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Lung cancer biomarkers: State of the art. 肺癌生物标志物:最新进展。
Q1 Environmental Science Pub Date : 2013-02-28 Print Date: 2013-01-01 DOI: 10.4103/1477-3163.107958
Sangeetha Subramaniam, Ram Krishna Thakur, Vinod Kumar Yadav, Ranjan Nanda, Shantanu Chowdhury, Anurag Agrawal

Lung cancer is one of the deadliest cancers worldwide, with the highest incidence and mortality amongst all cancers. While the prognosis of lung cancer is generally grim, with 5-year survival rates of only 15%, there is hope, and evidence, that early detection of lung cancer can reduce mortality. Today, only computed tomography screening has shown to lead to early detection and reduction in mortality, but is limited by being anatomic in nature, unable to differentiate between inflammatory and neoplastic pathways, and therefore, susceptible to false positives. There is increasing interest in biomarkers for lung cancer, especially those that predict metastatic risk. Some biomarkers like DNA mutations and epigenetic changes potentially require tissue from the at-risk site; some like serum proteins and miRNAs are minimally invasive, but may not be specific to the lung. In comparison, emerging biomarkers from exhaled breath, like volatile organic compounds (VOC), and exhaled breath condensate, e.g., small molecules and nucleic acids, have the potential to combine the best of both. This mini review is intended to provide an overview of the field, briefly discussing the potential of what is known and highlighting the exciting recent developments, particularly with miRNAs and VOCs.

肺癌是世界上最致命的癌症之一,在所有癌症中发病率和死亡率最高。虽然肺癌的预后通常很糟糕,5年生存率仅为15%,但有希望和证据表明,早期发现肺癌可以降低死亡率。今天,只有计算机断层扫描显示可以导致早期发现和降低死亡率,但由于本质上是解剖学的限制,无法区分炎症和肿瘤途径,因此容易出现假阳性。人们对肺癌的生物标志物越来越感兴趣,尤其是那些预测转移风险的生物标志物。一些生物标志物,如DNA突变和表观遗传变化,可能需要来自高危部位的组织;一些如血清蛋白和mirna是微创的,但可能不是肺特异性的。相比之下,来自呼出气体的新兴生物标志物,如挥发性有机化合物(VOC),以及呼出气体冷凝物,如小分子和核酸,有可能将两者的优点结合起来。这篇综述旨在概述该领域,简要讨论已知的潜力,并强调最近令人兴奋的发展,特别是mirna和VOCs。
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引用次数: 83
Nicotine and lung cancer. 尼古丁和肺癌。
Q1 Environmental Science Pub Date : 2013-01-31 Print Date: 2013-01-01 DOI: 10.4103/1477-3163.106680
Graham W Warren, Anurag K Singh

Tobacco use in cancer patients is associated with increased cancer treatment failure and decreased survival. Nicotine is one of over 7,000 compounds in tobacco smoke and nicotine is the principal chemical associated with addiction. The purpose of this article is to review the tumor promoting activities of nicotine. Nicotine and its metabolites can promote tumor growth through increased proliferation, angiogenesis, migration, invasion, epithelial to mesenchymal transition, and stimulation of autocrine loops associated with tumor growth. Furthermore, nicotine can decrease the biologic effectiveness of conventional cancer treatments such as chemotherapy and radiotherapy. Common mechanisms appear to involve activation of nicotinic acetylcholine receptors and beta-adrenergic receptors leading to downstream activation of parallel signal transduction pathways that facilitate tumor progression and resistance to treatment. Data suggest that nicotine may be an important mechanism by which tobacco promotes tumor development, progression, and resistance to cancer treatment.

