Ac

泪道阻塞性疾病
  • 文章类型: Journal Article
    本研究通过引入负载在活性炭(AC)上的铁掺杂的氧化锰八面体分子筛(Fe-OMS-2)催化剂,有效地解决了锰基催化剂在臭氧分解过程中在潮湿环境中的快速失活。通过优化Fe-OMS-2的掺杂比,Fe-OMS-20.5/AC催化剂在宽范围的相对湿度水平(0至60%)上实现了近100%的臭氧分解效率,即使在800L·g-1·h-1的较高空气流速下,性能也优于独立AC,Fe-OMS-2或OMS-2和AC的简单混合物。Fe-OMS-20.5/AC催化剂具有多孔表面和介孔结构,提供促进Fe-OMS-2活性相在AC表面上均匀分布的显著比表面积。Fe3离子的掺入增强了Mn的价态跃迁之间的电子转移,从而提高催化剂在臭氧分解中的效率。此外,AC组分保护催化位点并增强催化剂的耐湿性。总之,这项研究提出了一种开发高效和具有成本效益的臭氧分解催化剂的新策略,显着促进工业臭氧处理技术和促进环境保护。
    This study effectively addresses the rapid deactivation of manganese-based catalysts in humid environments during ozone decomposition by introducing iron-doped manganese oxide octahedral molecular sieve (Fe-OMS-2) catalysts supported on activated carbon (AC). By optimizing the doping ratio of Fe-OMS-2, the Fe-OMS-20.5/AC catalyst achieves nearly 100% ozone decomposition efficiency across a wide range of relative humidity levels (0 to 60%), even at elevated air flow rates of 800 L·g-1·h-1, outperforming standalone AC, Fe-OMS-2, or a simple mixture of OMS-2 and AC. The Fe-OMS-20.5/AC catalyst features a porous surface and a mesoporous structure, providing a substantial specific surface area that facilitates the uniform distribution of the Fe-OMS-2 active phase on the AC surface. The incorporation of Fe3+ ions enhances electron transfer between valence state transitions of Mn, thereby improving the catalyst\'s efficiency in ozone decomposition. Additionally, the AC component protects catalytic sites and enhances the catalyst\'s humidity resistance. In conclusion, this research presents a novel strategy for developing highly efficient and cost-effective ozone decomposition catalysts that enhance dehumidification, significantly contributing to industrial ozone treatment technologies and advancing environmental protection.
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  • 文章类型: Journal Article
    尽管肩锁关节(ACJ)在头顶肩运动期间发生了大量运动,ACJ关节炎对反向全肩关节置换术(rTSA)患者术后结局的影响尚不清楚.我们评估了ACJ关节炎的影响,由退化的射线照相变化定义,及其严重程度对原发性rTSA后临床结局的影响。
    我们对前瞻性收集的肩关节置换术数据库进行了回顾性分析,该数据库的患者接受了至少2年的临床随访。对纳入患者的影像学研究进行了评估,以评估ACJ关节炎,根据ACJ的影像学退行性变化进行分类;严重程度取决于骨赘的大小和位置。Petersson分类和King分类(针对上骨赘和最大骨赘大小的改良Petersson分类)均用于评估退行性ACJ影像学变化的严重程度。严重的ACJ关节炎以巨大的骨赘(≥2mm)为特征。绑架活动范围(ROM),向前高程,以及外部和内部旋转以及临床结果评分(美国肩肘外科医生肩关节,常数,肩痛和残疾指数,简单的肩膀测试,加州大学,洛杉矶评分)在术前和最新随访中进行评估;根据ACJ关节炎的严重程度比较结果。使用多变量线性回归模型来确定ACJ关节炎严重程度的增加是否与较差的预后相关。
    共纳入341例患者,平均年龄71±8岁,55%为女性。平均随访时间为5.1±2.4年。术前,根据ACJ病理的严重程度,结局无差异.术后,根据ACJ关节炎的严重程度,结果没有差异,除了正常或1级ACJ关节炎患者的积极内旋与术前术后改善更大。2级和3级(3±2vs.1±2和1±3,P=.029)。ACJ关节炎和骨赘≥2mm的患者肩痛和残疾指数评分较差,对应于更大的疼痛(-49.3±21.5vs.-41.3±26.8,P=.015)。关于多元线性回归,ACJ关节炎严重程度的增加与术后ROM或结局评分较差无关.
