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Whole genome sequencing elucidates etiological differences in MCPyV-negative Merkel cell carcinoma 全基因组测序阐明了 MCPyV 阴性梅克尔细胞癌的病因学差异。
IF 2.9 4区 医学 Q2 PATHOLOGY Pub Date : 2024-10-18 DOI: 10.1016/j.prp.2024.155668
Carla Stephan , Majd Al Assaad , Max F. Levine , Aditya Deshpande , Michael Sigouros , Jyothi Manohar , Andrea Sboner , Olivier Elemento , Anna C. Pavlick , Juan Miguel Mosquera
Merkel cell carcinoma (MCC) is an aggressive neuroendocrine neoplasm of the skin. Immunosuppression, ultraviolet radiation and the integration of Merkel cell polyomavirus (MCPyV) have all been shown to be involved in the pathogenesis of this malignancy. We performed whole genome sequencing on two MCPyV-negative cases of MCC that demonstrated very different clinical presentations and outcomes, and mutational profiles. The first case exhibited a highly aggressive clinical course, absence of UV-signature mutations and a low tumor mutational burden. A rearrangement in the tumor suppressor gene SUFU was identified, a likely driver and potential target of the Hedgehog signaling pathway. Meanwhile, the second case exhibited a less aggressive behavior, harbored UV-signature mutations, and a high mutational burden including mutations in TP53 and RB1.
梅克尔细胞癌(MCC)是一种侵袭性皮肤神经内分泌肿瘤。免疫抑制、紫外线辐射和梅克尔细胞多瘤病毒(MCPyV)的整合都被证明与这种恶性肿瘤的发病机制有关。我们对两例MCPyV阴性的MCC病例进行了全基因组测序,这两例病例的临床表现、预后和突变特征截然不同。第一个病例的临床表现极具侵袭性,没有紫外线信号突变,肿瘤突变负荷低。发现肿瘤抑制基因SUFU发生重排,这可能是一个驱动基因,也是刺猬信号通路的潜在靶点。与此同时,第二个病例的侵袭性较低,但存在紫外线特征突变,而且肿瘤突变负荷较高,包括 TP53 和 RB1 基因突变。
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引用次数: 0
TNF-α, and TNFRs in gastrointestinal cancers 胃肠道癌症中的 TNF-α 和 TNFR。
IF 2.9 4区 医学 Q2 PATHOLOGY Pub Date : 2024-10-17 DOI: 10.1016/j.prp.2024.155665
Zahra Mozooni , Rezvaneh Ghadyani , Shahrzad Soleimani , Ehsan Rouhollahpour Ahangar , Mojgan Sheikhpour , Mehrdad Haghighi , Marzieh Motallebi , Abolfazl Movafagh , Seyed Mohsen Aghaei-Zarch
Tumor necrosis factor-alpha (TNF-α) is a multifunctional cytokine that plays a role in the hemostasis of the immune system, inflammation, and cell proliferation. However, it can also have a dark side as it is involved in pro-inflammatory cytokines and pathological processes such as cell growth and death, autoimmunity, and inflammation, leading to a wide range of chronic inflammatory diseases, including digestive cancer. TNF-alpha binds to two distinct receptors, TNFRI and TNFRII. Upon binding of the ligand to these receptors, TNF receptor-associated factors (TRAFs) are recruited to the cytoplasmic receptor, triggering the activation of transcription factors such as NF-kB and Activator protein 1 (AP_1). In contrast, binding of cytokines to certain family members, such as TNF RI and Fas Ligand (Fas L), leads to the secretion and initiation of apoptosis. Gastrointestinal malignancies are among the most common types of cancer globally. Despite extensive research, the exact cause of these tumors remains a mystery. Unfortunately, they often have a poor prognosis and are often detected at a late stage. The global incidence of gastrointestinal cancers, including those of the stomach, esophagus, colon, liver, and pancreas, is on the rise, leading to a surge in both incidence and mortality. Growth factors and cytokines, which are signaling molecules found in the tumor microenvironment, are thought to be major contributors to the development and metastasis of these cancers. In this review, we explored the role of TNF-α, and its receptors in the development of digestive cancers, including its signaling pathways and functions.
肿瘤坏死因子-α(TNF-α)是一种多功能细胞因子,在免疫系统止血、炎症和细胞增殖中发挥作用。然而,它也有阴暗的一面,因为它参与促炎细胞因子和病理过程,如细胞生长和死亡、自身免疫和炎症,导致多种慢性炎症性疾病,包括消化系统癌症。TNF-α 与两种不同的受体(TNFRI 和 TNFRII)结合。配体与这些受体结合后,TNF 受体相关因子(TRAFs)被募集到细胞质受体上,引发 NF-kB 和激活蛋白 1(AP_1)等转录因子的活化。相反,细胞因子与某些家族成员(如 TNF RI 和 Fas 配体(Fas L))结合后,会导致细胞分泌并启动细胞凋亡。胃肠道恶性肿瘤是全球最常见的癌症类型之一。尽管进行了大量研究,但这些肿瘤的确切病因仍然是个谜。不幸的是,这些肿瘤的预后往往很差,而且往往在晚期才被发现。全球胃肠道癌症(包括胃癌、食道癌、结肠癌、肝癌和胰腺癌)的发病率呈上升趋势,导致发病率和死亡率激增。生长因子和细胞因子是肿瘤微环境中的信号分子,被认为是导致这些癌症发展和转移的主要因素。在这篇综述中,我们探讨了 TNF-α 及其受体在消化系统癌症发展中的作用,包括其信号通路和功能。
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引用次数: 0
Therapeutic Potential of lncRNAs in Regulating Disulfidptosis for Cancer Treatment lncRNAs 在调控癌症治疗中的治疗潜力
IF 2.9 4区 医学 Q2 PATHOLOGY Pub Date : 2024-10-16 DOI: 10.1016/j.prp.2024.155657
Abida , Abdulmalik S.A. Altamimi , Nehmat Ghaboura , Ashok Kumar Balaraman , Pranchal Rajput , Pooja Bansal , Sushama Rawat , Fadiyah Jadid Alanazi , Abeer Nuwayfi Alruwaili , Nouf Afit Aldhafeeri , Haider Ali , Pran Kishore Deb
Non-coding RNAs (lncRNAs) play critical roles in various cellular processes, including a novel form of regulated cell death known as disulfidptosis, characterized by accumulating protein disulfide bonds and severe endoplasmic reticulum stress. This review highlights the therapeutic potential of lncRNAs in regulating disulfidptosis for cancer treatment, emphasizing their influence on key pathway components such as GPX4, SLC7A11, and PDIA family members. Recent studies have demonstrated that targeting specific lncRNAs can sensitize cancer cells to disulfidptosis, offering a promising approach to cancer therapy. The regulation of disulfidptosis by lncRNAs involves various signaling pathways, including oxidative stress, ER stress, and calcium signaling. This review also discusses the molecular mechanisms underlying lncRNA regulation of disulfidptosis, the challenges of developing lncRNA-based therapies, and the future potential of this rapidly advancing field in cancer research.
非编码RNA(lncRNA)在各种细胞过程中发挥着关键作用,其中包括一种新型的细胞死亡调控形式,即二硫化血症,其特点是蛋白质二硫键累积和严重的内质网应激。本综述强调了lncRNAs在调控二硫化硫过程中对癌症治疗的潜力,强调了它们对GPX4、SLC7A11和PDIA家族成员等关键通路成分的影响。最近的研究表明,靶向特定的 lncRNA 可使癌细胞对二硫化硫敏感,为癌症治疗提供了一种前景广阔的方法。lncRNAs对二硫化硫的调控涉及多种信号通路,包括氧化应激、ER应激和钙信号转导。这篇综述还讨论了lncRNA调控二硫化硫的分子机制、开发基于lncRNA的疗法所面临的挑战以及这一快速发展的癌症研究领域的未来潜力。
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引用次数: 0
trans-chalcone ameliorates CCl4-induced acute liver injury by suppressing endoplasmic reticulum stress, oxidative stress and inflammation 反式查尔酮通过抑制内质网应激、氧化应激和炎症,改善了 CCl4 引起的急性肝损伤。
IF 2.9 4区 医学 Q2 PATHOLOGY Pub Date : 2024-10-16 DOI: 10.1016/j.prp.2024.155663
Suvesh Munakarmi , Yamuna Gurau , Juna Shrestha , Lokendra Chand , Ho Sung Park , Geum-Hwa Lee , Yeon Jun Jeong