癌症患者吸烟与癌症治疗失败增加和生存率降低有关。尼古丁是烟草烟雾中7000多种化合物中的一种,尼古丁是导致上瘾的主要化学物质。本文就尼古丁的促肿瘤作用作一综述。尼古丁及其代谢物可通过增加肿瘤增殖、血管生成、迁移、侵袭、上皮向间质转化以及刺激与肿瘤生长相关的自分泌循环来促进肿瘤生长。此外,尼古丁会降低传统癌症治疗如化疗和放疗的生物学效果。常见的机制似乎包括尼古丁乙酰胆碱受体和β -肾上腺素能受体的激活,导致平行信号转导通路的下游激活,从而促进肿瘤进展和对治疗的抵抗。数据表明,尼古丁可能是烟草促进肿瘤发生、发展和对癌症治疗产生耐药性的重要机制。
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引用次数: 95
Lung cancer screening update. 肺癌筛查最新进展。
Q1 Environmental Science Pub Date : 2013-01-31 Print Date: 2013-01-01 DOI: 10.4103/1477-3163.106681
Samjot Singh Dhillon, Gregory Loewen, Vijayvel Jayaprakash, Mary E Reid

Lung cancer is the leading cause of cancer-related mortality globally and the American cancer society estimates approximately 226,160 new cases and 160,340 deaths from lung cancer in the USA in the year 2012. The majority of lung cancers are diagnosed in the later stages which impacts the overall survival. The 5-year survival rate for pathological st age IA lung cancer is 73% but drops to only 13% for stage IV. Thus, early detection through screening and prevention are the keys to reduce the global burden of lung cancer. This article discusses the current state of lung cancer screening, including the results of the National Lung Cancer Screening Trial, the consideration of implementing computed tomography screening, and a brief overview of the role of bronchoscopy in early detection and potential biomarkers that may aid in the early diagnosis of lung cancer.

肺癌是全球癌症相关死亡的主要原因,美国癌症协会估计,2012年美国约有226,160例新病例和160,340例肺癌死亡。大多数肺癌在晚期才被诊断出来,这影响了患者的总体生存。病理性IA期肺癌的5年生存率为73%,而IV期肺癌的5年生存率仅为13%。因此,通过筛查和预防及早发现肺癌是减轻全球肺癌负担的关键。本文讨论了肺癌筛查的现状,包括国家肺癌筛查试验的结果,实施计算机断层扫描筛查的考虑,并简要概述了支气管镜检查在早期发现和可能有助于肺癌早期诊断的潜在生物标志物中的作用。
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引用次数: 11
CyclinD1 protein plays different roles in modulating chemoresponses in MCF7 and MDA-MB231 cells. CyclinD1蛋白在MCF7和MDA-MB231细胞的化学反应调控中发挥不同的作用。
Q1 Environmental Science Pub Date : 2012-01-01 Epub Date: 2012-08-30 DOI: 10.4103/1477-3163.100401
Yuan Sun, Dianzhong Luo, D Joshua Liao

Background: CyclinD1 is an essential sensor and activator of cell cycle initiation and progression; overexpression of cyclinD1 is linked to various human cancers, including breast cancer. The elevated cyclinD1 in some types of cancers is believed to be associated with tumor progression and response to systemic treatments.

Aims: In this study, we anticipate to address the questions in human breast cancer; the function of cyclinD1 in mediating chemoresponses; and the signaling pathway cooperating with cyclinD1 to interfere with the drug functions.

Materials and methods: Using the cell clones, concurrent ectopic expression of the wild-type or K112E-mutated human cyclinD1 protein in the MCF7 and MDA-MB231 (MB231) breast cancer cells to study the function of cyclinD1 in responses to the chemotherapeutic treatments. Three drugs, cisplatin (CDDP), 5-fluorouracil (5-FU), and Gemzar were used in this study; the 3-(4,5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide (MTT) assay, cell cycle and cell death analysis, clonogenic survival assay, acridine orange (AO)/ethidium bromide (EB) staining, and Western blot assay were conducted to evaluate the drugs' effects in the cell clones.