    总的来说,我们的结果表明,ACJ关节炎严重程度评分越高,结局评分越低,对ROM的影响越小.然而,骨赘最大(≥2mm)的患者术后疼痛轻微加重.放射学上高阶段ACJ关节炎的存在不应改变接受rTSA的决定。
    UNASSIGNED: Although substantial motion at the acromioclavicular joint (ACJ) occurs during overhead shoulder motion, the influence of ACJ arthritis on postoperative outcomes of patients undergoing reverse total shoulder arthroplasty (rTSA) is unclear. We assessed the influence of ACJ arthritis, defined by degenerative radiographic changes, and its severity on clinical outcomes after primary rTSA.
    UNASSIGNED: We conducted a retrospective review of a prospectively collected shoulder arthroplasty database of patients that underwent primary rTSA with a minimum 2-year clinical follow-up. Imaging studies of included patients were evaluated to assess ACJ arthritis classified by radiographic degenerative changes of the ACJ; severity was based upon size and location of osteophytes. Both the Petersson classification and the King classification (a modified Petersson classification addressing superior osteophytes and size of the largest osteophyte) were used to evaluate the severity of degenerative ACJ radiographic changes. Severe ACJ arthritis was characterized by large osteophytes (≥2 mm). Active range of motion (ROM) in abduction, forward elevation, and external and internal rotation as well as clinical outcome scores (American Shoulder and Elbow Surgeons Shoulder, Constant, Shoulder Pain and Disability Index, simple shoulder test, University of California, Los Angeles scores) were assessed both preoperatively and at the latest follow-up; outcomes were compared based on severity of ACJ arthritis. Multivariable linear regression models were used to determine whether increasing severity of ACJ arthritis was associated with poorer outcomes.
    UNASSIGNED: A total of 341 patients were included with a mean age of 71 ± 8 years and 55% were female. The mean follow-up was 5.1 ± 2.4 years. Preoperatively, there were no differences in outcomes based on the severity of ACJ pathology. Postoperatively, there were no differences in outcomes based upon the severity of ACJ arthritis except for greater preoperative to postoperative improvement in active internal rotation in patients with normal or grade 1 ACJ arthritis vs. grade 2 and 3 (3 ± 2 vs. 1 ± 2 and 1 ± 3, P = .029). Patients with ACJ arthritis and osteophytes ≥2 mm had less favorable Shoulder Pain and Disability Index scores, corresponding to greater pain (-49.3 ± 21.5 vs. -41.3 ± 26.8, P = .015). On multivariable linear regression, increased severity of ACJ arthritis was not independently associated with poorer postoperative ROM or outcome scores.
    UNASSIGNED: Overall, our results demonstrate that greater ACJ arthritis severity score is not associated with poorer outcome scores and has minimal effect on ROM. However, patients with the largest osteophytes (≥2 mm) did have slightly worse pain postoperatively. Radiographic presence of high-stage ACJ arthritis should not alter the decision to undergo rTSA.
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  • 文章类型: Clinical Trial, Phase II
    背景:涉及神经营养蛋白激酶(NTRK)基因NTRK1,NTRK2和NTRK3与不同融合伴侣的染色体重排发生在非小细胞肺癌(NSCLCs)和其他实体瘤中。新的NTRK重排相关肿瘤仍在被发现。
    方法:赫林,我们描述了一名男性患者,其左上叶肿块通过支气管镜活检。该病例被诊断为携带ETV6::NTRK3基因融合的Ⅳ期肺非典型类癌(AC)。
    结果:他接受了持续4个月的依维莫司一线治疗。化疗失败后,他在1/2期研究中接受了VC004的第三次治疗,并获得了稳定的疾病,但他因不宽容而停止服用。随后,他接受了repotrectinib治疗,并获得了超过10个月的部分缓解。
    结论:据我们所知,我们报道了第一例证明repotrectinib在携带ETV6-NTRK3基因融合的AC患者中具有抗肿瘤活性的病例,表明repotrectinib可能是NTRK基因重排肿瘤的有效治疗选择.
