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Mechanistic study of the role of emodin in targeting and inhibiting the Rap1 signaling pathway to regulate epithelial-mesenchymal transition and reverse cisplatin resistance in hepatocellular carcinoma. 大黄素靶向和抑制Rap1信号通路调控肝癌上皮-间质转化及逆转顺铂耐药的机制研究
IF 1.7 4区 医学 Q4 ONCOLOGY Pub Date : 2026-02-28 Epub Date: 2026-02-25 DOI: 10.21037/tcr-2025-1404
Rui Zhang, Yue Jiao, Song Wang, Ling Wang, Yan Leng, Zhuang Xiong, Ming Yang

Background: Chemotherapy plays a crucial role in the treatment of advanced hepatocellular carcinoma (HCC), but the therapeutic efficacy of cisplatin, a commonly used chemotherapeutic agent, is frequently compromised by drug resistance in advanced stages of the disease. A previous study demonstrated that the combination of emodin and cisplatin alleviates cisplatin resistance by inhibiting epithelial-mesenchymal transition (EMT), but the underlying molecular mechanism remains unclear. This study aimed to systematically elucidate the mechanism of action of emodin in enhancing the antitumor activity of cisplatin.

Methods: The synergistic concentration of emodin and cisplatin was determined using the CCK-8 assay, combined with transcriptome sequencing to analyze the differentially expressed genes and signaling pathways, and Western blot (WB) to validate the expression of key proteins.

Results: The combination of emodin (50 µM) and cisplatin (10 µM) inhibited the proliferation, invasion, and migration of HepG2 cells. Transcriptomic analysis revealed that the combination exerted a synergistic effect through the regulation of the Rap1 pathway. Pathway inhibition assays verified that the combination downregulated Rap1, vimentin, N-cadherin, and p-AKT/AKT, while upregulating the expression of the epithelial marker E-cadherin.

Conclusions: Emodin potentiates the anti-tumor efficacy of cisplatin against HCC while suppressing metastasis, mechanistically through targeted inhibition of the Rap1 signaling pathway and subsequent blockade of the EMT.

背景:化疗在晚期肝细胞癌(HCC)的治疗中起着至关重要的作用,但顺铂作为一种常用的化疗药物,在疾病的晚期经常因耐药而降低疗效。已有研究表明,大黄素联合顺铂可通过抑制上皮-间质转化(epithelial-mesenchymal transition, EMT)减轻顺铂耐药,但其分子机制尚不清楚。本研究旨在系统阐明大黄素增强顺铂抗肿瘤活性的作用机制。方法:采用CCK-8法测定大黄素与顺铂的协同浓度,结合转录组测序分析差异表达基因和信号通路,并用Western blot (WB)验证关键蛋白的表达。结果:大黄素(50µM)与顺铂(10µM)联合使用可抑制HepG2细胞的增殖、侵袭和迁移。转录组学分析显示,这两个组合通过调控Rap1通路发挥协同作用。通路抑制实验证实,联合用药下调了Rap1、vimentin、N-cadherin和p-AKT/AKT,同时上调了上皮标志物E-cadherin的表达。结论:大黄素通过靶向抑制Rap1信号通路和随后阻断EMT,增强顺铂抗HCC的肿瘤疗效,同时抑制转移。
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引用次数: 0
Ability of lactylation-related genes to stratify patients with ovarian cancer and predict immunotherapy response. 乳酸化相关基因对卵巢癌患者分层和预测免疫治疗反应的能力。
IF 1.7 4区 医学 Q4 ONCOLOGY Pub Date : 2026-02-28 Epub Date: 2026-02-25 DOI: 10.21037/tcr-2025-1802
Zhijian Tang, Wei Li, Ruiqiong Ma, Panjian Wei, Jinghong Huang, Ruijun Wang, Yuanming Pan, Jianliu Wang

Background: Lactate and lactylation-related genes (LRGs) have demonstrated promising effects in mitigating tumor growth and improving clinical outcomes, but their role in the ovarian cancer (OV) microenvironment and immunotherapy has not been extensively examined. This study aimed to characterize the relationship between LRGs and the outcomes of patients with OV.

Methods: We collected bulk RNA-sequencing data from The Cancer Genome Atlas (TCGA) OV dataset via the University of California, Santa Cruz (UCSC) Xena and bulk RNA fragments per kilobase of transcript per million mapped reads (FPKM) sequences of normal ovarian tissues via the Genotype-Tissue Expression (GTEx) project. We then analyzed the relationship of 22 LRGs with programmed cell death protein 1 (PD-1) or programmed death-ligand 1 (PD-L1) and compared the prognosis of patients with different expressions of LRGs in response to anti-PD-1/PD-L1 immunotherapy. We used the hierarchical clustering method to delineate subtypes of patients with OV according to LRG and PD-1 and PD-L1 expression and compared their tumor microenvironment (TME) compositions. A neural network was trained based on LRGs to predict the immunotherapy response in patients with OV, and single-cell RNA (scRNA) analysis was used to clarify the mechanisms underlying the LRGs' predictive capacity. Meanwhile, a tissue array was used to determine the LRG hub genes' influence on the prognosis of patients with OV.

