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P90 P90
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.077
A. Ponomaryova , E. Rykova , N. Cherdyntseva , E. Morozkin , I. Zaporozhchenko , T. Skvortsova , A. Dobrodeev , A. Zav’yalov , S. Tuzikov , V. Vlassov , P. Laktionov

Background

The analysis of circulating tumor nucleic acids (DNAs and RNAs) in the blood seems to be a promising approach for the development of the low-invasive methods of tumor detection, valuable for clinical practice. Detection of oncogenic and tumor suppressor miRNAs in the blood plasma/serum is evidence of their participation in pathogenesis and suggest the possibility of their use as tumor markers and targets for therapy. Thus, the determination of expression level of tumor-associated miRNAs in plasma can lead to significant progress in understanding the tumor development and treatment.

Aim

Estimation the changes in expression level of miRNAs (miR-19b, miR-25, miR-125b, miR-126, miR-205) in blood plasma from lung cancer patients during combined therapy and to estimate their value as disease monitoring markers.

Materials and methods

Blood samples were taken from patients (n = 23) with non-small cell lung cancer treated at the Tomsk Cancer Research Institute. These samples were stabilized and fractionated into plasma and blood cells. MicroRNA was isolated from blood plasma using single-phase phenol-free extraction protocol and purified on silica-based spin columns (BioSilica Ltd, Novosibirsk, Russia). Concentration of five above mentioned miRNAs was measured by quantitative RT-PCR and normalized to miR-16 using dCt method.

Results

In this study we analyzed the dynamic expression changes of circulating DNA in blood plasma from lung cancer patients during the combined therapy. Circulating miRNAs were isolated from plasma samples of non-small cell lung cancer patients before treatment, within 30 days after completing chemotherapy and 15 days after surgery, by using developed methodological approach. In case of miR-19b and miR-125b analysis was found that the miRNA expression level correlates with clinical response to chemotherapy and surgery. Increasing level of miR-19b and decreasing level of miR-125b were associated with therapeutic response. Using Repeated measures ANOVA analysis we demonstrated that the miR-19b and miR-125b expression levels changes throughout three check-up points during the combined treatment are characterized by the significant cubic trend (P = 0.00284 and P = 0.029, respectively). Changes of miRNA-126 expression level during post-treatment follow-up were not characterized by the definite trend and not correlated with changes of other miRNAs expression level. It was shown the significant correlation between miRNA-25 and miRNA-205 expression levels, but was not found the trend of these miRNAs level changes.

Conclusion

The clinical utility of the circulating miR-19b and miR-125b expression analysis from this study remains to be validated in large cohorts of patients with different histological types of tumors, at the differ

血液中循环肿瘤核酸(dna和rna)的分析似乎是发展低侵入性肿瘤检测方法的一种有前途的方法,具有临床应用价值。在血浆/血清中检测到致癌和抑瘤mirna是它们参与发病机制的证据,并提示它们作为肿瘤标志物和治疗靶点的可能性。因此,确定血浆中肿瘤相关mirna的表达水平可以在了解肿瘤的发展和治疗方面取得重大进展。目的评估联合治疗期间肺癌患者血浆中mirna (miR-19b、miR-25、miR-125b、miR-126、miR-205)表达水平的变化,并评估其作为疾病监测标志物的价值。材料和方法取自托木斯克癌症研究所治疗的非小细胞肺癌患者(n = 23)的血液样本。这些样品被稳定并分离成血浆和血细胞。采用单相无酚萃取法从血浆中分离MicroRNA,并在硅基自旋柱上纯化(BioSilica Ltd, Novosibirsk, Russia)。通过定量RT-PCR检测上述5种mirna的浓度,并通过dCt方法归一化为miR-16。结果本研究分析了肺癌患者在联合治疗期间血浆循环DNA的动态表达变化。采用成熟的方法学方法,从非小细胞肺癌患者治疗前、化疗完成后30天内和手术后15天内的血浆样本中分离循环mirna。在对miR-19b和miR-125b进行分析的情况下发现,miRNA的表达水平与化疗和手术的临床反应相关。miR-19b水平升高和miR-125b水平降低与治疗反应相关。通过重复测量方差分析,我们发现在联合治疗期间,miR-19b和miR-125b在三个检查点的表达水平变化具有显著的立方趋势(P = 0.00284和P = 0.029)。治疗后随访期间miRNA-126表达水平变化无明确趋势,与其他mirna表达水平变化无相关性。结果显示miRNA-25和miRNA-205的表达水平有显著的相关性,但没有发现这些mirna水平变化的趋势。结论本研究中循环miR-19b和miR-125b表达分析的临床应用仍有待于在不同肿瘤组织学类型、不同疾病阶段和结局的大队列患者中进行验证。纳入该组的标准之一必须是对治疗的易感性和/或耐药性。这项研究是在俄罗斯科学支持基金会(14-04-01881)的资助下进行的,TPU博士后项目。
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引用次数: 3
T26 T26
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.078
Z. Pranjol , N. Gutowski , M. Hannemann , J. Whatmore

Background

Epithelial ovarian cancer frequently metastasizes to the omentum, a process that requires pro-angiogenic activation of HOMECs by tumour -secreted factors in their microenvironment. We have previously shown that ovarian cancer cells secrete a range of factors with possible roles in metastatic angiogenesis including the lysosomal proteases cathepsin D (CD) and cathepsin L (CL). However, the role of these proteases in ovarian cancer metastasis to the omentum is not fully understood.

Aim

To investigate whether proliferative effects of CD and CL are dependent on their catalytic activity in HOMECs.

To investigate the intracellular signalling kinases activated by CD and CL.

