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The Expression Characteristics,Clinical Relevance and Tumor Inhibition of KCNN3 in Gastric Adenocarcinoma
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作者 ZHAN Zi-Qing JIN Jia-Bei +3 位作者 LI Yu-Xuan SHI Jia-Xin YE Meng JIN Xiao-Feng 《中国生物化学与分子生物学报》 北大核心 2025年第4期560-575,I0003-I0006,共20页
Potassium-calcium activates channel subfamily N member 3(KCNN3/SK3/KCa2.3)is involved in regulating cellular calcium signaling,muscle contraction and neurotransmitter release.Dysregulation of the KCNN3 channel is asso... Potassium-calcium activates channel subfamily N member 3(KCNN3/SK3/KCa2.3)is involved in regulating cellular calcium signaling,muscle contraction and neurotransmitter release.Dysregulation of the KCNN3 channel is associated with the development of various tumors.We use bioinformatics analysis to identify whether KCNN3 regulates the occurrence and development of stomach adenocarcinoma(STAD)as a prognostic target.By analyzing the Human Protein Atlas(HPA)database and The Cancer Genome Atlas(TCGA)database,we found that the protein and mRNA levels of KCNN3 were dramatically reduced in STAD,and TCGA database showed that KCNN3 significantly correlated with the prognosis and clinical features of STAD.In addition,we found that high expression of KCNN3 in STAD reduced the IC 50 of several drugs in STAD cells,suggesting that high expression of KCNN3 correlated with the drug sensitivity of STAD.To investigate the underlying biological mechanism,we identified a potential KCNN3 interaction factor,tumor necrosis factor receptor superfamily member 7(CD27/TNFRSF7),which is expressed at low levels in STAD.RT-qPCR and Western blotting confirmed that KCNN3 and CD27 positively correlated with each other at protein and mRNA levels,and co-immunoprecipitation and immunofluorescence experiments confirmed that the two proteins interact and colocalize in the cytoplasm.Moreover,we confirmed the inhibitory effect of KCNN3 on the proliferation,migration and invasion of human STAD cells in vitro and in vivo through subcutaneous tumorigenesis and cellular experiments.Furthermore,GO/KEGG enrichment analysis showed that KCNN3 was enriched in signaling pathways regulating the immune response and calcium or metal ion transport.Lastly,we verified through cell co-culture,RT-qPCR and CCK8 assays that high expression of KCNN3 can promote the increase of T cell activating factor and the killing effect of T cells on STAD cells.Therefore,our results suggest that KCNN3 is a potential inhibitory factor affecting the occurrence and progression of STAD. 展开更多
关键词 stomach adenocarcinoma(STAD) potassium calcium-activated channel subfamily N member 3(KCNN3/SK3/KCa2.3) tumor necrosis factor receptor superfamily member 7(CD27/TNFRSF7) drug sensitivity bioinformatics analysis
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Deep learning model based on PET/CT and combination with Cox proportional hazard model for predicting progression of lung invasive adenocarcinoma after surgery 被引量:1
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作者 LI Yingci WU Dongbo GONG Feifei 《中国医学影像技术》 CSCD 北大核心 2024年第8期1194-1198,共5页
