Introduction:Preoperative chemoradiotherapy(CRT),followed by total mesorectal excision,has become the standard of care for patients with clinical stages II and III rectal cancer.Patients with pathologic complete respo...Introduction:Preoperative chemoradiotherapy(CRT),followed by total mesorectal excision,has become the standard of care for patients with clinical stages II and III rectal cancer.Patients with pathologic complete response(pCR) to preoperative CRT have been reported to have better outcomes than those without pCR.However,the factors that predict the response to neoadjuvant CRT have not been well defined.In this study,we aimed to investigate the impact of clinical parameters on the development of pCR after neoadjuvant chemoradiation for rectal cancer.Methods:A total of 323 consecutive patients from a single institution who had clinical stage II or III rectal cancer and underwent a long-course neoadjuvant CRT,followed by curative surgery,between 2005 and 2013 were included.Patients were divided into two groups according to their responses to neoadjuvant therapy:the pCR and non-pCR groups.The clinical parameters were analyzed by univariate and multivariate analyses,with pCR as the dependent variable.Results:Of the 323 patients,75(23.2%) achieved pCR.The two groups were comparable in terms of age,sex,body mass index,tumor stage,tumor location,tumor differentiation,radiation dose,and chemotherapy regimen.On multivariate analysis,a pretreatment carcinoembryonic antigen(CEA) level of <5 ng/mL[odds ratio(OR) = 2.170,95%confidence interval(CI) = 1.195-3.939,P = 0.011]and an interval of >7 weeks between the completion of chemoradiation and surgical resection(OR = 2.588,95%CI = 1.484-4.512,P = 0.001) were significantly associated with an increased rate of pCR.Conclusions:The pretreatment CEA level and neoadjuvant chemoradiotherapy-surgery interval were independent clinical predictors for achieving pCR.These results may help clinicians predict the prognosis of patients and develop adaptive treatment strategies.展开更多
AIM: To show the efficient generation of hepatocytelike cells(HLCs) differentiated from the induced pluripotent stem cells(iP SCs) of rats.METHODS: Hepatic differentiation was achieved using a three-step protocol with...AIM: To show the efficient generation of hepatocytelike cells(HLCs) differentiated from the induced pluripotent stem cells(iP SCs) of rats.METHODS: Hepatic differentiation was achieved using a three-step protocol with several growth factors. First, rat i PSCs were differentiated into definitive endoderm cells using Activin A and Wnt3 a treatment. Then fibroblast growth factor 4 and bone morphogenetic protein 2 were added to the culture medium and used to induce hepatic differentiation. Finally, hepatocyte growth factor, Oncostatin M and dexamethasone were used for hepatic maturation. The liver-related markers and functions of HLCs were assessed at the gene and protein levels.RESULTS: After endodermal induction, the differentiated cells expressed endodermal markers forkhead box protein A2 and SRY-box containing gene 17 at the m RNA and protein levels. After 20 d of culture, the i PSCs were differentiated into HLCs. These differentiated cells expressed hepatic markers including α-fetoprotein, albumin CK8, CK18, CK19, and transcription factor HNF-4α. In addition, the cells expressed functional proteins such as α1-antitrypsin, cytochrome P450 1A2 and CYP 3A4. They acted like healthy hepatic cells, storing glycogen and taking up indocyanine green and low-density lipoproteins. Also, the rates of urea synthesis(20 d 1.202 ± 0.080 mg/dL vs 0 d 0.317 ± 0.021 mg/d L, P < 0.01) and albuminsecretion(20 d 1.601 ± 0.102 mg/d L vs 0 d 0.313 ± 0.015 mg/d L, P < 0.01) increased significantly as differentiation progressed.CONCLUSION: Rat i PSCs can differentiate into HLCs rapidly and efficiently. These differentiated cells may be an attractive resource for treatment of end-stage liver disease.展开更多
