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Appraisal of Beneficial Effects of Oral Supplementation with Folic Acid during Curative Chemo-Radiation for Head and Neck Cancer: An Observational Study 头颈癌化疗放疗期间口服补充叶酸的有益效果评价:一项观察性研究
Pub Date : 2019-12-31 DOI: 10.46619/cmj.2019.2-1014
Rao Suresh, H.T.D. Sanath, Rao Pratima, D’silva Prajna, Katherin D’souza Rhea, Ponadka Rai Manoj, Shrinath Baliga Manjeshwar
Background: In people undergoing curative radiation treatment to the head and neck region the local effects like mucositis, dysphasia, dermatitis, salivary dysfunction and systemic effects like anaemia and leucopoenia are major issues. Folic acid is always provided when a patient has anaemia and is also regularly used in the care of cancer patients. However, literature study indicates that the quantum of beneficial effects of folic acid supplementing to patients undergoing curative radiotherapy are lacking. In lieu of these observations the present study was conducted to ascertain the beneficial effect of folic acid supplementation to head and neck cancer (HNC) patients undergoing curative radiotherapy. Methods: This was an observational study and was carried out in HNC patients planned for curative radiotherapy. The folic acid levels were estimated at the start of the study. Patients who had folic acid less than 20 ng/ml were prescribed folic acid (5 mg TID) for the first two weeks. The incidence of mucositis, dysphasia, dermatitis, salivary dysfunction, anaemia and leucopoenia were analysed at the end of the study. For analysis we studied what is the effect in people who had folic acid less than and, above 5 ng/ml and analysed the results using the X2 analysis. Results: The results indicated that there was a significant difference (p = 0.03) was seen in the incidence of leukopenia in the volunteers who had less than 5 ng/ml of folic acid. A significant difference in the incidence of severe dermatitis (P = 0.04) and in weight loss (P = 0.02) was also observed. Conclusions: The study findings suggest that when compared to the patients who had folic acid less than 5 ng/ml, administering folic acid was beneficial in mitigating dermatitis, weight loss and leucopenia in people with folic acid above 5 ng/ml. More studies are required to ascertain the benefit of folic acid.
背景:在头颈部接受根治性放射治疗的患者中,粘膜炎、吞咽不良、皮炎、唾液功能障碍等局部效应和贫血、白细胞减少等全身效应是主要问题。当患者患有贫血时,通常会提供叶酸,也经常用于癌症患者的护理。然而,文献研究表明,叶酸补充对接受治疗性放疗的患者的有益作用的量是缺乏的。为了替代这些观察结果,本研究旨在确定补充叶酸对接受治疗性放疗的头颈癌(HNC)患者的有益作用。方法:这是一项观察性研究,在HNC患者计划治疗性放疗中进行。叶酸水平是在研究开始时估计的。叶酸低于20 ng/ml的患者在前两周服用叶酸(5 mg TID)。研究结束时分析了粘膜炎、吞咽不良、皮炎、唾液功能障碍、贫血和白细胞减少的发生率。为了分析,我们研究了叶酸低于和高于5纳克/毫升的人的影响,并使用X2分析分析了结果。结果:叶酸含量低于5 ng/ml的志愿者白细胞减少率有显著差异(p = 0.03)。严重皮炎的发生率(P = 0.04)和体重减轻(P = 0.02)也有显著差异。结论:研究结果表明,与叶酸低于5 ng/ml的患者相比,叶酸高于5 ng/ml的患者给予叶酸有利于减轻皮炎,体重减轻和白细胞减少。需要更多的研究来确定叶酸的益处。
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引用次数: 1
Clinically, Radiologically and Biochemically Metastatic Cancer Prostate: Could be Treated without Biopsy? A Clinical Case Study and Review of Literature 临床,放射学和生化转移性前列腺癌:可以不活检治疗吗?临床病例研究及文献回顾
Pub Date : 2019-06-30 DOI: 10.46619/cmj.2019.2-1009
A. A. Bader, G. Fayez, A. Zaki, A. Ahmad
Diagnosis of prostate cancer is suspected if there are abnormalities during digital rectal examination (DRE) and/or steady rising in levels of prostate specific antigen (PSA) and the confirmative diagnosis is established by histopathological confirmation of malignancy by biopsy from the prostate. A 87 years old male not diabetic nor hypertensive or other co-morbidities was well apart from mild lower back pain associated with mild irritative urinary symptoms, diagnosed clinically (DRE), radiologically and biochemically (markedly elevated PSA level) as a case of advanced prostate cancer and started treatment without biopsy by androgen deprivation