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1.
Bioresour Technol ; 395: 130385, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38281549

ABSTRACT

A two-sludge anaerobic/anoxic/oxic + nitrification system with simultaneous nitrogen and phosphorus removal was studied for enhanced low-strength wastewater treatment. After 158 days of operation, excellent NH4+-N, chemical oxygen demand (COD) and PO43--P removal (99.0 %, 90.0 % and 92.0 %, respectively) were attained under a low carbon/nitrogen ratio of 5, resulting in effluent NH4+-N, COD and PO43--P concentrations of 0.3, 30.0 and 0.5 mg/L, respectively. The results demonstrate that the anaerobic/anoxic/oxic sequencing batch reactor (A2-SBR) and nitrification sequencing batch reactor (N-SBR) had favorable denitrifying phosphorus removal and nitrification performance, respectively. High-throughput sequencing results indicate that the phosphate-accumulating organisms Dechloromonas (1.1 %) and Tetrasphaera (1.2 %) were enriched in the A2-SBR, while the ammonia-oxidizing bacteria Nitrosomonas (7.8 %) and the nitrite-oxidizing bacteria Nitrospira (18.1 %) showed excellent accumulation in the N-SBR. Further analysis via functional prediction revealed that denitrification is the primary pathway of nitrogen metabolism throughout the system. Overall, the system achieved low carbon and high efficiency nutrient removal.


Subject(s)
Nitrification , Wastewater , Waste Disposal, Fluid/methods , Denitrification , Anaerobiosis , Phosphorus/metabolism , Carbon/metabolism , Bioreactors/microbiology , Sewage/microbiology , Nutrients , Bacteria/metabolism , Nitrogen/metabolism
2.
Phytochemistry ; 212: 113710, 2023 Aug.
Article in English | MEDLINE | ID: mdl-37178942

ABSTRACT

Six undescribed C27-phytoecdysteroid derivatives, named superecdysones A-F, and ten known analogs were extracted from the whole plant of Dianthus superbus L. Their structures were identified by extensive spectroscopy, mass spectrometric methods, chemical transformations, chiral HPLC analysis, and the single-crystal X-ray diffraction analysis. Superecdysones A and B possess a tetrahydrofuran ring in the side chain and superecdysones C-E are rare phytoecdysones containing a (R)-lactic acid moiety, whereas superecdysone F is an uncommon B-ring-modified ecdysone. Notably, based on the variable temperature (from 333 K to 253 K) NMR experiments of superecdysone C, the missing carbon signals were visible at 253 K and assigned. The neuroinflammatory bioassay of all compounds were evaluated, and 22-acetyl-2-deoxyecdysone, 2-deoxy-20-hydroxyecdysone, 20-hydroxyecdysone, ecdysterone-22-O-benzoate, 20-hydroxyecdysone-20,22-O-R-ethylidene, and acetonide derivative 20-hydroxyecdysterone-20, 22-acetonide significantly suppressed the LPS-induced nitric oxide generation in microglia cells (BV-2), with IC50 values ranging from 6.9 to 23.0 µM. Structure-activity relationships were also discussed. Molecular docking simulations of the active compounds confirmed the possible mechanism of action against neuroinflammations. Furthermore, none compounds showed cytotoxicity against HepG2 and MCF-7. It is the first report about the occurrence and anti-neuroinflammatory activity of the phytoecdysteroids in the genus Dianthus. Our findings demonstrated that ecdysteroids may be used as potential anti-inflammatory drugs.


Subject(s)
Dianthus , Dianthus/chemistry , Ecdysterone/pharmacology , Molecular Docking Simulation , Neuroinflammatory Diseases , Ecdysteroids/pharmacology
3.
Fitoterapia ; 165: 105418, 2023 Mar.
Article in English | MEDLINE | ID: mdl-36587747

ABSTRACT

Fourteen new sulphur-containing amides, glycocramides A-N (1-14), as well as nine known analogues (15-23) were isolated and characterized from Glycosmis craibii Tanaka. The chemical structures of new sulphur-containing amides 1-14 were ambiguously elucidated by extensive spectroscopic methods, while the known compounds 15-23 were identified by the comparison of their experimental spectral data with those described data in the literatures. The antiproliferative effects of all isolated sulphur-containing amides were evaluated in vitro. As a result, part of sulphur-containing amides showed remarkable inhibitory effects against MGC-803 cell line with IC50 values ranging from 13.12 ± 0.10 to 20.03 ± 0.13 µM. These research results suggest that the sulphur-containing amides are potentially to be developed as a new natural anti-tumor drugs.


