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A Liver Index and its Relationship to Indices of HCC Aggressiveness. 肝指数及其与 HCC 攻击性指数的关系。
Pub Date : 2016-10-01 Epub Date: 2016-09-05 DOI: 10.4172/2329-6771.1000178
Brian I Carr, Vito Guerra, Edoardo G Giannini, Fabio Farinati, Francesca Ciccarese, Gian Ludovico Rapaccini, Maria Di Marco, Luisa Benvegnù, Marco Zoli, Franco Borzio, Eugenio Caturelli, Alberto Masotto, Franco Trevisani

A Hepatocellular (HCC) Aggressiveness Index was recently constructed, consisting of the sum of the scores for the 4 clinical parameters of maximum tumor size, multifocality, presence of portal vein thrombus and blood alphafetoprotein levels. It was observed that there was an association with several liver function tests. We have now formed a Liver Index from the 4 liver parameters with the highest hazard ratios with respect to HCC aggressiveness, namely: blood total bilirubin, gamma glutamyl transpeptidase (GGTP), albumin and platelet levels (cirrhosis surrogate). We found that the scores for the Liver Index related significantly to survival, but also to the Aggressiveness Index and to its individual HCC components as well as showing significant trends with the components. These results support the hypothesis that liver function is not only an important prognostic factor in HCC patients, but may also be involved in HCC biology and aggressiveness. Blood albumin, GGTP, albumin and platelet levels were used to create a Liver Index that related significantly to parameters of HCC aggressiveness.

最近构建了一个肝细胞(HCC)侵袭性指数,由肿瘤最大尺寸、多发性、门静脉血栓存在和血液中甲胎蛋白水平这 4 个临床参数的得分总和组成。据观察,该指数与几项肝功能检测存在关联。现在,我们根据与 HCC 侵袭性相关的危险比最高的 4 个肝脏参数,即血总胆红素、γ 谷氨酰转肽酶(GGTP)、白蛋白和血小板水平(肝硬化替代指标),制定了肝脏指数。我们发现,肝脏指数的得分与存活率有显著相关性,而且与侵袭性指数及其各个 HCC 组成部分也有显著相关性,并显示出与各组成部分的显著相关趋势。这些结果支持了这样的假设,即肝功能不仅是 HCC 患者的重要预后因素,还可能与 HCC 的生物学特性和侵袭性有关。血白蛋白、糖化血红蛋白、白蛋白和血小板水平被用来创建肝指数,该指数与 HCC 侵袭性参数有显著相关性。
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引用次数: 0
Biophysical Contributions and Challenges in Oncology 肿瘤学中的生物物理贡献和挑战
Pub Date : 2016-09-30 DOI: 10.4172/2329-6771.1000E111
H. Black
Students of the life sciences (and hence oncology) have long recognized that biology obeys the same chemical and physical laws that govern all aspects of our universe. Indeed, the lines between a monolithic biology have become quite blurred between biochemistry and biophysics, the latter involving the implementation of physics methods or physics principles to the study of life and its processes. The German-American physicist, Max Delbruck, after arriving in the U.S., soon applied his physics training to biological problems. He is considered by some to be one of the founding fathers of modern molecular biology [1]. His contributions began at a time before the structure of DNA was known and Harold Varmus [2], from a plenary lecture at the American Physical Society in 1999, summarized those fundamental questions that were being asked at that time: What is the physical form in which hereditary information is stored? How is it reproduced when a cell divides? How is that information reasserted during sexual reproduction? How does that information change when mutations occur? Answers to these questions were sought employing bacteria and bacteriophage interactions-a simple model from which our knowledge of genetics was greatly advanced. In the past, physicists have made major contributions in the areas of biological energetics, enzyme and reaction kinetics, oxidation-reduction potentials, osmotic pressure and diffusion, optics, surfaces and interfaces, viscosity and liquid flow, ion transport, structure and elasticity, energetics of photoreaction centers, as well as many other areas pertinent to the study of life. Zhou [3] has summarized major research advances that have led to Nobel Prize winning contributions. Beginning with the discovery of X-rays and their diffraction by crystals that, in turn, led to the new analytical tool of X-ray crystallography. This advance made possible the determination of DNA and protein structures, the structure of photosynthetic reaction centers, ion channels, and ribosome and RNA polymerase II structures. Nuclear Magnetic Resonance Spectroscopy and the development of the Electron Microscope are examples of other contributions by physicists that have made possible the study of life, and its processes, in a detail not previously afforded and extended our horizons of investigation and depth of knowledge.
