bluuebunny/crossref_metadata_2025_split huggingface dataset:
Dual HER-2 blockade therapy increases the risk of developing cardiac toxicities in HER-2 positive breast cancer: an up-to-date comprehensive meta-analysis
Authors: Qi Wei-Xiang , Cao Lu , Xu Cheng , Zhao Shengguang , Chen Jiayi 
Published: February 2020

Abstract
Background To investigate the incidence and risk of cardiac toxicities between dual HER-2 blockade and anti-HER-2 monotherapy.Materials and Methods We searched PubMed, EMBASE and Cochrane library databases to identify relevant trials between January 1 1990 and October 31 2019. Statistical analyses were conducted to calculate the summary incidence, Petro odds radio (Peto ORs) and 95% confidence intervals (CIs) by using either random-effects or fixed-effects models.Results A total of 16,375 patients from 15 randomized controlled trials were included for analysis; the pooled incidence of LVEF decline and CHF in dual HER-2 blocked were 4.6% and 0.9%, which was higher than that in anti-HER-2 monotherapy (3.2% and 0.7%, respectively). Dual HER-2 blockade therapy in breast cancer patients significantly increased the risk of developing LVEF decline (OR:1.19, 95%CI: 1.02-1.40, p=0.031) and CHF (OR:1.45, 95%CI: 1.00-2.11, p=0.049) when compared to anti-HER2 monotherapy. Sub-group analysis showed that addition of dual HER-2 blockade to adjuvant treatment for breast cancer significantly increased the risk of developing LVEF decline (p=0.048) and CHF (p=0.005). In addition, dual HER-2 blockade in breast cancer patients significantly increased the risk of developing LVEF decline (p=0.004) when compared to lapatinib alone, but not for CHF (p=0.11, respectively).Conclusion Dual HER-2 targeted therapy in HER-2 positive breast cancer significantly increase the risk of developing LVEF and CHF when compared to anti-HER-2 alone, though the overall incidence of cardiac toxicities is very low. Physicians should be aware of this risk and provide close monitoring during the administration of dual HER-2 targeted therapy.
Identification and Functional Analysis of the Doublesex Gene in the Redclaw Crayfish, Cherax quadricarinatus
Authors: Zheng Jianbo , Cai Lina , Jia Yongyi , Chi Meili , Cheng Shun , Liu Shili , Gu Zhimin 
Published: February 2020

Abstract
Background: Crustaceans often exhibit significant sexual dimorphism during their growth process. However, their sex determination system is relatively complex, and still lacks of related studies that involved in sex determination and differentiation.Results: In the present study, the gene of Doublesex (Cqdsx) was identified and characterized for the first time in the redclaw crayfish, Cherax quadricarinatus. The full-length cDNA was 1271 bp, comprising a 155 bp 5’-untranslated region (5’-UTR), a 885 bp predicted open reading frame (ORF) encoding 294 amino acid polypeptides, and a 231 bp 3’-UTR. The deduced amino acid sequence of Cqdsx was predicted to contain a highly conserved DM domain and shared nearly 50% identity to DM-peptides from other species. The results of quantitative Real-time PCR in various tissues revealed that Cqdsx was strongly expressed in gonads, while was almost undetectable in gill, heart, hepatopancreas, muscle and intestine. Comparing expression level in different embryonic stages found that Cqdsx was gradually increased with the development of the embryos. In situ hybridization to gonad sections showed that intensive hybridization signals were mainly observed in oocytes and ovarian lamellae and weak signals were detected in spermatocyte. Additional, Cqdsx gene exhibited the higher transcript levels in the early stage of ovarian development. Furthermore, RNAi-targeting Cqdsx silencing induced a decrease of Cq-IAG trascripts, which regulated the male sexual differentiation in crustacean.Conclusion: DM-domain genes play an important role in the sex determination and differentiation among animal kingdom. The full-length cDNA of Cqdsx in C. quadricarinatus was isolated and characterized. Our findings strongly suggests an essential role for Cqdsx in the female ovarian development/differentiation of the redclaw crayfish. These data may provide us a better understanding of sex determination in C. quadricarinatus.
The genome-wide supported CACNA1C gene polymorphisms and the risk of schizophrenia: an update meta-analysis
Authors: Liu Yongping , Wu Xue , Xia Xi , Yao Jun , Wang Bao-jie 
Published: February 2020

