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The mir-371a-373 cluster: A crucial miRNA cluster promotes the malignancy of gastric cancer. mir-371a-373簇:一个关键的miRNA簇促进胃癌的恶性发展。
IF 2.2 4区 医学 Q3 ONCOLOGY Pub Date : 2025-10-01 Epub Date: 2025-09-28 DOI: 10.4149/neo_2025_250526N220
Zonglei Mao, Yi Pan, Jiaping Wu, Aizhai Xiang, Kangbei Zhu, Jiayi Li, Jufeng Guo, Ning Tang, Jing Zhang, Jian Liu, Tao Rui

Gastric cancer is one of the most common and deadliest malignancies worldwide. Better knowledge of the risk factors for gastric cancer is essential for risk classification and therapeutic strategy evolution in gastric cancer patients. Many kinds of miRNA clusters participate in tumorigenesis and tumor progression. Herein, we sought to screen and certify the crucial miRNA cluster for prognosis prediction and potential therapeutic targets in gastric cancer. The results showed that the mir-371a-373 cluster was the most highly expressed miRNA cluster in gastric cancer. The high expression of the mir-371a-373 cluster (mir-371a, mir-372, and mir-373) was positively associated with the poor overall survival of gastric cancer patients. The expression of mir-373 was correlated with early gastric cancer recurrence. mir-373 was an independent risk factor for gastric cancer recurrence and mortality. Then, gain- and loss-of-function experiments demonstrated that mir-373 could promote the malignancy of gastric cancer cells in vitro and in vivo. Through bioinformatics analysis and experimental validation, mir-373 was correlated with tumor regulation, and ZFP91 was the direct target of mir-373. Our findings suggest that the miR-371-373 cluster, especially mir-373, could be a robust marker for the prognosis prediction of gastric cancer and a potential therapeutic target for gastric cancer.

胃癌是世界上最常见和最致命的恶性肿瘤之一。更好地了解胃癌的危险因素对胃癌患者的风险分类和治疗策略的发展至关重要。多种miRNA簇参与肿瘤的发生和发展。在此,我们试图筛选和证实胃癌预后预测和潜在治疗靶点的关键miRNA簇。结果显示,mir-371a-373簇是胃癌中表达量最高的miRNA簇。mir-371a-373簇(mir-371a、mir-372和mir-373)的高表达与胃癌患者的总生存期较差呈正相关。mir-373的表达与胃癌早期复发相关。Mir-373是胃癌复发和死亡的独立危险因素。然后通过功能获得和功能丧失实验证明,mir-373在体外和体内均可促进胃癌细胞的恶性化。通过生物信息学分析和实验验证,mir-373与肿瘤调控相关,ZFP91是mir-373的直接靶点。我们的研究结果表明,miR-371-373簇,特别是mir-373,可能是胃癌预后预测的一个强有力的标志物,也是胃癌的潜在治疗靶点。
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引用次数: 0
Overexpression of TNFα in colorectal cancer cell lines affects tumorigenicity, differentiation, and immune cell infiltration. 结直肠癌细胞系中TNFα的过表达影响致瘤性、分化和免疫细胞浸润。
IF 2.2 4区 医学 Q3 ONCOLOGY Pub Date : 2025-10-01 Epub Date: 2025-09-28 DOI: 10.4149/neo_2025_250516N206
Silvia Tyciakova, Peter Makovicky, Valeria Hricova, Lucia Rojikova, Monika Burikova, Miroslava Matuskova

