Kai Z, Tingyu X, Bin W, Jordee S V, Xiaoqiang Z. Effects of chemotherapy on serum lipids in Chinese postoperative breast cancer patients. Eur J Cancer 2020. [DOI: 10.1016/s0959-8049(20)30678-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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31
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Qi L, Xiao L. Convenient Synthesis and Anticancer Activity of Bis(aryl)alkanes
and Bis(indolyl)methane Alkaloid Analogs. RUSS J GEN CHEM+ 2020. [DOI: 10.1134/s1070363220100217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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32
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Wang QX, Huang KC, Qi L, Zeng XH, Zheng SL. No infectious risk of COVID-19 patients with long-term fecal 2019-nCoV nucleic acid positive. Eur Rev Med Pharmacol Sci 2020; 24:5772-5777. [PMID: 32495914 DOI: 10.26355/eurrev_202005_21370] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
OBJECTIVE It has recently been reported that some COVID-19 patients have long-term positive fecal nucleic acid after discharging from the hospital with negative nucleic acid in the respiratory tract, but it is unclear whether COVID-19 patients with positive long-term fecal nucleic acid tests have the risk of self-infection. PATIENTS AND METHODS From January 25, 2020 to March 9, 2020, 5 COVID-19 patients with negative respiratory tract nucleic acid and positive fecal nucleic acid were observed and studied to explore whether these patients can re-infect themselves. Five patients with COVID-19 accompanied by diarrhea as the main gastrointestinal symptoms were carefully observed through clinical symptoms, imaging and other auxiliary examinations. The RT-PCR technology was used to continuously detect fecal and respiratory viral nucleic acids. The IgM antibody was detected on the 7th day of admission and IgM/IgG at the time of discharge. RESULTS All 5 patients had symptoms of fever and diarrhea upon admission. The fecal nucleic acid was positive, as well as the throat swab was positive. All COVID-19 patients had positive IgM antibodies on the 7th day of admission and positive IgM and IgG at the time of discharge, and there were no abnormalities in the gastrointestinal examination on discharge. All 5 fecal nucleic acid tests were positive at the time of discharge. After continuous dynamic follow-up for 3-15 days, no clinical symptoms recurred, and the last nucleic acid test was negative. CONCLUSIONS There is no risk of self-infection for COVID-19 patients with long-term 2019-nCoV nucleic acid positive in feces.
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Affiliation(s)
- Q-X Wang
- Department of Infection Management, Affiliated Hospital of Weifang Medical University, Weifang, Shandong, P.R. China.
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33
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Qi L, Qiu X, Yang S, Li R, Wu B, Cao X, He T, Ding X, Xia L, Sun Y. Cry1Ac Protoxin and Its Activated Toxin from Bacillus thuringiensis Act Differentially during the Pathogenic Process. J Agric Food Chem 2020; 68:5816-5824. [PMID: 32379448 DOI: 10.1021/acs.jafc.0c01172] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Although the new dual model of the Bacillus thuringiensis insecticidal mechamism indicated that both Cry1A protoxin and activated toxin have the potency to kill insects, the difference in the toxic pathways elicited by the protoxin and activated toxin was less understood at the molecular level. Through utilizing the CF-203 cell line derived from the midgut of Choristoneura fumiferana, we found that there existed obvious differences in the binding sites and endocytosis pathways for the two forms of Cry1Ac. In addition, it was revealed that Cry1Ac protoxin existed predominantly in the midgut of Plutella xylostella at the early stage after ingesting Cry1Ac crystals, which brought about obvious damage to the midgut epithelium and exhibited different binding sites on the brush border membrane vesicle compared to the toxin. These findings supported the dual mode of action of B. thuringiensis Cry1A proteins and improved our understanding of the molecular features that contribute to the protoxin toxicity.
