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Acute myeloid leukemia with plasmacytoid dendritic cell differentiation initially presenting as skin lesions: A case report 急性髓系白血病伴浆细胞样树突状细胞分化,最初表现为皮肤病变:1例报告。
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-05 DOI: 10.1016/j.prp.2025.156324
Chenxi Xiang , Shaoqi Li , Jia Liu , Qianqian Yin , Dongshen Ma , Hui Liu
Plasmacytoid dendritic cell (pDC) accumulations are frequently observed in association with myeloid neoplasms in the bone marrow. We report a case diagnosed as acute myeloid leukemia (AML) with pDC differentiation, which first presented as skin lesions and lymphadenopathies. The skin biopsy revealed pDC-like cells infiltrating the dermal layer. The architecture of the cervical lymph node remained largely preserved, but it was infiltrated by monotonous, atypical cells with a pDC-like immunophenotype in the interfollicular areas. Flow cytometry analysis of the lymph node tissue confirmed the heterogeneity and pDC-like immunophenotype of the tumor cells. Furthermore, a bone marrow biopsy confirmed the presence of underlying AML. DNA sequencing demonstrated that the tumor cells in both the tumor cells in the lymph node and skin biopsy shared the identical genetic abberations as in the bone marrow. Based on these findings, a diagnosis of AML with pDC differentiation was established.
浆细胞样树突状细胞(pDC)的积累经常被观察到与骨髓中的髓系肿瘤有关。我们报告一例诊断为急性髓性白血病(AML)与pDC分化,首先表现为皮肤病变和淋巴结病变。皮肤活检显示pdc样细胞浸润真皮层。颈部淋巴结的结构基本保留,但在滤泡间区浸润了单调的非典型细胞,具有pdc样免疫表型。淋巴组织的流式细胞术分析证实了肿瘤细胞的异质性和pdc样免疫表型。此外,骨髓活检证实存在潜在的AML。DNA测序表明,淋巴结和皮肤活检中的肿瘤细胞与骨髓中的肿瘤细胞具有相同的遗传畸变。基于这些发现,AML伴pDC分化的诊断得以确立。
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引用次数: 0
Harnessing the therapeutic potential of TIMP-1 in autoimmune inflammation: A prospective insight 利用TIMP-1在自身免疫性炎症中的治疗潜力:一个前瞻性的见解。
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-16 DOI: 10.1016/j.prp.2025.156334
Shangomitra Bhattacharjee, Mahaboobkhan Rasool
Tissue inhibitors of matrix metalloproteinase 1 (TIMP-1) have recently attracted significant attention owing to their newly discovered cytokine function. These findings prompted a reevaluation of TIMP-1's role as an inhibitor of matrix metalloproteinase. Elevated TIMP-1 levels have been observed in various autoimmune conditions, influencing disease outcomes in multiple sclerosis, inflammatory bowel disease, and rheumatoid arthritis. Furthermore, TIMP-1 affects context-dependent metabolic profiles, enhances glycolytic turnover in monocytes, and is associated with ferroptosis in patients with rheumatoid arthritis. TIMP-1 also supports MHC-I expression and CD8 + T-cell activation, indicating a more active role in autoimmune conditions. Considering the expanding body of knowledge regarding TIMP-1 and its significant role in modifying metabolic profiles and disease outcomes, we carefully reviewed the contrasting functions of TIMP-1. Additionally, we summarize the upstream activators and signaling pathways involved in TIMP-1 activation and its reciprocal effects. Although TIMP-1 expression is linked to diverse disease outcomes, it is advisable to adopt a more nuanced approach to utilizing TIMP-1 depending on the specific disease context. This review proposes various strategies for targeting TIMP-1 as a therapeutic intervention to modulate the outcomes of autoimmune disorders.
基质金属蛋白酶1 (TIMP-1)的组织抑制剂因其新发现的细胞因子功能而受到广泛关注。这些发现促使人们重新评估TIMP-1作为基质金属蛋白酶抑制剂的作用。在多种自身免疫性疾病中观察到TIMP-1水平升高,影响多发性硬化症、炎症性肠病和类风湿性关节炎的疾病结局。此外,TIMP-1影响环境依赖的代谢谱,增强单核细胞的糖酵解转换,并与类风湿关节炎患者的铁下垂有关。TIMP-1还支持MHC-I表达和CD8 + t细胞活化,表明在自身免疫性疾病中发挥更积极的作用。考虑到有关TIMP-1及其在改变代谢谱和疾病结局中的重要作用的知识体系不断扩大,我们仔细回顾了TIMP-1的对比功能。此外,我们总结了上游激活因子和参与TIMP-1激活的信号通路及其相互作用。尽管TIMP-1的表达与多种疾病结果有关,但根据具体的疾病背景,采用更细致的方法来利用TIMP-1是可取的。这篇综述提出了针对TIMP-1的各种策略,作为一种治疗干预来调节自身免疫性疾病的结果。