Abstract
Background: The CACNA1C gene was defined as the risk gene for schizophrenia in a large GWAS of European ancestory by Psychiatric Genomics Consortium. Previous meta-analyses have focused on the association between CACNA1C gene rs1006737 and schizophrenia. However, the present study focused on whether there was a racial difference in the effect of CACNA1C gene rs1006737 on schizophrenia. In addition, rs2007044 and rs4765905 were used to analyzed the risk of schizophrenia.Methods: The pooled analysis, subgroup analysis, sensitivity analysis and publication bias were conducted.Results: A total of 18 studies met the inclusion criteria, 14 for rs1006737 (15,213 cases and 19,412 controls), 3 for rs2007044 (6007 cases and 6,518 controls), and 2 for rs4765905 (2,435 cases and 2,639 controls). Rs2007044 and rs4765905 were also related to schizophrenia in the only conducted allele model. For rs1006737, the allele contrast model, dominant model, recessive model, codominance models, and complete overdominance model were performed, and the overall meta-analysis showed significant differences between rs1006737 and schizophrenia. However, race-based subgroup analysis of rs1006737 and found that the genotypes GG and GG+GA were only protective factors for schizophrenia in European populations, while the GA genotype of rs1006737 only reduced the risk of schizophrenia in Asian populations.Conclusions: Rs1006737, rs2007044 and rs4765905 of CACNA1C gene were associated with susceptibility to schizophrenia. However, the influence model of rs1006737 on schizophrenia in Asian and European populations have both similarities and differences.
Exploiting bacterial outer membrane vesicles as a cross-protective vaccine candidate against avian pathogenic Escherichia coli
Authors: Hu Rujiu , Li Jing , Lin Hua , Liang Liu , Zhao Yuezhen , Wang Mimi , Liu Haojing , Gao Yupeng , Yang Mingming 
Published: February 2020

Abstract
Background: The well-known fact that avian pathogenic Escherichia coli (APEC) is harder to prevent due to its numerous serogroups has promoted the development of biological immunostimulatory materials as new vaccine candidates in poultry farms. Bacterial outer membrane vesicles (OMVs), known as spherical nanovesicles enriched with various immunostimulants, are naturally secreted by Gram-negative bacteria, and have gained much attention for developing effective vaccine candidates. Here, a novel multi-serogroup OMVs (MOMVs) vaccine was developed to achieve cross-protection against APEC infection in broiler chickens.Results: In this study, OMVs produced by three APEC strains were isolated, purified and prepared into MOMVs by mixing these three OMVs. By using SDS-PAGE and LC-MS/MS, 159 proteins were identified in MOMVs and the subcellular location and biological functions of 20 most abundant proteins were analyzed. The immunogenicity of MOMVs was evaluated, and the results showed that MOMVs could elicit innate immune responses, including internalization by chicken macrophage and production of immunomodulatory cytokines. Vaccination with MOMVs induced specific broad-spectrum antibodies as well as Th1 and Th17 immune responses. The animal experiment has confirmed that immunization with an appropriate dose of MOMVs could not cause any adverse effect and was able to reduce bacteria loads and pro-inflammatory cytokines production, thus providing eﬀective cross-protection against lethal infections induced by multi-serogroup APEC in chickens. Further experiments indicated that, although vesicular proteins were able to induce stronger protective efficiency than lipopolysaccharide, both vesicular proteins and lipopolysaccharide are crucial in MOMVs-mediated protection.Conclusions: The multi-serogroup nanovesicles produced by APEC strains will open up a new way for the development of next generation vaccines with low toxicity and broad protection in the treatment and control of APEC infection.
BIRC7 and STC2 expression is associated with tumorigenesis and poor outcome in extrahepatic cholangiocarcinoma
Authors: Li Jiequn , Yang Zhulin , Huang Shengfu , Li Daiqiang 
Published: February 2020