The progression of cancer strongly depends on the tumor microenvironment and immune surveillance. Tumor necrosis factor alpha (TNFα), a key inflammatory cytokine, can drive both tumor elimination and promotion, depending on its dose and the type of cancer. Colorectal cancer cell lines HCT 116, HT-29, and melanoma cells A375 engineered to stably overexpress the human TNFα gene were used to induce experimental subcutaneous tumors in two immunodeficient mouse strains: athymic Balb/c-nu/nu and SCID/bg mice. In athymic mice, TNFα-overexpressing cells completely lost their tumorigenicity. In SCID/bg mice, with no mature T and B cells and defective NK cells, the TNFα-overexpressing cells formed rudimentary flat ulcerous xenografts with rapidly reduced size, with tumor penetrance of 50-85%. Histopathological analysis revealed necrotic lesions, a more differentiated phenotype of tumor cells forming pseudoglandular structures, and more abundant stromal cells. Intratumoral infiltration of immune cells increased in TNFα-secreting tumors. Positivity of cytokeratins 7 and 20 in colorectal cancer xenografts was decreased. Paradoxically, the expression of ALDH1A1 and ALDH1A3 isoforms, which are important for disease prognosis, was increased. Our study suggests that careful modulation of the tumor microenvironment to a tumor-suppressive one using cytokine TNFα and controlled stimulation of antitumor immunity can contribute to the improvement of cancer treatment.

肿瘤的进展很大程度上取决于肿瘤微环境和免疫监测。肿瘤坏死因子α (TNFα)是一种关键的炎症细胞因子,根据其剂量和癌症类型,可以驱动肿瘤消除和促进。用稳定过表达人TNFα基因的大肠癌细胞系HCT 116、HT-29和黑色素瘤细胞A375诱导两种免疫缺陷小鼠(胸腺Balb/c-nu/nu和SCID/bg小鼠)皮下肿瘤。在胸腺小鼠中,过表达tnf α的细胞完全失去了致瘤性。在SCID/bg小鼠中,没有成熟的T细胞和B细胞以及缺陷的NK细胞,TNFα过表达的细胞形成了大小迅速缩小的初级扁平溃疡异种移植物,肿瘤外显率为50-85%。组织病理学分析显示坏死病变,肿瘤细胞形成假腺结构,表型分化程度更高,间质细胞更丰富。分泌tnf α的肿瘤中免疫细胞浸润增加。结直肠癌异种移植物中细胞角蛋白7和20的阳性表达降低。矛盾的是,对疾病预后很重要的ALDH1A1和ALDH1A3亚型的表达却增加了。我们的研究表明,使用细胞因子tnf - α将肿瘤微环境调节为肿瘤抑制环境,并控制抗肿瘤免疫刺激,有助于改善癌症治疗。
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引用次数: 0
ELK1 modulates SF3B3 transcriptional activity to stimulate proliferation and inhibit apoptosis in gastric cancer through the activation of the MAPK pathway. ELK1通过激活MAPK通路,调节SF3B3转录活性,刺激胃癌细胞增殖,抑制凋亡。
IF 2.2 4区 医学 Q3 ONCOLOGY Pub Date : 2025-08-01 DOI: 10.4149/neo_2025_250219N83
Yaqing Zhang, Lei Gao, Lixin Liu, Hao Chen

Gastric cancer (GC) ranks as the fifth most common malignancy globally. Aberrant alternative splicing is implicated in tumorigenesis and progression. SF3B3, a key subunit of the spliceosome complex, is closely linked to alternative splicing dysfunction when its expression is dysregulated. This study delved into SF3B3's role and mechanisms in GC, aiming to uncover novel precision treatment targets. Through TCGA database analysis, SF3B3 was found to be upregulated in GC tissues, associated with poor prognosis and immune infiltration. In vitro experiments included cell culture, transduction, CCK-8, colony formation, scratch, migration, apoptosis assays, cell cycle analysis, and western blot, demonstrating that SF3B3 knockdown curbed GC cell proliferation, migration, and invasion, induced apoptosis and cell cycle arrest, while its overexpression had opposite effects. In vivo xenograft experiments showed that SF3B3 suppression markedly inhibits tumor growth. Transcriptome analysis and western blot suggested that SF3B3 promotes GC cell proliferation and impedes apoptosis by activating the MAPK pathway. Moreover, transcription factor ELK1 was shown to regulate SF3B3 expression, with a significant positive correlation between them. Overall, SF3B3 likely drives GC progression via the ELK1-SF3B3-MAPK axis, representing a potential precision treatment target for GC.

