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The microbiota, antibiotics and breast cancer. 微生物群、抗生素和乳腺癌。
IF 0.7 Q4 ONCOLOGY Pub Date : 2019-10-18 DOI: 10.2217/bmt-2019-0015
Alastair M McKee, Lindsay J Hall, Stephen D Robinson
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引用次数: 0
A life in breast cancer research: tamoxifen, SERMs and the unique paired-biology of the unfolded protein response and apoptosis 乳腺癌研究中的生命:他莫昔芬,SERMs和未折叠蛋白反应和细胞凋亡的独特配对生物学
IF 0.7 Q4 ONCOLOGY Pub Date : 2019-10-01 DOI: 10.2217/BMT-2019-0003
V. Jordan, B. Abderrahman
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引用次数: 1
Online health forums: the role of online support for people living with breast cancer 在线健康论坛:在线支持对乳腺癌患者的作用
IF 0.7 Q4 ONCOLOGY Pub Date : 2019-10-01 DOI: 10.2217/BMT-2019-0008
Sarah Hargreaves, P. Bath
New developments in technology have the potential to change experiences of living with breast cancer (BC). Our project, ‘A Shared Space and a Space for Sharing’, explored people’s experiences of interacting with an online health forum (OHF) provided by the UK-based charity, Breast Cancer Care (BCC). This editorial is based on findings from this study, from research literature, from knowledge gained from working with BCC to develop resources, and by running engagement events for the public and health professionals.
技术的新发展有可能改变乳腺癌患者的生活经历。我们的项目“共享的空间和共享的空间”,探索人们与英国慈善机构乳腺癌护理(BCC)提供的在线健康论坛(OHF)互动的经验。这篇社论是基于这项研究的结果、研究文献、与BCC合作开发资源所获得的知识,以及为公众和卫生专业人员举办的参与活动。
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引用次数: 0
Similar 10-year survival in breast cancer patients of Lithuania and Poland with common BRCA1 founder mutations 立陶宛和波兰BRCA1共同创始人突变乳腺癌患者的10年生存率相似
IF 0.7 Q4 ONCOLOGY Pub Date : 2019-10-01 DOI: 10.2217/BMT-2018-0015
P. Elsakov, V. Ostapenko, A. Luksyte, G. Smailytė
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引用次数: 0
Study of KMT2B (MLL2) gene expression changes in patients with breast cancer 乳腺癌患者KMT2B (MLL2)基因表达变化的研究
IF 0.7 Q4 ONCOLOGY Pub Date : 2019-10-01 DOI: 10.2217/BMT-2018-0016
Mohammad Ghanbari, M. Hosseinpourfeizi, R. Safaralizadeh, A. Aghazadeh, V. Montazeri
Aim: This study aimed to demonstrate misregulation of KMT2B gene expression in breast cancer tissue. Materials & methods: Cancerous and marginal tissue samples were collected from 43 female patients. After RNA extraction and cDNA synthesis, quantitative-PCR was used to evaluate the expression level of the KMT2B gene. REST, Sigma plot and SPSS software were used to analyze data. Results: KMT2B gene expression was significantly decreased in tumor tissue compared with marginal tissue (p = 0.02). No significant correlation was found between expression levels of KMT2B and clinical parameters of patients (p > 0.05) Conclusion: Our study demonstrated that downregulation of KMT2B is associated with breast cancer and its misregulation may play an important role in tumorigenesis.
目的:本研究旨在揭示乳腺癌组织中KMT2B基因表达的失调。材料与方法:43例女性患者的癌组织和边缘组织标本。提取RNA合成cDNA后,采用定量pcr法检测KMT2B基因的表达水平。采用REST、Sigma图和SPSS软件对数据进行分析。结果:KMT2B基因在肿瘤组织中的表达较边缘组织明显降低(p = 0.02)。KMT2B的表达水平与患者的临床参数无显著相关性(p < 0.05)。结论:我们的研究表明,KMT2B的下调与乳腺癌有关,其失调可能在肿瘤发生中起重要作用。
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引用次数: 2
Therapeutic potential of estradiol in treating breast cancer 雌二醇治疗癌症的治疗潜力
IF 0.7 Q4 ONCOLOGY Pub Date : 2019-10-01 DOI: 10.2217/BMT-2019-0013
Avijit Mallick, Shane Taylor
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引用次数: 2
A prospective decision-impact study incorporating Breast Cancer Index into extended endocrine therapy decision-making 将癌症指数纳入扩展内分泌治疗决策的前瞻性决策影响研究
IF 0.7 Q4 ONCOLOGY Pub Date : 2019-03-01 DOI: 10.2217/BMT-2019-0001
T. Sanft, A. Berkowitz, B. Schroeder, C. Hatzis, C. Schnabel, A. Brufsky, G. Gustavsen, L. Pusztai, G. J. Londen
Aim: To prospectively assess the impact of gene expression-based assay Breast Cancer Index (BCI) on extended endocrine therapy (EET) decision-making. Patients & methods: The BCI-tested samples from primary tumors (Stage I–III, hormone receptor positive breast cancer, >3.5 year endocrine therapy). Patients and physicians completed questionnaires on EET preferences and decision conflict. Using these data, a fact-based economic model was developed to project the cost impact of BCI. Results: The BCI results affected treatment recommendations for 42/141 patients (overall mean, 62 year; 83% postmenopausal; 63% Stage I). Patient decision conflict decreased pre- to post-test. The BCI-related projected net savings (US$5190/patient) was robust under sensitivity analysis. Conclusion: Incorporating BCI into clinical practice meaningfully impacted physician EET recommendations and decreased patient decision conflict, with projected cost savings.
