BACKGROUND Anal fistula is increasingly prevalent due to modern lifestyle factors,and surgery remains the primary treatment.However,the rising incidence of antibiotic resistance,particularly to cefuroxime,complicates ...BACKGROUND Anal fistula is increasingly prevalent due to modern lifestyle factors,and surgery remains the primary treatment.However,the rising incidence of antibiotic resistance,particularly to cefuroxime,complicates perioperative management.The role of gut microbiota in influencing this resistance is not well understood.AIM To investigate the relationship between gut microbiota composition and cefuroxime resistance in anal fistula patients and to assess probiotic intervention impact.METHODS This study included 30 anal fistula patients categorized into cefuroxime-sensitive(Cefur-S)and cefuroxime-resistant(Cefur-NS)groups.Gut microbiota samples were collected during colonoscopy,and 16S ribosomal DNA sequencing was performed to analyze microbial diversity.Patients in the Cefur-NS group received a 7-day course of Clostridium butyricum tablets.Post-intervention,microbial composition and cefuroxime resistance were reassessed.RESULTS Alpha and beta diversity analyses showed no significant differences in microbial diversity between the Cefur-S and Cefur-NS groups.However,effect size analysis identified Roseburia and Butyricicoccus as dominant genera in the Cefur-S group,with higher butyrate production potentially protecting against cefuroxime resistance.Post-intervention,the Cefur-NS group showed a significant reduction in cefuroxime resistance,improved stool consistency,and reduced bowel movement frequency.CONCLUSION This study suggests that specific gut microbiota,particularly Butyricicoccus and Roseburia,may mitigate cefuroxime resistance in anal fistula patients by increasing butyrate production.Probiotic intervention targeting gut microbiota composition presents a promising strategy for reducing antibiotic resistance and improving clinical outcomes.展开更多
BACKGROUND Type 2 diabetes mellitus(T2DM)often leads to vascular complications,such as albuminuria.The role of insulin autoantibodies(IAA)and their interaction with D-dimer in this context remains unclear.AIM To inves...BACKGROUND Type 2 diabetes mellitus(T2DM)often leads to vascular complications,such as albuminuria.The role of insulin autoantibodies(IAA)and their interaction with D-dimer in this context remains unclear.AIM To investigate the characteristics of IAA and its effect on albuminuria in T2DM patients.METHODS We retrospectively analyzed clinical data from 115 T2DM patients with positive IAA induced by exogenous insulin,and 115 age-and sex-matched IAA-negative T2DM patients as controls.Propensity scores were calculated using multivariate logistic regression.Key variables were selected using the least absolute shrinkage and selection operator(LASSO)algorithm.We constructed a prediction model and analyzed the association between IAA and albuminuria based on demographic and laboratory parameters.RESULTS The IAA-positive group had significantly higher D-dimer levels[0.30(0.19-0.55)mg/L vs 0.21(0.19-0.33)mg/L,P=0.008]and plasma insulin levels[39.1(12.0-102.7)μU/mL vs 9.8(5.5-17.6)μU/mL,P<0.001]compared to the IAA-negative group.Increases in the insulin dose per weight ratio,diabetes duration,and urinary albumin-to-creatinine ratio(UACR)were observed but did not reach statistical significance.The LASSO model identified plasma insulin and D-dimer as key factors with larger coefficients.D-dimer was significantly associated with UACR in the total and IAA-positive groups but not in the IAA-negative group.The odds ratio for D-dimer elevation(>0.5 g/L)was 2.88(95%confidence interval:1.17-7.07)in the IAA-positive group(P interaction<0.05).CONCLUSION D-dimer elevation is an independent risk factor for abnormal albuminuria and interacts with IAA in the development of abnormal albuminuria in T2DM patients.展开更多
In contemporary society,rapid and accurate optical cable fault detection is of paramount importance for ensuring the stability and reliability of optical networks.The emergence of novel faults in optical networks has ...In contemporary society,rapid and accurate optical cable fault detection is of paramount importance for ensuring the stability and reliability of optical networks.The emergence of novel faults in optical networks has introduced new challenges,significantly compromising their normal operation.Machine learning has emerged as a highly promising approach.Consequently,it is imperative to develop an automated and reliable algorithm that utilizes telemetry data acquired from Optical Time-Domain Reflectometers(OTDR)to enable real-time fault detection and diagnosis in optical fibers.In this paper,we introduce a multi-scale Convolutional Neural Network–Bidirectional Long Short-Term Memory(CNN-BiLSTM)deep learning model for accurate optical fiber fault detection.The proposed multi-scale CNN-BiLSTM comprises three variants:the Independent Multi-scale CNN-BiLSTM(IMC-BiLSTM),the Combined Multi-scale CNN-BiLSTM(CMC-BiLSTM),and the Shared Multi-scale CNN-BiLSTM(SMC-BiLSTM).These models employ convolutional kernels of varying sizes to extract spatial features from time-series data,while leveraging BiLSTM to enhance the capture of global event characteristics.Experiments were conducted using the publicly available OTDR_data dataset,and comparisons with existing methods demonstrate the effectiveness of our approach.The results show that(i)IMC-BiLSTM,CMC-BiLSTM,and SMC-BiLSTM achieve F1-scores of 97.37%,97.25%,and 97.1%,(ii)respectively,with accuracy of 97.36%,97.23%,and 97.12%.These performances surpass those of traditional techniques.展开更多
