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Association between aspirin use and reduction in risk of triple negative breast cancer: Still debatable issue? 阿司匹林使用与降低三阴性乳腺癌风险之间的关系:仍有争议的问题?
Q2 Medicine Pub Date : 2021-09-01
Kadri Altundag
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引用次数: 0
Preference of trastuzumab emtansine as a second or third line treatment in patients with human epidermal growth factor receptor 2 positive metastatic breast cancer refractory to trastuzumab and pertuzumab. 曲妥珠单抗和帕妥珠单抗难治的人表皮生长因子受体2阳性转移性乳腺癌患者首选曲妥珠单抗emtansine作为二线或三线治疗。
Q2 Medicine Pub Date : 2021-09-01
Kadri Altundag
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引用次数: 0
BMSCs-Derived Exosomal MiR-126-3p Inhibits the Viability of NSCLC Cells by Targeting PTPN9. bmscs来源的外泌体MiR-126-3p通过靶向PTPN9抑制NSCLC细胞的活力
Q2 Medicine Pub Date : 2021-09-01
Jun Chen, Cheng Ding, Xianzhou Yang, Jun Zhao

Purpose: Recent studies have manifested that bone marrow mesenchymal stem cells (BMSCs) derived exosomes affect the progression of tumors through carrying endogenous molecules. To explore the role of BMSCs-derived exosomes carrying abundant micro ribonucleic acid (miR)-126-3p in non-small-cell lung cancer (NSCLC).

Methods: Firstly, A549 cells were transfected with miR-126-3p to detect the role of miR-126-3p in A549 cells. Next, miR-126-3p was transfected into BMSCs, and BMSCs-derived exosomes with over-expressed miR-126-3p (Exo-miR-126-3p) were isolated through ultracentrifugation. After that, A549 cells were co-incubated with Exo-miR-126-3p to determine the effects of Exo-miR-126-3p on cell proliferation, migration, invasion, and apoptosis. Besides, the targeted relationship between miR-126-3p and protein tyrosine phosphatase non-receptor type 9 (PTPN9) was confirmed via bioinformatics analysis and dual-luciferase reporter gene analysis. Western blotting (WB) was employed to measure the expressions of PTPN9 and related proteins in A549 cells. Additionally, the effects of over-expressed miR-126-3p derived from BMSCs exosomes on tumor growth and apoptosis of NSCLC cells were analyzed in connection with lentiviral packaged miR-126-3p in vivo.

Results: Overexpressed miR-126-3p suppressed the viability, migration, and invasion of A549 cells in vitro. Based on the results of exosome content analysis, miR-126-3p could mediate the inhibitory effect of exosomes on A549 cells by negative regulation of PTPN9. Notably, over-expressed miR-126-3p derived from BMSCs inhibited the tumor growth and apoptosis in vivo.

Conclusions: Taken together, the key finding of the study indicated that over-expressed BMSCs-derived exosomal miR-126-3p can suppress the progression of NSCLC through negatively regulating PTPN9.

目的:最近的研究表明骨髓间充质干细胞(BMSCs)衍生的外泌体通过携带内源性分子影响肿瘤的进展。目的探讨骨髓间充质干细胞来源的外泌体携带丰富的微核糖核酸(miR)-126-3p在非小细胞肺癌(NSCLC)中的作用。方法:首先用miR-126-3p转染A549细胞,检测miR-126-3p在A549细胞中的作用。接下来,将miR-126-3p转染到骨髓间充质干细胞中,通过超离心分离BMSCs来源的过表达miR-126-3p的外泌体(Exo-miR-126-3p)。之后,将A549细胞与Exo-miR-126-3p共孵育,检测Exo-miR-126-3p对细胞增殖、迁移、侵袭和凋亡的影响。此外,通过生物信息学分析和双荧光素酶报告基因分析,证实了miR-126-3p与蛋白酪氨酸磷酸酶非受体9型(PTPN9)之间的靶向关系。Western blotting (WB)检测A549细胞中PTPN9及相关蛋白的表达。此外,通过慢病毒包装的miR-126-3p在体内分析了BMSCs外泌体中过表达的miR-126-3p对NSCLC细胞肿瘤生长和凋亡的影响。结果:过表达miR-126-3p抑制体外A549细胞的活力、迁移和侵袭。外泌体含量分析结果显示,miR-126-3p可通过负调控PTPN9介导外泌体对A549细胞的抑制作用。值得注意的是,来自骨髓间充质干细胞的过表达miR-126-3p在体内抑制了肿瘤的生长和凋亡。综上所述,本研究的关键发现表明,bmscs来源的外泌体过表达miR-126-3p可通过负调控PTPN9抑制NSCLC的进展。
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引用次数: 0
Cigarette smoking and medical students. 吸烟和医学生。
Q2 Medicine Pub Date : 2021-09-01
Željana Prijić, Rajko Igić

