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  • 文章类型: Journal Article
    肝脏代谢与骨代谢密切相关,已证明非酒精性脂肪性肝病(NAFLD)与成人骨密度(BMD)之间存在显着相关性。然而,青少年人群中NAFLD和BMD之间的当前关系仍存在争议.这项研究的目的是调查美国12至19岁青少年NAFLD与BMD之间的特定关系。根据国家健康与营养调查(NHANES)的多视角数据,使用多变量逻辑回归和平滑拟合曲线研究了NAFLD与总BMD之间的定量关系。在排除无法使用的样本后,共有740名青少年被纳入这项研究。结果表明,青少年NAFLD与总BMD呈正相关。亚组分析结果显示,这种正相关主要存在于男童,白人和黑人。该协会在女孩中并不重要,墨西哥裔美国人和其他种族群体。在美国青少年中,NAFLD和总BMD之间存在显著正相关,这种关系因性别和种族而异。
    Liver metabolism is strongly linked to bone metabolism, and a significant correlation between nonalcoholic fatty liver disease (NAFLD) and bone mineral density (BMD) in adults has been demonstrated. However, the current relationship between NAFLD and BMD in the adolescent population remains controversial. The purpose of this study was to investigate the specific relationship between NAFLD and BMD in adolescents aged 12 to 19 years in the United States. The quantitative relationship between NAFLD and total BMD was investigated using multivariate logistic regression and smoothed fitted curve curves based on multiperspective data from the National Health and Nutrition Examination Survey (NHANES). A total of 740 adolescents were included in this study after excluding unusable samples. The results showed that NAFLD was positively associated with total BMD in adolescents. The results of the subgroup analysis showed that this positive association was mainly found in boys, whites and blacks. The association was not significant in girls, Mexican Americans and other racial groups. Among US adolescents, there was a significant positive association between NAFLD and total BMD, and this relationship varied by gender and race.
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  • 文章类型: Journal Article
    背景从中年到晚年的时间平均累积血压(BP)与以视网膜血管直径表示的微脉管系统之间的关系尚未得到很好的研究。这项研究的目的是评估累积收缩压和舒张压(DBP)与视网膜血管口径的关系,关注种族差异。方法和结果分析包括1818名来自ARIC(社区动脉粥样硬化风险)研究的成年人参加第五次访问(2011-2013年;年龄77±5岁,17.1%黑人参与者)。时间平均累积BP计算为相邻连续访问(访问1-5)的平均BP与总观察时间(24±1年)的总和。第五次就诊时中央视网膜小动脉当量和中央视网膜小静脉当量的汇总估计值代表平均视网膜血管直径。计算小动脉:小静脉比率。我们测试了种族的效果修改。多元线性回归模型的结果表明,较高的时间平均累积DBP(每1-SD增加β[95%CI]:-1.78[-2.53,-1.02],P<0.001和-0.005[-0.009,-0.002],P=0.004,分别),但不是收缩压血压(-0.52[-1.30,0.26],P=0.189和0.001[-0.002,0.005],分别为P=0.485)与较小的视网膜中央小动脉当量和小动脉:小静脉比相关。在白人参与者中,时间平均累积DBP与小动脉:小静脉比之间的相关性最强(相互作用P=0.007)。在Black参与者中,累积收缩压和DBP与中央视网膜静脉当量的相关性最强(相互作用P分别为0.015和0.011)。结论暴露于较高的BP水平,特别是DBP,从中年到晚年与晚年视网膜血管直径变窄有关.此外,种族缓和了累积BP暴露与视网膜微脉管系统的关联。
    Background The associations of time-averaged cumulative blood pressure (BP) from midlife to late life with microvasculature expressed as retinal vessel diameters is not well studied. The aim of this study was to evaluate the association of cumulative systolic BP and diastolic BP (DBP) with retinal vessel calibers, focusing on race differences. Methods and Results The analysis included 1818 adults from the ARIC (Atherosclerosis Risk in Communities) study attending the fifth visit (2011-2013; age 77±5 years, 17.1% Black participants). Time-averaged cumulative BPs were calculated as the sum of averaged BPs from adjacent consecutive visits (visits 1-5) indexed to total observation time (24±1 years). Summarized estimates for central retinal arteriolar equivalent and central retinal venular equivalent at the fifth visit represent average retinal vessel diameters. The arteriole:venule ratio was calculated. We tested for effect modification by race. Results from multiple linear regression models suggested that higher time-averaged cumulative DBP (β [95% CI] per 1-SD increase: -1.78 [-2.53, -1.02], P<0.001 and -0.005 [-0.009, -0.002], P=0.004, respectively) but not systolic BP (-0.52 [-1.30, 0.26], P=0.189 and 0.001 [-0.002, 0.005], P=0.485, respectively) was associated with smaller central retinal arteriolar equivalent and arteriole:venule ratio. The association between time-averaged cumulative DBP and arteriole:venule ratio was strongest in White participants (interaction P=0.007). The association of cumulative systolic BP and DBP with central retinal venular equivalent was strongest in Black participants (interaction P=0.015 and 0.011, respectively). Conclusions Exposure to higher BP levels, particularly DBP, from midlife to late life is associated with narrower retinal vessel diameters in late life. Furthermore, race moderated the association of cumulative BP exposure with retinal microvasculature.