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Affiliation(s)
- Lingling Qi
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, People's Republic of China
| | - Xianfeng Qiu
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, People's Republic of China
| | - Sisi Yang
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, People's Republic of China
| | - Ran Li
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, People's Republic of China
| | - Binbin Wu
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, People's Republic of China
| | - Xiaomei Cao
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, People's Republic of China
| | - Ting He
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, People's Republic of China
| | - Xuezhi Ding
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, People's Republic of China
| | - Liqiu Xia
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, People's Republic of China
| | - Yunjun Sun
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, People's Republic of China
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34
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Li Z, Chen L, He C, Han Y, Han M, Zhang Y, Qi L, Xing X, Huang W, Gao Z, Xing J. Improving anti-tumor outcomes for colorectal cancer therapy through in situ thermosensitive gel loading harmine. Am J Transl Res 2020; 12:1658-1671. [PMID: 32509167 PMCID: PMC7270021] [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] [Received: 12/03/2019] [Accepted: 04/07/2020] [Indexed: 06/11/2023]
Abstract
Colorectal cancer is a common malignant tumor that seriously endangers human health. Harmine (HM), a natural product, has been shown to have a significant inhibitory effect on various cancers. However, systemic injection of HM can cause central nervous toxicity, which limits its clinical application. Local administration of HM overcomes this problem to a certain extent. In this study, we prepared an in situ thermosensitive HM gel preparation (HM gel), and used it to treat colon cancer with reduced toxic side effects and prolonged residence time of HM at the tumor site. We employed a central composite design and response surface methodology to optimize the formulation, and evaluated the physicochemical properties, rectal retention capacity, and in vitro and in vivo antitumor effects of HM gel on colon 26 tumor cells. The results showed that HM gel had a significant inhibitory effect on the growth of colon 26 cells in vitro. In an orthotopic tumor-bearing mouse model, HM gel exhibited an obvious inhibitory effect on tumor growth and metastasis, and significantly prolonged the survival period. In conclusion, HM gel exhibited significant anti-tumor effects on colon cancer, and therefore presents a promising formulation for the treatment of colorectal cancer.
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Affiliation(s)
- Zhenzhen Li
- Key Laboratory of Xinjiang Endemic Phytomedicine Resources of Ministry of Education, School of Pharmacy, Shihezi UniversityShihezi 832003, China
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100050, China
- Xinjiang Key Laboratory of Uighur Medicines, Xinjiang Institute of Materia MedicaUrumqi 830004, China
| | - Liqing Chen
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100050, China
| | - Chenghui He
- Xinjiang Key Laboratory of Uighur Medicines, Xinjiang Institute of Materia MedicaUrumqi 830004, China
| | - Ying Han
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100050, China
| | - Mingfeng Han
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100050, China
| | - Yingying Zhang
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100050, China
| | - Lingling Qi
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100050, China
| | - Xuezhong Xing
- National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100021, China
| | - Wei Huang
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100050, China
| | - Zhonggao Gao
- State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100050, China
| | - Jianguo Xing
- Xinjiang Key Laboratory of Uighur Medicines, Xinjiang Institute of Materia MedicaUrumqi 830004, China
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35
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Wang L, Yang SJ, Tan YZ, Luo S, Kong X, Tang CX, Lu MJ, Qi L, Zhou CS, Lu GM, Zhang LJ, Li YM. [Radiation dose and image quality of noncontrast chest CT in domestic and imported main stream manufacturers]. Zhonghua Yi Xue Za Zhi 2020; 100:1148-1153. [PMID: 32311878 DOI: 10.3760/cma.j.cn112137-20190903-01957] [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 compare the radiation dose and image quality of noncontrast chest CT and detection of ground-glass opacity pulmonary nodules (GGN) in domestic 128-slice spiral CT with the other CT scanners from three main stream manufacturers. Methods: From May 8, 2018 to October 31, 2018, noncontrast chest CT images from Neusoft 128-slice CT (75 males, 25 females, (42±16) years), dual-source 64-slice CT (53 males, 47 females, (50±16) years) and dual-source 128-slice CT scanners(69 males, 31 females, (62±17) years), Toshiba 128-slice CT (51 males, 49 females, (58±13) years) and GE 128-slice CT scanner (55 males, 45 females, (60±10) years) were collected in Eastern Theater Command and Tianjin People's Hospital. Radiation dose and image quality were evaluated.GGN detected both in Neusoft CT and dual-source CT scanners were used to analyze the displaying ability of lesions. Results: The noise in lung window of Neusoft CT ((37.8±4.9) HU) was higher than that of other mainstream CT scanners, and the noise in mediastinal window ((8.4±1.9) HU) was lower than that of GE 128-slice CT ((9.8±3.2) HU), but higher than that of dual-source CT and Toshiba 128-slice CT ((6.9±3.5)HU) (P<0.05). The absolute value of lung SNR in Neusoft CT was lower than that of other mainstream CT scanners, and the SNR in aorta (4.6±1.3) was lower than those of dual-source CT and Toshiba 128-slice CT(6.8±2.2) (P<0.05), but was not statistically significant compared with GE 128-slice CT (5.0±1.7). The mean CT value of upper lung ((-863±31) HU) at Neusoft CT was higher than 128-row dual-source CT ((-869±35) HU), and the mean CT value of aorta ((37±7) HU) was lower than that of Toshiba 128-slice CT((42±7) HU) and GE 128-slice CT ((45±9) HU) (P<0.05), while the mean CT values of the remaining lung and aorta were not statistically significant (P>0.05). The two readers had good to excellent consistency for image quality in five scanners (the highest kappa value=0.984). The delineation ability of Neusoft CT for GGN boundary was lower than that of dual-source CT (P<0.05), but had similar abilities to display the solid components, lobulation, burring, vacuoles, vascular bundle sign and pleural depression sign of GGN (all P>0.05). Radiation dose of Neusoft CT was lower than Toshiba 128-slice CT, but higher than dual-source 64-sliceCT and GE 128-slice CT scanners (P<0.05). Conclusions: With lower radiation dose than Toshiba 128-slice CT, Neusoft CT chest examination can meet the requirements of clinical diagnosis, but higher radiation dose and the lower image quality than dual-source CT and GE 128-slice CT shown in this study indicate further improvement is needed in terms of software and hardware.
