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| 1 | Biomarkers for the early diagnosis of hepatocellular carcinoma显示文摘Hepatocellular carcinoma(HCC) is the fifth most common cancer and the second leading cause of cancer-related deaths worldwide. Although the prognosis of patients with HCC is generally poor, the5-year survival rate is > 70% if patients are diagnosed at an early stage. However, early diagnosis of HCC is complicated by the coexistence of inflammation and cirrhosis. Thus, novel biomarkers for the early diagnosis of HCC are required. Currently, the diagnosis of HCC without pathological correlation is achieved by analyzing serum α.fetoprotein levels combined with imaging techniques. Advances in genomics and proteomics platforms and biomarker assay techniques over the last decade have resulted in the identification of numerous novel biomarkers and have improved the diagnosis of HCC. The most promising biomarkers,such as glypican-3, osteopontin, Golgi protein-73 and nucleic acids including microRNAs, are most likely to become clinically validated in the near future. These biomarkers are not only useful for early diagnosis of HCC, but also provide insight into the mechanisms driving oncogenesis. In addition, such molecular insight creates the basis for the development of potentially more effective treatment strategies. In this article,we provide an overview of the biomarkers that are currently used for the early diagnosis of HCC. | Nobuhiro Tsuchiya Yu Sawada Itaru Endo Keigo Saito Yasushi Uemura Tetsuya Nakatsura | 2015 | World Journal of Gastroenterology2015，21，37： | 72 |
| 2 | 长江口沉积物^(210)Pb分布及沉积环境解释显示文摘在长江河口潮滩、分流河道和水下三角洲共获得18个柱样,进行沉积学分析和210Pb测定,并对其中6根柱样进行137Cs测定。经研究发现,长江口外在水深25~30m,122°30′N,31°00′E附近存在一个泥质沉积中心,沉积速率达2.0~6.3cm/yr。另外,在潮滩和涨潮槽也获得较高沉积速率,其中南汇和横沙岛潮滩沉积速率(1.03~1.94cm/yr)高于崇明东滩(0.51~0.76cm/yr),涨潮槽沉积速率也达0.86cm/yr。此外,在石洞口、南汇、九段沙潮滩和三角洲前缘有部分柱样未获沉积速率,推测为沉积环境不稳定或沉积速率过快所致。 | 段凌云 王张华 李茂田 潘建明 陈中原 Yishiki Saito Yutaka kanai | 2005 | 沉积学报2005，23，3： | 47 |
| 3 | Grain size records reveal variability of the East Asian Winter Monsoon since the Middle Holocene in the Central Yellow Sea mud area,China显示文摘Three cores(ZY-1,ZY-2 and ZY-3) retrieved from the Central Yellow Sea mud(CYSM) were analyzed in sensitive grain size and AMS 14 C dating to reconstruct the history of the East Asian Winter Monsoon(EAWM) since the Middle Holocene in the study area.The results show that these data provide a continuous history of the EAWM over the past 7.2 ka and that the EAWM can be divided into three periods:strong and highly fluctuating during 7.2-4.2 ka BP;moderate and relatively stable during 4.2-1.8 ka BP;and weakened during 1.8-0 ka BP.Compared with the East Asian Summer Monsoon(EASM) recorded in the previous studies,the evolutionary history of the EAWM broadly follows the orbital-derived winter insolation with a similar long-term step-decreased trend as the EASM.At the centennial scale,however,the EAWM intensified events correlate well with the EASM weakened events and the North Atlantic climatic variations(Bond events 0 to 5) within the dating error,most likely forced by the reduction of solar irradiance through changes in the oceanic-atmospheric circulation patterns. | HU BangQi YANG ZuoSheng ZHAO MeiXun Yoshiki SAITO FAN DeJiang WANG LiBo | 2012 | Science China Earth Sciences2012，55，10： | 39 |
| 4 | 扩散火焰合成碳纳米管研究显示文摘利用扩散火焰合成碳纳米管是一项新的技术和方法。介绍了这种新方法的基本原理 ,较系统地研究了火焰参数、基板材料、合成时间等对碳纳米管形态的影响。初步研究表明它在无外加催化剂的情况下也能合成碳纳米管 ,具有“自生催化” | 潘春旭 Liming Yuan Kozo Saito | 2001 | 新型炭材料2001，16，3： | 38 |
