This paper summarizes the new results on the petrogenesis of Mesozoic granitoids and volcanic rocks in South China. The authors propose that these rocks were formed in time and space as a response to regional tectonic...This paper summarizes the new results on the petrogenesis of Mesozoic granitoids and volcanic rocks in South China. The authors propose that these rocks were formed in time and space as a response to regional tectonic regime change from the continent-continent collision of the Indosinian orogeny within the broad Tethyan orogenic domain in the Early Mesozoic （T1-T3） （Period Ⅰ） to the largely extensional setting as a result of the Yanshanian orogeny genetically associated with the NW-WNW-ward subduction of the paleo-Pacific oceanic lithosphere in the Late Mesozoic （J2-K2） （Period Ⅱ）. Of the Period I Indosinian granitoids, the early （T1-T2^1） ones are syn-collisional, and formed in a compressional setting; the late （T2^2-T3） ones are latecollisional, and formed in a locally extensional environment. During the Period Ⅱ Yanshanian magmatism, the Early Yanshanian （J2-J3） granitoid-volcanic rocks, which are distributed mainly in the Nanling Range and in the interior of the South China tectonic block （SCB）, are characteristic of rift-type intraplate magmatism, whereas the Late Yanshanian K1 granitoidovolcanic rocks are interpreted as genetically representing active continental margin magmatism. The K2 tholeiitic basalts interlayered with red beds are interpreted as genetically associated with the development of back-arc extensional basins in the interior of the SCB. The Yanshanian granitoid-volcanic rocks are distributed widely in South China, reflecting extensional tectonics within much of the SCB. The extension-induced deep crustal melting and underplating of mantle-derived basaltic melts are suggested as the two principal driving mechanisms for the Yanshanian granitic magmatism in South China.展开更多
Chinese East Tianshan is a key area for understanding the Paleozoic accretion of the southern Central Asian Orogenic Belt. A first accretion-collision stage, before the Visean, developed the Eo-Tianshan range, which e...Chinese East Tianshan is a key area for understanding the Paleozoic accretion of the southern Central Asian Orogenic Belt. A first accretion-collision stage, before the Visean, developed the Eo-Tianshan range, which exhibits north-verging structures. The geodynamic evolution included： i） Ordovician-Early Devonian southward subduction of a Central Tianshan ocean beneath a Central Tianshan arc; ii） Devonian oceanic closure and collision between Central Tianshan arc and Iqli-North Tianshan block, along the Central Tianshan Suture Zone; iii） Late Devonian-earliest Carboniferous closure of a South Tianshan back-arc basin, and subsequent Central Tianshan-Tarim active margin colli- sion along the South Tianshan Suture Zone. A second stage involved： i） Late Devonian-Carboniferous south- ward subduction of North Tianshan ocean beneath the Eo-Tianshan active margin （Yili-North Tianshan arc）;展开更多
The Chinese Tianshan belt is a major part of the southern Central Asian Orogenic Belt, extending westward to Kyrgyzstan and Kazakhstan. Its Paleozoic tectonic evolution, crucial for understanding the amalgamation of C...The Chinese Tianshan belt is a major part of the southern Central Asian Orogenic Belt, extending westward to Kyrgyzstan and Kazakhstan. Its Paleozoic tectonic evolution, crucial for understanding the amalgamation of Central Asia, comprises two stages of subduction-collision. The first collisional stage built the Eo-Tianshan Mountains, before a Visean unconformity, in which all structures are verging north. It implied a southward subduction of the Central Tianshan Ocean beneath the Tarim active margin, that induced the Ordovician-Early Devonian Central Tianshan arc, to the south of which the South Tianshan back-arc basin opened. During the Late Devonian, the closure of this ocean led to a collision between Central Tianshan arc and the Kazakhstan-Yili-North Tianshan Block, and subsequently closure of the South Tianhan back-arc basin, producing two suture zones, namely the Central Tianshan and South Tianshan suture zones where ophiolitic melanges and HP metamorphic rocks were emplaced northward. The second stage included the Late Devonian-Carboniferous southward subduction of North Tianshan Ocean beneath the Eo-Tianshan active margin, underlined by the Yili-North Tianshan arc, leading to the collision between the Kazakhstan-Yili-NTS plate and an inferred Junggar Block at Late Carboniferous-Early Permian time. The North Tianshan Suture Zone underlines likely the last oceanic closure of Central Asia Orogenic Belt; all the oceanic domains were consumed before the Middle Permian. The amalgamated units were affected by a Permian major wrenching, dextral in the Tianshan. The correlation with the Kazakh and Kyrgyz Tianshan is clarified. The Kyrgyz South Tianshan is equivalent to the whole part of Chinese Tianshan （CTS and STS） located to the south of Narat Fault and Main Tianshan Shear Zone; the so-called Middle Tianshan thins out toward the east. The South Tianshan Suture of Kyrgyzstan correlates with the Central Tianshan Suture of Chinese Tianshan. The evolution of this southern domain remains similar from east （Ga展开更多
During the Late Mesozoic Middle Jurassic--Late Cretaceous, basin and range tectonics and associated magmatism representative of an extensional tectonic setting was widespread in southeastern China as a result of Pacif...During the Late Mesozoic Middle Jurassic--Late Cretaceous, basin and range tectonics and associated magmatism representative of an extensional tectonic setting was widespread in southeastern China as a result of Pacific Plate subduction. Basin tectonics consists of post-orogenic （Type I） and intra-continental extensional basins （Type II）. Type I basins developed in the piedmont and intraland during the Late Triassic to Early Jurassic, in which coarse-grained terrestrial clastic sediments were deposited. Type II basins formed during intra-continental crustal thinning and were characterized by the development of grabens and half-grabens. Graben basins were mainly generated during the Middle Jurassic and were associated with bimodal volcanism. Sediments in half-grabens are intercalated with rhyolitic tufts and lavas and are Early Cretaceous in age with a dominance of Late Cretaceous-Paleogene red beds. Ranges are composed of granitoids and bimodal volcanic rocks, A-type granites and dome-type metamorphic core complexes. The authors analyzed lithological, geochemical and geochronological features of the Late Mesozoic igneous rock assemblages and proposed some geodynamical constraints on forming the basin and range tectonics of South China. A comparison of the similarities and differences of basin and range tectonics between the eastern and western shores of the Pacific is made, and the geo- dynamical evolution model of the Southeast China Block during Late Mesozoic is discussed. Studied results suggest that the basin and range terrane within South China developed on a pre-Mesozoic folded belt was derived from a polyphase tectonic evolution mainly constrained by subduction of the western Pacific Plate since the Late Mesozoic, leading to formation of various magmatism in a back-arc exten- sional setting. Its geodynamic mechanism can compare with that of basin and range tectonics in the eastern shore of the Pacific. Differences of basin and range tectonics between both shores of the Pacific, such as mantle plume展开更多
