Your browser doesn't support javascript.
loading
: 20 | 50 | 100
1 - 19 de 19
1.
J Laparoendosc Adv Surg Tech A ; 34(4): 323-328, 2024 Apr.
Article En | MEDLINE | ID: mdl-38330407

Objective: The aim of this study is to compare the precision and applicability of the Zhongshan (ZS) score against the radius, exophytic/endophytic, nearness, anterior/posterior, and location (RENAL) score in forecasting perioperative outcomes during laparoscopic partial nephrectomy (LPN). Materials and Methods: We retrospectively analyzed data from 99 renal cancer patients who underwent LPN between January 2017 and August 2023. Patients were scored and categorized based on both the ZS and RENAL scores. The study then compared perioperative outcomes across these groups and further investigated the correlation between ZS and RENAL scores and overall complication rates. Results: LPN was successfully accomplished in 94 patients, whereas 5 patients necessitated conversion to open or radical surgery. The high-risk group, according to the ZS score, manifested more warm ischemic time (WIT) than the low-risk group (P = .007). Furthermore, the incidence of overall complications escalated with increase in the ZS score grade (P = .045). A higher RENAL score corresponded to a greater risk of conversion to open or radical treatment (P = .012). Correlation analyses revealed associations between both ZS and RENAL scores and overall complications. The RENAL score also correlated with changes in blood creatinine values, while the ZS score was associated with WIT (all P < .05). In the univariate analysis, both ZS and RENAL scores were substantial factors for the occurrence of total complications (P = .029 and P = .027, respectively), but they were not statistically significant in the multivariate analysis. The receiver operating characteristic curves suggested that both individual and combined ZS and RENAL scores held predictive potential for the onset of overall complications (area under the curve = 0.652, 0.660, and 0.676, respectively). Conclusions: Compared with the RENAL score, the ZS score provides a more comprehensive assessment of tumor complexity in patients undergoing LPN. Integrating these two scores could potentially improve the accuracy of predicting surgical risks.


Kidney Neoplasms , Laparoscopy , Humans , Radius/pathology , Retrospective Studies , Nephrectomy , Kidney Neoplasms/surgery , Kidney Neoplasms/pathology , Treatment Outcome
2.
Biol Trace Elem Res ; 201(4): 1792-1805, 2023 Apr.
Article En | MEDLINE | ID: mdl-35553364

Effects of selenoproteins on many renal diseases have been reported. However, their role in renal ischemia-reperfusion (I/R) injury is unclear. The present study was performed to investigate the impact of ebselen and renal I/R injury on the expression of selenoproteins. Sprague-Dawley rats were pretreated with or without ebselen (10 mg/kg) through a daily single oral administration from 3 days before renal I/R surgery. RT-qPCR (real-time quantitative PCR) was performed to determine the mRNA expression of 25 selenoprotein genes in the renal tissues. The expression levels of two selenoproteins, including GPX3 (glutathione peroxidase 3) and DIO1 (iodothyronine deiodinase 1), were evaluated by Western blot or/and IHF (immunohistofluorescence) assays. Furthermore, renal function, renal damage, oxidative stress, and apoptosis were assessed. The results showed that in renal I/R injury, the mRNA levels of 15 selenoprotein genes (GPX1, GPX3, GPX4, DIO1, DIO2, TXNRD2, TXNRD3, SEPHS2, MSRB1, SELENOF, SELENOK, SELENOO, SELENOP, SELENOS, and SELENOT) were decreased, whereas those of eight selenoprotein genes (GPX2, GPX6, DIO3, TXNRD1, SELENOH, SELENOM, SELENOV, and SELENOW) were increased. I/R also induced a reduction in the expression levels of GPX3 and DIO1 proteins. In addition, our results indicated that ebselen reversed the changes in those selenoprotein genes, excluding SELENOH, SELENOM, SELENOP, and SELENOT, in renal I/R injury and alleviated I/R-induced renal dysfunction, tissue damage, oxidative stress, and apoptosis. To our knowledge, this is the first study to investigate the changes of 25 mammalian selenoprotein genes in renal I/R injury kidneys. The present study also provided more evidence for the roles of ebselen against renal I/R injury.


