Establishment of a nomogram model for predicting distant metastasis in pancreatic ductal adenocarcinoma: a comparative analysis of different lymph node staging systems based on the SEER database.

The purpose of this study was to compare the predictive value of different lymph node staging systems and to develop an optimal prognostic nomogram for predicting distant metastasis in pancreatic ductal adenocarcinoma (PDAC). Our study involved 6364 patients selected from the Surveillance, Epidemiology, and End Results (SEER) database and 126 patients from China. Independent risk factors for distant metastasis were screened by univariate and multivariate logistic regression analyses, and a model-based comparison of different lymph node staging systems was conducted. Furthermore, we developed a nomogram for predicting distant metastasis using the optimal performance lymph node staging system. The lymph node ratio (LNR), log odds of positive lymph nodes (LODDS), age, primary site, grade, tumor size, American Joint Committee on Cancer (AJCC) 7th Edition T stage, and radiotherapy recipient status were significant predictors of distant metastasis in PDAC patients. The model with the LODDS was a better fit than the model with the LNR. We developed a nomogram model based on LODDS and six clinical parameters. The area under the curve (AUC) and concordance index (C-index) of 0.753 indicated that this model satisfied the discrimination criteria. Kaplan-Meier curves indicate a significant difference in OS among patients with different metastasis risks. LODDS seems to have a superior ability to predict distant metastasis in PDAC patients compared with the AJCC 8th Edition N stage, PLN and LNR staging systems. Moreover, we developed a nomogram model for predicting distant metastasis. Clinicians can use the model to detect patients at high risk of distant metastasis and to make further clinical decisions.

Identification of gut microbes-related molecular subtypes and their biomarkers in colorectal cancer.

The role of gut microbes (GM) and their metabolites in colorectal cancer (CRC) development has attracted increasing attention. Several studies have identified specific microorganisms that are closely associated with CRC occurrence and progression, as well as key genes associated with gut microorganisms. However, the extent to which gut microbes-related genes can serve as biomarkers for CRC progression or prognosis is still poorly understood. This study used a bioinformatics-based approach to synthetically analyze the large amount of available data stored in The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases. Through this analysis, this study identified two distinct CRC molecular subtypes associated with GM, as well as CRC markers related to GM. In addition, these new subtypes exhibit significantly different survival outcomes and are characterized by distinct immune landscapes and biological functions. Gut microbes-related biomarkers (GMRBs), IL7 and BCL10, were identified and found to have independent prognostic value and predictability for immunotherapeutic response in CRC patients. In addition, a systematic collection and review of prior research literature on GM and CRC provided additional evidence to support these findings. In conclusion, this paper provides new insights into the underlying pathological mechanisms by which GM promotes the development of CRC and suggests potentially viable solutions for individualized prevention, screening, and treatment of CRC.

Genotypic and Environmental Variations in Grain Cadmium and Arsenic Concentrations Among a Panel of High Yielding Rice Cultivars.

BACKGROUND: Rice is a major dietary source of cadmium (Cd) and arsenic (As) for populations consuming rice as the staple food. Excessive Cd and As accumulation in rice grain is of great concern worldwide, especially in South China where soil contamination with heavy metals and metalloids is widespread. It is important to reduce Cd and As accumulation in rice grain through selection and breeding of cultivars accumulating low levels of Cd or As. RESULTS: To assess the genetic and environmental variations in the concentrations of Cd and As in rice grains, 471 locally adapted high-yielding rice cultivars were grown at three moderately contaminated sites in South China for two years. Cadmium and As concentrations in brown rice varied by 10 - 32 and 2.5 - 4 fold, respectively. Genotype (G), environment (E) and G x E interactions were highly significant factors explaining the variations. Brown rice Cd concentration was found to correlate positively with the heading date among different cultivars, whereas As concentration and heading date correlated negatively. There was a significant and negative correlation between grain Cd and As concentrations. CONCLUSIONS: Eight and 6 rice cultivars were identified as stable low accumulators of Cd and As, respectively, based on the multiple site and season trials. These cultivars are likely to be compliant with the grain Cd or As limits of the Chinese Food Safety Standards when grown in moderately contaminated paddy soils in South China.

[Effects of Straw Incorporation on Cadmium Accumulation and Subcellular Distribution in Rice].

Cadmium (Cd) is classified as a Group-1 human carcinogen and rice consumption constitutes a major source of dietary intake of Cd for populations whose staple food is rice. Straw incorporation is widely performed in Cd-contaminated paddy fields, which may significantly affect the bioavailability of Cd in soil and the distribution of Cd in rice plants, consequently altering Cd accumulation in rice grains. In this study, both pot and field trials were conducted to investigate the effects of different amounts of straw incorporation (0.0%, 1.0%, 2.5%, and 5.0%) on Cd sub-cellular distribution in rice plants and Cd accumulation in rice grains. The results showed that Cd was mainly sequestered in cell wall, accounting for 86%-95% and 30%-51% of total cadmium in root and shoot cells, respectively. In shoot cells, about 35%-61% of Cd was distributed in cellular soluble fractions. When rice straw was incorporated at 1.0% and 2.5% levels, Cd sequestration in the cell wall significantly increased and Cd translocation from roots to shoots significantly decreased. However, when rice straw was incorporated at the 5% level, Cd sequestration in root cell walls significantly decreased and Cd translocation from roots to shoots significantly increased at the tillering stage. At the filling stage, 5% rice straw incorporation still significantly increased Cd sequestration in root cell walls and Cd translocation from roots to shoots did not significantly change. The rice straw and rape straw used for the field trail contained high concentrations of Cd (0.49 and 0.67 mg·kg-1, respectively). Rape straw incorporation alone or together with lime did not significantly affect Cd accumulation in brown rice or rice straw. Rice straw incorporation alone did not significantly affect Cd accumulation in brown rice or rice straw, while incorporation with lime significantly decreased Cd accumulation in both brown rice and rice straw. Biochar application can also significantly reduce Cd accumulation in rice and when biochar was added together with lime, the reduction in Cd accumulation in rice was more significant. Therefore, at Cd-contaminated paddy fields, rice straw or rape straw is not suggested to be returned directly; incorporation with lime would be better for reducing Cd accumulation in rice grains. The results of this study will provide theoretical and practical guidance for the safe production of rice and for straw recycling at Cd-polluted paddy fields.

[A case of huge malignant maxillofacial tumor].

Patients found two years left of the new biology, surface erosion,exudates long. Postoperative pathology examination: inflammatory fibrous background visible uniform small cells arranged in cords, pseudorosette formation region is considered not except basal cell carcinoma , neuroendodrne carcinoma. Diagnosis of immunohistochemical support of basal cell carcinonma.