Transformation of glycerol into value-added che micals via electro-oxidation using the green electricity is considered as a sustainable and promising process.Whereas,the synthesis of specific C3 products such as glyce...Transformation of glycerol into value-added che micals via electro-oxidation using the green electricity is considered as a sustainable and promising process.Whereas,the synthesis of specific C3 products such as glyceric acid(GLA)from electro-oxidation of glycerol still suffers from poor catalytic performance.Here,we used a two-step deposition strategy to prepare Au-CeO_(2)/CNT catalyst for highly efficient electrosynthesis of GLA from glycerol oxidation under alkaline conditions.Upon treating 0.5 mol/L glycerol at 1.12 V(vs.RHE)for 12 h in 1.0 mol/L KOH solution,the glycerol conversion and GLA selectivity over Au-CeO_(2)/CNT achieve 99.7%and 50.0%,respectively.The glycerol conversion doubles when an optimal amount of CeO_(2)is introduced to the Au/CNT catalyst,Au-CeO_(2)/CNT provides numerous active sites at ternary junctions of Au-CeO_(2)-CNT,which effectively suppress the adsorption of GLA on the surface of Au nanoparticles and prevent the nanoparticles from serious agglomeration,thereby facilitate the glycerol-to-GLA conversion with considerable cyclability.This study provides valuable insight into the rational design of high-performance catalysts for alcohol electro-oxidation.展开更多
AIM: To retrospectively assess the effect of comprehensive cryosurgery (ablation of intraand extra-hepatic tumors) plus dendritic cell-cytokine-induced killer cell immunotherapy in metastatic hepatocellular cancer. ME...AIM: To retrospectively assess the effect of comprehensive cryosurgery (ablation of intraand extra-hepatic tumors) plus dendritic cell-cytokine-induced killer cell immunotherapy in metastatic hepatocellular cancer. METHODS: We divided 45 patients into cryo-immunotherapy (21 patients), cryotherapy (n = 12), immunotherapy (n = 5) and untreated (n = 7) groups. Overall survival (OS) after diagnosis of metastatic hepatocellular cancer was assessed after an 8-year follow-up. RESULTS: Median OS was higher following cryo-immu-notherapy (32 mo) or cryotherapy (17.5 mo; P < 0.05) than in the untreated group (3 mo) and was higher in the cryo-immunotherapy group than in the cryotherapy group (P < 0.05). In the cryo-immunotherapy group, median OS was higher after multiple treatments (36.5 mo) than after a single treatment (21 mo; P < 0.05). CONCLUSION: Cryotherapy and, especially, cryoimmunotherapy significantly increased OS in metastatic hepatocellular cancer patients. Multiple cryo-immunotherapy was associated with a better prognosis than single cryo-immunotherapy.展开更多
After spinal cord injury(SCI),astrocytes gradually migrate to and surround the lesion,depositing chondroitin sulfate proteoglycan-rich extracellular matrix and forming astrocytic scar,which limits the spread of inflam...After spinal cord injury(SCI),astrocytes gradually migrate to and surround the lesion,depositing chondroitin sulfate proteoglycan-rich extracellular matrix and forming astrocytic scar,which limits the spread of inflammation but hinders axon regeneration.Meanwhile,microglia gradually accumulate at the lesion border to form microglial scar and can polarize to generate a pro-inflammatory M1 phenotype or an anti-inflammatory M2 phenotype.However,the effect of microglia polarization on astrocytes is unclear.Here,we found that both microglia(CX3 CR1^(+))and astrocytes(GFAP^(+))gathered at the lesion border at 14 days post-injury(dpi).The microglia accumulated along the inner border of and in direct contact with the astrocytes.M1-type microglia(i NOS^(+)CX3 CR1^(+))were primarily observed at 3 and 7 dpi,while M2-type microglia(Arg1^(+)CX3 CR1^(+))were present at larger numbers at 7 and 14 dpi.Transforming growth factor-β1(TGFβ1)was highly expressed in M1 microglia in vitro,consistent with strong expression of TGFβ1 by microglia in vivo at 3 and 7 dpi,when they primarily exhibited an M1 phenotype.Furthermore,conditioned media from M1-type microglia induced astrocytes to secrete chondroitin sulfate proteoglycan in vitro.This effect was eliminated by knocking down sex-determining region Y-box 9(SOX9)in astrocytes and could not be reversed by treatment with TGFβ1.Taken together,our results suggest that microglia undergo M1 polarization and express high levels of TGFβ1 at 3 and 7 dpi,and that M1-type microglia induce astrocytes to deposit chondroitin sulfate proteoglycan via the TGFβ1/SOX9 pathway.The study was approved by the Institutional Animal Care and Use Committee of Anhui Medical University,China(approval No.LLSC20160052)on March 1,2016.展开更多
