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Acellular mucin in neoplastic and non-neoplastic conditions of the lower gastrointestinal tract
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作者 Noureldien Darwish Lynn Guo +1 位作者 Eundong Park Hwajeong Lee 《World Journal of Gastrointestinal Surgery》 2025年第7期79-90,共12页
Acellular mucin refers to pools of mucin without epithelial component,oftentimes harboring inflammatory cells.Acellular mucin can be observed in both neoplastic and non-neoplastic lower gastrointestinal(GI)conditions.... Acellular mucin refers to pools of mucin without epithelial component,oftentimes harboring inflammatory cells.Acellular mucin can be observed in both neoplastic and non-neoplastic lower gastrointestinal(GI)conditions.While mucinous neoplasms are classified and staged using established guidelines,interobserver variability occurs when acellular mucin pools are encountered,leading to inconsistent interpretation and staging.In particular,acellular mucin found in regional lymph nodes of colorectal adenocarcinoma patients who have not received treatment presents a diagnostic challenge,as its prognostic implication is not clearly defined.Acellular mucin is also commonly seen in treated colorectal adenocarcinoma,post neoadjuvant therapy.Although acellular mucin is not counted toward T or N staging in this setting,variation in how pathologists report and stage these cases persists.Acellular mucin can also be seen in non-neoplastic specimens,such as those from interval appendectomies,appendiceal diverticula,colonic diverticulitis,volvulus,and Crohn’s disease where it may mimic a neoplastic lesion.Acellular mucin in this setting is often a byproduct of inflammation,increased luminal pressure,and mural defect.This review highlights the clinical relevance and diagnostic complexity of acellular mucin in pathologic conditions of the lower GI tract.Further studies are needed to clarify its prognostic value and develop standardized guidelines. 展开更多
关键词 Acellular mucin mucinous adenocarcinoma Pseudomyxoma peritonei Lowgrade appendiceal mucinous neoplasm Interval appendectomy
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Pathological features and diagnosis of intraductal papillary mucinous neoplasm of the pancreas 被引量:9
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作者 Víctor M Castellano-Megías Carolina Ibarrola-de Andrés +1 位作者 Guadalupe López-Alonso Francisco Colina-Ruizdelgado 《World Journal of Gastrointestinal Oncology》 SCIE CAS 2014年第9期311-324,共14页
Intraductal papillary mucinous neoplasm(IPMN) of the pancreas is a noninvasive epithelial neoplasm of mucinproducing cells arising in the main duct(MD) and/or branch ducts(BD) of the pancreas.Involved ducts are dilate... Intraductal papillary mucinous neoplasm(IPMN) of the pancreas is a noninvasive epithelial neoplasm of mucinproducing cells arising in the main duct(MD) and/or branch ducts(BD) of the pancreas.Involved ducts are dilated and filled with neoplastic papillae and mucus in variable intensity.IPMN lacks ovarian-type stroma,unlike mucinous cystic neoplasm,and is defined as a grossly visible entity(≥ 5 mm),unlike pancreatic intraepithelial neoplasm.With the use of high-resolution imaging techniques,very small IPMNs are increasingly being identified.Most IPMNs are solitary and located in the pancreatic head,although 20%-40% are multifocal.Macroscopic classification in MD type,BD type and mixed or combined type reflects biological differences with important prognostic and preoperative clinical management implications.Based on cytoarchitectural atypia,IPMN is classified into low-grade,intermediategrade and high-grade dysplasia.Based on histological features and mucin(MUC) immunophenotype,IPMNs are classified into gastric,intestinal,pancreatobiliary and oncocytic types.These different phenotypes can be observed together,with the IPMN classified according to the predominant type.Two pathways have been suggested:gastric phenotype corresponds to less aggressive uncommitted cells(MUC1-,MUC2-,MUC5 AC +,MUC6 +) with the capacity to evolve to intestinal phenotype(intestinal pathway)(MUC1-,MUC2 +,MUC5 AC +,MUC6- or weak +) or pancreatobiliary /oncocytic phenotypes(pyloropancreatic pathway)(MUC1 +,MUC 2-,MUC5 AC +,MUC 6 +) becoming more aggressive.Prognosis of IPMN is excellent but critically worsens when invasive carcinoma arises(about 40% of IPMNs),except in some cases of minimal invasion.The clinical challenge is to establish which IPMNs should be removed because of their higher risk of developing invasive cancer.Once resected,they must be extensively sampled or,much better,submitted in its entirety for microscopic study to completely rule out associated invasive carcinoma. 展开更多
关键词 mucinous pancreatic cysts Intraductal papillary mucinous neoplasm Main duct intraductal papillary mucinous neoplasm Branch duct intraductal papillary mucinous neoplasm mucinS
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Runchangningshen paste activates NLRP6 inflammasome-mediated autophagy to stimulate colonic mucin-2 secretion and modulates mucosal microbiota in functional constipation 被引量:1
