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An Update on Early-Onset Breast Cancer: Incidence, Risk Factors, Genetic Testing, and Treatment 早发性乳腺癌的最新进展:发病率、危险因素、基因检测和治疗
Pub Date : 2026-02-06 DOI: 10.1002/cso2.70012
Leila Jahangiri

Early-onset breast cancer presents in patients typically under the age of 40, while very early-onset breast cancer is usually viewed as breast cancer occurring before the age of 35. Early-onset breast cancer demonstrates specific molecular properties and has worse outcomes compared to its late-onset breast cancer counterpart. Furthermore, the global burden of early-onset breast cancer, mortality rates, and incidence are on an upward trajectory on a global scale, highlighting the importance of gaining a better comprehension of this disease. This study aims to examine the global burden and incidence of early-onset breast cancer and a myriad of risk factors that contribute to the development of this cancer. Furthermore, the study will dissect the early-onset breast cancer patient knowledge, attitudes, and outcomes, in addition to aspects about genetic testing, disparities, diagnosis, and treatment. By advancing our understanding and knowledge of the molecular and clinical properties of early-onset breast cancer, the scientific community can lay the groundwork for improving patient experiences, outcomes, and therapy.

早发性乳腺癌通常出现在40岁以下的患者中,而极早发性乳腺癌通常被认为是发生在35岁之前的乳腺癌。早发性乳腺癌表现出特定的分子特性,与晚发性乳腺癌相比,预后更差。此外,早发性乳腺癌的全球负担、死亡率和发病率在全球范围内呈上升趋势,这突出了更好地了解这种疾病的重要性。本研究旨在研究早发性乳腺癌的全球负担和发病率,以及导致这种癌症发展的无数危险因素。此外,该研究将剖析早发性乳腺癌患者的知识、态度和结果,以及基因检测、差异、诊断和治疗等方面。通过提高我们对早发性乳腺癌分子和临床特性的理解和知识,科学界可以为改善患者体验、结果和治疗奠定基础。
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引用次数: 0
Identification of Crucial Drug Targets and Pathways to Reprogram Drug Resistance Through Epigenetic Modulation in Advanced Lung Cancer Using Integrated Bioinformatics Approach 利用综合生物信息学方法鉴定晚期肺癌表观遗传调控的关键药物靶点和耐药性重编程途径
Pub Date : 2026-01-29 DOI: 10.1002/cso2.70011
Okibur Rahman, Mossammat Rima Akter, Nur Alam

Resistance to chemotherapy, which is demonstrated in almost every patient with advanced-stage lung cancer (ALC), underscores an urgent need to unravel the underlying molecular mechanisms and identify novel strategies to overcome drug resistance. In the present study, an attempt was made to identify epigenetic targets and modulators that can be exploited to reverse chemotherapeutic resistance in ALC. We performed an integrative analysis to identify epigenetically regulated key genes involved in drug resistance using clinical data from the “TCGA-LUAD” project. Transcriptomic and epigenetic analysis of 71 advanced-stage samples, compared with normal samples, revealed 8532 unique differentially expressed genes (DEGs) in ALC (5752 upregulated and 2779 downregulated genes) and 8313 differentially methylated genes (DMGs) (5816 hypermethylated and 2497 hypomethylated). A total of 143 methylation-driven drug resistance-related genes (mDRGs) were identified through the intersection of DEGs, DMGs, and drug-resistant genes in cancer. By correlating DMGs observed in ALC with crucial genes responsible for drug resistance, 10 hub genes, namely, FGFR2, BDNF, GFRA1, AGTR1, ENO1, GATA2, NTRK3, CXCL12, MSX1, and FGF2, were identified, which are supposed to be associated with the development of lung cancer and therapeutic resistance as well. Functional enrichment analysis revealed that mDRGs were mainly involved in the MAPK signaling pathway, Ras signaling pathway, chemokine signaling pathway, ErbB signaling pathway, and GPCR downstream signaling. Finally, the study identified three key genes, namely, AGTR1, NTRK3, and GFRA1, which can predict the survival of lung cancer patients as well as provide novel mechanisms of drug resistance in ALC. The findings were further validated using GEO datasets (GSE81089 and GSE66836) and were found to be consistent.

