食管贲门癌患者血清微量元素的变化

检测了３０例食管贲门癌患者手术羊后的ＳＣｕ，ＳＺｎ及Ｃｕ／Ｚｎ比值，并以２８例健康查体者作对照研究，发现：（１）食管贲门癌患者术前血清ＳＣｕ及Ｃｕ／Ｚｎ值高于对照，ＳＺｎ低于对照；（２）肿瘤患者术后１０天血清ＳＣｕ及Ｃｕ／Ｚｎ值下降，ＳＺｎ接近正常，通过本文研究提示，血清ＳＣｕ，ＳＺｎ及Ｃｕ／Ｚｎ比值与食管贲门癌患者的病情和疗效有关，可作为监测和判断病情和预后的辅助检查。     

Gastric cancer in proximal site exerts poorer survival outcome with divergent genetic features than distal site

BackgroundAnatomical subsites always harbor specific biological features in carcinogenesis. The divergent prognosis of proximal gastric cancer (PGC) and distal gastric cancer (DGC) has been reported. The current study aimed to comprehensively interpret anatomic subsite-specific genomic profiles, which may improve the effectiveness of personalized management.MethodsSurvival and genomic data from the online Surveillance, Epidemiology, and End Results (SEER) and The Cancer Genome Atlas (TCGA) databases were queried for prognostic and genetic analysis, respectively. Propensity score matching (PSM) analysis was performed to balance patient epidemiological factors. Differentially expressed genes (DEGs) were analyzed using the DESeq algorithm. Functional enrichment was performed by the clusterProfiler package. The protein-protein interaction network of DEGs was predicted by the online STRING database.ResultsA total of 3,955 patient pairs were assembled by PSM in SEER data with even background characteristics. Prognostic analysis indicated worse overall survival of PGC than DGC (17 vs 20 months, p = 0.0002). Genetic analysis of TCGA database identified 280 DEGs, 90 of which were upregulated in the DGC group and the remaining 190 were upregulated in the PGC group. Functional enrichment analysis indicated that kallikrein serine protease activity, ion channel (Na⁺/Cl⁻) activity, and cytoskeleton constituent might be attributed to the poor prognosis observed in PGC. Furthermore, alcohol, retinol, and lipoprotein metabolism were the features for DGC malignancy.ConclusionThe current study first demonstrated that PGC exerts poorer survival outcome than DGC based on the SEER database. Further bioinformatic investigation depicts the specific genetic features for PGC and DGC, which may generate differences in tumor malignancy. Our findings provide promising genetic targets for future specific and individualized gastric cancer therapy.     

Optical Diagnosis for Thyroid and Parathyroid Tissues—A Review

Abstract

This article presents an overview of optical methodologies to aid the diagnosis and differentiation of thyroid and parathyroid tissues. In particular, we review the several techniques and associated methodologies that allow in vivo and ex vivo optical characterization of thyroid and parathyroid tissues. Emphasis is placed on the research potential of these techniques and whether intrinsic characteristics can provide useful contrast for the diagnosis of human thyroid and parathyroid malignant lesions.     

单个鼻咽癌细胞的拉曼光谱分析的研究

利用激光镊子拉曼光谱系统研究了鼻咽癌细胞株和正常人鼻咽部气道上皮细胞株的单个细胞的拉曼光谱,对于每个细胞在不同部位测3个点。结果显示：正常细胞和癌细胞的平均拉曼光谱有显著差异：正常的细胞光谱强度比癌细胞的明显要高;正常细胞的1304和1336 cm-1处峰的强度比值为1.05,癌细胞的为1.22。用PCA主成分分析和DFA判别分析分别对单个细胞的平均光谱和不同位置所取得的单独光谱进行分析,结果发现：PCA和DFA均可以把癌细胞和正常细胞正确区分,对于单独光谱,DFA的效果更好一些。同时还发现同一个细胞中不同的光谱位置对PCA和DFA的区分度影响不是很大;PCA和DFA的图中还表明癌细胞的均匀度要比正常细胞的差。以上的研究均表明：激光镊子拉曼光谱可以成为区别正常鼻咽细胞和鼻咽癌细胞的有效手段。     