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Affiliation(s)
- L Wang
- Jinling Hospital, Medical School of Nanjing University, Department of Medical Imaging, General Hospital of Eastern Theater Command, Nanjing 210002, China
| | - S J Yang
- Department of Radiology, Tianjin Union Medical Center, Tianjin 300121, China
| | - Y Z Tan
- Jinling Hospital, Medical School of Nanjing University, Department of Medical Imaging, General Hospital of Eastern Theater Command, Nanjing 210002, China
| | - S Luo
- Jinling Hospital, Medical School of Nanjing University, Department of Medical Imaging, General Hospital of Eastern Theater Command, Nanjing 210002, China
| | - X Kong
- Jinling Hospital, Medical School of Nanjing University, Department of Medical Imaging, General Hospital of Eastern Theater Command, Nanjing 210002, China
| | - C X Tang
- Jinling Hospital, Medical School of Nanjing University, Department of Medical Imaging, General Hospital of Eastern Theater Command, Nanjing 210002, China
| | - M J Lu
- Jinling Hospital, Medical School of Nanjing University, Department of Medical Imaging, General Hospital of Eastern Theater Command, Nanjing 210002, China
| | - L Qi
- Jinling Hospital, Medical School of Nanjing University, Department of Medical Imaging, General Hospital of Eastern Theater Command, Nanjing 210002, China
| | - C S Zhou
- Jinling Hospital, Medical School of Nanjing University, Department of Medical Imaging, General Hospital of Eastern Theater Command, Nanjing 210002, China
| | - G M Lu
- Jinling Hospital, Medical School of Nanjing University, Department of Medical Imaging, General Hospital of Eastern Theater Command, Nanjing 210002, China
| | - L J Zhang
- Jinling Hospital, Medical School of Nanjing University, Department of Medical Imaging, General Hospital of Eastern Theater Command, Nanjing 210002, China
| | - Y M Li
- Department of Radiology, Tianjin Union Medical Center, Tianjin 300121, China
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Liu SD, Qi L, Li BX, Li X, Fang T, Song B. [Comparison on efficacy and safety of different bridging anticoagulation therapies in patients undergoing mechanical heart valve replacement surgery]. Zhonghua Xin Xue Guan Bing Za Zhi 2020; 48:130-135. [PMID: 32135613 DOI: 10.3760/cma.j.issn.0253-3758.2020.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To evaluate the efficacy and safety of different bridging anticoagulant therapies in patients undergoing mechanical heart valve replacement (MHVR) surgery. Methods: Consecutive patients undergoing MHVR surgery from January 2018 to December 2018 in First Hospital of Lanzhou University were prospectively enrolled in this study. Patients were divided into unfractionated heparin (UFH) group and low molecular weight heparin (LMWH) group according to the postoperative bridging anticoagulation methods. Preoperative clinical data and postoperative related time and cost parameters, including drainage time, duration of stay in intensive care unit (ICU), postoperative time (interval from end of operation to discharge) and INR stabilization time (interval from start of bridge anticoagulation to INR value reaching the standard for 2 consecutive days) of all enrolled patients were collected, and all patients were followed up for 4 weeks and thromboembolic or bleeding events were analyzed. Multivariate logistic regression was used to determine the independent prognostic factors of thromboembolic or bleeding events after MHVR receiving various bridging anticoagulant therapies. Results: A total of 217 patients were included in the study, including 120 patients in the UFH group and 97 patients in the LMWH group. Stroke occurred in two patients in the UFH group, while no stroke event occurred in the LMWH group. The incidence of bleeding events was significantly higher (9.28%(9/97) vs. 1.67%(2/120), P=0.02), while the drainage time, duration of stay in ICU, postoperative time, INR stabilization time were all significantly shorter in LMWH group than in UFH group (all P<0.05). Multivariate logistic regression analysis showed that bridging anticoagulation therapies (OR=0.18, 95%CI 0.04-0.86, P=0.03), fibrinogen level (OR=1.99, 95%CI 1.16-3.41, P=0.01) and creatinine level (OR=1.05, 95%CI 1.01-1.08, P=0.04) were independent prognostic factors for bleeding events. Conclusion: LMWH use is associated with increased risk of bleeding events, but can significantly reduce the drainage time, duration of stay in ICU, postoperative time, INR stabilization time in patients post MHVR surgery.
