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Clinical applications and perspectives of immune checkpoint inhibitors in oral squamous cell carcinoma 免疫检查点抑制剂在口腔鳞状细胞癌中的临床应用与展望
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-06-11 DOI: 10.1515/oncologie-2024-0086
Liuyu Ru, Jiwei Zheng
Abstract Immune checkpoint inhibitors (ICIs) promote antitumour immune responses by blocking inhibitory signals expressed by T cells and have significant clinical benefits in the treatment of oral squamous cell carcinoma (OSCC). With the advancement of immunotherapy, an increasing number of ICIs have been developed or are in clinical trial stages. However, drug resistance and immune-related adverse events (irAEs) associated with ICIs have limited the clinical application of immunotherapy in OSCC, and the optimal drug regimen for ICIs and the optimal duration of ICIs administration also deserves to be further discussed. New therapeutic regimens and drug delivery technologies are key to promoting the further development of ICIs. This article elucidates the mechanism of ICIs’ action and presents a review of their clinical applications and current development status in OSCC. Additionally, it summarizes the current challenges and outlines future research directions for ICIs therapy, with the aim of offering fresh insights to researchers.
摘要 免疫检查点抑制剂(ICIs)通过阻断T细胞表达的抑制信号来促进抗肿瘤免疫反应,在治疗口腔鳞状细胞癌(OSCC)方面具有显著的临床疗效。随着免疫疗法的发展,越来越多的 ICIs 已经研发成功或处于临床试验阶段。然而,与ICIs相关的耐药性和免疫相关不良事件(irAEs)限制了免疫疗法在OSCC中的临床应用,ICIs的最佳用药方案和ICIs的最佳用药时间也值得进一步探讨。新的治疗方案和给药技术是促进ICIs进一步发展的关键。本文阐明了 ICIs 的作用机制,回顾了 ICIs 在 OSCC 中的临床应用和发展现状。此外,文章还总结了ICIs疗法目前面临的挑战,并概述了未来的研究方向,旨在为研究人员提供新的见解。
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引用次数: 0
Ultrasound-guided radiofrequency ablation combined with puncture and aspiration for intrauterine treatment of fetal sacrococcygeal cystic solid teratoma: a case report and literature review 超声引导下射频消融联合穿刺抽吸术用于胎儿骶尾部囊实性畸胎瘤的宫内治疗:病例报告和文献综述
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-06-06 DOI: 10.1515/oncologie-2024-0098
Qingguo Zou, Guangjuan Kan, Y. Han, Minyan Wang, Xiaofeng Fu, Shanshan Liu, Jingjing Ye, Qingyi Xiang, Qiong Luo, Jiang Zhu
Abstract Objectives To explore the value of ultrasound-guided radiofrequency ablation combined with puncture and aspiration in the intrauterine treatment of fetal sacrococcygeal cystic and solid teratoma. Case presentation A 27-year-old pregnant woman was diagnosed with a cystic and solid tumor in the fetal sacrococcygeal region at 25 weeks of gestation. As the tumor grew, our clinical team creatively performed ultrasound-guided radiofrequency ablation combined with puncture and aspiration at 28 weeks of gestation, followed by puncture and aspiration only at 32 weeks of gestation, to reduce the tumor volume and control its growth rate. The fetus grew safely to term and underwent surgical excision of the tumor after 7 days of birth with a favorable prognosis. Conclusions Ultrasound-guided radiofrequency ablation combined with puncture and aspiration is a safe and effective method for the treatment of fetal sacrococcygeal cystic-solid teratoma.
