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Mechanisms of Anti-PD Therapy Resistance in Digestive System Neoplasms 消化系统肿瘤的抗-PD疗法耐药性机制
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-02-02 DOI: 10.2174/0115748928269276231120103256
Yuxia Wu, Xiangyan Jiang, Zeyuan Yu, Zongrui Xing, Yong Ma, Huiguo Qing
: Digestive system neoplasms are highly heterogeneous and exhibit complex resistance mechanisms that render anti-programmed cell death protein (PD) therapies poorly effective. The tumor microenvironment (TME) plays a pivotal role in tumor development, apart from supplying energy for tumor proliferation and impeding the body's anti-tumor immune response, the TME actively facilitates tumor progression and immune escape via diverse pathways, which include the modulation of heritable gene expression alterations and the intricate interplay with the gut microbiota. In this review, we aim to elucidate the mechanisms underlying drug resistance in digestive tumors, focusing on immune-mediated resistance, microbial crosstalk, metabolism, and epigenetics. We will highlight the unique characteristics of each digestive tumor and emphasize the significance of the tumor immune microenvironment (TIME). Furthermore, we will discuss the current therapeutic strategies that hold promise for combination with cancer immune normalization therapies. This review aims to provide a thorough understanding of the resistance mechanisms in digestive tumors and offer insights into potential therapeutic interventions.
:消化系统肿瘤具有高度异质性,表现出复杂的抗药性机制,导致抗程序性细胞死亡蛋白(PD)疗法效果不佳。肿瘤微环境(TME)在肿瘤发生发展中起着举足轻重的作用,除了为肿瘤增殖提供能量和阻碍机体的抗肿瘤免疫反应外,TME还通过多种途径积极促进肿瘤的发展和免疫逃逸,其中包括可遗传的基因表达改变的调控以及与肠道微生物群错综复杂的相互作用。在这篇综述中,我们旨在阐明消化道肿瘤耐药性的内在机制,重点关注免疫介导的耐药性、微生物串扰、新陈代谢和表观遗传学。我们将强调每种消化系统肿瘤的独特性,并强调肿瘤免疫微环境(TIME)的重要性。此外,我们还将讨论目前有望与癌症免疫正常化疗法相结合的治疗策略。本综述旨在提供对消化系统肿瘤抗药性机制的透彻理解,并为潜在的治疗干预提供见解。
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引用次数: 0
TPD52 as a Potential Prognostic Biomarker and its Correlation with Immune Infiltrates in Uterine Corpus Endometrial Carcinoma: Bioinformatic Analysis and Experimental Verification 作为潜在预后生物标记物的 TPD52 及其与子宫体子宫内膜癌免疫浸润的相关性:生物信息学分析与实验验证
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-02-02 DOI: 10.2174/0115748928267447231107101539
Lu Miao, Buze Chen, Li Jing, Tian Zeng, Youguo Chen
Background: Aberrant expression of tumor protein D52 (TPD52) is associated with some tumors. The role of TPD52 in uterine corpus endometrial carcinoma (UCEC) remains uncertain. Objective: We aimed to investigate the involvement of TPD52 in the pathogenesis of UCEC. Methods: We employed bioinformatics analysis and experimental validation in our study. Results: Our findings indicated that elevated TPD52 expression in UCEC was significantly associated with various clinical factors, including clinical stage, race, weight, body mass index (BMI), histological type, histological grade, surgical approach, and age (p < 0.01). Furthermore, high TPD52 expression was a predictor of poorer overall survival (OS), progress-free survival (PFS), and disease-specific survival (DSS) (p = 0.011, p = 0.006, and p = 0.003, respectively). TPD52 exhibited a significant correlation with DSS (HR: 2.500; 95% CI: 1.153-5.419; p = 0.02). TPD52 was involved in GPCR ligand binding and formation of the cornified envelope in UCEC. Moreover, TPD52 expression was found to be associated with immune infiltration, immune checkpoints, tumor mutation burden (TMB)/ microsatellite instability (MSI), and mRNA stemness indices (mRNAsi). The somatic mutation rate of TPD52 in UCEC was 1.9%. A ceRNA network of AC011447.7/miR-1-3p/TPD52 was constructed. There was excessive TPD52 protein expression. The upregulation of TPD52 expression in UCEC cell lines was found to be statistically significant. Conclusion: TPD52 is upregulated in UCEC and may be a useful patent for prognostic biomarkers of UCEC, which may have important value for clinical treatment and supervision of UCEC patients.
背景:肿瘤蛋白 D52(TPD52)的异常表达与某些肿瘤有关。TPD52 在子宫内膜癌(UCEC)中的作用仍不确定。研究目的我们旨在研究 TPD52 在 UCEC 发病机制中的参与作用。方法我们在研究中采用了生物信息学分析和实验验证。结果我们的研究结果表明,TPD52在UCEC中的高表达与各种临床因素显著相关,包括临床分期、种族、体重、体重指数(BMI)、组织学类型、组织学分级、手术方式和年龄(p <0.01)。此外,TPD52的高表达可预测较差的总生存期(OS)、无进展生存期(PFS)和疾病特异性生存期(DSS)(分别为p = 0.011、p = 0.006和p = 0.003)。TPD52 与 DSS 呈显著相关性(HR:2.500;95% CI:1.153-5.419;p = 0.02)。TPD52 参与了 UCEC 中 GPCR 配体的结合和粟粒状包膜的形成。此外,还发现TPD52的表达与免疫浸润、免疫检查点、肿瘤突变负荷(TMB)/微卫星不稳定性(MSI)和mRNA干性指数(mRNAsi)有关。UCEC 中 TPD52 的体细胞突变率为 1.9%。构建了AC011447.7/miR-1-3p/TPD52的ceRNA网络。TPD52蛋白表达量过大。发现 TPD52 在 UCEC 细胞系中的表达上调具有统计学意义。结论TPD52在UCEC中上调,可能是UCEC预后生物标志物的有效专利,对UCEC患者的临床治疗和监护具有重要价值。
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引用次数: 0
Patent Selections 专利选择
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-02-01 DOI: 10.2174/157489281901231003124546
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引用次数: 0
LncRNA FAM83H-AS1 Contributes to the Radio-resistance and Proliferation in Liver Cancer through Stability FAM83H Protein. LncRNA FAM83H-AS1 通过稳定 FAM83H 蛋白促进肝癌的放射抗性和增殖
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.2174/1574892818666230427164227
Xiaocong Jiang, Yuhong Lan, Yingchun Zhang, Yuhong Dong, Ting Song

