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THE EFFECT OF AUXILIARY DRUGS ON PHOTODYNAMIC CYTOLYSIS IN PHOTODYNAMIC THERAPY 光动力治疗中辅助药物对光动力细胞溶解的影响
Pub Date : 2022-12-30 DOI: 10.31917/2304239
Е.В. Miroshnikova, L.V. Galebskayа, V. A. Dadali, Y.V. Dadal, B. I. Miroshnikov
The effect of pyridine-containing and phenolic compounds (Mexidol, Emoxypine, Vitamin В6 , Paracetamol, Propofol, Coenzyme Q10) and imidazole-containing Dexdor on photoinduced hemolysis in PDT was studied in an experiment (on erythrocytes of healthy people’s blood). It was found that Mexidol and Emoxypine showed themselves not as antioxidants, but as powerful agents to enhance the hemolytic effect, while in the area of small doses they showed a membraneprotective antihemolytic effect. Therefore, the possibility of their use as concomitant drugs in PDT is problematic and additional clinical studies are required. The anesthetic Dexdor (dexmedetomidine) did not have a noticeable effect on the rate of hemolysis, which makes it possible to recommend it as a priority drug for drug support of PDT. Sedative Propofol (2,4-diisopropylphenol) and Paracetamol (p-acetoaminophenol) as most phenolic compounds caused significant inhibition of hemolysis, which makes their use in PDT problematic. Coenzyme Q10 (its reduced form – ubiquinol) showed a pronounced inhibitory effect on the hemolysis process, however, it can be recommended as an effective membrane-protective drug to protect the membranes of healthy cells
本实验研究了含吡啶和酚类化合物(美西多、艾莫西平、维生素В6、对乙酰氨基酚、异丙酚、辅酶Q10)和含咪唑的右旋多对PDT光致溶血的影响。发现墨西多和艾莫西平不是抗氧化剂,而是增强溶血作用的强效剂,在小剂量范围内表现出膜保护性的抗溶血作用。因此,它们在PDT中作为合用药物的可能性是有问题的,需要进一步的临床研究。麻醉剂右美托咪定对溶血率没有明显的影响,这使得它有可能被推荐为PDT药物支持的优先药物。镇静剂丙泊酚(2,4-二异丙基酚)和对乙酰氨基酚(对乙酰氨基酚)作为大多数酚类化合物,对溶血有明显的抑制作用,这使得它们在PDT中的应用存在问题。辅酶Q10(其还原形式-泛醇)对溶血过程有明显的抑制作用,但它可以作为一种有效的膜保护药物来保护健康细胞的膜
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引用次数: 0
NEW TECHNOLOGIES IN RADIOLOGY DIAGNOSTICS 放射诊断新技术
Pub Date : 2022-12-30 DOI: 10.31917/2304203
V. Chernobrivtseva, A. S. Misyurin
Today, modern medical imaging techniques are in the process of developing and implementing machine learning and neural network-based programs to improve diagnosis of several diseases, including cancer. Such methods of image processing are superior to traditional methods of image assessment and reduce the time required and diagnostic error rate. In addition, more advanced programs, in the foreseeable future, will be able to act as a second opinion for the doctor, helping him in making decisions on the choice of techniques for treating patients. In this paper some aspects related to radiomics and radiogenomics, machine learning and the challenges of implementing the latest image evaluation algorithms are discussed.