目的:前瞻性评估基于基因表达测定的癌症乳腺癌指数(BCI)对扩展内分泌治疗(EET)决策的影响。患者和方法:来自原发性肿瘤(I–III期,激素受体阳性乳腺癌症,>3.5年内分泌治疗)的BCI测试样本。患者和医生完成了关于EET偏好和决策冲突的问卷调查。利用这些数据,开发了一个基于事实的经济模型来预测脑机接口的成本影响。结果:脑机接口结果影响了42/141名患者的治疗建议(总体平均值,62岁;83%绝经后;63%为I期)。试验前后患者决策冲突减少。根据敏感性分析,脑机接口相关的预计净节省(5190美元/名患者)是稳健的。结论:将脑机接口纳入临床实践有意义地影响了医生的EET建议,减少了患者的决策冲突,并预计节省了成本。
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引用次数: 9
Targeting metastasis through the inhibition of interleukin 6 and 8 通过抑制白细胞介素6和8靶向转移
IF 0.7 Q4 ONCOLOGY Pub Date : 2019-03-01 DOI: 10.2217/BMT-2019-0002
Hasini Jayatilaka, J. Phillip
Metastasis is a complex, multistep process involving the spread of cancer cells from a primary tumor to distal sites throughout the body via the circulatory or lymphatic systems [1]. Breast cancers typically arise from a host of genetic aberrations [2,3] that influence both disease progression and the therapeutic approaches utilized by physicians to combat the disease [4]. With the exceptions of estrogen receptor (ER), HER2, phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha, PIK3CA, and AKT1, validated oncogenic drivers of breast cancer remain elusive. Directly targeting metastasis is essential with regards to therapeutic interventions and could have major medical and societal implications, as mounting scientific evidence shows that metastasis accounts for 90% of the cancer-related deaths [5]. Although targeting metastasis itself may seem a daunting task scientifically and logistically, progressive improvements in our knowledge of the disease is providing novel and innovative approaches. Many chemokines and cytokines (mainly interleukins) play critical roles in the metastatic process, from influencing epithelial to mesenchymal transition (EMT) [6] and facilitating the detachment of tumor cells from the primary tumor mass, to regulating cell migration [7], promoting seeding by circulating tumor cells (CTCs) [8] and stimulating proliferation [9]. Recent studies have demonstrated that interleukins cooperatively regulate aspects of metastasis. For instance, IL-6 and IL-8 co-regulate tumor cell proliferation and migration and the seeding of CTCs [10–13]. Since tumor cells rely on coordinated interactions with different cell populations within the microenvironment (both malignant and stromal cells) for fitness and survival during tumorigenesis [14], it is logical that they would also rely on the synergistic interplay of secreted proteins, particularly employing interleukins to successfully metastasize. Tumor cells autonomously produce IL-6 and IL-8 which synergistically attracts CTCs and promotes the selfseeding of breast, colon and melanoma tumors [13]. Furthermore, these cytokines enhance tumor cell migration through cell-autonomous paracrine mechanisms driven in part by the increase in local cell density [10,11]. Interestingly, this signaling is unique to tumorigenic metastatic cells but not normal or non-metastatic cancer cells. IL-6 and IL-8 promote cell migration within collagen rich extracellular matrices through downstream signaling via WASF3 and Arp2/3 complex and increases the formation of dendritic protrusions. Furthermore, pharmacological inhibition of the binding of these interleukins to their cognate receptors using tocilizumab (a humanized monoclonal antibody that targets the IL-6 receptor) and reparixin (a small molecule that targets the IL-8 receptor) decreases effective metastasis to the lungs, liver and lymph nodes in preclinical breast cancer models [10]. Breast cancers, particularly triple negative breast cance
