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Mesenchymal stem cell exosomes: a promising delivery system for glioma therapy 间充质干细胞外泌体:一种用于胶质瘤治疗的前景广阔的输送系统
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-01-24 DOI: 10.1515/oncologie-2023-0482
Tianfei Ma, Gang Su, Qionghui Wu, Minghui Shen, Xinli Feng, Zhen-chang Zhang
Gliomas are particularly challenging due to their high invasiveness, frequent recurrence, and elevated mortality rates. Despite the availability of treatments like surgery, radiation, and chemotherapy, each of these methods faces significant limitations. This has led to a pressing demand for new strategies against gliomas. In this landscape, mesenchymal stem cells (MSCs) have shown significant potential in recent years. However, the application of MSCs in glioma therapy encounters various challenges. A significant advancement in this field is the utilization of exosomes (Exo), key secretions of MSCs. These exosomes not only carry the benefits inherent in MSCs but also exhibit unique physicochemical properties that make them effective drug carriers. Consequently, MSCs Exo is gaining recognition as a sophisticated drug delivery system, specifically designed for glioma treatment. The scope of MSCs Exo goes beyond being just an innovative drug delivery mechanism; it also shows potential as a standalone therapeutic option. This article aims to provide a detailed summary of the essential role of MSCs Exo in glioma progression and its growing importance as a drug delivery carrier in the fight against this formidable disease.
胶质瘤具有高侵袭性、频繁复发和高死亡率,因此尤其具有挑战性。尽管有手术、放疗和化疗等治疗方法,但每种方法都面临着很大的局限性。因此,人们迫切需求针对胶质瘤的新策略。在这种情况下,间充质干细胞(MSCs)近年来显示出了巨大的潜力。然而,间充质干细胞在胶质瘤治疗中的应用遇到了各种挑战。间充质干细胞的关键分泌物--外泌体(Exo)的利用是这一领域的一大进步。这些外泌体不仅具有间充质干细胞固有的优点,还表现出独特的理化特性,使其成为有效的药物载体。因此,间充质干细胞外泌体作为一种专为胶质瘤治疗而设计的先进给药系统,正逐渐得到认可。间充质干细胞 Exo 不仅仅是一种创新的给药机制,它还显示出作为一种独立疗法的潜力。本文旨在详细总结间叶干细胞外溶液在胶质瘤发展过程中的重要作用,以及它作为药物输送载体在对抗这种可怕疾病中日益增长的重要性。
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引用次数: 0
Glioblastoma with PRMT5 gene upregulation is a key target for tumor cell regression 胶质母细胞瘤 PRMT5 基因上调是肿瘤细胞消退的关键靶点
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-01-23 DOI: 10.1515/oncologie-2023-0534
Maher Kurdi, Motaz M Fadul, Bassam J. Addas, Eyad Faizo, Ahmed K. Bamaga, Taghreed A. Alsinani, Yousef Katib, Alaa Alkhotani, Amany A Fathaddin, Alaa N. Turkistani, Ahmed A. Najjar, Saleh Baeesa, Fadi A. Toonsi, Majid Almansouri, Shadi Alkhayyat
Protein Arginine Methyltransferase 5 (PRMT5) is an enzyme that regulates gene expression and protein function through arginine methylation. Its association with isocitrate dehydrogenase (IDH) mutation in Grade-4 astrocytoma was rarely investigated. Our aim was to aim to explore the association between IDH mutation and PRMT5 and its effect on tumor recurrence. A retrospective cohort of 34 patients with Grade 4 astrocytoma has been tested for PRMT5 expression using protein and gene expression arrays. The impact of IDH-mutation and PRMT5 expression on tumor recurrence was explored. IDH-wildtype was detected in 13 tumors. PRMT5 protein was highly expressed in 30 tumors and the expression was low in four tumors. PRMT5 gene expression was upregulated in 33 tumors and downregulated in a single tumor case. Tumors with different PRMT5 gene expressions and IDH mutation were found to have a significant statistical difference in recurrence-free interval (RFI) (p-value<0.001). IDH-wildtype glioblastoma with upregulated PRMT5 gene or protein expression showed earlier tumor recurrence compared to IDH-mutant Grade 4 astrocytoma with upregulated PRMT5 expression. The association between IDH mutation and PRMT5 in IDH-mutant Grade 4 astrocytoma or IDH-wildtype glioblastoma is indirectly bidirectional. PRMT5 upregulation in glioblastoma can lead to increased cell proliferation and tumor regrowth.