Method

HOMEC proliferation was assessed by using a colorimetric (WST1) assay. Potential signalling pathways were examined by phosphokinase array and ELISAs. pH experiments were carried out examine whether the observed effects were due to the catalytic activity of CD and CL.

Result

CD and CL (50 ng/ml) significantly increased HOMEC proliferation to 141 ± 27% (p = 0.001, n = 50) and 151% ± 34% (p = 0.001, n = 45) respectively vs. control (100%) 72 h post-treatment. Inhibitors of CD and CL enzyme activity had no effect on HOMEC proliferation and subsequent pH data suggest a nonproteolytic mitogenic activity of these cathepsins. Both proteins induced phosphorylation of ERK1/2, AKT and p38α to ∼2, ∼1.5 and ∼1.5 folds respectively relative to total levels (compared to control).

Conclusion

CD and CL induced proliferation in HOMECs. CD and CL may non- proteolytically contribute to pro-angiogenic responses of the omental microvasculature. Induction of phosphorylation of proliferative kinases ERK1/2, AKT and p38α suggest possible downstream signalling cascades of these proteins.

上皮性卵巢癌经常转移到网膜,这一过程需要肿瘤分泌因子在其微环境中激活homec的促血管生成。我们之前已经证明卵巢癌细胞分泌一系列可能在转移性血管生成中起作用的因子,包括溶酶体蛋白酶组织蛋白酶D (CD)和组织蛋白酶L (CL)。然而,这些蛋白酶在卵巢癌大网膜转移中的作用尚不完全清楚。目的探讨CD和CL在HOMECs中的增殖作用是否依赖于它们的催化活性。探讨CD和CL对细胞内信号激酶的激活作用。方法采用比色法(WST1)检测细胞增殖。通过磷酸激酶阵列和elisa检测潜在的信号通路。进行了pH实验,以检验所观察到的效果是否由CD和CL的催化活性引起。结果cd和CL (50 ng/ml)处理72 h后,与对照组(100%)相比,分别使HOMEC增殖141±27% (p = 0.001, n = 50)和151%±34% (p = 0.001, n = 45)。CD和CL酶活性抑制剂对HOMEC增殖没有影响,随后的pH数据表明这些组织蛋白酶具有非蛋白溶解性有丝分裂活性。两种蛋白均诱导ERK1/2、AKT和p38α的磷酸化水平相对于总水平分别达到2倍、1.5倍和1.5倍(与对照组相比)。结论cd和CL可诱导HOMECs细胞增殖。CD和CL可能非蛋白性地促进大网膜微血管的促血管生成反应。诱导增殖激酶ERK1/2、AKT和p38α的磷酸化提示这些蛋白可能存在下游信号级联反应。
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引用次数: 1
P108 P108
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.085
E. Rybalkina , G. Pavlova , N. Moiseeva , O. Susova , A. Mitrofanov , D. Panteleev , N. Pustogarov

Background

Glioblastomas (GBL) are most aggressive brain tumors in adults. They are often radio- and chemotherapy resistant. The standard therapy of GBL includes surgery followed by radiotherapy with concomitant chemotherapy with temozolomide named temodal (imidazotetrazine derivative). Methylation of the O6-methylguanine-DNA-methyltransferase (MGMT) gene promoter is considered as predictor of better outcome of temodal therapy in comparison with the cases without MGMT promoter methylation (Stupp et al., 2009). The aim of this study is finding of additional predictors of temozolomide therapy effectiveness.

Materials and methods

We obtained primary cultures of GBL. The rate of GBL sensitivity to temozolomide was revealed by MTT test. Expression of multidrug resistance genes and genes which mediate temozolomide sensitivity (YB1, MDR1, MRP1, LRP, BCRP and MGMT) was determined by real time PCR. Protein localization and expression was revealed by immunohistochemical technique.

Results

We developed 14 primary GBL cultures. Staining for nestin was used for demonstration of neuronal origin of cell cultures. Analysis of gene expression and the rate of cell proliferation of the cultures showed that the rate of YB1 gene expression in slow proliferating cultures is significantly lower than in quickly proliferating cell populations. Cell cultures differed in temodal sensitivity 2–2.5-fold. We analyzed whether GBL cell sensitivity to temodal and the rate of several genes’ expression are correlated. We did not find the correlation between cell temodal sensitivity and the rate of MGMT gene expression. These data are in accordance with some results of another authors (Mullins et al., 2013; Brennan et al., 2013). However, we revealed positive correlation of the temodal sensitivity of GBL cultures and MVP/LRP expression (r = 0.5592, p = 0.04). We found also the trend to negative correlation between GBL temodal sensitivity and YB1 gene expression (r = −0.43602, p = 0.02) as well as MDR1 expression (r = −0.4195, p = 0.02).

Conclusion

The rate of temodal sensitivity of GBL primary cultures is connected with the rate of the expression of MVP/LRP, YB1 and MDR1genes. It is likely that YB-1 protein affects temodal sensitivity by influence on DNA reparation. YB1 could also have an effect on MDR1 expression. MVP/LRP expression is independent factor of GBL prognosis.

This paper was completed with partial support from the Russian Foundation for Basic Research – Russia (Grant No. 23-04-40204).