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作者 Xue-Jiao Liu Ye-li-ya Ye-er-tai +5 位作者 Yue-Bo Jia Chen-Heng Wu Xiang-Xiang Wang Ke-Ming Yang Xuan Yao Jiang-Hong Ling 《World Journal of Gastroenterology》 2025年第9期100-134,共35页
BACKGROUND Runchangningshen paste(RCNSP)is a paste made of four medicinal and edible homologous Chinese medicine mixed with honey.It is known for its ability to nourish yin and blood as well as to loosen the bowel to ... BACKGROUND Runchangningshen paste(RCNSP)is a paste made of four medicinal and edible homologous Chinese medicine mixed with honey.It is known for its ability to nourish yin and blood as well as to loosen the bowel to relieve constipation.The pathophysiology of functional constipation(FC)is associated with a reduction in mucin-2(MUC2)secretion and microbial dysbiosis.AIM To investigate the underlying mechanism of RCNSP against FC through MUC2 and the gut mucosal microbiota.METHODS Ultra-performance liquid chromatography tandem mass spectrometry characterized RCNSP composition to elucidate the material basis of action.FC model was induced via loperamide gavage(16 mg/kg)twice daily for 7 days.Applying defecation function and gastrointestinal motility to assess constipation severity.Hematoxylin and eosin and Alcian blue-periodic acid-schiff staining analyzed colonic mucosal morphology.Transmission electron microscope was used to observe the ultrastructure of goblet cells(GCs).Immunofluorescence colocalization,quantitative PCR,and western blot assessed the impact of RCNSP on gene and protein expression within the NLRP6/autophagy pathway.16S rDNA was employed to sequence the gut mucosal microbiota.RESULTS RCNSP contained 12 components with potential laxative effects.It enhanced defecation function,accelerated gastrointestinal motility,and maintained colonic mucosal integrity.RCNSP treatment significantly increased GC abundance and MUC2 production while preserving GC ultrastructure.At the molecular level,RCNSP enhanced the colocalized expression of key regulatory proteins and modulated mRNA and protein expressions in the NLRP6/autophagy pathway.Through 16S rDNA sequencing analysis,RCNSP significantly altered the mucosal microbiota composition.Specifically,it increased beneficial bacterial strains while reducing harmful ones.Simultaneously,RCNSP reduced butyrate-producing bacteria like Proteobacteria,Enterobacteriaceae,Blautia,and Eubacterium and decreased hydrogen sulfide-producing species,such as Prevotellaceae.It also reduced bile acidinhibiting species,such as g_Eubacter_coprostanoligenes_group and Erysipelotrichaceae while increasing bile acidproducing species,such as Colidextribacter.CONCLUSION Our findings suggested that RCNSP ameliorated constipation through a dual mechanism:It stimulated colonic MUC2 secretion by activating NLRP6 inflammasome-mediated autophagy and modulated the composition of the mucosal microbiota. 展开更多
关键词 Traditional Chinese medicine Functional constipation NLRP6 AUTOPHAGY Mucosal microbiota mucin Goblet cells
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A Mucin2-Like Gene,NlMuc2,is Required for Early Embryonic Development in Nilaparvata lugens
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作者 WANG Weixia ZHU Tingheng +4 位作者 WEI Qi WAN Pinjun HE Jiachun LAI Fengxiang FU Qiang 《Rice science》 2025年第4期549-560,I0066-I0070,共17页
In Nilaparvata lugens,a serious and widespread rice pest,high fecundity is one of the important reasons for large populations and outbreaks.As embryogenesis is a critical process associated with insect fecundity,this ... In Nilaparvata lugens,a serious and widespread rice pest,high fecundity is one of the important reasons for large populations and outbreaks.As embryogenesis is a critical process associated with insect fecundity,this study investigated the function of the Mucin2-like gene(NlMuc2)in the embryogenesis of N.lugens.The results showed that NlMuc2 was highly expressed in female reproductive organs and in 1-day-old eggs.Knockdown of NlMuc2 via RNA interference(RNAi)in 3rd instar nymphs resulted in increased mortality.In 5th instar nymphs,NlMuc2 knockdown led to a dramatic reduction in egg hatchability from 86.0%to 24.0%,offspring numbers from 330.4 to 81.5,egg count from 382.4 to 217.0,and resulted in 86.0%of eggs exhibiting inverted embryos.In newly emerged females,NlMuc2 knockdown retarded ovarian development and decreased the number of mature eggs,with 51.0%of eggs containing inverted embryos.Transcriptome sequencing analysis of eggs revealed that numerous genes were downregulated after NlMuc2 knockdown,with 16 and 15 downregulated genes enriched in the Wnt and MAPK pathways,respectively.Temporal and spatial expression profiling of selected differentially expressed genes,including Axin,δ-Catenin,Glypican-4-like,and Ror-like in the Wnt pathway,and MKK4 in the MAPK pathway,showed expression patterns similar to NlMuc2.Knockdown of Ror-like,Glypican-4-like,or MKK4 reduced the total number of eggs.Knockdown of Axin or MKK4 reduced the egg hatchability.A similar phenotype of eggs with inverted embryos was also observed in eggs laid by dsMKK4-and dsAxin-treated females.Thus,NlMuc2 is involved in embryonic development mainly by regulating the Wnt and MAPK signaling pathways.These findings may provide new targets for pesticide design and RNAi-based control of N.lugens,and will also provide new insights into insect embryonic development and the function of insect mucins. 展开更多
