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1.
Int J Mol Sci ; 25(14)2024 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-39062834

RESUMO

Chrysanthemum (Chrysanthemum morifolium, ground-cover Chrysanthemums), one of the important garden flowers, has a high ornamental and economic value. However, its ornamental value is significantly diminished by the low temperature experienced in northeastern China. Here, metabolomics and transcriptomics were performed on three Chrysanthemum cultivars before and after a low temperature to investigate the dynamic metabolite changes and the molecular regulatory mechanisms. The results showed that 1324 annotated metabolites were detected, among which 327 were identified as flavonoids derived from Chrysanthemum. The accumulation of metabolites and gene expression related to the flavonoid biosynthesis pathway significantly increased in the three cultivars under the low temperature, indicating flavonoid metabolism actively participates in the Chrysanthemum cold response. Specifically, the content of cyanidin and pelargonidin derivatives and the expression of anthocyanin biosynthesis genes significantly increases in XHBF, providing a reasonable explanation for the change in petal color from white to purple under the low temperature. Six candidate UDP-glycosyltransferase genes involved in the glycosylation of flavonoids were identified through correlation networks and phylogenetic analysis. CmNAC1, CmbZIP3, and other transcription factors potentially regulating flavonoid metabolism and responding to low temperatures were discovered by correlation analysis and weighted gene co-expression network analysis (WGCNA). In conclusion, this study elucidated the specific response of flavonoids to low temperatures in Chrysanthemums, providing valuable insights and metabolic data for investigating cold tolerance.


Assuntos
Chrysanthemum , Flavonoides , Regulação da Expressão Gênica de Plantas , Metabolômica , Transcriptoma , Chrysanthemum/genética , Chrysanthemum/metabolismo , Flavonoides/metabolismo , Metabolômica/métodos , Temperatura Baixa , Perfilação da Expressão Gênica/métodos , Flores/metabolismo , Flores/genética , Proteínas de Plantas/genética , Proteínas de Plantas/metabolismo , Filogenia , Antocianinas/metabolismo , Resposta ao Choque Frio , Redes Reguladoras de Genes , Metaboloma
2.
Animal Model Exp Med ; 2024 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-38962826

RESUMO

BACKGROUND: Pig organ xenotransplantation is a potential solution for the severe organ shortage in clinic, while immunogenic genes need to be eliminated to improve the immune compatibility between humans and pigs. Current knockout strategies are mainly aimed at the genes causing hyperacute immune rejection (HAR) that occurs in the first few hours while adaptive immune reactions orchestrated by CD4 T cell thereafter also cause graft failure, in which process the MHC II molecule plays critical roles. METHODS: Thus, we generate a 4-gene (GGTA1, CMAH, ß4GalNT2, and CIITA) knockout pig by CRISPR/Cas9 and somatic cell nuclear transfer to compromise HAR and CD4 T cell reactions simultaneously. RESULTS: We successfully obtained 4KO piglets with deficiency in all alleles of genes, and at cellular and tissue levels. Additionally, the safety of our animals after gene editing was verified by using whole-genome sequencing and karyotyping. Piglets have survived for more than one year in the barrier, and also survived for more than 3 months in the conventional environment, suggesting that the piglets without MHC II can be raised in the barrier and then gradually mated in the conventional environment. CONCLUSIONS: 4KO piglets have lower immunogenicity, are safe in genomic level, and are easier to breed than the model with both MHC I and II deletion.

3.
Chem Sci ; 15(22): 8451-8458, 2024 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-38846399

RESUMO

Electrochemical CO2 reduction reaction (CO2RR) to multicarbon (C2+) products faces challenges of unsatisfactory selectivity and stability. Guided by finite element method (FEM) simulation, a nanoreactor with cavity structure can facilitate C-C coupling by enriching *CO intermediates, thus enhancing the selectivity of C2+ products. We designed a stable carbon-based nanoreactor with cavity structure and Cu active sites. The unique geometric structure endows the carbon-based nanoreactor with a remarkable C2+ product faradaic efficiency (80.5%) and C2+-to-C1 selectivity (8.1) during the CO2 electroreduction. Furthermore, it shows that the carbon shell could efficiently stabilize and highly disperse the Cu active sites for above 20 hours of testing. A remarkable C2+ partial current density of-323 mA cm-2 was also achieved in a flow cell device. In situ Raman spectra and density functional theory (DFT) calculation studies validated that the *COatop intermediates are concentrated in the nanoreactor, which reduces the free energy of C-C coupling. This work unveiled a simple catalyst design strategy that would be applied to improve C2+ product selectivity and stability by rationalizing the geometric structures and components of catalysts.

