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Piperlongumine in combination with EGFR tyrosine kinase inhibitors for the treatment of lung cancer cells. 哌隆单胺与表皮生长因子受体酪氨酸激酶抑制剂联合治疗肺癌细胞。
IF 2 4区 医学 Q3 ONCOLOGY Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI: 10.32604/or.2024.053972
Shail Rakesh Modi, Terrick Andey

Objectives: EGFR tyrosine kinase inhibitor (EGFR-TKI) therapies such as erlotinib and gefitinib are approved for the treatment of non-small cell lung cancer (NSCLC). However, the high incidence of acquired resistance to these EGFR-TKIs may preclude their effectiveness. Piperlongumine (PPL), an extract from the long pepper fruit (Piper longum), has been shown to possess anticancer properties. The purpose of the study was to investigate piperlongumine as an anticancer agent and to study a combination treatment approach with EGFR-TKIs against lung cancer cells.

Methods: Anticancer efficacy of PPL, erlotinib (ERL), gefitinib (GEF), and cisplatin (CIS) were investigated in H1299 and H1975 cell lines. Cells were treated with PPL, ERL, GEF, and CIS alone, and in combination, cell viability was determined after 72 h. The mechanism of PPL-induced cytotoxicity was investigated via reactive oxygen species (ROS) induction, and apoptosis induction using acridine orange/ethidium bromide staining and flow cytometry. The effect of treatment on EGFR-mediated oncogenic signaling was investigated by immunoblotting for mitogenic and apoptotic markers.

Results: PPL exhibited a potent cytotoxic effect in H1299 and H1975 cells compared to ERL, GEF, and CIS. Combination treatments of PPL with GEF and ERL showed significant reductions in cancer cells compared to control in both cell lines, which were associated with apoptotic induction, but without significant ROS induction. Compared to control, PPL with GEF significantly increased apoptotic cell death in H1975as confirmed with flow cytometry. Treatment with PPL alone and in combination induced anti-mitogenic and apoptotic responses at the molecular level.

Conclusion: PPL sensitized lung cancer cells to EGFR-TKI and induced potent cytotoxic effects at low concentrations.

目的:表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKI)疗法(如厄洛替尼和吉非替尼)已被批准用于治疗非小细胞肺癌(NSCLC)。然而,这些表皮生长因子受体-TKIs的获得性耐药性发生率较高,可能会影响其疗效。从长胡椒果实(Piper longum)中提取的胡椒龙葵碱(Piperlongumine,PPL)已被证明具有抗癌特性。本研究的目的是将胡椒龙葵碱作为一种抗癌剂进行研究,并研究与表皮生长因子受体抑制剂(EGFR-TKIs)联合治疗肺癌细胞的方法:方法:在H1299和H1975细胞系中研究了PPL、厄洛替尼(ERL)、吉非替尼(GEF)和顺铂(CIS)的抗癌效果。采用吖啶橙/溴化乙锭染色法和流式细胞术,通过活性氧(ROS)诱导和细胞凋亡诱导研究了PPL诱导细胞毒性的机制。通过免疫印迹法检测有丝分裂和细胞凋亡标记物,研究治疗对表皮生长因子受体介导的致癌信号转导的影响:结果:与 ERL、GEF 和 CIS 相比,PPL 对 H1299 和 H1975 细胞具有强效细胞毒性作用。与对照组相比,PPL 与 GEF 和 ERL 的联合处理可显著减少两种细胞系的癌细胞数量,这与诱导细胞凋亡有关,但没有明显的 ROS 诱导。流式细胞术证实,与对照组相比,含有 GEF 的 PPL 能显著增加 H1975 细胞的凋亡。单独或联合使用 PPL 可在分子水平上诱导抗致病性和细胞凋亡反应:结论:PPL 可使肺癌细胞对表皮生长因子受体-TKI 敏感,并在低浓度下诱导有效的细胞毒性作用。
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引用次数: 0
MiR-150-5p inhibits cell proliferation and metastasis by targeting FTO in osteosarcoma. MiR-150-5p 通过靶向 FTO 抑制骨肉瘤的细胞增殖和转移
IF 2 4区 医学 Q3 ONCOLOGY Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI: 10.32604/or.2024.047704
Lichen Xu, Pan Zhang, Guiqi Zhang, Zhaoliang Shen, Xizhuang Bai

Background: Osteosarcoma (OS), recognized as the predominant malignant tumor originating from bones, necessitates an in-depth comprehension of its intrinsic mechanisms to pinpoint novel therapeutic targets and enhance treatment methodologies. The role of fat mass and obesity-associated (FTO) in OS, particularly its correlation with malignant traits, and the fundamental mechanism, remains to be elucidated.

