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Combination of radiotherapy and PD-L1 blockade induces abscopal responses in EGFR-mutated lung cancer through activating CD8+ T cells 放疗与 PD-L1 阻断剂联合使用可通过激活 CD8+ T 细胞诱导表皮生长因子受体突变肺癌的脱灶反应。
IF 5 2区 医学 Q2 Medicine Pub Date : 2024-08-05 DOI: 10.1016/j.tranon.2024.102074

Patients with EGFR-mutated non-small cell lung cancer (NSCLC) respond poorly to immune checkpoint inhibitors (ICIs). It has been reported that the number of CD8+ T cells is reduced in EGFR-mutated NSCLC. However, the extent of heterogeneity and effector function of distinct populations of CD8+ T cells has not been investigated intensively. In addition, studies investigating whether a combination of radiotherapy and ICIs can improve the efficacy of ICIs in EGFR-mutated lung cancer are lacking. Single-cell RNA sequencing (scRNA-seq) was used to investigate the heterogeneity of CD8+ T cell populations in EGFR-mutated NSCLC. The STING pathway was explored after hypofractionated radiation of EGFR-mutated and wild-type cells. Mice bearing LLC-19del and LLC-EGFR tumors were treated with radiotherapy plus anti-PD-L1. The scRNA-seq data showed the percentage of progenitor exhausted CD8+ T cells was lower in EGFR-mutated NSCLC. In addition, CD8+ T cells in EGFR-mutated NSCLC were enriched in oxidative phosphorylation. In EGFR-mutated and wild-type cells, 8 Gy × 3 increased the expression of chemokines that recruit T cells and activate the cGAS-STING pathway. In the LLC-19del and LLC-EGFR mouse model, the combination of radiation and anti-PD-L1 significantly inhibited the growth of abscopal tumors. The enhanced abscopal effect was associated with systemic CD8+ T cell infiltration. This study provided an intensive understanding of the heterogeneity and effector functions of CD8+ T cells in EGFR-mutated NSCLC. We showed that the combination of hypofractionated radiation and anti-PD-L1 significantly enhanced the abscopal responses in both EGFR-mutated and wild-type lung cancer by activating CD8+T cells in mice.

表皮生长因子受体(EGFR)突变的非小细胞肺癌(NSCLC)患者对免疫检查点抑制剂(ICIs)的反应不佳。有报道称,表皮生长因子受体(EGFR)突变的非小细胞肺癌患者的 CD8+T 细胞数量会减少。然而,关于不同CD8+T细胞群的异质性程度和效应功能,尚未进行深入研究。此外,关于放疗和 ICIs 联合使用是否能提高 ICIs 对 EGFR 突变肺癌的疗效的研究也很缺乏。研究人员利用单细胞RNA测序(scRNA-seq)来研究EGFR突变NSCLC中CD8+T细胞群的异质性。在对表皮生长因子受体突变细胞和野生型细胞进行低分量辐射后,研究人员探索了STING通路。对携带LLC-19del和LLC-EGFR肿瘤的小鼠进行放疗加抗PD-L1治疗。scRNA-seq数据显示,在表皮生长因子受体突变的NSCLC中,CD8+T细胞的祖细胞比例较低。此外,EGFR突变NSCLC中的CD8+T细胞富含氧化磷酸化。在表皮生长因子受体突变细胞和野生型细胞中,8 Gy × 3 增加了招募 T 细胞和激活 cGAS-STING 通路的趋化因子的表达。在LLC-19del和LLC-EGFR小鼠模型中,辐射与抗PD-L1的联合治疗可显著抑制脱落细胞肿瘤的生长。腹水效应的增强与全身CD8+T细胞浸润有关。这项研究深入了解了 CD8+T 细胞在表皮生长因子受体突变 NSCLC 中的异质性和效应功能。我们的研究表明,低分次放射和抗PD-L1的联合应用通过激活小鼠体内的CD8+T细胞,显著增强了EGFR突变型和野生型肺癌的脱灶反应。
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引用次数: 0
Comprehensive analysis of CXCL10 and MIP-3a reveals their potential clinical application in hepatocellular carcinoma 对 CXCL10 和 MIP-3a 的全面分析揭示了它们在肝细胞癌中的潜在临床应用。
IF 5 2区 医学 Q2 Medicine Pub Date : 2024-08-03 DOI: 10.1016/j.tranon.2024.102071

Chemokines play a crucial role in the pathogenesis of patients with hepatocellular carcinoma (HCC). The expression levels of interferon-γ-induced protein-10 (CXCL10) and macrophage inflammatory protein-3α (MIP-3a) were investigated to clarify their clinical significance in HCC.

