29 results on '"Li, Guan"'
Search Results
2. Identification of tumor-associated antigens and immune subtypes of lower-grade glioma and glioblastoma for mRNA vaccine development
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Wang, Zhi-liang, Huang, Ruo-yu, Han, Bo, Wu, Fan, Sun, Zhi-yan, Li, Guan-zhang, Zhang, Wei, Zhao, Zheng, and Liu, Xing
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- 2022
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3. A combined risk model for the multi-encompassing identification of heterogeneities of prognoses, biological pathway variations and immune states for sepsis patients
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Yin, Zong-xiu, Xing, Chun-yan, Li, Guan-hua, Pang, Long-bin, Wang, Jing, Pan, Jing, Zang, Rui, and Zhang, Shi
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- 2022
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4. Mutations in ALK and TSC1 in a gastrointestinal stromal tumor: a case report
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Song, Qingzhi, Li, Guan, Li, Zhuofei, Ao, Sheng, Hou, Jianing, and Lv, Guoqing
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- 2021
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5. Integrated metabolomic and transcriptomic profiling reveals the tissue-specific flavonoid compositions and their biosynthesis pathways in Ziziphora bungeana
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He, Jiang, Yang, Weijun, Cheng, Bo, Ma, Lina, Tursunjiang, Dilinuer, Ding, Zimian, Li, Yong, Wang, Zhaofeng, Ma, Yimian, and Li, Guan
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- 2020
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6. Oncogenic functions of the EMT-related transcription factor ZEB1 in breast cancer
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Wu, Hua-Tao, Zhong, Hui-Ting, Li, Guan-Wu, Shen, Jia-Xin, Ye, Qian-Qian, Zhang, Man-Li, and Liu, Jing
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- 2020
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7. Cognitive decline is related to high blood glucose levels in older Chinese adults with the ApoE ε3/ε3 genotype
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Qiu, Qi, Lin, Xiang, Sun, Lin, Zhu, Min-jie, Wang, Tao, Wang, Jing-hua, Li, Guan-jun, Xiao, Shi-fu, and Li, Xia
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- 2019
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8. Conserved phylogenetic distribution and limited antibiotic resistance of class 1 integrons revealed by assessing the bacterial genome and plasmid collection
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Zhang, An Ni, Li, Li-Guan, Ma, Liping, Gillings, Michael R., Tiedje, James M., and Zhang, Tong
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- 2018
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9. Tracking antibiotic resistance gene pollution from different sources using machine-learning classification
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Li, Li-Guan, Yin, Xiaole, and Zhang, Tong
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- 2018
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10. Isocitrate dehydrogenase 1–snail axis dysfunction significantly correlates with breast cancer prognosis and regulates cell invasion ability
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Liu, Wen-Shan, Chan, Shih-Hsuan, Chang, Hong-Tai, Li, Guan-Cheng, Tu, Ya-Ting, Tseng, Hui-Hwa, Fu, Ting-Ying, Chang, Hui-Yu, Liou, Huei-Han, Ger, Luo-Ping, and Tsai, Kuo-Wang
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- 2018
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11. Accuracy and safety of robot-assisted cortical bone trajectory screw placement: a comparison of robot-assisted technique with fluoroscopy-assisted approach.
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Yue Li, Long Chen, Yuzeng Liu, Hongtao Ding, Hongyi Lu, Aixing Pan, Xinuo Zhang, Yong Hai, Li Guan, Li, Yue, Chen, Long, Liu, Yuzeng, Ding, Hongtao, Lu, Hongyi, Pan, Aixing, Zhang, Xinuo, Hai, Yong, and Guan, Li
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SPINAL surgery ,FLUOROSCOPY ,COMPACT bone ,BONE screws ,SURGICAL robots ,SURGICAL blood loss ,ZYGAPOPHYSEAL joint - Abstract
Objective: To compare the safety and accuracy of cortical bone trajectory screw placement between the robot-assisted and fluoroscopy-assisted approaches.Methods: This retrospective study was conducted between November 2018 and June 2020, including 81 patients who underwent cortical bone trajectory (CBT) surgery for degenerative lumbar spine disease. CBT was performed by the same team of experienced surgeons. The patients were randomly divided into two groups-the fluoroscopy-assisted group (FA, 44 patients) and the robot-assisted group (RA, 37 patients). Robots for orthopedic surgery were used in the robot-assisted group, whereas conventional fluoroscopy-guided screw placement was used in the fluoroscopy-assisted group. The accuracy of screw placement and rate of superior facet joint violation were assessed using postoperative computed tomography (CT). The time of single screw placement, intraoperative blood loss, and radiation exposure to the surgical team were also recorded. The χ2 test and Student's t-test were used to analyze the significance of the variables (P < 0.05).Results: A total of 376 screws were inserted in 81 patients, including 172 screws in the robot-assisted group and 204 pedicle screws in the fluoroscopy-assisted group. Screw placement accuracy was higher in the RA group (160, 93%) than in the FA group (169, 83%) (P = 0.003). The RA group had a lower violation of the superior facet joint than the FA group. The number of screws reaching grade 0 in the RA group (58, 78%) was more than that in the FA group (56, 64%) (P = 0.041). Screw placement time was longer in the FA group (7.25 ± 0.84 min) than in the RA group (5.58 ± 1.22 min, P < 0.001). The FA group had more intraoperative bleeding (273.41 ± 118.20 ml) than the RA group (248.65 ± 97.53 ml, P = 0.313). The radiation time of the FA group (0.43 ± 0.07 min) was longer than the RA group (0.37 ± 0.10 min, P = 0.001). Furthermore, the overall learning curve tended to decrease.Conclusions: Robot-assisted screw placement improves screw placement accuracy, shortens screw placement time, effectively improves surgical safety and efficiency, and reduces radiation exposure to the surgical team. In addition, the learning curve of robot-assisted screw placement is smooth and easy to operate. [ABSTRACT FROM AUTHOR]- Published
- 2022
