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1.
Appl Opt ; 63(12): 3343-3348, 2024 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-38856486

RESUMO

A denoising method applied to atmospheric coherent length lidar is proposed. Wavelet decomposition (WD) and the adaptive median filter (ADMF) are combined in this method. In this research, the effectiveness of the WD-ADMF has been verified through simulation and measurement. The results show that this filter algorithm, when applied to lidar data, improves the average peak signal-to-noise ratio (PSNR) and centroid error while maintaining data integrity such that the measurement of coherence length or the inference of C n2 from coherence length more closely matches simulated truth and measured data.

2.
Opt Express ; 32(12): 21102-21120, 2024 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-38859473

RESUMO

This study investigates the macroscopic and optical properties of cirrus clouds in the 32N region from July 2016 to May 2017, leveraging data from ground-based lidar observations and CALIOP to overcome the inconsistencies in detected cirrus cloud samples. Through extensive data analysis, statistical characteristics of cirrus clouds were discerned, revealing lidar ratio values of 28.5 ± 10.8 from ground-based lidar and 27.4 ± 11.2 from CALIOP. Validation with a decade of CALIOP data (2008-2018) confirmed these findings, presenting a consistent lidar ratio of 27.4 ± 12.0. A significant outcome of the analysis was the identification of a positive correlation between the lidar ratio and cloud centroid temperature, indicating a gradual decrease in the lidar ratio as temperatures dropped. The study established a fundamental consistency in their macroscopic properties, including cloud base height, cloud top height, cloud thickness, cloud centroid height, and cloud centroid temperature. The results for ground-based lidar (CALIOP) are: 10.0 ± 2.1 km (10.0 ± 2.2 km), 11.8 ± 2.1 km (11.5 ± 2.3 km), 1.87 ± 0.83 km (1.52 ± 0.71 km), and 10.5 ± 2.2 km, -46.9 ± 9.7°C (-47.1 ± 10.0°C).These properties exhibited seasonal variations, with cirrus clouds reaching higher altitudes in summer and lower in winter, influenced by the height of the tropopause. The optical properties of cirrus clouds were also analyzed, showing an annual average optical depth of 0.31 ± 0.35 for ground-based lidar and 0.32 ± 0.44 for CALIOP. The study highlighted the distribution of subvisible, thin, and thick cirrus clouds, with a notable prevalence of subvisible clouds during summer, suggesting their frequent formation above 14 km. Furthermore, the study observed linear growth in geometric thickness and optical depth up to 2.5 km from CALIOP and 2.9 km from ground-based lidar. Maximum optical depth was observed at cloud centroid temperatures of -35°C for CALIOP and -40°C for ground-based lidar, with optical depth decreasing as temperatures fell. This suggests that fully glaciated cirrus clouds exhibit the highest optical depth at warmer temperatures, within the complete glaciation temperature range of -35°C to -40°C.

3.
Int J Surg ; 110(5): 2757-2764, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38349216

RESUMO

BACKGROUND: This prospective cohort study, conducted at a high-volume esophageal cancer center from July 2019 to July 2022, aimed to investigate the link between the right gastroepiploic artery (RGEA) length and anastomotic leakage (AL) rates following minimally invasive esophagectomy (MIE). Real-world data on stomach blood supply in the Chinese population were examined. MATERIALS AND METHODS: A total of 516 cases were enrolled, categorized into two groups based on the Youden index-determined optimal cut-off value for the relative length of RGEA (length of RGEA/length of gastric conduit, 64.69%) through ROC analysis: Group SR (short RGEA) and Group LR (long RGEA). The primary observation parameter was the relationship between AL incidence and the ratio of direct blood supply from RGEA. Secondary parameters included the mean length of the right gastroepiploic artery, greater curvature, and the connection type between right and left gastroepiploic vessels. Patient data were prospectively recorded in electronic case report forms. RESULTS: The study revealed median lengths of 43.60 cm for greater curvature, 43.16 cm for the gastric conduit, and 26.75 cm for RGEA. AL, the most common postoperative complication, showed a significant difference between groups (16.88 vs. 8.84%, P =0.01). Multivariable binary logistic regression identified Group SR and LR (odds ratio: 2.651, 95% CI: 1.124-6.250, P =0.03) and Neoadjuvant therapy (odds ratio: 2.479, 95% CI: 1.374-4.473, P =0.00) as independent predictors of AL. CONCLUSIONS: The study emphasizes the crucial role of RGEA length in determining AL incidence in MIE for esophageal cancer. Preserving RGEA and fostering capillary arches between RGEA and LGEA are recommended strategies to mitigate AL risk.


