Publications by authors named "Lan-Jun Zhang"

Chemical investigation of the twigs and leaves of Euphorbia tirucalli afforded six undescribed tigliane glycosides, tirucalosides A-F (1-6), together with 12 known diterpenoids (7-18). Compound 1 represents a rare carbon skeleton bearing a 5/7/5/4-fused ring system, while compound 6 contains an unusual seco-glucoside substitution. Their structures were determined by a combination of an extensive spectroscopic analysis and acid hydrolysis experiment.

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Background: The genomic landscape of esophageal squamous cell carcinoma (ESCC) has been characterized extensively, but there remains a significant need for actionable targets and effective therapies.

Methods: Here, we perform integrative analysis of genome-wide loss of heterozygosity and expression to identify potential tumor suppressor genes. The functions and mechanisms of one of the candidates, TACC2, are then explored both in vitro and in vivo, leading to the proposal of a therapeutic strategy based on the concept of synthetic lethality.

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Purpose: The optimal lymphadenectomy approach for solid-dominant stage I non-small cell lung cancer (NSCLC) is controversial. We compared postlobectomy survival outcomes to elucidate.

Materials And Methods: Patients diagnosed with solid-dominant stage I NSCLC between 2008 and 2015 were included and grouped according to the mode of lymphadenectomy.

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Nine jatrophane diterpenoids, including six previously undescribed compounds, were extracted and purified from whole plants of Jatropha curcas L. Their structures including absolute configurations were characterized by spectroscopic, quantum chemical Nuclear Magnetic Resonance Spectroscopy, Electronic Circular Dichroism calculation, and Single Crystal X-Ray Diffraction methods. These compounds were evaluated for their ability to reverse multidrug resistance.

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Article Synopsis
  • Neoadjuvant immunotherapy combined with chemotherapy improves outcomes for patients with resectable non-small-cell lung cancer (NSCLC), and the SACTION01 trial investigates the potential enhancement of this approach by adding stereotactic body radiotherapy (SBRT).
  • In this phase 2 trial, 46 patients received SBRT followed by immunochemotherapy, resulting in a major pathological response (MPR) in 76% of participants, with some experiencing significant adverse effects, primarily alopecia and neutropenia.
  • The study indicates that preoperative SBRT alongside immunochemotherapy is a viable treatment strategy, although it carries risks for severe adverse events, which need careful management.
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  • Electromagnetic navigation bronchoscopy (ENB) is effective for diagnosing peripheral pulmonary nodules (PPNs) under 2 cm in size, but its diagnostic yield varies by specific nodule size categories.
  • In a study of 82 lesions, the overall sensitivity was 53.3%, and specificity was quite high at 91.7%, indicating that while specific, the sensitivity is lower for smaller nodules.
  • Factors like the location of the nodules did not significantly affect ENB's diagnostic accuracy, but the presence of a spiculated sign lowered the biopsy's accuracy.
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Objective: This study aimed to construct a model based on 23 enrolled molecules to evaluate prognoses of pT2/3N0M0 esophageal squamous cell carcinoma (ESCC) patients with up to 20 years of follow-up.

Methods: The lasso-Cox model was used to identify the candidate molecule. A nomogram was conducted to develop the survival model (molecular score, MS) based on the molecular features.

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Nine undescribed abietane diterpenoids (1-9) and eleven known abietane analogs (10-20) were isolated from Callicarpa bodinieri. Their structures were characterized by interpreting spectroscopic data, X-ray crystallography, and ECD analysis. The anti-inflammatory activities of these compounds were tested by evaluation of their inhibitory effect on NO production by lipopolysaccharide in RAW 264.

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Background: The current nodal (pN) classification still has limitations in stratifying the prognosis of small cell lung cancer (SCLC) patients with pathological classifications T1-2N0-2M0. Thus. This study aimed to develop and validate a modified nodal classification based on a multicenter cohort.

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Background: We aimed to investigate the impact of the number of harvested lymph nodes (LNs) on the overall survival (OS) and disease-free survival (DFS) of patients with clinical node-negative (cN0) non-small-cell lung cancer (NSCLC).

Patients And Methods: A total of 2247 patients with cN0 NSCLC between 2001 and 2014 were included. Scatter plots of hazard ratios from Cox proportional hazards models against the number of harvested LNs were created, and curves were fitted using a LOWESS smoother.

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Article Synopsis
  • - Three new diterpenoids, pedilanins A-C, with a unique carbon structure, were discovered from the plant Pedilanthus tithymaloides, along with nine new jatrophane diterpenoids and five known compounds.
  • - The newly identified compounds feature an unusual tricyclo[10.3.0.0]pentadecane skeleton and some jatrophanes have a rare cyclic hemiketal substructure.
  • - In biological tests, these compounds significantly reversed multidrug resistance in cancer cells, showing improvements from 17.9 to 396.8 times at a concentration of 10 μM, primarily by inhibiting the P-glycoprotein transporter function.
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Background: Lymph node dissection (LND) is crucial procedure during radical resection of non-small cell lung cancer (NSCLC), but the prognostic value of L4 LND remains elusive. To investigate the prognostic value of L4 LND in patients with left-side NSCLC who underwent video-assisted thoracoscopic surgery (VATS).

Methods: Three hundred twelve patients who underwent VATS between Jan.

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Although robotic segmentectomy has been applied for the treatment of small pulmonary lesions for many years, studies on the learning curve of robotic segmentectomy are quite limited. Thus, we aim to investigate the learning curve of robotic portal segmentectomy with 4 arms (RPS-4) using prospectively collected data in patients with small pulmonary lesions. One hundred consecutive patients with small pulmonary lesions who underwent RPS-4 between June 2018 and April 2021 were included in the study.

