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| 1 | Mechanisms of resistance to anti-epidermal growth factor receptor inhibitors in metastatic colorectal cancer显示文摘The prognosis of patients with metastatic colorectal cancer(m CRC) remain poor despite the impressive improvement of treatments observed over the last 20 years that led to an increase in median overall survival from 6 mo, with the only best supportive care, to approximately 30 mo with the introduction of active chemotherapy drugs and targeted agents. The monoclonal antibodies(mo Abs) cetuximab and panitumumab, directed against the epidermal growth factor receptor(EGFR), undoubtedly represent a major step forward in the treatment of m CRC, given the relevant efficacy in terms of progression-free survival, overall survival, response rate, and quality of life observed in several phase Ⅲ clinical trials among different lines of treatment. However, the anti-EGFR mo Abs were shown only to be effective in a subset of patients. For instance, KRAS and NRAS mutations have been identified as biomarkers of resistance to these drugs, improving the selection of patients who might derive a benefit from these treatments. Nevertheless, several other alterations might affect the response to these drugs, and unfortunately, even the responders eventually become resistant by developing secondary(or acquired) resistance in approximately 13-18 mo. Several studies highlighted that the landscape of responsible alterations of both primary and acquired resistance to anti-EGFR drugs biochemically converge into MEK-ERK and PIK3CA-AKT pathways. In this review, we describe the currently known mechanisms of primary and acquired resistance to anti-EGFR mo Abs together with the various strategies evaluated to prevent, overcame or revert them. | Vincenzo Sforza Erika Martinelli Fortunato Ciardiello Valentina Gambardella Stefania Napolitano Giulia Martini Carminia della Corte Claudia Cardone Marianna L Ferrara Alfonso Reginelli Giuseppina Liguori Giulio Belli Teresa Troiani | 2016 | World Journal of Gastroenterology2016,22,28: | 6 |
| 2 | Fecal immunochemical test accuracy in average-risk colorectal cancer screening显示文摘AIM:To assess the fecal immunochemical test(FIT)accuracy for colorectal cancer(CRC)and advanced neoplasia(AN)detection in CRC screening.METHODS:We performed a multicentric,prospective,double blind study of diagnostic tests on asymptomatic average-risk individuals submitted to screening colonoscopy.Two stool samples were collected and the fecal hemoglobin concentration was determined in the first sample(FIT1)and the highest level of both samples(FITmax)using the OC-sensor.Areas under the curve(AUC)for CRC and AN were calculated.The best FIT1and FITmax cut-off values for CRC were determined.At this threshold,number needed to scope(NNS)to detect a CRC and an AN and the cost per lesion detected were calculated.RESULTS:About 779 individuals were included.An AN was found in 97(12.5%)individuals:a CRC in 5(0.6%)and an advanced adenoma(≥10 mm,villous histology or high grade dysplasia)in 92(11.9%)subjects.For CRC diagnosis,FIT1 AUC was 0.96(95%CI:0.95-0.98)and FITmax AUC was 0.95(95%CI:0.93-0.97).For AN,FIT1 and FITmax AUC were similar(0.72,95%CI:0.66-0.78 vs 0.73,95%CI:0.68-0.79,respectively,P=0.34).Depending on the number of determinations and the positivity threshold cut-off used sensitivity for AN detection ranged between 28%and 42%and specificity between 91%and 97%.At the best cut-off point for CRC detection(115 ng/mL),the NNS to detect a CRC were 10.2 and 15.8;and the cost per CRC was 1814€and 2985€on FIT1 and FITmax