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超声内镜在食管结核诊断中的9例应用并文献复习 被引量:6
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作者 张继乔 郑晓辉 +3 位作者 王晶晶 邓尚华 殷彩桥 谭家武 《中国内镜杂志》 北大核心 2017年第2期91-95,共5页
目的总结食管结核超声内镜(EUS)声像图特征及其他临床资料结果,提高该病的诊断率。方法回顾性分析该院2011年6月-2016年5月经EUS检查或内镜超声引导下细针穿刺活检(EUS-FNA)而确诊为食管结核的9例患者的临床资料,并复习国内外文献。结... 目的总结食管结核超声内镜(EUS)声像图特征及其他临床资料结果,提高该病的诊断率。方法回顾性分析该院2011年6月-2016年5月经EUS检查或内镜超声引导下细针穿刺活检(EUS-FNA)而确诊为食管结核的9例患者的临床资料,并复习国内外文献。结果 9例患者中,表现为吞咽梗阻6例,胸骨后疼痛3例,伴有盗汗、低热症状2例,伴咳嗽、咯血1例,伴咽痛1例;病变位于食管中段7例(77.78%),上段1例,食管下段合并咽部病变1例;8例为隆起型病变,其中4例表面破溃,1例呈息肉样隆起,另1例为溃疡并憩室型病变;内镜下活检6例中5例确诊,其中3例活检2次;EUS表现为食管壁内不均质低回声占位,边界模糊,内见高回声光斑,侵及黏膜下层或全层,部分病灶突破外膜层与壁外肿大淋巴结融合贯通;2例行EUS-FNA穿刺,病理发现炎性肉芽肿,考虑结核;均予以抗结核治疗后症状缓解。结论食管结核临床表现主要为吞咽困难,好发于食管中段,内镜下表现主要为隆起型和溃疡型病变,通过多次内镜下活检,结合EUS特征或EUS-FNA穿刺病理学检查能明显提高该病的诊断率,减少误诊率。 展开更多
关键词 食管结核 超声内镜 诊断
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Plasma microRNA profiling in nasopharyngeal carcinoma patients reveals miR-548q and miR-483-5p as potential biomarkers 被引量:6
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作者 xiao-hui zheng Cui Cui +5 位作者 Hong-Lian Ruan Wen-Qiong Xue Shao-Dan Zhang Ye-Zhu Hu Xin-Xi Zhou Wei-Hua Jia 《Chinese Journal of Cancer》 SCIE CAS CSCD 2014年第7期330-338,共9页
MicroRNAs(miRNAs), which play a role in tumorigenesis, may also serve as diagnostic or prognostic biomarkers. However, studies on human miRNA profiles in plasma from nasopharyngeal carcinoma(NPC) patients are in their... MicroRNAs(miRNAs), which play a role in tumorigenesis, may also serve as diagnostic or prognostic biomarkers. However, studies on human miRNA profiles in plasma from nasopharyngeal carcinoma(NPC) patients are in their infancy. Here, we used microarrays to perform systematic profiling of human miRNAs in plasma from NPC patients. We subsequently used real-time quantitative polymerase chain reaction(Q-PCR) to validate miRNAs with aberrant expression that could serve as potential biomarkers. By comparing the plasma miRNA profiles of 31 NPC patients and 19 controls, 39 of 887 human miRNAs were found to be aberrantly expressed. Considering the fold change and P value, miR-548q and miR-483-5p were validated in 132 samples from 82 NPC patients and 50 controls. Moreover, high expression of miR-548q and miR-483-5p was further found in 3 NPC cell lines and clinical biopsy tissues from 54 NPC patients and 22 controls. Our results revealed that miR-548q and miR-483-5p are potential biomarkers of NPC. Combining the receiver operating characteristic(ROC) analyses of these 2 miRNAs, an area under the ROC curve(AUC) of 0.737 with 67.1% sensitivity and 68.0% specificity were obtained, showing the preliminary diagnostic value of plasma miRNAs. Moreover, most NPC patients with a poor outcome exhibited high expression(> median) of miR-548q(70.6%) and miR-483-5p(64.7%) in tissue samples, indicating their prognostic value. The high expression levels of miR-548q and miR-483-5p in plasma, cell lines, and clinical tissues of NPC patients indicate that their roles in NPC should be explored in the future. 展开更多
关键词 生物标志物 MICRORNA 鼻咽癌 患者 血浆 miRNA 全国人民代表大会 聚合酶链反应
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Centrifugation: an important pre-analytic procedure that influences plasma microRNA quantification during blood processing 被引量:2
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作者 xiao-hui zheng Cui Cui +2 位作者 Xin-Xi Zhou Yi-Xin Zeng Wei-Hua Jia 《Chinese Journal of Cancer》 SCIE CAS CSCD 2013年第12期667-672,共6页
