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Influence of sex on outcomes of liver transplantation for hepatocellular carcinoma:a multicenter cohort study in China

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Cancer Biology & Medicine 2024年第4期21卷 347-362页

作者： Jian Chen Zhe Yang Fengqiang Gao Zhisheng Zhou Junli Chen Di Lu Kai Wang Meihua Sui Zhengxin Wang Wenzhi Guo guoyue lyu Haizhi Qi Jinzhen Cai Jiayin Yang Shusen Zheng Xiao Xu Zhejiang University School of Medicine Hangzhou 310030China Institute of Organ Transplantation Zhejiang UniversityHangzhou 310030China Department of Hepatobiliary and Pancreatic Surgery Shulan Hospital of HangzhouHangzhou 310006China National Center for Healthcare Quality Management in Liver Transplant Hangzhou 310003China Department of General Surgery Huashan HospitalFudan UniversityShanghai 200040China Department of Hepatobiliary and Pancreatic Surgery The First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450052China Department of Hepatobiliary and Pancreatic Surgery The First Hospital of Jilin UniversityChangchun 130021China Department of Liver Transplantation Second Xiangya HospitalCentral South UniversityChangsha 410008China Department of Organ Transplantation Center The Affiliated Hospital of Qingdao UniversityQingdao 266003China Department of Liver Surgery and Liver Transplantation Center West China HospitalSichuan UniversityChengdu 610044China NHC Key Laboratory of Combined Multi-organ Transplantation Hangzhou 310003China Department of Hepatobiliary and Pancreatic Surgery The First Affiliated HospitalZhejiang University School of MedicineHangzhou 310003China

Objective:Sex-specific differences are observed in various liver diseases,but the influence of sex on the outcomes of hepatocellular carcinoma(HCC)after liver transplantation(LT)remains to be determined.This study is the first Chinese nationwide investigation of the role of sex in post-LT outcomes in patients with HCC.Methods:Data for recipients with HCC registered in the China Liver Transplant Registry between January 2015 and December 2020 were analyzed.The associations between donor,recipient,or donor-recipient transplant patterns by sex and the post-LT outcomes were studied with propensity score matching(PSM).The survival associated with different sex-based donor-recipient transplant patterns was further studied.Results:Among 3,769 patients enrolled in this study,the 1-,3-,and 5-year overall survival(OS)rates of patients with HCC after LT were 96.1%,86.4%,and 78.5%,respectively,in female recipients,and 95.8%,79.0%,and 70.7%,respectively,in male recipients after PSM(P=0.009).However,the OS was comparable between recipients with female donors and male donors.Multivariate analysis indicated that male recipient sex was a risk factor for post-LT survival(HR=1.381,P=0.046).Among the donor-recipient transplant patterns,the male-male donor-recipient transplant pattern was associated with the poorest post-LT survival(P<0.05).Conclusions:Our findings highlighted that the post-LT outcomes of female recipients were significantly superior to those of male recipients,and the male-male donor-recipient transplant pattern was associated with the poorest post-LT survival.Livers from male donors may provide the most benefit to female recipients.Our results indicate that sex should be considered as a critical factor in organ allocation.

关键词： Sex liver transplantation hepatocellular carcinoma outcome recipient donor

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肝细胞癌合并门静脉癌栓肝移植治疗进展

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中华消化外科杂志 2024年第2期23卷 215-220页

作者：吕国悦吉林大学第一医院肝胆胰外科吉林大学肝移植中心长春130021

肝细胞癌(简称肝癌)易侵犯门静脉系统,10%~40%肝癌患者在初诊时已合并肉眼可见门静脉癌栓。在欧美国家,众多肝癌诊治指南将肝癌合并肉眼可见门静脉癌栓定义为进展期肝癌,故推荐该部分患者进行系统治疗。而在亚洲国家,外科医师对于肝癌... 详细信息

