1.Incidence of Contrast-induced Nephropathy in Patients Undergoing Coronary Angiography: An Annual Review in A University Hospital
Katherine Ann N TAN ; John Patrick F ONA ; Marcellus Francis L RAMIREZ ; Wilson L TAN DE GUZMAN
Journal of Medicine University of Santo Tomas 2018;2(1):185-191
Introduction:
The rapidly growing number of percutaneous coronary interventions has led to a considerable improvement in the outcome of patients
with acute coronary syndromes, yet concurrently
exposing patients to enormous volumes of contrast
media with the inherent risk of renal function impairment.
Objective:
To determine the incidence of contrast induced nephropathy of patients admitted at
University of Santo Tomas Hospital (USTH) who
underwent coronary angiography with or without
Percutaneous Transluminal Coronary Angioplasty
(PTCA).
Methodology:
This is a retrospective, descriptive
study including patients aged 18 years and above,
of any gender, admitted at the USTH from January
1, 2016 to December 31, 2016, who underwent
coronary angiography with or without PTCA with
baseline and follow up creatinine levels 48-72 hours
after the procedure. Data were retrieved by review
of medical records of these patients.
Results:
Three out of 78 patients (3.8%) had elevated creatinine but all three patients also underwent
major surgery within 48 hours after coronary angiography which could explain the renal impairment.
Conclusion
Although contrast induced nephropathy was described as the third most common cause
of new Acute Kidney Injury in hospitalized patients,
it was accordingly nil among those who underwent
coronary angiography at USTH from January to
December 2016. Benefi ts and risks of undergoing
coronary angiography should always be weighed individually. Risk stratifi cation scores should only
serve as a guide in managing patients and proper
preventive measures should be applied.
Coronary Angiography
;
ErbB Receptors
2.A comparative study of EGFR and FGFR-2 expression in fetal and adult skin.
Biao CHENG ; Xiao-bing FU ; Zhi-yong SHENG ; Tong-zhu SUN ; Xiao-qing SUN
Chinese Journal of Plastic Surgery 2003;19(2):91-94
OBJECTIVETo observe the expression characteristics of EGFR and FGFR-2 in normal skin from fetal and adult, and attempted to probe the molecule mechanism of fetal scarless healing.
METHODSThe skin samples of fetal and adult were taken from abortive fetus of obstetrics unit and donor site of plastic operation patients in our burn unit, respectively. EGFR and FGFR-2 were used as the biochemical markers for reparative cells. Immunohistochemistry staining technique was employed to determine the expressive levels of different epithelial cells markers.
RESULTSThere were EGFR and FGFR-2 antibody positive cells in normal skin from fetal and adult, but the expressive levels of EGFR and FGFR-2 protein had apparent difference, with the time of fetation increasing, the EGFR and FGFR-2 positive expression rate became stronger gradually. The number of FGFR-2 antibody positive cells found in adult skin was much more than that in fetal skin.
CONCLUSIONThere were the inherent differences of EGFR and FGFR-2 antibody immunohistochemistry staining in cells of adult and fetal skin. which may be an essential facet of fetal scarless healing.
Adult ; Epithelial Cells ; metabolism ; ErbB Receptors ; metabolism ; Female ; Fetus ; metabolism ; Humans ; Immunohistochemistry ; Receptor, ErbB-2 ; metabolism ; Skin ; metabolism ; Wound Healing
3.Progress in human epidermal growth factor research.
Meiyu WU ; Jinghua RUAN ; Boxiong ZHONG
Chinese Journal of Biotechnology 2020;36(12):2813-2823
Human epidermal growth factor (hEGF) is a typical member of the growth factor family that activates epidermal growth factor receptors. It is synthesized and secreted by multiple tissues and organs of the human body, regulating the cell proliferation, differentiation and migration via binding to receptors and activating a series of signaling pathways. In recent years, the research on hEGF has been extended to its role in human physiology and pathology, especially in tissue regeneration and wound healing. This paper reviews the research progress of hEGF, briefly describes its gene and protein structure and characteristics, mechanisms and biological effects, with the emphasis on the roles and influences in the healing of gastrointestinal ulcers, skin wound repair and tumor pathology.