Reperfusion Injury , Selenium , Rats , Animals , RNA, Messenger/genetics , RNA, Messenger/metabolism , Selenium/pharmacology , Rats, Sprague-Dawley , Selenoproteins/genetics , Selenoproteins/metabolism , Selenoprotein P/metabolism , Kidney/metabolism , Reperfusion Injury/drug therapy , Reperfusion Injury/genetics , Reperfusion Injury/metabolism , Mammals/genetics , Mammals/metabolism , Thioredoxin Reductase 2/metabolism
3.
Mol Cell Biochem ; 477(6): 1873-1885, 2022 Jun.
Article En | MEDLINE | ID: mdl-35338455

Renal ischemia-reperfusion (I/R) injury is one of the most common causes of chronic kidney disease (CKD). It brings unfavorable outcomes to the patients and leads to a considerable socioeconomic burden. The study of renal I/R injury is still one of the hot topics in the medical field. Ebselen is an organic selenide that attenuates I/R injury in various organs. However, its effect and related mechanism underlying renal I/R injury remains unclear. In this study, we established a rat model of renal I/R injury to study the preventive effect of ebselen on renal I/R injury and further explore the potential mechanism of its action. We found that ebselen pretreatment reduced renal dysfunction and tissue damage caused by renal I/R. In addition, ebselen enhanced autophagy and inhibited oxidative stress. Additionally, ebselen pretreatment activated the nuclear factor erythroid 2-related factor 2 (Nrf2) signaling pathway. The protective effect of ebselen was suppressed by autophagy inhibitor wortmannin. In conclusion, ebselen could ameliorate renal I/R injury, probably by enhancing autophagy, activating the Nrf2 signaling pathway, and reducing oxidative stress.


NF-E2-Related Factor 2 , Reperfusion Injury , Animals , Autophagy , Humans , Isoindoles/pharmacology , NF-E2-Related Factor 2/metabolism , Organoselenium Compounds , Oxidative Stress , Rats , Reperfusion Injury/metabolism
4.
World J Surg Oncol ; 18(1): 210, 2020 Aug 16.
Article En | MEDLINE | ID: mdl-32799867

OBJECTIVES: Ischemia-reperfusion injury is harmful in partial nephrectomy (PN) in renal cell carcinoma. Choosing an appropriate surgical method is important to reduce ischemia-reperfusion injury. This study aimed to compare the effect of segmental artery clamping (SAC) and main renal artery clamping (MAC) on patients who underwent PN. METHODS: Studies from January 2008 to November 2019 were identified by an electronic search of English and Chinese databases, including PubMed, Excerpt Medica Database, Cochrane Library, Wanfang, VIP, and Chinese National Knowledge Internet, without language restriction. Two reviewers were involved in the trial. The effects on operation time (OT), warm ischemia time (WIT), length of hospital stay (LOS), blood transfusion rate, postoperative complication rate, Clavien classification (≥ 3), and positive surgery margin (PSM) were evaluated using Stata software. Standardized mean difference (SMD, for continuous data) and pooled odds ratios (for count data) with 95% confidence interval (CI) were used as effect indicators. RESULTS: Thirty-two studies were included. SAC decreased the 1-week (SMD = - 0.973; 95% CI = - 1.414, - 0.532; P = 0.000), 1-month (SMD = - 0.411; 95% CI = - 0.769, - 0.053; P = 0.025), and 3-month (affected kidney: SMD = - 0.914; 95% CI = - 1.662, - 0.617; P = 0.000) percentages of postoperative changes in renal function (estimated glomerular filtration rate) between the SAC and MAC groups. Sub-group analysis showed that the SAC group had longer OT (SMD = 0.562; 95% CI = 0.252, 0.871; P = 0.000) than the MAC group. However, no differences were observed in the OT, WIT, LOS, blood transfusion rate, postoperative complication rate, Clavien classification (≥ 3), and PSM between the two groups. CONCLUSIONS: SAC is superior to MAC in terms of short-term postoperative renal function recovery. The use of SAC or MAC depends on tumor size, location, surgical modality, and surgeon's judgments.


Kidney Neoplasms , Laparoscopy , Constriction , Glomerular Filtration Rate , Humans , Kidney Neoplasms/surgery , Nephrectomy/adverse effects , Nephrons/surgery , Prognosis , Renal Artery/surgery , Retrospective Studies , Treatment Outcome , Warm Ischemia
5.
Biochem Biophys Res Commun ; 532(1): 151-158, 2020 10 29.
Article En | MEDLINE | ID: mdl-32838965