蛋白精氨酸甲基转移酶 5(PRMT5)是一种通过精氨酸甲基化调节基因表达和蛋白质功能的酶。在4级星形细胞瘤中,它与异柠檬酸脱氢酶(IDH)突变的关系很少被研究。我们的目的是探讨 IDH 突变与 PRMT5 之间的关联及其对肿瘤复发的影响。 我们使用蛋白质和基因表达阵列对 34 例 4 级星形细胞瘤患者进行了 PRMT5 表达的回顾性队列检测。研究还探讨了IDH突变和PRMT5表达对肿瘤复发的影响。 在 13 个肿瘤中检测到 IDH-野生型。30 例肿瘤中 PRMT5 蛋白高表达,4 例肿瘤中 PRMT5 蛋白低表达。33 例肿瘤的 PRMT5 基因表达上调,1 例肿瘤的 PRMT5 基因表达下调。研究发现,PRMT5基因表达和IDH突变不同的肿瘤,其无复发间隔(RFI)有显著统计学差异(P值<0.001)。PRMT5基因或蛋白表达上调的IDH野生型胶质母细胞瘤与PRMT5表达上调的IDH突变4级星形细胞瘤相比,肿瘤复发时间更早。 在IDH突变的4级星形细胞瘤或IDH野生型胶质母细胞瘤中,IDH突变与PRMT5之间的关系是间接双向的。胶质母细胞瘤中 PRMT5 的上调可导致细胞增殖和肿瘤再生。
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引用次数: 0
Comparison of the Molecular International Prognostic Scoring System (IPSS-M) and Revised International Prognostic Scoring System (IPSS-R) in predicting the prognosis of patients with myelodysplastic neoplasms treated with decitabine 分子国际预后评分系统(IPSS-M)与修订版国际预后评分系统(IPSS-R)在预测接受地西他滨治疗的骨髓增生异常肿瘤患者预后方面的比较
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-01-18 DOI: 10.1515/oncologie-2023-0406
Quang Hao Nguyen, M. Vu, Tuan Anh Tran, Quoc Chinh Duong, Duc Binh Vu, Ha Thanh Nguyen, Quoc Khanh Bach
Abstract Background Molecular International Prognostic Scoring System (IPSS-M) is a newly developed prognostic model for myelodysplastic neoplasms (MDS), but has not yet been used widely. In this study, we aimed to compare the IPSS-M with the traditional Revised International Prognostic Scoring System (IPSS-R) in predicting the prognosis of decitabine treated-MDS patients. Patients and methods This retrospective cohort study was conducted on 19 newly diagnosed MDS patients who were examined for 51 gene mutations and received decitabine treatment. The survival analysis, including overall survival (OS), progression-free survival (PFS), and leukemia-free survival (LFS), was performed using the Kaplan–Meier method. Comparisons between the risk groups were carried out according to the IPSS-R and IPSS-M models. Results Among the 19 MDS patients, 12 (63.2 %) showed myeloid gene mutations, with the highest frequency of mutations in ASXL1, RUNX1, SRSF2, TET2, and TP53 (15.8 %). Survival analysis found that the OS was significantly different between the risk groups of both IPSS-R and IPSS-M models, but the PFS and LFS showed significant differences between the risk groups in only the IPSS-M model. The PFS of the moderate, high, and very high-risk groups were 34.66, 25.00, and 15.33 months (p=0.031); respectively. The LFS of the moderate, high, and very high-risk groups were 39.20, 25.00, and 18.37 months, (p=0.039); respectively. Conclusions Our results found that IPSS-M was better than IPSS-R in predicting the PFS and LFS of decitabine-treated MDS patients, IPSS-M may be superior to IPSS-R in predicting the prognosis of MDS patients.
