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1.
Environ Sci Technol ; 58(28): 12356-12367, 2024 Jul 16.
Artigo em Inglês | MEDLINE | ID: mdl-38953388

RESUMO

Unhealthy lifestyles, obesity, and environmental pollutants are strongly correlated with the development of nonalcoholic fatty liver disease (NAFLD). Haloacetaldehyde-associated disinfection byproducts (HAL-DBPs) at various multiples of concentrations found in finished drinking water together with high-fat (HF) were examined to gauge their mixed effects on hepatic lipid metabolism. Using new alternative methods (NAMs), studying effects in human cells in vitro for risk assessment, we investigated the combined effects of HF and HAL-DBPs on hepatic lipid metabolism and lipotoxicity in immortalized LO-2 human hepatocytes. Coexposure of HAL-DBPs at various multiples of environmental exposure levels with HF increased the levels of triglycerides, interfered with de novo lipogenesis, enhanced fatty acid oxidation, and inhibited the secretion of very low-density lipoproteins. Lipid accumulation caused by the coexposure of HAL-DBPs and HF also resulted in more severe lipotoxicity in these cells. Our results using an in vitro NAM-based method provide novel insights into metabolic reprogramming in hepatocytes due to coexposure of HF and HAL-DBPs and strongly suggest that the risk of NAFLD in sensitive populations due to HAL-DBPs and poor lifestyle deserves further investigation both with laboratory and epidemiological tools. We also discuss how results from our studies could be used in health risk assessments for HAL-DBPs.


Assuntos
Hepatócitos , Metabolismo dos Lipídeos , Humanos , Metabolismo dos Lipídeos/efeitos dos fármacos , Hepatócitos/efeitos dos fármacos , Hepatócitos/metabolismo , Desinfecção , Fígado/metabolismo , Fígado/efeitos dos fármacos , Acetaldeído/toxicidade , Linhagem Celular
2.
J Environ Manage ; 368: 122142, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39137642

RESUMO

Assessing and analyzing the complementary characteristics of renewable energy (RE) is crucial for designing, operating, and optimizing multi-energy complementary systems (MECSs). However, unified and precise quantitative descriptions of the complementary and stability characteristics among various energy outputs in MECSs have lacked attention and research. Here, this study innovatively proposed a mathematical model for the multi-energy complementarity index (MECI), which considers the complementarity rates of multiple energy outputs during zero and non-zero output periods, and a mathematical model for the multi-energy volatility index (MEVI), which accounts for fluctuation thresholds and the overall volatility of output processes. An evaluation system for multi-energy complementarity characteristics qualitative analysis has been established. The natural output processes of RE at three MECSs in China were applied in the case calculations and verification. Results show that the hydropower rated discharge (Qrating) has a significant negative correlation with MECI, with the MECI decreasing by an average of 0.0046 for every 5 m³/s increase in Qrating. The relationship between the Qrating and MEVI shows an overall negative correlation with local fluctuations. Notably, The MECI of the BeiPan River MECSs exhibits significant seasonal characteristics, with the MEVI in summer (0.378) and autumn (0.395) higher than those in spring (0.132) and winter (0.160), closely related to the natural seasonal variations of the three energy sources: water, wind, and solar. We believe that the study can assist in evaluating and making decisions on the multi-energy complementarity characteristics of RE bases in the future, making a significant contribution to achieving dual carbon goals.


Assuntos
Energia Renovável , China , Modelos Teóricos , Estações do Ano
3.
Infect Immun ; 91(8): e0010223, 2023 08 16.
Artigo em Inglês | MEDLINE | ID: mdl-37404144

