Globulins

球蛋白类
  • 文章类型: Journal Article
    这项研究的目的是评估两个鹰嘴豆品种的化学成分,\'Costa2004\'和\'ElPatrón\',并表征其蛋白质以确定其在食品工业中的技术潜力。为此,来自2019年瓜纳华托收获区的两个品种的鹰嘴豆样品,墨西哥,获得并进行化学表征,以使用电泳和氨基酸谱分析确定蛋白质级分。鹰嘴豆品种“Costa2004”的蛋白质含量比“ElPatrón”品种少3%,膳食纤维含量少7%;然而,“Costa2004”的碳水化合物含量增加了4%。此外,鹰嘴豆的抗氧化能力范围为319至387µMET/g,总酚含量超过500mg/g。在蛋白质部分中,球蛋白在两种鹰嘴豆中的比例最高,大约8.73克/100克(\'Costa2004\')和10.42克/100克(\'ElPatrón\'),其次是白蛋白,大约1.24g/100g和1.47g/100g,分别。鹰嘴豆蛋白的分子量在100到25kDa之间,在白蛋白和球蛋白带中具有特别强的信号。关于氨基酸谱,组氨酸在两个品种中占主导地位。总之,这两种鹰嘴豆都有很高的营养价值,在食品工业中具有广泛的技术应用潜力。
    The objective of this study was to evaluate the chemical composition of two chickpea varieties, \'Costa 2004\' and \'El Patrón\', and to characterize their proteins to determine their technological potential for the food industry. For this purpose, chickpea samples of both varieties from the 2019 harvest region of Guanajuato, Mexico, were obtained and chemically characterized to determine the protein fractions using electrophoretic and amino acid profiling. The chickpea variety \'Costa 2004\' contained 3% less protein and 7% less dietary fiber content than the variety \'El Patrón\'; whereas, the carbohydrate content of \'Costa 2004\' was 4% greater. Additionally, the chickpeas demonstrated an antioxidant capacity ranging from 319 to 387 µMET/g and total phenol levels exceeding 500 mg/g. Among the protein fractions, globulins represented the highest proportion in both varieties of chickpea, at approximately 8.73 g/100 g (\'Costa 2004\') and 10.42 g/100 g (\'El Patrón\'), followed by albumin, at approximately 1.24 g/100 g and 1.47 g/100 g, respectively. The chickpea proteins ranged in molecular weight between 100 and 25 kDa, with particularly strong signals in the albumin and globulin bands. Regarding the amino acid profile, histidine was predominant in both varieties. In conclusion, both varieties of chickpea have high nutritional value and broad potential for technological use in the food industry.
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  • 文章类型: Journal Article
    燕麦,一种以健康益处而闻名的高营养谷物,含有各种具有重要生物学价值的大分子,包括丰富和高度易消化的蛋白质。尽管它们很重要,燕麦蛋白尚未被广泛研究。这里,我们提出了一套完整的表达球蛋白基因,编码燕麦中的主要贮藏蛋白及其染色体位置。
    公布的球蛋白表达序列标签用作Sang燕麦基因组中的查询。此外,根据与其他谷物蛋白的溶解度差异,通过溶剂萃取从燕麦面粉中分离出球蛋白。通过凝胶电泳分离蛋白质级分,并通过串联质谱分析以确认它们在种子中的身份和表达。
    在燕麦基因组上总共鉴定了32个球蛋白基因序列。在这些中,可以证实RNA水平的表达,并且MS还检测到27种表达蛋白。我们的结果提供了迄今为止最广泛的盐溶性燕麦球蛋白序列,为进一步了解它们对人类营养的影响铺平了道路。此外,提出了一种简单的方法来分级分离燕麦蛋白。
    UNASSIGNED: Oats, a highly nutritious cereal known for their health benefits, contain various macromolecules of significant biological value, including abundant and highly digestible proteins. Despite their importance, oat proteins have not been extensively studied. Here, we present a complete set of the expressed globulins genes, which code for the main storage protein in oats as well as their chromosomal positions.
    UNASSIGNED: Published expressed sequence tags for globulins were used as queries in the Sang oat genome. In addition, globulin proteins were fractionated from oat flour by solvent extraction based on differential solubility with other classes of cereal proteins. The protein fractions were separated by gel electrophoresis and analyzed by tandem mass spectrometry to confirm their identity and expression in seed.