5.
Stem Cell Reports ; 18(12): 2344-2355, 2023 12 12.
Artigo em Inglês | MEDLINE | ID: mdl-37995700

RESUMO

Immune rejection has long hindered allogeneic cell transplantation therapy. Current genetic modification approaches, including direct targeting of major histocompatibility complex or constitutive expression of immune inhibitory molecules, exhibit drawbacks such as severe adverse effects or elevated tumorigenesis risks. To overcome these limitations, we introduce an innovative approach to induce cell-type-specific immune tolerance in differentiated cells. By engineering human embryonic stem cells, we ensure the exclusive production of the immune inhibitory molecules PD-L1/CTLA4Ig in differentiated cells. Using this strategy, we generated hepatocyte-like cells expressing PD-L1 and CTLA4Ig, which effectively induced local immunotolerance. This approach was evaluated in a humanized mouse model that mimics the human immune system dynamics. We thus demonstrate a robust and selective induction of immunotolerance specific to hepatocytes, improving graft survival without observed tumorigenesis. This precise immune tolerance strategy holds great promise for advancing the development of stem cell-based therapeutics in regenerative medicine.


Assuntos
Transplante de Células-Tronco Hematopoéticas , Animais , Humanos , Camundongos , Abatacepte , Antígeno B7-H1/genética , Carcinogênese , Sobrevivência de Enxerto , Tolerância Imunológica , Terapia de Imunossupressão
6.
Xenotransplantation ; 30(5): e12824, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37695083

RESUMO

BACKGROUND: Blood vessels that contain endothelial cells (ECs) on the surface are in direct contact with host blood and are the first target of xenograft rejection. Currently, our understanding of human anti-pig vessel immune responses is primarily based on in vitro assays using pig ECs. Therefore, it is necessary to develop an animal model that permits in vivo study of human immunological rejection of pig vessels. METHODS: Pig artery tissues (PAT) were transplanted into human immune system (HIS) mice or immunodeficient NSG mice (as controls). Intragraft human immune cell infiltration and antibody deposition were quantified using histology and immunohistochemistry. Donor antigen-specific immune responses were quantified using a mixed lymphocyte reaction and a complement-dependent killing assay. RESULTS: Pig CD31+ ECs were detected and increased 2-fold from weeks 3 to 5 in PAT xenografts from immunodeficient NSG mice. However, compared with NSG mice, PAT xenografts in HIS mice had significantly lower numbers of porcine CD31+ ECs and showed a marked reduction from week 3 to week 5. PAT xenograft rejection in HIS mice is associated with intensive infiltration of human immune cells, deposition of human IgM and IgG antibodies, and the formation of a tertiary lymphoid structure. Robust donor pig antigen-specific human T cells and antibody responses were detected in PAT-transplanted HIS mice. CONCLUSION: We have developed a humanized mouse model to evaluate human anti-pig xenoimmune responses by PAT transplantation in vivo. This model is expected to facilitate the refinement of pig gene-editing strategies (the expression on EC surface) and the testing of local immunosuppressive strategies for clinical pig organ xenotransplantation.


Assuntos
Células Endoteliais , Rejeição de Enxerto , Humanos , Animais , Suínos , Camundongos , Transplante Heterólogo , Artérias/transplante , Imunossupressores
7.
Sci Total Environ ; 897: 165327, 2023 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-37419347

RESUMO

With the improvement of living standards, food waste (FW) has become one of the most important organic solid wastes worldwide. Owing to the high moisture content of FW, hydrothermal carbonization (HTC) technology that can directly utilize the moisture in FW as the reaction medium, is widely used. Under mild reaction conditions and short treatment cycle, this technology can effectively and stably convert high-moisture FW into environmentally friendly hydrochar fuel. In view of the importance of this topic, this study comprehensively reviews the research progress of HTC of FW for biofuel synthesis, and critically summarizes the process parameters, carbonization mechanism, and clean applications. Physicochemical properties and micromorphological evolution of hydrochar, hydrothermal chemical reactions of each model component, and potential risks of hydrochar as a fuel are highlighted. Furthermore, carbonization mechanism of the HTC treatment process of FW and the granulation mechanism of hydrochar are systematically reviewed. Finally, potential risks and knowledge gaps in the synthesis of hydrochar from FW are presented and new coupling technologies are pointed out, highlighting the challenges and prospects of this study.

