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1.
Am J Cancer Res ; 14(3): 1292-1305, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38590410

RESUMO

Nearly twenty-five percent of colorectal cancer (CRC) patients develop metachronous colorectal liver metastasis (CRLM) after curative surgery. Hepatosteatosis is the most prevalent liver condition worldwide, but its impact on the incidence of metachronous CRLM is understudied. In the present study, we aimed to investigate the predictive value of hepatic steatosis on the development of metachronous CRLM. First, a nested case-control study was conducted, enrolling stage I to III CRC patients in the National Colorectal Cancer Cohort (NCRCC) database. Metachronous CRLM patients and recurrence-free patients were matched via propensity-score matching. Fatty liver was identified based on treatment-naïve CT scans and the degree of hepatic fibrosis was scored. Multivariable analysis was conducted to investigate the association between fatty liver and metachronous CRLM. In our database, a total of 414 patients were included. Metachronous CRLM patients had considerably higher rates of hepatic steatosis (30.9% versus 15.9%, P<0.001) and highly fibrotic liver (11.6% versus 2.9%, P=0.001) compared to recurrence-free patients. Multivariable analysis showed that fatty liver (odds ratios [OR]=1.99, 95% confidence interval [CI] 1.19-3.30, P=0.008) and fibrotic liver (OR=4.27, 95% CI 1.54-11.81, P=0.005) were associated with high risk of metachronous CRLM. Further, a systematic literature review was performed to assess available evidence on the association between hepatosteatosis and development of metachronous CRLM. In the systematic review, 1815 patients were pooled from eligible studies, and hepatic steatosis remained a significant risk factor for metachronous CRLM (OR=1.90, 95% CI 1.35-2.66, P<0.001, I2=25.3%). In conclusion, our data suggest that patients with a steatotic liver and a high fibrosis score at CRC diagnosis have elevated risk of developing metachronous CRLM.

2.
World J Surg Oncol ; 21(1): 340, 2023 Oct 26.
Artigo em Inglês | MEDLINE | ID: mdl-37880688

RESUMO

BACKGROUND: Adding anti-epidermal growth factor receptor (anti-EGFR) target agents to conversion therapy may improve the resection rates and survival of patients with potentially resectable metastatic colorectal cancer (mCRC). This study aims to analyze the efficacy and safety of additional anti-EGFR target agents. METHODS: A systematic search was conducted on PubMed, Web of Science, Embase, and Cochrane Library. And all relevant studies published in English before January 2023 were collected to explore the impact of additional anti-EGFR targeted agent on the efficacy and safety of patients with potentially resectable mCRC (PROSPERO: CRD42022340523, https://www.crd.york.ac.uk/PROSPERO/ ). RESULTS: This study included a total of 8 articles, including 2618 patients. The overall response rate (ORR) and R0 resection rates of the experimental group were higher than those of the control group, while there was no significant difference in progression-free survival (PFS) and overall survival (OS) between the two groups. In RAS/KRAS wild-type patients, the ORR (RR: 1.20, 95% Cl: 1.02-1.41, p = 0.03), R0 resection rate (RR: 1.60, 95% Cl: 1.17-2.20, p = 0.003), PFS (HR: 0.80, 95% Cl: 0.68-0.93, p = 0.003), and OS (HR: 0.87, 95% Cl: 0.76-0.99, p = 0.031) of the experimental group were higher than those of the control group. While in KRAS mutant patients, there was no statistical difference between the two groups in ORR, R0 resection rate, PFS, and OS. CONCLUSION: The addition of anti-EGFR targeted agents can improve the prognosis of RAS/KRAS wild-type patients with potentially resectable mCRC, while KRAS mutant patients may not benefit. In addition, the overall safety factor was controllable.


