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NEAT1 variant 1 weakens the genome-wide effect of miR-3122 on blocking H3K79me3 in bladder cancer NEAT1变异体1削弱了miR-3122在膀胱癌中阻断H3K79me3的全基因组作用
Pub Date : 2022-06-10 DOI: 10.18632/aging.204113
Wen-yan Zhao, Fanghao Sun, Liansheng Zhang, J. Ouyang
Nuclear-enriched abundant transcript 1 (NEAT1) is one of the most well-studied long non-coding RNAs (lncRNAs) in multiple human carcinoma. Two distinct variants of NEAT1, however, are never illuminated their specific functions and mechanisms underlying carcinogenesis. In this study, biotin-labelled NEAT1 variants were generated to incubate with cell lysate of bladder cancer cell T24 cells, and fished a batch of RNA substances. Here, we observed that NEAT1.1 (the short transcript) could capture 122 microRNAs (miRNAs), 36 small nucleolar RNAs (snoRNAs), 55 lncRNAs and 38 mRNAs while NEAT1.2 (the long transcript) could obtain 142 miRNAs, 51 snoRNAs, 72 lncRNAs and 41 mRNAs. Furthermore, we also found that the distinctions of RNA binding substances between these two variants were mainly expressed in nucleus rather than cytoplasm. GO analysis indicated that these non-coding RNAs governed histone modification, nucleosome assembly and chromosome organization. We picked up miRNA miR-3122, which substantially interacted with NEAT1.1, and found that histone H3K79me3 was reduced in bladder cancer T24, BIU-87 and EJ-1 cells after miR-3122 overexpression, and rescued by NEAT1.1 additional compensation. Nonetheless, we failed to find that miR-3122 could interfere with expression of H3K79 methyltransferase disruptor of telomeric silencing-1 like (DOT1L). Interestingly, we harvested histone 3 fished by biotin-labelled miR-3122, and validated this intercrossing using RNA immunoprecipitation. Taken together, we demonstrated that NEAT1.1 weakened the effect of miR-3122 on H3K79me3 suppression in bladder cancer.
核富集丰富转录本1 (NEAT1)是人类多种肿瘤中研究最多的长链非编码rna (lncRNAs)之一。然而,NEAT1的两种不同变体从未被阐明其致癌的具体功能和机制。本研究生成生物素标记的NEAT1变异体,与膀胱癌细胞T24细胞裂解液孵育,捞出一批RNA物质。在这里,我们观察到NEAT1.1(短转录本)可以捕获122个microRNAs (miRNAs), 36个小核仁rna (snoRNAs), 55个lncRNAs和38个mrna,而NEAT1.2(长转录本)可以捕获142个miRNAs, 51个snoRNAs, 72个lncRNAs和41个mrna。此外,我们还发现这两个变体之间RNA结合物质的差异主要表达在细胞核而不是细胞质中。氧化石墨烯分析表明,这些非编码rna控制组蛋白修饰、核小体组装和染色体组织。我们找到了miRNA miR-3122,它与NEAT1.1相互作用,发现miR-3122过表达后,组蛋白H3K79me3在膀胱癌T24、BIU-87和EJ-1细胞中减少,并被NEAT1.1额外补偿拯救。尽管如此,我们未能发现miR-3122可以干扰H3K79甲基转移酶干扰物端粒沉默-1样(DOT1L)的表达。有趣的是,我们收集了由生物素标记的miR-3122捕获的组蛋白3,并使用RNA免疫沉淀验证了这种交叉。综上所述,我们证明了NEAT1.1减弱了miR-3122对膀胱癌中H3K79me3抑制的作用。
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引用次数: 0
Hsa_circ_0063804 enhances ovarian cancer cells proliferation and resistance to cisplatin by targeting miR-1276/CLU axis Hsa_circ_0063804通过靶向miR-1276/CLU轴增强卵巢癌细胞增殖和顺铂耐药
Pub Date : 2022-06-10 DOI: 10.18632/aging.203474
Jun You, Yuwen Han, Hai-feng Qiao, Yun Han, Xiaona Lu, Yiling Lu, XiaoYun Wang, Haili Kai, Yan-Li Zheng
