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CXC ligand 13 orchestrates an immunoactive microenvironment and enhances immunotherapy response in head and neck squamous cell carcinoma. CXC 配体 13 可协调免疫活性微环境,增强头颈部鳞状细胞癌的免疫疗法反应。
IF 3.5 3区 医学 Pub Date : 2024-01-01 DOI: 10.1177/03946320241227312
Xiaohu Lin, Xiaomei Zhao, Yiming Chen, Rong Yang, Zhenlin Dai, Wei Li, Chengzhong Lin, Wei Cao

Objectives: This study aims to systematically explore the role of chemokine CXC ligand 13 (CXCL13) in head and neck squamous cell carcinoma (HNSCC). Methods: The Genotype-Tissue Expression (GTEx) and The Cancer Genome Atlas (TCGA) databases provided the RNA-seq data for cancer and normal tissues, respectively. Gene set enrichment analysis was applied to search the cancer hallmarks associated with CXCL13 expression. TIMER2.0 was the main platform used to investigate the immune cell infiltration related to CXCL13. Immunohistochemistry was applied to explore the relationship between CXCL13 and patients' prognosis and the relationship between CXCL13 and tertiary lymphoid structures (TLSs). Results: The expression of CXCL13 was upregulated in most tumors, including HNSCC. The higher expression of CXCL13 was closely related to the positive prognosis of HNSCC. CXCL13 was mainly expressed in B cells and CD8 + T cells, revealing the relationship between its expression and immune activation in the tumor microenvironment. Furthermore, immunohistochemistry and multiple fluorescence staining analysis of HNSCC samples showed a powerful correlation between CXCL13 expression, TLSs formation, and positive prognosis. Finally, CXCL13 significantly increased the response to cancer immunotherapy. Conclusions: CXCL13 may function as a potential biomarker for predicting prognosis and immunotherapy response and associate with TLSs in HNSCC.

研究目的本研究旨在系统探讨趋化因子 CXC 配体 13(CXCL13)在头颈部鳞状细胞癌(HNSCC)中的作用。研究方法基因型-组织表达(GTEx)和癌症基因组图谱(TCGA)数据库分别提供了癌症和正常组织的RNA-seq数据。基因组富集分析用于搜索与CXCL13表达相关的癌症特征。TIMER2.0是研究与CXCL13相关的免疫细胞浸润的主要平台。免疫组化技术用于探讨CXCL13与患者预后的关系,以及CXCL13与三级淋巴结构(TLSs)的关系。结果发现CXCL13在包括HNSCC在内的大多数肿瘤中表达上调。CXCL13的高表达与HNSCC的阳性预后密切相关。CXCL13 主要在 B 细胞和 CD8 + T 细胞中表达,揭示了其表达与肿瘤微环境中免疫激活之间的关系。此外,对HNSCC样本进行的免疫组化和多重荧光染色分析表明,CXCL13的表达、TLSs的形成和阳性预后之间存在密切联系。最后,CXCL13 能明显增加癌症免疫疗法的反应。结论CXCL13可能是预测HNSCC预后和免疫治疗反应的潜在生物标记物,并与TLSs相关。
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引用次数: 0
The global immune-nutrition-inflammation index (GINI) as a robust prognostic factor in glioblastoma patients treated with the standard stupp protocol. 全球免疫-营养-炎症指数(GINI)是采用标准 stupp 方案治疗的胶质母细胞瘤患者的可靠预后因素。
IF 3.5 3区 医学 Pub Date : 2024-01-01 DOI: 10.1177/03946320241284089
Erkan Topkan, Nilufer Kilic Durankus, Sukran Senyurek, Duriye Öztürk, Ali Ayberk Besen, Huseyin Mertsoylu, Berrin Pehlivan, Ugur Selek

Background: Systemic inflammation can significantly impact gliomas' onset, progression, and prognosis. Glioblastoma multiforme (GBM) represents the glioma subtype characterized by the most profound inflammatory and immunosuppressive states. Consequently, various blood-borne biomarkers have been scrutinized concerning their prognostic value in GBM patients.

Objective: We sought to investigate whether the recently introduced Global Immune-Nutrition-Inflammation Index (GINI) holds prognostic significance for GBM patients treated with the standard Stupp protocol.

Methods: We retrospectively analyzed the data from a cohort of newly diagnosed GBM patients receiving the standard Stupp regimen using the propensity score-matching methodology. The GINI was computed using the original formula: GINI = [(C-reactive protein × Monocytes × Platelets × Neutrophils) ÷ (Albumin × Lymphocytes)]. We employed receiver operating characteristic (ROC) curve analysis to identify the optimal cutoff values for GINI, which could help distinguish between different survival outcomes. The primary and secondary objectives were the differences in overall survival (OS) and progression-free survival (PFS) between the GINI groups.

