Prognostic implications of preoperative, postoperative, and dynamic changes of alpha-fetoprotein and des-gamma (γ)-carboxy prothrombin expression pattern for hepatocellular carcinoma after hepatic resection: a multicenter observational study.

Background: The utility of pre- and post-operative alpha-fetoprotein (AFP) and des-gamma (γ)-carboxy prothrombin (DCP) expression patterns and their dynamic changes as predictors of the outcome of hepatic resection for hepatocellular carcinoma (HCC) has yet to be well elucidated. Methods: From a multicenter database, AFP and DCP data during the week prior to surgery and the first post-discharge outpatient visit (within 1-2 months after surgery) were collected from patients with HCC who underwent hepatectomy. AFP-DCP expression patterns were categorized according to the number of positive tumor markers (AFP ≥ 20ng/mL, DCP ≥ 40mAU/mL), including double-negative, single-positive, and double-positive. Changes in the AFP-DCP expression patterns were delineated based on variations in the number of positive tumor markers when comparing pre- and post-operative patterns. Results: Preoperatively, 53 patients (8.3%), 337 patients (52.8%), and 248 patients (38.9%) exhibited double-negative, single-positive, and double-positive AFP-DCP expression patterns, respectively. Postoperatively, 463 patients (72.6%), 130 patients (20.4%), and 45 patients (7.0%) showed double-negative, single-positive, and double-positive AFP-DCP expression patterns, respectively. Survival analysis showed a progressive decrease in recurrence-free (RFS) and overall survival (OS) as the number of postoperative positive tumor markers increased (both P < 0.001). Multivariate analysis showed that postoperative AFP-DCP expression pattern, but not preoperative AFP-DCP expression pattern, was an independent risk factor for RFS and OS. Further analysis showed that for patients with positive preoperative markers, prognosis gradually improves as positive markers decrease postoperatively. In particular, when all postoperative markers turned negative, the prognosis was consistent with that of preoperative double-negative patients, regardless of the initial number of positive markers. Conclusions: AFP-DCP expression patterns, particularly postoperative patterns, serve as vital sources of information for prognostic evaluation following hepatectomy for HCC. Moreover, changes in AFP-DCP expression patterns from pre- to post-operation enable dynamic prognostic risk stratification postoperatively, aiding the development of individualized follow-up strategies.

[Microbial degradation of acetochlor in mollisol and the effects of acetochlor on the characteristics of soil phospholipid fatty acids].

An incubation test was conducted with mollisol applied with recommended amount of acetochlor under the conditions of sterilization, microbial inhibitor addition, and non-sterilization. During incubation, the residual amount of acetochlor and the dynamics of soil phospholipid fatty acids (PLFAs) were determined to study the relative contribution of soil microbes on the degradation of applied acetochlor, and the effects of acetochlor on the soil microbial community structure. The results showed that acetochlor was easy to be degraded by soil microbes, and bacteria contributed more than fungi. After applying acetochlor, the contents of various PLFAs changed evidently, and the soil microbial biomass indicated by C14:0, C16:0 and C18:0 was decreased. The bacterial PLFAs decreased significantly at the beginning of the incubation, but had less difference with CK (no acetochlor application) later, suggesting that bacterial activity was restored along with the degradation of acetochlor. The content of fungal PLFAs in the soil samples applied with acetochlor was lower than that of CK, implying that the inhibition of the herbicide to fungi was chronic and irreversible.