Background: The geriatric oncology population tends to be complex because of multimorbidity, functional and cognitive decline, malnutrition and social frailty. Prognostic indices for predicting survival of elderly cancer patients to guide treatment remain scarce. A nomogram based on all domains of the geriatric assessment was previously developed at the National Cancer Centre Singapore (NCCS) to predict overall survival (OS) in elderly cancer patients.
View Article and Find Full Text PDFThe human gut microbiome is crucial in modulating host health mostly through bacterial metabolites. Chemical exposure is typical external stress which alters its composition and functionality. To date, very few studies have investigated the effect of feeding state on chemical-induced gut microbial metabolic dysregulations.
View Article and Find Full Text PDFEnviron Health Perspect
April 2021
Background: Due to the ubiquitous use of chemicals in modern society, humans are increasingly exposed to thousands of chemicals that contribute to a major portion of the human exposome. Should a comprehensive and risk-based human exposome database be created, it would be conducive to the rapid progress of human exposomics research. In addition, once a xenobiotic is biotransformed with distinct half-lives upon exposure, monitoring the parent compounds alone may not reflect the actual human exposure.
View Article and Find Full Text PDFThe identification of target proteins for small molecules is of great importance in drug discovery and for understanding the cellular mode of action (MOA) of toxicants. Herein, a "bottom-up" oriented target finding strategy is proposed based on the principle that the targeted enzymes can be inferred according to their phenotypic changes at the metabolome level. Meanwhile, computer-assisted molecular docking analysis was performed to evaluate the binding affinities between the chemicals and the target enzymes to further rank the possible targets.
View Article and Find Full Text PDFPolycyclic aromatic hydrocarbons (PAHs) are among the most health-relevant air pollutants. Herein, we conducted meta-analysis and experimental validation to evaluate PAHs in our surroundings and carcinogenic risks. We summarized the occurrence of PAHs in outdoors and indoors from 131 studies with 6,766 samples collected in different countries in 1989-2019.
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