AIM: To investigate the relation of expression transfor-mation of claudin-1 with invasiveness and metastasis of gastric carcinoma. METHODS: By using immunohistochemistry, expres-sion of claudin-1 in mucosa and invasiv...AIM: To investigate the relation of expression transfor-mation of claudin-1 with invasiveness and metastasis of gastric carcinoma. METHODS: By using immunohistochemistry, expres-sion of claudin-1 in mucosa and invasive front of 136 gastric adenocarcinoma cases and proliferative index (Ki-67) were detected and analyzed. RESULTS: In mucosa, the claudin-1 over-expression rate of mucinous adenocarcinomas (including signet-ring cell carcinomas) was the highest. It was nega-tively related with the differentiation but positively related with the invasiveness and metastasis of gastric cancer. In invasive front, the claudin-1 over-expression rate was positively related with the differentiation, in-vasiveness and metastasis of gastric carcinoma. The expression transformation of claudin-1 was found in gastric carcinoma. The expression of claudin-1 in inva-sive front was transformed in 28/136 gastric carcinoma cases. The transformation rate in highly differentiated tubular adenocarcinomas was the highest (51.5%, 17/33). The deeper was the invasiveness, the higher was the transformation rate. The claudin-1 expression transformation rate in serosa and omenta was signifi -cantly higher (92.9%) than in tunica muscularis of in-vasive gastric cancer cases, as well as in patients withlymph node metastasis than in those without lymph node metastasis. CONCLUSION: Up-regulation of claudin-1 expres-sion and its transformation in invasive and metastatic gastric carcinoma suggest that claudin-1 participates in the transformation of biological behaviors in neo-plasms. Further study is needed to elucidate the pre-cise mechanism and the relation of claudin-1 expres-sion with the neoplasm progress.展开更多
BACKGROUND The most important consideration in determining treatment strategies for undifferentiated early gastric cancer(UEGC)is the risk of lymph node metastasis(LNM).Therefore,identifying a potential biomarker that...BACKGROUND The most important consideration in determining treatment strategies for undifferentiated early gastric cancer(UEGC)is the risk of lymph node metastasis(LNM).Therefore,identifying a potential biomarker that predicts LNM is quite useful in determining treatment.AIM To develop a machine learning(ML)-based integral procedure to construct the LNM gray-level co-occurrence matrix(GLCM)prediction model.METHODS We retrospectively selected 526 cases of UEGC confirmed through pathological examination after radical gastrectomy without endoscopic treatment in four tertiary hospitals between January 2015 to December 2021.We extracted GLCM-based features from grayscale images and applied ML to the classification of candidate predictive variables.The robustness and clinical utility of each model were evaluated based on the following factors:Receiver operating characteristic curve(ROC),decision curve analysis,and clinical impact curve.RESULTS GLCM-based feature extraction significantly correlated with LNM.The top 7 GLCM-based factors included inertia value 0°(IV_0),inertia value 45°(IV_45),inverse gap 0°(IG_0),inverse gap 45°(IG_45),inverse gap full angle(IG_all),Haralick 30°(Haralick_30),Haralick full angle(Haralick_all),and Entropy.The areas under the ROC curve(AUCs)of the random forest classifier(RFC)model,support vector machine,eXtreme gradient boosting,artificial neural network,and decision tree ranged from 0.805[95%confidence interval(CI):0.258-1.352]to 0.925(95%CI:0.378-1.472)in the training set and from 0.794(95%CI:0.237-1.351)to 0.912(95%CI:0.355-1.469)in the testing set,respectively.The RFC(training set:AUC:0.925,95%CI:0.378-1.472;testing set:AUC:0.912,95%CI:0.355-1.469)model that incorporates Entropy,Haralick_all,Haralick_30,IG_all,IG_45,IG_0,and IV_45 had the highest predictive accuracy.CONCLUSION The evaluation results indicate that the method of selecting radiological and textural features becomes more effective in the LNM discrimination against UEGC patients.Additionally,the MLbased prediction model developed using the RFC can be used to derive treatment options and identify LNM,which can hence improve clinical outcomes.展开更多