Objective To observe the efficacy of deep learning(DL)model based on PET/CT and its combination with Cox proportional hazard model for predicting progressive disease(PD)of lung invasive adenocarcinoma within 5 years a... Objective To observe the efficacy of deep learning(DL)model based on PET/CT and its combination with Cox proportional hazard model for predicting progressive disease(PD)of lung invasive adenocarcinoma within 5 years after surgery.Methods The clinical,PET/CT and 5-year follow-up data of 250 patients with lung invasive adenocarcinoma were retrospectively analyzed.According to PD or not,the patients were divided into the PD group(n=71)and non-PD group(n=179).The basic data and PET/CT findings were compared between groups,among which the quantitative variables being significant different between groups were transformed to categorical variables using receiver operating characteristic(ROC)curve and corresponding cut-off value.Multivariant Cox proportional hazard model was used to select independent predicting factors of PD of lung invasive adenocarcinoma within 5 years after surgery.The patients were divided into training,validation and test sets at the ratio of 6∶2∶2,and PET/CT data in training set and validation set were used to train model and tuning parameters to build the PET/CT DL model,and the combination model was built in serial connection of DL model and the predictive factors.In test set,the efficacy of each model for predicting PD of lung invasive adenocarcinoma within 5 years after surgery was assessed and compared using the area under the curve(AUC).Results Patients'gender and smoking status,as well as the long diameter,SUV max and SUV mean of lesions measured on PET images,the long diameter,short diameter and type of lesions showed on CT were statistically different between groups(all P<0.05).Smoking(HR=1.787[1.053,3.031],P=0.031)and lesion SUV max>4.15(HR=5.249[1.062,25.945],P=0.042)were both predictors of PD of lung invasive adenocarcinoma within 5 years after surgery.In test set,the AUC of PET/CT DL model for predicting PD was 0.847,of the combination model was 0.890,of the latter was higher than of the former(P=0.036).Conclusion DL model based on PET/CT had high efficacy for predicting PD of lung invasive adenocarcinoma within 5 years after surgery.Combining with Cox proportional hazard model could further improve its predicting efficacy. 展开更多
关键词 adenocarcinoma of lung positron-emission tomography and computed tomography deep learning disease progression
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Targeting the undruggable KRAS:In vitro anticancer property of andrographolide and its semisynthetic analogues in pancreatic adenocarcinoma cell lines harbouring oncogenic mutant K-ras
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作者 MichelleSiyingTAN YuanHanTEH +2 位作者 KokLianHO SreenivasaRaoSAGINEEDU JohnsonSTANSLAS 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2015年第S1期87-87,共1页
OBJECTIVE To evaluate the anticancer activity of andrographolide(AGP)and its semisynthetic analogues(SRJ09and SRJ23)in pancreatic adenocarcinoma(PDAC)cell lines harbouring therapeutically highly relevant oncogenic K-r... OBJECTIVE To evaluate the anticancer activity of andrographolide(AGP)and its semisynthetic analogues(SRJ09and SRJ23)in pancreatic adenocarcinoma(PDAC)cell lines harbouring therapeutically highly relevant oncogenic K-ras glycine-12(KRAS-G12)mutant proteins.In a landmark publication,we revealed that AGP and its derivatives bind KRAS protein to inhibit RAS signaling PNAS,110:10201-06).This discovery prompted the initiation of this investigation.METHODS The cell growth inhibitory effect of the compounds on PDAC cell lines〔PANC-1(KRAS-G12D),Capan-2(KRAS-G12V),and MIA PaCa-2(KRASG12C)〕,was assessed by MTT assay.RESULTS In comparison with AGP and SRJ09,SRJ23 showed the greatest growth inhibition in all PDAC cell lines with mutant KRAS proteins.The inhibitory effect of SRJ23 on the cell growth was similar for all PDAC cell lines.AGP exerted selective growth inhibition against PANC-1(KRAS-G12D)cells,while the growth inhibition of SRJ09 was selective towards Capan-2(KRAS-G12V)cells.CONCLUSION AGP and SRJ09 showed selectivity for PDAC cell lines with specific KRAS mutations.This suggests the mutational status of KRAS protein and the structural features of these two compounds orchestrally determined the magnitude of cell growth inhibition in PDAC cell lines.The higher potency of SRJ23 implies it could be developed into an anticancer agent for the treatment of mutant KRAS-driven malignancies.To this end,efforts are in progress to derive new molecules from this compound for further improvement of potency. 展开更多
