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A reference for selecting an appropriate method for generating glioblastoma organoids from the application perspective 从应用角度选择合适的胶质母细胞瘤组织细胞生成方法的参考文献
Pub Date : 2024-09-18 DOI: 10.1007/s12672-024-01346-w
Jing Liang, Peng He

Glioblastoma organoids (GBOs) serve as a powerful and reliable tool to study glioblastoma stem cells (GSCs) and glioblastoma (GBM). GBOs can be derived from different materials using different methods. To identify the predominant generation methods and the most applications of GBOs, we searched four databases (PubMed, Embase, Web of Science, and Wiley Online Laboratory) from August 2021 to August 2023. After screening, 42 out of 295 articles were included and analyzed. GBOs in these articles were generated using only one material, such as tumor tissues, tumor cells, and gene-edited multifunctional stem cells, or simultaneously using two materials, such as tumor cells and normal organoids. Methodologically, direct cultivation of GBM cells or tissues was the most commonly used method to generate GBOs. Embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs) were the frequently used multifunctional stem cells to generate GBOs by simultaneously silencing P53, NF1, and PTEN using CRISPR/Cas9. In terms of applications, GBOs generated by direct cultivation of GBM tissue had the most applications, including molecular mechanisms, therapy, and culture technique. This review provides a theoretical reference for selecting an appropriate method to generate GBOs when studying GSCs and GBM.

胶质母细胞瘤器官组织(GBOs)是研究胶质母细胞瘤干细胞(GSCs)和胶质母细胞瘤(GBM)的强大而可靠的工具。GBO可以通过不同的方法从不同的材料中获得。为了确定GBOs的主要生成方法和最多应用,我们检索了2021年8月至2023年8月期间的四个数据库(PubMed、Embase、Web of Science和Wiley Online Laboratory)。经过筛选,295 篇文章中有 42 篇被收录并进行了分析。这些文章中的GBO只使用了一种材料,如肿瘤组织、肿瘤细胞和基因编辑多功能干细胞,或同时使用了两种材料,如肿瘤细胞和正常器官组织。在方法上,直接培养GBM细胞或组织是生成GBOs最常用的方法。胚胎干细胞(ESC)和诱导多能干细胞(iPSC)是常用的多功能干细胞,通过使用CRISPR/Cas9同时沉默P53、NF1和PTEN来生成GBO。在应用方面,直接培养GBM组织产生的GBOs应用最多,包括分子机制、治疗和培养技术。本综述为研究GSCs和GBM时选择合适的方法生成GBOs提供了理论参考。
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引用次数: 0
Nanoquercetin based nanoformulations for triple negative breast cancer therapy and its role in overcoming drug resistance 基于纳米槲皮素的三阴性乳腺癌治疗及其在克服耐药性方面的作用
Pub Date : 2024-09-17 DOI: 10.1007/s12672-024-01239-y
Adyasa Samantaray, Debasish Pradhan, Nalini Ranjan Nayak, Saurabh Chawla, Bandana Behera, Lalatendu Mohanty, Saroj Kanta Bisoyi, Sabnam Gandhi

Triple Negative Breast Cancer (TNBC) is a highly aggressive and treatment-resistant subtype of breast cancer, lacking the expression of estrogen, progesterone, and HER2 receptors. Conventional chemotherapy remains the primary treatment option, but its efficacy is often compromised by the development of drug resistance. Nanoquercetin has garnered the attention of researchers due to its potential in combating cancer. This antioxidant exhibits significant efficacy against various types of cancer, including blood, breast, pancreatic, prostate, colon, and oral cancers. Functioning as a potential anti-cancer agent, nanoquercetin impedes the development and proliferation of cancer cells, induces apoptosis and autophagy, and prevents cancer cell invasion and metastasis. Numerous processes, such as the inhibition of pathways linked to angiogenesis, inflammation, and cell survival, are responsible for these anticancer actions. Moreover, it shields DNA from degradation caused by radiation and other carcinogens. The cost-effectiveness of current cancer treatments remains a significant challenge in healthcare, imposing a substantial economic burden on societies worldwide. Preclinical studies and early-phase clinical trials indicate that nanoquercetin-based therapies could offer a significant advancement in the management of TNBC, providing a foundation for future research and clinical application in overcoming drug resistance and improving patient outcomes. This article examines the latest data on nanoquercetin’s potent anti-cancer properties and interprets the accumulated research findings within the framework of preventive, predictive, and personalized (3P) medicine.

Graphical Abstract

三阴性乳腺癌(TNBC)是一种高度侵袭性和耐药的乳腺癌亚型,缺乏雌激素、孕激素和 HER2 受体的表达。传统化疗仍是主要的治疗选择,但其疗效往往因耐药性的产生而大打折扣。纳米槲皮素因其抗癌潜力而受到研究人员的关注。这种抗氧化剂对血液癌、乳腺癌、胰腺癌、前列腺癌、结肠癌和口腔癌等各种癌症都有显著疗效。作为一种潜在的抗癌剂,纳米槲皮素能阻碍癌细胞的发展和增殖,诱导细胞凋亡和自噬,防止癌细胞入侵和转移。这些抗癌作用是由许多过程造成的,如抑制与血管生成、炎症和细胞存活有关的途径。此外,它还能保护 DNA 免受辐射和其他致癌物质的降解。目前癌症治疗的成本效益仍然是医疗保健领域的一个重大挑战,给全球社会造成了巨大的经济负担。临床前研究和早期临床试验表明,基于纳米槲皮素的疗法可在 TNBC 的治疗方面取得重大进展,为克服耐药性和改善患者预后方面的未来研究和临床应用奠定基础。本文探讨了纳米槲皮素强效抗癌特性的最新数据,并在预防性、预测性和个性化(3P)医学的框架内解读了积累的研究成果。
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引用次数: 0
Prognostic aging gene-based score for colorectal cancer: unveiling links to drug resistance, mutation burden, and personalized treatment strategies 基于衰老基因的结直肠癌预后评分:揭示耐药性、基因突变负担和个性化治疗策略之间的联系
Pub Date : 2024-09-17 DOI: 10.1007/s12672-024-01350-0
Ling Duan, Yang Xia, Rui Fan, Yuxi Shuai, Chunmei Li, Xiaoming Hou

