The possibility of developing a complete graph invariant computable in polynomial time remains an open question. Consequently, creating efficient algorithms to verify non-isomorphism, including heuristic approaches, i...The possibility of developing a complete graph invariant computable in polynomial time remains an open question. Consequently, creating efficient algorithms to verify non-isomorphism, including heuristic approaches, is essential. Effective implementation of these heuristics necessitates both the adaptation of existing graph invariants and the invention of novel ones, which continues to be a relevant challenge. Numerous current invariants are capable of distinguishing a significant number of graphs rapidly in real-time scenarios. In this study, we present an invariant tailored for tournaments, a specific class of directed graphs. Tournaments are particularly intriguing because the count of distinct tournaments for a given number of vertices aligns with that of undirected graphs of the same size. The introduced invariant evaluates all possible tournament subsets derived from the original digraph that share the identical arc set. For each subset tournament, standard rankings are computed and aggregated to produce the final vertex scores, which serve as the new invariant. Our analysis indicates that this newly proposed invariant diverges from the most straightforward tournament invariant, which typically assigns scores to each participant. Preliminary computational tests demonstrate that the minimal correlation between the sequences generated by these two invariants occurs at a vertex count of 15.展开更多
Objective To explore prenatal ultrasonic characteristics of fetal Currarino syndrome(CS)and methods for prenatal diagnosis of CS.Methods Two fetuses with CS confirmed by genetic examination were retrospectively analyz...Objective To explore prenatal ultrasonic characteristics of fetal Currarino syndrome(CS)and methods for prenatal diagnosis of CS.Methods Two fetuses with CS confirmed by genetic examination were retrospectively analyzed,while 6 CS fetuses with complete prenatal ultrasonic data in literature were reviewed.Prenatal ultrasonic characteristics of CS fetuses and the method for prenatal diagnosis of CS were discussed.Results Among 8 CS fetuses diagnosed with prenatal ultrasound,4 were female singletons with a clear family history of CS,and MNX 1 gene mutation was found in 1 fetus.The other 4 fetuses were 2 pairs of male monochorionic twins,all with MNX 1 gene mutation.Among 8 CS fetuses,complete triad(sacral agenesis abnormalities,anorectal malformation and presacral mass)were displayed only in 2 fetuses,while all 8 had sacral agenesis abnormalities and 6(6/8,75.00%)were detected with prenatal ultrasound,6 had low location of conus medullaris and 2(2/6,33.33%)detected with prenatal ultrasound.Conclusion Prenatal ultrasound was the first choice for non-invasive diagnosis of fetal CS.When one of sacral agenesis abnormalities,anorectal malformation and presacral mass was found with prenatal ultrasound,the possibility of CS should be considered,and fetal MRI,genetic examination and prenatal genetic counselling should be recommended if necessary.展开更多
We report a 27-year-old female who presented with abdominal distension, saddle anesthesia, and lower back pain. CT and MRI of the abdomen/spine were performed which showed a large anterior sacral meningocele occupying...We report a 27-year-old female who presented with abdominal distension, saddle anesthesia, and lower back pain. CT and MRI of the abdomen/spine were performed which showed a large anterior sacral meningocele occupying most of the pelvic and abdominal cavity and displacement of their respective contents. Anterior approach was chosen, uterine didelphys was identified and mobilized, meningocele identified and gentle drainage with subsequent resection of the cyst wall and watertight closure was achieved. Subsequent MRI demonstrated resolution of most the sacral meningocele. Patient symptoms improved and are doing well.展开更多
Objective:To investigate the genetic correlations between epithelial growth factor receptor(EGFR)mutation and FHIT methylation in patients diagnosed with lung adenocarcinoma(AC)and pulmonary tuberculosis(TB).Methods:T...Objective:To investigate the genetic correlations between epithelial growth factor receptor(EGFR)mutation and FHIT methylation in patients diagnosed with lung adenocarcinoma(AC)and pulmonary tuberculosis(TB).Methods:The presence of EGFR mutations and the methylation status of the FHIT gene in patients presenting with AC and TB were analyzed.The correlation between TB status and the observed genetic and epigenetic variations was also examined.Results:Among the 90 patients included in the study,38 exhibited EGFR mutations(14 among those with TB and 24 among those without TB),while 29 exhibited FHIT myelination(19 among those with TB and 10 among those without TB).Furthermore,the protein expression levels of EGFR and FHIT were significantly higher in patients diagnosed solely with AC compared to those presenting with both AC and TB.A robust inverse correlation was identified between TB status and the frequency of EGFR mutation(P<0.001).Moreover,significant associations were observed between TB status and FHIT methylation(P<0.01).Conclusion:The findings suggest a correlation between TB and the prevalence of EGFR mutation and FHIT methylation in the pathogenesis of AC.展开更多