therapy with other symptomatic support. After one month of treatment and then after, general conditions of the patient started to be significantly improved, the first follow-up CT showed considerable decrease of the mass size, then total non visualization of the previous prostatic mass, with marked decrease of the lymph nodal size in subsequent follow-up, PSA level decreased markedly, dropped from ≥700 ng/mL to 6.867 ng/mL, and then continued to decrease in subsequent monthly evaluations to reach 0.212 ng/mL at the last measurement after 8 months of treatment, that mean near complete radiologic and biochemical response. Treatment of advanced prostate cancer might be started without biopsy if there is high probabilities malignancy by DRE, imaging studies and significant rising in PSA levelin exceptional cases.
如果在直肠指检(DRE)期间有异常和/或前列腺特异性抗原(PSA)水平稳定上升,则怀疑前列腺癌的诊断,并通过前列腺活检组织病理学证实为恶性。一名87岁男性,无糖尿病、高血压或其他合并症,除了轻度腰痛和轻度泌尿系统刺激性症状外,经临床(DRE)、放射学和生化(PSA水平明显升高)诊断为晚期前列腺癌病例,并在没有活检的情况下开始接受雄激素剥夺治疗和其他症状支持。治疗1个月后,患者一般情况开始明显好转,第一次随访CT显示肿块大小明显减小,随后既往前列腺肿块完全不见,后续随访淋巴结大小明显减小,PSA水平明显下降,由≥700 ng/mL降至6.867 ng/mL;然后在随后的每月评估中继续下降,在治疗8个月后的最后一次测量中达到0.212 ng/mL,这意味着放射学和生化反应接近完全。晚期前列腺癌的治疗,如果经DRE检查、影像学检查有较高的恶性可能性,在个别病例中PSA水平显著升高,则可以不进行活检。
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引用次数: 0
A Phase-2 Study on the Kinetics of the Improvement in Lymphocyte-toMonocyte Ratio by High-Dose Pineal Hormone Melatonin in Lymphocytopenic Untreatable Metastatic Cancer Patients 大剂量松果体激素褪黑素对淋巴细胞减少性无法治疗的转移性癌症患者淋巴细胞-单核细胞比率改善动力学的2期研究
Pub Date : 2019-06-30 DOI: 10.46619/cmj.2019.2-1008
Lissoni Paolo, Porro Giorgio, Cenaj Vezika, Aymerich Tiziana, Lissoni Arianna, Di Fede Giuseppe
It is known that lymphocytopenia is one of the most negative biomarkers in cancer patients, being an expression of cancer-related immunosuppression. Today it is known that, despite its complexity, the antitumor immunity is mainly mediated by dendritic cell-T lymphocyte system and suppressed by the macrophage-regulatory T lymphocyte system. Then, lymphocyte-to-monocyte ratio (LMR) has been proven to represent a more appropriate prognostic clinical index than the simple lyphocytopenia alone. Because of the fundamental role of lymphocytes in mediating tumor cell destruction, the correction of cancer-related lymphocytopenia could influence the clinical history of the neoplastic disease. At present, the only cytokine able to induce a clear in vivo lymphocytosisis IL-2. However, it has been demonstrated that the immune system is physiologically under a neuroendocrine control, and that the pineal hormone MLT may stimulate T lymphocyte proliferation and activation. On these bases, we have evaluated the effect of highdose MLT therapy in metastatic solid tumor patients with persistent lymphocytopenia and abnormally low values of LMR. The study included 14 patients, and the results were compared to those found in a control group of 20 lymphocytopenic untreatable metastatic cancer patients treated with the only best supportive care alone. Patients received MLT at a dose of 100 mg/day orally in the evening for 3 consecutive months. Lymphocyte mean count increases on MLT therapy, and the values observed after two months of therapy were significantly higher than the pretreatment ones, with a normalization of lymphocyte number in 4/14 (29%) patients, whereas no spontaneous lymphocyte rise occurred in the control group. On the other hand, monocyte count rapidly diminished on MLT therapy, and LMR mean values observed after only one month of treatment was significantly higher than that found prior to therapy, whereas it significantly decreases in controls. This preliminary study shows that high-dose MLT may improve the immune status of cancer patients, and be effective in the treatment of disseminated cancer-related lymphocytopenia.