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引用次数: 0
Deciphering the role of angiogenesis in glioblastoma: Integrative insights from transcriptomic profiling, single-cell sequencing and interpretable machine learning approaches 解读血管生成在胶质母细胞瘤中的作用:来自转录组分析、单细胞测序和可解释的机器学习方法的综合见解。
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-02-01 Epub Date: 2025-11-24 DOI: 10.1016/j.prp.2025.156305
Fan Yang , Chi Peng , Sisi Yang , Xiuwu Bian , Xiaohong Yao
Glioblastoma (GBM), a highly vascularized and aggressive primary brain tumor, presents unresolved questions regarding the functional significance of angiogenesis-related genes (ARGs) in disease progression. To systematically investigate this, we employed univariate Cox regression followed by LASSO regression analysis to identify prognosis-associated ARGs. These candidates were subsequently evaluated using six machine learning-derived survival prediction algorithms, with model interpretability achieved through SHapley Additive exPlanations (SHAP) analysis. Our studies revealed that six hub ARGs (BMP2, FSCN1, NET1, AEBP1, SEMA3G, and RAB37) were identified and incorporated into a novel risk stratification model (high and low risk groups). High-risk patients demonstrated significantly poorer overall survival in the CGGA-GBM, GSE43378, and GSE7696 cohorts. Moreover, the high-risk group exhibited an immunosuppressive tumor microenvironment profile (e.g., elevated Treg infiltration, P < 0.0001), increased extracellular matrix stiffness (via mechanosensing markers) and differential drug sensitivity (OncoPredict analysis). Immunofluorescence confirmed co-localization of the hub protein FSCN1 with vascular (CD31⁺), stromal (α-SMA⁺), and mesenchymal (Vimentin⁺) compartments, suggesting its multifunctional role in GBM pathobiology. In summary, our research established the ARG-derived prognostic signature validated across independent GBM cohorts and revealed concomitant immune and mechanical niche dysregulation in high-risk patients. The rationale for combined angiogenesis/stroma/immune modulation strategies was provided, with FSCN1 proposed as the potential therapeutic target.
胶质母细胞瘤(GBM)是一种高度血管化和侵袭性的原发性脑肿瘤,关于血管生成相关基因(ARGs)在疾病进展中的功能意义提出了尚未解决的问题。为了系统地研究这一点,我们采用单变量Cox回归和LASSO回归分析来确定与预后相关的ARGs。随后使用六种机器学习衍生的生存预测算法对这些候选者进行评估,并通过SHapley加性解释(SHAP)分析实现模型的可解释性。我们的研究发现,6个枢纽ARGs (BMP2、FSCN1、NET1、AEBP1、SEMA3G和RAB37)被确定并纳入了一个新的风险分层模型(高风险组和低风险组)。高危患者在CGGA-GBM、GSE43378和GSE7696队列中表现出明显较差的总生存率。此外,高危组表现出免疫抑制的肿瘤微环境特征(如Treg浸润升高,P
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引用次数: 0
LDH-driven lactic acidosis in hypoxic solid tumors: Mechanisms of metastatic transformation and therapeutic opportunities 低氧实体瘤中ldh驱动的乳酸酸中毒:转移转化机制和治疗机会
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-25 DOI: 10.1016/j.prp.2025.156342
Priyanshu Kumar , Saumya Rastogi , Mandeep Kumar Arora , Lakhveer Singh
Lactic acidosis is a characteristic feature of solid hypoxic cancerous tumors, those that develop in the breast, colon, and prostate tissue. Even though extreme lactic acidosis is damaging to healthy cells, malignant tumors actually benefit from it in several different ways. Lactic acidosis in TME (TME) imparts resistance to chemotherapy and helps them from immune invasion. Lactic acidosis further benefits the tumor cells by inducing the formation of new blood vessels. Acidic tumour microenvironment (TME) provides very favourable pH conditions for activation of proteolytic enzymes like Matrix metalloproteinase (MMP-2/9), which helps the tumor cells invade into the nearby organs. Because aggressive hypoxic cancer cells have a high chance of metastasising to other organs, it is difficult to manage a tumor at this stage with chemotherapy. Stopping hypoxia-induced Lactate dehydrogenase (LDH) from working can prevent cancers