Results: The optimal GINI cutoff value was 1350. Out of 294 eligible patients, 211 were PSM-matched: GINI<1350 (N = 95) and GINI≥1350 (N = 116). Comparative Kaplan-Meier estimates indicated that the GINI≥1350 patients had substantially worse median PFS (8.0 vs 16.8 months; p < .001) and OS (14.3 vs 22.9 months; p < .001) durations than their GINI<1350 counterparts.

Conclusion: High pretreatment GINI values are robustly and independently associated with inferior PFS and OS outcomes in selected GBM patients who receive standard Stupp protocol. These findings suggest that if further confirmed, the novel GINI could serve as a valuable biological marker for the prognostic stratification of GBM patients.

背景:全身炎症会对胶质瘤的发病、进展和预后产生重大影响。多形性胶质母细胞瘤(GBM)是以最严重的炎症和免疫抑制状态为特征的胶质瘤亚型。因此,各种血源性生物标志物对 GBM 患者的预后价值进行了仔细研究:我们试图研究最近引入的全球免疫-营养-炎症指数(GINI)对接受标准 Stupp 方案治疗的 GBM 患者是否具有预后意义:我们采用倾向得分匹配法对接受标准 Stupp 方案治疗的新诊断 GBM 患者队列的数据进行了回顾性分析。GINI 采用原始公式计算:GINI = [(C 反应蛋白 × 单核细胞 × 血小板 × 中性粒细胞)÷(白蛋白 × 淋巴细胞)]。我们采用接收者操作特征(ROC)曲线分析来确定 GINI 的最佳临界值,这有助于区分不同的生存结果。主要和次要目标是 GINI 组间总生存期(OS)和无进展生存期(PFS)的差异:最佳 GINI 临界值为 1350。在 294 名符合条件的患者中,有 211 人进行了 PSM 匹配:GININ=95)和GINI≥1350(N=116)。Kaplan-Meier 估计值比较显示,GINI≥1350 患者的中位 PFS(8.0 个月 vs 16.8 个月;p < .001)和 OS(14.3 个月 vs 22.9 个月;p < .001)持续时间大大低于 GINIConclusion 患者:在接受标准 Stupp 方案治疗的特定 GBM 患者中,治疗前 GINI 值高与较差的 PFS 和 OS 结局密切相关。这些研究结果表明,如果得到进一步证实,新型 GINI 可作为对 GBM 患者进行预后分层的重要生物学标志物。
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引用次数: 0
Antidiabetic and antioxidant potential of Crocin in high-fat diet plus streptozotocin-induced type-2 diabetic rats. 克罗霉素在高脂饮食加链脲佐菌素诱导的 2 型糖尿病大鼠中的抗糖尿病和抗氧化潜力
IF 3.5 3区 医学 Pub Date : 2024-01-01 DOI: 10.1177/03946320231220178
Syed Mohammed Basheeruddin Asdaq, Basheerahmed Abdulaziz Mannasaheb, Raha Orfali, Ibrahim Ahmed Shaikh, Ahmed Alshehri, Adel Alghamdi, Meshal Mohammed Alrashdi, Moneer E Almadani, Faisal Mohammad Ali Abdalla

Objectives: Crocin, the principal water-soluble active constituent of saffron, possesses numerous pharmacological activities. The present investigation examined the potential antidiabetic and antioxidant characteristics of Crocin in rats with type-2 diabetes by administering it orally and intraperitoneally (i.p.).

Methods: After 2 weeks of a high-fat diet, streptozotocin (STZ) (i.p., 40 mg/kg) was administered to male adult rats to induce type-2 diabetes mellitus. Body weight and fasting blood glucose (FBG) were measured on days zero, weeks 1, and 2. At the end of 2 weeks of drug administration in their respective groups, fasting insulin and glucose levels were estimated, and insulin resistance (HOMA-IR) was determined. Intraperitoneal glucose (IPGTT) and insulin tolerance tests (ITT) were carried out. Histopathological investigation and biochemical parameters were estimated in pancreatic tissues.

Results: The Crocin (100 mg/kg) treatment has significantly improved body weight, abatement of FBG, fasting insulin, and HOMA-IR. Likewise, Crocin treatment significantly improved the glucose and insulin challenges. We observed a significantly marked elevation in endogenous antioxidant enzymes in Crocin-treated groups. Similarly, Crocin treatment reversed the histopathological changes and restored the normal integrity and function of the pancreas.

Conclusion: The overall finding indicates that intraperitoneal administration of Crocin demonstrated better control of glycemic level and body weight. Further, it has improved insulin levels in the serum and potentiated antioxidant properties.