几乎所有晚期肺癌(ALC)患者都表现出化疗耐药,这表明迫切需要揭示潜在的分子机制并确定克服耐药的新策略。在目前的研究中,试图确定表观遗传靶点和调节剂,可以利用来逆转化疗耐药的ALC。我们利用“TCGA-LUAD”项目的临床数据进行了综合分析,以确定参与耐药的表观遗传调控关键基因。与正常样本相比,71例晚期ALC样本的转录组学和表观遗传学分析显示,ALC中有8532个独特的差异表达基因(deg)(5752个上调基因,2779个下调基因)和8313个差异甲基化基因(dmg)(5816个高甲基化基因和2497个低甲基化基因)。通过对肿瘤中DEGs、dmg和耐药基因的交叉分析,共鉴定出143个甲基化驱动的耐药相关基因(mDRGs)。通过将ALC中观察到的dmg与耐药关键基因进行关联,鉴定出10个枢纽基因,分别为FGFR2、BDNF、GFRA1、AGTR1、ENO1、GATA2、NTRK3、CXCL12、MSX1和FGF2,它们被认为与肺癌的发生和耐药有关。功能富集分析显示mDRGs主要参与MAPK信号通路、Ras信号通路、趋化因子信号通路、ErbB信号通路以及GPCR下游信号通路。最后,本研究确定了三个关键基因AGTR1、NTRK3和GFRA1,它们可以预测肺癌患者的生存,并为ALC耐药提供了新的机制。使用GEO数据集(GSE81089和GSE66836)进一步验证了研究结果,发现结果是一致的。
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引用次数: 0
EGFR Signaling and Related Pathways: Potential Targets for CRISPR-Mediated Gene Editing System in the Colorectal Cancer EGFR信号通路及其相关途径:crispr介导的结直肠癌基因编辑系统的潜在靶点
Pub Date : 2025-12-17 DOI: 10.1002/cso2.70008
Mobina Tabibian, Solat Eslami, Soudeh Ghafouri-Fard

As the original member of the huge family of growth factor receptors, the epidermal growth factor receptor (EGFR) has shown inherent tyrosine kinase activity. In addition to its prototypic ligand, EGF, it is activated by TGF-α. EGFR and its ligand contribute to the pathogenesis of colorectal cancer and resistance to targeted therapy. The novel genome editing system, CRISPR/Cas9 has facilitated precise editing of oncogenic loci. This technique has been used in the context of colorectal cancer to either down-regulate EGFR signaling or amend/induce certain mutations affecting the response to tyrosine kinase inhibitors. This review summarizes the application of the mentioned technique in modulation of EGFR signaling and related pathways in the colorectal cancer. Moreover, we uniquely focused on compiling and interpreting results from CRISPR/Cas9 loss-of-function screens that directly investigate resistance to EGFR inhibition in colorectal cancer models. We also analyzed how these screens have identified key genes and pathways—within and beyond the canonical EGFR cascade—that drive resistance, providing a novel, gene-centric perspective on this critical clinical problem.

表皮生长因子受体(epidermal growth factor receptor, EGFR)作为生长因子受体大家族的原始成员,具有固有的酪氨酸激酶活性。除了它的原型配体EGF外,它还被TGF-α激活。EGFR及其配体参与结直肠癌的发病机制和对靶向治疗的耐药性。新的基因组编辑系统CRISPR/Cas9促进了致癌位点的精确编辑。该技术已被用于结肠直肠癌的背景下,要么下调EGFR信号,要么修正/诱导影响酪氨酸激酶抑制剂反应的某些突变。现就上述技术在调节EGFR信号通路及其在结直肠癌中的应用作一综述。此外,我们独特地专注于编译和解释CRISPR/Cas9功能丧失筛选的结果,这些结果直接研究结直肠癌模型中对EGFR抑制的耐药性。我们还分析了这些筛选如何识别驱动耐药性的关键基因和途径——在标准EGFR级联内部和之外,为这一关键临床问题提供了一种新的、以基因为中心的视角。
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引用次数: 0
Optimization of Immune Checkpoint Blockade via a Multiscale Model System 基于多尺度模型系统的免疫检查点阻断优化
Pub Date : 2025-11-28 DOI: 10.1002/cso2.70007
Anne M. Talkington, Anthony J. Kearsley

