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E3 ubiquitin ligase BTRC inhibits the proliferation and tumor growth of glioma cells through the NFAT5/AQP4 axis. E3泛素连接酶BTRC通过NFAT5/AQP4轴抑制胶质瘤细胞的增殖和肿瘤生长。
IF 2.8 3区 医学 Q3 ONCOLOGY Pub Date : 2025-10-21 DOI: 10.1007/s00432-025-06346-z
Yexin Li, Siqiang Tang, Kaiyuan Jiang, Peng Deng, Xiqi Hu

Objective: Ubiquitination is integral to the pathogenesis of various tumors. This study sought to elucidate the role and underlying mechanisms of BTRC-mediated ubiquitination and degradation in glioma.

Method: The expression levels of beta-transduced in repeat containing E3 ubiquitin protein ligase (BTRC), nuclear factor of activated T cells 5 (NFAT5) and aquaporin-4 (AQP4) were assessed by RT-qPCR/Western blot. The association and underlying mechanisms of BTRC, NFAT5, and AQP4 were examined through co-immunoprecipitation, cycloheximide chase, and chromatin immunoprecipitation assays. The influence of the BTRC/NFAT5/AQP4 axis on the malignant biological functions of glioma cells and tumor growth was evaluated through a series of in vitro and in vivo experiments.

Results: In glioma cells, BTRC expression was observed to be downregulated. Overexpression of BTRC inhibits proliferation, migration and invasion, while promoting apoptosis in glioma cells. Mechanically, BTRC overexpression facilitates ubiquitination and degradation of NFAT5, thereby inhibiting NFAT5-mediated transcriptional activation of AQP4. Functional recovery assays demonstrated that the overexpression of either AQP4 or NFAT5 counteracted the intervention effect of upregulation of BTRC on the malignant behavior of glioma cells. In vivo animal experiments further confirmed the results of the in vitro experiments, indicating that the overexpression of BTRC inhibits tumor growth through the NFAT5/AQP4 axis.

Conclusion: BTRC negatively modulates the transcription of AQP4 via NFAT5 in glioma cells, thereby influencing their malignant biological functions and tumor growth.

目的:泛素化与多种肿瘤的发病机制密切相关。本研究旨在阐明btrc介导的泛素化和降解在胶质瘤中的作用和潜在机制。方法:采用RT-qPCR/Western blot检测β -转导的含E3泛素蛋白连接酶(BTRC)、活化T细胞核因子5 (NFAT5)、水通道蛋白4 (AQP4)的表达水平。通过免疫共沉淀法、环己亚胺追踪法和染色质免疫沉淀法检测BTRC、NFAT5和AQP4的关联及其潜在机制。通过一系列体外和体内实验,评估BTRC/NFAT5/AQP4轴对胶质瘤细胞恶性生物学功能及肿瘤生长的影响。结果:胶质瘤细胞中BTRC表达下调。BTRC过表达抑制胶质瘤细胞的增殖、迁移和侵袭,同时促进胶质瘤细胞凋亡。机械上,BTRC过表达促进了NFAT5的泛素化和降解,从而抑制了NFAT5介导的AQP4的转录激活。功能恢复实验表明,AQP4或NFAT5的过表达抵消了BTRC上调对胶质瘤细胞恶性行为的干预作用。体内动物实验进一步证实了体外实验的结果,表明BTRC过表达通过NFAT5/AQP4轴抑制肿瘤生长。结论:BTRC通过NFAT5负向调节胶质瘤细胞中AQP4的转录,从而影响胶质瘤细胞的恶性生物学功能和肿瘤生长。
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引用次数: 0
Response to PD-1 inhibition in MMRd/MSS pancreatic ductal adenocarcinoma: the relevance of parallel testing. MMRd/MSS胰腺导管腺癌患者对PD-1抑制的反应:平行试验的相关性
IF 2.8 3区 医学 Q3 ONCOLOGY Pub Date : 2025-10-21 DOI: 10.1007/s00432-025-06334-3
Heike L Pahl, Silke Lassmann, Anne M Schultheis, Stephan Rau, Melanie Börries, Justus Duyster, Matthias Zaiss, Michael Quante, Heiko Becker