Following renal ischemia-reperfusion injury (RIRI), because of the decrease in oxygen supply to the kidney, a large amount of oxygen-free radicals is generated, and in severe cases, tissue cells will undergo apoptosis or even die. Normobaric hyperoxia (NBHO) is a very common clinical adjuvant treatment. It restores the oxygen supply after renal ischemia and combats oxidative stress in tissues, thus playing a protective role. In this study, our aim is to elucidate the protective mechanism of NBHO inhalation in a rat RIRI model. We performed a surgical excision of the left kidney of the rat and established a right kidney solitary kidney model. Later, the right renal pedicle of the rat was clamped using a non-invasive vascular clamp for 45 min. After the vascular clamp was released and reperfused for 24 h, the rat was placed in a closed oxygen chamber. It was subjected to inhalation of high-concentration oxygen (50%-55%), 2 h daily, for 7 days.RIRI induces postoperative weight loss, impaired renal function, increased oxygen free radicals, reduced antioxidant substances, increased histopathological damage, and increased levels of apoptosis. These effects were significantly improved after treatment with NBHO. At the same time, NBHO significantly increased the expression levels of Nrf2 and HO-1 in the tissues after RIRI. To verify whether HO-1 induced by Nrf2 is involved in the resistance to oxidative stress, after the rat RIRI and before inhaling NBHO, we intraperitoneally injected HO-1 specific inhibitor zinc protoporphyrin (ZnPP) (45 µmol/Kg). However, we found that ZnPP reversed the protective effect of NBHO on RIRI in rats. Combining all the results, we have demonstrated the protective effect of NBHO on RIRI, which can be at least partially attributed to the activation of the Nrf2/HO-1 antioxidative stress pathway.


Heme Oxygenase (Decyclizing)/metabolism , Hyperoxia/metabolism , Kidney/injuries , Kidney/metabolism , NF-E2-Related Factor 2/metabolism , Reperfusion Injury/metabolism , Reperfusion Injury/prevention & control , Animals , Antioxidants/metabolism , Apoptosis , Atmospheric Pressure , Disease Models, Animal , Enzyme Inhibitors/pharmacology , Heme Oxygenase (Decyclizing)/antagonists & inhibitors , Male , Oxidative Stress , Protoporphyrins/pharmacology , Rats , Rats, Sprague-Dawley , Reperfusion Injury/pathology , Signal Transduction
6.
Cancer Invest ; 37(4-5): 199-208, 2019.
Article En | MEDLINE | ID: mdl-31181967

Prostate cancer (PCa) is the most common malignant tumor for men. But the mechanism is unclear. EIF3C was shown to be overexpressed in PCa tissues and cell lines. EIF3C overexpression was correlated to age and tumor stage in PCa patients and indicated poor survival. The proliferation, migration, and invasiveness of PC3 cells were all inhibited after EIF3C knockdown. Additionally, the phosphorylation level of PI3K and Akt was downregulated while total NF-κB and Myc decreased after EIF3C knockdown. But the expression of IκB increased reversely. Therefore, EIF3C at least partially regulates the activity of PI3K/Akt/NF-κB signaling pathway in PC3 cells.


Carcinogenesis/genetics , Eukaryotic Initiation Factor-3/metabolism , Gene Expression Regulation, Neoplastic , Prostatic Neoplasms/genetics , Animals , Carcinogenesis/pathology , Cell Line, Tumor , Cell Proliferation/genetics , Down-Regulation , Eukaryotic Initiation Factor-3/genetics , Gene Knockdown Techniques , HEK293 Cells , Humans , Male , Mice , Middle Aged , NF-kappa B/metabolism , Phosphatidylinositol 3-Kinases/metabolism , Phosphorylation/genetics , Prognosis , Prostatic Neoplasms/mortality , Prostatic Neoplasms/pathology , Proto-Oncogene Proteins c-akt/metabolism , Proto-Oncogenes , RNA, Small Interfering/metabolism , Signal Transduction/genetics , Survival Rate , Xenograft Model Antitumor Assays
7.
J Biomol Struct Dyn ; 37(16): 4161-4170, 2019 10.
Article En | MEDLINE | ID: mdl-30431391

