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1.
Radiat Res ; 201(3): 240-251, 2024 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-38235539

RESUMO

Cognitive dysfunction is the most common form of radiation-induced brain injury. TDP-43 is known to be associated with hippocampal degeneration and cognitive dysfunction, in this study we wanted to know if it also had an effect on radiation-induced hippocampus damage. At first, we found the expression of TDP-43 and p-TDP-43 was increased in the hippocampus of rats with radiation-induced cognitive dysfunction. Single-cell RNA-seq analysis of the rat hippocampus showed that TDP-43 was expressed in all cell types and was significantly upregulated in neuron cells after irradiation. Enrichment analysis of gene ontology (GO) functions and KEGG pathways showed that the differential expression genes in neuron after irradiation may be involved in synaptic plasticity. In vitro, the expression of TDP-43 was also increased in neuron cells after irradiation, while the expression of brain-derived neurotrophic factor (BDNF), TrkB, typical synaptic signature proteins (SYN, GAP43 and PSD95), ß-tubulin and dendritic spines were decreased. In the irradiated neurons, the ß-tubulin, dendritic and spines typical synaptic signature proteins had more severe damage in pcDNA3.1-TDP-43 plasmid transfections group, however, the damages were alleviated in the siRNA-TDP-43 plasmid transfections group. BDNF was highly expressed in the irradiated pcDNA3.1-TDP-43 plasmid transfections group, while its expression was decreased in the siRNA-TDP-43 group. The TrkB expression was significantly reduced in neurons after exposure to ionizing radiation, however, there was no significant correlation with TDP-43 expression. These data indicate that TDP-43 is involved in radiation-induced neuronal synaptic plasticity decline and developmental damage, furthermore, the BDNF/TrkB signaling pathway may not be involved in this process.


Assuntos
Fator Neurotrófico Derivado do Encéfalo , Tubulina (Proteína) , Animais , Ratos , Fator Neurotrófico Derivado do Encéfalo/genética , Proteínas de Ligação a DNA/genética , Proteínas de Ligação a DNA/metabolismo , Hipocampo/metabolismo , Plasticidade Neuronal/fisiologia , Neurônios , RNA Interferente Pequeno
2.
Biomedicines ; 11(12)2023 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-38137461

RESUMO

Radiotherapy, a treatment method employing radiation to eradicate tumor cells and subsequently reduce or eliminate tumor masses, is widely applied in the management of numerous patients with tumors. However, its therapeutic effectiveness is somewhat constrained by various drug-resistant factors. Recent studies have highlighted the ubiquitination/deubiquitination system, a reversible molecular modification pathway, for its dual role in influencing tumor behaviors. It can either promote or inhibit tumor progression, impacting tumor proliferation, migration, invasion, and associated therapeutic resistance. Consequently, delving into the potential mechanisms through which ubiquitination and deubiquitination systems modulate the response to radiotherapy in malignant tumors holds paramount significance in augmenting its efficacy. In this paper, we comprehensively examine the strides made in research and the pertinent mechanisms of ubiquitination and deubiquitination systems in governing radiotherapy resistance in tumors. This underscores the potential for developing diverse radiosensitizers targeting distinct mechanisms, with the aim of enhancing the effectiveness of radiotherapy.

3.
Molecules ; 28(17)2023 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-37687235

RESUMO

As a fast and non-destructive spectroscopic analysis technique, Raman spectroscopy has been widely applied in chemistry. However, noise is usually unavoidable in Raman spectra. Hence, denoising is an important step before Raman spectral analysis. A novel spectral denoising method based on variational mode decomposition (VMD) was introduced to solve the above problem. The spectrum is decomposed into a series of modes (uk) by VMD. Then, the high-frequency noise modes are removed and the remaining modes are reconstructed to obtain the denoised spectrum. The proposed method was verified by two artificial noised signals and two Raman spectra of inorganic materials, i.e., MnCo ISAs/CN and Fe-NCNT. For comparison, empirical mode decomposition (EMD), Savitzky-Golay (SG) smoothing, and discrete wavelet transformation (DWT) are also investigated. At the same time, signal-to-noise ratio (SNR) was introduced as evaluation indicators to verify the performance of the proposed method. The results show that compared with EMD, VMD can significantly improve mode mixing and the endpoint effect. Moreover, the Raman spectrum by VMD denoising is more excellent than that of EMD, SG smoothing and DWT in terms of visualization and SNR. For the small sharp peaks, some information is lost after denoising by EMD, SG smoothing, DWT and VMD while VMD loses fewest information. Therefore, VMD may be an alternative method for Raman spectral denoising.