While pancreatic ductal adenocarcinoma (PDAC) carries a poor prognosis, a small fraction of patients show high microsatellite instability (MSI-H) and may respond to immune checkpoint inhibition. An MSI-H genotype is usually associated with deficiencies in the DNA mismatch-repair mechanism (MMRd). However, discordances between the mismatch-repair status by immunohistochemistry and the microsatellite status by molecular analyses have been noted. To date it is not clear whether PDAC patients with mutations in mismatch repair genes, which result in loss of protein expression (MMRd), who nonetheless retain microsatellite stability (MSS), can profit from checkpoint inhibitor therapy. Here, we present the case of a PDAC patient, diagnosed as MMRd/MSS, who responded to checkpoint inhibitor therapy after failing two lines of chemotherapy. Our data suggest that both MMR and microsatellite status should be determined in PDAC patients and that MMRd status alone, even in an MSS phenotype, can constitute an indication for checkpoint inhibitor therapy.

虽然胰腺导管腺癌(PDAC)预后较差,但一小部分患者表现出高微卫星不稳定性(MSI-H),并可能对免疫检查点抑制有反应。MSI-H基因型通常与DNA错配修复机制(MMRd)缺陷有关。然而,免疫组织化学发现的错配修复状态与分子分析发现的微卫星状态不一致。到目前为止,尚不清楚错配修复基因突变导致蛋白表达缺失(MMRd)的PDAC患者是否可以从检查点抑制剂治疗中获益,尽管他们仍然保持微卫星稳定性(MSS)。在这里,我们提出了一个PDAC患者的病例,诊断为MMRd/MSS,在两次化疗失败后对检查点抑制剂治疗有反应。我们的数据表明,PDAC患者的MMR和微卫星状态都应该被确定,即使在MSS表型中,单独的MMRd状态也可以构成检查点抑制剂治疗的指征。
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引用次数: 0
Molecular detection of HPV, EBV, and polyomaviruses in thyroid tumors and their clinicopathological relevance. 甲状腺肿瘤中HPV、EBV和多瘤病毒的分子检测及其临床病理相关性。
IF 2.8 3区 医学 Q3 ONCOLOGY Pub Date : 2025-10-20 DOI: 10.1007/s00432-025-06328-1
Nagwan Ramadan, Omar Alfarouk Rabiee, Mohamed M Hafez, Nasra F Abdel Fattah, Eman Naguib Khorshed, Khaled Khalafalla, Auhood Nassar

Objective: Oncogenic viruses have been implicated in thyroid carcinogenesis, yet their prevalence and clinicopathological associations remain incompletely understood. Thus, it is crucial to investigate the prevalence of human papillomavirus (HPV), Epstein-Barr virus (EBV), and polyomaviruses (JCV and BKV) in thyroid tumors and assess their association with clinic-pathological characteristics.

Methods: This study included 70 fresh biopsy samples collected from 45 TC patients and 25 patients with benign thyroid tumors, along with 10 normal thyroid tissues. Viral DNA was extracted and screened for HPV, EBV, and polyomaviruses using SYBR Green-based real-time PCR.

Results: HPV, EBV, and polyomaviruses, particularly JCV, were detected at significantly lower frequencies in the normal group when compared to malignant and benign groups (p-value = 0.030, p-value = 0.030, and p-value = 0.001, respectively). In TC patients, HPV common, HPV-16, HPV-6, and HPV-11 positivity was correlated with obesity (p-value < 0.05), polyomaviruses, particularly JCV, with older age (p-value = 0.041 and p-value = 0.011), BKV with larger tumor size (p-value = 0.030), and EBV with family cancer history (p-value = 0.020). In benign tumors, polyomavirus was absent in Hashimoto thyroiditis (p-value = 0.020), BKV was linked to older age (p-value = 0.030), and absence of BKV was associated with COVID-19 vaccination (p-value = 0.046).

Conclusion: The current study is the first of its kind in Egypt to investigate the prevalence of HPV, EBV, and polyomaviruses in thyroid tumors and to examine their associations with certain clinicopathological characteristics. The findings underline the importance of viral profiling in understanding thyroid tumor behavior and influencing cancer risk as well.