今天,现代医学成像技术正在开发和实施机器学习和基于神经网络的程序,以提高对包括癌症在内的几种疾病的诊断。这种图像处理方法优于传统的图像评估方法,减少了所需的时间和诊断错误率。此外,在可预见的未来,更先进的程序将能够作为医生的第二意见,帮助他在治疗病人的技术选择上做出决定。本文讨论了与放射组学和放射基因组学、机器学习以及实现最新图像评估算法的挑战有关的一些方面。
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引用次数: 0
ASSESSMENT OF THE RELIABILITY OF THE CRITERIA FOR THE CONSISTENCY OF RADIOIODABLATION 放射性碘消融一致性标准的可靠性评估
Pub Date : 2022-12-30 DOI: 10.31917/2304225
V. Solodkiy, D. Fomin, O. Borisova, Y. Blanter
Summary: the article discusses the reasons for the possible ineffectiveness of radioiodablation in patients with differentiated thyroid cancer when using adequate individually calculated activities of 131I. Based on a prospective analysis of post-therapeutic whole-body scintigraphy, laboratory parameters, dosimetric control and clinical manifestations after radionuclide therapy, significant criteria for the possible failure of standard combination therapy are identified and a change in treatment tactics in this group of patients is proposed.Purpose: search for the reasons for unsatisfactory results of radionuclide treatment in patients with differentiated thyroid cancer. Materials and Methods: analysis of 2260 patients with differentiated thyroid cancer who received combined treatment using traditional preparation methods using thyrotropin alpha, from which a group was identified with a high level of 131I. that was unexpected at the pre-therapeutic stage against the background of early radiation diseases and low dosimetry indicators. In patients, laboratory parameters of TSH, thyroglobulin and thyroglobulin antibodies were assessed using radioimmunoassay and clinical manifestations of radiation conditions, taking into account the prescribed therapy; The scintigraphy of the thyroid bed with 99mTc-pertechnetate, post-therapeutic scintigraphy with 131I upon exiting the «closed mode» and dosimetric control under standard conditions every 24 hours after taking the therapeutic activity were performed.Material and methods: prospective single-center analysis of data from 2260 patients with differentiated thyroid cancer who received combined treatment using the traditional preparation method and the use of thyrotropin alfa, from which a group with an unexpected high RP uptake at the pre-therapeutic stage was identified against the background of the absence of early radiation complications and low dosimetry indicators. In patients, laboratory parameters of TSH, TG and AT-TG were assessed using radioimmunoassay and clinical manifestations of radiation reactions, taking into account the prescribed therapy; scintigraphy of the thyroid bed with 99mТс-sodium pertechnetate, post-therapeutic scintigraphy with 131I upon exiting the «closed mode» and dosimetric monitoring with an assessment 48 hours after ingestion of therapeutic activity. Results: analyzed the data of a group of patients in whom there was a marked discrepancy between the usually interdependent results of scintigraphy before and after RIA, which subsequently changed the treatment tactics in their relation. A statistically significant difference was found between the selected groups in terms of the level of stimulated TSH (in patients with predictable (73,9±31,8 mU/L) and unexpected (114,1±30,5 mU/L) uptake of 131I (p=0,0218); by the values of the dose rate 48 hours after the intake of the calculated activity of 131I (p=0,000005). In addition, we additionally analyzed the effect of traditional and d