Studies have shown cell-free microRNA(miRNA) circulating in the serum and plasma with specific expression in cancer,indicating the potential of using miRNAs as biomarkers for cancer diagnosis and therapy.This study wa...Studies have shown cell-free microRNA(miRNA) circulating in the serum and plasma with specific expression in cancer,indicating the potential of using miRNAs as biomarkers for cancer diagnosis and therapy.This study was to investigate whether plasma miRNA-21(miR-21) can be used as a biomarker for the early detection of non-small cell lung cancer(NSCLC) and to explore its association with clinicopathologic features and sensitivity to platinum-based chemotherapy.We used real-time RT-PCR to investigate the expression of miR-21 in the plasma of 63 NSCLC patients and 30 healthy controls and correlated the findings with early diagnosis,pathologic parameters,and treatment.Thirty-five patients(stages IIIB and IV) were evaluable for chemotherapeutic responses:11 had partial response(PR);24 had stable and progressive disease(SD+PD).Plasma miR-21 was significantly higher in NSCLC patients than in age-and sex-matched controls(P<0.001).miR-21 was related to TNM stage(P<0.001),but not related to age,sex,smoking status,histological classification,lymph node status,and metastasis(all P>0.05).This marker yielded a receiver operating characteristic(ROC) curve area of 0.775(95% CI:0.681-0.868) with 76.2% sensitivity and 70.0% specificity.Importantly,miR-21 plasma levels in PR samples were several folds lower than that in SD plus PD samples(P=0.049),and were close to that in healthy controls(P=0.130).Plasma miR-21 can serve as a circulating tumor biomarker for the early diagnosis of NSCLC and is related to the sensitivity to platinum-base chemotherapy.展开更多
Since the outbreak of 2019 novel coronavirus infection (2019-nCoV) in Wuhan City,China,by January 30,2020,a total of 9692 confirmed cases and 15,238 suspected cases have been reported around 31 provinces or cities in ...Since the outbreak of 2019 novel coronavirus infection (2019-nCoV) in Wuhan City,China,by January 30,2020,a total of 9692 confirmed cases and 15,238 suspected cases have been reported around 31 provinces or cities in China.Among the confirmed cases,1527 were severe cases,171 had recovered and been discharged at home,and 213 died.And among these cases,a total of 28 children aged from 1 month to 17 years have been reported in China.For standardizing prevention and management of 2019-nCoV infections in children,we called up an experts' committee to formulate this experts' consensus statement.This statement is based on the Novel Coronavirus Infection Pneumonia Diagnosis and Treatment Standards (the fourth edition) (National Health Committee) and other previous diagnosis and treatment strategies for pediatric virus infections.The present consensus statement summarizes current strategies on diagnosis,treatment,and prevention of 2019-nCoV infection in children.展开更多
目的利用关联规则研究我国中老年人群慢性病共病模式,探索慢性病间的关联性和关联强度.方法采用中国健康与养老追踪调查(China health and retirement longitudinal study, CHARLS)2015年的数据,纳入我国9省市45岁以上中老年人患14种慢...目的利用关联规则研究我国中老年人群慢性病共病模式,探索慢性病间的关联性和关联强度.方法采用中国健康与养老追踪调查(China health and retirement longitudinal study, CHARLS)2015年的数据,纳入我国9省市45岁以上中老年人患14种慢性病情况,利用R3.4.3软件中的Apriori算法对数据进行分析,挖掘慢性病共病情况.结果 17796名调查对象中,至少患有一种慢性病人数为12245(68.81%),同时患有两种及以上慢性病的人数为7321 (41.15%).在筛选出的关联规则中,按照支持度排序,最常见的三种慢性病共病模式为血脂异常和心脏病、糖尿病和血脂异常、哮喘和慢性肺部疾病,规则支持度分别为6.77%、5.27%、4.28%,规则置信度分别为34.38%、43.14%、70.81%.关联规则结果多项指向心脏病、血脂异常、慢性肺部疾病.75岁以上年龄组强关联规则最多.结论心脏病存在于多种共病模式中,应加强对其的筛查与预防.血脂异常与糖尿病、高血压具有强关联性,且男性患者更易共患血脂异常.随着年龄增长,慢性病共患更普遍更复杂.展开更多
Tea plant is an important economic crop,which is used to produce the world's oldest and most widely consumed tea beverages.Here,we present a high-quality reference genome assembly of the tea plant(Camellia sinensi...Tea plant is an important economic crop,which is used to produce the world's oldest and most widely consumed tea beverages.Here,we present a high-quality reference genome assembly of the tea plant(Camellia sinensis var.sinensis)consisting of 15 pseudo-chromosomes.LTR retrotransposons(LTR-RTs)account for 70.38%of the genome,and we present evidence that LTR-RTS play critical roles in genome size expansion and the transcriptional diversification of tea plant genes through preferential insertion in promoter regions and introns.Genes,particularly those coding for terpene biosynthesis pro-teins,associated with tea aroma and stress resistance were significantly amplified through recent tandem duplications and exist as gene clusters in tea plant genome.Phylogenetic analysis of the sequences of 81 tea plant accessions with diverse origins revealed three well-differentiated tea plant populations,support-ing the proposition for the southwest origin of the Chinese cultivated tea plant and its later spread to western Asia through introduction.Domestication and modern breeding left significant signatures on hundreds of genes in the tea plant genome,particularly those associated with tea quality and stress resis-tance.The genomic sequences of the reported reference and resequenced tea plant accessions provide valuable resources for future functional genomics study and molecular breeding of improved cul-tivars of tea plants.展开更多
Since December 2019,an epidemic caused by novel coronavirus (2019-nCoV) infection has occurred unexpectedly in China.As of 8 pm,31 January 2020,more than 20 pediatric cases have been reported in China.Of these cases,t...Since December 2019,an epidemic caused by novel coronavirus (2019-nCoV) infection has occurred unexpectedly in China.As of 8 pm,31 January 2020,more than 20 pediatric cases have been reported in China.Of these cases,ten patients were identified in Zhejiang Province,with an age of onset ranging from 112 days to 17 years.Following the latest National recommendations for diagnosis and treatment of pneumonia caused by 2019-nCo V (the 4th edition) and current status of clinical practice in Zhejiang Province,recommendations for the diagnosis and treatment of respiratory infection caused by 2019-nCoV for children were drafted by the National Clinical Research Center for Child Health,the National Children's Regional Medical Center,Children's Hospital,Zhejiang University School of Medicine to further standardize the protocol for diagnosis and treatment of respiratory infection in children caused by 2019-nCoV.展开更多
Objective To study the prevalence of atrial fibrillation （AF） and the relation with its risk factors in China. Methods A total of 19 363 participants （8635 males and 10 728 females） aged 〉35 years in geographical...Objective To study the prevalence of atrial fibrillation （AF） and the relation with its risk factors in China. Methods A total of 19 363 participants （8635 males and 10 728 females） aged 〉35 years in geographically dispersed urban and rural regions of China were included in this cross-sectional survey. All participants received questionnaire, physical and blood examination. Echocardiography were performed for AF patients found in the survey. Results Of the 19 363 participants, 199 were diagnosed with AF. The estimated age-standardized prevalence of AF was 0.78% in men and 0.76% in women. The prevalence of AF in participants aged 〈60 years was 0.41% in men and 0.43% in women, and was 1.83% in both men and women aged 〉_60 years. About 19.0% of males and 30.9% of females with AF were diagnosed with valve disease. Age- and sex-adjusted multivariable logistic regression analysis revealed that myocardial infarction, left ventricular hypertrophy （LVH）, obesity, and alcohol consumption were associated with a increased risk of AF（P〈0.05）. Conclusion The age standardized prevalence of AF is 0.77% in the participants enrolled in the present study. The number of AF cases aged 〉35 years is 5.26 million according to 2010 Chinese Census. Most risk factors for AF, identified mainly in Western countries, are also detected in China.展开更多
Bone is the second most commonly transplanted tissue worldwide,with over four million operations using bone grafts or bone substitute materials annually to treat bone defects.However,significant limitations affect cur...Bone is the second most commonly transplanted tissue worldwide,with over four million operations using bone grafts or bone substitute materials annually to treat bone defects.However,significant limitations affect current treatment options and clinical demand for bone grafts continues to rise due to conditions such as trauma,cancer,infection and arthritis.Developing bioactive three-dimensional(3D)scaffolds to support bone regeneration has therefore become a key area of focus within bone tissue engineering(BTE).A variety of materials and manufacturing methods including 3D printing have been used to create novel alternatives to traditional bone grafts.However,individual groups of materials including polymers,ceramics and hydrogels have been unable to fully replicate the properties of bone when used alone.Favourable material properties can be combined and bioactivity improved when groups of materials are used together in composite 3D scaffolds.This review will therefore consider the ideal properties of bioactive composite 3D scaffolds and examine recent use of polymers,hydrogels,metals,ceramics and bio-glasses in BTE.Scaffold fabrication methodology,mechanical performance,biocompatibility,bioactivity,and potential clinical translations will be discussed.展开更多