Results: The cell clones expressing the D1 protein in MCF7 and MB231 cells result in distinct effects on the responses to chemotherapeutic treatments. Particularly with Gemzar, ectopic expression of cyclinD1 protein in MCF7 cells results in a potentiated effect, which is CDK4 kinase activity dependent, whereas in MB231 cells, an opposite effect was observed. Moreover, our results suggested that the distinct chemosensitivities among those cell clones were not resulted from accelerated cell cycle, cell proliferation driven by the cyclinD1CDK4/6-Rb-E2F signaling chain, rather, they were results of the cell cycle-independent functions led by cyclinD1 alone or in complex with CDK4.

Conclusions: Our results suggest that the functions of cyclinD1 protein in modulating chemoresponses in the MCF7 and MB231 cells are independent to its function as cell cycle initiator through activation of CDK4/6. Furthermore, the signals modulated by cyclinD1 upon treatment are determined by the drug and the cellular network.

背景:CyclinD1是细胞周期起始和进展的重要传感器和激活因子;cyclinD1的过度表达与包括乳腺癌在内的多种人类癌症有关。在某些类型的癌症中,cyclinD1的升高被认为与肿瘤进展和对全身治疗的反应有关。目的:在这项研究中,我们期望解决人类乳腺癌的问题;cyclinD1在介导化学反应中的作用;以及协同cyclinD1干扰药物功能的信号通路。材料和方法:利用细胞克隆,在MCF7和MDA-MB231 (MB231)乳腺癌细胞中同时异位表达野生型或k112e突变的人cyclinD1蛋白,研究cyclinD1在化疗应答中的功能。本研究采用顺铂(CDDP)、5-氟尿嘧啶(5-FU)、Gemzar 3种药物;采用3-(4,5-二甲基噻唑-2-酰基)- 2,5 -二苯基溴化四唑(MTT)试验、细胞周期和细胞死亡分析、克隆存活试验、吖啶橙(AO)/溴化乙啶(EB)染色、Western blot等方法评价药物对细胞克隆的影响。结果:MCF7和MB231细胞中表达D1蛋白的细胞克隆对化疗反应有明显的影响。特别是在Gemzar中,MCF7细胞中cyclinD1蛋白的异位表达导致增强效应,这是CDK4激酶活性依赖的,而在MB231细胞中,观察到相反的效果。此外,我们的研究结果表明,这些细胞克隆之间不同的化学敏感性不是由cyclinD1 1cdk4 /6- rb - e2f信号链驱动的细胞周期加速和细胞增殖引起的,而是由cyclinD1单独或与CDK4复合导致的细胞周期独立功能的结果。结论:我们的研究结果表明,cyclinD1蛋白在MCF7和MB231细胞中调节化学反应的功能独立于其通过激活CDK4/6作为细胞周期启动器的功能。此外,cyclinD1在治疗过程中调节的信号是由药物和细胞网络决定的。
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引用次数: 30
The cellular functions of RASSF1A and its inactivation in prostate cancer. 前列腺癌中RASSF1A的细胞功能及其失活。
Q1 Environmental Science Pub Date : 2012-01-01 Epub Date: 2012-02-17 DOI: 10.4103/1477-3163.93000
Karishma S Amin, Partha P Banerjee

Epigenetic events significantly impact the transcriptome of cells and often contribute to the onset and progression of human cancers. RASSF1A (Ras-association domain family 1 isoform A), a well-known tumor suppressor gene, is frequently silenced by epigenetic mechanisms such as promoter hypermethylation in a wide range of cancers. In the past decade a vast body of literature has emerged describing the silencing of RASSF1A expression in various cancers and demonstrating its ability to reverse the cancerous phenotype when re-expressed in cancer cells. However, the mechanisms by which RASSF1A exerts its tumor suppressive properties have not been entirely defined. RASSF1A appears to mediate three important cellular processes: microtubule stability, cell cycle progression, and the induction of apoptosis through specific molecular interactions with key factors involved in these processes. Loss of function of RASSF1A leads to accelerated cell cycle progression and resistance to apoptotic signals, resulting in increased cell proliferation. In this review, we attempt to summarize the current understanding of the biological functions of RASSF1A and provide insight that the development of targeted drugs to restore RASSF1A function holds promise for the treatment of prostate cancer.