4.
Discov Oncol ; 14(1): 141, 2023 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-37522921

RESUMO

Radiation therapy is an important tool for malignant tumors, and its tolerance needs to be addressed. In recent years, several studies have shown that regulators of aberrant m6A methylation play an important role in the formation, development and invasion and metastasis of tumors. A large number of studies have confirmed aberrant m6A methylation as a new target for tumour therapy, but research on whether it can play a role in tumor sensitivity to radiotherapy has not been extensive and thorough enough. Recent studies have shown that all three major enzymes of m6A methylation have significant roles in radioresistance, and that the enzymes that play a role differ in different tumor types and by different mechanisms, including regulating tumor cell stemness, affecting DNA damage and repair, and controlling the cell cycle. Therefore, elucidating the mechanisms of m6A methylation in the radiotherapy of malignant tumors is essential to counteract radioresistance, improve the efficacy of radiotherapy, and even propose targeted treatment plans for specific tumors. The latest research progress on m6A methylation and radioresistance is reviewed in this article.

5.
Clin. transl. oncol. (Print) ; 25(7): 1916-1928, jul. 2023.
Artigo em Inglês | IBECS | ID: ibc-222367

RESUMO

In recent years, the exploration of immune checkpoint inhibitors (ICIs) has resulted in substantial progress and has changed the pattern of cancer treatment. ICIs have revolutionized the treatment landscape of microsatellite instable colorectal cancer while the efficacy is very limited in patients with microsatellite stable colorectal cancer. Therefore, sensitizing MSS CRC to immunotherapy is a major challenge in the field of CRC immunotherapy. Immunotherapy-based combination therapy is an effective strategy. This review of radiotherapy (RT) as a local treatment has dramatically changed in recent years, and it is now widely accepted that RT can deeply reshape the tumor environment by modulating the immune response. Such evidence gives a strong rationale for the synergism of radiotherapy and immunotherapy, introducing the era of ‘immunoradiotherapy’. How to give full play to the synergistic effect of radiotherapy and immunotherapy to improve the therapeutic effect of MSS CRC and bring good prognosis is a hot problem to be solved in the field of cancer treatment.This article reviews the development of CRC immunotherapy, the immune resistance mechanism of MSS CRC, and the impact and potential value of immunotherapy combined with radiotherapy on the immune environment of CRC (AU)


Assuntos
Humanos , Neoplasias Colorretais/tratamento farmacológico , Neoplasias Colorretais/radioterapia , Antineoplásicos Imunológicos , Protocolos de Quimioterapia Combinada Antineoplásica , Instabilidade de Microssatélites , Repetições de Microssatélites , Terapia Combinada , Terapia de Imunossupressão
6.
Clin Transl Med ; 13(7): e1318, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-37381158

RESUMO

BACKGROUND: Circular RNA (circRNA) and N6-methyladenosine (m6A) play a critical role in tumour occurrence and development, including colorectal cancer (CRC). However, little is known about the interaction between circRNA and m6A in the radiosensitivity of CRC. Here, we investigated the role of a novel m6A-regulated circRNA in CRC. METHODS: Differentially expressed circRNAs from radiosensitive and radioresistant CRC tissues were screened. Modifications of the selected circRNAs were examined by methylated RNA immunoprecipitation assay. Finally, the selected circRNAs were subjected to radiosensitivity assay. RESULTS: We identified that circAFF2 is closely related to both radiosensitivity and m6A in CRC. CircAFF2 was highly expressed in patients with radiosensitive rectal cancer, and patients with high expression of circAFF2 had a better prognosis. In addition, circAFF2 can enhance the radiosensitivity of CRC cells both in vitro and in vivo. The regulation of circAFF2 involves ALKBH5-mediated demethylation, followed by its recognition and degradation via YTHDF2. Rescue experiments revealed that circAFF2 could reverse the radiosensitivity induced by ALKBH5 or YTHDF2. Mechanistically, circAFF2 binds with CAND1, promotes the binding of CAND1 to Cullin1 and inhibits its neddylation, subsequently impacting the radiosensitivity of CRC. CONCLUSION: We identified and characterised circAFF2 as a novel m6A-modified circRNA and validated the ALKBH5/YTHDF2/circAFF2/Cullin-NEDD8 axis as a potential radiotherapy target for CRC.