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  • 文章类型: Journal Article
    面部颜色特征传达重要的个人信息,并影响社交互动和伴侣选择,作为感知美的促成因素,健康,和年龄。各种颜色特征如何影响面部偏好以及是否存在文化差异尚不完全清楚。这里,我们基于真实的皮肤模型为肤色研究提供了一种有用且可重复的方法,以研究各种面部颜色特征对面部偏好的影响,并比较颜色预测因子在高加索人(CA)和中国人(CN)样本中的作用.我们的研究结果表明,尽管面部区域的平均肤色起着有限的作用,连同颜色变化和对比度,颜色和面部偏好之间的联系比以前揭示的更强。我们还发现在面部色彩感知方面存在很大的文化差异;中国观察者往往比白种人更依赖颜色和亮度线索来判断面部偏好。
    Facial colour characteristics convey vital personal information and influence social interactions and mate choices as contributing factors to perceived beauty, health, and age. How various colour characteristics affect facial preference and whether there are cultural differences are not fully understood. Here, we provide a useful and repeatable methodology for skin colour research based on a realistic skin model to investigate the effect of various facial colour characteristics on facial preference and compare the role of colour predictors in Caucasian (CA) and Chinese (CN) samples. Our results show that, although the average skin colour of facial areas plays a limited role, together with colour variation and contrast, there are stronger links between colour and facial preference than previously revealed. We also find large cultural differences in facial colour perceptions; Chinese observers tend to rely more heavily on colour and lightness cues to judge facial preference than Caucasian observers.
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  • 文章类型: Journal Article
    已经提出,人脸的比例对于面部美学至关重要。如果是这样的话,我们应该定量描述面部成分比例之间的关系。这项研究旨在建立面部比例的数学模型,以提供面部吸引力的定量描述。此外,我们期望整形外科医生可以在临床工作中使用模型来提高医生与患者之间的沟通效率。面部对齐技术用于分析5500个具有不同属性(男性/女性,亚洲人/高加索人,年龄)以获得鼻子长度之间的比率(${N}_{L}$),鼻底宽度($N$),和内眼角宽度(${E}_{I}$)。建立数学模型(${N}_{L}^{2}=a{E}_{I}\\mathrm{*}{N}_{L}+b{E}_{I}\\mathrm{*}N+cN\\mathrm{*}{N}_{L}$)来描述这些比例之间的关系。为了验证这种方法的有效性,我们使用AdobePhotoshop模拟了术后照片。我们的发现表明,鼻子长度与鼻子宽度的比率,内眼角宽度与鼻子长度之比以及内眼角与鼻子宽度之比在确定面部吸引力方面起着重要作用。这些结果提供了一种定量描述人脸比例之间关系的可能策略。
    It has been proposed that the proportions of the human face are crucial for facial aesthetics. If this is the case, we should describe the relationship among proportions of face components quantitatively. This study aims to develop a mathematical model of facial proportions to provide a quantitative description of facial attractiveness. Furthermore, we expect that plastic surgeons can use models in clinical work to enhance communication efficiency between doctors and patients. Face alignment technique was used to analyse 5500 frontal faces with diverse properties (male/female, Asian/Caucasian, ages) to obtain the ratios among the nose length ($ {N}_{L} $), the nasal base width ($ N $), and the inner canthus width ($ {E}_{I} $). A mathematical model ($ {N}_{L}^{2} = a{E}_{I}\\mathrm{*}{N}_{L}+b{E}_{I}\\mathrm{*}N+cN\\mathrm{*}{N}_{L} $) was developed to describe the relationship among these proportions. To validate the effectiveness of this approach, we simulated the post-operative photos using Adobe Photoshop. Our findings show that the ratio of nose length to nose width, the ratio of inner canthus width to nose length and the ratio of inner canthus to nose width play a significant role in determining facial attractiveness. These results provide a possible strategy to quantitatively describe the relationship among human face proportions.
