Advanced hormone receptor-positive/human epidermal growth factor receptor 2-positive invasive ductal carcinoma with cecal metastasis: A case report.

The incidence of gastrointestinal metastases from breast cancer (BC) is low. We report a special case of Luminal B (Hormone Receptor positive [HR+]/Human Epidermal Growth Factor receptor 2-positive [HER-2+]) BC. The patient presented with asymptomatic brain metastases two years after radical surgery for modified breast cancer and developed right lower abdominal pain during relief therapy. Electronic gastroenteroscopy revealed inflammatory changes in the cecal mucosa. These changes were confirmed on pathology to be cecal metastasis from BC. The patient's condition was stabilised after treatment with an antibody-drug conjugate (ADC). For patients with BC who develop appendicitis-like symptoms after treatment for invasive ductal carcinoma of the breast, clinicians should be fully aware that the possibility of cecal metastasis needs to be considered, despite the very low probability of occurrence.

[Effects of Manure and Organic Fertilizer Application on Soil Microbial Community Diversity in Paddy Fields].

To investigate the effect of typical manure application on soil microbes in paddy fields, a field experiment on manure application in Chongming Island was carried out. The composition and variety of soil microorganisms in rice paddy fields were analyzed using high-throughput theory (CK), chicken manure (CM), pig manure (PM), and organic fertilizer (OF). The results showed that compared with CK, the application of organic manure increased soil organic matter (SOM), and the application of chicken manure significantly increased the soil ammonia nitrogen (NH4+-N) and total nitrogen (TN) contents (P<0.05). Soil microbial diversity in the PM group was significantly higher than that in the CK group (P<0.05), and the soil microbial community richness in the OF group was significantly higher than that in the CM group (P<0.05). pH, total phosphorus (TP), total nitrogen, and Pb were the important factors affecting the composition of soil microbial communities in paddy fields. The microbial community structure in the CM group was significantly different from those in the other three groups. Compared with CK, the OF group increased the relative abundance of Nitrospira, and the CM group significantly reduced the relative abundance of the denitrifying bacteria Ignavibacteriae (P<0.01) to 40.56%, but significantly increased the relative abundance of nitrifying bacteria Thauera(P<0.05) to 203.00%. The PM group significantly increased the relative abundance of ammoniated bacteria Armatimonadetes (P<0.05) to 57.51% and the anaerobic strain Anaerolinea to 102.00%. The application of chicken manure and pig manure significantly increased the relative abundance of pathogens Pseudomonas and Flavisolibacter (P<0.05), respectively, while the application of organic manure reduced the relative abundance of Flavisolibacter. Overall, the application of manure increased the abundance of bacteria involved in the nitrogen cycle of paddy soils and played a positive role in regulating the nitrogen balance in paddy soils. However, direct application of chicken manure and fresh pig manure increased the abundance of pathogenic bacteria, which had a certain degree of stress on the soil health in the paddy field.

[Relation of miR-140 Expression Level with Therapeutic Effect of Decitabine and Its Mechanism].

OBJECTIVE: To investigate the relationship of miR-140 expression level with the therapeutic effect of decitabine, and to explore whether the molecular mechanism is dependent on the regulation of TLR4 expression. METHODS: Forty-seven patients with acute myeloid leukaemia (AML) were enrolled in our study and divided into decitabine combination treatment group (22 cases) and traditional treatment group (25 cases). The clinical efficacy was compared between these two groups. Real-time PCR was used to determine the plasma level of miR-140 in AML patients. Decitabine, miR-140 mimic and miR140 inhibitor were used to treat AML HL-60 cells in vitro, the real-time PCR and Western blot were used to detect the expressions of miR-140, TLR4 and NF-κB at both mRNA and protein levels. RESULTS: Compared with traditional treatment group, decitabine combination treatment group showed more significant clinical efficacy. Plasma miR-140 level in both 2 treatment groups both decreased, but the plasma miR-140 level was higher in decitabine combination treatment group as compared with traditional treatment group. Experiment in vitro showed that 0.3 µmol/L decitabine significantly inhibited the HL-60 cell proliferation accompanied by up-regulation of miR-140 expression and down-regulation of expression of TLR4 and NF-κB. These effects induced by decitabine were partly reversed by pretreating the cells with 200 nmol/L miR-140 inhibitor. CONCLUSION: Decitabine-induced up-regulation of miR-140 expression may be related with its chemotherapeutic effects, and miR-140/TLR4/NF-κB pathway may partly mediate the pharmacologic action of decitabine.