    UNASSIGNED: In total 32 globulin gene sequences were identified on the oat genome. Out of these, the expression on RNA level could be confirmed and 27 were also detected as expressed proteins by MS. Our results provide the most extensive set of salt-soluble oat globulin sequences to date, paving the way for further understanding their implications for human nutrition. In addition, a simple methodology to fractionate oat proteins is presented.
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  • 文章类型: Journal Article
    了解转运机制对于开发阻止过敏原吸收和转运并防止过敏反应的抑制剂至关重要。然而,β-伴大豆球蛋白的过程,大豆中的主要过敏原,穿过肠粘膜屏障仍不清楚。本研究表明,IPEC-J2单层对β-伴大豆球蛋白水解产物的转运以时间和数量依赖性的方式发生。β-伴大豆球蛋白水解产物被吸收到IPEC-J2单层的细胞质中,而在细胞间隙中没有检测到。此外,甲基-β-环糊精(MβCD)和氯丙嗪(CPZ)等抑制剂可显着抑制β-伴大豆球蛋白水解产物的吸收和转运。特别感兴趣的是,色甘酸钠(SCG)对β-伴大豆球蛋白水解产物的吸收和转运表现出数量依赖性非线性抑制模型。总之,β-伴大豆球蛋白通过跨细胞途径穿过IPEC-J2单层,涉及网格蛋白介导的和caveolae依赖性的内吞机制。SCG通过网格蛋白介导的和Caveolae依赖性内吞作用,通过数量依赖性非线性模型抑制IPEC-J2单层对β-伴大豆球蛋白水解产物的吸收和转运。这些发现为大豆过敏的预防和治疗提供了有希望的目标。
    Understanding the transport mechanism is crucial for developing inhibitors that block allergen absorption and transport and prevent allergic reactions. However, the process of how beta-conglycinin, the primary allergen in soybeans, crosses the intestinal mucosal barrier remains unclear. The present study indicated that the transport of beta-conglycinin hydrolysates by IPEC-J2 monolayers occurred in a time- and quantity-dependent manner. The beta-conglycinin hydrolysates were absorbed into the cytoplasm of IPEC-J2 monolayers, while none were detected in the intercellular spaces. Furthermore, inhibitors such as methyl-beta-cyclodextrin (MβCD) and chlorpromazine (CPZ) significantly suppressed the absorption and transport of beta-conglycinin hydrolysates. Of particular interest, sodium cromoglycate (SCG) exhibited a quantity-dependent nonlinear suppression model on the absorption and transport of beta-conglycinin hydrolysates. In conclusion, beta-conglycinin crossed the IPEC-J2 monolayers through a transcellular pathway, involving both clathrin-mediated and caveolae-dependent endocytosis mechanisms. SCG suppressed the absorption and transport of beta-conglycinin hydrolysates by the IPEC-J2 monolayers by a quantity-dependent nonlinear model via clathrin-mediated and caveolae-dependent endocytosis. These findings provide promising targets for both the prevention and treatment of soybean allergies.
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  • 文章类型: Journal Article
    这项研究评估了四种高地大麦蛋白(HBPs)的作用,即,白蛋白,球蛋白,麦醇溶蛋白和谷蛋白,关于高原大麦淀粉(HBS)的短期回生。结果表明,HBPs可以降低粘度,HBS的储能模量和硬度,白蛋白和球蛋白表现出更突出的作用。此外,随着HBPs的加入,HBS损耗的损耗角正切(tanδ)从0.07增加到0.10,糊化焓从8.33降低到7.23。HBS的回生程度(DR%)为5.57%,DR%下降了26.65%,38.78%,11.67%和20.29%添加白蛋白,球蛋白,麦醇溶蛋白和谷蛋白,分别。此外,HBPs的掺入抑制了相对结晶度(RC)和双螺旋结构。同时,HBPs还可以抑制水分迁移并改善HBS凝胶的结构。总之,HBPs可以抑制HBS的回生行为,为高原大麦食品的生产研究提供了新的理论见解。
    This study evaluated the effects of four highland barley proteins (HBPs), namely, albumin, globulin, gliadin and glutenin, on the short-term retrogradation of highland barley starch (HBS). The findings reveal that HBPs could reduce the viscosity, storage modulus and hardness of HBS, with albumin and globulin showing more prominent effects. Furthermore, with the addition of HBPs, the loss tangent (tan δ) of HBS loss increased from 0.07 to 0.10, and the enthalpy of gelatinization decreased from 8.33 to 7.23. The degree of retrogradation (DR%) of HBS was 5.57%, and the DR% decreased by 26.65%, 38.78%, 11.67% and 20.29% with the addition of albumin, globulin, gliadin and glutenin, respectively. Moreover, the relative crystallinity (RC) and the double helix structures were inhibited with the HBPs\' incorporation. Meanwhile, the HBPs also could inhibit water migration and improve the structure of HBS gels. In summary, HBPs could inhibit the retrogradation behavior of HBS, which provides new theoretical insights for the production studies of highland barley foods.