关键词 mucinS Nilaparvata lugens EMBRYOGENESIS katatrepsis
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Giant transverse colonic mesenteric mucinous liposarcoma combined with rectal cancer and aortic coarctation:A case report and review of literature
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作者 Meng Wang Jian Sun +4 位作者 Zhi-Qiang Song Xi-Qi Chen Guang-Dong Xie Yong Zhu Yong-Kun Zhou 《World Journal of Gastrointestinal Surgery》 2025年第6期421-429,共9页
BACKGROUND Liposarcomas(LPSs)are malignant mesenchymal tumors originating from adipocytes.Myxoid LPS(MLPS),a common subtype,predominantly arises in the extremities,retroperitoneum,and deep soft tissues,with a rare occ... BACKGROUND Liposarcomas(LPSs)are malignant mesenchymal tumors originating from adipocytes.Myxoid LPS(MLPS),a common subtype,predominantly arises in the extremities,retroperitoneum,and deep soft tissues,with a rare occurrence in the gastrointestinal tract.Primary mesenteric LPS is particularly uncommon,especially in the transverse colonic mesentery.CASE SUMMARY This report describes the case of a 65-year-old female patient who presented with abdominal distension and was diagnosed with a giant mucinous LPS of the transverse colonic mesentery.Upon admission,the patient underwent a comprehensive evaluation.Contrast-enhanced computed tomography(CT)of the chest and abdomen revealed a large malignant tumor with aortic dissection,while colonoscopy identified rectal cancer.Given the patient's condition and surgical risk,an interventional procedure was first performed to manage the aortic coarctation,followed by tumor resection via laparotomy.Intraoperative and histopathological findings confirmed a giant mucinous LPS originating from the transverse colon mesentery.Postoperatively,the patient underwent chemotherapy and regular follow-up CT.Although the rectal tumor did not recur,the mesenteric tumor showed extensive recurrence,compressing the intestinal lumen and causing mechanical obstruction,which severely threatened the patient's life.A second operation temporarily relieved the obstructive symptoms;however,it had a limited effect on tumor progression.The patient died four months later due to disease progression.CONCLUSION While no standardized treatment exists for MLPS co-occurring with multiple diseases,operation remains the mainstay.However,recurrence,metastasis,and poor postoperative prognosis continue to pose serious threats to patient survival. 展开更多
关键词 mucinous liposarcoma Transverse colonic mesentery Aortic dissection Rectal cancer Intestinal obstruction Case report
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Complete appendiceal intussusception and appendiceal mucinous tumor:A case report and review of literature
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作者 Qi Guo Han-Ying Lu +3 位作者 Hua Lyu Hao Tian Qiang Zhao Yang-Chun Zheng 《World Journal of Gastrointestinal Surgery》 2025年第9期439-447,共9页
BACKGROUND Complete appendiceal intussusception(CAI)coexisting with appendiceal tumor represents an exceptionally rare clinical tumor.This study presented a retrospective analysis of a case involving CAI complicated b... BACKGROUND Complete appendiceal intussusception(CAI)coexisting with appendiceal tumor represents an exceptionally rare clinical tumor.This study presented a retrospective analysis of a case involving CAI complicated by appendiceal mucinous tumor,supplemented by a review of 10 previously reported cases to distill diagnostic and therapeutic insights.CASE SUMMARY A 74-year-old male patient presented with abdominal pain.Abdominal contrastenhanced computed tomography(CECT)initially suggested a colonic tumor with intussusception.Colonoscopy identified a mass in the colon 60 cm from the anus.Intraoperative exploration confirmed CAI secondary to an appendiceal neoplasm.The patient underwent laparoscopic right hemicolectomy with regional lymphadenectomy under general anesthesia.Postoperative recovery was uneventful,and the patient was discharged 9 days post-surgery.Twelve-month follow-up revealed no evidence of recurrence or metastasis.CONCLUSION Plain abdominal computed tomography may underestimate the presence of CAI and appendiceal mucinous tumor,whereas CECT significantly improves diagnostic accuracy.Preoperative suspicion of appendiceal malignancy should be entertained in cases of CAI.In the absence of definitive biopsy results,intraoperative frozen section analysis is recommended to guide radical resection. 展开更多
关键词 Complete appendiceal intussusception Appendiceal mucinous adenocarcinoma Right hemicolectomy Laparoscope overall Case report