Assuntos
Neoplasias Colorretais , Proteínas Culina , Humanos , Proteínas Culina/genética , RNA Circular/genética , Adenosina , Tolerância a Radiação/genética , Fatores de Transcrição , Neoplasias Colorretais/genética , Neoplasias Colorretais/radioterapia , Homólogo AlkB 5 da RNA Desmetilase/genética , Proteínas de Ligação a RNA
7.
Clin Transl Oncol ; 25(7): 1916-1928, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-36717514

RESUMO

In recent years, the exploration of immune checkpoint inhibitors (ICIs) has resulted in substantial progress and has changed the pattern of cancer treatment. ICIs have revolutionized the treatment landscape of microsatellite instable colorectal cancer while the efficacy is very limited in patients with microsatellite stable colorectal cancer. Therefore, sensitizing MSS CRC to immunotherapy is a major challenge in the field of CRC immunotherapy. Immunotherapy-based combination therapy is an effective strategy. This review of radiotherapy (RT) as a local treatment has dramatically changed in recent years, and it is now widely accepted that RT can deeply reshape the tumor environment by modulating the immune response. Such evidence gives a strong rationale for the synergism of radiotherapy and immunotherapy, introducing the era of 'immunoradiotherapy'. How to give full play to the synergistic effect of radiotherapy and immunotherapy to improve the therapeutic effect of MSS CRC and bring good prognosis is a hot problem to be solved in the field of cancer treatment.This article reviews the development of CRC immunotherapy, the immune resistance mechanism of MSS CRC, and the impact and potential value of immunotherapy combined with radiotherapy on the immune environment of CRC.


Assuntos
Neoplasias Colorretais , Imunoterapia , Humanos , Imunoterapia/métodos , Terapia de Imunossupressão , Neoplasias Colorretais/tratamento farmacológico , Terapia Combinada , Instabilidade de Microssatélites , Repetições de Microssatélites
8.
Cell Death Differ ; 30(1): 111-124, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-35978049

RESUMO

Although radiotherapy is an essential modality in the treatment of colorectal cancer (CRC), the incidence of radioresistance remains high clinically. Long noncoding RNAs (lncRNAs) reportedly play critical roles in CRC radioresistance by regulating genes or proteins at the transcriptional or post-translational levels. This study aimed to identify novel lncRNAs involved in radioresistance. We found that SP100-AS1 (lncRNA targeting antisense sequence of SP100 gene) was upregulated in radioresistant CRC patient tissues using RNA-seq analysis. Importantly, knockdown of SP100-AS1 significantly reduced radioresistance, cell proliferation, and tumor formation in vitro and in vivo. Mechanistically, mass spectrometry and bioinformatics analyses were used to identify the interacting proteins and microRNAs of SP100-AS1, respectively. Moreover, SP100-AS1 was found to interact with and stabilize ATG3 protein through the ubiquitination-dependent proteasome pathway. In addition, it could serve as a sponge for miR-622, which targeted ATG3 mRNA and affected autophagic activity. Thus, lncRNA SP100-AS1 could act as a radioresistance factor in CRC patients via RNA sponging and protein stabilizing mechanisms. In conclusion, the present study indicates that SP100-AS1/miR-622/ATG3 axis contributes to radioresistance and autophagic activity in CRC patients, suggesting it has huge prospects as a therapeutic target for improving CRC response to radiation therapy.


Assuntos
Neoplasias Colorretais , MicroRNAs , RNA Longo não Codificante , Humanos , RNA Longo não Codificante/genética , RNA Longo não Codificante/metabolismo , Linhagem Celular Tumoral , MicroRNAs/genética , MicroRNAs/metabolismo , Fatores de Transcrição/metabolismo , Proliferação de Células/genética , Neoplasias Colorretais/genética , Neoplasias Colorretais/radioterapia , Neoplasias Colorretais/metabolismo , Regulação Neoplásica da Expressão Gênica , Movimento Celular/genética , Autoantígenos , Antígenos Nucleares/genética , Proteínas Relacionadas à Autofagia/metabolismo , Enzimas de Conjugação de Ubiquitina/metabolismo
9.
Int J Radiat Oncol Biol Phys ; 115(4): 909-921, 2023 03 15.
Artigo em Inglês | MEDLINE | ID: mdl-36273520

