CD39 expression defines exhausted CD4 T cells associated with poor survival and immune evasion in human gastric cancer.

Objectives: CD4 T cell helper and regulatory function in human cancers has been well characterised. However, the definition of tumor-infiltrating CD4 T cell exhaustion and how it contributes to the immune response and disease progression in human gastric cancer (GC) remain largely unknown.

Methods: A total of 128 GC patients were enrolled in the study.

CD39 identifies an exhausted tumor-reactive CD8 T cell population associated with tumor progression in human gastric cancer.

The ectonucleotidase CD39 has been regarded as a promising immune checkpoint in solid tumors. However, the expression of CD39 by tumor-infiltrating CD8 T cells as well as their potential roles and clinical implications in human gastric cancer (GC) remain largely unknown. Here, we found that GC-infiltrating CD8 T cells contained a fraction of CD39 cells that constituted about 6.

[Preservative measures for blood supply to jejunal segment in reconstruction of esophagus].

Objective: To study the effective protective measures to ensure sufficient blood supply to the jejunal segment in reconstruction of esophagus.

Methods: According to evidence based on medicine, we analyzed retrospectively 69 patients (48 cicatricial stenosis due to chemical burn, 21 defects due to excision of esophagus cancer), whose esophagus were reconstructed with free jejunal graft(in 28 cases) and with pedicle jejunal graft (in 41 cases) from 1980 to 2001.

Results: All patients were followed up for 1-21 years.