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Augmented Expression of the IL3RA/CD123 Gene in MLL/KMT2A-Rearranged Pediatric AML and Infant ALL IL3RA/CD123基因在MLL/ kmt2a重排儿童AML和婴儿ALL中的增强表达
Pub Date : 2022-08-25 DOI: 10.3390/onco2030014
S. Qazi, F. Uckun
Here, we evaluated transcript-level IL3RA/CD123 expression in mixed lineage leukemia 1 (MLL) gene/KMT2A-rearranged (MLL-R+) vs. MLL-R− pediatric AML as well as infant ALL by comparing the archived datasets of the transcriptomes of primary leukemic cells from the corresponding patient populations. Our studies provide unprecedented evidence that IL3RA/CD123 expression exhibits transcript-level amplification in MLL-R+ pediatric AML and infant ALL cells. IL3RA was differentially upregulated in MLL-AF10+ (2.41-fold higher, p-value = 4.4 × 10−6) and MLL-AF6+ (1.83-fold higher, p-value = 9.9 × 10−4) but not in MLL-AF9+ cases compared to other pediatric AML cases. We also show that IL3RA/CD123 expression is differentially amplified in MLL-AF4+ (1.76-fold higher, p-value = 2.1 × 10−4) as well as MLL-ENL+ infant ALL (1.43-fold higher, p-value = 0.055). The upregulated expression of IL3RA/CD123 in MLL-R+ pediatric AML and infant ALL suggests that CD123 may be a suitable target for biotherapy in these high-risk leukemias.
在这里,我们通过比较来自相应患者群体的原发性白血病细胞转录组的存档数据集,评估了混合谱系白血病1 (MLL)基因/ kmt2a重排(MLL- r +)与MLL- r -儿童AML以及婴儿ALL中转录水平的IL3RA/CD123表达。我们的研究提供了前所未有的证据,证明IL3RA/CD123表达在MLL-R+儿童AML和婴儿ALL细胞中表现出转录水平的扩增。IL3RA在MLL-AF10+(2.41倍,p值= 4.4 × 10−6)和MLL-AF6+(1.83倍,p值= 9.9 × 10−4)中差异上调,但在MLL-AF9+病例中与其他儿童AML病例相比无差异上调。我们还发现,IL3RA/CD123表达在MLL-AF4+(高1.76倍,p值= 2.1 × 10−4)和MLL-ENL+婴儿ALL(高1.43倍,p值= 0.055)中有差异扩增。IL3RA/CD123在MLL-R+儿童AML和婴儿ALL中表达上调,提示CD123可能是这些高危白血病生物治疗的合适靶点。
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引用次数: 1
Genomic and Gene Expression Studies Helped to Define the Heterogeneity of Small-Cell Lung Cancer and Other Lung Neuroendocrine Tumors and to Identify New Therapeutic Targets 基因组和基因表达研究有助于确定小细胞肺癌癌症和其他肺部神经内分泌肿瘤的异质性,并确定新的治疗靶点
Pub Date : 2022-08-15 DOI: 10.3390/onco2030013
U. Testa, E. Pelosi, G. Castelli
Small-cell lung cancer (SCLC) is a high-grade neuroendocrine carcinoma, corresponding to about 15% of lung cancers, occurring predominantly in smokers and associated with a very poor prognosis. Key genetic alterations very frequently observed in SCLC are represented by the loss of TP53 and RB1, due to mutational events or deletions; frequent amplification or overexpression of MYC family genes (MYC, MYCL and MYCN); frequent genetic alterations by mutation/deletion of KMT2D, RB family members p107 (RBL1) and p130 (RBL2), PTEN, NOTCH receptors and CREBBP. The profile of expression of specific transcription factors allowed to differentiate four subtypes of SCLC defined according to levels of ASCL1 (SCLC-A), NEUROD1 (SCLC-N), POUF23 (SCLC-P) or YAP1 (SCLC-Y). A recent study identified the subgroup SCLC-I, characterized by the expression of inflammatory/immune-related genes. Recent studies have characterized at molecular level other lung neuroendocrine tumors, including large cell neuroendocrine cancers (LCNECs) and lung carcinoids. These molecular studies have identified some therapeutic vulnerabilities that can be targeted using specific drugs and some promising biomarkers that can predict the response to this treatment. Furthermore, the introduction of immunotherapy (immune checkpoint blockade) into standard first-line treatment has led to a significant clinical benefit in a limited subset of patients.