Cancer progresses when cancer cells selectively bind to inhibitory receptors on a T cell surface, downregulating tumor immune response. One standard-of-care strategy to combat this process is immune checkpoint blockade. Immune checkpoint blockade occurs when a therapeutic agent binds to, and inhibits, inhibitory receptors on a T cell surface, such that immune stimulation is favored when T cells and cancer cells interact. However, many cancers fail to respond to immune checkpoint blockade treatments. Here we explore a whole-tumor and an individual cell-focused model system to test expected outcomes of blockade perturbations in tumor-immune interactions. We first observe a transition point at which patients become more likely to reach “remission” or “stable disease” as a terminal state, and a “progressive disease” state is less likely. We propose a physical, agent-based framework for testing blockade strategies at the cellular level. This offers valuable guidance for blockade efficacy optimization in future development and design of therapeutic antibodies.

当癌细胞选择性地与T细胞表面的抑制性受体结合,下调肿瘤免疫反应时,癌症就会发展。对抗这一过程的一种标准治疗策略是免疫检查点封锁。当治疗剂结合并抑制T细胞表面的抑制性受体时,免疫检查点阻断发生,因此当T细胞和癌细胞相互作用时,免疫刺激是有利的。然而,许多癌症对免疫检查点阻断治疗没有反应。在这里,我们探索了一个全肿瘤和单个细胞聚焦的模型系统,以测试肿瘤免疫相互作用中阻断扰动的预期结果。我们首先观察到一个过渡点,在这个过渡点上,患者更有可能达到“缓解”或“疾病稳定”作为最终状态,而“疾病进展”状态的可能性较小。我们提出了一个物理的、基于代理的框架,用于在细胞水平上测试阻断策略。这为今后开发和设计治疗性抗体的阻断效果优化提供了有价值的指导。
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引用次数: 0
Mathematical Modeling and the Spreading of the Cholera Epidemic Through Numerical Methods 数值方法的数学建模与霍乱流行的传播
Pub Date : 2025-11-08 DOI: 10.1002/cso2.70006
Abeer Aljohani, Amjid Hussain, Ali Shokri

This research examines a cholera outbreak, a serious intestinal illness caused by a significant presence of harmful bacteria in the body. We developed a mathematical model to investigate how diseases spread following exposure to pathogens, emphasizing the emergence of symptoms. Initially, the model's predictions were consistent, but it later shifted to different mathematical equations, enhancing our understanding of the disease's molecular mechanisms. Our results indicate that the fixed-pattern model can both provide a biological explanation for the disorder's unpredictable patterns and reach a stable equilibrium. We backed up our conclusions with mathematical ideas that show how the system behaves over time, which will be essential for cholera research in the future. To gain a better understanding of the fundamental causes of the disease, we developed a particular technique called the RK-4 and Non-Standard Finite Difference scheme (NSFD) for the continuous model. This approach, which employs a variety of criteria to assess the stability of intervals with and without the presence of the disease under various conditions, facilitates a comprehensive analysis of the disease's dynamics. Researchers can learn crucial information about the disease's behavior and community effects because of this approach. The results of this study can be used to forecast the spread of various infectious diseases through theoretical and numerical analyses. By using this method, researchers can gain important insight into how diseases behave and how they might affect the affected communities. This study's theoretical and numerical analyses may help forecast how different infectious diseases will spread.