Despite its well known harmful effects on health, tobacco use is widespread throughout the world. Approximately one third of the global population become smokers at the age of 15 years or more. The prevalence of smoking between genders is lessening. Earlier, men used to smoke three to four times more than women globally. The nicotine content of cigarette is small (10 to 12 mg) and a smoker inhales about 1.1 to 1.8 mg of nicotine from each cigarette smoked to its entire length; this plant alkaloid stimulates the central nervous system, causes either ganglionic stimulation in low doses or ganglionic blockade in high doses, and smokers can develop a moderate to heavy physical dependence. Among other numerous substances, several are cancerogenic, and about 98 percent of lung cancer deaths are caused due to tobacco smoke. Nicotine addiction is often more severe than alcohol addiction. Smoking also may complicate anesthetic management, and passive smoking increases the rate of perioperative airway complications in the children of smokers, too. Preoperative abstinence from tobacco is required for surgical patients and it offers an opportunity for smokers to quit permanently. Physicians have an important role in helping smokers to quit tobacco or e-cigarettes, but if a doctor is a smoker himself, his antismoking influence may be deficient. Since a significant percentage of medical students are smokers, it is worth influencing them to stop the habit. The best way is to introduce tobacco modules, stimulating students to participate in anti-smoking campaigns, offer non-smoking hospitals, non-smoking university campuses, non-smoking dormitories, and to provide medical assistance to student smokers who wish to quit.

尽管烟草对健康的有害影响众所周知,但它在世界各地仍很普遍。全球约有三分之一的人口在15岁或以上成为吸烟者。男女之间吸烟的流行程度正在下降。早些时候,全球男性的吸烟量是女性的三到四倍。香烟的尼古丁含量很少(10至12毫克),吸烟者从每根香烟中吸入约1.1至1.8毫克尼古丁。这种植物生物碱刺激中枢神经系统,低剂量时引起神经节刺激或高剂量时引起神经节阻滞,吸烟者可产生中度至重度的身体依赖。在其他众多物质中,有几种是致癌的,大约98%的肺癌死亡是由烟草烟雾引起的。尼古丁成瘾往往比酒精成瘾更严重。吸烟也可能使麻醉管理复杂化,被动吸烟也会增加吸烟者儿童围手术期气道并发症的发生率。手术患者术前必须戒烟,这为吸烟者提供了永久戒烟的机会。医生在帮助吸烟者戒掉烟草或电子烟方面发挥着重要作用,但如果医生本身就是吸烟者,他的反吸烟影响可能不足。由于很大比例的医学院学生是吸烟者,因此影响他们戒烟是值得的。最好的方法是引入烟草模块,鼓励学生参与禁烟运动,提供无烟医院,无烟大学校园,无烟宿舍,并为希望戒烟的学生吸烟者提供医疗援助。
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引用次数: 0
Regulatory effects of miR-188-5p/XRCC5 on the progression of natural killer/T-cell lymphoma. miR-188-5p/XRCC5对自然杀伤/ t细胞淋巴瘤进展的调控作用
Q2 Medicine Pub Date : 2021-09-01
Qianqian Huang, Siruiyun Ding, Hui Zhang

Purpose: Natural killer/T cell lymphoma (NKTCL) is a malignant condition. The molecular pathological mechanism of NKTCL has not been well studied. In this article we tried to study the role of microRNA-188-5p (miR-188-5p) in NKTCL.

Methods: The expression level of miR-188-5p and XRCC5 was examined by quantitative real-time polymerase chain reaction (qRT-PCR). Cell counting kit-8 (CCK-8) assay and colony formation assay were used to assess the ability of cell proliferation. Dual luciferase reporter assay was used to examine the down-stream target of miR-188-5p. Western blotting was utilized to determine XRCC5 expression level.

Results: miR-188-5p was down-regulated in NKTCL. High expression of miR-188-5p accelerated cell proliferation. XRCC5 was one of the down-stream targets. Our data indicated that miR-188-5p suppressed NKTCL progression via regulating XRCC5 expression.

Conclusions: This research elucidated that miR-188-5p suppressed tumor progression in NKTCL by regulating XRCC5. Our data may provide more evidence in looking for novel therapeutic targets.

