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AdipoR1 promotes pathogenic Th17 differentiation by regulating mitochondrial function through FUNDC1. AdipoR1通过FUNDC1调节线粒体功能,促进致病性Th17分化。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-11-07 DOI: 10.7555/JBR.38.20240244
Hui Wang, Qian Zhang, Yuankai Sun, Wenfeng Tan, Miaojia Zhang

Adiponectin receptor 1 ( Adipor1) deficiency has been shown to inhibit Th17 cell differentiation and reduce joint inflammation and bone erosion in antigen-induced arthritis mice. Additional emerging evidence indicates that Th17 cells may differentiate into pathogenic (pTh17) and non-pathogenic (npTh17) cells, with the pTh17 cells playing a crucial role in numerous autoimmune and inflammatory conditions. In the current study, we found that Adipor1 deficiency inhibited pTh17 differentiation in vitro and induced mitochondrial dysfunction in pTh17 cells. RNA sequencing demonstrated a significant increase in the expression levels of Fundc1, a gene related to mitochondrial function, in Adipor1-deficient CD4 + T cells. Fundc1 knockdown in Adipor1-deficient CD4 + T cells partially reversed the effects of Adipor1 deficiency on mitochondrial function and pTh17 differentiation. In conclusion, the current study demonstrated a novel role of Adipor1 in regulating mitochondrial function via Fundc1 to promote pTh17 cell differentiation, providing some insight into potential therapeutic targets for autoimmune and inflammatory diseases.

研究表明,脂肪连接素受体1(Adipor1)缺乏可抑制Th17细胞分化,减少抗原诱导的关节炎(AIA)小鼠的关节炎症和骨侵蚀。新出现的证据表明,Th17 细胞可分化为致病性细胞(pTh17)和非致病性细胞(npTh17),其中 pTh17 细胞在多种自身免疫和炎症中发挥着关键作用。在目前的研究中,我们发现 Adipor1 的缺乏会抑制 pTh17 在体外的分化,而且在 pTh17 细胞中缺失 Adipor1 会降低线粒体功能。RNA测序(RNA-seq)表明,在Adipor1缺陷的CD4 + T细胞中,与线粒体功能相关的基因Fundc1的表达水平显著增加。在Adipor1缺陷的CD4 + T细胞中干扰Fundc1的表达部分缓解了Adipor1缺陷对线粒体功能和pTh17分化的影响。总之,本研究证明了 AdipoR1 在通过 FUNDC1 调节线粒体功能以促进 pTh17 细胞分化方面的新作用,为自身免疫性疾病和炎症性疾病的潜在治疗靶点提供了一些启示。
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引用次数: 0
The role of amino acids in skeletal muscle health and sarcopenia: A narrative review. 氨基酸在骨骼肌健康和肌肉疏松症中的作用:综述。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-10-22 DOI: 10.7555/JBR.38.20240167
Ramendu Hom Chaudhuri

The skeletal muscle is the largest organ present in the body and is responsible for mechanical activities like maintaining posture, movement, respiratory function, and support for the health and functioning of other systems of the body. Skeletal muscle atrophy is a condition characterized by a reduction in muscle size, strength, and activity, which leads to an increased dependency on others for movement, an increased risk of falls, and a reduced quality of life. Various conditions like osteoarthritis, osteoporosis, and fractures are directly associated with increased muscle atrophy. Additionally, numerous risk factors, like aging, malnutrition, physical inactivity, and certain disease conditions, through distinct pathways, negatively affect skeletal muscle health and lead to muscle atrophy. Among various determinants of overall muscle health, the rate of muscle protein synthesis and degradation is an important parameter that eventually alters the fate of overall muscle health. In conditions of excessive skeletal muscle atrophy, including sarcopenia, the rate of muscle protein degradation usually exceeds the rate of protein synthesis. The availability of amino acids in the systemic circulation is a crucial step in muscle protein synthesis. The current review aims to consolidate the existing evidence on amino acids, highlight their mechanisms of action, and assess their roles and effectiveness in enhancing skeletal muscle health.

