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Risk stratification for radioactive iodine refractoriness using molecular alterations in distant metastatic differentiated thyroid cancer 被引量:4
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作者 Zhuanzhuan Mu Xin Zhang +9 位作者 Dongquan Liang Jugao Fang Ge Chen Wenting Guo Di Sun Yuqing Sun Zhentian Kai Lisha Huang Jun Liang Yansong Lin 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2024年第1期25-35,共11页
Objective: Patients with radioactive iodine-refractory differentiated thyroid cancer(RAIR-DTC) are often diagnosed with delay and constrained to limited treatment options. The correlation between RAI refractoriness an... Objective: Patients with radioactive iodine-refractory differentiated thyroid cancer(RAIR-DTC) are often diagnosed with delay and constrained to limited treatment options. The correlation between RAI refractoriness and the underlying genetic characteristics has not been extensively studied.Methods: Adult patients with distant metastatic DTC were enrolled and assigned to undergo next-generation sequencing of a customized 26-gene panel(Thyro Lead). Patients were classified into RAIR-DTC or non-RAIR groups to determine the differences in clinicopathological and molecular characteristics. Molecular risk stratification(MRS) was constructed based on the association between molecular alterations identified and RAI refractoriness, and the results were classified as high, intermediate or low MRS.Results: A total of 220 patients with distant metastases were included, 63.2% of whom were identified as RAIRDTC. Genetic alterations were identified in 90% of all the patients, with BRAF(59.7% vs. 17.3%), TERT promoter(43.9% vs. 7.4%), and TP53 mutations(11.5% vs. 3.7%) being more prevalent in the RAIR-DTC group than in the non-RAIR group, except for RET fusions(15.8% vs. 39.5%), which had the opposite pattern. BRAF and TERT promoter are independent predictors of RAIR-DTC, accounting for 67.6% of patients with RAIR-DTC. MRS was strongly associated with RAI refractoriness(P<0.001), with an odds ratio(OR) of high to low MRS of 7.52 [95%confidence interval(95% CI), 3.96-14.28;P<0.001] and an OR of intermediate to low MRS of 3.20(95% CI,1.01-10.14;P=0.041).Conclusions: Molecular alterations were associated with RAI refractoriness, with BRAF and TERT promoter mutations being the predominant contributors, followed by TP53 and DICER1 mutations. MRS might serve as a valuable tool for both prognosticating clinical outcomes and directing precision-based therapeutic interventions. 展开更多
关键词 Differentiated thyroid cancer distant metastases genetic alterations RAI refractoriness molecular risk stratification
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Identification of the key genes and mechanisms associated with transcatheter arterial chemoembolisation refractoriness in hepatocellular carcinoma 被引量:1
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作者 Jie-Zhuang Huang Jian-Di Li +1 位作者 Gang Chen Rong-Quan He 《World Journal of Clinical Oncology》 2024年第1期62-88,共27页
BACKGROUND Transcatheter arterial embolisation(TACE)is the primary treatment for intermediate-stage hepatocellular carcinoma(HCC)patients while some HCC cases have shown resistance to TACE.AIM To investigate the key g... BACKGROUND Transcatheter arterial embolisation(TACE)is the primary treatment for intermediate-stage hepatocellular carcinoma(HCC)patients while some HCC cases have shown resistance to TACE.AIM To investigate the key genes and potential mechanisms correlated with TACE refractoriness in HCC.METHODS The microarray datasets of TACE-treated HCC tissues,HCC and non-HCC tissues were collected by searching multiple public databases.The respective differentially expressed genes(DEGs)were attained via limma R package.Weighted gene co-expression network analysis was employed for identifying the significant modules related to TACE non-response.TACE refractoriness-related genes were obtained by intersecting up-regulated TACE-associated and HCC-associated DEGs together with the genes in significant modules related to TACE nonresponse.The key genes expression in the above two pairs of samples was compared respectively via Wilcoxon tests and standard mean differences model.The prognostic value of the key genes was evaluated by Kaplan-Meier curve.Multivariate analysis was utilised to investigate the independent prognostic factor in key genes.Single-cell RNA(scRNA)sequencing analysis was conducted to explore the cell types in HCC.TACE refractoriness-related genes activity was calculated via AUCell packages.The CellChat R package was used for the investigation of the cell–cell communication between the identified cell types.RESULTS HCC tissues of TACE non-responders(n=66)and TACE responders(n=81),HCC(n=3941)and non-HCC(n=3443)tissues were obtained.The five key genes,DLG associated protein 5(DLGAP5),Kinesin family member 20A(KIF20A),Assembly factor for spindle microtubules(ASPM),Kinesin family member 11(KIF11)and TPX2 microtubule nucleation factor(TPX2)in TACE refractoriness-related genes,were identified.The five key genes were all up-regulated in the TACE non-responders group and the HCC group.High expression of the five key genes predicted poor prognosis in HCC.Among the key genes,TPX2 was an independent prognostic factor.Four cell types,hepatocytes,embryonic stem cells,T cells and B cells,were identified in the HCC tissues.The TACE refractoriness-related genes expressed primarily in hepatocytes and embryonic stem cells.Hepatocytes,as the providers of ligands,had the strongest interaction with embryonic stem cells that provided receptors.CONCLUSION Five key genes(DLGAP5,KIF20A,ASPM,KIF11 and TPX2)were identified as promoting refractory TACE.Hepatocytes and embryonic stem cells were likely to boost TACE refractoriness. 展开更多
