Abstract
Research has suggested a significant prognostic value of ST-T changes in various cardiovascular diseases and malignant tumors. However, their role in predicting prognosis in patients with peripheral T-cell lymphomas (PTCLs) remains unknown. Here, we investigated the prognostic potential of ST-T changes in all-cause mortality of PTCLs patients. In total, 131 patients with PTCLs between January 2015 and April 2020 were enrolled. Univariable and multivariable COX proportional hazards regression models were used to find the relationship between ST-T changes and all-cause mortality in these patients. A significant difference in all-cause mortality was found between patients with ST-T abnormalities and those without definite abnormalities in the ST-T segments (P = 0.027). Multivariable Cox risk regression analysis indicated that patients with ST-T changes had greater all-cause mortality than patients with normal ST-T segments in the intermediate-high/high-risk groups (P < 0.001). In addition, ST-T changes were markedly distinction in patients with hypoproteinemia than in those with no definite abnormalities in the ST-T segments (P = 0.021). ST-T changes may serve as potential, simple, and effective prognostic factors for all-cause mortality in PTCLs patients, especially in the intermediate-high/high-risk and hypoproteinemia groups. Therefore, regular ECG monitoring is recommended to guide the clinical treatment of patients with PTCLs.
1 Introduction
Peripheral T-cell lymphomas (PTCLs) are a nonuniform group of diseases that originate in mature postthymic T lymphocytes. They represent about 10–15% of non-Hodgkin’s lymphomas in European and American countries, and approximately 21.4% in China [1,2]. PTCLs are more frequent in men and older adults. Although clinical manifestations may vary greatly depending on the various subtypes and stages, the prognosis is usually poor. In some PTCL subtypes, the 5-year survival rate may be as low as 7%. Patients with intermediate-high/high-risk are often at a greater risk for poor prognosis [3,4,5].
Anthracycline-based regimens remain the cornerstone of treatment for PTCLs [6,7,8,9]. Other second-line anticancer chemotherapeutics are recommended for relapsed and refractory patients, including antimetabolites 5-fluoropyrimidine, cytarabine, alkylating agents, platinums, monoclonal antibodies, and antimicrotubule drugs. The overall response rates are 50–60%, and the complete remission rates are 20–30% [10]. However, there is an increased risk of cardiovascular adverse events in patients receiving treatment. These drugs can directly or indirectly cause certain cardiotoxicity, mainly manifested as arrhythmia, dilated cardiomyopathy, ventricular dysfunction, heart failure, myocardial infarction, pericarditis, and pericardial effusion [6,11,12]. Consequently, it is important to evaluate the cardiac burden and optimize appropriate treatment strategies to improve outcomes and patient survival.
The 12-lead electrocardiogram (ECG) is a simple, noninvasive, and inexpensive tool in clinical practice. ST-T represents the electrical activity from ventricular contraction to ventricular relaxation. The manifestation of the ST segment and T wave on ECG beyond the normal range is called ST-T changes. Recently, ST-T changes were demonstrated as strong prognostic indicators of coronary artery disease, acute myocarditis, systemic sclerosis (scleroderma), and various types of malignant tumors, including gastrointestinal tumors and breast cancer [13,14,15,16,17,18]. Nevertheless, there is no evidence indicating an exact relationship between ST-T changes and PTCLs prognosis. During this study, we explored the potential predictive role of ST-T changes in mortality from all-cause among PTCL patients.
2 Patients and methods
2.1 Patients
From January 2015 and April 2020, 131 patients diagnosed with PTCLs in the First Affiliated Hospital of Xi’an JiaoTong University were incorporated into this study. Diagnosis, subtypes, and treatment were assigned according to the 2016 National Comprehensive Cancer Network Peripheral T-cell Lymphoma Clinical Practice Guidelines [19]. Patients with congenital heart disease, acute coronary syndrome, atrial fibrillation, and other arrhythmias, and lack of follow-up information were excluded. The present study obtained the approval by the Medical Ethics Review Committee of the First Affiliated Hospital of Xi’an JiaoTong University (NO. XJTU1AF2020LSK-179).
2.2 Clinical characteristics
Clinical baseline characteristics and demographics of PTCL patients were extracted from the patient’s electronic medical records based on the inclusion and exclusion criteria. Clinical staging referred to the Ann Arbor classification revised by 2014 Lugano evaluation standard [20]. Eastern Cooperative Oncology Group (ECOG) scoring criteria were defined as an indicator of the general health status and tolerance to treatment from physical activity in patients, and the scores ranged from 0 to 5. The International Prognostic Index (IPI) score system, which is the most widely accepted and used clinical prognostic scoring system [21], was utilized for non-Hodgkin’s lymphoma and included five prognostic indicators: age, serum lactate dehydrogenase (LDH), ECOG score, clinical stage, and the number of involved extranodal invasion sites. Furthermore, the IPI was calculated for patient risk stratification into the following categories: IPI score 0–1 as low-risk, 2 as low-intermediate risk, 3 as intermediate-high risk, and 4–5 as high-risk. Given the relatively small sample size and other factors, we divided the groups into two categories (low/low-intermediate risk and intermediate-high/high-risk). Moreover, patients were categorized into the normal (≥3.5 g/dL) and hypoproteinemia (<3.5 g/dL) groups. All-cause mortality was defined as the endpoint, and the last follow-up was July 31, 2020. Follow-up was conducted by telephone or outpatient visits. ST-T changes in PTCL patients were evaluated. ECG reports were analyzed by two professional technicians in the ECG room of the First Affiliated Hospital of Xi ‘an Jiaotong University independently, and any disagreement was discussed till an unanimous decision was made.
2.3 Statistical analysis
Continuous data are presented as mean ± SD or median (interquartile range), and categorical data are presented as percentage (n%). The normality and homogeneity of the variable distributions were determined using the Shapiro Wilks test and Levene’s test, respectively. Survival curves were built by the Kaplan–Meier method, and survival differences were tested by the log-rank test. The association between ST-T changes and mortality from all-cause was performed using univariable and multivariable Cox proportional hazard models. Covariates for the multivariable Cox proportional hazard regression models were selected as potential confounders based on P < 0.05 or their biological relevance in univariable analyses. Assumptions for Cox proportional hazards regression were tested and met with the Schoenfeld residuals. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using Cox proportional hazards regression, adjusting for potential confounders and covariates. Statistical significance was set at P < 0.05. All statistical analyses were conducted using SPSS version 26.0 (IBM Corp., Armonk, NY).
3 Results
3.1 Patient characteristics
In total, 131 patients with PTCLs, and complete electronic medical records were analyzed retrospectively. The clinical baseline characteristics of PTCLs patients are listed in Table 1. In this study, 84 (64.1%) men and 47 (35.9%) women with the average age of 50.6 ± 18.3 years were comprised. The mean duration of follow-up was 18.1 months for the 131 patients (range, 0.4−75 months). In all cases, 70 (53.4%) and 61 (46.6%) patients were stratified into low/low-intermediate risk and intermediate-high/high-risk, respectively, according to the IPI score. A total of 27 (38.6%) and 47 (77.0%) patients in the low/low-intermediate risk and intermediate-high/high-risk groups, respectively, had died.