摘要:本文讨论了在分化型甲状腺癌患者中使用足够的单独计算的131I活性时放射性碘消融可能无效的原因。基于治疗后全身显像、实验室参数、剂量控制和放射性核素治疗后临床表现的前瞻性分析,确定了标准联合治疗可能失败的重要标准,并建议改变这组患者的治疗策略。目的:探讨分化型甲状腺癌放射性核素治疗效果不理想的原因。材料与方法:对2260例采用传统促甲状腺素α制备方法联合治疗的分化型甲状腺癌患者进行分析,从中筛选出131I水平较高的一组。在早期辐射疾病和低剂量指标的背景下,这在治疗前阶段是出乎意料的。在患者中,考虑到规定的治疗,使用放射免疫测定法和放射条件的临床表现评估TSH、甲状腺球蛋白和甲状腺球蛋白抗体的实验室参数;用99mtc -高锝酸盐对甲状腺床进行闪烁成像,在退出“封闭模式”时用131I进行治疗后闪烁成像,并在标准条件下每24小时进行剂量控制。材料和方法:前瞻性单中心分析2260例采用传统制备方法和促甲状腺素联合治疗的分化型甲状腺癌患者的资料,在没有早期放射并发症和低剂量学指标的背景下,从中发现一组在治疗前阶段RP摄取出乎意料的高。在患者中,考虑到规定的治疗,使用放射免疫法和放射反应的临床表现评估TSH、TG和AT-TG的实验室参数;使用99mТс-sodium高锝酸盐对甲状腺床进行闪烁成像,在退出“封闭模式”后使用131I进行治疗后闪烁成像,并在摄入治疗活性48小时后进行剂量监测评估。结果:分析了一组患者的数据,这些患者在RIA前后通常相互依赖的扫描结果存在明显差异,从而改变了他们之间关系的治疗策略。在可预测(73,9±31,8 mU/L)和不可预测(114,1±30,5 mU/L)摄取131I的患者中,所选组之间刺激TSH水平的差异有统计学意义(p=0,0218);以摄入131I计算活度后48小时的剂量率值计算(p=0,000005)。此外,我们还分析了在放射性核素消融准备过程中刺激甲状腺球蛋白血症的传统方法和药物方法的效果。停用左甲状腺素组和使用rhTSH组TSH指数分别为80,7±27 mU/L和123,3±75,8 mU/L (p=0,035),促甲状腺球蛋白水平分别为10,2±4,0 ng / ml和3,2±2,5 ng / ml (p=0,041)。结论:所得结果表明,推荐的经验水平TSH > 30 mU/L并不是碘同体激活和RIA活力的同义词,也可以区分同体延迟/部分激活的患者组。在本研究的继续中,我们计划改变放射性碘消融的准备方案,并为这组患者找到治疗前诊断的标准
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引用次数: 0
Multimodal prehabilitation in patients with colorectal cancer: a systematic review 结直肠癌患者的多模式康复:一项系统综述
Pub Date : 2022-09-30 DOI: 10.31917/2303187
R. A. Nurmukhametov, T. S. Dikova, V. Lyadov, К.А. Kulbasova, V. Galkin
Background. Patients with advanced colorectal cancer commonly demonstrate high frequency of sarcopenia (skeletal muscle depletion) and nutritional deficiency while being in need of complex surgical interventions. This led to the development of «multimodal prehabilitation» concept including physical training, nutritional and psychological support. Aim. We aim to summarize recent literature regarding the impact of prehabilitation on the surgical treatment of patients with colorectal cancer. Methods. PubMed, Cochrane Library and ClinicalTrials.gov databases were searched for relevant original studies published between January 2011 to December 2021. Results. Eight studies comprising 732 patients were included. The duration of prehabilitation ranged from 2 to 6 weeks,adherence – from 78% to 98%. All studies had functional tests as the primary end-point. Six studies used a 6-minute walk test to measure physical performance. Five studies showed an increase in functional walking capacity in the prehabilitation group, 1 study revealed a significant decrease in the level of anxiety and depression (according to the HADS scale) after prehabilitation. All studies did not demonstrate the impact of prehabilitation on postoperative complications and mortality as well as nutrition status of colorectal cancer patients. Conclusions. Heterogeneity of prehabilitation programs as well as the absence of randomized trials preclude wide adoption of multimodal prehabilitation. Standardized prehabilitation programs are needed to further understand the influence of prehabilitation on the clinical trajectory of patients with colorectal cancer. Also, the preliminary selection of high-risk patients is required to evaluate the clinical importance of prehabilitation.