According to the X-ray crystal structures of CYP17A1 (including its complexes with inhibitors), it is shown that a hydrogen bond exists between CYP17A1 and its inhibitors (such as abiraterone and TOK-001). Previous short MD simulations (50 ns) suggested that the binding of abiraterone to CYP17A1 is stronger than that of TOK-001. In this work, by carrying out long atomistic MD simulations (200 ns) of CYP17A1 and its complexes with abiraterone and TOK-001, we observed a binding mode between CYP17A1 and abiraterone, which is different from the binding mode between CYP17A1 and TOK-001. In the case of abiraterone binding, the unfilled volume in the active site cavity increases the freedom of movement of abiraterone within CYP17A1, leading to the collective motions of the helices G and B' as well as the breaking of hydrogen bond existing between the 3ß-OH group of abiraterone and N202 of CYP17A1. However, the unfilled volume in the active site cavity can be occupied by the benzimidazole ring of TOK-001, restraining the motion of TOK-001. By pulling the two inhibitors (abiraterone and TOK-001) out of the binding pocket in CYP17A1, we discovered that abiraterone and TOK-001 were moved from their binding sites to the surface of protein similarly through the channels formed by the helices G and B'. In addition, based on the free energy calculations, one can see that it is energetically favorable for the two inhibitors (abiraterone and TOK-001) to enter into the binding pocket in CYP17A1.


Androstadienes/chemistry , Androstenes/chemistry , Antineoplastic Agents/chemistry , Benzimidazoles/chemistry , Cytochrome P-450 CYP1A1/antagonists & inhibitors , Cytochrome P-450 CYP1A1/chemistry , Prostatic Neoplasms/drug therapy , Androstadienes/pharmacology , Androstenes/pharmacology , Antineoplastic Agents/pharmacology , Benzimidazoles/pharmacology , Binding Sites , Catalytic Domain , Heme/chemistry , Humans , Hydrophobic and Hydrophilic Interactions , Iron/chemistry , Male , Molecular Docking Simulation , Protein Conformation, alpha-Helical
8.
Mol Med Rep ; 17(3): 3647-3657, 2018 03.
Article En | MEDLINE | ID: mdl-29286140

Human forkhead box P3 (FOXP3)+ cluster of differentiation (CD)25+CD4+ regulatory T cells (Tregs) are a type of T cell that express CD4, CD25 and FOXP3, which are critical for maintaining immune homeostasis. The present study aimed to determine the mechanisms underlying Treg function. The GSE11292 dataset was downloaded from the Gene Expression Omnibus, which included data from Treg cells at 19 time points (0­360 min) with an equal interval of 20 min, and corresponding repeated samples. However, data for Treg cells at time point 120 min were missing. Using the Mfuzz package, the key genes were identified by clustering analysis. Subsequently, regulatory networks and protein­protein interaction (PPI) networks were constructed and merged into integrated networks using Cytoscape software. Using Database for Annotation, Visualization and Integrated Discover software, enrichment analyses were performed for the genes involved in the PPI networks. Cluster 1 (including 292 genes), cluster 2 (including 111 genes), cluster 3 (including 194 genes) and cluster 4 (including 103 genes) were obtained from the clustering analysis. GAPDH (degree, 40) in cluster 1, Janus kinase 2 (JAK2) (degree, 10) and signal transducer and activator of transcription 5A (STAT5A) (degree, 9) in cluster 3, and tumor necrosis factor (TNF) (degree, 26) and interleukin 2 (IL2) (degree, 22) in cluster 4 had higher degrees in the PPI networks. In addition, it was indicated that several genes may have a role in Treg function by targeting other genes [e.g. microRNA (miR)­146b­3p→TNF, miR­146b­5p→TNF, miR­142­5p→TNF and tripartite motif containing 28 (TRIM28)→GAPDH]. Enrichment analyses indicated that IL2 and TNF were enriched in the immune response and T cell receptor signaling pathway. In conclusion, GAPDH targeted by TRIM28, TNF targeted by miR­146b­3p, miR­146b­5p and miR­142­5p, in addition to JAK2, IL2, and STAT5A may serve important roles in Treg function.


T-Lymphocytes, Regulatory/physiology , CD4 Antigens/metabolism , Cluster Analysis , Databases, Genetic , Forkhead Transcription Factors/metabolism , Gene Regulatory Networks , Glyceraldehyde-3-Phosphate Dehydrogenase (Phosphorylating)/genetics , Humans , Interleukin-2/metabolism , Interleukin-2 Receptor alpha Subunit/metabolism , MicroRNAs/genetics , MicroRNAs/metabolism , Protein Interaction Maps/genetics , RNA, Messenger/metabolism , T-Lymphocytes, Regulatory/immunology , T-Lymphocytes, Regulatory/metabolism , Tumor Necrosis Factor-alpha/metabolism
9.
Am J Transl Res ; 9(2): 629-637, 2017.
Article En | MEDLINE | ID: mdl-28337290