转移是一个复杂的多步骤过程,涉及癌症细胞通过循环或淋巴系统从原发肿瘤扩散到全身远端[1]。乳腺癌通常由一系列遗传异常引起[2,3],这些遗传异常影响疾病进展和医生用于对抗疾病的治疗方法[4]。除了雌激素受体(ER)、HER2、磷脂酰肌醇-4,5-二磷酸3-激酶催化亚基α、PIK3CA和AKT1之外,经验证的乳腺癌症致癌驱动因素仍然难以捉摸。直接靶向转移对于治疗干预至关重要,并可能产生重大的医学和社会影响,因为越来越多的科学证据表明,转移占癌症相关死亡的90%[5]。尽管从科学和逻辑上讲,靶向转移本身似乎是一项艰巨的任务,但我们对该疾病知识的逐步提高正在提供新颖和创新的方法。许多趋化因子和细胞因子(主要是白细胞介素)在转移过程中发挥着关键作用,从影响上皮-间充质转化(EMT)[6]和促进肿瘤细胞从原发性肿瘤团中分离,到调节细胞迁移[7]、促进循环肿瘤细胞(CTC)播种[8]和刺激增殖[9]。最近的研究表明白细胞介素协同调节转移的各个方面。例如,IL-6和IL-8共同调节肿瘤细胞的增殖和迁移以及CTC的接种[10-13]。由于肿瘤细胞在肿瘤发生过程中依赖于与微环境中不同细胞群(恶性细胞和基质细胞)的协调相互作用来适应和生存[14],因此它们也将依赖于分泌蛋白的协同相互作用,特别是使用白细胞介素来成功转移,这是合乎逻辑的。肿瘤细胞自主产生IL-6和IL-8,协同吸引CTC,并促进乳腺、结肠和黑色素瘤的自我接种[13]。此外,这些细胞因子通过细胞自主旁分泌机制增强肿瘤细胞迁移,部分由局部细胞密度的增加驱动[10,11]。有趣的是,这种信号传导对于肿瘤性转移细胞是独特的,但对于正常或非肿瘤性癌症细胞则不是。IL-6和IL-8通过WASF3和Arp2/3复合物的下游信号传导促进富含胶原蛋白的细胞外基质内的细胞迁移,并增加树突突起的形成。此外,在临床前乳腺癌症模型中,使用tocilizumab(一种靶向IL-6受体的人源化单克隆抗体)和reparaxin(靶向IL-8受体的小分子)对这些白细胞介素与其同源受体结合的药理学抑制降低了向肺、肝和淋巴结的有效转移[10]。乳腺癌,特别是三阴性乳腺癌(TNBCs),缺乏雌激素受体、孕激素受体(PR)和HER2的表达,主要用化疗药物治疗[15]。矛盾的是,研究表明,目前临床上用于治疗原发性三阴性乳腺癌的化疗可能会诱导癌症转移[16]。考虑到这一点,针对肿瘤生长和触发和/或促进迁移的肿瘤特异性信号的策略可能比单独的化疗或主要抑制细胞生长的靶向治疗更有效。
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引用次数: 5
A cross-cultural analysis of salivary cortisol patterns in breast cancer survivors 乳腺癌幸存者唾液皮质醇模式的跨文化分析
IF 0.7 Q4 ONCOLOGY Pub Date : 2019-03-01 DOI: 10.2217/BMT-2019-0004
Cynthia Wan, K. Boileau, Danielle D'Amico, V. Huang, A. Fiocco, R. Clément, C. Bielajew
Aim: In this study, we examined whether Chinese and White women with and without a history of breast cancer exhibit differences in physiological and psychological stress profiles. Methods: Diurnal and reactive salivary cortisol profiles and psychological stress patterns of 41 breast cancer survivors and 58 healthy women were assessed. Results: Breast cancer survivors displayed a blunted acute cortisol response but there was no main effect of ethnocultural membership. Subjective appraisals of stress during the acute stressor revealed a significant interaction between ethnocultural group, health status and time (p = 0.032). Conclusion: Our results support the existing literature though suggest group differences in the appraisal of stress; thus, underscoring the importance of cultural sensitivity and awareness among clinicians and existing programs.
目的:在本研究中,我们研究了有和没有乳腺癌病史的华裔和白人女性在生理和心理压力谱上是否存在差异。方法:对41名乳腺癌幸存者和58名健康女性的日常和反应性唾液皮质醇谱和心理应激模式进行评估。结果:乳腺癌幸存者表现出迟钝的急性皮质醇反应,但没有种族文化成员的主要影响。急性应激源时的主观应激评价显示民族文化群体、健康状况和时间之间存在显著的交互作用(p = 0.032)。结论:我们的研究结果支持现有文献,但表明群体在压力评价方面存在差异;因此,强调临床医生和现有项目的文化敏感性和意识的重要性。
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引用次数: 1
Welcome to Volume 8 of Breast Cancer Management 欢迎来到《乳腺癌管理》第八卷
IF 0.7 Q4 ONCOLOGY Pub Date : 2019-03-01 DOI: 10.2217/BMT-2018-0019
Jennifer Straiton
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引用次数: 0
期刊
Breast Cancer Management
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