8.
Metabolites ; 13(6)2023 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-37367900

RESUMO

Flower color is an important characteristic of ornamental plants and is determined by various chemical components, including anthocyanin. In the present study, combined metabolomics and transcriptomics analysis was used to explore color variations in the chrysanthemums of three cultivars, of which the color of JIN is yellow, FEN is pink, and ZSH is red. A total of 29 different metabolites, including nine anthocyanins, were identified in common in the three cultivars. Compared with the light-colored cultivars, all of the nine anthocyanin contents were found to be up-regulated in the dark-colored ones. The different contents of pelargonidin, cyanidin, and their derivates were found to be the main reason for color variations. Transcriptomic analysis showed that the color difference was closely related to anthocyanin biosynthesis. The expression level of anthocyanin structural genes, including DFR, ANS, 3GT, 3MaT1, and 3MaT2, was in accordance with the flower color depth. This finding suggests that anthocyanins may be a key factor in color variations among the studied cultivars. On this basis, two special metabolites were selected as biomarkers to assist in chrysanthemum breeding for color selection.

9.
Cell Prolif ; 56(5): e13471, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-37199039

RESUMO

Robust allogeneic immune reactions after transplantation impede the translational pace of human embryonic stem cells (hESCs)-based therapies. Selective genetic editing of human leucocyte antigen (HLA) molecules has been proposed to generate hESCs with immunocompatibility, which, however, has not been specifically designed for the Chinese population yet. Herein, we explored the possibility of customizing immunocompatible hESCs based on Chinese HLA typing characteristics. We generated an immunocompatible hESC line by disrupting HLA-B, HLA-C, and CIITA genes while retaining HLA-A*11:01 (HLA-A*11:01-retained, HLA-A11R ), which covers ~21% of the Chinese population. The immunocompatibility of HLA-A11R hESCs was verified by in vitro co-culture and confirmed in humanized mice with established human immunity. Moreover, we precisely knocked an inducible caspase-9 suicide cassette into HLA-A11R hESCs (iC9-HLA-A11R ) to promote safety. Compared with wide-type hESCs, HLA-A11R hESC-derived endothelial cells elicited much weaker immune responses to human HLA-A11+ T cells, while maintaining HLA-I molecule-mediated inhibitory signals to natural killer (NK) cells. Additionally, iC9-HLA-A11R hESCs could be induced to undergo apoptosis efficiently by AP1903. Both cell lines displayed genomic integrity and low risks of off-target effects. In conclusion, we customized a pilot immunocompatible hESC cell line based on Chinese HLA typing characteristics with safety insurance. This approach provides a basis for establishment of a universal HLA-AR bank of hESCs covering broad populations worldwide and may speed up the clinical application of hESC-based therapies.


Assuntos
Células-Tronco Embrionárias Humanas , Humanos , Animais , Camundongos , Células-Tronco Embrionárias , Alelos , Antígeno HLA-A11/genética , Antígeno HLA-A11/metabolismo , População do Leste Asiático , Células Endoteliais , Edição de Genes , Antígenos HLA/genética , Histocompatibilidade , Diferenciação Celular
10.
Transpl Immunol ; 75: 101699, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-35988896

RESUMO

Shikonin (SHK) has multifaceted physiological functions, including antitumor, anti-inflammatory, and antimicrobial effects. Recently, SHK has been shown to affect immune responses; however, its detailed immune modulatory function in vivo remains unclear. In this study, we demonstrated that SHK not only inhibited T cell proliferation in vitro, but also intensively inhibited thymopoiesis and eliminated CD4/CD8 double-positive thymic progenitor cells in vivo. Treatment of mice with SHK resulted in immune profile alterations, which promoted myelosis in the bone marrow and increased inhibitory immune cells in central immune organs. A decrease in T cells and B cells was observed in the spleen. Using a murine allogenic skin transplantation model, we revealed that short-term treatment of recipients with SHK significantly inhibited skin graft rejection, in which the levels of myeloid-derived suppressor cells (MDSC) were markedly increased. Taken together, our study suggests that SHK can efficiently eliminate proliferating T cells and inhibit thymopoiesis while promoting the generation of MDSC, indicating its potential role in alleviating immune responses in allogeneic organ/cell transplantation.