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Low-grade appendiceal mucinous neoplasm:A case report
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作者 Xi Deng Li-Yuan Lv +5 位作者 Su-Xiang Jiang Jian-Xian Huang Xin-Yuan Chen Meng-Fei Zhang Jian Qi Man Yang 《World Journal of Clinical Cases》 2025年第34期30-35,共6页
BACKGROUND Low-grade appendiceal mucinous neoplasms are papillary or flat mucinous tumors with low-grade cytologic atypia.They are the most frequent source of pseudomyxoma peritonei.They can be easily misdiagnosed,due... BACKGROUND Low-grade appendiceal mucinous neoplasms are papillary or flat mucinous tumors with low-grade cytologic atypia.They are the most frequent source of pseudomyxoma peritonei.They can be easily misdiagnosed,due to unspecific symptoms,with acute appendicitis,retroperitoneal tumors or adnexal mass.Cases of huge appendiceal mucinous neoplasms are even more extremely rare.CASE SUMMARY We report a 54-year-old patient who presented with a 10-month history of constant dull distension accompanied by nausea.A surgical procedure of total hysterectomy,bilateral adnexectomy,appendectomy,greater omentectomy and right hemicolectomy was performed as a result of the findings on ultrasound,computed tomography scan and magnetic resonance imaging.Diagnosis was made after the pathological examination,which revealed low-grade appendiceal mucinous neoplasm.The patient received hyperthermic intraperitoneal chemotherapy with cisplatin and was discharged from the hospital.CONCLUSION Low-grade appendiceal mucinous adenomas are rare tumors that are easily misdiagnosed,and a more thorough clinical workup is required to make a defi-nitive diagnosis. 展开更多
关键词 Low-grade appendiceal mucinous neoplasm Pseudomyxoma peritonei Ovarian cystadenoma PATHOLOGY Surgery Hyperthermic intraperitoneal chemotherapy Case report
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Appendiceal mucinous neoplasms:Optimizing treatment strategies based on clinical,histological,and molecular features
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作者 Atsushi Mitamura Shingo Tsujinaka +7 位作者 Fumiyoshi Fujishima Kentaro Sawada Makoto Hikage Tomoya Miura Yoh Kitamura Yuuri Hatsuzawa Toru Nakano Chikashi Shibata 《World Journal of Clinical Oncology》 2025年第8期128-139,共12页
Appendiceal mucinous neoplasms(AMNs)are rare tumors originating from mucin-producing epithelial cells of the appendix.They can exhibit both benign and malignant behavior.They are often incidentally discovered during a... Appendiceal mucinous neoplasms(AMNs)are rare tumors originating from mucin-producing epithelial cells of the appendix.They can exhibit both benign and malignant behavior.They are often incidentally discovered during appendectomy.Clinical presentation ranges from asymptomatic to mimicking acute appendicitis.Histologically,noninvasive AMNs are classified as low-grade AMNs(LAMNs)or high-grade AMNs(HAMNs),whereas invasive tumors are categorized as mucinous adenocarcinomas.Although LAMNs and HAMNs are generally nonmalignant,rupture can lead to pseudomyxoma peritonei(PMP).Surgical resection is the primary diagnostic and therapeutic approach,with intraoperative assessment to prevent rupture.Treatment strategies vary based on findings and include appendectomy,right hemicolectomy,and cytoreductive surgery with hyperthermic intraperitoneal chemotherapy.Histological diagnosis relies on mucin detection,and immunohistochemical markers such as cytokeratin 20(diffusely positive),cytokeratin 7(often negative),mucin 5AC,and special ATrich sequence-binding protein 2 assist in characterization.Molecular profiling frequently identifies KRAS,GNAS,and TP53 mutations.KRAS mutations are generally associated with a favorable prognosis,whereas GNAS and TP53 mutations correlate with poorer survival outcomes.These findings highlight the potential role of molecular profiling in guiding treatment strategies for AMN and PMP. 展开更多
关键词 Low-grade appendiceal neoplasms High-grade appendiceal neoplasms mucinous adenocarcinomas Pseudomyxoma peritonei IMMUNOHISTOCHEMISTRY Molecular markers Cytoreductive surgery Hyperthermic intraperitoneal chemotherapy
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Low-grade appendiceal mucinous neoplasm at appendiceal orifice treated via appendectomy with double purse-string suture method:A case report
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作者 Dong Liu Yue-Long Xing Dan Chen 《World Journal of Gastrointestinal Oncology》 2025年第5期479-483,共5页
