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iPLA2β regulates the dual effects of arachidonic acid in thyroid cancer iPLA2β调节花生四烯酸在甲状腺癌中的双重作用
Pub Date : 2024-09-18 DOI: 10.1002/hed.27937
Yu Zhang, Wei Su, Zhou Yang, Dan Zhao, Qing Guan, Tian Liao, Duanshu Li, Baijie Feng, Yunjun Wang, Yu Wang, Jun Xiang
BackgroundAbnormal arachidonic acid metabolism in the tumor microenvironment is closely related to cancer progression; however, thyroid cancer was rarely researched.MethodsThrough lipidomic analysis, we disclosed that dysregulated arachidonic acid metabolism plays dual effects on thyroid cancer. The promoting role of arachidonic acid in the progression of thyroid cancer cells was evaluated utilizing cell viability (CCK‐8 assay) and transwell invasion assays, confirmed by corresponding inhibitors. Lipid peroxidation and the use of various cell death inhibitors confirmed that arachidonic acid confers vulnerability to ferroptosis in thyroid cancer. The roles of arachidonic acid and ferroptosis inducer in thyroid cancer were assessed in a xenograft mouse model.ResultsOn one hand, arachidonic acid promotes the progression of thyroid cancer through the cyclooxygenase/prostaglandin pathway; on another hand, arachidonic acid confers vulnerability to ferroptosis through lipoxygenases. Moreover, iPLA2β drives converse roles of arachidonic acid between cancer‐progression and ferroptosis vulnerability through releasing free arachidonic acid from the cell membrane. Finally, we confirmed high arachidonic acid diet promotes the development of thyroid cancer in vivo, whereas ferroptosis inducer sulfasalazine dramatically reduced tumor growth of mice with feeding arachidonic acid.ConclusionsOur research demonstrated the roles of iPLA2β in conversing dual effects of arachidonic acid in thyroid cancer and provides ferroptosis inducer as a potential therapeutic strategy.
方法通过脂质体分析,我们发现花生四烯酸代谢失调对甲状腺癌具有双重影响。花生四烯酸对甲状腺癌细胞进展的促进作用通过细胞活力(CCK-8 检测)和经孔侵袭检测进行了评估,并通过相应的抑制剂进行了证实。脂质过氧化和各种细胞死亡抑制剂的使用证实花生四烯酸使甲状腺癌细胞易受铁变态反应的影响。结果一方面,花生四烯酸通过环氧化酶/前列腺素途径促进甲状腺癌的进展;另一方面,花生四烯酸通过脂氧合酶使甲状腺癌易受铁氧化作用的影响。此外,iPLA2β通过释放细胞膜上的游离花生四烯酸,促使花生四烯酸在癌症进展和铁变态反应脆弱性之间发挥相反的作用。最后,我们证实了高花生四烯酸饮食会促进体内甲状腺癌的发展,而铁蛋白沉积诱导剂磺胺沙拉嗪能显著减少喂食花生四烯酸的小鼠的肿瘤生长。
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引用次数: 0
Beyond complete remission: A comparative analysis of long‐term laryngeal function in patients with hypopharyngeal and laryngeal cancer following radiotherapy and concurrent chemoradiation 超越完全缓解:下咽癌和喉癌患者接受放疗和同期化疗后长期喉功能的比较分析
Pub Date : 2024-09-14 DOI: 10.1002/hed.27935
Gene Huh, Eun‐Jae Chung, Won Shik Kim, Seong Keun Kwon, Myung‐Whun Sung, Bhumsuk Keam, Hong‐Gyun Wu, Joo Ho Lee, Jin Ho Kim, Soon‐Hyun Ahn
BackgroundThis study evaluates functional larynx preservation in patients with hypopharyngeal cancer (HPC) and laryngeal cancer (LC) who achieved complete remission following radiotherapy (RT) or concurrent chemoradiation (CCRT).MethodsHPC and LC patients treated with RT/CCRT from 1999 to 2017 were retrospectively analyzed. Severe late dysphagia and tracheostomy cases were assessed to determine laryngeal function. Long‐term preservation rate of functional larynx and associated factors were evaluated.ResultsOf 152 patients (55 HPC, 97 LC), nine developed severe dysphagia, occurring on average 58.2 months post‐treatment. HPC and cervical node metastasis significantly increased the risk of laryngeal function impairment (p < 0.001 and p = 0.014, respectively), presenting a continued decline in functional larynx preservation rate beyond 10 years.ConclusionsPatients with HPC and cervical node metastasis demonstrate an increased risk for long‐term laryngeal function impairment despite successful oncologic outcomes. This risk extends beyond 10 years, underscoring the need for prolonged monitoring and comprehensive support.
