Genome-Wide Evolutionary Characterization and Expression Analysis of Major Latex Protein (MLP) Family Genes in Tomato.

Major latex proteins (MLPs) play a key role in plant response to abiotic and biotic stresses. However, little is known about this gene family in tomatoes (Solanum lycopersicum). In this paper, we perform a genome-wide evolutionary characterization and gene expression analysis of the MLP family in tomatoes. We found a total of 34 SlMLP members in the tomato genome, which are heterogeneously distributed on eight chromosomes. The phylogenetic analysis of the SlMLP family unveiled their evolutionary relationships and possible functions. Furthermore, the tissue-specific expression analysis revealed that the tomato MLP members possess distinct biological functions. Crucially, multiple cis-regulatory elements associated with stress, hormone, light, and growth responses were identified in the promoter regions of these SlMLP genes, suggesting that SlMLPs are potentially involved in plant growth, development, and various stress responses. Subcellular localization demonstrated that SlMLP1, SlMLP3, and SlMLP17 are localized in the cytoplasm. In conclusion, these findings lay a foundation for further dissecting the functions of tomato SlMLP genes and exploring the evolutionary relationships of MLP homologs in different plants.

Better effect of intrapleural perfusion with hyperthermic chemotherapy by video-assisted thoracoscopic surgery for malignant pleural effusion treatment compared to normothermic chemoperfusion of the pleural cavity.

OBJECTIVE: The aim of this study was to assess the efficacy and safety of intrapleural perfusion with hyperthermic chemotherapy (IPHC) in treating malignant pleural effusion (MPE) compared to normothermic chemoperfusion of the pleural cavity (NCPC), and to investigate the better treatment to control MPE. METHODS: Malignant pleural effusion patients were enrolled in the study and treated with NCPC or IPHC under video-assisted thoracoscopic surgery (VATS). The chest drainage duration, clinical characteristics, and recurrence time of pleural effusion of patients were collected for statistical analysis. The chi-squared test and the Fisher's exact test were applied to compare the distribution differences in categorical variables. Progression-free survival (PFS) was estimated by the Kaplan-Meier method and was compared by the log-rank test. The survival analysis was performed using the Cox proportional hazards method. RESULTS: A total of 37 MPE patients were enrolled in this study. Twenty-seven patients received NCPC and 10 patients received IPHC under VATS. Significant differences were found in pathological types (p = 0.011), chest drainage duration (p = 0.005), and remission rate (p = 0.009) between two different treatment groups. The chest drainage duration of IPHC under VATS was shorter than the NCPC group (t = 2.969, p = 0.005). The remission rate of MPE in IPHC group was better than the NCPC one (OR = 0.031, 95% CI: 0.002-0.507, p = 0.015). The result of the Kaplan-Meier method showed that IPHC group could significantly prolong the PFS of patients with MPE compared to NCPC group (log-rank p = 0.002). Univariate cox regression analysis showed that patients with MPE in the IPHC group presented significant longer PFS than the NCPC group (HR = 0.264, 95% CI: 0.098-0.713, p = 0.009). Multivariate cox regression analysis further verified this conclusion (HR = 0.268, 95% CI: 0.096-0.753, p = 0.012). CONCLUSION: Compared to the NCPC, the IPHC under VATS presents a better control effect on MPE, shorter tube placement time, and longer complete remission time. For this reason, we recommend IPHC under VATS as the first-line treatment for patients with MPE those who can tolerate minimally invasive surgery.

MME-YOLO: Multi-Sensor Multi-Level Enhanced YOLO for Robust Vehicle Detection in Traffic Surveillance.

As an effective means of solving collision problems caused by the limited perspective on board, the cooperative roadside system is gaining popularity. To improve the vehicle detection abilities in such online safety systems, in this paper, we propose a novel multi-sensor multi-level enhanced convolutional network model, called multi-sensor multi-level enhanced convolutional network architecture (MME-YOLO), with consideration of hybrid realistic scene of scales, illumination, and occlusion. MME-YOLO consists of two tightly coupled structures, i.e., the enhanced inference head and the LiDAR-Image composite module. More specifically, the enhanced inference head preliminarily equips the network with stronger inference abilities for redundant visual cues by attention-guided feature selection blocks and anchor-based/anchor-free ensemble head. Furthermore, the LiDAR-Image composite module cascades the multi-level feature maps from the LiDAR subnet to the image subnet, which strengthens the generalization of the detector in complex scenarios. Compared with YOLOv3, the enhanced inference head achieves a 5.83% and 4.88% mAP improvement on visual dataset LVSH and UA-DETRAC, respectively. Integrated with the composite module, the overall architecture gains 91.63% mAP in the collected Road-side Dataset. Experiments show that even under the abnormal lightings and the inconsistent scales at evening rush hours, the proposed MME-YOLO maintains reliable recognition accuracy and robust detection performance.