Magnetohydrodynamic thermochemotherapy and MRI of mouse tumors

A dextran-ferrite magnetic fluid was successfully tested as magnetic resonance imaging (MRI) contrast agent. The same magnetic fluid was then combined with Melphalan, a chemotherapeutic drug, and used for magnetohydrodynamic thermochemotherapy of different tumors. The placement of the tumors in an AC magnetic field led to hyperthermia at 46 °C for 30 min. In combination with tumor slime aspiration, a 30% regression of ∼130 mm³ non-metastatic P388 tumors in BDF₁ mice was reached, together with a life span increase of 290%. The same procedure associated with cyclophosphamide treatment of ∼500 mm³ metastases tumor increased the animal's life span by 180%.     

鼻咽癌患者指甲的红外光谱研究

利用傅里叶红外光谱研究了20例正常人和3例鼻咽癌患者手指甲的红外光谱,结果表明：癌指甲样品与正常指甲样品的红外光谱在峰形、峰强度、峰频率等方面均存在明显差异;它们的最大区别是：酰氨Ⅱ带峰形的变化,δ_s(CH₃)峰的消失,以及874.0 cm-1附近有无吸收峰。还着重研究了磷酸二酯基团的对称和反对称伸缩振动;以及C—O基团伸缩振动峰的变化。并从蛋白质、核酸氢键的角度以及膜脂碳氢链排列及构像变化角度等方面分析了发生变化的原因。磷酸二酯基团的对称伸缩振动峰呈现有规律的变化, 即癌样品由1 080.0位移到1 077.6 cm-1, 反对称伸缩振动由1 239.4位移到1 238.4 cm-1, 表明指甲核酸分子内磷酸二酯键骨架的结构发生了改变。另外, 膜脂分子中的CH₂弯曲振动 δ(CH₂)的波数也有些改变, 即癌样品由1 453.1位移到1 453.7 cm-1。而且,峰的强度也有所增强, 说明癌患者指甲的膜脂中亚甲基链的无序状态较正常人的大。     

Diffusion-weighted MRI for the detection of colorectal polyps: feasibility study

The purpose of this study was to determine the feasibility of diffusion-weighted magnetic resonance imaging (DWI) for detecting colorectal polyps. DWI (high b-value of 1000 s/mm²) was prospectively performed in 26 symptomatic patients who were scheduled to undergo colonoscopy. DWI and colonoscopic findings were interpreted in a blinded manner. The sensitivity and positive predictive value (PPV) of DWI for the detection of clinically relevant polyps (≥ 6 mm) and colorectal cancer (CRC) were calculated on a per-lesion basis, using colonoscopy results as the standard of reference. Sensitivity, specificity, PPV and negative predictive value (NPV) on a per-patient basis were also calculated. Sensitivity and PPV on a per-lesion basis were 80.0% [95% confidence interval (CI): 49.0%–94.3%] and 72.7% (95% CI: 43.4%–90.3%) for polyps ≥ 6 mm and CRC. Sensitivity, specificity, PPV and NPV on a per-patient basis were 85.7% (95% CI: 48.7%–97.4%), 84.2% (95% CI: 62.4%–94.5%), 66.7% (95% CI: 35.4%–87.9%) and 94.1% (95% CI: 73.0%–99.0%) for polyps ≥ 6mm and CRC. In conclusion, DWI cannot yet be recommended in a clinical setting in which DWI is performed first and subsequent colonoscopy is only performed in patients with positive findings at DWI. Further (technical) developments are required to increase its diagnostic yield.     