RESUMO

Fusobacterium nucleatum colonization contributes to the occurrence of portal vein thrombosis in patients with gastric cancer (GC). However, the underlying mechanism by which F. nucleatum promotes thrombosis remains unclear. In this study, we recruited a total of 91 patients with GC and examined the presence of F. nucleatum in tumor and adjacent non-tumor tissues by fluorescence in situ hybridization and quantitative PCR. Neutrophil extracellular traps (NETs) were detected by immunohistochemistry. Extracellular vesicles (EVs) were extracted from the peripheral blood and proteins in the EVs were identified by mass spectrometry (MS). HL-60 cells differentiated into neutrophils were used to package engineered EVs to imitate the EVs released from NETs. Hematopoietic progenitor cells (HPCs) and K562 cells were used for megakaryocyte (MK) in vitro differentiation and maturation to examine the function of EVs. We observed that F. nucleatum-positive patients had increased NET and platelet counts. EVs from F. nucleatum-positive patients could promote the differentiation and maturation of MKs and had upregulated 14-3-3 proteins, especially 14-3-3ε. 14-3-3ε upregulation promoted MK differentiation and maturation in vitro. HPCs and K562 cells could receive 14-3-3ε from the EVs, which interacted with GP1BA and 14-3-3ζ to trigger PI3K-Akt signaling. In conclusion, we identified for the first time that F. nucleatum infection promotes NET formation, which releases EVs containing 14-3-3ε. These EVs could deliver 14-3-3ε to HPCs and promote their differentiation into MKs via activation of PI3K-Akt signaling.


Assuntos
Vesículas Extracelulares , Infecções por Fusobacterium , Neoplasias Gástricas , Humanos , Fusobacterium nucleatum/metabolismo , Hibridização in Situ Fluorescente , Proteínas 14-3-3/genética , Proteínas 14-3-3/metabolismo , Megacariócitos/metabolismo , Megacariócitos/patologia , Fosfatidilinositol 3-Quinases/metabolismo , Proteínas Proto-Oncogênicas c-akt/metabolismo , Infecções por Fusobacterium/metabolismo , Infecções por Fusobacterium/microbiologia , Infecções por Fusobacterium/patologia , Vesículas Extracelulares/metabolismo
4.
Inorg Chem ; 62(29): 11287-11290, 2023 Jul 24.
Artigo em Inglês | MEDLINE | ID: mdl-37429008

RESUMO

In this work, a new alkaline-stable boron imidazolate framework (BIF-90) was rationally designed and successfully synthesized by solvothermal reaction. Due to its potential electrocatalytic active sites (Co, B, N, and S) and chemical stabilities, BIF-90 was explored as a bifunctional electrocatalyst toward electrochemical oxygen reactions, namely, oxygen evolution reaction (OER) and oxygen reduction reaction (ORR). This work will open new avenues toward the design of stable, cheap, and more active BIFs as bifunctional catalysts.

5.
Environ Sci Technol ; 57(15): 6072-6084, 2023 04 18.
Artigo em Inglês | MEDLINE | ID: mdl-37022920

RESUMO

Fipronil is a broad-spectrum insecticide used for plants and poultry. Owing to its widespread use, fipronil and its metabolites (fipronil sulfone, fipronil desulfinyl, and fipronil sulfide), termed FPM, can be frequently detected in drinking water and food. Fipronil can affect the thyroid function of animals, but the effects of FPM on the human thyroid remain unclear. We employed human thyroid follicular epithelial Nthy-ori 3-1 cells to examine combined cytotoxic responses, thyroid-related functional proteins including the sodium-iodide symporter (NIS), thyroid peroxidase (TPO), deiodinases I-III (DIO I-III), and the nuclear factor erythroid-derived factor 2-related factor 2 (NRF2) pathway induced by FPM of 1-1000-fold concentrations detected in school drinking water collected from a heavily contaminated area of the Huai River Basin. Thyroid-disrupting effects of FPM were evaluated by examining biomarkers of oxidative stress and thyroid function and tetraiodothyronine (T4) levels secreted by Nthy-ori 3-1 cells after FPM treatment. FPM activated the expression of NRF2, HO-1 (heme oxygenase 1), TPO, DIO I, and DIO II but inhibited NIS expression and increased the T4 level of thyrocytes, indicating that FPM can disrupt the function of human thyrocytes through oxidative pathways. Given the adverse impact of low FPM concentrations on human thyrocytes, supportive evidence from rodent studies, and the critical importance of thyroid hormones on development, the effects of FPM on the neurodevelopment and growth of children warrant priority attention.


