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1.
Front Genet ; 12: 804916, 2021.
Article in English | MEDLINE | ID: mdl-35096017

ABSTRACT

Background: Hepatocellular carcinoma (HCC) is a solid tumor with high recurrence rate and high mortality. It is crucial to discover available biomarkers to achieve early diagnosis and improve the prognosis. The effect of LSM4 in HCC still remains unrevealed. Our study is dedicated to exploring the expression of LSM4 in HCC, demonstrating its clinical significance and potential molecular mechanisms. Methods: Clinical information and LSM4 expression values of HCC were obtained from Gene Expression Omnibus (GEO) and The Cancer Genome Atlas (TCGA) databases. Survival analysis and receiver operating characteristic (ROC) curve analysis were applied to evaluate the prognostic and diagnostic significance of LSM4. Calculating pooled standardized mean difference (SMD) and performing summary receiver operating characteristic (sROC) curve analysis to further determine its expression status and diagnostic significance. LSM4-related co-expressed genes (CEGs) were obtained and explored their clinical significance in HCC. LSM4-associated pathways were identified through Gene set enrichment analysis (GSEA). Results: Up-regulated LSM4 was detected in HCC tissues (SMD = 1.56, 95% CI: 1.29-1.84) and overexpressed LSM4 had excellent distinguishing ability (AUC = 0.91, 95% CI: 0.88-0.93). LSM4 was associated with clinical stage, tumor grade, and lymph node metastasis status (p < 0.05). Survival analysis showed that high LSM4 expression was related to poor overall survival (OS) of HCC patients. Cox regression analysis suggested that high LSM4 expression may be an independent risk factor for HCC. We obtained nine up-regulated CEGs of LSM4 in HCC tissues, and six CEGs had good prognostic and diagnostic significance. GSEA analysis showed that up-regulated LSM4 was closely related to the cell cycle, cell replication, focal adhesion, and several metabolism-associated pathways, including fatty acid metabolism. Conclusion: Overexpressed LSM4 may serve as a promising diagnostic and prognostic biomarker of HCC. Besides, LSM4 may play a synergistic effect with CEGs in promoting the growth and metastasis of HCC cells via regulating crucial pathways such as cell cycle, focal adhesion, and metabolism-associated pathways.

2.
Int Urol Nephrol ; 50(3): 427-432, 2018 Mar.
Article in English | MEDLINE | ID: mdl-29290000

ABSTRACT

PURPOSE: To compare efficacy, safety, and cost-effectiveness of fosfomycin tromethamine with other standard-of-care antibiotics in patients undergoing ureteroscopic lithotripsy. METHODS: This study was a prospective, multicenter, randomized, controlled trial. Eligible patients scheduled for ureteroscopic lithotripsy were randomly assigned to receive either fosfomycin (fosfomycin group, N = 101 patients) or standard-of-care antibiotic therapy as prophylaxis (control group, N = 115 patients). The incidence of infectious complications and adverse events was analyzed between the two groups, as well as the cost-benefit analysis. RESULTS: The incidence of infections following lithotripsy was 3.0% in the fosfomycin group and 6.1% in the control group (p > 0.05). Only asymptomatic bacteriuria was reported in fosfomycin group. In the control group was reported asymptomatic bacteriuria (3.5%), fever (0.9%), bacteremia (0.9%), and genitourinary infection (0.9%). The rate of adverse events was very low, with no adverse event reported in the fosfomycin group and only one in the control group (forearm phlebitis). The average cost per patient of antibiotic therapy with fosfomycin was 151.45 ± 8.62 yuan (22.7 ± 1.3 USD), significantly lower compared to the average cost per patient of antibiotics used in the control group 305.10 ± 245.95 yuan (45.7 ± 36.9 USD; p < 0.001). CONCLUSIONS: Two oral doses of 3 g fosfomycin tromethamine showed good efficacy and safety and low cost in perioperative prophylaxis of infections following ureteroscopic stone removal.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Antibiotic Prophylaxis , Bacteriuria/prevention & control , Fosfomycin/therapeutic use , Adult , Anti-Bacterial Agents/adverse effects , Anti-Bacterial Agents/economics , Antibiotic Prophylaxis/adverse effects , Antibiotic Prophylaxis/economics , Bacteremia/prevention & control , Cost-Benefit Analysis , Female , Fever/prevention & control , Fosfomycin/adverse effects , Fosfomycin/economics , Humans , Lithotripsy/adverse effects , Male , Middle Aged , Perioperative Care , Prospective Studies , Standard of Care/economics , Ureteral Calculi/surgery , Ureteroscopy/adverse effects
3.
Clin Respir J ; 11(4): 514-523, 2017 Jul.
Article in English | MEDLINE | ID: mdl-26364731

