目的:了解多学科协作(multidisciplinary team,MDT)模式下直肠癌术后肺转移治疗决策现状和结局,为加强医疗质量管理、完善MDT模式提供依据。方法:回顾性收集2007年7月至2015年2月北京大学肿瘤医院680例接受术前新辅助治疗联合根治术的...目的:了解多学科协作(multidisciplinary team,MDT)模式下直肠癌术后肺转移治疗决策现状和结局,为加强医疗质量管理、完善MDT模式提供依据。方法:回顾性收集2007年7月至2015年2月北京大学肿瘤医院680例接受术前新辅助治疗联合根治术的直肠癌患者临床资料,调查术后发生肺转移的患者在MDT模式下的治疗决策、执行情况和生存结局。结果:研究纳入85例术后肺转移患者,68例采用MDT模式治疗,其中28例建议行局部根治,40例建议行姑息治疗;决策总执行率为89.7%(61/68),未执行者均选择进一步保守治疗。局部根治的患者在直肠原发灶术后首次发生复发/转移后的3年复发/转移后生存率(survival after recurrence,SAR)高于姑息治疗患者(84.8%vs.37.6%,P<0.001)。结论:在MDT模式运行良好的情况下,直肠癌根治术后肺转移的治疗决策执行率较高,部分患者在该模式下有机会获得根治且预后良好;引入“患者参与”和“社会支持”将有助于构建全新MDT模式和提高医疗质量管理水平。展开更多
Understanding the coupling relationships among lake physicochemical properties,internal nutrient recycling,and related microbes is key for the control of freshwater eutrophication.In this study,seasonal variations in ...Understanding the coupling relationships among lake physicochemical properties,internal nutrient recycling,and related microbes is key for the control of freshwater eutrophication.In this study,seasonal variations in microorganisms at the sediment–water interface(SWI)of the eutrophic Lake Chaohu in China were analyzed,in order to reveal changes in phosphorus(P)-cycling-related microbes in the sediments and its association with internal P release during the cyanobacterial life cycle.The identified P-cycling-related microbes include phosphorus-solubilizing bacteria(PSB)(dominant of Bacillus,Thiobacillus and Acinetobacter),sulfate-reducing bacteria(SRB)(dominant of Sva0081_sediment_group,norank_c__Thermodesulfovibrionia and Desulfatiglans)and iron-reducing bacteria(FeRB)(dominant of Geothermobacter,Anaeromyxobacter,Thermoanaerobaculum and Clostridium_sensu_stricto_1).Increased PSB and reduced proportions of iron-aluminum–bound P(Fe/Al-P)and calcium–bound P(Ca-P)from the benthic stage to initial cyanobacterial growth indicated that internal phosphorus was released through the solubilization of Fe/Al-P and Ca-P by PSB.Growth of cyanobacteria was accompanied by cyanobacteria death,deposition,and degradation during early algal blooms,which increased SRB caused by high organic matter and the net deposition of phosphorus in the western lake.Conversely,phosphorus release in eastern lake was observed because of organic phosphorus mineralization.High linear discriminant analysis effect size of SRB and FeRB and the decreased Fe/Al-P in sediments indicated sulfide-mediated chemical iron reduction(SCIR)and FeRB-mediated microbial iron reduction mechanisms for internal phosphorus release during late algal blooms.The observed seasonal pattern of P-cycling-related microbes and its mediation on internal phosphorus release provides a foundation for internal P management in Lake Chaohu.展开更多
Lithium-ion batteries(LIBs)with high energy and power densities are extensively applied in various fields,such as portable electronic devices and electric vehicles.Compared with traditional inorganic electrode materia...Lithium-ion batteries(LIBs)with high energy and power densities are extensively applied in various fields,such as portable electronic devices and electric vehicles.Compared with traditional inorganic electrode materials,which confront the challenges of resource scarcity and restrained energy density,covalent organic frameworks(COFs)are attractive candidates as electrode materials for the next-generation LIBs.Herein,rational Schiff-base condensation of tetraphenyl-pphenylenediamine(TPPDA)and 5,12-bis(4-(5,5-dimethyl-1,3-dioxan-2-yl)phenyl)-5,12-dihydroquinolino[2,3-b]acridine-7,14-dione(QA-PCHO)yields a two-dimensional(2D)QT-COF as the cathode.2D QT-COF features a high crystalline nature with kgm topology and hierarchically micro-/meso-porous structure,which can strengthen the stability of the chemical structure and promote the fast Li^(+)diffusion under large current densities.These merits make the QT-COF cathode exhibit 110,000 ultralong cycling stability with~100%retention at 10,000 mA g^(-1)upon running for 150 days,exceeding all the thus far reported COF-based electrodes.Additionally,the combination of ex situ X-ray photoelectron spectroscopy,in-situ Raman investigation,and theoretical calculation exhaustively unveils the ion storage mechanism and the rationale underlying the exceptional property of QT-COF.The present result offers an advanced COF with enormous potential as organic electrodes for LIBs,hopefully solving the challenges of ultrahigh cycling stability with superb capacity preservation at high current densities.展开更多
Mitochondria play a crucial role in plant growth,fertility,and adaptation.Sugarcane(Saccharum hybrids)represents the world’s primary sugar and energy crop,while S.spontaneum and S.arundinaceum serve as valuable paren...Mitochondria play a crucial role in plant growth,fertility,and adaptation.Sugarcane(Saccharum hybrids)represents the world’s primary sugar and energy crop,while S.spontaneum and S.arundinaceum serve as valuable parental germplasm.Despite their importance,limited research exists regarding the mitochondrial genomes of sugarcane and related species.This study presents the assembly of mitogenomes from one S.arundinaceum,one S.spontaneum,and five sugarcane cultivars.Analysis revealed that these mitogenomes,encoding 33 protein-coding genes(PCGs),ranged from 445,578 to 533,662 bp,with GC content between 43.43-43.82%.The primary structures of S.arundinaceum consisted of three small rings,while S.spontaneum exhibited one ring and one linear structure,and sugarcane displayed two rings;multiple potential conformations emerged due to repeat-mediated recombination.Additionally,this research developed an intron marker SAnad4i3 capable of species differentiation.The analysis identified between 540 and 581 C to U RNA editing sites in the PCGs,with six RNA editing sites linked to start or stop codon creation in S.arundinaceum,and five sites each in S.spontaneum and sugarcane hybrids.Significantly,30-37 fragments homologous to chloroplast DNA were identified,with S.spontaneum containing the highest number.These mitogenomes appear to have undergone substantial genomic reorganization and gene transfer events throughout evolution,including the loss of eight PCGs.This comprehensive study illuminates the genetic diversity and complexity of the Saccharum complex,establishing a foundation for future germplasm identification and evolutionary research.展开更多