Cell Proliferation
;
Epidermal Growth Factor/genetics*
;
ErbB Receptors/genetics*
;
Humans
;
Skin
;
Wound Healing
4.Detection of epidermal growth factor receptor mutations in non-small cell lung cancer by immunohistochemistry.
Xuemei YU ; Ruiqi MAO ; Min LIU ; Limei FU ; Lifang SHI ; Xinjun LI
Journal of Central South University(Medical Sciences) 2021;46(1):11-17
OBJECTIVES:
To evaluate the sensitivity and specificity of immunohistochemistry (IHC) for detecting common epidermal growth factor receptor (EGFR) mutations in non-small cell lung cancer (NSCLC) and to estimate the cost-effectiveness of IHC testing.
METHODS:
A total of 208 NSCLC patients were included in the trial, and the EGFR mutation status in the patients were detected by PCR and IHC. Two mutation-specific antibodies against the most common exon 19 deletion (clone SP111) and exon 21 L858R mutation (clone SP125) were tested by using automated immunostainer. A cost-effectiveness analysis model was built for the analysis of optimal detection scheme.
RESULTS:
With a cutoff value of IHC 1+, the overall sensitivity and specificity of the IHC-based method compared with the PCR-based method were 81.7% (95% CI 72.4% to 89.0%) and 94.7% (95% CI 92.6% to 99.5%), respectively. EGFR 19del mutation was detected by SP111 antibody with a sensitivity of 65.9% (95% CI 49.4% to 79.9%) and specificity of 98.8% (95% CI 95.7% to 99.9%). EGFR L858R mutation was detected by SP125 antibody with a sensitivity of 94.2% (95% CI 84.1% to 98.8%) and specificity of 99.4% (95% CI 96.5% to 100%). The IHC and PCR cost ratio needed to be 1-to-3 or more in our patients to economically justify before the use of IHC.
CONCLUSIONS
The study confirms an excellent specificity with fairly good sensitivity of IHC and mutation-specific antibodies for common EGFR mutations. It is cost-effective to use IHC method to detect EGFR mutation first when the IHC and PCR cost ratio is 1-to-3 or more in Chinese populations.
Carcinoma, Non-Small-Cell Lung/genetics*
;
ErbB Receptors/genetics*
;
Humans
;
Immunohistochemistry
;
Lung Neoplasms/genetics*
;
Mutation
5.Expression of EGFR about different region tissues and its relationship with histological differentiation in laryngeal carcinoma.
Shiwen ZHANG ; Xiaoguang HE ; Xiaojiang LI ; Yuanling WANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2012;26(3):123-128
OBJECTIVE:
To detect the expression of EGFR in different region of laryngeal tissue, and use quantitive analysis to discuss the relation between expression of EGFR and histological differentiation.
METHOD:
Collected 36 cases of laryngeal tissue example, which be divided in to three groups based on pathobiology. Using Western Blot to detect the EGFR expression in cancer tissue, para cancer tissue and normal tissue, and combined imaging analytical technique to analyse the relation between expression of EGFR and histological differentiation.
RESULT:
In same region of cancer tissue the expression of EGFR is different along with different tissue differentiation (P<0.05), but in normal tissue this different is not existing (P>0.05). In same tissue differentiation the expression of EGFR is different in cancer tissue, para cancer tissue and normal tissue (P<0.05).
CONCLUSION
EGFR highly express in laryngeal cancer tissue, and relate with the tissue differentiation of laryngeal cancer. EGFR is an important indicator to study the emerging and progression of laryngeal cancer.
Carcinoma, Squamous Cell
;
metabolism
;
pathology
;
Cell Differentiation
;
ErbB Receptors
;
metabolism
;
Humans
;
Laryngeal Neoplasms
;
metabolism
;
pathology
6.Targeting EGFRvIII for treatment of glioblastoma: From molecular mechanisms to clinical strategies.
Journal of Central South University(Medical Sciences) 2019;44(11):1281-1286
Glioblastoma is one of the most common intracranial malignant tumor and its initiation and progression are closely associated with epidermal growth factor receptor (EGFR). EGFR variant III (EGFRvIII) is a mutant EGFR and highly expressed in glioblastoma. EGFRvIII promotes the proliferation and invasiveness of glioblastoma cells and induces drug resistance by signaling networks.
