1.A Meta-analysis of carbon ion radiotherapy for prostate cancer
Xiaohu WANG ; Jinhui TIAN ; Qiuning ZHANG ; Qianru LI ; Hong ZHANG ; Lin ZHAO
Chinese Journal of Radiological Medicine and Protection 2016;36(8):588-593
Objective To evaluate the efficacy of the carbon ion radiotherapy for prostate cancer by Meta-analysis.Methods We searched the Cochrane library,PubMed,EMBASE,China Journal Fulltext Database,Chinese Biomedical Database,and Wanfang Database from their inception to December 2015,in order to collect clinical trial data of carbon ion radiotherapy for prostate cancer.References included within these studies were also retrieved.Meta-analysis was performed using MetaAnalyst Beta 3.13 and STATA 12.0 software.Results Six studies (eight clinical trials) were included.The results of Meta-analysis show that,the overall survival rates of 3,4,5 and 8 years were 95.7%,90.9%,91.8% and 83.9%,respectively.The cause specific survival rate of 4 and 5 years were 97.1% and 97.6%.The bNED rate of 3,4,5 and 8 years were 88%,86.3% and 79.1%,respectively.The local control rates of 3,4 and 5 years were 98.1%,97.1% and 98.4%,respectively.The rate of total death,prostate cancer death and intercurrent death were 7%,2.4% and 7%,respectively.Different T-stage may affect the fiveyear of overall survival rate,bNED rate and cause specific survival rate.Conclusions The current evidence shows that carbon ion radiotherapy in gcncral is a fcasiblc trcatmcnt for prostate cancer,whether carbon ion is better than other radiotherapy,prospective,randomized,controlled clinical trial to get more evidence is required for carbon ion radiotherapy versus standard treatment for prostate cancer patients.
2.Research progress of non-coding RNA carried by exosomes in cartilage repair of osteoarthritis
Chong LI ; Jifeng MIAO ; Qiuning LIN ; Yun LIU ; Nenggan HUANG ; Shijie LIAO ; Tianyu XIE ; Xinli ZHAN ; Fuchun YANG ; Jili LU
Chinese Journal of Orthopaedics 2021;41(3):186-194
Osteoarthritis (OA) is a common degenerative disease. Its most significant pathological change is destruction of articular cartilage and the main clinical symptoms are pain and dysfunction of joints. Recent studies have shown that the expression of non-coding RNA (ncRNA) in chondrocytes can abnormally up-regulate or down-regulate and alter the activities of chondrocytes like their proliferation, migration and apoptosis, thus leading to the occurrence and development of osteoarthritis. Exosomes are extracellular vesicles with a diameter of 40-100 nm, which are secreted in intercellular fluid, act as medium of intercellular communication. They protect ncRNA, protein, lipid and other bioactive materials from enzymatic degradation by encapsulating them and transferring to sibling chondrocytes, due to their good tissue permeability. They can also improve communication between cells and regulate the activities of chondrocytes. Thus, exosomes behave like gene carriers. The ncRNA carried by exosomes can supplement or adsorb the abnormal ncRNA in chondrocytes, so as to regulate the activity of chondrocytes, and is therefore considered as a possible candidate with capabilities to repair cartilages. In this study we reviewed existing literatures related to the roles and effects of exosome miRNA, lncRNA and circRNA on osteoarthritis. We also reviewed the pathogenesis of exosome ncRNA in osteoarthritis.
3.Short-term clinical outcome of carbon ion radiotherapy for cutaneous malignant melanoma
Hongyi CAI ; Xiaohu WANG ; Liying GAO ; Hong ZHANG ; Juntao RAN ; Qiuning ZHANG ; Qiang LI ; Zhiqiang LIU ; Lin ZHAO ; Guoqing XIAO ; Xiaowen ZHANG
Chinese Journal of Radiation Oncology 2010;19(3):250-252
Objective To evaluate the toxicity and efficacy of carbon ion radiotherapy for cutaneous malignant melanoma. Methods Form December 2006 to May 2009, 13 patients with superficial malignant melanoma were treated with carbon ion radiotherapy in the Institute of Modern Physics, Chinese Academy of Sciences. The total dose was 60 -66 GyE in 6 -12 fractions within 6 -12 days. The disease was Stage Ⅱ_a in 2, Ⅱ_b in 3, Ⅱ_c in 5, and Ⅲ_c in 3 patients. The toxicities were assessed according to the Radiation Therapy Oncology Group (RTOG) criteria, and the efficacy was evaluated with WHO criteria. Results The median follow-up time was 13.5 months (range, 1 -25 months) and the follow-up rate was 100%. Of the 13 patients, 10(77%) achieved complete remission (CR), and 3(23%) partial remission (PR). The overall response rate (RR) was 100%, and the median survival time was 21.3 months (95% CI, 18. 1 -24.5 months). The grade 0, 1,2 and 3 skin reaction occurred in 3, 6, 2 and 2 patients, respectively. The hematologic toxicities were mild. Conclusions Carbon ion radiotherapy is a safe and effective treatment for cutaneous malignant melanoma.