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L-cysteine contributes to destructive activities of odontogenic cysts/tumor L-半胱氨酸有助于牙源性囊肿/肿瘤的破坏活动
Pub Date : 2024-04-08 DOI: 10.1007/s12672-024-00959-5
Ji Li, Chunyu Feng, Xiaochan Pang, Xiang Li, Xinyu Dou, Erhui Jiang, Zhengjun Shang

Background

Odontogenic cysts/tumor can cause severe bone destruction, which affects maxillofacial function and aesthetics. Meanwhile, metabolic reprogramming is an important hallmark of diseases. Changes in metabolic flow affect all aspects of disease, especially bone-related diseases. At present, the researches on pathogenesis of odontogenic cysts/tumor are mainly focused on the level of gene regulation, but the effects of metabolic alterations on odontogenic cysts/tumor have still underexplored.

Materials and methods

Imaging analysis was used to evaluate the lesion size of different odontogenic lesions. Tartrate resistant acid phosphatase (TRAP) and immunohistochemistry (IHC) assays were utilized to detect the differences in bone destruction activity in odontogenic cysts and tumors. Furthermore, metabolomics and weighted gene co-expression network analysis (WGCNA) were conducted for the metabolomic features and key metabolite screening, respectively. The effect of ferroptosis inhibition on bone destruction was confirmed by IHC, immunofluorescence, and malondialdehyde colorimetric assay.

Results

The bone destruction activity of ameloblastoma (AM) was the strongest and the weakest in odontogenic cysts (OC). High-throughput targeted metabolomics was used to map the metabolomic profiles of OC, odontogenic keratocyst (OKC) and AM. WGCNA and differential analysis identified L-cysteine in OKC and AM. Cystathionine γ-lyase (CTH) was further screened by Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis. The functions of L-cysteine were further validated. Finally, we confirmed that CTH affected destructive activities by regulating the sensitivity of epithelial cells to ferroptosis.

Conclusion

High-throughput targeted metabolomics performed on diseased tissue confirmed the unique alteration of metabolic profiles in OKC and AM. CTH and its metabolite L-cysteine are the key factors regulating destructive activities.

背景牙源性囊肿/肿瘤可导致严重的骨质破坏,影响颌面部功能和美观。同时,代谢重编程是疾病的一个重要特征。代谢流的变化会影响疾病的各个方面,尤其是与骨相关的疾病。目前,关于牙源性囊肿/肿瘤发病机制的研究主要集中在基因调控层面,但代谢改变对牙源性囊肿/肿瘤的影响仍未得到充分探索。利用酒石酸耐酸性磷酸酶(TRAP)和免疫组化(IHC)检测牙源性囊肿和肿瘤中骨破坏活性的差异。此外,代谢组学和加权基因共表达网络分析(WGCNA)分别用于代谢组学特征和关键代谢物的筛选。结果 骨髓母细胞瘤(AM)的骨破坏活性最强,而牙源性囊肿(OC)的骨破坏活性最弱。利用高通量靶向代谢组学绘制了OC、牙源性角化囊肿(OKC)和AM的代谢组图谱。WGCNA和差异分析确定了OKC和AM中的L-半胱氨酸。通过京都基因和基因组百科全书(KEGG)分析,进一步筛选出胱硫醚γ-裂解酶(CTH)。进一步验证了 L-半胱氨酸的功能。结论对病变组织进行的高通量靶向代谢组学研究证实,OKC 和 AM 的代谢谱发生了独特的变化。CTH及其代谢产物L-半胱氨酸是调节破坏活动的关键因素。
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引用次数: 0
Significance and implications of FHIT gene expression and promoter hypermethylation in acute lymphoblastic leukemia (ALL) 急性淋巴细胞白血病(ALL)中 FHIT 基因表达和启动子超甲基化的意义和影响
Pub Date : 2024-04-08 DOI: 10.1007/s12672-024-00971-9
Fozia Mohammad, Arshad A. Pandith, Shayaq Ul Abeer Rasool, Faisal R. Guru, Iqbal Qasim, Sajad Geelani, Syed Nisar, Shahid M. Baba, Farooq A. Ganie, Safiya Kouser, Javid Rasool

Background

Fragile histidine triad (FHIT) has been documented to play a vital role in various cancers including acute lymphoblastic leukemia (ALL). Keeping in view the plausible role of FHIT gene, we aimed to examine DNA promoter hypermethylation and mRNA expression in ALL cases in Kashmir (North India).

