Lymph node dissection does not affect the survival of patients with tumor node metastasis stages Ⅰ and Ⅱ colorectal cancer

BACKGROUND The effect of the number of lymph node dissections(LNDs)during radical resection for colorectal cancer(CRC)on overall survival(OS)remains controver-sial.AIM To investigate the association between the number of LNDs and OS in patients with tumor node metastasis(TNM)stage Ⅰ–Ⅱ CRC undergoing radical resection.METHODS Patients who underwent radical resection for CRC at a single-center hospital between January 2011 and December 2021 were retrospectively analyzed.Cox regression analyses were performed to identify the independent predictors of OS at different T stages.RESULTS A total of 2850 patients who underwent laparoscopic radical resection for CRC were enrolled.At stage T1,age[P<0.01,hazard ratio(HR)=1.075,95%confidence interval(CI):1.019-1.134]and tumour size(P=0.021,HR=3.635,95%CI:1.210-10.917)were independent risk factors for OS.At stage T2,age(P<0.01,HR=1.064,95%CI:1.032-1.098)and overall complications(P=0.012,HR=2.297,95%CI:1.200-4.397)were independent risk factors for OS.At stage T3,only age(P<0.01,HR=1.047,95%CI:1.027-1.066)was an independent risk factor for OS.At stage T4,age(P<0.01,HR=1.057,95%CI:1.039-1.075)and body mass index(P=0.034,HR=0.941,95%CI:0.890-0.995)were independent risk factors for OS.However,there was no association between LNDs and OS in stages Ⅰ and Ⅱ.CONCLUSION The number of LDNs did not affect the survival of patients with TNM stages Ⅰ and Ⅱ CRC.Therefore,insufficient LNDs should not be a cause for alarm during the surgery.

苦参碱调节RhoA-ROCK信号通路对冠心病模型大鼠Th17/Treg细胞平衡的影响

目的探讨苦参碱(Matrine)对冠心病(coronary heart disease,CHD)大鼠辅助T细胞17(helper T cell 17,Th17)/调节性T细胞(regulatory T cells,Treg)细胞平衡及Ras同源基因家族成员A(RhoA)-Rho相关的卷曲螺旋激酶(ROCK)信号通路的影响。方法建立冠心病模型,将实验大鼠分为对照组、模型组、苦参碱低剂量(50 mg·kg^(-1))组、苦参碱高剂量(200 mg·kg^(-1))组及苦参碱高剂量(200 mg·kg^(-1))+LPA组(10 mg·kg^(-1))。超声心动图进行大鼠心功能检测;酶联免疫吸附试验(enzyme linked immunosorbent assay,ELISA)法进行白细胞介素17(IL-17)、转化生长因子β(TGF-β)水平检测;流式细胞术检测Th17、Treg数量及Th17/Treg比值;免疫组化进行内皮型一氧化氮合酶(eNOS)、内皮素1(ET-1)蛋白表达水平检测;Masson染色进行大鼠心肌组织的病理形态变化观察;TTC染色检测各组大鼠心肌梗死情况;TUNEL染色进行心肌组织中细胞凋亡情况检测;试剂盒检测RhoA活性;Western Blot法进行半胱氨酸天冬氨酸蛋白酶3(Caspase-3)、B细胞淋巴瘤因子2(Bcl-2)、Bcl-2相关X蛋白(Bax)、RhoA、ROCK1、ROCK2蛋白表达水平检测。结果与对照组比较,模型组心肌组织有大量蓝色胶原纤维沉积,左室舒张末期容积(left ventricular end-diastolic volume,LVEDV)、左室收缩末期容积(left ventricular end-systolic volume,LVESV)、IL-17、Th17、Th17/Treg、ET-1、心肌梗死面积、细胞凋亡率、TUNEL阳性率、Bax、Caspase-3、RhoA活性、RhoA、ROCK1、ROCK2表达水平明显升高,左室射血分数(left ventricular ejection fraction,LVEF)、左室缩短分数(left ventricular shortening fraction,LVFS)、TGF-β、Treg、eNOS、Bcl-2表达水平明显降低(P<0.05)。与模型组比较,Matrine-L组、苦参碱高剂量组心肌组织蓝色胶原纤维逐渐减少,LVEDV、LVESV、IL-17、Th17、Th17/Treg、ET-1、心肌梗死面积、细胞凋亡率、TUNEL阳性率、Bax、Caspase-3、RhoA活性、RhoA、ROCK1、ROCK2表达水平依次明显降低,LVEF、LVFS、TGF-β、Treg、eNOS、Bcl-2表达水平依次明显升高(P<0.05)。与苦参碱高剂量组比较,苦参碱高剂量+LPA组心肌组织蓝色胶原纤维增多,LVEDV、LVESV、IL-17、Th17、Th17/Treg、ET-1、心肌梗死面积、细胞凋亡率、TUNEL阳性率、Bax、Caspase-3、RhoA活性、RhoA、ROCK1、ROCK2表达水平明显升高,LVEF、LVFS、TGF-β、Treg、eNOS、Bcl-2表达水平明显降低(P<0.05)。结论苦参碱通过抑制RhoAROCK信号通路调节Th17/Treg细胞平衡,改善冠心病大鼠心肌损伤。

