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Efficacy of Bacillus Calmette-Guérin in Cancer Prevention and Its Putative Mechanisms 卡介苗预防癌症的功效及其假定机制
IF 2.5 Pub Date : 2024-03-29 DOI: 10.15430/JCP.23.036
Sakshi Gupta, Saurabh Yadav, Pawan Kumar
Bacillus Calmette-Guérin (BCG) is an attenuated strain of Mycobacterium bovis. Although it was developed as a prophylactic vaccine against tuberculosis (TB), researchers have also evaluated it for preventing cancer development or progression. These studies were inspired by the available data regarding the protective effects of microbial infection against cancers and an inverse relationship between TB and cancer mortality. Initial studies demonstrated the efficacy of BCG in preventing leukemia, melanoma and a few other cancers. However, mixed results were observed in later studies. Importantly, these studies have led to the successful use of BCG in the tertiary prevention of non-muscle invasive bladder cancer, wherein BCG therapy has been found to be more effective than chemotherapy. Moreover, in a recently published 60-year follow-up study, childhood BCG vaccination has been found to significantly prevent lung cancer development. In the present manuscript, we reviewed the studies evaluating the efficacy of BCG in cancer prevention and discussed its putative mechanisms. Also, we sought to explain the mixed results of BCG efficacy in preventing different cancers.
卡介苗(Bacillus Calmette-Guérin,BCG)是牛分枝杆菌的一种减毒菌株。虽然卡介苗是作为预防结核病(TB)的疫苗而开发的,但研究人员也对其预防癌症发展或恶化的作用进行了评估。这些研究受到了微生物感染对癌症的保护作用以及结核病与癌症死亡率之间反比关系的现有数据的启发。最初的研究表明,卡介苗具有预防白血病、黑色素瘤和其他一些癌症的功效。然而,后来的研究结果喜忧参半。重要的是,这些研究成功地将卡介苗用于非肌层浸润性膀胱癌的三级预防,发现卡介苗疗法比化疗更有效。此外,在最近发表的一项长达 60 年的随访研究中发现,儿童接种卡介苗可显著预防肺癌的发生。在本手稿中,我们回顾了有关卡介苗预防癌症疗效的评估研究,并讨论了其可能的作用机制。此外,我们还试图解释卡介苗在预防不同癌症方面疗效不一的原因。
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引用次数: 0
Potent Suppression of Prostate Cancer Cell Growth and Eradication of Cancer Stem Cells by CD44-targeted Nanoliposome-quercetin Nanoparticles. CD44靶向纳米脂质体-槲皮素纳米颗粒能有效抑制前列腺癌细胞生长并清除癌症干细胞
IF 2.5 Pub Date : 2023-12-30 DOI: 10.15430/JCP.2023.28.4.160
Kader Turkekul, Suat Erdogan

The bioavailability of quercetin, a natural compound, is hindered by low solubility, limited absorption, and restricted systemic availability. Therefore, encapsulating it in biocompatible nanoparticles presents a promising solution. This study aimed to target prostate cancer stem cells (CSCs) overexpressing CD44+ receptors as well as cancer cells, employing quercetin-loaded hyaluronic acid-modified nanoliposomes (LP-Quer-HA). Synthesized via a green ethanol injection method, these nanoliposomes had an average diameter of 134 nm and an impressive loading efficiency of 96.9%. Human prostate cancer cells were treated with either 10 μM of free quercetin or the same concentration delivered by LP-Quer-HA for 72 hours. Free quercetin reduced androgen-resistant PC3 cell viability by 16%, while LP-Quer-HA significantly increased cell death to 60%. It induced apoptosis, upregulating cytochrome c, Bax, caspases 3 and 8, and downregulating survivin and Bcl-2 expression. Compared to free quercetin, LP-Quer-HA upregulated E-cadherin expression while inhibiting cell migration and reducing the expression of fibronectin, N-cadherin, and MMP9. Treatment of PC3 cell tumor spheroids with LP-Quer-HA decreased the number of CD44 cells and expression of CD44, Oct3/4 and Wnt. Moreover, LP-Quer-HA inhibited p-ERK expression while increasing p38/MAPK and NF-κB protein expression. In androgen-sensitive LNCaP cells, LP-Quer-HA efficacy was notable, reducing cell viability from 10% to 52% compared to free quercetin. Utilizing HA-modified nanoliposomes as a quercetin delivery system enhanced its potency at lower concentrations, reducing the CD44+ cell population and effectively impeding prostate cancer cell proliferation and migration. These findings underscore the potential of quercetin-loaded cationic nanoliposomes as a robust therapeutic approach.