    Chromosomal rearrangements involving the neurotrophin kinase (NTRK) genes NTRK1, NTRK2 and NTRK3 with different fusion partners occur in non-small cell lung cancers (NSCLCs) and other solid tumors. Novel NTRK rearrangement-related tumors are still being discovered.
    Herin, we describe a male patient with a mass in the left upper lobe that was biopsied by bronchoscopy. This case was diagnosed with stage Ⅳ lung atypical carcinoid (AC) harboring the ETV6::NTRK3 gene fusion.
    He received 1st line treatment with everolimus lasting for 4 months. After chemotherapy failure, he received 3rd treatment with VC004 in a phase 1/2 study and achieved stable disease, but he stopped taking it due to intolerance. He subsequently received repotrectinib treatment and achieved a partial response of more than ten months.
    To the best of our knowledge, we reported the first case demonstrating anti-tumor activity of repotrectinib in a patient with AC carring an ETV6-NTRK3 gene fusion, indicating that repotrectinib may be an efficient therapeutic option for tumors with NTRK gene rearrangements.
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  • 文章类型: Journal Article
    听觉稳态响应(ASSR)是由40Hz声刺激序列引起的皮层振荡。虽然ASSR已广泛应用于临床测量,潜在的神经机制仍然知之甚少。在这项研究中,我们调查了听觉丘脑皮质通路-内侧膝状体(MGB)的不同阶段的贡献,丘脑网状核(TRN)和听觉皮层(AC)-对两性C57BL/6小鼠40HzASSR的产生和调节。我们发现,与40Hz声音刺激同步的神经反应在AC颗粒层中的GABA能神经元和MGB的腹侧分裂(MGBv)中最为突出,受光遗传学操作的TRN神经元的调节。行为实验证实,破坏TRN活性对小鼠辨别40Hz声音的能力具有不利影响。这些发现揭示了有助于解释临床ASSR检查结果的丘脑皮质机制。意义声明我们的研究有助于阐明听觉稳态反应(ASSR)的产生和调节的丘脑皮层机制,它通常用于临床和神经科学研究,以评估听觉功能的完整性。结合一系列电生理和光遗传学实验,我们证明,皮质ASSR的产生取决于源自MGB腹侧分裂到AC颗粒层中GABA能中间神经元的lemniscal丘脑皮质投射。此外,ASSR的丘脑皮质过程受到TRN神经元活动的严格调控。行为实验证实,TRN的功能障碍会导致小鼠在听觉辨别任务中的行为表现中断。
    The auditory steady-state response (ASSR) is a cortical oscillation induced by trains of 40 Hz acoustic stimuli. While the ASSR has been widely used in clinic measurement, the underlying neural mechanism remains poorly understood. In this study, we investigated the contribution of different stages of auditory thalamocortical pathway-medial geniculate body (MGB), thalamic reticular nucleus (TRN), and auditory cortex (AC)-to the generation and regulation of 40 Hz ASSR in C57BL/6 mice of both sexes. We found that the neural response synchronizing to 40 Hz sound stimuli was most prominent in the GABAergic neurons in the granular layer of AC and the ventral division of MGB (MGBv), which were regulated by optogenetic manipulation of TRN neurons. Behavioral experiments confirmed that disrupting TRN activity has a detrimental effect on the ability of mice to discriminate 40 Hz sounds. These findings revealed a thalamocortical mechanism helpful to interpret the results of clinical ASSR examinations.Significance Statement Our study contributes to clarifying the thalamocortical mechanisms underlying the generation and regulation of the auditory steady-state response (ASSR), which is commonly used in both clinical and neuroscience research to assess the integrity of auditory function. Combining a series of electrophysiological and optogenetic experiments, we demonstrate that the generation of cortical ASSR is dependent on the lemniscal thalamocortical projections originating from the ventral division of medial geniculate body to the GABAergic interneurons in the granule layer of the auditory cortex. Furthermore, the thalamocortical process for ASSR is strictly regulated by the activity of thalamic reticular nucleus (TRN) neurons. Behavioral experiments confirmed that dysfunction of TRN would cause a disruption of mice\'s behavioral performance in the auditory discrimination task.