Assuntos
Água Potável , Células Epiteliais da Tireoide , Animais , Criança , Humanos , Glândula Tireoide/metabolismo , Água Potável/metabolismo , Fator 2 Relacionado a NF-E2/metabolismo , Fator 2 Relacionado a NF-E2/farmacologia , Linhagem Celular
6.
Angew Chem Int Ed Engl ; 62(45): e202311223, 2023 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-37721360

RESUMO

Zeolitic metal-organic frameworks (ZMOFs) have emerged as one of the most promsing catalysts for energy conversion, but they suffer from either weak bonding between metal-organic cubes (MOCs) that decrease their stability during catalysis processes or low activity due to inadequate active sites. In this work, through ligand-directing strategy, we successfully obtain an unprecedented bismuth-based ZMOF (Bi-ZMOF) featuring a ACO topological crystal structure with strong coordination bonding between the Bi-based cages. As a result, it enables efficient reduction of CO2 to formic acid (HCOOH) with Faradaic efficiency as high as 91 %. A combination of in situ surface-enhanced infrared absorption spectroscopy and density functional theory calculation reveals that the Bi-N coordination contributes to facilitating charge transfer from N to Bi atoms, which stabilize the intermediate to boost the reduction efficiency of CO2 to HCOOH. This finding highlights the importance of the coordination environment of metal active sites on electrocatalytic CO2 reduction. We believe that this work will offer a new clue to rationally design zeolitic MOFs for catalytic reaction.

7.
Biochem Biophys Res Commun ; 621: 25-31, 2022 09 17.
Artigo em Inglês | MEDLINE | ID: mdl-35809344

RESUMO

Acute liver injury caused by overdose usage of acetaminophen (APAP) is an intractable clinical problem. Necrotic hepatocytes release large amounts of intracellular components including damage-associated molecular patterns (DAMPs) which contribute to liver failure and may serve as therapeutic targets. However, the pathogenic mechanisms of DAMPs in APAP-induced liver injury (AILI) are remain largely uncovered. Here, we found that a recently identified DAMP, interferon-induced protein 35 (IFP35), is involved in the early phase of AILI. Our data demonstrated that although the expression level of IFP35 is not significantly increased in either patients or mice with AILI, it is released from necrotic hepatocytes. Within 24 h post APAP injection, mice lacking Ifp35 are resistant to APAP-induced toxicity, and induce less inflammatory response than that of wild-type mice, including reduced AST/ALT level, pro-inflammatory cytokines production and neutrophils infiltration. More importantly, antibody of IFP35 reduces the expression level of inflammatory factors and chemokines. This study brings new knowledge into the pathogenic mechanism of AILI.


Assuntos
Acetaminofen , Doença Hepática Induzida por Substâncias e Drogas , Peptídeos e Proteínas de Sinalização Intracelular , Acetaminofen/toxicidade , Animais , Doença Hepática Induzida por Substâncias e Drogas/patologia , Interferons/metabolismo , Peptídeos e Proteínas de Sinalização Intracelular/metabolismo , Fígado/metabolismo , Camundongos , Camundongos Endogâmicos C57BL , Necrose/patologia
8.
Clin Proteomics ; 19(1): 43, 2022 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-36401165

RESUMO

Circulating biomarkers play important roles in diagnosis of malignant tumors. N-glycosylation is an important post-translation patter and obviously affect biological behaviors of malignant tumor cells. However, the role of N-glycosylation sites in early diagnosis of tumors still remains further investigation. In this study, plasma from 20 lung adenocarcinoma (LUAD), which were all classified as stage I, as well as 20 normal controls (NL) were labeled and screened by mass spectrometry (MS). Total 39 differential N-glycosylation sites were detected in LUAD, 17 were up-regulated and 22 were down-regulated. In all differential sites, ITGB3-680 showed highest potential in LUAD which showed 99.2% AUC, 95.0% SP and 95.0% SN. Besides, APOB-1523 (AUC: 89.0%, SP: 95.0%, SN: 70.0%), APOB-2982 (AUC: 86.8%, SP: 95.0%, SN: 45.0%) and LPAL2-101 (AUC: 81.1%, SP: 95.0%, SN: 47.4%) also acted as candidate biomarkers in LUAD. Combination analysis was then performed by random forest model, all samples were divided into training group (16 cases) and testing group (4 cases) and conducted by feature selection, machine learning, integrated model of classifier and model evaluation. And the results indicated that combination of differential sites could reach 100% AUC in both training and testing group. Taken together, our study revealed multiple N-glycosylation sites which could be applied as candidate biomarkers for early diagnosis diagnosis of LUAD.

