1.Genetic polymorphism of 6 short tandem repeat loci in Chinese Korean.
Xiaobo BU ; Ying WANG ; Jie SONG ; Xiuzhi LI ; Haihua BAO ; Shujie ZHANG ; Xueling GAO
Chinese Journal of Medical Genetics 2002;19(3):230-233
<p>OBJECTIVETo analyze genetic polymorphism of D16S539 D7S820 D13S317 CSF1PO TPOX and TH01 in Chinese Korean.p><p>METHODSOne hundred unrelated individuals were analyzed by PCR amplification fragment length polymorphism analysis.p><p>RESULTSSix alleles and 18 genotypes of D16S539 locus, 7 alleles and 22 genotypes of D7S820 locus, 7 alleles and 23 genotypes of D13S317 locus, 6 alleles and 16 genotypes of CSF1PO locus, 6 alleles and 11 genotypes of TPOX locus, 5 alleles and 12 genotypes of TH01 locus.p><p>CONCLUSIONThe genotype distribution of all the 6 short tandem repeat(STR) in Chinese Korean met Hardy-Weinberg equilibrium, and have higher heterozygosities. The data obtained can be used in human identity and paternity testing, and in other genetic researches and population investigation.p>
Alleles
;
China
;
DNA
;
genetics
;
Gene Frequency
;
Genotype
;
Humans
;
Korea
;
ethnology
;
Polymorphism, Genetic
;
genetics
;
Tandem Repeat Sequences
;
genetics
2.Attainment of Lipid Targets Following Coronary Artery Bypass Graft Surgery:Can We Do Better?
Nick S. R. LAN ; Umar S. ALI ; Bu B. YEAP ; P. Gerry FEGAN ; Robert LARBALESTIER ; Damon A. BELL
Journal of Lipid and Atherosclerosis 2022;11(2):187-196
Objective:
Patients undergoing coronary artery bypass graft (CABG) surgery remain at high cardiovascular risk; however, few studies have evaluated lipid management and attainment of lipid targets in these patients. We investigated the proportion of CABG surgery patients who attained low-density lipoprotein cholesterol (LDL-C) and non-high-density lipoprotein cholesterol (HDL-C) targets.
Methods:
Data were retrospectively obtained from patients undergoing CABG surgery at an Australian tertiary hospital between February 2015 and August 2020. The most recent lipid profile was recorded (at least 3 weeks post-operatively). We studied patients with electronically available data to ensure accuracy. Target LDL-C was defined as <1.4 (54 mg/dL) and <1.8 mmol/L (70 mg/dL), and target non-HDL-C as <2.2 (85 mg/dL) and <2.6 mmol/L (100 mg/dL), as per the 2019 and 2016 European dyslipidaemia guidelines, respectively.
Results:
Follow-up lipid results were available for 484 patients (median post-operative follow-up, 483 days; interquartile range, 177.5–938.75 days). The mean age was 62.7±10.5 years and 387 (80.1%) were male. At discharge, 469 (96.9%) patients were prescribed statins, 425 (90.6%) high-intensity. Ezetimibe was prescribed for 62 (12.8%) patients and a proprotein convertase subtilisin-kexin type 9 inhibitor for 1. LDL-C levels <1.4 and <1.8 mmol/L were attained in 118 (24.4%) and 231 (47.7%) patients, respectively, and non-HDL-C levels <2.2 and <2.6 mmol/L in 140 (28.9%) and 237 (49.0%) patients, respectively.
Conclusion
The use of non-statin lipid-lowering therapies was limited, and many CABG surgery patients did not attain lipid targets despite high-intensity statins. Further studies are required to optimise lipid management in this very high-risk population.
3.Automatic detection model of hypertrophic cardiomyopathy based on deep convolutional neural network.
Yuxiang BU ; Xingzeng CHA ; Jinling ZHU ; Ye SU ; Dakun LAI
Journal of Biomedical Engineering 2022;39(2):285-292
The diagnosis of hypertrophic cardiomyopathy (HCM) is of great significance for the early risk classification of sudden cardiac death and the screening of family genetic diseases. This research proposed a HCM automatic detection method based on convolution neural network (CNN) model, using single-lead electrocardiogram (ECG) signal as the research object. Firstly, the R-wave peak locations of single-lead ECG signal were determined, followed by the ECG signal segmentation and resample in units of heart beats, then a CNN model was built to automatically extract the deep features in the ECG signal and perform automatic classification and HCM detection. The experimental data is derived from 108 ECG records extracted from three public databases provided by PhysioNet, the database established in this research consists of 14,459 heartbeats, and each heartbeat contains 128 sampling points. The results revealed that the optimized CNN model could effectively detect HCM, the accuracy, sensitivity and specificity were 95.98%, 98.03% and 95.79% respectively. In this research, the deep learning method was introduced for the analysis of single-lead ECG of HCM patients, which could not only overcome the technical limitations of conventional detection methods based on multi-lead ECG, but also has important application value for assisting doctor in fast and convenient large-scale HCM preliminary screening.
