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Biosimilars: Extrapolating the evidence. A roundtable discussion 生物仿制药:推断证据。圆桌讨论
Q3 Medicine Pub Date : 2015-12-01 DOI: 10.1016/j.ejcsup.2015.12.001
Bradley J. Monk , Morton Coleman , Philip Lammers , George Somlo
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引用次数: 0
Computed tomography measurement of pulmonary artery for diagnosis of COPD and its comorbidity pulmonary hypertension. 用于诊断慢性阻塞性肺病及其合并症肺动脉高压的肺动脉计算机断层扫描测量。
IF 2.8 Q3 Medicine Pub Date : 2015-11-18 eCollection Date: 2015-01-01 DOI: 10.2147/COPD.S94211
Xuesong Chen, Kouying Liu, Zhiyue Wang, Yinsu Zhu, Yang Zhao, Hui Kong, Weiping Xie, Hong Wang

Computed tomography (CT) is widely used for evaluation of lung diseases. To evaluate the value of CT measurement of pulmonary artery for diagnosis of chronic obstructive pulmonary disease (COPD) and its comorbidity pulmonary hypertension (PH), we retrospectively reviewed the CT of 221 patients with COPD and 115 control patients without cardiovascular or lung disease. Patients with COPD were divided into PH (COPD-PH) and non-PH according to systolic pulmonary artery pressure. Main pulmonary artery (MPA), right pulmonary artery (RPA) and left pulmonary artery branches, and ascending aorta (AAo) and descending aorta (DAo) diameters were measured. Meanwhile, the ratios of MPA/AAo and MPA/DAo were calculated. MPA, RPA, and left pulmonary artery diameters were significantly larger in COPD than those in the controls, and this augment was more obvious in COPD-PH. AAo and DAo diameters did not vary obviously between groups, while MPA/AAo and MAP/DAo increased significantly in COPD and PH. MPA could be helpful for COPD diagnosis (MPA diameter ≥27.5 mm, sensitivity 54%, and specificity 80%), and RPA could be applied for COPD-PH diagnosis (RPA diameter ≥23.4 mm, sensitivity 67%, and specificity 76%). There was a marked correlation between MPA/DAo and systolic pulmonary artery pressure (r=0.594, P<0.001). Therefore, chest CT could be a simple and effective modality for diagnostic evaluation of COPD and its comorbidity, PH.

计算机断层扫描(CT)被广泛用于肺部疾病的评估。为了评估肺动脉 CT 测量对诊断慢性阻塞性肺疾病(COPD)及其合并症肺动脉高压(PH)的价值,我们回顾性地检查了 221 例 COPD 患者和 115 例无心血管或肺部疾病的对照组患者的 CT。根据肺动脉收缩压,COPD 患者被分为 PH(COPD-PH)和非 PH 患者。测量主肺动脉(MPA)、右肺动脉(RPA)和左肺动脉分支以及升主动脉(AAo)和降主动脉(DAo)的直径。同时,计算 MPA/AAo 和 MPA/DAo 的比率。MPA、RPA和左肺动脉直径在慢性阻塞性肺病患者中明显大于对照组,这种增大在慢性阻塞性肺病-帕金森患者中更为明显。AAo和DAo直径在不同组间无明显差异,而MPA/AAo和MAP/DAo在COPD和PH组中明显增加。MPA有助于COPD的诊断(MPA直径≥27.5 mm,敏感性54%,特异性80%),RPA可用于COPD-PH的诊断(RPA直径≥23.4 mm,敏感性67%,特异性76%)。MPA/DAo 与肺动脉收缩压之间存在明显的相关性(r=0.594,P<0.05)。
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引用次数: 0
P124 P124
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.012
A. Bondar , A. Kurilshikov , E. Morozkin , M. Zaripov , M. Kabilov , V. Voytsitskiy , V. Vlassov , P. Laktionov

Cancer cells display altered methylation signatures distinguishing them from normal cells. Originating from all tissues and cells of the body cell-free DNA (cfDNA) including aberrantly methylated DNA reflect epigenetic aberrations occurs not only in tumor cells but also in tumor microenvironment. Actually, aberrantly methylated cfDNA has proved to be a promising biomarker for noninvasive detection of cancer with several clinically-certified tests (Epi-pro Colon®, Epi-pro Lung®, Cologuard®). However only one test (Epi-pro Colon®) uses blood plasma – the most convenient source of cfDNA. Input of tissue and age specific methylation along with unidentified reasons lead to the presence of molecules with every conceivable cytosine-methylation patterns which decrease probability of tumor DNA identification. Among numerous variants of cfDNA methylation patterns only few reflect cancer related changes. To identify those tumor-specific profiles single nucleotide resolution of methylated cytosine locations in the individual circulating DNA molecules is obviously required.

We performed target bisulfite sequencing of potential prostate cancer (PC) cfDNA markers (GSTP1; RNF219) isolated from blood plasma of 18 healthy donors (HD), 17 benign hyperplasia (BPH) and 20 PC patients using MiSeq platform (Illumina). RNF219 gene was shown to have high diagnostic potential in our previous comparative study of cfDNA from HD, PC and BHP patients using HCGI12k microarrays (Cortese, et al., 2012). GSTP1 is a common pathological DNA methylation event in PC and is most widely studied and promising methylation marker in the cfDNA of PC patients (Wu, et al., 2011).

Selected loci were amplified after bisulfite conversion (Zymo Research) of cfDNA with methyl-independent barcoded primers and sequenced with coverage ranging from 23509 to 143953. Identification of CpG methylation status in DNA fragments was performed with the BiQ Analyzer HT Software. All statistical analysis was performed using R Statistical Software (version 3.1.1) To reveal diagnostically significant differences, several approaches to data analysis were used. Conventional approach is a prediction of patient’s diagnosis based on differences in methylation level of CpG-sites. Another approach used in this study relies on discrimination of cancer-related correlation between methylation statuses of CpG-sites within individual molecules of cfDNA – Intramolecular Correlation of Methylation Statuses (ICoMS).