胶质母细胞瘤(GBL)是成人中最具侵袭性的脑肿瘤。它们通常对放疗和化疗具有耐药性。GBL的标准治疗包括手术后放疗伴替莫唑胺替莫达(咪唑四嗪衍生物)化疗。与没有MGMT启动子甲基化的病例相比,o6 -甲基鸟嘌呤- dna甲基转移酶(MGMT)基因启动子的甲基化被认为是蝶呤治疗效果更好的预测因子(Stupp et al., 2009)。本研究的目的是寻找替莫唑胺治疗效果的其他预测因素。材料和方法我们获得了GBL原代培养。MTT试验显示GBL对替莫唑胺的敏感性。实时荧光定量PCR检测多药耐药基因及替莫唑胺敏感性相关基因(YB1、MDR1、MRP1、LRP、BCRP、MGMT)的表达情况。免疫组化技术显示蛋白定位和表达。结果共培养了14株GBL原代培养。巢蛋白染色用于证明细胞培养的神经元来源。对培养物的基因表达和细胞增殖率的分析表明,缓慢增殖培养物中YB1基因的表达率明显低于快速增殖细胞群。细胞培养在温度敏感性上有2 - 2.5倍的差异。我们分析了GBL细胞对temodal的敏感性与几个基因的表达率是否相关。我们没有发现细胞温度敏感性与MGMT基因表达率之间的相关性。这些数据与其他作者的一些结果一致(Mullins et al., 2013;Brennan et al., 2013)。然而,我们发现GBL培养物的模态敏感性与MVP/LRP表达呈正相关(r = 0.5592, p = 0.04)。我们还发现,GBL模态敏感性与YB1基因表达(r = - 0.43602, p = 0.02)和MDR1表达(r = - 0.4195, p = 0.02)呈负相关趋势。结论GBL原代培养的模态敏感性与MVP/LRP、YB1和mdr1基因的表达率有关。YB-1蛋白可能通过影响DNA修复来影响模态敏感性。YB1也可能影响MDR1的表达。MVP/LRP表达是影响GBL预后的独立因素。本文由俄罗斯基础研究基金会(资助号:23-04-40204)部分资助完成。
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引用次数: 0
T58: An important role of proteoglycans in the interactions of normal and cancer prostate cells with fibroblasts T58:蛋白聚糖在正常和癌前列腺细胞与成纤维细胞相互作用中的重要作用
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/J.EJCSUP.2015.08.104
A. V. Suhovskih, V. Kashuba, E. Grigorieva
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引用次数: 0
P85: Synthesis and anti-cancer effects of CpdA enantiomers, non-steroidal glucocorticoid receptor ligands P85: CpdA对映体、非甾体糖皮质激素受体配体的合成及其抗癌作用
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/J.EJCSUP.2015.08.110
L. R. Tilova, O. Zadorozhnaya, A. Savinkova, K. Kirsanov, A. Ogloblina, G. Belitsky, I. Budunova, E. Lesovaya, M. Yakubovskaya
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引用次数: 0
P28 P28
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.002
M. Aksenenko, T. Ruksha

Melanoma is one of the aggressive cancer types. Mutations that lock the BRAF protein in an active state may cause excessive signaling in the pathway, leading to uncontrolled cell growth and survival. Primarily among the BRAF mutations observed in melanoma, over 90% are supposed to be at codon 600, resulting in substitution of glutamic acid for valine, V600E (T > A transversion) located in exon 15, BRAFV600E. Of particular interest is BRAF negative melanoma. This type of melanoma is not sensitive to BRAF inhibitors and approaches to therapy require further study. We aimed to investigate the frequency of BRAF V600 mutations in 80 patients with primary melanoma and determine the relationship between mutations and clinical/pathologic features. Genomic DNA was extracted from biopsy specimens with prevalent percentage of tumor cells by DNA-sorb B isolation kit (Amplisense, Russia). BRAF V600E mutation was estimated by real-time PCR-based assay for the BRAF V600E mutation allele-specific DNA test (BioLink, Russia). Breslow thickness was assessed by applying commercial Infinity Capture, Infinity Analyze Software. The lymphocytic infiltration was determined in all tumors and classified as “brisk”, “nonbrisk”, and “absent” according to criteria established by Clark et al. Tumor infiltrating lymphocytes (TIL) were identified as lymphocytes within tumor nodes. “Brisk” infiltrate was determined in case of a diffuse presence of lymphocytes within tumor, “non-brisk” infiltrate was in focal location of lymphocytes and “absent” if no lymphocytes were present in a tumor. Mitotic activity was determined as mitotic count on 10 high power fields. For all patients, clinical and pathologic features were tested for significant association with BRAF V600E mutation status using simple cross tabulations, Fisher’s exact test, Pearson’s χ2 test, and/or non-parametric Mann–Whitney U test. The P values lower 0.05 were considered as significant. BRAF V600E mutation was detected in 41.25% of tested tumours. Patients with BRAF-mutant and non-BRAF mutant melanoma were matched by age and gender. Superficial spreading melanomawas observed in 66.2% of patients with wild-type BRAF, nodular melanoma in 21.2%, both lentigo-melanoma and acral-lentiginous melanomain 6.3% and mucosal melanoma in 1 3.0% of patients. In wild-type BRAF melanoma patients, 59.7% tumors had “brisk” infiltrate, 14.8% – “non-brisk”, and 12 25.5% had no infiltrate. There was no found correlation between BRAF status and tumor localization, clinico-pathological type of tumor, TIL status, Breslow thickness and mitotic rate. However, when cases were stratified by age, it was revealed that melanoma patients aged above 80 years were preferentially BRAF-negative (p < 0.05). BRAF-negative melanomas occurred significantly more frequent in superficial spreading type of the tumor. The localization of melanomas was differe

