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Repeated stereotactic radiosurgery for the treatment of relapsed brain metastases: is it time to give up whole-brain radiotherapy? 反复立体定向放射手术治疗复发性脑转移瘤:是时候放弃全脑放疗了吗?
Pub Date : 2020-04-24 eCollection Date: 2020-03-01 DOI: 10.18632/oncoscience.500
Luca Nicosia, Vanessa Figlia, Niccolò Giaj-Levra, Giuseppe Minniti, Filippo Alongi
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引用次数: 5
Metabolic Reprogramming by c-MET Inhibition as a Targetable Vulnerability in Glioblastoma. 通过c-MET抑制代谢重编程作为胶质母细胞瘤的可靶向脆弱性。
Pub Date : 2020-03-20 eCollection Date: 2020-01-01 DOI: 10.18632/oncoscience.498
Trang Thi Thu Nguyen, Enyuan Shang, Georg Karpel-Massler, Markus D Siegelin

The elucidation of better treatments for solid tumors and especially malignant glial tumors is a priority. Better understanding of the molecular underpinnings of treatment response and resistance are critical determinants in the success for this endeavor. Recently, a battery of novel tools have surfaced that allow to interrogate tumor cell metabolism to more precise extent than this was possible in the earlier days. At the forefront of these developments are the extracellular flux and carbon tracing analyses. Through utilization of these techniques our group made the recent observation that acute and chronic c-MET inhibition drives fatty acid oxidation that in turn can be therapeutically targeted for drug combination therapies. Herein, we summarize and comment on some of our key findings related to this study.

阐明更好的治疗实体瘤,特别是恶性胶质瘤是当务之急。更好地了解治疗反应和耐药性的分子基础是这一努力成功的关键决定因素。最近,一系列新的工具浮出水面,这些工具可以比早期更精确地询问肿瘤细胞代谢。这些发展的前沿是细胞外通量和碳追踪分析。通过利用这些技术,我们的团队最近观察到急性和慢性c-MET抑制会驱动脂肪酸氧化,从而可以作为药物联合治疗的治疗目标。在此,我们对与本研究相关的一些关键发现进行总结和评论。
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引用次数: 2
Cracking the riddle of dedifferentiated liposarcoma: is EV-MDM2 a key? 解去分化脂肪肉瘤之谜:EV-MDM2是关键吗?
Pub Date : 2020-02-01 eCollection Date: 2020-01-01 DOI: 10.18632/oncoscience.497
Lucia Casadei, Raphael E Pollock

Dedifferentiated liposarcoma (DDLPS) is molecularly characterized by wt p53 and MDM2 gene amplification causing MDM2 protein over-production, the key oncogenic process in DDLPS. Commonly located in fat-bearing retroperitoneal areas, almost 60% of DDLPS patients undergo multifocal recurrence, typically amenable to palliative treatment only, and occasionally develop distant metastasis. These factors lead to an abysmal 10% 10 year overall survival rate. Tumor cell-derived extracellular vesicles (EVs) can facilitate loco-regional malignancy dissemination by depositing molecular factors that participate in the development of pre-metastatic niches for tumor cell implantation and growth. High number of MDM2 DNA molecules was identified within EVs from DDLPS patient serum (ROC vs normal; 0.95) as well as from DDLPS cell lines. This MDM2 DNA could be transferred to preadipocytes (P-a), a major and ubiquitous cellular component of the DDLPS tumor microenvironment (TME), with subsequent P-a production of matrix metalloproteinase 2 (MMP2), a critical component in the metastatic cascade. From here the hypothesis that the DDLPS microenvironment (specifically P-a cells) may participate in DDLPS recurrence events. Since multifocal loco-regional DDLPS spreading is the main cause of the remarkably high lethality of this disease, a better understanding of the underlying oncogenic processes and their regulatory mechanisms is essential to improve the outcome of this devastating disease.

去分化脂肪肉瘤(Dedifferentiated liposarcoma, DDLPS)的分子特征是wt p53和MDM2基因扩增导致MDM2蛋白过量产生,这是DDLPS的关键致癌过程。通常位于含脂肪的腹膜后区域,几乎60%的DDLPS患者会发生多灶性复发,通常只能接受姑息治疗,偶尔会发生远处转移。这些因素导致10年总生存率只有10%。肿瘤细胞来源的细胞外囊泡(EVs)可以通过沉积参与肿瘤细胞植入和生长的转移前生态位发展的分子因子来促进局部区域恶性肿瘤的传播。在DDLPS患者血清的ev中检测到大量MDM2 DNA分子(ROC vs正常人;0.95)以及来自DDLPS细胞系。这种MDM2 DNA可以转移到前脂肪细胞(P-a),这是DDLPS肿瘤微环境(TME)的主要和普遍存在的细胞成分,随后P-a产生基质金属蛋白酶2 (MMP2),这是转移级联的关键成分。由此提出了DDLPS微环境(特别是P-a细胞)可能参与了DDLPS复发事件的假说。由于多灶性局部-区域dlps传播是该病极高致死率的主要原因,因此更好地了解潜在的致癌过程及其调控机制对于改善这种毁灭性疾病的预后至关重要。
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引用次数: 2
Overexpression of microRNA-145 inhibits tumorigenesis through autophagy in chemotherapy and radiation resistant neuroblastoma cells. 在化疗和放疗耐药的神经母细胞瘤细胞中,microRNA-145的过表达通过自噬抑制肿瘤发生。
Pub Date : 2020-02-01 eCollection Date: 2020-01-01 DOI: 10.18632/oncoscience.496
Kwang Woon Kim, Jingbo Qiao, Julia Y Kim, Kyungho Park, Dai H Chung

