Promoter methylation of DAPK gene may contribute to the pathogenesis of nonsmall cell lung cancer: a meta-analysis.

We performed a meta-analysis of cohort studies to determine whether promoter methylation of the death-associated protein kinase (DAPK) gene contributes to the pathogenesis of nonsmall cell lung cancer (NSCLC). A range of electronic databases were searched: MEDLINE (1966 ∼ 2013), the Cochrane Library Database (Issue 12, 2013), EMBASE (1980 ∼ 2013), CINAHL (1982 ∼ 2013), Web of Science (1945 ∼ 2013), and the Chinese Biomedical Database (CBM; 1982 ∼ 2013) without any language restrictions. Meta-analysis was conducted using the STATA 12.0 software. Crude odds ratio (OR) with 95 % confidence interval (95 % CI) was calculated. Our meta-analysis integrated results from 12 clinical cohort studies that met all inclusion criteria with a total of 1,027 NSCLC patients. We observed that the frequency of DAPK gene methylation in cancer tissues were significantly higher than that in the adjacent normal and benign tissues (cancer tissues vs. benign tissues: OR=8.50, 95 % CI=5.88 ∼ 12.28, P<0.001; cancer tissues vs. adjacent tissues: OR=5.95, 95 % CI=4.11 ∼ 8.60, P<0.001; cancer tissues vs. normal tissues: OR=4.75, 95 % CI=3.28 ∼ 6.87, P<0.001; respectively). Subgroup analysis by ethnicity demonstrated that DAPK gene methylation was closely associated with the development and progression of NSCLC among both Asians and Caucasians (all P<0.05). Furthermore, we conducted a subgroup analysis based on sample source and discovered that DAPK gene methylation was implicated in the pathogenesis of NSCLC in both blood and tissue subgroups (all P<0.05). Our results suggest that DAPK promoter methylation may be involved in NSCLC carcinogenesis. Thus, the detection of aberrant DAPK methylation may be helpful in the diagnosis and prognosis of NSCLC.

Toripalimab in combination with chemotherapy effectively suppresses local recurrence and metastatic sarcomatoid renal cell carcinoma: A case report.

BACKGROUND: Sarcomatoid renal cell carcinoma (SRCC) is a rare variant of renal cell carcinoma associated with an unfavorable prognosis. The efficacy of conventional chemotherapy and targeted therapies are limited, whereas the emergence of immune checkpoint inhibitor has introduced new avenues for managing advanced SRCC. CASE SUMMARY: A 77-year-old female patient was referred to our hospital following the incidental detection of a right kidney tumor without specific symptoms. The tumor was successfully resected, and subsequent pathological examination confirmed SRCC. She experienced both local recurrence and distant metastasis eight months after the initial laparoscopic resection. Following six cycles of toripalimab combined with pirarubicin chemotherapy, the patient achieved a partial response. Subsequently, the patient attained an almost-complete continuous response to toripalimab monotherapy maintenance for an additional six cycles. She has not experienced disease progression for 15 months, and her overall survival has reached 24 months thus far. CONCLUSION: Combination therapy with programmed death 1 antibodies and cytotoxic agents may be a recommended first-line treatment approach for SRCC.

[Seasonal Variation and Source Analysis of the Water-soluble Inorganic Ions in Fine Particulate Matter in Suzhou].

A total of 87 daily PM2.5 samples were collected in the urban area of Suzhou city during 2015, representing spring, summer, autumn, winter, respectively. Mass concentration of PM2.5 was analyzed gravimetrically. Water-soluble inorganic ions, including F-, Cl-, NO3-, SO42-, Na+, NH4+, K+, Mg2+and Ca2+, were determined by ion chromatography. The average mass concentration of PM2.5 was (74.26±38.01) µg·m-3. The seasonal variations of PM2.5 concentrations decreased in the order of winter > spring > autumn > summer. The average total mass concentrations of 9 ions was (43.95±23.60) µg·m-3, and the order of concentration of ions was NO3- > SO42- > NH4+ > Na+ > Cl- > K+ > Ca2+ > F- > Mg2+. Seasonal variation of ion concentrations was significant, with the highest concentration observed in winter and the lowest in summer. The secondary inorganic species, including SO42-, NO3- and NH4+ (SNA) were the major components of the water-soluble ions in PM2.5. SNA's correlations with each other were significant. SO42-, NO3- and NH4+ were probably in the form of NH4NO3 and (NH4)2SO4. The [NO3-]/[SO42-] ratio approaching to 1 implied that mobile sources were as important as stationary sources. Ion balance calculations indicated strong correlations between anion and cation equivalents. The PM2.5 was acidic. Industrial emission, combustion process, secondary formation and fugitive dust were the major sources of the water-soluble ions in PM2.5..