Purpose: This article researched circ_0063804 effects on ovarian cancer (OC) development and resistance to cisplatin, aiming to provide a new target for OC therapy. Methods: A total of 108 OC patients participated in this study. The circle structure of circ_0063804 was investigated using RNase R. Circ_0063804 expression in OC cells were up-regulated or down-regulated by transfection. Cell proliferation was assessed by cell counting kit-8 assay and colony formation assay. Flow cytometry was used to detect apoptosis. OC cells resistance to cisplatin was explored through MTT assay. Luciferase reporter assay was performed. qRT-PCR and Western blot was applied to research genes expression. Xenograft tumor experiment was conducted using nude mice. Ki67 expression in xenograft tumor was detected by immunohistochemistry. Results: Circ_0063804 expression was up-regulated in OC patients and indicated poor prognosis (P < 0.05). Circ_0063804 had a stable circle structure. Circ_0063804 enhanced proliferation, resistance to cisplatin and reduced apoptosis of OC cells (P < 0.01). miR-1276 was down-regulated in OC patients and sponged by circ_0063804. CLU was directly inhibited by miR-1276 and up-regulated in OC patients. Circ_0063804 exacerbated malignant phenotype and resistance to cisplatin of OC cells in vitro by enhancing CLU expression via sponging miR-1276 (P < 0.01). Circ_0063804 silencing inhibited OC cells growth, resistance to cisplatin and Ki67 expression in vivo (P < 0.01). Conclusion: Circ_0063804 promoted OC cells proliferation and resistance to cisplatin by enhancing CLU expression via sponging miR-1276.
目的:研究circ_0063804对卵巢癌(OC)发展及顺铂耐药的影响,为卵巢癌治疗提供新的靶点。方法:共108例OC患者参与本研究。利用RNase r对circ_0063804的环状结构进行了研究,circ_0063804在OC细胞中的表达上调或下调。采用细胞计数试剂盒-8法和菌落形成法检测细胞增殖情况。流式细胞术检测细胞凋亡。MTT法观察卵巢癌细胞对顺铂的耐药性。荧光素酶报告试验。应用qRT-PCR和Western blot技术研究基因表达。采用裸鼠进行异种移植瘤实验。免疫组化法检测Ki67在异种移植瘤中的表达。结果:Circ_0063804在OC患者中表达上调,预后较差(P < 0.05)。Circ_0063804具有稳定的圆结构。Circ_0063804增强OC细胞增殖、顺铂耐药、减少凋亡(P < 0.01)。miR-1276在OC患者中下调,并被circ_0063804擦拭。CLU被miR-1276直接抑制,在OC患者中上调。Circ_0063804通过海绵miR-1276增强CLU的表达,加重了体外OC细胞的恶性表型和对顺铂的耐药性(P < 0.01)。Circ_0063804沉默抑制OC细胞生长、顺铂耐药及体内Ki67表达(P < 0.01)。结论:Circ_0063804通过海绵化miR-1276增强CLU表达,促进OC细胞增殖和顺铂耐药。
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引用次数: 4
Time makes histone H3 modifications drift in mouse liver 时间使组蛋白H3修饰在小鼠肝脏中漂移
Pub Date : 2022-06-10 DOI: 10.18632/aging.204107
R. Hillje, L. Luzi, S. Amatori, Giuseppe Persico, F. Casciaro, Martina Rusin, M. Fanelli, P. Pelicci, M. Giorgio
To detect the epigenetic drift of time passing, we determined the genome-wide distributions of mono- and tri-methylated lysine 4 and acetylated and tri-methylated lysine 27 of histone H3 in the livers of healthy 3, 6 and 12 months old C57BL/6 mice. The comparison of different age profiles of histone H3 marks revealed global redistribution of histone H3 modifications with time, in particular in intergenic regions and near transcription start sites, as well as altered correlation between the profiles of different histone modifications. Moreover, feeding mice with caloric restriction diet, a treatment known to retard aging, reduced the extent of changes occurring during the first year of life in these genomic regions.