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  • 文章类型: Journal Article
    背景:目前有关结肠腺癌(AC)的两种不同组织学亚型的自然史和预后的信息有限:粘液腺癌(MAC)和印戒细胞癌(SRCC)。因此,这项研究的目的是检查结肠MAC和SRCC的临床病理特征,将它们与经典的AC进行比较,使用来自美国的大量病例。方法:诊断为结肠AC的患者,MAC,我们的研究包括2000年至2018年SEER数据库中的SRCC.发病率趋势,患者人口统计学,肿瘤特征,治疗,和生存进行了分析。结果:在我们的研究中,我们分析了310,813例结肠癌患者,包括271,382例经典AC,34,750例MAC,和4,681例SRCC。在学习期间,我们观察到年龄调整后的结肠AC发病率下降,MAC,SRCC。值得注意的是,MAC和SRCC队列在患者特征方面与AC显著不同,肿瘤位置,和治疗模式。与AC患者相比,MAC和SRCC患者的生存结果较差。与生存率较差相关的因素包括年龄较大,男性,低分化肿瘤,高级阶段,以及MAC或SRCC组织学的存在。另一方面,手术干预与生存率改善相关.结论:我们的研究强调了识别与结肠癌不同组织学亚型相关的不同特征和结局的重要性。有必要进行进一步的研究,以深入研究导致这些差异的潜在生物学特征,并制定更量身定制的治疗策略。
    Background: Limited information is currently available on the natural history and prognosis of two distinct histological subtypes of adenocarcinoma (AC) in the colon: mucinous adenocarcinoma (MAC) and signet-ring cell carcinoma (SRCC). Therefore, the aim of this study is to examine the clinicopathological characteristics of colon MAC and SRCC, comparing them to classical AC, using a large cohort of cases from the United States. Methods: Patients diagnosed with colon AC, MAC, or SRCC from the SEER database between 2000 and 2018 were included in our study. Incidence trends, patient demographics, tumor characteristics, treatment, and survival were analyzed. Results: In our study, we analyzed a total of 310,813 patients with colon cancers, including 271,382 cases of classical AC, 34,750 cases of MAC, and 4,681 cases of SRCC. Over the study period, we observed a decline in the age-adjusted incidence rates of colon AC, MAC, and SRCC. Notably, the MAC and SRCC cohorts differed significantly from AC in terms of patient characteristics, tumor locations, and treatment patterns. Patients with MAC and SRCC had poorer survival outcomes compared to those with AC. Factors associated with worse survival included older age, male sex, poorly differentiated tumors, advanced stage, and the presence of MAC or SRCC histology. On the other hand, surgical intervention was associated with improved survival. Conclusion: Our study underscores the significance of recognizing the distinct features and outcomes associated with different histological subtypes of colon cancer. Further research is warranted to delve into the underlying biological traits that contribute to these differences and to develop more tailored treatment strategies.