Abstract
Background: Extrahepatic cholangiocarcinoma (EHCC) is a highly aggressive epithelial malignancy and has a poor prognosis for their insensitivity to therapies and difficulty in detection. Novel targets and biomarkers are urgently needed to develop for functional, diagnostic and prognostic application on EHCC. Methods: 100 EHCC tissues，30 peritumoral tissues, 10 adenoma and 15 normal biliary tract tissues were assayed using EnVision immunohistochemistry. Results: The expression of BIRC7 and STC2 proteins were higher in EHCC tissues than those in peritumoral tissues, adenoma and normal biliary tract tissues. The positive rates of BIRC7 and STC2 expression were significantly higher in cases with lymph node metastasis, invasion to surrounding tissues/organs, and TNM stage III and/or IV and unable to undergo resection (biopsy only). Kaplan-Meier survival curves demonstrated that the overall survival of positive-BIRC7 or positive-STC2 patients was significantly lower than those of negative-BIRC7 or negative-STC2, respectively. Cox-proportional regression analysis demonstrated that positive-BIRC7 and positive-STC2 expression, along with poor differentiation of EHCC, tumor size >3cm, lymph node metastasis, invasion to surrounding tissues/organs and unable to undergo resection are independent prognostic factors of EHCC patients. Conclusions: BIRC7 and STC2 are involved in the tumorigenesis and progression of EHCC, and positive expression of BIRC7 and STC2 are associated with poor prognosis in patients with EHCC. BIRC7 and STC2 might be a potential tumor biomarker for EHCC diagnosis and prognosis.
MicroRNA-103a curtails the stemness of non-small cell lung cancer cells by binding to OTUB1 through the Hippo signaling pathway
Authors: Hu Zhenzhen , Xiao Dan , Qiu Tingting , Li Jun , Liu Zhentian 
Published: February 2020

Abstract
Background: Although dysfunction of microRNA-103a (miR-103a) has been implicated in various cancers, its relevance in non-small cell lung cancer (NSCLC) is unsettled. This study was designed with an aim to examine the molecular mechanism underlying the regulatory role of miR-103a in NSCLC. Methods: Kaplan-Meier analysis was carried out to study the correlation between overall survival of NSCLC patients and miR-103a expression. RT-qPCR and Western blot were applied to evaluate the expression of relevant genes in tissues and cells. Sphere formation, MTS, flow cytometry as well as Transwell assays were conducted for characterizing the stemness. Dual-luciferase reporter gene assay was applied to clarify the binding relationship between miR-103a and ovarian tumor domain-containing ubiquitin aldehyde binding protein 1 (OTUB1). Results: miR-103a expression was diminished in NSCLC tissues and cells, whereas OTUB1 expression was increased. The expression of miR-103a and OTUB1 mRNA was significantly negatively correlated in NSCLC tissues. After overexpression of miR-103a, the cell viability and stemness were diminished, while the cycle arrest and apoptosis rate were facilitated, and the expression of p-YAP decreased significantly. The opposite trend was observed after miR-103a silencing. miR-103a lowered the expression of OTUB1, while overexpression of OTUB1 blocked the inhibition effects of miR-103a on NSCLC. Conclusion: miR-103a/OTUB1/Hippo axis plays a possible role in modulating the malignant behavior and stemness of cells, which might function as a possible therapeutic option for management of NSCLC.
Endoscopic transforaminal lumbar interbody fusion in the treatment of degenerative lumbar spondylolisthesis
Authors: Yan Denglu , Zhang Zaiheng , Zhang Zhi 
Published: February 2020

Abstract
Background Transforaminal lumbar interbody fusion (TLIF) has been widely accepted as a standard treatment option for the patients with lumbar spondylolisthesis with good clinical outcomes. However, some patients suffered from the back pain postoperatively. With the development of minimally invasive endoscopic methods in spine surgery, the current trend of evolution lumbar spinal surgery has been toward endoscopic procedures. Purpose The purpose of this study was to evaluate the clinical outcomes and efficacy of endoscopic transforaminal lumbar interbody fusion (ELIF) in the treatment of degenerative lumbar spondylolisthesis by compare to the standard transforaminal lumbar interbody fusion (TLIF). Methods A total of 93 patients with lumbar spondylolisthesis who had surgery from February 2016 to January 2018 were categorized into different groups depending on the procedure by ELIF or TLIF. The ELIF and TLIF procedures was performed, and the clinical outcomes of blood loss, operation times, hospital stay days, pain index, ODI score, the spondylolisthesis rate and reduction rate, and the disk height and intervertebral foramen height were recorded. Results In ends 86 cases had follow-up at least one year and seven cases lost, and the follow-up rate and followed time were no difference between two groups (P > 0.05). The operational time was longer in ELIF than TLIF (P < 0.01).The hospital days and blood loss were significant less in endoscopic group than TLIF (P < 0.01). The pain index and ODI score, the spondylolisthesis rate and reduction rate, and the disk height and intervertebral foramen height were better than preoperational (P < 0.01), and there were no difference between two groups (P > 0.05). All patients achieved spinal fusion with no cases of cage extrusion, and no infection, and no dural tear of cerebrospinal fluid leakage complication. There were one case of radiculitis (man) at endoscopic group. CT-myelogram revealed the radiculitis patients had normal radiologic findings, and the patient was recovered by neurotrophy drugs and functional exercises after 3 months. Conclusions Endoscopic lumbar decompression and interbody fusion procedures was an effective and safe measure in the treatment of the lumbar spondylolisthesis. Compare to open interbody fusion techniques, endoscopic lumbar interbody fusion was a minimally invasive surgery with less bold loss and earlier postoperative recovery.
Evaluation of spectral CT in differentiating metastatic from non-metastatic lymph nodes in non-small cell lung cancer(NSCLC)
Authors: Wang Funan , Wang Yanwei , Guo Gang , Zhu Liuhong 
Published: February 2020

