肿瘤分期和淋巴结受累是局部晚期宫颈癌最重要的预后因素。对于宫颈癌,妇科肿瘤医师普遍应用国际妇产科联盟(International Federation of Gynecology and Obstetrics,FIGO)标准。然而目前FIGO 2018分期标准中,ⅢC期仅基于转移淋巴结的...肿瘤分期和淋巴结受累是局部晚期宫颈癌最重要的预后因素。对于宫颈癌,妇科肿瘤医师普遍应用国际妇产科联盟(International Federation of Gynecology and Obstetrics,FIGO)标准。然而目前FIGO 2018分期标准中,ⅢC期仅基于转移淋巴结的解剖位置,并未考虑局部肿瘤因素及其他淋巴状态参数,一定程度上限制了其预后意义。本文旨在总结ⅢC期宫颈癌局部肿瘤因素及不同淋巴状态参数对预后的影响以及治疗选择。展开更多
Objectives Both apolipoprotein(Apo)C-Ⅲgene polymorphism and alcohol consumption have been associated with increased serum triglyceride(TG) levels,but their interactions on serum TG levels are not well known.The prese...Objectives Both apolipoprotein(Apo)C-Ⅲgene polymorphism and alcohol consumption have been associated with increased serum triglyceride(TG) levels,but their interactions on serum TG levels are not well known.The present study was undertaken to detect the interactions of the ApoC-Ⅲ3238C】G(rs5128) polymorphism and alcohol consumption on serum TG levels.Methods A total of 516 unrelated nondrinkers and 514 drinkers aged 15-89 were randomly selected from our previous stratified randomized cluster samples. Genotyping of the ApoC-Ⅲ3238C】G was performed by polymerase chain reaction and restriction fragment length polymorphism combined with gel electrophoresis,and then confirmed by direct sequencing.Interactions of the ApoC-Ⅲ3238C】G genotype and alcohol consumption was assessed by using a cross-product term between genotypes and the afore-mentioned factor.Results Serum total cholesterol(TC), TG,high-density lipoprotein cholesterol(HDL-C),ApoA-I and ApoB levels were higher in drinkers than in nondrinkers (P【0.05-0.001).There was no significant difference in the genotypic and allelic frequencies between the two groups. Serum TG levels in nondrinkers were higher in CG genotype than in CC genotype(P【0,01).Serum TC,TG,low-density lipoprotein cholesterol(LDL-C) and ApoB levels in drinkers were higher in GG genotype than in CC or CG genotype(P【0.01 for all).Serum HDL-C levels in drinkers were higher in CG genotype than in CC genotype(P【0.01).Serum TC, TG,HDL-C and ApoA-I levels in CC genotype,TC,HDL-C, ApoA-I levels and the ratio of ApoA-I to ApoB in CG genotype, and TC,TG,LDL-C,ApoA-I and ApoB levels in GG genotype were higher in drinkers than in nondrinkers(P【0.05-0.01).But the ratio of ApoA-I to ApoB in GG genotype was lower in drinkers than in nondrinkers(P【0.01). Multivariate logistic regression analysis showed that the levels of TC,TG and ApoB were correlated with genotype in non drinkers(P【0.05 for all).The levels of TC,LDL-C and ApoB were associated with genotype in drinkers(P【0.01 for all). Serum lipid parameters were also correlated with age,sex,alcohol consumption,cigarette smoking,blood pressure,body weight,and body mass index in both groups.Conclusions This study suggests that the ApoC-Ⅲ3238CG heterozygotes benefited more from alcohol consumption than CC and GG homozygotes in increasing serum levels of HDL-C,ApoA-I, and the ratio of ApoA-I to ApoB,and lowering serum levels of TC and TG.展开更多
目的构建载脂蛋白CⅢ(Apo CⅢ)转基因小鼠,并与动脉粥样硬化易感的低密度脂蛋白受体(LDLR)敲除小鼠杂交,获得Apo CⅢ转基因+LDLR缺陷(Apo CⅢ+LDLR^(―/―))小鼠模型,开展Apo CⅢ对动脉粥样硬化影响及潜在机制的研究。方法 Apo CⅢ+LDL...目的构建载脂蛋白CⅢ(Apo CⅢ)转基因小鼠,并与动脉粥样硬化易感的低密度脂蛋白受体(LDLR)敲除小鼠杂交,获得Apo CⅢ转基因+LDLR缺陷(Apo CⅢ+LDLR^(―/―))小鼠模型,开展Apo CⅢ对动脉粥样硬化影响及潜在机制的研究。方法 Apo CⅢ+LDLR^(―/―)小鼠与LDLR^(―/―)小鼠喂饲高脂饲料3个月,检测其血浆甘油三酯、总胆固醇、脂质过氧化产物和还原性谷胱甘肽水平。对小鼠的全主动脉和主动脉窦进行油红O染色及二氢乙啶染色,并提取主动脉的RNA和蛋白,分析相关基因的表达。结果 Apo CⅢ+LDLR^(―/―)小鼠喂饲高脂饲料后血浆甘油三酯水平明显高于LDLR^(―/―)小鼠,但总胆固醇水平差别不明显。主动脉全长和主动脉窦的染色显示动脉粥样硬化斑块明显增加。Apo CⅢ+LDLR^(―/―)小鼠血浆脂质过氧化产物8-异前列腺素和丙二醛水平明显升高,抗氧化物质还原性谷胱甘肽水平明显降低。对其主动脉进行二氢乙啶染色发现,动脉内活性氧水平明显增加。主动脉内氧化应激和内质网应激相关基因的mRNA和蛋白表达明显升高。提示Apo CⅢ可能通过增加动脉内的氧化应激和内质网应激,从而促进动脉粥样硬化斑块形成。结论 Apo CⅢ具有促动脉粥样硬化的作用,其机制可能与整体氧化应激水平的升高以及动脉壁氧化应激、内质网应激水平的增加有关。展开更多