胃癌是全球第五大最常见的恶性肿瘤。异常的选择性剪接与肿瘤的发生和发展有关。SF3B3是剪接体复合体的一个关键亚基,当其表达失调时,与选择性剪接功能障碍密切相关。本研究深入探讨SF3B3在GC中的作用和机制,旨在发现新的精准治疗靶点。通过TCGA数据库分析,发现SF3B3在GC组织中表达上调,与预后不良和免疫浸润相关。体外实验包括细胞培养、转导、CCK-8、集落形成、刮伤、迁移、凋亡、细胞周期分析和western blot,结果表明SF3B3敲低抑制GC细胞的增殖、迁移和侵袭,诱导细胞凋亡和细胞周期阻滞,而过表达则相反。体内异种移植实验表明,SF3B3抑制显著抑制肿瘤生长。转录组分析和western blot结果表明,SF3B3通过激活MAPK通路促进GC细胞增殖,抑制凋亡。此外,转录因子ELK1调节SF3B3的表达,两者之间呈显著正相关。总的来说,SF3B3可能通过ELK1-SF3B3-MAPK轴驱动GC进展,代表了GC的潜在精确治疗靶点。
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引用次数: 0
ANLN knockdown inhibits nasopharyngeal carcinoma proliferation and is associated with impaired ribosome biogenesis. ANLN敲低抑制鼻咽癌增殖并与核糖体生物发生受损有关。
IF 2.2 4区 医学 Q3 ONCOLOGY Pub Date : 2025-08-01 Epub Date: 2025-07-23 DOI: 10.4149/neo_2025_250403N151
Zhengxin Zhu, Li Fu, Xue Bai, Wanqing Zhang, Songtao Liu, Hongli Min, Yuehui Liu

Anillin (ANLN), an actin-binding protein, has been implicated in tumorigenesis across various cancers; however, its role in nasopharyngeal carcinoma (NPC) remains largely undefined. In this study, we analyzed ANLN expression using TCGA, CPTAC, and GEO datasets, and confirmed its overexpression in NPC tissues and cell lines through qRT-PCR, western blotting, and immunohistochemistry. High ANLN expression correlated with advanced clinical stage and poor overall survival. Functional assays, including CCK-8 and colony formation, demonstrated that ANLN knockdown suppressed NPC cell proliferation in vitro, while xenograft models confirmed reduced tumor growth in vivo. RNA sequencing and gene set enrichment analysis revealed that ANLN knockdown was associated with downregulation of ribosome biogenesis pathways. Puromycin incorporation assays and transmission electron microscopy further supported impaired protein synthesis and nucleolar disruption following ANLN depletion. These findings suggest that ANLN promotes NPC progression by maintaining ribosome biogenesis and protein synthesis and may serve as a novel prognostic biomarker and therapeutic target.

Anillin (ANLN)是一种肌动蛋白结合蛋白,与多种癌症的肿瘤发生有关;然而,其在鼻咽癌(NPC)中的作用仍未明确。在本研究中,我们使用TCGA、CPTAC和GEO数据集分析了ANLN的表达,并通过qRT-PCR、western blotting和免疫组织化学证实了其在鼻咽癌组织和细胞系中的过表达。ANLN高表达与临床分期晚期和总生存期差相关。包括CCK-8和集落形成在内的功能分析表明,ANLN敲除抑制了鼻咽癌细胞的体外增殖,而异种移植模型证实了体内肿瘤生长的减少。RNA测序和基因集富集分析显示,ANLN敲低与核糖体生物发生途径的下调有关。嘌呤霉素掺入试验和透射电镜进一步证实了ANLN耗竭后蛋白质合成受损和核仁破坏。这些发现表明,ANLN通过维持核糖体的生物发生和蛋白质合成来促进鼻咽癌的进展,并可能作为一种新的预后生物标志物和治疗靶点。
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引用次数: 0
N6-methyladenosine-induced hsa_circ_0011536 acts as a microRNA-576-5p sponge to promote ferroptosis of non-small cell lung cancer cells via transferrin receptor. n6 -甲基腺苷诱导的hsa_circ_0011536作为microRNA-576-5p海绵,通过转铁蛋白受体促进非小细胞肺癌细胞铁凋亡。
IF 2.2 4区 医学 Q3 ONCOLOGY Pub Date : 2025-08-01 DOI: 10.4149/neo_2025_250509N199
Junming Huang, Caijiu Deng, Hanhan Zhu, Xiaofeng Chen, Peixi Chen, Shaoshan Du