Subject(s)
Amides , Rutaceae , Amides/pharmacology , Amides/chemistry , Molecular Structure , Sulfur , Plant Extracts/chemistry , Rutaceae/chemistry , Cell Line, Tumor
4.
Carbohydr Polym ; 298: 120072, 2022 Dec 15.
Article in English | MEDLINE | ID: mdl-36241268

ABSTRACT

Stichopus monotuberculatus is a tropical sea cucumber species and used as a folk medicine and tonic food. In this study, a fucosylated glycosaminoglycan (SmFG), the depolymerized SmFG (dSmFG) and its oligosaccharide fractions were prepared. The SmFG and its depolymerized products were comprised of a chondroitin-sulfate-E backbone, and various sulfated fucose side chains, including an unusual disaccharide side chain connected to the C-3 position of D-glucuronic acid (GlcA) or GlcA-ol. A peeling reaction occurred during the deaminative depolymerization process. The dSmFG and its fractions showed strong anticoagulant activity by selectively inhibiting intrinsic tenase complex, and had no anti-factor IIa, Xa and VIIa activity. The anticoagulant activity reduced with the decrease of molecular weight, and the unusual branch and novel reducing end may enhance the anticoagulant activity. These findings can provide significant information for development and utilization of depolymerized products from SmFG in food and pharmaceutical industries.


Subject(s)
Glycosaminoglycans , Sea Cucumbers , Animals , Anticoagulants/chemistry , Anticoagulants/pharmacology , Chondroitin Sulfates/chemistry , Disaccharides , Fucose/chemistry , Glucuronic Acid , Glycosaminoglycans/chemistry , Glycosaminoglycans/pharmacology , Oligosaccharides/chemistry , Sea Cucumbers/chemistry , Sulfates
5.
Chemosphere ; 307(Pt 3): 135918, 2022 Nov.
Article in English | MEDLINE | ID: mdl-35940405

ABSTRACT

An integrated fixed-biofilm activated sludge (IFAS) system was upgraded into a separated two-sludge denitrifying phosphorus removal system to treat domestic sewage with a low carbon/nitrogen ratio (C/N = 3.6). The system was operated in IFAS mode for 135 days and then converted to the separated two-sludge mode to perform denitrifying phosphorus removal for 110 days. With denitrification and phosphorus removal conducted using "single carbon source", the experimental results show that the total inorganic nitrogen (TIN) and phosphorus (P) removal efficiencies were improved by 13.4% and 36.5%, respectively. As the activated sludge unit and biofilm unit were separated, Dechloromonas (4.10%) and Candidatus Accumulibacter (1.56%) were enriched in activated sludge system, while the nitrifiers Nitrospira and Nitrosomonas occupied the biofilm with proportions of 19.6% and 5.68%, respectively. The separated two-sludge denitrifying phosphorus removal system was characterized by higher nutrient removal and functional bacteria enrichment.


Subject(s)
Phosphorus , Sewage , Bacteria , Biofilms , Bioreactors/microbiology , Carbon , Denitrification , Nitrogen/analysis , Nutrients , Sewage/microbiology , Waste Disposal, Fluid/methods
6.
Chemosphere ; 307(Pt 1): 135675, 2022 Nov.
Article in English | MEDLINE | ID: mdl-35842039