Methods

A total of 66 cases of ALL were analyzed for FHIT mRNA expression and promoter methylation by qRT-PCR and Methylation Specific-PCR (MS-PCR) respectively.

Results

FHIT mRNA expression showed significantly decreased expression in ALL cases with mean fold change of 9.24 ± 5.44 as compared to healthy controls (p = 0.01). The pattern of FHIT deregulation in ALL cases differed significantly between decreased and increased expression (p < 0.0001). A threefold decreased expression was observed in 75% of ALL cases than healthy controls (− 3.58 ± 2.32). ALL patients with FHIT gene promoter hypermethylation presented significantly higher in 80% (53/66) of cases (p = 0.0005). The association of FHIT gene hypermethylation and its subsequent expression showed FHIT mRNA expression as significantly lower in ALL cases with hypermethylation (p = 0.0008). B-ALL cases exhibited a highly significant association between the methylation pattern and its mRNA expression (p = 0.000). In low range WBC group, a significant association was found between increased expression (26%) of the cases and methylated (4%)/unmethylated group 86% (p = 0.0006).

Conclusion

The present study conclude that FHIT gene hypermethylation and its altered expression may be linked in the pathogenesis of ALL and provide an evidence for the role of FHIT in the development of ALL.

背景据记载,脆弱组氨酸三联体(FHIT)在包括急性淋巴细胞白血病(ALL)在内的多种癌症中发挥着重要作用。方法通过qRT-PCR和甲基化特异性PCR(MS-PCR)分别对66例ALL患者的FHIT mRNA表达和启动子甲基化进行分析。在ALL病例中,FHIT表达的失调模式在表达减少和表达增加之间存在明显差异(p < 0.0001)。与健康对照组相比,75%的ALL病例的表达量减少了三倍(- 3.58 ± 2.32)。在 80% 的 ALL 患者(53/66)中,FHIT 基因启动子高甲基化的比例明显更高(p = 0.0005)。FHIT基因高甲基化与后续表达的关系显示,FHIT mRNA表达在高甲基化的ALL病例中明显降低(p = 0.0008)。B-ALL病例的甲基化模式与其mRNA表达之间存在非常显著的关联(p = 0.000)。本研究认为,FHIT 基因的高甲基化及其表达的改变可能与 ALL 的发病机制有关,并为 FHIT 在 ALL 的发病中的作用提供了证据。
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引用次数: 0
Relationship of mTORC1 and ferroptosis in tumors 肿瘤中的 mTORC1 与铁凋亡的关系
Pub Date : 2024-04-07 DOI: 10.1007/s12672-024-00954-w
Huilin Liao, Yueqing Wang, Lili Zou, Yanmei Fan, Xinyue Wang, Xiancong Tu, Qiaobai Zhu, Jun Wang, Xiaowen Liu, Chuanjiang Dong

Ferroptosis is a novel form of programmed death, dependent on iron ions and oxidative stress, with a predominant intracellular form of lipid peroxidation. In recent years, ferroptosis has gained more and more interest of people in the treatment mechanism of targeted tumors. mTOR, always overexpressed in the tumor, and controlling cell growth and metabolic activities, has an important role in both autophagy and ferroptosis. Interestingly, the selective types of autophay plays an important role in promoting ferroptosis, which is related to mTOR and some metabolic pathways (especially in iron and amino acids). In this paper, we list the main mechanisms linking ferroptosis with mTOR signaling pathway and further summarize the current compounds targeting ferroptosis in these ways. There are growing experimental evidences that targeting mTOR and ferroptosis may have effective impact in many tumors, and understanding the mechanisms linking mTOR to ferroptosis could provide a potential therapeutic approach for tumor treatment.

