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1.
Front Psychol ; 12: 565385, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34290634

RESUMO

This study aims to explore, through latent profile analysis (LPA), rural left-behind children's psychological capital and its relationship with emotional and behavioral indicators. In this study, 677 rural-based left-behind children (average age 11.7 ± 1.58 years) in Hunan Province, China, were recruited and assessed using the Rural Left-behind Children's Psychological Capital Questionnaire and the Children's Strengths and Difficulties Questionnaire. We found that psychological capital was divided into three latent profiles: high (43.3% of the sample), medium (46.1%), and low (10.6%). Compared to the other two types, the children with low psychological capital returned higher scores for emotional symptoms, conduct disorder, hyperactivity and impulsivity, and peer-interaction problems, but lower prosocial behavior scores. Meanwhile, examination of the effects of gender and grade found that most of the elementary school students had high psychological capital, and that there was no significant difference among the groups in regard to gender. In summary, distinct differences in psychological capital were found among left-behind children, and the latent profiles were determined to be related to grade, emotional symptoms, hyperactivity and impulsivity, and prosocial behavior. There was also a significant difference in emotional and behavioral indicators across the different latent profiles.

2.
Acta Biochim Biophys Sin (Shanghai) ; 51(2): 168-177, 2019 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-30668810

RESUMO

Adiponectin, an adipokine synthesized and secreted majorly by adipose tissue, is reported to exert cardioprotective properties via anti-inflammation and antiapoptosis. Lipopolysaccharide (LPS) is a common inflammation and apoptosis inducer of cardiomyocytes. However, few studies have reported the roles of adiponectin on LPS-induced inflammation as well as apoptosis of H9c2 cells, and the possible mechanisms of these effects. In the present study, we found that adiponectin significantly relieved LPS-induced cytotoxicity including decreased viability and elevated LDH release, inhibited LPS-triggered inflammation, which is evidenced by increases in release of TNF-α, IL-1ß as well as IL-6, and attenuated the enhanced rates of apoptotic cells as well as increased caspase-3 activity caused by LPS in H9c2 cells. In addition, our data demonstrated that adiponectin upregulated AMP-activated protein kinase (AMPK) activation of H9c2 cells with or without LPS administration. Moreover, we found that blocking AMPK pathway by compound c attenuated the protective effects of adiponectin against the cytotoxicity, inflammatory response, and apoptosis of H9c2 cells resulted from LPS. Our observations bring novel insights for understanding the mediatory role of AMPK pathway implicated in the protective effects of adiponectin against LPS-induced cardiotoxicity.


Assuntos
Proteínas Quinases Ativadas por AMP/metabolismo , Adiponectina/farmacologia , Lipopolissacarídeos/farmacologia , Miócitos Cardíacos/efeitos dos fármacos , Transdução de Sinais/efeitos dos fármacos , Animais , Apoptose/efeitos dos fármacos , Caspase 3/metabolismo , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , Relação Dose-Resposta a Droga , Mediadores da Inflamação/metabolismo , Interleucina-1beta/metabolismo , Miócitos Cardíacos/citologia , Miócitos Cardíacos/metabolismo , Ratos , Fator de Necrose Tumoral alfa/metabolismo
3.
Plant Physiol Biochem ; 115: 200-211, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28376412

RESUMO

Molybdenum (Mo)-an essential element of plants-is involved in nitrogen (N) metabolism. Plants tend to accumulate more nitrate and show lower nitrogen use efficiency (NUE) under Mo-deficient conditions. Improving NUE in fruits reduces the negative effect of large applications of chemical fertilizer, but the mechanisms underlying how Mo enhances NUE remain unclear. We cultivated strawberry seedlings sprayed with 0, 67.5, 135, 168.75, or 202.5 g Mo·ha-1 in a non-soil culture system. The Mo concentration in every plant tissue analyzed increased gradually as Mo application level rose. Mo application affected iron, copper, and selenium adsorption in roots. Seedlings sprayed with 135 g Mo·ha-1 had a higher [15N] shoot:root (S:R) ratio, and 15NUE, and produced higher molybdate transporter type 1 (MOT1) expression levels in the roots and leaves. Seedlings sprayed with 135 g Mo·ha-1 also had relatively high nitrogen metabolic enzyme activities and up-regulated transcript levels of nitrate uptake genes (NRT1.1; NRT2.1) and nitrate-responsive genes. Furthermore, there was a significantly lower NO3- concentration in the leaves and roots, a higher NH4+ concentration in leaves, and a higher glutamine/glutamate (Gln/Glu) concentration at 135 g Mo·ha-1. Seedlings sprayed with 202.5 g Mo·ha-1 showed the opposite trend. Taken together, these results suggest that a 135 g Mo·ha-1 application was optimal because it enhanced NO3- transport from the roots to the shoots and increased NUE by mediating nitrogen metabolic enzyme activities, nitrate transport, and nitrate assimilation gene activities.


