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Early onset pancreatic cancer: A review 早发胰腺癌:综述。
IF 5 2区 医学 Q2 Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.tranon.2024.102239
Dong Luo , Yixiong Li , Xiao Yu , Liandong Ji , Xuejun Gong
Early-onset pancreatic cancer (EOPC) is usually defined as patients with pancreatic cancer before the age of 50 years, which is relatively rare. However, the research on EOPC is somewhat obscure, and the specific clinical and molecular characteristics of this condition are debated. In this review, we discussed the differences between EOPC and late-onset pancreatic cancer (LOPC) or average-onset pancreatic cancer (AOPC) with a focus on clinical and molecular characteristics, survival outcomes and treatment to promote the diagnosis and treatment of EOPC.
早发胰腺癌(EOPC)通常是指 50 岁之前罹患胰腺癌的患者,这种情况相对罕见。然而,关于早发胰腺癌的研究还有些模糊,对其具体的临床和分子特征也存在争议。在这篇综述中,我们讨论了EOPC与晚发性胰腺癌(LOPC)或平均发性胰腺癌(AOPC)的区别,重点关注临床和分子特征、生存结果和治疗方法,以促进EOPC的诊断和治疗。
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引用次数: 0
Clinical characteristics of EGFR-ctDNA shedders in EGFR-mutant NSCLC patients egfr突变型非小细胞肺癌患者EGFR-ctDNA脱落的临床特征
IF 5 2区 医学 Q2 Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.tranon.2024.102228
Martina Ruglioni , Iacopo Petrini , Stefania Crucitta , Andrea Sbrana , Giovanna Irene Luculli , Leila Sadeghi Gol , Carola Forte , Antonio Chella , Christian Rolfo , Romano Danesi , Marzia Del Re

Background

Circulating tumor DNA (ctDNA) revolutionized the molecular diagnostics of lung cancer by enabling non-invasive, sensitive identification of actionable mutations. However, ctDNA analysis may be challenging due to tumor shedding variability, leading to false negative results. This study aims to understand the determinants for ctDNA shedding based on clinical characteristics of lung cancer patients, for a better interpretation of false negative results to be considered when ordering ctDNA analysis for clinical practice.

Methods

Blood samples were collected from patients with stage IV EGFR-mutated (mEGFR) NSCLC before treatment and monitored until disease progression. EGFR was assessed on tissue by standard procedures, while EGFR status on ctDNA was tested using dPCR at baseline and at the first reassessment. NGS was used to evaluate patients mutational status at the progression of the disease.

Results

A total of 40 mEGFR tissue samples were collected. Plasma samples were analyzed for mEGFR before starting the first line, 65 % of patients had detectable mEGFR in ctDNA (“shedders”). Higher ECOG PS (p = 0.04), bilateral localization of primary tumor (p = 0.04), and the presence of intrathoracic/extrathoracic disease (p = 0.05), were associated to mEGFR shedding. Shedders had shorter PFS compared to non-shedders (p = 0.03). Patients with detectable mEGFR in ctDNA at the first radiological assessment exhibited worse PFS compared to patients with ctDNA clearance (p = 0.05).