Smaller tumor size is associated with poor survival in T4b colon cancer

AIM: To hypothesize that in patients with colon cancer showing heavy intestinal wall invasion without distant metastasis(T4b N0-2M0), small tumor size would correlate with more aggressive tumor behaviors and therefore poorer cancer-specific survival(CSS).METHODS: We analyzed T4 b N0-2M0 colon cancer patients in the Surveillance, Epidemiology and End Results(SEER) database. A preliminary analysis of T4 b N0-2M0 colon cancer patients at the Fudan University Shanghai Cancer Center is also presented.RESULTS: A total of 1734 T4 b N0-2M0 colon cancer patients from the SEER database were included. Kaplan-Meier analysis revealed decreasing CSS with decreasing tumor size(P < 0.001). Subgroup analysis showed a significant association between poorer CSS with smaller tumor size in T4 b N0 patients(P = 0.024), and a trend of association in T4 b N1(P = 0.182) and T4 b N2 patients(P = 0.191). Multivariate analysis identified tumor size as an independent prognostic factor for CSS in T4 b N0-2M0 patients(P = 0.024). Preliminary analysis of Fudan University Shanghai Cancer Center samples suggested the 5-year CSS was 50.0%, 72.9% and 77.1% in patients with tumors ≤ 4.0 cm, 4.0-7.0 cm and ≥ 7.0 cm.CONCLUSION: Smaller tumor size is associated with poorer CSS in the T4 b N0-2M0 subset of colon cancer, particularly in the T4 b N0M0 subgroup.

Association between genetic variations in tumor necrosis factor receptor genes and survival of patients with T-cell lymphoma

The prognosis of T-cell lymphoma (TCL) has been shown to be associated with the clinical characteristics of patients. However, there is little knowledge of whether genetic variations also affect the prognosis of TCL. This study investigated the associations between single nucleotide polymorphisms(SNPs) in tumor necrosis factor receptor superfamily(TNFRSF) genes and the survival of patients with TCL. A total of 38 tag SNPs in 18 TNFRSF genes were genotyped using Sequenom platform in 150 patients with TCL. Kaplan-Meier survival estimates were plotted and significance was assessed using log-rank tests. Cox proportional hazard models were used to analyze each of these 38 SNPs with adjustment for covariates that might influence patient survival, including sex and international prognostic Index score. Hazard ratios (HRs) and their 95% confidence intervals(CIs) were calculated. Among the 38 SNPs tested, 3 were significantly associated with the survival of patients with TCL. These SNPs were located at LTβR (rs3759333C>T) and TNFRSF17(rs2017662C>T and rs2071336C>T). The 5-year survival rates were significantly different among patients carrying different genotypes and the HRs for death between the different genotypes ranged from 0.45 to 2.46. These findings suggest that the SNPs in TNFRSF genes might be important determinants for the survival of TCL patients.

