The impact of lymph node dissection on survival in patients with clinical early-stage ovarian cancer

Ting Deng,Qidan Huang,Ting Wan,Xiaoling Luo,Yanling Feng,He Huang,Jihong Liu 대한부인종양학회 2021 Journal of Gynecologic Oncology Vol.32 No.3

Objective: To estimate the impact of lymph node dissection on survival in patients withapparent early-stage epithelial ovarian cancer (EOC). Methods: We conducted a retrospective review of patients with clinical stage I–II EOC. Allpatients underwent primary surgery at Sun Yat-sen University Cancer Center between January2003 and December 2015. Demographic features and clinicopathological information as wellas perioperative adverse events were investigated, and survival analyses were performed. Results: A total of 400 ovarian cancer patients were enrolled, and patients were divided into2 groups: 81 patients did not undergo lymph node resection (group A), and 319 patientsunderwent lymph node dissection (group B). In group B, the median number of removednodes per patient was 25 (21 pelvic and 4 para-aortic nodes). In groups A and B, respectively,the 5-year progression-free survival (PFS) rates were 83.3% and 82.1% (p=0.305), and the5-year overall survival (OS) rates were 93.1% and 90.9% (p=0.645). The recurrence rate inthe retroperitoneal lymph nodes was not associated with lymph node dissection (p=0.121). The median operating time was markedly longer in group B than in group A (220 minutesvs. 155 minutes, p<0.001), and group B had a significantly higher incidence of lymph cysts atdischarge (32.9% vs. 0.0%, p<0.001). Conclusion: In patients with early-stage ovarian cancer, lymph node dissection was notassociated with a gain in OS or PFS and was associated with an increased incidence ofperioperative adverse events.

Evaluation of Curtain Grouting Efficiency by Cloud Model - based Fuzzy Comprehensive Evaluation Method

Yushan Zhu,Xiaoling Wang,Shaohui Deng,Mengqi Zhao,Xuefei Ao 대한토목학회 2019 KSCE JOURNAL OF CIVIL ENGINEERING Vol.23 No.7

Because of the concealment and uncertainty of dam foundation grouting, the accurate evaluation of the quality of grouting construction is a major concern. Most of the previous studies pertaining to the assessment of grouting efficiency only take a single factor into account, and only a few efforts have been devoted to the comprehensive evaluation of grouting efficiency, which fail to consider the fuzziness problems caused by the complex relationships among indicators as well as the randomness problems caused by subjective consciousness. Therefore, the curtain grouting efficiency evaluation method considering the uncertainty in evaluation process is proposed which includes three main parts: 1) Based on conventional evaluation indicators of grouting efficiency, where groutability is introduced as a new indicator; 2) a fuzzy comprehensive evaluation method based on cloud model is developed, by which the fuzziness and randomness in assessment are organically combined; and 3) the fuzzy entropy was calculated for indicating the complexity of grouting efficiency level. Then, the proposed method is used to assess efficiency of the curtain grouting for a hydropower station in China, and compared with three other methods. The outcomes display the consistency, representativeness, robustness and superiority of this evaluation method, which make the evaluation results more scientific and objective.

Probabilistic Risk Assessment of RCC Dam Considering Grey-Stochastic-Fuzzy Uncertainty

Wenlong Chen,Xiaoling Wang,Minghui Liu,Yushan Zhu,Shaohui Deng 대한토목학회 2018 KSCE JOURNAL OF CIVIL ENGINEERING Vol.22 No.11

Greyness, randomness and fuzziness are three inseparable uncertainty factors influencing the safety of a roller compacted concrete dam (RCC dam), which can be regarded as a system reliability problem associated with multiple failure modes. Aiming at the current probabilistic risk analysis of RCC dams, most of the studies limited to single failure mode and single uncertainty. A probabilistic risk assessment method for dam under Grey-Stochastic-Fuzzy (GSF) uncertainty is proposed to consider the randomness and greyness of parameters and the fuzziness of the failure criteria. First, the fault tree model of an RCC dam is established based on Fault Tree Analysis (FTA). Then, bootstrap repeated sampling is embedded into grey system theory to quantify the grey properties of stochastic variables. The Latin Hypercube Sampling (LHS) function is improved to compensate for the inability of describing the fuzzy failure criteria. Finally, considering the correlated multiple failure modes, the proposed method is applied to analyze the parameter sensitivity and failure probability of the LDL dam in China. The results show that the proposed method is a high-efficiency, fastconvergence and more scientific method with reasonable outputs compared to common uncertainty probability analysis methods. The proposed method also provides an effective basis for the structural design and safety analysis of a concrete dam.

