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内镜黏膜下剥离术与外科手术治疗早期胃癌的有效性及安全性的Meta分析 被引量:41
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作者 钟超 杨建宇 +3 位作者 李启睿 王强 陈幼祥 李国华 《中国内镜杂志》 北大核心 2017年第5期57-63,共7页
目的内镜黏膜下剥离术(ESD)与外科手术是早期胃癌(EGC)的常用治疗方法,但其相关风险及获益目前仍存在争议,该研究旨在比较两种治疗方法在治疗EGC的有效性、安全性等方面的差异。方法检索1990年1月-2016年6月发表在Pubmed、CBM、Embase、... 目的内镜黏膜下剥离术(ESD)与外科手术是早期胃癌(EGC)的常用治疗方法,但其相关风险及获益目前仍存在争议,该研究旨在比较两种治疗方法在治疗EGC的有效性、安全性等方面的差异。方法检索1990年1月-2016年6月发表在Pubmed、CBM、Embase、Cochrane Library、中国知网数据库、维普数据库及万方数据库的有关ESD与外科手术治疗EGC对比研究的所有中英文文献,根据纳入和排除标准对搜索的相关文献进行二次筛选,并对纳入的研究进行质量评价,采用Revman 5.3软件进行Meta分析。结果总共有12篇文献符合纳入标准,且均为回顾性队列研究,共涉及4 331个研究对象。Meta分析的结果显示:ESD与外科手术相比,复发率[(22/2 586,0.85%)vs(6/1 134,0.53%),P=0.370]及5年生存率[(852/909,93.72%)vs(707/746,94.77%),P=0.340]差异无统计学意义,虽然外科手术在整块切除率方面稍高于ESD组[(99/99,100.00%)vs(95/103,92.23%),P=0.020],但是外科手术组的手术时间[标准化均数差(SMD)=-3.04,95%CI:-3.64^-2.45,P=0.000]及住院时间(SMD=-2.53,95%CI:-3.73^-1.32,P=0.000)比ESD组延长,且术后并发症增多[(45/816,5.50%)vs(101/686,14.72%),P=0.000]。结论对于EGC的治疗,两种治疗方法在复发率及5年生存率方面无明显差异,虽然ESD组在整块切除率上不及外科手术组,但其具有创伤小、手术时间短、术中及术后并发症少、住院时间短且恢复快等显著优势,可作为EGC的首选治疗方法。 展开更多
关键词 早期胃癌 内镜黏膜下剥离术 外科手术 META分析
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Clinical significance of programmed death 1/programmed death ligand 1 pathway in gastric neuroendocrine carcinomas 被引量:3
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作者 Min-Wei yang Xue-Liang Fu +12 位作者 Yong-Sheng Jiang Xiao-Jing Chen Ling-Ye Tao jian-yu yang Yan-Miao Huo Wei Liu Jun-Feng Zhang Pei-Feng Liu Qiang Liu Rong Hua Zhi-Gang Zhang Yong-Wei Sun De-Jun Liu 《World Journal of Gastroenterology》 SCIE CAS 2019年第14期1684-1696,共13页
BACKGROUND Recently, more and more studies have demonstrated the pivotal role of programmed death 1/programmed death ligand 1(PD-1/PD-L1) pathway in the immune evasion of tumors from the host immune system. However, t... BACKGROUND Recently, more and more studies have demonstrated the pivotal role of programmed death 1/programmed death ligand 1(PD-1/PD-L1) pathway in the immune evasion of tumors from the host immune system. However, the role of PD-1/PD-L1 pathway in gastric neuroendocrine carcinomas(G-NECs) remains unknown.AIM To investigate the expression of PD-1/PD-L1 and role of PD-1/PD-L1 pathway in G-NECs, which occur rarely but are highly malignant and clinically defiant.METHODS We investigated the expression of PD-L1 on tumor cells and PD-1^+, CD8^+, and FOXP3^+ T cell infiltration by immunohistochemistry in 43 resected G-NEC tissue specimens. The copy number alterations of PD-L1 were assessed by qRT-PCR.RESULTS Most of the G-NECs tumor cells exhibited a near-uniform expression pattern of PD-L1, while some showed a tumor-stromal interface enhanced pattern. Of the 43G-NECs, 21(48.8%) were classified as a high PD-L1 expression group, and the high expression of PD-L1 was associated with poor overall survival(OS). The high expression of PD-L1 was correlated with abundant PD-1^+ tumor infiltrating lymphocytes(TILs) instead of CD8^+ TILs and FOXP3^+ regulatory T cells(Tregs).Our analysis also suggested that the infiltration of CD8^+ TILs tended to be a favorable factor for OS, although the difference did not reach the statistical significance(P = 0.065). Meanwhile, PD-L1 was significantly overexpressed in cases with copy number gain as compared with those without.CONCLUSION Our data demonstrated for the first time that high expression of PD-L1 in GNECs is associated with a poor prognosis, while the high expression may be due to the copy number variation of PD-L1 gene or stimulation of TILs. These results provide a basis for the immunotherapy targeting PD-1/PD-L1 pathway in GNECs. 展开更多