为了检测时间流逝的表观遗传漂变,我们测定了健康3、6和12月龄C57BL/6小鼠肝脏中组蛋白H3的单甲基化赖氨酸4和三甲基化赖氨酸4以及乙酰化和三甲基化赖氨酸27的全基因组分布。组蛋白H3标记的不同年龄谱的比较揭示了组蛋白H3修饰随着时间的推移在全球范围内重新分布,特别是在基因间区域和转录起始位点附近,以及不同组蛋白修饰谱之间的相关性改变。此外,给老鼠喂食热量限制饮食,一种已知的延缓衰老的治疗方法,减少了这些基因组区域在生命的第一年发生的变化的程度。
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引用次数: 1
Effective natural inhibitors targeting IGF-1R by computational study 通过计算研究有效的天然IGF-1R抑制剂
Pub Date : 2022-06-09 DOI: 10.18632/aging.204117
Xinyu Wang, Pengcheng Zhou, Liangxin Lin, Bo Wu, Z. Fu, Xing Huang, Dongyan Zhu
IGF-1R belongs to a tyrosine kinase family and is currently a newly discovered drug target. IGF-1R inhibitors can bind directly to IGF-1R to achieve the effect of inhibiting the function of IGF-1R. At present, IGF-1R inhibitors have good clinical effects on Ewing sarcoma in the clinic. In this article, we screened compounds capable of inhibiting IGF-1R function through computer-aided virtual technology. First, some molecules with good docking properties for IGF-1R can be screened by LibDock. Then, ADME analysis (adsorption, distribution, metabolism, and excretion) and toxicity indicators were performed. The mechanism of binding and the binding affinity in the middle of IGF-1R and ligand were verified using molecular docking. Ultimately, the stability of ligand-receptor complex was evaluated using molecular dynamics simulations. In line with the results, two natural compounds ZINC000014946303 and ZINC000006003042 were found in the ZINC database, potential effective inhibitors of IGF-1R. ZINC000014946303 and ZINC000006003042 can bind to IGF-1R with high binding affinity as predicted by molecular docking. It was also found that they are not hepatotoxic, with less developmental toxicity potential, rodent carcinogenicity, Ames mutagenicity, and high tolerance to cytochrome P4502D6. Hereby, this study aimed to screen out ideal compounds that have inhibitory effects on IGF-1R from the drug library and, at the same time, provide a direction for the future development of IGF-1R inhibitors.
IGF-1R属于酪氨酸激酶家族,是目前新发现的药物靶点。IGF-1R抑制剂可直接与IGF-1R结合,达到抑制IGF-1R功能的效果。目前临床上IGF-1R抑制剂对尤文氏肉瘤有较好的临床疗效。在本文中,我们通过计算机辅助虚拟技术筛选能够抑制IGF-1R功能的化合物。首先,LibDock可以筛选一些与IGF-1R对接性能好的分子。然后进行ADME分析(吸附、分布、代谢、排泄)和毒性指标。通过分子对接验证IGF-1R与配体之间的结合机制和结合亲和力。最后,利用分子动力学模拟评价了配体-受体复合物的稳定性。与结果一致,在ZINC数据库中发现了两种天然化合物ZINC000014946303和ZINC000006003042,它们可能是IGF-1R的有效抑制剂。ZINC000014946303和ZINC000006003042可以通过分子对接预测与IGF-1R具有较高的结合亲和力。研究还发现它们没有肝毒性,具有较小的发育毒性、啮齿类致癌性、Ames诱变性和对细胞色素P4502D6的高耐受性。因此,本研究旨在从药物文库中筛选出对IGF-1R具有抑制作用的理想化合物,同时为今后IGF-1R抑制剂的开发提供方向。
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引用次数: 0
A novel ALG10/TGF-β positive regulatory loop contributes to the stemness of colorectal cancer 一个新的ALG10/TGF-β正调控环参与结直肠癌的发生
Pub Date : 2022-06-09 DOI: 10.18632/aging.204116
Xiaotian Xu, Huideng Wang, Xinhui Li, Xiaoqun Duan, Yuhui Wang
The roles of asparagine-linked glycosylation (ALG) members in tumorigenic process have been widely explored. However, their effects in colorectal cancer progression are still confusing. Here, we screened 12 ALGs’ expression through online datasets and found that ALG10 was mostly upregulated in colorectal cancer tissues. We found that ALG10 knockdown significantly suppressed the expression of stemness markers, ALDH activity, and sphere-formation ability. In vivo tumorigenic analysis indicated that ALG10 knockdown attenuated the tumor-initiating ability and chemoresistance of colorectal cancer cells. Further mechanistic studies showed that ALG10 knockdown suppressed the activity of TGF-β signaling by reducing TGFBR2 glycosylation, which was necessary for ALG10-mediated effects on colorectal cancer stemness; Conversely, TGF-β signaling activated ALG10 gene promoter activity through Smad2’s binding to ALG10 gene promoter and TGF-β signaling promoted the stemness of colorectal cancer cells in an ALG10-dependent manner. This work identified a novel ALG10/TGF-β positive regulatory loop responsible for colorectal cancer stemness.