Results: Most of the LRGs examined were associated with the prognosis of patients with OV undergoing anti-PD-1/PD-L1 immunotherapy. According to the expression of the LRG panel, patients with OV could be clustered in subtypes, with each cluster exhibiting a distinct TME composition and immune-cell ratio. The neural network based on LRG expression could predict the immunotherapy response of patients with OV, with LDHA and LDHB being the potential hub LRGs. Patients with OV and low LDHA expression had better prognosis in terms of disease-free survival (DFS) or overall survival (OS), while patients with OV and high LDHB expression had a longer DFS and OS.

Conclusions: The expression of lactylation-related hub genes can be used to stratify patients with OV and predict their response to immunotherapy.

背景:乳酸和乳酸化相关基因(LRGs)在减缓肿瘤生长和改善临床结果方面已显示出良好的效果,但它们在卵巢癌(OV)微环境和免疫治疗中的作用尚未得到广泛研究。本研究旨在描述LRGs与OV患者预后之间的关系。方法:通过加州大学圣克鲁斯分校(UCSC) Xena从癌症基因组图谱(TCGA) OV数据集中收集大量RNA测序数据,并通过基因型-组织表达(GTEx)项目收集正常卵巢组织每千碱基转录本每百万绘制reads (FPKM)序列的大量RNA片段。然后,我们分析了22种LRGs与程序性细胞死亡蛋白1 (PD-1)或程序性死亡配体1 (PD-L1)的关系,并比较了不同表达LRGs的患者对抗PD-1/PD-L1免疫治疗的预后。我们根据LRG、PD-1和PD-L1的表达情况,采用分层聚类方法划分OV患者亚型,并比较其肿瘤微环境(tumor microenvironment, TME)组成。基于LRGs训练神经网络来预测OV患者的免疫治疗反应,并使用单细胞RNA (scRNA)分析来阐明LRGs预测能力的机制。同时,采用组织阵列检测LRG枢纽基因对OV患者预后的影响。结果:大多数检测的LRGs与接受抗pd -1/PD-L1免疫治疗的OV患者的预后相关。根据LRG面板的表达,OV患者可以分成不同的亚型,每个亚型都有不同的TME组成和免疫细胞比例。基于LRG表达的神经网络可以预测OV患者的免疫治疗反应,LDHA和LDHB是潜在的中枢LRGs。低LDHA表达的OV患者在无病生存期(DFS)或总生存期(OS)方面预后较好,而高LDHB表达的OV患者的DFS和OS较长。结论:乳酸酰化相关中枢基因的表达可用于OV患者的分层和预测其对免疫治疗的反应。
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引用次数: 0
Bioinformatics identification of adenosylhomocysteinase (AHCY) as a regulator of ferroptosis in nasopharyngeal carcinoma cells via the Hippo-Yes-associated protein (Hippo-YAP) pathway. 通过希波-叶叶相关蛋白(希波-叶叶相关蛋白)途径鉴定腺苷高半胱氨酸酶(AHCY)作为鼻咽癌细胞铁下垂调节因子的生物信息学鉴定
IF 1.7 4区 医学 Q4 ONCOLOGY Pub Date : 2026-02-28 Epub Date: 2026-02-25 DOI: 10.21037/tcr-2025-1844
Huizhen Zheng, Xiaodan Wang, Qin Chen

Background: Nasopharyngeal carcinoma (NPC) is a widely prevalent malignant tumor with a marked tendency toward metastasis and recurrence. Ferroptosis-related genes (FRGs) are critically involved in the pathogenesis of NPC. This study aims to employ bioinformatics analysis methods to identify key genes influencing the malignant progression of NPC and to investigate the regulatory mechanisms of these genes.

Methods: Bulk RNA sequencing datasets (GSE53819, GSE61218, GSE64634, GSE12452, and GSE102349) and a single-cell RNA sequencing dataset (GSE150825) were downloaded from the Gene Expression Omnibus. Integrated bioinformatics analyses-including differential expression analysis, weighted gene co-expression network analysis, machine learning, and survival analysis-were conducted to identify key FRGs associated with NPC. Intracellular expression levels of adenosylhomocysteinase (AHCY), acyl-CoA synthetase long chain family member 4, glutathione peroxidase 4, macrophage stimulating 1, and Yes1 associated transcriptional regulator were detected through western blot. Cell viability was assessed using the cell counting kit-8; cell death was determined by flow cytometry; and cell migration and invasion were evaluated using wound-healing and Transwell assays. Intracellular reactive oxygen species levels were determined using the fluorescent probe 2',7'-dichlorodihydrofluorescein diacetate, and malondialdehyde and glutathione levels were detected using their respective detection kits.