摘要 目的 探讨超声引导下射频消融联合穿刺抽吸术在胎儿骶尾部囊实性畸胎瘤宫内治疗中的价值。病例介绍 一名 27 岁孕妇在妊娠 25 周时被诊断为胎儿骶尾部囊实性畸胎瘤。随着肿瘤的生长,我们的临床团队创造性地在妊娠 28 周进行了超声引导下射频消融联合穿刺抽吸术,随后又在妊娠 32 周仅进行了穿刺抽吸术,以缩小肿瘤体积并控制其生长速度。胎儿安全生长至足月,出生 7 天后接受手术切除肿瘤,预后良好。结论 超声引导下射频消融联合穿刺抽吸术是治疗胎儿骶尾部囊实性畸胎瘤的一种安全有效的方法。
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引用次数: 0
Establishment of a prognostic signature of disulfidptosis-related lncRNAs for predicting survival and immune landscape in clear cell renal cell carcinoma 建立二硫化相关lncRNA的预后特征,预测透明细胞肾细胞癌的生存和免疫状况
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-06-03 DOI: 10.1515/oncologie-2024-0049
Jinhui Liu, Zhou Zhang, Lei Xiao, Yuhang Guo, Sheng Luo, Benzheng Zhou
A novel cell death pathway, disulfidptosis, marked by intracellular disulfide build-up, is a recently identified form of cell death. This study developed a dependable model using disulfidptosis-associated lncRNAs to predict outcomes and immune interactions in clear cell renal cell carcinoma (ccRCC) patients. Data from ccRCC patients, including genomic and clinicopathological details, were sourced from The Cancer Genome Atlas database. We employed the least absolute shrinkage and selection operator (LASSO) along with regression analyses to construct a prognostic model consisting of 12 disulfidptosis-related lncRNAs (DRLs). The model’s validity was tested using the RECA-EU and GSE29609 datasets. The prognostic model, incorporating 12 DRLs – LINC01671, DOCK9-DT, AL078581.2, SPINT1-AS1, ZNF503-AS1, AL391883.1, AC002070.1, AP001372.2, AC068338.3, AC026401.3, AL355835.1, and AL162377.1 – distinguished high-risk ccRCC patients with diminished survival rates in both the training and validation cohorts. Further analyses through Cox regression confirmed this risk model’s independent prognostic capability regarding overall survival (OS). Functional enrichment analysis indicated significant involvement of differentially expressed genes in immune response mediator production. A prognostic nomogram, integrating DRLs with clinical features, showed strong predictive accuracy as confirmed by receiver operating characteristic curves. Additionally, assessments of immune functionality and tumor mutation burden varied across risk categories in the tumor microenvironment, highlighting potential targets for anticancer drugs. The findings suggest the DRLs signature is a potent prognostic indicator and may serve to forecast responses to immunotherapy in ccRCC patients.
