Frontiers in Endocrinology最新文献

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Analysis of single nucleotide polymorphisms of the metabotropic glutamate receptors in a transgender population 变性人群体中代谢谷氨酸受体的单核苷酸多态性分析
Frontiers in Endocrinology Pub Date : 2024-06-11 DOI: 10.3389/fendo.2024.1382861
R. Fernández, Karla Ramírez, Roberto Lorente-Bermúdez, E. Gómez-Gil, Mireia Mora, Antonio Guillamón, E. Pásaro
{"title":"Analysis of single nucleotide polymorphisms of the metabotropic glutamate receptors in a transgender population","authors":"R. Fernández, Karla Ramírez, Roberto Lorente-Bermúdez, E. Gómez-Gil, Mireia Mora, Antonio Guillamón, E. Pásaro","doi":"10.3389/fendo.2024.1382861","DOIUrl":"https://doi.org/10.3389/fendo.2024.1382861","url":null,"abstract":"Gender incongruence (GI) is characterized by a marked incongruence between an individual’s experienced/expressed gender and the assigned sex at birth. It includes strong displeasure about his or her sexual anatomy and secondary sex characteristics. In some people, this condition produces a strong distress with anxiety and depression named gender dysphoria (GD). This condition appears to be associated with genetic, epigenetics, hormonal as well as social factors. Given that L-glutamate is the major excitatory neurotransmitter in the central nervous system, also associated with male sexual behavior as well as depression, we aimed to determine whether metabotropic glutamate receptors are involved in GD.We analyzed 74 single nucleotide polymorphisms located at the metabotropic glutamate receptors (mGluR1, mGluR3, mGluR4, mGluR5, mGluR7 and mGluR8) in 94 transgender versus 94 cisgender people. The allele and genotype frequencies were analyzed by c2 test contrasting male and female cisgender and transgender populations. The strength of the associations was measured by binary logistic regression, estimating the odds ratio (OR) for each genotype. Measurement of linkage disequilibrium, and subsequent measurement of haplotype frequencies were also performed considering three levels of significance: P ≤ 0.05, P ≤ 0.005 and P ≤ 0.0005. Furthermore, false positives were controlled with the Bonferroni correction (P ≤ 0.05/74 = 0.00067).After analysis of allele and genotypic frequencies, we found twenty-five polymorphisms with significant differences at level P ≤ 0.05, five at P ≤ 0.005 and two at P ≤ 0.0005. Furthermore, the only two polymorphisms (rs9838094 and rs1818033) that passed the Bonferroni correction were both related to the metabotropic glutamate receptor 7 (mGluR7) and showed significant differences for multiple patterns of inheritance. Moreover, the haplotype T/G [OR=0.34 (0.19–0.62); P<0.0004] had a lower representation in the transgender population than in the cisgender population, with no evidence of sex cross-interaction.We provide genetic evidence that the mGluR7, and therefore glutamatergic neurotransmission, may be involved in GI and GD.","PeriodicalId":505784,"journal":{"name":"Frontiers in Endocrinology","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141359981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Automatic prediction of non-iodine-avid status in lung metastases for radioactive I131 treatment in differentiated thyroid cancer patients 自动预测分化型甲状腺癌患者肺转移灶中的非碘-avid 状态,以便对其进行放射性 I131 治疗
Frontiers in Endocrinology Pub Date : 2024-06-11 DOI: 10.3389/fendo.2024.1429115
Xinyi Gao, Haoyi Chen, Yun Wang, Feijia Xu, Anni Zhang, Yong Yang, Yajia Gu
{"title":"Automatic prediction of non-iodine-avid status in lung metastases for radioactive I131 treatment in differentiated thyroid cancer patients","authors":"Xinyi Gao, Haoyi Chen, Yun Wang, Feijia Xu, Anni Zhang, Yong Yang, Yajia Gu","doi":"10.3389/fendo.2024.1429115","DOIUrl":"https://doi.org/10.3389/fendo.2024.1429115","url":null,"abstract":"The growing incidence of differentiated thyroid cancer (DTC) have been linked to insulin resistance and metabolic syndrome. The imperative need for developing effective diagnostic imaging tools to predict the non-iodine-avid status of lung metastasis (LMs) in differentiated thyroid cancer (DTC) patients is