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1.
Artigo em Inglês | MEDLINE | ID: mdl-34506123

RESUMO

Developing hard carbon with a high initial Coulombic efficiency (ICE) and very good cycling stability is of great importance for practical sodium-ion batteries (SIBs). Defects and oxygen-containing groups grown along either the carbon edges or the layers, however, are inevitable in hard carbon and can cause a tremendous density of irreversible Na+ sites, decreasing the efficiency and therefore causing failure of the battery. Thus, eliminating these unexpected defect structures is significant for enhancing the battery performance. Herein, we develop a strategy of applying a soft-carbon coating onto free-standing hard-carbon electrodes, which greatly hinders the formation of defects and oxygen-containing groups on hard carbon. The electrochemical results show that the soft-carbon-coated, free-standing hard-carbon electrodes can achieve an ultrahigh ICE of 94.1% and long cycling performance (99% capacity retention after 100 cycles at a current density of 20 mA g-1), demonstrating their great potential in practical sodium storage systems. The sodium storage mechanism was also investigated by operando Raman spectroscopy. Our sodium storage mechanism extends the "adsorption-intercalation-pore filling-deposition" model. We propose that the pore filling in the plateau area might be divided into two parts: (1) sodium could fill in the pores near the inner wall of the carbon layer; (2) when the sodium in the inner wall pores is close to saturation, the sodium could be further deposited onto the existing sodium.

2.
Environ Pollut ; 291: 118128, 2021 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-34530244

RESUMO

Previous studies have mostly focused on using visible-to-near-infrared spectral technique to quantitatively estimate soil cadmium (Cd) content, whereas little attention has been paid to identifying soil Cd contamination from a perspective of spectral classification. Here, we developed a framework to compare the potential of two spectral transformations (i.e., raw reflectance and continuum removal [CR]), three optimization strategies (i.e., full-spectrum, Boruta feature selection, and synthetic minority over-sampling technique [SMOTE]), and three classification algorithms (i.e., partial least squares discriminant analysis, random forest [RF], and support vector machine) for diagnosing soil Cd contamination. A total of 536 soil samples were collected from urban and suburban areas located in Wuhan City, China. Specifically, Boruta and SMOTE strategies were aimed at selecting the most informative predictors and obtaining balanced training datasets, respectively. Results indicated that soils contaminated by Cd induced decrease in spectral reflectance magnitude. Classification models developed after Boruta and SMOTE strategies out-performed to those from full-spectrum. A diagnose model combining CR preprocessing, SMOTE strategy, and RF algorithm achieved the highest validation accuracy for soil Cd (Kappa = 0.74). This study provides a theoretical reference for rapid identification of and monitoring of soil Cd contamination in urban and suburban areas.

3.
Semin Dial ; 2021 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-34490658

RESUMO

OBJECTIVES: Cephalic arch stenosis (CAS) is a common cause that leads to the failure of hemodialysis arteriovenous fistulas (AVFs). Patients with CAS are primarily treated with fluoroscopy-guided angioplasty. Here, seven patients with de novo cephalic arch stenosis who underwent office-based UG-PTA were. METHODS: Retrospectively analyzed the total of 321 patients with AVF dysfunction in the nephrology departmnet between July 2017 and October 2018. Among them, seven patients with de novo CAS were included in this study and followed up every 2 months for more than a year. RESULTS: No significant complications were seen from the operations, and the primary patency rates at 6 and 12 months were found to be 100% and 42.8%, respectively. CONCLUSIONS: The office-based UG-PTA is probably safe, effective, and feasible in the management of CAS and can be used as a substitute for fluoroscopy-guided PTA.

4.
Cell Mol Immunol ; 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34471261

RESUMO

In response to emerging infectious diseases, such as the recent pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), it is critical to quickly identify and understand responsible pathogens, risk factors, host immune responses, and pathogenic mechanisms at both the molecular and cellular levels. The recent development of multiomic technologies, including genomics, proteomics, metabolomics, and single-cell transcriptomics, has enabled a fast and panoramic grasp of the pathogen and the disease. Here, we systematically reviewed the major advances in the virology, immunology, and pathogenic mechanisms of SARS-CoV-2 infection that have been achieved via multiomic technologies. Based on well-established cohorts, omics-based methods can greatly enhance the mechanistic understanding of diseases, contributing to the development of new diagnostics, drugs, and vaccines for emerging infectious diseases, such as COVID-19.