The abnormal proliferation and migration of vascular smooth muscle cells (VSMCs) are crucial pathological processes that are involved in atherosclerosis. Growing evidence suggests that microRNAs (miRNAs) play critical roles in VSMCs functions. Here, we analyzed the expression of four atherosclerosis-related miRNAs and found that hsa-miR-148b was significantly down-regulated in plaques from atherosclerotic patients compared to a healthy control group. The restoration of hsa-miR-148b function in cells transfected with a hsa-miR-148b mimicmarkedly inhibited VSMCs proliferation and migration compared to a hsa-miR-148b mimic control. Furthermore, we discovered that heat shock protein 90 (HSP90) was a direct target of hsa-miR-148b in VSMCs. Hsa-miR-148b suppressed HSP90 expression by directly binding its 3'-untranslated region (UTR). In addition, the expression of hsa-miR-148b was negatively correlated with the HSP90 mRNA levels in plaques of atherosclerotic patients. Interestingly, the overexpression of HSP90 partly abrogated the hsa-miR-148b-mediated inhibition of VSMCs proliferation and migration. Our study provides the first evidence that hsa-miR-148b has anti-proliferative and migratory functions by targeting HSP90 in VSMCs and may aidin the development of new biomarkers and potential therapeutic targets for atherosclerosis.

10.
Oncotarget ; 8(12): 19566-19576, 2017 Mar 21.
Article En | MEDLINE | ID: mdl-28223537

Reduced expression of E-cadherin was observed in renal cell carcinoma (RCC). However, its potential clinical value and correlation with WNT/ß-catenin signaling in RCC progression was still unclear. Immunohistochemical staining was performed in RCC tissue microarray to examine the expression status and prognosis value of E-cadherin and ß-catenin. The potential role of E-cadherin in ß-catenin translocation was analyzed with immunobloting assays. A significant negative correlation was observed between E-cadherin and ß-catenin expression in RCC tissues. E-cadherin inhibits ß-catenin translocation from membrane to cytoplasm in RCC tissues, which was an important step for WNT/ß-catenin signaling. Reduced E-cadherin expression was associated with poor prognosis. More importantly, E-cadherin-/ß-catenin+ was an independent detrimental factor for survival estimation of RCC patients. Reduced E-cadherin expression in RCC promoted cancer progression via WNT/ß-catenin signaling pathway activation. E-cadherin/ß-catenin provides a valuable prognosis marker for RCC, which may be an effective target for RCC therapy.


Biomarkers, Tumor/metabolism , Cadherins/metabolism , Carcinoma, Papillary/pathology , Carcinoma, Renal Cell/pathology , Kidney Neoplasms/pathology , Wnt Proteins/metabolism , beta Catenin/metabolism , Antigens, CD , Carcinoma, Papillary/metabolism , Carcinoma, Renal Cell/metabolism , Disease Progression , Female , Follow-Up Studies , Gene Expression Regulation, Neoplastic , Humans , Kidney Neoplasms/metabolism , Male , Middle Aged , Neoplasm Grading , Neoplasm Staging , Prognosis , Survival Rate
11.
Int Braz J Urol ; 42(1): 101-6, 2016.
Article En | MEDLINE | ID: mdl-27136474

OBJECTIVE: To evaluate the clinical efficiency of alpha1-adrenergic antagonists on stentless ureteroscopic lithotripsy treating uncomplicated lower ureteral stones. MATERIALS AND METHODS: From January 2007 to January 2013, 84 patients who have uncomplicated lower ureteral stones treated by ureteroscopic intracorporeal lithotripsy with the holmium laser were analyzed. The patients were divided into two groups, group A (44 patients received indwelled double-J stents) and group B (40 patients were treated by alpha1-adrenergic antagonists without stents). All cases of group B were treated with alpha1 blocker for 1 week. RESULTS: The mean operative time of group A was significantly longer than group B. The incidences of hematuria, flank/abdominal pain, frequency/urgency after surgery were statistically different between both groups. The stone-free rate of each group was 100%. CONCLUSIONS: The effect of alpha1-adrenergic antagonists is more significant than indwelling stent after ureteroscopic lithotripsy in treating uncomplicated lower ureteral stones.