from behaving aggressively. Restraining lactate circulation in the TME by inhibiting LDH and its transporters i.e Monocarboxylate transporters (MCT-1/2) would be a promising therapeutic strategy to prevent metastatic transformation of solid hypoxic tumors. Moreover, nanotechnology can be implicated in various ways to selectively kill the cancer cells. Whereas in some cancers, chemotherapeutic agents fail to activate, pH-sensitive nanoparticles can be designed to target such cancer cells. In the current review, we have highlighted the role and mechanisms of lactic acidosis to transform the benign tumours into more aggressive metastatic tumors. This review also offers fresh perspectives on the variety of LDH and MCT inhibitors currently undergoing clinical trials to act in the acidic TME.
乳酸性酸中毒是发生于乳腺、结肠和前列腺组织的实性缺氧癌性肿瘤的特征。尽管极度乳酸性酸中毒对健康细胞是有害的,但恶性肿瘤实际上以几种不同的方式从中受益。乳酸性酸中毒(TME)赋予TME对化疗的抵抗力,帮助其抵抗免疫入侵。乳酸酸中毒通过诱导新血管的形成进一步有利于肿瘤细胞。酸性肿瘤微环境(TME)为基质金属蛋白酶(MMP-2/9)等蛋白水解酶的激活提供了非常有利的pH条件,从而帮助肿瘤细胞侵入附近器官。由于侵袭性缺氧癌细胞有很高的机会转移到其他器官,因此很难用化疗来控制这个阶段的肿瘤。停止缺氧诱导的乳酸脱氢酶(LDH)的工作可以防止癌症的侵袭性行为。通过抑制LDH及其转运体,即单羧酸转运体(MCT-1/2)来抑制TME中的乳酸循环可能是一种很有前途的治疗策略,可以防止实体缺氧肿瘤的转移转化。此外,纳米技术可以通过多种方式选择性地杀死癌细胞。然而在某些癌症中,化疗药物无法激活,因此可以设计ph敏感纳米颗粒来靶向这些癌细胞。在当前的综述中,我们强调了乳酸酸中毒在将良性肿瘤转化为更具侵袭性的转移性肿瘤中的作用和机制。本综述还为目前正在进行临床试验的各种LDH和MCT抑制剂在酸性TME中的作用提供了新的视角。
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引用次数: 0
Unveiling the role of PGCCs in tumor recurrence and therapeutic resistance: Hidden architects of cancer’s comeback 揭示PGCCs在肿瘤复发和治疗耐药中的作用:癌症复发的隐藏建筑师
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-29 DOI: 10.1016/j.prp.2025.156347
Mokhtar Rejili , Farid Hashemi
Polyploid Giant Cancer Cell (PGCCs) have emerged as pivotal players in cancer biology, contributing to tumor heterogeneity, recurrence, metastasis, and resistance to conventional therapies. Characterized by their enlarged size, aberrant nuclear morphology, and stem-like properties, PGCCs arise in response to environmental stressors such as chemotherapy, radiation, and hypoxia. These cells enter a dormant state, evade treatment, and later become reactivated to generate tumor-repopulating progeny through depolyploidization and asymmetric division (neosis). Daughter cells derived from PGCCs exhibit enhanced invasive capabilities, epithelial-to-mesenchymal transition (EMT), and metabolic adaptability, rendering PGCCs formidable obstacles in cancer management. Their unique biology involves complex molecular mechanisms including endoreplication, cell fusion, and autophagy, which facilitate survival and proliferation under stress conditions. Elucidating PGCC formation and behavior opens new avenues for targeted therapeutic strategies, encompassing immunomodulation, metabolic interference, and differentiation-based approaches. This paradigm shift in cancer research underscores the urgency for innovative diagnostic tools and personalized treatment modalities to effectively counter PGCC-driven malignancies.
多倍体巨癌细胞(Polyploid Giant Cancer Cell, PGCCs)在癌症生物学中扮演着关键角色,对肿瘤的异质性、复发、转移和对常规治疗的耐药性起着重要作用。pgcc的特点是体积增大、核形态异常和茎样性质,是对环境应激因素(如化疗、放疗和缺氧)的反应。这些细胞进入休眠状态,逃避治疗,然后重新激活,通过去多倍体和不对称分裂(新生)产生肿瘤再生的后代。pgcc衍生的子细胞表现出增强的侵袭能力、上皮-间质转化(EMT)和代谢适应性,使pgcc在癌症治疗中成为巨大的障碍。它们独特的生物学涉及复杂的分子机制,包括内复制、细胞融合和自噬,这些机制促进了应激条件下的生存和增殖。阐明PGCC的形成和行为为靶向治疗策略开辟了新的途径,包括免疫调节、代谢干扰和基于分化的方法。癌症研究的这种范式转变强调了创新诊断工具和个性化治疗方式的紧迫性,以有效对抗pgcc驱动的恶性肿瘤。
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引用次数: 0
Development of a lactylation-related molecular classification and machine learning-based gene signature to predict survival, response to immunotherapy for ovarian cancer 开发与乳酸化相关的分子分类和基于机器学习的基因标记来预测卵巢癌的生存和免疫治疗反应。
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-05 DOI: 10.1016/j.prp.2025.156325
Nannan Luan , Feng Jin , Zhenhua Hu , Miao Lu , Jian Gao , Liancheng Zhu