Materials and methods: 1. The FTO expression and survival rate in tumors were analyzed. 2. FTO in OS cell lines was quantified utilizing western blot and PCR. 3. FTO was upregulated and downregulated separately in MG63. 4. The impact of FTO on the proliferation and migration of OS cells was evaluated using CCK-8, colony formation, wound healing, and Transwell assays. 5. The expression of miR-150-5p in OS cells-derived exosomes was identified. 6. The binding of miR-150-5p to FTO was predicted by TargetScan and confirmed by luciferase reporter assay. 7. The impact of exosome miR-150-5p on the proliferation and migration of OS cells was investigated.

Results: The expression of FTO was higher in OS tissues compared to normal tissues correlating with a worse survival rate. Furthermore, the downregulation of FTO significantly impeded the growth and metastasis of OS cells. Additionally, miR-150-5p, which was downregulated in both OS cells and their derived exosomes, was found to bind to the 3'-UTR of FTO through dual luciferase experiments. Exosomal miR-150-5p was found to decrease the expression of FTO and inhibit cell viability.

Conclusions: We identified elevated levels of FTO in OS, which may be attributed to insufficient miR-150-5p levels in both the cells and exosomes. It suggests that the dysregulation of miR-150-5p and its interaction with FTO could potentially promote the development of OS.

背景:骨肉瘤(Osteosarcoma,OS)被认为是源自骨骼的最主要恶性肿瘤,有必要深入了解其内在机制,以确定新的治疗靶点并改进治疗方法。材料与方法:1.分析肿瘤中 FTO 的表达和存活率。2.2. 利用 Western 印迹和 PCR 对 OS 细胞系中的 FTO 进行定量分析。3.3. FTO在MG63中分别上调和下调。4.4. 利用 CCK-8、集落形成、伤口愈合和 Transwell 试验评估 FTO 对 OS 细胞增殖和迁移的影响。5.5. 确定了miR-150-5p在OS细胞外泌体中的表达。6.通过 TargetScan 预测了 miR-150-5p 与 FTO 的结合,并通过荧光素酶报告实验证实了这一点。7.7. 研究了外泌体 miR-150-5p 对 OS 细胞增殖和迁移的影响:结果:与正常组织相比,FTO在OS组织中的表达量更高,这与存活率较低有关。此外,下调 FTO 能显著抑制 OS 细胞的生长和转移。此外,通过双荧光素酶实验发现,在OS细胞及其衍生外泌体中均下调的miR-150-5p与FTO的3'-UTR结合。外泌体miR-150-5p可降低FTO的表达并抑制细胞活力:结论:我们发现 OS 中 FTO 水平升高,这可能与细胞和外泌体中 miR-150-5p 水平不足有关。这表明,miR-150-5p 的失调及其与 FTO 的相互作用可能会促进 OS 的发展。
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引用次数: 0
Retraction: Ailanthone promotes human vestibular schwannoma cell apoptosis and autophagy by downregulation of miR-21. 撤回:艾兰通通过下调 miR-21 促进人前庭裂隙瘤细胞凋亡和自噬
IF 2 4区 医学 Q3 ONCOLOGY Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI: 10.32604/or.2024.056887

[This retracts the article DOI: 10.3727/096504018X15149775533331.].

[本文撤回文章 DOI:10.3727/096504018X15149775533331]。
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引用次数: 0
CircTIAM1 overexpression promotes the progression of papillary thyroid cancer by regulating the miR-338-3p/LASP1 axis. CircTIAM1过表达通过调控miR-338-3p/LASP1轴促进甲状腺乳头状癌的进展。
IF 2 4区 医学 Q3 ONCOLOGY Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI: 10.32604/or.2024.030945
Y E Zhang, Yanan Liang, Yan Wu, Liwen Song, Zuwang Zhang

Background: Papillary thyroid cancer (PTC) is the most prevalent histological type of differentiated thyroid malignancy. Circular RNAs (circRNAs) have been implicated in the pathogenesis and progression of various cancers. circTIAM1 (hsa_circ_0061406) is a novel circRNA with aberrant expression in PTC. However, its functional roles in PTC progression remain to be investigated.