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12. Conserved phylogenetic distribution and limited antibiotic resistance of class 1 integrons revealed by assessing the bacterial genome and plasmid collection
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Tong Zhang, James M. Tiedje, An-Ni Zhang, Michael R. Gillings, Liping Ma, and Li-Guan Li
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0301 basic medicine ,Microbiology (medical) ,Gene Transfer, Horizontal ,Antibiotic resistance ,Bioinformatics ,Bacterial genome size ,010501 environmental sciences ,Biology ,Integrase ,01 natural sciences ,Microbiology ,Phylogenetic distribution ,lcsh:Microbial ecology ,Integron ,Integrons ,Evolution, Molecular ,03 medical and health sciences ,Plasmid ,Microbial ecology ,Genotype ,Drug Resistance, Bacterial ,Database construction ,Cassette ,XerC ,Letter to the Editor ,Transposon ,Phylogeny ,0105 earth and related environmental sciences ,Genetics ,Class 1 integrons ,Research ,Drug Resistance, Microbial ,Sequence Analysis, DNA ,biochemical phenomena, metabolism, and nutrition ,bacterial infections and mycoses ,030104 developmental biology ,Whole genome analysis ,Horizontal gene transfer ,lcsh:QR100-130 ,bacteria ,Gammaproteobacteria ,Genome, Bacterial ,Antibiotic resistance genes ,Plasmids - Abstract
Background Integrons, especially the class 1 integrons, are major contributors to the acquisition and dissemination of antibiotic resistance genes (ARGs). However, comprehensive knowledge of the types, content, and distribution of integrons in bacterial taxa is lacking to evaluate their contribution. Results We have constructed a new integrase database and developed a pipeline that provides comprehensive recovery of class 1 integrons. Previous PCR-based techniques might only detect one fourth of the integron-integrases and integrons recovered in this study. By exploring the class 1 integrons in over 73,000 currently available complete and draft bacterial genomes, the contribution of class 1 integrons in spreading and acquiring ARGs was evaluated. Firstly, the host species of class 1 integrons are highly conserved within (96%) in class Gammaproteobacteria, dominated by four pathogenic species of “ESKAPE.” Secondly, more than half of class 1 integrons are embedded in chromosomes with less potential for horizontal gene transfer. Finally, ARGs that have been acquired by these integrons only cover 11% of all the ARG genotypes detected in bacterial genomes. Conclusions The above observations indicated that there are both biological and ecological limitations to class 1 integrons in acquiring and spreading ARGs across different classes of the domain Bacteria. Electronic supplementary material The online version of this article (10.1186/s40168-018-0516-2) contains supplementary material, which is available to authorized users.
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- 2018
13. Pulmonary endothelial activation caused by extracellular histones contributes to neutrophil activation in acute respiratory distress syndrome
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Jie Yu, Shuqiang Li, Li Guan, Jinyuan Zhao, Yanlin Zhang, Lijun Mao, and Zanmei Zhao
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Pulmonary and Respiratory Medicine ,0301 basic medicine ,Lipopolysaccharides ,Male ,Lipopolysaccharide ,Endothelium ,P-selectin ,Thrombomodulin ,Inflammation ,030204 cardiovascular system & hematology ,Neutrophil Activation ,Endothelial activation ,Histones ,03 medical and health sciences ,chemistry.chemical_compound ,Mice ,0302 clinical medicine ,Extracellular ,medicine ,Extracellular histones ,Cell Adhesion ,Animals ,Antibodies, Blocking ,Lung ,Respiratory Distress Syndrome ,biology ,Acute respiratory distress syndrome ,Research ,Neutrophil ,Toll-Like Receptors ,Cell biology ,Mice, Inbred C57BL ,P-Selectin ,030104 developmental biology ,medicine.anatomical_structure ,chemistry ,Myeloperoxidase ,Immunoglobulin G ,Immunology ,biology.protein ,medicine.symptom - Abstract
Background During the acute respiratory distress syndrome (ARDS), neutrophils play a central role in the pathogenesis, and their activation requires interaction with the endothelium. Extracellular histones have been recognized as pivotal inflammatory mediators. This study was to investigate the role of pulmonary endothelial activation during the extracellular histone-induced inflammatory response in ARDS. Methods ARDS was induced in male C57BL/6 mice by intravenous injection with lipopolysaccharide (LPS) or exogenous histones. Concurrent with LPS administration, anti-histone H4 antibody (anti-H4) or non-specific IgG was administered to study the role of extracellular histones. The circulating von Willebrand factor (vWF) and soluble thrombomodulin (sTM) were measured with ELISA kits at the preset time points. Myeloperoxidase (MPO) activity in lung tissue was measured with a MPO detection kit. The translocation of P-selectin and neutrophil infiltration were measured by immunohistochemical detection. For in vitro studies, histone H4 in the supernatant of mouse lung vascular endothelial cells (MLVECs) was measured by Western blot. The binding of extracellular histones with endothelial membrane was examined by confocal laser microscopy. Endothelial P-selectin translocation was measured by cell surface ELISA. Adhesion of neutrophils to MLVECs was assessed with a color video digital camera. Results The results showed that during LPS-induced ARDS extracellular histones caused endothelial and neutrophil activation, as seen by P-selectin translocation, release of vWF, an increase of circulating sTM, lung neutrophil infiltration and increased MPO activity. Extracellular histones directly bound and activated MLVECs in a dose-dependent manner. On the contrary, the direct stimulatory effect of exogenous histones on neutrophils was very limited, as measured by neutrophil adhesion and MPO activity. With the contribution of activated endothelium, extracellular histones could effectively activating neutrophils. Both inhibiting the endothelial activation with an anti-toll like receptor (TLR) antibody and inhibiting the interaction of the endothelium with neutrophil using an anti-P-selectin antibody decreased the degree of neutrophil activation. Conclusions Extracellular histones are pro-inflammatory mediators in LPS-induced ARDS in mice. In addition to direct action to neutrophils, extracellular histones promote neutrophil adhesion and subsequent activation by first activating the pulmonary endothelium via TLR signaling. Thus, endothelial activation is important for extracellular histone-induced inflammatory injury.