Assuntos
Fístula Anastomótica , Neoplasias Esofágicas , Esofagectomia , Artéria Gastroepiploica , Humanos , Esofagectomia/efeitos adversos , Neoplasias Esofágicas/cirurgia , Fístula Anastomótica/etiologia , Fístula Anastomótica/epidemiologia , Masculino , Estudos Prospectivos , Feminino , Pessoa de Meia-Idade , Idoso , Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , China/epidemiologia
4.
J Biochem Mol Toxicol ; 38(1): e23626, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38229315

RESUMO

Immunoglobulin (Ig) G4 has a distinctive nature, and its involvement in autoimmune disorders is a subject of ongoing debate and uncertainty. A growing body of evidence indicates that IgG4 may play a pathogenic role in the development of systemic lupus erythematosus (SLE). The IgG4 autoantibodies have the capability to bind autoantigens in a competitive manner with other Ig classes, thereby forming immune complexes (ICs) that are noninflammatory in nature. This is due to the low affinity of IgG4 for both the Fc receptors and the C1 complement molecule, which results in a diminished inflammatory response in individuals with SLE. The present study aims to elucidate the significance of IgG4 in SLE. The present discourse pertains to the nascent and suggested modalities through which IgG4 might participate in the pathogenesis of SLE and the potential ramifications for therapeutic interventions in SLE.


Assuntos
Imunoglobulina G , Lúpus Eritematoso Sistêmico , Humanos , Lúpus Eritematoso Sistêmico/terapia , Lúpus Eritematoso Sistêmico/patologia , Autoanticorpos
5.
Surg Endosc ; 38(2): 671-678, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38012442

RESUMO

BACKGROUND: The potential impact of learning curve on long-term health-related quality of life (QoL) after esophagectomy for cancer has not been investigated. The aim of this article is to investigate the relationship between learning curve for McKeown minimally invasive esophagectomy (MIE) and health-related quality of life (QoL) in long-term, disease free survivors up to 10 years after esophageal cancer resection. METHODS: Esophageal cancer patients who underwent McKeown MIE between 2009 and 2019 were identified in which 280 who were free of disease at the time of survey and completed health-related QoL and symptom questionnaires, including EORTC QLQ-C30, EORTC QLQ-OES18, and Digestive Symptom Questionnaire. Patients were assessed in 3 cohorts according to the learning phases of expertise reported by our previous study: initial phase; plateau phase, and; experienced phase. RESULTS: Median time from operation to survey was 5.8 years (interquartile range 4.6-8.2). The QLQ-C30 mean scores of functional scales, and symptom scales of respiratory and digestive systems including dyspnea (P = 0.006), shortness of breath (P = 0.003), and dysphagia (P = 0.031) were significantly better in experienced phase group. Furthermore, in the subgroup analyses for patients without postoperative major complications, patients in the initial learning phase remained suffering from more symptoms of dyspnea (P = 0.040) and shortness of breath (P = 0.001). CONCLUSION: Esophageal cancer patients undergoing McKeown MIE in initial learning phase tend to suffer from a deterioration in long-term health-related QoL and higher symptomatic burden as compared to experienced learning phase, which did not improved over time and warranted more attention.