Assuntos
Neoplasias Colorretais , Humanos , Anticorpos Monoclonais/uso terapêutico , Protocolos de Quimioterapia Combinada Antineoplásica , Cetuximab/uso terapêutico , Neoplasias Colorretais/tratamento farmacológico , Neoplasias Colorretais/cirurgia , Receptores ErbB/antagonistas & inibidores , Proteínas Proto-Oncogênicas p21(ras)/genética , Ensaios Clínicos Controlados Aleatórios como Assunto , Metástase Neoplásica
3.
Int J Mol Sci ; 24(13)2023 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-37446138

RESUMO

Alligator sinensis cathelicidins (As-CATHs) are antimicrobial peptides extracted from alligators that enable alligators to cope with diseases caused by bacterial infections. This study assessed the damaging effects of sequence-truncated and residue-substituted variants of As-CATH4, AS4-1, AS4-5, and AS4-9 (with decreasing charges but increasing hydrophobicity) on the membranes of Gram-negative bacteria at the molecular level by using coarse-grained molecular dynamics simulations. The simulations predicted that all the variants disrupt the structures of the inner membrane of Gram-negative bacteria, with AS4-9 having the highest antibacterial activity that is able to squeeze the membrane and extract lipids from the membrane. However, none of them can disrupt the structure of asymmetric outer membrane of Gram-negative bacteria, which is composed of lipopolysaccharides in the outer leaflet and phospholipids in the inner leaflet. Nonetheless, the adsorption of AS4-9 induces lipid scrambling in the membrane by lowering the free energy of a phospholipid flipping from the inner leaflet up to the outer leaflet. Upon binding onto the lipid-scrambled outer membrane, AS4-9s are predicted to squeeze and extract phospholipids from the membrane, AS4-5s have a weak pull-out effect, and AS4-1s mainly stay free in water without any lipid-extracting function. These findings provide inspiration for the development of potent therapeutic agents targeting bacteria.


Assuntos
Jacarés e Crocodilos , Animais , Membrana Celular/metabolismo , Bactérias Gram-Negativas/metabolismo , Peptídeos/metabolismo , Lipopolissacarídeos/metabolismo , Antibacterianos/metabolismo , Fosfolipídeos/metabolismo
4.
Nat Prod Res ; 37(1): 99-106, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35075951

RESUMO

Two new cycloartane triterpenoid glycosides, soulieoside V (1) and 15-deacetylbeesioside O (2), together with one known compound, beesioside J (3), were isolated from the ethanolic extract of the rhizomes of Actaea vaginata. Their structures were elucidated by spectroscopic methods and by comparison with data reported in the literature. All the compounds were tested for their cytotoxic activities against human cancer cell lines.


Assuntos
Actaea , Triterpenos , Humanos , Actaea/química , Rizoma/química , Glicosídeos/química , Triterpenos/química , Estrutura Molecular
5.
Clin Oncol (R Coll Radiol) ; 35(2): e121-e134, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-35940977

RESUMO

AIMS: The impact of neoadjuvant therapy on the functional outcome of patients with resectable rectal cancer is still controversial. The aim of the present study was to explore the effects of neoadjuvant therapy on anorectal function (ARF), urinary function and sexual function in relevant patients. MATERIALS AND METHODS: PubMed, Embase, Web of Science and the Cochrane Library were searched systematically. All English-language studies, published from January 2000 to July 2021, that explored the (postoperative) effects of neoadjuvant therapy versus upfront surgery on ARF, urinary function and sexual function of patients were included (PROSPERO 2021: CRD42021281617). RESULTS: The data in this study were derived from 37 articles based on 33 studies; in total, 17 917 patients were enrolled. The meta-analysis revealed that the incidence of anorectal dysfunction in the neoadjuvant therapy group was significantly higher than that in the group of upfront surgery, which was manifested by a higher incidence of major low anterior resection syndrome (odds ratio = 3.09, 95% confidence interval = 2.48, 3.84; P < 0.001), reduction of mean squeeze pressure and mean resting pressure, and other manifestations, including clustering of stools, incontinence, urgency and use of pads. With the extension of follow-up time, the adverse effects of neoadjuvant therapy on major low anterior resection syndrome existed. Compared with patients undergoing upfront surgery, neoadjuvant therapy increased the risk of urinary incontinence (odds ratio = 1.31, 95% confidence interval = 1.00, 1.72; P = 0.05) and erectile dysfunction (odds ratio = 1.77, 95% confidence interval = 1.27, 2.45; P < 0.001). CONCLUSION: Compared with upfront surgery, neoadjuvant therapy is not only associated with impairment of ARF, but also with increased incidence of urinary incontinence and male erectile dysfunction. However, the influence of confounding factors (e.g. surgical method, tumour stage) needs to be considered.