Algorithms
;
Cardiomyopathy, Hypertrophic/diagnosis*
;
Databases, Factual
;
Electrocardiography
;
Heart Rate
;
Humans
;
Neural Networks, Computer
4.Mitochondrial 12S rRNA gene A827G in two pedigrees with nonsyndromic deafness.
Zhi-bin CHEN ; Xin CAO ; Guang-qian XING ; Hui-qin TIAN ; Ai-dong ZHOU ; Qinj-un WEI ; Xing-kuan BU
Chinese Journal of Medical Genetics 2006;23(4):415-418
<p>OBJECTIVETo investigate the relationship of associating mitochondrial DNA 12S rRNA gene mutations with non-syndromic and aminoglycoside-induced hearing loss happening to Chinese families.p><p>METHODSThe diagnosis was validated by hearing tests. Blood samples were collected from 20 family members (13 subjects from pedigree A and 7 from pedigree B) and 32 sporadic deafness cases. DNA was extracted from the leukocytes in blood samples. The gene fragments of mitochondrial DNA 12S rRNA, tRNA(Ser(UCN)) and GJB(2) were amplified by polymerase chain reaction (PCR). PCR products were analyzed by sequencing.p><p>RESULTSThe target gene fragments of all individuals were successfully amplified by PCR. The mitochondrial DNA 12S rRNA 827 A to G transition was detected from all maternal members including 12 patients with hearing loss, which was the homoplasmic mutation. Non-maternal members in two pedigrees did not carry this mutation. However, the tRNA(Ser(UCN)) A7445G, 12SrRNA A1555G and GJB2 gene mutations were not found from both the family members of two pedigrees and sporadic patients. One sporadic individual (1/32) who was diagnosed as aminoglycoside-induced hearing impairment carried A827G mutation too.p><p>CONCLUSIONIt is confirmed that the mitochondrial DNA 12S rRNA gene is a hot spot for mutations associated with non-syndromic inherited hearing loss. The 12S rRNA nt827 A to G mutation may play a pivotal role in the pathogenesis of hearing impairment in two Chinese pedigrees.p>
Adolescent
;
Base Sequence
;
Child
;
Child, Preschool
;
Connexin 26
;
Connexins
;
genetics
;
DNA Mutational Analysis
;
DNA, Mitochondrial
;
chemistry
;
genetics
;
Deafness
;
genetics
;
Female
;
Genetic Predisposition to Disease
;
genetics
;
Humans
;
Male
;
Pedigree
;
Point Mutation
;
Polymerase Chain Reaction
;
RNA, Ribosomal
;
genetics
5.Identification of a novel PHOX2A gene mutation in a Chinese family with congenital fibrosis of extraocular muscles type 2.
Jia-mei DONG ; Qin SHEN ; Jing LI ; Wei DU ; Hong-lei PANG ; Shu-fang LIN ; Juan BU
Chinese Journal of Medical Genetics 2012;29(1):5-8
<p>OBJECTIVETo investigate potential mutation of PHOX2A (or ARIX) gene in a Chinese family affected with congenital fibrosis of extraocular muscles tyep 2 (CFEOM2).p><p>METHODSGenomic DNA was obtained from affected and unaffected members of the family. With an ABI PRSIM Linkage Mapping Set-MD10 kit, selected markers flanking the PHOX2A locus were used for linkage analysis. Exons of PHOX2 gene were amplified and sequenced. A total of 100 normal subjects were recruited as controls.p><p>RESULTSGenetic linkage was found at 11q13 between D11S4151 and D11S1320 and the PHOX2A gene. DNA sequencing has identified a heterozygous mutation in the exon 2 of the gene (227T to G, N76K). The same mutation was not found in the unaffected and 100 normal controls.p><p>CONCLUSIONA mutation of the PHOX2A gene 227T to G is responsible for the onset of congenital fibrosis of extraocular muscles type 2 in this Chinese family.p>
Base Sequence
;
Case-Control Studies
;
China
;
Female
;
Fibrosis
;
genetics
;
Homeodomain Proteins
;
genetics
;
Humans
;
Male
;
Molecular Sequence Data
;
Mutation
;
Ocular Motility Disorders
;
genetics
;
Oculomotor Muscles
;
abnormalities
;
Pedigree
6.Nonsyndromic inherited hearing impairment caused by mtDNA double mutations of A1555G and 961 insC.