摘要 背景 分子国际预后评分系统(IPSS-M)是新开发的骨髓增生异常肿瘤(MDS)预后模型,但尚未得到广泛应用。在本研究中,我们旨在比较 IPSS-M 与传统的修订版国际预后评分系统(IPSS-R)在预测地西他滨治疗 MDS 患者预后方面的作用。患者和方法 该回顾性队列研究的对象是19名新诊断的MDS患者,他们接受了51个基因突变的检查并接受了地西他滨治疗。采用 Kaplan-Meier 法进行生存分析,包括总生存期(OS)、无进展生存期(PFS)和无白血病生存期(LFS)。根据 IPSS-R 和 IPSS-M 模型进行风险组间比较。结果 在19例MDS患者中,12例(63.2%)出现髓系基因突变,其中ASXL1、RUNX1、SRSF2、TET2和TP53(15.8%)的突变频率最高。生存期分析发现,IPSS-R和IPSS-M模型的OS在不同风险组之间存在显著差异,但只有IPSS-M模型的PFS和LFS在不同风险组之间存在显著差异。中度、高度和极高度风险组的 PFS 分别为 34.66 个月、25.00 个月和 15.33 个月(P=0.031)。中度、高度和极高危组的长生存期分别为 39.20、25.00 和 18.37 个月(P=0.039)。结论 我们的结果发现,IPSS-M 在预测地西他滨治疗的 MDS 患者的 PFS 和 LFS 方面优于 IPSS-R,IPSS-M 在预测 MDS 患者的预后方面可能优于 IPSS-R。
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引用次数: 0
A multi-cancer analysis unveils ITGBL1 as a cancer prognostic molecule and a novel immunotherapy target 多癌症分析揭示 ITGBL1 是癌症预后分子和新型免疫疗法靶点
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-01-15 DOI: 10.1515/oncologie-2023-0455
Ziyu Wu, Zhihong Liu, Changji Gu, Yong Wu, Yanan Li, Zeyang Zhou, Xiaodong Yang
Abstract Objectives Integrin subunit beta-like 1 (ITGBL1), a member of the epidermal growth factor (EGF)-like protein family, encodes a beta integrin-related protein that is mainly associated with the development of specific tumours and immune-related signalling pathways. This work aimed to explore the possibility that ITGBL1 functions as a novel target gene for immunotherapy and could be a cancer prognostic molecule. Methods The mRNA data for ITGBL1 were obtained from the public databases The Cancer Genome Atlas (TCGA), Genotype-Tissue Expression (GTEx) and Gene Expression Omnibus (GEO). Using GEPIA, the differential expression of ITGBL1 in different tumour stages was identified. Cancer prognostic correlations were explored using Kaplan–Meier survival analysis and forest plots. A combination of Gene Set Enrichment Analysis (GSEA), TIMER2.0 and the R package was applied to analyse the ITGBL1-enriched related pathways. The NCI-60 drug database was examined using CellMinerTM. Cytological experiments were conducted to confirm ITGBL1’s impact on cancer cells. Results Our research has shown that ITGBL1 is differentially expressed in 26 cancers, and high ITGBL1 expression predicts a poorer survival prognosis in some specific cancers. Additionally, we found that ITGBL1 is enriched in immune-related pathways, which are closely linked to immunomodulatory molecules, immune-infiltrating cells, and immunomodulatory factors. The results of tumor mutational burden (TMB) and microsatellite instability (MSI) also indicate that the expression of ITGBL1 is beneficial for improving tumor immunotherapy efficacy. Furthermore, a number of antitumor agents associated with ITGBL1 expression have been identified. Finally, knockdown of ITGBL1 restricts the ability of gastric and colorectal cancer cells to proliferate and migrate. Conclusions Our study demonstrates that ITGBL1 can be utilized to accurately prognosticate cancer and has opened up new avenues for the investigation of tumor immune mechanisms and the development of more efficacious immunotherapies.