Brain Neoplasms
;
Cell Line, Tumor
;
ErbB Receptors
;
Glioblastoma
;
drug therapy
;
Humans
;
Signal Transduction
7.Phosphoproteomics and its application in cancer research.
Journal of Central South University(Medical Sciences) 2008;33(7):559-564
Phosphoproteome is the whole complement of phosphorylated proteins in a cell, tissue or organism, and has become an interesting study subject since the discovery of phosphorylation as a key regulatory mechanism of cell life. Phosphoproteomics is a method which studies the compact of the phosphorylated proteins, expression and modification, interaction and association, rule of the regulatory and so on. Recently, phosphoproteomics is widely used in cancer research. It will provide important information in cancer research, cancer diagnosis, and therapy.
ErbB Receptors
;
genetics
;
Humans
;
Neoplasms
;
genetics
;
metabolism
;
Phosphoproteins
;
genetics
;
metabolism
;
Phosphorylation
;
Proteomics
;
methods
;
Signal Transduction
8.Expression of epithelial cell adhesion molecule and molecular subtypes and prognosis of breast cancer.
Xinjun LI ; Limei FU ; Min LIU ; Mingxia FU
Journal of Central South University(Medical Sciences) 2016;41(3):258-263
OBJECTIVE:
To investigate clinicopathological and prognostic significance of epithelial cell adhesion molecule (EpCAM) expression in breast cancer and its molecular subtypes.
METHODS:
The expression of EpCAM in 835 patients with breast invasive ductal carcinoma was detected by immunohistochemical Max VisionTM method, and its correlation with clinical pathological features and prognosis was analyzed.
RESULTS:
The positive expression of EpCAM was related to histological grade, lymph node metastasis, tumor size, clinical stage, the expression of estrogen receptor (ER), progesterone receptor (PR) and HER2 (P<0.05). The positive expression rates of EpCAM were 19.2%, 73%, 48.9%, 72.2%, and 62.1%, in Luminal A, Luminal B (HER2-), Luminal B(HER2+), HER2+, and triple-negative subtype, respectively. Log-rank test and univariate COX analysis showed that the EpCAM expression was associated with a poor prognosis in all patients (P<0.001), as well as the triple-negative subtype, luminal B subtype (HER2-), and HER2+ subtype (P<0.05). Multivariate COX analysis showed that EpCAM expression was associated with the survival in patients with the triple-negative or HER2+ subtype (P<0.05).
CONCLUSION
EpCAM may be associated with progress of breast cancer. It is an independent prognostic factor in breast cancer, especially in the triple-negative and HER2+ subtypes.
Breast Neoplasms
;
Epithelial Cell Adhesion Molecule
;
Humans
;
Lymphatic Metastasis
;
Prognosis
;
Receptor, ErbB-2
;
Receptors, Progesterone
9.Molecular mechanism of resveratrol combined with irinotecan in treatment of colorectal cancer.