Study population was randomly subsampled into training and test cohorts. The logit regression model based on methylation level of CpG-sites achieved an area under the ROC curve (AUC) exceeding 0.94 in both cohorts for GSTP1 gene and 0.81 – for RNF219 gene. A novel approach to identify diagnostic significance of cfDNA methylation was based on comparison of correlation matrices (pairwise phi coefficient between methylation statuses of CpG sites) for HD, BHP and PC groups. Binomial regression

癌细胞表现出与正常细胞不同的甲基化特征改变。来源于机体所有组织细胞的游离DNA (cell-free DNA, cfDNA),包括异常甲基化DNA,反映了表观遗传畸变不仅发生在肿瘤细胞中,也发生在肿瘤微环境中。事实上,异常甲基化的cfDNA已被证明是一种有前途的生物标志物,用于无创检测癌症,有几个临床认证的测试(Epi-pro Colon®,Epi-pro Lung®,Cologuard®)。然而,只有一种检测(Epi-pro Colon®)使用血浆——cfDNA最方便的来源。组织和年龄特异性甲基化的输入以及未知的原因导致存在具有每种可能的胞嘧啶甲基化模式的分子,这降低了肿瘤DNA识别的可能性。在cfDNA甲基化模式的众多变体中,只有少数反映癌症相关的变化。为了确定这些肿瘤特异性特征,显然需要单个循环DNA分子中甲基化胞嘧啶位置的单核苷酸分辨率。我们对潜在前列腺癌(PC) cfDNA标记物(GSTP1;使用MiSeq平台(Illumina)从18例健康供体(HD)、17例良性增生(BPH)和20例PC患者的血浆中分离到RNF219。在我们之前使用HCGI12k芯片对HD、PC和BHP患者cfDNA的比较研究中,RNF219基因被证明具有很高的诊断潜力(Cortese, et al., 2012)。GSTP1是PC中常见的病态性DNA甲基化事件,是PC患者cfDNA中研究最广泛、最有前景的甲基化标志物(Wu等,2011)。选定的位点用甲基非依赖性条形码引物对cfDNA进行亚硫酸盐转化(Zymo Research)扩增,测序范围从23509到143953。使用BiQ Analyzer HT软件鉴定DNA片段中的CpG甲基化状态。所有统计分析均使用R统计软件(版本3.1.1)进行。为了揭示诊断上的显著差异,我们使用了几种数据分析方法。传统的方法是根据cpg位点甲基化水平的差异来预测患者的诊断。本研究中使用的另一种方法依赖于cfDNA单个分子内cpg位点甲基化状态之间与癌症相关的区分-甲基化状态的分子内相关(ICoMS)。研究人群被随机抽样到训练组和测试组。基于cpg位点甲基化水平的logit回归模型在两个队列中GSTP1基因的ROC曲线下面积(AUC)超过0.94,RNF219基因的AUC超过0.81 -。一种确定cfDNA甲基化诊断意义的新方法是基于对HD、BHP和PC组的相关矩阵(CpG位点甲基化状态之间的成对phi系数)的比较。采用LASSO惩罚的二项回归模型预测患者的诊断。拟合模型的ROC曲线显示,GSTP1基因的AUC、特异性和敏感性分别为0.99、100%和92%,RNF219(测试队列)的AUC、特异性和敏感性分别为0.99、100%和90%。ICoMS方法估计目标基因的诊断价值,并揭示癌症相关的胞嘧啶甲基化。这可以潜在地输入基因表达,识别肿瘤生理特征,并与传统方法一样,为合理设计无创的、甲基化特异性的基于cfdna的PC诊断提供有用的信息。此外,计划进一步评估已发现的与癌症相关的相关性与肿瘤生物学之间的关系,可以增加对癌变的基本认识。
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引用次数: 0
P67 P67
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.014
O. Bryzgunova , E. Lekhnov , T. Skvortsova , E. Morozkin , I. Zaporozhchenko , A. Grigorieva , M. Zaripov , E. Ryabchikova , V. Vlassov , P. Laktionov

Differently sized microparticles, including exosomes (30–100 nm), prostasomes (50–500 nm), oncosomes (50–500 nm) and other microparticles (100–1000 nm) were found in blood and urine. Exosomes from prostate cancer (PCa) patients can potentially contain cancer-specific nucleic acids, and thus can represent a valuable source of diagnostic material. In this study, we have investigated microvesicles and miRNA from urine of healthy donors and PCa patients. To isolate miRNAs from urine and microparticles, novel methods for miRNA isolation were elaborated (Rus. patent application No 2014137763, priority date 17.09.2014). The study population included 14 patients with PCa (63–82 years, T2-3NxMx1) and control group of 20 healthy volunteers with no previous history of prostate disease (48–73 years). Urine was clarified by two serial centrifugations at 400g, 20 °C, 20 min and at 17000g, 20 °C, 20 min. Microparticles were precipitated from the resulting supernatant by high-speed centrifugation at 100000g, 18 °C, 90 min, the pellet was resuspended and pelleted by centrifugation under the same conditions. To isolate exosomes, total microparticles were filtered through 0.1 μm pore filters and reprecipitated. The resulting pellets were resuspended and exosome samples were investigated by transmission electron microscopy (TEM). MiRNAs were isolated by one-step single-phase protocol and purified using “BioSilica” spin- columns (Zaporozhchenko et al., Anal. Biochem, upcoming, doi: 10.1016/j.ab.2015.03.028) and by recently developed method based on precipitation of excess biopolymers, allowing to isolate miRNAs with better efficiency than commercially available kits. The size and quantity assessment of extracellular RNA were performed using capillary electrophoresis system on Agilent 2100 Bioanalyzer. Concentrations of miRNAs (miR19b, miR25, miR205, miR125b, miR126) were measured by qRT-PCR and normalized to miR-16 using dCq method.

TEM demonstrated the presence of 20–300 nm microparticles in urine of healthy donors and PCa patients. Approximately 50–70% of all urine microparticles are represented by 30–100 nm exosomes and residual 30–50% by particles larger than 100 nm. (The pool of urine microvesicles consists of 50–70% exosomes and 30–50% particles larger than 100 nm.).