Correlation of cardiac troponin T levels with inotrope requirement,hypoxic-ischemic encephalopathy,and survival in asphyxiated neonates

BACKGROUND Cardiac involvement in neonates with perinatal asphyxia not only complicates perinatal management but also contributes to increased mortality.AIM To assess cardiac troponin T(cTnT)levels in asphyxiated neonates and their correlation with echocardiography findings,inotrope requirement,hypoxicischemic encephalopathy(HIE)stages,and mortality.METHODS cTnT levels,echocardiographic findings,the requirement of inotropes,HIE stages,and outcome were studied in neonates of gestational age≥34 wk with perinatal asphyxia.RESULTS Among 57 neonates with perinatal asphyxia,male gender,cesarean section,forceps/vacuum-assisted vaginal delivery and late preterm included 33(57.9%),23(40.4%),3(5.3%),and 12(21.1%)respectively.The mean gestational age was 38.4 wk(1.6 wk).HIE stages I,II,and III were observed in 7(12.3%),37(64.9%),and 9(15.8%)neonates respectively.26(45.6%)neonates had echocardiographic changes and 19(33.3%)required inotropes.cTnT levels were elevated in 41(71.9%)neonates[median(IQR);0.285(0.211-0.422)ng/mL].The Median cTnT level showed an increasing trend with increasing changes in echocardiography(P=0.002).Two neonates with mitral regurgitation and global hypokinesia had the highest cTnT levels(1.99 and 0.651 ng/mL).Of 31 neonates with normal echocardiography,18(58.06%)showed elevated cTnT.cTnT levels were significantly higher in those who required inotropic support than those who did not(P=0.007).Neonates with HIE stage III had significantly higher cTnT levels compared to those with HIE stage I/II(P=0.013).Survivors had lower median cTnT levels[0.210(0.122-0.316)ng/mL]than who succumbed[0.597(0.356-1.146)ng/mL].CONCLUSION cTnT levels suggestive of cardiac involvement were observed in 71.9%of asphyxiated neonates.cTnT levels correlated with echocardiography findings,inotrope requirement,HIE stages,and mortality.

T细胞亚群水平可预测主动脉夹层患者入院30天生存状态

目的:探究主动脉夹层患者T细胞亚群水平与30 d生存状态的关系。方法:收集184例接受手术治疗的主动脉夹层患者的临床资料,根据入院30 d生存状态分为生存组(149例)和死亡组(35例),比较2组T细胞亚群(CD3^(+)、CD3^(+)CD4^(+)、CD3^(+)CD8^(+))水平。采用多元Logistic回归分析患者入院30 d死亡的影响因素,受试者工作特征曲线分析CD3^(+)、CD3^(+)CD4^(+)、CD3^(+)CD8^(+)T细胞的预测价值。结果:184例主动脉夹层患者入院30 d内全因死亡35例(19.02%)。死亡组Stanford A型、低氧血症、高血压患者占比、入院收缩压及舒张压、CD3^(+)CD8^(+)T细胞水平高于生存组,CD3^(+)与CD3^(+)CD4^(+)T细胞水平低于生存组(P均<0.05)。Logistic回归分析结果显示,CD3^(+)CD8^(+)T细胞、Stanford A型、低氧血症、高血压是主动脉夹层患者入院30 d死亡的危险因素,CD3^(+)、CD3^(+)CD4^(+)T细胞是其保护性因素(P均<0.05)。CD3^(+)与CD3^(+)CD4^(+)、CD3^(+)CD8^(+)T细胞预测主动脉夹层患者入院30 d死亡的曲线下面积分别为0.731(95%CI 0.644~0.819)、0.801(95%CI 0.726~0.875)、0.824(95%CI 0.731~0.918)。结论:主动脉夹层患者T细胞亚群CD3^(+)、CD3^(+)CD4^(+)、CD3^(+)CD8^(+)水平与入院30 d生存状态相关,三者与Stanford A型、低氧血症、高血压共同影响患者入院30 d生存状态。