Objective:To explore the expressions of c-fos and c-myc in skin lesion of cutaneous squamous cell carcinoma(CSCC).Methods:Using retrospective analysis.73 cases of CSCC were selected from Department of Dermatology,the ...Objective:To explore the expressions of c-fos and c-myc in skin lesion of cutaneous squamous cell carcinoma(CSCC).Methods:Using retrospective analysis.73 cases of CSCC were selected from Department of Dermatology,the Second Affiliated Hospital of Xi'an Jiaotong University.which were removed between January 2000 and January 2012.It was considered as experimental group.Meanwhile.11 cases of normal skin specimens of non tumor patients were selected as control group.The expression level of c-fos and c-myc was compared in the two groups.Results:The expressions of c-fos[72.60%(53/73)]and c-myc[83.56%(61/73)]in experimental group were statistically significant(P≤0.05)compared with control group(0%).Expression of c-myc protein was negatively related to differentiation of CSCC.The difference was statistically significant(X^2=7.26.P=0.001<0.05).While expression of c-fos protein was positively related to differentiation of CSCC.which was statistically significant(X^2=7.47,P=0.0012<0.025).Conclusions:The expression level of c-fos and c-myc can be used as an importan indicator of CSCC differentiation,and it has closely connection with the differentiated degree,which can guide clinical prognosis.展开更多
The Ce/Cr coating was homogenously deposited onto the reticulated open-cell Ni?Cr?Fe alloy foam by the pack cementation process.The mechanical properties of the Ce/Cr coated alloy foams were investigated by the quasi-...The Ce/Cr coating was homogenously deposited onto the reticulated open-cell Ni?Cr?Fe alloy foam by the pack cementation process.The mechanical properties of the Ce/Cr coated alloy foams were investigated by the quasi-static compression test.Simultaneously,the deformation and failure mechanisms of Ce/Cr coated alloy foams were discussed.The results show that the adding amount of CeO2powders influences the mechanical properties of the Ce/Cr coated alloy foams.Despite an increase in density as compared to the uncoated foams,the Ce/Cr coated foams exhibit improvement in both yield strength and energy-absorption performance.Especially,the energy-absorption performance of2%Ce/Cr(mass fraction)coated alloy foam is averagely1.9times as high as that of the bare Ni?Cr?Fe alloy foam.In addition,the mechanical properties of the Ce/Cr coated alloy foams increase with the increase of strain rate.The distortion and cracking are mainly the deformation behavior of the Ce/Cr coated alloy foam,confirmed by SEM images.展开更多
Drilling in a natural gas hydrate formation is challenging due to the poor consolidation of the formation and the potential evaporation of the hydrate.The unreasonable down-hole pressure of the drilling fluid can not ...Drilling in a natural gas hydrate formation is challenging due to the poor consolidation of the formation and the potential evaporation of the hydrate.The unreasonable down-hole pressure of the drilling fluid can not only lead to the wellbore instability,but also change the predrilling condition of the natural gas hydrate formation,thus leading to an instable wellbore.In this paper,the integrated discrete element method(DEM)-computational fluid dynamics(CFD)work flow is developed to study the wellbore instability due to the penetration of the drilling fluid into the hydrate formation during crack propagations.The results show that the difference between in-situ stresses and overpressure directly affect the drilling fluid invasion behavior.The lower hydrate saturation leads to an easier generation of drilling fluid flow channels and the lower formation breakdown pressure.The breakdown pressure increases with the increase of hydrate saturation,this also indicates that hydrates can enhance the mechanical properties of the formation.The induced cracks are initially accompanied with higher pressure of the drilling fluid.According to the rose diagram of the fracture orientation,a wider orientation of the fracture distribution is observed at higher pressure of the invasion fluid.展开更多
To effectively enhance the catalytic activity of NiS,NiS particles confined into carbon fibers were prepared by electrostatic spinning followed pyrolyzation and NiS particles decorating was performed by further hydrot...To effectively enhance the catalytic activity of NiS,NiS particles confined into carbon fibers were prepared by electrostatic spinning followed pyrolyzation and NiS particles decorating was performed by further hydrothermal loading.The decorated NiS exhibits particle(NiS@PAN-NiS)and needle-like(NiS@PAN-NiS^(*))morphologies.After adding the catalysts into MgH_(2),the synthesized MgH_(2)-5 wt%NiS@PAN-NiS composite can absorb 2.6 wt%hydrogen at 353 K and release 5.0 wt%hydrogen within 1 h at 573 K.The initial hydrogen desorption temperature was reduced to 539 K.The activation energies for hydrogen absorption/desorption were