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1.
Artigo em Inglês | MEDLINE | ID: mdl-38628818

RESUMO

Purpose: Results from studies of extended capecitabine after the standard adjuvant chemotherapy in early stage triple-negative breast cancer (TNBC) were inconsistent, and only low-dose capecitabine from the SYSUCC-001 trial improved disease-free survival (DFS). Adjustment of the conventional adjuvant chemotherapy doses affect the prognosis and may affect the efficacy of subsequent treatments. This study investigated whether the survival benefit of the SYSUCC-001 trial was affected by dose adjustment of the standard adjuvant chemotherapy or not. Patients and Methods: We reviewed the adjuvant chemotherapy regimens before the extended capecitabine in the SYSUCC-001 trial. Patients were classified into "consistent" (standard acceptable dose) and "inconsistent" (doses lower than acceptable dose) dose based on the minimum acceptable dose range in the landmark clinical trials. Cox proportional hazards model was used to investigate the impact of dose on the survival outcomes. Results: All 434 patients in SYSUCC-001 trial were enrolled in this study. Most of patients administered the anthracycline-taxane regimen accounted for 88.94%. Among patients in the "inconsistent" dose, 60.8% and 47% received lower doses of anthracycline and taxane separately. In the observation group, the "inconsistent" dose of anthracycline and taxane did not affect DFS compared with the "consistent" dose. Moreover, in the capecitabine group, the "inconsistent" anthracycline dose did not affect DFS compared with the "consistent" dose. However, patients with "consistent" taxane doses benefited significantly from extended capecitabine (P=0.014). The sufficient dose of adjuvant taxane had a positive effect of extended capecitabine (hazard ratio [HR] 2.04; 95% confidence interval [CI] 1.02 to 4.06). Conclusion: This study found the dose reduction of adjuvant taxane might negatively impact the efficacy of capecitabine. Therefore, the reduction of anthracycline dose over paclitaxel should be given priority during conventional adjuvant chemotherapy, if patients need dose reduction and plan for extended capecitabine.

2.
Front Endocrinol (Lausanne) ; 15: 1350958, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38469138

RESUMO

With the development of social population ageing, bone fracture has become a global public health problem due to its high morbidity, disability and mortality. Fracture healing is a complex phenomenon involving the coordinated participation of immigration, differentiation and proliferation of inflammatory cells, angioblasts, fibroblasts, chondroblasts and osteoblasts which synthesize and release bioactive substances of extracellular matrix components, Mortality caused by age-related bone fractures or osteoporosis is steadily increasing worldwide as the population ages. Fibroblasts play an important role in the process of fracture healing. However, it is not clear how the growth factors and extracellular matrix stiffness of the bone-regeneration microenvironment affects the function of osteoblasts and fibroblasts in healing process. Therefore, this article focuses on the role of fibroblasts in the process of fracture healing and mechanisms of research progress.


Assuntos
Fraturas Ósseas , Osteoporose , Humanos , Consolidação da Fratura , Regeneração Óssea , Fibroblastos
3.
Mol Carcinog ; 63(5): 938-950, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38353288

RESUMO

Pancreatic ductal adenocarcinoma (PDAC) is a highly invasive cancer with a poor prognosis and a 5-year survival rate of less than 11%. As a member of the CAP superfamily of proteins, the role of peptidase inhibitor 16 (Pi16) in tumor progression is still unclear. Immunohistochemistry and quantitative RT-PCR methods were used to detect the expression levels of Pi16 protein and mRNA in PDAC patients. CRISPR/Cas9 technology was used to knock out the expression of Pi16 in PDAC cell lines. In vivo and in vitro experiments were used to verify the effect of Pi16 on PDAC proliferation ability. By RNA sequencing, we found that oligoadenylate synthetase L (OASL) can serve as a potential downstream target of Pi16. The expression of Pi16 was higher in PDAC tissues than in matched adjacent tissues. High expression of Pi16 was associated with PDAC progression and poor prognosis. Overexpression of Pi16 could promote the proliferation of PDAC cells in vitro and in vivo. Bioinformatics analysis and coimmunoprecipitation assays showed that Pi16 could bind to OASL. Moreover, the functional recovery test confirmed that Pi16 could promote the proliferation of PDAC via OASL. Our present study demonstrates that Pi16 might participate in the occurrence and development of PDAC by regulating cell proliferation by binding to OASL, indicating that Pi16 might be a promising novel therapeutic target for PDAC.