| 5 | 济州岛西南泥质区粒度组分变化的古环境应用显示文摘利用激光粒度仪对位于东海陆架济州岛西南泥质区的B2孔进行了沉积物粒度分析,根据标准偏差变化检出了B2孔含有4个粒度组分:>65.6、65.6~10.5、10.5~1.3和<1.3 μm,其中>65.6μm粗组分含量很低,主要是以底栖有孔虫为主的生源沉积.各组分平均粒径和粒度含量随孔深的变化显示了65.6~10.5μm组分在B2孔含量较高(21%~30%),变化最明显,是该孔对环境变化最敏感的粒度组分.研究表明该敏感组分的粒度含量和平均粒径变化主要受东亚冬季风的强弱变化制约,其变化恢复的近2 ka来东亚冬季风变化和中国东部气候变化序列具有很好的一致性,证明65.6~10.5 μm粒度组分可以作为东亚冬季风的替代指标. | 向荣 杨作升 郭志刚 Saito Y. 范德江 肖尚斌 陈木宏 | 2005 | 地球科学(中国地质大学学报)2005，30，5： | 31 |
| 6 | Magnifying colonoscopy as a non-biopsy technique for differential diagnosis of non-neoplastic and neoplastic lesions显示文摘瞄准:为了澄清与放大结肠镜检查观察的粘膜地窟模式是否对可行,把非肿瘤的息肉与肿瘤的息肉区分开来。方法:从通过 2000 年 3 月的 1999 年 6 月,有 210 损害的 180 个连续病人与放大结肠镜诊断了(CF-200Z,天堂光有限公司,东京,日本) 被注册。有 0.2% 靛青洋红染料的放大和多彩石印版内视镜检查法为粘膜地窟观察被用于每损害。损害出现打字我和 II 地窟模式被活体检视组织学地认为非肿瘤、检验,而损害证明到 V 地窟模式的类型 III 被移开内视镜的联盟者或通过手术。内视镜的诊断和 histologic 诊断的关联然后被调查。结果:在内视镜检查法, 24 损害证明我或 II 坑模式,和 186 损害显示出的一种类型打 III 到 V 坑模式。与 histologic 检查, 26 损害作为非肿瘤的息肉被诊断,并且 184 损害作为肿瘤的息肉被诊断。全面诊断精确性是 99.1%(208/210 ) 。敏感和特性是 92.3%(24/26 ) 并且 99.8%(184/186 ) 分别地。结论:放大结肠镜检查能作为一种非活体检视技术被使用区分肿瘤、非肿瘤的息肉。 | Shigeharu Kato Kuang I Fu Yasushi Sano Takahiro Fujii Yutaka Saito Takahisa Matsuda Ikuro Koba Shigeaki Yoshida Takahiro Fujimori | 2006 | World Journal of Gastroenterology2006，12，9： | 31 |
| 7 | 上海外环沉管隧道管段基础压砂法施工技术显示文摘管段基础处理是沉管法隧道施工中的重要环节 ,文章以上海外环沉管隧道管段基础处理为工程背景 ,对压砂法的机理及其试验进行说明 ,对压砂施工的流程及工艺、安全与质量的控制方法进行了介绍 。 | 潘永仁 彭俊 Naotake Saito | 2004 | 现代隧道技术2004，41，1： | 34 |
| 8 | Clinical features of gastroduodenal injury associated with long-term low-dose aspirin therapy显示文摘Low-dose aspirin(LDA) is clinically used for the prevention of cardiovascular and cerebrovascular events with the advent of an aging society.On the other hand,a very low dose of aspirin(10 mg daily) decreases the gastric mucosal prostaglandin levels and causes significant gastric mucosal damage.The incidence of LDAinduced gastrointestinal mucosal injury and bleeding has increased.It has been noticed that the incidence of LDA-induced gastrointestinal hemorrhage has increased more than that of non-aspirin non-steroidal anti-inflammatory drug(NSAID)-induced lesions.The pathogenesis related to inhibition of cyclooxygenase(COX)-1 includes reduced mucosal flow,reduced mucus and bicarbonate secretion,and impaired platelet aggregation.The pathogenesis related to inhibition of COX-2 involves reduced angiogenesis and increased leukocyte adherence.The pathogenic mechanisms related to direct epithelial damage are acid back diffusion and impaired platelet aggregation.The factors associated with an increased risk of upper gastrointestinal(GI) complications in subjects taking LDA are aspirin dose,history of ulcer or upper GI bleeding,age > 70 years,concomitant use of non-aspirin NSAIDs including COX-2-selective NSAIDs,and Helicobacter pylori(H.pylori) infection.Moreover,no significant differences have been found between ulcer and non-ulcer groups in the frequency and severity of symptoms such as nausea,acid regurgitation,heartburn,and bloating.It has been shown that the ratios of ulcers located in the body,fundus and cardia are significantly higher in bleeding patients than the ratio of gastroduodenal ulcers in patients taking LDA.Proton pump inhibitors reduce the risk of developing gastric and duodenal ulcers.In contrast to NSAIDinduced gastrointestinal ulcers,a well-tolerated histamine H2-receptor antagonist is reportedly effective in prevention of LDA-induced gastrointestinal ulcers.The eradication of H.pylori is equivalent to treatment with omeprazole in preventing recurrent bleeding.Continuous aspirin therapy for patients with gastrointestinal bleeding may increase the risk of recurrent bleeding but potentially reduces the mortality rates,as stopping aspirin therapy is associated with higher mortality rates.It is very important to prevent LDA-induced gastroduodenal ulcer complications including bleeding,and every effort should be exercised to prevent the bleeding complications. | Junichi Iwamoto Yoshifumi Saito Akira Honda Yasushi Matsuzaki | 2013 | World Journal of Gastroenterology2013，19，11： | 29 |
