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Prognostic value of plasma Epstein-Barr virus DNA level during posttreatment follow-up in the patients with nasopharyngeal carcinoma having undergone intensity-modulated radiotherapy 被引量:12
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作者 Wen-Fei Li Yuan Zhang +7 位作者 xiao-bin huang Xiao-Jing Du Ling-Long Tang Lei Chen Hao Peng Rui Guo Ying Sun Jun Ma 《Chinese Journal of Cancer》 SCIE CAS CSCD 2017年第11期583-591,共9页
Background: The value of Epstein-Barr virus(EBV) DNA assay during posttreatment follow-up of the patients with nasopharyngeal carcinoma(NPC) presenting with different pretreatment plasma EBV DNA levels remains unclear... Background: The value of Epstein-Barr virus(EBV) DNA assay during posttreatment follow-up of the patients with nasopharyngeal carcinoma(NPC) presenting with different pretreatment plasma EBV DNA levels remains unclear. In the present study, we aimed to evaluate the prognostic value of plasma EBV DNA assay during posttreatment followup in the patients with NPC who have undergone intensity-modulated radiotherapy.Methods: The medical records of 385 NPC patients treated with intensity-modulated radiotherapy between November 2009 and February 2012 were reviewed. All patients underwent plasma EBV DNA assays before treatment, within3 months after treatment, and then every 3-12 months during posttreatment follow-up period. The recurrence rates for patients with different pretreatment and posttreatment follow-up plasma EBV DNA levels were analyzed.Results: Of the 385 patients, 267(69.4%) had detectable pretreatment plasma EBV DNA(> 0 copy/mL) and 93(24.2%) had detectable posttreatment EBV DNA during a median follow-up of 52.8 months(range 9.3-73.8 months).Detectable EBV DNA during posttreatment follow-up was found in 14.4%(17/118) and 28.5%(76/267) of patients with undetectable and detectable pretreatment EBV DNA, respectively, and was significantly associated with tumor recurrence in both patient groups. EBV DNA was detectable in 12.8%(40/313) of patients who remained disease-free,56.4%(22/39) of patients with locoregional recurrence alone, and 93.9%(31/33) of patients with distant metastasis as the first recurrence event(P < 0.001); 6.5%(19/292) of patients with undetectable EBV DNA and 57.0%(53/93) of patient with detectable EBV DNA during posttreatment follow-up experienced tumor recurrence. Compared with other cut-off values, the cut-off value of 0 copy/mL for EBV DNA during posttreatment follow-up had the highest area under the ROC curve(AUC) value(0.804,95% confidence interval 0.741-0.868) for predicting tumor recurrence(sensitivity, specificity, and accuracy: 73.6%, 87.2%, and 84.7%, respectively).Conclusion: Plasma EBV DNA level during posttreatment follow-up is a good marker for predicting distant metastasis but not locoregional recurrence in the patients with NPC irrespective of the pretreatment EBV DNA levels. 展开更多
关键词 NASOPHARYNGEAL carcinoma Epstein–Barr virus DNA FOLLOW-UP Tumor RECURRENCE
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接受调强放射治疗的鼻咽癌患者治疗后随访期血浆Epstein-Barr病毒DNA水平的预后价值 被引量:1
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作者 Wen-Fei Li Yuan Zhang +7 位作者 xiao-bin huang Xiao-Jing Du Ling-Long Tang Lei Chen Hao Peng Rui Guo Ying Sun Jun Ma 《癌症》 SCIE CAS CSCD 2018年第8期336-345,共10页
背景与目的在具有不同治疗前血浆Epstein?Barr病毒(Epstein?Barr virus,EBV)DNA水平的鼻咽癌(nasopharyngeal carcinoma,NPC)患者中,治疗后随访期EBV DNA检测的价值尚不清楚。本研究旨在评价接受调强放疗的NPC患者中,治疗后随访期血浆EB... 背景与目的在具有不同治疗前血浆Epstein?Barr病毒(Epstein?Barr virus,EBV)DNA水平的鼻咽癌(nasopharyngeal carcinoma,NPC)患者中,治疗后随访期EBV DNA检测的价值尚不清楚。本研究旨在评价接受调强放疗的NPC患者中,治疗后随访期血浆EBV DNA检测的预后价值。方法回顾了2009年11月至2012年2月间接受调强放疗的385例NPC患者的病历资料。所有患者均于治疗前、治疗后3个月内和治疗后随访期每3–12个月接受了血浆EBV DNA检测。对具有不同治疗前及治疗后随访期血浆EBV DNA水平的患者的复发率进行了分析。结果 385例患者中,267例(69.4%)治疗前血浆可检出EBV DNA(> 0拷贝/mL),在中位时间为52.8个月(范围:9.3–73.8个月)的随访期中,93例(24.2%)患者的治疗后血浆可检出EBV DNA。14.4%(17/118)的治疗前未检出EBV DNA的患者和28.5%(76/267)治疗前检出EBV DNA的患者在治疗后随访期内出现了可检出的EBV DNA,且与两组患者的肿瘤复发率显著相关。放疗后无疾病患者中EBV DNA检出率为12.8%(40/313),局部区域复发患者EBV DNA检出率为56.4%(22/39),首次复发为远处转移的患者EBV DNA检出率为93.9%(31/33);治疗后随访期间,6.5%(19/292)未检出EBV DNA的患者和57.0%(53/93)检出EBV DNA的患者出现了肿瘤复发。与其他cut?off值相比,治疗后随访期EBV DNA为0拷贝/mL的cut?off值具有最大的ROC曲线下面积(area under the ROC curve,AUC)值(0.804,95%置信区间:0.741–0.868),预测肿瘤复发的敏感性、特异性和准确性分别为73.6%、87.2%和84.7%。结论治疗后随访期血浆EBV DNA水平是预测NPC患者远处转移的良好标志物,对局部区域复发预测效果不佳,与治疗前EBV DNA水平无关。 展开更多
关键词 鼻咽癌 Epstein-Barr病毒DNA 随访 肿瘤复发
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Application of Biological Nanopore Sequencing Technology in the Detection of Microorganisms
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作者 Ming-Qian Zhang xiao-bin huang Hai-Chen Wu 《Chinese Journal of Chemistry》 SCIE CAS CSCD 2023年第23期3473-3483,共11页