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  • 文章类型: Journal Article
    石油芳烃被认为是最危险的水生污染物之一,因为它们广泛分布在水体中,持久性,延伸到食物链。据我们所知,关于钝顶螺旋藻(SP)对环境毒物对鱼类的保护作用,目前还没有研究。因此,我们决定探索其在成人Clariasgariepinus中防止苯和甲苯暴露的潜在保护措施。为了实现这一目标,鱼分为五组(每组60条;每个重复20条)。第一组作为对照。第二和第三组分别用苯和甲苯中毒,剂量为0.762和26.614ng/L,分别为15天。第四组和第五组(SP+苯和SP+甲苯,分别)在饮食中包含5g/kg饮食30天的SP后,如前所述,分别用苯和甲苯攻击。肝脏代谢酶的显著增加,葡萄糖,总蛋白质,白蛋白,球蛋白,白蛋白/球蛋白比,和肌酐证实了苯和甲苯的肝和肾毒性影响。这些结果与细胞病理学影响和过度的胶原蛋白沉积有关。在口粮配方中掺入SP,相反,由于其抗氧化和细胞保护属性,恢复了前面提到的毒理学特征。不管SP干预,肾组织仍然显示组织结构损伤,因为剂量和时间不够。将需要额外的研究来确定理想的SP补救方案。
    Petroleum aromatic hydrocarbons are considered one of the most dangerous aquatic pollutants due to their widespread across water bodies, persistence, and extension to the food chain. To our knowledge, there hasn\'t been any research investigating the hepatorenoprotective effects of Spirulina platensis (SP) against toxicity induced by these environmental toxicants in fish. Thus, we decided to explore its potential safeguarding against benzene and toluene exposure in adult Clarias gariepinus. To achieve this objective, fish were divided into five groups (60 per group; 20 per replicate). The first group served as a control. The second and third groups were intoxicated with benzene and toluene at doses of 0.762 and 26.614 ng/L, respectively for 15 days. The fourth and fifth groups (SP + benzene and SP + toluene, respectively) were challenged with benzene and toluene as previously mentioned following dietary inclusion of SP at a dose of 5 g/kg diet for 30 days. The marked increase in liver metabolizing enzymes, glucose, total protein, albumin, globulin, albumin/globulin ratio, and creatinine confirmed the hepato- and nephrotoxic impacts of benzene and toluene. These outcomes were coupled with cytopathological affections and excessive collagen deposition. The incorporation of SP in ration formulation, on the contrary, restored the previously mentioned toxicological profile due to its antioxidant and cytoprotective attributes. Regardless of SP intervention, the renal tissues still displayed histo-architectural lesions, because of insufficient dose and timeframe. Additional research will be required to identify the ideal SP remediation regimen.