Assuntos
Fragaria/efeitos dos fármacos , Molibdênio/toxicidade , Nitratos/metabolismo , Plântula/efeitos dos fármacos , Cobre/metabolismo , Fragaria/metabolismo , Ferro/metabolismo , Isótopos de Nitrogênio , Plântula/metabolismo , Selênio/metabolismo
4.
Food Sci Nutr ; 4(6): 858-868, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27826436

RESUMO

Strawberry fruits (cv. Benihoppe, Tochiotome, Sachinoka, and Guimeiren) were harvested and evaluated the flavor and nutritional parameters. By principal component analysis and hierarchical clustering analysis, differences were observed based on the volatile compounds composition, sugar and acid concentration, sweetness, and total soluble sugars/total organic acids of the four varieties. A total of 37, 48, 65, and 74 volatile compounds were identified and determined in cv. Benihoppe, Tochiotome, Sachinoka, and Guimeiren strawberry fruits extracted by head-space solid-phase microextraction (HS-SPME), respectively. Esters significantly dominated the chemical composition of the four varieties. Furaneol was detected in cultivars of Sachinoka and Guimeiren, but mesifuran was only found in cv. Tochiotome. Tochiotome and Sachinoka showed higher content of linalool and (E)-nerolidol. Sachinoka showed the highest content of total sugars and total acids. Guimeiren showed higher sweetness index than the other three cultivars. Firmness of Tochiotome was highest among all the varieties. The highest total soluble solids TSS value was found in cv. Sachinoka, followed by the Guimeiren and Tochiotome varieties. Sachinoka had the highest titratable acidity TA value. The content of ascorbic acid (AsA) of cv. Tochiotome was higher than the others, but there was no significant difference in cultivars of Benihoppe, Tochiotome, and Sachinoka. Fructose and glucose were the major sugars in all cultivars. Citric acid was the major organic acid in cv. Tochiotome, cv. Sachinoka, and cv. Guimeiren. Tochiotome had higher ratios of TSS/TA and total sugars/total organic acids than others, arising from its lower acid content. The order of the comprehensive evaluation score was Sachinoka>Guimeiren>Tochiotome>Benihoppe.

5.
Neuropsychology ; 30(6): 685-96, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-27054437

RESUMO

OBJECTIVE: Unwillingness to expend more effort to pursue high value rewards has been associated with motivational anhedonia in schizophrenia (SCZ) and abnormal dopamine activity in the nucleus accumbens (NAcc). The authors hypothesized that dysfunction of the NAcc and the associated forebrain regions are involved in the impaired effort expenditure decision-making of SCZ. METHOD: A 2 (reward magnitude: low vs. high) × 3 (probability: 20% vs. 50% vs. 80%) event-related fMRI design in the effort-expenditure for reward task (EEfRT) was used to examine the neural response of 23 SCZ patients and 23 demographically matched control participants when the participants made effort expenditure decisions to pursue uncertain rewards. RESULTS: SCZ patients were significantly less likely to expend high level of effort in the medium (50%) and high (80%) probability conditions than healthy controls. The neural response in the NAcc, the posterior cingulate gyrus and the left medial frontal gyrus in SCZ patients were weaker than healthy controls and did not linearly increase with an increase in reward magnitude and probability. Moreover, NAcc activity was positively correlated with the willingness to expend high-level effort and concrete consummatory pleasure experience. CONCLUSION: NAcc and posterior cingulate dysfunctions in SCZ patients may be involved in their impaired effort expenditure decision-making. (PsycINFO Database Record


Assuntos
Tomada de Decisões/fisiologia , Giro do Cíngulo/fisiopatologia , Imageamento por Ressonância Magnética/métodos , Motivação/fisiologia , Núcleo Accumbens/fisiopatologia , Recompensa , Esquizofrenia/fisiopatologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
6.
Plant Physiol Biochem ; 104: 54-70, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27107182

