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ALKBH5 gene polymorphisms and risk of neuroblastoma in Chinese children from Jiangsu Province ALKBH5 基因多态性与江苏省中国儿童罹患神经母细胞瘤的风险
Pub Date : 2023-12-22 DOI: 10.1002/cai2.103
Qian Guan, Xinxin Zhang, Jiabin Liu, Chunlei Zhou, Jinhong Zhu, Haiyan Wu, Zhenjian Zhuo, Jing He

Background

Neuroblastoma is one of the most common extracranial malignant solid tumors in children. AlkB homolog 5 (ALKBH5) is an RNA N6-methyladenosine (m6A) demethylase that plays a critical role in tumorigenesis and development. We assessed the association between single nucleotide polymorphisms (SNPs) in ALKBH5 and the risk of neuroblastoma in a case-control study including 402 patients and 473 non-cancer controls.

Methods

Genotyping was determined by the TaqMan method. The association between ALKBH5 polymorphisms (rs1378602 and rs8400) and the risk of neuroblastoma was evaluated using the odds ratio (OR) and 95% confidence interval (CI).

Results

We found no strong association of ALKBH5 rs1378602 and rs8400 with neuroblastoma risk. Further stratification analysis by age, sex, primary site, and clinical stage showed that the rs1378602 AG/AA genotype was associated with a lower risk of neuroblastoma in males (adjusted OR = 0.58, 95% CI = 0.35–0.97, p = 0.036) and children with retroperitoneal neuroblastoma (adjusted OR = 0.58, 95% CI = 0.34–0.98, p = 0.040).

Conclusions

ALKBH5 SNPs do not seem to be associated with neuroblastoma risk. More studies are required to confirm this negative result and reveal the relationship between gene polymorphisms of the m6A modifier ALKBH5 and neuroblastoma.

神经母细胞瘤是儿童最常见的颅外恶性实体瘤之一。AlkB 同源物 5(ALKBH5)是一种 RNA N6-甲基腺苷(m6A)去甲基化酶,在肿瘤发生和发展过程中起着关键作用。我们在一项包括 402 名患者和 473 名非癌症对照者的病例对照研究中评估了 ALKBH5 中单核苷酸多态性(SNPs)与神经母细胞瘤风险之间的关联。我们发现,ALKBH5 rs1378602和rs8400与神经母细胞瘤的发病风险没有密切关系。根据年龄、性别、原发部位和临床分期进行的进一步分层分析表明,rs1378602 AG/AA 基因型与男性(调整后 OR = 0.58,95% CI = 0.35-0.97,p = 0.036)和腹膜后神经母细胞瘤患儿(调整后 OR = 0.58,95% CI = 0.34-0.98,p = 0.040)的神经母细胞瘤风险较低有关。ALKBH5的SNPs似乎与神经母细胞瘤的风险无关。需要更多的研究来证实这一阴性结果,并揭示m6A修饰因子ALKBH5的基因多态性与神经母细胞瘤之间的关系。
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引用次数: 0
Organoid co-culture models of the tumor microenvironment promote precision medicine 肿瘤微环境类器官共培养模型促进精准医疗的发展
Pub Date : 2023-12-17 DOI: 10.1002/cai2.101
Zhaoru Gu, Quanyou Wu, Bingqing Shang, Kaitai Zhang, Wen Zhang

In recent years, the three-dimensional (3D) culture system has emerged as a promising preclinical model for tumor research owing to its ability to replicate the tissue structure and molecular characteristics of solid tumors in vivo. This system offers several advantages, including high throughput, efficiency, and retention of tumor heterogeneity. Traditional Matrigel-submerged organoid cultures primarily support the long-term proliferation of epithelial cells. One solution for the exploration of the tumor microenvironment is a reconstitution approach involving the introduction of exogenous cell types, either in dual, triple or even multiple combinations. Another solution is a holistic approach including patient-derived tumor fragments, air-liquid interface, suspension 3D culture, and microfluidic tumor-on-chip models. Organoid co-culture models have also gained popularity for studying the tumor microenvironment, evaluating tumor immunotherapy, identifying predictive biomarkers, screening for effective drugs, and modeling infections. By leveraging these 3D culture systems, it is hoped to advance the clinical application of therapeutic approaches and improve patient outcomes.

