Driver gene alterations in NSCLC patients in southern China and their correlation with clinicopathologic characteristics.

Introduction: In this study, we aimed to explore the relationship between clinicopathological features and driver gene changes in Chinese NSCLC patients. Methods: Amplification refractory mutation system PCR was used to detect the aberrations of 10 driver oncogenes in 851 Chinese NSCLC patients, and their correlation with clinicopathological characteristics was also analyzed. Moreover, three models of logistic regression were used to analyze the association between histopathology and EGFR or KRAS mutations. Results: The top two most frequently aberrant target oncogenes were EGFR (48.06%) and KRAS (9.51%). These were followed by ALK (5.41%), HER2 (2.35%), MET (2.23%), RET (2.11%), ROS1 (1.88%), BRAF (0.47%), NRAS (0.24%), and PIK3CA (0.12%). Additionally, 11 (1.29%) patients had synchronous gene alterations in two genes. The main EGFR mutations were exon 21 L858R and exon 19-Del, which accounted for 45.97% and 42.79% of all EGFR mutations, respectively. Logistic regression analysis showed that the frequency of EGFR mutations was positively correlated with women, non-smokers, lung adenocarcinoma, and invasive non-mucinous adenocarcinoma (IA), and negatively correlated with solid nodule, micro-invasive adenocarcinoma, and solid-predominant adenocarcinoma. KRAS mutations were positively associated with men and longer tumor long diameters and negatively correlated with lung adenocarcinoma (P < 0.05 for all). Conclusion: Our findings suggest that the EGFR mutation frequency was higher in women, non-smokers, lung adenocarcinoma, and the IA subtype in lung adenocarcinoma patients, while the KRAS mutation rate was higher in men and patients with longer tumor long diameter and lower in lung adenocarcinoma patients.

The predictive value and correlation of ß-catenin, CMTM6, and PD-L1 expression in colorectal cancer.

CMTM6 is a major regulator of PD-L1 expression. Aberrant Wnt pathway signaling occurs in most sporadic colorectal cancers (CRC). However, the significance and correlation of ß-catenin, CMTM6, and PD-L1 immunohistochemical expression in CRC is still unknown and need to be further verified. We evaluated the expression levels of ß-catenin, CMTM6, PD-L1, and MMR (mismatch repair) proteins by immunohistochemistry in CRC tissue microarray (TMA), and evaluated the association among ß-catenin, CMTM6, PD-L1 expression, MMR status, and clinicopathological features in 704 CRC patients. Positive expression of PD-L1 in tumor cells (TC) is associated with more frequent dMMR (mismatch repair deficient) status, CMTM6 expression, right colon, and younger CRC patients. The expression of PD-L1 in tumor-infiltrating immune cells (IC) is associated with a higher frequency of adenocarcinoma, ß-catenin, and CMTM6 expression. In univariate analysis, age, histological subtype, histologic grade, lymphatic metastasis, TNM stage, MMR status, and expression of PD-L1 protein in IC were significantly associated with the overall survival. In multivariate analysis, age, histologic grade, TNM stage, MMR status, and expression of PD-L1 protein in IC were independent prognostic factors. The overall survival of the adjuvant chemotherapy group was significantly higher than those non-chemotherapy in TNM stage III-IV CRC patients, but no significant overall survival improvement was found in the positive PD-L1 in TC, positive PD-L1 in IC, positive CMTM6, low ß-catenin expression, or dMMR status subgroups. Expression of CMTM6 and PD-L1 in CRC are positively associated with ß-catenin and reliable biomarkers for the prediction of responding to chemotherapy. The expression of ß-catenin/CMTM6/PD-L1 and MMR status may be valuable biomarkers for guiding different treatment strategies in CRC patients.

Geometry-Driven Folding of a Floating Annular Sheet.

Predicting the large-amplitude deformations of thin elastic sheets is difficult due to the complications of self contact, geometric nonlinearities, and a multitude of low-lying energy states. We study a simple two-dimensional setting where an annular polymer sheet floating on an air-water interface is subjected to different tensions on the inner and outer rims. The sheet folds and wrinkles into many distinct morphologies that break axisymmetry. These states can be understood within a recent geometric approach for determining the gross shape of extremely bendable yet inextensible sheets by extremizing an appropriate area functional. Our analysis explains the remarkable feature that the observed buckling transitions between wrinkled and folded shapes are insensitive to the bending rigidity of the sheet.

Curvature-induced stiffness and the spatial variation of wavelength in wrinkled sheets.

Wrinkle patterns in compressed thin sheets are ubiquitous in nature and technology, from the furrows on our foreheads to crinkly plant leaves, from ripples on plastic-wrapped objects to the protein film on milk. The current understanding of an elementary descriptor of wrinkles--their wavelength--is restricted to deformations that are parallel, spatially uniform, and nearly planar. However, most naturally occurring wrinkles do not satisfy these stipulations. Here we present a scheme that quantitatively explains the wrinkle wavelength beyond such idealized situations. We propose a local law that incorporates both mechanical and geometrical effects on the spatial variation of wrinkle wavelength. Our experiments on thin polymer films provide strong evidence for its validity. Understanding how wavelength depends on the properties of the sheet and the underlying liquid or elastic subphase is crucial for applications where wrinkles are used to sculpt surface topography, to measure properties of the sheet, or to infer forces applied to a film.