The major part of extracellular RNA found both in exosomes and total microparticles fraction of healthy donors and patients with PCa, is 25–200 nt long and can include tRNA (73–93 n.), 5.8 rRNA (∼150 n.), snoRNK (10–20 n.), snRNA (60–300 n.) piRNAs (29–30 n.), miRNAs (20–25 n.), siRNA (21–25 n.). Concentration of extracellular urine RNA in exosomes and total microparticles of healthy donors and patients with PCa amounts to100 pg/ml of urine on av

在血液和尿液中发现不同大小的微颗粒,包括外泌体(30-100 nm)、前列腺体(50-500 nm)、癌体(50-500 nm)和其他微颗粒(100-1000 nm)。前列腺癌(PCa)患者的外泌体可能含有癌症特异性核酸,因此可以代表有价值的诊断材料来源。在这项研究中,我们研究了健康供体和PCa患者尿液中的微囊泡和miRNA。为了从尿液和微粒中分离miRNA,研究了分离miRNA的新方法。专利申请号:2014137763,优先权日:2014年9月17日)。研究人群包括14例PCa患者(63-82岁,T2-3NxMx1)和20名无前列腺病史的健康志愿者(48-73岁)作为对照组。在400g、20℃、20 min和17000g、20℃、20 min连续两次离心澄清尿液,在100000g、18℃、90 min高速离心沉淀所得上清液中的微粒,在相同条件下重悬并离心成球。为了分离外泌体,总微粒通过0.1 μm孔过滤器过滤并再沉淀。将所得微球重悬,并通过透射电子显微镜(TEM)研究外泌体样品。mirna通过一步单相分离,并使用“BioSilica”自旋柱纯化(Zaporozhchenko等,Anal。生物化学,即将出版,doi: 10.1016/j.ab.2015.03.028),并通过最近开发的基于过量生物聚合物沉淀的方法,允许以比市售试剂盒更高的效率分离mirna。在Agilent 2100生物分析仪上用毛细管电泳系统对细胞外RNA的大小和数量进行评估。采用qRT-PCR检测mirna (miR19b、miR25、miR205、miR125b、miR126)的浓度,并采用dCq法归一化为miR-16。透射电镜显示,在健康供体和前列腺癌患者的尿液中存在20-300 nm的微粒。大约50-70%的尿液微粒由30-100 nm的外泌体代表,剩余的30-50%由大于100 nm的颗粒代表。(尿微泡池由50-70%的外泌体和30-50%的大于100 nm的颗粒组成)。在健康供体和PCa患者的外泌体和总微粒部分中发现的细胞外RNA的主要部分是25-200 nt长,包括tRNA (73-93 n.), 5.8 rRNA (~ 150 n.), snoRNK (10-20 n.), snRNA (60-300 n.) pirna (29-30 n.), mirna (20-25 n.), siRNA (21-25 n.)。健康供体和前列腺癌患者外泌体和总微粒的细胞外尿RNA浓度平均为100 pg/ml。从全尿中分离的所有mirna样本的受试者工作特征(ROC)曲线分析没有显示任何诊断意义。相比之下,在训练队列中,外泌体中miR-19b的浓度和总微粒分数分别提供95%/75%和93%/100%的敏感性和特异性。因此,从PCa患者尿液中分离出的微粒代表了具有诊断意义的mirna的宝贵来源。为了研究miR-19b,需要一个大的测试队列。还需要通过从PCa患者尿液中分离的无细胞miRNA的微阵列分析来寻找其他潜在的miRNA标记物,以揭示一套可靠的PCa诊断标记物。
{"title":"P67","authors":"O. Bryzgunova ,&nbsp;E. Lekhnov ,&nbsp;T. Skvortsova ,&nbsp;E. Morozkin ,&nbsp;I. Zaporozhchenko ,&nbsp;A. Grigorieva ,&nbsp;M. Zaripov ,&nbsp;E. Ryabchikova ,&nbsp;V. Vlassov ,&nbsp;P. Laktionov","doi":"10.1016/j.ejcsup.2015.08.014","DOIUrl":"10.1016/j.ejcsup.2015.08.014","url":null,"abstract":"<div><p>Differently sized microparticles, including exosomes (30–100<!--> <!-->nm), prostasomes (50–500<!--> <!-->nm), oncosomes (50–500<!--> <!-->nm) and other microparticles (100–1000<!--> <!-->nm) were found in blood and urine. Exosomes from prostate cancer (PCa) patients can potentially contain cancer-specific nucleic acids, and thus can represent a valuable source of diagnostic material. In this study, we have investigated microvesicles and miRNA from urine of healthy donors and PCa patients. To isolate miRNAs from urine and microparticles, novel methods for miRNA isolation were elaborated (Rus. patent application No 2014137763, priority date 17.09.2014). The study population included 14 patients with PCa (63–82<!--> <!-->years, T2-3NxMx1) and control group of 20 healthy volunteers with no previous history of prostate disease (48–73<!--> <!-->years). Urine was clarified by two serial centrifugations at 400<em>g</em>, 20<!--> <!-->°C, 20<!--> <!-->min and at 17000<em>g</em>, 20<!--> <!-->°C, 20<!--> <!-->min. Microparticles were precipitated from the resulting supernatant by high-speed centrifugation at 100000<em>g</em>, 18<!--> <!-->°C, 90<!--> <!-->min, the pellet was resuspended and pelleted by centrifugation under the same conditions. To isolate exosomes, total microparticles were filtered through 0.1<!--> <!-->μm pore filters and reprecipitated. The resulting pellets were resuspended and exosome samples were investigated by transmission electron microscopy (TEM). MiRNAs were isolated by one-step single-phase protocol and purified using “BioSilica” spin- columns (Zaporozhchenko et al., Anal. Biochem, upcoming, doi: 10.1016/j.ab.2015.03.028) and by recently developed method based on precipitation of excess biopolymers, allowing to isolate miRNAs with better efficiency than commercially available kits. The size and quantity assessment of extracellular RNA were performed using capillary electrophoresis system on Agilent 2100 Bioanalyzer. Concentrations of miRNAs (miR19b, miR25, miR205, miR125b, miR126) were measured by qRT-PCR and normalized to miR-16 using dCq method.</p><p>TEM demonstrated the presence of 20–300<!--> <!-->nm microparticles in urine of healthy donors and PCa patients. Approximately 50–70% of all urine microparticles are represented by 30–100<!--> <!-->nm exosomes and residual 30–50% by particles larger than 100<!--> <!-->nm. (The pool of urine microvesicles consists of 50–70% exosomes and 30–50% particles larger than 100<!--> <!-->nm.).</p><p>The major part of extracellular RNA found both in exosomes and total microparticles fraction of healthy donors and patients with PCa, is 25–200<!--> <!-->nt long and can include tRNA (73–93<!--> <!-->n.), 5.8 rRNA (∼150 n.), snoRNK (10–20 n.), snRNA (60–300<!--> <!-->n.) piRNAs (29–30 n.), miRNAs (20–25 n.), siRNA (21–25 n.). Concentration of extracellular urine RNA in exosomes and total microparticles of healthy donors and patients with PCa amounts to100<!--> <!-->pg/ml of urine on av","PeriodicalId":11675,"journal":{"name":"Ejc Supplements","volume":"13 1","pages":"Page 8"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejcsup.2015.08.014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54308765","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
P132 P132
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.019
M. Chernyavskaya , V. Chernych , A. Efremov , V. Atamanov