近年来,三维(3D)培养系统因其能够复制体内实体瘤的组织结构和分子特征而成为一种前景广阔的肿瘤临床前研究模型。该系统具有高通量、高效率和保留肿瘤异质性等优点。传统的 Matrigel 浸没式类器官培养主要支持上皮细胞的长期增殖。探索肿瘤微环境的一种解决方案是重构方法,包括以双重、三重甚至多重组合方式引入外源细胞类型。另一种解决方案是整体方法,包括患者来源的肿瘤片段、气液界面、悬浮三维培养和微流控肿瘤芯片模型。类器官共培养模型在研究肿瘤微环境、评估肿瘤免疫疗法、确定预测性生物标记物、筛选有效药物和建立感染模型方面也很受欢迎。通过利用这些三维培养系统,有望推动治疗方法的临床应用,改善患者的预后。
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引用次数: 0
Targeting colorectal cancer using dietary flavonols 利用膳食黄酮醇靶向治疗结直肠癌
Pub Date : 2023-11-28 DOI: 10.1002/cai2.99
Nitin Dubey, Nidhi Dubey, Upendra Bhadoria, Kamal Shah, Nagendra Singh Chauhan

Colorectal cancer is among the well-known forms of cancer and a prominent cause of cancer demises worldwide. In vitro experiments reinforced by animal studies, as well as epidemiological studies of human colorectal cancer propose that the growth of this disease can be moderated by eating aspects. Dietary intake including green vegetables and fruits may result in the reduction of colon cancer chances. The finding suggests that the combinations of dietary nutrients may deliver additive or synergistic effects and might be a powerful method to avoid or eradicate colon cancer beginning and/or development. Flavonols are one of the most widespread dietary nutrients of the polyphenols-flavonoids and major constituent of Allium and Brassicaceae vegetables. Flavonols present in vegetables of Allium and Brassicaceae family are kaempferol, myricetin, quercetin, and isorhamnetin. These flavonols are claimed to have antiproliferative activity in vivo and in vitro against colorectal cancer. The objective of this review is to summarize the role of flavonols obtained from dietary sources in the prevention and treatment of colorectal cancer.

大肠癌是众所周知的癌症之一,也是全球癌症死亡的主要原因。体外实验、动物实验以及对人类大肠癌的流行病学研究都表明,饮食可以抑制这种疾病的生长。包括绿色蔬菜和水果在内的膳食摄入可降低结肠癌的发病几率。这一发现表明,膳食营养素的组合可能会产生叠加或协同效应,并可能成为避免或根除结肠癌开始和/或发展的有效方法。黄酮醇是多酚-类黄酮中最广泛的膳食营养素之一,也是薤白和十字花科蔬菜的主要成分。葱科和十字花科蔬菜中的黄酮醇包括山奈酚、杨梅素、槲皮素和异鼠李素。据称,这些黄酮醇在体内和体外对结直肠癌具有抗增殖活性。本综述旨在总结从膳食中获取的黄酮醇在预防和治疗结直肠癌方面的作用。
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引用次数: 0
Advances in research on molecular markers in immune checkpoint inhibitor-associated myocarditis 免疫检查点抑制剂相关心肌炎分子标记物研究进展
Pub Date : 2023-11-28 DOI: 10.1002/cai2.100
Jun Shao, Chuanbin Liu, Jing Wang

Immune checkpoint inhibitors (ICIs) play a crucial role in the immunotherapy of malignant tumors, preventing immune evasion by tumor cells and activating autoimmune cells to eliminate the tumor. Despite their proven effectiveness in antitumor therapy, potential immune-related adverse effects must be recognized, particularly ICI-associated myocarditis (ICIAM). ICIAM is the most lethal form of organ immunotoxicity, with a significant impact on short-term mortality. However, ICIAM is predominantly asymptomatic or mildly nonspecific. It is difficult to diagnose, especially due to the lack of unique molecular markers. This article aims to provide a comprehensive overview of the progress made in identifying molecular markers for ICIAM.