黑色素瘤是一种侵袭性癌症。将BRAF蛋白锁定在活性状态的突变可能导致该通路中信号过多,导致细胞生长和存活不受控制。主要是在黑色素瘤中观察到的BRAF突变中,超过90%的突变应该在密码子600处,导致谷氨酸取代缬氨酸,V600E (T >位于BRAFV600E外显子15的一个反转。特别值得关注的是BRAF阴性黑色素瘤。这种类型的黑色素瘤对BRAF抑制剂不敏感,治疗方法需要进一步研究。我们旨在调查80例原发性黑色素瘤患者BRAF V600突变的频率,并确定突变与临床/病理特征之间的关系。采用DNA-sorb分离试剂盒(Amplisense,俄罗斯)从肿瘤细胞占普遍百分比的活检标本中提取基因组DNA。BRAF V600E突变是通过基于实时pcr的BRAF V600E突变等位基因特异性DNA检测(BioLink,俄罗斯)来估计的。利用商用Infinity Capture, Infinity Analyze软件对Breslow厚度进行评估。所有肿瘤均有淋巴细胞浸润,根据Clark等建立的标准分为“活跃”、“不活跃”和“不存在”。肿瘤浸润淋巴细胞(Tumor浸润淋巴细胞,TIL)指肿瘤淋巴结内的淋巴细胞。肿瘤内淋巴细胞弥漫性浸润为“活跃”浸润,淋巴细胞病灶浸润为“非活跃”浸润,肿瘤内无淋巴细胞浸润为“不活跃”浸润。用10个高倍场的有丝分裂计数测定有丝分裂活性。对于所有患者,使用简单的交叉表、Fisher精确检验、Pearson χ2检验和/或非参数Mann-Whitney U检验检测临床和病理特征与BRAF V600E突变状态的显著相关性。P值低于0.05为显著性。41.25%的肿瘤检测到BRAF V600E突变。braf突变和非braf突变黑色素瘤患者按年龄和性别进行匹配。野生型BRAF患者中,66.2%为浅表扩散黑色素瘤,21.2%为结节性黑色素瘤,6.3%为黄斑黑色素瘤和肢端黄斑黑色素瘤,1.3.0%为粘膜黑色素瘤。在野生型BRAF黑色素瘤患者中,59.7%的肿瘤浸润“快”,14.8%的肿瘤浸润“不快”,12.25.5%的肿瘤无浸润。BRAF状态与肿瘤定位、肿瘤临床病理类型、TIL状态、brreslow厚度和有丝分裂率无相关性。然而,当病例按年龄分层时,发现80岁以上的黑色素瘤患者优先为braf阴性(p <0.05)。braf阴性的黑色素瘤在浅表扩散型肿瘤中更为常见。突变型BRAF患者与野生型BRAF患者黑素瘤的定位在老年和年轻患者中存在差异(p = 0.03)。BRAF突变型黑色素瘤患者的平均年龄为54.4岁,野生型BRAF患者的平均年龄为63.7岁。在我们的研究中,没有发现BRAF状态与肿瘤定位的关系,尽管定位于四肢的肿瘤倾向于BRAF V600E阴性。尽管我们的研究显示黑色素瘤预后标志物与BRAF V600E状态之间没有任何其他关联,但黑色素瘤突变谱鉴定可能对预测某些患者的不良预后很重要。
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引用次数: 0
A91 A91
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.030
E. Gashenko , V. Lebedeva , E. Tsykalenko , G. Russkikh , I. Brak , T. Korolenko

Background

The research for procathepsin B and endogenous inhibitors of cysteine proteases in tumor markers of human reproductive system is important for early diagnostics of cancer. Preform of cathepsin B and cystatins B and C also are universally involved into development of different tumors. Tumor cells as well as tumor-associated macrophages have been shown to secrete active forms of proteases and their inhibitors; however, their roles, especially those of proenzymes as markers of malignancy, are still under investigation.

Aim

to evaluate procathepsin B and endogenous inhibitors of cysteine proteases cystatins B and C in tumors of reproductive system.

Materials and methods

Serum and ascites fluid of 38 patients with ovarian cancer (among them 15 patients after treatment) and benign ovarian tumors (n = 9), endometrial cancer (n = 31, before treatment 14), mammalian cancer (n = 29, before treatment 18) of stages II–IV for all groups, from Department of Gynecology of Regional Oncology Center, Novosibirsk, were under investigation. Serum of practically healthy women aged 18–80 (n = 82) from Regional Diagnostic Center, Novosibirsk, was used as a control group. Serum of women with tumors of the reproductive system and ascites fluids of women with ovarian tumors (aged 18–80 years), before operation were used for assay of procathepsin B, cysteine protease inhibitors cystatins B and C. Serum procathepsin B concentration was measured by ELISA commercial kit for human (R&D) USA; cystatin C using BioVendor commercial kits (Czechia), cystatin B – with help of ELISA kits for human (USCN Life Science Inc., Wuhan, China). Common biomarker of ovarian cancer, CA-125, was assayed by using a commercial kit (Vector, Koltsovo, Novosibirsk Region, Russia). Statistical analysis performed by one a way ANOVA Statistic 12, program with help of Kruskall–Wallis test and the Mann–Whitney U test used to assess differences in procathepsin B or cystatins B and C levels between patient groups. Statistical analysis was performed with the soft package Statistics 12, with the level of significance being set at <0.05.