5.
Bioinformatics ; 2021 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-34478500

RESUMO

MOTIVATION: The development of an open-source platform to predict protein 1D features and 3D structure is an important task. In this paper, we report an open-source toolkit for protein 3D structure modeling, named OPUS-X. It contains three modules: OPUS-TASS2, which predicts protein torsion angles, secondary structure and solvent accessibility; OPUS-Contact, which measures the distance and orientation information between different residue pairs; and OPUS-Fold2, which uses the constraints derived from the first two modules to guide folding. RESULTS: OPUS-TASS2 is an upgraded version of our previous method OPUSS-TASS. OPUS-TASS2 integrates protein global structure information and significantly outperforms OPUS-TASS. OPUS-Contact combines multiple raw co-evolutionary features with protein 1D features predicted by OPUS-TASS2, and delivers better results than the open-source state-of-the-art method trRosetta. OPUS-Fold2 is a complementary version of our previous method OPUS-Fold. OPUS-Fold2 is a gradient-based protein folding framework based on the differentiable energy terms in opposed to OPUS-Fold that is a sampling-based method used to deal with the non-differentiable terms. OPUS-Fold2 exhibits comparable performance to the Rosetta folding protocol in trRosetta when using identical inputs. OPUS-Fold2 is written in Python and TensorFlow2.4, which is user-friendly to any source-code level modification. AVAILABILITY: The code and pre-trained models of OPUS-X can be downloaded from https://github.com/OPUS-MaLab/opus_x. SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.

6.
Environ Toxicol ; 2021 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-34480788

RESUMO

Angiomotin-like 1 (AMOTL1) is reportedly a pivotal tumor-associated protein that is strongly associated with the tumorigenesis of multiple malignant tumors. However, the issue of whether AMOTL1 plays a role in the tumorigenesis of glioma remains unclear. The aim of this work was to explore the possible relationship between AMOTL1 and glioma progression. Results demonstrated that high levels of AMOTL1 in glioma tissues were associated with a reduced survival rate in patients with glioma. Cellular functional assays revealed that silencing of AMOTL1 in glioma cell lines substantially decreased cell proliferation and invasion and increased cell apoptosis. Further investigation revealed that silencing of AMOTL1 inhibited the activation of yes-associated protein 1 (YAP1) and decreased the expression of YAP1 target genes. Reactivation of YAP1 reversed AMOTL1-silencing-induced antitumor effects, whereas inhibition of YAP1 abolished AMOTL1-overexpression-induced tumor-promoting effects in glioma cells. Silencing of AMOTL1 also retarded the growth of glioma cell-derived xenograft tumors in vivo. In conclusion, these findings suggested that AMOTL1 may exert a tumor-promoting function in glioma by enhancing the activation of YAP1 signaling. This work suggested AMOTL1 as a potential target for the development of antiglioma therapy.

7.
Alzheimers Dement ; 2021 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-34482613

RESUMO

INTRODUCTION: We investigated the association between Alzheimer's disease (AD) and the risk of cancer in the Chinese population. METHODS: In this retrospective cohort study, multivariate Cox proportional hazard regression analysis was used to determine the correlation between AD and the risk of various cancers, as shown by hazard ratios (HRs) with 95% confidence intervals (CIs). RESULTS: Of 8097 AD patients, the HR for all subsequent cancers was 0.822 (95% CI, 0.728-0.928; P = .002). Among them, three specific cancers were associated with AD: lung cancer (HR, 0.656; 95% CI, 0.494- 0.871; P = .004), prostate and testicular cancer (HR, 0.414; 95% CI, 0.202-0.847; P = .016), and lymphoma (HR, 2.202; 95% CI, 1.005-4.826; P = .049). CONCLUSION: Patients with AD might have a lower chance of developing several cancers, including lung cancer and prostate and testicular cancer. Meanwhile, a positive association between AD and a higher incident rate of lymphoma was observed.