BACKGROUND Low-grade appendiceal mucinous neoplasms(LAMNs)are a class of histolo-gically well-differentiated adenomas that can proliferate outside the appendix in the form of malignant tumours,resulting in the accumul... BACKGROUND Low-grade appendiceal mucinous neoplasms(LAMNs)are a class of histolo-gically well-differentiated adenomas that can proliferate outside the appendix in the form of malignant tumours,resulting in the accumulation of external appen-diceal mucus.They may present as an extra-appendiceal mass-like bulge,mucus or polypoid tissue at the appendiceal orifice,or even with abdominal dissem-ination.The surgical approach is usually appendectomy,ileocecal resection or right hemicolectomy.It is essential to raise awareness of LAMNs and choose an appropriate treatment.CASE SUMMARY A 68-year-old man underwent a routine physical examination at our hospital on May 17,2022.The patient had no symptoms of abdominal pain,bloating,or weight loss,and his tumour marker levels were normal.The faecal occult blood test was negative,and no abnormalities were identified on physical examination.Colonoscopy revealed a submucosal protrusion at the appendiceal orifice.During endoscopic ultrasound,uneven echoes were observed in the appendix cavity.A contrast-enhanced computed tomography scan of the abdomen revealed a nodular thickening at the base of the appendix,with a diameter of approximately 1 cm.When all the examination results were considered,we suspected the lesion to be an appendiceal mucinous tumour.Laparoscopic surgery was performed using the double purse-string suture method.Postoperative pathology suggested a low-grade mucinous cystadenoma of the appendix with no involvement of the margins.A repeat colonoscopy 18 months after surgery revealed no significant abnormality at the appendiceal orifice.A contrast-enhanced computed tomography scan of the abdomen suggested only postoperative changes.CONCLUSION This study describes a case of LAMN that was treated by resecting the mass at the appendiceal orifice via the double purse-string suture technique and provides new insights on the diagnosis and treatment of LAMNs. 展开更多
关键词 Appendiceal orifice mass Low-grade appendiceal mucinous neoplasm Double purse-string suture Surgical approach Treatment Case report
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Pancreatic neuroendocrine neoplasms coexisting with biliary intraductal papillary mucinous neoplasm: A case report and review of literature
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作者 An-Qi Yi Guang-Hua Xie 《World Journal of Gastrointestinal Oncology》 2025年第4期466-478,共13页
BACKGROUND Pancreatic neuroendocrine neoplasms(pNENs)are rare,heterogeneous tumors accounting for 1%-2%of pancreatic tumors,with significant malignant potential.Intraductal papillary mucinous neoplasm of the bile duct... BACKGROUND Pancreatic neuroendocrine neoplasms(pNENs)are rare,heterogeneous tumors accounting for 1%-2%of pancreatic tumors,with significant malignant potential.Intraductal papillary mucinous neoplasm of the bile duct(IPMN-B)is a rare precancerous lesion in the bile duct system,with potential for malignancy.The combination of pNENs and IPMN-B is exceptionally rare and often leads to misdiagnosis.This study aims to report a rare case of pNENs combined with IPMN-B treated at Yanbian University Hospital to improve understanding and management of this unusual tumor combination.CASE SUMMARY We retrospectively analyzed a case from Yanbian University Hospital.We re-viewed clinical records,imaging findings,endoscopic retrograde cholangiopan-creatography,surgical exploration,and histopathological examination.The pa-tient was diagnosed with pNENs and IPMN-B.Surgical treatment was performed,with follow-up showing effective management and no significant recurrence.CONCLUSION This case represents the first report of pNENs combined with IPMN-B.It high-lights the need for thorough diagnostic evaluation to prevent misdiagnosis and improve treatment strategies. 展开更多
关键词 Pancreatic neuroendocrine neoplasms Intraductal papillary mucinous neoplasm of the bile duct Malignant potential Endoscopic retrograde cholangiopancreatography HISTOPATHOLOGY Case report
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Mucinous cystic neoplasms of the liver:Literature review and case series
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作者 Ottavia Cicerone Giorgia Basilico +5 位作者 Claudio Tassi Caterina Antoniacomi Federica Lucev Salvatore Corallo Alessandro Vanoli Marcello Maestri 《World Journal of Clinical Oncology》 2025年第8期103-113,共11页
Mucinous cystic neoplasms of the liver(MCN-L)are rare cystic lesions characterized by mucin-producing epithelium and ovarian-like stroma.Although they constitute fewer than 5%of hepatic cystic lesions,MCN-L poses sign... Mucinous cystic neoplasms of the liver(MCN-L)are rare cystic lesions characterized by mucin-producing epithelium and ovarian-like stroma.Although they constitute fewer than 5%of hepatic cystic lesions,MCN-L poses significant diagnostic challenges due to overlapping features with other cystic lesions and their potential for malignant transformation.Early recognition and definitive surgical intervention are therefore critical to ensure optimal patient outcomes.A literature review was conducted to summarize epidemiology,clinical presentation,diagnostic modalities,and management strategies for MCN-L.Additionally,from 2019 to 2025,9 patients with MCN-L were identified at our center.Clinical data and outcomes were retrospectively analyzed.MCN-L predominantly affects middle-aged women and presents as large,multiloculated cystic lesions without biliary communication.The revised 2010 World Health Organization classification emphasizes the presence of ovarian-like stroma for definitive diagnosis.Contrast-enhanced computed tomography or magnetic resonance imaging are often suggestive but not pathognomonic,reinforcing the need for histopathological confirmation.MCN-L remains a diagnostic and therapeutic challenge due to its resemblance to other cystic liver lesions.Complete surgical resection is the treatment of choice to prevent recurrence and malignant transformation,reinforcing the importance of early intervention.Further research is needed to improve diagnostic accuracy and refine management strategies. 展开更多
