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The Role of DNA Viruses in Human Cancer. DNA病毒在人类癌症中的作用。
IF 2 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-06-13 eCollection Date: 2023-01-01 DOI: 10.1177/11769351231154186
Zohreh-Al-Sadat Ghoreshi, Hamid Reza Molaei, Nasir Arefinia

This review discusses the possible involvement of infections-associated cancers in humans, with virus infections contributing 15% to 20% of total cancer cases in humans. DNA virus encoded proteins interact with host cellular signaling pathways and control proliferation, cell death and genomic integrity viral oncoproteins are known to bind cellular Deubiquitinates (DUBs) such as cyclindromatosis tumor suppressor, ubiquitin-specific proteases 7, 11, 15 and 20, and A-20 to improve their intracellular stability and cellular signaling pathways and finally transformation. Human papillomaviruses (cervical carcinoma, oral cancer and laryngeal cancer); human polyomaviruses (mesotheliomas, brain tumors); Epstein-Barr virus (B-cell lymphoproliferative diseases and nasopharyngeal carcinoma); Kaposi's Sarcoma Herpesvirus (Kaposi's Sarcoma and primary effusion lymphomas); hepatitis B (hepatocellular carcinoma (HCC)) cause up to 20% of malignancies around the world.

这篇综述讨论了人类感染相关癌症的可能参与,病毒感染占人类癌症总病例的15%至20%。DNA病毒编码的蛋白质与宿主细胞信号通路相互作用,并控制增殖、细胞死亡和基因组完整性已知病毒癌蛋白结合细胞双奎酸盐(DUBs),如细胞周期蛋白增多症肿瘤抑制因子、泛素特异性蛋白酶7、11、15和20,和A-20以改善它们的细胞内稳定性和细胞信号通路,并最终转化。人乳头瘤病毒(宫颈癌、癌症和癌症);人类多瘤病毒(间皮瘤、脑肿瘤);EB病毒(B细胞淋巴增生性疾病和鼻咽癌);卡波西肉瘤疱疹病毒(卡波西肉瘤和原发性渗出性淋巴瘤);乙型肝炎(肝细胞癌(HCC))在全世界引起高达20%的恶性肿瘤。
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引用次数: 2
Quantifying the Contributions of Environmental Factors to Prostate Cancer and Detecting Risk-Related Diet Metrics and Racial Disparities. 量化环境因素对前列腺癌的影响,检测与风险相关的饮食指标和种族差异。
IF 2 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-04-27 eCollection Date: 2023-01-01 DOI: 10.1177/11769351231168006
Wensheng Zhang, Kun Zhang

The relevance of nongenetic factors to prostate cancer (PCa) has been elusive. We aimed to quantify the contributions of environmental factors to PCa and identify risk-related diet metrics and relevant racial disparities. We performed a unique analysis of the Diet History Questionnaire data of 41 830 European Americans (EAs) and 1282 African Americans (AAs) in the PLCO project. The independent variables in the regression models consisted of age at trial entry, race, family history of prostate cancer (PCa-fh), diabetes history, body mass index (BMI), lifestyle (smoking and coffee consumption), marital status, and a specific nutrient/food factor (X). P < .05 and a 95% confidence interval excluding zero were adopted as the criteria for determining a significant difference (effect). We established a priority ranking among PCa risk-related genetic and environmental factors according to the deviances explained by them in the multivariate Cox-PH regression analysis: age > PCa-fh > diabetes ⩾ race > lifestyle ⩾marital-status ⩾BMI > X. We confirmed previous studies showing that (1) high protein and saturated fat levels in diet were related to increased PCa risk, (2) high-level supplementary selenium intake was harmful rather than beneficial for preventing PCa, and (3) supplementary vitamin B6 was beneficial for preventing benign PCa. We obtained the following novel findings: high-level organ meat intake was an independent predictor for increased aggressive PCa risk; supplementary iron, copper and magnesium increased benign PCa risk; and the AA diet was "healthy" in terms of the relatively lower protein and fat levels and was "unhealthy" in that it more commonly contained organ meat. In conclusion, we established a priority ranking among the contributing factors for PCa and identified several risk-related diet metrics and the racial disparities. Our findings suggested some new approaches to prevent PCa such as restriction of organ meat intake and supplementary microminerals.