生命科学(以及肿瘤学)的学生们早就认识到,生物学遵循着支配我们宇宙所有方面的化学和物理定律。事实上,生物化学和生物物理学之间的界限已经变得相当模糊,后者涉及到应用物理方法或物理原理来研究生命及其过程。德裔美国人的物理学家马克斯•德尔布吕克在美国,抵达后不久他的物理训练应用于生物问题。有人认为他是现代分子生物学的奠基人之一[1]。他的贡献开始于DNA结构被发现之前,Harold Varmus[2]在1999年美国物理学会的一次全体会议上,总结了当时被问到的一些基本问题:遗传信息存储的物理形式是什么?当细胞分裂时它是如何复制的?这些信息是如何在有性生殖过程中被重申的?当突变发生时,这些信息是如何变化的?这些问题的答案是通过细菌和噬菌体的相互作用来寻找的——这是一个简单的模型,我们的遗传学知识从这个模型中得到了很大的进步。过去,物理学家在生物能量学、酶和反应动力学、氧化还原电位、渗透压和扩散、光学、表面和界面、粘度和液体流动、离子输运、结构和弹性、光反应中心的能量学以及与生命研究有关的许多其他领域做出了重大贡献。周[3]总结了导致诺贝尔奖贡献的主要研究进展。从x射线和晶体衍射的发现开始,这反过来又导致了x射线晶体学的新分析工具。这一进展使得测定DNA和蛋白质结构、光合反应中心结构、离子通道结构以及核糖体和RNA聚合酶II结构成为可能。核磁共振光谱学和电子显微镜的发展是物理学家做出的其他贡献的例子,它们使对生命及其过程的研究成为可能,这些研究的细节是以前无法提供的,并扩展了我们的研究视野和知识深度。
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引用次数: 4
Perspectives of Integrative Oncology 综合肿瘤学展望
Pub Date : 2016-09-26 DOI: 10.4172/2329-6771.1000179
P. Debta
During cancer diagnosis, most patients only approach their surgeon who cut out tumors and oncologists who use potent chemotherapies and radiation to root out disease. But in this era when cancer cases are increasing, many experts are suggesting a more holistic, long-term approach that provides closer attention to the overall health of patients suffering from cancer [1]. That is why many practitioners are in favor of rapidly expanding the field of integrative oncology. Integrative Oncology fuses the best of conventional and alternative treatments [2].
在癌症诊断期间,大多数患者只找切除肿瘤的外科医生和使用强效化疗和放疗来根除疾病的肿瘤学家。但在这个癌症病例不断增加的时代,许多专家建议采取更全面、更长期的方法,更密切地关注癌症患者的整体健康[1]。这就是为什么许多医生赞成迅速扩大综合肿瘤学领域的原因。综合肿瘤学融合了传统和替代治疗的精华[2]。
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引用次数: 0
Mandibular Reconstruction with Osteo-cutaneous Free Flaps in a Patient afterExtensive Surgery Supported with 3D Printed Models 在3D打印模型支持下,广泛手术后用骨皮游离皮瓣重建患者下颌骨
Pub Date : 2016-08-15 DOI: 10.4172/2329-6771.1000177
P. Maciej, J. Banaszewski, Tomasz Pastusiak, Agata Buczkowska, WiesÅaw Kuczko, RadosÅaw Wichniarek, F. Górski
Introduction and objective: The aim of the study was to evaluate usefulness of 3-D models utilizing generated incremental techniques from thermoplastic materials in mandibular reconstruction with utilization of free osteocutaneous fibular and scapular flaps. Methods: 12 patients were treated due to an advanced oral cavity squamous cell carcinoma (T4b). In four patients with a mandibular defect a physical 3-D model consisting of the reconstructed and unaffected sites was prepared for a reconstruction protocol. The 3-D models were designed based to high resolution CT scans. Results: Assessment of comparative functionality (stability of junction, mobility, mastication ability), and cosmetics was examined in both groups, following an 8- week healing period. Conclusion: Applying 3-D models for mandibular manufacturing using a three dimensional printing technologies allows for obtainment of better functionality of restored mandible in comparison to the traditional method. Utilization of mandibular and fibular model significantly decreases time of the operation and allows for achievement of desired shape and esthetic effect within the 1/3 of the lower face.