Bacterial infections pose a significant threat to human health and entail substantial economic losses.Due to the broad-spectrum antibacterial effect and low susceptibility to drug resistance,photodynamic therapy(PDT),...Bacterial infections pose a significant threat to human health and entail substantial economic losses.Due to the broad-spectrum antibacterial effect and low susceptibility to drug resistance,photodynamic therapy(PDT),a nontraditional antibacterial approach,has garnered a lot of attention.In PDT,the selection of photosensitizer(PS)is crucial because it directly affects the efficiency and safety of the treatment.As a versatile fluorophore,the advantages of 4,4-difluoro-4-bora-3a,4a-diaza-s-indacene(BODIPY)used as a PS for antibacterial PDT are mainly reflected in its high quantum yield of singlet oxygen,easy modification,and exceptional photostability.Through strategic chemical modifications of the BODIPY structures,it is possible to enhance their photodynamic antibacterial activity and refine their selectivity for bacterial killing.This review focuses on the application of BODIPY-based PSs for treating bacterial infections.According to the design strategies of photodynamic antibacterial materials incorporating BODIPY,a variety of representative therapeutic agents having emerged in recent years are classified and discussed,aiming to offer insights for future research and development in this field.展开更多
Coral reefs support a wide range of organisms in the world,including jellyfish and their benthic relatives.However,quantifying the biodiversity of these organisms in reefs is a challenge because of their uneven distri...Coral reefs support a wide range of organisms in the world,including jellyfish and their benthic relatives.However,quantifying the biodiversity of these organisms in reefs is a challenge because of their uneven distribution and cryptic early life stages,requiring the validation of alternative techniques for biodiversity assessment.Here,the biodiversity and spatial distribution patterns of jellyfish and their benthic relatives,from the Scyphozoa,Hydrozoa,and Ctenophora taxa(hereafter referred to as SHC),were investigated in the coral reefs of Xisha,China,using environmental DNA(eDNA)metabarcoding technology by collecting shallow seawater,mesophotic seawater,and sediment samples.One-hundred and eighty-eight SHC species spanning two phyla(Cnidaria and Ctenophora),three classes,11 orders,65 families,and 104 genera were identified,among which hydrozoans were the most dominant taxa,accounting for 89.81% of all SHC species.SHC species showed low connectivity between shallow and mesophotic habitats,presenting a clear vertical distribution pattern in coral reefs.In the mesophotic coral ecosystems(MCEs),140 SHC species(84.34%)were detected,of which 39.76% were exclusive to MCEs,with Zanclea sp.1,Orthopyxis integra,and Fabienna sphaerica being the dominant species.Additionally,although SHC diversity in seawater was higher than that in the sediment samples,22 species were identified only in the sediment samples,indicating that sediment eDNA may represent a valuable supplementary tool for the investigation of SHC communities in hot spots.In addition to revealing the vast diversity of SHC species occupying coral reef ecosystems in the Xisha Islands,our findings confirm the potential of eDNA metabarcoding as an advanced tool for monitoring the biodiversity of cryptic species.展开更多
Objective:Anlotinib is a novel tyrosine kinase inhibitor blocking angiogenesis.This study was performed to assess the efficacy and safety of anlotinib in patients with metastatic breast cancer.Methods:Patients with HE...Objective:Anlotinib is a novel tyrosine kinase inhibitor blocking angiogenesis.This study was performed to assess the efficacy and safety of anlotinib in patients with metastatic breast cancer.Methods:Patients with HER2-negative breast cancer,who were pre-treated with anthracycline or taxanes in a neoadjuvant,adjuvant,or metastatic setting,and had treatment failure after at least one prior chemotherapy regimen in the metastatic setting were enrolled.Anlotinib was administered at 12 mg daily for 14 days in a 21-day cycle until disease progression or unacceptable toxicity occurred.Simultaneously,5–10 m L of venous blood was collected to perform circulating tumor DNA(ct DNA)testing every 2 treatment cycles.The primary endpoint was the objective response rate(ORR).Secondary endpoints included the disease control rate(DCR),progression-free survival(PFS),overall survival,safety,and biomarkers.Results:Twenty-six eligible patients were enrolled,with a median age of 56(30–75)years.The median follow-up time was 10.5 months.The ORR was 15.4%,the DCR was 80.8%,and the median PFS was 5.22 months(95%confidence interval 2.86–6.24).Fourteen(53.8%)patients survived for more than 10 months.The changes in the detectable ct DNA variant allele frequency were consistent with the tumor response.The most common treatment-related adverse events were hypertension(57.7%),thyroidstimulating hormone elevation(34.6%),and hand-foot syndrome(23.1%).Conclusion:Anlotinib showed objective efficacy with tolerable toxicity in heavily pre-treated,metastatic HER2-negative breast cancer.The dynamic changes in the ct DNA variant allele fraction may be predictive of the tumor response.展开更多
The seasonal changes in dissolved organic matter(DOM),and its correlation with the release of internal nutrients during the annual cycle of cyanobacteria in the eutrophic Lake Chaohu,China,were investigated from four ...The seasonal changes in dissolved organic matter(DOM),and its correlation with the release of internal nutrients during the annual cycle of cyanobacteria in the eutrophic Lake Chaohu,China,were investigated from four sampling periods between November 2020 and July 2021.The DOM fluorescence components were identified as protein-like C1,microbial humic-like C2,and terrestrial humic-like C3.The highest total fluorescence intensity(FT)of DOM in sediments during the incubation stage is due to the decomposition and degradation of cyanobacteria remains.The lowest humification of DOM and the highest proportion of C1 in waters during the initial cyanobacterial growth indicate that fresh algae are the main source.The highest molecular weight of DOM and FT of the C2 in sediments during cyanobacterial outbreaks indicate the concurrent deposition of undegraded cyanobacterial remains and microbial degradation.The components of DOM are affected mainly by the dissolved total phosphorus in waters,while the temperature drives the annual cycle of cyanobacteria.The decreasing C1 in sediments and increasing nutrients in waters from the cyanobacterial incubation to outbreak indicate that mineralization of algal organic matter contributes importantly to the release of internal nutrients,with the strongest release of phosphorus observed during the early growth of cyanobacteria.The humic-like C2 and C3 components could also affect the dynamics of internal phosphorus through the formation of organic colloids and organic–inorganic ligands.The results show that the degradation of DOM leads to nutrients release and thus supports the continuous growth of cyanobacteria in eutrophic Lake Chaohu.展开更多