Taking the Big Bang as an established fact, the question inevitably arises about what exactly caused it, in what environment could it have happened and what happened before it. The developed approach allows us to shed...Taking the Big Bang as an established fact, the question inevitably arises about what exactly caused it, in what environment could it have happened and what happened before it. The developed approach allows us to shed light on many raised questions and to establish what universal laws and structures formed what happened before the Big Bang, to understand its cause and the dynamic processes that led to it. This required a radical revision of many views, giving them a new meaning and content. This approach has led to a consistent and conceptually new understanding of these phenomena, which allowed correctly formulate questions to which there are still no clear answers. Based on this formulation of the problem, we came to new ideas about the nature of Dark energy, Dark matter and the region of their birth, formulated and described the mechanism of the formation of worlds and their hierarchy on the other side of the Big Bang and the mechanism of this explosion itself. The Primary Parent Particle was introduced into the concept, which was the basis of everything and is the carrier of the fundamental Primary space introduced by us, which had at least two phase states. This particle consists of Beginnings united in the form of Borromeo rings. This made it possible to calculate the structure and primary spectrum of elementary particles that arose on the other side of the Big Bang, the mechanisms of their formation and the resulting fundamental interactions that lead to the existence of vortices before the Big Bang;the mechanisms of the birth of multiple universes and much more are also considered. The concept of the “cosmic genetic code" is introduced, the characteristics and mechanism of its formation before the Big Bang are presented.展开更多
The liver has a complex vascular anatomy with a unique dual blood supply.Clinical conditions of the liver vary widely and include disorders originating in the vascular and biliary systems as well as the parenchyma.In ...The liver has a complex vascular anatomy with a unique dual blood supply.Clinical conditions of the liver vary widely and include disorders originating in the vascular and biliary systems as well as the parenchyma.In most vascular disorders,the effects on the liver are generally subclinical because of its abundant blood supply.However,early diagnosis of such vascular diseases can significantly reduce patient morbidity and mortality.Because imaging findings of vascular disease are not always readily apparent,diagnosis can be difficult.Computed tomography angiography is an excellent imaging modality for visualizing the vascular anatomy of patients for treatment planning.In this review article,we focus on the vascular anatomy of the liver and the imaging findings in some acute hepatic vascular diseases.展开更多
Purpose:This study investigates the effects of Big Five,HEXACO,and Dark Triad personality traits on counter-productive work behaviors(CWBs),and examines the moderating effects of countries where the studies were car-r...Purpose:This study investigates the effects of Big Five,HEXACO,and Dark Triad personality traits on counter-productive work behaviors(CWBs),and examines the moderating effects of countries where the studies were car-ried out,gender rate of samples,and scales used to measure personalities.Method:Following the rules of Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA),we include 74 empirical studies published between 2007 and September 2022 with 83 samples and 394 correlations.Studies are selected from both English databases such as Web of Science and Chinese databases such as CNKI.The meta-analysis and meta-regression analysis were both performed using the Comprehensive Meta-Analysis(CMA)program,version 3.7.Results:Although emotionality is irrelevant to CWBs,other Big Five,HEXACO,and Dark Triad personality factors are all significant predictors of CWBs.The effect of Dark Triad(ρ=0.412)is stronger than that of Big Five(ρ=−0.176)and HEXACO(ρ=−0.221).Gender negatively moderates the positive relationship between Dark Triad traits(total and subdimensions)and CWBs.The moderating effects of countries and scales are only signif-icant for very few personalities.Conclusion:Personality traits are important antecedents of CWBs,and gender ratio plays a role as moderator for some personality traits.We propose that organizations should pay more atten-tion to the mental health of employees and future studies could investigate other types of characteristics and moderators.展开更多