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  • 文章类型: Journal Article
    目前,G蛋白偶联受体(GPCRs)构成代表超过30%的治疗靶标的膜结合受体的重要组。氟通常用于设计高活性生物化合物,食品和药物管理局(FDA)稳步增加的药物数量证明了这一点。在这里,我们在ChEMBL数据库-FiSAR组鉴定并分析了898个基于靶标的含F异构模拟组,用于SAR分析,这些模拟组对33种不同的胺能GPCRs具有活性,包括总共2163种氟化(1201种独特)化合物.我们发现30个FiSAR集包含活动悬崖(AC),定义为结构相似的化合物对,显示出亲和力的显着差异(≥50倍变化),其中氟位置的变化可能导致效力的1300倍变化。对匹配分子对(MMP)网络的分析表明,芳环的氟化对亲和力没有明显的正面或负面影响。此外,我们提出了一个计算机工作流程(包括诱导对接,分子动力学,量子极化配体对接,和基于广义玻恩表面积(GBSA)模型的结合自由能计算),以对分子中的氟位置进行评分。
    Currently, G protein-coupled receptors (GPCRs) constitute a significant group of membrane-bound receptors representing more than 30% of therapeutic targets. Fluorine is commonly used in designing highly active biological compounds, as evidenced by the steadily increasing number of drugs by the Food and Drug Administration (FDA). Herein, we identified and analyzed 898 target-based F-containing isomeric analog sets for SAR analysis in the ChEMBL database-FiSAR sets active against 33 different aminergic GPCRs comprising a total of 2163 fluorinated (1201 unique) compounds. We found 30 FiSAR sets contain activity cliffs (ACs), defined as pairs of structurally similar compounds showing significant differences in affinity (≥50-fold change), where the change of fluorine position may lead up to a 1300-fold change in potency. The analysis of matched molecular pair (MMP) networks indicated that the fluorination of aromatic rings showed no clear trend toward a positive or negative effect on affinity. Additionally, we propose an in silico workflow (including induced-fit docking, molecular dynamics, quantum polarized ligand docking, and binding free energy calculations based on the Generalized-Born Surface-Area (GBSA) model) to score the fluorine positions in the molecule.
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  • 文章类型: Journal Article
    目的:冠状动脉疾病(CAD)仍然是老年患者死亡的主要原因。最近,新型脂蛋白-血浆致动脉粥样硬化指数(AIP),动脉粥样硬化系数(AC)和脂蛋白联合指数(LCI)已被认为是CAD的危险因素,然而,仍然未知。这项研究的目的是评估AIP的预测价值,AC和LCI与1年随访中主要不良心血管事件(MACE)和全因死亡率有关。
    方法:对于研究,1083名患者,60岁或以上,纳入NSTEMI患者并将其分为两组:年轻和老年。
    结果:11.8%的患者发生MACE;LCI显示出临界意义,但仅限于单变量分析。分组分析显示结果模棱两可。在年轻人组中,没有一个被检查的指标是MACE的预测指标,而所有三个指标都是显着的,但在老组中却是负面的预测因素。最后,随访时全因死亡率为14.9%.AC预测整个研究人群的1年死亡率(OR=1.1(95%CI:1-1.2;p=0.02),但在多变量模型中微不足道。此外,它是老组的独立预测因子,但具有临界意义(OR=1.14(95%CI:1-1.3,p=0.036)。
    结论:AIP,AC和LCI不应被用作老年NSTEMI患者MACE和1年死亡率的预测因子(表。5,参考。23).
    OBJECTIVE: Coronary artery disease (CAD) remains a leading cause of death in elderly patients. Recently, novel lipoproteins- Atherogenic Index of Plasma (AIP), Atherogenic Coefficient (AC) and Lipoprotein Combine Index (LCI) have been suggested as CAD risk factors; their clinical usefulness, however, remains unknown. The aim of the study was to assess the predictive value of AIP, AC and LCI concerning incidence of major adverse cardiovascular events (MACE) and all-cause mortality in 1-year follow-up.
    METHODS: For the study, 1,083 patients, aged 60 or older, with NSTEMI were enrolled and divided into two groups: young-old and old-old.
    RESULTS: MACE occurred in 11.8 % of the patients; LCI showed a borderline significance, but only in univariate analysis. Analysis in groups revealed ambiguous results. None of the examined indices was a predictor of MACE in the young-old group whereas all three of them were significant, but negative predictors in the old-old group. Finally, all-cause mortality at follow-up was 14.9 %. AC predicted 1-year mortality in the whole study population (OR = 1.1 (95% CI: 1-1.2; p = 0.02), but was insignificant in the multivariable model. Additionally, it was an independent predictor in the old-old group, but with borderline significance (OR = 1.14 (95% CI: 1-1.3, p = 0.036).