Objective： To analyze the incidence of cancer during 2008-2012 in Beijing, China, and compare the cancer spectrum with that during 1998-1999. Methods： Data from the Beijing Cancer Registry （BCR）, which covered 12 ...Objective： To analyze the incidence of cancer during 2008-2012 in Beijing, China, and compare the cancer spectrum with that during 1998-1999. Methods： Data from the Beijing Cancer Registry （BCR）, which covered 12 million residents and 16 administrative regions in Beijing, were checked and evaluated on basis of the criteria of data quality from the National Central Cancer Registry （NCCR） of China. Incidences were calculated stratified by cancer type, sex, areas （urban/rural）, and age. The Chinese census population in 1982 and the world Segi＇s population were used for calculating the age-standardized incidences. Results： A total of 177,101 new cancer cases were diagnosed in Beijing between 2008 and 2012. The crude incidence rate （CR） of all cancers was 282.64/100,000 （290.71/100,000 in males and 274.45/100,000 in females）. The age-standardized rates by Chinese standard population （ASR-China） and by world standard population （ASR-world） were 124.46/100,000 and 161.18/100,000, respectivel）a Female breast cancer was the most common cancer, followed by lung cancer, colorectal cancer, liver cancer, and stomach cancer, with the CR of 59.87/100,000, 59.21/100,000, 32.49/100,000, 19.81/100,000 and 17.96/100,000, respectively. In urban areas, female breast cancer （68.50/100,000） was still the most common cancer, followed by lung cancer （61.23/100,000）, colorectal cancer （37.23/100,000）, prostate cancer （20.49/100,000） and stomach cancer （20.07/100,000）. In rural areas, lung cancer （55.94/100,000） was the most common cancer, followed by female breast cancer （45.87/100,000）, colorectal cancer （24.77/100,000）, liver cancer （20.68/100,000） and stomach cancer （14.52/100,000）. Great changes of the cancer spectrum were found from the period of 1998-1999 to the period of2011-2012 in Beijing. Conclusions： The cancer burden in Beijing was heavier than the national average level. Cancer prevention and control strategies, especially for lung, colorectal, prostate and female thyroid cancers, should be enhanced.展开更多
Objective： To investigate the characteristics and incidence trends of childhood cancer in Beijing, China, from 2000 to 2009. Methods： A total of 1,274 cases with childhood cancer in Beijing from 2000 to 2009 were in...Objective： To investigate the characteristics and incidence trends of childhood cancer in Beijing, China, from 2000 to 2009. Methods： A total of 1,274 cases with childhood cancer in Beijing from 2000 to 2009 were included in the study. All rates were age-standardized using the direct method to the world standard population and expressed per million person-years. Incidence trends were characterized by calculating annual percent change （APC） usingJoinpoint Regression Program. Results： The crude incidence rate was 106.47 per million [age-standardized rate （ASR） 113.34] between 2000 and 2009 in Beijing with the most common diagnoses, leukemia （N=505, 39.64%, ASR 45.20）, followed by central nervous system （CNS） tumors （N=228, 17.90%, ASR 19.28） and lyrnphoma （N=91, 7.14%, ASR 6.97）. The incidence for all childhood cancers combined has increased during the study period, with an APC of 5.84% [95% confidence interval （95% CI）： 1.0-10.9] after adjusted by world population. The ASR of all combined cancers in boys showed a slight, but no significant increase, with an APC of 5.33 % （95 % CI： -0.6- 11.6）; for girls, the trends increased significantly, with an APC of 6.54% （95% CI： 1.5-11.8）. Conclusions： The incidence rate of childhood cancer in Beijing was higher than the average level of China and lower than that of western countries. The incidence trends of childhood cancer, especially leukemia among girls showed a significantly increase from 2000 to 2009. While among boys, no substantially change was seen during the observed time period. Some sex-specific trends by subcategories and trends of major cancers in different age groups by cancer site merit further investigation.展开更多
Objective:The accurate prediction of tumor response to neoadjuvant chemoradiotherapy(nCRT)remains challenging.Few studies have investigated pathologic complete response(ypCR)prediction in patients with residual flat m...Objective:The accurate prediction of tumor response to neoadjuvant chemoradiotherapy(nCRT)remains challenging.Few studies have investigated pathologic complete response(ypCR)prediction in patients with residual flat mucosal lesions after treatment.This study aimed to identify variables for predicting ypCR in patients with residual flat mucosal lesions after nCRT for locally advanced rectal cancer(LARC).Methods:Data of patients with residual flat mucosal lesions after nCRT who underwent radical resection between 2009 and 2015 were retrospectively collected from the LARC database at Peking University Cancer Hospital.Univariate and multivariate analyses of the association between clinicopathological factors and ypCR were performed,and a nomogram was constructed by incorporating the significant predictors.Results:Of the 246 patients with residual flat mucosal lesions included in the final analysis,56(22.8%)had ypCR.Univariate and multivariate analyses showed that pretreatment cT stage(pre-cT)≤T2(P=0.016),magnetic resonance tumor regression grade(MR-TRG)1-3(P=0.001)and residual mucosal lesion depth=0 mm(P<0.001)were associated with a higher rate of ypCR.A nomogram was developed with a concordance index(C-index)of0.759 and the calibration curve showed that the nomogram model had good predictive consistency.The follow-up time ranged from 3.0 to 113.3 months,with a median follow-up time of 63.77 months.The multivariate Cox regression model showed that the four variables in the nomogram model were not risk factors for disease-free survival(DFS)or overall survival(OS).Conclusions:Completely flat mucosa,early cT stage and good MR-TRG were predictive factors for ypCR instead of DFS or OS in patients with LARC with residual flat mucosal lesions after nCRT.Endoscopic mucosal re-evaluation before surgery is important,as it may contribute to decision-making and facilitate nonoperative management or organ preservation.展开更多
In this paper, we investigate the interference coordination for downlink full-dimension multiple-input multiple-output(FD-MIMO) systems with device-to-device(D2 D) communications underlaying. With three-dimensional(3 ...In this paper, we investigate the interference coordination for downlink full-dimension multiple-input multiple-output(FD-MIMO) systems with device-to-device(D2 D) communications underlaying. With three-dimensional(3 D) beamforming transmission applied for cellular users(CUEs), an approximation of the interference to signal ratio for CUEs is derived, and a coordination strategy is proposed to mitigate the interference from D2 D pairs to CUEs. Based on the lower bound of the interference to signal ratio for D2 D pairs, we propose coordination strategies for D2 D pairs to mitigate the interference caused by base station(BS) and the interference between D2 D pairs. The proposed strategies require only some statistical channel state information(CSI) of each user and the reduced-dimensional effective CSI of a few CUEs and D2 D pairs. Simulation results show that the proposed coordination strategy performs well in terms of achieving good tradeoff between the achievable rate of CUEs and D2 D pairs.展开更多