The protein levels of CXCL10 and MIP-3a in the serum of 105 HBV-associated HCC patients, 50 patients with liver cirrhosis (LC), 50 patients with chronic hepatitis B (CHB) and 50 healthy donors (HC) were detected by liquid chip technology (Luminex) or ELISA. In addition, their mRNA levels were also determined in liver cancer and adjacent cancer tissue (paracancer; ParaCa) from 65 HCC patients. The online database UALCAN was used to analyze the association between CXCL10 and pathological manifestations of liver cancer. In addition, the diagnostic value of CXCL10/MIP-3a and AFP in HCC patients was determined by analyzing the Receiver Operating Characteristic Curve (ROC).

The protein concentrations of CXCL10 and MIP-3a were significantly higher in the HCC group than in the LC, CHB and HC groups. CXCL10 in sera and liver cancer tissues is significantly positively correlated with ALT, but no significance between CXCL10 in ParaCa tissues and sera-ALT. Their mRNA is significantly higher in cancer tissues than in ParaCa tissues. The areas under the ROC curve of CXCL10, MIP-3a, CXCL10 and MIP-3a combined and AFP were 0.9169, 0.9261, 0.9299 and 0.7880, respectively. Elevated chemokines CXCL10 and MIP-3a in HCC patients may be associated with the clinical manifestation of HCC and could be a potential molecular marker for prognostic evaluation or a therapeutic target for HCC.

趋化因子在肝细胞癌(HCC)患者的发病机制中起着至关重要的作用。研究人员调查了干扰素-γ诱导蛋白-10(CXCL10)和巨噬细胞炎症蛋白-3α(MIP-3a)的表达水平,以明确它们在 HCC 中的临床意义。采用液体芯片技术(Luminex)或ELISA方法检测了105例HBV相关HCC患者、50例肝硬化(LC)患者、50例慢性乙型肝炎(CHB)患者和50例健康供体(HC)血清中CXCL10和MIP-3a的蛋白水平。此外,还检测了 65 名 HCC 患者的肝癌和邻近癌组织(癌旁组织;ParaCa)中的 mRNA 水平。在线数据库 UALCAN 用于分析 CXCL10 与肝癌病理表现之间的关联。此外,还通过分析接收者操作特征曲线(ROC)确定了 CXCL10/MIP-3a 和 AFP 对 HCC 患者的诊断价值。HCC组的CXCL10和MIP-3a蛋白浓度明显高于LC、CHB和HC组。血清和肝癌组织中的 CXCL10 与 ALT 呈显著正相关,但 ParaCa 组织中的 CXCL10 与血清-ALT 之间无显著相关性。其 mRNA 在癌组织中的含量明显高于 ParaCa 组织。CXCL10、MIP-3a、CXCL10 和 MIP-3a 与 AFP 的 ROC 曲线下面积分别为 0.9169、0.9261、0.9299 和 0.7880。HCC患者中趋化因子CXCL10和MIP-3a的升高可能与HCC的临床表现有关,可作为HCC预后评估的潜在分子标记或治疗靶点。
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引用次数: 0
Targeting SNCA in the treatment of malignant ascites in gastrointestinal cancer 靶向 SNCA 治疗胃肠癌恶性腹水。
IF 5 2区 医学 Q2 Medicine Pub Date : 2024-08-03 DOI: 10.1016/j.tranon.2024.102075