前言和目的:本研究的目的是评估利用热塑性材料生成增量技术的三维模型在利用游离骨皮腓骨和肩胛骨瓣重建下颌骨中的实用性。方法:对12例晚期口腔鳞状细胞癌(T4b)患者进行治疗。在4例患者下颌骨缺损的物理三维模型包括重建和未受影响的地方准备重建方案。三维模型是基于高分辨率CT扫描设计的。结果:在8周的愈合期后,对两组的比较功能(连接稳定性、活动能力、咀嚼能力)和化妆品进行了评估。结论:采用三维打印技术对下颌骨进行三维建模,与传统方法相比,可以获得更好的修复下颌骨的功能。下颌和腓骨模型的使用显著减少了手术时间,并使下面部1/3内达到理想的形状和美观效果。
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引用次数: 5
Dynamic Changes of Molecular Markers during Natural History in Metastatic Melanoma: Ethical Issues and Lessons to Learn 转移性黑色素瘤自然史中分子标记的动态变化:伦理问题和教训
Pub Date : 2016-08-10 DOI: 10.4172/2329-6771.1000176
Banu Eugeniu, Zaharie Andreea, A. Serban, Buiga Rares, R. Liliana, Banu Adela Codrina
Objective: Malignant melanoma with brain metastases is associated with a higher risk of death. No specific treatments were demonstrated to be useful in a such situation. Drugs as temozolomide orally or new targeted treatments showed significant objective response rates, even complete regression. Such responses could be obtained using new strategies based on dynamic changes over time of some molecular markers. Elements of ethics should be taken into account in order to adapt treatment and avoid resistance. Methods: The case of a 59-year old male with a primary cutaneous melanoma of the trunk, treated at Cancer Institute “Ion Chiricuta” from August 2001 is presented. After multiple loco-regional relapses, the patient developed brain metastases and started temozolomide 150 mg once daily, five days, every 4 weeks, 6 cycles with concurrent whole brain external radiotherapy. Comparative immunostaining including proliferation and pro-apoptotic molecular markers between the initial diagnosis (2001), before (2005) and after (2008) temozolomide treatment was performed. Result: Nine months after the start of temozolomide treatment, complete response was confirmed by magnetic resonance imaging. Overall cancer specific survival was 41 months. Ki-67, cyclin E, HMB-45 expression and Bax/ Bcl-2 ratio increased during almost 10 years of treatment and follow-up. Bcl-2 staining was absent at the last analysis. Only p53 and Bax expression doesn't changed during treatment. Conclusion: It seems that metastatic melanoma cells lost some of pro-apoptotic markers and overexpressed markers of proliferation. Predictive markers of response and resistance were actively identified; their combination and dynamic over time could help the oncologist to select those metastatic patients with highest chances of response. Dynamic changes of these molecular markers would guide treatment and the overall core strategy. Serial biopsies and tissue analyses become a challenging ethical issue. Empiric treatments based on a unique tumor signature should be modified using an adaptive approach.
