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Prognostic Value of Tertiary Lymphoid Structures in Primary Breast Cancer and Their Association With Immune Microenvironment 原发性乳腺癌三级淋巴结构的预后价值及其与免疫微环境的关系。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-09 DOI: 10.1111/apm.70114
YunXia Xu, ShuiLong Liu, XiaoKai Ling, FenHua Wang, Jian Qian

This study aimed to investigate the distribution, maturity, and prognostic significance of tertiary lymphoid structures (TLS) in primary breast cancer (BC), and to analyze the relationship between TLS clinicopathological features and the tumor immune microenvironment. Sixty postoperative tumor samples from patients with primary BC were retrospectively analyzed. The presence and maturity of TLS in tumor tissues were evaluated by immunohistochemical staining. The association of status and clinicopathological characteristics of TLS with immune cell infiltration was analyzed. Recurrence-free survival (RFS) and predictive factors were assessed using Kaplan–Meier survival analysis and univariate/multivariate logistic regression. TLS was detected in 35 (58.33%) patients, including 23 cases of secondary follicle-like TLS, 8 cases of early TLS, and 4 cases of primary follicle-like TLS. Compared with the non-TLS group, the TLS group showed significantly higher expression of estrogen receptor and progesterone receptor (p < 0.05). The presence of TLS was significantly associated with improved RFS (HR = 0.163, p = 0.035), with secondary follicle-like TLS showing the most favorable survival trend. TLS-positive tumors had significantly increased infiltration of CD4+ T cells (p = 0.004), while CD8+ T cell infiltration was slightly higher but not statistically significant. The presence of TLS, especially mature TLS, is associated with favorable clinicopathological features and improved prognosis in patients with primary BC, along with increased CD4+ T cell infiltration, suggesting an important role of TLS in regulating the tumor immune microenvironment. TLS may serve as a potential biomarker for prognosis evaluation and a target for immunomodulatory strategies in BC.

本研究旨在探讨原发性乳腺癌(BC)中三级淋巴样结构(TLS)的分布、成熟程度及预后意义,并分析其临床病理特征与肿瘤免疫微环境的关系。回顾性分析60例原发性BC术后肿瘤样本。免疫组化染色评价肿瘤组织中TLS的存在及成熟度。分析TLS的状态及临床病理特征与免疫细胞浸润的关系。采用Kaplan-Meier生存分析和单因素/多因素logistic回归评估无复发生存率(RFS)和预测因素。35例(58.33%)患者检出TLS,其中继发性滤泡样TLS 23例,早期滤泡样TLS 8例,原发性滤泡样TLS 4例。与非TLS组相比,TLS组雌激素受体和孕激素受体(p + T细胞)表达显著升高(p = 0.004), CD8+ T细胞浸润略高,但无统计学意义。TLS的存在,尤其是成熟TLS的存在,与原发性BC患者良好的临床病理特征和预后改善有关,同时与CD4+ T细胞浸润增加有关,提示TLS在调节肿瘤免疫微环境中具有重要作用。TLS可能作为预后评估的潜在生物标志物和BC免疫调节策略的靶点。
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引用次数: 0
Probiotic Potential of Lacticaseibacillus casei Isolated From Traditional Dairy Products and Its Hepatoprotective Effects in STZ-Induced Diabetic Rats 传统乳制品中干酪乳杆菌的益生菌潜力及其对糖尿病大鼠的保肝作用。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-03 DOI: 10.1111/apm.70112
Yousef Nami, Parsa Johari, Alireza Dehnad