Genetic manipulation of genes to upregulate specific branches of metabolic pathways is a method that is commonly used to improve fruit quality.However,the use of a single gene to impact several metabolic pathways is d...Genetic manipulation of genes to upregulate specific branches of metabolic pathways is a method that is commonly used to improve fruit quality.However,the use of a single gene to impact several metabolic pathways is difficult.Here,we show that overexpression of the single gene SlMYB75(SlMYB75-OE)is effective at improving multiple fruit quality traits.In these engineered fruits,the anthocyanin content reached 1.86mg g−1 fresh weight at the red-ripe stage,and these SlMYB75-OE tomatoes displayed a series of physiological changes,including delayed ripening and increased ethylene production.In addition to anthocyanin,the total contents of phenolics,flavonoids and soluble solids in SlMYB75-OE fruits were enhanced by 2.6,4,and 1.2 times,respectively,compared to those of wild-type(WT)fruits.Interestingly,a number of aroma volatiles,such as aldehyde,phenylpropanoid-derived and terpene volatiles,were significantly increased in SlMYB75-OE fruits,with some terpene volatiles showing more than 10 times higher levels than those in WT fruits.Consistent with the metabolic assessment,transcriptomic profiling indicated that the genes involved in the ethylene signaling,phenylpropanoid and isoprenoid pathways were greatly upregulated in SlMYB75-OE fruits.Yeast one-hybrid and transactivation assays revealed that SlMYB75 is able to directly bind to the MYBPLANT and MYBPZM cis-regulatory elements and to activate the promoters of the LOXC,AADC2 and TPS genes.The identification of SlMYB75 as a key regulator of fruit quality attributes through the transcriptional regulation of downstream genes involved in several metabolic pathways opens new avenues towards engineering fruits with a higher sensory and nutritional quality.展开更多
In the last few decades, the Late Paleozoic-Early Mesozoic tectonic evolution of South China has been quite controversial. The focus of debate is on both the age of ophiolites and the Late Paleozoic-Early Mesozoic geo...In the last few decades, the Late Paleozoic-Early Mesozoic tectonic evolution of South China has been quite controversial. The focus of debate is on both the age of ophiolites and the Late Paleozoic-Early Mesozoic geological and geodynamic environment. The Huaiyu Domain is located in the NE part of South China and exposes numerous significant geological features that are keys to understand the tectonics of South China. In this paper, we present some new evidence on stratigraphy, petrology and SHRIMP zircon U-Pb geochronology, and together with other geological and geochemical data available in the literature, and the following conclusions are suggested： 1） The eastern Jiangnan ophiolites belt, dated at 858±11 Ma by SHRIMP zircon U-Pb method, was generated during the Neoproterozoic, but not the Late Paleozoic; 2） The sedimentary rocks associated with these oceanic rocks do not contain radiolarians but Neoproterozoic acritarchs; 3） During Permian-Early Triassic times, the Huaiyu Domain was dominantly characterized by a shallow sea depositional environment since deep sea sediments are absent; and 4） The pre-Devonian tectonics of South China has been reworked by late polyphase tectonism through the Triassic and the Cretaceous periods. A Late Paleozoic-Early Mesozoic deep marine domain floored by oceanic crust never existed in the study area. The geochronological and structural data do not comply with a Late Paleozoic-Early Mesozoic South China Ocean.展开更多
The Nanxiong red-bed basin and its adjacent Zhuguang granite form a distinctive basin-mountain landform in the Nanling region, South China. Research results suggest that the Zhuguang granite is a polyphase composite p...The Nanxiong red-bed basin and its adjacent Zhuguang granite form a distinctive basin-mountain landform in the Nanling region, South China. Research results suggest that the Zhuguang granite is a polyphase composite pluton developed on the metamorphic basement of the paleo-Tethys-paleo-Asian tectonic regime and possesses geometrical and kinematic features of hot-doming extensional tectonics at the middle-upper crustal level, which is considered as a magmatic complex that resulted from the collision-orogeny during the Indosinian Period, the subduction-consuming during the Early Yanshanian Period and the intra-continental basaltic underplating and deep-seated geodynamics during the Late Yanshanian Period. The Nanxiong basin is a Late Cretaceous-Paleogene asymmetric faulted basin that is characterized by a fault boundary on the northern side and an uncomformable boundary on the southern side, its deposit center was migrated gradually from south to north. Structural kinematic results on the basin-mountain coupled zone demonstrate that the ductile and the brittle rheological layers show a quite coincident sense of shear, implying that it is a continuous process from the ductile extensional deformation followed by locally sinistral strike-slip shear at a middle-crustal level to the brittle tensional deformation at a upper-crustal level during formation of granitic doming extensional tectonics. The Zhuguang granite and the Nanxiong faulted basin constructed a semi-graben tectonic system. Lithological and geochemical results suggest that the Late Triassic to Jurassic granitic bodies in the Zhuguang have some similar features: high SiO2, Al2O3, K2O contents, alkalinity index > 2.8, ANKC value > 1.1, LREE-enriched pattern with high REE contents, marked negative Eu anomalies, enrichment in Rb and Th, depletion in Ba and Nb, showing a K-rich and Al-rich calc-alkaline affinity, which suggest a continuous magmatic evolution from Late Triassic to Jurassic. Formation of Nanxiong basin and evolution of basin-mountain system were 展开更多
Background:Current treatment options for human epidermal growth factor receptor 2(HER2)-overexpressing gastric cancer at third-line have shown limited clinical benefit.Further,there is no specific treatment for HER2 i...Background:Current treatment options for human epidermal growth factor receptor 2(HER2)-overexpressing gastric cancer at third-line have shown limited clinical benefit.Further,there is no specific treatment for HER2 immunohistochemistry(IHC)2+and fluorescence in-situ hybridization-negative patients.Here,we report the efficacy and safety of a novel anti-HER2 antibody RC48 for patients with HER2-overexpressing,advanced gastric or gastroesophageal junction cancer.Methods:Patients with HER2-overexpressing(IHC 2+or 3+),locally advanced or metastatic gastric or gastroesophageal junction cancer who were under at least second-line therapy were eligible and received RC482.5 mg/kg alone every 2 weeks.The primary endpoint was the objective response rate(ORR)assessed by an independent review committee.Secondary endpoints included progressionfree survival(PFS),overall survival(OS),duration of response,time to progression,disease control rate,and safety.Results:Of 179 patients screened,125 were eligible and received RC48 treatment.The ORR was 24.8%(95%confidence interval[CI]:17.5%-33.3%).The median PFS and OS were 4.1 months(95%CI:3.7-4.9 months)and 7.9 months(95%CI:6.7-9.9 months),respectively.The most frequently reported adverse events were decreased white blood cell count(53.6%),asthenia(53.6%),hair loss(53.6%),decreased neutrophil count(52.0%),anemia(49.6%),and increased aspartate aminotransferase level(43.2%).Serious adverse events(SAEs)occurred in 45(36.0%)patients,and RC48-related SAEs were mainly decreased neutrophil count(3.2%).Seven patients had adverse events that led to death were not RC48-related.Conclusions:RC48 showed promising activity with manageable safety,suggesting potential application in patients with HER2-overexpressing,advanced gastric or gastroesophageal junction cancer who have previously received at least two lines of chemotherapy.展开更多