Hemoglobinosis C occurs mainly in Africa and America with a high frequency in West Africa. In Senegal, homozygous hemoglobinopathy CC constitutes a very rare profile of which only 3 cases are followed in the clinical ...Hemoglobinosis C occurs mainly in Africa and America with a high frequency in West Africa. In Senegal, homozygous hemoglobinopathy CC constitutes a very rare profile of which only 3 cases are followed in the clinical hematology department of Dakar. The 1<sup>st</sup> case is a 49-year-old female patient, with notion of 1<sup>st</sup> degree consanguinity, and a long history of abdominal pain who presented a poorly tolerated anemic syndrome and splenomegaly. The biological assessment showed moderate anemia (7.6 g/dL) with microcytic hypochromia and a CC profile (HbC = 99.2%;HbA2 = 0.8%) on hemoglobin electrophoresis. The second case was a 22-year-old female patient with a notion of 2<sup>nd</sup> degree consanguinity who presented a Chauffard triad. The haemogram showed mild anaemia (11 g/dL), microcytic and hypochromic. Hemoglobin electrophoresis confirmed a CC profile (HbC = 95.3%;HbA2 = 4.7%). The third patient was 27 years old, with a history of diffuse abdominal pain and 2<sup>nd</sup> degree consanguinity. The haemogram and haemoglobin electrophoresis confirmed the CC profile (HbC = 94.6%;HbA2 = 5.4%). The negativity of the Emmel test in front of this presentation suggestive of sickle cell disease means that this type of hemoglobinopathy is diagnosed late in our regions. We therefore recommend the systematic performance of hemoglobin electrophoresis in the presence of any chronic hemolytic anemia.展开更多
目的探讨Force Triad能量平台中血管结扎闭合系统(结扎束)在阴式子宫全切术(Transvaginal total hysterectomy,TVH)中的应用价值。方法 2013年4~12月住院患者60例,随机分成观察组(ligasuren血管闭合系统组)与对照组(传统手术组)...目的探讨Force Triad能量平台中血管结扎闭合系统(结扎束)在阴式子宫全切术(Transvaginal total hysterectomy,TVH)中的应用价值。方法 2013年4~12月住院患者60例,随机分成观察组(ligasuren血管闭合系统组)与对照组(传统手术组),比较两组间在手术时间、术中出血量、术后排气时间、术后发热时间、术后离床活动时间以及平均住院天数等情况。结果观察组手术时间、术中出血量、术后离床活动时间及平均住院时间明显少于开腹手术组(P〈0.05),差异有统计学意义;术后排气时间、术后发热时间差异均无显著性(P〉0.05)。结论 Ligasuren血管闭合系统在阴式子宫全切手术的应用方面有一定的优势,可以更有效地闭合血管,减少出血量及缩短手术时间,减少术后并发症等优点,值得推广。展开更多
A survey of zoological literature affirmed the wide occurrence of Fibonacci numbers in the organization of acellular and prokaryotic life forms as well as in some eukaryotic protistans and in the embryonic development...A survey of zoological literature affirmed the wide occurrence of Fibonacci numbers in the organization of acellular and prokaryotic life forms as well as in some eukaryotic protistans and in the embryonic development and adult forms of many living and fossil remains of metazoan animals. A detailed comparative analysis of the axial skeleton of a fossil fish and humans revealed a new rule of the “nested triad” of bones organized along the proximal to distal axis of limb appendages. This growth pattern and its ubiquity among living vertebrates appear to underlie a profound rule of pattern formation that is dictated in part by the genetics and epigenetic mechanisms of stem cell clonal development.展开更多
以往人们多认为QT间期延长是药源性尖端扭转性室性心动过速(TdP)的重要机制。但是QT间期延长并不都能引发TdP,而TdP的发生也并不都伴随着QT间期延长,甚至在一些QT间期缩短的情况下,也有恶性室性心律失常的发生。因此近年来有学者提出TR...以往人们多认为QT间期延长是药源性尖端扭转性室性心动过速(TdP)的重要机制。但是QT间期延长并不都能引发TdP,而TdP的发生也并不都伴随着QT间期延长,甚至在一些QT间期缩短的情况下,也有恶性室性心律失常的发生。因此近年来有学者提出TRIaD的概念,其为心肌细胞动作电位三角形化(triangulation)、逆向频率依赖性(reverse use dependency)、不稳定性(instability)以及离散(dispersion)等指标的合称。越来越多的研究证明,TRIaD指标的变化是药源性TdP发生的共同基质;药物应用后表现出动作电位三角形化、逆向频率依赖性、不稳定性、离散增加等反应,无论有无QT间期的延长,均易发生室性心律失常,包括TdP。反之,即使QT间期延长,致心律失常作用也很小。展开更多