目的:藏红花的主要水溶性活性成分藏红花苷具有多种药理活性。本研究通过口服和腹腔注射藏红花苷对 2 型糖尿病大鼠进行研究,探讨藏红花苷潜在的抗糖尿病和抗氧化特性:方法:雄性成年大鼠经2周高脂肪饮食后,给予链脲佐菌素(STZ)(40 mg/kg)诱发2型糖尿病。在第 0 天、第 1 周和第 2 周测量体重和空腹血糖 (FBG)。在各组给药 2 周结束时,估算空腹胰岛素和葡萄糖水平,并测定胰岛素抵抗(HOMA-IR)。还进行了腹腔内葡萄糖(IPGTT)和胰岛素耐受试验(ITT)。对胰腺组织进行了组织病理学检查和生化指标评估:结果:克罗霉素(100 毫克/千克)治疗明显改善了体重,降低了 FBG、空腹胰岛素和 HOMA-IR。同样,克罗霉素治疗也明显改善了葡萄糖和胰岛素挑战。我们观察到,克罗霉素治疗组的内源性抗氧化酶明显升高。同样,克罗霉素治疗逆转了组织病理学变化,恢复了胰腺的正常完整性和功能:总体研究结果表明,腹腔注射克罗霉素能更好地控制血糖水平和体重。此外,它还改善了血清中的胰岛素水平,并增强了抗氧化特性。
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引用次数: 0
Ondansetron or beta-sitosterol antagonizes inflammatory responses in liver, kidney, lung and heart tissues of irradiated arthritic rats model. 昂丹司琼或β-谷甾醇可拮抗辐照关节炎模型大鼠肝、肾、肺和心脏组织的炎症反应。
IF 3.5 3区 医学 Pub Date : 2024-01-01 DOI: 10.1177/03946320241260635
Rokaya E Maarouf, Mohamed K Abdel-Rafei, Noura M Thabet, Khaled S Azab, Laila Rashed, Nermeen M El Bakary

Background: Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disorder mainly affecting joints, yet the systemic inflammation can influence other organs and tissues. The objective of this study was to unravel the ameliorative capability of Ondansetron (O) or β-sitosterol (BS) against inflammatory reactions and oxidative stress that complicates Extra-articular manifestations (EAM) in liver, kidney, lung, and heart of arthritic and arthritic irradiated rats.

Methods: This was accomplished by exposing adjuvant-induced arthritis (AIA) rats to successive weekly fractions of total body γ-irradiation (2 Gray (Gy)/fraction once per week for four weeks, up to a total dose of 8 Gy). Arthritic and/or arthritic irradiated rats were either treated with BS (40 mg/kg b.wt. /day, orally) or O (2 mg/kg) was given ip) or were kept untreated as model groups.

Results: Body weight changes, paw circumference, oxidative stress indices, inflammatory response biomarkers, expression of Janus kinase-2 (JAK-2), Signal transducer and activator of transcription 3 (STAT3), high mobility group box1 (HMGB1), and nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB), as well as pro- and anti-inflammatory mediators in the target organs, besides histopathological examination of ankle joints and extra-articular tissues. Treatment of arthritic and/or arthritic irradiated rats with BS or O powerfully alleviated changes in body weight gain, paw swelling, oxidative stress, inflammatory reactions, and histopathological degenerative alterations in articular and non-articular tissues.

Conclusion: The obtained data imply that BS or O improved the articular and EAM by regulating oxidative and inflammatory indices in arthritic and arthritic irradiated rats.

背景:类风湿性关节炎(RA)是一种慢性炎症性自身免疫性疾病,主要影响关节,但全身炎症可影响其他器官和组织。本研究旨在揭示昂丹司琼(O)或β-谷甾醇(BS)对关节炎和关节炎照射大鼠肝、肾、肺和心脏的炎症反应和氧化应激(EAM)的改善能力:方法:让佐剂诱导的关节炎(AIA)大鼠每周连续分次接受全身γ辐照(每周一次,每次 2 Gray (Gy),连续四周,总剂量不超过 8 Gy)。患有关节炎和/或关节炎的辐照大鼠作为模型组,接受 BS(40 毫克/千克体重/天,口服)或 O(2 毫克/千克,静脉注射)治疗,或不接受治疗:除了对踝关节和关节外组织进行组织病理学检查外,还对目标器官的体重变化、爪围、氧化应激指数、炎症反应生物标志物、Janus 激酶-2 (JAK-2)、信号转导和激活转录 3 (STAT3)、高迁移率组 box1 (HMGB1)、活化 B 细胞的核因子卡巴轻链增强因子 (NF-κB)以及促炎和抗炎介质的表达进行了分析。用 BS 或 O 治疗关节炎和/或关节炎辐照大鼠,可有效缓解体重增加、爪肿胀、氧化应激、炎症反应以及关节和非关节组织的组织病理学退行性改变:获得的数据表明,BS 或 O 可通过调节关节炎和关节炎照射大鼠的氧化和炎症指数来改善关节和 EAM。
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引用次数: 0
Pre-pandemic antibodies screening against SARS-CoV-2 and virus detection among children diagnosed with eruptive fevers. 在大流行前筛查 SARS-CoV-2 抗体,并在确诊为爆发性发烧的儿童中检测病毒。
IF 3.5 3区 医学 Pub Date : 2024-01-01 DOI: 10.1177/03946320241260633
Nouhaila Najimi, Latifa Tajount, Zakia Regragui, Chaimae Remz, Rokaya Ait-Lhaj-Mhand, Chaimae Kadi, Lamiae Belayachi, Fouad Seghrouchni, Nadia Dakka, Rabii Ameziane El Hassani, Elmir Elharti, Hicham Oumzil, Youssef Bakri