骨骼肌是人体内最大的器官,负责维持姿势、运动、呼吸功能等机械活动,并支持身体其他系统的健康和功能。骨骼肌萎缩是一种与肌肉体积、力量和活动减少有关的病症,会导致对运动的依赖性增加、跌倒风险增加以及生活质量下降。骨关节炎、骨质疏松症和骨折等各种疾病都与肌肉萎缩的加剧直接相关。此外,许多风险因素,如衰老、营养不良、缺乏运动和某些疾病,都会通过不同的途径对骨骼肌健康产生负面影响,导致肌肉萎缩。在决定整体肌肉健康的各种因素中,肌肉蛋白质合成和降解的速度是最终改变整体肌肉健康命运的一个重要参数。在骨骼肌过度萎缩(包括肌肉疏松症)的情况下,肌肉蛋白质的降解率通常会超过蛋白质的合成率。全身循环中氨基酸的供应是肌肉蛋白质合成的关键步骤。本综述旨在整合氨基酸的现有证据,强调其作用机制,并评估其在增强骨骼肌健康方面的作用和有效性。
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引用次数: 0
Palmitoylethanolamide, an endogenous fatty acid amide, and its pleiotropic health benefits: A narrative review. 棕榈酰乙醇酰胺(一种内源性脂肪酸酰胺)及其对健康的多重益处:叙述性综述。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-10-22 DOI: 10.7555/JBR.38.20240053
Debasis Basu

The global nutritional transition has led to the increased frequency and severity of chronic degenerative diseases worldwide, primarily driven by chronic inflammatory stress. At mealtimes, various pharmaceutical products aim to prevent such inflammatory stress, but they usually cause various systemic side effects. Therefore, the supplementation of natural and safe ingredients is a promising strategy to reduce the risk and severity of inflammatory stress-related diseases. Palmitoylethanolamide (PEA), an endocannabinoid-like mediator, has been extensively studied for its diverse actions, including anti-inflammatory, antimicrobial, immunostimulatory, neuroprotective, and pain-reducing effects, with high tolerability and safety in both animals and humans. Because of its multiple molecular targets and mechanisms of action, PEA has demonstrated therapeutic benefits in various diseases, including neurological, psychiatric, ophthalmic, metabolic, oncological, renal, hepatic, immunological, rheumatological, and gastrointestinal conditions. The current review highlights the roles and functions of PEA in various physiological and pathological conditions, further supporting its use as an important dietary agent.

全球营养转型已导致慢性退行性疾病在全球范围内高频率、高严重性地发生,而这主要是由慢性炎症应激引起的。在进餐时,各种药物产品旨在预防这种炎症应激,但它们通常会引起各种系统性副作用。因此,补充天然、安全的成分是降低炎症应激相关疾病风险和严重程度的最佳策略。因此,人们对棕榈酰乙醇酰胺(PEA)这种内源性大麻素类介质的多种作用进行了广泛研究,包括抗炎、抗微生物、免疫刺激、神经保护和镇痛作用,而且 PEA 在动物和人体中具有很高的耐受性和安全性。由于具有多种分子靶点和作用机制,五乙醇胺对神经、精神、眼科、代谢、肿瘤、肾脏、肝脏、免疫、风湿病和胃肠道疾病等多种疾病都有治疗效果。本综述强调了 PEA 在各种生理和病理条件下的作用和功能,进一步支持将 PEA 用作一种重要的膳食制剂。
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引用次数: 0
Study of the mass balance, biotransformation, and safety of [ 14C]IBI351 in healthy Chinese subjects. 中国健康受试者体内[14C]IBI351的质量平衡、生物转化和安全性研究。
IF 2.4 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-10-22 DOI: 10.7555/JBR.38.20240254
Shuaishuai Wang, Wen Lin, Bilal Ahmed, Tianqi Zhong, Jun Zhao, Lijun Xie, Hao Feng, Juan Chen, Chen Zhang, Peng Yan, Shirui Zheng, Lingge Cheng, Yipeng Cheng, Bei Zhu, Feng Han, Lulu Zhang, Chen Zhou