关键词 KRAS ANTICANCER pancreatic adenocarcinoma androgra
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Resistin contributes to lung adenocarcinoma progression by TLR4/EGFR/PI3K/NF-KB pathway
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作者 GONG Wei-jing YIN Ji-ye +4 位作者 LI Xiang-ping XIAO Di CUI Jia-jia LI Xi LIU Zhao-qian 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2016年第10期1072-1072,共1页
OBJECTIVE To explore the role of resistin in lung adenocarcinoma progression and its mechanism.METHODS The effect of resistin on A549 cells proliferation was detected by MTS assay.Wound-healing and transwell assays we... OBJECTIVE To explore the role of resistin in lung adenocarcinoma progression and its mechanism.METHODS The effect of resistin on A549 cells proliferation was detected by MTS assay.Wound-healing and transwell assays were used to evaluate the influence of resistin on A549 migration and invasion.Protein expression was detected by western blot.NF-k B translocation was evaluated by immunofluorescence.The expression of resistin in tumor tissue was assayed by immunohisto-chemical staining.RESULTS Compared with para-carcinoma tissues,resistin was overexpressed in tumor tissues.Resistin didn′t significantly affect A549 proliferation,but induced migration and invasion of A549.TLR4was the functional receptor of resistin in A549 cells,and resistin can bind to the second domain of TLR4.Resistin could increase p-EGFR by TLR4,induce PI3K/Akt phosphorylation and NF-k B translocation to nuclear.High resistin expression in lung adenocarcinoma tissues was correlated significantly with metastasis.Resistin was an independent predictor of overall survival.CONCLUSION Resistin promoted A549 migration and invasion by TLR4/EGFR/NF-k B pathway.Resistin was an independent prognosis predictor of lung adenocarcinoma. 展开更多
关键词 RESISTIN lung adenocarcinoma migration SURVIVAL
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Identification of human genomic DNA from suppressed metastatic phenotype cells of mouse lung adenocarcinoma
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作者 Xueming Ge, Yinglin Lu, Shengfa Fu, Kun Chen, Wenhong Fan, Shuang LiuDepartment of Molecular Pathologv, Beijing Institute of Basic Medical Sciences, Beijing 100850 《中国实验血液学杂志》 CAS CSCD 1997年第3期294-295,共2页
Objectives:To isolate tumor metastaticsuppressing genes or relating human DNA sequencesand to study the molecular biological regulatingmechanism of tumor metastasis. Methods: HumanDNA fragments were amplified by Inter... Objectives:To isolate tumor metastaticsuppressing genes or relating human DNA sequencesand to study the molecular biological regulatingmechanism of tumor metastasis. Methods: HumanDNA fragments were amplified by Inter Alu PCRtechnique from normal human genomic DNAtransfected mouse tumor cell clones of which themetastatic phenotype had been suppressed. Thehuman origin of the amplified DNA was furtherconfirmed by PCR in situ hybridization. One 展开更多
关键词 METASTATIC suppressed adenocarcinoma PHENOTYPE GENOMIC DNA metastasis ISOLATE suppressing similarity
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Megestrol acetate plus metformin for fertility-sparing treatment of atypical endometrial hyperplasia and early-stage endometrial adenocarcinoma: a prospective study