非遗传因素与前列腺癌(PCa)的相关性一直难以捉摸。我们旨在量化环境因素对 PCa 的影响,并确定与风险相关的饮食指标和相关的种族差异。我们对 PLCO 项目中 41 830 名欧洲裔美国人(EA)和 1282 名非洲裔美国人(AA)的饮食史问卷数据进行了独特的分析。回归模型中的自变量包括参加试验时的年龄、种族、前列腺癌家族史(PCa-fh)、糖尿病史、体重指数(BMI)、生活方式(吸烟和喝咖啡)、婚姻状况以及特定的营养素/食物因子(X)。我们证实了之前的研究显示:(1)饮食中的高蛋白和饱和脂肪水平与 PCa 风险增加有关;(2)高水平的补充硒摄入对预防 PCa 有害而无益;(3)补充维生素 B6 对预防良性 PCa 有益。我们得出了以下新发现:高水平的内脏肉类摄入量是增加侵袭性 PCa 风险的独立预测因素;补充铁、铜和镁会增加良性 PCa 风险;AA 饮食的 "健康 "之处在于其蛋白质和脂肪水平相对较低,而 "不健康 "之处在于其更常含有内脏肉类。总之,我们对导致 PCa 的因素进行了优先排序,并确定了几种与风险相关的饮食指标和种族差异。我们的研究结果提出了一些预防 PCa 的新方法,如限制内脏肉类的摄入和补充微量元素。
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引用次数: 0
Cervical Transformation Zone Segmentation and Classification based on Improved Inception-ResNet-V2 Using Colposcopy Images. 基于改进的Inception-ResNet-V2阴道镜图像的宫颈转化区分割与分类。
IF 2 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-01-01 DOI: 10.1177/11769351231161477
Srikanta Dash, Prabira Kumar Sethy, Santi Kumari Behera

The second most frequent malignancy in women worldwide is cervical cancer. In the transformation(transitional) zone, which is a region of the cervix, columnar cells are continuously converting into squamous cells. The most typical location on the cervix for the development of aberrant cells is the transformation zone, a region of transforming cells. This article suggests a 2-phase method that includes segmenting and classifying the transformation zone to identify the type of cervical cancer. In the initial stage, the transformation zone is segmented from the colposcopy images. The segmented images are then subjected to the augmentation process and identified with the improved inception-resnet-v2. Here, multi-scale feature fusion framework that utilizes 3 × 3 convolution kernels from Reduction-A and Reduction-B of inception-resnet-v2 is introduced. The feature extracted from Reduction-A and Reduction -B is concatenated and fed to SVM for classification. This way, the model combines the benefits of residual networks and Inception convolution, increasing network width and resolving the deep network's training issue. The network can extract several scales of contextual information due to the multi-scale feature fusion, which increases accuracy. The experimental results reveal 81.24% accuracy, 81.24% sensitivity, 90.62% specificity, 87.52% precision, 9.38% FPR, and 81.68% F1 score, 75.27% MCC, and 57.79% Kappa coefficient.