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Affiliation(s)
- S D Liu
- First Clinical Medical College, Lanzhou University, Lanzhou 730000, China
| | - L Qi
- Department of Cardiovascular Surgery, First Hospital of Lanzhou University, Lanzhou 730000, China
| | - B X Li
- Department of Pharmacy, First Hospital of Lanzhou University, Lanzhou 730000, China
| | - X Li
- First Clinical Medical College, Lanzhou University, Lanzhou 730000, China
| | - T Fang
- First Clinical Medical College, Lanzhou University, Lanzhou 730000, China
| | - B Song
- Department of Cardiovascular Surgery, First Hospital of Lanzhou University, Lanzhou 730000, China
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Urban J, Qi L, Zhao H, Rybak I, Rauen KA, Kiuru M. Comparison of hair manifestations in cardio-facio-cutaneous and Costello syndromes highlights the influence of the RAS pathway on hair growth. J Eur Acad Dermatol Venereol 2020; 34:601-607. [PMID: 31736117 DOI: 10.1111/jdv.16082] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Accepted: 11/13/2019] [Indexed: 01/26/2023]
Abstract
BACKGROUND Abnormal hair growth is a defining feature of RASopathies, syndromes caused by germline mutations in the RAS pathway. However, detailed hair manifestations and the mechanisms of altered hair growth in RASopathies are poorly delineated. OBJECTIVES To identify distinguishing clinical features and investigate how the RAS pathway influences hair growth by performing a systematic and detailed side-by-side comparison of hair manifestations in cardio-facio-cutaneous syndrome (CFCS) and Costello syndrome (CS), two RASopathies caused by mutations in the downstream and upstream elements of the RAS pathway, respectively. METHODS Sixteen individuals with CFCS and 23 individuals with CS were enrolled. Mutation data were recorded. Scalp hair, eyebrows and eyelashes of individuals with CFCS or CS were examined for texture, colour, density and morphology. Scalp hairs were examined by light microscopy. RESULTS While both syndromes displayed abnormal hair, striking differences were observed, including darker and thicker scalp hair and sparse eyebrows and eyelashes in CFCS. By contrast, synophrys, trichomegaly and abnormalities of the scalp hair shafts were observed in CS. Possible correlation with straight hair and genotype was observed in CS. CONCLUSION The results emphasize the role of the RAS pathway in hair growth, improve accuracy of clinical diagnosis of CFCS and CS and provide a foundation for identification of therapeutic targets.
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Affiliation(s)
- J Urban
- Department of Dermatology, University of California, Davis, Sacramento, CA, USA
| | - L Qi
- Department of Public Health Sciences, University of California, Davis, Davis, CA, USA
| | - H Zhao
- Department of Food Science, Zhejiang University, Hangzhou, China
| | - I Rybak
- Department of Dermatology, University of California, Davis, Sacramento, CA, USA
| | - K A Rauen
- Department of Pediatrics, University of California, Davis, Sacramento, CA, USA
| | - M Kiuru
- Department of Dermatology, University of California, Davis, Sacramento, CA, USA.,Department of Pathology and Laboratory Medicine, University of California, Davis, Sacramento, CA, USA
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Wang MY, Zhang XY, Xu L, Feng Y, Xu YC, Qi L, Zou YF. Detection of bone marrow oedema in knee joints using a dual-energy CT virtual non-calcium technique. Clin Radiol 2019; 74:815.e1-815.e7. [DOI: 10.1016/j.crad.2019.06.020] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2019] [Accepted: 06/26/2019] [Indexed: 10/26/2022]
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Li R, Yang S, Qiu X, Lu X, Hu Q, Ren X, Wu B, Qi L, Ding X, Xia L, Sun Y. The conserved cysteine residues in Bacillus thuringiensis Cry1Ac protoxin are not essential for the bipyramidal crystal formation. J Invertebr Pathol 2019; 163:82-85. [PMID: 30928458 DOI: 10.1016/j.jip.2019.03.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Revised: 03/20/2019] [Accepted: 03/27/2019] [Indexed: 11/19/2022]
Abstract
To evaluate the function of conserved cysteine residues in Cry1Ac protoxin, we constructed a series of Cry1Ac mutants in which single or multiple cysteine residues were replaced with serine. It was found that cysteine substitution had little effect on the protoxin expression and bipyramidal crystal formation. Bioassays using Plutella xylostella larvae showed that two mutants with fourteen cysteine residues in the C-terminal half and all sixteen residues replaced had similar toxicity as wildtype Cry1Ac protoxin. Our study suggests that the conserved cysteine resudues in the Cry1Ac protoxin are not essential for deposition into a bipyramidal crystal even though the C-terminal half was directly involved in crystal formation.