Assuntos
Disfunção Erétil , Neoplasias Retais , Incontinência Urinária , Humanos , Masculino , Terapia Neoadjuvante/efeitos adversos , Terapia Neoadjuvante/métodos , Neoplasias Retais/tratamento farmacológico , Neoplasias Retais/radioterapia , Complicações Pós-Operatórias/etiologia , Disfunção Erétil/induzido quimicamente , Disfunção Erétil/epidemiologia , Incontinência Urinária/epidemiologia , Incontinência Urinária/etiologia
6.
Front Oncol ; 12: 961970, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36185316

RESUMO

Background: The effect of tobacco on breast cancer (BC) is controversial. The purpose of this study was to investigate the relationship between tobacco and BC. Methods: A search was conducted in PubMed, EBSCO, Web of Science and Cochrane Library databases before February 2022. The adjusted odd ratio (OR) and corresponding 95% confidence interval (CI) were used to examine the relationship between active or passive smoking and BC risk. Results: A total of 77 articles composed of 2,326,987 participants were included for this meta-analysis. Active (OR=1.15, 95% CI=1.11-1.20, p<0.001) and passive (OR=1.17, 95% CI=1.09-1.24, p<0.001) smoking increased the risk of BC in the female population, especially premenopausal BC (active smoking: OR=1.24, p<0.001; passive smoking: OR=1.29, p<0.001), but had no effect on postmenopausal BC (active smoking: OR=1.03, p=0.314; passive smoking: OR=1.13, p=0.218). Active smoking increased the risk of estrogen receptor-positive (ER+) BC risk (OR=1.13, p<0.001), but had no effect on estrogen receptor-negative (ER-) BC (OR=1.08, p=0.155). The risk of BC was positively associated with the duration and intensity of smoking, negatively associated with the duration of smoking cessation. Active smoking increased the risk of BC in the multiparous population (OR=1.13, p<0.001), but had no effect on the nulliparous population (OR=1.05, p=0.432), and smoking before the first birth (OR=1.22, 95% CI=1.17-1.27) had a greater impact on the risk of BC than smoking after the first birth (OR=1.08, 95% CI=1.04-1.12). Conclusion: Smoking (active and passive) increased the risk of BC in women. The effect of smoking on BC was influenced by smoking-related factors (duration, intensity, years of quitting), population-related factors (fertility status), and BC subtypes. Systematic Review Registration: identifier CRD42022322699.

7.
Carbohydr Res ; 521: 108673, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36148696

RESUMO

A further phytochemical investigation of the whole plants of Actaea vaginata afforded two new cycloartane triterpenoid saponins, (20S*,24R*)-15α,16ß-diacetoxy-20,24-epoxy-9,19-cyclolanostane-3ß,25-diol-3-O-ß-d-xylopyranoside (1) and (20S)-15ß,16ß -diacetoxy-18,20-epoxy-3ß,25-diol-24-oxo-9,19-cyclolanostan-3-O-ß-D-xylo-pyrano-syl-25-O-ß-d-glucopyranoside (2), together with four known compounds (3-6). Their structures were established on the basis of extensive analysis of NMR and HRESIMS data as well as by comparison with the reported data in the literature. All the isolates were evaluated for their cytotoxic activities against human hepatocellular carcinoma HepG2 cell line. Compounds 1 and 2 exhibited weak cytotoxicity with IC50 values of 36.10 and 27.39 µM, respectively. In addition, beesioside I (6) was found to significantly inhibit proliferation and induce apoptosis in HepG2 cells. A closer examination of underlying mechanism revealed that beesioside I could increase the levels of ROS and caspase-3 and promote phosphorylation of JNK in the JNK signaling pathway. Molecular modeling studies also shed further light on how beesioside I interacted with the key protein kinase.