Objective

Colorectal cancer (CRC) is characterized by high incidence and mortality rates worldwide. In this study, we present a novel aging-related gene-based risk scoring system (Aging score) as a predictive tool for CRC prognosis. Method: We identified prognostic aging-related genes using univariate Cox regression analysis, revealing key biological processes in CRC progression. We then constructed a robust prognostic model using LASSO and multivariate Cox regression analyses, including four critical genes: CAV1, FOXM1, MAD2L1, and WT1. Result: The Aging score demonstrated high prognostic performance across the training, testing, and entire TCGA-CRC datasets, proving its reliability. High-risk patients identified by the Aging score had significantly shorter overall survival times than low-risk patients, indicating its potential for patient stratification and personalized treatment. The Aging score remained an independent prognostic factor compared to age, gender, and tumor stage. Additionally, the score was linked to tumor mutation burden and microsatellite instability, indicators of immune checkpoint inhibitor response. High-risk patients also showed higher estimated IC50 values for common chemotherapeutic drugs, suggesting possible treatment resistance. Conclusion: Our findings highlight the Aging score's potential to enhance clinical decision-making and pave the way for personalized CRC management.

目的 全球范围内结直肠癌(CRC)的发病率和死亡率都很高。在本研究中,我们提出了一种基于衰老相关基因的新型风险评分系统(衰老评分),作为预测 CRC 预后的工具。方法:我们通过单变量 Cox 回归分析确定了与衰老相关的预后基因,揭示了 CRC 进展的关键生物学过程。然后,我们利用 LASSO 和多变量 Cox 回归分析构建了一个稳健的预后模型,其中包括四个关键基因:CAV1、FOXM1、MAD2L1 和 WT1。结果Aging 评分在训练、测试和整个 TCGA-CRC 数据集中都表现出了很高的预后性能,证明了其可靠性。通过老龄化评分确定的高危患者的总生存时间明显短于低危患者,这表明老龄化评分具有对患者进行分层和个性化治疗的潜力。与年龄、性别和肿瘤分期相比,老龄化评分仍是一个独立的预后因素。此外,该评分还与肿瘤突变负荷和微卫星不稳定性(免疫检查点抑制剂反应的指标)有关。高危患者对常见化疗药物的估计 IC50 值也较高,表明可能存在耐药性。结论我们的研究结果凸显了老龄化评分在加强临床决策方面的潜力,并为个性化的 CRC 管理铺平了道路。
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引用次数: 0
Evaluation of circulating plasma proteins in prostate cancer using mendelian randomization 利用泯灭随机法评估前列腺癌中的循环血浆蛋白
Pub Date : 2024-09-17 DOI: 10.1007/s12672-024-01331-3
Long Cheng, Zeming Qiu, Xuewu Wu, Zhilong Dong

Background

The proteome is an important resource for exploring potential diagnostic and therapeutic targets for cancer. This study aimed to investigate the causal associations between plasma proteins and prostate cancer (PCa), and to explore the downstream phenotypes that plasma proteins may influence and potential upstream intervening factors.

Methods

Proteome-wide Mendelian randomization was used to investigate the causal effects of plasma proteins on PCa. Colocalization analysis examined the common causal variants between plasma proteins and PCa. Summary-statistics-based Mendelian Randomization (SMR) analyses identified associations between the expression of protein-coding genes and PCa. Phenome-wide association study was performed to explore the effect of target proteins on downstream phenotypes. Finally, a systematic Mendelian randomization analysis between lifestyle factors and plasma proteins was performed to assess upstream intervening factors for plasma proteins.

Results

The findings revealed a positive genetic association between the predicted plasma levels of nine proteins and an elevated risk of PCa, while four proteins exhibited an inverse association with PCa risk. SMR analyses revealed ZG16B, PEX14 in blood and ZG16B, NAPG in prostate tissue were potential drug targets for PCa. The genetic association of PEX14 with PCa was further supported by colocalization analysis. Further Phenome-wide association study showed possible side effects of ZG16B, PEX14 and NAPG as drug targets. 10 plasma proteins (RBP7, TPST1, NFASC, LAYN, HDGF, SERPIMA5, DLL4, EFNA3, LIMA1, and CCL27) could be modulated by lifestyle-related factors.

Conclusion

This study explores the genetic associations between plasma proteins and PCa, provides evidence that plasma proteins serve as potential drug targets and enhances the understanding of the molecular etiology, prevention and treatment of PCa.