Lung cancer is the leading cause of death and the most diagnosed cancer worldwide. Non-small cell lung cancer (NSCLC) is the most common type of lung cancer; 85% of lung cancer patients are diagnosed with NSCLC. Though numerous treatments for lung cancer have been developed, the 5-year survival rate of patients with NSCLC remains low. Therefore, it is urgent to explore novel targets for NSCLC treatment. Growing evidence has revealed that circular RNAs (circRNAs) contribute to NSCLC progression. Besides, the data of circRNA microarray (GSE158695) has found that hsa_circ_0011536 is downregulated in NSCLC tissues. Nevertheless, the role of hsa_circ_0011536 in NSCLC remains unknown. In this study, RNA 6-methyladenosine (m6A) modification was detected by methylated RNA immunoprecipitation, the interaction of RNAs was determined using miRNA pulldown and luciferase reporter assay, while ferroptosis was identified by Cell Counting Kit-8 assay, intracellular iron content, and malondialdehyde level. Our findings demonstrated that hsa_circ_0011536 was downregulated in NSCLC cell lines. Mechanism investigation revealed that m6A modification enhanced the back-splicing of pre-ZMYM4 to increase hsa_circ_0011536 expression in A549 and NCI-H1299 cells. Moreover, hsa-miR-576-5p was the target of hsa_circ_0011536, while transferrin receptor (TFRC) was the downstream target of hsa-miR-576-5p in A549 and NCI-H1299 cells. Furthermore, hsa_circ_0011536 elevated TFRC expression by sponging hsa-miR-576-5p in A549 and NCI-H1299 cells, identified by luciferase reporter assay. In addition, hsa_circ_0011536 induced ferroptosis through hsa-miR-576-5p in A549 and NCI-H1299 cells. Therefore, this study revealed that m6A-induced hsa_circ_0011536 elevated TFRC expression to induce ferroptosis by sponging hsa-miR-576-5p in NSCLC. These results might provide novel therapeutic targets for NSCLC treatment.

肺癌是导致死亡的主要原因,也是世界上诊断最多的癌症。非小细胞肺癌(NSCLC)是最常见的肺癌类型;85%的肺癌患者被诊断为NSCLC。尽管已经开发了许多治疗肺癌的方法,但非小细胞肺癌患者的5年生存率仍然很低。因此,探索新的NSCLC治疗靶点迫在眉睫。越来越多的证据表明环状rna (circRNAs)有助于NSCLC的进展。此外,circRNA微阵列(GSE158695)数据发现hsa_circ_0011536在NSCLC组织中下调。然而,hsa_circ_0011536在NSCLC中的作用仍然未知。在本研究中,通过甲基化RNA免疫沉淀法检测RNA 6-甲基腺苷(m6A)修饰,通过miRNA下拉和荧光素酶报告基因法检测RNA的相互作用,通过细胞计数试剂盒-8检测、细胞内铁含量和丙二醛水平检测铁凋亡。我们的研究结果表明hsa_circ_0011536在NSCLC细胞系中下调。机制研究发现,m6A修饰可增强pre-ZMYM4的反向剪接,从而增加hsa_circ_0011536在A549和NCI-H1299细胞中的表达。此外,hsa-miR-576-5p是hsa_circ_0011536的靶点,而转铁蛋白受体(TFRC)是A549和NCI-H1299细胞中hsa-miR-576-5p的下游靶点。此外,hsa_circ_0011536通过海绵处理hsa-miR-576-5p在A549和NCI-H1299细胞中升高TFRC的表达,通过荧光素酶报告基因检测鉴定。此外,hsa_circ_0011536通过hsa-miR-576-5p在A549和NCI-H1299细胞中诱导铁下垂。因此,本研究揭示m6a诱导的hsa_circ_0011536通过海绵化hsa-miR-576-5p在NSCLC中升高TFRC表达诱导铁凋亡。这些结果可能为非小细胞肺癌的治疗提供新的靶点。
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引用次数: 0
Synergistic effects of histone deacetylase inhibitor chidamide and BCL-2 inhibitor venetoclax in activating the p53 pathway in diffuse large B-cell lymphoma. 组蛋白去乙酰化酶抑制剂chidamide和BCL-2抑制剂venetoclax在激活弥漫性大b细胞淋巴瘤p53通路中的协同作用。
IF 2.2 4区 医学 Q3 ONCOLOGY Pub Date : 2025-08-01 DOI: 10.4149/neo_2025_241028N438
Zhengrong Song, Zhengyan Song, Liyuan Ren, Xinzhi Han, Xuejun Zhang, Shupeng Wen

