Transarterial Chemoembolization Combined with Apatinib for Treatment of Advanced Hepatocellular Carcinoma:Analysis of Survival and Prognostic Factors

Objective Apatinib is a novel inhibitor of vascular endothelial growth factor receptor-2.The goal of this study was to evaluate overall survival(OS)after a combination of transarterial chemoembolization(TACE)and apatinib in patients with advanced hepatocellular carcinoma(HCC)and to identify the factors affecting patient survival.Methods Fifty-one patients with advanced HCC who received TACE in combination with apatinib in our hospital from June 2015 to May 2017 were enrolled.The OS and progression-free survival(PFS)were calculated using the Kaplan-Meier method.The log-rank test and Cox regression model were used to determine the factors affecting OS.Results The median OS and PFS of the patients were 15 months and 10 months,respectively.The 1-,2-,and 3-year survival rates were 64.7%,23.5%,and 1.8%,respectively.Univariate survival analysis showed that patients with Child-Pugh A(P=0.006),reduction rate of proper hepatic artery(P=0.016),hand-foot syndrome(P=0.005),secondary hypertension(P=0.050),and without ascites(P=0.010)had a better OS.Multivariate analysis showed that hand-foot syndrome(P=0.014),secondary hypertension(P=0.017),and reduction rate of proper hepatic artery(P=0.025)were independent predictors of better OS.Conclusion TACE combined with apatinib is a promising treatment for advanced HCC.Hand-foot syndrome,secondary hypertension,and the reduction rate of proper hepatic artery were associated with a better OS.

CO catalytic oxidation over Pd/CeO2 with different chemical states of Pd

Three Pd/CeO2 catalysts were,respectively,prepared by reduction-deposition and impregnation method(IMP)to investigate the effect of chemical state of Pd on CO oxidation.Two kinds of surface Pd species,namely PdO and Pdδ+(2<δ≤4)in PdxCe1-xO2,were identified in all Pd/CeO2 samples although their relative ratios in each sample were different.Surface PdxCe1-xO2 species were found to be very active for CO oxidation,and it could act as a channel by which active oxygen species can be transferred from CeO2 to Pd species for CO oxidation.Our results reveal that the preparation method can severely influence the chemical state of Pd which can further determine the activity for CO oxidation.