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The Nine RNA Methylation Regulatory Gene Signature Is Associated with the Pathogenesis of Atrial Fibrillation by Modulating the Immune Microenvironment in the Atrial Tissues 九核糖核酸甲基化调控基因信号通过调节心房组织免疫微环境与心房颤动发病机制相关
4区 医学
Disease Markers Pub Date : 2023-02-03 DOI: 10.1155/2023/7277369
Qiuyu Wang, Shuaipeng Zhang, Xiruo Xu, Jianguo Liu, Pengjin Tan, Chunbo Wang, Jing Wang, Xin Li, L. Shang
{"title":"The Nine RNA Methylation Regulatory Gene Signature Is Associated with the Pathogenesis of Atrial Fibrillation by Modulating the Immune Microenvironment in the Atrial Tissues","authors":"Qiuyu Wang, Shuaipeng Zhang, Xiruo Xu, Jianguo Liu, Pengjin Tan, Chunbo Wang, Jing Wang, Xin Li, L. Shang","doi":"10.1155/2023/7277369","DOIUrl":"https://doi.org/10.1155/2023/7277369","url":null,"abstract":"Background. Atrial fibrillation (AF) is the most common type of cardiac arrhythmias and a major cause of cardiovascular disease (CVD)-related deaths globally. RNA methylation is the most frequent posttranscriptional modification in the eukaryotic RNAs. Previous studies have demonstrated close associations between the status of RNA methylation and CVD. Methods. We comprehensively evaluated the relationship between RNA methylation and AF. Least absolute shrinkage and selection operator (LASSO) logistic regression analysis was used to establish a risk score model in AF. Biological functional analysis was used to explore the relationship between RNA methylation related signatures and immune microenvironment characteristics. Machine learning was used to recognize the outstanding RNA methylation regulators in AF. Results. There was a significant variant of the mRNA expression of RNA methylation regulators in AF. RNA methylation related risk score could predict the onset of AF and closely associated with immune microenvironment features. XG-Boost algorithm and SHAP recognized that NSUN3 and DCPS might play a key role in the development of AF. Meanwhile, NSUN3 and DCPS had potential diagnostic value in AF. Conclusion. RNA methylation regulatory genes are associated with the onset of AF by modulating the immune microenvironment. The nine AF risk-related RNA methylation regulatory gene signature is a potential diagnostic biomarker and therapeutic target for AF.","PeriodicalId":11201,"journal":{"name":"Disease Markers","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47991777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Effect of Wrist Dorsiflexion/Palmar Flexion on Median Nerve Deviation and Cross-Sectional Area in Patients with Carpal Tunnel Syndrome. 腕背屈/掌屈对腕管综合征患者正中神经偏移和横截面积的影响。
4区 医学
Disease Markers Pub Date : 2023-02-01 eCollection Date: 2023-01-01 DOI: 10.1155/2023/3631193
Lei Xu, Tao Ma, Min Zhang, Linjie Zhou, Caizhi Hu
{"title":"Effect of Wrist Dorsiflexion/Palmar Flexion on Median Nerve Deviation and Cross-Sectional Area in Patients with Carpal Tunnel Syndrome.","authors":"Lei Xu,&nbsp;Tao Ma,&nbsp;Min Zhang,&nbsp;Linjie Zhou,&nbsp;Caizhi Hu","doi":"10.1155/2023/3631193","DOIUrl":"10.1155/2023/3631193","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of wrist dorsiflexion/palmar flexion on median nerve excursion and cross-sectional area in patients with carpal tunnel syndrome.</p><p><strong>Methods: </strong>From November 2019 to December 2021, 85 patients (110 affected wrists) who presented to our department and were diagnosed with carpal tunnel syndrome were collected and classified by severity as mild to moderate. Twenty-five healthy controls were selected during the same period, with a total of 50 healthy wrists. All patients and healthy volunteers underwent high-frequency ultrasonography to measure the vertical deviation between the median nerve and the transverse carpal ligament during wrist dorsiflexion/palmar flexion and the changes in the cross-sectional area of the median nerve in the pisiform plane. All patients with carpal tunnel syndrome underwent neurophysiological testing to measure median nerve sensory conduction velocity, sensory latency time, and sensorimotor point fluctuation amplitude.