关键词 Hepatocellular carcinoma Transcatheter arterial embolisation refractoriness Weighted gene co-expression network analysis Single-cell RNA sequencing AUCell CellChat
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Risk factors for proton pump inhibitor refractoriness in Chinese patients with non-erosive reflux disease 被引量:19
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作者 Xiao-Ping Niu Bao-Ping Yu +5 位作者 Yun-Dong Wang Zhen Han Shao-Fen Liu Chi-Yi He Guo-Zheng Zhang Wan-Chun Wu 《World Journal of Gastroenterology》 SCIE CAS 2013年第20期3124-3129,共6页
AIM:To analyze risk factors for refractoriness to proton pump inhibitors(PPIs) in patients with non-erosive reflux disease(NERD).METHODS:A total of 256 NERD patients treated with the PPI esomeprazole were enrolled.The... AIM:To analyze risk factors for refractoriness to proton pump inhibitors(PPIs) in patients with non-erosive reflux disease(NERD).METHODS:A total of 256 NERD patients treated with the PPI esomeprazole were enrolled.They were classified into symptom-free and residual symptoms groups according to Quality of Life in Reflux and Dyspepsia(QolRad) scale.All subjects completed questionnaires on psychological status(self-rating anxiety scale;selfrating depression scale) and quality of life scale(Short Form 36).Multivariate analysis was used to determine the predictive factors for PPI responses.RESULTS:According to QolRad,97 patients were confirmed to have residual reflux symptoms,and the remaining 159 patients were considered symptom free.There were no significant differences between the two groups in lifestyle factors(smoking and alcohol consumption),age,Helicobacter pylori infection,and hiatal hernia.There were significant differences between the two groups in relation to sex,psychological distress including anxiety and depression,body mass index(BMI),and irritable bowel syndrome(IBS)(P < 0.05).Logistic regression analysis found that BMI < 23,comorbid IBS,anxiety,and depression were major risk factors for PPI resistance.Symptomatic patients had a lower quality of life compared with symptom-free patients.CONCLUSION:Some NERD patients are refractory to PPIs and have lower quality of life.Residual symptoms are associated with psychological distress,intestinal disorders,and low BMI. 展开更多
关键词 Risk factors refractoriness PROTON pump INHIBITORS Non-erosive REFLUX disease
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Development of a computed tomography-based radiomics nomogram for prediction of transarterial chemoembolization refractoriness in hepatocellular carcinoma 被引量:9
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作者 Xiang-Ke Niu Xiao-Feng He 《World Journal of Gastroenterology》 SCIE CAS 2021年第2期189-207,共19页
BACKGROUND Some patients with hepatocellular carcinoma(HCC)are more likely to experience disease progression despite continuous transarterial chemoembolization(TACE),which is called TACE refractoriness.At present,it i... BACKGROUND Some patients with hepatocellular carcinoma(HCC)are more likely to experience disease progression despite continuous transarterial chemoembolization(TACE),which is called TACE refractoriness.At present,it is still difficult to predict TACE refractoriness,although some models/scoring systems have been developed.At present,radiological-based radiomics models have been successfully applied to predict cancer patient prognosis.AIM To develop and validate a computed tomography(CT)-based radiomics nomogram for the pre-treatment prediction of TACE refractoriness.METHODS This retrospective study consisted of a training dataset(n=137)and an external validation dataset(n=81)of patients with clinically/pathologically confirmed HCC who underwent repeated TACE from March 2009 to March 2016.Radiomics features were retrospectively extracted from preoperative CT images of the arterial phase.The pre-treatment radiomics signature was generated using least absolute shrinkage and selection operator Cox regression analysis.A CT-based radiomics nomogram incorporating clinical risk factors and the radiomics signature was built and verified by calibration curve and decision curve analyses.The usefulness of the CT-based radiomics nomogram was assessed by Kaplan-Meier curve analysis.We used the concordance index to conduct head-to-head comparisons of the radiomics nomogram with the other four models(Assessment for Retreatment with Transarterial Chemoembolization score;α-fetoprotein,Barcelona Clinic Liver Cancer,Child-Pugh,and Response score;CT-based radiomics