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Markers of systemic inflammation and colorectal adenoma risk: Meta-analysis of observational studies 被引量:5
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作者 Justyna Godos Antonio Biondi +4 位作者 Fabio Galvano Francesco Basile Salvatore Sciacca Edward L Giovannucci Giuseppe Grosso 《World Journal of Gastroenterology》 SCIE CAS 2017年第10期1909-1919,共11页
AIM To perform a meta-analysis of observational studies on inflammatory markers levels and occurrence of colorectal adenoma.METHODS Pub Med and EMBASE databases were searched until March 2016 for the articles reportin... AIM To perform a meta-analysis of observational studies on inflammatory markers levels and occurrence of colorectal adenoma.METHODS Pub Med and EMBASE databases were searched until March 2016 for the articles reporting on the circulating levels of inflammatory markers, including: C-reactive protein(CRP), interleukin-6(IL-6), and tumor necrosis factor-alpha(TNF-a) and risk of colorectal adenoma. Random-effects models were used to calculate summary odds ratios(ORs) with 95%CIs for the highest vs lowest category of exposure. Heterogeneity was assessed by using the Q test and I2 statistic. Subgroup analyses were also performed to test for potential source of heterogeneity.RESULTS A total of 14 case-control studies were included. Ten studies on CRP including a total of 3350 cases and 4168 controls showed non-significant summary(OR = 1.23, 95%CI: 0.98-1.54; I2 = 54%, P heterogeneity = 0.01) in the general analysis, but significant increased odds when considering only advanced adenoma(OR = 1.59, 95%CI: 1.09-2.32; I2 = 44%, P heterogeneity = 0.15). Subgroup and stratified analyses revealed a potential influence of smoking status and aspirin use on the association between CRP levels and colorectal adenoma. Five studies examined the association between circulating levels of TNF-a and colorectal adenoma risk, including a total of 1,568 cases and 2,832 controls. The summary OR for the highest vs the lowest category of exposure was 1.00(95%CI: 0.77-1.29). The relationship between circulating IL-6 levels and colorectal adenoma risk was investigated in 7 studies including a total of 1936 cases and 3611 controls. The summary OR for the highest vs the lowest category of exposure was 1.19(95%CI: 0.92-1.55).CONCLUSION Summary of current evidence suggests a positive association of CRP levels and advanced colorectal adenoma risk. The role of potential confounding factors should be further evaluated. 展开更多
关键词 煽动性的标记 元分析 Colorectal 腺瘤 C 反应的蛋白质 肿瘤坏死 factor-alpha INTERLEUKIN-6
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Regulation of the Hippo signaling pathway by deubiquitinating enzymes in cancer 被引量:1
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作者 Ashley Mussell Costa Frangou Jianmin Zhang 《Genes & Diseases》 SCIE 2019年第4期335-341,共7页
Regulation of the Hippo signaling pathway is essential for normal organ growth and tissue homeostasis.The proteins that act to regulate this pathway are important for ensuring proper function and cellular location.Deu... Regulation of the Hippo signaling pathway is essential for normal organ growth and tissue homeostasis.The proteins that act to regulate this pathway are important for ensuring proper function and cellular location.Deubiquitinases(DUBs)are a family of proteases that act upon many proteins.While ubiquitinases add ubiquitin and target proteins for degradation,DUBs act by removing ubiquitin(Ub)moieties.Changes in ubiquitin chain topology results in the stabilization of proteins,membrane trafficking,and the alteration of cellular localization.While the roles of these proteins have been well established in a cancer setting,their convergence in cancer is still under investigation.In this review,we discuss the roles that DUBs play in the regulation of the Hippo signaling pathway for homeostasis and disease. 展开更多