8.
J Mater Sci Mater Med ; 32(9): 107, 2021 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-34427778

RESUMO

OBJECTIVE: To study the bone induction and defect repair of true bone ceramics (TBC) combined with rhBMP-2 and Sr. METHODS: MC3T3-E1 cells were used to evaluate the bioactivity of the composite. Cell proliferation activity was detected by CCK-8, ALP activity was detected by p-nitrophenyl phosphate (PNPP), and the differences of material surface topography were observed by scanning electron microscopy (SEM). Bone induction was verified by the implantation in nude mice. The rabbit femoral condyle defect model was achieved to verify the bone defect repair ability of the material. RESULTS: SEM results showed nearly the same surface morphology and cell proliferation quantified by CCK-8 showed that compared with TBC, both TBC&Sr and TBC&BMP-2&Sr had a significant promoting effect (P < 0.05). ALP activity result showed that the ALP activity of TBC&BMP-2&Sr was significantly higher than that of TBC alone (P < 0.05). The bone induction result showed that TBC&Sr had a small amount of new bone formation, and the new bone area was only 2.5 ± 0.11%. The bone induction activity of TBC&BMP-2&Sr was the highest, the new bone area was up to 75.36 ± 4.21%. Histological result of bone defect repair showed that TBC&BMP-2&Sr was also the highest, the new bone area was up to 72.42 ± 3.14%. The repair effect of TBC& BMP-2 was second, and better than that of TBC&Sr. CONCLUSION: TBC combined with rhBMP-2 and Sr had the good bioactivity, obvious bone conduction and bone defect repair performance, laying the foundation of clinical application potentially.

9.
Oncol Rep ; 46(4)2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34368882

RESUMO

The aim of the present study was to explore the effect of chaperon­mediated autophagy (CMA) through pyruvate kinase isoform M2 (PKM2) on the development of renal carcinoma (RCC) and its possible mechanisms. Lysosome­associated membrane protein 2A (LAMP­2A) and PKM2 expression levels were detected by collecting tissue samples from RCC patients. RNA interference was used to silence the LAMP­2A and PKM2 expression levels in renal cell line A498 to detect the proliferation, apoptosis and invasion of cells. The levels of mRNA and protein of related genes were also examined. Co­immunoprecipitation was used to detect the interaction between PKM2 and heat shock cognate 70 (HSC70). The results revealed that LAMP­2A and PKM2 expression levels were significantly increased in RCC tissues and cell lines (P<0.01). LAMP­2A silencing increased the expression level of PKM2 in A498 and 786­O cells. LAMP­2A and PKM2 silencing suppressed the proliferation and invasion and induced the apoptosis of A498 cells, and also affected the expression levels of related genes. Co­immunoprecipitation revealed the interaction between PKM2 and HSC70. In conclusion, CMA could affect the proliferation, invasion and apoptosis of RCC cells through PKM2, and our findings provided new biomarkers and targets for molecular targeted therapy of RCC.