Assuntos
Actaea , Antineoplásicos , Saponinas , Triterpenos , Actaea/química , Caspase 3 , Glicosídeos/química , Humanos , Estrutura Molecular , Proteínas Quinases , Espécies Reativas de Oxigênio , Saponinas/química , Triterpenos/química
8.
Open Med (Wars) ; 17(1): 712-731, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35702390

RESUMO

The purpose of this study was to investigate the relationship between night shift work and breast cancer (BC) incidence. A search was performed in PubMed, EBSCO, Web of Science, and Cochrane Library databases before June 2021. The exposure factor of this study is night shift work, the primary outcome is the risk of BC. A total of 33 observational studies composed of 4,331,782 participants were included. Night shift work increases the risk of BC in the female population (hazard ratio [HR] = 1.20, 95% confidence interval [Cl] = 1.10-1.31, p < 0.001), especially receptor-positive BC, including estrogen receptor (ER)+ BC (HR = 1.35, p < 0.001), progesterone receptor (PR)+ BC (HR = 1.30, p = 0.003), and human epidermal growth factor receptor 2 (HER2)+ BC (HR = 1.42, p < 0.001), but has no effect on HER2- BC (HR = 1.10, p = 0.515) and ER-/PR- BC (HR = 0.98, p = 0.827). The risk of BC was positively correlated with night shift working duration, frequency, and cumulative times. For women who start night work before menopause, night work will increase the incidence of BC (HR = 1.17, p = 0.020), but for women who start night work after menopause, night work does not affect BC (HR = 1.04, p = 0.293). Night work can increase the incidence of BC in the female population. The effect of long working hours, frequency, and the cumulative number of night shifts on BC is influenced by menopausal status.

9.
Nat Prod Res ; 36(2): 560-565, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32643409

RESUMO

One new cycloartane triterpene bisdesmoside, soulieoside U, was isolated from the rhizomes of Actaea vaginata. Its structure was elucidated by extensive analysis of the NMR and MS data. Soulieoside U was evaluated for cytotoxic activities against three human cancer cell lines.


Assuntos
Actaea , Triterpenos , Glicosídeos/farmacologia , Humanos , Estrutura Molecular , Rizoma , Triterpenos/farmacologia
10.
Anticancer Agents Med Chem ; 22(6): 1068-1079, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34315397

RESUMO

BACKGROUND: The impact of neoadjuvant therapy on long-term prognosis of patients with resectable rectal cancer is currently unknown. OBJECTIVE: This study aimed to explore the long-term prognosis of patients with resectable rectal cancer following treatment with neoadjuvant therapy. METHODS: Four major databases (PubMed, Web of Science, Embase, Cochrane library) were searched to identify relevant articles published between January 2000 and July 2020. The main outcome indicators were the 5-year Overall Survival (OS) and Disease-Free Survival (DFS). RESULTS: The meta-analysis revealed that 5-year OS (HR: 0.88, 95% Cl: 0.83-0.93) and DFS (HR: 0.95, 95% Cl: 0.91- 0.98) were higher in patients with resectable rectal cancer after receiving neoadjuvant therapy than those treated with upfront surgery. Subgroup analysis demonstrated that the long-term survival of patients in Asia and Europe could benefit from neoadjuvant therapy. The neoadjuvant short-course radiotherapy (SCRT) and neoadjuvant chemoradiotherapy (CRT) improved the 5-year OS and DFS of patients with stage II-III rectal cancer and mid/low rectal cancer. Further research found that patients with stage II only had an increase in OS, while patients with stage Ⅲ have improved 5-year OS and DFS. CONCLUSION: Neoadjuvant therapy improved the long-term survival of patients with mid/low rectal cancer in stage Ⅱ-Ⅲ (especially stage Ⅲ). Additionally, patients in Asia and Europe seemed to be more likely to benefit from neoadjuvant therapy. For the treatment, we recommend neoadjuvant SCRT and neoadjuvant CRT for resectable rectal cancer.


Assuntos
Terapia Neoadjuvante , Neoplasias Retais , Intervalo Livre de Doença , Humanos , Prognóstico , Neoplasias Retais/terapia
11.
BMC Cancer ; 21(1): 1109, 2021 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-34654387