Assuntos
Neoplasias Esofágicas , Qualidade de Vida , Humanos , Esofagectomia/efeitos adversos , Curva de Aprendizado , Neoplasias Esofágicas/complicações , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Sobreviventes , Dispneia/complicações , Dispneia/cirurgia
6.
Int J Surg ; 110(1): 159-166, 2024 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-37737902

RESUMO

BACKGROUND: Lymph nodes along the left recurrent laryngeal nerve (LRLN) is thought to be highly involved in esophageal cancer. Given the unique anatomical positioning of the nerve, performing lymphadenectomy in this region requires advanced techniques within limited working space. Meanwhile, high incidence of morbidity and mortality is associated with lymphadenectomy. Although several methods have been applied to reduce the technical requirement and the incidence of postoperative complication, the optimal method remains controversial. METHODS: This study was a single-center, prospective, randomized trial to investigate the utility of lymphadenectomy along the LRLN during the minimally invasive esophagectomy in esophageal squamous cell carcinoma patients by comparing the surgical outcome, postoperative complication, survival rate, and quality of life (QoL) between the retraction method (RM) and the suspension method (SM) in patients with esophageal cancer from June 2018 to November 2020. QoL was assessed according to questionnaire: EQ-5D-5L. RESULTS: Of 94 patients were enrolled and randomized allocated to RM and SM group equally. Characteristics did not differ between groups. The duration of lymph node dissection along LRLN was significant longer in SM group ( P <0.001). No difference was observed about postoperative complications. One of in-hospital death was occurred in each group ( P >0.999). Patients in neither of groups exhibiting difference about 3-year disease-free survival rate ( P =0.180) and overall survival rate ( P =0.430). No difference was observed in postoperative QoL between groups at different time points (all, P >0.05). CONCLUSION: Both methods of lymph node dissection along the LRLN during minimally invasive esophagectomy in esophageal squamous cell carcinoma patients are technically feasible and safe. The RM appears more favorable in terms of reducing surgical duration compared to the SM.


Assuntos
Neoplasias Esofágicas , Carcinoma de Células Escamosas do Esôfago , Humanos , Carcinoma de Células Escamosas do Esôfago/cirurgia , Carcinoma de Células Escamosas do Esôfago/patologia , Neoplasias Esofágicas/cirurgia , Neoplasias Esofágicas/patologia , Qualidade de Vida , Nervo Laríngeo Recorrente/cirurgia , Nervo Laríngeo Recorrente/patologia , Esofagectomia/métodos , Estudos Prospectivos , Mortalidade Hospitalar , Estudos Retrospectivos , Excisão de Linfonodo/métodos , Linfonodos/patologia , Complicações Pós-Operatórias/cirurgia
7.
BMC Cancer ; 23(1): 1212, 2023 Dec 08.
Artigo em Inglês | MEDLINE | ID: mdl-38066484

RESUMO

BACKGROUND: Anastomotic leakage (AL) is a severe complication following esophagectomy with high mortality. Perioperative decreased serum albumin level is considered a predictive of AL, however, its impact on AL incidence in patients treated with neoadjuvant chemotherapy (NCT) followed by minimally invasive esophagectomy (MIE) is not well defined. METHODS: The data of 318 consecutive esophageal cancer patients who underwent MIE were collected retrospectively from January 2021 to December 2021. The perioperative level of albumin was detected and the baseline of altering levels for albumin was established. The incidence of postoperative complications and survival rate were analyzed between groups. RESULTS: After exclusion, 137 patients were enrolled and assigned to more decreased albumin (MA) and less decreased albumin (LA) groups. The levels of albumin descended significantly after MIE (p < 0.0001). There was no significant difference in the clinicopathologic characteristics or surgical outcomes between groups. The incidence of postoperative AL was 10.2% in MA group and 1.4% in LA group (p = 0.033). Three patients died due to AL in MA group, while no mortality was observed in LA group (p = 0.120). The rate of other postoperative complications was similar between groups. Progression-free survival (PFS) in LA group was a little higher than that in MA group, but it was no significant difference (p = 0.853). Similarly, no difference was observed in overall survival (OS) between groups (p = 0.277). CONCLUSIONS: Severely deficient serum albumin after MIE was an indicator of AL in esophageal cancer patients treated with NCT. TRIAL REGISTRATION: Chinese clinical trial registry: ChiCTR2200066694, registered December14th,2022. https://www.chictr.org.cn/edit.aspx?pid=185067&htm=4 .


