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Ra-SBRT is Potential Immune Adjuvant for Innate Immune Cell Populations in Advance Stage NSCLC Patients Ra-SBRT是晚期NSCLC患者先天免疫细胞群的潜在免疫佐剂
Pub Date : 2018-12-05 DOI: 10.30683/1927-7229.2019.08.10
A. Chairmadurai
: Bystander toxicity and tissue fibrosis are the major complications with conventional radiation therapy for cancer patients. In this context, we here propose RapidArc - Stereotactic Body Radiation Therapy (Ra-SBRT) as a noninvasive and immune adjuvant approach for the successful eradication of advance stage NSCLC. Ra-SBRT is highly focused and capable of destroying tumors with high grade metastatic lesions and spared normal tissues. Follow up of stage 4 th NSCLC patient revealed that Ra-SBRT is potentially immunogenic which was evident by increased number of iNOS+ Tumor Associated macrophages (M1-TAM), Siglac-8+ eosinophils, basophils and subsequent prolongation of disease free survival of 4 th stage NSCLC patients by 3 years. This study demonstrated M1 retuning potential of Ra-SBRT which is a pre-requisite of effective management of inoperable and highly metastatic tumors of lung with least or no bystander impact.
旁观者毒性和组织纤维化是癌症患者常规放射治疗的主要并发症。在此背景下,我们在此提出RapidArc -立体定向体放射治疗(Ra-SBRT)作为一种无创和免疫辅助的方法,可成功根除晚期NSCLC。Ra-SBRT是高度聚焦的,能够摧毁具有高级别转移灶的肿瘤,并保留正常组织。对第4期NSCLC患者的随访显示,Ra-SBRT具有潜在的免疫原性,这一点可以通过iNOS+肿瘤相关巨噬细胞(M1-TAM)、Siglac-8+嗜酸性粒细胞、嗜碱性粒细胞的数量增加以及随后将第4期NSCLC患者的无病生存期延长3年来证明。这项研究证明了Ra-SBRT的M1恢复潜力,这是有效治疗不能手术和高度转移的肺肿瘤的先决条件,并且对旁观者的影响最小或没有影响。
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引用次数: 0
Role of Oral Glutamine in Prevention and Treatment of Oral Mucositis in Head and Neck Cancer Patients Receiving Chemoradiation 口服谷氨酰胺在头颈部肿瘤放化疗患者口腔黏膜炎防治中的作用
Pub Date : 2018-12-05 DOI: 10.30683/1927-7229.2019.08.02
Hashmath Khanum
: Purpose : To evaluate the efficiency of glutamine in the prevention & treatment of mucositis in head and neck cancer patients undergoing chemoradiation. Material and Methods : Forty patients of histologically proven head and neck carcinomas undergoing chemoradiation with Conventional Radiation on telecobalt and concurrent Cisplatin were randomised into 2 groups. The study group received oral glutamine solution 2 hours prior to undergoing radiotherapy on all days of treatment. The severity and duration of mucositis were recorded once every week using WHO and RTOG grading system for all patients undergoing treatment. Results : Glutamine lead to a delay in the onset of mucositis. The overall incidence of grade ≥ 3 mucositis was significantly low in glutamine arm (22% vs 55%, p= 0.006). On weekly assessments, the incidence of grade ≥ 3 mucositis in study arm compared to the control was 0 vs 30%, p=0.02 at 4 weeks, 15.8 vs 45%, p= 0.038 at 5 weeks and 22 vs 70%, p=0.001 at 6 weeks. However, there was no statistically significant difference in the incidence of grade 1 and 2 mucositis in both arms. Conclusion : Use of oral glutamine reduces the incidence and duration of oral mucositis and hence helpful in the prevention and treatment of oral mucositis with good compliance and further result in good locoregional control of the disease.
