1.Risk factors for capillary leak syndrome in neonates.
Yu-Mei LI ; Jie RAN ; Heng LI ; Chao-Ying YAN
Chinese Journal of Contemporary Pediatrics 2011;13(9):708-710
OBJECTIVETo study the risk factors for capillary leak syndrome (CLS) in neonates.
METHODSThe clinical data of 52 neonates with CLS (case group) were retrospectively reviewed. Fifty hospitalized neonates without CLS were used as the control group. The possible factors for the development of CLS were identified by univariate analysis. The independent risk factors for CLS were determined by multivariate logistic regression analysis.
RESULTSThe univariate analysis showed that the incidences of hyperglycemia, respiratory distress syndrome (RDS), sepsis and cold injury syndrome in the case group were significantly higher than those in the control group (P<0.05). The logistic regression analysis showed that sepsis (OR=5.004, P=0.001), RDS (OR=3.880, P=0.013) and cold injury syndrome (OR=3.207, P=0.023) were the independent risk factors for the development of CLS.
CONCLUSIONSRDS, sepsis and cold injury syndrome are independent risk factors for CLS in neonates. Hyperglycemia may be associated with the development of CLS.
Capillary Leak Syndrome ; etiology ; Female ; Humans ; Infant, Newborn ; Male ; Retrospective Studies ; Risk Factors
2.Study on promoter methylation status of E-cadherin gene in nasopharyngeal carcinoma cell lines.
Chao-qun HONG ; Yong-gang RAN ; Jiong-yu CHEN ; Xiao WU ; Yan-jie YOU
Chinese Journal of Pathology 2010;39(8):532-536
OBJECTIVETo investigate the role of methylation on E-cadherin inactivation in nasopharyngeal carcinoma (NPC) cell line HNE1 and CNE2, as well as evaluate the inhibitory effect of 5-aza-2'-deoxycytidine (5-Aza-dC) on cell abilities of proliferation and invasion.
METHODSThe expression level of E-cadherin was measured by RT-PCR, Western blot and immunohistochemistry (polymer method), the methyaltion status was analyzed by methylation-specific PCR (MSP), and cell proliferation and invasion were examined by MTT and invasion assay, separately before and after treatment with demethylating agent 5-Aza-dC.
RESULTSThe expression level of E-cadherin was down-regulated compared with the normal tissue, simultaneously partially methylated in gene promoter. Treatment with 20 µmol/L 5-Aza-dC increased the expression of E-cadherin and reduced the methylation degree. Moreover, it also significantly suppressed cell growth (27.6% for HNE1 cells and 34.3% for CNE2 cells, P < 0.05) and invasiveness (37.2% for HNE1 cells and 29.7% for CNE2 cells, P < 0.05).
CONCLUSIONSAberrant methylation around gene promoter region may play an important part in down regulation of E-cadherin in NPC, suggesting a potential therapeutic strategy for demethylating agents such as 5-Aza-dC.
Antimetabolites, Antineoplastic ; pharmacology ; Azacitidine ; analogs & derivatives ; pharmacology ; Cadherins ; genetics ; metabolism ; Cell Line, Tumor ; Cell Movement ; drug effects ; Cell Proliferation ; drug effects ; DNA Methylation ; Down-Regulation ; Gene Expression Regulation, Neoplastic ; Humans ; Nasopharyngeal Neoplasms ; metabolism ; pathology ; Neoplasm Invasiveness ; Promoter Regions, Genetic
3.Dynamic protein-protein interaction subnetworks of lung cancer in cases with smoking history.
Wei YU ; Li-Ran HE ; Yan-Chao ZHAO ; Man-Him CHAN ; Meng ZHANG ; Miao HE
Chinese Journal of Cancer 2013;32(2):84-90
Smoking is the primary cause of lung cancer and is linked to 85% of lung cancer cases. However, how lung cancer develops in patients with smoking history remains unclear. Systems approaches that combine human protein-protein interaction (PPI) networks and gene expression data are superior to traditional methods. We performed these systems to determine the role that smoking plays in lung cancer development and used the support vector machine (SVM) model to predict PPIs. By defining expression variance (EV), we found 520 dynamic proteins (EV>0.4) using data from the Human Protein Reference Database and Gene Expression Omnibus Database, and built 7 dynamic PPI subnetworks of lung cancer in patients with smoking history. We also determined the primary functions of each subnetwork: signal transduction, apoptosis, and cell migration and adhesion for subnetwork A; cell-sustained angiogenesis for subnetwork B; apoptosis for subnetwork C; and, finally, signal transduction and cell replication and proliferation for subnetworks D-G. The probability distribution of the degree of dynamic protein and static protein differed, clearly showing that the dynamic proteins were not the core proteins which widely connected with their neighbor proteins. There were high correlations among the dynamic proteins, suggesting that the dynamic proteins tend to form specific dynamic modules. We also found that the dynamic proteins were only correlated with the expression of selected proteins but not all neighbor proteins when cancer occurred.