Purpose

To research the characteristics of the inflammation immune disorders and cell destruction at the local level in the lacrimal and intraocular liquids in patients with choroidal melanoma.

Materials and methods

Investigation of concentration of the cytokines interleukin (IL) IL-4, IL-6, IL-8, IL-10, autoantibodies to antigens of native DNA (AAB to Ag of nDNA) in the lacrimal and intraocular liquids was performed in 36 patients (72 eyes) aged 34–83 years. The mean age of the study group patients was 60.45 years (15 males and 21 females). As standard indicators, survey results of 20 “healthy” donor lacrimal liquid – volunteers were used. For statistical data processing, descriptive statistics and methods of inter-group comparisons were used. Quantitative characteristics are presented as the median (25, 75 percentile). For comparison of quantitative traits, regression analysis was used. P value of <0.05 considered significant (95% confidence interval). Statistical analysis was performed using the software R (Team RC, 2013).

Results

A significant positive relation of concentration of IL-4, IL-6, IL-8, IL-10, AAB to Ag of nDNA in lacrimal liquid of eye with choroidal melanoma and paired “healthy” eye was reveled (p < 0.05). Concentrations of IL-6, IL-8, IL-10 and AAB to Ag of nDNA in the lacrimal liquid of the eye with choroidal melanoma were significantly higher as compared with the levels of the control group (p < 0.05). The level concentration of IL-4 in lacrimal liquid in eye with choroidal melanoma was significantly low (p < 0.05). The level concentration of IL-6 was significantly higher in the early (T1–T2) than in the later stages (T3–T4) of choroidal melanoma development (p < 0.05). All stages of choroidal melanoma were characterized by higher level of IL-6, compared with the control group (p < 0.05). Given the role of IL-6 in the pathogenesis of malignant diseases, the activity may be indicative of tumor progression in the early stages of development of choroidal melanoma. A significant increase in IL-10 was shown at stages T1 and T4 compared with the control group (p < 0.05). Regression analysis revealed a significant positive relation of concentration of IL-4, IL-6, IL-8, IL-10, AAB to Ag of nDNA between lacrimal liquid and intraocular liquids of the eye with choroidal melanoma (p < 0.05).IL-4 r = 0,84 (0.58; 1.47), p < 0.05 IL-6 r = 0.98 (0.64; 1.32), p < 0.01 IL-8 r = 0.82 (0.12; 1.73), p = 0.05 IL-10 r = 0.84 (0.01; 1.81), p = 0.05AAB to Ag of nDNA r

目的探讨脉络膜黑色素瘤患者泪液及眼内液的炎症、免疫功能紊乱及局部细胞破坏的特点。材料与方法对36例(72眼)34 ~ 83岁的泪液及眼内液中白细胞介素(IL)、IL-4、IL-6、IL-8、IL-10及自体DNA抗原抗体(AAB对nDNA抗原的抗原)的浓度进行测定。研究组患者的平均年龄为60.45岁(男性15例,女性21例)。以20名“健康”供体泪液志愿者的调查结果作为标准指标。统计数据处理采用描述性统计和组间比较的方法。数量特征以中位数(25,75百分位数)表示。数量性状比较采用回归分析。P值为<0.05认为显著(95%置信区间)。使用R软件进行统计分析(Team RC, 2013)。结果脉络膜黑色素瘤眼和配对“健康”眼泪液中IL-4、IL-6、IL-8、IL-10、AAB浓度与nDNA Ag呈显著正相关(p <0.05)。脉络膜黑色素瘤患者眼泪液中IL-6、IL-8、IL-10及nDNA中AAB与Ag的比值明显高于对照组(p <0.05)。脉络膜黑色素瘤眼泪液中IL-4水平明显降低(p <0.05)。IL-6水平浓度在脉络膜黑色素瘤早期(T1-T2)明显高于晚期(T3-T4) (p <0.05)。与对照组相比,脉络膜黑色素瘤的所有阶段均以更高水平的IL-6为特征(p <0.05)。鉴于IL-6在恶性疾病发病机制中的作用,其活性可能在脉络膜黑色素瘤发展的早期阶段指示肿瘤进展。与对照组相比,T1和T4期IL-10显著升高(p <0.05)。回归分析显示,脉络膜黑色素瘤眼泪液和眼内液中IL-4、IL-6、IL-8、IL-10、AAB浓度与nDNA Ag呈显著正相关(p <0.05)。IL-4 r = 0,84 (0.58;1.47), p <0.05 IL-6 r = 0.98 (0.64;1.32), p <0.01 IL-8 r = 0.82 (0.12;1.73), IL-10 r = 0.84 (0.01;1.81), p = 0.05AAB对Ag的nDNA r = 0.79 (0.36;1.25), p <0.05.Conclusions1。我们发现,在脉络膜黑色素瘤的发病过程中,局部炎症起着重要的作用,表现为IL-6、IL-8浓度明显升高,而IL-4水平较低,表达免疫功能紊乱,细胞破坏,表现为nDNA中AAB - Ag水平较对照组显著升高。泪液适用于脉络膜黑色素瘤患者局部炎症、免疫功能紊乱和细胞破坏的研究。在脉络膜黑色素瘤的所有阶段,泪液中IL-6水平均显著升高,但在早期(T1-T2)比晚期(T3-T4)更为明显。在脉络膜黑色素瘤的机制中,IL-10的显著升高可能提示肿瘤生长引起的局部免疫抑制的严重程度。在脉络膜黑色素瘤患者中,眼泪液中IL-4、IL-6、IL-8、IL-10、nDNA中AAB与Ag的浓度与配对的“健康”眼呈显著正相关。
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引用次数: 0
T33 T33
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.029
M. Freidin

