43 research outputs found
Tumour Cannabinoid CB1 Receptor and Phosphorylated Epidermal Growth Factor Receptor Expression Are Additive Prognostic Markers for Prostate Cancer
BACKGROUND: In cultured prostate cancer cells, down-regulation of epidermal growth factor receptor (EGFR) has been implicated in mediating the antiproliferative effect of the endogenous cannabinoid (CB) ligand anandamide. Using a well-characterised cohort of prostate cancer patients, we have previously reported that expression levels of phosphorylated EGFR (pEGFR-IR) and CB(1) receptor (CB(1)IR) in tumour tissue at diagnosis are markers of disease-specific survival, but it is not known whether the two markers interact in terms of their influence on disease severity at diagnosis and disease outcome. METHODOLOGY/PRINCIPAL FINDINGS: Data from a cohort of 419 patients who were diagnosed with prostate cancer at transurethral resection for voiding difficulties was used. Scores for both tumour CB(1)IR and pEGFR-IR were available in the database. Of these, 235 had been followed by expectancy until the appearance of metastases. For patients scored for both parameters, Cox proportional-hazards regression analyses using optimal cut-off scores indicated that the two measures provided additional diagnostic information not only to each other, but to that provided by the tumour stage and the Gleason score. When the cases were divided into subgroups on the basis of these cut-off scores, the patients with both CB(1)IR and pEGFR-IR scores above their cut-off had a poorer disease-specific survival and showed a more severe pathology at diagnosis than patients with high pEGFR-IR scores but with CB(1)IR scores below the cut-off. CONCLUSIONS/SIGNIFICANCE: These data indicate that a high tumour CB(1) receptor expression at diagnosis augments the deleterious effects of a high pEGFR expression upon disease-specific survival
Occupational Exposure to Endocrine-Disrupting Chemicals and Birth Weight and Length of Gestation: A European Meta-Analysis
BACKGROUND: Women of reproductive age can be exposed to
endocrine-disrupting chemicals (EDCs) at work and exposure to
EDCs in pregnancy may affect fetal growth. OBJECTIVES: We
assessed whether maternal occupational exposure to EDCs during
pregnancy as classified by application of a job exposure matrix
was associated with birth weight, term low birth weight (LBW),
length of gestation, and preterm delivery. METHODS: Using
individual participant data from 133,957 mother-child pairs in
13 European cohorts spanning births from 1994 to 2011, we linked
maternal job titles with exposure to 10 EDC groups as assessed
through a job exposure matrix. For each group, we combined the
two levels of exposure categories (possible and probable) and
compared birth outcomes with the unexposed group (exposure
unlikely). We performed meta-analyses of cohort-specific
estimates. RESULTS: Eleven percent of pregnant women were
classified as exposed to EDCs at work during pregnancy based on
job title. Classification of exposure to one or more EDC group
was associated with an increased risk of term LBW (OR 1.25,
95%CI 1.04, 1.49), as were most specific EDC groups; this
association was consistent across cohorts. Further, the risk
increased with increasing number of EDC groups (OR 2.11 95%CI
1.10, 4.06 for exposure to 4 or more EDC groups). There were few
associations (p < 0.05) with the other outcomes; women
holding job titles classified as exposed to bisphenol A or
brominated flame retardants were at higher risk for longer
length of gestation. CONCLUSION: Results from our large
population-based birth cohort design indicate that employment
during pregnancy in occupations classified as possibly or
probably exposed to EDCs was associated with an increased risk
of term LBW
Importância do exame do liquor de controle em meningite bacteriana como critério de alta
Pé diabético: avaliação da evolução e custo hospitalar de pacientes internados no conjunto hospitalar de Sorocaba
A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)
Meeting abstrac