ABSTRACT

BACKGROUND: We investigated risk factors for decreased lung function among Chinese island residents (≥30 years) to determine the relationship between metabolic syndrome (MS) and decreased lung function. METHODS: From October 17, 2011 to November 1, 2011, 2607 residents aged ≥30 years who lived on the Huangqi Peninsula of Fujian were enlisted by random cluster sampling. They completed a questionnaire designed according to the Burden of Obstructive Lung Disease (BOLD) questionnaire, and underwent physical examination, blood test, and lung function evaluation. We constructed spirometric prediction equations for forced vital capacity (FVC) and forced expiratory volume in one second (FEV1), determined the lower limits of normal for FVC, FEV1 and FEV1/FVC, and examined the relationship between lung function and MS. RESULTS: Prediction equations for normal island residents were as follows: FVC (L) = -0.023 × age (years) + 0.042 × height (cm) + 0.641 × weight (kg) - 3.607 (males); FVC (L) = -0.017 × age (years) + 0.030 × height (cm) + 0.009 × weight (kg) - 1.741 (females); FEV1 (L) = -0.023 × age (years) + 0.040 × height (cm) + 0.010 × weight (kg) - 2.999 (males); FEV1 (L) = -0.017 × age (years) + 0.026 × height (cm) + 0.007 × weight (kg) -1.135 (females). The odds ratio for MS for increased risk of decreased FVC was 4.623 (95%CI =3.626-5.894, P<0.001), and for increased risk of decreased FEV1 was 3.043 (95%CI =2.447-3.785, P<0.001). CONCLUSIONS: MS is a risk factor for decreased lung function in island residents ≥30 years old.


Subject(s)
Metabolic Syndrome/physiopathology , Respiratory Function Tests/methods , Spirometry/methods , Adult , Aged , Blood Chemical Analysis , China/epidemiology , Comorbidity , Cost of Illness , Female , Forced Expiratory Volume/physiology , Humans , Male , Metabolic Syndrome/blood , Metabolic Syndrome/complications , Middle Aged , Predictive Value of Tests , Reference Values , Risk Factors , Smoking/adverse effects , Smoking/epidemiology , Vital Capacity/physiology
4.
Tumour Biol ; 2015 Jul 23.
Article in English | MEDLINE | ID: mdl-26201898

ABSTRACT

It is critical to understand the molecular mechanisms underlying the migration and invasiveness of prostate cancer (PC) for improving the outcome of therapy. A relationship of pituitary tumor-transforming gene 1 (Pttg1) and matrix metalloproteinase 13 (MMP13) in PC as well as their roles in the metastases of PC has not been studied. Here, we reported significantly higher levels of Pttg1 and MMP13 in the resected PC specimens, compared to the adjacent normal prostate tissue from the same patient. Interestingly, Pttg1 and MMP13 levels strongly correlated with each other. In vitro, Pttg1 activated MMP13, which determined PC cell invasiveness. However, Pttg1 levels were not significantly affected by MMP13. Furthermore, the Pttg1-activated MMP13 in PC cells was significantly suppressed by inhibition of PI3k/Akt, but not ERK/MAPK or JNK pathways. Together, our data suggest that Pttg1 may increase PC cell metastasis by MMP13, and highlight Pttg1/MMP13 axis as a promising therapeutic target for PC treatment.

5.
Zhonghua Nan Ke Xue ; 20(3): 229-33, 2014 Mar.
Article in Chinese | MEDLINE | ID: mdl-24738459

ABSTRACT

OBJECTIVE: To evaluate the effect of post-treatment PSA kinetics on the prognosis of prostate cancer (PCa). METHODS: We retrospectively reviewed the clinical data of 114 cases of locally advanced PCa treated by maximal androgen blockade (MAB) combined with brachytherapy, and analyzed the association of the changes in PSA kinetics with the prognosis of the patients. RESULTS: The median survival time of the patients was 81 (15 - 144) months, with 1-, 3- and 5-year survival rates of 91. 23%, 78.07% and 68.42% , respectively. Univariate analysis indicated that the baseline PSA level, PSA nadir, the time of PSA decreasing to nadir, PSA doubling time, and the extent of PSA declining were all predictive factors for the survival time of the PCa patients. Multivariate analysis demonstrated that PSA nadir, the time of PSA decreasing to nadir, and the extent of PSA declining were three independent prognostic factors, which prolonged the long-term survival of the patients by 1.7, 3.2 and 6.8 times, respectively. CONCLUSION: For locally advanced PCa treated by MAB combined with brachytherapy, PSA nadir <1 micro g/L, the time to nadir <3 months, and the extent of PSA declining >96% are independent prognostic factors.