underscored to prevent unnecessary radioactive iodine treatment (RAI).Primary cohort consisted 1962 pretreated LMs of 496 consecutive DTC patients with pretreated initially diagnosed LMs who underwent chest CT and subsequent post-treatment radioiodine SPECT. After automatic lesion segmentation by SE V-Net, SE Net deep learning was trained to predict non-iodine-avid status of LMs. External validation cohort contained 123 pretreated LMs of 24 consecutive patients from other two hospitals. Stepwise validation was further performed according to the nodule’s largest diameter.The SE-Net deep learning network yielded area under the receiver operating characteristic curve (AUC) values of 0.879 (95% confidence interval: 0.852–0.906) and 0.713 (95% confidence interval: 0.613–0.813) for internal and external validation. With the LM diameter decreasing from ≥10mm to ≤4mm, the AUCs remained relatively stable, for smallest nodules (≤4mm), the model yielded an AUC of 0.783. Decision curve analysis showed that most patients benefited using deep learning to decide radioactive I131 treatment.This study presents a noninvasive, less radioactive and fully automatic approach that can facilitate suitable DTC patient selection for RAI therapy of LMs. Further prospective multicenter studies with larger study cohorts and related metabolic factors should address the possibility of comprehensive clinical transformation.","PeriodicalId":505784,"journal":{"name":"Frontiers in Endocrinology","volume":"2 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141360586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Critically evaluated key points on hereditary medullary thyroid carcinoma 严格评估遗传性甲状腺髓样癌的要点
Frontiers in Endocrinology Pub Date : 2024-06-11 DOI: 10.3389/fendo.2024.1412942
Daqi Zhang, N. Liang, Hui Sun, Francesco Frattini, C. Sui, Mingyu Yang, Hongbo Wang, G. Dionigi
{"title":"Critically evaluated key points on hereditary medullary thyroid carcinoma","authors":"Daqi Zhang, N. Liang, Hui Sun, Francesco Frattini, C. Sui, Mingyu Yang, Hongbo Wang, G. Dionigi","doi":"10.3389/fendo.2024.1412942","DOIUrl":"https://doi.org/10.3389/fendo.2024.1412942","url":null,"abstract":"Medullary thyroid carcinoma (MTC) accounts for only 3% of all thyroid carcinomas: 75% as sporadic MTC (sMTC) and 25% as hereditary MTC (hMTC) in the context of multiple endocrine neoplasia type 2 (MEN2). Early diagnosis is possible by determining the tumour marker calcitonin (Ctn) when clarifying nodular goitre and by detecting the mutation in the proto-oncogene RET in the MEN2 families. If the Ctn level is only slightly elevated, up to 30 pg/ml in women and up to 60 pg/ml in men, follow-up checks are advisable. At higher levels, surgery should be considered; at a level of > 100 pg/ml, surgery is always advisable. The treatment of choice is total thyroidectomy, possibly with central lymphadenectomy. In the early stage, cure is possible with adequate surgery; in the late stage, treatment with tyrosine kinase inhibitors is an option. RET A mutation analysis should be performed on all patients with MTC. During follow-up, a biochemical distinction is made between: healed (Ctn not measurably low), biochemically incomplete (Ctn increased without tumour detection) and structural tumour detection (metastases on imaging). After MTC surgery, the following results should be available for classification in follow-up care: (i) histology, Ctn immunohistology if necessary, (ii) classification according to the pTNM scheme, (iii) the result of the RET analysis for categorisation into the hereditary or sporadic variant and (iiii) the postoperative Ctn value. Tumour progression is determined by assessing the Ctn doubling time and the RECIST criteria on imaging. In most cases, “active surveillance” is possible. In the case of progression and symptoms, the following applies: local (palliative surgery, radiotherapy) before systemic (tyrosine kinase inhibitors).","PeriodicalId":505784,"journal":{"name":"Frontiers in Endocrinology","volume":"23 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141357259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial: The role of paternal obesity on offspring health 社论:父亲肥胖对后代健康的影响