全世界妇女中第二常见的恶性肿瘤是宫颈癌。在转化(过渡)区,即子宫颈的一个区域,柱状细胞不断转化为鳞状细胞。宫颈上异常细胞发育最典型的位置是转化区,即转化细胞的区域。本文提出了两阶段的方法,包括分割和分类转化区,以确定宫颈癌的类型。在初始阶段,从阴道镜图像中分割出变换区域。然后对分割后的图像进行增强处理,并使用改进的inception-resnet-v2进行识别。本文介绍了利用inception-resnet-v2的reduce - a和reduce - b的3 × 3卷积核的多尺度特征融合框架。将从reduce - a和Reduction -B中提取的特征串接并馈送给SVM进行分类。这样,该模型结合了残差网络和Inception卷积的优点,增加了网络宽度,解决了深度网络的训练问题。由于多尺度特征融合,该网络可以提取多个尺度的上下文信息,提高了准确率。实验结果显示:准确率81.24%,灵敏度81.24%,特异性90.62%,精密度87.52%,FPR 9.38%, F1评分81.68%,MCC 75.27%, Kappa系数57.79%。
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引用次数: 0
Development of an eHealth Tool for Capturing and Analyzing the Immune-related Adverse Events (irAEs) in Cancer Treatment. 用于捕获和分析癌症治疗中免疫相关不良事件(irAEs)的电子健康工具的开发。
IF 2 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-01-01 DOI: 10.1177/11769351231178587
Saeed Moradian, Shive Ghasemi, Babak Boutorabi, Zakieh Sharifian, Fay Dastjerdi, Catriona Buick, Charlotte T Lee, Samantha J Mayo, Plinio P Morita, Doris Howell
<p><strong>Introduction: </strong>Immunotherapy has revolutionized the treatment of many different types of cancer, but it is associated with a myriad of immune-related adverse events (irAEs). Patient-reported outcome (PRO) measures have been identified as valuable tools for continuously collecting patient-centered data and are frequently used in oncology trials. However, few studies still research an ePRO follow-up approach on patients treated with Immunotherapy, potentially reflecting a lack of support services for this population.</p><p><strong>Methods: </strong>The team co-developed a digital platform (V-Care) using ePROs to create a new follow-up pathway for cancer patients receiving immunotherapy. To operationalize the first 3 phases of the CeHRes roadmap, we employed multiple methods that were integrated throughout the development process, rather than being performed in a linear fashion. The teams employed an agile approach in a dynamic and iterative manner, engaging key stakeholders throughout the process.</p><p><strong>Results: </strong>The development of the application was categorized into 2 phases: "user interface" (UI) and "user experience" (UX) designs. In the first phase, the pages of the application were segmented into general categories, and feedback from all stakeholders was received and used to modify the application. In phase 2, mock-up pages were developed and sent to the Figma website. Moreover, the Android Package Kit (APK) of the application was installed and tested multiple times on a mobile phone to proactively detect and fix any errors. After resolving some technical issues and adjusting errors on the Android version to improve the user experience, the iOS version of the application was developed.</p><p><strong>Discussion: </strong>By incorporating the latest technological developments, V-Care has enabled cancer patients to have access to more comprehensive and personalized care, allowing them to better manage their condition and be better informed about their health decisions. These advances have also enabled healthcare professionals to be better equipped with the knowledge and tools to provide more effective and efficient care. In addition, the advances in V-Care technology have allowed patients to connect with their healthcare providers more easily, providing a platform to facilitate communication and collaboration. Although usability testing is necessary to evaluate the efficacy and user experience of the app, it can be a significant investment of time and resources.</p><p><strong>Conclusion: </strong>The V-Care platform can be used to investigate the reported symptoms experienced by cancer patients receiving Immune checkpoint inhibitors (ICIs) and to compare them with the results from clinical trials. Furthermore, the project will utilize ePRO tools to collect symptoms from patients and provide insight into whether the reported symptoms are linked to the treatment.</p><p><strong>Clinical relevance: </strong>V-Care