癌症小细胞肺癌(SCLC)是一种高度神经内分泌癌,约占肺癌的15%,主要发生在吸烟者中,预后极差。在SCLC中经常观察到的关键基因改变表现为由于突变事件或缺失导致的TP53和RB1的缺失;MYC家族基因(MYC、MYCL和MYCN)的频繁扩增或过表达;KMT2D、RB家族成员p107(RBL1)和p130(RBL2)、PTEN、NOTCH受体和CREBBP的突变/缺失引起的频繁遗传改变。特异性转录因子的表达谱允许区分根据ASCL1(SCLC-A)、NEUROD1(SCLC-N)、POUF23(SCLC-P)或YAP1(SCLC-Y)水平定义的四种SCLC亚型。最近的一项研究确定了SCLC-I亚组,其特征是炎症/免疫相关基因的表达。最近的研究在分子水平上表征了其他肺神经内分泌肿瘤,包括大细胞神经内分泌癌(LCNECs)和类肺癌。这些分子研究已经确定了一些治疗漏洞,可以使用特定的药物和一些有前景的生物标志物来预测对这种治疗的反应。此外,将免疫疗法(免疫检查点阻断)引入标准一线治疗,在有限的患者中带来了显著的临床益处。
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引用次数: 0
The Role of Liquid Biopsy in the Diagnostic Testing Algorithm for Advanced Lung Cancer 液体活检在晚期肺癌诊断检测算法中的作用
Pub Date : 2022-07-14 DOI: 10.3390/onco2030012
A. Tan
The discovery of therapeutically targetable oncogenic driver alterations has led to marked improvements in NSCLC outcomes. Targeted agents have been approved for an expanding list of biomarkers. Consequently, the accurate and timely identification of targetable alterations with diagnostic molecular profiling is crucial. The use of multiplexed tissue assays, such as next-generation sequencing (NGS), has increased significantly. However, significant limitations with tissue NGS remain, such as insufficient tissue, scheduling limitations, the need for repeat biopsies, and long turnaround times. Liquid biopsies, using plasma circulating tumor DNA (ctDNA), have the potential to overcome these issues, with simpler sample processing requirements, greater convenience, and better patient acceptability. In particular, an early liquid biopsy may allow patients access to highly effective therapies faster, allow better symptom control and quality of life, prevent rapid clinical deterioration, and reduce patient anxiety at diagnosis. More broadly, it may also allow for the more cost-effective delivery of healthcare to patients.
治疗上可靶向的致癌驱动改变的发现导致了NSCLC预后的显著改善。靶向药物已被批准用于越来越多的生物标志物。因此,准确和及时地识别目标改变与诊断分子谱是至关重要的。使用多重组织分析,如下一代测序(NGS),已显著增加。然而,组织NGS仍然存在显著的局限性,如组织不足、调度限制、需要重复活检以及周转时间长。使用血浆循环肿瘤DNA (ctDNA)的液体活检有可能克服这些问题,因为它具有更简单的样品处理要求、更大的便利性和更好的患者可接受性。特别是,早期液体活检可以使患者更快地获得高效治疗,更好地控制症状和提高生活质量,防止临床迅速恶化,并减少患者在诊断时的焦虑。更广泛地说,它还可能使向患者提供更具成本效益的医疗保健服务成为可能。
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引用次数: 2
The Role of Immune Checkpoint Blockade in Acute Myeloid Leukemia 免疫检查点阻断在急性髓系白血病中的作用
Pub Date : 2022-07-11 DOI: 10.3390/onco2030011
Margarida F B Silva, D. Martins, F. Mendes
Immune checkpoint inhibition (ICI) has emerged as a therapeutic option for acute myeloid leukemia (AML) for patients that suffer from relapsed or high-risk disease, or patients ineligible for standard therapy. We aimed to study ICI as monotherapy and/or combined therapy (with chemotherapy (QT), for AML patients. The PRISMA statement was used. The literature used comprised clinical trials, randomized controlled trials, and systematic reviews published within the last 7 years. The blockade of CTLA-4 presented a 42% of complete remission within AML. Nivolumab in high-risk AML showed a median recurrence-free survival (RFS) of 8.48 months. The same drug on relapsed hematologic malignancies after allogenic transplantation shows a 1-year OS of 56%. The use of prophylaxis post allogenic transplantation cyclophosphamide (PTCy), following checkpoint inhibition, demonstrated different baseline disease and transplantation characteristics when compared to no-PCTy patients, being 32% and 10%, respectively. CTLA-4 blockage was a worthy therapeutic approach in relapsed hematologic malignancies, presenting long-lasting responses. The approach to AML and myelodysplastic syndrome patients with ICI before allogenic hematopoietic stem cell transplantation and the use of a graft-versus-host disease prophylaxis have shown improvement in the transplantation outcomes, and therefore AML treatment.
