Objective：To assess prognostic factors and validate the effectiveness of recursive partitioning analysis （RPA） classes and graded prognostic assessment （GPA） in 290 non-small cell lung cancer （NSCLC） patients w...Objective：To assess prognostic factors and validate the effectiveness of recursive partitioning analysis （RPA） classes and graded prognostic assessment （GPA） in 290 non-small cell lung cancer （NSCLC） patients with brain metastasis （BM）.Methods：From Jan 2008 to Dec 2009,the clinical data of 290 NSCLC cases with BM treated with multiple modalities including brain irradiation,systemic chemotherapy and tyrosine kinase inhibitors （TKIs） in two institutes were analyzed.Survival was estimated by Kaplan-Meier method.The differences of survival rates in subgroups were assayed using log-rank test.Multivariate Cox＇s regression method was used to analyze the impact of prognostic factors on survival.Two prognostic indexes models （RPA and GPA） were validated respectively.Results：All patients were followed up for 1-44 months,the median survival time after brain irradiation and its corresponding 95% confidence interval （95% CI） was 14 （12.3-15.8） months.1-,2-and 3-year survival rates in the whole group were 56.0%,28.3%,and 12.0%,respectively.The survival curves of subgroups,stratified by both RPA and GPA,were significantly different （P0.001）.In the multivariate analysis as RPA and GPA entered Cox＇s regression model,Karnofsky performance status （KPS） ≥ 70,adenocarcinoma subtype,longer administration of TKIs remained their prognostic significance,RPA classes and GPA also appeared in the prognostic model.Conclusion：KPS ≥70,adenocarcinoma subtype,longer treatment of molecular targeted drug,and RPA classes and GPA are the independent prognostic factors affecting the survival rates of NSCLC patients with BM.展开更多
This study aimed to investigate the feeding effect of wheat silage on growth performance,nutrient digestibility,rumen fermentation,and microbiota composition in feedlot lambs.Sixty-four male crossbred Chinese Han lamb...This study aimed to investigate the feeding effect of wheat silage on growth performance,nutrient digestibility,rumen fermentation,and microbiota composition in feedlot lambs.Sixty-four male crossbred Chinese Han lambs(BW=27.8±0.67 kg,3 months of age)were randomly assigned to four ration groups with wheat silage replacing 0%(WS0),36%(WS36),64%(WS64),and 100%(WS100)of oaten hay on forage dry matter basis.The concentrate-to-forage ratio was 80:20 and the feeding trial lasted 52 d.Increasing wheat silage inclusion linearly decreased dry matter intake by 4%to 27%(P<0.01).However,increasing the wheat silage replacement of oaten hay by no more than 64%improved the feed efficiency by 14%as noted by the feed-to-gain ratio(P=0.04).Apparent digestibility of organic matter(P<0.01),neutral detergent fibre(P=0.04)and acid detergent fibre(P<0.01)quadratically increased.Ammonia nitrogen(P=0.01)decreased while microbial protein production(P<0.01)increased with the increase of wheat silage inclusion.Total volatile fatty acids concentration increased quadratically with the increase of wheat silage inclusion(P<0.01),and the highest occurred in WS64.The molar proportion of acetate(P<0.01)and acetate-to-propionate ratio(P=0.04)decreased while butyrate(P<0.01)and isovalerate(P=0.04)increased.Increasing wheat silage inclusion increased the Firmicutes-toBacteroidota ratio by 226%to 357%,resulting in Firmicutes instead of Bacteroidota being the most abundant phylum.The relative abundance of cellulolytic Ruminococcus numerically increased but that of amylolytic Prevotella(P<0.01)decreased as increasing wheat silage inclusion.Taken together,increasing wheat silage replacement of oaten hay by no more than 64%exhibited greater feed efficiency and fibre digestion despite low feed intake by feedlot lambs due to the change of Firmicutes-to-Bacteroidota ratio in the rumen.展开更多