目的:评价谷氨酰胺在头颈部肿瘤放化疗患者黏膜炎防治中的作用。材料与方法:将40例经组织学证实的头颈部癌患者随机分为两组,分别接受常规放射治疗和顺铂治疗。研究组在放疗前2小时口服谷氨酰胺溶液。使用WHO和RTOG分级系统对所有接受治疗的患者每周记录一次黏膜炎的严重程度和持续时间。结果:谷氨酰胺可延缓黏膜炎的发病。谷氨酰胺组≥3级粘膜炎的总发生率明显较低(22% vs 55%, p= 0.006)。在每周评估中,与对照组相比,研究组≥3级粘膜炎的发生率为0 vs 30%,第4周时p=0.02,第5周时为15.8 vs 45%,第6周时为22 vs 70%, p=0.001。然而,两组1级和2级粘膜炎的发生率无统计学差异。结论:口服谷氨酰胺可降低口腔黏膜炎的发病率和病程,有助于预防和治疗口腔黏膜炎,依从性好,局部控制效果好。
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引用次数: 0
Boldine Activates Intrinsic Apoptotic Pathway in DU-145 Androgen-Independent Prostate Cancer Cell Line 波定激活DU-145雄激素非依赖性前列腺癌细胞的内在凋亡途径
Pub Date : 2018-12-05 DOI: 10.30683/1927-7229.2019.08.03
Cardile Venera
: Prostate cancer is one of the most common forms of cancer in men and continues to be a problem in the developed world. The treatment approaches for androgen-independent prostate cancer are unsatisfactory and the survival of those patients remains poor. Thus, there is a strong demand to develop novel therapeutic agents to treat and prevent this advanced malignancy. The present study evaluated the effect of boldine (2,9-dihydroxy-1,10-dimethoxy-aporphine), an aporphine alkaloid occurs abundantly in the leaves of Boldo ( Peumus boldus Molina), on growth and cell death of DU-145 androgen-independent prostate cancer cell line. The cell viability was measured by MTT test and LDH release was used to quantify necrosis cell death. Genomic DNA, caspase-3 activity, expression of cleaved caspase-9, Hsp70, Bcl-2 and Bax proteins were analyzed in order to study the apoptotic process. The results showed that boldine was able to reduce cell viability in the range of 60-240 µ M concentrations, and suggest this aporphine alkaloid induces cell death by intrinsic apoptotic pathway that probably involves the down-regulation of heat shock protein 70 (Hsp70). In fact, an increase of caspase-3 enzyme activity and Bax protein expression, in conjunction with the more pronounced decrease in Bcl-2 occurred in DU-145 cells treated with boldine at 60-120 µ M concentrations. In addition, caspase-9 was shown to be observably activated. Moreover, boldine such as quercetin, a well-known Hsp70 protein inhibitor, induced a reduction of Hsp70 expression. The hypothesis of apoptosis induction in our experimental conditions was reinforced by a high DNA fragmentation at 60-120 µ M concentrations, not correlated to LDH release. The present findings, starting point for further investigation, suggest that boldine structure might be used to design novel derivatives for the developing of potential new drugs for advanced prostate cancer therapy.