Type 2 diabetes mellitus is linked to liver dysfunction and gut dysbiosis, and probiotics, especially Lactobacillus strains, are considered potential biotherapeutics for improving metabolic health. In this study, 15 lactic acid bacteria were isolated from traditional dairy products in Northwestern Iran and assessed for probiotic properties, including acid and bile tolerance, aggregation, hydrophobicity, antibacterial activity, and safety. Strain ad1 exhibited high acid (71.13% ± 0.62% at pH 2.5, 3 h) and bile tolerance (74.31% ± 0.65% at 0.3% oxgall, 4 h), strong autoaggregation (69.61%), and broad antibacterial activity, notably against Staphylococcus aureus (21.4 mm inhibition zone). Additionally, it was non-hemolytic and sensitive to all eight tested antibiotics. To evaluate its antidiabetic potential, ad1 was administered to streptozotocin-induced diabetic rats for 4 weeks. Results showed significant reductions in ALT (60.6 ± 1.3 to 45.5 ± 0.8 U/L), AST (93.5 ± 1.0 to 60.1 ± 1.2 U/L), ALP (264.1 ± 34.2 to 191.3 ± 28.2 U/L), and blood glucose (311.9 ± 37.2 to 153.1 ± 36.9 mg/dL, p < 0.05). Histopathological analysis confirmed reduced hepatic damage and steatosis. In conclusion, Lacticaseibacillus casei strain ad1 shows strong probiotic potential, along with hepatoprotective and antihyperglycemic effects, making it a promising candidate for T2DM management.

2型糖尿病与肝功能障碍和肠道生态失调有关,益生菌,特别是乳酸杆菌菌株,被认为是改善代谢健康的潜在生物治疗药物。在这项研究中,从伊朗西北部的传统乳制品中分离出15种乳酸菌,并评估了益生菌的特性,包括酸和胆汁耐受性、聚集性、疏水性、抗菌活性和安全性。菌株ad1具有较高的耐酸性(pH为2.5,3 h, 71.13%±0.62%)和胆汁耐受性(pH为0.3%,4 h, 74.31%±0.65%),强自聚集性(69.61%)和广泛的抗菌活性,特别是对金黄色葡萄球菌(21.4 mm抑制区)。此外,它是非溶血的,对所有8种测试抗生素都敏感。为了评估其降糖潜能,我们将ad1给予链脲佐菌素诱导的糖尿病大鼠4周。结果:ALT(60.6±1.3 ~ 45.5±0.8 U/L)、AST(93.5±1.0 ~ 60.1±1.2 U/L)、ALP(264.1±34.2 ~ 191.3±28.2 U/L)、血糖(311.9±37.2 ~ 153.1±36.9 mg/dL)显著降低
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引用次数: 0
Large-Scale Study Comparing Analytical and Diagnostic Quality of Three HPV Self-Sampling Devices for At-Home Cervical Cancer Screening 比较三种HPV自采样装置在家庭宫颈癌筛查中的分析和诊断质量的大规模研究。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-03 DOI: 10.1111/apm.70109
Alexander Arum, Emilie Korsgaard Andreasen, Helle Pedersen, Trine Dahl Nielsen, Peter Frandsen, Birgitte Tønnes Pedersen, Estrid Hogdall, Jesper Bonde

Elimination of cervical cancer requires broad access to and participation in cervical screening. Self-sampling has emerged as a robust technology that simplifies access; however, few self-sampling devices are independently validated regarding sample quality. This study compares the quality of three self-sampling devices: Evalyn (Rovers), currently used in Denmark, the FLOQSwab (Copan) and the modified FLOQSwab: SensiGrip. Women residing in the Capital Region of Denmark, accepting screening by self-sampling, were offered a kit containing the following combinations of devices: (1) Evalyn, FLOQSwab, (2) Evalyn, SensiGrip or (3) FLOQSwab, SensiGrip. Returned kits were analyzed using the validated BD Onclarity HPV assay on the COR instrument (BD). A total of 1677 women participated. Sample quality was similar across devices, also when stratifying into age groups. Two hundred thirty-two women (13.9%) tested positive for one or more oncogenic HPV types. Pairwise concordance analysis for each group showed an overall agreement between 93.5% and 95%. Analytical and diagnostic performance of samples collected by the three self-sampling devices resulted in similar quality and HPV detection. Hence the sample quality is not a determinant in the choice of sampling device and focus on other factors such as cost, women's preference or size and weight can take precedence.