High Pressure Metamorphism of Garnet-Amphibole Rocks from Songshugou Area,Eastern Qinling Mountain and Its Tectonic Implication

Eclogitic garnet-amphibole rocks are scattered around me Songshugou ultramafic bodies in Qinling Mountains . Three metamorphic stages are recognized in terms of petrography, mineral chemistry and geothermobarometry . The first alhite-amphibole stage was of greenschist facies metamorphism with typical mineral assemblage of actinolite+epidote+chlorite+albite ; the pressure and temperature conditions were equal to or lower than 500MPa and about 400 ℃ .The second prograde eclogitic garnet-amphibole stage was of amphibole-eclogite fades metamorphism with typical mineral assemblage of garnet+hornblende± clinopyroxene+ruffle without ptagioclase ,the pressure condition was at least 1000- 1200MPa and the temperature about 600 ℃ .The third retrograde epidote-amphibole stage was of epidote-amphibolite fecies with assemblage of plagioclase+hornblende+epidote+ilmenite/titanite , the temperature was 500-600 ℃ and the pressure from 800MPa down to 500MPa .All three stages took place in one single tectonothermal event called Jinningian movement at about 1000Ma .The p-T path shows a hairpin shape and thus indicates a metamorphism in the sobduction environment. The metamorphk processes of the garnet- amphibole rocks thus provides a significant evidence for the pbte tectonic movement prevailing in the late Middle Proterozoic period.

RhoA、CD4^(+)CD25^(+)调节性T细胞、MYBL2在胃癌患者中的表达及对预后和生存时间的影响

目的:探讨RhoA、CD4^(+)CD25^(+)调节性T细胞、成髓细胞瘤转录因子第2亚型(MYBL2)在胃癌患者中的表达及对预后和生存时间的影响。方法:选取2017年1月至2019年1月于本院就诊的134例胃癌患者术后癌组织标本作为研究对象,另选取其中62例胃癌患者相应的癌旁组织标本及40例同期非胃癌患者正常胃黏膜组织标本进行对照,检测癌组织、癌旁组织、正常胃黏膜组织中RhoA、CD4^(+)CD25^(+)调节性T细胞、MYBL2的表达情况,分析其对胃癌预后及生存时间的影响。结果:RhoA,CD4^(+)CD25^(+)调节性T细胞、MYBL2在癌组织中的阳性率均明显高于癌旁组织和正常胃黏膜组织(P<0.05)。胃癌患者术后平均生存时间为(28.61±1.34)个月,其中RhoA、CD4^(+)CD25^(+)调节性T细胞、MYBL2阳性患者的生存时间均短于阴性患者(P<0.05)。RhoA(+)、CD4^(+)CD25^(+)调节性T细胞(+)、MYBL2(+)是胃癌患者预后的危险因素(P<0.05)。结论:检测RhoA,CD4^(+)CD25^(+)调节性T细胞、MYBL2的表达可作为胃癌病情严重程度、预后及生存时间评估的重要补充手段。

Meso-damage evolution and mechanical characteristics of low-porosity sedimentary rocks under uniaxial compression

Low pore sedimentary rocks(from Guangxi, China) were subjected to uniaxial compression loading experiment under different initial stresses. The rock samples were investigated by nuclear magnetic resonance before and after the loading. The relationships between the mesoscopic rock damage and macroscopic mechanical parameters were established, and the initial damage stress of the low-porosity sedimentary rock was determined. The results showed that this type of rock has the initial stress of damage. When the initial loading stress is lower than the initial stress of damage, the T2 spectrum area of the rock sample gradually decreases, and the primary pores of the rock are further closed under the stress. The range of the initial stress of damage for this type of rock is 8-16 MPa. When the loading stress exceeds the initial stress of damage, the T2 spectrum area gradually increases, indicating that the porosity of the rock increases and microscopic damage of the rock appears. The rock damage degree is defined, and the nonlinear function between the rock damage degree and the initial loading stress is established.