众所周知,淋巴细胞减少症是癌症患者最负性的生物标志物之一,是癌症相关免疫抑制的一种表达。目前已知抗肿瘤免疫虽然复杂,但主要由树突状细胞-T淋巴细胞系统介导,并受巨噬细胞调节性T淋巴细胞系统抑制。因此,淋巴细胞与单核细胞比率(LMR)已被证明是比单纯的淋巴细胞减少症更合适的预后临床指标。由于淋巴细胞在介导肿瘤细胞破坏中的基础性作用,肿瘤相关性淋巴细胞减少症的纠正可影响肿瘤疾病的临床病史。目前,在体内唯一能明确诱导淋巴细胞凋亡的细胞因子是IL-2。然而,已经证明免疫系统在生理上是受神经内分泌控制的,松果体激素MLT可能刺激T淋巴细胞的增殖和活化。在此基础上,我们评估了高剂量MLT治疗持续性淋巴细胞减少和LMR异常低值转移性实体瘤患者的效果。该研究包括14名患者,结果与对照组的20名淋巴细胞减少性无法治疗的转移性癌症患者进行了比较,这些患者仅接受了最好的支持治疗。患者接受MLT治疗,剂量为100mg /天,晚间口服,连续3个月。MLT治疗后淋巴细胞平均计数增加,治疗2个月后淋巴细胞计数明显高于治疗前,4/14(29%)患者淋巴细胞计数恢复正常,而对照组淋巴细胞无自发升高。另一方面,单核细胞计数在MLT治疗后迅速减少,治疗仅一个月后观察到的LMR平均值显著高于治疗前,而对照组则显著降低。本初步研究表明,大剂量MLT可改善肿瘤患者的免疫状态,可有效治疗弥漫性肿瘤相关淋巴细胞减少症。
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引用次数: 0
New Data on the Relationship of the Mechanisms of Cardiovascular Diseases and Cancer 心血管疾病与癌症机制关系的新研究进展
Pub Date : 2019-06-30 DOI: 10.46619/cmj.2019.2-1006
V. Ermoshkin
Earlier in 2012-2017 our research team proposed and analytically substantiated the mechanism for the occurrence of many cardiovascular diseases and certain types of cancer. Data about the possible mechanism has been published in several articles and has been discussed at several conferences.
早在2012-2017年,我们的研究团队就提出并分析证实了许多心血管疾病和某些类型癌症的发生机制。关于可能机制的数据已经发表在几篇文章中,并在几次会议上进行了讨论。
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引用次数: 0
Recent Advances in the Development of Bio-Reducible Polymers for Efficient Cancer Gene Delivery Systems. 用于高效癌症基因递送系统的生物可诱导聚合物的开发最新进展。
Pub Date : 2019-06-01 Epub Date: 2019-03-18
Yong Kiel Sung, Sung Wan Kim

Gene therapy is the unique method for the use of genetic materials such as Messenger ribonucleic acid (mRNA), plasmid deoxyribonucleic acid (pDNA), and small interfering ribonucleic acid (siRNA) into specific host-cells for the treatment of inherited disorders in any diseases. The successful way to utilize the gene therapy is to develop the efficient cancer gene delivery systems. In this paper, the successful and efficient gene delivery systems are briefly reviewed on the basis of bio-reducible polymeric systems for cancer therapy. The viral gene delivery systems such as RNA-based viral and DNA-based viral vectors are also discussed. The development of bio-reducible polymer for gene delivery system has briefly discussed for the efficient cancer gene delivery of viral vectors and non-viral vectors.