免疫检查点抑制剂(ICIs)在恶性肿瘤的免疫治疗中发挥着至关重要的作用,它能防止肿瘤细胞逃避免疫,并激活自身免疫细胞以消灭肿瘤。尽管 ICIs 在抗肿瘤治疗中的有效性已得到证实,但必须认识到其潜在的免疫相关不良反应,尤其是 ICI 相关性心肌炎(ICIAM)。ICIAM 是最致命的器官免疫毒性形式,对短期死亡率有重大影响。然而,ICIAM 主要无症状或轻度非特异性。它很难诊断,特别是由于缺乏独特的分子标记物。本文旨在全面概述在确定 ICIAM 分子标记物方面取得的进展。
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引用次数: 0
Advances in the role of circulating tumor cell heterogeneity in metastatic small cell lung cancer 循环肿瘤细胞异质性在转移性小细胞肺癌中的作用研究进展
Pub Date : 2023-11-22 DOI: 10.1002/cai2.98
Qunxia Wang, Li-Ming Tan

Small cell lung cancer (SCLC), a highly aggressive malignancy, is rapidly at an extensive stage once diagnosed and is one of the leading causes of death from malignancy. In the past decade, the treatment of SCLC has largely remained unchanged, and chemotherapy remains the cornerstone of SCLC treatment. The therapeutic value of adding immune checkpoint inhibitors to chemotherapy for SCLC is low, and only a few SCLC patients have shown a response to immune checkpoint inhibitors. Circulating tumor cells (CTCs) are tumor cells shed from solid tumor masses into the peripheral circulation and are key to tumor metastasis. Single-cell sequencing has revealed that the genetic profiles of individual CTCs are highly heterogeneous and contribute to the poor outcome and prognosis of SCLC patients. Theoretically, phenotypic analysis of CTCs may be able to predict the diagnostic significance of new potential targets for metastatic tumors. In this paper, we will discuss in depth the heterogeneity of CTCs in SCLC and the value of CTCs for the diagnosis and prognosis of SCLC and as relevant tumor markers in metastatic SCLC.

小细胞肺癌(SCLC)是一种侵袭性极强的恶性肿瘤,一旦确诊就会迅速进入广泛期,是恶性肿瘤致死的主要原因之一。在过去十年中,SCLC 的治疗方法基本保持不变,化疗仍是 SCLC 治疗的基石。在SCLC化疗中加入免疫检查点抑制剂的治疗价值很低,只有少数SCLC患者对免疫检查点抑制剂产生了反应。循环肿瘤细胞(CTCs)是从实体肿瘤肿块脱落进入外周循环的肿瘤细胞,是肿瘤转移的关键。单细胞测序显示,单个 CTCs 的遗传特征具有高度异质性,是导致 SCLC 患者预后不良的原因之一。从理论上讲,CTCs 的表型分析或许能预测转移性肿瘤新潜在靶点的诊断意义。本文将深入探讨 SCLC 中 CTCs 的异质性、CTCs 对 SCLC 诊断和预后的价值以及作为转移性 SCLC 相关肿瘤标志物的价值。
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引用次数: 0
Evaluation of the safety and efficiency of cytotoxic T cell therapy sensitized by tumor antigens original from T-ALL-iPSC in vivo 评估由 T-ALL-iPSC 原始肿瘤抗原致敏的细胞毒性 T 细胞疗法在体内的安全性和效率
Pub Date : 2023-10-19 DOI: 10.1002/cai2.95
Weiran Li, Meiling Zhou, Lu Wang, Liying Huang, Xuemei Chen, Xizhuo Sun, Tao Liu

Background

Since RNA sequencing has shown that induced pluripotent stem cells (iPSCs) share a common antigen profile with tumor cells, cancer vaccines that focus on iPSCs have made promising progress in recent years. Previously, we showed that iPSCs derived from leukemic cells of patients with primary T cell acute lymphoblastic leukemia (T-ALL) have a gene expression profile similar to that of T-ALL cell lines.

Methods

Mice with T-ALL were treated with dendritic and T (DC-T) cells loaded with intact and complete antigens from T-ALL-derived iPSCs (T-ALL-iPSCs). We evaluated the safety and antitumor efficiency of autologous tumor-derived iPSC antigens by flow cytometry, cytokine release assay, acute toxicity experiments, long-term toxicity experiments, and other methods.

Results

Our results indicate that complete tumor antigens from T-ALL-iPSCs could inhibit the growth of inoculated tumors in immunocompromised mice without causing acute and long-term toxicity.

Conclusion

T-ALL-iPSC-based treatment is safe and can be used as a potential strategy for leukemia immunotherapy.