Clinical baseline characteristics of all PTCLs patients
| Patient demographics | N = 131 |
|---|---|
| Age, year | 50.6 ± 18.3 |
| Gender, n (%) | |
| Male | 84 (64.1) |
| Female | 47 (35.9) |
| Ann Arbor classification, n (%) | |
| I | 16 (12.2) |
| II | 9 (6.9) |
| III | 39 (29.8) |
| IV | 67 (51.1) |
| Stratification, n (%) | |
| Low/low-medium risk | 70 (53.4) |
| High-medium/high risk | 61 (46.6) |
| IPI score, n (%) | |
| 0 | 16 (12.2) |
| 1 | 24 (18.3) |
| 2 | 30 (22.9) |
| 3 | 35 (26.7) |
| 4 | 22 (16.8) |
| 5 | 4 (3.1) |
| B symptom, n (%) | 51 (38.9) |
| Anthracycline regimen, n (%) | 95 (72.5) |
| Biochemical test | |
| Hemoglobin, g/L | 95.8 ± 24.0 |
| White blood cell, 109/L | 3.8 (2.1, 6.4) |
| Platelets, 109/L | 131 (58, 191) |
| ESR, mm/h | 29 (16, 61.5) |
| ALT, U/L | 25 (12, 40) |
| AST, U/L | 20 (14, 34) |
| Albumin, g/L | 27.4 ± 5.8 |
| ALP, U/L | 87.5 (60.3, 131) |
| Creatine kinase, U/L | 35.5 (23, 62) |
| Creatine kinase isoenzyme, U/L | 11 (7.3, 16) |
| Blood urea nitrogen, mmol/L | 7.5 ± 6.0 |
| Blood creatinine, umol/L | 77.6 ± 37.8 |
| LDH, U/L | 313 (234, 475) |
| EB virus, copies | 50 (50, 892) |
| NT-pro BNP, pg/mL | 539.4 (114.2, 3634) |
| d-Dimer, mg/L | 3.3 (1.5, 9.5) |
| Troponin T, ng/mL | 0.006 (0.003, 0.013) |
| ST-T changes, n (%) | 17 (13.0) |
| Death, n (%) | 74 (56.5) |
| Follow-up time, months | 18.1 ± 15.7 |
Data are expressed as mean ± SD or median (interquartile range). Ann Arbor classification: clinical staging of malignant lymphoma. Stratification: low/low-medium risk (IPI/PIT 0–2), high-medium/high risk (IPI/PIT 3–5). IPI/PIT score system: IPI. B symptom: fever, night sweat, weight loss. ESR: erythrocyte sedimentation rate, ALT: alanine aminotransferase, AST: aspartate transaminase, ALP: alkaline phosphatase, NT-proBNP: N-terminal pro-brain natriuretic peptide.
3.2 Prognostic values of ST-T changes
ST-T changes in ECG parameters were observed in 17 (13.0%) patients, and we found that all these patients had low or inverted T waves, among which 10 (7.6%) patients are accompanied by ST segment depression. ST-T changes are significantly associated with all-cause mortality (Figure 1a). The all-cause mortality was 70.6% (12/17) in patients with ST-T segment abnormalities and 54.4% (62/114) in patients with no definite abnormalities of the ST-T wave segments. Further, these ST-T changes remained independently correlated with all-cause mortality, irrespective of the stratification subtype, Ann Arbor classification, and serum albumin (HR = 2.042, 95% CI = 1.083−3.848, P = 0.027; Table 2).

Survival curve analysis. (a) Kaplan–Meier survival curves according to the presence of ST-T normal and ST-T abnormalities, ST-T changes had worse cumulative survival ratio (P = 0.027). (b) Kaplan–Meier survival curves according to presence of ST-T normal and ST-T abnormalities and in the low/low-intermediate risk and intermediate-high/high risk groups, patients with ST-T segment abnormalities had a higher all-cause mortality than the patients with no definite abnormalities in both groups (P = 0.013; P < 0.001). (c) Kaplan–Meier survival curves according to the presence of ST-T normal and ST-T abnormalities in the normal serum albumin and hypoproteinemia group, and patients with ST-T changes in the hypoproteinemia group showed a poor cumulative survival ratio (P = 0.021).
Univariable and multivariable analyses for overall mortality
| Univariable analysis | Multivariable analysis | |||||
|---|---|---|---|---|---|---|
| HR | 95% CI | P value | HR | 95% CI | P value | |
| Age | 1.011 | 0.997–1.024 | 0.116 | |||
| Gender (female) | 0.711 | 0.447–1.133 | 0.151 | |||
| Hemoglobin | 0.983 | 0.974–0.992 | <0.001 | 0.995 | 0.983–1.007 | 0.375 |
| ESR | 1.002 | 0.995–1.009 | 0.528 | |||
| EB virus | 1.000 | 1.000 | 0.262 | |||
| Albumin | 0.899 | 0.856–0.945 | <0.001 | 0.919 | 0.872–0.969 | 0.002 |
| LDH | 1.000 | 1.000 | 0.002 | |||
| Creatine kinase | 1.000 | 0.999–1.000 | 0.810 | |||
| Creatine kinase isoenzyme | 0.996 | 0.976–1.016 | 0.679 | |||
| Blood urea nitrogen | 1.049 | 1.015–1.084 | 0.005 | 1.007 | 0.996–1.049 | 0.756 |
| Creatinine | 1.006 | 1.001–1.012 | 0.029 | |||
| NT-pro BNP | 1.000 | 1.000 | 0.046 | |||
| d-Dimer | 1.013 | 1.007–1.019 | <0.001 | |||
| Troponin T | 7.275 | 0.143–369.648 | 0.322 | |||
| Ann Arbor classification | ||||||
| I | 1 | |||||
| II | 0.423 | 0.152–1.174 | 0.099 | |||
| III | 0.431 | 0.204–0.912 | 0.028 | |||
| IV | 0.392 | 0.191–0.806 | 0.011 | |||
| Stratification subtype | ||||||
| Low/low-medium risk | 1 | 1 | ||||
| High-medium/high risk | 3.507 | 2.159–5.697 | <0.001 | 2.957 | 1.802–4.851 | <0.001 |
| IPI/PIT score system | ||||||
| 0 | 1 | |||||
| 1 | 1.174 | 0.353–3.902 | 0.793 | |||
| 2 | 2.114 | 0.693–6.453 | 0.189 | |||
| 3 | 4.978 | 1.734–14.293 | 0.003 | |||
| 4 | 5.780 | 1.934–17.275 | 0.002 | |||
| 5 | 5.265 | 1.165–23.786 | 0.031 | |||
| ST-T changes | 1.989 | 1.060–3.734 | 0.032 | 2.042 | 1.083–3.848 | 0.027 |
Ann Arbor Classification: Clinical staging of malignant lymphoma. Stratification: low/low-medium risk (IPI/PIT 0–2), high-medium/high risk (IPI/PIT 3–5). IPI/PIT score system: IPI. B symptom: fever, night sweat, weight loss. ESR: erythrocyte sedimentation rate, NT-proBNP: N-terminal pro-brain natriuretic peptide.
3.3 Prognostic values of ST-T changes in risk stratification
The average ages of patients in the low/low-intermediate risk and intermediate-high/high-risk groups were 46.7 ± 16.7 and 55.1 ± 19.1 years, respectively. Moreover, patients in the two groups accounted for 53.4% (70/131) and 46.6% (61/131) of all patients in this study. All-cause mortality was 38.6% (27/70) and 77.0% (47/61) for the two different risk stratification groups. In both groups, all-cause mortality was higher in the ST-T segment abnormalities group than that in the no definite abnormalities of the ST-T wave segments group (HR = 3.235, 95% CI = 1.283–8.159, P = 0.013; HR = 6.118, 95% CI = 2.410–15.534, P < 0.001; Figure 1b).
3.4 Prognostic values of ST-T changes in PTCLs with hypoproteinemia
We further explored the interactions between the ST-T changes in PTCLs patients with hypoproteinemia and all-cause mortality in multivariable Cox proportional hazard regression models. The mean albumin level was 27.4 ± 5.8 g/dL. Among 131 patients, 117 patients (89.3%) patients presented hypoproteinemia, while 14 (10.7%) patients had normal serum albumin levels. ST-T changes were observed in 1 patient among 14 patients with normal serum levels (7.1%) and in 16 patients out of 117 patients with hypoproteinemia (13.7%). Significantly, patients with ST-T changes and hypoproteinemia showed a poor cumulative survival ratio (HR = 5.930, 95% CI = 1.310–26.836, P = 0.021). However, no significant prognostic potential of ST-T changes was found between patients with normal ST-T segments and ST-T abnormalities in the normal serum albumin group (HR = 3.927, 95% CI = 0.355–43.434, P = 0.265; Figure 1c).
4 Discussion
ST-T changes are useful predictors of survival in various malignancies such as gastrointestinal tumors and breast cancer [16,17]. However, there is little evidence regarding the connection between ST-T changes and PTCLs. In this study, we explored the relationship between ST-T changes and all-cause mortality in PTCLs patients and identified ST-T changes as independent predictors for all-cause mortality in PTCL patients.