Assuntos
2',5'-Oligoadenilato Sintetase , Nucleotídeos de Adenina , Carcinoma Ductal Pancreático , Glicoproteínas , Neoplasias Pancreáticas , Humanos , Carcinoma Ductal Pancreático/genética , Carcinoma Ductal Pancreático/patologia , Linhagem Celular Tumoral , Movimento Celular/genética , Proliferação de Células/genética , Regulação Neoplásica da Expressão Gênica , Neoplasias Pancreáticas/genética , Neoplasias Pancreáticas/patologia , Glicoproteínas/metabolismo , Proteínas de Transporte/metabolismo , 2',5'-Oligoadenilato Sintetase/metabolismo
4.
Artigo em Inglês | MEDLINE | ID: mdl-38359150

RESUMO

OBJECTIVE: The prevalence of colonic diverticula is rising in eastern countries, possibly related to aging and the adoption of a western lifestyle. However, limited data exist regarding the distribution and endoscopic features of colonic diverticula in this population. This study aimed to assess the number, size, depth, and location of colonic diverticula in our study cohort. PATIENTS AND METHODS: We collected data from patients who underwent colonoscopy at the Endoscopy Center of Tianjin Medical University General Hospital and Bao Di Clinical College of Tianjin Medical University. We thoroughly evaluated and documented any colonic diverticula encountered during the procedures. Logistic regression analysis was employed to explore associations between participant characteristics and the presence of colonic diverticula. RESULTS: Our study included a total of 27,021 eligible patients from our colonoscopy database, among whom 1529 individuals (5.67%) exhibited one or more diverticulosis. Patients with colonic diverticula (mean age: 58.6) were significantly older and exhibited a male predominance compared with those without diverticula. Cases of right-sided, left-sided, and bilateral diverticulosis were recorded in 1161 (76.0%), 170 (11.1%), and 198 patients (12.9%), respectively. Patients with right-sided diverticula (mean age: 55.2), more common in males, were younger than those with left-sided diverticula (mean age: 67.1, P < 0.05), which were more frequent in females (P < 0.001). Individuals aged 60 years or older (odds ratio: 4.32, P < 0.001) and those with bilateral diverticulosis (odds ratio: 21.2, P < 0.001) had a higher likelihood of having a greater burden of diverticula. CONCLUSION: Colonic diverticula in Northern China predominantly manifests as right-sided, more common in males, and associated with older age. Notably, patients with right-sided diverticulosis tend to be younger than those with left-sided diverticula. In addition, a higher burden of diverticula is more prevalent in individuals aged 60 years or older and those with a bilateral distribution pattern.

5.
EClinicalMedicine ; 68: 102428, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38312240

RESUMO

The gut microbiota during early life plays a crucial role in infant development. This microbial-host interaction is also essential for metabolism, immunity, and overall human health in later life. Early-life pharmaceutical exposure, mainly referring to exposure during pregnancy, childbirth, and infancy, may change the structure and function of gut microbiota and affect later human health. In this Review, we describe how healthy gut microbiota is established in early life. We summarise the commonly prescribed medications during early life, including antibiotics, acid suppressant medications and other medications such as antidepressants, analgesics and steroid hormones, and discuss how these medication-induced changes in gut microbiota are involved in the pathological process of diseases, including infections, inflammatory bowel disease, metabolic diseases, allergic diseases and neurodevelopmental disorders. Finally, we review some critical methods such as dietary therapy, probiotics, prebiotics, faecal microbiota transplantation, genetically engineered phages, and vagus nerve stimulation in early life, aiming to provide a new strategy for the prevention of adverse health outcomes caused by prescribed medications exposure in early life.