A Prognostic 14-Gene Expression Signature for Lung Adenocarcinoma: A Study Based on TCGA Data Mining.

BACKGROUND: Lung adenocarcinoma (LUAD), a major and fatal subtype of lung cancer, caused lots of mortalities and showed different outcomes in prognosis. This study was to assess key genes and to develop a prognostic signature for the patient therapy with LUAD. METHOD: RNA expression profile and clinical data from 522 LUAD patients were accessed and downloaded from the Cancer Genome Atlas (TCGA) database. Differentially expressed genes (DEGs) were extracted and analyzed between normal tissues and LUAD samples. Then, a 14-DEG signature was developed and identified for the survival prediction in LUAD patients by means of univariate and multivariate Cox regression analyses. The gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis were performed to predict the potential biological functions and pathways of these DEGs. RESULTS: Twenty-two out of 5924 DEGs in the TCGA dataset were screened and associated with the overall survival (OS) of LUAD patients. 14CID="C008" value=" "DEGs were finally selected and included in our development and validation model by risk score analysis. The ROC analysis indicated that the specificity and sensitivity of this profile signature were high. Further functional enrichment analyses indicated that these DEGs might regulate genes that affect the function of release of sequestered calcium ion into cytosol and pathways that associated with vibrio cholerae infection. CONCLUSION: Our study developed a novel 14-DEG signature providing more efficient and persuasive prognostic information beyond conventional clinicopathological factors for survival prediction of LUAD patients.

Three new bioactive flavonoid glycosides from Viscum album.

Two new flavonoid glycosides, named viscumneoside XII (1), and viscumneoside XIII (2); a new dihydrogen flavonoid glycoside product named viscumneoside XIV (3), were isolated from the aerial part of Viscum album, along with seven known compounds (4-10). Their structures were identified by analysis of spectroscopic data. In addition, cytotoxicity assay showed that 1, 2 and 3 possessed significant inhibitory activities against C6, A549 and MDA-MB-231 (the inhibition rate arrived about 50%, 70% and 74% respectively with IC50 ≤ 60.00 µmol·L-1), while the inhibition of TF-1 and Hela was not significant.

Two symmetrical unsaturated acids isolated from Viscum album.

In the present study, two new acetylene conjugate compounds, dibutyl (2Z, 6Z)-octa-2, 6-dien-4-yne dioate (1), and dibutyl (2E, 6E)- octa-2, 6-dien-4-yne dioate (2), were isolated from the dry stem leaves of Viscum album, along with nine known compounds (3 - 11). Their structures were confirmed on the basis of spectroscopic data. Compounds 1 and 8 showed antioxidant activity against xanthine oxidase (XOD) and 1,1-diphenyl-2-picrylhydrazyl radical 2,2-diphenyl-1-(2,4,6-trinitrophenyl) hydroxyl (DPPH), with the IC50 of 1.22 and 1.33 µmol·L-1, and the SC50 of 4.34 and 8.22 µmol·L-1, respectively.

The Histologic Classifications of Lung Adenocarcinomas Are Discriminable by Unique Lineage Backgrounds.