Results: Four key FRGs-isocitrate dehydrogenase 1, AHCY, endothelial PAS domain-containing protein 1 (EPAS1), and ARHGEF26 antisense RNA 1-were identified. Survival analysis of publicly available cohorts highlighted AHCY and EPAS1 as potential biomarkers for survival in patients with NPC. We selected AHCY for further in vitro mechanistic analysis and found it to be upregulated in NPC cell lines (NPC/HK1 and c666-1) relative to the nasopharyngeal epithelial cell line NP69. Functionally, AHCY knockdown in c666-1 cells inhibited cell migration, viability, and invasion, as well as suppressing the Hippo-Yes-associated protein (YAP) pathway, while promoting ferroptosis. Conversely, AHCY overexpression in NPC/HK1 cells enhanced cell migration, viability, and invasion, as well as promoting the Hippo-YAP pathway, while inhibiting ferroptosis. Treatment of AHCY-knockdown c666-1 cells with the ferroptosis inhibitor ferrostatin-1 enhanced cell viability, migration, and invasion, while treatment with the Hippo-YAP pathway agonist PY-60 promoted cell viability, migration, and invasion, while inhibiting ferroptosis.

Conclusions: Our in vitro findings indicate that AHCY suppresses ferroptosis, partly via the Hippo-YAP pathway, thereby promoting the invasion and migration of NPC cells. Further in vivo and clinical studies are warranted to validate these findings.