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- 2016
14. Genetic factors leading to chronic Epstein-Barr virus infection and nasopharyngeal carcinoma in South East China: Study design, methods and feasibility
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Xiu Guo, Kevin Scott, Yan Liu, Michael Dean, Victor David, George W Nelson, Randall C Johnson, Holli H Dilks, James Lautenberger, Bailey Kessing, Janice Martenson, Li Guan, Shan Sun, Hong Deng, Yuming Zheng, Guy de The, Jian Liao, Yi Zeng, Stephen J O'Brien, and Cheryl A Winkler
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Male ,Epstein-Barr Virus Infections ,lcsh:Medicine ,Linkage Disequilibrium ,0302 clinical medicine ,Gene Frequency ,Drug Discovery ,0303 health sciences ,education.field_of_study ,Middle Aged ,3. Good health ,Research Design ,030220 oncology & carcinogenesis ,Molecular Medicine ,Female ,Chromosomes, Human, Pair 4 ,Primary Research ,Adult ,Genetic Markers ,microsatellite ,China ,lcsh:QH426-470 ,Adolescent ,Population ,Biology ,association study ,03 medical and health sciences ,Genetic linkage ,Genetics ,medicine ,Epstein-Barr virus ,Humans ,Genetic Predisposition to Disease ,Allele ,chromosome 4 ,education ,Molecular Biology ,Epstein–Barr virus infection ,Allele frequency ,Alleles ,030304 developmental biology ,Aged ,nasopharyngeal carcinoma ,lcsh:R ,Case-control study ,Nasopharyngeal Neoplasms ,medicine.disease ,Immunoglobulin A ,lcsh:Genetics ,Chronic infection ,Nasopharyngeal carcinoma ,Case-Control Studies ,Immunology ,Chronic Disease ,Feasibility Studies - Abstract
Nasopharyngeal carcinoma (NPC) is a complex disease caused by a combination of Epstein-Barr virus chronic infection, the environment and host genes in a multi-step process of carcinogenesis. The identity of genetic factors involved in the development of chronic Epstein-Barr virus infection and NPC remains elusive, however. Here, we describe a two-phase, population-based, case-control study of Han Chinese from Guangxi province, where the NPC incidence rate rises to a high of 25-50 per 100,000 individuals. Phase I, powered to detect single gene associations, enrolled 984 subjects to determine feasibility, to develop infrastructure and logistics and to determine error rates in sample handling. A microsatellite screen of Phase I study participants, genotyped for 319 alleles from 34 microsatellites spanning an 18-megabase region of chromosome 4 (4p15.1-q12), previously implicated by a linkage analysis of familial NPC, found 14 alleles marginally associated with developing NPC or chronic immunoglobulin A production (p = 0.001-0.03). These associations lost significance after applying a correction for multiple tests. Although the present results await confirmation, the Phase II study population has tripled patient enrolment and has included environmental covariates, offering the potential to validate this and other genomic regions that influence the onset of NPC.
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- 2006
15. Pulmonary endothelial activation caused by extracellular histones contributes to neutrophil activation in acute respiratory distress syndrome.
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Yanlin Zhang, Li Guan, Jie Yu, Zanmei Zhao, Lijun Mao, Shuqiang Li, and Jinyuan Zhao
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PULMONARY endothelium , *ADULT respiratory distress syndrome , *NEUTROPHILS , *HISTONES , *LIPOPOLYSACCHARIDES - Abstract
Background: During the acute respiratory distress syndrome (ARDS), neutrophils play a central role in the pathogenesis, and their activation requires interaction with the endothelium. Extracellular histones have been recognized as pivotal inflammatory mediators. This study was to investigate the role of pulmonary endothelial activation during the extracellular histone-induced inflammatory response in ARDS. Methods: ARDS was induced in male C57BL/6 mice by intravenous injection with lipopolysaccharide (LPS) or exogenous histones. Concurrent with LPS administration, anti-histone H4 antibody (anti-H4) or non-specific IgG was administered to study the role of extracellular histones. The circulating von Willebrand factor (vWF) and soluble thrombomodulin (sTM) were measured with ELISA kits at the preset time points. Myeloperoxidase (MPO) activity in lung tissue was measured with a MPO detection kit. The translocation of P-selectin and neutrophil infiltration were measured by immunohistochemical detection. For in vitro studies, histone H4 in the supernatant of mouse lung vascular endothelial cells (MLVECs) was measured by Western blot. The binding of extracellular histones with endothelial membrane was examined by confocal laser microscopy. Endothelial P-selectin translocation was measured by cell surface ELISA. Adhesion of neutrophils to MLVECs was assessed with a color video digital camera. Results: The results showed that during LPS-induced ARDS extracellular histones caused endothelial and neutrophil activation, as seen by P-selectin translocation, release of vWF, an increase of circulating sTM, lung neutrophil infiltration and increased MPO activity. Extracellular histones directly bound and activated MLVECs in a dose-dependent manner. On the contrary, the direct stimulatory effect of exogenous histones on neutrophils was very limited, as measured by neutrophil adhesion and MPO activity. With the contribution of activated endothelium, extracellular histones could effectively activating neutrophils. Both inhibiting the endothelial activation with an anti-toll like receptor (TLR) antibody and inhibiting the interaction of the endothelium with neutrophil using an anti-P-selectin antibody decreased the degree of neutrophil activation. Conclusions: Extracellular histones are pro-inflammatory mediators in LPS-induced ARDS in mice. In addition to direct action to neutrophils, extracellular histones promote neutrophil adhesion and subsequent activation by first activating the pulmonary endothelium via TLR signaling. Thus, endothelial activation is important for extracellular histone-induced inflammatory injury. [ABSTRACT FROM AUTHOR]
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- 2016
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16. Salidroside alleviates oxidative stress in the liver with non- alcoholic steatohepatitis in rats.
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Ze-ran Yang, Hui-fang Wang, Tie-cheng Zuo, Li-li Guan, and Ning Dai
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OXIDATIVE stress ,FATTY liver ,RATS ,CYTOCHROME P-450 CYP2E1 ,FIBROSIS ,ANTIOXIDANTS - Abstract
Background: Nonalcoholic steatohepatitis (NASH) is characterized by fat accumulation in the hepatocyte, inflammation, liver cell injury, and varying degrees of fibrosis, and can lead to oxidative stress in liver. Here, we investigated whether Salidroside, a natural phenolic antioxidant product, can protect rat from liver injury during NASH. Methods: NASH model was established by feeding the male SD rats with high-fat and high-cholesterol diet for 14 weeks. Four groups of male SD rats including, normal diet control group, NASH model group, and Salidroside treatment group with150mg/kg and 300 mg/kg respectively, were studied. Salidroside was given by oral administration to NASH in rats from 9 weeks to 14 weeks. At the end of 14 weeks, liver and serum were harvested, and the liver injury, oxidative stress and histological features were evaluated. Results: NASH rats exhibited significant increases in the following parameters as compared to normal diet control rats: fat droplets with foci of inflammatory cell infiltration in the liver. ALT, AST in serum and TG, TC in hepatocyte elevated. Oxidative responsive genes including CYP2E1 and Nox2 increased. Additionally, NASH model decreased antioxidant enzymes SOD, GSH, GPX, and CAT in the liver due to their rapid depletion after battling against oxidative stress. Compared to NASH model group, treatment rats with Salidroside effectively reduced lipid accumulation, inhibited liver injury in a does-dependent manner. Salidroside treatment restored antioxidant enzyme levels, inhibited expression of CYP2E1 and Nox2 mRNA in liver, which prevented the initial step of generating free radicals from NASH. Conclusion: The data presented here show that oral administration of Salidroside prevented liver injury in the NASH model, likely through exerting antioxidant actions to suppress oxidative stress and the free radical-generating CYP2E1 enzyme, Nox2 in liver. [ABSTRACT FROM AUTHOR]
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- 2016
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17. The combination of blue dye and radioisotope versus radioisotope alone during sentinel lymph node biopsy for breast cancer: a systematic review.