    CONCLUSIONS: AIP, AC and LCI should not be used as predictors of MACE and 1-year mortality among elderly patients with NSTEMI (Tab. 5, Ref. 23).
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  • 文章类型: Journal Article
    太阳能蒸发是一种在没有机械能或电能的情况下淡化海水和废水的有前途的技术。以更高的蒸发效率获得淡水的方法对于解决遥感地区的缺水问题至关重要。在这里,我们报道了一种来自锐钛矿TiO2/活性炭(TiO2/AC)纳米复合材料的高效太阳能蒸发器,使用浸干技术将其涂覆在可洗的棉织物上,以进行太阳能水蒸发。超黑色织物提供增强的太阳能吸收(93.03%),亲水的水传输,在1kWm-2或一个太阳强度下,有效蒸发率为1.65kg/m2h。更重要的是,设计的TiO2/AC太阳能蒸发器的侧向水通道和集中式隔热材料在液体和空气界面处积聚了光热,并且在一个阳光下的表面温度提高了40.98°C。制造的太阳能蒸发器淡化海水(3.5wt%)不影响蒸发率,收集的冷凝水符合世界卫生组织(WHO)规定的饮用水标准。这种方法最终使工程设计小组能够开发技术途径以及低成本的最佳条件,可扩展,高效,和可持续的太阳能驱动的蒸汽发生器,以应对全球水资源短缺。
    Solar-driven evaporation is a promising technology for desalinating seawater and wastewater without mechanical or electrical energy. The approaches to obtaining fresh water with higher evaporation efficiency are essential to address the water-scarcity issue in remote sensing areas. Herein, we report a highly efficient solar evaporator derived from the nanocomposite of anatase TiO2/activated carbon (TiO2/AC), which was coated on washable cotton fabric using the dip-dry technique for solar water evaporation. The ultra-black fabric offers enhanced solar absorption (93.03%), hydrophilic water transport, and an efficient evaporation rate of 1.65 kg/m2h under 1 kW m-2 or one sun solar intensity. More importantly, the sideways water channels and centralized thermal insulation of the designed TiO2/AC solar evaporator accumulated photothermal heat at the liquid and air interface along with an enhanced surface temperature of 40.98 °C under one sun. The fabricated solar evaporator desalinated seawater (3.5 wt%) without affecting the evaporation rates, and the collected condensed water met the standard of drinking water set by the World Health Organization (WHO). This approach eventually enabled the engineering design groups to develop the technology pathways as well as optimum conditions for low-cost, scalable, efficient, and sustainable solar-driven steam generators to cope with global water scarcity.
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  • 文章类型: Journal Article
    过敏性结膜炎(AC)是由于暴露于花粉等过敏原而导致的常见疾病,动物皮屑,或霉菌。它通常由过敏原诱导的免疫球蛋白E与引发的结膜肥大细胞上的受体连接的交联介导。导致肥大细胞脱粒和组胺释放,以及脂质介质的释放,细胞因子,和趋化因子.临床结果是结膜充血,撕裂,剧烈瘙痒,和化学.难治性和慢性病例可导致眼表并发症,可能威胁视力。经历这种疾病的轻度形式的患者报告对他们的生活质量有影响。目前的治疗选择范围从非药物疗法到眼部和全身选择。然而,为了充分控制交流电,通常需要使用多个代理。因此,需要精确了解导致这种眼表炎症的免疫机制,以支持正在进行的潜在治疗靶点如趋化因子受体的研究,细胞因子受体,非受体酪氨酸激酶,和整合素。这篇综述利用了几篇发表的文章,关于目前治疗AC的治疗选择,以及与AC相关的病理和免疫机制。本文还将重点关注AC中的细胞和分子靶标,特别强调可以减弱由细胞驱动的病理和免疫机制的潜在治疗剂,受体,以及参与AC的免疫病理和免疫病理的分子。
    Allergic conjunctivitis (AC) is a common condition resulting from exposure to allergens such as pollen, animal dander, or mold. It is typically mediated by allergen-induced crosslinking of immunoglobulin E attached to receptors on primed conjunctival mast cells, which results in mast cell degranulation and histamine release, as well as the release of lipid mediators, cytokines, and chemokines. The clinical result is conjunctival hyperemia, tearing, intense itching, and chemosis. Refractory and chronic cases can result in ocular surface complications that may be vision threatening. Patients who experience even mild forms of this