Databases, Genetic
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Databases, Protein
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Humans
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Lung Neoplasms
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etiology
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metabolism
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pathology
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Protein Interaction Mapping
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Protein Interaction Maps
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Smoking
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adverse effects
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Support Vector Machine
4.The expression of human major histocompatibility complex-I in oral leukoplakia.
Ping-fan WU ; Bang-feng HAN ; Hui XIA ; Chao-ran YAN ; Long-jiang LI
West China Journal of Stomatology 2010;28(4):439-442
OBJECTIVEThe purpose of this study was to examine the expression of human major histocompatibility complex-I at different degrees of dysplasia leukoplakia, and to investigate local immune status and discuss their associations with oral leukoplakia.
METHODSThe monoclonal antibody of MHC class I antigen was employed in this study. There were 55 oral leukoplakias, 31 primary oral squamous cell carcinomas and 28 histologically normal oral epithelia were detected for the presence of the MHC class I molecule by using immunohistochemistry method.
RESULTSThe MHC class I antigen expression of the severe dysplasia and oral squamous cell carcinoma was significantly lower than that of the normal epithelia (P < 0.05). But their expression did not show statistically difference between the normal epithelia and other groups of oral leukoplakia (P > 0.05).
CONCLUSIONThe expression levels of the MHC class I antigen is reduced in oral leukoplakia, particularly in severe dysplasia oral leukoplakia, it is relevant to the degree of dysplasia.
Antibodies, Monoclonal ; Carcinoma, Squamous Cell ; genetics ; Genes, MHC Class I ; Histocompatibility Antigens Class I ; genetics ; Humans ; Immunohistochemistry ; Leukoplakia, Oral ; genetics ; Mouth Neoplasms ; genetics
5. Clinical application effects of portable visual retractor in superficial temporal fascia flap harvesting
Jun SHU ; Ran TAO ; Chao MA ; Yonghong LEI ; Rui JIN ; Yan HAN
Chinese Journal of Burns 2020;36(2):91-96
Objective:
To explore the clinical application effects of portable visual retractor in superficial temporal fascia flap harvesting.
Methods:
From January 2010 to June 2019, 27 patients meeting the inclusion criteria and planning to perform operation of superficial temporal fascia flap harvesting were admitted to the Department of Plastic and Reconstructive Surgery of the First Clinical Medical Center of the People′s Liberation Army General Hospital. The patients were divided into traditional surgical method group [6 males and 3 females, aged (34±14) years], cold light source retractor group [6 males and 4 females, aged (35±16) years], and portable visual retractor group [7 males and 1 female, aged (30±14) years] according to way of superficial temporal fascia flap harvesting. The superficial temporal fascia flaps of patients in traditional surgical method group were resected by traditional way of resection, and the superficial temporal fascia flaps of patients in cold light source retractor group and portable visual retractor group were resected at assistance of cold light source retractor and portable visual retractor, respectively. Length of incision, operation time, intraoperative blood loss volume, postoperative drainage volume, and postoperative complication of patients in 3 groups were observed and recorded. Data were processed with Fisher′s exact probability test, one-way analysis of variance, least significant difference test, Kruskal-Wallis
6.Value of transabdominal ultrasonography in preoperative assessment of gastric carcinoma.
Chao YAN ; Zheng-gang ZHU ; Wei-wei ZHAN ; Min YAN ; Ying-yan YU ; Bing-ya LIU ; Hao-ran YIN ; Yan-zhen LIN
Chinese Journal of Gastrointestinal Surgery 2005;8(2):121-124
OBJECTIVETo investigate the value of transabdominal ultrasonography (TAUS) in preoperative assessment of TNM stage and tumor angiogenesis for patients with gastric carcinoma.
METHODSSixty- four patients with gastric carcinoma preoperatively underwent TAUS, in whom transabdominal color Doppler ultrasonography was used for measuring color Doppler vascularity index (CDVI) of each tumor in 37 cases and microvessel density (MVD) was evaluated by using immunohistochemical staining of surgical specimens with anti- CD34 antibody.