Rho GTPase/ROCK信号通路在皮肤病免疫调节中的研究进展

在皮肤血管炎和皮肤肿瘤的免疫调节中,Rho GTPase/ROCK信号通路对T淋巴细胞的调节作用受到越来越多的重视。该通路主要影响细胞骨架重排及细胞运动。近年来研究表明,在系统性红斑狼疮、白塞病及黑素瘤的发病机制中,Rho GTPase/ROCK信号通路通过影响T淋巴细胞的黏附迁移、激活、效应等方面,进而影响免疫反应的发生。目前已有一些Rho GTPase/ROCK信号通路的抑制剂如Y27632、法舒地尔等应用于基础或临床研究中,并取得了一定的成果,有望成为治疗疾病的潜力药物,且近年来越来越多的证据还表明ROCK抑制剂在皮肤愈合和瘢痕治疗中发挥作用。

基于最弱t-norm算法模糊贝叶斯网络土石坝渗漏风险分析

针对土石坝工程渗漏影响要素多,风险评估体系不完善的问题,提出一种基于最弱t-norm算法模糊贝叶斯网络的土石坝渗漏风险分析模型。首先基于土石坝渗漏破坏成因构建土石坝渗漏风险分析网络,再基于层次分析法和最弱t-norm聚合算法求解不同专家判断的相似性结果,最后将相似性结果转化为概率后代入贝叶斯理论计算水库渗漏破坏风险。以2005年英德尔水库渗漏破坏事件为例,计算得到该库渗漏破坏概率为0.08,属于不可接受风险,并通过反向诊断验证了该模型的可靠性与灵敏性优于传统算法。研究结果可为土石坝渗流风险分析与处置决策提供参考。

Experimental Study of the Influence of Hydrous Minerals on the Melting Behaviour of Rocks at High Temperatures and Pressures

The experimental study on the melting of potassic basalt and eclogite with about 2% waterat 800-1300℃ and 1.0-3.5 GPa shows that the solidi of both rocks are significantly lower thanthose obtained from the previous experiments of the same type of rocks under dry conditions,and the former which is enriched in potassium has a lower melting point than the latter. It is con-sistent with the previous study. The melting temperature of eclogite increases with pressure,whereas potassic basalt has similar properties only at 1.5—2.5 GPa and>3.0 GPa, and at 2.5—3.0 GPa the melting temperature decreases with pressure. This can be explained as follows: (1)eclogite only has one hydrous mineral amphibole and the dehydous temperature is lower than thewet solidus of the rock. (2) Amphibole exists in potassic basalt at the pressures lower than 2.5GPa and phlogopite exists at pressures higher than 2.5 GPa, and the special compositions of bothminerals determine that amphibole has a dehydration temperature higher than or close to that ofthe wet solidus of the rocks, while phlogopite has a dehydration temperature lower than that ofthe wet solidus. On the other hand the features of the continuous solidus in the experiment ofhydrous eclogite were produced by the fact that the dehydration temperature of its amphibolelower than or close to the melting temperature of the hydrous conditions. So the melting tempera-ture lowers at higher pressures. Therefore, the composition of the rocks in the lithosphere and thetypes of hydrous minerals and their stable P-T conditions are the important factors controllingthe solidi of rocks. It can quite well explain the partial melting of rocks and the origin of the lowvelocity zone in the deep lithosphere.