以细胞内二硫化物堆积为标志的一种新型细胞死亡途径--二硫ptosis是最近发现的一种细胞死亡形式。这项研究利用与二硫化相关的lncRNA建立了一个可靠的模型,用于预测透明细胞肾细胞癌(ccRCC)患者的预后和免疫相互作用。 ccRCC患者的数据,包括基因组和临床病理学细节,均来自癌症基因组图谱数据库。我们利用最小绝对收缩和选择算子(LASSO)以及回归分析构建了一个由12个二硫化相关lncRNAs(DRLs)组成的预后模型。该模型的有效性通过RECA-EU和GSE29609数据集进行了测试。 该预后模型包含12个DRLs--LINC01671、DOCK9-DT、AL078581.2、SPINT1-AS1、ZNF503-AS1、AL391883.1、AC002070.1、AP001372.2、AC068338.3、AC026401.3、AL355835.1和AL162377.1--在训练队列和验证队列中都能区分出生存率降低的高危ccRCC患者。通过 Cox 回归进行的进一步分析证实了该风险模型在总生存期 (OS) 方面的独立预后能力。功能富集分析表明,差异表达基因显著参与了免疫反应介质的产生。预后提名图将 DRL 与临床特征相结合,显示出很高的预测准确性,这一点已得到接收者操作特征曲线的证实。此外,对肿瘤微环境中不同风险类别的免疫功能和肿瘤突变负荷的评估也不尽相同,凸显了抗癌药物的潜在靶点。 研究结果表明,DRLs特征是一个有效的预后指标,可用于预测ccRCC患者对免疫疗法的反应。
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引用次数: 0
Single-cell RNA-binding protein pattern-mediated molecular subtypes depict the hallmarks of the tumor microenvironment in bladder urothelial carcinoma 单细胞 RNA 结合蛋白模式介导的分子亚型描绘了膀胱尿路上皮癌肿瘤微环境的特征
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-05-27 DOI: 10.1515/oncologie-2024-0071
Jun Zhang, Jiejie He, Wen Chen, Guojun Chen, Liang Wang, Yuchan Liu, Zhanjin Wang, Ming Yang, Guoyi Huang, Yongli Yang, Wei Ma, Yan Li
Bladder carcinoma (BC) is a common malignancy of the urinary tract. As a new hallmark of cancer for drug therapy, RNA-binding proteins (RBPs) are key regulatory factors in alternative splicing events. This work is to uncover the relationship between BC and RBP in order to find drug targets in BC. In this work, data from single-cell RNA-seq GSE1355337, PRJNA662018, and the TCGA-Bladder urothelial carcinoma (BLCA) cohorts are integrated to identify their relationships. A scoring system is constructed according to RBPs gene expression and patients’ survival. A network is constructed to analyze the alternative splicing events and RBP genes. A scoring system identified 321 RBPs significantly associated with the prognosis of patients. Subsequent typing of these RBP genes in two single-cell datasets demonstrated that most of the RBP genes had variable copy numbers. Three RBP clusters were identified. Using RBP genes as a signature in BC epithelial cells allows for differentiation between different grades of BC samples. The novel RBP genes-based subtype system reflects BC clinical staging. Notably, CellChat analysis revealed that the RBP genes-associated cell subtypes of T cells had extensive interactions with epithelial cells. Further analysis showed that the ligand-receptor pair MIF-CXCR4 mediated the communication between RBP-associated subtypes of BC epithelial cells and T cells. Taken together, RBP genes are associated with BC progress and offer new indicators for precision medicine in BC.
