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Is an immune-oriented use of radiation therapy possible? An increasingly open question under the spotlight of immunotherapy 以免疫为导向的放射治疗可行吗?在免疫疗法的关注下,这个问题越来越具有开放性
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-03-08 DOI: 10.1515/oncologie-2024-0040
Valentina Zagardo, Mandara M. Harikar, G. Ferini
Historically, radiation therapy has been devoted to the achievement of local control both in early and advanced disease, palliation of symptoms (i.e. pain), and the treatment of cancer complications (i.e. bone fractures, bleeding) in advanced/metastatic cancer. Recently, the discovery of the role of radiation therapy as a trigger to activate the immune system has led to an increased interest among insiders regarding the interaction between radiation therapy and host immune reactions. The immune systemic effects of radiation therapy are widely acknowledged to be both immunosuppressive and immunostimulant, albeit there exists considerable uncertainty regarding the doses/fraction that can induce them. The main aim of this brief paper is to describe the systemic anti-tumor responses following radiation therapy on the basis of selected doses/fraction.
一直以来,放射治疗主要用于早期和晚期疾病的局部控制、缓解症状(如疼痛)以及治疗晚期/转移性癌症的并发症(如骨折、出血)。最近,人们发现放射治疗可以激活免疫系统,这使得业内人士对放射治疗与宿主免疫反应之间的相互作用越来越感兴趣。放疗的免疫系统效应被普遍认为具有免疫抑制和免疫刺激两种作用,尽管在诱导免疫系统效应的剂量/分量方面还存在相当大的不确定性。本文的主要目的是根据选定的剂量/分次描述放疗后的全身抗肿瘤反应。
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引用次数: 0
Prognostic value of a glycolysis and cholesterol synthesis related gene signature in osteosarcoma: implications for immune microenvironment and personalized treatment strategies 骨肉瘤中糖酵解和胆固醇合成相关基因特征的预后价值:对免疫微环境和个性化治疗策略的影响
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-03-07 DOI: 10.1515/oncologie-2023-0417
Jinzhu Feng, Jie Zhang, Yong Chen
Osteosarcoma stands as a highly aggressive primary bone malignancy with a notable penchant for metastasis and a grim prognosis. The exploration of metabolic gene signatures, particularly those involved in glycolysis and cholesterol synthesis, has recently garnered attention for their potential to predict cancer progression and therapeutic outcomes. This study probes the prognostic value of a glycolysis and cholesterol synthesis-related gene signature (GCSRG) in osteosarcoma, along with its influence on the tumor immune microenvironment. A comprehensive bioinformatics approach was applied to osteosarcoma samples from the TCGA database, incorporating unsupervised clustering to delineate patient subsets, differential gene expression analysis to identify key metabolic pathways, and survival analysis to ascertain prognostic validity. The investigation yielded a distinct GCSRG with significant prognostic capabilities. Notably, a high GCSRG score correlated with worse patient outcomes but revealed a marked enrichment in immune cell infiltration within the tumor milieu, suggesting a complex relationship between metabolism and immune surveillance in osteosarcoma. The GCSRG emerges as a promising biomarker for osteosarcoma prognosis, offering new vistas for assessing patient suitability for immunotherapeutic interventions. The potential of the GCSRG to act as a guide for personalized treatment strategies is highlighted, underscoring the need for strategic therapeutic modulation based on metabolic and immune interactions to improve patient prognosis in osteosarcoma.