The Effects of Glucagon-like Peptide-2 on the Tight Junction and Barrier Function in IPEC-J2 Cells through Phosphatidylinositol 3-kinase-Protein Kinase B-Mammalian Target of Rapamycin Signaling Pathway

Yu, Changsong,Jia, Gang,Deng, Qiuhong,Zhao, Hua,Chen, Xiaoling,Liu, Guangmang,Wang, Kangning Asian Australasian Association of Animal Productio 2016 Animal Bioscience Vol.29 No.5

Glucagon-like peptide-2 (GLP-2) is important for intestinal barrier function and regulation of tight junction (TJ) proteins, but the intracellular mechanisms of action remain undefined. The purpose of this research was to determine the protective effect of GLP-2 mediated TJ and transepithelial electrical resistance (TER) in lipopolysaccharide (LPS) stressed IPEC-J2 cells and to test the hypothesis that GLP-2 regulate TJ and TER through the phosphatidylinositol 3-kinase (PI3K)-protein kinase B (Akt)-mammalian target of rapamycin (mTOR) signaling pathway in IPEC-J2 cells. Wortmannin and LY294002 are specific inhibitors of PI3K. The results showed that $100{\mu}g/mL$ LPS stress decreased TER and TJ proteins occludin, claudin-1 and zonula occludens protein 1 (ZO-1) mRNA, proteins expressions (p<0.01) respectively. GLP-2 (100 nmol/L) promote TER and TJ proteins occludin, claudin-1, and zo-1 mRNA, proteins expressions in LPS stressed and normal IPEC-J2 cells (p<0.01) respectively. In normal cells, both wortmannin and LY294002, PI3K inhibitors, prevented the mRNA and protein expressions of Akt and mTOR increase induced by GLP-2 (p<0.01) following with the significant decreasing of occludin, claudin-1, ZO-1 mRNA and proteins expressions and TER (p<0.01). In conclusion, these results indicated that GLP-2 can promote TJ's expression and TER in LPS stressed and normal IPEC-J2 cells and GLP-2 could regulate TJ and TER through the PI3K/Akt/mTOR pathway.

Metal-Doped In2O3 Nanosphere Arrays with Enhanced Gas-Sensing Property

Xuanji Zhang,Ni Deng,Xianjia Chen,Yanting Yang,Jing Li,BO HONG,DINGFENG JIN,Xiaoling Peng,XINQING WANG,Hongliang Ge,HONGXIAO JIN 성균관대학교(자연과학캠퍼스) 성균나노과학기술원 2019 NANO Vol.14 No.3

In2O3 and metal-doped (Ni or Ce) In2O3 mesoporous three-dimensional (3D) nanospheres arrays were synthesized via nanocasting using mesoporous silica as hard templates. Effects of Ni or Ce doping on the structure, optical and gas-sensing properties of the In2O3 nanospheres were investigated. Both the undoped and the doped In2O3 nanospheres showed single-phase structure without any impurity. The nanospheres were about 20 nm in size and they stacked closely to formrigid 3D mesoporous structure. Achange in the value of optical band gap was observed upon metal doping. The room temperature photo luminescence behavior also showed some differences between pure and doped In2O3. Compared with pure In2O3 nanospheres, the metal-doped In2O3 exhibited superior response, fast recovery and good selectivity to ethanol. The enhanced gas-sensing properties might be related to the doping of metal ion and its effective contribution towards the oxygen vacancies, conductivity and crystallite size of the grains.

Two Evaluation Budgets for the Measurement Uncertainty of Glucose in Clinical Chemistry

Hui Chen,Ling Zhang,Xiaoyun Bi,Xiaoling Deng 대한진단검사의학회 2011 Annals of Laboratory Medicine Vol.31 No.3