Blood-derived biomarkers, such as circulating tumour cells (CTCs) and circulating tumour DNA (ctDNA), are a valuable source of molecular genetic data for tumours they spring from. In translational cancer research, the “liquid biopsy” concept has been put forward to denote the detection and molecular characterization of these biomarkers.

The idea of liquid biopsy is based on a hypothesis that profiles of somatic mutations in CTCs and ctDNA are identical to those in the original tumour. Therefore, the mutation status of the source tumour can be revealed through the molecular analysis of the CTCs and ctDNA obtained from the blood. The major advantages of liquid biopsy are an essentially decreased invasiveness (no need for tissue biopsy, surgery or bronchoscopy) and an ability to carry out the analysis at patient’s follow up (e.g. to monitor for residual disease).

However, both the CTCs and ctDNA are not abundant in the bloodstream and their capture is technically challenging. Also, due to tumour heterogeneity, the CTCs may not fully represent the entire tumour, while ctDNA is naturally fragmented and degraded, so its utility for genetic analysis may be limited. Finally, the DNA extracted from CTCs and, especially, ctDNA are “contaminated” by DNA from non-tumour cells from the bloodstream raising a challenge of detecting mutant DNA among significantly prevailing wild-type DNA.

Some of these issues can be overcome by using such advanced techniques as BEAMing, digital PCR or ultra-deep sequencing, but their use in standard clinical settings is limited by the need for special equipment and associated costs. Inexpensive and less sophisticated, but still highly sensitive and specific, approaches, such as COLD-PCR or wild-type blocking PCR, are also available to detect “druggable” mutations in CTCs and ctDNA.

Application of these approaches of liquid biopsy in clinical practice may be highly beneficial for personalized care of lung cancer patients.

血液来源的生物标志物,如循环肿瘤细胞(CTCs)和循环肿瘤DNA (ctDNA),是它们产生的肿瘤分子遗传数据的宝贵来源。在转化性癌症研究中,“液体活检”的概念被提出来表示这些生物标志物的检测和分子表征。液体活检的想法是基于一个假设,即CTCs和ctDNA的体细胞突变特征与原始肿瘤中的相同。因此,通过对血液中CTCs和ctDNA的分子分析,可以揭示源肿瘤的突变状态。液体活检的主要优点是基本上降低了侵入性(不需要组织活检、手术或支气管镜检查),并且能够在患者随访时进行分析(例如监测残留疾病)。然而,CTCs和ctDNA在血液中并不丰富,它们的捕获在技术上具有挑战性。此外,由于肿瘤的异质性,CTCs可能不能完全代表整个肿瘤,而ctDNA自然是碎片化和降解的,因此其在遗传分析中的应用可能受到限制。最后,从CTCs中提取的DNA,特别是ctDNA被来自血液中的非肿瘤细胞的DNA“污染”,这给在显著流行的野生型DNA中检测突变DNA提出了挑战。其中一些问题可以通过使用诸如BEAMing,数字PCR或超深度测序等先进技术来克服,但由于需要特殊设备和相关费用,它们在标准临床环境中的使用受到限制。COLD-PCR或野生型阻断聚合酶链反应(wild-type blocking PCR)等廉价且不那么复杂的方法也可用于检测CTCs和ctDNA中的“可药物”突变。这些液体活检方法在临床实践中的应用可能对肺癌患者的个性化护理非常有益。
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引用次数: 0
A18 那么
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.031
T. Gening, T. Abakumova, D. Dolgova, S. Gening, I. Antoneeva

Tumor-associated neutrophils (TANs) are the cell population that differs in morphofunctional characteristics from peripheral blood cells (Gregory and Houghton, 2011). The first study to identify the presence of TANs as an independent poor prognostic factor and to include TANs into a prognostic risk model was published in 2006 (Donskov , 2006). Specific signals during cancer progression have been shown to induce the emergence of a pro-tumor phenotype of neutrophils (PMN). Frinlender (2013) points out an anti-tumor phenotype of TANs. Of particular interest is the study of interaction of neutrophils with T cells because the latter are considered to be cytotoxic cells mediating antitumor immunity. The aim of the study was to assess the lymphoid cell infiltration (LCI) and the functional status of TANs in ovarian cancer. LCI was assessed by immunohistochemistry and the levels of mieloproxydase (MPO) and cationic proteins (CP) were evaluated by cytochemical methods in ovarian carcinoma surgical resection specimens. The results were presented as a mean cytochemical coefficient (MCC). The intensity of nitroblue tetrazolium (NBT) test was expressed as a percentage. Obtained results were analyzed by nonparametric statistical methods. The Kruskal–Wallis test was used to evaluate the differences between groups.