铁凋亡是一种新型的程序性死亡,依赖于铁离子和氧化应激,细胞内主要是脂质过氧化。mTOR 始终在肿瘤中过表达,控制着细胞的生长和代谢活动,在自噬和铁变性中都扮演着重要角色。有趣的是,自噬的选择性类型在促进铁突变中起着重要作用,而铁突变与 mTOR 和一些代谢途径(尤其是铁和氨基酸)有关。在本文中,我们列举了铁突变与 mTOR 信号通路的主要联系机制,并进一步总结了目前通过这些途径靶向铁突变的化合物。越来越多的实验证据表明,以 mTOR 和铁突变为靶点可能会对许多肿瘤产生有效的影响,而了解 mTOR 与铁突变之间的联系机制可能会为肿瘤治疗提供一种潜在的治疗方法。
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引用次数: 0
Morbidity and mortality of patients with peritoneal malignancy following cytoreductive surgery and hyperthermic intraperitoneal chemotherapy 腹膜恶性肿瘤患者接受细胞切除手术和腹腔内热化疗后的发病率和死亡率
Pub Date : 2024-04-05 DOI: 10.1007/s12672-024-00968-4
Greta Hotza, Michael Karageorgos, Varvara Pastourmatzi, Nader Baniowda, Dimitrios Kyziridis, Apostolos Kalakonas, Nicolaos Chavouzis, Irene Hotza, Antonios-Apostolos Tentes

Abstract

Background

The purpose of this study was to record the incidence, and identify the prognostic variables of morbidity and mortality in patients with peritoneal malignancy undergoing cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC).

Methods

The files of patients with peritoneal malignancy who underwent CRS + HIPEC from 2015–2022 were retrieved. Morbidity and hospital mortality were recorded and correlated to a variety of clinical variables.

Results

A total of 44/192 (22.9%) patients were recorded with postoperative complications. Grade 3 and 4 complications were 12.5%. The possible prognostic variables of morbidity were the extent of peritoneal malignancy and the number of suture lines. The mortality rate was 2.5% (5 patients). The number of FFP units, and peritonectomy procedures were identified as possible prognostic variables of hospital mortality.

Conclusions

The morbidity rate in patients undergoing CRS + HIPEC is acceptable compared to morbidity of previous publications or major gastrointestinal surgical operations. The possible prognostic variables of morbidity are the extent of peritoneal malignancy, and the number of suture lines. The mortality rate is low. The possible prognostic variables of mortality are the number of FFP units, and the number of peritonectomy procedures.

摘要 背景 本研究旨在记录接受细胞减毒手术(CRS)联合腹腔热化疗(HIPEC)的腹膜恶性肿瘤患者的发病率,并确定其发病率和死亡率的预后变量。 方法 检索 2015-2022 年期间接受 CRS + HIPEC 的腹膜恶性肿瘤患者的档案。记录发病率和住院死亡率,并将其与各种临床变量相关联。 结果 共有44/192(22.9%)名患者出现术后并发症。3级和4级并发症占12.5%。腹膜恶性肿瘤的程度和缝合线的数量可能是影响发病率的预后变量。死亡率为2.5%(5名患者)。FFP单位数和腹膜切除术被确定为医院死亡率的可能预后变量。 结论 CRS + HIPEC 患者的发病率与之前发表的文章或大型胃肠道外科手术的发病率相比是可以接受的。腹膜恶性肿瘤的程度和缝合线的数量可能是发病率的预后变量。死亡率较低。死亡率的可能预后变量是 FFP 单位的数量和腹膜切除手术的数量。
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引用次数: 0
BRD4 inhibitors broadly promote erastin-induced ferroptosis in different cell lines by targeting ROS and FSP1 BRD4抑制剂通过靶向ROS和FSP1,在不同细胞系中广泛促进麦拉宁诱导的铁变态反应
Pub Date : 2024-04-03 DOI: 10.1007/s12672-024-00928-y
Chenyang Fan, Xiaohong Guo, Jie Zhang, Wen Zheng, Chonglin Shi, Yongwei Qin, Haoliang Shen, Yang Lu, Yihui Fan, Yanli Li, Liuting Chen, Renfang Mao