OBJECTIVES: Lung adenocarcinomas are a heterogeneous set of diseases with distinct genetic and histologic characteristics. Besides the discovery of oncogenic mutations and introduction of the histologic classifications (2011 International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory Society and 2015 WHO), increasing evidence has linked this intertumor heterogeneity to the lung lineage-specific pathways and lineage genes. Therefore, in this study, we assessed the gene expression of identified lung lineage genes to study their role in distinguishing lung adenocarcinoma diversities. METHODS: A total of 278 surgically resected lung adenocarcinomas were included. Each case was evaluated for genetic mutations and histologic classification. Lineage genes associated with respiratory tract differentiation (NK2 homeobox 1 gene [NKX2-1], GATA protein binding 6 gene [GATA6], foxhead box J1 gene [FOXJ1], and SAM pointed domain containing ETS transcription factor gene [SPDEF]) and stem/basal-like status (inhibitor of DNA binding 2, HLH protein gene [ID2], POU class 5 homeobox 1 gene [POU5F1], SRY-box 2 gene [SOX2], and v-myc avian myelocytomatosis viral oncogene homolog gene [MYC]) were selected. mRNA expression of these genes in each tumor sample was assessed by quantitative real-time polymerase chain reaction and normalized to paired normal lung tissue. RESULTS: Distinct lineage gene expressions were found on the basis of genetic and histologic diversities. Expression of NKX2-1, GATA6, FOXJ1, and POU5F1 exhibited a significant linear relationship across histologic subgroups that was independent of genetic mutation status. Expression levels of NKX2-1 and POU5F1 were also associated with EGFR mutation status, independent of histologic subtypes. Further analysis revealed that the overexpression of SPDEF defined longer relapse-free survivals, especially in stage I disease. CONCLUSIONS: For the first time, we showed the unique lineage backgrounds of different histologic subtypes and oncogenic mutations. Assessing this added parameter might be beneficial in discriminating intertumor heterogeneity, advancing target exploration, developing theranostic/prognostic biomarkers, and designing clinical trials.

Oncogenic mutations are associated with histological subtypes but do not have an independent prognostic value in lung adenocarcinoma.

Lung adenocarcinomas have diverse genetic and morphological backgrounds and are usually classified according to their distinct oncogenic mutations (or so-called driver mutations) and histological subtypes (the de novo classification proposed by the International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory Society [IASLC/ATS/ERS]). Although both these classifications are essential for personalized treatment, their integrated clinical effect remains unclear. Therefore, we analyzed 981 lung adenocarcinomas to detect the potential correlation and combined effect of oncogenic mutations and histological subtype on prognosis. Analysis for oncogenic mutations included the direct sequencing of EGFR, KRAS, HER2, BRAF, PIK3CA, ALK, and RET for oncogenic mutations/rearrangements, and a rereview of the IASLC/ATS/ERS classification was undertaken. Eligible tumors included 13 atypical adenomatous hyperplasia/adenocarcinoma in situ, 20 minimally invasive adenocarcinomas, 901 invasive adenocarcinomas, 44 invasive mucinous adenocarcinomas, and three other variants. The invasive mucinous adenocarcinomas had a lower prevalence of EGFR mutations but a higher prevalence of KRAS, ALK, and HER2 mutations than invasive adenocarcinomas. Smoking, a solid predominant pattern, and a mucinous component were independently associated with fewer EGFR mutations. The ALK rearrangements were more frequently observed in tumors with a minor mucinous component, while the KRAS mutations were more prevalent in smokers. In addition, 503 patients with stage I-IIIA tumors were analyzed for overall survival (OS) and relapse-free survival. The stage and histological pattern were independent predictors of relapse-free survival, and the pathological stage was the only independent predictor for the OS. Although patients with the EGFR mutations had better OS than those without the mutations, no oncogenic mutation was an independent predictor of survival. Oncogenic mutations were associated with the novel IASLC/ATS/ERS classification, which facilitates a morphology-based mutational analysis strategy. The combination of these two classifications might not increase the prognostic ability, but it provides essential information for personalized treatment.

Increases in the risk of cognitive impairment and alterations of cerebral ß-amyloid metabolism in mouse model of heart failure.

Epidemiological and clinico-pathological studies indicate a causal relationship between heart disease and Alzheimer's disease (AD). To learn whether heart disease causes an onset of AD, mice with myocardial infarction (MI) and congestive heart failure (HF) were used to test neuropsychiatric and cognitive behaviors as well as for measurements of AD related protein markers. To this end, adult mice were subjected to ligation of left anterior descending artery (LAD) and about two weeks later high-frequency echocardiography was performed to exam the resulting cardiac structure and function. Three months after successful induction of chronic heart failure (CHF) these mice showed an impairment of learning in the Morris Water Maze task. In addition, the expression of selected molecules, which are involved in ß-amyloid metabolism, apoptosis and inflammation on the level of gene transcription and translation, was altered in CHF mice. Our findings provide a plausible explanation that CHF increases the risk of cognitive impairments and alters cerebral ß-amyloid metabolism. In addition, our data indicate that the cerebral compensatory mechanisms in response to CHF are brain area and gender specific.