背景本研究评估了在放疗(RT)或同期化疗(CCRT)后获得完全缓解的下咽癌(HPC)和喉癌(LC)患者的喉功能保留情况。方法回顾性分析了1999年至2017年接受RT/CCRT治疗的下咽癌和喉癌患者。对晚期严重吞咽困难和气管切开病例进行评估,以确定喉功能。结果 152 例患者(55 例 HPC,97 例 LC)中,9 例出现严重吞咽困难,平均发生时间为治疗后 58.2 个月。HPC和颈椎结节转移明显增加了喉功能受损的风险(分别为p < 0.001和p = 0.014),喉功能保留率在10年后持续下降。这种风险会持续 10 年以上,因此需要长期监测和全面支持。
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引用次数: 0
Deciphering the impact of STAT3 activation mediated by PTPRT promoter hypermethylation as biomarker of response to paclitaxel‐plus‐cetuximab in patients with recurrent or metastatic squamous cell carcinoma of the head and neck 解密PTPRT启动子超甲基化介导的STAT3激活作为紫杉醇加西妥昔单抗治疗头颈部复发性或转移性鳞状细胞癌患者反应的生物标志物的影响
Pub Date : 2024-07-27 DOI: 10.1002/hed.27892
Beatriz Cirauqui Cirauqui, Adrià Bernat Peguera, Ariadna Quer Pi‐Sunyer, Angelica Ferrando‐Díez, Jose Luis Ramírez Serrano, Marta Domenech Viñolas, Iris Teruel García, Vanesa Quiroga García, Imane Chaib Oukadour, Andrea González Valencia, Pilar Hernández Vergara, Itziar de Aguirre Egaña, Cristina Queralt Herrero, Oscar Mesía Carbonell, Assumpció López Paradís, Anna Esteve, Mireia Margelí Vila, Rafael Rosell, Anna Martínez‐Cardús, Ricard Mesía
BackgroundSquamous cell carcinoma of the head and neck (SCCHN) is an aggressive disease with poor prognosis. It is known that the activation of STAT3 signaling pathways promotes the development and progression of this neoplasia and it has been described the role of PTPRT as a negative regulator of STAT3. Then, we have evaluated the impact of them as biomarkers of outcome in a series of patients with recurrent and/or metastatic SCCHN treated with weekly paclitaxel‐plus‐cetuximab (ERBITAX) regimen.Patients and methodsBetween 2008 and 2017, 52 patients with recurrent/metastatic SCCHN were treated with ERBITAX at our center, 34 of whom had available tumor samples. Phosphorylated STAT3 (pSTAT3) protein expression was analyzed by immunohistochemistry, STAT3 mRNA expression by qPCR, and PTPRT promoter methylation by methylation‐specific PCR. Molecular results were correlated with response rate (RR), progression‐free survival (PFS), and overall survival (OS).ResultspSTAT3 overexpression was detected in 67% and PTPRT promoter hypermethylation in 41% of tumor samples. PTPRT promoter hypermethylation showed a trend towards an association with lower RR (21% vs. 60%; p = 0.06). A lower RR was also observed in patients with pSTAT3 overexpression (36% vs. 54%) and in those with high STAT3 mRNA levels (43% vs. 64%), but these differences did not reach statistical significance. PTPRT promoter hypermethylation correlated with pSTAT3 overexpression (p = 0.009) but not with STAT3 mRNA overexpression. OS and PFS was shorter in patients with activated STAT3, but the difference did not reach statistical significance.ConclusionsAlthough this was a relatively small retrospective study, it provides preliminary indications of the potential role of the STAT3 pathway on outcome in SCCHN and confirms that PTPRT acts as a negative regulator of STAT3. Our findings warrant investigation in a larger patient cohort to determine if inactivating this pathway through specific targeted treatments could improve outcomes in recurrent/metastatic SCCHN patients.
