Distal margin distance in radical resection of locally advanced rectal cancer after neoadjuvant therapy

Colorectal cancer has a high incidence and mortality rate in China, with the majority of cases being middle and low rectal cancer. Surgical intervention is currently the main treatment modality for locally advanced rectal cancer, with the common goal of improving oncological outcomes while preserving function. The controversy regarding the circumferential resection margin distance in rectal cancer surgery has been resolved. With the promotion of neoadjuvant therapy concepts and advancements in technology, treatment strategies have become more diverse.Following tumor downstaging, there is an increasing trend towards extending the safe distance of distal rectal margin. This provides more opportunities for patients with low rectal cancer to preserve their anal function.However, there is currently no consensus on the specific distance of distal resection margin.

The key cyclic electron flow protein PGR5 associates with cytochrome b_(6)f, and its function is partially influenced by the LHCⅡ state transition

In plants and algae,PGR5-dependent cyclic electron flow(CEF)is an important regulator of acclimation to fluctuating environments,but how PGR5 participates in CEF is unclear.In this work,we analyzed two PGR5s in cucumber(Cucumis sativus L.)under different conditions and found that CsPGR5a played the dominant role in PGR5-dependent CEF.The results of yeast two-hybrid,biomolecular fluorescence complementation(BiFC),blue native PAGE,and coimmunoprecipitation(CoIP)assays showed that PGR5a interacted with PetC,Lhcb3,and PsaH.Furthermore,the intensity of the interactions was dynamic during state transitions,and the abundance of PGR5 attached to cyt b_(6)f decreased during the transition from state 1 to state 2,which revealed that the function of PGR5a is related to the state transition.We proposed that PGR5 is a small mobile protein that functions when attached to protein complexes.