摘要 目的 整合素亚基 beta-like 1(ITGBL1)是表皮生长因子(EGF)样蛋白家族的成员,它编码一种与 beta 整合素相关的蛋白,主要与特定肿瘤的发展和免疫相关的信号通路有关。本研究旨在探讨 ITGBL1 作为免疫疗法新靶基因的可能性,并探讨其作为癌症预后分子的可能性。方法 ITGBL1的mRNA数据来自公共数据库癌症基因组图谱(TCGA)、基因型-组织表达(GTEx)和基因表达总库(GEO)。通过 GEPIA,确定了 ITGBL1 在不同肿瘤分期中的差异表达。利用卡普兰-米尔生存分析和森林图探讨了癌症预后的相关性。结合基因组富集分析(Gene Set Enrichment Analysis,GSEA)、TIMER2.0和R软件包分析了ITGBL1富集的相关通路。使用 CellMinerTM 检查了 NCI-60 药物数据库。细胞学实验证实了 ITGBL1 对癌细胞的影响。结果 我们的研究表明,ITGBL1 在 26 种癌症中有不同程度的表达,ITGBL1 的高表达预示着某些特定癌症的生存预后较差。此外,我们还发现 ITGBL1 富集在免疫相关通路中,这些通路与免疫调节分子、免疫浸润细胞和免疫调节因子密切相关。肿瘤突变负荷(TMB)和微卫星不稳定性(MSI)的研究结果也表明,ITGBL1的表达有利于提高肿瘤免疫治疗的疗效。此外,还发现了一些与 ITGBL1 表达相关的抗肿瘤药物。最后,敲除 ITGBL1 会限制胃癌和结直肠癌细胞的增殖和迁移能力。结论 我们的研究表明,ITGBL1 可用于准确预测癌症预后,并为研究肿瘤免疫机制和开发更有效的免疫疗法开辟了新途径。
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引用次数: 0
Clinical pharmacy services in cancer patients with hypertension 癌症高血压患者的临床药学服务
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-01-09 DOI: 10.1515/oncologie-2023-0514
Songül Tezcan, Feyza Nur Yılmaz
Abstract Clinical pharmacy services aim to ensure the rational use of drugs and resolve disease/health conditions with a multidisciplinary approach. Pharmaceutical care plans need to be created to effectively provide clinical pharmacy services in the treatment of hypertension which is one of the common chronic diseases in cancer patients. In this mini-review, we examine which drugs can cause or worsen hypertension in patients receiving cancer treatment, potential drug-drug interactions between drugs used in cancer treatment and antihypertensive drugs, pharmacological and clinical studies for the treatment of hypertension in patients with hypertension before cancer diagnosis or newly diagnosed hypertension due to cancer treatment. Non-pharmacological treatment approaches are presented. We think that our study will be a resource that can be used to solve possible drug-related problems in the practice.
摘要 临床药学服务旨在确保合理用药,通过多学科方法解决疾病/健康问题。高血压是癌症患者常见的慢性疾病之一,为有效提供临床药学服务,需要制定药物护理计划。在这篇小型综述中,我们将探讨哪些药物会导致或加重接受癌症治疗的患者的高血压、癌症治疗药物与降压药物之间潜在的药物相互作用、癌症确诊前患有高血压或因癌症治疗而新确诊的高血压患者的高血压治疗药理学和临床研究。还介绍了非药物治疗方法。我们认为,我们的研究将成为一种资源,可用于解决实践中可能出现的与药物相关的问题。
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引用次数: 0
The role of matrix metalloproteinase-2 in the metastatic cascade: a review 基质金属蛋白酶-2在转移级联中的作用:综述
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-01-08 DOI: 10.1515/oncologie-2023-0368
N. Murray
Abstract Matrix metalloproteinase-2 (MMP-2) is a gelatinase and is involved in multiple steps of the metastatic cascade. More than a decade ago an increased expression of MMP-2 in tumour cells or higher serum levels was reported to be a prognostic biomarker for a lower disease-free and overall survival rate. In recent years new evidence has indicated that MMP-2 has an important role in the tumour ecosystem. It is one of the many players in the onco-sphere, involved in interacting between tumour cells, host cells and the microenvironment. It plays a role in the dissemination of tumour cells, the epithelial–mesenchymal and mesenchymal–epithelial transitions, the formation of the pre-metastatic and metastatic niches, dormancy of tumour cells and modulating the immune system. The aim of this review is to highlight these multiple roles in the metastatic cascade and how many signalling pathways can up or down-regulate MMP-2 activity in the different stages of cancer progression and the effect of MMP-2 on the onco-sphere. Research in head and neck cancer is used as an example of these processes. The use of non-specific MMP inhibitors has been unsuccessful showing only limited benefits and associated with high toxicity as such that none have progressed past Phase III trials. Preclinical trials are undergoing using antibodies directed against specific matrix metalloproteinases, these targeted therapies may be potentially less toxic to the patients.
