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  • Ovid Technologies (Wolters Kluwer Health)  (2)
  • Asia - CrossAsia  (2)
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  • Ovid Technologies (Wolters Kluwer Health)  (2)
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  • Asia - CrossAsia  (2)
  • 1
    In: Chinese Medical Journal, Ovid Technologies (Wolters Kluwer Health), Vol. 133, No. 11 ( 2020-06-5), p. 1276-1284
    Abstract: Imprecise interpretation of coronary angiograms was reported and resulted in inappropriate revascularization. Synergy Between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) score is a comprehensive system to evaluate the complexity of the overall lesions. We hypothesized that a real-time SYNTAX score feedback from image analysts may rectify the mis-estimation and improve revascularization appropriateness in patients with stable coronary artery disease (CAD). Methods: In this single-center, historical control study, patients with stable CAD with coronary lesion stenosis ≥50% were consecutively recruited. During the control period, SYNTAX scores were calculated by treating cardiologists. During the intervention period, SYNTAX scores were calculated by image analysts immediately after coronary angiography and were provided to cardiologists in real-time to aid decision-making. The primary outcome was revascularization deemed inappropriate by Chinese appropriate use criteria for coronary revascularization. Results: A total of 3245 patients were enrolled and assigned to the control group (08/2016–03/2017, n  = 1525) or the intervention group (03/2017–09/2017, n  = 1720). For SYNTAX score tertiles, 17.9% patients were overestimated and 4.3% were underestimated by cardiologists in the control group. After adjustment, inappropriate revascularization significantly decreased in the intervention group compared with the control group (adjusted odds ratio [OR]: 0.83; 95% confidence interval [CI] : 0.73–0.95; P  = 0.007). Both inappropriate percutaneous coronary intervention (adjusted OR: 0.82; 95% CI: 0.74–0.92; P   〈  0.001) and percutaneous coronary intervention utilization (adjusted OR: 0.88; 95% CI: 0.79–0.98; P  = 0.016) decreased significantly in the intervention group. There was no significant difference in 1-year adverse cardiac events between the control group and the intervention group. Conclusions: Real-time SYNTAX score feedback significantly reduced inappropriate coronary revascularization in stable patients with CAD. Clinical trial registration: Nos. NCT03068858 and NCT02880605; https://www.clinicaltrials.gov.
    Type of Medium: Online Resource
    ISSN: 0366-6999 , 2542-5641
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2020
    detail.hit.zdb_id: 2108782-9
    SSG: 6,25
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 2
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2020
    In:  Chinese Medical Journal Vol. 134, No. 4 ( 2020-10-5), p. 448-455
    In: Chinese Medical Journal, Ovid Technologies (Wolters Kluwer Health), Vol. 134, No. 4 ( 2020-10-5), p. 448-455
    Abstract: Estrogen is involved in the pathophysiological process of benign prostatic hyperplasia (BPH), in which epithelial-mesenchymal transition (EMT) plays an important role. Upregulation of aquaporin (AQP) 5, which is directly activated by estrogen, has been reported to promote EMT in multiple cells. This study aimed to examine the effects of AQP5 on estrogen-induced EMT in the prostate. Methods Normal prostate (NP) tissue samples without any histopathological changes and BPH tissue samples with pathologically confirmed hyperplasia were obtained. An EMT cell model was subsequently established by adding estradiol (E2) to RWPE-1 cells, after which AQP5 knockdown was performed. Tissue morphological and immunohistochemical features were examined using hematoxylin-eosin and immunohistochemical staining. Western blot analysis was performed to determine the expression of AQPs, estrogen receptors, and EMT-related proteins. Cell proliferation was assessed and supernatants were collected for enzyme-linked immunosorbent assay to determine transforming growth factor-β1 (TGF-β1) concentrations. Immunofluorescence staining was performed to assess protein expressions in RWPE-1 cells. Results BPH tissues exhibited greater EMT (TGF-β1: 1.362 ± 0.196 vs. 0.107 ± 0.067, P  = 0.003; vimentin: 1.581 ± 0.508 vs. 0.221 ± 0.047, P   〈  0.001; E-cadherin: 0.197 ± 0.188 vs. 1.344 ± 0.088, P   〈  0.001), higher AQP5 (1.268 ± 0.136 vs. 0.227 ± 0.055, P   〈  0.001) and estrogen receptor (ER) α (1.250 ± 0.117 vs. 0.329 ± 0.134, P   〈  0.001) expression but lower ERβ (0.271 ± 0.184 vs. 1.564 ± 0.130, P   〈  0.001) expression than NP tissues. E2-stimulated cells had higher AQP5 expression (1.298 ± 0.058 vs. 1.085 ± 0.104, P  = 0.049), increased cell proliferation (1.510 ± 0.089 vs. 1.000 ± 0.038, P   〈  0.001), and EMT (TGF-β1 concentration: 0.352 ± 0.021 ng/mL vs. 0.125 ± 0.014 ng/mL, P   〈  0.001; vimentin: 1.641 ± 0.120 vs. 0.188 ± 0.020, P  = 0.002; E-cadherin: 0.075 ± 0.030 vs. 0.843 ± 0.046, P   〈  0.001) than controls. E2-stimulated cells with AQP5 knockdown exhibited decreased EMT (TGF-β1 concentration: 0.223 ± 0.041 ng/mL vs. 0.352 ± 0.021 ng/mL, P  = 0.016; vimentin: 0.675 ± 0.056 vs. 1.641 ± 0.120, P  = 0.001; E-cadherin: 0.159 ± 0.037 vs. 0.075 ± 0.030, P  = 0.040) than E2-stimulated cells with non-related small interfering RNA (siRNA). Conclusion Our findings suggest that estrogen induces BPH possibly by promoting AQP5 expression. Hence, AQP5 might be a novel target for modulating EMT in prostate epithelial cells.
    Type of Medium: Online Resource
    ISSN: 0366-6999 , 2542-5641
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2020
    detail.hit.zdb_id: 2108782-9
    SSG: 6,25
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
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