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Emerging Roles of PTTG1/Securin in Breast Cancer. PTTG1/Securin在乳腺癌中的新作用
IF 3.2 3区 医学 Q2 ONCOLOGY Pub Date : 2025-10-27 eCollection Date: 2025-01-01 DOI: 10.7150/jca.121650
Lingyuan Min, Shaojie Feng, Xiuxiu Liu, Yan Zhang, Mengmeng Zhao, Huan Shi, Xianqiang Liu, Tianning Wang

Securin is a key regulator of chromosome segregation during mitosis. Dysregulation of securin triggers chromosomal instability (CIN) and aneuploidy, which are hallmarks of many solid tumors, including breast cancer (BC). Recent studies have revealed securin's multifaceted roles in the progression of BC. Overexpression of securin not only enhances the malignant behaviors of BC cells but also correlates with poor clinical outcomes in patients, suggesting its potential as both a therapeutic target and prognostic biomarker. Although interest in securin is growing, comprehensive reviews on its role in BC are sparse. In this review, we summarize the biological function of securin. We then focus on the expression patterns of securin in BC and related experimental models, and their association with CIN. Subsequently, we discuss the significance of securin as a prognostic marker for BC. Lastly, we explore how securin influences the malignant behaviors of BC cells. This review emphasizes the critical connection between CIN and BC pathobiology mediated by securin and offers insights for future research into securin-related mechanisms and therapeutic strategies.

Securin是有丝分裂过程中染色体分离的关键调节因子。安全蛋白的失调会引发染色体不稳定性(CIN)和非整倍体,这是包括乳腺癌(BC)在内的许多实体肿瘤的标志。最近的研究表明,securin在BC的进展中具有多方面的作用。securin的过表达不仅增强了BC细胞的恶性行为,而且与患者的不良临床结果相关,提示其作为治疗靶点和预后生物标志物的潜力。尽管人们对securin的兴趣越来越大,但对其在BC中的作用的全面评论却很少。本文就安全蛋白的生物学功能作一综述。然后,我们重点研究了securin在BC和相关实验模型中的表达模式,以及它们与CIN的关系。随后,我们讨论了securin作为BC预后标志物的意义。最后,我们探讨了securin如何影响BC细胞的恶性行为。这篇综述强调了CIN与由securin介导的BC病理生物学之间的重要联系,并为未来研究securin相关机制和治疗策略提供了见解。
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引用次数: 0
Genetic association of NEAT1 gene polymorphism with the progression of colorectal cancer. NEAT1基因多态性与结直肠癌进展的遗传关系
IF 3.2 3区 医学 Q2 ONCOLOGY Pub Date : 2025-10-24 eCollection Date: 2025-01-01 DOI: 10.7150/jca.123558
Bei-Hao Shiu, Yi-Hsien Hsieh, Chi-Chou Huang, Chih-Hsin Tang, Lun-Ching Chang, Shih-Chi Su, Shun-Fa Yang

Colorectal cancer (CRC) is a globally common malignancy, whose complex disease etiology involves a genetic element. Nuclear enriched abundant transcript 1 (NEAT1), a long noncoding RNA (lncRNA) gene, has been demonstrated to play a key role in cancer development. To clarify the potential effect of NEAT1 gene polymorphisms on CRC susceptibility, three NEAT1 single-nucleotide polymorphisms (SNPs), including rs3825071, rs3741384, and rs512715, were assessed in 485 CRC patients and 485 sex- and age-matched non-cancer controls. We did not detect any significant association of these SNPs with the occurrence and clinicopathological features of CRC. Nevertheless, one SNP of NEAT1 gene, rs3825071, was found in association with the distant metastasis (CT+TT: CC, OR, 2.644; 95% CI, 1.328-5.263; p=0.005) among relatively younger patients (< 65 years old), indicating an age-specific effect of NEAT1 gene polymorphisms on the spread of CRC. Our stratification analysis revealed that the association of rs3825071 with CRC metastasis is anatomical site-specific, as cases of colon tumors but not of rectal tumors who bear at least one polymorphic allele of rs3825071 more commonly developed metastasis. Further exploration using the datasets from the Genotype-Tissue Expression (GTEx) Portal and The Cancer Genome Atlas (TCGA) showed that rs3825071 genotypes affected NEAT1 expression in the colon tissues, and elevated NEAT1 levels were associated with a worse survival rate in relatively younger patients (< 65 years old) with colon adenocarcinoma. These data suggest that altered expression levels of NEAT1 due to genetic polymorphisms may influence the progression of colon cancer.

