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find Author "黎川" 2 results
  • Assessing the causal association of 1 400 blood metabolites with the risk of pancreatic cancer: a comprehensive Mendelian randomized study

    ObjectiveTo systematically evaluate the causal relationship between blood metabolites and pancreatic cancer (PC) risk using Mendelian randomization (MR). MethodsWe conducted a two-sample MR analysis using genetic instruments for 8 299 blood metabolites derived from a European genome-wide association study (GWAS) and PC outcome data from the GWAS Catalog. The primary analysis employed inverse-variance weighted (IVW) regression, with sensitivity analyses including MR-Egger, weighted median, weighted mode, and simple mode methods. Heterogeneity was assessed using Cochran’s Q test, pleiotropy was evaluated via MR-Egger intercept tests, and outliers were identified using MR-PRESSO. Robustness was confirmed through leave-one-out analyses. For metabolites showing significant associations (P<0.05), we performed independent replication using the same European PC GWAS cohort, followed by meta-analysis of all results. Reverse causation was excluded using Steiger directionality tests and bidirectional MR, while genetic confounding was assessed via linkage disequilibrium score regression (LDSC). ResultsAfter multi-stage screening, 26 blood metabolites demonstrated statistically significant associations with PC risk (P<0.05), comprising 18 annotated metabolites (12 lipids, 3 amino acids, 2 coenzymes/vitamins, 1 nucleotide, and 1 peptide), 3 metabolite ratios, and 5 unannotated metabolites. Replication analysis confirmed 6 of these 26 metabolites in the independent European PC GWAS cohort. Crucially, meta-analysis of all 26 metabolites yielded consistent significant associations (P<0.05 for all), with 1-palmitoleoylglycerol (16:1) exhibiting the strongest protective effect [OR=0.76, 95%CI (0.68, 0.85), P<1.0×10-5]. LDSC analysis revealed no significant genetic confounding for 25/26 metabolites (P>0.05), except for myristate (14:0), Rg=1.534, Se=0.571, P=0.007), where genetic correlation potentially influenced MR estimates. Pathway analysis further implicated dysregulation of lipid metabolism as a key mechanism, with 1-palmitoleoylglycerol emerging as a high-priority biomarker candidate for PC risk stratification. ConclusionsThis study provides causal evidence within the European population that some blood metabolites are associated with PC risk, identifying 1-palmitoleoylglycerol as a novel protective biomarker and highlighting targeting lipid metabolic pathways as a promising therapeutic strategy for pancreatic cancer.

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  • 纳米炭染色结直肠癌淋巴结分站对比研究

    目的探究纳米炭染色对结直肠癌淋巴结示踪的规律以及对转移淋巴结检出的影响。方法回顾性收集2022年4月至2023年9月期间于重庆医科大学附属第一医院胃肠外科接受腹腔镜结直肠癌根治性手术及术前行肿瘤纳米炭标记的92例患者的标本。新鲜标本淋巴结按第一站、第二站及第三站分检,各站又分为染色组和未染色组。比较各组间及组内不同站不同染色程度淋巴结的差异。结果共纳入92例患者,共分检出淋巴结2 859枚,其中转移淋巴结66枚(2.3%),未转移2 793枚(97.7%);黑染淋巴结2 167枚(75.8%),未染色692枚(24.2%)。淋巴结染色率从第一到第三站逐渐递增(P<0.017);第一站和第二站转移淋巴结的染色率比同站所有淋巴结染色率低(χ2=23.959,P<0.001;χ2=7.187,P=0.007),但在第三站中差异无统计学意义(χ2=1.155,P=0.283);第一站和第二站染色淋巴结转移率小于未染色淋巴结(χ2=26.224,P<0.001;χ2=7.520,P=0.006),但第三站中差异无统计学意义(χ2=1.232,P=0.267)。结论纳米炭淋巴结示踪效果随着淋巴回流逐渐增强。在第一站和第二站,其对于转移淋巴结的显示缺乏特异性,手术及分检过程中应更关注未染色淋巴结。在第三站淋巴结中,能够更有效地示踪转移淋巴结,可按染色淋巴结进行针对性地淋巴结清扫。

    Release date:2024-05-28 01:47 Export PDF Favorites Scan
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