PTCLs often have poor clinical outcomes due to their heterogeneity and aggressive nature. Anthracycline-based chemotherapy remains the most commonly used frontline regimen for PTCLs. It is estimated that the 2-year mortality rate of cancer patients diagnosed with anthracycline-induced cardiotoxicity is approximately 50% [22]. The underlying mechanism is believed to be related to excessive reactive oxygen species production, intracellular calcium dysregulation, cytokine release mediated by activation of the innate immune system, high affinity for myocardial phospholipids, and mitochondrial functional disturbances [9,23]. Most antitumor agents can induce cardiotoxicity and affect patient prognosis. The current prognostic factors of PTCLs commonly rely on age, clinical stage, classification, Epstein–Barr (EB) virus quantitative, serum LDH, and specific cytogenetic abnormalities. Although there are many factors affecting prognosis, the overall survival (OS) rate of PTCLs in 10–15 years is 10% [4]. Therefore, early and prompt recognition of abnormal electrical activities and timely diagnostic evaluation of cardiac burden are essential when choosing suitable therapies and improving patient prognosis.
ECG can be used to measure the electrical activity of the heart. Further, ECG can be utilized to reflect changes in heart physiological activity and correctly identify different cardiac events, including ST-T changes that may indicate a potential risk of arrhythmias and sudden cardiac death. Studies have shown that ST-T changes are closely affiliated with unfavorable prognosis [24,25]. In our study, the two specific ST-T changes of ischemic T-wave level or inversion and ischemic ST-segment depression all indicate endocardial myocardial injury, and ST-T changes were found to be independently related to all-cause mortality in PTCLs. Except for other secondary inflammations, ST-T changes are reliable prognostic indicators of myocardial ischemia [26,27]. Interestingly, we found that all-cause mortality was higher in patients with ST-T abnormalities than in those patients with no definite abnormalities of the ST-T wave segments in all risk stratifications (P < 0.05). The results indicate that a progressive delay in cardiac repolarization and myocardial ischemia develop in PTCLs and ST-T changes are useful factors for analyzing the prognostic outcomes in PTCLs patients.
Albumin is a significant predictor of survival in patients with diffuse large B-cell lymphoma [28]. Moreover, it is an independent prognostic agent of OS in PTCL patients [29]. We evaluated several related prognostic factors in both groups that may affect survival in this research, and albumin was considered an independent risk factor based on the multivariable Cox regression analysis. Further, significant differences in all-cause mortality could be found between patients with ST-T changes and normal ST-T segments within the hypoproteinemia group (P = 0.021). The suspected reasons for hypoproteinemia are impaired liver function, malnutrition, and high globulin levels [28]. Therefore, ST-T changes are suggested to have a statistically significant impact on all-cause mortality in PTCL patients with hypoproteinemia.
The atypical ST-T segment in ECG parameters represents myocardial repolarization abnormalities. The most frequently used anthracycline chemotherapeutic drugs that influence ventricular repolarization in PTCL patients can elicit ST-T changes in the surface ECG. As it may enable early detection of cardiotoxicity, clinical ambulatory electrocardiogram monitoring is warranted during PTCL treatment. Twelve-lead ECGs are easily available and relatively inexpensive for prognostic use in patients with PTCLs.
The present study had several strengths and limitations. This is the first study focusing on the potential prognostic role of ST-T changes on all-cause mortality in PTCL patients. As our data are based on a large general hospital in Northwest China, our findings can be generalized to a certain extent. However, this was a single-center retrospective study, and data on echocardiography are lacking. In addition, the sample size was relatively small in the stratified analysis. Moreover, we have not further analyzed and compared different types of ST-T changes and the differences between anthracycline- and nonanthracycline-induced ST-T changes due to the relatively small sample size and the low proportion of ST-T changes.
5 Conclusion
We explored the clinical and prognostic value of ST-T changes in PTCL patients and found that ST-T changes led to higher all-cause mortality, especially in the intermediate-high/high-risk and hypoproteinemia groups. Thus, ST-T changes may be markers of all-cause mortality to provide prognostic information for PTCLs.
Abbreviations
- CI
-
confidence interval
- ECG
-
electrocardiogram
- ECOG
-
Eastern Cooperative Oncology Group
- HR
-
hazard ratio
- IPI
-
International Prognostic Index
- LDH
-
lactate dehydrogenase
- NCCN
-
National Comprehensive Cancer Network
- OS
-
overall survival
- PTCLs
-
peripheral T-cell lymphomas
- ROS
-
reactive oxygen species
Acknowledgments
Not applicable.
-
Funding information: This work was supported by the Key Research and Development Program of Shaanxi Province of China [Grant number 2020SF-169].
-
Author contributions: Hanzhi Du drafted the manuscript. Hanzhi Du and Lihong Yang illustrated and captioned all figures. Hanzhi Du, Bin Yan, Juan Zhao and Mengchang Wang provided critical review and revision of the manuscript. All authors approved the final draft for publication.
-
Conflict of interest: The authors declare that they have no conflict interests.
-
Data availability statement: The datasets used and analyzed during the current study are available from the corresponding author on reasonable request.
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© 2022 Hanzhi Du et al., published by De Gruyter
This work is licensed under the Creative Commons Attribution 4.0 International License.
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- Effect of gestational diabetes mellitus on lipid profile: A systematic review and meta-analysis
- Long noncoding RNA NR2F1-AS1 stimulates the tumorigenic behavior of non-small cell lung cancer cells by sponging miR-363-3p to increase SOX4
- Promising novel biomarkers and candidate small-molecule drugs for lung adenocarcinoma: Evidence from bioinformatics analysis of high-throughput data
- Plasmapheresis: Is it a potential alternative treatment for chronic urticaria?
- The biomarkers of key miRNAs and gene targets associated with extranodal NK/T-cell lymphoma
- Gene signature to predict prognostic survival of hepatocellular carcinoma
- Effects of miRNA-199a-5p on cell proliferation and apoptosis of uterine leiomyoma by targeting MED12
- Does diabetes affect paraneoplastic thrombocytosis in colorectal cancer?
- Is there any effect on imprinted genes H19, PEG3, and SNRPN during AOA?
- Leptin and PCSK9 concentrations are associated with vascular endothelial cytokines in patients with stable coronary heart disease
- Pericentric inversion of chromosome 6 and male fertility problems
- Staple line reinforcement with nebulized cyanoacrylate glue in laparoscopic sleeve gastrectomy: A propensity score-matched study
- Retrospective analysis of crescent score in clinical prognosis of IgA nephropathy
- Expression of DNM3 is associated with good outcome in colorectal cancer
- Activation of SphK2 contributes to adipocyte-induced EOC cell proliferation
- CRRT influences PICCO measurements in febrile critically ill patients
- SLCO4A1-AS1 mediates pancreatic cancer development via miR-4673/KIF21B axis
- lncRNA ACTA2-AS1 inhibits malignant phenotypes of gastric cancer cells
- circ_AKT3 knockdown suppresses cisplatin resistance in gastric cancer
- Prognostic value of nicotinamide N-methyltransferase in human cancers: Evidence from a meta-analysis and database validation
- GPC2 deficiency inhibits cell growth and metastasis in colon adenocarcinoma
- A pan-cancer analysis of the oncogenic role of Holliday junction recognition protein in human tumors
- Radiation increases COL1A1, COL3A1, and COL1A2 expression in breast cancer
- Association between preventable risk factors and metabolic syndrome
- miR-29c-5p knockdown reduces inflammation and blood–brain barrier disruption by upregulating LRP6
- Cardiac contractility modulation ameliorates myocardial metabolic remodeling in a rabbit model of chronic heart failure through activation of AMPK and PPAR-α pathway
- Quercitrin protects human bronchial epithelial cells from oxidative damage
- Smurf2 suppresses the metastasis of hepatocellular carcinoma via ubiquitin degradation of Smad2
- circRNA_0001679/miR-338-3p/DUSP16 axis aggravates acute lung injury
- Sonoclot’s usefulness in prediction of cardiopulmonary arrest prognosis: A proof of concept study
- Four drug metabolism-related subgroups of pancreatic adenocarcinoma in prognosis, immune infiltration, and gene mutation
- Decreased expression of miR-195 mediated by hypermethylation promotes osteosarcoma
- LMO3 promotes proliferation and metastasis of papillary thyroid carcinoma cells by regulating LIMK1-mediated cofilin and the β-catenin pathway
- Cx43 upregulation in HUVECs under stretch via TGF-β1 and cytoskeletal network
- Evaluation of menstrual irregularities after COVID-19 vaccination: Results of the MECOVAC survey
- Histopathologic findings on removed stomach after sleeve gastrectomy. Do they influence the outcome?