目的:脑转移的恶性黑色素瘤与较高的死亡风险相关。在这种情况下,没有特定的治疗方法被证明是有用的。口服替莫唑胺或新的靶向治疗等药物的客观有效率显著,甚至完全消退。利用基于某些分子标记随时间的动态变化的新策略可以获得这些响应。应考虑到伦理因素,以适应治疗和避免耐药性。方法:报告一例59岁男性躯干原发性皮肤黑色素瘤患者,于2001年8月在“Ion Chiricuta”癌症研究所接受治疗。多次局部区域复发后,患者发生脑转移,开始使用替莫唑胺150 mg,每日1次,5天,每4周,6个周期,同时全脑外放疗。比较免疫染色,包括增殖和促凋亡分子标记在初始诊断(2001年),替莫唑胺治疗前(2005年)和后(2008年)进行。结果:替莫唑胺治疗9个月后,磁共振成像证实完全缓解。总体癌症特异性生存期为41个月。Ki-67、cyclin E、HMB-45表达及Bax/ Bcl-2比值在近10年的治疗和随访中均有所升高。末次分析未见Bcl-2染色。在治疗过程中,只有p53和Bax的表达没有变化。结论:转移性黑色素瘤细胞似乎失去了一些促凋亡标志物和过度表达的增殖标志物。积极识别反应和耐药的预测标记;它们的结合和随时间的变化可以帮助肿瘤学家选择那些有最高反应机会的转移性患者。这些分子标记物的动态变化将指导治疗和整体核心策略。连续活检和组织分析成为一个具有挑战性的伦理问题。基于独特肿瘤特征的经验性治疗应采用适应性方法进行修改。
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引用次数: 7
Validation of Breast Cancer Survival Prediction Model with SEER Database 基于SEER数据库的乳腺癌生存预测模型验证
Pub Date : 2016-07-22 DOI: 10.4172/2329-6771.1000174
Yu-Chieh Chen, H. Lai, Wen-Ching Wang, Y. Kuo
Objective: The accurate estimation of outcome in postoperative breast cancer patients is an essential component of the individualized treatment, decision-making, and patient counseling processes. The disease outcome and prognosis of breast cancer patients may vary according to geographic and ethnic factors. To clarify this topic, we created a new prognostic and predictive model for breast cancer patients, based on clinical and pathological variables. Study design and setting: Clinical and pathological data were collected from 1587 patients with breast cancer who underwent surgical intervention. A survival prediction model was used to allow the analysis of the optimal combination of variables. The area under the receiver operating characteristic (ROC) curve, as applied to an independent validation data set, was used as the measure of accuracy. Results were assessed by comparing the area under the ROC curve with the SEER database. Results: Our predictive model of survival predicted disease outcome for individual patients with breast cancer. The comparison between our predictive model and SEER databases showed that our model underestimated outcome in the SEER cohort and that the SEER model overestimated outcome in our breast cancer patients. Conclusion: Our model may present an alternative as personalized prognostic tool for breast cancer patients. Decision regarding the survival prediction should take every consideration about regional and racial factors into account.