Objectives: This study aims to assess the seroprevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) IgG antibodies against the spike (S) and nucleocapsid (NP) proteins, as well as neutralizing antibodies against the receptor-binding domain (RBD). Additionally, it aims to detect viral RNA of SARS-CoV-2 in pre-pandemic archival pediatric specimens collected before the announcement of the COVID-19 pandemic spread on March 20th, 2020, in Morocco. The objective is to investigate the existence of pre-pandemic immunity to SARS-CoV-2.

Methods: We conducted a cross-sectional study, to analyze IgG antibody levels in a cohort of 106 pre-pandemic pediatric participants. Using an indirect enzyme-linked immunosorbent assay (ELISA), we measured the IgG levels against the S and NP proteins of SARS-CoV-2. Additionally, we staged a competitive ELISA assay to evaluate the neutralizing capability of these antibodies. We used reverse transcription polymerase chain reaction (rRT-PCR) to detect viral NP and ORF1ab genes of SARS-CoV-2 in oropharyngeal swabs. Moreover, we conducted on the same specimens a multiplexed RT-PCR to detect RNA of the most common 27 pathogens involved in lower respiratory tract infections.

Results: Among the 106 serum samples, 13% (nn = =14) tested positive for SARS-CoV-2 IgG antibodies using ELISA. Temporal analysis indicated varying IgG positivity levels across 2019. Neutralizing antibodies were found in 21% of the 28 samples analyzed, including two with high inhibition rates (93%). The SARS-CoV-2 RNA was detected using rRT-PCR in 14 samples. None of the samples tested positive for the other 27 pathogens associated with lower respiratory tract infections, using multiplexed RT-PCR.

Conclusion: Our study addresses the possibility, that COVID-19 infections occurred in Morocco before the recognized outbreak. On the other hand, some of the cases might reflect cross-reactivity with other coronaviruses or be influenced by previous viral exposures or vaccinations. Understanding these factors is crucial to comprehending pediatric immune responses to newly emerging infectious diseases.

研究目的本研究旨在评估严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)针对尖峰蛋白(S)和核壳蛋白(NP)的 IgG 抗体以及针对受体结合域(RBD)的中和抗体的血清流行率。此外,该研究还旨在检测在 2020 年 3 月 20 日摩洛哥宣布 COVID-19 大流行传播之前采集的大流行前儿科档案标本中的 SARS-CoV-2 病毒 RNA。目的是调查大流行前是否存在对 SARS-CoV-2 的免疫力:我们进行了一项横断面研究,分析了一组 106 名大流行前儿童参与者的 IgG 抗体水平。我们使用间接酶联免疫吸附试验(ELISA)测定了针对 SARS-CoV-2 的 S 蛋白和 NP 蛋白的 IgG 水平。此外,我们还进行了竞争性 ELISA 试验,以评估这些抗体的中和能力。我们使用反转录聚合酶链反应(rRT-PCR)检测口咽拭子中的 SARS-CoV-2 病毒 NP 和 ORF1ab 基因。此外,我们还对同一标本进行了多重 RT-PCR 检测,以检测下呼吸道感染中最常见的 27 种病原体的 RNA:结果:在 106 份血清样本中,13%(nn = 14)的 SARS-CoV-2 IgG 抗体在 ELISA 检测中呈阳性。时间分析表明,2019 年的 IgG 阳性水平各不相同。在分析的 28 份样本中,21% 发现了中和抗体,其中两份样本的抑制率很高(93%)。在 14 份样本中,使用 rRT-PCR 检测到了 SARS-CoV-2 RNA。使用多重 RT-PCR 技术检测与下呼吸道感染相关的其他 27 种病原体,没有一个样本呈阳性:结论:我们的研究证实了一种可能性,即 COVID-19 感染在摩洛哥爆发之前就已存在。另一方面,部分病例可能反映了与其他冠状病毒的交叉反应,或受到之前病毒暴露或疫苗接种的影响。了解这些因素对于理解儿科对新发传染病的免疫反应至关重要。
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引用次数: 0
Pediatric IgG4-related dacryoadenitis and sialadenitis (Mikulicz's disease) with acquired hemophilia A: A case report and review of literature. 小儿 IgG4 相关性泪腺炎和唾液腺炎(Mikulicz 病)伴后天性血友病 A:病例报告和文献综述。
IF 3.5 3区 医学 Pub Date : 2024-01-01 DOI: 10.1177/03946320241301734
Cong Mai Thanh, Khuyen Nguyen Thi, Hiep Nguyen Canh, Thuy Nguyen Thi Dieu

