Open MedicinePub Date : 2024-09-02eCollection Date: 2024-01-01DOI: 10.1515/med-2024-1021
Lulu Cao, Yunhong Ren, Fang Wen, Juan Du, Mei He, Huaping Huang
{"title":"Research trends related to emergence agitation in the post-anaesthesia care unit from 2001 to 2023: A bibliometric analysis.","authors":"Lulu Cao, Yunhong Ren, Fang Wen, Juan Du, Mei He, Huaping Huang","doi":"10.1515/med-2024-1021","DOIUrl":"10.1515/med-2024-1021","url":null,"abstract":"<p><strong>Background: </strong>Emergence agitation (EA) is a behavioural disturbance encountered during the recovery phase of patients following general anaesthesia. It is characterised by restlessness, involuntary limb movements, and drainage tube withdrawal and may significantly harm patients and medical staff. The mechanism of EA has not been fully understood and is still a challenging subject for researchers.</p><p><strong>Methods: </strong>We extracted relevant publications published between 1 January 2001 and 31 December 2023 on the Web of Science Core Collection platform. VOSviewer software was utilised to analyse the retrieved literature and predict the development trends and hotspots in the field.</p><p><strong>Results: </strong>The results show that the number of publications grew annually, with China contributing the most, followed by the United States and South Korea. The co-occurrence of keywords \"children,\" \"propofol,\" \"risk factors\" are current research hotspots. Owing to its self-limiting and short-duration characteristics, EA lacks standardised clinical time guidelines and objective assessment tools, which may be the focus of future research in this field.</p><p><strong>Conclusions: </strong>Understanding the research hotspots and the latest progress in this field, this study will help to continuously improve the clinical understanding and management of EA, and help to timely identify environmental risk factors for EA in clinical practice.</p>","PeriodicalId":19715,"journal":{"name":"Open Medicine","volume":"19 1","pages":"20241021"},"PeriodicalIF":1.7,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11377984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154674","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}
Open MedicinePub Date : 2024-08-30eCollection Date: 2024-01-01DOI: 10.1515/med-2023-0893
Jie Xu, Yuning Song, Bodong Zhou, Shuai Yuan, Song Gao
{"title":"Prognostic and diagnostic value of circulating IGFBP2 in pancreatic cancer.","authors":"Jie Xu, Yuning Song, Bodong Zhou, Shuai Yuan, Song Gao","doi":"10.1515/med-2023-0893","DOIUrl":"10.1515/med-2023-0893","url":null,"abstract":"<p><p>Insulin-like growth factor binding protein 2 (IGFBP2) is overexpressed in tumor tissues of several malignancies, including pancreatic cancer. Because of its role in tumor progression, IGFBP2 has been investigated as a tumor biomarker. However, little is known about its utility in pancreatic cancer. Plasma IGFBP2 levels were determined using enzyme-linked immunosorbent assay in 75 patients with pancreatic ductal adenocarcinoma (PDAC), 73 matched healthy controls, and 17 chronic pancreatitis patients. Our results showed that the plasma IGFPB2 level was significantly higher in PDAC patients than in patients with chronic pancreatitis and healthy controls. At a cut-off value of 333.9 ng/mL, the specificity and sensitivity were 78.08 and 65.33%, respectively. IGFBP2 level alone did not outperform carbohydrate antigen 19-9 (CA19-9) in diagnostic accuracy, but it successfully identified 9 out of 24 PDAC patients who were misidentified by CA19-9. The combination of IGFBP2 and CA19-9 was more accurate in the detection of PDAC than CA19-9 alone. IGFBP2 was more accurate than the other in discriminating between chronic pancreatitis and PDAC. Plasma IGFBP2, rather than CA19-9, was higher in the new-onset diabetes, lymph node involvement, and distant metastasis subgroups. IGFBP2 level was notably higher in stage IV cases than in stage I/II or stage III disease. However, CA19-9 did not show a difference between stages. After adjusting for lymph node involvement and distant metastasis, plasma IGFBP2 was identified as an independent prognostic marker for PDAC. The median survival time for patients with an IGFBP2 level ≥333.9 ng/mL was significantly shorter than that for patients with an IGFBP2 level <333.9 ng/mL. Marked elevation of plasma IGFBP2 in PDAC is associated with poorer survival. IGFBP2 may be considered as a supplementary biomarker for the diagnosis and prognostic prediction in Chinese pancreatic cancer patients.</p>","PeriodicalId":19715,"journal":{"name":"Open Medicine","volume":"19 1","pages":"20230893"},"PeriodicalIF":1.7,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11365464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110478","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}