Peritoneal tumor dissemination and subsequent malignant tumor ascites (MTA) occur unexpectedly and repeatedly in patients with gastrointestinal (GI) cancers, and worsen quality of life and prognosis of the patients. Various treatments have been clinically developed for these patients, while most of the MTA cases are refractory to the treatments. Thus, effective treatments are urgently needed to improve the clinical outcomes. In this study, we identified α-synuclein (SNCA) as an immunological determinant of MTA progression in GI cancer through translational research using mouse tumor models and clinical specimens collected from gastric cancer patients. We found that the SNCA+ subsets were significantly increased in CD3+ T cells, CD56+ NK cells, and CD11b+ myeloid cells within MTA and peripheral blood cells (PBCs) of MTA cases, albeit almost absent in PBCs of healthy donors, and spleen of naive mice. Of note, the SNCA+ T-cell subset was rarely seen in patients that intraperitoneal lavage fluid without tumor cells was collected before surgery as a tumor-free control, suggesting a possible cancer-induced product, especially within the peritoneal cavity. In vivo treatment with anti-SNCA blocking mAb significantly induced anti-tumor effects in mouse MTA models, and synergistically improved anti-PD1 therapeutic efficacy, providing a significantly better prognosis. These suggest that SNCA is involved in severe immunosuppression in the MTA cases, and that blocking SNCA is effective in dramatically improving the immune status in the hosts. Targeting SNCA will be a promising strategy to improve clinical outcomes in the treatment of GI cancer patients, especially with MTA.

腹膜肿瘤扩散和随后的恶性肿瘤腹水(MTA)在胃肠道(GI)癌症患者中意外和反复发生,使患者的生活质量和预后恶化。临床上已开发出针对这些患者的各种治疗方法,但大多数 MTA 病例对这些治疗方法无效。因此,迫切需要有效的治疗方法来改善临床疗效。在本研究中,我们利用小鼠肿瘤模型和胃癌患者的临床标本进行转化研究,发现α-突触核蛋白(SNCA)是消化道癌症MTA进展的免疫决定因素。我们发现,在 MTA 和 MTA 病例的外周血细胞(PBCs)中,CD3+ T 细胞、CD56+ NK 细胞和 CD11b+ 髓系细胞中的 SNCA+ 亚群明显增加,而健康供体的 PBCs 和天真小鼠的脾脏中几乎没有 SNCA+ 亚群。值得注意的是,手术前收集的腹腔灌洗液中没有肿瘤细胞,作为无肿瘤对照的患者很少出现 SNCA+ T 细胞亚群,这表明可能是癌症诱导的产物,尤其是在腹腔内。在小鼠 MTA 模型中,用抗 SNCA 阻断 mAb 进行体内治疗可显著诱导抗肿瘤作用,并协同提高抗 PD1 的疗效,从而明显改善预后。这表明,SNCA 参与了 MTA 病例中的严重免疫抑制,而阻断 SNCA 可以有效地显著改善宿主的免疫状态。以 SNCA 为靶点将是改善消化道癌症患者(尤其是 MTA 患者)临床治疗效果的一种有前途的策略。
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引用次数: 0
SnoRNA U50A mediates everolimus resistance in breast cancer through mTOR downregulation SnoRNA U50A通过下调mTOR介导依维莫司在乳腺癌中的抗药性。
IF 5 2区 医学 Q2 Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.tranon.2024.102062

Breast cancer remains the most prevalent cancer in women globally, posing significant challenges in treatment due to the inevitable development of resistance to targeted therapies like everolimus, an mTOR inhibitor. While several mechanisms of resistance have been proposed, the role of snoRNAs in this context remains inadequately explored. Our study unveils a novel connection between snoRNAs and everolimus resistance, focusing on the snoRNA U50A. We discovered that U50A negatively regulates mTOR signaling by transcriptionally downregulating mTOR gene expression, which consequently leads to decreased sensitivity to everolimus treatment. Through RNA sequencing, gene set enrichment analyses, and experimental validations, we established that U50A overexpression in breast cancer cells results in mTOR downregulation and subsequently, everolimus desensitization. Clinical results further supported our findings, showing a higher prevalence of everolimus resistance in tumors with elevated U50A expression. Moreover, our results suggest that U50A's effect on mTOR is mediated through the suppression of the transcription factors c-Myc, with a notable impact on cancer cell viability under everolimus treatment. This study not only highlights the complex role of snoRNAs in cancer drug resistance but also proposes U50A as a potential biomarker for predicting everolimus efficacy in breast cancer treatment.