槲皮素是一种天然化合物,其生物利用率因溶解度低、吸收有限和全身利用受限而受到阻碍。因此,将槲皮素封装在生物相容性纳米颗粒中是一种很有前景的解决方案。本研究采用槲皮素负载透明质酸修饰的纳米脂质体(LP-Quer-HA),旨在靶向过表达 CD44+ 受体的前列腺癌干细胞(CSCs)以及癌细胞。这些纳米脂质体采用绿色乙醇注射法合成,平均直径为 134 纳米,负载效率高达 96.9%。用 10 μM 的游离槲皮素或相同浓度的 LP-Quer-HA 处理人类前列腺癌细胞 72 小时。游离槲皮素使抗雄激素的 PC3 细胞存活率降低了 16%,而 LP-Quer-HA 则使细胞死亡率显著增加到 60%。它诱导细胞凋亡,上调细胞色素c、Bax、caspases 3和8,下调存活素和Bcl-2的表达。与游离槲皮素相比,LP-Quer-HA能上调E-cadherin的表达,同时抑制细胞迁移,降低纤连蛋白、N-cadherin和MMP9的表达。用LP-Quer-HA处理PC3细胞肿瘤球,可减少CD44细胞的数量以及CD44、Oct3/4和Wnt的表达。此外,LP-Quer-HA还抑制了p-ERK的表达,同时增加了p38/MAPK和NF-κB蛋白的表达。在对雄激素敏感的 LNCaP 细胞中,LP-Quer-HA 的疗效显著,与游离槲皮素相比,细胞存活率从 10% 降至 52%。利用HA修饰的纳米脂质体作为槲皮素的递送系统,可增强其在较低浓度下的效力,减少CD44+细胞数量,有效抑制前列腺癌细胞的增殖和迁移。这些发现凸显了负载槲皮素的阳离子纳米脂质体作为一种强效治疗方法的潜力。
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引用次数: 0
Erratum: The Protective Effect of Roseburia faecis Against Repeated Water Avoidance Stress-induced Irritable Bowel Syndrome in a Wister Rat Model. 勘误:萝藦科植物对威斯特大鼠模型中反复避水应激诱发的肠易激综合征的保护作用
IF 2.5 Pub Date : 2023-12-30 DOI: 10.15430/JCP.2023.28.4.219
Soo In Choi, Nayoung Kim, Ryoung Hee Nam, Jae Young Jang, Eun Hye Kim, SungChan Ha, Kisung Kang, Wonseok Lee, HyeLim Choi, Yeon-Ran Kim, Yeong-Jae Seok, Cheol Min Shin, Dong Ho Lee

[This corrects the article on p. 93 in vol. 28, PMID: 37830115.].

[此处更正了第 28 卷第 93 页的文章,PMID:37830115]。
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引用次数: 0
Effects of Black Raspberry Supplementation on Methylation Pathways in Vav-creAsxl1fl/flTet2fl/fl Double Knockout Mice with Early-stage Myelodysplastic Syndrome. 补充黑树莓对骨髓增生异常综合征早期 Vav-creAsxl1fl/flTet2fl/fl 双基因敲除小鼠甲基化途径的影响
IF 2.5 Pub Date : 2023-12-30 DOI: 10.15430/JCP.2023.28.4.212
Athena Dong, Yi-Wen Huang, Ben Niu, Ruiling Liu, Weijie Wu, Haiyan Gao, Jianhua Yu, Li-Shu Wang