9.
Toxicol Appl Pharmacol ; 450: 116163, 2022 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-35842135

RESUMO

Humans are exposed to disinfection by-products through oral, inhalation, and dermal routes, during bathing and swimming, potentially causing skin lesions, asthma, and bladder cancer. Nuclear factor E2-related factor 2 (NRF2) is a master regulator of the adaptive antioxidant response via the antioxidant reaction elements (ARE) orchestrating the transcription of a large group of antioxidant and detoxification genes. Here we used an immortalized human keratinocyte model HaCaT cells to investigate NRF2-ARE as a responder and protector in the acute cytotoxicity of seven haloacetonitriles (HANs), including chloroacetonitrile (CAN), bromoacetonitrile (BAN), iodoacetonitrile (IAN), bromochloroacetonitrile (BCAN), dichloroacetonitrile (DCAN), dibromoacetonitrile (DBAN), and trichloroacetonitrile (TCAN) found in drinking water and swimming pools. The rank order of cytotoxicity among the HANs tested was IAN ≈ BAN Ëƒ DBAN Ëƒ BCAN ˃ CAN Ëƒ TCAN Ëƒ DCAN based on their LC50. The HANs induced intracellular reactive oxygen species accumulation and activated cellular antioxidant responses in concentration- and time-dependent fashions, showing elevated NRF2 protein levels and ARE activity, induction of antioxidant genes, and increased glutathione levels. Additionally, knockdown of NRF2 by lentiviral shRNAs sensitized the HaCaT cells to HANs-induced cytotoxicity, emphasizing a protective role of NRF2 against the cytotoxicity of HANs. These results indicate that HANs cause oxidative stress and activate NRF2-ARE-mediated antioxidant response, which in turn protects the cells from HANs-induced cytotoxicity, highlighting that NRF2-ARE activity could be a sensitive indicator to identify and characterize the oxidative stress induced by HANs and other environmental pollutants.


Assuntos
Água Potável , Fator 2 Relacionado a NF-E2 , Antioxidantes/metabolismo , Antioxidantes/farmacologia , Humanos , Queratinócitos/metabolismo , Fator 2 Relacionado a NF-E2/genética , Fator 2 Relacionado a NF-E2/metabolismo , Estresse Oxidativo
10.
Inorg Chem ; 61(40): 15801-15805, 2022 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-35913725

RESUMO

Metal-organic frameworks (MOFs) have been a focus of research because of their unique porous structure, but they are usually not directly for electrocatalysis. Herein, we prepared a special class of Fe/Zn/Mo-based trimetallic hybrid zeolitic imidazolate frameworks by in situ solvothermal synthesis that have the potential to act directly as highly efficient oxygen evolution reaction electrocatalysts. This work provides a foundation for the preparation of multimetal MOFs and expands the investigation of electrocatalysts.

11.
Molecules ; 27(18)2022 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-36144786

RESUMO

Sustainable conversion of CO2 to fuels using solar energy is highly attractive for fuel production. This work focuses on the synthesis of porous graphitic carbon nitride nanobelt catalyst (PN-g-C3N4) and its capability of photocatalytic CO2 reduction. The surface area increased from 6.5 m2·g-1 (graphitic carbon nitride, g-C3N4) to 32.94 m2·g-1 (PN-g-C3N4). C≡N groups and vacant N2C were introduced on the surface. PN-g-C3N4 possessed higher absorbability of visible light and excellent photocatalytic activity, which was 5.7 and 6.3 times of g-C3N4 under visible light and simulated sunlight illumination, respectively. The enhanced photocatalytic activity may be owing to the porous nanobelt structure, enhanced absorbability of visible light, and surface vacant N-sites. It is expected that PN-g-C3N4 would be a promising candidate for CO2 photocatalytic conversion.