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Affiliation(s)
- Ran Li
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, PR China
| | - Sisi Yang
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, PR China
| | - Xianfeng Qiu
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, PR China
| | - Xiuqing Lu
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, PR China
| | - Quanfang Hu
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, PR China
| | - Xiaomeng Ren
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, PR China
| | - Binbin Wu
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, PR China
| | - Lingling Qi
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, PR China
| | - Xuezhi Ding
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, PR China
| | - Liqiu Xia
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, PR China
| | - Yunjun Sun
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha 410081, PR China.
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Li YQ, Shi JH, Cao Y, Qi L, Xu LT, Qian YL, Liu XR. [Survey of exposure to second-hand smoke in residents aged 15 years and over one year after implementation of tobacco control regulation in public places in Beijing]. Zhonghua Liu Xing Bing Xue Za Zhi 2019; 40:327-330. [PMID: 30884612 DOI: 10.3760/cma.j.issn.0254-6450.2019.03.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [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 monitor the second-hand smoke (SHS) exposure in residents aged 15 years and over in public venues, indoor workplaces, on public transportation vehicles and at home in Beijing and evaluate the effect of Beijing Tobacco Control Regulation. Methods: Data from 2014 and 2016 Beijing Adult Tobacco Survey were used. The surveys covered 16 districts in Beijing. The study subjects were selected through multi-stage cluster sampling with probability proportional to population size, and data were collected by using electronic questionnaire in face-to-face household interviews. A total of 8 484 and 9 372 valid questionnaires were collected for the surveys in 2014 and 2016, respectively. Statistical packages SPSS 20.0 and R 3.4.4 were used for data analyses. After weighting the samples using complex survey designs, the SHS exposure rates in different places in adults of Beijing were estimated. χ(2) tests were performed for the comparison. Results: The SHS exposure rates of residents aged 15 years and over in Beijing who visited health care facilities, government buildings, universities, primary and secondary schools and restaurants declined from 12.8%, 19.7%, 24.3%, 32.8% and 65.7% in 2014 to 6.2%, 10.8%, 12.5%, 19.1% and 32.5% in 2016, respectively. The SHS exposure rates in bars/nightclubs were 89.5% in 2014 and 80.3% in 2016. From 2014 to 2016, the SHS exposure rates declined from 35.7% to 20.0% in indoor workplaces and declined from 3.9% to 2.5% on public transportation vehicles. The SHS exposure rates at home were 39.8% in 2014 and 37.6% in 2016, respectively. Conclusions: The SHS exposure rates in public places declined obviously in Beijing after the one year implementation of Beijing Tobacco Control Regulation, indicating the effect of the regulation implementation.
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Affiliation(s)
- Y Q Li
- Health Education Institute of Beijing Center for Disease Prevention and Control, Health Education Institute of Beijing Preventive Medicine Research Center, Beijing 100020, China
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Guo T, Qi L, Niu L, Meng L, Zheng H. Transcranial pulsed ultrasound regulatesbody temperature in mice. Brain Stimul 2019. [DOI: 10.1016/j.brs.2018.12.440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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42
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Qiu X, Lu X, Ren X, Li R, Wu B, Yang S, Qi L, Mo X, Ding X, Xia L, Sun Y. Solubility enhancement of Cry2Aa crystal through carboxy-terminal extension and synergism between the chimeric protein and Cry1Ac. Appl Microbiol Biotechnol 2019; 103:2243-2250. [PMID: 30617818 DOI: 10.1007/s00253-018-09606-w] [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: 11/14/2018] [Revised: 12/26/2018] [Accepted: 12/28/2018] [Indexed: 11/26/2022]
Abstract
It was reported that the highly conserved C-terminal region of Bacillus thuringiensis Cry1A protoxins was very important for parasporal crystal formation and solubility feature in alkaline environment. In order to improve the solubilization efficiency of Cry2Aa crystal, the coding sequences of Cry2Aa protein and the C-terminal half of Cry1Ac were fused seamlessly through Red/ET homologous recombination and expressed in an acrystalliferous B. thuringiensis strain under the control of the cry1Ac promoter and terminator. Microscopic observation revealed that the recombinant strain containing the chimeric gene cry2Aa-1Ac produced distinct parasporal inclusion with semispherical to approximately cuboidal shape during sporulation. SDS-PAGE analysis showed that this strain expressed stable 130-kDa Cry2Aa-1Ac chimeric protein, which was confirmed to be the correctly expressed product by LC-MS/MS. The chimeric protein inclusion could be effectively dissolved at pH 10.5 and activated by trypsin like the parental Cry1Ac crystal. While, the parental Cry2Aa crystal exhibited very low solubility under this condition. Bioassays against third-instar larvae of Helicoverpa armigera proved that the chimeric protein was more toxic than Cry2Aa. Additionally, synergistic effect was clearly detected between the chimeric protein and Cry1Ac against H. armigera, while there was only additive effect for the combination of wild Cry2Aa and Cry1Ac. These results indicated that the developed chimeric protein might serve as a potent insecticidal toxin used in the field against lepidopteran pests.