结直肠癌(CRC)是一种全球常见的恶性肿瘤,其复杂的病因涉及遗传因素。核富集丰富转录本1 (NEAT1)是一个长链非编码RNA (lncRNA)基因,已被证明在癌症发展中发挥关键作用。为了阐明NEAT1基因多态性对结直肠癌易感性的潜在影响,我们在485例结直肠癌患者和485例性别和年龄匹配的非癌症对照中评估了3个NEAT1单核苷酸多态性(SNPs),包括rs3825071、rs3741384和rss512715。我们没有发现这些snp与结直肠癌的发生和临床病理特征有任何显著的关联。然而,在相对年轻的患者(< 65岁)中,发现NEAT1基因的一个SNP rs3825071与远处转移相关(CT+TT: CC, OR, 2.644; 95% CI, 1.328-5.263; p=0.005),表明NEAT1基因多态性对结直肠癌扩散具有年龄特异性影响。我们的分层分析显示,rs3825071与结直肠癌转移的关联是解剖部位特异性的,因为携带rs3825071至少一个多态性等位基因的结肠肿瘤而非直肠肿瘤更容易发生转移。利用基因型-组织表达(GTEx)门户网站和癌症基因组图谱(TCGA)的数据集进一步探索发现,rs3825071基因型影响NEAT1在结肠组织中的表达,并且在相对年轻(< 65岁)的结肠腺癌患者中,NEAT1水平升高与较差的生存率相关。这些数据表明,基因多态性导致NEAT1表达水平的改变可能影响结肠癌的进展。
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引用次数: 0
Molecular Mechanisms and Novel Therapeutics Targeting Ferroptosis in Gastric Cancer: A Literature Review. 针对胃癌铁下垂的分子机制和新疗法:文献综述。
IF 3.2 3区 医学 Q2 ONCOLOGY Pub Date : 2025-10-20 eCollection Date: 2025-01-01 DOI: 10.7150/jca.119757
Hsi-Lung Hsieh, Ming-Chin Yu, Hui-Ching Tseng, Yi-Hsuan Wu, Ming-Ming Tsai

Since the discovery of ferroptosis, which plays an important role in gastric cancer (GC), its activation has been crucial for developing tumor therapeutic strategies. Recently, ferroptosis activation has become a research hotspot for GC treatment approaches. Energy and metabolism dysfunctions involving lipids, amino acids, iron, sugars, and nucleotides caused by GC cells in a typical hypoxic microenvironment are important disease characteristics. However, the immune escape mechanism of GC cells limits the occurrence of programed cell death, a controllable form of which is ferroptosis. First, excessive reactive oxygen species production induces changes in intracellular iron ion levels, resulting in an imbalance in the antioxidant defense system. Finally, excessive accumulation of intracellular lipid peroxidation byproducts destroys cell membrane consistency and causes cell death. The promotion of ferroptosis in GC cells has been widely employed as a method for inhibiting tumor growth and chemotherapy resistance, which is helpful for developing anti-GC targeted treatments. Because GC cells are sensitive to ferroptosis-inducing agents, some traditional antitumor drugs (e.g., cisplatin) and Chinese herbal or natural medicines (e.g., artemisinin) exert anticancer effects by inducing this process. In this article, we summarize the basic molecular mechanisms underlying ferroptosis and the involved tumor markers, along with associated chemotherapy drugs and natural medicines. To activate ferroptosis in GC, new targeted drug therapies can be used within the clinical treatment field to kill GC cells and enhance tumor sensitivity to chemotherapy.

