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1.
Nat Cell Biol ; 2020 Mar 16.
Artigo em Inglês | MEDLINE | ID: mdl-32203416

RESUMO

Piwi proteins are normally restricted in germ cells to suppress transposons through associations with Piwi-interacting RNAs (piRNAs), but they are also frequently activated in many types of human cancers. A great puzzle is the lack of significant induction of corresponding piRNAs in cancer cells, as we document here in human pancreatic ductal adenocarcinomas (PDACs), which implies that such germline-specific proteins are somehow hijacked to promote tumorigenesis through a different mode of action. Here, we show that in the absence of piRNAs, human PIWIL1 in PDAC functions as an oncoprotein by activating the anaphase promoting complex/cyclosome (APC/C) E3 complex, which then targets a critical cell adhesion-related protein, Pinin, to enhance PDAC metastasis. This is in contrast to piRNA-dependent PIWIL1 ubiquitination and removal by APC/C during late spermiogenesis. These findings unveil a piRNA-dependent mechanism to switch PIWIL1 from a substrate in spermatids to a co-activator of APC/C in human cancer cells.

2.
Pancreatology ; 2020 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-32113935

RESUMO

OBJECTIVES: To establish and evaluate a first generation patient-derived xenograft (PDX) model in nude mice using tumors resected from pancreatic cancer (PC) patients for the identification of key factors that influence xenograft success and prediction of patient prognosis. METHODS: Primary tumor samples harvested from PC patients who underwent curative resection between May 2016 and April 2018 at our hospital were xenografted into nude mice. Tumor size was evaluated for 2 months. Patients' baseline characteristics and follow-up data were analyzed. RESULTS: Tumor xenograft models were generated from 67 patients; 30 (44.8%) were successful and 37 (55.2%) failed. Xenograft models could recapitulate the pathology and genetic information of the primary tumors. Univariate analysis identified tumor engraftment, post-operation CA19-9, tumor size, lymph node status, and lymphovascular invasion as significant predictors (P=0.000, 0.023, 0.004, 0.035 and 0.005, respectively) of disease-free survival (DFS). Multivariate Cox regression analysis confirmed tumor engraftment, tumor size and lymphovascular invasion function as independent risk factors for DFS (P=0.000, 0.039 and 0.025, respectively). The hazard ratio of tumor engraftment for DFS was 0.239 (95% confidence interval, 0.109 to 0.524). Kaplan-Meier analysis of DFS indicated an unfavorable outcome in the engraftment group compared to that in the failed engraftment group (6.2 vs. 12.2 months, log rank P=0.000). CONCLUSION: The pathology and genetic information of primary PC tumors are recapitulated in the PDX tumor model in nude mice. Furthermore, engraftment success is an effective predictor of disease recurrence in patients after surgery.

3.
Zhongguo Gu Shang ; 33(1): 11-4, 2020 Jan 25.
Artigo em Chinês | MEDLINE | ID: mdl-32115918

RESUMO

OBJECTIVE: To explore the clinical effect of patellofemoral joint replacement in the treatment of patellofemoral arthritis. METHODS: From July 2013 to June 2017, 35 patients with 42 knees underwent patellofemoral arthroplasty, including 34 females and 1 male, aged 45 to 70 (55.0±8.2) years old, with a course of 6 to 36 (13.7±2.5) months. Before and at the end of the follow-up, the patients were assessed with Oxford knee score, satisfaction with the operation was assessed at the end of the follow-up. In addition, X-ray films of the front and side of the knee joint and axial films of the patella were taken to assess whether the prosthesis was loose, and complications such as hematoma and joint infection were recorded. RESULTS: Forty-two knees of 35 patients were followed up for 18 to 65 (35.0±7.2) months, and the operation time was (56.2±8.7) min. Oxford knee joint score increased from preoperative 28.14±0.36 to 37.19±0.47 at the end of the follow-up (P<0.05) . The score of pain items increased from preoperative 10.12±0.26 to 15.83±0.30 at the end of the follow-up, and the score of functional items increased from preoperative 18.02±0.13 to 21.36±0.23 at the end of the follow-up (P<0.05) , there was statistical significance (P <0.05) . In one case, there was wound suture reaction in the early postoperative period, which was improved after debridement; in the other case, there was swelling around the wound 5 weeks after operation, which was improved after antibiotic treatment; in one case, there was tear at the suture of quadriceps femoris muscle at 1 month after operation, which was improved after re suture; no loosening of prosthesis was found. CONCLUSION: The second generation of patellofemoral arthroplasty for the treatment of simple severe patellofemoral arthritis has satisfactory early clinical effect and few complications, but the indication of operation should be strictly grasped. For severe cases, CT scan of knee joint can be used to customize the patellofemoral prosthesis, so as to reduce postoperative complications and improve the clinical effect.