前列腺癌是男性最常见的癌症之一,在发达国家仍然是一个问题。雄激素非依赖性前列腺癌的治疗方法并不令人满意,这些患者的生存率仍然很低。因此,迫切需要开发新的治疗药物来治疗和预防这种晚期恶性肿瘤。摘要本研究评价了波定碱(2,9-二羟基-1,10-二甲氧基-阿波啡)对DU-145雄激素非依赖性前列腺癌细胞生长和死亡的影响。波定碱是一种富含阿波啡碱的生物碱。MTT法测定细胞活力,LDH释放量测定坏死细胞死亡。通过分析基因组DNA、caspase-3活性、裂解caspase-9、Hsp70、Bcl-2和Bax蛋白的表达来研究细胞凋亡过程。结果表明,在60 ~ 240µM浓度范围内,boldine能够降低细胞活力,表明该阿啡类生物碱通过内在凋亡途径诱导细胞死亡,可能与下调热休克蛋白70 (Hsp70)有关。事实上,在60-120µM浓度的boldine处理的DU-145细胞中,caspase-3酶活性和Bax蛋白表达增加,Bcl-2表达明显下降。此外,caspase-9被证明是明显激活的。此外,众所周知的Hsp70蛋白抑制剂槲皮素等boldine可诱导Hsp70表达降低。在我们的实验条件下,在60-120µM浓度下的高DNA片段化强化了细胞凋亡诱导的假设,与LDH释放无关。这一发现为进一步的研究提供了一个起点,表明boldine结构可能用于设计新的衍生物,以开发潜在的晚期前列腺癌治疗新药。
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引用次数: 0
The Role of Acceptance and Commitment-based Group Therapy on Pain Tolerance and State-trait Anxiety in Gastrointestinal Cancer Patients 以接纳和承诺为基础的团体治疗对胃肠道肿瘤患者疼痛耐受性和状态-特质焦虑的影响
Pub Date : 2018-12-05 DOI: 10.30683/1927-7229.2019.08.08
Mahdi Fatemizadeh
: The main purpose of this study was to investigate the impact of acceptance and commitment group therapy on pain tolerance and state-trait anxiety in patients with gastrointestinal cancer. This quasi-experimental study was performed with pretest, posttest and control group. There were 24 participants in the study, 12 of them in the control group and other 12 in the experimental group. The experimental group received eight sessions of acceptance and commitment based therapy and the control group received no psychotherapy. The instruments used in this study were short-form McGill Pain questionnaire-2 and state-trait anxiety questionnaire. Results showed an increase in pain tolerance and decrease in anxiety in patients in the experimental group.
本研究的主要目的是探讨接纳与承诺团体治疗对胃肠癌患者疼痛耐受性和状态-特质焦虑的影响。本准实验研究分为前测组、后测组和对照组。本次研究共有24人参与,其中12人为对照组,12人为实验组。实验组接受了8次基于接纳和承诺的治疗,对照组不接受心理治疗。本研究使用的工具为简易McGill疼痛问卷-2和状态-特质焦虑问卷。结果显示,实验组患者的疼痛耐受性增加,焦虑程度降低。
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引用次数: 0
Glypicans - A Brief Review 格里皮克人——简要回顾
Pub Date : 2018-12-05 DOI: 10.30683/1927-7229.2019.08.09
K. Gupta
: Glypicans (GPCs) are a family of proteoglycans that are bound to the cell surface by a glycosyl- phosphatidylinositol anchor. Six glypicans have been found in the mammalian genome (GPC1 to GPC6). Glypicans can be released from the cell surface by a lipase called Notum, and most of them are subjected to endoproteolytic cleavage by furin-like convertases. In vivo evidence published so far indicates that the main function of membrane-attached glypicans is to regulate the signaling of Wnts, Hedgehogs, fibroblast growth factors and bone morphogenetic proteins (BMPs). Surprisingly, the regulatory activity of glypicans in the Wnt, Hedgehog and BMP signaling pathways is only partially dependent on the heparan sulfate chains. It is obvious that our knowledge of glypican functions is still very limited despite the recent advances. A better understanding of these functions will make a significant contribution to the study of signaling pathways that play a very important role in developmental morphogenesis and several human diseases, including cancer.
