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CANCER STEM CELLS 癌症干细胞
Pub Date : 2023-10-03 DOI: 10.22376/ijtos.2023.1.4.1-12
Dr Somenath Ghosh, Durga Prasad TS, Ranjeet Kumar Chourasia, Dr Ammar A. Razzak Mahmood
Cancer stem cells (CSCs) are unique cells within tumors that resist standard treatments and initiate tumor formation. Their presence and that of their progenitors contribute to tumor complexity, posing challenges to effective cancer therapies. Nevertheless, research on CSC biology holds promise for targeted therapies and reducing disease recurrence. This review provides a concise overview of CSCs and recent studies to enhance understanding their role in tumor heterogeneity and the tumor microenvironment, thereby advancing cancer research. CSCs exist in various cancers and can self-renew and differentiate into multiple cell types within tumors. These properties make them primary drivers of tumor growth and progression. Importantly, CSCs exhibit inherent resistance to conventional treatments like chemotherapy and radiation, making them formidable obstacles to successful outcomes. Recent studies have shed light on the intricate biology of CSCs, uncovering vulnerabilities and potential targets for novel therapeutic approaches; by specifically targeting CSCs, treatment resistance may be overcome, eliminating cells responsible for tumor initiation and recurrence. The tumor microenvironment, comprising cellular and non-cellular components, is critical in supporting CSCs and promoting tumor growth. CSCs interact with stromal cells, immune cells, and the extracellular matrix, forming a complex network that fosters tumor progression and therapy resistance. Investigating these dynamic interactions is essential for identifying therapeutic targets and interventions that disrupt the supportive environment surrounding CSCs.In conclusion, CSCs present challenges due to treatment resistance and their role in tumor growth. However, ongoing CSC-focused research offers hope for targeted therapies and strategies to prevent disease recurrence. Understanding tumor heterogeneity and the interactions between CSCs and the tumor microenvironment is crucial for advancing cancer research and improving patient outcomes. Unraveling the complexities of CSC biology paves the way for innovative approaches to combat cancer at its core.
肿瘤干细胞(CSCs)是肿瘤内独特的细胞,可以抵抗标准治疗并启动肿瘤形成。它们的存在及其祖细胞的存在增加了肿瘤的复杂性,对有效的癌症治疗提出了挑战。然而,对CSC生物学的研究为靶向治疗和减少疾病复发带来了希望。本文简要介绍了CSCs及其近期研究,以加深对其在肿瘤异质性和肿瘤微环境中的作用的理解,从而推进癌症研究。csc存在于多种癌症中,可以在肿瘤内自我更新并分化为多种细胞类型。这些特性使它们成为肿瘤生长和进展的主要驱动因素。重要的是,干细胞对化疗和放疗等常规治疗表现出固有的抵抗力,这使它们成为取得成功的巨大障碍。最近的研究揭示了CSCs的复杂生物学,揭示了新的治疗方法的脆弱性和潜在靶点;通过特异性靶向CSCs,可以克服治疗耐药性,消除负责肿瘤起始和复发的细胞。肿瘤微环境包括细胞和非细胞成分,对支持csc和促进肿瘤生长至关重要。CSCs与基质细胞、免疫细胞和细胞外基质相互作用,形成一个复杂的网络,促进肿瘤进展和治疗耐药性。研究这些动态相互作用对于确定破坏CSCs周围支持性环境的治疗靶点和干预措施至关重要。综上所述,CSCs面临着治疗耐药性及其在肿瘤生长中的作用的挑战。然而,正在进行的以csc为重点的研究为预防疾病复发的靶向治疗和策略提供了希望。了解肿瘤异质性以及CSCs与肿瘤微环境之间的相互作用对于推进癌症研究和改善患者预后至关重要。揭示CSC生物学的复杂性为创新的方法铺平了道路,以对抗癌症的核心。
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引用次数: 0
Obesity and Cancer 肥胖与癌症
Pub Date : 2023-10-03 DOI: 10.22376/ijtos.2023.1.4.38-51
Dr Somenath Ghosh, Kiruthika Balasubramanian, J Andrews Milton, Dr Vinayak B Angadi, Hadi Kuriri, Dr Umesh Ghate, Dr Radhika Ketkar
It is a key priority in public health to treat illnesses due to the rising frequency of obesity-related malignancies. Around 11.9% of male and 13.1% of female cancer cases worldwide have an obesity-related malignancy as their primary cause. In addition to colorectal, postmenopausal ovarian, breast, gallbladder, thyroid, and multiple myeloma cancers, endometrial, esophageal, hepatocellular carcinoma, gastric cancer, renal and pancreatic adenocarcinomas, and thyroid cancer, the relationship between obesity and cancer is clear in many anatomical sites. This article provides a thorough overview of the most recent epidemiological data on obesity and its connection to cancer in light of this urgent issue. The contradiction of weight increase and cancer risk and death. Furthermore, examining BMI differences in obesity-related malignancies offers a comprehensive grasp of the disease's complexities. These mechanisms include adipokine pathophysiology, cellular and micro environmental changes, ectopic fat accumulation, disruptions in dietary nutrients, circadian cycles, and potential factors like alteration of the intestinal flora and mechanical influences on weight. The conclusion's discussion of potential future approaches to prevention, detection, and treatment highlights the pressing need for more study and action on this important public health problem. The main objective is to increase knowledge of the complexity of obesity-related malignancies and increase awareness of it to create efficient methods for prevention and treatment. This review offers insight into how potential processes and risk factors combine on target tissues, ultimately causing them to take on a feature of cancer by addressing these important aspects. This review focuses on the Epidemiology of obesity influencing cancer, links between obesity and cancer, the influence of cancer by weight growth, somatometry, biological links, ectopic fat deposition, insulin sensitivity, adiponectin, obesity influencing widely occurring cancers, and FTO protein.