Assuntos
Artroplastia do Joelho , Prótese do Joelho , Osteoartrite do Joelho , Articulação Patelofemoral , Adulto , Feminino , Seguimentos , Humanos , Articulação do Joelho , Masculino , Pessoa de Meia-Idade , Osteoartrite do Joelho/cirurgia , Resultado do Tratamento
4.
Anal Chem ; 2020 Mar 19.
Artigo em Inglês | MEDLINE | ID: mdl-32192346

RESUMO

Accurate and sensitive imaging of hypoxia associated with inflammatory bowel disease (IBD) is significant for precise diagnosis and treatment of this disease, but it remains a challenge for traditional hypoxia-activatable fluorescence probes because of more moderate hypoxic state during IBD than under other pathological conditions. To address this issue, herein, we design a hypoxia-activatable and cytoplasmic protein-powered fluorescence cascade amplifier, named HCFA to image of hypoxia associated with IBD in vivo. In our design, 4-aminobenzoic acid (azo)-modified mesoporous silica nanoparticle (MSN) was used as container to load black hole quencher 2 (BHQ2) and cytoplasmic protein-binding squarylium dye (SQ), then the -cyclodextrin polymer (-CDP) combined with azo through host-guest interaction to form HCFA. Upon passive stagnate in inflamed tissue of IBD, the azo band would be cleaved under hypoxic microenvironment and SQ was released to activate the fluorescence of HCFA. Moreover, the unconstrained SQ can bind with cytoplasmic protein to exhibit drastic fluorescence intensity enhancement, realizing the fluorescence signal amplification for imaging of hypoxia. Take the advantage of large load capacity of MSN and unique property of SQ, HCFA can sense oxygen levels in the range of 0% to 10%. Meanwhile, the fluorescence imaging results demonstrate that HCFA can sensitively distinguish different levels of cellular hypoxia and monitor the variations of hypoxia in vivo, highlighting HCFA as a promising tool for detection of hypoxia associated with IBD.

5.
Spectrochim Acta A Mol Biomol Spectrosc ; 233: 118208, 2020 Feb 29.
Artigo em Inglês | MEDLINE | ID: mdl-32146424

RESUMO

Using Hg2+-promoted deprotection reaction, we have developed a new fluorescent turn-on sensor 2TS based on bithiophene fluorophore for Hg2+ detection. The sensing mechanism of 2TS towards Hg2+ was strongly proved by 1H NMR, FTIR, HRMS, UV-vis and fluorescence spectra. Remarkly, 2TS towards Hg2+ in 100% aqueous solution shows high sensitivity with a low detection limit of 19 nM, superior selectivity and ultra-rapid response of 20 s during a wide sensing pH range from 4 to 10. Taking advantage of the excellent properties, the low-cost sensor 2TS-based filter paper/TLC test strips were fabricated for visual, immediate and quantitative detection of Hg2+ in water, proving its applicability towards sensitive in-situ and on-site detection. Meanwhile, 2TS showed high analytical performance for Hg2+ detection in water, seafood as well as human urine samples. Moreover, thanks to the good water solubility, negligible cytotoxicity, good biocompatibility and cell-membrane permeability, 2TS was further applied to effectively image Hg2+ in live cells. Furthermore, the developed sensor 2TS acted as good fluorescent display material for Hg2+ with obvious color change.