骨肉瘤是一种侵袭性很强的原发性骨恶性肿瘤,具有明显的转移倾向,预后很差。对代谢基因特征的探索,尤其是那些参与糖酵解和胆固醇合成的基因特征,最近因其预测癌症进展和治疗结果的潜力而备受关注。本研究探讨了骨肉瘤中糖酵解和胆固醇合成相关基因特征(GCSRG)的预后价值及其对肿瘤免疫微环境的影响。 研究人员对 TCGA 数据库中的骨肉瘤样本采用了综合生物信息学方法,通过无监督聚类来划分患者亚群,通过差异基因表达分析来确定关键代谢通路,通过生存分析来确定预后的有效性。 调查发现,GCSRG 具有明显的预后能力。值得注意的是,GCSRG 得分越高,患者的预后越差,但肿瘤环境中的免疫细胞浸润却明显增加,这表明骨肉瘤的代谢和免疫监视之间存在着复杂的关系。 GCSRG 成为骨肉瘤预后的一种有前途的生物标记物,为评估患者是否适合免疫治疗干预提供了新的视角。GCSRG作为个性化治疗策略指南的潜力得到了强调,突出了基于代谢和免疫相互作用进行战略性治疗调节以改善骨肉瘤患者预后的必要性。
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引用次数: 0
Schizandrin A enhances the sensitivity of gastric cancer cells to 5-FU by promoting ferroptosis 五味子异黄酮 A 通过促进铁变态反应增强胃癌细胞对 5-FU 的敏感性
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-02-29 DOI: 10.1515/oncologie-2023-0560
Liye Hu, Zhongyuan Zhang, Yun Fu, Feng Zhu, Xin Li, Min Zou, Rui-Jun Yang
The impact of Schizandrin A (Sch A) on 5-fluorouracil (5-Fu) in gastric cancer (GC) cells is not yet understood, despite its known anticancer and multidrug resistance-reversing properties in various tumors. The objective of this study was to investigate the ability of Sch A to reverse resistance and evaluate its mechanisms in GC cells that are resistant to 5-Fu. 5-Fu-sensitive gastric cancer (GC) cells were subjected to treatment with 5-Fu, while 5-Fu-resistant GC cells AGS/5-Fu and SGC7901/5-Fu were successfully developed. In both in vitro and in vivo settings, the impact of Sch A alone or in combination with 5-Fu on tumor cell growth, proliferation, migration, invasion, and ferroptosis-related metabolism was examined by stimulating these cells. A number of additional experiments were conducted in an attempt to elucidate the molecular mechanism of increased ferroptosis. Findings from our research indicate that the utilization of Sch A alongside 5-Fu could potentially be beneficial in combating drug resistance and treating GC in a reverse manner. The coadministration of Sch A was demonstrated to inhibit metastasis and chemotherapy resistance in 5-Fu-resistant GC cells by promoting the initiation of ferroptosis, a type of cell death that relies on iron. This effect was also confirmed in a xenograft nude mouse model. Through a mechanistic approach, the combined administration of Sch A exhibited a synergistic effect on enhancing the expression of the transferrin receptor. Consequently, this led to the accumulation of iron within cells, triggering lipid peroxidation and ultimately causing the death of 5-Fu-resistant GC cells. In conclusion, the findings from this research have presented a new approach to enhancing GC chemosensitivity, suggesting Sch A as an innovative regulator of ferroptosis. Mechanistically, ferroptosis is induced by Sch A coadministration via increasing transferrin receptor expression.
尽管五味子甲素(Sch A)在多种肿瘤中具有已知的抗癌和多药耐药性逆转特性,但它对胃癌(GC)细胞中的 5-氟尿嘧啶(5-Fu)的影响尚不清楚。本研究的目的是调查 Sch A 在对 5-Fu 耐药的 GC 细胞中逆转耐药性的能力并评估其机制。 对5-Fu敏感的胃癌(GC)细胞接受了5-Fu治疗,而对5-Fu耐药的GC细胞AGS/5-Fu和SGC7901/5-Fu则被成功培育出来。在体外和体内环境中,通过刺激这些细胞,研究了 Sch A 单独或与 5-Fu 联合使用对肿瘤细胞生长、增殖、迁移、侵袭和铁蛋白相关代谢的影响。我们还进行了其他一些实验,试图阐明铁氧化作用增强的分子机制。 我们的研究结果表明,在使用 5-Fu 的同时使用 Sch A 有可能有益于对抗耐药性和反向治疗 GC。研究证明,联合使用 Sch A 可通过促进铁凋亡(一种依赖铁的细胞死亡类型)的启动,抑制 5-Fu 耐药性 GC 细胞的转移和化疗耐药性。这一效果在异种移植裸鼠模型中也得到了证实。通过机理研究,联合施用 Sch A 对增强转铁蛋白受体的表达有协同作用。因此,这导致铁在细胞内积累,引发脂质过氧化反应,最终导致耐 5-Fu GC 细胞死亡。 总之,这项研究的结果提出了一种增强 GC 化学敏感性的新方法,表明 Sch A 是一种创新的铁变态反应调节剂。从机理上讲,联合给药 Sch A 可通过增加转铁蛋白受体的表达来诱导铁变态反应。