12.
BMC Plant Biol ; 21(1): 44, 2021 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-33451304

RESUMO

BACKGROUND: NAC transcription factors (TFs) are plant-specific proteins encoded by a large gene family. They play important roles in diverse biological processes, such as plant growth and development, leaf senescence, and responses to biotic or abiotic stresses. Functions of a number of NAC TFs have been identified mainly in model plants. However, very few studies on NAC TFs have been conducted in the fruit tree of kiwifruit. RESULTS: Genome-wide NAC genes were identified and their phylogeny, genomic structure, chromosomal location, synteny relationships, protein properties and conserved motifs were analyzed. In addition, the fruit developmental process was evaluated in a new kiwifruit cultivar of Actinidia eriantha 'Ganlu 1'. And expressions for all those NAC genes were analyzed by quantitative real-time PCR method in fruits of 'Ganlu 1' during its developmental process. Our research identified 142 NAC TFs which could be phylogenetically divided into 23 protein subfamilies. The genomic structures of those NAC genes indicated that their exons were between one and ten. Analysis of chromosomal locations suggested that 116 out of 142 NACs distributed on all the 29 kiwifruit chromosomes. In addition, genome-wide gene expression analysis showed that expressions of 125 out of 142 NAC genes could be detected in fruit samples. CONCLUSION: Our comprehensive study provides novel information on NAC genes and expression patterns in kiwifruit fruit. This research would be helpful for future functional identification of NAC genes involved in kiwifruit fruit development.


Assuntos
Actinidia/genética , Frutas/crescimento & desenvolvimento , Frutas/genética , Proteínas de Plantas/genética , Fatores de Transcrição/genética , Actinidia/crescimento & desenvolvimento , Motivos de Aminoácidos , Sequência de Aminoácidos , Mapeamento Cromossômico , Cromossomos de Plantas/genética , Sequência Conservada , Regulação da Expressão Gênica de Plantas , Genoma de Planta , Família Multigênica , Filogenia , Proteínas de Plantas/química , Proteínas de Plantas/metabolismo , Reação em Cadeia da Polimerase em Tempo Real , Sintenia , Fatores de Transcrição/química , Fatores de Transcrição/metabolismo
13.
Inorg Chem ; 60(17): 13434-13439, 2021 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-34423965

RESUMO

Herein, a Co(II) heteroatom metal-organic framework was successfully post-modified via unsaturated coordinated S precisely capturing Ni2+ on the surface of the porous structure. The newly pristine bimetallic MOFs have increasing active edge sites (Ni(II) and S), boosting electrocatalytic activity toward oxygen evolution reaction and hydrogen evolution reaction.

14.
Inorg Chem ; 60(3): 1305-1309, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33478217

RESUMO

A two-dimensional Ni-heteroatom-based metal-organic framework (MOF) array was directly grown on C paper (Ni-MOF-A/CP) via one-pot solvothermal reaction. According to the strategy for MOF self-assembly on C paper, Ni-MOFs were also synthesized on Ni foam (Ni-MOF/NF) with different sizes and morphologies. The newly resulting MOFs with ternary (Ni, S, and N) active sites exhibited enhanced activity toward oxygen evolution reaction [e.g., Ni-MOF-A/CP: E(5 mA cm-2) = 333 mV and a low Tafel slope of 80 mV dec-1].