免疫检查点抑制(ICI)已成为急性髓性白血病(AML)患者复发或高风险疾病或不符合标准治疗条件的治疗选择。我们的目的是研究ICI作为AML患者的单药和/或联合化疗(QT)。使用了PRISMA语句。使用的文献包括临床试验、随机对照试验和近7年内发表的系统综述。阻断CTLA-4可使AML患者的完全缓解率达到42%。Nivolumab治疗高风险AML的中位无复发生存期(RFS)为8.48个月。同样的药物治疗同种异体移植后复发的恶性血液病,1年生存率为56%。在检查点抑制后使用同种异体移植后预防性环磷酰胺(PTCy),与未使用pcty的患者相比,显示出不同的基线疾病和移植特征,分别为32%和10%。CTLA-4阻断是治疗复发恶性血液病的有效方法,具有持久的疗效。同种异体造血干细胞移植前对急性髓细胞白血病和骨髓增生异常综合征患者的治疗方法和使用移植物抗宿主病预防已显示出移植结果的改善,因此急性髓细胞白血病治疗。
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引用次数: 2
Fucoxanthinol Promotes Apoptosis in MCF-7 and MDA-MB-231 Cells by Attenuating Laminins–Integrins Axis 岩藻黄嘌呤通过减弱层粘连蛋白-整合素轴促进MCF-7和MDA-MB-231细胞凋亡
Pub Date : 2022-07-08 DOI: 10.3390/onco2030010
Ayaka Yasuda, Momoka Wagatsuma, Wataru Murase, Atsuhito Kubota, Hiroyuki Kojima, Tohru Ohta, Junichi Hamada, Hayato Maeda, Masaru Terasaki
Fucoxanthinol (FxOH), the main metabolite of the marine carotenoid fucoxanthin, exerts anti-cancer effects. However, fragmentary information is available on the growth-inhibiting effects of FxOH on breast cancer (BC). We investigated the growth-inhibiting effects of FxOH on human BC cells (MCF-7 and MDA-MB-231 cells), and the underlying mechanisms, differently from previous studies, by using comprehensive transcriptome analysis. The molecular mechanisms of FxOH were evaluated using flow cytometry, microarray, Western blotting, and gene knockdown analyses. FxOH (20 μM) significantly induced apoptosis in MCF-7 and MDA-MB-231 cells. Transcriptome analysis revealed that FxOH modulated the following 12 signaling pathways: extracellular matrix (ECM), adhesion, cell cycle, chemokine and cytokine, PI3K/AKT, STAT, TGF-β, MAPK, NF-κB, RAS/Rho, DNA repair, and apoptosis signals. FxOH downregulated the levels of laminin β1, integrin α5, integrin β1, integrin β4, cyclin D1, Rho A, phosphorylated (p)paxillin (Tyr31), pSTAT3(Ser727), and pSmad2(Ser465/467), which play critical roles in the 12 signaling pathways mentioned above. Additionally, FxOH upregulated the levels of pERK1/2(Thr202/Tyr204) and active form of caspase-3. Integrin β1 or β4 knockdown significantly inhibited the growth of MCF7 and MDA-MB-231 cells. These results suggest that FxOH induces apoptosis in human BC cells through some core signals, especially the ECM–integrins axis, and the downstream of cell cycle, STAT, TGF-β, RAS/Rho, MAPK, and/or DNA repair signals.