Circulating microRNAs are robustly present in plasma or serum and have become a research focus as biomarkers for tumor diagnosis and prognosis.Centrifugation is a necessary procedure for obtaining highquality blood su... Circulating microRNAs are robustly present in plasma or serum and have become a research focus as biomarkers for tumor diagnosis and prognosis.Centrifugation is a necessary procedure for obtaining highquality blood supernatant.Herein,we investigated one-step and two-step centrifugations,two centrifugal methods routinely used in microRNA study,to explore their effects on plasma microRNA quantification.The microRNAs obtained from one-step and two-step centrifugations were quantified by microarray and TaqMan-based real-time quantitative polymerase chain reaction(Q-PCR).Dynamic light scattering was performed to explore the difference underlying the two centrifugal methods.The results from the microarray containing 1,347 microRNAs showed that the signal detection rate was greatly decreased in the plasma sample prepared by two-step centrifugation.More importantly,the microRNAs missing in this plasma sample could be recovered and detected in the precipitate generated from the second centrifugation.Consistent with the results from microarray,a marked decrease of three representative microRNAs in twostep centrifugal plasma was validated by Q-PCR.According to the size distribution of all nanoparticles in plasma,there were fewer nanoparticles with size>1,000 nm in two-step centrifugal plasma.Our experiments directly demonstrated that different centrifugation methods produced distinct quantities of plasma microRNAs.Thus,exosomes or protein complexes containing microRNAs may be involved in large nanoparticle formation and may be precipitated after two-step centrifugation.Our results remind us that sample processing methods should be first considered in conducting research. 展开更多
关键词 MICRORNA 离心分离 血浆 定量分析 血液 预分析 小分子RNA 微小RNA
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超细胃镜辅助Introducer法胃造瘘术的临床应用 被引量:3
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作者 张继乔 郑晓辉 +3 位作者 邓尚华 方呈祥 谭家武 殷彩桥 《中国内镜杂志》 北大核心 2017年第10期21-25,共5页
目的评估Introducer法经超细胃镜胃造瘘术(PEG)对吞咽障碍患者的临床应用效果及安全性。方法回顾性分析该院收治的22例吞咽障碍患者,6例患者采用普通胃镜完成胃造瘘术,16例患者因张口困难、咽喉部或食管重度狭窄不能通过普通胃镜者则使... 目的评估Introducer法经超细胃镜胃造瘘术(PEG)对吞咽障碍患者的临床应用效果及安全性。方法回顾性分析该院收治的22例吞咽障碍患者,6例患者采用普通胃镜完成胃造瘘术,16例患者因张口困难、咽喉部或食管重度狭窄不能通过普通胃镜者则使用超细胃镜经鼻或经口完成PEG,观察临床疗效及并发症情况。结果成功实施PEG 22例,其中2例鼻咽癌放疗术后张口困难、14例咽喉部及食管重度狭窄且普通胃镜不能通过者行经超细胃镜经鼻或经口完成胃造瘘术。普通胃镜PEG组和超细胃镜PEG组的操作平均时间分别为(12.2±2.9)和(11.8±3.2)min,但后者成功率更高、舒适性更好。有1例患者出现造瘘口感染,未出现出血、食管和胃肠穿孔、包埋综合征等并发症。预防性PEG为17例鼻咽癌和食管癌患者辅助同步放化疗,完成率达100.0%;对放疗前后营养指标(血红蛋白、白蛋白、红细胞计数)进行配对t检验,造瘘后营养状况改善,差异有统计学意义(P<0.05)。结论 Introducer法经超细胃镜胃造瘘术是一种更加安全有效的肠内营养方法,尤其适用于各种原因所致张口困难、咽喉部或食管重度狭窄患者。预防性PEG有助于晚期鼻咽癌、食管癌患者完成放化疗周期。 展开更多
关键词 经皮内镜下胃造瘘术 超细胃镜 吞咽障碍 临床疗效
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鼻咽刷采样法:一种简便可行的鼻咽癌核酸研究的取样方法
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作者 Pei-Fen Zhang xiao-hui zheng +4 位作者 Xi-Zhao Li Tian Tian Shao-Dan Zhang Ye-Zhu Hu Wei-Hua Jia 《癌症》 SCIE CAS CSCD 2019年第12期540-550,共11页
背景与目的由于取样困难,用于鼻咽癌(nasopharyngeal carcinoma,NPC)研究的组织标本十分稀缺。既往研究表明,无创鼻咽刷采样法是一种有效的NPC诊断的取样方法。本研究旨在评估鼻咽刷采样法获取鼻咽部核酸进行研究的可行性。方法通过鼻... 背景与目的由于取样困难,用于鼻咽癌(nasopharyngeal carcinoma,NPC)研究的组织标本十分稀缺。既往研究表明,无创鼻咽刷采样法是一种有效的NPC诊断的取样方法。本研究旨在评估鼻咽刷采样法获取鼻咽部核酸进行研究的可行性。方法通过鼻咽刷采集24例健康人和48例NPC患者的鼻咽刷样本。通过内镜活检采集48例NPC和18例鼻咽炎患者的组织。通过定量聚合酶链反应检测两种标本中肿瘤抑制基因(tumor suppressor genes,TSGs)和Epstein-Barr病毒(Epstein-Barr virus,EBV)编码的microRNAs的表达水平及EBV DNA的拷贝数。结果在所检测的6个TSGs中,有2个基因在NPC患者鼻咽刷样本和组织样本中的表达水平显著低于健康/鼻咽炎患者。4个EBV编码的microRNA(包括mir-bart1-5p、mir-bart5、mir-bart6-5p和mir-bart17-5p)在NPC患者鼻咽刷样本和组织样本中的表达水平显著高于健康/鼻咽炎患者(P<0.001)。与健康对照组相比,EBV DNA在NPC患者的鼻咽刷样本(P<0.001)和组织样本(P<0.001)中均显著增加。结论鼻咽刷采样法可以获得足量的肿瘤样品用以病毒核酸分析,包括EBV编码的microRNAs和EBV DNA。对于TSG表达的检测,鼻咽刷采样法尽管可行,但效果不如组织活检法。本研究证实了鼻咽刷采样法是一种适用于NPC核酸研究的取样方法。 展开更多
关键词 鼻咽刷采样 组织样本 鼻咽癌 核酸 癌症研究
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Advances of biomarkers in nasopharyngeal carcinoma’s early detection
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作者 xiao-hui zheng Allan Hildesheim Wei-Hua Jia 《Science Bulletin》 SCIE EI CAS CSCD 2024年第2期141-145,共5页