目的:准确估计乳腺癌术后患者的预后是个体化治疗、决策和患者咨询过程的重要组成部分。乳腺癌患者的疾病结局和预后可能因地理和种族因素而异。为了阐明这一主题,我们基于临床和病理变量创建了一个新的乳腺癌患者预后和预测模型。研究设计和背景:收集1587例接受手术干预的乳腺癌患者的临床和病理资料。生存预测模型用于分析变量的最佳组合。应用于独立验证数据集的受试者工作特征(ROC)曲线下的面积作为准确性的度量。将ROC曲线下面积与SEER数据库进行比较,评估结果。结果:我们的生存预测模型预测了个体乳腺癌患者的疾病结局。我们的预测模型与SEER数据库的比较表明,我们的模型低估了SEER队列的结果,而SEER模型高估了乳腺癌患者的结果。结论:我们的模型可能为乳腺癌患者提供一种个性化的预后工具。关于生存预测的决定应该考虑到区域和种族因素。
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引用次数: 3
Linear and Non Linear Quantitative Structure Anti Cancer Activity Relationship (QSACAR) Study of Hydrous Ruthenium (IV) Oxide (RuO2) Nanoparticles as Non Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) and Anti Cancer Nano Drugs 水合氧化钌(RuO2)纳米颗粒作为非核苷类逆转录酶抑制剂(NNRTIs)和抗癌纳米药物的线性和非线性定量结构抗癌活性关系研究
Pub Date : 2016-07-14 DOI: 10.4172/2329-6771.1000E110
A. Heidari
A Quantitative Structure–Anti–Cancer–Activity Relationship (QSACAR) study has been applied in a series of hydrous Ruthenium (IV) Oxide (RuO2) nanoparticles as Non–Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) and also anti–cancer Nano drugs. The molecular simulation and modeling has been investigated in three dimensions (3D) autocorrelation descriptors, obtained from different weighting schemes. Analysis of the linear and non–linear Quantitative Structure–Anti–Cancer–Activity Relationship (QSACAR) simulations and models revealed a correlation coefficient and root mean square errors. The predictive ability of the simulations and models indicates that these simulations and models can be used for virtual library screening of databases for novel potent anti–cancer Nano drugs such as hydrous Ruthenium (IV) Oxide (RuO2) nanoparticles. It should be noted that hydrous Ruthenium (IV) Oxide (RuO2) nanoparticles as novel potent anti–cancer Nano drugs were characterized by 1HNMR, 13CNMR, 31PNMR, Attenuated Total Reflectance Fourier Transform Infrared (ATR–FTIR), FT–Raman, HR Mass and UV–Vis spectroscopies and also by Scanning Electron Microscope (SEM), Transmission Electron Microscope (TEM), Differential Thermal Analysis–Thermal Gravim Analysis (DTA–TGA), Energy–Dispersive X–Ray Spectroscopy (EDX) and X–Ray Diffraction (XRD) analysis and crystallography. Ab initio and Density Functional Theory (DFT) calculations have been carried out for the hydrous Ruthenium (IV) Oxide (RuO2) anti–cancer Nano drugs by performing HF, PM3, MM2, MM3, AM1, MP2, MP3, MP4, CCSD, CCSD(T), LDA, BVWN, BLYP and B3LYP levels of theory using the standard 31G, 6–31G*, 6–31+G*, 6–31G(3df, 3pd), 6–311G, 6–311G* and 6–311+G* basis sets of the Gaussian 09.
一系列水合氧化钌(RuO2)纳米颗粒作为非核苷类逆转录酶抑制剂(NNRTIs)和抗癌纳米药物,应用定量结构-抗癌活性关系(QSACAR)研究。研究了不同加权方案下的三维自相关描述子的分子模拟和建模。线性和非线性定量结构-抗癌活性关系(QSACAR)模拟和模型分析显示相关系数和均方根误差。模拟和模型的预测能力表明,这些模拟和模型可用于新型强效抗癌纳米药物如水合氧化钌(RuO2)纳米颗粒的虚拟库筛选数据库。通过1HNMR, 13CNMR, 31PNMR,衰减全反射傅里叶变换红外(ATR-FTIR), ft -拉曼,HR质量和紫外-可见光谱以及扫描电子显微镜(SEM),透射电子显微镜(TEM),差热分析-热重分析(DTA-TGA),能量色散x射线光谱(EDX)和x射线衍射(XRD)分析和晶体学。利用高斯09的标准31G、6-31G *、6-31 +G*、6-31G (3df、3pd)、6-311G、6-311G *和6-311 +G*基集,对水合氧化钌(RuO2)抗癌纳米药物进行HF、PM3、MM2、MM3、AM1、MP2、MP3、MP4、CCSD、CCSD(T)、LDA、BVWN、BLYP和B3LYP理论水平的从头算和密度泛函理论(DFT)计算。
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引用次数: 137
Quality of Life and Sexual Activity after Stereotactic HypofractionatedRadiotherapy of Prostate Cancer Patients 前列腺癌患者立体定向低分割放疗后的生活质量和性活动