Ferroptosis, an iron-dependent form of programmed cell death, is a promising strategy for cancer treatment. Bromodomain-containing protein 4 (BRD4) is an epigenetic reader and a promising target for cancer therapeutics. However, the role of BRD4 in ferroptosis is controversial and the value of the interaction between BRD4 inhibitors and ferroptosis inducers remains to be explored. Here, we found that BRD4 inhibition greatly enhanced erastin-induced ferroptosis in different types of cells, including HEK293T, HeLa, HepG2, RKO, and PC3 cell lines. Knocking down BRD4 in HEK293T and HeLa cells also promoted erastin-induced cell death. BRD4 inhibition by JQ-1 and I-BET-762 or BRD4 knockdown resulted in substantial accumulation of reactive oxygen species (ROS) in both HEK293T and HeLa cells. The effect of BRD4 inhibition on ferroptosis-associated genes varied in different cells. After using BRD4 inhibitors, the expression of FTH1, Nrf2, and GPX4 increased in HEK293T cells, while the levels of VDAC2, VDAC3, and FSP1 decreased. In HeLa cells, the expression of FTH1, VDAC2, VDAC3, Nrf2, GPX4, and FSP1 was reduced upon treatment with JQ-1 and I-BET-762. Consistently, the level of FSP1 was greatly reduced in HEK293T and HeLa cells with stable BRD4 knockdown compared to control cells. Furthermore, ChIP-sequencing data showed that BRD4 bound to the promoter of FSP1, but the BRD4 binding was greatly reduced upon JQ-1 treatment. Our results suggest that ROS accumulation and FSP1 downregulation are common mechanisms underlying increased ferroptosis with BRD4 inhibitors. Thus, BRD4 inhibitors might be more effective in combination with ferroptosis inducers, especially in FSP1-dependent cancer cells.

铁凋亡是一种依赖铁的程序性细胞死亡,是一种很有前景的癌症治疗策略。含溴结构域蛋白4(BRD4)是一种表观遗传读写器,也是一种很有前景的癌症治疗靶标。然而,BRD4在铁凋亡中的作用尚存争议,BRD4抑制剂与铁凋亡诱导剂之间相互作用的价值仍有待探索。在这里,我们发现抑制BRD4能大大增强厄拉斯汀诱导的不同类型细胞(包括HEK293T、HeLa、HepG2、RKO和PC3细胞系)的嗜铁细胞增多。在 HEK293T 和 HeLa 细胞中敲除 BRD4 也会促进麦角固醇诱导的细胞死亡。JQ-1和I-BET-762抑制BRD4或敲除BRD4会导致活性氧(ROS)在HEK293T和HeLa细胞中大量积累。在不同的细胞中,BRD4抑制对铁蛋白沉积相关基因的影响各不相同。使用 BRD4 抑制剂后,HEK293T 细胞中 FTH1、Nrf2 和 GPX4 的表达增加,而 VDAC2、VDAC3 和 FSP1 的水平下降。在 HeLa 细胞中,经 JQ-1 和 I-BET-762 处理后,FTH1、VDAC2、VDAC3、Nrf2、GPX4 和 FSP1 的表达量减少。同样,与对照细胞相比,稳定敲除 BRD4 的 HEK293T 和 HeLa 细胞中 FSP1 的水平大大降低。此外,ChIP 测序数据显示,BRD4 与 FSP1 的启动子结合,但在 JQ-1 处理后,BRD4 的结合大大减少。我们的研究结果表明,ROS积累和FSP1下调是BRD4抑制剂增加铁突变的共同机制。因此,BRD4 抑制剂与铁突变诱导剂联合使用可能会更有效,尤其是在依赖 FSP1 的癌细胞中。
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引用次数: 0
Development of chitosan-folate modified PLGA nanoparticles for targeted delivery of diosgenin as an anticancer agent 开发壳聚糖-叶酸修饰的聚乳酸(PLGA)纳米颗粒,用于靶向递送作为抗癌剂的薯蓣皂苷
Pub Date : 2024-04-03 DOI: 10.1007/s12672-024-00957-7
Fatemeh Teymouri, Ehsan Karimi

