1.Association Between the Protein Expressions of MutS Homologs and Villin and the Clinicopathological Characteristics in 310 Colon Cancer Patients
Fangfang CHANG ; Xiaoshu HU ; Yiyang WEN ; Ping LI ; Yun HUANGFU ; Fengjuan ZHANG ; Jing TAN ; Xuexia CAO
Journal of Sichuan University (Medical Sciences) 2024;55(5):1247-1253
Objective To examine the relationship between the expressions of mismatch repair proteins,MutS homolog 2(MSH2)and MutS homolog 6(MSH6),and villin and the pathological features in patients with colon cancer.Methods A total of 310 cases of colon cancer patients who were treated at our hospital between January 2017 and September 2021 were selected.The diagnosis of colon cancer of all patients was verified by pathological evaluation.Immunohistochemistry was used to determine the protein expressions of MSH2,MSH6,and villin.The correlation between the expressions of MSH2,MSH6,and villin and the clinicopathological parameters in patients with colon cancer was analyzed accordingly.Multivariate logistic regression was used to analyze the correlation between the expressions of MSH2,MSH6,and villin and the clinicopathological parameters of colon cancer.Kaplan-Meier survival curve was used to compare the 2-year survival rates of colon cancer patients with different expression levels of the proteins.Results Among the 310 patients with colon cancer,the negative expression rates of MSH2,MSH6,and villin proteins in cancer tissues were 8.71%(27/310),9.35%(29/310),and 46.13%(143/310),respectively.The negative expression rates of the three proteins in tissues adjacent to cancer were 3.23%(10/310),4.19%(13/310),and 9.68%(30/310),respectively.The negative expression rates of the three proteins in cancer tissues were all higher than those in adjacent tissues(P<0.05).Regression analysis showed that the expression of MSH2 and MSH6 in cancer tissues was correlated with the age,the location of tumor lesions,tumor differentiation degree,and lymph node metastasis in colon cancer patients(P<0.05).The expression of villin in the cancer tissue is correlated with the depth of tumor infiltration,lymph node metastasis,distant metastasis,and clinical staging status in colon cancer patients(P<0.05).The 2-year survival rates of patients with negative expressions of MSH2 and MSH6 were 51.85%and 44.83%,respectively,which were lower than those of patients with positive expression of MSH2 and MSH6(79.51%and 80.43%,P<0.05).Thirteen patients(4.1%)had negative expression of MSH2,MSH6,and villin(referred to as"triple negative expressions")in the cancer tissues,and their 2-year survival rate was 30.77%,which was lower than that of colon cancer patients who did not meet the criteria for triple negative expressions(79.12%[235/297],P<0.05).Conclusion The expressions of MSH2,MSH6,and villin are closely correlated with the pathological features of colon cancer patients.Evaluating the expression of the three proteins may assist in the clinical diagnosis,treatment,and prognosis evaluation of colon cancer.
2.The progress in treatment of type 1 of Stargardt disease
Dandan WANG ; Fengjuan GAO ; Shenghai ZHANG ; Qing CHANG ; Gezhi XU ; Jihong WU
Chinese Journal of Ocular Fundus Diseases 2021;37(7):567-572
Stargardt disease (STGD) is one of the most prevalent inherited macular dystrophy, and most often occurs in child or adolescence. Irreversible vision loss is observed in almost all cases. Type 1 (STGD1) is one of the most common type. It is an autosomal recessive condition, caused by mutations in the Abca4 gene. In recent years, encouraging progress has been made in the treatment of STGD1. C20-D3-retinyl acetate (ALK- 001), fenretinide and ICR-14967 (A1120) as visual cycle modulators, StarGen as gene supplementation therapies, and the stem cell transplantation of human embryonic stem cell-derived retinal pigment epithelium cells are the most promising therapies. With the development of studies and clinical trials, the clinical application of various treatments of STGD1 are expected in the near feature, which are expected to save the vision of most patients.
3.Correlation analysis between psychological torsion and anticipatory sorrow in patients with chronic gastroparesis
Fengjuan CHANG ; Junbao MA ; Chunling ZHAO
Chinese Journal of Modern Nursing 2019;25(5):626-629
Objective? To explore the level of psychological torsion and anticipatory sorrow in patients with chronic gastroparesis and to analyze the relationship between the two. Methods? Totally 121 patients with chronic gastroparesis admitted in Xinxiang Central Hospital from April 2014 to April 2016 were selected using convenient sampling. The patients' general information was collected. The Psychological Strain Scale and the Anticipatory Sorrow Scale were used to evaluate the psychological torsion and anticipatory sorrow levels in these patients. Pearson correlation analysis and multivariate regression analysis were used to analyze the relationship between psychological torsion and anticipatory sorrow. Results? The patients' psychological torsion scored (268.94±46.14), in which the dimension of anticipatory torsion scored the highest, which was (4.61±0.44). Their anticipatory sorrow scored (35.50±5.75), in which the dimension of physical symptom scored the highest, which was (2.46±0.35). The Pearson correlation analysis showed that the total score and scores of various dimensions of psychological torsion were positively correlatively with the total score and scores of the dimensions of self-consciousness, sorrow and physical symptom of anticipatory sorrow (P< 0.05). According to the multivariate linear regression analysis, all the four dimensions of psychological torsion were the influencing factors to anticipatory sorrow. Conclusions? The psychological torsion and anticipatory sorrow stand at a high level in patients with chronic gastroparesis, and the two are positively correlated with each other. Psychological torsion may be used to predict anticipatory sorrow. Nurses should take active interventions to reduce the patients' psychological torsion, thereby improving their ability of mediating anticipatory sorrow.

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