Myelodysplastic syndromes (MDS) are a subset of myeloid malignancies defined by clonality of immature hematopoietic stem cells that leads to faulty blood cell development. These syndromes can lead to an increased risk of infection and may transform into acute myeloid leukemia, making it critical to determine effective treatments for the condition. While hypomethylating agents such as azacitidine and decitabine, as well as stem cell transplants, have been delineated as favored treatments for MDS, not all patients are physiologically receptive to these treatments. However, black raspberries (BRBs) have been shown to exert hypomethylating effects in various malignancies, with minimal adverse effects and thus a broader range of potential candidacies. This study aimed to investigate the potential of BRBs to exert such effects on MDS using Addition of Sex Combs Like/Tet Methylcytosine Dioxygenase 2 (Asxl1/Tet2) double knockout mice (Vav-cre Asxl1fl/fl Tet2fl/fl), which typically manifest symptoms around 25 weeks of age, mirroring genetic mutations found in humans with MDS. Following a 12-week dietary supplementation of Vav-cre Asxl1fl/fl Tet2fl/fl mice with 5% BRBs, we observed both hyper- and hypomethylation at multiple transcription start sites and intragenic locations linked to critical pathways, including hematopoiesis. This methylation profile may have implications for delaying the onset of MDS, prompting a need for in-depth investigation. Our results emphasize the importance of exploring whether an extended BRB intervention can effectively alter MDS risk and elucidate the relationship between BRB-induced methylation changes, thus further unlocking the potential benefits of BRBs for MDS patients.

骨髓增生异常综合征(MDS)是骨髓恶性肿瘤的一个亚型,其定义是未成熟造血干细胞的克隆性导致血细胞发育不良。这些综合征可导致感染风险增加,并可能转化为急性髓系白血病,因此确定有效的治疗方法至关重要。虽然阿扎胞苷和地西他滨等低甲基化药物以及干细胞移植已被确定为 MDS 的首选治疗方法,但并非所有患者在生理上都能接受这些治疗。然而,黑树莓(BRB)已被证明在各种恶性肿瘤中具有低甲基化作用,且不良反应极小,因此具有更广泛的潜在适应症。本研究旨在利用性梳样添加物/甲基胞嘧啶二氧合酶2(Asxl1/Tet2)双基因敲除小鼠(Vav-cre Asxl1fl/fl Tet2fl/fl)研究BRB对MDS产生这种影响的潜力。在对 Vav-cre Asxl1fl/fl Tet2fl/fl 小鼠进行为期 12 周的 5%BRBs饮食补充后,我们观察到多个转录起始位点和与造血等关键通路相关的基因内位置都出现了高甲基化和低甲基化现象。这种甲基化特征可能对延缓 MDS 的发病有影响,因此需要进行深入研究。我们的研究结果强调了探索延长BRB干预是否能有效改变MDS风险并阐明BRB诱导的甲基化变化之间关系的重要性,从而进一步揭示BRB对MDS患者的潜在益处。
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引用次数: 0
Induction of Hepatocellular Carcinoma Cell Cycle Arrest and Apoptosis by Dendropanax morbifera Leveille Leaf Extract via the PI3K/AKT/mTOR Pathway. Dendropanax morbifera Leveille Leaf Extract 通过 PI3K/AKT/mTOR 途径诱导肝细胞癌细胞周期停滞和凋亡
IF 2.5 Pub Date : 2023-12-30 DOI: 10.15430/JCP.2023.28.4.185
Gi Dae Kim