</p><p><strong>Results: </strong>The mean age of the patients was 50 ± 8 years, the proportion of males was 18%, and the disease course was 2.3 ± 1.2 years. In terms of severity grading, 38 patients (34.5%) had mild carpal tunnel syndrome, 30 patients (27.3%) had moderate carpal tunnel syndrome, and 42 patients (38.2%) had severe carpal tunnel syndrome. Compared with the control group, the distance between the proximal median nerve and the transverse carpal ligament, the distance between the distal median nerve and the transverse carpal ligament, and the cross-sectional area were decreased in the carpal tunnel syndrome group compared with those during wrist dorsiflexion, and the differences were statistically significant (<i>P</i> < 0.05). Compared with the control group, there were significant differences in the vertical distance and cross-sectional area between the median nerve and the transverse carpal ligament at the proximal and distal ends in the mild, moderate, and severe groups (<i>P</i> < 0.05). The proximal vertical distance of the median nerve was positively correlated with sensory latency (<i>P</i> < 0.05) and negatively correlated with sensory conduction velocity (<i>P</i> < 0.05). The vertical distance of the distal end of the median nerve was also significantly positively correlated with sensory latency (<i>P</i> < 0.05) and significantly negatively correlated with sensory conduction velocity (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Wrist dorsiflexion/palmar flexion can affect median nerve deviation and cross-sectional area in patients with carpal tunnel syndrome. High-frequency ultrasound is helpful to detect such an effect and can also help determine the severity of carpal tunnel syndrome, which is worthy of clinical promotion.</p>","PeriodicalId":11201,"journal":{"name":"Disease Markers","volume":"2023 ","pages":"3631193"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9908345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10696944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Bioinformatics Analysis Identifies ASCL1 as the Key Transcription Factor in Hepatocellular Carcinoma Progression. 生物信息学分析确定ASCL1是肝细胞癌进展的关键转录因子。
4区 医学
Disease Markers Pub Date : 2023-01-30 eCollection Date: 2023-01-01 DOI: 10.1155/2023/3560340
Hong-Yan Zhang, Rui-Qing Zong, Fei-Xiang Wu, Yi-Ran Li
{"title":"Bioinformatics Analysis Identifies <i>ASCL1</i> as the Key Transcription Factor in Hepatocellular Carcinoma Progression.","authors":"Hong-Yan Zhang, Rui-Qing Zong, Fei-Xiang Wu, Yi-Ran Li","doi":"10.1155/2023/3560340","DOIUrl":"10.1155/2023/3560340","url":null,"abstract":"<p><strong>Methods: </strong>Differentially transcription factors (DETFs) were identified from differentially expressed genes (DEGs) in GSE62232 and transcription factors. Then, they were analyzed by regulatory networks, prognostic risk model, and overall survival analyses to identify the key DETF. Combined with the regulatory networks and binding site analysis, the target mRNA of key DETF was determined, and its prognostic value in HCC was evaluated by survival, clinical characteristics analyses, and experiments. Finally, the expressions and functions of the key DETF on the DEmRNAs were investigated in HCC cells.</p><p><strong>Results: </strong>Through multiple bioinformatics analyses, <i>ASCL1</i> was identified as the key DETF, and <i>SLC6A13</i> was predicted to be its target mRNA with the common binding site of CCAGCAACTGGCC, both downregulated in HCC. In survival analysis, high <i>SLC6A13</i> was related to better HCC prognosis, and <i>SLC6A13</i> was differentially expressed in HCC patients with clinical characteristics. Furthermore, cell experiments showed the mRNA expressions of <i>ASCL1</i> and <i>SLC6A13</i> were both reduced in HCC, and their overexpressions suppressed the growth, invasion, and migration of HCC cells. Besides, over-<i>ASCL1</i> could upregulate <i>SLC6A13</i> expression in HCC cells.