IBI351, a synthetic compound, exerts its anti-tumor effects by specifically, covalently, and irreversibly modifying the 12th cysteine residue of KRAS G12C. However, the pharmacokinetic profile of IBI351 in humans has not yet been reported. The current study aimed to investigate the pharmacokinetics and safety of IBI351 in healthy Chinese male subjects. A single oral dose of 600 mg combined with 150 μCi [ 14C]IBI351 was administered to six healthy male volunteers. Blood, urine, and fecal samples were collected at multiple time points to quantify the parent drug and its metabolites. IBI351 showed favorable pharmacokinetic characteristics and was well tolerated by all participants. Seventeen major metabolites were identified in plasma, urine, and feces. The main metabolic pathways included oxidation, hydrogenation, sulfonate conjugation, glucuronide conjugation, and cysteine conjugation. Excretion of IBI351 and its metabolites occurred mainly through feces. Collectively, this first-in-human study provides essential data on the metabolism and safety of IBI351 in Chinese subjects and lays the foundation for its further clinical development as a novel anti-tumor drug.

IBI351 是一种合成化合物,通过特异性、共价和不可逆地修饰 KRAS G12C 的第 12 个半胱氨酸残基来发挥抗肿瘤作用。然而,IBI351 在人体内的药代动力学特征尚未见报道。本研究旨在探讨IBI351在中国男性健康受试者体内的药代动力学和安全性。6名健康男性受试者单次口服600 mg/150 μCi [ 14C]IBI351 。在连续的时间点采集血液、尿液和粪便样本,分析 IBI351 母药及其代谢物的水平。我们发现,IBI351 显示出良好的药代动力学特征,所有六名受试者都能很好地耐受。此外,我们还分析并确定了 IBI351 在血液、尿液和粪便中的 17 种主要代谢物。主要代谢途径包括氧化、氢化、磺酸盐共轭、葡萄糖醛酸共轭和半胱氨酸共轭。IBI351 及其代谢物主要通过粪便排泄。综上所述,这是首次对IBI351在中国受试者体内的代谢和安全性进行研究,这些发现可为IBI351作为新型抗肿瘤药物的未来临床开发提供指导。
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引用次数: 0
LncRNA LINC01503 promotes angiogenesis in colorectal cancer by regulating VEGFA expression via miR-342-3p and HSP60 binding. LncRNA LINC01503通过miR-342-3p和HSP60结合调控VEGFA的表达,从而促进结直肠癌的血管生成。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-10-22 DOI: 10.7555/JBR.38.20240190
Dandan Zheng, Xiya Zhang, Jia Xu, Shuwen Chen, Bin Wang, Xiaoqin Yuan

Colorectal cancer (CRC) ranks among the top five most common malignant tumors worldwide and has a high mortality rate. Angiogenesis plays an important role in CRC progression; however, anti-angiogenesis therapy still has many limitations. Long non-coding RNAs (lncRNAs) participate in tumor progression by regulating the expression of vascular endothelial growth factor in metastatic CRC. Thus, targeting specific lncRNAs may provide some new hope for anti-angiogenic strategies. Through analyzing data from both clinical samples and The Cancer Genome Atlas database, we found that the lncRNA LINC01503 was specifically upregulated in CRC tissues and was associated with tumor progression and poor overall survival. We also demonstrated that LINC01503 enhanced the capacity for tube formation and migration of vascular endothelial cells, thus promoting CRC tumorigenesis by upregulating vascular endothelial growth factor A (VEGFA) expression in CRC cells. Mechanistically, LINC01503 promoted the expression of VEGFA by simultaneously regulating both mRNA and protein stability of VEGFA by binding to miR-342-3p and the chaperone HSP60, respectively. The upregulation of LINC01503 in CRC cells was attributed to the CREB-binding protein CBP/p300-mediated H3K27 acetylation of the LINC01503 promoter region. Taken together, our findings clarify the mechanism by which LINC01503 may promote CRC angiogenesis, implying that LINC01503 may serve as a potential prognostic biomarker and therapeutic target for CRC.