Liver cancer is prevalent worldwide and associated with a high mortality rate. Therefore, developing novel drugs derived from natural products to reduce the side effects of chemotherapy is urgently needed. In this study, the inhibitory effect of Dendropanax morbifera Leveille extract (DME) on growth of hepatocellular carcinoma (HCC) cells and its underlying mechanisms were investigated. DME suppressed the growth, migration, and invasion of SK-Hep1 human HCC cells. It also reduced the expression of the G0/G1 phase regulator proteins cyclin-dependent kinase (CDK) 4, cyclin D, CDK2, and cyclin E, thereby inducing G0/G1 arrest. Moreover, DME treatment reduced the expression of antiapoptotic proteins, including caspase-9, caspase-3, PARP, and Bcl-2 and increased the expression of the proapoptotic protein, Bax. DME also increased reactive oxygen species production and reduced the cellular uptake of rhodamine 123. DME treatment increased the levels of p-p38 and p-FOXO3a in a dose-dependent manner and decreased those of p-PI3K, p-AKT, p-mTOR, and p-p70 in SK-Hep1 cells. In addition, combined treatment with DME and LY294002, an AKT inhibitor, significantly reduced p-AKT levels. In summary, these results show that the PI3K/AKT/mTOR signaling pathway is involved in DME-mediated inhibition of proliferation, migration, and invasiveness, and induction of apoptosis of HCC cells.

肝癌在全世界都很普遍,死亡率也很高。因此,开发从天然产品中提取的新型药物以减少化疗的副作用迫在眉睫。本研究探讨了Dendropanax morbifera Leveille提取物(DME)对肝癌(HCC)细胞生长的抑制作用及其内在机制。DME 抑制了 SK-Hep1 人 HCC 细胞的生长、迁移和侵袭。它还能降低G0/G1期调节蛋白细胞周期蛋白依赖性激酶(CDK)4、细胞周期蛋白D、CDK2和细胞周期蛋白E的表达,从而诱导G0/G1期停滞。此外,DME还降低了抗凋亡蛋白(包括caspase-9、caspase-3、PARP和Bcl-2)的表达,增加了促凋亡蛋白Bax的表达。二甲胺肿还增加了活性氧的产生,减少了细胞对罗丹明123的吸收。在SK-Hep1细胞中,DME以剂量依赖的方式增加了p-p38和p-FOXO3a的水平,降低了p-PI3K、p-AKT、p-mTOR和p-p70的水平。此外,DME 和 AKT 抑制剂 LY294002 联合治疗可显著降低 p-AKT 水平。总之,这些结果表明,PI3K/AKT/mTOR 信号通路参与了 DME 介导的 HCC 细胞增殖、迁移、侵袭性抑制和凋亡诱导。
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引用次数: 0
Antiproliferative Activity of Gibbosic Acid H through Induction of G0/G1 Cell Cycle Arrest and Apoptosis in Human Lung Cancer Cells. 吉布斯酸 H 通过诱导 G0/G1 细胞周期停滞和凋亡对人类肺癌细胞的抗增殖活性
IF 2.5 Pub Date : 2023-12-30 DOI: 10.15430/JCP.2023.28.4.201
Jaeho Han, Donghwa Kim, Hyen Joo Park, Hee-Juhn Park, Sang Kook Lee

Lung cancer is one of the most common causative cancers worldwide. Particularly, non-small cell lung cancer (NSCLC) accounts for approximately 85% of all lung cancer cases. NSCLC is a serious form of lung cancer that requires prompt diagnosis, and the 5-year survival rate for patients with this disease is only 24%. Gibbosic acid H (GaH), a natural lanostanoid obtained from the Ganoderma species (Ganodermataceae), has antiproliferative activities against colon and lung cancer cells. The aim of the present study was to evaluate the antiproliferative activity of GaH in NSCLC cells and to elucidate the underlying molecular mechanisms. GaH was found to induce G0/G1 cell cycle arrest and autophagy by activating adenosine monophosphate-activated protein kinase in A549 and H1299 cells. The induction of this cell cycle arrest was associated with the downregulation of cyclin E1 and CDK2. Additionally, the induction of autophagy by GaH was correlated with the upregulation of LC3B, beclin-1, and p53 expression. GaH also induced apoptosis by upregulating cleaved caspase-3 and Bax in the lung cancer cells. These findings suggest that GaH has a potential in the growth inhibition of human lung cancer cells.