Subject(s)
Androgens/administration & dosage , Prostate-Specific Antigen/metabolism , Prostatic Neoplasms/metabolism , Prostatic Neoplasms/therapy , Aged , Aged, 80 and over , Androgens/therapeutic use , Brachytherapy , Humans , Male , Middle Aged , Prognosis , Retrospective Studies
6.
Zhonghua Nan Ke Xue ; 20(2): 169-71, 2014 Feb.
Article in Chinese | MEDLINE | ID: mdl-24520672

ABSTRACT

OBJECTIVE: To study the concurrence of congenital heart disease and hypospadias and the relationship between the two diseases. METHODS: We investigated the incidence and types of congenital heart disease accompanied by hypospadias in male children received in our hospital from January 2002 to December 2012, compared them with those in the general population, and analyzed the correlation of different types of heart disease with the incidence rate of hypospadias. RESULTS: Of the 7 385 male children with congenital heart disease, 134 (1.81%) were found with hypospadias, with a significantly higher morbidity than in the general population (0.33% -0.40%) (P < 0.01). The incidence rates of hypospadias were significantly higher in the groups of ventricular septal defect (65/3 275, 1.98%), Fallot's tetralogy (17/770, 2.21%), macroangiopathy (15/788, 1.90%) and other congenital heart abnormalities (21/972, 2.16%) than in the atrial septal defect (10/1 015, 0.99%) and patent ductus arteriosus (6/565, 1.06%) groups (P < 0.05). There were no statistically significant differences in the type of hypospadias among different heart disease groups (P > 0.05). CONCLUSION: Hypospadias is a common concurrent condition in male children with congenital heart disease. The incidence rate of hypospadias is related with the type of congenital heart disease, and the two conditions may have some common pathogenic or susceptive factors.


Subject(s)
Heart Diseases/complications , Hypospadias/complications , Child , Child, Preschool , Heart Defects, Congenital/complications , Heart Defects, Congenital/epidemiology , Heart Diseases/congenital , Heart Diseases/epidemiology , Humans , Hypospadias/epidemiology , Incidence , Infant , Male
7.
PLoS One ; 8(7): e68556, 2013.
Article in English | MEDLINE | ID: mdl-23874670

ABSTRACT

BACKGROUND: We investigated the prevalence of and risk factors for small airway obstruction (SAO) among Chinese island residents to establish means to prevent and treat SAO. METHODS: From October 17, 2011 to November 1, 2011, a total of 2,873 residents aged >20 years who lived on the Huangqi Peninsula of Fujian were recruited by random cluster sampling. They were asked to complete a Burden of Obstructive Lung Disease (BOLD) questionnaire and underwent physical examinations and lung function evaluations. SAO was defined as a forced expiratory flow at 50% of vital capacity, Vmax50%, of less than 70% of predicted. Risk factors for SAO were assessed from among demographic and anthropometric variables, blood chemistry results, and questionnaire response items. RESULTS: A total of 216 (7.52%) Chinese island residents were identified as having SAO (95 males; 121 females). Their survey and test results were compared with 432 age and sex-matched healthy controls (192 males; 240 females) for SAO risk factors. Among numerous factors investigated, only diabetes mellitus (p = 0.039), smoking index (SI, p<0.001 for SI>600), second hand smoke (p = 0.002), and lack of regular exercise (p<0.001) were significant risk factors for SAO. CONCLUSIONS: The risk factors for SAO among Chinese island residents appeared to be similar to those among people who live in high-density urban environments and impoverished rural areas. Public health policies and medical practices directed toward improving respiratory health for island residents should be comparable to those used for urban and rural dwellers.


Subject(s)
Airway Obstruction/epidemiology , Airway Obstruction/prevention & control , Airway Obstruction/therapy , Anthropometry , Asian People , Blood Chemical Analysis , Blood Pressure , Female , Humans , Islands , Male , Prevalence , Respiratory Function Tests , Risk Factors , Statistics, Nonparametric , Surveys and Questionnaires
8.
Mol Cells ; 36(2): 138-44, 2013 Aug.
Article in English | MEDLINE | ID: mdl-23839513

ABSTRACT

Although cancer stem cells (CSCs) play a crucial role in seeding the initiation of tumor progression, they do not always possess the same potent ability as tumor metastasis. Thus, precisely how migrating CSCs occur, still remains unclear. In the present study, we first comparatively analyzed a series of prostate CSCs, which exhibited a dynamically increasing and disseminating ability in nude mice. We observed that the transcriptional activity of HIF-1α and ß-catenin became gradually elevated in these stem cells and their epithelial-mesenchymal transition (EMT) characteristic altered from an epithelial type to a mesenchymal type. Next, we further used cancer-associated fibroblasts (CAFs), which were cultured from surgically resected tissues of prostate cancer (PCa) to stimulate prostate CSCs. Similar results were reconfirmed and showed that the protein levels of both HIF-1α and ß-catenin were markedly improved. In addition, the EMT phenotype displayed a homogenous mesenchymal type, accompanied with increased aggressive potency in vitro. Most importantly, the aforementioned promoting effect of CAFs on prostate CSCs was completely repressed after "silencing" the activity of ß-catenin by transfection of stem cells with ShRNA. Taken together, our observations suggest that prostate migrating CSCs, with a mesenchymal phenotype, could be triggered by CAFs in a HIF-1α/ß-catenin-dependent signaling pathway.