目的:致瘤病毒与甲状腺癌的发生有关,但其患病率和临床病理关系仍不完全清楚。因此,研究人乳头瘤病毒(HPV)、eb病毒(EBV)和多瘤病毒(JCV和BKV)在甲状腺肿瘤中的流行情况,并评估它们与临床病理特征的关系是至关重要的。方法:本研究收集了45例TC患者和25例良性甲状腺肿瘤患者的70例新鲜活检标本,以及10例正常甲状腺组织。提取病毒DNA并使用基于SYBR green的实时PCR筛选HPV, EBV和多瘤病毒。结果:与恶性组和良性组相比,正常组中HPV、EBV和多瘤病毒,特别是JCV的检出率显著低于恶性组和良性组(p值分别为0.030、0.030和0.001)。在TC患者中,HPV common、HPV-16、HPV-6和HPV-11阳性与肥胖相关(p值)。结论:目前的研究是埃及首次调查HPV、EBV和多瘤病毒在甲状腺肿瘤中的患病率,并研究它们与某些临床病理特征的相关性。这些发现强调了病毒谱在理解甲状腺肿瘤行为和影响癌症风险方面的重要性。
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引用次数: 0
Running session-conditioned human serum lowers prostate cancer cell spheroid formation. 跑步训练条件下的人血清降低前列腺癌细胞球形形成。
IF 2.8 3区 医学 Q3 ONCOLOGY Pub Date : 2025-10-18 DOI: 10.1007/s00432-025-06350-3
Giulia Baldelli, Alice Avancini, Diana Giannarelli, Lorenzo Budel, Veronica Gentilini, Anita Borsati, Linda Toniolo, Asja Conti, Michele Milella, Federico Schena, Giorgio Brandi, Sara Pilotto, Mauro De Santi, Cantor Tarperi

Purpose: Physical activity is associated with a lower mortality and recurrence risk in cancer, yet the underlying mechanisms remain unclear. This study aimed to evaluate the effects of running sessions on the tumorigenic potential of prostate cancer cells using a 3D in vitro model.

Methods: Fifteen healthy males completed two outdoor running sessions (5 km and 10 km), interspersed by 1 month of wash-out time. Blood samples were collected before (PRE), immediately after (POST), and 3 h after (POST-3 h) sessions. Human serum (HS) samples were used to stimulate LNCaP and PC3 cell lines in 3D in vitro culture technique. The spheroid formation ability was quantified after 21 days of incubation, using GelCount.

Results: In both prostate cancer cell lines, a reduction in spheroid number was shown, by both running sessions and in all timepoints considered (LNCaP cells: 5 km: - 23.8%; 10 km: - 5.6% POST HS; 5 km: - 37.8%; 10 km: - 34.8% POST-3 h HS; PC3 cells: 5 km: - 14%; 10 km: - 15.9% POST HS; 5 km: - 14.2%; 10 km: - 13% POST-3 h HS). The spheroid volume was reduced by 42.6% (5 km) and 51.1% (10 km) with POST-3 h HS, in LNCaP cells; no significant reduction was observed in PC3 cells. No differences were found between the running sessions, while higher muscle mass, cardiorespiratory fitness and age were associated with greater reductions in spheroid number and volume, especially in LNCaP cells.

Conclusion: Running sessions reduce prostate cancer cell spheroid formation, especially in participants with higher physical fitness. Shorter running distances showed comparable effects to longer ones, highlighting practical implications for real-world exercise prescriptions in oncology.