肺癌是全球最常见的致癌癌症之一。其中,非小细胞肺癌(NSCLC)约占肺癌病例总数的 85%。非小细胞肺癌是一种需要及时诊断的严重肺癌,该病患者的 5 年生存率仅为 24%。吉布斯酸 H(GaH)是从灵芝(灵芝科)中提取的一种天然羊齿甾类化合物,对结肠癌和肺癌细胞具有抗增殖活性。本研究旨在评估GaH在NSCLC细胞中的抗增殖活性,并阐明其潜在的分子机制。研究发现,在A549和H1299细胞中,GaH通过激活单磷酸腺苷活化蛋白激酶诱导G0/G1细胞周期停滞和自噬。这种细胞周期停滞的诱导与细胞周期蛋白 E1 和 CDK2 的下调有关。此外,GaH 诱导自噬与 LC3B、beclin-1 和 p53 表达的上调有关。GaH 还通过上调肺癌细胞中的裂解 Caspase-3 和 Bax 来诱导细胞凋亡。这些发现表明,GaH 具有抑制人类肺癌细胞生长的潜力。
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引用次数: 0
Prognostic Significance of Tumor Mutation Burden among Patients with Non-small Cell Lung Cancer Who Received Platinum-based Adjuvant Chemotherapy: An Exploratory Study. 接受铂类辅助化疗的非小细胞肺癌患者肿瘤突变负担的预后意义:一项探索性研究
IF 2.5 Pub Date : 2023-12-30 DOI: 10.15430/JCP.2023.28.4.175
Wei-Xi Shen, Guang-Hua Li, Yu-Jia Li, Peng-Fei Zhang, Jia-Xing Yu, Di Shang, Qiu-Shi Wang

This study aimed to investigate the prognostic significance of tumor mutation burden (TMB) among patients with non-small cell lung cancer (NSCLC) who received platinum-based adjuvant chemotherapy. Tumor tissue specimens after surgical resection were collected for DNA extraction. Somatic mutation detection and TMB analysis were conducted using next-generation sequencing (NGS). Recurrence status of the patients was assessed in the hospital during the adjuvant chemotherapy period, and long-term survival data of patients were obtained by telephone follow-up. Univariate analysis between TMB status and prognosis was carried out by survival analysis. A retrospective review of 78 patients with non-squamous NSCLC who received platinum-based adjuvant chemotherapy showed a median disease-free survival of 3.6 years and median overall survival (OS) of 5.3 years. NGS analysis exhibited that the most common mutated somatic genes among the 78 patients were tumor suppressor protein p53 (TP53), epidermal growth factor receptor, low-density lipoprotein receptor related protein 1B, DNA methyltransferase 3 alpha and FAT atypical cadherin 3, and their prevalence was 56.4%, 48.7%, 37.2%, 30.7%, and 25.6%, respectively. TMB status was divided into TMB-L (≤ 4.5/Mb) and TMB-H (> 4.5/Mb) based on the median TMB threshold. Relevance of TMB to prognosis suggested that the median OS of patients with TMB-L was significantly longer than that of patients with TMB-H (NR vs. 4.6, P = 0.014). Higher TMB status conferred a worse implication on OS among patients with non-squamous NSCLC who received platinum-based adjuvant chemotherapy.

本研究旨在探讨接受铂类辅助化疗的非小细胞肺癌(NSCLC)患者中肿瘤突变负荷(TMB)的预后意义。采集手术切除后的肿瘤组织标本进行DNA提取。采用新一代测序技术(NGS)进行体细胞突变检测和TMB分析。辅助化疗期间在医院对患者的复发状况进行评估,并通过电话随访获得患者的长期生存数据。通过生存分析对 TMB 状态和预后进行单变量分析。一项对78例接受铂类辅助化疗的非鳞癌NSCLC患者的回顾性研究显示,患者的中位无病生存期为3.6年,中位总生存期(OS)为5.3年。NGS分析显示,78名患者中最常见的突变体细胞基因是肿瘤抑制蛋白p53(TP53)、表皮生长因子受体、低密度脂蛋白受体相关蛋白1B、DNA甲基转移酶3α和FAT非典型粘附蛋白3,其发生率分别为56.4%、48.7%、37.2%、30.7%和25.6%。根据TMB阈值的中位数,TMB状态分为TMB-L(≤ 4.5/Mb)和TMB-H(> 4.5/Mb)。TMB与预后的相关性表明,TMB-L患者的中位OS明显长于TMB-H患者(NR vs. 4.6,P = 0.014)。在接受铂类辅助化疗的非鳞NSCLC患者中,TMB状态越高,其OS越差。
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引用次数: 0
Cadmium-induced Carcinogenesis in Respiratory Organs and the Prostate: Insights from Three Perspectives on Toxicogenomic Approach. 镉诱导的呼吸器官和前列腺癌发病:从毒物基因组学方法的三个角度看问题。
IF 2.5 Pub Date : 2023-12-30 DOI: 10.15430/JCP.2023.28.4.150
Jun Lee, Dong Yeop Shin, Yujin Jang, Jun Pyo Han, Eun-Min Cho, Young Rok Seo