背景蛋白质组是探索癌症潜在诊断和治疗靶点的重要资源。这项研究旨在调查血浆蛋白与前列腺癌(PCa)之间的因果关系,并探索血浆蛋白可能影响的下游表型以及潜在的上游干预因素。共定位分析检验了血浆蛋白与 PCa 之间的共同因果变异。基于摘要统计的孟德尔随机化(SMR)分析确定了蛋白质编码基因的表达与PCa之间的关联。全表型关联研究探讨了目标蛋白对下游表型的影响。最后,在生活方式因素和血浆蛋白之间进行了系统孟德尔随机分析,以评估血浆蛋白的上游干预因素。结果研究结果显示,9种蛋白的预测血浆水平与PCa风险升高之间存在正向遗传关联,而4种蛋白与PCa风险呈反向关联。SMR分析显示,血液中的ZG16B、PEX14和前列腺组织中的ZG16B、NAPG是治疗PCa的潜在药物靶点。共定位分析进一步证实了PEX14与PCa的遗传关联。进一步的全表型关联研究表明,ZG16B、PEX14和NAPG作为药物靶点可能会产生副作用。10种血浆蛋白(RBP7、TPST1、NFASC、LAYN、HDGF、SERPIMA5、DLL4、EFNA3、LIMA1和CCL27)可受生活方式相关因素的调节。 结论:本研究探讨了血浆蛋白与PCa之间的遗传关联,提供了血浆蛋白可作为潜在药物靶点的证据,加深了人们对PCa分子病因学、预防和治疗的理解。
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引用次数: 0
Clinical efficacy and immune response of BCL-2 inhibitors combined with hypomethylating agents in the treatment of acute myeloid leukemia BCL-2抑制剂联合低甲基化药物治疗急性髓性白血病的临床疗效和免疫反应
Pub Date : 2024-09-17 DOI: 10.1007/s12672-024-01348-8
Xiaohuan Peng, Jianing Yu, Futian Tang, Yanhong Li, Jun Bai, Lijuan Li, Liansheng Zhang

Objective

Acute myeloid leukemia (AML) is a malignant clonal proliferative disease with a high mortality rate. The combination therapy of BCL-2 inhibitor Venetoclax (VEN) and hypomethylating agents (HMAs) has significant anti-leukemia activity.

Methods

We analyzed the efficacy, safety and immune response characteristics of AML patients who were unfit for high-dose chemotherapy and accepted the medication of VEN + HMAs.

Results

After VEN + HMAs treatment, 31 newly diagnosed AML patients had the morphologic leukemia-free state rate (MLFS%) of 80.6% (25/31), complete response rate (CR%) of 54.8% (17/31), the minimal residual disease negative rate (MRD-%) of 51.6% (16/31), and the median progression-free survival (PFS) of 14 months. After treatment, the proportion of bone marrow primitive cells, the MRD level, white blood cell (WBC) count, fibrinogen (FIB) level and the proportion of B cells were significantly decreased. The red blood cell (RBC) count, hemoglobin (HGB) level, platelet count (PLT) count, activated partial thromboplastin time (APTT), the proportion of total T cells, CD8 + T cells and the IFN-γ level were significantly increased. After VEN + HMAs treatment, 12 relapsed AML patients had a MLFS% of 50% (6/12), CR% of 33.3% (4/12), MRD-% of 25% (3/12), and a median PFS of 7 months. After treatment, the proportion of bone marrow primitive cells and MRD level were slightly decreased, the proportions of CD8 + T cells and NK cells were significantly increased, the proportion of B cells and IL-10 level were significantly decreased. 12 AML patients who receive microtransplantation (MST) treatment using VEN + HMAs as a pretreatment regimen had a PFS of 20.5 months, which was much greater than VEN + HMAs group alone. Hematological recovery was better in the MST group with significantly increased RBC count, HGB level and PLT count. The most common adverse events were myelosuppression, agranulocytosis, infection and cardiovascular toxicity. No fatal adverse events were reported.

Conclusion

The combination of BCL-2 inhibitors and HMAs had good efficacy and safety in AML patients who were unfit for high-dose chemotherapy, which may improve the immune microenvironment and enhance anti-leukemia immune response.