GEOLOGICAL STUDIES OF METAMORPHIC ROCKS IN THE VICINITY OF M.C.T./LESSER HIMALAYAN SHEAR ZONE, PARTS OF SIKKIM HIMALAYAS

The Eastern Sikkim area forming a part of the Lesser Himalaya is located between 27°10′～27°30′N latitudes and 88°25′～88°40′E longitudes (750km 2). The previous workers agreed that a domal structure is present in Sikkim which is constituted by low to high grade metamorphic rocks characterised by inverted metamorphism. The rocks were repeatedly deformed and were metamorphosed at about 550 to 770℃ (550 to 750MPa). Geologically, the oldest rocks of Eastern Sikkim are represented by Darjeeling Formation showing medium to high grade metamorphism. It is followed by low grade Daling Formation which is characterised by tectonic wedges of Lingtse gneiss. The potassic syenite intrusive i.e. the Sikkim igneous formation is youngest rock type of the area. The Darjeeling Formation associated with amphibolite bands consists of kyanite\|sillimanite, staurolite and garnet zones, while the Daling Formation is characterised by low grade chloritoid and chlorite zones. Lingtse Formation is gneissic in which patches of retrograded and sheared garnet schists are present. Intrusions of potassic syenites (Sikkim Formation) occur in the form of oval and concordant bodies. The F 1, F 2 and F 3 folds are well developed in rocks of Eastern Sikkim area.. The F 1 folds are rootless, tightly isoclinal or reclined and highly obliterated in their attitude. The F 2 folds belong to class IC of Ramsay (1967). Their interlimb angles vary from 20～50 degrees. Intersection lineation due to S 0/S 1 and S 2 surfaces is parallel to the F 2 folds axis. Third generation structures are represented by open to moderately tight and kinked folds. Superimposition of F 3 folds on F 2 folds resulted into type II interference pattern of Ramsay (1967). Structural analysis of these folds have revealed that F 2 folds are non\|cylindrical. The kink or F 3 folds were possibly responsible for the formation of a megakink resembling with the domal structure. The repeatedly deformed rocks of Eastern Sikkim area were folded, faulted, sheared/thrusted during the Himalayan orogeny. The Main Central Thrust (M C T) is actually a ductile shear zone and was subjected to imbrication during later phases of F 2 folding.

Assessment of Rock-Eval T_(max) Data in Bambra-2 Well of Barrow Sub-basin, North West Shelf of Australia: A Case Study of Contaminated Rock-Eval Data

The contamination of cuttings and side wall core (SWC) samples in the Bambra 2 well by drilling mud additives and natural hydrocarbons may cause Rock Eval T max (℃) data to be suspect, and affect its utility in the assessment of thermal maturity. The Rock Eval results of 284 cuttings samples, 31 side wall core samples and conventional core samples from the Jurassic Cretaceous sedimentary sequences in the Bambra 2 well are presented in this paper. Significantly lower T max values from cuttings samples compared with T max values from conventional core samples and solvent extracted SWC samples, from the deeper and higher maturity interval, are thought to have been caused by contamination by diesel and other drilling mud additives. The cuttings samples in the Barrow Group of Cretaceous may be contaminated by natural hydrocarbons, resulting their T max values to be 2-10 ℃ lower than a regularly increased T max trend from core samples. This study indicates that more reliable Rock Eval T max data are obtained from the conventional core samples and solvent extracted SWC samples. This study also indicates that the T max values from some SWC samples were also affected by free hydrocarbons, due to the use of diesel as a mud additive as well.

Prediction of Porosity and Density of Calcarenite Rocks from P-Wave Velocity Measurements

Petrophysical proprieties such as porosity, density, permeability and saturation have a marked impact on acoustic proprieties of rocks. Hence, there has been recently a strong incentive to use new geophysical techniques to invert such properties from seismic or sonic measurements for rocks characterization. The P-wave velocity, which is non-destructtive and easy method to apply in both field and laboratory conditions, has increasingly been conducted to determine the geotechnical properties of rock materials. The P-wave velocity of a rock is closely related to the intact rock properties, and been measuring the velocity in rock masses describes the rock structure and texture. The present work deals with the use of a simple and non-destructive technique, ultrasonic velocity, to predict the porosity and density of calcarenite rocks that are characteristic in historical monument. The ultrasonic test is based on measuring the propagation time of a P-wave in the longitudinal direction. Good correlations between P-wave velocity, porosity and density were found, which indicated them as an appropriate technique for estimating the porosity and density.

