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Distribution of Breast Cancer Biomarkers by Age in Iran 伊朗乳腺癌生物标志物的年龄分布
Pub Date : 2017-01-26 DOI: 10.6000/1927-7229.2017.06.01.2
H. Akbari, Farzad Taghizadeh Hesary, L. R. Nikoukar
Background and Objectives : Breast cancer is the leading cause of cancer related death globally and presents as the most common female malignancy in Iran. Multiple factors are associated with an increased risk of developing breast cancer; for example first degree family history of breast cancer, BRCA1, 2 mutation and history of atypical hyperplasia on biopsy are the most important risk factors for developing breast cancer. Some prognostic factors are classically used that it would help us to either choosing recommended optimal treatment or recognizing the prognosis. In several studies it is shown that these factors have different patterns in age groups or histopathologic types. The aim of this study was to determine the age distribution of hormone receptors and biomarkers and determine their relation to the histopathologic types. Methods : Data were gathered from the medical records of Baqiyatallah hospital, Tehran, Iran. Breast cancer patients whose disease was confirmed by pathologic studies and had immunohistochemical profile, were included. Estrogen receptor (ER), Progesterone receptors (PR), HER2/neu and p53 were selected as biomarkers of this study. Results : Mean age of patients was 49.47±12.50 years (range 20 to 86). The most common histopathologic type was invasive ductal carcinoma. Distribution of ER and PR against age detected similar; ER positivity increased with age and it peaked in fifth decade of life, and PR positivity showed more regular pattern and it also peaked in fifth decade of life (p 0.05). Conclusions : Our breast cancer patients were generally younger than patients round the world. The different distribution pattern of biomarkers in our studies in comparison with similar studies, may suggest different biologic behavior of breast cancer in our patients. Further studies will help illuminate this point.
背景和目的:乳腺癌是全球癌症相关死亡的主要原因,也是伊朗最常见的女性恶性肿瘤。多种因素与患乳腺癌的风险增加有关;例如,乳腺癌一级家族史、BRCA1、2突变和活检不典型增生史是发生乳腺癌最重要的危险因素。一些预后因素被经典地使用,它将帮助我们选择推荐的最佳治疗或认识预后。几项研究表明,这些因素在不同年龄组或组织病理类型中有不同的模式。本研究的目的是确定激素受体和生物标志物的年龄分布,并确定它们与组织病理类型的关系。方法:收集伊朗德黑兰Baqiyatallah医院的病历资料。乳腺癌患者的疾病经病理检查证实,并有免疫组织化学特征,包括。选择雌激素受体(ER)、孕激素受体(PR)、HER2/neu和p53作为本研究的生物标志物。结果:患者平均年龄49.47±12.50岁(20 ~ 86岁)。最常见的组织病理类型为浸润性导管癌。ER、PR随年龄的分布相似;ER阳性随年龄增长而增加,在50岁时达到高峰,PR阳性更有规律,在50岁时达到高峰(p < 0.05)。结论:我们的乳腺癌患者普遍比世界各地的患者年轻。与同类研究相比,我们研究中生物标志物的不同分布模式可能提示乳腺癌患者的不同生物学行为。进一步的研究将有助于阐明这一点。
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引用次数: 2
Angular Variation of Applicators in LDR-ICBT LDR-ICBT应用器角度变化研究
Pub Date : 2017-01-26 DOI: 10.6000/1927-7229.2017.06.01.4
A. S. K. Koushik, R. Alva, M. Janaki, A. Ponni
Effect of angular variation to dose received and its clinical correlation was studied in 36 ca.cervix patients. Angular variation results in dose variation but its impact needs to be studied.