背景:鼻咽癌是一种普遍存在的恶性肿瘤,具有明显的转移和复发倾向。嗜铁相关基因(FRGs)在鼻咽癌的发病机制中起关键作用。本研究旨在利用生物信息学分析方法,鉴定影响鼻咽癌恶性进展的关键基因,并探讨这些基因的调控机制。方法:从Gene Expression Omnibus下载大量RNA测序数据集(GSE53819、GSE61218、GSE64634、GSE12452和GSE102349)和单细胞RNA测序数据集(GSE150825)。综合生物信息学分析——包括差异表达分析、加权基因共表达网络分析、机器学习和生存分析——被用于识别与NPC相关的关键frg。western blot检测细胞内腺苷高半胱氨酸酶(AHCY)、酰基辅酶a合成酶长链家族成员4、谷胱甘肽过氧化物酶4、巨噬细胞刺激1和Yes1相关转录调节因子的表达水平。使用细胞计数试剂盒-8评估细胞活力;流式细胞术检测细胞死亡;采用创面愈合和Transwell试验评估细胞迁移和侵袭。采用荧光探针2′,7′-二氯二氢荧光素双醋酸酯检测细胞内活性氧水平,采用各自的检测试剂盒检测丙二醛和谷胱甘肽水平。结果:鉴定出4个关键frgs -异柠檬酸脱氢酶1、AHCY、内皮PAS结构域蛋白1 (EPAS1)和ARHGEF26反义RNA 1。公开队列的生存分析强调AHCY和EPAS1是鼻咽癌患者生存的潜在生物标志物。我们选择AHCY进行进一步的体外机制分析,发现它在鼻咽癌细胞系(NPC/HK1和c666-1)中相对于鼻咽上皮细胞系NP69上调。在功能上,c666-1细胞中AHCY敲低抑制细胞迁移、活力和侵袭,并抑制hippo - yes相关蛋白(YAP)通路,同时促进铁下垂。相反,NPC/HK1细胞中AHCY的过表达增强了细胞迁移、活力和侵袭,促进了Hippo-YAP通路,同时抑制了铁下垂。用铁下垂抑制剂ferrostatin-1处理ahcy敲低的c666-1细胞可增强细胞活力、迁移和侵袭,而用希波- yap途径激动剂PY-60处理可促进细胞活力、迁移和侵袭,同时抑制铁下垂。结论:我们的体外研究结果表明,AHCY部分通过希波- yap途径抑制铁下垂,从而促进鼻咽癌细胞的侵袭和迁移。需要进一步的体内和临床研究来验证这些发现。
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引用次数: 0
Does coordinated targeting of metabolism and autophagy, modulated by microtubule dynamics, influence therapeutic vulnerability to eribulin in glioblastoma? 在微管动力学的调节下,代谢和自噬的协同靶向是否会影响胶质母细胞瘤对伊瑞bulin的治疗易损性?
IF 1.7 4区 医学 Q4 ONCOLOGY Pub Date : 2026-02-28 Epub Date: 2026-02-06 DOI: 10.21037/tcr-2026-1-0051
Guilherme Augusto Sousa Alcântara, João Agostinho Machado-Neto
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引用次数: 0
Pan-cancer analysis identifies FAM111B as a biomarker for immune suppression microenvironment in low-grade gliomas. 泛癌分析发现FAM111B是低级别胶质瘤中免疫抑制微环境的生物标志物。
IF 1.7 4区 医学 Q4 ONCOLOGY Pub Date : 2026-02-28 Epub Date: 2026-02-25 DOI: 10.21037/tcr-2025-1762
Zhihai Wang, Longji Li, Bingcheng Wang, Zihao Liu, Xianyong Yin, Dong He, Yuming Li, Qian Liu, Tao Xin
<p><strong>Background: </strong>Mutations in the family with sequence similarity 111 member B (FAM111B) are responsible for POIKTMP, a rare hereditary disease characterized by poikiloderma with tendon contractures, myopathy, and pulmonary fibrosis. Previous studies have primarily focused on the roles of <i>FAM111B</i> in genomic instability and cellular homeostasis, whereas its pan-cancer expression patterns, mechanistic roles, and immune-related relevance, particularly its functions in glioma, have not been systematically investigated. Therefore, this study aimed to systematically investigate the biological and immune-related roles of <i>FAM111B</i> in the development and progression of lower-grade glioma (LGG), and to assess its potential as a prognostic biomarker and therapeutic target.</p><p><strong>Methods: </strong>We analyzed the expression profile of <i>FAM111B</i> across pan-cancer datasets using publicly available databases and assessed its prognostic significance. We investigated the associations between <i>FAM111B</i> expression and tumor mutational burden (TMB), microsatellite instability (MSI), pyroptosis, ferroptosis, and the overall gene mutation landscape. Focusing on glioma, we validated the differential expression of <i>FAM111B</i> among LGG subtypes using patient tumor tissue specimens and glioma cell lines <i>in vitro</i>. Additionally, we conducted protein-protein interaction (PPI) network analysis and functional enrichment analysis. Subsequently, we examined the correlations between <i>FAM111B</i> expression and tumor immune cell infiltration, inflammatory activity, and immune checkpoint expression. Finally, the tumor-promoting role of FAM111B in glioma was further validated through <i>in vitro</i> experiments and intracranial xenograft models established using luciferase-expressing LN229 cells in male BALB/c nude mice, with tumor growth monitored by bioluminescence imaging.</p><p><strong>Results: </strong><i>FAM111B</i> exhibited differential expression across pan-cancer datasets and was significantly associated with patient prognosis. <i>FAM111B</i> expression showed notable correlations with tumor genomic instability and cell death-related molecular features. We further demonstrated that <i>FAM111B</i> was differentially expressed among LGG subtypes and identified <i>FAM111B</i> as an independent prognostic factor for LGG. Subsequent investigations revealed significant associations between <i>FAM111B</i> expression and tumor immune cell infiltration, inflammatory activity, and immune checkpoint expression. Functionally, <i>in vitro</i> experiments demonstrated that FAM111B enhanced glioma cell proliferation, invasion, and migration, and <i>in vivo</i> studies further demonstrated that FAM111B promoted glioma progression by fostering an immunosuppressive tumor microenvironment.</p><p><strong>Conclusions: </strong>Our research indicates that <i>FAM111B</i> is a reliable immune-associated marker of poor prognosis in glioma.