RESUMO

PURPOSE: This study aimed to investigate the difference in pain relief between stereotactic body radiation therapy (SBRT) and conventional radiation therapy (cRT) for patients with bone metastases. METHODS AND MATERIALS: Clinical trials and observational studies comparing SBRT versus cRT for bone metastases were retrieved. The main endpoint was pain relief after radiation therapy; the secondary endpoints were pain score change, local progression-free survival, reirradiation rate, and toxic events. When there was a significant heterogeneity, the random-effects model was applied. Otherwise, the fixed-effects model was used. Analyses of all included studies were performed first, followed by analyses of randomized controlled trials (RCTs) only. RESULTS: Six RCTs, 1 prospective cohort study, and 3 retrospective observational studies were enrolled. Between 2004 and 2019, 448 patients received SBRT, and 445 patients received cRT. All prospective studies defined the lesions as oligometastatic. Pooled results based on all included studies indicated that SBRT was generally associated with a higher overall relief rate (P < .001 at 3 months; P = .015 at 6 months) and complete relief rate (P = .029 at 1 month; P < .001 at 6 months). Pooled results based on RCTs indicated that at 3 and 6 months, SBRT was associated with a higher overall relief rate (P < .001 and P = .017, respectively) and complete relief rate (P < .001 and P < .00, respectively). Subgroup analyses indicated that in more cases, the analgesic advantage of SBRT was more obvious when spinal lesions were irradiated, when the difference in the mean biological effective dose (BED) was less, or when intensity modulated radiation therapy was used to deliver SBRT. CONCLUSIONS: Excessive elevation of BED introduces the risk of diminishing the analgesic effect of SBRT. SBRT delivered using intensity modulated radiation therapy is preferred for pain relief in spinal oligometastases. More RCTs are required to determine the most appropriate BED or dose regimen for SBRT.


Assuntos
Neoplasias Ósseas , Radiocirurgia , Humanos , Radiocirurgia/métodos , Neoplasias Ósseas/radioterapia , Manejo da Dor , Analgésicos , Dor/etiologia
10.
Minerva Anestesiol ; 88(12): 1035-1042, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36326772

RESUMO

INTRODUCTION: The aim of this systemic review and meta-analysis was to evaluate the efficacy and safety of remimazolam compared with propofol when used for procedural sedation and general anesthesia. EVIDENCE ACQUISITION: Data sources were PubMed, EMBASE, Web of Science, the Cochrane Central Register of Controlled Trials, and ClinicaTrials.gov, searched up to March 21, 2022. RCTs comparing remimazolam and propofol in patients undergoing procedural sedation or general anesthesia were searched. Pooled risk ratios (RRs) or standardized mean difference, 95% CIs, and P values were estimated for end points using the fixed- and random-effects statistical model. The trial sequential analysis was used for sensitivity analysis. EVIDENCE SYNTHESIS: Ten studies with 1813 patients were included. Compared with propofol, remimazolam had lower success rate of sedation/general anesthesia (RR, 1.02; 95% CI: 1.01 to 1.03; P=0.004; N.=1402). However, remimazolam had lower incidence of hypoxia, hypotension, and injection pain than propofol. No difference in incidence of nausea and vomiting, time to awake and to discharge was found. Subgroup studies showed that remimazolam had lower success rate than propofol when used for procedural sedation, not general anesthesia. The trial sequential analysis adjusted confidence interval was 1.01 to 1.04 for success rate. CONCLUSIONS: Remimazolam could be alternatively used in procedural sedation and general anesthesia. Additional research is needed to develop higher quality evidence on the use of remimazolam, especially in general anesthesia.


Assuntos
Hipotensão , Propofol , Humanos , Anestesia Geral , Benzodiazepinas , Hipnóticos e Sedativos
11.
Int J Mol Sci ; 23(18)2022 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-36142355

RESUMO

Radiotherapy is an important tool in the treatment of malignant tumors, and exploring how to make radiotherapy more effective is a new way to break through the current bottleneck in the development of radiation oncology. Circular RNAs (circRNAs) are a special class of endogenous non-coding RNAs. Numerous studies have shown that circRNAs have shown great potential in regulating the biological functions of tumors, including proliferation, migration, invasion, and treatment resistance, and that differences in their expression levels are closely related to the clinical prognosis of tumor patients. This review systematically compares the mechanisms of circRNAs in the process of tumor development and radiosensitivity and provides insight into the clinical translation of circRNAs in radiotherapy.