disease report an impact on their quality of life. Current treatment options range from non-pharmacologic therapies to ocular and systemic options. However, to adequately control AC, the use of multiple agents is often required. As such, a precise understanding of the immune mechanisms responsible for this ocular surface inflammation is needed to support ongoing research for potential therapeutic targets such as chemokine receptors, cytokine receptors, non-receptor tyrosine kinases, and integrins. This review utilized several published articles regarding the current therapeutic options to treat AC, as well as the pathological and immune mechanisms relevant to AC. This review will also focus on cellular and molecular targets in AC, with particular emphasis on potential therapeutic agents that can attenuate the pathology and immune mechanisms driven by cells, receptors, and molecules that participate in the immunopathogenesis and immunopathology of AC.
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  • 文章类型: Journal Article
    最近有报道称,术后癌胚抗原(post-CEA)是结肠癌的可靠预后因素。然而,大多数临床医生根据主要指南决定是否对II期结肠癌进行辅助化疗(AC),其中不包括CEA后的高风险标准。本研究旨在评估CEA后的II期结肠癌,其中AC的意义尚不清楚。本研究分析了在2007年1月至2016年12月期间接受根治性手术的199例II期结肠癌患者。当CEA值≥5.0ng/ml时,它被认为是高的。评估了高CEA后值的预后价值。总的来说,19例患者表现出高的CEA后水平。Kaplan-Meier生存曲线分析表明,CEA后高水平患者的无复发生存率(RFS)和总生存率(OS)明显低于CEA后正常患者[RFS,63.5(CEA后高)与88.0%(正常后CEA),P=0.003;OS,76.5(CEA后高)与96.8%(CEA后正常),P<0.001]。多变量分析表明,高CEA后仍然是RFS恶化的重要独立危险因素[风险比(HR),3.98;P=0.006]。对于没有AC的患者也证明了同样的情况(HR,5.43;P=0.008)。据我们所知,本研究首次证明高CEA后水平可能是高危II期结肠癌的指标,即使对于没有AC的患者。这些结果强调了多中心前瞻性研究的必要性。
    Postoperative carcinoembryonic antigen (post-CEA) has recently been reported to be a reliable prognostic factor for colon cancer. However, most clinicians decide whether or not to conduct adjuvant chemotherapy (AC) for stage II colon cancer according to major guidelines, which do not include post-CEA in their high-risk criteria. The present study aimed to assess post-CEA in stage II colon cancer for which the significance of AC is unknown. The present study analyzed 199 consecutive patients with stage II colon cancer who underwent curative surgery between January 2007 and December 2016. The CEA value was considered high when it was ≥5.0 ng/ml. The prognostic value of high post-CEA values was assessed. Overall, 19 patients exhibited high post-CEA levels. Kaplan-Meier survival curve analysis demonstrated that patients with high post-CEA levels had significantly worse relapse-free survival (RFS) and overall survival (OS) than those with normal post-CEA [RFS, 63.5 (high post-CEA) vs. 88.0% (normal post-CEA), P=0.003; OS, 76.5 (high post-CEA) vs. 96.8% (normal post-CEA), P<0.001]. Multivariate analysis demonstrated that high post-CEA remained a significant independent risk factor for worse RFS [hazard ratio (HR), 3.98; P=0.006]. The same was also demonstrated for patients without AC (HR, 5.43; P=0.008). To the best of our knowledge, the present study was the first to demonstrate that high post-CEA levels may be an indicator of high-risk stage II colon cancer, even for patients without AC. These results highlight the need for a multicenter prospective study.
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