RESUMO

BACKGROUND: The effect of dairy products intake on breast cancer (BC) is highly controversial. This study aims to investigate the relationship between dairy intake and BC incidence. METHODS: A search was carried out in PubMed, EBSCO, Web of Science, and Cochrane Library databases before January 2021. The primary objective was the risk of BC and intake of dairy products were exposure variables. RESULTS: The meta-analysis comprised 36 articles with 1,019,232 participants. Total dairy products have a protective effect on female population (hazard ratio (HR) =0.95, 95% confidence interval (CI) =0.91-0.99, p = 0.019), especially for estrogen receptor-positive (ER+) (HR = 0.79, p = 0.002) and progesterone receptor-positive (PR+) BC (HR = 0.75, p = 0.027). For ER+/PR+ BC, there is a trend of protection, but it has not reached statistical significance (HR = 0.92, p = 0.075). Fermented dairy products can reduce BC risk in postmenopausal population (HR = 0.96, 95%CI = 0.93-0.99, p = 0.021), but have no protective effect on premenopausal population (HR = 0.98, 95%CI = 0.94-1.03, p = 0.52). Non-fermented dairy products have no significant effect on BC occurrence (p > 0.05). High-fat dairy products are harmful to women, without statistical difference (HR = 1.06, 95%CI = 1.00-1.13, p = 0.066). On the contrary, low-fat dairy products can protect the premenopausal population (HR = 0.94, 95%CI = 0.89-1.00, p = 0.048). CONCLUSION: The intake of dairy products can overall reduce BC risk in the female population, but different dairy products have varying effects on different BC subtypes and menopausal status.


Assuntos
Neoplasias da Mama/epidemiologia , Laticínios , Adulto , Idoso , Viés , Neoplasias da Mama/química , Neoplasias da Mama/prevenção & controle , Intervalos de Confiança , Produtos Fermentados do Leite/efeitos adversos , Laticínios/efeitos adversos , Feminino , Humanos , Incidência , Pessoa de Meia-Idade , Estudos Observacionais como Assunto , Pós-Menopausa , Pré-Menopausa , Modelos de Riscos Proporcionais , Viés de Publicação , Receptores de Estrogênio , Receptores de Progesterona , Adulto Jovem
12.
Front Public Health ; 9: 668368, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34164370

RESUMO

Background: Currently, the association between sodium-glucose cotransporter 2 inhibitor (SGLT-2i) and malignancy risk has yet to be fully elucidated. This meta-analysis aimed to determine the relationship between SGLT-2i and malignancy risk in type 2 diabetes (T2D) patients. Methods: We searched PubMed, ScienceDirect, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science to identify randomized controlled trials (RCTs) published up to August 2020 related to T2D patients treated with SGLT-2i vs. placebo or other hypoglycemic agents. The meta-analysis's primary outcome was malignancies' incidence, and the results were evaluated using risk ratio (RR) and 95% confidence interval (CI). Results: We reviewed 76 articles (77 RCTs), comprising 45,162 and 43,811 patients in SGLT-2i and control groups, respectively. Compared with the control group, SGLT-2i had no significant association with augmented overall malignancy risk in T2D patients (RR = 1.05, 95% CI = 0.97-1.14, P = 0.20), but ertugliflozin may upsurge the risk (RR = 1.80, 95% CI = 1.02-3.17, P = 0.04). Compared with active hypoglycemic agents, dapagliflozin may increase (RR = 2.71, 95% CI = 1.46-6.43, P = 0.02) and empagliflozin may decrease (RR = 0.67, 95% CI = 0.45-0.98, P = 0.04) the malignancy risk. Compared with placebo, empagliflozin may exhibit risk increase (RR = 1.25, 95% CI = 1.05-1.49, P = 0.01), primarily in digestive system (RR = 1.48, 95% CI = 0.99-2.21, P = 0.05). Conclusions: Our results proposed that in diverse comparisons, ertugliflozin and dapagliflozin seemed to increase the malignancy risk in T2D patients. Empagliflozin may cause malignancy risk reduction compared with active hypoglycemic agents but increase overall risk primarily in the digestive system compared with placebo. In short, the relationship between SGLT-2i and malignancy in T2D patients remains unclear.


Assuntos
Diabetes Mellitus Tipo 2 , Neoplasias , Inibidores do Transportador 2 de Sódio-Glicose , Diabetes Mellitus Tipo 2/tratamento farmacológico , Humanos , Hipoglicemiantes/efeitos adversos , Neoplasias/induzido quimicamente , Ensaios Clínicos Controlados Aleatórios como Assunto , Inibidores do Transportador 2 de Sódio-Glicose/efeitos adversos
13.
Taiwan J Obstet Gynecol ; 60(3): 433-441, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33966724