Assuntos
Células Supressoras Mieloides , Camundongos , Animais , Camundongos Endogâmicos C57BL , Ativação Linfocitária , Linfócitos T , Proliferação de Células
11.
Immunol Cell Biol ; 100(8): 624-635, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35662247

RESUMO

Humanized mice reconstituted with a functional human immune system (HIS) are instrumental in studying human immunity and immune disorders in vivo. The poor or lack of cross-reactivity between mouse cytokines and human cells limits the development and/or function of human immune cell subsets including human myeloid, natural killer and B cells. Here we explored the potential to achieve long-term production of human cytokines in immunodeficient mice using a transposon-plasmid-based hydrodynamic injection approach. We constructed a transposon-plasmid carrying five human cytokine coding sequences (named PB-5F), and observed that four of the cytokines (granulocyte-macrophage colony-stimulating factor, interleukin (IL)-15, IL-6 and IL-3) were detectable in sera and three (granulocyte-macrophage colony-stimulating factor, IL-15 and IL-6) showed long-term production in immunodeficient mice that received a single hydrodynamic injection of PB-5F plus the transposase plasmid (Super PB). Furthermore, a single injection of PB-5F/Super PB markedly enhanced the reconstitution of human myeloid cells and natural killer cells, and promoted human B-cell maturation in HIS mice. Taken together, our data revealed that hydrodynamic injection of the PB-5F/Super PB vectors may serve as a convenient and efficacious means to promote human immune function in HIS mice.


Assuntos
Citocinas , Fator Estimulador de Colônias de Granulócitos e Macrófagos , Animais , Citocinas/genética , Humanos , Hidrodinâmica , Interleucina-6/genética , Células Matadoras Naturais , Camundongos , Plasmídeos/genética
12.
Cell Mol Immunol ; 18(11): 2541-2553, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34635806

RESUMO

Allogeneic hematopoietic cell transplantation (allo-HCT) is a promising therapeutic option for hematological malignancies, but relapse resulting predominantly from residual disease in the bone marrow (BM) remains the major cause of treatment failure. Using immunodeficient mice grafted with laboratory-generated human B-ALL, our previous study suggested that leukemia cells within the BM are resistant to graft-versus-leukemia (GVL) effects and that mobilization with CXCR4 antagonists may dislodge leukemia cells from the BM, enabling them to be destroyed by GVL effects. In this study, we extended this approach to patient-derived xenograft (PDX) and murine T-ALL and AML models to determine its clinical relevance and effects on GVHD and donor hematopoietic engraftment. We found that posttransplant treatment with the CXCR4 antagonist AMD3100 significantly improved the eradication of leukemia cells in the BM in PDX mice grafted with B-ALL cells from multiple patients. AMD3100 also significantly improved GVL effects in murine T-ALL and AML models and promoted donor hematopoietic engraftment in mice following nonmyeloablative allo-HCT. Furthermore, posttransplant treatment with AMD3100 had no detectable deleterious effect related to acute or chronic GVHD. These findings provide important preclinical data supporting the initiation of clinical trials exploring combination therapy with CXCR4 antagonists and allo-HCT.