天冬酰胺糖基化(ALG)成员在肿瘤发生过程中的作用已被广泛探讨。然而,它们在结直肠癌进展中的作用仍然令人困惑。在这里,我们通过在线数据集筛选了12个ALGs的表达,发现ALG10在结直肠癌组织中大多上调。我们发现,ALG10敲低显著抑制了茎干标记的表达、ALDH活性和成球能力。体内致瘤性分析表明,敲低ALG10降低了结直肠癌细胞的肿瘤启动能力和化疗耐药性。进一步的机制研究表明,敲低ALG10通过降低TGFBR2糖基化抑制TGF-β信号活性,这是ALG10介导的结直肠癌干细胞效应所必需的;相反,TGF-β信号通过Smad2结合ALG10基因启动子激活ALG10基因启动子活性,TGF-β信号以依赖ALG10的方式促进结直肠癌细胞的干性。本研究发现了一个新的ALG10/TGF-β正调控环,与结直肠癌的发生有关。
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引用次数: 2
Histone deacetylase 4 reverses cellular senescence via DDIT4 in dermal fibroblasts 组蛋白去乙酰化酶4通过DDIT4逆转真皮成纤维细胞衰老
Pub Date : 2022-06-09 DOI: 10.18632/aging.204118
Yuri Lee, M. J. Song, Ji Hwan Park, M. Shin, Min-Kyoung Kim, D. Hwang, Dong Hun Lee, Jin Ho Chung
Histone deacetylases (HDACs) remove acetyl groups from lysine chains on histones and other proteins and play a crucial role in epigenetic regulation and aging. Previously, we demonstrated that HDAC4 is consistently downregulated in aged and ultraviolet (UV)-irradiated human skin in vivo. Cellular senescence is a permanent cell cycle arrest induced by various stressors. To elucidate the potential role of HDAC4 in the regulation of cellular senescence and skin aging, we established oxidative stress- and UV-induced cellular senescence models using primary human dermal fibroblasts (HDFs). RNA sequencing after overexpression or knockdown of HDAC4 in primary HDFs identified candidate molecular targets of HDAC4. Integrative analyses of our current and public mRNA expression profiles identified DNA damage-inducible transcript 4 (DDIT4) as a critical senescence-associated factor regulated by HDAC4. Indeed, DDIT4 and HDAC4 expressions were downregulated during oxidative stress- and UV-induced senescence. HDAC4 overexpression rescued the senescence-induced decrease in DDIT4 and senescence phenotype, which were prevented by DDIT4 knockdown. In addition, DDIT4 overexpression reversed changes in senescence-associated secretory phenotypes and aging-related genes, suggesting that DDIT4 mediates the reversal of cellular senescence via HDAC4. Collectively, our results identify DDIT4 as a promising target regulated by HDAC4 associated with cellular senescence and epigenetic skin aging.