Assuntos
Neoplasias , RNA Circular , Humanos , Neoplasias/genética , Neoplasias/radioterapia , RNA/genética , RNA/metabolismo , RNA Circular/genética , Tolerância a Radiação/genética
12.
Molecules ; 27(18)2022 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-36144746

RESUMO

Porphyrin derivatives are popular photodynamic therapy (PDT) agents; however, their typical insolubility in water has made it challenging to separate cells of organisms in a liquid water environment. Herein, a novel water-soluble 5,10,15,20-tetrakis(4-methoxyphenyl-3-sulfonatophenyl) porphyrin (TMPPS) was synthesized with 95% yield by modifying the traditional sulfonation route. The reaction of TMPPS with AgNO3 afforded AgTMPPS an unusual Ag(II) oxidation state (97% yield). The free base and Ag(II) complex were characterized by matrix-assisted laser desorption ionization-mass spectroscopy, and 1H nuclear magnetic resonance, Fourier-transform infrared, UV-vis, fluorescence, and X-ray photolectron spectroscopies. Upon 460 nm laser irradiation, AgTMPPS generated a large amount of 1O2, whereas no ⦁OH was detected. Antibacterial experiments on methicillin-resistant Staphylococcus aureus (MRSA) revealed that the combined action of AgⅡ ions and PDT could endow AgTMPPS with a 100% bactericidal ratio for highly concentrated MRSA (108 CFU/mL) at a very low dosage (4 µM) under laser irradiation at 360 J/cm2. Another PDT response was demonstrated by photocatalytically oxidizing 1,4-dihydronicotinamide adenine dinucleotide to NAD+ with AgTMPPS. The structural features of the TMPPS and AgTMPPS molecules were investigated by density functional theory quantum chemical calculations to demonstrate the efficient chemical and photodynamical effects of AgTMPPS for non-invasive antibacterial therapy.


Assuntos
Staphylococcus aureus Resistente à Meticilina , Porfirinas , Antibacterianos/química , Antibacterianos/farmacologia , NAD/farmacologia , Porfirinas/química , Porfirinas/farmacologia , Prata/química , Prata/farmacologia , Água/farmacologia
13.
J Transl Med ; 20(1): 189, 2022 04 28.
Artigo em Inglês | MEDLINE | ID: mdl-35484557

RESUMO

Radiotherapy is among the routine treatment options for malignant tumors. And it damages DNA and other cellular organelles in target cells by using ionizing radiation produced by various rays, killing the cells. In recent years, multiple studies have demonstrated that exosomes are mechanistically involved in regulating tumor formation, development, invasion and metastasis, and immune evasion. The latest research shows that radiation can affect the abundance and composition of exosomes as well as cell-to-cell communication. In the environment, exosome-carried miRNAs, circRNA, mRNA, and proteins are differentially expressed in cancer cells, while these molecules play a role in numerous biological processes, including the regulation of oncogene expression, mediation of signaling pathways in cancer cells, remodeling of tumor-related fibroblasts, regulation of cell radiosensitivity, and so forth. Therefore, elucidation of the mechanism underlying the role of exosomes in radiotherapy of malignant tumors is crucial for improving the efficacy of radiotherapy. This review will summarize the research advances in radiosensitivity of malignant tumors related to exosomes.


Assuntos
Exossomos , MicroRNAs , Neoplasias , Comunicação Celular , Exossomos/metabolismo , Humanos , MicroRNAs/genética , MicroRNAs/metabolismo , Neoplasias/patologia , Tolerância a Radiação
14.
Opt Express ; 29(18): 29242-29256, 2021 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-34615038

