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Self-Supervised Learning in Skin Cancer Detection: The Roles of Topological Contrastive Learning with Geometric Analysis 皮肤癌检测中的自我监督学习:拓扑对比学习与几何分析的作用
Pub Date : 2024-07-17 DOI: 10.29245/2767-5092/2024/2.1182
Yashbir Singh, Quincy A. Hathaway, Bradley J. Erickson
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引用次数: 0
Topical Application of Aprepitant Inhibits Erlotinib-induced Facial Dermatitis/Hair Loss 局部应用阿瑞匹坦可抑制厄洛替尼引发的面部皮炎/脱发
Pub Date : 2024-01-29 DOI: 10.29245/2767-5092/2024/1.1174
I. Tong Mak, Jay H. Kramer, Joanna J. Chmielinska, William B. Weglicki
Erlotinib, an EGFR-TKI, has been used as an effective anti-tumorigenesis agent against several cancers including lung, colon, head and neck. However, it has been reported to cause significant and severe cutaneous side effects. Our previous studies implicated substance P, a neuropeptide, as a significant mediator of skin toxicity. Our present study was designed to determine if the topical application of aprepitant, a specific substance P receptor blocker, would be protective against these skin side effects. Erlotinib in the diet was administered to the rats for 12 weeks. Facial rash and hair loss began to occur after 6 weeks and were most severe at 12 weeks when animals were sacrificed. Topical treatment of aprepitant to the facial area 3 times a week showed dose-dependent and progressive inhibition up to 70% of the induced dermatitis/hair loss. These results were comparable to the effects produced by oral doses in our prior study. At sacrifice, we also found significant elevations of neutrophil superoxide, that were inhibited by topical aprepitant, along with elevated plasma 8-isoprostane levels, that were also suppressed. Facial skin samples revealed increased leukocyte (CD11b positive) infiltration in the erlotinib-treated rats, which were substantially reduced by the topical aprepitant. In conclusion, the indicators of reactive oxidative species (ROS) suggest that neurogenic inflammation played a critical role in causing EGFR-TKI-induced toxicity; it also confirmed that the systemic inhibition of ROS production due to blockade of substance P action was significantly protective against the dermatitis/hair loss pathology.
厄洛替尼是一种表皮生长因子受体激酶抑制剂(EGFR-TKI),已作为一种有效的抗肿瘤药物用于肺癌、结肠癌、头颈癌等多种癌症的治疗。然而,有报道称它会导致严重的皮肤副作用。我们之前的研究表明,P 物质(一种神经肽)是皮肤毒性的重要介质。本研究旨在确定局部应用阿普瑞坦(一种特异性物质 P 受体阻断剂)是否会对这些皮肤副作用起到保护作用。给大鼠喂食厄洛替尼 12 周。面部皮疹和脱毛在 6 周后开始出现,在 12 周动物被处死时最为严重。每周 3 次在面部区域使用阿普瑞坦进行局部治疗显示出剂量依赖性和渐进性抑制作用,对诱发皮炎/脱发的抑制率高达 70%。这些结果与我们之前研究中口服剂量产生的效果相当。献祭时,我们还发现中性粒细胞超氧化物显著升高,而外用阿普瑞坦可抑制超氧化物的升高,同时血浆中 8-异前列腺素水平升高也被抑制。面部皮肤样本显示,厄洛替尼治疗大鼠的白细胞(CD11b 阳性)浸润增加,而外用阿普瑞坦可大幅减少这种浸润。总之,活性氧化物(ROS)指标表明,神经源性炎症在导致表皮生长因子受体-TKI诱导的毒性中发挥了关键作用;研究还证实,通过阻断物质P的作用来抑制ROS的产生,对皮炎/脱发病理具有显著的保护作用。
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引用次数: 0
Commentary: Systemic Therapy for Mucosal Lichen Planus with a Focus on Oral Lichen Planus: Update and Review of Challenges and Successes 评论:粘膜扁平苔藓的全身治疗,重点是口腔扁平苔藓:挑战和成功的更新和回顾
Pub Date : 2023-08-24 DOI: 10.29245/2767-5092/2023/2.1173
Roy S. Rogers, Suha Zawawi, Thais Pincelli, Markéta Janovská, Alison Bruce
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引用次数: 0
Commentary: Systemic Therapy for Mucosal Lichen Planus with a Focus on Oral Lichen Planus: Update and Review of Challenges and Successes 评论:粘膜扁平苔藓的全身治疗,重点是口腔扁平苔藓:挑战和成功的更新和回顾
Pub Date : 2023-08-11 DOI: 10.29245/2767-5092/2023/3.1173
Roy S. Rogers, III, Suha Zawawi, Thais Pincelli, Markéta Janovská, Alison Bruce
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引用次数: 0