6.
Opt Lett ; 49(3): 546-549, 2024 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-38300055

RESUMO

Computer vision technology has been applied in various fields such as identification, surveillance, and robot vision. However, computer vision algorithms used for human-related tasks operate on human images, which raises data security and privacy concerns. In this Letter, we propose an image-free human keypoint detection technique using a few coded illuminations and a single-pixel detector. Our proposed method can complete the keypoint detection task at an ultralow sampling rate on a measured one-dimensional sequence without image reconstruction, thus protecting privacy from the data collection stage and preventing the acquisition of detailed visual information from the source. The network is designed to optimize both the illumination patterns and the human keypoint predictor with an encoder-decoder framework. For model training and validation, we used 2000 images from Leeds Sport Dataset and COCO Dataset. By incorporating EfficientNet backbone, the inference time is reduced from 4 s to 0.10 s. In the simulation, the proposed network achieves 91.7% average precision. Our experimental results show an average precision of 88.4% at a remarkably low sampling rate of 0.015. In summary, our proposed method has the advantages of privacy protection and resource efficiency, which can be applied to many monitoring and healthcare tasks, such as clinical monitoring, construction site monitoring, and home service robots.


Assuntos
Algoritmos , Privacidade , Humanos , Simulação por Computador , Processamento de Imagem Assistida por Computador , Iluminação
7.
Cell Commun Signal ; 22(1): 6, 2024 01 02.
Artigo em Inglês | MEDLINE | ID: mdl-38166927

RESUMO

Ferroptosis is a newly discovered form of cell death that is featured in a wide range of diseases. Exosome therapy is a promising therapeutic option that has attracted much attention due to its low immunogenicity, low toxicity, and ability to penetrate biological barriers. In addition, emerging evidence indicates that exosomes possess the ability to modulate the progression of diverse diseases by regulating ferroptosis in damaged cells. Hence, the mechanism by which cell-derived and noncellular-derived exosomes target ferroptosis in different diseases through the system Xc-/GSH/GPX4 axis, NAD(P)H/FSP1/CoQ10 axis, iron metabolism pathway and lipid metabolism pathway associated with ferroptosis, as well as its applications in liver disease, neurological diseases, lung injury, heart injury, cancer and other diseases, are summarized here. Additionally, the role of exosome-regulated ferroptosis as an emerging repair mechanism for damaged tissues and cells is also discussed, and this is expected to be a promising treatment direction for various diseases in the future. Video Abstract.


Assuntos
Exossomos , Ferroptose , Lesão Pulmonar , Humanos , Morte Celular , NAD
8.
IEEE Trans Image Process ; 33: 738-752, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38194374

RESUMO

Transformer-based method has demonstrated promising performance in image super-resolution tasks, due to its long-range and global aggregation capability. However, the existing Transformer brings two critical challenges for applying it in large-area earth observation scenes: (1) redundant token representation due to most irrelevant tokens; (2) single-scale representation which ignores scale correlation modeling of similar ground observation targets. To this end, this paper proposes to adaptively eliminate the interference of irreverent tokens for a more compact self-attention calculation. Specifically, we devise a Residual Token Selective Group (RTSG) to grasp the most crucial token by dynamically selecting the top- k keys in terms of score ranking for each query. For better feature aggregation, a Multi-scale Feed-forward Layer (MFL) is developed to generate an enriched representation of multi-scale feature mixtures during feed-forward process. Moreover, we also proposed a Global Context Attention (GCA) to fully explore the most informative components, thus introducing more inductive bias to the RTSG for an accurate reconstruction. In particular, multiple cascaded RTSGs form our final Top- k Token Selective Transformer (TTST) to achieve progressive representation. Extensive experiments on simulated and real-world remote sensing datasets demonstrate our TTST could perform favorably against state-of-the-art CNN-based and Transformer-based methods, both qualitatively and quantitatively. In brief, TTST outperforms the state-of-the-art approach (HAT-L) in terms of PSNR by 0.14 dB on average, but only accounts for 47.26% and 46.97% of its computational cost and parameters. The code and pre-trained TTST will be available at https://github.com/XY-boy/TTST for validation.