膀胱癌(BC)是一种常见的泌尿系统恶性肿瘤。RNA结合蛋白(RBPs)是药物治疗癌症的新标志,是替代剪接事件的关键调控因子。这项工作旨在揭示 BC 与 RBP 之间的关系,从而找到 BC 的药物靶点。 在这项工作中,我们整合了来自单细胞 RNA 序列 GSE1355337、PRJNA662018 和 TCGA 膀胱尿道癌(BLCA)队列的数据,以确定它们之间的关系。根据 RBPs 基因表达和患者生存率构建了一个评分系统。构建了一个网络来分析替代剪接事件和 RBP 基因。 评分系统确定了 321 个与患者预后明显相关的 RBPs。随后在两个单细胞数据集中对这些RBP基因进行了分型,结果表明大多数RBP基因的拷贝数是可变的。结果发现了三个 RBP 群。利用 BC 上皮细胞中的 RBP 基因作为特征,可以区分不同等级的 BC 样本。基于RBP基因的新型亚型系统反映了BC临床分期。值得注意的是,CellChat 分析显示,与 RBP 基因相关的 T 细胞亚型与上皮细胞有广泛的相互作用。进一步的分析表明,配体-受体对 MIF-CXCR4 介导了 RBP 相关亚型 BC 上皮细胞与 T 细胞之间的交流。 综上所述,RBP基因与BC进展相关,为BC的精准医疗提供了新的指标。
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引用次数: 0
The impact of diffusion and perfusion-weighted imaging on glioma grading 弥散和灌注加权成像对胶质瘤分级的影响
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-05-22 DOI: 10.1515/oncologie-2024-0027
N. Dinh Hieu, N. Duy Hung, L. Thanh Dung, Nguyen Ngoc Anh, N. M. Minh Duc
Determining the grade of a glioma is extremely important for treatment planning and prognosis prediction. The study aimed to evaluate the usefulness of multiparametric perfusion-weighted imaging (PWI) and diffusion-weighted imaging (DWI) in preoperative glioma grading. In this retrospective study, 63 individuals with brain tumors histologically confirmed, of which 23 had low-grade gliomas (LGGs) and 40 had high-grade gliomas (HGGs) were involved. We conducted this paper on apparent diffusion coefficient (ADC) maps using the entire tumor volume method, allowing us to use all ADC values of the tumor. Small-sample regions of interest (ROIs) were drawn to collect parameters of relative cerebral blood flow (rCBF), cerebral blood flow (CBF), and relative cerebral blood volume (rCBV), from both the tumor core and peritumoral edema. The PWI and DWI metrics were compared to identify the most accurate distinguishing HGGs and LGGs, analyze receiver operating characteristics (ROC), and evaluate the diagnostic performance using solitary parameters and combined. In diffusion MRI, there were significant differences in minimum ADC and mean ADC between LGGs and HGGs (p<0.05), with the larger area under the curve (AUC) of 0.898 found for mean ADC at a cut-off value of 1.275, with sensitivity of 82.6 % and specificity of 90 %. The maximum ADC value did not differ significantly (p>0.05). All perfusion parameters in both the tumor core and peritumoral edema area were significantly greater values in cases of HGG compared to LGG (p<0.001), with the highest AUC of 0.946 found for solid tumor rCBV value (rCBVt), the cut-off is 3.585, sensitivity of 85 % and specificity of 100 %. Combining mean ADC and rCBVt provided an excellent AUC of 0.975, a sensitivity of 92.5 %, and a specificity of 91.3 % for differentiating between HGGs and LGGs. Perfusion and diffusion MRI are valuable in discriminating between high-grade and low-grade gliomas, with the major criterion in the decision-making process being the combined mean ADC and rCBVt parameters.