Frontiers in Endocrinology Pub Date : 2024-06-11 DOI: 10.3389/fendo.2024.1428886
Xiaoxu Xie
{"title":"Editorial: The role of paternal obesity on offspring health","authors":"Xiaoxu Xie","doi":"10.3389/fendo.2024.1428886","DOIUrl":"https://doi.org/10.3389/fendo.2024.1428886","url":null,"abstract":"","PeriodicalId":505784,"journal":{"name":"Frontiers in Endocrinology","volume":"6 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141357162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between remote resistance exercises programs delivered by a smartphone application and skeletal muscle mass among elderly patients with type 2 diabetes– a retrospective real-world study 智能手机应用程序提供的远程阻力训练计划与老年 2 型糖尿病患者骨骼肌质量之间的关系--一项回顾性真实世界研究
Frontiers in Endocrinology Pub Date : 2024-06-11 DOI: 10.3389/fendo.2024.1407408
Jing Yang, Hongyu Tan, Haoyan Yu, Jingshuo Li, Yang Cui, Yuanjian Lu, Xin Liu, Qimin Chen, Daan Zhou
{"title":"Association between remote resistance exercises programs delivered by a smartphone application and skeletal muscle mass among elderly patients with type 2 diabetes– a retrospective real-world study","authors":"Jing Yang, Hongyu Tan, Haoyan Yu, Jingshuo Li, Yang Cui, Yuanjian Lu, Xin Liu, Qimin Chen, Daan Zhou","doi":"10.3389/fendo.2024.1407408","DOIUrl":"https://doi.org/10.3389/fendo.2024.1407408","url":null,"abstract":"We aimed to explore the relationship between remote resistance exercise programs delivered via a smartphone application and skeletal muscle mass among elderly patients with type 2 diabetes, utilizing real-world data.The resistance exercises were provided through Joymotion®, a web-based telerehabilitation smartphone application (Shanghai Medmotion Medical Management Co., Ltd). The primary outcome was the changes in skeletal muscle index (SMI) before and after the remote resistance exercises programs. The secondary outcomes were changes in skeletal muscle cross-sectional area (SMA), skeletal muscle radiodensity (SMD) and intermuscular adipose tissue (IMAT).A total of 101 elderly patients with type 2 diabetes were analyzed. The participants had an average age of 72.9 ± 6.11 years for males and 74.4 ± 4.39 years for females. The pre- and post-intervention SMI mean (± SE) was 31.64 ± 4.14 vs. 33.25 ± 4.22 cm2/m2 in male, and 22.72 ± 3.24 vs. 24.28 ± 3.60 cm2/m2 in female respectively (all P < 0.001). Similarly, a statistically significant improvement in SMA, IMAT, and SMD for both male and female groups were also observed respectively (P < 0.001). Multiple linear regression models showed potential confounding factors of baseline hemoglobin A1c and duration of diabetes with changes in SMI in male, while hemoglobin A1c and high density lipoprotein cholesterol with changes in SMI in female.Remote resistance exercises programs delivered by a smartphone application were feasible and effective in helping elderly patients with type 2 diabetes to improve their skeletal muscle mass.","PeriodicalId":505784,"journal":{"name":"Frontiers in Endocrinology","volume":"43 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141358898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk of intracranial meningioma in patients with acromegaly: a systematic review 肢端肥大症患者罹患颅内脑膜瘤的风险:系统综述
Frontiers in Endocrinology Pub Date : 2024-06-11 DOI: 10.3389/fendo.2024.1407615
Amy X. Guo, Asha Job, Donato Pacione, Nidhi Agrawal
{"title":"Risk of intracranial meningioma in patients with acromegaly: a systematic review","authors":"Amy X. Guo, Asha Job, Donato Pacione, Nidhi Agrawal","doi":"10.3389/fendo.2024.1407615","DOIUrl":"https://doi.org/10.3389/fendo.2024.1407615","url":null,"abstract":"Acromegaly is a rare endocrine disorder caused by hypersecretion of growth hormone (GH) from a pituitary adenoma. Elevated GH levels stimulate excess production of insulin-like growth factor 1 (IGF-1) which leads to the insidious onset of clinical manifestations. The most common primary central nervous system (CNS) tumors, meningiomas originate from the arachnoid layer of the meninges and are typically