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  • 文章类型: Journal Article
    目的:较高的中性粒细胞-淋巴细胞比率(NLR)表明促炎状态,并与低生存率相关。相反,较高的白蛋白-球蛋白比值(AGRs)可能与预后改善相关.我们旨在研究NLR和AGR与乳腺癌患者预后和生存之间的关系。
    方法:这项回顾性研究纳入了2011年至2017年新加坡总医院和新加坡国家癌症中心的所有I-III期乳腺癌患者。NLR的多因素logistic回归分析,AGR,年龄,舞台,grade,和亚型进行。使用Cox回归分析和对数秩检验比较组间生存数据。
    结果:共纳入1,188例患者,其中323人接受了新辅助化疗(NACT),865人接受了前期手术.在接受NACT的患者中,较高的AGR与较高的pCR率显著相关(截止值>1.28;比值比[OR],2.03;95%置信区间[CI],1.13-3.74;p=0.020),更好的DFS(截止>1.55;危险比[HR],0.37;95%CI,0.16-0.85;p=0.019),和更好的CSS(截止>1.46;HR,0.39;95%CI,0.17-0.92;p=0.031)。较高的NLR与较差的DFS显著相关(截止>4.09;HR,1.77;95%CI,1.07-2.91;p=0.026)和更差的CSS(截止>4.09;HR,1.98;95%CI,1.11-3.53;p=0.021)。在接受前期手术的患者中,较高的AGR与较好的OS相关(截止值>1.17;HR,0.54;95%CI,0.36-0.82;p=0.004),较高的NLR与较差的OS相关(截止>2.38;HR,1.63;95%CI,1.09-2.44;p=0.018)。
    结论:NLR和AGR可用于预测乳腺癌患者对NACT的反应以及预后。需要进一步的研究来探索它们在临床决策中的价值。
    OBJECTIVE: Higher neutrophil-lymphocyte ratio (NLRs) indicate a pro-inflammatory state and are associated with poor survival. Conversely, higher albumin-globulin ratio (AGRs) may be associated with improved prognosis. We aimed to investigate the association between NLR and AGR and prognosis and survival in patients with breast cancer.
    METHODS: This retrospective study included all patients with stage I-III breast cancer between 2011 and 2017 in Singapore General Hospital and National Cancer Center Singapore. Multivariate logistic regression analysis of NLR, AGR, age, stage, grade, and subtype was performed. Survival data between groups were compared using Cox regression analysis and log-rank tests.
    RESULTS: A total of 1,188 patients were included, of whom 323 received neoadjuvant chemotherapy (NACT) and 865 underwent upfront surgery. In patients who underwent NACT, a higher AGR was significantly associated with a higher pCR rate (cut-off > 1.28; odds ratio [OR], 2.03; 95% confidence interval [CI], 1.13-3.74; p = 0.020), better DFS (cut off > 1.55; hazard ratio [HR], 0.37; 95% CI, 0.16-0.85; p = 0.019), and better CSS (cut off > 1.46; HR, 0.39; 95% CI, 0.17-0.92; p = 0.031). Higher NLR was significantly associated with worse DFS (cut off > 4.09; HR, 1.77; 95% CI, 1.07-2.91; p = 0.026) and worse CSS (cut off > 4.09; HR, 1.98; 95% CI, 1.11-3.53; p = 0.021). In patients who underwent upfront surgery, higher AGR correlated with significantly better OS (cut off > 1.17; HR, 0.54; 95% CI, 0.36-0.82; p = 0.004) and higher NLR correlated with worse OS (cut off > 2.38; HR, 1.63; 95% CI, 1.09-2.44; p = 0.018).
    CONCLUSIONS: NLR and AGR are useful in predicting the response to NACT as well as prognosis of patients with breast cancer. Further studies are needed to explore their value in clinical decision making.