Background: Liver cancer (LC) is one of China's most common malignant tumors, with a high mortality rate, ranking third leading cause of death after gastric and esophageal cancer. Recent patents propose the LncRNA FAM83H-AS1 has been verified to perform a crucial role in the progression of LC. LncRNA FAM83H-AS1 has been verified to perform a crucial role in the progression of LC. However, the concrete mechanism remains to be pending further investigation.

Objective: This study aimed to explore the embedding mechanism of FAM83H-AS1 molecules in terms of radio sensitivity of LC and provide potentially effective therapeutic targets for LC therapy.

Methods: Quantitative real-time PCR (qRT-PCR) was conducted to measure the transcription levels of genes. Proliferation was determined via CCK8 and colony formation assays. Western blot was carried out to detect the relative protein expression. A xenograft mouse model was constructed to investigate the effect of LncRNA FAM83H-AS1 on tumor growth and radio-sensitivity in vivo.

Results: The levels of lncRNA FAM83H-AS1 were remarkably increased in LC. Knockdown of FAM83H-AS1 inhibited LC cell proliferation and colony survival fraction. Deletion of FAM83H-AS1 increased the sensitivity of LC cells to 4 Gy of X-ray radiation. In the xenograft model, radiotherapy combined with FAM83H-AS1 silencing significantly reduced tumor volume and weight. Overexpression of FAM83H reversed the effects of FAM83H-AS1 deletion on proliferation and colony survival fraction in LC cells. Moreover, the over-expressing of FAM83H also restored the tumor volume and weight reduction caused by the knockdown of FAM83H-AS1 or radiation in the xenograft model.

Conclusion: Knockdown of lncRNA FAM83H-AS1 inhibited LC growth and enhanced radiosensitivity in LC. It has the potential to be a promising target for LC therapy.

