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        Clinical Evidence of Chemotherapy or Endocrine Therapy Maintenance in Patients with Metastatic Breast Cancer: Meta-analysis from Randomized Clinical Trials and Propensity Score Matching of Multicentre Cohort Study

        Wei Ren,Yunfang Yu,Huangming Hong,Ying Wang,Quanlong Gao,Yongjian Chen,Peixian Chen,Jianli Zhao,Qiyun Ou,Dagui Lin,Tuping Fu,Yujie Tan,Chenchen Li,Xinxin Xie,Guolin Ye,Jun Tang,Herui Yao 대한암학회 2022 Cancer Research and Treatment Vol.54 No.4

        Purpose This study aims to comprehensively evaluate the clinical efficacy of chemotherapy or endocrine therapy maintenance in metastatic breast cancer (MBC) patients. Materials and Methods The meta-analysis of randomized clinical trials (RCTs) and propensity score matching of multicenter cohort study evaluated MBC patients who underwent first-line chemotherapy or endocrine therapy maintenance. This study is registered with PROSPERO: CRD42017071858 and ClinicalTrials.gov: NCT04258163. Results A total of 2,867 patients from 15 RCTs and 760 patients from multicenter cohort were included. The results from meta-analysis showed that chemotherapy maintenance improved progression-free survival (PFS) (hazard ratio [HR], 0.63; 95% confidence interval [CI], 0.54 to 0.73; p < 0.001; moderate-quality evidence) and overall survival (OS) (HR, 0.87; 95% CI, 0.78 to 0.97; p=0.016; high-quality evidence) than observation. In the cohort study, for hormone receptor–positive MBC patients, chemotherapy maintenance improved PFS (HR, 0.67; 95% CI, 0.52 to 0.85; p < 0.001) and OS (HR, 0.55; 95% CI, 0.42 to 0.73; p < 0.001) compared with observation, and endocrine therapy maintenance also improved PFS (HR, 0.65; 95% CI, 0.53 to 0.80; p < 0.001) and OS (HR, 0.55; 95% CI, 0.44 to 0.69; p < 0.001). There were no differences between chemotherapy and endocrine therapy maintenance in PFS and OS (all p > 0.05). Regardless of the continuum or switch maintenance therapy, showed prolonged survival in MBC patients who were response to first-line treatment. Conclusion This study provided evidences for survival benefits of chemotherapy and endocrine therapy maintenance in MBC patients, and there was no difference efficacy between chemotherapy and endocrine therapy maintenance for hormone receptor–positive patients.

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        GAS5 regulates viability and apoptosis in TGF-β1-stimulated bronchial epithelial cells by regulating miR-217/HDAC4 axis

        Zhao Sihui,Ning Yunfang,Qin Na,Ping Nan,Yu Yong,Yin Guoyan 한국유전학회 2021 Genes & Genomics Vol.43 No.8

        Background Asthma is a serious respiratory disease that afects the physical and mental health of children. Airway epithelial apoptosis concomitantly mediated by transforming growth factor-β1 (TGF-β1) is a crucial component of asthma pathogenesis. LncRNA growth Arrest Specifc 5 (GAS5), microRNA-217 (miR-217) and Histone deacetylase 4 (HDAC4) shown a close relationship with TGF-β1-induced injury of airway epithelial. However, the mechanism underlying TGF-β1-induced injury of airway epithelial in asthma still needs to be investigated. Objective We aimed to investigate the efect and underlying mechanism of GAS5/miR-217/HDAC4 axis in TGF-β1- stimulated bronchial epithelial cells. Methods The levels of were detected by quantitative real-time polymerase chain reaction (RT-qPCR). All protein levels were determined by western blot. Cell viability and apoptosis rate were assessed by Methyl thiazolyl tetrazolium (MTT) and Flow cytometry, respectively. The targeting relationship between miR-217 and GAS5 or HDAC4 was examined with dual-luciferase reporter assay. Results TGF-β1, GAS5, HDAC4 were up-regulated, while miR-217 was down-regulated in bronchial mucosal tissues of asthmatic children and TGF-β1-treated BEAS-2B cells. TGF-β1 could reduce cell viability and induce apoptosis, while these efects could be reversed by downregulation of GAS5 or HDAC4. Mechanically, GAS5 acted as a sponge for miR-217 to regulate the expression of HDAC4. Furthermore, overexpression of HDAC4 rescued the efects of GAS5 knockdown on viability and apoptosis of TGF-β1-induced BEAS-2B cells. GAS5 knockdown induced cell viability and hampered cell apoptosis in TGF-β1-stimulated BEAS-2B cells by regulating the miR-217/HDAC4 axis. Conclusions The lncRNA GAS5/miR-217/HDAC4 axis played an important role in regulating TGF-β1-induced bronchial epithelial cells injury, thus contributing to asthma.