免疫疗法已经彻底改变了许多不同类型癌症的治疗,但它与无数的免疫相关不良事件(irAEs)有关。患者报告结果(PRO)测量已被确定为持续收集以患者为中心的数据的有价值的工具,并经常用于肿瘤试验。然而,很少有研究对接受免疫治疗的患者进行ePRO随访,这可能反映了对这一人群缺乏支持服务。方法:该团队利用ePROs共同开发了一个数字平台(V-Care),为接受免疫治疗的癌症患者创造了新的随访途径。为了实现CeHRes路线图的前3个阶段,我们在整个开发过程中集成了多种方法,而不是以线性方式执行。团队以动态和迭代的方式采用敏捷方法,在整个过程中吸引关键涉众。结果:应用程序的开发分为两个阶段:“用户界面”(UI)和“用户体验”(UX)设计。在第一阶段,将应用程序的页面划分为一般类别,并接收来自所有涉众的反馈,并使用这些反馈来修改应用程序。在第二阶段,开发了模型页面并将其发送到Figma网站。此外,应用程序的Android Package Kit (APK)在手机上进行了多次安装和测试,主动发现并修复任何错误。在解决了Android版本的一些技术问题并调整错误以改善用户体验后,开发了iOS版本的应用程序。讨论:通过结合最新的技术发展,V-Care使癌症患者能够获得更全面和个性化的护理,使他们能够更好地管理自己的病情,并更好地了解自己的健康决定。这些进步还使医疗保健专业人员能够更好地配备知识和工具,以提供更有效和高效的护理。此外,V-Care技术的进步使患者能够更轻松地与医疗保健提供者联系,提供了一个促进沟通和协作的平台。尽管可用性测试对于评估应用的有效性和用户体验是必要的,但它可能需要大量的时间和资源投入。结论:V-Care平台可用于调查接受免疫检查点抑制剂(ICIs)的癌症患者所报告的症状,并将其与临床试验结果进行比较。此外,该项目将利用ePRO工具收集患者的症状,并深入了解所报告的症状是否与治疗有关。临床相关性:V-Care为患者与临床医生的沟通和数据交换提供了一个安全、易于使用的界面。其临床系统在安全的环境中存储和管理患者数据,而其临床决策支持系统帮助临床医生做出更明智、更有效和更具成本效益的决策。该系统具有提高患者安全和护理质量的潜力,同时也有助于降低医疗成本。
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引用次数: 0
Determinants of Time-to-Death of Chronic Lymphocytic Leukemia Patients at Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia. 埃塞俄比亚巴希尔达尔Felege Hiwot转诊医院慢性淋巴细胞白血病患者死亡时间的决定因素
IF 2 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-01-01 DOI: 10.1177/11769351231183849
Gedam Derbew Addisia, Awoke Seyoum Tegegne, Denekew Bitew Belay, Mahider Abere Kassaw, Mitiku Wale Muluneh, Koyachew Bitew Abebe, Bezanesh Melese Masresha, Solomon Sisay Mulugeta, Setegn Muche Fentaw, Dejen Gedamu Damtie
Background: Leukemia is a group of cancers that usually begin in the bone marrow and results in a large number of abnormal white blood cells. Chronic Lymphocytic Leukemia is the most prevalent leukemia in Western countries, with an estimated incidence rate of less than 1 to 5.5 per 100 000 people, and average age at diagnosis of 64 to 72 years. It is more common in men among Chronic Lymphocytic Leukemia patients in Ethiopia’s hospitals at Felege Hiwot Referal Hospital. Methods: A retrospective cohort research design was employed to acquire critical information from patients’ medical records in order to achieve the study’s purpose. The study comprised the medical records of 312 Chronic Lymphocytic Leukemia who were followed from January 1, 2018 to December 31, 2020. A Cox proportional hazard model was used to determine the risk factors for time to death in Chronic Lymphocytic Leukemia patients. Results: Accordingly the Cox proportional hazard model, age (Hazard Ratio = 11.36; P < .001), sex of male (Hazard Ratio = 1.04; P = .004), married status (Hazard Ratio = 0.03; P = .003), medium stages of Chronic Lymphocytic Leukemia (Hazard Ratio = 1.29; P = .024), high stages of Chronic Lymphocytic Leukemia (Hazard Ratio = 1.99; P < .001), presence of anemia (Hazard Ratio =0.09; P = .005), platelets (Hazard Ratio = 2.11; P = .007), hemoglobin (Hazard Ratio = 0.02; P < .001), lymphocytes (Hazard Ratio = 0.29; P = .006), red blood cell (Hazard Ratio = 0.02; P < .001), which patients with Chronic Lymphocytic Leukemia had a significant relationship with time to death. Conclusions: Age, sex, Chronic Lymphocytic Leukemia stage, anemia, platelets, hemoglobin, lymphocytes, and red blood cells were all statistically significant determinants in the time to death of Chronic Lymphocytic Leukemia patients, according to the data. As a result, healthcare providers should pay particular attention to and emphasize the identified characteristics, as well as provide frequent counseling on how to enhance the health of Chronic Lymphocytic Leukemia patients.
背景:白血病是一组通常起源于骨髓并导致大量异常白细胞的癌症。慢性淋巴细胞白血病是西方国家最常见的白血病,估计发病率低于每10万人1至5.5人,诊断时的平均年龄为64至72岁。在埃塞俄比亚费利格·希沃特转诊医院的慢性淋巴细胞白血病患者中,男性更常见。方法:采用回顾性队列研究设计,从患者病历中获取关键信息,以达到研究目的。该研究包括从2018年1月1日至2020年12月31日随访的312例慢性淋巴细胞白血病患者的医疗记录。采用Cox比例风险模型确定慢性淋巴细胞白血病患者死亡时间的危险因素。结果:相应的Cox比例风险模型,年龄(风险比= 11.36;P = .004)、婚姻状况(风险比= 0.03;P = 0.003),慢性淋巴细胞白血病中期(风险比= 1.29;P = 0.024),高分期慢性淋巴细胞白血病(风险比= 1.99;P = 0.005),血小板(风险比= 2.11;P = .007),血红蛋白(风险比= 0.02;P = 0.006)、红细胞(风险比= 0.02;结论:年龄、性别、慢性淋巴细胞白血病分期、贫血、血小板、血红蛋白、淋巴细胞、红细胞是影响慢性淋巴细胞白血病患者死亡时间的有统计学意义的因素。因此,医疗保健提供者应特别关注和强调已识别的特征,并就如何增强慢性淋巴细胞白血病患者的健康提供经常的咨询。
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引用次数: 0
Erratum to "TP53 and its Regulatory Genes as Prognosis of Cutaneous Melanoma". “TP53及其调控基因与皮肤黑色素瘤预后的关系”的勘误。
IF 2 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-01-01 DOI: 10.1177/11769351231202605