Nasopharyngeal carcinoma(NPC),a highly invasive and metastatic cancer,is widely prevalent in South China,Southeast Asia,and North Africa.NPC patients with stages I and II are often asymptomatic.Therefore,NPC patients ... Nasopharyngeal carcinoma(NPC),a highly invasive and metastatic cancer,is widely prevalent in South China,Southeast Asia,and North Africa.NPC patients with stages I and II are often asymptomatic.Therefore,NPC patients are usually diagnosed with advanced-stage(stages III and IV)at their first visit.Detection of NPC at early stage is the key to improve the survival of patients.Epstein-Barr virus(EBV)plays an essential role in NPC occurrence in endemic areas.EBV-based biomarkers,including EBV antibody in serum and EBV DNA in plasma,have been specifically proposed for NPC early detection.Herein,we summarize recent advances in biomarkers for the early detection of NPC. 展开更多
关键词 PATIENTS NASOPHARYNGEAL NASOPHARYNGEAL
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Distribution of Metabolites in Root Barks of Seven Tree Peony Cultivars for Quality Assessment Using NMR-based Metabolomics 被引量:6
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作者 Pei Wang Ze-ming Rong +3 位作者 Cui-xia Ma Xin-feng Zhao Chao-ni Xiao xiao-hui zheng 《Chinese Herbal Medicines》 CAS 2017年第1期31-41,共11页
Objective To determine the distribution of metabolites in the root barks of different tree peony cultivars for quality assessment. Methods Seven tree peony phenotypic cultivars with different colors were systematicall... Objective To determine the distribution of metabolites in the root barks of different tree peony cultivars for quality assessment. Methods Seven tree peony phenotypic cultivars with different colors were systematically analyzed using NMR-based metabolomics. Results A total of 16 metabolites from their methanol extracts were simultaneously identified and quantified, including one primary metabolite (sucrose) and 15 secondary ones (acetophenones, phenolics, monoterpene glycosides, flavonoids, and unsaturated fatty acids). The quantitative data indicated that sucrose (90-180 mg/g) and acetophenones (15-100 mg/g), and non-phenolics, monoterpene glycosides, flavonoids, and unsaturated fatty acids (2-15 mg/g) were the major metabolites in these tree peony cultivars. The significantly increasing levels of paeonoside with bioactivity were observed in "Xiangyu", "Wujinyaohui", "Roufurong", "Yaohuang", "Zhaofen", "Doulu", and "Yingrihong" in order. Opposite trends in the levels of paeonoside and paeonol were observed in "Xiangyu" and "Yingrihong", suggesting that the changes of the secondary metabolites in plants were influenced by primary metabolites, such as sucrose/glucose, and the different physiological processes occurred in different tree peony cultivars. Conclusion "Yingrihong" with red flower has the highest medicine quality whereas "Xiangyu" with white flower has the worst one based on the content of paeonoside. 展开更多
关键词 metabolomics NMR quality assessment tree peony
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Application of computer-assisted surgery techniques in the management of zygomatic complex fractures 被引量:2
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作者 Xiao Zhang Chao-Ying Han +6 位作者 Min-Jia Dai Jin-Long Chen xiao-hui zheng Jie Long Wei Tang Wei-Dong Tian Lei Liu 《Chinese Journal of Traumatology》 CAS CSCD 2018年第5期281-286,共6页
关键词 外科技术 计算机 破裂 管理 解剖结构 应用程序 建筑群 精确性
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Nasopharyngeal brushing: a convenient and feasible sampling method for nucleic acid-based nasopharyngeal carcinoma research 被引量:2
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作者 Pei-Fen Zhang xiao-hui zheng +4 位作者 Xi-Zhao Li Tian Tian Shao-Dan Zhang Ye-Zhu Hu Wei-Hua Jia 《Cancer Communications》 SCIE 2018年第1期95-104,共10页