Adrenergic alpha-1 Receptor Antagonists/therapeutic use , Lithotripsy/methods , Sulfonamides/therapeutic use , Ureteral Calculi/surgery , Ureteroscopy/methods , Adult , Female , Humans , Lasers, Solid-State/therapeutic use , Length of Stay , Male , Middle Aged , Operative Time , Pain Measurement , Postoperative Complications , Postoperative Period , Prospective Studies , Reproducibility of Results , Statistics, Nonparametric , Tamsulosin , Treatment Outcome , Young Adult
12.
Int. braz. j. urol ; 42(1): 101-106, Jan.-Feb. 2016. tab
Article En | LILACS | ID: lil-777316

ABSTRACT Objective To evaluate the clinical efficiency of alpha1-adrenergic antagonists on stentless ureteroscopic lithotripsy treating uncomplicated lower ureteral stones. Materials and Methods From January 2007 to January 2013, 84 patients who have uncomplicated lower ureteral stones treated by ureteroscopic intracorporeal lithotripsy with the holmium laser were analyzed. The patients were divided into two groups, group A (44 patients received indwelled double-J stents) and group B (40 patients were treated by alpha1-adrenergic antagonists without stents). All cases of group B were treated with alpha1 blocker for 1 week. Results The mean operative time of group A was significantly longer than group B. The incidences of hematuria, flank/abdominal pain, frequency/urgency after surgery were statistically different between both groups. The stone-free rate of each group was 100%. Conclusions The effect of alpha1-adrenergic antagonists is more significant than indwelling stent after ureteroscopic lithotripsy in treating uncomplicated lower ureteral stones.


Humans , Male , Female , Adult , Young Adult , Sulfonamides/therapeutic use , Lithotripsy/methods , Ureteral Calculi/surgery , Ureteroscopy/methods , Adrenergic alpha-1 Receptor Antagonists/therapeutic use , Postoperative Complications , Postoperative Period , Pain Measurement , Prospective Studies , Reproducibility of Results , Treatment Outcome , Statistics, Nonparametric , Lasers, Solid-State/therapeutic use , Operative Time , Tamsulosin , Length of Stay , Middle Aged
13.
World J Urol ; 32(5): 1275-80, 2014 Oct.
Article En | MEDLINE | ID: mdl-24177788

OBJECTIVES: To report the haemodynamic, electrolyte, and metabolic changes of a prospective clinical trial comparing minimally invasive percutaneous nephrolithotomy (MPCNL) with percutaneous nephrolithotomy (PCNL) for renal stones. METHODS: In all, 71 patients who had undergone MPCNL (37) or PCNL (34) were prospectively assessed. Heart rate and arterial blood pressure were monitored, and samples for electrolyte estimation and arterial blood gas analysis were drawn at the start, 30th, 60th, 90th, and 120th min of irrigation and 24 h later after both procedures. RESULTS: In the PCNL group, no significant changes occurred in heart rate, arterial blood pressure, electrolytes, and pH. In the MPCNL group, heart rate, arterial blood pressure, and serum sodium levels kept stably during and after irrigation; the decrease in potassium levels was found from the 30th to 120th min of irrigation and did not recovery until 24 h later after operation (P < 0.05), but the potassium levels was normal during the entire observation period; the increase in Cl(-) levels was noted at the 120th min of irrigation (P < 0.05); there was a decreasing trend of pH from the start to the 120th min of irrigation (P < 0.05) and 24 h later after operation this trend attenuated (P < 0.05); the changes in base excess levels were in accordance with those in pH levels. CONCLUSIONS: Although haemodynamic and electrolyte changes remains stable, a trend towards metabolic acidosis is obvious as the irrigation time goes by during MPCNL compared with PCNL. Therefore, arterial blood gases should be monitored during and after MPCNL in patients with prolonged irrigation time.


Electrolytes/metabolism , Hemodynamics , Kidney Calculi/metabolism , Kidney Calculi/surgery , Nephrostomy, Percutaneous/methods , Female , Humans , Male , Middle Aged , Minimally Invasive Surgical Procedures , Prospective Studies
15.
Urology ; 81(2): 467.e1-7, 2013 Feb.
Article En | MEDLINE | ID: mdl-23374847

OBJECTIVE: To explore the exact mechanism of Pokemon in prostate cancer. MATERIALS AND METHODS: Pokemon is a member of the POK family of transcriptional repressors. Its main function is suppression of the p14ARF (alternate reading frame) tumor suppressor gene. Although Pokemon expression has been found to be increased in various types of lymphoma, the exact mechanism of the gene in prostate cancer is not clear. In the present study, prostate cancer cells were transfected with the specific short hairpin ribonucleic acid (RNA) expression vector targeting Pokemon. The expression of Pokemon messenger RNA and its protein was detected by semiquantitative reverse transcriptase-polymerase chain reaction and Western blotting, respectively. The cell growth and cell apoptosis were also examined using the methyl thiazolyl tetrazolium assay and flow cytometry. RESULTS: The results demonstrated that specific RNA interference (RNAi) could decrease the expression levels of Pokemon gene messenger RNA and protein in prostate cancer cells. In addition, that specific RNAi significantly inhibited the cell proliferation and increased the apoptotic rate. In vivo experiments showed that specific RNAi inhibited the tumorigenicity of prostate cancer cells and significantly suppressed tumor growth. CONCLUSION: Therefore, an RNAi-targeted Pokemon gene strategy could be a potential approach to prostate cancer therapy.