Subject(s)
Epithelial-Mesenchymal Transition , Fibroblasts/metabolism , Hypoxia-Inducible Factor 1, alpha Subunit/metabolism , Neoplastic Stem Cells/physiology , Prostatic Neoplasms/metabolism , Prostatic Neoplasms/pathology , beta Catenin/metabolism , Animals , Fibroblasts/pathology , Gene Expression Regulation, Neoplastic , Humans , Hypoxia-Inducible Factor 1, alpha Subunit/genetics , Male , Mice , Mice, Nude , Neoplastic Stem Cells/metabolism , Prostatic Neoplasms/genetics , RNA, Small Interfering/genetics , Signal Transduction , Tumor Cells, Cultured , beta Catenin/genetics
9.
Zhonghua Yi Xue Za Zhi ; 93(4): 256-60, 2013 Jan 22.
Article in Chinese | MEDLINE | ID: mdl-23578503

ABSTRACT

OBJECTIVE: To test the hypothesis that epithelial-mesenchymal transition (EMT) of prostate cancer is most likely to occur in cancer stem cells (CSC). METHODS: The isolation of CSC from LNCaP cell line was performed by flow cytometry based on side-population (SP) phenotype. After SP sorting, LNCaP/SP and LNCaP/NSP were used for further transfection of hypoxia-inducible factor-1α (HIF-1α). Subsequently, EMT-associated proteins were detected by Western blotting. And the assays of Transwell and methyl thiazolyl tetrazolium (MTT) were used to compare invasive and proliferative potency between LNCaP/SP and LNCaP/NSP after HIF-1α induction. Eventually, xenograft experiments were performed with LNCaP/HIF-1α/SP and LNCaP/HIF-1α/NSP cells for further analysis of in vivo tumorigenesis and distant metastasis. RESULTS: Through HIF-1α-induced EMT, LNCaP/HIF-1α/SP exhibited such remarkable EMT characteristics as a positive expression of epithelial markers (E-cadherin and CK18) and a negative expression of mesenchymal markers (vimentin, N-cadherin, fibronectin, cathepsin D, MMP-2 and uPAR). And LNCaP/HIF-1α/NSP underwent partial EMT with an abnormal expression of some mesenchymal proteins (vimentin and cathepsin D) and loss of epithelial protein (CK18) despite reservation of another important epithelial marker (E-cadherin). Further Transwell and MTT assays indicated that LNCaP/HIF-1α/SP exhibited stronger in vitro invasive and proliferative potency than LNCaP/HIF-1α/NSP cells. In animal models, the volume of subcutaneous tumor by LNCaP/HIF-1α/SP cells was much greater than that by LNCaP/HIF-1α/NSP counterparts ((1008 ± 230) vs (288 ± 145) mm(3), P < 0.01). Moreover, LNCaP/HIF-1α/SP cells also had a significantly higher rate of subcutaneous tumor incidence (80% vs 53%, P < 0.05) and bone metastasis (40% vs 0, P < 0.01) as compared with LNCaP/HIF-1α/NSP counterparts. CONCLUSION: As the main target cells of prostatic EMT, CSCs may develop a more malignant phenotype after EMT.


Subject(s)
Epithelial-Mesenchymal Transition , Hypoxia-Inducible Factor 1, alpha Subunit/genetics , Neoplastic Stem Cells/cytology , Side-Population Cells/cytology , Animals , Cell Line, Tumor , Cell Proliferation , DNA, Complementary , Humans , Male , Neoplasm Invasiveness , Neoplasm Transplantation , Neoplastic Stem Cells/pathology , Side-Population Cells/pathology , Transfection
10.
Zhonghua Yi Xue Za Zhi ; 93(42): 3351-4, 2013 Nov 12.
Article in Chinese | MEDLINE | ID: mdl-24418030

ABSTRACT

OBJECTIVE: To explore the prognostic factors of prostate cancer (PCa) patients and evaluate the effect of brachytherapy on survival time. METHODS: A total of 289 PCa were recruited to collect their clinical and survival data. And their possible prognostic factors were analyzed. A further comparison of 5-year cumulative survival rate was made between the patients treated by maximal androgen blockade (MAB) and those on MAB plus brachytherapy. RESULTS: Their median survival time was 73 (7-144) months. And the 1, 3 and 5-year survival rates were 93.1%, 81.0% and 60.2% respectively. Univariate analysis indicated that prostate volume, basal level of prostate-specific antigen (PSA), Gleason score, tumor stage, PSA nadir, time PSA decreasing to nadir and brachytherapy were all predictive factors for survival time. And multivariate analysis further demonstrated that Gleason score, tumor stage and PSA nadir were independent prognostic indicators. And the combination therapy based on brachytherapy could significantly increase the 5-year cumulative survival rate than MAB-based monotherapy. CONCLUSION: Gleason score, tumor stage and PSA nadir may predict the prognosis of PCa patients. And brachytherapy significantly improves patient survival.