乳腺癌仍然是全球女性发病率最高的癌症,由于不可避免地会对依维莫司(一种 mTOR 抑制剂)等靶向疗法产生耐药性,这给治疗带来了巨大挑战。虽然已经提出了几种抗药性机制,但对 snoRNA 在其中的作用仍未进行充分的探讨。我们的研究揭示了 snoRNA 与依维莫司耐药性之间的新联系,重点是 snoRNA U50A。我们发现,U50A通过转录下调mTOR基因的表达来负向调节mTOR信号转导,从而导致对依维莫司治疗的敏感性降低。通过RNA测序、基因组富集分析和实验验证,我们确定了U50A在乳腺癌细胞中的过表达会导致mTOR基因表达下调,进而导致依维莫司脱敏。临床结果进一步支持了我们的发现,显示在 U50A 表达升高的肿瘤中,依维莫司耐药的发生率更高。此外,我们的研究结果表明,U50A对mTOR的影响是通过抑制转录因子c-Myc介导的,对依维莫司治疗下的癌细胞存活率有显著影响。这项研究不仅凸显了 snoRNAs 在癌症耐药性中的复杂作用,还提出了将 U50A 作为预测依维莫司治疗乳腺癌疗效的潜在生物标志物的建议。
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引用次数: 0
MiR-34b promotes oxidative stress and induces cellular senescence through TWIST1 in human cervical cancer MiR-34b 在人类宫颈癌中通过 TWIST1 促进氧化应激并诱导细胞衰老
IF 5 2区 医学 Q2 Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.tranon.2024.102063

Purpose

The aim of this research was to elucidate the role of miR-34b in cervical cancer progression and the underlying mechanism behind the miR-34b-mediated tumor suppression. The study revealed the role of miR-34b as a senescence inducer and serves as a potential therapeutic target in developing combination therapy with senotherapeutics.

Methods

MiR-34b was ectopically expressed in cervical cancer cell lines using a tetracycline inducible system and its effects on cell viability, apoptosis, senescence, DNA damage and oxidative stress were studied using MTT assay, acridine orange/ ethidium bromide staining, senescence associated β-galactosidase assay, gamma H2AX foci staining assay, western blotting and specific dyes for the detection of total and individual ROS species.

Results

Ectopic expression of miR-34b promoted cellular senescence but no significant induction of apoptosis was observed in cervical cancer cell lines. MiR-34b promoted increase in oxidative stress through increase in total and individual ROS species and contributed to increase in cellular senescence. Mechanistically, miR-34b mediates its action by targeting TWIST1 as evidenced by the similar actions of TWIST1 shRNA in cervical cancer cell lines. Furthermore, our study revealed TWIST1 is one of the most significant targets of miR-34b targetome and identified RITA as a novel senolytic agent for use in combination therapy with miR-34b.

Conclusion

MiR-34b promotes cellular senescence and oxidative stress by targeting TWIST1, a known oncogene and EMT regulator. This study delved into the mechanism of miR-34b-mediated tumor suppression and provided novel insights for development of miR-34b based therapeutics for cervical cancer.

