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Investigating the role of HSP90 in cancer cell phenotypic plasticity. 研究 HSP90 在癌细胞表型可塑性中的作用。
Pub Date : 2024-01-01 DOI: 10.46439/breastcancer.4.021
Vincent Sollars, Alexandria Chapman, Nicole R Liang, Seth Myers

"What are the mechanisms driving tumor evolution under the selective pressure of chemotherapeutics?" The emerging importance of epigenetic gene regulation in cancer progression necessitates not only our understanding of which genes are potential targets but also what mechanisms are employed in targeting those genes. Understanding the mechanisms that promote the evolution of the normal genome and epigenome is central to understanding how cancer cells adapt to chemotherapy. Our previous investigations have shown that heat shock protein 90 (HSP90) has a critical role in epigenetic gene regulation through histone acetylation and phenotypic plasticity. We recently extended these results in an A549 lung cancer model to test the role of HSP90 in the plasticity of cells regarding multi-drug resistance and epithelial-to-mesenchymal transition phenotypes. HSP90 is over-expressed in multiple cancers with poor prognosis. We propose that inhibition of HSP90 results in lower phenotypic plasticity of cancer cells making them more susceptible to chemotherapeutic intervention. Here we review the context of our results in the broader field of evolution of these phenotypes.

"在化疗药物的选择性压力下,驱动肿瘤进化的机制是什么?表观遗传基因调控在癌症进展中的重要性日益凸显,这不仅要求我们了解哪些基因是潜在靶点,还要求我们了解靶向这些基因所采用的机制。了解促进正常基因组和表观基因组进化的机制对于了解癌细胞如何适应化疗至关重要。我们之前的研究表明,热休克蛋白 90(HSP90)通过组蛋白乙酰化和表型可塑性在表观遗传基因调控中起着关键作用。最近,我们在 A549 肺癌模型中扩展了这些结果,以检验 HSP90 在细胞多重耐药性和上皮细胞向间质转化表型的可塑性中的作用。HSP90 在多种预后不良的癌症中过度表达。我们认为抑制 HSP90 会降低癌细胞的表型可塑性,使它们更容易受到化疗干预的影响。在此,我们回顾了我们的研究结果在这些表型进化的更广泛领域中的背景。
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引用次数: 0
Metastatic breast cancer-derived exosomes and osteoclast-mediated bone metastasis 转移性乳腺癌来源的外泌体和破骨细胞介导的骨转移
Pub Date : 2023-09-06 DOI: 10.46439/breastcancer.3.019
Manh Tien Tran
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引用次数: 0
A new population screening program for BRCA mutations in Israel – Attitudes and barriers among Ashkenazi Jewish women 以色列BRCA突变的新人群筛查项目——德系犹太妇女的态度和障碍
Pub Date : 2023-05-06 DOI: 10.46439/breastcancer.2.011
Amar S, Lieberman S, Biderman A, Lahad A, Feinsilver T
Israeli Jewish women of Ashkenazi ancestry have a high BRCA mutation carrier rate. Therefore, recently, Israel included free genetic testing among all Jewish women with Ashkenazi ancestry, 25 yrs. and older in its public health system. The aim of this study was to assess the intention of eligible women to be tested for BRCA mutations, and to find factors that may affect their decision.We distributed an online survey to a panel of participants in a commercial research institute. The survey included socio-demographic characteristics, attitudes towards preventive actions, views related to benefits and limitations of performing the BRCA test, worry regarding cancer morbidity, knowledge about breast cancer morbidity and hereditary breast cancer genetics. The survey concluded with a question regarding the woman’s interest in undergoing the BRCA test.The results showed that among the 506 respondents, 250 (49%) were interested in BRCA testing, 42 (8%) objected and 214 (43%) were undecided. In comparing the undecided to the other groups, we found that most presented a positive attitude towards screening tests and preventive medicine, they showed acceptable knowledge about the proposed test, and yet were interested in learning and further expanding the knowledge and the consequences of doing the test. Most respondents of all groups expressed concern of breast cancer morbidity and were reluctant to perform the test for reasons of reducing uncertainty, implications for children and implications for their own health.Within all groups, many women expressed their desire to consult with a medical professional about the test. We conclude that aiming to improve the performance of BRCA genetic testing, women need a thorough explanation about its implications. The main way to inform them would be by medical professionals, especially in primary care. This implies that front line nurses and physicians need to become more knowledgeable and committed to this subject.