本研究调查了一次霍乱爆发,这是一种由体内大量有害细菌引起的严重肠道疾病。我们开发了一个数学模型来研究暴露于病原体后疾病如何传播,强调症状的出现。最初,该模型的预测是一致的,但后来它转向了不同的数学方程,增强了我们对疾病分子机制的理解。我们的研究结果表明,固定模式模型既可以为疾病的不可预测模式提供生物学解释,又可以达到稳定的平衡。我们用数学概念来支持我们的结论,这些数学概念显示了该系统如何随时间变化,这对未来的霍乱研究至关重要。为了更好地了解疾病的根本原因,我们为连续模型开发了一种称为RK-4和非标准有限差分方案(NSFD)的特殊技术。该方法采用各种标准来评估在各种条件下存在和不存在疾病的区间的稳定性,有助于对疾病动态进行全面分析。由于这种方法,研究人员可以了解有关疾病行为和社区影响的关键信息。本研究结果可以通过理论和数值分析来预测各种传染病的传播。通过使用这种方法,研究人员可以获得关于疾病如何表现以及它们如何影响受影响社区的重要见解。这项研究的理论和数值分析可能有助于预测不同传染病的传播方式。
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引用次数: 0
HNMD-CNN: A Hierarchical Narrowing Multi-Deep Convolutional Neural Network for Precision Glioma Classification in 3D MRI Images HNMD-CNN:一种用于三维MRI图像中神经胶质瘤精确分类的分层窄化多深度卷积神经网络
Pub Date : 2025-09-23 DOI: 10.1002/cso2.70002
Nayer Seyed Hoseini, Masoud Kargar, Ali Bayani, Sondos Ardebili

Brain tumors, though rare, are significant health risks, often reaching critical stages before diagnosis. Gliomas, classified as high grade (HGG) and low grade (LGG), require early detection to reduce mortality. While two-dimensional imaging has improved diagnostic techniques, three-dimensional imaging provides a more comprehensive view. This research introduces the Hierarchical Narrowing Multi-Deep Convolutional Neural Network (HNMD-CNN), a novel method for classifying brain tumors using 3D MRI images. The HNMD-CNN employs a hierarchical narrowing filtering strategy inspired by radiologists' models. Initially, large filters identify the tumor area and extract general features, followed by smaller filters to focus on specific tumor characteristics. This approach optimizes feature extraction and representation, improving diagnostic accuracy. We conducted extensive experiments using 3D MRI images from the BraTS2018 and BraTS2019 datasets, demonstrating the HNMD-CNN's ability to enhance convergence speed and classification accuracy without auxiliary algorithms. Our method achieved a remarkable classification accuracy of 99.93%, representing a significant advancement in 3D imaging for glioma classification. This work provides a powerful tool for early detection and accurate diagnosis of gliomas.

脑肿瘤虽然罕见,但对健康有重大威胁,通常在诊断前就已经到了关键阶段。胶质瘤分为高级别(HGG)和低级别(LGG),需要早期发现以降低死亡率。虽然二维成像改善了诊断技术,但三维成像提供了更全面的视图。本研究介绍了一种利用三维MRI图像对脑肿瘤进行分类的新方法——层次窄化多深度卷积神经网络(HNMD-CNN)。HNMD-CNN采用了受放射科医生模型启发的分层缩小过滤策略。最初,大的滤波器识别肿瘤区域并提取一般特征,然后使用较小的滤波器关注特定的肿瘤特征。该方法优化了特征提取和表征,提高了诊断的准确性。我们使用BraTS2018和BraTS2019数据集的3D MRI图像进行了大量实验,证明了HNMD-CNN在没有辅助算法的情况下提高收敛速度和分类精度的能力。我们的方法达到了99.93%的分类准确率,代表了三维成像在胶质瘤分类方面的重大进步。这项工作为胶质瘤的早期发现和准确诊断提供了有力的工具。
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引用次数: 0
Unraveling the dangerous duet between cancer cell plasticity and drug resistance 揭开癌细胞可塑性和耐药性之间危险的二重唱
Pub Date : 2023-08-15 DOI: 10.1002/cso2.1051
Namrata Chatterjee, Bhavana Pulipaka, Ayalur Raghu Subbalakshmi, Mohit Kumar Jolly, Radhika Nair