结直肠癌(CRC)是全球最常见的五大恶性肿瘤之一,死亡率很高。血管生成在 CRC 的发展过程中起着重要作用,但抗血管生成疗法仍有许多局限性。长非编码 RNA(lncRNA)通过调节转移性 CRC 中血管内皮生长因子的表达参与肿瘤的进展。因此,靶向特定的lncRNA可能会为抗血管生成策略带来一些新希望。通过分析临床样本和癌症基因组图谱数据库的数据,我们发现lncRNA LINC01503在CRC组织中特异性上调,并与肿瘤进展和总生存率低有关。我们还证实,LINC01503能增强血管内皮细胞的管形成和迁移能力,从而通过上调CRC细胞中血管内皮生长因子A(VEGFA)的表达促进CRC的肿瘤发生。从机理上讲,LINC01503通过与miR-342-3p和伴侣HSP60结合,同时调节mRNA和VEGFA的稳定性,从而促进了VEGFA的表达。LINC01503在CRC细胞中的上调归因于CREB结合蛋白CBP/p300介导的LINC01503启动子区H3K27乙酰化。综上所述,我们的研究结果阐明了LINC01503促进CRC血管生成的机制,表明LINC01503可作为CRC潜在的预后生物标志物和治疗靶点。
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引用次数: 0
Gold nanorods as biocompatible nano-agents for the enhanced photothermal therapy in skin disorders. 金纳米棒作为生物相容性纳米试剂,用于增强皮肤病的光热疗法。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-10-08 DOI: 10.7555/JBR.38.20240119
Yamei Gao, Shaohu Huo, Chao Chen, Shiyu Du, Ruiyuan Xia, Jian Liu, Dandan Chen, Ziyue Diao, Xin Han, Zhiqiang Yin

Rod-shaped gold nanomaterials, known as gold nanorods (GNRs), may undergo specific surface modification, because of their straightforward surface chemistry. This feature makes them appropriate for use as functional and biocompatible nano-formulations. By optimizing the absorption of longitudinally localized surface plasmon resonance in the near-infrared region, which corresponds to the near-infrared bio-tissue window, GNRs with appropriate modifications may improve the results of photothermal treatment (PTT). In dermatology, potential noninvasive uses of GNRs to enhance wound healing, manage infections, combat cutaneous malignancies, and remodel skin tissues via PTT have attracted research attention in recent years. The review discussed the basic properties of GNRs, such as their shape, size, optical performance, photothermal efficiency, and metabolism. Then, the disadvantages of using these particles in photodynamic therapy are highlighted. Next, biological applications of GNRs-based PTT are explored in detail. Finally, the limitations and future perspectives of this research are addressed, providing a comprehensive perspective on the potential GNRs with PTT.

被称为金纳米棒(GNRs)的棒状金纳米材料,由于其简单的表面化学性质,可发生特定的表面变化。这一特点使其适合用作功能性和生物相容性纳米制剂。通过优化纵向局部表面等离子体共振(LSPR)在近红外(NIR)区域的吸收,经过适当修饰的 GNRs 可以改善光热治疗(PTT)的效果。近年来,在皮肤科领域,GNRs 在促进伤口愈合、控制感染、抗击皮肤恶性肿瘤以及通过 PTT 重塑皮肤组织方面的潜在非侵入性用途引起了研究人员的关注。在这篇综述中,首先讨论了 GNRs 的基本特性,如形状、尺寸、光学性能、光热效率和新陈代谢。然后,提出了在光动力疗法(PDT)中使用这些颗粒的缺点。接着,详细总结了基于 GNRs 的 PTT 的生物应用。最后,总结了本研究的局限性和未来展望,为前瞻性的 GNRs 光动力疗法提供了全面的展望。
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引用次数: 0
Anlotinib reverses osimertinib resistance by inhibiting epithelial-to-mesenchymal transition and angiogenesis in non-small cell lung cancer. 安罗替尼通过抑制上皮细胞向间质转化和血管生成逆转非小细胞肺癌对奥希替尼的耐药性
IF 2.4 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-27 DOI: 10.7555/JBR.38.20240045
Liting Lyu, Xin Hua, Jiaxin Liu, Sutong Zhan, Qianqian Zhang, Xiao Liang, Jian Feng, Yong Song

