PeerJ最新文献

{"title":"An R package for survival-based gene set enrichment analysis.","authors":"Xiaoxu Deng, Jeffrey Thompson","doi":"10.7717/peerj.19489","DOIUrl":"10.7717/peerj.19489","url":null,"abstract":"<p><p>Functional enrichment analysis is usually used to assess the effects of experimental differences. However, researchers sometimes want to understand the relationship between transcriptomic variation and health outcomes like survival. Therefore, we suggest the use of Survival-based Gene Set Enrichment Analysis (SGSEA) to help determine biological functions associated with a disease's survival. Despite the availability of this method to researchers, there are no standard tools or software to perform this analysis. We developed an R package and Shiny app called SGSEA and presented a study of kidney renal clear cell carcinoma (KIRC) to demonstrate the approach. In Gene Set Enrichment Analysis (GSEA), the log-fold change in expression between treatments is used to rank genes, to determine if a biological function has a non-random distribution of altered gene expression. SGSEA is a variation of GSEA using the hazard ratio instead of a log fold change. Our study shows that pathways enriched with genes whose increased transcription is associated with mortality (NES > 0, adjusted <i>p</i>-value < 0.15) have previously been linked to KIRC survival, helping to demonstrate the value of this approach. This method allows rapid identification of disease variant pathways and provides supplementary information to standard GSEA, all within a single R package at https://github.com/ShellsheDeng/SGSEA or via the convenient app at https://biostats-shinyr.kumc.edu/SGSEA/.</p>","PeriodicalId":19799,"journal":{"name":"PeerJ","volume":"13 ","pages":"e19489"},"PeriodicalIF":2.3,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of <i>Rhizophagus intraradices</i> and <i>Acinetobacter calcoaceticus</i> on soybean growth and thiram residues in soybean grains and rhizosphere soil.","authors":"Weiguang Jie, Yiwen Tan, Houze Lin, Min Zhang, Lianbao Kan","doi":"10.7717/peerj.19701","DOIUrl":"10.7717/peerj.19701","url":null,"abstract":"<p><p>Soybean root rot has a serious effect on soybean yield. Pesticides such as thiram are used to prevent soybean root rot, but thiram remains in the soil, which seriously threatens food safety and human health. Microbial fertilizers can effectively control root rot, promote crop growth, and degrade pesticide residues. This study aimed to evaluate the synergistic effects of arbuscular mycorrhizal fungi and phosphorus-solubilizing bacteria in a controlled environment, specifically investigating their potential for prevention and control of soybean root rot and pesticide degradation. In this pot-based study, we investigated the effects of <i>Rhizophagus intraradices</i>, <i>Acinetobacter calcoaceticus</i>, and thiram on the incidence of root rot, soybean biomass, the number of bacterial colonies in rhizosphere soil, and thiram residues in soybean grains and rhizosphere soil. The results showed that inoculation with <i>R. intraradices</i> and <i>A. calcoaceticus</i> significantly increased arbuscular mycorrhizal fungi spore density (445%), arbuscular mycorrhizal fungi infection rate (103%), soybean biomass such as fresh weights (59%), nodule number (237%), and total bacterial colony number in the rhizosphere soil of soybean plants (133%) and presented the lowest incidence of root rot (20%) (<i>P</i> < 0.05), compared with the control group. A single inoculant significantly reduced the residual amount of thiram in soybean grains and rhizosphere soil, and a mixed inoculation (<i>R. intraradices</i> and <i>A. calcoaceticus</i>) produced the most significant reduction, relative to the group sprayed with only thiram, thiram residues were reduced by 73% and 69%, respectively (<i>P</i> < 0.05). These findings provide a foundation for the biological control of soybean root rot and the degradation of pesticides and contribute to the sustainable development of agricultural ecosystems.</p>","PeriodicalId":19799,"journal":{"name":"PeerJ","volume":"13 ","pages":"e19701"},"PeriodicalIF":2.3,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A new neornithischian dinosaur from the Upper Jurassic Tiaojishan Formation of northern China.","authors":"Yunfeng Yang, James L King, Xing Xu","doi":"10.7717/peerj.19664","DOIUrl":"10.7717/peerj.19664","url":null,"abstract":"<p><p>The Middle and Late Jurassic Yanliao Biota is different from other contemporaneous fossil assemblages in that it lacks neornithischian dinosaurs. Here, we report a new, early-diverging neornithischian, <i>Pulaosaurus qinglong</i> gen. et sp. nov., from the Upper Jurassic Tiaojishan Formation of Qinglong, Hebei Province, of northern China. Diagnostic or noteworthy morphological characteristics of <i>P. qinglong</i> include: five premaxillary teeth; a small boss is present