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作者 Yuanyuan WANG Tianjiao LAI +4 位作者 Danxia CHU Jing BAI Shuping YAN Haixia QIN Ruixia GUO 《南方医科大学学报》 CAS CSCD 北大核心 2024年第11期2055-2062,共8页
Objective To evaluate the efficacy of medroxyprogesterone acetate(MA)plus metformin as the primary fertility-sparing treatment for atypical endometrial hyperplasia(AEH)and early-stage grade 1 endometrial adenocarcinom... Objective To evaluate the efficacy of medroxyprogesterone acetate(MA)plus metformin as the primary fertility-sparing treatment for atypical endometrial hyperplasia(AEH)and early-stage grade 1 endometrial adenocarcinoma(G1 EAC)and the recurrence rate after treatment.Methods Sixty patients(aged 20-42 years)with AEH and/or grade 1 EAC limited to the endometrium were enrolled prospectively and randomized into two groups(n=30)to receive oral MA treatment at the daily dose of 160 mg(control)or MA plus oral metformin(850 mg,twice a day)for at least 6 months.The treatment could extend to 12 months until a complete response(CR)was achieved,and follow-up hysteroscopy and curettage were performed every 3 months.For all the patients who achieved CR,endometrial expressions of IGFBP-rP1,p-Akt and p-AMPK were detected immunohistochemically.Results A total of 58 patients completed the treatment.After 9 months of treatment,23(76.7%)patients in the combined treatment group and 20(71.4%)in the control group achieved CR;two patients in the control group achieved CR after converting to the combined treatment.The recurrence rate did not differ significantly between the control group and combined treatment group(30.0%vs 22.7%,P>0.05).Ten(35.7%)patients in the control group experienced significant weight gain of 5.7±6.1 kg,while none of the patients receiving the combined treatment exhibited significant body weight changes.Compared with the control group,the patients receiving the combined treatment showed enhanced endometrial expressions of IGFBP-rP1 and p-AMPK with lowered p-Akt expression.Conclusion Metformin combined with MA may provide an effective option for fertility-sparing treatment of AEH and grade 1 stage IA EAC,and the clinical benefits of metformin for controlling MA-induced weight gain and promoting endometrial expressions of IGFBP-rP1 and p-AMPK while inhibiting p-Akt expression warrants further study. 展开更多
关键词 endormetrial adenocarcinoma METFORMIN atypical endometrial hyperplasia fertility-sparing treatment megestrol acetate insulin-like growth factor binding protein-related protein 1
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The Value of CT Attenuation in Distinguishing Atypical Adenomatous Hyperplasia from Adenocarcinoma in Situ 被引量:36
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作者 Binghu JIANG Jichen WANG PengJIA Meizhao LE 《中国肺癌杂志》 CAS 北大核心 2013年第11期579-583,共5页
Background and objective:Advances in high-resolution computed tomography(CT)scanning have increased the detection of small ground-glass opacity(GGO)nodules and also allowed such images to be investigated in detail.How... Background and objective:Advances in high-resolution computed tomography(CT)scanning have increased the detection of small ground-glass opacity(GGO)nodules and also allowed such images to be investigated in detail.However,it is difficult to differentiate atypical adenomatous hyperplasia(AAH)from adenocarcinoma in situ(AIS)with CT,even at follow-up,because they share many similar CT manifestations.While AAH is thought to be a precursor or even an early-stage lesion of lung adenocarcinoma,and the stepwise progression from AAH to AIS is thought to be reasonable.Therefore,the hypothesis that the attenuation of GGO is increased