阿什肯纳兹血统的以色列犹太妇女有很高的BRCA突变携带率。因此,最近,以色列在所有拥有德系犹太人血统的25岁犹太妇女中纳入了免费的基因检测。在公共卫生系统中年龄更大。本研究的目的是评估符合条件的女性接受BRCA突变检测的意愿,并找到可能影响其决定的因素。我们向一家商业研究机构的一组参与者分发了一份在线调查问卷。调查内容包括社会人口特征、对预防措施的态度、对进行BRCA检测的益处和局限性的看法、对癌症发病率的担忧、对乳腺癌发病率和遗传性乳腺癌遗传学的了解。调查以一个关于女性是否有兴趣接受BRCA检测的问题结束。结果显示,在506名受访者中,有250人(49%)对BRCA检测感兴趣,42人(8%)反对,214人(43%)不确定。在与其他组进行比较时,我们发现,大多数人对筛查测试和预防医学持积极态度,他们对拟议的测试表现出可接受的知识,但仍有兴趣学习和进一步扩展知识以及进行测试的后果。所有群体中的大多数答复者都对乳腺癌发病率表示关切,并且出于减少不确定性、对儿童的影响以及对自身健康的影响等原因,不愿进行这项检查。在所有小组中,许多妇女都表示希望向医疗专业人员咨询这项检查。我们的结论是,为了提高BRCA基因检测的性能,女性需要对其含义进行彻底的解释。告知他们的主要方式是由医疗专业人员,特别是初级保健专业人员。这意味着,一线护士和医生需要变得更加了解和致力于这一主题。
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引用次数: 1
Tumor grade as a novel predictor of outcomes in medullary thyroid cancer 肿瘤分级作为一种新的预测甲状腺髓样癌预后的指标
Pub Date : 2023-05-06 DOI: 10.46439/breastcancer.3.017
Aradhya Nigam, B. Untch, A. Shaha
The recent development of the International Medullary Thyroid Cancer Grading System (IMTCGS) provided clinicians with a tool to predict for disease outcomes after undergoing resection based on histologic features. However, its impact on the clinical management of patients is still under investigation. Utilizing the IMTCGS, we evaluated the association of grade with postoperative surveillance markers. High-grade tumors, when compared to low-grade, had a significantly more rapid calcitonin doubling time with a vast majority of high-grade patients having doubling times <2 years. While these findings reaffirmed the poor recurrence and mortality outcomes observed in high-grade patients, we found that high-grade patients with rapid calcitonin doubling times were particularly at risk for poor local control and survival outcomes.These findings demonstrate the importance of close clinical follow-up of patients with high-grade disease and further support the determination tumor grade and calcitonin doubling times in MTC patients after resection. In addition, the study supports the use of MTC grading as an important variable for future management of MTC patients. This could lay the foundation for better understanding of neuroendocrine carcinomas of the breast.
国际甲状腺髓样癌分级系统(IMTCGS)的最新发展为临床医生提供了一种基于组织学特征预测切除后疾病结局的工具。然而,其对患者临床管理的影响仍在调查中。利用IMTCGS,我们评估了分级与术后监测指标的关系。与低级别肿瘤相比,高级别肿瘤的降钙素倍增时间明显更快,绝大多数高级别患者的降钙素倍增时间<2年。虽然这些发现重申了在高级别患者中观察到的低复发率和死亡率结果,但我们发现降钙素快速翻倍的高级别患者尤其存在局部控制和生存结果较差的风险。这些发现证明了对高级别疾病患者进行密切临床随访的重要性,并进一步支持MTC患者切除术后肿瘤分级和降钙素加倍次数的测定。此外,该研究支持将MTC分级作为MTC患者未来管理的重要变量。为进一步了解乳腺神经内分泌癌奠定基础。
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引用次数: 0
Loss of breast reconstruction services during the COVID-19 pandemic: Negative impact on patient quality of life and wellbeing 2019冠状病毒病大流行期间乳房重建服务的丧失:对患者生活质量和福祉的负面影响
Pub Date : 2023-05-06 DOI: 10.46439/breastcancer.2.012
Jenna Shepherd, Mairi Fuller, Sue Rodwell, Rachel Moir, Beatrix Elsberger, Yazan A. Masannat
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引用次数: 0
Advances in shared decision-making for breast cancer screening in Spain 西班牙乳腺癌筛查共同决策的进展
Pub Date : 2023-05-06 DOI: 10.46439/breastcancer.2.013
María José Hernández-Leal, M. Pérez-Lacasta, M. Carles-Lavila
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引用次数: 0
Neoangiogenesis and immune-regulation: Two armour of VEGF in the tumor microenvironment 新生血管生成与免疫调节:VEGF在肿瘤微环境中的两种作用
Pub Date : 2023-05-06 DOI: 10.46439/breastcancer.2.015
Subhanki Dhar, Tania Sarkar, G. Sa
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引用次数: 0
Oncologist well-being in the era of COVID-19: A call to action COVID-19时代肿瘤学家的福祉:行动呼吁
Pub Date : 2023-05-06 DOI: 10.46439/breastcancer.2.010
A. Chichura, K. Yao
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引用次数: 0
NTRK fusions: A novel diagnostic and therapeutic methodology for cancer NTRK融合:一种新的癌症诊断和治疗方法
Pub Date : 2023-05-06 DOI: 10.46439/breastcancer.3.016
Rishika Singh, Nupur Singh, G. Vidal
This commentary discusses the case from the publication “Metastatic Triple Negative Breast Cancer with NTRK Gene Fusion on Tissue but not on ctDNA Molecular Profile.” This paper stresses the importance of molecular profiling to find characteristic mutations such as NTRK gene fusions which increase therapeutic options including tyrosine receptor kinase inhibitors such as Larotrectinib and entrectinib. The current profiling techniques are also discussed with both advantages and limitations discussed. Genomic testing in relation to current pharmaceutical therapies will shape the future of cancer diagnosis and treatment.
这篇评论讨论了来自出版物“转移性三阴性乳腺癌与组织上的NTRK基因融合,而不是ctDNA分子谱”的病例。本文强调了分子谱分析的重要性,以发现特征突变,如NTRK基因融合,增加治疗选择,包括酪氨酸受体激酶抑制剂,如larorectinib和entrectinib。本文还讨论了当前的分析技术,并对其优点和局限性进行了讨论。与当前药物治疗相关的基因组检测将塑造癌症诊断和治疗的未来。
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引用次数: 0
Sentinel lymph node biopsy in early breast cancer: A brief review 早期乳腺癌前哨淋巴结活检:简要回顾
Pub Date : 2023-05-06 DOI: 10.46439/breastcancer.2.014
S. Kadam, Tejaswini Kadam
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引用次数: 0
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Journal of breast cancer research
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