Methods: The expression levels of circTIAM1 in the PTC and the matched para-cancerous tissues were detected by quantitative real-time reverse-transcription PCR (qRT-PCR). The subcellular localization of circTIAM1 was examined by fluorescence in-situ hybridization (FISH). Kaplan-Meier plot was used to analyze the association of clinicopathological features with circTIAM1 expression. Bioinformatics databases were utilized to predict the target miRNAs of circTIAM1 and the downstream target mRNAs. RNA pull-down, RIP assay, and dual-luciferase reporter assay were used to confirm the interactions. Functional experiments, such as CCK-8, EDU staining, and apoptosis assays, as well as in vivo xenograft model were employed to explore the impacts of circTIAM1, miR-338-3p, and LIM/SH3 protein 1 (LASP1) on the malignant phenotype of the PTC cells.

Results: CircTIAM1 was highly expressed in PTC cells. Moreover, circTIAM1 silencing suppressed the proliferation and invasion of PTC cells in vitro and impaired tumorigenesis in vivo. Furthermore, miR-338-3p was verified as a miRNA target of circTIAM1. LASP1 was also identified as a downstream target of miR-338-3p. The anti-tumorigenic effect of miR-338-3p overexpression and the pro-tumorigenic effect of LASP1 was further explored by functional assays, which demonstrated that circTIAM1 modulated the PTC progression through targeting miR-338-3p/LASP1 axis.

Conclusion: The overexpression of circTIAM1 is associated with the malignant progression of PTC. A high level of circTIAM1 promotes the malignancy of PTC cells via the miR-338-3p/LASP1 axis.

背景:甲状腺乳头状癌(PTC甲状腺乳头状癌(PTC)是分化型甲状腺恶性肿瘤中最常见的组织学类型。circTIAM1(hsa_circ_0061406)是一种在PTC中异常表达的新型circRNA。然而,它在 PTC 进展中的功能作用仍有待研究:方法:采用实时逆转录定量 PCR(qRT-PCR)技术检测 circTIAM1 在 PTC 和匹配癌旁组织中的表达水平。荧光原位杂交(FISH)检测了circTIAM1的亚细胞定位。采用Kaplan-Meier图分析临床病理特征与circTIAM1表达的关联。利用生物信息学数据库预测 circTIAM1 的靶 miRNA 及其下游靶 mRNA。采用 RNA pull-down、RIP 试验和双荧光素酶报告试验来确认相互作用。通过CCK-8、EDU染色、细胞凋亡等功能实验以及体内异种移植模型,探讨了circTIAM1、miR-338-3p和LIM/SH3蛋白1(LASP1)对PTC细胞恶性表型的影响:结果:circTIAM1在PTC细胞中高表达。结果:CircTIAM1 在 PTC 细胞中高表达,而且沉默 circTIAM1 可抑制体外 PTC 细胞的增殖和侵袭,并阻碍体内肿瘤发生。此外,miR-338-3p 被证实是 circTIAM1 的 miRNA 靶标。LASP1 也被确定为 miR-338-3p 的下游靶点。通过功能实验进一步探讨了miR-338-3p过表达的抗肿瘤作用和LASP1的促肿瘤作用,结果表明circTIAM1通过靶向miR-338-3p/LASP1轴调节了PTC的进展:结论:circTIAM1的过表达与PTC的恶性进展有关。结论:circTIAM1的过表达与PTC的恶性进展有关,高水平的circTIAM1通过miR-338-3p/LASP1轴促进PTC细胞的恶性化。
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引用次数: 0
Retraction: long noncoding RNA ATB promotes proliferation, migration, and invasion in bladder cancer by suppressing microRNA-126. 撤稿:长非编码 RNA ATB 通过抑制 microRNA-126 促进膀胱癌的增殖、迁移和侵袭。
IF 2 4区 医学 Q3 ONCOLOGY Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI: 10.32604/or.2024.056893

[This retracts the article DOI: 10.3727/096504018X15152072098476.].