Assuntos
Neoplasias Esofágicas , Carcinoma de Células Escamosas do Esôfago , Albumina Sérica , Humanos , Fístula Anastomótica/epidemiologia , Fístula Anastomótica/etiologia , Neoplasias Esofágicas/tratamento farmacológico , Neoplasias Esofágicas/cirurgia , Carcinoma de Células Escamosas do Esôfago/cirurgia , Carcinoma de Células Escamosas do Esôfago/complicações , Esofagectomia/efeitos adversos , Terapia Neoadjuvante/efeitos adversos , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Estudos Retrospectivos , Albumina Sérica/análise , Resultado do Tratamento
8.
Opt Express ; 31(21): 33815-33829, 2023 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-37859153

RESUMO

Fourier ptychographic imaging technology is a new imaging method proposed in recent years. This technology captures multiple low-resolution images, and synthesizes them into a high-resolution image in the Fourier domain by a phase retrieval algorithm, breaking through the diffraction limit of the lens. In the field of macroscopic Fourier ptychographic imaging, most of the existing research generally focus on high-resolution imaging of static objects, and applying Fourier ptychographic imaging technology to dynamic objects is a hot research area now. At present, most of the researches are to use camera arrays combined with multiplexed lighting, deep learning or other algorithms, but the implementation of these methods is complicated or costly. Based on the diffraction theory of Fourier optics, this paper proposes that by expanding and focusing the illumination area, we can apply Fourier ptychographic imaging technology with a single camera to moving objects within a certain range. Theoretical analysis and experiments prove the feasibility of the proposed method. We successfully achieve high-resolution imaging of the dynamic object, increasing the resolution by about 2.5 times. This paper also researches the impact of speckles in the illuminated area on imaging results and proposes a processing method to reduce the impact of speckles.

9.
Zookeys ; 1178: 279-291, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37719337

RESUMO

One of the main goals in biogeography and ecology is the study of patterns of species diversity and the driving factors in these patterns. However, such studies have not focused on Sternorrhyncha in China, although this region hosts massive species distribution data. Here, based on the 15,450 distribution records of Sternorrhyncha species in China, we analyzed patterns in species richness and endemism at 1° × 1° grid size and determined the effects of environmental variables on these patterns using correlations analysis and the model averaging approach. We found that species richness and endemism of Sternorrhyncha species are unevenly distributed, with high values in the eastern and southeastern coastal regions of mainland China, as well as Taiwan Island. Furthermore, the key factors driving species richness and endemism patterns are inconsistent. Species richness patterns were strongly affected by the normalized difference vegetation index, which is closely related to the feeding habits of Sternorrhyncha, whereas endemism patterns were strongly affected by the elevation range. Therefore, our results indicate that the range size of species should be considered to understand the determinants of species diversity patterns.

10.
Front Oncol ; 13: 1195392, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37534253

RESUMO

Acute myeloid leukemia (AML) is a complex mixed entity composed of malignant tumor cells, immune cells and stromal cells, with intra-tumor and inter-tumor heterogeneity. Single-cell RNA sequencing enables a comprehensive study of the highly complex tumor microenvironment, which is conducive to exploring the evolutionary trajectory of tumor cells. Herein, we carried out comprehensive analyses of aggrephagy-related cell clusters based on single-cell sequencing for patients with acute myeloid leukemia. A total of 11 specific cell types (T, NK, CMP, Myeloid, GMP, MEP, Promono, Plasma, HSC, B, and Erythroid cells) using t-SNE dimension reduction analysis. Several aggrephagy-related genes were highly expressed in the 11 specific cell types. Using Monocle analysis and NMF clustering analysis, six aggrephagy-related CD8+ T clusters, six aggrephagy-related NK clusters, and six aggrephagy-related Mac clusters were identified. We also evaluated the ligand-receptor links and Cell-cell communication using CellChat package and CellChatDB database. Furthermore, the transcription factors (TFs) of aggrephagy-mediated cell clusters for AML were assessed through pySCENIC package. Prognostic analysis of the aggrephagy-related cell clusters based on R package revealed the differences in prognosis of aggrephagy-mediated cell clusters. Immunotherapy of the aggrephagy-related cell clusters was investigated using TIDE algorithm and public immunotherapy cohorts. Our study revealed the significance of aggrephagy-related patterns in tumor microenvironment, prognosis, and immunotherapy for AML.