Enhanced thermoelectric properties of Bi0.5Sb1.5Te3 films by chemical vapor transport process.

Bi0.5Sb1.5Te3 films were prepared by a novel chemical vapor transport process through delicate controlling the temperature of the substrate and vapor source. The power factor reaches 30 µW cm⁻¹ K⁻¹ at room temperature, which is much higher than the value of the Bi0.5Sb1.5Te3 films prepared by other techniques. The enhancement of thermoelectric properties might be attributed to the higher carrier mobility (252 cm² V⁻¹ s⁻¹), coming from the effective interparticle contiguity of (00L) oriented nanoplates embedded in the present Bi0.5Sb1.5Te3 films.

Top-down fabrication of nano-scaled Bi2Se(0.3)Te(2.7) associated by electrochemical Li intercalation.

A convenient top-down method for preparation of Bi(2)Se(0.3)Te(2.7) crystalline nano-particles has been demonstrated. It contains two steps: (1) lithium was intercalated between the van der Waals bonded quintuple-layers by electrochemical process inside lithium ion batteries with precisely controlled speed and amount; (2) subsequent alcohol exposure of Li(x)Bi(2)Se(0.3)Te(2.7) to make the intercalated Li atoms explode like atom-scaled bombs and exfoliate the original micro/macro scaled materials into nano-scaled single crystalline particles with sizes around 10 nm. The intercalation process does not cost external energy, and can be scaled up by amplification of the intercalation devices.

[The effect of hyperbaric oxygen therapy to different degree of hearing loss and types of threshold curve in sudden deafness patients].

OBJECTIVE: To investigate the effect of hyperbaric oxygen therapy to different degrees of hearing loss and different types of threshold curve in sudden deafness patients, and establish a personalized therapy, so as to promote clinical effect to sudden deafness. METHOD: One hundred and twenty cases were divided into two groups respectively (each group 60 cases). Drug treatment had been used in group A for two weeks. The patients in group B received drug treatment combined with hyperbaric oxygen therapy for two weeks. According to the different degrees of hearing loss and the types of audiogram in two groups, the statistical analysis to the difference of hyperbaric oxygen therapeutic effect was done. RESULT: The effective rates was statistically different (chi2 = 8.044, P < 0.01) between group A (60.00%, 36/60) and group B (83.33%, 50/60). There was no statistical difference between two treatment program in mild and the profound deafness patients. The statistical difference could been found between moderate and the severe deafness, the value of chi2 and p were 4.969, 5.560 and 0.040, 0.035, respectively. In group A, the statistical difference could only been found between mild and the profound deafness patients (chi2 = 6.739, P < 0.05). In group B, the statistical difference could been found in mild and the profound deafness, the moderate and the profound deafness, the severe and the profound deafness patients. The value of chi2 were 11.500, 15.058,10.221 and P < 0.01 respectively. The effective rates was no statistical difference in two treatment programs in the upsloping audiogram and the profound deafness. The statistical difference could been found between the downsloping and the flat audiogram, with the value of chi2 and p were 5.144 and 5.969, P < 0.05, respectively. In group A, the statistical difference could been found between the ascending and descending audiogram, the ascending and the flat audiogram,the ascending type and the profound deafness. The value of chi2 were 6.188, 7.247, 8.082 and P < 0.05, respectively. No statistical difference could been found among the other types of audiogram. In group B, no statistical difference could been found among all types of audiogram. CONCLUSION: The effect of hyperbaric oxygen therapy varies with degree of hearing loss and audiogram type. Drug treatment combined with HBOT can promote clinical effect for patients in moderate deafness and severe deafness, the descending and flat type of audiogram.

Synthesis and characterization of nanostructured bismuth selenide thin films.

Nanostructured bismuth selenide thin films have been successfully fabricated on a silicon substrate at low temperature by rational design of the precursor solution. Bi(2)Se(3) thin films were constructed of coalesced lamella in the thickness of 50-80 nm. The nucleation and growth process of Bi(2)Se(3) thin films, as well as the influence of solution chemistry on the film structure were investigated in detail. As one of the most promising thermoelectric materials, the thermoelectric properties of the prepared Bi(2)Se(3) thin films were also investigated. The power factor increased with increasing carrier mobility, coming from the enlarged crystallites and enhanced coalesced structure, and reached 1 µW cm(-1) K(-1).