Subject(s)
Androgen Antagonists/therapeutic use , Brachytherapy , Prostatic Neoplasms/mortality , Prostatic Neoplasms/therapy , Aged , Aged, 80 and over , Combined Modality Therapy , Humans , Male , Middle Aged , Prognosis , Prostatic Neoplasms/diagnosis , Retrospective Studies , Survival Rate , Treatment Outcome
11.
Sci Total Environ ; 425: 135-45, 2012 May 15.
Article in English | MEDLINE | ID: mdl-22481054

ABSTRACT

First measurements of ambient 10-1000 nm particle number concentrations (N(TOT)) and size distributions were made at an urban, coastal, mountain and downwind site within the Central Taiwan Air Quality Management District during a cold and a warm period. The primary objectives were to characterize the spatial and temporal variability of the size-fractionated submicrometer particles and their relationships with copollutants and meteorological parameters. The results show that the ultrafine particles (<100 nm) are the major contributor to the N(TOT). The mean N(TOT) was highest at the urban site, whereas lower and comparable at the three other sites. Although the mean N(TOT) at each site showed insignificant differences between study periods, their diurnal patterns and size distribution modal characteristics were modestly to substantially different between study sites. Correlation analyses of time-resolved collocated aerosol, copollutants and meteorological data suggest that the observed variability is largely attributable to the local traffic and to a lesser extent photochemistry and SO(2) possibly from combustion sources or regional transport. Despite sharing a common traffic source, the ultrafine particles were poorly correlated with the accumulation particles (100-1000 nm), between which the latter showed strong positive correlation with the PM(2.5) and PM(10). Overall, the N(TOT) and size distributions show modest spatial heterogeneity and strong diurnal variability. In addition, the ultrafine particles have variable sources or meteorology-dependent formation processes within the study area. The results imply that single-site measurements of PM(2.5), PM(10) or N(TOT) alone and without discriminating particle sizes would be inadequate for exposure and impact assessment of submicrometer particle numbers in a region of diverse environments.


Subject(s)
Air Pollution/analysis , Particle Size , Particulate Matter/analysis , Air , Air Pollutants/analysis , Environmental Exposure , Environmental Monitoring/methods , Sulfur Dioxide/analysis , Taiwan
12.
Zhonghua Nan Ke Xue ; 18(12): 1062-8, 2012 Dec.
Article in Chinese | MEDLINE | ID: mdl-23405783

ABSTRACT

OBJECTIVE: To sort and identify side population (SP) cancer stem cells (CSC) in human prostate cancer (PCa) cell lines. METHODS: Stem-like cells were isolated from five PCa cell lines Du145, IA8, LNCaP, TSU-Pr and PC-3 using FACS based on CD133+ CD44+ immunophenotype and SP in Hoechst staining. The in vitro growth pattern and tumorigenicity of SP stem cells were verified by soft agar colony-formation trial. LNCaP/SP cells were selected for further identification of stem cell properties using immunostaining, proliferation and invasion assay. Eventually, tumorigenicity and metastasis ability of LNCaP/SP were confirmed by xenograft experiments. RESULTS: The percentages of CSCs of the CD133 CD44 + immunophenotype were extremely low in the five PCa cell lines. On the contrary, the percentages of the isolated SP cells were significantly higher in Du145 ([0.15 +/- 0.02]%), IA8 ([0.60 +/- 0.07 ]%), LNCaP ([0.8 +/- 0.1]%) and TSU-PrL ([2.0 +/- 0.4]%), but none was detected in PC-3. Besides, IA8/SP, LNCaP/SP and TSU-PrL/SP cells showed a significantly greater colony-forming efficiency than non-side population (NSP) cells (P < 0.05). Compared with LNCaP/NSP cells, LNCaP/SP cells exhibited high expressions of integrin alpha2, Nanog, CD44, OCT4 and ABCG2, remarkably enhanced invasive and proliferative potentials in vitro, and markedly increased tumorigenicity and metastasis (P < 0.01). CONCLUSION: SP sorting is more suitable than CD133+ CD44+ selection for enriching CSCs from PCa cell lines, and LNCaP/ SP represents a typical CSC population.