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  • 文章类型: Journal Article
    纵观人类进化史,大规模迁移导致了混合(即,混合物)在先前分离的人类群体之间。尽管经典和最近的工作表明,研究混合物可以产生新的历史见解,这一过程对适应的贡献程度仍未得到充分探索。这里,我们引入了一个新的统计模型,特定于混合人群,确定选择中的基因座,同时确定选择是否可能发生在祖先来源种群之一的混合后或混合前。通过广泛的模拟,我们证明了这种方法能够检测选择,即使在最近形成的混合种群中,并准确区分祖先或混合群体中发生的选择。我们将这种方法应用于来自巴西的五个混合拉丁美洲队列中的4000名个体的全基因组SNP数据,智利,哥伦比亚,墨西哥,秘鲁。我们的方法复制了先前在人类白细胞抗原区域中进行选择的报道,这些报道与混合后的选择一致。我们还报道了跨越47个基因的基因组区域的新选择信号,用另一种方法加强许多这些信号,常用的局部祖先推理方法。这些信号包括几个参与免疫的基因,这可能反映了对美洲地方性病原体的反应以及对欧洲接触带来的传染病的挑战。此外,在现代拉丁美洲人的美洲原住民祖先群体中,一些被推断为正在选择的最强信号与涉及能量代谢表型的基因重叠,合理地反映了对美洲新饮食来源的适应。
    Throughout human evolutionary history, large-scale migrations have led to intermixing (i.e., admixture) between previously separated human groups. Although classical and recent work have shown that studying admixture can yield novel historical insights, the extent to which this process contributed to adaptation remains underexplored. Here, we introduce a novel statistical model, specific to admixed populations, that identifies loci under selection while determining whether the selection likely occurred post-admixture or prior to admixture in one of the ancestral source populations. Through extensive simulations, we show that this method is able to detect selection, even in recently formed admixed populations, and to accurately differentiate between selection occurring in the ancestral or admixed population. We apply this method to genome-wide SNP data of ∼4,000 individuals in five admixed Latin American cohorts from Brazil, Chile, Colombia, Mexico, and Peru. Our approach replicates previous reports of selection in the human leukocyte antigen region that are consistent with selection post-admixture. We also report novel signals of selection in genomic regions spanning 47 genes, reinforcing many of these signals with an alternative, commonly used local-ancestry-inference approach. These signals include several genes involved in immunity, which may reflect responses to endemic pathogens of the Americas and to the challenge of infectious disease brought by European contact. In addition, some of the strongest signals inferred to be under selection in the Native American ancestral groups of modern Latin Americans overlap with genes implicated in energy metabolism phenotypes, plausibly reflecting adaptations to novel dietary sources available in the Americas.
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  • 文章类型: Journal Article
    miRNA-499rs3746444与多种自身免疫性疾病之间的关联已有报道。然而,这些结果是相互矛盾的,只集中在一种或两种自身免疫性疾病上。本研究旨在研究rs3746444多态性与自身免疫性疾病风险之间的可能关联。
    检索了评估miRNA-499基因多态性与自身免疫性疾病之间关联的研究。使用五种不同的遗传模型来评估关联。随机效应模型用于汇集效应大小。计算赔率(OR)和95%置信区间(CI)以估计关联。按种族和自身免疫性疾病的类型进行分层分析。进行假阳性报告概率(FPRP)以确定值得注意的关联。
    17篇文章(20项研究)涉及4,376例病例和4,991例对照被确定并纳入我们的荟萃分析。所有符合条件的病例对照研究的合并OR表明miRNA-499基因多态性与自身免疫性疾病之间存在显着关联:(Tvs.C:OR=0.877;95%CI:0.774,0.993;P=0.039)。分层分析表明,这两个高加索人之间存在显着关联(TT与TC+CC:OR=0.779;95%CI:0.622,0.976;P=0.030)和亚洲(T与C:OR=0.895;95%CI:0.808,0.992;P=0.035)群体。在Behcet病中也有显著的关联,类风湿性关节炎,系统性红斑狼疮,和溃疡性结肠炎人群。
    我们的荟萃分析表明,miRNA-499rs3746444多态性与总体分析以及白种人和亚洲人群的自身免疫性疾病风险升高相关。
    The association between miRNA-499 rs3746444 and a variety of autoimmune diseases has been reported. However, these results were contradictory and just focused on one or two autoimmune diseases. The present study aims to examine the possible association between rs3746444 polymorphism and the risk of autoimmune diseases.