肝细胞癌(简称肝癌)易侵犯门静脉系统,10%~40%肝癌患者在初诊时已合并肉眼可见门静脉癌栓。在欧美国家,众多肝癌诊治指南将肝癌合并肉眼可见门静脉癌栓定义为进展期肝癌,故推荐该部分患者进行系统治疗。而在亚洲国家,外科医师对于肝癌合并门静脉癌栓的处理方式更加积极,认为其并不是手术绝对禁忌证。目前,关于肝癌合并门静脉癌栓的治疗,尚无全球性共识或标准指南。肝移植是不可切除肝癌的根治性治疗措施,但肝癌合并门静脉癌栓患者行肝移植后肿瘤复发率高,故肝癌合并门静脉癌栓患者一度被视为肝移植的禁忌证。此外,肝癌合并门静脉癌栓常被认为存在肿瘤肝外转移。但临床实践中,在无有效治疗措施的情况下,越来越多的肝癌合并门静脉癌栓患者转向寻求肝移植并最终成功进行了手术。与此同时,诸多研究表明在合理选择受体的前提下,肝移植可以使肝癌合并门静脉癌栓患者生存受益。尤其是同其他治疗方案比较,在采用降期治疗(包括三维适形放疗、经肝动脉化疗栓塞、立体定向体部放疗、经肝动脉放疗栓塞、经肝动脉灌注化疗等)成功的肝癌合并门静脉癌栓患者中继续行肝移植可使患者获得更佳预后。鉴于肝移植在肝癌合并门静脉癌栓患者中的治疗争议显著,笔者深入阐述肝癌合并门静脉癌栓肝移植治疗进展,主要包括肝癌合并门静脉癌栓诊断和分型、支持肝移植证据以及反对肝移植理由。

关键词：肝肿瘤门静脉癌栓肝移植

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肝移植术后脾动脉盗血综合征的诊疗策略

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中华肝胆外科杂志 2024年第4期30卷 308-312页

作者：于家傲寇凯吕行李婷吕国悦孙晓东吉林大学第一医院普通外科中心肝胆胰外科长春130021

脾动脉盗血综合征(SASS)是肝移植术后的一种动脉相关并发症。目前对SASS的发生机制尚不清楚,而且其早期临床表现缺乏特异性,若未及时治疗可能会导致患者预后严重恶化。目前处理SASS主要依赖于外科医师术中的针对性预防措施,以及术后及... 详细信息

脾动脉盗血综合征(SASS)是肝移植术后的一种动脉相关并发症。目前对SASS的发生机制尚不清楚,而且其早期临床表现缺乏特异性,若未及时治疗可能会导致患者预后严重恶化。目前处理SASS主要依赖于外科医师术中的针对性预防措施,以及术后及时的诊断和治疗措施。笔者总结了SASS的国内外相关研究成果,探讨了未来的研究方向,以期为SASS的防治提供帮助。

关键词：肝移植脾动脉盗血综合征发病机制诊断治疗

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Advancements in life-on-a-chip: The impact of “Beyond Limits Manufacturing” technology

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Chinese Chemical Letters 2024年第5期35卷 13-16页

作者： Weiwei He Hongbo Zhang Xudong Lin Lili Zhu Tingting Zheng Hao Pei Yang Tian Min Zhang guoyue Shi Lei Wu Jianlong Zhao Gulinuer Wumaier Shengqing Li Yufang Xu Honglin Li Xuhong Qian Shanghai Key Laboratory of New Drug Design School of PharmacyEast China University of Science and TechnologyShanghai 200237China School of Mechanical and Power Engineering East China University of Science and TechnologyShanghai 200237China Guangdong Provincial Key Laboratory of Sensor Technology and Biomedical Instrument School of Biomedical EngineeringShenzhen Campus of Sun Yat-sen UniversityShenzhen 518000China Shanghai Key Laboratory of Green Chemistry and Chemical Processes Department of ChemistrySchool of Chemistry and Molecular EngineeringEast China Normal UniversityShanghai 200241China Shanghai Institute of Microsystem and Information Technology Chinese Academy of SciencesShanghai 200050China Department of Pulmonary and Critical Care Medicine Huashan HospitalFudan UniversityShanghai 200040China Innovation Center for AI and Drug Discovery East China Normal UniversityShanghai 200062China Lingang Laboratory Shanghai 200031China