</p><p><strong>Conclusion: </strong>This study identifies two suppressor genes in HCC progression, <i>ASCL1</i> and <i>SLC6A13</i>, and the key transcription factor <i>ASCL1</i> suppresses HCC progression by targeting <i>SLC6A13</i> mRNA. They are both potential treatment targets and prognostic biomarkers for HCC patients, which provides new clues for HCC research.</p>","PeriodicalId":11201,"journal":{"name":"Disease Markers","volume":"2023 ","pages":"3560340"},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10683624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TREM2 as a Potential Immune-Related Biomarker of Prognosis in Patients with Skin Cutaneous Melanoma Microenvironment. TREM2是皮肤黑色素瘤微环境患者预后的潜在免疫相关生物标志物
4区 医学
Disease Markers Pub Date : 2023-01-27 eCollection Date: 2023-01-01 DOI: 10.1155/2023/8101837
Xinlin Zhu, Zhaoxiang Zeng, Min Chen, Xianzhen Chen, Dongying Hu, Weiwei Jiang, Mingwei Du, Tianyang Chen, Tiancheng Chen, Wanqing Liao, Chao Zhang, Ying Qu, Weihua Pan
{"title":"TREM2 as a Potential Immune-Related Biomarker of Prognosis in Patients with Skin Cutaneous Melanoma Microenvironment.","authors":"Xinlin Zhu, Zhaoxiang Zeng, Min Chen, Xianzhen Chen, Dongying Hu, Weiwei Jiang, Mingwei Du, Tianyang Chen, Tiancheng Chen, Wanqing Liao, Chao Zhang, Ying Qu, Weihua Pan","doi":"10.1155/2023/8101837","DOIUrl":"10.1155/2023/8101837","url":null,"abstract":"Background The skin cutaneous melanoma (SKCM) is a devastating form of skin cancer triggered by genetic and environmental factors, and the incidence of SKCM has rapidly increased in recent years. Immune infiltration of the tumor microenvironment is positively associated with overall survival in many tumors. Triggering receptor expressed on myeloid cells 2 (TREM2) is a transmembrane receptor of the immunoglobulin superfamily and a crucial signaling hub for multiple pathological pathways that mediate immunity. Although numerous evidences suggest a crucial role for TREM2 in tumorigenesis of some tumors, no systematic SKCM analysis of TREM2 is available. Mehods. The relationship between TREM2 expression and diagnostic and prognostic value of SKCM patients via using The Cancer Genome Atlas (TCGA) data. The expression level of TREM2 and clinical characteristic correlation in SKCM patients were assessed by the Wilcoxon rank sum test. The cox regression methods, Kaplan-Meier (KM), and log-rank test were used to assess the impact of TREM2 expression on the overall survival (OS). Furthermore, the Gene Set Enrichment Analysis (GSEA) and TIMER were performed to evaluate the enrichment pathways and potential functions and quantify the immune cell infiltration level for TREM2 expression. Results The TREM2 in SKCM sample expression levels was significantly higher than in normal tissues. Moreover, this expression level of TREM2 was also associated with the BMI of SKCM patients. KM overall survival analysis and OS curve displayed that a high-level TREM2 expression was significantly correlated with a better SKCM prognosis of patients as compared with a low level of TREM2 expression. The GSEA analysis also revealed that TREM2 was associated with immune functions, such as neutrophil activation. Conclusion TREM2 played a crucial role in SKCM, which might be a prognostic biomarker and correlated with immune infifiltrates in SKCM patients.","PeriodicalId":11201,"journal":{"name":"Disease Markers","volume":"2023 ","pages":"8101837"},"PeriodicalIF":0.0,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9897921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10661672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differential Plasma Proteins Identified via iTRAQ-Based Analysis Serve as Diagnostic Markers of Pancreatic Ductal Adenocarcinoma. 基于 iTRAQ 分析鉴定的差异血浆蛋白是胰腺导管腺癌的诊断标志物
4区 医学