[本文撤回文章 DOI:10.3727/096504018X15152072098476]。
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引用次数: 0
Retraction: Procaine inhibits proliferation and migration and promotes cell apoptosis in osteosarcoma cells by upregulation of microRNA-133b. 撤回:普鲁卡因通过上调 microRNA-133b 抑制骨肉瘤细胞的增殖和迁移,并促进细胞凋亡。
IF 2 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-18 eCollection Date: 2024-01-01 DOI: 10.32604/or.2024.056913

[This retracts the article DOI: 10.3727/096504017X14878518291077.].

[本文撤回了文章 DOI:10.3727/096504017X14878518291077]。
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引用次数: 0
Novel insights on oral squamous cell carcinoma management using long non-coding RNAs. 利用长非编码 RNA 管理口腔鳞状细胞癌的新见解。
IF 2 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-18 eCollection Date: 2024-01-01 DOI: 10.32604/or.2024.052120
Subhayan Sur, Dimple Davray, Soumya Basu, Supriya Kheur, Jayanta Kumar Pal, Shuchi Nagar, Avinash Sanap, Bhimappa M Rudagi, Samir Gupta

Oral squamous cell carcinoma (OSCC) is one of the most prevalent forms of head and neck squamous cell carcinomas (HNSCC) with a poor overall survival rate (about 50%), particularly in cases of metastasis. RNA-based cancer biomarkers are a relatively advanced concept, and non-coding RNAs currently have shown promising roles in the detection and treatment of various malignancies. This review underlines the function of long non-coding RNAs (lncRNAs) in the OSCC and its subsequent clinical implications. LncRNAs, a class of non-coding RNAs, are larger than 200 nucleotides and resemble mRNA in numerous ways. However, unlike mRNA, lncRNA regulates multiple druggable and non-druggable signaling molecules through simultaneous interaction with DNA, RNA, proteins, or microRNAs depending on concentration and localization in cells. Upregulation of oncogenic lncRNAs and down-regulation of tumor suppressor lncRNAs are evident in OSCC tissues and body fluids such as blood and saliva indicating their potential as valuable biomarkers. Targeted inhibition of candidate oncogenic lncRNAs or over-expression of tumor suppressor lncRNAs showed potential therapeutic roles in in-vivo animal models. The types of lncRNAs that are expressed differentially in OSCC tissue and bodily fluids have been systematically documented with specificity and sensitivity. This review thoroughly discusses the biological functions of such lncRNAs in OSCC cell survival, proliferation, invasion, migration, metastasis, angiogenesis, metabolism, epigenetic modification, tumor immune microenvironment, and drug resistance. Subsequently, we addressed the diagnostic and therapeutic importance of lncRNAs in OSCC pre-clinical and clinical systems, providing details on ongoing research and outlining potential future directions for advancements in this field. In essence, this review could be a valuable resource by offering comprehensive and current insights into lncRNAs in OSCC for researchers in fundamental and clinical domains.

口腔鳞状细胞癌(OSCC)是头颈部鳞状细胞癌(HNSCC)中最常见的一种,其总体生存率较低(约为 50%),尤其是在发生转移的情况下。基于 RNA 的癌症生物标志物是一个相对先进的概念,目前非编码 RNA 在各种恶性肿瘤的检测和治疗中显示出良好的作用。本综述强调了长非编码 RNA(lncRNA)在 OSCC 中的功能及其后续临床意义。LncRNA是一类非编码RNA,大于200个核苷酸,在许多方面与mRNA相似。然而,与 mRNA 不同的是,lncRNA 通过同时与 DNA、RNA、蛋白质或 microRNAs 相互作用,调节多种可用药和不可用药的信号分子,具体取决于浓度和在细胞中的定位。在 OSCC 组织和体液(如血液和唾液)中,致癌 lncRNA 的上调和抑瘤 lncRNA 的下调非常明显,这表明它们有可能成为有价值的生物标志物。在体内动物模型中,靶向抑制候选致癌lncRNA或过度表达肿瘤抑制lncRNA显示了潜在的治疗作用。在OSCC组织和体液中不同表达的lncRNA类型已被系统地记录下来,并具有特异性和敏感性。本综述深入探讨了这些 lncRNAs 在 OSCC 细胞存活、增殖、侵袭、迁移、转移、血管生成、代谢、表观遗传修饰、肿瘤免疫微环境和耐药性等方面的生物学功能。随后,我们探讨了 lncRNAs 在 OSCC 临床前和临床系统中的诊断和治疗重要性,提供了正在进行的研究的详细信息,并概述了该领域未来可能的发展方向。从本质上讲,这篇综述为基础和临床领域的研究人员提供了关于OSCC中lncRNAs的全面而最新的见解,可以说是一种宝贵的资源。
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引用次数: 0
Retraction: Function of miR-152 as a tumor suppressor in human breast cancer by targeting PIK3CA. 撤回:通过靶向 PIK3CA 使 miR-152 在人类乳腺癌中发挥肿瘤抑制因子的功能。
IF 2 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-18 eCollection Date: 2024-01-01 DOI: 10.32604/or.2024.056889