背景头颈部鳞状细胞癌(SCCHN)是一种侵袭性疾病,预后较差。众所周知,STAT3 信号通路的激活会促进这种肿瘤的发生和发展,而 PTPRT 是 STAT3 的负调控因子。随后,我们在一系列接受每周紫杉醇加西妥昔单抗(ERBITAX)方案治疗的复发性和/或转移性SCCHN患者中评估了它们作为生物标志物对预后的影响。患者和方法2008年至2017年间,我们中心有52名复发性/转移性SCCHN患者接受了ERBITAX治疗,其中34人有可用的肿瘤样本。通过免疫组化分析磷酸化STAT3(pSTAT3)蛋白表达,通过qPCR分析STAT3 mRNA表达,通过甲基化特异性PCR分析PTPRT启动子甲基化。分子结果与反应率(RR)、无进展生存期(PFS)和总生存期(OS)相关。PTPRT启动子高甲基化显示出与较低RR相关的趋势(21% vs. 60%; p = 0.06)。在 pSTAT3 过表达(36% 对 54%)和 STAT3 mRNA 水平较高的患者中也观察到较低的 RR(43% 对 64%),但这些差异未达到统计学意义。PTPRT启动子高甲基化与pSTAT3过表达相关(p = 0.009),但与STAT3 mRNA过表达无关。结论虽然这是一项相对较小的回顾性研究,但它初步表明了 STAT3 通路对 SCCHN 预后的潜在作用,并证实了 PTPRT 是 STAT3 的负调控因子。我们的研究结果值得在更大的患者群体中进行调查,以确定通过特定的靶向治疗使该通路失活是否能改善复发性/转移性 SCCHN 患者的预后。
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引用次数: 0
Recurrence after primary salivary gland carcinoma: Frequency, survival, and risk factors 原发性唾液腺癌术后复发:频率、存活率和风险因素
Pub Date : 2024-07-27 DOI: 10.1002/hed.27880
Lisa Nachtsheim, L. Jansen, S. Shabli, C. Arolt, A. Quaas, J. P. Klussmann, M. Mayer, P. Wolber
BackgroundPrimary salivary gland carcinomas (SGC) are rare neoplasms that present therapeutic challenges especially in recurrent tumors. The aim of this study was to investigate the incidence and distribution of tumor recurrence, associated risk factors, and survival.MethodsThis analysis includes data from 318 patients treated for SGC between 1992 and 2020. Survival analysis was performed using the Kaplan–Meier method. Univariate and multivariate analyses were used to identify risk factors associated with recurrence.Results21.7% of the patients developed recurrent disease after a mean of 38.2 months. In multivariate analysis, positive‐resection margins, vascular invasion, and tumor localization in the submandibular gland and small salivary glands were independent factors for recurrence. The 5‐year overall survival was 67%, the 5‐year disease‐free survival was 54%.ConclusionTumor recurrence in SGC occurred in one out of five patients. In highly aggressive entities and patients with risk factors, treatment intensification should be considered.
背景原发性唾液腺癌(SGC)是一种罕见肿瘤,给治疗带来了挑战,尤其是复发性肿瘤。本研究旨在调查肿瘤复发的发生率和分布情况、相关风险因素以及生存率。采用卡普兰-梅耶法进行生存率分析。结果21.7%的患者在平均38.2个月后复发。在多变量分析中,切除边缘阳性、血管侵犯、肿瘤位于颌下腺和小唾液腺是导致复发的独立因素。5年总生存率为67%,5年无病生存率为54%。对于侵袭性强的肿瘤和有危险因素的患者,应考虑加强治疗。
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引用次数: 0
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Head & Neck
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