文摘肿瘤分期和淋巴结受累是局部晚期宫颈癌最重要的预后因素。对于宫颈癌,妇科肿瘤医师普遍应用国际妇产科联盟(International Federation of Gynecology and Obstetrics,FIGO)标准。然而目前FIGO 2018分期标准中,ⅢC期仅基于转移淋巴结的解剖位置,并未考虑局部肿瘤因素及其他淋巴状态参数,一定程度上限制了其预后意义。本文旨在总结ⅢC期宫颈癌局部肿瘤因素及不同淋巴状态参数对预后的影响以及治疗选择。
文摘Objectives Both apolipoprotein(Apo)C-Ⅲgene polymorphism and alcohol consumption have been associated with increased serum triglyceride(TG) levels,but their interactions on serum TG levels are not well known.The present study was undertaken to detect the interactions of the ApoC-Ⅲ3238C】G(rs5128) polymorphism and alcohol consumption on serum TG levels.Methods A total of 516 unrelated nondrinkers and 514 drinkers aged 15-89 were randomly selected from our previous stratified randomized cluster samples. Genotyping of the ApoC-Ⅲ3238C】G was performed by polymerase chain reaction and restriction fragment length polymorphism combined with gel electrophoresis,and then confirmed by direct sequencing.Interactions of the ApoC-Ⅲ3238C】G genotype and alcohol consumption was assessed by using a cross-product term between genotypes and the afore-mentioned factor.Results Serum total cholesterol(TC), TG,high-density lipoprotein cholesterol(HDL-C),ApoA-I and ApoB levels were higher in drinkers than in nondrinkers (P【0.05-0.001).There was no significant difference in the genotypic and allelic frequencies between the two groups. Serum TG levels in nondrinkers were higher in CG genotype than in CC genotype(P【0,01).Serum TC,TG,low-density lipoprotein cholesterol(LDL-C) and ApoB levels in drinkers were higher in GG genotype than in CC or CG genotype(P【0.01 for all).Serum HDL-C levels in drinkers were higher in CG genotype than in CC genotype(P【0.01).Serum TC, TG,HDL-C and ApoA-I levels in CC genotype,TC,HDL-C, ApoA-I levels and the ratio of ApoA-I to ApoB in CG genotype, and TC,TG,LDL-C,ApoA-I and ApoB levels in GG genotype were higher in drinkers than in nondrinkers(P【0.05-0.01).But the ratio of ApoA-I to ApoB in GG genotype was lower in drinkers than in nondrinkers(P【0.01). Multivariate logistic regression analysis showed that the levels of TC,TG and ApoB were correlated with genotype in non drinkers(P【0.05 for all).The levels of TC,LDL-C and ApoB were associated with genotype in drinkers(P【0.01 for all). Serum lipid parameters were also correlated with age,sex,alcohol consumption,cigarette smoking,blood pressure,body weight,and body mass index in both groups.Conclusions This study suggests that the ApoC-Ⅲ3238CG heterozygotes benefited more from alcohol consumption than CC and GG homozygotes in increasing serum levels of HDL-C,ApoA-I, and the ratio of ApoA-I to ApoB,and lowering serum levels of TC and TG.
文摘目的构建载脂蛋白CⅢ(Apo CⅢ)转基因小鼠,并与动脉粥样硬化易感的低密度脂蛋白受体(LDLR)敲除小鼠杂交,获得Apo CⅢ转基因+LDLR缺陷(Apo CⅢ+LDLR^(―/―))小鼠模型,开展Apo CⅢ对动脉粥样硬化影响及潜在机制的研究。方法 Apo CⅢ+LDLR^(―/―)小鼠与LDLR^(―/―)小鼠喂饲高脂饲料3个月,检测其血浆甘油三酯、总胆固醇、脂质过氧化产物和还原性谷胱甘肽水平。对小鼠的全主动脉和主动脉窦进行油红O染色及二氢乙啶染色,并提取主动脉的RNA和蛋白,分析相关基因的表达。结果 Apo CⅢ+LDLR^(―/―)小鼠喂饲高脂饲料后血浆甘油三酯水平明显高于LDLR^(―/―)小鼠,但总胆固醇水平差别不明显。主动脉全长和主动脉窦的染色显示动脉粥样硬化斑块明显增加。Apo CⅢ+LDLR^(―/―)小鼠血浆脂质过氧化产物8-异前列腺素和丙二醛水平明显升高,抗氧化物质还原性谷胱甘肽水平明显降低。对其主动脉进行二氢乙啶染色发现,动脉内活性氧水平明显增加。主动脉内氧化应激和内质网应激相关基因的mRNA和蛋白表达明显升高。提示Apo CⅢ可能通过增加动脉内的氧化应激和内质网应激,从而促进动脉粥样硬化斑块形成。结论 Apo CⅢ具有促动脉粥样硬化的作用,其机制可能与整体氧化应激水平的升高以及动脉壁氧化应激、内质网应激水平的增加有关。