Background

Acute liver injury serves as a crucial marker for detecting liver damage due to toxic, viral, metabolic, and autoimmune exposures. Due to the response to adverse external stimuli and various cellular homeostasis, Endoplasmic reticulum stress (ERS), Oxidative stress, and Inflammation have great potential for treating liver injury. Trans-chalcones (TC) is a polyphenolic compound derived from a natural plant with anti-oxidative and anti-inflammatory abilities. Here, TC was aimed to attenuate liver injury by triggering ER stress, oxidative stress, inflammation, and apoptosis. A single dose of carbon tetrachloride (CCl4) 1 mL/kg was administered intraperitoneally into C57BL6 mice to construct an in vivo NAFLD model, whereas AML12 cells were treated with lipopolysaccharides (LPS) to construct an in vitro NAFLD model. The mice used in the experiment were randomly assigned to two groups: a 12-hour set and a 24-hour set. Forty-nine mice were randomly divided into seven groups, the control group (Group I), TC group (Group II) 10 mg/kg TC, negative control group (Group III) CCl4, TC + CCl4 groups (Groups IV−VI), mice were subcutaneously treated with (5, 10, and 20) mg/kg of TC for three consecutive days before the CCl4 injection and the positive control group (Group VII) received 10 mg/kg Silymarin. After the experiment, serum transaminase, liver histological pathology, hepatic expression levels ERS, oxidative stress, and inflammation-related markers were assessed. TC pre-treatment significantly alleviates the expression of ER stress, oxidative stress, inflammatory cytokines, and apoptosis in both in vivo and in vitro models of liver injury. TC treatment significantly reduced serum transaminase levels (ALT and AST), and improved liver histopathological scores. TC administration also led to a reduction in MDA levels and the suppression of ROS generated by CCl4 in hepatic tissue, which contributed to an increase in GSH levels. The protective effect of TC on the liver injury mouse model was achieved by inhibiting hepatocyte apoptosis. Moreover, TC pre-treatment dramatically decreased the protein levels of ER stress indicators such as CHOP, Bip, Ero-Lα, IRE1α, PERK, Calnexin, and PDI when compared to the CCl4-only treated group. TC exerts hepatoprotective effects against CCl4-induced acute liver injuries in mice by modulating ERS, oxidative stress, and inflammation. These results suggest that TC pre-treatment at a dose of (20 mg/kg BW) was as effective as silymarin (10 mg/kg) in preventing CCl4-induced acute liver injury. Further investigations are necessary to elucidate the precise molecular mechanisms underlying the hepatoprotective effects of TC and to explore its therapeutic potential in clinical trials.
背景:急性肝损伤是检测毒性、病毒、代谢和自身免疫暴露导致的肝损伤的重要标志。内质网应激(ERS)、氧化应激和炎症是肝脏对外界不良刺激和各种细胞稳态的反应,因此具有治疗肝损伤的巨大潜力。反式查耳酮(TC)是从一种天然植物中提取的多酚类化合物,具有抗氧化和抗炎能力。在这里,TC 的目的是通过引发 ER 应激、氧化应激、炎症和细胞凋亡来减轻肝损伤。给 C57BL6 小鼠腹腔注射单剂量四氯化碳(CCl4)1 mL/kg,构建体内非酒精性脂肪肝模型;用脂多糖(LPS)处理 AML12 细胞,构建体外非酒精性脂肪肝模型。实验中使用的小鼠被随机分配到两组:12 小时组和 24 小时组。将 49 只小鼠随机分为七组,分别为对照组(第一组)、TC 组(第二组)10 毫克/千克 TC、阴性对照组(第三组)CCl4、TC + CCl4 组(第四组至第六组),在注射 CCl4 前连续三天皮下注射(5、10 和 20)毫克/千克 TC,阳性对照组(第七组)注射 10 毫克/千克水飞蓟素。实验结束后,对血清转氨酶、肝组织病理学、肝脏表达水平 ERS、氧化应激和炎症相关指标进行了评估。在体内和体外肝损伤模型中,三羟甲基铜预处理都能明显减轻ER应激、氧化应激、炎症细胞因子和细胞凋亡的表达。总胆碱酯酶治疗可明显降低血清转氨酶水平(谷丙转氨酶和谷草转氨酶),并改善肝脏组织病理学评分。服用 TC 还能降低 MDA 水平,抑制 CCl4 在肝组织中产生的 ROS,从而提高 GSH 水平。TC 对肝损伤小鼠模型的保护作用是通过抑制肝细胞凋亡实现的。此外,与仅接受 CCl4 处理的小鼠组相比,TC 预处理可显著降低 ER 应激指标(如 CHOP、Bip、Ero-Lα、IRE1α、PERK、Calnexin 和 PDI)的蛋白水平。TC 通过调节 ERS、氧化应激和炎症,对 CCl4 诱导的小鼠急性肝损伤具有保肝作用。这些结果表明,20 毫克/千克体重剂量的 TC 预处理在预防 CCl4 诱导的急性肝损伤方面与水飞蓟素(10 毫克/千克)同样有效。有必要开展进一步研究,以阐明 TC 具有保肝作用的确切分子机制,并探索其在临床试验中的治疗潜力。
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引用次数: 0
IDO1-mediated catabolism of tryptophan in gastric tumors: Its potential role in the axis of histopathology, differentiation and metastasis 胃肿瘤中 IDO1 介导的色氨酸分解:它在组织病理学、分化和转移轴中的潜在作用。
IF 2.9 4区 医学 Q2 PATHOLOGY Pub Date : 2024-10-16 DOI: 10.1016/j.prp.2024.155655
Cem Horozoglu , Mehmet Tolgahan Hakan , Dilara Sonmez , Asli Yildiz , Seyda Demirkol , Fikret Aktas , Sidar Bagbudar , Ozlem Kucukhuseyin , Soykan Arikan , Filiz Akyuz , Ilhan Yaylim

