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        Prediction of Pathologic Response to Neoadjuvant Chemoradiotherapy in Patients with Esophageal Squamous Cell Carcinoma Incorporating Hematological Biomarkers

        Yingjia Wu,Jinbin Chen,Lei Zhao,Qiaoqiao Li,Jinhan Zhu,Hong Yang,Suping Guo,Mian Xi 대한암학회 2021 Cancer Research and Treatment Vol.53 No.1

        Purpose This study aimed to develop a nomogram for predicting pathologic complete response (pCR) after neoadjuvant chemoradiotherapy (CRT) in patients with esophageal squamous cell carcinoma (ESCC) by integrating hematological biomarkers and clinicopathological characteristics. Materials and Methods Between 2003 and 2017, 306 ESCC patients who underwent neoadjuvant CRT followed by esophagectomy were analyzed. Besides clinicopathological factors, hematological parameters before, during, and after CRT were collected. Univariate and multivariate logistic regression analyses were performed to identify predictive factors for pCR. A nomogram model was built and internally validated. Results Absolute lymphocyte count (ALC), lymphocyte to monocyte ratio, albumin, hemoglobin, white blood cell, neutrophil, and platelet count generally declined, whereas neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) increased significantly following neoadjuvant CRT. After surgery, 124 patients (40.5%) achieved a pCR. The pCR group demonstrated significantly more favorable survival than the non-pCR group. On multivariate analysis, significant factors associated with pCR included sex, chemotherapy regimen, post-CRT endoscopic finding, pre-CRT NLR, ALC nadir during CRT, and post-CRT PLR, which were incorporated into the prediction model. The nomogram indicated good accuracy in predicting pCR, with a C-index of 0.75 (95% confidence interval, 0.71 to 0.78). Conclusion Female, chemotherapy regimen of cisplatin/vinorelbine, negative post-CRT endoscopic finding, pre-CRT NLR (≤ 2.1), ALC nadir during CRT (> 0.35×109/L), and post-CRT PLR (≤ 83.0) were significantly associated with pCR in ESCC patients treated with neoadjuvant CRT. A nomogram incorporating hematological biomarkers to predict pCR was developed and internally validated, showing good predictive performance.

      • KCI등재

        A Vegetable Dietary Pattern Is Associated with Lowered Risk of Gestational Diabetes Mellitus in Chinese Women

        Qiong Chen,Weiwei Wu,Hailan Yang,Ping Zhang,Yongliang Feng,Keke Wang,Ying Wang,Suping Wang,Yawei Zhang 대한당뇨병학회 2020 Diabetes and Metabolism Journal Vol.44 No.6

        Background Identification of modifiable dietary factors, which are involved in the development of gestational diabetes mellitus (GDM), could inform strategies to prevent GDM. Methods We examined the dietary patterns in a Chinese population and evaluated their relationship with GDM risk using a case-control study including 1,464 cases and 8,092 control subjects. Propensity score matching was used to reduce the imbalance of covariates between cases and controls. Dietary patterns were identified using factor analysis while their associations with GDM risk were evaluated using logistic regression models. Results A “vegetable” dietary pattern was characterized as the consumption of green leafy vegetables (Chinese little greens and bean seedling), other vegetables (cabbages, carrots, tomatoes, eggplants, potatoes, mushrooms, peppers, bamboo shoots, agarics, and garlic), and bean products (soybean milk, tofu, kidney beans, and cowpea). For every quartile increase in the vegetables factor score during 1 year prior to conception, the first trimester, and the second trimester of pregnancy, the GDM risk lowered by 6% (odds ratio [OR], 0.94; 95% confidence interval [CI], 0.89 to 0.99), 7% (OR, 0.94; 95% CI, 0.88 to 0.99), and 9% (OR, 0.91; 95% CI, 0.86 to 0.96). Conclusion In conclusion, our study suggests that the vegetable dietary pattern is associated with lower GDM risk; however, the interpretation of the result should with caution due to the limitations in our study, and additional studies are necessary to explore the underlying mechanism of this relationship.

      • KCI등재

        Comparison of Lisianthus (Eustoma grandiflorum) Cultivars Based on the Selected Regeneration Media Using Anther Culture

        Xuhong Zhou,Xijun Mo,Suping Qu,Min Tian,Xue Wei Wu,Min Wu,Jinze Li,Ying Luo,Jihua Wang,Min Gui 한국원예학회 2014 Horticulture, Environment, and Biotechnology Vol.55 No.2

        Double haploids in lisianthus cultivars were produced using anther culture. The anther of ‘Art Peach’ wascultured on the Murashige and Skoog (MS) medium with 3% sucrose with auxin and cytokinin. The highest frequencyof calli developed from anthers (100%) and green plantlets per 100 calli (60 regenerants) was observed on the mediumcontaining 8 mg・L-1 N6-benzyladenine (BA) and 0.1 mg・L-1 naphthaleneacetic acids (NAA). When anthers were culturedon the medium supplemented with 2 mg・L-1 BA and 0.5 mg・L-1 NAA, 33.3% of calli formed plantlets. Using theanther culture, callus induction and plantlets regeneration in five cultivars were developed differently, suggesting thatthe genotype might predetermined anther culture response. These results indicate that a highly efficient new microprogationtechnique can be provided by anther culture in vitro for lisianthus. Anther culture in vitro can provide a highly efficientnew microprogation technique for lisianthus.

      • KCI등재

        Efficient Expression of Glucagon-like Peptide-1 Analogue with Human Serum Albumin Fusion Protein in Pichia pastoris Using the Glyceraldehyde-3-phosphate Dehydrogenase Promoter

        Kai Qian,XiaoHai Gong,Bo Guan,SuPing Wu,JingJing Zhang,Jing Qian,YanFei Cai,Yun Chen,ZuoYing Duan,Xin Ma,HuaZhong Li,Jian Jin 한국생물공학회 2015 Biotechnology and Bioprocess Engineering Vol.20 No.4

        Glucagon-like peptide-1 (GLP-1) was a potential therapeutic drug for type II diabetes, mainly because of the stimulatory effect on insulin secretion under condition of high blood glucose. We used PCR to obtain a recombination gene, GGH, in which two GLP-1 (GLP-1A2G) mutants were connected in series and then fused to the N terminal of human serum albumin. The fusion gene was inserted into pGAPZaA plasmid with Saccharomyces cerevisiae α- factor secretion signal sequence, and was expressed by the glyceraldehyde-3-phosphate dehydrogenase (GAP) promoter. The engineered strain was constructed by integrating the recombinant plasmid pGAPZαA/GGH into the genome of Pichia pastoris GS115. Genome PCR and western blot showed that the recombinant P. pastoris successfully expressed the fusion protein GGH. The yield of GGH reached 78 mg/L after 72 h fermentation in a flask, using glucose as the optimal carbon source. Fed-batch fermentation was investigated in a 5 L bioreactor, and the expression level of GGH reached 246 mg/L in 52 h. The fusion protein GGH was purified in four steps, and the final purity was 96.1%. The in vitro bioactivity of GGH was the same as that expressed in P. pastoris by the AOX1 promoter. This study described an efficient way to express GGH fusion protein in P. pastoris using GAP promoter, fermentation was easier to control without carbon source change and fermentation time was 20 h less than AOX1 promotercontrolled GGH fermentation.

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