Open MedicinePub Date : 2024-08-23eCollection Date: 2024-01-01DOI: 10.1515/med-2024-1009
Bing Shen, Feng Luo, Nan Yuan, Jiaming Yin, Yalin Chai, Lijie Sun, Lin Zhang, Congjuan Luo
{"title":"Outcomes and complications of hemodialysis in patients with renal cancer following bilateral nephrectomy.","authors":"Bing Shen, Feng Luo, Nan Yuan, Jiaming Yin, Yalin Chai, Lijie Sun, Lin Zhang, Congjuan Luo","doi":"10.1515/med-2024-1009","DOIUrl":"10.1515/med-2024-1009","url":null,"abstract":"<p><strong>Objectives: </strong>The management of patients undergoing bilateral nephrectomy for renal cancer presents significant challenges, particularly in addressing hypotension, anemia, and tumor recurrence during hemodialysis.</p><p><strong>Case presentation: </strong>A patient diagnosed with renal clear cell carcinoma in 2009 was followed until his demise in June 2022, with detailed documentation of symptoms, signs, laboratory results, diagnosis, and treatment. In the presented case, post-nephrectomy, the patient experienced frequent hypotension and anemia during dialysis, improving with erythropoietin-stimulating agents and subsequently with rosuvastatin. Later, multiple metastases were detected, correlating with normalized blood pressure and hemoglobin.</p><p><strong>Literature review: </strong>A literature search up to September 2023 was also conducted, gathering data on hypotension, anemia, and tumor recurrence post-nephrectomy. Literature analysis of six cases revealed a 100% tumor recurrence rate in elderly patients (>50 years).</p><p><strong>Conclusion: </strong>Treatment of anemia in bilateral nephrectomy patients warrants consideration of medication-induced tumor recurrence, highlighting early kidney transplantation to avoid adverse reactions like hypotension.</p>","PeriodicalId":19715,"journal":{"name":"Open Medicine","volume":"19 1","pages":"20241009"},"PeriodicalIF":1.7,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11365463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110477","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}
Open MedicinePub Date : 2024-08-21eCollection Date: 2024-01-01DOI: 10.1515/med-2024-1013
Tugba Nur Sayir, Bilge Tuncer, Ezgi Erkilic
{"title":"Evaluation of upper airway ultrasonographic measurements in predicting difficult intubation: A cross-section of the Turkish population.","authors":"Tugba Nur Sayir, Bilge Tuncer, Ezgi Erkilic","doi":"10.1515/med-2024-1013","DOIUrl":"10.1515/med-2024-1013","url":null,"abstract":"<p><strong>Objectives: </strong>Studies have shown that there are differences in clinical evaluation parameters and difficult intubation rates among different ethnic populations. In our study, we aimed to evaluate the efficacy of upper airway clinical and ultrasonographic measurement methods in Turkish population.</p><p><strong>Methods: </strong>Our study is a single-center, prospective, observational study conducted with 402 patients. All patients underwent clinical airway measurements which are routinely used in pre-anesthetic evaluation. In addition, ultrasonographic anterior neck soft tissue thickness measurements of each patient were made and recorded.</p><p><strong>Results: </strong>Among the clinical measurements, we found the neck circumference/thyromental distance (TMD) ratio to be significant with a cut-off value of 5.5 and a sensitivity of 92.9% and a specificity of 88.3%, while among the ultrasonographic anterior neck measurements, we found the skin-epiglottic distance to be the most sensitive measurement. We found that there was a positive relationship between the neck circumference/TMD ratio and skin-epiglottis.</p><p><strong>Conclusions: </strong>In our study, we found that routine measurement methods used in airway examination alone are not sufficient, and measurements that take into account the body proportions of the patients, such as the neck circumference/TMD ratio and the ultrasonographic evaluations are more useful in predicting difficult intubation.</p>","PeriodicalId":19715,"journal":{"name":"Open Medicine","volume":"19 1","pages":"20241013"},"PeriodicalIF":1.7,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036524","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}
Open MedicinePub Date : 2024-08-20eCollection Date: 2024-01-01DOI: 10.1515/med-2024-1012
Lin Yue, Yue Wang, Cuiying Wang, Shu Niu, Xihong Dong, Yaqing Guan, Shuchun Chen