Pub Date : 2016-07-13 DOI: 10.4172/2329-6771.1000173
M. Rucińska, A. Kieszkowska-Grudny, Wojciech Strzelczyk, Katarzyna Bielesz, S. Nawrocki
Background: Quality of life (QoL) is an important factor for the cancer patients after treatment. The study aimed to investigate QoL and sexual activity in patients who had undergone stereotactic hypofractionated radiotherapy (HRT). Methods: The analysis included 82 prostate cancer patients: 40 patients treated by HRT (33.5 Gy in 5 fractions) and 42 patients treated by standard three-dimensional conformal radiation treatment 3DCRT (70-82 Gy in 35-41 fractions); and 50 healthy men without any type of cancer. The subjects filled out the questionnaires: EORTC QLQC30 (version 3.0.) and the prostate cancer-specific EORTC QLQ-PR25. The median follow-up was 21 months for HRT patients and 28 months for 3DCRT patients. Results: The tolerance for stereotactic HRT was shown to be good. The QoL and the general health status of HRT patients were higher than of 3DCRT patients and even of healthy men. Most patients treated by HRT felt that they had lost their masculinity. However, they were still interested in having sex; one third of them were sexually active, most reported satisfaction with their sex life. Conclusions: HRT for prostate cancer patients was an attractive treatment in relation to patients' QoL assessment in the short term analysis.
背景:生活质量(QoL)是影响肿瘤患者治疗后生活质量的重要因素。本研究旨在探讨接受立体定向低分割放疗(HRT)患者的生活质量和性活动。方法:对82例前列腺癌患者进行分析,其中HRT治疗40例(33.5 Gy分5次),标准三维适形放疗3DCRT治疗42例(70-82 Gy分35-41次);50名没有任何癌症的健康男性。受试者填写问卷:EORTC QLQC30(3.0版)和前列腺癌特异性EORTC QLQ-PR25。HRT患者中位随访时间为21个月,3DCRT患者中位随访时间为28个月。结果:立体定向HRT耐受性良好。HRT患者的生活质量和总体健康状况均高于3DCRT患者,甚至高于健康男性。大多数接受激素替代疗法治疗的患者都觉得自己失去了男子气概。然而,他们仍然对做爱感兴趣;其中三分之一的人性生活活跃,大多数人对性生活感到满意。结论:在短期分析中,HRT治疗前列腺癌是一种有吸引力的治疗方法,与患者的生活质量评估有关。
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引用次数: 0
An HCC Aggressiveness Index and Blood GTP, Bilirubin and Platelet Levels 肝细胞癌侵袭指数与血液GTP、胆红素和血小板水平的关系
Pub Date : 2016-06-20 DOI: 10.4172/2329-6771.1000172
B. Carr, V. Guerra, E. Giannini, F. Farinati, F. Ciccarese, G. Rapaccini, M. D. Marco, L. Benvegnu', M. Zoli, F. Borzio, E. Caturelli, A. Masotto, F. Trevisani
Four HCC characteristics typically inform tumor behavior: maximum tumor size, number of nodules, portal vein thrombosis and serum AFP level. The sum of these parameters was recently published as an HCC Aggressiveness Index. We aimed to validate this index retrospectively in a larger and independent HCC cohort of 2706 Italian HCC patients, and to evaluate a possible relationship between the index and liver function parameters. The scores in the HCC Aggressiveness Index were again found to significantly relate to patient survival. Furthermore, in a multiple logistic regression model of the Aggressiveness Index score categories, there were significant differences in several liver parameter terciles amongst the score categories, suggesting a relationship of liver function to tumor aggressiveness. It was concluded that a prognostically significant Tumor Aggressiveness Index was validated and was found to be related to levels of some common liver function parameters.