In the present study, we aimed to investigate whether anlotinib reverses osimertinib resistance by inhibiting the formation of epithelial-mesenchymal transition (EMT) and angiogenesis. In a clinical case, anlotinib reversed osimertinib resistance in non-small cell lung cancer (NSCLC). Therefore, we performed immunohistochemical analyses on tumor tissues from three NSCLC patients with osimertinib resistance to analyze alterations in the expression levels of EMT markers and vascular endothelial growth factor A (VEGFA) before and after the development of osimertinib resistance. The results revealed the downregulation of E-cadherin, coupled with the upregulation of vimentin and VEGFA in tumor tissues of patients exhibiting osimertinib resistance, compared with those in tissues from patients before receiving osimertinib. Subsequently, we established osimertinib-resistant (Osi-R) cell lines and found that the Osi-R cells acquired EMT features. Next, we analyzed the synergistic effects of the combination therapy to verify whether anlotinib could reverse osimertinib resistance by inhibiting EMT. The expression levels of VEGFA and tube formation were analyzed in the combination group in vitro. Finally, we determined the reversal of osimertinib resistance by the combination of osimertinib and anlotinib in vivo using 20 nude mice. The combined treatment of osimertinib and anlotinib effectively prevented the metastasis of Osi-R cells, inhibited tumor growth, exerted antitumor activity, and ultimately reversed osimertinib resistance in mice. The co-administration of osimertinib and anlotinib demonstrated synergistic efficacy in inhibiting EMT and angiogenesis in three NSCLC patients, ultimately reversing osimertinib resistance.

本研究旨在探讨安罗替尼通过抑制上皮细胞向间质转化(EMT)的形成和血管生成,对可能逆转奥希替尼耐药性的影响。在一个临床病例中,安罗替尼逆转了非小细胞肺癌(NSCLC)的奥西莫替尼耐药性。我们对三例奥希替尼耐药的非小细胞肺癌患者的肿瘤组织进行了免疫组化实验,分析了奥希替尼耐药前后EMT标志物和血管内皮生长因子A(VEGFA)表达水平的变化。结果显示,与服用奥希替尼前相比,奥希替尼耐药患者肿瘤组织中E-cadherin下调,波形蛋白和VEGFA上调。随后,我们建立了奥希替尼耐药细胞系,发现奥希替尼耐药细胞具有EMT特征。随后,我们分析了联合治疗的协同作用,以验证安罗替尼是否能通过抑制EMT逆转奥希替尼耐药。我们在体外分析了联合治疗组中 VEGFA 和微血管的表达水平。最后,我们以20只裸鼠为研究对象,探讨了奥希替尼联合安罗替尼在体内逆转奥希替尼耐药性的情况。奥希替尼与安罗替尼联合治疗可有效阻止耐药细胞的转移,同时抑制肿瘤生长,发挥抗肿瘤活性,最终逆转小鼠对奥希替尼的耐药性。奥西美替尼和安罗替尼联合用药在三例NSCLC患者中显示出抑制EMT和血管生成的协同疗效,最终逆转了奥西美替尼耐药。
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引用次数: 0
Helminth-derived molecules: Pathogenic and pharmacopeial roles. 蠕虫衍生分子:致病和药理作用。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-24 DOI: 10.7555/JBR.38.20240177
Yu Zhang, Chunxiang Shen, Xinyi Zhu, Chiuan Yee Leow, Minjun Ji, Zhipeng Xu