Results

In serum of patients with endometrial cancer, ovarian cancer, mammalian cancer – significant increases in serum procathepsin B (p < 0.001), cystatin B (p < 0.05) and CA-125 (p < 0.001) were noted. However, in patients with benign tumor increased serum common tumor marker CA-125 (p = 0.005 vs. healthy controls) was shown without any changes in serum level of procathepsin B, cystatins B and C. Concentrations procathepsin B and Cystatin B in serum and ascites of patients with ovarian tumor was used to assess differences in procathepsin B or cystatins B and C

背景研究人生殖系统肿瘤标志物中血凝素原B和半胱氨酸蛋白酶内源性抑制剂的含量对肿瘤的早期诊断具有重要意义。组织蛋白酶B、胱抑素B和胱抑素C的形成也普遍参与不同肿瘤的发生发展。肿瘤细胞以及肿瘤相关巨噬细胞已被证明可以分泌活性形式的蛋白酶及其抑制剂;然而,它们的作用,特别是前酶作为恶性肿瘤标志物的作用,仍在研究中。目的探讨胱抑素原B及内源性半胱氨酸蛋白酶胱抑素B和胱抑素C在生殖系统肿瘤中的作用。材料与方法新西伯利亚地区肿瘤中心妇科38例II-IV期卵巢癌患者(其中治疗后15例)、良性卵巢肿瘤患者(n = 9)、子宫内膜癌患者(n = 31,治疗前14例)、哺乳动物癌患者(n = 29,治疗前18例)的血清和腹水进行调查。以新西伯利亚地区诊断中心18-80岁实际健康妇女(n = 82)的血清作为对照组。采用人(R&D) ELISA试剂盒检测术前生殖系统肿瘤患者血清及卵巢肿瘤患者腹水中胱抑素B原、半胱氨酸蛋白酶抑制剂胱抑素B、胱抑素c的含量;胱抑素C使用BioVendor商用试剂盒(捷克),胱抑素B -使用ELISA试剂盒(武汉USCN生命科学有限公司,中国)。使用商业试剂盒(Vector, Koltsovo, Novosibirsk地区,俄罗斯)检测卵巢癌常见生物标志物CA-125。统计分析采用单因素方差分析(ANOVA)统计12,在Kruskall-Wallis测试和Mann-Whitney U测试的帮助下进行,用于评估患者组之间血凝素原B或胱抑素B和C水平的差异。采用统计软件Statistics 12进行统计分析,显著性水平设为<0.05。结果子宫内膜癌、卵巢癌、哺乳动物癌患者血清中肝组织蛋白酶原B (p <0.001),胱抑素B (p <0.05)和CA-125 (p <0.001)。然而,良性肿瘤患者血清常见肿瘤标志物CA-125升高(p = 0.005,与健康对照组相比),血清胱抑素B原、胱抑素B和胱抑素C水平没有变化。卵巢肿瘤患者血清和腹水中胱抑素B原和胱抑素B和胱抑素B浓度用于评估组间胱抑素B原或胱抑素B和C水平的差异。血凝素原B(p <0.05)和卵巢癌患者腹水中(p <0.001),卵巢癌组与良性卵巢肿瘤组相比显著增加。卵巢癌患者腹水CA-125浓度变化(p <0.000)和良性卵巢肿瘤(p <0.05),但两者间无差异(p >0.1)。结论血清胱抑素原B和内源性半胱氨酸蛋白酶胱抑素B抑制剂是生殖系统肿瘤的潜在生物标志物。胱抑素B原和胱抑素B在卵巢癌和卵巢良性肿瘤的鉴别诊断中具有重要意义。蛋白酶原B和胱抑素B与乳腺癌和子宫内膜癌有关,值得进一步研究它们在癌症中的作用。
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引用次数: 0
P114 P114
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.032
P. Gervas , V. Perelmuter

Background

Lung cancers are characterized by the genetic alterations that often affect a common group of oncogenic signaling pathways. Identification of biologically significant genetic alterations in lung cancer that lead to activation of oncogenes and inactivation of tumor suppressor genes has the potential to provide further therapeutic opportunities (Cooper, 2013). In this context, it is important that molecular aberrations may act as negative predictors of sensitivity to treatment. The discovery of driver oncogenes, such as activating mutations in the epidermal growth factor receptor gene (EGFR), has made personalized medicine for lung cancer a reality. Despite the high initial results, NSCLC patients acquire resistance to tyrosine kinase inhibitors in the worldwide. There are several findings suggesting that the effect of tyrosine kinase inhibitors could be limited to patients harboring KRAS mutation. To date, a limited information regarding link of morphological portrait of adenocarcinomas with bearing of simultaneously concurrent mutations of KRAS and EGFR genes. The detection of concurrent gene mutation is usually carried out in a mixture of tumor cells. We plan to analyze EGFR and KRAS mutations in all clonal components (or morphological structures) of NSCLC tumors isolated by laser microdissection. So, we suggest that NSCLC clonal components might bear two concurrent EGFR and KRAS mutations simultaneously or different clonal components might bear either EGFR or KRAS mutations. The data obtained can predict resistance to EGFR-TKIs and affect therapeutic decision making.

Materials and methods

The tumor samples were obtained from archived formalin-fixed paraffin-embedded tissue blocks. Paraffin was removed by xylene extraction, and the sample was subsequently lysed by proteinase K. The region containing the highest percentage of tumor cells (at least 50%) was dissected. Microscopes Axio Scope A1 and Axio Star plus (Carl Zeiss, Germany) was used to perform histological analysis. If necessary, tumour cells were carefully selected and removed from the samples by laser microdissection using a P.A.L.M. microlaser instrument (PALM AdhesiveCaps, P.A.L.M., Bernried, Germany). EGFR (exon 19 deletion and 21 L858R) and KRAS (Gly12Cys, Gly12Ser, Gly12Arg, Gly12Val, Gly12Asp, Gly12Ala, Gly13Asp) gene amplification was based on RT-PCR on CFX96 Real-Time System (Bio-Rad).