We established that low intensity of infiltration in general and formation of marginal lymphoid cell ridge in some tumors are typical for malignant ovarian neoplasms. More intensive infiltration was found in the regions of the rapid growth of tumor cells, i.e. invasion zone. In some cases, a group of tumor cells was separated from the main part of the parenchyma and surrounded by lymphoid elements. Conditions are created under which active spread of cancer cells in the parenchyma is associated with intensive lymphoid cells infiltration in the stroma. Total count and density of lymphoid cells can significantly vary: from single lymphoid elements uniformly scattered in the tumor tissue to focal accumulations. In tumor tissue location of lymphoid cells is irregular, so most of the infiltration is in the stroma and among the cancer cells only solitary lymphocytes are found. Lymphoid cells which make up the infiltration include 12.3 ± 1.52% of macrophages, 22.1 ± 2.3% of plasma cells, 62.5 ± 1.1% of lymphocytes and 3.1 ± 0.9% of PMN. Total amount of cells was 224.1 ± 32.8 per 1 mm2 of tumor.

Lymphocytes in ovarian carcinomas do not form large clusters; they are disposed among other lymphoid cells in the stroma on the periphery of the tumor. Plasma cells have a classical morphological structure and often locate in the stroma and on the periphery of the tumor. Macrophages are an integral part of the tumor infiltrate. In the tumor they become stretched and angular. Macrophages usually have large dimensions, and they are

肿瘤相关中性粒细胞(TANs)是与外周血细胞在形态功能特征上不同的细胞群(Gregory和Houghton, 2011)。2006年发表了第一项确定TANs存在为独立的不良预后因素并将TANs纳入预后风险模型的研究(Donskov, 2006)。癌症进展过程中的特定信号已被证明可诱导嗜中性粒细胞(PMN)的促肿瘤表型的出现。Frinlender(2013)指出了TANs的抗肿瘤表型。特别感兴趣的是中性粒细胞与T细胞相互作用的研究,因为后者被认为是介导抗肿瘤免疫的细胞毒性细胞。本研究的目的是评估卵巢癌淋巴样细胞浸润(LCI)和TANs的功能状态。采用免疫组织化学方法评估LCI,细胞化学方法评估卵巢癌手术切除标本中mieloproxydase (MPO)和阳离子蛋白(CP)的水平。结果以平均细胞化学系数(MCC)表示。硝基蓝四氮唑(NBT)试验强度以百分数表示。所得结果用非参数统计方法进行分析。采用Kruskal-Wallis检验评价组间差异。我们发现卵巢恶性肿瘤的典型特征是低浸润和边缘淋巴样细胞脊的形成。在肿瘤细胞快速生长的区域,即侵袭区,浸润更为密集。在某些情况下,一组肿瘤细胞从实质的主要部分分离出来,并被淋巴细胞包围。在这种情况下,癌细胞在实质中的活跃扩散与间质中淋巴样细胞的密集浸润有关。淋巴样细胞的总数和密度可以有明显的变化:从单一的淋巴样细胞均匀分散在肿瘤组织中到局灶性聚集。在肿瘤组织中,淋巴细胞的位置不规则,因此大部分浸润在基质中,在癌细胞中仅发现孤立的淋巴细胞。淋巴样细胞包括巨噬细胞(12.3±1.52%)、浆细胞(22.1±2.3%)、淋巴细胞(62.5±1.1%)和PMN(3.1±0.9%)。每1 mm2肿瘤细胞总数为224.1±32.8个。卵巢癌的淋巴细胞不形成大簇;它们与肿瘤周围基质中的其他淋巴样细胞分布在一起。浆细胞具有典型的形态结构,常位于肿瘤间质和周围。巨噬细胞是肿瘤浸润的重要组成部分。在肿瘤中,它们变得伸展和有棱角。巨噬细胞通常具有较大的尺寸,它们位于癌细胞间质和实质中。分叶性白细胞(绝大多数为中性粒细胞)常见于间质和实质的浸润中,最常见于大面积坏死的附近或中间。与外周血中性粒细胞比较,TANs功能活性分析显示MPO活性升高,分别为2.21±0.43 MCC和1.40±0.07 MCC, CP水平也升高,分别为1.51±0.39 MCC和0.83±0.43 MCC。nbt试验中TANs活性与外周血中性粒细胞无显著性差异。TANs是原发卵巢肿瘤浸润的一小部分。在卵巢癌患者中,TANs的好氧和厌氧杀菌活性指标明显超过外周血中性粒细胞。这项工作是在执行俄罗斯联邦教育和科学部第1163号-俄罗斯号国家任务的框架内进行的。
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引用次数: 0
P68 2
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.033
E. Grigorieva , M. Karbyshev , V. Volkomorov , E. Kremmer , A. Huber , I. Mitrofanova , M. Zavyalova , E. Kaigorodova , J. Kzhyshkowska , N. Cherdyntseva

Background

Transmembrane prostate androgen-induced protein 1 (TMEPAI) is a membrane protein that has attracted significant attention of many researchers its involvement in TGF-β signaling pathway which involved in malignant transformation and metastatic tumor progression. We investigated the TMEPAI expression level in gastric adenocarcinomas in comparison to non-tumor mucosa samples and determined its potential prognostic significance.

Materials and methods

Fresh and paraffin-embedded gastric adenocarcinoma samples and paired adjacent normal tissues were collected from gastric cancer patients. Evaluation of the PMEPA 1 gene expression was carried out using RT-PCR. For evaluation of TMEPAI protein expression, monoclonal antibodies (mAbs) were developed by using hybridoma techniques. Specificity of prepared monoclonal antibodies against recombinant TMEPAI and evaluation of its expression in the clinical samples using selected mAbs were performed using immunoblotting and immunohistochemistry.

Results

We have identified more than two-fold increase in gene expression of PMEPA1 in tumor tissue in 44% of patients. The monoclonal antibodies have shown the capacity to specifically recognize the recombinant TMEPAI in HEK293T cell lysates. We also evaluate the ability of the selected antibodies to recognize the target protein in fixed cells by immunocytochemistry. The evaluation of TMEPAI in adenocarcinoma samples collected from gastric cancer patients revealed decreased protein expression. We have observed pronounced expression of TMEPAI in normal gastric epithelial cells, while tumor cells from gastric adenomas and adenocarcinomas samples were mostly negative for target protein expression. We found that gastric epithelium cells lose the TMEPAI expression concurrent with severe dysplasia.