RESUMO

Cervical cancer is a global health challenge in women. Neoadjuvant chemotherapy (NACT) is a recent prospect for alternative cervical cancer treatments. This study investigated the efficacy of NACT against resectable cervical cancer based on the medium and long-term survival of patients with the disease. We searched through PubMed, Web of Science, EBSCO and Cochrane Library for relevant reports published by June 2020. The primary outcomes were 3-year and 5-year progression-free survival (PFS) and overall survival (OS) of patients with resectable cervical cancer. Overall, 22 publications encompassing 5627 patients fulfilled the inclusion criteria. We found NACT not to affect both 3-year PFS and OS as well as 5-year PFS of patients with resectable cervical cancer. However, NACT significantly improves the 5-year OS of patients with resectable cervical cancer (HR = 0.83, 95% CI: 0.73-0.94, p = 0.013). Subgroup analysis (RCTs, non-RCTs, NACT + surgery + AT vs. surgery + AT, NACT + surgery + AT vs. CCRT/RT/CRT) further revealed NACT had no significant effect on 5-year PFS of patients with resectable cervical cancer, converse to the 5-year OS subgroup analysis, which validated the beneficial effect of NACT in patients with resectable cervical cancer. In addition, the effect of NACT was most significant in the non-RCTs subgroup (p = 0.012). NACT may improve the long-term prognosis of patients with resectable cervical cancer. However, further large-scale multicenter studies are needed to validate this finding.


Assuntos
Colo do Útero/cirurgia , Quimioterapia Adjuvante/mortalidade , Terapia Neoadjuvante/mortalidade , Neoplasias do Colo do Útero/terapia , Quimioterapia Adjuvante/métodos , Ensaios Clínicos como Assunto , Feminino , Humanos , Terapia Neoadjuvante/métodos , Prognóstico , Intervalo Livre de Progressão , Taxa de Sobrevida , Resultado do Tratamento , Neoplasias do Colo do Útero/mortalidade
14.
Front Oncol ; 11: 762921, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35141141

RESUMO

BACKGROUND: Although minimally invasive surgery (MIS) was commonly used to treat patients with early-stage cervical cancer, its efficacy remained controversial. METHODS: We systematically searched PubMed, Web of Science, and Cochrane Library databases until March 2021 to compare the prognosis of early-stage cervical cancer patients who underwent MIS (laparoscopic or robot-assisted radical hysterectomy) or ARH. The primary outcomes included rates of 3- and 5-year disease-free survival (DFS) and overall survival (OS). The study protocol was registered in PROSPERO: CRD42021258116. RESULTS: This meta-analysis included 48 studies involving 23346 patients (11220, MIS group; 12126, ARH group). The MIS group had a poorer medium-term (3-year) DFS (HR=1.08, 95% CI: 1.01-1.16, p=0.031) than the ARH group, without significant difference in medium-term OS as well as long-term (5-year) DFS and OS. Subgroup analysis of 3-year prognosis revealed that although patients in Western countries who underwent MIS had shorter DFS than those who underwent ARH (HR=1.10, p=0.024), no difference was observed in DFS among those in Asian countries. Moreover, MIS was linked to poorer 3-year DFS in patients with stage I cervical cancer (HR=1.07, p=0.020). Notably, subgroup analysis of 5-year prognosis revealed that patients with tumor size ≥2 cm undergoing MIS exhibited a shorter DFS than those who underwent ARH (HR=1.65, p=0.041). CONCLUSION: Patients with early-stage cervical cancer undergoing MIS may have a poorer prognosis than those undergoing ARH. Therefore, applying MIS in early-stage cervical cancer patients should be conducted with caution. SYSTEMATIC REVIEW REGISTRATION: The study protocol was registered in PROSPERO: CRD42021258116.