AIM:To investigate the therapeutic effect of radical treatment and palliative treatment in stage Ⅳ pancreatic cancer patients.METHODS:81 patients were enrolled in the study.Radical treatment was performed on 51 patie...AIM:To investigate the therapeutic effect of radical treatment and palliative treatment in stage Ⅳ pancreatic cancer patients.METHODS:81 patients were enrolled in the study.Radical treatment was performed on 51 patients,while 30 patients were put under palliative treatment.The procedural safety and interval survival for stage Ⅳ pancreatic cancer(IS-Ⅳ) was assessed by almost 2.5 years of follow-ups.The IS-Ⅳ of patients under the two kinds of treatment,and the effects of treatment timing and frequency on IS-Ⅳ,were compared.RESULTS:The IS-Ⅳ of patients who received radical treatment was significantly longer than those who received palliative treatment(P < 0.001).The IS-Ⅳ of patients who received delayed radical or palliative treatment was longer than those who received accordingly timely treatment(P = 0.0034 and 0.0415,respectively).Multiple treatments can play an important role in improving the IS-Ⅳ of patients who received radical treatment(P = 0.0389),but not for those who received palliative treatment(P = 0.99).CONCLUSION:The effect of radical treatment was significantly more obvious than that of palliative treatment,and multiple radical treatments may contribute more to patients than a single radical treatment.展开更多
Background:Physical activity(PA)may have an impact on digestive-system cancer(DSC)by improving insulin sensitivity and anticancer immune function and by reducing the exposure of the digestive tract to carcinogens by s...Background:Physical activity(PA)may have an impact on digestive-system cancer(DSC)by improving insulin sensitivity and anticancer immune function and by reducing the exposure of the digestive tract to carcinogens by stimulating gastrointestinal motility,thus reducing transit time.The current study aimed to determine the effect of PA on different types of DSC via a systematic review and meta-analysis.Methods:In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)guidelines,we searched for relevant studies in PubMed,Embase,Web of Science,Cochrane Library,and China National Knowledge Infrastructure.Using a random effects model,the relationship between PA and different types of DSC was analyzed.Results:The data used for meta-analysis were derived from 161 risk estimates in 47 studies involving 5,797,768 participants and 55,162 cases.We assessed the pooled associations between high vs.low PA levels and the risk of DSC(risk ratio(RR)=0.82,95%confidence interval(95%CI):0.79-0.85),colon cancer(RR=0.81,95%CI:0.76-0.87),rectal cancer(RR=0.88,95%CI:0.80-0.98),colorectal cancer(RR=0.77,95%CI:0.69-0.85),gallbladder cancer(RR=0.79,95%CI:0.64-0.98),gastric cancer(RR=0.83,95%CI:0.76-0.91),liver cancer(RR=0.73,0.60-0.89),oropharyngeal cancer(RR=0.79,95%CI:0.72-0.87),and pancreatic cancer(RR=0.85,95%CI:0.78-0.93).The findings were comparable between case-control studies(RR=0.73,95%CI:0.68-0.78)and prospective cohort studies(RR=0.88,95%CI:0.80-0.91).The meta-analysis of 9 studies reporting low,moderate,and high PA levels,with 17 risk estimates,showed that compared to low PA,moderate PA may also reduce the risk of DSC(RR=0.89,95%CI:0.80-1.00),while compared to moderate PA,high PA seemed to slightly increase the risk of DSC,although the results were not statistically significant(RR=1.11,95%CI:0.94-1.32).In addition,limited evidence from 5 studies suggested that meeting the international PA guidelines might not significantly reduce the risk of DSC(RR=0.96,95%CI:0.91-1.02).Conclusion:Compared to previous research,this systematic review has provided more comprehensive information about the inverse relationship between PA and DSC risk.The updated evidence from the current meta-analysis indicates that a moderate-to-high PA level is a common protective factor that can significantly lower the overall risk of DSC.However,the reduction rate for specific cancers may vary.In addition,limited evidence suggests that meeting the international PA guidelines might not significantly reduce the risk of DSC.Thus,future studies must be conducted to determine the optimal dosage,frequency,intensity,and duration of PA required to reduce DSC risk effectively.展开更多