背景:肝癌是中国最常见的恶性肿瘤之一,死亡率高,仅次于胃癌和食管癌,位居第三位。最近的专利提出,LncRNA FAM83H-AS1已被证实在肝癌的进展过程中起着至关重要的作用。LncRNA FAM83H-AS1 已被证实在 LC 的进展过程中发挥关键作用。然而,其具体机制仍有待进一步研究:本研究旨在探讨FAM83H-AS1分子在LC放射敏感性方面的嵌入机制,为LC治疗提供潜在有效的治疗靶点:方法:采用定量实时 PCR(qRT-PCR)检测基因的转录水平。通过 CCK8 和菌落形成试验确定增殖情况。通过 Western 印迹检测相对蛋白表达。构建了异种移植小鼠模型,以研究 LncRNA FAM83H-AS1 对体内肿瘤生长和放射敏感性的影响:结果:LC中lncRNA FAM83H-AS1的水平显著升高。结果:LC中lncRNA FAM83H-AS1的水平显著升高,敲除FAM83H-AS1可抑制LC细胞的增殖和集落存活率。FAM83H-AS1的缺失增加了LC细胞对4 Gy X射线辐射的敏感性。在异种移植模型中,放疗结合 FAM83H-AS1 沉默能显著减少肿瘤体积和重量。过表达 FAM83H 逆转了 FAM83H-AS1 基因缺失对 LC 细胞增殖和集落存活率的影响。此外,在异种移植模型中,过表达FAM83H还能恢复因敲除FAM83H-AS1或辐射导致的肿瘤体积和重量的减少:结论:敲除lncRNA FAM83H-AS1可抑制LC的生长并增强LC的放射敏感性。结论:敲除lncRNA FAM83H-AS1可抑制LC的生长并增强LC的放射敏感性,它有可能成为LC治疗的潜在靶点。
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引用次数: 0
Predictive Modelling of Overall Survival in Adult Patients with Primary Diffuse Large B-cell Lymphoma of the Breast Using the Surveillance, Epidemiology, and End Results (SEER) Database. 利用监测、流行病学和最终结果 (SEER) 数据库建立原发性乳腺弥漫性大 B 细胞淋巴瘤成人患者总生存期的预测模型。
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.2174/1574892818666230718153721
Yishuai Liu, Haifeng Han, Hong Wei, Xinlong Wang, Zhaotang Luan, Kun Jiang

Objective: We aimed to identify critical clinical features to develop an accurate webbased prediction model for estimating the overall survival (OS) of primary breast diffuse large Bcell lymphoma (PB-DLBCL) adult patients.

Methods: We first included all PB-DLBCL cases with available covariates retrieved from the Surveillance, Epidemiology, and End Results database. We sequentially performed univariate and multivariate Cox regression approaches to identify the predictors independently associated with prognosis, and all the predictors that passed these tests were then constructed to build a nomogram for predicting 3-, 5-, and 10-year survival rates of patients. The C-index and the receiver operating characteristic curve (ROC) were used to evaluate the prediction discrimination, and the calibration curve was applied to estimate the calibration.

Results: A total of PB-DLBCL adult patients were included (median age was 69 with the interquartile range [IQR] of 57-79 years), of which 466 (70%) were randomly allocated to the development cohort, and the remaining cases were collected for validation. Using three identified independent predictors (i.e., age, stage, and radiation), an accurate nomogram for predicting OS was developed and validated. The C-indices of our nomogram were both relatively acceptable, with 0.74 (95% CI: 0.71-0.78) and 0.72 (95% CI: 0.70-0.75) for the development and validation cohorts, respectively. The calibration curves also accurately predicted the prognosis of PB-DLBCL in all cases. In addition, ROC curves showed our nomogram to possess superior predictive ability compared to any single variable. To visually present this prediction model, a convenient webbased tool was implemented based on our prognostic nomogram.

Conclusion: For patients with PB-DLBCL, a more convenient and accurate web-based prediction model was developed and validated, which showed relatively good performances in both discrimination and calibration during model development and validation. External evaluation and validation are warranted by further independent studies.