- Analysis of the expression and prognostic value of MT1-MMP, β1-integrin and YAP1 in glioma
- Optimal diagnosis of the skin cancer using a hybrid deep neural network and grasshopper optimization algorithm
- miR-223-3p alleviates TGF-β-induced epithelial-mesenchymal transition and extracellular matrix deposition by targeting SP3 in endometrial epithelial cells
- Clinical value of SIRT1 as a prognostic biomarker in esophageal squamous cell carcinoma, a systematic meta-analysis
- circ_0020123 promotes cell proliferation and migration in lung adenocarcinoma via PDZD8
- miR-22-5p regulates the self-renewal of spermatogonial stem cells by targeting EZH2
- hsa-miR-340-5p inhibits epithelial–mesenchymal transition in endometriosis by targeting MAP3K2 and inactivating MAPK/ERK signaling
- circ_0085296 inhibits the biological functions of trophoblast cells to promote the progression of preeclampsia via the miR-942-5p/THBS2 network
- TCD hemodynamics findings in the subacute phase of anterior circulation stroke patients treated with mechanical thrombectomy
- Development of a risk-stratification scoring system for predicting risk of breast cancer based on non-alcoholic fatty liver disease, non-alcoholic fatty pancreas disease, and uric acid
- Tollip promotes hepatocellular carcinoma progression via PI3K/AKT pathway
- circ_0062491 alleviates periodontitis via the miR-142-5p/IGF1 axis
- Human amniotic fluid as a source of stem cells
- lncRNA NONRATT013819.2 promotes transforming growth factor-β1-induced myofibroblastic transition of hepatic stellate cells by miR24-3p/lox
- NORAD modulates miR-30c-5p-LDHA to protect lung endothelial cells damage
- Idiopathic pulmonary fibrosis telemedicine management during COVID-19 outbreak
- Risk factors for adverse drug reactions associated with clopidogrel therapy
- Serum zinc associated with immunity and inflammatory markers in Covid-19
- The relationship between night shift work and breast cancer incidence: A systematic review and meta-analysis of observational studies
- LncRNA expression in idiopathic achalasia: New insight and preliminary exploration into pathogenesis
- Notoginsenoside R1 alleviates spinal cord injury through the miR-301a/KLF7 axis to activate Wnt/β-catenin pathway
- Moscatilin suppresses the inflammation from macrophages and T cells
- Zoledronate promotes ECM degradation and apoptosis via Wnt/β-catenin
- Epithelial-mesenchymal transition-related genes in coronary artery disease
- The effect evaluation of traditional vaginal surgery and transvaginal mesh surgery for severe pelvic organ prolapse: 5 years follow-up
- Repeated partial splenic artery embolization for hypersplenism improves platelet count
- Low expression of miR-27b in serum exosomes of non-small cell lung cancer facilitates its progression by affecting EGFR
- Exosomal hsa_circ_0000519 modulates the NSCLC cell growth and metastasis via miR-1258/RHOV axis
- miR-455-5p enhances 5-fluorouracil sensitivity in colorectal cancer cells by targeting PIK3R1 and DEPDC1
- The effect of tranexamic acid on the reduction of intraoperative and postoperative blood loss and thromboembolic risk in patients with hip fracture
- Isocitrate dehydrogenase 1 mutation in cholangiocarcinoma impairs tumor progression by sensitizing cells to ferroptosis
- Artemisinin protects against cerebral ischemia and reperfusion injury via inhibiting the NF-κB pathway
- A 16-gene signature associated with homologous recombination deficiency for prognosis prediction in patients with triple-negative breast cancer
- Lidocaine ameliorates chronic constriction injury-induced neuropathic pain through regulating M1/M2 microglia polarization
- MicroRNA 322-5p reduced neuronal inflammation via the TLR4/TRAF6/NF-κB axis in a rat epilepsy model
- miR-1273h-5p suppresses CXCL12 expression and inhibits gastric cancer cell invasion and metastasis
- Clinical characteristics of pneumonia patients of long course of illness infected with SARS-CoV-2
- circRNF20 aggravates the malignancy of retinoblastoma depending on the regulation of miR-132-3p/PAX6 axis
- Linezolid for resistant Gram-positive bacterial infections in children under 12 years: A meta-analysis
- Rack1 regulates pro-inflammatory cytokines by NF-κB in diabetic nephropathy
- Comprehensive analysis of molecular mechanism and a novel prognostic signature based on small nuclear RNA biomarkers in gastric cancer patients
- Smog and risk of maternal and fetal birth outcomes: A retrospective study in Baoding, China
- Let-7i-3p inhibits the cell cycle, proliferation, invasion, and migration of colorectal cancer cells via downregulating CCND1
- β2-Adrenergic receptor expression in subchondral bone of patients with varus knee osteoarthritis
- Possible impact of COVID-19 pandemic and lockdown on suicide behavior among patients in Southeast Serbia
- In vitro antimicrobial activity of ozonated oil in liposome eyedrop against multidrug-resistant bacteria
- Potential biomarkers for inflammatory response in acute lung injury
- A low serum uric acid concentration predicts a poor prognosis in adult patients with candidemia
- Antitumor activity of recombinant oncolytic vaccinia virus with human IL2
- ALKBH5 inhibits TNF-α-induced apoptosis of HUVECs through Bcl-2 pathway
- Risk prediction of cardiovascular disease using machine learning classifiers
- Value of ultrasonography parameters in diagnosing polycystic ovary syndrome
- Bioinformatics analysis reveals three key genes and four survival genes associated with youth-onset NSCLC
- Identification of autophagy-related biomarkers in patients with pulmonary arterial hypertension based on bioinformatics analysis
- Protective effects of glaucocalyxin A on the airway of asthmatic mice
- Overexpression of miR-100-5p inhibits papillary thyroid cancer progression via targeting FZD8
- Bioinformatics-based analysis of SUMOylation-related genes in hepatocellular carcinoma reveals a role of upregulated SAE1 in promoting cell proliferation
- Effectiveness and clinical benefits of new anti-diabetic drugs: A real life experience
- Identification of osteoporosis based on gene biomarkers using support vector machine
- Tanshinone IIA reverses oxaliplatin resistance in colorectal cancer through microRNA-30b-5p/AVEN axis
- miR-212-5p inhibits nasopharyngeal carcinoma progression by targeting METTL3
- Association of ST-T changes with all-cause mortality among patients with peripheral T-cell lymphomas
- LINC00665/miRNAs axis-mediated collagen type XI alpha 1 correlates with immune infiltration and malignant phenotypes in lung adenocarcinoma
- The perinatal factors that influence the excretion of fecal calprotectin in premature-born children
- Effect of femoral head necrosis cystic area on femoral head collapse and stress distribution in femoral head: A clinical and finite element study
- Does the use of 3D-printed cones give a chance to postpone the use of megaprostheses in patients with large bone defects in the knee joint?
