LncRNA expression signature identified using genome-wide transcriptomic profiling to predict lymph node metastasis in patients with stage T1 and T2 gastric cancer.

BACKGROUND: Lymph node (LN) status is vital to evaluate the curative potential of relatively early gastric cancer (GC; T1-T2) treatment (endoscopic or surgery). Currently, there is a lack of robust and convenient methods to identify LN metastasis before therapeutic decision-making. METHODS: Genome-wide expression profiles of long noncoding RNA (lncRNA) in primary T1 gastric cancer data from The Cancer Genome Atlas (TCGA) was used to identify lncRNA expression signature capable of detecting LN metastasis of GC and establish a 10-lncRNA risk-prediction model based on deep learning. The performance of the lncRNA panel in diagnosing LN metastasis was evaluated both in silico and clinical validation methods. In silico validation was conducted using TCGA and Asian Cancer Research Group (ACRG) datasets. Clinical validation was performed on T1 and T2 patients, and the panel's efficacy was compared with that of traditional tumor markers and computed tomography (CT) scans. RESULTS: Profiling of genome-wide RNA expression identified a panel of lncRNA to predict LN metastasis in T1 stage gastric cancer (AUC = 0.961). A 10-lncRNA risk-prediction model was then constructed, which was validated successfully in T1 and T2 datasets (TCGA, AUC = 0.852; ACRG, AUC = 0.834). Thereafter, the clinical performance of the lncRNA panel was validated in clinical cohorts (T1, AUC = 0.812; T2, AUC = 0.805; T1 + T2, AUC = 0.764). Notably, the panel demonstrated significantly better performance compared with CT and traditional tumor markers. CONCLUSIONS: The novel 10-lncRNA could diagnose LN metastasis robustly in relatively early gastric cancer (T1-T2), with promising clinical potential.

Endoscopic or laparoscopic resection for small gastrointestinal stromal tumors: a cumulative meta-analysis.

BACKGROUND: Despite the recent large number of studies comparing endoscopic and laparoscopic resection for small gastrointestinal stromal tumors (GISTs) (diameter ≤ 5 cm), the results remain conflicting. The objective of this work was to perform a cumulative meta-analysis to assess the advantages and disadvantages of endoscopic resection vs. laparoscopic resection. METHODS: The meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. We searched medical databases up to January 2020. Meta-analytical random or fixed effects models were used in pooled analyses. Meta-regression, cumulative meta-analyses, and subgroup analyses were performed to improve the accuracy of the conclusion. Sensitivity analyses were applied to assess the robustness of the results. RESULTS: A total of 12 cohort studies with 1383 participants comparing endoscopic resection and laparoscopic resection were identified, while three cohort studies with 167 participants comparing endoscopic resection and laparoscopic and endoscopic cooperative surgery were found. We found that endoscopic resection had shorter operation times (weighted mean difference [WMD] = -27.1 min, 95% confidence interval [CI]: -40.8 min to -13.4 min) and lengths of hospital stay (WMD = -1.43 d, 95% CI: -2.31 d to -0.56 d) than did laparoscopic resection. The results were stable and reliable. There were no significant differences in terms of blood loss, hospitalization costs, incidence of complications or recurrence rates. For tumor sizes 2 - 5 cm, endoscopic resection increased the risk of positive margins (relative risk [RR] = 5.78, 95% CI: 1.31 - 25.46). Although operation times for endoscopic resection were shorter than those of laparoscopic and endoscopic cooperative surgery (WMD = -41.03 min, 95% CI: -59.53 min to -22.54 min), there was a higher incidence of complications (RR = 4.03, 95% CI: 1.57 - 10.34). CONCLUSIONS: In general, endoscopic resection is an alternative method for gastric GISTs ≤ 5 cm. Laparoscopic and endoscopic cooperative surgery may work well in combination. Further randomized controlled trials are recommended to validate or update these results.

High salt intake and stroke: meta-analysis of the epidemiologic evidence.

Research on the potential impact of high salt intake on health has grown rapidly over the last decades. Recent studies have suggested that high salt intake could also be associated with adverse effects on cardiovascular system. The review evaluated the current level of epidemiologic evidence on the association between the level of habitual salt intake and stroke outcome. We also suggest further research direction. There were 21 independent samples from 12 studies, with 225,693 participants (follow-up, 3-19 years) and 8135 stroke events. High salt intake was associated with risk of stroke event (pooled odd ratio [OR], 1.34; 95% confidence interval [CI], 1.19-1.51), stroke death (1.40; 1.21-1.63) and stroke onset (1.11; 1.00-1.24), ischemic stroke death (2.15; 1.57-2.95), not associated with risk of ischemic stroke onset (1.07, 0.95-1.2), with no significant evidence of publication bias. High salt intake is associated with significantly increased risk of stroke event. Further research should be directed toward clarifying and quantifying these possible effects and generating testable hypotheses on plausible biologic mechanisms.