on the caudoventral corner of the dorsal ramus of the jugal; a nuchal crest is located along the parietal; the manus has five digits; a supra-acetabular crest is present on the ilium; the paired arytenoids are gracile and leaf-like in form; the obturator process along the ischium is located near the pubic peduncle; a notch-like shaped obturator opening is present within the pubis; a robust fibular condyle forms a dorsoventrally extending crest on the tibia; a subtriangular flange on the anterior surface of the astragalus extends dorsolaterally along three distal tarsals; three of the distal tarsals are unfused, including a small drop-shaped distal tarsal 3; distal tarsal 3 is pierced by a foramen. A phylogenetic analysis places <i>P. qinglong</i> as one of the earliest-diverging neornithischians yet described. Moreover, <i>P. qinglong</i> represents the second known dinosaur to preserve ossified laryngeal elements, thus suggesting that a bird-like vocalization evolved early in non-avian dinosaur evolution.</p>","PeriodicalId":19799,"journal":{"name":"PeerJ","volume":"13 ","pages":"e19664"},"PeriodicalIF":2.3,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antibacterial potential and chromatographic profiling of bioactive compounds from endophytic <i>Streptomyces</i> sp. strain MIRK71 isolated from <i>Mirabilis jalapa</i> (L.).","authors":"Lalrokimi, Purbajyoti Deka, William Carrie, Lallawmsangi, Christine Vanlalbiakdiki Sailo, Lalrosangpuii, Felicia Lalremruati, Awmpuizeli Fanai, Yasangam Umbon, Esther Lalnunmawii, Zothanpuia","doi":"10.7717/peerj.19683","DOIUrl":"10.7717/peerj.19683","url":null,"abstract":"<p><p>Multidrug-resistant bacteria pose an alarming global health threat. The persistent rise in antibiotic-resistant infections continues to challenge healthcare systems worldwide. This study aims to evaluate the antimicrobial potential of 18 endophytic actinobacteria isolated from <i>Mirabilis jalapa</i> (L.) against clinically relevant multidrug-resistant pathogens. Among these, strain MIRK71 exhibited the strongest activity in secondary antimicrobial screening and was selected for further investigation. Molecular characterization using 16S rRNA gene sequencing identified MIRK71 as a <i>Streptomyces</i> species. Morphological analysis via scanning electron microscopy (SEM) revealed branched, filamentous colonies with microspore chains. Antimicrobial compounds were extracted from the culture filtrate grown in ISP1 broth using methanol under reduced pressure in a rotary evaporator. Gas chromatography-mass spectrometry (GC-MS) analysis detected 20 volatile compounds. Further profiling was conducted using high-performance thin-layer chromatography (HPTLC) with three optimized solvent systems: ethyl acetate:methanol:water (20:3:2) for glycosides (SS1), cyclohexane:ethyl acetate:formic acid (4:6:1) for phenols (SS2), and toluene:ethyl acetate:methanol:acetic acid (3:5:1:0.5) for anthracenes (SS3). Five peaks were recorded in SS1 and SS3, while seven peaks were observed in SS2 at 254 nm. Overall, this study contributes to the growing body of knowledge on endophytic actinobacteria and underscores their potential applications in antimicrobial therapy.</p>","PeriodicalId":19799,"journal":{"name":"PeerJ","volume":"13 ","pages":"e19683"},"PeriodicalIF":2.3,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Jack of All Trades-Tawaki/Fiordland penguins are able to utilise diverse marine habitats during winter migration.","authors":"Thomas Mattern, Klemens Pütz, Pablo Garcia Borboroglu, Ursula Ellenberg, David M Houston, Bernhard Lüthi, Philip J Seddon","doi":"10.7717/peerj.19695","DOIUrl":"10.7717/peerj.19695","url":null,"abstract":"<p><p>Migration and non-breeding movements are common across animal groups and are often driven by seasonal changes in habitat conditions. This behaviour is prevalent in crested penguins (<i>Eudyptes</i> sp.), which have evolved in and still primarily inhabit the subantarctic regions of the Southern Hemisphere. These species migrate outside the reproductive phase due to the limited year-round productivity around the breeding sites. Tawaki/Fiordland penguins (<i>Eudyptes pachyrhynchus</i>) are unusual in that they breed in temperate, continental New Zealand, an environment that appears productive enough to support year-round residency, yet they undertake extensive migrations during the non-breeding period. To investigate the drivers and patterns behind this behaviour, we used satellite telemetry to track 14 adult tawaki from across their breeding range during the winter of 2019. We examined whether migration routes differed by breeding location, and used maximum entropy (Maxent) modelling to identify environmental predictors of habitat use during the non-breeding period. All penguins followed a similar south-westerly trajectory toward the subantarctic waters south of Tasmania, irrespective of origin. Birds reached maximum distances of up to 2,193 km from their colonies, traveling a median total distance of 6,086 km over 135 days. Maxent models showed that mixed layer depth (<i>i.e.