对36例宫颈癌患者进行了角度变化对剂量的影响及其临床相关性的研究。角度变化导致剂量变化,但其影响有待研究。
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引用次数: 0
Local Staging of Prostate Cancer Using Three Dimensional (3D) Transrectal Ultrasound Assisted with Power Doppler Capability 三维经直肠超声辅助功率多普勒诊断前列腺癌局部分期
Pub Date : 2017-01-26 DOI: 10.6000/1927-7229.2017.06.01.5
A. Youssef
Introduction : The ability to differentiate between carcinoma confined to the prostate and the extra-capsular extension (ECE) of the tumor is the key point for management. ECE of prostate cancer can lead to failure of radical prostatectomy and every attempt should be made to localize the tumor and assess its extensions preoperatively. The study aimed to evaluate the value of three dimensional (3D) Transrectal ultrasound (TRUS) assisted with power Doppler in local staging of prostate cancer. Methodology : -3D TRUS assisted with the power Doppler capability was performed for 120 patients were complaining of burning urination, difficult urination or blood in urine, among them 95 patients were subjected to 3D TRUS guided biopsies. Results : 33 patients showed prostatic carcinomas, 2 patients showed prostatic sarcoma. In patients with proven prostate cancer 3D TRUS showed an estimated sensitivity 85.7% and specificity 90% with a positive predictive value 83.3%, negative predictive value 91.5% and total accuracy 90.9%. 77% of our cancer patients (27/35) showed hypervascularity by power Doppler ultrasonography while 8 patients (23%) showed no abnormal high vascularity. Power Doppler increased the sensitivity of 3D TRUS in the detection of prostate cancer from 85.7% to 88.5% 3D TRUS clearly identified the extra-prostatic spread in 15 out of 18 patients of an estimated sensitivity (83%). Conclusion : 3D TRUS aided with power Doppler is a valuable tool in local staging of prostate cancer .The expected benefits in local staging of prostate cancer from the combination of 3D TRUS, power Doppler and 3D TRUS guided biopsy as one sitting exam, will be highly promising .
简介:区分局限于前列腺的癌和肿瘤囊外延伸(ECE)的能力是治疗的关键。前列腺癌ECE可导致根治性前列腺切除术失败,术前应尽量定位肿瘤并评估其扩展。本研究旨在探讨三维经直肠超声(TRUS)辅助功率多普勒在前列腺癌局部分期中的价值。方法:对120例主诉排尿灼烧、排尿困难或尿中带血的患者行3D TRUS辅助功率多普勒超声检查,其中95例患者行3D TRUS引导下活检。结果:前列腺癌33例,前列腺肉瘤2例。在确诊的前列腺癌患者中,3D TRUS的估计灵敏度为85.7%,特异性为90%,阳性预测值为83.3%,阴性预测值为91.5%,总准确率为90.9%。77%的肿瘤患者(27/35)在功率多普勒超声检查中表现为血管充血,而8例患者(23%)未表现为血管充血异常。功率多普勒将3D TRUS检测前列腺癌的灵敏度从85.7%提高到88.5%,3D TRUS在18例估计灵敏度的患者中清楚地识别了15例前列腺外扩散(83%)。结论:三维超声辅助功率多普勒是一种有价值的前列腺癌局部分期工具,三维超声联合功率多普勒和三维超声引导活检作为一次坐诊检查在前列腺癌局部分期中的应用前景广阔。
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引用次数: 0
Viability of Whole Tissue Microbiopsy (WTM) for the Study and Management of Oral Leukoplakia 全组织显微活检(WTM)在口腔白斑研究和治疗中的可行性
Pub Date : 2016-11-21 DOI: 10.6000/1927-7229.2016.05.04.1
A. C. Torres, Ãngel Martínez Sahuquillo Márquez, I. G. Castillo, M. J. C. Fuentes, José Ramón Armas Padrón
Introduction : Leukoplakia is the most frequent potentially malignant disorder. Management and diagnosis requires clinical and histopathogical monitorization. Conventional biopsy generates patient morbidity and is considered a complex procedure for general dentists, which can delay initial diagnosis. To solve these problems, we have proposed a novel procedure denominated Whole Tissue Microbiopsy (WTM). The aim of this study is to evaluate the samples obtained with the WTM procedure and to test their viability; to check if they are applicable in all anatomic locations and compare the results with those obtained with conventional biopsy. Methods : We studied 41 clinically compatible lesions with oral leukoplakia. A tissue sample was taken using the WTM technique, after which, a conventional biopsy was performed on the same location. Both samples were studied and compared in terms of viability and concordance. Results : 100% of the samples obtained using the WTM procedure were viable. 95% of the samples were useful to detect dysplasia, and in 85% of cases the basal membrane was retained. Coincidence with conventional biopsy as to detect cancer-dysplasia was 78% and showed a 53.8% sensitivity regarding the detection of dysplasia-Cancer. Discussion and Conclusion : The samples obtained by the WTM are viable for study. Conservation of all epithelial layers in the sample and the basement membrane in particular is not influenced by the anatomical area or by the clinical appearance of the lesion. The results that did not coincide with the conventional biopsy were due to the difference in size and not the quality of it.