Controllable synthesis and electrochemical hydrogen storage properties of Bi2Se3 architectural structures.

Two kinds of Bi2Se3 nanostructures, 3D rose-like hierarchitectures and monodisperse nanospheres, have been synthesized through adjusting the supersaturation of the precursor solution. Noticeable hydrogen storage capacity, amounting to 185 mA h g-1, has been found for the 3D rose-like hierarchitectures, which arises from the special micro/nano-hierarchitectures with highly crystallized flake-substructures.

[Choice of treatment plan and operation time on pediatric chronic sinusitis].

OBJECTIVE: To explore the curative effect of pediatric chronic sinusitis and analyze its relative factors, so that the best treatment plan and operation time can be choose. METHOD: Two hundred and twenty cases of pediatric chronic sinusitis were divided into 4 groups: group A with only simple chronic sinusitis, group B accompanied adenoid hypertrophy. Among group B, group B1 with no nasal cavity structural abnormalities but group B2 on the contrary. Group C accompanied only nasal cavity structural abnormalities. According to the documents, all patients were administered with standard and systematical three-stage treatment. The curative effect of each group was calculated and analyzed in each treated stage. RESULT: After the first stage treated in 220 pediatric chronic sinusitis, a statistical significance of curative effect could be observed between group A and B, A and B1, A and B2, A and C (P < 0.01), but none between group B and C, B1 and B2, B1 and C, B2 and C (P > 0.01). Ninety-four patients in group B were accepted the second stage treated: adenoidectomy after first treatment failed. There was a statistical significance of curative effect between group B1 and B2 (P < 0.01). Once the above management both failed, endoscopic sinus surgery (FESS) was carried out. The total effective rate of FESS was 89.65%. CONCLUSION: The systemic, disciplinary medical management has some referred value in the treatment for children with chronic sinusitis. Adenoid hypertrophy and nasal cavity structural abnormalities are two relative factors of the curative effect in pediatric chronic sinusitis. The time and cost of therapy can be saved if adenoidectomy and FESS are done for cases with adenoid hypertrophy or (and) nasal cavity structural abnormalities with the systemic, disciplinary medical management simultaneously.

[The value of cyclooxygenase-2 to predict the effect of radiotherapy in nasopharyngeal carcinoma].

OBJECTIVE: To investigate the relation between the expression of COX-2 protein and the effect of radiotherapy, estimate the value of COX-2 in predicting the effect of radiotherapy in patients with nasopharyngeal carcinoma,provide theoretical basement for establishing characteristic project of treatment and raising curative effect and life quantity. METHOD: The expression of COX-2 protein was examined in 30 radiosensitive and 30 radioresistant poorly differentiated NPC by immunohistochemical staining (SP method) before radiotherapy. The relation between the expression of COX-2 and the effect of radiotherapy was analyzed. RESULT: The positive rate of COX-2 protein expression was 61. 67% in NPC tissues, there was statistical difference( P <0. 01) of the positive rate between the 86. 67 % of 30 radioresistant and 36. 67 % of radiosensitive NPC tissues. The intensity of COX-2 protein expressions showed statistical difference( P <0. 05),too. Based on the expression of COX-2, the effect of radiotherapy, sensitivity, specificity, accuracy, positive predictive value, negative predictive value, false positive and false negative were predicted as follows: 86. 67Y, 63. 33% ,75. 00%, 70. 27% ,82. 61% ,36. 67% and 13. 33 , respectively. CONCLUSION: COX-2 expression may serve as a marker in predicting the response to radiotherapy in NPC. According to the expression of COX-2, the sound treatment scheme can be selected.

[Evidence-based treatment of secretory otitis media in patients with nasopharyngeal carcinoma after radiotherapy].