Background:Tissue specimens for nasopharyngeal carcinoma(NPC)research are scarce because of sampling dif-ficulties.Previous studies have suggested non-invasive nasopharyngeal brushing as an effective sampling method f... Background:Tissue specimens for nasopharyngeal carcinoma(NPC)research are scarce because of sampling dif-ficulties.Previous studies have suggested non-invasive nasopharyngeal brushing as an effective sampling method for NPC diagnosis.The present study aimed to evaluate the feasibility of nasopharyngeal brushing in the acquisition of NPC nucleic acids for research.Methods:Nasopharyngeal brushing samples were acquired from 24 healthy individuals and 48 NPC patients.Tissues from 48 NPC and 18 nasopharyngitis patients were collected by endoscopic biopsy.The expression levels of tumor suppressor genes(TSGs)and Epstein-Barr virus(EBV)-encoded microRNAs as well as EBV DNA copy number were measured by quantitative polymerase chain reaction in both types of samples.Results:Among six TSGs examined,the expression levels of two genes were significantly decreased in nasopharyn-geal brushing and tissue samples from NPC patients as compared with those from healthy/nasopharyngitis indi-viduals.Four EBV-encoded microRNAs,mir-bart1-5p,mir-bart5,mir-bart6-5p,and mir-bart17-5p,were significantly up-regulated in both NPC brushing and tissue samples compared with those from healthy/nasopharyngitis controls(P<0.001).EBV DNA was significantly increased in both nasopharyngeal brushing samples(P<0.001)and tissue sam-ples(P<0.001)from NPC patients in comparison with those from healthy controls.Conclusions:Nasopharyngeal brushing can obtain sufficient tumoral materials for the analysis of viral nucleic acid,including EBV-encoded microRNAs and EBV DNA.For the detection of TSG expression,nasopharyngeal brushings was feasible but inferior to tissue samples.This study confirms nasopharyngeal brushing as an applicable sampling method that can aid in nucleic acid-based NPC research. 展开更多
关键词 Nasopharyngeal brushing Tissue samples Nasopharyngeal carcinoma Nucleic acid Cancer research
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A methodology for measuring the preservation durability of digital formats
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作者 Chao LI xiao-hui zheng +2 位作者 Xing MENG Li WANG Chun-xiao XING 《Journal of Zhejiang University-Science C(Computers and Electronics)》 SCIE EI 2010年第11期872-881,共10页
It is now widely recognized that appropriate measures are required for digital preservation to ensure that digital data can be accessed and used currently and in the future.Among all the risks of digital preservation,... It is now widely recognized that appropriate measures are required for digital preservation to ensure that digital data can be accessed and used currently and in the future.Among all the risks of digital preservation,format obsolescence is one of the most important.There have been several projects or initiatives dealing with the measurement method of format obsolescence risk,but there has been no mechanism to quantify the preservation risk or durability of digital formats based on a self-improving assessment model,executed with the aid of computers.This paper deals with a methodology for measuring the preservation durability of digital formats,especially for their risk assessment.This method is based on a quantitative assessment model for format risk,and can shift the non-quantifiable knowledge or experiences of field experts to a machine identifiable and processible form,or 'risk scores'.Results can be recognized and communicated by computers automatically and formally,which can assist in the automatic/semi-automatic risk management for digital preservation,sharing this quantified knowledge among communities. Because technologies are changing quickly,the quantitative assessment model for risks will not be a status quo situation.Thus,also presented is a method to fine tune the quantitative assessment model for risk of formats through a self-learning and self-improving style. 展开更多