Background

Indoleamine 2,3-Dioxygenase 1 (IDO1)-mediated tryptophan degradation, which is the rate-limiting enzyme of tryptophan/kynurenine pathway, may cause immune suppression in the tumor microenvironment, while potentiating proliferative and metastatic activity in the tumor focus, Phase studies of IDO1 inhibitors are ongoing, and our study aims to evaluate the potential contribution of IDO1 gene expression to the tryptophan/kynurenine pathway in tumor and tumor microenvironment foci in gastric cancer (GC) on a clinicopathological axis,

Method

In the case-control study design, the determination of tryptophan and its metabolites in the serum of 51 GC and 49 healthy controls was made using High Pressure Liquid Chromatography-Fluorescence Detector (HPLC-FD). IDO1 expression in a total of 102 tissues with tumor and tumor microenvironment was detected by quantitative PCR (q-PCR).

Results

In gastric tumors, 3,25-fold decreased expression of IDO1 was detected according to the tumor microenvironment (p=0,05), IDO1 expression was found to be more than 2 times higher in signet ring cell carcinoma (SRCC) and poorly differentiated tumors without distant organ metastasis (p<0,05), In GC, tryptophan level was found to be 1,6 times lower than in control (AUC:0889; cut off≤21,57; p<0001), Low tryptophan level was found in advanced tumor stage compared to early stage and in the presence of perineural invasion compared to its absence (p<0,05) The level of kynurenine was found to be approximately 1,8 times lower in SRCC (p=0,04),