Results

A total of 115 patients with stage (IIIB–IV) of NSCLC with EGFR-TKI- sensitive mutations were eligible for the analysis. A rare coexistence of KRAS and EGFR mutations were observed in 3 patients (2.6%). The first sample was described as nonmucinous solid adenocarcinoma and has deletion of 19 exon of EGFR gene and G12C mutation of KRAS gene. The second sample was described as mucinous lepidic adenocarcinoma and has deletion of 19 exon of EGFR gene and G12D mutation of KRAS gene. The third sample was described as m

肺癌的特点是基因改变,通常影响一组常见的致癌信号通路。识别肺癌中导致癌基因激活和抑癌基因失活的生物学上显著的遗传改变,有可能提供进一步的治疗机会(Cooper, 2013)。在这种情况下,重要的是分子畸变可能作为治疗敏感性的负面预测因子。驱动癌基因的发现,如表皮生长因子受体基因(EGFR)的激活突变,使肺癌的个性化治疗成为现实。尽管初始结果很高,但在世界范围内,NSCLC患者对酪氨酸激酶抑制剂产生耐药性。有几个研究结果表明酪氨酸激酶抑制剂的作用可能仅限于携带KRAS突变的患者。迄今为止,关于腺癌的形态学特征与KRAS和EGFR基因同时并发突变的联系的信息有限。并发基因突变的检测通常在肿瘤细胞混合物中进行。我们计划分析激光显微解剖分离的NSCLC肿瘤的所有克隆成分(或形态结构)中的EGFR和KRAS突变。因此,我们认为NSCLC克隆成分可能同时携带两个并发的EGFR和KRAS突变,或者不同的克隆成分可能同时携带EGFR或KRAS突变。获得的数据可以预测对EGFR-TKIs的耐药性并影响治疗决策。材料和方法肿瘤标本取自存档的福尔马林固定石蜡包埋组织块。用二甲苯萃取法去除石蜡,随后用蛋白酶k裂解样品,解剖肿瘤细胞百分比最高(至少50%)的区域。使用德国卡尔蔡司公司Axio Scope A1和Axio Star plus显微镜进行组织学分析。如有必要,使用P.A.L.M.微激光仪器(PALM adhesive ecaps, P.A.L.M, Bernried, Germany)仔细选择肿瘤细胞,并通过激光显微解剖从样品中去除。在CFX96 Real-Time System (Bio-Rad)软件上扩增EGFR(外显子19缺失和21 L858R)和KRAS (Gly12Cys、Gly12Ser、Gly12Arg、Gly12Val、Gly12Asp、Gly12Ala、Gly13Asp)基因。结果115例伴有EGFR-TKI敏感突变的IIIB-IV期NSCLC患者符合分析条件。KRAS和EGFR突变在3例患者中罕见共存(2.6%)。第一个样本被描述为非粘液实体腺癌,EGFR基因缺失19个外显子,KRAS基因G12C突变。第二个样本被描述为粘液腺癌,EGFR基因缺失19个外显子,KRAS基因G12D突变。第三个样本被描述为具有实体和腺泡单克隆成分的粘液腺癌,也具有EGFR基因19外显子缺失和KRAS基因G12C突变。在所有样品中,只有一个样品具有两种不同的单克隆成分。不幸的是,由于活检和用于显微解剖的细胞数量很少,该样本无法获得。Fiala等人(2013)报道,KRAS突变不仅是一个负面预后因素,也是预测对EGFR-TKIs(尤其是G12C)耐药的生物标志物。非粘液性实体腺癌19外显子和G12C(分别为EGFR和KRAS基因)缺失的患者不太可能从接受吉非替尼或厄洛替尼中获益。结论本研究结果表明,改进非小细胞肺癌患者的个性化治疗需要进一步的研究。KRAS和EGFR突变的频率和类型首先在西伯利亚西部的NSCLC患者中进行了评估。这项工作得到了OPTEK公司的资助(No . 122/2014/51/Nvs)。
{"title":"P114","authors":"P. Gervas ,&nbsp;V. Perelmuter","doi":"10.1016/j.ejcsup.2015.08.032","DOIUrl":"10.1016/j.ejcsup.2015.08.032","url":null,"abstract":"<div><h3>Background</h3><p>Lung cancers are characterized by the genetic alterations that often affect a common group of oncogenic signaling pathways. Identification of biologically significant genetic alterations in lung cancer that lead to activation of oncogenes and inactivation of tumor suppressor genes has the potential to provide further therapeutic opportunities (Cooper, 2013). In this context, it is important that molecular aberrations may act as negative predictors of sensitivity to treatment. The discovery of driver oncogenes, such as activating mutations in the epidermal growth factor receptor gene (EGFR), has made personalized medicine for lung cancer a reality. Despite the high initial results, NSCLC patients acquire resistance to tyrosine kinase inhibitors in the worldwide. There are several findings suggesting that the effect of tyrosine kinase inhibitors could be limited to patients harboring KRAS mutation. To date, a limited information regarding link of morphological portrait of adenocarcinomas with bearing of simultaneously concurrent mutations of KRAS and EGFR genes. The detection of concurrent gene mutation is usually carried out in a mixture of tumor cells. We plan to analyze EGFR and KRAS mutations in all clonal components (or morphological structures) of NSCLC tumors isolated by laser microdissection. So, we suggest that NSCLC clonal components might bear two concurrent EGFR and KRAS mutations simultaneously or different clonal components might bear either EGFR or KRAS mutations. The data obtained can predict resistance to EGFR-TKIs and affect therapeutic decision making.</p></div><div><h3>Materials and methods</h3><p>The tumor samples were obtained from archived formalin-fixed paraffin-embedded tissue blocks. Paraffin was removed by xylene extraction, and the sample was subsequently lysed by proteinase K. The region containing the highest percentage of tumor cells (at least 50%) was dissected. Microscopes Axio Scope A1 and Axio Star plus (Carl Zeiss, Germany) was used to perform histological analysis. If necessary, tumour cells were carefully selected and removed from the samples by laser microdissection using a P.A.L.M. microlaser instrument (PALM AdhesiveCaps, P.A.L.M., Bernried, Germany). EGFR (exon 19 deletion and 21 L858R) and KRAS (Gly12Cys, Gly12Ser, Gly12Arg, Gly12Val, Gly12Asp, Gly12Ala, Gly13Asp) gene amplification was based on RT-PCR on CFX96 Real-Time System (Bio-Rad).</p></div><div><h3>Results</h3><p>A total of 115 patients with stage (IIIB–IV) of NSCLC with EGFR-TKI- sensitive mutations were eligible for the analysis. A rare coexistence of KRAS and EGFR mutations were observed in 3 patients (2.6%). The first sample was described as nonmucinous solid adenocarcinoma and has deletion of 19 exon of EGFR gene and G12C mutation of KRAS gene. The second sample was described as mucinous lepidic adenocarcinoma and has deletion of 19 exon of EGFR gene and G12D mutation of KRAS gene. The third sample was described as m","PeriodicalId":11675,"journal":{"name":"Ejc Supplements","volume":"13 1","pages":"Page 18"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejcsup.2015.08.032","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54309097","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
P74 P74
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.035
I. Guzhova, M. Shevtsov, E. Komarova, D. Meshalkina, E. Kisel, B. Margulis