11.
Pathol Res Pract ; 248: 154677, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37467636

RESUMO

Angiogenesis has been recognized as a critical factor in developing solid tumors and hematological malignancies. How angiogenesis affects the molecular pathways in malignancies is still a mystery. The angiopoietin family, one of the known molecular mediators for angiogenesis, encourages angiogenesis by attaching to Tie receptors on cell surfaces. Angiopoietin, Tie, and particularly the molecular pathways they mediate have all been the subject of recent studies that have established their diagnostic, prognostic, and therapeutic potential. Here, we've reviewed the function of molecular pathways impacted by the Angiogenin and Tie system in hematological malignancies.


Assuntos
Neoplasias Hematológicas , Neoplasias , Humanos , Angiopoietinas , Receptor TIE-2/metabolismo , Angiopoietina-1/metabolismo , Angiopoietina-2/metabolismo
12.
Surg Endosc ; 37(9): 7073-7082, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37380741

RESUMO

BACKGROUND: To evaluate effectiveness of concurrent radiotherapy in esophageal cancer patient treated with neoadjuvant therapy. METHODS: The data of 1026 consecutive esophageal squamous cell carcinoma (ESCC) patients who underwent minimally invasive esophagectomy (MIE) were retrospectively collected. The main inclusion criteria were patients with locally advanced (cT2-4N0-3M0) ESCC who underwent neoadjuvant chemoradiotherapy (NCRT) or neoadjuvant chemotherapy (NCT) followed by MIE, and divided into two groups according to different neoadjuvant strategies. Propensity score matching was performed to improve the comparability between the two groups. RESULTS: After exclusion and matching, 141 patients were enrolled retrospectively: 92 received NCT, and 49 received NCRT. No difference in clinicopathologic characteristics or incidence of adverse events between groups. A shorter operation time (215.7 ± 35.5 min) (p < 0.001), less blood loss (111.2 ± 67.7 ml) (p = 0.0007) and a greater number of lymph nodes retrieved (33.8 ± 11.7) (p = 0.002) were observed in NCT group than in NCRT group. The incidence of postoperative complications was similar between groups. Although patients in NCRT group had better pathological complete response (16, 32.7%) (p = 0.0026) and ypT0N0 (10, 20.4%) (p = 0.0002) rates, there was no significant difference in 5-year progression-free survival (p = 0.1378) or disease-specific survival (p = 0.1258) between groups. CONCLUSIONS: Compared with NCRT, NCT has certain advantages in that it can simplify the surgical procedure and decrease the surgical technique required without compromising the surgical oncological outcomes and long-term survival of patients.


Assuntos
Neoplasias Esofágicas , Carcinoma de Células Escamosas do Esôfago , Humanos , Carcinoma de Células Escamosas do Esôfago/tratamento farmacológico , Terapia Neoadjuvante/métodos , Neoplasias Esofágicas/patologia , Estudos Retrospectivos , Esofagectomia/métodos , Taxa de Sobrevida , Quimiorradioterapia
13.
Surg Endosc ; 37(9): 6908-6914, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37322359