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  • 文章类型: Journal Article
    目的:我们旨在研究Omicron变异感染对择期手术患者围手术期器官功能的影响。方法:选择2022年10月至2023年1月在我院行择期手术的5029例患者。其中,在2022年10月至2022年11月期间接受择期手术的患者将第1组(未感染Omicron变异体)视为对照组;在2022年12月至2023年1月期间接受择期手术的患者将第2组(Omicron变异体感染后1个月)视为实验组.我们进一步将患者分为两个亚组进行分析:肿瘤亚组和非肿瘤亚组。器官系统功能指标数据,包括凝血参数,肝功能,全血细胞计数(CBC),和肾功能,在手术前后收集。随后通过二元逻辑回归分析两组之间的差异。结果:与未感染患者组相比,在感染后一个月接受择期手术的Omicron变异型感染患者中观察到以下变化:凝血酶原活动度(PTa),凝血酶原时间(PT),纤维蛋白原,白蛋白/球蛋白,丙氨酸氨基转移酶(ALT),平均红细胞血红蛋白浓度(MCHC),血小板(PLT),和贫血增加AST/ALT,间接胆红素(IBILI),嗜酸性粒细胞,术前尿酸下降;肺部感染/肺炎和纤维蛋白原升高,而AST/ALT,球蛋白,总胆红素(TBIL),白细胞计数(WBC),术后尿酸下降。两组的死亡率和住院时间(LOS)没有显着差异。亚组分析显示单核细胞升高,PLT,和纤维蛋白原分类,水平和减少的球蛋白,前白蛋白(PBA),嗜酸性粒细胞,与未感染患者相比,在Omicron感染后一个月接受择期手术的患者的肿瘤亚组中的尿酸水平。与非肿瘤亚组相比,纤维蛋白原水平,肺部感染/肺炎,TBIL,未感染患者的PLT计数增加,而球蛋白和嗜酸性粒细胞水平下降。结论:与未感染患者相比,Omicron变异型感染后1个月接受择期手术的患者围手术期凝血参数变化最小,肝功能,CBC计数,和肾功能。此外,两组在术后死亡率或LOS方面无显著差异.
    Purpose: We aimed to investigate the impact of Omicron variant infection on the perioperative organ function in patients undergoing elective surgery. Methods: A total of 5029 patients who underwent elective surgery between October 2022 and January 2023 at our hospital were enrolled. Among them, the patients who underwent elective surgery between October 2022 and November 2022 composed Group 1 (not infected with the Omicron variant) the control group; those who underwent elective surgery between December 2022 and January 2023 composed Group 2 (one month after Omicron variant infection) the experimental group. We further divided the patients into two subgroups for analysis: the tumor subgroup and the nontumor subgroup. Data on organ system function indicators, including coagulation parameters, liver function, complete blood count (CBC), and kidney function, were collected before and after surgery. Differences between the two groups were subsequently analyzed via binary logistic regression analysis. Results: Compared with those in the uninfected patient group, the following changes were observed in patients with Omicron variant infection who underwent elective surgery one month after infection: prothrombin activity (PTa), prothrombin time (PT), fibrinogen, albumin/globulin, alanine aminotransferase (ALT), mean corpuscular hemoglobin concentration (MCHC), platelet (PLT), and anemia were increased AST/ALT, indirect bilirubin (IBILI), eosinophils, and uric acid were decreased before surgery; and lung infection/pneumonia and fibrinogen were increased, while AST/ALT, globulin, total bilirubin (TBIL), white blood cell count (WBC), and uric acid were decreased after surgery. There was no significant difference in the mortality rate or length of hospital stay (LOS) between the two groups. Subgroup analysis revealed elevated monocyte, PLT, and fibrinogen classification, levels and decreased globulin, prealbumin (PBA), eosinophil, and uric acid levels in the tumor subgroup of patients who underwent elective surgery one month after Omicron infection compared with those in the uninfected patients. Compared with the nontumor subgroup, fibrinogen levels, lung infection/pneumonia, TBIL, and PLT count were increased in the uninfected patients, while the globulin and eosinophil levels were decreased. Conclusion: Compared with uninfected patients, patients who underwent elective surgery one month after Omicron variant infection exhibited minimal changes in perioperative coagulation parameters, liver function, CBC counts, and kidney function. Additionally, no significant differences in postoperative mortality or LOS were observed between the two groups.