This review explores the concept of life-on-a-chip,which involves the creation of miniaturized biological systems,such as organs,tissues,and model organisms,on microscale platforms called microfluidic chips.These chips consist of intricately etched channels,wells,and chambers that enable precise control and observation of fluids,cells,and biochemical reactions,facilitating the simulation of various aspects of human or animal physiology and the study of responses to different stimuli,drugs,or disease conditions.The review highlights the application of a novel technology,“Beyond Limit Manufacturing”(BLM),in the development of sophisticated three-dimensional cell models and model organism microchips.Modelorganism-on-a-chip and organ-on-a-chip(OoC)are among the thriving developments in the field of microfluidics,allowing for the reconstruction of living microenvironments and implementation of multiple stimuli.The review discusses the latest advancements in life-on-a-chip technology using BLM and outlines potential future research directions,emphasizing the significant role of these chips in studying complex biological processes in a controlled and scalable manner.

关键词： Beyond Limit Manufacturing Model-organism-on-a-chip Organ-on-a-chip

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Micro/nano flow chemistry by Beyond Limits Manufacturing

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Chinese Chemical Letters 2024年第5期35卷 3-12页

作者： Peiwen Liu Fang Zhao Jing Zhang Yunpeng Bai Jinxing Ye Bo Bao Xinggui Zhou Li Zhang Changlu Zhou Xinhai Yu Peng Zuo Jianye Xia Lian Cen Yangyang Yang guoyue Shi Lin Xu Weiping Zhu Yufang Xu Xuhong Qian State Key Laboratory of Bioreactor Engineering Shanghai Key Laboratory of Chemical BiologySchool of PharmacyEast China University of Science and TechnologyShanghai 200237China State Key Laboratory of Chemical Engineering School of Chemical EngineeringEast China University of Science and TechnologyShanghai 200237China State Key Laboratory of Bioreactor Engineering Shanghai Collaborative Innovation Center for BiomanufacturingEast China University of Science and TechnologyShanghai 200237China School of Biomedical and Pharmaceutical Sciences Guangdong University of TechnologyGuangzhou 510006China School of Mechanical and Power Engineering East China University of Science and TechnologyShanghai 200237China Shanghai Key Laboratory of Green Chemistry and Chemical Processes Department of ChemistrySchool of Chemistry and Molecular EngineeringEast China Normal UniversityShanghai 200241China

In September 2018,we proposed the cutting-edge concept of“Beyond Limits Manufacturing”(BLM).BLM technology is based on the three-dimensional inner engraving or precise outer engraving of ultra-fast laser,to invent micro/nano scale flow chips or devices,which makes it possible for the microform,integration,economy,safety,high efficiency,green and intelligence of research,development and manufacturing process,so as to realize transformational manufacturing in the era of Industry 4.0.In this paper,we reviewed the representative results we made in the field of micro/nano flow chemistry during the implementation of the BLM major project(December 2019 to August 2023),and discussed its application prospects in micro/nano flow chemistry.