组蛋白去乙酰化酶(Histone deacetylases, HDACs)可以去除组蛋白和其他蛋白质赖氨酸链上的乙酰基,在表观遗传调控和衰老中起着至关重要的作用。先前,我们证明了HDAC4在衰老和紫外线照射的人体皮肤中持续下调。细胞衰老是由各种应激源引起的永久性细胞周期停滞。为了阐明HDAC4在调节细胞衰老和皮肤衰老中的潜在作用,我们利用原代人真皮成纤维细胞(HDFs)建立了氧化应激和紫外线诱导的细胞衰老模型。在原代HDFs中过表达或敲低HDAC4后的RNA测序确定了HDAC4的候选分子靶点。对我们目前和公开的mRNA表达谱的综合分析发现,DNA损伤诱导转录物4 (DDIT4)是由HDAC4调节的关键衰老相关因子。事实上,在氧化应激和紫外线诱导的衰老过程中,DDIT4和HDAC4的表达下调。HDAC4过表达挽救了衰老诱导的DDIT4和衰老表型的下降,这是由DDIT4敲低阻止的。此外,DDIT4过表达逆转了衰老相关分泌表型和衰老相关基因的变化,表明DDIT4通过HDAC4介导细胞衰老的逆转。总之,我们的研究结果确定了DDIT4是HDAC4调控的一个有希望的靶标,与细胞衰老和表观遗传性皮肤老化有关。
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引用次数: 4
ZhenQi FuZheng formula inhibits the growth of colorectal tumors by modulating intestinal microflora-mediated immune function 贞芪扶正方通过调节肠道菌群介导的免疫功能抑制结直肠肿瘤的生长
Pub Date : 2022-06-08 DOI: 10.18632/aging.204111
Weiqi Meng, Zhiping Li, Yiting Zhang, Anhui Yang, Yanzhen Wang, Yulin Zhou, Wanyue Wu, Ye Qiu, Lanzhou Li
Zhenqi Fuzheng formula (ZQFZ), of which the main ingredients are Astragalus membranaceus and Ligustrum lucidum, has immune system regulatory functions and potential anti-tumor bioactivity. The inhibition of colorectal tumor growth by ZQFZ was analyzed in inflammatory cells and B6/JGpt-Apcem1Cin(MinC)/Gpt (ApcMin/+) mice. ZQFZ exhibited anti-inflammatory activity by decreasing the phosphorylation of nuclear factor-kappa B (NF-κB) pathway-related proteins in lipopolysaccharide-induced RAW264.7 cells. After 56 days of treatment, ZQFZ alleviated the progression of colorectal cancer (CRC) and increased the body weight and thymic index values of the ApcMin/+ mice. An analysis of the intestinal microflora showed that ZQFZ affected the abundance of certain immune-related bacteria, which may explain its immunomodulatory effects. Moreover, the percentages of T cells and NK cells in peripheral blood were significantly increased and 15 immune-related cytokines were regulated in serum or the colon or both. ZQFZ upregulated the levels of CD4 and CD8 in the spleen and colorectal tumors and decreased the expression levels of cytotoxic T-lymphocyte-associated protein 4 and programmed death-ligand 1 in colorectal tumors. ZQFZ promoted an anti-tumor immune response and inhibited the occurrence and development of CRC by regulating the immune system. This study provides the experimental basis for the application of ZQFZ as a therapeutic agent for CRC.
