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1.
Artigo em Inglês | MEDLINE | ID: mdl-37028079

RESUMO

In this work, we study a more realistic challenging scenario in multiview clustering (MVC), referred to as incomplete MVC (IMVC) where some instances in certain views are missing. The key to IMVC is how to adequately exploit complementary and consistency information under the incompleteness of data. However, most existing methods address the incompleteness problem at the instance level and they require sufficient information to perform data recovery. In this work, we develop a new approach to facilitate IMVC based on the graph propagation perspective. Specifically, a partial graph is used to describe the similarity of samples for incomplete views, such that the issue of missing instances can be translated into the missing entries of the partial graph. In this way, a common graph can be adaptively learned to self-guide the propagation process by exploiting the consistency information, and the propagated graph of each view is in turn used to refine the common self-guided graph in an iterative manner. Thus, the associated missing entries can be inferred through graph propagation by exploiting the consistency information across all views. On the other hand, existing approaches focus on the consistency structure only, and the complementary information has not been sufficiently exploited due to the data incompleteness issue. By contrast, under the proposed graph propagation framework, an exclusive regularization term can be naturally adopted to exploit the complementary information in our method. Extensive experiments demonstrate the effectiveness of the proposed method in comparison with state-of-the-art methods. The source code of our method is available at the https://github.com/CLiu272/TNNLS-PGP.

2.
IEEE Trans Biomed Eng ; 70(1): 307-317, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-35820001

RESUMO

Advances of high throughput experimental methods have led to the availability of more diverse omic datasets in clinical analysis applications. Different types of omic data reveal different cellular aspects and contribute to the understanding of disease progression from these aspects. While survival prediction and subgroup identification are two important research problems in clinical analysis, their performance can be further boosted by taking advantages of multiple omics data through multi-view learning. However, these two tasks are generally studied separately, and the possibility that they could reinforce each other by collaborative learning has not been adequately considered. In light of this, we propose a View-aware Collaborative Learning (VaCoL) method to jointly boost the performance of survival prediction and subgroup identification by integration of multiple omics data. Specifically, survival analysis and affinity learning, which respectively perform survival prediction and subgroup identification, are integrated into a unified optimization framework to learn the two tasks in a collaborative way. In addition, by considering the diversity of different types of data, we make use of the log-rank test statistic to evaluate the importance of different views. As a result, the proposed approach can adaptively learn the optimal weight for each view during training. Empirical results on several real datasets show that our method is able to significantly improve the performance of survival prediction and subgroup identification. A detailed model analysis study is also provided to show the effectiveness of the proposed collaborative learning and view-weight learning approaches.


Assuntos
Práticas Interdisciplinares , Aprendizado de Máquina , Aprendizagem , Análise de Sobrevida
3.
Comput Biol Med ; 151(Pt A): 106236, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36370584

RESUMO

By taking a new perspective to combine a machine learning method with an evolutionary algorithm, a new hybrid algorithm is developed to predict cancer driver genes. Firstly, inspired by the search strategy with the capability of global search in evolutionary algorithms, a gravitational kernel is proposed to act on the full range of gene features. Constructed by fusing PPI and mutation features, the gravitational kernel is capable to produce repulsion effects. The candidate genes with greater mutation effects and PPI have higher similarity scores. According to repulsion, the similarity score of these promising genes is larger than ordinary genes, which is beneficial to search for these promising genes. Secondly, inspired by the idea of elite populations related to evolutionary algorithms, the concept of vital few is proposed. Targeted at a local scale, it acts on the candidate genes associated with vital few genes. Under attraction effect, these vital few driver genes attract those with similar mutational effects to them, which leads to greater similarity scores. Lastly, the model and parameters are optimized by using an evolutionary algorithm, so as to obtain the optimal model and parameters for cancer driver gene prediction. Herein, a comparison is performed with six other advanced methods of cancer driver gene prediction. According to the experimental results, the method proposed in this study outperforms these six state-of-the-art algorithms on the pan-oncogene dataset.