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引用次数: 0
Identification of hypoxia-immune-related signatures for predicting immune efficacy in triple-negative breast cancer 确定缺氧-免疫相关特征以预测三阴性乳腺癌的免疫效果
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-02-28 DOI: 10.1515/oncologie-2023-0539
Luping Wang, Haote Han, Jiahui Ma, Yue Feng, Zhuo Han, Vinesh J Maharaj, Jingkui Tian, Wei Zhu, Shouxin Li, Xiying Shao
The therapeutic effect against triple-negative breast cancer (TNBC) varies among individuals. Finding signatures to predict immune efficacy is particularly urgent. Considering the connection between the microenvironment and hypoxia, hypoxia-related signatures could be more effective. Therefore, in this study, we aimed sought to construct a hypoxia-immune-related prediction model for breast cancer and identify therapeutic targets. Immune and hypoxia status in the TNBC microenvironment were investigated using single-sample Gene Set Enrichment Analysis (ssGSEA) and Uniform Manifold Approximation and Projection (UMAP). The least absolute shrinkage and selection operator (LASSO) and multivariate Cox regression analysis were employed to build a prognostic model based on hypoxia-immune-related differentially expressed genes. The Cancer Genome Atlas (TCGA) cohort, real-time quantitative polymerase chain reaction (qRT-PCR), and immunofluorescence staining were utilized to analyze the expression differences. Tumor immune dysfunction and exclusion indexes were used to indicate the effect of immunotherapy. We identified 11 signatures related to hypoxia and immunity. Among these genes, C-X-C motif chemokine ligand (CXCL) 9, 10, and 11 were up-regulated in TNBC tissues compared to normal tissues. Furthermore, CXCL9, 10, 11, and 13 were found to enhance the effect of immunotherapy. These findings suggest the value of the hypoxia-immune-related prognostic model for estimating the risk in patients with TNBC, and CXCL9, 10, 11, and 13 are potential targets to overcome immune resistance in TNBC.
针对三阴性乳腺癌(TNBC)的治疗效果因人而异。寻找预测免疫效果的特征尤为迫切。考虑到微环境与缺氧之间的联系,与缺氧相关的特征可能更有效。因此,在本研究中,我们旨在构建乳腺癌缺氧-免疫相关预测模型,并确定治疗靶点。 我们使用单样本基因组富集分析(ssGSEA)和统一表层逼近与投影(UMAP)研究了 TNBC 微环境中的免疫和缺氧状态。利用最小绝对收缩和选择算子(LASSO)和多变量 Cox 回归分析,建立了基于缺氧-免疫相关差异表达基因的预后模型。癌症基因组图谱(TCGA)队列、实时定量聚合酶链反应(qRT-PCR)和免疫荧光染色被用来分析表达差异。肿瘤免疫功能障碍和排异指数用于显示免疫疗法的效果。 我们发现了11个与缺氧和免疫相关的特征基因。在这些基因中,与正常组织相比,C-X-C motif趋化因子配体(CXCL)9、10和11在TNBC组织中上调。此外,研究还发现CXCL9、10、11和13能增强免疫疗法的效果。 这些研究结果表明,缺氧-免疫相关预后模型对估计TNBC患者的风险有一定价值,CXCL9、10、11和13是克服TNBC免疫耐受的潜在靶点。
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引用次数: 0
BRCA mutation in Vietnamese prostate cancer patients: a mixed cross-sectional study and case series 越南前列腺癌患者的 BRCA 基因突变:一项混合横断面研究和病例系列研究
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-02-26 DOI: 10.1515/oncologie-2023-0556
Phuong Cam Pham, Thai Van Pham, Long Doan Dinh, Loi Thuan Nguyen, Nam Viet Le, Mai Bich Bui, Hung Quang Nguyen, Tuyen Van Pham, Quynh Thuy Thi Vo, Thu Binh Vu, Hien Thu Thi Vu, Ngoc Bich Thi Le, Binh Quoc Hoang, Anh Lan Thi Luong, Hoai Thi Nguyen, Ly Phuong Thi Nguyen, Lanh Minh Pham, Thuy Phuong Ngo, Hien Minh Nguyen, Dang Ngoc Tran, Vien Truong Nguyen, Khoa Trong Mai