6.
Environ Pollut ; 262: 114303, 2020 Mar 02.
Artigo em Inglês | MEDLINE | ID: mdl-32155556

RESUMO

Low pH and aluminum (Al)-toxicity often coexist in acidic soils. Citrus sinensis seedlings were treated with nutrient solution at a pH of 2.5, 3.0, 3.5 or 4.0 and an Al concentration of 0 or 1 mM for 18 weeks. Thereafter, malate, citrate, isocitrate, acid-metabolizing enzymes, and nonstructural carbohydrates in roots and leaves, and release of malate and citrate from roots were measured. Al concentration in roots and leaves increased under Al-toxicity, but it declined with elevating nutrient solution pH. Al-toxicity increased the levels of glucose, fructose, sucrose and total soluble sugars in leaves and roots at each given pH except for a similar sucrose level at pH 2.5-3.0, but it reduced or did not alter the levels of starch and total nonstructural carbohydrates (TNC) in leaves and roots with the exception that Al improved TNC level in roots at pH 4.0. Levels of nonstructural carbohydrates in roots and leaves rose with reducing pH with a few exceptions with or without Al-toxicity. A potential model for the possible role of root organic acid (OA) metabolism (anions) in C. sinensis Al-tolerance was proposed. With Al-toxicity, the elevated pH upregulated the OA metabolism, and increased the flow of carbon to OA metabolism, and the accumulation of malate and citrate in roots and subsequent release of them, thus reducing root and leaf Al and hence eliminating Al-toxicity. Without Al-toxicity, low pH stimulated the exudation of malate and citrate, an adaptive response of Citrus to low pH. The interactive effects of pH and pH on OA metabolism were different between roots and leaves.

7.
J Food Biochem ; : e13173, 2020 Mar 09.
Artigo em Inglês | MEDLINE | ID: mdl-32150658

RESUMO

Production of a thermostable pullulanase by DO-stat fed-batch fermentation of recombinant Escherichia coli BL 21 was investigated in a 5 L of fermentor. The effect of three oxygen control strategies, glucose feedback, shifting fermentor pressure, and adding oxygen-enriched air, on cell growth and pullulanase expression were examined. The oxygen-transfer capacity was found to be enhanced with increasing fermentor pressure and oxygen ratio in oxygen-enriched air, but the cell growth and pullulanase production were restrained under high fermentor pressure. The highest cell density and pullulanase activity reached 55.1 g/L and 412 U/mL, respectively, in the case by adding oxygen-enriched air, which was suggested as an effective approach to enhance both cell growth and pullulanase production. PRACTICAL APPLICATIONS: This thermostable pullulanase displayed optimal activity at 90°C and pH 5.4, which could be applied for one-step saccharification of starch biomass. The optimization of the DO-stat fed-batch fermentation in high cell density level would provide a research basis for its industrialization.

8.
J Gastrointest Surg ; 2020 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-32128681

RESUMO

BACKGROUND: To define early versus late recurrence based on post-recurrence survival (PRS) among patients undergoing curative resection for hepatocellular carcinoma (HCC). METHODS: Patients who underwent curative-intent resection for HCC between 2000 and 2017 were identified from an international multi-institutional database. The optimal cut-off time point to discriminate early versus late recurrence was determined relative to PRS. RESULTS: Among 1004 patients, 443 (44.1%) patients experienced recurrence with a median recurrence-free survival time of 12 months. A cut-off time point of 8 months was defined as the optimal threshold based on sensitivity analyses relative to PRS for early (n = 165, 37.2%) versus late relapse (n = 278, 62.8%) (p = 0.008). Early recurrence was associated with worse PRS (median PRS, 27.0 vs. 43.0 months, p = 0.019), as well as overall survival (OS) (median OS, 32.0 versus 74.0 months, p < 0.001) versus late recurrence. In addition, patients who recurred early were more likely to recur at extra- ± intrahepatic (35.5% vs. 19.8%, p = 0.003) sites and were less likely to have the recurrence treated with curative intent (33.8% vs. 45.7%, p = 0.08). Patients undergoing curative re-treatment of late recurrence had a comparable OS with patients who had no recurrence (median OS, 139.0 vs. 140.0 months); patients with early recurrence had inferior OS after curative re-treatment versus patients with no recurrence (median OS, 69.0 vs. 140.0 months, p = 0.036), yet still better than patients who received palliative treatment for early recurrence (median OS, 69.0 vs. 21.0 months, p < 0.001). CONCLUSIONS: Eight months was identified as the cut-off value to differentiate early versus late recurrence. Curative-intent treatment for recurrent intrahepatic tumors was associated with reasonable long-term outcomes.