表观遗传事件显著影响细胞的转录组,并经常有助于人类癌症的发生和进展。RASSF1A (Ras-association domain family 1 isoform A)是一种众所周知的肿瘤抑制基因,在多种癌症中经常因启动子超甲基化等表观遗传机制而沉默。在过去的十年中,大量的文献描述了RASSF1A在各种癌症中的沉默表达,并证明了其在癌细胞中重新表达时逆转癌症表型的能力。然而,RASSF1A发挥其肿瘤抑制特性的机制尚未完全确定。RASSF1A似乎介导了三个重要的细胞过程:微管稳定性、细胞周期进程,以及通过与这些过程中涉及的关键因子的特定分子相互作用诱导凋亡。RASSF1A功能缺失导致细胞周期进程加快,对凋亡信号产生抗性,导致细胞增殖增加。在这篇综述中,我们试图总结目前对RASSF1A生物学功能的理解,并提出开发靶向药物来恢复RASSF1A功能有望治疗前列腺癌。
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引用次数: 42
Constitutive over expression of IL-1β, IL-6, NF-κB, and Stat3 is a potential cause of lung tumorgenesis in urethane (ethyl carbamate) induced Balb/c mice. IL-1β、IL-6、NF-κB和Stat3的组成性过表达是氨基甲酸乙酯诱导Balb/c小鼠肺肿瘤发生的潜在原因。
Q1 Environmental Science Pub Date : 2012-01-01 Epub Date: 2012-07-24 DOI: 10.4103/1477-3163.98965
Chandradeo Narayan, Arvind Kumar

Background: Lung cancer is a leading cause of cancer death. There has been found a substantial gap in the understanding of lung cancer genesis at the molecular level. We developed urethane (ethyl carbamate) induced lung tumor mice model to understand the mechanism and molecules involved in the cancer genesis. There might be many molecules involved, but we subsequently emphasized here the study of alternation in the expression of NF-κB, Stat3, and inflammatory cytokines interleukin-1β and interleukin-6 to hypothesize that the microenvironment created by these molecules is promoting tumor formation.

Materials and methods: 7-8 week old Balb/c mice of either sex were given intraperitoneal (i.p.) injection of urethane (1g/kgbw) for eight consecutive weeks. Histopathological analysis was done to detect abnormality or invasions occurred in the lung tissues. Automated cell counter was used to count the number of inflammatory cells. The expression of NF-κB, Stat3, and IL-1β was observed at translational level by western blot, while the expression of IL-1β and IL-6 was observed at transcriptional level by semiquantitative reverse transcriptase polymerase chain reaction (RT-PCR) method. Secretion of IL-1β and IL-6 in the blood was measured by enzyme-linked immunosorbent assay (ELISA) method at different time intervals.

Results: Histopathological analysis showed various lung cancer stages hyperplasia, atypical adenomatous hyperplasia, and adenocarcinoma. Increased population of inflammatory cells, persistant expression of NF-κB, Stat3, pStat3, and IL-1β at translational level, while at transcriptional level constitutive enhanced expression of IL-1β and IL-6 followed by increased secretion of IL-1β and IL-6 in the blood were observed in urethane-injected mice in comparison to phosphate buffer saline (PBS) injected mice at 12, 24, and 36 weeks

Conclusions: Overexpression of key molecules such as NF-κB, Stat3, pStat3, IL-1β, and IL-6 might have caused chronic inflammation, leading to the progression of lung cancer.