    The studies that evaluated the association between miRNA-499 gene polymorphism and autoimmune diseases were retrieved. Five different genetic models were used to evaluate the association. The random-effects model was used to pool the effect sizes. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to estimate the associations. Stratification analyses were performed by ethnicity and type of autoimmune diseases. False-positive report probability (FPRP) was performed for determining noteworthy associations.
    Seventeen articles (twenty studies) involving 4,376 cases and 4,991 controls were identified and included in our meta-analysis. The pooled ORs of all eligible case-control studies indicated a significant association between miRNA-499 gene polymorphism and autoimmune diseases: (T vs. C: OR = 0.877; 95% CI: 0.774, 0.993; P = 0.039). Stratified analysis indicated a significant association across both Caucasian (TT vs. TC+CC: OR = 0.779; 95% CI: 0.622, 0.976; P = 0.030) and Asian (T vs. C: OR = 0.895; 95% CI: 0.808, 0.992; P = 0.035) populations. There was also a significant association in Behcet\'s disease, rheumatoid arthritis, systemic lupus erythematosus, and ulcerative colitis populations.
    Our meta-analysis suggested that the miRNA-499 rs3746444 polymorphism was associated with an elevated risk of autoimmune diseases in the overall analysis as well as Caucasian and Asian populations.
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  • 文章类型: Journal Article
    目的:V型胶原α1(COL5A1)基因多态性与肌肉骨骼软组织损伤(MSTIs)的相关性不一致。本研究的目的是通过荟萃分析方法收集和合并当前的证据。
    方法:截至8月,共检索了6个在线数据库,2021年。根据纽卡斯尔-渥太华量表(NOS)评估每个单独研究的方法学质量。在五个遗传模型中,效果大小的强度通过比值比(OR)和95%置信区间(95CI)表示。使用ReviewManager5.3分析数据。
    结果:21项研究符合这项荟萃分析的条件。根据NOS,研究质量被认为是公平的。在总体分析中,合并数据提示rs12722,rs71746744和rs3196378多态性与MSTIs易感性增加相关.但是在rs13946或rs11103544多态性中没有建立关联。对于rs12722多态性,按损伤类型和种族进行的分层分析发现,这种关联主要存在于韧带损伤和高加索人群中.对于rs13946多态性,亚组分析提示肌腱和韧带损伤存在相关性。
    结论:本研究支持rs12722与韧带损伤易感性升高有关,尤其是在高加索人群中。Rs13946多态性似乎增加了肌腱和韧带损伤的风险。rs71746744和rs3196378多态性倾向于赋予MSTI升高的风险。然而,rs11103544多态性与MSTIs无相关性.
    OBJECTIVE: Inconsistent findings existed on the correlation of collagen type V α1 (COL5A1) gene polymorphisms and musculoskeletal soft tissue injuries (MSTIs). The purpose of this study was to collect and combine the current evidences by a meta-analysis approach.
    METHODS: Six online databases were searched up to August, 2021. The methodological quality of each individual study was evaluated based upon Newcastle-Ottawa Scale (NOS). The strength of the effect size was presented by odds ratio (OR) with 95% confidence interval (95%CI) in five genetic models. The data were analyzed using Review Manager 5.3.
    RESULTS: Twenty-one studies were eligible to this meta-analysis. The study quality was deemed fair to excellent according to NOS. In the overall analyses, the merged data suggested that rs12722, rs71746744, and rs3196378 polymorphisms were correlated to an increased susceptibility to MSTIs. But the association was not established in rs13946 or rs11103544 polymorphism. For rs12722 polymorphism, stratified analyses by injury type and ethnicity identified the association mainly existed in ligament injury and among Caucasian population. For rs13946 polymorphism, subgroup analysis suggested the association existed in tendon and ligament injuries.
    CONCLUSIONS: This study supports that rs12722 is associated with an elevated susceptibility to ligament injury, especially in the Caucasian population. Rs13946 polymorphism appears to increase the risk to tendon and ligament injuries. Rs71746744 and rs3196378 polymorphisms have a tendency to confer an elevated risk to MSTIs. However, no relevance is found between rs11103544 polymorphism and MSTIs.