目的:自然杀伤/T细胞淋巴瘤(NKTCL)是一种恶性疾病。NKTCL的分子病理机制尚未得到很好的研究。在本文中,我们试图研究microRNA-188-5p (miR-188-5p)在NKTCL中的作用。方法:采用实时荧光定量聚合酶链反应(qRT-PCR)检测miR-188-5p和XRCC5的表达水平。采用细胞计数试剂盒-8 (CCK-8)法和集落形成法评估细胞增殖能力。采用双荧光素酶报告基因法检测miR-188-5p的下游靶点。Western blotting检测XRCC5表达水平。结果:miR-188-5p在NKTCL中下调。miR-188-5p高表达加速细胞增殖。XRCC5是下游靶点之一。我们的数据表明,miR-188-5p通过调节XRCC5的表达抑制NKTCL的进展。结论:本研究阐明了miR-188-5p通过调控XRCC5抑制NKTCL的肿瘤进展。我们的数据可能为寻找新的治疗靶点提供更多的证据。
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引用次数: 0
Fatty acid in colorectal cancer in adult and aged patients of both sexes. 脂肪酸在成年和老年结直肠癌患者中的作用。
Q2 Medicine Pub Date : 2021-09-01
Jovan T Juloski, Tamara Popovic, Jasmina Debeljak Martacic, Vladica V Cuk, Marija S Milic Perovic, Marija S Stankovic, Alexander M Trbovich, Silvio R De Luka

Purpose: Colorectal cancer represents the second most common type of cancer in Serbia. Alteration of lipid metabolism begins early, and can represent a central hallmark in cancer evolution. Fatty acids have various important functions as building components of cell membranes, as signaling molecules in immune responses and also manage the general cancer signaling network. The purpose of this study was to investigate the difference of various fatty acids content between colorectal cancer and adjacent healthy intestinal tissue in adult and aged patients of both sexes.

Methods: 52 subjects participated in this study. Healthy colon mucosa and tumor tissue samples were obtained from patients previously diagnosed with colorectal carcinoma. Simplified method of Berstad et al was used for direct transesterification of total lipids in tumor and healthy mucosa tissue samples and separations of the methyl esters was carried out using a gas chromatograph equipped with a split/splitless injector and a flame ionization detector.

Results: 18 0, 18 1 n7, 20 3, 20 4, 20 5, 22 4, 22 5 22 6, SFA, PUFA, n6, n3 and AA/EPA were significantly higher in tumor tissue. On the other hand, 18 1 n9, 18 2, 18 3 n3, MUFA, n6/n3 were significantly higher in healthy tissue.

Conclusions: Saturation index (SI) could be a valuable tool to delineate robust immune response and worse prognosis in patients with colorectal cancer. Our study demonstrated significant differences in fatty acid profiles between tumor tissue and healthy mucosa. Parameters, such as gender, age, stage and mucinous component didn't influence altered fatty acid content.

目的:结直肠癌是塞尔维亚第二常见的癌症类型。脂质代谢的改变很早就开始了,并且可以代表癌症进化的中心标志。脂肪酸作为细胞膜的构建成分,在免疫反应中作为信号分子,也管理着一般的癌症信号网络,具有各种重要的功能。本研究的目的是探讨成年和老年患者结直肠癌与邻近健康肠道组织中各种脂肪酸含量的差异。方法:52名受试者参与本研究。健康的结肠黏膜和肿瘤组织样本来自先前诊断为结直肠癌的患者。采用Berstad等的简化方法对肿瘤和健康粘膜组织样品中的总脂质进行直接酯交换,使用配备分裂/不分裂进样器和火焰电离检测器的气相色谱仪分离甲酯。结果:18 0、18 1 n7、20 3、20 4、20 5、22 4、22 5 22 6、SFA、PUFA、n6、n3和AA/EPA在肿瘤组织中显著升高。另一方面,健康组织中18 1 n9、18 2、18 3 n3、MUFA、n6/n3显著升高。结论:饱和指数(SI)可作为一种有价值的工具来描述结直肠癌患者的免疫反应是否强烈和预后是否较差。我们的研究表明,肿瘤组织和健康粘膜之间的脂肪酸谱存在显著差异。性别、年龄、分期、黏液成分等参数对脂肪酸含量变化没有影响。
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引用次数: 0
Prognostic significance of primary tumor localization in patients with metastatic colorectal cancer: Is it beneficial to select targeted treatment? Real-life experience from Turkey. 转移性结直肠癌原发肿瘤定位的预后意义:选择靶向治疗是否有利?来自土耳其的真实体验。
Q2 Medicine Pub Date : 2021-09-01
Burcin Cakan, Ozgur Acikgoz, Ahmet Bilici, Tarik Demir, Bala Basak Oven, Jamshid Hamdard, Oktay Olmuscelik, Omer Fatih Olmez, Mesut Seker, Ozcan Yildiz

Purpose: The purpose of this study was to investigate the prognostic value,and the effect of primary tumor location on targeted therapy selection in patients with metastatic colorectal cancer (mCRC).