Auricularia heimuer,an edible jelly fungus,is in considerable demand in Asia due to its high nutritive,economic and medicinal values.RNA-Seq was used to investigate and analyze the mycelium transcriptome of A.heimuer ...Auricularia heimuer,an edible jelly fungus,is in considerable demand in Asia due to its high nutritive,economic and medicinal values.RNA-Seq was used to investigate and analyze the mycelium transcriptome of A.heimuer for gene discovery.A total of 26,857 unigenes with an N50 length of 1333 bp were assembled by de novo sequencing.In addition,unigenes were annotated by publicly available databases,including gene descriptions,gene ontology(GO),clusters of orthologous group(COG),Kyoto Encyclopedia of Genes and Genomes(KEGG)metabolic pathways,and protein family(Pfam)terms.A.heimuer was also studied for its wood degradation ability.Thirty-eight putative FOLymes(fungal oxidative lignin enzymes)and 251 CAZymes(carbohydrate-active enzymes)were located from A.heimuer transcriptome.Our study provides a comprehensive sequence resource for A.heimuer at the transcriptional level,which will lay a strong foundation for functional genomics studies and gene discovery of this promising fungus.展开更多
Objective： Calcium-sensing receptors （CaSRs） are G-protein coupled receptors which maintain systemic calcium homeostasis and participate in hormone secretion, activation of ion channels, cell apoptosis, proliferati...Objective： Calcium-sensing receptors （CaSRs） are G-protein coupled receptors which maintain systemic calcium homeostasis and participate in hormone secretion, activation of ion channels, cell apoptosis, proliferation, and differentiation. Previous studies have shown that CaSRs induce apoptosis in isolated adult rat heart and in normal neonatal rat cardiomyocytes by G-protein-PLC-IP3 signaling transduction. However, little knowledge is presently available concerning the role of CaSRs in the apoptosis induced by ischemia and reperfusion in neonatal cardiomyocytes. Methods： Primary neonatal rat ventricular cardiomyocytes were incubated in ischemiamimetic solution for 2 h, and then re-incubated in normal culture medium for 24 h to establish a model of simu- lated ischemia/reperfusion （I/R）. Cardiomyocyte apoptosis was detected by terminal deoxynucleotidyl transferase- mediated dUTP nick end labeling （TUNEL）. The expression of CaSRs mRNA was detected by real-time reverse transcription polymerase chain reaction （RT-PCR）. In addition, the expressions of caspase-3 and Bcl-2 were analyzed by western blot. Results： The simulated I/R enhanced the expression of CaSRs and cardiomyocyte apoptosis. GdCl3, a specific activator of CaSRs, further increased the expression of CaSRs and cardiomyocyte apoptosis, along with up-regulation of caspase-3 and down-regulation of Bcl-2. Conclusion： CaSRs are associated with UR injury and apoptosis in neonatal rat ventricular cardiomyocytes via suppressing Bcl-2 and promoting caspase-3 expression.展开更多
Dietary studies of polyps and ephyrae are important to understand the formation and magnitude of jellyfish blooms and provide important insights into the marine food web.However,the diet of polyps and ephyrae in situ ...Dietary studies of polyps and ephyrae are important to understand the formation and magnitude of jellyfish blooms and provide important insights into the marine food web.However,the diet of polyps and ephyrae in situ is largely unknown.Here,prey species of the polyps and ephyrae of the moon jellyfish Aurelia coerulea in situ were identified using high-throughput DNA sequencing techniques.The results show that A.coerulea polyps and ephyrae consume a variety of prey items.The polyps consume both planktonic and benthic prey,including hydromedusae,copepods,ciliates,polychaetes,stauromedusae,and phytoplankton.A.coerulea ephyrae mainly feed on copepods and hydromedusae.Gelatinous zooplankton,including Rathkea octopunctata and Sarsia tubulosa,were frequently found as part of the diet of A.coerulea polyps and ephyrae.The utilization of highthroughput sequencing technique is a useful tool for studying the diet of polyps and ephyrae in the field,complementing the traditional techniques towards a better understanding of the complex role of gelatinous animals in marine ecosystems.展开更多
Objective:To evaluate the safety and efficacy of neoadjuvant chemotherapy(NCT)in mid-low locally advanced rectal cancer with negative mesorectal fascia(MRF).Methods:This prospective,single-arm phaseⅡtrial was designe...Objective:To evaluate the safety and efficacy of neoadjuvant chemotherapy(NCT)in mid-low locally advanced rectal cancer with negative mesorectal fascia(MRF).Methods:This prospective,single-arm phaseⅡtrial was designed and conducted at Peking University Cancer Hospital.The patients who provided consent received 3 months of NCT(capecitabine and oxaliplatin,CapOX)followed by total mesorectal excision(TME).The primary endpoint was the rate of pathological complete response(pCR).Results:From January 2019 through December 2021,a total of 53 patients were enrolled,7.5%of whom experienced grade 3-4 adverse events during NCT.The pCR rate was 17.0%for the entire cohort,and the overall rate of postoperative complications was 37.7%(1.9%of gradeⅢa patients).The 3-year disease-free survival rate was 91.4%,and 23.5%(12/51)of the patients suffered from major low anterior resection syndrome(LARS).Postoperative complications were independently associated with major LARS.Conclusions:For patients with mid-low rectal cancer with negative MRF,3 months of NCT were found to yield a favorable tumor response with acceptable toxicity.With fair long-term survival,the NCT regimen could be associated with low rates of perioperative complications as well as acceptable anal function.展开更多
文摘目的:了解多学科协作(multidisciplinary team,MDT)模式下直肠癌术后肺转移治疗决策现状和结局,为加强医疗质量管理、完善MDT模式提供依据。方法:回顾性收集2007年7月至2015年2月北京大学肿瘤医院680例接受术前新辅助治疗联合根治术的直肠癌患者临床资料,调查术后发生肺转移的患者在MDT模式下的治疗决策、执行情况和生存结局。结果:研究纳入85例术后肺转移患者,68例采用MDT模式治疗,其中28例建议行局部根治,40例建议行姑息治疗;决策总执行率为89.7%(61/68),未执行者均选择进一步保守治疗。局部根治的患者在直肠原发灶术后首次发生复发/转移后的3年复发/转移后生存率(survival after recurrence,SAR)高于姑息治疗患者(84.8%vs.37.6%,P<0.001)。结论:在MDT模式运行良好的情况下,直肠癌根治术后肺转移的治疗决策执行率较高,部分患者在该模式下有机会获得根治且预后良好;引入“患者参与”和“社会支持”将有助于构建全新MDT模式和提高医疗质量管理水平。
基金supported by the National Natural Science Foundation of China(No.U22A20616).