岩藻黄嘌呤(FxOH)是海洋类胡萝卜素岩藻黄嘌呤的主要代谢物,具有抗癌作用。然而,关于FxOH对乳腺癌(BC)的生长抑制作用的信息并不完整。我们通过综合转录组分析研究了FxOH对人BC细胞(MCF-7和MDA-MB-231细胞)的生长抑制作用,以及与以往研究不同的潜在机制。通过流式细胞术、微阵列、Western blotting和基因敲低分析来评估FxOH的分子机制。FxOH (20 μM)显著诱导MCF-7和MDA-MB-231细胞凋亡。转录组分析显示,FxOH调节了细胞外基质(ECM)、粘附、细胞周期、趋化因子和细胞因子、PI3K/AKT、STAT、TGF-β、MAPK、NF-κB、RAS/Rho、DNA修复和凋亡信号通路。FxOH下调层粘连蛋白β1、整合素α5、整合素β1、整合素β4、cyclin D1、Rho A、磷酸化(p)paxillin (Tyr31)、pSTAT3(Ser727)和pSmad2(Ser465/467)的水平,这些蛋白在上述12个信号通路中发挥关键作用。此外,FxOH上调了pERK1/2(Thr202/Tyr204)和caspase-3活性形式的水平。整合素β1或β4敲低显著抑制MCF7和MDA-MB-231细胞的生长。这些结果表明,FxOH通过一些核心信号,特别是ecm -整合素轴,以及细胞周期下游,STAT, TGF-β, RAS/Rho, MAPK和/或DNA修复信号诱导人BC细胞凋亡。
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引用次数: 3
Whole Genome Variant Dataset for Enriching Studies across 18 Different Cancers. 全基因组变异数据集,用于18种不同癌症的丰富研究。
Pub Date : 2022-06-01 Epub Date: 2022-06-17 DOI: 10.3390/onco2020009
John Torcivia, Kawther Abdilleh, Fabian Seidl, Owais Shahzada, Rebecca Rodriguez, David Pot, Raja Mazumder

Whole genome sequencing (WGS) has helped to revolutionize biology, but the computational challenge remains for extracting valuable inferences from this information. Here, we present the cancer-associated variants from the Cancer Genome Atlas (TCGA) WGS dataset. This set of data will allow cancer researchers to further expand their analysis beyond the exomic regions of the genome to the entire genome. A total of 1342 WGS alignments available from the consortium were processed with VarScan2 and deposited to the NCI Cancer Cloud. The sample set covers 18 different cancers and reveals 157,313,519 pooled (non-unique) cancer-associated single-nucleotide variations (SNVs) across all samples. There was an average of 117,223 SNVs per sample, with a range from 1111 to 775,470 and a standard deviation of 163,273. The dataset was incorporated into BigQuery, which allows for fast access and cross-mapping, which will allow researchers to enrich their current studies with a plethora of newly available genomic data.

