Background:With the popularization of lung cancer screening,more early-stage lung cancers are being detected.This study aims to compare three types of N classifications,including location-based N classification(pathol...Background:With the popularization of lung cancer screening,more early-stage lung cancers are being detected.This study aims to compare three types of N classifications,including location-based N classification(pathologic nodal classification[pN]),the number of lymph node stations(nS)-based N classification(nS classification),and the combined approach proposed by the International Association for the Study of Lung Cancer(IASLC)which incorporates both pN and nS classification to determine if the nS classification is more appropriate for early-stage lung cancer.Methods:We retrospectively reviewed the clinical data of lung cancer patients treated at the Cancer Hospital,Chinese Academy of Medical Sciences between 2005 and 2018.Inclusion criteria was clinical stage IA lung adenocarcinoma patients who underwent resection during this period.Sub-analyses were performed for the three types of N classifications.The optimal cutoffvalues for nS classification were determined with X-tile software.Kaplan‒Meier and multivariate Cox analyses were performed to assess the prognostic significance of the different N classifications.The prediction performance among the three types of N classifications was compared using the concordance index(C-index)and decision curve analysis(DCA).Results:Of the 669 patients evaluated,534 had pathological stage N0 disease(79.8%),82 had N1 disease(12.3%)and 53 had N2 disease(7.9%).Multivariate Cox analysis indicated that all three types of N classifications were independent prognostic factors for prognosis(all P<0.001).However,the prognosis overlaps between pN(N1 and N2,P=0.052)and IASLC-proposed N classification(N1b and N2a1[P=0.407],N2a1 and N2a2[P=0.364],and N2a2 and N2b[P=0.779]),except for nS classification subgroups(nS0 and nS1[P<0.001]and nS1 and nS>1[P=0.006]).There was no significant difference in the C-index values between the three N classifications(P=0.370).The DCA results demonstrated that the nS classification provided greater clinical utility.Conclusion:The nS classification might be a better choice for nodal classification in clinical stage IA lung adeno-carcinoma.展开更多
Objective To investigate the risk factors with lymph node metastatic recurrence in patients with N0 esophageal cancer after Ivor-Lewis Esophagectomy. Methods The subjects were 82 patients with pN0 esophagea cancer who...Objective To investigate the risk factors with lymph node metastatic recurrence in patients with N0 esophageal cancer after Ivor-Lewis Esophagectomy. Methods The subjects were 82 patients with pN0 esophagea cancer who underwent Ivor-Lewis esophagectomy from January 2001 to January 2005. By using RT-PCR,VEGF C mRNA was detected in tumor issues,and Mucin (MUC1) mRNA was detected in lymph nodes. The Kaplan-Meier method was used to calculate the survival展开更多
As a research hotspot in the field of molecular biology,N6-methyladenosine(m6A)modification has made progress in the treatment of colorectal cancer(CRC),leukemia and other cancers.Numerous studies have demonstrated th...As a research hotspot in the field of molecular biology,N6-methyladenosine(m6A)modification has made progress in the treatment of colorectal cancer(CRC),leukemia and other cancers.Numerous studies have demonstrated that the tumour microenvironment(TME)regulates the level of m6A modification in the host and activates a series of complex epigenetic signalling pathways through interactions with CRC cells,thus affecting the progression and prognosis of CRC.However,with the diversity in the composition of TME factors,this action is reci-procal and complex.Encouragingly,some studies have experimentally revealed that the intestinal flora can alter CRC cell proliferation by directly acting on m6A and thereby altering CRC cell proliferation.This review summarizes the data,supporting the idea that the intestinal flora can influence host m6A levels through pathways such as methyl donor metabolism and thus affect the progression of CRC.We also review the role of m6A modification in the diagnosis,treatment,and prognostic assessment of CRC and discuss the current status,limitations,and potential clinical value of m6A modification in this field.We propose that additional in-depth research on m6A alterations in CRC patients and their TME-related targeted therapeutic issues will lead to better therapeutic outcomes for CRC patients.展开更多