背景:序列相似111成员B (FAM111B)家族的突变是POIKTMP的原因,POIKTMP是一种罕见的遗传性疾病,其特征是POIKTMP伴有肌腱挛缩、肌病和肺纤维化。以往的研究主要集中在FAM111B在基因组不稳定性和细胞稳态中的作用,而其泛癌表达模式、机制作用和免疫相关的相关性,特别是其在胶质瘤中的功能,尚未得到系统的研究。因此,本研究旨在系统探讨FAM111B在低级别胶质瘤(LGG)发生发展中的生物学和免疫相关作用,并评估其作为预后生物标志物和治疗靶点的潜力。方法:我们使用公开的数据库分析FAM111B在泛癌症数据集中的表达谱,并评估其预后意义。我们研究了FAM111B表达与肿瘤突变负荷(TMB)、微卫星不稳定性(MSI)、焦亡、铁亡和整体基因突变景观之间的关系。以胶质瘤为研究对象,我们利用患者肿瘤组织标本和胶质瘤细胞系体外验证了FAM111B在LGG亚型中的差异表达。此外,我们还进行了蛋白质-蛋白质相互作用(PPI)网络分析和功能富集分析。随后,我们研究了FAM111B表达与肿瘤免疫细胞浸润、炎症活性和免疫检查点表达的相关性。最后,通过体外实验和表达荧光素酶LN229细胞的雄性BALB/c裸鼠颅内异种移植模型,通过生物发光成像监测肿瘤生长,进一步验证FAM111B在胶质瘤中的促瘤作用。结果:FAM111B在泛癌症数据集中表现出差异表达,并与患者预后显著相关。FAM111B表达与肿瘤基因组不稳定性和细胞死亡相关的分子特征有显著相关性。我们进一步证明FAM111B在LGG亚型中存在差异表达,并确定FAM111B是LGG的独立预后因素。随后的研究发现FAM111B表达与肿瘤免疫细胞浸润、炎症活性和免疫检查点表达之间存在显著关联。功能上,体外实验证明FAM111B增强胶质瘤细胞的增殖、侵袭和迁移,体内研究进一步证明FAM111B通过培养免疫抑制的肿瘤微环境促进胶质瘤的进展。结论:我们的研究表明FAM111B是胶质瘤不良预后的可靠免疫相关标志物。
{"title":"Pan-cancer analysis identifies FAM111B as a biomarker for immune suppression microenvironment in low-grade gliomas.","authors":"Zhihai Wang, Longji Li, Bingcheng Wang, Zihao Liu, Xianyong Yin, Dong He, Yuming Li, Qian Liu, Tao Xin","doi":"10.21037/tcr-2025-1762","DOIUrl":"https://doi.org/10.21037/tcr-2025-1762","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Mutations in the family with sequence similarity 111 member B (FAM111B) are responsible for POIKTMP, a rare hereditary disease characterized by poikiloderma with tendon contractures, myopathy, and pulmonary fibrosis. Previous studies have primarily focused on the roles of &lt;i&gt;FAM111B&lt;/i&gt; in genomic instability and cellular homeostasis, whereas its pan-cancer expression patterns, mechanistic roles, and immune-related relevance, particularly its functions in glioma, have not been systematically investigated. Therefore, this study aimed to systematically investigate the biological and immune-related roles of &lt;i&gt;FAM111B&lt;/i&gt; in the development and progression of lower-grade glioma (LGG), and to assess its potential as a prognostic biomarker and therapeutic target.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We analyzed the expression profile of &lt;i&gt;FAM111B&lt;/i&gt; across pan-cancer datasets using publicly available databases and assessed its prognostic significance. We investigated the associations between &lt;i&gt;FAM111B&lt;/i&gt; expression and tumor mutational burden (TMB), microsatellite instability (MSI), pyroptosis, ferroptosis, and the overall gene mutation landscape. Focusing on glioma, we validated the differential expression of &lt;i&gt;FAM111B&lt;/i&gt; among LGG subtypes using patient tumor tissue specimens and glioma cell lines &lt;i&gt;in vitro&lt;/i&gt;. Additionally, we conducted protein-protein interaction (PPI) network analysis and functional enrichment analysis. Subsequently, we examined the correlations between &lt;i&gt;FAM111B&lt;/i&gt; expression and tumor immune cell infiltration, inflammatory activity, and immune checkpoint expression. Finally, the tumor-promoting role of FAM111B in glioma was further validated through &lt;i&gt;in vitro&lt;/i&gt; experiments and intracranial xenograft models established using luciferase-expressing LN229 cells in male BALB/c nude mice, with tumor growth monitored by bioluminescence imaging.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;&lt;i&gt;FAM111B&lt;/i&gt; exhibited differential expression across pan-cancer datasets and was significantly associated with patient prognosis. &lt;i&gt;FAM111B&lt;/i&gt; expression showed notable correlations with tumor genomic instability and cell death-related molecular features. We further demonstrated that &lt;i&gt;FAM111B&lt;/i&gt; was differentially expressed among LGG subtypes and identified &lt;i&gt;FAM111B&lt;/i&gt; as an independent prognostic factor for LGG. Subsequent investigations revealed significant associations between &lt;i&gt;FAM111B&lt;/i&gt; expression and tumor immune cell infiltration, inflammatory activity, and immune checkpoint expression. Functionally, &lt;i&gt;in vitro&lt;/i&gt; experiments demonstrated that FAM111B enhanced glioma cell proliferation, invasion, and migration, and &lt;i&gt;in vivo&lt;/i&gt; studies further demonstrated that FAM111B promoted glioma progression by fostering an immunosuppressive tumor microenvironment.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Our research indicates that &lt;i&gt;FAM111B&lt;/i&gt; is a reliable immune-associated marker of poor prognosis in glioma.","PeriodicalId":23216,"journal":{"name":"Translational cancer research","volume":"15 2","pages":"89"},"PeriodicalIF":1.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435729","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
Development and internal validation of a prognostic model for hepatocellular carcinoma after liver resection based on the albumin-bilirubin score and triglyceride-glucose index. 基于白蛋白-胆红素评分和甘油三酯-葡萄糖指数的肝切除术后肝细胞癌预后模型的建立和内部验证。
IF 1.7 4区 医学 Q4 ONCOLOGY Pub Date : 2026-02-28 Epub Date: 2026-02-10 DOI: 10.21037/tcr-2025-1868
Yibo Wang, Yubo Zhao, Linhai Wei, Zhening Yan, Xiang Li, Yinghan Wang, Yue Sun, Yanbo Ma