signature;and clinical model).All analyses were conducted according to the transparent reporting of a multivariable prediction model for individual prognosis or diagnosis statement.RESULTS The median duration of follow-up was 61.3 mo(interquartile range,25.5-69.3 mo)for the training cohort and 67.1 mo(interquartile range,32.4-71.3 mo)for the validation cohort.The median number of TACE sessions was 4(range,3-7)in both cohorts.Eight radiomics features were chosen from 869 candidate features to build a radiomics signature.The CT-based radiomics nomogram included the radiomics score(hazard ratio=3.9,95%confidence interval:3.1-8.8,P<0.001)and four clinical factors and classified patients into high-risk(score>3.5)and low-risk(score≤3.5)groups with markedly different prognoses(overall survival:12.3 mo vs 23.6 mo,P<0.001).The accuracy of the nomogram was considerably higher than that of the other four models.The calibration curve and decision curve analyses verified the usefulness of the CT-based radiomics nomogram for clinical practice.CONCLUSION The newly constructed CT-based radiomics nomogram can be used for the pretreatment prediction of TACE refractoriness,which may provide better guidance for decision making regarding further TACE treatment. 展开更多
关键词 Hepatocellular carcinoma Transarterial chemoembolization refractoriness Radiomics NOMOGRAM Computed tomography
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Transarterial chemoembolization failure/refractoriness: A scientific concept or pseudo-proposition 被引量:9
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作者 Shen Zhang Bin-Yan Zhong +2 位作者 Lei Zhang Wan-Sheng Wang Cai-Fang Ni 《World Journal of Gastrointestinal Surgery》 SCIE 2022年第6期528-537,共10页
Multi-session transarterial chemoembolization(TACE)is usually needed for the treatment of intermediate-stage hepatocellular carcinoma(HCC),but it may not always have a positive influence on prognosis due to high heter... Multi-session transarterial chemoembolization(TACE)is usually needed for the treatment of intermediate-stage hepatocellular carcinoma(HCC),but it may not always have a positive influence on prognosis due to high heterogeneity of HCC.To avoid ineffective repeated TACE,the concept of TACE failure/refractoriness has been proposed by several organizations and is being addressed using tyrosine kinase inhibitors.The concept of TACE failure/refractoriness is controversial due to ambiguous definitions and low evidence-based data.To date,only a few studies have examined the rationality concerning the definition of TACE failure/refractoriness,although the concept has been introduced and applied in many TACE-related clinical trials.This review focuses on some of the issues related to different versions of TACE failure/refractoriness,the rationality of related definitions,and the feasibility of continuing TACE after so-called failure/refractoriness based on published evidence.A suggestion to re-define TAEC failure/refractoriness is also put forward. 展开更多
关键词 Hepatocellular carcinoma Transarterial chemoembolization FAILURE refractoriness
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Both transmural dispersion of repolarization and of refractoriness are poor predictors of arrhythmogenicity: a role for iCEB (QT/QRS)? 被引量:4
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作者 Gary Tse 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2016年第9期813-814,共2页
We read the original article by Nuis, et al. and the reply by Dogan, et al. with great interest. Nuis, et al. examined whether transcatheter aortic valve implantation (TAVI) in patients suffering from severe aortic ... We read the original article by Nuis, et al. and the reply by Dogan, et al. with great interest. Nuis, et al. examined whether transcatheter aortic valve implantation (TAVI) in patients suffering from severe aortic stenosis led to changes in corrected QT dispersion (cQTD), previously used to predict arrhythmic risk. Dogan, et al. proposed that a different marker, transmural dispersion of repolariza- tion (TDR), has better accuracy in risk prediction. 展开更多
关键词 DEPOLARIZATION Excitation wavelength QT dispersion Transmural dispersion of repolarization Transmural dispersion of refractoriness QT/QRS
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First platelet transfusion refractoriness in a patient with acute myelocytic leukemia: A case report 被引量:3
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作者 Sheng-Ke Tu Hong-Jie Fan +3 位作者 Zi-Wei Shi Xiao-Lan Li Min Li Kui Song 《World Journal of Clinical Cases》 SCIE 2023年第29期7156-7161,共6页