Assuntos
Algoritmos , Neoplasias , Humanos , Oncogenes , Aprendizado de Máquina , Mutação , Neoplasias/genética
4.
ACS Appl Mater Interfaces ; 14(43): 49189-49198, 2022 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-36260827

RESUMO

The formation mechanism of ordered helical structures of conjugated polymers wrapping onto single-walled carbon nanotubes (SWCNTs) has been full of controversy in recent decades. A formation mechanism is proposed for the linear conjugated polymers wrapping around SWCNTs that the formation of helical structures is dependent on the orientation competition between backbone segments and side groups via transmission electron microscopy observations and molecular dynamics simulations. Results show that the conjugated polymers cannot always form stable helical structures, even if they have the capability to form a stable helix. In fact, only part of polymer segments presents a stable helix on the SWCNTs for the internal rotation in polymer deformations. Furthermore, a design framework is proposed to choose specific conjugated homopolymers and copolymers which can form helical structures on the SWCNTs.

5.
Contrast Media Mol Imaging ; 2022: 4805300, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35833070

RESUMO

The aim is to solve the problem of the urgent need of a nonradiation, noninvasive, and simple-to-operate diagnostic method for neonatal pneumonia that can indicate the severity of the disease and dynamically monitor the outcome of the disease. The authors propose a bedside high-frequency ultrasound technique based on methods for evaluation in the detection and treatment of neonatal pneumonia. The results obtained are as follows: the sensitivity of neonatal lung ultrasound in the diagnosis of neonatal pneumonia was 96.6%, the specificity was 93.3%, the positive predictive value was 93.5%, and the negative predictive value was 96.5%. The sensitivity of chest X-ray in the diagnosis of neonatal pneumonia was 93.3%. Compared with the lung ultrasound and chest X-ray in the diagnosis of neonatal pneumonia, the two had a good correlation. The neonatal respiratory score was positively correlated with the lung ultrasound score, and the higher the lung ultrasound score, the more severe the disease. The score decreased by 35% after 3 days of treatment and 68% after 7 days of treatment, indicating that the lung high-frequency ultrasound score can be very effective in characterizing the treatment situation. It has been demonstrated that the lung ultrasound can be used as an imaging method for the diagnosis of neonatal pneumonia. The higher the lung ultrasound score, the more severe the disease, and the lung ultrasound score was positively correlated with the disease severity. With dynamic monitoring of the lung ultrasound and the gradual improvement of clinical symptoms after treatment, the lung ultrasound score gradually decreased; therefore, the lung ultrasound can be used for re-examination of neonatal pneumonia to evaluate the treatment effect and guidance.


Assuntos
Pneumonia , Humanos , Recém-Nascido , Pulmão/diagnóstico por imagem , Pneumonia/diagnóstico por imagem , Valor Preditivo dos Testes , Sensibilidade e Especificidade , Ultrassonografia/métodos
6.
Sheng Wu Gong Cheng Xue Bao ; 38(4): 1640-1648, 2022 Apr 25.
Artigo em Chinês | MEDLINE | ID: mdl-35470634

RESUMO

Teaching quality is directly related to the performance of universities in fostering talents. Being innovative, high-level, and challenging (IHC) is the basic goal of course reform at universities in the new era. It is essential to reform the contents and teaching mode to improve the IHC properties of the existing courses. We first designed the three-dimensional goals of Molecular Biology Experiment teaching and the contents to support these goals. Then, we pinpointed the common points shared by blended teaching and experiment course, and designed the ways of blended teaching for the course. The reformed course contents and teaching mode have enhanced its IHC properties, and achieved good teaching performance. This paper provides a reference for the reform of experiment courses in universities.


Assuntos
Biologia Molecular , Estudantes , Humanos , Universidades
7.
Anal Methods ; 14(5): 499-507, 2022 02 03.
Artigo em Inglês | MEDLINE | ID: mdl-34981796

RESUMO

An increasing amount of evidence has proven that serum metabolites can instantly reflect disease states. Therefore, sensitive and reproducible detection of serum metabolites in a high-throughput manner is urgently needed for clinical diagnosis. Matrix-assisted laser desorption/ionization mass spectrometry (MALDI-MS) is a high-throughput platform for metabolite detection, but it is hindered by significant signal fluctuations because of the "sweet spot" effect of organic matrices. Here, by screening two transformation methods and four normalization techniques to reduce the significant signal fluctuations of the DHB matrix, an integrated MALDI-MS data processing approach combined with machine learning methods was established to reveal metabolic biomarkers of lung cancer. In our study, 13 distinctive features with statistically significant differences (p < 0.001) between 34 lung cancer patients and 26 healthy controls were selected as significant potential biomarkers of lung cancer. 6 out of the 13 distinctive features were identified as intact metabolites. Our results demonstrate the potential for clinical application of MALDI-MS in serum metabolomics for biomarker screening in lung cancer.