Background: Hepatocellular carcinoma (HCC) is a major cause of cancer-related mortality. Surgical resection offers a curative option, but outcomes vary widely. Accurate preoperative risk stratification is essential. This study evaluated the prognostic value of the albumin-bilirubin (ALBI) score and triglyceride-glucose (TyG) index-markers of liver function and metabolic status-in patients undergoing curative liver resection.

Methods: This retrospective study included 238 patients with pathologically confirmed HCC who underwent curative liver resection. Preoperative clinical and biochemical variables were collected, and a prognostic model was developed using the entire dataset. Multivariate Cox proportional hazards regression was performed to identify independent prognostic factors. A nomogram incorporating the ALBI score and TyG index was constructed to estimate 2-, 3-, and 4-year overall survival (OS). Model performance was assessed through Kaplan-Meier survival analysis, receiver operating characteristic (ROC) curves, calibration plot, and decision curve analysis (DCA). Bootstrap resampling was used for internal validation to generate corrected estimates of model accuracy.

Results: Multivariate Cox regression demonstrated that both the ALBI score [hazard ratio (HR) =5.120; 95% confidence interval (CI): 2.944-8.905; P<0.001] and the TyG index (HR =4.202; 95% CI: 2.459-7.180; P<0.001) were independent predictors of OS. Patients with elevated ALBI or TyG values exhibited markedly shorter median survival compared with those with lower values. The ALBI-TyG nomogram showed robust discriminative ability, yielding an area under the ROC curve of 0.823 (95% CI: 0.768-0.878), outperforming either marker alone as well as traditional liver function scoring systems. Calibration plot demonstrated good agreement between predicted and observed survival probabilities, while DCA indicated superior net clinical benefit across a wide range of threshold probabilities.

Conclusions: Combining ALBI score and TyG index offers an objective and accessible tool for prognostic assessment in HCC patients undergoing liver resection, enabling more personalized perioperative management.

背景:肝细胞癌(HCC)是癌症相关死亡的主要原因。手术切除是一种治疗选择,但结果差异很大。准确的术前风险分层至关重要。本研究评估了白蛋白-胆红素(ALBI)评分和甘油三酯-葡萄糖(TyG)指数——肝功能和代谢状态的标志——在接受治愈性肝切除术患者中的预后价值。方法:回顾性研究238例经病理证实行根治性肝切除术的HCC患者。收集术前临床和生化变量,并使用整个数据集建立预后模型。采用多因素Cox比例风险回归来确定独立的预后因素。构建包含ALBI评分和TyG指数的nomogram来估计2年、3年和4年的总生存期(OS)。通过Kaplan-Meier生存分析、受试者工作特征(ROC)曲线、校准图和决策曲线分析(DCA)评估模型的性能。Bootstrap重采样用于内部验证,以生成模型精度的修正估计。结果:多因素Cox回归结果显示,ALBI评分[危险比(HR) =5.120;95%置信区间(CI): 2.944-8.905;结论:结合ALBI评分和TyG指数为肝切除术HCC患者的预后评估提供了一个客观、可及的工具,可实现更个性化的围手术期管理。
{"title":"Development and internal validation of a prognostic model for hepatocellular carcinoma after liver resection based on the albumin-bilirubin score and triglyceride-glucose index.","authors":"Yibo Wang, Yubo Zhao, Linhai Wei, Zhening Yan, Xiang Li, Yinghan Wang, Yue Sun, Yanbo Ma","doi":"10.21037/tcr-2025-1868","DOIUrl":"https://doi.org/10.21037/tcr-2025-1868","url":null,"abstract":"<p><strong>Background: </strong>Hepatocellular carcinoma (HCC) is a major cause of cancer-related mortality. Surgical resection offers a curative option, but outcomes vary widely. Accurate preoperative risk stratification is essential. This study evaluated the prognostic value of the albumin-bilirubin (ALBI) score and triglyceride-glucose (TyG) index-markers of liver function and metabolic status-in patients undergoing curative liver resection.</p><p><strong>Methods: </strong>This retrospective study included 238 patients with pathologically confirmed HCC who underwent curative liver resection. Preoperative clinical and biochemical variables were collected, and a prognostic model was developed using the entire dataset. Multivariate Cox proportional hazards regression was performed to identify independent prognostic factors. A nomogram incorporating the ALBI score and TyG index was constructed to estimate 2-, 3-, and 4-year overall survival (OS). Model performance was assessed through Kaplan-Meier survival analysis, receiver operating characteristic (ROC) curves, calibration plot, and decision curve analysis (DCA). Bootstrap resampling was used for internal validation to generate corrected estimates of model accuracy.</p><p><strong>Results: </strong>Multivariate Cox regression demonstrated that both the ALBI score [hazard ratio (HR) =5.120; 95% confidence interval (CI): 2.944-8.905; P<0.001] and the TyG index (HR =4.202; 95% CI: 2.459-7.180; P<0.001) were independent predictors of OS. Patients with elevated ALBI or TyG values exhibited markedly shorter median survival compared with those with lower values. The ALBI-TyG nomogram showed robust discriminative ability, yielding an area under the ROC curve of 0.823 (95% CI: 0.768-0.878), outperforming either marker alone as well as traditional liver function scoring systems. Calibration plot demonstrated good agreement between predicted and observed survival probabilities, while DCA indicated superior net clinical benefit across a wide range of threshold probabilities.</p><p><strong>Conclusions: </strong>Combining ALBI score and TyG index offers an objective and accessible tool for prognostic assessment in HCC patients undergoing liver resection, enabling more personalized perioperative management.</p>","PeriodicalId":23216,"journal":{"name":"Translational cancer research","volume":"15 2","pages":"85"},"PeriodicalIF":1.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435582","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
Rosa roxburghii Tratt fruit polysaccharides inhibit proliferation and induce apoptosis in human cervical cancer cell line. 刺梨果多糖抑制人宫颈癌细胞株增殖和诱导凋亡。
IF 1.7 4区 医学 Q4 ONCOLOGY Pub Date : 2026-02-28 Epub Date: 2026-02-25 DOI: 10.21037/tcr-2025-aw-2431
Huiqiong Liang, Qianqian Li, Yuxing Liao, Hongmei Huang, Wenjie Yang, Xueying Li, Guiyuan Chen, Cuixiang Zhang

Background: Cervical cancer remains a major malignancy seriously threatening women's health. Rosa roxburghii Tratt fruit polysaccharides (RTFP), a natural extract possessing diverse biological activities, can inhibit tumors through mechanisms such as inducing apoptosis and cell cycle arrest. However, the potential effects of RTFP on cervical cancer and the associated molecular mechanisms remain incompletely elucidated. Therefore, this study aimed to investigate the effects of RTFP sourced on the proliferation, migration, invasion, and apoptosis of human cervical cancer cell line.