10.
Chemosphere ; 286(Pt 2): 131686, 2021 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-34333184

RESUMO

Change in water quality was investigated with laboratory-scale ozone-biological activated carbon filters using copper-modified granular activated carbon (Cu/GAC) and unmodified granular activated carbon (GAC). In the first seven days of the experimental period, Cu/GAC removed organic matter more efficiently owing to its enhanced adsorption capacity. As the running time increased, the amount of disinfection by-products (DBPs), dissolved organic carbon, and extracellular polymeric substances (EPS) increased sharply in the effluent of the Cu/GAC filter (CCW). More importantly, the EPS suspended in the CCW exhibited weaker flocculating efficiency and hydrophobicity, causing more active chemical reactions between chlorine and EPS substances. The copper species significantly limited the microbial biomass (0.01 nmol/L adenosine triphosphate) but stimulated the secretion of significant amounts of EPS by microorganisms for self-protection. Furthermore, the microbial community in the bulk water was successfully shaped by Cu/GAC, resulting in a continuous supply of EPS-derived DBP precursors and a sharp rise in chlorine consumption in the downstream drinking water distribution. Therefore, use of modified GAC materials, similar to Cu/GAC, as carrier materials for biological activated carbon (BAC) treatment remains controversial, despite enhanced pollutant adsorption capacity. This is the first study to reveal the mechanism of BAC-modified materials for water quality stability. The study potentially contributes to a comprehensive understanding of the effects of biofilm transformation and microbial community succession on drinking water quality. These results showed that tap water safety risks could be reduced by improving BAC pretreatment in drinking water treatment plants.

12.
J Immunol ; 2021 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-34452933

RESUMO

Immune cell responses are strikingly altered in patients with severe coronavirus disease 2019 (COVID-19), but the immunoregulatory process in these individuals is not fully understood. In this study, 23 patients with mild and 22 patients with severe COVID-19 and 6 asymptomatic carriers of COVID-19 were enrolled, along with 44 healthy controls (HC). Peripheral immune cells in HC and patients with COVID-19 were comprehensively profiled using mass cytometry. We found that in patients with severe COVID-19, the number of HLA-DRlow/- monocytes was significantly increased, but that of mucosal-associated invariant T (MAIT) cells was greatly reduced. MAIT cells were highly activated but functionally impaired in response to Escherichia coli and IL-12/IL-18 stimulation in patients with severe COVID-19, especially those with microbial coinfection. Single-cell transcriptome analysis revealed that IFN-stimulated genes were significantly upregulated in peripheral MAIT cells and monocytes from patients with severe COVID-19. IFN-α pretreatment suppressed MAIT cells' response to E. coli by triggering high levels of IL-10 production by HLA-DRlow/--suppressive monocytes. Blocking IFN-α or IL-10 receptors rescued MAIT cell function in patients with severe COVID-19. Moreover, plasma from patients with severe COVID-19 inhibited HLA-DR expression by monocytes through IL-10. These data indicate a unique pattern of immune dysregulation in severe COVID-19, which is characterized by enrichment of suppressive HLA-DRlow/- monocytes associated with functional impairment of MAIT cells through the IFN/IL-10 pathway.

13.
Artigo em Inglês | MEDLINE | ID: mdl-34240809

RESUMO

Organic-inorganic hybrid superlattices (OIHSLs) hold attractive physical and chemical properties, while the construction of single-crystal covalent OIHSLs has not been achieved. Herein a coordination assembly strategy was proposed to create a single-crystal covalent OIHSL PbBDT (BDT=1,4-benzenedithiolate), where layered [PbS2 ] sublattice covalently connects with benzene sublattice. The covalent bonding offers better thermo-/chemi-stability, inter-sublattice electron transport, and unique organic-group-functionalized surface, which may enable better performances in chemical applications than non-covalent OIHSL. These features endow PbBDT with the highest sensitivity, the lowest detection limit and excellent selectivity towards NO2 at room temperature among all chemiresistive gas-sensing materials with reported response time less than 2 min without the need of light assistance.

14.
J Exp Med ; 218(9)2021 09 06.
Artigo em Inglês | MEDLINE | ID: mdl-34254999

RESUMO

Astrocytes, a major glial cell type in the brain, play a critical role in supporting the progression of medulloblastoma (MB), the most common malignant pediatric brain tumor. Through lineage tracing analyses and single-cell RNA sequencing, we demonstrate that astrocytes are predominantly derived from the transdifferentiation of tumor cells in relapsed MB (but not in primary MB), although MB cells are generally believed to be neuronal-lineage committed. Such transdifferentiation of MB cells relies on Sox9, a transcription factor critical for gliogenesis. Our studies further reveal that bone morphogenetic proteins (BMPs) stimulate the transdifferentiation of MB cells by inducing the phosphorylation of Sox9. Pharmacological inhibition of BMP signaling represses MB cell transdifferentiation into astrocytes and suppresses tumor relapse. Our studies establish the distinct cellular sources of astrocytes in primary and relapsed MB and provide an avenue to prevent and treat MB relapse by targeting tumor cell transdifferentiation.