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Affiliation(s)
- Xianfeng Qiu
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha, 410081, People's Republic of China
| | - Xiuqing Lu
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha, 410081, People's Republic of China
| | - Xiaomeng Ren
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha, 410081, People's Republic of China
| | - Ran Li
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha, 410081, People's Republic of China
| | - Binbin Wu
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha, 410081, People's Republic of China
| | - Sisi Yang
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha, 410081, People's Republic of China
| | - Lingling Qi
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha, 410081, People's Republic of China
| | - Xiangtao Mo
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha, 410081, People's Republic of China
| | - Xuezhi Ding
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha, 410081, People's Republic of China
| | - Liqiu Xia
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha, 410081, People's Republic of China
| | - Yunjun Sun
- College of Life Science, State Key Laboratory of Developmental Biology of Freshwater Fish, Hunan Normal University, Changsha, 410081, People's Republic of China.
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Guo CY, Wang QW, Liu JG, Qi L, Huangfu MG, Wu X, Zhang Y, Zhang XM. Electrospun polyimide ultrafine non-woven fabrics with high whiteness and good thermal stability from organo-soluble semi-alicyclic polyimides: Preparation and properties. EXPRESS POLYM LETT 2019. [DOI: 10.3144/expresspolymlett.2019.61] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Qi L, Mo HN, Chen XL, Wang X, Wu DW, Lan B, Li Q, Wang XY, Xu JP, Yang Q, Xu BH, Huang J. [Clinical observation of thyroid-related adverse events induced by anti-PD-1 antibody SHR-1210 in patients with advanced solid tumor]. Zhonghua Zhong Liu Za Zhi 2018; 40:772-775. [PMID: 30392342 DOI: 10.3760/cma.j.issn.0253-3766.2018.10.009] [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 assess the incidence and characteristics of thyroid dysfunction during anti-Programmed cell death 1 receptor (PD-1) antibody SHR-1210 therapy in patients with advanced solid tumor. Methods: The medical records of 98 patients who initiated SHR-1210 treatment between April 27, 2016 and June 8, 2017 in the phase 1 trial to evaluate the safety, efficacy, and pharmacokinetics of SHR-1210 in patients with advanced solid tumors were retrospectively reviewed. Serological tests of thyroid stimulating hormone (TSH) and free thyroxine (fT4) were measured at baseline and prior to each SHR-1210 administration. Results: A total of 86 patients had normal thyroid function before the first dose of SHR-1210 treatment. Nine out of 86 (10.5%) patients developed new onset hypothyroidism from euthyroid state. 12 patients presented thyroid dysfunction at baseline, 10 of whom were subclinical hypothyroid and 2 were hypothyroidism. Four out of 10 patients developed hypothyroidism from subclinical hypothyroid. Most patients with hypothyroidism were asymptomatic. Thyroid dysfunction occurred early (median, 55days) after the initiation of SHR-1210. The severity of hypothyroidism were all grade 1-2. No grade 3-4 hypothyroidism occurred. No patients discontinue the treatment of SHR-1210 due to clinical impact of the thyroid dysfunctions. Conclusions: Thyroid-related adverse events were common during anti-PD-1 antibody SHR-1210 treatment . The incidence of hypothyroidism is lower in patients with euthyroid state than in patients with thyroid dysfunction at baseline during SHR-1210 treatment . Thyroid function can be improved after thyroid hormone replacement. During SHR-1210 treatment, it is necessary to pay attention to monitor the thyroid function, especially in the patients with thyroid dysfunction at baseline. Trial registration: Chinese Clinical Trial Registry, 2016L01455.
