Robotic Partial Nephrectomy for Renal Tumors Larger than 4 cm: A Systematic Review and Meta-analysis

Background

With the establishment of minimally invasive surgery in society, the robot has been increasingly widely used in the urologic field, including in partial nephrectomy. This study aimed to comprehensively summarize the currently available evidence on the feasibility and safety of robotic partial nephrectomy for renal tumors of >4 cm.

Method and Findings

An electronic database search of PubMed, Scopus, Web of Science, and the Cochrane Library was performed. This systematic review and meta-analysis was based on all relevant studies that assessed robotic partial nephrectomy for renal tumors of >4 cm. Five studies were included. The meta-analysis involved 3 studies from 11 institutions including 154 patients, while the narrative review involved the remaining 2 studies from 5 institutions including 64 patients. In the meta-analysis, the mean ischemic time, operation time, and console time was 28, 319, and 189 minutes, respectively. The estimated blood loss and length of stay was 317 ml and 3.8 days, respectively. The rates of conversion, positive margins, intraoperative complications, postoperative complications, hilar clamping, and collecting system repair were 7.0%, 3.5%, 7.0%, 9.8%, 93.9%, and 47.5%, respectively. The narrative review showed results similar to those of the meta-analysis.

Conclusions

Robotic partial nephrectomy is feasible and safe for renal tumors of >4 cm with an acceptable warm ischemic time, positive margin rate, conversion rate, complication rate, operation time, estimated blood loss, and length of stay.     

Long Noncoding RNA SNHG5 Knockdown Alleviates Neuropathic Pain by Targeting the miR-154-5p/CXCL13 Axis

Neurochemical Research - Neuropathic pain is an unneglectable pain condition with limited treatment options owing to its enigmatic underlying mechanisms. Long noncoding RNA small nucleolar RNA host...     

重组人源性胶原蛋白的制备及表征

为了获得可实现工业化生产的重组人源性胶原蛋白,根据人I型胶原蛋白Gly-X-Y序列,优选亲水性的Gly-X-Y胶原肽段设计人源性胶原蛋白氨基酸序列及对应的核苷酸序列,利用酶切技术构建pPIC9K-COL表达载体,电转化毕赤酵母获得人源性胶原蛋白毕赤酵母工程菌,并对其进行发酵罐发酵、纯化及鉴定。结果显示,获得表达量达4.5 g/L,纯度大于95%的人源性胶原蛋白,经氨基酸N端测序、分子量测定、氨基酸分析及胶原酶降解试验,确定获得的蛋白与理论的人源性胶原蛋白一级结构一致;同时胶原经冷冻干燥后进行扫描电镜分析及细胞毒性试验,确定人源性胶原蛋白冻干品具有多孔纤维网状结构及优良的细胞相容性,预示其具备作为生物医学材料的潜质。     

深畦栽培对干旱胁迫下葡萄叶幕微气候和光合作用的影响

试验以‘京亚’和‘红地球’葡萄品种2年生苗木为材料,在田间遮雨棚内考察了自然干旱胁迫下深畦栽植和平畦栽植葡萄根际土壤湿度、叶幕微气候因子、光合作用参数变化特征,探讨根际土壤湿度与叶幕气候互作对葡萄光合作用的影响。结果显示:(1)在干旱逆境下,葡萄根际土壤湿度和叶幕微气候因子交互作用能通过影响水分条件来影响葡萄的光合作用;土壤湿度阀值是葡萄进行光合作用时水分利用最有效的土壤湿度点值,土壤湿度阀值存在“阀值漂移”现象,与叶幕空气湿度呈明显负相关关系,维持较高的叶幕空气湿度有利于实现在较低的土壤湿度下达到更高的光合效率。(2)在干旱逆境下,与平畦栽植相比,深畦栽植在改善葡萄根际土壤水分和叶幕微气候方面具有明显的优势,在该模式下葡萄具有更强的保水能力和更高的水分利用效率,从而具有更强的光合效率。(3)采用深畦栽植模式时,根际土壤相对含水量30%~50%是显著影响葡萄光合作用的土壤湿度区间;根际土壤相对含水量分别在43.32%~50.00%和40.19%~50.00%是‘京亚’和‘红地球’光合作用适宜的土壤湿度范围,在43.32%和40.19%时分别为2种葡萄光合作用水分利用效率达到最高的最适土壤湿度。研究发现,干旱逆境条件下,葡萄根际土壤湿度和叶幕微气候因子交互作用能改善葡萄的光合作用效率;深畦栽植葡萄光合作用对土壤湿度的需求较低,在相对较低的土壤湿度即可达到相对较高的光合能力;深畦栽植模式可以协调葡萄光合作用和水分消耗之间的关系,具有较高的水分利用效率和光合能力,是干旱地区进行葡萄抗旱节水生产的理想模式。     

Fluorescence intensity studies of Triassic acritarchs from the Yanchang Formation in Ordos basin, northwestern China

Fluorescence properties of Early Cambrian acritarchs were investigated using Leica das Mikroskop (DM) microscopy with a mercury lamp. Well-preserved autoflurescence properties show a correlation between acritarchs morphology and the intensity of emitted fluorescence. In accordance with the fluorescence intensity of organic cell walls, two groups of microfossils were distinguished. Results of observation in this study, which are consistent with those of the previous foreign studies, are in good agreement with regular difference in autofluorescence intensity among palynomorphs reported by McPhilemy (1998). Spores and algae, including Botryococcus, have very bright fluorescence while acritarchs often show less intense fluorescence. Dark brown microfossils have been reworked, and have little or no fluorescence. __________ Translated from Acta Micropalaeontologica Sinica, 2006, 23(3): 309–312 [译自: 微体古生物学报]     