A modified hemilaminectomy was introduced in an attempt to explore the operative techniques and the values of the limited approach to spinal cord tumors.Forty-five consecutive patients with intradural extramedullary l...A modified hemilaminectomy was introduced in an attempt to explore the operative techniques and the values of the limited approach to spinal cord tumors.Forty-five consecutive patients with intradural extramedullary lesions,who underwent modified hemilaminectomy,were studied retrospectively.The intraspinal tumors were removed via the limited bone window with a 3.3-cm mean length (range: 2.0–6.5 cm) and a 1.2-cm mean width (range: 0.6–1.5 cm),in which the inner parts of the medial and lateral laminae were mostly undercut for wider view.Spinal lesions were cervical in 21 cases,thoracic in 12 cases,lumbar in 10 cases,and multiple in 2 cases.Forty-three cases were completely excised via hemilaminectomy alone.Two subjects with dumbbell neurinoma underwent two-stage tumor removal via anterolateral cervical approach following hemilaminectomy.With respect to neurological status,the percentage of good Frankel scale (D+E grade) was markedly improved from 22.2% on admission to 93.3% at follow-up.At the median 26-month follow-up evaluation by magnetic resonance imaging (MRI),none of the subjects showed spinal deformity or instability.By preserving musculoligamentous attachments and posterior bony elements as much as possible,the modified approach is minimally invasive and may be routinely used to remove intradural and extramedullary tumors,especially in patients with meningiomas and neurinomas.展开更多
Gossypol,a phenolic compound found in the cotton plant,is widely distributed in cottonseed byproducts.Although ruminant animals are believed to be more tolerant of gossypol toxicity than monogastric animals due to rum...Gossypol,a phenolic compound found in the cotton plant,is widely distributed in cottonseed byproducts.Although ruminant animals are believed to be more tolerant of gossypol toxicity than monogastric animals due to rumen microbial fermentation,the actual mechanisms of detoxification remain unclear.In contrast,the metabolic detoxification of gossypol by Helicoverpa armigera(Lepidoptera:Noctuidae)larvae has achieved great advances.The present review discusses the clinical signs of go ssypol in ruminant animals,as well as summarizing advances in the study of gossypol detoxification in the rumen.It also examines the regulatory roles of several key enzymes in gossypol detoxification and transformation known in H.armigera.With the rapid development of modern molecular biotechnology and-omics technology strategies,evidence increasingly indicates that research into the biological degradation of gossypol in H.armigera larvae and some microbes,in terms of these key enzymes,could provide scientific insights that would underpin future work on microbial gossypol detoxification in the rumen,with the ultimate aim of further alleviating gossypol toxicity in ruminant animals.展开更多
Ferulic acid(FA)is one of the most abundant hydroxycinnamic acids in the plant world,especially in the cell wall of grain bran,in comparison with forage and crop residues.Previous studies noted that FA was mainly link...Ferulic acid(FA)is one of the most abundant hydroxycinnamic acids in the plant world,especially in the cell wall of grain bran,in comparison with forage and crop residues.Previous studies noted that FA was mainly linked with arabinoxylans and lignin in plant cell walls in ester and ether covalent forms.After forages were ingested by ruminant animals or encountered rumen microbial fermentation in vitro,these cross-linkages form physical and chemical barriers to protect cell-wall carbohydrates from microbial attack and enzymatic hydrolysis.Additionally,increasing studies noted that FA presented some toxic effect on microbial growth in the rumen.In recent decades,many studies have addressed the relationships of ester and/or ether-linked FA with rumen nutrient digestibility,and there is still some controversy whether these linkages could be used as a predicator of forage digestibility in ruminants.The authors in this review summarized the possible relationships between ester and/or ether-linked FA and fiber digestion in ruminants.Rumen microbes,especially bacteria and fungi,were found capable of breaking down the ester linkages within plant cell walls by secreting feruloyl and p-coumaroyl esterase,resulting in the release of free FA and improvement of cell wall digestibility.The increasing evidence noted that these esterases secreted by rumen microbes presented synergistic effects with