We report a case of IgG4-related dacryoadenitis and sialadenitis (Mikulicz's disease) with acquired hemophilia A (AHA) in a pediatric patient. An 11-year-old female presented with intermittent swelling of the bilateral upper eyelids and neck areas. Clinical examination revealed bilateral swollen upper eyelids with palpable mass lesions in the lacrimal fossa. The submandibular and sublingual glands were enlarged, tender, and movable. Neck ultrasound showed bilateral gland enlargement with irregular hypoechoic parenchyma. Maxillofacial magnetic resonance imaging (MRI) revealed bilateral lacrimal glands enlargement, homogeneous enlarged bilateral submandibular and parotid glands, measuring 4.7 × 3.9 cm. Laboratory investigation showed increased activated partial prothromboplastin time (80.9 s), markedly decreased FVIII activity (0.6%), a high titer of FVIII inhibitor (480 Bethesda units/mL), and a remarkable increase in serum IgG4 level (1005.68 mg/dL). A left submandibular gland biopsy revealed marked lympho-plasmacytic infiltration with scattered eosinophils. Immunohistochemical staining for IgG4 showed numerous IgG4-positive plasma cells (>100 per high-power field), with a ratio of IgG4-positive to IgG-positive cells >40%. The symptoms were markedly relieved following corticosteroid therapy. IgG4-related dacryoadenitis and sialadenitis (Mikulicz's disease) with acquired hemophilia A (AHA) can also be seen in the pediatric population and should be considered a differential diagnosis in patients with relevant symptoms.

我们报告了一例与 IgG4 相关的泪腺炎和唾液腺炎(Mikulicz 病)并发获得性血友病 A(AHA)的儿童患者。一名 11 岁女性患者出现双侧上眼睑和颈部间歇性肿胀。临床检查发现双侧上眼睑肿胀,泪窝处可触及肿块。颌下腺和舌下腺肿大、触痛并可活动。颈部超声显示双侧腺体肿大,实质呈不规则低回声。颌面部磁共振成像(MRI)显示双侧泪腺增大,双侧颌下腺和腮腺均匀增大,大小为 4.7 × 3.9 厘米。实验室检查显示,活化部分凝血酶原时间延长(80.9 秒),FVIII 活性明显降低(0.6%),FVIII 抑制剂滴度高(480 贝塞斯达单位/毫升),血清 IgG4 水平显著升高(1005.68 毫克/分升)。左侧下颌下腺活检显示有明显的淋巴浆细胞浸润和散在的嗜酸性粒细胞。IgG4 免疫组化染色显示有大量 IgG4 阳性浆细胞(每个高倍视野大于 100 个),IgG4 阳性细胞与 IgG 阳性细胞之比大于 40%。皮质类固醇治疗后症状明显缓解。IgG4相关性泪腺炎和唾液腺炎(Mikulicz病)合并获得性血友病A(AHA)也可见于儿科人群,应将其作为有相关症状患者的鉴别诊断。
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引用次数: 0
Prognostic impact of matrix metalloproteinase 2 (MMP-2) and matrix metalloproteinase 9 (MMP-9) in Egyptian breast cancer patients. 基质金属蛋白酶2 (MMP-2)和基质金属蛋白酶9 (MMP-9)对埃及乳腺癌患者预后的影响
IF 3.5 3区 医学 Pub Date : 2024-01-01 DOI: 10.1177/03946320241304911
Fayrouz A Fouad, Mohamed A Khali, Inas Moaz, Hossam Elmasry, Nada Gheta, Asala Abdeen, Mariam Tantawi, Ganna Elkholy, Shaimaa Rihan, Mahmoud M Kamel, Ayman El-Meghawry El-Kenawy, Youssef As Abdel-Moneim, Abdallah M Gameel