自从发现在胃癌(GC)中起重要作用的铁下垂以来,其激活对制定肿瘤治疗策略至关重要。近年来,嗜铁活化已成为GC处理方法的研究热点。在典型的缺氧微环境中由GC细胞引起的涉及脂质、氨基酸、铁、糖和核苷酸的能量和代谢功能障碍是重要的疾病特征。然而,GC细胞的免疫逃逸机制限制了程序性细胞死亡的发生,程序性细胞死亡的一种可控形式是铁凋亡。首先,过量的活性氧产生引起细胞内铁离子水平的变化,导致抗氧化防御系统的不平衡。最后,细胞内脂质过氧化副产物的过度积累破坏了细胞膜的一致性并导致细胞死亡。促进胃癌细胞铁下垂已被广泛用作抑制肿瘤生长和化疗耐药的一种方法,这有助于开发抗胃癌靶向治疗。由于GC细胞对诱导铁中毒的药物敏感,一些传统的抗肿瘤药物(如顺铂)和中草药或天然药物(如青蒿素)通过诱导这一过程发挥抗癌作用。在本文中,我们总结了铁下垂的基本分子机制和相关的肿瘤标志物,以及相关的化疗药物和天然药物。为了激活胃癌中的铁下垂,临床治疗领域可以采用新的靶向药物疗法来杀死胃癌细胞,增强肿瘤对化疗的敏感性。
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引用次数: 0
Chemopreventive Targeting of Oncogenic Stemness: EGCG-Mediated Suppression of the HIF-1α-PPARγ-Cancer Stem Cells Transcriptional Signature in 3D Glioblastoma Spheroids. 肿瘤干细胞的化学预防靶向:egcg介导的3D胶质母细胞瘤球体中hif -1α- ppar γ-肿瘤干细胞转录特征的抑制
IF 3.2 3区 医学 Q2 ONCOLOGY Pub Date : 2025-10-20 eCollection Date: 2025-01-01 DOI: 10.7150/jca.124247
Abdallah Fallah, Maellis Payet-Desruisseaux, Alain Zgheib, Bogdan Alexandru Danalache, Nicoletta Eliopoulos, Borhane Annabi

Background: Preventing the emergence and persistence of cancer stemness represents a promising strategy to reduce tumor aggressiveness and therapeutic failure. Cancer stem cells (CSCs), which contribute significantly to therapy resistance, recurrence, and metastasis, are sustained in part by metabolic reprogramming that enhances survival and self-renewal under stress conditions. Methods: To model the hypoxic core of solid tumors, three-dimensional (3D) glioblastoma (GBM) spheroid cultures were generated using human U87, U118, U138, and U251 cell lines and compared to their respective two-dimensional (2D) monolayer cultures. Total RNA was extracted, and gene expression was analyzed via RT-qPCR and targeted gene arrays. Transient gene silencing was performed using specific siRNAs, while pharmacological intervention involved treatment with (-)-Epigallocatechin-3-gallate (EGCG), a bioactive phytochemical derived from green tea. Adipogenesis was evaluated using Oil Red O staining. Results: Compared to conventional 2D cultures, 3D spheroids exhibited elevated expression of hypoxia-inducible factor-1 alpha (HIF-1α) and upregulation of peroxisome proliferator-activated receptor gamma (PPARγ), identified through adipogenesis array screening. Adipogenic activity persisted in the 3D spheroid model, and EGCG treatment effectively suppressed the upregulation of HIF-1α and PPARG transcripts. This led to a significant downregulation of adipogenic genes (CEBPD, FOXO1, BMP2, BMP7) and CSC-associated markers (CD44, PROM1, ABCB5, ABCG2), accompanied by reduced spheroid growth. Conclusions: These findings underscore EGCG's chemopreventive potential in disrupting early HIF-1α-mediated molecular pathways that reinforce GBM stemness. By targeting hypoxia-driven metabolic reprogramming, EGCG offers a dietary-based approach to modulate the CSC niche and potentially delay or prevent GBM progression. Moreover, the use of 3D spheroid models highlights their relevance in preclinical chemoprevention research, bridging the gap between simplistic 2D cultures and the complex biology of solid tumors.