关键词 Programmed DEATH 1 Programmed DEATH LIGAND 1 GASTRIC NEUROENDOCRINE CARCINOMAS Prognosis Tumor infiltrating LYMPHOCYTES
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Systematic understanding of the underlying target and mechanism of sanguinarine against nasopharyngeal carcinoma through a networkpharmacology approach
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作者 Meng-Zhe yang Bei-Bei Zhang +8 位作者 Zhen-Qiang Liang Ning Xu Nan-Nan Cheng An-Qiao Lv jian-yu yang Xing-Zhe Guo Xian-Yu Bai Ai-Jun Jiao Yuan-Jiao Huang 《Precision Medicine Research》 2020年第3期104-115,共12页
Background:Nasopharyngeal carcinoma is a malignant tumor,well known as a cancer type characterized by regional specificity,especially in Southern China.The network pharmacology is an emerging discipline developed in r... Background:Nasopharyngeal carcinoma is a malignant tumor,well known as a cancer type characterized by regional specificity,especially in Southern China.The network pharmacology is an emerging discipline developed in recent years,which has been effectively used to predict the potential therapeutic compounds against disease focusing on the possible therapeutic targets and mechanisms.Sanguinarine,a traditional natural plant-derived phenanthridine alkaloid,has been reported to have a wide variety of pharmacological activities for decades.Methods:In the current study,using the comprehensive network pharmacological method,the potential drug targets of sanguinarine against nasopharyngeal carcinoma were successfully predicted,and verified by molecular docking.The underlying pharmacological mechanism was initially unraveled.Results:Totally,38 potential common targets were confirmed from these potential nasopharyngeal carcinoma therapeutic targets and pharmacological targets of sanguinarine.Their enrichment analyses of GO functions show that protein serine/threonine kinase activity,histone kinase activity,integrin binding,protein tyrosine kinase activity,and cell adhesion molecule binding were top listed.KEGG functional enrichment analysis indicates that the potential pathways are mainly involved into PI3K-Akt signaling pathway.The"drug-target-disease-pathway"network model diagram points out the key genes containing MAPK10,MAPK14,JAK2,BRAF,GSK3B,MET,HSP90AA1,SRC,et al..According to the results of molecular docking,it was further verified that sanguinarine has strong binding ability with MAPK10 and MAPK14.Conclusion:Taken together,this study would provide a clarified theoretical basis for the subsequent wet laboratory research focusing on sanguinarine against nasopharyngeal carcinoma. 展开更多
关键词 Nasopharyngeal carcinoma SANGUINARINE Network pharmacology Drug target
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OPTIMAL CONTROL FOR A NONLINEAR n-DIMENSIONAL COMPETING SYSTEM WITH AGE-STRUCTURE 被引量:1
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作者 ZHI-XUE LUO jian-yu yang YA-JUAN LUO 《International Journal of Biomathematics》 2012年第3期133-144,共12页
This paper is concerned with optimal harvesting control of a first order partial differential equation system representing a nonlinear n-dimensional competitive population model with age-structure. By the Ekeland's v... This paper is concerned with optimal harvesting control of a first order partial differential equation system representing a nonlinear n-dimensional competitive population model with age-structure. By the Ekeland's variational principle, the existence and unique char- acterization of the optimal control strategy are established. The optimality conditions for the control problem are obtained by the concept of the normal cone. 展开更多
关键词 Optimal control AGE-DEPENDENCE COMPETITION the maximum principle.
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