基因治疗是利用信使核糖核酸(mRNA)、质粒脱氧核糖核酸(pDNA)和小干扰核糖核酸(siRNA)等遗传物质进入特定宿主细胞治疗任何疾病中遗传性疾病的独特方法。利用基因治疗的成功途径是开发高效的癌症基因传递系统。本文在癌症生物可降解聚合物系统的基础上,简要介绍了成功和有效的基因递送系统。还讨论了病毒基因递送系统,如基于RNA的病毒和基于DNA的病毒载体。简要介绍了用于基因递送系统的生物可降解聚合物的开发,以有效地递送病毒载体和非病毒载体的癌症基因。
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引用次数: 0
Recent Advances in the Development of Bio-Reducible Polymers for Efficient Cancer Gene Delivery Systems. 高效癌症基因传递系统中生物可还原聚合物的研究进展。
Pub Date : 2019-03-18 DOI: 10.46619/cmj.2019.2-1007
Y. Sung, S. W. Kim
Gene therapy is the unique method for the use of genetic materials such as Messenger ribonucleic acid (mRNA), plasmid deoxyribonucleic acid (pDNA), and small interfering ribonucleic acid (siRNA) into specific host-cells for the treatment of inherited disorders in any diseases. The successful way to utilize the gene therapy is to develop the efficient cancer gene delivery systems. In this paper, the successful and efficient gene delivery systems are briefly reviewed on the basis of bio-reducible polymeric systems for cancer therapy. The viral gene delivery systems such as RNA-based viral and DNA-based viral vectors are also discussed. The development of bio-reducible polymer for gene delivery system has briefly discussed for the efficient cancer gene delivery of viral vectors and non-viral vectors.
基因治疗是利用信使核糖核酸(mRNA)、质粒脱氧核糖核酸(pDNA)、小干扰核糖核酸(siRNA)等遗传物质进入特定宿主细胞,治疗任何疾病中的遗传性疾病的独特方法。利用基因治疗的成功途径是开发高效的肿瘤基因传递系统。本文以生物可还原聚合物系统为基础,综述了近年来成功、高效的用于肿瘤治疗的基因传递系统。本文还讨论了基于rna的病毒载体和基于dna的病毒载体等病毒基因传递系统。简述了用于基因传递系统的生物可还原聚合物的发展,以期在病毒载体和非病毒载体上高效地传递癌症基因。
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引用次数: 5
The Effect of Yoga on Barriers to Occupational Engagement in African American Breast Cancer Survivors 瑜伽对非裔美国乳腺癌幸存者职业参与障碍的影响
Pub Date : 2018-08-31 DOI: 10.46619/cmj.2018.1-1002
Hunley Julie, Kamaraju Sailaja, Holder Phyllis, S. Aniko, Burlingame-Toppen Rita, Stolley Melinda
Objective: The purpose of this pilot study was to determine if occupational therapy informed yoga could decrease barriers to occupational engagement in African American breast cancer survivors. Methods: A single-arm pretest-posttest design was used to study African American breast cancer survivors who participated in six weekly group yoga sessions that were delivered by occupational therapists. Variables were selected to operationalize barriers to occupational engagement and included mental health, bodily pain, role-physical and emotional, fatigue, self-efficacy, acute pain, balance, and upper extremity disability. Descriptive statistics and repeated measures analysis via linear mixed effects modeling were conducted to describe the participants and determine the efficacy of occupational therapy informed yoga. Results: Barriers to occupational engagement (health related quality of life, self-efficacy and balance, pain, upper-extremity disability) were evident in participants at baseline. Occupational therapy informed yoga reduced some of these barriers through significant changes in pain, mental health, and balance. Conclusion: These findings provide initial support for the development of group programming to deliver occupational therapy informed yoga to African American breast cancer survivors.