Cancer cell plasticity is the ability of tumor cells to switch phenotypes and is one of the predominant requisites of cancer cells capable of undergoing metastasis. Cancer cell plasticity is also recognized as one of the major contributors to intratumoral heterogeneity, a critical factor underlying the progression of malignant tumors, which is known to modify tumor response and induce resistance against various modes of therapy, thus posing a barrier to efficient cancer management. Cancer cell plasticity is acquired by the subversion of cell signaling pathways like mitogen-activated protein kinase pathway, phosphoinositide-3-kinase, signal transducer and activator of transcription 3, Wnt, Hedgehog and Notch as well as cellular programs such as epithelial to mesenchymal transition and phenotypic plasticity. This complex phenomenon has been studied in many cancer types like pancreatic cancer, colon cancer and breast cancer. This review will explore the current understanding we have in breast cancer on the intrinsic molecular mechanisms of cancer cell plasticity and the resistance to various types of cancer therapy that arise as a result of plasticity. We conclude by exploring the potential novel therapies that specifically target the pathways leading to plasticity and can be leveraged to treat patients living with the disease.

癌症细胞可塑性是肿瘤细胞转换表型的能力,是癌症细胞能够转移的主要条件之一。癌症细胞可塑性也被认为是肿瘤内异质性的主要贡献者之一,这是恶性肿瘤进展的关键因素,已知恶性肿瘤可改变肿瘤反应并诱导对各种治疗模式的抵抗,从而对有效的癌症管理构成障碍。癌症细胞的可塑性是通过颠覆细胞信号通路获得的,如有丝分裂原活化蛋白激酶通路、磷酸肌醇3激酶、信号转导子和转录激活子3、Wnt、Hedgehog和Notch,以及细胞程序,如上皮-间质转化和表型可塑性。这种复杂的现象已经在许多癌症类型中进行了研究,如癌症、癌症和癌症。这篇综述将探讨我们目前对癌症的理解,即癌症细胞可塑性的内在分子机制,以及可塑性导致的对各种类型癌症治疗的抵抗。最后,我们探索了潜在的新疗法,这些疗法专门针对导致可塑性的途径,并可用于治疗该疾病的患者。
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引用次数: 0
Generative adversarial networks applied to gene expression analysis: An interdisciplinary perspective 生成对抗网络应用于基因表达分析:跨学科的观点
Pub Date : 2023-08-03 DOI: 10.1002/cso2.1050
Xusheng Ai, Melissa C Smith, Frank Alex Feltus

The remarkable flexibility and adaptability of generative adversarial networks (GANs) have led to the proliferation of its models in bioinformatics research. Proteomic and transcriptomic profiles have been shown to be promising methods for discovering and identifying disease biomarkers. However, those analyses were performed by trained human examiners making the process tedious, time consuming, and hard to standardize. With the development of GANs, it is now possible to reduce computational costs and human time for bioinformatics analysis to produce effective biomarkers. Moreover, GANs help address the lack of phenotypic state transitional gene expression data as well as avoid protected human data constraints by generating RNA sequencing (RNA-seq) data from random vectors. The purpose of this review is to summarize the use of GAN approaches and techniques to augment RNA-seq expression data and identify clinically useful biomarkers. We compare different studies that use different types of GAN models to examine the biomarkers. Also, we identify research gaps and challenges that apply GANs to bio-informatics. Finally, we propose potential directions for future research.

生成对抗网络(GANs)具有显著的灵活性和适应性,其模型在生物信息学研究中得到了广泛应用。蛋白质组学和转录组学已被证明是发现和鉴定疾病生物标志物的有前途的方法。然而,这些分析是由训练有素的人工审查员执行的,这使得这个过程乏味、耗时,而且很难标准化。随着gan的发展,现在有可能减少计算成本和人工时间用于生物信息学分析,以产生有效的生物标志物。此外,GANs有助于解决表型状态过渡基因表达数据的缺乏问题,并通过从随机载体生成RNA测序(RNA‐seq)数据来避免受保护的人类数据约束。本综述的目的是总结GAN方法和技术在增加RNA - seq表达数据和鉴定临床有用的生物标志物方面的应用。我们比较了使用不同类型GAN模型来检查生物标志物的不同研究。此外,我们还指出了将gan应用于生物信息学的研究差距和挑战。最后,提出了今后的研究方向。
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引用次数: 0
Role of heterogeneity in dictating tumorigenesis in epithelial tissues 异质性在上皮组织肿瘤发生中的作用
Pub Date : 2023-04-24 DOI: 10.1002/cso2.1045
Sindhu Muthukrishnan, Medhavi Vishwakarma