Conclusion

Our preliminary data demonstrate that specific clinical characteristics predict mEGFR shedding in ctDNA of NSCLC, suggesting a potential clinical applicability for understanding potential false negative results and appropriate reporting in clinical practice.
背景:循环肿瘤DNA (ctDNA)通过无创、灵敏地识别可操作的突变,彻底改变了肺癌的分子诊断。然而,由于肿瘤脱落的可变性,ctDNA分析可能具有挑战性,导致假阴性结果。本研究旨在根据肺癌患者的临床特征了解ctDNA脱落的决定因素,以便在临床实践中进行ctDNA分析时更好地解释假阴性结果。方法:在治疗前采集IV期egfr突变(mEGFR) NSCLC患者的血液样本并监测直至疾病进展。通过标准程序评估组织中的EGFR,而在基线和第一次重新评估时使用dPCR检测ctDNA上的EGFR状态。NGS用于评估患者在疾病进展中的突变状态。结果:共收集到mEGFR组织样本40份。在开始一线治疗前,对血浆样本进行mEGFR分析,65%的患者在ctDNA中检测到mEGFR(“脱落者”)。较高的ECOG PS (p = 0.04)、原发肿瘤的双侧定位(p = 0.04)和胸内/胸外疾病的存在(p = 0.05)与mEGFR脱落有关。与非脱模者相比,脱模者的PFS较短(p = 0.03)。与ctDNA清除的患者相比,首次放射评估时ctDNA中可检测到mEGFR的患者表现出更差的PFS (p = 0.05)。结论:我们的初步数据表明,特定的临床特征可以预测NSCLC ctDNA中mEGFR的脱落,这对于了解潜在的假阴性结果和在临床实践中适当报告具有潜在的临床适用性。
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引用次数: 0
Adenomas from individuals with pathogenic biallelic variants in the MUTYH and NTHL1 genes demonstrate base excision repair tumour mutational signature profiles similar to colorectal cancers, expanding potential diagnostic and variant classification applications 来自具有致病性MUTYH和NTHL1双等位基因变异的个体的腺瘤显示出与结直肠癌相似的碱基切除修复肿瘤突变特征谱,扩大了潜在的诊断和变异分类应用。
IF 5 2区 医学 Q2 Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.tranon.2024.102266
Romy Walker , Jihoon E. Joo , Khalid Mahmood , Mark Clendenning , Julia Como , Susan G. Preston , Sharelle Joseland , Bernard J. Pope , Ana B.D. Medeiros , Brenely V. Murillo , Nicholas Pachter , Kevin Sweet , Allan D. Spigelman , Alexandra Groves , Margaret Gleeson , Krzysztof Bernatowicz , Nicola Poplawski , Lesley Andrews , Emma Healey , Steven Gallinger , Peter Georgeson

Background

Colorectal cancers (CRCs) from people with biallelic germline likely pathogenic/pathogenic variants in MUTYH or NTHL1 exhibit specific single base substitution (SBS) mutational signatures, namely combined SBS18 and SBS36 (SBS18+SBS36), and SBS30, respectively. The aim was to determine if adenomas from biallelic cases demonstrated these mutational signatures at diagnostic levels.

Methods

Whole-exome sequencing of FFPE tissue and matched blood-derived DNA was performed on 9 adenomas and 15 CRCs from 13 biallelic MUTYH cases, on 7 adenomas and 2 CRCs from 5 biallelic NTHL1 cases and on 27 adenomas and 26 CRCs from 46 non-hereditary (sporadic) participants. All samples were assessed for COSMIC v3.2 SBS mutational signatures.

Results

In biallelic MUTYH cases, SBS18+SBS36 signature proportions in adenomas (mean±standard deviation, 65.6 %±29.6 %) were not significantly different to those observed in CRCs (76.2 % ± 20.5 %, p-value=0.37), but were significantly higher compared with non-hereditary adenomas (7.6 % ± 7.0 %, p-value=3.4 × 10–4). Similarly, in biallelic NTHL1 cases, SBS30 signature proportions in adenomas (74.5 %±9.4 %) were similar to those in CRCs (78.8 % ± 2.4 %) but significantly higher compared with non-hereditary adenomas (2.8 % ± 3.6 %, p-value=5.1 × 10–7). Additionally, a compound heterozygote with the c.1187G>A p.(Gly396Asp) pathogenic variant and the c.533G>C p.(Gly178Ala) variant of unknown significance (VUS) in MUTYH demonstrated high levels of SBS18+SBS36 in four adenomas and one CRC, providing evidence for reclassification of the VUS to pathogenic.