目的我们的目的是确定关键的临床特征,从而建立一个准确的网络预测模型,用于估计原发性乳腺弥漫大B细胞淋巴瘤(PB-DLBCL)成人患者的总生存期(OS):我们首先纳入了所有从监测、流行病学和最终结果数据库中检索到的具有可用协变量的 PB-DLBCL 病例。我们依次采用单变量和多变量 Cox 回归方法来确定与预后独立相关的预测因子,然后将所有通过这些检验的预测因子构建成一个提名图,用于预测患者的 3 年、5 年和 10 年生存率。C指数和接收者操作特征曲线(ROC)用于评估预测的辨别力,校准曲线用于估计校准:共纳入了PB-DLBCL成人患者(中位年龄为69岁,四分位距[IQR]为57-79岁),其中466例(70%)被随机分配到开发队列中,其余病例被收集用于验证。利用已确定的三个独立预测因素(即年龄、分期和辐射),开发并验证了预测 OS 的精确提名图。我们的提名图的C指数都相对可接受,开发组和验证组的C指数分别为0.74(95% CI:0.71-0.78)和0.72(95% CI:0.70-0.75)。校准曲线还能准确预测所有病例中 PB-DLBCL 的预后。此外,ROC 曲线显示,与任何单一变量相比,我们的提名图具有更强的预测能力。为了直观地展示这一预测模型,我们在预后提名图的基础上开发了一种便捷的网络工具:结论:针对PB-DLBCL患者,我们开发并验证了一种更方便、更准确的基于网络的预测模型。外部评估和验证需要进一步的独立研究。
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引用次数: 0
Adverse Effects of Gefitinib on Skin and Colon in a Lung Cancer Mouse Model. 吉非替尼对肺癌小鼠模型皮肤和结肠的不良影响
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.2174/1574892818666230727143750
Yalei Wang, Shuo Cheng, Huawei Zhang, Yali Zhang, Chengcheng Ding, Tiantian Peng, Weihang Chen, Ke Yang, Jiani Zhang, Yan Tan, Xu Wang, Zhaoheng Liu, Peng Wei, Miao Jiang, Qian Hua

Background: Gefitinib, an Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor (EGFR-TKI), frequently causes side effects when used to treat non-small cell lung cancer.

Objective: The purpose of this experiment was to investigate the side effect of gefitinib on the skin and colon of mice.

Methods: Male Balb/c nu-nu nude mice aged 4-5 weeks were used as xenograft tumor models, and gefitinib at 150 mg/kg and 225 mg/kg was started at 9 days after the xenograft tumor grew out. The mice's weights and tumor volumes were tracked concurrently, and the mouse skin adverse reactions and diarrhea were observed during the treatment. The animal tissues were subjected to biochemical and pathological evaluations after 14 days.

Results: Gefitinib effectively decreased the size and weight of transplanted tumors in nude mice, while also lowering body weight and raising indexes of the liver and spleen. Gefitinib could cause skin adverse reactions and diarrhea in mice. Further pathological investigation revealed tight junction- related markers in the mice's skin and colon to be reduced and macrophages and neutrophils to be increased after gefitinib treatment.

Conclusion: The findings imply that gefitinib has negative effects on the skin and colon. Gefitinib- induced skin and colon adverse reactions in mice have been successfully modeled in this study.