背景:预防肿瘤干细胞的出现和持续是降低肿瘤侵袭性和治疗失败的一种有希望的策略。癌症干细胞(CSCs)在治疗抵抗、复发和转移中起着重要作用,在一定程度上是通过代谢重编程来维持的,这种重编程增强了应激条件下的生存和自我更新。方法:利用人U87、U118、U138和U251细胞系,建立三维(3D)胶质母细胞瘤(GBM)球体培养物,并与各自的二维(2D)单层培养物进行比较,建立实体肿瘤缺氧核心模型。提取总RNA,通过RT-qPCR和靶基因阵列分析基因表达。使用特定的sirna进行短暂的基因沉默,而药物干预涉及(-)-表没食子儿茶素-3-没食子酸酯(EGCG)治疗,这是一种从绿茶中提取的生物活性植物化学物质。油红O染色评价脂肪形成。结果:与传统的2D培养相比,通过脂肪生成阵列筛选发现,3D球体表现出缺氧诱导因子-1α (HIF-1α)的表达升高和过氧化物酶体增殖物激活受体γ (PPARγ)的表达上调。在3D球体模型中,脂肪生成活性持续存在,EGCG处理有效抑制了HIF-1α和ppar转录本的上调。这导致脂肪生成基因(CEBPD, FOXO1, BMP2, BMP7)和csc相关标志物(CD44, PROM1, ABCB5, ABCG2)的显著下调,并伴有球体生长减少。结论:这些发现强调了EGCG在破坏早期hif -1α介导的分子通路方面的化学预防潜力。通过靶向缺氧驱动的代谢重编程,EGCG提供了一种基于饮食的方法来调节CSC生态位,并可能延迟或阻止GBM的进展。此外,3D球体模型的使用突出了它们在临床前化学预防研究中的相关性,弥合了简单的2D培养与实体肿瘤复杂生物学之间的差距。
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引用次数: 0
Gene Signature Associated with Ferroptosis for Predicting Overall Survival among Ovarian Cancer Patients. 与上睑下垂相关的基因标记预测卵巢癌患者的总生存期。
IF 3.2 3区 医学 Q2 ONCOLOGY Pub Date : 2025-10-20 eCollection Date: 2025-01-01 DOI: 10.7150/jca.116777
Yanling Li, Yidi Wang, Han Lei, Kai Wai Li, Jingman Tang, Lu Xu, Yan Liu, Jianhong Lu, Yulong Peng, Lili Fan, Xiaojuan Li, Jianbo He

Distinct from apoptosis, ferroptosis is intricately associated with intracellular iron ions and oxidative stress, representing a unique form of cell demise. In the treatment of ovarian cancer (OC), it assumes a crucial role, as research suggests its association with patient prognosis. This investigation delves into the correlation between genes associated with ferroptosis and the prognosis of OC, providing insights into its pathogenesis. Through the examination of mRNA expression using TCGA, ICGC, and GTEx databases, we identified a set of five pivotal genes (CD44, FTH1, ALOX12, SLC7A11, CRYAB) forming a prognostic model. Their regulation affects various aspects of OC, including the cell cycle, proliferation, invasiveness, immune response, and drug tolerance. To summarize, ferroptosis significantly impacts the prognosis of OC, and the targeting of relevant pathways holds potential for enhancing treatment outcomes, thereby guiding future research and personalized therapeutic strategies.

与细胞凋亡不同,铁凋亡与细胞内铁离子和氧化应激密切相关,是一种独特的细胞死亡形式。在卵巢癌(OC)的治疗中,它起着至关重要的作用,因为研究表明它与患者预后有关。本研究深入探讨了铁下垂相关基因与OC预后的相关性,为其发病机制提供了新的见解。通过使用TCGA, ICGC和GTEx数据库检测mRNA表达,我们确定了一组5个关键基因(CD44, FTH1, ALOX12, SLC7A11, CRYAB)形成预后模型。它们的调节影响OC的各个方面,包括细胞周期、增殖、侵袭性、免疫反应和药物耐受性。综上所述,铁下垂显著影响OC的预后,靶向相关通路具有提高治疗效果的潜力,从而指导未来的研究和个性化治疗策略。
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引用次数: 0
Capsaicin, the Pungent Component of Red Chili Pepper, induces p21-mediated Cell Cycle Arrest in Renal Cell Carcinoma via Downregulating GLI1: an Experimental Research In Vitro. 红辣椒中的辛辣成分辣椒素通过下调GLI1诱导p21介导的肾细胞癌细胞周期阻滞:体外实验研究
IF 3.2 3区 医学 Q2 ONCOLOGY Pub Date : 2025-10-20 eCollection Date: 2025-01-01 DOI: 10.7150/jca.119706
Long Zheng, Yongchao He, Hao Huang, Wei Qu

