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Zhang W, Cao YS, Wei MC, Xu J, Bao Z, Yan JX, Chen C, Li JY, Ban ZY, Wang BJ, Zhao X, Zhao C, Zeng XX. [Application of optical coherence tomography in the evaluation of cervical lesions: a multicenter study]. Zhonghua Fu Chan Ke Za Zhi 2024; 59:299-306. [PMID: 38644276 DOI: 10.3760/cma.j.cn112141-20240103-00006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 04/23/2024]
Abstract
Objective: To explore the value of optical coherence tomography (OCT) imaging system in evaluating cervical lesions in vivo. Methods: A total of 1 214 patients with cervical lesions were collected from January 2020 to December 2021 in the Third Affiliated Hospital of Zhengzhou University, Maternal and Chlid Heaith Hospital of Gushi County, Xinyang City, Henan Province, and Maternal and Chlid Heaith Hospital of Sui County, Shangqiu City, Henan Province. The age of the patients was (38.9±10.5) years (range: 16-77 years). All patients underwent in vivo cervical OCT examination and cervical biopsy pathology examination, and summarized the OCT image features of in vivo cervical lesions. Using the pathological diagnosis as the "gold standard", the accuracy, specificity, sensitivity, positive predictive value (PPV) and negative predictive value (NPV) of OCT image interpretation results were evaluated, as well as the consistency of OCT image diagnosis and pathological diagnosis. At the same time, the in vivo cervical OCT imaging system, as a newly developed screening tool, was compared with the traditional combined screening of human papillomavirus (HPV) and Thinprep cytologic test (TCT), to assess the screening effect. Results: By comparing the OCT images of the cervix in vivo with the corresponding HE images, the OCT image characteristics of the normal cervix and various types of cervical lesions in vivo were summarized. The accuracy, sensitivity, specificity, PPV and NPV of OCT image in the diagnosis of high-grade squamous intraepithelial lesion (HSIL) and above (HSIL+) were 93.4%, 88.5%, 95.0%, 85.0% and 96.2%, respectively. The accuracy, sensitivity, specificity, PPV and NPV of OCT for low-grade squamous intraepithelial lesion (LSIL) were 84.7%, 61.7%, 96.3%, 89.3% and 83.2%, respectively. The consistency between OCT image diagnosis and pathological diagnosis was strong (Kappa value was 0.701).The accuracy, sensitivity and specificity of OCT screening, HPV and TCT combined screening were 83.7% vs 64.9% (χ²=128.82, P<0.001), 77.8% vs 64.5% (χ²=39.01, P<0.001), 91.8% vs 65.4% (χ²=98.12, P<0.001), respectively. The differences were statistically significant. Conclusions: OCT imaging system has high sensitivity and specificity in the evaluation of cervical lesions in vivo, and has the characteristics of non-invasive, real-time and high efficiency. OCT examination is expected to become an effective method for the diagnosis of cervical lesions and cervical cancer screening.
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Affiliation(s)
- W Zhang
- Department of Pathology, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Y S Cao
- Department of Pathology, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - M C Wei
- Department of Pathology, Maternal and Child Health Hospital of Gushi County, Xinyang City, Henan Province, Xinyang 465299, China
| | - J Xu
- Department of Pathology, Maternal and Child Health Hospital of Sui County, Shangqiu City, Henan Province, Shangqiu 476999, China
| | - Z Bao
- Department of Pathology, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - J X Yan
- Department of Pathology, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - C Chen
- Department of Pathology, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - J Y Li
- Department of Pathology, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Z Y Ban
- Department of Pathology, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - B J Wang
- Department of Gynecology, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - X Zhao
- Department of Medical Imaging, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Chengquan Zhao
- Department of Pathology, University of Pittsburgh Medical Center, Pennsylvania 19019, USA
| | - X X Zeng
- Department of Pathology, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
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Cui X, Huang Z, Deng S, Zhang Y, Li G, Wang L, Deng Y, Wu C. Benzofuran Derivatives from Cortex Mori Radicis and Their Cholinesterase-Inhibitory Activity. Molecules 2024; 29:315. [PMID: 38257228 PMCID: PMC10820097 DOI: 10.3390/molecules29020315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 12/26/2023] [Accepted: 01/05/2024] [Indexed: 01/24/2024] Open
Abstract
The phytochemical investigation of Cortex Mori Radicis led to the isolation and identification of a new prenylated benzofuranone (1) and four ring-opening derivatives (2-5) named albaphenol A-E, as well as nigranol A (6), together with ten 2-arylbenzofuran derivatives (7-16). The characterization of the structures of the new compounds and the structural revision of nigranol A (6) were conducted using the comprehensive analysis of spectroscopic data (1D/2D NMR, HRESIMS, CD, and XRD). Compounds 1-16 were tested for their inhibitory effects on acetylcholinesterase (AChE) and butyrylcholinesterase (BChE). Compounds 1 and 4 showed weak BChE-inhibitory activity (IC50 45.5 and 61.0 μM); six 2-arylbenzofuran derivatives showed more-potent BChE-inhibitory activity (IC50 2.5-32.8 μM) than the positive control galantamine (IC50 35.3 μM), while being inactive or weakly inhibitory toward AChE. Cathafuran C (14) exhibited the most potent and selective inhibitory activity against BChE in a competitive manner, with a Ki value of 1.7 μM. The structure-activity relationships of the benzofuran-type stilbenes were discussed. Furthermore, molecular docking and dynamic simulations were performed to clarify the interactions of the inhibitor-enzyme complex.
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Affiliation(s)
- Xiang Cui
- College of Life Sciences and Agronomy, Zhoukou Normal University, Zhoukou 466001, China; (X.C.)
- College of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
| | - Zehong Huang
- College of Life Sciences and Agronomy, Zhoukou Normal University, Zhoukou 466001, China; (X.C.)
| | - Shanshan Deng
- College of Life Sciences and Agronomy, Zhoukou Normal University, Zhoukou 466001, China; (X.C.)
| | - Yunxia Zhang
- College of Life Sciences and Agronomy, Zhoukou Normal University, Zhoukou 466001, China; (X.C.)
| | - Guoyin Li
- College of Life Sciences and Agronomy, Zhoukou Normal University, Zhoukou 466001, China; (X.C.)
| | - Lining Wang
- College of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
| | - Yanru Deng
- College of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
| | - Changjing Wu
- College of Life Sciences and Agronomy, Zhoukou Normal University, Zhoukou 466001, China; (X.C.)
- Field Observation and Research Station of Green Agriculture in Dancheng County, Zhoukou 466001, China
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