| 9 | Usefulness of biodegradable stents constructed of poly-l-lactic acid monofilaments in patients with benign esophageal stenosis显示文摘AIM: To report 13 patients with benign esophageal stenosis treated with the biodegradable stent. METHODS: We developed a Ultraflex-type stent by knitting poly-l-lactic acid monofilaments. RESULTS: Two cases were esophageal stenosis caused by drinking of caustic liquid, 4 cases were due to surgical resection of esophageal cancers, and 7 cases were patients with esophageal cancer who received the preventive placement of biodegradable stents for post- endoscopic mucosal dissection (ESD) stenosis. The preventive placement was performed within 2 to 3 d after ESD. In 10 of the 13 cases, spontaneous migration of the stents occurred between 10 to 21 d after placement. In these cases, the migrated stents were excreted with the feces, and no obstructive complications were experienced. In 3 cases, the stents remained at the proper location on d 21 after placement. No symptoms of re-stenosis were observed within the follow-up period of 7 mo to 2 years. Further treatment with balloon dilatation or replacement of the biodegradable stent was not required. CONCLUSION: Biodegradable stents were useful for the treatment of benign esophageal stenosis, particularly for the prevention of post-ESD stenosis. | Yasuharu Saito Toyohiko Tanaka Akira Andoh Hideki Minematsu Kazunori Hata Tomoyuki Tsujikawa Norihisa Nitta Kiyoshi Murata Yoshihide Fujiyama | 2007 | World Journal of Gastroenterology2007，13，29： | 30 |
| 10 | East Asia Winter Monsoon changes inferred from environmentally sensitive grain-size component records during the last 2300 years in mud area southwest off Cheju Island,ECS显示文摘Environmentally sensitive grain-size component (ESGSC) extracted from grain-size data of a sediment core B2, which were retrieved from mud area southwest off Cheju Island (MACI), East China Sea (ECS), can be used to indicate the variations of East Asia Winter Monsoon (EAWM), with high (low) content/mean-size of ESGCS denote to strong (weak) EAWM. Combined with AMS14C datings core B2 provides a continuous high-resolution record of EAWM changes over the past 2300 years, with an average resolution of 13 years. The results show that the variations of EAWM are con-sistent with temperature changes inferred from historical documents in eastern China over the past 2300 years, from which four climate stages may be identified. In stages before 1900 aBP (50 AD) and 1450―780 aBP (50―1170 AD) the EAWM were comparatively weak, corresponding to warm climate periods in eastern China, respectively. And in stages of 1900―1450 aBP (50―500 AD) and 780―219 aBP (1170―1731 AD) the EAWM were strongly developed, which correspond well to climate changes of two cold periods in eastern China. It is also shown from this study that the stage at 780―219 aBP (1170―1731 AD) was the coldest climate period during the last 2300 years and could be, therefore, related to the Little Ice Age (LIA). Climatic fluctuations appeared obviously in all the four stages, and two climate events of abrupt changes from warm to cold occurred at around 1900 aBP (50 AD) and 780 aBP (1170 AD), of which the latter is probably related to globe-scale changes of atmospheric circulation at that time. | Yoshiki Saito | 2006 | Science China Earth Sciences2006，49，6： | 28 |