确定胶质瘤的分级对治疗计划和预后预测极为重要。该研究旨在评估多参数灌注加权成像(PWI)和弥散加权成像(DWI)在胶质瘤术前分级中的作用。 在这项回顾性研究中,有63名经组织学确诊的脑肿瘤患者,其中23人患有低级别胶质瘤(LGGs),40人患有高级别胶质瘤(HGGs)。我们采用整个肿瘤体积法对表观扩散系数(ADC)图进行了研究,从而可以使用肿瘤的所有 ADC 值。我们绘制了小样本感兴趣区(ROI),以收集肿瘤核心和瘤周水肿的相对脑血流(rCBF)、脑血流(CBF)和相对脑血容量(rCBV)参数。对 PWI 和 DWI 指标进行比较,以确定最能准确区分 HGG 和 LGG 的指标,分析接收器操作特征(ROC),并评估单独参数和组合参数的诊断性能。 在弥散 MRI 中,LGGs 和 HGGs 的最小 ADC 和平均 ADC 存在显著差异(P0.05)。与LGG相比,HGG病例肿瘤核心和瘤周水肿区的所有灌注参数值均明显增大(P<0.001),其中实体瘤rCBV值(rCBVt)的AUC最高,为0.946,临界值为3.585,灵敏度为85%,特异度为100%。将平均 ADC 和 rCBVt 相结合,可获得极佳的 AUC 值(0.975),灵敏度为 92.5%,特异性为 91.3%,可用于区分 HGG 和 LGG。 灌注和弥散 MRI 对区分高级别和低级别胶质瘤很有价值,决策过程中的主要标准是 ADC 和 rCBVt 的组合平均参数。
{"title":"The impact of diffusion and perfusion-weighted imaging on glioma grading","authors":"N. Dinh Hieu, N. Duy Hung, L. Thanh Dung, Nguyen Ngoc Anh, N. M. Minh Duc","doi":"10.1515/oncologie-2024-0027","DOIUrl":"https://doi.org/10.1515/oncologie-2024-0027","url":null,"abstract":"\u0000 \u0000 \u0000 Determining the grade of a glioma is extremely important for treatment planning and prognosis prediction. The study aimed to evaluate the usefulness of multiparametric perfusion-weighted imaging (PWI) and diffusion-weighted imaging (DWI) in preoperative glioma grading.\u0000 \u0000 \u0000 \u0000 In this retrospective study, 63 individuals with brain tumors histologically confirmed, of which 23 had low-grade gliomas (LGGs) and 40 had high-grade gliomas (HGGs) were involved. We conducted this paper on apparent diffusion coefficient (ADC) maps using the entire tumor volume method, allowing us to use all ADC values of the tumor. Small-sample regions of interest (ROIs) were drawn to collect parameters of relative cerebral blood flow (rCBF), cerebral blood flow (CBF), and relative cerebral blood volume (rCBV), from both the tumor core and peritumoral edema. The PWI and DWI metrics were compared to identify the most accurate distinguishing HGGs and LGGs, analyze receiver operating characteristics (ROC), and evaluate the diagnostic performance using solitary parameters and combined.\u0000 \u0000 \u0000 \u0000 In diffusion MRI, there were significant differences in minimum ADC and mean ADC between LGGs and HGGs (p<0.05), with the larger area under the curve (AUC) of 0.898 found for mean ADC at a cut-off value of 1.275, with sensitivity of 82.6 % and specificity of 90 %. The maximum ADC value did not differ significantly (p>0.05). All perfusion parameters in both the tumor core and peritumoral edema area were significantly greater values in cases of HGG compared to LGG (p<0.001), with the highest AUC of 0.946 found for solid tumor rCBV value (rCBVt), the cut-off is 3.585, sensitivity of 85 % and specificity of 100 %. Combining mean ADC and rCBVt provided an excellent AUC of 0.975, a sensitivity of 92.5 %, and a specificity of 91.3 % for differentiating between HGGs and LGGs.\u0000 \u0000 \u0000 \u0000 Perfusion and diffusion MRI are valuable in discriminating between high-grade and low-grade gliomas, with the major criterion in the decision-making process being the combined mean ADC and rCBVt parameters.\u0000","PeriodicalId":54687,"journal":{"name":"Oncologie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141109900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary renal synovial sarcomas diagnosed by a novel fusion gene with the fusion site involving exons of SS18 and SSX2: a case report 由新型融合基因诊断出的原发性肾滑膜肉瘤,融合位点涉及 SS18 和 SSX2 的外显子:病例报告
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-05-22 DOI: 10.1515/oncologie-2024-0101
Hong Qiu, Zhaorong Tang, Dan Nie
Primary renal synovial sarcoma (PRSS) is an uncommon malignancy with diagnostic challenges and poor prognosis. Research on PRSS is limited, primarily based on case reports, leading to a lack of widely recognized effective treatment options. This article reports a case of primary renal synovial sarcoma diagnosed using a novel fusion gene with a fusion site involving the SS18 and SSX2 exons. A 34-year-old male, presented with intermittent right upper abdominal pain. Abdominal CT revealed an isolated mass in the upper pole of the right kidney, which was initially diagnosed as renal cell carcinoma. The patient underwent radical right nephrectomy, and postoperative histopathological examination confirmed the diagnosis of synovial sarcoma, and immunohistochemistry supported the diagnosis. Further detection through RT-PCR and DNA sequencing confirmed the presence of the SS18-SSX2 fusion gene. Despite the recommendation for adjuvant therapy, the patient refused chemotherapy and other treatments and succumbed to systemic metastasis. This case highlights the diagnostic challenges and aggressive nature of PRSS. The novel fusion gene with the fusion sites SS18: exon9 and SSX2: exon5 has important implications for the diagnosis of primary synovial sarcoma of the kidney. Further research is warranted to explore novel therapeutic strategies and improve patient outcomes in PRSS.