关键词 mucinous cystic neoplasm of the liver Liver tumors Hepatic cystic lesions Cystic liver neoplasm Ovarian-like stroma CYSTADENOMA Liver surgery
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Surgical resection for simultaneous intraductal papillary mucinous neoplasm of the bile duct and pancreatic duct:A case report
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作者 Xiao-Rui Huang Deng-Sheng Zhu Ya-Hong Yu 《World Journal of Gastrointestinal Surgery》 2025年第8期445-451,共7页
Intraductal papillary mucinous neoplasm(IPMN)and intraductal papillary neoplasm of the bile duct(IPNB)are mucinous cystic tumors with intraductal papillary growth and malignant potential.Their concurrent occurrence is... Intraductal papillary mucinous neoplasm(IPMN)and intraductal papillary neoplasm of the bile duct(IPNB)are mucinous cystic tumors with intraductal papillary growth and malignant potential.Their concurrent occurrence is exceptionally rare.CASE SUMMARY A 58-year-old Chinese man presented with recurrent upper abdominal pain.Imaging and laboratory tests revealed lesions consistent with IPNB and IPMN.Postoperative pathological examination confirmed IPNB with high-grade dysplasia and main-duct type IPMN with low-grade dysplasia.The patient underwent extrahepatic bile duct resection with Roux-en-Y choledochoenterostomy and distal pancreatectomy.He had an excellent prognosis with no tumor recurrence during the 30-month follow-up.CONCLUSION This case emphasizes the importance of comprehensive preoperative assessment and individualized management for these complex tumors.Further research is needed to understand their pathogenesis and improve treatment strategies. 展开更多
关键词 Intraductal papillary neoplasm of the bile duct Intraductal papillary mucinous neoplasm of the pancreas SIMULTANEOUS SURGERY DYSPLASIA Case report
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Study on the mechanism of glutamine promoting the synthesis of colonic mucin and maintaining the stability of intestinal microbiota in septic mice
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作者 Yanyan Pan Gang Yang +7 位作者 Dan Wu Yan Wei Shijun Fan Lin Xia Qian Chen Qianying Huang Yongling Lu Xi Peng 《Food Science and Human Wellness》 2025年第8期3150-3162,共13页
Colonic mucus and gut microbiota closely linked through mutual regulatory effect.While their alterations during sepsis and whether glutamine can maintain the colonic mucus barrier and gut microbiota stability are uncl... Colonic mucus and gut microbiota closely linked through mutual regulatory effect.While their alterations during sepsis and whether glutamine can maintain the colonic mucus barrier and gut microbiota stability are unclear.Cecal ligation and puncture-induced sepsis in mice was utilized to observe changes in colonic mucus,gut microbiota,and their interaction with glutamine intervention.Our findings indicated that glutamine mitigated sepsis-induced intestinal damage and restores colonic mucus barrier function by augmenting mucin synthesis.Further analysis revealed that goblet cells were under oxidative stress after sepsis,resulting in anterior gradient-2(AGR2),the key mucin-modifying enzyme,being dissynthesized,and inhibiting mucin 2(MUC2)maturation.Glutamine could ameliorates this situation by promoting the key enzyme glucose-6-phosphate dehydrogenase(G6PD)glycosylation in the pentose phosphate pathway,increasing the reduced nicotinamide adenine dinucleotide phosphate(NADPH)synthesis,reducing endoplasmic reticulum stress,and accelerating AGR2 synthesis and MUC2 maturation.Additionally,glutamine aided in maintaining gut microbiota stability during sepsis,up-regulating mucin-associated bacteria such as Akkermansia and Alistipes.These bacteria,intimately linked to mucin synthesis and degradation,may impact intestinal mucus stability.In conclusion,glutamine can maintain goblet cell redox balance,promotes AGR2 synthesis and MUC2 maturation,shields the mucus barrier,and potentially maintains gut microbiota stability by regulating the interaction between bacteria and mucus,thus alleviating sepsis-induced intestinal damage. 展开更多
关键词 GLUTAMINE mucin 2(MUC2) Anterior gradient-2(AGR2) Glucose-6-phosphate dehydrogenase(G6PD) Intestinal mucosa barrier Gut microbiota