Abstract
Background Lung cancer is the main cause of tumor-correlated deaths, analysis of lymph nodes is crucial to staging of lung cancer. The purpose of the study is to explore the importance of spectral CT imaging in the difference prognostic of metastatic and non-metastatic mediastinal lymph nodes in non-small cell lung cancer. Methods A retrospective examination of 76 patients with non-small cell lung tumor who underwent spectral CT was performed. Quantifiable GSI (Gemstone spectral imaging) parameters (eg, 40 keV, iodine concentration, water concentration) were calculated in non-contrast, arterial and venous phase in 110 mediastinal lymph nodes using AW4.6 (GE HEALTHCARE, USA). Results The CT values ​​of 40 kev, λHU (The slope of Hounsfield unit curve) and IC(values of iodine concentration values), WC(values of water concentration) measured at the arterial or venous phase were not significantly different from those of metastatic growth lymph nodes (P > 0.05). The net value of Arterial phase (nIAP,net value of iodine concentration in Arterial phase) and vein phase (nIVP, net value of iodine concentration in vein phase) were calculated. The value of nIAP was the difference between IAP (iodine concentration of arterial phase) and INCP (iondine concentration of non-contrast phase), while the value of nIVP was the difference between IVP (iodine concentration of venous phase) and INCP. There stood no noteworthy difference in nIAP amid metastatic lymph nodes and non-metastatic lymph nodes (P = 0.110). There was a substantial difference in nIVP amid metastatic lymph nodes and non-metastatic lymph nodes (P = 0.001). Conclusions Compared with qualitative assessment with conventional CT imaging features, quantitative GSI parameters (nIVP) showed higher accuracy for the preoperative diagnosis of mediastal lymph nodal metastases in patients with NSCLC.
COVID-19 Orf3b protein: the putative biological function and the therapeutic target
Authors: Veljkovic Veljko , Paessler Slobodan 
Published: February 2020

Abstract
The analysis of the COVID-19 Orf3b performed by the informational spectrum methodology suggests that this protein acts as a modulator of the interferon signaling network by binding to Karyopherin proteins. The binding site for Karyopherins on the Orf3 protein (residues 15-29) is proposed as a possible therapeutic target for COVID-19.
Near binocular visual function after SMILE surgery for myopia
Authors: CHEN XIAOQIN , Wang Yan , Li Lihua 
Published: February 2020

Abstract
Purpose: To analyze the changes of near binocular vision function after small incision lenticule extraction and association with asthenopia.
Methods: This was a retrospective study．Twenty-five myopic patients who underwent small incision
lenticular extraction (SMILE) surgery from Tianjin Eye Hospital were included in this study．The values of parameters of near binocular vision function were measured at preoperative, 1 week, 1 month and 3 months postoperatively including near heterophoria, near point convergence (NPC), horizontal base-in fusional reserves (BIFR) and base-out fusional reserves (BOFR). The patients were grouped by the preoperative symptoms scores. The comparisons among different follow-up periods were conducted by the repeated measures analysis of variance. The Pearson correlation coefficient (r) was used to evaluate the linear fit of the relationship between variables. Multiple linear regressions were used to analyze the relationship between asthenopia and parameters of binocular and accommodative function.
Results: The NPC significantly increased at 1 week and 1 month after SMILE and then get back to the level of preoperatively in 3 months postoperatively. Near heterophoria significantly decreased at 1 week after SMILE and then remained stable in 3 months postoperatively. In the regression analysis, there was no significant association between the values of the fatigue questionnaire at different stages after SMILE operation and the parameters of near binocular visual function (P>0.05). However, there was significant positive correlation among each visit with the preoperative visual fatigue questionnaire（P<0.05). There was no significant difference in the parameters of binocular visual function between the normal group and the fatigue group. For the visual fatigue group, there was positive correlation between the score of visual fatigue questionnaire 1 week after SMILE surgery and the difference in near horizontal phoria between 1w postoperative and that preoperative (r=0.523, P=0.046), and significant negative correlation with the recovery point of BOFR at 1 week (r=-0.581, P=0.023).
Conclusion: SMILE surgery wouldn’t influence the binocular vision in the short term. Since there was no significant association between binocular vision function and visual fatigue, factors of asthenopia in the early period of SMILE surgery should be further studied.
Use of the product of driving pressure and respiratory rate for predicting failure of weaning from mechanical ventilator in medical patients
Authors: Gong Ju , Zhang Bibo , Huang Xiaowen , Li Bin , Huang Jian 
Published: February 2020