Methods: Cell viability was assessed using the Cell Counting Kit-8 (CCK-8) assay. HeLa cells were treated with RTFP at concentrations of 2, 4, 6, 8, and 10 mg/mL for 24, 48, and 72 h. Cell migration and invasion were evaluated using scratch wound healing and Transwell assays, respectively, after exposure to RTFP (3 and 6 mg/mL) for 24 and 48 h. For cell cycle and apoptosis analysis, cells treated with RTFP (3 and 6 mg/mL) for 48 h were analyzed by flow cytometry. The messenger RNA (mRNA) and protein expression levels of cell cycle regulators (CDK-1 and cyclin B1) and apoptosis-related markers (Bax, Bcl-2, caspase-3, caspase-8, and caspase-9) were quantified by quantitative real-time polymerase chain reaction (qRT-PCR) and Western blot, respectively, following 48 h of treatment with RTFP (3 and 6 mg/mL). All experiments were performed in three independent replicates (n=3), and data are presented as mean ± standard deviation (SD).

Results: RTFP inhibited the proliferation, migration, and invasion of HeLa cells in a time- and dose-dependent manner (P<0.01). It induced cell cycle arrest at the G2/M phase (P<0.01) and downregulated the protein expression of CDK-1 and cyclin B1 (P<0.05). Additionally, RTFP promoted apoptosis through modulating apoptosis-related proteins: it upregulated the pro-apoptotic proteins Bax, caspase-3, caspase-8, and caspase-9 (P<0.05), while downregulated the anti-apoptotic protein Bcl-2 (P<0.01).

Conclusions: RTFP inhibits the proliferation, migration, and invasion of HeLa cells, arrests the cell cycle at the G2/M phase, and induces apoptosis. These in vitro findings preliminarily demonstrate the potential anti-cervical cancer activity of RTFP in HeLa cells, warranting further in-depth investigations.

背景:宫颈癌仍然是严重威胁妇女健康的主要恶性肿瘤。刺梨多糖(Rosa roxburghii Tratt fruit polysaccharides, RTFP)是一种具有多种生物活性的天然提取物,可通过诱导细胞凋亡、阻滞细胞周期等机制抑制肿瘤。然而,RTFP对宫颈癌的潜在影响及其相关的分子机制尚未完全阐明。因此,本研究旨在探讨RTFP源对人宫颈癌细胞系增殖、迁移、侵袭和凋亡的影响。方法:采用细胞计数试剂盒-8 (CCK-8)法测定细胞活力。分别用浓度为2、4、6、8和10 mg/mL的RTFP处理HeLa细胞24、48和72小时。在RTFP(3和6 mg/mL)作用24和48小时后,分别用划痕伤口愈合和Transwell实验评估细胞迁移和侵袭。为了分析细胞周期和凋亡,用流式细胞术分析RTFP(3和6 mg/mL)作用48小时的细胞。在RTFP(3和6 mg/mL)作用48 h后,分别用实时荧光定量聚合酶链反应(qRT-PCR)和Western blot检测细胞周期调节因子(CDK-1和cyclin B1)和凋亡相关标志物(Bax、Bcl-2、caspase-3、caspase-8和caspase-9)的mRNA和蛋白表达水平。所有实验均为3个独立重复(n=3),数据以均数±标准差(SD)表示。结果:RTFP对HeLa细胞的增殖、迁移和侵袭具有时间和剂量依赖性(p)。结论:RTFP对HeLa细胞的增殖、迁移和侵袭具有抑制作用,使细胞周期停留在G2/M期,诱导细胞凋亡。这些体外实验结果初步证明了RTFP在HeLa细胞中具有潜在的抗宫颈癌活性,值得进一步深入研究。
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引用次数: 0
Timing matters: concurrent vs. sequential immunotherapy in combination with chemoradiation in head and neck cancer. 时间问题:同步免疫治疗与放化疗联合头颈癌的顺序治疗。
IF 1.7 4区 医学 Q4 ONCOLOGY Pub Date : 2026-02-28 Epub Date: 2026-02-10 DOI: 10.21037/tcr-2025-1-2616
Lindsey M Bachmann, Dalia El-Gamal, Trisha M Wise-Draper
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引用次数: 0
Integrating tumor regression and nodal status for refined prognostication after neoadjuvant therapy in esophageal cancer: where does TRG-N fit in the evolving global landscape? 整合肿瘤消退和淋巴结状态以精确预测食管癌新辅助治疗后的预后:TRG-N在不断发展的全球格局中处于什么位置?
IF 1.7 4区 医学 Q4 ONCOLOGY Pub Date : 2026-02-28 Epub Date: 2026-02-02 DOI: 10.21037/tcr-2025-1-2781
Eisuke Booka, Hiroya Takeuchi
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引用次数: 0
CNN3 promotes angiogenesis in osteosarcoma, associated with upregulating VEGF-A and enhancing endothelial cell activity. CNN3促进骨肉瘤血管生成,与上调VEGF-A和增强内皮细胞活性有关。
IF 1.7 4区 医学 Q4 ONCOLOGY Pub Date : 2026-02-28 Epub Date: 2026-02-13 DOI: 10.21037/tcr-2025-1846
Dong Sun, Fei Dai, Binqing Xiang, Heng Wang, Haiyan Tao, Shuai Zhang, Xiaoliang Tao, Xianjie Zhu, Fei Luo, Lei Song