Diosgenin as a potential phytoconstituent and steroidal saponin manifested significant anticancer agents against various cancers. To enhance its solubility and bioavailability in cancer treatment, we loaded diosgenin (PubChem CID: 99474) in poly(lactic-co-glycolide) (PLGA) nanoparticle coated with folic acid-chitosan (Da-PFC-NPs). The diosgenin nano-formulation was characterized and its antioxidant and anticancer properties were surveyed respectively. The obtained results illustrated that the Da-PFC-NPs were spherical and stable with a size of 218 nm and a polydispersity index of 0.41. The Da-PFC-NPs indicated potential free radical scavenging using ABTS and DPPH assay. Meanwhile, it demonstrated selective toxicity against the TUBO breast cancer cell with IC50 values of 104.45 μg/ml and did not show toxicity on normal cells (I929 cell line). The invivo funding exhibited that Da-PFC-NPs notably altered the liver enzymes (AST, ALT, ALP) and immunoglobulins (IgA, IgG, IgM). Besides that, different doses of Da-PFC-NPs (50 and 100 mg/kg) remarkedly enhance the expression of caspase 3 and decrease HER2 genes. In light of this experiment, we can conclude that Da-PFC-NPs have promise as novel carrier for improving the delivery of diosgenin in cancer therapy.

薯蓣皂苷作为一种潜在的植物成分和甾体皂苷,对多种癌症具有显著的抗癌作用。为了提高薯蓣皂苷在癌症治疗中的可溶性和生物利用度,我们将薯蓣皂苷(PubChem CID:99474)添加到包覆叶酸-壳聚糖的聚乳酸-聚乙二醇(PLGA)纳米粒子(Da-PFC-NPs)中。研究人员对双歧因子纳米制剂进行了表征,并分别考察了其抗氧化和抗癌特性。研究结果表明,Da-PFC-NPs 为球形且稳定,尺寸为 218 nm,多分散指数为 0.41。利用 ABTS 和 DPPH 法检测,Da-PFC-NPs 具有潜在的自由基清除能力。同时,它对 TUBO 乳腺癌细胞具有选择性毒性,IC50 值为 104.45 μg/ml,而对正常细胞(I929 细胞系)没有毒性。体内研究结果表明,Da-PFC-NPs 能显著改变肝脏酶(AST、ALT、ALP)和免疫球蛋白(IgA、IgG、IgM)。此外,不同剂量的 Da-PFC-NPs(50 和 100 mg/kg)显著提高了 Caspase 3 的表达,降低了 HER2 基因的表达。综上所述,我们可以得出结论:Da-PFC-NPs 是一种新型载体,有望在癌症治疗中改善薯蓣皂苷的递送。
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引用次数: 0
MAP3K4 kinase action and dual role in cancer MAP3K4 激酶的作用和在癌症中的双重角色
Pub Date : 2024-04-03 DOI: 10.1007/s12672-024-00961-x
Yuxin Huang, Guanwen Wang, Ningning Zhang, Xiaohua Zeng

It is commonly known that the MAPK pathway is involved in translating environmental inputs, regulating downstream reactions, and maintaining the intrinsic dynamic balance. Numerous essential elements and regulatory processes are included in this pathway, which are essential to its functionality. Among these, MAP3K4, a member of the serine/threonine kinases family, plays vital roles throughout the organism's life cycle, including the regulation of apoptosis and autophagy. Moreover, MAP3K4 can interact with key partners like GADD45, which affects organism's growth and development. Notably, MAP3K4 functions as both a tumor promotor and suppressor, being activated by a variety of factors and triggering diverse downstream pathways that differently influence cancer progression. The aim of this study is to provide a brief overview of physiological functions of MAP3K4 and shed light on its contradictory roles in tumorigenesis.