Cadmium (Cd) exposure primarily occurs through inhalation, either by smoking or occupational exposure to contaminated air. Upon inhalation, Cd ultimately reaches the prostate through the bloodstream. In this review, we investigate the carcinogenic potential of Cd in both respiratory organs and the prostate. Specifically, this review examines cellular metabolism, comprehensive toxicity, and carcinogenic mechanisms by exploring gene ontology, biological networks, and adverse outcome pathways. In the respiratory organs, Cd induces lung cancer by altering the expression of IL1B and FGF2, causing DNA damage, reducing cell junction integrity, and promoting apoptosis. In the prostate, Cd induces prostate cancer by modifying the expression of EDN1 and HMOX1, leading to abnormal protein activities and maturation, suppressing tumor suppressors, and inducing apoptosis. Collectively, this review provides a comprehensive understanding of the carcinogenic mechanisms of Cd in two different organs by adopting toxicogenomic approaches. These insights can serve as a foundation for further research on cadmium-induced cancer, contributing to the establishment of future cancer prevention strategies.

镉(Cd)主要通过吸烟或职业暴露于受污染的空气中吸入。吸入镉后,镉最终会通过血液到达前列腺。在这篇综述中,我们研究了镉在呼吸器官和前列腺中的致癌潜力。具体来说,本综述通过探索基因本体、生物网络和不良后果途径,研究了细胞代谢、综合毒性和致癌机制。在呼吸器官中,镉通过改变 IL1B 和 FGF2 的表达、造成 DNA 损伤、降低细胞连接完整性和促进细胞凋亡诱发肺癌。在前列腺中,镉通过改变 EDN1 和 HMOX1 的表达,导致蛋白质活性和成熟异常,抑制肿瘤抑制因子,诱导细胞凋亡,从而诱发前列腺癌。总之,本综述通过采用毒物基因组学方法,对镉在两个不同器官中的致癌机制进行了全面的了解。这些见解可作为进一步研究镉诱发癌症的基础,有助于建立未来的癌症预防策略。
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引用次数: 0
Diagnostic Validity of a Serological Test with the Current Infection Marker in Thai Adults before and after Helicobacter pylori Eradication Therapy. 幽门螺杆菌根除疗法前后泰国成人当前感染标记物血清检验的诊断有效性
IF 2.5 Pub Date : 2023-12-30 DOI: 10.15430/JCP.2023.28.4.194
Setthachai Piwchan, Kittipoom Tossapornpong, Suppana Chuensakul, Ekawee Sripariwuth

Helicobacter pylori infection poses significant health risks, such as gastric adenocarcinoma, necessitating accurate diagnosis and effective treatment in primary care. This study evaluated the diagnostic efficacy of the serological current infection marker (CIM) test in identifying current H. pylori infection. The CIM test samples from 159 participants undergoing gastroscopy were collected, and H. pylori-positive outpatients received triple therapy based on histology or rapid urease test results. Following treatment, 45 patients underwent a 13C-urea breath test and the CIM test for eradication assessment. For pre-eradication, the CIM test demonstrated 89.6% sensitivity, 95.7% specificity, 93.8% positive predictive value, 92.6% negative predictive value, and 93.1% accuracy. Following post-eradication, the CIM test exhibited sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of 71.4%, 92.1%, 62.5%, 94.6%, and 88.9%, respectively, using the 13C-urea breath test as the reference standard. The CIM test showcased commendable diagnostic performance, emphasizing its efficacy in both pre- and post-eradication scenarios. Notably, the accuracy, non-invasiveness, user-friendliness, and cost-effectiveness of the CIM test advocate for its recommendation as a preferred diagnostic tool in primary care settings for H. pylori infection detection.