{"title":"Empagliflozin improves aortic injury in obese mice by regulating fatty acid metabolism.","authors":"Lin Yue, Yue Wang, Cuiying Wang, Shu Niu, Xihong Dong, Yaqing Guan, Shuchun Chen","doi":"10.1515/med-2024-1012","DOIUrl":"10.1515/med-2024-1012","url":null,"abstract":"<p><strong>Background: </strong>Empagliflozin has been shown in clinical studies to lower the risk of adverse cardiovascular events. Using proteomics, the current study aims to determine whether empagliflozin reduces aortic alterations in obese mice and to investigate its molecular mechanism of action.</p><p><strong>Methods: </strong>We constructed obese mice and then treated them with empagliflozin. Changes in the weight of the mice were recorded. Blood glucose and lipid levels were measured in each group of mice, and changes in pulse wave velocity and aortic structure were recorded. In addition, changes in aortic protein expression were detected by proteomics and analyzed bioinformatically.</p><p><strong>Results: </strong>Proteomics results showed that 507 differentially expressed proteins (DEPs) were identified in the comparison of normal and obese mice, while 90 DEPs were identified in the comparison of obese and empagliflozin-treated mice. Examination of these three groups revealed that DEPs were largely associated with the digestion of unsaturated fats. Among them, empagliflozin significantly reduced the expression of fatty acid synthase (FASN), acyl-CoA desaturase 3 (SCD3), ACSL1. and ACSL5 in the aorta of obesity-induced mice, and there was a close relationship between the four.</p><p><strong>Conclusion: </strong>Empagliflozin reduced the protein expression of FASN, SCD3, ACSL1, and ACSL5 in the aorta of obese mice and improved aortic fatty acid metabolism and reduced vascular stiffness for vasoprotective effects.</p>","PeriodicalId":19715,"journal":{"name":"Open Medicine","volume":"19 1","pages":"20241012"},"PeriodicalIF":1.7,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142034392","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}
Open MedicinePub Date : 2024-08-20eCollection Date: 2024-01-01DOI: 10.1515/med-2024-0911
Xiong Ran, Shaoquan Zhou, Kang Li, Shijun Qiu, Yikai Xu, Min Xu, Ruimeng Yang
{"title":"Analysis of the risk factors of the radiation-induced encephalopathy in nasopharyngeal carcinoma: A retrospective cohort study.","authors":"Xiong Ran, Shaoquan Zhou, Kang Li, Shijun Qiu, Yikai Xu, Min Xu, Ruimeng Yang","doi":"10.1515/med-2024-0911","DOIUrl":"10.1515/med-2024-0911","url":null,"abstract":"<p><p>To analyze the related factors of radiation-induced encephalopathy in nasopharyngeal carcinoma (NPC) to identify the risk factors and their clinical significance. This retrospective cohort study included 707 NPC patients. They had undergone conventional and enhanced computed tomography or magnetic resonance imaging scans. They were divided into the radiation-induced encephalopathy group and the no encephalopathy group according to the imaging examination. Detailed clinical information was collected. The incidence of radiation-induced encephalopathy in NPC was 22.2%, in which 124 were radiation-induced encephalopathy and 33 were reirradiation patients. We found that age, pathological type, radiation method, hypertension, radiation course, relapse, carotid/cerebral arteriosclerosis, clinical stage, and radiotherapy dose were statistically significant between the two groups (<i>p</i> < 0.05). Multiple logistic regression showed that clinical stage, age, radiotherapy method, hypertension, carotid/cerebral arteriosclerosis, and radiation courses after a reoccurrence of NPC were risk factors for radiation-induced encephalopathy. The more advanced the clinical stage was and the older the patient, the greater the risk. Radiotherapy method, radiation course, hypertension, carotid/cerebral arteriosclerosis, age, and clinical stage were the risk factors associated with radiation-induced encephalopathy in NPC.</p>","PeriodicalId":19715,"journal":{"name":"Open Medicine","volume":"19 1","pages":"20240911"},"PeriodicalIF":1.7,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036523","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}
Open MedicinePub Date : 2024-08-20eCollection Date: 2024-01-01DOI: 10.1515/med-2024-9999
Miriam Dellino, Antonio D'Amato, Gaia Battista, Gennaro Cormio, Antonella Vimercati, Vera Loizzi, Antonio Simone Laganà, Gianluca Raffaello Damiani, Alessandro Favilli, Sandro Gerli, Daniele La Forgia, Antonella Daniele, Vittorio Agrifoglio, Ettore Cicinelli, Amerigo Vitagliano, Andrea Etrusco