Prostate cancer features have been linked to mutations in the BRCA1 and BRCA2 genes. Assessing the status of BRCA1 and BRCA2 gene carriers in patients contributes to accurate diagnosis, disease prognosis as well as appropriate targeted treatment methods. This study evaluated the prevalence of these mutations in Vietnamese prostate cancer patients and assessed their correlation with clinical features. A cross-sectional study was performed at Bach Mai Hospital between 2021 and 2022. We enrolled 60 prostate cancer patients. Next-generation gene sequencing was used to identify BRCA1 and BRCA2 mutations in formalin-fixed paraffin-embedded samples. Patients with somatic gene mutations underwent further germline mutation analysis. We also reported a case series following the British Medical Journal guidelines, detailing the clinical course of such patients. Patients with BRCA2 pathogenic variants revealed no BRCA1 mutations, although different mutations were identified. Two patients showed germline mutations. Patients with BRCA mutations were younger (average age: 66.2 years) than those with non-mutations (72.1 years) at diagnosis. High Gleason scores, lymph node metastases, and distant metastases were more prevalent in the mutation group. One patient with germline BRCA mutation had aggressive prostate cancer and early resistance to non-PARPi (Poly ADP-ribose polymerase inhibitors) treatments. We provide preliminary data on BRCA mutations in Vietnamese patients with prostate cancer, suggesting that BRCA2 mutations correlate with aggressive disease characteristics. Our findings further elucidate the clinical implications of these mutations.
前列腺癌的特征与 BRCA1 和 BRCA2 基因突变有关。评估患者中 BRCA1 和 BRCA2 基因携带者的状况有助于准确诊断、疾病预后以及适当的靶向治疗方法。本研究评估了这些基因突变在越南前列腺癌患者中的发生率,并评估了它们与临床特征的相关性。 这项横断面研究于 2021 年至 2022 年期间在越南 Bach Mai 医院进行。我们招募了 60 名前列腺癌患者。研究人员使用新一代基因测序技术鉴定了福尔马林固定石蜡包埋样本中的 BRCA1 和 BRCA2 基因突变。体细胞基因突变的患者进一步进行了种系突变分析。我们还根据《英国医学杂志》指南报告了一个病例系列,详细介绍了此类患者的临床病程。 BRCA2致病变异患者没有发现BRCA1变异,但发现了不同的变异。两名患者出现了种系突变。BRCA 基因突变患者在确诊时的年龄(平均年龄:66.2 岁)比未发现突变的患者(72.1 岁)要小。基因突变组中,高格里森评分、淋巴结转移和远处转移的发生率更高。一名生殖系 BRCA 基因突变患者患有侵袭性前列腺癌,并对非 PARPi(聚 ADP 核糖聚合酶抑制剂)治疗产生了早期耐药性。 我们提供了越南前列腺癌患者 BRCA 基因突变的初步数据,表明 BRCA2 基因突变与侵袭性疾病特征相关。我们的研究结果进一步阐明了这些突变的临床意义。
{"title":"BRCA mutation in Vietnamese prostate cancer patients: a mixed cross-sectional study and case series","authors":"Phuong Cam Pham, Thai Van Pham, Long Doan Dinh, Loi Thuan Nguyen, Nam Viet Le, Mai Bich Bui, Hung Quang Nguyen, Tuyen Van Pham, Quynh Thuy Thi Vo, Thu Binh Vu, Hien Thu Thi Vu, Ngoc Bich Thi Le, Binh Quoc Hoang, Anh Lan Thi Luong, Hoai Thi Nguyen, Ly Phuong Thi Nguyen, Lanh Minh Pham, Thuy Phuong Ngo, Hien Minh Nguyen, Dang Ngoc Tran, Vien Truong Nguyen, Khoa Trong Mai","doi":"10.1515/oncologie-2023-0556","DOIUrl":"https://doi.org/10.1515/oncologie-2023-0556","url":null,"abstract":"\u0000 \u0000 \u0000 Prostate cancer features have been linked to mutations in the BRCA1 and BRCA2 genes. Assessing the status of BRCA1 and BRCA2 gene carriers in patients contributes to accurate diagnosis, disease prognosis as well as appropriate targeted treatment methods. This study evaluated the prevalence of these mutations in Vietnamese prostate cancer patients and assessed their correlation with clinical features.\u0000 \u0000 \u0000 \u0000 A cross-sectional study was performed at Bach Mai Hospital between 2021 and 2022. We enrolled 60 prostate cancer patients. Next-generation gene sequencing was used to identify BRCA1 and BRCA2 mutations in formalin-fixed paraffin-embedded samples. Patients with somatic gene mutations underwent further germline mutation analysis. We also reported a case series following the British Medical Journal guidelines, detailing the clinical course of such patients.