This study aims to investigate the diagnostic and prognostic relevance of MMP-2 and MMP-9 as biomarkers for breast cancer, as well as their association with clinicopathological factors. Breast cancer is a leading contributor to cancer-related deaths among women worldwide. The discovery of biomarkers is crucial for early diagnosis, outcome prediction, and effective treatment. Matrix metalloproteinases (MMPs) play a significant role in various physiological and pathological activities, including development, tissue repair, inflammation, cancer spread, and metastasis. While the prognostic significance of MMP-2 and MMP-9 levels in breast cancer has been studied, the findings remain inconclusive. Participants were divided into three groups, with each group consisting of 62 individuals: Group I comprised healthy controls, Group II consisted of newly diagnosed breast cancer patients (stage I-III), and Group III included patients with metastatic breast cancer. Levels of MMP-2 and MMP-9 were evaluated in these groups using the ELISA method. An evident increase in MMP-2 and MMP-9 levels was noted when comparing the control group with both the breast cancer and metastatic groups. Furthermore, a notable correlation was identified between serum MMP-9 levels and the pathological diagnosis of breast cancer (P < 0.001) as well as tumor size (P < 0.01). MMP-2 and MMP-9 have emerged as promising biomarkers for breast cancer, with MMP-9 specifically associated with disease prognosis. Continued investigation into the anti-tumor mechanisms of MMPs may yield significant advancements in the development of targeted therapeutic strategies for the management of breast cancer.

本研究旨在探讨MMP-2和MMP-9作为乳腺癌生物标志物的诊断和预后相关性,以及它们与临床病理因素的关系。乳腺癌是全世界妇女癌症相关死亡的主要原因。生物标志物的发现对于早期诊断、预后预测和有效治疗至关重要。基质金属蛋白酶(Matrix metalloproteinases, MMPs)在多种生理和病理活动中发挥重要作用,包括发育、组织修复、炎症、肿瘤扩散和转移。虽然已经研究了MMP-2和MMP-9水平在乳腺癌中的预后意义,但研究结果仍不确定。参与者被分为三组,每组62人:第一组包括健康对照组,第二组包括新诊断的乳腺癌患者(I-III期),第三组包括转移性乳腺癌患者。采用ELISA法检测各组MMP-2和MMP-9的水平。将对照组与乳腺癌组和转移组进行比较,发现MMP-2和MMP-9水平明显增加。此外,血清MMP-9水平与乳腺癌的病理诊断(P P
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引用次数: 0
Calcitriol ameliorates cisplatin-induced hepatorenal toxicity via regulation of Nrf2-Mrp2/p38 MAPK signaling in mice. 骨化三醇通过调控Nrf2-Mrp2/p38 MAPK信号通路改善小鼠顺铂诱导的肝肾毒性。
IF 3.5 3区 医学 Pub Date : 2024-01-01 DOI: 10.1177/03946320241306276
Mohamed A Morsy, Rania Abdel-Latif, Manar Fg Ibrahim, Heba Marey, Seham A Abdel-Gaber

Despite being one of the most frequently used chemotherapy agents, cisplatin exhibits substantial hepatorenal injury by triggering oxidative stress, inflammation, and apoptosis pathways. The current investigation studied the possible protective effects of calcitriol on cisplatin-induced hepatorenal toxicity. Mice were divided randomly as follows: control group, calcitriol group (received calcitriol 5 µg/kg, p.o. for 14 days), cisplatin group (received a single i.p. injection of cisplatin 10 mg/kg on the 10th day), and calcitriol + cisplatin group (received calcitriol 5 µg/kg, p.o. for 14 days and cisplatin 10 mg/kg, i.p. on the 10th day). The possible interaction between calcitriol and cisplatin on cell viability was tested in HepG2 cells by MTT assay. Hepatorenal toxicity induced by cisplatin was reversed by calcitriol, as evidenced by improved histological examinations and liver and kidney function tests. In addition, calcitriol counteracted oxidative stress and enhanced Nrf2 and Mrp2 expression in the liver and kidney while suppressing levels of p38 MAPK in cisplatin-treated mice. Calcitriol also inhibited cisplatin-induced hepatic and renal inflammation, as determined by suppressing TNF-α and enhancing IL-10 levels. By downregulating caspase-3, calcitriol also promoted liver and kidney tissue survival in mice treated with cisplatin. Moreover, cisplatin's cytotoxic effects were significantly potentiated when calcitriol was combined with cisplatin. The current study showed that calcitriol protects against cisplatin-induced hepatorenal injury by suppressing oxidative stress, inflammation, and apoptosis, which the Nrf2-Mrp2/p38 MAPK pathway might regulate.