15.
Technol Cancer Res Treat ; 17: 1533033818791500, 2018 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-30145940

RESUMO

OBJECTIVE: The aim of the study was to investigate the prognostic role of neutrophil to lymphocyte ratio in ovarian cancer. Growing number of articles reported the relationship between neutrophil to lymphocyte ratio and prognosis in ovarian cancer, but the results remains inconclusive. The meta-analysis was conducted to analyze the association of pretreatment neutrophil to lymphocyte ratio with overall survival and progression-free survival. METHODS: We performed a systematic literature research of PubMed, EMBASE, Medline, and Cochrane library for relevant studies up to October 8, 2017. The quality of included studies was assessed by the Newcastle-Ottawa Quality Assessment Scale. The hazard ratio and corresponding 95% confidence intervals were calculated. We checked the heterogeneity by the Q test and Higgins I-squared statistic. Begg funnel plot and Egger linear regression test were also applied for ascertain publication bias. All of the statistical analyses were performed using STATA version 12.0. RESULTS: A total of 12 studies with 4046 patients were included in our study. The results indicated that depressed neutrophil to lymphocyte ratio was significantly correlated with higher overall survival (hazard ratio = 1.409, 95% confidence intervals = 1.112-1.786, P = .005) and progression-free survival (hazard ratio = 1.523, 95% confidence intervals = 1.187-1.955, P = .001) in ovarian cancer. Subgroup analysis by ethnicity of overall survival and progression-free survival showed that the prognostic effect of neutrophil to lymphocyte ratio was found both in Asians and Caucasians. CONCLUSION: Patients with depressed neutrophil to lymphocyte ratio had a higher overall survival and progression-free survival in ovarian cancer. This meta-analysis provided neutrophil to lymphocyte ratio as an available predictor of overall survival and progression-free survival for patients with ovarian cancer.


Assuntos
Linfócitos/patologia , Neutrófilos/patologia , Neoplasias Ovarianas/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Intervalo Livre de Doença , Feminino , Humanos , Contagem de Linfócitos/métodos , Pessoa de Meia-Idade , Neoplasias Ovarianas/mortalidade , Prognóstico , Modelos de Riscos Proporcionais , Adulto Jovem
16.
Nanoscale ; 10(33): 15793-15798, 2018 Aug 23.
Artigo em Inglês | MEDLINE | ID: mdl-30101269

RESUMO

Recently, fluorescent nanoscale metal-organic frameworks (NMOFs) have been proven to be useful probes for the detection and imaging of active biomolecules in living cells. However, the excitation wavelengths of these NMOF fluorescence probes are mostly in the ultraviolet region, which unavoidably results in reduced cell activity, limited tissue penetration depth and inevitable biological background interference. Herein, to solve this problem, a CuO functionalized NMOF probe with a tunable excitation wavelength based on Förster resonance energy transfer (FRET) for selective detection and imaging of the third important gaseous signaling molecule hydrogen sulfide (H2S) in living cells as an example is presented. In the energy transfer system, NMOF confines the luminophore organic dye thiazole orange within its intrinsic porous matrix as the energy donor, in which the excitation wavelength of the NMOF can be tuned simply from UV to Vis through the choice of dye molecules, and the H2S-responding site copper oxide nanoparticle (CuO NP) is the acceptor. After the surface functionalization of CuO NPs onto the NMOF, the fluorescence of the NMOF can be efficiently quenched based on the FRET. When H2S appeared, the fluorescence of the nanoprobe is recovered due to the interruption of FRET. This facile yet powerful strategy not only provides an instantaneous fluorescence probe for selective H2S detection in living cells but also offers a valuable approach for using porous NMOFs to sense other biological species.


Assuntos
Cobre/química , Corantes Fluorescentes , Sulfeto de Hidrogênio/análise , Estruturas Metalorgânicas/química , Nanopartículas/química , Células A549 , Transferência Ressonante de Energia de Fluorescência , Células Hep G2 , Humanos
17.
Angew Chem Int Ed Engl ; 56(44): 13752-13756, 2017 10 23.
Artigo em Inglês | MEDLINE | ID: mdl-28856780

RESUMO

Photodynamic therapy (PDT) has emerged as an important minimally invasive tumor treatment technology. The search for an effective photosensitizer to realize selective cancer treatment has become one of the major foci in recent developments of PDT technology. Controllable singlet-oxygen release based on specific cancer-associated events, as another major layer of selectivity mode, has attracted great attention in recent years. Here, for the first time, we demonstrated that a novel mixed-metal metal-organic framework nanoparticle (MOF NP) photosensitizer can be activated by a hydrogen sulfide (H2 S) signaling molecule in a specific tumor microenvironment for PDT against cancer with controllable singlet-oxygen release in living cells. The effective removal of tumors in vivo further confirmed the satisfactory treatment effect of the MOF NP photosensitizer.