Conclusions

SBS18+SBS36 and SBS30 were enriched in adenomas at comparable proportions to those observed in CRCs from biallelic MUTYH and biallelic NTHL1 cases, respectively. Therefore, testing adenomas may improve the identification of biallelic cases and facilitate variant classification, ultimately enabling opportunities for CRC prevention.
背景:来自MUTYH或NTHL1双等位种系可能致病/致病变异的人群的结直肠癌(crc)表现出特异性的单碱基替代(SBS)突变特征,即SBS18和SBS36 (SBS18+SBS36)和SBS30的组合。目的是确定双等位病例的腺瘤是否在诊断水平上表现出这些突变特征。方法:对13例双等位基因MUTYH患者的9例腺瘤和15例crc、5例双等位基因NTHL1患者的7例腺瘤和2例crc以及46例非遗传性(散发性)参与者的27例腺瘤和26例crc进行FFPE组织和匹配血源DNA的全外显子组测序。对所有样品进行COSMIC v3.2 SBS突变特征评估。结果:在双等位基因MUTYH病例中,腺瘤中SBS18+SBS36的特征比例(平均值±标准差,65.6%±29.6%)与crc(76.2%±20.5%,p值=0.37)无显著差异,但与非遗传性腺瘤(7.6%±7.0%,p值=3.4 × 10-4)相比,SBS18+SBS36的特征比例显著升高。同样,在双等位基因NTHL1病例中,腺瘤中SBS30的特征比例(74.5%±9.4%)与crc相似(78.8%±2.4%),但显著高于非遗传性腺瘤(2.8%±3.6%,p值=5.1 × 10-7)。此外,在MUTYH中,与C . 1187g > a p.(Gly396Asp)致病变异和C . 533g >C p.(Gly178Ala)未知意义变异(VUS)的复合杂合子显示,在4个腺瘤和1个结直肠癌中,SBS18+SBS36水平较高,为VUS重新分类为致病变异提供了证据。结论:在腺瘤中,SBS18+SBS36和SBS30分别与双等位基因MUTYH和双等位基因NTHL1的crc中观察到的富集比例相当。因此,检测腺瘤可以提高双等位病例的识别,促进变异分类,最终为预防结直肠癌提供机会。
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引用次数: 0
Impact of radiotherapy on secondary lung cancer risk and survival in elderly female breast cancer survivors 放疗对老年女性乳腺癌幸存者继发肺癌风险及生存的影响。
IF 5 2区 医学 Q2 Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.tranon.2025.102277
Jieming Lu , Zhimin Shen , Xiaoqing Wang , Yanhong Lin , Ziyang Han , Mingqiang Kang
This retrospective cohort study using SEER data from 2000 to 2020 examines the impact of radiotherapy on the risk of Secondary Primary Lung Cancer (SPLC) in 224,396 elderly female breast cancer survivors. Patients treated with radiotherapy displayed a 31 % increased SPLC risk compared to those not treated. Utilizing Cox Proportional Hazards and Poisson regression models, the study assessed various factors including age, race, and tumor characteristics. Propensity Score Matching (PSM) was employed to balance cohorts for survival analysis, which revealed that radiotherapy did not negatively impact overall survival despite the increased risk of SPLC. A nomogram was developed to aid clinical decision-making by predicting survival outcomes. The findings advocate for personalized treatment strategies and continuous monitoring to manage potential long-term adverse effects effectively, highlighting the need for a balanced approach in the treatment of breast cancer survivors.
这项回顾性队列研究使用2000年至2020年的SEER数据,研究了放疗对224396名老年女性乳腺癌幸存者继发性原发性肺癌(SPLC)风险的影响。与未接受放射治疗的患者相比,接受放射治疗的患者SPLC风险增加了31%。利用Cox比例风险和泊松回归模型,研究评估了包括年龄、种族和肿瘤特征在内的各种因素。采用倾向评分匹配(PSM)来平衡队列进行生存分析,结果显示尽管SPLC风险增加,但放疗对总体生存没有负面影响。通过预测生存结果,开发了一种nomogram方法来帮助临床决策。研究结果提倡个性化的治疗策略和持续监测,以有效地管理潜在的长期不良影响,强调了在治疗乳腺癌幸存者时需要采取平衡的方法。
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引用次数: 0
Role of 3-mercaptopyruvate sulfurtransferase in cancer: Molecular mechanisms and therapeutic perspectives 3-巯基丙酮酸硫转移酶在癌症中的作用:分子机制和治疗前景。
IF 5 2区 医学 Q2 Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.tranon.2025.102272
Ka Zhang , Yi-Wen Zhu , Ao-Qi Tang , Ze-Tao Zhou , Yi-Lun Yang , Zi-Hui Liu , Yan Li , Xiao-Yi Liang , Zhi-Fen Feng , Jun Wang , Tong Jiang , Qi-Ying Jiang , Dong-Dong Wu