ABSTRACT

Phosphorus-accumulating organisms (PAOs), which harbor metabolic mechanisms for phosphorus removal, are widely applied in wastewater treatment. Recently, novel PAOs and phosphorus removal metabolic pathways have been identified and studied. Specifically, Dechloromonas and Tetrasphaera can remove phosphorus via the denitrifying phosphorus removal and fermentation phosphorus removal pathways, respectively. As the main PAOs in biological phosphorus removal systems, the conventional PAO Candidatus Accumulibacter and the novel PAOs Dechloromonas and Tetrasphaera are thoroughly discussed in this paper, with a specific focus on their phosphorus removal metabolic mechanisms, process applications, community abundance and influencing factors. Dechloromonas can achieve simultaneous nitrogen and phosphorus removal in an anoxic environment through the denitrifying phosphorus removal metabolic pathway, which can further reduce carbon source requirements and aeration energy consumption. The metabolic pathways of Tetrasphaera are diverse, with phosphorus removal occurring in conjunction with macromolecular organics degradation through anaerobic fermentation. A collaborative oxic phosphorus removal pathway between Tetrasphaera and Ca. Accumulibacter, or a collaborative anoxic denitrifying phosphorus removal pathway between Tetrasphaera and Dechloromonas are future development directions for biological phosphorus removal technologies, which can further reduce carbon source and energy consumption while achieving enhanced phosphorus removal.


Subject(s)
Actinomycetales , Betaproteobacteria , Actinomycetales/metabolism , Betaproteobacteria/metabolism , Bioreactors , Carbon , Nitrogen , Phosphorus/metabolism , Polyphosphates/metabolism , Sewage
7.
Chin J Nat Med ; 19(3): 225-230, 2021 Mar.
Article in English | MEDLINE | ID: mdl-33781456

ABSTRACT

The phytochemical investigation of the stems of Homalium stenophyllum afforded seven new phenolic glycosides (1-5 and 8-9) and two known compounds (6 and 7). Their structures were elucidated by comprehensive analyses of NMR spectroscopic, mass spectrometric data and chemical hydrolysis. Additionally, their anti-inflammatory activities against the NO production in LPS-induced macrophages were evaluated.


Subject(s)
Glycosides , Phenols , Salicaceae/chemistry , Anti-Inflammatory Agents/pharmacology , Glycosides/isolation & purification , Glycosides/pharmacology , Macrophages/drug effects , Molecular Structure , Phenols/isolation & purification , Phenols/pharmacology , Phytochemicals/isolation & purification , Phytochemicals/pharmacology , Plant Stems/chemistry
8.
Nat Prod Res ; 33(19): 2784-2788, 2019 Oct.
Article in English | MEDLINE | ID: mdl-30445847

ABSTRACT

One new lignan derivative 2,3-dimethyl-4-(4'-hydroxy-3',5'-dimethoxyphenyl)-6-hydroxy-7-methoxy-naphthalene (1), together with four known analogues (2-5), were isolated from acetone extract of the fruiting bodies of Ganoderma lipsiense collected in the Hainan Province, China. Their structures were elucidated by the detailed analysis of comprehensive spectroscopic data. Compound 1 showed insecticidal activity against newly hatched karvae of Helicoverpa armigera Hubner. Compounds 1-5 showed moderate antibacterial activity against Staphylococcus aureus with the same MIC value of 1.25 µg/mL.


Subject(s)
Anti-Bacterial Agents/pharmacology , Ganoderma/chemistry , Insecticides/pharmacology , Lignans/pharmacology , Animals , Anti-Bacterial Agents/chemistry , China , Drug Evaluation, Preclinical , Fruiting Bodies, Fungal/chemistry , Insecticides/chemistry , Lignans/chemistry , Magnetic Resonance Spectroscopy , Microbial Sensitivity Tests , Molecular Structure , Moths/drug effects , Spectrometry, Mass, Electrospray Ionization , Staphylococcus aureus/drug effects
9.
Nat Prod Res ; 33(9): 1292-1297, 2019 May.
Article in English | MEDLINE | ID: mdl-29737877

ABSTRACT

One new norisoprenoid 3,9-dihydroxy dihydro actinidiolide (1), together with eleven known compounds (2-12), were isolated from ethanol extract of the leaves of Ficus pumila collected in Hainan Province, China. Their structures were elucidated by the detailed analysis of comprehensive spectroscopic data. Compounds 1, 2, 4, 5, 8 and 10-12 were isolated from the F. pumila for the first time. All compounds were evaluated for their cytotoxic activity. Compounds 3 and 9 showed weak cytotoxic activity against Hela, MCF-7 and A549 cell lines.