Study and Simulated the Natural Radioactivity (NORM) U-238, Th-232 and K-40 of Igneous and Sedimentary Rocks of Al-Atawilah (Al-Baha) in Saudi Arabia

In this work, gamma-ray spectroscopy based on semiconductor hyper pure germanium (HPGe) detector was used to evaluate the activity concentrations of the natural radionuclides (U-238 (Ra-226), Th-232 and K-40) and the fallout nuclide (Cs-137) for thirty samples of igneous and sedimentary rocks of Al-Atawilah (Al-Baha). The mean values of the activity concentrations of U-238 (Ra-226), Th-232, K-40 and Cs-137 in the igneous samples are found as (11.0, 11.50, 1172.71, 1.47) Bq/Kg respectively. In the sedimentary rocks, the mean values of the activity concentrations of the natural radionuclides (U-238 (Ra-226), Th-232 and K-40) and the fallout nuclide (Cs-137) equal to (12.04, 13.18, 1131.36, 1.60) Bq/Kg respectively. The averages of radiological hazards (Raeq, Hex and Iγ) were calculated and found to be within the UNSCEAR permissible limit values (370 Bq/kg for Raeq, and 1 for Hex and Iγ), except for a slight increase of average value of Iγ in the igneous rock samples (1.36). The results indicate that the dose rate values depend on the kind of rocks (high in some igneous rock samples, and most of sedimentary rock samples have low dose rate). The activities of naturalnuclides were predicted and simulated in T time using a written MATLAB R2020a script based on the average activity concentrations and respective half-lives of U-238 and Th-232 series, and K-40, this is to evaluate the future effects of natural radionuclides on the population and estimate the human inputs in the future.

Rock1 Inhibitor Abrogates Chronic Rejection in Rat Cardiac Model System

Background: We have shown previously that the abrogation of acute and chronic rejection of rat cardiac allografts occurs through the down-regulation of RhoA pathway and involves the changes in RhoA kinase (ROCK)-dependent actin cytoskeleton and T cell motility. Here we studied the ability of the Y-27632, a highly selective inhibitor of Rho-associated protein kinase p160ROCK (ROCK1), to abrogate chronic rejection of the allograft and influence T cell infiltration. Methods: Heterotopic cardiac transplants were performed between donor Wistar Furth (WF) and ACI recipient rats. Controls received sub-therapeutic dose of cyclosporine (CsA, 10 mg/kg) for 3 days or 7 days therapeutic dose of cyclosporine. The experimental groups of ACI recipient received one preoperative dose of the Y-27632 inhibitor (2 mg/kg, gavage feed) in conjunction with the sub-therapeutic dose of CsA for 3 days or inhibitor alone for 7 days. The cardiac grafts were harvested at 100 days of post-transplantation for histological and immunohistochemical assessment of chronic rejection, vascular sclerosis, and infiltration by different T cell subtypes. Results: Cardiac allografts from recipients exposed to Y-27632 inhibitor in conjunction with sub-therapeutic dose of CsA showed drastically reduced vascular sclerosis, minimal myocardial total cellular infiltration, and were selectively infiltrated with Foxp3+ T regulatory (Treg) cells. Conclusions: Our novel finding that a single dose of the ROCK1 inhibitor Y-27632 attenuates chronic rejection in rat cardiac model system by promoting development of Treg cells warrants its potential as a novel therapeutic agent specific for the inhibition of chronic rejection.

Growth Characteristics of Mixed Bacteria and Its Solubilizing Effect on Low-grade Phosphate Rock

In this paper, the growth characteristics of Acidithiobacillus ferrooxidans （At.f） and Acidithiobacillus thiooxidans （At. f） in mixed culture has been studied, explored mixed bacteria phosphate solubilization effect, from a kind of low-grade phosphate rock. The results show that mixed bacteria has strong ability to produce acid, and have stronger oxidation activity to energy source -Fe^2＋. Mixed bacteria can significantly increase the rate of phosphate solubilization from phosphate rock in low concentration pulp. It goes against mixed bacteria reproduction when pulp concentration increased, makes phosphate solubilization rate decreased.