Glypicans (GPCs)是一类通过糖基-磷脂酰肌醇锚定结合到细胞表面的蛋白聚糖。在哺乳动物基因组(GPC1至GPC6)中发现了6个glypicans。Glypicans可以通过一种叫做Notum的脂肪酶从细胞表面释放出来,并且它们中的大多数都受到类似于furin的转化酶的内源性蛋白水解裂解。目前已发表的体内证据表明,膜附着glypicans的主要功能是调节wnt、刺猬、成纤维细胞生长因子和骨形态发生蛋白(BMPs)的信号传导。令人惊讶的是,glypicans在Wnt, Hedgehog和BMP信号通路中的调节活性仅部分依赖于硫酸肝素链。很明显,尽管最近取得了进展,但我们对glypican功能的了解仍然非常有限。更好地了解这些功能将对研究在发育形态发生和包括癌症在内的几种人类疾病中起重要作用的信号通路作出重大贡献。
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引用次数: 0
Evolution of Cancer, Adaptive Immunity, and Immunotherapy 癌症的进化、适应性免疫和免疫治疗
Pub Date : 2018-12-05 DOI: 10.30683/1927-7229.2019.08.04
Autumn J. Smith
: The first clinical trials to investigate the efficacy of immunotherapy in cancer were problematic because of issues related to product availability, cost, and purity. Moreover, these factors could have contributed to the modest efficacy of these agents. The ability to clone specific genes coupled with the development of recombinant DNA technology removed some major barriers such that only 20 years later, approval of the first engineered monoclonal antibody (mAb) for clinical use occurred with practice-changing implications. Subsequent to rituximab, more than 30 additional mAbs have indications for a number of hematologic malignancies and solid tumors. Indeed, the application of adaptive immunity is now an integral component of therapy for many cancers. This paper delves into the complex science of immunology by investigating how the term evolution is applicable to tumorigenesis, the adaptive immune response, and cancer therapy.
由于产品可得性、成本和纯度等问题,研究免疫疗法对癌症疗效的首批临床试验存在问题。此外,这些因素可能导致这些药物的疗效不高。克隆特定基因的能力加上重组DNA技术的发展消除了一些主要障碍,仅在20年后,首个用于临床的工程单克隆抗体(mAb)就获得批准,并改变了实践意义。继利妥昔单抗之后,又有30多种单克隆抗体适用于多种血液恶性肿瘤和实体肿瘤。事实上,适应性免疫的应用现在是许多癌症治疗的一个组成部分。本文通过研究进化这一术语如何适用于肿瘤发生、适应性免疫反应和癌症治疗,深入研究了免疫学的复杂科学。
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引用次数: 0
Quantitative Analysis of Mast Cells in Benign Odontogenic Tumors 良性牙源性肿瘤肥大细胞的定量分析
Pub Date : 2018-12-05 DOI: 10.30683/1927-7229.2019.08.05
K. Gupta
: The aim of this study was to investigate the presence of mast cells in a series of odontogenic tumors. Forty- five cases of odontogenic tumors were investigated using 1% toluidine blue for mast cells, and differences between groups were statistically evaluated. Mast cells were present in 96% of odontogenic tumors. Mast cells are probably one of the major components of the Stromal scaffold in odontogenic tumors.
本研究的目的是探讨肥大细胞在一系列牙源性肿瘤中的存在。采用1%甲苯胺蓝检测肥大细胞,对45例牙源性肿瘤进行调查,并对组间差异进行统计学评价。肥大细胞存在于96%的牙源性肿瘤中。肥大细胞可能是牙源性肿瘤基质支架的主要组成部分之一。
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引用次数: 0
Primary Squamous Cell Carcinoma of the Breast is a Rare and Special Entity. A Case Report from Arab Region with Aggressive Behavior and follow up 25 Months 摘要原发性乳腺鳞状细胞癌是一种罕见而特殊的肿瘤。阿拉伯地区攻击行为1例及随访25个月
Pub Date : 2018-07-26 DOI: 10.6000/1927-7229.2018.07.03.1
M. Mahrous, Tasabeeh Mohamed, Ghassan Al Sisi, A. Hujaily, Samira AlSumani
Background : Primary squamous cell carcinoma of the breast (PSCCB) is a very rare malignancy of the breast. Pure squamous cell carcinoma of the breast can originate from skin adnexa, the nipple or the epithelium of deep-seated epidermoid cyst or squamous metaplasia on chronic inflammation background. Case Report : Our case is a 49-year-old female patient who presented with a highly suspicious lump in her left breast. Bilateral mammography and core biopsy were carried out. The core biopsy was revealed atypical cells and review inconclusive. Incisional biopsy was done and revealed squamous cell carcinoma of the breast (SCCB). Her metastatic work up at presentation was unremarkable. Left-side modified radical mastectomy was carried out. TNM staging was Stage IIa pT2N0M0 GIII, Estrogen receptors (ER) and Progesterone receptors were negative and HER2/Neu was negative as well (Triple negative). Pt had adjuvant chemotherapy and radiotherapy. Eight months later, she developed multiple brain metastasis as solitary site of metastasis, then after four months she developed hepatic and pulmonary deposits. Pt survived only 25 months since disease diagnosis. We report this case with relatively younger age to confirm that primary squamous cell carcinoma of the breast has special aggressive entity and this conjugant with few series. The treatment of primary SqCC of the breast does not differ from other common histological types of breast cancer so far. Conclusions : The prognosis of this disease is highly uncertain and the treatment options are unclear and controversial. There is inadequate literature and treatment guidelines. To our knowledge it is the first case to be reported from arab region with aggressive behavior and short survival period.