Assuntos
Benzilaminas/uso terapêutico , Ciclamos/uso terapêutico , Transplante de Células-Tronco Hematopoéticas , Leucemia-Linfoma Linfoblástico de Células Precursoras/terapia , Células-Tronco/fisiologia , Animais , Benzilaminas/farmacologia , Quimerismo , Ciclamos/farmacologia , Doença Enxerto-Hospedeiro/imunologia , Doença Enxerto-Hospedeiro/prevenção & controle , Humanos , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Endogâmicos C57BL , Camundongos Endogâmicos NOD , Complicações Pós-Operatórias/prevenção & controle , Leucemia-Linfoma Linfoblástico de Células Precursoras/imunologia , Receptores CXCR4/antagonistas & inibidores , Condicionamento Pré-Transplante , Transplante Homólogo , Resultado do Tratamento
13.
ACS Omega ; 6(10): 7094-7105, 2021 Mar 16.
Artigo em Inglês | MEDLINE | ID: mdl-33748623

RESUMO

A novel flame retardant (TDA) containing phosphorus, nitrogen, and silicon was synthesized successfully via a controllable ring-opening addition reaction between 1,3,5-triglycidyl isocyanurate, 9,10-dihydro-9-oxa-10-phosphaphenanthrene-10-oxide, and 3-aminopropyltriethoxysilane, and TDA was then blended with diglycidyl ether of bisphenol A to prepare flame-retardant epoxy resins (EPs). The chemical structure and components of TDA were confirmed by Fourier transform infrared (FTIR) spectra, 31P nuclear magnetic resonance, and X-ray photoelectron spectroscopy. Thermogravimetric analysis results indicated that after the introduction of TDA, cured EP maintained good thermal stability with a minimum initial decomposition temperature of 337.6 °C, and the char yields of a EP/TDA-5 sample significantly increased by 76.2% compared with that of the neat EP thermoset. Additionally, with the addition of 25.0 wt % TDA (1.05 wt % phosphorus loading), the limited oxygen index value of cured EP increased from 22.5% of pure EP to 33.4%, and vertical burning V-0 rating was easily achieved. Meanwhile, after the incorporation of TDA, the total heat release and total smoke production of the EP/TDA-5 sample obviously reduced by 28.9 and 27.7% in the cone calorimeter test, respectively. Flame-retardant performances and flame-retardant mechanisms were further analyzed by scanning electron microscopy, FTIR, energy-dispersive spectrometry, and pyrolysis gas chromatography/mass spectrometry. The results reveal that the synergistic effect of phosphorus, nitrogen, and silicon plays an excellent flame-retardant role in both gaseous and condensed phases. In addition, the mechanical and dynamic mechanical properties of cured EP thermosets are well maintained rather than destroyed. All the results demonstrate that TDA endows epoxy resin with excellent flame retardancy and possesses great promise in the industrial field.

14.
Transplantation ; 104(8): 1566-1573, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32732833

RESUMO

BACKGROUND: Xenogeneic organ transplantation has been proposed as a potential approach to fundamentally solve organ shortage problem. Xenogeneic immune responses across species is one of the major obstacles for clinic application of xeno-organ transplantation. The generation of glycoprotein galactosyltransferase α 1, 3 (GGTA1) knockout pigs has greatly contributed to the reduction of hyperacute xenograft rejection. However, severe xenograft rejection can still be induced by xenoimmune responses to the porcine major histocompatibility complex antigens swine leukocyte antigen class I and class II. METHODS: We simultaneously depleted GGTA1, ß2-microglobulin (ß2M), and major histocompatibility complex class II transactivator (CIITA) genes using clustered regularly interspaced short palindromic repeats and CRISPR-associated proteins technology in Bamma pig fibroblast cells, which were further used to generate GGTA1ß2MCIITA triple knockout (GBC-3KO) pigs by nuclear transfer. RESULTS: The genotype of GBC-3KO pigs was confirmed by polymerase chain reaction and Sanger sequencing, and the loss of expression of α-1,3-galactose, SLA-I, and SLA-II was demonstrated by flow cytometric analysis using fluorescent-conjugated lectin from bandeiraea simplicifolia, anti-ß2-microglobulin, and swine leukocyte antigen class II DR antibodies. Furthermore, mixed lymphocyte reaction assay revealed that peripheral blood mononuclear cells from GBC-3KO pigs were significantly less effective than (WT) pig peripheral blood mononuclear cells in inducing human CD3CD4 and CD3CD8 T-cell activation and proliferation. In addition, GBC-3KO pig skin grafts showed a significantly prolonged survival in immunocompetent C57BL/6 mice, when compared with wild-type pig skin grafts. CONCLUSIONS: Taken together, these results demonstrate that elimination of GGTA1, ß2M, and CIITA genes in pigs can effectively alleviate xenogeneic immune responses and prolong pig organ survival in xenogenesis. We believe that this work will facilitate future research in xenotransplantation.