目的:体育锻炼与降低癌症死亡率和复发风险相关,但其潜在机制尚不清楚。本研究旨在利用3D体外模型评估跑步对前列腺癌细胞致瘤潜能的影响。方法:15名健康男性完成两次户外跑步(5公里和10公里),中间间隔1个月的冲洗时间。分别在术前、术后和术后3小时采集血样。采用人血清(HS)样品对LNCaP和PC3细胞系进行体外3D培养。孵育21天后,用GelCount定量球体形成能力。结果:在两种前列腺癌细胞系中,通过两组跑步和所有考虑的时间点均显示球体数量减少(LNCaP细胞:5公里:- 23.8%;10公里:- 5.6%;5公里:- 37.8%;10公里:- 34.8%;PC3细胞:5公里:- 14%;10公里:- 15.9%;5公里:- 14.2%;10公里:- 13%)。经POST-3 h HS处理后,LNCaP细胞的球体体积分别减少了42.6% (5 km)和51.1% (10 km);PC3细胞无明显减少。在跑步阶段之间没有发现差异,而较高的肌肉质量、心肺健康和年龄与球体数量和体积的减少有关,尤其是LNCaP细胞。结论:跑步可减少前列腺癌细胞球形形成,特别是在身体素质较高的参与者中。较短的跑步距离与较长的跑步距离显示出相当的效果,突出了现实世界中肿瘤学运动处方的实际意义。
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引用次数: 0
ARNT2-driven transcriptional activation of STRA6 reprograms fatty acid metabolism to promote retroperitoneal liposarcoma progression. arnt2驱动的STRA6转录激活重编程脂肪酸代谢,促进腹膜后脂肪肉瘤进展。
IF 2.8 3区 医学 Q3 ONCOLOGY Pub Date : 2025-10-18 DOI: 10.1007/s00432-025-06352-1
Junxiang Zhang, Hainan Guo, Bo Ban, Lin Yang, Jie Lian, Gan Li, Lindi Cai, Kai Deng, He Jiang, Xuqi Li, Shufeng Wang

Background: Retroperitoneal liposarcoma (RLPS) is a mesenchymal-derived malignant tumor characterized by high aggressiveness and a propensity for local recurrence. Emerging evidence implicates aberrant fatty acid metabolism as a key driver of RLPS progression, yet the transcriptional regulators orchestrating this process remain poorly defined.

Methods: Bioinformatics integrating cellular experiments demonstrated the role of fatty acid metabolism in the progression of RLPS. Immunohistochemistry (IHC) and Western blotting (WB) were employed to validate the expression levels of ARNT2, and the role of ARNT2 in tumor progression was demonstrated through CCK8 assays, Transwell invasion assays and wound healing assays. Further experiments confirmed the transcriptional regulatory effect of ARNT2 on STRA6 and demonstrated its control over RLPS progression by modulating intracellular lipid droplet and triglyceride levels.

Results: Here, we identify ARNT2 as a novel oncogenic transcription factor that promotes RLPS growth by transcriptionally upregulating STRA6, thereby reprogramming fatty acid metabolism. Specifically, ARNT2 binds to the STRA6 promoter to enhance its activity, thereby upregulating fatty acid metabolic enzymes and promoting lipid droplet accumulation with elevated triglycerides. This metabolic shift fuels energy production and biomass synthesis in RLPS cells, ultimately accelerating tumor proliferation and invasion.

Conclusion: This study identifies ARNT2 as a transcriptional modulator of fatty acid metabolism pathways, highlighting its potential as a viable molecular target for RLPS therapy.