关键词 CANCER Deubiquitinase Hippo signaling pathway Ubiquitinase YAP/TAZ
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Novel strategy for disease risk prediction incorporating predicted gene expression and DNA methylation data:a multi-phased study of prostate cancer
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作者 Chong Wu Jingjing Zhu +15 位作者 Austin King Xiaoran Tong Qing Lu Jong Y.Park Liang Wang Guimin Gao Hong-Wen Deng Yaohua Yang Karen E.Knudsen Timothy R.Rebbeck Jirong Long Wei Zheng Wei Pan David V.Conti Christopher A Haiman Lang Wu 《Cancer Communications》 SCIE 2021年第12期1387-1397,共11页
Background:DNA methylation and gene expression are known to play important roles in the etiology of human diseases such as prostate cancer(PCa).However,it has not yet been possible to incorporate information of DNA me... Background:DNA methylation and gene expression are known to play important roles in the etiology of human diseases such as prostate cancer(PCa).However,it has not yet been possible to incorporate information of DNA methylation and gene expression into polygenic risk scores(PRSs).Here,we aimed to develop and validate an improved PRS for PCa risk by incorporating genetically predicted gene expression and DNA methylation,and other genomic information using an integrative method.Methods:Using data from the PRACTICAL consortium,we derived multiple sets of genetic scores,including those based on available single-nucleotide polymorphisms through widely used methods of pruning and thresholding,LDpred,LDpred-funt,AnnoPred,and EBPRS,as well as PRS constructed using the genetically predicted gene expression and DNA methylation through a revised pruning and thresholding strategy.In the tuning step,using the UK Biobank data(1458 prevalent cases and 1467 controls),we selected PRSs with the best performance.Using an independent set of data from the UK Biobank,we developed an integrative PRS combining information from individual scores.Furthermore,in the testing step,we tested the performance of the integrative PRS in another independent set of UK Biobank data of incident cases and controls.Results:Our constructed PRS had improved performance(C statistics:76.1%)over PRSs constructed by individual benchmark methods(from 69.6%to 74.7%).Furthermore,our new PRS had much higher risk assessment power than family history.The overall net reclassification improvement was 69.0%by adding PRS to the baseline model compared with 12.5%by adding family history.Conclusions:We developed and validated a new PRS which may improve the utility in predicting the risk of developing PCa.Our innovative method can also be applied to other human diseases to improve risk prediction across multiple outcomes. 展开更多
关键词 risk prediction polygenic risk scores predicted gene expression predicted DNA methylation integrative models prostate cancer
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CONSORT-公平性2017扩展版及解释:在随机对照试验中更好地报告健康公平性
