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| 1 | Retrospective study on mixed neuroendocrine non-neuroendocrine neoplasms from five European centres显示文摘BACKGROUND Mixed neuroendocrine non-neuroendocrine neoplasm(MiNEN)is a rare diagnosis,mainly encountered in the gastro-entero-pancreatic tract.There is limited knowledge of its epidemiology,prognosis and biology,and the best management for affected patients is still to be defined.AIM To investigate clinical-pathological characteristics,treatment modalities and survival outcomes of a retrospective cohort of patients with a diagnosis of MiNEN.METHODS Consecutive patients with a histologically proven diagnosis of MiNEN were identified at 5 European centres.Patient data were retrospectively collected from medical records.Pathological samples were reviewed to ascertain compliance with the 2017 World Health Organisation definition of MiNEN.Tumour responses to systemic treatment were assessed according to the Response Evaluation Criteria in Solid Tumours 1.1.Kaplan-Meier analysis was applied to estimate survival outcomes.Associations between clinical-pathological characteristics and survival outcomes were explored using Log-rank test for equality of survivors functions(univariate)and Cox-regression analysis(multivariable).RESULTS Sixty-nine consecutive patients identified;Median age at diagnosis:64 years.Males:63.8%.Localised disease(curable):53.6%.Commonest sites of origin:colon-rectum(43.5%)and oesophagus/oesophagogastric junction(15.9%).The neuroendocrine component was;predominant in 58.6%,poorly differentiated in 86.3%,and large cell in 81.25%,of cases analysed.Most distant metastases analysed(73.4%)were occupied only by a poorly differentiated neuroendocrine component.Ninety-four percent of patients with localised disease underwent curative surgery;53%also received perioperative treatment,most often in line with protocols for adenocarcinomas from the same sites of origin.Chemotherapy was offered to most patients(68.1%)with advanced disease,and followed protocols for pure neuroendocrine carcinomas or adenocarcinomas in equal proportion.In localised cases,median recurrence free survival(RFS);14.0 months(95%CI:9.2-24.4),and median overall survival(OS):28.6 months(95%CI:18.3-41.1).On univariate analysis,receipt of perioperative treatment(vs surgery alone)did not improve RFS(P=0.375),or OS(P=0.240).In advanced cases,median progression free survival(PFS);5.6 months(95%CI:4.4-7.4),and median OS;9.0 months(95%CI:5.2-13.4).On univariate analysis,receipt of palliative active treatment(vs best supportive care)prolonged PFS and OS(both,P<0.001).CONCLUSION MiNEN is most commonly driven by a poorly differentiated neuroendocrine component,and has poor prognosis.Advances in its biological understanding are needed to identify effective treatments and improve patient outcomes. | Melissa Frizziero Xin Wang Bipasha Chakrabarty Alexa Childs Tu V Luong Thomas Walter Mohid S Khan Meleri Morgan Adam Christian Mona Elshafie Tahir Shah Annamaria Minicozzi Wasat Mansoor Tim Meyer Angela Lamarca Richard A Hubner Juan W Valle Mairéad G McNamara | 2019 | World Journal of Gastroenterology2019,25,39: | 13 |
| 2 | Therapy-refractory gastrointestinal motility disorder in a child with c-kit mutations显示文摘Constipation and fecal impaction are frequent and distressing complaints in pediatric gastroenterology. Especially in neurologically handicapped children, treatment of severe forms of slow-transit constipation (STC) can be difficult. In the majority of cases, STC is of unknown etiology. However, in recent years, there is growing evidence that interstitial cells of Cajal (ICCs), which serve as electrical pacemakers and generate spontaneous electrical slow waves in the gastrointestinal tract, might play an important role in the pathophysiology of STC. It remains unclear whether morphological ICC alterations seen in affected patients are based on congenital developmental anomalies, or whether they are a consequence of long-term constipation with secondary damage of the gastrointestinal nervous system. To the best of our knowledge, we present the first case of a patient with histological alterations in ICC morphology who displayed multiple alterations of c-kit at the level of mRNA. The protein encoded by c-kit is the receptor tyrosine kinase Kit (CD117), which is crucial for development and function of ICCs. Therefore, these findings provide a new explanation for congenital alterations of ICC development that result in gastrointestinal motility disorders. | Christian Breuer Jun Oh Gerhard J Molderings Michael Schemann Birgit Kuch Ertan Mayatepek Rüdiger Adam | 2010 | World Journal of Gastroenterology2010,16,34: | 7 |