</i>, the mixing height at the ocean surface) around 80 m was the strongest predictor of habitat suitability, aligning with known foraging depths in this species. Tawaki were associated with oceanic habitats ranging from polar to subtropical regions-a broader environmental range than other crested penguins, which tend to remain within a single water mass. These findings highlight the flexibility of tawaki in their use of marine habitats. This behavioural plasticity may suggest resilience to environmental variability, offering insights into why tawaki appear to be maintaining stable population trends while other New Zealand crested penguins are in decline.</p>","PeriodicalId":19799,"journal":{"name":"PeerJ","volume":"13 ","pages":"e19695"},"PeriodicalIF":2.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between preoperative uric acid levels and lymph node metastases in patients with papillary thyroid cancer: a retrospective study.","authors":"ShaoKun Sun, Qin Zhou, Tao Hu","doi":"10.7717/peerj.19410","DOIUrl":"10.7717/peerj.19410","url":null,"abstract":"<p><strong>Background: </strong>In the past decade, numerous studies have highlighted a notable correlation between the prognosis of various cancers and uric acid (UA). Nevertheless, scientific literature regarding the association between central lymph node metastasis (CLNM) and UA remains lacking. This study sought to examine the association between UA and the likelihood of CLNM in individuals with papillary thyroid cancer (PTC) and to determine the UA threshold.</p><p><strong>Methods: </strong>Three hundred and seventy individuals with confirmed PTC who underwent surgery at the First People's Hospital of Kunshan from October 2018 to July 2024 were included in this study. Initially, UA levels were measured, and the incidence of CLNM in PTC patients was assessed through postoperative pathology. Propensity score-matched (PSM) analysis was used to match patients. Multivariate logistic regression and a two-piecewise linear regression model were utilized to analyze the relationship between UA and CLNM and identify the threshold effect of UA concentrations on CLNM.</p><p><strong>Results: </strong>The correlation between UA and CLNM in PTC patients was found to be positive. Upon adjusting for various confounding factors, it was determined that, relative to the referential level, the odds ratio for CLNM was 4.01 at peak UA levels. After PSM analysis, the odds ratio for CLNM was 5.23 at the highest levels to the lowest levels. A non-linear relationship between UA and CLNM emerged following adjustment for potential confounding factors. The study identified 219.20 µmol/L as the UA threshold, serving as the optimal inflection point. The effect sizes and confidence intervals on both sides of the inflection point were -4.43 (-9.69-0.84) and 3.78 (1.70-5.85), respectively.</p><p><strong>Conclusion: </strong>The study concludes that the association between UA and CLNM is non-linear. A positive relationship between UA and CLNM was observed when UA levels exceeded 219.20 µmol/L.</p>","PeriodicalId":19799,"journal":{"name":"PeerJ","volume":"13 ","pages":"e19410"},"PeriodicalIF":2.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrated platform for structural and functional analysis of terpene synthases of <i>Cannabis sativa</i>.","authors":"Danielle Wiles, James Roest, Bhuvana Shanbhag, Julian Vivian, Travis Beddoe","doi":"10.7717/peerj.19723","DOIUrl":"10.7717/peerj.19723","url":null,"abstract":"<p><p>Terpenoids are the largest and most diverse family of natural products. Volatile terpenes from <i>Cannabis sativa</i> are crucial in flavours, fragrances, and pharmaceuticals due to their unique odours and biological activities, including antimalarial, antibacterial, and insecticidal properties. Their synthesis is catalysed by terpene synthase (TPS) enzymes, which perform cyclisation and rearrangement reactions of over 55,000 distinct terpene compounds. However, low catalytic efficiency of <i>C. sativa</i> TPSs limits their use in large-scale commercial production. The complex biochemistry of these reactions is not well understood due to limited enzyme structure information. To address this, we have developed an integrated platform for the systematic expression, purification, enzymatic characterisation, and crystallisation of TPS enzymes from <i>C. sativa</i>. This workflow combines kinetic, thermostability, and structural analyses with a data-mining-informed crystallisation screen that enabled the production of diffraction-quality crystals. As a demonstration of the platform's utility, ten <i>C. sativa</i> TPS enzymes were functionally characterised, revealing turnover rates (k_cat) ranging from 0.0011 to 0.0204 s^-1 and diverse substrate specificities, with each enzyme producing a distinct product profile, highlighting the need for systematic characterisation of <i>C. sativa</i> terpene biosynthesis. Our findings provide a framework for the structural and functional study of <i>C. sativa</i> TPSs. The developed platform sets the stage for future metabolic engineering aimed at optimising terpene production for pharmaceutical, pest management, and synthetic biology applications.