摘要 基质金属蛋白酶-2(MMP-2)是一种明胶酶,参与转移级联的多个步骤。十多年前就有报道称,肿瘤细胞中 MMP-2 表达增加或血清中 MMP-2 水平升高是无病生存率和总生存率降低的预后生物标志物。近年来,新的证据表明,MMP-2 在肿瘤生态系统中发挥着重要作用。它是肿瘤球中的众多参与者之一,参与肿瘤细胞、宿主细胞和微环境之间的相互作用。它在肿瘤细胞的扩散、上皮-间质和间质-上皮转换、转移前和转移龛的形成、肿瘤细胞休眠和调节免疫系统等方面发挥作用。本综述旨在强调MMP-2在转移级联中的多重作用,以及在癌症进展的不同阶段,多种信号通路如何上调或下调MMP-2的活性,以及MMP-2对肿瘤球的影响。头颈癌研究就是这些过程的一个例子。非特异性 MMP 抑制剂的使用并不成功,只能带来有限的益处,而且毒性很高,因此没有一种药物能通过 III 期试验。目前正在进行临床前试验,使用针对特异性基质金属蛋白酶的抗体,这些靶向疗法可能对患者的毒性较小。
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引用次数: 0
Catalase expression is an independent prognostic marker in liver hepatocellular carcinoma 过氧化氢酶的表达是肝脏肝细胞癌的独立预后指标
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-01-05 DOI: 10.1515/oncologie-2023-0472
Yu-Chia Chen, Hsin-Hung Chen, Po-Ming Chen
Abstract Objectives Liver hepatocellular carcinoma (LIHC) is the most common type of primary liver cancer and originates from hepatocytes, the main functional cells of the liver. It is a serious and aggressive cancer with a generally poor prognosis, especially when diagnosed at advanced stages. Reactive oxygen species (ROS) have been detected in LIHC and are involved in carcinogenesis and tumor progression. Here, a comprehensive analysis was performed to evaluate the effects of ROS-related genes on the prognosis of LIHC. Methods Using bioinformatical tools including Gene Expression Profiling Interactive Analysis (GEPIA2) and Q-omics, a comprehensive analysis was performed to evaluate the effects of ROS-related genes, including superoxide dismutases (SODs), glutathione peroxidases (GPXs), peroxiredoxins (PRDXs) and catalase (CAT) on the prognosis of LIHC using The Cancer Genome Atlas (TCGA) dataset and identified the most appropriate candidate genes. Then we further explored their effects on LIHC cell proliferation and drug selection for LIHC treatment. Results We found that CAT expression was significantly downregulated in late stage’s LIHC tissues compared to normal liver or early stage’s LIHC tissues, and high CAT expression was correlated with a favorable survival prognosis in LIHC. The expression of the CAT gene was associated with an inhibition of the “cell cycle” pathway. HepG2 and Hep3B cells’ growth was increased with a decrease in CAT expression by silencing its mRNA. As silencing of CAT in HepG2 and Hep3B cells, and its association with an increase in the expression of PLK1, CCNB1, CDC20, and PTTG1. A comparative 426 drug response in LIHC cells with different CAT expression, SU11274, a Met inhibitor, could serve as a therapeutic option when CAT levels are low in LIHC cells. Conclusions Our findings revealed that Met inhibitors could potentially control tumor progression and be used as a therapeutic option against LIHC with low CAT.