BACKGROUND Platelet transfusion is of great significance in the treatment of thrombocytopenia caused by myelosuppression during intensive chemotherapy in patients with acute leukemia.In recent years,with platelet tran... BACKGROUND Platelet transfusion is of great significance in the treatment of thrombocytopenia caused by myelosuppression during intensive chemotherapy in patients with acute leukemia.In recent years,with platelet transfusion increasing,ineffective platelet transfusion has become increasingly prominent.Generally speaking,platelet antibodies can be produced after repeated transfusion,thus rendering subsequent platelet transfusion ineffective.We report a case of first platelet transfusion refractoriness(PTR)in a patient with acute myelocytic leukemia(AML).Due to the rarity of such cases in clinical practice,there have been no relevant case reports so far.CASE SUMMARY A 51-year-old female patient attended the hospital due to throat pain and abnormal blood cells for 4 d.Her diagnosis was acute myelocytic leukemia[M2 type Fms related receptor tyrosine kinase 3,Isocitrate Dehydrogenase 1,Nucleophosmin 1,Neuroblastoma RAS viral oncogene homolog(+)high-risk group].She was treated with"IA"(IDA 10 mg day 1-3 and Ara-C 0.2 g day 1-5)chemotherapy.When her condition improved,the patient was discharged from the hospital,instructed to take medicine as prescribed by the doctor after discharge,and returned to the hospital for further chemotherapy on time.CONCLUSION We report a rare case of first platelet transfusion failure in a patient with AML during induction chemotherapy,which may be related to the production of platelet antibodies induced by antibiotics and excessive tumor load.This also suggests that we should consider the influence of antibiotics when the rare situation of first platelet transfusion failure occurs in patients with AML.When platelet antibodies are produced,immunoglobulins can be used to block antibodies,thereby reducing platelet destruction.For patients with PTR,both immune and non-immune factors need to be considered and combined in clinical practice along with individualized treatment to effectively solve the problem. 展开更多
关键词 Acute myelocytic leukemia First platelet transfusion refractoriness MYELOSUPPRESSION Nonimmune causes Immune-mediated causes Case report
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Refractoriness of interferon-beta signaling through NOD1 pathway in mouse respiratory epithelial cells using the anticancer xanthone compound
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作者 Zaifang Yu Jarrod D Predina Guanjun Cheng 《World Journal of Biological Chemistry》 CAS 2013年第2期18-29,共12页
AIM:To explore the possibility that nucleotide oligomerization domain 1(NOD1) pathway involved in refractoriness of interferon-β signaling in mouse respiratory epithelial cells induced by the anticancer xanthone comp... AIM:To explore the possibility that nucleotide oligomerization domain 1(NOD1) pathway involved in refractoriness of interferon-β signaling in mouse respiratory epithelial cells induced by the anticancer xanthone compound,5,6-dimethylxanthenone-4-acetic acid(DMXAA).METHODS:C10 mouse bronchial epithelial cells were grown in Dulbecco's modified Eagle's medium supplemented with 10% fetal bovine serum,2 mmol/L glutamine,100 units/mL penicillin,100 g/mL streptomycin.Pathogen-free female BALB/c mice were used to explore the mechanisms of refractoriness of interferon-signaling.Mouse thioglycollate-elicited peritoneal macrophages,bone marrow derived macrophages and bone marrow derived dendritic cells were collected and cultured.The amount of interferon(IFN)-inducible protein-10(IP10/CXCL10),macrophage chemotactic protein(MCP1/CCL2) and interleukin(IL)-6 secreted by cells activated by DMXAA was quantified using enzyme-linked immunosorbent assay kits according to the instructions of the manufacturers.Total RNA was isolated from cells or nasal epithelium with RNeasy Plus Mini Kit,and cDNA was synthesized.Gene expression was checked using Applied Biosystems StepOne Real-Time Polymerase Chain Reaction System.Transfection of small interfering RNA(siRNA) control,NOD1 duplexed RNA oligonucleotides,and high-mobility group box 1/2/3(HMGB1/2/3) siRNA was performed using siRNA transfection reagent.RESULTS:DMXAA activates IFN-β pathway with high level of IFN-β dependent antiviral genes including 2',5'-oligoadenylate synthetase 1 and myxovirus resistance 1 in mouse thioglycollate-elicited peritoneal macrophages,bone marrow derived macrophages and bone marrow derived dendritic cells.Activation of IFN-β by DMXAA involved in NOD1,but not HMGB1/2/3 signal pathway demonstrated by siRNA.NOD1 pathway plays an important role in refractoriness of IFN-β signaling induced by DMXAA in mouse C10 respiratory epithelial cells and BALB/c mice nasal epithelia.These data indicate that DMXAA is not well adapted to the intrinsic properties of IFN-β signaling.Approaches to restore sensitivity of IFN-β signaling by find other xanthone compounds may function similarly,could enhance the efficacy of protection from influenza pneumonia and potentially in other respiratory viral infections.CONCLUSION:NOD1 pathway may play an important role in refractoriness of IFN-β signaling in mouse respiratory epithelial cells induced by DMXAA. 展开更多
关键词 INNATE immunity Interferon refractoriness XANTHONE BRONCHIAL EPITHELIUM
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Effect of Mild-calcined Coal Gangue Additionon Hot Strength and Refractoriness Under Loadof Ultra Low Cement Castablesin Al_2O_3-SiO_2 System
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作者 FENG Sisi ZHOU Ningsheng 《China's Refractories》 CAS 2011年第3期18-21,共4页