[This corrects the article DOI: 10.1177/11769351231177267.].

[这更正了文章DOI: 10.1177/11769351231177267.]。
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引用次数: 0
Immunogenetic Profiles and Associations of Breast, Cervical, Ovarian, and Uterine Cancers. 乳腺癌、子宫颈癌、卵巢癌和子宫癌的免疫遗传特征和关联。
IF 2 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-01-01 DOI: 10.1177/11769351221148588
Lisa M James, Apostolos P Georgopoulos

It is increasingly recognized that the human immune response influences cancer risk, progression, and survival; consequently, there is growing interest in the role of human leukocyte antigen (HLA), genes that play a critical role in initiating the immune response, on cancer. Recent evidence documented clustering of cancers based on immunogenetic profiles such that breast and ovarian cancers clustered together as did uterine and cervical cancers. Here we extend that line of research to evaluate the HLA profile of those 4 cancers and their associations. Specifically, we evaluated the associations between the frequencies of 127 HLA alleles and the population prevalences of breast, ovarian, cervical, and uterine cancer in 14 countries in Continental Western Europe. Factor analysis and hierarchical clustering were used to evaluate groupings of cancers based on their immunogenetic profiles. The results documented highly similar immunogenetic profiles for breast and ovarian cancers that were characterized predominantly by protective HLA effects. In addition, highly similar immunogenetic profiles for cervical and uterine cancers were observed that were, conversely, characterized by susceptibility effects. In light of the role of HLA in host immune system protection against non-self antigens, these findings suggest that certain cancers may be associated with similar contributory factors such as viral oncoproteins or neoantigens.