Intercropping is one of the most vital practice to improve land utilization rate in China that has limited arable land resource. However, the traditional intercropping systems have many disadvantages including illogic...Intercropping is one of the most vital practice to improve land utilization rate in China that has limited arable land resource. However, the traditional intercropping systems have many disadvantages including illogical field lay-out of crops, low economic value, and labor deficiency, which cannot balance the crop production and agricultural sustainability. In view of this, we developed a novel soybean strip intercropping model using maize as the partner, the regular maize-soybean strip intercropping mainly popularized in northern China and maize-soybean relay-strip intercropping principally extended in southwestern China. Compared to the traditional maize-soybean intercropping systems, the main innovation of field lay-out style in our present intercropping systems is that the distance of two adjacent maize rows are shrunk as a narrow strip, and a strip called wide strip between two adjacent narrow strips is expanded reserving for the growth of two or three rows of soybean plants. The distance between outer rows of maize and soybean strips are expanded enough for light use efficiency improvement and tractors working in the soybean strips. Importantly, optimal cultivar screening and increase of plant density achieved a high yield of both the two crops in the intercropping systems and increased land equivalent ratio as high as 2.2. Annually alternative rotation of the adjacent maize-and soybean-strips increased the grain yield of next seasonal maize, improved the absorption of nitrogen, phosphorus, and potasium of maize, while prevented the continuous cropping obstacles. Extra soybean production was obtained without affecting maize yield in our strip intercropping systems, which balanced the high crop production and agricultural sustainability.展开更多
AIM:To analyze the performance value of high risk factors in population-based colorectal cancer(CRC) screening in China.METHODS:We compared the performance value of the immunochemical fecal occult blood test(iFOBT) an...AIM:To analyze the performance value of high risk factors in population-based colorectal cancer(CRC) screening in China.METHODS:We compared the performance value of the immunochemical fecal occult blood test(iFOBT) and other high risk factors questionnaire in a population sample of 13 214 community residents who completed both the iFOBT and questionnaire investigation.Patients with either a positive iFOBT and/or questionnaire were regarded as a high risk population and those eligible were asked to undergo colonoscopy.RESULTS:The iFOBT had the highest positive predictive value and negative predictive value in screening for advanced neoplasia.The iFOBT had the highest sensitivity,lowest number of extra false positive results associated with the detection of one extra abnormality for screening advanced neoplasias and adenomas.A history of chronic cholecystitis or cholecystectomy,chronic appendicitis or appendectomy,and chronic diarrhea also had a higher sensitivity than a history of adenomatous polyps in screening for advanced neoplasias and adenomas.The sensitivity of a history of chronic cholecystitis or cholecystectomy was highest among the 10 high risk factors in screening for nonadenomatous polyps.A history of chronic appendicitis or appendectomy,chronic constipation,chronic diarrhea,mucous and bloody stool,CRC in first degree relatives,malignant tumor and a positive iFOBT also had higher sensitivities than a history of adenomas polyps in screening for non-adenomatous polyps.Except for a history of malignant tumor in screening for non-adenomatous polyps,the gain in sensitivity was associated with an increase in extra false positive results associated with the detection of one extra abnormality.CONCLUSION:The iFOBT may be the best marker for screening for advanced neoplasias and adenomas.Some unique high risk factors may play an important role in CRC screening in China.展开更多
AIM: To clarify the association of vascular endothelial growth factor (VEGF) and microvascular density (MVD) expression with the angiogenesis and prognosis of colorectal cancer.METHODS: A total of 97 cases of colorect...AIM: To clarify the association of vascular endothelial growth factor (VEGF) and microvascular density (MVD) expression with the angiogenesis and prognosis of colorectal cancer.METHODS: A total of 97 cases of colorectal cardnomas were examined by immunohistochemical staining (SP method), using anti-VEGF and anti-factor CD34^+ monodonal antibodies,RESULTS: VEGF positive staining was obtained in 68 out of 97 cases (70.1%), and observed mainly in the cytoplasm of tumor cells, and also frequently in stromal cells. VEGF expression was more intense in poorly differentiated adenocarcinoma in comparison with others, but there was no significant correlation between VEGF expression and age,sex and stage. A significant correlation was found between the MVD and grades, and there was no significant relationship between the MVD and age, sex, and stage. The MVD in the VEGF positive group (68 cases) was higher than that in the negative group. Upon multivariate analysis, the significant variables were stage, tumor grade and MVD; VEGF expression was not an independent prognostic factor.CONCLUSION: The expression of VEGF has a significant correlation with MVD; MVD expression has prognostic value but VEGF has not in colon cancer.展开更多
Pneumoconiosis refers to a spectrum of pulmonary diseases caused by inhalation of mineral dust,usually as the result of certain occupations.The main pathological features include chronic pulmonary inflammation and pro...Pneumoconiosis refers to a spectrum of pulmonary diseases caused by inhalation of mineral dust,usually as the result of certain occupations.The main pathological features include chronic pulmonary inflammation and progressive pulmonary fibrosis,which can eventually lead to death caused by respiratory and/or heart failure.Pneumoconiosis is widespread globally,seriously threatening global public health.Its high incidence and mortality lie in improper occupational protection,and in the lack of early diagnostic methods and effective treatments.This article reviews the epidemiology,safeguard procedures,diagnosis,and treatment of pneumoconiosis,and summarizes recent research advances and future research prospects.展开更多
AIM: To reduce the incidence and mortality of rectal cancer and address the hypothesis that colorectal cancer often arise from precursor lesion(s), either adenomas or non-adenomatous polyps, by conducting a population...AIM: To reduce the incidence and mortality of rectal cancer and address the hypothesis that colorectal cancer often arise from precursor lesion(s), either adenomas or non-adenomatous polyps, by conducting a population-based mass screening for colorectal cancer in Haining County, Zhejiang, PRC. METHODS: From 1977 to 1980, physicians screened the population of Haining County using 15 cm rigid endoscopy. Of over 240000 participants, 4076 of them were diagnosed with precursor lesions, either adenomas or non-adenomatous polyps, which were then removed surgically. All individuals with precursor lesions were followed up and reexamined by endoscopy every two to five years up to 1998. RESULTS: After the initial screening, 953 metachronous adenomas and 417 non-adenomatous polyps were detected and removed from the members of this cohort. Further, 27 cases of colorectal cancer were detected and treated. Log-rank tests showed that the survival time among those cancer patients who under went mass screening increased significantly compared to that of other colorectal cancer patients (P【0.0001). According to the population-based cancer registry in Haining County, age-adjusted incidence and mortality of rectal cancer decreased by 41% and 29% from 1977-1981 to 1992-1996, respectively. Observed cumulative 20-year rectal cancer incidence was 31% lower than the expected in the screened group; the mortality due to rectal cancer was 18% lower than the expected in the screened group. CONCLUSION:Mass screening for rectal cancer and precursor lesions with protocoscopy in the general population and periodical following-up with routine endoscopy for high-risk patients may decrease both the incidence and mortality of rectal cancer.展开更多
