Objective:China is a developing country with urban–rural disparities and accelerating population aging.Therefore,quantifying the effects of population aging on the cancer mortality burden is urgently needed.Methods:U...Objective:China is a developing country with urban–rural disparities and accelerating population aging.Therefore,quantifying the effects of population aging on the cancer mortality burden is urgently needed.Methods:Using data from China’s death surveillance datasets(2004–2017),we decomposed and quantified the effects of population aging and factor variations on cancer mortality rates in urban and rural China during 2004–2017 through a decomposition method.R ratios were used to assess the extent of the mortality decreases attributable to factor variations offsetting the increases attributable to population aging for 4 aging-related cancers(lung,colorectal,esophageal,and stomach cancer).Results:Overall,population aging has led to continued increases in cancer mortality rates in China during 2004–2017(mortality rates attributable to population aging:8.63/100,000 for urban men,4.21/100,000 for urban women,11.95/100,000 for rural men,and 5.66/100,000 for rural women).The 4 cancers displayed 3 patterns.The mortality rates from lung cancer in rural China and from colorectal cancer nationwide increased because of both population aging and factor variations.Population aging was primarily responsible for the growing mortality due to lung cancer in urban areas.However,for esophageal and stomach cancer,the effect of population aging was not dominant,thus resulting in decreases in mortality rates.Conclusions:Health resource allocation should prioritize areas or cancers more adversely affected by population aging.The burden of cancer will continue to increase in the future,because of rapid population aging,but can still be offset or even reversed with enhanced cancer control and prevention.展开更多
Hepatocellular carcinoma(HCC)is a common malignant tumor that affecting many people's lives globally.The common risk factors for HCC include being overweight and obese.The liver is the center of lipid metabolism,s...Hepatocellular carcinoma(HCC)is a common malignant tumor that affecting many people's lives globally.The common risk factors for HCC include being overweight and obese.The liver is the center of lipid metabolism,synthesizing most cholesterol and fatty acids.Abnormal lipid metabolism is a significant feature of metabolic reprogramming in HCC and affects the prognosis of HCC patients by regulating inflammatory responses and changing the immune microenvironment.Targeted therapy and immunotherapy are being explored as the primary treatment strategies for HCC patients with unresectable tumors.Here,we detail the specific changes of lipid metabolism in HCC and its impact on both these therapies for HCC.HCC treatment strategies aimed at targeting lipid metabolism and how to integrate them with targeted therapy or immunotherapy rationally are also presented.展开更多
BACKGROUND Adrenocorticotropic hormone(ACTH)-independent Cushing's syndrome(CS) is mostly due to unilateral tumors, with bilateral tumors rarely reported. Its common causes include primary pigmented nodular adreno...BACKGROUND Adrenocorticotropic hormone(ACTH)-independent Cushing's syndrome(CS) is mostly due to unilateral tumors, with bilateral tumors rarely reported. Its common causes include primary pigmented nodular adrenocortical disease,ACTH-independent macronodular adrenal hyperplasia, and bilateral adrenocortical adenomas(BAAs) or carcinomas. BAAs causing ACTHindependent CS are rare; up to now, fewer than 40 BAA cases have been reported. The accurate diagnosis and evaluation of BAAs are critical for determining optimal treatment options. Adrenal vein sampling(AVS) is a good way to diagnose ACTH-independent CS.CASE SUMMARY A 31-year-old woman had a typical appearance of CS. The oral glucose tolerance test showed impaired glucose tolerance and obviously increased insulin and Cpeptide levels. Her baseline serum cortisol and urine free cortisol were elevated and did not show either a circadian rhythm or suppression with dexamethasone administration. The peripheral 1-deamino-8-D-arginine-vasopressin(DDVAP)stimulation test showed a delay of the peak level, which was 1.05 times as high as the baseline level. Bilateral AVS results suggested the possibility of BAAs.Abdominal computed tomography showed bilateral adrenal adenomas with atrophic adrenal glands(right: 3.1 cm × 2.0 cm × 1.9 cm; left: 2.2 cm × 1.9 cm × 2.1 cm). Magnetic resonance imaging of the pituitary gland demonstrated normal findings. A left adenomectomy by retroperitoneoscopy was performed first,followed by resection of the right-side adrenal mass 3 mo later. Biopsy results of both adenomas showed cortical tumors. Evaluations of ACTH and cortisol showed a significant decrease after left adenomectomy but could still not be suppressed, and the circadian rhythm was absent. Following bilateral adenomectomy, this patient has been administered with prednisone until now,all of her symptoms were alleviated, and she had normal blood pressure without edema in either of her lower extremities.CONCLUSION BAAs causing ACTH-independent CS are rare. AVS is of great significance for obtaining information on the functional state of BAAs before surgery.展开更多