This work explored the way to improve hot modulus q/' rupture (HMOR) and refractoriness under load (RUL) by adding mild-calcined coal gangue (MCG) in Al2O3 -SiO2 ultra low cement (ULC) castables, making use o... This work explored the way to improve hot modulus q/' rupture (HMOR) and refractoriness under load (RUL) by adding mild-calcined coal gangue (MCG) in Al2O3 -SiO2 ultra low cement (ULC) castables, making use of the in-situ effect of the MCG during heating-up. The influence of respective additions of 5%, 10% and 1.5% of the MCG powders calcined at 700℃ was investigated on HMOR at 1400 ℃ and RUL of the castables. With increased addition of the MCG, HMOR and RUL become significantly enhanced. At 10% of the MCG addition, HMOR reaches 3 MPa, as compared to 0. 3 MPa in the case of no MCG addition. RUL of the specimens dried at 110 ℃for 24 h can be increased by some 270 ℃ with 10% of the MCG addition. RUL 0.11 the specimens preheated at 1 500℃ for 3 h maintains the growth trend with the MCG addition increasing. The microstructure of the heated castable samples was investigated by means of SEM. The in-situ formed needle-like and interlaced mullite in the matrix is contributive to the tmprovement. 展开更多
关键词 Coal gangue Hot modulus of rupture refractoriness under load Ultra low cement castable Alumina - silica system
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Preparation of Reference Samples for Refractoriness Under Load(Non-differential,with Rising Temperature) of Refractories
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作者 WANG Xiufang 《China's Refractories》 CAS 2013年第2期29-32,共4页
The preparation of reference samples for refractoriness under load ( non-differential, with rising temperature) of refractories was discussed. According to features and application of reference samples, quartz glass... The preparation of reference samples for refractoriness under load ( non-differential, with rising temperature) of refractories was discussed. According to features and application of reference samples, quartz glass was chosen as a stand-by reference material for uniformity and stability tests. Then, the true value was fixed by gathering the testing results from many labs with stable testing levels and reliable testing results in China. The testing results from these labs were used for normality test by Shapiro-wilk method; and for abnormality value test by Grubbs method, for equal observation test by Cochran method. After confirming no abnormality values among the testing results from the labs. the average values of reference samples were calculated and the uncertainty was appraised. The results show that the standard value of reference samples is 1 386 ℃ and the expanded uncertainty is 12 ℃. 展开更多
关键词 reference sample refractories test refractoriness under load
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Test Method for Refractoriness Under Load of Refractory Products(Non-differential,with Rising Temperature)
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作者 Wang Jing,Zhang Xiaohui,Yu Lingyan 《China's Refractories》 CAS 2012年第3期38-40,共3页
This standard specifies the definitions, theory, apparatus, specimens, procedures, test results and disposal, test error and report of test method for refractoriness under load of refractory products (non-differentia... This standard specifies the definitions, theory, apparatus, specimens, procedures, test results and disposal, test error and report of test method for refractoriness under load of refractory products (non-differential, with rising temperature). 展开更多
关键词 Test Method for refractoriness Under Load of Refractory Products Non-differential with Rising Temperature
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The platelet antibody analysis in patients with platelet transfusion refractoriness
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《中国输血杂志》 CAS CSCD 2001年第S1期361-,共1页
关键词 The platelet antibody analysis in patients with platelet transfusion refractoriness
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Subsequent Treatment after Transarterial Chemoembolization Failure/Refractoriness:A Review Based on Published Evidence
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作者 Shen Zhang Wan-Sheng Wang +1 位作者 Bin-Yan Zhong Cai-Fang Ni 《Journal of Clinical and Translational Hepatology》 SCIE 2022年第4期740-747,共8页
Transarterial chemoembolization(TACE)is widely applied for the treatment of hepatocellular carcinoma.Repeat TACE is often required in clinical practice because a satisfactory tumor response may not be achieved with a ... Transarterial chemoembolization(TACE)is widely applied for the treatment of hepatocellular carcinoma.Repeat TACE is often required in clinical practice because a satisfactory tumor response may not be achieved with a single session.However,repeated TACE procedures can impair liver function and increase treatment-related adverse events,all of which prompted the introduction of the concept of“TACE failure/refractoriness”.Mainly based on evidence from two retrospective studies conducted in Japan,sorafenib is recommended as the first choice for subsequent treatment after TACE failure/refractoriness.Several studies have investigated the outcomes of other subsequent treatments,including locoregional,other molecular targeted,anti-programmed death-1/anti-programed death ligand-1 therapies,and combination therapies after TACE failure/refractoriness.In this review,we summarize the up-to-date information about the outcomes of several subsequent treatment modalities after TACE failure/refractoriness. 展开更多