Subject(s)
Cell Line, Tumor/cytology , Neoplastic Stem Cells/cytology , Prostatic Neoplasms , Side-Population Cells/cytology , Cell Separation , Humans , Male
13.
Zhonghua Nan Ke Xue ; 18(10): 891-5, 2012 Oct.
Article in Chinese | MEDLINE | ID: mdl-23297496

ABSTRACT

OBJECTIVE: To investigate the factors influencing the compliance, discontinuation and switching of finasteride medication in patients with benign prostatic hyperplasia (BPH). METHODS: We retrospectively analyzed the electronic clinical data of 655 outpatients with BPH treated with finasteride from January 2008 to June 2010. Using the medication possession ratio (MPR), we measured their medication compliance and the rates of discontinuation and switching after an average observation of 12 months. We identified and evaluated the influencing factors by multivariate logistic regression analysis. RESULTS: The crude rates of medication compliance, discontinuation and switching were 32.4%, 58.0% and 9.6%, respectively. In those aged > or = 60 years, combination therapy of finasteride with alpha-receptor blockers and chronic comorbidities were positively associated with good compliance, while younger age was significantly associated with drug discontinuation or switching. Finasteride monotherapy was significantly associated with discontinuation of the drug. CONCLUSION: Patients aged < 60 years and those receiving monotherapy were less likely to be compliant with newly initiated finasteride medication, and therefore more efforts should be made to increase their medication adherence.


Subject(s)
Finasteride/therapeutic use , Medication Adherence , Prostatic Hyperplasia/drug therapy , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Outpatients , Retrospective Studies , Treatment Outcome
14.
Urol Int ; 88(2): 177-82, 2012.
Article in English | MEDLINE | ID: mdl-22179115

ABSTRACT

OBJECTIVES: Medication noncompliance is a recognized problem worldwide. This study evaluated the factors associated with compliance, discontinuation and switching of finasteride among Chinese benign prostatic hyperplasia patients. MATERIALS AND METHODS: A retrospective cohort study was conducted with 682 outpatients newly diagnosed with benign prostatic hyperplasia and prescribed with finasteride from January 2008 to December 2009, taken from a database. We evaluated their compliance by medication possession ratios, discontinuation and switching rate after the prescription for an average observation period of 15 months. Multiple association factors were identified and evaluated using multivariate logistic regression analyses. RESULTS: The crude compliance level, discontinuation and switching rates were 29.3, 60.6 and 10.1%, respectively. Older age (≥60 years), combination therapy, medical insurance and chronic comorbidities were positively associated with good compliance. Younger age was significantly associated with drug discontinuation or switching. Those patients on finasteride monotherapy and without medical insurance were significantly associated with discontinuation of drugs. CONCLUSIONS: Patients <60 years of age, on monotherapy and without medical insurance were less likely to be compliant with their newly initiated finasteride treatment. Consequently, more efforts should be made among this group to increase treatment adherence.


Subject(s)
5-alpha Reductase Inhibitors/therapeutic use , Asian People/psychology , Finasteride/therapeutic use , Health Knowledge, Attitudes, Practice/ethnology , Medication Adherence/ethnology , Prostatic Hyperplasia/drug therapy , Age Factors , Aged , Aged, 80 and over , China/epidemiology , Drug Prescriptions , Drug Substitution , Humans , Logistic Models , Male , Medically Uninsured/ethnology , Middle Aged , Multivariate Analysis , Odds Ratio , Prostatic Hyperplasia/ethnology , Retrospective Studies , Risk Assessment , Risk Factors , Time Factors
15.
Saudi Med J ; 31(9): 999-1004, 2010 Sep.
Article in English | MEDLINE | ID: mdl-20844811

ABSTRACT

OBJECTIVE: To evaluate the effects of the different types of manipulation on prostate total specific antigen (tPSA), free prostate specific antigen (fPSA), and free-to-total prostate specific antigen (f/tPSA). METHODS: A total of 160 males were enrolled from January 2006 to December 2009 in the Urology Department, Beijing Anzhen Hospital affiliated to the Capital Medical University, Beijing, China. Of these patients, 23 had digital rectal examination (DRE), 21 had urethral catheterization, 28 had rigid cystoscopy, 35 had prostate biopsy, 35 underwent transurethral resection of the prostate (TURP), and 18 underwent suprapubic prostatectomy. Blood samples were taken before, at 24 hours, and 4 weeks after the manipulation for PSA tests. RESULTS: The DRE had no significant effect on PSA. Catheterization and cystoscopy exerted significant increases in tPSA at 24 hours. However, these small increases may not be clinically significant. The fPSA and f/tPSA were not significantly changed. There was a marked increase in tPSA and fPSA, associated with a decrease in f/tPSA at 24 hours after biopsy. No significant alterations were found in tPSA, fPSA, and f/tPSA at 4 weeks after catheterization, cystoscopy, and biopsy. The TURP and prostatectomy caused significant increases in tPSA and fPSA at 24 hours, associated with decreases in f/tPSA. The tPSA and fPSA values were below the baseline levels at 4 weeks after TURP and prostatectomy, however, f/tPSA remained constant. CONCLUSION: The DRE, catheterization, and cystoscopy had no crucial effect on PSA. Prostatic biopsy, TURP and prostatectomy significantly affected the PSA levels, and their longitudinal courses should be considered while evaluating different forms of PSA levels.