Disease Markers Pub Date : 2023-01-20 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5145152
Xiubing Chen, Xiaomin Liao, Biaolin Zheng, Feng Wang, Feiran Chen, Zhejun Deng, Haixing Jiang, Shanyu Qin
{"title":"Differential Plasma Proteins Identified via iTRAQ-Based Analysis Serve as Diagnostic Markers of Pancreatic Ductal Adenocarcinoma.","authors":"Xiubing Chen, Xiaomin Liao, Biaolin Zheng, Feng Wang, Feiran Chen, Zhejun Deng, Haixing Jiang, Shanyu Qin","doi":"10.1155/2023/5145152","DOIUrl":"10.1155/2023/5145152","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to identify differentially expressed proteins in the plasma of patients with pancreatic cancer and control subjects, which could serve as potential tumor biomarkers.</p><p><strong>Methods: </strong>Differentially expressed proteins were determined via isostatic labeling and absolute quantification (iTRAQ). Potential protein biomarkers were identified via enzyme-linked immunosorbent assay (ELISA) in 40 patients and 40 control subjects, and those eventually selected were further validated in 40 pancreatic cancer and normal pancreatic tissues.</p><p><strong>Results: </strong>In total, 30 proteins displayed significant differences in expression among which 21 were downregulated and 9 were upregulated compared with the control group. ELISA revealed downregulation of peroxiredoxin-2 (PRDX2) and upregulation of alpha-1-antitrypsin (AAT), Ras-related protein Rab-2B (RAB2B), insulin-like growth factor-binding protein 2 (IGFBP2), Rho-related GTP-binding protein RhoC (RHOC), and prelamin-A/C (LMNA) proteins in 40 other samples of pancreatic cancer. Notably, only AAT, RAB2B, and IGFBP2 levels were consistent with expression patterns obtained with iTRAQ. Moreover, all three proteins displayed a marked increase in pancreatic cancer tissues. Data from ROC curve analysis indicated that the diagnostic ability of AAT, RAB2B, and IGFBP2 combined with carbohydrate antigen 19-9 (CA19-9) for pancreatic cancer was significantly greater than that of the single indexes (area under the curve (AUC): 90% vs. 75% (CA19-9), 76% (AAT), 71% (RAB2B), and 71% (IGFBP2), all <i>P</i> < 0.01).</p><p><strong>Conclusion: </strong>AAT, RAB2B, and IGFBP2 could serve as effective biomarkers to facilitate the early diagnosis of pancreatic cancer.</p>","PeriodicalId":11201,"journal":{"name":"Disease Markers","volume":"2023 ","pages":"5145152"},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9883097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10589997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Schisandrin B Alleviates Diabetic Cardiac Autonomic neuropathy Induced by P2X7 Receptor in Superior Cervical Ganglion via NLRP3. 五味子素 B 通过 NLRP3 减轻颈上神经节 P2X7 受体诱发的糖尿病心脏自主神经病变
4区 医学
Disease Markers Pub Date : 2023-01-10 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9956950
Zhihua Zhang, Hongmin Guo, Zihui Hu, Congfa Zhou, Qixing Hu, Hao Peng, Gan Tang, Zehao Xiao, Lingzhi Pi, Guilin Li
{"title":"Schisandrin B Alleviates Diabetic Cardiac Autonomic neuropathy Induced by P2X7 Receptor in Superior Cervical Ganglion via NLRP3.","authors":"Zhihua Zhang, Hongmin Guo, Zihui Hu, Congfa Zhou, Qixing Hu, Hao Peng, Gan Tang, Zehao Xiao, Lingzhi Pi, Guilin Li","doi":"10.1155/2023/9956950","DOIUrl":"10.1155/2023/9956950","url":null,"abstract":"<p><p>Diabetic cardiovascular autonomic neuropathy (DCAN) is a common complication of diabetes mellitus which brings about high mortality, high morbidity, and large economic burden to the society. Compensatory tachycardia after myocardial ischemia caused by DCAN can increase myocardial injury and result in more damage to the cardiac function. The inflammation induced by hyperglycemia can increase P2X7 receptor expression in the superior cervical ganglion (SCG), resulting in nerve damage. It is proved that inhibiting the expression of P2X7 receptor at the superior cervical ganglion can ameliorate the nociceptive signaling dysregulation induced by DCAN. However, the effective drug used for