目的:本初步研究的目的是确定职业疗法结合瑜伽是否可以减少非裔美国乳腺癌幸存者的职业参与障碍。方法:采用单臂前测后测设计,研究非裔美国乳腺癌幸存者,他们参加了由职业治疗师提供的每周六次的团体瑜伽课程。选择变量来操作职业参与障碍,包括心理健康、身体疼痛、角色-身体和情感、疲劳、自我效能、急性疼痛、平衡和上肢残疾。通过线性混合效应模型进行描述性统计和重复测量分析来描述参与者并确定职业治疗瑜伽的疗效。结果:职业参与的障碍(与健康相关的生活质量、自我效能和平衡、疼痛、上肢残疾)在基线时在参与者中是明显的。职业疗法表明,瑜伽通过对疼痛、心理健康和平衡的显著改变,减少了这些障碍。结论:这些发现为团体规划的发展提供了初步的支持,以向非裔美国乳腺癌幸存者提供知情瑜伽的职业治疗。
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引用次数: 2
Enhanced Tumor Response to Palliative Radiotherapy with Critozinib in a Patient with Metastatic Non-Small Cell Lung Cancer 在转移性非小细胞肺癌患者中,克立替尼增强了肿瘤对姑息放疗的反应
Pub Date : 2018-08-31 DOI: 10.46619/cmj.2018.1-1001
F. C. Ilja
A 52-year-old Caucasian woman with a smoking history of 15 pack-years presented to her family practitioner because of pain in the left shoulder.
52岁白人女性,吸烟史15包年,因左肩疼痛就诊于家庭医生。
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引用次数: 1
Cell Death: Mechanisms and Pathways in Cancer Cells 细胞死亡:癌细胞的机制和途径
Pub Date : 2018-08-31 DOI: 10.46619/cmj.2018.1-1003
Diego Fernández-Lázaro, C. Fernandez-Lázaro, Martínez Alfredo Córdova
Programmed cell death is an essential physiological and biological process for the proper development and functioning of the organism. Apoptosis is the term that describes the most frequent form of programmed cell death and derives from the morphological characteristics of this type of death caused by cellular suicide. Apoptosis is highly regulated to maintain homeostasis in the body, since its imbalances by increasing and decreasing lead to different types of diseases. In this review, we aim to describe the mechanisms of cell death and the pathways through apoptosis is initiated, transmitted, regulated, and executed.