Fang LI ; Rui-Yang YAN ; Kai-Yang LI ; Jue WANG ; Li WANG ; Hui SHEN ; Cai-Li HAN ; Min LIU
China Journal of Chinese Materia Medica 2023;48(8):2212-2221
This study aimed to investigate the mechanism of resveratrol(RES) combined with irinotecan(IRI) in the treatment of colorectal cancer(CRC). The targets of RES, IRI, and CRC were obtained from databases, and the targets of RES combined with IRI in the treatment of CRC were acquired by Venn diagram. The protein functional cluster analysis, GO and KEGG enrichment analyses were performed. In addition, the protein-protein interaction(PPI) network was constructed. The core target genes were screened out and the target-signaling pathway network was set up. IGEMDOCK was used to dock the core target gene molecules. Besides, the relationship between the expression level of key target genes and the prognosis and immune infiltration of CRC was analyzed. Based on the in vitro cell experiment, the molecular mechanism of RES combined with IRI in the treatment of CRC was explored and analyzed. According to the results, 63 potential targets of RES combined with IRI were obtained for CRC treatment. Furthermore, cluster analysis revealed that protein functions included 23% transmembrane signal receptors, 22% protein modifying enzymes, and 14% metabolite converting enzymes. GO analysis indicated that BPs were mainly concentrated in protein autophosphorylation, CCs in receptor complex and plasma membrane, and MFs in transmembrane receptor protein tyrosine kinase activity. Moreover, KEGG signaling pathways were mainly enriched in central carbon metabolism in cancer. The key targets of RES combined with IRI in the treatment of CRC were PIK3CA, EGFR, and IGF1R, all of which were significantly positively correlated with the immune infiltration of CRC. As shown by the molecular docking results, PIK3CA had the most stable binding with RES and IRI. Compared with the results in the control group, the proliferation ability and EGFR protein expression of CRC cells in the RES-treated group, the IRI-treated group, and the RES+IRI treated group significantly decreased. Moreover, the cell proliferation ability and EGFR protein expression level of CRC cells in the RES+IRI treated group were remarkably lower than those in the IRI-treated group. In conclusion, PIK3CA, EGFR, and IGF1R are the key targets of RES combined with IRI in CRC treatment. In addition, RES can inhibit the proliferation of CRC cells and improve IRI chemoresistance by downregulating the EGFR signaling pathway.
Humans
;
Irinotecan
;
Colorectal Neoplasms/genetics*
;
Resveratrol
;
Molecular Docking Simulation
;
ErbB Receptors/genetics*
10.A multicenter study of the clinicopathological characteristics and a risk prediction model of early-stage breast cancer with hormone receptor-positive/human epidermal growth factor receptor 2-low expression.
Ling XIN ; Qian WU ; Chongming ZHAN ; Hongyan QIN ; Hongyu XIANG ; Min GAO ; Xuening DUAN ; Yinhua LIU ; Jingming YE
Chinese Medical Journal 2023;136(24):2967-2973
BACKGROUND:
In light of the significant clinical benefits of antibody-drug conjugates in clinical trials, the human epidermal growth factor receptor 2 (HER2)-low category in breast cancers has gained increasing attention. Therefore, we studied the clinicopathological characteristics of Chinese patients with hormone receptor (HR)-positive/HER2-low early-stage breast cancer and developed a recurrence risk prediction model.
METHODS:
Female patients with HR-positive/HER2-low early-stage breast cancer treated in 29 hospitals of the Chinese Society of Breast Surgery (CSBrS) from Jan 2015 to Dec 2016 were enrolled. Their clinicopathological data and prognostic information were collected, and machine learning methods were used to analyze the prognostic factors.
RESULTS:
In total, 25,096 patients were diagnosed with breast cancer in 29 hospitals of CSBrS from Jan 2015 to Dec 2016, and clinicopathological data for 6486 patients with HER2-low early-stage breast cancer were collected. Among them, 5629 patients (86.79%) were HR-positive. The median follow-up time was 57 months (4, 76 months); the 5-year disease-free survival (DFS) rate was 92.7%, and the 5-year overall survival (OS) rate was 97.7%. In total, 412 cases (7.31%) of metastasis were observed, and 124 (2.20%) patients died. Multivariate Cox regression analysis revealed that T stage, N stage, lymphovascular thrombosis, Ki-67 index, and prognostic stage were associated with recurrence and metastasis ( P <0.05). A recurrence risk prediction model was established using the random forest method and exhibited a sensitivity of 81.1%, specificity of 71.7%, positive predictive value of 74.1%, and negative predictive value of 79.2%.
CONCLUSION:
Most of patients with HER2-low early-stage breast cancer were HR-positive, and patients had favorable outcome; tumor N stage, lymphovascular thrombosis, Ki-67 index, and tumor prognostic stage were prognostic factors. The HR-positive/HER2-low early-stage breast cancer recurrence prediction model established based on the random forest method has a good reference value for predicting 5-year recurrence events.
REGISTRITATION
ChiCTR.org.cn, ChiCTR2100046766.
Humans
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Female
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Breast Neoplasms/diagnosis*
;
Ki-67 Antigen
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Receptor, ErbB-2
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Prognosis
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Thrombosis
;
Receptors, Progesterone