Methods: A total of 201 patients with de novo mCRC who received first line treatment were retrospectively analyzed. Clinicopathological features, treatment outcomes, the primary tumor surgery, metastasectomies/local therapies and survivals were evaluated in terms of both RAS mutation status and primary tumor sidedness.

Results: Tumor localization showed 140 (69.7%) patients with left-sided and 61 (30.3%) with right-sided tumors. Median progression-free survival (PFS) and overall survival (OS) were significantly shorter in patients with right-sided tumor than those with left-sided tumors (10.1 vs 12.9 months, p=0.005; 25 vs 44.4 months, p=0.008, respectively). In addition,the median OS interval of patients receiving anti-VEGF containing regimen was better than those treated with anti-EGFR containing regimen (50.7 vs. 26.9 months, p=0.001). Multivariate analysis indicated that age (HR:0.41,p=0.045), primary tumor resection (HR:0.41,p=0.037) and primary tumor localization (HR:0.38,p=0.021) for PFS and age (HR:0.39, p=0.09), the presence of BRAF mutation (HR:0.59,p=0.019) and the type of targeted therapy (HR:3.16,p=0.025) for OS were independent prognostic factors.

Conclusions: Our results showed that primary tumor location is a prognostic factor in mCRC patients regardless of RAS status. Primary tumor location before treatment decision may be a simple indicator predicting survival and in choosing targeted agent.

目的:本研究旨在探讨转移性结直肠癌(mCRC)患者的预后价值,以及原发肿瘤部位对靶向治疗选择的影响。方法:对201例接受一线治疗的新发mCRC患者进行回顾性分析。临床病理特征、治疗结果、原发肿瘤手术、转移性切除/局部治疗和生存率根据RAS突变状态和原发肿瘤的侧边性进行评估。结果:左侧肿瘤140例(69.7%),右侧肿瘤61例(30.3%)。右侧肿瘤患者的中位无进展生存期(PFS)和总生存期(OS)显著短于左侧肿瘤患者(10.1个月vs 12.9个月,p=0.005;25个月vs 44.4个月,p=0.008)。此外,抗vegf方案患者的中位OS间隔优于抗egfr方案患者(50.7个月vs 26.9个月,p=0.001)。多因素分析显示,PFS患者的年龄(HR:0.41,p=0.045)、原发肿瘤切除(HR:0.41,p=0.037)、原发肿瘤定位(HR:0.38,p=0.021)、OS患者的年龄(HR:0.39, p=0.09)、是否存在BRAF突变(HR:0.59,p=0.019)、靶向治疗类型(HR:3.16,p=0.025)是独立的预后因素。结论:我们的研究结果表明,原发肿瘤位置是影响mCRC患者预后的一个因素,与RAS状态无关。决定治疗前的原发肿瘤位置可能是预测生存和选择靶向药物的一个简单指标。
{"title":"Prognostic significance of primary tumor localization in patients with metastatic colorectal cancer: Is it beneficial to select targeted treatment? Real-life experience from Turkey.","authors":"Burcin Cakan,&nbsp;Ozgur Acikgoz,&nbsp;Ahmet Bilici,&nbsp;Tarik Demir,&nbsp;Bala Basak Oven,&nbsp;Jamshid Hamdard,&nbsp;Oktay Olmuscelik,&nbsp;Omer Fatih Olmez,&nbsp;Mesut Seker,&nbsp;Ozcan Yildiz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to investigate the prognostic value,and the effect of primary tumor location on targeted therapy selection in patients with metastatic colorectal cancer (mCRC).</p><p><strong>Methods: </strong>A total of 201 patients with de novo mCRC who received first line treatment were retrospectively analyzed. Clinicopathological features, treatment outcomes, the primary tumor surgery, metastasectomies/local therapies and survivals were evaluated in terms of both RAS mutation status and primary tumor sidedness.</p><p><strong>Results: </strong>Tumor localization showed 140 (69.7%) patients with left-sided and 61 (30.3%) with right-sided tumors. Median progression-free survival (PFS) and overall survival (OS) were significantly shorter in patients with right-sided tumor than those with left-sided tumors (10.1 vs 12.9 months, p=0.005; 25 vs 44.4 months, p=0.008, respectively). In addition,the median OS interval of patients receiving anti-VEGF containing regimen was better than those treated with anti-EGFR containing regimen (50.7 vs. 26.9 months, p=0.001). Multivariate analysis indicated that age (HR:0.41,p=0.045), primary tumor resection (HR:0.41,p=0.037) and primary tumor localization (HR:0.38,p=0.021) for PFS and age (HR:0.39, p=0.09), the presence of BRAF mutation (HR:0.59,p=0.019) and the type of targeted therapy (HR:3.16,p=0.025) for OS were independent prognostic factors.</p><p><strong>Conclusions: </strong>Our results showed that primary tumor location is a prognostic factor in mCRC patients regardless of RAS status. Primary tumor location before treatment decision may be a simple indicator predicting survival and in choosing targeted agent.</p>","PeriodicalId":50248,"journal":{"name":"Journal of Buon","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39877758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HOXD10 expression as a prognostic factor for hepatocellular carcinoma treated with curative resection. HOXD10表达作为肝细胞癌根治性切除的预后因素。
Q2 Medicine Pub Date : 2021-09-01
Sujin Park, Sangjoon Choi, Hyun Hee Koh, Cheol Keun Park, Sang Yun Ha