RESUMO

Orthogonal frequency division multiplexing non-orthogonal multiple access (OFDM-NOMA) is a promising multi-user access scheme in indoor visible light communication (VLC) systems. In this paper, we propose three novel joint subcarrier and power allocation algorithms in OFDM-NOMA-VLC to improve the throughputs and/or user fairness. These three proposed algorithms address the requirements in fairness-throughput-balanced (FTB), fairness-first (FF), and throughput-first (TF) scenarios, respectively. All of them improve the objective function in the previous joint allocation algorithm and ensure the fairness of users in terms of their overall throughput, rather than that in every subcarrier that is tight and redundant. The designs using the proposed algorithms also exhibit reduced peak-to-average power ratios (PAPRs) and so the average signal power can be better used to further enhance the throughput when the system is limited by the signal peak power. Simulations verify that the proposed algorithms are superior to the previous joint subcarrier and power allocation algorithm as well as the conventional fixed power allocation (FPA) and gain ratio power allocation (GRPA) algorithms. The performance improvement of the proposed algorithms is particularly greater for a larger number of multiplexed users per subcarrier or a larger number of OFDM subcarriers, under which the PAPRs of designs using conventional algorithms are higher. When the total user number, the number of the multiplexed users per subcarrier, and the number of subcarriers are 5, 2, and 16, respectively, the throughputs of the three proposed algorithms are 62.17%, 53.35%, and 67.25% higher than the conventional joint allocation algorithm, while the user fairness is improved by 4.64%, 7.87%, and degraded by 20.71%, respectively. Therefore, the three proposed algorithms can address the requirements in FTB, FF, and TF scenarios, respectively.

15.
Exp Hematol Oncol ; 10(1): 40, 2021 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-34246319

RESUMO

RNA modification, like DNA methylation, histone modification, non-coding RNA modification and chromatin rearrangement, plays an important role in tumours. N6-methyladenosine (m6A) is the most abundant RNA modification in cells, and it regulates RNA transcription, processing, splicing, degradation, and translation. m6A-associated proteins have been used as new biomarkers and therapeutic targets for tumour prediction and monitoring. There are three main types of proteins involved in m6A methylation: methyltransferases (METTL3, METTL14, WTAP, RBM15, ZC3H13 and KIAA1429), demethylases (FTO, ALKBH5 and ALKBH3) and RNA-binding proteins (YTHDF1-3, YTHDC1-2, IGF2BPs and HNRNPs). This article reviews the origins, characteristics and functions of m6A and its relationship with digestive system tumours based on recent research. The expression of m6A regulators can be used as an evaluation indicator of tumour growth and progression and as a prognostic indicator. In-depth research on m6A methylation in digestive system tumours may provide new directions for clinical prediction and further treatment.

16.
Medicine (Baltimore) ; 100(6): e24580, 2021 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-33578556

RESUMO

ABSTRACT: We conducted this retrospective analysis to assess whether oral antiplatelet drugs (APDs) during radiotherapy increase bleeding risk.Patients who underwent radiotherapy for esophageal cancer (EC) in the Third Affiliated Hospital of Soochow University from January 2015 to December 2019 were screened. After the differences in clinical parameters were eliminated by a propensity-score matched (PSM) analysis at a 1:1 ratio, the thrombocytopenia, consumption of platelet-increasing drugs, suspension of radiotherapy, and bleeding in patients taking APDs were compared with those in the control group.A total of 986 patients were included in the original dataset. Of these, 34 patients took APDs during radiotherapy. After matching, the APD and control groups each retained 31 patients. There was no significant difference in platelet concentrations between the two groups before radiotherapy (P = .524). The lowest platelet concentration during radiotherapy in the APD group was significantly lower (P = .033). The consumption of platelet-increasing drugs in the APD group was higher than that in the control group (P  < .05). However, there was no significant difference in the average number of days of radiotherapy suspension because of thrombocytopenia (P = .933) and no significant difference in the incidence of bleeding between the two groups (P = .605).Oral APDs during radiotherapy lead to a further decrease in platelet concentration, but timely and adequate application of platelet-increasing drugs can avoid the increased risk of bleeding and the reduced efficacy of radiotherapy.


Assuntos
Hemorragia/induzido quimicamente , Inibidores da Agregação Plaquetária/efeitos adversos , Radioterapia/efeitos adversos , Trombocitopenia/induzido quimicamente , Neoplasias Esofágicas/radioterapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
17.
Cancer Cell Int ; 21(1): 34, 2021 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-33413360

RESUMO

BACKGROUND: CircRNAs play crucial roles in multiple tumours. However, the functions of most circRNAs in cervical cancer remain unclear. METHODS: This study collected GSE113696 data from the GEO database to search for differentially expressed circRNAs in cervical cancer. Quantitative reverse transcription PCR was used to detect the expression level of circNEIL3 in cervical cancer cells and tissues. Then, functional experiments in vitro and in vivo were performed to evaluate the effects of circNEIL3 in cervical cancer. RESULTS: CircNEIL3 was highly expressed in cervical cancer. In vivo and in vitro experiments verified that circNEIL3 enhanced the proliferation capacity of cervical cancer cells. RNA immunoprecipitation, luciferase reporter assay, pull-down assay, and fluorescent in situ hybridization confirmed the interaction between circNEIL3 and miR-137 in cervical cancer. A luciferase reporter assay showed that circNEIL3 adsorbed miR-137 and upregulated KLF12 to regulate the proliferation of cervical cancer cells. CONCLUSIONS: CircNEIL3 is an oncogene in cervical cancer and might serve as a ceRNA that competitively binds to miR-137, thereby indirectly upregulating the expression of KLF12 and promoting the proliferation of cervical cancer cells.