The widely-developed,mixed clastic-carbonate succession in the northern Qaidam Basin records the paleo-environment changes under the glacial activity during the Late Paleozoic icehouse period in the context of regiona...The widely-developed,mixed clastic-carbonate succession in the northern Qaidam Basin records the paleo-environment changes under the glacial activity during the Late Paleozoic icehouse period in the context of regional tectonic stability,however,the depositional environment and sequence stratigraphy characteristics of the mixed deposits is rarely reported and still not clear.Combined the latest drilling wells data,we analyzed the sedimentary and stratigraphic characterization of the mixed strata via detailed field outcrops and core observations and thin section microscopic observations and recognized three depositional systems,including progradational coastal system,incised valley system,and carbonate-dominated marine shelf system,and identified four third-order sequences,SQ1,SQ2,SQ3 and SQ4,consisting of LST,TST,and HST.The depositional environment is overall belonged to marine-continental transition context and shifted from marine to continental environment frequently,showing an evolutionary pattern from marine towards terrestrial-marine transition and then back into the marine environment again in the long-term,which was controlled by the regional tectonic subsidence and the high-frequency and large-amplitude sea-level changes due to the Late Paleozoic glacial activity.The result is of significance in understanding the evolution of the Qinghai-Tibet Plateau and the sedimentation-climate response.展开更多
Thermal characteristics of multiple laser stripes integrated into one chip is investigated theoretically in this paper. The temperature pattern of the laser diode mini-array packaged in a TO-can is analyzed and optimi...Thermal characteristics of multiple laser stripes integrated into one chip is investigated theoretically in this paper. The temperature pattern of the laser diode mini-array packaged in a TO-can is analyzed and optimized to achieve a uniform temperature distribution among the laser stripes and along the cavity direction. The temperature among the laser stripes varies by more than 5 K if the stripes are equally arranged, and can be reduced to less than 0.4 K if proper arrangement is designed. For conventional submount structure, the temperature variation along the cavity direction is as high as 7 K, while for an optimized trapezoid submount structure, the temperature varies only within 0.5 K.展开更多
基金the financial supports from the National Key R&D Program of China (No. 2020YFC1909203)the National Natural Science Foundation of China (Nos.51974364, 52074355, 51904339)the Key Laboratory of Hunan Province for Clean and Efficiency Utilization of Strategic Calciumcontaining Mineral Resources, China (No. 2018TP1002)。
文摘Introduction:Preoperative chemoradiotherapy(CRT),followed by total mesorectal excision,has become the standard of care for patients with clinical stages II and III rectal cancer.Patients with pathologic complete response(pCR) to preoperative CRT have been reported to have better outcomes than those without pCR.However,the factors that predict the response to neoadjuvant CRT have not been well defined.In this study,we aimed to investigate the impact of clinical parameters on the development of pCR after neoadjuvant chemoradiation for rectal cancer.Methods:A total of 323 consecutive patients from a single institution who had clinical stage II or III rectal cancer and underwent a long-course neoadjuvant CRT,followed by curative surgery,between 2005 and 2013 were included.Patients were divided into two groups according to their responses to neoadjuvant therapy:the pCR and non-pCR groups.The clinical parameters were analyzed by univariate and multivariate analyses,with pCR as the dependent variable.Results:Of the 323 patients,75(23.2%) achieved pCR.The two groups were comparable in terms of age,sex,body mass index,tumor stage,tumor location,tumor differentiation,radiation dose,and chemotherapy regimen.On multivariate analysis,a pretreatment carcinoembryonic antigen(CEA) level of <5 ng/mL[odds ratio(OR) = 2.170,95%confidence interval(CI) = 1.195-3.939,P = 0.011]and an interval of >7 weeks between the completion of chemoradiation and surgical resection(OR = 2.588,95%CI = 1.484-4.512,P = 0.001) were significantly associated with an increased rate of pCR.Conclusions:The pretreatment CEA level and neoadjuvant chemoradiotherapy-surgery interval were independent clinical predictors for achieving pCR.These results may help clinicians predict the prognosis of patients and develop adaptive treatment strategies.