外周血CD8^(+)T淋巴细胞数量与Ⅲ期结直肠癌患者术后无病生存期的关系

目的:探讨结直肠癌(colorectal cancer,CRC)患者外周血CD8^(+)T淋巴细胞数量与术后无病生存期(disease-free survival,DFS)的关系。方法:选择2019-01-01至2021-12-31河北中石油中心医院临床分期为Ⅲ期的81例CRC患者为研究对象,入组患者均监测术前、术后首次辅助化疗前、术后辅助治疗结束三个节点的外周血CD8^(+)T淋巴细胞数量,并统计临床、病理资料。随访至2022-12-31,记录患者手术时间、出现局部复发或远处转移的时间或死亡时间。采用二元Logistic回归模型进行多因素分析,筛选入组患者肿瘤进展的独立危险因素;依据入组患者三个节点CD8^(+)T淋巴数量变化特点进行分组,采用Kaplan-Meier法绘制各组的生存曲线。结果:多因素分析显示pT4(OR=11.647,95%CI为2.255~60.166,P=0.003),CEA数值(OR=1.044,95%CI为1.010~1.079,P=0.011)是入组患者肿瘤进展的独立危险因素;术后首次辅助化疗前CD8^(+)T淋巴细胞数量(OR=0.973,95%CI为0.951~0.997,P=0.025)是入组患者的独立保护因素。依据三个节点监测CD8^(+)T淋巴数量变化特点进行分组的生存分析显示:CD8^(+)T淋巴细胞数量持续升高患者组(Ⅰ组)的中位无病生存期(mDFS)未达到;CD8^(+)T淋巴细胞数量先升高,再下降患者组(Ⅱ组)mDFS为(28.9±2.7)个月,95%CI为23.6~34.2个月;CD8^(+)T淋巴细胞数量先下降,再升高患者组(Ⅲ组)mDFS为(27.2±2.2)个月,95%CI为22.9~31.5个月;CD8^(+)T淋巴细胞数量持续下降患者组(Ⅳ组)mDFS为(22.8±3.5)个月,95%CI为15.9~29.7个月。Ⅱ组、Ⅲ组、Ⅳ组的mDFS无统计学区别,Ⅰ组与其他三组的mDFS存在统计学差别,Log-rank P=0.026。结论:Ⅲ期CRC患者术后首次辅助化疗前的CD8^(+)T淋巴细胞总数越高,患者的DFS越长,预后越好;在Ⅲ期CRC患者治疗全程动态监测CD8^(+)T淋巴细胞总数,持续升高的患者DFS要明显优于其他患者。

铁过载对初诊骨髓增生异常综合征患者T淋巴细胞亚群及生存预后的影响

目的 探讨铁过载对初诊骨髓增生异常综合征(MDS)患者T淋巴细胞亚群及生存预后的影响。方法 回顾性分析2018年1月至2023年12月山西医科大学附属运城市中心医院收治的58例MDS患者的临床资料,根据血清铁蛋白(SF)水平将其分为铁过载组(SF≥1 000 ng/mL,27例)和非铁过载组(SF<1 000 ng/mL,31例)。比较两组一般临床资料、淋巴细胞亚群及生存预后。结果 铁过载组SF、转铁蛋白饱和度水平高于非铁过载组,外周血CD3^(+) T淋巴细胞、CD4^(+) T淋巴细胞和CD8^(+) T淋巴细胞水平低于非铁过载组,差异有统计学意义(P<0.05)。铁过载组和非铁过载组中位生存时间分别为8个月和30个月,非铁过载组的总生存期显著优于铁过载组(log-rank检验:χ^(2)=5.368,P=0.020)。多因素Cox回归分析结果显示,铁过载[HR(95%CI)=3.50(1.46~8.39),P=0.005]、IPSS-R危险分类为极高危[HR(95%CI)=6.28(1.15~34.27),P=0.034]是影响MDS患者生存预后的独立危险因素(P<0.05)。结论 铁过载是MDS患者不良生存预后的危险因素,并可影响T淋巴细胞亚群水平,值得临床医师关注。