The Hsp70 chaperone is one of the major components of tumor microenvironment displaying multiple not yet established functions. It was shown to stimulate innate and adaptive anti-tumor immunity in a variety of cancer models. These effects were due to active release of endogenous Hsp70 to an extracellular matrix and therefore the extracellular chaperone can be a trigger of multiple events in the whole tumor. Factors inducing Hsp70 release are heat stress, inhibitors of important signaling proteins, anticancer drugs and X-ray treatment. Recently we have shown that delivery of Hsp70 can be efficient pusher of its intracellular analogue to extracellular milieu. In this study we show that intracellular cycling of exo- and endogenous Hsp70s increases the sensitivity of cancer cells to cytotoxic lymphocytes. Moreover, the results of in vivo studies employing B16 mouse melanoma and C6 rat glioblastoma as targets proved the therapeutic relevance of exogenous Hsp70 in intra-tumoral application.

To uncover the mechanisms of the anticancer effect we used inhibitors and markers of intra- and extracellular protein transport. The data of these studies showed multiplicity of pathways using which exo-Hsp70 reaches cytosol and more usable ones was endocytosis. To be exported intracellular Hsp70 employs vesicular structures as well as intra-membrane lipid structures.

Analyzing Hsp70 molecule we found the domain with potential vector activity, i.g. cell penetrating function. This peptide was synthesized and shown to cross a cellular membrane with efficacy exceeding that the whole Hsp70 molecule. Furthermore, the new peptide was used as a carrier for the delivery inside living cells antibody to Hsp70. The resulting construct was found to reduce the resistance of tumor cells to pro-apoptotic effect of staurosporin.

Taking together these data, we can suggest that Hsp70 and its fragments can be effective players in communication between cells assembling functionally active tumor.

The work was supported by Grant of Russian Scientific Foundation (N 14-50-00068).

Hsp70伴侣蛋白是肿瘤微环境的主要组成部分之一,具有多种尚未确定的功能。在多种癌症模型中,它被证明可以刺激先天和适应性抗肿瘤免疫。这些作用是由于内源性Hsp70主动释放到细胞外基质,因此细胞外伴侣可以触发整个肿瘤中的多个事件。诱导Hsp70释放的因素包括热应激、重要信号蛋白抑制剂、抗癌药物和x射线治疗。最近,我们已经证明Hsp70的递送可以有效地将其细胞内类似物推向细胞外环境。在这项研究中,我们发现细胞内循环的外源性和内源性hsp70增加了癌细胞对细胞毒性淋巴细胞的敏感性。此外,以B16小鼠黑色素瘤和C6大鼠胶质母细胞瘤为靶点的体内研究结果证实了外源性Hsp70在肿瘤内应用的治疗相关性。为了揭示抗癌作用的机制,我们使用了细胞内和细胞外蛋白质运输的抑制剂和标记物。这些研究的数据表明,exo-Hsp70到达细胞质的途径多种多样,更可用的途径是内吞作用。待输出的胞内Hsp70既采用囊泡结构,也采用膜内脂质结构。通过分析Hsp70分子,我们发现该结构域具有潜在的载体活性,即细胞穿透功能。该肽已被合成并证明其穿过细胞膜的功效超过整个Hsp70分子。此外,新肽被用作活细胞内递送Hsp70抗体的载体。结果表明,该结构可降低肿瘤细胞对staurosporin促凋亡作用的抵抗。综合这些数据,我们可以认为Hsp70及其片段可以有效地参与功能活性肿瘤细胞之间的交流。本研究由俄罗斯科学基金会资助(n14 -50-00068)。
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引用次数: 0
T32 T32
Q3 Medicine Pub Date : 2015-11-01 DOI: 10.1016/j.ejcsup.2015.08.037
T. Isayeva, M. Brandwein-Gensler

The most important development in head and neck oncology of the past decade is the demonstration that patients with human papillomavirus (HPV)-mediated oropharyngeal cancers have significantly improved outcomes, compared to HPV-negative counterpart patients.