Conclusion

Increased tryptophan accumulation in the gastric tumor and its microenvironment, when catabolized via IDO1, exhibits histological type, tumor differentiation, and metastasis-promoting effects more prominently in aggressive subtypes such as SRCC,
背景:吲哚胺2,3-二氧化酶1(IDO1)介导的色氨酸降解是色氨酸/犬尿氨酸通路的限速酶,可能会导致肿瘤微环境中的免疫抑制,同时增强肿瘤病灶的增殖和转移活性、IDO1 抑制剂的阶段性研究正在进行中,我们的研究旨在以临床病理学为轴心,评估 IDO1 基因表达对胃癌(GC)肿瘤和肿瘤微环境病灶中色氨酸/犬尿氨酸通路的潜在贡献:采用病例对照研究设计,使用高压液相色谱-荧光检测器(HPLC-FD)测定 51 例胃癌患者和 49 例健康对照者血清中的色氨酸及其代谢物。采用定量 PCR(q-PCR)技术检测了 102 例肿瘤组织和肿瘤微环境中 IDO1 的表达情况:结果发现:在胃肿瘤中,IDO1的表达量随肿瘤微环境的变化而降低3.25倍(p=0.05),在标志环细胞癌(SRCC)和无远处器官转移的分化不良肿瘤中,IDO1的表达量高出2倍多(p=0.05)。
{"title":"IDO1-mediated catabolism of tryptophan in gastric tumors: Its potential role in the axis of histopathology, differentiation and metastasis","authors":"Cem Horozoglu ,&nbsp;Mehmet Tolgahan Hakan ,&nbsp;Dilara Sonmez ,&nbsp;Asli Yildiz ,&nbsp;Seyda Demirkol ,&nbsp;Fikret Aktas ,&nbsp;Sidar Bagbudar ,&nbsp;Ozlem Kucukhuseyin ,&nbsp;Soykan Arikan ,&nbsp;Filiz Akyuz ,&nbsp;Ilhan Yaylim","doi":"10.1016/j.prp.2024.155655","DOIUrl":"10.1016/j.prp.2024.155655","url":null,"abstract":"<div><h3>Background</h3><div>Indoleamine 2,3-Dioxygenase 1 (IDO1)-mediated tryptophan degradation, which is the rate-limiting enzyme of tryptophan/kynurenine pathway, may cause immune suppression in the tumor microenvironment, while potentiating proliferative and metastatic activity in the tumor focus, Phase studies of IDO1 inhibitors are ongoing, and our study aims to evaluate the potential contribution of IDO1 gene expression to the tryptophan/kynurenine pathway in tumor and tumor microenvironment foci in gastric cancer (GC) on a clinicopathological axis,</div></div><div><h3>Method</h3><div>In the case-control study design, the determination of tryptophan and its metabolites in the serum of 51 GC and 49 healthy controls was made using High Pressure Liquid Chromatography-Fluorescence Detector (HPLC-FD). IDO1 expression in a total of 102 tissues with tumor and tumor microenvironment was detected by quantitative PCR (q-PCR).</div></div><div><h3>Results</h3><div>In gastric tumors, 3,25-fold decreased expression of IDO1 was detected according to the tumor microenvironment (p=0,05), IDO1 expression was found to be more than 2 times higher in signet ring cell carcinoma (SRCC) and poorly differentiated tumors without distant organ metastasis (p&lt;0,05), In GC, tryptophan level was found to be 1,6 times lower than in control (AUC:0889; cut off≤21,57; p&lt;0001), Low tryptophan level was found in advanced tumor stage compared to early stage and in the presence of perineural invasion compared to its absence (p&lt;0,05) The level of kynurenine was found to be approximately 1,8 times lower in SRCC (p=0,04),</div></div><div><h3>Conclusion</h3><div>Increased tryptophan accumulation in the gastric tumor and its microenvironment, when catabolized via IDO1, exhibits histological type, tumor differentiation, and metastasis-promoting effects more prominently in aggressive subtypes such as SRCC,</div></div>","PeriodicalId":19916,"journal":{"name":"Pathology, research and practice","volume":"263 ","pages":"Article 155655"},"PeriodicalIF":2.9,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142505683","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
Application of LEF-1 immunohistochemical staining in the diagnosis of solid pseudopapillary neoplasm of the pancreas LEF-1 免疫组化染色在胰腺实体假乳头状瘤诊断中的应用。
IF 2.9 4区 医学 Q2 PATHOLOGY Pub Date : 2024-10-16 DOI: 10.1016/j.prp.2024.155662
Saroja Devi Geetha , Atif Khan , Anam Khan , Yonah Ziemba , Karen Chau , Sunder Sham , Silvat Sheikh-Fayyaz , Arvind Rishi , Deepika Savant

Introduction

Solid pseudopapillary neoplasm (SPN) is a tumor of young females with gain-of-function mutation in catenin beta 1 gene involved in Wnt signal transduction pathway. Beta-catenin immunohistochemistry (IHC) is used to diagnose SPN. Lymphoid enhancer-binding factor 1 (LEF-1) has been recognized in the transactivation of Wnt pathway. We aim to study LEF-1 IHC in SPN and other pancreatic tumors and compare it with beta-catenin IHC.

Methods

We retrieved cases of SPN, pancreatic neuroendocrine tumor (PanNET), serous cystadenoma (SCA), ductal adenocarcinoma (PDAC) and acinar cell carcinoma (ACC) from 2011 to 2023. Formalin-fixed, paraffin-embedded blocks with adequate tumor were cut and stained with beta-catenin (B-Catenin-1 clone) and LEF-1 (EP310 clone) IHC. Cases were reviewed by two pathologists independently. Nuclear staining with LEF-1 and beta-catenin was considered as positive.

Results

Our cohort consisted of 111 cases [SPN = 59 (42 resections, 11 FNA, 6 biopsies), PDAC = 24, PanNET = 22, SCA = 5, ACC = 1]. For SPN cases male to female ratio was1:8. Age ranged from 9 to 81 years (average: 32 years). Pancreatic tail was the most common location (47 %) followed by head (28 %), body (19 %) and neck (6 %). Tumor size ranged from 1.0 to 12.2 cm (average: 5 cm). Among the SPN cases 57/59 demonstrated strong nuclear LEF-1 staining. 2/49 cases were negative for LEF-1 (both pathologist in agreement). All SPN tumors demonstrated nuclear staining with beta-catenin. Among the non-SPN tumors, beta-catenin showed nuclear staining in 2/52 cases (2 PDAC). The remaining 50 cases were negative for nuclear beta-catenin and demonstrated variable staining pattern with interpretation variability between the two pathologists. The sensitivity and specificity for LEF-1 were 97 % and 100 %, respectively, while for beta-catenin, they were 100 % and 96 % respectively.