The prevalence of colorectal cancer (CRC) and type 2 diabetes mellitus (T2DM) isincreasing globally. It is rarely noticed that the incidence of CRC is higher inpatients with T2DM. What needs to be mentioned is that me...The prevalence of colorectal cancer (CRC) and type 2 diabetes mellitus (T2DM) isincreasing globally. It is rarely noticed that the incidence of CRC is higher inpatients with T2DM. What needs to be mentioned is that metformin, a commonlyused clinical drug for T2DM, attracts scholars’ attention because of its benefits inlowering the risk of developing CRC. Hence, we try to find the common groundsof initiation of T2DM and CRC and the reason why metformin reduces the risk ofCRC in patients with T2DM. We noticed consistent changes of gut microbiota,such as elevated Bacteroides, Prevotella and Bifidobacterium and depressedFirmicutes and Lactobacillus. Furthermore, many studies in recent years haveproved that the efficacy of metformin, such as improving blood glucose, dependson the gut microbiota. Coincidentally, the progression of CRC is inseparable fromthe contributions of gut microbiota. Therefore, we first proposed the concept ofthe metformin-gut microbiota–CRC (in T2DM) axis to explain the effect ofmetformin in reducing CRC in patients with T2DM. In this review, we elaboratedthe new concept and its potential clinical application value.展开更多
Low-frequency chorus emissions have recently attracted much attention due to the suggestion that they may play important roles in the dynamics of the Van Allen Belts.However, the mechanism(s) generating these low-freq...Low-frequency chorus emissions have recently attracted much attention due to the suggestion that they may play important roles in the dynamics of the Van Allen Belts.However, the mechanism(s) generating these low-frequency chorus emissions have not been well understood..In this letter, we report an interesting case in which background plasma density lowered the lower cutoff frequency of chorus emissions from above 0.1 f_(ce)(typical ordinary chorus) to 0.02 f_(ce)(extremely low-frequency chorus).Those extremely low-frequency chorus waves were observed in a rather dense plasma, where the number density N_e was found to be several times larger than has been associated with observations of ordinary chorus waves.For suprathermal electrons whose free energy is supplied by anisotropic temperatures, linear growth rates(calculated using in-situ plasma parameters measured by the Van Allen Probes) show that whistler mode instability can occur at frequencies below 0.1 f_(ce) when the background plasma density N_e increases.Especially when N_e reaches 90 cm–3 or more, the lowest unstable frequency can extend to 0.02 f_(ce) or even less, which is consistent with satellite observations.Therefore, our results demonstrate that a dense background plasma could play an essential role in the excitation of extremely lowfrequency chorus waves by controlling the wave growth rates.展开更多
Background:Multiparous women are at a higher risk of gestational diabetes mellitus(GDM) than primiparas.Physical activity during pregnancy has been shown to be beneficial for GDM,but there is little evidence on the as...Background:Multiparous women are at a higher risk of gestational diabetes mellitus(GDM) than primiparas.Physical activity during pregnancy has been shown to be beneficial for GDM,but there is little evidence on the association between physical activity and glycemic control among women with GDM,whether primiparas or multiparas.Thus,the objective of the present study was to examine the association between physical activity and glycemic control in women with GDM and to determine what,if any,effects result from number of parous events.Methods:A prospective cohort of 1162 women with GDM was recruited,with 604 multiparas(51.98%).The general linear model was used to calculate the risk difference and its 95% confidence interval(95%CI) to quantify the impact of parous events on glycemic control in pregnancy as well as the association between physical activity time and glycemic control.Results:Among 1162 women with GDM,the median daily activity time was 65 mm(interquartile range(IQR):45-90 min),and the abnormal plasma glucose(PG) percentage,calculated as number of abnormal PG tests divided by the total number of PG tests,was 40.00%(IQR:22.22%-66.67%).The percentage of abnormal PG was stabilized and statistically lower with daily physical activity time exceeding 60 min among primiparas(IQR:30.89%-44.43%) and exceeding 90 min among multiparas(ranged from 27.76% to 38.82%).After adjusting for potential confoumders,primiparas tended to have a lower percentage of abnormal PG than do multiparas(rate difference=-0.39,95%CI:-3.61 to2.84).The same amount of physical activity time was significantly less effective for multiparas than for primiparas(trend p-value <0.01).Conclusion:In women with GDM,being multiparous is associated with less effective glycemic control through physical activity,such that multiparas need more physical activity to achieve glycemic control at a similar level to primiparas.展开更多
基金Supported by the Jiaxing Science and Technology Project,No.2023AD11016 and No.2023AD31028.