背景 由于 RNA 测序显示诱导多能干细胞(iPSC)与肿瘤细胞具有共同的抗原谱,因此近年来以 iPSC 为研究对象的癌症疫苗取得了可喜的进展。此前,我们曾发现,从原发性 T 细胞急性淋巴细胞白血病(T-ALL)患者的白血病细胞中提取的 iPSCs 具有与 T-ALL 细胞系相似的基因表达谱。 方法 用树突状细胞和 T(DC-T)细胞治疗 T-ALL 小鼠,树突状细胞和 T(DC-T)细胞含有来自 T-ALL 的 iPSCs(T-ALL-iPSCs)的完整抗原。我们通过流式细胞术、细胞因子释放检测、急性毒性实验、长期毒性实验等方法评估了自体肿瘤衍生 iPSC 抗原的安全性和抗肿瘤效率。 结果 我们的研究结果表明,T-ALL-iPSCs 的完整肿瘤抗原可抑制免疫缺陷小鼠接种肿瘤的生长,且不会引起急性和长期毒性。 结论 基于 TALL-iPSC 的治疗是安全的,可作为一种潜在的白血病免疫治疗策略。
{"title":"Evaluation of the safety and efficiency of cytotoxic T cell therapy sensitized by tumor antigens original from T-ALL-iPSC in vivo","authors":"Weiran Li,&nbsp;Meiling Zhou,&nbsp;Lu Wang,&nbsp;Liying Huang,&nbsp;Xuemei Chen,&nbsp;Xizhuo Sun,&nbsp;Tao Liu","doi":"10.1002/cai2.95","DOIUrl":"10.1002/cai2.95","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Since RNA sequencing has shown that induced pluripotent stem cells (iPSCs) share a common antigen profile with tumor cells, cancer vaccines that focus on iPSCs have made promising progress in recent years. Previously, we showed that iPSCs derived from leukemic cells of patients with primary T cell acute lymphoblastic leukemia (T-ALL) have a gene expression profile similar to that of T-ALL cell lines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Mice with T-ALL were treated with dendritic and T (DC-T) cells loaded with intact and complete antigens from T-ALL-derived iPSCs (T-ALL-iPSCs). We evaluated the safety and antitumor efficiency of autologous tumor-derived iPSC antigens by flow cytometry, cytokine release assay, acute toxicity experiments, long-term toxicity experiments, and other methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our results indicate that complete tumor antigens from T-ALL-iPSCs could inhibit the growth of inoculated tumors in immunocompromised mice without causing acute and long-term toxicity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>T-ALL-iPSC-based treatment is safe and can be used as a potential strategy for leukemia immunotherapy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100212,"journal":{"name":"Cancer Innovation","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cai2.95","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135778649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment-related adverse events of antibody-drug conjugates in clinical trials: A systematic review and meta-analysis 临床试验中抗体-药物偶联物的治疗相关不良事件:系统综述和荟萃分析
Pub Date : 2023-10-15 DOI: 10.1002/cai2.97
Jinming Li, Guoshuang Shen, Zhen Liu, Yaobang Liu, Miaozhou Wang, Fuxing Zhao, Dengfeng Ren, Qiqi Xie, Zitao Li, Zhilin Liu, Yi Zhao, Fei Ma, Xinlan Liu, Zhengbo Xu, Jiuda Zhao

Background

The wide use of antibody-drug conjugates (ADCs) is transforming the cancer-treatment landscape. Understanding the treatment-related adverse events (AEs) of ADCs is crucial for their clinical application. We conducted a meta-analysis to analyze the profile and incidence of AEs related to ADC use in the treatment of solid tumors and hematological malignancies.

Methods

We searched the PubMed, Embase, and Cochrane Library databases for articles published from January 2001 to October 2022. The overall profile and incidence of all-grade and grade ≥ 3 treatment-related AEs were the primary outcomes of the analysis.

Results

A total of 138 trials involving 15,473 patients were included in this study. The overall incidence of any-grade treatment-related AEs was 100.0% (95% confidence interval [CI]: 99.9%–100.0%; I2 = 89%) and the incidence of grade ≥ 3 treatment-related AEs was 6.2% (95% CI: 3.0%–12.4%; I² = 99%).

Conclusions

This study provides a comprehensive overview of AEs related to ADCs used for cancer treatment. ADC use resulted in a high incidence of any-grade AEs but a low incidence of grade ≥ 3 AEs. The AE profiles and incidence differed according to cancer type, ADC type, and ADC components.