目的:本研究旨在阐明miR-34b在宫颈癌进展中的作用以及miR-34b介导的肿瘤抑制背后的潜在机制。研究揭示了miR-34b作为衰老诱导剂的作用,并将其作为开发衰老治疗药物联合疗法的潜在治疗靶点:方法:利用四环素诱导系统在宫颈癌细胞系中异位表达miR-34b,并使用MTT试验、吖啶橙/溴化乙锭染色、衰老相关β-半乳糖苷酶试验、γ-H2AX病灶染色试验、Western印迹法和检测总ROS和单个ROS种类的特异性染料研究了miR-34b对细胞活力、凋亡、衰老、DNA损伤和氧化应激的影响:结果:在宫颈癌细胞系中,miR-34b 的异位表达会促进细胞衰老,但不会明显诱导细胞凋亡。miR-34b通过增加总ROS种类和单个ROS种类促进氧化应激的增加,并导致细胞衰老的增加。从机理上讲,miR-34b 是通过靶向 TWIST1 来介导其作用的,TWIST1 shRNA 在宫颈癌细胞系中的类似作用也证明了这一点。此外,我们的研究还发现 TWIST1 是 miR-34b 靶向组中最重要的靶点之一,并确定 RITA 是一种新型衰老溶解剂,可与 miR-34b 联合治疗:MiR-34b通过靶向已知的癌基因和EMT调节因子TWIST1促进细胞衰老和氧化应激。这项研究深入探讨了 miR-34b 介导的肿瘤抑制机制,为开发基于 miR-34b 的宫颈癌疗法提供了新的见解。
{"title":"MiR-34b promotes oxidative stress and induces cellular senescence through TWIST1 in human cervical cancer","authors":"","doi":"10.1016/j.tranon.2024.102063","DOIUrl":"10.1016/j.tranon.2024.102063","url":null,"abstract":"<div><h3>Purpose</h3><p>The aim of this research was to elucidate the role of miR-34b in cervical cancer progression and the underlying mechanism behind the miR-34b-mediated tumor suppression. The study revealed the role of miR-34b as a senescence inducer and serves as a potential therapeutic target in developing combination therapy with senotherapeutics.</p></div><div><h3>Methods</h3><p>MiR-34b was ectopically expressed in cervical cancer cell lines using a tetracycline inducible system and its effects on cell viability, apoptosis, senescence, DNA damage and oxidative stress were studied using MTT assay, acridine orange/ ethidium bromide staining, senescence associated β-galactosidase assay, gamma H2AX foci staining assay, western blotting and specific dyes for the detection of total and individual ROS species.</p></div><div><h3>Results</h3><p>Ectopic expression of miR-34b promoted cellular senescence but no significant induction of apoptosis was observed in cervical cancer cell lines. MiR-34b promoted increase in oxidative stress through increase in total and individual ROS species and contributed to increase in cellular senescence. Mechanistically, miR-34b mediates its action by targeting TWIST1 as evidenced by the similar actions of TWIST1 shRNA in cervical cancer cell lines. Furthermore, our study revealed TWIST1 is one of the most significant targets of miR-34b targetome and identified RITA as a novel senolytic agent for use in combination therapy with miR-34b.</p></div><div><h3>Conclusion</h3><p>MiR-34b promotes cellular senescence and oxidative stress by targeting TWIST1, a known oncogene and EMT regulator. This study delved into the mechanism of miR-34b-mediated tumor suppression and provided novel insights for development of miR-34b based therapeutics for cervical cancer.</p></div>","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1936523324001906/pdfft?md5=b1e31bf9c18765bcb4a57870cdb15d86&pid=1-s2.0-S1936523324001906-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879469","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
Ad-VT causes ovarian cancer A2780 cell death via mitochondrial apoptosis and autophagy pathways Ad-VT 通过线粒体凋亡和自噬途径导致卵巢癌 A2780 细胞死亡。
IF 5 2区 医学 Q2 Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.tranon.2024.102067

Objective

The recombinant adenovirus Ad-apoptin-hTERTp-E1a (Ad-VT) to have a bi-specific oncolytic character in many tumor cells, but its action pathway in killing tumor cells has not been accurately elucidated. Here, we studied the mechanism of apoptosis and autophagy induced by Ad-VT and the interaction between autophagy and apoptosis.

Methods

Crystal Violet staining and CCK-8 assays were used to detect the inhibitory effect of Ad-VT on ovarian cancer cells. The antitumor effect of Ad-VT in vivo was analyzed by tumor bearing nude mouse model. Subsequently, flow cytometry and fluorescence staining were used to analyze the main types of apoptosis and autophagy induced by Ad-VT.

