AIM: To determine the influence of gender on the clinicopathologic characteristics and survival of patients with hepatocellular carcinoma (HCC). METHODS: A retrospective analysis of medical records was performed in 29...AIM: To determine the influence of gender on the clinicopathologic characteristics and survival of patients with hepatocellular carcinoma (HCC). METHODS: A retrospective analysis of medical records was performed in 299 patients with HCC and their clinicopathologic features and survival were compared in relation to gender. RESULTS: There were 260 male (87%) and 39 female patients (13%),with a male-to-female ratio of 6.7:1.Female patients had lower mean serum bilirubin levels (P=0.03), lower proportion of alcohol abuse (P=0.002),smaller mean tumor size (P=0.02),more frequent nodular type but less frequent massive and diffuse types of HCC (P=0.01),were less advanced in Okuda's staging (P=0.04),and less frequently associated with venous invasion (P=0.03).The median survivals in females (14 too) were significantly longer than that of male patients (4 mo) (P=0.004,log-rank test). Multivariate analysis demonstrated that high serum alpha- fetoprotein levels,venous invasion,extrahepatic metastasis and lack of therapy were independent factors related to unfavorable prognosis.However,gender did not constitute a predictive variable associated with patient survival. CONCLUSION: Female patients tend to have higher survival rates than males.These differences were probably due to more favorable pathologic features of HCC at initial diagnosis and greater likelihood to undergo curative therapy in female patients.展开更多
Enzyme-linked colorimetric analysis and adioimmunoassay were employed to detect serum fasting total bile acids(FBA) and choloyglycin (CG) respectively in cases of 32 neonatal hepatitis , 33 cases of neonatal unconjuga...Enzyme-linked colorimetric analysis and adioimmunoassay were employed to detect serum fasting total bile acids(FBA) and choloyglycin (CG) respectively in cases of 32 neonatal hepatitis , 33 cases of neonatal unconjugated hyperbilirubinemia and 34 cases of breast milk jaundice(BMJ). FBA and CG in acute period of neonatal hepatitis were obviously elevated and decreased gradually in convalescent and recovered period. The difference was significant for each stage as compared with controls. Acute FBA correlated strongly with the course. Both neonatal unconjugated hyperbilirubinemia and BMJ differed significantly from controls in FBA and CG. The results suggested that serum FBA and CG were helpful in Judging the course and state of neonatal hepatitis, and cholestasis might existed in neonatal unconjugated hyperbilirubinemia.展开更多
After binding to human serum albumin,bilirubin could undergo photoisomerization and photoinduced cyclization process.The latter process would result the formation of a product,named as lumirubin.These photo induced be...After binding to human serum albumin,bilirubin could undergo photoisomerization and photoinduced cyclization process.The latter process would result the formation of a product,named as lumirubin.These photo induced behaviors are the fundamental ofclinical therapy for neonatal jaundice.Previous studies have reported that the addition of long chain fatty acids is beneficial to the generation of lumirubin,yet no kinetic study has revealed the mechanism behind.In this study,how palmitic acid affects the photochemical reaction process of bilirubin in Human serum albumin(HSA)is studied by using femtosecond transient absorption and fluorescence up-conversion techniques.With the addition of palmitic acid,the excited population of bilirubin prefers to return to its hot ground state(S_(0))through a 4 ps decay channel rather than the intrinsic ultrafast decay pathways(<1 ps).This effect prompts the Z-Z to E-Z isomerization at the S_(0) state and then further increases the production yield of lumirubin.This is the first time to characterize the promoting effect of long chain fatty acid in the process of phototherapy with femtosecond time resolution spectroscopy and the results can provide useful information to benefit the relevant clinical study.展开更多
文摘AIM: To determine the influence of gender on the clinicopathologic characteristics and survival of patients with hepatocellular carcinoma (HCC). METHODS: A retrospective analysis of medical records was performed in 299 patients with HCC and their clinicopathologic features and survival were compared in relation to gender. RESULTS: There were 260 male (87%) and 39 female patients (13%),with a male-to-female ratio of 6.7:1.Female patients had lower mean serum bilirubin levels (P=0.03), lower proportion of alcohol abuse (P=0.002),smaller mean tumor size (P=0.02),more frequent nodular type but less frequent massive and diffuse types of HCC (P=0.01),were less advanced in Okuda's staging (P=0.04),and less frequently associated with venous invasion (P=0.03).The median survivals in females (14 too) were significantly longer than that of male patients (4 mo) (P=0.004,log-rank test). Multivariate analysis demonstrated that high serum alpha- fetoprotein levels,venous invasion,extrahepatic metastasis and lack of therapy were independent factors related to unfavorable prognosis.However,gender did not constitute a predictive variable associated with patient survival. CONCLUSION: Female patients tend to have higher survival rates than males.These differences were probably due to more favorable pathologic features of HCC at initial diagnosis and greater likelihood to undergo curative therapy in female patients.
文摘Enzyme-linked colorimetric analysis and adioimmunoassay were employed to detect serum fasting total bile acids(FBA) and choloyglycin (CG) respectively in cases of 32 neonatal hepatitis , 33 cases of neonatal unconjugated hyperbilirubinemia and 34 cases of breast milk jaundice(BMJ). FBA and CG in acute period of neonatal hepatitis were obviously elevated and decreased gradually in convalescent and recovered period. The difference was significant for each stage as compared with controls. Acute FBA correlated strongly with the course. Both neonatal unconjugated hyperbilirubinemia and BMJ differed significantly from controls in FBA and CG. The results suggested that serum FBA and CG were helpful in Judging the course and state of neonatal hepatitis, and cholestasis might existed in neonatal unconjugated hyperbilirubinemia.
基金supported by the National Natural Science Foundation of China (No.91850202, No.21873030 and No.11674101)Shanghai Rising-Star Program(No.19QA1402800)
文摘After binding to human serum albumin,bilirubin could undergo photoisomerization and photoinduced cyclization process.The latter process would result the formation of a product,named as lumirubin.These photo induced behaviors are the fundamental ofclinical therapy for neonatal jaundice.Previous studies have reported that the addition of long chain fatty acids is beneficial to the generation of lumirubin,yet no kinetic study has revealed the mechanism behind.In this study,how palmitic acid affects the photochemical reaction process of bilirubin in Human serum albumin(HSA)is studied by using femtosecond transient absorption and fluorescence up-conversion techniques.With the addition of palmitic acid,the excited population of bilirubin prefers to return to its hot ground state(S_(0))through a 4 ps decay channel rather than the intrinsic ultrafast decay pathways(<1 ps).This effect prompts the Z-Z to E-Z isomerization at the S_(0) state and then further increases the production yield of lumirubin.This is the first time to characterize the promoting effect of long chain fatty acid in the process of phototherapy with femtosecond time resolution spectroscopy and the results can provide useful information to benefit the relevant clinical study.