RESULTSThe overall accuracy rate was 56.0% for T staging of gastric carcinoma (T (1) 2/3 cases, T (2) 28.6% , T (3) 73.1% , T (4) 50.0% , respectively) by TAUS. The diagnostic accuracy rate was 63.3% for lymph node status of gastric carcinoma. The diagnostic sensitivity and specificity for lymph node metastasis was 37.9% and 100% respectively. The overall accuracy for N staging of gastric carcinoma was 57.1% (N (0) 100% , N (1) 16.7% , N (2) 35.3% , respectively). The diagnostic sensitivity and specificity for determining distant metastases was 58.3% and 100% respectively. The CDVI of gastric carcinoma determined by color Doppler ultrasonography was significantly correlated to vascular invasion (P=0.0418), a linear correlation between CDVI and MVD was determined by logistic regression analysis (r=0.5628, P< 0.01).
CONCLUSIONTAUS can be a routine diagnostic approach for preoperative gastric carcinoma patients.
Abdomen ; diagnostic imaging ; Adult ; Aged ; Female ; Humans ; Male ; Microvessels ; Middle Aged ; Neoplasm Staging ; Neovascularization, Pathologic ; diagnostic imaging ; Stomach Neoplasms ; diagnostic imaging ; pathology ; Ultrasonography, Doppler, Color ; methods
7.COX- 2 expression in gastric cancer and its relationship with lymphangiogenesis and lymph node metastasis.
Jun ZHANG ; Jun JI ; Fei YUAN ; Chao YAN ; Ying-yan YU ; Bing-ya LIU ; Zheng-gang ZHU ; Hao-ran YIN ; Yan-zhen LIN
Chinese Journal of Gastrointestinal Surgery 2005;8(4):348-351
OBJECTIVETo investigate the expression of cyclooxygenase-2 (COX-2) and vascular endothelial growth factor-C (VEGF-C) in human gastric cancer, the relationship between their expression and the clinicopathological features,as well as the relationship between these two parameter expression and lymphangiogenesis and lymph node metastasis.
METHODSCOX-2 and VEGF-C expressions were detected in 63 gastric cancer samples by immunostaining. Lymphangiogenesis was evaluated by immunostaining with the specific antibody LYVE-1.
RESULTSThe expression rates of COX-2 and VEGF-C were 66.7% (42/63), 52.4% (33/63), respectively in 63 gastric cancer specimens. LYVE-1 was positive in 35 cases (35/63), which indicated lymphangiogenesis in the tumors. The expression of COX-2 was significantly correlated with the expression of VEGF-C, tumor lymphangiogenesis and lymphatic metastasis (P< 0.05), however not gender, tumor size, tumor location, Lauren classification and serosa invasion (P< 0.05).
CONCLUSIONSIn gastric cancer, the expression of COX-2 is significantly associated with VEGF-C expression, lymphangiogenesis and lymphatic metastasis. COX-2 may up-regulate the expression of VEGF-C, which induces lymphangiogenesis and accordingly contributes to lymphatic metastasis.
Aged ; Cyclooxygenase 2 ; metabolism ; Female ; Humans ; Lymph Nodes ; metabolism ; pathology ; Lymphangiogenesis ; Lymphatic Metastasis ; Male ; Middle Aged ; Stomach Neoplasms ; metabolism ; pathology ; Vascular Endothelial Growth Factor C ; metabolism
8.A preliminary study of endoscopic ultrasonography in the preoperative staging of early gastric carcinoma.
Chao YAN ; Zheng-gang ZHU ; Qi ZHU ; Min YAN ; Jun CHEN ; Bing-ya LIU ; Hao-ran YIN ; Yan-zhen LIN
Chinese Journal of Oncology 2003;25(4):390-393
OBJECTIVETo study the clinical value of endoscopic ultrasonography (EUS) in the preoperative staging of early gastric carcinoma.
METHODSEUS was performed in 149 gastric carcinoma patients proved by biopsy (including 33 patients with early gastric cancer), of which the results were compared with postoperative pathologic findings.