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作者 Vivian A Welch Ole F Norheim +9 位作者 Janet Jull Richard Cookson HaIvor Sommerfelt Peter Tugwell 王小琴(译) 杨楠(译) 周奇(译) 张静怡(译) 陈耀龙(校) 杨克虎(校) 《英国医学杂志中文版》 2018年第12期712-724,共13页
临床试验报告的统一规范(CONSORT)扩展版之CONSORT-公平性(Equity)2017,旨在改善与健康公平性相关的随机对照试验中干预效果的报告质量。健康不公平性是指通过恰当干预可避免的不公平健康差异。健康公平性相关的随机对照试验主要评估对... 临床试验报告的统一规范(CONSORT)扩展版之CONSORT-公平性(Equity)2017,旨在改善与健康公平性相关的随机对照试验中干预效果的报告质量。健康不公平性是指通过恰当干预可避免的不公平健康差异。健康公平性相关的随机对照试验主要评估对健康公平性的影响,包括评价针对社会弱势群体的干预措施,探索2个(或2个以上有梯度特征的)处于不同水平的社会弱势群体间干预效果的差异,或两者皆有。我们与来自高、中、低收入国家的多种类型的相关人员进行了共识会议,其中包括知识用户(如患者)和方法学家等。我们围绕各条目讨论了来自实证研究、系统评价、方法学研究、关键人物访谈以及在线调查的证据,在提高报告清晰度的同时尽量避免给作者增加不必要的负担。CONSORT-公平性2017对CONSORT 2010声明中的16个条目进行了扩展,补充了1个有关伦理报告的条目,同时就每个条目提供了报告质量好的实例和简要的解释。广泛应用CONSORT-公平性2017来报告健康公平性相关试验,可促进决策者发现有关的随机对照试验证据并加以应用,从而减少健康不公平性。 展开更多
关键词 随机对照试验 健康公平性 CONSORT 临床试验报告 报告质量 干预效果 弱势群体 低收入国家
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实现对精神障碍的健康保障全覆盖
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作者 Vikram Patel Shekhar Saxena +1 位作者 陈智民(译) 肖世富(校) 《英国医学杂志中文版》 2020年第8期429-432,共4页
Vikram Patel和Shekhar Saxena讨论了将精神障碍和其他慢性疾病纳入初级卫生服务,以实现健康保障全覆盖的策略。多年来,精神障碍是造成全球残疾负担的主要因素^1。未经治疗的精神障碍造成的负担和代价对个人、家庭、社区乃至全世界都是... Vikram Patel和Shekhar Saxena讨论了将精神障碍和其他慢性疾病纳入初级卫生服务,以实现健康保障全覆盖的策略。多年来,精神障碍是造成全球残疾负担的主要因素^1。未经治疗的精神障碍造成的负担和代价对个人、家庭、社区乃至全世界都是巨大的^2。 展开更多
关键词 精神障碍 慢性疾病 健康保障 初级卫生服务 全覆盖 未经治疗 残疾
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生物生灵 生物多样性对人类健康至关重要
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作者 Aaron Bernstein 黄铃沂(译) 《英国医学杂志中文版》 2019年第12期721-723,共3页
联合国近日发布了一份评估报告,预测地球上将有100万个,甚至更多的物种面临灭绝之灾,该内容似乎不太可能在医学杂志中出现、毕竟灾难性的物种灭绝同我们日常的医疗行为有何联系呢?然而事实证明,物种灭绝将会影响到医学的方方面面。
关键词 物种灭绝 医疗行为 生物多样性 医学杂志 人类健康 评估报告 联合国 灾难性
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加速人群健康改善计划
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作者 Pedro Delgado Kristine Binzer +5 位作者 Amar Shah Jesper Ekberg Jafet Arrieta Dominique Allwood 张莉(译) 周红霞(校) 《英国医学杂志中文版》 2022年第2期68-72,共5页
由于新型冠状病毒肺炎(COVID-19)疫情,使长期存在的医疗公平性差距更加突出1。为减少这种差距,对健康有决定性作用的其他社会部门之间的协调行动开始持续升温。事实上,医疗卫生部门使用的传统健康改进方法(包括工具与语言的资源共享)很... 由于新型冠状病毒肺炎(COVID-19)疫情,使长期存在的医疗公平性差距更加突出1。为减少这种差距,对健康有决定性作用的其他社会部门之间的协调行动开始持续升温。事实上,医疗卫生部门使用的传统健康改进方法(包括工具与语言的资源共享)很有竞争优势,也可用于教育、地方政府、执法等其他部门以改进社会健康决定因素。这种方法相互借鉴可以提升这些部门共同为“人群健康改善”努力的效果。 展开更多
关键词 医疗卫生部门 人群健康 资源共享 竞争优势 相互借鉴 改进方法 差距
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提高动物研究水平对动物研究目的的误解
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作者 Eric J Rubin 霍永丰(译) 《英国医学杂志中文版》 2018年第7期419-419,共1页
我们欢迎对临床前研究采取严格的标准,但Ritskes.Hoitinga和Wever并未弄清大多数动物实验的核心价值。医学研究涵盖了从基础发现到临床验证的各个方面。人体研究必须获得高水平的证据,因此,一般仅可用于验证一个假说。而绝大多数动... 我们欢迎对临床前研究采取严格的标准,但Ritskes.Hoitinga和Wever并未弄清大多数动物实验的核心价值。医学研究涵盖了从基础发现到临床验证的各个方面。人体研究必须获得高水平的证据,因此,一般仅可用于验证一个假说。而绝大多数动物研究,是问题的另一个极端。这些动物研究被设计用来发现新的生物机制,常用来同时验证多个假说。验证结果常来自于正交方法,而非大量动物。 展开更多
关键词 动物学 研究水平 发展现状 生物机制
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与重症患者讨论预后和治疗期望
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作者 Justin J Sanders Leigh Manson +2 位作者 Deborah Constien James Downar 蒋子涵(译) 《英国医学杂志中文版》 2022年第10期575-578,共4页
医疗技术的进步使医生具有了前所未有的能力来延长患者寿命。然而,这种能力却不一定能帮助到身患重症的患者。重症是指死亡风险高、生活能力低、生活质量差、医护及家属照看压力大的疾病状态。对于重症患者来说,单纯延长生命可能并不是... 医疗技术的进步使医生具有了前所未有的能力来延长患者寿命。然而,这种能力却不一定能帮助到身患重症的患者。重症是指死亡风险高、生活能力低、生活质量差、医护及家属照看压力大的疾病状态。对于重症患者来说,单纯延长生命可能并不是他们所期望的治疗目标,并可能会增加他们和家人的痛苦。 展开更多
关键词 死亡风险 重症患者 疾病状态 延长生命 医护 期望 质量差
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