RESUMO

Dormancy is a biological characteristic developed to resist the cold conditions in winter. The bZIP transcription factors are present exclusively in eukaryotes and have been identified and classified in many species. bZIP proteins are known to regulate numerous biological processes, however, the role of bZIP in bud dodormancy has not been studied extensively. In total, 50 PpbZIP transcription factor-encoding genes were identified and categorized them into 10 groups (A-I and S). Similar intron/exon structures, additional conserved motifs, and DNA-binding site specificity supported our classification scheme. Additionally, chromosomal distribution and collinearity analyses suggested that expansion of the PpbZIP transcription factor family was due to segment/chromosomal duplications. We also predicted the dimerization properties based on characteristic features of the leucine zipper and classified PpbZIP proteins into 23 subfamilies. Furthermore, qRT-PCR results indicated that PpbZIPs genes may be involved in regulating dormancy. The same gene of different species might participate in different regulating networks through interactions with specific partners. Our expression profiling results complemented the microarray data, suggesting that co-expression patterns of bZIP transcription factors during dormancy differed among deciduous fruit trees. Our findings further clarify the molecular characteristics of the PpbZIP transcription factor family, including potential gene functions during dormancy. This information may facilitate further research on the evolutionary history and biological functions of bZIP proteins in peach and other rosaceae plants.


Assuntos
Flores/genética , Regulação da Expressão Gênica de Plantas , Genes de Plantas , Zíper de Leucina/genética , Proteínas de Plantas/genética , Prunus persica/genética , Sequência de Aminoácidos , Fatores de Transcrição de Zíper de Leucina Básica/química , Fatores de Transcrição de Zíper de Leucina Básica/genética , Fatores de Transcrição de Zíper de Leucina Básica/metabolismo , Sítios de Ligação , Cromossomos de Plantas/genética , Sequência Conservada , DNA de Plantas/metabolismo , Íntrons/genética , Família Multigênica , Motivos de Nucleotídeos/genética , Filogenia , Proteínas de Plantas/química , Proteínas de Plantas/metabolismo , Multimerização Proteica , Sítios de Splice de RNA/genética , Splicing de RNA/genética , Reação em Cadeia da Polimerase em Tempo Real , Alinhamento de Sequência
7.
Artigo em Inglês | MEDLINE | ID: mdl-26192817

RESUMO

BACKGROUND: Anhedonia, the loss of interest or pleasure in reward processing, is a hallmark feature of major depressive disorder (MDD), but its underlying neurobiological mechanism is largely unknown. The present study aimed to examine the underlying neural mechanism of reward-related decision-making in patients with MDD. METHOD: We examined behavioral and neural responses to rewards in patients with first-episode MDD (N=25) and healthy controls (N=25) using the Effort-Expenditure for Rewards Task (EEfRT). The task involved choices about possible rewards of varying magnitude and probability. We tested the hypothesis that individuals with MDD would exhibit a reduced neural response in reward-related brain structures involved in cost-benefit decision-making. RESULTS: Compared with healthy controls, patients with MDD showed significantly weaker responses in the left caudate nucleus when contrasting the 'high reward'-'low reward' condition, and blunted responses in the left superior temporal gyrus and the right caudate nucleus when contrasting high and low probabilities. In addition, hard tasks chosen during high probability trials were negatively correlated with superior temporal gyrus activity in MDD patients, while the same choices were negatively correlated with caudate nucleus activity in healthy controls. CONCLUSIONS: These results indicate that reduced caudate nucleus and superior temporal gyrus activation may underpin abnormal cost-benefit decision-making in MDD.


Assuntos
Núcleo Caudado/fisiopatologia , Tomada de Decisões/fisiologia , Transtorno Depressivo Maior/fisiopatologia , Motivação/fisiologia , Recompensa , Lobo Temporal/fisiopatologia , Adulto , Anedonia/fisiologia , Mapeamento Encefálico , Transtorno Depressivo Maior/psicologia , Feminino , Lateralidade Funcional , Humanos , Imageamento por Ressonância Magnética , Masculino , Testes Neuropsicológicos , Probabilidade , Escalas de Graduação Psiquiátrica , Processamento de Sinais Assistido por Computador
8.
Psychiatry Res ; 234(1): 144-51, 2015 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-26382106