This study aimed to evaluate synergistic effects and molecular mechanisms of the histone deacetylase inhibitor chidamide combined with the BCL-2 inhibitor venetoclax in diffuse large B-cell lymphoma (DLBCL) cell lines. Human DLBCL cell lines (U2932, SUDHL-4) were cultured in vitro and treated with chidamide and venetoclax. Cell proliferation inhibition rates were measured using the CCK-8 assay, and IC50 values were calculated. Cells were also treated with a 5:1 combination of chidamide and venetoclax, along with p53 or p21 siRNA. Cell viability, HDAC activity, apoptosis, cell cycle, the amount of p53 and p21 proteins, and BCL-2-BIM binding were analyzed via CCK-8, enzyme activity assays, the Caspase 3/7 Activity Apoptosis Assay Kit, flow cytometry, RT-qPCR, western blot, and co-IP. The binding of p53 and p21 was verified by dual-luciferase reporter assay and chromatin immunoprecipitation. Chidamide and venetoclax exhibited dose- and time-dependent anti-proliferative effects in U2932 and SUDHL-4 cells, with IC50 values of 3.54 μM (chidamide) and 0.67 μM (venetoclax) in the SUDHL-4 cell line and 5.6 μM (chidamide) and 0.91 μM (venetoclax) in the U2932 cell line. Combination treatment significantly enhanced HDAC inhibition, histone H3/H4 acetylation, and p53 expression, leading to increased cell apoptosis. p53 knockdown partially reversed these effects and increased BCL-2/BIM complex formation. The combination also upregulated p53 expression to increase p21 expression, inducing G1/S phase arrest, which was partially reversed by p21 knockdown. To conclude, the chidamide-venetoclax combination synergistically activates the p53-p21 signaling pathway, leading to cell cycle arrest and apoptosis, representing a potential therapeutic strategy for DLBCL.

本研究旨在探讨组蛋白去乙酰化酶抑制剂chidamide与BCL-2抑制剂venetoclax在弥漫性大b细胞淋巴瘤(DLBCL)细胞系中的协同作用及其分子机制。体外培养人DLBCL细胞株(U2932, SUDHL-4),并用奇达胺和venetoclax处理。采用CCK-8法测定细胞增殖抑制率,计算IC50值。细胞也用5:1的chidamide和venetoclax组合以及p53或p21 siRNA处理。通过CCK-8、酶活性测定、Caspase 3/7活性凋亡测定试剂盒、流式细胞术、RT-qPCR、western blot和co-IP分析细胞活力、HDAC活性、凋亡、细胞周期、p53和p21蛋白量以及BCL-2-BIM结合。通过双荧光素酶报告基因试验和染色质免疫沉淀证实p53和p21的结合。Chidamide和venetoclax对U2932和SUDHL-4细胞的抗增殖作用呈剂量和时间依赖性,SUDHL-4细胞系的IC50值分别为3.54 μM (Chidamide)和0.67 μM (venetoclax), U2932细胞系的IC50值分别为5.6 μM (Chidamide)和0.91 μM (venetoclax)。联合治疗显著增强HDAC抑制、组蛋白H3/H4乙酰化和p53表达,导致细胞凋亡增加。p53敲低部分逆转了这些作用,并增加了BCL-2/BIM复合物的形成。该组合还上调p53表达,增加p21表达,诱导G1/S期阻滞,p21敲低可部分逆转。综上所述,chidamide-venetoclax联合可协同激活p53-p21信号通路,导致细胞周期阻滞和细胞凋亡,代表了DLBCL的潜在治疗策略。
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引用次数: 0
High glycolysis phenotype influences malignant progression and poor prognosis of gastric cancer through the PI3K/AKT pathway. 高糖酵解表型通过PI3K/AKT通路影响胃癌的恶性进展和不良预后。
IF 2.2 4区 医学 Q3 ONCOLOGY Pub Date : 2025-08-01 Epub Date: 2025-07-23 DOI: 10.4149/neo_2025_250321N133
Shiya Liu, Gaigai Shen, Xuanyu Zhou, Guanghui Wang, Huiqi Liu, Yuanting Cao, Lixin Sun, Xiong Shu, Yuliang Ran