Conclusion

Apparently, the TMEPAI may be a potential biomarker of malignant transformation risk of the stomach epithelium.

The presented study was financially supported by Grants from the Russian Fund for Basic Research (14-04-31500) and Tomsk State University Competitiveness Improvement Program.

跨膜前列腺雄激素诱导蛋白1 (transcmembrane prostate雄激素诱导蛋白1,TMEPAI)是一种膜蛋白,因其参与TGF-β信号通路参与恶性转化和转移性肿瘤的进展而受到众多研究者的关注。我们研究了TMEPAI在胃腺癌和非肿瘤粘膜样品中的表达水平,并确定其潜在的预后意义。材料与方法采集胃癌患者新鲜、石蜡包埋的胃腺癌标本及配对的邻近正常组织。RT-PCR检测PMEPA 1基因表达。为了评估TMEPAI蛋白的表达,利用杂交瘤技术制备单克隆抗体(mab)。采用免疫印迹和免疫组织化学方法检测制备的抗重组TMEPAI单克隆抗体的特异性,并利用所选单克隆抗体评价其在临床样品中的表达。结果我们发现44%的患者肿瘤组织中PMEPA1基因表达增加了两倍以上。单克隆抗体已显示出特异性识别HEK293T细胞裂解物中的重组TMEPAI的能力。我们还通过免疫细胞化学评价了所选抗体在固定细胞中识别目标蛋白的能力。胃癌患者腺癌标本中TMEPAI的评估显示蛋白表达降低。我们观察到TMEPAI在正常胃上皮细胞中有明显的表达,而来自胃腺瘤和腺癌样本的肿瘤细胞中靶蛋白的表达大多为阴性。我们发现胃上皮细胞在严重发育不良的同时失去了TMEPAI的表达。结论TMEPAI可能是胃上皮恶性转化风险的潜在生物标志物。本研究由俄罗斯基础研究基金(14-04-31500)和托木斯克国立大学竞争力改善计划资助。
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引用次数: 0
P64 P64
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.053
T. Kunts , K. Karpukhina , E. Mikhailova , N. Varaksin , A. Autenshlyus

Growing tumor and its microenvironment are capable to produce a number of cytokines that alter the nature of the antitumor surveillance by host immune system.

Objective

Comparative evaluation of cytokine-producing function of the invasive ductal carcinoma and fibroadenoma of the breast in vitro.

Materials and methods

Similar biopsies (V = 8 mm3) of the breast tumors were obtained using a special device, cultivated in DMEM F-12 at 37 °C for 72 h. Concentrations of the following cytokines: IL-1β, IL-1Ra, TNFα, IL-2, IL-6, IL-8, IL-10, IL-17, IL-18, VEGF and IFNγ in the supernatant of the tumor were measured with enzyme-linked immunosorbent assay (ELISA).

Results

The investigation of cytokines level in the supernatant of malignant and benign breast tumors revealed significant differences only in concentrations of IL-10, IL-17, IL-18 and IFNγ which had a contrary tendency. For example, the concentration of IL-10 was lower at invasive ductal carcinoma in comparison with fibroadenomas. The concentrations of IL-17, IL-18 and IFNγ at invasive ductal carcinoma were significantly higher than those of breast fibroadenomas. IL-17 and IL-18 are known to be pro-oncogenic cytokines, and the higher the level, the higher the severity of tumor progression. Reduction in the IL-10 concentration might be explained by the already formed neoplasm, which depends on angiogenesis. In this case, IL-10 no longer exerts antiangiogenic action, which contributes to tumor progression. Reduction in the IL-10 concentration, which inhibits the production of IFNγ leads to an increase in the IFNγ level. In early stages of tumor development, IFNγ provides an antitumor effect and at the same time facilitates the selection of a more malignant clones but its pro-tumoral action predominates at advanced stages of tumorigenesis. Moreover, higher concentration of IFNγ is supposed to be associated with biological effects of IL-18, which is its immediate inductor. In addition, malignant tumor cells are capable to produce their own IL-18, which stimulates tumor progression and facilitates the migration of endothelial cells involved in angiogenesis, which leads to intensified invasion and metastasis.

Conclusion

Cytokine production in supernatants of invasive ductal carcinoma compared with fibroadenoma of the breast is characterized by increase in IL-17, IL-18 and IFNγ concentrations and decrease in IL-10 concentration. Findings suggest the ability of malignant tumor and its microenvironment to secrete the pro-oncogenic cytokines. Fibroadenoma is also able to produce cytokines due to fibroblasts, fibrocytes and some leukocytes in its content.

生长中的肿瘤及其微环境能够产生大量细胞因子,从而改变宿主免疫系统抗肿瘤监测的性质。目的比较评价乳腺浸润性导管癌和纤维腺瘤体外细胞因子生成功能。材料与方法采用特殊装置取乳腺肿瘤组织切片(V = 8 mm3),在DMEM F-12培养液中37℃培养72 h,采用酶联免疫吸附法(ELISA)测定肿瘤上清液中IL-1β、IL-1Ra、TNFα、IL-2、IL-6、IL-8、IL-10、IL-17、IL-18、VEGF和IFNγ的浓度。结果对乳腺恶性肿瘤和良性肿瘤上清细胞因子水平的调查显示,只有IL-10、IL-17、IL-18和IFNγ的浓度有相反的趋势,而IL-10、IL-17、IL-18和IFNγ的浓度有显著差异。例如,浸润性导管癌的IL-10浓度低于纤维腺瘤。浸润性导管癌组织中IL-17、IL-18和IFNγ的浓度明显高于乳腺纤维腺瘤组织。IL-17和IL-18是已知的促癌细胞因子,其水平越高,肿瘤进展越严重。IL-10浓度的降低可能与已经形成的肿瘤有关,肿瘤依赖于血管生成。在这种情况下,IL-10不再发挥抗血管生成作用,这有助于肿瘤的进展。抑制IFNγ产生的IL-10浓度降低导致IFNγ水平升高。在肿瘤发展的早期阶段,IFNγ提供抗肿瘤作用,同时促进更恶性克隆的选择,但其促肿瘤作用在肿瘤发生的晚期阶段占主导地位。此外,较高浓度的IFNγ被认为与IL-18的生物学效应有关,IL-18是其直接诱导剂。此外,恶性肿瘤细胞自身能够产生IL-18, IL-18刺激肿瘤进展,促进参与血管生成的内皮细胞迁移,导致侵袭转移加剧。结论与乳腺纤维腺瘤相比,浸润性导管癌上清中细胞因子的产生具有IL-17、IL-18和ifn - γ浓度升高和IL-10浓度降低的特点。研究结果提示恶性肿瘤及其微环境具有分泌促癌细胞因子的能力。纤维腺瘤也能产生细胞因子,因为它含有成纤维细胞、纤维细胞和一些白细胞。
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引用次数: 1
P56 P56
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.065
D. Meshalkina, M. Shevtsov, B. Margulis, I. Guzhova