Conclusion

Crisp nuclear staining of LEF-1 without background staining makes diagnostic interpretation relatively easy and accurate compared to beta-catenin IHC. This is further helpful for small biopsy samples to help differentiate SPN from mimickers such as PanNET. None of the non-SPN cases displayed nuclear LEF-1 rendering it a valuable adjunct to beta-catenin in the diagnostic evaluation of SPN.
导言实性假乳头状瘤(SPN)是一种年轻女性肿瘤,患者体内参与 Wnt 信号转导通路的 catenin beta 1 基因发生了功能增益突变。β-catenin免疫组化(IHC)可用于诊断SPN。淋巴增强子结合因子 1(LEF-1)在 Wnt 信号转导通路中的作用已被确认。我们旨在研究 SPN 和其他胰腺肿瘤中的 LEF-1 IHC,并将其与β-catenin IHC 进行比较:我们检索了 2011 年至 2023 年期间 SPN、胰腺神经内分泌肿瘤(PanNET)、浆液性囊腺瘤(SCA)、导管腺癌(PDAC)和尖细胞癌(ACC)的病例。切取有足够肿瘤的福尔马林固定石蜡包埋块,用β-卡替蛋白(B-卡替蛋白-1克隆)和LEF-1(EP310克隆)IHC染色。病例由两名病理学家独立审查。LEF-1和β-catenin核染色为阳性:我们的队列由 111 例病例组成[SPN = 59(42 例切除,11 例 FNA,6 例活检),PDAC = 24,PanNET = 22,SCA = 5,ACC = 1]。SPN病例的男女比例为1:8。年龄从9岁到81岁不等(平均32岁)。胰腺尾部是最常见的部位(47%),其次是头部(28%)、身体(19%)和颈部(6%)。肿瘤大小从 1.0 厘米到 12.2 厘米不等(平均 5 厘米)。在 SPN 病例中,有 57/59 例显示出较强的核 LEF-1 染色。2/49的病例LEF-1呈阴性(两位病理学家意见一致)。所有SPN肿瘤都显示出β-catenin核染色。在非 SPN 肿瘤中,2/52 的病例(2 例为 PDAC)出现了 beta 连环素核染色。其余 50 个病例的β-catenin 核染色均为阴性,染色模式各异,两位病理学家的解释也不尽相同。LEF-1的敏感性和特异性分别为97%和100%,而β-catenin的敏感性和特异性分别为100%和96%:结论:与β-catenin IHC相比,LEF-1清晰的核染色无背景染色使诊断解释相对容易和准确。这对小活检样本更有帮助,有助于区分SPN和PanNET等模仿者。没有一个非 SPN 病例显示出核 LEF-1,因此在诊断评估 SPN 时,LEF-1 是β-卡捷宁的重要辅助指标。
{"title":"Application of LEF-1 immunohistochemical staining in the diagnosis of solid pseudopapillary neoplasm of the pancreas","authors":"Saroja Devi Geetha ,&nbsp;Atif Khan ,&nbsp;Anam Khan ,&nbsp;Yonah Ziemba ,&nbsp;Karen Chau ,&nbsp;Sunder Sham ,&nbsp;Silvat Sheikh-Fayyaz ,&nbsp;Arvind Rishi ,&nbsp;Deepika Savant","doi":"10.1016/j.prp.2024.155662","DOIUrl":"10.1016/j.prp.2024.155662","url":null,"abstract":"<div><h3>Introduction</h3><div>Solid pseudopapillary neoplasm (SPN) is a tumor of young females with gain-of-function mutation in catenin beta 1 gene involved in Wnt signal transduction pathway. Beta-catenin immunohistochemistry (IHC) is used to diagnose SPN. Lymphoid enhancer-binding factor 1 (LEF-1) has been recognized in the transactivation of Wnt pathway. We aim to study LEF-1 IHC in SPN and other pancreatic tumors and compare it with beta-catenin IHC.</div></div><div><h3>Methods</h3><div>We retrieved cases of SPN, pancreatic neuroendocrine tumor (PanNET), serous cystadenoma (SCA), ductal adenocarcinoma (PDAC) and acinar cell carcinoma (ACC) from 2011 to 2023. Formalin-fixed, paraffin-embedded blocks with adequate tumor were cut and stained with beta-catenin (B-Catenin-1 clone) and LEF-1 (EP310 clone) IHC. Cases were reviewed by two pathologists independently. Nuclear staining with LEF-1 and beta-catenin was considered as positive.</div></div><div><h3>Results</h3><div>Our cohort consisted of 111 cases [SPN = 59 (42 resections, 11 FNA, 6 biopsies), PDAC = 24, PanNET = 22, SCA = 5, ACC = 1]. For SPN cases male to female ratio was1:8. Age ranged from 9 to 81 years (average: 32 years). Pancreatic tail was the most common location (47 %) followed by head (28 %), body (19 %) and neck (6 %). Tumor size ranged from 1.0 to 12.2 cm (average: 5 cm). Among the SPN cases 57/59 demonstrated strong nuclear LEF-1 staining. 2/49 cases were negative for LEF-1 (both pathologist in agreement). All SPN tumors demonstrated nuclear staining with beta-catenin. Among the non-SPN tumors, beta-catenin showed nuclear staining in 2/52 cases (2 PDAC). The remaining 50 cases were negative for nuclear beta-catenin and demonstrated variable staining pattern with interpretation variability between the two pathologists. The sensitivity and specificity for LEF-1 were 97 % and 100 %, respectively, while for beta-catenin, they were 100 % and 96 % respectively.</div></div><div><h3>Conclusion</h3><div>Crisp nuclear staining of LEF-1 without background staining makes diagnostic interpretation relatively easy and accurate compared to beta-catenin IHC. This is further helpful for small biopsy samples to help differentiate SPN from mimickers such as PanNET. None of the non-SPN cases displayed nuclear LEF-1 rendering it a valuable adjunct to beta-catenin in the diagnostic evaluation of SPN.</div></div>","PeriodicalId":19916,"journal":{"name":"Pathology, research and practice","volume":"263 ","pages":"Article 155662"},"PeriodicalIF":2.9,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142472148","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
CircWDR37 promotes hepatocellular carcinoma tumorigenesis by mediating the miR-646/TRAF4 regulatory pathway CircWDR37 通过介导 miR-646/TRAF4 调控途径促进肝细胞癌肿瘤发生
IF 2.9 4区 医学 Q2 PATHOLOGY Pub Date : 2024-10-15 DOI: 10.1016/j.prp.2024.155658
Jie Zhou , Zhu Zhu , Xi Zhang , Wenli Peng , Yongpeng He , Qing Zhang

Background

CircRNA has emerged as a significant player in human malignancies, including hepatocellular carcinoma (HCC). Hsa_circ_0004277 (circWDR37) is abnormally up-regulated in HCC. But, its function and underlying mechanism in HCC progression are largely unknown.

Methods

qRT-PCR and western blot assays were used to measure the expression of circWDR37, miR-646, and TRAF4. Cell malignant phenotypes were assessed via CCK-8, EdU, colony formation, flow cytometry, transwell, and tube formation experiments. The intermolecular interaction between miR-646 and circWDR37 or TRAF4 was confirmed by dual-luciferase reporter and RNA immunoprecipitation (RIP) assay. The in vivo effect of circWDR37 on xenograft tumor growth was also investigated in mice.