Gastric cancer (GC) is a prevalent gastrointestinal malignancy, with metabolic reprogramming, particularly glycolysis, playing a critical role in cancer cell stemness. However, the interaction between glycolysis and GC prognosis, along with its underlying mechanisms, remains poorly understood. This study aimed to systematically analyze the prognostic significance of glycolysis in GC and explore its functional impact. A glycolysis-related gene score was constructed using bioinformatics to assess glycolysis levels based on differentially expressed genes between GC and normal tissues. A nomogram model was developed to predict clinical prognosis, and the functional phenotypes of GC cell lines cultured under high and low glucose conditions were evaluated using metabolite detection and extracellular acidification rate (ECAR) measurements. Enrichment analyses identified key signaling pathways, which were further validated by western blot. Results showed that elevated glycolysis was associated with larger tumor size and poorer prognosis in GC patients. The nomogram demonstrated strong predictive accuracy. High glucose culture promoted glucose consumption, lactate production, ATP generation, and ECAR, enhancing epithelial-mesenchymal transition and malignant progression via the PI3K/AKT pathway. In conclusion, high glycolysis is linked to poor prognosis in GC and drives metastasis and stemness through the PI3K/AKT signaling pathway, highlighting its potential as a prognostic marker and therapeutic target.

胃癌(GC)是一种常见的胃肠道恶性肿瘤,代谢重编程,特别是糖酵解,在癌细胞干细胞中起着关键作用。然而,糖酵解与胃癌预后之间的相互作用及其潜在机制仍然知之甚少。本研究旨在系统分析糖酵解在GC中的预后意义,并探讨其功能影响。利用生物信息学技术构建糖酵解相关基因评分,根据GC与正常组织之间差异表达的基因来评估糖酵解水平。建立了一种预测临床预后的nomogram模型,并通过代谢物检测和细胞外酸化率(ECAR)测量来评估在高糖和低糖条件下培养的GC细胞系的功能表型。富集分析确定了关键的信号通路,并通过western blot进一步验证。结果显示糖酵解升高与胃癌患者肿瘤体积增大及预后差有关。图显示了很强的预测准确性。高糖培养促进葡萄糖消耗、乳酸生成、ATP生成和ECAR,通过PI3K/AKT通路促进上皮-间质转化和恶性进展。综上所述,高糖酵解与胃癌的不良预后有关,并通过PI3K/AKT信号通路驱动转移和干性,突出了其作为预后标志物和治疗靶点的潜力。
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引用次数: 0
Temozolomide and anlotinib as second-line therapy for non-small cell lung cancer patients with brain metastases: a retrospective cohort study. 替莫唑胺和安洛替尼作为非小细胞肺癌脑转移患者的二线治疗:一项回顾性队列研究
IF 2.2 4区 医学 Q3 ONCOLOGY Pub Date : 2025-08-01 Epub Date: 2025-07-23 DOI: 10.4149/neo_2025_250212N74
Kaiyan Liu, Binfeng Li, Zhengkai Xiang, Jing Tang, Xiaobing Li