A novel avian influenza A(H7N9) virus recently emerged in the Yangtze River delta and caused diseases, often severe, in over 130 people. This H7N9 virus appeared to infect humans with greater ease than previous avian ...A novel avian influenza A(H7N9) virus recently emerged in the Yangtze River delta and caused diseases, often severe, in over 130 people. This H7N9 virus appeared to infect humans with greater ease than previous avian influenza virus subtypes such as H5N1 and H9N2. While there are other potential explanations for this large number of human infections with an avian influenza virus, we investigated whether a lack of conserved T-cell epitopes between endemic H1N1 and H3N2 influenza viruses and the novel H7N9 virus contributes to this observation. Here we demonstrate that a number of T cell epitopes are conserved between endemic H1N1 and H3N2 viruses and H7N9 virus. Most of these conserved epitopes are from viral internal proteins. The extent of conservation between endemic human seasonal influenza and avian influenza H7N9 was comparable to that with the highly pathogenic avian influenza H5N1. Thus, the ease of inter-species transmission of H7N9 viruses(compared with avian H5N1 viruses) cannot be attributed to the lack of conservation of such T cell epitopes. On the contrary, our findings predict significant T-cell based cross-reactions in the human population to the novel H7N9 virus. Our findings also have implications for H7N9 virus vaccine design.展开更多
Background Novel influenza A viruses of avian-origin may be the precursors of pandemic strains. This descriptive study aims to introduce a novel avian-origin influenza A （H10N8） virus which can infect humans and cau...Background Novel influenza A viruses of avian-origin may be the precursors of pandemic strains. This descriptive study aims to introduce a novel avian-origin influenza A （H10N8） virus which can infect humans and cause severe diseases. Methods Collecting clinical data of three cases of human infection with a novel reassortment avian influenza A （H10N8） virus in Nanchang, Jiangxi Province, China. Results Three cases of human infection with a new reassortment avian influenza A（H10N8） virus were described, of which two were fatal cases, and one was severe case. These cases presented with severe pneumonia that progressed to acute respiratory distress syndrome （ARDS） and intractable respiratory failure. Conclusion This novel reassortment avian influenza A （H10N8） virus in China resulted in fatal human infections, and should be added to concerns in clinical practice.展开更多
Objective To explore the predictive value of neutrophil-to-lymphocyte ratio on the prognosis of H7N9 avian influenza. Methods A retrospective analysis was conducted on 28 H7N9 avian influenza patients (treatment group...Objective To explore the predictive value of neutrophil-to-lymphocyte ratio on the prognosis of H7N9 avian influenza. Methods A retrospective analysis was conducted on 28 H7N9 avian influenza patients (treatment group) at the First Affiliated Hospital of Soochow University from April 2013 to January 2016.展开更多
基金supported by CAMS Innovation Fund for Med-ical Sciences(grant number:2021-I2M-C&T-B-061)Beijing Hope Run Special Fund of Cancer Foundation of China(grant number:LC2022A22)+1 种基金Beijing Municipal Natural Science Foundation(grant num-ber:7184238)National Natural Science Foundation of China(grant number:81701692).
文摘Background:With the popularization of lung cancer screening,more early-stage lung cancers are being detected.This study aims to compare three types of N classifications,including location-based N classification(pathologic nodal classification[pN]),the number of lymph node stations(nS)-based N classification(nS classification),and the combined approach proposed by the International Association for the Study of Lung Cancer(IASLC)which incorporates both pN and nS classification to determine if the nS classification is more appropriate for early-stage lung cancer.Methods:We retrospectively reviewed the clinical data of lung cancer patients treated at the Cancer Hospital,Chinese Academy of Medical Sciences between 2005 and 2018.Inclusion criteria was clinical stage IA lung adenocarcinoma patients who underwent resection during this period.Sub-analyses were performed for the three types of N classifications.The optimal cutoffvalues for nS classification were determined with X-tile software.Kaplan‒Meier and multivariate Cox analyses were performed to assess the prognostic significance of the different N classifications.The prediction performance among the three types of N classifications was compared using the concordance index(C-index)and decision curve analysis(DCA).Results:Of the 669 patients evaluated,534 had pathological stage N0 disease(79.8%),82 had N1 disease(12.3%)and 53 had N2 disease(7.9%).Multivariate Cox analysis indicated that all three types of N classifications were independent prognostic factors for prognosis(all P<0.001).However,the prognosis overlaps between pN(N1 and N2,P=0.052)and IASLC-proposed N classification(N1b and N2a1[P=0.407],N2a1 and N2a2[P=0.364],and N2a2 and N2b[P=0.779]),except for nS classification subgroups(nS0 and nS1[P<0.001]and nS1 and nS>1[P=0.006]).There was no significant difference in the C-index values between the three N classifications(P=0.370).The DCA results demonstrated that the nS classification provided greater clinical utility.Conclusion:The nS classification might be a better choice for nodal classification in clinical stage IA lung adeno-carcinoma.