</p>","PeriodicalId":19799,"journal":{"name":"PeerJ","volume":"13 ","pages":"e19723"},"PeriodicalIF":2.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vocal constraints on song amplitude in star finches <i>Bathilda ruficauda</i>.","authors":"Hana Goto, Masayo Soma, Ayumi Mizuno, Henrik Brumm","doi":"10.7717/peerj.19705","DOIUrl":"10.7717/peerj.19705","url":null,"abstract":"<p><p>Given the two main functions of birdsong, mate attraction and territory defence, song amplitude is crucial for communication because it determines the communication range and it can also carry information. To understand the evolution of signals, it is helpful to consider the constraints on signal production, as physical constraints set the limits for signal plasticity and how signals can respond to selection. Previous work on the constraints of song amplitude was restricted to species that use loud vocalisations for long-distance communication. However, the low song amplitudes of some non-territorial species may hint at unknown limitations considering that females may prefer loud song. The star finch (<i>Bathilda ruficauda</i>) is one such species. In this study, we recorded the songs of male star finches in the laboratory and investigated the relationship between vocal amplitude and other acoustic parameters of their song syllables. We found that vocal amplitude was linked to the phonetic structure of the syllables. More complex sounds (measured as higher syllable bandwidth and higher Wiener entropy) were produced at lower amplitudes than less complex sounds. To the best of our knowledge, this is the first report of a trade-off between song complexity and vocal amplitude. More complex song syllables possibly require a more intricate control of the syrinx and vocal tract, which might only be possible at lower amplitudes. We speculate that if female star finches prefer complex songs, this would cause males to sing quietly, as they cannot produce complex syllables with high amplitudes. We also provided a phonetogram (vocal range profile) for the star finch, indicating a positive correlation between amplitude and peak frequency. This finding corroborates earlier studies on species that use loud vocalisations for long-range communication, which, like the star finches in our study, were also unable to produce low frequencies at high amplitudes. This suggests that the frequency-amplitude correlation is a more general phenomenon in bird vocalisations, independent of the overall source amplitude of a species. While the evolution of birdsong is often viewed as constrained by neural costs and body size, or selective pressures from predators and social aggression, our results emphasise the importance of understanding phonetic features as well. At the same time, our study fills an important gap on non-territorial species that produce soft songs. The absence of the ecological demands for long-distance signalling has probably led birds to use soft yet complex songs that function within the pair bond, as we report here for star finches.</p>","PeriodicalId":19799,"journal":{"name":"PeerJ","volume":"13 ","pages":"e19705"},"PeriodicalIF":2.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neuroprotective effects of essential oils in animal models of Alzheimer's and Parkinson's disease: a systematic review.","authors":"Adrielle do Espírito Santos Macedo, Thayná Moraes Ferreira, Lane Viana Krejcová, Fernando Allan de Farias Rocha, Joyce Kelly R da Silva, Laís Resque Russo Pedrosa, Bruno Duarte Gomes","doi":"10.7717/peerj.19643","DOIUrl":"10.7717/peerj.19643","url":null,"abstract":"<p><p>Essential oils (EOs), derived from aromatic plants, have garnered significant attention for their potential neuroprotective properties in neurodegenerative diseases. This systematic review evaluates recent advancements in understanding the neuroprotective role of EOs against Alzheimer's disease (AD) and Parkinson's disease (PD). Following PRISMA guidelines, we conducted a comprehensive literature search across three major databases (PubMed, Virtual Health Library, and Web of Science) from inception to January 2024, resulting in thirteen high-quality <i>in vivo</i> studies for qualitative analysis. The review assessed various EOs, with hydrodistillation being the predominant extraction method (66.66% of studies). Studies primarily utilized Wistar rats (46.15%) and various mouse strains, employing diverse disease induction