文摘BACKGROUND Anal fistula is increasingly prevalent due to modern lifestyle factors,and surgery remains the primary treatment.However,the rising incidence of antibiotic resistance,particularly to cefuroxime,complicates perioperative management.The role of gut microbiota in influencing this resistance is not well understood.AIM To investigate the relationship between gut microbiota composition and cefuroxime resistance in anal fistula patients and to assess probiotic intervention impact.METHODS This study included 30 anal fistula patients categorized into cefuroxime-sensitive(Cefur-S)and cefuroxime-resistant(Cefur-NS)groups.Gut microbiota samples were collected during colonoscopy,and 16S ribosomal DNA sequencing was performed to analyze microbial diversity.Patients in the Cefur-NS group received a 7-day course of Clostridium butyricum tablets.Post-intervention,microbial composition and cefuroxime resistance were reassessed.RESULTS Alpha and beta diversity analyses showed no significant differences in microbial diversity between the Cefur-S and Cefur-NS groups.However,effect size analysis identified Roseburia and Butyricicoccus as dominant genera in the Cefur-S group,with higher butyrate production potentially protecting against cefuroxime resistance.Post-intervention,the Cefur-NS group showed a significant reduction in cefuroxime resistance,improved stool consistency,and reduced bowel movement frequency.CONCLUSION This study suggests that specific gut microbiota,particularly Butyricicoccus and Roseburia,may mitigate cefuroxime resistance in anal fistula patients by increasing butyrate production.Probiotic intervention targeting gut microbiota composition presents a promising strategy for reducing antibiotic resistance and improving clinical outcomes.
文摘BACKGROUND Type 2 diabetes mellitus(T2DM)often leads to vascular complications,such as albuminuria.The role of insulin autoantibodies(IAA)and their interaction with D-dimer in this context remains unclear.AIM To investigate the characteristics of IAA and its effect on albuminuria in T2DM patients.METHODS We retrospectively analyzed clinical data from 115 T2DM patients with positive IAA induced by exogenous insulin,and 115 age-and sex-matched IAA-negative T2DM patients as controls.Propensity scores were calculated using multivariate logistic regression.Key variables were selected using the least absolute shrinkage and selection operator(LASSO)algorithm.We constructed a prediction model and analyzed the association between IAA and albuminuria based on demographic and laboratory parameters.RESULTS The IAA-positive group had significantly higher D-dimer levels[0.30(0.19-0.55)mg/L vs 0.21(0.19-0.33)mg/L,P=0.008]and plasma insulin levels[39.1(12.0-102.7)μU/mL vs 9.8(5.5-17.6)μU/mL,P<0.001]compared to the IAA-negative group.Increases in the insulin dose per weight ratio,diabetes duration,and urinary albumin-to-creatinine ratio(UACR)were observed but did not reach statistical significance.The LASSO model identified plasma insulin and D-dimer as key factors with larger coefficients.D-dimer was significantly associated with UACR in the total and IAA-positive groups but not in the IAA-negative group.The odds ratio for D-dimer elevation(>0.5 g/L)was 2.88(95%confidence interval:1.17-7.07)in the IAA-positive group(P interaction<0.05).CONCLUSION D-dimer elevation is an independent risk factor for abnormal albuminuria and interacts with IAA in the development of abnormal albuminuria in T2DM patients.
基金supported in part by the Guangxi Science and Technology Department Key Research and Development Project(Grant No.23026149)in part by the Guangxi Key Research and Development Plan Project(Grant No.AB24010073).
文摘In contemporary society,rapid and accurate optical cable fault detection is of paramount importance for ensuring the stability and reliability of optical networks.The emergence of novel faults in optical networks has introduced new challenges,significantly compromising their normal operation.Machine learning has emerged as a highly promising approach.Consequently,it is imperative to develop an automated and reliable algorithm that utilizes telemetry data acquired from Optical Time-Domain Reflectometers(OTDR)to enable real-time fault detection and diagnosis in optical fibers.In this paper,we introduce a multi-scale Convolutional Neural Network–Bidirectional Long Short-Term Memory(CNN-BiLSTM)deep learning model for accurate optical fiber fault detection.The proposed multi-scale CNN-BiLSTM comprises three variants:the Independent Multi-scale CNN-BiLSTM(IMC-BiLSTM),the Combined Multi-scale CNN-BiLSTM(CMC-BiLSTM),and the Shared Multi-scale CNN-BiLSTM(SMC-BiLSTM).These models employ convolutional kernels of varying sizes to extract spatial features from time-series data,while leveraging BiLSTM to enhance the capture of global event characteristics.Experiments were conducted using the publicly available OTDR_data dataset,and comparisons with existing methods demonstrate the effectiveness of our approach.The results show that(i)IMC-BiLSTM,CMC-BiLSTM,and SMC-BiLSTM achieve F1-scores of 97.37%,97.25%,and 97.1%,(ii)respectively,with accuracy of 97.36%,97.23%,and 97.12%.These performances surpass those of traditional techniques.