文摘Objective To investigate the risk factors with lymph node metastatic recurrence in patients with N0 esophageal cancer after Ivor-Lewis Esophagectomy. Methods The subjects were 82 patients with pN0 esophagea cancer who underwent Ivor-Lewis esophagectomy from January 2001 to January 2005. By using RT-PCR,VEGF C mRNA was detected in tumor issues,and Mucin (MUC1) mRNA was detected in lymph nodes. The Kaplan-Meier method was used to calculate the survival
基金Supported by the National Natural Science Foundation of China,No.82100599 and No.81960112the Jiangxi Provincial Department of Scientific introductions,No.20212ACB216003 and No.20242BAB26122+1 种基金the Science and Technology Plan of Jiangxi Provincial Administration of Traditional Chinese Medicine,No.2023Z021the Young Talents Project of Jiangxi Provincial Academic and Technical Leaders Training Program for Major Disciplines,No.20204BCJ23022.
文摘As a research hotspot in the field of molecular biology,N6-methyladenosine(m6A)modification has made progress in the treatment of colorectal cancer(CRC),leukemia and other cancers.Numerous studies have demonstrated that the tumour microenvironment(TME)regulates the level of m6A modification in the host and activates a series of complex epigenetic signalling pathways through interactions with CRC cells,thus affecting the progression and prognosis of CRC.However,with the diversity in the composition of TME factors,this action is reci-procal and complex.Encouragingly,some studies have experimentally revealed that the intestinal flora can alter CRC cell proliferation by directly acting on m6A and thereby altering CRC cell proliferation.This review summarizes the data,supporting the idea that the intestinal flora can influence host m6A levels through pathways such as methyl donor metabolism and thus affect the progression of CRC.We also review the role of m6A modification in the diagnosis,treatment,and prognostic assessment of CRC and discuss the current status,limitations,and potential clinical value of m6A modification in this field.We propose that additional in-depth research on m6A alterations in CRC patients and their TME-related targeted therapeutic issues will lead to better therapeutic outcomes for CRC patients.
基金supported in part by General Research Fund, Research Grants Council of Hong Kong (HKU 780113M)Area of Excellence program (AoE/M-12/06)+1 种基金University Grants Committee of Hong Kong SARResearch Fund for the Control of Infectious Diseases, Hong Kong SAR government (11100742)
文摘A novel avian influenza A(H7N9) virus recently emerged in the Yangtze River delta and caused diseases, often severe, in over 130 people. This H7N9 virus appeared to infect humans with greater ease than previous avian influenza virus subtypes such as H5N1 and H9N2. While there are other potential explanations for this large number of human infections with an avian influenza virus, we investigated whether a lack of conserved T-cell epitopes between endemic H1N1 and H3N2 influenza viruses and the novel H7N9 virus contributes to this observation. Here we demonstrate that a number of T cell epitopes are conserved between endemic H1N1 and H3N2 viruses and H7N9 virus. Most of these conserved epitopes are from viral internal proteins. The extent of conservation between endemic human seasonal influenza and avian influenza H7N9 was comparable to that with the highly pathogenic avian influenza H5N1. Thus, the ease of inter-species transmission of H7N9 viruses(compared with avian H5N1 viruses) cannot be attributed to the lack of conservation of such T cell epitopes. On the contrary, our findings predict significant T-cell based cross-reactions in the human population to the novel H7N9 virus. Our findings also have implications for H7N9 virus vaccine design.
文摘Background Novel influenza A viruses of avian-origin may be the precursors of pandemic strains. This descriptive study aims to introduce a novel avian-origin influenza A （H10N8） virus which can infect humans and cause severe diseases. Methods Collecting clinical data of three cases of human infection with a novel reassortment avian influenza A （H10N8） virus in Nanchang, Jiangxi Province, China. Results Three cases of human infection with a new reassortment avian influenza A（H10N8） virus were described, of which two were fatal cases, and one was severe case. These cases presented with severe pneumonia that progressed to acute respiratory distress syndrome （ARDS） and intractable respiratory failure. Conclusion This novel reassortment avian influenza A （H10N8） virus in China resulted in fatal human infections, and should be added to concerns in clinical practice.
文摘Objective To explore the predictive value of neutrophil-to-lymphocyte ratio on the prognosis of H7N9 avian influenza. Methods A retrospective analysis was conducted on 28 H7N9 avian influenza patients (treatment group) at the First Affiliated Hospital of Soochow University from April 2013 to January 2016.