RESUMO

BACKGROUND: To compare the perioperative outcomes from McKeown minimally invasive esophagectomy (MIE) when performed in three-dimensional versus two-dimensional visualization system, and investigate the learning curve of a single surgeon who implemented three-dimensional McKeown MIE. METHODS: A total of 335 consecutive cases (three-dimensional or two-dimensional) were identified. Perioperative clinical parameters were compared and cumulative sum learning curve was plotted. Propensity score matching was used to reduce selection bias from confounding factors. RESULTS: Patients in three-dimensional group were associated with more chronic obstructive pulmonary disease (23.9% vs 3.0%, p < 0.01). After propensity score matching (108 matched patients in each groups), this finding was no longer statistically significant. Comparing to two-dimensional group, significant improvement in total retrieved lymph nodes (28 vs 33, p = 0.003) was observed in three-dimensional group. In addition, more lymph nodes around the right recurrent laryngeal nerve were harvested in three-dimensional group than that in two-dimensional group (p = 0.045). However, there were no significantly differences were found between the two groups in terms of other intraoperative parameters (e.g., operative time) and postoperative relevant outcomes (e.g., lung infection). Furthermore, the change point in the cumulative sum learning curves for intraoperative blood loss and thoracic procedure time was 33 procedures, respectively. CONCLUSION: Three-dimensional visualization system appears to be superior in performing lymphadenectomy during McKeown MIE to that of a two-dimensional technique. For surgeons proficient in performing two-dimensional McKeown MIE, the learning curve for a three-dimensional procedure appears to begin near proficiency after more than 33 cases.


Assuntos
Neoplasias Esofágicas , Complicações Pós-Operatórias , Humanos , Resultado do Tratamento , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Esofagectomia/métodos , Estudos de Viabilidade , Neoplasias Esofágicas/cirurgia , Neoplasias Esofágicas/patologia , Estudos Retrospectivos , Procedimentos Cirúrgicos Minimamente Invasivos/métodos
14.
Surg Endosc ; 37(3): 1727-1734, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36214915

RESUMO

BACKGROUND: The extent to which the presence of pleural adhesions affects the surgical and oncological outcomes of patients undergoing McKeown minimally invasive esophagectomy (MIE) for esophageal cancer (EC) has not previously been studied. METHODS: Data of consecutive EC patients undergoing McKeown MIE by a single surgeon in the Department of Thoracic Surgery at Daping Hospital from November 2015 to December 2020 were collected. Patients were grouped according to the presence or absence of pleural adhesions when entering the chest cavity. Propensity score matching (PSM) was used to reduce selection bias from confounding factors. Kaplan-Meier was used to assess the survival differences. RESULTS: A total of 617 consecutive EC patients underwent McKeown MIE were enrolled. There were 116 patients with pleural adhesions (Group A) and 501 patients without pleural adhesions (Group B). Patients in Group A were more likely to be older than those of patients in Group B: (66.26 vs. 63.27, P = 0.001). In addition, Group A had more patients with chronic obstructive pulmonary disease (COPD) (24.1% vs. 16.8%, P = 0.04). After propensity score matching (102 matched patients in Group A and 185 matched patients in Group B), these findings were no longer statistically significant. Postoperative pulmonary infection occurred in 57 patients in Group A and in 15 patients in Group B (53.9% vs. 13.0%, P < 0.001). In addition, the presence of pleural adhesions was significantly associated with the prolonged operation time (232 min vs. 210 min, P < .001), length of stay (12 days vs. 10 days, P = 0.001), and hydrothorax requiring drainage (12.7% vs. 5.4%, P = 0.04). However, the disease-specific survival and disease-free survival rates were comparable between the two groups (P = 0.40 and 0.13, respectively). CONCLUSIONS: The presence of pleural adhesions predicted an increased operation time, length of stay, postoperative pneumonia, and hydrothorax requiring drainage of EC patients undergoing McKeown MIE, but did not exert unfavourable effect on long-term survival.


