Prognostic Significance of miR-181b and miR-21 in Gastric Cancer Patients Treated with S-1/Oxaliplatin or Doxifluridine/Oxaliplatin

Background: The goal of this study is to evaluate the effectiveness of S-1/Oxaliplatin vs. Doxifluridine/Oxaliplatin regimen and to identify miRNAs as potential prognostic biomarkers in gastric cancer patients. The expression of candidate miRNAs was quantified from fifty-five late stage gastric cancer FFPE specimens. Experimental Design: Gastric cancer patients with KPS>70 were recruited for the trial. The control group was treated with 400 mg/twice/day Doxifluridine plus i.v. with Oxaliplatin at 130 mg/m 2/first day/4 week cycle. The testing group was treated with S-1 at 40 mg/twice/day/4 week cycle plus i.v. with Oxaliplatin at 130 mg/m 2/first day/4 week cycle. Total RNAs were extracted from normal and gastric tumor specimens. The levels of miRNAs were quantified using real time qRT-PCR expression analysis. Results: The overall objective response rate (CR+PR) of patients treated with S-1/Oxaliplatin was 33.3% (CR+PR) vs. 17.6% (CR+PR) with Doxifluridine/Oxaliplatin for advanced stage gastric cancer patients. The average overall survival for patients treated with S-1/Oxaliplatin was 7.80 month vs. 7.30 month with patients treated with Doxifluridine/Oxaliplatin. The expression of miR-181b (P = 0.022) and miR-21 (P = 0.0029) was significantly overexpressed in gastric tumors compared to normal gastric tissues. Kaplan-Meier survival analysis revealed that low levels of miR-21 expression (Log rank test, hazard ratio: 0.17, CI = 0.06-0.45; P = 0.0004) and miR-181b (Log rank test, hazard ratio: 0.37, CI = 0.16-0.87; P = 0.018) are closely associated with better patient's overall survival for both S-1 and Doxifluridine based regimens. Conclusion: Patients treated with S-1/Oxaliplatin had a better response than those treated with Doxifluridine/Oxaliplatin. miR-21 and miR-181b hold great potential as prognostic biomarkers in late stage gastric cancer. © 2011 Jiang et al

Fifty years of change in an area of intensive agriculture: plant trait responses to habitat modification and conservation, Bedfordshire, England

We re-surveyed 107 vegetation plots recorded between 1949 and 1951 in Bedfordshire, England, UK to assess (1) the extent of habitat change, (2) quantify overall species trends, (3) relate trends to plant traits in order to identify the main causes of floristic change, and (4) assess the effectiveness of conservation protection. Many more species declined (66%) than increased (34%) indicating an overall decline in species diversity. Vegetation changes were greatest on arable, waste and neutral and acid grassland plots. The composition of woodlands, calcareous grasslands and marshes remained remarkably stable. The main causes were agricultural improvement and succession; other factors, including the spread of invasive alien species, only had very localised impacts. Shifts in plant traits were related to rarity, habitat specificity and nutrient availability with tall nutrient-demanding species increasing at the expense of small habitat specialists. These changes mirror national trends caused by the eutrophication of terrestrial and aquatic ecosystems. The increase of tall species may also reflect the cessation of woodland and grassland management. Greater regenerative abilities did not buffer species from extinction, and rather unexpectedly conservation designation had little effect in reducing habitat change in most cases. Effective conservation of habitat specialists will therefore depend on reduced nutrient enrichment of lowland habitats as well as more effective control of extrinsic factors on designated sites