18.
Int J Clin Exp Pathol ; 13(3): 597-606, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32269701

RESUMO

No consensus has been achieved regarding the optimal extent of lymph node (LN) dissection for node-negative ESCC patients. This study aimed to determine the optimal extent of LN dissection for node-negative ESCC patients. We retrospectively reviewed 481 ESCC patients with node-negative resection and no preoperative therapy. Overall survival (OS) was evaluated by the log-rank test and multivariate Cox regression. The 5-year OS was 51.7% and 64.7% for patients with 1-5 and ≥6 negative LNs resected, respectively (P<0.001). However, there was no significant survival difference between patients with 6-12 negative LNs resected and patients with over 12 negative LNs resected (P=0.205). Multivariate analysis indicated that the negative LN count was independently associated with better survival. In the subgroup analysis, no optimum lymphadenectomy was defined for T1; the minimum number of LNs that needed to be resected was 6 nodes for T2 and 7 nodes for T3. No survival benefit was observed when extensive lymphadenectomy was performed. The nomogram, including the number of LNs examined, T stage, and histologic differentiation, had more predictive power than TNM staging. The results of our study suggest that ESCC patients with LN-negative tumors should have at least 6 LNs examined for T2 and 7 LNs for T3, but extensive lymphadenectomy is not recommended. The nomogram, including the number of LNs examined, T stage, and histologic differentiation, is a useful clinical tool.

19.
Opt Express ; 27(23): 33789-33798, 2019 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-31878440

RESUMO

We propose probabilistically shaped quadrature amplitude modulation (PS-QAM) formats to maximize the capacity in fiber transmission systems using orthogonal chirp-division multiplexing (OCDM). OCDM possesses the property of chirp spread spectrum (CSS), leading to improved resilience to system impairments. We further investigate the recently proposed robust channel estimator based on pulse compression and noise rejection and experimentally demonstrate its feasibility in an intensity-modulated/direction-detection (IM/DD) OCDM system. By applying the proposed PS-QAM based OCDM to an IM/DD optical system, a net information rate of 111.1 Gb/s has been successfully achieved using a 10-GHz class Mach-Zehnder modulator (MZM) and has also shown improved performance compared to the conventional PS-QAM based orthogonal frequency-division multiplexing (OFDM) systems. Moreover, due to the superior characteristics of OCDM, there is no need for additional feedback to obtain the prior knowledge of channel state information in the proposed system, leading to reduced complexity and cost.

20.
Opt Express ; 27(23): 34284-34297, 2019 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-31878479

RESUMO

We demonstrated a diversity-reception lens-free underwater wireless optical communication system employing a 2×2 solar panel array as detectors. The respective relationships between solar panel sizes and photocurrents, output voltages, system bandwidths were studied theoretically and experimentally. The signals output from the array were combined via maximum ratio combining in order to improve the signal quality. A 450-nm blue laser was used in the transmitter and a light spot with a size of 20mm×35mm was formed on the receiving plane after a 7-m transmission in tap water. With the solar panel array, a data rate of 84 Mbps was achieved with a bit error rate of 2.17 × 10-3 using 16-QAM OFDM signal. Meanwhile, a single solar panel with the same size as the array only achieved 60 Mbps. Solar panel array can bring about 40% data rate improvement. With the same detection area, the horizontal detection range of detectors increased from 37 mm for single solar panel to 55 mm for solar panel array thanks to the diversity reception. The results show that solar panel array using maximum ratio combining can enhance the transmission data rate as well as the detection range. The impacts of air bubbles, water fluctuation and microscopic particulates suspension on the proposed solar panel array-based system were also investigated. The results show that the received power sensitivity of solar panel array is 5.22 dB higher than single solar panel with the same detection area with a data rate of 60 Mbps and a BER of 10-3.

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