| 11 | Narrow-band imaging optical chromocolonoscopy: Advantages and limitations显示文摘Narrow-band imaging (NBI) is an innovative optical technology that modifies the center wavelength and bandwidth of an endoscope’s light into narrow-band illumination of 415 ± 30 nm. NBI markedly improves capillary pattern contrast and is an in vivo method for visualizing microvessel morphological changes in superficial neoplastic lesions. The scientific basis for NBI is that short wavelength light falls within the hemoglobin absorption band, thereby facilitating clearer visualization of vascular structures. Several studies have reported advantages and limitations of NBI colonoscopy in the colorectum. One difficulty in evaluating results, however, has been non-standardization of NBI systems (Sequential and non-sequential). Utilization of NBI technology has been increasing worldwide, but accurate pit pattern analysis and suffi cient skill in magnifying colonoscopy are basic fundamentals required for profi ciency in NBI diagnosis of colorectal lesions. Modern optical technology without proper image interpretation wastes resources, confuses untrained endoscopists and delays inter-institutional validation studies. Training in the principles of 'optical image-enhanced endoscopy' is needed to close the gap between technological advancements and their clinical usefulness. Currently available evidence indicates that NBI constitutes an effective and reliable alternative to chromocolonoscopy forin vivo visualization of vascular structures, but further study assessing reproducibility and effectiveness in the colorectum is ongoing at various medical centers. | Fabian Emura Yutaka Saito Hiroaki Ikematsu | 2008 | World Journal of Gastroenterology2008，14，31： | 25 |
| 12 | 南黄海中部泥质区YE-2孔8.4kaBP来的沉积特征显示文摘对取自南黄海中部泥质区YE-2钻孔的6.1m岩心进行了年代学、沉积学、微体古生物学和U3K7′海表温度分析,结果显示,该孔沉积物基本类型为黏土质粉砂,8400aBP来的沉积环境可分为3段:8.4~6.9kaBP为砂含量达13%的滨岸浅水环境;6.9~6.1kaBP为砂含量8%的滨岸浅水向稳定浅海过渡的环境;6.1~0kaBP为基本不含砂的黏土质粉砂稳定浅海环境。表层海水温度(SST)在滨岸浅水阶段较低,平均约14.2℃;在第2阶段从6.9kaBP开始增加,最高达18.1℃,指示了黄海暖流的入侵;6.4kaBP增温结束后,浅海阶段SST稳定在15~16℃之间,同时有3个SST平均为13.9℃的短暂低温期,大致为5.7~5.2、3.7~3.2和2.3~1.8kaBP。在稳定浅海环境的黏土质粉砂地层中发现了罕见的3个砂质粉砂质粗粒级夹层,大致形成于6.0、3.9和2.5kaBP,其粒度具有风暴沉积特征,重矿物表现出变质岩特点,U3K7′-SST和黏土矿物指示其沉积环境的温度偏高。上述特征与岩心其他所有层位差异较大,显示了异地搬运的特征,可能为风暴沉积。根据AMS14C测年,不考虑风暴沉积,YE-2岩心的沉积速率在50.7~75.6cm/ka之间。 | 王利波 杨作升 赵晓辉 邢磊 赵美训 Yoshiki Saito 范德江 | 2009 | 海洋地质与第四纪地质2009，29，5： | 26 |
| 13 | 冲绳海槽5万年以来的古气候事件显示文摘冲绳海槽DGKS9603孔岩芯δ18O曲线记录了50 kaBP以来的气候波动以及短尺度的古气候突变事件. 这些古气候事件可以与中国西北黄土、南海与北大西洋岩芯以及格陵兰冰芯记录的YD, H1, H2, H3, H4, H5事件对比. 古地磁分析的3个地球磁极倒转事件可分别与Gothenburg Mungo和Laschamp事件对应, 并大致可与H1, H3, H5事件对应, 这可能是造成全球气候变化的一个原因. 冲绳海槽岩芯δ18O曲线与李家塬黄土的粒度曲线有很好的对应关系, 与格陵兰冰芯记录的气候波动有某些差异, 表明还存在地域性的因素控制着两者的变化, 在东亚地区季风可能是一个主要的因素. | 刘振夏 李培英 李铁刚 黄奇瑜 程振波 韦刚健 刘乐军 李珍 S. Berne Y. Saito | 2000 | 科学通报2000，45，16： | 25 |