治疗因肥胖相关恶性肿瘤发病率上升而导致的疾病,是公共卫生领域的一个关键优先事项。全球约11.9%的男性和13.1%的女性癌症病例的主要病因是与肥胖相关的恶性肿瘤。除了结直肠癌、绝经后卵巢癌、乳腺癌、胆囊癌、甲状腺癌和多发性骨髓瘤、子宫内膜癌、食管癌、肝细胞癌、胃癌、肾癌和胰腺腺癌、甲状腺癌外,肥胖与癌症的关系在许多解剖部位都是明确的。鉴于这一紧迫问题,本文提供了关于肥胖及其与癌症关系的最新流行病学数据的全面概述。体重增加与癌症风险和死亡的矛盾。此外,研究肥胖相关恶性肿瘤的BMI差异,可以全面了解该疾病的复杂性。这些机制包括脂肪因子病理生理、细胞和微环境变化、异位脂肪积累、膳食营养素破坏、昼夜周期以及肠道菌群改变和机械影响体重等潜在因素。结论讨论了未来预防、检测和治疗的潜在方法,强调了对这一重要公共卫生问题进行更多研究和采取行动的迫切需要。主要目标是增加对肥胖相关恶性肿瘤复杂性的认识,提高对它的认识,以创造有效的预防和治疗方法。这篇综述提供了对潜在过程和危险因素如何在靶组织中结合的见解,通过解决这些重要方面,最终导致它们具有癌症的特征。本文综述了肥胖影响癌症的流行病学、肥胖与癌症之间的联系、体重增长对癌症的影响、身体测量、生物学联系、异位脂肪沉积、胰岛素敏感性、脂联素、肥胖对广泛发生的癌症的影响以及FTO蛋白。
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引用次数: 0
Advances in The Treatment of Intrahepatic Cholangiocarcinoma-ICLCA 肝内胆管癌的治疗进展
Pub Date : 2023-10-03 DOI: 10.22376/ijtos.2023.1.4.13-22
Anand Mohan Jha, Dr Vinayak B Angadi, Hadi Kuriri, Dr Manam Mani Srikanth, Dr Asmita Rohan Sakore
Intrahepatic cholangiocarcinoma (iCLCA) is a fatal hepatobiliary tumor becoming more common. For a long time, it was largely ignored as an uncommon cancer and commonly misdiagnosed as carcinoma of unidentified origin; nonetheless, significant clinical and research attention has been dedicated to it lately. First-line (gemcitabine and cisplatin), second-line (FOLFOX), and adjuvant (capecitabine) systemic chemotherapy is the accepted standard of treatment. iCLCA is genetically unique from hepatocellular carcinoma, with multiple targetable genetic abnormalities reported to be far. Indeed, FGFR2, NTRK fusions, IDH1, and BRAF targetable mutations have been thoroughly studied, and clinical evidence on pharmacologically targeting these oncogenic drivers is emerging. In addition, the role of immunotherapy has been investigated and is a hot topic. There is a need for therapeutic interventions for these ailments. Our review focuses on Intrahepatic cholangiocarcinoma, cholangiocarcinoma, Extrahepaticcholangiocarcinoma, Vascular Epidermal Growth Factor, IDH inhibitors, and Liver Cancer.
肝内胆管癌(iCLCA)是一种越来越常见的致死性肝胆肿瘤。长期以来,它作为一种不常见的癌症而被忽视,常被误诊为来源不明的癌;尽管如此,最近临床和研究都对它给予了极大的关注。一线(吉西他滨和顺铂)、二线(FOLFOX)和辅助(卡培他滨)全身化疗是公认的治疗标准。iCLCA与肝细胞癌在遗传上是独特的,有多种可靶向的遗传异常报道。事实上,FGFR2、NTRK融合物、IDH1和BRAF靶向突变已经得到了深入的研究,并且正在出现以这些致癌驱动因素为靶点的临床证据。此外,免疫治疗的作用已被研究并成为一个热门话题。有必要对这些疾病进行治疗干预。我们的综述集中在肝内胆管癌、胆管癌、肝外胆管癌、血管表皮生长因子、IDH抑制剂和肝癌。
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引用次数: 0
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International Journal of Trends in OncoScience
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