Assuntos
Neoplasias Pulmonares , Metabolômica , Humanos , Neoplasias Pulmonares/diagnóstico , Aprendizado de Máquina , Metabolômica/métodos , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz/métodos
8.
IEEE Trans Neural Netw Learn Syst ; 33(2): 654-666, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33079681

RESUMO

Recently, multitask learning has been successfully applied to survival analysis problems. A critical challenge in real-world survival analysis tasks is that not all instances and tasks are equally learnable. A survival analysis model can be improved when considering the complexities of instances and tasks during the model training. To this end, we propose an asymmetric graph-guided multitask learning approach with self-paced learning for survival analysis applications. The proposed model is able to improve the learning performance by identifying the complex structure among tasks and considering the complexities of training instances and tasks during the model training. Especially, by incorporating the self-paced learning strategy and asymmetric graph-guided regularization, the proposed model is able to learn the model in a progressive way from "easy" to "hard" loss function items. In addition, together with the self-paced learning function, the asymmetric graph-guided regularization allows the related knowledge transfer from one task to another in an asymmetric way. Consequently, the knowledge acquired from those earlier learned tasks can help to solve complex tasks effectively. The experimental results on both synthetic and real-world TCGA data suggest that the proposed method is indeed useful for improving survival analysis and achieves higher prediction accuracies than the previous state-of-the-art methods.

9.
IEEE/ACM Trans Comput Biol Bioinform ; 19(2): 1193-1202, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-32750893

RESUMO

Identifying cancer subtypes by integration of multi-omic data is beneficial to improve the understanding of disease progression, and provides more precise treatment for patients. Cancer subtypes identification is usually accomplished by clustering patients with unsupervised learning approaches. Thus, most existing integrative cancer subtyping methods are performed in an entirely unsupervised way. An integrative cancer subtyping approach can be improved to discover clinically more relevant cancer subtypes when considering the clinical survival response variables. In this study, we propose a Survival Supervised Graph Clustering (S2GC)for cancer subtyping by taking into consideration survival information. Specifically, we use a graph to represent similarity of patients, and develop a multi-omic survival analysis embedding with patient-to-patient similarity graph learning for cancer subtype identification. The multi-view (omic)survival analysis model and graph of patients are jointly learned in a unified way. The learned optimal graph can be unitized to cluster cancer subtypes directly. In the proposed model, the survival analysis model and adaptive graph learning could positively reinforce each other. Consequently, the survival time can be considered as supervised information to improve the quality of the similarity graph and explore clinically more relevant subgroups of patients. Experiments on several representative multi-omic cancer datasets demonstrate that the proposed method achieves better results than a number of state-of-the-art methods. The results also suggest that our method is able to identify biologically meaningful subgroups for different cancer types. (Our Matlab source code is available online at github: https://github.com/CLiu272/S2GC).


Assuntos
Algoritmos , Neoplasias , Análise por Conglomerados , Humanos , Neoplasias/genética , Software , Análise de Sobrevida
10.
Polymers (Basel) ; 15(1)2022 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-36616353

RESUMO

Rubber composites are extensively used in industrial applications for their exceptional elasticity. The fatigue temperature rise occurs during operation, resulting in a serious decline in performance. Reducing heat generation of the composites during cyclic loading will help to avoid substantial overheating that most likely results in the degradation of materials. Herein, we discuss the two main reasons for heat generation, including viscoelasticity and friction. Influencing factors of heat generation are highlighted, including the Payne effect, Mullins effect, interface interaction, crosslink density, bond rubber content, and fillers. Besides, theoretical models to predict the temperature rise are also analyzed. This work provides a promising way to achieve advanced rubber composites with high performance in the future.

11.
Polymers (Basel) ; 13(23)2021 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-34883696

RESUMO

We use Langevin dynamics to study the deformations of linear and ring polymers in different confinements by applying compression and stretching forces on their two sides. Our results show that the compression deformations are the results of an interplay among of polymer rigidity, degree of confinement, and force applied. When the applied force is beyond the threshold required for the buckling transition, the semiflexible chain under the strong confinement firstly buckles; then comes helical deformation. However, under the same force loading, the semiflexible chain under the weaker confinement exhibits buckling instability and shrinks from the folded ends/sides until it becomes three-folded structures. This happens because the strong confinement not only strongly reduces the buckling wavelength, but also increases the critical buckling force threshold. For the weakly confined polymers, in compression process, the flexible linear polymer collapses into condensed states under a small external force, whereas the ring polymer only shows slight shrinkage, due to the excluded volume interactions of two strands in the crowded states. These results are essential for understanding the deformations of the ring biomacromolecules and polymer chains in mechanical compression or driven transport.