要消除子宫颈癌,就必须广泛接受和参与子宫颈普查。自采样已经成为一种简化访问的强大技术;然而,很少有自采样设备对样品质量进行独立验证。本研究比较了三种自采样设备的质量:目前在丹麦使用的Evalyn (Rovers), FLOQSwab (Copan)和改进的FLOQSwab: SensiGrip。居住在丹麦首都地区接受自我抽样筛查的妇女获得了一个包含以下设备组合的试剂盒:(1)Evalyn, FLOQSwab, (2) Evalyn, SensiGrip或(3)FLOQSwab, SensiGrip。在COR仪器(BD)上使用经过验证的BD Onclarity HPV检测分析返回的试剂盒。共有1677名女性参与了调查。不同设备的样本质量相似,按年龄组分层也是如此。232名女性(13.9%)检测出一种或多种致癌型HPV呈阳性。各组的两两一致性分析显示,总体一致性在93.5% ~ 95%之间。三种自采样装置收集的样品的分析和诊断性能导致相似的质量和HPV检测。因此,在选择抽样设备时,样品质量不是一个决定因素,而关注其他因素,如成本、女性的偏好或尺寸和重量可以优先考虑。
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引用次数: 0
Application of a Nano-Silica Coating on Fly Ash Concrete Controlling Fungal Biofilm Based Biodeterioration 纳米二氧化硅涂层在粉煤灰混凝土上控制真菌生物膜生物降解的应用。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-02 DOI: 10.1111/apm.70101
Jyoti Saha, Anirban Chaudhuri, Sangsaptak Dutta, Subarna Bhattacharyya, Punarbasu Chaudhuri

Fly ash concrete (FAC) biodeterioration caused by fungal biofilm is a major problem for the building sector. Both biodeterioration of FACs and the effectiveness of nanosilica coating for its prevention were assessed in laboratory conditions. According to preliminary tests, Aspergillus tamarii caused higher biodeterioration on FAC than Aspergillus niger. In subsequent tests, FAC cubes (10 cm × 10 cm × 10 cm) were utilised to create three setups: control (Set-C), biodeterioration infected with A. tamarii (Set-B), and preventive set (Set-P), which contained the growth of both A. tamarii on nanocoated cubes. After 6 months, the Set-B cubes had obvious fungal colonisation and surface damage, while the Set-P cubes exhibited less degradation. The Set-P cubes showed less calcium ion leaching and improved compressive strength than the Set-B. The concrete in Set-B lost 17.42% of its compressive strength, compared to 7.34% in Set-P. The biodeterioration caused by A. tamarii is successfully prevented by the silicon oxide nanocoating. The calcium leaching from the FAC as a result of carboxylic acids generated by the studied fungus was confirmed by the FTIR and EDXRF observation. This work reveals the mechanisms and potentiality of nano-silica coatings on concrete to control fungal biofilm growth.

由真菌生物膜引起的粉煤灰混凝土(FAC)生物劣化是困扰建筑行业的一个主要问题。在实验室条件下评估了活性炭的生物劣化和纳米二氧化硅涂层对其预防的有效性。初步试验表明,柽鹿曲霉比黑曲霉对FAC的生物降解作用更大。在随后的试验中,使用FAC立方体(10 cm × 10 cm × 10 cm)创建了三种设置:对照组(set - c)、感染了柽柽鱼的生物变质组(set - b)和预防组(set - p),其中两种柽柽鱼都在纳米涂层立方体上生长。6个月后,Set-B立方体有明显的真菌定植和表面损伤,而Set-P立方体降解较少。与Set-B相比,Set-P的钙离子浸出较少,抗压强度提高。b组混凝土抗压强度损失17.42%,p组混凝土抗压强度损失7.34%。氧化硅纳米涂层成功地防止了柽柽鱼的生物变质。通过FTIR和EDXRF观察,证实了真菌产生的羧酸对FAC中钙的浸出作用。这项工作揭示了纳米二氧化硅涂层在混凝土上控制真菌生物膜生长的机制和潜力。
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引用次数: 0
Clinical Study evaluating the Diagnostic Value of Cardiac Ultrasound Parameters Combined With Serum miR-324-3p in Septic Cardiac Dysfunction 心超参数联合血清miR-324-3p对脓毒性心功能障碍诊断价值的临床研究
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-02 DOI: 10.1111/apm.70095
Xueqing Fu, Liu Yin