{"title":"Reproductive outcomes in women with BRCA 1/2 germline mutations: A retrospective observational study and literature review.","authors":"Miriam Dellino, Antonio D'Amato, Gaia Battista, Gennaro Cormio, Antonella Vimercati, Vera Loizzi, Antonio Simone Laganà, Gianluca Raffaello Damiani, Alessandro Favilli, Sandro Gerli, Daniele La Forgia, Antonella Daniele, Vittorio Agrifoglio, Ettore Cicinelli, Amerigo Vitagliano, Andrea Etrusco","doi":"10.1515/med-2024-9999","DOIUrl":"10.1515/med-2024-9999","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the reproductive outcomes of patients bearing BRCA-1 and BRCA-2 mutations.</p><p><strong>Methods: </strong>In this retrospective observational cohort study, we assessed data from BRCA-1 and BRCA-2 carriers, analyzing demographics, oncological history, and reproductive outcomes. Statistical analysis compared BRCA-1 and BRCA-2 carriers. A thorough review of the literature was carried out.</p><p><strong>Results: </strong>Fifty-eight patients were included. BRCA-1 and BRCA-2 mutations were equally distributed. Eighty-nine pregnancies occurred in our series, hesitated in 73 live births and 19 miscarriages. Mean age at first and last pregnancy was 27.8 ± 4.8 and 31.6 ± 4.8 years old. Thirty-nine patients have had at least one live birth (67.2%). Mean number of live births was 1.9 ± 0.6. Live birth rate (LBR) was 81.1% and miscarriage rate was 32.8%. Spontaneous fertility was unaltered, as evidenced by high LBR. Subgroup analysis revealed no significant differences between BRCA-1 and BRCA-2 carriers.</p><p><strong>Conclusions: </strong>Our results shows that spontaneous reproductive outcomes in BRCA-mutated patients are reassuring. Despite evidence indicating a decrease in ovarian reserve among BRCA patients, this factor seems to not impact spontaneous fertility negatively. Further research is needed, and individuals with BRCA mutations should consider early family planning and fertility preservation in case of partner absence.</p>","PeriodicalId":19715,"journal":{"name":"Open Medicine","volume":"19 1","pages":"20249999"},"PeriodicalIF":1.7,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036525","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}
Open MedicinePub Date : 2024-08-13eCollection Date: 2024-01-01DOI: 10.1515/med-2024-1014
Mengmeng Bao, Anshi Wu
{"title":"Exploring anesthetic-induced gene expression changes and immune cell dynamics in atrial tissue post-coronary artery bypass graft surgery.","authors":"Mengmeng Bao, Anshi Wu","doi":"10.1515/med-2024-1014","DOIUrl":"10.1515/med-2024-1014","url":null,"abstract":"<p><strong>Background: </strong>This study leverages the GSE4386 dataset, obtained from atrial tissue samples post-coronary artery bypass graft (CABG) surgery, to investigate the impact of anesthetic agents (sevoflurane and propofol) on gene expression and immune cell infiltration.</p><p><strong>Methods: </strong>Hierarchical clustering and box plots were employed for dataset preprocessing, highlighting a significant outlier (sample GSM99282), subsequently removed to ensure data integrity. Differentially expressed genes (DEGs) were identified using volcano plots based on specific log-fold-change and <i>P</i>-value thresholds. Additional analyses included the Friends approach, Spearman's correlation, and gene set enrichment analysis (GSEA), exploring functional annotations and pathways.</p><p><strong>Results: </strong>Heatmaps and bubble plots depicted DEGs, revealing distinct expression patterns between the sevoflurane and propofol groups. Friends analysis identified top genes based on log fold changes, further correlated using Spearman's method. Gene Ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analyses illustrated functional annotations of DEGs, while GSEA highlighted enriched biological categories. Immune cell infiltration analysis showcased varied cellular presence post-CABG. ESTIMATE algorithm scores demonstrated differences in immune, stroma, and estimate scores. Microenvironment Cell Populations-counter (MCPcounter) revealed an increased abundance of cytotoxic lymphocytes in the sevoflurane group, confirmed by a single sample GSEA. CIBERSORT algorithm identified distinct immune cell compositions, highlighting differences in macrophage M0 prevalence between sevoflurane and propofol groups.</p><p><strong>Conclusions: </strong>This comprehensive analysis provides insights into anesthetic-induced gene expression changes and immune cell dynamics in atrial tissue post-CABG surgery. The identified DEGs and immune cell compositions offer potential biomarkers and therapeutic targets for refining anesthetic strategies in cardiac surgeries.</p>","PeriodicalId":19715,"journal":{"name":"Open Medicine","volume":"19 1","pages":"20241014"},"PeriodicalIF":1.7,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000463","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}