背景:吉非替尼是一种表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKI),在用于治疗非小细胞肺癌时经常会产生副作用:本实验旨在研究吉非替尼对小鼠皮肤和结肠的副作用:方法:以4-5周龄雄性Balb/c nu-nu裸鼠为异种移植瘤模型,在异种移植瘤长出9天后开始使用吉非替尼,剂量分别为150 mg/kg和225 mg/kg。同时跟踪小鼠的体重和肿瘤体积,并在治疗过程中观察小鼠皮肤不良反应和腹泻情况。14天后对动物组织进行生化和病理评估:结果:吉非替尼能有效减少裸鼠移植肿瘤的体积和重量,同时降低体重,提高肝脏和脾脏的指标。吉非替尼会引起小鼠皮肤不良反应和腹泻。进一步的病理学研究发现,吉非替尼治疗后,小鼠皮肤和结肠中与紧密连接相关的标记物减少,巨噬细胞和中性粒细胞增加:结论:研究结果表明,吉非替尼对皮肤和结肠有负面影响。本研究成功地模拟了吉非替尼诱导的小鼠皮肤和结肠不良反应。
{"title":"Adverse Effects of Gefitinib on Skin and Colon in a Lung Cancer Mouse Model.","authors":"Yalei Wang, Shuo Cheng, Huawei Zhang, Yali Zhang, Chengcheng Ding, Tiantian Peng, Weihang Chen, Ke Yang, Jiani Zhang, Yan Tan, Xu Wang, Zhaoheng Liu, Peng Wei, Miao Jiang, Qian Hua","doi":"10.2174/1574892818666230727143750","DOIUrl":"10.2174/1574892818666230727143750","url":null,"abstract":"<p><strong>Background: </strong>Gefitinib, an Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor (EGFR-TKI), frequently causes side effects when used to treat non-small cell lung cancer.</p><p><strong>Objective: </strong>The purpose of this experiment was to investigate the side effect of gefitinib on the skin and colon of mice.</p><p><strong>Methods: </strong>Male Balb/c nu-nu nude mice aged 4-5 weeks were used as xenograft tumor models, and gefitinib at 150 mg/kg and 225 mg/kg was started at 9 days after the xenograft tumor grew out. The mice's weights and tumor volumes were tracked concurrently, and the mouse skin adverse reactions and diarrhea were observed during the treatment. The animal tissues were subjected to biochemical and pathological evaluations after 14 days.</p><p><strong>Results: </strong>Gefitinib effectively decreased the size and weight of transplanted tumors in nude mice, while also lowering body weight and raising indexes of the liver and spleen. Gefitinib could cause skin adverse reactions and diarrhea in mice. Further pathological investigation revealed tight junction- related markers in the mice's skin and colon to be reduced and macrophages and neutrophils to be increased after gefitinib treatment.</p><p><strong>Conclusion: </strong>The findings imply that gefitinib has negative effects on the skin and colon. Gefitinib- induced skin and colon adverse reactions in mice have been successfully modeled in this study.</p>","PeriodicalId":20774,"journal":{"name":"Recent patents on anti-cancer drug discovery","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10363175","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
TGF-β Score based on Silico Analysis can Robustly Predict Prognosis and Immunological Characteristics in Lower-grade Glioma: The Evidence from Multicenter Studies. 基于 Silico 分析的 TGF-β 评分可准确预测下级胶质瘤的预后和免疫学特征:来自多中心研究的证据
IF 2.5 4区 医学 Q3 ONCOLOGY Pub Date : 2024-01-01 DOI: 10.2174/1574892819666230915143632
Weizhong Zhang, Zhiyuan Yan, Feng Zhao, Qinggui He, Hongbo Xu

Introduction: Nowadays, mounting evidence shows that variations in TGF-β signaling pathway-related components influence tumor development. Current research has patents describing the use of anti-TGF-β antibodies and checkpoint inhibitors for the treatment of proliferative diseases. Importantly, TGF-β signaling pathway is significant for lower-grade glioma (LGG) to evade host immunity. Loss of particular tumor antigens and shutdown of professional antigenpresenting cell activity may render the anti-tumor response ineffective in LGG patients. However, the prognostic significance of TGF-β related genes in LGG is still unknown.

Methods: We collected RNA-seq data from the GTEx database (normal cortical tissues), the Cancer Genome Atlas database (TCGA-LGG), and the Chinese Glioma Genome Atlas database (CGGA-693 and CGGA-325) for conducting our investigation.

Results: In addition, previous publications were explored for the 223 regulators of the TGF-β signaling pathway, and 30 regulators with abnormal expression in TCGA and GTEx database were identified. In order to identify hub prognostic regulators, least absolute shrinkage and selection operator (LASSO) regression and multivariate Cox regression analysis were used to screen from differentially expressed genes (DEGs). On the basis of 11 genes from LASSO-Cox regression analysis (NEDD8, CHRD, TGFBR1, TP53, BMP2, LRRC32, THBS2, ID1, NOG, TNF, and SERPINE1), TGF-β score was calculated. Multiple statistical approaches verified the predictive value of the TGF-β score for the training cohort and two external validation cohorts. Considering the importance of the TGF-β signaling pathway in immune regulation, we evaluated the prediction of the TGF-β score for immunological characteristics and the possible application of the immunotherapeutic response using six algorithms (TIMER, CIBERSORT, QUANTISEQ, MCP-counter, XCELL and EPIC) and three immunotherapy cohorts (GSE78820, Imvigor-210 and PRJEB23709). Notably, we compared our risk signature with the signature in ten publications in the meta-cohort (TCGA-LGG, CGGA-693 and CGGA-325), and the TGF-β score had the best predictive efficiency (C-index =0.812).

Conclusion: In conclusion, our findings suggest that TGF-β signaling pathway-related signatures are prognostic biomarkers in LGG and provide a novel tool for tumor microenvironment (TME) assessment.