文摘Understanding the coupling relationships among lake physicochemical properties,internal nutrient recycling,and related microbes is key for the control of freshwater eutrophication.In this study,seasonal variations in microorganisms at the sediment–water interface(SWI)of the eutrophic Lake Chaohu in China were analyzed,in order to reveal changes in phosphorus(P)-cycling-related microbes in the sediments and its association with internal P release during the cyanobacterial life cycle.The identified P-cycling-related microbes include phosphorus-solubilizing bacteria(PSB)(dominant of Bacillus,Thiobacillus and Acinetobacter),sulfate-reducing bacteria(SRB)(dominant of Sva0081_sediment_group,norank_c__Thermodesulfovibrionia and Desulfatiglans)and iron-reducing bacteria(FeRB)(dominant of Geothermobacter,Anaeromyxobacter,Thermoanaerobaculum and Clostridium_sensu_stricto_1).Increased PSB and reduced proportions of iron-aluminum–bound P(Fe/Al-P)and calcium–bound P(Ca-P)from the benthic stage to initial cyanobacterial growth indicated that internal phosphorus was released through the solubilization of Fe/Al-P and Ca-P by PSB.Growth of cyanobacteria was accompanied by cyanobacteria death,deposition,and degradation during early algal blooms,which increased SRB caused by high organic matter and the net deposition of phosphorus in the western lake.Conversely,phosphorus release in eastern lake was observed because of organic phosphorus mineralization.High linear discriminant analysis effect size of SRB and FeRB and the decreased Fe/Al-P in sediments indicated sulfide-mediated chemical iron reduction(SCIR)and FeRB-mediated microbial iron reduction mechanisms for internal phosphorus release during late algal blooms.The observed seasonal pattern of P-cycling-related microbes and its mediation on internal phosphorus release provides a foundation for internal P management in Lake Chaohu.
基金financially supported by the Natural Science Foundation of China(22235001,22175020 and 22001015)the Fundamental Research Funds for the Central Universities(No.2050205)+2 种基金the Guizhou Provincial Key Laboratory Platform Project(ZSYS[2025]008)the Talent Program of Guizhou University(No.[2024]11)the Science and Technology Project of Jiangsu Province(BZ2022056)。
文摘Lithium-ion batteries(LIBs)with high energy and power densities are extensively applied in various fields,such as portable electronic devices and electric vehicles.Compared with traditional inorganic electrode materials,which confront the challenges of resource scarcity and restrained energy density,covalent organic frameworks(COFs)are attractive candidates as electrode materials for the next-generation LIBs.Herein,rational Schiff-base condensation of tetraphenyl-pphenylenediamine(TPPDA)and 5,12-bis(4-(5,5-dimethyl-1,3-dioxan-2-yl)phenyl)-5,12-dihydroquinolino[2,3-b]acridine-7,14-dione(QA-PCHO)yields a two-dimensional(2D)QT-COF as the cathode.2D QT-COF features a high crystalline nature with kgm topology and hierarchically micro-/meso-porous structure,which can strengthen the stability of the chemical structure and promote the fast Li^(+)diffusion under large current densities.These merits make the QT-COF cathode exhibit 110,000 ultralong cycling stability with~100%retention at 10,000 mA g^(-1)upon running for 150 days,exceeding all the thus far reported COF-based electrodes.Additionally,the combination of ex situ X-ray photoelectron spectroscopy,in-situ Raman investigation,and theoretical calculation exhaustively unveils the ion storage mechanism and the rationale underlying the exceptional property of QT-COF.The present result offers an advanced COF with enormous potential as organic electrodes for LIBs,hopefully solving the challenges of ultrahigh cycling stability with superb capacity preservation at high current densities.
基金supported by the Chinese Academy of Tropical Agricultural Sciences for Science and Technology Innovation Team of National Tropical Agricultural Science Center(CATASCXTD202402)the Science and Technology Major Project of Guangxi,China(Guike AA23073001)+3 种基金the National Key Research and Development Program of China(2022YFD2301100)the Project of State Key Laboratory of Tropical Crop Breeding,China(NKLTCBCXTD24,NKLTCBHZ04,NKLTCB-RC202401 and SKLTCBYWF202504)the China Agriculture Research System of MOF and MARA(CARS-17)the Scientific Research Start-up Fund for High-level Introduced Talents of Henan Institute of Science and Technology,China(103020224001/073)。
文摘Mitochondria play a crucial role in plant growth,fertility,and adaptation.Sugarcane(Saccharum hybrids)represents the world’s primary sugar and energy crop,while S.spontaneum and S.arundinaceum serve as valuable parental germplasm.Despite their importance,limited research exists regarding the mitochondrial genomes of sugarcane and related species.This study presents the assembly of mitogenomes from one S.arundinaceum,one S.spontaneum,and five sugarcane cultivars.Analysis revealed that these mitogenomes,encoding 33 protein-coding genes(PCGs),ranged from 445,578 to 533,662 bp,with GC content between 43.43-43.82%.The primary structures of S.arundinaceum consisted of three small rings,while S.spontaneum exhibited one ring and one linear structure,and sugarcane displayed two rings;multiple potential conformations emerged due to repeat-mediated recombination.Additionally,this research developed an intron marker SAnad4i3 capable of species differentiation.The analysis identified between 540 and 581 C to U RNA editing sites in the PCGs,with six RNA editing sites linked to start or stop codon creation in S.arundinaceum,and five sites each in S.spontaneum and sugarcane hybrids.Significantly,30-37 fragments homologous to chloroplast DNA were identified,with S.spontaneum containing the highest number.These mitogenomes appear to have undergone substantial genomic reorganization and gene transfer events throughout evolution,including the loss of eight PCGs.This comprehensive study illuminates the genetic diversity and complexity of the Saccharum complex,establishing a foundation for future germplasm identification and evolutionary research.