RESUMO

Cerebral morphological abnormalities in major depressive disorder (MDD) may be modulated by antidepressant treatment and course of illness in chronic medicated patients. The present study examined cortical thickness in patients with untreated first-episode MDD to elucidate the early pathophysiology of this illness. Here, we examined cortical thickness in patients with first-episode MDD (N=27) and healthy controls (N=27) using an automated surface-based method (in FreeSurfer). By assessing the correlation between caudate volume and cortical thickness at each vertex on the cortical surface, a caudate-cortical network was obtained for each group. Subsequent analysis was performed to assess the effect of anhedonia by the Temporal Experience of Pleasure Scale. We observed increased cortical thickness at the right orbital frontal cortex and the left inferior parietal gyrus in MDD patients compared with healthy controls. Furthermore, morphometric correlational analysis using cortical thickness measurement revealed increased caudate-cortical connectivity in the bilateral superior parietal gyrus in MDD patients. All changes were not related to anhedonia. These preliminary findings may reflect disorder manifestation close to illness onset and may provide insight into the early neurobiology of MDD.


Assuntos
Anedonia/fisiologia , Córtex Cerebral/patologia , Transtorno Depressivo Maior/patologia , Lobo Frontal/patologia , Lobo Parietal/patologia , Adulto , Feminino , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Tamanho do Órgão , Adulto Jovem
9.
J Immunoassay Immunochem ; 36(3): 265-83, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-24979296

RESUMO

We developed a TR-FIA kit for quantitative detection of CA50. This study aims to evaluate the analytical and clinical performances of this kit. Precision, accuracy, specificity, sensitivity, stability, and endogenous interference of this kit are evaluated. Reference range is established. Coincidence rate and correlation between TR-FIA and RIA are evaluated. ROC is adopted to evaluate the diagnostic performance. This kit shows excellent precision with a coefficients of variation (CVs) ranged from 2.2-9.3%, accuracy (average recovery, 98.5%), sensitivity (minimum detectable concentration is 0.2 U/mL), specificity (all cross-reactivity is less than 0.1% except CA199, which is 0.175%), and storage stability (recoveries, 90.8-100.4%). Bilirubin, hemoglobin, and triglyceride dose not interfere with CA50 detection (recovery, 97.13-109.1%). The range from 0-25 U/mL is chosen as the reference range. There are good correlation (r = 0.804) and coincidence (p = 0.608, kappa = 0.924) between TR-FIA and RIA. Diagnostic performance of this kits, which based on RIA results, is perfect (AUC = 0.996), and the diagnostic accuracy for malignancy diagnosis is in moderate degree (AUC, 0.802-0.861). The TR-FIA (CA50) kit performs well in analytical and clinical performances, and can be employed in the clinical diagnosis of malignancy.


Assuntos
Antígenos Glicosídicos Associados a Tumores/sangue , Neoplasias/sangue , Kit de Reagentes para Diagnóstico , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Fluorimunoensaio/instrumentação , Fluorimunoensaio/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Sensibilidade e Especificidade
10.
Psychiatry Res ; 220(3): 874-82, 2014 Dec 30.
Artigo em Inglês | MEDLINE | ID: mdl-25262638

RESUMO

Anhedonia is a hallmark symptom of major depressive disorder (MDD). Preliminary findings suggest that anhedonia is characterized by reduced reward anticipation and motivation of obtaining reward. However, relatively little is known about reward-based decision-making in depression. We tested the hypothesis that anhedonia in MDD may reflect specific impairments in motivation on reward-based decision-making and the deficits might be associated with depressive symptoms severity. In study 1, individuals with and without depressive symptoms performed the modified version of the Effort Expenditure for Rewards Task (EEfRT), a behavioral measure of cost/benefit decision-making. In study 2, MDD patients, remitted MDD patients and healthy controls were recruited for the same procedures. We found evidence for decreased willingness to make effort for rewards among individuals with subsyndromal depression; the effect was amplified in MDD patients, but dissipated in patients with remitted depression. We also found that reduced anticipatory and consummatory pleasure predicted decreased willingness to expend efforts to obtain rewards in MDD patients. For individuals with subsyndromal depression, the impairments were correlated with anticipatory anhedonia but not consummatory anhedonia. These data offer novel evidence that motivational deficits in MDD are correlated with depression severity and predicted by self-reported anhedonia.