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        Grain Refinement and Second Phases Evolution of Mg-13Gd-4Y-2Zn-0.4Zr Sheet During Processing by Rotary Forward Extrusion

        Zhaocan Li,Guoqin Wu,Yunfang Liu,Jianmin Yu 대한금속·재료학회 2023 METALS AND MATERIALS International Vol.29 No.11

        The grain refinement and second phases evolution of Mg-13Gd-4Y-2Zn-0.4Zr sheet during the rotary forward extrusion(RFE) process were investigated. The microstructures were observed by using optical microscopy, scanning electron microscopy,electron backscatter diffraction, X-ray diffractometer, and transmission electron microscope. The result shows, the modifiedcellular automata model fully considers the influence of long-period stacking ordered phase on the dislocation density,which can predict the grain size evolution of Mg-Gd-Y-Zn-Zr alloy during the RFE process, and the relative error can becontrolled within 10%. With the increase of RFE revolutions, the average grain size firstly decreases quickly (RFE1–RFE25),and then increased gradually (RFE25–RFE100). The decreased grain size is related to the enhanced dynamic recrystallizationprocess as the c-axis of most grains is rotated continuously to a transverse direction and more random texture types areformed. The increase in grain size is linked with the solid solution of the second phase, and the limitation on grain growthdue to the pinning effect of the second phase almost disappears. In the early stage (RFE1–RFE25), the contribution percentageof grain refinement and solid solution strengthening to microhardness improvement is 180.6% and 61.7%, respectively. In the subsequent stage (RFE25–RFE100), the dislocation density strengthening and solid solution strengthening accountsfor 60% and 440% of the increase in microhardness, respectively.

      • KCI등재

        Preparation and characterization of novel polyethylene/carbon nanotubes nanocomposites with core–shell structure

        Zhi Liu,Qigu Huang,Mengshan Yu,Jing Wang,Fengjiao Li,Lu Cheng,Jiangping Guo,Yang Zhou,Baichun Zhu,Jianjun Yi,Yunfang Liu,Wantai Yang 한국공업화학회 2014 Journal of Industrial and Engineering Chemistry Vol.20 No.4

        Preparation of novel polyethylene/carbon nanotubes (CNTs) nanocomposites with core–shell structure was presented. The method involved in situ ethylene polymerization in which nanotube surface was treated with Grignard Agent, followed by reacting with active transition metal compound, TiCl4. The multiwalled carbon nanotubes (MWCNTs) supported catalysts polymerize ethylene to form polymer nanocomposite. MWCNTs were homogeneously dispersed within polymer matrix, and as expected, the resultant nanocomposites featured core–shell structure which was confirmed by HRTEM. For the nanocomposite, the microscopic examination of the cryogenically fractured surface not only ensured a good distribution of carbon nano-particles in the PE matrix but also revealed the ductile-like fracture. The Raman spectroscopy and X-ray photoelectron spectroscopy (XPS) were employed for the study of covalent sidewall functionalization and chemical bonding environment of MWCNTs, also indicated effective immobilization of titanium catalyst on the MWCNTs surface. The crystalline properties, dielectric property and thermal stability of the nanocomposites were determined by WAXD, impedance analyzer and TGA. The dielectric result showed a slight decline of the dielectric constant of the nanocomposites with increase of the polymerization time, and lower dielectric loss was also observed.

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