Adenocarcinoma/genetics , DNA-Binding Proteins/antagonists & inhibitors , Down-Regulation , Prostatic Neoplasms/genetics , RNA Interference , RNA, Small Interfering/genetics , Transcription Factors/antagonists & inhibitors , Adenocarcinoma/pathology , Adenoviridae , Animals , Apoptosis , Caspase 3/metabolism , Cell Line, Tumor , Cell Proliferation , DNA-Binding Proteins/genetics , DNA-Binding Proteins/metabolism , Genetic Vectors , Humans , Male , Mice , Mice, Inbred NOD , Mice, SCID , Neoplasm Transplantation , Prostatic Neoplasms/pathology , RNA, Messenger/metabolism , Transcription Factors/genetics , Transcription Factors/metabolism
16.
Urol Int ; 91(1): 113-20, 2013.
Article En | MEDLINE | ID: mdl-23343819

BACKGROUND: Many studies have investigated the association between glutathione S-transferase T1 (GSTT1) null genotype and the risk of prostate cancer (PCa), but the impact of GSTT1 null genotype on PCa risk in Caucasians is still unclear owing to the inconsistency of such studies. The present study aimed to quantify the strength of association between GSTT1 null genotype and the risk of PCa in Caucasians. METHODS: We searched the PubMed, Embase and Web of Science databases for studies assessing the association between GSTT1 null genotype and the risk of PCa in Caucasians. We estimated the summary odds ratio (OR) with the corresponding 95% confidence interval (95% CI) to assess the association. RESULTS: 16 case-control studies with 11,648 subjects were included in this meta-analysis. Meta-analysis of a total of 16 studies showed GSTT1 null genotype was significantly associated with an increased risk of PCa in Caucasians (random-effects OR 1.30, 95% CI 1.10-1.53, p = 0.002). After adjustment for heterogeneity, GSTT1 null genotype was still associated with an increased risk of PCa in Caucasians (fixed-effects OR 1.33, 95% CI 1.17-1.52, p < 0.001). The cumulative meta-analyses of all 16 studies showed a trend of more obvious association as information accumulated by year. CONCLUSIONS: Meta-analysis of available data suggests the GSTT1 null genotype is significantly associated with an increased risk of PCa in Caucasians.


Genetic Predisposition to Disease , Genotype , Glutathione Transferase/genetics , Prostatic Neoplasms/genetics , Case-Control Studies , Humans , Male , Odds Ratio , Polymorphism, Genetic , Prostatic Neoplasms/ethnology , Risk Factors , White People
17.
J BUON ; 17(2): 350-6, 2012.
Article En | MEDLINE | ID: mdl-22740217

PURPOSE: To compare the efficacy, quality of life (QoL) and side effects of intermittent androgen blockade (IAB) vs. continuous androgen blockade (CAB) as treatment of advanced prostate cancer (PCA). METHODS: Using the search terms "advanced prostate cancer", "prostate cancer", "intermittent androgen blockade", "continuous androgen blockade", "randomized controlled trial" (RCT), the literature in Chinese and English language was searched in several databases to see for any difference between IAB and CAB concerning the effectiveness, QoL and side effects. Then, the studies to be included were identified according to previously established inclusion criteria, and those selected were assessed by methodological quality. Finally, the data of the studies included were extracted using self-tabulate tables, and the criteria of RCTs were studied. At the same time, odds ratio (OR) and weighted mean difference (WMD) of random effects model and fixed effects model were calculated to evaluate sensitivity. RESULTS: There were 16 RCTs that compared IAB with CAB with a total of 3264 patients (1624 with IAB and 1640 with CAB). Pooled effects indicated no significant difference between IAB and CAB groups in terms of death and progression rate (OR=0.99, 95% CI 0.80-1.23, and OR=1.03, 95% CI 0.84-1.26 respectively). Calculated results indicated that QoL on sexual activity was significantly higher in the IAB group (OR=0.24, 95% Cl 0.17-0.33, p<0.00001). Moreover, IAB could effectively reduce side effects. CONCLUSION: The therapeutic efficacy (progression and death rate) was not significantly different between the IAB and CAB groups. However, IAB can effectively preserve the QoL (sexual life) and reduce the side effects. With analysis of more RCTs with strict design stronger evidence of the superiority of IAB could be proven.