Subject(s)
Prostate-Specific Antigen/analysis , Prostate/metabolism , Aged , Aged, 80 and over , Biopsy, Needle/adverse effects , Cystoscopy/adverse effects , Digital Rectal Examination/adverse effects , Humans , Male , Middle Aged , Prostate/pathology , Prostatectomy/adverse effects , Transurethral Resection of Prostate/adverse effects , Urinary Catheterization/adverse effects
16.
J Hazard Mater ; 172(2-3): 744-8, 2009 Dec 30.
Article in English | MEDLINE | ID: mdl-19699579

ABSTRACT

This study presents supercritical carbon dioxide (scCO(2)) extraction as an inherently safer and cleaner method for the recovery of indium (In) from the real etching wastewater obtained from indium tin oxide (ITO) etching process. Efficient chelation-supercritical fluids extraction (SFE) from etching wastewater was obtained at 80 degrees C, a pressure of 20.7MPa, and with 15 min static extractions followed by 15 min dynamic extraction. The extractions were performed using unmodified scCO(2) in the presence of the fluorinated beta-diketone chelating agent, 2,2-dimethyl-6,6,7,7,8,8,8-heptafluoro-3,5-octanedione (HFOD). Percentages of indium recovery from etching wastewater were between 90.8% and 100.3% (n=6) with relative standard deviations of <10%. The accuracy of the procedure was confirmed by determining indium levels in a single element standard solution. The developed method was applied to the analysis of real etching wastewater samples as well as to a commercially available ITO etching reagent (ITO-06SD) with satisfactory results.


Subject(s)
Chromatography, Supercritical Fluid/methods , Indium/isolation & purification , Industrial Waste , Water Pollutants, Chemical/isolation & purification , Carbon Dioxide , Methods , Water Purification/methods
17.
Zhonghua Nan Ke Xue ; 15(1): 31-3, 2009 Jan.
Article in Chinese | MEDLINE | ID: mdl-19288745

ABSTRACT

OBJECTIVE: To study the effect of finasteride on benign prostatic hyperplasia (BPH) related gross hematuria in patients receiving anticoagulant. METHODS: A total of 105 patients with BPH related gross hematuria were divided into an anticoagulant group (n = 81), treated with combined therapy of anticoagulants and finasteride, and a control group (n = 24), given finasteride only at 5 mg daily. The therapeutic effects were compared by a 6-month follow-up. RESULTS: In the anticoagulant group, gross hematuria was cured in 52 patients (64.2%), taking an average time of 3.9 weeks (1-6 weeks), and improved in 12 patients (14.8%), as compared with 16 patients cured (66.7%), 3.2 weeks taken (1-5 weeks), and 4 patients improved (16.7%) in the control group. The mean time taken to resolve hematuria was longer in the former (P < 0.05). But the cure rates had no significant differences either between the two groups or among the subgroups receiving different anticoagulants. CONCLUSION: Finasteride is an effective therapeutic for BPH related hematuria in patients receiving different anticoagulants. It makes no significant differences in cure and effectiveness rates between patients treated with and without anticoagulant, but takes an average of longer time to resolve hematuria in patients receiving anticoagulant.


Subject(s)
Anticoagulants/therapeutic use , Fibrinolytic Agents/therapeutic use , Finasteride/therapeutic use , Hematuria/drug therapy , Prostatic Hyperplasia/drug therapy , Aged , Aged, 80 and over , Follow-Up Studies , Hematuria/etiology , Humans , Male , Middle Aged , Prostatic Hyperplasia/complications , Treatment Outcome
18.
Ying Yong Sheng Tai Xue Bao ; 19(7): 1489-93, 2008 Jul.
Article in Chinese | MEDLINE | ID: mdl-18839908

ABSTRACT

Soil samples were collected from long-term monitoring plots of paddy field ecosystem in Hunan Province to study the evolvement characteristics and coupling relationship of soil organic carbon and total nitrogen under different fertilization practices. The results showed that in 1986-2003, the contents of soil organic carbon and total nitrogen had a slight decrease under no fertilization (CK), basically remained stable under chemical fertilization (NPK), and increased under the combined application of organic manure and chemical fertilizers. Compared with those in CK, the contents of soil organic carbon and total nitrogen in treatments NPK, low application rate organic manure, and high application rate organic manure were increased by 13% and 18%, 54% and 45%, and 89% and 67% respectively. There was a significant positive correlation (P < 0.01) between soil organic carbon and total nitrogen. The soil C/N was around 10, with the majority ranged from 8.5 to 12.9. It was suggested that a combined application of organic manure and chemical fertilizers on paddy field could increase the sequestration and accumulation of soil carbon and nitrogen to a certain extent, and there existed a better coupling relationship between soil organic carbon and total nitrogen in paddy field ecosystem.


