ABSTRACT
Objective To analyze the role of preoperative peripheral blood inflammatory parameters and postoperative lymph-node ratio (LNR) in the prognosis of gastric cancer patients treated with chemotherapy. Methods The neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), systemic immune inflammatory response index (SII), lymphocyte-to-monocyte ratio (LMR), Onodera prognostic nutritional index (OPNI), and LNR of 108 patients with gastric cancer were classified into high and low groups to analyze their prognostic value on the overall survival (OS) of gastric cancer patients treated with chemotherapy. The independent prognostic indicators were plotted in columns to predict the survival rate of gastric cancer patients. Results NLR was statistically significant in the prognostic assessment of gastric cancer patients treated with chemotherapy (P < 0.001). Moreover, the high PLR group, high SII group, high LNR group, N3 stage, TNM (Ⅲ-Ⅳ) stage, nerve invasion, and carcinoembryonic antigen (CEA) were independent risk factors for the prognosis of gastric cancer (all P < 0.05). These findings indicated that in predicting the prognosis of gastric cancer, the combination of LNR, PLR, and SII (AUC=0.875) was better than that of LNR, PLR, and SII alone or in pairwise combination. Conclusion Elevated NLR, LNR, PLR, and SII are associated with significantly reduced survival of patients. LNR, PLR, and SII could be used as independent risk factors for the prognosis of gastric cancer patients treated with chemotherapy, and their combination can predict the survival of gastric cancer patients.
ABSTRACT
Ampullary carcinoma is a rare malignant tumor of the digestive tract. Compared with other malignant tumors around the ampulla, its prognosis is significantly better, but the prognosis of some patients with ampulla cancer is unsatisfactory. Studies have confirmed that the systemic inflammatory response is closely related to the prognosis and efficacy of tumors, and the tumor microenvironment plays a vital role in tumor progression and prognosis. In recent years, inflammatory parameters and related prediction models have become a hot spot in predicting the prognosis and survival of ampullary cancer, and they have been confirmed to have certain predictive value. This article reviews the correlation between inflammatory parameters and prognosis of ampullary carcinoma and presents the possible progress for future research.
ABSTRACT
RESUMOO modelo animal é utilizado em inferências de muitos mecanismos fisiológicos ao modelo humano, entretanto, investigações tem negligenciado o completo controle ambiental e cronobiológico. O objetivo deste estudo foi analisar respostas inflamatórias decorrentes do exercício físico realizado até a exaustão em intensidade individualmente determinada na transição aeróbia/anaeróbia em diferentes horários do dia e luminosidades ambientais. Ratos Wistar foram submetidos a dois tipos de luminosidade ambiental durante o período noturno: luminosidade padrão (LP; escuridão total) ou experimental (LE; >600nm; <15lux). Os animais foram avaliados pelo teste de lactato mínimo e então submetidos a um exercício exaustivo nesta intensidade (TE).Todos os procedimentos experimentais foram realizados às 12:00h (período de repouso) ou 20:00h (vigília). TE não sofreu influência do horário ou luminosidade, porém, ratos avaliados sob LP às 20:00h apresentaram menores valores para marcadores inflamatórios, mostrando a importância deste controle em experimentos que envolvam animais noturnos.
ABSTRACTAnimal models are quite used for inferences to Human beings regarding many physiological mechanisms, however, current experiments have been neglected adequate control on environment and chronobiological interferences. The aim of this study was to analyze inflammatory responses owing physical exercise kept until exhaustion at aerobic/anaerobic transition intensity in different times of day and environmental luminosities. Wistar Rats were submitted to a two environmental luminosities during night period: standard luminosity (SL; total darkness) or experimental luminosity (EL; >600nm; <15lux). Animals were submitted to the lactate minimum test and then submitted to an exhaustive exercise at such intensity (TE). Overall experimental procedures were performed at 12:00h or 20:00h. TE were not influenced by time of day or environmental luminosity, nevertheless, were found reduced scores to inflammatory markers to rats assessed under SL at 20:00hs, showing the importance of such control in experiments involving nocturnal animals.