目的急性髓性白血病(AML)是一种恶性克隆增殖性疾病,死亡率很高。方法我们分析了不适合接受大剂量化疗的急性髓细胞白血病患者接受 VEN + HMAs 药物治疗的疗效、安全性和免疫反应特征。结果31例新诊断的AML患者在接受VEN+HMAs治疗后,形态学无白血病状态率(MLFS%)为80.6%(25/31),完全反应率(CR%)为54.8%(17/31),最小残留病阴性率(MRD-%)为51.6%(16/31),中位无进展生存期(PFS)为14个月。治疗后,骨髓原始细胞比例、MRD水平、白细胞(WBC)计数、纤维蛋白原(FIB)水平和B细胞比例均显著下降。红细胞(RBC)计数、血红蛋白(HGB)水平、血小板(PLT)计数、活化部分凝血活酶时间(APTT)、总 T 细胞比例、CD8 + T 细胞和 IFN-γ 水平均明显升高。经过 VEN + HMAs 治疗后,12 名复发急性髓细胞白血病患者的 MLFS% 为 50%(6/12),CR% 为 33.3%(4/12),MRD-% 为 25%(3/12),中位 PFS 为 7 个月。治疗后,骨髓原始细胞比例和MRD水平略有下降,CD8 + T细胞和NK细胞比例显著增加,B细胞比例和IL-10水平显著下降。12名接受微移植(MST)治疗的急性髓细胞白血病患者使用VEN+HMAs作为预处理方案,其PFS为20.5个月,远高于单用VEN+HMAs组。MST组的血液学恢复更好,RBC计数、HGB水平和PLT计数明显增加。最常见的不良反应是骨髓抑制、粒细胞减少、感染和心血管毒性。结论 BCL-2 抑制剂和 HMAs 联合治疗不适合大剂量化疗的急性髓细胞白血病患者具有良好的疗效和安全性,可改善免疫微环境,增强抗白血病免疫反应。
{"title":"Clinical efficacy and immune response of BCL-2 inhibitors combined with hypomethylating agents in the treatment of acute myeloid leukemia","authors":"Xiaohuan Peng, Jianing Yu, Futian Tang, Yanhong Li, Jun Bai, Lijuan Li, Liansheng Zhang","doi":"10.1007/s12672-024-01348-8","DOIUrl":"https://doi.org/10.1007/s12672-024-01348-8","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objective</h3><p>Acute myeloid leukemia (AML) is a malignant clonal proliferative disease with a high mortality rate. The combination therapy of BCL-2 inhibitor Venetoclax (VEN) and hypomethylating agents (HMAs) has significant anti-leukemia activity.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>We analyzed the efficacy, safety and immune response characteristics of AML patients who were unfit for high-dose chemotherapy and accepted the medication of VEN + HMAs.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>After VEN + HMAs treatment, 31 newly diagnosed AML patients had the morphologic leukemia-free state rate (MLFS%) of 80.6% (25/31), complete response rate (CR%) of 54.8% (17/31), the minimal residual disease negative rate (MRD-%) of 51.6% (16/31), and the median progression-free survival (PFS) of 14 months. After treatment, the proportion of bone marrow primitive cells, the MRD level, white blood cell (WBC) count, fibrinogen (FIB) level and the proportion of B cells were significantly decreased. The red blood cell (RBC) count, hemoglobin (HGB) level, platelet count (PLT) count, activated partial thromboplastin time (APTT), the proportion of total T cells, CD8 + T cells and the IFN-γ level were significantly increased. After VEN + HMAs treatment, 12 relapsed AML patients had a MLFS% of 50% (6/12), CR% of 33.3% (4/12), MRD-% of 25% (3/12), and a median PFS of 7 months. After treatment, the proportion of bone marrow primitive cells and MRD level were slightly decreased, the proportions of CD8 + T cells and NK cells were significantly increased, the proportion of B cells and IL-10 level were significantly decreased. 12 AML patients who receive microtransplantation (MST) treatment using VEN + HMAs as a pretreatment regimen had a PFS of 20.5 months, which was much greater than VEN + HMAs group alone. Hematological recovery was better in the MST group with significantly increased RBC count, HGB level and PLT count. The most common adverse events were myelosuppression, agranulocytosis, infection and cardiovascular toxicity. No fatal adverse events were reported.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>The combination of BCL-2 inhibitors and HMAs had good efficacy and safety in AML patients who were unfit for high-dose chemotherapy, which may improve the immune microenvironment and enhance anti-leukemia immune response.</p>","PeriodicalId":13170,"journal":{"name":"Hormones and Cancer","volume":"119 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142265572","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
Longitudinal needs and cancer knowledge in Swiss childhood cancer survivors transitioning from pediatric to adult follow-up care: results from the ACCS project 瑞士儿童癌症幸存者从儿科护理过渡到成人后续护理的纵向需求和癌症知识:ACCS 项目的结果
Pub Date : 2024-09-16 DOI: 10.1007/s12672-024-01335-z
Luca Buehlmann, Maria Otth, Katrin Scheinemann

Purpose

Childhood Cancer Survivors (CCSs) have an increased risk for treatment-related chronic health conditions, but the adherence to long-term follow-up (LTFU) care decreases over time. We therefore assessed the CCSs’ development of cancer knowledge, cancer worries, self-management skills, and expectations for LTFU care in a structured, cancer center-based transition model—a crucial part for maintaining adherence.

Methods

Using questionnaire-based surveys, we compared the CCSs’ cancer knowledge with medical record data and assessed cancer worries (6 questions), self-management skills (15 questions), and expectations (12 questions) longitudinally by validated scales. We used descriptive statistics for presenting our results.

Results

We analyzed 17 CCSs, 71% were female, had a median age of 8 years at diagnosis and 21 years at study enrollment. The knowledge about late effects increased during the transition process, except for the risk of secondary malignancies. Leukemia survivors had a decrease in cancer worries. At least 75% of the CCSs agreed to 11 of 15 self-management questions before and after transition, with the highest increase over time in less parental involvement. The CCSs expected the most, that physicians know the CCSs’ cancer history, that the visit starts on time, and that physicians can always be called in case of questions.

Conclusions

Our transition model improved cancer knowledge, especially the risk for late effects, decreased cancer worries, and identified expectations for LTFU care which should be considered in the future. A structured transition process with evidence-based tools further increases the knowledge of CCS for LTFU through empowerment.