MicroRNA-145 (miR-145) plays a suppressive role in the process of tumorigenesis and an important role in induction of autophagy. However, the exact role of miR-145 in therapeutically resistant neuroblastoma cells remain elusive. Herein, we sought to evaluate the effects of miR-145 overexpression in chemo‑ and radiation-resistant neuroblastoma cells. We hypothesized that miR-145 affects the aggressiveness of resistant cells by enhancing autophagy. We established Cisplatin-resistant (CDDP-R), Vincristine-resistant (Vin-R), and radiation-resistant (Rad-R) neuroblastoma cells and found that miR-145 expression was significantly decreased in the resistant cells compared to the parental cells. Exogenously expression of miR-145 inhibited oncogenic properties such as proliferation, clonogenicity, anchorage-independent growth, cell migration, and tubule formation in the resistant cells. In addition, we also found that an autophagy protein marker, LC3, was only minimally expressed in the resistant cells. In particular, when miR-145 was overexpressed in the resistant cells, LC3 I and II were expressed and an increased punctate fluorescence of LC3 protein was found indicating the induction of autophagy. Taken together, our data suggests that miR-145 inhibits tumorigenesis and aggressiveness via modulation of autophagy in neuroblastoma.

MicroRNA-145 (miR-145)在肿瘤发生过程中起抑制作用,在诱导自噬中起重要作用。然而,miR-145在治疗耐药神经母细胞瘤细胞中的确切作用仍然难以捉摸。在此,我们试图评估miR-145过表达在耐化疗和耐辐射神经母细胞瘤细胞中的影响。我们假设miR-145通过增强自噬来影响耐药细胞的侵袭性。我们建立了顺铂耐药(CDDP-R)、长春新碱耐药(Vin-R)和辐射耐药(Rad-R)神经母细胞瘤细胞,发现与亲本细胞相比,耐药细胞中miR-145的表达显著降低。外源表达miR-145抑制了耐药细胞的致癌特性,如增殖、克隆性、非锚定生长、细胞迁移和小管形成。此外,我们还发现自噬蛋白标志物LC3仅在耐药细胞中最低限度地表达。特别是,当miR-145在耐药细胞中过表达时,LC3 I和LC3 II表达,LC3蛋白的点状荧光增加,表明诱导自噬。综上所述,我们的数据表明miR-145通过调节神经母细胞瘤的自噬来抑制肿瘤的发生和侵袭性。
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引用次数: 3
Precision health for breast cancer metastasis: biomaterial scaffolds as an engineered metastatic niche to define, study, and monitor metastatic progression. 乳腺癌转移的精准健康:生物材料支架作为一个工程转移生态位来定义、研究和监测转移进展。
Pub Date : 2019-12-23 eCollection Date: 2019-11-01 DOI: 10.18632/oncoscience.493
Grace G Bushnell, Max S Wicha, Jacqueline S Jeruss, Lonnie D Shea

Metastasis represents the greatest challenge to treatment of cancer patients. Biomaterial scaffolds that recruit tumor cells to a defined site in vivo are an emerging platform for the diagnosis, treatment, and study of metastasis. Recruitment of immune cells and metastatic tumor cells to a defined location provides a precision health platform to assess current clinical cancer biomarkers in a metastatic setting, and to define the next generation of biomarkers. These platforms represent an opportunity to create a molecular staging of metastasis that could aid in both the early diagnosis and treatment of metastasis.