Parasitic helminths, taxonomically comprising trematodes, cestodes, and nematodes, are multicellular invertebrates widely disseminated in nature and have afflicted humans continuously for a long time. Helminths play potent roles in the host by generating a variety of novel molecules, including some excretory/secretory products and others that are involved in intracellular material exchange and information transfer as well as the initiation or stimulation of immune and metabolic activation. The helminth-derived molecules have developed powerful and diverse immunosuppressive effects to achieve immune evasion for parasite survival and establish chronic infections. However, they also improve autoimmune and allergic inflammatory responses and promote metabolic homeostasis by promoting metabolic reprogramming of various immune functions, and then inducing alternatively activated macrophages, T helper 2 cells, and regulatory T cell-mediated immune responses. Therefore, a deeper exploration of the immunopathogenic mechanism and immune regulatory mechanisms of helminth-derived molecules exerted in the host is crucial for understanding host-helminth interactions, as well as the development of therapeutic drugs for infectious or non-infectious diseases. In this review, we focus on the properties of helminth-derived molecules to give an overview of the most recent scientific knowledge about their pathogenic and pharmacopeial roles in immune-metabolic homeostasis.

寄生蠕虫在分类学上包括吸虫、绦虫和线虫,是在自然界广泛传播的多细胞无脊椎动物,长期以来一直困扰着人类。蠕虫通过产生各种新型分子,包括一些排泄/分泌产物和其他参与细胞内物质交换和信息传递以及启动或刺激免疫和代谢激活的分子,在宿主体内发挥着强大的作用。蠕虫衍生分子具有强大而多样的免疫抑制作用,可实现寄生虫生存所需的免疫逃避,并建立慢性感染。然而,它们也能改善自身免疫和过敏性炎症反应,并通过促进各种免疫功能的代谢重编程,进而诱导替代活化巨噬细胞、T 辅助 2 细胞和调节性 T 细胞介导的免疫反应,促进代谢平衡。因此,深入探讨蠕虫衍生分子在宿主体内的免疫致病机制和免疫调节机制,对于理解宿主与蠕虫的相互作用以及开发治疗传染性或非传染性疾病的药物至关重要。在这篇综述中,我们将重点关注蠕虫衍生分子的特性,概述有关其在免疫代谢平衡中的致病作用和药理作用的最新科学知识。
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引用次数: 0
The role of perioperative factors in the prognosis of cancer patients: A coin has two sides. 围手术期因素在癌症患者预后中的作用:硬币有两面
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-24 DOI: 10.7555/JBR.38.20240164
Yingzhou Tu, Sen Wang, Haoran Wang, Peiyao Zhang, Mengyu Wang, Cunming Liu, Chun Yang, Riyue Jiang

Cancer, potentially the second leading cause of mortality globally, poses a significant health challenge. The conventional treatment for solid tumors typically involves surgical intervention, followed by chemotherapy, radiotherapy, and targeted therapies. However, cancer recurrence and metastasis remain major issues. Anesthesia is essential for ensuring patient comfort and safety during surgery. Despite its crucial role in surgery, the precise effect of anesthesia on cancer patients' outcomes has not been clearly understood. This comprehensive review aims to elucidate perioperative anesthesia strategies for cancer patients and their potential effects on prognosis. Given the complexity of cancer treatments, understanding the relationship between anesthesia and cancer outcomes is crucial. By examining potential implications of anesthesia strategies for cancer prognosis, this review may help better understand treatment efficacy and risk factors for cancer recurrence and metastasis. Ultimately, a detailed analysis of anesthesia practices in cancer surgery may provide insights to refine existing anesthesia protocols and reduce risk factors for poor patient outcomes.