背景:肺癌是癌症死亡的主要原因。在分子水平上对肺癌发生的认识还存在很大的空白。为了进一步了解氨基甲酸乙酯诱导小鼠肺癌的发生机制和相关分子,我们建立了氨基甲酸乙酯诱导小鼠肺癌模型。可能有许多分子参与其中,但我们随后在这里强调了对NF-κB、Stat3和炎症细胞因子白介素-1β和白介素-6表达变化的研究,并假设这些分子创造的微环境促进了肿瘤的形成。材料与方法:7-8周龄Balb/c小鼠腹腔注射氨基甲酸乙酯(1g/kgbw),连续8周。组织病理学检查肺组织有无异常或浸润。使用自动细胞计数器计数炎症细胞的数量。western blot检测翻译水平上NF-κB、Stat3、IL-1β的表达,RT-PCR检测转录水平上IL-1β、IL-6的表达。采用酶联免疫吸附法(ELISA)测定不同时间间隔血液中IL-1β和IL-6的分泌水平。结果:组织病理学分析显示不同阶段的肺癌增生、非典型腺瘤性增生和腺癌。与磷酸缓冲盐水(PBS)注射小鼠相比,在12周、24周和36周,注射脲烷小鼠的炎症细胞数量增加,NF-κB、Stat3、pStat3和IL-1β在翻译水平上持续表达,而在转录水平上,IL-1β和IL-6的表达组成性增强,IL-1β和IL-6的分泌增加。NF-κB、Stat3、pStat3、IL-1β、IL-6等关键分子的过表达可能引起慢性炎症,导致肺癌的进展。
{"title":"Constitutive over expression of IL-1β, IL-6, NF-κB, and Stat3 is a potential cause of lung tumorgenesis in urethane (ethyl carbamate) induced Balb/c mice.","authors":"Chandradeo Narayan,&nbsp;Arvind Kumar","doi":"10.4103/1477-3163.98965","DOIUrl":"https://doi.org/10.4103/1477-3163.98965","url":null,"abstract":"<p><strong>Background: </strong>Lung cancer is a leading cause of cancer death. There has been found a substantial gap in the understanding of lung cancer genesis at the molecular level. We developed urethane (ethyl carbamate) induced lung tumor mice model to understand the mechanism and molecules involved in the cancer genesis. There might be many molecules involved, but we subsequently emphasized here the study of alternation in the expression of NF-κB, Stat3, and inflammatory cytokines interleukin-1β and interleukin-6 to hypothesize that the microenvironment created by these molecules is promoting tumor formation.</p><p><strong>Materials and methods: </strong>7-8 week old Balb/c mice of either sex were given intraperitoneal (i.p.) injection of urethane (1g/kgbw) for eight consecutive weeks. Histopathological analysis was done to detect abnormality or invasions occurred in the lung tissues. Automated cell counter was used to count the number of inflammatory cells. The expression of NF-κB, Stat3, and IL-1β was observed at translational level by western blot, while the expression of IL-1β and IL-6 was observed at transcriptional level by semiquantitative reverse transcriptase polymerase chain reaction (RT-PCR) method. Secretion of IL-1β and IL-6 in the blood was measured by enzyme-linked immunosorbent assay (ELISA) method at different time intervals.</p><p><strong>Results: </strong>Histopathological analysis showed various lung cancer stages hyperplasia, atypical adenomatous hyperplasia, and adenocarcinoma. Increased population of inflammatory cells, persistant expression of NF-κB, Stat3, pStat3, and IL-1β at translational level, while at transcriptional level constitutive enhanced expression of IL-1β and IL-6 followed by increased secretion of IL-1β and IL-6 in the blood were observed in urethane-injected mice in comparison to phosphate buffer saline (PBS) injected mice at 12, 24, and 36 weeks</p><p><strong>Conclusions: </strong>Overexpression of key molecules such as NF-κB, Stat3, pStat3, IL-1β, and IL-6 might have caused chronic inflammation, leading to the progression of lung cancer.</p>","PeriodicalId":52464,"journal":{"name":"Journal of Carcinogenesis","volume":"11 ","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/1477-3163.98965","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30856386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 34
Breast cancer disparities: Frontline strategies, proceedings of the 7(th) annual texas conference on health disparities. 乳腺癌差异:前线策略,第七届德州健康差异年会论文集。
Q1 Environmental Science Pub Date : 2012-01-01 Epub Date: 2012-10-27 DOI: 10.4103/1477-3163.102950
Marilyne Kpetemey, Meghana V Kashyap, Lee Gibbs, Jamboor K Vishwanatha