gradually from AAH to AIS is proposed.The aim of this study was to distinguish AAH from AIS with CT attenuation in patients with pure GGO nodules.Methods:Between January 2010 and December 2012,the CT findings in terms of the greatest diameter and mean CT attenuation(HU)were reviewed and correlated with pathology in 56 patients with AAH(n=21) and non-mucinous AIS(n=38) by two independent observers.All the 59 lesions were pure GGO nodules with size of 2 cm or smaller.To determine variability of measuring CT attenuation,we calculated the 95% confidence interval(CI)for the limits of agreement by using Bland-Altman analysis.Student t test was used to compare AAH and AIS in terms of diameter and CT attenuation.And receiver operating characteristic(ROC)curve was used to determine the optimal cut-off value of mean CT attenuation for differentiating AAH from AIS and obtain the diagnostic value.Two-tailed P value of less than 0.05 was considered to be significant.Results:For the manually measured CT attenuation,the 95% CI for the limits of agreement was-40 HU,50 HU for inter-observer variability.Although there was significant difference in nodule diameter between AAH and AIS(P=0.046),the overlap was considerable.The mean CT attenuation was (-718±53) HU(95%CI:-822,-604) for AAH,which was significantly smaller than(-600±35) HU(95%CI:-669,-531) for AIS(P=0.013).The area under curve(AUC)from ROC was 0.903 for differentiating AAH from AIS,and the cut-off value of-632 HU was optimal for differentiation between AAH and AIS,with sensitivity of 0.79,specificity of 0.95,and accuracy of 0.85.Conclusion:The mean CT attenuation can help the radiological differentiation between AAH and AIS. 展开更多
关键词 肺腺癌 临床分析 治疗方法 诊断价值
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胃具有腺和神经内分泌双向分化的癌12例临床病理学观察 被引量:1
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作者 马怡晖 李佳静 +5 位作者 秦慧 王丰 王英姿 庞霞 李晨飞 李珊珊 《临床与实验病理学杂志》 北大核心 2025年第3期311-316,共6页
目的探讨胃具有腺和神经内分泌双向分化的癌(amphicrine carcinoma,AC)临床病理学特征。方法收集12例胃AC患者的临床资料,观察其临床病理特征和组织学特征,采用免疫组化、特殊染色和电镜技术分析其免疫表型、超微结构,应用分子病理检测... 目的探讨胃具有腺和神经内分泌双向分化的癌(amphicrine carcinoma,AC)临床病理学特征。方法收集12例胃AC患者的临床资料,观察其临床病理特征和组织学特征,采用免疫组化、特殊染色和电镜技术分析其免疫表型、超微结构,应用分子病理检测微卫星状态,并复习相关文献。结果10例胃AC位于食管胃结合部/贲门,1例位于胃角,1例位于胃窦;肿块最大径平均4.25 cm。4例标本同时存在神经内分泌癌成分,另有4例同时存在腺癌成分。11例有神经侵犯和脉管癌栓;11例侵及浆膜层/浆膜下层,1例侵及黏膜下层;10例有淋巴结转移癌。12例均弥漫表达CKpan和Syn,3例弥漫表达CgA,7例弥漫表达CD56;Ki67增殖指数平均78.9%。特殊染色示肿瘤细胞内有明确黏液;电镜检查发现癌细胞内有电子致密颗粒和黏液颗粒。随访10例患者有7例存活,另3例于术后0、24、30个月因全身多处转移死亡。结论胃AC多见于食管胃结合部/贲门,组织学有较高的侵袭性,其明确诊断依赖于组织学特征、免疫表型和特殊染色。 展开更多
关键词 胃肿瘤 腺癌 神经内分泌癌 双向分化
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食管癌高、低发区食管腺癌的临床病理特征及预后 被引量:2
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作者 王苒 钟侃 +20 位作者 宋昕 范宗民 韩雪娜 赵学科 马磊 李媛媛 库建伟 李爱丽 鲍启德 魏梦霞 雷玲玲 韩文莉 徐瑞华 黄金 王献增 郭威 罗宏 李贝 裘一兵 纪爱芳 王立东 《郑州大学学报(医学版)》 北大核心 2025年第1期13-17,共5页
目的:探讨食管癌高、低发区食管腺癌患者的临床病理特征及预后。方法:选取郑州大学第一附属医院河南省食管癌重点开放实验室70万例食管癌患者临床病理和随访(1973至今)大资料库中2014年1月至2023年12月确诊的食管腺癌患者703例,食管癌... 目的:探讨食管癌高、低发区食管腺癌患者的临床病理特征及预后。方法:选取郑州大学第一附属医院河南省食管癌重点开放实验室70万例食管癌患者临床病理和随访(1973至今)大资料库中2014年1月至2023年12月确诊的食管腺癌患者703例,食管癌高发区组295例,低发区组408例。应用Kaplan-Meier法绘制高发区和低发区食管腺癌及各病理类型患者的生存曲线,采用Log-rank检验比较高、低发区患者生存曲线的差异。应用Cox回归分析高、低发区食管腺癌预后的影响因素。结果:高发区患者中食管单纯腺癌患者的占比低于低发区,TNM分期Ⅲ、Ⅳ期患者的占比高于低发区(P<0.05)。高、低发区食管腺癌及各病理类型患者的生存曲线差异均无统计学意义(P>0.05)。高发区患者中男性及TNM分期Ⅲ、Ⅳ期是食管腺癌预后的危险因素[HR(95%CI)分别为1.860(1.130~3.061)和1.539(1.018~2.326)];低发区患者中年龄≥70岁及TNM分期Ⅲ、Ⅳ期是食管腺癌预后的危险因素[HR(95%CI)分别为1.604(1.053~2.444)和1.556(1.069~2.263)]。结论:食管癌高、低发区食管腺癌的临床病理特征和预后影响因素有差异。 展开更多
关键词 食管癌高发区 食管癌低发区 食管腺癌 临床病理特征 预后
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胰腺癌中ADGRG5表达与临床预后及肿瘤免疫应答的关系
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作者 钟江鸣 李德育 +3 位作者 张桂枫 陈巧 林莉 刘振华 《中国免疫学杂志》 北大核心 2025年第1期157-162,共6页