12.
R Soc Open Sci ; 8(8): 201976, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34457321

RESUMO

In recent years, more and more researchers have focused on emotion recognition methods based on electroencephalogram (EEG) signals. However, most studies only consider the spatio-temporal characteristics of EEG and the modelling based on this feature, without considering personality factors, let alone studying the potential correlation between different subjects. Considering the particularity of emotions, different individuals may have different subjective responses to the same physical stimulus. Therefore, emotion recognition methods based on EEG signals should tend to be personalized. This paper models the personalized EEG emotion recognition from the macro and micro levels. At the macro level, we use personality characteristics to classify the individuals' personalities from the perspective of 'birds of a feather flock together'. At the micro level, we employ deep learning models to extract the spatio-temporal feature information of EEG. To evaluate the effectiveness of our method, we conduct an EEG emotion recognition experiment on the ASCERTAIN dataset. Our experimental results demonstrate that the recognition accuracy of our proposed method is 72.4% and 75.9% on valence and arousal, respectively, which is 10.2% and 9.1% higher than that of no consideration of personalization.

13.
MethodsX ; 8: 101385, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34430281

RESUMO

Graphene-based energy storage and renewable material has increasingly attracted research interest, due to its high thermal conductivity and light weight. Researchers fill phase change material (PCM) into three-dimensional graphene foam, to obtain a composite with high energy storage capability and moderate thermal conductivity. However, this kind of composite's heat transfer mode is single and cannot maximize the advantages of graphene. Herein, a stearic acid filled graphene-foam composite (GFSAC) connected with graphene paper (GP) through gravity-assisted wetting attaching process is demonstrated in this paper.•GP is obtained by thermal reduction of graphene oxide (GO) paper. Its in-plane thermal conductivity can reach up to 938 Wm-1 K-1. By controlling the preparation process of GO paper, the in-plane thermal conductivity of GP can be adjusted.•GFSAC is consisted of GF and SA, GFSAC with different heat transfer properties can be prepared by adjusting the degree of reduction of GF.•A novel gravity-assisted wetting attaching process has been developed to prepare GP/GFSAC/GP composite, which can effectively reduce the thermal resistance between GP and GFSAC. The effective thermal effusivity of the final GP/GFSAC/GP composite reaches 18.45 J cm-3/2 m-1/2 s-1/2 K-1/2, showing an excellent thermal management capability.

14.
Comput Methods Programs Biomed ; 207: 106173, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34058630

RESUMO

BACKGROUND AND OBJECTIVE: Thrombus simulation plays an important role in many specialist areas in the field of medicine such as surgical education and training, clinical diagnosis and prediction, treatment planning, etc. Although a considerable number of methods have been developed to simulate various kinds of fluid flows, it remains a non-trivial task to effectively simulate thrombus because of its unique physiological properties in contrast to other types of fluids. To tackle this issue, this study introduces a novel method to model the formation mechanism of thrombus and its interaction with blood flow. METHODS: The proposed method for thrombus formation simulation mainly consists of three steps. First, we formulate the formation of thrombus as a particle-based model and obtain the fibrin concentration of the particles with a discretized form of the convection-diffusion-reaction equation; then, we calculate the velocity decay factor using the obtained fibrin concentration. Finally, the formation of thrombus can be simulated by applying the velocity decay factor on particles. RESULTS: We carried out extensive experiments under different settings to verify the efficacy of the proposed method. The experimental results demonstrate that our method can yield more realistic simulation of thrombus and is superior to peer method in terms of computational efficiency, maintaining the stability of the dynamic particle motion, and preventing particle penetration at the boundary. CONCLUSION: The proposed method can simulate the formation mechanism of thrombus and the interaction between blood flow and thrombus both efficiently and effectively.