Background

Lactylation is acknowledged as a regulator of numerous biological processes related to cancer. Research on the ability of lactylation-related genes (LacRGs) to predict prognosis and immunotherapeutic response in ovarian cancer (OC) patients is limited.

Methods

Consensus clustering was utilized to identify prognostic differentially expressed genes (DEGs) across clusters. A consensus lactylation-related gene signature (LRGS) was established from TCGA-OC and four independent GSE datasets through a machine learning-based integrative approach.

Results

LRGS demonstrates consistent and robust performance as an independent risk factor for overall survival. Furthermore, while the low-LRGS group is more likely to exhibit the "hot tumor" phenotype, it also shows a more favorable prognosis and enhanced responsiveness to immunotherapy. Patients exhibiting a high LRGS demonstrated a reduced probability of deriving benefit from immunotherapy and faced a poor prognosis. The oncogenic role of the risk gene RPS6KA2 was preliminarily validated.

Conclusions

An in-depth analysis of the LacRGs data may yield valuable insights and enhance the molecular classification of OC. The identification of LRGS serves as a crucial factor in the early prognosis of patients and the selection of potential candidates for immunotherapy. The findings have significant implications for individual patients with OC.
背景:乳酸酰化被认为是许多与癌症相关的生物过程的调节器。关于乳酸化相关基因(LacRGs)预测卵巢癌(OC)患者预后和免疫治疗反应能力的研究有限。方法:采用一致聚类来识别跨聚类的预后差异表达基因(DEGs)。通过基于机器学习的整合方法,从TCGA-OC和四个独立的GSE数据集建立了一致的乳酸化相关基因特征(LRGS)。结果:LRGS作为总体生存的独立风险因素表现出一致和稳健的表现。此外,低lrgs组更容易表现出“热瘤”表型,同时也表现出更有利的预后和对免疫治疗的反应性增强。LRGS高的患者从免疫治疗中获益的可能性较低,预后较差。初步验证了危险基因RPS6KA2的致癌作用。结论:对LacRGs数据的深入分析可能会提供有价值的见解,并加强OC的分子分类。LRGS的识别是患者早期预后和选择潜在候选免疫治疗的关键因素。该研究结果对个别OC患者具有重要意义。
{"title":"Development of a lactylation-related molecular classification and machine learning-based gene signature to predict survival, response to immunotherapy for ovarian cancer","authors":"Nannan Luan ,&nbsp;Feng Jin ,&nbsp;Zhenhua Hu ,&nbsp;Miao Lu ,&nbsp;Jian Gao ,&nbsp;Liancheng Zhu","doi":"10.1016/j.prp.2025.156325","DOIUrl":"10.1016/j.prp.2025.156325","url":null,"abstract":"<div><h3>Background</h3><div>Lactylation is acknowledged as a regulator of numerous biological processes related to cancer. Research on the ability of lactylation-related genes (LacRGs) to predict prognosis and immunotherapeutic response in ovarian cancer (OC) patients is limited.</div></div><div><h3>Methods</h3><div>Consensus clustering was utilized to identify prognostic differentially expressed genes (DEGs) across clusters. A consensus lactylation-related gene signature (LRGS) was established from TCGA-OC and four independent GSE datasets through a machine learning-based integrative approach.</div></div><div><h3>Results</h3><div>LRGS demonstrates consistent and robust performance as an independent risk factor for overall survival. Furthermore, while the low-LRGS group is more likely to exhibit the \"hot tumor\" phenotype, it also shows a more favorable prognosis and enhanced responsiveness to immunotherapy. Patients exhibiting a high LRGS demonstrated a reduced probability of deriving benefit from immunotherapy and faced a poor prognosis. The oncogenic role of the risk gene RPS6KA2 was preliminarily validated.