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  • 文章类型: Comparative Study
    据报道,中国人群胰腺癌的发病率高于白人人群,但遗传差异迄今未知。家族性和散发性胰腺癌的大样本种系检测主要在白人人群中进行。而在中国人群中的类似研究是有限的。
    评估中国胰腺疾病患者种系序列变异的患病率。
    这项遗传关联研究是一系列病例,包括在南京医科大学第一附属医院就诊的胰腺导管腺癌(PDAC)或非PDAC胰腺疾病患者的遗传数据,中国,2006年1月至2017年12月(南京队列)。对比组数据来自美国约翰霍普金斯医院(JHH)的队列,来自东亚的人口来自ExomeAggregationConsortium(ExAC)数据库,以及中国地图数据库中来自中国的更多人口。数据在2021年7月进行了更新和分析。
    使用下一代测序技术来检查从外周血样本中提取DNA的中国患者的59个基因中有害变异的患病率。Fisher精确检验用于评估研究患者与比较组的种系变异频率之间的差异。
    共1009例PDAC患者(627例[62.1%]男性;平均[SD]年龄,62.8[10.2]岁)和885例非PDAC疾病(男性477[53.9%];平均[SD]年龄,来自南京队列的52.0[15.9]年)进行了遗传分析;所有人都是汉族个体。在63例PDAC患者中检测到致病变异(6.2%;95%CI,4.7%-7.7%)。BRCA2的变化(赔率比[OR],3.2;95%CI,1.4-7.7;P=.008)和PALB2(OR,在南京队列中,5.2;95%CI,1.6-17.0;P=.007)与胰腺风险显著相关。与同源重组DNA损伤修复相关的基因的致病变异,包括ATM,BRCA1/2,PALB2,BRIP1,FANCA,FANCC,RAD51D,在34例PDAC患者(3.4%)中发现了XRCC2和XRCC2。没有Ashkenazi犹太人特有的BRCA2变异(p。检测到Ser1982fs)。南京队列与ExAC队列相比,PDAC患者SPINK1变异的比值比为3.2(95%CI,1.8-5.7;P<.001)。在南京队列中未检测到胰腺分泌酶基因CPA1和CPB1的变异。
    在这项遗传关联研究中,在来自中国的一个队列中,散发性胰腺癌与致病种系变异相关.这些发现为患有PDAC的汉族人群中胰腺癌的遗传背景提供了见解。
    A higher incidence of pancreatic cancer has been reported in the Chinese population compared with the White population, but genetic differences are unknown to date. Large-sample germline testing for both familial and sporadic pancreatic cancers has been conducted predominantly in White populations, whereas similar studies in Chinese populations are limited.
    To assess the prevalence of germline sequence variations in patients with pancreatic diseases in China.
    This genetic association study was a case series that included genetic data from patients with pancreatic ductal adenocarcinoma (PDAC) or non-PDAC pancreatic diseases seen at The First Affiliated Hospital of Nanjing Medical University in Nanjing, China, between January 2006 and December 2017 (Nanjing cohort). Comparator group data were obtained for a US cohort from Johns Hopkins Hospital (JHH), a population from East Asia from the Exome Aggregation Consortium (ExAC) database, and the larger population from China from the ChinaMAP database. Data were updated and analyzed in July 2021.
    Next-generation sequencing technology was used to examine the prevalence of deleterious variations in 59 genes of the included Chinese patients with DNA extracted from peripheral blood samples. The Fisher exact test was used to assess differences among the frequencies of germline variations in the study patients vs the comparator groups.
    A total of 1009 patients with PDAC (627 [62.1%] male; mean [SD] age, 62.8 [10.2] years) and 885 with non-PDAC diseases (477 [53.9%] male; mean [SD] age, 52.0 [15.9] years) from the Nanjing cohort were included for genetic analysis; all were Han Chinese individuals. Pathogenic variations were detected in 63 patients with PDAC (6.2%; 95% CI, 4.7%-7.7%). Variations in BRCA2 (odds ratio [OR], 3.2; 95% CI, 1.4-7.7; P = .008) and PALB2 (OR, 5.2; 95% CI, 1.6-17.0; P = .007) were significantly associated with pancreatic risk in the Nanjing cohort. Pathogenic variants of genes associated with homologous recombination DNA damage repair, including ATM, BRCA1/2, PALB2, BRIP1, FANCA, FANCC, RAD51D, and XRCC2, were found in 34 patients with PDAC (3.4%). No Ashkenazi Jewish-specific BRCA2 variation (p.Ser1982fs) was detected. The odds ratio of a SPINK1 variation in patients with PDAC was 3.2 (95% CI, 1.8-5.7; P < .001) in the Nanjing cohort compared with the ExAC cohort. Variations in the pancreatic secretory enzyme genes CPA1 and CPB1 were not detected in the Nanjing cohort.