Assuntos
Rejeição de Enxerto/prevenção & controle , Xenoenxertos/imunologia , Transplante de Órgãos/métodos , Transplante Heterólogo/métodos , Aloenxertos/provisão & distribuição , Animais , Animais Geneticamente Modificados/imunologia , Sistemas CRISPR-Cas/genética , Modelos Animais de Doenças , Feminino , Galactosiltransferases/genética , Galactosiltransferases/imunologia , Técnicas de Inativação de Genes/métodos , Genes MHC da Classe II/genética , Genes MHC da Classe II/imunologia , Rejeição de Enxerto/imunologia , Sobrevivência de Enxerto/genética , Sobrevivência de Enxerto/imunologia , Xenoenxertos/transplante , Humanos , Masculino , Camundongos , Transplante de Órgãos/efeitos adversos , Suínos/genética , Suínos/imunologia , Transplante Heterólogo/efeitos adversos , Microglobulina beta-2/genética , Microglobulina beta-2/imunologia
15.
ACS Omega ; 5(8): 4200-4212, 2020 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-32149250

RESUMO

An amino curing agent containing silicon/titanium flame-retardant elements (STCA) based on (3-aminopropyl)triethoxysilane (APTES) and tetrabutyl titanate was successfully prepared. The thermal decomposition and flame-retardant properties of a STCA-cured trifunctional epoxy resin, which was facilely synthesized by 1,1,1-tris(4-hydroxyphenyl)ethane and epichlorohydrin via a two-step method, were compared with those of another amino curing agent containing silicon (SCA) based on APTES and methyltrimethoxysilane. The structures of STCA and SCA were characterized by Fourier transform infrared (FT-IR), 29Si NMR, and Raman spectroscopies. The STCA-cured thermoset not only had good thermal stability with an initial decomposition temperature of 344.8 °C and a char yield of 52.7% at 800 °C but also exhibited the overall improvement of flame-retardant properties. V-0 rating was achieved using the UL-94 test, and the value of limiting oxygen index reached 33.8%. From the thermogravimetry-infrared test, the yield of pyrolysis products of the STCA-cured thermoset was significantly decreased, indicating the lower toxicity in contrast to the SCA-cured thermoset. Flame-retardant performances were also investigated using the cone calorimetry test, and the flame retardancy mechanism was studied using scanning electron microscopy, FT-IR, and energy-dispersive spectrometry. The results indicate that the introduction of silicon/titanium to the system reveals the synergistic effects to promote the formation of an intumescent, sufficient, and compact char layer during combustion, which could effectively prevent heat, oxygen, and flame from penetrating into the interior structure, and lead to the retardance of further combustion.

16.
Pancreatology ; 18(8): 983-989, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30287168

RESUMO

OBJECTIVES: We investigated whether the combination of systemic chemotherapy (SCT) and liver-directed therapy (LDT) was superior to chemotherapy alone for patients with pancreatic adenocarcinoma and synchronous liver metastases (PACLM). METHODS: We reviewed the medical records of 184 patients treated with SCT ±â€¯LDT at Tianjin Medical University Cancer Hospital from 2001 to 2015. Overall survival (OS) was the primary end-point. The role of treatment modality and other clinical factors was evaluated by univariate and Cox regression analyses. RESULTS: Sixty-four (34.8%) patients in the SCT-LDT group and 120 (65.2%) patients in the SCT group were included in the analysis. Baseline clinical characteristics were similar between the groups (all P > 0.05). The median survival was 8.7 months in the SCT-LDT group and was 6.3 months in the SCT group. The 0.5-, 1-, 2- and 3-year survival rates were 67.2%, 33.4%, 13.3% and 8.9%, respectively, after SCT-LDT, and were 54.9%, 19.0%, 4.5% and 2.0%, respectively, after SCT (P = 0.01). Primary tumor size, ascites, and treatment modality (SCT + LDT vs. SCT) independently predicted survival (P < 0.05). The clinical efficacy congruously favored the SCT-LDT group across the majority of subgroups. CONCLUSIONS: SCT combined with LDT was well tolerated and may be effective to improve survival of patients with PACLM. Ascites and large primary tumor size were poor prognostic factors associated with survival.