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Validation of serum tumor biomarkers in predicting advanced cystic mucinous neoplasm of the pancreas
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作者 Li-Qi Sun Li-Si Peng +4 位作者 Jie-Fang Guo Fei Jiang Fang Cui Hao-Jie Huang Zhen-Dong Jin 《World Journal of Gastroenterology》 SCIE CAS 2021年第6期501-512,共12页
BACKGROUND Early detection of advanced cystic mucinous neoplasms[(A-cMNs),defined as high-grade dysplasia or malignancy]of the pancreas is of great significance.As a simple and feasible detection method,serum tumor ma... BACKGROUND Early detection of advanced cystic mucinous neoplasms[(A-cMNs),defined as high-grade dysplasia or malignancy]of the pancreas is of great significance.As a simple and feasible detection method,serum tumor markers(STMs)may be used to predict advanced intraductal papillary mucinous neoplasms(IPMNs)and mucinous cystic neoplasms(MCNs).However,there are few studies on the usefulness of STMs other than carbohydrate antigen(CA)19-9 for early detection of A-cMNs.AIM To study the ability of five STMs-CA19-9,carcinoembryonic antigen(CEA),CA125,CA724,and CA242 to predict A-cMNs and distinguish IPMNs and MCNs.METHODS We mainly measured the levels of each STM in patients pathologically diagnosed with cMNs.The mean levels of STMs and the number of A-cMN subjects with a higher STM level than the cutoff were compared respectively to identify the ability of STMs to predict A-cMNs and distinguish MCNs from IPMNs.A receiver operating characteristic curve with the area under curve(AUC)was also created to identify the performance of the five STMs.RESULTS A total of 187 patients with cMNs were identified and 72 of them showed AcMNs.We found that CA19-9 exhibited the highest sensitivity(SE)(54.2%)and accuracy(76.5%)and a moderate ability(AUC=0.766)to predict A-cMNs.In predicting high-grade dysplasia IPMNs,the SE of CA19-9 decreased to 38.5%.The ability of CEA,CA125,and CA724 to predict A-cMNs was low(AUC=0.651,0.583,and 0.618,respectively).The predictive ability of CA242 was not identified.The combination of STMs improved the SE to 62.5%.CA125 may be specific to the diagnosis of advanced MCNs.CONCLUSION CA19-9 has a moderate ability,and CEA,CA125,and CA724 have a low ability to predict A-cMNs.The combination of STM testing could improve SE in predicting A-cMNs. 展开更多
关键词 Serum tumor markers Diagnosis Advanced cystic mucinous neoplasms mucinous cystic neoplasms Intraductal papillary mucinous neoplasms
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Solitary acral persistent papular mucinosis nodule:A case report and summary of eight Korean cases
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作者 Yu Jeong Park Hui Young Shin +3 位作者 Woo Kyoung Choi Ai-Young Lee Seung Ho Lee Jong Soo Hong 《World Journal of Clinical Cases》 SCIE 2023年第13期3086-3091,共6页
BACKGROUND Acral persistent papular mucinosis(APPM)is a rare idiopathic subtype of localized lichen myxedematosus.To date,there have been 40 APPM cases reported worldwide;however,only 7 cases have been reported in the... BACKGROUND Acral persistent papular mucinosis(APPM)is a rare idiopathic subtype of localized lichen myxedematosus.To date,there have been 40 APPM cases reported worldwide;however,only 7 cases have been reported in the Korean literature.CASE SUMMARY A 70-year-old man was referred to our hospital with a solitary pinkish nodule on the dorsum of his right hand.Despite the absence of symptoms,the patient wanted to know the exact diagnosis;thus,a biopsy was performed.Histopathological examination of a biopsy specimen obtained from the nodule on the dorsum of his hand revealed orthokeratotic hyperkeratosis with patchy parakeratosis,prominent hypergranulosis,and diffuse dissecting mucinous deposition between collagen bundles,along with some bland-looking spindle cells throughout the dermis.The nodule was histologically diagnosed as an APPM,and an intralesional triamcinolone injection(2.5 mg/mL)was started every 2 wk.After three sessions of treatment,the patient showed marked improvements.CONCLUSION To the best of our knowledge,this is the first case of a Korean APPM presenting as a solitary nodule that showed a marked response to triamcinolone intralesional injection.Since it is a rare disease,we report this case to contribute to future research on the pathogenesis and treatment of APPM. 展开更多
关键词 Acral persistent papular mucinosis Localized lichen myxedematosus Cutaneous mucinosis mucin Case report
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The Influence of Aerial Exposure on Sea Anemones Aulactinia veratra Mucin Genes Expression Using the RNA Sequencing
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作者 Alaa Haridi 《Open Journal of Marine Science》 2024年第1期1-18,共18页