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Pei-Sheng He, Feng Li, Guan-Hua Li, Can Guo, Tian-Jin Chen, He, Pei-Sheng, Li, Feng, Li, Guan-Hua, Guo, Can, and Chen, Tian-Jin
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BREAST cancer diagnosis ,BREAST cancer patients ,SENTINEL lymph node biopsy ,BREAST biopsy ,RADIOISOTOPES ,SYSTEMATIC reviews ,BREAST tumor diagnosis ,RADIOISOTOPE therapy ,DYES & dyeing ,BREAST tumors ,PROGNOSIS ,PREDICTIVE tests ,THERAPEUTICS - Abstract
Background: The combination of blue dye and radioisotope is most widely used to identify sentinel lymph nodes (SLNs) in patients with breast cancer. However, some individual studies suggested that dual tracers did not have an advantage over radioisotope alone in detecting SLNs. We performed a systematic review to investigate the added value of blue dye in addition to radioisotope.Methods: We searched Pubmed and Embase. Prospective studies that compared the combination of radioisotope and blue dye with radioisotope alone were selected. The identification rate of SLNs and the false-negative rate were the main outcomes of interest. The odds ratios (ORs) and 95% confidential intervals (CIs) were calculated by using random-effects model.Results: Twenty-four studies were included. The combination of radioisotope and blue dye showed higher identification rate than radioisotope alone (OR = 2.03, 95% CI 1.53-2.69, P < 0.05). However, no statistically significant difference was revealed for patients after neoadjuvant chemotherapy (OR = 1.64, 95% CI 0.82-3.27, P > 0.05), or for studies with high proportion of patients with positive lymphoscintigraphy (OR = 1.41, 95% CI 0.83-2.39, P > 0.05). Dual tracers did not significantly lower the false-negative rate compared with radioisotope alone (OR = 0.76, 95% CI 0.44-1.29, P > 0.05).Conclusions: Although the combination of blue dye and radioisotope outperformed radioisotope alone in SLN detection, the superiority for dual tracers may be limited for patients with positive lymphoscintigraphy or for those after neoadjuvant chemotherapy. Besides, the combined modality did not help lower the false-negative rate. [ABSTRACT FROM AUTHOR]- Published
- 2016
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18. Resveratrol ameliorates myocardial fibrosis by inhibiting ROS/ERK/TGF-β/periostin pathway in STZ-induced diabetic mice.
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Han Wu, Guan-Nan Li, Jun Xie, Ran Li, Qin-Hua Chen, Jian-Zhou Chen, Zhong-Hai Wei, Li-Na Kang, Biao Xu, Wu, Han, Li, Guan-Nan, Xie, Jun, Li, Ran, Chen, Qin-Hua, Chen, Jian-Zhou, Wei, Zhong-Hai, Kang, Li-Na, and Xu, Biao
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FIBROSIS ,MYOCARDIAL infarction ,DIABETIC cardiomyopathy ,OXIDATIVE stress ,ANIMAL models in research ,DIABETES complications ,HEART metabolism ,REACTIVE oxygen species ,ANIMAL experimentation ,ANTIOXIDANTS ,CELL adhesion molecules ,CELLULAR signal transduction ,DIABETES ,GROWTH factors ,HEART ,MICE ,MYOCARDIUM ,PSYCHOLOGICAL tests ,STILBENE ,DISEASE complications - Abstract
Background: Myocardial fibrosis is an essential hallmark of diabetic cardiomyopathy (DCM) contributing to cardiac dysfunctions. Resveratrol, an antioxidant, exerts its anti-fibrotic effect via inhibition of oxidative stress, while the underlying molecular mechanism remains largely elusive. Periostin, a fibrogenesis matricellular protein, has been shown to be associated with oxidative stress. In the present study, we investigated the role of periostin in anti-fibrotic effect of resveratrol in streptozocin (STZ)-induced diabetic heart and the underlying mechanisms.Methods: Diabetic mice were induced by STZ injection. After treatment with resveratrol (5 or 25 mg/kg/day i.g) or Saline containing 0.5% carboxymethyl cellulose (CMC) for 2 months, the hearts were detected for oxidative stress and cardiac fibrosis using western blot, Masson's trichrome staining and Dihydroethidium (DHE) staining. In in vitro experiments, proliferation and differentiation of fibroblasts under different conditions were investigated through western blot, 3-(4,5)-dimethylthiahiazo (-z-y1)-3,5-di-phenytetrazoliumromide (MTT) assay and immunofluorescence staining.Results: Administration of resveratrol significantly mitigated oxidative level, interstitial fibrosis and expressions of related proteins in STZ-induced diabetic hearts. In in vitro experiments, resveratrol exhibited anti-proliferative effect on primary mouse cardiac fibroblasts via inhibiting reactive oxygen species (ROS)/extracellular regulated kinase (ERK) pathway and ameliorated myofibroblast differentiation via suppressing ROS/ERK/ transforming growth factor β (TGF-β)/periostin pathway.Conclusion: Increased ROS production, activation of ERK/TGF-β/periostin pathway and myocardial fibrosis are important events in DCM. Alleviated ROS genesis by resveratrol prevents myocardial fibrosis by regulating periostin related signaling pathway. Thus, inhibition of ROS/periostin may represent a novel approach for resveratrol to reverse fibrosis in DCM. [ABSTRACT FROM AUTHOR]- Published
- 2016
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19. How to improve the equity of health financial sources? - Simulation and analysis of total health expenditure of one Chinese province on system dynamics.