Assuntos
Sulfeto de Hidrogênio/metabolismo , Metaloporfirinas/uso terapêutico , Nanopartículas/uso terapêutico , Neoplasias/tratamento farmacológico , Fármacos Fotossensibilizantes/uso terapêutico , Oxigênio Singlete/metabolismo , Animais , Linhagem Celular Tumoral , Células HCT116 , Células Hep G2 , Humanos , Metaloporfirinas/administração & dosagem , Metaloporfirinas/metabolismo , Camundongos Nus , Nanopartículas/administração & dosagem , Nanopartículas/metabolismo , Neoplasias/metabolismo , Neoplasias/patologia , Fotoquimioterapia , Fármacos Fotossensibilizantes/administração & dosagem , Fármacos Fotossensibilizantes/metabolismo , Microambiente Tumoral/efeitos dos fármacos
18.
Chem Commun (Camb) ; 52(31): 5432-5, 2016 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-27008985

RESUMO

For the first time, we report the synthesis of Ag nanoparticles (NPs) arranged in a helical structure on a chiral metal-organic framework via a facile process at room temperature. This material can serve as a new type of surface-enhanced Raman scattering sensor for the efficient recognition of d/l-cysteine and d/l-asparagine enantiomers.


Assuntos
Asparagina/química , Cisteína/química , Nanopartículas Metálicas/química , Prata/química , Análise Espectral Raman/métodos , Nanopartículas Metálicas/ultraestrutura , Modelos Moleculares , Compostos Organometálicos/química , Estereoisomerismo
19.
Guang Pu Xue Yu Guang Pu Fen Xi ; 36(11): 3481-4, 2016 Nov.
Artigo em Chinês | MEDLINE | ID: mdl-30198251

RESUMO

The measurement system for the detection of soot production as high-temperature pyrolysis of hydrocarbon fuels behind the reflected shock wave was established. By using the laser extinction method, the soot yields of toluene/argon mixtures were measured at high temperatures. The mole fractions of toluene were 0.25% and 0.5% while the pressures were approximate 2 and 4 atm. The temperatures ranged from 1 630 to 2 273 K. The dependence of soot yield on the temperature, pressure and fuel concentration was obtained. With the changes of temperature, the soot yield is a Gauss distribution. The soot yield increases as the pressure or fuel concentration increases. The maximum of soot yield was as high as 55%. The peak temperature of soot yield was not changed dramatically with the pressure. However, it changed from 1 852 to 1 921 K as the concentration of toluene increase from 0.25% to 0.5%. Moreover, we compared the soot yield between toluene and methylcyclohexane at pressure of 4 atm with fuel concertation of 0.5%. During the pyrolysis of methylcyclohexane, the peak temperature of soot yield was 2 045 K, which is about 135 K higher than that of toluene. However, the maximum soot yield of methylcyclohexane is only 1/8 of toluene. This work provides experimental reference for the research of soot particle emission in the engines and the mechanism of soot formation.

20.
Anal Chem ; 86(22): 11459-63, 2014 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-25342497

RESUMO

Hydrogen sulfide (H2S) has been regarded as the third important gaseous signaling molecule involved in human physiological and pathological processes. Due to the high reactive and diffusible properties of H2S, real-time detection of H2S fluctuations in living biological specimens is crucial. Here, we present a Cu(II)-metalated 3D porous nanoscale metal-organic framework (nano-MOF) {CuL[AlOH]2}n (PAC; H6L = meso-tetrakis(4-carboxylphenyl)porphyrin) and successfully employ this nano-MOF as a novel heterogeneous fluorescence probe for H2S detection. As far as we know, nano-MOFs have never been used as selective fluorescence probes for H2S detection. On the basis of the advantages of nano-MOF materials, this biocompatible nano-MOF probe exhibits rapid response, excellent selectivity, and hypotoxicity in in situ detection of H2S and represents the most sensitive fluorescence probe for selective H2S detection under physiological pH. In addition, confocal imaging was achieved successfully in living cells.


Assuntos
Corantes Fluorescentes/química , Sulfeto de Hidrogênio/análise , Nanoestruturas/química , Compostos Organometálicos/química , Sobrevivência Celular , Células Hep G2 , Humanos , Compostos Organometálicos/síntese química , Células Tumorais Cultivadas
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