背景:腹膜后脂肪肉瘤(RLPS)是一种间充质来源的恶性肿瘤,具有高侵袭性和局部复发倾向。新出现的证据表明,异常脂肪酸代谢是RLPS进展的关键驱动因素,但调控这一过程的转录调节因子仍不明确。方法:生物信息学结合细胞实验证实脂肪酸代谢在RLPS进展中的作用。采用免疫组织化学(IHC)和Western blotting (WB)验证了ARNT2的表达水平,并通过CCK8检测、Transwell侵袭检测和伤口愈合检测证实了ARNT2在肿瘤进展中的作用。进一步的实验证实了ARNT2对STRA6的转录调控作用,并通过调节细胞内脂滴和甘油三酯水平来控制RLPS的进展。结果:在这里,我们发现ARNT2是一种新的致癌转录因子,通过转录上调STRA6来促进RLPS的生长,从而重新编程脂肪酸代谢。具体来说,ARNT2与STRA6启动子结合,增强其活性,从而上调脂肪酸代谢酶,促进脂滴随着甘油三酯升高而积累。这种代谢转变促进了RLPS细胞的能量产生和生物质合成,最终加速了肿瘤的增殖和侵袭。结论:本研究确定了ARNT2是脂肪酸代谢途径的转录调节剂,突出了其作为RLPS治疗可行分子靶点的潜力。
{"title":"ARNT2-driven transcriptional activation of STRA6 reprograms fatty acid metabolism to promote retroperitoneal liposarcoma progression.","authors":"Junxiang Zhang, Hainan Guo, Bo Ban, Lin Yang, Jie Lian, Gan Li, Lindi Cai, Kai Deng, He Jiang, Xuqi Li, Shufeng Wang","doi":"10.1007/s00432-025-06352-1","DOIUrl":"10.1007/s00432-025-06352-1","url":null,"abstract":"<p><strong>Background: </strong>Retroperitoneal liposarcoma (RLPS) is a mesenchymal-derived malignant tumor characterized by high aggressiveness and a propensity for local recurrence. Emerging evidence implicates aberrant fatty acid metabolism as a key driver of RLPS progression, yet the transcriptional regulators orchestrating this process remain poorly defined.</p><p><strong>Methods: </strong>Bioinformatics integrating cellular experiments demonstrated the role of fatty acid metabolism in the progression of RLPS. Immunohistochemistry (IHC) and Western blotting (WB) were employed to validate the expression levels of ARNT2, and the role of ARNT2 in tumor progression was demonstrated through CCK8 assays, Transwell invasion assays and wound healing assays. Further experiments confirmed the transcriptional regulatory effect of ARNT2 on STRA6 and demonstrated its control over RLPS progression by modulating intracellular lipid droplet and triglyceride levels.</p><p><strong>Results: </strong>Here, we identify ARNT2 as a novel oncogenic transcription factor that promotes RLPS growth by transcriptionally upregulating STRA6, thereby reprogramming fatty acid metabolism. Specifically, ARNT2 binds to the STRA6 promoter to enhance its activity, thereby upregulating fatty acid metabolic enzymes and promoting lipid droplet accumulation with elevated triglycerides. This metabolic shift fuels energy production and biomass synthesis in RLPS cells, ultimately accelerating tumor proliferation and invasion.</p><p><strong>Conclusion: </strong>This study identifies ARNT2 as a transcriptional modulator of fatty acid metabolism pathways, highlighting its potential as a viable molecular target for RLPS therapy.</p>","PeriodicalId":15118,"journal":{"name":"Journal of Cancer Research and Clinical Oncology","volume":"151 12","pages":"296"},"PeriodicalIF":2.8,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12535577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145312968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CAA-derived IL-6 promoted the PD-L1 expression of breast cancer via STAT3/miR-497a-5p signaling. caa来源的IL-6通过STAT3/miR-497a-5p信号通路促进乳腺癌中PD-L1的表达。
IF 2.8 3区 医学 Q3 ONCOLOGY Pub Date : 2025-10-16 DOI: 10.1007/s00432-025-06324-5
Chongru Zhao, Xiaomei Zhou, Xing Li, Gezi Li, Qi Zhang, Jun Zhang

Background: Adipocytes are engaged in the development and progression of breast cancer (BC). Cancer-associated adipocytes (CAAs) are specific adipocytes located at the invasive front of BC that modulate tumor behaviors. This study aimed to investigate the effect of CAA-derived IL-6 in regulating BC progression.

Methods: Human BC specimens and adipocytes co-cultured with BC cells were used to explore the characteristics of CAAs. Adipocytes and 4T1 cells co-implanted in mouse model and tail vein metastasis model were used to explore the effect of CAAs on malignant progression and immunosuppressive tumor microenvironment (TME) of BC in vivo. The functional assays, flow cytometry, ELISA, miRNAs sequencing and dual-luciferase reporter assay were implemented to investigate the role of CAA-derived IL-6 in regulating programmed cell death protein ligand 1 (PD-L1) expression.