目的 儿童癌症幸存者(CCSs)罹患与治疗相关的慢性疾病的风险增加,但长期随访(LTFU)护理的依从性却随着时间的推移而下降。因此,我们在一个以癌症中心为基础的结构化过渡模式中,评估了儿童癌症幸存者的癌症知识发展、癌症担忧、自我管理技能以及对长期随访护理的期望--这是保持坚持治疗的关键部分。方法通过问卷调查,我们将儿童癌症幸存者的癌症知识与医疗记录数据进行了比较,并通过有效量表对癌症担忧(6 个问题)、自我管理技能(15 个问题)和期望(12 个问题)进行了纵向评估。结果我们分析了 17 名社区癌症服务人员,其中 71% 为女性,确诊时的中位年龄为 8 岁,加入研究时的中位年龄为 21 岁。除了继发性恶性肿瘤的风险外,对晚期影响的了解在转变过程中有所增加。白血病幸存者对癌症的担忧有所减少。在过渡前后的 15 个自我管理问题中,至少有 75% 的社区保健员对其中 11 个问题表示同意,随着时间的推移,父母参与较少的社区保健员同意率最高。社区癌症患者最希望医生了解他们的癌症病史、按时就诊、有问题时随时可以打电话给医生。结论:我们的过渡模式提高了癌症知识,尤其是晚期影响的风险,减少了癌症忧虑,并确定了对长期护理的期望,这些都是今后应该考虑的。采用循证工具的结构化过渡流程通过增强能力,进一步提高了患者对长期护理的认识。
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引用次数: 0
Prognosis evaluation and efficacy analysis of different treatment options for patients with visceral pleural invasion in stage IIA–IIB lung cancer IIA-IIB 期肺癌内脏胸膜侵犯患者的预后评估和不同治疗方案的疗效分析
Pub Date : 2024-09-13 DOI: 10.1007/s12672-024-01307-3
Qi Liu, Liusheng Wu, Xiangyu Wang, Yu Feng, Ying Wang, Jun Yan, Xiaoqiang Li
<h3 data-test="abstract-sub-heading">Objective</h3><p>Controversy surrounds the treatment of visceral pleural invasion in lung cancer, and no studies have compared the efficacy of its four main treatment options (i.e., surgery, chemotherapy, targeted therapy, and immunotherapy). This study aims to compare and analyze surgery, chemotherapy, targeted therapy, and immunotherapy outcomes and explore the optimal treatment of visceral pleural invasion in lung cancer.</p><h3 data-test="abstract-sub-heading">Methods</h3><p>We searched electronic databases (i.e., Pubmed, Embase, Cochrane Library, CNKI, and Chinese Biomedical Literature Database Search) for relevant studies of treatment options for patients with visceral pleural invasion in stage IIA–IIB lung cancer. Searches times were limited to studies published between January 1, 2000 and February 20, 2021. Meta analysis was performed using RevMan 5.3 software We also downloaded original RNA transcription data about lung cancer invasion in the GEO and TCGA tumor databases, and used R 4.0.3 software to perform differential expression and co-expression gene network analyses.</p><h3 data-test="abstract-sub-heading">Results</h3><p>We included a total of 25 high-quality (i.e., Jadad score 4–7) studies. Meta-analysis found that surgical treatment was associated with a 3-year survival rate OR = 3.80 (95% CI 3.53, 4.09; <i>P</i> < 0.0001), 5-year survival rate OR = 4.10 (95% CI 3.72, 4.53; <i>P</i> < 0.0001), and median survival time OR = 2.71 (95% CI 2.53, 2.89; <i>P</i> < 0.0001). Chemotherapy was associated with a 3-year survival rate OR = 2.08 (95% CI 1.93, 2.25; <i>P</i> < 0.0001), 5-year survival rate OR = 1.68 (95% CI 1.49, 1.89; <i>P</i> < 0.0001), and median survival time OR = 1.84 (95% CI 1.66, 2.04; <i>P</i> < 0.0001). Targeted therapy was associated with a 3-year survival rate OR = 2.91 (95% CI 2.65, 3.19; <i>P</i> < 0.0001), 5-year survival rate OR = 1.83 (95% CI 1.39, 2.33; <i>P</i> < 0.0001), and median survival time OR = 1.76 (95% CI 1.59, 1.94; <i>P</i> < 0.0001). Finally, immunotherapy was associated with a 3-year survival rate OR = 1.89 (95% CI 1.73, 2.07; <i>P</i> < 0.0001), 5-year survival rate OR = 1.66 (95% CI 1.46, 1.88; <i>P</i> < 0.0001), and median survival time OR = 2.53 (95% CI 2.27, 2.82; <i>P</i> < 0.0001). After screening differential genes and co-expressed genes in tumor gene databases, we found that AC245595.1, ITGB1-DT and AL606489.1 may be involved in the process of lung cancer invasion, and macrophages M1 and M2, CD4+-Th1, CD8+-Th1 may participate in immune infiltration.</p><h3 data-test="abstract-sub-heading">Conclusions</h3><p>In patients with visceral pleural invasion of stage IIA-IIB lung cancer, chemotherapy has shown a significant effect on improving prognosis and enhancing efficacy. However, surgical treatment did not significantly improve the overall prognosis. Therefore, the individual situation of the patient and the comprehensi
目的围绕肺癌内脏胸膜侵犯的治疗存在争议,目前尚无研究比较其四种主要治疗方案(即手术、化疗、靶向治疗和免疫治疗)的疗效。本研究旨在比较分析手术、化疗、靶向治疗和免疫治疗的疗效,探讨肺癌内脏胸膜浸润的最佳治疗方案。方法我们检索了电子数据库(即Pubmed、Embase、Cochrane Library、CNKI和中国生物医学文献数据库检索)中关于IIA-IIB期肺癌内脏胸膜浸润患者治疗方案的相关研究。检索时间限于 2000 年 1 月 1 日至 2021 年 2 月 20 日之间发表的研究。我们还从 GEO 和 TCGA 肿瘤数据库中下载了有关肺癌侵犯的原始 RNA 转录数据,并使用 R 4.0.3 软件进行了差异表达和共表达基因网络分析。Meta 分析发现,手术治疗与 3 年生存率 OR = 3.80 (95% CI 3.53, 4.09; P <0.0001)、5 年生存率 OR = 4.10 (95% CI 3.72, 4.53; P <0.0001)和中位生存时间 OR = 2.71 (95% CI 2.53, 2.89; P <0.0001)相关。化疗与 3 年生存率 OR = 2.08(95% CI 1.93,2.25;P <;0.0001)、5 年生存率 OR = 1.68(95% CI 1.49,1.89;P <;0.0001)和中位生存时间 OR = 1.84(95% CI 1.66,2.04;P <;0.0001)相关。靶向治疗与 3 年生存率 OR = 2.91(95% CI 2.65,3.19;P <;0.0001)、5 年生存率 OR = 1.83(95% CI 1.39,2.33;P <;0.0001)和中位生存时间 OR = 1.76(95% CI 1.59,1.94;P <;0.0001)相关。最后,免疫疗法与 3 年生存率 OR = 1.89(95% CI 1.73,2.07;P <;0.0001)、5 年生存率 OR = 1.66(95% CI 1.46,1.88;P <;0.0001)和中位生存时间 OR = 2.53(95% CI 2.27,2.82;P <;0.0001)相关。在对肿瘤基因数据库中的差异基因和共表达基因进行筛选后,我们发现AC245595.1、ITGB1-DT和AL606489.1可能参与了肺癌的侵袭过程,巨噬细胞M1和M2、CD4+-Th1、CD8+-Th1可能参与了免疫浸润。然而,手术治疗并不能明显改善总体预后。因此,在制定治疗方案时,应充分考虑患者的个体情况和治疗方案的综合效益。
{"title":"Prognosis evaluation and efficacy analysis of different treatment options for patients with visceral pleural invasion in stage IIA–IIB lung cancer","authors":"Qi Liu, Liusheng Wu, Xiangyu Wang, Yu Feng, Ying Wang, Jun Yan, Xiaoqiang Li","doi":"10.1007/s12672-024-01307-3","DOIUrl":"https://doi.org/10.1007/s12672-024-01307-3","url":null,"abstract":"&lt;h3 data-test=\"abstract-sub-heading\"&gt;Objective&lt;/h3&gt;&lt;p&gt;Controversy surrounds the treatment of visceral pleural invasion in lung cancer, and no studies have compared the efficacy of its four main treatment options (i.e., surgery, chemotherapy, targeted therapy, and immunotherapy). This study aims to compare and analyze surgery, chemotherapy, targeted therapy, and immunotherapy outcomes and explore the optimal treatment of visceral pleural invasion in lung cancer.&lt;/p&gt;&lt;h3 data-test=\"abstract-sub-heading\"&gt;Methods&lt;/h3&gt;&lt;p&gt;We searched electronic databases (i.e., Pubmed, Embase, Cochrane Library, CNKI, and Chinese Biomedical Literature Database Search) for relevant studies of treatment options for patients with visceral pleural invasion in stage IIA–IIB lung cancer. Searches times were limited to studies published between January 1, 2000 and February 20, 2021. Meta analysis was performed using RevMan 5.3 software We also downloaded original RNA transcription data about lung cancer invasion in the GEO and TCGA tumor databases, and used R 4.0.3 software to perform differential expression and co-expression gene network analyses.&lt;/p&gt;&lt;h3 data-test=\"abstract-sub-heading\"&gt;Results&lt;/h3&gt;&lt;p&gt;We included a total of 25 high-quality (i.e., Jadad score 4–7) studies. Meta-analysis found that surgical treatment was associated with a 3-year survival rate OR = 3.80 (95% CI 3.53, 4.09; &lt;i&gt;P&lt;/i&gt; &lt; 0.0001), 5-year survival rate OR = 4.10 (95% CI 3.72, 4.53; &lt;i&gt;P&lt;/i&gt; &lt; 0.0001), and median survival time OR = 2.71 (95% CI 2.53, 2.89; &lt;i&gt;P&lt;/i&gt; &lt; 0.0001). Chemotherapy was associated with a 3-year survival rate OR = 2.08 (95% CI 1.93, 2.25; &lt;i&gt;P&lt;/i&gt; &lt; 0.0001), 5-year survival rate OR = 1.68 (95% CI 1.49, 1.89; &lt;i&gt;P&lt;/i&gt; &lt; 0.0001), and median survival time OR = 1.84 (95% CI 1.66, 2.04; &lt;i&gt;P&lt;/i&gt; &lt; 0.0001). Targeted therapy was associated with a 3-year survival rate OR = 2.91 (95% CI 2.65, 3.19; &lt;i&gt;P&lt;/i&gt; &lt; 0.0001), 5-year survival rate OR = 1.83 (95% CI 1.39, 2.33; &lt;i&gt;P&lt;/i&gt; &lt; 0.0001), and median survival time OR = 1.76 (95% CI 1.59, 1.94; &lt;i&gt;P&lt;/i&gt; &lt; 0.0001). Finally, immunotherapy was associated with a 3-year survival rate OR = 1.89 (95% CI 1.73, 2.07; &lt;i&gt;P&lt;/i&gt; &lt; 0.0001), 5-year survival rate OR = 1.66 (95% CI 1.46, 1.88; &lt;i&gt;P&lt;/i&gt; &lt; 0.0001), and median survival time OR = 2.53 (95% CI 2.27, 2.82; &lt;i&gt;P&lt;/i&gt; &lt; 0.0001). After screening differential genes and co-expressed genes in tumor gene databases, we found that AC245595.1, ITGB1-DT and AL606489.1 may be involved in the process of lung cancer invasion, and macrophages M1 and M2, CD4+-Th1, CD8+-Th1 may participate in immune infiltration.&lt;/p&gt;&lt;h3 data-test=\"abstract-sub-heading\"&gt;Conclusions&lt;/h3&gt;&lt;p&gt;In patients with visceral pleural invasion of stage IIA-IIB lung cancer, chemotherapy has shown a significant effect on improving prognosis and enhancing efficacy. However, surgical treatment did not significantly improve the overall prognosis. Therefore, the individual situation of the patient and the comprehensi","PeriodicalId":13170,"journal":{"name":"Hormones and Cancer","volume":"183 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142206376","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
Latrophilin-3 as a downstream effector of the androgen receptor induces bladder cancer progression Latrophilin-3作为雄激素受体的下游效应因子诱导膀胱癌进展
Pub Date : 2024-09-13 DOI: 10.1007/s12672-024-01324-2
Takuro Goto, Yuki Teramoto, Yujiro Nagata, Hiroshi Miyamoto