原发性肾滑膜肉瘤(PRSS)是一种不常见的恶性肿瘤,诊断困难且预后不良。有关 PRSS 的研究十分有限,主要基于病例报告,因此缺乏公认的有效治疗方案。本文报告了一例原发性肾滑膜肉瘤病例,该病例被诊断为新型融合基因,其融合位点涉及 SS18 和 SSX2 外显子。 一名 34 岁的男性患者出现间歇性右上腹痛。腹部 CT 显示右肾上极有一孤立肿块,初步诊断为肾细胞癌。患者接受了右肾根治性切除术,术后组织病理学检查确诊为滑膜肉瘤,免疫组化也支持这一诊断。通过 RT-PCR 和 DNA 测序进一步检测,证实了 SS18-SSX2 融合基因的存在。尽管医生建议患者接受辅助治疗,但患者拒绝化疗和其他治疗,最终因全身转移而死亡。 该病例凸显了 PRSS 的诊断难度和侵袭性。融合位点为 SS18:exon9 和 SSX2:exon5 的新型融合基因对诊断原发性肾滑膜肉瘤具有重要意义。为了探索新的治疗策略并改善 PRSS 患者的预后,有必要开展进一步的研究。
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引用次数: 0
Trajectory mapping of renal clear cell carcinoma transcriptomes identifies stage-independent predictors of favorable prognosis 肾透明细胞癌转录组的轨迹图确定了与分期无关的有利预后预测因素
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-05-22 DOI: 10.1515/oncologie-2024-0095
Jie Sheng, Zihan Zheng, Xuejuan Li, Meijing Li, Feng Zheng
The prognosis of clear cell renal cell carcinoma (ccRCC) is typically based on clinical stage, but it can vary for some patients. Transcriptomic analysis is vital for understanding ccRCC progression, though its correlation with the clinical stage in predicting prognosis is uncertain. We aim to employ trajectory inference to study ccRCC’s molecular progression and identify potential new markers for judging disease progression and prognosis. Using a trajectory inference approach, we characterize the molecular progression profile of ccRCC based on transcriptome profiling. Additional pathway activity, immune response, and miRNA profiling scoring were integrated to identify possible drivers of trajectory progression. Scoring based on the trajectory demonstrates a significant improvement in patient prognosis prediction and identifies 10 risk factors in patients with low-grade tumors, and nine protective factors in patients with high-grade tumors. Mechanistically, we demonstrate an association between solute light carrier transporters are associated with ccRCC progression, with SLC7A5 expression being validated through immunohistochemistry to increase in metastatic patients. Trajectory analysis of ccRCC transcriptomes can be used to model the molecular progression of disease and may assist in ccRCC prognosis. SLC7A5 is aberrantly expressed in ccRCC and may be a risk factor for poor prognosis.
透明细胞肾细胞癌(ccRCC)的预后通常以临床分期为基础,但有些患者的预后会有所不同。转录组分析对了解ccRCC的进展至关重要,但它与临床分期在预测预后方面的相关性尚不确定。我们的目标是采用轨迹推断法研究 ccRCC 的分子进展,并找出判断疾病进展和预后的潜在新标记物。 利用轨迹推断方法,我们基于转录组图谱描述了ccRCC的分子进展特征。此外,我们还整合了通路活性、免疫反应和 miRNA 图谱评分,以确定轨迹进展的可能驱动因素。 基于轨迹的评分显著改善了患者的预后预测,在低分级肿瘤患者中识别出了10个风险因素,在高级别肿瘤患者中识别出了9个保护因素。从机理上讲,我们证明了溶质轻载体转运体与 ccRCC 进展之间的关联,通过免疫组化验证,SLC7A5 的表达在转移性患者中有所增加。 ccRCC转录组的轨迹分析可用于模拟疾病的分子进展,并有助于ccRCC的预后。SLC7A5在ccRCC中异常表达,可能是预后不良的风险因素。
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引用次数: 0
A comparison study of artificial intelligence performance against physicians in benign–malignant classification of pulmonary nodules 人工智能与医生在肺结节良恶性分类方面的性能比较研究
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-05-15 DOI: 10.1515/oncologie-2023-0319
Weiguo Hu, Jie Zhang, Dingyi Zhou, Shu Xia, Xingxiang Pu, Jianzhong Cao, Mingzhu Zou, Zhangfan Mao, Qibin Song, Xiaodong Zhang
To compare and evaluate the performance of artificial intelligence (AI) against physicians in classifying benign and malignant pulmonary nodules from computerized tomography (CT) images. A total of 506 CT images with pulmonary nodules were retrospectively collected. The AI was trained using in-house software. For comparing the diagnostic performance of artificial intelligence and different groups of physicians in pulmonary nodules, statistical methods of receiver operating characteristic (ROC) curve and area under the curve (AUC) were analyzed. The nodules in CT images were analyzed in a case-by-case manner. The diagnostic accuracy of AI surpassed that of all groups of physicians, exhibiting an AUC of 0.88 alongside a sensitivity of 0.80, specificity of 0.84, and accuracy of 0.83. The area under the curve (AUC) of seven groups of physicians varies between 0.63 and 0.84. The sensitivity of the physicians within these groups varies between 0.4 and 0.76. The specificity of different groups ranges from 0.8 to 0.85. Furthermore, the accuracy of the seven groups ranges from 0.7 to 0.82. The professional insights for enhancing deep learning models were obtained through an examination conducted on a per-case basis. AI demonstrated great potential in the benign–malignant classification of pulmonary nodules with higher accuracy. More accurate information will be provided by AI when making clinical decisions.