Capsaicin is the pungent and bioactive compounds of Capsicum annum. Previous studies have demonstrated the potent anti-tumor effect of capsaicin on various human malignancies by experiments in vitro or in vivo. However, the mechanism underlying its antitumor efficiency is not fully elucidated. Cell cycle arrest is one of anti-proliferation mechanisms for anti-neoplastic drugs. The p21 protein, an important inhibitor of cell cycle progression, could block cyclin dependent kinases (CDKs) mediated activation of cyclins. As the downstream transcriptional factor of the Hh pathway, GLI1 plays a crucial role in cancer progression and prognosis evaluation. The aim of the present study is to explore the potential role of GLI1 in p21 mediated cell cycle arrest induced by capsaicin treatment in renal cell carcinoma (RCC) 786-O and Caki-1 cell lines. The results revealed that capsaicin could inhibit proliferation of RCC cells and cause G0/G1 cell cycle arrest in vitro. Besides, we discovered that the capsaicin treatment increased the expression of p21 protein and downregulated the expression of GLI1, suggesting that GLI1 was involved in the p21 mediated G0/G1 arrest induced by capsaicin administration in RCC 786-O and Caki-1 cell lines. In conclusion, our study demonstrated that capsaicin could induce p21 mediated cell cycle arrest via suppressing GLI1 to inhibit RCC cell proliferation, which might be a promising therapeutic strategy in RCC.

辣椒素是辣椒中具有刺激性和生物活性的化合物。在体外和体内实验中,辣椒素对多种人类恶性肿瘤均有较强的抗肿瘤作用。然而,其抗肿瘤作用机制尚未完全阐明。细胞周期阻滞是抗肿瘤药物的抗增殖机制之一。p21蛋白是细胞周期进程的重要抑制剂,可以阻断细胞周期蛋白依赖激酶(CDKs)介导的细胞周期蛋白激活。GLI1作为Hh通路的下游转录因子,在肿瘤进展和预后评估中起着至关重要的作用。本研究的目的是探讨GLI1在辣椒素治疗肾细胞癌(RCC) 786-O和Caki-1细胞系中p21介导的细胞周期阻滞中的潜在作用。结果表明,辣椒素在体外可抑制RCC细胞增殖,导致G0/G1细胞周期阻滞。此外,我们发现辣椒素处理增加了p21蛋白的表达,下调了GLI1的表达,表明GLI1参与了辣椒素处理诱导RCC 786-O和Caki-1细胞系p21介导的G0/G1阻滞。综上所述,我们的研究表明辣椒素可以通过抑制GLI1诱导p21介导的细胞周期阻滞,从而抑制RCC细胞的增殖,这可能是一种很有前景的治疗RCC的策略。
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引用次数: 0
Divulging Patterns: An Analytical Review for Machine Learning Methodologies for Breast Cancer Detection. 泄露模式:乳腺癌检测机器学习方法的分析综述。
IF 3.2 3区 医学 Q2 ONCOLOGY Pub Date : 2025-10-20 eCollection Date: 2025-01-01 DOI: 10.7150/jca.118698
Alveena Saleem, Muhammad Umair, Muhammad Tahir Naseem, Muhammad Zubair, Silvia Aparicio Obregon, Ruben Calderon Iglesias, Shoaib Hassan, Imran Ashraf

Breast cancer is a lethal carcinoma impacting a considerable number of women across the globe. While preventive measures are limited, early detection remains the most effective strategy. Accurate classification of breast tumors into benign and malignant categories is important which may help physicians in diagnosing the disease faster. This survey investigates the emerging inclination and approaches in the area of machine learning (ML) for the diagnosis of breast cancer, pointing out the classification techniques based on both segmentation and feature selection. Certain datasets such as the Wisconsin Diagnostic Breast Cancer Dataset (WDBC), Wisconsin Breast Cancer Dataset Original (WBCD), Wisconsin Prognostic Breast Cancer Dataset (WPBC), BreakHis, and others are being evaluated in this study for the demonstration of their influence on the performance of the diagnostic tools and the accuracy of the models such as Support vector machine, Convolutional Neural Networks (CNNs) and ensemble approaches. The main shortcomings or research gaps such as prejudice of datasets, scarcity of generalizability, and interpretation challenges are highlighted. This research emphasizes the importance of the hybrid methodologies, cross-dataset validation, and the engineering of explainable AI to narrow these gaps and enhance the overall clinical acceptance of ML-based detection tools.