15.
Ann Palliat Med ; 10(8): 8607-8616, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34328014

RESUMO

BACKGROUND: The colonoscopy withdrawal time (WT) and adenoma detection rate (ADR) are widely used quality indicators for colonoscopy. However, no study has investigated the appropriate colonoscopy WTs of individual colonic segments that will allow trainees to achieve a higher ADR. Thus, we analyzed for the first time the relationship between colonoscopy WT and the ADR/polyp detection rate (PDR) in the proximal, left-sided and entire colon among trainees. METHODS: This retrospective study involved 611 consecutive patients who underwent colonoscopy from March 2018 to March 2019 performed by 6 trainees in the Endoscopy Center of Shanghai General Hospital. The WTs for the individual colonic segments and any significant findings of colonoscopies were retrospectively retrieved from the trainees' records and verified in the endoscopy center database. ADR/PDR was defined as the number of colonoscopies detecting at least 1 polyp/adenoma divided by the total number of colonoscopies. Comparisons of PDR and ADR between the 2 groups were conducted using chi-square test. Multilevel analysis was performed to consider individual differences among the 6 trainees. Multilevel binary logistic regression analysis was performed to analyze the factors that influenced the PDR, ADR and advanced adenoma detection rate (AADR) for the entire colon, and trainee status was included as a random effect. RESULTS: The mean WTs were 4.20±1.09, 4.27±1.12, and 8.48±1.87 minutes for the proximal, left-sided, and entire colon, respectively. A longer WT [odds ratio (OR) 1.499, 95% confidence interval (CI): 1.381-1.628, P<0.001; OR 1.409, 95% CI: 1.265-1.569, P<0.001, respectively] was significantly associated with a higher PDR and ADR. The PDR (P<0.001) and ADR (P<0.001) were significantly higher when the WT was >4 minutes than when the WT was ≤4 minutes in both the proximal and left-sided colon, while the PDR (P<0.001) and ADR (P<0.001) were significantly higher when the WT was >8 minutes in the entire colon. CONCLUSIONS: In order to improve trainee colonoscopy performance, trainees were recommended to have WTs of at least 4 minutes in the proximal colon, 4 minutes in the left-sided colon and 8 minutes in the entire colon during negative screening colonoscopies.


Assuntos
Pólipos do Colo , China , Colo , Pólipos do Colo/patologia , Colonoscopia , Humanos , Estudos Retrospectivos
16.
Front Med ; 2021 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-34241787

RESUMO

Consecutively hospitalized patients with confirmed coronavirus disease 2019 (COVID-19) in Wuhan, China were retrospectively enrolled from January 2020 to March 2020 to investigate the association between the use of renin-angiotensin system inhibitor (RAS-I) and the outcome of this disease. Associations between the use of RAS-I (angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB)), ACEI, and ARB and in-hospital mortality were analyzed using multivariate Cox proportional hazards regression models in overall and subgroup of hypertension status. A total of 2771 patients with COVID-19 were included, with moderate and severe cases accounting for 45.0% and 36.5%, respectively. A total of 195 (7.0%) patients died. RAS-I (hazard ratio (HR)= 0.499, 95% confidence interval (CI) 0.325-0.767) and ARB (HR = 0.410, 95% CI 0.240-0.700) use was associated with a reduced risk of all-cause mortality among patients with COVID-19. For patients with hypertension, RAS-I and ARB applications were also associated with a reduced risk of mortality with HR of 0.352 (95% CI 0.162-0.764) and 0.279 (95% CI 0.115-0.677), respectively. RAS-I exhibited protective effects on the survival outcome of COVID-19. ARB use was associated with a reduced risk of all-cause mortality among patients with COVID-19.