Assuntos
Neoplasias Esofágicas , Hidrotórax , Doenças Pleurais , Humanos , Resultado do Tratamento , Esofagectomia/efeitos adversos , Pontuação de Propensão , Hidrotórax/etiologia , Hidrotórax/cirurgia , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Doenças Pleurais/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos , Estudos Retrospectivos
15.
Clin Transl Oncol ; 25(4): 873-881, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36417084

RESUMO

Platelet-derived microvesicles (PMVs), the microvesicles with the highest concentration in the bloodstream, play a key role in the regulation of hemostasis, inflammation, and angiogenesis. PMVs have recently been identified as key factors in the link between platelets and cancer. PMVs bind to both cancer cells and nontransformed cells in the microenvironment of the tumor, and then transfer platelet-derived contents to the target cell. These contents have the potential to either stimulate or modulate the target cell's response. PMVs are encased in a lipid bilayer that contains surface proteins and lipids as well as components found inside the PMV. Each of these components participates in known and potential PMV roles in cancer. The complicated roles played by PMVs in the onset, development, and progression of cancer and cancer-related comorbidities are summarized in this study.


Assuntos
Micropartículas Derivadas de Células , Neoplasias , Humanos , Plaquetas , Micropartículas Derivadas de Células/metabolismo , Neoplasias/metabolismo , Microambiente Tumoral
16.
Am J Cancer Res ; 13(12): 6113-6124, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38187070

RESUMO

Recent studies have indicated that platelets may play a role in the advancement of pancreatic cancer by supporting tumor growth and increasing resistance to chemotherapy. This study aims to develop a prognostic model for pancreatic cancer using a platelet-related gene risk score. Prognostic platelet-related genes (PRGs) were identified from public databases and analyzed using cluster analysis. We investigated the microenvironment signatures and gene mutation patterns across different PRG-based molecular subtypes of pancreatic cancer. A prognostic model based on PRGs was developed using LASSO-Cox Regression Analysis. Additionally, we examined the correlation between the risk score and tumor clinical characteristics, as well as drug sensitivity. Two molecular subtypes, cluster C1 and C2, were identified. Cluster C2 was associated with a poorer prognosis compared to Cluster C1. The C1 group exhibited higher scores for activated CD8+ T cells, central memory CD4+ T cells, and natural killer T cells. The C2 group demonstrated a higher frequency of gene mutations. We established and validated a novel prognostic prediction model and platelet-related gene risk score for pancreatic cancer. The risk score was positively correlated with T stage, N stage, and tumor grade, and it presented a significant prognostic value compared to other clinical factors. In conclusion, a novel prognostic prediction model focusing on platelet involvement in pancreatic cancer has been developed, offering potential benefits for future drug therapies and clinical prognostic assessments.

17.
JAMA Netw Open ; 5(12): e2247219, 2022 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-36525276

RESUMO

This cohort study assesses whether transmission of COVID-19 occurred among individuals staying on different floors at a hotel used as a centralized quarantine location in Hangzhou, China.


Assuntos
COVID-19 , Quarentena , Humanos , COVID-19/epidemiologia , SARS-CoV-2 , Surtos de Doenças/prevenção & controle , China/epidemiologia
18.
Front Oncol ; 12: 1022123, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36353552