[Effects of perchlorate on growth and chlorophyll fluorescence parameters of Alternanthera philoxeroides].

Perchlorate is a new emerging persistent pollutant, while no studies about its effects on plants have been reported both home and abroad. In order to explore the effects of perchlorate on growth and physiology of aquatic plant, Alternanthera philoxeroides were treated by 1/20 Hoagland nutrient solution with different concentrations (0, 1, 5, 20, 100, 500 mg/L) of ClO4- under the controlled conditions. The results showed as follow. (1) Under perchlorate treatment, relative growth yield,dry weight of root,shoot and leaves were inhibited at different degrees, in which root biomass under different treatments showed significant difference to the control. After treatment for 40 d, relative growth yield of different treatments at concentration from 1 mg/L to 500 mg/L were about 61.6%, 60.8%, 53.1%, 20.4% and 3.3% separately of the control. And the order of variation coefficients of biomass in different organ were as follows: leaf > root biomass > stem; the relationship of biomass allocation in different organs of Alternanthera philoxeroides under perchlorate treatment changed, and the proportion of stem biomass increased,while leaf decreased, in which 100 and 500 mg/L ClO4- treatment showed significant difference to the control. (2) Under perchlorate treatment, young leaves of Alternanthera philoxeroides presented injury symptoms (such as parietal roiling reversely, leaf edge getting black and withered etc), and the damaged degree of Alternanthera philoxeroides increased with the increase of treatment concentration and time. (3) Under perchlorate treatment, the relative chlorophyll content (SPAD value), primary maximal PSII efficiency(Fv/Fm), efficiency of excitation capture by open PSII centre (F'v,/F'm), actual photochemical efficiency of PSII (phi(PS II)), electron transport rate (ETR), maximal electron transport rate(ETR ,) and other indexes were inhibited at different degrees. SPAD and chlorophyll fluorescence parameters (phi(PS II)) etc. could be used as sensitive physiological indexes to reflect the effects of perchlorate stress. The results suggest that perchlorate treatment can damage the photosynthetic system and leaf, decrease photochemical efficiency, and inhibit growth of Alternanthera philoxeroides. Leaf and root show a higher sensitivity to perchlorate,while stem with a lower sensitivity.

[Effects of silicon on photosynthetic characteristics of Indocalamus barbatus under simulated acid rain stress].

With Indocalamus barbatus as test material, the effects of silicon on the relative content of chlorophyll, diurnal variations of photosynthesis, and chlorophyll fluorescence were examined under simulated acid rain (pH 3.0) stress. The results showed that under acid rain stress, 20 and 500 mg x L(-1) of Na2SiO3 could prohibit the decrease of the relative content of chlorophyll to some extent; 100 mg x L(-1) of Na2SiO3 could get best effect, with the relative chlorophyll content being 22.7% higher than the control; while 500 mg x L(-1) of Na2SiO3 didn't have any effect. Under the stress, the midday depression of photosynthesis became more serious. The average daily net photosynthetic rate (Pn), stomatal limitation value (Ls), and stomata conductance (Gs) were all decreased significantly, while the intercellular CO2 concentration (Ci) increased. After treated with 20-100 mg x L(-1) of Na2SiO3, the Pn, Ls, and Gs increased to some extent while Ci decreased, and 100 mg x L(-1) of Na2SiO3 was most effective, with the average daily Pn increased by 39.2%. The maximum fluorescence of dark adaptation (Fm), maximal photochemical efficiency (Fv/Fm), potential activity (Fv/Fo), effective photochemical efficiency (Fv'/Fm'), maximum fluorescence of light adaptation (Fm') of PSII, photochemical quenching (qp), non-photochemical quenching (qN), and actual photochemical efficiency of PSII (PhiPSII) were all decreased obviously under simulated acid rain stress, but the minimum fluorescence of dark adaptation (Fo) and the minimum fluorescence of light adaptation (Fo') increased. 100 mg x L(-1) of Na2SiO3 could restrain the changes of fluorescence parameters obviously, with the Fv/Fm, Fv/Fo, Fv'/Fm' and PhiPSII increased by 35.2%, 146.2%, 55.0% and 24.3%, respectively, compared with the control. It was suggested that applying appropriate concentration of exogenous silicon to I. barbatus could efficiently relieve the decrease of its photosynthetic activity and the damage of its photosynthetic system caused by acid rain, and thus, improve its photosynthetic ability under the stress.