前言如今,越来越多的证据表明,TGF-β 信号通路相关成分的变化会影响肿瘤的发展。目前的研究专利描述了使用抗 TGF-β 抗体和检查点抑制剂治疗增殖性疾病。重要的是,TGF-β 信号通路对低级别胶质瘤(LGG)逃避宿主免疫非常重要。特定肿瘤抗原的缺失和专业抗原递呈细胞活性的关闭可能会使 LGG 患者的抗肿瘤反应无效。然而,TGF-β相关基因在LGG中的预后意义尚不清楚:方法:我们收集了 GTEx 数据库(正常皮质组织)、癌症基因组图谱数据库(TCGA-LGG)和中国胶质瘤基因组图谱数据库(CGGA-693 和 CGGA-325)中的 RNA-seq 数据进行研究:此外,我们还对以往发表的223个TGF-β信号通路调控因子进行了研究,发现了30个在TCGA和GTEx数据库中异常表达的调控因子。为了确定枢纽预后调节因子,研究人员采用了最小绝对收缩和选择算子(LASSO)回归和多变量考克斯回归分析法,从差异表达基因(DEGs)中进行筛选。根据 LASSO-Cox 回归分析得出的 11 个基因(NEDD8、CHRD、TGFBR1、TP53、BMP2、LRRC32、THBS2、ID1、NOG、TNF 和 SERPINE1),计算出 TGF-β 评分。多种统计方法验证了 TGF-β 评分对训练队列和两个外部验证队列的预测价值。考虑到 TGF-β 信号通路在免疫调节中的重要性,我们使用六种算法(TIMER、CIBERSORT、QUANTISEQ、MCP-counter、XCELL 和 EPIC)和三种免疫疗法队列(GSE78820、Imvigor-210 和 PRJEB23709)评估了 TGF-β 评分对免疫学特征和免疫治疗反应可能应用的预测。值得注意的是,我们将我们的风险特征与元队列(TCGA-LGG、CGGA-693和CGGA-325)中十篇论文的特征进行了比较,TGF-β评分的预测效率最高(C-指数=0.812):总之,我们的研究结果表明,TGF-β信号通路相关特征是LGG的预后生物标志物,并为肿瘤微环境(TME)评估提供了一种新工具。
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引用次数: 0
Development of a Novel Lipid Metabolism-related Gene Prognostic Signature for Patients with Colorectal Cancer. 为结直肠癌患者开发新的脂质代谢相关基因预后特征。
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.2174/1574892818666230731121815
Jing Zhan, Wei Cen, Junchang Zhu, Yunliang Ye

Background: The purpose of this study was to explore the expression profiles of lipid metabolism-related genes in patients with Colorectal Cancer (CRC).

Methods: The lipid metabolism statuses of CRC patients from The Cancer Genome Atlas (TCGA) were analyzed. Risk characteristics were constructed by univariate Cox regression and minimum Absolute contraction and Selection Operator (LASSO) Cox regression. A histogram was constructed based on factors such as age, sex, TNM stage, T stage, N stage, and risk score to provide a visual tool for clinicians to predict the probability of 1-year, 3-year, and 5-year OS for CRC patients. By determining Area Under Curve (AUC) values, the time-dependent Receiver Operating characteristic Curve (ROC) was used to evaluate the efficiency of our model in predicting prognosis.

Results: A novel risk signal based on lipid metabolism-related genes was constructed to predict the survival of CRC patients. Risk characteristics were shown to be an independent prognostic factor in CRC patients (p <0.001). There were significant differences in the abundance and immune characteristics of tumor-filtering immune cells between high-risk and low-risk groups. The nomogram had a high potential for clinical application and the ROC AUC value was 0.827. Moreover, ROC analysis demonstrated that the nomogram model was more accurate to predict the survival of CRC patients than age, gender, stage and risk score.

Conclusion: In this study, we demonstrated a lipid metabolism-related genes prognosis biomarker associated with the tumor immune micro-environment in patients with CRC.