Background: Measurement uncertainty characterizes the dispersion of the quantity values attributed to a measurand. Although this concept was introduced to medical laboratories some years ago, not all medical researchers are familiar with it. Therefore, the evaluation and expression of measurement uncertainty must be highlighted using a practical example. Methods: In accordance with the procedure for evaluating and expressing uncertainty, provided by the Joint Committee for Guides in Metrology (JCGM), we used plasma glucose (Glu) as an example and defined it as the measurand. We then analyzed the main sources of uncertainty, evaluated each component of uncertainty, and calculated the combined uncertainty and expanded uncertainty with 2 budgets for single measurements and continuous monitoring, respectively. Results: During the measurement of Glu, the main sources of uncertainty included imprecision, within-subject biological variance (BVw), calibrator uncertainty, and systematic bias. We evaluated the uncertainty of each component to be 1.26%, 1.91%, 5.70%, 0.42%, and -2.87% for within-run imprecision, between-day imprecision, BVw, calibrator uncertainty, and systematic bias, respectively. For a single specimen, the expanded uncertainty was 7.38% or 6.1±0.45 mmol/L (κ=2); in continuous monitoring of Glu, the expanded uncertainty was 13.58% or 6.1±0.83 mmol/L (κ=2). Conclusions: We have demonstrated the overall procedure for evaluating and reporting uncertainty with 2 different budgets. The uncertainty is not only related to the medical laboratory in which the measurement is undertaken, but is also associated with the calibrator uncertainty and the biological variation of the subject. Therefore, it is helpful in explaining the accuracy of test results. Background: Measurement uncertainty characterizes the dispersion of the quantity values attributed to a measurand. Although this concept was introduced to medical laboratories some years ago, not all medical researchers are familiar with it. Therefore, the evaluation and expression of measurement uncertainty must be highlighted using a practical example. Methods: In accordance with the procedure for evaluating and expressing uncertainty, provided by the Joint Committee for Guides in Metrology (JCGM), we used plasma glucose (Glu) as an example and defined it as the measurand. We then analyzed the main sources of uncertainty, evaluated each component of uncertainty, and calculated the combined uncertainty and expanded uncertainty with 2 budgets for single measurements and continuous monitoring, respectively. Results: During the measurement of Glu, the main sources of uncertainty included imprecision, within-subject biological variance (BVw), calibrator uncertainty, and systematic bias. We evaluated the uncertainty of each component to be 1.26%, 1.91%, 5.70%, 0.42%, and -2.87% for within-run imprecision, between-day imprecision, BVw, calibrator uncertainty, and systematic bias, respectively. For a single specimen, the expanded uncertainty was 7.38% or 6.1±0.45 mmol/L (κ=2); in continuous monitoring of Glu, the expanded uncertainty was 13.58% or 6.1±0.83 mmol/L (κ=2). Conclusions: We have demonstrated the overall procedure for evaluating and reporting uncertainty with 2 different budgets. The uncertainty is not only related to the medical laboratory in which the measurement is undertaken, but is also associated with the calibrator uncertainty and the biological variation of the subject. Therefore, it is helpful in explaining the accuracy of test results.

Histone demethylase KDM4A plays an oncogenic role in nasopharyngeal carcinoma by promoting cell migration and invasion

Zhao Jingyi,Li Bingyan,Ren Yongxia,Liang Tiansong,Wang Juan,Zhai Suna,Zhang Xiqian,Zhou Pengcheng,Zhang Xiangxian,Pan Yuanyuan,Gao Fangfang,Zhang Sulan,Li Liming,Yang Yongqiang,Deng Xiaoyu,Li Xiaole,C 생화학분자생물학회 2021 Experimental and molecular medicine Vol.53 No.-

Compelling evidence has indicated the vital role of lysine-specific demethylase 4 A (KDM4A), hypoxia-inducible factor-1α (HIF1α) and the mechanistic target of rapamycin (mTOR) signaling pathway in nasopharyngeal carcinoma (NPC). Therefore, we aimed to investigate whether KDM4A affects NPC progression by regulating the HIF1α/DDIT4/mTOR signaling pathway. First, NPC and adjacent tissue samples were collected, and KDM4A protein expression was examined by immunohistochemistry. Then, the interactions among KDM4A, HIF1α and DDIT4 were assessed. Gain- and loss-of-function approaches were used to alter KDM4A, HIF1α and DDIT4 expression in NPC cells. The mechanism of KDM4A in NPC was evaluated both in vivo and in vitro via RT-qPCR, Western blot analysis, MTT assay, Transwell assay, flow cytometry and tumor formation experiments. KDM4A, HIF1α, and DDIT4 were highly expressed in NPC tissues and cells. Mechanistically, KDM4A inhibited the enrichment of histone H3 lysine 9 trimethylation (H3K9me3) in the HIF1α promoter region and thus inhibited the methylation of HIF1α to promote HIF1α expression, thus upregulating DDIT4 and activating the mTOR signaling pathway. Overexpression of KDM4A, HIF1α, or DDIT4 or activation of the mTOR signaling pathway promoted SUNE1 cell proliferation, migration, and invasion but inhibited apoptosis. KDM4A silencing blocked the mTOR signaling pathway by inhibiting the HIF1α/DDIT4 axis to inhibit the growth of SUNE1 cells in vivo. Collectively, KDM4A silencing could inhibit NPC progression by blocking the activation of the HIF1α/DDIT4/mTOR signaling pathway by increasing H3K9me3, highlighting a promising therapeutic target for NPC.