Subject(s)
Carbon/analysis , Fertilizers , Nitrogen/analysis , Oryza/growth & development , Soil/analysis , Ecosystem , Organic Chemicals/analysis , Oryza/metabolism , Tropical Climate
19.
Chin Med J (Engl) ; 121(13): 1204-9, 2008 Jul 05.
Article in English | MEDLINE | ID: mdl-18710639

ABSTRACT

BACKGROUND: Environmental toxins can destroy the physiological process of spermatogenesis and even lead to male infertility. Resveratrol (RES) is a natural phytoalexin with a wide range of biological activities. Some recent researches have demonstrated that RES can increase sperm output and protect sperm from apoptosis caused by physical damage. However, there is no evidence indicating that it can also exhibit a similar activity in testis injury caused by environmental toxins. This study was designed to evaluate the protective effect of resveratrol on testis damaged by environmental toxins and to elucidate the possible mechanism of its protective effect. METHODS: In this study 2, 5-hexanedione (2, 5-HD) was used as the injury agent. Forty male SD rats were randomly divided into 5 groups. During the first 5 weeks, group A was raised normally, groups B, C, D and E were exposed to 1% 2, 5-HD; during the following 9 weeks, group C, D, E received intragastric administration of different concentrations of resveratrol (20 mg x kg(-1) x d(-1), 40 mg x kg(-1) x d(-1) and 80 mg x kg(-1) x d(-1)), while groups A and B were treated by carboxymethylcellulose. Physical signs, body weight gain and testis weight were comparatively observed. Numbers and diameters of seminiferous tubules were analyzed following HE staining. In addition, expression of the c-kit protein and gene in spermatogenic cells in every group was detected with immunohistochemistry, Western blot or RT-PCR. RESULTS: The 2, 5-HD treatment resulted in physical signs that became worse and in emarciated testis. HE staining and immunohistochemistry showed that seminiferous tubules became emarcid, obsolete spermatogonia being stagnant and expression of c-kit protein being depressed. After oral administration of resveratrol, the 2, 5-HD-induced physical signs were improved and close to the normal rats. The gain of body weight increased (P < 0.01). The recovery of testis weight was significant (P < 0.01). At the histological level, the seminiferous epithelia began to differentiate (P < 0.01); and even the physiological process of spermatogenesis restarted. Moreover, expression of c-kit protein and gene function resumed, although its expression remained different from the normal group. The diameter of and number of seminiferous tubules and the expression level of c-kit protein and gene activity were much closer to the normal group with increased doses of the resveratrol through oral administration. CONCLUSIONS: Resveratrol could ameliorate markedly the dyszoospermia induced by 2, 5-HD and induce spermatogenesis. The expression of c-kit, which is a specific marker protein of spermatogenic cell membranes, could be regulated by resveratrol.


Subject(s)
Hexanones/toxicity , Spermatogenesis/drug effects , Stilbenes/pharmacology , Testis/drug effects , Animals , Body Weight/drug effects , Immunohistochemistry , Male , Organ Size/drug effects , Proto-Oncogene Proteins c-kit/analysis , Proto-Oncogene Proteins c-kit/genetics , RNA, Messenger/analysis , Rats , Rats, Sprague-Dawley , Resveratrol , Seminiferous Tubules/drug effects , Seminiferous Tubules/pathology
20.
Zhonghua Nan Ke Xue ; 14(10): 879-83, 2008 Oct.
Article in Chinese | MEDLINE | ID: mdl-19157094

ABSTRACT

OBJECTIVE: To study the cytogenetic mechanism of bone metastasis of human prostate cancer (PCa). METHODS: We analyzed chromosome variation by comparative genomic hybridization in 18 patients with prostate cancer to determine the chromosome variants associated with bone metastasis, and focused on 7 microsatellite sites on chromosome 10 for the detection of the loss of heterozygosity (LOH) by PCR-based microsatellite polymorphism analysis. RESULTS: In the 11 samples with bone metastasis, the variation rate of chromosome 10 was 90.9% (10/11), significantly higher than that of the others (P < 0.01). A much higher LOH frequency was observed at the 7 microsatellite loci on chromosome 10 and the highest located in 10q24. 2-q25.3 (D10S1693-D10S587) in the PCa patients with bone metastasis. CONCLUSION: There is a high-frequency LOH region in 10q24. 2-q25.3 (D10S1693-D10S587) on chromosome 10 in PCa patients with bone metastasis, which may be potentially involved in PCa progression and specific bone metastasis.


Subject(s)
Bone Neoplasms/genetics , Bone Neoplasms/secondary , Loss of Heterozygosity , Prostatic Neoplasms/genetics , Prostatic Neoplasms/pathology , Adult , Aged , Aged, 80 and over , Chromosomes, Human, Pair 10 , Comparative Genomic Hybridization , Humans , Male , Middle Aged , Neoplasm Metastasis/genetics
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