AIM: To evaluate the expression of fragile histidine triad (FHIT) gene protein, product of a candidate tumor suppressor, and to investigate the relationship between FHIT, cell apoptosis and proliferation, and patholog...AIM: To evaluate the expression of fragile histidine triad (FHIT) gene protein, product of a candidate tumor suppressor, and to investigate the relationship between FHIT, cell apoptosis and proliferation, and pathological features of primary hepatocellular carcinoma (HCC). METHODS: Forty-seven HCC and ten normal liver specimens were collected during surgical operation between 2001 and 2003. FHIT and proliferating cell nuclear antigen (PCNA) expression were detected by immunohistochemistry, and apoptotic level was evaluated by terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) assay on the tissue sections. RESULTS: All normal liver tissues showed a strong expression of FHIT, whereas 28 of 47 (59.6%) carcinomas showed a significant loss or absence of FHIT expression (P= 0.001). The proportion of reduced FHIT expression in those carcinomas at stages Ⅲ-Ⅳ (70.6%) and in those with extrahepatic metastasis (86.7%) showed an increasing trend compared with those at stages HI (30.8%, P= 0.013) and those without metastasis (46.9%, P = 0.010) respectively. Apoptotic incidence in advanced TNM stage carcinoma and those with positive FHIT expression was higher than that in early stage carcinoma (P=0.030) and in those with negative FHIT expression (P=0.044) respectively. The proliferating potential of hepatocellular carcinoma was associated with FHIT expression (P= 0.016) and the aggressive feature (P = 0.019). Kaplan-Meier analysis demonstrated that the survival time of these 47 patients correlated with TNM stage, FHIT expression and metastasis. CONCLUSION: There is marked loss or absence of FHIT expression, as well as abnormal apoptosis-prdiferation balance in HCC. FHIT may play an important role in carcinogenesis and development of HCC.展开更多
文摘The possibility of developing a complete graph invariant computable in polynomial time remains an open question. Consequently, creating efficient algorithms to verify non-isomorphism, including heuristic approaches, is essential. Effective implementation of these heuristics necessitates both the adaptation of existing graph invariants and the invention of novel ones, which continues to be a relevant challenge. Numerous current invariants are capable of distinguishing a significant number of graphs rapidly in real-time scenarios. In this study, we present an invariant tailored for tournaments, a specific class of directed graphs. Tournaments are particularly intriguing because the count of distinct tournaments for a given number of vertices aligns with that of undirected graphs of the same size. The introduced invariant evaluates all possible tournament subsets derived from the original digraph that share the identical arc set. For each subset tournament, standard rankings are computed and aggregated to produce the final vertex scores, which serve as the new invariant. Our analysis indicates that this newly proposed invariant diverges from the most straightforward tournament invariant, which typically assigns scores to each participant. Preliminary computational tests demonstrate that the minimal correlation between the sequences generated by these two invariants occurs at a vertex count of 15.
文摘Objective To explore prenatal ultrasonic characteristics of fetal Currarino syndrome(CS)and methods for prenatal diagnosis of CS.Methods Two fetuses with CS confirmed by genetic examination were retrospectively analyzed,while 6 CS fetuses with complete prenatal ultrasonic data in literature were reviewed.Prenatal ultrasonic characteristics of CS fetuses and the method for prenatal diagnosis of CS were discussed.Results Among 8 CS fetuses diagnosed with prenatal ultrasound,4 were female singletons with a clear family history of CS,and MNX 1 gene mutation was found in 1 fetus.The other 4 fetuses were 2 pairs of male monochorionic twins,all with MNX 1 gene mutation.Among 8 CS fetuses,complete triad(sacral agenesis abnormalities,anorectal malformation and presacral mass)were displayed only in 2 fetuses,while all 8 had sacral agenesis abnormalities and 6(6/8,75.00%)were detected with prenatal ultrasound,6 had low location of conus medullaris and 2(2/6,33.33%)detected with prenatal ultrasound.Conclusion Prenatal ultrasound was the first choice for non-invasive diagnosis of fetal CS.When one of sacral agenesis abnormalities,anorectal malformation and presacral mass was found with prenatal ultrasound,the possibility of CS should be considered,and fetal MRI,genetic examination and prenatal genetic counselling should be recommended if necessary.
文摘We report a 27-year-old female who presented with abdominal distension, saddle anesthesia, and lower back pain. CT and MRI of the abdomen/spine were performed which showed a large anterior sacral meningocele occupying most of the pelvic and abdominal cavity and displacement of their respective contents. Anterior approach was chosen, uterine didelphys was identified and mobilized, meningocele identified and gentle drainage with subsequent resection of the cyst wall and watertight closure was achieved. Subsequent MRI demonstrated resolution of most the sacral meningocele. Patient symptoms improved and are doing well.