Mucin genes are the main component of mucus. The sea anemone species, Aulactinia veratra (Phylum Cnidaria) contains different types of mucin genes. In the intertidal zone, A. veratra is found to be exposed to air duri... Mucin genes are the main component of mucus. The sea anemone species, Aulactinia veratra (Phylum Cnidaria) contains different types of mucin genes. In the intertidal zone, A. veratra is found to be exposed to air during the low tide and produces large quantities of mucus as an external covering. The relation between low tide and mucus secretion is still unclear, and what is the role of mucin during arial exposure is not yet investigated. This study hypothesised that the mucin genes in A. veratra would have significantly high expression in response to aerial exposure. Therefore, the aim of current study was to examine and analyses the response of A. veratra mucins in response to an experiment involving three hours of aerial exposure. To achieve this, aim the RNA-sequencing and bioinformatics analyses were used to examine the expression profile of A. veratra mucin genes in response to aerial exposure. The generated results have shown that, Mucin4-like and mucin5B-like were up-regulated in response to the three hours of aerial exposure in A. veratra. This finding shows a significant role of mucin5B-like and mucin4-like genes in response to air stress at low tide. The data generated from this study could be used in conjunction with future mucin gene studies of sea anemones and other cnidarians to compare A. veratra mucin gene expression results across time, and to extend our understanding of mucin stress response in this phylum. 展开更多
关键词 Aulactinia veratra mucin4-Like mucin5B-Like CNIDARIA mucin Gene Expression RNA-Sequencing Sea Anemones MUCUS Aerial Exposure
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RET、Mucin1和Galectin-3在甲状腺良恶性肿瘤中的表达 被引量:11
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作者 陈云 朱明华 +5 位作者 周晓军 林万和 倪灿荣 李芳梅 张顺民 龚志锦 《第二军医大学学报》 CAS CSCD 北大核心 2003年第3期303-306,共4页
目的 :探讨滤泡源性甲状腺肿瘤及结节性甲状腺肿中RET、Mucin 1和Galectin 3蛋白的表达 ,寻找有助于诊断良恶性甲状腺肿瘤的标志物。 方法 :采用免疫组化S P法 ,检测 19例结节性甲状腺肿 ,5 4例腺瘤 (其中不典型腺瘤 19例 ) ,4 3例乳头... 目的 :探讨滤泡源性甲状腺肿瘤及结节性甲状腺肿中RET、Mucin 1和Galectin 3蛋白的表达 ,寻找有助于诊断良恶性甲状腺肿瘤的标志物。 方法 :采用免疫组化S P法 ,检测 19例结节性甲状腺肿 ,5 4例腺瘤 (其中不典型腺瘤 19例 ) ,4 3例乳头状癌 (其中 11例乳头状微癌 ) ,16例滤泡性癌中上述 3种蛋白的表达情况。 结果 :良性病变 (结节性甲状腺肿和腺瘤 )与恶性病变 (乳头状癌和滤泡性癌 )中 3种蛋白的表达差异有极显著意义 (P <0 .0 1) ,而良恶性病变中的不同类型间的差异无显著性 (P >0 .0 5 )。 11例微癌患者中Galectin 3全部阳性 ,RET 8例阳性 ,Mucin 1阳性仅 3例 ;结节性甲状腺肿RET的表达与甲状腺癌比较虽无统计学意义 (P >0 .0 5 ) ,但前者为弱阳性 ,后者多为强阳性 ;腺瘤中不典型腺瘤Galectin 3的表达与其他腺瘤相比差异显著 (P <0 .0 5 ) ,与滤泡性癌相比差异无显著意义 (P >0 .0 5 ) ;部分腺瘤中见灶性Mucin 1和Galectin 3同时阳性。结论 :RET、Mucin 1和Galectin 3的同时检测可作为良恶性滤泡上皮性肿瘤鉴别诊断的指标 ,其中以Galectin 3的敏感性最佳 ,RET次之。Mucin 1高表达可能是去分化、浸润和转移的标志 ,Galectin 3阳性的不典型腺瘤是滤泡性腺瘤和滤泡性癌的交界性病变 ,良性腺瘤中Mucin 1? 展开更多
关键词 甲状腺肿瘤 甲状腺肿 结节性 RET mucin-1 GALECTIN-3
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肠道菌Akkermansia muciniphila的特性及其与机体健康的关系 被引量:26
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作者 赵凡 李春保 《微生物学通报》 CAS CSCD 北大核心 2017年第6期1458-1463,共6页
Akkermansia muciniphila是一种从粪便中分离到的严格厌氧肠道菌,在肠道中的丰度通常占1%-3%,可以利用肠道黏蛋白作为唯一碳源和氮源进行生长,主要代谢产物为丙酸。Akkermansia muciniphila在肠道中的定殖与宿主的健康息息相关,它可以... Akkermansia muciniphila是一种从粪便中分离到的严格厌氧肠道菌,在肠道中的丰度通常占1%-3%,可以利用肠道黏蛋白作为唯一碳源和氮源进行生长,主要代谢产物为丙酸。Akkermansia muciniphila在肠道中的定殖与宿主的健康息息相关,它可以改善肥胖、糖尿病患者的炎症反应以及胰岛素抵抗和葡萄糖耐受等不良症状,还可以调节机体的免疫应答,维持体内代谢平衡。虽然多数情况下该菌表现出有益作用,也有个别研究发现高血红素铁膳食诱导的肠道上皮细胞增生与Akkermansia muciniphila丰度的增加有关,可破坏肠道黏液层。然而,关于该菌利用黏蛋白的代谢机制及其影响宿主健康的机制尚不清楚,有待进一步探索。 展开更多
关键词 Akkermansia muciniphila 黏蛋白 健康
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胃肠道黏液层中Akkermansia muciniphila的定殖及其与宿主的相互作用 被引量:16
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作者 冯泽猛 包显颖 印遇龙 《中国农业科学》 CAS CSCD 北大核心 2016年第8期1577-1584,共8页
动物胃肠道中定殖着数量巨大的肠道微生物,影响宿主动物的代谢和发育。肠道微生物在营养物质交换、信息传递和抵抗病原微生物入侵方面均发挥着重要的作用。依据定殖部位,可以分成黏液层微生物和肠腔内微生物,Akkermansia muciniphila偏... 动物胃肠道中定殖着数量巨大的肠道微生物,影响宿主动物的代谢和发育。肠道微生物在营养物质交换、信息传递和抵抗病原微生物入侵方面均发挥着重要的作用。依据定殖部位,可以分成黏液层微生物和肠腔内微生物,Akkermansia muciniphila偏好地定殖于肠道黏液层,对机体活动影响广泛。在肠道中,Akkermansia muciniphila可以特异地降解黏蛋白和低聚糖,分别产生短链脂肪酸和丙酸,在为宿主提供能量的同时也促进了自身的定殖。而与此同时,机体黏蛋白的降解会促使宿主补偿产生更多的黏蛋白,进而降低宿主蛋白的沉积。Akkermansia muciniphila的定殖还可减缓脂肪沉积,延缓糖尿病。在肠道微生态系统中,该菌群并没有严重的致病性,适宜丰度的Akkermansia muciniphila定殖可以促进宿主免疫系统的发育,进而促进肠道健康。随着更多科学研究的展开,胃肠道微生物在机体中的重要性得到呈现。作为目前国内外的研究热点,Akkermansia muciniphila在机体肠道内的作用机制尚未完全明确。本文从Akkermansia muciniphila的定殖环境、生理特性、对机体营养代谢的影响、与代谢性疾病及机体免疫相互作用等方面进行了综述,Akkermansia muciniphila为很有潜力的生物标记,应用于营养状态、代谢性疾病、免疫甚至癌症的评估和检测。 展开更多
关键词 黏液层 黏蛋白 Akkermansia muciniphila 肠道微生物
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灰飞虱mucin-like基因全长cDNA的克隆及序列分析 被引量:1
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作者 徐秋芳 张金凤 +3 位作者 乐文静 张晓霞 熊如意 周益军 《江苏农业学报》 CSCD 北大核心 2011年第6期1236-1241,共6页
昆虫肠黏蛋白(Insect intestinal mucin)是围食膜的重要组成部分,具有保护昆虫消化道免受病原物侵染的作用,同时也是昆虫生物防治的潜在靶标。获取灰飞虱肠黏蛋白基因对研究其基因功能及开发灰飞虱生物防治新靶标具有重要意义。该研究... 昆虫肠黏蛋白(Insect intestinal mucin)是围食膜的重要组成部分,具有保护昆虫消化道免受病原物侵染的作用,同时也是昆虫生物防治的潜在靶标。获取灰飞虱肠黏蛋白基因对研究其基因功能及开发灰飞虱生物防治新靶标具有重要意义。该研究根据灰飞虱mucin-like基因片段(GenBank登录号:AY578090)设计特异性引物,采用RACE方法克隆获取了灰飞虱mucin-like基因cDNA全长序列(GenBank登录号为JF502033)。核酸序列分析显示:该基因全长2 315 bp,开放阅读框为2 175 bp,编码725个氨基酸,在po1y(A)末端上游有1个典型的多聚腺苷酸信号序列AATAAA。根据cDNA序列推导的氨基酸序列分析结果表明,该序列具有5'端信号肽,但不含有O联糖基化位点和几丁质结合域。序列比对表明该基因与其他昆虫的肠黏蛋白基因没有明显的同源性,推测其是一种新的昆虫肠黏蛋白基因。 展开更多
关键词 灰飞虱 肠黏蛋白 mucin-like基因
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