\u0000 \u0000 \u0000 \u0000 Patients with BRCA2 pathogenic variants revealed no BRCA1 mutations, although different mutations were identified. Two patients showed germline mutations. Patients with BRCA mutations were younger (average age: 66.2 years) than those with non-mutations (72.1 years) at diagnosis. High Gleason scores, lymph node metastases, and distant metastases were more prevalent in the mutation group. One patient with germline BRCA mutation had aggressive prostate cancer and early resistance to non-PARPi (Poly ADP-ribose polymerase inhibitors) treatments.\u0000 \u0000 \u0000 \u0000 We provide preliminary data on BRCA mutations in Vietnamese patients with prostate cancer, suggesting that BRCA2 mutations correlate with aggressive disease characteristics. Our findings further elucidate the clinical implications of these mutations.\u0000","PeriodicalId":54687,"journal":{"name":"Oncologie","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140429222","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
MicroRNA-302a enhances 5-fluorouracil sensitivity in HepG2 cells by increasing AKT/ULK1-dependent autophagy-mediated apoptosis MicroRNA-302a 通过增加 AKT/ULK1 依赖性自噬介导的细胞凋亡,增强肝癌细胞对 5 氟尿嘧啶的敏感性
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-02-23 DOI: 10.1515/oncologie-2023-0530
Qiong He, Li Li
MicroRNA-302a (miR-302a) has been implicated in the oncogenic processes, but its role in hepatocellular carcinoma (HCC) chemoresistance and related mechanisms are still unclear. Therefore, the aim of this study was to investigate the role of miR-302a in HCC chemoresistance and elucidate its underlying mechanism. In this study, we detected the level of miR-302a in HCC tissues (including chemoresistant and chemosensitive tissues), non-tumor tissues, liver cancer cell lines, and 5-fluorouracil (5-FU)-resistant cells (HepG2/R). Additionally, we conducted cell viability, apoptosis, and autophagy analyses as well as assessed the levels of cleaved caspase-3, cleaved caspase-9, microtubule-associated protein 1 light chain 3 beta II (LC3B-II), Akt, and UNC-51 like kinase 1 (ULK1) in HepG2 cells transfected with miR-302a mimic or inhibitor prior to 5-FU treatment. Lastly, we predicted the target of miR-302a and verified the relationship between miR-302a and Akt by luciferase reporter and functional repair assays. Our results revealed that miR-302a was down-regulated in HCC tissues (p<0.01), especially in chemoresistant tissues (p<0.01). Consistently, the miR-302a level exhibited a lower expression in HepG2/R cells compared to their parental cells (p<0.01). Furthermore, the 5-FU-induced apoptosis and autophagy of HepG2 cells were promoted by miR-302a over-expression and diminished by miR-302a inhibition (p<0.01). Target analysis revealed that miR-302a could directly target Akt. Moreover, miR-302a inhibited Akt expression and subsequently elevated ULK1 expression (p<0.01). Inhibition of ULK1 could abrogate the sensitization of overexpressed miR-302a to 5-FU in HepG2 cells (p<0.01). Altogether, our results demonstrate that the down-regulation of miR-302a promotes 5-FU resistance in HCC by attenuating the Akt/ULK1 axis-dependent autophagy and apoptosis.