比较和评估人工智能(AI)与医生在根据计算机断层扫描(CT)图像对肺部结节进行良性和恶性分类方面的性能。 回顾性收集了 506 张带有肺结节的 CT 图像。人工智能使用内部软件进行训练。为了比较人工智能和不同组别医生对肺结节的诊断性能,分析了接收者操作特征曲线(ROC)和曲线下面积(AUC)的统计方法。对 CT 图像中的结节进行了逐个分析。 人工智能的诊断准确性超过了所有医生组,其 AUC 为 0.88,敏感性为 0.80,特异性为 0.84,准确性为 0.83。七组医生的曲线下面积(AUC)介于 0.63 和 0.84 之间。这些组别中医生的灵敏度介于 0.4 和 0.76 之间。不同组别的特异性介于 0.8 和 0.85 之间。此外,七个组别的准确性介于 0.7 和 0.82 之间。通过对每个病例进行检查,获得了增强深度学习模型的专业见解。 人工智能在肺结节的良恶性分类方面表现出巨大潜力,准确率更高。人工智能将为临床决策提供更准确的信息。
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引用次数: 0
High-throughput sequencing reveals crebanine inhibits colorectal cancer by modulating Tregs immune prognostic target genes 高通量测序揭示克里巴宁通过调节Tregs免疫预后靶基因抑制结直肠癌
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-05-15 DOI: 10.1515/oncologie-2024-0073
Jiajun Xu, Lingyu Huang, Yu Sha, Chune Mo, Weiwei Gong, Xiayu Tian, Xianliang Hou, Wei Chen, Minglin Ou
Crebanine, an alkaloid exhibiting sedative, anti-inflammatory, and anticancer properties, remains unexplored in terms of its anticancer potential against colorectal cancer (CRC). This study aims to bridge this knowledge gap, specifically investigating whether crebanine can suppress CRC and elucidating its underlying molecular mechanism. We employed the MTT (3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyl tetrazolium bromide) assay, cell scratch assay, and flow cytometry to observe the effects of crebanine on the growth, migration, and apoptosis of CRC SW480 cells, respectively. High-throughput sequencing was employed to detect differentially expressed genes (DEGs) in SW480 cells treated with crebanine. Enriched pathways of these DEGs were identified through Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis. Genes exhibiting the highest correlation in the enriched pathway were further analyzed using clinical data from The Cancer Genome Atlas Program (TCGA) public database, utilizing R software. Crebanine effectively inhibited the proliferation, migration, and invasion of SW480 cells, with concentrations of ≥15 μg/mL promoting apoptosis. Analysis revealed that the function of DEGs linked to the most enriched pathways was associated with immune infiltration by regulatory T cells (Tregs). When analyzed in conjunction with clinical data, the genes exhibiting the highest correlation in the enrichment pathway were found to be directly associated with clinical prognostic survival. Our study demonstrates that crebanine inhibits colorectal cancer by regulating prognostic target genes related to Tregs. This finding offers a novel approach for pharmacological inhibition and Tregs-targeted therapy in CRC.