strategies respectively.At this threshold the sensitivity,NNS and cost per AN detected were 30%,1.76,and 306€,in FIT1 strategy,and 36%,2.26€and 426€,in FITmax strategy,respectively.CONCLUSION:Performing two tests does not improve diagnostic accuracy,but increases cost and NNS to detect a lesion. | Vicent Hernandez Joaquin Cubiella M Carmen Gonzalez-Mao Felipe Iglesias Concepción Rivera M Begoa Iglesias Lucía Cid Ines Castro Luisa de Castro Pablo Vega Jose Antonio Hermo Ramiro Macenlle Alfonso Martínez-Turnes David Martínez-Ares Pamela Estevez Estela Cid M Carmen Vidal Angeles López-Martínez Elisabeth Hijona Marta Herreros-Villanueva Luis Bujanda Jose Ignacio Rodriguez-Prada the COLONPREV study investigators | 2014 | World Journal of Gastroenterology2014,20,4: | 4 |
| 3 | Downregulation of the Basic Peroxidase Isoenzyme from Zinnia elegans by Gibberellic Acid显示文摘Hypocotyl formation during the epigeal germination of seedlings is under strict hormonal regulation. In a 3 d old Zinnia elegans seedling system, gibberellic acid (GA3) exerts an opposite effect to that exerted by light on hypocotyl photomorphogenesis because GA3 promotes an etiolated-like growth with an inhibition of radial (secondary) growth. For this reason, the effect of GA3 on the basic peroxidase isoenzyme from Z. elegans (ZePrx), an enzyme involved in hypocotyl lignin biosynthesis, was studied. The results showed that GA3 reduces ZePrx activity, similarly to the way in which it reduces seedling secondary growth. This hormonal response is supported by the analysis of the ZePrx promoter, which contains four types of GA3-responsive cis-elements: the W Box/O2S; the Pyr Box; the GARE; and the Amy Box. Taken together, these results suggest that ZePrx is directly regulated by GA3, with this effect matching the inhibitory effect of GA on the hypocotyl secondary growth. | María Josefa López Núez-Flores Jorge Gutirrez Laura V.Gómez-Ros Esther Novo Uzal Mariana Sottomayor Alfonso Ros Barceló | 2010 | Journal of Integrative Plant Biology2010,52,2: | 3 |
| 4 | Effect of femtosecond laser-assisted lens surgery on the optic nerve head and the macula显示文摘AIM: To evaluate the effect of femtosecond laser-assisted lens surgery(FLALS;cataract surgery or refractive lens exchange) on the structure of the optic nerve head and the macula.METHODS: This prospective longitudinal study included healthy eyes undergoing FLALS. Eyes with glaucoma or any other ocular disease that could alter optical coherence tomography results were excluded. Retinal nerve fiber layer(RNFL), Bruch’s membrane opening-minimum rim width(BMO-MRW) and macular thickness(MT) were measured preoperatively, 1 and 6 mo after surgery using spectral-domain optical coherence tomography(SD-OCT). Changes between preoperative and postoperative values were evaluated.RESULTS: A total of 87 eyes of 46 patients were included in this study. Preoperative RNFL, BMO-MRW and MT in microns(μm) were 100.77±10.39, 330.31±49.99 and 276.30±33.39, respectively. Postoperative RNFL, BMO-MRW and MT were 104.74±11.55, 348.32±54.05 and 279.83±22.65 1 mo after surgery and 102.93±11.17, 343.11±53.4 and 278.90±22.19 6 mo after surgery, respectively;which equals an increase of 3.93%, 5.45% and 1.27%,respectively, 1 mo after surgery, and 2.14%, 3.87% and 0.94% 6 mo after surgery. The differences between the preoperative and the postoperative RNFL and BMO-MRW values were statistically significant(P<0.001). Regarding MT values, there were not statistically significant differences(P=0.26).CONCLUSION: Our study suggests that FLALS does not have a negative impact on the structural status of the optic nerve head in healthy eyes, assessed by SD-OCT. There is a slight increase in the values of RNFL, BMO-MRW and MT 1 mo and 6 mo after surgery. | Josefina Renones de Abajo Beatriz Estévez Jorge Jesús María González Martín Humberto Carreras Díaz Juan Francisco Loro Ferrer Alfonso Antón López | 2019 | International Journal of Ophthalmology(English edition)2019,12,6: | 2 |