微RNA-302a(miR-302a)已被认为与致癌过程有关,但其在肝细胞癌(HCC)化疗耐药中的作用及相关机制仍不清楚。因此,本研究旨在探讨 miR-302a 在 HCC 化疗耐药中的作用并阐明其潜在机制。 本研究检测了HCC组织(包括化疗耐药组织和化疗敏感组织)、非肿瘤组织、肝癌细胞系和5-氟尿嘧啶(5-FU)耐药细胞(HepG2/R)中miR-302a的水平。此外,我们还对转染了 miR-302a mimic 或抑制剂的 HepG2 细胞进行了细胞活力、凋亡和自噬分析,并评估了裂解的 caspase-3、裂解的 caspase-9、微管相关蛋白 1 轻链 3 beta II (LC3B-II)、Akt 和 UNC-51 like kinase 1 (ULK1) 的水平。最后,我们预测了 miR-302a 的靶标,并通过荧光素酶报告和功能修复实验验证了 miR-302a 与 Akt 之间的关系。 结果显示,miR-302a在HCC组织中下调(p<0.01),尤其是在化疗耐药组织中(p<0.01)。同样,与亲代细胞相比,miR-302a 在 HepG2/R 细胞中的表达水平较低(p<0.01)。此外,miR-302a过度表达会促进5-FU诱导的HepG2细胞凋亡和自噬,而抑制miR-302a则会减少凋亡和自噬(p<0.01)。靶标分析表明,miR-302a 可直接靶向 Akt。此外,miR-302a抑制了Akt的表达,并随之提高了ULK1的表达(p<0.01)。抑制 ULK1 可以减弱过表达 miR-302a 的 HepG2 细胞对 5-FU 的敏感性(p<0.01)。 总之,我们的研究结果表明,miR-302a的下调通过抑制Akt/ULK1轴依赖的自噬和细胞凋亡,促进了HCC对5-FU的耐药性。
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引用次数: 0
The role of intratumoral microorganisms in the progression and immunotherapeutic efficacy of head and neck cancer 瘤内微生物在头颈癌进展和免疫治疗效果中的作用
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-02-09 DOI: 10.1515/oncologie-2023-0511
Xuzhe Fang, Weihong Tong, Sheng Wu, Zhengyong Zhu, Jin Zhu
The effectiveness of cancer immunization is largely dependent on the tumor’s microenvironment, especially the tumor immune microenvironment. Emerging studies say microbes exist in tumor cells and immune cells, suggesting that these microbes can affect the state of the immune microenvironment of the tumor. Our comprehensive review navigates the intricate nexus between intratumoral microorganisms and their role in tumor biology and immune modulation. Beginning with an exploration of the historical acknowledgment of microorganisms within tumors, the article underscores the evolution of the tumor microenvironment (TME) and its subsequent implications. Using findings from recent studies, we delve into the unique bacterial compositions across different tumor types and their influence on tumor growth, DNA damage, and immune regulation. Furthermore, we illuminate the potential therapeutic implications of targeting these intratumoral microorganisms, emphasizing their multifaceted roles from drug delivery agents to immunotherapy enhancers. As advancements in next-generation sequencing (NGS) technology redefine our understanding of the tumor microbiome, the article underscores the importance of discerning their precise role in tumor progression and tailoring therapeutic interventions. The review culminates by emphasizing ongoing challenges and the pressing need for further research to harness the potential of intratumoral microorganisms in cancer care.