背景:本研究旨在探讨结直肠癌(CRC)患者脂质代谢相关基因的表达谱:本研究旨在探讨大肠癌(CRC)患者脂质代谢相关基因的表达谱:方法:分析了癌症基因组图谱(TCGA)中 CRC 患者的脂质代谢状况。通过单变量 Cox 回归和最小绝对收缩与选择操作符(LASSO)Cox 回归构建风险特征。根据年龄、性别、TNM 分期、T 期、N 期和风险评分等因素绘制了直方图,为临床医生预测 CRC 患者 1 年、3 年和 5 年 OS 的概率提供了直观的工具。通过确定曲线下面积(AUC)值,利用与时间相关的接收者操作特征曲线(ROC)来评估我们的模型在预测预后方面的效率:结果:构建了一个基于脂质代谢相关基因的新型风险信号来预测 CRC 患者的生存率。结果表明,风险特征是 CRC 患者的一个独立预后因素(p 结论:我们的研究表明,脂质代谢相关基因是预测 CRC 患者生存率的一个新的风险信号:在这项研究中,我们发现了一种与 CRC 患者肿瘤免疫微环境相关的脂质代谢相关基因预后生物标志物。
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引用次数: 0
Pulmonary Adenocarcinoma Patient with Complex Mutations on EGFR Benefits from Furmonertinib after Acquiring Gefitinib Resistance: A Case Report. EGFR复杂突变的肺腺癌患者获得吉非替尼耐药性后受益于弗莫替尼:一例报告
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.2174/1574892818666230316145232
Guixian Wu, Qian Chen, Dongqing Lv, Ling Lin, Jing Huang

Background: Although epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) have been proven a long-lasting treatment effect in pulmonary adenocarcinoma, most patients still progressed within one year due to the acquired resistance. Complex mutations of rare rare sites after acquiring resistance are rarely reported in pulmonary adenocarcinoma.

Case presentation: A 62-year-old woman was diagnosed with pulmonary adenocarcinoma with stage IV. Genetic testing at the initial treatment showed EGFR L858R positive. After being treated with gefitinib, persistent 2 years disease progression occurred due to drug resistance. The genetic testing showed that EGFR L858R was eliminated, while a rare rare complex mutation of L861Q/G719X appeared. After 160 mg furmonertinib was treated for 1 month, the primary tumor regressed and the intracranial lesions disappeared. The patient has achieved progression-free survival (PFS) for more than 20 months.

Conclusion: Pulmonary adenocarcinoma with rare rare complex mutations in EGFR induced by gefitinib resistance and disease progression might benefit from furmonertinib treatment.

尽管表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKIs)已被证明对肺腺癌具有长期治疗作用,但由于获得性耐药性,大多数患者仍在一年内取得进展。获得耐药性后罕见位点的复杂突变在肺腺癌中很少报道。一名62岁的女性被诊断为肺腺癌IV期。最初治疗时的基因检测显示EGFR L858R阳性。在接受吉非替尼治疗后,由于耐药性,出现了持续2年的疾病进展。基因检测显示EGFR L858R被消除,同时出现罕见的L861Q/G719X复合突变。160 mg呋莫尼治疗1个月后,原发性肿瘤消退,颅内病变消失。患者已达到20个月以上的无进展生存期(PFS)。由吉非替尼耐药性和疾病进展诱导的EGFR罕见复杂突变的肺腺癌可能受益于弗莫替尼治疗。
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引用次数: 0
Integrating Bioinformatics and Drug Sensitivity Analyses to Identify Molecular Characteristics Associated with Targeting Necroptosis in Breast Cancer and their Clinical Prognostic Significance. 整合生物信息学和药物敏感性分析,识别与乳腺癌坏死相关的分子特征及其临床预后意义
IF 2.5 4区 医学 Q3 ONCOLOGY Pub Date : 2024-01-01 DOI: 10.2174/1574892819666230831112815
Chang Zheng, Hanbin Guo, Yongpan Mo, Guowen Liu

Background: Breast cancer accounts for over 1.8 million new cases worldwide annually, and prompt diagnosis and treatment are imperative to prevent mortality. Necroptosis, a form of programmed cell death, is thought to be a critical pathway for cancer cell apoptosis, yet, its relationship with breast cancer progression and molecular mechanisms remains largely unexplored.

Objectives: Our study aims to investigate the molecular characteristics and clinical prognostic value of necroptosis-related genes in breast cancer using a comprehensive approach that involves integrated bioinformatics analysis along with drug sensitivity assessment.