xylanase and cellulase to effectively hydrolyze forage cell walls.Some released FA were absorbed through the rumen wall directly and entered into blood circulation and presented antioxidant effects on host animals.The others were partially catabolized into volatile fatty acids by rumen microbes,and the possible catabolic pathways discussed.To better understand plant cell wall degradation in the rumen,the metabolic fate of FA along with lignin decomposition mechanisms are needed to be explored via future microbial isolation and incubation studies with aims to maximize dietary fiber intake and enhance fiber digestion in ruminant animals.展开更多
文摘Objective：To assess prognostic factors and validate the effectiveness of recursive partitioning analysis （RPA） classes and graded prognostic assessment （GPA） in 290 non-small cell lung cancer （NSCLC） patients with brain metastasis （BM）.Methods：From Jan 2008 to Dec 2009,the clinical data of 290 NSCLC cases with BM treated with multiple modalities including brain irradiation,systemic chemotherapy and tyrosine kinase inhibitors （TKIs） in two institutes were analyzed.Survival was estimated by Kaplan-Meier method.The differences of survival rates in subgroups were assayed using log-rank test.Multivariate Cox＇s regression method was used to analyze the impact of prognostic factors on survival.Two prognostic indexes models （RPA and GPA） were validated respectively.Results：All patients were followed up for 1-44 months,the median survival time after brain irradiation and its corresponding 95% confidence interval （95% CI） was 14 （12.3-15.8） months.1-,2-and 3-year survival rates in the whole group were 56.0%,28.3%,and 12.0%,respectively.The survival curves of subgroups,stratified by both RPA and GPA,were significantly different （P0.001）.In the multivariate analysis as RPA and GPA entered Cox＇s regression model,Karnofsky performance status （KPS） ≥ 70,adenocarcinoma subtype,longer administration of TKIs remained their prognostic significance,RPA classes and GPA also appeared in the prognostic model.Conclusion：KPS ≥70,adenocarcinoma subtype,longer treatment of molecular targeted drug,and RPA classes and GPA are the independent prognostic factors affecting the survival rates of NSCLC patients with BM.
基金the financial support of the project Sheep Feed Evaluation and Feed Table Establishment from the Ministry of Agriculture and Rural Affairs of China
文摘This study aimed to investigate the feeding effect of wheat silage on growth performance,nutrient digestibility,rumen fermentation,and microbiota composition in feedlot lambs.Sixty-four male crossbred Chinese Han lambs(BW=27.8±0.67 kg,3 months of age)were randomly assigned to four ration groups with wheat silage replacing 0%(WS0),36%(WS36),64%(WS64),and 100%(WS100)of oaten hay on forage dry matter basis.The concentrate-to-forage ratio was 80:20 and the feeding trial lasted 52 d.Increasing wheat silage inclusion linearly decreased dry matter intake by 4%to 27%(P<0.01).However,increasing the wheat silage replacement of oaten hay by no more than 64%improved the feed efficiency by 14%as noted by the feed-to-gain ratio(P=0.04).Apparent digestibility of organic matter(P<0.01),neutral detergent fibre(P=0.04)and acid detergent fibre(P<0.01)quadratically increased.Ammonia nitrogen(P=0.01)decreased while microbial protein production(P<0.01)increased with the increase of wheat silage inclusion.Total volatile fatty acids concentration increased quadratically with the increase of wheat silage inclusion(P<0.01),and the highest occurred in WS64.The molar proportion of acetate(P<0.01)and acetate-to-propionate ratio(P=0.04)decreased while butyrate(P<0.01)and isovalerate(P=0.04)increased.Increasing wheat silage inclusion increased the Firmicutes-toBacteroidota ratio by 226%to 357%,resulting in Firmicutes instead of Bacteroidota being the most abundant phylum.The relative abundance of cellulolytic Ruminococcus numerically increased but that of amylolytic Prevotella(P<0.01)decreased as increasing wheat silage inclusion.Taken together,increasing wheat silage replacement of oaten hay by no more than 64%exhibited greater feed efficiency and fibre digestion despite low feed intake by feedlot lambs due to the change of Firmicutes-to-Bacteroidota ratio in the rumen.