幽门螺杆菌感染对健康构成重大威胁,例如胃腺癌,因此需要在初级保健中进行准确诊断和有效治疗。本研究评估了血清学当前感染标志物(CIM)检测在确定当前幽门螺杆菌感染方面的诊断效果。研究收集了 159 名接受胃镜检查者的 CIM 检测样本,幽门螺杆菌阳性的门诊患者根据组织学或快速尿素酶检测结果接受了三联疗法。治疗后,45 名患者接受了 13C- 尿素呼气测试和 CIM 测试,以评估根除情况。在根除前,CIM 测试的灵敏度为 89.6%,特异性为 95.7%,阳性预测值为 93.8%,阴性预测值为 92.6%,准确率为 93.1%。停药后,以 13C- 尿素呼气测试为参考标准,CIM 测试的灵敏度、特异性、阳性预测值、阴性预测值和准确性分别为 71.4%、92.1%、62.5%、94.6% 和 88.9%。CIM 测试的诊断性能值得称赞,强调了其在消除前和消除后情况下的有效性。值得注意的是,CIM 检验的准确性、无创伤性、用户友好性和成本效益都使其成为基层医疗机构检测幽门螺杆菌感染的首选诊断工具。
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引用次数: 0
Nrf2, A Target for Precision Oncology in Cancer Prognosis and Treatment. Nrf2,癌症预后和治疗中的精准肿瘤学靶点。
IF 2.5 Pub Date : 2023-12-30 DOI: 10.15430/JCP.2023.28.4.131
Hoang Kieu Chi Ngo, Hoang Le, Young-Joon Surh

Activating nuclear factor-erythroid 2-related factor (Nrf2), a master regulator of redox homeostasis, has been shown to suppress initiation of carcinogenesis in normal cells. However, this transcription factor has recently been reported to promote proliferation of some transformed or cancerous cells. In tumor cells, Nrf2 is prone to mutations that result in stabilization and concurrent accumulation of its protein product. A hyperactivated mutant form of Nrf2 could support the cancer cells for enhanced proliferation, invasiveness, and resistance to chemotherapeutic agents and radiotherapy, which are associated with a poor clinical outcome. Hence understanding mutations in Nrf2 would have a significant impact on the prognosis and treatment of cancer in the era of precision medicine. This perspective would provide an insight into the genetic alterations in Nrf2 and suggest the application of small molecules, RNAi, and genome editing technologies, particularly CRISR-Cas9, in therapeutic intervention of cancer in the context of the involvement of Nrf2 mutations.

激活核因子-红细胞 2 相关因子(Nrf2)是氧化还原平衡的主要调节因子,已被证明可抑制正常细胞癌变的发生。然而,最近有报道称这种转录因子会促进一些转化细胞或癌细胞的增殖。在肿瘤细胞中,Nrf2 容易发生突变,导致其蛋白产物稳定并同时积累。Nrf2 的超活化突变形式可支持癌细胞增殖、侵袭性和对化疗药物和放疗的抵抗力增强,而这与不良的临床预后有关。因此,在精准医学时代,了解 Nrf2 的突变将对癌症的预后和治疗产生重大影响。这一观点将有助于深入了解 Nrf2 的基因改变,并建议在 Nrf2 基因突变的背景下,应用小分子、RNAi 和基因组编辑技术,特别是 CRISR-Cas9 对癌症进行治疗干预。
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引用次数: 0
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Journal of Cancer Prevention
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