greatly reduced to 66.76 and 89.95 kJ mol^(-1),respectively.The method of confining by electrospinning and particle decoration by hydrothermal loading reduce NiS particle agglomeration.The Mg_(2)Ni/Mg_(2)NiH_(4)hydrogen pump formed by reaction between NiS and MgH_(2)effectively enhanced hydrogen absorption and desorption kinetics.The formed MgS also improved the catalytic activity on the transformation of Mg and MgH_(2).Moreover,the carbon fibers should influence the contact between in situ formed MgS and Mg_(2)Ni,providing more catalytic sites and hydrogen diffusion pathways.The construction of NiS/carbon fibers confined NiS composite by carbon fibers derived from pyrolyzation as medium provides considerable way for designing NiS-based catalysts to enhance the hydrogen storage performances of MgH_(2).展开更多
At present,natural orifice specimen extraction surgery(NOSES)has attracted more and more attention worldwide,because of its great advantages including minimal cutaneous trauma and post-operative pain,fast post-operati...At present,natural orifice specimen extraction surgery(NOSES)has attracted more and more attention worldwide,because of its great advantages including minimal cutaneous trauma and post-operative pain,fast post-operative recovery,short hospital stay,and positive psychological impact.However,NOSES for the treatment of gastric cancer(GC)is still in its infancy,and there is great potential to improve its theoretical system and clinical practice.Especially,several key points including oncological outcomes,bacteriological concerns,indication selection,and standardized surgical procedures are raised with this innovative technique.Therefore,it is necessary to achieve an international consensus to regulate the implementation of GC-NOSES,which is of great significance for healthy and orderly development of NOSES worldwide.展开更多
Multiple myeloma(MM)is a plasmocytic malignancy which accounts for approximately 10%of all hematologic malignancies.In 2016,over 16,500 new cases were diagnosed in China,and approximately 10,300 patients died of the d...Multiple myeloma(MM)is a plasmocytic malignancy which accounts for approximately 10%of all hematologic malignancies.In 2016,over 16,500 new cases were diagnosed in China,and approximately 10,300 patients died of the disease.[1]In novel-agent era,some patients had a poor prognosis with a median overall survival(OS)of<2 years although they received the therapy regimen containing novel agents and autologous peripheral blood stem cell transplantation(APBSCT)as front-line therapy.Stratification for Myeloma and Risk-Adapted Therapy 3.0(mSMART 3.0)from Mayo Clinic is a risk-stratification guideline revised in 2020.[2]This risk-stratification guideline proposed a novel point of view as having two of the above genetic abnormalities to be named as doublehit MM and having any three or more as triple-hit MM.展开更多
基金The Science Foundation of Putian City, Fujian Province, China, No. 2006D01
文摘AIM: To investigate the relation of expression transfor-mation of claudin-1 with invasiveness and metastasis of gastric carcinoma. METHODS: By using immunohistochemistry, expres-sion of claudin-1 in mucosa and invasive front of 136 gastric adenocarcinoma cases and proliferative index (Ki-67) were detected and analyzed. RESULTS: In mucosa, the claudin-1 over-expression rate of mucinous adenocarcinomas (including signet-ring cell carcinomas) was the highest. It was nega-tively related with the differentiation but positively related with the invasiveness and metastasis of gastric cancer. In invasive front, the claudin-1 over-expression rate was positively related with the differentiation, in-vasiveness and metastasis of gastric carcinoma. The expression transformation of claudin-1 was found in gastric carcinoma. The expression of claudin-1 in inva-sive front was transformed in 28/136 gastric carcinoma cases. The transformation rate in highly differentiated tubular adenocarcinomas was the highest (51.5%, 17/33). The deeper was the invasiveness, the higher was the transformation rate. The claudin-1 expression transformation rate in serosa and omenta was signifi -cantly higher (92.9%) than in tunica muscularis of in-vasive gastric cancer cases, as well as in patients withlymph node metastasis than in those without lymph node metastasis. CONCLUSION: Up-regulation of claudin-1 expres-sion and its transformation in invasive and metastatic gastric carcinoma suggest that claudin-1 participates in the transformation of biological behaviors in neo-plasms. Further study is needed to elucidate the pre-cise mechanism and the relation of claudin-1 expres-sion with the neoplasm progress.