尽管是最常用的化疗药物之一,但顺铂通过触发氧化应激、炎症和细胞凋亡通路而表现出严重的肝肾损伤。本研究旨在探讨骨化三醇对顺铂所致肝肾毒性的保护作用。将小鼠随机分为对照组、骨化三醇组(骨化三醇5µg/kg,每天口服14 d)、顺铂组(顺铂10 mg/kg,第10天单次腹腔注射)、骨化三醇+顺铂组(骨化三醇5µg/kg,每天口服14 d,顺铂10 mg/kg,第10天口服)。采用MTT法检测骨化三醇和顺铂对HepG2细胞活力的影响。骨化三醇可以逆转顺铂引起的肝肾毒性,组织学检查和肝肾功能检查的改善证明了这一点。此外,骨化三醇可以抵消氧化应激,增强肝脏和肾脏中Nrf2和Mrp2的表达,同时抑制顺铂处理小鼠的p38 MAPK水平。骨化三醇还通过抑制TNF-α和提高IL-10水平来抑制顺铂诱导的肝脏和肾脏炎症。通过下调caspase-3,骨化三醇还能促进顺铂治疗小鼠的肝脏和肾脏组织存活。此外,当骨化三醇与顺铂联合使用时,顺铂的细胞毒作用显著增强。目前的研究表明,骨化三醇通过抑制氧化应激、炎症和细胞凋亡来保护顺铂诱导的肝肾损伤,而Nrf2-Mrp2/p38 MAPK通路可能对这些过程进行调控。
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引用次数: 0
A gradient model of renal ischemia reperfusion injury to investigate renal interstitial fibrosis. 研究肾间质纤维化的肾缺血再灌注损伤梯度模型
IF 3.5 3区 医学 Pub Date : 2024-01-01 DOI: 10.1177/03946320241288426
Fan Yang, Baoping Zhu, Elyce Ozols, Haitao Bai, Mengjie Jiang, Frank Y Ma, David J Nikolic-Paterson, Xiaoyun Jiang

Background: The progression from acute kidney injury to chronic kidney disease poses a significant health challenge. Nonetheless, a constraint in existing animal models of renal ischemia/reperfusion (I/R) injury is the necessity for a severe injury, almost reaching a life-threatening level, to trigger the subsequent onset of renal fibrosis. Hence, we explored an adapted gradient approach to induce I/R injury, aiming to promote the progression of renal fibrosis while preserving the overall normal functioning of the kidney. Methods: In each group, 6-8 male C57BL/6 mice were used for model construction, with all undergoing sodium pentobarbital anesthesia and left kidney removal. Subsequently, a silk thread was passed beneath the lower renal branch, elevating the right kidney under a 20-g weight's tension via a pulley system for durations of 30, 40, or 60 min. Afterwards, we lowered the kidney, sutured the wound, and administered intraperitoneal saline. Mice in different groups were euthanized following reperfusion for 1, 3, 7, or 28 days. Results: We observed a complete cessation of blood flow in the lower pole, while an incomplete cessation in the upper pole in the elevated kidney. Significant renal impairment was evident on day 1 with a 60min ischemic period (187.0 ± 65.3 vs 17.9 ± 4.8 μmol/L serum creatinine in normal; p < .001), but not with 30 or 40min. On day 1, tubular necrosis and hyaline cast formation was evident in both lower and upper poles. On day 3, renal function returned to normal and remained normal through day 28. Histologic damage resolved in the upper pole over days 3 to 7, resulting in normal histology on day 28. By contrast, there was sustained tubular damage tubular in the lower pole on days 3 and 7, which failed to resolve and led to significant renal fibrosis by day 28. Conclusion: We created a model demonstrating clinically "silent" renal fibrosis.

背景:从急性肾损伤发展为慢性肾病是一项重大的健康挑战。然而,现有的肾脏缺血再灌注(I/R)损伤动物模型的一个限制因素是,必须有严重的损伤,几乎达到危及生命的程度,才能引发随后的肾脏纤维化。因此,我们探索了一种诱导 I/R 损伤的适应性梯度方法,旨在促进肾脏纤维化的进展,同时保持肾脏的整体正常功能。研究方法每组使用 6-8 只雄性 C57BL/6 小鼠构建模型,所有小鼠均接受戊巴比妥钠麻醉并切除左肾。随后,在肾下支下方穿入一根丝线,通过滑轮系统在20克重物的拉力下将右肾升高,持续时间为30、40或60分钟。然后放下肾脏,缝合伤口,腹腔注射生理盐水。不同组别的小鼠在再灌注 1、3、7 或 28 天后安乐死。结果我们观察到高位肾脏下极血流完全停止,而上极血流不完全停止。在缺血 60 分钟的第 1 天,肾功能明显受损(正常人血清肌酐为 187.0 ± 65.3 vs 17.9 ± 4.8 μmol/L;p < .001),但在缺血 30 分钟或 40 分钟时,肾功能没有明显受损。第 1 天,下极和上极均出现明显的肾小管坏死和透明铸型形成。第 3 天,肾功能恢复正常,并在第 28 天保持正常。第 3 至 7 天,上极的组织学损伤消失,第 28 天组织学结果正常。相比之下,下极的肾小管损伤在第 3 天和第 7 天持续存在,到第 28 天时仍未缓解,并导致严重的肾纤维化。结论:我们创建了一个临床 "无声 "肾纤维化模型。
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引用次数: 0
Revealing the potential of solute carrier family 31 (copper transporters), member 1: Insights into its role in bladder cancer progression and therapeutic implications. 揭示溶质载体家族 31(铜转运体)成员 1 的潜力:洞察其在膀胱癌进展中的作用和治疗意义。
IF 3.5 3区 医学 Pub Date : 2024-01-01 DOI: 10.1177/03946320241240706
Yun-Zhi Lin, Wei-Hui Liu, Yu-Peng Wu, Hai Cai, Qing-Shui Zheng, Yong Wei, Ning Xu, Xue-Yi Xue