Subject(s)
Ficus/chemistry , Norisoprenoids/isolation & purification , Cell Line, Tumor , Humans , Norisoprenoids/chemistry , Plant Extracts/analysis , Plant Leaves/chemistry
10.
J Biomed Mater Res B Appl Biomater ; 105(2): 420-430, 2017 02.
Article in English | MEDLINE | ID: mdl-26540289

ABSTRACT

In this study, we demonstrated a natural silk fibroin protein (SFP) that was blended with a Chinese herbal extract (baicalein, BAI) to obtain an effective combination for producing electrospun nonwoven mats with anti-inflammatory and antibacterial functions. A series of SFP-based electrospun nonwoven mats with additives of varying compositions were produced and investigated. Performance comparisons showed that the SFP/polyvinylpyrrolidone (PVP)/BAI nonwoven mat is the optimal one. In vitro, SFP/PVP/BAI nonwoven mat is effective in inhibiting the formation of nitrite in lipopolysaccharide (LPS)-induced nitrite formation in Raw 264.7 macrophages model and the growth of Staphylococcus aureus (S. aureus). Especially in the case of SFP/PVP/BAI nonwoven mat, Bai has been proved to reach their maximum amount of releases of approximately 64.8% within 24 h of contact with water-based environment as compared to the SFP/BAI nonwoven mat (only 30.1% of release within 24 h). For in vivo experiments, a 1.2 cm × 1.2 cm wound area was created on the back of mice and seeded with 1 × 107 CFU/mL of S. aureus to induce an infected wound model. The experimental results show significant acceleration of the wound closure process in mice treated with SFP/PVP/BAI nonwoven mat (4 days of reduction as compared to the untreated group), reduction in infiltration of neutrophils, nitrite formation, and inhibition of growth of wound bacteria. Histological images of the group treated with SFP/PVP/BAI nonwoven mat showed a compete repair of skin hierarchy, increasing production of collagen fibers, and enhancement of angiogenesis. This may bring a better recovery of skin appearance after treatment. © 2015 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 105B: 420-430, 2017.


Subject(s)
Drugs, Chinese Herbal , Fibroins , Flavanones , Macrophages/metabolism , Povidone , Staphylococcal Infections/drug therapy , Staphylococcus aureus/growth & development , Wound Infection/drug therapy , 3T3 Cells , Animals , Drugs, Chinese Herbal/chemistry , Drugs, Chinese Herbal/pharmacology , Fibroins/chemistry , Fibroins/pharmacology , Flavanones/chemistry , Flavanones/pharmacology , Male , Mice , Povidone/chemistry , Povidone/pharmacology , RAW 264.7 Cells , Staphylococcal Infections/microbiology , Wound Infection/microbiology
11.
Nat Prod Res ; 31(9): 1022-1027, 2017 May.
Article in English | MEDLINE | ID: mdl-27966385

ABSTRACT

One new lignan derivative 2,3-dimethyl-4-(4-methoxyphenyl)-6,7-dihydroxynaphthalene (1), together with five known compounds (2-6), were isolated from ethanol extract of the branches and leaves of Combretum alfredii Hance collected in Hainan Province, China. Their structures were elucidated by the detailed analysis of comprehensive spectroscopic data. Compounds 1, 2, 5 and 6 were isolated from the genus of Combretum for the first time. All compounds were evaluated for their antibacterial activities. Compounds 1 and 2 showed significant antibacterial activities against six pathogenic bacteria.


Subject(s)
Anti-Bacterial Agents/isolation & purification , Combretum/chemistry , Lignans/isolation & purification , Lignans/chemistry , Lignans/pharmacology , Naphthols , Plant Extracts/analysis , Plant Leaves/chemistry
12.
Nat Prod Res ; 30(20): 2285-90, 2016 Oct.
Article in English | MEDLINE | ID: mdl-27093519

ABSTRACT

One new alkaloid consanguine B (1), together with 10 known alkaloids (2-11), were isolated from ethanol extract of the branches and leaves of Polyalthia obliqua Hook.f. & Thomson collected in the Hainan Province, China. Their structures were elucidated by the detailed analysis of comprehensive spectroscopic data. All compounds were evaluated for their cytotoxic activities. Compound 1 showed weak cytotoxic activities against Hela and MCF-7 human cancer cell lines.


