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初诊Ⅳ期肺癌患者中性粒细胞/淋巴细胞比值与营养不良风险的相关性分析
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作者 肖平 潘海 +2 位作者 马晴 宋丽平 钟殿胜 《中国肺癌杂志》 CAS CSCD 北大核心 2024年第3期193-198,共6页
背景与目的 恶性肿瘤患者往往伴随营养不良,与预后密切相关。中性粒细胞与淋巴细胞比值(neutrophil-to-lymphocyte ratio,NLR)作为体内炎症的指标,能够预测多种疾病的营养不良风险,然而其与肺癌患者营养不良的关系尚不明确。本研究旨在... 背景与目的 恶性肿瘤患者往往伴随营养不良,与预后密切相关。中性粒细胞与淋巴细胞比值(neutrophil-to-lymphocyte ratio,NLR)作为体内炎症的指标,能够预测多种疾病的营养不良风险,然而其与肺癌患者营养不良的关系尚不明确。本研究旨在分析NLR与初诊Ⅳ期肺癌患者营养不良风险的关系,并进一步确定NLR的截断值以更好地预测患者营养不良的风险。方法 回顾性分析2019年5月至2021年2月天津医科大学总医院肿瘤内科收治的209例初诊Ⅳ期肺癌患者,应用营养风险筛查2002 (nutritional risk screening 2002,NRS 2002)量表对其营养状况进行评估,同时收录患者人口学信息、病理、卡氏体能状态(Karnofsky performance status,KPS)评分、体重指数、合并疾病及临床生化指标的资料。分析NLR与营养不良风险的关系,并采用受试者工作特征(receiver operating characteristic,ROC)曲线来确定预测营养不良风险的最佳NLR临界值。应用多因素Logistic回归进一步评估NLR与营养不良风险之间的关系。结果 初诊Ⅳ期肺癌患者存在营养不良风险的比率为36.36%(76/209)。对NLR与NRS 2002营养不良风险评分进行分析发现,NLR与营养不良风险评分呈正相关(r=0.765,P<0.001)。通过ROC曲线分析,确定初诊Ⅳ期肺癌患者营养不良风险的最佳截断值NLR为3.94 [曲线下面积(area under the curve,AUC)=0.747,95%CI:0.678-0.815,P<0.001],敏感性为55%,特异性为86%,阳性预测值为68%,阴性预测值为77%。相比于NLR≤3.94组的患者,NLR>3.94组的患者更容易发生营养不良(69.49%vs 23.33%,P<0.001),并且NLR为初诊Ⅳ期肺癌患者营养不良风险的独立危险因素。结论 NLR在初诊Ⅳ期肺癌患者中与营养不良风险有关,NLR可作为Ⅳ期肺癌患者营养风险筛查的指标之一。 展开更多
关键词 营养 肺肿瘤 中性粒细胞与淋巴细胞比值
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Mutation in a non-force-bearing region of protein L influences force-dependent unfolding behavior
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作者 蒋环杰 王艳伟 +4 位作者 陈家媛 胡丹 潘海 郭子龙 陈虎 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第7期624-629,共6页
Single-molecule magnetic tweezers(MTs) have revealed multiple transition barriers along the unfolding pathway of several two-state proteins, such as GB1 and Csp. In this study, we utilized MTs to measure the force-dep... Single-molecule magnetic tweezers(MTs) have revealed multiple transition barriers along the unfolding pathway of several two-state proteins, such as GB1 and Csp. In this study, we utilized MTs to measure the force-dependent folding and unfolding rates of both protein L(PLWT) and its Y47W mutant(PLY47W) where the mutation point is not at the force-bearing β-strands. The measurements were conducted within a force range of 3–120 pN. Notably, the unfolding rates of both PLWT and PWY47W exhibit distinct force sensitivities below 50 pN and above 60 pN, implying a two-barrier free energy landscape. Both PLWT and PLY47W share the same force-dependent folding rate and the same transition barriers,but the unfolding rate of PLY47W is faster than that of PLWT. Our finding demonstrates that the residue outside of the force-bearing region will also affect the force-induced unfolding dynamics. 展开更多
关键词 protein folding magnetic tweezers protein L
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医院社区联动干预应用于川崎病患儿中的效果分析 被引量:8
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作者 海盼 黄珊珊 田静 《新疆医科大学学报》 CAS 2019年第8期1029-1032,1036,共5页
目的探讨医院社区联动干预应用于川崎病患儿中的效果。方法选择2016年2月-2018年2月徐州市儿童医院收治的川崎病患儿86例,按照随机数字表法分为2组,各43例。对照组行常规干预,观察组行医院社区联动干预。对比2组干预前后患儿家属对疾病... 目的探讨医院社区联动干预应用于川崎病患儿中的效果。方法选择2016年2月-2018年2月徐州市儿童医院收治的川崎病患儿86例,按照随机数字表法分为2组,各43例。对照组行常规干预,观察组行医院社区联动干预。对比2组干预前后患儿家属对疾病知识掌握度、负性情绪变化,并记录2组并发症发生率和护理满意度情况。结果观察组干预后患儿家属对川崎病并发症预防知识、疾病治疗知识和康复知识评分均高于对照组,差异有统计学意义(P<0.05);观察组干预后HAMA、HAMD评分均低于对照组,差异有统计学意义(P<0.05);观察组肺部损伤、心血管损伤、关节损伤、消化道损伤、泌尿系统损伤、肝脏损伤发生率均低于对照组,差异有统计学意义(P<0.05);观察组患儿家属对业务熟悉、责任心、服务态度满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论医院社区联动干预应用于川崎病患儿中可提高家属对疾病知识的认知水平,减轻其负性情绪,降低并发症发生率,提高护理满意度,值得推广。 展开更多
关键词 医院社区联动干预 川崎病 疾病知识掌握度 负性情绪 并发症
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A versatile platform for single-molecule enzymology of restriction endonuclease
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作者 Xin Wang Jingyuan Nie +5 位作者 Yi Li hai pan Peng Zheng Meng Qin Yi Cao Wei Wang 《Journal of Innovative Optical Health Sciences》 SCIE EI CAS 2019年第1期29-38,共10页