关键词： Beyond Limits Manufacturing Flow chemistry Pharmaceutical manufacturing Microreactor

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非编码RNA在高氧性急性肺损伤中作用的研究进展

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中华危重病急救医学 2024年第4期36卷 430-434页

作者：王太珊尹贵珍刘国跃遵义医科大学第二附属医院重症医学科贵州遵义563000 遵义医科大学贵州遵义563000 浙江省人民医院毕节医院(毕节市第一人民医院)麻醉科贵州毕节551799

高氧性急性肺损伤(HALI)是临床氧疗的一种主要并发症,在成人主要表现为急性呼吸窘迫综合征(ARDS),在婴幼儿则会导致支气管肺发育不良(BPD),严重影响患者的预后与生活质量,因此越来越受到人们的重视。然而,HALI的发病机制复杂且不明确,... 详细信息

高氧性急性肺损伤(HALI)是临床氧疗的一种主要并发症,在成人主要表现为急性呼吸窘迫综合征(ARDS),在婴幼儿则会导致支气管肺发育不良(BPD),严重影响患者的预后与生活质量,因此越来越受到人们的重视。然而,HALI的发病机制复杂且不明确,目前也无明确的治疗方法。非编码RNA(ncRNA)是一类重要的功能RNA转录体,由于缺少有效开放阅读框,并不具备编码蛋白质的功能;但是,ncRNA仍可在多水平调控基因表达,从而影响多种疾病的发生发展。近年来已有大量体内外研究表明,ncRNA在HALI发生发展过程中具有重要作用。本文就ncRNA在HALI中的表达及意义进行综述,旨在为HALI的防治提供新的诊疗思路。

关键词：高氧性急性肺损伤非编码RNA 急性呼吸窘迫综合征 Ⅱ型肺泡上皮细胞凋亡

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抗战背景下《西行漫记》译者社会化行为探析

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外国语文 2024年第1期40卷 122-130页

作者：赵国月高晓仙四川外国语大学翻译学院重庆400031 长江师范学院大学外语教学科研部重庆408100

以往译者行为批评研究秉承从文本内到文本外的分析路径取得了客观合理的研究结果,但译者行为与历史语境之间的互动关系尚未得到足够关注。历史语境制约译者行为,有必要从历史语境切入对译者行为加以批评分析,可以充分阐释译者的特定行... 详细信息

以往译者行为批评研究秉承从文本内到文本外的分析路径取得了客观合理的研究结果,但译者行为与历史语境之间的互动关系尚未得到足够关注。历史语境制约译者行为,有必要从历史语境切入对译者行为加以批评分析,可以充分阐释译者的特定行为表现,并有效揭示译者的特定社会作用。探究Red Star Over China首个汉译本《西行漫记》译者的社会化行为发现,译者适时改写原文意义实现行为的社会化转型,为中国抗战胜利起到了重要作用。

关键词：历史语境译者社会化行为《西行漫记》

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Forward perspective on the development and strategic pathway of green hydrogen in China

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Clean Energy 2023年第1期7卷 1-7页

作者： guoyue Liu China Energy Investment Group Beijing100011China China Hydrogen Alliance Beijing100007China

Fundamental transformations are taking place in the areas of energy structure on the supply side and on the energy-consumption side towards clean,low-carbon and safe energy.Furthermore,a new energy system is being constructed with renewable energy as its core in China with energy transition and‘carbon peak and carbon neutral’as the overall goal.China’s hydrogen-industry plan,‘Mid-to-long term hydrogen industry development plan(2021-2035)’,has an emphasis on hydrogen generation by using renewable energies as the centre piece,which points in the right direction for hydrogen’s green development.In this paper,the current status of China’s hydrogen industry is analysed;strategic needs for green hydrogen’s development and its hurdles in its paths are sorted out.Integrated demonstration at provincial levels,development of a‘great hydrogen base’and the green-hydrogen development path by gradual substitution with renewable hydrogen are proposed.Scaled-up hydrogen production,expanded consumer hydrogen usage and established hydrogen commodity exchange are recommended to safeguard its development and promote its high-quality development in China.