白斑是最常见的潜在恶性疾病。管理和诊断需要临床和组织病理学监测。常规活组织检查会导致患者发病,而且对于普通牙医来说,这是一个复杂的过程,可能会延迟初步诊断。为了解决这些问题,我们提出了一种名为全组织显微活检(WTM)的新方法。本研究的目的是评估WTM程序获得的样品并测试其生存能力;检查它们是否适用于所有解剖部位,并将结果与常规活检结果进行比较。方法:对41例口腔白斑临床相容病变进行研究。使用WTM技术采集组织样本,之后在同一位置进行常规活检。两个样本在活力和一致性方面进行了研究和比较。结果:采用WTM方法获得的样品100%存活。95%的样本可用于检测不典型增生,85%的病例基底膜被保留。与常规活检检测癌-非典型增生的符合率为78%,对癌-非典型增生的检测灵敏度为53.8%。讨论与结论:WTM获得的样品是可行的。样本中所有上皮层,特别是基底膜的保存不受解剖面积或病变临床表现的影响。结果不符合传统的活检是由于大小的差异,而不是它的质量。
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引用次数: 0
Increased Incidence of Breast Cancer Due to Long Exposure of Light 长时间暴露在光线下会增加乳腺癌的发病率
Pub Date : 2016-11-21 DOI: 10.6000/1927-7229.2016.05.04.3
K. Pushkala, Gupta Pd
The disturbed circadian rhythm due to long exposure to varied photo periods or to artificial light during night time (LAN) results in hormonal imbalance. The epidemiological survey indicates a clear difference in the incidence of breast cancer (BC) in countries closer to the poles and to the equator. Long-term exposure to LAN during sleep cycle is found to be the root cause of many health problems. Light dependent conversion of melatonin from serotonin plays a major role in cancer development. In rat model it is shown that levels of melatonin are always inversely proportional to oestradiol in the blood. Melatonin decreases the formation of oestrogens (mitogenic hormone) from androgens via aromatise inhibition. In a pilot study we have shown that in menopausal blind (risk age for BC) women the prevalence of BC is very low (1:169; Risk Rate (RR); Cumulative Risk (CR)35-64 age), compared to sighted women (1:78; CR, 35 - 64 age). Data was collected from a total of 2060 blind subjects (18.8% being <40 years of age and 81.2% above 40 years). Partially blind subjects have 11% greater risk of developing BC than those who are totally blind (RR=1.106; 95% CI=.352 to 3.472). Other established risk factors for BC are ineffective in blind. The blind women model (proposed in this study) suggests that dark hours are essential in our daily routine. By management of proper circadian rhythms better management of various endocrine diseases including hormone dependent cancers can be achieved.
由于长时间暴露于不同的光周期或夜间人造光(LAN),昼夜节律受到干扰,导致激素失衡。流行病学调查表明,靠近两极和赤道的国家在乳腺癌发病率方面存在明显差异。研究发现,睡眠周期中长期接触局域网是许多健康问题的根本原因。从血清素中产生的褪黑素的光依赖性转化在癌症发展中起着重要作用。在大鼠模型中,褪黑激素的水平总是与血液中的雌二醇成反比。褪黑素通过抑制芳化作用减少雄激素生成雌激素(促丝分裂激素)。在一项初步研究中,我们已经表明,在绝经期盲(BC的危险年龄)妇女中,BC的患病率非常低(1:169;风险率;累积风险(CR)35-64岁),与视力正常的女性相比(1:78;CR, 35 - 64岁)。数据共来自2060名盲者,其中年龄<40岁占18.8%,年龄> 40岁占81.2%。部分失明受试者发生BC的风险比完全失明受试者高11% (RR=1.106;95% CI =。352到3.472)。其他已知的BC危险因素在盲试验中无效。盲女性模型(在这项研究中提出)表明,黑暗的时间在我们的日常生活中是必不可少的。通过管理适当的昼夜节律,可以更好地管理各种内分泌疾病,包括激素依赖性癌症。
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引用次数: 2
The Incidence of Breast Cancer in Iran: A Systematic Review and Meta-Analysis 伊朗乳腺癌发病率:一项系统回顾和荟萃分析
Pub Date : 2016-11-21 DOI: 10.6000/1927-7229.2016.05.04.2
A. Rezaianzadeh, Soheil Hassanipour, A. Mokhtari, A. Maghsoudi, M. Nazarzadeh, S. Dehghani, Salar Rahimi Kazerooni