文摘This paper summarizes the new results on the petrogenesis of Mesozoic granitoids and volcanic rocks in South China. The authors propose that these rocks were formed in time and space as a response to regional tectonic regime change from the continent-continent collision of the Indosinian orogeny within the broad Tethyan orogenic domain in the Early Mesozoic （T1-T3） （Period Ⅰ） to the largely extensional setting as a result of the Yanshanian orogeny genetically associated with the NW-WNW-ward subduction of the paleo-Pacific oceanic lithosphere in the Late Mesozoic （J2-K2） （Period Ⅱ）. Of the Period I Indosinian granitoids, the early （T1-T2^1） ones are syn-collisional, and formed in a compressional setting; the late （T2^2-T3） ones are latecollisional, and formed in a locally extensional environment. During the Period Ⅱ Yanshanian magmatism, the Early Yanshanian （J2-J3） granitoid-volcanic rocks, which are distributed mainly in the Nanling Range and in the interior of the South China tectonic block （SCB）, are characteristic of rift-type intraplate magmatism, whereas the Late Yanshanian K1 granitoidovolcanic rocks are interpreted as genetically representing active continental margin magmatism. The K2 tholeiitic basalts interlayered with red beds are interpreted as genetically associated with the development of back-arc extensional basins in the interior of the SCB. The Yanshanian granitoid-volcanic rocks are distributed widely in South China, reflecting extensional tectonics within much of the SCB. The extension-induced deep crustal melting and underplating of mantle-derived basaltic melts are suggested as the two principal driving mechanisms for the Yanshanian granitic magmatism in South China.
文摘Chinese East Tianshan is a key area for understanding the Paleozoic accretion of the southern Central Asian Orogenic Belt. A first accretion-collision stage, before the Visean, developed the Eo-Tianshan range, which exhibits north-verging structures. The geodynamic evolution included： i） Ordovician-Early Devonian southward subduction of a Central Tianshan ocean beneath a Central Tianshan arc; ii） Devonian oceanic closure and collision between Central Tianshan arc and Iqli-North Tianshan block, along the Central Tianshan Suture Zone; iii） Late Devonian-earliest Carboniferous closure of a South Tianshan back-arc basin, and subsequent Central Tianshan-Tarim active margin colli- sion along the South Tianshan Suture Zone. A second stage involved： i） Late Devonian-Carboniferous south- ward subduction of North Tianshan ocean beneath the Eo-Tianshan active margin （Yili-North Tianshan arc）;
基金supported by National Basic Research Program of China (Grant No. 2007CB411301)the Bureau of China Geological Survey (Grant No. 1212010611806)ISTO
文摘The Chinese Tianshan belt is a major part of the southern Central Asian Orogenic Belt, extending westward to Kyrgyzstan and Kazakhstan. Its Paleozoic tectonic evolution, crucial for understanding the amalgamation of Central Asia, comprises two stages of subduction-collision. The first collisional stage built the Eo-Tianshan Mountains, before a Visean unconformity, in which all structures are verging north. It implied a southward subduction of the Central Tianshan Ocean beneath the Tarim active margin, that induced the Ordovician-Early Devonian Central Tianshan arc, to the south of which the South Tianshan back-arc basin opened. During the Late Devonian, the closure of this ocean led to a collision between Central Tianshan arc and the Kazakhstan-Yili-North Tianshan Block, and subsequently closure of the South Tianhan back-arc basin, producing two suture zones, namely the Central Tianshan and South Tianshan suture zones where ophiolitic melanges and HP metamorphic rocks were emplaced northward. The second stage included the Late Devonian-Carboniferous southward subduction of North Tianshan Ocean beneath the Eo-Tianshan active margin, underlined by the Yili-North Tianshan arc, leading to the collision between the Kazakhstan-Yili-NTS plate and an inferred Junggar Block at Late Carboniferous-Early Permian time. The North Tianshan Suture Zone underlines likely the last oceanic closure of Central Asia Orogenic Belt; all the oceanic domains were consumed before the Middle Permian. The amalgamated units were affected by a Permian major wrenching, dextral in the Tianshan. The correlation with the Kazakh and Kyrgyz Tianshan is clarified. The Kyrgyz South Tianshan is equivalent to the whole part of Chinese Tianshan （CTS and STS） located to the south of Narat Fault and Main Tianshan Shear Zone; the so-called Middle Tianshan thins out toward the east. The South Tianshan Suture of Kyrgyzstan correlates with the Central Tianshan Suture of Chinese Tianshan. The evolution of this southern domain remains similar from east （Ga
基金funded by the National Basic Research Program of China(973 Program,No.2012CB416701)National Natural Science Foundation of China(Grant 40972132)was partly supported by the State Key Laboratory for Mineral Deposits Research of Nanjing University(No.2008-Ⅰ-01)
文摘During the Late Mesozoic Middle Jurassic--Late Cretaceous, basin and range tectonics and associated magmatism representative of an extensional tectonic setting was widespread in southeastern China as a result of Pacific Plate subduction. Basin tectonics consists of post-orogenic （Type I） and intra-continental extensional basins （Type II）. Type I basins developed in the piedmont and intraland during the Late Triassic to Early Jurassic, in which coarse-grained terrestrial clastic sediments were deposited. Type II basins formed during intra-continental crustal thinning and were characterized by the development of grabens and half-grabens. Graben basins were mainly generated during the Middle Jurassic and were associated with bimodal volcanism. Sediments in half-grabens are intercalated with rhyolitic tufts and lavas and are Early Cretaceous in age with a dominance of Late Cretaceous-Paleogene red beds. Ranges are composed of granitoids and bimodal volcanic rocks, A-type granites and dome-type metamorphic core complexes. The authors analyzed lithological, geochemical and geochronological features of the Late Mesozoic igneous rock assemblages and proposed some geodynamical constraints on forming the basin and range tectonics of South China. A comparison of the similarities and differences of basin and range tectonics between the eastern and western shores of the Pacific is made, and the geo- dynamical evolution model of the Southeast China Block during Late Mesozoic is discussed. Studied results suggest that the basin and range terrane within South China developed on a pre-Mesozoic folded belt was derived from a polyphase tectonic evolution mainly constrained by subduction of the western Pacific Plate since the Late Mesozoic, leading to formation of various magmatism in a back-arc exten- sional setting. Its geodynamic mechanism can compare with that of basin and range tectonics in the eastern shore of the Pacific. Differences of basin and range tectonics between both shores of the Pacific, such as mantle plume
基金supported by grants from the National Natural Science Foundation of China(No.30772549)the Medical Sci-Tech Development Foundation from Health Department of Jiangsu Province(No.P200965)
文摘Studies have shown cell-free microRNA(miRNA) circulating in the serum and plasma with specific expression in cancer,indicating the potential of using miRNAs as biomarkers for cancer diagnosis and therapy.This study was to investigate whether plasma miRNA-21(miR-21) can be used as a biomarker for the early detection of non-small cell lung cancer(NSCLC) and to explore its association with clinicopathologic features and sensitivity to platinum-based chemotherapy.We used real-time RT-PCR to investigate the expression of miR-21 in the plasma of 63 NSCLC patients and 30 healthy controls and correlated the findings with early diagnosis,pathologic parameters,and treatment.Thirty-five patients(stages IIIB and IV) were evaluable for chemotherapeutic responses:11 had partial response(PR);24 had stable and progressive disease(SD+PD).Plasma miR-21 was significantly higher in NSCLC patients than in age-and sex-matched controls(P<0.001).miR-21 was related to TNM stage(P<0.001),but not related to age,sex,smoking status,histological classification,lymph node status,and metastasis(all P>0.05).This marker yielded a receiver operating characteristic(ROC) curve area of 0.775(95% CI:0.681-0.868) with 76.2% sensitivity and 70.0% specificity.Importantly,miR-21 plasma levels in PR samples were several folds lower than that in SD plus PD samples(P=0.049),and were close to that in healthy controls(P=0.130).Plasma miR-21 can serve as a circulating tumor biomarker for the early diagnosis of NSCLC and is related to the sensitivity to platinum-base chemotherapy.