基金Project supported by the National Natural Science Foundation of China(22161033,21875125)the Natural Science Foundation of Inner Mongolia Autonomous Region of China(2023ZD11)+1 种基金the 111 Project(D20033)the"Grassland Talent"Program and"Grassland Talent"Innovation Team of Inner Mongolia。
文摘Transformation of glycerol into value-added che micals via electro-oxidation using the green electricity is considered as a sustainable and promising process.Whereas,the synthesis of specific C3 products such as glyceric acid(GLA)from electro-oxidation of glycerol still suffers from poor catalytic performance.Here,we used a two-step deposition strategy to prepare Au-CeO_(2)/CNT catalyst for highly efficient electrosynthesis of GLA from glycerol oxidation under alkaline conditions.Upon treating 0.5 mol/L glycerol at 1.12 V(vs.RHE)for 12 h in 1.0 mol/L KOH solution,the glycerol conversion and GLA selectivity over Au-CeO_(2)/CNT achieve 99.7%and 50.0%,respectively.The glycerol conversion doubles when an optimal amount of CeO_(2)is introduced to the Au/CNT catalyst,Au-CeO_(2)/CNT provides numerous active sites at ternary junctions of Au-CeO_(2)-CNT,which effectively suppress the adsorption of GLA on the surface of Au nanoparticles and prevent the nanoparticles from serious agglomeration,thereby facilitate the glycerol-to-GLA conversion with considerable cyclability.This study provides valuable insight into the rational design of high-performance catalysts for alcohol electro-oxidation.
文摘AIM: To retrospectively assess the effect of comprehensive cryosurgery (ablation of intraand extra-hepatic tumors) plus dendritic cell-cytokine-induced killer cell immunotherapy in metastatic hepatocellular cancer. METHODS: We divided 45 patients into cryo-immunotherapy (21 patients), cryotherapy (n = 12), immunotherapy (n = 5) and untreated (n = 7) groups. Overall survival (OS) after diagnosis of metastatic hepatocellular cancer was assessed after an 8-year follow-up. RESULTS: Median OS was higher following cryo-immu-notherapy (32 mo) or cryotherapy (17.5 mo; P < 0.05) than in the untreated group (3 mo) and was higher in the cryo-immunotherapy group than in the cryotherapy group (P < 0.05). In the cryo-immunotherapy group, median OS was higher after multiple treatments (36.5 mo) than after a single treatment (21 mo; P < 0.05). CONCLUSION: Cryotherapy and, especially, cryoimmunotherapy significantly increased OS in metastatic hepatocellular cancer patients. Multiple cryo-immunotherapy was associated with a better prognosis than single cryo-immunotherapy.
基金supported by the National Natural Science Foundation of China,Nos.81801220(to MGZ),81671204(to JHJ)Key Research and Development Projects of Anhui Province of China,No.202004j07020042(to JHJ)。
文摘After spinal cord injury(SCI),astrocytes gradually migrate to and surround the lesion,depositing chondroitin sulfate proteoglycan-rich extracellular matrix and forming astrocytic scar,which limits the spread of inflammation but hinders axon regeneration.Meanwhile,microglia gradually accumulate at the lesion border to form microglial scar and can polarize to generate a pro-inflammatory M1 phenotype or an anti-inflammatory M2 phenotype.However,the effect of microglia polarization on astrocytes is unclear.Here,we found that both microglia(CX3 CR1^(+))and astrocytes(GFAP^(+))gathered at the lesion border at 14 days post-injury(dpi).The microglia accumulated along the inner border of and in direct contact with the astrocytes.M1-type microglia(i NOS^(+)CX3 CR1^(+))were primarily observed at 3 and 7 dpi,while M2-type microglia(Arg1^(+)CX3 CR1^(+))were present at larger numbers at 7 and 14 dpi.Transforming growth factor-β1(TGFβ1)was highly expressed in M1 microglia in vitro,consistent with strong expression of TGFβ1 by microglia in vivo at 3 and 7 dpi,when they primarily exhibited an M1 phenotype.Furthermore,conditioned media from M1-type microglia induced astrocytes to secrete chondroitin sulfate proteoglycan in vitro.This effect was eliminated by knocking down sex-determining region Y-box 9(SOX9)in astrocytes and could not be reversed by treatment with TGFβ1.Taken together,our results suggest that microglia undergo M1 polarization and express high levels of TGFβ1 at 3 and 7 dpi,and that M1-type microglia induce astrocytes to deposit chondroitin sulfate proteoglycan via the TGFβ1/SOX9 pathway.The study was approved by the Institutional Animal Care and Use Committee of Anhui Medical University,China(approval No.LLSC20160052)on March 1,2016.