Glioblastoma is one of the most malignant cancer types. Its median survival is 15 months with combined radio- and chemotherapy and only 4 months without therapy. Molecular chaperones play a very multifaced role in tumor development. Depletion of Hdj1 in cancer cells accelerates tumor growth. Decrease of Hdj2 level correlates with the increase of tumor aggressiveness, but also attenuates tumor protection against radiotherapy. Hsp70 provides considerable survival advantages to the cancer cells, but at the same time can act as a “chaperokine”, activating antitumoral immunity. For assessment of chaperone’s role in glioma progression, invasiveness and metastasis formation we chose rat model of intracranial injection of 105 C6 cells. We developed three C6-based cell lines with protein knock-down by RNA-interference: C6 shHsp70 (on 83%), C6 shHdj1 (on 96%) and C6 shHdj2 (on 52%). The last differed in roundish and easily detachable morphology. Following intracranial injection of the modified tumor cells, the animals’ survival was estimated. As compared to the groups of control C6 (25.4 ± 3.9 days) and C6 shHdj1 (25.5 ± 3.8) we observed a nearly 1.5-fold decrease in survival in C6 shHdj2 (16.8 ± 3.5 days) (P < 0.05). On the contrary, in C6 shHsp70 group the survival increased up to 42.5 ± 12.0 days (the increase is completely explainable by the slower growth rate of the culture). Subsequent MR imaging and histological analysis of tumors demonstrated elevated invasiveness and metastatic activity in C6 shHdj2 group in comparison to C6 shHsp70, C6 shHdj1 and control C6. High migration activity and the ability of floating C6 shHdj2 cells to adhere and settle on the substrate was proved in wound-healing assay, spot-healing assay, colony forming assay and transwell migration assay. Adhesion assay showed decreased adhesion ability of C6 shHdj2 cells and increased – of C6 shHsp70 cells on all types of tested extracellular matrixes. Immunofluorescence analyses showed loss of membrane- expressed N-cadherin and loss of intercellular contacts mediated by N-cadherin in C6 shHdj2 cells in comparison to other considered cell lines (although its level in western blot was elevated). Actin staining with rhodamine-falloidin revealed highly abundant leading edges in C6 shHdj2 culture. Matrix metalloprotease zymography proved an increased activity in gelatinases (mmp2 and mmp9) as well as in caseinases (mmp1 and mmp8) in C6 shHdj2 culture supernatant. Assay of stemness marker CD133 expression showed its 11.8 times increase in C6 shHdj2.

Our experiments proved the high importance of Hdj2 level in glioma progression, invasion and metastasis.

胶质母细胞瘤是最恶性的癌症类型之一。放化疗联合治疗的中位生存期为15个月,不治疗的中位生存期仅为4个月。分子伴侣在肿瘤发生发展中起着多方面的作用。癌细胞中Hdj1的缺失加速了肿瘤的生长。Hdj2水平的降低与肿瘤侵袭性的增加有关,但也会减弱肿瘤对放疗的保护作用。Hsp70为癌细胞提供了相当大的生存优势,但同时可以作为“伴侣因子”,激活抗肿瘤免疫。为了评估伴侣蛋白在胶质瘤进展、侵袭性和转移形成中的作用,我们选择颅内注射105个C6细胞的大鼠模型。我们开发了三种rna干扰蛋白敲除的C6细胞系:C6 shHsp70 (83%), C6 shHdj1(96%)和C6 shHdj2(52%)。最后一个不同于圆形和容易分离的形态。在颅内注射修饰的肿瘤细胞后,估计动物的存活率。与对照组C6(25.4±3.9天)和C6 shHdj1(25.5±3.8天)相比,我们观察到C6 shHdj2(16.8±3.5天)的生存率下降了近1.5倍(P <0.05)。与之相反,C6 shHsp70组存活时间延长至42.5±12.0天(这完全可以解释为培养物生长速度较慢)。随后的MR成像和肿瘤组织学分析显示,与C6 shHsp70、C6 shHdj1和对照C6相比,C6 shHdj2组的侵袭性和转移活性升高。在伤口愈合实验、斑点愈合实验、菌落形成实验和跨井迁移实验中,证实了漂浮C6 shHdj2细胞具有较高的迁移活性和粘附在底物上的能力。黏附实验显示,C6 shHdj2细胞对不同类型细胞外基质的黏附能力降低,而C6 shHsp70细胞黏附能力增强。免疫荧光分析显示,与其他考虑的细胞系相比,C6 shHdj2细胞中膜表达N-cadherin的缺失和N-cadherin介导的细胞间接触的缺失(尽管其在western blot中的水平升高)。罗丹明-黄蛋白肌动蛋白染色显示C6 shHdj2培养物具有丰富的边缘。基质金属蛋白酶酶谱分析表明,C6 shHdj2培养上清液中明胶酶(mmp2和mmp9)和酪蛋白酶(mmp1和mmp8)活性增加。干性标志物CD133在C6 shHdj2中的表达增加了11.8倍。我们的实验证明了Hdj2水平在胶质瘤的进展、侵袭和转移中具有重要意义。
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