Brain metastases (BM) are a common and challenging complication of advanced non-small cell lung cancer (NSCLC). This study aimed to evaluate the efficacy and safety of the combination of temozolomide (TMZ) and anlotinib as a second-line treatment in advanced NSCLC patients with BM. Clinical data of advanced NSCLC patients with BM between January 2020 and December 2023 were retrospectively reviewed and analyzed. All patients received TMZ combined with anlotinib as a second-line treatment. The primary endpoints included overall survival (OS), progression-free survival (PFS), objective response rate (ORR), disease control rate (DCR), and adverse events (AEs). A total of 52 patients were enrolled, with 20 females and 32 males. The median PFS and OS were 5.0 months and 10.0 months. The ORR and DCR were 25% and 65%, respectively. Subgroup analysis demonstrated that patients who developed AEs such as hypertension, proteinuria, and hand-foot syndrome, as well as those with a favorable diagnosis-specified graded prognosis assessment score, had better efficacy outcomes, indicating these features may help to identify the priority population for this regimen. Common AEs, including hematological toxicity, fatigue, and hypertension, were generally manageable with dose adjustments and supportive care. TMZ combined with anlotinib could be a safe and effective second-line treatment option for advanced NSCLC patients with BM. Prospective trials are warranted to confirm these findings and optimize the treatment strategy.

脑转移(BM)是晚期非小细胞肺癌(NSCLC)常见且具有挑战性的并发症。本研究旨在评估替莫唑胺(TMZ)联合安洛替尼作为晚期NSCLC合并脑转移患者的二线治疗的有效性和安全性。回顾性分析2020年1月至2023年12月晚期NSCLC合并BM患者的临床资料。所有患者均接受TMZ联合安洛替尼作为二线治疗。主要终点包括总生存期(OS)、无进展生存期(PFS)、客观缓解率(ORR)、疾病控制率(DCR)和不良事件(ae)。共纳入52例患者,其中女性20例,男性32例。中位PFS和OS分别为5.0个月和10.0个月。ORR和DCR分别为25%和65%。亚组分析显示,发生高血压、蛋白尿和手足综合征等不良事件的患者以及诊断指定的分级预后评估评分较高的患者具有更好的疗效结果,表明这些特征可能有助于确定该方案的优先人群。常见的不良反应,包括血液学毒性、疲劳和高血压,通常可以通过剂量调整和支持性护理来控制。TMZ联合anlotinib可能是晚期NSCLC合并脑转移患者安全有效的二线治疗选择。有必要进行前瞻性试验以证实这些发现并优化治疗策略。
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引用次数: 0
EGLN2 attenuates ovarian cancer malignancy via ferroptosis activation. EGLN2通过激活铁下垂来减弱卵巢癌恶性肿瘤。
IF 2.2 4区 医学 Q3 ONCOLOGY Pub Date : 2025-08-01 DOI: 10.4149/neo_2025_250411N162
Yue Wu, Haiyan Chen, Shengyuan Jiang, Xiaoli Wu, Dake Li, Kaipeng Xie

Growing evidence indicates that ferroptosis is pivotal in the development and progression of ovarian cancer (OC). However, the function of EGLN2 in OC remains unclear. In this study, we observed that EGLN2 is expressed at low levels in OC tissues and is associated with a favorable prognosis in early-stage patients based on data from TCGA and GTEx public databases. Compared with those in normal ovarian epithelial cell lines, EGLN2 mRNA and protein levels were significantly lower in OC cell lines. In vitro functional experiments revealed that EGLN2 overexpression reduced proliferation, increased the intracellular levels of iron ions, reactive oxygen species, lipid peroxidation, and mitochondrial oxidative phosphorylation, and inhibited the Warburg effect. Mechanistically, EGLN2 inhibited the expression of HIF-1α, which binds to the promoter of ceruloplasmin (CP), reducing the proliferation of and inducing ferroptosis in OC cells. A subcutaneous xenograft model in nude mice demonstrated that EGLN2 overexpression inhibited HIF-1α, promoted ferroptosis, and inhibited OC cell growth. In summary, EGLN2 suppressed CP transcription and increased ferroptosis in OC cells. These findings provide new insights into OC development and open avenues for innovative therapies.