Emerging evidence indicates that androgen receptor (AR) signaling plays a critical role in the pathogenesis of male-dominant urothelial cancer and its outgrowth. Meanwhile, latrophilins (LPHNs), a group of the G-protein-coupled receptors to which a spider venom latrotoxin (LTX) is known to bind, remain largely uncharacterized in neoplastic diseases. The present study aimed to determine the functional role of LPHN3 (encoded by the ADGRL3 gene), in association with AR signaling, in the progression of bladder cancer. In AR-positive bladder cancer lines, dihydrotestosterone considerably increased the expression levels of ADGRL3 and LPHN3, while chromatin immunoprecipitation assay revealed the binding of AR to the promoter region of ADGRL3. Treatment with LPHN3 ligands (e.g. α-LTX, FLRT3) resulted in the induction of ADGRL3 expression, as well as cell viability, in bladder cancer lines. By contrast, LPHN3 knockdown via shRNA virus infection significantly reduced the viability and migration of these cells. Immunohistochemistry in transurethral resection specimens further showed a strong correlation between LPHN3 and AR expression. Moreover, LPHN3 positivity in muscle-invasive bladder tumors, as an independent prognosticator, was associated with a significantly higher risk of disease progression and disease-specific mortality following radical cystectomy. These findings suggest that LPHN3 functions as a downstream effector of AR and promotes the growth of bladder cancer.