癌症免疫的有效性在很大程度上取决于肿瘤的微环境,尤其是肿瘤免疫微环境。新的研究表明,微生物存在于肿瘤细胞和免疫细胞中,这表明这些微生物会影响肿瘤免疫微环境的状态。我们的综合综述探讨了肿瘤内微生物及其在肿瘤生物学和免疫调节中的作用之间错综复杂的关系。文章从对肿瘤内微生物的历史认识开始,强调了肿瘤微环境(TME)的演变及其后续影响。我们利用最近的研究结果,深入探讨了不同肿瘤类型中独特的细菌组成及其对肿瘤生长、DNA 损伤和免疫调节的影响。此外,我们还阐明了针对这些瘤内微生物的潜在治疗意义,强调了它们从药物输送剂到免疫疗法增强剂的多方面作用。随着下一代测序(NGS)技术的进步重新定义了我们对肿瘤微生物组的认识,文章强调了辨别它们在肿瘤进展中的精确作用和定制治疗干预措施的重要性。综述最后强调了当前的挑战和进一步研究的迫切需要,以利用瘤内微生物在癌症治疗中的潜力。
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引用次数: 0
The role of intratumoral microorganisms in the progression and immunotherapeutic efficacy of head and neck cancer 瘤内微生物在头颈癌进展和免疫治疗效果中的作用
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-02-09 DOI: 10.1515/oncologie-2023-0511
Xuzhe Fang, Weihong Tong, Sheng Wu, Zhengyong Zhu, Jin Zhu
The effectiveness of cancer immunization is largely dependent on the tumor’s microenvironment, especially the tumor immune microenvironment. Emerging studies say microbes exist in tumor cells and immune cells, suggesting that these microbes can affect the state of the immune microenvironment of the tumor. Our comprehensive review navigates the intricate nexus between intratumoral microorganisms and their role in tumor biology and immune modulation. Beginning with an exploration of the historical acknowledgment of microorganisms within tumors, the article underscores the evolution of the tumor microenvironment (TME) and its subsequent implications. Using findings from recent studies, we delve into the unique bacterial compositions across different tumor types and their influence on tumor growth, DNA damage, and immune regulation. Furthermore, we illuminate the potential therapeutic implications of targeting these intratumoral microorganisms, emphasizing their multifaceted roles from drug delivery agents to immunotherapy enhancers. As advancements in next-generation sequencing (NGS) technology redefine our understanding of the tumor microbiome, the article underscores the importance of discerning their precise role in tumor progression and tailoring therapeutic interventions. The review culminates by emphasizing ongoing challenges and the pressing need for further research to harness the potential of intratumoral microorganisms in cancer care.
癌症免疫的有效性在很大程度上取决于肿瘤的微环境,尤其是肿瘤免疫微环境。新的研究表明,微生物存在于肿瘤细胞和免疫细胞中,这表明这些微生物会影响肿瘤免疫微环境的状态。我们的综合综述探讨了肿瘤内微生物及其在肿瘤生物学和免疫调节中的作用之间错综复杂的关系。文章从对肿瘤内微生物的历史认识开始,强调了肿瘤微环境(TME)的演变及其后续影响。我们利用最近的研究结果,深入探讨了不同肿瘤类型中独特的细菌组成及其对肿瘤生长、DNA 损伤和免疫调节的影响。此外,我们还阐明了针对这些瘤内微生物的潜在治疗意义,强调了它们从药物输送剂到免疫疗法增强剂的多方面作用。随着下一代测序(NGS)技术的进步重新定义了我们对肿瘤微生物组的认识,文章强调了辨别它们在肿瘤进展中的精确作用和定制治疗干预措施的重要性。综述最后强调了当前的挑战和进一步研究的迫切需要,以利用瘤内微生物在癌症治疗中的潜力。
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引用次数: 0
Intrapericardial nonfunctional paraganglioma: a case report and literature review 心包内非功能性副神经节瘤:病例报告和文献综述
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-02-06 DOI: 10.1515/oncologie-2023-0483
Yuhong Fan, Jiayin Hu, Tao Li, Jingqin Fang
Paraganglioma (PGL) is a rare extra-adrenal neuroendocrine tumor, and intrapericardial PGL is extremely rare. We report a rare case of intrapericardial nonfunctional PGL, which may be used as a reference for further analysis. This article presents the case of a 65-year-old woman with a 2-year history of lower extremity pain. Ultrasound revealed a hypoechoic mass adjacent to the right atrium, compressing and narrowing the right atrium. Computed tomography (CT) showed a low-density mass with marked enhancement suggestive of a solitary fibrous tumor or a vasogenic tumor of pericardial origin. Cardiac magnetic resonance imaging (MRI) confirmed the location and provided a primary diagnosis of solitary fibrous tumor, hemangioma, or hemangiosarcoma. The patient eventually underwent pericardial tumor resection, and the diagnosis of PGL was confirmed by postoperative histopathology. Pathology is considered the gold standard for the diagnosis of PGL. Imaging examinations can provide valuable information for the diagnosis and management of intrapericardial PGL, and surgery remains the treatment of choice.