| 3 | Assessment of hemostatic profile in patients with mild to advanced liver cirrhosis显示文摘BACKGROUND Hemostasis of patients suffering from liver cirrhosis is challenging due to both,pro-and anticoagulatory disorders leading to hemostatic alterations with distinct abnormalities of coagulation.Pathological changes in conventional coagulation analysis and platelet count are common manifestations of decreased liver synthesis of coagulation factors and reduced platelet count in these patients.However,conventional coagulation analysis and platelet count do not reflect invivo coagulation status or platelet function.The purpose of this present observational study was therefore to assess the haemostatic profile including plasmatic coagulation using thrombelastometry and impedance aggregometry for platelet function in patients suffering from liver cirrhosis.AIM To assess the hemostatic profile of cirrhotic patients according to model for endstage liver disease(MELD)score.METHODS Our study included both in-and outpatients suffering from liver cirrhosis attending the out-and inpatient care of the department of hepatology.Demographic and biochemical data as well as medical history including cause of liver cirrhosis,end stage kidney failure and medication with anticoagulants were recorded.To assess the hemostatic profile,platelet function was analyzed by multiple electrode aggregometry(MEA)using Multiplate^■(ADP-,ASPI-and TRAP-test)and thrombelastometry using ROTEM^■(EXTEM,INTEM,FIBTEM).Data were compared using Mann-Whitney U-or χ^2-test.Spearman correlation was performed to analyze the association between MELD Score and results of thrombelastometry and MEA.RESULTS A total of 68 patients attending the out-and inpatient care suffering from liver cirrhosis were screened.Of these,50 patients were included and assigned to groups according to MELD score 6 to 11(n=25)or≥17(n=25).Baseline patient characteristics revealed significant differences for MELD score(8 vs 22,P<0.0001)and underlying laboratory parameters(international normalized ratio,bilirubine,creatinine)as well as fibrinogen level(275 mg/dL vs 209 mg/dL,P=0.006)and aPTT(30 s vs 35 s,P=0.047).MEA showed a moderately impaired platelet function(medians:AUCADP=43U,AUCASPI=71U,AUCTRAP=92U)but no significant differences between both groups.Thrombelastometry using ROTEM?(EXTEM,INTEM,FIBTEM)revealed values within normal range in both groups.No significant correlation was observed between MELD score and results of MEA/thrombelastometry.CONCLUSION Our data demonstrate a partially impaired hemostatic profile in liver cirrhosis patients unrelated to MELD score.An individual assessment of a potential coagulopathy should therefore be considered. | Elisabeth Hannah Adam Madara Mohlmann Eva Herrmann Sonia Schneider Kai Zacharowski Stefan Zeuzem Christian Friedrich Weber Nina Weiler | 2020 | World Journal of Gastroenterology2020,26,17: | 5 |
| 4 | Targeting DNA Double-Strand Breaks with TAL Effector Nucleases显示文摘 | Christian Michelle Cermak Tomas Doyle Erin L Schmidt Clarice Zhang Feng Hummel Aaron Bogdanove Adam J Voytas Daniel F | 2010 | Genetics2010,,2: | 3 |
| 5 | Mutation of C. elegans demethylase spr-5 extends transgenerational longevity显示文摘象长寿那样的复杂 organismal 性质能被非基因的因素越过代播送。这里,我们表明 C 的那删除。elegans histone H3 离氨酸 4 dimethyl (H3K4me2 ) demethylase, spr-5,在 lifespan 引起 trans 辈份的增加。我们识别一个修改染色质的网络,它调整这 lifespan 扩展。我们进一步证明这 trans 辈份的 lifespan 延期依赖于包含类固醇 dafachronic 酸的一条神经质的发信号小径,原子受体 DAF-12 的使活跃之物。这些调查结果建议 demethylase SPR-5 的损失引起 H3K4me2 表明小径的已知的调整 lifespan 的 mis 规定和激活,导致 trans 辈份的 lifespan 扩展。 | Eric Lieberman Greer Ben Becker Christian Latza Adam Antebi Yang Shi | 2016 | Cell Research2016,26,2: | 3 |