- lncRNA HAGLR modulates myocardial ischemia–reperfusion injury in mice through regulating miR-133a-3p/MAPK1 axis
- Protective effect of ghrelin on intestinal I/R injury in rats
- In vivo knee kinematics of an innovative prosthesis design
- Relationship between the height of fibular head and the incidence and severity of knee osteoarthritis
- lncRNA WT1-AS attenuates hypoxia/ischemia-induced neuronal injury during cerebral ischemic stroke via miR-186-5p/XIAP axis
- Correlation of cardiac troponin T and APACHE III score with all-cause in-hospital mortality in critically ill patients with acute pulmonary embolism
- LncRNA LINC01857 reduces metastasis and angiogenesis in breast cancer cells via regulating miR-2052/CENPQ axis
- Endothelial cell-specific molecule 1 (ESM1) promoted by transcription factor SPI1 acts as an oncogene to modulate the malignant phenotype of endometrial cancer
- SELENBP1 inhibits progression of colorectal cancer by suppressing epithelial–mesenchymal transition
- Visfatin is negatively associated with coronary artery lesions in subjects with impaired fasting glucose
- Treatment and outcomes of mechanical complications of acute myocardial infarction during the Covid-19 era: A comparison with the pre-Covid-19 period. A systematic review and meta-analysis
- Neonatal stroke surveillance study protocol in the United Kingdom and Republic of Ireland
- Oncogenic role of TWF2 in human tumors: A pan-cancer analysis
- Mean corpuscular hemoglobin predicts the length of hospital stay independent of severity classification in patients with acute pancreatitis
- Association of gallstone and polymorphisms of UGT1A1*27 and UGT1A1*28 in patients with hepatitis B virus-related liver failure
- TGF-β1 upregulates Sar1a expression and induces procollagen-I secretion in hypertrophic scarring fibroblasts
- Antisense lncRNA PCNA-AS1 promotes esophageal squamous cell carcinoma progression through the miR-2467-3p/PCNA axis
- NK-cell dysfunction of acute myeloid leukemia in relation to the renin–angiotensin system and neurotransmitter genes
- The effect of dilution with glucose and prolonged injection time on dexamethasone-induced perineal irritation – A randomized controlled trial
- miR-146-5p restrains calcification of vascular smooth muscle cells by suppressing TRAF6
- Role of lncRNA MIAT/miR-361-3p/CCAR2 in prostate cancer cells
- lncRNA NORAD promotes lung cancer progression by competitively binding to miR-28-3p with E2F2
- Noninvasive diagnosis of AIH/PBC overlap syndrome based on prediction models
- lncRNA FAM230B is highly expressed in colorectal cancer and suppresses the maturation of miR-1182 to increase cell proliferation
- circ-LIMK1 regulates cisplatin resistance in lung adenocarcinoma by targeting miR-512-5p/HMGA1 axis
- LncRNA SNHG3 promoted cell proliferation, migration, and metastasis of esophageal squamous cell carcinoma via regulating miR-151a-3p/PFN2 axis
- Risk perception and affective state on work exhaustion in obstetrics during the COVID-19 pandemic
- lncRNA-AC130710/miR-129-5p/mGluR1 axis promote migration and invasion by activating PKCα-MAPK signal pathway in melanoma
- SNRPB promotes cell cycle progression in thyroid carcinoma via inhibiting p53
- Xylooligosaccharides and aerobic training regulate metabolism and behavior in rats with streptozotocin-induced type 1 diabetes
- Serpin family A member 1 is an oncogene in glioma and its translation is enhanced by NAD(P)H quinone dehydrogenase 1 through RNA-binding activity
- Silencing of CPSF7 inhibits the proliferation, migration, and invasion of lung adenocarcinoma cells by blocking the AKT/mTOR signaling pathway
- Ultrasound-guided lumbar plexus block versus transversus abdominis plane block for analgesia in children with hip dislocation: A double-blind, randomized trial
- Relationship of plasma MBP and 8-oxo-dG with brain damage in preterm
- Identification of a novel necroptosis-associated miRNA signature for predicting the prognosis in head and neck squamous cell carcinoma
- Delayed femoral vein ligation reduces operative time and blood loss during hip disarticulation in patients with extremity tumors
- The expression of ASAP3 and NOTCH3 and the clinicopathological characteristics of adult glioma patients
- Longitudinal analysis of factors related to Helicobacter pylori infection in Chinese adults
- HOXA10 enhances cell proliferation and suppresses apoptosis in esophageal cancer via activating p38/ERK signaling pathway
- Meta-analysis of early-life antibiotic use and allergic rhinitis
- Marital status and its correlation with age, race, and gender in prognosis of tonsil squamous cell carcinomas
- HPV16 E6E7 up-regulates KIF2A expression by activating JNK/c-Jun signal, is beneficial to migration and invasion of cervical cancer cells
- Amino acid profiles in the tissue and serum of patients with liver cancer
- Pain in critically ill COVID-19 patients: An Italian retrospective study
- Immunohistochemical distribution of Bcl-2 and p53 apoptotic markers in acetamiprid-induced nephrotoxicity
- Estradiol pretreatment in GnRH antagonist protocol for IVF/ICSI treatment
- Long non-coding RNAs LINC00689 inhibits the apoptosis of human nucleus pulposus cells via miR-3127-5p/ATG7 axis-mediated autophagy
- The relationship between oxygen therapy, drug therapy, and COVID-19 mortality
- Monitoring hypertensive disorders in pregnancy to prevent preeclampsia in pregnant women of advanced maternal age: Trial mimicking with retrospective data
- SETD1A promotes the proliferation and glycolysis of nasopharyngeal carcinoma cells by activating the PI3K/Akt pathway
- The role of Shunaoxin pills in the treatment of chronic cerebral hypoperfusion and its main pharmacodynamic components
- TET3 governs malignant behaviors and unfavorable prognosis of esophageal squamous cell carcinoma by activating the PI3K/AKT/GSK3β/β-catenin pathway
- Associations between morphokinetic parameters of temporary-arrest embryos and the clinical prognosis in FET cycles
- Long noncoding RNA WT1-AS regulates trophoblast proliferation, migration, and invasion via the microRNA-186-5p/CADM2 axis
- The incidence of bronchiectasis in chronic obstructive pulmonary disease
- Integrated bioinformatics analysis shows integrin alpha 3 is a prognostic biomarker for pancreatic cancer
- Inhibition of miR-21 improves pulmonary vascular responses in bronchopulmonary dysplasia by targeting the DDAH1/ADMA/NO pathway
- Comparison of hospitalized patients with severe pneumonia caused by COVID-19 and influenza A (H7N9 and H1N1): A retrospective study from a designated hospital
- lncRNA ZFAS1 promotes intervertebral disc degeneration by upregulating AAK1
- Pathological characteristics of liver injury induced by N,N-dimethylformamide: From humans to animal models
- lncRNA ELFN1-AS1 enhances the progression of colon cancer by targeting miR-4270 to upregulate AURKB
- DARS-AS1 modulates cell proliferation and migration of gastric cancer cells by regulating miR-330-3p/NAT10 axis
- Dezocine inhibits cell proliferation, migration, and invasion by targeting CRABP2 in ovarian cancer
- MGST1 alleviates the oxidative stress of trophoblast cells induced by hypoxia/reoxygenation and promotes cell proliferation, migration, and invasion by activating the PI3K/AKT/mTOR pathway
- Bifidobacterium lactis Probio-M8 ameliorated the symptoms of type 2 diabetes mellitus mice by changing ileum FXR-CYP7A1
- circRNA DENND1B inhibits tumorigenicity of clear cell renal cell carcinoma via miR-122-5p/TIMP2 axis
- EphA3 targeted by miR-3666 contributes to melanoma malignancy via activating ERK1/2 and p38 MAPK pathways
- Pacemakers and methylprednisolone pulse therapy in immune-related myocarditis concomitant with complete heart block