9.
Adv Mater ; 36(3): e2307768, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37852012

RESUMO

All-solid-state lithium (Li) metal batteries (ASSLMBs) employing sulfide solid electrolytes have attracted increasing attention owing to superior safety and high energy density. However, the instability of sulfide electrolytes against Li metal induces the formation of two types of incompetent interphases, solid electrolyte interphase (SEI) and mixed conducting interphase (MCI), which significantly blocks rapid Li-ion transport and induces uneven Li deposition and continuous interface degradation. In this contribution, a dynamically stable mixed conducting interphase (S-MCI) is proposed by in situ stress self-limiting reaction to achieve the compatibility of Li metal with composite sulfide electrolytes (Li6 PS5 Cl (LPSCl) and Li10 GeP2 S12 (LGPS)). The rational design of composite electrolytes utilizes the expansion stress induced by the electrolyte decomposition to in turn constrain the further decomposition of LGPS. Consequently, the S-MCI inherits the high dynamical stability of LPSCl-derived SEI and the lithiophilic affinity of Li-Ge alloy in LGPS-derived MCI. The Li||Li symmetric cells with the protection of S-MCI can operate stably for 1500 h at 0.5 mA cm-2 and 0.5 mAh cm-2 . The Li||NCM622 full cells present stable cycling for 100 cycles at 0.1 C with a high-capacity retention of 93.7%. This work sheds fresh insight into constructing electrochemically stable interphase for high-performance ASSLMBs.

10.
IEEE Trans Image Process ; 33: 322-337, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38100338

RESUMO

Depth image-based rendering (DIBR) techniques play an essential role in free-viewpoint videos (FVVs), which generate the virtual views from a reference 2D texture video and its associated depth information. However, the background regions occluded by the foreground in the reference view will be exposed in the synthesized view, resulting in obvious irregular holes in the synthesized view. To this end, this paper proposes a novel coarse and fine-grained fusion hierarchical network (CFFHNet) for hole filling, which fills the irregular holes produced by view synthesis using the spatial contextual correlations between the visible and hole regions. CFFHNet adopts recurrent calculation to learn the spatial contextual correlation, while the hierarchical structure and attention mechanism are introduced to guide the fine-grained fusion of cross-scale contextual features. To promote texture generation while maintaining fidelity, we equip CFFHNet with a two-stage framework involving an inference sub-network to generate the coarse synthetic result and a refinement sub-network for refinement. Meanwhile, to make the learned hole-filling model better adaptable and robust to the "foreground penetration" distortion, we trained CFFHNet by generating a batch of training samples by adding irregular holes to the foreground and background connection regions of high-quality images. Extensive experiments show the superiority of our CFFHNet over the current state-of-the-art DIBR methods. The source code will be available at https://github.com/wgc-vsfm/view-synthesis-CFFHNet.

11.
IEEE Trans Image Process ; 33: 191-204, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38060367

RESUMO

Convolutional neural networks (CNNs) and self-attention (SA) have demonstrated remarkable success in low-level vision tasks, such as image super-resolution, deraining, and dehazing. The former excels in acquiring local connections with translation equivariance, while the latter is better at capturing long-range dependencies. However, both CNNs and Transformers suffer from individual limitations, such as limited receptive field and weak diversity representation of CNNs during low efficiency and weak local relation learning of SA. To this end, we propose a multi-scale fusion and decomposition network (MFDNet) for rain perturbation removal, which unifies the merits of these two architectures while maintaining both effectiveness and efficiency. To achieve the decomposition and association of rain and rain-free features, we introduce an asymmetrical scheme designed as a dual-path mutual representation network that enables iterative refinement. Additionally, we incorporate high-efficiency convolutions throughout the network and use resolution rescaling to balance computational complexity with performance. Comprehensive evaluations show that the proposed approach outperforms most of the latest SOTA deraining methods and is versatile and robust in various image restoration tasks, including underwater image enhancement, image dehazing, and low-light image enhancement. The source codes and pretrained models are available at https://github.com/qwangg/MFDNet.