Results: CAAs were present at the invasive front of BC with a de-differentiated fibroblast phenotype. CAAs enhanced the malignant behaviors of 4T1 BC cells in vitro, and promoted 4T1 tumor growth and lung metastasis with decreased CD8+T cells and upregulated Tregs. The IHC results of both human BC specimens and xenografts showed that CAAs could upregulate PD-L1 expression in BC. Besides, CAAs could secrete abundant IL-6 and thus enhanced PD-L1 expression in 4T1 cells and tumors. More importantly, CAA-derived IL-6 could activate STAT3, while STAT3 blockade in CAA-cultured 4T1 cells upregulated miRNA-497a-5p expression and downregulated PD-L1 expression. Dual-luciferase reporter assay indicated that PD-L1 was a direct target of miRNA-497a-5p.

Conclusions: Our study demonstrated that CAAs promoted the malignant behaviors of BC and enhanced immunosuppression in TME. Specifically, CAA-derived IL-6 promoted the PD-L1 expression of BC via STAT3/miR-497a-5p signaling, thereby contributing to BC progression.

背景:脂肪细胞参与乳腺癌(BC)的发生和发展。癌相关脂肪细胞(CAAs)是位于BC浸润前部的特异性脂肪细胞,可调节肿瘤行为。本研究旨在探讨caa来源的IL-6在调节BC进展中的作用。方法:采用人BC标本及与BC细胞共培养的脂肪细胞,探讨CAAs的特点。采用脂肪细胞和4T1细胞共植入小鼠模型和尾静脉转移模型,探讨CAAs对BC体内恶性进展和免疫抑制性肿瘤微环境(TME)的影响。通过功能检测、流式细胞术、ELISA、miRNAs测序和双荧光素酶报告基因检测,研究caa来源的IL-6在调节程序性细胞死亡蛋白配体1 (PD-L1)表达中的作用。结果:CAAs存在于BC浸润前,呈去分化成纤维细胞表型。CAAs在体外增强4T1 BC细胞的恶性行为,促进4T1肿瘤生长和肺转移,CD8+T细胞减少,Tregs上调。人BC标本和异种移植物的免疫组化结果表明,CAAs可以上调BC中PD-L1的表达。此外,CAAs可以分泌丰富的IL-6,从而增强4T1细胞和肿瘤中PD-L1的表达。更重要的是,caa来源的IL-6可以激活STAT3,而在caa培养的4T1细胞中,STAT3阻断上调miRNA-497a-5p表达,下调PD-L1表达。双荧光素酶报告基因实验表明,PD-L1是miRNA-497a-5p的直接靶点。结论:我们的研究表明,CAAs促进了BC的恶性行为,增强了TME的免疫抑制。具体来说,caa衍生的IL-6通过STAT3/miR-497a-5p信号传导促进BC的PD-L1表达,从而促进BC的进展。
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引用次数: 0
Advancing cervical cancer treatment: integrating cannabinoids, combination therapies and nanotechnology. 推进宫颈癌治疗:整合大麻素、联合疗法和纳米技术。
IF 2.8 3区 医学 Q3 ONCOLOGY Pub Date : 2025-10-16 DOI: 10.1007/s00432-025-06323-6
S P Mathibela, K N Ncube, M T Lebelo, V Steenkamp

Background: Cervical cancer remains a major global health challenge, with the highest incidence and mortality rates observed in sub-Saharan Africa. Despite progress in prevention and treatment, the management of advanced and recurrent disease remains difficult.

Aim: This review explores the potential role of cannabinoids in cervical cancer therapy, with a focus on their integration into existing treatment strategies, combination therapies, and nanotechnology-based delivery systems.

Methods: A critical synthesis of preclinical studies and emerging therapeutic approaches was conducted, examining the anticancer properties of cannabinoids, their mechanisms of action, and their application within combination and nanotechnology-based treatment modalities.

Results: Cannabinoids such as tetrahydrocannabinol (THC) and cannabidiol (CBD) demonstrate anticancer effects by inducing apoptosis, inhibiting cell proliferation, and suppressing metastasis. Mechanistic studies highlight their ability to promote oxidative stress, modulate key signalling pathways, and influence immune responses in cervical cancer cells. Combination therapies involving cannabinoids with chemotherapy, radiotherapy, and immunotherapy show enhanced efficacy and reduced drug resistance. Furthermore, nanotechnology-based delivery systems offer advantages including targeted drug release, improved solubility, controlled dosing, and decreased systemic toxicity.