乳腺癌是一种致命的癌症,影响着全球相当多的女性。虽然预防措施有限,但早期发现仍然是最有效的战略。准确地将乳腺肿瘤分为良性和恶性是很重要的,这可以帮助医生更快地诊断疾病。本研究调查了机器学习(ML)在乳腺癌诊断领域的新兴趋势和方法,指出了基于分割和特征选择的分类技术。某些数据集,如威斯康辛诊断乳腺癌数据集(WDBC)、威斯康辛乳腺癌原始数据集(WBCD)、威斯康辛预后乳腺癌数据集(WPBC)、BreakHis等,正在本研究中进行评估,以证明它们对诊断工具的性能和模型(如支持向量机、卷积神经网络(cnn)和集成方法)的准确性的影响。强调了数据集的偏见、缺乏可泛化性和解释挑战等主要缺点或研究差距。本研究强调了混合方法、跨数据集验证和可解释人工智能工程的重要性,以缩小这些差距,提高基于ml的检测工具的整体临床接受度。
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引用次数: 0
The Prognostic Value of Lymph Node Downstaging Following Neoadjuvant Chemoimmunotherapy for Non-Small Cell Lung Cancer. 非小细胞肺癌新辅助化疗免疫治疗后淋巴结降期的预后价值。
IF 3.2 3区 医学 Q2 ONCOLOGY Pub Date : 2025-10-20 eCollection Date: 2025-01-01 DOI: 10.7150/jca.119881
Marissa Guo, Mahmoud Abdel-Rasoul, Jeremy Chang, Aaron Guo, Ioana Baiu, Desmond M D'Souza, Robert E Merritt, Peter J Kneuertz

Background: The use of immune checkpoint inhibitors (ICI) and other targeted molecular agents for non-small cell lung cancer (NSCLC) has led to unprecedented rates of major pathologic response and improvements in overall survival. The aim of this study was to evaluate the prognostic significance of lymph node downstaging following neoadjuvant chemoimmunotherapy for resectable NSCLC. Methods: This study used retrospective data from the National Cancer Database (NCDB), which was queried for all patients diagnosed with NSCLC between 2017-2021 who underwent lung cancer surgery after receiving neoadjuvant chemoimmunotherapy. Only those staged as cN1 or cN2 were included. Patients were stratified according to post-therapy pathologic lymph node status, whether positive (ypN+) or negative (ypN-). Five-year overall survival (OS) was examined using Kaplan-Meier analyses with log-rank tests. Univariate and multivariate Cox regression analyses were conducted to identify significant predictors of survival. Results: Of the total 621 patients, 229 (37%) were diagnosed with cN1 disease and 392 (63%) with cN2. With neoadjuvant chemoimmunotherapy, 59% of cN1 and 40% of cN2 patients were down-staged to ypN0. While 5-year OS was not significantly different according to clinical N stage (76% for cN1 vs. 63% for cN2, p=0.08), higher post-therapy nodal staging correlated with poorer long-term survival (5-year OS of 84% for ypN0, 64% for ypN1, and 51% for ypN2, p <0.001). On multivariate analysis, cN1 to ypN+ (HR 2.56, p=0.009) and cN2 to ypN+ (HR 3.09, p=0.001) were predictors of worse OS compared to cN1 to ypN-, while the difference was not statistically significant for cN2 to ypN- (HR 1.01, p=0.051). Among ypN- patients, similar 5-year OS was seen among those who received adjuvant chemoimmunotherapy and those who did not (82.2% vs. 86.2%, p = 0.26). Conclusion: Patients receiving neoadjuvant chemoimmunotherapy for resectable NSCLC experience high rates of nodal down-staging. Achieving ypN0 status post-therapy strongly predicts favorable long-term survival in this population, while pretreatment cN stage becomes less prognostically relevant.