Results

Increased CircWDR37 and TRAF4 and decreased miR-646 were found in HCC tissues and cells. Scilencing circWDR37 impeded cell proliferation, migration, invasion, and tube formation, while accelerated apoptosis. CircWDR37 directly bind to miR-646 to suppress miR-646 expression and up-regulate TRAF4 expression. MiR-646 inhibitor partially abated the cell phenotype changes caused by circWDR37 knockdown. Moreover, miR-646 exerted an inhibitory effect on cell malignant phenotypes, which were attenuated due to the increase of TRAF4. Additionally, circWDR37 knockdown blocked HCC tumor growth in vivo.

Conclusion

CircWDR37 exerted an oncogenic effect in HCC by sponging miR-646 to up-regulate TRAF4 expression. Our finding elucidates a novel ‘circWDR37-miR-646-TRAF4’ regulatory axis in HCC and provides a promising target for HCC treatment.
背景:CircRNA 在包括肝细胞癌(HCC)在内的人类恶性肿瘤中发挥着重要作用。Hsa_circ_0004277 (circWDR37) 在 HCC 中异常上调。方法:采用 qRT-PCR 和 Western 印迹检测 circWDR37、miR-646 和 TRAF4 的表达。通过CCK-8、EdU、集落形成、流式细胞术、transwell和试管形成实验评估细胞恶性表型。通过双荧光素酶报告和 RNA 免疫沉淀(RIP)实验证实了 miR-646 与 circWDR37 或 TRAF4 分子间的相互作用。此外,还研究了 circWDR37 对小鼠体内异种移植肿瘤生长的影响:结果:在 HCC 组织和细胞中发现 CircWDR37 和 TRAF4 增加,miR-646 减少。抑制 CircWDR37 会阻碍细胞增殖、迁移、侵袭和管形成,同时加速细胞凋亡。CircWDR37 直接与 miR-646 结合,抑制 miR-646 的表达,上调 TRAF4 的表达。miR-646抑制剂部分缓解了circWDR37敲除引起的细胞表型变化。此外,miR-646 对细胞恶性表型也有抑制作用,而细胞恶性表型因 TRAF4 的增加而减弱。此外,circWDR37敲除可阻止HCC肿瘤在体内生长:结论:CircWDR37通过上调miR-646来上调TRAF4的表达,从而在HCC中发挥致癌作用。我们的发现阐明了HCC中一个新的 "circWDR37-miR-646-TRAF4 "调控轴,并为HCC治疗提供了一个有前景的靶点。
{"title":"CircWDR37 promotes hepatocellular carcinoma tumorigenesis by mediating the miR-646/TRAF4 regulatory pathway","authors":"Jie Zhou ,&nbsp;Zhu Zhu ,&nbsp;Xi Zhang ,&nbsp;Wenli Peng ,&nbsp;Yongpeng He ,&nbsp;Qing Zhang","doi":"10.1016/j.prp.2024.155658","DOIUrl":"10.1016/j.prp.2024.155658","url":null,"abstract":"<div><h3>Background</h3><div>CircRNA has emerged as a significant player in human malignancies, including hepatocellular carcinoma (HCC). Hsa_circ_0004277 (circWDR37) is abnormally up-regulated in HCC. But, its function and underlying mechanism in HCC progression are largely unknown.</div></div><div><h3>Methods</h3><div>qRT-PCR and western blot assays were used to measure the expression of circWDR37, miR-646, and TRAF4. Cell malignant phenotypes were assessed via CCK-8, EdU, colony formation, flow cytometry, transwell, and tube formation experiments. The intermolecular interaction between miR-646 and circWDR37 or TRAF4 was confirmed by dual-luciferase reporter and RNA immunoprecipitation (RIP) assay. The <em>in vivo</em> effect of circWDR37 on xenograft tumor growth was also investigated in mice.</div></div><div><h3>Results</h3><div>Increased CircWDR37 and TRAF4 and decreased miR-646 were found in HCC tissues and cells. Scilencing circWDR37 impeded cell proliferation, migration, invasion, and tube formation, while accelerated apoptosis. CircWDR37 directly bind to miR-646 to suppress miR-646 expression and up-regulate TRAF4 expression. MiR-646 inhibitor partially abated the cell phenotype changes caused by circWDR37 knockdown. Moreover, miR-646 exerted an inhibitory effect on cell malignant phenotypes, which were attenuated due to the increase of TRAF4. Additionally, circWDR37 knockdown blocked HCC tumor growth <em>in vivo</em>.</div></div><div><h3>Conclusion</h3><div>CircWDR37 exerted an oncogenic effect in HCC by sponging miR-646 to up-regulate TRAF4 expression. Our finding elucidates a novel ‘circWDR37-miR-646-TRAF4’ regulatory axis in HCC and provides a promising target for HCC treatment.</div></div>","PeriodicalId":19916,"journal":{"name":"Pathology, research and practice","volume":"263 ","pages":"Article 155658"},"PeriodicalIF":2.9,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142472150","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
High endothelial venules in the pleura: MECA-79 expression in mesothelioma, pleural metastasis and pleuritis 胸膜中的高内皮静脉:间皮瘤、胸膜转移和胸膜炎中的 MECA-79 表达
IF 2.9 4区 医学 Q2 PATHOLOGY Pub Date : 2024-10-15 DOI: 10.1016/j.prp.2024.155661
Ikram Kherrour , Mousa Mobarki , Michel Péoc’h , Georgia Karpathiou

Introduction

High endothelial venules (HEVs) are vessels specialized in the extravasation of lymphocytes from the blood to the tissue implicated in the immune microenvironment of several tumors. Their presence has been never studied in the pleural tissue.

Material and methods

We retrospectively studied 149 surgical pleural biopsies by immunohistochemistry for MECA-79 expression, a marker specifically recognizing HEVs. The tissues included 44 (44 %) inflammatory and 105 (56 %) neoplastic diseases. The latter corresponded to 34 (22.8 %) mesotheliomas and 71 (47.7 %) metastases from lung (n=50) or breast (n=21) primaries.

Results

HEVs were present in 102 (68 %) of all pleural specimens with a mean number of foci containing HEVs of 13.33 (±20.64). Neoplastic pleural pathologies harbored HEVs in 73.3 % of the cases compared to the non-neoplastic pathologies which harbored HEVs in 56.8 % of the cases (p=0.048). Their presence did not differ between pulmonary or mammary metastasis (p=0.7).