新的证据表明,雄激素受体(AR)信号在男性占主导地位的尿道癌的发病和生长过程中起着关键作用。与此同时,Latrophilins(LPHNs)是一组G蛋白偶联受体,已知蜘蛛毒液中的latrotoxin(LTX)与之结合,但在肿瘤疾病中的作用在很大程度上仍未定性。本研究旨在确定 LPHN3(由 ADGRL3 基因编码)与 AR 信号在膀胱癌进展过程中的功能作用。在AR阳性的膀胱癌株系中,双氢睾酮显著增加了ADGRL3和LPHN3的表达水平,染色质免疫沉淀分析显示AR与ADGRL3的启动子区域结合。用LPHN3配体(如α-LTX、FLRT3)处理膀胱癌株可诱导ADGRL3的表达以及细胞活力。相比之下,通过 shRNA 病毒感染敲除 LPHN3 能显著降低这些细胞的活力和迁移能力。经尿道切除标本的免疫组化进一步表明,LPHN3与AR的表达密切相关。此外,肌肉浸润性膀胱肿瘤中的 LPHN3 阳性作为一个独立的预后指标,与根治性膀胱切除术后疾病进展风险和疾病特异性死亡率显著升高有关。这些研究结果表明,LPHN3 是 AR 的下游效应因子,能促进膀胱癌的生长。
{"title":"Latrophilin-3 as a downstream effector of the androgen receptor induces bladder cancer progression","authors":"Takuro Goto, Yuki Teramoto, Yujiro Nagata, Hiroshi Miyamoto","doi":"10.1007/s12672-024-01324-2","DOIUrl":"https://doi.org/10.1007/s12672-024-01324-2","url":null,"abstract":"<p>Emerging evidence indicates that androgen receptor (AR) signaling plays a critical role in the pathogenesis of male-dominant urothelial cancer and its outgrowth. Meanwhile, latrophilins (LPHNs), a group of the G-protein-coupled receptors to which a spider venom latrotoxin (LTX) is known to bind, remain largely uncharacterized in neoplastic diseases. The present study aimed to determine the functional role of LPHN3 (encoded by the <i>ADGRL3</i> gene), in association with AR signaling, in the progression of bladder cancer. In AR-positive bladder cancer lines, dihydrotestosterone considerably increased the expression levels of <i>ADGRL3</i> and LPHN3, while chromatin immunoprecipitation assay revealed the binding of AR to the promoter region of <i>ADGRL3</i>. Treatment with LPHN3 ligands (e.g. α-LTX, FLRT3) resulted in the induction of <i>ADGRL3</i> expression, as well as cell viability, in bladder cancer lines. By contrast, LPHN3 knockdown via shRNA virus infection significantly reduced the viability and migration of these cells. Immunohistochemistry in transurethral resection specimens further showed a strong correlation between LPHN3 and AR expression. Moreover, LPHN3 positivity in muscle-invasive bladder tumors, as an independent prognosticator, was associated with a significantly higher risk of disease progression and disease-specific mortality following radical cystectomy. These findings suggest that LPHN3 functions as a downstream effector of AR and promotes the growth of bladder cancer.</p>","PeriodicalId":13170,"journal":{"name":"Hormones and Cancer","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142226420","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
CD206 accelerates hepatocellular carcinoma progression by regulating the tumour immune microenvironment and increasing M2-type polarisation of tumour-associated macrophages and inflammation factor expression CD206 通过调节肿瘤免疫微环境、增加肿瘤相关巨噬细胞的 M2- 型极化和炎症因子的表达,加速肝细胞癌的进展
Pub Date : 2024-09-13 DOI: 10.1007/s12672-024-01309-1
Zhiyuan Mao, Yalin Han, Yinglin Li, Li Bai

Objective

This study aims to investigate the effect of CD206 on the progression of hepatocellular carcinoma (HCC) and the regulation of the tumour immune microenvironment.

Methods

A subcutaneous mouse model of HCC was established and treated with CD206-overexpressing adenovirus by tail vein injection or CD206 antibody C068C2 by intratumoral injection. The hepatocarcinoma-bearing mice were divided into four groups (IgG+ tail vein adenovirus group, IgG group, C068C2+ tail vein adenovirus group and C068C2 group) to observe the changes in tumour weight and volume with different expression levels of CD206. The proportion of M2-type tumour-associated macrophages (TAMs) was detected by flow cytometry and immunofluorescence. The apoptosis of tumour cells was detected using terminal deoxynucleotidyl transferase dUTP nick-end labelling (TUNEL) staining, and inflammatory factors in serum and tissues were detected using the ENZYME-LINKED IMMUNOSORBENT ASSAY.