基金Supported by the General Project-Social Development Field of Shaanxi Province Science and Technology Department,No. 2021SF-313Innovation Capability Support Plan of Shaanxi Science and Technology Department-Science and Technology Innovation Team,No. 2020TD-048
文摘BACKGROUND The most important consideration in determining treatment strategies for undifferentiated early gastric cancer(UEGC)is the risk of lymph node metastasis(LNM).Therefore,identifying a potential biomarker that predicts LNM is quite useful in determining treatment.AIM To develop a machine learning(ML)-based integral procedure to construct the LNM gray-level co-occurrence matrix(GLCM)prediction model.METHODS We retrospectively selected 526 cases of UEGC confirmed through pathological examination after radical gastrectomy without endoscopic treatment in four tertiary hospitals between January 2015 to December 2021.We extracted GLCM-based features from grayscale images and applied ML to the classification of candidate predictive variables.The robustness and clinical utility of each model were evaluated based on the following factors:Receiver operating characteristic curve(ROC),decision curve analysis,and clinical impact curve.RESULTS GLCM-based feature extraction significantly correlated with LNM.The top 7 GLCM-based factors included inertia value 0°(IV_0),inertia value 45°(IV_45),inverse gap 0°(IG_0),inverse gap 45°(IG_45),inverse gap full angle(IG_all),Haralick 30°(Haralick_30),Haralick full angle(Haralick_all),and Entropy.The areas under the ROC curve(AUCs)of the random forest classifier(RFC)model,support vector machine,eXtreme gradient boosting,artificial neural network,and decision tree ranged from 0.805[95%confidence interval(CI):0.258-1.352]to 0.925(95%CI:0.378-1.472)in the training set and from 0.794(95%CI:0.237-1.351)to 0.912(95%CI:0.355-1.469)in the testing set,respectively.The RFC(training set:AUC:0.925,95%CI:0.378-1.472;testing set:AUC:0.912,95%CI:0.355-1.469)model that incorporates Entropy,Haralick_all,Haralick_30,IG_all,IG_45,IG_0,and IV_45 had the highest predictive accuracy.CONCLUSION The evaluation results indicate that the method of selecting radiological and textural features becomes more effective in the LNM discrimination against UEGC patients.Additionally,the MLbased prediction model developed using the RFC can be used to derive treatment options and identify LNM,which can hence improve clinical outcomes.
基金Supported by Natural Science Foundation of Shaanxi Province(Grant No.2018722)
文摘Objective:To explore the expressions of c-fos and c-myc in skin lesion of cutaneous squamous cell carcinoma(CSCC).Methods:Using retrospective analysis.73 cases of CSCC were selected from Department of Dermatology,the Second Affiliated Hospital of Xi'an Jiaotong University.which were removed between January 2000 and January 2012.It was considered as experimental group.Meanwhile.11 cases of normal skin specimens of non tumor patients were selected as control group.The expression level of c-fos and c-myc was compared in the two groups.Results:The expressions of c-fos[72.60%(53/73)]and c-myc[83.56%(61/73)]in experimental group were statistically significant(P≤0.05)compared with control group(0%).Expression of c-myc protein was negatively related to differentiation of CSCC.The difference was statistically significant(X^2=7.26.P=0.001<0.05).While expression of c-fos protein was positively related to differentiation of CSCC.which was statistically significant(X^2=7.47,P=0.0012<0.025).Conclusions:The expression level of c-fos and c-myc can be used as an importan indicator of CSCC differentiation,and it has closely connection with the differentiated degree,which can guide clinical prognosis.
基金Project(51501133)supported by the National Natural Science Foundation of ChinaProject(T201629)supported by the Universities of Hubei Province Outstanding Young Scientific and Technological Innovation Team Plans,ChinaProject(AWJ-M16-11)supported by the State Key Laboratory of Advanced Welding and Joining,Harbin Institute of Technology,China
文摘The Ce/Cr coating was homogenously deposited onto the reticulated open-cell Ni?Cr?Fe alloy foam by the pack cementation process.The mechanical properties of the Ce/Cr coated alloy foams were investigated by the quasi-static compression test.Simultaneously,the deformation and failure mechanisms of Ce/Cr coated alloy foams were discussed.The results show that the adding amount of CeO2powders influences the mechanical properties of the Ce/Cr coated alloy foams.Despite an increase in density as compared to the uncoated foams,the Ce/Cr coated foams exhibit improvement in both yield strength and energy-absorption performance.Especially,the energy-absorption performance of2%Ce/Cr(mass fraction)coated alloy foam is averagely1.9times as high as that of the bare Ni?Cr?Fe alloy foam.In addition,the mechanical properties of the Ce/Cr coated alloy foams increase with the increase of strain rate.The distortion and cracking are mainly the deformation behavior of the Ce/Cr coated alloy foam,confirmed by SEM images.