Conclusion

We show for the first time that HEVs are present in the pleural cavity probably participating in the immune microenvironment of inflammatory and neoplastic pleural disease.
导言高内皮细胞静脉(HEVs)是专门用于淋巴细胞从血液外渗到组织的血管,与多种肿瘤的免疫微环境有关。材料与方法 我们对 149 例手术胸膜活检组织进行了回顾性研究,用免疫组化方法检测了 MECA-79 的表达,这是一种能特异性识别 HEV 的标记物。这些组织包括 44 例(44%)炎症性疾病和 105 例(56%)肿瘤性疾病。后者包括 34 例(22.8%)间皮瘤和 71 例(47.7%)肺部(n=50)或乳腺(n=21)原发灶转移瘤。结果所有胸膜标本中有 102 例(68%)存在 HEV,含有 HEV 的病灶平均数量为 13.33(±20.64)个。肿瘤性胸膜病变中有73.3%的病例中含有HEV,而非肿瘤性病变中有56.8%的病例中含有HEV(P=0.048)。结论我们首次发现 HEVs 存在于胸膜腔中,可能参与了炎症性和肿瘤性胸膜疾病的免疫微环境。
{"title":"High endothelial venules in the pleura: MECA-79 expression in mesothelioma, pleural metastasis and pleuritis","authors":"Ikram Kherrour ,&nbsp;Mousa Mobarki ,&nbsp;Michel Péoc’h ,&nbsp;Georgia Karpathiou","doi":"10.1016/j.prp.2024.155661","DOIUrl":"10.1016/j.prp.2024.155661","url":null,"abstract":"<div><h3>Introduction</h3><div>High endothelial venules (HEVs) are vessels specialized in the extravasation of lymphocytes from the blood to the tissue implicated in the immune microenvironment of several tumors. Their presence has been never studied in the pleural tissue.</div></div><div><h3>Material and methods</h3><div>We retrospectively studied 149 surgical pleural biopsies by immunohistochemistry for MECA-79 expression, a marker specifically recognizing HEVs. The tissues included 44 (44 %) inflammatory and 105 (56 %) neoplastic diseases. The latter corresponded to 34 (22.8 %) mesotheliomas and 71 (47.7 %) metastases from lung (n=50) or breast (n=21) primaries.</div></div><div><h3>Results</h3><div>HEVs were present in 102 (68 %) of all pleural specimens with a mean number of foci containing HEVs of 13.33 (±20.64). Neoplastic pleural pathologies harbored HEVs in 73.3 % of the cases compared to the non-neoplastic pathologies which harbored HEVs in 56.8 % of the cases (p=0.048). Their presence did not differ between pulmonary or mammary metastasis (p=0.7).</div></div><div><h3>Conclusion</h3><div>We show for the first time that HEVs are present in the pleural cavity probably participating in the immune microenvironment of inflammatory and neoplastic pleural disease.</div></div>","PeriodicalId":19916,"journal":{"name":"Pathology, research and practice","volume":"263 ","pages":"Article 155661"},"PeriodicalIF":2.9,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating glycocalyx morphology and composition in frozen and formalin-fixed liver tumor sections 评估冷冻和福尔马林固定肝脏肿瘤切片中糖萼的形态和组成
IF 2.9 4区 医学 Q2 PATHOLOGY Pub Date : 2024-10-15 DOI: 10.1016/j.prp.2024.155660
Masashi Kuno , Hiroyuki Tomita , Masahide Endo , Kosuke Mori , Akira Hara , Takeshi Horaguchi , Ryoma Yokoi , Keita Matsumoto , Hirokatsu Hayashi , Masahiro Fukada , Chika Takao , Yuta Sato , Ryuichi Asai , Itaru Yasufuku , Jesse Yu Tajima , Shigeru Kiyama , Yoshihiro Tanaka , Nobuhisa Matsuhashi

Background

The glycocalyx (GCX) is a glycan structure on the vascular endothelium and cancer cells. It is crucial for blood flow regulation, tumor invasion, and cancer drug resistance. Understanding the role of GCX in human tumors could help develop new cancer biomarkers and therapies.

Aim

This study aimed to demonstrate microstructural changes in human primary and metastatic liver tumors (henceforth termed liver tumors) by visualizing GCX using surgical specimens and comparing formalin-fixed paraffin-embedded sections (FFPEs) with frozen sections. The results of lectin staining were also compared between frozen and FFPE specimens to determine which was more useful for accurately assessing GCX structure and composition.

Methods

Liver tumors and normal tissue samples from three patients were collected and processed into FFPEs and frozen sections, respectively. Lanthanum nitrate staining and scanning electron microscopy (SEM) were used to assess the GCX structures. Twenty lectins were analyzed for their glycan components in the samples.

Results

SEM revealed significant differences in GCX morphology among the cancer specimens. Frozen sections provided a more accurate GCX evaluation than FFPEs, showing distinct glycan compositions in hepatocellular carcinoma, colorectal carcinoma liver metastases, and melanoma liver metastases. Hepatocellular carcinoma samples exhibited a loss of N-acetylgalactosamine-related lectins.