众所周知,MAPK 通路参与转化环境输入、调节下游反应和维持内在动态平衡。该通路中包含了许多对其功能至关重要的基本要素和调控过程。其中,丝氨酸/苏氨酸激酶家族成员 MAP3K4 在整个生物体生命周期中发挥着重要作用,包括调节细胞凋亡和自噬。此外,MAP3K4 还能与 GADD45 等关键伙伴相互作用,从而影响生物体的生长和发育。值得注意的是,MAP3K4 既是肿瘤的促进因子,也是肿瘤的抑制因子,可被多种因素激活,并触发不同的下游通路,从而对癌症的进展产生不同的影响。本研究旨在概述 MAP3K4 的生理功能,并揭示其在肿瘤发生中的矛盾作用。
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引用次数: 0
The combined effect of MTHFR C677T and A1298C polymorphisms on the risk of digestive system cancer among a hypertensive population MTHFR C677T 和 A1298C 多态性对高血压人群罹患消化系统癌症风险的联合影响
Pub Date : 2024-04-02 DOI: 10.1007/s12672-024-00960-y
Qiangqiang He, Yaping Wei, Hehao Zhu, Qiongyue Liang, Ping Chen, Shuqun Li, Yun Song, Lishun Liu, Binyan Wang, Xiping Xu, Yuhan Dong

Background and purpose

The enzyme methylenetetrahydrofolate reductase (MTHFR) plays a crucial role in directing folate species towards nucleotide synthesis or DNA methylation. The MTHFR polymorphisms C677T and A1298C have been linked to cancer susceptibility, but the evidence supporting this association has been equivocal. To investigate the individual and joint associations between MTHFR C677T, A1298C, and digestive system cancer in a Chinese hypertensive population, we conducted a population-based case–control study involving 751 digestive system cancer cases and one-to-one matched controls from the China H-type Hypertension Registry Study (CHHRS).

Methods

We utilized the conditional logistic regression model to evaluate multivariate odds ratios (ORs) and 95% confidence intervals (CIs) of digestive system cancer.

Results

The analysis revealed a significantly lower risk of digestive system cancer in individuals with the CT genotype (adjusted OR: 0.71; 95% CI 0.52, 0.97; P = 0.034) and TT genotype (adjusted OR: 0.57; 95% CI 0.40, 0.82; P = 0.003; P for trend = 0.003) compared to those with the 677CC genotype. Although A1298C did not show a measurable association with digestive system cancer risk, further stratification of 677CT genotype carriers by A1298C homozygotes (AA) and heterozygotes (AC) revealed a distinct trend within these subgroups.

Conclusion

These findings indicate a potential protective effect against digestive system cancer associated with the T allele of MTHFR C677T. Moreover, we observed that the presence of different combinations of MTHFR polymorphisms may contribute to varying susceptibilities to digestive system cancer.