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Xin Wang, Yuanling Sun, Xin Mu, Li Guan, and Jingjie Li
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COMPUTER simulation ,HEALTH services accessibility ,HEALTH status indicators ,MATHEMATICS ,MEDICAL care costs ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
Introduction: We simulate and analyze Total Health Expenditure (THE) in financial sources and other economic indicators (such as THE per capita, GDP, etc.) in a province of China from 2002 to 2012 on System Dynamics. Methods: Based on actual data and certain mathematical methods, we use system dynamic software to construct a logic model for THE and changing proportions, and thus simulate the actual conditions of development and changes in THE. Results: According to the simulation results, the government possess the largest investment in the average annual growth rate of THE, which was 25.16 % in 2012. Social investment comprises the majority of the possession ratio, which was up to 41.20 %. Conclusions: The personal investment growth rate decreased by almost 21 %, but the total amount of personal investment increased by 28075 million yuan, which is far higher than the increase in government investment. Individuals are still the main carriers of health care expenses. The equity of health financial sources is still poor. The System Dynamics method used in this paper identifies a dynamic measurement process, provides a scientific basis for simulation and analysis of the changes in THE and its key constraining factors, as well as put forward suggestions for the improvement of equity of health financial sources. [ABSTRACT FROM AUTHOR]
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- 2015
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20. Anterior cervical discectomy and fusion may be more effective than anterior cervical corpectomy and fusion for the treatment of cervical spondylotic myelopathy.
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Li Guan, Yong Hai, Jin-Cai Yang, Li-Jin Zhou, and Xiao-Long Chen
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DISCECTOMY , *CERVICAL spondylotic myelopathy , *META-analysis , *ODDS ratio , *BLOOD loss estimation , *THERAPEUTICS - Abstract
Background: This meta-analysis explored the efficacy and safety of anterior cervical corpectomy and fusion (ACCF) comparing to anterior cervical discectomy and fusion (ACDF) in treating cervical spondylotic myelopathy (CSM) patients. Methods: Several electronic databases were searched combined with manually searching. Thirteen randomized controlled studies were enrolled with 1,062 CSM patients, including 468 patients and 594 patients in the in the ACCF and ACDF group, respectively. The meta-analysis was then performed using the STATA 12.0 software. Crude standard mean difference (SMD) or odds ratio (OR) with their 95% confidence intervals (CI) were calculated. Results: Our meta-analysis results revealed that CSM patients in ACDF group showed less blood loss than those in ACCF group (SMD = 1.21, 95% CI = 1.03 ~ 1.39, P < 0.001). The operation time of CSM patients in the ACDF group was also obviously shorter than those in ACCF group (SMD = 0.40, 95% CI = 0.23 ~ 0.57, P < 0.001). Furthermore, CSM patients in ACDF group had shorter hospital time than those in ACCF group (SMD = 0.45, 95% CI = 0.21 ~ 0.69, P < 0.001). Conclusion: Our findings provide empirical evidence that ACDF may be more effective than ACCF for CSM treatment. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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21. The association between metabolic syndrome and the risk of prostate cancer, high-grade prostate cancer, advanced prostate cancer, prostate cancer-specific mortality and biochemical recurrence.
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Xiang, Yu-zhu, Hui Xiong, Cui, Zi-lian, Jiang, Shao-bo, Xia, Qing-hua, Yong Zhao, Li, Guan-bin, and Jin, Xun-bo
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METABOLIC syndrome ,PROSTATE cancer risk factors ,CANCER-related mortality ,META-analysis ,PROSTATECTOMY ,PROSTATE cancer patients ,AGGRESSION (Psychology) ,INSULIN resistance - Abstract
Background: Although a previous meta-analysis reported no association between metabolic syndrome (MetS) and prostate cancer risk, a number of studies suggest that MetS may be associated with the aggressiveness and progression of prostate cancer. However, these results have been inconsistent. This systematic review and metaanalysis investigated the nature of this association. Methods: We systematically searched MEDLINE, EMBASE and bibliographies of retrieved studies up to January 2013 using the keywords "metabolic syndrome" and "prostate cancer". We assessed relative risks (RRs) of the prostate cancer, several parameters of prostate cancer aggressiveness and progression associated with MetS using 95% confidence intervals (95% CIs). Results: The literature search produced 547 hits from which 19 papers were extracted for the meta-analysis. In cancer-free population with and without MetS, the combined adjusted RR (95% CI) of prostate cancer risk and prostate cancer-specific mortality in longitudinal cohort studies is 0.96 (0.85 ~ 1.09) and 1.12 (1.02 ~ 1.23) respectively. In the prostate cancer patients with and without MetS, the combined unadjusted OR (95% CI) of high grade Gleason prostate cancer is 1.44 (1.20 ~ 1.72), the OR of advanced prostate cancer is 1.37 (1.12 ~ 1.68) and the OR of biochemical recurrence is 2.06 (1.43 ~ 2.96). Conclusions: The overall analyses revealed no association between MetS and prostate cancer risk, although men with MetS appear more likely to have high-grade prostate cancer and more advanced disease, were at greater risk of progression after radical prostatectomy and were more likely to suffer prostate cancer-specific death. Further primary studies with adjustment for appropriate confounders and larger, prospective, multicenter investigations are required. [ABSTRACT FROM AUTHOR]
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- 2013
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22. Attention Deficit Hyperactivity Disorder comorbid oppositional defiant disorder and its predominately inattentive type: evidence for an association with COMT but not MAOA in a Chinese sample.
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Qiu-Jin Qian, Jin Liu1, Yu-Feng Wang, Li Yang, Li-Li Guan, and Faraone, Stephen V.