越来越多的人认识到,人类免疫反应影响癌症的风险、进展和生存;因此,人们对人类白细胞抗原(HLA)的作用越来越感兴趣,这些基因在启动免疫反应中起着关键作用。最近的证据表明,基于免疫遗传谱的癌症聚集在一起,例如乳腺癌和卵巢癌以及子宫癌和宫颈癌聚集在一起。在这里,我们扩展了这条研究线,以评估这4种癌症及其相关性的HLA谱。具体来说,我们评估了西欧大陆14个国家127个HLA等位基因的频率与乳腺癌、卵巢癌、宫颈癌和子宫癌人群患病率之间的关系。因子分析和分层聚类被用于评估基于免疫遗传学特征的癌症分组。结果表明,乳腺癌和卵巢癌的免疫遗传谱高度相似,其主要特征是HLA的保护性作用。此外,观察到宫颈癌和子宫癌高度相似的免疫遗传谱,相反,其特点是易感性效应。鉴于HLA在宿主免疫系统对非自身抗原的保护中的作用,这些发现表明某些癌症可能与类似的促成因素有关,如病毒癌蛋白或新抗原。
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引用次数: 3
Prevalence of Breast Cancer Subtypes Among Different Ethnicities and Bangladeshi Women: Demographic, Clinicopathological, and Integrated Cancer Informatics Analysis. 乳腺癌亚型在不同种族和孟加拉国妇女中的流行:人口统计学、临床病理学和综合癌症信息学分析。
IF 2 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-01-01 DOI: 10.1177/11769351221148584
Diganta Islam, Md Shihabul Islam, Sanjida Islam Dorin, Jesmin

Background: The molecular subtyping of breast cancer is related to estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2). The present study aimed to systematically analyze the expression, function, and prognostic value of ER, PR, HER2, and their prevalence in different ethnic groups and among Bangladeshi breast cancer (BC) patients.

Method: This study included 25 BC patients and 25 healthy controls, aged between 25 and 70 years. The study characteristics were compared using the ANOVA and Chi-square tests. Also, the multi-Omics dataset of 775 BC patients from TCGA was analyzed for ER, PR, and HER2 in breast cancer subtypes and compared among different ethnicities.

Results: For most BD breast cancer cases, the age at diagnosis was ⩾40 years, had only a histopathological diagnosis (P-value .004), and no history of mammography or other pathological tests. For treatment, had only chemotherapy (P-value .004) and no hormone therapy (P-value <.001). The majority of patients (>60%) were of stage-II cancer and TNBC (40%) subtype. The BC ethnicity-stratified data of ER, PR, and HER2 indicated a strong correlation across all ethnicities (P-value 4.99e-35; P-value 3.79e-18). The subtypes stratified data indicated a higher percentage of Luminal A (58.3%) in Caucasians whereas Luminal B (24.3%) and HER2 (25.2%) subtypes were found higher in Asians and TNBC (36.0%) were found in Africans. However, a significantly higher frequency of TNBC (52.2%) compared to Asians (14.8%) was found in BD patients (P-value <.001). The overall survival analysis of BC subtypes demonstrated that Luminal B (P-value .005) and HER2 enriched (P-value .015) were significantly more aggressive and were dominant in the Asian population.

Conclusion: A significant association was found between BC subtypes with different ethnicities and Bangladeshi women and these findings might aid in the prevention, management, and raising of awareness against risk factors in the near future.