Purpose: HOXD10 downregulation resulting from epigenetic changesas well as its role as a tumor suppressor have been reported in several cancers including hepatocellular carcinomas (HCCs). However, the prognostic role of HOXD10 expression in HCC tissue samples has not been evaluated.

Methods: HOXD10 expression was investigated in 278 curatively resected HCC samples using immunohistochemistry and its effectiveness in predicting patient outcome was analyzed.

Results: Low expression of HOXD10 was observed in 82.7% of HCC samples, and this was associated with increased age, large tumor size and advanced stage.HOXD10 was an independent predictive factor for early tumor recurrence at less than 2 years. Patients with low HOXD10 expression showed shorter recurrence-free survival (RFS) (p=0.024) and disease-specific survival (DSS) (p=0.016) than those with high expression. Multivariate analysis confirmed that low HOXD10 expression was an independent predictor of shorter RFS (hazard ratio 1.873, p=0.006) and DSS (hazard ratio2.504, p=0.012) than high HOXD10 expression.

Conclusions: The present study provides clinical evidence supporting the use of HOXD10 as a prognostic biomarker in curatively resected HCCs, and suggests that HOXD10 could also be a potential therapeutic target in HCC.

目的:在包括肝细胞癌(hcc)在内的几种癌症中,HOXD10因表观遗传改变而下调及其作为肿瘤抑制因子的作用已被报道。然而,HOXD10表达在HCC组织样本中的预后作用尚未得到评估。方法:应用免疫组化技术对278例根治性肝癌标本进行HOXD10表达检测,并分析其预测预后的有效性。结果:在82.7%的HCC样本中观察到HOXD10的低表达,并且与年龄增加、肿瘤大小增大和晚期有关。HOXD10是2年以内早期肿瘤复发的独立预测因子。HOXD10低表达患者的无复发生存期(RFS) (p=0.024)和疾病特异性生存期(DSS) (p=0.016)均短于高表达患者。多因素分析证实,HOXD10低表达是较低RFS(风险比1.873,p=0.006)和DSS(风险比2.504,p=0.012)较短的独立预测因子。结论:本研究提供了临床证据,支持HOXD10作为治疗性切除HCC的预后生物标志物,并提示HOXD10也可能是HCC的潜在治疗靶点。
{"title":"HOXD10 expression as a prognostic factor for hepatocellular carcinoma treated with curative resection.","authors":"Sujin Park,&nbsp;Sangjoon Choi,&nbsp;Hyun Hee Koh,&nbsp;Cheol Keun Park,&nbsp;Sang Yun Ha","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>HOXD10 downregulation resulting from epigenetic changesas well as its role as a tumor suppressor have been reported in several cancers including hepatocellular carcinomas (HCCs). However, the prognostic role of HOXD10 expression in HCC tissue samples has not been evaluated.</p><p><strong>Methods: </strong>HOXD10 expression was investigated in 278 curatively resected HCC samples using immunohistochemistry and its effectiveness in predicting patient outcome was analyzed.</p><p><strong>Results: </strong>Low expression of HOXD10 was observed in 82.7% of HCC samples, and this was associated with increased age, large tumor size and advanced stage.HOXD10 was an independent predictive factor for early tumor recurrence at less than 2 years. Patients with low HOXD10 expression showed shorter recurrence-free survival (RFS) (p=0.024) and disease-specific survival (DSS) (p=0.016) than those with high expression. Multivariate analysis confirmed that low HOXD10 expression was an independent predictor of shorter RFS (hazard ratio 1.873, p=0.006) and DSS (hazard ratio2.504, p=0.012) than high HOXD10 expression.</p><p><strong>Conclusions: </strong>The present study provides clinical evidence supporting the use of HOXD10 as a prognostic biomarker in curatively resected HCCs, and suggests that HOXD10 could also be a potential therapeutic target in HCC.</p>","PeriodicalId":50248,"journal":{"name":"Journal of Buon","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39877762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy analyses of axitinib and nivolumab in metastatic renal cell carcinoma after failure of targeted therapy: which is better? 阿西替尼和纳武单抗在转移性肾细胞癌靶向治疗失败后的疗效分析:哪个更好?
Q2 Medicine Pub Date : 2021-09-01
Oktay Halit Aktepe, Fadime Sinem Ardic, Deniz Yuce, Deniz Can Guven, Gurkan Guner, Hasan Cagri Yildirim, Saadettin Kilickap, Alev Turker, Neyran Kertmen, Serkan Akin, Sercan Aksoy, Omer Dizdar, Suayib Yalcin, Mustafa Erman

