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国家自然科学基金(81171963)

作品数:7 被引量:31H指数:4
相关作者:殷长军秦超钱健朱建李普更多>>
相关机构:江苏省人民医院淮阴医院更多>>
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高频超声预测甲状腺癌合并颈部淋巴结转移的临床价值被引量:7
2022年
目的 探讨高频超声对甲状腺癌颈部淋巴结转移(CLNM)的诊断价值。方法 选取我院收治的100例甲状腺癌患者为研究对象。依据术后病理组织结果是否有颈部淋巴结转移分为转移组(n=62)和非转移组(n=38)。比较两组术前的超声特征差异,通过Logistic回归分析确立与甲状腺癌CLNM的危险因素;绘制超声特征对甲状腺癌CLNM诊断的ROC曲线;以术后病理为对照,计算超声诊断CLNM的敏感度、特异性等诊断效能参数。结果 转移组结节大小≥1.5 cm,边界不清晰,质地低回声,微小钙化,纵横比≥1,血流信号丰富的发生率高于非转移组(P<0.05)。Logistic回归分析显示:结节大小≥1.5 cm、边界不清晰、质地低回声、有微小钙化、纵横比≥1及血流丰富是甲状腺癌颈部淋巴结转移的独立风险因素(P<0.05)。ROC曲线分析显示:结节大小≥1.5 cm、边界不清、质地低回声、有微小钙化、纵横比及血流信号丰富对甲状腺癌CLNM有诊断价值(AUC分别为0.620、0.649、0.636、0.649、0.602及0.808)。超声诊断甲状腺癌CLNM的阳性预测值为84.38%,阴性预测值为77.78%,敏感度为87.10%,特异性为73.64%,诊断的准确性为82.00%。结论 高频超声有助于预测甲状腺癌CLNM的风险,有较好的诊断效能。
何小亭祝立洲潘洋
关键词:超声特征甲状腺癌颈部淋巴结转移
肿瘤靶向药物疗效及毒性与基因多态性间相关性的研究进展被引量:5
2012年
肿瘤的治疗历来都是医学研究的热点和难点,分子靶向药物的出现为肿瘤的治疗提供了一种新方式,其疗效及毒性一直是人们关注的焦点,但研究发现不同的个体对药物的反应存在较大差异,这可能与基因多态性有关。作者就国内外有关基因多态性与各种常见靶向药物的疗效及毒性间相关性的最新研究进展进行综述。
钱健秦超殷长军
关键词:肿瘤靶向治疗药物疗效药物毒性基因多态性
miR-205 is frequently downregulated in prostate cancer and acts as a tumor suppressor by inhibiting tumor growth被引量:4
2013年
The purpose of this study was to elucidate the molecular mechanisms of microRNA-205 (miR-205) as a tumor suppressor in prostate cancer (PCa)o In the present study, microRNA microarray analysis suggested that the expression of miR-205 was significantly decreased in advanced PCa compared with early PCa. Real-time PCR analysis also indicated that miR-205 expression was significantly decreased in PCa tissues compared with non-cancerous tissues. Moreover, the expression of miR-205 has been demonstrated to be associated with the clinicopathological stage and total/free prostate-specific antigen (PSA) level of PCa. Functional analyses showed that both the overexpression of miR-205 and the knockdown of c-SRC in PCa cell lines could inhibit cell growth, colony formation, migration, invasion and the cell cycle as well as induce cell apoptosis in vitro. Furthermore, over-expressing miR-205 reduced tumorigenicity in vivo. Through a luciferase activity assay and Western blotting, c-SRCwas identified as a target of miR-205 in cells. The overexpression of miR-205 suppressed c-SRC and its downstream signaling molecules, including FAK, p-FAK, ERK1/2 and D-ERK1/2, and attenuated cell proliferation, invasion and tumor growth.