关键词 Transarterial chemoemboization Failure refractoriness Subsequent treatment
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Re-evaluating Transarterial Chemoembolization Failure/Refractoriness:A Survey by Chinese College of Interventionalists 被引量:13
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作者 Bin-Yan Zhong Wan-Sheng Wang +6 位作者 Shen Zhang Hai-Dong Zhu Lei Zhang Jian Shen Xiao-Li Zhu Gao-Jun Teng Cai-Fang Ni 《Journal of Clinical and Translational Hepatology》 SCIE 2021年第4期521-527,共7页
Background and Aims:The recognition of transarterial chemoembolization(TACE)failure/refractoriness among Chinese clinicians remains unclear.Using an online survey conducted by the Chinese College of Interventionalists... Background and Aims:The recognition of transarterial chemoembolization(TACE)failure/refractoriness among Chinese clinicians remains unclear.Using an online survey conducted by the Chinese College of Interventionalists(CCI),the aim of this study was to explore the recognition of TACE failure/refractoriness and review TACE application for hepatocellular carcinoma(HCC)treatment in clinical practice.Methods:From 27 August 2020 to 30 August 2020 during the CCI 2020 annual meeting,a survey with 34 questions was sent by email to 264 CCI clinicians in China with more than 10 years of experience using TACE for HCC treatment.Results:A total of 257 clinicians participated and responded to the survey.Most participants agreed that the concept of“TACE failure/refractoriness”has scientific and clinical significance(n=191,74.3%).Nearly half of these participants chose TACE-based combination treatment as subsequent therapy after so-called TACE failure/refractoriness(n=88,46.1%).None of the existing TACE failure/refractoriness definitions were widely accepted by the participants;thus,it is necessary to re-define this concept for the treatment of HCC in China(n=235,91.4%).Most participants agreed that continuing TACE should be performed for patients with preserved liver function,presenting portal vein tumor thrombosis(n=242,94.2%)or extrahepatic spread(n=253,98.4%),after the previous TACE treatment to control intrahepatic lesion(s).Conclusions:There is an obvious difference in the recognition of TACE failure/refractoriness among Chinese clinicians based on existing definitions.Further work should be carried out to re-define TACE failure/refractoriness. 展开更多
关键词 Hepatocellular carcinoma TACE FAILURE refractoriness SURVEY
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Platelet transfusion refractoriness after T-cell-replete haploidentical transplantation is associated with inferior clinical outcomes 被引量:7
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作者 Qiang Fu Lanping Xu +4 位作者 Xiaohui Zhang Yu Wang Yingjun Chang Kaiyan Liu Xiaojun Huang 《Science China(Life Sciences)》 SCIE CAS CSCD 2018年第5期569-577,共9页
Haploidentical stem cell transplantation (haplo-SCT) has been an alternative source of bone marrow for patients without human leukocyte antigen (HLA)-matched donors. The aim of this study was to investigate the relati... Haploidentical stem cell transplantation (haplo-SCT) has been an alternative source of bone marrow for patients without human leukocyte antigen (HLA)-matched donors. The aim of this study was to investigate the relationships between platelet transfusion refractoriness (PTR) and clinical outcomes in the setting of haplo-SCT. Between May 2012 and March 2014, 345 patients who underwent unmanipulated haplo-SCT were retrospectively enrolled. PTR occurred in 20.6% of all patients. Patients in the PTR group experienced higher transplant-related mortality (TRM, 43.7% vs. 13.5%, P<0.001), lower overall survival (OS, 47.9%vs. 76.3%, P<0.001) and lower leukemia-free survival (LFS, 47.9% vs. 72.3%, P<0.001) compared to patients in the non-PTR group. The multivariate analysis showed that PTR was associated with TRM (P=0.002), LFS (P<0.001), and OS (P<0.001).The cumulative incidences of PTR in patients receiving >12 platelet (PLT) transfusions (third quartile of PLT transfusions) were higher than in patients receiving either >6 (second quartile) or >3 (first quartile) PLT transfusions (56.1% vs. 41.6% vs. 28.2%,respectively; P<0.001). The multivariate analysis also showed that PTR was associated with the number of PLT transfusions(P<0.001). PTR could predict poor transplant outcomes in patients who underwent haploidentical SCT. 展开更多
关键词 platelet transfusion refractoriness unmanipulated haploidentical stem cell transplantation clinical outcomes PLT transfusion
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High temperature oxidation behavior of TiNbMoAlSi refractory high entropy alloy developed by electron beam additive manufacturing 被引量:2
