The just significant variations observed were for quality 3 or more neutropenia and exhaustion . During a median 35.2 months of follow-up, 87 individuals died. The risk of death was nonsignificantly low in the in the concurrent arm weighed against the sequential arm, at an unadjusted hazard ratio of 0.92 and median overall survival times of 24.3 and 18.4 months, respectively. Patients who received concurrent treatment were slightly less inclined to become alive at 1 year but slightly more likely to become alive at 2 years compared with those who received sequential treatment; the respective 1 – and 2 – year overall survival rates were 70 percent versus 83 percent and 50 percent versus 46 percent.6C, DLA protected hearts from I/R-caused reduction in SIRT1 protein expression. SIRT1 inhibitors EX-527 and sirtinol were applied to determine the effects of DLA on deacetylase activity of SIRT1. Doses of inhibitors were calculated based on the concentration used in vitro experiments. Optimal inhibitor dose was selected from three doses administrated, the dose of sirtinol and EX-527 applied in subsequent experiments was 4. Based on the results of in vivo deacetylase activity detection, impaired deacetylase activity induced by I/R was remarkably reversed by injection of DLA, while preserved deacetylase activity caused by DLA administration during I/R was abolished by SIRT1 inhibitor sirtinol and EX-527 . DLA treatment dramatically brought down increased acetylated-Foxo-1 levels after I/R , which verified the total results of SIRT1 activity.