Assuntos
Hidrodinâmica , Trombose , Velocidade do Fluxo Sanguíneo , Simulação por Computador , Hemodinâmica , Humanos
15.
Transl Cancer Res ; 10(6): 2918-2931, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35116601

RESUMO

BACKGROUND: Many lymph nodes resected from early-stage non-small cell lung cancer (NSCLC) patients haven't metastasis. Selective lymph node dissection (SLND) can reduce surgical trauma by retaining non-metastatic lymph nodes, we aimed to investigate whether SLND could reduce immune impairment compared with systematic lymph node dissection. METHODS: According to the selection criteria, patients with no metastasis in hilar and regional lymph nodes were selected as the research subjects. The patients were randomly divided into 2 groups: the SLND group (Group SD) and the systematic lymph node dissection group (Group CD). At 24 hours before surgery and on the 1st and 3rd postoperative days (POD), fasting venous blood was sampled to detect cytokine indicators [interleukin-6 (IL-6), C-reactive protein (CRP)], cellular immune indicators [lymphocytes, natural killer cells (NK cells), CD4+, CD8+, CD4+/CD8+], and humoral immune indicators (IgG, IgA, IgM). At the same time, clinically indicators of the patients were recorded. All indicators between the 2 groups were compared. RESULTS: The comparison of clinical indicators between the two groups showed that SLND is more conducive to patients' rapid recovery after surgery. CRP and IL-6 levels in Group CD were significantly higher than those in Group SD after surgery (P<0.05). There were no statistical differences between the 2 groups in the proportions of lymphocytes and NK cells after surgery (P>0.05). The proportions of CD4+ cells and CD4+/CD8+ in Group CD were significantly lower than those in Group SD at POD1 (P<0.05). The proportion of CD8+ cells was significantly higher in Group CD than in Group SD at POD3 (P<0.05). There were no significant differences in IgG, IgA, and IgM levels between the 2 groups at the same point in time (P>0.05). CONCLUSIONS: Compared with systematic lymph node dissection, SLND has the following advantages: (I) it is more conducive to patients' rapid recovery after surgery; (II) it can reduce the body's acute inflammatory response and non-specific immune damage; (III) it can reduce the damage to cellular immune function caused by surgery. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2100045893.

16.
Biochimie ; 179: 181-189, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33022314

RESUMO

I-R3 DNAzyme is a small, highly active catalytic DNA for DNA hydrolysis. In here, we designed two cis-structure DNAzymes (I-R3N and I-R3S) based on the different locates of the joint linker between I-R3 and its substrate. Data demonstrated that both DNAzymes were highly dependent on Zn2+, and worked at a narrow range around pH 7.0. They exhibited strong anti-interference with Mg2+ and Ca2+, but inhibited by Na+ and K+. Moreover, single and multiple-site mutations were generated within the catalytic core to carry out a comprehensive mutational study of I-R3 motif, in which most nucleotides were highly conserved and the nucleotides A5, T11 and T8 were identified as the mutational hotspots. Furthermore, an efficient variant A5G was obtained and its reaction condition was optimized. Finally, we constructed A5G to the 3' end of a single-stranded DNA (ssDNA) and applied it for asymmetrical PCR amplification to produce a single and double-stranded DNA mixture, in which A5G within ssDNA can self-cleave to generate a shorter desired ssDNA by denaturing gel separation. This would provide a new non-chemical modification approach for preparation of the expected ssDNA for in vitro selection of DNAzymes.


Assuntos
DNA Catalítico/química , DNA Catalítico/genética , Domínio Catalítico/genética , Cátions/química , Clivagem do DNA , DNA de Cadeia Simples/química , Concentração de Íons de Hidrogênio , Hidrólise , Isomerismo , Mutagênese Sítio-Dirigida , Nucleotídeos , Reação em Cadeia da Polimerase/métodos
17.
iScience ; 23(10): 101555, 2020 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-33083724

RESUMO

An oxidative DNA-cleaving DNAzyme (PL) employs a double-cofactor model "X/Cu2+" for catalysis. Herein, we verified that reduced nicotinamide adenine dinucleotide (NADH), flavin mononucleotide, cysteine, dithiothreitol, catechol, resorcinol, hydroquinone, phloroglucinol, o-phenylenediamine, 3,3',5,5'-tetramethylbenzidine, and hydroxylamine acted as cofactor X. According to their structural similarities or fluorescence property, we further confirmed that reduced nicotinamide adenine dinucleotide phosphate (NADPH), 2-mercaptoethanol, dopamine, chlorogenic acid, resveratrol, and 5-carboxyfluorescein also functioned as cofactor X. Superoxide anions might be the commonality behind these cofactors. We subsequently determined the conservative change of individual nucleotides in the catalytic core under four different cofactor X. The nucleotides A4 and C5 are highly conserved, whereas the conservative levels of other nucleotides are dependent on the types of cofactor X. Moreover, we observed that the minor change in the PL's secondary structure affects electrophoretic mobility. Finally, we characterized a highly efficient variant T3G and converted its double-cofactor NADH/Cu2+ to sole-cofactor NADH.