基金funded by National Natural Science Foundation of China(No.51874253,No.U19A2097,U20A20265)the National Key R&D Program of China(No.2018YFC0310200)。
文摘Drilling in a natural gas hydrate formation is challenging due to the poor consolidation of the formation and the potential evaporation of the hydrate.The unreasonable down-hole pressure of the drilling fluid can not only lead to the wellbore instability,but also change the predrilling condition of the natural gas hydrate formation,thus leading to an instable wellbore.In this paper,the integrated discrete element method(DEM)-computational fluid dynamics(CFD)work flow is developed to study the wellbore instability due to the penetration of the drilling fluid into the hydrate formation during crack propagations.The results show that the difference between in-situ stresses and overpressure directly affect the drilling fluid invasion behavior.The lower hydrate saturation leads to an easier generation of drilling fluid flow channels and the lower formation breakdown pressure.The breakdown pressure increases with the increase of hydrate saturation,this also indicates that hydrates can enhance the mechanical properties of the formation.The induced cracks are initially accompanied with higher pressure of the drilling fluid.According to the rose diagram of the fracture orientation,a wider orientation of the fracture distribution is observed at higher pressure of the invasion fluid.
基金financially supported by the National Natural Science Foundation of China(Nos.52101274 and 52472131)the Natural Science Foundation of Shandong Province(Nos.ZR2020QE011 and ZR2022ME089)+6 种基金Yantai Basic Research Project(No.2024JCYJ097)the Key Research and Development Projects of Shandong Province(No.2024TSGC0402)the Youth Top Talent Foundation of Yantai University(No.2219008)the Graduate Innovation Foundation of Yantai University(No.GIFYTU2240)the Natural Science Foundation of Qinghai Province for Distinguished Young Scholars(No.2025-ZJ-966J)the Talent Youth Project of Chinese Academy of Sciences(No.E410GC03)the CollegeStudent Innovation and Entrepreneurship Training Program Project(No.202311066088)
文摘To effectively enhance the catalytic activity of NiS,NiS particles confined into carbon fibers were prepared by electrostatic spinning followed pyrolyzation and NiS particles decorating was performed by further hydrothermal loading.The decorated NiS exhibits particle(NiS@PAN-NiS)and needle-like(NiS@PAN-NiS^(*))morphologies.After adding the catalysts into MgH_(2),the synthesized MgH_(2)-5 wt%NiS@PAN-NiS composite can absorb 2.6 wt%hydrogen at 353 K and release 5.0 wt%hydrogen within 1 h at 573 K.The initial hydrogen desorption temperature was reduced to 539 K.The activation energies for hydrogen absorption/desorption were greatly reduced to 66.76 and 89.95 kJ mol^(-1),respectively.The method of confining by electrospinning and particle decoration by hydrothermal loading reduce NiS particle agglomeration.The Mg_(2)Ni/Mg_(2)NiH_(4)hydrogen pump formed by reaction between NiS and MgH_(2)effectively enhanced hydrogen absorption and desorption kinetics.The formed MgS also improved the catalytic activity on the transformation of Mg and MgH_(2).Moreover,the carbon fibers should influence the contact between in situ formed MgS and Mg_(2)Ni,providing more catalytic sites and hydrogen diffusion pathways.The construction of NiS/carbon fibers confined NiS composite by carbon fibers derived from pyrolyzation as medium provides considerable way for designing NiS-based catalysts to enhance the hydrogen storage performances of MgH_(2).
文摘At present,natural orifice specimen extraction surgery(NOSES)has attracted more and more attention worldwide,because of its great advantages including minimal cutaneous trauma and post-operative pain,fast post-operative recovery,short hospital stay,and positive psychological impact.However,NOSES for the treatment of gastric cancer(GC)is still in its infancy,and there is great potential to improve its theoretical system and clinical practice.Especially,several key points including oncological outcomes,bacteriological concerns,indication selection,and standardized surgical procedures are raised with this innovative technique.Therefore,it is necessary to achieve an international consensus to regulate the implementation of GC-NOSES,which is of great significance for healthy and orderly development of NOSES worldwide.
基金the Major Special Project of the Ministry of Science and Technology in China(No.2018ZX09733003)Beijing Hospital Authority“Dengfeng”Talent Training Program(No.DFL20180301).
文摘Multiple myeloma(MM)is a plasmocytic malignancy which accounts for approximately 10%of all hematologic malignancies.In 2016,over 16,500 new cases were diagnosed in China,and approximately 10,300 patients died of the disease.[1]In novel-agent era,some patients had a poor prognosis with a median overall survival(OS)of<2 years although they received the therapy regimen containing novel agents and autologous peripheral blood stem cell transplantation(APBSCT)as front-line therapy.Stratification for Myeloma and Risk-Adapted Therapy 3.0(mSMART 3.0)from Mayo Clinic is a risk-stratification guideline revised in 2020.[2]This risk-stratification guideline proposed a novel point of view as having two of the above genetic abnormalities to be named as doublehit MM and having any three or more as triple-hit MM.