背景:原发性乳腺鳞状细胞癌(PSCCB)是一种非常罕见的乳腺恶性肿瘤。单纯的乳腺鳞状细胞癌可起源于皮肤附件、乳头或慢性炎症背景下的深部表皮样囊肿或鳞状化生上皮。病例报告:我们的病例是一位49岁的女性患者,她的左乳房出现了一个高度可疑的肿块。进行双侧乳房x线摄影和核心活检。核心活检显示非典型细胞,复查不确定。行切口活检,发现为乳腺鳞状细胞癌(SCCB)。她的转移性病变在就诊时并不明显。左侧改良根治性乳房切除术。TNM分期为IIa期pT2N0M0期GIII期,雌激素受体(ER)和孕激素受体阴性,HER2/Neu阴性(三阴性)。患者接受了辅助化疗和放疗。8个月后,她出现多发性脑转移,成为孤立的转移部位,4个月后出现肝脏和肺部沉积。自疾病诊断以来,他仅存活了25个月。我们报告这个年龄相对较年轻的病例,以证实原发性乳腺鳞状细胞癌具有特殊的侵袭性实体,并伴有少数系列。到目前为止,原发性乳腺小细胞癌的治疗与其他常见的组织学类型的乳腺癌没有什么不同。结论:本病的预后高度不确定,治疗方案不明确且存在争议。文献和治疗指南不足。据我们所知,这是阿拉伯地区报告的第一例具有攻击性行为且生存期短的病例。
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引用次数: 2
Hyperglycosylated hCG and Its Free ß-Subunit Drives Malignancy 高糖基化hCG及其游离ß-亚基驱动恶性肿瘤
Pub Date : 2018-07-26 DOI: 10.6000/1927-7229.2018.07.03.4
L. Cole
Tumor marker studies were conducted measuring 2,277 malignancies using a cut-off of 3 fmol/ml. As found 110 of 110 trophoblastic malignancies or 100% were positive for s-core fragment an hCG serum degradation product. Just 949 of 2167 (44%) of non-trophoblastic or other cancers were positive using this 3 fmol/ml cut-off. When the cut-off of the assay was lowered to 0.1 fmol/ml, or lowered by 30-fold 100% of non-trophoblastic or other cancers were detected, or all cancers were detected. What do cancers secrete. Cancer were tested with three immunoassays, Immulite total hCG, B152 hyperglycosylated hCG and FBT11 free s-subunit, serum of 34 trophoblastic cancers and 32 non-trophoblastic cancers were tested. A total of 34 of 34 trophoblastic cancer produced primarily hyperglycosylated hCG (B152 hyperglycosylated assay 96%±12% of Immulite), and 32 of 32 non-trophoblastic cancers produced primarily hyperglycosylated hCG free s-subunit (B152 hyperglycosylated assay 102%±6.2% of Immulite, FBT11 free s-subunit assay 128%±10% of Immulite). Seven independent laboratories each showed with a wide mixture of cancers (patient tissue and cancer cell lines) that s-subunit promoted malignancy (cell growth, cell invasion and blockage of apoptosis) in cancer cells. I then showed that hyperglycosylated hCG and its s-subunit promoted malignancy in 10 different cancer cell lines. I then tied my data and the seven independent laboratory data together and concluded that hyperglycosylated hCG and its s-subunit drove malignancy in all or most cancers.