背景:使用免疫检查点抑制剂(ICI)和其他靶向分子药物治疗非小细胞肺癌(NSCLC)已经导致了前所未有的主要病理反应率和总生存率的提高。本研究的目的是评估可切除的非小细胞肺癌新辅助化疗免疫治疗后淋巴结降期的预后意义。方法:本研究使用来自国家癌症数据库(NCDB)的回顾性数据,查询2017-2021年间所有接受新辅助化疗免疫治疗后接受肺癌手术的非小细胞肺癌患者。只包括那些被分为cN1或cN2的。根据治疗后淋巴结病理状态(ypN+)或阴性(ypN-)对患者进行分层。5年总生存率(OS)采用Kaplan-Meier分析和log-rank检验。进行单因素和多因素Cox回归分析,以确定生存的重要预测因素。结果:在621例患者中,229例(37%)诊断为cN1疾病,392例(63%)诊断为cN2疾病。在新辅助化疗免疫治疗中,59%的cN1和40%的cN2患者降期至ypN0。虽然5年生存率根据临床N分期无显著差异(cN1为76%,cN2为63%,p=0.08),但较高的治疗后淋巴结分期与较差的长期生存率相关(ypN0的5年生存率为84%,ypN1为64%,ypN2为51%,p结论:接受新辅助化学免疫治疗的可切除NSCLC患者的淋巴结降分期率很高。治疗后达到ypN0状态强烈预示着该人群有利的长期生存,而预处理cN期与预后的相关性较小。
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引用次数: 0
Integrative Analysis of GEO Datasets and Mendelian Randomization Reveals a Potential Role ofISOC1 in Renal Cell Carcinoma. GEO数据集和孟德尔随机化的综合分析揭示了iso1在肾细胞癌中的潜在作用。
IF 3.2 3区 医学 Q2 ONCOLOGY Pub Date : 2025-10-10 eCollection Date: 2025-01-01 DOI: 10.7150/jca.118622
Jingsong Wang, Yunxun Liu, Zhiwei Yan, Qianxue Lu, Jun Jian, Xiuheng Liu, Zhiyuan Chen, Qingyuan Zheng, Shanshan Wan, Lei Wang

Background: Renal cell carcinoma (RCC) is a leading malignancy of the urinary system, with clear cell RCC (ccRCC) being the most prevalent subtype. Despite advances in treatment, the prognosis of advanced RCC remains poor, and the molecular mechanisms underlying its pathogenesis are not fully understood. Methods: This study utilized multiple renal cancer cohorts from the Gene Expression Omnibus (GEO) database to identify differentially expressed genes (DEGs). By integrating Mendelian randomization (MR) analyses of expression quantitative trait loci (eQTL) and protein quantitative trait loci (pQTL), we investigated causal associations between candidate genes and RCC. Immune infiltration, drug sensitivity, and survival analyses were performed to further explore functional significance. In vitro experiments validated the biological role ofISOC1 in RCC progression. Results: We focused on ISOC1, a gene previously implicated in other malignancies but not well studied in RCC. Through integrative MR analysis, we identified ISOC1 as a novel RCC-associated gene, with potential tumor-suppressive functions in this specific context. ISOC1 expression was significantly linked to tumor immune infiltration, drug sensitivity, and patient prognosis. Functional assays demonstrated that ISOC1 knockdown promoted RCC cell proliferation, migration, and invasion. Conclusions: ISOC1 plays a critical role in RCC progression and may act as a tumor suppressor. These findings highlight ISOC1 as a potential biomarker for prognosis and a promising target for therapeutic intervention in RCC. Moreover, this study underscores the utility of MR-based integrative analyses in uncovering novel molecular mechanisms and therapeutic targets for cancer.

背景:肾细胞癌(RCC)是泌尿系统的主要恶性肿瘤,其中透明细胞癌(ccRCC)是最常见的亚型。尽管治疗取得了进展,但晚期RCC的预后仍然很差,其发病机制的分子机制尚不完全清楚。方法:本研究利用基因表达综合数据库(GEO)中的多个肾癌队列来鉴定差异表达基因(DEGs)。通过整合孟德尔随机化(MR)分析表达数量性状位点(eQTL)和蛋白质数量性状位点(pQTL),研究候选基因与RCC之间的因果关系。通过免疫浸润、药物敏感性和生存分析进一步探讨功能意义。体外实验验证了isoc1在RCC进展中的生物学作用。结果:我们重点研究了iso1基因,这是一种以前与其他恶性肿瘤有关的基因,但在RCC中没有得到很好的研究。通过综合MR分析,我们发现ISOC1是一种新的rcc相关基因,在这种特定情况下具有潜在的肿瘤抑制功能。ISOC1表达与肿瘤免疫浸润、药物敏感性和患者预后显著相关。功能分析表明,ISOC1敲低可促进RCC细胞增殖、迁移和侵袭。结论:ISOC1在RCC的进展中起关键作用,可能具有肿瘤抑制作用。这些发现强调了ISOC1作为预后的潜在生物标志物和RCC治疗干预的有希望的靶点。此外,本研究强调了基于核磁共振的综合分析在揭示癌症的新分子机制和治疗靶点方面的效用。
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引用次数: 0
Local Genetic Correlations and Pleiotropy Reveal Shared Genetic Architecture Between COVID-19 Phenotypes and Prostate Cancer in European Populations. 局部遗传相关性和多效性揭示了欧洲人群中COVID-19表型与前列腺癌之间共享的遗传结构
IF 3.2 3区 医学 Q2 ONCOLOGY Pub Date : 2025-10-10 eCollection Date: 2025-01-01 DOI: 10.7150/jca.111126
Rong Xiang, Xunying Zhao, Lin Chen, Xueyao Wu, Jinyu Xiao, Xia Jiang