转移是癌症患者治疗的最大挑战。将肿瘤细胞招募到体内特定部位的生物材料支架是诊断、治疗和研究转移的新兴平台。将免疫细胞和转移性肿瘤细胞募集到一个确定的位置,提供了一个精确的健康平台,以评估转移性环境中当前的临床癌症生物标志物,并确定下一代生物标志物。这些平台为建立转移的分子分期提供了机会,有助于转移的早期诊断和治疗。
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引用次数: 2
SOCS1: phosphorylation, dimerization and tumor suppression. SOCS1:磷酸化、二聚化和肿瘤抑制。
Pub Date : 2019-12-23 eCollection Date: 2019-11-01 DOI: 10.18632/oncoscience.495
Frédéric Lessard, Emmanuelle Saint-Germain, Lian Mignacca, Gerardo Ferbeyre

Suppressor of cytokine signaling (SOCS) family members are upregulated following JAK-STAT pathway activation by cytokines. SOCS proteins are recognized inhibitors of cytokine signaling playing roles in cell growth and differentiation. Moreover, SOCS1 and SOCS3 have been shown to be involved in tumor suppression through their ability to interact with p53 leading to the activation of its transcriptional program and showing the implication of SOCS family members in the regulation of apoptosis, ferroptosis and senescence. More recently, we demonstrated that the SRC family of non-receptor tyrosine kinases (SFK) can phosphorylate SOCS1 leading to its homodimerization and inhibiting its interaction with p53. Then, we reactivated the SOCS1-p53 tumor suppressor axis with the SFK inhibitor dasatinib in combination with the p53 activating compound PRIMA. This work suggests new avenues for cancer treatment and leaves open several new questions that deserve to be addressed.

细胞因子信号传导抑制因子(SOCS)家族成员在JAK-STAT通路被细胞因子激活后上调。SOCS蛋白是公认的细胞因子信号传导抑制剂,在细胞生长和分化中发挥作用。此外,SOCS1和SOCS3通过与p53相互作用激活其转录程序而参与肿瘤抑制,并表明SOCS家族成员参与细胞凋亡、铁下垂和衰老的调控。最近,我们证明了SRC家族的非受体酪氨酸激酶(SFK)可以磷酸化SOCS1,导致其同二聚体化并抑制其与p53的相互作用。然后,我们用SFK抑制剂达沙替尼联合p53激活化合物PRIMA重新激活SOCS1-p53肿瘤抑制轴。这项工作为癌症治疗提供了新的途径,并留下了几个值得解决的新问题。
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引用次数: 7
Improving patient classification and biomarker assessment using Gaussian Mixture Models and Bayes' rule. 利用高斯混合模型和贝叶斯规则改进患者分类和生物标志物评估。
Pub Date : 2019-12-23 eCollection Date: 2019-11-01 DOI: 10.18632/oncoscience.494
Marina A Guvakova

In clinical research, determining cutoff values for continuous variables in test results remains challenging, particularly when considering candidate biomarkers or therapeutic targets for disease. Distribution of a continuous variable into two populations is known as dichotomization and has been commonly used in clinical studies. We recently reported a new method for determining multiple cutoffs for continuous variables. The development of this original approach was based on fitting Gaussian Mixture Models (GMM) onto real-world clinical data. We also explored how to leverage Bayesian probability to minimize uncertainty while classifying individual patients into respective subpopulations. In addition, we investigated the performance of the proposed method for the distribution of classical prognostic markers in breast cancer. Finally, we applied the proposed method to analyze a candidate marker and a target for cancer therapy. Here, we present an overview of this method and our prospects for its implementation in biomedical and clinical research.

在临床研究中,确定测试结果中连续变量的临界值仍然具有挑战性,特别是在考虑候选生物标志物或疾病治疗靶点时。连续变量在两个种群中的分布被称为二分类,在临床研究中已被广泛使用。我们最近报道了一种确定连续变量的多个截止点的新方法。这种原始方法的发展是基于拟合高斯混合模型(GMM)到现实世界的临床数据。我们还探讨了如何利用贝叶斯概率来最小化不确定性,同时将个体患者分类到各自的亚群中。此外,我们还研究了所提出的方法在乳腺癌经典预后标志物分布中的性能。最后,我们应用该方法分析了候选标记物和癌症治疗靶点。在这里,我们提出了该方法的概述和我们的前景,其在生物医学和临床研究的实施。
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引用次数: 4
ZC3H12A Expression in Different Stages of Colorectal Cancer. ZC3H12A在结直肠癌不同分期中的表达
Pub Date : 2019-04-02 eCollection Date: 2019-03-01 DOI: 10.18632/oncoscience.480
Tao Chen, Di Du, Jian Chen, Pinghong Zhou, John N Weinstein, Liqing Yao, Yuexin Liu