Background : Breast cancer is the most common invasive cancer among women globally. Its incidence greatly varies around the world the globe. There are several estimates of breast cancer incidence from different geographical areas in Iran. In addition, no systematic reviews are available pertaining to the incidence rate of breast cancer in Iran. Therefore, the present systematic review aimed to address this epidemiological gap. Method : This systematic review was carried out based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) in January 2016. In doing so, the researchers searched Medline/PubMed, Scopus, Sciencedirect, and Google scholar for international papers and four Iranian databases (Scientific Information Database, MagIran, Iran Medex, and Iran Doc) for Persian articles. Result : A total of 427 titles were retrieved in the initial search of the databases. Further refinement and screening of the retrieved studies produced a total of 18 researches. Based on the random effect model, the Age-Standardized Rate (ASR) of breast cancer was 26.4, 95% CI (20.1 to 31.7). However, the results of Cochran’s test showed the heterogeneity of the studies (Q=1788.2, df=17, I 2 =99%, p<0.001). Conclusion : The incidence of breast cancer was lower in Iran compared to other parts of the world. However, establishing cancer registries covering a broader perspective of the population and carrying out further studies are needed to map out the exact incidence rate and trend of breast cancer in Iran.
背景:乳腺癌是全球女性中最常见的浸润性癌症。它的发病率在世界各地差别很大。对伊朗不同地理区域的乳腺癌发病率有几种估计。此外,没有关于伊朗乳腺癌发病率的系统综述。因此,本系统综述旨在解决这一流行病学空白。方法:本系统评价采用2016年1月的系统评价与meta分析首选报告项目(PRISMA)进行。为此,研究人员检索了Medline/PubMed、Scopus、Sciencedirect和Google scholar以获取国际论文,并检索了四个伊朗数据库(科学信息数据库、MagIran、伊朗Medex和伊朗Doc)以获取波斯语文章。结果:首次检索共检索到427篇文献。对检索到的研究进行进一步的细化和筛选,共产生了18项研究。基于随机效应模型,乳腺癌的年龄标准化率(ASR)为26.4,95% CI(20.1 ~ 31.7)。然而,cochran检验结果显示研究存在异质性(Q=1788.2, df=17, i2 =99%, p<0.001)。结论:与世界其他地区相比,伊朗的乳腺癌发病率较低。但是,需要建立涵盖更广泛人口的癌症登记处,并进行进一步的研究,以确定伊朗乳腺癌的确切发病率和趋势。
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引用次数: 21
Depth-Sensitive Raman Spectroscopy of Intact Formalin-Fixed and Paraffin-Embedded Tissue Blocks for Objective Diagnosis of Cancer- An Exploratory Study 完整的福尔马林固定和石蜡包埋组织块的深度敏感拉曼光谱客观诊断癌症-一项探索性研究
Pub Date : 2016-11-21 DOI: 10.6000/1927-7229.2016.05.04.4
K. M. Khan, Hemant Krishna, C. V. Kulkarni, S. Majumder
Histopathology, the current “gold standard”, is prone to human errors as it depends on expert interpretation of the microscopically derived cellular and sub-cellular information for tissue diagnosis. Further, this light microscope based approach requires preparation of appropriately stained specimens of micro-thin tissue sections from the formalin-fixed and paraffin-embedded (FFPE) blocks of tissue samples. We report a method that provides quantitative feedback about tissue diagnosis by measuring depth-sensitive Raman spectra from the intact FFPE tissue blocks without requiring preparation of any thin tissue sections or any other processing. The FFPE blocks of pathologically certified cancerous and normal breast tissues were used for validating the approach. The measured depth-sensitive Raman spectra were mathematically de-paraffinized for retrieving the characteristic tissue Raman signatures using scaled-subtraction. A multivariate analysis of the scaled-subtracted, depth-sensitive Raman spectra employing a probability-based diagnostic algorithm developed using the framework of sparse multinomial logistic regression (SMLR) provided a sensitivity and specificity of up to 100% towards cancer based on leave-one-block-out cross validation. The results of this exploratory study suggest that depth-sensitive Raman spectroscopy along with a multivariate statistical algorithm can provide a valuable alternate diagnostic modality in clinical pathology setting for discriminating cancerous from normal FFPE tissue blocks.