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ATTENTION-deficit hyperactivity disorder ,BEHAVIOR disorders in children ,PHENOTYPES ,COMORBIDITY - Abstract
Background: There are three childhood disruptive behavior disorders (DBDs), attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD). The most common comorbid disorder in ADHD is ODD. DSM-IV describes three ADHD subtypes: predominantly inattentive type (ADHD-IA), predominantly hyperactive-impulsive type (ADHD-HI), and combined type (ADHD-C). Prior work suggests that specific candidate genes are associated with specific subtypes of ADHD in China. Our previous association studies between ADHD and functional polymorphisms of COMT and MAOA, consistently showed the low transcriptional activity alleles were preferentially transmitted to ADHD-IA boys. Thus, the goal of the present study is to test the hypothesis that COMT Val158Met and MAOA-uVNTR jointly contribute to the ODD phenotype among Chinese ADHD boys. Methods: 171 Chinese boys between 6 and 17.5 years old (mean = 10.3, SD = 2.6) with complete COMT val158met and MAOA-uVNTR genotyping information were studied. We used logistic regression with genotypes as independent variables and the binary phenotype as the dependent variable. We used p < 0.05 as the level of nominal statistical significance. Bonferroni correction procedures were used to adjust for multiple comparisons. Results: Our results highlight the potential etiologic role of COMT in the ADHD with comorbid ODD and its predominately inattentive type in male Chinese subjects. ADHD with comorbid ODD was associated with homozygosity of the high-activity Val allele, while the predominantly inattentive ADHD subtype was associated with the low-activity Met allele. We found no evidence of association between the MAOA-uVNTR variant and ADHD with comorbid ODD or the ADHD-IA subtype. Conclusion: Our study of attention deficit hyperactivity disorder comorbid oppositional defiant disorder and its predominately inattentive type highlights the potential etiologic role of COMT for ADHD children in China. But we failed to observe an interaction between COMT and MAOA, which suggests that epistasis between COMT and MAOA genes does not influence the phenotype of ADHD-IA with comorbid ODD in a clinical sample of Chinese male subjects. To confirm our findings further studies with a larger number of subjects and healthy controls are needed. [ABSTRACT FROM AUTHOR]
- Published
- 2009
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23. A population-based study to investigate host genetic factors associated with hepatitis B infection and pathogenesis in the Chinese population.
- Author
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Zheng Zeng, Li Guan, Ping An, Shan Sun, O'Brien, Stephen J., and Winkler, Cheryl A.
- Subjects
- *
CASE studies , *HEPATITIS B virus , *CHINESE people , *CIRRHOSIS of the liver , *LIVER cancer , *DISEASES - Abstract
Background: Hepatitis B virus (HBV) infection is a significant public health problem that may lead to chronic liver disease, cirrhosis, and hepatocellular carcinoma (HCC). Approximately 30% of the world's population has been infected with HBV and approximately 350 million (5-6%) are persistent carriers. More than 120 million Chinese are infected with HBV. The role of host genetic factors and their interactions with environmental factors leading to chronic HBV infection and its complications are not well understood. We believe that a better understanding of these factors and interactions will lead to more effective diagnostic and therapeutic options. Methods/Design: This is a population-based, case-control study protocol to enroll 2200 Han Chinese from medical centers in northern and western China. Adult subjects in the following groups are being enrolled: healthy donors (n = 200), HBV infected persons achieving virus clearance (n = 400), asymptomatic HBV persistent carriers (n = 400), chronic hepatitis B cases (n = 400), decompensated liver cirrhosis with HBV infection cases (n = 400), and hepatocellular carcinoma with HBV infection cases (n = 400). In addition, for haplotype inference and quality control of sample handling and genotyping results, children of 1000 cases will be asked to provide a buccal sample for DNA extraction. With the exception of adult patients presenting with liver cirrhosis or HCC, all other cases and controls will be 40 years or older at enrollment. A questionnaire is being administered to capture dietary and environmental risk factors. Both candidate-gene and genome-wide association approaches will be used to assess the role of single genetic factors and higher order interactions with other genetic or environmental factors in HBV diseases. Conclusion: This study is designed and powered to detect single gene effects as well as gene-gene and environmental-gene interactions. The identification of allelic polymorphisms in genes involved in the pathway leading to chronic viral infection, liver cirrhosis and, ultimately, hepatocellular carcinoma would provide insights to those factors leading to HBV replication, liver inflammation, fibrosis, and the carcinogenic process. An understanding of the contribution of host genetic factors and their interactions may inform public health policy, improve diagnostics and clinical management, and provide targets for drug development. [ABSTRACT FROM AUTHOR]
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- 2008
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24. Safety and efficacy of anti-PCSK9 antibodies: a meta-analysis of 25 randomized, controlled trials.
- Author
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Zhang, Xin-Lin, Zhu, Qing-Qing, Zhu, Li, Chen, Jian-Zhou, Chen, Qin-Hua, Li, Guan-Nan, Xie, Jun, Kang, Li-Na, and Xu, Biao
- Abstract
Background: Inhibition of proprotein convertase subtilisin/kexin type 9 (PCSK9) has been intensively studied to lower low-density lipoprotein cholesterol (LDL-C) levels. The purpose of this meta-analysis was to evaluate the safety and efficacy of anti-PCSK9 antibodies in randomized, controlled trials (RCTs).Methods: PubMed, EMBASE, CENTRAL databases, and recent conferences were searched. Safety outcomes were rates of common adverse events. Efficacy outcomes included percentages of LDL-C lowering and other lipid changes compared with placebo and ezetimibe, respectively.Results: Twenty-five RCTs encompassing 12,200 patients were included. The rates of common adverse events were firstly reported in our study by pooling together all evidence in RCTs, showing largely no significant difference between anti-PCSK9 antibodies and placebo (or ezetimibe), except that alirocumab was associated with reduced rates of death (relative risk (RR): 0.43, 95 % confidence interval (CI): 0.19 to 0.96, P = 0.04) and an increased rate of injection-site reactions (RR: 1.48, 95 % CI: 1.05 to 2.09, P = 0.02); evolocumab reduced the rate of abnormal liver function (RR: 0.43, 95 % CI: 0.20 to 0.93, P = 0.03), both compared with placebo. No significant difference in safety outcomes was detected between monthly 420 mg and biweekly 140 mg evolocumab treatments. Monthly 420 mg evolocumab treatment significantly reduced LDL-C by -54.6 % (95 % CI: -58.7 to -50.5 %) and by absolute -78.9 mg/dl (95 % CI: -88.9 to -68.9 mg/dl) versus placebo, and by -36.3 % (95 % CI: -38.8 to -33.9 %) versus ezetimibe, and increased high-density lipoprotein cholesterol (HDL-C) by 7.6 % (95 % CI: 5.7 to 9.5 %) versus placebo and 6.4 % (95 % CI: 4.3 to 8.4 %) versus ezetimibe. An equal or even greater change was observed following biweekly 140 mg administration. Significant and favorable changes were also detected in other lipids following evolocumab treatment. Biweekly 50 to 150 mg alirocumab lowered LDL-C by -52.6 % (95 % CI: -58.2 to -47.0 %) versus placebo, by -29.9 % (95 % CI: -32.9 to -26.9 %) versus ezetimibe, and increased HDL-C by 8.0 % (95 % CI: 4.2 to 11.7 %) versus placebo.Conclusions: Evolocumab and alirocumab were safe and well-tolerated from our most-powered analyses. Both antibodies substantially reduced the LDL-C level by over 50 %, increased the HDL-C level, and resulted in favorable changes in other lipids. [ABSTRACT FROM AUTHOR]- Published
- 2015
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25. Lactobacillus rhamnosus GG modulates innate signaling pathway and cytokine responses to rotavirus vaccine in intestinal mononuclear cells of gnotobiotic pigs transplanted with human gut microbiota.
