Adipose tissue‐derived mesenchymal stem cells (ADSCs) are multipotent cells that can differentiate into various cell types. This study aimed to investigate the effect of ghrelin on the neural differentiation of rat ADSCs and underlying molecular mechanisms. Rat ADSCs were isolated and third‐passage ADSCs were used in this study. The isolated ADSCs were characterized by flow cytometry analysis for MSCs' surface expression markers as evidenced by positive for CD90, CD44, and CD29 and negative for CD34, CD45, and CD11b/2f/c. The multilineage differentiation of ADSCs was confirmed by adipogenic, osteogenic, and neural differentiation. After induction of neurogenesis, the differentiated cells were identified by development of neuron‐like morphology and expression of neural markers including glial fibrillary acidic protein, Nestin, MAP2, and β‐Tubulin III using immunofluorescence and western blot. Ghrelin concentration dependently elevated the proportion of neural‐like cells and branching dendrites, as well as upregulated the expression of neural markers. Further, the expression of nuclear β‐catenin, p‐GSK‐3β, p‐AKT, and p‐mTOR was increased by ghrelin, indicating an activation of β‐catenin and AKT/mTOR signaling after the ghrelin treatment. Importantly, inhibition of β‐catenin or AKT/mTOR signaling suppressed ghrelin‐induced neurogenesis. Therefore, we demonstrate that ghrelin promotes neural differentiation of ADSCs through the activation of β‐catenin and AKT/mTOR signaling pathways.
PurposeThis study aimed to assess the diagnostic performance and the added value to radiologists of different levels of a computer-aided diagnosis (CAD) system for the detection of pathological complete response (pCR) after neoadjuvant chemotherapy (NAC) in patients with breast cancer. Besides, to investigate whether tumor molecular typing is associated with the efficiency of diagnosis of the CAD systems.Methods470 patients were identified with breast cancers who underwent NAC and post MR imaging between January 2016 and March 2019. The diagnostic performance of radiologists of different levels and the CAD system were compared. The added value of the CAD system was assessed and subgroup analyses were performed according to the tumor molecular typing.ResultsAmong 470 patients, 123 (26%) underwent pCR. The CAD system showed a comparable specificity as the senior radiologist (83.29% vs. 84.15%, p=0.488) and comparable area under the curve (AUC) (0.839 vs. 0.835, p =0.452). The performance of all radiologists significantly improved when aided by the CAD system (P<0.05), And there were no statistical differences in terms of sensitivity, specificity and accuracy between the two groups with CAD assistance(p>0.05).The AUC values for identifying pCR in TN patients were significant (0.883, 95%CI: 0.801-0.964, p < 0.001).ConclusionThe CAD system assessed in this study improves the performance of all radiologists, regardless of experience. The molecular typing of breast cancer is potential influencer of CAD diagnostic performance.
This study aimed at the influencing factors of luxury online marketing on the consumption behavior of Chinese college students in the post-epidemic era. In-depth interviews and grounded theory were used to study the influencing factors of content production by using the collected text and audio materials as coding sources. The study found that the main influencing factors are platform service, stimulated desire, luxury value, functional value, and risk perception. Among them, luxury value stimulates desire, and functional value increases the willingness to pay consumers. Consumers’ Risk perception will inhibit their willingness to pay for them. The impact of platform services on consumers is a neutral factor. Therefore, to promote the purchase rate of college students’ luxury online marketing, it is necessary to have good platform services, strengthen the luxury value and functional value, stimulate desire, and reduce risk perception.
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