Purpose: The objective of the present study was to compare the efficacy of axitinib and nivolumab in metastatic renal cell carcinoma (mRCC) previously treated with targeted therapy.

Methods: A total of 79 patients were enrolled (39 patients in axitinib group, 40 patients in nivolumab group). Survival outcomes of patients, progression-free survival (PFS), and overall survival (OS) were estimated using the Kaplan-Meier method and compared with the log-rank test. The associations between potential prognostic variables and OS were evaluated in univariate and multivariate Cox regression analyses.

Results: The median PFS and OS of all cohort were 8.1 and 36.6 months, respectively. Higher PFS and OS were evaluated in axitinib group than nivolumab group (PFS: 9.4 months vs 6.3 months, p=0.386; OS: 38.2 months vs 36.6 months, p=0.671, respectively). Patients treated with axitinib had numerically higher objective response rate (ORR) and disease control rate (DCR) than those treated with nivolumab (ORR: 43.6% vs 27.6%, p=0.157, DCR: 74.4% vs 62.5%, p=0.157, respectively). Multivariate analysis revealed that the independent predictors of OS were higher tumor grade (hazard ratio [HR]: 6.178, p=0.004), worse response to axitinib and nivolumab (HR:4.902, p=0.011), the presence of lung metastasis (HR:15.637, p=0.002) and the presence of liver metastasis (HR:12.010, p=0.001).

Conclusion: Comparable survival outcomes were detected in the axitinib and nivolumab groups. However, head to head comparisons are needed to highlight the relative efficacy of these therapies in mRCC.