文摘Since the outbreak of 2019 novel coronavirus infection (2019-nCoV) in Wuhan City,China,by January 30,2020,a total of 9692 confirmed cases and 15,238 suspected cases have been reported around 31 provinces or cities in China.Among the confirmed cases,1527 were severe cases,171 had recovered and been discharged at home,and 213 died.And among these cases,a total of 28 children aged from 1 month to 17 years have been reported in China.For standardizing prevention and management of 2019-nCoV infections in children,we called up an experts' committee to formulate this experts' consensus statement.This statement is based on the Novel Coronavirus Infection Pneumonia Diagnosis and Treatment Standards (the fourth edition) (National Health Committee) and other previous diagnosis and treatment strategies for pediatric virus infections.The present consensus statement summarizes current strategies on diagnosis,treatment,and prevention of 2019-nCoV infection in children.
文摘目的利用关联规则研究我国中老年人群慢性病共病模式,探索慢性病间的关联性和关联强度.方法采用中国健康与养老追踪调查(China health and retirement longitudinal study, CHARLS)2015年的数据,纳入我国9省市45岁以上中老年人患14种慢性病情况,利用R3.4.3软件中的Apriori算法对数据进行分析,挖掘慢性病共病情况.结果 17796名调查对象中,至少患有一种慢性病人数为12245(68.81%),同时患有两种及以上慢性病的人数为7321 (41.15%).在筛选出的关联规则中,按照支持度排序,最常见的三种慢性病共病模式为血脂异常和心脏病、糖尿病和血脂异常、哮喘和慢性肺部疾病,规则支持度分别为6.77%、5.27%、4.28%,规则置信度分别为34.38%、43.14%、70.81%.关联规则结果多项指向心脏病、血脂异常、慢性肺部疾病.75岁以上年龄组强关联规则最多.结论心脏病存在于多种共病模式中,应加强对其的筛查与预防.血脂异常与糖尿病、高血压具有强关联性,且男性患者更易共患血脂异常.随着年龄增长,慢性病共患更普遍更复杂.
基金This work was supported by the National Key Research and Development Program of China(2018YFD1000601 and 2019YFD1001601)the National Natural Science Foundation of China(31800180)+2 种基金the Natural Science Foundation of Anhui Province of China(1908085MC75)the China Postdoctoral Science Foundation(2017M621992)and the special funds for tea germplasm garden construction(2060502 and 201834040003).
文摘Tea plant is an important economic crop,which is used to produce the world's oldest and most widely consumed tea beverages.Here,we present a high-quality reference genome assembly of the tea plant(Camellia sinensis var.sinensis)consisting of 15 pseudo-chromosomes.LTR retrotransposons(LTR-RTs)account for 70.38%of the genome,and we present evidence that LTR-RTS play critical roles in genome size expansion and the transcriptional diversification of tea plant genes through preferential insertion in promoter regions and introns.Genes,particularly those coding for terpene biosynthesis pro-teins,associated with tea aroma and stress resistance were significantly amplified through recent tandem duplications and exist as gene clusters in tea plant genome.Phylogenetic analysis of the sequences of 81 tea plant accessions with diverse origins revealed three well-differentiated tea plant populations,support-ing the proposition for the southwest origin of the Chinese cultivated tea plant and its later spread to western Asia through introduction.Domestication and modern breeding left significant signatures on hundreds of genes in the tea plant genome,particularly those associated with tea quality and stress resis-tance.The genomic sequences of the reported reference and resequenced tea plant accessions provide valuable resources for future functional genomics study and molecular breeding of improved cul-tivars of tea plants.
文摘Since December 2019,an epidemic caused by novel coronavirus (2019-nCoV) infection has occurred unexpectedly in China.As of 8 pm,31 January 2020,more than 20 pediatric cases have been reported in China.Of these cases,ten patients were identified in Zhejiang Province,with an age of onset ranging from 112 days to 17 years.Following the latest National recommendations for diagnosis and treatment of pneumonia caused by 2019-nCo V (the 4th edition) and current status of clinical practice in Zhejiang Province,recommendations for the diagnosis and treatment of respiratory infection caused by 2019-nCoV for children were drafted by the National Clinical Research Center for Child Health,the National Children's Regional Medical Center,Children's Hospital,Zhejiang University School of Medicine to further standardize the protocol for diagnosis and treatment of respiratory infection in children caused by 2019-nCoV.
基金supported by the 10th National Five-Year Plan Projects(2001BA703B14,and 2001BA703B01)of Ministry of Science and Technology and Ministry of Health
文摘Objective To study the prevalence of atrial fibrillation （AF） and the relation with its risk factors in China. Methods A total of 19 363 participants （8635 males and 10 728 females） aged 〉35 years in geographically dispersed urban and rural regions of China were included in this cross-sectional survey. All participants received questionnaire, physical and blood examination. Echocardiography were performed for AF patients found in the survey. Results Of the 19 363 participants, 199 were diagnosed with AF. The estimated age-standardized prevalence of AF was 0.78% in men and 0.76% in women. The prevalence of AF in participants aged 〈60 years was 0.41% in men and 0.43% in women, and was 1.83% in both men and women aged 〉_60 years. About 19.0% of males and 30.9% of females with AF were diagnosed with valve disease. Age- and sex-adjusted multivariable logistic regression analysis revealed that myocardial infarction, left ventricular hypertrophy （LVH）, obesity, and alcohol consumption were associated with a increased risk of AF（P〈0.05）. Conclusion The age standardized prevalence of AF is 0.77% in the participants enrolled in the present study. The number of AF cases aged 〉35 years is 5.26 million according to 2010 Chinese Census. Most risk factors for AF, identified mainly in Western countries, are also detected in China.