Subject(s)
Antineoplastic Agents, Phytogenic/pharmacology , Polyalthia/chemistry , Alkaloids/chemistry , Alkaloids/isolation & purification , Alkaloids/pharmacology , Antineoplastic Agents, Phytogenic/chemistry , Berberine/chemistry , Berberine Alkaloids/isolation & purification , Berberine Alkaloids/pharmacology , China , Drug Screening Assays, Antitumor , HeLa Cells/drug effects , Humans , MCF-7 Cells/drug effects , Molecular Structure , Plant Extracts/chemistry , Plant Leaves/chemistry
13.
Oncotarget ; 7(8): 8993-9006, 2016 Feb 23.
Article in English | MEDLINE | ID: mdl-26848771

ABSTRACT

Ovarian cancer treatment remains a challenge and targeting cancer stem cells presents a promising strategy. Niclosamide is an "old" antihelminthic drug that uncouples mitochondria of intestinal parasites. Although recent studies demonstrated that niclosamide could be a potential anticancer agent, its poor water solubility needs to be overcome before further preclinical and clinical investigations can be conducted. Therefore, we evaluated a novel nanosuspension of niclosamide (nano-NI) for its effect against ovarian cancer. Nano-NI effectively inhibited the growth of ovarian cancer cells in which it induced a metabolic shift to glycolysis at a concentration of less than 3 µM in vitro and suppressed tumor growth without obvious toxicity at an oral dose of 100 mg/kg in vivo. In a pharmacokinetic study after oral administration, nano-NI showed rapid absorption (reaching the maximum plasma concentration within 5 min) and improved the bioavailability (the estimated bioavailability for oral nano-NI was 25%). In conclusion, nano-NI has the potential to be a new treatment modality for ovarian cancer and, therefore, further clinical trials are warranted.


Subject(s)
Antineoplastic Agents/pharmacology , Antineoplastic Agents/pharmacokinetics , Niclosamide/pharmacology , Niclosamide/pharmacokinetics , Ovarian Neoplasms/drug therapy , Animals , Biological Availability , Cell Line, Tumor , Cell Proliferation/drug effects , Drug Evaluation, Preclinical , Energy Metabolism/drug effects , Female , Glycolysis/drug effects , Humans , Mice , Mice, Inbred NOD , Mice, SCID , Oxygen Consumption/drug effects , Rats , Rats, Sprague-Dawley , Suspensions/pharmacology , Xenograft Model Antitumor Assays
14.
J Agric Food Chem ; 63(8): 2198-205, 2015 Mar 04.
Article in English | MEDLINE | ID: mdl-25679330

ABSTRACT

Eucommia ulmoides leaves have been used as a functional food and drink in China. The purpose of this study was to identify the bioactive constituents with soluble epoxide hydrolase (sEH) inhibitory activity and anti-inflammatory properties. Twenty-seven known compounds (1-27) were isolated from the leaves of E. ulmoides Oliver, and their structures were identified by NMR and ESIMS analysis; three of these, 2,5-dimethoxy-3-glucopyranosyl cinnamic alcohol (11), foliasalacioside E2 (26), and icariside F2 (27), were obtained from this plant for the first time. Compounds 1-7 exhibited soluble epoxide hydrolase (sEH) inhibitory activity at 100 µM; among them, quercetin (1) and kaempferol (5) displayed potential activities with IC50 values of 22.5 ± 0.9 and 31.3 ± 2.6 µM, respectively, with noncompetitive inhibition mode. Nuclear factor kappa B (NF-κB) inhibitory activity of the isolated compounds was evaluated by the NF-κB liciferase assay in HepG2 cells. Compounds 1, 9, 20, and 27 displayed potent NF-κB inhibitory effects, with IC50 values of 15.14 ± 2.29, 15.23 ± 2.34, 16.88 ± 2.17, and 16.25 ± 2.19 µM, respectively, whereas other compounds showed weak inhibition of NF-κB transcriptional activity ranging from 17.54 to 92.6 µM. A structure-activity relationship of flavonoids 1-9 was also discussed. The results obtained in this work might contribute to the understanding of pharmacological activities of E. ulmoides leaves and further investigation on its potential application values for food and drug.