The occurrence and development of tumor is mediated by a wide range of complex mechanisms. Subsequent to nitric oxide and carbon monoxide, hydrogen sulfide (H2S) holds the distinction of being the third identified gasotransmitter. Alternation of H2S level has been widely demonstrated to induce an array of disturbances in important cancer cell signaling pathways. As a result, the effects of H2S-catalyzing enzymes in cancers also attract widspread attention. 3-mercaptopyruvate sulfurtransferase (3-MST) is privileged to be one of them. In fact, 3-MST is overexpressed in many tumors including human colon cancer, lung adenocarcinoma, and bladder urothelial carcinoma. But it is also lowly expressed in hepatocellular carcinoma. In this review, we focus on the generation of endogenous H2S and polysulfides, facilitated by 3-MST. Additionally, we delve deeply into the potential role of 3-MST in tumorigenesis and development. The impact of 3-MST inhibition on the development of tumors and its potential for tumor therapy are also highlighted.
肿瘤的发生发展受多种复杂机制的调控。继一氧化氮和一氧化碳之后,硫化氢(H2S)是第三种已确定的气体变送器。H2S水平的改变已被广泛证明可以诱导一系列重要癌细胞信号通路的干扰。因此,h2s催化酶在癌症中的作用也引起了广泛的关注。3-巯基丙酮酸硫转移酶(3-MST)就是其中之一。事实上,3-MST在包括结肠癌、肺腺癌和膀胱尿路上皮癌在内的许多肿瘤中都过表达。但它在肝细胞癌中也低表达。在这篇综述中,我们重点研究了3-MST促进内源性H2S和多硫化物的产生。此外,我们深入研究了3-MST在肿瘤发生和发展中的潜在作用。同时也强调了3-MST抑制对肿瘤发展的影响及其在肿瘤治疗中的潜力。
{"title":"Role of 3-mercaptopyruvate sulfurtransferase in cancer: Molecular mechanisms and therapeutic perspectives","authors":"Ka Zhang ,&nbsp;Yi-Wen Zhu ,&nbsp;Ao-Qi Tang ,&nbsp;Ze-Tao Zhou ,&nbsp;Yi-Lun Yang ,&nbsp;Zi-Hui Liu ,&nbsp;Yan Li ,&nbsp;Xiao-Yi Liang ,&nbsp;Zhi-Fen Feng ,&nbsp;Jun Wang ,&nbsp;Tong Jiang ,&nbsp;Qi-Ying Jiang ,&nbsp;Dong-Dong Wu","doi":"10.1016/j.tranon.2025.102272","DOIUrl":"10.1016/j.tranon.2025.102272","url":null,"abstract":"<div><div>The occurrence and development of tumor is mediated by a wide range of complex mechanisms. Subsequent to nitric oxide and carbon monoxide, hydrogen sulfide (H<sub>2</sub>S) holds the distinction of being the third identified gasotransmitter. Alternation of H<sub>2</sub>S level has been widely demonstrated to induce an array of disturbances in important cancer cell signaling pathways. As a result, the effects of H<sub>2</sub>S-catalyzing enzymes in cancers also attract widspread attention. 3-mercaptopyruvate sulfurtransferase (3-MST) is privileged to be one of them. In fact, 3-MST is overexpressed in many tumors including human colon cancer, lung adenocarcinoma, and bladder urothelial carcinoma. But it is also lowly expressed in hepatocellular carcinoma. In this review, we focus on the generation of endogenous H<sub>2</sub>S and polysulfides, facilitated by 3-MST. Additionally, we delve deeply into the potential role of 3-MST in tumorigenesis and development. The impact of 3-MST inhibition on the development of tumors and its potential for tumor therapy are also highlighted.</div></div>","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":"52 ","pages":"Article 102272"},"PeriodicalIF":5.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
CDK4/6 inhibitors promote PARP1 degradation and synergize with PARP inhibitors in non-small cell lung cancer CDK4/6抑制剂在非小细胞肺癌中促进PARP1降解并与PARP抑制剂协同作用。
IF 5 2区 医学 Q2 Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.tranon.2024.102231
Carlos M Roggero , Anwesha B Ghosh , Anvita Devineni , Shihong Ma , Eliot Blatt , Ganesh V. Raj , Yi Yin
Despite widespread deregulation of CDK4/6 activity in non-small cell lung cancer (NSCLC), clinical trials with CDK4/6 inhibitor (CDK4/6i) as a monotherapy have shown poor antitumor activity. Preclinical studies indicate that CDK4/6i may collaborate by influencing DNA damage repair pathways during radiotherapy. Since PARP1 expression was also significantly upregulated in NSCLC, we analyzed the efficacy of combining PARP1 and CDK4/6 inhibition in NSCLC models. We found that CDK4/6is synergize with PARP1 inhibitors (PARPis) to inhibit the clonogenic growth of RB-proficient NSCLC models. This synergy correlates