methods including β-amyloid administration (30.7% of AD models), rotenone (7.7% of PD models), and 6-hydroxydopamine (7.7% of PD models). Administration routes varied, with oral administration being most common (38.4%), with gavage and inhalation each accounting for 23.1% of studies. Key findings revealed that EOs exhibit multifaceted neuroprotective mechanisms. In AD models (69.3% of studies), EOs reduced oxidative stress markers, decreased pro-inflammatory cytokine levels, and increased neuroprotective protein expression. In PD models (30.7% of studies), EOs demonstrated significant dopaminergic neuroprotection, with improvements in behavioral outcomes. Behavioral assessments showed consistent enhancements in memory, learning, and motor functions across studies. The systematic analysis provides compelling evidence for EOs' neuroprotective efficacy, particularly in early-stage intervention. However, limitations include the predominance of animal studies, variability in dosing, and administration methods. The most promising EOs identified were from <i>Pinus halepensis</i>, <i>Citrus limon</i>, and Acorus species, showing particular efficacy in reducing cognitive deficits and oxidative stress. Chemical analysis revealed that compounds such as α-pinene, limonene, and β-caryophyllene were predominantly responsible for the observed therapeutic effects. The molecular mechanisms underlying these effects included modulation of cholinergic transmission, reduction of amyloid-β aggregation, and enhancement of antioxidant enzyme activities. These findings suggest that EOs could serve as valuable complementary therapeutic agents, particularly when standardized for specific bioactive compounds. Future research should focus on standardizing EO compositions, conducting human clinical trials to establish safety and efficacy profiles, and investigating potential synergistic effects with conventional treatments.</p>","PeriodicalId":19799,"journal":{"name":"PeerJ","volume":"13 ","pages":"e19643"},"PeriodicalIF":2.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Survival benefit from adjuvant chemoradiotherapy in local advanced gastric cancer without accurate D2 confirmation: a real-world retrospective study (TJ-ARK01).","authors":"Xiao-Xiao Luo, Ben Zhao, Li Sun, Yu-Hong Dai, Hong Qiu, Xiang-Lin Yuan","doi":"10.7717/peerj.19363","DOIUrl":"10.7717/peerj.19363","url":null,"abstract":"<p><p>The role of adjuvant chemoradiotherapy (CRT) is controversial following D2 dissection in advanced gastric cancer. Also, the extent of \"D2 surgery\" varied geographically due to the diversity in surgical techniques of radical lymphadenectomy and pathological accuracy in detecting positive lymph nodes detection. The purpose was to explore the role of adjuvant chemoradiation for gastric cancer and focus on patient stratification strategy. We retrospectively collected information of patients underwent surgery in Tongji Medical Cancer Center from January 2013 to December 2017 (2,489 in total). Propensity score match was applied to the chemotherapy (CT) group enrollment with well-balanced clinicopathological distributions. In total, 162 and 166 eligible patients were recruited into CT and CRT groups, nearly 75% diagnosed with advanced stage. The median follow-up duration was 61.3 months (4.0 to 109.0 months), 201 recurrence events occurred and 194 deaths events occurred. The 5-year disease-free-survival (DFS) rates were 32.0% in CT group and 44.0% in CRT group (<i>P</i> = 0.031), while 5-year overall survival (OS) rates were 36.0% in CT group and 50.0% in CRT group (<i>P</i> = 0.043). In the subgroup analysis, all patients were regrouped as subgroup 1 (positive lymph node (LN) ratio 0-50%) and subgroup 2 (positive LN ratio 51%-100%). There was a prolongation in 5-year DFS rates in subgroup 1 (40.0% in CT group, 61.0% in CRT group, <i>P</i> = 0.012) and in 5-year OS rates (48% in CT group, 64.0% in CRT group, <i>P</i> = 0.047). Further, patients with negative HER-2 expression had longer 5-year DFS (38% in CT, 49% in CRT, <i>P</i> = 0.115) and 5-year OS (36% in CT, 43% in CRT, <i>P</i> = 0.047). While previous studies found that the survival benefits were gained from chemoradiotherapy (CRT) inpatients of intestinal-type gastric cancer with lymph node metastasis, our findings highlight a distinct subgroup-patients with a lymph node ratio (LNR) ≤ 0.5 and HER2-negative tumors-for whom adjuvant chemoradiation may offer significant improvements in disease-free survival (DFS). This contrast underscores the potential role of molecular biomarkers (HER-2 status) and quantitative nodal burden (LNR) in refining therapeutic strategies, shifting the paradigm from histology-driven approaches to precision-based patient selection.</p>","PeriodicalId":19799,"journal":{"name":"PeerJ","volume":"13 ","pages":"e19363"},"PeriodicalIF":2.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}