There are striking disparities in health status, access to health care, and risk factors among racial and ethnic minorities and the general population in Texas. The disparities are multifactorial comprising genetic, sociocultural, and environmental variables. The Texas Center for Health Disparities (TCHD), a NIMHD Center of Excellence (COE), aims to prevent, reduce, and eliminate health disparities in the communities through research, education, and community-based programs. As part of the center's outreach activities, an annual conference is organized to build awareness and knowledge on health disparities. The overall theme for the 2012 conference was "Battling Breast Cancer Disparities: Frontline Strategies". The scientific program consisted of three sessions: "Breakthroughs in Breast Cancer", "Triple Negative Breast Cancer," and "Hormone Resistant Breast Cancer" featuring different aspects of bench-research from molecular biology, proteomics, and genetics to the clinical aspects such as detection, diagnosis, and finally to community-based approaches. This article summarizes the proceedings of the meeting providing salient strategies and best practices presented by the speakers.

在德克萨斯州,少数种族和族裔群体与一般人口在健康状况、获得医疗保健的机会和风险因素方面存在显著差异。这种差异是多因素的,包括遗传、社会文化和环境变量。德克萨斯健康差异中心(TCHD)是NIMHD卓越中心(COE)的一个分支,旨在通过研究、教育和社区项目来预防、减少和消除社区中的健康差异。作为中心外联活动的一部分,每年组织一次会议,以提高对健康差距的认识和知识。2012年会议的总体主题是“对抗乳腺癌差异:一线战略”。科学计划包括三个部分:“乳腺癌的突破”、“三阴性乳腺癌”和“激素抗性乳腺癌”,从分子生物学、蛋白质组学和遗传学到临床方面(如检测、诊断)的不同方面的实验室研究,最后是基于社区的方法。本文总结了会议记录,提供了演讲者提出的突出策略和最佳实践。
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引用次数: 1
Advances in bronchoscopy for lung cancer. 肺癌的支气管镜检查进展。
Q1 Environmental Science Pub Date : 2012-01-01 Epub Date: 2012-12-31 DOI: 10.4103/1477-3163.105337
Samjot Singh Dhillon, Elisabeth U Dexter

Bronchoscopic techniques have seen significant advances in the last decade. The development and refinement of different types of endobronchial ultrasound and navigation systems have led to improved diagnostic yield and lung cancer staging capabilities. The complication rate of these minimally invasive procedures is extremely low as compared to traditional transthoracic needle biopsy and surgical sampling. These advances augment the safe array of methods utilized in the work up and management algorithms of lung cancer.

支气管镜技术在过去十年中取得了重大进展。不同类型的支气管内超声和导航系统的发展和完善已经导致提高诊断率和肺癌分期能力。与传统的经胸穿刺活检和手术取样相比,这些微创手术的并发症发生率极低。这些进步增加了肺癌工作和管理算法中使用的安全方法阵列。
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引用次数: 8
Plastics and carcinogenesis: The example of vinyl chloride. 塑料与致癌:以氯乙烯为例。
Q1 Environmental Science Pub Date : 2012-01-01 Epub Date: 2012-03-12 DOI: 10.4103/1477-3163.93700
Paul Wesley Brandt-Rauf, Yongliang Li, Changmin Long, Regina Monaco, Gopala Kovvali, Marie-Jeanne Marion