10.
Viruses ; 12(2)2020 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-32028559

RESUMO

Papillomavirus (PV) mainly infects the squamous epithelium and may potentially lead to benign or even malignant cutaneous lesions. However, the malignant transforming ability has been identified in several types of PVs. In humans, papillomavirus (HPV) type 16 and 18 are the most prevalent causative agents of cervical cancer. Therefore, vaccines are being developed to protect against these types. For dogs, there have been limited investigations into the association of different canine papillomavirus (CPV) genotypes with malignant lesions. Understanding the high-risk CPV genotype(s) responsible for these malignant lesions would contribute to the development of interventions for preventing CPV-induced carcinomas. In the present study, a retrospective cohort of 102 pathologically confirmed papillomas and 212 squamous cell carcinomas (SCCs) were included. The viral genome and antigens in the formalin-fixed paraffin-embedded (FFPE) tissues were detected using PCR targeting pan PV E1 and COPV L1 genes and by immunohistochemistry staining (IHC), respectively. PVs were successfully detected from 11 FFPE cutaneous tissues and four oral tissues using pan PV E1- and COPV L1-based PCR, respectively. After sequencing, CPV 1, CPV 2, and CPV 6 were detected in the benign lesions using PCR and were confirmed through IHC. While CPV 9 and CPV 15 were first detected in the SCCs of dogs, CPV 16 was most often detected in SCC specimens. The association and confirmative demonstration of viral genes and intralesional antigens of CPV 9, CPV 15, and CPV 16 in SCCs highlight the potential risk of these genotypes of CPVs in malignant transformation.

11.
Med Sci Monit ; 26: e919665, 2020 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-32008037

RESUMO

BACKGROUND Sepsis-induced myopathy (SIM) is a complication of sepsis that results in prolonged mechanical ventilation, long-term functional disability, and increased patient mortality. This study aimed to use bioinformatics analysis to identify hub genes and molecular pathways involved in SIM, to identify potential diagnostic or therapeutic biomarkers. MATERIAL AND METHODS The Gene Expression Omnibus (GEO) database was used to acquire the GSE13205 expression profile. The differentially expressed genes (DEGs) in cases of SIM and healthy controls, and the Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis were performed using the limma R/Bioconductor software package and clusterProfiler package in R, respectively. The protein-protein interaction (PPI) network data of DEGs was retrieved using the STRING database and analyzed using the Molecular Complex Detection (MCODE) Cytoscape software plugin. RESULTS A total of 196 DEGs were obtained in SIM samples compared with healthy samples, including 93 upregulated genes. The DEGs were significantly upregulated in mineral absorption, and the interleukin-17 (IL-17) signaling pathway and 103 down-regulated genes were associated with control of the bile secretion signaling pathway. A protein-protein interaction (PPI) network was constructed with 106 nodes and 192 edges. The top two important clusters were selected from the PPI by MCODE analysis. There were 16 hub genes with a high degree of connectivity in the PPI network that were selected, including heme oxygenase 1 (HMOX1), nicotinamide adenine dinucleotide phosphate quinone dehydrogenase 1 (NQO1), and metallothionein (MT)-1E. CONCLUSIONS Bioinformatics network analysis identified key hub genes and molecular mechanisms in SIM.

12.
HPB (Oxford) ; 2020 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-32081541

RESUMO

BACKGROUND: Carcinosarcoma of pancreas is a rare subtype of pancreatic cancer. The aim of this study was to comprehensively elaborate the clinicopathological and molecular features of this rare malignancy. METHODS: Patients who were diagnosed with carcinosarcoma of the pancreas were retrospectively identified from pathology database of a single institution between 2012 and 2018. RESULTS: A total of nine patients were identified. Pathological examination of tumor tissues from included patients showed coexisting carcinomatous and sarcomatous components. These two components were distinguished by mutually exclusive expression of cytokeratin and vimentin. The sarcomatous tissue exhibited more extensive proliferation, as revealed by Ki67 staining, and necrosis compared with the carcinomatous counterpart. Genomic analysis of tumor tissues for two patients demonstrated hotspot mutation at KRAS and TP53. Carcinomatous and sarcomatous components were separately obtained via laser captured microdissection in one patient, and mutations of driving genes were highly concordant between them. Besides, immunostaining of frequently-altered tumor suppressor genes for these two components suggested consistent expression patterns. The median overall survival for six patients with adequate follow-up was 14 months. CONCLUSION: Carcinosarcoma of the pancreas represent a rare malignancy with distinct histological characteristics. Genomic and molecular analysis suggested monoclonal origin of carcinomatous and sarcomatous components.