Xin CAO ; Guang-qian XING ; Qin-jun WEI ; Xing-kuan BU ; Deng-yuan WANG
Chinese Journal of Medical Genetics 2004;21(6):629-632
<p>OBJECTIVETo investigate the genotypes of mitochondrial DNA mutations of a large nonsyndromic inherited hearing impairment pedigree.p><p>METHODSThe diagnosis was validated by hearing test. Blood samples from the branch pedigree (33 members) and 6 sporadic patients were obtained. DNA was extracted from the leukocytes. The mitochondrial DNA target fragments were amplified by polymerase chain reaction(PCR). The 1555G, 3243G and 7445G mutations were detected by BsmA I, Apa I and Xba I restriction endonuclease digestion respectively. Some PCR products were analyzed by sequencing.p><p>RESULTSRestriction endonuclease digestion identified that 17 patients from the pedigree carried 1555G mutation. All pedigree members, including patients and sporadic patients, did not have 3243G and 7445G mutation. In 6 patients of the pedigree DNA sequence analysis revealed double mutations, an A>G transition at position 1555 and a C insertion at position 961, whereas the unaffected relatives of the pedigree and sporadic patients did not have such mutations. None of them carried 3243G and 7445G mutation.p><p>CONCLUSIONDouble mutations of A1555G and 961 insC in mitochondrial DNA 12S rRNA gene region may play a pivotal role in the pathogenesis of hearing loss in the large nonsyndromic inherited hearing impairment pedigree.p>
Base Sequence
;
DNA Mutational Analysis
;
DNA, Mitochondrial
;
genetics
;
Female
;
Genetic Predisposition to Disease
;
Hearing Loss
;
genetics
;
Hearing Loss, Sensorineural
;
genetics
;
Humans
;
Male
;
Mutagenesis, Insertional
;
Pedigree
;
Point Mutation
8.Molecular genetic analysis of mitochondrial DNA C1494T mutation in non-syndromic hearing loss of Chinese population.
Gu TIAN ; Yu-he LIU ; Yi-nan MA ; Yu-jie LI ; Ying ZHANG ; Shu-lan NIU ; Yuf-eng XU ; Pei PEI ; Song-tao WANG ; Ding-fang BU ; Bo-ran DU ; Xiang ZHOU ; Xiao-mei KE ; Yu QI
Chinese Journal of Medical Genetics 2007;24(4):464-466
<p>OBJECTIVETo conduct a molecular epidemiological survey on the mitochondrial DNA C1494T mutation in non-syndromic hearing loss patients in Chinese population.p><p>METHODSPolymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) were used to screen the mitochondrial DNA 12S rRNA C1494T mutation in 20 patients with aminoglycoside antibiotic induced hearing loss, 136 sporadic non-syndromic hearing loss patients and 50 probands of pedigrees with non-syndromic hearing loss.p><p>RESULTSThe C1494T mutation did not appear in all cases except for the positive control.p><p>CONCLUSIONIncidence of mitochondrial DNA C1494T mutation is much lower than that of mitochondrial DNA A1555G mutation in non-syndromic hearing loss of Chinese population. Mitochondrial DNA C1494T mutation may be a rare variation in non-syndromic hearing loss and is not the main cause of aminoglycoside antibiotic induced-deafness.p>
Adolescent
;
Aminoglycosides
;
adverse effects
;
Anti-Bacterial Agents
;
adverse effects
;
Asian Continental Ancestry Group
;
genetics
;
Child
;
China
;
DNA, Mitochondrial
;
genetics
;
Female
;
Hearing Loss
;
chemically induced
;
ethnology
;
genetics
;
Humans
;
Male
;
Point Mutation
;
Polymerase Chain Reaction
;
Polymorphism, Restriction Fragment Length
;
RNA, Ribosomal
;
genetics
9.Comparison of the autofluorescence bronchoscope and the white light bronchoscope in airway examination.