背景:乳腺癌的分子分型与雌激素受体(ER)、孕激素受体(PR)和人表皮生长因子受体2 (HER2)有关。本研究旨在系统分析不同民族和孟加拉乳腺癌(BC)患者中ER、PR、HER2的表达、功能、预后价值及其流行情况。方法:本研究纳入25例BC患者和25例健康对照,年龄在25 ~ 70岁之间。采用方差分析和卡方检验比较研究特征。此外,对来自TCGA的775例BC患者的多组学数据集进行了乳腺癌亚型的ER、PR和HER2分析,并在不同种族之间进行了比较。结果:对于大多数BD乳腺癌病例,诊断时的年龄为大于或等于40岁,只有组织病理学诊断(p值0.004),没有乳房x光检查或其他病理检查的历史。在治疗方面,只有化疗(p值0.004)和没有激素治疗(p值60%)的ii期癌症和TNBC亚型(p值40%)。BC种族分层数据显示,ER、PR和HER2在所有种族之间具有很强的相关性(p值4.99e-35;假定值3.79 e-18)。亚型分层数据显示,白种人中Luminal a(58.3%)的比例较高,而亚洲人中Luminal B(24.3%)和HER2(25.2%)亚型的比例较高,非洲人中TNBC(36.0%)的比例较高。然而,在BD患者中发现TNBC的频率(52.2%)明显高于亚洲人(14.8%)(p值p值0.005),HER2富集(p值0.015)明显更具侵袭性,在亚洲人群中占主导地位。结论:不同种族的BC亚型与孟加拉国妇女之间存在显著关联,这些发现可能有助于在不久的将来预防、管理和提高对危险因素的认识。
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引用次数: 0
Prevalence of Iron Deficiency and its Association With Breast Cancer in Premenopausal Compared to Postmenopausal Women in Al Ahsa, Saudi Arabia. 在沙特阿拉伯的Al Ahsa,与绝经后妇女相比,绝经前妇女缺铁的患病率及其与乳腺癌的关系
IF 2 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-01-01 DOI: 10.1177/11769351231172589
Mohammad Al Khamees, Aymen A Alqurain, Abdulmonem A Alsaleh, Yousef A Alhashem, Nida AlSaffar, Noura N Alibrahim, Fardus A Aljunibi, Zaheda Alradwan, Nesreen Almohammade, Bader AlAlwan

Iron is an essential cofactor needed for normal functions of various enzymes and its depletion lead to increase DNA damage, genomic instability, deteriorate innate, adaptive immunity, and promote tumor development. It is also linked to tumorigenesis of breast cancer cells through enhancing mammary tumor growth and metastasis. There is insufficient data describing this association in Saudi Arabia. This study aims to determine the prevalence of iron deficiency and its association with breast cancer among premenopausal and postmenopausal women referred for breast cancer screening center in Al Ahsa, Eastern Province of Saudi Arabia. Age, hemoglobin level, iron level, history of anemia, or iron deficiency were collected from patients' medical records. The included participants were grouped based on their age into premenopausal (<50 years) or postmenopausal (⩾50 years). The definition of low Hb implemented (Hb below 12 g/dL) and low total serum Iron levels (below 8 μmol/L). Logistic regression test was used to compute the association between having a positive cancer screening test (radiological or histocytological) and participant's lab results. The results are presented as odds ratios and 95% confidence intervals. Thrree hundred fifty-seven women were included, 77% (n = 274) of them were premenopausal. This group cases had more history of iron deficiency (149 [60%] vs 25 (30%), P = .001) compared to those in the postmenopausal group. The risk of having a positive radiological cancer screening test was associated with age (OR = 1.04, 95% CI 1.02-1.06), but negatively was associated with iron level (OR = 0.9, 95% CI 0.86-0.97) among the entire cohort. This study is the first to propose an association between iron deficiency and breast cancer among Saudi young females. This could suggest iron level as a new risk factor that may be used by clinicians to assess breast cancer risk.