背景和目的亚甲基四氢叶酸还原酶(MTHFR)在引导叶酸种类进行核苷酸合成或 DNA 甲基化方面起着至关重要的作用。MTHFR多态性C677T和A1298C与癌症易感性有关,但支持这种关联的证据并不明确。为了研究中国高血压人群中 MTHFR C677T、A1298C 与消化系统癌症之间的个体和联合关联,我们开展了一项基于人群的病例对照研究,涉及 751 例消化系统癌症病例和来自中国 H 型高血压登记研究(CHRS)的一对一匹配对照。结果分析表明,CT 基因型个体患消化系统癌症的风险显著降低(调整后 OR:0.71;95% CI 0.52,0.97;P = 0.034)和 TT 基因型(调整 OR:0.57;95% CI 0.40,0.82;P = 0.003;趋势 P = 0.003)的人患消化系统癌症的风险明显低于 677CC 基因型的人。虽然 A1298C 与消化系统癌症风险没有明显的关联,但将 677CT 基因型携带者按 A1298C 同卵双生(AA)和异卵双生(AC)进一步分层后发现,在这些亚组中存在明显的趋势。此外,我们还发现,不同的 MTHFR 多态性组合可能会导致对消化系统癌症的不同易感性。
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引用次数: 0
Evaluation of next-generation sequencing versus next-generation flow cytometry for minimal-residual-disease detection in Chinese patients with multiple myeloma 中国多发性骨髓瘤患者最小残留病检测中新一代测序与新一代流式细胞术的对比评估
Pub Date : 2024-03-19 DOI: 10.1007/s12672-024-00938-w
Mo Zhou, Yan Chen, Yanlei Gong, Mingqing Zhu, Jiannong Cen, Jinlan Pan, Lingzhi Yan, Jingjing Shang, Song Jin, Xiaolan Shi, Weiqin Yao, Shuang Yan, Depei Wu, Suning Chen, Chengcheng Fu, Li Yao

Purpose

To evaluate the efficacy of next-generation sequencing (NGS) in minimal-residual-disease (MRD) monitoring in Chinese patients with multiple myeloma (MM).

Methods

This study analyzed 60 Chinese MM patients. During MRD monitoring in these patients’ post-therapy, clonal immunoglobulin heavy chain (IGH) rearrangements were detected via NGS using LymphoTrack assays. MRD monitoring was performed using NGS or next-generation flow cytometry (NGF), and the results were compared. Additionally, the sensitivity and reproducibility of the NGS method were assessed.

Results

The MRD detection range of the NGS method was 10–6–10–1, which suggested good linearity, with a Pearson correlation coefficient of 0.985 and a limit of detection of 10–6. Intra- and inter-assay reproducibility analyses showed that NGS exhibited 100% reproducibility with low variability in clonal cells. At diagnosis, unique clones were found in 42 patients (70.0%) with clonal IGH rearrangements, which were used as clonality markers for MRD monitoring post-therapy. Comparison of NGS and NGF for MRD monitoring showed 79.1% concordance. No samples that tested MRD-positive via NGF were found negative via NGS, indicating the higher sensitivity of NGS. MRD could be detected using NGS in 6 of 7 samples before autologous hematopoietic stem-cell transplantation, and 5 of them tested negative post-transplantation. In contrast, the NGF method could detect MRD in only 1 sample pre-transplantation.

Conclusion

Compared with NGF, NGS exhibits higher sensitivity and reproducibility in MRD detection and can be an effective strategy for MRD monitoring in Chinese MM patients.

目的 评估下一代测序(NGS)在中国多发性骨髓瘤(MM)患者的最小残留病(MRD)监测中的疗效。在这些患者治疗后的 MRD 监测过程中,使用 LymphoTrack 检测方法通过 NGS 检测克隆免疫球蛋白重链 (IGH) 重排。使用 NGS 或新一代流式细胞术(NGF)进行 MRD 监测,并对结果进行比较。结果 NGS 方法的 MRD 检测范围为 10-6-10-1,线性关系良好,皮尔逊相关系数为 0.985,检测限为 10-6。测定内和测定间的重现性分析表明,NGS 的重现性为 100%,克隆细胞的变异性较低。在诊断时,42 名患者(70.0%)发现了独特的克隆,这些克隆被用作克隆性标志物,用于治疗后的 MRD 监测。NGS 与 NGF 在 MRD 监测方面的比较显示,两者的一致性为 79.1%。经 NGF 检测为 MRD 阳性的样本中没有经 NGS 检测为阴性的,这表明 NGS 的灵敏度更高。在自体造血干细胞移植前的 7 个样本中,有 6 个样本可通过 NGS 检测到 MRD,其中 5 个样本在移植后检测为阴性。结论与 NGF 相比,NGS 在 MRD 检测中表现出更高的灵敏度和可重复性,可作为中国 MM 患者 MRD 监测的有效策略。
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引用次数: 0
Notch appearance as a novel radiological predictor of transient expansion and good outcome of expanding schwannoma after radiotherapy 作为放疗后一过性扩张和扩张型裂隙瘤良好疗效的新型放射学预测指标的切迹外观
Pub Date : 2024-03-19 DOI: 10.1007/s12672-024-00936-y
Masahiro Yamazaki, Shigeyuki Takamatsu, Yuta Iwata, Takayuki Sakurai, Masashi Taka, Satoshi Kobayashi, Toshifumi Gabata, Eiichi Mizuno

