Acute appendicitis is one of the most common surgical diseases in the general population, but it rarely happens after orthotopic liver transplantation （OLT）, The impaired immune function in these patients usually pr...Acute appendicitis is one of the most common surgical diseases in the general population, but it rarely happens after orthotopic liver transplantation （OLT）, The impaired immune function in these patients usually predisposes them to a delay in diagnosis owing to an atypical presentation, which might increase complications including death. It is reported that acute appendicitis after liver transplantation happens mostly after postoperative day （POD） 14. Herein, we presented two cases of acute appendicitis after OLT happened within POD 14.展开更多
Background:The role of osteopontin(OPN)in intrahepatic cholangiocarcinoma(ICC)remains controversial.This study aimed to explore the prognostic value of OPN in patients with ICC undergoing curative resection.Methods:Pa...Background:The role of osteopontin(OPN)in intrahepatic cholangiocarcinoma(ICC)remains controversial.This study aimed to explore the prognostic value of OPN in patients with ICC undergoing curative resection.Methods:Patients undergoing curative resection from 2005 to 2016 were identified for inclusion in this retrospective study.The expression level of OPN in tumors was measured in each of the 228 patients by immunohistochemistry.Circulating OPN in serum was tested in 124 patients by ELISA.Tumor volume was calculated according to preoperative imaging or operation record.Proliferation assay,wound healing assay,and invasion assay were performed to investigate the biological function.Results:Low expression of OPN in tissue was associated with lymph node metastasis(P=0.009)and shorter overall survival(OS)(P=0.001).A low level of circulating OPN/volume was associated with multiple tumors(P<0.001),vascular invasion(P=0.027),visceral peritoneal perforation(P=0.001),and lymph node metastasis(P=0.002).It was also able to predict the invasive behavior,lymph node metastasis,and early recurrence with the area under the receiver operating curve(AUC)of being 0.719,0.708 and 0.622 respectively.Patients with a low level of circulating OPN/volume had shorter OS(P=0.028)and disease-free survival(DFS)(P=0.004)and could benefit from adjuvant chemotherapy(P=0.011).Compared with negative controlled cells,ICC cell lines,which expressed more OPN,showed a decelerated proliferation rate,the weaker ability of migration and invasion,while the opposite was true for the cells expressed less OPN.MMP1,MMP10,and CXCR4 were negatively regulated by OPN.Conclusions:A low level of circulating OPN/volume could indicate aggressive characteristics,along with poor prognosis and efficacy of adjuvant chemotherapy in ICC patients.Over expression of OPN may inhibit phenotypes facilitating ICC metastasis by negatively regulating MMP1,MMP10,and CXCR4.展开更多
文摘Acute appendicitis is one of the most common surgical diseases in the general population, but it rarely happens after orthotopic liver transplantation （OLT）, The impaired immune function in these patients usually predisposes them to a delay in diagnosis owing to an atypical presentation, which might increase complications including death. It is reported that acute appendicitis after liver transplantation happens mostly after postoperative day （POD） 14. Herein, we presented two cases of acute appendicitis after OLT happened within POD 14.
基金This work was jointly supported by the grants from the National Natural Science Foundation of China(81372650 to Z Wang,81502028 to LX Yang and 81301821 to L Yu)Foundation of Shanghai Science and Technology Commission(grant number 13ZR1406900 to Z Wang)and The National Science and Technology Major Project(grant number 2018ZX10723204-004 to Z Wang).
文摘Background:The role of osteopontin(OPN)in intrahepatic cholangiocarcinoma(ICC)remains controversial.This study aimed to explore the prognostic value of OPN in patients with ICC undergoing curative resection.Methods:Patients undergoing curative resection from 2005 to 2016 were identified for inclusion in this retrospective study.The expression level of OPN in tumors was measured in each of the 228 patients by immunohistochemistry.Circulating OPN in serum was tested in 124 patients by ELISA.Tumor volume was calculated according to preoperative imaging or operation record.Proliferation assay,wound healing assay,and invasion assay were performed to investigate the biological function.Results:Low expression of OPN in tissue was associated with lymph node metastasis(P=0.009)and shorter overall survival(OS)(P=0.001).A low level of circulating OPN/volume was associated with multiple tumors(P<0.001),vascular invasion(P=0.027),visceral peritoneal perforation(P=0.001),and lymph node metastasis(P=0.002).It was also able to predict the invasive behavior,lymph node metastasis,and early recurrence with the area under the receiver operating curve(AUC)of being 0.719,0.708 and 0.622 respectively.Patients with a low level of circulating OPN/volume had shorter OS(P=0.028)and disease-free survival(DFS)(P=0.004)and could benefit from adjuvant chemotherapy(P=0.011).Compared with negative controlled cells,ICC cell lines,which expressed more OPN,showed a decelerated proliferation rate,the weaker ability of migration and invasion,while the opposite was true for the cells expressed less OPN.MMP1,MMP10,and CXCR4 were negatively regulated by OPN.Conclusions:A low level of circulating OPN/volume could indicate aggressive characteristics,along with poor prognosis and efficacy of adjuvant chemotherapy in ICC patients.Over expression of OPN may inhibit phenotypes facilitating ICC metastasis by negatively regulating MMP1,MMP10,and CXCR4.