- miRNA-130a-3p targets sphingosine-1-phosphate receptor 1 to activate the microglial and astrocytes and to promote neural injury under the high glucose condition
- Review Articles
- Current management of cancer pain in Italy: Expert opinion paper
- Hearing loss and brain disorders: A review of multiple pathologies
- The rationale for using low-molecular weight heparin in the therapy of symptomatic COVID-19 patients
- Amyotrophic lateral sclerosis and delayed onset muscle soreness in light of the impaired blink and stretch reflexes – watch out for Piezo2
- Interleukin-35 in autoimmune dermatoses: Current concepts
- Recent discoveries in microbiota dysbiosis, cholangiocytic factors, and models for studying the pathogenesis of primary sclerosing cholangitis
- Advantages of ketamine in pediatric anesthesia
- Congenital adrenal hyperplasia. Role of dentist in early diagnosis
- Migraine management: Non-pharmacological points for patients and health care professionals
- Atherogenic index of plasma and coronary artery disease: A systematic review
- Physiological and modulatory role of thioredoxins in the cellular function
- Case Reports
- Intrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series
- A case of successful pembrolizumab monotherapy in a patient with advanced lung adenocarcinoma: Use of multiple biomarkers in combination for clinical practice
- Unusual neurological manifestations of bilateral medial medullary infarction: A case report
- Atypical symptoms of malignant hyperthermia: A rare causative mutation in the RYR1 gene
- A case report of dermatomyositis with the missed diagnosis of non-small cell lung cancer and concurrence of pulmonary tuberculosis
- A rare case of endometrial polyp complicated with uterine inversion: A case report and clinical management
- Spontaneous rupturing of splenic artery aneurysm: Another reason for fatal syncope and shock (Case report and literature review)
- Fungal infection mimicking COVID-19 infection – A case report
- Concurrent aspergillosis and cystic pulmonary metastases in a patient with tongue squamous cell carcinoma
- Paraganglioma-induced inverted takotsubo-like cardiomyopathy leading to cardiogenic shock successfully treated with extracorporeal membrane oxygenation
- Lineage switch from lymphoma to myeloid neoplasms: First case series from a single institution
- Trismus during tracheal extubation as a complication of general anaesthesia – A case report
- Simultaneous treatment of a pubovesical fistula and lymph node metastasis secondary to multimodal treatment for prostate cancer: Case report and review of the literature
- Two case reports of skin vasculitis following the COVID-19 immunization
- Ureteroiliac fistula after oncological surgery: Case report and review of the literature
- Synchronous triple primary malignant tumours in the bladder, prostate, and lung harbouring TP53 and MEK1 mutations accompanied with severe cardiovascular diseases: A case report
- Huge mucinous cystic neoplasms with adhesion to the left colon: A case report and literature review
- Commentary
- Commentary on “Clinicopathological features of programmed cell death-ligand 1 expression in patients with oral squamous cell carcinoma”
- Rapid Communication
- COVID-19 fear, post-traumatic stress, growth, and the role of resilience
- Erratum
- Erratum to “Tollip promotes hepatocellular carcinoma progression via PI3K/AKT pathway”
- Erratum to “Effect of femoral head necrosis cystic area on femoral head collapse and stress distribution in femoral head: A clinical and finite element study”
- Erratum to “lncRNA NORAD promotes lung cancer progression by competitively binding to miR-28-3p with E2F2”
- Retraction
- Expression and role of ABIN1 in sepsis: In vitro and in vivo studies
- Retraction to “miR-519d downregulates LEP expression to inhibit preeclampsia development”
- Special Issue Computational Intelligence Methodologies Meets Recurrent Cancers - Part II
- Usefulness of close surveillance for rectal cancer patients after neoadjuvant chemoradiotherapy
Artikel in diesem Heft
- Research Articles
- AMBRA1 attenuates the proliferation of uveal melanoma cells
- A ceRNA network mediated by LINC00475 in papillary thyroid carcinoma
- Differences in complications between hepatitis B-related cirrhosis and alcohol-related cirrhosis
- Effect of gestational diabetes mellitus on lipid profile: A systematic review and meta-analysis
- Long noncoding RNA NR2F1-AS1 stimulates the tumorigenic behavior of non-small cell lung cancer cells by sponging miR-363-3p to increase SOX4
- Promising novel biomarkers and candidate small-molecule drugs for lung adenocarcinoma: Evidence from bioinformatics analysis of high-throughput data
- Plasmapheresis: Is it a potential alternative treatment for chronic urticaria?
- The biomarkers of key miRNAs and gene targets associated with extranodal NK/T-cell lymphoma
- Gene signature to predict prognostic survival of hepatocellular carcinoma
- Effects of miRNA-199a-5p on cell proliferation and apoptosis of uterine leiomyoma by targeting MED12
- Does diabetes affect paraneoplastic thrombocytosis in colorectal cancer?
- Is there any effect on imprinted genes H19, PEG3, and SNRPN during AOA?
- Leptin and PCSK9 concentrations are associated with vascular endothelial cytokines in patients with stable coronary heart disease
- Pericentric inversion of chromosome 6 and male fertility problems
- Staple line reinforcement with nebulized cyanoacrylate glue in laparoscopic sleeve gastrectomy: A propensity score-matched study
- Retrospective analysis of crescent score in clinical prognosis of IgA nephropathy
- Expression of DNM3 is associated with good outcome in colorectal cancer
- Activation of SphK2 contributes to adipocyte-induced EOC cell proliferation
- CRRT influences PICCO measurements in febrile critically ill patients
- SLCO4A1-AS1 mediates pancreatic cancer development via miR-4673/KIF21B axis
- lncRNA ACTA2-AS1 inhibits malignant phenotypes of gastric cancer cells
- circ_AKT3 knockdown suppresses cisplatin resistance in gastric cancer
- Prognostic value of nicotinamide N-methyltransferase in human cancers: Evidence from a meta-analysis and database validation
- GPC2 deficiency inhibits cell growth and metastasis in colon adenocarcinoma
- A pan-cancer analysis of the oncogenic role of Holliday junction recognition protein in human tumors
- Radiation increases COL1A1, COL3A1, and COL1A2 expression in breast cancer
- Association between preventable risk factors and metabolic syndrome
- miR-29c-5p knockdown reduces inflammation and blood–brain barrier disruption by upregulating LRP6
- Cardiac contractility modulation ameliorates myocardial metabolic remodeling in a rabbit model of chronic heart failure through activation of AMPK and PPAR-α pathway
- Quercitrin protects human bronchial epithelial cells from oxidative damage
- Smurf2 suppresses the metastasis of hepatocellular carcinoma via ubiquitin degradation of Smad2
- circRNA_0001679/miR-338-3p/DUSP16 axis aggravates acute lung injury
- Sonoclot’s usefulness in prediction of cardiopulmonary arrest prognosis: A proof of concept study
- Four drug metabolism-related subgroups of pancreatic adenocarcinoma in prognosis, immune infiltration, and gene mutation
- Decreased expression of miR-195 mediated by hypermethylation promotes osteosarcoma
- LMO3 promotes proliferation and metastasis of papillary thyroid carcinoma cells by regulating LIMK1-mediated cofilin and the β-catenin pathway
- Cx43 upregulation in HUVECs under stretch via TGF-β1 and cytoskeletal network
- Evaluation of menstrual irregularities after COVID-19 vaccination: Results of the MECOVAC survey
- Histopathologic findings on removed stomach after sleeve gastrectomy. Do they influence the outcome?