| 14 | Role of regulatory T cell in the pathogenesis of inflammatorybowel disease显示文摘Regulatory T(Treg) cells play key roles in various immune responses. For example, Treg cells contribute to the complex pathogenesis of inflammatory bowel disease(IBD), which includes Crohn's disease and ulcerative colitis during onset or development of that disease. Many animal models of IBD have been used to investigate factors such as pathogenic cytokines, pathogenic bacteria, and T-cell functions, including those of Treg cells. In addition, analyses of patients with IBD facilitate our understanding of the precise mechanism of IBD. This review article focuses on the role of Treg cells and outlines the pathogenesis and therapeutic strategies of IBD based on previous reports. | akiko yamada rieko arakaki masako saito takaaki tsunematsu yasusei kudo naozumi ishimaru | 2016 | World Journal of Gastroenterology2016，22，7： | 24 |
| 15 | Assessment of the validity of the clinical pathway for colon endoscopic submucosal dissection显示文摘AIM: To determine the effective hospitalization period as the clinical pathway to prepare patients for endoscopic submucosal dissection (ESD). METHODS: This is a retrospective observational study which included 189 patients consecutively treated by ESD at the National Cancer Center Hospital from May 2007 to March 2009. Patients were divided into 2 groups; patients in group A were discharged in 5 d and patients in group B included those who stayed longer than 5 d. The following data were collected for both groups: mean hospitalization period, tumor site, median tumor size, post-ESD rectal bleeding requiring urgent endoscopy, perforation during or after ESD, abdominal pain, fever above 38 ℃, and blood test results positive for inflammatory markers before and after ESD. Each parameter was compared after data collection. RESULTS: A total of 83% (156/189) of all patients could be discharged from the hospital on day 3 postESD. Complications were observed in 12.1% (23/189) of patients. Perforation occurred in 3.7% (7/189) of patients. All the perforations occurred during the ESD procedure and they were managed with endoscopic clipping. The incidence of post-operative bleeding was 2.6% (5/189); all the cases involved rectal bleeding. We divided the subjects into 2 groups: tumor diameter ≥ 4 cm and < 4 cm; there was no significant difference between the 2 groups (P = 0.93, χ 2 test with Yates correction). The incidence of abdominal pain was 3.7% (7/189). All the cases occurred on the day of the procedure or the next day. The median white blood cell count was 6800 ± 2280 (cells/μL; ± SD) for group A, and 7700 ± 2775 (cells/μL; ± SD) for group B, showing a statistically significant difference (P = 0.023, t-test). The mean C-reactive protein values the day after ESD were 0.4 ± 1.3 mg/dL and 0.5 ± 1.3 mg/dL for groups A and B, respectively, with no significant difference between the 2 groups (P = 0.54, t -test). CONCLUSION: One-day admission is sufficient in the absence of complications during ESD or early postoperative bleeding. | Takaya Aoki Takeshi Nakajima Yutaka Saito Takahisa Matsuda Taku Sakamoto Takao Itoi Yassir Khiyar Fuminori Moriyasu | 2012 | World Journal of Gastroenterology2012，18，28： | 22 |
| 16 | 为早食道、胃的癌症的诊断的内视镜的超声使用超声探针显示文摘 Endoscopic ultrasound(EUS) devices were first designed and manufactured more than 30 years ago,and since then investigators have reported EUS is effective for determining both the staging and the depth of invasion of esophageal and gastric cancers.We review the present status,the methods,and the findings of EUS when used to diagnose and stage early esophageal and gastric cancer.EUS using high-frequency ultrasound probes is more accurate than conventional EUS for the evaluation of the depth of invasion of superficial esophageal carcinoma.The rates of accurate evaluation of the depth of invasion by EUS using high-frequency ultrasound probes were 