Objectives

Schwannoma expansion after radiotherapy has not been well-studied despite the clinical importance of distinguishing transient increase from permanent expansion. Thus, this study aimed to identify the underlying mechanism and novel radiological predictors of schwannoma expansion after radiotherapy.

Materials & methods

We retrospectively examined the therapeutic effects of radiotherapy on schwannomas and magnetic resonance images of 43 patients with vestibular schwannomas who underwent stereotactic radiotherapy or radiosurgery at our facility between June 1, 2012 and September 1, 2018. Based on the size change pattern, the treated tumors were classified into six groups, including transient-expansion and consistent-increase groups. The apparent diffusion coefficient (ADC) ratio and appearance of any notch were included as evaluation items based on our hypothesis that transient expansion is due to edema with increased extracellular free water. A log-rank test was performed to evaluate the relationship between the local control rate and radiological signs.

Results

The mean overall 5-year local control rate was 90%, and the median follow-up period was 62 (24–87) months. Approximately 28% of the tumors showed transient expansion; all ADC ratios synchronized with size change, and 75% showed a new notch appearance. Approximately 9% of tumors showed consistent increase, with no notch on the outline. The log-rank test revealed a difference in the local control rate with or without notch appearance in expanding irradiated schwannomas. All tumors with notch appearance showed a significant regression 5 years after radiation.

Conclusions

New notch appearance on the outline could indicate favorable long-term outcomes of expanding schwannomas post-treatment.

Clinical relevance statement

Notch appearance can help differentiate a transient schwannoma from a real tumor expansion, and it is a novel predictor of better outcomes of expanding schwannomas after radiotherapy.

Graphical Abstract

目的尽管区分一过性增大和永久性增大具有重要的临床意义,但放疗后的裂隙瘤扩张尚未得到充分研究。因此,本研究旨在确定放疗后分裂瘤扩张的潜在机制和新的放射学预测因素。材料&方法我们回顾性地检查了放疗对分裂瘤的治疗效果,以及2012年6月1日至2018年9月1日期间在我院接受立体定向放疗或放射外科手术的43例前庭分裂瘤患者的磁共振图像。根据肿瘤的大小变化规律,治疗后的肿瘤被分为六组,包括瞬时扩张组和持续增大组。表观扩散系数(ADC)比值和任何切迹的出现都被列为评估项目,这是基于我们的假设,即瞬时膨胀是由于细胞外游离水增加导致的水肿。结果平均5年局部控制率为90%,中位随访时间为62(24-87)个月。约28%的肿瘤呈短暂性扩张;所有ADC比率与肿瘤大小变化同步,75%的肿瘤出现新的切迹。约 9% 的肿瘤呈持续性增大,轮廓上没有凹痕。对数秩检验显示,在扩大照射的裂隙瘤中,出现或不出现切迹的局部控制率存在差异。所有出现切迹的肿瘤在放射治疗 5 年后都出现了明显的消退。临床相关性声明切迹外观有助于区分一过性的裂隙瘤和真正的肿瘤扩张,是放疗后扩张性裂隙瘤取得更好疗效的新预测指标。
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引用次数: 0
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Hormones and Cancer
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