- Analysis of the expression and prognostic value of MT1-MMP, β1-integrin and YAP1 in glioma
- Optimal diagnosis of the skin cancer using a hybrid deep neural network and grasshopper optimization algorithm
- miR-223-3p alleviates TGF-β-induced epithelial-mesenchymal transition and extracellular matrix deposition by targeting SP3 in endometrial epithelial cells
- Clinical value of SIRT1 as a prognostic biomarker in esophageal squamous cell carcinoma, a systematic meta-analysis
- circ_0020123 promotes cell proliferation and migration in lung adenocarcinoma via PDZD8
- miR-22-5p regulates the self-renewal of spermatogonial stem cells by targeting EZH2
- hsa-miR-340-5p inhibits epithelial–mesenchymal transition in endometriosis by targeting MAP3K2 and inactivating MAPK/ERK signaling
- circ_0085296 inhibits the biological functions of trophoblast cells to promote the progression of preeclampsia via the miR-942-5p/THBS2 network
- TCD hemodynamics findings in the subacute phase of anterior circulation stroke patients treated with mechanical thrombectomy
- Development of a risk-stratification scoring system for predicting risk of breast cancer based on non-alcoholic fatty liver disease, non-alcoholic fatty pancreas disease, and uric acid
- Tollip promotes hepatocellular carcinoma progression via PI3K/AKT pathway
- circ_0062491 alleviates periodontitis via the miR-142-5p/IGF1 axis
- Human amniotic fluid as a source of stem cells
- lncRNA NONRATT013819.2 promotes transforming growth factor-β1-induced myofibroblastic transition of hepatic stellate cells by miR24-3p/lox
- NORAD modulates miR-30c-5p-LDHA to protect lung endothelial cells damage
- Idiopathic pulmonary fibrosis telemedicine management during COVID-19 outbreak
- Risk factors for adverse drug reactions associated with clopidogrel therapy
- Serum zinc associated with immunity and inflammatory markers in Covid-19
- The relationship between night shift work and breast cancer incidence: A systematic review and meta-analysis of observational studies
- LncRNA expression in idiopathic achalasia: New insight and preliminary exploration into pathogenesis
- Notoginsenoside R1 alleviates spinal cord injury through the miR-301a/KLF7 axis to activate Wnt/β-catenin pathway
- Moscatilin suppresses the inflammation from macrophages and T cells
- Zoledronate promotes ECM degradation and apoptosis via Wnt/β-catenin
- Epithelial-mesenchymal transition-related genes in coronary artery disease
- The effect evaluation of traditional vaginal surgery and transvaginal mesh surgery for severe pelvic organ prolapse: 5 years follow-up
- Repeated partial splenic artery embolization for hypersplenism improves platelet count
- Low expression of miR-27b in serum exosomes of non-small cell lung cancer facilitates its progression by affecting EGFR
- Exosomal hsa_circ_0000519 modulates the NSCLC cell growth and metastasis via miR-1258/RHOV axis
- miR-455-5p enhances 5-fluorouracil sensitivity in colorectal cancer cells by targeting PIK3R1 and DEPDC1
- The effect of tranexamic acid on the reduction of intraoperative and postoperative blood loss and thromboembolic risk in patients with hip fracture
- Isocitrate dehydrogenase 1 mutation in cholangiocarcinoma impairs tumor progression by sensitizing cells to ferroptosis
- Artemisinin protects against cerebral ischemia and reperfusion injury via inhibiting the NF-κB pathway
- A 16-gene signature associated with homologous recombination deficiency for prognosis prediction in patients with triple-negative breast cancer
- Lidocaine ameliorates chronic constriction injury-induced neuropathic pain through regulating M1/M2 microglia polarization
- MicroRNA 322-5p reduced neuronal inflammation via the TLR4/TRAF6/NF-κB axis in a rat epilepsy model
- miR-1273h-5p suppresses CXCL12 expression and inhibits gastric cancer cell invasion and metastasis
- Clinical characteristics of pneumonia patients of long course of illness infected with SARS-CoV-2
- circRNF20 aggravates the malignancy of retinoblastoma depending on the regulation of miR-132-3p/PAX6 axis
- Linezolid for resistant Gram-positive bacterial infections in children under 12 years: A meta-analysis
- Rack1 regulates pro-inflammatory cytokines by NF-κB in diabetic nephropathy
- Comprehensive analysis of molecular mechanism and a novel prognostic signature based on small nuclear RNA biomarkers in gastric cancer patients
- Smog and risk of maternal and fetal birth outcomes: A retrospective study in Baoding, China
- Let-7i-3p inhibits the cell cycle, proliferation, invasion, and migration of colorectal cancer cells via downregulating CCND1
- β2-Adrenergic receptor expression in subchondral bone of patients with varus knee osteoarthritis
- Possible impact of COVID-19 pandemic and lockdown on suicide behavior among patients in Southeast Serbia
- In vitro antimicrobial activity of ozonated oil in liposome eyedrop against multidrug-resistant bacteria
- Potential biomarkers for inflammatory response in acute lung injury
- A low serum uric acid concentration predicts a poor prognosis in adult patients with candidemia
- Antitumor activity of recombinant oncolytic vaccinia virus with human IL2
- ALKBH5 inhibits TNF-α-induced apoptosis of HUVECs through Bcl-2 pathway
- Risk prediction of cardiovascular disease using machine learning classifiers
- Value of ultrasonography parameters in diagnosing polycystic ovary syndrome
- Bioinformatics analysis reveals three key genes and four survival genes associated with youth-onset NSCLC
- Identification of autophagy-related biomarkers in patients with pulmonary arterial hypertension based on bioinformatics analysis
- Protective effects of glaucocalyxin A on the airway of asthmatic mice
- Overexpression of miR-100-5p inhibits papillary thyroid cancer progression via targeting FZD8
- Bioinformatics-based analysis of SUMOylation-related genes in hepatocellular carcinoma reveals a role of upregulated SAE1 in promoting cell proliferation
- Effectiveness and clinical benefits of new anti-diabetic drugs: A real life experience
- Identification of osteoporosis based on gene biomarkers using support vector machine
- Tanshinone IIA reverses oxaliplatin resistance in colorectal cancer through microRNA-30b-5p/AVEN axis
- miR-212-5p inhibits nasopharyngeal carcinoma progression by targeting METTL3
- Association of ST-T changes with all-cause mortality among patients with peripheral T-cell lymphomas
- LINC00665/miRNAs axis-mediated collagen type XI alpha 1 correlates with immune infiltration and malignant phenotypes in lung adenocarcinoma
- The perinatal factors that influence the excretion of fecal calprotectin in premature-born children
- Effect of femoral head necrosis cystic area on femoral head collapse and stress distribution in femoral head: A clinical and finite element study
- Does the use of 3D-printed cones give a chance to postpone the use of megaprostheses in patients with large bone defects in the knee joint?
- lncRNA HAGLR modulates myocardial ischemia–reperfusion injury in mice through regulating miR-133a-3p/MAPK1 axis
- Protective effect of ghrelin on intestinal I/R injury in rats
- In vivo knee kinematics of an innovative prosthesis design
- Relationship between the height of fibular head and the incidence and severity of knee osteoarthritis
- lncRNA WT1-AS attenuates hypoxia/ischemia-induced neuronal injury during cerebral ischemic stroke via miR-186-5p/XIAP axis
- Correlation of cardiac troponin T and APACHE III score with all-cause in-hospital mortality in critically ill patients with acute pulmonary embolism
- LncRNA LINC01857 reduces metastasis and angiogenesis in breast cancer cells via regulating miR-2052/CENPQ axis
- Endothelial cell-specific molecule 1 (ESM1) promoted by transcription factor SPI1 acts as an oncogene to modulate the malignant phenotype of endometrial cancer
- SELENBP1 inhibits progression of colorectal cancer by suppressing epithelial–mesenchymal transition
- Visfatin is negatively associated with coronary artery lesions in subjects with impaired fasting glucose
- Treatment and outcomes of mechanical complications of acute myocardial infarction during the Covid-19 era: A comparison with the pre-Covid-19 period. A systematic review and meta-analysis
- Neonatal stroke surveillance study protocol in the United Kingdom and Republic of Ireland
- Oncogenic role of TWF2 in human tumors: A pan-cancer analysis
- Mean corpuscular hemoglobin predicts the length of hospital stay independent of severity classification in patients with acute pancreatitis
- Association of gallstone and polymorphisms of UGT1A1*27 and UGT1A1*28 in patients with hepatitis B virus-related liver failure
- TGF-β1 upregulates Sar1a expression and induces procollagen-I secretion in hypertrophic scarring fibroblasts
- Antisense lncRNA PCNA-AS1 promotes esophageal squamous cell carcinoma progression through the miR-2467-3p/PCNA axis
- NK-cell dysfunction of acute myeloid leukemia in relation to the renin–angiotensin system and neurotransmitter genes
- The effect of dilution with glucose and prolonged injection time on dexamethasone-induced perineal irritation – A randomized controlled trial
- miR-146-5p restrains calcification of vascular smooth muscle cells by suppressing TRAF6
- Role of lncRNA MIAT/miR-361-3p/CCAR2 in prostate cancer cells