贞芪扶正方具有免疫系统调节功能和潜在的抗肿瘤生物活性,主要成分为黄芪和女贞。在炎症细胞和B6/JGpt-Apcem1Cin(MinC)/Gpt (ApcMin/+)小鼠中分析ZQFZ对结直肠癌肿瘤生长的抑制作用。ZQFZ通过降低脂多糖诱导的RAW264.7细胞中核因子κB (NF-κB)通路相关蛋白的磷酸化而表现出抗炎活性。治疗56 d后,ZQFZ缓解了ApcMin/+小鼠的结直肠癌(CRC)进展,增加了ApcMin/+小鼠的体重和胸腺指数。对肠道菌群的分析表明,ZQFZ影响某些免疫相关细菌的丰度,这可能解释了其免疫调节作用。外周血中T细胞和NK细胞的比例显著升高,血清或结肠或两者中15种免疫相关细胞因子受到调节。ZQFZ上调脾脏和结直肠肿瘤中CD4和CD8水平,降低结直肠肿瘤中细胞毒性t淋巴细胞相关蛋白4和程序性死亡配体1的表达水平。ZQFZ通过调节免疫系统,促进抗肿瘤免疫应答,抑制结直肠癌的发生发展。本研究为ZQFZ作为结直肠癌治疗剂的应用提供了实验依据。
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引用次数: 0
Identification of biomarkers for immunotherapy response in prostate cancer and potential drugs to alleviate immunosuppression 前列腺癌免疫治疗反应的生物标志物鉴定和缓解免疫抑制的潜在药物
Pub Date : 2022-06-08 DOI: 10.18632/aging.204115
Jinpeng Zhang, Xiaohui Ding, Kun Peng, Zhankui Jia, Jinjian Yang
Background: Immunotherapy has a significant effect on the treatment of many tumor types. However, prostate cancers generally fail to show significant responses to immunotherapy owing to their immunosuppressive microenvironments. To sustain progress towards more effective immunotherapy for prostate cancer, comprehensive analyses of the genetic characteristics of the immune microenvironment and novel therapeutic strategies are required. Methods: The transcriptome profiles of patients with prostate cancer were obtained from GEO and processed with the TIDE algorithm to predict their responses to immunotherapy. Next, the significant differentially expressed genes (DEGs) between the responder and non-responder groups were identified and used to compute the co-expression modules by WGCNA. Then, co-expression networks were constructed and survival analysis was applied to hub genes. Finally, drug candidates to alleviate immunosuppression were filtered in prostate cancer using GSEA based on hub genes. Results: In total, we identified 2758 significant DEGs and constructed 16 co-expression modules, seven of which were significantly correlated with the immune response score. In total, 133 hub genes were identified, of which 13 were significantly associated with prostate cancer prognosis. Co-expression networks of hub genes were constructed with KMT2B at the center. Finally, six candidate drugs for prostate cancer immunotherapy were identified in PC3 and LNCaP cell lines. Conclusions: We obtained datasets from multiple platforms, performed integrated bioinformatic analysis to identify 133 hub genes and 13 biomarkers of an immunotherapy response, and six candidate drugs were filtered to inhibit the immunosuppressive tumor microenvironment, to ultimately improve patient responses to immunotherapy in prostate cancer.
背景:免疫疗法在许多肿瘤类型的治疗中都有显著的效果。然而,前列腺癌由于其免疫抑制微环境,通常对免疫治疗没有显着的反应。为了使前列腺癌的免疫治疗取得更有效的进展,需要对免疫微环境的遗传特征进行全面分析,并制定新的治疗策略。方法:从GEO中获取前列腺癌患者的转录组谱,并用TIDE算法进行处理,预测其对免疫治疗的反应。接下来,通过WGCNA鉴定反应组和非反应组之间的显著差异表达基因(deg),并用于计算共表达模块。然后构建共表达网络,并对枢纽基因进行存活分析。最后,利用基于枢纽基因的GSEA筛选前列腺癌中缓解免疫抑制的候选药物。结果:共鉴定出2758个显著deg,构建了16个共表达模块,其中7个与免疫应答评分显著相关。共鉴定出133个枢纽基因,其中13个与前列腺癌预后显著相关。构建以KMT2B为中心的枢纽基因共表达网络。最后,在PC3和LNCaP细胞系中鉴定出6种前列腺癌免疫治疗候选药物。结论:我们从多个平台获取数据集,进行综合生物信息学分析,确定了133个中心基因和13个免疫治疗反应的生物标志物,并筛选了6种候选药物来抑制免疫抑制肿瘤微环境,最终提高前列腺癌患者对免疫治疗的反应。
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引用次数: 3
Advanced age is not the decisive factor in chemotherapy of small cell lung cancer: a population-based study 高龄不是小细胞肺癌化疗的决定性因素:一项基于人群的研究
