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Lung adenocarcinoma with initial binocular symptoms
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作者 Xiao-Lan Zhao Yan-Qing Jiang +2 位作者 Zhen Yang chao-qun liu Xiao-Li Yang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第5期982-984,共3页
Dear Editor,Lung adenocarcinoma with choroidal metastasis is a common form of cancer,with breast cancer accounting for 40%-53%and lung cancer accounting for 20%-29%of primary cases with choroidal metastases[1].This ty... Dear Editor,Lung adenocarcinoma with choroidal metastasis is a common form of cancer,with breast cancer accounting for 40%-53%and lung cancer accounting for 20%-29%of primary cases with choroidal metastases[1].This type of metastatic cancer typically affects people aged 40-70y,and is more prevalent in women than men[1].Ocular symptoms,including vision loss,can be an early indication of the disease,as many tumors are asymptomatic in their early stages.Studies have shown that 40.3%of cases involve the macular region,which explains why ocular symptoms are often the first manifestation of the disease[2].When choroidal metastasis is suspected in patients without a history of cancer,a combination of diagnostic tools should be used to identify the primary source of the tumor.Choroidal tumors can serve as an indication of future lung cancer diagnosis in some patients with lung cancer[1].In this report,we present a case of bilateral lung adenocarcinoma where ocular symptoms were the first indication of the disease. 展开更多
关键词 LUNG SYMPTOMS ADENOCARCINOMA
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视网膜静脉阻塞视盘区量化OCTA的临床研究 被引量:3
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作者 王良艳 刘超群 +7 位作者 刘建亮 林琳 杨凯莉 牟亚男 张兆光 贾凡 王淑娜 孙刚 《国际眼科杂志》 CAS 北大核心 2020年第12期2163-2166,共4页
目的:探讨量化光学相干断层扫描血管成像(OCTA)在视网膜静脉阻塞(RVO)患者中的临床应用价值。方法:前瞻性病例资料研究。选取2018-01/2019-12在潍坊医学院附属医院眼科中心检查确诊的RVO患者40例40眼,选取年龄、性别与RVO患者相匹配的... 目的:探讨量化光学相干断层扫描血管成像(OCTA)在视网膜静脉阻塞(RVO)患者中的临床应用价值。方法:前瞻性病例资料研究。选取2018-01/2019-12在潍坊医学院附属医院眼科中心检查确诊的RVO患者40例40眼,选取年龄、性别与RVO患者相匹配的健康体检者40例42眼作为正常对照组。采用OCTA测量两组受检者视盘区血流密度,并评估各参数的差异。结果:RVO患者患眼整个图像血管(t=-2.953,P<0.001)、视盘周血管(t=-3.533,P=0.001)、整个图像毛细血管(t=-3.192,P=0.003)、视盘周毛细血管(t=-3.930,P<0.001)、下方鼻侧(t=-2.854,P=0.007)、下方颞侧(t=-3.696,P=0.001)、颞下(t=-3.418,P=0.002)、颞上(t=-3.170,P=0.003)、上方颞侧(t=-3.082,P=0.004)、上方鼻侧(t=-2.912,P=0.006)区域内的血流密度均较对侧眼明显下降。RVO患者患眼各个区域内的血流密度均较正常对照组明显下降(P<0.05)。RVO患者对侧眼整个图像血管(t=-2.213,P=0.032)、视盘内血管(t=-2.270,P=0.028)、整个图像毛细血管(t=-2.192,P=0.033)、视盘内毛细血管(t=-2.449,P=0.018)、颞上(t=-2.147,P=0.037)区域内的血流密度均较正常对照组明显下降。结论:量化OCTA揭示了RVO患者视盘区血流密度下降,提示视盘区量化OCTA对于RVO病情的评估及对侧眼的预防具有临床应用价值。 展开更多
关键词 视网膜静脉阻塞 光学相干断层扫描血管成像 放射状视盘周围毛细血管层 视盘区血流密度
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短暂性脑缺血发作患者ABCD3-I评分与责任血管病变特点的关系及预后分析 被引量:6
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作者 刘超群 胡杰 +2 位作者 吕祥龙 薛庆华 李再叶 《中国现代医学杂志》 CAS 2020年第15期85-90,共6页
目的探讨短暂性脑缺血发作(TIA)患者ABCD3-I评分与责任血管病变特点的关系及预后分析。方法选取2015年1月—2018年6月于滁州市中西医结合医院脑病科收治的112例TIA患者,采用ABCD3-Ⅰ评分进行危险分层,分析不同危险分层与责任血管病变的... 目的探讨短暂性脑缺血发作(TIA)患者ABCD3-I评分与责任血管病变特点的关系及预后分析。方法选取2015年1月—2018年6月于滁州市中西医结合医院脑病科收治的112例TIA患者,采用ABCD3-Ⅰ评分进行危险分层,分析不同危险分层与责任血管病变的关系,另通过Logistic回归模型探讨相关危险因素,随访患者3个月,统计其脑梗死发病率。结果随着ABCD3-Ⅰ评分的增高,颅内动脉狭窄率呈升高趋势(P?<0.05),颈部血管狭窄呈下降趋势(P<0.05);颈部血管超声显示,内膜增厚(44.82%)是低危组颈部血管主要病理改变,中高危组主要表现为软斑形成(35.53%);经颅多普勒检查提示低危组患者以脑动脉弹性降低为主(52.00%),中、高危组均以颅内血管血流速度异常为主(60.53%和72.73%);低、中危组主要表现为单支血管病变(85.19%和62.50%),而高危组主要表现为多支血管病变(79.41%),同时各组供血动脉病变数比较,差异有统计学意义(P<0.05);Logistic回归分析发现,责任血管狭窄率≥50%[OlR=3.425(95%CI:1.402,8.956),P=0.008]、单侧肢体无力[OlR=4.612(95%CI:1.572,12.876),P=0.006]和不稳定斑块[OlR=3.243(95%CI:1.276,7.124),P=0.001]是90?d内进展为脑梗死的独立危险因素(P<0.05)。各组卒中发生率比较,差异有统计学意义(P?<0.05)。结论TIA患者ABCD3-I评分能够反映患者血管的狭窄程度、斑块性质及血管病变支数,结合危险因素能够早期防治脑梗死。 展开更多
关键词 脑缺血发作 短暂性 危险因素 预后
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Construction of a risk score prognosis model based on hepatocellular carcinoma microenvironment 被引量:3
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作者 Fa-Peng Zhang Yi-Pei Huang +4 位作者 Wei-Xin Luo Wan-Yu Deng chao-qun liu Lei-Bo Xu Chao liu 《World Journal of Gastroenterology》 SCIE CAS 2020年第2期134-153,共20页