12.
Opt Lett ; 48(23): 6116-6119, 2023 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-38039205

RESUMO

Aiming at applications like expanding usable wave band of optical telecommunication and preparing Sr optical lattice clocks, a 1627 nm single-frequency fiber laser (SFFL) is demonstrated based on a 7-m-long self-designed Er-doped hybridized glass fiber (EDHF) and a linear cavity configuration with a loop mirror filter (LMF). By inserting a 10-m-long unpumped commercial Er-doped fiber as a dynamic Bragg grating into the LMF, a stable single-longitudinal-mode (SLM) laser with an output power of about 10 mW is obtained. The optical signal-to-noise ratio (OSNR) of SFFL is over 50 dB, and the linewidth is about 3.7 kHz. The measured relative intensity noise (RIN) is less than -140 dB/Hz at frequencies of over 0.5 MHz, and a power variation in 1 h is less than ±0.26%. To our best knowledge, it is the first demonstration of a SFFL operating at the U-band. This 1627 nm SFFL can provide advanced light source technology support for many cutting-edge applications.

13.
Int J Med Sci ; 20(11): 1399-1416, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37790850

RESUMO

Objective: The prognosis for gastric cancer (GC), a prevalent tumor of the digestive system, is unfavorable. The involvement of glutathione peroxidase 3 (GPX3) in tumorigenesis is significant, yet its specific role in GC remains insufficiently investigated. Thus, the aim of this study was to determine the potential impact of GPX3 on GC and elucidate the underlying mechanism. Methods: The expression and survival of GPX3 in GC were analyzed using TCGA data. Additionally, the GPX3 mRNA and protein levels in GC were also assessed using datasets from GTEx, GEPIA, and HPA. A total of 38 pairs of GC tissues, along with their adjacent normal tissues, were collected from the Tianjin Medical University General Hospital, accompanied by detailed clinical information. The expression levels of GPX3 were subsequently determined for the purpose of validation. Following expression, correlation, and survival analyses, we proceeded to investigate the upstream non-coding RNA (ncRNA) of GPX3 using starBase and miRNet. Additionally, the co-expression networks of GPX3 were examined based on LinkedOmics. Lastly, we explored the correlation between GPX3 and immune cell infiltration, as well as the biomarkers of immune cells and immune checkpoints in GC. Furthermore, the GDSC database offered valuable drug sensitivity information. Results: A lower expression of GPX3 was observed in individuals with GC, while a higher expression of GPX3 was associated with a poorer prognosis. The DUBR/hsa-miR-502-3p/GPX3 pathway was identified as the most promising upstream ncRNA pathway related to GPX3 in GC. GO and KEGG enrichment analysis revealed that GPX3 expression was linked to coagulation cascades and cell locomotion. Furthermore, GPX3 levels in GC were positively correlated with immune cell infiltration, immune cell biomarkers, and immune checkpoint expression. The group with low GPX3 expression also exhibited increased sensitivity to 5-fluorouracil, doxorubicin, and other drugs. Conclusions: Collectively, we hypothesized that the potential involvement of non-coding RNAs in the downregulation of GPX3 could contribute to the inhibition of tumor formation during the malignant transition from gastritis to GC. Nevertheless, it was plausible that GPX3 may also facilitate tumor progression to advanced stages by promoting immune cell infiltration and activating immune checkpoints.