Enzymes are the major players for many biological processes.Fundamental studies of the enzymatic activity at the single-molecule level provides important information that is otherwise inaccessible at the ensemble leve... Enzymes are the major players for many biological processes.Fundamental studies of the enzymatic activity at the single-molecule level provides important information that is otherwise inaccessible at the ensemble level.Yet,these single-molecule experiments are technically di±cult and generally require complicated experimental design.Here,we develop a Holliday junction(HJ)-based platform to study the activity of restriction endonucleases at the single-molecule level using single-molecule FRET(sm-FRET).We show that the intrinsic dynamics of HJ can be used as the reporter for both the enzyme-binding and the substrate-release events.Thanks to the multiple-arms structure of HJ,the fluorophore-labeled arms can be different from the surface anchoring arm and the substrate arm.Therefore,it is possible to independently change the substrate arm to study different enzymes with similar functions.Such a design is extremely useful for the systematic study of enzymes from the same family or enzymes bearing different pathologic mutations.Moreover,this method can be easily extended to study other types of DNA-binding enzymes without too much modi fication of the design.We anticipate it can find broad applications in single-molecule enzymology. 展开更多
关键词 Single molecule Forster resonance energy transfer ENZYMOLOGY KINETICS holliday junction
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一例携带BRCA1 p.R166fs新突变位点的结肠癌病例报道
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作者 周大杨 刘畅 +7 位作者 黄鉴 许宁 吉祥 杨可欣 彭继邦 潘海 徐文静 珠珠 《中华结直肠疾病电子杂志》 2024年第1期68-71,共4页
结直肠癌是由复杂的遗传多步骤分子途径引起的。乳腺癌易感基因1(BRCA1)是著名的肿瘤易感基因,其报道多集中在乳腺癌和卵巢癌的遗传易感性方面,但BRCA1胚系突变相关结直肠癌研究还处于起始阶段,其发病原因及机制不详,目前尚无统一、规... 结直肠癌是由复杂的遗传多步骤分子途径引起的。乳腺癌易感基因1(BRCA1)是著名的肿瘤易感基因,其报道多集中在乳腺癌和卵巢癌的遗传易感性方面,但BRCA1胚系突变相关结直肠癌研究还处于起始阶段,其发病原因及机制不详,目前尚无统一、规范的诊治指南。本文报道了1例BRCA1 p.R166fs新突变位点的结肠癌病例,并通过回顾相关的历史文献,对该疾病的发病机制及预后等问题进行了讨论。 展开更多
关键词 结直肠肿瘤 BRCA1基因突变 家系分析
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Atomistic simulation of the coupled adsorption and unfolding of protein GB1 on the polystyrenes nanoparticle surface 被引量:1
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作者 HuiFang Xiao Bin Huang +7 位作者 Ge Yao WenBin Kang Sheng Gong hai pan Yi Cao Jun Wang Jian Zhang Wei Wang 《Science China(Physics,Mechanics & Astronomy)》 SCIE EI CAS CSCD 2018年第3期56-64,共9页
Understanding the processes of protein adsorption/desorption on nanoparticles' surfaces is important for the development of new nanotechnology involving biomaterials; however, an atomistic resolution picture for t... Understanding the processes of protein adsorption/desorption on nanoparticles' surfaces is important for the development of new nanotechnology involving biomaterials; however, an atomistic resolution picture for these processes and for the simultaneous protein conformational change is missing. Here, we report the adsorption of protein GB1 on a polystyrene nanoparticle surface using atomistic molecular dynamic simulations. Enabled by metadynamics, we explored the relevant phase space and identified three protein states, each involving both the adsorbed and desorbed modes. We also studied the change of the secondary and tertiary structures of GB1 during adsorption and the dominant interactions between the protein and surface in different adsorption stages. The results we obtained from simulation were found to be more adequate and complete than the previous one. We believe the model presented in this paper, in comparison with the previous ones, is a better theoretical model to understand and explain the experimental results. 展开更多
关键词 蛋白质吸附 动态模拟 聚苯乙烯 原子论 表面 解吸附作用 纳米技术 相互作用
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