The manufacture, use and disposal of various plastics can pose numerous health risks, including the risk of cancer. A model example of carcinogenic risk from plastics is provided by polyvinyl chloride, since it is composed of the known human carcinogen vinyl chloride (VC). In recent years, much has been learned about the molecular biological pathways of VC carcinogenesis. This has led to molecular epidemiologic studies of VC carcinogenesis in exposed human populations which have identified useful biomarkers of exposure, effect and susceptibility for VC. These studies have in turn provided the basis for new molecular approaches for the prevention and treatment of VC cancers. This model could have much wider applicability for many other carcinogenic exposures and many other human cancers.

各种塑料的生产、使用和处置会带来许多健康风险,包括致癌风险。聚氯乙烯就是塑料致癌风险的一个典型例子,因为它由已知的人类致癌物氯乙烯(VC)组成。近年来,人们对氯乙烯致癌的分子生物学途径有了很多了解。因此,对暴露于氯乙烯的人群进行了分子流行病学研究,确定了暴露于氯乙烯、其影响和易感性的有用生物标志物。这些研究反过来又为预防和治疗 VC 癌症的新分子方法提供了基础。这种模式可以更广泛地适用于许多其他致癌接触和许多其他人类癌症。
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引用次数: 0
Aberrant glycogen synthase kinase 3β in the development of pancreatic cancer. 糖原合成酶激酶3β在胰腺癌发生发展中的作用。
Q1 Environmental Science Pub Date : 2012-01-01 Epub Date: 2012-09-13 DOI: 10.4103/1477-3163.100866
Takeo Shimasaki, Ayako Kitano, Yoshiharu Motoo, Toshinari Minamoto

Development and progression of pancreatic cancer involves general metabolic disorder, local chronic inflammation, and multistep activation of distinct oncogenic molecular pathways. These pathologic processes result in a highly invasive and metastatic tumor phenotype that is a major obstacle to curative surgical intervention, infusional gemcitabine-based chemotherapy, and radiation therapy. Many clinical trials with chemical compounds and therapeutic antibodies targeting growth factors, angiogenic factors, and matrix metalloproteinases have failed to demonstrate definitive therapeutic benefits to refractory pancreatic cancer patients. Glycogen synthase kinase 3β (GSK3β), a serine/threonine protein kinase, has emerged as a therapeutic target in common chronic and progressive diseases, including cancer. Here we review accumulating evidence for a pathologic role of GSK3β in promoting tumor cell survival, proliferation, invasion, and resistance to chemotherapy and radiation in pancreatic cancer. We also discuss the putative involvement of GSK3β in mediating metabolic disorder, local inflammation, and molecular alteration leading to pancreatic cancer development. Taken together, we highlight potential therapeutic as well as preventive effects of GSK3β inhibition in pancreatic cancer.

胰腺癌的发生和发展涉及一般代谢紊乱、局部慢性炎症和不同致癌分子途径的多步骤激活。这些病理过程导致高度侵袭性和转移性的肿瘤表型,这是治疗性手术干预、输注吉西他滨化疗和放射治疗的主要障碍。许多针对生长因子、血管生成因子和基质金属蛋白酶的化合物和治疗性抗体的临床试验未能证明对难治性胰腺癌患者有明确的治疗效果。糖原合成酶激酶3β (GSK3β)是一种丝氨酸/苏氨酸蛋白激酶,已成为包括癌症在内的常见慢性和进行性疾病的治疗靶点。在此,我们回顾了GSK3β在胰腺癌中促进肿瘤细胞存活、增殖、侵袭和对化疗和放疗的抵抗中的病理作用。我们还讨论了GSK3β在介导代谢紊乱、局部炎症和导致胰腺癌发展的分子改变中的可能参与。总之,我们强调了抑制GSK3β在胰腺癌中的潜在治疗和预防作用。
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引用次数: 10
期刊
Journal of Carcinogenesis
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