文摘Bone is the second most commonly transplanted tissue worldwide,with over four million operations using bone grafts or bone substitute materials annually to treat bone defects.However,significant limitations affect current treatment options and clinical demand for bone grafts continues to rise due to conditions such as trauma,cancer,infection and arthritis.Developing bioactive three-dimensional(3D)scaffolds to support bone regeneration has therefore become a key area of focus within bone tissue engineering(BTE).A variety of materials and manufacturing methods including 3D printing have been used to create novel alternatives to traditional bone grafts.However,individual groups of materials including polymers,ceramics and hydrogels have been unable to fully replicate the properties of bone when used alone.Favourable material properties can be combined and bioactivity improved when groups of materials are used together in composite 3D scaffolds.This review will therefore consider the ideal properties of bioactive composite 3D scaffolds and examine recent use of polymers,hydrogels,metals,ceramics and bio-glasses in BTE.Scaffold fabrication methodology,mechanical performance,biocompatibility,bioactivity,and potential clinical translations will be discussed.
基金supported by the National Key Research and Development Program(2016YFD0400101)the National Natural Science Foundation of China(31572175,31772370)+1 种基金the Fundamental Research Funds for the Central Universities(2018CDXYSM0021)the Committee of Science and Technology of Chongqing(cstckjcxljrc15).
文摘Genetic manipulation of genes to upregulate specific branches of metabolic pathways is a method that is commonly used to improve fruit quality.However,the use of a single gene to impact several metabolic pathways is difficult.Here,we show that overexpression of the single gene SlMYB75(SlMYB75-OE)is effective at improving multiple fruit quality traits.In these engineered fruits,the anthocyanin content reached 1.86mg g−1 fresh weight at the red-ripe stage,and these SlMYB75-OE tomatoes displayed a series of physiological changes,including delayed ripening and increased ethylene production.In addition to anthocyanin,the total contents of phenolics,flavonoids and soluble solids in SlMYB75-OE fruits were enhanced by 2.6,4,and 1.2 times,respectively,compared to those of wild-type(WT)fruits.Interestingly,a number of aroma volatiles,such as aldehyde,phenylpropanoid-derived and terpene volatiles,were significantly increased in SlMYB75-OE fruits,with some terpene volatiles showing more than 10 times higher levels than those in WT fruits.Consistent with the metabolic assessment,transcriptomic profiling indicated that the genes involved in the ethylene signaling,phenylpropanoid and isoprenoid pathways were greatly upregulated in SlMYB75-OE fruits.Yeast one-hybrid and transactivation assays revealed that SlMYB75 is able to directly bind to the MYBPLANT and MYBPZM cis-regulatory elements and to activate the promoters of the LOXC,AADC2 and TPS genes.The identification of SlMYB75 as a key regulator of fruit quality attributes through the transcriptional regulation of downstream genes involved in several metabolic pathways opens new avenues towards engineering fruits with a higher sensory and nutritional quality.
基金This study is financially supported by grants from the National Natural Science Foundation of China （grant nos. 40221301, 40634022, and 40572118） and Ministry of Education in China （grant nos. 306007 and 20060284008）.
文摘In the last few decades, the Late Paleozoic-Early Mesozoic tectonic evolution of South China has been quite controversial. The focus of debate is on both the age of ophiolites and the Late Paleozoic-Early Mesozoic geological and geodynamic environment. The Huaiyu Domain is located in the NE part of South China and exposes numerous significant geological features that are keys to understand the tectonics of South China. In this paper, we present some new evidence on stratigraphy, petrology and SHRIMP zircon U-Pb geochronology, and together with other geological and geochemical data available in the literature, and the following conclusions are suggested： 1） The eastern Jiangnan ophiolites belt, dated at 858±11 Ma by SHRIMP zircon U-Pb method, was generated during the Neoproterozoic, but not the Late Paleozoic; 2） The sedimentary rocks associated with these oceanic rocks do not contain radiolarians but Neoproterozoic acritarchs; 3） During Permian-Early Triassic times, the Huaiyu Domain was dominantly characterized by a shallow sea depositional environment since deep sea sediments are absent; and 4） The pre-Devonian tectonics of South China has been reworked by late polyphase tectonism through the Triassic and the Cretaceous periods. A Late Paleozoic-Early Mesozoic deep marine domain floored by oceanic crust never existed in the study area. The geochronological and structural data do not comply with a Late Paleozoic-Early Mesozoic South China Ocean.
基金This work was supported by the National Natural Science Foundation of China(Grant Nos.40172067 and 40173001)the Key Project Foundation(Grant No.40132010).
文摘The Nanxiong red-bed basin and its adjacent Zhuguang granite form a distinctive basin-mountain landform in the Nanling region, South China. Research results suggest that the Zhuguang granite is a polyphase composite pluton developed on the metamorphic basement of the paleo-Tethys-paleo-Asian tectonic regime and possesses geometrical and kinematic features of hot-doming extensional tectonics at the middle-upper crustal level, which is considered as a magmatic complex that resulted from the collision-orogeny during the Indosinian Period, the subduction-consuming during the Early Yanshanian Period and the intra-continental basaltic underplating and deep-seated geodynamics during the Late Yanshanian Period. The Nanxiong basin is a Late Cretaceous-Paleogene asymmetric faulted basin that is characterized by a fault boundary on the northern side and an uncomformable boundary on the southern side, its deposit center was migrated gradually from south to north. Structural kinematic results on the basin-mountain coupled zone demonstrate that the ductile and the brittle rheological layers show a quite coincident sense of shear, implying that it is a continuous process from the ductile extensional deformation followed by locally sinistral strike-slip shear at a middle-crustal level to the brittle tensional deformation at a upper-crustal level during formation of granitic doming extensional tectonics. The Zhuguang granite and the Nanxiong faulted basin constructed a semi-graben tectonic system. Lithological and geochemical results suggest that the Late Triassic to Jurassic granitic bodies in the Zhuguang have some similar features: high SiO2, Al2O3, K2O contents, alkalinity index > 2.8, ANKC value > 1.1, LREE-enriched pattern with high REE contents, marked negative Eu anomalies, enrichment in Rb and Th, depletion in Ba and Nb, showing a K-rich and Al-rich calc-alkaline affinity, which suggest a continuous magmatic evolution from Late Triassic to Jurassic. Formation of Nanxiong basin and evolution of basin-mountain system were
基金This study was funded by RemeGen Co.,Ltd.This work was also supported by the National Natural Science Foundation of China(No.91959205)the Ministry of Science and Technology of China(No.2017YFC1308900,No.2018ZX09201-015)Beijing Municipal Health Commission(No.2020-1-1022)。
文摘Background:Current treatment options for human epidermal growth factor receptor 2(HER2)-overexpressing gastric cancer at third-line have shown limited clinical benefit.Further,there is no specific treatment for HER2 immunohistochemistry(IHC)2+and fluorescence in-situ hybridization-negative patients.Here,we report the efficacy and safety of a novel anti-HER2 antibody RC48 for patients with HER2-overexpressing,advanced gastric or gastroesophageal junction cancer.Methods:Patients with HER2-overexpressing(IHC 2+or 3+),locally advanced or metastatic gastric or gastroesophageal junction cancer who were under at least second-line therapy were eligible and received RC482.5 mg/kg alone every 2 weeks.The primary endpoint was the objective response rate(ORR)assessed by an independent review committee.Secondary endpoints included progressionfree survival(PFS),overall survival(OS),duration of response,time to progression,disease control rate,and safety.Results:Of 179 patients screened,125 were eligible and received RC48 treatment.The ORR was 24.8%(95%confidence interval[CI]:17.5%-33.3%).The median PFS and OS were 4.1 months(95%CI:3.7-4.9 months)and 7.9 months(95%CI:6.7-9.9 months),respectively.The most frequently reported adverse events were decreased white blood cell count(53.6%),asthenia(53.6%),hair loss(53.6%),decreased neutrophil count(52.0%),anemia(49.6%),and increased aspartate aminotransferase level(43.2%).Serious adverse events(SAEs)occurred in 45(36.0%)patients,and RC48-related SAEs were mainly decreased neutrophil count(3.2%).Seven patients had adverse events that led to death were not RC48-related.Conclusions:RC48 showed promising activity with manageable safety,suggesting potential application in patients with HER2-overexpressing,advanced gastric or gastroesophageal junction cancer who have previously received at least two lines of chemotherapy.