Methods: Transcriptional, clinical, and tumor mutation burden (TMB) data related to breast cancer from the TCGA and GEO databases were integrated, and the necroptosis gene set was downloaded from the GSEA website for analysis. The screening conditions were set as adjusted p < 0.05 and |log2FC(fold change)| > 0.585 to screen for differential expression genes related to breast cancer necroptosis. Survival prognosis analysis was conducted on breast cancer necroptosis genes. Further analysis was conducted on prognosis-related necroptosis genes, including immune infiltration analysis and GO/KEGG enrichment analysis, to explore the potential biological functions and signaling pathway mechanisms of breast cancer necroptosis genes. Drug sensitivity screening was conducted on the prognosis-related necroptosis to identify potential drugs that target the promotion of necroptosis gene expression, and ultimately, single-gene analysis was performed on the core target genes obtained.

Results: Through integrated bioinformatics analysis, 29 differentially expressed mRNAs related to BRCA-Necroptosis were identified, including 18 upregulated mRNAs and 11 downregulated mRNAs. In addition, single-factor analysis of differential genes showed that the expression of HSPA4, PLK1, TNFRSF1B, FLT3, and LEF1 was closely related to BRCA survival prognosis. Based on the expression of these genes, a breast cancer prognosis model was constructed, and it was found that the area under the curve (AUC) of the curve of the risk genes for necroptosis was the largest, indicating that these genes have a certain clinical predictive significance for the occurrence and prognosis of BRCA. Additionally, there were significant differences in clinical characteristics of BRCA patients with different necroptosis gene expressions. Furthermore, GSVA and immune infiltration analysis revealed that Necroptosis-DEGs mainly affect the occurrence and progression of BRCA by participating in immune functions such as APC co-inhibition, APC costimulation, CCR, checkpoint, as well as infiltrating immune cells such as B cells naive, plasma cells, and T cells CD8. Moreover, the necroptosis gene group column chart indicated a 1-year survival rate of 0.979, a 3-year survival rate of 0.883, and a

背景:全世界每年新增的乳腺癌病例超过 180 万例,及时诊断和治疗是防止死亡的当务之急。坏死是细胞程序性死亡的一种形式,被认为是癌细胞凋亡的关键途径,然而,它与乳腺癌进展的关系和分子机制在很大程度上仍未得到探讨:我们的研究旨在采用综合生物信息学分析和药物敏感性评估的方法,研究乳腺癌坏死相关基因的分子特征和临床预后价值:方法:整合TCGA和GEO数据库中与乳腺癌相关的转录、临床和肿瘤突变负荷(TMB)数据,并从GSEA网站下载坏死基因集进行分析。筛选条件设定为调整后 p < 0.05 和 |log2FC(fold change)| > 0.585,以筛选与乳腺癌坏死相关的差异表达基因。对乳腺癌坏死基因进行了生存预后分析。对预后相关的坏死基因进行了进一步分析,包括免疫浸润分析和GO/KEGG富集分析,以探索乳腺癌坏死基因的潜在生物学功能和信号通路机制。对预后相关的坏死基因进行药物敏感性筛选,以确定针对促进坏死基因表达的潜在药物,并最终对获得的核心靶基因进行单基因分析:结果:通过综合生物信息学分析,确定了29个与BRCA-坏死相关的差异表达mRNA,包括18个上调mRNA和11个下调mRNA。此外,差异基因的单因素分析表明,HSPA4、PLK1、TNFRSF1B、FLT3和LEF1的表达与BRCA生存预后密切相关。根据这些基因的表达构建了乳腺癌预后模型,发现坏死风险基因的曲线下面积(AUC)最大,说明这些基因对BRCA的发生和预后具有一定的临床预测意义。此外,不同坏死基因表达的BRCA患者临床特征存在显著差异。此外,GSVA和免疫浸润分析表明,坏死基因主要通过参与APC协同抑制、APC成本刺激、CCR、检查点等免疫功能,以及B细胞、浆细胞和T细胞CD8等免疫细胞的浸润,影响BRCA的发生和进展。此外,坏死基因组柱状图显示,1 年存活率为 0.979,3 年存活率为 0.883,5 年存活率为 0.774。坏死基因组和柱状图是评估 BRCA 预后的重要指标。最后,对BRCA-坏死基因的药物敏感性筛选显示,A- 770041、AC220、AP-24534、Bexarotene和BMS-509744等化合物作为治疗BRCA坏死基因的潜在靶向药物具有一定的效果:结论:坏死基因与乳腺癌的发病和进展有关,并被认为会影响 BRCA 患者的预后和对药物治疗的反应。因此,了解这些基因在乳腺癌中的作用有助于确定更精确、更有效的治疗目标。
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Recent patents on anti-cancer drug discovery
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