Conclusion

The results revealed that liver tumors have distinct and bulky GCX compared to normal liver tissue, while frozen sections are more reliable for GCX evaluation. These findings highlight glycan alterations in liver tumors and contribute to the development of new cancer therapies targeting GCX on tumor cell surfaces.
背景糖萼(GCX)是血管内皮和癌细胞上的一种聚糖结构。它对血流调节、肿瘤侵袭和癌症抗药性至关重要。本研究旨在利用手术标本观察 GCX,并比较福尔马林固定石蜡包埋切片(FFPE)和冷冻切片,从而展示人类原发性和转移性肝脏肿瘤(以下称肝脏肿瘤)的微观结构变化。我们还比较了冷冻切片和 FFPE 切片的凝集素染色结果,以确定哪种方法更有助于准确评估 GCX 的结构和组成。采用硝酸镧染色和扫描电子显微镜(SEM)评估 GCX 结构。结果扫描电镜显示癌症标本的 GCX 形态存在显著差异。冷冻切片比 FFPE 更能准确评估 GCX,显示出肝癌、结直肠癌肝转移瘤和黑色素瘤肝转移瘤中不同的糖组成。结果表明,与正常肝组织相比,肝脏肿瘤的 GCX 既独特又笨重,而冷冻切片对 GCX 的评估更为可靠。这些发现突显了肝脏肿瘤中的聚糖改变,有助于开发针对肿瘤细胞表面 GCX 的新型癌症疗法。
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引用次数: 0
Targeting the p53-p21 axis in liver cancer: Linking cellular senescence to tumor suppression and progression 针对肝癌中的 p53-p21 轴:将细胞衰老与肿瘤抑制和进展联系起来
IF 2.9 4区 医学 Q2 PATHOLOGY Pub Date : 2024-10-15 DOI: 10.1016/j.prp.2024.155652
Lakshmi Thangavelu , Abdulmalik S.A. Altamimi , Nehmat Ghaboura , M. Arockia Babu , R. Roopashree , Pawan Sharma , Pusparghya Pal , Chhavi Choudhary , G.V. Siva Prasad , Aashna Sinha , Ashok Kumar Balaraman , Sushama Rawat
Liver cancer is a major health epidemic worldwide, mainly due to its high mortality rates and limited treatment options. The association of cellular senescence to tumorigenesis and the cancer hallmarks remains a subject of interest in cancer biology. The p53-p21 signalling axis is an important regulator in restoring the cell’s balance by supporting tumor suppression and tumorigenesis in liver cancer. We review the novel molecular mechanisms that p53 and its downstream effector, p21, employ to induce cellular senescence, making it last longer, and halt the proliferation of damaged hepatocytes to become tumorous cells. We also examine how dysregulation of this pathway contributes to HCC pathogenesis, proliferation, survival, acquired resistance to apoptosis, and increased invasiveness. Furthermore, we comprehensively describe the molecular cross-talk between the p53-p21 signalling axis and major cell cycle signalling pathways, including Wnt/β-catenin, PI3K/Akt, and TGF-β in liver cancer and provide an overview of promising candidates for chemoprevention and future therapeutic strategies. This review article explores the roles of the p53-p21 pathway in liver cancer, examining its function in promoting cellular senescence under normal conditions and its potential role in cancer progression. It also highlights novel therapeutic drugs and drug targets within the pathway and discusses the implications for treatment strategies and prognosis in liver cancer.
肝癌是世界范围内的一种主要流行病,这主要是由于肝癌的高死亡率和有限的治疗方案造成的。细胞衰老与肿瘤发生和癌症特征之间的关系仍然是癌症生物学中一个令人感兴趣的课题。p53-p21 信号轴是恢复细胞平衡的重要调节器,它支持肝癌中的肿瘤抑制和肿瘤发生。我们回顾了 p53 及其下游效应物 p21 在诱导细胞衰老、延长衰老时间以及阻止受损肝细胞增殖成为肿瘤细胞方面所采用的新型分子机制。我们还研究了这一途径的失调是如何导致 HCC 发病、增殖、存活、获得性抗凋亡和侵袭性增加的。此外,我们还全面描述了肝癌中 p53-p21 信号轴与主要细胞周期信号通路(包括 Wnt/β-catenin、PI3K/Akt 和 TGF-β)之间的分子交叉对话,并概述了化学预防和未来治疗策略的候选方案。这篇综述文章探讨了 p53-p21 通路在肝癌中的作用,研究了它在正常情况下促进细胞衰老的功能及其在癌症进展中的潜在作用。文章还重点介绍了该通路中的新型治疗药物和药物靶点,并讨论了其对肝癌治疗策略和预后的影响。
{"title":"Targeting the p53-p21 axis in liver cancer: Linking cellular senescence to tumor suppression and progression","authors":"Lakshmi Thangavelu ,&nbsp;Abdulmalik S.A. Altamimi ,&nbsp;Nehmat Ghaboura ,&nbsp;M. Arockia Babu ,&nbsp;R. Roopashree ,&nbsp;Pawan Sharma ,&nbsp;Pusparghya Pal ,&nbsp;Chhavi Choudhary ,&nbsp;G.V. Siva Prasad ,&nbsp;Aashna Sinha ,&nbsp;Ashok Kumar Balaraman ,&nbsp;Sushama Rawat","doi":"10.1016/j.prp.2024.155652","DOIUrl":"10.1016/j.prp.2024.155652","url":null,"abstract":"<div><div>Liver cancer is a major health epidemic worldwide, mainly due to its high mortality rates and limited treatment options. The association of cellular senescence to tumorigenesis and the cancer hallmarks remains a subject of interest in cancer biology. The p53-p21 signalling axis is an important regulator in restoring the cell’s balance by supporting tumor suppression and tumorigenesis in liver cancer. We review the novel molecular mechanisms that p53 and its downstream effector, p21, employ to induce cellular senescence, making it last longer, and halt the proliferation of damaged hepatocytes to become tumorous cells. We also examine how dysregulation of this pathway contributes to HCC pathogenesis, proliferation, survival, acquired resistance to apoptosis, and increased invasiveness. Furthermore, we comprehensively describe the molecular cross-talk between the p53-p21 signalling axis and major cell cycle signalling pathways, including Wnt/β-catenin, PI3K/Akt, and TGF-β in liver cancer and provide an overview of promising candidates for chemoprevention and future therapeutic strategies. This review article explores the roles of the p53-p21 pathway in liver cancer, examining its function in promoting cellular senescence under normal conditions and its potential role in cancer progression. It also highlights novel therapeutic drugs and drug targets within the pathway and discusses the implications for treatment strategies and prognosis in liver cancer.</div></div>","PeriodicalId":19916,"journal":{"name":"Pathology, research and practice","volume":"263 ","pages":"Article 155652"},"PeriodicalIF":2.9,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142505690","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
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Pathology, research and practice
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