17.
Artigo em Inglês | MEDLINE | ID: mdl-34329162

RESUMO

Ultrasound contrast agent microbubbles are considered promising sensors to measure portal vein pressure noninvasively. In this study, we investigated the subharmonic scattering power and optimal incident acoustic pressure of SonoVueTM microbubbles (concentration: 1µL/mL 0.9% NaCl solution) in the ambient pressure range of 10-40 mmHg with 10 mmHg increments at a temperature of 25 °C. The results demonstrated that the subharmonic response of the SonoVueTM microbubbles existed in three stages: the first growth stage (40-300 kPa), saturation (300 kPa-400 kPa), and the second growth stage (400 kPa-540 kPa). In the first growth stage, the subharmonic amplitude increased with ambient pressure. However, while the ambient pressure increased, the subharmonic amplitude decreased in the second growth stage. The best correlation of the subharmonic amplitudes with the ambient pressures was obtained at a high incident acoustic pressure of 520 kPa (sensitivity: 0.15 dB/mmHg, r2 = 0.99, root mean square error = 0.49 mmHg), which indicated that the subharmonic signals in the second growth stage might be suitable for estimating low ambient pressures. The results presented in our study may pave the way for portal vein pressure estimation using SonoVueTM microbubbles as sensors in clinical applications.

18.
Materials (Basel) ; 14(14)2021 Jul 06.
Artigo em Inglês | MEDLINE | ID: mdl-34300699

RESUMO

With the growing interest in bituminous construction materials, desulfurized crumb rubber (CR)/styrene-butadiene-styrene (SBS) modified asphalts have been investigated by many researchers as low-cost environmental-friendly road construction materials. This study aimed to investigate the rheological properties of desulfurized CR/SBS composite modified asphalt within various temperature ranges. Bending beam rheometer (BBR), linear amplitude sweep (LAS), and multiple stress creep recovery (MSCR) tests were performed on conventional CR/SBS composite modified asphalt and five types of desulfurized CR/SBS modified asphalts. Meanwhile, Burgers' model and the Kelvin-Voigt model were used to derive nonlinear viscoelastic parameters and analyze the viscoelastic mechanical behavior of the asphalts. The experimental results indicate that both the desulfurized CR/SBS composite modifier and force chemical reactor technique can enhance the crosslinking of CR and SBS copolymer, resulting in an improved high-, intermediate-, and low-temperature performance of desulfurized CR/SBS composite modified asphalt. Burgers' model was found to be apposite in simulating the creep stages obtained from MSCR tests for CR/SBS composite modified asphalts. The superior high-temperature performance of desulfurized CR/SBS modified asphalt prepared with 4% SBS, 20% desulfurized rubber, and a force chemical reactor time of 45 min contributes to the good high-temperature elastic properties of the asphalt. Therefore, this combination is recommended as an optimal preparation process. In summary, the desulfurization of crumb rubber and using the force chemical reactor technique are beneficial to composite asphalt performance and can provide a new way of utilizing waste tire rubber.