摘要 目的 肝肝细胞癌(LIHC)是原发性肝癌中最常见的一种,起源于肝脏的主要功能细胞--肝细胞。它是一种严重的侵袭性癌症,预后普遍较差,尤其是在晚期确诊时。在 LIHC 中检测到了活性氧(ROS),它参与了癌变和肿瘤进展。在此,我们进行了一项综合分析,以评估 ROS 相关基因对 LIHC 预后的影响。方法 利用基因表达谱交互分析(GEPIA2)和Q-omics等生物信息学工具,通过癌症基因组图谱(TCGA)数据集,对ROS相关基因(包括超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GPX)、过氧化还原酶(PRDX)和过氧化氢酶(CAT))对LIHC预后的影响进行了全面分析,并确定了最合适的候选基因。然后,我们进一步探讨了它们对 LIHC 细胞增殖和治疗 LIHC 药物选择的影响。结果 我们发现,与正常肝脏或早期LIHC组织相比,CAT在晚期LIHC组织中的表达明显下调,CAT的高表达与LIHC的良好生存预后相关。CAT 基因的表达与 "细胞周期 "途径的抑制有关。通过沉默 CAT 的 mRNA,HepG2 和 Hep3B 细胞的生长随着 CAT 表达的减少而增加。由于 HepG2 和 Hep3B 细胞中 CAT 的沉默及其与 PLK1、CCNB1、CDC20 和 PTTG1 表达的增加有关。通过比较不同 CAT 表达的 LIHC 细胞对 426 药物的反应,当 LIHC 细胞中 CAT 水平较低时,Met 抑制剂 SU11274 可作为一种治疗选择。结论 我们的研究结果表明,Met 抑制剂有可能控制肿瘤进展,并可作为一种治疗 CAT 低的 LIHC 的选择。
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引用次数: 0
Disulfidptosis-related long non-coding RNAs predict prognosis and indicate therapeutic response in non-small cell lung carcinoma 与脱硫相关的长非编码 RNA 可预测非小细胞肺癌的预后并显示治疗反应
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-01-03 DOI: 10.1515/oncologie-2023-0384
Huan Liu, Shaohua He, L. Tan, Mingzhen Li, Cheng Chen, Ruiming Tan
Abstract Objectives Disulfidptosis is a novel form of cell death, whose modulation in tumor cells may present a promising therapeutic strategy for cancer treatment. However, the role of disulfidptosis-related long non-coding RNAs (lncRNAs) in non-small cell lung carcinoma (NSCLC) remains poorly elucidated. This study aims to investigate the prognostic significance of disulfidptosis-related lncRNAs (DRLs) and reveal their relationship to the immune microenvironment of NSCLC. Methods DRLs were identified through co-expression analysis of NSCLC transcriptomic data obtained from the Genomic Data Commons (GDC) data portal. The DRLs prognostic signature (DRLPS) was established using the least absolute shrinkage and selection operator (LASSO) and Cox regression analyses. Samples were separated into high-DS and low-DS groups based on the median disulfidptosis score (DS) of DRLPS. Integrated analyses were then implemented to unveil the association between DRLs and NSCLC microenvironment. These involved the evaluation of functional enrichments, immune cell infiltrations, genetic alterations, and drug sensitivity. Results A prognostic signature was developed based on six prognostic DRLs, which are AL606489.1, LINC00857, AP003555.1, AP000695.1, AC113346.1, and LINC01615. The Kaplan–Meier survival curves demonstrated the significant association between DRLPS and NSCLC prognosis. The functional enrichment assessment revealed the pivotal involvement of DRLs in immune regulation and metabolism in NSCLC. The low-DS and high-DS subgroups of NSCLC patients exhibited distinct differences in terms of immune infiltration and tumor mutation burden. The potential to predict immunotherapy benefit and drug sensitivity in NSCLC treatments was observed in DRLPS. Conclusions In this study, disulfidptosis-related lncRNAs were identified and their roles in NSCLC were revealed. A novel prognostic signature with the potential to predict drug response in NSCLC treatment was developed.