BACKGROUND Hepatocellular carcinoma(HCC)is a common cancer with a poor prognosis.Previous studies revealed that the tumor microenvironment(TME)plays an important role in HCC progression,recurrence,and metastasis,leadi... BACKGROUND Hepatocellular carcinoma(HCC)is a common cancer with a poor prognosis.Previous studies revealed that the tumor microenvironment(TME)plays an important role in HCC progression,recurrence,and metastasis,leading to poor prognosis.However,the effects of genes involved in TME on the prognosis of HCC patients remain unclear.Here,we investigated the HCC microenvironment to identify prognostic genes for HCC.AIM To identify a robust gene signature associated with the HCC microenvironment to improve prognosis prediction of HCC.METHODS We computed the immune/stromal scores of HCC patients obtained from The Cancer Genome Atlas based on the ESTIMATE algorithm.Additionally,a risk score model was established based on Differentially Expressed Genes(DEGs)between high and lowimmune/stromal score patients.RESULTS The risk score model consisting of eight genes was constructed and validated in the HCC patients.The patients were divided into high-or low-risk groups.The genes(Disabled homolog 2,Musculin,C-X-C motif chemokine ligand 8,Galectin 3,B-cell-activating transcription factor,Killer cell lectin like receptor B1,Endoglin and adenomatosis polyposis coli tumor suppressor)involved in our risk score model were considered to be potential immunotherapy targets,and they may provide better performance in combination.Functional enrichment analysis showed that the immune response and T cell receptor signaling pathway represented the major function and pathway,respectively,related to the immune-related genes in the DEGs between high-and low-risk groups.The receiver operating characteristic(ROC)curve analysis confirmed the good potency of the risk score prognostic model.Moreover,we validated the risk score model using the International Cancer Genome Consortium and the Gene Expression Omnibus database.A nomogram was established to predict the overall survival of HCC patients.CONCLUSION The risk score model and the nomogram will benefit HCC patients through personalized immunotherapy. 展开更多
关键词 Hepatocellular carcinoma Prognostic model Immune related gene MICROENVIRONMENT Risk score Overall survival
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Effect of Metformin-Induced Stimulation on the Expression of Insulin Receptor Substrate 1 through Negative Regulation of P70S6k
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作者 Hui-Ming Ma Dong-Mei Chen +8 位作者 Li Xiang chao-qun liu Qiao-Ni Hou Yan-Tao He Cheng Xin Yong-Fang Zhang Xiu-Ying Pei Yan-Rong Wang Xian Xu 《Reproductive and Developmental Medicine》 CSCD 2018年第1期15-20,共6页
Objective:The aim is to study the effects of metformin on the expression of 70 kDa ribosomal protein S6 kinase(P70S6k),insulin receptor substrate 1(IRS-1),and IRS-1Ser307 phosphorylation in human luteinized granulosa ... Objective:The aim is to study the effects of metformin on the expression of 70 kDa ribosomal protein S6 kinase(P70S6k),insulin receptor substrate 1(IRS-1),and IRS-1Ser307 phosphorylation in human luteinized granulosa cells.Methods:Granulosa cells in the experimental group were cultured in M199 medium containing 0.1 mmol/L metformin for 24 h and those in control group were cultured in M199 medium.The expression levels of P70S6k and IRS-1 mRNA were detected by reverse-transcriptiom polymerase chain reaction(RT-PCR)and real-time PCR.P70S6k,IRS-1,p-ser307-IRS-1,and p-thr389-P70S6k protein expression levels were detected by immunofluorescence and western blotting.Results:P70S6k mRNA level was higher and IRS-1 was significantly lower in the experimental group than those in the control group.IRS-1 and p-ser307-IRS-1 were expressed in cell plasma,and P70S6k and p-thr389-P70S6k were expressed in cell nucleus.The results of Western blot analysis indicated that the expression levels of P70S6k,p-thr389-P70S6k,IRS-1,and p-ser307-IRS-1 proteins had significant difference between the experimental group and the control group.Compared to the control group,the relative intensity illustrated that the expression levels of P70S6K and p-thr389-P70S6k significantly increased in the experimental group;however,those of IRS-1 and p-ser307-IRS-1 proteins significantly decreased.Conclusion:Metformin can inhibit the P70S6k mRNA and protein expression levels in the granulosa cells and improve insulin sensitivity by regulating IRS-1 expression through Akt/P70S6k/IRS-1-dependent pathway. 展开更多
关键词 70 kDa Ribosomal Protein S6 Kinase Human Luteinized Granulosa Cells Insulin Receptor Substrate 1 METFORMIN
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