RESUMO

Background: Programmed death-1 (PD-1)/programmed death ligand-1 (PD-L1) inhibitors displayed considerable advantages in neoadjuvant therapy of non-small cell lung cancer (NSCLC), but the specific application of neoadjuvant immunotherapy has not been well determined, and the long-term prognostic data of neoadjuvant immunochemotherapy combined with surgical resection of NSCLC remains limited. In this study, we intended to assess the efficacy of the neoadjuvant therapy of the PD-1 inhibitor and long-term prognosis in patients with resectable NSCLC. Methods: We retrospectively analyzed NSCLC surgical patients treated with neoadjuvant therapy in our hospital, and divided them into a neoadjuvant chemotherapy group and a neoadjuvant immunotherapy combined with chemotherapy group. The propensity score matching method was used to evaluate the effectiveness of immunotherapy combined with chemotherapy in the treatment of resectable lung cancer, and the long-term prognosis of these two groups was compared. Results: A total of 62 cases were enrolled, including 20 patients (20/62, 32.26%) in the immunotherapy group and 42 patients (42/62, 67.74%) in the chemotherapy group. The clinical baseline data of these two groups were balanced. In the immunotherapy group, all patients had tumor regression in imaging finding (tumor regression ratio: 11.88% - 75.00%). In the chemotherapy group, 30 patients had tumor regression (tumor regression ratio: 2.70% - 58.97%). The R0 removal rates of cancers were comparable between the immunotherapy group and chemotherapy group (19/20, 95.00% vs. 39/42, 92.86%, P=1.000). The two groups were balanced in complete minimally invasive surgery, pneumonectomy, operative duration, blood loss, postoperative complications, and hospital stay. The immunotherapy group had more sleeve resection (36.84% vs. 10.26%, p=0.039) including bronchial sleeve and vascular sleeve, higher pathological complete response (pCR) rate (57.89% vs. 5.13%, P<0.001) and major pathologic response (MPR) rate (78.95% vs. 10.26%, P<0.001). There were no differences in survival curves for: smoker and non-smoker, squamous cell carcinoma and adenocarcinoma, or right lung cancer and left lung cancer. Moreover, patients who achieved MPR (including pCR) had significantly better overall survival (OS) and disease-free survival (DFS). Patients in immunotherapy group had significantly better OS and longer DFS than those in chemotherapy group. Conclusions: In conclusion, neoadjuvant immunotherapy combined with chemotherapy can provide better OS and DFS and improving pCR and MPR rates by shrinking tumors.This study has been registered in the Chinese Clinical Trial Registry, number ChiCTR2200060433. http://www.chictr.org.cn/edit.aspx?pid=170157&htm=4.

19.
Opt Express ; 30(17): 29969-29978, 2022 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-36242109

RESUMO

Due to geometric overlap factor, the backscattering lidar is not suitable to detect atmospheric characteristics near the ground. A new sidescattering lidar system consisting of three CCD cameras and one CW laser is developed for the first time to measure the profiles of the backscattering coefficient of atmospheric aerosols across the whole troposphere, which has no detection blind zone near the ground. The aerosol relative phase function was detected by its horizontal CCD channel. The vertical distribution of aerosol backscattering coefficient across the whole troposphere was observed by the other two CCD cameras of vertical channel. The reasons for choosing three CCD cameras and their respective functions are analyzed in detail. Comparative experiments and continuous observations indicate that the new sidescattering lidar system including three CCD cameras is simple in structure and reliable in performance with low cost as well.

20.
Opt Express ; 30(18): 31728-31741, 2022 Aug 29.
Artigo em Inglês | MEDLINE | ID: mdl-36242249

RESUMO

The information dimension obtained by multispectral ghost imaging is more abundant than in single-band ghost imaging. Existing multispectral ghost imaging systems still meet some shortages, such as complex structure or reconstruction time-consuming. Here, an approach of cosinusoidal encoding multiplexed structured illumination multispectral ghost imaging is proposed. It can capture the multispectral image of the target object within one projection cycle with a single-pixel detector while maintaining high imaging efficiency and low time-consuming. The core of the proposed approach is the employed novel encoding strategy which is apt to decode and reconstruct the multispectral image via the Fourier transform. Specifically, cosinusoidal encoding matrices with specific frequency characteristics are fused with the orthogonal Hadamard basis patterns to form the multiplexed structured illumination patterns. A broadband photomultiplier is employed to collect the backscattered signals of the target object interacted by the corresponding structured illumination. The conventional linear algorithm is applied first to recover the mixed grayscale image of the imaging scene. Given the specific frequency distribution of the constructed cosinusoidal encoding matrices, the mixed grayscale image can be converted to the frequency domain for further decoding processing. Then, the pictures of multiple spectral components can be obtained with some manipulations by applying Fourier transform. A series of numerical simulations and experiments verified our proposed approach. The present cosinusoidal encoding multiplexed structured illumination can also be introduced in many other fields of high-dimensional information acquisition, such as high-resolution imaging and polarization ghost imaging.

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