with increased accumulation of DNA damage, interrupted cell-cycle checkpoints, and enhanced apoptotic cell death. Mechanistically, we showed that CDK4/6is promote PARP1 protein degradation, which lead to decreased availability of DNA repair factors involved in homologous recombination and suppression of DNA repair competency. Furthermore, we showed that PARP trapping is engaged in this synergy. We then confirmed that combining PARPi and CDK4/6i blocked the growth of NSCLC xenografts in vivo and patient-derived explant models ex vivo. Our data reveal a previously uncharacterized impact of CDK4/6i on PARP1 levels in RB-proficient NSCLC models and the engagement of PARP trapping in the synergy between CDK4/6i and PARPi. Our findings suggest combining CDK4/6i with PARPi could be a viable therapeutic strategy for patients with RB-proficient NSCLC.
尽管CDK4/6在非小细胞肺癌(NSCLC)中的活性被广泛解除,但CDK4/6抑制剂(CDK4/6i)作为单一疗法的临床试验显示抗肿瘤活性较差。临床前研究表明,CDK4/6i可能在放疗期间通过影响DNA损伤修复途径发挥协同作用。由于PARP1在NSCLC中表达也显著上调,我们分析了PARP1和CDK4/6联合抑制在NSCLC模型中的效果。我们发现cdk4 /6与PARP1抑制剂(PARPis)协同抑制rb精通的非小细胞肺癌模型的克隆生长。这种协同作用与DNA损伤积累增加、细胞周期检查点中断和凋亡细胞死亡增加有关。在机制上,我们发现cdk4 /6促进PARP1蛋白降解,导致参与同源重组的DNA修复因子的可用性降低,并抑制DNA修复能力。此外,我们还表明PARP捕获参与了这种协同作用。然后,我们证实PARPi和CDK4/6i联合在体内和患者来源的体外移植模型中阻断了非小细胞肺癌异种移植物的生长。我们的数据揭示了在rb精通的NSCLC模型中,CDK4/6i对PARP1水平的先前未被表征的影响,以及PARP在CDK4/6i和PARPi之间的协同作用中被捕获的参与。我们的研究结果表明,结合CDK4/6i和PARPi可能是一种可行的治疗策略,用于rb精通的非小细胞肺癌患者。
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引用次数: 0
Multifaceted functions of the Wilms tumor 1 protein: From its expression in various malignancies to targeted therapy Wilms肿瘤1蛋白的多面功能:从各种恶性肿瘤的表达到靶向治疗。
IF 5 2区 医学 Q2 Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.tranon.2024.102237
Qing Nian , Yan Lin , Jinhao Zeng , Yanna Zhang , Rongxing Liu
Wilms tumor 1 (WT1) is a multifaceted protein with dual functions, acting both as a tumor suppressor and as a transcriptional activator of oncogenes. WT1 is highly expressed in various types of solid tumors and leukemia, and its elevated expression is associated with a poor prognosis for patients. High WT1 expression also indicates a greater risk of refractory disease or relapse. Consequently, targeting WT1 is an effective strategy for disease prevention and relapse mitigation. Substantial information is available on the pathogenesis of WT1 in various diseases, and several WT1-targeted therapies, including chemical drugs, natural products, and targeted vaccines, are available. We provide a comprehensive review of the mechanisms by which WT1 influences malignancies and summarize the resulting therapeutic approaches thoroughly. This article provides information on the roles of WT1 in the pathogenesis of different cancers and provides insights into drugs and immunotherapies targeting WT1. The goal of this work is to provide a systematic understanding of the current research landscape and of future directions for WT1-related studies.
Wilms tumor 1 (WT1)是一种具有双重功能的多面蛋白,既可作为肿瘤抑制因子,又可作为癌基因的转录激活因子。WT1在各种类型的实体瘤和白血病中高表达,其表达升高与患者预后不良相关。高WT1表达也表明难治性疾病或复发的风险更高。因此,靶向WT1是预防疾病和减轻复发的有效策略。关于WT1在各种疾病中的发病机制已有大量信息,并且有几种WT1靶向治疗,包括化学药物、天然产物和靶向疫苗。我们对WT1影响恶性肿瘤的机制进行了全面的综述,并对由此产生的治疗方法进行了彻底的总结。本文提供了WT1在不同癌症发病机制中的作用,并为针对WT1的药物和免疫疗法提供了见解。本研究的目的是为wt1相关研究的现状和未来发展方向提供一个系统的认识。
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引用次数: 0
Clonal hematopoiesis of indeterminate potential is a risk factor of gastric cancer: A Prospective Cohort in UK Biobank study 潜力不确定的克隆造血是胃癌的危险因素:英国生物银行研究的前瞻性队列。
IF 5 2区 医学 Q2 Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.tranon.2024.102242
Zhihui Xi , Huolun Feng , Kunling Chen , Xin Guo , Dandan Zhu , Jiabin Zheng , Yong Li