越来越多的证据表明,铁下垂在卵巢癌(OC)的发生和发展中起着关键作用。然而,EGLN2在OC中的功能尚不清楚。在本研究中,我们根据TCGA和GTEx公共数据库的数据观察到EGLN2在OC组织中低水平表达,并与早期患者良好的预后相关。与正常卵巢上皮细胞相比,卵巢癌细胞EGLN2 mRNA和蛋白表达水平显著降低。体外功能实验显示,EGLN2过表达可抑制细胞增殖,增加细胞内铁离子、活性氧、脂质过氧化和线粒体氧化磷酸化水平,抑制Warburg效应。在机制上,EGLN2抑制HIF-1α的表达,HIF-1α与铜蓝蛋白(CP)启动子结合,减少OC细胞的增殖并诱导铁凋亡。裸鼠皮下异种移植模型表明,EGLN2过表达抑制HIF-1α,促进铁下垂,抑制OC细胞生长。综上所述,EGLN2抑制CP转录并增加OC细胞的铁下垂。这些发现为卵巢癌的发展提供了新的见解,并为创新疗法开辟了道路。
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引用次数: 0
Survival benefit of early radium-223 dichloride therapy in castration-resistant prostate cancer patients with osteoblastic bone metastases. 成骨细胞骨转移的去势抵抗前列腺癌患者早期镭-223二氯化治疗的生存获益。
IF 2 4区 医学 Q3 ONCOLOGY Pub Date : 2025-06-01 Epub Date: 2025-05-20 DOI: 10.4149/neo_2025_250308N112
Eva Takacsova, Marek Bartovic, Jan Ivancik, Iveta Waczulikova

The aim of the retrospective cohort study was to evaluate the overall survival of patients with castration-resistant prostate cancer and osteoblastic bone metastases without visceral metastases treated with 223Radium dichloride (223Ra). The cohort included 55 patients aged 48 to 86, with a median age of 71. Overall survival from the first administered cycle (from 7/2015 to 7/2019) was evaluated in 10/2024. The median overall survival was, despite a smaller cohort, 16.27 months (CI: 11.87-20.98 months), comparable to other large real-world studies. Asymptomatic or mildly symptomatic patients with good performance status (ECOG 0-1) at the start of therapy had a significantly higher median survival than more symptomatic patients with ECOG 2 and 3 (22.42 vs. 8.06 and 3.28 months). The number of completed cycles of 223Ra was inversely proportional to the patients' performance status (ECOG) - Kendall's Tau-c = -0.625; p<0.0001. Previous treatment with chemotherapy (41.2 % of patients) was associated with significantly worse survival on multivariable analysis. A decrease of serum PSA by more than 50% (12.7% of patients) was significantly associated with longer survival (31 months; p=0.0043). Severe (Grade 3) anemia, leukopenia, and thrombocytopenia occurred in only 9.1%, 3.6%, and 3.6% of patients. Earlier indication of 223Ra dichloride therapy in asymptomatic or mildly symptomatic patients with good performance status (ECOG 0-1) and without prior chemotherapy improved survival in our cohort. The decrease in serum PSA during treatment was a good prognostic factor associated with longer survival.

这项回顾性队列研究的目的是评估接受223Radium dic氯化(223Ra)治疗的去势抵抗性前列腺癌和无内脏转移的成骨细胞骨转移患者的总生存率。该队列包括55例患者,年龄48至86岁,中位年龄为71岁。第一个给药周期(2015年7月至2019年7月)的总生存期于2024年10月进行评估。尽管队列较小,但中位总生存期为16.27个月(CI: 11.87-20.98个月),与其他大型现实世界研究相当。治疗开始时表现良好(ECOG 0-1)的无症状或轻度症状患者的中位生存期显著高于ECOG 2和3的症状较多的患者(22.42个月对8.06个月和3.28个月)。223Ra的完成周期数与患者的运动状态(ECOG)成反比——Kendall τ -c = -0.625;P < 0.0001。多变量分析显示,既往化疗(41.2%的患者)与生存率显著降低相关。血清PSA降低超过50%(12.7%的患者)与更长的生存期(31个月;P = 0.0043)。严重(3级)贫血、白细胞减少和血小板减少仅发生在9.1%、3.6%和3.6%的患者中。早期适应症223Ra二氯化治疗无症状或轻度症状患者良好的表现状态(ECOG 0-1)和没有化疗改善生存在我们的队列。治疗期间血清PSA的降低是与更长的生存期相关的良好预后因素。
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引用次数: 0
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Neoplasma
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