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作者 Zhe Li Liang Wang +9 位作者 Yong Yang Chen Liu Baoxian Su Qingda Zhang Zhiwen Li Jiaqi Huang Binbin Wang Liangshun Luo Ruirun Chen Yanqing Su 《Journal of Materials Science & Technology》 2025年第12期131-146,共16页
Up-and-coming high-temperature materials,refractory high entropy alloys,are suffering from lower oxidation resistance,restricting their applications in the aerospace field.In this study,two novel treatments of Al-depo... Up-and-coming high-temperature materials,refractory high entropy alloys,are suffering from lower oxidation resistance,restricting their applications in the aerospace field.In this study,two novel treatments of Al-deposited and remelted were developed to refine the microstructure and enhance the oxidation resistance of refractory high entropy alloy using electron beam freeform fabrication(EBF3).Finer and short-range ordering structures were observed in the remelted sample,whereas the Al-deposited sample showcased the formation of silicide and intermetallic phases.High-temperature cyclic and isothermal oxidation tests at 1000℃ were carried out.The total weight gain after 60 h of cyclic oxidation decreased by 17.49%and 30.46%for the remelted and deposited samples,respectively,compared to the as-cast state.Oxidation kinetics reveal an evident lower mass gain and oxidation rate in the treated samples.A multilayer oxide consisting of TiO_(2)+Al_(2)O_(3)+SiO_(2)+AlNbO_(4) was studied for its excellent oxidation resistance.The oxidation behavior of rutile,corundum and other oxides was analyzed using first principles calculations and chemical defect analysis.Overall,this research,which introduces novel treatments,offers promising insights for enhancing the inherent oxidation resistance of refractory high entropy alloys. 展开更多
关键词 Refractory high entropy alloy OXIDATION Electron beam freeform fabrication Multilayer oxide First principles calculations
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Microstructures,mechanical properties,and strengthening mechanisms of the(NbMoTa)_(100−x)C_(x) refractory medium-entropy alloys 被引量:1
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作者 Xueqian Gou Ruqing Cao +2 位作者 Weihua Zhou Zheling Shen Yi Li 《Journal of Materials Science & Technology》 2025年第11期105-119,共15页
Refractory high/medium-entropy alloys(RH/MEAs)are known for their outstanding performance at el-evated temperatures;however,they usually exhibit poor room-temperature plasticity,which can be at-tributed to the non-uni... Refractory high/medium-entropy alloys(RH/MEAs)are known for their outstanding performance at el-evated temperatures;however,they usually exhibit poor room-temperature plasticity,which can be at-tributed to the non-uniform deformation that occurs at room temperature.Once cracks nucleate,they will rapidly propagate into vertical splitting cracks.Here,we introduce multiple phases including FCC and HCP phases into the NbMoTa RMEA via appropriate addition of carbon.The results show that multiple-phase synergy effectively suppresses non-uniform deformation,thereby delaying the onset of vertical splitting cracks.An optimal combination of compressive strength-plasticity is achieved by the(NbMoTa)_(92.5)C_(7.5) alloy.The significant improvement in room-temperature mechanical properties can be attributed to its hierarchical microstructure:in the mesoscale,the BCC matrix is divided by eutectic structures;while at the microscale,the BCC matrix is further refined by abundant lath-like FCC precipitates.The FCC precip-itates contain high-density stacking faults,acting as a dislocation source under compressive loading.The HCP phase in the eutectic microstructures,in turn,acts as a strong barrier to dislocation movement and simultaneously increases the dislocation storage capacity.These findings open a new route to tailor the microstructure and mechanical properties of RH/MEAs. 展开更多
关键词 Refractory medium-entropy alloys Carbon MICROSTRUCTURES Mechanical properties Strengthening mechanisms
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Ultrafine-grained refractory high-entropy alloy with oxygen control and high mechanical performance 被引量:1
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作者 Yaping Sun Chao Hou +3 位作者 Yurong Li Tielong Han Xuemei Liu Xiaoyan Song 《Journal of Materials Science & Technology》 2025年第12期45-57,共13页
Grain boundary engineering plays a significant role in the improvement of strength and plasticity of alloys. However, in refractory high-entropy alloys, the susceptibility of grain boundaries to oxygen presents a bott... Grain boundary engineering plays a significant role in the improvement of strength and plasticity of alloys. However, in refractory high-entropy alloys, the susceptibility of grain boundaries to oxygen presents a bottleneck in achieving high mechanical performance. Creating a large number of clean grain boundaries in refractory high-entropy alloys is a challenge. In this study, an ultrafine-grained (UFG) NbMoTaW alloy with high grain-boundary cohesion was prepared by powder metallurgy, taking advantages of rapid hot-pressing sintering and full-process inert atmosphere protection from powder synthesis to sintering. By oxygen control and an increase in the proportion