Importance

Gastric cancer is often diagnosed at an advanced stage and at order age, identification of high-risk population is needed for detection of early-stage gastric cancer.

Objective

To examine whether clonal hematopoiesis of indeterminate potential (CHIP) is a risk factor of gastric cancer.

Design

This cohort study used data from the UK Biobank collected from baseline (2006–2010) to the end of follow-up in March 2024.

Setting

Data on age, sex, race, alcohol consumption, smoking status and type 2 diabetes were collected at baseline interview. Previous and diagnosed cancer or diseases were collected from self-reported and in-hospital records.

Participants

Participants with no previous cancer or hematologic disorders were selected. Participants with gastric cancer cases were aged 60.7 (S.D. 6.62), 71.8 % male; controls were aged 56.1 (S.D. 8.11), 47.4 % male.

Exposures

Whole-exome sequencing was performed on blood samples collected at baseline. A CHIP status was identified based on the mutations on 43 CHIP-related genes.

Main outcomes and measures

Odds ratio (OR) of CHIP with gastric cancer risk was estimated using multivariable logistic regression models. Participants were grouped based on age and CHIP status to examine if there are differences in the cumulative incidence of gastric cancer.

Results

Among 402,253 participants, 1,070 incident gastric cancer cases were identified (mean age, 60.7 ± 6.62 years). The prevalence of CHIP at baseline was associated with an increased risk of gastric cancer (cases: 6.54 % vs. controls 5.14 %; OR without adjustment, 1.29; 95 % CI, 1.004 to 1.63). The stratified OR (95 % CI) of individuals aged ≥ 57 was 1.33 (1.02 to 1.72) for overall CHIP, whereas the OR for younger individuals was 0.79 (0.37 to 1.44). CHIP involving DNMT3A (OR, 1.81; 95 % CI, 1.05 to 2.88; P = 0.0193) and ASXL1 (OR, 2.43; 95 % CI, 0.95 to 4.99; P = 0.032) was associated with an increased risk of gastric cancer. These positive associations remained significantly in sensitivity analyses adjusted by known risk factors. Compared to younger individuals and non-CHIP carriers, older participants with CHIP exhibited a significantly higher cumulative incidence of gastric cancer (P < 0.0001).