OBJECTIVE: According to the principle of Evidence-Based Medicine (EBM), to analyse the cause of SOM in patients with nasopharyngeal carcinoma (NPC) after radiotherapy and to explore the effective treatment methods of SOM in patients with NPC after radiotherapy. METHOD: One hundred and six cases (112 ears) of SOM in patients with NPC after radiotherapy were treated with comprehensive management,e. g application of general and local antibiotics,nerves nutrition medicine, blood vessel dilating drugs and hormone, reinforced clearance of nasal cavities and nasopharynx and treatment of the disease of nasal cavities and sinuses, in addition to inserting catheter into the tympanum and intratympanic application of medicine through the eustachian tube. RESULT: Before the comprehensive treatment, all patients had hearing impairment, tinnitus and/or the feeling of ear blocked. Acoustic immittance test showed 112 ears(100%) had Type B tympanogram. After the treatment, tinnitus (ears) disappeared in 81 ears (72.32%), relieved in 25 ears (22.32%) and no effect was seen in 6 ears (5.36%). The total efficiency was 94.64. The feeling of ear blocked disappeared in 92 ears (82.14%), relieved in 18 ears (16.07%) and no effect was found in 2 ears (1.79%). The total efficiency was 98.21%. Acoustic immittance test showed 56 ears (50%) had Type A tympanogram, 42 ears had Type As (37.50%), 2 ears had Type B (1.79%) and, 12 ear had Type Cs (10.71%). The mean hearing threshold of 0.5,1,2 kHz of pure-tone was (28.5 +/- 3.0) dBHL after the treatment, which was (47.0 +/- 5.0) dBHL prior to it. No otorrhea, or permanent scar obstruction in the eustachian tube was found after the treatment. CONCLUSION: It is very effective and practicable to treat SOM in patients with NPC after radiotherapy according to the principle of EBM and to aim directly at the cause of SOM in patients with NPC after radiotherapy. It is very significant to improve the life quality of patients with NPC after radiotherapy.

[Comparison of Epstein-Barr virus in nasopharynx tissue and desquamatine cell for diagnosis of nasopharyngeal carcinoma].

OBJECTIVE: To develop a method for rapid screening and primary diagnosis of the nasopharyngeal carcinoma (NPC). METHOD: We detected the Epstein Barr virus (EBV) DNA from nasopharynx tissue and desquamative cells in 144 suspicious NPC patients using polymerase chain reaction (PCR). The results were compared with the pathologic diagnosis. RESULT: The sensitivities were 92.16% and 86.27% respectively, the specificities were 80.95% and 71.43% respectively. There was no significant difference between the results determined by the EBV DNA from nasopharynx tissue and desquamative cells using PCR. CONCLUSION: The detection of EBV DNA from nasopharynx tissue and desquamative cells of the NPC by PCR is a simple, safe, rapid, specific and sensitive technique. It is useful in screening, primary diagnosis, evaluation of the curative effect of the NPC.

[The features of auditory brainstem response in patients with obstructive sleep apnea-hypopnea syndrome].

OBJECTIVE: To investigate the effects and causes of obstructive sleep apnea-hypopnea syndrome (OSAHS) on auditory pathway, the changes of auditory brainstem response (ABR) were analyzed. METHOD: With the use of polysomnography,72 snorers were examined and divided into OSAHS and non- OSAHS groups. These two groups patients and a group of normal person were underwent ABR measuring. RESULT: There were statistically significant difference between the group of OSAHS and the non-OSAHS or the group of OSAHS and the normals on the delayed latency of wave I and wave V, the response liminal value of wave V rised. CONCLUSION: The results suggest that cochlear function may be affected in patient with OSAHS, the effected of brain stem is unknown.

[Association between the shape alteration of pharyngeal ostium of eustachian tube and secretory otitis media].

OBJECTIVE: To investigate the association between the shape alteration of pharyngeal ostium of eustachian tube and secretory otitis media (SOM). METHOD: Two hundred and twelve pharyngeal ostiums of eustachian tube were observed by using rhinopharyngoscope and divided into two groups: the contrast's and the secretory otitis media's, and all the shape of pharyngeal ostium of eustachian tube were divided into triangular type, cravice type, elliptical type and bell type. RESULT: The shape of pharyngeal ostium of eustachian tube are remarkablely difference with the normal group and the diseased group. There are 84 cases triangular type (73%), 4 cases cravice type (3.5%), 17 cases bell type (8.7%) and 10 cases elliptical type (14.8%) in the former. There are 13 cases triangular type (13.4%), 68 cases cravice type (3.5%), 5 cases elliptical type (5.2%) and 11 cases bell type (11.3%) in the SOM group. CONCLUSION: The study suggest that there is a close association between the shape alteration of pharyngeal ostium of eustachian tube and secretory otitis media, meanwhile it offer a new index for exploring the new methods to cure the adult secretory otitis media how to resume the normal shape and the function of pharyngeal ostium of eustachian tube as soon as possible early.