| 6 | Hepatic Hemangiosarcoma: An Absolute Contraindication to Liver Transplantation—The European Liver Transplant Registry Experience显示文摘 | Giuseppe Orlando Rene Adam Darius Mirza Goran Soderdahl Robert J. Porte Andreas Paul Andrew K. Burroughs Christian A. Seiler Michele Colledan Ivo Graziadei Juan-Carlos Garcia Valdecasas Fran?ois-René Pruvot Vincent Karam Jan Lerut | 2013 | Transplantation Journal2013,,6: | 2 |
| 7 | Resection of Nonresectable Liver Metastases from Colorectal Cancer After Neoadjuvant Chemotherapy显示文摘 | Henry Bismuth René Adam Fran?is Lévi Christian Farabos Fabio Waechter Denis Castaing Pietro Majno Luc Engerran | 1996 | Annals of Surgery1996,,4: | 2 |
| 8 | Process configurations adapled to membrane bioreactors for enhanced biological phosphorous and nitrogen removal 显示文摘 | Boris Lesjean Regina Gnirss Christian Adam | 2002 | Destilation2002,149,13: | 1 |
| 9 | Modulation of Antioxidant Enzyme Expression and Function by Estrogen显示文摘 | Kerstin Strehlow Simone Rotter Sven Wassmann Oliver Adam Christian Grohé Kerstin Laufs Michael B?hm Georg Nickenig | 2003 | Circulation Research2003,,2: | 1 |
| 10 | SIAH ubiquitin ligases regulate breast cancer cell migration and inva- sion independent of the oxygen status 显示文摘 | Adam MG Matt S Christian S | 2015 | Cell Cycle2015,14,23: | 1 |
| 11 | Postpancreatectomy Hemorrhage: Diagnosis and Treatment: An Analysis in 1669 Consecutive Pancreatic Resections显示文摘 | Emre F. Yekebas Lars Wolfram Guellue Cataldegirmen Christian R. Habermann Dean Bogoevski Alexandra M. Koenig Jussuf Kaifi Paulus G. Schurr Michael Bubenheim Claus Nolte-Ernsting Gerhard Adam Jakob R. Izbicki | 2007 | Annals of Surgery2007,,2: | 1 |
| 12 | Wideband Channel Model for Aeronautical Telemetry显示文摘 | Michael Rice Adam Davis Christian Bettweiser | 2003 | IEEE Transactions on Aerospace and Electronic Systems2003,40,01: | 1 |
| 13 | Study of Health in Pomerania (SHIP): A health examination survey in an east German region: Objectives and design显示文摘 | Prof. Dr. Ulrich John Elke Hensel Jan Lüdemann Marion Piek Sybille Sauer Christiane Adam Gabriele Born Dietrich Alte Eberhard Greiser Ursula Haertel Hans-Werner Hense Johannes Haerting Stefan Willich Christof Kessler | 2001 | Sozial - und Pr?ventivmedizin SPM2001,,3: | 1 |
| 14 | Study of Health in Pomerania (SHIP): A health examination survey in an east German region: Objectives and design显示文摘 | Prof. Dr. Ulrich John Elke Hensel Jan Lüdemann Marion Piek Sybille Sauer Christiane Adam Gabriele Born Dietrich Alte Eberhard Greiser Ursula Haertel Hans-Werner Hense Johannes Haerting Stefan Willich Christof Kessler | 2001 | Sozial - und Pr?ventivmedizin SPM2001,,3: | 1 |
| 15 | Osmoregulation and expression of ion transport proteins andputative elaudins in the gill of Southern Flounder (Paralichthys lethostigma ) 显示文摘 | CHRISTIAN K T ADAM J L STEFFEN S M | 2008 | Comparative Biochemistry and Physiology Part A2008,150,3: | 1 |
| 16 | Postpancreatectomy Hemorrhage: Diagnosis and Treatment: An Analysis in 1669 Consecutive Pancreatic Resections显示文摘 | Emre F. Yekebas Lars Wolfram Guellue Cataldegirmen Christian R. Habermann Dean Bogoevski Alexandra M. Koenig Jussuf Kaifi Paulus G. Schurr Michael Bubenheim Claus Nolte-Ernsting Gerhard Adam Jakob R. Izbicki | 2007 | Annals of Surgery2007,,2: | 1 |
| 17 | Action observation has a positive impact on rehabilitation of motor deficits after stroke显示文摘 | Denis Ertelt Steven Small Ana Solodkin Christian Dettmers Adam McNamara Ferdinand Binkofski Giovanni Buccino | 2007 | Neuroimage2007,,: | 1 |
| 18 | Postpancreatectomy Hemorrhage: Diagnosis and Treatment: An Analysis in 1669 Consecutive Pancreatic Resections显示文摘 | Emre F. Yekebas Lars Wolfram Guellue Cataldegirmen Christian R. Habermann Dean Bogoevski Alexandra M. Koenig Jussuf Kaifi Paulus G. Schurr Michael Bubenheim Claus Nolte-Ernsting Gerhard Adam Jakob R. Izbicki | 2007 | Annals of Surgery2007,,2: | 1 |
| 19 | Inverted bulk-heterojunction solar cell with cross-linked hole-blocking layer显示文摘 | Yasemin Udum Patrick Denk Getachew Adam Dogukan H. Apaydin Andreas Nevosad Christian Teichert Matthew. S. White Niyazi. S. Sariciftci Markus C. Scharber | 2014 | Organic Electronics2014,,5: | 1 |
| 20 | Process configurations adapted to membrane bioreactors for enhanced biological phosphorous and nitrogen removal 显示文摘 | Boris Lesjean Regina Onirssb Christian Adam | 2002 | Desalination2002,,149: | 1 |