Subject(s)
Anti-Inflammatory Agents/chemistry , Enzyme Inhibitors/chemistry , Epoxide Hydrolases/antagonists & inhibitors , Eucommiaceae/chemistry , Plant Extracts/chemistry , Anti-Inflammatory Agents/isolation & purification , Anti-Inflammatory Agents/pharmacology , China , Enzyme Inhibitors/isolation & purification , Enzyme Inhibitors/pharmacology , Epoxide Hydrolases/analysis , Hep G2 Cells , Humans , NF-kappa B/antagonists & inhibitors , NF-kappa B/immunology , Plant Extracts/isolation & purification , Plant Extracts/pharmacology , Plant Leaves/chemistry , Structure-Activity Relationship
15.
J Microencapsul ; 31(4): 373-81, 2014.
Article in English | MEDLINE | ID: mdl-24697170

ABSTRACT

This study demonstrates the feasibility of using a single-capillary electrospray (ES) system to generate novel alpha-lipoic acid encapsulated poly(ethylene oxide)-chitosan (ALA/PEO/CS) particles with a monodispersed diameter. Scanning electron microscopic images (SEM) and dynamic light scattering (DLS) results indicate that the ES system can generate either a dry powder or a homogeneous water-based suspension of ALA/PEO/CS particles. The SEM images revealed that the ALA/PEO/CS particles have a spherical shape with a diameter of approximately 707 ± 66.68 nm, and DLS showed that the ALA/PEO/CS particles suspended in deionised water have a diameter of 734.5 nm. In addition, zeta potential studies were performed using a zetasizer instrument and showed positively electric surface potential of 57.7 ± 0.5 mV, which was attributed to chitosan. Based on the DLS and zeta potential studies, we concluded that the excellent dispersity and stability of the ALA/PEO/CS suspension is attributed to the reduction in particle size and electrostatic repulsion between these tiny particles. Finally, we used lipopolysaccharide (LPS)-induced nitrite formation in Raw 264.7 macrophages as a model for in vitro anti-inflammation evaluation. We find that the anti-inflammatory ability of the ALA/PEO/CS particles is superior to that of free ALA solution in macrophage cells, which is attributed to the more efficiently intracellular delivery. The confocal image results prove that the uptake of ALA/PEO/CS particles by the LPS-treated Raw 264.7 macrophages is possibly initiated by the interaction with cell-surface molecules through electrostatic interactions, followed by endocytosis of the attached particles.


Subject(s)
Anti-Inflammatory Agents , Antioxidants , Chitosan , Drug Carriers , Nanoparticles/chemistry , Thioctic Acid , Animals , Anti-Inflammatory Agents/chemistry , Anti-Inflammatory Agents/pharmacology , Antioxidants/chemistry , Antioxidants/pharmacology , Cell Line , Chitosan/chemistry , Chitosan/pharmacology , Drug Carriers/chemistry , Drug Carriers/pharmacology , Drug Evaluation, Preclinical , Macrophages/cytology , Macrophages/metabolism , Mice , Particle Size , Thioctic Acid/chemistry , Thioctic Acid/pharmacology
16.
Zhonghua Wei Chang Wai Ke Za Zhi ; 15(11): 1171-4, 2012 Nov.
Article in Chinese | MEDLINE | ID: mdl-23172532