背景抗细菌偶联物(ADC)的广泛应用正在改变癌症治疗的格局。了解ADC的治疗相关不良事件(AE)对其临床应用至关重要。我们进行了一项荟萃分析,以分析与ADC在治疗实体瘤和血液系统恶性肿瘤中的应用相关的AE的概况和发生率。方法检索PubMed、Embase和Cochrane图书馆数据库中2001年1月至2022年10月发表的文章。所有等级和等级的总体轮廓和发生率≥ 3例治疗相关AE是分析的主要结果。结果本研究共纳入138项试验,涉及15473名患者。任何级别治疗相关AE的总发生率为100.0%(95%置信区间[CI]:99.9%-100.0%;I2 = 89%)和分级的发生率 ≥ 3例治疗相关AE为6.2%(95%CI:3.0%-12.4%;I² = 99%)。结论本研究对癌症治疗中与ADC相关的AE进行了全面综述。ADC的使用导致任何级别AE的高发生率,但级别AE的低发生率 ≥ 3例AE。AE特征和发病率因癌症类型、ADC类型和ADC成分而异。
{"title":"Treatment-related adverse events of antibody-drug conjugates in clinical trials: A systematic review and meta-analysis","authors":"Jinming Li,&nbsp;Guoshuang Shen,&nbsp;Zhen Liu,&nbsp;Yaobang Liu,&nbsp;Miaozhou Wang,&nbsp;Fuxing Zhao,&nbsp;Dengfeng Ren,&nbsp;Qiqi Xie,&nbsp;Zitao Li,&nbsp;Zhilin Liu,&nbsp;Yi Zhao,&nbsp;Fei Ma,&nbsp;Xinlan Liu,&nbsp;Zhengbo Xu,&nbsp;Jiuda Zhao","doi":"10.1002/cai2.97","DOIUrl":"https://doi.org/10.1002/cai2.97","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The wide use of antibody-drug conjugates (ADCs) is transforming the cancer-treatment landscape. Understanding the treatment-related adverse events (AEs) of ADCs is crucial for their clinical application. We conducted a meta-analysis to analyze the profile and incidence of AEs related to ADC use in the treatment of solid tumors and hematological malignancies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched the PubMed, Embase, and Cochrane Library databases for articles published from January 2001 to October 2022. The overall profile and incidence of all-grade and grade ≥ 3 treatment-related AEs were the primary outcomes of the analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 138 trials involving 15,473 patients were included in this study. The overall incidence of any-grade treatment-related AEs was 100.0% (95% confidence interval [CI]: 99.9%–100.0%; <i>I</i><sup>2</sup> = 89%) and the incidence of grade ≥ 3 treatment-related AEs was 6.2% (95% CI: 3.0%–12.4%; <i>I</i>² = 99%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study provides a comprehensive overview of AEs related to ADCs used for cancer treatment. ADC use resulted in a high incidence of any-grade AEs but a low incidence of grade ≥ 3 AEs. The AE profiles and incidence differed according to cancer type, ADC type, and ADC components.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100212,"journal":{"name":"Cancer Innovation","volume":"2 5","pages":"346-375"},"PeriodicalIF":0.0,"publicationDate":"2023-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71979901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bioinformatics analysis of human kallikrein 5 (KLK5) expression in metaplastic triple-negative breast cancer 人激肽释放酶5(KLK5)在化生三阴性乳腺癌症中表达的生物信息学分析
Pub Date : 2023-10-15 DOI: 10.1002/cai2.96
Yue Song, Guiying Bai, Xiaoqing Li, Liyan Zhou, Yiran Si, Xiaohui Liu, Yilin Deng, Yehui Shi

Background

Metaplastic breast carcinoma (MBC) is a rare breast cancer subtype; most cases are triple-negative breast cancers (TNBCs) and are poorly responsive to conventional systemic therapy. Few potential diagnostic and prognostic markers for distinguishing between metaplastic TNBC and nonmetaplastic TNBC have been discovered. We performed bioinformatic analysis to explore the underlying mechanism by which metaplastic TNBC differs from nonmetaplastic TNBC and provides potential pathogenic genes of metaplastic TNBC.

Methods

Differentially expressed genes (DEGs) in metaplastic tumors and nonmetaplastic tumors from TNBC patients were screened using GSE165407. The GSE76275 data set and The Cancer Genome Atlas (TCGA) database were used to screen DEGs in TNBC and non-TNBC. Metascape and DAVID were used for the Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis and Gene Ontology (GO) analysis of DEGs. Online databases, including UALCAN, GEPIA, HPA, Breast Cancer Gene-Expression Miner, and quantitative PCR and western blot, were used to examine KLK5 messenger RNA and protein expression in breast cancer. Analysis of KLK5‑associated genes was performed with TCGA data, and the LinkedOmics database was used to detect the genes co-expressed with KLK5. STRING (Search Tool for the Retrieval of Interacting Genes) and Cytoscape were used to screen for hub genes. Kaplan‑Meier plotter was used for survival analysis.