Indications for Adjuvant (Chemo) Radiotherapy in Vulvar Cancer with Groin Lymph Node Metastases 辅助(化学)放射治疗伴有腹股沟淋巴结转移的癌症的适应证
Pub Date : 2023-04-17 DOI: 10.29245/2767-5092/2023/2.1171
Jacobus van der Velden, M. Tjiong
Guidelines recommend adjuvant treatment when positive lymph nodes are found after surgical treatment for squamous cell cancer of the vulva except for cases with a single occult intranodal metastasis. Recent studies questioned these recommendations and showed benefit of adjuvant radiotherapy for all patients with positive nodes irrespective of number of nodes. However, these studies did not take into account important nodal characteristics, such as clinical node status, extranodal spread or size of the metastasis. When these variables are taken into account, adjuvant radiotherapy does not seem to result in a better survival for patients with a single occult intranodal metastasis. Whether the addition of chemotherapy to the radiotherapy for patients with more than one positive node or extracapsular spread results in a better survival remains uncertain. Only a few studies have been published on this subject and come to the conclusion that adding chemotherapy results in a better survival. The conclusion is that adjuvant radiotherapy improves survival of patients with positive groin nodes, with the exception of patients with a single intranodal metastasis. The beneficial effect of chemo radiotherapy for subgroups of patients with positive nodes seems likely, although more data are needed before a definite conclusion can be made
指南建议在外阴癌症鳞状细胞癌手术治疗后发现阳性淋巴结时进行辅助治疗,但有单一隐匿性结内转移的病例除外。最近的研究对这些建议提出了质疑,并表明辅助放疗对所有淋巴结阳性患者都有好处,无论淋巴结数量如何。然而,这些研究并没有考虑到重要的淋巴结特征,如临床淋巴结状态、结外扩散或转移的大小。当考虑到这些变量时,辅助放疗似乎并不能为有单一隐匿性结内转移的患者带来更好的生存率。对于有一个以上阳性淋巴结或包膜外扩散的患者,在放疗的基础上增加化疗是否能提高生存率仍不确定。只有少数关于这一主题的研究发表,并得出结论,增加化疗可以提高生存率。结论是,辅助放疗可提高腹股沟淋巴结阳性患者的生存率,但有单一淋巴结内转移的患者除外。尽管在得出确切结论之前还需要更多的数据,但放化疗对阳性淋巴结患者亚组的有益效果似乎是可能的
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引用次数: 0
Periodontitis and the Impact of Oral Health on the Quality of Life of Psoriatic Individuals: A Case-Control Study ‑ Commentary 牙周炎和口腔健康对银屑病患者生活质量的影响:一项病例对照研究-评论
Pub Date : 2023-03-07 DOI: 10.29245/2767-5092/2023/1.1169
Amanda Costa, Fernando Costa
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引用次数: 0
Commentary: Sunscreen Compliance with American Academy of Dermatology Recommendations: A 2022 Update and Cross-Sectional Study 评论:防晒霜符合美国皮肤病学会建议:2022年更新和横断面研究
Pub Date : 2023-01-17 DOI: 10.29245/2767-5092/2023/1.1167
Stephanie V Shimon, Loren E Hernandez, K. Nouri
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引用次数: 0
The Dawning of a New Enterprise: RNA Therapeutics for the Skin. 新事业的曙光:皮肤的RNA疗法
Pub Date : 2023-01-01 Epub Date: 2023-03-09 DOI: 10.29245/2767-5092/2023/1.1168
Rachel E Kieser, Shaheerah Khan, Nada Bejar, Daniel L Kiss

Despite being under development for decades, RNA therapeutics have only recently emerged as viable drug platforms. The COVID-19 mRNA vaccines have demonstrated the promise and power of the platform technology. In response, novel RNA drugs are entering clinical trials at an accelerating rate. As the skin is the largest and most accessible organ, it has always been a preferred target for drug discovery. This holds true for RNA therapies as well, and multiple candidate RNA-based drugs are currently in development for an array of skin conditions. In this mini review, we catalog the RNA therapies currently in clinical trials for different dermatological diseases. We summarize the main types of RNA-related drugs and use examples of drugs currently in development to illustrate their key mechanism of action.