19.
World J Surg Oncol ; 19(1): 200, 2021 Jul 06.
Artigo em Inglês | MEDLINE | ID: mdl-34229721

RESUMO

BACKGROUND: The prognosis of patients with colorectal cancer and peritoneal metastasis (CRC-PM) after incomplete cytoreductive surgery (CRS) or palliative surgery is poor. Novel and effective therapies are urgently needed. This study aimed to assess the effects of palliative postoperative hyperthermic intraperitoneal chemotherapy (HIPEC) in patients with CRC-PM. METHODS: This retrospective study included patients with CRC-PM at the First Affiliated Hospital of Xi'an Jiaotong University in 05/2014-05/2019. Observation indicators included overall survival (OS), ascites-free survival, peritoneal cancer index (PCI), and completeness of cytoreduction (CC). Kaplan-Meier survival curves and multivariable Cox regression models were used to determine the factors associated with OS and ascites-free survival. The ascites-specific quality of life (QoL) was measured using the Functional Assessment of Chronic Illness Therapy-Ascites Index (FACIT-AI). RESULTS: Eighty-two patients were included, including 37 and 45 in the HIPEC and non-HIPEC groups, respectively. Mean OS was 10.3±3.7 (95% CI 9.5-11.2) months. Multivariable Cox proportional hazard regression suggested that PCI (HR=6.086, 95% CI 3.187-11.620, P < 0.0001) was independently associated with OS. The degree of ascites (HR=2.059, 95% CI 1.412-3.005, P < 0.0001), PCI (HR=6.504, 95% CI 2.844-14.875, P < 0.0001), and HIPEC (HR=0.328, 95% CI 0.191-0.562, P < 0.0001) were independently associated with ascites-free survival. In patients with survival >6 months, postoperative ascites-specific QoL was significantly improved after HIPEC compared with the non-HIPEC group (P < 0.001). Oxaliplatin-based HIPEC significantly increased the rates of neutropenia and peripheral neurotoxicity (both P < 0.05). CONCLUSION: These data indicate that postoperative oxaliplatin-based HIPEC might help increase ascites-free survival in CRC-PM patients after incomplete CRS or palliative surgery, with improved QoL after 6 months of follow-up.


Assuntos
Neoplasias Colorretais , Hipertermia Induzida , Neoplasias Peritoneais , Neoplasias Colorretais/terapia , Terapia Combinada , Procedimentos Cirúrgicos de Citorredução , Humanos , Oxaliplatina , Cuidados Paliativos , Neoplasias Peritoneais/terapia , Prognóstico , Qualidade de Vida , Estudos Retrospectivos , Taxa de Sobrevida
20.
BMC Cancer ; 21(1): 773, 2021 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-34217231

RESUMO

BACKGROUND: Synovial sarcoma is an aggressive but chemosensitive soft-tissue tumor. We retrospectively analyzed the efficacy of perioperative chemotherapy for synovial sarcoma with data from the nationwide database, Bone and Soft Tissue Tumor Registry in Japan. METHODS: This study included 316 patients diagnosed with synovial sarcoma between 2006 and 2012. Oncologic outcomes were analyzed using a Cox-hazard regression model. Moreover, the effects of perioperative chemotherapy on outcomes were evaluated using a matched-pair analysis. The oncologic outcomes of patients who did or did not receive chemotherapy were compared (cx + and cx-). RESULTS: Multivariate analysis revealed significant correlations of age (over 40, hazard ratio [HR] = 0.61, p = 0.043), margin status (marginal resection, HR = 0.18, p < 0.001 and intralesional resection, HR = 0.30, p = 0.013 versus wide resection) with overall survival; surgical margin type (marginal resection, HR = 0.14, p = 0.001 and intralesional resection, HR = 0.09, p = 0.035 versus wide resection) with local recurrence; and postoperative local recurrence (HR = 0.30, p = 0.027) and surgical margin (marginal resection, HR = 0.31, p = 0.023 versus wide resection) with distant relapse-free survival. Before propensity score matching, perioperative chemotherapy was mainly administered for young patients and patients with deeper tumor locations, larger tumors, more advanced-stage disease, and trunk location. The 3-year overall survival, local control, and distant relapse-free survival rates were 79.8%/89.3% (HR = 0.64, p = 0.114), 89.6%/93.0% (HR = 0.37, p = 0.171) and 71.4%/84.5% (HR = 0.60, p = 0.089) in the cx+/cx- groups, respectively. After propensity score matching, 152 patients were selected such that the patient demographics were nearly identical in both groups. The 3-year overall survival, local control, and distant relapse-free survival rates were 71.5%/86.0% (HR = 0.48, p = 0.055), 92.5%/93.3% (HR = 0.51, p = 0.436) and 68.4%/83.9% (HR = 0.47, p = 0.046) in the cx+/cx- groups, respectively. CONCLUSION: This large-sample study indicated that the margin status and postoperative disease control were associated directly or indirectly with improved oncologic outcomes. However, the efficacy of perioperative chemotherapy for survival outcomes in synovial sarcoma patients was not proven in this Japanese database analysis.

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