Results

In this study, through the in vitro cell inhibition assays, we found that Ad-VT has a significant inhibitory effect on ovarian cancer A2780 cells, but no significant inhibitory effect on normal ovarian epithelial cells. Then in vivo experiments showed that Ad-VT significantly inhibited tumor growth and extended the survival time of mice. Subsequent detection of the level of apoptosis found that Ad-VT can cause a strong apoptotic response and kill cells mainly through the endogenous apoptotic pathway. Through the staining analysis of LC3 and the analysis of autophagy-related proteins, it was found that Ad-VT could significantly increase the level of autophagy in A2780 cells, and this was a protective mechanism.

Conclusions

Ad-VT, which replicates under the control of the hTERT promoter and expresses apoptin protein, have significant inhibitory effect on ovarian cancer A2780 cells and promote their apoptosis and autophagy.

目的:重组腺病毒Ad-apoptin-hTERTp-E1a(Ad-VT重组腺病毒Ad-apoptin-hTERTp-E1a(Ad-VT)对多种肿瘤细胞具有双特异性溶瘤作用,但其杀伤肿瘤细胞的作用途径尚未被准确阐明。在此,我们研究了Ad-VT诱导细胞凋亡和自噬的机制,以及自噬与细胞凋亡之间的相互作用:方法:采用水晶紫染色和CCK-8检测Ad-VT对卵巢癌细胞的抑制作用。方法:采用水晶紫染色法和 CCK-8 检测法检测 Ad-VT 对卵巢癌细胞的抑制作用。随后,采用流式细胞术和荧光染色法分析了Ad-VT诱导的细胞凋亡和自噬的主要类型:本研究通过体外细胞抑制实验发现,Ad-VT 对卵巢癌 A2780 细胞有明显抑制作用,但对正常卵巢上皮细胞无明显抑制作用。随后的体内实验表明,Ad-VT 能明显抑制肿瘤生长,延长小鼠的存活时间。随后的细胞凋亡水平检测发现,Ad-VT能引起强烈的细胞凋亡反应,主要通过内源性凋亡途径杀死细胞。通过对LC3的染色分析和自噬相关蛋白的分析发现,Ad-VT能显著提高A2780细胞的自噬水平,这是一种保护机制:结论:在hTERT启动子控制下复制并表达凋亡蛋白的Ad-VT对卵巢癌A2780细胞有明显的抑制作用,能促进其凋亡和自噬。
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引用次数: 0
Tislelizumab plus neoadjuvant chemotherapy and concurrent chemoradiotherapy versus neoadjuvant chemotherapy and concurrent chemoradiotherapy for locally advanced nasopharyngeal carcinoma: A retrospective study 局部晚期鼻咽癌新辅助化疗和同期放化疗与新辅助化疗和同期放化疗的比较:一项回顾性研究。
IF 5 2区 医学 Q2 Medicine Pub Date : 2024-07-30 DOI: 10.1016/j.tranon.2024.102058

Background

The efficacy of immunotherapy plus neoadjuvant chemotherapy and concurrent chemoradiotherapy (CCRT) for locally advanced nasopharyngeal carcinoma (LA-NPC) has not been reported. This study retrospectively compared the efficacy of tislelizumab plus neoadjuvant chemotherapy and CCRT with neoadjuvant chemotherapy followed by CCRT.

Methods

Ninety patients with stages III–IVa NPC were identified between January 2020 and March 2021 at the Affiliate Hospital of Guangdong Medical University. Forty-three patients in the observation group (OG) received tislelizumab plus nano albumin–paclitaxel and cisplatin (nab-TP) regimen, followed by CCRT, while forty-seven patients in the control group (CG) received nab-TP regimen followed by CCRT.

Results

The complete response rate after neoadjuvant therapy was significantly higher in the OG compared to the CG (37.2% vs. 12.8 %). The objective response rates were 88.4 % in the OG and 70.2 % in the CG. The 3-year progression-free survival (PFS) rates for OG and CG patients were 93.0 % and 78.7 %, respectively (P = 0.04, HR = 0.31). The overall survival (OS) rates for the OG and the CG were 95.3 % and 87.2 %, respectively (P = 0.15, HR = 0.36). Locoregional relapse-free survival (LRFS) rates were 90.7 % for the OG and 72.3 % for the CG (P = 0.04, HR = 0.38), and distant metastasis-free survival (DMFS) rates were 95.3 % for the OG, and 80.9 % for the CG (P = 0.04, HR = 0.30). For PD-L1 high-expression and low-expression rates, the 3-year PFS rates were 89.2 % and 85.7 % (P = 0.77, HR = 1.21), and the OS rates were 90.2 % and 89.2 % (P = 0.65, HR = 1.36), respectively.