组织病理学是目前的“金标准”,由于它依赖于专家对显微镜下细胞和亚细胞信息的解释来进行组织诊断,因此容易出现人为错误。此外,这种基于光学显微镜的方法需要从组织样本的福尔马林固定和石蜡包埋(FFPE)块中制备适当染色的微薄组织切片标本。我们报告了一种方法,该方法通过测量完整FFPE组织块的深度敏感拉曼光谱来提供组织诊断的定量反馈,而无需制备任何薄组织切片或任何其他处理。病理证实的癌性和正常乳腺组织的FFPE块用于验证该方法。对测量的深度敏感拉曼光谱进行数学脱石蜡处理,利用比例减法提取组织特征拉曼特征。采用稀疏多项式逻辑回归(SMLR)框架开发的基于概率的诊断算法,对标度减去的深度敏感拉曼光谱进行了多变量分析,基于留一块交叉验证,对癌症的敏感性和特异性高达100%。这项探索性研究的结果表明,深度敏感拉曼光谱以及多元统计算法可以在临床病理环境中为区分癌变和正常FFPE组织块提供有价值的替代诊断模式。
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引用次数: 2
Intracellular Zinc Excess as One of the Main Factors in the Etiology of Prostate Cancer 细胞内锌过量是前列腺癌病因的主要因素之一
Pub Date : 2016-08-15 DOI: 10.6000/1927-7229.2016.05.03.5
V. Zaichick, S. Zaichick, S. Wynchank
Numerous studies show that prevalence of prostate cancer (PCa) drastically increases with age, these malignant tumours are mainly formed in the peripheral zone of the prostate gland, and a high intake of red meat is associated with a statistically significant elevation in risk of PCa. The factors which cause all these well-specified features of the PCa are currently unclear. Here we describe one factor which can play an important role in etiology of malignant transformation of the prostate and is connected with the above-mentioned features of PCa. It is hypothesized that the prostatic intracellular Zn concentrations are probably one of the most important factors in the etiology of PCa. For an endorsement of our standpoint the estimation of changes of intracellular Zn concentrations over males’ lifespan was obtained using morphometric and Zn content data for the peripheral zone of prostate tissue, as well as Zn concentration in prostatic fluid. It was shown that the Zn concentrations in prostatic cells for men aged over 45 years are 10-fold higher than in those aged 18 to 30 years and this excessive accumulation of Zn may disturb the cells’ functions, resulting in cellular degeneration, death or malignant transformation. We hypothesize this excessive intracellular Zn concentration in cells of the prostate gland periphery has previously unrecognized and most important consequences, associated with PCa.
大量研究表明,前列腺癌(PCa)的患病率随着年龄的增长而急剧增加,这些恶性肿瘤主要形成于前列腺的外周区,大量摄入红肉与PCa的风险升高有统计学意义。导致前列腺癌所有这些明确特征的因素目前尚不清楚。在这里,我们描述了一个在前列腺恶性转化的病因学中起重要作用的因素,它与前列腺癌的上述特征有关。推测前列腺细胞内锌浓度可能是前列腺癌发病的重要因素之一。为了支持我们的观点,我们使用前列腺组织外周区的形态测量学和锌含量数据以及前列腺液中的锌浓度来估计男性一生中细胞内锌浓度的变化。结果表明,45岁以上男性前列腺细胞中锌的浓度比18 ~ 30岁男性高10倍,锌的过量积累可能扰乱细胞的功能,导致细胞变性、死亡或恶性转化。我们假设前列腺周围细胞内锌浓度过高与前列腺癌相关,这是以前未被认识到的最重要的后果。
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引用次数: 30
Tobacco Consumption Induced Changes in the Healthy Oral Mucosa and its Effect on Differential Diagnosis of Oral Lesions – A Clinical In Vivo Raman Spectroscopic Study 烟草消费引起的健康口腔黏膜变化及其对口腔病变鉴别诊断的影响——临床体内拉曼光谱研究
Pub Date : 2016-08-10 DOI: 10.6000/1927-7229.2016.05.03.4
Hemant Krishna, S. Muttagi, Pranav D Ingole, P. Chaturvedi, S. Majumder
Objective : To investigate tobacco consumption induced changes in the in vivo Raman spectra of oral mucosa of healthy volunteers and to study its effect on the differential diagnosis of oral lesions. Materials and Methods : The clinical in vivo study involved 28 healthy volunteers and 171 patients having malignant and potentially malignant lesions of the oral cavity. Twenty of the healthy volunteers had habits of either smoking and/or of chewing tobacco while the rest did not have any tobacco consumption habits. The in vivo Raman spectra were measured using a compact and portable near-infrared Raman spectroscopic system. A probability based multi-class diagnostic algorithm, developed for supervised classification, was employed to classify the whole set of measured tissue Raman spectra into various categories. Results : It was found that the Raman spectra of healthy volunteers with tobacco consumption habits could be separated from the spectra of those without any habit of tobacco consumption with an accuracy of over 95%. Further, it was found that exclusion of the spectral data of the oral cavity of the healthy volunteers from the reference normal database considerably improved the overall classification accuracy (92.3% as against 86%) of the algorithm in separing the oral lesions from the normal oral mucosa. Conclusion : The results of the clinical study demonstrate the potential of Raman spectroscopy in screening tobacco users who are at an increased risk of developing dysplasia or malignancy. Further, the results also show that for accurate discrimination of oral lesions based on their Raman spectra, the reference normal database should exclude spectral data of tobacco using healthy subjects.