文摘Bacterial infections pose a significant threat to human health and entail substantial economic losses.Due to the broad-spectrum antibacterial effect and low susceptibility to drug resistance,photodynamic therapy(PDT),a nontraditional antibacterial approach,has garnered a lot of attention.In PDT,the selection of photosensitizer(PS)is crucial because it directly affects the efficiency and safety of the treatment.As a versatile fluorophore,the advantages of 4,4-difluoro-4-bora-3a,4a-diaza-s-indacene(BODIPY)used as a PS for antibacterial PDT are mainly reflected in its high quantum yield of singlet oxygen,easy modification,and exceptional photostability.Through strategic chemical modifications of the BODIPY structures,it is possible to enhance their photodynamic antibacterial activity and refine their selectivity for bacterial killing.This review focuses on the application of BODIPY-based PSs for treating bacterial infections.According to the design strategies of photodynamic antibacterial materials incorporating BODIPY,a variety of representative therapeutic agents having emerged in recent years are classified and discussed,aiming to offer insights for future research and development in this field.
基金Supported by the National Science&Technology Fundamental Resources Investigation Program of China(No.2022FY100603)the Key Project of the NSFC-Shandong Joint Fund(No.U2106208)+1 种基金the National Key Research and Development Program of China(No.2023YFC3108200)the Taishan Scholars Program(No.tsqn202211263)。
文摘Coral reefs support a wide range of organisms in the world,including jellyfish and their benthic relatives.However,quantifying the biodiversity of these organisms in reefs is a challenge because of their uneven distribution and cryptic early life stages,requiring the validation of alternative techniques for biodiversity assessment.Here,the biodiversity and spatial distribution patterns of jellyfish and their benthic relatives,from the Scyphozoa,Hydrozoa,and Ctenophora taxa(hereafter referred to as SHC),were investigated in the coral reefs of Xisha,China,using environmental DNA(eDNA)metabarcoding technology by collecting shallow seawater,mesophotic seawater,and sediment samples.One-hundred and eighty-eight SHC species spanning two phyla(Cnidaria and Ctenophora),three classes,11 orders,65 families,and 104 genera were identified,among which hydrozoans were the most dominant taxa,accounting for 89.81% of all SHC species.SHC species showed low connectivity between shallow and mesophotic habitats,presenting a clear vertical distribution pattern in coral reefs.In the mesophotic coral ecosystems(MCEs),140 SHC species(84.34%)were detected,of which 39.76% were exclusive to MCEs,with Zanclea sp.1,Orthopyxis integra,and Fabienna sphaerica being the dominant species.Additionally,although SHC diversity in seawater was higher than that in the sediment samples,22 species were identified only in the sediment samples,indicating that sediment eDNA may represent a valuable supplementary tool for the investigation of SHC communities in hot spots.In addition to revealing the vast diversity of SHC species occupying coral reef ecosystems in the Xisha Islands,our findings confirm the potential of eDNA metabarcoding as an advanced tool for monitoring the biodiversity of cryptic species.
基金supported by the National Natural Science Foundation of China(Grant No.81672634)National Key Research and Development Program of China(Grant No.2018YFC0115204)+2 种基金Capital Health Development Scientific Research Project(Grant No.2018-2-4023)Clinical Translation and Medical Research Fund of Chinese Academy of Medical Sciences(Grant No.12019XK320071)Peking Union Medical College Graduate Innovation Fund(Grant No.2018-1002-02-25)。
文摘Objective:Anlotinib is a novel tyrosine kinase inhibitor blocking angiogenesis.This study was performed to assess the efficacy and safety of anlotinib in patients with metastatic breast cancer.Methods:Patients with HER2-negative breast cancer,who were pre-treated with anthracycline or taxanes in a neoadjuvant,adjuvant,or metastatic setting,and had treatment failure after at least one prior chemotherapy regimen in the metastatic setting were enrolled.Anlotinib was administered at 12 mg daily for 14 days in a 21-day cycle until disease progression or unacceptable toxicity occurred.Simultaneously,5–10 m L of venous blood was collected to perform circulating tumor DNA(ct DNA)testing every 2 treatment cycles.The primary endpoint was the objective response rate(ORR).Secondary endpoints included the disease control rate(DCR),progression-free survival(PFS),overall survival,safety,and biomarkers.Results:Twenty-six eligible patients were enrolled,with a median age of 56(30–75)years.The median follow-up time was 10.5 months.The ORR was 15.4%,the DCR was 80.8%,and the median PFS was 5.22 months(95%confidence interval 2.86–6.24).Fourteen(53.8%)patients survived for more than 10 months.The changes in the detectable ct DNA variant allele frequency were consistent with the tumor response.The most common treatment-related adverse events were hypertension(57.7%),thyroidstimulating hormone elevation(34.6%),and hand-foot syndrome(23.1%).Conclusion:Anlotinib showed objective efficacy with tolerable toxicity in heavily pre-treated,metastatic HER2-negative breast cancer.The dynamic changes in the ct DNA variant allele fraction may be predictive of the tumor response.
基金supported by the University Natural Science Research Project of Anhui Province (No. KJ2019A0042)the Key Research and Development Program of Anhui Province (No. 201904a07020071)
文摘The seasonal changes in dissolved organic matter(DOM),and its correlation with the release of internal nutrients during the annual cycle of cyanobacteria in the eutrophic Lake Chaohu,China,were investigated from four sampling periods between November 2020 and July 2021.The DOM fluorescence components were identified as protein-like C1,microbial humic-like C2,and terrestrial humic-like C3.The highest total fluorescence intensity(FT)of DOM in sediments during the incubation stage is due to the decomposition and degradation of cyanobacteria remains.The lowest humification of DOM and the highest proportion of C1 in waters during the initial cyanobacterial growth indicate that fresh algae are the main source.The highest molecular weight of DOM and FT of the C2 in sediments during cyanobacterial outbreaks indicate the concurrent deposition of undegraded cyanobacterial remains and microbial degradation.The components of DOM are affected mainly by the dissolved total phosphorus in waters,while the temperature drives the annual cycle of cyanobacteria.The decreasing C1 in sediments and increasing nutrients in waters from the cyanobacterial incubation to outbreak indicate that mineralization of algal organic matter contributes importantly to the release of internal nutrients,with the strongest release of phosphorus observed during the early growth of cyanobacteria.The humic-like C2 and C3 components could also affect the dynamics of internal phosphorus through the formation of organic colloids and organic–inorganic ligands.The results show that the degradation of DOM leads to nutrients release and thus supports the continuous growth of cyanobacteria in eutrophic Lake Chaohu.