Assuntos
Neoplasias Gástricas , Humanos , Prognóstico , Neoplasias Gástricas/patologia , Glutationa Peroxidase/genética , Carcinogênese , Biomarcadores
14.
Biosens Bioelectron ; 241: 115667, 2023 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-37696221

RESUMO

Hemoglobin content is recognized as a momentous and fundamental physiological indicator, especially the precise detection of trace hemoglobin is of great significance for early diagnosis and prevention of tumors, cancer, organic injury, etc. Therefore, high-sensitivity hemoglobin detection is imperative. However, effective detection methods and reliable detection systems are still lacking and remain enormous challenges. Herein, we present a synthetical strategy to break through the existing bottleneck based on polarization-differential spectrophotometry and high-performance single-frequency green fiber laser. Importantly, this framework not only has precisely extracted the two-dimensional information of intensity and polarization during the interaction between laser and hemoglobin, but also has taken advantage of the high monochromaticity and fine directivity in the optimized laser source to reduce the undesirable scattered disturbance. Thus, the hemoglobin detection sensitivity of 7.2 × 10-5 g/L has advanced a hundredfold compared with conventional spectrophotometry, and the responsive dynamic range is close to six orders of magnitude. Results indicate that our technology can realize high-sensitivity detection of trace hemoglobin content, holding promising applications for precision medicine and early diagnosis as an optical direct and fast detection method.


Assuntos
Técnicas Biossensoriais , Espectrofotometria/métodos , Hemoglobinas/análise , Lasers , Luz
15.
Environ Sci Pollut Res Int ; 30(41): 93617-93628, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37516703

RESUMO

Volatile organic compounds (VOCs) released along with soil disturbance during the remediation of abandoned industrial sites have attracted great attention due to their possible toxicity and odour. However, the real-time emission characteristics of these VOCs and their subsequent effects on health and olfaction are less understood. In this study, the gaseous VOCs released from soil disturbance by excavators and drilling rigs at an abandoned chemical pesticide plant were monitored online with a laboratory-built single photoionization time-of-flight mass spectrometer (SPI-TOFMS). Twelve main VOCs with total mean concentrations ranging from 2350 to 3410 µg m-3 were observed, with dichloromethane (DCM) having a significant contribution. The total concentrations of the remaining 11 VOCs increased substantially during soil disturbance, with the total mean concentrations increasing from 18.65-39.05 to 37.95-297.94 µg m-3 and those of peak concentrations increasing from 28.46-58.97 to 88.38-839.13 µg m-3. This increase in VOC concentrations during soil disturbance leads to an enhanced heath risk for on-site workers. The distinctive difference between the mean and peak concentrations of VOCs indicates the importance of using mean and peak concentrations, respectively, for risk and olfactory evaluation due to the rapid response of the human nose to odours. As a result, the cumulative noncarcinogenic risk at the relatively high pollutant plot was higher than the occupational safety limit, while the total carcinogenic risks at all monitored scenarios exceeded the acceptable limit. Among the VOCs investigated, DCM and trichloroethylene (TCE) were determined to be crucial pollutants for both noncarcinogenic and carcinogenic risks of VOCs. With regard to olfactory effects, organic sulphides, including dimethyl disulphide (DMDS), dimethyl sulphide (DMS), and dimethyl trisulphide (DMTS) were identified as dominant odour contributors (78.28-92.11%) during soil disturbance.


Assuntos
Poluentes Atmosféricos , Praguicidas , Compostos Orgânicos Voláteis , Humanos , Poluentes Atmosféricos/análise , Solo , Compostos Orgânicos Voláteis/análise , Monitoramento Ambiental , Olfato , Medição de Risco , China
16.
IEEE Trans Pattern Anal Mach Intell ; 45(11): 13376-13392, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37428672