HCC的四个典型特征:最大肿瘤大小、结节数量、门静脉血栓形成和血清AFP水平。这些参数的总和最近作为HCC侵袭性指数发表。我们的目的是在2706名意大利HCC患者的更大且独立的HCC队列中回顾性验证该指数,并评估该指数与肝功能参数之间的可能关系。HCC侵袭性指数得分再次与患者生存显著相关。此外,在侵袭性指数评分类别的多元logistic回归模型中,多个肝脏参数在评分类别之间存在显著差异,提示肝功能与肿瘤侵袭性之间存在关系。结论是,肿瘤侵袭性指数具有重要的预后意义,并与一些常见肝功能参数的水平有关。
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引用次数: 16
Expression of Heparin-binding Epidermal Growth Factor-like Growth Factor (HB-EGF) in Human Renal Cell Carcinoma 肝素结合表皮生长因子样生长因子(HB-EGF)在人肾癌中的表达
Pub Date : 2016-06-06 DOI: 10.4172/2329-6771.1000171
H. Masuda, Y. Fukabori, K. Nakano, M. Kobayashi, H. Yamanaka
Background: The levels of expression of Heparin binding-epidermal growth factor like growth factor (HB-EGF) mRNA in tumor tissues and normal tissues of the excised kidney were compared in order to clarify the role of HBEGF inrenal cell carcinoma (RCC) derived from the proximal tubule. Method: Normal and tumor tissues were collected from surgical specimens of 16 cases pathologically diagnosed with RCC. Total RNA was extracted from these samples, and the level of expression of HB-EGF mRNA was measured by real-time quantitative PCR using a TaqMan probe after reverse transcription. Glyceraldehyde phosphate dehydrogenase (GAPDH) was used as an internal standard. The expression levels of HB-EGF mRNA in normal and tumor tissues of the same case were compared, and statistical analysis was performed to evaluate the association between the expression level and various clinical-pathological factors in RCC. Results: Expression of HB-EGF mRNA was detected in 82% (13/16) of the normal tissues and 63% (10/16) of the tumor tissues. The expression level in the normal tissues was significantly 7-fold higher than that in the tumor tissues. No significant association was detected between the expression of HB-EGF mRNA and the clinical stage or prognosis of RCC. However, the pathological findings indicated that negative expression of ratio of HB-EGF was higher in RCC with more-advanced malignant progression. Conclusion: Our results indicated that it was unlikely that HB-EGF might play a role in determining the aggressiveness or clinical features in RCC. However, the decreased expression of HB-EGF mRNA in RCC tissues indicates that tumorigenesis of RCC may disrupt the normal regulatory system of HB-EGF.
背景:比较肝素结合-表皮生长因子样生长因子(HB-EGF) mRNA在切除肾肿瘤组织和正常组织中的表达水平,以阐明HB-EGF在近端小管源性肾细胞癌(RCC)中的作用。方法:收集16例经病理诊断为肾细胞癌的手术标本的正常组织和肿瘤组织。提取总RNA,逆转录后用TaqMan探针实时定量PCR检测HB-EGF mRNA的表达水平。甘油醛磷酸脱氢酶(GAPDH)作为内标。比较同一病例正常组织和肿瘤组织中HB-EGF mRNA的表达水平,并进行统计学分析,评价其表达水平与RCC中各种临床病理因素的相关性。结果:正常组织中有82%(13/16)、肿瘤组织中有63%(10/16)表达HB-EGF mRNA。正常组织中的表达量明显高于肿瘤组织的7倍。HB-EGF mRNA的表达与RCC的临床分期及预后无显著相关性。病理结果显示HB-EGF的阴性表达比例在恶性进展越晚期的RCC中越高。结论:我们的结果表明HB-EGF不太可能在决定RCC的侵袭性或临床特征中起作用。然而,在RCC组织中HB-EGF mRNA的表达下降表明,RCC的发生可能破坏了HB-EGF的正常调控系统。
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引用次数: 2
期刊
Journal of Integrative Oncology
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