Introduction: Bladder cancer represents a significant public health concern with diverse genetic alterations influencing disease onset, progression, and therapy response. In this study, we explore the multifaceted role of Solute Carrier Family 31 Member 1 (SLC31A1) in bladder cancer, a pivotal gene involved in copper homeostasis. Methods: Our research involved analyzing the SLC31A1 gene expression via RT-qPCR, promoter methylation via targeted bisulfite sequencing, and mutational status via Next Generation Sequencing (NGS) using the clinical samples sourced by the local bladder cancer patients. Later on, The Cancer Genome Atlas (TCGA) datasets were utilized for validation purposes. Moreover, prognostic significance, gene enrichment terms, and therapeutic drugs of SLC31A1 were also explored using KM Plotter, DAVID, and DrugBank databases. Results: We observed that SLC31A1 was significantly up-regulated at both the mRNA and protein levels in bladder cancer tissue samples, suggesting its potential involvement in bladder cancer development and progression. Furthermore, our investigation into the methylation status revealed that SLC31A1 was significantly hypomethylated in bladder cancer tissues, which may contribute to its overexpression. The ROC analysis of the SLC31A1 gene indicated promising diagnostic potential, emphasizing its relevance in distinguishing bladder cancer patients from normal individuals. However, it is crucial to consider other factors such as cancer stage, metastasis, and recurrence for a more accurate evaluation in the clinical context. Interestingly, mutational analysis of SLC31A1 demonstrated only benign mutations, indicating their unknown role in the SLC31A1 disruption. In addition to its diagnostic value, high SLC31A1 expression was associated with poorer overall survival (OS) in bladder cancer patients, shedding light on its prognostic relevance. Gene enrichment analysis indicated that SLC31A1 could influence metabolic and copper-related processes, further underscoring its role in bladder cancer. Lastly, we explored the DrugBank database to identify potential therapeutic agents capable of reducing SLC31A1 expression. Our findings unveiled six important drugs with the potential to target SLC31A1 as a treatment strategy. Conclusion: Our comprehensive investigation highlights SLC31A1 as a promising biomarker for bladder cancer development, progression, and therapy.

简介膀胱癌是一个重大的公共卫生问题,它的基因改变对疾病的发生、发展和治疗反应有着不同的影响。在本研究中,我们探讨了溶质运载家族 31 成员 1(SLC31A1)在膀胱癌中的多方面作用,该基因是参与铜平衡的关键基因。研究方法我们的研究利用当地膀胱癌患者的临床样本,通过 RT-qPCR 分析 SLC31A1 基因的表达,通过靶向亚硫酸氢盐测序分析启动子甲基化,以及通过下一代测序(NGS)分析突变状态。随后,还利用癌症基因组图谱(TCGA)数据集进行了验证。此外,还利用 KM Plotter、DAVID 和 DrugBank 数据库探讨了 SLC31A1 的预后意义、基因富集项和治疗药物。结果我们观察到 SLC31A1 在膀胱癌组织样本中的 mRNA 和蛋白水平均显著上调,这表明它可能参与了膀胱癌的发生和发展。此外,我们对甲基化状态的调查显示,SLC31A1 在膀胱癌组织中的甲基化水平明显偏低,这可能是其过度表达的原因之一。对 SLC31A1 基因的 ROC 分析表明,该基因具有良好的诊断潜力,强调了它在区分膀胱癌患者和正常人方面的相关性。不过,要想在临床上进行更准确的评估,还必须考虑癌症分期、转移和复发等其他因素。有趣的是,SLC31A1 的突变分析只显示了良性突变,表明它们在 SLC31A1 干扰中的作用不明。除了诊断价值外,SLC31A1的高表达还与膀胱癌患者较差的总生存期(OS)相关,从而揭示了其预后相关性。基因富集分析表明,SLC31A1 可影响代谢和铜相关过程,进一步强调了它在膀胱癌中的作用。最后,我们探索了 DrugBank 数据库,以确定能够降低 SLC31A1 表达的潜在治疗药物。我们的研究结果揭示了六种有可能将 SLC31A1 作为治疗策略靶点的重要药物。结论我们的全面调查强调了 SLC31A1 是膀胱癌发展、进展和治疗的一个有前途的生物标志物。
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引用次数: 0
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International Journal of Immunopathology and Pharmacology
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