- lncRNA NORAD promotes lung cancer progression by competitively binding to miR-28-3p with E2F2
- Noninvasive diagnosis of AIH/PBC overlap syndrome based on prediction models
- lncRNA FAM230B is highly expressed in colorectal cancer and suppresses the maturation of miR-1182 to increase cell proliferation
- circ-LIMK1 regulates cisplatin resistance in lung adenocarcinoma by targeting miR-512-5p/HMGA1 axis
- LncRNA SNHG3 promoted cell proliferation, migration, and metastasis of esophageal squamous cell carcinoma via regulating miR-151a-3p/PFN2 axis
- Risk perception and affective state on work exhaustion in obstetrics during the COVID-19 pandemic
- lncRNA-AC130710/miR-129-5p/mGluR1 axis promote migration and invasion by activating PKCα-MAPK signal pathway in melanoma
- SNRPB promotes cell cycle progression in thyroid carcinoma via inhibiting p53
- Xylooligosaccharides and aerobic training regulate metabolism and behavior in rats with streptozotocin-induced type 1 diabetes
- Serpin family A member 1 is an oncogene in glioma and its translation is enhanced by NAD(P)H quinone dehydrogenase 1 through RNA-binding activity
- Silencing of CPSF7 inhibits the proliferation, migration, and invasion of lung adenocarcinoma cells by blocking the AKT/mTOR signaling pathway
- Ultrasound-guided lumbar plexus block versus transversus abdominis plane block for analgesia in children with hip dislocation: A double-blind, randomized trial
- Relationship of plasma MBP and 8-oxo-dG with brain damage in preterm
- Identification of a novel necroptosis-associated miRNA signature for predicting the prognosis in head and neck squamous cell carcinoma
- Delayed femoral vein ligation reduces operative time and blood loss during hip disarticulation in patients with extremity tumors
- The expression of ASAP3 and NOTCH3 and the clinicopathological characteristics of adult glioma patients
- Longitudinal analysis of factors related to Helicobacter pylori infection in Chinese adults
- HOXA10 enhances cell proliferation and suppresses apoptosis in esophageal cancer via activating p38/ERK signaling pathway
- Meta-analysis of early-life antibiotic use and allergic rhinitis
- Marital status and its correlation with age, race, and gender in prognosis of tonsil squamous cell carcinomas
- HPV16 E6E7 up-regulates KIF2A expression by activating JNK/c-Jun signal, is beneficial to migration and invasion of cervical cancer cells
- Amino acid profiles in the tissue and serum of patients with liver cancer
- Pain in critically ill COVID-19 patients: An Italian retrospective study
- Immunohistochemical distribution of Bcl-2 and p53 apoptotic markers in acetamiprid-induced nephrotoxicity
- Estradiol pretreatment in GnRH antagonist protocol for IVF/ICSI treatment
- Long non-coding RNAs LINC00689 inhibits the apoptosis of human nucleus pulposus cells via miR-3127-5p/ATG7 axis-mediated autophagy
- The relationship between oxygen therapy, drug therapy, and COVID-19 mortality
- Monitoring hypertensive disorders in pregnancy to prevent preeclampsia in pregnant women of advanced maternal age: Trial mimicking with retrospective data
- SETD1A promotes the proliferation and glycolysis of nasopharyngeal carcinoma cells by activating the PI3K/Akt pathway
- The role of Shunaoxin pills in the treatment of chronic cerebral hypoperfusion and its main pharmacodynamic components
- TET3 governs malignant behaviors and unfavorable prognosis of esophageal squamous cell carcinoma by activating the PI3K/AKT/GSK3β/β-catenin pathway
- Associations between morphokinetic parameters of temporary-arrest embryos and the clinical prognosis in FET cycles
- Long noncoding RNA WT1-AS regulates trophoblast proliferation, migration, and invasion via the microRNA-186-5p/CADM2 axis
- The incidence of bronchiectasis in chronic obstructive pulmonary disease
- Integrated bioinformatics analysis shows integrin alpha 3 is a prognostic biomarker for pancreatic cancer
- Inhibition of miR-21 improves pulmonary vascular responses in bronchopulmonary dysplasia by targeting the DDAH1/ADMA/NO pathway
- Comparison of hospitalized patients with severe pneumonia caused by COVID-19 and influenza A (H7N9 and H1N1): A retrospective study from a designated hospital
- lncRNA ZFAS1 promotes intervertebral disc degeneration by upregulating AAK1
- Pathological characteristics of liver injury induced by N,N-dimethylformamide: From humans to animal models
- lncRNA ELFN1-AS1 enhances the progression of colon cancer by targeting miR-4270 to upregulate AURKB
- DARS-AS1 modulates cell proliferation and migration of gastric cancer cells by regulating miR-330-3p/NAT10 axis
- Dezocine inhibits cell proliferation, migration, and invasion by targeting CRABP2 in ovarian cancer
- MGST1 alleviates the oxidative stress of trophoblast cells induced by hypoxia/reoxygenation and promotes cell proliferation, migration, and invasion by activating the PI3K/AKT/mTOR pathway
- Bifidobacterium lactis Probio-M8 ameliorated the symptoms of type 2 diabetes mellitus mice by changing ileum FXR-CYP7A1
- circRNA DENND1B inhibits tumorigenicity of clear cell renal cell carcinoma via miR-122-5p/TIMP2 axis
- EphA3 targeted by miR-3666 contributes to melanoma malignancy via activating ERK1/2 and p38 MAPK pathways
- Pacemakers and methylprednisolone pulse therapy in immune-related myocarditis concomitant with complete heart block
- miRNA-130a-3p targets sphingosine-1-phosphate receptor 1 to activate the microglial and astrocytes and to promote neural injury under the high glucose condition
- Review Articles
- Current management of cancer pain in Italy: Expert opinion paper
- Hearing loss and brain disorders: A review of multiple pathologies
- The rationale for using low-molecular weight heparin in the therapy of symptomatic COVID-19 patients
- Amyotrophic lateral sclerosis and delayed onset muscle soreness in light of the impaired blink and stretch reflexes – watch out for Piezo2
- Interleukin-35 in autoimmune dermatoses: Current concepts
- Recent discoveries in microbiota dysbiosis, cholangiocytic factors, and models for studying the pathogenesis of primary sclerosing cholangitis
- Advantages of ketamine in pediatric anesthesia
- Congenital adrenal hyperplasia. Role of dentist in early diagnosis
- Migraine management: Non-pharmacological points for patients and health care professionals
- Atherogenic index of plasma and coronary artery disease: A systematic review
- Physiological and modulatory role of thioredoxins in the cellular function
- Case Reports
- Intrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series
- A case of successful pembrolizumab monotherapy in a patient with advanced lung adenocarcinoma: Use of multiple biomarkers in combination for clinical practice
- Unusual neurological manifestations of bilateral medial medullary infarction: A case report
- Atypical symptoms of malignant hyperthermia: A rare causative mutation in the RYR1 gene
- A case report of dermatomyositis with the missed diagnosis of non-small cell lung cancer and concurrence of pulmonary tuberculosis
- A rare case of endometrial polyp complicated with uterine inversion: A case report and clinical management
- Spontaneous rupturing of splenic artery aneurysm: Another reason for fatal syncope and shock (Case report and literature review)
- Fungal infection mimicking COVID-19 infection – A case report
- Concurrent aspergillosis and cystic pulmonary metastases in a patient with tongue squamous cell carcinoma
- Paraganglioma-induced inverted takotsubo-like cardiomyopathy leading to cardiogenic shock successfully treated with extracorporeal membrane oxygenation
- Lineage switch from lymphoma to myeloid neoplasms: First case series from a single institution
- Trismus during tracheal extubation as a complication of general anaesthesia – A case report
- Simultaneous treatment of a pubovesical fistula and lymph node metastasis secondary to multimodal treatment for prostate cancer: Case report and review of the literature
- Two case reports of skin vasculitis following the COVID-19 immunization
- Ureteroiliac fistula after oncological surgery: Case report and review of the literature
- Synchronous triple primary malignant tumours in the bladder, prostate, and lung harbouring TP53 and MEK1 mutations accompanied with severe cardiovascular diseases: A case report
- Huge mucinous cystic neoplasms with adhesion to the left colon: A case report and literature review
- Commentary
- Commentary on “Clinicopathological features of programmed cell death-ligand 1 expression in patients with oral squamous cell carcinoma”
- Rapid Communication
- COVID-19 fear, post-traumatic stress, growth, and the role of resilience
- Erratum
- Erratum to “Tollip promotes hepatocellular carcinoma progression via PI3K/AKT pathway”
- Erratum to “Effect of femoral head necrosis cystic area on femoral head collapse and stress distribution in femoral head: A clinical and finite element study”
- Erratum to “lncRNA NORAD promotes lung cancer progression by competitively binding to miR-28-3p with E2F2”
- Retraction
- Expression and role of ABIN1 in sepsis: In vitro and in vivo studies
- Retraction to “miR-519d downregulates LEP expression to inhibit preeclampsia development”
- Special Issue Computational Intelligence Methodologies Meets Recurrent Cancers - Part II
- Usefulness of close surveillance for rectal cancer patients after neoadjuvant chemoradiotherapy