decreasing P2X7 receptor expression has not been found. Schisandrin B is a traditional Chinese medicine, which has anti-inflammatory and antioxidant effects. Whether Schisandrin B can decrease the expression of P2X7 receptor in diabetic rats to protect the cardiovascular system was investigated in this study. After diabetic model rats were made, Schisandrin B and shRNA of P2X7 receptor were given to different groups to verify the impact of Schisandrin B on the expression of P2X7 receptor. Pathological blood pressure, heart rate, heart rate variability, and sympathetic nerve discharge were ameliorated after administration of Schisandrin B. Moreover, the upregulated protein level of P2X7 receptor, NLRP3 inflammasomes, and interleukin-1<i>β</i> in diabetic rats were decreased after treatment, which indicates that Schisandrin B can alleviate the chronic inflammation caused by diabetes and decrease the expression levels of P2X7 via NLRP3. These findings suggest that Schisandrin B can be a potential therapeutical agent for DCAN.</p>","PeriodicalId":11201,"journal":{"name":"Disease Markers","volume":"2023 ","pages":"9956950"},"PeriodicalIF":0.0,"publicationDate":"2023-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9845055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10561731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between Serum Cys C and PTB Cavitation. 血清Cys C与肺结核空化的关系
4区 医学
Disease Markers Pub Date : 2023-01-01 DOI: 10.1155/2023/6465182
Shumin Tan, Duochi Wu, Yeying Wu, Xing Ren, Jiaxiu Liu, Xiaobin Wei
{"title":"Association between Serum Cys C and PTB Cavitation.","authors":"Shumin Tan,&nbsp;Duochi Wu,&nbsp;Yeying Wu,&nbsp;Xing Ren,&nbsp;Jiaxiu Liu,&nbsp;Xiaobin Wei","doi":"10.1155/2023/6465182","DOIUrl":"https://doi.org/10.1155/2023/6465182","url":null,"abstract":"<p><strong>Background: </strong>Cystatin C (Cys C) not only regulates the body's immune defenses but also contributes to tissue degradation and destruction by causing an imbalance between protease and antiprotease in infectious diseases. Is Cys C involved in pulmonary tuberculosis (PTB) infection and cavitation? We therefore conducted a retrospective study on this question to provide a basis for further studies.</p><p><strong>Methods: </strong>Cavitary PTB patients, noncavitary PTB patients, and healthy controls were recruited in our study. Serum Cys C, CRP, BUN, UA, and CR were measured in all subjects, and the Kruskal-Wallis test was used to compare medians of these clinical parameters in different groups. The Spearman rank correlation test was used to determine correlations between variables. In addition, a multivariate analysis using binary logistic regression was used to identify factors associated with PTB cavitation.</p><p><strong>Results: </strong>In our study, elevated serum Cys C levels were found in cavitary PTB patients compared to healthy controls and noncavitary patients (<i>p</i> = 0.022). Serum Cys C levels were statistically correlated with serum BUN and CR concentrations (<i>r</i> = 0.278, <i>p</i> = 0.005; <i>r</i> = 0.281, <i>p</i> = 0.004) in PTB patients. The binary logistic regression analysis showed that elevated serum Cys C levels were correlated with pulmonary cavitation in PTB patients (OR = 1.426, 95% CI: 1.071-1.898).</p><p><strong>Conclusion: </strong>Elevated serum levels of Cys C are associated with pulmonary cavitation in PTB patients.</p>","PeriodicalId":11201,"journal":{"name":"Disease Markers","volume":"2023 ","pages":"6465182"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9390009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coagulation Dysfunction in Patients with Liver Cirrhosis and Splenomegaly and Its Countermeasures: A Retrospective Study of 1522 Patients. 1522例肝硬化脾肿大患者凝血功能障碍及对策
4区 医学
Disease Markers Pub Date : 2023-01-01 DOI: 10.1155/2023/5560560
Yunfu Lv, Ning Liu, Yejuan Li, Jincai Wu, Jinfang Zheng, Xinqiu Li, Min Zeng