基金National Natural Science Foundation of China,No.81000173,No.81070344 and No.81100297
文摘AIM: To show the efficient generation of hepatocytelike cells(HLCs) differentiated from the induced pluripotent stem cells(iP SCs) of rats.METHODS: Hepatic differentiation was achieved using a three-step protocol with several growth factors. First, rat i PSCs were differentiated into definitive endoderm cells using Activin A and Wnt3 a treatment. Then fibroblast growth factor 4 and bone morphogenetic protein 2 were added to the culture medium and used to induce hepatic differentiation. Finally, hepatocyte growth factor, Oncostatin M and dexamethasone were used for hepatic maturation. The liver-related markers and functions of HLCs were assessed at the gene and protein levels.RESULTS: After endodermal induction, the differentiated cells expressed endodermal markers forkhead box protein A2 and SRY-box containing gene 17 at the m RNA and protein levels. After 20 d of culture, the i PSCs were differentiated into HLCs. These differentiated cells expressed hepatic markers including α-fetoprotein, albumin CK8, CK18, CK19, and transcription factor HNF-4α. In addition, the cells expressed functional proteins such as α1-antitrypsin, cytochrome P450 1A2 and CYP 3A4. They acted like healthy hepatic cells, storing glycogen and taking up indocyanine green and low-density lipoproteins. Also, the rates of urea synthesis(20 d 1.202 ± 0.080 mg/dL vs 0 d 0.317 ± 0.021 mg/d L, P < 0.01) and albuminsecretion(20 d 1.601 ± 0.102 mg/d L vs 0 d 0.313 ± 0.015 mg/d L, P < 0.01) increased significantly as differentiation progressed.CONCLUSION: Rat i PSCs can differentiate into HLCs rapidly and efficiently. These differentiated cells may be an attractive resource for treatment of end-stage liver disease.
基金This work was supported by the National Natural Science Foundation of China(41702124,41772272)the China Geological Survey Program(DD20190094).
文摘The widely-developed,mixed clastic-carbonate succession in the northern Qaidam Basin records the paleo-environment changes under the glacial activity during the Late Paleozoic icehouse period in the context of regional tectonic stability,however,the depositional environment and sequence stratigraphy characteristics of the mixed deposits is rarely reported and still not clear.Combined the latest drilling wells data,we analyzed the sedimentary and stratigraphic characterization of the mixed strata via detailed field outcrops and core observations and thin section microscopic observations and recognized three depositional systems,including progradational coastal system,incised valley system,and carbonate-dominated marine shelf system,and identified four third-order sequences,SQ1,SQ2,SQ3 and SQ4,consisting of LST,TST,and HST.The depositional environment is overall belonged to marine-continental transition context and shifted from marine to continental environment frequently,showing an evolutionary pattern from marine towards terrestrial-marine transition and then back into the marine environment again in the long-term,which was controlled by the regional tectonic subsidence and the high-frequency and large-amplitude sea-level changes due to the Late Paleozoic glacial activity.The result is of significance in understanding the evolution of the Qinghai-Tibet Plateau and the sedimentation-climate response.
基金Project supported by the National Key Research and Development Program of China(Grant Nos.2016YFB0402002,2016YFB0401803,2017YFB0405002,2017YFB0405003,and 2017YFB0405005)the National Natural Science Foundation of China(Grant Nos.61574160,61704184,and 61334005)+3 种基金the Strategic Priority Research Program of the Chinese Academy of Science(Grant No.XDA09020401)the Chinese Academy of Science Visiting Professorship for Senior International Scientists(Grant No.2013T2J0048)the Natural Science Foundation of Jiangsu Province,China(Grant No.BK20170430)the CPSF-CAS Joint Foundation for Excellent Postdoctoral Fellows,China(Grant No.2016LH0026)
文摘Thermal characteristics of multiple laser stripes integrated into one chip is investigated theoretically in this paper. The temperature pattern of the laser diode mini-array packaged in a TO-can is analyzed and optimized to achieve a uniform temperature distribution among the laser stripes and along the cavity direction. The temperature among the laser stripes varies by more than 5 K if the stripes are equally arranged, and can be reduced to less than 0.4 K if proper arrangement is designed. For conventional submount structure, the temperature variation along the cavity direction is as high as 7 K, while for an optimized trapezoid submount structure, the temperature varies only within 0.5 K.