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  • 文章类型: Journal Article
    背景:最近已在患有慢性马匹的马身上描述了炎症性肌病和周围血管炎。这些改变可能与表现不佳有关。这项研究的目的是评估临床健康的意大利标准(IS)赛马中EP的患病率,并比较阳性和阴性马之间的实验室参数和性能指标。应用实时PCR检测马氏T.equi和B.caballi阳性。血液学参数,血液化学结果,主观肌肉质量评分,并比较了PCR阳性和阴性马的性能指标。
    结果:这项横断面研究包括120匹训练有素的IS赛马,为期两年。马氏毛虫的患病率为36.3%,而所有样本均为B.caballi阴性。红细胞计数,血红蛋白浓度,天冬氨酸转氨酶,碱性磷酸酶,和γ-谷氨酰转移酶活性显著高于PCR阳性马,而血尿素氮,与PCR阴性马相比,PCR阳性马的球蛋白浓度和球蛋白与白蛋白的比率显着降低。尽管如此,所有值均落在生理范围内.最好的比赛时间,在主成分分析中被选为最具代表性的性能指标,不受PCR阳性的影响,肌肉质量分数或训练场。在轻度或没有肌肉萎缩迹象的马匹中,最佳比赛时间明显更好,在PCR阳性组中。在PCR阴性的马匹中,肌肉质量评分与训练场相关。
    结论:意大利南部的IS赛马中,T.equi的患病率很高。血液学和生化参数没有明显变化,以及积极马匹的性能指标,强调需要进行特定的诊断测试来识别慢性感染的马。
    BACKGROUND: Inflammatory myopathy and perivasculitis have been recently described in horses with chronic equine piroplasmosis (EP). These alterations may be linked to poor performances. The aims of this study were to evaluate the prevalence for EP in clinically healthy Italian Standardbred (IS) racehorses and to compare laboratory parameters and performance metrics between positive and negative horses. Real-time PCR was applied for the detection of T. equi and B. caballi positivity. Haematology parameters, blood chemistry results, subjective muscle mass scores, and performance metrics were compared between PCR-positive and -negative horses.
    RESULTS: This cross-sectional study included 120 well-trained IS racehorses and was performed over a two-years period. The prevalence of T. equi was 36.3%, whereas all samples were negative for B. caballi. Red blood cells count, haemoglobin concentration, aspartate aminotransferase, alkaline phosphatase, and gamma-glutamyl transferase activities were significantly higher in PCR-positive horses, whereas blood urea nitrogen, globulin concentration and globulin-to-albumin ratio were significantly lower in PCR-positive horses compared to PCR-negative ones. Nonetheless, all values fell within the physiological range. The best racing time, which was selected as the most representative of the performance metrics at the principal component analysis, was not affected by PCR positivity, the muscle mass score or the training yard. The best racing time was significantly better in horses with a mild or no signs of muscular atrophy, within the PCR-positive group. The muscle mass score was associated with the training yard in PCR-negative horses.
    CONCLUSIONS: Prevalence of T. equi was high in IS racehorses in southern Italy. The absence of obvious changes in haematological and biochemical parameters, as well as performance metrics in positive horses, highlights the need for specific diagnostic tests to identify chronically infected horses.
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  • 文章类型: Journal Article
    目的:白蛋白-球蛋白比值(AGR)是预测各种类型癌症患者术后并发症和不良预后的有用生物标志物,无需侵入性测试或手术即可进行评估。在这项研究中,我们旨在评估AGR在预测在我们机构接受根治性切除术的胃癌患者的短期和长期预后方面的有用性.
    方法:本研究是一项回顾性队列分析,从2000年至2020年在横滨市立大学接受胃癌根治术的患者的病历中选择符合条件的患者,并对其病历进行审查。将240例胃癌患者分为高AGR(>1.57)和低AGR(≤1.57)组,并将其总生存期(OS)。无复发生存率(RFS),并比较术后并发症发生率。
    结果:在总共240名患者中,高AGR组87例,低AGR组153例;两组术后并发症发生率无统计学差异(34.4%vs.39.2%,p=0.491)。长期研究结果表明,高AGR组的5年OS和RFS率明显更好[84.0%vs.64.8%(p=0.005),80.0%vs.61.9%(p=0.015),分别]。
    结论:术前AGR较低是胃癌手术患者OS和DFS的危险因素。AGR可能是一种有用的生物标志物,可用作胃癌患者的预后指标。
    OBJECTIVE: The albumin-globulin ratio (AGR) is a useful biomarker for predicting postoperative complications and a poor prognosis in patients with various types of cancer and can be evaluated without invasive testing or surgery. In this study, we aimed to evaluate the usefulness of the AGR in predicting the short- and long-term prognoses of patients with gastric cancer who underwent radical resection at our institution.
    METHODS: This study is a retrospective cohort analysis in which eligible patients were selected from the medical records of patients who underwent radical resection for gastric cancer at Yokohama City University from 2000 to 2020 and their medical records were reviewed. A total of 240 patients with gastric cancer were classified into high-AGR (>1.57) and low-AGR (≤1.57) groups and their overall survival (OS), recurrence-free survival (RFS), and postoperative complication rates were compared.