细胞程序性死亡是机体正常发育和功能的重要生理和生物学过程。细胞凋亡是描述最常见的程序性细胞死亡形式的术语,源于这种由细胞自杀引起的死亡类型的形态学特征。细胞凋亡受到高度调控以维持体内稳态,其增加和减少的不平衡导致不同类型的疾病。在这篇综述中,我们旨在描述细胞死亡的机制以及细胞凋亡的启动、传递、调节和执行的途径。
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引用次数: 1
Highly Bactericidal Silver () against Bacteria and Anti-Cancer Activity of Ag+ ions for Regulation of Cancer/Tumor Cell Growth 高杀菌银()对细菌和Ag+离子的抗癌活性调控癌症/肿瘤细胞生长
Pub Date : 2018-08-31 DOI: 10.46619/cmj.2018.1-1004
Ishida Tsuneo
Since highly bactericidal silver (I) ions against bacteria have been obtained, as highly accurate results, prospect effects of silver (I) ions for regulation of cancer and tumor cell growth can be expected to occur even at apoptotic conditions. This mini-review article is reported that as an availability for most highly bactericidal effect of Ag+ ions, the regulation of cancer cell growth may be able to be achieved by Ag+ ions-mediated hydrolyzing and degrading functions. Bactericidal effects of silver (I) ions on bacteriolyses of bacterial cell walls by activation of peptidoglycan (PGN) autolysins and silver ion-mediated cancer cell hydrolyzing and degrading activity by endolysins have been analyzed. Bacteriolysis against Staphylococcus aureus (S. aureus) PGN cell wall by Ag+ ions is caused by the inhibition of PGN elongation due to regulation of PGN synthetic transglycosylase (TG) and transpeptidase (TP), and the enhancement of activation of PGN autolysins of amidases. On the other hand, bacteriolysis and destruction against Escherichia coli (E. coli) cell wall by Ag+ ions are caused by the destruction of outer membrane structure due to degradative enzymes of lipoproteins at N- and Cterminals, and by the inhibition of PGN elongation owing to inactivation of PGN TP synthetic enzyme endopeptidase and enhancement of the activations of PGN hydrolases and autolysins of amidase, peptidase, and carboxypeptidase. Ag+ ions-mediated cancerous cell hydrolyzing enzyme that binds to and degrades intact cancer cells of the producing organism are classified as autolysins or endolysins (phage lysin), resulting that the hydrolase activity is an essential as regulator of cancer and tumor cell growth and hydrolase activation may be promoted the apoptosis and the necrosis of cancer cells, and subsequently lead to cancer cell death by this hydrolase. Thus, highly bactericidal Ag+ ions against bacteria and effect of Ag+ ions for cancer cell growth regulation or cell death can be able to realize at the same time. Silver ions induced ROS generations such as O2 - , H2O2,・OH, OH- producing in bacterial and tumorous cells occur and lead to oxidative stress. DNA damages may be due to linear coordinated Ag+ complex formations by Ag+ substitution within double and triple hydrogen bonds in DNA base pairs.
由于已经获得了对细菌具有高度杀菌作用的银(I)离子,作为高度精确的结果,银(I)离子在调节癌症和肿瘤细胞生长方面的前景效应甚至可以在凋亡条件下发生。本文报道了银离子作为一种具有高度杀菌作用的离子,可能通过银离子介导的水解和降解功能来调节癌细胞的生长。分析了银离子通过激活肽聚糖(PGN)自溶酶对细菌细胞壁的菌解作用以及银离子介导的内溶酶对癌细胞的水解和降解活性。Ag+离子对金黄色葡萄球菌(S. aureus) PGN细胞壁的细菌溶解作用是通过调节PGN合成转糖基化酶(TG)和转肽酶(TP)抑制PGN的延伸,增强PGN自溶酶的活化而引起的。另一方面,Ag+离子对大肠杆菌(e.c oli)细胞壁的细菌溶解和破坏是由于脂蛋白的N端和c端降解酶破坏了外膜结构,并使PGN TP合成酶内肽酶失活,增强了PGN水解酶和氨基酶、肽酶和羧肽酶的自溶酶的活性,从而抑制了PGN的延伸。Ag+离子介导的癌细胞水解酶结合并降解产生生物的完整癌细胞,被归类为自溶酶或内溶酶(噬菌体溶酶),因此水解酶的活性是癌症和肿瘤细胞生长的必不可少的调节剂,水解酶的激活可能促进癌细胞的凋亡和坏死,从而导致癌细胞死亡。因此,Ag+离子对细菌的高杀菌作用和Ag+离子对癌细胞生长调节或细胞死亡的作用可以同时实现。银离子诱导的ROS世代如O2 -, H2O2, OH, OH-在细菌和肿瘤细胞中产生并导致氧化应激。DNA损伤可能是由于在DNA碱基对的双氢键和三氢键内Ag+取代而形成线性配位的Ag+络合物。
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引用次数: 0
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Cancer medicine journal
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