Background: While a link between coronavirus disease 2019 (COVID-19) and prostate cancer (PrCa) has been observed in clinical settings, the shared underlying genetic influences remain unclear. Methods: Leveraging summary statistics from the hitherto largest genome-wide association studies (GWASs) of European-ancestry populations, we performed the first comprehensive genome-wide cross-trait analysis to investigate the shared genetic architecture, pleiotropy, and potential causal relationships between three COVID-19 phenotypes and PrCa. Results: We found no evidence of significant genome-wide genetic correlations between COVID-19 phenotypes and PrCa (P > 0.05). However, after partitioning the whole genome into 2353 independent regions, we observed significant local genetic correlations at chromosome 1 (chr1), chr7, and chr14 for PrCa with at least one COVID-19 phenotype (P < 0.05/2353). Cross-trait meta-analysis identified 22 independent single nucleotide polymorphisms (SNPs) shared between PrCa and at least one COVID-19 phenotype, totalling 25 associations, including 2 with infection, 14 with hospitalization, and 9 with critical illness. Transcriptome-wide association study (TWAS) revealed eight distinct shared genes (CCHCR1, TCF19, ADAM15, HLA-C, CYP21A1P, HCP5, ATF6B, and HLA-DQB2), predominantly enriched in tissues of the respiratory, neurological, and reproductive systems. Bidirectional Mendelian randomization (MR) demonstrated no causal association between COVID-19 phenotypes and PrCa. Conclusions: Using a multi-layered analytical framework, our study provides novel insights into the shared genetic bases between COVID-19 phenotypes and PrCa, supported by significant local genetic correlations, pleiotropic SNPs, and shared genes. These findings highlight common biological mechanisms rather than direct causal relationships, suggesting the limited benefits of additional PrCa screening in COVID-19 survivors. Furthermore, the identified genes represent promising targets for future mechanistic research and clinical interventions, warranting further validation.

背景:虽然在临床环境中观察到2019冠状病毒病(COVID-19)和前列腺癌(PrCa)之间的联系,但共同的潜在遗传影响仍不清楚。方法:利用迄今为止最大的欧洲血统人群全基因组关联研究(GWASs)的汇总统计数据,我们进行了首次全面的全基因组交叉性状分析,以调查三种COVID-19表型与PrCa之间的共同遗传结构、多效性和潜在因果关系。结果:我们没有发现证据表明COVID-19表型与PrCa之间存在显著的全基因组遗传相关性(P < 0.05)。然而,在将整个基因组划分为2353个独立区域后,我们观察到PrCa在染色体1 (chr1)、chr7和chr14上至少具有一种COVID-19表型的局部遗传相关性(P < 0.05/2353)。跨性状荟萃分析发现,PrCa与至少一种COVID-19表型共有22个独立的单核苷酸多态性(snp),共25个关联,其中2个与感染有关,14个与住院有关,9个与危重疾病有关。转录组全关联研究(TWAS)揭示了8个不同的共享基因(CCHCR1、TCF19、ADAM15、HLA-C、CYP21A1P、HCP5、ATF6B和HLA-DQB2),主要富集于呼吸系统、神经系统和生殖系统的组织中。双向孟德尔随机化(MR)显示COVID-19表型与PrCa之间没有因果关系。结论:利用多层分析框架,我们的研究在显著的局部遗传相关性、多效snp和共享基因的支持下,为COVID-19表型和PrCa之间的共享遗传基础提供了新的见解。这些发现强调了共同的生物学机制,而不是直接的因果关系,表明对COVID-19幸存者进行额外的PrCa筛查的益处有限。此外,鉴定的基因代表了未来机制研究和临床干预的有希望的目标,需要进一步验证。
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引用次数: 0
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