We examined racial disparities among 102 oropharyngeal carcinoma (OPC) patients (30 African Americans, 72 Whites) comparing the present of HPV16/18 E6 and E7 oncoproteins, and p16Ink4A overexpression, with times to disease progression (DP) and disease specific survival (DSS). Expression of HPV16/18 transcripts was assessed by reverse transcription and polymerase chain reaction using type-specific E6/E7 primers; p16Ink4A was evaluated by immunohistochemistry. African Americans were significantly more likely to present with high T stage disease and receive nonsurgical treatment. HPV16/18 was present in 63% of patients; no racial differences were observed. Silenced p16Ink4A in OPC was significantly more common in African Americans (15/24) than Whites (20/69) (p = 0.004), and HPV16 + African Americans (6/24) than HPV + Whites (2/42) (p = 0.023). Kaplan Meier analysis for DSS revealed a protective effect for p16Ink4A overexpression (p = 0.0028), HPV16+ (p = 0.036), and Whites (p = 0.0039). Shorter DSS was associated with primary definitive chemoradiation (p = 0.019) and T3/T4 disease (p = 0.0001). A protective effect with respect to disease progression was observed for HPV16+ (p = 0.007), Whites (p = 0.0006) and p16Ink4A overexpression (p = 0.0001). African Americans with OPC experience poorer outcomes likely due to p16Ink4A silencing, higher T stage, and nonsurgical treatment, but not lower rates of transcriptionally active HPV16/18.

We studied patients with oral cavity squamous cell carcinoma for HPV16 and HPV18, local immune response, p16 expression and outcome.

Overexpression of p16INK4a was uncommon in oral cavity squamous cell carcinoma (17/112 or 15.2%). HPV16 and HPV18 were detected in 22.6% and 11% patients respectively. We demonstrated that the presence of transcriptionally active HPV16 in oral cavity squamous cell carcinomas does not correlate with p16INK4a overexpression, enhanced local tumor immunity, or improved outcome. To investigate the possible mechanism of protective effect of HPV and p16INK4a, we have developed primary cancer cell lines from resections with known patterns of invasion. Given that cell lines derived from HPV-mediated oropharyngeal squamous cell carcinomas are less invasive than their HPV-negative counterparts, we tested the hypothesis that viral oncoproteins E6, E7, and p16INK4a can affect tumor invasion. We demonstrated that p16INK4a overexpression in two cancer

过去十年头颈部肿瘤学最重要的发展是,与HPV阴性患者相比,人乳头瘤病毒(HPV)介导的口咽癌患者的预后显著改善。我们研究了102名口咽癌(OPC)患者(30名非洲裔美国人,72名白人)的种族差异,比较了HPV16/18 E6和E7癌蛋白的存在,以及p16Ink4A的过表达,与疾病进展(DP)和疾病特异性生存(DSS)的时间。采用E6/E7型特异性引物,通过逆转录和聚合酶链反应检测HPV16/18转录本的表达;免疫组织化学检测p16Ink4A。非裔美国人更有可能出现高T期疾病并接受非手术治疗。63%的患者存在HPV16/18;没有观察到种族差异。沉默的p16Ink4A在OPC中非洲裔美国人(15/24)比白人(20/69)更常见(p = 0.004), HPV16 +非洲裔美国人(6/24)比HPV +白人(2/42)更常见(p = 0.023)。Kaplan Meier分析显示,DSS对p16Ink4A过表达(p = 0.0028)、HPV16+ (p = 0.036)和Whites (p = 0.0039)具有保护作用。较短的DSS与原发性明确放化疗(p = 0.019)和T3/T4疾病(p = 0.0001)相关。HPV16+ (p = 0.007)、Whites (p = 0.0006)和p16Ink4A过表达(p = 0.0001)对疾病进展有保护作用。非裔美国人OPC的预后较差,可能是由于p16Ink4A沉默,更高的T期和非手术治疗,但转录活性HPV16/18的发生率较低。我们研究了口腔鳞状细胞癌患者的HPV16和HPV18,局部免疫反应,p16表达和预后。p16INK4a过表达在口腔鳞状细胞癌中并不常见(17/112或15.2%)。HPV16和HPV18的检出率分别为22.6%和11%。我们证明,在口腔鳞状细胞癌中,转录活性HPV16的存在与p16INK4a过表达、局部肿瘤免疫增强或预后改善无关。为了研究HPV和p16INK4a保护作用的可能机制,我们从已知侵袭模式的切除中培养了原发癌细胞系。鉴于hpv介导的口咽鳞状细胞癌细胞系的侵袭性低于hpv阴性细胞系,我们验证了病毒癌蛋白E6、E7和p16INK4a可以影响肿瘤侵袭的假设。我们证明p16INK4a在两种来自口腔鳞状细胞癌的细胞系(UAB-3和UAB-4)中过表达,通过改变细胞外基质重塑基因的表达显著降低肿瘤的侵袭性。整合RNA表达和激酶活性变化的通路分析揭示了不同的潜在p16ink4a敏感通路。总之,我们提供了来自大量头颈部鳞状细胞癌患者的临床数据,涉及转录活性HPV16、p16INK4a过表达、局部适应性肿瘤免疫和结局。观察到的临床结果的差异可能是由于不同的免疫反应和基因激活谱。在HNSCC中检测hpv阳性具有重要的临床意义,作为hpv介导的口咽癌治疗去强化和改善生存的独立预后因素。据我们所知,需要进一步的研究来更详细地解剖hpv阳性的HNSCC,以找到有效的预后标志物以及影响肿瘤行为的分子靶点。
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引用次数: 0
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