    RESULTS: Of the total 240 patients, 87 were classified into the high AGR group and 153 were classified into the low AGR group; the incidence of postoperative complications in the two groups did not differ to a statistically significant extent (34.4% vs. 39.2%, p=0.491). The long-term findings showed that the 5-year OS and RFS rates were significantly better in the high AGR group [84.0% vs. 64.8% (p=0.005), 80.0% vs. 61.9% (p=0.015), respectively].
    CONCLUSIONS: Preoperative low AGR is a risk factor for OS and DFS in patients with gastric cancer who undergo surgery. The AGR may be a useful biomarker that can be applied as a prognostic indicator for patients with gastric cancer.
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  • 文章类型: Journal Article
    及时识别消化性溃疡(PUs)高危人群对于预防抗血小板治疗后消化道出血至关重要。本研究旨在确定PU的危险因素,并建立在一般中国人群中检测PU的风险评估模型。在预期数据集中,我们记录了2019年4月至2022年5月期间接受胃镜检查的个体的临床数据.PU被定义为通过胃镜检查证实的超过5mm的粘膜缺陷。参与者根据时间顺序分为开发(2019年4月至2021年4月)和验证(2021年5月至2022年5月)集。采用LASSO推导的逻辑回归分析来创建评分,通过时间验证进一步验证。最终共纳入902例患者,根据内窥镜检查结果,其中204人(22.6%)患有PU。在发展队列中(n=631),出现了七个独立的危险因素:男性(OR=2.35,P=0.002),白细胞计数(OR=1.16,P=0.010),红细胞计数(OR=0.49,P<0.001),球蛋白水平(OR=0.92,P=0.004),白蛋白水平(OR=0.94,P=0.020),胃蛋白酶原I(PGI)水平(OR=1.01,P<0.001),幽门螺杆菌(HP)抗体阳性(OR=2.50,P<0.001)。利用这些因素,列线图(HAMPROW评分[风险比(HP)抗体,白蛋白,男性,PGI,红细胞,球蛋白,和WBC])是为个体PU预测而开发的。HAMPROW评分预测生存的能力在开发和验证集中得到了0.854(95%CI0.816-0.891)和0.833(95%CI0.771-0.895)的AUC确认,分别。总之,HAMPROW评分可用于在一般中国人群中有效筛选PU,在抗血小板治疗之前,有助于个性化早期发现消化道出血的高风险。
    The timely identification of individuals at high risk for peptic ulcers (PUs) is vital in preventing gastrointestinal bleeding after antiplatelet therapy. This study was designed to determine PU risk factors and develop a risk assessment model for PU detection in the general Chinese population. In a prospective dataset, clinical data from individuals undergoing gastroscopic evaluation between April 2019 and May 2022 were recorded. PUs were defined as mucosal defects exceeding 5 mm confirmed via gastroscopy. Participants were categorized into development (April 2019 to April 2021) and validation (May 2021 to May 2022) sets based on chronological order. LASSO-derived logistic regression analysis was employed to create a score, which was further validated via temporal validation. A total of 902 patients were ultimately enrolled, 204 (22.6%) of whom had PUs based on endoscopic findings. In the development cohort (n = 631), seven independent risk factors emerged: male sex (OR = 2.35, P = 0.002), white blood cell (WBC) count (OR = 1.16, P = 0.010), red blood cell (RBC) count (OR = 0.49, P < 0.001), globulin level (OR = 0.92, P = 0.004), albumin level (OR = 0.94, P = 0.020), pepsinogen I (PGI) level (OR = 1.01, P < 0.001), and positive Helicobacter pylori (HP) antibody (OR = 2.50, P < 0.001). Using these factors, a nomogram (HAMPROW score [hazard ratio (HP) antibody, albumin, male, PGI, RBC, globulin, and WBC]) was developed for individual PU prediction. The ability of the HAMPROW score to predict survival was confirmed with AUCs of 0.854 (95% CI 0.816-0.891) and 0.833 (95% CI 0.771-0.895) in the development and validation sets, respectively. In conclusion, the HAMPROW score can be used to screen for PUs effectively in the general Chinese population, facilitating personalized early detection of high risk of gastrointestinal bleeding before antiplatelet therapy.
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