| 5 | Genetic parameters for egg number, egg weight, and eggshell color in the three Catalan poultry breeds 显示文摘 | Francesch A Estany J Alfonso L | 1997 | Poult Sci1997,76,12: | 1 |
| 6 | Spectacle independence and subjective satisfaction of Re STOR multifoeal intraoeular lens after cataract or presbyopia surgery in two European eountries显示文摘 | Cohener B Fernandez-Vega L Alfonso JF | 2010 | Clin Ophthalmol2010,4,: | 1 |
| 7 | Spatial variability of agricultural soil parameters in southern Spain显示文摘 | Francisca López-Granados Montserrat Jurado-Expósito Silvia Atenciano Alfonso García-Ferrer Manuel Sánchez de la Orden Luis García-Torres | 2002 | Plant and Soil2002,,1: | 1 |
| 8 | Design,manufacture,stress analysis,and experimental tests of low-noise high endurance spiral bevel gears显示文摘 | Litivin Faydor L Alfonso Fuentes Kenichi Hayasaka | 2006 | Mechanism and Machine Theory2006,41,: | 1 |
| 9 | Role of vitamin E and phenolic compounds in the antioxidant capacity,measured by ESR,of virgin olive,olive and sunflower oils after frying显示文摘 | QUILES L J CARMEN R T ALFONSO G | 2002 | Food Chem2002,76,: | 1 |
| 10 | Outcomes and Patient Satisfaction After Presbyopic Bilateral Lens Exchange with the ReSTOR IOL in Emmetropic Patients显示文摘 | Alfonso JF Fernandez-- Vega L Valcarcel B | 2010 | Cataract Refract Surg2010,1,28: | 1 |
| 11 | Dietary thyrotro- pin-releasing hormone stimulates growth rate and increases the insulin: glucagon molar ratio of broiler chickens 显示文摘 | Cogburn L A Liou S S Alfonso C P | 1989 | Proc Soc Exp Biol Med1989,192,2: | 1 |
| 12 | Nitrate prmotes biological oxidation of sulfide in wastewaters:Experiment at plant-scale biotech显示文摘 | Juan G L Alfonso C Juan M G | 2006 | Bioeng2006,93,4: | 1 |
| 13 | Solid mesenchymal hamartoma in an adult: a case report显示文摘 | Hernandez JC Alfonso C Gonzalez L | 2006 | J Clin Pathol2006,59,5: | 1 |
| 14 | Design, generation and TCA of New Type of Asymmetricface-gear Drive with Modi fled Geometry 显示文摘 | Litivin F L Alfonso F Matt H | 2001 | Computer Methods in Applied Mechanics and Engineering2001,190,3: | 1 |
| 15 | Visual function after implantation of an aspheric bifocal intraocular lens显示文摘 | Alfonso JF Fernandez-Vega L Amhaz H | 2009 | Cataract Refract Surg2009,35,5: | 1 |
| 16 | Long-term evalua- tion of the central vault after phakic Collamer (R) lens ( ICL/ TICL) implantation using OCT显示文摘 | Alfonso JF Ferndndez-Vega L Lisa C | 2012 | Graefes Arch Clin Exp Oph- thalmol2012,250,12: | 1 |
| 17 | Plastic ra- dii and longitudinal deformation profiles of tunnels excavatedin strain-softening rock masses显示文摘 | ALEJANO L R ALFONSO R VEIGA M | 2012 | Tunnel- ling and Underground Space Technology2012,30,: | 1 |
| 18 | Design, Genera- tion, And Stress Analysis of Two Versions of Geometry of Face-Gear Drives 显示文摘 | Litvin F L Alfonso F Claudio Z | 2002 | Mechanism and Machine Theory2002,37,4: | 1 |
| 19 | Detection of Dengue virus in saliva and urine by real time RT-PCR显示文摘 | Poloni T R Oliveira A S Alfonso H L | 2010 | Virol J2010,7,: | 1 |
| 20 | Compu- terized integrated approach for design and stress analysis of spiral bevel gears 显示文摘 | Argyris John Fuentes Alfonso Litvin F L | 2002 | Computer methods in applied mechanics and engineering2002,,19: | 1 |