Conclusions and relevance

CHIP is associated with gastric cancer in the elderly and contributes to the positive association between DNM3A and ASXL1 mutations and risk of gastric cancer.
重要性:胃癌多发生在晚期和低龄,早期胃癌的发现需要对高危人群进行识别。目的:探讨不确定电位克隆造血(CHIP)是否是胃癌发生的危险因素。设计:该队列研究使用了从基线(2006-2010年)到2024年3月随访结束时收集的英国生物银行数据。背景:在基线访谈时收集年龄、性别、种族、饮酒、吸烟状况和2型糖尿病的数据。以前和诊断出的癌症或疾病从自我报告和住院记录中收集。参与者:既往无癌症或血液系统疾病的参与者。胃癌患者的年龄为60.7岁(sd = 6.62),男性占71.8%;对照组年龄56.1岁(标准差8.11),男性占47.4%。暴露:对基线采集的血液样本进行全外显子组测序。基于43个CHIP相关基因的突变,确定了CHIP状态。主要结局和指标:采用多变量logistic回归模型估计CHIP与胃癌风险的比值比(OR)。参与者根据年龄和CHIP状态分组,以检查胃癌累积发病率是否存在差异。结果:在402253名参与者中,确定了1070例胃癌病例(平均年龄60.7±6.62岁)。CHIP在基线时的患病率与胃癌风险增加相关(病例:6.54% vs.对照组5.14%;不调整OR为1.29;95% CI, 1.004 - 1.63)。年龄≥57岁的个体总体CHIP的分层OR (95% CI)为1.33(1.02 ~ 1.72),而年轻个体的OR为0.79(0.37 ~ 1.44)。涉及DNMT3A的CHIP (OR, 1.81;95% CI, 1.05 ~ 2.88;P = 0.0193)和ASXL1 (OR, 2.43;95% CI, 0.95 ~ 4.99;P = 0.032)与胃癌风险增加相关。在已知危险因素调整后的敏感性分析中,这些正相关仍然显著。与年轻人和非CHIP携带者相比,年龄较大的CHIP患者胃癌的累积发病率明显更高(P < 0.0001)。结论及相关性:CHIP与老年人胃癌相关,并参与了DNM3A和ASXL1基因突变与胃癌发病风险的正相关。
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引用次数: 0
Cellular heterogeneity and cytokine signatures in acute myeloid leukemia: A novel prognostic model 急性髓系白血病的细胞异质性和细胞因子特征:一种新的预后模型。
IF 5 2区 医学 Q2 Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.tranon.2024.102194
Jinxia Cao, Bin Hu, Tianqi Li, Dan Fang, ling Jiang, Jun Wang
Acute Myeloid Leukemia (AML) is a complex hematological malignancy distinguished by its heterogeneity in genetic aberrations, cellular composition, and clinical outcomes. This diversity complicates the development of effective, universally applicable therapeutic strategies and highlights the necessity for personalized approaches to treatment. In our study, we utilized high-resolution single-cell RNA sequencing from publicly available datasets to dissect the complex cellular landscape of AML. This approach uncovered a diverse array of cellular subpopulations within the bone marrow samples of AML patients. Through meticulous analysis, we identified 156 differentially expressed cytokine-related genes that underscore the nuanced interplay between AML cells and their microenvironment. Leveraging this comprehensive dataset, we constructed a prognostic risk score model based on seven pivotal cytokine-related genes: CCL23, IL2RA, IL3RA, IL6R, INHBA, TNFSF15, and TNFSF18. The mRNA levels of 7 genes in the risk score model have significant different. This model was rigorously validated across several independent AML patient cohorts, showcasing its robust prognostic capability to stratify patients into distinct risk categories. Patients classified under the high-risk category exhibited significantly poorer survival outcomes compared to their low-risk counterparts, underscoring the model's clinical relevance. Additionally, our in-depth investigation into the immune landscape revealed marked differences in immune cell infiltration and cytokine signaling between the identified risk groups, shedding light on potential immune-mediated mechanisms driving disease progression and treatment resistance. This comprehensive analysis not only advances our understanding of the cellular and molecular underpinnings of AML but also introduces a novel, clinically applicable risk score model. This tool holds significant promise for enhancing the precision of prognostic assessments in AML, thereby paving the way for more tailored and effective therapeutic interventions. Our findings represent a pivotal step toward the realization of personalized medicine in the management of AML, offering new avenues for research and treatment optimization in this challenging disease landscape.
急性髓性白血病(AML)是一种复杂的血液恶性肿瘤,在遗传畸变、细胞组成和临床结果方面具有异质性。这种多样性使开发有效、普遍适用的治疗策略变得更加复杂,并凸显了个性化治疗方法的必要性。在我们的研究中,我们利用公开数据集中的高分辨率单细胞RNA测序技术来剖析急性髓细胞性白血病复杂的细胞结构。这种方法发现了急性髓细胞性白血病患者骨髓样本中多种多样的细胞亚群。通过细致的分析,我们确定了 156 个细胞因子相关的差异表达基因,这些基因强调了急性髓细胞性白血病细胞与其微环境之间微妙的相互作用。利用这个全面的数据集,我们构建了一个基于七个关键细胞因子相关基因的预后风险评分模型:CCL23、IL2RA、IL3RA、IL6R、INHBA、TNFSF15 和 TNFSF18。风险评分模型中 7 个基因的 mRNA 水平有显著差异。该模型在几个独立的急性髓细胞性白血病患者队列中得到了严格验证,展示了其将患者分为不同风险类别的强大预后能力。与低风险患者相比,被归入高风险类别的患者的生存率明显较低,这凸显了该模型的临床意义。此外,我们对免疫环境的深入研究还发现,已确定的风险组之间在免疫细胞浸润和细胞因子信号转导方面存在明显差异,从而揭示了驱动疾病进展和治疗耐药性的潜在免疫介导机制。这项综合分析不仅加深了我们对急性髓细胞性白血病的细胞和分子基础的理解,还引入了一种新型的、临床适用的风险评分模型。这一工具有望提高急性髓细胞性白血病预后评估的精确度,从而为更有针对性、更有效的治疗干预铺平道路。我们的研究结果代表了在急性髓细胞白血病治疗中实现个性化医疗的关键一步,为这一具有挑战性的疾病的研究和治疗优化提供了新的途径。
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引用次数: 0
3-Hydroxyanthranic acid inhibits growth of oral squamous carcinoma cells through growth arrest and DNA damage inducible alpha 3-羟基氰酸通过抑制生长和DNA损伤诱导α抑制口腔鳞癌细胞的生长。
IF 5 2区 医学 Q2 Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.tranon.2025.102278
Guifang Gan , Xinxia Zhou , Qiaoping Zheng , Xianfu Gao , Xu Chen , Han Zhang , Jinghao Liu , Zhaopeng Shi , Fuxiang Chen