Pub Date : 2022-06-08 DOI: 10.18632/aging.204114
Hanyu Rao, Shunping Zhou, Aihong Mei, Anjie Yao, Shuanshuan Xie
Objective: There is limited research on the impact of chemotherapy on the prognosis of different age group patients with small cell lung cancer (SCLC). The aim of this study was to explore the impact of chemotherapy on survival prognosis of elderly patients with SCLC. Methods: Based on the Surveillance, Epidemiology and End Results (SEER) database, 57,460 SCLC patients between 2004 and 2015 were identified and divided into a ≤ 80 years group (n = 50,941) and a >80 years group (n = 6,519). Confounding factors were controlled by propensity score matching (PSM) analysis. Kaplan Meier (KM) analysis was performed to determine the impact of chemotherapy on overall survival (OS) and lung-cancer specific survival (LCSS) of the patients. Other variables that could affect survival of SCLC patients were also examined by COX analysis. Results: KM analysis showed that both OS and LCSS were improved in chemotherapy group compared to those in non-chemotherapy group (log rank P < 0.001) in both age groups after PSM. Cox analysis demonstrated the survival benefit of chemotherapy in both ≤ 80 years group (OS: HR 0.435; 95% CI 0.424–0.447; LCSS: HR 0.436; 95% CI 0.424–0.448) and >80 years group (OS: HR 0.424; 95% CI 0.397–0.451; LCSS: HR 0.415; 95% CI 0.389–0.444). Additionally, the following parameters had a negative impact on survival of elderly patients: male sex, tumor location in main bronchus, increased stage, bilateral tumor, no surgery or radiation, and lower median household income. Conclusions: Elderly patients with SCLC should be encouraged to receive chemotherapy provided their general conditions permit.
目的:化疗对不同年龄组小细胞肺癌(SCLC)患者预后影响的研究有限。本研究旨在探讨化疗对老年SCLC患者生存预后的影响。方法:基于监测、流行病学和最终结果(SEER)数据库,确定2004 - 2015年57,460例SCLC患者,并将其分为≤80岁组(n = 50,941)和>80岁组(n = 6,519)。采用倾向得分匹配(PSM)分析控制混杂因素。Kaplan Meier (KM)分析化疗对患者总生存期(OS)和肺癌特异性生存期(LCSS)的影响。其他可能影响SCLC患者生存的变量也通过COX分析进行了检查。结果:KM分析显示,两组患者经PSM后,化疗组的OS和LCSS均较非化疗组改善(log rank P < 0.001)。Cox分析显示,化疗在≤80岁组的生存获益(OS: HR 0.435;95% ci 0.424-0.447;lcs: hr 0.436;95% CI 0.424 - 0.448)和>80岁组(OS: HR 0.424;95% ci 0.397-0.451;lcs: hr 0.415;95% ci 0.389-0.444)。此外,男性、肿瘤位于主支气管、分期增加、双侧肿瘤、未手术或放疗、家庭收入中位数较低等参数对老年患者的生存有负面影响。结论:在一般条件允许的情况下,应鼓励老年SCLC患者接受化疗。
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引用次数: 0
Effect of dominant follicle status at the time of retrieval on the clinical outcomes in natural cycle IVF combined with immature oocyte treatment 取卵时优势卵泡状态对自然周期体外受精联合未成熟卵母细胞处理临床结果的影响
Pub Date : 2022-06-07 DOI: 10.18632/aging.204106
Jian Hua Li, Tie-Cheng Sun, Shuiwen Zhang, Tingting Jiao, Yan Bin Cheng, Pan Dong, R. Chian, Ye Xu
Objective: It is commonly believed that the oocytes from small follicles are unhealthy when a dominant follicle (DF) is recruited in the ovaries, especially when the DF is ovulated. This study aims to confirm whether the presence or ovulation of DF at the time of retrieval affects the clinical outcome of the natural cycle IVF with in vitro maturation (NC-IVF/M) treatment. Methods: Data were collected from 446 women with regular menstrual cycle and 536 retrieval cycles using NC-IVF/M treatment. The cycles were