Assuntos
Adenocarcinoma/tratamento farmacológico , Adenocarcinoma/secundário , Antineoplásicos/uso terapêutico , Neoplasias Hepáticas/tratamento farmacológico , Neoplasias Hepáticas/secundário , Neoplasias Pancreáticas/tratamento farmacológico , Adenocarcinoma/patologia , Adulto , Idoso , Antineoplásicos/efeitos adversos , Ascite/patologia , Terapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Pancreáticas/patologia , Fatores de Risco , Análise de Sobrevida , Resultado do Tratamento
17.
Pancreatology ; 17(5): 773-781, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28734721

RESUMO

BACKGROUND AND AIMS: Patients with pancreatic ductal adenocarcinoma and synchronous liver metastases (PACLM) have an extremely limited life expectancy. We performed a single-center analysis to explore the clinical results and prognostic factors of patients with PACLM receiving palliative care. METHODS: We retrospectively reviewed 189 patients undergoing palliative care at Tianjin Medical University Cancer Hospital over a 15-year period. Clinical characteristics, survival condition, and factors associated with survival were analyzed. Treatment methods included palliative bypass surgery, percutaneous transhepatic cholangiodrainage, drug analgesia, symptomatic treatment, and other nutritional or supportive measures. RESULTS: The overall survival (OS) was 3.6 months for all patients. Multivariate analysis for clinical features showed that Karnofsky performance score (KPS), ascites, cigarette smoking, primary tumor size, and lactate dehydrogenase (LDH) were prognostic variables with statistical significance (P < 0.05). The patients were classified into three groups of patients according to how many of these 5 risk factors were present: 0-1, 2, or 3-5 risk factors. The median OS of the 3 groups of patients were 5.0, 3.3, and 2.5 months, respectively, with a notable statistical significance (P < 0.0001). CONCLUSIONS: KPS<80, ascites, cigarette smoking, primary tumor size≥5 cm, and LDH≥250U/L are effective predictive factors of poor prognosis for patients with PACLM. The stratification of treatment outcome groups based on these factors facilitates evaluation of individual prognosis and can guide clinical decisions.


Assuntos
Adenocarcinoma/patologia , Neoplasias Hepáticas/secundário , Cuidados Paliativos , Neoplasias Pancreáticas/patologia , Adenocarcinoma/mortalidade , Ascite , Fumar Cigarros , Feminino , Humanos , Avaliação de Estado de Karnofsky , L-Lactato Desidrogenase/sangue , L-Lactato Desidrogenase/metabolismo , Neoplasias Hepáticas/mortalidade , Masculino , Pessoa de Meia-Idade , Neoplasias Pancreáticas/mortalidade , Fatores de Risco , Análise de Sobrevida
18.
Ying Yong Sheng Tai Xue Bao ; 15(6): 1039-42, 2004 Jun.
Artigo em Chinês | MEDLINE | ID: mdl-15362631

RESUMO

In this paper, the spatial construction models of populations M. persicae and its predatory natural enemy E. graminicola during different periods were simulated by geostatistics, and their spatial relationships were analyzed. The spatial structure of M. persicae population was described by spherical model, showing an aggregated spatial arrangement. Its spatial dependence was 2.0252-4.1495 m, heterogeneity degree was 10,281.36-300,216.30, and sample variance was 12,176.81-303,433.70. The spatial structure of E . graminicola population was also simulated by spherical model, showing an aggregated spatial arrangement. Its spatial dependence was 3.7328-4.8983 m, heterogeneity degree was 1.4482-4.4134, and sample variance was 1.6941-5.8167. The results and methods could be applied to monitor the temporal and spatial dynamics of target insect pest population in tobacco field, and provide scientific basis for ecological control.


Assuntos
Afídeos/fisiologia , Ecossistema , Insetos/fisiologia , Nicotiana/parasitologia , Comportamento Predatório/fisiologia , Animais , Demografia , Densidade Demográfica , Dinâmica Populacional , Nicotiana/crescimento & desenvolvimento
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