[This retracts the article DOI: 10.3727/096504017X14878536973557.].

[本文撤回文章 DOI:10.3727/096504017X14878536973557]。
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引用次数: 0
Glutamine transporters as effective targets in digestive system malignant tumor treatment. 谷氨酰胺转运体是消化系统恶性肿瘤治疗的有效靶点。
IF 2 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-18 eCollection Date: 2024-01-01 DOI: 10.32604/or.2024.048287
Fei Chu, Kai Tong, Xiang Gu, Mei Bao, Yanfen Chen, Bin Wang, Yanhua Shao, Ling Wei

Glutamine is one of the most abundant non-essential amino acids in human plasma and plays a crucial role in many biological processes of the human body. Tumor cells take up a large amount of glutamine to meet their rapid proliferation requirements, which is supported by the upregulation of glutamine transporters. Targeted inhibition of glutamine transporters effectively inhibits cell growth and proliferation in tumors. Among all cancers, digestive system malignant tumors (DSMTs) have the highest incidence and mortality rates, and the current therapeutic strategies for DSMTs are mainly surgical resection and chemotherapy. Due to the relatively low survival rate and severe side effects associated with DSMTs treatment, new treatment strategies are urgently required. This article summarizes the glutamine transporters involved in DSMTs and describes their role in DSMTs. Additionally, glutamine transporter-target drugs are discussed, providing theoretical guidance for the further development of drugs DSMTs treatment.

谷氨酰胺是人体血浆中含量最高的非必需氨基酸之一,在人体的许多生物过程中发挥着至关重要的作用。肿瘤细胞会吸收大量谷氨酰胺以满足其快速增殖的需要,而谷氨酰胺转运体的上调则支持了这一点。靶向抑制谷氨酰胺转运体可有效抑制肿瘤细胞的生长和增殖。在所有癌症中,消化系统恶性肿瘤(DSMTs)的发病率和死亡率最高,目前针对DSMTs的治疗策略主要是手术切除和化疗。由于 DSMTs 的生存率相对较低,且治疗过程中会产生严重的副作用,因此迫切需要新的治疗策略。本文总结了参与 DSMTs 的谷氨酰胺转运体,并描述了它们在 DSMTs 中的作用。此外,还讨论了谷氨酰胺转运体靶向药物,为进一步开发治疗 DSMTs 的药物提供理论指导。
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引用次数: 0
Prostate cancer temporal and regional trends in Brazil. 巴西前列腺癌的时间和地区趋势。
IF 2 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-18 eCollection Date: 2024-01-01 DOI: 10.32604/or.2024.052179
Mehrsa Jalalizadeh, Heveline Rayane Moura Roesch, Fernando Korkes, Quoc Dien-Trinh, Leonardo Oliveira Reis

Objectives: The Brazilian Unified Health System (Sistema Único de Saúde-SUS) is the universal public healthcare system of Brazil that maintains a nationwide database of its patients. Our primary objective was to analyze regional and temporal trends, while our secondary goal was to establish correlations between states' health economy status and their prostate cancer (PCa) epidemiology.

Methods: We analyzed Brazil's nationwide data on prostate cancer (PCa) incidence, mortality, and care gathered between 2013 and 2021 by the Information Technology Department of SUS (DATA-SUS), updated monthly using the International Classification of Diseases (ICD-10) code.

