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Common Presenting Signs and Symptoms in Children with Acute Lymphoblastic Leukemia 急性淋巴细胞白血病儿童的常见症状和体征
Pub Date : 2021-03-14 DOI: 10.18502/BCCR.V12I1.5727
E. Shahverdi, M. Shahriari, S. Zare, M. Rahiminejad, F. Soleimani, M. Maki, Rojen Manouchehri, Mourad Haj Abdo
Background: Acute lymphoblastic leukemia (ALL) is one of the blood cancers responsible for 80% of children’s leukemia and is also the most common malignancy in patients aged under 14 years (frequency of 23% among all types of cancers). Regarding the importance of identifying clinical symptoms to diagnose the disease in the early stages, this study is conducted to investigate the symptoms at diagnosis in ALL children. Methods: In this retrospective cohort study, 350 patients aged under 14, referring to four hospitals of Shiraz University of Medical Sciences as reference hospitals in Southern Iran, participated between 2013 and 2019. Their information was collected using patients’ records, and the data were analyzed using SPSS version16. Results: Based on the findings of this study, the first clinical manifestations of the disease happened suddenly and acute, occurring within a few days to a maximum of 6 weeks before diagnosis. Fever (70%) and hepatomegaly (60%) were the most common signs and symptoms in patients. However, a significant percentage of ALL patients referred with non-specific symptoms. Conclusion:The results of this study indicate the importance of recognizing common and unusual signs and symptoms based on a complete and thorough history taking and accurate physical examination as well as rare symptoms that may be ignored or misdiagnosed by physicians. The knowledge of common signs and symptoms results in early diagnosis of the disease in early stages.
背景:急性淋巴细胞白血病(Acute lymphoblastic leukemia, ALL)是导致80%儿童白血病的血癌之一,也是14岁以下患者中最常见的恶性肿瘤(在所有类型的癌症中发病率为23%)。鉴于临床症状识别对早期诊断疾病的重要性,本研究旨在探讨ALL患儿在诊断时的症状。方法:在2013 - 2019年的回顾性队列研究中,350名14岁以下的患者参与了这项研究,他们以设拉子医科大学的四家医院为参考医院。他们的信息收集采用患者病历,数据分析采用SPSS version16。结果:根据本研究结果,该病的首次临床表现为突发性急性,在诊断前几天至最多6周内发生。发热(70%)和肝肿大(60%)是患者最常见的体征和症状。然而,有相当大比例的ALL患者转诊时有非特异性症状。结论:本研究的结果表明,在全面彻底的病史和准确的体格检查的基础上,识别常见和不寻常的体征和症状,以及可能被医生忽视或误诊的罕见症状的重要性。对常见体征和症状的了解有助于在早期阶段对疾病进行早期诊断。
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引用次数: 2
Identification of Psycho-Social Needs and Coping Strategies in Children with Cancer 癌症儿童心理社会需求的识别及应对策略
Pub Date : 2021-03-14 DOI: 10.18502/BCCR.V11I3.5717
Fariba Zarani, L. Panaghi, Seddighe Mirzaei, Sanaz Helmi
Background: Studies have shown that cancer creates a variety of problems and issues for children with cancer. It creates unique challenges for both the patients and their families. Despite the severe stress associated with these problems, most children are able to adequately cope with and adapt to cancer. However, some of the patients experience more severe or prolonged problems that require psychological support. The present study investigated the needs and coping strategies of Iranian children aged 9 to 13 with cancer. The goal was to determine the needs, concerns and coping strategies in children after being diagnosed with cancer. Methods: For this purpose, 12 children aged 9-13 with cancer as well as their mothers were selected from among children admitted to Mofid hospital. Patient selection was conducted in a purposeful sampling method. Data was collected in an in-depth semi-structured interview with the child and their mother and then analyzed using content analysis method. Results: The content analysis of individual interviews with the child and mother showed that the main concerns of these children were related to the hospital space, support, society, family and educational needs, which were responded to by five distinct types of coping. These coping methods include spiritual coping, admission of support and assistance, visiting relatives (on a regular basis) in a positive manner and negative behaviors such as active and passive aggression and avoiding presence in the community and society. The findings of this study indicate that Iranian children with cancer have special needs some of which have mental and emotional aspects, including worry about being a burden on their families, and they use different coping strategies to cope with their condition. One of the most important means of coping with cancer are family and relatives. Conclusion: Treatment centers should address these factors in order to improve the mental and physical health of their patients.