文摘Objective:To investigate the genetic correlations between epithelial growth factor receptor(EGFR)mutation and FHIT methylation in patients diagnosed with lung adenocarcinoma(AC)and pulmonary tuberculosis(TB).Methods:The presence of EGFR mutations and the methylation status of the FHIT gene in patients presenting with AC and TB were analyzed.The correlation between TB status and the observed genetic and epigenetic variations was also examined.Results:Among the 90 patients included in the study,38 exhibited EGFR mutations(14 among those with TB and 24 among those without TB),while 29 exhibited FHIT myelination(19 among those with TB and 10 among those without TB).Furthermore,the protein expression levels of EGFR and FHIT were significantly higher in patients diagnosed solely with AC compared to those presenting with both AC and TB.A robust inverse correlation was identified between TB status and the frequency of EGFR mutation(P<0.001).Moreover,significant associations were observed between TB status and FHIT methylation(P<0.01).Conclusion:The findings suggest a correlation between TB and the prevalence of EGFR mutation and FHIT methylation in the pathogenesis of AC.
文摘Taking the Big Bang as an established fact, the question inevitably arises about what exactly caused it, in what environment could it have happened and what happened before it. The developed approach allows us to shed light on many raised questions and to establish what universal laws and structures formed what happened before the Big Bang, to understand its cause and the dynamic processes that led to it. This required a radical revision of many views, giving them a new meaning and content. This approach has led to a consistent and conceptually new understanding of these phenomena, which allowed correctly formulate questions to which there are still no clear answers. Based on this formulation of the problem, we came to new ideas about the nature of Dark energy, Dark matter and the region of their birth, formulated and described the mechanism of the formation of worlds and their hierarchy on the other side of the Big Bang and the mechanism of this explosion itself. The Primary Parent Particle was introduced into the concept, which was the basis of everything and is the carrier of the fundamental Primary space introduced by us, which had at least two phase states. This particle consists of Beginnings united in the form of Borromeo rings. This made it possible to calculate the structure and primary spectrum of elementary particles that arose on the other side of the Big Bang, the mechanisms of their formation and the resulting fundamental interactions that lead to the existence of vortices before the Big Bang;the mechanisms of the birth of multiple universes and much more are also considered. The concept of the “cosmic genetic code" is introduced, the characteristics and mechanism of its formation before the Big Bang are presented.
文摘The liver has a complex vascular anatomy with a unique dual blood supply.Clinical conditions of the liver vary widely and include disorders originating in the vascular and biliary systems as well as the parenchyma.In most vascular disorders,the effects on the liver are generally subclinical because of its abundant blood supply.However,early diagnosis of such vascular diseases can significantly reduce patient morbidity and mortality.Because imaging findings of vascular disease are not always readily apparent,diagnosis can be difficult.Computed tomography angiography is an excellent imaging modality for visualizing the vascular anatomy of patients for treatment planning.In this review article,we focus on the vascular anatomy of the liver and the imaging findings in some acute hepatic vascular diseases.
文摘Purpose:This study investigates the effects of Big Five,HEXACO,and Dark Triad personality traits on counter-productive work behaviors(CWBs),and examines the moderating effects of countries where the studies were car-ried out,gender rate of samples,and scales used to measure personalities.Method:Following the rules of Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA),we include 74 empirical studies published between 2007 and September 2022 with 83 samples and 394 correlations.Studies are selected from both English databases such as Web of Science and Chinese databases such as CNKI.The meta-analysis and meta-regression analysis were both performed using the Comprehensive Meta-Analysis(CMA)program,version 3.7.Results:Although emotionality is irrelevant to CWBs,other Big Five,HEXACO,and Dark Triad personality factors are all significant predictors of CWBs.The effect of Dark Triad(ρ=0.412)is stronger than that of Big Five(ρ=−0.176)and HEXACO(ρ=−0.221).Gender negatively moderates the positive relationship between Dark Triad traits(total and subdimensions)and CWBs.The moderating effects of countries and scales are only signif-icant for very few personalities.Conclusion:Personality traits are important antecedents of CWBs,and gender ratio plays a role as moderator for some personality traits.We propose that organizations should pay more atten-tion to the mental health of employees and future studies could investigate other types of characteristics and moderators.