Environmental pollution and the spread of pathogenic microorganisms pose a significant threat to the health of humans and the planet.Thus,understanding and detecting microorganisms is crucial for maintaining a healthy... Environmental pollution and the spread of pathogenic microorganisms pose a significant threat to the health of humans and the planet.Thus,understanding and detecting microorganisms is crucial for maintaining a healthy living environment.Nanopore sequencing is a single-molecule detection method developed in the 1990s that has revolutionized various research fields.It offers several advantages over traditional sequencing methods,including low cost,label-free,time-saving detection speed,long sequencing reading,real-time monitoring,convenient carrying,and other significant advantages.In this review,we summarize the technical principles and characteristics of nanopore sequencing and discuss its applications in amplicon sequencing,metagenome sequencing,and whole-genome sequencing of environmental microorganisms,as well as its in situ application under some special circumstances.We also analyze the advantages and challenges of nanopore sequencing in microbiology research.Overall,nanopore sequencing has the potential to greatly enhance the detection and understanding of microorganisms in environmental research,but further developments are needed to overcome the current challenges. 展开更多
关键词 Nanopore sequencing technology Environmental microorganisms Amplicon sequencing Metagenome sequencing Whole genome sequencing Gene technology Ion channels Nucleic acids
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Magnetic Resonance Gd?RGD Imaging Study of Hepatocellular Carcinoma with High and Low Metastatic Potential before and after Human Bone Marrow?derived Mesenchymal Stem Cell Intervention 被引量:2
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作者 Tian-Ran Li Ming-Hui Yu +3 位作者 xiao-bin huang Zhi-Jie Yang Guang-Ming Lu Yan-Jun Li 《Chinese Medical Journal》 SCIE CAS CSCD 2017年第21期2591-2600,共10页
Background: Biotherapy based on human bone marrow-derived mesenchymal stem cells (BMSCs) is currently the focus of research, especially in the field of autologous stem cell transplantation. A novel type of metastas... Background: Biotherapy based on human bone marrow-derived mesenchymal stem cells (BMSCs) is currently the focus of research, especially in the field of autologous stem cell transplantation. A novel type of metastasis-associated magnetic resonance (MR) molecular imaging probe was constructed, and the changes in metastasis and proliferation of hepatocellular carcinoma (HCC) before and after BMSC intervention were observed through MR imaging (MRI). Methods:Metastasis-associatedMRmolecularimagingprobe,integrin αvβ3 ligandcRGD-PEG-DGL-DTPA-Gd (Gd-RGD),wereconstructed. After human BMSC intervention was performed for 6weeks, tumor weight inhibition rates were calculated, and the RGD molecular probe was imaged through MRI with molecular imaging agent Gd-DTPAas control.The signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) in the MRI experiment were used as semi-quantitative indicators. Polymerase chain reaction method was performed to detect proliferation- and metastasis-associated indicators, transforming growth factor β-1 (TGFβ1), osteopontin (OPN), and integrin subunit αv and β3. Results: The highest tumor weight inhibition rates were observed 3 weeks after the BMSC transplantation. The MR Gd-RGD in the HCC tissues after the BMSC intervention showed less enhancement than Gd-DTPA. The Gd-DTPAMRI of control group had higher SNR and CNR than Gd-RGD MRI in the experimental groups (P 〈 0.05). For high metastatic potential hepatocellular carcinoma (MHCC97-H), significant differenceswereobservedintheSNRsandCNRsofGd-RGDMRIbeforeandaftertheBMSCintervention(P〈0.05).Forlowmetastaticpotential hepatocellular carcinoma (MHCC97-L), the CNRs of Gd-RGD MRI were statistically different before and after BMSC intervention (P 〈 0.05). With regard to MHCC97-H, OPN, β3, and TGFβ1 expression significantly decreased after BMSC intervention (P 〈 0.05). In MHCC97-L and OPN, β3, TGFβ1, and αv expression after BMSC intervention decreased, and the difference was statistically significant (P 〈 0.05). Conclusions: The CNR index of MRI is a good indicator for distinguishing high- and low-metastatic potential HCC tissues.After BMSC transplantation of MRI through the two kinds of tracer, the SNR and CNR indexes can distinguish two kinds of high and low metastatic potential HCC tissues, and Gd-RGD imaging is more suitable in distinguishing the metastatic potential changes through BMSC intervention. 展开更多
关键词 Arginine-Glycine-Aspartic Acid: Bone Marrow-derived Mesenchymal Stem Cells High Metastatic Potential Hepatocellular Carcinoma Integrin: Low Metastatic Potential Hepatocellular Carcinoma
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