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Affiliation(s)
- L Qi
- Department of Medical 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 N Mo
- Department of Medical 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
| | - X L Chen
- Department of Medical 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
| | - X Wang
- Department of Medical 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
| | - D W Wu
- Department of Medical 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
| | - B Lan
- Department of Medical 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
| | - Q Li
- Department of Medical 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
| | - X Y Wang
- Department of Medical 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
| | - J P Xu
- Department of Medical 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
| | - Q Yang
- Jiangsu Hengrui Medicine Co., Ltd, Lianyungang 210000, China
| | - B H Xu
- Department of Medical 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
| | - J Huang
- Department of Medical 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
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Li YQ, Shi JH, Cao Y, Qi L, Liu XR. [One year after the implementation of 2015 Tobacco Control Regulation on persons aged 15 years and over tobacco use in Beijing]. Zhonghua Liu Xing Bing Xue Za Zhi 2018; 39:1188-1192. [PMID: 30293308 DOI: 10.3760/cma.j.issn.0254-6450.2018.09.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To understand the current status of smoking and smoking cessation in persons aged 15 years and over in Beijing and evaluate the effect of 2015 Beijing Tobacco Control Regulation. Methods: In 2014 and 2016, based on the principles and methodology of the Global Adult Tobacco Survey. A total of 50 communities or townships were selected from 324 communities or townships in Beijing through multistage cluster sampling, and 2 community (village) committees from each community or township were selected with the method of probability proportional to size (PPS). A total of 100 surveillance sites were set, and 100 households were selected from each surveillance site by using simple random sampling. Data were collected through face-to-face interview from the eligible family members aged 15 years and over with the assistance of a tablet computer. Statistical analyses were conducted by using complex sampling analyses module of SPSS 20.0, with weights as a combination of sampling weights, non-response weights and post- stratification weights, for the calculation of current smoking prevalence, daily smoking prevalence, smoking cessation rate, etc. Results: A total of 8 484 and 9 372 valid questionnaires were obtained, respectively, in 2014 and 2016, with the response rate of 86.5% and 96.5%. The current smoking prevalence in persons aged 15 years and over was 23.4% in 2014, and 22.3% in 2016. According to the 6(th) national census data, the current smoking population decreased by 199 000 in Beijing. The proportion of daily smokers declined from 20.7% in 2014 to 19.2% in 2016. The daily number of cigarettes consumed by current smokers increased from 14.6 in 2014 to 15.4 in 2016. The smoking cessation rate was 14.9% in 2014 and 16.8% in 2016. The proportion of current smokers who had at least one smoking cessation attempt in the past 12 months increased from 22.3% in 2014 to 23.2% in 2016, and the proportion of current smokers who planned to quit smoking increased from 11.6% to 15.5%. Among the current smokers who had visited doctors in the past 12 months, the proportion of those having smoking cessation advice was 58.9% in 2014 and 59.2% in 2016. In 2016, among the current smokers who had attempted to quit in the past 12 months, 36.8% were aware of the smoking cessation clinics, and 29.5%were aware of the quitline. Among those who were aware, only 7.7% had actually visited the cessation clinics, and 5.5% had used the quitline. Conclusions: After the implementation of 2015 Beijing Tobacco Control Regulation for 1 year, the current smoking prevalence in persons aged 15 years and over showed decreasing. It is necessary to further prompt the expansion of smoking cessation service to cover more current smokers.
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Affiliation(s)
- Y Q Li
- Health Education Institute of Beijing Center for Disease Control and Prevention, Health Education Institute of Beijing Preventive Medicine Research Center, Beijing 100020, China
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Wang LJ, Zhou Y, Qi L, Liang JR, Sun H, Xu BL, Wang J, Wang X, Jing HQ. [Etiological study of diarrhea in children under 5 years old in Dongcheng district of Beijing]. Zhonghua Yu Fang Yi Xue Za Zhi 2018; 52:936-940. [PMID: 30196642 DOI: 10.3760/cma.j.issn.0253-9624.2018.09.013] [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: 06/08/2023]
Abstract
Objective: To analyze the etiological characteristics of infectious diarrhea among people under 5 years old in Dongcheng District, Beijing. Methods: The age, time of infection, clinical symptoms and laboratory test results of the cases who didn't used antibiotics within 3 days in the second maternal and child health care hospital were collected from 2012 to 2015, through the information management system of infectious disease monitoring technology platform. To compare the detection rate of virus and bacteria in children with different sex, time and age,and the difference of clinical characteristics between virus detection group and bacteria detection group by chi square test. Results: 1 977 cases of infectious diarrhea were collected, the median of the month age (P(25), P(75)) was 14.19 (8.31, 23.15) months. The virus detection rate was 34.3% (679 cases); the bacterial detection rate was 14.6% (288 cases). The difference of virus detection rate in children with different months was statistically significant (χ(2)=72.38, P<0.001), the virus detection rate of 24-60 months (40.9% (188/460)) was the hightest, and the detection rate of 0-5 months (15.3% (48/314)) was the lowest. The difference of bacteria detection rate was also statistically significant (χ(2)=32.67, P<0.001), and the detection rate of 12-17 months (19.0% (81/426)) was the highest, the detection rate of 0-5 months (6.7% (21/314)) was the lowest. The proportion of vomit and water sample in the virus detection group was 22.2% (136 cases) and 73.3% (449 cases), respectively, which were higher than those in bacteria detection group (8.1% (18 cases) and 57.2% (127 cases)), the difference was statistically significant (χ(2) values were 125.92 and 19.60; P values were both<0.001); the proportion of mucus stool and fever was 0.8% (5 cases) and 14.0% (86 cases), respectively, which were lower than those in bacterial detection group (4.1% (9 cases) and 18.5% (41 cases)), and the difference was statistically significant (χ(2) values were 8.50 and 23.01; P values were 0.004 and <0.001). Conclusion: The virus detection rate of infantile infective diarrhea is higher than that of bacteria in Dongcheng district of Beijing, and the clinical characteristics are significantly different.
