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Current Problems in Cancer最新文献

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Women's ignorance and misperception of cervical cancer: Evidence-based analysis from low- and middle-income countries 妇女对宫颈癌的无知和误解:来自中低收入国家的循证分析。
IF 2.5 4区 医学 Q3 ONCOLOGY Pub Date : 2024-11-16 DOI: 10.1016/j.currproblcancer.2024.101157
Balraj Sudha , Nachimuthu Senthil Kumar , Sundaravadivelu Sumathi
Cervical cancer is a major cause of morbidity and mortality particularly in low- and mid-income countries. This review synthesizes existing knowledge on cervical cancer, HPV infection, and HPV vaccination accumulated over the past decade (2015-2024), highlighting disparities in awareness and prevention strategies globally. Education level correlates with HPV vaccine awareness, yet mere familiarity with cervical cancer doesn't ensure understanding of its severity. Notably, prevention measures, including screening and HPV testing, varied significantly across countries during this period. To enhance HPV vaccine uptake moving forward, targeted efforts are necessary to educate women, particularly in low- and mid-income countries, about HPV risks as a sexually transmitted disease and the availability of affordable vaccines in government clinics.
宫颈癌是发病和死亡的主要原因,尤其是在中低收入国家。本综述综合了过去十年(2015-2024 年)中积累的有关宫颈癌、HPV 感染和 HPV 疫苗接种的现有知识,强调了全球在认识和预防策略方面的差异。教育水平与对 HPV 疫苗的认知度相关,但仅仅熟悉宫颈癌并不能确保了解其严重性。值得注意的是,在此期间,包括筛查和 HPV 检测在内的预防措施在各国之间存在显著差异。为了提高 HPV 疫苗的接种率,有必要开展有针对性的工作,教育妇女,尤其是中低收入国家的妇女,使她们了解 HPV 作为性传播疾病的风险,以及政府诊所可提供的经济实惠的疫苗。
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引用次数: 0
Deciphering glioblastoma: Unveiling imaging markers for predicting MGMT promoter methylation status 解密胶质母细胞瘤:揭示预测 MGMT 启动子甲基化状态的成像标记。
IF 2.5 4区 医学 Q3 ONCOLOGY Pub Date : 2024-11-11 DOI: 10.1016/j.currproblcancer.2024.101156
Eric Hexem , Taha Abd-ElSalam Ashraf Taha , Yaseen Dhemesh , Mohammad Aneel Baqar , Ayman Nada
Glioblastoma, the most common primary malignant tumor of the central nervous system in adults, is also among the most lethal. Despite a comprehensive treatment approach which utilizes surgery and postoperative chemoradiation, prognosis typically remains dismal. However certain epigenetic modifications, such as methylation of the MGMT promoter, have been proven to correlate with improved post-treatment outcomes. The 2021 WHO classification emphasizes molecular characteristics, highlighting shared genomic alterations across different grades and positioning MGMT methylation as a key influencer of outcomes. A combined diagnostic approach involving current imaging technology and emerging radiomics and deep learning models may allow for timely and accurate prediction of MGMT methylation status and therefore earlier and more individualized treatment and prognostication. Though these advanced radiomics models are rapidly emerging, additional development, standardization, and implementation may lead to a higher and more individualized level of patient care. This review explores the potential of imaging features in predicting MGMT promoter methylation, a critical determinant of therapeutic response and patient outcomes.
胶质母细胞瘤是成人中枢神经系统最常见的原发性恶性肿瘤,也是最致命的肿瘤之一。尽管采用了手术和术后化疗的综合治疗方法,但预后通常仍然不容乐观。不过,某些表观遗传学修饰(如 MGMT 启动子的甲基化)已被证实与改善治疗后的预后相关。2021 年世卫组织的分类强调了分子特征,突出了不同等级的共同基因组改变,并将 MGMT 甲基化定位为影响预后的关键因素。将目前的成像技术与新兴的放射组学和深度学习模型相结合的诊断方法可及时、准确地预测 MGMT 甲基化状态,从而更早、更个体化地进行治疗和预后判断。虽然这些先进的放射组学模型正在迅速崛起,但进一步的开发、标准化和实施可能会带来更高水平和更个性化的患者护理。本综述探讨了成像特征在预测 MGMT 启动子甲基化方面的潜力,MGMT 启动子甲基化是决定治疗反应和患者预后的关键因素。
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引用次数: 0
Mapping the expression and functional landscape of key enzymes in glucose metabolism within human gynecological tumors. 绘制人类妇科肿瘤中葡萄糖代谢关键酶的表达和功能图谱。
IF 2.5 4区 医学 Q3 ONCOLOGY Pub Date : 2024-11-08 DOI: 10.1016/j.currproblcancer.2024.101155
Wen Zhang, Ying-Tong Lin, Jing-Wen Jiang, Yan Hu

Gynecological tumors, primarily ovarian cancer (OC), cervical cancer (CC), and endometrial cancer (EC), have a significant global impact on women's health, characterized by high mortality rates. Emerging evidence underscores the pivotal role of altered glucose metabolism in the initiation and progression of these malignancies. Glucose metabolism, encompassing glycolysis, the tricarboxylic acid (TCA) cycle, oxidative phosphorylation, and the pentose phosphate pathway (PPP), among others, is intricately governed by a spectrum of key enzymes. These enzymes drive metabolic reprogramming essential for tumor growth and survival, thereby influencing patient outcomes and clinical management strategies. However, the comprehensive characterization and summary of the expression profiles, regulatory networks involved, and functional roles of these glucose metabolic enzymes in human gynecological tumors remain incomplete. In this review, we systematically map the expression landscape of these critical glucose metabolic enzymes in gynecological cancers based on research utilizing clinical gynecological tumor tissues. Additionally, we summarize the specific functions of key enzymes of glucose metabolism and the pathways they regulate in gynecological tumors. This review provides profound insights into the metabolic dynamics underlying these diseases. This understanding illuminates the metabolic strategies employed by tumor cells and sets the stage for innovative therapeutic approaches targeting cancer cell glucose metabolic dependencies, thereby holding promise for enhancing patient outcomes in gynecological oncology.

妇科肿瘤,主要是卵巢癌(OC)、宫颈癌(CC)和子宫内膜癌(EC),对全球妇女的健康有着重大影响,其特点是死亡率高。新的证据强调,葡萄糖代谢的改变在这些恶性肿瘤的发生和发展中起着关键作用。葡萄糖代谢包括糖酵解、三羧酸(TCA)循环、氧化磷酸化和磷酸戊糖途径(PPP)等,由一系列关键酶复杂地控制。这些酶驱动着对肿瘤生长和存活至关重要的代谢重编程,从而影响着患者的预后和临床管理策略。然而,对人类妇科肿瘤中这些葡萄糖代谢酶的表达谱、所涉及的调控网络和功能作用的全面描述和总结仍不完整。在这篇综述中,我们根据利用临床妇科肿瘤组织进行的研究,系统地绘制了这些关键葡萄糖代谢酶在妇科癌症中的表达图谱。此外,我们还总结了葡萄糖代谢关键酶的特定功能及其在妇科肿瘤中的调控途径。这篇综述深刻揭示了这些疾病背后的代谢动态。这种认识阐明了肿瘤细胞采用的代谢策略,为针对癌细胞葡萄糖代谢依赖性的创新治疗方法奠定了基础,从而有望改善妇科肿瘤患者的预后。
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Current Problems in Cancer
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