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食管鳞状上皮内瘤变内镜黏膜下剥离术后病理升级的危险因素分析 被引量:3
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作者 饶星宇 蒲柯 +3 位作者 崔逵 莫琳 蹇顺海 杨国栋 《中国肿瘤临床》 CAS CSCD 北大核心 2023年第19期988-992,共5页
目的:分析内镜钳夹活检术(endoscopic forceps biopsy,EFB)提示食管鳞状上皮内瘤变的患者,行内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)后组织病理升级的危险因素。方法:回顾性分析2019年11月至2023年5月于川北医学院附... 目的:分析内镜钳夹活检术(endoscopic forceps biopsy,EFB)提示食管鳞状上皮内瘤变的患者,行内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)后组织病理升级的危险因素。方法:回顾性分析2019年11月至2023年5月于川北医学院附属医院就诊的术前EFB提示食管鳞状上皮内瘤变并接受ESD手术的255例患者共255处病灶,按术前EFB与ESD术后病理差异分为升级组(n=123)与未升级组(n=132),采用单因素和多因素Logistic回归分析危险因素。结果:低级别上皮内瘤变(low-grade intraepithelial neoplasia,LGIN)组术前EFB与ESD术后病理一致率为42.9%(18/42),病理升级率为57.1%(24/42);高级别上皮内瘤变(high-grade intraepithelial neoplasia,HGIN)组术前EFB与ESD术后病理一致率为44.1%(94/213),病理升级率为46.0%(98/213),9.9%(21/213)病理降级为LGIN。单因素分析结果提示饮酒史、乳头内毛细血管袢(intrapapillary capillary loop,IPCL)分型、糜烂、溃疡或出血、病变纵向直径≥2 cm、病变累及管腔范围≥1/2差异均具有统计学意义(均P<0.05);多因素分析结果提示B2/B3型IPCL(P=0.001)、病变纵向直径≥2 cm(P=0.014)、病变累及管腔范围≥1/2(P<0.001)是ESD术后病理升级的独立危险因素。结论:对于内镜下提示B2/B3型IPCL、病变纵向直径≥2 cm、病变累及管腔范围≥1/2的病灶,临床医生应高度警惕病灶病变程度被低估的可能性。 展开更多
关键词 上皮内瘤变 组织病理学升级 内镜黏膜下剥离术
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Endocytic Adaptor Proteins in Vascular Diseases:Critical Role of Intracellular Trafficking in Regulating Pathobiology of Vascular Disorders
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作者 Jianing Gao Bo Zhu +9 位作者 Beibei Wang Bandana Singh Shahram Eisa-Beygi Hao Wu kui cui Kulandai Samy Arulsamy Wendong Huang Wenyi Wei Prasad VG Katakam Hong Chen 《Cardiology Discovery》 2026年第1期26-41,共16页
Endocytic adaptor proteins are essential regulators of intracellular trafficking,coupling receptor internalization with downstream signaling.Recent discoveries have deepened our understanding of how endocytic adaptor ... Endocytic adaptor proteins are essential regulators of intracellular trafficking,coupling receptor internalization with downstream signaling.Recent discoveries have deepened our understanding of how endocytic adaptor proteins contribute to both physiological and pathological processes in the vascular system.This review summarizes the emerging roles of key adaptor proteins—such as epsins,disabled-2,and adaptor protein 2—across multiple vascular cell types,including endothelial cells,vascular smooth muscle cells,and macrophages.These adaptors have diverse but essential functions,ranging from regulating angiogenic signaling and maintaining endothelial barrier integrity to modulating inflammatory responses,vascular smooth muscle cells phenotypic switching,lipid uptake,and structural remodeling of blood vessels.We also highlight advances in therapeutic strategies,such as nanomedicine,viral expression vectors,DNA nanostructures,and small molecule inhibitors that target endocytic adaptors and their function.Understanding the diverse and cell-specific roles of endocytic adaptor proteins is important for gaining insights into vascular disease mechanisms and uncovering novel targets for therapeutic interventions. 展开更多
关键词 Endocytosis Endocytic adaptor proteins Cardiovascular disease Epsin Endothelial dysfunction Nanoparticles
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