Assuntos
Tomada de Decisões , Transtorno Depressivo Maior/diagnóstico , Transtorno Depressivo Maior/psicologia , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/psicologia , Motivação , Adolescente , Adulto , Anedonia , Antecipação Psicológica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recompensa , Adulto Jovem
11.
Ying Yong Sheng Tai Xue Bao ; 21(3): 675-82, 2010 Mar.
Artigo em Chinês | MEDLINE | ID: mdl-20560324

RESUMO

This paper studied the effects of Ca(2+) -carrier A23187 and Ca(2+) -chelator EGTA on the bud differentiation of cut flower chrysanthemum (Dendranthema grandiflorium 'Shenma') under photoperiodic induction, as well as the Ca2+ distribution and the sucrose, soluble sugar, and starch contents in 'Shenma' leaves during the differentiation. In the control, the leaf Ca2+ content was lower at the vegetative stage of apical bud (I), increased rapidly and reached a peak at the stage of initial differentiation (II), and decreased then. At stage I, the Ca2+ was mainly allocated in vacuole, cell wall, and cell lacuna; while at stage II, it was more in cytoplasm. Compared with the control, the leaf Ca2+ content of A23187-treated plants increased significantly, and the days of initiation and ending of bud differentiation were advanced by 2 days and 3 days, respectively. On the other hand, the leaf Ca2+ content of EGTA-treated plants decreased significantly, and the days of initiation and ending of bud differentiation were postponed by 4 days and 8 days, respectively. For both A23187- and EGTA-treated plants, their leaf Ca2+ at stage II was more allocated in cytoplasm. The leaf sucrose and soluble sugar contents of A23187-treated plants reached a peak on the 2nd day after treatment, and the time to reach the peak was shortened by 2 days, compared with the control, which was consistent with the peak time of Ca2+. The leaf sucrose and soluble sugar contents of EGTA-treated plants had no significant changes on the 2nd day of treatment, but increased rapidly and reached the peak on the 8th day of treatment (stage II), and then decreased. However, the leaf sucrose and soluble sugar contents during the whole period of bud differentiation were higher than those before photoperiodic induction. The leaf starch content of A23187-treated plants and the control decreased 2 days after treatment, while that of EGTA-treated plants began to decrease 8 days after treatment, and maintained at a lower level by the end of bud differentiation. The results indicated that Ca2+ and carbohydrates participated in the flower formation of chrysanthemum under photoperiodic induction.


Assuntos
Calcimicina/farmacologia , Cálcio/metabolismo , Carboidratos/biossíntese , Chrysanthemum/metabolismo , Ácido Egtázico/farmacologia , Quelantes/farmacologia , Chrysanthemum/efeitos dos fármacos , Chrysanthemum/fisiologia , Flores/efeitos dos fármacos , Flores/fisiologia , Fotoperíodo
12.
Postgrad Med J ; 86(1015): 272-8, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-20448223

RESUMO

BACKGROUND: Recent guidelines on iron deficiency anaemia (IDA) have confirmed the aetiological role of Helicobacter pylori (H pylori), but the relationship still remains controversial. METHODS: Starting in May 2009, searches of the following databases were undertaken: Medline (1966 to April 2009), Embase (1980 to April 2009), the Cochrane library (1800 to June 2008), Cochrane Central Register of Controlled Trials, Premedline, Healthstar, CBMdisc and the Chinese National Knowledge Infrastructure Database (January 1970 to April 2009). Changes in haemoglobin (Hb) concentrations and serum ferritin (SF) concentrations were recorded for intervention and control groups. The meta-analysis used random effect models and subgroup analyses were performed to explain heterogeneity. RESULTS: Eight studies met the inclusion criteria. All studies were performed in Asia, an area with a high incidence of IDA and H pylori. The pooled analysis of eight studies showed that H pylori eradication therapy can improve IDA, since changes in Hb and SF concentrations in the intervention groups were higher than in controls. The weighted mean difference (WMD) of Hb was 12.88 g/l (95% CI 6.03 to 19.74 g/l, p<0.00001); the WMD of SF was 10.05 mug/l (95% CI 5.48 to 14.63 mug/l, p<0.00001). CONCLUSIONS: H pylori eradication therapy combined with iron administration is more effective than iron administration alone for the treatment of IDA. Eradication therapy has different effects on adults and children. Bismuth based triple therapy has a better response in terms of increased Hb and SF concentrations than proton pump inhibitor (PPI) based triple therapy.