13.
Molecules ; 25(3)2020 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-32013155

RESUMO

Epigenetic modifications (or epigenetic tags) on DNA and histones not only alter the chromatin structure, but also provide a recognition platform for subsequent protein recruitment and enable them to acquire executive instructions to carry out specific intracellular biological processes. In cells, different epigenetic-tags on DNA and histones are often recognized by the specific domains in proteins (readers), such as bromodomain (BRD), chromodomain (CHD), plant homeodomain (PHD), Tudor domain, Pro-Trp-Trp-Pro (PWWP) domain and malignant brain tumor (MBT) domain. Recent accumulating data reveal that abnormal intracellular histone modifications (histone marks) caused by tumors can be modulated by small molecule-mediated changes in the activity of the above domains, suggesting that small molecules targeting histone-mark reader domains may be the trend of new anticancer drug development. Here, we summarize the protein domains involved in histone-mark recognition, and introduce recent research findings about small molecules targeting histone-mark readers in cancer therapy.

14.
Neuropsychologia ; 138: 107340, 2020 02 17.
Artigo em Inglês | MEDLINE | ID: mdl-31935393

RESUMO

Small and manipulable objects (tools) preferentially evoke a network of brain regions relative to other objects, including the lateral occipitotemporal cortex (LOTC), which is assumed to process tool shape information. Given the correlation between various object properties, the exact type of information being represented in the LOTC remains debated. In three fMRI experiments, we examined the effects of multiple levels of shape (whole vs. object parts) and motor-related (grasping; manipulation) information. Combining representational similarity analysis and commonality analysis allowed us to partition the unique and shared effects of correlated dimensions. We found that grasping manner (for pickup), not the overall object shape or manner of manipulation, uniquely explained the LOTC neural activity pattern (Experiments 1 and 2). Experiment 3 tested tools composed of two parts to understand better how grasping manner was computed from object visual inputs. Support vector machine analysis revealed that the LOTC activity could decode different shapes of the tools' handle parts but not the tools' head parts. Together, these results suggest that the LOTC parses tool shapes by how it maps onto grasping programs; such parsing is not fully based on the whole-object shape but rather an interaction between the whole (where to grasp) and its parts (distinguishing the shape for the grasping part for specific grasping manners).

15.
Carbohydr Polym ; 231: 115701, 2020 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-31888799

RESUMO

A facile and rapid approach was designed to extract carboxylated cellulose nanocrystals (CCNCs) through a one-step hydrolysis process by using mixed acid system of sulfuric acid and nitric acid (H2SO4/HNO3). It is found that the surface hydroxyl groups on CNCs could be converted into carboxyl groups efficiently after 0.5 h treatment by introducing HNO3 as oxidant. The degree of oxidation could reach a maximum value of 0.11 at the reaction temperature of 80 °C, which was consistent with those prepared by the conventional TEMPO or APS oxidation method. Meanwhile, the as-prepared CCNCs presented a rod-like morphology with the length and diameter of 186 ±â€¯13 and 9 ±â€¯3 nm, respectively. More importantly, the CCNCs showed excellent dispersibility in water and some organic solvents due to the existence of negative carboxyl groups, which was benefit for their reinforcing applications and developing new applications by further surface functionalization.

16.
Org Lett ; 22(3): 818-822, 2020 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-31961159

RESUMO

A highly efficient asymmetric hydrogenation of γ- and δ-ketoacids was developed by using a chiral spiro iridium catalyst (S)-1a, affording the optically active γ- and δ-hydroxy acids/lactones in high yields with excellent enantioselectivities (up to >99% ee) and turnover numbers (TON up to 100000). This protocol provides an efficient and practical method for enantioselective synthesis of Ezetimibe.

17.
Nanoscale ; 2020 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-31994580

RESUMO

Metamaterial-based electromagnetic absorbers have attracted much attention recently, but most previous realizations suffer from issues of narrow bandwidth, time-consuming and high-cost fabrication methods, and/or fixed functionalities, and so are unfavorable for practical applications. Here, we demonstrate experimentally a large-scale, broadband, polarization-independent, and tunable metamaterial absorber, which works for both visible and near-infrared light. A lithography-free and low-cost method was utilized to fabricate a centimeter-sized metamaterial sample in a metal-insulator-metal (MIM) configuration with nano-scale precision, in which a phase-change material, Ge2Sb2Te5 (GST), was adopted as the insulating spacer of the MIM structure. With two different resonance mechanisms working together, the proposed device was shown to exhibit high absorptivity (>80%) within a broad wavelength band (480-1020 nm). By thermally tuning the phase state of the GST layer, we can dramatically enlarge the working bandwidth of the metamaterial absorber by shifting one absorption peak by about 470 nm. These findings may stimulate many potential applications in, for example, solar cells, energy harvesting, smart sensing/imaging, and color printing.