{"title":"Coagulation Dysfunction in Patients with Liver Cirrhosis and Splenomegaly and Its Countermeasures: A Retrospective Study of 1522 Patients.","authors":"Yunfu Lv,&nbsp;Ning Liu,&nbsp;Yejuan Li,&nbsp;Jincai Wu,&nbsp;Jinfang Zheng,&nbsp;Xinqiu Li,&nbsp;Min Zeng","doi":"10.1155/2023/5560560","DOIUrl":"https://doi.org/10.1155/2023/5560560","url":null,"abstract":"<p><strong>Objective: </strong>Patients with cirrhosis and splenomegaly often have coagulation dysfunction which affects treatment and prognosis. This study explores the status, grading, and treatment strategies of coagulation dysfunction in patients with liver cirrhosis and splenomegaly.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted on the clinical data on consecutive patients with cirrhosis and splenomegaly treated at Hainan General Hospital, China, from January 2000 to December 2020. Starting research in January 2022.</p><p><strong>Results: </strong>Among 1522 patients included into this study, 297 (19.5%) patients had normal results in all five coagulation tests (prothrombin time, prothrombin activity, activated partial thromboplastin time, thrombin time, and fibrinogen), and 1225 (80.5%) had coagulation dysfunction in at least one of these tests. There were significant differences (<i>P</i> < 0.05) in treatment efficacy on these patients for three of these five coagulation tests, with the exception of prothrombin activity and thrombin time. When coagulation dysfunction was classified into grades I, II, and III based on scores from the three significant coagulation tests, prothrombin time, activated partial thromboplastin time, and fibrinogen, significant differences in surgical outcomes were found among the three grades of coagulation dysfunction and between grades I and III (<i>P</i> < 0.05). The operative mortality rate in patients with grade III in treating liver cancer, portal hypersplenism, and/or splenomegaly was 6.5%. There was no significant difference between patients with grades I and II (<i>P</i> > 0.05).</p><p><strong>Conclusions: </strong>Approximately, 80% of patients with liver cirrhosis and splenomegaly had coagulation dysfunction. Surgery is feasible for grade I and II patients. For grade III patients, nonsurgical treatment should be given first, and surgery should only be considered when the coagulation function returns to normal or near-normal levels after treatment. This trial is registered with MR-46-22-009299.</p>","PeriodicalId":11201,"journal":{"name":"Disease Markers","volume":"2023 ","pages":"5560560"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10266912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9657340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Retracted: The Correlation between Functional Connectivity of the Primary Somatosensory Cortex and Cervical Spinal Cord Microstructural Injury in Patients with Cervical Spondylotic Myelopathy. 撤下:原发性体感皮层功能连通性与脊髓型颈椎病患者颈脊髓微结构损伤的相关性。
4区 医学
Disease Markers Pub Date : 2023-01-01 DOI: 10.1155/2023/9879526
Disease Markers
{"title":"Retracted: The Correlation between Functional Connectivity of the Primary Somatosensory Cortex and Cervical Spinal Cord Microstructural Injury in Patients with Cervical Spondylotic Myelopathy.","authors":"Disease Markers","doi":"10.1155/2023/9879526","DOIUrl":"https://doi.org/10.1155/2023/9879526","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1155/2022/2623179.].</p>","PeriodicalId":11201,"journal":{"name":"Disease Markers","volume":"2023 ","pages":"9879526"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10307427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9737003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retracted: Efficacy of Dapagliflozin in Patients with Diabetes Mellitus Complicated with Coronary Artery Disease and Its Impact on the Vascular Endothelial Function. 撤下:达格列净治疗糖尿病合并冠心病患者的疗效及对血管内皮功能的影响。
4区 医学
Disease Markers Pub Date : 2023-01-01 DOI: 10.1155/2023/9807108
Disease Markers
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