目的:本研究的目的是比较阿西替尼和纳武单抗在转移性肾细胞癌(mRCC)先前接受靶向治疗的疗效。方法:共纳入79例患者(阿西替尼组39例,纳武单抗组40例)。使用Kaplan-Meier方法估计患者的生存结局、无进展生存期(PFS)和总生存期(OS),并与log-rank检验进行比较。通过单因素和多因素Cox回归分析评估潜在预后变量与OS之间的关系。结果:所有队列的中位PFS和OS分别为8.1和36.6个月。阿西替尼组的PFS和OS均高于纳武单抗组(PFS: 9.4个月vs 6.3个月,p=0.386;OS: 38.2个月vs 36.6个月,p=0.671)。阿西替尼治疗患者的客观缓解率(ORR)和疾病控制率(DCR)数值高于纳武单抗治疗患者(ORR: 43.6% vs 27.6%, p=0.157, DCR: 74.4% vs 62.5%, p=0.157)。多因素分析显示,肿瘤分级高(危险比[HR]: 6.178, p=0.004)、对阿西替尼和尼武单抗的反应差(危险比[HR]: 4.902, p=0.011)、存在肺转移(危险比:15.637,p=0.002)和存在肝转移(危险比:12.010,p=0.001)是OS的独立预测因素。结论:在阿西替尼组和纳武单抗组中检测到可比的生存结果。然而,需要进行头对头比较,以突出这些治疗在mRCC中的相对疗效。
{"title":"Efficacy analyses of axitinib and nivolumab in metastatic renal cell carcinoma after failure of targeted therapy: which is better?","authors":"Oktay Halit Aktepe,&nbsp;Fadime Sinem Ardic,&nbsp;Deniz Yuce,&nbsp;Deniz Can Guven,&nbsp;Gurkan Guner,&nbsp;Hasan Cagri Yildirim,&nbsp;Saadettin Kilickap,&nbsp;Alev Turker,&nbsp;Neyran Kertmen,&nbsp;Serkan Akin,&nbsp;Sercan Aksoy,&nbsp;Omer Dizdar,&nbsp;Suayib Yalcin,&nbsp;Mustafa Erman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of the present study was to compare the efficacy of axitinib and nivolumab in metastatic renal cell carcinoma (mRCC) previously treated with targeted therapy.</p><p><strong>Methods: </strong>A total of 79 patients were enrolled (39 patients in axitinib group, 40 patients in nivolumab group). Survival outcomes of patients, progression-free survival (PFS), and overall survival (OS) were estimated using the Kaplan-Meier method and compared with the log-rank test. The associations between potential prognostic variables and OS were evaluated in univariate and multivariate Cox regression analyses.</p><p><strong>Results: </strong>The median PFS and OS of all cohort were 8.1 and 36.6 months, respectively. Higher PFS and OS were evaluated in axitinib group than nivolumab group (PFS: 9.4 months vs 6.3 months, p=0.386; OS: 38.2 months vs 36.6 months, p=0.671, respectively). Patients treated with axitinib had numerically higher objective response rate (ORR) and disease control rate (DCR) than those treated with nivolumab (ORR: 43.6% vs 27.6%, p=0.157, DCR: 74.4% vs 62.5%, p=0.157, respectively). Multivariate analysis revealed that the independent predictors of OS were higher tumor grade (hazard ratio [HR]: 6.178, p=0.004), worse response to axitinib and nivolumab (HR:4.902, p=0.011), the presence of lung metastasis (HR:15.637, p=0.002) and the presence of liver metastasis (HR:12.010, p=0.001).</p><p><strong>Conclusion: </strong>Comparable survival outcomes were detected in the axitinib and nivolumab groups. However, head to head comparisons are needed to highlight the relative efficacy of these therapies in mRCC.</p>","PeriodicalId":50248,"journal":{"name":"Journal of Buon","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39610450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trefoil factor 3 silencing can inhibit the proliferation and apoptosis of lung cancer cells. 三叶因子3沉默可抑制肺癌细胞的增殖和凋亡。
Q2 Medicine Pub Date : 2021-09-01
Moran Liu, Yin Xiao

Purpose: At present, the global incidence of lung cancer is still high. Exploring its effective treatment is still a crucial research direction. Trefoil factor 3 (TFF3) was found to be related to the proliferation and apoptosis of many tumor cells. Therefore, this article focuses on the effect of TFF3 on SPC-A1 lung cancer cells.

Methods: The tissue samples of lung cancer patients were collected, and the expression level of TFF3 was detected by Western blot (WB) and Quantitative Real-Time Polymerase Chain Reaction (qRT-PCR) techniques. After transfection technique was used to silence the expression of TFF3 in SPC-A1 cells, the proliferation activity of SPC-A1 cells was detected by CCK-8 assay and EdU staining, and the cell cycle and related factor expression levels were also detected. The apoptosis rate of SPC-A1 cells was detected by Tunel staining and flow cytometry, and the expression levels of apoptosis-related factors were also detected.

Results: TFF3 in lung cancer tissues was obviously higher than that in para-carcinoma tissue. At the same time, similar results were found in SPC-A1 lung cancer cells. CCK-8 assay and EdU staining found that silencing TFF3 gene expression can effectively inhibit the proliferation of SPC-A1 cells. Flow cytometry detection of SPC-A1 cell cycle showed that cells were blocked in G0/G1 phase, and the number of cells in S+G2/M phase was obviously reduced. Cyclin D1 expression was also obviously reduced. At the same time, silencing TFF3 gene expression can promote the increase of Bax expression and inhibit the expression of Bcl-2, thereby increasing the apoptosis rate of SPC-A1 cells. Furthermore, silencing the TFF3 gene can effectively inhibit the excessive activation of the Wnt/β-catenin pathway in SPC-A1 cells.