Background: Angiogenesis plays a pivotal role in driving tumour progression, including tumour growth, local invasion, and distant metastasis. Calponin 3 (CNN3) belongs to the actin-binding protein family and has been shown to be aberrantly expressed in osteosarcoma specimens, but its exact role in the regulation of angiogenesis remains unknown. This study aimed to investigate the function and underlying mechanism of CNN3 in osteosarcoma angiogenesis.

Methods: CNN3 and CD31 expression in osteosarcoma specimens was detected by immunohistochemistry. CNN3 in MG-63 and Saos-2 cells was silenced or overexpressed by transfection with small interfering RNA or overexpression plasmids, respectively. Vascular endothelial growth factor-A (VEGF-A) levels were determined by enzyme-linked immunosorbent assay. Human umbilical vein endothelial cells (HUVECs) were co-cultured with CNN3-silenced or -overexpressing osteosarcoma cells using a Transwell chamber. The function of HUVECs were assessed using cell counting, scratch wound healing, Transwell Matrigel invasion, and Matrigel vascular mimicry assays. The protein levels of endothelial-to-mesenchymal transition (EndMT) markers and phosphorylated Akt in HUVECs was determined using western blotting.

Results: Immunohistochemical analysis demonstrated a significant positive correlation between CNN3 expression and CD31 (microvascular density marker) levels in osteosarcoma tissues (r=0.7264, P=0.0003). HUVECs co-cultured with CNN3-overexpressing cells exhibited enhanced proliferative, migratory, invasive, and tube-forming capacities along with promoted EndMT, whereas CNN3 silencing suppressed these effects. CNN3 silencing reduced, while its overexpression elevated, VEGF-A secretion in both MG-63 and Saos-2 cells. Furthermore, silencing CNN3 in MG-63 and Saos-2 cells decreased Akt phosphorylation in co-cultured HUVECs, whereas CNN3 overexpression concomitantly increased it.

Conclusions: CNN3 promotes osteosarcoma angiogenesis, possibly through upregulating VEGF-A secretion and enhancing endothelial cell functions, suggesting its potential as the therapeutic target for anti-angiogenic strategies.

背景:血管生成在肿瘤进展中起着关键作用,包括肿瘤生长、局部侵袭和远处转移。钙钙蛋白3 (CNN3)属于肌动蛋白结合蛋白家族,已被证明在骨肉瘤标本中异常表达,但其在调节血管生成中的确切作用尚不清楚。本研究旨在探讨CNN3在骨肉瘤血管生成中的功能及其机制。方法:采用免疫组化方法检测骨肉瘤标本中CNN3和CD31的表达。转染小干扰RNA或过表达质粒后,MG-63和Saos-2细胞中CNN3分别沉默或过表达。采用酶联免疫吸附法检测血管内皮生长因子- a (VEGF-A)水平。人脐静脉内皮细胞(HUVECs)与cnn3沉默或过表达的骨肉瘤细胞使用Transwell腔室共培养。通过细胞计数、划伤愈合、Transwell Matrigel侵袭和Matrigel血管模拟试验来评估HUVECs的功能。采用western blotting检测HUVECs中内皮-间质转化(EndMT)标记物和磷酸化Akt的蛋白水平。结果:免疫组化分析显示,骨肉瘤组织中CNN3表达与CD31(微血管密度标记物)水平呈正相关(r=0.7264, P=0.0003)。与过表达CNN3的细胞共培养的HUVECs表现出增强的增殖、迁移、侵袭和管形成能力,并促进了EndMT,而CNN3沉默抑制了这些作用。CNN3沉默降低MG-63和Saos-2细胞中VEGF-A的分泌,而其过表达升高。此外,在MG-63和Saos-2细胞中沉默CNN3可降低共培养HUVECs中Akt的磷酸化,而CNN3过表达可同时增加Akt的磷酸化。结论:CNN3可能通过上调VEGF-A分泌和增强内皮细胞功能促进骨肉瘤血管生成,提示其可能作为抗血管生成策略的治疗靶点。
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引用次数: 0
期刊
Translational cancer research
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