Androgen Antagonists/therapeutic use , Androgens/metabolism , Prostatic Neoplasms/drug therapy , Quality of Life , Humans , Male , Randomized Controlled Trials as Topic
18.
Immunol Lett ; 140(1-2): 59-67, 2011 Oct 30.
Article En | MEDLINE | ID: mdl-21723324

CD4(+)CD25(+) regulatory T cells (Tregs) have recently been the subject of intense research due to their strong immunosuppressive effect. Increasing evidence suggests that IL-15 plays an important role in Tregs biology. Nevertheless, the mechanism by which IL-15 performs this function remains to be fully elucidated. To address this question, we isolated Tregs from human peripheral blood, and utilized IL-15, dendritic cells (DCs), or DCs combined with IL-15, to examine the proliferation of Tregs and to explore related molecular mechanisms. Here, we show that IL-15 can induce the proliferation of Tregs in the presence of DCs. The induction is mediated by DCs presenting IL-15 in trans to Tregs. Simultaneously, DCs-derived IL-2, regulated by IL-15, may also play a supportive role. After IL-15 withdrawal, IL-15 trans-endosomal recycling in DCs contributes to the proliferation of Tregs. The activation of Akt, Erk1/2 and STAT(5), and the degradation of p27(kip1) may be involved in this process. These findings might explain the proliferation of Tregs in the absence of IL-2 in vivo and provide a novel method to achieve large-scale proliferation of Tregs in vitro in order to obtain cell numbers sufficient for immunotherapy.


Dendritic Cells/metabolism , Interleukin-15/metabolism , T-Lymphocyte Subsets/metabolism , T-Lymphocytes, Regulatory/metabolism , Transcriptional Activation , CD4 Antigens/biosynthesis , Cell Proliferation , Cells, Cultured , Coculture Techniques , Cyclin-Dependent Kinase Inhibitor p27/metabolism , Dendritic Cells/immunology , Dendritic Cells/pathology , Humans , Interleukin-15/immunology , Interleukin-2 Receptor alpha Subunit/biosynthesis , STAT Transcription Factors/metabolism , Signal Transduction/immunology , T-Lymphocyte Subsets/immunology , T-Lymphocyte Subsets/pathology , T-Lymphocytes, Regulatory/immunology , T-Lymphocytes, Regulatory/pathology , Transcriptional Activation/immunology
19.
Immunol Lett ; 128(1): 46-50, 2010 Jan 18.
Article En | MEDLINE | ID: mdl-19914289

VSIG4 has been recently described as a B7 family-related protein. The immunotherapeutic potential of dendritic cells (DCs) transfected with VSIG4 recombinant adenovirus has not been characterized. In the present study, DCs were transfected with human VSIG4 (hVSIG4) recombinant adenovirus, a novel costimulatory molecule known to be a potent inhibitor of T cell activation. Transfected DCs were cocultured with allogeneic T cells and proliferation, cytokine production and T cell activation marker expression were assessed. The results showed that T cell proliferation potential, cytokine production and activation marker expression were suppressed after coculture with hVSIG4 recombinant adenovirus-transfected DCs. These findings suggest that DCs transfected with hVSIG4 recombinant adenovirus are capable of inducing allogeneic T cell suppression, which represents an ideal strategy for manipulating the immune response to transplanation or autoimmune diseases.


Dendritic Cells/metabolism , Receptors, Complement/metabolism , T-Lymphocyte Subsets/metabolism , T-Lymphocytes/metabolism , Adenoviridae/genetics , Antigens, CD/biosynthesis , Antigens, CD/genetics , Antigens, Differentiation/genetics , Antigens, Differentiation/metabolism , Coculture Techniques , Dendritic Cells/immunology , Dendritic Cells/pathology , Genetic Vectors/genetics , Humans , Immunophenotyping , Immunosuppression Therapy , Lymphocyte Activation , Receptors, Complement/genetics , Receptors, Complement/immunology , T-Lymphocyte Subsets/immunology , T-Lymphocyte Subsets/pathology , T-Lymphocytes/immunology , T-Lymphocytes/pathology , Transfection , Transgenes/genetics
...