全基因组测序(WGS)有助于彻底改变生物学,但从这些信息中提取有价值的推论仍然是计算上的挑战。在此,我们展示了癌症基因组图谱(TCGA)WGS数据集中的癌症相关变体。这组数据将使癌症研究人员能够进一步将他们的分析范围从基因组的外显区扩展到整个基因组。使用VarScan2处理来自联合体的总共1342个WGS比对,并将其存入NCI癌症云。样本集涵盖了18种不同的癌症,并揭示了所有样本中157313519种合并的(非唯一的)癌症相关单核苷酸变异(SNV)。每个样本平均有117223个SNV,范围从1111到775470,标准偏差为163273。该数据集被整合到BigQuery中,它允许快速访问和交叉映射,这将使研究人员能够用大量新可用的基因组数据丰富他们当前的研究。
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引用次数: 0
Profiling of the Prognostic Role of Extracellular Matrix-Related Genes in Neuroblastoma Using Databases and Integrated Bioinformatics 利用数据库和综合生物信息学分析神经母细胞瘤细胞外基质相关基因的预后作用
Pub Date : 2022-05-19 DOI: 10.3390/onco2020007
L. Jahangiri
A complex interaction occurs between cancer cells and the extracellular matrix (ECM) in the tumour microenvironment (TME). In this study, the expressions and mutational profiles of 964 ECM-related genes and their correlations with patient overall survival (OS) in neuroblastoma, an aggressive paediatric malignancy, were investigated using cBioPortal and PCAT databases. Furthermore, extended networks comprising protein-protein, protein-long non-coding RNA (lncRNA), and protein-miRNA of 12 selected ECM-related genes were established. The higher expressions of 12 ECM-related genes, AMBN, COLQ, ELFN1, HAS3, HSPE1, LMAN1, LRP5, MUC6, RAMP2, RUVBL2, SSBP1 and UMOD in neuroblastoma patients displayed a significant correlation with patient OS, while similar associations with neuroblastoma patient risk groups, histology and MYCN amplification were obtained. Furthermore, extended gene networks formed by these 12 ECM-related genes were established using Cytoscape, STRING, MSigDB/BioGRID, GeneMANIA and Omicsnet. Finally, the implications of the 12 ECM-related genes in other cancers were revealed using GEPIA2 and the Human Pathology Atlas databases. This meta-analysis showed the significance of these 12 ECM-related genes as putative prognostic predictors in neuroblastoma and other cancers.
肿瘤微环境(TME)中癌细胞与细胞外基质(ECM)之间发生复杂的相互作用。在这项研究中,使用cBioPortal和PCAT数据库研究了964个ecm相关基因的表达和突变谱,以及它们与神经母细胞瘤(一种侵袭性儿科恶性肿瘤)患者总生存期(OS)的相关性。此外,还建立了由蛋白-蛋白、蛋白-长非编码RNA (lncRNA)和蛋白- mirna组成的扩展网络,这些网络包含了12个选择的ecm相关基因。AMBN、COLQ、ELFN1、HAS3、HSPE1、LMAN1、LRP5、MUC6、RAMP2、RUVBL2、SSBP1、UMOD等12个ecm相关基因在神经母细胞瘤患者中的高表达与患者OS有显著相关性,与神经母细胞瘤患者风险组、组织学及MYCN扩增也有相似的相关性。此外,利用Cytoscape、STRING、MSigDB/BioGRID、GeneMANIA和Omicsnet等工具,构建了由这12个ecm相关基因组成的扩展基因网络。最后,利用GEPIA2和人类病理图谱数据库揭示了12个ecm相关基因在其他癌症中的意义。这项荟萃分析显示了这12个ecm相关基因作为神经母细胞瘤和其他癌症的推测预后预测因子的重要性。
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引用次数: 1
Angiodrastic Chemokines Production by Colonic Cancer Cell Lines 结肠癌细胞系血管趋化因子的产生
Pub Date : 2022-04-29 DOI: 10.3390/onco2020006
Emmanouil George, Moursellas Andrew, Tzardi Maria, Voumvouraki Argyro, Kouroumalis Elias
Purpose: To study the production of angiodrastic chemokines by colonic cancer cell lines. Methods: A pro-angiogenic factor (VEGF), two angiogenic chemokines (CXCL8, CXCL6), and one angiostatic (CXCL4) chemokine were measured by ELISA in the supernatants of the colon cancer cell lines HT-29 and Caco-2. Cells were cultured for 24 h in the presence of serum from cancer patients or healthy individuals. Results were analyzed by one-way ANOVA and the General Linear Model for repeated measures. Results: Colonic epithelial cells are potent producers of angiodrastic chemokines. HT-29 and Caco-2 cells produce all four chemokines under basal conditions and 24 h after incubation with human serum. The secretion response, however, was completely different. HT-29 cells produce more CXCL8 and VEGF irrespective of culture conditions, while Caco-2 cells seem unresponsive with respect to CXCL6 and CXCL4. Moreover, HT-29 cells produce more CXCL8 and VEGF when incubated with cancer serum, contrary to Caco-2 cells which produce more CXCL4 under the same conditions. Conclusions: The two colon cancer cell lines were producers of all chemokines studied, but their responses were not uniform under similar culture conditions. CXCL8 and VEGF are differently regulated compared to CXCL4 and CXCL6 in these two cell lines
目的:研究结肠癌癌症细胞系分泌血管紧张性趋化因子的情况。方法:用ELISA法检测癌症细胞株HT-29和Caco-2的上清液中一种促血管生成因子(VEGF)、两种血管生成趋化因子(CXCL8、CXCL6)和一种血管生成性趋化因子。细胞在癌症患者或健康个体的血清存在下培养24小时。结果通过单因素方差分析和重复测量的一般线性模型进行分析。结果:结肠上皮细胞是血管紧张性趋化因子的有效生产者。HT-29和Caco-2细胞在基础条件下和与人血清孵育24小时后产生所有四种趋化因子。然而,分泌反应却完全不同。无论培养条件如何,HT-29细胞都会产生更多的CXCL8和VEGF,而Caco-2细胞似乎对CXCL6和CXCL4没有反应。此外,当与癌症血清孵育时,HT-29细胞产生更多的CXCL8和VEGF,这与在相同条件下产生更多CXCL4的Caco-2细胞相反。结论:癌症细胞系是所研究的所有趋化因子的产生者,但在相似的培养条件下,它们的反应并不一致。在这两种细胞系中,CXCL8和VEGF与CXCL4和CXCL6相比受到不同的调节
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引用次数: 1
Sparse-Input Neural Networks to Differentiate 32 Primary Cancer Types on the Basis of Somatic Point Mutations 基于体细胞点突变的稀疏输入神经网络鉴别32种原发性癌症类型
Pub Date : 2022-03-31 DOI: 10.3390/onco2020005
Nikolaos Dikaios
Background and Objective: This paper aimed to differentiate primary cancer types from primary tumor samples on the basis of somatic point mutations (SPMs). Primary cancer site identification is necessary to perform site-specific and potentially targeted treatment. Current methods such as histopathology and lab tests cannot accurately determine cancer origin, which results in empirical patient treatment and poor survival rates. The availability of large deoxyribonucleic acid sequencing datasets has allowed scientists to examine the ability of somatic mutations to classify primary cancer sites. These datasets are highly sparse since most genes will not be mutated, have a low signal-to-noise ratio, and are often imbalanced since rare cancers have fewer samples. Methods: To overcome these limitations a sparse-input neural network (SPINN) is suggested that projects the input data in a lower-dimensional space, where the more informative genes are used for learning. To train and evaluate SPINN, an extensive dataset for SPM was collected from the cancer genome atlas containing 7624 samples spanning 32 cancer types. Different sampling strategies were performed to balance the dataset. SPINN was further validated on an independent ICGC dataset that contained 226 samples spanning four cancer types. Results and Conclusions: SPINN consistently outperformed classification algorithms such as extreme gradient boosting, deep neural networks, and support vector machines, achieving an accuracy up to 73% on independent testing data. Certain primary cancer types/subtypes (e.g., lung, brain, colon, esophagus, skin, and thyroid) were classified with an F-score > 0.80.