Conclusion: Cannabinoids represent a promising adjunct in cervical cancer management. However, successful clinical translation requires optimisation of formulations, establishment of dosing protocols, and comprehensive safety evaluation. Future research should also explore biomarker-driven personalised medicine approaches. Standardisation, along with addressing regulatory and ethical challenges, will be crucial for the integration of cannabinoid-based therapies into mainstream cervical cancer treatment.

背景:子宫颈癌仍然是全球主要的健康挑战,撒哈拉以南非洲的发病率和死亡率最高。尽管在预防和治疗方面取得了进展,但晚期和复发疾病的管理仍然很困难。目的:本综述探讨了大麻素在宫颈癌治疗中的潜在作用,重点是大麻素与现有治疗策略、联合治疗和基于纳米技术的给药系统的整合。方法:对临床前研究和新兴治疗方法进行了关键的综合,研究了大麻素的抗癌特性,它们的作用机制,以及它们在联合和纳米技术治疗方式中的应用。结果:四氢大麻酚(tetrahydrocannabinol, THC)、大麻二酚(cannabidiol, CBD)等大麻素通过诱导细胞凋亡、抑制细胞增殖、抑制肿瘤转移等方式发挥抗癌作用。机制研究强调了它们在宫颈癌细胞中促进氧化应激、调节关键信号通路和影响免疫反应的能力。大麻素与化疗、放疗和免疫治疗的联合治疗显示出增强的疗效和降低的耐药性。此外,基于纳米技术的给药系统具有靶向药物释放、改善溶解度、控制剂量和降低全身毒性等优点。结论:大麻素在宫颈癌治疗中是一种很有前途的辅助药物。然而,成功的临床转化需要优化配方、建立给药方案和全面的安全性评估。未来的研究还应该探索生物标志物驱动的个性化医疗方法。标准化,以及解决监管和伦理挑战,对于将基于大麻素的疗法纳入主流宫颈癌治疗至关重要。
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引用次数: 0
A cross-sectional analysis of the global burden of childhood leukemia from 1990 to 2021. 1990年至2021年全球儿童白血病负担的横断面分析
IF 2.8 3区 医学 Q3 ONCOLOGY Pub Date : 2025-10-16 DOI: 10.1007/s00432-025-06247-1
Ping Wang, Jianing Cui, ZiHao Ni, Zhanhua Qian, Huili Zhan, Heng Zhang, Wei Ye, Wei Meng, Rongjie Bai

Background: Childhood leukemia is a common malignant tumor worldwide, affecting survival rates and posing medical and public health challenges. Assessing its global burden is essential for informing prevention, treatment, and policy efforts.

Methods: This is a cross-sectional study based on data from the 2021 Global Burden of Disease (GBD) study, covering the years 1990 to 2021 and including 204 countries and regions. We analyzed the incidence, mortality, disability-adjusted life years (DALYs), and estimated annual percentage changes (EAPCs) for childhood leukemia. Subgroup analyses were conducted by age, gender, region, and Socio-Demographic Index (SDI) levels to explore disparities and trends.

Results: Since 1990, the global burden of childhood leukemia has decreased significantly, with a 59.03% reduction in DALYs. Chronic myeloid leukemia (CML) experienced the largest decline, with incidence, mortality, and DALYs reduced by more than 70%. However, disparities persist: boys generally have a higher burden, and acute lymphoblastic leukemia (ALL) remains the most common subtype. East Asia and Andean Latin America reported the highest burden of ALL in 2021. Incidence is highest in high-SDI regions, but mortality rates decrease as SDI increases. Similar trends were observed for DALYs, with better outcomes in high-SDI regions.

Conclusions: Since 1990, childhood leukemia DALYs decreased by 59.03%, with CML showing the largest decline (> 70% in incidence, mortality, and DALYs). ALL remains the most common subtype, with the highest burden in East Asia and Andean Latin America. High-SDI regions report higher incidence but lower mortality, indicating better outcomes than low-SDI regions.