18.
ACS Appl Mater Interfaces ; 12(4): 4833-4842, 2020 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-31914316

RESUMO

Development of low-cost and efficient (electro)catalysts with tunable 2e/4e oxygen reduction reaction (ORR) selectivity toward energy conversion, biomimetic catalysis, and biosensing has attracted growing interest. Herein, we reported that carbon nanohybrids with O- or N-coordinated Cu (Cu-OC or Cu-NC) showed superior activity for 2e and 4e electrocatalytic ORR with selectivities of 84.0% and 97.2%, respectively. Experimental evidence demonstrated that the strong electron-rich O-doped carbon in Cu-OC donated electrons to Cu2+, weakening the binding strength of H2O2 at Cu-O centers and facilitating the 2e ORR pathway for selective production of H2O2. However, the poor electron-donor ability of the N-doped carbon in Cu-NC made Cu-N sites more electron deficient due to the reduced electron transfer from N-doped carbon to Cu2+, promoting 4e ORR by enhancing adsorption of O2 and the ORR intermediates. The high 4e ORR activity of Cu-NC rendered its potential for application in a Zn-air battery and oxidase-mimicking activity for 3,3',5,5'-tetramethylbenzidine (TMB) and ascorbic acid (AA) oxidation. The maximal velocity (Vmax) of TMB and AA oxidation over Cu-NC was higher than some natural oxidases and noble-metal-based artificial enzymes. The lower activation energy for AA oxidation over Cu-NC resulted in a 263-fold higher oxidative rate than TMB, further prompting nonenzymatic sensing of AA by the competitive oxidation strategy.

19.
HPB (Oxford) ; 2020 Jan 24.
Artigo em Inglês | MEDLINE | ID: mdl-31987739

RESUMO

BACKGROUND: To define the chronological changes of long-term survival among patients with non-hepatitis-related hepatocellular carcinoma (Non-Hep-HCC) versus hepatitis C-related HCC (HCV-HCC) over the last two decades. METHODS: Patients who underwent curative-intent resection for HCC between 2000 and 2017 were identified from an international multi-institutional database. Overall (OS) and recurrence-free survival (RFS) were analyzed and compared among Non-Hep-HCC versus HCV-HCC patients. Propensity score matching (PSM) was utilized to mitigate residual bias. RESULTS: Among 617 patients, 196 (31.8%) patients had HCV-HCC, whereas 421 (68.2%) patients had Non-Hep-HCC. While patients with HCV-HCC had an improvement in OS over time (5-year OS, 2000-2009 55% vs. 2010-2017 67%, p = 0.034), OS among patients with Non-Hep-HCC remain unchanged (5-year OS, 2000-2009 53% vs. 2010-2017 52%, p = 0.905). In the matched cohort, patients with HCV-HCC had a worse OS versus patients with Non-Hep-HCC during 2000 and 2009 (5-year OS, 12% vs. 63%, p = 0.029), but significantly better OS from 2010 to 2017 than patients with Non-Hep-HCC (5-year OS, 86% vs. 73%, p = 0.035). The recurrence timing, patterns and re-treatments were comparable among Non-Hep-HCC and HCV-HCC patients. CONCLUSION: While OS of patients with HCV-HCC improved over time, the long-term survival of patients with Non-Hep-HCC patients remained unchanged and was more unfavorable.

20.
Am J Surg ; 2020 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-31955813

RESUMO

BACKGROUND: This systematic review and meta-analysis was conducted to determine the value of preoperative thyroid-stimulating hormone (TSH) levels in assessing the risk of differentiated thyroid cancer (DTC) in patients with thyroid nodules. METHODS: This meta-analysis included 23,799 subjects (15,406 non-Chinese and 8,393 Chinese) with thyroid nodules. Multivariate and individual adjusted odds ratios (OR) were calculated for a 1 mU/L increase in preoperative TSH levels to determine the risk of malignant DTC. RESULTS: The OR for DTC in relation to preoperative TSH levels was significant in Chinese (1.25 [1.11, 1.40], Z = 3.67, p = 0.0002) and non-Chinese subjects (1.12 [1.03, 1.22], Z = 2.72, p = 0.006). The overall random-effects model indicated that there was a significantly increased risk for DTC in patients with thyroid nodules (OR 1.16 [1.06, 1.27], Z = 3.29, p = 0.007). CONCLUSIONS: A significant association between higher TSH levels and risk of DTC was observed in both population groups investigated, with higher ORs for Chinese subjects.

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