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Background: Our study aimed to compare the short-term outcomes between robot-assisted segmentectomy (RAS) and video-assisted segmentectomy (VAS) for small pulmonary nodules.

Methods: The study included of 299 segmentectomies (132 RAS and 167 VAS procedures) for small pulmonary nodules between June 2018 and November 2021. The patients were divided into two groups: the RAS group and the VAS group.

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Background: To investigate the impact of station 3A lymph node dissection (LND) on overall survival (OS) and disease-free survival (DFS) in completely resected right-side non-small-cell lung cancer (NSCLC) patients.

Methods: A total of 1661 cases with completely resected right-side NSCLC were included. Propensity score matching (PSM) was performed to minimize selection bias, and a logistic regression model was conducted to investigate the risk factors associated with station 3A lymph node metastasis (LNM).

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Article Synopsis
  • - The study investigates the roles of Alpha-L-fucosidase-1 (FUCA1) and matrix metalloproteinase 9 (MMP-9) in esophageal squamous cell carcinoma (ESCC), as previous research highlighted their opposing effects in various cancer types but not specifically in ESCC.
  • - Analysis of 90 ESCC patients showed high expressions of FUCA1 and MMP-9 were significantly associated with advanced disease stages and lymphatic invasion, suggesting a link between FUCA1 levels and worse prognostic factors.
  • - Univariate and multivariate analyses indicated that high FUCA1 and MMP-9 expressions independently predicted shorter overall survival, marking these proteins as potential prognostic markers in ES
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Background: The postoperative survival effect of the number of examined lymph nodes on patients of R0-resected esophageal squamous cell carcinoma with pathological stage T1-3N0M0 is still unclear.

Methods: Patients diagnosed with pathological stage T1-3N0M0 esophageal squamous cell carcinoma from two cancer databases-our cancer center (N = 707), and Surveillance Epidemiology and End Results (N = 151). The primary clinical endpoint was overall survival.

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In this study, we aim to establish a nomogram to predict the prognosis of non-small cell lung cancer (NSCLC) patients with stage I-IIIB disease after pneumonectomy. Patients selected from the Surveillance, Epidemiology, and End Results (SEER, = 2,373) database were divided into two cohorts, namely a training cohort (SEER-T, = 1,196) and an internal validation cohort (SEER-V, = 1,177). Two cohorts were dichotomized into low- and high-risk subgroups by the optimal risk prognostic score (PS).

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Article Synopsis
  • The study aimed to assess a new computerized method that combines histopathological and CT images to predict outcomes for esophageal squamous cell carcinoma (ESCC) patients after surgery.
  • Researchers analyzed medical records of 153 patients, extracting 125 quantitative features from digital histology and CT scans, then compared four different prognostic models to gauge their accuracy.
  • The model that integrated clinical data, CT, and histopathology (Model D) showed the best predictive power, allowing for patient stratification into risk groups with significant differences in 3-year survival rates (38% for low-risk vs. 25% for high-risk patients).
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Perioperative adjuvant treatment has become an increasingly important aspect of the management of patients with non-small cell lung cancer (NSCLC). In particular, the success of immune checkpoint inhibitors, such as antibodies against PD-1 and PD-L1, in patients with lung cancer has increased our expectations for the success of these therapeutics as neoadjuvant immunotherapy. Neoadjuvant therapy is widely used in patients with resectable stage IIIA NSCLC and can reduce primary tumor and lymph node stage, improve the complete resection rate, and eliminate microsatellite foci; however, complete pathological response is rare.

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Background: Visceral pleural invasion (VPI) with PL1 or PL2 increases the T classification from T1 to T2 in non-small cell lung cancers (NSCLCs) ≤ 3 cm. We proposed a modified T classification based on VPI to guide adjuvant therapy.

Research Question: Is it reasonable to upstage PL1-positive cases from T1 to T2 for NSCLCs ≤ 3 cm?

Study Design And Methods: In total, 1,055 patients with resected NSCLC were retrospectively included.

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Background: To explore the postoperative prognosis of esophageal squamous cell carcinoma (ESCC) patients with stage IB/IIA, using a prognostic score (PS).

Methods: Stage IB/IIA ESCC patients who underwent esophagectomy from 1999 to 2010 were included. We retrospectively recruited 153 patients and extracted their medical records.

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Background: Long non-coding RNAs (lncRNAs) play vital roles in the development and progression of non-small-cell lung cancer (NSCLC); however, the role of most lncRNAs in NSCLC remains unknown. This study explored the clinical significance, biological function and underlying mechanism of lnc-GAN1 in NSCLC.

Methods: With a custom lncRNA microarray we found that lnc-GAN1 is markedly downregulated in NSCLC tissues.

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Background: For patients with stage IA non-small cell lung cancer (NSCLC) with tumor size ≤ 2 cm, the prognostic significance of the number of removed lymph nodes (NLNs) through different surgical methods remains unclear. To determine the association of NLNs with cancer-specific survival (CSS) and overall survival (OS) in patients with stage IA NSCLC with tumor size ≤ 2 cm who underwent different lung surgeries.

Methods: We retrospectively enrolled 7293 patients from the Surveillance, Epidemiology and End Results database.

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Background: Previous findings have indicated that the tumor, nodes, and metastases (TNM) staging system is not sufficient to accurately predict survival outcomes in patients with non-small lung carcinoma (NSCLC). Thus, this study aims to identify a long non-coding RNA (lncRNA) signature for predicting survival in patients with NSCLC and to provide additional prognostic information to TNM staging system.

Methods: Patients with NSCLC were recruited from a hospital and divided into a discovery cohort (n = 194) and validation cohort (n = 172), and detected using a custom lncRNA microarray.

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