Open MedicinePub Date : 2024-08-13eCollection Date: 2024-01-01DOI: 10.1515/med-2024-1010
Keun-Ok An, Kwang-Jin Lee
{"title":"Physical fitness and blood parameters outcomes of breast cancer survivor in a low-intensity circuit resistance exercise program.","authors":"Keun-Ok An, Kwang-Jin Lee","doi":"10.1515/med-2024-1010","DOIUrl":"10.1515/med-2024-1010","url":null,"abstract":"<p><p>There is limited evidence regarding the effect of circuit-type low-intensity resistance exercise on physical fitness and blood parameters in breast cancer survivors (BCSs). Therefore, this study aimed to investigate the effect of low-intensity circuit resistance exercise on changes in physical fitness and blood parameters in BCSs. A total of 16 BCSs participated in a low-intensity circuit resistance exercise group (LCREG). The exercise program in the LCREG consisted of 50-60% of one repetition maximum, two to three times weekly, for 24 weeks. The control group (CG) did not receive any interventions. All participants were measured for physical fitness and blood parameters before and after the exercise intervention. The results showed that LCREG significantly improved body mass index (BMI) (<i>p</i> = 0.012), grip strength (<i>p</i> = 0.017), back strength (<i>p</i> = 0.042), plank (<i>p</i> = 0.036), balance (<i>p</i> = 0.030), low-density lipoproteins (LDL) (<i>p</i> = 0.050), total cholesterol (<i>p</i> = 0.017), and natural killer cell activity (NKCA) (<i>p</i> = 0.035) after exercise compared to before exercise. The LCREG also significantly improved BMI (<i>p</i> = 0.001), grip strength (<i>p</i> = 0.014), plank (<i>p</i> = 0.018), balance (<i>p</i> = 0.012), LDL (<i>p</i> = 0.024), total cholesterol (<i>p</i> = 0.012), and NKCA (<i>p</i> = 0.036) compared to the CG. These findings suggest that low-intensity circuit resistance exercise can increase physical fitness levels and improve the blood index in BCSs.</p>","PeriodicalId":19715,"journal":{"name":"Open Medicine","volume":"19 1","pages":"20241010"},"PeriodicalIF":1.7,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000464","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}
Open MedicinePub Date : 2024-08-10DOI: 10.1515/med-2024-0974
Ruigang Dou, Rongfeng Liu, Peng Su, Xiaohui Yu, Yanzhao Xu
{"title":"The GJB3 correlates with the prognosis, immune cell infiltration, and therapeutic responses in lung adenocarcinoma","authors":"Ruigang Dou, Rongfeng Liu, Peng Su, Xiaohui Yu, Yanzhao Xu","doi":"10.1515/med-2024-0974","DOIUrl":"https://doi.org/10.1515/med-2024-0974","url":null,"abstract":"Gap junction protein beta 3 (<jats:italic>GJB3</jats:italic>) has been reported as a tumor suppressor in most tumors. However, its role in lung adenocarcinoma (LUAD) remains unknown. The purpose of this study is to explore the role of <jats:italic>GJB3</jats:italic> in the prognosis and tumor microenvironment of LUAD patients. The data used in this study were acquired from The Cancer Genome Atlas, Gene Expression Omnibus, and imvigor210 cohorts. We found that <jats:italic>GJB3</jats:italic> expression was increased in LUAD patients and correlated with LUAD stages. LUAD patients with high <jats:italic>GJB3</jats:italic> expression exhibited a worse prognosis. A total of 164 pathways were significantly activated in the <jats:italic>GJB3</jats:italic> <jats:sup>high</jats:sup> group. <jats:italic>GJB3</jats:italic> expression was positively associated with nine transcription factors and might be negatively regulated by hsa-miR-6511b-5p. Finally, we found that immune cell infiltration and immune checkpoint expression were different between the <jats:italic>GJB3</jats:italic> <jats:sup>high</jats:sup> and <jats:italic>GJB3</jats:italic> <jats:sup>low</jats:sup> groups. In summary. <jats:italic>GJB3</jats:italic> demonstrated high expression levels in LUAD patients, and those with elevated <jats:italic>GJB3</jats:italic> expression displayed unfavorable prognoses. Additionally, there was a correlation between <jats:italic>GJB3</jats:italic> and immune cell infiltration, as well as immune checkpoint expression in LUAD patients","PeriodicalId":19715,"journal":{"name":"Open Medicine","volume":"11 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141968718","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}