副神经节瘤(PGL)是一种罕见的肾上腺外神经内分泌肿瘤,而心包内PGL则极为罕见。我们报告了一例罕见的心包内无功能 PGL 病例,可供进一步分析参考。 本文介绍了一例 65 岁女性的病例,她有 2 年的下肢疼痛病史。超声检查发现右心房附近有一个低回声肿块,压迫右心房并使其变窄。计算机断层扫描(CT)显示为低密度肿块,明显强化,提示为单发纤维性肿瘤或心包源性血管瘤。心脏磁共振成像(MRI)确认了位置,并提供了单发纤维瘤、血管瘤或血管肉瘤的初步诊断。患者最终接受了心包肿瘤切除术,术后组织病理学确诊为 PGL。 病理学被认为是诊断 PGL 的金标准。影像学检查可为心包内 PGL 的诊断和治疗提供有价值的信息,手术仍是首选治疗方法。
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引用次数: 0
Intrapericardial nonfunctional paraganglioma: a case report and literature review 心包内非功能性副神经节瘤:病例报告和文献综述
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-02-06 DOI: 10.1515/oncologie-2023-0483
Yuhong Fan, Jiayin Hu, Tao Li, Jingqin Fang
Paraganglioma (PGL) is a rare extra-adrenal neuroendocrine tumor, and intrapericardial PGL is extremely rare. We report a rare case of intrapericardial nonfunctional PGL, which may be used as a reference for further analysis. This article presents the case of a 65-year-old woman with a 2-year history of lower extremity pain. Ultrasound revealed a hypoechoic mass adjacent to the right atrium, compressing and narrowing the right atrium. Computed tomography (CT) showed a low-density mass with marked enhancement suggestive of a solitary fibrous tumor or a vasogenic tumor of pericardial origin. Cardiac magnetic resonance imaging (MRI) confirmed the location and provided a primary diagnosis of solitary fibrous tumor, hemangioma, or hemangiosarcoma. The patient eventually underwent pericardial tumor resection, and the diagnosis of PGL was confirmed by postoperative histopathology. Pathology is considered the gold standard for the diagnosis of PGL. Imaging examinations can provide valuable information for the diagnosis and management of intrapericardial PGL, and surgery remains the treatment of choice.
副神经节瘤(PGL)是一种罕见的肾上腺外神经内分泌肿瘤,而心包内PGL则极为罕见。我们报告了一例罕见的心包内无功能 PGL 病例,可供进一步分析参考。 本文介绍了一例 65 岁女性的病例,她有 2 年的下肢疼痛病史。超声检查发现右心房附近有一个低回声肿块,压迫右心房并使其变窄。计算机断层扫描(CT)显示为低密度肿块,明显强化,提示为单发纤维性肿瘤或心包源性血管瘤。心脏磁共振成像(MRI)确认了位置,并提供了单发纤维瘤、血管瘤或血管肉瘤的初步诊断。患者最终接受了心包肿瘤切除术,术后组织病理学确诊为 PGL。 病理学被认为是诊断 PGL 的金标准。影像学检查可为心包内 PGL 的诊断和治疗提供有价值的信息,手术仍是首选治疗方法。
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引用次数: 0
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Oncologie
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