背景与目的:本文旨在根据体细胞点突变(SPMs)从原发性肿瘤样本中区分原发性癌症类型。原发性癌症位点识别对于进行位点特异性和潜在靶向治疗是必要的。目前的组织病理学和实验室检测等方法无法准确确定癌症的起源,这导致了经验患者治疗和低存活率。大型脱氧核糖核酸测序数据集的可用性使科学家能够检查体细胞突变对原发性癌症位点进行分类的能力。这些数据集高度稀疏,因为大多数基因不会突变,信噪比低,而且由于罕见癌症的样本较少,数据集往往不平衡。方法:为了克服这些限制,提出了一种稀疏输入神经网络(SPINN),将输入数据投影到较低维空间中,在那里使用信息量较大的基因进行学习。为了训练和评估SPINN,从癌症基因组图谱中收集了SPM的广泛数据集,该图谱包含跨越32种癌症类型的7624个样本。采用不同的采样策略来平衡数据集。SPINN在一个独立的ICGC数据集上得到了进一步验证,该数据集包含跨越四种癌症类型的226个样本。结果和结论:SPINN始终优于极限梯度提升、深度神经网络和支持向量机等分类算法,在独立测试数据上实现了高达73%的准确率。某些原发性癌症类型/亚型(如肺、脑、结肠、食道、皮肤和甲状腺)的F评分>0.80。
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引用次数: 0
Akt/mTOR Activation in Lung Cancer Tumorigenic Regulators and Their Potential Value as Biomarkers 肺癌症致瘤调节因子Akt/mTOR的激活及其作为生物标志物的潜在价值
Pub Date : 2022-02-25 DOI: 10.3390/onco2010004
C. Sousa, B. Silva‐Lima, M. Videira
The high incidence and modest therapeutic outcomes of lung cancer have prompted the identification of cell molecular targets/biomarkers within the complex networks of interactions involved in cell malignancy. Most of the EMT-related regulatory mediators underline patients’ biologic variations, therapeutic refractory events, and tumor cell heterogeneity. Patient stratification based on the understanding of the relevant pathways, such as the PI3K/Akt axis crucial in EMT initiation, could favorably alter disease management. Significant clinical advantage could be expected when overexpressed Akt tyrosine kinase (Akt2) is addressed as a malignant biomarker to guide clinical management decisions, improving prognosis in lung cancer patients. Moreover, one should not miss the opportunity of using it as a druggable target aiming at the inhibition of the downstream complexity that underlies cell proliferation and survival, expression of stemness markers and drug resistance. The value of mTOR, as a downstream target of Akt, and the further activation of EMT transcription factors Twist, Snail and Zeb1 are revisited in this review. An in-depth state-of-the-art assessment provides evidence of its role in the mechanistic inhibition of epithelial markers, such as E-cadherin and miR-200, while inducing the expression of the mesenchymal ones, such as vimentin, N-cadherin, and miR-21. Lastly, evidence suggesting another transcription factor, FOXM1, as the link between the PI3K/Akt and Wnt/β-catenin pathways, prompting cell metabolism through the regulation of p70S6K, is analyzed. A more realistic approach is advised to address unmet clinical needs and support decision making at a clinical level. Taking into consideration several complex intracellular interactions might further improve patient stratification and result in better outcomes.
癌症的高发病率和适度的治疗结果促使在涉及细胞恶性肿瘤的复杂相互作用网络中识别细胞分子靶点/生物标志物。大多数与EMT相关的调节介质强调了患者的生物学变异、治疗难治性事件和肿瘤细胞异质性。基于对相关途径的理解的患者分层,如对EMT启动至关重要的PI3K/Akt轴,可以有利地改变疾病管理。当过表达的Akt酪氨酸激酶(Akt2)被认为是指导临床管理决策的恶性生物标志物,改善癌症患者的预后时,可以预期显著的临床优势。此外,不应错过将其用作药物靶点的机会,该靶点旨在抑制细胞增殖和存活、干性标志物表达和耐药性的下游复杂性。mTOR作为Akt的下游靶点的价值,以及EMT转录因子Twist、Snail和Zeb1的进一步激活,在这篇综述中被重新审视。一项深入的最新评估提供了其在上皮标记物(如E-钙粘蛋白和miR-200)的机制抑制中的作用的证据,同时诱导间充质标记物(例如波形蛋白、N-钙粘蛋白、和miR-21)的表达。最后,分析了另一种转录因子FOXM1作为PI3K/Akt和Wnt/β-catenin通路之间的联系,通过调节p70S6K促进细胞代谢的证据。建议采用更现实的方法来解决未满足的临床需求,并支持临床层面的决策。考虑到几种复杂的细胞内相互作用可能会进一步改善患者分层,并产生更好的结果。
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引用次数: 2
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