文摘Hemoglobinosis C occurs mainly in Africa and America with a high frequency in West Africa. In Senegal, homozygous hemoglobinopathy CC constitutes a very rare profile of which only 3 cases are followed in the clinical hematology department of Dakar. The 1<sup>st</sup> case is a 49-year-old female patient, with notion of 1<sup>st</sup> degree consanguinity, and a long history of abdominal pain who presented a poorly tolerated anemic syndrome and splenomegaly. The biological assessment showed moderate anemia (7.6 g/dL) with microcytic hypochromia and a CC profile (HbC = 99.2%;HbA2 = 0.8%) on hemoglobin electrophoresis. The second case was a 22-year-old female patient with a notion of 2<sup>nd</sup> degree consanguinity who presented a Chauffard triad. The haemogram showed mild anaemia (11 g/dL), microcytic and hypochromic. Hemoglobin electrophoresis confirmed a CC profile (HbC = 95.3%;HbA2 = 4.7%). The third patient was 27 years old, with a history of diffuse abdominal pain and 2<sup>nd</sup> degree consanguinity. The haemogram and haemoglobin electrophoresis confirmed the CC profile (HbC = 94.6%;HbA2 = 5.4%). The negativity of the Emmel test in front of this presentation suggestive of sickle cell disease means that this type of hemoglobinopathy is diagnosed late in our regions. We therefore recommend the systematic performance of hemoglobin electrophoresis in the presence of any chronic hemolytic anemia.
文摘A survey of zoological literature affirmed the wide occurrence of Fibonacci numbers in the organization of acellular and prokaryotic life forms as well as in some eukaryotic protistans and in the embryonic development and adult forms of many living and fossil remains of metazoan animals. A detailed comparative analysis of the axial skeleton of a fossil fish and humans revealed a new rule of the “nested triad” of bones organized along the proximal to distal axis of limb appendages. This growth pattern and its ubiquity among living vertebrates appear to underlie a profound rule of pattern formation that is dictated in part by the genetics and epigenetic mechanisms of stem cell clonal development.
文摘以往人们多认为QT间期延长是药源性尖端扭转性室性心动过速(TdP)的重要机制。但是QT间期延长并不都能引发TdP,而TdP的发生也并不都伴随着QT间期延长,甚至在一些QT间期缩短的情况下,也有恶性室性心律失常的发生。因此近年来有学者提出TRIaD的概念,其为心肌细胞动作电位三角形化(triangulation)、逆向频率依赖性(reverse use dependency)、不稳定性(instability)以及离散(dispersion)等指标的合称。越来越多的研究证明,TRIaD指标的变化是药源性TdP发生的共同基质;药物应用后表现出动作电位三角形化、逆向频率依赖性、不稳定性、离散增加等反应,无论有无QT间期的延长,均易发生室性心律失常,包括TdP。反之,即使QT间期延长,致心律失常作用也很小。
文摘AIM: To evaluate the expression of fragile histidine triad (FHIT) gene protein, product of a candidate tumor suppressor, and to investigate the relationship between FHIT, cell apoptosis and proliferation, and pathological features of primary hepatocellular carcinoma (HCC). METHODS: Forty-seven HCC and ten normal liver specimens were collected during surgical operation between 2001 and 2003. FHIT and proliferating cell nuclear antigen (PCNA) expression were detected by immunohistochemistry, and apoptotic level was evaluated by terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) assay on the tissue sections. RESULTS: All normal liver tissues showed a strong expression of FHIT, whereas 28 of 47 (59.6%) carcinomas showed a significant loss or absence of FHIT expression (P= 0.001). The proportion of reduced FHIT expression in those carcinomas at stages Ⅲ-Ⅳ (70.6%) and in those with extrahepatic metastasis (86.7%) showed an increasing trend compared with those at stages HI (30.8%, P= 0.013) and those without metastasis (46.9%, P = 0.010) respectively. Apoptotic incidence in advanced TNM stage carcinoma and those with positive FHIT expression was higher than that in early stage carcinoma (P=0.030) and in those with negative FHIT expression (P=0.044) respectively. The proliferating potential of hepatocellular carcinoma was associated with FHIT expression (P= 0.016) and the aggressive feature (P = 0.019). Kaplan-Meier analysis demonstrated that the survival time of these 47 patients correlated with TNM stage, FHIT expression and metastasis. CONCLUSION: There is marked loss or absence of FHIT expression, as well as abnormal apoptosis-prdiferation balance in HCC. FHIT may play an important role in carcinogenesis and development of HCC.