15.
Molecules ; 26(9)2021 May 04.
Artigo em Inglês | MEDLINE | ID: mdl-34064401

RESUMO

Hydrogel adhesives are attractive for applications in intelligent soft materials and tissue engineering, but conventional hydrogels usually have poor adhesion. In this study, we designed a strategy to synthesize a novel adhesive with a thin hydrogel adhesive layer integrated on a tough substrate hydrogel. The adhesive layer with positive charges of ammonium groups on the polymer backbones strongly bonds to a wide range of nonporous materials' surfaces. The substrate layer with a dual hydrogen bond system consists of (i) weak hydrogen bonds between N,N-dimethyl acrylamide (DMAA) and acrylic acid (AAc) units and (ii) strong multiple hydrogen bonds between 2-ureido-4[1H]-pyrimidinone (UPy) units. The dual hydrogen-bond network endowed the hydrogel adhesives with unique mechanical properties, e.g., toughness, highly stretchability, and insensitivity to notches. The hydrogel adhesion to four types of materials like glass, 316L stainless steel, aluminum, Al2O3 ceramic, and two biological tissues including pig skin and pig kidney was investigated. The hydrogel bonds strongly to dry solid surfaces and wet tissue, which is promising for biomedical applications.


Assuntos
Hidrogéis/química , Acrilamidas/química , Acrilatos/química , Adesividade , Animais , Ligação de Hidrogênio , Suínos
16.
Entropy (Basel) ; 23(12)2021 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-34945973

RESUMO

Charitable crowdfunding provides a new channel for people and families suffering from unforeseen events, such as accidents, severe illness, and so on, to seek help from the public. Thus, finding the key determinants which drive the fundraising process of crowdfunding campaigns is of great importance, especially for those suffering. With a unique data set containing 210,907 crowdfunding projects covering a period from October 2015 to June 2020, from a famous charitable crowdfunding platform, specifically Qingsong Chou, we will reveal how many online donations are due to endogeneity, referring to the positive feedback process of attracting more people to donate through broadcasting campaigns in social networks by donors. For this aim, we calibrate three different Hawkes processes to the event data of online donations for each crowdfunding campaign on each day, which allows us to estimate the branching ratio, a measure of endogeneity. It is found that the online fundraising process works in a sub-critical state and nearly 70-90% of the online donations are endogenous. Furthermore, even though the fundraising amount, number of donations, and number of donors decrease rapidly after the crowdfunding project is created, the measure of endogeneity remains stable during the entire lifetime of crowdfunding projects. Our results not only deepen our understanding of online fundraising dynamics but also provide a quantitative framework to disentangle the endogenous and exogenous dynamics in complex systems.

17.
Entropy (Basel) ; 23(5)2021 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-34065367

RESUMO

Using a unique data set containing about 15.06 million truck transportation records in five months, we investigate the highway freight transportation diversity of 338 Chinese cities based on the truck transportation probability pij from one city to another. The transportation probabilities are calculated from the radiation model based on the geographic distance and its cost-based version based on the driving distance as the proxy of cost. For each model, we consider both the population and the gross domestic product (GDP), and find quantitatively very similar results. We find that the transportation probabilities have nice power-law tails with the tail exponents close to 0.5 for all the models. The two transportation probabilities in each model fall around the diagonal pij=pji but are often not the same. In addition, the corresponding transportation probabilities calculated from the raw radiation model and the cost-based radiation model also fluctuate around the diagonal pijgeo=pijcost. We calculate four sets of highway truck transportation diversity according to the four sets of transportation probabilities that are found to be close to each other for each city pair. It is found that the population, the gross domestic product, the in-flux, and the out-flux scale as power laws with respect to the transportation diversity in the raw and cost-based radiation models. It implies that a more developed city usually has higher diversity in highway truck transportation, which reflects the fact that a more developed city usually has a more diverse economic structure.

18.
Angew Chem Int Ed Engl ; 60(2): 806-812, 2021 01 11.
Artigo em Inglês | MEDLINE | ID: mdl-33006185

RESUMO

Inspired by the exquisite helices in Nature, fabrication of helical materials with controlled handedness has attracted considerable attention. Herein, we report on precis synthesis of single left- and right-handed helical polyisocyanides through living polymerization of achiral monomers using chiral palladium catalysts under helix-sense-selective manner. Mechanism study revealed that the yielded helices with opposite handedness showed different activity of the living chain end. The helix with unfavored handedness was self-terminated, while the one with favored handedness showed high activity and could undergo chain propagation to form a high molecular weight polymer with maintained single-handed helicity.