BACKGROUND Paget’s disease of bone(PDB)is a rare metabolic bone disease in China and is characterized by increased bone resorption and disorganized bone formation.The main clinical symptoms of PDB are focal or multip...BACKGROUND Paget’s disease of bone(PDB)is a rare metabolic bone disease in China and is characterized by increased bone resorption and disorganized bone formation.The main clinical symptoms of PDB are focal or multiple bone pain and deformity with high disability.The disease has high missed diagnosis and misdiagnosis rates.This report summarizes the clinical manifestations,imaging and pathological features,and treatments of 11 patients with PDB at our hospital from 1993 to 2020 in order to improve the recognition and prognosis of PDB.CASE SUMMARY There were eight male and three female patients whose average age was 48.7±11.0 years with a PDB course of 1-16 years.Nine patients had bone pain and bone deformities in different parts of the body,the majority of which involved the long bones.Laboratory examinations revealed elevated serum alkaline phosphatase(ALP)in all patients with an average of 618±460 IU/L(normal range 0-130 IU/L),and serum calcium and phosphorus levels were in the normal range.Imageology showed that osteolysis was usually combined with osteosclerosis and/or bone deformities in single or multiple bones.^(99m)Tc-methylene diphosphonate bone scintigraphy revealed increased radionuclide uptake in the bone lesions.Six patients underwent bone tissue biopsy,and the typical pathological changes were a mosaic structure of the bone trabeculae with irregularly arranged cement lines and multinuclear osteoclasts.Ten of the 11 patients were effectively treated with bisphosphonates.CONCLUSION Early diagnosis of the rare disease PDB can be made through elevated ALP levels and typical presentations on bone X-ray and from bone tissue biopsy.展开更多
The cerebellum is a highly conserved structure in the central nervous system of vertebrates, and is involved in the coordination of voluntary motor behavior. Supporting this function, the cerebellar cortex presents a ...The cerebellum is a highly conserved structure in the central nervous system of vertebrates, and is involved in the coordination of voluntary motor behavior. Supporting this function, the cerebellar cortex presents a layered structure which requires precise spatial and temporal coordination of proliferation, migration, differentiation, and apoptosis events. The formation of the layered structure in the developing cerebellum remains unclear. The present study investigated the development of the cerebellar cortex. The results demonstrate that the primordium of the cerebellum comprises the ependymal, mantle, and marginal layers at embryonic day 12 （E12）. Subsequently, the laminated cerebellar cortex undergoes cell proliferation, differentiation, and migration, and at about postnatal day 0 （P0）, the cerebellar cortex presents an external granular layer, a molecular layer, a Purkinje layer, and an internal granular layer. The external granular layer is thickest at P6/7 and disappears at P20. From P0 to P30, the internal granular cells and the Purkinje cells gradually differentiate and develop until maturity. Apoptotic neurons are evident in the layered structure in the developing cerebellar cortex. The external granular layer disappears gradually because of cell migration and apoptosis. The cells of the other layers primarily undergo differentiation, development, and apoptosis.展开更多
The rapid development of synthetic biology has conferred almost perfect modification on single cells,and provided methodological support for synthesizing microbial consortia,which have a much wider application potenti...The rapid development of synthetic biology has conferred almost perfect modification on single cells,and provided methodological support for synthesizing microbial consortia,which have a much wider application potential than synthetic single cells.Co-cultivating multiple cell populations with rational strategies based on interacting relationships within natural microbial consortia provides theoretical as well as experimental support for the successful obtaining of synthetic microbial consortia,promoting it into extensive research on both industrial applications in plenty of areas and also better understanding of natural microbial consortia.According to their composition complexity,synthetic microbial consortia are summarized in three aspects in this reviewand are discussed in principles of design and construction,insights and methods for analysis,and applications in energy,healthcare,etc.展开更多
Dear Editor,Patients with hepatocellular carcinoma(HCC)usually have concomitant chronic liver diseases or cirrhosis,which contribute to a high risk of hepatic decompensation and increasedmortality following the corona...Dear Editor,Patients with hepatocellular carcinoma(HCC)usually have concomitant chronic liver diseases or cirrhosis,which contribute to a high risk of hepatic decompensation and increasedmortality following the coronavirus disease 2019(Covid-19)infection[1–3].Worldwide,approximately 54%of HCC cases are associated with hepatitis B virus(HBV)infection[1].Cirrhotic patients after curative hepatectomy for HBV-related HCC represent a special group of patients.Although cirrhotic patients have low immunogenicity to Covid-19 vaccination and are recommended to be prioritized for it,the safety and immunogenicity have not been observed in cirrhotic patients with a history of hepatectomy for HCC[2–4].In this study,we explored the immunogenicity and safety after Covid-19 vaccination in patients with liver cirrhosis and a history of hepatectomy for HCC.展开更多
基金This study was supported by the CAMS Innovation Fund for Medical Sciences(Grant No.2017-I2M-1-009).