Yun LI ; Xiao LI ; Xi-Zhao SUI ; Liang BU ; Zu-Li ZHOU ; Fan YANG ; Yan-Guo LIU ; Hui ZHAO ; Jian-Feng LI ; Jun LIU ; Guan-Chao JIANG ; Jun WANG
Chinese Journal of Cancer 2010;29(12):1018-1022
<p>BACKGROUND AND OBJECTIVEThe sensitivity and accuracy of white light bronchoscopy (WLB) in airway examination are low. Autofluorescence bronchoscope (AFB) can determine early lesions in bronchial mucosa more sensitively, but it has seldom performed in China. To assess the clinical value of the AFB in airway examination, we compared the sensitivity and specificity of the AFB and WLB in detecting cancer of the airway mucosa.p><p>METHODSBetween September 2009 and May 2010, bronchoscope examinations using both the AFB and WLB were performed on 136 patients, 95 men and 41 women with a median age of 61.5 years (ranged from 25 to 84 years). There were 46 lesions located in the central airway, 84 in the peripheral lung parenchyma, and 6 in the mediastinal region. All patients received local and general anesthesia and were subsequently examined with the WLB and AFB in tandem. All procedures were completed safely. Abnormal visual findings were recorded, and biopsies of the affected regions were collected for pathologic examination.p><p>RESULTSOf 241 regions sampled for biopsy, 76 sites contained malignant lesions, whereas 165 sites contained benign lesions. The AFB detected 72 of the 76 malignant lesions, but the WLB detected only 50. The sensitivities of the AFB and WLB were 94.7% and 65.8%, respectively, and the specificities were 57.0% and 83.6%, respectively. The negative predictive values of the AFB and WLB were 95.9% and 84.1%, respectively.p><p>CONCLUSIONSThe AFB is more sensitive than the WLB in detecting cancerous lesions in the mucosa, and is an effective airway examination.p>
Adenocarcinoma
;
diagnosis
;
pathology
;
Adult
;
Aged
;
Aged, 80 and over
;
Biopsy
;
Bronchoscopy
;
methods
;
Carcinoma, Squamous Cell
;
diagnosis
;
Female
;
Granuloma
;
diagnosis
;
Humans
;
Inflammation
;
diagnosis
;
Lung Diseases
;
diagnosis
;
Lung Neoplasms
;
diagnosis
;
Male
;
Middle Aged
;
Sensitivity and Specificity
;
Small Cell Lung Carcinoma
;
diagnosis
10.Treatment results and prognostic factors of patients undergoing postoperative radiotherapy for laryngeal squamous cell carcinoma.
Ting JIN ; Wei-Han HU ; Li-Bing GUO ; Wen-Kuan CHEN ; Qiu-Li LI ; Hui LIN ; Xiu-Yu CAI ; Nan GE ; Rui SUN ; Si-Yi BU ; Xin ZHANG ; Meng-Yao QIU ; Wei ZHANG ; Su LUO ; Yi-Xin ZHOU
Chinese Journal of Cancer 2011;30(7):482-489
Postoperative radiotherapy (PRT) is widely advocated for patients with squamous cell carcinomas of the head and neck that are considered to be at high risk of recurrence after surgical resection. The aims of this study were to evaluate the treatment outcomes of PRT for patients with laryngeal carcinoma and to identify the value of several prognostic factors. We reviewed the records of 256 patients treated for laryngeal squamous cell carcinoma between January 1993 and December 2005. Disease-free survival (DFS) and overall survival (OS) were estimated using the Kaplan-Meier method. Log-rank test was employed to identify significant prognostic factors for DFS and OS. The Cox proportional hazards model was applied to identify covariates significantly associated with the aforementioned endpoints. Our results showed the 3-, 5-, and 10-year DFS for all patients were 69.9%, 59.5%, and 34.9%, respectively. The 3-, 5-, and 10-year OS rates were 80.8%, 68.6%, and 38.8%, respectively. Significant prognostic factors for both DFS and OS on univariate analysis were grade, primary site, T stage, N stage, overall stage, lymph node metastasis, overall treatment times of radiation, the interval between surgery and radiotherapy, and radiotherapy equipment. Favorable prognostic factors for both DFS and OS on multivariate analysis were lower overall stage, no cervical lymph node metastasis, and using 60Co as radiotherapy equipment. In conclusion, our data suggest that lower overall stage, no cervical lymph node metastasis, and using 60Co as radiotherapy equipment are favorable prognostic factors for DFS and OS and that reducing the overall treatment times of radiation to 6 weeks or less and the interval between surgery and radiotherapy to less than 3 weeks are simple measures to remarkably improve treatment outcome.
Adult
;
Aged
;
Aged, 80 and over
;
Carcinoma, Squamous Cell
;
pathology
;
radiotherapy
;
surgery
;
Cobalt Radioisotopes
;
therapeutic use
;
Combined Modality Therapy
;
Disease-Free Survival
;
Female
;
Follow-Up Studies
;
Humans
;
Laryngeal Neoplasms
;
pathology
;
radiotherapy
;
surgery
;
Laryngectomy
;
Lymphatic Metastasis
;
Male
;
Middle Aged
;
Neoplasm Grading
;
Neoplasm Staging
;
Postoperative Period
;
Proportional Hazards Models
;
Radioisotope Teletherapy
;
Retrospective Studies
;
Survival Rate
;
Young Adult