    In this genetic association study, sporadic pancreatic cancer was associated with pathogenic germline variations in a cohort from China. These findings provide insights into the genetic background of pancreatic cancer in the Han Chinese population with PDAC.
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  • 文章类型: Journal Article
    非洲裔美国人(AA)历来与胰腺移植后的下移植物存活有关。然而,随着免疫抑制和手术技术的提高,我们假设种族差异已经被抵消了。
    我们分析了移植接受者科学登记处(1989-2018)的数据。使用Kaplan-Meier估计和Cox比例风险回归,我们研究了种族对胰腺移植物存活的影响。
    在2009年之前,AA受者在校正混杂因素后,胰腺移植失败的风险更高(风险比[HR]:1.16,95%置信区间[CI]:1.08-1.24),但西班牙裔和亚裔接受者的风险均与其高加索人相当.然而,AA受者胰腺移植失败的风险降至1%,自2009年以来不再显著(HR:1.01,95CI:0.88~1.16).有趣的是,供体种族也显示了类似的结果.此外,完整胰腺供者风险指数(包括供者种族)的一致性统计为0.582,而当模型中排除供者种族时,一致性没有变化.
    AA和其他种族在现代时代显示出类似的胰腺移植物存活率。此外,捐赠者的种族差异似乎也被抵消了;因此,供体种族不应被视为胰腺供体质量的指标.
    African-American (AA) has historically been associated with inferior graft survival after pancreas transplantation. However, with the improvement of immunosuppression and surgical technique, we hypothesized that the racial disparity has been neutralized.
    We analyzed data from the Scientific Registry of Transplant Recipients (1989-2018). Using Kaplan-Meier estimation and Cox proportional hazards regression, we examined the influence of race on pancreatic graft survival.
    Before 2009, AA recipients had a higher risk of pancreatic graft failure after adjusting for confounding factors (hazard ratio [HR]: 1.16, 95% confidence interval [CI]: 1.08-1.24), but the risks for Hispanic and Asian recipients were both comparable to their Caucasian counterparts. However, the risk of pancreatic graft failure in AA recipients dropped to 1% and was no longer significant since 2009 (HR: 1.01, 95%CI: 0.88-1.16). Interestingly, donor race showed similar results. Furthermore, the concordance statistic of the complete pancreas donor risk index (including donor race) was 0.582, whereas the concordance did not change when donor race was eliminated from the model.
    AA and other races have shown similar pancreatic graft survival in the modern era. Furthermore, donor racial disparity also seems neutralized; thus, donor race should not be considered as an indicator of pancreatic donor quality.
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  • 文章类型: Journal Article
    The characteristics of programmed cell death protein-1 (PD-L1) expression, tumor-infiltrating lymphocytes (TILs), and tumor microenvironment (TME) in lung adenocarcinoma (LUAD) patients are closely related to immunotherapy, and there are differences between Asians and Caucasians.
    Acquire the transcriptome data of the Cancer Genome Atlas and Chinese LUAD patients. R software was used to analyze the differential expression of genes, prognosis, and gene function. Use CIBERSORT for TIL-related analysis and ESTIMATE for TME-related analysis.
    The expression of PD-L1 in tumor tissues of Caucasian LUAD patients was lower than that in normal tissues, while there was no significant difference in Asians. There was no statistical difference between PD-L1 expression and prognosis. The composition of TILs between Caucasian and Asian LUAD patients was quite different. There was no correlation between TILs and prognosis in Caucasians. However, the higher content of resting mast cells indicated a better prognosis in Asians. The Caucasian patients with higher immune and estimate scores had a better prognosis (p = 0.021, p = 0.025). However, the Asian patients with a higher estimate score had a worse prognosis (p = 0.024). The high expression of COL5A2 (p = 0.046, p = 0.027) and NOX4 (p = 0.020, p = 0.019) were both associated with the poor prognosis in Caucasians and Asians.
    There are many differences in the characteristics of PD-L1 expression, TILs, and TME between Caucasian and Asian LUAD patients. This provides a certain hint for the selection of specific immunotherapy strategies separately for Caucasian and Asian LUAD patients.
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