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Affiliation(s)
- L J Wang
- Dongcheng District Center for Disease Control and Prevention, Beijing 100009, China
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Ma K, Ren L, Li S, Hua Z, Zhang H, Qi L, He F, Zhang S, Wang G, Feng Z. P764Impact of conduction disturbance after anatomical repair for congenital corrected transposition of the great arteries. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- K Ma
- Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Department of Paediatric Cardiac Surgery, Beijing, China People's Republic of
| | - L Ren
- Beijing Jishuitan Hospital, Department of Cardiology, Beijing, China People's Republic of
| | - S Li
- Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Department of Paediatric Cardiac Surgery, Beijing, China People's Republic of
| | - Z Hua
- Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Department of Paediatric Cardiac Surgery, Beijing, China People's Republic of
| | - H Zhang
- Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Department of Paediatric Cardiac Surgery, Beijing, China People's Republic of
| | - L Qi
- Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Department of Paediatric Cardiac Surgery, Beijing, China People's Republic of
| | - F He
- Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Department of Paediatric Cardiac Surgery, Beijing, China People's Republic of
| | - S Zhang
- Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Department of Paediatric Cardiac Surgery, Beijing, China People's Republic of
| | - G Wang
- Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Department of Paediatric Cardiac Surgery, Beijing, China People's Republic of
| | - Z Feng
- Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Department of Paediatric Cardiac Surgery, Beijing, China People's Republic of
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Han Z, Qi L, Wong J, Luo X, Zhou Y, Wang J, Wang Q. Association of BDNF VAL66MET with post-stroke functional recovery. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Han Z, Wang Y, Qi L, Zhou Y, Ye Q, Wang J, Luo X, Wong J, Wang Y, Wang Q. The association between serum BDNF levels with post-stroke depression and anxiety: A cohort study. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.474] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Ma W, Ji Y, Qi L, Guo X, Jian X, Liu P. Breast cancer Ki67 expression prediction by DCE-MRI radiomics features. Clin Radiol 2018; 73:909.e1-909.e5. [PMID: 29970244 DOI: 10.1016/j.crad.2018.05.027] [Citation(s) in RCA: 56] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 05/24/2018] [Indexed: 01/04/2023]
Abstract
AIM To investigate whether quantitative radiomics features extracted from dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) are associated with Ki67 expression of breast cancer. MATERIALS AND METHODS This institutional review board-approved retrospective study comprised 377 Chinese women who were diagnosed with invasive breast cancer in 2015. This cohort included 53 low-Ki67 expression (Ki67 proliferation index less than 14%) and 324 cases with high-Ki67 expression (Ki67 proliferation index more than 14%). A binary-classification of low-versus high- Ki67 expression was performed. A set of 56 quantitative radiomics features, including morphological, greyscale statistic, and texture features, were extracted from the segmented lesion area. Three machine learning classification methods, including naive Bayes, k-nearest neighbour and support vector machine, were employed for the classification and the least absolute shrink age and selection operator (LASSO) method was used to select most predictive features set for the classifiers. Classification performance was evaluated by the area under receiver operating characteristic curve (AUC), accuracy, sensitivity, and specificity. RESULES The model that used naive Bayes classification method achieved the best performance than the other two methods, yielding 0.773 AUC, 0.757 accuracy, 0.777 sensitivity and 0.769 specificity. Three most predictive features, i.e., contrast, entropy and line likeness, were selected by the LASSO method and showed a statistical significance (p<0.05) in the classification. CONCLUSION The present study showed that quantitative radiomics imaging features of breast tumour extracted from DCE-MRI are associated with breast cancer Ki67 expression. Future larger studies are needed in order to further evaluate the findings.
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Affiliation(s)
- W Ma
- Department of Breast Imaging, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin 300060, China; Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin 300060, China; Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China; Department of Biomedical and Engineering, Tianjin Medical University, Tianjin 300070, China
| | - Y Ji
- Department of Breast Imaging, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin 300060, China; Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin 300060, China; Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China
| | - L Qi
- Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin 300060, China; Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China
| | - X Guo
- Department of Breast Imaging, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin 300060, China; Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin 300060, China; Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China
| | - X Jian
- Department of Biomedical and Engineering, Tianjin Medical University, Tianjin 300070, China.
| | - P Liu
- Department of Breast Imaging, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin 300060, China; Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin 300060, China; Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China.
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