目的:探讨ADGRG5在胰腺癌(PAAD)中的表达与临床预后及肿瘤免疫应答的关系。方法:采用Wilcoxon秩和检验比较ADGRG5在PAAD和正常组织中的表达。ROC曲线评估ADGRG5在PAAD中的诊断价值,Kaplan-Meier法和Cox回归分析评估预后因素。GSEA和免... 目的:探讨ADGRG5在胰腺癌(PAAD)中的表达与临床预后及肿瘤免疫应答的关系。方法:采用Wilcoxon秩和检验比较ADGRG5在PAAD和正常组织中的表达。ROC曲线评估ADGRG5在PAAD中的诊断价值,Kaplan-Meier法和Cox回归分析评估预后因素。GSEA和免疫浸润分析对ADGRG5的生物学功能进行注释。结果:ADGRG5在PAAD中的表达显著高于正常组织(P=2.8e-32),对PAAD具有显著诊断和预后预测能力(AUC=0.866)。高ADGRG5表达预测患者有更好的无进展间隔(PFI)(P=0.01),ADGRG5的表达与PFI独立相关(HR:0.656,95%CI:0.433~0.972,P=0.035)。ADGRG5表达与免疫通路调节和某些类型免疫浸润细胞的功能有关。结论:ADGRG5表达升高可能是PAAD诊断和预后的潜在生物标志物,影响PAAD患者预后,且与免疫浸润显著相关。 展开更多
关键词 胰腺癌 ADGRG5 诊断 预后 免疫浸润
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中国食管腺癌淋巴结和血道转移与临床病理特征及预后的关系
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作者 王立东 陶潇龙 +22 位作者 宋昕 高慧丽 张晓倩 赵学科 卢玉娴 张占阳 王苒 范宗民 韩雪娜 尹艳春 雷玲玲 韩文莉 秦富强 李爱丽 王献增 王五洲 李吉林 马磊 徐全晓 罗宏 李秀敏 张冬云 纪爱芳 《郑州大学学报(医学版)》 北大核心 2025年第4期473-477,共5页
目的:探讨淋巴结和血道转移与食管腺癌临床病理特征及预后的关系。方法:从郑州大学第一附属医院河南省食管癌重点开放实验室70万例食管癌患者临床病理和随访(1973至今)大资料库中,选取600例食管腺癌患者。对淋巴结转移(LNM)、脉管癌栓(V... 目的:探讨淋巴结和血道转移与食管腺癌临床病理特征及预后的关系。方法:从郑州大学第一附属医院河南省食管癌重点开放实验室70万例食管癌患者临床病理和随访(1973至今)大资料库中,选取600例食管腺癌患者。对淋巴结转移(LNM)、脉管癌栓(VTE)阳性和阴性患者的临床病理特征进行比较,采用Kaplan-Meier和Cox回归分析探讨两者与预后的关联性。结果:600例中LNM 340例(56.7%),存在VTE 262例(43.7%)。LNM阳性(LNM+)组男性、吸烟史、饮酒史、家族史阳性、胸下段、低分化和T3/T4期患者比例大于阴性(LNM-)组(P<0.05);VTE阳性(VTE+)组男性、高发区、家族史阳性、胸下段、低分化、T3/T4期患者比例大于阴性(VTE-)组(P<0.05)。LNM^(+)VTE^(+)患者213例,LNM^(-)VTE^(-)患者211例,LNM^(+)VTE^(-)患者127例,LNM^(-)VTE^(+)患者49例。LNM^(-)VTE^(-)组预后优于LNM^(+)VTE^(-)和LNM^(+)VTE^(+)组(P均<0.001)。Cox回归结果显示,在调整多种因素后,与LNM^(-)VTE^(-)相比,LNM^(-)VTE^(+)、LNM^(+)VTE^(-)、LNM^(+)VTE^(+)食管腺癌患者死亡风险增加,HR(95%CI)分别为1.496(0.980~2.285)、2.019(1.483~2.748)、2.642(2.013~3.467)。结论:LNM、VTE与食管腺癌死亡风险有关,两者应纳入预后评估体系。 展开更多
关键词 食管腺癌 淋巴结转移 血道转移 脉管癌栓
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1例表现为肺门区单发PSMA浓聚灶的原发肺腺癌误诊为前列腺癌肺门淋巴结转移
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作者 祝安惠 张安南 +3 位作者 张帆 彭冉 贺慧颖 张卫方 《中国医学影像技术》 北大核心 2025年第10期1777-1778,共2页
患者男,76岁,无明显诱因腹痛2个月;既往体健;查体未见明显异常。实验室检查:总前列腺特异性抗原>100 ng/ml。^(18)F-PSMA PET/CT:前列腺增大,^(18)F-PSMA摄取不均匀增高,最大标准摄取值(maximun standard uptake value,SUV_(max))3.2... 患者男,76岁,无明显诱因腹痛2个月;既往体健;查体未见明显异常。实验室检查:总前列腺特异性抗原>100 ng/ml。^(18)F-PSMA PET/CT:前列腺增大,^(18)F-PSMA摄取不均匀增高,最大标准摄取值(maximun standard uptake value,SUV_(max))3.2;左侧腋窝、腹盆腔及腰椎多发浓聚灶,最大SUV_(max)92.8;左肺门单发浓聚灶,SUV_(max)3.5(图1A、1B)。 展开更多
关键词 肺腺癌 前列腺肿瘤 正电子发射断层显像和计算机体层摄影术
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胃增生性息肉伴异型增生/腺癌的临床病理学特征分析
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作者 徐瑞 高杨 +4 位作者 岳冰 张政 杜风 陈光勇 李鹏 《首都医科大学学报》 北大核心 2025年第4期663-669,共7页
目的探讨胃增生性息肉伴异型增生/腺癌的临床、组织病理学特征及免疫组织化学表达情况,提高对该病的诊断水平。方法回顾性分析2020年1月至2024年12月期间首都医科大学附属北京友谊医院病理科诊断的24例胃增生性息肉伴异型增生/腺癌的病... 目的探讨胃增生性息肉伴异型增生/腺癌的临床、组织病理学特征及免疫组织化学表达情况,提高对该病的诊断水平。方法回顾性分析2020年1月至2024年12月期间首都医科大学附属北京友谊医院病理科诊断的24例胃增生性息肉伴异型增生/腺癌的病例(共44枚息肉),分析其临床、病理及随访资料。结果女性20例、男性4例,平均年龄(65.5±7.9)(56~76)岁。44枚息肉中3枚发生于胃窦、1枚发生于胃角、40枚发生于胃底/体部。32枚息肉诊断为高级别异型增生、4枚诊断为低级别异型增生、4枚为低级别+高级别异型增生共存、2枚以黏液腺癌为主、1枚为低分化腺癌、1枚以印戒细胞癌为主。背景黏膜23例符合自身免疫性化生性萎缩性胃炎的组织学表现。8枚息肉P53为突变型表达模式。通过MUC5/MUC6/MUC2/CD10联检,33枚息肉黏液表现为胃型(其中25枚为小凹上皮型),4枚为肠型,5枚为胃肠混合型,2枚为非胃非肠型。结论胃增生性息肉肿瘤性转化与自身免疫性化生性萎缩性胃炎密切相关,需重视对背景黏膜的评估,尽量做到早发现、早诊断和早治疗。 展开更多
关键词 胃增生性息肉 异型增生 腺癌 自身免疫性化生性萎缩性胃炎 内镜下黏膜剥离术 免疫表型
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术前双能CT影像组学联合机器学习对弥漫型胃腺癌的预测价值
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作者 李敏 秦洪涛 +4 位作者 高磊 张霞 尤杨 石佳宝 杨丽 《放射学实践》 北大核心 2025年第7期873-881,共9页