</div></div><div><h3>Conclusions</h3><div>An in-depth analysis of the LacRGs data may yield valuable insights and enhance the molecular classification of OC. The identification of LRGS serves as a crucial factor in the early prognosis of patients and the selection of potential candidates for immunotherapy. The findings have significant implications for individual patients with OC.</div></div>","PeriodicalId":19916,"journal":{"name":"Pathology, research and practice","volume":"278 ","pages":"Article 156325"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145725127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
NEK8 stabilization via USP51-mediated deubiquitination promotes colorectal cancer progression 通过usp51介导的去泛素化来稳定NEK8促进结直肠癌的进展。
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-29 DOI: 10.1016/j.prp.2025.156346
Yizhang Wang , Min Lin , Meifang Zeng
NEK8 is a kinase involved in diverse cellular processes. Accumulating evidence has demonstrated that NEK8 contributes to the development of colorectal cancer (CRC). However, the regulation of its protein stability is poorly understood. Deubiquitinases, such as USP51, can keep protein levels stable by cleaving ubiquitin chains off. In this study, GEO analysis demonstrated elevated expression of USP51, while NEK8 mRNA levels showed no significant difference between CRC tissues and adjacent normal tissues, indicating post-transcriptional regulation. Immunohistochemistry showed a high expression of both NEK8 and USP51 proteins in cancer tissues and a positive correlation between them. Tissue microarray assay verified that NEK8 is an independent risk factor for CRC. In vitro functional experiments confirmed that NEK8 and USP51 promoted proliferation, colony formation, invasion, and migration of CRC, and a subcutaneous tumor formation assay further verified the oncogenic function of NEK8. Co-immunoprecipitation, co-immunofluorescence, ubiquitination assays, and functional rescue experiments proved that USP51 directly interacted with NEK8 and lowered the ubiquitination level of NEK8. Functional enrichment assays demonstrated that NEK8 modulates the WNT/β-catenin pathway. The knockdown of NEK8 resulted in decreased β-catenin protein levels. Taken together, our study reveals that the USP51-NEK8 axis promotes progression of CRC via the β-catenin pathway and could be a potential target for the treatment of CRC.
NEK8是一种参与多种细胞过程的激酶。越来越多的证据表明NEK8参与结直肠癌(CRC)的发展。然而,对其蛋白质稳定性的调控却知之甚少。去泛素酶,如USP51,可以通过切断泛素链来保持蛋白质水平的稳定。在本研究中,GEO分析显示USP51表达升高,而NEK8 mRNA水平在结直肠癌组织与邻近正常组织之间无显著差异,表明存在转录后调控。免疫组化显示NEK8和USP51蛋白在癌组织中均有高表达,且两者呈正相关。组织芯片检测证实NEK8是结直肠癌的独立危险因素。体外功能实验证实了NEK8和USP51促进CRC的增殖、集落形成、侵袭和迁移,皮下肿瘤形成实验进一步证实了NEK8的致癌功能。共免疫沉淀、共免疫荧光、泛素化实验和功能挽救实验证明USP51直接与NEK8相互作用,降低NEK8的泛素化水平。功能富集实验表明NEK8调节WNT/β-catenin通路。NEK8基因敲低导致β-连环蛋白水平降低。综上所述,我们的研究表明USP51-NEK8轴通过β-catenin途径促进CRC的进展,可能是治疗CRC的潜在靶点。
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引用次数: 0
RNA-based mechanisms underlying oncogenicity and drug resistance in NRG1-rearranged non-small cell lung cancer nrg1重排非小细胞肺癌的致瘤性和耐药机制。
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-05 DOI: 10.1016/j.prp.2025.156323
Ameeduzzafar Zafar , Omar Awad Alsaidan , Mohammad Khalid , Md Ali Mujtaba , Ali Alquraini , Mohd Yasir