- Author
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Wang H, Gao K, Wen K, Allen IC, Li G, Zhang W, Kocher J, Yang X, Giri-Rachman E, Li GH, Clark-Deener S, and Yuan L
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- Animals, Biodiversity, Disease Models, Animal, Dose-Response Relationship, Immunologic, Feces microbiology, Humans, Intestines microbiology, Intestines virology, Probiotics administration & dosage, Rotavirus Infections immunology, Rotavirus Infections prevention & control, Rotavirus Infections virology, Signal Transduction immunology, Swine, T-Lymphocytes immunology, Vaccines, Attenuated immunology, Vaccines, Attenuated pharmacology, Cytokines immunology, Gastrointestinal Microbiome immunology, Germ-Free Life immunology, Intestines immunology, Lacticaseibacillus rhamnosus immunology, Rotavirus Vaccines immunology, Rotavirus Vaccines pharmacology
- Abstract
Background: A better understanding of mechanisms underlying dose-effects of probiotics in their applications as treatments of intestinal infectious or inflammatory diseases and as vaccine adjuvant is needed. In this study, we evaluated the modulatory effects of Lactobacillus rhamnosus GG (LGG) on transplanted human gut microbiota (HGM) and on small intestinal immune cell signaling pathways in gnotobiotic pigs vaccinated with an oral attenuated human rotavirus (AttHRV) vaccine., Results: Neonatal HGM transplanted pigs were given two doses of AttHRV on 5 and 15 days of age and were divided into three groups: none-LGG (AttHRV), 9-doses LGG (AttHRV + LGG9X), and 14-doses LGG (AttHRV + LGG14X) (n = 3-4). At post-AttHRV-inoculation day 28, all pigs were euthanized and intestinal contents and ileal tissue and mononuclear cells (MNC) were collected. AttHRV + LGG14X pigs had significantly increased LGG titers in the large intestinal contents and shifted structure of the microbiota as indicated by the formation of a cluster that is separated from the cluster formed by the AttHRV and AttHRV + LGG9X pigs. The increase in LGG titers concurred with significantly increased ileal HRV-specific IFN-γ producing T cell responses to the AttHRV vaccine reported in our previous publication, suggesting pro-Th1 adjuvant effects of the LGG. Both 9- and 14-doses LGG fed pig groups had significantly higher IkBα level and p-p38/p38 ratio, while significantly lower p-ERK/ERK ratio than the AttHRV pigs, suggesting activation of regulatory signals during immune activation. However, 9-doses, but not 14-doses LGG fed pigs had enhanced IL-6, IL-10, TNF-α, TLR9 mRNA levels, and p38 MAPK and ERK expressions in ileal MNC. Increased TLR9 mRNA was in parallel with higher mRNA levels of cytokines, p-NF-kB and higher p-p38/p38 ratio in MNC of the AttHRV + LGG9X pigs., Conclusions: The relationship between modulation of gut microbiota and regulation of host immunity by different doses of probiotics is complex. LGG exerted divergent dose-dependent effects on the intestinal immune cell signaling pathway responses, with 9-doses LGG being more effective in activating the innate immunostimulating TLR9 signaling pathway than 14-doses in the HGM pigs vaccinated with AttHRV.
- Published
- 2016
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26. The combination of blue dye and radioisotope versus radioisotope alone during sentinel lymph node biopsy for breast cancer: a systematic review.
- Author
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He PS, Li F, Li GH, Guo C, and Chen TJ
- Subjects
- Breast Neoplasms diagnosis, Female, Humans, Predictive Value of Tests, Prognosis, Breast Neoplasms pathology, Coloring Agents therapeutic use, Radioisotopes therapeutic use, Sentinel Lymph Node Biopsy methods
- Abstract
Background: The combination of blue dye and radioisotope is most widely used to identify sentinel lymph nodes (SLNs) in patients with breast cancer. However, some individual studies suggested that dual tracers did not have an advantage over radioisotope alone in detecting SLNs. We performed a systematic review to investigate the added value of blue dye in addition to radioisotope., Methods: We searched Pubmed and Embase. Prospective studies that compared the combination of radioisotope and blue dye with radioisotope alone were selected. The identification rate of SLNs and the false-negative rate were the main outcomes of interest. The odds ratios (ORs) and 95% confidential intervals (CIs) were calculated by using random-effects model., Results: Twenty-four studies were included. The combination of radioisotope and blue dye showed higher identification rate than radioisotope alone (OR = 2.03, 95% CI 1.53-2.69, P < 0.05). However, no statistically significant difference was revealed for patients after neoadjuvant chemotherapy (OR = 1.64, 95% CI 0.82-3.27, P > 0.05), or for studies with high proportion of patients with positive lymphoscintigraphy (OR = 1.41, 95% CI 0.83-2.39, P > 0.05). Dual tracers did not significantly lower the false-negative rate compared with radioisotope alone (OR = 0.76, 95% CI 0.44-1.29, P > 0.05)., Conclusions: Although the combination of blue dye and radioisotope outperformed radioisotope alone in SLN detection, the superiority for dual tracers may be limited for patients with positive lymphoscintigraphy or for those after neoadjuvant chemotherapy. Besides, the combined modality did not help lower the false-negative rate.
- Published
- 2016
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27. Resveratrol ameliorates myocardial fibrosis by inhibiting ROS/ERK/TGF-β/periostin pathway in STZ-induced diabetic mice.