Ultrasonic examinations showed significant limitations in the early detection and prognostic prediction of sepsis-induced myocardial dysfunction (SIMD), needing assisting biomarkers. The diagnostic and prognostic potential of miR-324-3p in SIMD was evaluated in this study, aiming to explore a novel biomarker. The functional role of miR-324-3p in regulating myocardial cell injury was assessed in H9c2 cells. The study enrolled 210 sepsis patients, including 98 patients diagnosed with SIMD. The significance of miR-324-3p in SIMD risk prediction, screening, and prognosis prediction was evaluated. Moreover, ultrasonic parameters, involving LVEF, LVDd, LAD, and FS, were compared between sepsis and SIMD patients, and the diagnostic and prognostic values of these parameters were also assessed. Silencing miR-324-3p exerted significantly protective effects on myocardial cell injury. Increasing serum miR-324-3p was observed in SIMD patients and was positively correlated with Dallas grades. LVEF, LVDd, LAD, and FS also showed significance in discriminating SIMD patients, but a single parameter cannot possess both satisfactory sensitivity and specificity. Serum miR-324-3p could help improve the diagnostic accuracy, sensitivity, and specificity of ultrasonic parameters in screening SIMD, and miR-324-3p was also identified as an independent risk factor for the adverse prognosis of SIMD patients.

超声检查在脓毒症诱导心肌功能障碍(SIMD)的早期发现和预后预测方面存在明显局限性,需要辅助的生物标志物。本研究评估了miR-324-3p在SIMD中的诊断和预后潜力,旨在探索一种新的生物标志物。在H9c2细胞中评估miR-324-3p在调节心肌细胞损伤中的功能作用。该研究招募了210名败血症患者,其中98名被诊断为SIMD。评价miR-324-3p在SIMD风险预测、筛查及预后预测中的意义。比较脓毒症与SIMD患者的LVEF、LVDd、LAD、FS等超声参数,并评估这些参数的诊断和预后价值。沉默miR-324-3p对心肌细胞损伤具有显著的保护作用。SIMD患者血清miR-324-3p升高,且与Dallas分级呈正相关。LVEF、LVDd、LAD、FS对SIMD患者的鉴别也有显著意义,但单一参数不能同时具有满意的敏感性和特异性。血清miR-324-3p有助于提高超声参数筛查SIMD的诊断准确性、敏感性和特异性,miR-324-3p也被认为是SIMD患者预后不良的独立危险因素。
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引用次数: 0
MUC1 in Colorectal Carcinoma: Association With Prognosis and Putative Anoikis-Resistant Structures 结直肠癌MUC1:与预后和推测的耐气味结构的关系。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-02 DOI: 10.1111/apm.70105
Taneli T. Mattila, Madhura Patankar, Juha P. Väyrynen, Kai Klintrup, Jyrki Mäkelä, Anne Tuomisto, Pentti Nieminen, Markus J. Mäkinen, Tuomo J. Karttunen

Mucin 1 (MUC1) is overexpressed in colorectal cancer (CRC), yet its prognostic value is controversial. In vitro, MUC1 promotes anoikis resistance. Putative anoikis-resistant (AR) structures are clusters of carcinoma cells surviving without matrix contact, and are associated with adverse prognosis. We explored the prognostic role of MUC1 in CRC and its association with putative AR structures. We studied 118 patients with CRC, including 52 with nodal metastases. Immunohistochemical MUC1 expression was analyzed in primary tumors and nodal metastases by estimating the proportions of MUC1-positive carcinoma cells within different subpopulations. In primary tumors, MUC1 expression was increased in most putative AR structure types, and abundant AR structures were associated with elevated MUC1. MUC1 in primary tumors was not prognostic. In nodal metastases, MUC1 levels correlated with those in primary tumors but were lower. High MUC1 levels in both primary tumors and metastases were associated with worse prognosis as compared with expression decreasing in nodal metastases. High MUC1 expression in nodal metastases was associated with synchronous distant metastasis and adverse prognosis. In conclusion, primary tumor MUC1 is not prognostic. In nodal metastases, high MUC1 associates with distant metastasis and poor outcomes. Putative AR structures show high MUC1 expression supporting its role in anoikis resistance.