Biological systems across various length and time scales are noisy, including tissues. Why are biological tissues inherently chaotic? Does heterogeneity play a role in determining the physiology and pathology of tissues? How do physical and biochemical heterogeneity crosstalk to dictate tissue function? In this review, we begin with a brief primer on heterogeneity in biological tissues. Then, we take examples from recent literature indicating functional relevance of biochemical and physical heterogeneity and discuss the impact of heterogeneity on tissue function and pathology. We take specific examples from studies on epithelial tissues to discuss the potential role of inherent tissue heterogeneity in tumorigenesis.

跨越不同长度和时间尺度的生物系统是嘈杂的,包括组织。为什么生物组织本质上是混乱的?异质性是否在决定组织的生理和病理中起作用?物理和生化异质性是如何相互影响来决定组织功能的?在这篇综述中,我们首先简要介绍了生物组织的异质性。然后,我们从最近的文献中举例说明生物化学和物理异质性的功能相关性,并讨论异质性对组织功能和病理的影响。我们从上皮组织的研究中采取具体的例子来讨论固有的组织异质性在肿瘤发生中的潜在作用。
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引用次数: 0
A review of computational modeling, machine learning and image analysis in cancer metastasis dynamics 癌症转移动力学的计算建模、机器学习和图像分析综述
Pub Date : 2023-01-09 DOI: 10.1002/cso2.1044
Shreyas U. Hirway, Seth H. Weinberg

Cancer is a life-threatening process that stems from genetic mutations in cells, which leads to the formation of tumors, and is a major cause of deaths in the United States, with secondary metastasis being a major driver of fatality. The development of an optimal metastatic environment is an essential process prior to tumor metastasis. This process, called pre-metastatic niche formation, involves the activation of resident fibroblast-like cells and macrophages. Tumor-mediated factors introduced to this environment transform resident cells that secrete additional growth factors and remodel the extracellular matrix, which is thought to promote tumor colonization and metastasis in the secondary environment. Furthermore, an important component of metastasis is the biological process of epithelial–mesenchymal transition, which can be exploited by cancer cells to change their phenotype, to migrate and proliferate as necessary. In this review, we discuss recent advances in the investigation of cancer growth and migration. Computational models that focus on biochemical signaling and multicellular dynamics are examined. Machine learning models and image analysis that classify cancer-related data are also explored. Through this review, we highlight advances in the study of important aspects of cancer and metastasis signaling and computational tools to study these dynamics.

癌症是一种危及生命的过程,源于细胞中的基因突变,导致肿瘤的形成,是美国死亡的主要原因,继发性转移是死亡的主要驱动因素。最佳转移环境的形成是肿瘤转移前必不可少的过程。这个过程被称为转移前生态位形成,涉及到常驻成纤维细胞样细胞和巨噬细胞的激活。引入这种环境的肿瘤介导因子转化驻留细胞,分泌额外的生长因子并重塑细胞外基质,这被认为促进肿瘤在继发性环境中的定植和转移。此外,转移的一个重要组成部分是上皮-间质转化的生物学过程,癌细胞可以利用这一过程改变其表型,根据需要进行迁移和增殖。在这篇综述中,我们讨论了癌症生长和迁移研究的最新进展。计算模型的重点是生化信号和多细胞动力学检查。还探讨了机器学习模型和分类癌症相关数据的图像分析。通过这篇综述,我们重点介绍了癌症和转移信号的重要方面的研究进展以及研究这些动态的计算工具。
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引用次数: 0
期刊
Computational and systems oncology
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