Results

KLK5 was identified among the DEGs in nonmetaplastic TNBC and metaplastic TNBC. The KLK5 gene was overexpressed in nonmetaplastic TNBC but downregulated in metaplastic TNBC. KEGG and GO analyses revealed that epithelial-to-mesenchymal transition was a pathogenic mechanism in metaplastic TNBC and an important pathway by which KLK5 and its associated genes DSG1 and DSG3 influence metaplastic TNBC progression. Prognosis analysis showed that only low expression of KLK5 in metaplastic TNBC had clinical significance.

Conclusion

Our research indicated that KLK5 may be a pivotal molecule with a key role in the mechanism of tumorigenesis in metaplastic TNBC.

背景Metaplastic乳腺癌(MBC)是一种罕见的癌症亚型;大多数病例是三阴性乳腺癌(TNBCs),对传统的全身治疗反应不佳。很少有潜在的诊断和预后标志物可以区分化生TNBC和非化生TNBC。我们进行了生物信息学分析,以探索化生TNBC与非化生TNBC不同的潜在机制,并提供了化生TN不列颠哥伦比亚省的潜在致病基因。方法应用GSE165407筛选TNBC患者化生肿瘤和非化生肿瘤的差异表达基因。GSE76275数据集和癌症基因组图谱(TCGA)数据库用于筛选TNBC和非TNBC中的DEG。Metascape和DAVID用于京都基因和基因组百科全书(KEGG)的DEG富集分析和基因本体论(GO)分析。在线数据库,包括UALCAN、GEPIA、HPA、乳腺癌症基因表达Miner,以及定量PCR和蛋白质印迹,用于检测KLK5信使RNA和蛋白质在癌症中的表达。利用TCGA数据对KLK5相关基因进行分析,并使用LinkedOmics数据库检测与KLK5共表达的基因。STRING(检索相互作用基因的搜索工具)和Cytoscape用于筛选枢纽基因。Kaplan‑Meier绘图仪用于生存分析。结果KLK5在非转化性TNBC和化生性TNBC的DEG中均有表达。KLK5基因在非转化性TNBC中过表达,但在化生TNBC中下调。KEGG和GO分析表明,上皮-间质转化是化生TNBC的致病机制,也是KLK5及其相关基因DSG1和DSG3影响化生TNBC进展的重要途径。预后分析显示,只有KLK5在化生TNBC中的低表达才具有临床意义。结论KLK5可能是化生TNBC肿瘤发生机制中的关键分子。
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引用次数: 0
Comprehensive treatment of von Hippel-Lindau disease: A case report 冯-希佩尔-林道病的综合治疗:病例报告
Pub Date : 2023-09-20 DOI: 10.1002/cai2.94
Xuesong Li, Zheng Mo, Zhuo Yu

von Hippel-Lindau (VHL) disease is a rare autosomal dominant multiorgan disease characterized by several benign and malignant tumors rich in vascular, as well as cysts in other organs. A great clinical treatment strategy is significantly warranted for good prognosis of patients with VHL disease. Herein, we reported a case of a 45-year-old woman diagnosed with VHL disease with spinal hemangioblastoma (HB) and clear cell renal cell carcinoma (ccRCC). Four years after the resection of the right kidney, a recurrent RCC in the right kidney and a malignant lesion in the left kidney were observed. This patient was started on sorafenib (800 mg, daily) and tislelizumab (200 mg per 3 weeks). After 6 months of treatment, the size of renal cell carcinoma was dramatically reduced and renal function improved. More importantly, she achieved partial response during the whole treatment. Microscopically, intramedullary masses resection was done and the HB in T4-5 thoracic spinal was removed. Neurologic symptoms such as numbness and pain were remarkably alleviated. Additionally, tislelizumab-induced elevation in liver transaminase levels and hypothyroidism were revered by hepatoprotector and levothyroxine, respectively. In short, comprehensive treatment strategies may benefit patients with VHL disease, especially with HB and ccRCC.