70%-88% for intramucosal cancer,and 83%-94% for submucosal invasive cancer.But the sensitivity of EUS using high-frequency ultrasound probes for the diagnosis of submucosal invasive cancer was relatively low,making it difficult to confirm minute submucosal invasion.The accuracy of EUS using highfrequency ultrasound probes for early gastric tumor classification can be up to 80% compared with 63% for conventional EUS,although the accuracy of EUS using high-frequency ultrasound probes relatively decreases for those patients with depressed-type lesions,undifferentiated cancer,concomitant ulceration,expanded indications,type 0-Ⅰ lesions,and lesions located in the upper-third of the stomach.A 92% overall accuracy rate was achieved when both the endoscopic appearance and the findings from EUS using high-frequency ultrasound probes were considered together for tumor classification.Although EUS using high-frequency ultrasound probes has limitations,it has a high depth of invasion accuracy and is a useful procedure to distinguish lesions in the esophagus and stomach that are indicated for endoscopic resection. | Shigetaka Yoshinaga Ichiro Oda Satoru Nonaka Ryoji Kushima Yutaka Saito | 2012 | World Journal of Gastrointestinal Endoscopy2012，4，6： | 21 |
| 17 | Management and associated factors of delayed perforation after gastric endoscopic submucosal dissection显示文摘AIM: To identify the actual clinical management and associated factors of delayed perforation after gastric endoscopic submucosal dissection(ESD).METHODS: A total of 4943 early gastric cancer(EGC) patients underwent ESD at our hospital between January 1999 and June 2012. We retrospectively assessed the actual management of delayed perforation. In addition, to determine the factors associated with delayed perforation, after excluding 123 EGC patients with perforations that occurred during the ESD procedure, we analyzed the following clinicopathological factors among the remaining 4820 EGC patients by comparing the ESD cases with delayed perforation and the ESD cases without perforation: age, sex, chronological periods, clinical indications for ESD, status of the stomach, location, gastric circumference, tumor size, invasion depth, presence/absence of ulceration, histological type, type of resection, and procedure time.RESULTS: Delayed perforation occurred in 7(0.1%) cases. The median time until the occurrence of delayed perforation was 11 h(range, 6-172 h). Three(43%) of the 7 cases required emergency surgery, while four were conservatively managed without surgical intervention. Among the 4 cases with conservative management, 2 were successfully managed endoscopically using the endoloop-endoclip technique. The median hospital stay was 18 d(range, 15-45 d). There were no delayed perforation-related deaths. Based on a multivariate analysis, gastric tube cases(OR = 11.0; 95%CI: 1.7-73.3; P = 0.013) were significantly associated with delayed perforation.CONCLUSION: Endoscopists must be aware of not only the identified factors associated with delayed perforation, but also how to treat this complicationeffectively and promptly. | Haruhisa Suzuki Ichiro Oda Masau Sekiguchi Seiichiro Abe Satoru Nonaka Shigetaka Yoshinaga Takeshi Nakajima Yutaka Saito | 2015 | World Journal of Gastroenterology2015，21，44： | 21 |