18.
Biotechnol J ; 15(8): e1900430, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32170989

RESUMO

Cyclin D1 is a key regulatory factor of the G1 to S transition during cell cycle progression. Aberrant cyclin D gene amplification and abnormal protein expression have been linked to hepatocellular carcinoma (HCC) tumorigenesis. Intrabodies, effective anticancer therapies that specifically inhibit target protein function within all intracellular compartments, may block cyclin D1 function. Here, a single-chain variable fragment (scFv) antibody against cyclin D1 (ADκ) selected from a human semi-synthetic phage display scFv library is expressed in Escherichia coli as soluble ADκ. Purified ADκ specifically binds to recombinant and endogenous cyclin D1 with high affinity. To enable blocking of intracellular cyclin D1 activity, an endoplasmic reticulum (ER) retention signal sequence is added to the ADκ sequence to encode anti-cyclin D1 intrabody ER-ADκ. Transfection of HepG2 cells with expression vector encoding ER-ADκ elicited intracellular ER-ADκ expression leading to cyclin D1 binding, significant G1 phase arrest, and apoptosis that are mechanistically tied to decreased intracellular phosphorylated retinoblastoma protein (Rb) levels. Meanwhile, ER-ADκ dramatically inhibited subcutaneous human HCC xenografts growth in nude mice in vivo after injection of tumors with expression vector encoding ER-ADκ. These results demonstrate the potential of intrabody-based cyclin D1 targeting therapy as a promising treatment for HCC.


Assuntos
Carcinoma Hepatocelular , Divisão Celular , Proliferação de Células , Ciclina D1 , Anticorpos de Cadeia Única , Animais , Antineoplásicos/farmacologia , Antineoplásicos/uso terapêutico , Carcinoma Hepatocelular/tratamento farmacológico , Ciclo Celular , Divisão Celular/efeitos dos fármacos , Proliferação de Células/efeitos dos fármacos , Ciclina D1/genética , Células Hep G2 , Humanos , Neoplasias Hepáticas/tratamento farmacológico , Camundongos , Camundongos Nus , Anticorpos de Cadeia Única/genética , Anticorpos de Cadeia Única/farmacologia , Anticorpos de Cadeia Única/uso terapêutico
20.
Transl Cancer Res ; 8(8): 2820-2828, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35117039

RESUMO

BACKGROUND: More and more pulmonary nodules are detected by CT scan, and postoperative pathology reveals many lymph nodes without metastasis. The purpose of this study was to investigate the characteristics of T1 stage lymph node metastasis in non-small cell lung cancer (NSCLC) and to explore the indications for selective lymph node dissection (SLND). METHODS: A total of 841 patients with stage T1 of NSCLC were performed lobectomy and systemic lymphadenectomy. We analyzed the types of lymph node metastases and the relationship between lymph node metastasis and pulmonary pleural invasion, thrombosis of vascular carcinoma and tumor size in all patients. RESULTS: Among them, 257 cases of tumor in the right upper lobe (RUL) and 186 cases in the left upper lobe (LUL), and no metastasis was found in the inferior mediastinal lymph nodes. Tumor metastases occurred in subcarinal lymph nodes, with hilar and/or mediastinal lymph node metastasis. Among the 171 cases with right lower lobe (RLL) tumors and the 151 cases with left lower lobe (LLL) tumors, patients with superior lymph node metastasis were all associated with hilar and/or subcarinal lymph node metastasis. Among the 76 cases with right middle lobe (RML) tumors, no metastasis with inferior mediastinal lymph node was observed. Lymph node metastasis is much easier in patients with pulmonary pleural invasion or thrombosis of vascular cancer. The larger the tumor diameter, the greater the possibility of lymph node metastasis. CONCLUSIONS: SLND is a feasible treatment for clinical T1 stage NSCLC under the guidance of intraoperative frozen results of lobe-specific lymph nodes.

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