Electrochemical immuno-bioanalysis for carcinoma antigen 125 based on thionine and gold nanoparticles-modified carbon paste interface

A novel electrochemical immunosensor for the determination of carcinoma antigen 125 (CA125) was developed by means of immobilizing CA125 antibody (anti-CA125) on gold nanoparticles (Au) and thionine (Thi)-modified carbon paste interface. To avoid the leak of hydrophilic gold nanoparticles and thionine from carbon paste interface, the Au-Thi-modified carbon paste electrodes (CPEs) were first treated in the mixture solution containing 10% HNO₃ and 2.5% K₂Cr₂O₇ for 1.5 min at +1.5 V to make the carbon surface with -COOH groups, which can react with -NH₂ groups on the thionine molecule, in the meantime, gold nanoparticles were absorbed on the thionine surface. Subsequently, CA125 antibodies were assembled onto the surface of gold nanoparticles. The fabrication process of the immunosensor was characterized by fourier transform infrared spectroscopy (FTIR) and UV-vis absorption spectroscopy. The performance and factors influencing the performance of the immunosensor were studied in detail. A direct electrochemical immunoassay format was employed to detect CA125 antigen based on the current change before and after the antigen-antibody reaction. The current change was proportional to CA125 concentration ranging from 10 to 30 U/ml with a detection limit of 1.8 U/ml (at 3δ). The immunosensors were used to analyze CA125 in human serum specimens. Analytical results of clinical samples show that the developed immunoassay has a promising alternative approach for detecting CA125 in the clinical diagnosis.     

Metabonomic profiling of renal cell carcinoma: high-resolution proton nuclear magnetic resonance spectroscopy of human serum with multivariate data analysis

Metabonomic profiling using proton nuclear magnetic resonance (¹H NMR) spectroscopy and multivariate data analysis of human serum samples was used to characterize metabolic profiles in renal cell carcinoma (RCC). We found distinct, easily detectable differences between (a) RCC patients and healthy humans, (b) RCC patients with metastases and without metastases, and (c) RCC patients before and after nephrectomy. Compared to healthy human serum, RCC serum had higher levels of lipid (mainly very low-density lipoproteins), isoleucine, leucine, lactate, alanine, N-acetylglycoproteins, pyruvate, glycerol, and unsaturated lipid, together with lower levels of acetoacetate, glutamine, phosphatidylcholine/choline, trimethylamine-N-oxide, and glucose. This pattern was somewhat reversed after nephrectomy. Altered metabolite concentrations are most likely the result of the cells switching to glycolysis to maintain energy homeostasis following the loss of ATP caused by impaired TCA cycle in RCC. Serum NMR spectra combined with principal component analysis techniques offer an efficient, convenient way of depicting tumour biochemistry and stratifying tumours under different pathophysiological conditions. It may be able to assist early diagnosis and postoperative surveillance of human malignant diseases using single blood samples.     

Digital differentiation of non-small cell carcinomas of the lung by the fractal dimension of their epithelial architecture

IntroductionIn recent years, differences have emerged in the treatment of squamous and non-squamous non-small cell lung carcinomas (NSCLCs). This highlights the importance of accurate histopathologic classification. However, there remains inter-observer disagreement when making diagnoses based on histology. Fractal dimension (FD) is a mathematical measure of irregularity and complexity of shape. We hypothesize that the FD of carcinoma epithelial architecture can assist in differentiating adenocarcinoma (ADC) from squamous cell carcinoma (SCC) of the lung.Methods134 resected (88 ADC and 46 SCC) cases of resected early-stage NSCLC were analyzed. Tissue micro arrays were generated from formalin-fixed paraffin-embedded tissue, stained with pan-cytokeratin, and digitally imaged and the FD of the epithelial structure calculated. Mean FD of ADC and SCC were compared using the independent t-test, partial correlations, and receiver operating characteristic (ROC) analyses.ResultsA statistically significant difference (p < 0.001) between the mean FD of ADC (M = 1.70, SD = 0.07) and SCC (M = 1.78, SD = 0.07) was found. Significance remained (p < 0.001) when controlling for several possible confounders. ROC analysis demonstrated an area-under-the-curve of 0.81 (p < 0.001).ConclusionsThe epithelial structure FD of NSCLC has potential as a reproducible and automated measure to help subtype NSCLCs into ADC and SCC. With further image analysis algorithm improvements, fractal analysis may be a component in computerized histomorphological assessments of lung cancer and may provide an adjunct test in differentiating NSCLCs.