粘蛋白1 (MUC1)在结直肠癌(CRC)中过表达,但其预后价值仍有争议。在体外,MUC1促进anoikis的抗性。假定的抗气味(AR)结构是癌细胞簇在没有基质接触的情况下存活,并与不良预后相关。我们探讨了MUC1在结直肠癌中的预后作用及其与推测的AR结构的关系。我们研究了118例结直肠癌患者,其中52例有淋巴结转移。通过估计不同亚群中MUC1阳性癌细胞的比例,免疫组织化学分析MUC1在原发性肿瘤和淋巴结转移中的表达。在原发肿瘤中,MUC1在大多数推测的AR结构类型中表达增加,而丰富的AR结构与MUC1的升高有关。MUC1在原发肿瘤中与预后无关。在淋巴结转移中,MUC1水平与原发肿瘤相关,但较低。MUC1在原发肿瘤和转移瘤中的高表达与较差的预后相关,而在淋巴结转移瘤中表达降低。MUC1在淋巴结转移中高表达与同步远处转移和不良预后相关。总之,原发肿瘤MUC1与预后无关。在淋巴结转移中,高MUC1与远处转移和不良预后相关。推测的AR结构显示MUC1高表达,支持其在抗anoikis中的作用。
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引用次数: 0
Knockdown of LncRNA PART1 Inhibits Nerve Injury Caused by Ischemic Stroke by Regulating the Expression of miR-638 LncRNA PART1敲低通过调节miR-638的表达抑制缺血性脑卒中神经损伤
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-02 DOI: 10.1111/apm.70096
Guangfei Xu, Hewen Li, Ting Huang, Liang Xu, Danian Liu, Bo Ji

Ischemic stroke (IS), a life-threatening disease, carries a high risk of disability and death. Reverse transcription quantitative real-time polymerase chain reaction was utilized to measure the PART1 and miR-638 expression in patients with IS and oxygen–glucose deprivation/reoxygenation (OGD/R) model. Superoxide dismutase (SOD), malondialdehyde (MDA), lactate dehydrogenase (LDH), interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) levels were determined by enzyme-linked immunosorbent assay kit. Cell viability was assessed using the cell counting kit-8 assay. Apoptotic cells were analyzed by flow cytometry. To explore the interaction between PART1 and miR-638, luciferase reporter and RNA immunoprecipitation (RIP) assays were carried out. In patients with IS and OGD/R-treated cells, PART1 exhibited upregulation, whereas miR-638 showed downregulation; there was a negative correlation between these two molecules. Knockdown of PART1 increased cell viability, decreased apoptosis, lowered MDA, LDH, IL-6 and TNF-α levels, and increased SOD activity. PART1 negatively regulated miR-638 expression, and inhibition of miR-638 reduced the protective effect of the knockdown of PART1 on OGD/R-treated cells. This study demonstrated that knockdown of PART1 inhibits IS-induced neurological injury by regulating miR-638 expression, which promotes the understanding of IS disease and provides new options for the treatment of the disease.