肿瘤标志物研究采用3 fmol/ml的临界值测量了2277例恶性肿瘤。结果发现110例滋养细胞恶性肿瘤中有110例(100%)hCG血清降解产物s-core片段阳性。在2167例非滋养细胞或其他癌症患者中,只有949例(44%)使用这个3 fmol/ml的临界值呈阳性。当检测的截止值降低到0.1 fmol/ml或降低30倍时,100%检测到非滋养细胞或其他癌症,或检测到所有癌症。癌症会分泌什么?采用Immulite总hCG、B152高糖化hCG和FBT11游离s亚基3种免疫检测方法检测34例滋养层细胞癌和32例非滋养层细胞癌的血清。34例滋养细胞癌中有34例主要产生高糖化hCG (B152高糖化试验96%±12%的Immulite), 32例非滋养细胞癌中有32例主要产生高糖化hCG无s亚基(B152高糖化试验102%±6.2%的Immulite, FBT11无s亚基试验128%±10%的Immulite)。7个独立的实验室分别通过多种癌症(患者组织和癌细胞系)证明,s-亚基促进癌细胞的恶性(细胞生长、细胞侵袭和细胞凋亡阻断)。然后,我证明了高糖基化的hCG及其s亚基在10种不同的癌细胞系中促进了恶性肿瘤。然后,我将我的数据和七个独立实验室的数据结合起来,得出结论:高糖基化的hCG及其s亚基在所有或大多数癌症中驱动恶性肿瘤。
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引用次数: 0
Interests in the use of Rapid Prostate Antigen Screening Test in the North-Cameroon 在喀麦隆北部使用快速前列腺抗原筛查试验的兴趣
Pub Date : 2018-07-26 DOI: 10.6000/1927-7229.2018.07.03.2
Herve Kada Pabame, R. Simo, A. H. N. Kamdje, Louis Deweerdt, Guillaume Gayma, Franklin Danki Sillong
Introduction : The number of prostate cancer detected late because of the lack of means of investigation allowing a proximity screening, the poverty which characterize north are the two main elements which led us to lead this study which had for objective to shown the value of using rapid PSA screening tests. Method : We conducted a cross-sectional analytical study in the city of Ngaoundere and Garoua for a period of 5 months. Results : A total of 220 PSA level assays were performed over the 5-month period of our study with variations between the two selected centers. Of 30 samples used to study the sensitivity of rapid PSA screening tests, 22 were positive and 8 negative. The concordance rate for the positive values of the rapid test strip test versus the assay was 100%. The concordance of negative values was 87.5%. In addition, in a sample of 41 patients, PSA tests were performed in 30 patients, or 73.17%, and diagnosed prostate cancer in 69.23% of diagnosed cancer cases. Conclusion : Rapid PSA screening tests are good tools for diagnosing prostate cancer when combined with other tools such as digital rectal examination and ultrasound.
导言:由于缺乏允许近距离筛查的调查手段,导致晚期前列腺癌的数量,北方的贫困特征是导致我们领导这项研究的两个主要因素,该研究的目的是显示使用快速PSA筛查试验的价值。方法:我们在恩oundere和Garoua市进行了为期5个月的横断面分析研究。结果:在我们研究的5个月期间,两个选定的中心之间存在差异,共进行了220次PSA水平检测。在研究快速PSA筛选试验敏感性的30个样本中,22个阳性,8个阴性。快速试纸条试验阳性结果与试验结果的符合率为100%。阴性值的一致性为87.5%。此外,在41例患者的样本中,有30例患者进行了PSA检测,占73.17%,诊断为前列腺癌的患者占69.23%。结论:快速PSA筛查与直肠指检、超声检查等结合是诊断前列腺癌的良好手段。
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引用次数: 0
期刊
Journal of Analytical Oncology
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