benign and slow-growing. Meningiomas are over twice as common in women as in men, with age-adjusted incidence (per 100,000 individuals) of 10.66 and 4.75, respectively. Several reports describe co-occurrence of meningiomas and acromegaly. We aimed to determine whether patients with acromegaly are at elevated risk for meningioma. Investigation of the literature showed that co-occurrence of a pituitary adenoma and a meningioma is a rare phenomenon, and the majority of cases involve GH-secreting adenomas. To the best of our knowledge, a systematic review examining the association between meningiomas and elevated GH levels (due to GH-secreting adenomas in acromegaly or exposure to exogenous GH) has never been conducted. The nature of the observed coexistence between acromegaly and meningioma -whether it reflects causation or mere co-association -is unclear, as is the pathophysiologic etiology.https://www.crd.york.ac.uk/prospero/, identifier CRD42022376998.","PeriodicalId":505784,"journal":{"name":"Frontiers in Endocrinology","volume":"1 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141360466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current research of Assisted Reproductive Technology for women with early endometrial cancer and atypical endometrial hyperplasia after conservative treatment 对早期子宫内膜癌和非典型子宫内膜增生症妇女保守治疗后采用辅助生殖技术的研究现状
Frontiers in Endocrinology Pub Date : 2024-06-11 DOI: 10.3389/fendo.2024.1377396
Yan-le Jiang, Yan-ying Lin, Chen-xi Chen, Yu-xin Li, Huang-yan Xie, Bei-hong Zheng
{"title":"Current research of Assisted Reproductive Technology for women with early endometrial cancer and atypical endometrial hyperplasia after conservative treatment","authors":"Yan-le Jiang, Yan-ying Lin, Chen-xi Chen, Yu-xin Li, Huang-yan Xie, Bei-hong Zheng","doi":"10.3389/fendo.2024.1377396","DOIUrl":"https://doi.org/10.3389/fendo.2024.1377396","url":null,"abstract":"As the incidence of endometrial cancer (EC) and atypical endometrial hyperplasia (AEH) has been increasing, and has shown young trend. It is crucial to study the fertility-preserving treatment of endometrial lesions and fertility-promoting protocols. Age, obesity, and irregular ovulation are not only high-risk factors for endometrial lesions but also key factors affecting female fertility. Assisted reproductive technology (ART) can significantly improve pregnancy outcomes in patients with AEH and EC after conservative treatment. Based on the existing studies, this article reviews the progress of research on pregnancy outcomes of ART and its influencing factors in such patients. It helps physicians in providing optimal fertility guidance.","PeriodicalId":505784,"journal":{"name":"Frontiers in Endocrinology","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141355894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of Baduanjin for obesity and overweight: a systematic review and meta-analysis 八段锦对肥胖和超重的疗效:系统回顾和荟萃分析
Frontiers in Endocrinology Pub Date : 2024-06-11 DOI: 10.3389/fendo.2024.1338094
Hainan Gao, Xue Li, Hongnan Wei, Xinxin Shao, Zili Tan, Shaowei Lv, Lijie Pan, Ting Yu, Qiuyan Ye, Haibo Zhang, Xiangyu Zhu
{"title":"Efficacy of Baduanjin for obesity and overweight: a systematic review and meta-analysis","authors":"Hainan Gao, Xue Li, Hongnan Wei, Xinxin Shao, Zili Tan, Shaowei Lv, Lijie Pan, Ting Yu, Qiuyan Ye, Haibo Zhang, Xiangyu Zhu","doi":"10.3389/fendo.2024.1338094","DOIUrl":"https://doi.org/10.3389/fendo.2024.1338094","url":null,"abstract":"According to data from the World Health Organization (WHO), there is a significant public health issue regarding the increasing number of individuals affected by obesity and overweight on an annual basis. Therefore, it is imperative to urgently identify interventions that can effectively control and improve this condition. Baduanjin, as a medium-intensity exercise, appears a suitable approach for weight reduction among individuals with obesity. This paper aimed to provide a systematic review and meta-analysis of the efficacy of Baduanjin in addressing obesity and overweight, with the ultimate goal of assisting individuals with obesity in finding