Abstract
Background : Respiratory workload increment in the process of mechanical ventilation withdrawal is critical for the determination of weaning outcome. Pressure, tidal volume (Vt) and respiratory rate (RR ) are considered as patient’s respiratory power, albeit being affected by excessive respiratory load. We aimed to evaluate the performance of driving pressure (DP)×RR to predict the outcome of weaning. Methods : Plateau pressure (Pplat) and positive end-expiratory pressure tot (PEEPtot) were measured during mechanical ventilation, viz., (1) brief deep sedation, (2) on volume support ventilation of MV with Vt 6 ml/kg and a PEEP of 0 cm H 2 O, (3) Pplat and PEEPtot were measured by holding breath for 2s after inhalation and exhalation, respectively. The DP was determined as Pplat minus PEEPtot. The highest RR was recorded within 3 min during spontaneous-breathing trial (SBT). Patients that were able to tolerate SBT for 1 h were directly extubated. These measurements correlated well with weaning outcome. Notably, patients in the “failure” group failed the SBT, died, while others required reintubation or noninvasive ventilation within 48 h of extubation. Results : Out of the 61 patients studied, 22 failed weaning. During the withdrawal of ventilation, DP×RR was 134.2±33.2 cmH 2 O ·breaths/min and 238.5±61.7 cmH 2 O·breaths/min ( P =0.00), DP was 7.9±1.6 cmH 2 O and 9.7±2.3 cmH 2 O ( P =0.00), in the “success” and “failure” groups, respectively. The DP×RR index greater than 170 cmH 2 O·breaths/min had a sensitivity of 95.5% and a specificity of 89.7%, while DP index greater than 8.1 cmH 2 O had 81.8% sensitivity and 64.1% specificity to predict weaning failure. Conclusions : Measurement of DP×RR during withdrawal of ventilation may help predict weaning outcome. Noticeably, high DP×RR increased the likelihood of weaning failure.
Sero-prevalence of leptospirosis among presumptive malaria patients in a secondary health facility in Oyo state, Southwest Nigeria
Authors: Besong Mathias Ayuk , Awosanya Emmanuel , Adeyanju Olusoji , Adigun A. Adedayo , Micchael Charles Akatobi , Balogun Muhammed Shakir , Ogundipe Gabriel 
Published: February 2020

Abstract
Background: Leptospirosis is a neglected tropical zoonoses that presents with fever and can be misdiagnosed, with fatal outcomes. Its incidence has been on the increase in recent times with 1 million cases and over 60,000 deaths reported annually worldwide. We determined the seroprevalence of leptospirosis and associated risk factors among presumptive malaria patients in a secondary health facility in Ibadan.Methods: We used Leptospira Rapid Diagnostic Test kit to estimate the seroprevalence of leptospirosis among 143 patients who presented at the study center between 27th April and 15th May 2019 whom a physician had seen and tentatively diagnosed malaria. We used one drop of blood for the test from blood collected by trained laboratory technicians for malaria diagnosis. Data on patients’ demographics and risk factors were collected using an interviewer-administered questionnaire. We calculated frequencies, means and proportion. We did bivariate analyses at α0.05 to test for associations.Result: The median age of the participants was 34 years (range: 6 months-80 years). Eighty-nine (62.2%) of them were females. Of the 143 tested, 12 (8.4%) were positive for Leptospira IgM/IgG antibodies. Eleven (7.7%) patients were positive for malaria. One (0.7%) was positive for both malaria and leptospirosis. None of the risk factors measured was significantly associated with leptospirosis.Conclusion: we confirmed Leptospirosis among febrile patients at the study center We found that the seroprevalence of leptospirosis is same as that of malaria among the sampled population. However, leptospirosis/malaria co-infection was low. We recommend a review of the diagnostic protocol to include leptospirosis as a differential.