Conclusions: Our results show that the expression of TFF3 in lung cancer was obviously increased. Silencing TFF3 in SPC-A1 cells can inhibit the cell proliferation and promote cell apoptosis. At the same time, we confirmed that silencing TFF3 gene can inhibit the abnormal activation of Wnt/β-catenin signaling pathway in SPC-A1 cells.

目的:目前,肺癌在全球的发病率仍然很高。探索其有效治疗方法仍是一个重要的研究方向。三叶因子3 (TFF3)被发现与许多肿瘤细胞的增殖和凋亡有关。因此,本文重点研究TFF3对SPC-A1肺癌细胞的影响。方法:采集肺癌患者组织标本,采用Western blot (WB)和qRT-PCR (qRT-PCR)技术检测TFF3的表达水平。采用转染技术沉默SPC-A1细胞中TFF3的表达后,采用CCK-8法和EdU染色检测SPC-A1细胞的增殖活性,同时检测细胞周期及相关因子的表达水平。采用Tunel染色和流式细胞术检测SPC-A1细胞的凋亡率,并检测凋亡相关因子的表达水平。结果:肺癌组织中TFF3明显高于癌旁组织。同时,在SPC-A1肺癌细胞中也发现了类似的结果。CCK-8实验和EdU染色发现沉默TFF3基因表达可有效抑制SPC-A1细胞的增殖。流式细胞术检测SPC-A1细胞周期显示细胞在G0/G1期被阻断,S+G2/M期细胞数量明显减少。Cyclin D1的表达也明显降低。同时,沉默TFF3基因表达可促进Bax表达增加,抑制Bcl-2的表达,从而提高SPC-A1细胞的凋亡率。此外,沉默TFF3基因可以有效抑制SPC-A1细胞中Wnt/β-catenin通路的过度激活。结论:我们的研究结果表明,TFF3在肺癌中的表达明显升高。沉默SPC-A1细胞中的TFF3可抑制细胞增殖,促进细胞凋亡。同时,我们证实沉默TFF3基因可以抑制SPC-A1细胞中Wnt/β-catenin信号通路的异常激活。
{"title":"Trefoil factor 3 silencing can inhibit the proliferation and apoptosis of lung cancer cells.","authors":"Moran Liu,&nbsp;Yin Xiao","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>At present, the global incidence of lung cancer is still high. Exploring its effective treatment is still a crucial research direction. Trefoil factor 3 (TFF3) was found to be related to the proliferation and apoptosis of many tumor cells. Therefore, this article focuses on the effect of TFF3 on SPC-A1 lung cancer cells.</p><p><strong>Methods: </strong>The tissue samples of lung cancer patients were collected, and the expression level of TFF3 was detected by Western blot (WB) and Quantitative Real-Time Polymerase Chain Reaction (qRT-PCR) techniques. After transfection technique was used to silence the expression of TFF3 in SPC-A1 cells, the proliferation activity of SPC-A1 cells was detected by CCK-8 assay and EdU staining, and the cell cycle and related factor expression levels were also detected. The apoptosis rate of SPC-A1 cells was detected by Tunel staining and flow cytometry, and the expression levels of apoptosis-related factors were also detected.</p><p><strong>Results: </strong>TFF3 in lung cancer tissues was obviously higher than that in para-carcinoma tissue. At the same time, similar results were found in SPC-A1 lung cancer cells. CCK-8 assay and EdU staining found that silencing TFF3 gene expression can effectively inhibit the proliferation of SPC-A1 cells. Flow cytometry detection of SPC-A1 cell cycle showed that cells were blocked in G0/G1 phase, and the number of cells in S+G2/M phase was obviously reduced. Cyclin D1 expression was also obviously reduced. At the same time, silencing TFF3 gene expression can promote the increase of Bax expression and inhibit the expression of Bcl-2, thereby increasing the apoptosis rate of SPC-A1 cells. Furthermore, silencing the TFF3 gene can effectively inhibit the excessive activation of the Wnt/β-catenin pathway in SPC-A1 cells.</p><p><strong>Conclusions: </strong>Our results show that the expression of TFF3 in lung cancer was obviously increased. Silencing TFF3 in SPC-A1 cells can inhibit the cell proliferation and promote cell apoptosis. At the same time, we confirmed that silencing TFF3 gene can inhibit the abnormal activation of Wnt/β-catenin signaling pathway in SPC-A1 cells.</p>","PeriodicalId":50248,"journal":{"name":"Journal of Buon","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39863794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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