文摘Objective:China is a developing country with urban–rural disparities and accelerating population aging.Therefore,quantifying the effects of population aging on the cancer mortality burden is urgently needed.Methods:Using data from China’s death surveillance datasets(2004–2017),we decomposed and quantified the effects of population aging and factor variations on cancer mortality rates in urban and rural China during 2004–2017 through a decomposition method.R ratios were used to assess the extent of the mortality decreases attributable to factor variations offsetting the increases attributable to population aging for 4 aging-related cancers(lung,colorectal,esophageal,and stomach cancer).Results:Overall,population aging has led to continued increases in cancer mortality rates in China during 2004–2017(mortality rates attributable to population aging:8.63/100,000 for urban men,4.21/100,000 for urban women,11.95/100,000 for rural men,and 5.66/100,000 for rural women).The 4 cancers displayed 3 patterns.The mortality rates from lung cancer in rural China and from colorectal cancer nationwide increased because of both population aging and factor variations.Population aging was primarily responsible for the growing mortality due to lung cancer in urban areas.However,for esophageal and stomach cancer,the effect of population aging was not dominant,thus resulting in decreases in mortality rates.Conclusions:Health resource allocation should prioritize areas or cancers more adversely affected by population aging.The burden of cancer will continue to increase in the future,because of rapid population aging,but can still be offset or even reversed with enhanced cancer control and prevention.
基金Supported by National Natural Science Foundation of China,No.81970453,and No.82270634Shanghai Science and Technology Innovation Action Plan Project,No.20XD1405100.
文摘Hepatocellular carcinoma(HCC)is a common malignant tumor that affecting many people's lives globally.The common risk factors for HCC include being overweight and obese.The liver is the center of lipid metabolism,synthesizing most cholesterol and fatty acids.Abnormal lipid metabolism is a significant feature of metabolic reprogramming in HCC and affects the prognosis of HCC patients by regulating inflammatory responses and changing the immune microenvironment.Targeted therapy and immunotherapy are being explored as the primary treatment strategies for HCC patients with unresectable tumors.Here,we detail the specific changes of lipid metabolism in HCC and its impact on both these therapies for HCC.HCC treatment strategies aimed at targeting lipid metabolism and how to integrate them with targeted therapy or immunotherapy rationally are also presented.
文摘BACKGROUND Adrenocorticotropic hormone(ACTH)-independent Cushing's syndrome(CS) is mostly due to unilateral tumors, with bilateral tumors rarely reported. Its common causes include primary pigmented nodular adrenocortical disease,ACTH-independent macronodular adrenal hyperplasia, and bilateral adrenocortical adenomas(BAAs) or carcinomas. BAAs causing ACTHindependent CS are rare; up to now, fewer than 40 BAA cases have been reported. The accurate diagnosis and evaluation of BAAs are critical for determining optimal treatment options. Adrenal vein sampling(AVS) is a good way to diagnose ACTH-independent CS.CASE SUMMARY A 31-year-old woman had a typical appearance of CS. The oral glucose tolerance test showed impaired glucose tolerance and obviously increased insulin and Cpeptide levels. Her baseline serum cortisol and urine free cortisol were elevated and did not show either a circadian rhythm or suppression with dexamethasone administration. The peripheral 1-deamino-8-D-arginine-vasopressin(DDVAP)stimulation test showed a delay of the peak level, which was 1.05 times as high as the baseline level. Bilateral AVS results suggested the possibility of BAAs.Abdominal computed tomography showed bilateral adrenal adenomas with atrophic adrenal glands(right: 3.1 cm × 2.0 cm × 1.9 cm; left: 2.2 cm × 1.9 cm × 2.1 cm). Magnetic resonance imaging of the pituitary gland demonstrated normal findings. A left adenomectomy by retroperitoneoscopy was performed first,followed by resection of the right-side adrenal mass 3 mo later. Biopsy results of both adenomas showed cortical tumors. Evaluations of ACTH and cortisol showed a significant decrease after left adenomectomy but could still not be suppressed, and the circadian rhythm was absent. Following bilateral adenomectomy, this patient has been administered with prednisone until now,all of her symptoms were alleviated, and she had normal blood pressure without edema in either of her lower extremities.CONCLUSION BAAs causing ACTH-independent CS are rare. AVS is of great significance for obtaining information on the functional state of BAAs before surgery.
基金Supported by Special Scientific Research Project of Military Healthcare,No.19BJZ29Beijing Haidian District Health Development Research and Cultivation Program,No.HP-2021-03-80303.