背景。晚期结直肠癌患者通常表现为高频率的骨骼肌减少(骨骼肌耗损)和营养缺乏,同时需要复杂的手术干预。这导致了“多模式康复”概念的发展,包括身体训练,营养和心理支持。的目标。我们的目的是总结最近关于康复对结直肠癌患者手术治疗的影响的文献。方法。检索PubMed、Cochrane Library和ClinicalTrials.gov数据库,检索2011年1月至2021年12月间发表的相关原始研究。结果。纳入了8项研究,包括732名患者。康复持续时间为2至6周,依从性为78%至98%。所有的研究都以功能测试作为主要终点。六项研究使用了一项6分钟步行测试来衡量身体表现。5项研究显示康复组的功能性行走能力有所增加,1项研究显示康复后焦虑和抑郁水平(根据HADS量表)显著降低。所有研究均未证实预适应对结直肠癌患者术后并发症、死亡率以及营养状况的影响。结论。康复项目的异质性以及随机试验的缺乏阻碍了多模式康复的广泛采用。需要标准化的预康复方案来进一步了解预康复对结直肠癌患者临床轨迹的影响。同时,需要对高危患者进行初步筛选,以评估康复的临床重要性。
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引用次数: 1
Vitamin C: is there a place in anticancer treatment? 维生素C:在抗癌治疗中有地位吗?
Pub Date : 2022-09-30 DOI: 10.31917/2303133
I. Gerk, V. Moiseenko
Vitamin C is an essential organic nutrient that has many beneficial properties for humans, as it participates in metabolic processes and acts as an antioxidant. A growing body of evidence indicates that high doses of intravenous vitamin C may have an antitumor effect. In the article, we discuss the potential mechanisms of antitumor activity of Vitamin C, as well as published data on its use as anticancer treatment in various groups of patients in monotherapy and in combination with other anticancer drugs.
维生素C是一种必需的有机营养素,对人体有许多有益的特性,因为它参与代谢过程并起到抗氧化剂的作用。越来越多的证据表明,静脉注射高剂量维生素C可能具有抗肿瘤作用。在本文中,我们讨论了维生素C抗肿瘤活性的潜在机制,并发表了其在不同组的患者中单独治疗和与其他抗癌药物联合使用的抗癌治疗数据。
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引用次数: 0
Alkalinization of the tumor microenvironment: are there prospects as a therapeutic objective? 肿瘤微环境的碱化:作为一种治疗目标是否有前景?
Pub Date : 2022-09-30 DOI: 10.31917/2303143
A. Bogdanov, A. Bogdanov, V. Moiseyenko
Tumor acidity is one of the hallmarks of cancer. The use of glycolysis as the main source of ATP production due to the metabolic reprogramming of cancer cells makes their intracellular pH alkaline and extracellular pH acidic. This metabolic reprogramming and acidification are part of the general defenses that allow malignant cells to survive, multiply, spread, and become resistant to therapies. Tumor acidity may also be associated with a poor prognosis for cancer patients, and clinicians should consider this when diagnosing and determining optimal treatment. On the other hand, the inversion of the pH gradient in tumors could be a weakness, which will allow the development of new promising therapies. Pharmacological inhibition of pH regulation pathways and alkalinization of the tumor appear to be prospective therapeutic options for cancer treatment. Alkalization therapy does not contradict standard treatment methods and can be used in combination to increase effectiveness. Here, we have tried to summarize the basic knowledge about tumor acidity and related potential cancer treatment options.