Fluorescence intensity studies of Triassic acritarchs from the Yanchang Formation in Ordos basin,northwestern China

Fluorescence properties of Early Cambrian acritarchs were investigated using Leica das Mikroskop (DM)microscopy with a mercury lamp.Well-preserved autoflurescence properties show a correlation between acritarchs morphology and the intensity of emitted fluorescence.In accordance with the fluorescence intensity of organic cell walls,two groups ofmicrofossils were distinguished.Results of observation in this study,which are consistent with those of the previous foreign studies,are in good agreement with regular difference in autofluorescence intensity among palynomorphs reported by McPhilemy (1998).Spores and algae,including Botryococcus,have very bright fluorescence while acritarchs often show less intense fluorescence.Dark brown microfossils have been reworked,and have little or no fluorescence.     

Donor APCs are required for maximal GVHD but not for GVL

Graft-versus-host disease (GVHD) is a major source of morbidity in allogenic stem cell transplantation. We previously showed that recipient antigen-presenting cells (APCs) are required for CD8-dependent GVHD in a mouse model across only minor histocompatibility antigens (minor H antigens). However, these studies did not address the function of donor-derived APCs after GVHD is initiated. Here we show that GVHD develops in recipients of donor major histocompatibility complex class I-deficient (MHC I(-)) bone marrow. Thus, after initial priming, CD8 cells caused GVHD without a further requirement for hematopoietic APCs, indicating that host APCs are necessary and sufficient for GHVD. Nonetheless, GVHD was less severe in recipients of MHC I(-) bone marrow. Therefore, once initiated, GVHD is intensified by donor-derived cells, most probably donor APCs cross-priming alloreactive CD8 cells. Nevertheless, donor APCs were not required for CD8-mediated graft-versus-leukemia (GVL) against a mouse model of chronic-phase chronic myelogenous leukemia. These studies identify donor APCs as a new target for treating GVHD, which may preserve GVL.     

HCG-Activated Human Peripheral Blood Mononuclear Cells (PBMC) Promote Trophoblast Cell Invasion

Successful embryo implantation and placentation depend on appropriate trophoblast invasion into the maternal endometrial stroma. Human chorionic gonadotropin (hCG) is one of the earliest embryo-derived secreted signals in the peripheral blood mononuclear cells (PBMC) that abundantly expresses hCG receptors. The aims of this study were to estimate the effect of human embryo–secreted hCG on PBMC function and investigate the role and underlying mechanisms of activated PBMC in trophoblast invasion. Blood samples were collected from women undergoing benign gynecological surgery during the mid-secretory phase. PBMC were isolated and stimulated with or without hCG for 0 or 24 h. Interleukin-1β (IL-1β) and leukemia inhibitory factor (LIF) expressions in PBMC were detected by enzyme-linked immunosorbent assay and real-time polymerase chain reaction (PCR). The JAR cell line served as a model for trophoblast cells and was divided into four groups: control, hCG only, PBMC only, and PBMC with hCG. JAR cell invasive and proliferative abilities were detected by trans-well and CCK8 assays and matrix metalloproteinase (MMP)-2 (MMP-2), MMP-9, vascular endothelial growth factor (VEGF), tissue inhibitor of metalloproteinase (TIMP)-1, and TIMP-2 expressions in JAR cells were detected by western blotting and real-time PCR analysis. We found that hCG can remarkably promote IL-1β and LIF promotion in PBMC after 24-h culture. PBMC activated by hCG significantly increased the number of invasive JAR cells in an invasion assay without affecting proliferation, and hCG-activated PBMC significantly increased MMP-2, MMP-9, and VEGF and decreased TIMP-1 and TIMP-2 expressions in JAR cells in a dose-dependent manner. This study demonstrated that hCG stimulates cytokine secretion in human PBMC and could stimulate trophoblast invasion.     

Synthesis of four oligosaccharides derived from <Emphasis Type="Italic">Paris polyphylla</Emphasis> var. <Emphasis Type="Italic">yunnanensis</Emphasis> and their tobacco (<Emphasis Type="Italic">Nicotiana tabacum</Emphasis> L.) growth-regulatory activity

Four oligosaccharides (penta-, hexa-, hepta- and octa-saccharide) derived from Paris polyphylla var. yunnanensis have been synthesized efficiently using a convergent glycosylation strategy. The tobacco (Nicotiana tabacum L.) growth bioactivities of the synthesized oligosaccharides were examined, using tissue-cultured seedlings grown on solid MS medium. After 2 or 3 weeks, all four oligosaccharides had stimulated tobacco seedling growth at 1.0 ppm and the pentasaccharide showed the most significant stimulus effects. Further experiments showed that the effects of pentasaccharide on tobacco growth had an obvious concentration-dependent relationship in the range of 0.1–1.0 ppm. This stimulus effect showed some decrease when the pentasaccharide concentration was higher than 1.0 ppm. At 1.0 ppm, pentasaccharide had the most significant effects, which caused a 520% fresh weight increase of tobacco. The bioactivity of these synthesized oligosaccharides suggested that they may be good prospects for the application in the control of plant growth and development.