Conclusion

Tislelizumab combined with neoadjuvant chemotherapy and CCRT showed encouraging therapeutic effects and good tolerability in patients with LA-NPC compared to the standard treatment.

背景:免疫疗法加新辅助化疗和同期化放疗(CCRT)治疗局部晚期鼻咽癌(LA-NPC)的疗效尚未见报道。本研究回顾性比较了替斯利珠单抗加新辅助化疗和CCRT与新辅助化疗后再行CCRT的疗效:2020年1月至2021年3月期间,在广东医科大学附属医院发现了90例Ⅲ-Ⅳa期鼻咽癌患者。观察组(OG)的43例患者接受替舒瑞单抗加纳米白蛋白-紫杉醇和顺铂(nab-TP)方案治疗,然后进行CCRT;对照组(CG)的47例患者接受nab-TP方案治疗,然后进行CCRT:结果:与对照组相比,新辅助治疗后的完全缓解率(37.2% 对 12.8%)明显高于对照组。OG和CG的客观反应率分别为88.4%和70.2%。OG和CG患者的3年无进展生存期(PFS)分别为93.0%和78.7%(P = 0.04,HR = 0.31)。OG和CG患者的总生存率(OS)分别为95.3%和87.2%(P = 0.15,HR = 0.36)。OG的无局部复发生存率(LRFS)为90.7%,CG为72.3%(P = 0.04,HR = 0.38);OG的无远处转移生存率(DMFS)为95.3%,CG为80.9%(P = 0.04,HR = 0.30)。PD-L1高表达率和低表达率的3年PFS率分别为89.2%和85.7%(P=0.77,HR=1.21),OS率分别为90.2%和89.2%(P=0.65,HR=1.36):结论:与标准治疗相比,Tislelizumab联合新辅助化疗和CCRT对LA-NPC患者显示出令人鼓舞的治疗效果和良好的耐受性。
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引用次数: 0
TAK1 expression is associated with increased PD-L1 and decreased cancer-specific survival in microsatellite-stable colorectal cancer 在微卫星稳定的结直肠癌中,TAK1的表达与PD-L1的增加和癌症特异性生存率的降低有关。
IF 5 2区 医学 Q2 Medicine Pub Date : 2024-07-27 DOI: 10.1016/j.tranon.2024.102064

Background

Transforming growth factor β-activated protein kinase-1 (TAK1) plays an important role in MAPK and NFκB pathways and has been associated with colorectal cancer. The aim of this study was to determine how cytoplasmic and juxtanuclear punctate staining of TAK1 relates to immune checkpoint expression and cancer specific survival in colorectal cancer.

Methods

Protein expression was assessed by immunohistochemistry on tissue microarrays from primary curative colorectal cancer resected specimens. Expression levels of cytoplasmic TAK1 by QuPath digital quantification and punctate TAK1 staining was scored using a manual point scoring technique and correlated with clinicopathological features, immune checkpoint expression and cancer-specific survival. Bulk RNA sequencing was performed in specimens to determine mutational profiles and differentially expressed genes.

Results

A cohort of 875 patients who had undergone colorectal cancer resection were assessed for TAK1 expression. Higher levels of cytoplasmic TAK1 expression correlated with elevated PD1 and PD-L1 expression (p < 0.010). High punctate TAK1 expression was more commonly identified in poorly differentiated colorectal cancers (p = 0.036), had dysregulated mutational and transcriptional profiles with decreased insulin-like growth factor 2(IGF2) expression (p < 0.010), and independently predicted poor cancer-specific survival (HR 2.690, 95% CI 1.419–5.100, p = 0.002). The association of punctate TAK1 expression and recurrence remained after subgroup analysis for microsatellite-stable colorectal cancer (p = 0.028).