Assuntos
Anemia Ferropriva/tratamento farmacológico , Infecções por Helicobacter/tratamento farmacológico , Helicobacter pylori , Adolescente , Adulto , Idoso , Antibacterianos/uso terapêutico , Bismuto/uso terapêutico , Criança , Quimioterapia Combinada , Humanos , Pessoa de Meia-Idade , Inibidores da Bomba de Prótons/uso terapêutico , Ensaios Clínicos Controlados Aleatórios como Assunto , Resultado do Tratamento , Adulto Jovem
13.
World J Gastroenterol ; 16(7): 886-96, 2010 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-20143469

RESUMO

AIM: To perform a meta-analysis of observational studies and randomized controlled trials (RCTs) on the association between Helicobacter pylori (H. pylori) and iron deficiency anemia (IDA). METHODS: A defined search strategy was used to search Medline, Embase, the Cochrane Library, Clinical Trials, Cochrane Central Register of Controlled Trials, Premedline and Healthstar. Odds ratio (OR) was used to evaluate observational epidemiology studies, and weighted mean difference (WMD) was used to demonstrate the difference between control and intervention groups. RESULTS: Fifteen observational studies and 5 RCTs were identified and used for calculation. The pooled OR for observational studies was 2.22 (95% CI: 1.52-3.24, P < 0.0001). The WMD for hemoglobin (HB) was 4.06 g/L (95% CI: -2.57-10.69, P = 0.01), and the WMD for serum ferritin (SF) was 9.47 mug/L (95% CI: -0.50-19.43, P < 0.0001). Results were heterogeneous for all comparisons. CONCLUSION: This meta-analysis on observational studies suggests an association between H. pylori and IDA. In RCTs, eradication of H. pylori can improve HB and SF levels but not significantly.


Assuntos
Anemia Ferropriva/microbiologia , Infecções por Helicobacter/microbiologia , Helicobacter pylori/patogenicidade , Adolescente , Adulto , Idoso , Anemia Ferropriva/sangue , Anemia Ferropriva/tratamento farmacológico , Antibacterianos/uso terapêutico , Biomarcadores/sangue , Distribuição de Qui-Quadrado , Criança , Pré-Escolar , Medicina Baseada em Evidências , Feminino , Ferritinas/sangue , Infecções por Helicobacter/sangue , Infecções por Helicobacter/complicações , Infecções por Helicobacter/tratamento farmacológico , Hemoglobinas/metabolismo , Humanos , Masculino , Pessoa de Meia-Idade , Razão de Chances , Ensaios Clínicos Controlados Aleatórios como Assunto , Medição de Risco , Fatores de Risco , Resultado do Tratamento , Adulto Jovem
14.
J Clin Lab Anal ; 21(6): 398-405, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-18022924

RESUMO

Pleural effusions (PE) are the most common complications that may be produced by a wide variety of diseases. A large number of studies exploring the role of carcinoembryonic antigen (CEA) and cytokeratin fragment 19 (CYFRA 21-1) marker in differential diagnosis of PE have been published, employing differing methodologies with sometimes conflicting results. A comprehensive systematic review would be useful to synthesize the currently available bulk of information. The objective of this work was to assess and compare the overall value of pleural fluid CEA and CYFRA 21-1 in differential diagnosis of PEs with a meta-analysis. All the English and Chinese published studies for differential diagnosis of PEs by pleural fluid CEA and CYFRA 21-1 were collected. Methodological quality of the included studies was evaluated. Pooled sensitivity and specificity were calculated, the threshold effect and the possible sources of heterogeneity were also analyzed. Summary receiver operating characteristic (SROC) curve analysis was used to compare the differential diagnostic ability of pleural fluid CEA and CYFRA 21-1. A total of 19 studies were included in the meta-analysis, with a total of 3,228 subjects. Pooled sensitivity and specificity of CEA and CYFRA 21-1 were 45.9% (43.2-48.5%) and 97.0% (96.0-97.8%), and 47.3% (44.0-50.6%) and 91.8% (89.5-93.7%), respectively. Both CEA and CYFRA 21-1 have a threshold effect, the main source of heterogeneity was from variable assay methods. The areas under the SROC curve (AUCs) of CEA and CYFRA 21-1 were 0.7691 and 0.8213, respectively. There was no statistical significance between the AUC of CEA and CYFRA 21-1 (P>0.05). Both CEA and CYFRA 21-1 have good performance in the differential diagnosis of PE, when compared with CEA, CYFRA 21-1 has no advantage.


Assuntos
Antígenos de Neoplasias/análise , Antígeno Carcinoembrionário/análise , Queratinas/análise , Derrame Pleural Maligno/imunologia , Humanos , Queratina-19 , Derrame Pleural Maligno/diagnóstico , Sensibilidade e Especificidade
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