an effective, safe, and engaging method for weight reduction.We conducted a comprehensive search of multiple databases including PubMed, Cochrane Library, Web of Science, Embase, The China National Knowledge Infrastructure (CNKI), The Chinese Scientific Journal Database (VIP), The Chinese Biomedical Literature Database (CBM), and WanFang Database to identify relevant articles published from the inception of each database until September 2023. Specifically, we focused on randomized controlled trials (RCTs) investigating the effects of Baduanjin on weight reduction. Data from these studies were extracted and analyzed using appropriate statistical methods. In cases where there was no significant heterogeneity (I2 < 50%, p > 0.1), we employed a fixed effects model for data synthesis; otherwise, a random effects model was selected. Funnel plots were used to assess publication bias, and the mean difference (MD) was reported as an indicator of treatment group differences.A total of 420 participants were included in 10 studies. The MD results of the experimental group when compared with the control group were −3.69 (95%CI = −4.97 to −2.40, p < 0.001) for body weight (BW), −5.42 (95%CI = −6.56 to −4.28, p < 0.001) for body mass index (BMI), −1.36 (95%CI = −1.76 to −0.96, p < 0.001) for waist circumference (WC), −3.40 (95%CI = −4.43 to −2.37, p < 0.001) for hip circumference (HC), and −0.03 (95%CI = −0.04 to −0.02, p > 0.1) for the waist-to-hip ratio (WHR). All of the values in the experimental group showed significant difference. The results of the Egger’s test (t = 1.43, p = 0.190) suggest that there was no substantial bias present within the data analysis process. The safety profile revealed no adverse events reported across all 10 studies.Baduanjin could be effective in reducing weight, and the practice of Baduanjin has the potential to regulate BW, BMI, WC, HC, and WHR. However, further well-designed RCTs are still necessary to provide more robust evidence in the future.http://www.crd.york.ac.uk/PROSPERO/, identifier CRD42024513789.","PeriodicalId":505784,"journal":{"name":"Frontiers in Endocrinology","volume":"86 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141357709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prognostic models for mucinous and non-specific adeno cholangiocarcinoma: a population-based retrospective study 粘液腺癌和非特异性腺性胆管癌的预后模型:一项基于人群的回顾性研究
Frontiers in Endocrinology Pub Date : 2024-06-11 DOI: 10.3389/fendo.2024.1284283
Muhammad Salman Azhar, Zi-jian Zhang, Zhong-tao Liu, Yun-peng Huang, Yong-xiang Wang, Hui Zhou, Li Xiong, Yu Wen, Heng Zou
{"title":"Prognostic models for mucinous and non-specific adeno cholangiocarcinoma: a population-based retrospective study","authors":"Muhammad Salman Azhar, Zi-jian Zhang, Zhong-tao Liu, Yun-peng Huang, Yong-xiang Wang, Hui Zhou, Li Xiong, Yu Wen, Heng Zou","doi":"10.3389/fendo.2024.1284283","DOIUrl":"https://doi.org/10.3389/fendo.2024.1284283","url":null,"abstract":"Clinically, the diagnosis and treatment of cholangiocarcinoma are generally different according to the location of occurrence, and the studies rarely consider the differences between different pathological types. Cholangiocarcinomas in large- and middle-sized intrahepatic bile ducts are mostly mucinous, while in small sized bile duct are not; mucinous extrahepatic cholangiocarcinomas are also more common than mucinous intrahepatic cholangiocarcinoma. However, it is unclear whether these pathological type differences are related to the prognosis.Data of total 22509 patients was analyzed from Surveillance, Epidemiology, and End Results program database out of which 22299 patients were diagnosed with common adeno cholangiocarcinoma while 210 were diagnosed with mucinous cholangiocarcinoma. Based on the propensity score matching (PSM) analysis, between these two groups’ clinical, demographic, and therapeutic features were contrasted. The data were analyzed using Cox and LASSO regression analysis and Kaplan-Meier survival curves. Ultimately, overall survival (OS) and cancer specific survival (CSS) related prognostic models were established and