ABSTRACT

OBJECTIVE: To evaluate whether neutrophil-lymphocyte ratio(NLR) predicts risk of recurrence in patients with advanced colon cancer undergoing curative resection followed by adjuvant chemotherapy. METHODS: A total of 149 patients with advanced colon cancer undergoing curative resection followed by adjuvant chemotherapy(FOLFOX6 protocol) were included. NLR was calculated preoperatively and before chemotherapy. The changes in NLR and the predictive value of NLR for prognosis were analyzed. RESULTS: The NLR of 149 patients was 2.8±1.5. NLR of 3.5 was identified according to the ROC curve. NLR<3.5 and NLR≥3.5 were classified as low and high NLR group, respectively. The 5-year recurrence-free survival(RFS) of patients with high preoperative NLR(n=22) was significantly worse than that of those with low preoperative NLR(n=127)(50.9% vs. 76.4%, P=0.025). The difference of 5-year RFS between high pre-chemotherapy NLR group(n=34) and low pre-chemotherapy NLR group(n=115) was statistically significant(50.1% vs. 71.4%, P=0.032). The 5-year RFS was 79.5% in patients with low preoperative NLR converting to high pre-chemotherapy NLR(n=16), similar to the group with high pre-chemotherapy group(P=0.077). The 5-year RFS was 17.7% in patients with high preoperative NLR reverting to low pre-chemotherapy NLR(n=12), similar to the group with low pre-chemotherapy group(P=0.978). There was significant difference in 5-year RFS between the postoperatively elevated group and postoperatively decreased group(P=0.036). CONCLUSION: An elevated blood NLR may be a biomarker of poor RFS in patients with advanced colon cancer after curative resection and chemotherapy.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Colonic Neoplasms/therapy , Lymphocytes/immunology , Neutrophils/immunology , Adult , Aged , Chemotherapy, Adjuvant , Colonic Neoplasms/blood , Disease-Free Survival , Female , Fluorouracil/therapeutic use , Humans , Leucovorin/therapeutic use , Male , Middle Aged , Organoplatinum Compounds/therapeutic use , Prognosis
17.
Article in Chinese | WPRIM | ID: wpr-312325

ABSTRACT

<p><b>OBJECTIVE</b>To evaluate whether neutrophil-lymphocyte ratio(NLR) predicts risk of recurrence in patients with advanced colon cancer undergoing curative resection followed by adjuvant chemotherapy.</p><p><b>METHODS</b>A total of 149 patients with advanced colon cancer undergoing curative resection followed by adjuvant chemotherapy(FOLFOX6 protocol) were included. NLR was calculated preoperatively and before chemotherapy. The changes in NLR and the predictive value of NLR for prognosis were analyzed.</p><p><b>RESULTS</b>The NLR of 149 patients was 2.8±1.5. NLR of 3.5 was identified according to the ROC curve. NLR<3.5 and NLR≥3.5 were classified as low and high NLR group, respectively. The 5-year recurrence-free survival(RFS) of patients with high preoperative NLR(n=22) was significantly worse than that of those with low preoperative NLR(n=127)(50.9% vs. 76.4%, P=0.025). The difference of 5-year RFS between high pre-chemotherapy NLR group(n=34) and low pre-chemotherapy NLR group(n=115) was statistically significant(50.1% vs. 71.4%, P=0.032). The 5-year RFS was 79.5% in patients with low preoperative NLR converting to high pre-chemotherapy NLR(n=16), similar to the group with high pre-chemotherapy group(P=0.077). The 5-year RFS was 17.7% in patients with high preoperative NLR reverting to low pre-chemotherapy NLR(n=12), similar to the group with low pre-chemotherapy group(P=0.978). There was significant difference in 5-year RFS between the postoperatively elevated group and postoperatively decreased group(P=0.036).</p><p><b>CONCLUSION</b>An elevated blood NLR may be a biomarker of poor RFS in patients with advanced colon cancer after curative resection and chemotherapy.</p>


Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , Antineoplastic Combined Chemotherapy Protocols , Therapeutic Uses , Chemotherapy, Adjuvant , Colonic Neoplasms , Blood , Therapeutics , Disease-Free Survival , Fluorouracil , Therapeutic Uses , Leucovorin , Therapeutic Uses , Lymphocytes , Allergy and Immunology , Neutrophils , Allergy and Immunology , Organoplatinum Compounds , Therapeutic Uses , Prognosis
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