关键词 Digital preservation Format obsolescence Risk assessment model Risk value
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Metabolite characterization of Penta-O-galloyl-β-D-glucose in rat biofluids by HPLC-QTOF-MS
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作者 cui-xia ma xue zhao +4 位作者 pei wang pu jia xin-feng zhao chao-ni xiao xiao-hui zheng 《Chinese Herbal Medicines》 CAS 2018年第1期73-79,共7页
Objective: To understand the in vivo metabolic fate of 1,2,3,4,6-Penta-O-galloyl-β-d-glucose(PGG)naturally existed in many medicinal herbs and food plants such as Rhus chinensis,Paeonia suffruticosa,Paeonia lactif... Objective: To understand the in vivo metabolic fate of 1,2,3,4,6-Penta-O-galloyl-β-d-glucose(PGG)naturally existed in many medicinal herbs and food plants such as Rhus chinensis,Paeonia suffruticosa,Paeonia lactiflora and Mango.Methods: The metabolites of PGG in rat biofluids were characterized using high performance liquid chromatography combined with quadrupole time-of-flight tandem mass spectrometry(HPLC-QTOF-MS).Results: Ten metabolites in urine,five metabolites in feces and two metabolites in plasma,were observed when the rats were administrated with a single intravenous injection of PGG(20 mg/kg).Conclusion: PGG is firstly metabolized to gallic acid,then gallic acid undergoes sulfation,glucuronidation and methylation by rat liver.The determination of metabolites and the proposed metabolic pathway of PGG in vivo will be benefit to gain deeper insights into its pharmacological activities. 展开更多
关键词 1 2 3 4 6-Penta-O-galloyl-β-D-glucose (PGG)HPLC-QTOF-MSmetabolic pathway
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Transcriptome-wide association analysis identified candidate susceptibility genes for nasopharyngeal carcinoma
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作者 Yong-Qiao He Wen-Qiong Xue +33 位作者 Dan-Hua Li Tong-Min Wang Zhi-Ming Mai Da-Wei Yang Chang-Mi Deng Ying Liao Wen-Li Zhang Ruo-Wen Xiao Luting Luo Hua Diao Xiating Tong Yanxia Wu Jiang-Bo Zhang Ting Zhou Xi-Zhao Li Pei-Fen Zhang xiao-hui zheng Shao-Dan Zhang Ye-Zhu Hu Minzhong Tang Yuming zheng Yonglin Cai Ellen T.Chang Zhe Zhang Guangwu Huang Su-Mei Cao Qing Liu Lin Feng Ying Sun Maria Li Lung Hans-Olov Adami Weimin Ye Tai-Hing Lam Wei-Hua Jia 《Cancer Communications》 SCIE 2022年第9期887-891,共5页
Dear Editor,Nasopharyngeal carcinoma(NPC)is a common malignancy in East and Southeast Asia,especially in South China.The etiology of NPC has been linked to genetic susceptibility,Epstein-Barr virus(EBV)infection,and e... Dear Editor,Nasopharyngeal carcinoma(NPC)is a common malignancy in East and Southeast Asia,especially in South China.The etiology of NPC has been linked to genetic susceptibility,Epstein-Barr virus(EBV)infection,and environmental factors.Accumulated evidence including multiple genome-wide association studies(GWASs)has revealed robust genetic predisposition of NPC.However,GWAS-identified genetic variants collectively account for only 8.2%of NPC heritability[1].The underlying inherited predisposition is largely undetermined.The strongest genetic signal for NPC consistently hits the human leukocyte antigen(HLA)region on 6p21[2].However,the highly polymorphic nature and complicated long-range linkage disequilibrium(LD)in the HLA region particularly obscure the causal variants driving the association.In addition,most genetic variants located in introns or intergenic regions.The causal genes mediating genetic effects on NPC risk have rarely been ascertained by GWAS alone. 展开更多
关键词 NASOPHARYNGEAL SUSCEPTIBILITY COLLECTIVE
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