Discussion

Punctate TAK1 expression is associated with worse cancer specific survival. TAK1 signalling may be an important pathway to investigate underlying mechanisms for recurrence in microsatellite-stable colorectal cancer.

背景:转化生长因子β活化蛋白激酶-1(TAK1)在MAPK和NFκB通路中发挥重要作用,并与结直肠癌有关。本研究旨在确定 TAK1 的细胞质和并核点状染色与结直肠癌免疫检查点表达和癌症特异性生存的关系:通过免疫组织化学方法对原发性治愈性结直肠癌切除标本的组织芯片上的蛋白质表达进行评估。采用QuPath数字定量法对细胞质TAK1的表达水平进行评估,并采用人工打分技术对点状TAK1染色进行评分,评分结果与临床病理特征、免疫检查点表达和癌症特异性生存率相关。对标本进行了大量RNA测序,以确定突变特征和差异表达基因:对875名接受结直肠癌切除术的患者进行了TAK1表达评估。较高水平的细胞质 TAK1 表达与较高的 PD1 和 PD-L1 表达相关(p < 0.010)。点状TAK1高表达更常见于分化较差的结直肠癌(p = 0.036),其突变和转录谱失调,胰岛素样生长因子2(IGF2)表达降低(p < 0.010),并可独立预测较差的癌症特异性生存率(HR 2.690,95% CI 1.419-5.100,p = 0.002)。在对微卫星稳定的结直肠癌进行亚组分析后,点状TAK1表达与复发的关系仍然存在(p = 0.028):讨论:点状TAK1表达与较差的癌症生存率有关。TAK1信号可能是研究微卫星稳定型结直肠癌复发潜在机制的重要途径。
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引用次数: 0
Editorial Note: Biomaterials in Cancer - From Research Breakthroughs to Clinical Implementation 编者按:癌症中的生物材料--从研究突破到临床应用
IF 5 2区 医学 Q2 Medicine Pub Date : 2024-07-26 DOI: 10.1016/j.tranon.2024.102061
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引用次数: 0
FUBP1 in human cancer: Characteristics, functions, and potential applications 人类癌症中的 FUBP1:特征、功能和潜在应用。
IF 5 2区 医学 Q2 Medicine Pub Date : 2024-07-26 DOI: 10.1016/j.tranon.2024.102066

Far upstream element-binding protein 1 (FUBP1) is a single-stranded nucleic acid-binding protein that binds to the Far Upstream Element (FUSE) sequence and is involved in important biological processes, including DNA transcription, RNA biogenesis, and translation. Recent studies have highlighted the significance of aberrant expression or mutations in FUBP1 in the development of various tumors, with FUBP1 overexpression often indicating oncogenic roles in different tumor types. However, it is worth noting that recent research has discovered its tumor-suppressive role in cancer, which is not yet fully understood and appears to be tissue- or context-dependent. This review summarizes the association between FUBP1 and diverse cancers and discusses the functions of FUBP1 in cancer. In addition, this review proposes potential clinical implications and outlines future research directions to pave the way for the development of targeted therapeutic strategies focusing on FUBP1.

远上游元件结合蛋白 1(FUBP1)是一种单链核酸结合蛋白,它与远上游元件(FUSE)序列结合,参与 DNA 转录、RNA 生物发生和翻译等重要生物过程。最近的研究强调了 FUBP1 的异常表达或突变在各种肿瘤发生中的重要作用,FUBP1 的过表达往往表明其在不同肿瘤类型中的致癌作用。然而,值得注意的是,最近的研究发现了 FUBP1 在癌症中的抑瘤作用,但这一作用尚未完全明了,而且似乎与组织或环境有关。本综述总结了 FUBP1 与多种癌症之间的关联,并讨论了 FUBP1 在癌症中的功能。此外,本综述还提出了潜在的临床意义,并概述了未来的研究方向,以便为开发针对 FUBP1 的靶向治疗策略铺平道路。
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引用次数: 0
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Translational Oncology
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