基金Supported by The Hai Zhu District Scientific and Technologica Plan,No.2010-Y-27"Comprehensive Research of Pancreati Cancer Cryotherapy",Guangzhou,China
文摘AIM:To investigate the therapeutic effect of radical treatment and palliative treatment in stage Ⅳ pancreatic cancer patients.METHODS:81 patients were enrolled in the study.Radical treatment was performed on 51 patients,while 30 patients were put under palliative treatment.The procedural safety and interval survival for stage Ⅳ pancreatic cancer(IS-Ⅳ) was assessed by almost 2.5 years of follow-ups.The IS-Ⅳ of patients under the two kinds of treatment,and the effects of treatment timing and frequency on IS-Ⅳ,were compared.RESULTS:The IS-Ⅳ of patients who received radical treatment was significantly longer than those who received palliative treatment(P < 0.001).The IS-Ⅳ of patients who received delayed radical or palliative treatment was longer than those who received accordingly timely treatment(P = 0.0034 and 0.0415,respectively).Multiple treatments can play an important role in improving the IS-Ⅳ of patients who received radical treatment(P = 0.0389),but not for those who received palliative treatment(P = 0.99).CONCLUSION:The effect of radical treatment was significantly more obvious than that of palliative treatment,and multiple radical treatments may contribute more to patients than a single radical treatment.
基金supported by the National Natural Science Foundation of China(81774443,31870936)the 3-year Development Plan Project for Traditional Chinese Medicine(ZY(2018-2020)-CCCX-2001-05).
文摘Background:Physical activity(PA)may have an impact on digestive-system cancer(DSC)by improving insulin sensitivity and anticancer immune function and by reducing the exposure of the digestive tract to carcinogens by stimulating gastrointestinal motility,thus reducing transit time.The current study aimed to determine the effect of PA on different types of DSC via a systematic review and meta-analysis.Methods:In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)guidelines,we searched for relevant studies in PubMed,Embase,Web of Science,Cochrane Library,and China National Knowledge Infrastructure.Using a random effects model,the relationship between PA and different types of DSC was analyzed.Results:The data used for meta-analysis were derived from 161 risk estimates in 47 studies involving 5,797,768 participants and 55,162 cases.We assessed the pooled associations between high vs.low PA levels and the risk of DSC(risk ratio(RR)=0.82,95%confidence interval(95%CI):0.79-0.85),colon cancer(RR=0.81,95%CI:0.76-0.87),rectal cancer(RR=0.88,95%CI:0.80-0.98),colorectal cancer(RR=0.77,95%CI:0.69-0.85),gallbladder cancer(RR=0.79,95%CI:0.64-0.98),gastric cancer(RR=0.83,95%CI:0.76-0.91),liver cancer(RR=0.73,0.60-0.89),oropharyngeal cancer(RR=0.79,95%CI:0.72-0.87),and pancreatic cancer(RR=0.85,95%CI:0.78-0.93).The findings were comparable between case-control studies(RR=0.73,95%CI:0.68-0.78)and prospective cohort studies(RR=0.88,95%CI:0.80-0.91).The meta-analysis of 9 studies reporting low,moderate,and high PA levels,with 17 risk estimates,showed that compared to low PA,moderate PA may also reduce the risk of DSC(RR=0.89,95%CI:0.80-1.00),while compared to moderate PA,high PA seemed to slightly increase the risk of DSC,although the results were not statistically significant(RR=1.11,95%CI:0.94-1.32).In addition,limited evidence from 5 studies suggested that meeting the international PA guidelines might not significantly reduce the risk of DSC(RR=0.96,95%CI:0.91-1.02).Conclusion:Compared to previous research,this systematic review has provided more comprehensive information about the inverse relationship between PA and DSC risk.The updated evidence from the current meta-analysis indicates that a moderate-to-high PA level is a common protective factor that can significantly lower the overall risk of DSC.However,the reduction rate for specific cancers may vary.In addition,limited evidence suggests that meeting the international PA guidelines might not significantly reduce the risk of DSC.Thus,future studies must be conducted to determine the optimal dosage,frequency,intensity,and duration of PA required to reduce DSC risk effectively.