关键词： carbon-neutral green hydrogen renewable hydrogen 100 GW

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Fine mapping and characterization of stripe rust resistance gene YrAYH in near-isogenic lines derived from a cross involving wheat landrace Anyuehong

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The Crop Journal 2024年第3期12卷 826-835页

作者： Li Long Jue Li Linyu Huang Huiling Jin Fangnian Guan Haipeng Zhang Sasa Zhao Hao Li Zhien Pu Wei Li Qiantao Jiang Yuming Wei Jian Ma Houyang Kang Shoufen Dai Pengfei Qi Qiang Xu Mei Deng Youliang Zheng Yunfeng Jiang Matthew James Moscou guoyue Chen State Key Laboratory of Crop Gene Exploration and Utilization in Southwest China Sichuan Agricultural UniversityChengdu 611130SichuanChina Triticeae Research Institute Sichuan Agricultural UniversityChengdu 611130SichuanChina College of Resources Sichuan Agricultural UniversityChengdu 611130SichuanChina The Sainsbury Laboratory Norwich Research ParkNorwich NR47UHEnglandUK United States Department of Agriculture-Agricultural Research Service Cereal Disease LaboratorySt.PaulMN 55108USA

Stripe rust,caused by Puccinia striiformis f.***.tritici(Pst),is a devastating disease in wheat worldwide.Discovering and characterizing new resistance genes/QTL is crucial for wheat breeding programs.In this study,we fine-mapped and characterized a stripe rust resistance gene,YRAYH,on chromosome arm 5BL in the Chinese wheat landrace Anyuehong(AYH).Evaluations of stripe rust response to prevalent Chinese Pst races in near-isogenic lines derived from a cross of Anyuehong and Taichung 29 showed that YrAYH conferred a high level of resistance at all growth stages.Fine mapping using a large segregating population of 9748 plants,narrowed the YRAYH locus to a 3.7 Mb interval on chromosome arm 5BL that included 61 annotated genes.Transcriptome analysis of two NIL pairs identified 64 upregulated differentially expressed genes(DEGs)in the resistant NILs(NILs-R).Annotations indicated that many of these genes have roles in plant disease resistance pathways.Through a combined approach of fine-mapping and transcriptome sequencing,we identified a serine/threonine-protein kinase SRPK as a candidate gene underlying YrAYH.A unique 25 bp insertion was identified in the NILs-R compared to the NILs-S and previously published wheat genomes.An InDel marker was developed and co-segregated with YrAYH.Agronomic trait evaluation of the NILs suggested that YrAYH not only reduces the impact of stripe rust but was also associated with a gene that increases plant height and spike length.

关键词： Candidate gene analysis Crop protection Puccinia striiformis Transcriptome analyses

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基于同色同谱特征的模拟绿色植被光谱材料研究进展

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材料导报 2024年第7期38卷 219-225页

作者：苗珊珊王业健李澄钱淇徐国跃南京航空航天大学材料科学与技术学院南京211106

随着高光谱侦察技术的快速发展,为满足反侦察需求,对模拟绿色植被光谱材料的要求越来越高。绿色植被是应用极广泛的作战背景之一,它在400~2500 nm波长区间具有独特的光谱特征,有四个主要特征谱带,分别是“绿峰”“红边”“近红外高原”... 详细信息

随着高光谱侦察技术的快速发展,为满足反侦察需求,对模拟绿色植被光谱材料的要求越来越高。绿色植被是应用极广泛的作战背景之一,它在400~2500 nm波长区间具有独特的光谱特征,有四个主要特征谱带,分别是“绿峰”“红边”“近红外高原”和“水吸收谱带”,源于叶片的叶绿素、组织结构和植物含水。本文基于高光谱技术的侦察特点,为了实现伪装材料与背景之间“同色同谱”,论述了模拟各个特征反射峰的材料现状及现有材料的综合应用,介绍了现有伪装材料精准模拟绿色植被光谱曲线的同时存在耐候性差等问题,以及通过复合来提升光谱曲线相似度和耐候性的相关工作,并对未来模拟绿色植被光谱材料进行了总结及展望。

关键词：绿色植被同色同谱光谱调控特征反射

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