文摘BACKGROUND Paget’s disease of bone(PDB)is a rare metabolic bone disease in China and is characterized by increased bone resorption and disorganized bone formation.The main clinical symptoms of PDB are focal or multiple bone pain and deformity with high disability.The disease has high missed diagnosis and misdiagnosis rates.This report summarizes the clinical manifestations,imaging and pathological features,and treatments of 11 patients with PDB at our hospital from 1993 to 2020 in order to improve the recognition and prognosis of PDB.CASE SUMMARY There were eight male and three female patients whose average age was 48.7±11.0 years with a PDB course of 1-16 years.Nine patients had bone pain and bone deformities in different parts of the body,the majority of which involved the long bones.Laboratory examinations revealed elevated serum alkaline phosphatase(ALP)in all patients with an average of 618±460 IU/L(normal range 0-130 IU/L),and serum calcium and phosphorus levels were in the normal range.Imageology showed that osteolysis was usually combined with osteosclerosis and/or bone deformities in single or multiple bones.^(99m)Tc-methylene diphosphonate bone scintigraphy revealed increased radionuclide uptake in the bone lesions.Six patients underwent bone tissue biopsy,and the typical pathological changes were a mosaic structure of the bone trabeculae with irregularly arranged cement lines and multinuclear osteoclasts.Ten of the 11 patients were effectively treated with bisphosphonates.CONCLUSION Early diagnosis of the rare disease PDB can be made through elevated ALP levels and typical presentations on bone X-ray and from bone tissue biopsy.
基金supported by the Natural Science Foundation of China(In vivo microscope observation ofcerebellar parallel fiber synapse reconstruction following injury and regeneration),No.30670688 and(Effects of fetal alcohol syndrome on dendritic spine and synapse development in the pyramidal cells in the visual cortex and hippocampus),No.30771140
文摘The cerebellum is a highly conserved structure in the central nervous system of vertebrates, and is involved in the coordination of voluntary motor behavior. Supporting this function, the cerebellar cortex presents a layered structure which requires precise spatial and temporal coordination of proliferation, migration, differentiation, and apoptosis events. The formation of the layered structure in the developing cerebellum remains unclear. The present study investigated the development of the cerebellar cortex. The results demonstrate that the primordium of the cerebellum comprises the ependymal, mantle, and marginal layers at embryonic day 12 （E12）. Subsequently, the laminated cerebellar cortex undergoes cell proliferation, differentiation, and migration, and at about postnatal day 0 （P0）, the cerebellar cortex presents an external granular layer, a molecular layer, a Purkinje layer, and an internal granular layer. The external granular layer is thickest at P6/7 and disappears at P20. From P0 to P30, the internal granular cells and the Purkinje cells gradually differentiate and develop until maturity. Apoptotic neurons are evident in the layered structure in the developing cerebellar cortex. The external granular layer disappears gradually because of cell migration and apoptosis. The cells of the other layers primarily undergo differentiation, development, and apoptosis.
基金the National Basic Research Program of China(“973”Program:2014CB745100)the National Natural Science Foundation of China(No.21576197)Tianjin Research Program of Application Foundation and Advanced Technology(No.14JCQNJC06700).
文摘The rapid development of synthetic biology has conferred almost perfect modification on single cells,and provided methodological support for synthesizing microbial consortia,which have a much wider application potential than synthetic single cells.Co-cultivating multiple cell populations with rational strategies based on interacting relationships within natural microbial consortia provides theoretical as well as experimental support for the successful obtaining of synthetic microbial consortia,promoting it into extensive research on both industrial applications in plenty of areas and also better understanding of natural microbial consortia.According to their composition complexity,synthetic microbial consortia are summarized in three aspects in this reviewand are discussed in principles of design and construction,insights and methods for analysis,and applications in energy,healthcare,etc.
基金the Ethics Committee of Eastern Hepatobiliary Surgery Hospital(EHBHKY2022-K-003)。
文摘Dear Editor,Patients with hepatocellular carcinoma(HCC)usually have concomitant chronic liver diseases or cirrhosis,which contribute to a high risk of hepatic decompensation and increasedmortality following the coronavirus disease 2019(Covid-19)infection[1–3].Worldwide,approximately 54%of HCC cases are associated with hepatitis B virus(HBV)infection[1].Cirrhotic patients after curative hepatectomy for HBV-related HCC represent a special group of patients.Although cirrhotic patients have low immunogenicity to Covid-19 vaccination and are recommended to be prioritized for it,the safety and immunogenicity have not been observed in cirrhotic patients with a history of hepatectomy for HCC[2–4].In this study,we explored the immunogenicity and safety after Covid-19 vaccination in patients with liver cirrhosis and a history of hepatectomy for HCC.