目的:探讨吸烟对健康志愿者口腔黏膜拉曼光谱的影响,并探讨其对口腔病变鉴别诊断的作用。材料与方法:28名健康志愿者和171例口腔恶性及潜在恶性病变患者参与了临床体内研究。其中20名健康志愿者有吸烟和/或嚼烟的习惯,而其余的人没有任何烟草消费习惯。使用紧凑便携的近红外拉曼光谱系统测量体内拉曼光谱。采用基于概率的多类诊断算法,对组织拉曼光谱进行分类。结果:有烟草消费习惯的健康志愿者的拉曼光谱与无烟草消费习惯的健康志愿者的拉曼光谱可以分离,准确率在95%以上。此外,我们还发现,将健康志愿者的口腔光谱数据从参考正常数据库中剔除后,该算法在口腔病变与正常口腔黏膜分离方面的总体分类准确率(92.3%对86%)显著提高。结论:临床研究结果表明,拉曼光谱在筛查患发育不良或恶性肿瘤风险增加的烟草使用者方面具有潜力。此外,研究结果还表明,为了根据口腔病变的拉曼光谱准确区分口腔病变,参考正常数据库应排除健康受试者吸烟的光谱数据。
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引用次数: 1
The Influence of Pigment Transfer on the Risk of Developing Melanoma: The Significance of the Melanocyte ‘Amputation Cycle’ 色素转移对黑色素瘤发生风险的影响:黑色素细胞“截肢周期”的意义
Pub Date : 2016-08-10 DOI: 10.6000/1927-7229.2016.05.03.1
P. Riley
It has been shown that cancer incidence is not only a function of the size of the population at risk but is strongly associated with the turnover rate of the tissue concerned. There is a strong negative correlation between melanoma incidence and the degree of skin pigmentation, and yet the melanocyte density is the same for all races. The proposal advanced in this communication is that the probability of undergoing malignant change is critically dependent on the melanocyte turnover and that this is regulated by the pigmentation process. In melanocytes, the division rate is influenced by the process of pigment donation, probably by a mechanism whereby the continual cytoplasmic loss due to cytocrine transfer of melanosomes (termed the ‘Amputation Cycle’) inhibits replication. Consequently the turnover of melanocyte stem cells in heavily pigmented epidermis will be diminished, and this is held to account for the strong negative correlation between the degree of skin pigmentation and melanoma incidence.
研究表明,癌症发病率不仅与高危人群的规模有关,而且与相关组织的周转率密切相关。黑色素瘤的发病率和皮肤色素沉着程度之间有很强的负相关关系,但所有种族的黑色素细胞密度都是一样的。本通讯中提出的建议是,发生恶性变化的可能性严重依赖于黑素细胞的更替,而这是由色素沉着过程调节的。在黑素细胞中,分裂速率受色素捐赠过程的影响,可能是由于一种机制,即由于黑素小体的细胞素转移(称为“截肢周期”)导致的持续的细胞质损失抑制了复制。因此,在重度色素沉着的表皮中,黑素细胞干细胞的周转将减少,这被认为是皮肤色素沉着程度与黑色素瘤发病率之间强烈负相关的原因。
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引用次数: 1
期刊
Journal of Analytical Oncology
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