RESUMO

Spatial-Temporal Video Super-Resolution (ST-VSR) aims to generate high-quality videos with higher resolution (HR) and higher frame rate (HFR). Quite intuitively, pioneering two-stage based methods complete ST-VSR by directly combining two sub-tasks: Spatial Video Super-Resolution (S-VSR) and Temporal Video Super-Resolution (T-VSR) but ignore the reciprocal relations among them. 1) T-VSR to S-VSR: temporal correlations help accurate spatial detail representation; 2) S-VSR to T-VSR: abundant spatial information contributes to the refinement of temporal prediction. To this end, we propose a one-stage based Cycle-projected Mutual learning network (CycMuNet) for ST-VSR, which makes full use of spatial-temporal correlations via the mutual learning between S-VSR and T-VSR. Specifically, we propose to exploit the mutual information among them via iterative up- and down projections, where spatial and temporal features are fully fused and distilled, helping high-quality video reconstruction. In addition, we also show interesting extensions for efficient network design (CycMuNet+), such as parameter sharing and dense connection on projection units and feedback mechanism in CycMuNet. Besides extensive experiments on benchmark datasets, we also compare our proposed CycMuNet (+) with S-VSR and T-VSR tasks, demonstrating that our method significantly outperforms the state-of-the-art methods.

17.
Front Immunol ; 14: 1142256, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37153587

RESUMO

Objective: We report the efficacy and safety of serplulimab, a novel humanized anti-programmed death-1 antibody, plus nanoparticle albumin-bound (nab)-paclitaxel in previously treated patients with programmed death ligand-1 (PD-L1)-positive advanced cervical cancer. Methods: Patients diagnosed with PD-L1-positive (combined positive score ≥1) cervical cancer were enrolled in this single-arm, open-label, phase II study. They were given serplulimab 4.5 mg/kg for up to 2 years (35 dosing cycles) plus nab-paclitaxel 260 mg/m2 for up to six cycles once every 3 weeks. Primary endpoints were safety and objective response rate (ORR) assessed by independent radiological review committee (IRRC) per RECIST version 1.1. Secondary endpoints included ORR assessed by the investigator, duration of response (DOR), progression-free survival (PFS), and overall survival (OS). Results: Between December 2019 and June 2020, 52 patients were screened and 21 were enrolled. IRRC-assessed ORR was 57.1% (95% confidence interval [CI] 34.0-78.2%); 3 (14.3%) patients achieved complete response and 9 (42.9%) partial response. The median DOR was not reached (NR) (95% CI 4.1-NR). IRRC-assessed median PFS was 5.7 months (95% CI 3.0-NR), and median OS was 15.5 months (95% CI 10.5-NR). Investigator-assessed ORR was 47.6% (95% CI 25.7-70.2%). Seventeen (81.0%) patients experienced grade ≥3 treatment-emergent adverse events. Grade ≥3 adverse drug reactions were reported in 7 (33.3%) patients. Immune-related adverse events occurred in 12 (57.1%) patients. Conclusions: In previously treated patients with PD-L1-positive advanced cervical cancer, serplulimab plus nab-paclitaxel provided durable clinical activity and a manageable safety profile. Clinical trial registration: ClinicalTrials.gov, identifier NCT04150575.


Assuntos
Anticorpos Monoclonais Humanizados , Antígeno B7-H1 , Neoplasias do Colo do Útero , Feminino , Humanos , Albuminas , Anticorpos Monoclonais Humanizados/uso terapêutico , Paclitaxel/uso terapêutico , Neoplasias do Colo do Útero/tratamento farmacológico
18.
IEEE Trans Image Process ; 32: 2719-2733, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37163393

RESUMO

Multi-view action recognition aims to identify action categories from given clues. Existing studies ignore the negative influences of fuzzy views between view and action in disentangling, commonly arising the mistaken recognition results. To this end, we regard the observed image as the composition of the view and action components, and give full play to the advantages of multiple views via the adaptive cooperative representation among these two components, forming a Dual-Recommendation Disentanglement Network (DRDN) for multi-view action recognition. Specifically, 1) For the action, we leverage a multi-level Specific Information Recommendation (SIR) to enhance the interaction among intricate activities and views. SIR offers a more comprehensive representation of activities, measuring the trade-off between global and local information. 2) For the view, we utilize a Pyramid Dynamic Recommendation (PDR) to learn a complete and detailed global representation by transferring features from different views. It is explicitly restricted to resist the fuzzy noise influence, focusing on positive knowledge from other views. Our DRDN aims for complete action and view representation, where PDR directly guides action to disentangle with view features and SIR considers mutual exclusivity of view and action clues. Extensive experiments have indicated that the multi-view action recognition method DRDN we proposed achieves state-of-the-art performance over powerful competitors on several standard benchmarks. The code will be available at https://github.com/51cloud/DRDN.

