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新生儿睾丸扭转17例临床分析
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作者 高晓峰 周锐 +5 位作者 束方鹏 朱士博 李典 刘国昌 贾炜 伏雯 《中华新生儿科杂志(中英文)》 CAS CSCD 2023年第11期675-678,共4页
目的探讨新生儿睾丸扭转(neonatal testicular torsion,NTT)的临床特点及治疗情况,总结诊治经验。方法选择2015年1月至2021年1月广州市妇女儿童医疗中心小儿泌尿外科收治的NTT病例为研究对象,对患儿基本情况、睾丸扭转时间、临床表现、... 目的探讨新生儿睾丸扭转(neonatal testicular torsion,NTT)的临床特点及治疗情况,总结诊治经验。方法选择2015年1月至2021年1月广州市妇女儿童医疗中心小儿泌尿外科收治的NTT病例为研究对象,对患儿基本情况、睾丸扭转时间、临床表现、超声检查结果、手术方法、病理结果、随访及预后等进行回顾性分析。结果共纳入17例NTT患儿,入院日龄1~17 d,中位数为5.2 d,体重2800~4000 g。左侧睾丸扭转11例,右侧6例。睾丸扭转起病至就诊中位时间3.8 d(10 h~15 d)。首发临床症状为阴囊肿大、颜色改变或无痛性肿块,急诊超声提示睾丸内血流信号明显减少或消失,阴囊内探及回声不均质团块。17例均手术探查,证实为睾丸扭转。鞘膜外型15例,鞘膜内型2例;逆时针扭转11例,顺时针扭转6例;扭转角度平均450.8°,范围270°~720°。15例(15/17)行睾丸切除。术后随访1年,患儿术后切口均无出血或感染,无睾丸扭转复发,手术对侧睾丸无异常。2例保留患侧睾丸者术后6个月复查超声均提示患侧睾丸已萎缩。结论NTT临床少见且缺乏特异性表现,失睾率极高。当新生儿出现阴囊肿大、颜色改变等异常不排除睾丸扭转时,需及早手术探查。 展开更多
关键词 新生儿 睾丸扭转 睾丸切除 手术探查
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Abrogation of Hn RNP L enhances anti-PD-1 therapy efficacy via diminishing PD-L1 and promoting CD8^(+) T cell-mediated ferroptosis in castration-resistant prostate cancer 被引量:6
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作者 Xumin Zhou Libin Zou +12 位作者 Hangyu Liao Junqi Luo Taowei Yang Jun Wu Wenbin Chen Kaihui Wu Shengren Cen Daojun Lv fangpeng shu Yu Yang Chun Li Bingkun Li Xiangming Mao 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2022年第2期692-707,共16页
Owing to incurable castration-resistant prostate cancer(CRPC)ultimately developing after treating with androgen deprivation therapy(ADT),it is vital to devise new therapeutic strategies to treat CRPC.Treatments that t... Owing to incurable castration-resistant prostate cancer(CRPC)ultimately developing after treating with androgen deprivation therapy(ADT),it is vital to devise new therapeutic strategies to treat CRPC.Treatments that target programmed cell death protein 1(PD-1)and programmed death ligand-1(PD-L1)have been approved for human cancers with clinical benefit.However,many patients,especially prostate cancer,fail to respond to anti-PD-1/PD-L1 treatment,so it is an urgent need to seek a support strategy for improving the traditional PD-1/PD-L1 targeting immunotherapy.In the present study,analyzing the data from our prostate cancer tissue microarray,we found that PD-L1 expression was positively correlated with the expression of heterogeneous nuclear ribonucleoprotein L(Hn RNP L).Hence,we further investigated the potential role of Hn RNP L on the PD-L1 expression,the sensitivity of cancer cells to T-cell killing and the synergistic effect with anti-PD-1 therapy in CRPC.Indeed,Hn RNP L knockdown effectively decreased PD-L1 expression and recovered the sensitivity of cancer cells to T-cell killing in vitro and in vivo,on the contrary,Hn RNP L overexpression led to the opposite effect in CRPC cells.In addition,consistent with the previous study,we revealed that ferroptosis played a critical role in T-cell-induced cancer cell death,and Hn RNP L promoted the cancer immune escape partly through targeting YY1/PD-L1 axis and inhibiting ferroptosis in CRPC cells.Furthermore,Hn RNP L knockdown enhanced antitumor immunity by recruiting infiltrating CD8^(+)T cells and synergized with anti-PD-1 therapy in CRPC tumors.This study provided biological evidence that Hn RNP L knockdown might be a novel therapeutic agent in PD-L1/PD-1 blockade strategy that enhanced anti-tumor immune response in CRPC. 展开更多
关键词 HnRNP L PD-L1 YY1 Ferroptosis Immune escape Immune checkpoint blockade Anti-PD-1 therapy Castration-resistant prostate cancer
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Apoptotic and nonapoptotic function of caspase 7 in spermatogenesis 被引量:2
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作者 Bin Lei Xuming Zhou +5 位作者 Daojun Lv Bo Wan Huayan Wu Liren Zhong fangpeng shu Xiangming Mao 《Asian Journal of Andrology》 SCIE CAS CSCD 2017年第1期47-51,共5页
Recent studies have reported that caspase 7 has an apoptotic and nonapoptotic function. However, the relationship between caspase 7 and spermatogenesis remains unknown. This study aimed to investigate the possible fun... Recent studies have reported that caspase 7 has an apoptotic and nonapoptotic function. However, the relationship between caspase 7 and spermatogenesis remains unknown. This study aimed to investigate the possible function of caspase 7 during normal and abnormal spermatogenesis. The cleaved form of caspase 7 was detected in testis tissues at different postpartum times (5-14 weeks) by qRT-PCR, Western blot and immunohistochemistry (IHC). Then, the mice models of spermatogenic dysfunction were obtained by busulfan (30 mg kg-1) to further evaluate the potential function and mechanism of caspase 7. qRT-PCR and Western blot results showed that caspase 7 expression was gradually elevated from 5 to 14 weeks, which was not connected with apoptosis. IHC results revealed that caspase 7 was mainly located in spermatogenic cells and Leydig cells. In addition, spermatogenic dysfunction induced by busulfan gradually enhanced the apoptosis and elevated the expression of caspase 3, caspase 6, and caspase 9, but decreased the expression of caspase 7 in spermatogenic cells. However, when spermatogenic cells were mostly disappeared at the fourth week after busulfan treatment, caspase 7 expression in Leydig cells was significantly increased and positively correlated with the expression of caspase 3, caspase 6, and caspase 9. Therefore, these results indicate that caspase 7 has a nonapoptic function that participates in normal spermatogenesis, but also displays apoptotic function in spermatogenic dysfunction. 展开更多
关键词 APOPTOSIS caspase 7 CASPASES SPERMATOGENESIS spermatogenic dysfunction
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