of grain boundaries, the segregation of oxygen and formation of oxides at grain boundaries were strongly mitigated, thus the intrinsic high cohesion of the interfaces was preserved. Compared to the coarse-grained alloys prepared by arc-melting and those sintered by traditional powder metallurgy methods, the UFG NbMoTaW alloy demonstrated simultaneously increased strength and plasticity at ambient temperature. The highly cohesive grain boundaries not only reduce brittle fractures effectively but also promote intragranular deformation. Consequently, the UFG NbMoTaW alloy achieved a high yield strength even at elevated temperatures, with a remarkable performance of 1117 MPa at 1200 ℃. This work provides a feasible solution for producing refractory high-entropy alloys with low impurity content, refined microstructure, and excellent mechanical performance. 展开更多
关键词 Refractory high-entropy alloy Ultrafine-grained structure Grain boundary cohesion Mechanical performance High-temperature strength
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Molecular biological mechanism of fillers with surface micro-electric field to enhance biodegradation of kitchen-oil wastewater 被引量:1
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作者 Tong Ren Han Zhang Chun Hu 《Journal of Environmental Sciences》 2025年第6期453-464,共12页
The kitchen-oil wastewater is characterized by a high concentration of organicmatter,complex composition and refractory pollutants,which make wastewater treatment more difficult.Based on the study of using micro-elect... The kitchen-oil wastewater is characterized by a high concentration of organicmatter,complex composition and refractory pollutants,which make wastewater treatment more difficult.Based on the study of using micro-electric field characteristic catalyst HCLL-S8-M to enhance the electron transfer between microorganisms in kitchen-oil wastewater which further improved the COD removal rate,we focus on themicrobial community,intracellular metabolism and extracellular respiration,and make an in-depth analysis of the molecular biological mechanisms to microbial treatment in wastewater.It is found that electroactive microorganisms are enriched on the material surface,and the expression levels of cytochrome c and riboflavin genes related to electron transfer are up-regulated,confirming that the surface micro-electric field structure could enhance the electron transfer between microbial species and improve the efficiency ofwastewater degradation.This study provides a new idea for the treatment of refractory organic wastewater. 展开更多
关键词 Refractory wastewater Extracellular electron transfer Microbiome analysis Surface micro-electric field filler
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Mineralogical characterization and flotation properties of rare earths in refractory iron tailings subjected to hydrogen-based mineral phase transformation 被引量:1
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作者 Jilai Ning Peng Gao +5 位作者 Yang Wang Zihao Li Shuai Yuan Yongsheng Sun Wenbo Li Zhidong Tang 《International Journal of Minerals,Metallurgy and Materials》 2025年第6期1309-1321,共13页
Hydrogen-based mineral phase transformation(HMPT)technology has demonstrated its effectiveness in separating iron and enriching rare earths from Bayan Obo refractory ores.However,further research is needed to clarify ... Hydrogen-based mineral phase transformation(HMPT)technology has demonstrated its effectiveness in separating iron and enriching rare earths from Bayan Obo refractory ores.However,further research is needed to clarify the phase composition and floatability of rare earths obtained after HMPT owing to the associated phase transformations.This study explored the mineralogical characteristics and separation behavior of rare earths in HMPT-treated iron tailings.Process mineralogy studies conducted via BGRIMM process mineralogy analysis and X-ray diffraction revealed that the main valuable minerals in the tailings included rare-earth oxides(9.15wt%),monazite(5.31wt%),and fluorite(23.52wt%).The study also examined the impact of mineral liberation and gangue mineral intergrowth on flotation performance.Flotation tests achieved a rare-earth oxide(REO)grade of 74.12wt% with a recovery of 34.17% in open-circuit flotation,whereas closed-circuit flotation resulted in a REO grade of 60.27wt% with a recovery of 73%.Transmission electron microscopy and scanning electron microscopy coupled with energy-dispersive spectroscopy revealed that monazite remained stable during the HMPT process,while bastnaesite was transformed into Ce_(7)O_(12)and CeF_(3),leading to increased collector consumption.Nonetheless,the HMPT process did not significantly affect the flotation performance of rare earths.The enrichment of fluorite in the tailings highlighted its further recovery potential.The integration of HMPT with magnetic separation and flotation presents an efficient strategy for recovering rare earths,iron,and fluorite from Bayan Obo ores. 展开更多
关键词 hydrogen-based mineral phase transformation rare-earth flotation process mineralogy study Bayan Obo refractory ores
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