19.
Br J Cancer ; 123(8): 1244-1252, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32724220

RESUMO

BACKGROUND: For patients with locally advanced rectal cancer (LARC), it is unclear whether neoadjuvant chemoradiotherapy-induced pathologic complete response (pCR) individuals would further benefit from adjuvant chemotherapy (ACT). METHODS: The pCR individuals who received different ACT cycles were paired by propensity score matching. Overall survival (OS), disease-free survival (DFS), local recurrence-free survival (LRFS), and distant metastasis-free survival (DMFS) were calculated by Kaplan-Meier and log-rank test. RESULTS: In total, 1041 pCR individuals were identified from 5567 LARC cases. Specifically, 303 pCR cases had no ACT treatment, and 738 pCR patients received fluoropyrimidine-based ACT (median, 4 cycles) treatment. After 1:3 propensity score matching, 297 cases without ACT treatment were matched to 712 cases who received ACT treatment. Kaplan-Meier analysis showed that pCR individuals treated with or without ACT had the similar 3-year outcome (OS, DFS, LRFS and DMFS) (all P > 0.05). Moreover, the pCR patients received different ACT cycle(s) (0 vs. 1-4 cycles, 0 vs. ≥5 cycles) had comparable 3-year OS, DFS, LRFS and DMFS (all P > 0.05). In stratified analysis, ACT treatment did not improve 3-year survival (OS, DFS, LRFS and DMFS) for the baseline high-risk (cT3-4/cN1-2) subgroup patients (all P > 0.05). CONCLUSION: ACT, which did not improve survival, is unnecessary to neoadjuvant treatment-induced pCR LARC patients. TRIAL REGISTRATION: 2019ZSLYEC-136 (24-6-2019).


Assuntos
Quimiorradioterapia , Neoplasias Retais/terapia , Adulto , Idoso , Quimioterapia Adjuvante , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pontuação de Propensão , Neoplasias Retais/mortalidade
20.
Eur Radiol ; 30(9): 4974-4984, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32328760

RESUMO

OBJECTIVES: To develop and evaluate the performance of a deep learning-based system for automatic patellar height measurements using knee radiographs. METHODS: The deep learning-based algorithm was developed with a data set consisting of 1018 left knee radiographs for the prediction of patellar height parameters, specifically the Insall-Salvati index (ISI), Caton-Deschamps index (CDI), modified Caton-Deschamps index (MCDI), and Keerati index (KI). The performance and generalizability of the algorithm were tested with 200 left knee and 200 right knee radiographs, respectively. The intra-class correlation coefficient (ICC), Pearson correlation coefficient, mean absolute difference (MAD), root mean square (RMS), and Bland-Altman plots for predictions by the system were evaluated in comparison with manual measurements as the reference standard. RESULTS: Compared with the reference standard, the deep learning-based algorithm showed high accuracy in predicting the ISI, CDI, and KI (left knee ICC = 0.91-0.95, r = 0.84-0.91, MAD = 0.02-0.05, RMS = 0.02-0.07; right knee ICC = 0.87-0.96, r = 0.78-0.92, MAD = 0.02-0.06, RMS = 0.02-0.10), but not the MCDI (left knee ICC = 0.65, r = 0.50, MAD = 0.14, RMS = 0.18; right knee ICC = 0.62, r = 0.47, MAD = 0.15, RMS = 0.20). The performance of the algorithm met or exceeded that of manual determination of ISI, CDI, and KI by radiologists. CONCLUSIONS: In its current state, the developed system can predict the ISI, CDI, and KI for both left and right knee radiographs as accurately as radiologists. Training the system further with more data would increase its utility in helping radiologists measure patellar height in clinical practice. KEY POINTS: • Objective and reliable measurement of patellar height parameters is important for clinical diagnosis and the development of a treatment strategy. • Deep learning can be used to create an automatic patellar height measurement system based on knee radiographs. • The deep learning-based patellar height measurement system achieves comparable performance to radiologists in measuring ISI, CDI, and KI.


Assuntos
Algoritmos , Aprendizado Profundo , Articulação do Joelho/diagnóstico por imagem , Osteoartrite do Joelho/diagnóstico , Patela/diagnóstico por imagem , Radiografia/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
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