肿瘤酸度是癌症的标志之一。由于癌细胞的代谢重编程,糖酵解作为ATP生产的主要来源,使其细胞内pH为碱性,细胞外pH为酸性。这种代谢重编程和酸化是允许恶性细胞存活、繁殖、扩散并对治疗产生耐药性的一般防御的一部分。肿瘤酸度也可能与癌症患者预后不良有关,临床医生在诊断和确定最佳治疗时应考虑到这一点。另一方面,肿瘤中pH梯度的反转可能是一个弱点,这将允许开发新的有希望的治疗方法。药物抑制pH调节途径和肿瘤碱化似乎是癌症治疗的前瞻性治疗选择。碱化疗法与标准治疗方法并不矛盾,可以联合使用以提高疗效。在此,我们试图总结肿瘤酸度的基本知识和相关的潜在癌症治疗方案。
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引用次数: 0
Microbiome as a therapeutic target 微生物组作为治疗靶点
Pub Date : 2022-09-30 DOI: 10.31917/2303160
F. Moiseenko
The community of symbiotic microorganisms populating all the surfaces of human body that interact with outer medias plays an important role in human organism homeostasis, as far as in modulation of multiple normal or pathologic processes. As a consequence of such interaction the qualitative and quantitative composition of microbiome might influence many pathologic and physiologic processes, among which are malignant solid tumors. In this article we try to summarize up-to-date information on the role of microbiome in the appearance, clinical course, and treatment of various solid tumors
共生微生物群落分布在人体的所有表面,与外界介质相互作用,在人体生物体内平衡中起着重要作用,并调节多种正常或病理过程。由于这种相互作用,微生物组的定性和定量组成可能影响许多病理和生理过程,其中包括恶性实体瘤。在本文中,我们试图总结微生物组在各种实体瘤的外观,临床过程和治疗中的作用的最新信息
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引用次数: 3
Epigenetics: perspectives of targeted therapy 表观遗传学:靶向治疗的观点
Pub Date : 2022-09-30 DOI: 10.31917/2303170
N. Volkov
This lecture presents the theoretic ground for the role of epigenetics in tumor growth regulation and microenvironment function. Background for therapeutic intervention into main epigenetic regulation mechanisms is described. Also some preclinical and clinical research data in this area are presented. Further future perspectives of epigenetic therapies development are discussed.
本讲座介绍了表观遗传学在肿瘤生长调控和微环境功能中的作用的理论基础。介绍了对主要表观遗传调控机制进行治疗干预的背景。本文还介绍了该领域的一些临床前和临床研究数据。并对未来表观遗传疗法的发展前景进行了讨论。
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引用次数: 1
Iron metabolIsm and ferroptosIs as a therapeutIc target 铁代谢和铁下垂作为治疗靶点
Pub Date : 2022-09-30 DOI: 10.31917/2303127
V. Chubenko
The cell death is the most important characteristic of any tissue, including malignant tumors. It controls the proliferation and metastasis. Besides cell death determines the development of the drug resistance. In this context, the understanding of the mechanisms and searching for the targets of the alternative cellular loss can be a promising therapeutic strategy for long-term control of the tumor growth. This paper describes the mechanisms of ferroptosis, an iron-mediated non-apoptotic cell death due to lipid peroxidation. In this regard, in addition to the emergence of new therapeutic options that can affect key aspects of this process, the search for predictive markers of such metabolic therapy is also important for the clinicians.
细胞死亡是任何组织最重要的特征,包括恶性肿瘤。它控制着癌细胞的增殖和转移。此外,细胞死亡决定了耐药性的发展。在这种情况下,了解机制和寻找替代细胞损失的靶点可能是长期控制肿瘤生长的有希望的治疗策略。本文描述了铁凋亡的机制,铁介导的非凋亡细胞死亡,由于脂质过氧化。在这方面,除了能够影响这一过程关键方面的新治疗方案的出现外,寻找这种代谢治疗的预测标记物对临床医生也很重要。
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引用次数: 1
Role of Supportive Care as an Element of Antitumor Treatment 支持治疗在抗肿瘤治疗中的作用
Pub Date : 2022-09-30 DOI: 10.31917/2303175
М.М. Kramchaninov
This article is a literature review of the available data on the antitumor activity of non-oncology drugs. The use of existing non-oncological drugs with antitumor purpose is a promising direction of supportive cancer therapy.
本文对非肿瘤药物抗肿瘤活性的文献资料进行综述。利用现有的具有抗肿瘤目的的非肿瘤药物是支持癌症治疗的一个有希望的方向。
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引用次数: 0
期刊
Reports of Practical Oncology
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