基金supported by the National Natural Science Foundation of China (31401308, 31371555 and 31671445)
文摘Intercropping is one of the most vital practice to improve land utilization rate in China that has limited arable land resource. However, the traditional intercropping systems have many disadvantages including illogical field lay-out of crops, low economic value, and labor deficiency, which cannot balance the crop production and agricultural sustainability. In view of this, we developed a novel soybean strip intercropping model using maize as the partner, the regular maize-soybean strip intercropping mainly popularized in northern China and maize-soybean relay-strip intercropping principally extended in southwestern China. Compared to the traditional maize-soybean intercropping systems, the main innovation of field lay-out style in our present intercropping systems is that the distance of two adjacent maize rows are shrunk as a narrow strip, and a strip called wide strip between two adjacent narrow strips is expanded reserving for the growth of two or three rows of soybean plants. The distance between outer rows of maize and soybean strips are expanded enough for light use efficiency improvement and tractors working in the soybean strips. Importantly, optimal cultivar screening and increase of plant density achieved a high yield of both the two crops in the intercropping systems and increased land equivalent ratio as high as 2.2. Annually alternative rotation of the adjacent maize-and soybean-strips increased the grain yield of next seasonal maize, improved the absorption of nitrogen, phosphorus, and potasium of maize, while prevented the continuous cropping obstacles. Extra soybean production was obtained without affecting maize yield in our strip intercropping systems, which balanced the high crop production and agricultural sustainability.
基金Supported by 11th 5-Year Key Programs for Science and Technology Development of China,No.2006BAI02A08
文摘AIM:To analyze the performance value of high risk factors in population-based colorectal cancer(CRC) screening in China.METHODS:We compared the performance value of the immunochemical fecal occult blood test(iFOBT) and other high risk factors questionnaire in a population sample of 13 214 community residents who completed both the iFOBT and questionnaire investigation.Patients with either a positive iFOBT and/or questionnaire were regarded as a high risk population and those eligible were asked to undergo colonoscopy.RESULTS:The iFOBT had the highest positive predictive value and negative predictive value in screening for advanced neoplasia.The iFOBT had the highest sensitivity,lowest number of extra false positive results associated with the detection of one extra abnormality for screening advanced neoplasias and adenomas.A history of chronic cholecystitis or cholecystectomy,chronic appendicitis or appendectomy,and chronic diarrhea also had a higher sensitivity than a history of adenomatous polyps in screening for advanced neoplasias and adenomas.The sensitivity of a history of chronic cholecystitis or cholecystectomy was highest among the 10 high risk factors in screening for nonadenomatous polyps.A history of chronic appendicitis or appendectomy,chronic constipation,chronic diarrhea,mucous and bloody stool,CRC in first degree relatives,malignant tumor and a positive iFOBT also had higher sensitivities than a history of adenomas polyps in screening for non-adenomatous polyps.Except for a history of malignant tumor in screening for non-adenomatous polyps,the gain in sensitivity was associated with an increase in extra false positive results associated with the detection of one extra abnormality.CONCLUSION:The iFOBT may be the best marker for screening for advanced neoplasias and adenomas.Some unique high risk factors may play an important role in CRC screening in China.
文摘AIM: To clarify the association of vascular endothelial growth factor (VEGF) and microvascular density (MVD) expression with the angiogenesis and prognosis of colorectal cancer.METHODS: A total of 97 cases of colorectal cardnomas were examined by immunohistochemical staining (SP method), using anti-VEGF and anti-factor CD34^+ monodonal antibodies,RESULTS: VEGF positive staining was obtained in 68 out of 97 cases (70.1%), and observed mainly in the cytoplasm of tumor cells, and also frequently in stromal cells. VEGF expression was more intense in poorly differentiated adenocarcinoma in comparison with others, but there was no significant correlation between VEGF expression and age,sex and stage. A significant correlation was found between the MVD and grades, and there was no significant relationship between the MVD and age, sex, and stage. The MVD in the VEGF positive group (68 cases) was higher than that in the negative group. Upon multivariate analysis, the significant variables were stage, tumor grade and MVD; VEGF expression was not an independent prognostic factor.CONCLUSION: The expression of VEGF has a significant correlation with MVD; MVD expression has prognostic value but VEGF has not in colon cancer.
基金the CAMS Innovation Fund for Medical Sciences(CIFMS)(No.2018-I2M-1-001)the Basic Scientific Research Business Expense Project of Chinese Academy of Medical Sciences(No.20180709).
文摘Pneumoconiosis refers to a spectrum of pulmonary diseases caused by inhalation of mineral dust,usually as the result of certain occupations.The main pathological features include chronic pulmonary inflammation and progressive pulmonary fibrosis,which can eventually lead to death caused by respiratory and/or heart failure.Pneumoconiosis is widespread globally,seriously threatening global public health.Its high incidence and mortality lie in improper occupational protection,and in the lack of early diagnostic methods and effective treatments.This article reviews the epidemiology,safeguard procedures,diagnosis,and treatment of pneumoconiosis,and summarizes recent research advances and future research prospects.
基金The 7~(th) 5-year Nation'a] Medical Strategic Science and Technology Plan,No.75-61-02-17The 8~(th) 5-year National Medical Strategic Science and Technology Plan,No.85-914-01-09
文摘AIM: To reduce the incidence and mortality of rectal cancer and address the hypothesis that colorectal cancer often arise from precursor lesion(s), either adenomas or non-adenomatous polyps, by conducting a population-based mass screening for colorectal cancer in Haining County, Zhejiang, PRC. METHODS: From 1977 to 1980, physicians screened the population of Haining County using 15 cm rigid endoscopy. Of over 240000 participants, 4076 of them were diagnosed with precursor lesions, either adenomas or non-adenomatous polyps, which were then removed surgically. All individuals with precursor lesions were followed up and reexamined by endoscopy every two to five years up to 1998. RESULTS: After the initial screening, 953 metachronous adenomas and 417 non-adenomatous polyps were detected and removed from the members of this cohort. Further, 27 cases of colorectal cancer were detected and treated. Log-rank tests showed that the survival time among those cancer patients who under went mass screening increased significantly compared to that of other colorectal cancer patients (P【0.0001). According to the population-based cancer registry in Haining County, age-adjusted incidence and mortality of rectal cancer decreased by 41% and 29% from 1977-1981 to 1992-1996, respectively. Observed cumulative 20-year rectal cancer incidence was 31% lower than the expected in the screened group; the mortality due to rectal cancer was 18% lower than the expected in the screened group. CONCLUSION:Mass screening for rectal cancer and precursor lesions with protocoscopy in the general population and periodical following-up with routine endoscopy for high-risk patients may decrease both the incidence and mortality of rectal cancer.