- Author
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Wu H, Li GN, Xie J, Li R, Chen QH, Chen JZ, Wei ZH, Kang LN, and Xu B
- Subjects
- Animals, Cell Adhesion Molecules drug effects, Cell Adhesion Molecules metabolism, Diabetes Mellitus, Experimental complications, Diabetic Cardiomyopathies etiology, Diabetic Cardiomyopathies metabolism, Fibrosis, MAP Kinase Signaling System drug effects, Male, Mice, Myocardium metabolism, Oxidative Stress drug effects, Reactive Oxygen Species metabolism, Resveratrol, Signal Transduction, Transforming Growth Factor beta drug effects, Transforming Growth Factor beta metabolism, Antioxidants pharmacology, Diabetes Mellitus, Experimental metabolism, Diabetic Cardiomyopathies pathology, Heart drug effects, Myocardium pathology, Stilbenes pharmacology
- Abstract
Background: Myocardial fibrosis is an essential hallmark of diabetic cardiomyopathy (DCM) contributing to cardiac dysfunctions. Resveratrol, an antioxidant, exerts its anti-fibrotic effect via inhibition of oxidative stress, while the underlying molecular mechanism remains largely elusive. Periostin, a fibrogenesis matricellular protein, has been shown to be associated with oxidative stress. In the present study, we investigated the role of periostin in anti-fibrotic effect of resveratrol in streptozocin (STZ)-induced diabetic heart and the underlying mechanisms., Methods: Diabetic mice were induced by STZ injection. After treatment with resveratrol (5 or 25 mg/kg/day i.g) or Saline containing 0.5% carboxymethyl cellulose (CMC) for 2 months, the hearts were detected for oxidative stress and cardiac fibrosis using western blot, Masson's trichrome staining and Dihydroethidium (DHE) staining. In in vitro experiments, proliferation and differentiation of fibroblasts under different conditions were investigated through western blot, 3-(4,5)-dimethylthiahiazo (-z-y1)-3,5-di-phenytetrazoliumromide (MTT) assay and immunofluorescence staining., Results: Administration of resveratrol significantly mitigated oxidative level, interstitial fibrosis and expressions of related proteins in STZ-induced diabetic hearts. In in vitro experiments, resveratrol exhibited anti-proliferative effect on primary mouse cardiac fibroblasts via inhibiting reactive oxygen species (ROS)/extracellular regulated kinase (ERK) pathway and ameliorated myofibroblast differentiation via suppressing ROS/ERK/ transforming growth factor β (TGF-β)/periostin pathway., Conclusion: Increased ROS production, activation of ERK/TGF-β/periostin pathway and myocardial fibrosis are important events in DCM. Alleviated ROS genesis by resveratrol prevents myocardial fibrosis by regulating periostin related signaling pathway. Thus, inhibition of ROS/periostin may represent a novel approach for resveratrol to reverse fibrosis in DCM.
- Published
- 2016
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28. Quantitative evaluation of the immunodeficiency of a mouse strain by tumor engraftments.
- Author
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Ye W, Jiang Z, Li GX, Xiao Y, Lin S, Lai Y, Wang S, Li B, Jia B, Li Y, Huang ZL, Li J, Feng F, Li S, Yao H, Liu Z, Cao S, Xu L, Li Y, Wu D, Zeng L, Zhong M, Liu P, Wen ZS, Xu B, Yao Y, Pei D, and Li P
- Subjects
- Animals, Disease Models, Animal, Humans, Mice, Mice, Inbred C57BL, Mice, Inbred NOD, Mice, Nude, Mice, SCID, Transplantation, Heterologous, Allografts immunology, Heterografts immunology, Immune System pathology, Neoplasms immunology
- Abstract
Background: The mouse is an organism that is widely used as a mammalian model for studying human physiology or disease, and the development of immunodeficient mice has provided a valuable tool for basic and applied human disease research. Following the development of large-scale mouse knockout programs and genome-editing tools, it has become increasingly efficient to generate genetically modified mouse strains with immunodeficiency. However, due to the lack of a standardized system for evaluating the immuno-capacity that prevents tumor progression in mice, an objective choice of the appropriate immunodeficient mouse strains to be used for tumor engrafting experiments is difficult., Methods: In this study, we developed a tumor engraftment index (TEI) to quantify the immunodeficiency response to hematologic malignant cells and solid tumor cells of six immunodeficient mouse strains and C57BL/6 wild-type mouse (WT)., Results: Mice with a more severely impaired immune system attained a higher TEI score. We then validated that the NOD-scid-IL2Rg-/- (NSI) mice, which had the highest TEI score, were more suitable for xenograft and allograft experiments using multiple functional assays., Conclusions: The TEI score was effectively able to reflect the immunodeficiency of a mouse strain.
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- 2015
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29. Spaceflight alters the gene expression profile of cervical cancer cells.
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Zhang ZJ, Tong YQ, Wang JJ, Yang C, Zhou GH, Li YH, Xie PL, Hu JY, and Li GC
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- Blotting, Northern methods, Cell Line, Tumor, Cell Proliferation, Female, Gene Expression Regulation, Neoplastic, Gene Library, Gene Regulatory Networks, Humans, Nucleic Acid Hybridization methods, Up-Regulation, Gene Expression Profiling, Space Flight, Uterine Cervical Neoplasms genetics, Uterine Cervical Neoplasms pathology
- Abstract
Our previous study revealed that spaceflight induced biological changes in human cervical carcinoma Caski cells. Here, we report that 48A9 cells, which were subcloned from Caski cells, experienced significant growth suppression and exhibited low tumorigenic ability after spaceflight. To further understand the potential mechanism at the transcriptional level, we compared gene expression between 48A9 cells and ground control Caski cells with suppression subtractive hybridization (SSH) and reverse Northern blotting methods, and analyzed the relative gene network and molecular functions with the Ingenuity Pathways Analysis (IPA) program. We found 5 genes, SUB1, SGEF, MALAT-1, MYL6, and MT-CO2, to be up-regulated and identified 3 new cDNAs, termed B4, B5, and C4, in 48A9 cells. In addition, we also identified the two most significant gene networks to indicate the function of these genes using the IPA program. To our knowledge, our results show for the first time that spaceflight can reduce the growth of tumor cells, and we also provide a new model for oncogenesis study.
- Published
- 2011
- Full Text
- View/download PDF
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