文摘Objective： To analyze the incidence of cancer during 2008-2012 in Beijing, China, and compare the cancer spectrum with that during 1998-1999. Methods： Data from the Beijing Cancer Registry （BCR）, which covered 12 million residents and 16 administrative regions in Beijing, were checked and evaluated on basis of the criteria of data quality from the National Central Cancer Registry （NCCR） of China. Incidences were calculated stratified by cancer type, sex, areas （urban/rural）, and age. The Chinese census population in 1982 and the world Segi＇s population were used for calculating the age-standardized incidences. Results： A total of 177,101 new cancer cases were diagnosed in Beijing between 2008 and 2012. The crude incidence rate （CR） of all cancers was 282.64/100,000 （290.71/100,000 in males and 274.45/100,000 in females）. The age-standardized rates by Chinese standard population （ASR-China） and by world standard population （ASR-world） were 124.46/100,000 and 161.18/100,000, respectivel）a Female breast cancer was the most common cancer, followed by lung cancer, colorectal cancer, liver cancer, and stomach cancer, with the CR of 59.87/100,000, 59.21/100,000, 32.49/100,000, 19.81/100,000 and 17.96/100,000, respectively. In urban areas, female breast cancer （68.50/100,000） was still the most common cancer, followed by lung cancer （61.23/100,000）, colorectal cancer （37.23/100,000）, prostate cancer （20.49/100,000） and stomach cancer （20.07/100,000）. In rural areas, lung cancer （55.94/100,000） was the most common cancer, followed by female breast cancer （45.87/100,000）, colorectal cancer （24.77/100,000）, liver cancer （20.68/100,000） and stomach cancer （14.52/100,000）. Great changes of the cancer spectrum were found from the period of 1998-1999 to the period of2011-2012 in Beijing. Conclusions： The cancer burden in Beijing was heavier than the national average level. Cancer prevention and control strategies, especially for lung, colorectal, prostate and female thyroid cancers, should be enhanced.
文摘Objective： To investigate the characteristics and incidence trends of childhood cancer in Beijing, China, from 2000 to 2009. Methods： A total of 1,274 cases with childhood cancer in Beijing from 2000 to 2009 were included in the study. All rates were age-standardized using the direct method to the world standard population and expressed per million person-years. Incidence trends were characterized by calculating annual percent change （APC） usingJoinpoint Regression Program. Results： The crude incidence rate was 106.47 per million [age-standardized rate （ASR） 113.34] between 2000 and 2009 in Beijing with the most common diagnoses, leukemia （N=505, 39.64%, ASR 45.20）, followed by central nervous system （CNS） tumors （N=228, 17.90%, ASR 19.28） and lyrnphoma （N=91, 7.14%, ASR 6.97）. The incidence for all childhood cancers combined has increased during the study period, with an APC of 5.84% [95% confidence interval （95% CI）： 1.0-10.9] after adjusted by world population. The ASR of all combined cancers in boys showed a slight, but no significant increase, with an APC of 5.33 % （95 % CI： -0.6- 11.6）; for girls, the trends increased significantly, with an APC of 6.54% （95% CI： 1.5-11.8）. Conclusions： The incidence rate of childhood cancer in Beijing was higher than the average level of China and lower than that of western countries. The incidence trends of childhood cancer, especially leukemia among girls showed a significantly increase from 2000 to 2009. While among boys, no substantially change was seen during the observed time period. Some sex-specific trends by subcategories and trends of major cancers in different age groups by cancer site merit further investigation.
基金supported by grants from the National Natural Science Foundation of China(No.82173156)Beijing Hospitals Authority Clinical Medicine Development of Special Funding Support(No.ZYLX202116)。
文摘Objective:The accurate prediction of tumor response to neoadjuvant chemoradiotherapy(nCRT)remains challenging.Few studies have investigated pathologic complete response(ypCR)prediction in patients with residual flat mucosal lesions after treatment.This study aimed to identify variables for predicting ypCR in patients with residual flat mucosal lesions after nCRT for locally advanced rectal cancer(LARC).Methods:Data of patients with residual flat mucosal lesions after nCRT who underwent radical resection between 2009 and 2015 were retrospectively collected from the LARC database at Peking University Cancer Hospital.Univariate and multivariate analyses of the association between clinicopathological factors and ypCR were performed,and a nomogram was constructed by incorporating the significant predictors.Results:Of the 246 patients with residual flat mucosal lesions included in the final analysis,56(22.8%)had ypCR.Univariate and multivariate analyses showed that pretreatment cT stage(pre-cT)≤T2(P=0.016),magnetic resonance tumor regression grade(MR-TRG)1-3(P=0.001)and residual mucosal lesion depth=0 mm(P<0.001)were associated with a higher rate of ypCR.A nomogram was developed with a concordance index(C-index)of0.759 and the calibration curve showed that the nomogram model had good predictive consistency.The follow-up time ranged from 3.0 to 113.3 months,with a median follow-up time of 63.77 months.The multivariate Cox regression model showed that the four variables in the nomogram model were not risk factors for disease-free survival(DFS)or overall survival(OS).Conclusions:Completely flat mucosa,early cT stage and good MR-TRG were predictive factors for ypCR instead of DFS or OS in patients with LARC with residual flat mucosal lesions after nCRT.Endoscopic mucosal re-evaluation before surgery is important,as it may contribute to decision-making and facilitate nonoperative management or organ preservation.
基金supported in part by the National Natural Science Foundation of China(Grants No.61831013 and No.61571112)Foundation for the Author of National Excellent Doctoral Dissertation of PR China(FANEDD)(Grant No.201446)
文摘In this paper, we investigate the interference coordination for downlink full-dimension multiple-input multiple-output(FD-MIMO) systems with device-to-device(D2 D) communications underlaying. With three-dimensional(3 D) beamforming transmission applied for cellular users(CUEs), an approximation of the interference to signal ratio for CUEs is derived, and a coordination strategy is proposed to mitigate the interference from D2 D pairs to CUEs. Based on the lower bound of the interference to signal ratio for D2 D pairs, we propose coordination strategies for D2 D pairs to mitigate the interference caused by base station(BS) and the interference between D2 D pairs. The proposed strategies require only some statistical channel state information(CSI) of each user and the reduced-dimensional effective CSI of a few CUEs and D2 D pairs. Simulation results show that the proposed coordination strategy performs well in terms of achieving good tradeoff between the achievable rate of CUEs and D2 D pairs.