von Hippel-Lindau(VHL)病是一种罕见的常染色体显性多器官疾病,以富含血管的多种良性和恶性肿瘤以及其他器官的囊肿为特征。为使VHL病患者获得良好的预后,临床治疗策略显得尤为重要。在此,我们报告了一例确诊为 VHL 病的 45 岁女性患者,她患有脊柱血管母细胞瘤(HB)和透明细胞肾细胞癌(ccRCC)。右肾切除术四年后,发现右肾复发 RCC,左肾也出现恶性病变。患者开始接受索拉非尼(800 毫克,每天一次)和替莱珠单抗(200 毫克,每 3 周一次)治疗。治疗 6 个月后,肾细胞癌的体积显著缩小,肾功能得到改善。更重要的是,她在整个治疗过程中获得了部分应答。显微镜下,她接受了髓内肿块切除术,并切除了胸椎T4-5节的HB。麻木和疼痛等神经症状明显缓解。此外,保肝药和左旋甲状腺素分别缓解了替舒利珠单抗引起的肝脏转氨酶水平升高和甲状腺功能减退。总之,综合治疗策略可使VHL患者受益,尤其是HB和ccRCC患者。
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引用次数: 0
Machine-learning radiomics to predict bone marrow metastasis of neuroblastoma using magnetic resonance imaging 利用磁共振成像预测神经母细胞瘤骨髓转移的机器学习放射组学
Pub Date : 2023-09-20 DOI: 10.1002/cai2.92
Lin Lv, Zhengtao Zhang, Dongbo Zhang, Qinchang Chen, Yuanfang Liu, Ya Qiu, Wen Fu, Xuntao Yin, Xiong Chen

Background

Neuroblastoma is one common pediatric malignancy notorious for high temporal and spatial heterogeneities. More than half of its patients develop distant metastases involving vascularized organs, especially the bone marrow. It is thus necessary to have an economical, noninvasive method without much radiation for follow-ups. Radiomics has been used in many cancers to assist accurate diagnosis but not yet in bone marrow metastasis in neuroblastoma.

Methods

A total of 182 patients with neuroblastoma were retrospectively collected and randomly divided into the training and validation sets. Five-hundred and seventy-two radiomics features were extracted from magnetic resonance imaging, among which 41 significant ones were selected via T-test for model development. We attempted 13 machine-learning algorithms and eventually chose three best-performed models. The integrative performance evaluations are based on the area under the curves (AUCs), calibration curves, risk deciles plots, and other indexes.

Results

Extreme gradient boosting, random forest (RF), and adaptive boosting were the top three to predict bone marrow metastases in neuroblastoma while RF was the most accurate one. Its AUC was 0.90 (0.86–0.93), F1 score was 0.82, sensitivity was 0.76, and negative predictive value was 0.79 in the training set. The values were 0.82 (0.71–0.93), 0.80, 0.75, and 0.92 in the validation set, respectively.

Conclusions

Radiomics models are likely to contribute more to metastatic diagnoses and the formulation of personalized healthcare strategies in clinics. It has great potential of being a revolutionary method to replace traditional interventions in the future.

背景神经母细胞瘤是一种常见的儿童恶性肿瘤,因其高度的时间和空间异质性而臭名昭著。超过一半的患者发生涉及血管化器官的远处转移,尤其是骨髓。因此,有必要有一种经济、无创的方法,而不需要太多的辐射来进行随访。放射组学已被用于许多癌症以帮助准确诊断,但尚未用于神经母细胞瘤的骨髓转移。方法回顾性收集182例神经母细胞瘤患者,随机分为训练组和验证组。从磁共振成像中提取了五百七十二个放射组学特征,其中通过T检验选择了41个重要特征用于模型开发。我们尝试了13种机器学习算法,最终选择了三种性能最好的模型。综合绩效评估基于曲线下面积(AUCs)、校准曲线、风险十分位数图和其他指标。结果极端梯度增强、随机森林(RF)和适应性增强是预测神经母细胞瘤骨髓转移的前三种方法,RF是最准确的方法。在训练集中,其AUC为0.90(0.86–0.93),F1得分为0.82,敏感性为0.76,阴性预测值为0.79。验证集中的值分别为0.82(0.71–0.93)、0.80、0.75和0.92。结论放射组学模型可能有助于临床转移性诊断和个性化医疗策略的制定。它具有成为未来取代传统干预的革命性方法的巨大潜力。
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引用次数: 0
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Cancer Innovation
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