validated in test and external datasets and nomograms were created to forecast these patients’ prognosis.There was no difference in prognosis between mucinous cholangiocarcinoma and adeno cholangiocarcinoma. Therefore, we constructed prognostic model and nomogram that can be used for mucinous and adeno cholangiocarcinoma at the same time. By comparing the 9 independent key characteristics i.e. Age, tumor size, the number of primary tumors, AJCC stage, Grade, lymph node status, metastasis, surgery and chemotherapy, risk scores were calculated for each individual. By integrating these two pathological types in OS and CSS prognostic models, effective prognosis prediction results could be achieved in multiple datasets (OS: AUC 0.70–0.87; CSS: AUC 0.74–0.89).Age, tumor size, the number of primary tumors, AJCC stage, Grade, lymph node status, metastasis, surgery and chemotherapy are the independent prognostic factors in OS or CSS of the patients with mucinous and ordinary cholangiocarcinoma. Nomogram that can be used for mucinous and adeno cholangiocarcinoma at the same time is of significance in clinical practice and management of cholangiocarcinoma.","PeriodicalId":505784,"journal":{"name":"Frontiers in Endocrinology","volume":"79 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141357878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Apolipoprotein A-I levels in the survival of patients with colorectal cancer: a retrospective study 载脂蛋白 A-I 水平与结直肠癌患者生存率的关系:一项回顾性研究
Frontiers in Endocrinology Pub Date : 2024-06-11 DOI: 10.3389/fendo.2024.1318416
Hailun Xie, Lishuang Wei, Qiwen Wang, Shuangyi Tang, Jialiang Gan
{"title":"Apolipoprotein A-I levels in the survival of patients with colorectal cancer: a retrospective study","authors":"Hailun Xie, Lishuang Wei, Qiwen Wang, Shuangyi Tang, Jialiang Gan","doi":"10.3389/fendo.2024.1318416","DOIUrl":"https://doi.org/10.3389/fendo.2024.1318416","url":null,"abstract":"Abnormal lipid levels have been associated with cancer incidence and progression. However, limited studies have investigated the relationship between apolipoprotein A-I (ApoA-I) and colorectal cancer (CRC). This study assessed the significance of ApoA-I levels in progression-free survival (PFS) and overall survival (OS) of patients with CRC.Survival curves were compared using Kaplan–Meier analysis, while the predictive values of various lipid indicators in CRC prognosis were evaluated based on receiver operating characteristic curves. The factors influencing PFS and OS in patients with CRC were analyzed using Cox proportional hazards regression models. Finally, the relationship between ApoA-I level and disease recurrence was investigated through logistic regression analysis. The optimal Apo-I level was determined through maximally selected rank statistics.Using the optimal ApoA-I cutoff value (0.9 g/L), the 1,270 patients with CRC were categorized into low (< 0.9 g/L, 275 cases) and high (≥0.9 g/L, 995 cases) ApoA-I groups. Compared with other lipid indicators, ApoA-I demonstrated superior predictive accuracy. The high ApoA-I group exhibited significantly higher survival rates than the low ApoA-I group (PFS, 64.8% vs. 45.2%, P < 0.001; OS, 66.1% vs. 48.6%, P < 0.001). Each one-standard-deviation increase in ApoA-I level was related to a 12.0% decrease in PFS risk (hazard ratio [HR] 0.880; 95% confidence interval [CI], 0.801–0.968; P = 0.009) and an 11.2% decrease in OS risk (HR 0.888; 95%CI, 0.806–0.978; P = 0.015). Logistic regression analysis revealed that patients with low ApoA-I had a 32.5% increased risk of disease recurrence (odds ratio [OR] 0.675; 95%CI, 0.481–0.946; P = 0.0225) compared with those with high ApoA-I. PFS/OS nomograms based on ApoA-I demonstrated excellent prognostic prediction accuracy.Serum ApoA-I level may be a valuable and non-invasive tool for predicting PFS and OS in patients with CRC.","PeriodicalId":505784,"journal":{"name":"Frontiers in Endocrinology","volume":"24 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141357380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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