Results

Compared with the mice with low CD206 expression, the hepatocarcinoma-bearing mice with high CD206 expression in HCC exhibited faster tumour growth and more aggressive progression. Flow cytometry and immunofluorescence staining revealed that the expression level of CD206-positive M2-type TAMs was highest in the IgG + adenovirus group and lowest in the C068C2 group (p < 0.001). Compared with the IgG + adenovirus group, the proportion of TUNEL-positive cells in tumour cells was significantly reduced in the C068C2 group. The IgG + adenovirus group had the highest concentrations of transforming growth factor-β (TGF-β) and interleukin 6 (IL-6) in both serum and tumour tissues.

Conclusion

The overexpression of CD206 accelerates the progression of HCC and changes the tumour immune microenvironment. The high expression of CD206 in HCC increases the M2-type polarisation of TAMs and induces the expression of both TGF-β and IL-6 in tumour tissues and serum, thereby promoting HCC progression.

方法建立HCC皮下小鼠模型,尾静脉注射CD206过表达腺病毒或瘤内注射CD206抗体C068C2。将肝癌小鼠分为四组(IgG+尾静脉腺病毒组、IgG组、C068C2+尾静脉腺病毒组和C068C2组),观察不同CD206表达水平下肿瘤重量和体积的变化。流式细胞术和免疫荧光法检测M2型肿瘤相关巨噬细胞(TAMs)的比例。结果与 CD206 低表达的小鼠相比,CD206 高表达的肝癌小鼠的肿瘤生长更快,病情发展更具侵袭性。流式细胞术和免疫荧光染色显示,CD206阳性M2型TAMs的表达水平在IgG+腺病毒组最高,而在C068C2组最低(p <0.001)。与 IgG +腺病毒组相比,C068C2 组肿瘤细胞中 TUNEL 阳性细胞的比例明显降低。IgG +腺病毒组血清和肿瘤组织中转化生长因子-β(TGF-β)和白细胞介素6(IL-6)的浓度最高。CD206在HCC中的高表达增加了TAMs的M2型极化,并诱导TGF-β和IL-6在肿瘤组织和血清中的表达,从而促进了HCC的进展。
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引用次数: 0
Unveiling the impact of cell death-related genes and immune dynamics on drug resistance in lung adenocarcinoma: a risk score model and functional insights 揭示细胞死亡相关基因和免疫动态对肺腺癌耐药性的影响:风险评分模型和功能性见解
Pub Date : 2024-09-13 DOI: 10.1007/s12672-024-01336-y
Yuanyuan Xiao, Shancheng He, Baochang Xie, Wenqi Zhao, Dengliang Ji

Lung adenocarcinoma (LUAD), characterized by its heterogeneity and complex pathogenesis, is the focus of this study which investigates the association between cell death-related genes and LUAD. Through machine learning, a risk score model was developed using the Coxboost rsf algorithm, demonstrating strong prognostic accuracy in both validation (GSE30219, GSE31210, GSE72094) and training (TCGA-LUAD) datasets with C-indices of 0.93, 0.67, 0.68, and 0.64, respectively. The study reveals that the expression of Keratin 18 (KRT18), a key cytoskeletal protein, varies across LUAD cell lines (DV-90, PC-9, A549) compared to normal bronchial epithelial cells (BEAS-2B), suggesting its potential role in LUAD's pathogenesis. Kaplan–Meier survival curves further validate the model, indicating longer survival in the low-risk group. A comprehensive analysis of gene expression, functional differences, immune infiltration, and mutations underscores significant variations between risk groups, highlighting the high-risk group's immunological dysfunction. This points to a more intricate tumor immune environment and the possibility of alternative therapeutic strategies. The study also delves into drug sensitivity, showing distinct responses between risk groups, underscoring the importance of risk stratification in treatment decisions for LUAD patients. Additionally, it explores KRT18's epigenetic regulation and its correlation with immune cell infiltration and immune regulatory molecules, suggesting KRT18's significant role in the tumor immune landscape. This research not only offers a valuable prognostic tool for LUAD but also illuminates the complex interplay between cell death-related genes, drug sensitivity, and immune infiltration, positioning KRT18 as a potential therapeutic or prognostic target to improve patient outcomes by personalizing LUAD treatment strategies.

肺腺癌(LUAD)的特点是异质性和复杂的发病机制,本研究的重点是调查细胞死亡相关基因与 LUAD 之间的关联。通过机器学习,利用 Coxboost rsf 算法建立了一个风险评分模型,该模型在验证数据集(GSE30219、GSE31210、GSE72094)和训练数据集(TCGA-LUAD)中都表现出很高的预后准确性,C 指数分别为 0.93、0.67、0.68 和 0.64。研究发现,与正常支气管上皮细胞(BEAS-2B)相比,角蛋白18(KRT18)这一关键细胞骨架蛋白在LUAD细胞系(DV-90、PC-9、A549)中的表达存在差异,这表明角蛋白18在LUAD的发病机制中发挥着潜在作用。卡普兰-梅耶生存曲线进一步验证了该模型,表明低风险组的生存期更长。对基因表达、功能差异、免疫浸润和突变的综合分析凸显了不同风险组之间的显著差异,突出了高风险组的免疫功能障碍。这表明肿瘤免疫环境更加错综复杂,有可能采用其他治疗策略。该研究还深入探讨了药物敏感性,显示了不同风险组之间的不同反应,强调了在对LUAD患者进行治疗决策时进行风险分层的重要性。此外,研究还探讨了 KRT18 的表观遗传调控及其与免疫细胞浸润和免疫调节分子的相关性,表明 KRT18 在肿瘤免疫环境中发挥着重要作用。这项研究不仅为 LUAD 的预后提供了有价值的工具,还揭示了细胞死亡相关基因、药物敏感性和免疫浸润之间复杂的相互作用,将 KRT18 定位为潜在的治疗或预后靶点,通过个性化 LUAD 治疗策略改善患者预后。
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引用次数: 0
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Hormones and Cancer
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