尽管RNA疗法已经开发了几十年,但直到最近才成为可行的药物平台。新冠肺炎mRNA疫苗展示了平台技术的前景和力量。作为回应,新型RNA药物正以加速的速度进入临床试验。由于皮肤是最大、最容易接近的器官,它一直是药物发现的首选靶点。RNA疗法也是如此,目前正在开发多种候选的基于RNA的药物来治疗一系列皮肤病。在这篇小型综述中,我们列举了目前正在进行的针对不同皮肤病的临床试验中的RNA疗法。我们总结了RNA相关药物的主要类型,并使用目前正在开发的药物实例来说明其关键作用机制。
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引用次数: 0
Racial and Ethnic Disparities in Androgenetic Alopecia Clinical Trials in the United States 美国雄激素性脱发临床试验中的种族和民族差异
Pub Date : 2022-12-19 DOI: 10.29245/2767-5092/2022/4.1164
I. Aggarwal, Carolina Puyana, N. Chandan, R. Haber
Introduction: Androgenetic alopecia (AGA) is the most common type of hair loss worldwide and is estimated to affect about 80 million people in the United States. Recent trends suggest that incidence and severity of the disease are increasing across all genders and races. Randomized controlled trials (RCTs) involving diverse patient populations are necessary to individualize treatment. Objective: Evaluate enrollment and subgroup analysis of people falling in racial/ethnic minority groups in phase II and III RCTs for AGA published in the United States within the past 10 years. Methods: We examined completed published phase II and III randomized, double-blind, placebo-controlled trials investigating AGA. Race/ethnicity data was extracted for each RCT using US Census Bureau guidelines. Results: 20 total RCTs with a total of 1855 participants were included in the analysis. 8 (40%) of RCTs included race/ethnicity data. Among these, 3 (15%) studies included only race and 5 (25%) included both. The majority of study patients were white (n= 862/1063, 81.1%) followed by African American (n=127/1063, 11.9%) and Asian (n=33/1063, 3.1%). Six (0.56%) patients identified as American Indian/Alaska Natives, 5 (0.47%) as Hawaiian/Pacific Islander, and 16 (1.5%) as another race or race was unknown. Ethnicity was reported in 5 (25%) of trials, totaling 317 participants; 60 (18.9%) patients identified as Hispanic. Conclusions: Non-Caucasian patients remain underrepresented in RCTs despite AGA being a highly prevalent condition, reducing the generalizability of trial outcomes to the general population. Future RCTs should update definitions of race/ethnicity and include more diversity among AGA patients.
简介:雄激素性脱发(AGA)是世界上最常见的脱发类型,估计在美国约有8000万人受到影响。最近的趋势表明,该疾病的发病率和严重程度在所有性别和种族中都在增加。随机对照试验(rct)涉及不同的患者群体是必要的个体化治疗。目的:评估过去10年在美国发表的针对AGA的II期和III期随机对照试验中,种族/少数民族人群的入组情况和亚组分析。方法:我们研究了已发表的研究AGA的II期和III期随机、双盲、安慰剂对照试验。根据美国人口普查局的指南提取每个随机对照试验的种族/民族数据。结果:共纳入20项随机对照试验,共纳入1855名受试者。8项(40%)随机对照试验包含种族/民族数据。其中,3项(15%)研究只包括种族,5项(25%)研究同时包括种族和种族。研究中大多数患者为白人(n= 862/1063, 81.1%),其次为非洲裔美国人(n=127/1063, 11.9%)和亚洲人(n=33/1063, 3.1%)。6例(0.56%)为美洲印第安人/阿拉斯加原住民,5例(0.47%)为夏威夷/太平洋岛民,16例(1.5%)为其他种族或种族未知。5项试验(25%)报告了种族,共计317名受试者;60例(18.9%)患者为西班牙裔。结论:尽管AGA是一种非常普遍的疾病,但非高加索患者在随机对照试验中的代表性仍然不足,这降低了试验结果对普通人群的普遍性。未来的随机对照试验应更新种族/民族的定义,并在AGA患者中纳入更多的多样性。
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引用次数: 0
The 2022 Global Monkeypox Outbreak: A Focused Review 2022年全球猴痘爆发:焦点综述
Pub Date : 2022-12-19 DOI: 10.29245/2767-5092/2022/4.1166
Yasmine Oprea, Patricia Cerri-Droz, Urmi Khanna
The first human infection with monkeypox virus was reported in 1970, and infections have subsequently been recorded in endemic areas such as Central and West Africa or linked to international travel to these regions. However, the emergence of the 2022 monkeypox outbreak has involved multiple non-endemic countries and continents without links to travel to endemic areas. The first cases in the current outbreak were reported in May of 2022. The primary mode of transmission is atypical and is thought to occur through direct contact with infected skin lesions. The rapid increase in case numbers prompted the World Health Organization to declare this disease outbreak as a public health emergency of international concern. Robust efforts are being made by global public health authorities to develop effective antiviral treatment options and vaccination strategies to reduce the spread of this disease. The objective of this manuscript is to provide a comprehensive review of the 2022 mpox outbreak with respect to its unique epidemiology, clinical features, complications, and management options.
1970年报告了第一例人类感染猴痘病毒的病例,随后在中非和西非等流行地区记录了感染病例,或与前往这些地区的国际旅行有关。然而,2022年猴痘疫情的出现涉及多个非流行国家和大陆,与前往流行地区没有联系。本次疫情的首批病例报告于2022年5月。主要传播方式是非典型的,被认为是通过直接接触受感染的皮肤病变而发生的。病例数的迅速增加促使世界卫生组织宣布此次疾病爆发为国际关注的突发公共卫生事件。全球公共卫生当局正在大力制定有效的抗病毒治疗方案和疫苗接种策略,以减少这种疾病的传播。这份手稿的目的是对2022年猴痘疫情的独特流行病学、临床特征、并发症和管理选择进行全面回顾。
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引用次数: 0
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Journal of dermatology and skin science
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