Non-small cell lung cancer (NSCLC), accounting for nearly 85 % of lung tumors, remains one of the most fatal cancers worldwide. Among the various oncogenic drivers identified in NSCLC, neuregulin-1 (NRG1) gene fusions, though rare, occurring in approximately 0.1–0.3 % of cases, are clinically significant, particularly in invasive mucinous adenocarcinomas. These genomic events trigger abnormal heterodimerization of ERBB2 and ERBB3, stimulating downstream PI3K/AKT and MAPK pathways, which in turn foster uncontrolled growth, metastatic potential, and therapeutic resistance. These genomic events cause ERBB2 and ERBB3 to form abnormal heterodimers that activate downstream PI3K/AKT and MAPK signaling pathways, driving uncontrolled growth, metastasis, and therapeutic resistance. Alongside these mechanisms, non-coding RNAs (ncRNAs), including microRNAs (miRNAs), long non-coding RNAs (lncRNAs), and circular RNAs (circRNAs), have emerged as pivotal regulators of cancer-related networks. Although they do not encode proteins, ncRNAs exert influence at transcriptional, post-transcriptional, and epigenetic levels, with the capacity to either suppress or enhance oncogenic processes. This review examines the interplay between ncRNA activity and NRG1 fusion-driven signaling in NSCLC, highlighting their roles in modulating pathways and contributing to drug resistance. Tumor-suppressive miRNAs, such as miR-22 and miR-296–5p, directly target NRG1 or ERBB2/ERBB3 transcripts, thereby weakening aberrant signaling cascades. Conversely, oncogenic ncRNAs like MALAT1 and HOTAIR facilitate epithelial–mesenchymal transition, cell proliferation, and chemoresistance, while circRNAs amplify oncogenic effects by acting as miRNA sponges. Collectively, these regulatory molecules shape the oncogenic landscape of NRG1-rearranged NSCLC and influence therapeutic outcomes. Dysregulated ncRNAs thus hold promise as biomarkers for diagnosis, prognosis, and treatment planning, with therapeutic strategies aimed at restoring tumor-suppressive ncRNAs or inhibiting oncogenic ones offering a potential avenue to overcome resistance in this subset of patients.
非小细胞肺癌(NSCLC)占肺肿瘤的近85% %,是世界上最致命的癌症之一。在NSCLC中发现的各种致癌驱动因素中,神经调节蛋白-1 (NRG1)基因融合虽然罕见,但在约0.1-0.3 %的病例中发生,在临床上具有重要意义,特别是在侵袭性粘液腺癌中。这些基因组事件触发ERBB2和ERBB3异常异源二聚化,刺激下游PI3K/AKT和MAPK通路,进而促进不受控制的生长、转移潜力和治疗耐药性。这些基因组事件导致ERBB2和ERBB3形成异常异源二聚体,激活下游PI3K/AKT和MAPK信号通路,驱动不受控制的生长、转移和治疗耐药性。除了这些机制,非编码rna (ncRNAs),包括微rna (miRNAs)、长链非编码rna (lncRNAs)和环状rna (circRNAs),已经成为癌症相关网络的关键调节因子。虽然它们不编码蛋白质,但ncrna在转录、转录后和表观遗传水平上发挥影响,具有抑制或增强致癌过程的能力。本文综述了NSCLC中ncRNA活性与NRG1融合驱动信号之间的相互作用,强调了它们在调节途径和促进耐药中的作用。肿瘤抑制mirna,如miR-22和miR-296-5p,直接靶向NRG1或ERBB2/ERBB3转录物,从而减弱异常信号级联。相反,MALAT1和HOTAIR等致癌ncrna促进上皮-间质转化、细胞增殖和化疗耐药,而环状rna则通过充当miRNA海绵来放大致癌作用。总的来说,这些调节分子塑造了nrg1重排NSCLC的致癌格局,并影响了治疗结果。因此,失调的ncrna有望成为诊断、预后和治疗计划的生物标志物,治疗策略旨在恢复肿瘤抑制ncrna或抑制致癌ncrna,为克服这类患者的耐药性提供了潜在途径。
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引用次数: 0
Long-term effects of fenofibrate in male offspring of gestational diabetic rats: Evaluation of glycemia, lipid profiles, liver tissue, and metabolic alterations 非诺贝特对妊娠糖尿病大鼠雄性后代的长期影响:血糖、脂质谱、肝组织和代谢改变的评估
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-11 DOI: 10.1016/j.prp.2025.156331
Shan Wang , Lin Qin , Xiaoli Song , Hejia Yin , Weihong Yang , Robabe Bazesh