Identification of CRC patients with early-stage disease provides the opportunity for curative local resection. However, robust markers for stage I tumor prediction are yet to be developed. We analyzed RNA-sequencing data of 221 CRC samples using the TCGA dataset to identify novel biomarkers for stage I CRC. We next validated the TCGA finding in an independent GEO cohort of 290 CRC patients and in a third cohort of 110 CRC tumors and matched normal samples. We further performed correlative analysis of ZC3H12A gene expression with clinicopathologic features and disease-free survival. Expression correlation of ZC3H12A with the chemokine ligands was evaluated via Student's t-test. In the TCGA cohort, stage I CRC patients had significantly higher ZC3H12A mRNA expression as compared with the other three stages combined and with the other individual stages in a pairwise manner (P<0.001 for all comparisons). The significant association of ZC3H12A gene expression with stages was further validated in the GEO cohort and in the additional third cohort. In support of these findings, we further found that patients with lower ZC3H12A expression had more aggressive tumor features and shorter disease-free survival. Biologically, ZC3H12A expression was significantly correlated with expression of three chemokine ligands (CXCL1, CXCL2 and CXCL3), suggesting that immune response dysregulation likely contributes to CRC development. Our results demonstrate ZC3H12A's potential role in identification of CRC patients with early-stage disease.

早期结直肠癌患者的识别为治疗性局部切除提供了机会。然而,用于I期肿瘤预测的可靠标志物尚未开发。我们使用TCGA数据集分析了221例CRC样本的rna测序数据,以确定I期CRC的新生物标志物。接下来,我们在290例CRC患者的独立GEO队列和110例CRC肿瘤和匹配正常样本的第三个队列中验证了TCGA的发现。进一步分析ZC3H12A基因表达与临床病理特征及无病生存的相关性。ZC3H12A与趋化因子配体的表达相关性通过Student’st检验。在TCGA队列中,I期CRC患者的ZC3H12A mRNA表达明显高于其他三个阶段的合并,并与其他单个阶段呈两两关系(P
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引用次数: 9
Localized RAS signaling drives cancer. 局部 RAS 信号驱动癌症
Pub Date : 2019-04-01 eCollection Date: 2019-03-01 DOI: 10.18632/oncoscience.479
Sandip K Basu, Srikanta Basu, Peter F Johnson
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引用次数: 0
Liquid Biopsies Using Plasma Exosomal Nucleic Acids. 利用血浆外泌体核酸进行液体活检。
Pub Date : 2019-04-01 eCollection Date: 2019-03-01 DOI: 10.18632/oncoscience.478
Lino Möhrmann, Filip Janku
Liquid biopsies, which represent isolation of tumor nucleic acids from body fluids to assess molecular profile of cancer, are increasingly accepted as a useful approach in cancer diagnostics and treatment. [1] Liquid biopsies include analysis of tumor circulating cellfree DNA (cfDNA), exosomal nucleic acids or DNA isolated from circulating tumor cells. Liquid biopsies offer a minimally-invasive alternative to the molecular testing of tumor tissue, which is usually obtained from surgical therapeutic or diagnostic procedures. PCR-based methods such as digital PCR or BEAMing digital PCR offer high sensitivity; however, the number of molecular alterations that can be tested is often limited.[1-3] In contrast, next-generation sequencing can detect a broad range of molecular alterations; however, it is often at the cost of lower sensitivity. In addition, the next-generation sequencing workflow is more complex and bioinformatics expertise is needed. [1, 4] Applications of liquid biopsies include detection of molecular targets for cancer therapy, assessment of prognosis, assessment of treatment outcomes, dynamic assessment of clonal evolution, assessment of pharmacodynamics endpoints and early detection. Results of molecular testing of plasma cfDNAbased liquid biopsies were found to be largely concordant with results of molecular testing of tumor tissue especially if blood and tumor tissue were collected around the same time. [2, 3, 5-7] In addition, high amount of mutated cfDNA was found to be associated with shorter survival and/or time to treatment failure. [3, 5-7] Tumor cfDNA is released to the circulation from dying cancer cells, which arguably might not fully represent the prevailing cancer biology. Unlike cfDNA, exosomes contain DNA and RNA originating from living cells. [1, 8] Furthermore, in contrast to short fragments of cfDNA exosomes contain full length DNA, which can reduce complexity of molecular testing. In addition, exosomes also have abundance of RNA, which can be a more suitable material than cfDNA for molecular testing of complex alteration such as fusions. Recently, we demonstrated that combined next-generation sequencing-based molecular testing of plasma-derived exosomal RNA and cfDNA for common oncogenic alterations in BRAF, KRAS, and EGFR genes in patients with advanced cancers has high sensitivity (95%) and specificity (100%) compared to standard clinical testing of tumor tissue. [8] These results were comparable to sensitivity of plasma cfDNA testing with droplet digital PCR (92%) and BEAMing digital PCR (97%). In addition, we also demonstrated that the amount of mutated exosomal RNA and cfDNA is predictive of survival, time to treatment failure and response to treatment. Specifically, patients with a low amount of exosomal mutated RNA and cfDNA in samples collected before therapy had longer median survival (11.8 vs. 5.9 months; P = 0.006) and time to treatment failure (7.4 vs. 2.3 months; P = 0.009) than patients with higher am
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引用次数: 7
期刊
Oncoscience
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