Ning Wang Qi Li Ning-Han Feng Gong Cheng Zhao-Long Guan Yang Wang Chao Qin Chang-Jun Yin Li-Xin Hua
关键词:C-SRC
Radiofrequency ablation versus partial nephrectomy for the treatment of clinical stage 1 renal masses: a systematic review and meta-analysis被引量:5
2014年
Background Over the past two decades,the clinical presentation of renal masses has evolved,where the rising incidence of small renal masses (SRMs) and concomitant minimal invasive treatments have led to noteworthy changes in paradigm of kidney cancer.This study was to perform a proportional meta-analysis of observational studies on perioperative complications and oncological outcomes of partial nephrectomy (PN) and radiofrequency ablation (RFA).Methods The US National Library of Medicine's life science database (Medline) and the Web of Science were exhaustly searched before August 1,2013.Clinical stage 1 SRMs that were treated with PN or RFA were included,and perioperative complications and oncological outcomes of a total of 9 565 patients were analyzed.Results Patients who underwent RFA were significantly older (P <0.001).In the subanalysis of stage T1 tumors,the major complication rate of PN was greater than that of RFA (laparoscopic partial nephrectomy (LPN)/robotic partial nephrectomy (RPN):7.2%,open partial nephrectomy (OPN):7.9%,RFA:3.1%,both P <0.001).Minor complications occurred more frequently after RFA (RFA:13.8%,LPN/RPN:7.5%,OPN:9.5%,both P <0.001).By multivariate analysis,the relative risks for minor complications of RFA,compared with LPN and OPN,were 1.7-fold and 1.5-fold greater (both P <0.01),respectively.Patients treated with RFA had a greater local progression rate than those treated by PN (RFA:4.6%,LPN/RPN:1.2%,OPN:1.9%,both P <0.001).By multivariate analysis,the local tumor progression for RFA versus LPN/RPN and OPN were 4.5-fold and 3.1-fold greater,respectively (both P <0.001).Conclusions The current data illustrate that both PN and RFA are viable strategies for the treatment of SRMs.Compared with PN,RFA showed a greater risk of local tumor progression but a lower major complication rate,which is considered better for poor candidates.PN is with no doubt the golden treatment for SRMs,and LPN h
Wang ShangqianQin ChaoPeng ZhihangCao QiangLi PuShao PengfeiJu XiaobingMeng XiaoxinLu QiangLi JieWang MeilinZhang ZhengdongGu MinZhang WeiYin Changjun
关键词:META-ANALYSISCOMPLICATION
肾透明细胞癌易感性与半胱天冬酶8基因-6526Nins/del多态性的关系
2012年
目的探讨中国汉族人群半胱天冬酶8(CASP8)基因-6526Nins/del多态性与肾透明细胞癌(CCRCC)易感性的相关性。方法采用以医院为基础的病例一对照研究,通过问卷调查获取并采用聚合酶链反应.限制性片段长度多态性(PCR—RFLP)方法检测年龄和性别匹配的中国汉族300例患者和300例正常人群的CASPS-652ins/del基因型。并采用分层分析进一步探讨与罹患CCRCC相关的可能因素。结果与ins/ins基因型携带者比较,ins/del基因型(OR=0.78,95%CI=0.55—1.09)或del/del基因型(0.34,0.14—0.83)携带者发生CCRCC的危险性明显降低。分层分析显示性别、体质量指数及饮酒与CCRCC危险性之间无明显相关,携带ins/del或del/del基因型的年轻非吸烟患者发生CCRCC的危险性明显降低(年龄:0.56,0.35—0.88;非吸烟:0.56,0.37—0.85)。结论CASP8—652ins/del多态性可能与我国汉族人群CCRCC易感性有关,ins/del基因型或del/del基因型携带者发生CCRCC的危险性要明显低于ins/ins基因型携带者。
王强东袁秦波殷长军朱建秦超张炜
关键词:肾透明细胞癌单核苷酸多态性遗传易感性
MicroRNA-199a-3p在肾癌中的表达及作用被引量:8
2012年
目的检测microRNA-199a-3p(miR-199a-3p)在肾癌细胞株和组织中的表达情况并探究miR-199a-3p在肾癌细胞中的作用。方法利用实时定量RT-PCR检测miR-199a-3p在肾癌细胞和组织中的表达水平;利用miR-199a-3p模拟物转染肾癌细胞786-0上调miR-199a-3p后,通过CCK-8、克隆形成、Transwell以及细胞周期检测来探究其在肾癌细胞中的作用。结果 miR-199a-3p在肾癌细胞中明显低表达,在78%(14/18)的肾癌组织中亦明显低表达;上调miR-199a-3p可显著抑制肾癌细胞的增殖、存活和侵袭并能诱导细胞周期G1期阻滞。结论我们的研究显示在肾癌中miR-199a-3p明显低表达并参与肾癌的发生、发展,这表明miR-199a-3p具有作为肾癌诊断和治疗靶点的潜能。
陶良俊秦超曹强钱健蔡宏宙朱建李普邵鹏飞孟小鑫殷长军
关键词:抑癌基因肾细胞癌
Association of erythropoietin gene rs576236 polymorphism and risk of adrenal tumors in a Chinese population被引量:2
2014年
Erythropoietin(EPO) is a circulating glycosylated protein hormone and has been implicated in the development and progression of non-hematopoietic tissue tumors.The objective of the present study was to determine if the EPO rs576236 polymorphism was associated with the risk of adrenal tumors.We genotyped the EPO rs576236 polymorphism in a case-control study of 288 adrenal tumor patients and 456 cancer-free controls by using the TaqMan method,and assessed the association between the polymorphism and the adrenal tumor risk by logistic regression.Furthermore,95%confidence interval(CI) was used to assess the genetic association between the polymorphism and the risk of adrenal tumor.Compared with the TT genotype,the TC genotype had a significantly increased risk of adrenal tumor[adjusted odds ratio(OR) = 1.24,95%CI = 1.12-2.22].Furthermore a significantly increased risk of adrenal tumor was found in the combined variant genotypes TC+CC compared with the TT genotype(adjusted OR = 1.17,95%CI = 1.12-2.21).Our present study suggests that the rs576236 polymorphism of EPO confers susceptibility to adrenal tumor in the Chinese population.
Chao ZhangZhongxing LiQiang CaoChao QinHongzhou CaiHai ZhouJian QianXiaobing JuChangjun Yin
关键词:POLYMORPHISMERYTHROPOIETIN
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