Introduction

Fenofibrate (FenoF) has demonstrated potential in regulating glycemia and lipid profiles across various metabolic disorders. However, its effects on the offspring of rats with gestational diabetes mellitus (GDM) have not yet been investigated. This study aims to evaluate the long-term effects of FenoF on glycemic control, lipid metabolism, liver histology, and the expression of key metabolic and inflammatory proteins in the offspring of GDM-exposed rats.

Materials and methods

Pregnant Wistar rats were randomly assigned to four groups (n = 4 per group): Control, GDM, FenoF-treated (100 mg/kg/day, orally), and GDM rats treated with FenoF (GDM + FenoF). Diabetes was induced via a single intraperitoneal injection of streptozotocin (50 mg/kg) on gestational day 12. Six male offspring from each group were randomly selected and maintained on a standard chow diet. The offspring were reared until adulthood (12 weeks of age), at which point plasma glucose levels, lipid profiles, and liver tissue alterations were evaluated through histopathological analysis and Western blotting.

Results

FenoF treatment significantly reduced triglyceride, low-density lipoprotein cholesterol (LDL-C), and glucose levels (P < 0.05), while significantly increasing high-density lipoprotein cholesterol (HDL-C) levels (P < 0.05) in the offspring of GDM rats. FenoF exerted an ameliorative effect in GDM rat offspring, as evidenced by a significant reduction in hepatic TNF-α expression (P < 0.001) and a marked increase in PPARα levels (P < 0.001) compared to the untreated GDM group. Western blot analysis revealed that FenoF treatment significantly downregulated TLR4 and NF-κB expression, indicating attenuation of inflammatory signaling. Moreover, FenoF treatment significantly upregulated AKT1, IRS1, and CPT1A levels, suggesting enhanced insulin signaling and lipid metabolism. Additionally, Histopathological analysis demonstrated that FenoF preserved liver architecture and significantly reduced inflammation and structural abnormalities relative to GDM controls.