目的:探讨双能量CT影像组学联合不同机器学习算法在术前预测弥漫型胃腺癌中的价值。方法:回顾性分析两个医疗中心209例手术切除的进展期胃腺癌患者,分为训练集(中心1,122例)、内部验证集(中心1,53例)和外部验证集(中心2,34例)。使用单... 目的:探讨双能量CT影像组学联合不同机器学习算法在术前预测弥漫型胃腺癌中的价值。方法:回顾性分析两个医疗中心209例手术切除的进展期胃腺癌患者,分为训练集(中心1,122例)、内部验证集(中心1,53例)和外部验证集(中心2,34例)。使用单因素逻辑回归筛选与弥漫型胃癌相关的传统特征(P<0.1),构建临床模型。基于静脉期融合图像和碘图提取影像组学特征,采用组内相关系数(ICC>0.8)、稳定性特征限定及LASSO方法筛选特征,应用逻辑回归(LR)、支持向量机(SVM)和随机森林(RF)3种机器学习算法分别构建影像组学模型。通过受试者操作特征(ROC)曲线、DeLong检验、校准曲线、临床决策曲线(DCA)评价预测模型效能及临床收益,并采用Shapley Additive Explanations(SHAP)方法对最优模型进行可解释性分析。结果:单因素结果显示肿瘤位置是弥漫型胃癌的预测因素,以其建立的临床模型在训练集、内部验证集、外部验证集中的AUC分别为0.599(95%CI:0.509~0.691)、0.625(95%CI:0.474~0.762)和0.495(95%CI:0.306~0.661)。从融合图像和碘图中共筛选出18个影像组学特征,以其构建的LR模型、SVM模型、RF模型在训练集中AUC分别为0.869(95%CI:0.806~0.926)、0.847(95%CI:0.772~0.916)和0.838(95%CI:0.764~0.905),均优于临床模型(P<0.05),其中LR模型预测效能最佳;内部验证集中LR模型AUC为0.833(95%CI:0.701~0.938),优于临床模型(P<0.05);外部验证集中LR模型AUC为0.682(95%CI:0.476~0.856),优于临床模型(P>0.05)。相比于其他模型,LR模型校准曲线最接近参考线,且临床收益较高。结论:采用LR算法的双能量CT影像组学模型在术前区分弥漫型胃腺癌方面具有较高的价值。 展开更多
关键词 胃癌 弥漫型 机器学习算法 双能量CT 影像组学
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NPM3在肺腺癌中的表达及其对肺腺癌细胞生物学功能的影响
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作者 王韵 舒扬 +3 位作者 武晓白 郭若楠 黄汉鹏 向敏 《华中科技大学学报(医学版)》 北大核心 2025年第1期36-44,共9页
目的探究Nucleophosmin3(NPM3)在肺腺癌中的表达情况及其对肺腺癌细胞系H292生物学功能的影响,为肺腺癌的诊疗提供新的思路。方法首先利用生物信息学数据库TCGA分析NPM3基因在肺腺癌和正常组织中的表达差异及其与肺腺癌患者临床病理特... 目的探究Nucleophosmin3(NPM3)在肺腺癌中的表达情况及其对肺腺癌细胞系H292生物学功能的影响,为肺腺癌的诊疗提供新的思路。方法首先利用生物信息学数据库TCGA分析NPM3基因在肺腺癌和正常组织中的表达差异及其与肺腺癌患者临床病理特征和预后的相关性;通过基因干扰技术构建敲低NPM3的细胞模型(si-NPM3-H292),运用实时荧光定量PCR技术(qRT-PCR)和蛋白免疫印迹技术(Westernblot)检测干扰效率;通过CCK-8及平板克隆实验检测敲低NPM3对肺腺癌细胞增殖能力的改变;运用划痕实验和Transwell实验检测敲低NPM3对H292细胞迁移能力的影响;运用qRT-PCR法和Westernblot检测与上皮间质转化(EMT)相关指标的mRNA及蛋白表达情况;通过Westernblot检测PI3K/Akt信号通路相关蛋白的表达水平。结果TCGA数据库分析结果显示,NPM3在肺腺癌中高表达且与肺腺癌患者临床病理分型密切相关,高表达NPM3的肺腺癌患者的生存预后显著差于低表达NPM3的患者(P<0.05)。成功构建敲低NPM3的细胞模型;敲低NPM3的表达降低了H292细胞的增殖和迁移能力(均P<0.05);与对照组比较,si-NPM3-H292细胞中E-cadherin的mRNA及蛋白表达水平均上调,N-cadherin的mRNA及蛋白表达水平均下调(均P<0.05);与对照组比较,si-NPM3-H292细胞中Akt及PI3K的蛋白表达水平无明显变化,但其磷酸化水平降低,而PTEN的蛋白表达水平有所上升(均P<0.05)。结论NPM3在肺腺癌中高表达且与患者不良预后相关,NPM3可能通过调控PI3K/Akt信号通路发挥对肺腺癌细胞增殖与迁移的促进作用。 展开更多
关键词 NPM3 肺腺癌 上皮间质转化 细胞增殖 细胞迁移
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两样本孟德尔随机化分析血浆磷脂酰乙醇胺水平与结直肠腺癌发病风险的关系
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作者 徐苓 皇甫昱婵 +1 位作者 沈立松 马妍慧 《上海交通大学学报(医学版)》 北大核心 2025年第5期605-613,共9页
目的·采用两样本孟德尔随机化(two-sample Mendelian randomization,TSMR)方法,以遗传变异作为工具变量,评估血浆磷脂酰乙醇胺(phosphatidylethanolamine,PE)水平与结直肠腺癌发病风险之间的因果关系。方法·PE与结直肠癌相关... 目的·采用两样本孟德尔随机化(two-sample Mendelian randomization,TSMR)方法,以遗传变异作为工具变量,评估血浆磷脂酰乙醇胺(phosphatidylethanolamine,PE)水平与结直肠腺癌发病风险之间的因果关系。方法·PE与结直肠癌相关的单核苷酸多态性(single-nucleotide polymorphism,SNP)数据分别来自布里斯托大学MRC综合流行病学小组(The Medical Research Council Integrative Epidemiology Unit,MRC-IEU)和芬兰生物银行。对基于全基因组关联研究(genome-wide association study,GWAS)的所有汇总数据进行二次数据分析,选择与PE密切关联的遗传位点作为工具变量,采用4种孟德尔随机化(Mendelian randomization,MR)方法,包括逆方差加权法(inverse-variance weighted,IVW)、孟德尔随机化Egger回归法(Mendelian randomization-Egger,MR-Egger回归)、加权中位数法(weighted median,WME)和加权众数法(weighted mode,WM)分析评估因果效应。IVW作为主要统计方法,MR-Egger、WME和WM作为辅助方法。采用MR-Egger回归截距和MR-PRESSO检验评估水平多效性全局检验是否违反MR假设。Cochran′s Q检验用于评估异质性。结果·筛选出10个工具变量,Steiger检验显示全部PE相关SNP对结直肠癌因果关系方向一致。10个SNP中rs102275和rs9393903位点与结直肠癌风险正相关,关联度分别为0.45(P=8.01×10^(-5))和0.82(P=2.31×10^(-2))。4种MR分析的结果一致,均显示血浆PE水平与结直肠腺癌的发病风险存在正向关联。IVW中OR为1.36,95%CI 1.17~1.59,P=7.24×10^(-5);MR-Egger回归OR为1.44,95%CI 0.97~2.14,P=1.12×10^(-1);WME中OR为1.33,95%CI 1.07~1.65,P=8.81×10^(-3);WM中OR为1.41,95%CI 1.12~1.77,P=1.70×10^(-2)。Cochran′s Q检验结果显示10个SNP对结直肠腺癌估计值无异质性。MR-Egger回归截距和MR-PRESSO检验表明全部SNP无水平多效性。采用留一法在剔除任一个SNP后,总体置信区间重叠,表明结果对单个SNP不敏感,具有较高的稳健性。结论·血浆PE水平与结直肠腺癌风险之间存在因果关联,遗传预测的血浆PE每增加1个标准差,结直肠腺癌发生风险就会增加0.36倍(95%CI 1.17~1.59,P=7.24×10^(-5))。 展开更多
关键词 结直肠腺癌 磷脂酰乙醇胺 两样本孟德尔随机化 因果关联 全基因组关联研究
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自身免疫性胃炎并发胃早癌的临床特征分析
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作者 刘娟 张政 李鹏 《首都医科大学学报》 北大核心 2025年第4期670-675,共6页