摘要 目的 二硫化硫是一种新型的细胞死亡形式,在肿瘤细胞中对其进行调节可能是一种很有前景的癌症治疗策略。然而,与二硫化相关的长非编码 RNA(lncRNA)在非小细胞肺癌(NSCLC)中的作用仍未得到充分阐明。本研究旨在探讨二硫化相关lncRNAs(DRLs)的预后意义,并揭示它们与NSCLC免疫微环境的关系。方法 通过对基因组数据公共平台(GDC)数据门户获取的NSCLC转录组数据进行共表达分析,确定DRLs。使用最小绝对收缩和选择算子(LASSO)和 Cox 回归分析建立了 DRLs 预后特征(DRLPS)。根据DRLPS的中位二硫化硫评分(DS),将样本分为高DS组和低DS组。然后进行综合分析,以揭示 DRLs 与 NSCLC 微环境之间的关联。其中包括对功能富集、免疫细胞浸润、基因改变和药物敏感性的评估。结果 基于六个预后DRLs,即AL606489.1、LINC00857、AP003555.1、AP000695.1、AC113346.1和LINC01615,建立了一个预后特征。Kaplan-Meier生存曲线显示了DRLPS与NSCLC预后的显著相关性。功能富集评估显示,DRLs在NSCLC的免疫调节和新陈代谢中起着关键作用。NSCLC患者中的低DRLPS亚组和高DRLPS亚组在免疫浸润和肿瘤突变负荷方面表现出明显的差异。在 DRLPS 中观察到了预测 NSCLC 治疗中免疫疗法获益和药物敏感性的潜力。结论 本研究发现了与二硫化相关的 lncRNAs,并揭示了它们在 NSCLC 中的作用。研究还发现了一种新的预后特征,该特征具有预测 NSCLC 治疗中药物反应的潜力。
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引用次数: 0
Immunotherapy in hepatocellular carcinoma: an overview of immune checkpoint inhibitors, drug resistance, and adverse effects 肝细胞癌的免疫疗法:免疫检查点抑制剂、耐药性和不良反应概述
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-01-03 DOI: 10.1515/oncologie-2023-0412
Xuan-Yu Gu, Jin-Long Huo, Zhi-Yong Yu, Ji-Chang Jiang, Ya-Xuan Xu, Lijin Zhao
Abstract Hepatocellular carcinoma (HCC) is a concerning liver cancer with rising incidence and mortality rates worldwide. The effectiveness of traditional therapies in managing advanced HCC is limited, necessitating the development of new therapeutic strategies. Immune checkpoint inhibitors (ICIs) have emerged as a promising strategy for HCC management. By preventing tumor cells from evading immune surveillance through immunological checkpoints, ICIs can restore the immune system’s ability to target and eliminate tumors. While ICIs show promise in enhancing the immune response against malignancies, challenges such as drug resistance and adverse reactions hinder their efficacy. To address these challenges, developing individualized ICI treatment strategies is critical. Combining targeted therapy and immunotherapy holds the potential for comprehensive therapeutic effects. Additionally, biomarker-based individualized ICI treatment strategies offer promise in predicting treatment response and guiding personalized patient care. Future research should explore emerging ICI treatment methods to optimize HCC immunotherapy. This review provides an overview of ICIs as a new treatment for HCC, demonstrating some success in promoting the tumor immune response. However, drug resistance and adverse reactions remain important considerations that must be addressed. As tailored treatment plans evolve, the prospect of immunotherapy for HCC is expected to grow, offering new opportunities for improved patient outcomes.