Conclusion

In the context of gestational diabetes, FenoF appears to be a promising therapeutic candidate for improving glucose and lipid homeostasis, protecting hepatic tissue from diabetes-induced damage and inflammation, and enhancing key metabolic pathways in the offspring of GDM rats.
非诺贝特(FenoF)已被证明具有调节各种代谢紊乱的血糖和脂质谱的潜力。然而,其对妊娠期糖尿病(GDM)大鼠后代的影响尚未研究。本研究旨在评估FenoF对gdm暴露大鼠后代血糖控制、脂质代谢、肝脏组织学以及关键代谢和炎症蛋白表达的长期影响。材料与方法:将妊娠Wistar大鼠随机分为4组(每组 = 4只):对照组、GDM组、FenoF组(100 mg/kg/天,口服)和GDM组(GDM + FenoF)。妊娠第12天单次腹腔注射链脲佐菌素(50 mg/kg)诱导糖尿病。每组随机选取6只雄性后代,饲喂标准鼠粮。幼鼠饲养至成年(12周龄),此时通过组织病理学分析和Western blotting评估血浆葡萄糖水平、脂质谱和肝脏组织改变。结果:FenoF治疗显著降低甘油三酯、低密度脂蛋白胆固醇(LDL-C)和葡萄糖水平(P )结论:在妊娠糖尿病的背景下,FenoF似乎是一种有希望的治疗候选物,可以改善葡萄糖和脂质稳态,保护肝组织免受糖尿病诱导的损伤和炎症,并增强GDM大鼠后代的关键代谢途径。
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引用次数: 0
Overcoming barriers in cancer therapy with oncolytic adenoviruses: Engineering strategies and clinical perspectives 用溶瘤腺病毒克服癌症治疗的障碍:工程策略和临床观点。
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-05 DOI: 10.1016/j.prp.2026.156351
Rohit Sharma , Rahul Sharma , Kamal Dua , Gaurav Gupta , Dinesh Kumar Chellappan , Sachin Kumar Singh , Thakur Gurjeet Singh , Poonam Negi
Oncolytic adenoviruses (OADVs) have emerged as promising therapeutics for cancer treatment, offering tumour-selective replication and potent antitumor effects. These genetically engineered viruses infect and lyse cancer cells while simultaneously activating antitumor immunity. OADV can be engineered with therapeutic genes and tumour-specific promoters, further enhancing their specificity and efficacy. Various researchers have explored the use of OADV in cancer treatment, integrating direct oncolysis with immune activation, hence revealing promising therapeutic effects in preclinical studies. This review provides comprehensive insights into the mechanism of OADV engineering with tumor-specific promoters and therapeutic payloads, emphasizing advances in vector design that enhance specificity and efficacy. Key evidence from preclinical and clinical studies across lungs, pancreatic, hepatic, breast, renal, and brain cancers is highlighted, demonstrating the translational impact of OADV therapy. The synergistic potential of OADVs in combination regimens, including chemotherapy, immunotherapy, and gene therapy, is critically appraised. The review further examines central hurdles such as antiviral immunity, tumor microenvironment complexity, and delivery challenges, discussing innovative strategies like genetic modulation and nanoparticle carriers to overcome these barriers. Through integrating direct oncolysis and immune modulation, OADVs offer a multifaceted approach for the treatment of resistant and heterogeneous malignancies. The future of OADV therapy requires continued refinement in vector engineering, personalized delivery systems, and multidisciplinary research, positioning OADVs as pivotal agents for enhancing patient outcomes and quality of life in cancer care.
溶瘤腺病毒(OADVs)具有肿瘤选择性复制和有效的抗肿瘤作用,已成为癌症治疗中有前景的治疗方法。这些基因工程病毒感染并溶解癌细胞,同时激活抗肿瘤免疫。OADV可以用治疗基因和肿瘤特异性启动子进行工程化,进一步提高它们的特异性和有效性。许多研究人员已经探索了OADV在癌症治疗中的应用,将直接溶瘤与免疫激活结合起来,从而在临床前研究中揭示了有希望的治疗效果。本文综述了基于肿瘤特异性启动子和治疗有效载荷的OADV工程机制,强调了增强特异性和有效性的载体设计的进展。来自肺、胰腺、肝脏、乳腺癌、肾癌和脑癌的临床前和临床研究的关键证据被强调,证明了OADV治疗的转化影响。对OADVs在包括化疗、免疫治疗和基因治疗在内的联合方案中的协同潜力进行了严格的评估。这篇综述进一步探讨了抗病毒免疫、肿瘤微环境复杂性和递送挑战等主要障碍,讨论了遗传调节和纳米颗粒载体等创新策略来克服这些障碍。通过整合直接溶瘤和免疫调节,OADVs为治疗耐药和异质性恶性肿瘤提供了多方面的方法。未来的OADV治疗需要不断完善载体工程、个性化给药系统和多学科研究,将OADV定位为提高癌症治疗患者预后和生活质量的关键药物。
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Pathology, research and practice
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