克利巴宁是一种具有镇静、抗炎和抗癌特性的生物碱,但其对结肠直肠癌(CRC)的抗癌潜力仍未得到探索。本研究旨在弥补这一知识空白,特别是研究克利巴宁是否能抑制 CRC 并阐明其潜在的分子机制。 我们采用 MTT(3-[4,5-二甲基噻唑-2-基]-2,5-二苯基四唑溴化物)试验、细胞划痕试验和流式细胞术分别观察了克利巴宁对 CRC SW480 细胞生长、迁移和凋亡的影响。利用高通量测序技术检测了经克瑞班宁处理的 SW480 细胞中的差异表达基因(DEGs)。通过基因本体(GO)和京都基因和基因组百科全书(KEGG)分析,确定了这些 DEGs 的丰富通路。利用 R 软件,结合癌症基因组图谱计划(TCGA)公共数据库中的临床数据,进一步分析了富集通路中相关性最高的基因。 克瑞巴因可有效抑制SW480细胞的增殖、迁移和侵袭,浓度≥15 μg/mL时可促进细胞凋亡。分析表明,与最丰富通路相关的 DEGs 的功能与调节性 T 细胞(Tregs)的免疫浸润有关。在结合临床数据进行分析时,发现富集通路中相关性最高的基因与临床预后存活率直接相关。 我们的研究表明,克瑞巴因通过调节与Tregs相关的预后靶基因来抑制结直肠癌。这一发现为 CRC 的药物抑制和 Tregs 靶向治疗提供了一种新方法。
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引用次数: 0
Comprehensive analysis of competing endogenous RNA networks involved in the regulation of glycolysis in clear cell renal cell carcinoma 全面分析参与调节透明细胞肾细胞癌糖酵解的竞争性内源性 RNA 网络
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-05-13 DOI: 10.1515/oncologie-2024-0074
Shenglin Gao, Xiaokai Shi, C. Yue, Yin Chen, Li Zuo, Simin Wang
This study aims to elucidate the role of competing endogenous RNAs (ceRNAs), which are pivotal in the post-transcriptional regulation of cancer cells, in the glycolysis of clear cell renal cell carcinoma (ccRCC). RNA-seq data from ccRCC samples and public datasets were subjected to differential expression analysis to identify the upregulated circular RNAs (circRNAs), long noncoding RNAs (lncRNAs), and mRNAs for constructing a ceRNA network. This network focused on the upregulated mRNAs linked to glycolysis and gluconeogenesis, which were verified at the proteome level using the CPTAC database. The ENCORI database was used to predict the lncRNA/circRNA-miRNA and miRNA-mRNA interactions, which formed a network visualized using Cytoscape. This study further examined the association of selected lncRNAs/circRNAs with biological processes and patient survival and explored lncRNA and mRNA expressions at the single-cell level. Three circRNAs and eight lncRNAs were identified to be regulators of four glycolysis pathway genes (HK2, LDHA, PFKP, and ALDOC) via 54 miRNAs. Notably, their expressions were aberrant at the transcriptome and proteome levels. These RNA elements were correlated with malignant and immune pathways, and several lncRNAs showed prognostic significance for ccRCC. Furthermore, single-cell RNA sequencing indicated the abnormal enrichment of these lncRNAs and mRNAs in malignant cells. This study identified a ceRNA network that plays a critical role in the glycolysis of ccRCC. These findings highlight the importance of ceRNAs in cancer malignancy and their potential impact on patient prognosis.
本研究旨在阐明竞争性内源性RNA(ceRNA)在透明细胞肾细胞癌(ccRCC)糖酵解过程中的作用。 对来自ccRCC样本和公共数据集的RNA-seq数据进行了差异表达分析,以确定上调的环状RNA(circRNA)、长非编码RNA(lncRNA)和mRNA,从而构建一个ceRNA网络。该网络重点关注与糖酵解和葡萄糖生成相关的上调 mRNA,并利用 CPTAC 数据库在蛋白质组水平上对其进行了验证。ENCORI数据库用于预测lncRNA/circRNA-miRNA和miRNA-mRNA之间的相互作用,这些相互作用形成了一个使用Cytoscape可视化的网络。本研究进一步检验了所选的lncRNAs/circRNAs与生物过程和患者生存的关联,并在单细胞水平上探讨了lncRNA和mRNA的表达。 研究发现,3个循环RNA和8个lncRNA通过54个miRNA成为4个糖酵解途径基因(HK2、LDHA、PFKP和ALDOC)的调控因子。值得注意的是,它们在转录组和蛋白质组水平上的表达异常。这些 RNA 分子与恶性和免疫途径相关,其中几个 lncRNA 对 ccRCC 的预后具有重要意义。此外,单细胞RNA测序表明,这些lncRNA和mRNA在恶性细胞中异常富集。 这项研究发现了在ccRCC糖酵解过程中起关键作用的ceRNA网络。这些发现凸显了ceRNAs在癌症恶变中的重要性及其对患者预后的潜在影响。
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Oncologie
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