Objectives

The specific role of 3-hydroxyanthranilic acid(3-HAA) in oral squamous cell carcinoma (OSCC) remains unclear. This study investigated the roles of 3-HAA in OSCC and the underlying mechanism.

Materials and methods

The effects of 3-HAA on OSCC were examined using CCK-8, colony formation, EdU incorporation assays and xenograft mouse model. The underlying mechanisms were investigated with RNA-seq, apoptosis array and cell cycle array. Short hairpin RNAs (shRNAs) were used to knockdown the expression of growth arrest and DNA damage inducible alpha (GADD45A) in OSCC cells. CCK-8 and xenograft mouse model were employed to elucidate the role of GADD45A. The binding sites between GADD45A and Yin Yang 1(YY1) were determined using luciferase reporter assay.

Results

3-HAA was selectively down-regulated in OSCC patients and the decreasing level intensified with pathological progression. Higher expression of kynurenine 3-monooxygenase (KMO) and kynureninase (KYNU), which can increase the content of 3-HAA, was associated with poorer prognosis of OSCC patients. Exogenous 3-HAA hampered growth of OSCC cells both in vitro and in vivo. 3-HAA induced growth arrest, G2/M-phase arrest, and apoptosis of OSCC cells. RNA-seq indicated that 3-HAA significantly increased GADD45A expression. 3-HAA promoted transcription of GADD45A by transcription factor YY1. Knockdown of GADD45A significantly reversed 3-HAA-induced growth inhibition of OSCC cells in vivo and in vitro.

Discussion

3-HAA induced apoptosis and cell cycle arrest of OSCC cells via GADD45A, indicating that 3-HAA and GADD45A are potential therapeutic targets for OSCC.
目的:3-羟基苯甲酸(3-HAA)在口腔鳞状细胞癌(OSCC)中的具体作用尚不清楚。本研究探讨了3-HAA在OSCC中的作用及其机制。材料和方法:采用CCK-8法、菌落形成法、EdU掺入法和异种移植小鼠模型研究3-HAA对OSCC的影响。通过RNA-seq、凋亡阵列和细胞周期阵列研究其潜在机制。利用短发夹rna (shRNAs)敲低OSCC细胞中生长阻滞和DNA损伤诱导α (GADD45A)的表达。采用CCK-8和异种移植小鼠模型来阐明GADD45A的作用。采用荧光素酶报告基因法测定GADD45A与阴阳1(YY1)的结合位点。结果:3-HAA在OSCC患者中选择性下调,且随着病理进展,下调程度增强。犬尿氨酸3-单加氧酶(KMO)和犬尿氨酸酶(KYNU)的高表达可增加3-HAA的含量,与OSCC患者预后较差相关。体外和体内外源性3-HAA均可抑制OSCC细胞的生长。3-HAA诱导OSCC细胞生长阻滞、G2/ m期阻滞和凋亡。RNA-seq结果显示,3-HAA显著增加GADD45A的表达。3-HAA通过转录因子YY1促进GADD45A的转录。GADD45A敲低可显著逆转3- haa诱导的OSCC细胞生长抑制。讨论:3-HAA通过GADD45A诱导OSCC细胞凋亡和细胞周期阻滞,提示3-HAA和GADD45A是OSCC潜在的治疗靶点。
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引用次数: 0
期刊
Translational Oncology
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