摘要 肝细胞癌(HCC)是一种令人担忧的肝癌,其发病率和死亡率在全球不断上升。传统疗法对晚期肝细胞癌的治疗效果有限,因此有必要开发新的治疗策略。免疫检查点抑制剂(ICIs)已成为一种很有前景的HCC治疗策略。通过免疫检查点阻止肿瘤细胞逃避免疫监视,ICIs 可以恢复免疫系统靶向和消灭肿瘤的能力。虽然 ICIs 有望增强针对恶性肿瘤的免疫反应,但耐药性和不良反应等挑战阻碍了 ICIs 的疗效。为了应对这些挑战,制定个体化的 ICI 治疗策略至关重要。将靶向治疗与免疫治疗相结合,有可能产生全面的治疗效果。此外,基于生物标志物的个体化 ICI 治疗策略有望预测治疗反应并指导个性化的患者护理。未来的研究应探索新兴的 ICI 治疗方法,以优化 HCC 免疫疗法。本综述概述了作为 HCC 新疗法的 ICIs,其在促进肿瘤免疫反应方面取得了一些成功。然而,耐药性和不良反应仍然是必须解决的重要问题。随着量身定制的治疗方案不断发展,HCC 免疫疗法的前景有望扩大,为改善患者预后提供了新的机遇。
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引用次数: 0
The tumor microenvironment: a key player in multidrug resistance in cancer 肿瘤微环境:癌症多药耐药性的关键因素
IF 0.9 4区 医学 Q4 Medicine Pub Date : 2024-01-03 DOI: 10.1515/oncologie-2023-0459
Lingnan Meng, Ying Zheng, Hao Liu, Daiming Fan
Abstract Cancer is the second leading cause of death worldwide. Although multiple new cancer treatments have emerged in recent years, drug therapy, mainly comprising chemotherapy, targeted therapy, and immunotherapy, remains the most common approach. The multidrug resistance (MDR) of cancer cells to various treatments remains a challenge. Scientists have always focused on the acquired drug resistance mechanisms of tumor cells themselves. However, recent evidence shows that the tumor microenvironment (TME) plays a critical role in regulating tumor cell progression, metastasis, immune escape, and drug resistance. In the TME, interactions between cancer cells and non-malignant cells often modify the TME and facilitate drug resistance. Therefore, elucidating this complex interaction mechanism is essential for the development of effective treatments. This review focuses on the role of the TME in promoting chemoresistance in tumor cells through the following mechanisms: (i) inhibiting the immune clearance of tumor cells and facilitating immune escape responses; (ii) stimulating the release of soluble paracrine factors to enhance tumor survival and growth; (iii) promoting survival and altering drug delivery through metabolic reprogramming; (iv) obstructing drug absorption by inducing changes in stomatal cells and blood vessels surrounding the tumor; and (v) inducing the cancer stem cell phenotype. This review also addresses a clinical treatment strategy for targeting the TME, providing insights and a basis for reversing multidrug resistance.
摘要 癌症是全球第二大死因。尽管近年来出现了多种新的癌症治疗方法,但药物治疗(主要包括化疗、靶向治疗和免疫治疗)仍是最常用的方法。癌细胞对各种疗法的多药耐药性(MDR)仍然是一个挑战。科学家们一直关注肿瘤细胞本身的获得性耐药机制。然而,最近的证据表明,肿瘤微环境(TME)在调控肿瘤细胞进展、转移、免疫逃逸和耐药性方面起着至关重要的作用。在肿瘤微环境中,癌细胞与非恶性细胞之间的相互作用往往会改变肿瘤微环境并促进耐药性的产生。因此,阐明这种复杂的相互作用机制对于开发有效的治疗方法至关重要。本综述重点探讨TME通过以下机制促进肿瘤细胞产生化疗耐药性的作用:(i) 抑制肿瘤细胞的免疫清除,促进免疫逃逸反应;(ii) 刺激可溶性旁分泌因子的释放,增强肿瘤的生存和生长;(iii) 通过代谢重编程促进生存和改变药物输送;(iv) 通过诱导肿瘤周围气孔细胞和血管的变化阻碍药物吸收;(v) 诱导癌症干细胞表型。本综述还探讨了针对TME的临床治疗策略,为逆转多药耐药性提供了见解和依据。
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Oncologie
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