Results: In the period, 273,933 new cases of PCa and 135,336 PCa deaths were reported in men aged 50 years or over in Brazil. The median annual PCa-specific incidence rate (PCSIR) ranged from 14.7 in the Southeast to 6.9 in the North region and the median annual PCa-specific mortality rate (PCSMR) ranged from 7.7 in the Northeast to 6.0 in the South region (per 10,000 men >50). The median annual mortality to incidence ratio (MIR) was highest in the North (0.88) and lowest in the Southeast region (0.44). There were significant regional differences in PCa treatment rates (per new cases); the Midwest region had the highest median annual surgery rate (0.63) while the North region had the highest median annual systemic therapy rate (0.75) and the lowest radiation therapy rate (0.06). Temporal analysis of the data showed significant change in annual rate trends after the year 2018 for PCSIR (coefficient [β] = +3.66, p < 0.001), any treatment (β = -0.06, p = 0.016), surgery ([SR] β = +0.05, p = 0.017) radiation therapy ([RTR] β = -0.06, p = 0.005) and systemic therapy ([STR] β = -0.10, p = 0.002). After the 2020 pandemic, annual PCSIR decreased (β = -2.15, p = 0.002) but annual PCSMR, MIR, and treatment rates remained stable. Correlation studies showed that the PCSIR was strongly negatively correlated with STR (p < 0.001) and positively correlated with RTR (p = 0.004). MIR was positively correlated with STR (p < 0.001) and negatively correlated with the number of robotic surgical systems per million population (p = 0.003).

Conclusion: Our data shows that PCa care is dependent on the region and is likely influenced by access to treatment options. Furthermore, changes after the year 2018 underscore the influence of international guidelines on Brazilian clinicians' decision-making especially concerning population screening which in turn affected incidence and treatment rates. Limitation of our study includes limited patient-related information and data on private practices as well as an unknown impact of traveling patients.

目的:巴西统一医疗系统(Sistema Único de Saúde-SUS巴西统一医疗系统(Sistema Único de Saúde-SUS)是巴西的全民公共医疗系统,它拥有一个全国性的患者数据库。我们的首要目标是分析地区和时间趋势,次要目标是建立各州卫生经济状况与其前列腺癌流行病学之间的相关性:我们分析了巴西统一卫生系统信息技术部(DATA-SUS)在 2013 年至 2021 年间收集的全国前列腺癌(PCa)发病率、死亡率和护理数据,这些数据使用国际疾病分类(ICD-10)代码每月更新一次:结果:在此期间,巴西 50 岁及以上男性共报告了 273,933 例 PCa 新发病例和 135,336 例 PCa 死亡病例。PCa 年发病率中位数(PCSIR)从东南部地区的 14.7 到北部地区的 6.9 不等,PCa 年死亡率中位数(PCSMR)从东北部地区的 7.7 到南部地区的 6.0 不等(每万名 50 岁以上男性)。年死亡率与发病率之比中位数在北部地区最高(0.88),在东南部地区最低(0.44)。PCa 治疗率(每新增病例)存在明显的地区差异;中西部地区的年手术治疗率中位数最高(0.63),而北部地区的年系统治疗率中位数最高(0.75),放射治疗率最低(0.06)。数据的时间分析表明,2018 年后,PCSIR(系数 [β] = +3.66,p < 0.001)、任何治疗(β = -0.06,p = 0.016)、手术([SR] β = +0.05,p = 0.017)、放疗([RTR] β = -0.06,p = 0.005)和系统治疗([STR] β = -0.10,p = 0.002)的年发病率趋势发生了显著变化。2020 年大流行后,年度 PCSIR 下降(β = -2.15,p = 0.002),但年度 PCSMR、MIR 和治疗率保持稳定。相关研究表明,PCSIR 与 STR 呈强烈负相关(p < 0.001),与 RTR 呈正相关(p = 0.004)。MIR与STR呈正相关(p < 0.001),与每百万人口中机器人手术系统的数量呈负相关(p = 0.003):我们的数据表明,PCa 的治疗取决于地区,并很可能受到治疗方案可及性的影响。此外,2018 年后的变化凸显了国际指南对巴西临床医生决策的影响,尤其是在人群筛查方面,这反过来又影响了发病率和治疗率。我们的研究存在局限性,包括患者相关信息和私人诊所的数据有限,以及旅行患者的影响未知。
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引用次数: 0
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Oncology Research
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