基金The work was supported by the Fundamental Research Funds for the Central Universities,(Project No.2572017CF01)the Harbin University Scientific Research Foundation project,(Project No.HUDF2018105).
文摘Auricularia heimuer,an edible jelly fungus,is in considerable demand in Asia due to its high nutritive,economic and medicinal values.RNA-Seq was used to investigate and analyze the mycelium transcriptome of A.heimuer for gene discovery.A total of 26,857 unigenes with an N50 length of 1333 bp were assembled by de novo sequencing.In addition,unigenes were annotated by publicly available databases,including gene descriptions,gene ontology(GO),clusters of orthologous group(COG),Kyoto Encyclopedia of Genes and Genomes(KEGG)metabolic pathways,and protein family(Pfam)terms.A.heimuer was also studied for its wood degradation ability.Thirty-eight putative FOLymes(fungal oxidative lignin enzymes)and 251 CAZymes(carbohydrate-active enzymes)were located from A.heimuer transcriptome.Our study provides a comprehensive sequence resource for A.heimuer at the transcriptional level,which will lay a strong foundation for functional genomics studies and gene discovery of this promising fungus.
基金supported by a grant from the Nature Science Foundation of the Education Department of Jiangsu Province(No.06kjb320006)
文摘Objective： Calcium-sensing receptors （CaSRs） are G-protein coupled receptors which maintain systemic calcium homeostasis and participate in hormone secretion, activation of ion channels, cell apoptosis, proliferation, and differentiation. Previous studies have shown that CaSRs induce apoptosis in isolated adult rat heart and in normal neonatal rat cardiomyocytes by G-protein-PLC-IP3 signaling transduction. However, little knowledge is presently available concerning the role of CaSRs in the apoptosis induced by ischemia and reperfusion in neonatal cardiomyocytes. Methods： Primary neonatal rat ventricular cardiomyocytes were incubated in ischemiamimetic solution for 2 h, and then re-incubated in normal culture medium for 24 h to establish a model of simu- lated ischemia/reperfusion （I/R）. Cardiomyocyte apoptosis was detected by terminal deoxynucleotidyl transferase- mediated dUTP nick end labeling （TUNEL）. The expression of CaSRs mRNA was detected by real-time reverse transcription polymerase chain reaction （RT-PCR）. In addition, the expressions of caspase-3 and Bcl-2 were analyzed by western blot. Results： The simulated I/R enhanced the expression of CaSRs and cardiomyocyte apoptosis. GdCl3, a specific activator of CaSRs, further increased the expression of CaSRs and cardiomyocyte apoptosis, along with up-regulation of caspase-3 and down-regulation of Bcl-2. Conclusion： CaSRs are associated with UR injury and apoptosis in neonatal rat ventricular cardiomyocytes via suppressing Bcl-2 and promoting caspase-3 expression.
基金The National Key Research and Development Program of China under contract No.2018YFC1406501the Strategic Priority Research Program of the Chinese Academy of Sciences under contract No.XDA23050301+2 种基金the National Natural Science Foundation of China under contract No.41876138the Instrument Developing Project of the Chinese Academy of Sciences under contract No.YJKYYQ20180047the Key Research and Development Program of Yantai under contract No.2018ZHGY073。
文摘Dietary studies of polyps and ephyrae are important to understand the formation and magnitude of jellyfish blooms and provide important insights into the marine food web.However,the diet of polyps and ephyrae in situ is largely unknown.Here,prey species of the polyps and ephyrae of the moon jellyfish Aurelia coerulea in situ were identified using high-throughput DNA sequencing techniques.The results show that A.coerulea polyps and ephyrae consume a variety of prey items.The polyps consume both planktonic and benthic prey,including hydromedusae,copepods,ciliates,polychaetes,stauromedusae,and phytoplankton.A.coerulea ephyrae mainly feed on copepods and hydromedusae.Gelatinous zooplankton,including Rathkea octopunctata and Sarsia tubulosa,were frequently found as part of the diet of A.coerulea polyps and ephyrae.The utilization of highthroughput sequencing technique is a useful tool for studying the diet of polyps and ephyrae in the field,complementing the traditional techniques towards a better understanding of the complex role of gelatinous animals in marine ecosystems.
基金supported by Beijing Municipal Administration of Hospitals Incubating Program (No.PZ2020027)Beijing Talent Incubating Funding (No.2019-4)+3 种基金National Natural Science Foundation of China (No.81773214)Beijing Hospitals Authority Clinical Medicine Development of Special Funding Support (No.ZYLX202116)2019 Major and Difficult Diseases Chinese and Western Medicine Coordination Capacity Colorectal Cancer Project [No.(2018)275]Science Foundation of Peking University Cancer Hospital-2023 (No.JC202310)
文摘Objective:To evaluate the safety and efficacy of neoadjuvant chemotherapy(NCT)in mid-low locally advanced rectal cancer with negative mesorectal fascia(MRF).Methods:This prospective,single-arm phaseⅡtrial was designed and conducted at Peking University Cancer Hospital.The patients who provided consent received 3 months of NCT(capecitabine and oxaliplatin,CapOX)followed by total mesorectal excision(TME).The primary endpoint was the rate of pathological complete response(pCR).Results:From January 2019 through December 2021,a total of 53 patients were enrolled,7.5%of whom experienced grade 3-4 adverse events during NCT.The pCR rate was 17.0%for the entire cohort,and the overall rate of postoperative complications was 37.7%(1.9%of gradeⅢa patients).The 3-year disease-free survival rate was 91.4%,and 23.5%(12/51)of the patients suffered from major low anterior resection syndrome(LARS).Postoperative complications were independently associated with major LARS.Conclusions:For patients with mid-low rectal cancer with negative MRF,3 months of NCT were found to yield a favorable tumor response with acceptable toxicity.With fair long-term survival,the NCT regimen could be associated with low rates of perioperative complications as well as acceptable anal function.
基金supported by the National Distinguished Youth Fund of the National Natural Science Foundation of China(NSFC)(Grant No.51725804)the NSFC-Guangdong Province Joint Project(Grant No.U1711264)+1 种基金the Fund for State Key Laboratories from Ministry of Science and Technology of China(Grant No.SLDRCE19-B-23)the Shanghai Post-Doctoral Excellence Program(Grant No.2022558).