RESULTSThe accuracy of EUS in determining the T stage of gastric carcinoma was 80.3% (T1 81.8%, T2 70.4%, T3 88.9%, T4 71.4%). The accuracy of EUS in differentiating early gastric carcinoma from advanced ones was 95.1%, and the accuracy of EUS in differentiating mucosal cancer from submucosal cancer was only 63.6%. The diagnostic accuracy of EUS for mucosal and submucosal cancer was 52.9% and 75%, with positive predictive value of 90% and 70.6%, respectively. The accuracy of invasion depth of EUS for the bulging and flat type of early gastric carcinoma was 100%, whereas the accuracy was only 58.6% for the depressed type. The accuracy of invasion depth of the differentiated and undifferentiated early cancer was 71.4%and 57.9%, without any significant difference (P > 0.05). The accuracy of invasion depth of EUS for early gastric carcinoma decreased as tumor size increased. The diagnostic accuracy of lymph node status of early gastric carcinoma by EUS was 90.9%, and the sensitivity and specificity of lymph node metastasis was 66.7% and 96.3%, respectively.
CONCLUSIONThe clinical value of endoscopic ultrasonography in the preoperative staging of early gastric carcinoma is relatively high.
Adenocarcinoma ; diagnostic imaging ; pathology ; surgery ; Adult ; Aged ; Biopsy ; Endosonography ; Female ; Humans ; Lymphatic Metastasis ; Male ; Middle Aged ; Neoplasm Staging ; Preoperative Care ; Stomach ; pathology ; Stomach Neoplasms ; diagnostic imaging ; pathology ; surgery
9.Study of hepatic injury during stop-flow chemotherapy.
Hui LU ; Zheng-gang ZHU ; Xue-xin YAO ; Chao YAN ; Jun JI ; Bing-ya LIU ; Hao-ran YIN ; Yan-zhen LIN
Chinese Journal of Gastrointestinal Surgery 2005;8(1):74-77
OBJECTIVETo observe the hepatic injury following stop- flow chemotherapy and investigate the potential mechanisms.
METHODSTwelve healthy hybrid female pigs were randomly divided into two groups as stop- flow group (SF) and stop- flow chemotherapy (SFC) group. The expression of IL- 8 and ICAM- 1 mRNA in hepatic biopsies was detected by RT- PCR, and the expression of NF- kappa B P65 subunit in nuclei was assessed by Western blot analysis. The levels of ALT and AST, and histopathologic alterations were examined to evaluate the hepatic function at different time before and after stop- flow procedure.
RESULTSThe expression of NF- kappa B P65 subunit, IL- 8 and ICAM- 1mRNA increased at 30 min after stop- flow procedure, and gradually decreased at 3 h and 6 h after stop- flow procedure. The levels of ALT and AST decreased after reaching the peak at 24 h after stop- flow procedure, but removed one week after stop- flow procedure. Cytoplasmic microvascular steatosis developed with appreciable neutrophils infiltration after early stop- flow procedure without significant destroy occurred in the structure of hepatic lobule. No significant difference of various parameters above occurred between SF and SFC groups.
CONCLUSIONThe hepatic injury following stop- flow procedure was self-limited and reversible. There is no severe destroy of hepatic structure and disfunction during stop- flow chemotherapy.
Animals ; Chemotherapy, Cancer, Regional Perfusion ; methods ; Disease Models, Animal ; Female ; Infusions, Intra-Arterial ; Intercellular Adhesion Molecule-1 ; metabolism ; Interleukin-8 ; metabolism ; Liver ; blood supply ; drug effects ; metabolism ; pathology ; RNA, Messenger ; metabolism ; Swine ; Transcription Factor RelA ; metabolism
10.Experimental study on preventive and therapeutic effec ts of 5 radioprotectants on combined radiation-burn injured mice
Chao-Hua GUO ; Pei-Yan KONG ; Zhong-Min ZOU ; Yan-Hong ZHOU ; Jin-Ming ZHOU ; Yong ZHANG ; Cun-Meng SHI ; Xin-Ze RAN ; Cheng-Ji LUO
Journal of Third Military Medical University 2001;23(5):544-546
Objective To compare the irradiation-protective and inter-synergestic effects of E838,WR-2721, Rubia cordifolia, cystamin e hydrochloride and ethinyl estradiol on radiation and combined radiation-burn injury. Methods Above-mentioned drugs were given to the mice i ntraperitoneally, or intragastrcally, then, the mortality and the average surviv al d for 30 d were observed before and after the administration of the drug s. Results ①When drugs were before injury , the survival rate and the average survival d of the radiation and combined radiation-burn injured mice were increased obviously with the best effect in E838 and WR-2721. ②When drugs were given after injury, E838 and R. cordifolia also kept the effect. ③Combined appling WR-2721(pre) and E838(post)displayed a significant syner gistic reaction. Conclusion E838 and WR-2721 are more e ffective than the others in the prevention of radiation.