背景:研究表明,癌症会给患有癌症的儿童带来各种各样的问题。这给病人和他们的家人带来了独特的挑战。尽管与这些问题相关的严重压力,大多数儿童能够充分应对和适应癌症。然而,一些患者会经历更严重或更长时间的问题,需要心理支持。本研究调查了伊朗9至13岁癌症儿童的需求和应对策略。目的是确定被诊断患有癌症的儿童的需求、担忧和应对策略。方法:从Mofid医院收治的12名9-13岁的癌症患儿及其母亲中选取。患者选择采用有目的的抽样方法进行。通过对儿童及其母亲的深度半结构化访谈收集数据,然后使用内容分析法进行分析。结果:对儿童和母亲的个别访谈内容分析显示,儿童的主要担忧与医院空间、支持、社会、家庭和教育需求有关,并有五种不同的应对类型。这些应对方法包括精神上的应对、接受支持和帮助、以积极的方式(定期)探亲和消极的行为,如主动和被动的攻击以及避免出现在社区和社会中。这项研究的结果表明,患有癌症的伊朗儿童有特殊需求,其中一些有精神和情感方面的需求,包括担心成为家庭的负担,他们使用不同的应对策略来应对自己的病情。应对癌症最重要的手段之一是家人和亲戚。结论:治疗中心应解决这些因素,以改善患者的身心健康。
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引用次数: 0
Psychological Distress in Candidates for Surgery: a Comparative Study Between Patients with Chronic and Acute Diseases 外科手术候选者的心理困扰:慢性和急性疾病患者的比较研究
Pub Date : 2021-03-14 DOI: 10.18502/BCCR.V11I4.5724
N. Ghanbari, M. Narimani
Background: Preoperative psychological distress, including anxiety, stress, and depression, is an important issue in psychological pathology. It is of double importance among vulnerable groups such as patients with incurable chronic diseases (such as breast cancer) and simple diseases (such as cholecystitis). We assessed the development of anxiety and stress symptoms in two groups undergoing surgery; breast cancer patients and patients undergoing cholecystectomy. Methods: In a causal-comparative study, 30 participants were selected consecutively from a list of candidates for mastectomy and were compared with 30 patients undergoing cholecystectomy in terms of psychological distress. All samples completed the Depression, Anxiety, and Stress Scales-21 (DASS-21). Results: Our results showed that the average scores of stress (P < .000F=1/71), anxiety (P< .000F=117/556), and depression (P < .000F=3/41) were higher in patients with breast cancer surgery (mastectomy) than in those undergoing cholecystectomy surgery. Conclusion: Patients themselves have significant effects on the level of their stress. So, in this study, we attempted to examine the effects of stress and anxiety on people before surgery.
背景:术前心理困扰,包括焦虑、压力和抑郁,是心理病理学中的一个重要问题。对于患有无法治愈的慢性病(如乳腺癌)和单纯性疾病(如胆囊炎)的弱势群体来说,它具有双重重要性。我们评估了两组手术患者焦虑和压力症状的发展;乳腺癌患者和胆囊切除术患者。方法:在一项因果比较研究中,从乳房切除术候选人名单中连续选择30名参与者,并与30名胆囊切除术患者进行心理困扰比较。所有样本均完成抑郁、焦虑和压力量表-21 (DASS-21)。结果:乳腺癌手术(乳房切除术)患者的压力(P< . 000f =1/71)、焦虑(P< . 000f =117/556)和抑郁(P< . 000f =3/41)的平均得分高于胆囊切除术患者。结论:患者自身对应激水平有显著影响。因此,在这项研究中,我们试图检查手术前压力和焦虑对人们的影响。
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引用次数: 0
Candida Albicans Activated Splenocytes Promote Strong Immune Responses in a Murine Model of Breast Cancer 白色念珠菌激活的脾细胞在小鼠乳腺癌模型中促进强免疫反应
Pub Date : 2021-03-14 DOI: 10.18502/BCCR.V11I3.5719
Siavash Mashhouri, E. Yarahmadi, S. M. A. Froushani
Background: The potential of Candida albicans to modulate antigen-presenting cells maturation has been documented in past studies. Dendritic cells are critical modulators in the orchestration of adaptive immune responses alongside myeloid subtypes, which play an important role in the presentation of antigens to T cells. The aim of this study was to evaluate the efficacy of splenocytes activated with the extract of heated 4T1 cells and the yeast form of C. albicans against breast cancer growth in vivo . Methods: 4T1 cells were subcutaneously injected into the left flanks of female BALB/c mice (n=40). At a time when palpable tumors had developed, experimental groups were immunized twice at one-week interim with either activated splenocytes with the extract of heated 4T1 or the killed preparation of yeast form of C. albicans or a combination of the two-One week after the second injection, one-half of animals (n=20) were euthanized to investigate the immune response profile. Results: Administration of activated splenocytes with the combination protocol caused a favorable survival curve and slower rates of tumor development compared to other tumor-bearing mice. Moreover, combination therapy significantly increased the secretion of IFN-γ, respiratory burst and nitric oxide production and conversely diminished the secretion of IL-4, IL-10 and TGF-β in the splenocyte population. Conclusion: Since the murine 4T1 cell line is similar to the final stage of human breast carcinoma, we postulate that activated splenocytes with the extract of heated 4T1 cells and yeast form of C. albicans can reduce tumor development in tumor-bearing mice.