缺血性中风(IS)是一种危及生命的疾病,具有很高的致残和死亡风险。采用逆转录定量实时聚合酶链反应检测IS患者PART1和miR-638的表达,并采用氧-葡萄糖剥夺/再氧化(OGD/R)模型。采用酶联免疫吸附测定试剂盒检测血清超氧化物歧化酶(SOD)、丙二醛(MDA)、乳酸脱氢酶(LDH)、白细胞介素-6 (IL-6)、肿瘤坏死因子-α (TNF-α)水平。采用细胞计数试剂盒-8法测定细胞活力。流式细胞术检测凋亡细胞。为了探索PART1与miR-638之间的相互作用,我们进行了荧光素酶报告基因和RNA免疫沉淀(RIP)实验。在IS和OGD/ r处理细胞的患者中,PART1表现出上调,而miR-638表现出下调;这两种分子之间呈负相关。敲低PART1可提高细胞活力,减少细胞凋亡,降低MDA、LDH、IL-6、TNF-α水平,提高SOD活性。PART1负向调节miR-638的表达,抑制miR-638降低了PART1敲低对OGD/ r处理细胞的保护作用。本研究表明,PART1的敲低通过调节miR-638的表达抑制IS诱导的神经损伤,促进了对IS疾病的认识,为IS疾病的治疗提供了新的选择。
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引用次数: 0
Diagnostic and Promotes Fracture Healing Value of Deregulated miR-143-3p in Patients With Osteoporotic Fractures miR-143-3p在骨质疏松性骨折患者中的诊断和促进骨折愈合价值
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-01 DOI: 10.1111/apm.70099
Lin Chen, He Huang, Zewei Gao

Osteoporotic fractures (OPF) impose a significant socioeconomic burden. Therefore, identifying reliable molecular biomarkers for early prediction and precise treatment of OPF is crucial. This study investigated the role of miR-143-3p in OPF. We analyzed serum from 188 OPF and 110 osteoporotic (OP) patients. qRT-PCR and ROC analyses showed that miR-143-3p was significantly downregulated in OPF versus OP controls (AUC = 0.893). More importantly, its expression level was markedly higher in patients with normal healing compared to delayed healing, positioning it primarily as a prognostic biomarker for healing outcomes rather than a diagnostic tool for fracture identification. Functionally, miR-143-3p inhibited apoptosis, promoted proliferation, and upregulated osteogenic markers (OCN, OPN, RUNX2). Mechanistically, it directly targeted and negatively regulated VASH1, as confirmed by luciferase assays and rescue experiments. In conclusion, miR-143-3p may serve as a promising prognostic biomarker for predicting fracture healing outcomes, potentially by targeting VASH1.

骨质疏松性骨折(OPF)造成了严重的社会经济负担。因此,确定可靠的分子生物标志物对OPF的早期预测和精确治疗至关重要。本研究探讨了miR-143-3p在OPF中的作用。我们分析了188例OPF和110例骨质疏松(OP)患者的血清。qRT-PCR和ROC分析显示,与OP对照组相比,OPF组miR-143-3p明显下调(AUC = 0.893)。更重要的是,与延迟愈合患者相比,正常愈合患者的表达水平明显更高,这使其主要被定位为愈合结果的预后生物标志物,而不是骨折识别的诊断工具。在功能上,miR-143-3p抑制细胞凋亡,促进细胞增殖,上调成骨标志物(OCN, OPN, RUNX2)。在机制上,荧光素酶测定和救援实验证实,它直接靶向并负调控VASH1。总之,miR-143-3p可能作为预测骨折愈合结果的有希望的预后生物标志物,可能通过靶向VASH1。
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引用次数: 0
SATB2 is Rarely Expressed in Endometrial or Endocervical Carcinoma SATB2在子宫内膜癌或宫颈内膜癌中很少表达
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-01 DOI: 10.1111/apm.70110
Tatiana Amaamri-Seebach, Mousa Mobarki, Shaqraa Musawi, Michel Péoc'h, Georgia Karpathiou

Special AT-rich sequence-binding protein 2 (SATB2) can distinguish primary ovarian mucinous tumors from ovarian metastases of colorectal or appendiceal tumors. However, its expression in other gynecological localizations remains underexplored. Whole-tumor sections of 376 endometrial and 27 endocervical carcinomas were examined for SATB2 expression. Among endometrial carcinomas, we found 10 cases (2.7%) expressing SATB2, all of which were endometrioid adenocarcinomas. In 8 of them, expression concerned only the morules. Only two cases expressed SATB2 in the glandular component, indicating 0.53% positivity in this cancer group. No stromal expression was detected. One case (3.8%) of endocervical adenocarcinoma focally expressed SATB2. SATB2 expression can be reliably used in the differential diagnosis of primary endometrial endometrioid and serous carcinomas as well as primary endocervical adenocarcinomas because nearly all of these tumors are SATB2-negative. SATB2 positivity in endometrial carcinomas is almost always restricted to morules within endometrioid adenocarcinomas.