基金Supported by National NaturalScience Foundation of China, No.81573239.
文摘The prevalence of colorectal cancer (CRC) and type 2 diabetes mellitus (T2DM) isincreasing globally. It is rarely noticed that the incidence of CRC is higher inpatients with T2DM. What needs to be mentioned is that metformin, a commonlyused clinical drug for T2DM, attracts scholars’ attention because of its benefits inlowering the risk of developing CRC. Hence, we try to find the common groundsof initiation of T2DM and CRC and the reason why metformin reduces the risk ofCRC in patients with T2DM. We noticed consistent changes of gut microbiota,such as elevated Bacteroides, Prevotella and Bifidobacterium and depressedFirmicutes and Lactobacillus. Furthermore, many studies in recent years haveproved that the efficacy of metformin, such as improving blood glucose, dependson the gut microbiota. Coincidentally, the progression of CRC is inseparable fromthe contributions of gut microbiota. Therefore, we first proposed the concept ofthe metformin-gut microbiota–CRC (in T2DM) axis to explain the effect ofmetformin in reducing CRC in patients with T2DM. In this review, we elaboratedthe new concept and its potential clinical application value.
基金supported by the National Natural Science Foundation of China (41874194, 41521063, 41374168)
文摘Low-frequency chorus emissions have recently attracted much attention due to the suggestion that they may play important roles in the dynamics of the Van Allen Belts.However, the mechanism(s) generating these low-frequency chorus emissions have not been well understood..In this letter, we report an interesting case in which background plasma density lowered the lower cutoff frequency of chorus emissions from above 0.1 f_(ce)(typical ordinary chorus) to 0.02 f_(ce)(extremely low-frequency chorus).Those extremely low-frequency chorus waves were observed in a rather dense plasma, where the number density N_e was found to be several times larger than has been associated with observations of ordinary chorus waves.For suprathermal electrons whose free energy is supplied by anisotropic temperatures, linear growth rates(calculated using in-situ plasma parameters measured by the Van Allen Probes) show that whistler mode instability can occur at frequencies below 0.1 f_(ce) when the background plasma density N_e increases.Especially when N_e reaches 90 cm–3 or more, the lowest unstable frequency can extend to 0.02 f_(ce) or even less, which is consistent with satellite observations.Therefore, our results demonstrate that a dense background plasma could play an essential role in the excitation of extremely lowfrequency chorus waves by controlling the wave growth rates.
基金supported by grants from the Research Program of Shanghai Sports Bureau (20Q001)Shanghai Shenkang Hospital Development Center Management Research Program (2020SKMR-32)+1 种基金Intelligence Funds of Shanghai Skin Disease Hospital (2021KYQD01)the National Key R & D Program of China (2018YFC1705300)。
文摘Background:Multiparous women are at a higher risk of gestational diabetes mellitus(GDM) than primiparas.Physical activity during pregnancy has been shown to be beneficial for GDM,but there is little evidence on the association between physical activity and glycemic control among women with GDM,whether primiparas or multiparas.Thus,the objective of the present study was to examine the association between physical activity and glycemic control in women with GDM and to determine what,if any,effects result from number of parous events.Methods:A prospective cohort of 1162 women with GDM was recruited,with 604 multiparas(51.98%).The general linear model was used to calculate the risk difference and its 95% confidence interval(95%CI) to quantify the impact of parous events on glycemic control in pregnancy as well as the association between physical activity time and glycemic control.Results:Among 1162 women with GDM,the median daily activity time was 65 mm(interquartile range(IQR):45-90 min),and the abnormal plasma glucose(PG) percentage,calculated as number of abnormal PG tests divided by the total number of PG tests,was 40.00%(IQR:22.22%-66.67%).The percentage of abnormal PG was stabilized and statistically lower with daily physical activity time exceeding 60 min among primiparas(IQR:30.89%-44.43%) and exceeding 90 min among multiparas(ranged from 27.76% to 38.82%).After adjusting for potential confoumders,primiparas tended to have a lower percentage of abnormal PG than do multiparas(rate difference=-0.39,95%CI:-3.61 to2.84).The same amount of physical activity time was significantly less effective for multiparas than for primiparas(trend p-value <0.01).Conclusion:In women with GDM,being multiparous is associated with less effective glycemic control through physical activity,such that multiparas need more physical activity to achieve glycemic control at a similar level to primiparas.