| 18 | Molecular Cloning and Functional Characterization of Porcine MyD88 Essential for TLR Signaling显示文摘We isolated cDNA encoding porcine MyD88 (poMyD88) from Peyer's patches (Pps) of GALT. The complete open reading frame (ORF) of poMyD88 contains 879 bp encoding a deduced 293 aa residues. The amino acid sequence of poMyD88 was characterized by N-terminal death,intermediate and C-terminal Toll/IL-1 receptor (TIR) domains. The putative poMyD88 protein shares a higher level of homology with its human (87.2% amino acid identity) than with its mouse (77.4% amino acid identity) counterpart. Overexpression of poMyD88 participated in the further enhanced activation of NF-κB in human embryonic kidney (HEK) 293 cells expressing porcine TLR2 and porcine TLR4/MD-2,but not porcine RP105/MD-1 after stimulation with the corresponding ligands. The expression levels of MyD88 were highest in the spleen and mesenteric lymph nodes (MLNs),and lower in digestive tissues of newborn swine. In adult swine,the expression levels in the digestive tissues were lower than those in MLNs and the spleen. These results suggest that an MyD88-dependent signaling pathway is present in newborn as well as in adult swine and that it is involved in the innate immune system of these animals. | Masanori Tohno Tomoyuki Shimazu Hisashi Aso Yasushi Kawai Tadao Saito Haruki Kitazawa | 2007 | Cellular & Molecular Immunology2007，4，5： | 20 |
| 19 | Case of clear-cell hepatocellular carcinoma that developed in the normal liver of a middle-aged woman显示文摘A 36-year-old woman was admitted to our department for close examination of a liver tumor that was found during a medical checkup. Abdominal US, CT and MRI showed a tumor in segment 7 (S7) of the liver. Although imaging suggested hepatocellular carcinoma, laboratory tests showed no abnormality in liver function, hepatitis virus markers were negative, and tumor markers including protein induced by vitamin K absence or antagonist Ⅱ (PIVKA-Ⅱ), α-fetoprotein (AFP), carbohydrate antigen 19-9 (CA19-9), and carcinoembryonic antigen (CEA) were all within normal ranges. Upon aspiration biopsy of the liver, the histopathological diagnosis was moderately differentiated hepatocellular carcinoma. Therefore, right hepatectomy was performed. Although a part of the tumor was necrotic, about 60% of the viable part showed a clear-cell variant. Consequently, it was diagnosed as clear-cell hepatocellular carcinoma. It was noted that the background liver tissue was normal. This case is worthy of reporting because development of clear-cell hepatocellular carcinoma in the normal liver of a middle-aged woman is rarely seen. | Atsushi Takahashi Hironobu Saito Yukiko Kanno Kazumichi Abe Junko Yokokawa Atsushi Irisawa Akira Kenjo Takuro Saito Mitsukazu Gotoh Hiromasa Ohira | 2008 | World Journal of Gastroenterology2008，14，1： | 20 |
| 20 | Shifts of the Kuroshio axis over the last 20 000 years显示文摘Core 255 from the southern Okinawa Trough was selected to monitor the shift of the Kuroshio axis over the last 20 000 years. During the last glacial maximum the Kuroshio axis had ever shifted outside the Okinawa Trough. It entered the Okinawa Trough again at about 6 500 a BP, leading to abrupt increase of sedimentation rate, distinctly coarser sediment and remarkably increased abundance of foraminiferal indicators of the Kuroshio in the core. But, during about 4 000-3 000 a BP the abundance of the Kuroshio indicator Pulleniatina obliquiloculata sharply decreased again, indicating that the Kuroshio axis had ever shifted easterly for a short period or the Kuroshio was weakened and that moment. | Jian Zhimin Y. Saito Wang Pinxian Li Baohua Chen Ronghua | 1998 | Chinese Science Bulletin1998，43，12： | 20 |
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