特异的AT-rich sequence-binding protein 2 (SATB2)能够区分卵巢原发黏液性肿瘤与卵巢转移性结直肠或阑尾肿瘤。然而,其在其他妇科部位的表达仍未得到充分研究。对376例子宫内膜癌和27例宫颈内膜癌的全瘤切片进行了SATB2表达检测。在子宫内膜癌中,我们发现10例(2.7%)表达SATB2,均为子宫内膜样腺癌。其中8例的表达仅与小分子有关。只有2例在腺成分中表达SATB2,在该癌组中阳性率为0.53%。未检测到间质表达。1例(3.8%)宫颈腺癌局灶表达SATB2。SATB2表达可以可靠地用于原发性子宫内膜、子宫内膜样癌和浆液性癌以及原发性宫颈内膜腺癌的鉴别诊断,因为几乎所有这些肿瘤都是SATB2阴性。SATB2在子宫内膜癌中的阳性几乎总是局限于子宫内膜样腺癌的小块内。
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引用次数: 0
Advanced CYLD Cutaneous Syndrome (CCS) Treated With the Hedgehog Signaling Pathway Inhibitor Vismodegib Results in a Limited Clinical Response 刺猬信号通路抑制剂Vismodegib治疗晚期CYLD皮肤综合征(CCS)的临床反应有限
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-01 DOI: 10.1111/apm.70104
Jeanette Kaae, Lise Mette Rahbek Gjerdrum, Tim Svenstrup Poulsen, Estrid Hoegdall, Gregor Borut Jemec

CYLD Cutaneous syndrome (CCS) is a rare autosomal dominantly inherited disease associated with multiple nodular adnexal skin tumors, most commonly trichoepitheliomas and cylindromas. There is no evidence-based treatment for this disease. This study aimed to present the histological response and to investigate whether molecular and immunohistochemical analyses (exome sequencing) may provide insight into the rapid disease development and lack of response to treatment with Vismodegib. A patient treated with the Hedgehog Pathway Inhibitor Vismodegib. The CYLD (c.1437_1438del, p.Pro480PhefsTer16) frameshift deletion was identified in the family of our patient. In addition, our patient also lost the unaffected allele and was consequently homozygous for the deletion. Treatment with Vimodegib was unfortunately not effective. Furthermore, we observed no possible biomarkers of progression and/or treatment response. Hopefully, further studies will contribute to the genetic understanding of BSS and identify patients at high risk of developing severe disease, thereby supporting the stratification of patients who will benefit from early surgical treatment or treatment with Vismodegib.

CYLD皮肤综合征(CCS)是一种罕见的常染色体显性遗传疾病,与多发结节性附件皮肤肿瘤相关,最常见的是毛上皮瘤和圆筒状瘤。这种疾病没有循证治疗方法。本研究旨在呈现组织学反应,并研究分子和免疫组织化学分析(外显子组测序)是否可以深入了解疾病的快速发展和对Vismodegib治疗缺乏反应。用刺猬通路抑制剂Vismodegib治疗的患者。在患者家族中发现CYLD (c.1437_1438del, p.Pro480PhefsTer16)移码缺失。此外,我们的患者也失去了未受影响的等位基因,因此是纯合子的缺失。不幸的是,维莫德吉治疗无效。此外,我们没有观察到可能的进展和/或治疗反应的生物标志物。希望进一步的研究将有助于对BSS的遗传学理解,并确定发展为严重疾病的高风险患者,从而支持将受益于早期手术治疗或使用Vismodegib治疗的患者分层。
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