19.
Anal Methods ; 15(3): 368-376, 2023 01 19.
Artigo em Inglês | MEDLINE | ID: mdl-36597774

RESUMO

Photoionization mass spectrometry (PI-MS) has become a versatile tool in the real-time analysis of volatile organic compounds (VOCs) from the atmosphere or exhaled breath. However, some key species, e.g., acetonitrile, are hard to measure due to their higher ionization energies than photon energy. In this study, the direct and sensitive detection of gaseous acetonitrile based on a photoinduced associative ionization (PAI) reaction was investigated with a laboratory-built PAI time-of-flight mass spectrometer (PAI-TOFMS). By doping CH2Cl2 in the photoionization ion source, the mass signal of acetonitrile that cannot be effectively obtained by photoionization appeared with an extremely high intensity through the PAI reaction between acetonitrile, CH2Cl2, and residual H2O in the system. Though the moisture in the sample gas has an evident impact on the detection efficiency of acetonitrile, with a relative signal intensity decreasing from 100% under dry conditions to 60% at saturated relative humidity, excellent detection sensitivity was still obtained for gaseous acetonitrile in different matrixes. The sensitivity calibration experiment showed that the detection sensitivities of acetonitrile in N2 buffer gas, exhaled gas, and outdoor air were 682.4 ± 5.2, 17.0 ± 0.7, and 23.9 ± 0.2 counts pptv-1, respectively, with an analysis time of 10 s. The corresponding 3σ LODs reached 0.22, 8.82, and 6.28 pptv, which are equivalent to 0.40, 16.0, and 11.4 ng m-3. The performance of the PAI-TOFMS was first demonstrated by analyzing exhaled acetonitrile from healthy non-smokers and smokers and continuous monitoring of acetonitrile in outdoor air. In summary, this study provides a new and highly sensitive method for the real-time detection of acetonitrile through mass spectrometry.


Assuntos
Expiração , Compostos Orgânicos Voláteis , Espectrometria de Massas/métodos , Compostos Orgânicos Voláteis/análise , Fenômenos Químicos , Gases
20.
IEEE Trans Neural Netw Learn Syst ; 34(7): 3594-3608, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34559666

RESUMO

Deep learning models have been able to generate rain-free images effectively, but the extension of these methods to complex rain conditions where rain streaks show various blurring degrees, shapes, and densities has remained an open problem. Among the major challenges are the capacity to encode the rain streaks and the sheer difficulty of learning multi-scale context features that preserve both global color coherence and exactness of detail. To address the first problem, we design a non-local fusion module (NFM) and an attention fusion module (AFM), and construct the multi-level pyramids' architecture to explore the local and global correlations of rain information from the rain image pyramid. More specifically, we apply the non-local operation to fully exploit the self-similarity of rain streaks and perform the fusion of multi-scale features along the image pyramid. To address the latter challenge, we additionally design a residual learning branch that is capable of adaptively bridging the gaps (e.g., texture and color information) between the predicted rain-free image and the clean background via a hybrid embedding representation. Extensive results have demonstrated that our proposed method is able to generate much better rain-free images on several benchmark datasets than the state-of-the-art algorithms. Moreover, we conduct the joint evaluation experiments with respect to deraining performance and the detection/segmentation accuracy to further verify the effectiveness of our deraining method for downstream vision tasks/applications. The source code is available at https://github.com/kuihua/MSHFN.


Assuntos
Algoritmos , Redes Neurais de Computação , Benchmarking , Software , Processamento de Imagem Assistida por Computador
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