目的通过对自身免疫性胃炎(autoimmune gastritis,AIG)发生胃早癌患者的临床数据分析,探索其临床特征,提高识别AIG患者胃早癌水平。方法回顾性收集2018年至2024年就诊于首都医科大学附属北京友谊医院的30例AIG并行胃早癌内镜下治疗的患... 目的通过对自身免疫性胃炎(autoimmune gastritis,AIG)发生胃早癌患者的临床数据分析,探索其临床特征,提高识别AIG患者胃早癌水平。方法回顾性收集2018年至2024年就诊于首都医科大学附属北京友谊医院的30例AIG并行胃早癌内镜下治疗的患者,分析患者的基线资料、血清学指标、内镜及组织病理学数据,并根据性别及是否幽门螺杆菌(Helicobacter pylori,Hp)感染进一步分组比较临床数据差异。结果30例患者中女性患者20例(66.7%),平均年龄(64.93±7.68)岁,Hp感染者5例(29.40%)。胃蛋白酶原Ⅰ(pepsinogenⅠ,PGⅠ)及胃蛋白酶原Ⅰ/Ⅱ比值(pepsinogenⅠ/Ⅱ,PGⅠ/Ⅱ)中位值分别为7.10μg/L及1.00,胃泌素17(gastrin-17,G17)均值为(121.10±120.15)pmol/L。血红蛋白(hemoglobin,Hb)、游离铁、铁蛋白及维生素B12均值均在正常范围。胃体病变21例(70.00%)。Ⅱa型病变16例(53.33%),Ⅰ型病变15例(50.00%),病理类型以管状腺癌为主,共29例(96.67%)。女性患者中Hb(P=0.012)、游离铁(P<0.001)水平较男性更低,女性维生素B12水平亦更低[(161.25±76.49)pg/mL,P=0.012],小于正常范围且差异有统计学意义。Hp感染患者在临床特征方面与非Hp感染者差异无统计学意义。结论AIG并发胃早癌患者中女性居多,多发于胃体部,以隆起或平坦型病变为主,病理类型以管状腺癌为主。对于合并维生素B12缺乏的女性AIG患者,需警惕胃早癌的发生。 展开更多
关键词 自身免疫性胃炎 萎缩性胃炎 胃炎 胃早癌 胃癌 维生素B12
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基于病理组织切片的肺腺癌肿瘤突变预测模型
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作者 关昕 杨雪永 +1 位作者 杨啸林 孟祥福 《计算机科学》 北大核心 2025年第S1期91-98,共8页
肿瘤突变负荷与非小细胞肺癌的免疫治疗疗效呈正相关,在临床实践中一般通过全外显子组测序来测量肿瘤突变负荷。然而,全外显子组测序操作复杂耗时、价格昂贵,导致大多数医院无法使用。基于此,提出了一种成本低、周期短、准确率高的基于... 肿瘤突变负荷与非小细胞肺癌的免疫治疗疗效呈正相关,在临床实践中一般通过全外显子组测序来测量肿瘤突变负荷。然而,全外显子组测序操作复杂耗时、价格昂贵,导致大多数医院无法使用。基于此,提出了一种成本低、周期短、准确率高的基于病理组织切片预测肺腺癌肿瘤突变负荷的深度学习模型DBFormer。首先,颜色反卷积结构将输入模型的数字病理图像的RGB和HED图像信息相结合,丰富输入的病理图像信息,使模型更加适合医学任务分类;其次,图像通过四层金字塔结构,每层都包括一个最大池化层和一个DBFormer块,最大池化层减小图像尺寸、提升特征矩阵维度,DBFormer块包含归一化层和双重路由注意力机制对图像进行特征提取和处理;最后,从公开数据集TCGA-LUAD中随机选取337张和200张肺癌组织病理图像,分别构建二分类和三分类数据集进行实验。在二分类数据集上DBFormer模型的AUC,F1-Score,Precision,Recall,分别达到了99.7%,97.3%,97.6%,97.2%;在三分类数据集上DBFormer的Accuracy,Precision,Recall,F1-Score分别达到了97.3%,97.0%,97.0%,97.1%。实验结果表明,DBFormer模型相较于经典深度学习模型,在基于数字病理图像预测肺腺癌肿瘤突变负荷任务上具有更加优异的性能。 展开更多
关键词 肿瘤突变负荷预测 肺腺癌 组织病理图像 深度学习模型 自注意力机制
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食管胃结合部腺癌皮肤转移1例报道及疗效分析
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作者 李浩 邓瑾 +2 位作者 刘沛华 张泉涌 蔡寨 《中国癌症杂志》 北大核心 2025年第6期601-604,共4页
1病例资料患者,女性,79岁。自2024年10月起,患者因反复出现吞咽困难,并伴有反酸、乏力、消瘦及食欲下降等症状,于2024年11月15日于当地医院行胃镜检查,结果提示胃底贲门癌侵及食管;胸部CT检查提示食管下段胃底贲门部黏膜不均匀增厚,考... 1病例资料患者,女性,79岁。自2024年10月起,患者因反复出现吞咽困难,并伴有反酸、乏力、消瘦及食欲下降等症状,于2024年11月15日于当地医院行胃镜检查,结果提示胃底贲门癌侵及食管;胸部CT检查提示食管下段胃底贲门部黏膜不均匀增厚,考虑为恶性肿瘤,并存在胃小弯侧多发淋巴结转移的可能性。2024年11月17日后,患者吞咽困难症状加重,遂于2024年11月26日转诊至南方医科大学珠江医院,门诊以食管胃结合部肿瘤收治。 展开更多
关键词 食管胃结合部腺癌 皮肤转移 免疫治疗 病例报告
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COL12A作为一种新型的胰腺导管腺癌血清诊断标志物的鉴定与评价
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作者 刘佳 任灵杰 +3 位作者 施敏敏 唐笑梅 马芳芳 秦洁洁 《上海交通大学学报(医学版)》 北大核心 2025年第10期1342-1352,共11页
目的·识别并评估用于诊断胰腺导管腺癌(pancreatic ductal adenocarcinoma,PDAC)的新型且可靠的非侵入性血清生物标志物。方法·收集2018年5月至2019年12月在上海交通大学医学院附属瑞金医院胰腺疾病诊疗中心招募的67例PDAC患... 目的·识别并评估用于诊断胰腺导管腺癌(pancreatic ductal adenocarcinoma,PDAC)的新型且可靠的非侵入性血清生物标志物。方法·收集2018年5月至2019年12月在上海交通大学医学院附属瑞金医院胰腺疾病诊疗中心招募的67例PDAC患者(Ruijin cohortⅠ)的肿瘤组织和匹配的癌旁正常组织,进行全蛋白质组学分析。利用生物信息学方法分析蛋白质组学数据来识别新的生物标志物,并应用受试者工作特征(receiver operating characteristic,ROC)曲线及曲线下面积(area under the curve,AUC)评价其诊断价值。下载并分析临床蛋白质组肿瘤分析联盟(Clinical Proteomic Tumor Analysis Consortium,CPTAC)发布的PDAC蛋白质组学及其mRNA数据。2021年6月至2022年6月招募47例PDAC患者和75例健康人(Ruijin cohortⅡ)开展病例对照研究。收集患者及健康人血清,应用酶联免疫吸附试验(enzyme-linked immunosorbent assay,ELISA)检测血清中新生物标志物的表达水平,评价新生物标志物的血清学诊断价值。结果·蛋白质组学数据的差异表达分析显示,胶原蛋白Ⅻ型α1链(collagen typeⅫα1 chain,COL12A1)为PDAC诊断的候选标志物,并且公共数据库CPTAC队列分析证实其在肿瘤组织中的表达高于正常邻近组织。COL12A1蛋白在PDAC患者血清中的表达显著高于健康人血清。其鉴别PDAC患者与健康人的AUC为0.82,敏感度为81%,特异度为83%。ROC曲线分析显示,COL12A1辅助糖类抗原199(carbohydrate antigen 199,CA199)鉴别PDAC患者与健康人的AUC显著高于单独使用CA199(AU_(CCA199)=0.91 vs AUC_(CA199+COL12A1)=0.95,P<0.05)。此外,COL12A1有较高的能力鉴别早期PDAC患者(Ⅰ~Ⅱ期)与健康人(AUC=0.83),并且COL12A1联合CA199鉴别早期PDAC的AUC显著高于单独使用CA199(AUC_(CA199)=0.92 vs AUC_(CA199+COL12A1)=0.97,P<0.05)。结论·COL12A1是一种潜在的PDAC血清学诊断标志物,能够与CA199联合用于检测早期PDAC。 展开更多
关键词 胰腺导管腺癌 胶原蛋白Ⅻ型α1链 糖类抗原199 诊断 蛋白质组学
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