铁是多种酶正常功能所需的重要辅助因子,其耗竭会导致DNA损伤增加,基因组不稳定,先天免疫和适应性免疫恶化,促进肿瘤发展。它还通过促进乳腺肿瘤的生长和转移与乳腺癌细胞的肿瘤发生有关。在沙特阿拉伯没有足够的数据描述这种关联。本研究旨在确定在沙特阿拉伯东部省Al Ahsa乳腺癌筛查中心转介的绝经前和绝经后妇女中缺铁的患病率及其与乳腺癌的关系。收集患者的年龄、血红蛋白水平、铁水平、贫血史或缺铁史。与绝经后组相比,纳入的参与者根据年龄分为绝经前组(P = 0.001)。在整个队列中,放射学癌症筛查试验阳性的风险与年龄相关(OR = 1.04, 95% CI 1.02-1.06),但与铁水平负相关(OR = 0.9, 95% CI 0.86-0.97)。这项研究首次提出了沙特年轻女性缺铁与乳腺癌之间的联系。这可能表明铁水平作为一个新的危险因素,可能被临床医生用来评估乳腺癌的风险。
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引用次数: 0
Patient Identification and Tumor Identification Management: Quality Program in a Cancer Multicentric Clinical Data Warehouse. 病人识别和肿瘤识别管理:癌症多中心临床数据仓库的质量项目。
IF 2 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-01-01 DOI: 10.1177/11769351231172609
Karine Pallier, Olivier Prot, Simone Naldi, Francisco Silva, Thierry Denis, Olivier Giry, Sophie Leobon, Elise Deluche, Nicole Tubiana-Mathieu

Background: The Regional Basis of Solid Tumor (RBST), a clinical data warehouse, centralizes information related to cancer patient care in 5 health establishments in 2 French departments.

Purpose: To develop algorithms matching heterogeneous data to "real" patients and "real" tumors with respect to patient identification (PI) and tumor identification (TI).

Methods: A graph database programed in java Neo4j was used to build the RBST with data from ~20 000 patients. The PI algorithm using the Levenshtein distance was based on the regulatory criteria identifying a patient. A TI algorithm was built on 6 characteristics: tumor location and laterality, date of diagnosis, histology, primary and metastatic status. Given the heterogeneous nature and semantics of the collected data, the creation of repositories (organ, synonym, and histology repositories) was required. The TI algorithm used the Dice coefficient to match tumors.

Results: Patients matched if there was complete agreement of the given name, surname, sex, and date/month/year of birth. These parameters were assigned weights of 28%, 28%, 21%, and 23% (with 18% for year, 2.5% for month, and 2.5% for day), respectively. The algorithm had a sensitivity of 99.69% (95% confidence interval [CI] [98.89%, 99.96%]) and a specificity of 100% (95% CI [99.72%, 100%]). The TI algorithm used repositories, weights were assigned to the diagnosis date and associated organ (37.5% and 37.5%, respectively), laterality (16%) histology (5%), and metastatic status (4%). This algorithm had a sensitivity of 71% (95% CI [62.68%, 78.25%]) and a specificity of 100% (95% CI [94.31%, 100%]).

Conclusion: The RBST encompasses 2 quality controls: PI and TI. It facilitates the implementation of transversal structuring and assessments of the performance of the provided care.

背景:区域实体瘤基础(RBST)是一个临床数据仓库,集中了法国2个部门5家卫生机构的癌症患者护理相关信息。目的:开发在患者识别(PI)和肿瘤识别(TI)方面将异构数据与“真实”患者和“真实”肿瘤匹配的算法。方法:采用java Neo4j编程的图形数据库构建约2万例患者的RBST数据。使用Levenshtein距离的PI算法基于识别患者的监管标准。TI算法基于6个特征:肿瘤的位置和侧边性、诊断日期、组织学、原发和转移状态。鉴于所收集数据的异构性质和语义,需要创建存储库(器官、同义词和组织学存储库)。TI算法使用Dice系数来匹配肿瘤。结果:如果患者的名字、姓氏、性别和出生日期/月/年完全一致,则患者匹配。这些参数的权重分别为28%、28%、21%和23%(年为18%,月为2.5%,日为2.5%)。该算法的灵敏度为99.69%(95%置信区间[CI][98.89%, 99.96%]),特异性为100% (95% CI[99.72%, 100%])。TI算法使用存储库,将权重分配给诊断日期和相关器官(分别为37.5%和37.5%)、侧边性(16%)、组织学(5%)和转移状态(4%)。该算法的灵敏度为71% (95% CI[62.68%, 78.25%]),特异性为100% (95% CI[94.31%, 100%])。结论:RBST包括PI和TI两种质量控制。它有助于实施横向结构和评估所提供护理的绩效。
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引用次数: 0
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Cancer Informatics
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