背景:儿童白血病是世界范围内常见的恶性肿瘤,影响着儿童的生存率,并对医疗和公共卫生构成挑战。评估其全球负担对于为预防、治疗和政策努力提供信息至关重要。方法:这是一项基于2021年全球疾病负担(GBD)研究数据的横断面研究,涵盖1990年至2021年,包括204个国家和地区。我们分析了儿童白血病的发病率、死亡率、残疾调整生命年(DALYs)和估计的年百分比变化(EAPCs)。按年龄、性别、地区和社会人口指数(SDI)水平进行亚组分析,以探讨差异和趋势。结果:自1990年以来,全球儿童白血病负担显著下降,DALYs下降59.03%。慢性髓性白血病(CML)的下降幅度最大,发病率、死亡率和DALYs下降了70%以上。然而,差异仍然存在:男孩通常有更高的负担,急性淋巴细胞白血病(ALL)仍然是最常见的亚型。东亚和安第斯拉丁美洲报告的2021年ALL负担最高。发病率在高SDI地区最高,但死亡率随着SDI的增加而降低。DALYs也有类似的趋势,高sdi地区的结果更好。结论:自1990年以来,儿童白血病DALYs下降了59.03%,其中CML下降幅度最大(发病率、死亡率和DALYs下降了约70%)。ALL仍然是最常见的亚型,在东亚和安第斯拉丁美洲负担最重。高sdi地区的发病率较高,但死亡率较低,表明结果优于低sdi地区。
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引用次数: 0
Comment on: Low expression of HSP27 and HSP70 predicts poor prognosis in laryngeal squamous cell carcinoma. 点评:HSP27和HSP70在喉鳞癌中低表达预示预后不良。
IF 2.8 3区 医学 Q3 ONCOLOGY Pub Date : 2025-10-15 DOI: 10.1007/s00432-025-06348-x
Doga Topkan, Efsun Somay, Erkan Topkan, Ugur Selek

Borowczak et al. recently explored the prognostic role of heat shock proteins HSP27 and HSP70 in laryngeal squamous cell carcinoma (LSCC). Their study demonstrated that lower expression levels of these proteins were linked to significantly reduced overall survival, suggesting potential utility as prognostic biomarkers in this patient population. This work adds important evidence to the limited pool of molecular predictors available for LSCC. However, paradoxical findings, such as the survival advantage observed with higher HSP expression despite their well-known cytoprotective roles, raise questions regarding underlying mechanisms. Factors such as subcellular localization, treatment intensity, and environmental exposures like alcohol consumption may influence these associations. Consequently, further translational research is needed to validate the prognostic significance of HSP27 and HSP70 and to clarify their clinical applicability in LSCC management.

Borowczak等人最近探讨了热休克蛋白HSP27和HSP70在喉鳞状细胞癌(LSCC)中的预后作用。他们的研究表明,这些蛋白的低表达水平与显著降低的总生存率有关,这表明在该患者群体中,这些蛋白作为预后生物标志物具有潜在的实用性。这项工作为有限的LSCC分子预测因子提供了重要的证据。然而,矛盾的发现,如高HSP表达所观察到的生存优势,尽管它们具有众所周知的细胞保护作用,提出了关于潜在机制的问题。亚细胞定位、治疗强度和环境暴露(如饮酒)等因素可能影响这些关联。因此,需要进一步的转化研究来验证HSP27和HSP70的预后意义,并明确其在LSCC治疗中的临床适用性。
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引用次数: 0
Correction: Comparison of TACE alone versus TACE combined with synchronous ablation for neuroendocrine neoplasms with liver metastases. 更正:TACE单独与TACE联合同步消融治疗肝转移性神经内分泌肿瘤的比较。
IF 2.8 3区 医学 Q3 ONCOLOGY Pub Date : 2025-10-15 DOI: 10.1007/s00432-025-06302-x
Sun Huiyi, Wang Feihang, Yav Sothea, Zhao Danyang, Huo Zihao, Shuai Junqi, Yan Zhiping, Chen Yi, Liu Liang, Wang Wenquan, Ji Yuan, Liu Lingxiao
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引用次数: 0
期刊
Journal of Cancer Research and Clinical Oncology
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