Pathological Features of Colorectal Adenocarcinoma Patients Related to MLH1

IF 2.3 4区 医学 Q3 BIOPHYSICS Cellular and molecular bioengineering Pub Date : 2024-02-20 DOI:10.1007/s12195-024-00797-z
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引用次数: 0

Abstract

Background

MLH1, one of the MMR proteins, is linked to DNA replication, its role being to repair the incorrect DNA sequences and to replace them with proper ones. The loss of the MLH1 gene expression is part of Lynch syndrome which can lead to a series of cancers like colorectal and endometrial ones. The aim of this paper is to correlate the levels of MLH1 in four different bio-logical fluids with clinicopathological features in colorectal cancer patients in order to predict them with high probability. Therefore, a mathematical model with given code in Matlab has been proposed to get the clinicopathological features with high probability by only introducing the values for MLH1 concentrations. All these data can be obtained in a very short time even before surgery which can be very helpful the surgeon and the oncologist.

Methods

Four types of samples (whole blood, saliva, urine and tissue) were analyzed using stochastic microsensors; concentrations of MLH1 were determined and compared with different macroscopic and micro-scopic pathological features to obtain mathematical models for early, non-invasive diagnostic of colorectal adenocarcinoma.

Results

There have been established criteria and mathematical models for tumor location, TNM grading system, depth of the tumor, lymphatic, vascular and perineural invasions and the presence of mucus in the tumoral mass.

Conclusions

By using whole blood, saliva and urine samples, the location can be approximated. The proposed mathematical models aimed to allow a minim/noninvasive characterization of the tumor and its location which can help the surgeon and the oncologist to choose faster the personalized treatment.

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结直肠腺癌患者与 MLH1 相关的病理特征
摘要 背景 MMR 蛋白之一的 MLH1 与 DNA 复制有关,其作用是修复不正确的 DNA 序列并用正确的序列取代它们。MLH1 基因表达缺失是林奇综合征的一部分,可导致一系列癌症,如结直肠癌和子宫内膜癌。本文的目的是将四种不同生物液体中的 MLH1 水平与结直肠癌患者的临床病理特征相关联,以便对其进行高概率预测。因此,我们提出了一个数学模型,并在 Matlab 中给出了代码,只需引入 MLH1 浓度值,就能高概率地得出临床病理特征。即使在手术前,也能在很短的时间内获得所有这些数据,这对外科医生和肿瘤学家非常有帮助。 方法 使用随机微传感器分析四种类型的样本(全血、唾液、尿液和组织);测定 MLH1 的浓度,并将其与不同的宏观和微观病理特征进行比较,从而获得早期无创诊断结直肠腺癌的数学模型。 结果 对肿瘤位置、TNM 分级系统、肿瘤深度、淋巴、血管和神经周围浸润以及肿瘤肿块中是否存在粘液,都建立了标准和数学模型。 结论 通过使用全血、唾液和尿液样本,可以大致确定肿瘤的位置。所提出的数学模型旨在对肿瘤及其位置进行微创/无创描述,从而帮助外科医生和肿瘤学家更快地选择个性化治疗方法。
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来源期刊
CiteScore
5.60
自引率
3.60%
发文量
30
审稿时长
>12 weeks
期刊介绍: The field of cellular and molecular bioengineering seeks to understand, so that we may ultimately control, the mechanical, chemical, and electrical processes of the cell. A key challenge in improving human health is to understand how cellular behavior arises from molecular-level interactions. CMBE, an official journal of the Biomedical Engineering Society, publishes original research and review papers in the following seven general areas: Molecular: DNA-protein/RNA-protein interactions, protein folding and function, protein-protein and receptor-ligand interactions, lipids, polysaccharides, molecular motors, and the biophysics of macromolecules that function as therapeutics or engineered matrices, for example. Cellular: Studies of how cells sense physicochemical events surrounding and within cells, and how cells transduce these events into biological responses. Specific cell processes of interest include cell growth, differentiation, migration, signal transduction, protein secretion and transport, gene expression and regulation, and cell-matrix interactions. Mechanobiology: The mechanical properties of cells and biomolecules, cellular/molecular force generation and adhesion, the response of cells to their mechanical microenvironment, and mechanotransduction in response to various physical forces such as fluid shear stress. Nanomedicine: The engineering of nanoparticles for advanced drug delivery and molecular imaging applications, with particular focus on the interaction of such particles with living cells. Also, the application of nanostructured materials to control the behavior of cells and biomolecules.
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