癌症是全球第二大死亡原因,对健康构成了重大挑战。实体瘤的传统治疗方法包括外科手术、化疗、放射治疗和靶向治疗,但癌症的复发和转移仍然是一个重大问题。麻醉对于确保病人在手术过程中的舒适和安全至关重要。尽管麻醉在手术过程中起着至关重要的作用,但人们对麻醉对癌症患者预后的确切影响并不清楚。本综述旨在阐明癌症患者围手术期护理中使用的各种麻醉策略及其对患者预后的潜在影响,但鉴于癌症治疗的复杂性,了解麻醉与癌症预后之间的复杂关系至关重要。研究麻醉策略对癌症患者预后的潜在影响有助于更好地了解治疗效果以及癌症复发和转移的风险因素。通过详细分析癌症手术中的麻醉实践,本综述旨在提供深入见解,从而改进现有的麻醉方案,最终降低肿瘤领域患者预后的风险因素。
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引用次数: 0
Molecular evolution of intestinal-type early gastric cancer according to Correa cascade. 根据科雷亚级联分析肠型早期胃癌的分子演化。
IF 2.2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-24 DOI: 10.7555/JBR.38.20240118
Fangyuan Li, Yaohui Wang, Xiaochun Ping, Jiani C Yin, Fufeng Wang, Xian Zhang, Xiang Li, Jing Zhai, Lizong Shen

Early screening is crucial for the prevention of intestinal-type gastric cancer. The current study aimed to ascertain the molecular evolution of intestinal-type gastric cancer based on the Correa cascade for precise gastric cancer screening. We collected sequential lesions of the Correa cascade in the formalin-fixed and paraffin-embedded endoscopic submucosal dissection (ESD)-resected specimens from 14 Chinese patients by microdissection, and subsequently determined the profiles of somatic aberrations during gastric carcinogenesis using whole-exome sequencing, identifying multiple variants at different Correa stages. The results showed that TP53, PCLO, and PRKDC were the most frequently mutated genes in early gastric cancer (EGC). We found a high frequency of TP53 alterations in low-grade intraepithelial neoplasia (LGIN), which further increased in high-grade intraepithelial neoplasia (HGIN) and EGC. Intestinal metaplasia (IM) showed no significant correlation with EGC in terms of mutational spectra, whereas both LGIN and HGIN showed higher genomic similarities to EGC, compared with IM. Based on Jaccard similarity coefficients, we constructed three evolutionary models, with most patients showing linear progression from LGIN to HGIN, ultimately resulting in EGC. The extracellular matrix-receptor interaction pathway was revealed to be involved in the linear evolution. Additionally, the retrospective validation study of 39 patients diagnosed with LGIN indicated that PRKDC mutations, in addition to TP53 mutations, may drive LGIN progression to HGIN or EGC. In conclusion, the current study unveils the genomic evolution across the Correa cascade of intestinal-type gastric cancer, elucidates the underlying molecular mechanisms of gastric carcinogenesis, and provides evidence for potential personalized gastric cancer surveillance.

早期筛查对于预防肠型胃癌至关重要。本研究的目的是根据科雷亚级联确定肠型胃癌的分子演化,以便进行精确的胃癌筛查。我们采用显微切割法采集了14例中国患者福尔马林固定和石蜡包埋的内镜下粘膜下剥离术切除标本中Correa级联的序列病变,随后利用全外显子测序法测定了胃癌发生过程中的体细胞畸变谱,确定了不同Correa阶段的多种变异。结果显示,TP53、PCLO和PRKDC是早期胃癌(EGC)中最常见的突变基因。在低级别上皮内瘤变(LGIN)中发现了高频率的TP53变异,而在高级别上皮内瘤变(HGIN)和EGC中变异频率进一步增加。就突变谱而言,肠化生(IM)与EGC无明显相关性,而与IM相比,LGIN和HGIN与EGC的基因组相似性更高。根据 Jaccard 相似性系数,进一步构建了三种进化模型,大多数患者的病程呈线性发展,从 LGIN 到 HGIN,最终形成 EGC。研究发现,ECM-受体相互作用途径参与了线性演变。此外,对 39 例确诊为 LGIN 的患者进行的回顾性验证研究表明,除 TP53 突变外,PRKDC 突变也可能促使 LGIN 进展为 HGIN 或 EGC。总之,本研究揭示了肠型胃癌科雷亚级联的基因组演变过程,阐明了胃癌发生的潜在分子机制,并为潜在的个性化胃癌监测提供了一些证据。
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引用次数: 0
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Journal of Biomedical Research
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