divided into three groups based on the results of the oocyte retrieval cycle. Group A covers the collection of oocytes from the DF and small follicles; Group B incorporates failed oocyte retrieval from DF and then the oocytes are retrieved only from small follicles; and Group C includes the retrieval of oocytes only from small follicles accompanied with an ovulated DF. Furthermore, Group B and C have subgroups to include whether in vivo matured oocytes were obtained from small follicles. Following aspiration of DF and small follicles, mature oocytes were inseminated on the date of retrieval by intracytoplasmic sperm injection (ICSI) and the immature oocytes were matured in vitro. If the immature oocytes were matured in vitro, they were inseminated using ICSI, and then the embryos obtained from in vivo and in vitro matured oocytes were transferred accordingly. Results: The oocytes from DF were successfully retrieved in 445 cycles (83.0%), failed to be retrieved in 54 cycles (10.1%) and ovulated in 37 cycles (6.9%). In Group A, an average of 2.0 ± 1.7 mature oocytes were retrieved, which was significantly higher than the average of Group B, with 1.3 ± 1.3 matured oocytes and Group C, with an average of 1.1 ± 1.5 matured oocytes (P < 0.01). However, the average number of immature oocytes retrieved from each group show no difference among the three groups. There was no significant difference in maturation rates of immature oocytes, fertilization rates among the three groups. The clinical pregnancy rate per transfer cycle is 34.5%, 34.6% and 25.7% in Group A, B and C, respectively. No significant differences were observed in embryonic development and implantation capacity in Group B and C in comparison to Group A. And there was no significant difference in clinical pregnancy, implantation, live birth and miscarriage rates among the three groups. No significant differences were observed in the developmental and implantation capacity according to with or without in vivo matured oocytes were retrieved in Group B and Group C. Conclusion: The presence or ovulation of the dominant follicle from the ovaries does not significantly influence the developmental and implantation capacity of immature oocytes retrieved from small follicles, suggesting that NC-IVF/M is a promising treatment option for women without ovarian stimulation.
目的:人们普遍认为,当优势卵泡(DF)在卵巢内募集时,尤其是当优势卵泡排卵时,来自小卵泡的卵母细胞是不健康的。本研究旨在确认提取时DF的存在或排卵是否会影响自然周期体外成熟IVF (NC-IVF/M)治疗的临床结果。方法:收集446例月经周期正常的妇女和536例采用NC-IVF/M治疗的妇女的资料。根据卵母细胞回收周期的结果将周期分为三组。A组包括来自DF和小卵泡的卵母细胞;B组从DF中取出失败的卵母细胞,然后只从小卵泡中取出卵母细胞;C组包括仅从小卵泡中取出卵母细胞并伴有排卵的DF。此外,B组和C组有亚组,包括是否从小卵泡中获得体内成熟卵母细胞。取DF和小卵泡后,取卵当天用胞浆内单精子注射(ICSI)对成熟卵母细胞进行授精,未成熟卵母细胞体外成熟。如果未成熟卵母细胞在体外成熟,则使用ICSI进行受精,然后将体内和体外成熟卵母细胞获得的胚胎进行移植。结果:DF取卵成功445个周期(83.0%),取卵失败54个周期(10.1%),排卵37个周期(6.9%)。A组平均回收成熟卵母细胞2.0±1.7个,显著高于B组(1.3±1.3个)和C组(1.1±1.5个)(P < 0.01)。然而,从每组中取出的未成熟卵母细胞的平均数量在三组之间没有差异。三组间未成熟卵母细胞成熟率、受精率无显著差异。A、B、C组每个移植周期临床妊娠率分别为34.5%、34.6%、25.7%。与a组相比,B组和C组胚胎发育和着床能力无显著差异,三组临床妊娠、着床率、活产率和流产率均无显著差异。结论:卵巢优势卵泡的存在或排卵对小卵泡未成熟卵母细胞的发育和着床能力无显著影响,提示NC-IVF/M对于无卵巢刺激的女性是一种很有前景的治疗选择。
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引用次数: 3
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Aging (Albany NY)
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