基金Project supported by the National Basic Research Program(973)of China(No.2011CB100805)the Modern Agro-Industry Technology Research System of China(No.nycytx-04-01)the Agricultural Science and Technology Innovation Program(No.ASTIP-IAS12),China
文摘A modified hemilaminectomy was introduced in an attempt to explore the operative techniques and the values of the limited approach to spinal cord tumors.Forty-five consecutive patients with intradural extramedullary lesions,who underwent modified hemilaminectomy,were studied retrospectively.The intraspinal tumors were removed via the limited bone window with a 3.3-cm mean length (range: 2.0–6.5 cm) and a 1.2-cm mean width (range: 0.6–1.5 cm),in which the inner parts of the medial and lateral laminae were mostly undercut for wider view.Spinal lesions were cervical in 21 cases,thoracic in 12 cases,lumbar in 10 cases,and multiple in 2 cases.Forty-three cases were completely excised via hemilaminectomy alone.Two subjects with dumbbell neurinoma underwent two-stage tumor removal via anterolateral cervical approach following hemilaminectomy.With respect to neurological status,the percentage of good Frankel scale (D+E grade) was markedly improved from 22.2% on admission to 93.3% at follow-up.At the median 26-month follow-up evaluation by magnetic resonance imaging (MRI),none of the subjects showed spinal deformity or instability.By preserving musculoligamentous attachments and posterior bony elements as much as possible,the modified approach is minimally invasive and may be routinely used to remove intradural and extramedullary tumors,especially in patients with meningiomas and neurinomas.
基金supported by the Key Research and Development Project of Ningxia Hui Autonomous Region(2018BBF33006)National Dairy Industry and Technology System grant number CARS-36。
文摘Gossypol,a phenolic compound found in the cotton plant,is widely distributed in cottonseed byproducts.Although ruminant animals are believed to be more tolerant of gossypol toxicity than monogastric animals due to rumen microbial fermentation,the actual mechanisms of detoxification remain unclear.In contrast,the metabolic detoxification of gossypol by Helicoverpa armigera(Lepidoptera:Noctuidae)larvae has achieved great advances.The present review discusses the clinical signs of go ssypol in ruminant animals,as well as summarizing advances in the study of gossypol detoxification in the rumen.It also examines the regulatory roles of several key enzymes in gossypol detoxification and transformation known in H.armigera.With the rapid development of modern molecular biotechnology and-omics technology strategies,evidence increasingly indicates that research into the biological degradation of gossypol in H.armigera larvae and some microbes,in terms of these key enzymes,could provide scientific insights that would underpin future work on microbial gossypol detoxification in the rumen,with the ultimate aim of further alleviating gossypol toxicity in ruminant animals.
基金the financial supports for Sheep Feed Evaluation&Feed Table Establishment from the Ministry of Agriculture and Rural Affairs of China(Project No.ZR20MAC10/9)National Natural Science Foundation of China(Project No.31072054).
文摘Ferulic acid(FA)is one of the most abundant hydroxycinnamic acids in the plant world,especially in the cell wall of grain bran,in comparison with forage and crop residues.Previous studies noted that FA was mainly linked with arabinoxylans and lignin in plant cell walls in ester and ether covalent forms.After forages were ingested by ruminant animals or encountered rumen microbial fermentation in vitro,these cross-linkages form physical and chemical barriers to protect cell-wall carbohydrates from microbial attack and enzymatic hydrolysis.Additionally,increasing studies noted that FA presented some toxic effect on microbial growth in the rumen.In recent decades,many studies have addressed the relationships of ester and/or ether-linked FA with rumen nutrient digestibility,and there is still some controversy whether these linkages could be used as a predicator of forage digestibility in ruminants.The authors in this review summarized the possible relationships between ester and/or ether-linked FA and fiber digestion in ruminants.Rumen microbes,especially bacteria and fungi,were found capable of breaking down the ester linkages within plant cell walls by secreting feruloyl and p-coumaroyl esterase,resulting in the release of free FA and improvement of cell wall digestibility.The increasing evidence noted that these esterases secreted by rumen microbes presented synergistic effects with xylanase and cellulase to effectively hydrolyze forage cell walls.Some released FA were absorbed through the rumen wall directly and entered into blood circulation and presented antioxidant effects on host animals.The others were partially catabolized into volatile fatty acids by rumen microbes,and the possible catabolic pathways discussed.To better understand plant cell wall degradation in the rumen,the metabolic fate of FA along with lignin decomposition mechanisms are needed to be explored via future microbial isolation and incubation studies with aims to maximize dietary fiber intake and enhance fiber digestion in ruminant animals.