背景:白色念珠菌调节抗原呈递细胞成熟的潜力已经在过去的研究中得到证实。树突状细胞是协调适应性免疫反应的关键调节剂,与髓细胞亚型一起,在抗原向T细胞的呈递中发挥重要作用。本研究的目的是评估加热后的4T1细胞提取物激活的脾细胞和酵母形式的白色念珠菌在体内对乳腺癌生长的影响。方法:将4T1细胞皮下注射于BALB/c雌性小鼠左侧(n=40)。当可触及的肿瘤已经形成时,实验组在一周的过渡期内接种两次免疫,要么用加热的4T1提取物激活脾细胞,要么用灭活的白色念珠菌酵母形式的制剂或两者的结合。第二次注射后,一半的动物(n=20)被安乐死,以研究免疫反应情况。结果:与其他荷瘤小鼠相比,联合给药活化的脾细胞具有良好的生存曲线和较慢的肿瘤发展速度。此外,联合治疗显著增加了脾细胞群中IFN-γ的分泌、呼吸爆发和一氧化氮的产生,相反地减少了IL-4、IL-10和TGF-β的分泌。结论:由于小鼠4T1细胞系与人类乳腺癌晚期相似,我们推测加热后的4T1细胞和酵母样白色念珠菌提取物激活的脾细胞可以减少荷瘤小鼠的肿瘤发展。
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引用次数: 0
Water pipe Smoking and Genital Wart: Call for Epidemiological Research 吸烟水烟与生殖器疣:呼吁进行流行病学研究
Pub Date : 2021-03-14 DOI: 10.18502/BCCR.V11I3.5721
K. Zendehdel
The article's abstract is not available.
这篇文章的摘要没有。
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引用次数: 1
Socioeconomic inequality in prevalence of cigarette and Water-pipe smoking among Iranian adults: A blinder- Oaxaca decomposition Analysis 伊朗成年人中香烟和水烟吸烟流行的社会经济不平等:一个盲眼瓦哈卡分解分析
Pub Date : 2021-03-14 DOI: 10.18502/BCCR.V11I4.5723
Saeed Nemati, A. Rafei, H. Mehrtash, N. Freedman, A. Fotouhi, K. Zendehdel
Background: To assess the association between socioeconomic inequality and the prevalence of tobacco smoking among Iranian adults in 2010. Methods: Data from the fifth national STEPS survey (WHO STEPwise approach to NCD Surveillance) were analyzed. A Blinder-Oaxaca decomposition method was applied to assess the association between socioeconomic inequality and the prevalence of daily cigarette and water pipe (WP) smoking among Iranian men and women. Results: From 10,615 participants in the survey, 4,203 (39.5%) participants appeared to be in the first and fifth quintiles of socioeconomic status (SES). For men, the prevalence of daily cigarette smoking was higher among those with low SES (23.1%) than those with high SES (11.1%) (P<0.001). The observed difference was mainly attributed to the educational level (8.6%). We found no significant difference in high compared to low SES women for cigarette smoking (P value= 0.881). Although there was no difference between high and low SES men for daily WP smoking, low SES women had a higher prevalence of WP smoking (4.4%) than high SES women (1.3%) (P value=0.027). Education level was the major factor (3.3%) to explain the corresponding difference. The difference in WP smoking in high and low SES men was not statistically significant (P value= 0.199). Conclusion: Cigarette smoking in men and WP smoking in women are associated with SES in Iran. Education was the main factor explaining the differences in the prevalence of cigarette and WP smoking in Iranian men and women. Results from this study must be considered as a pivotal basis for designing a tobacco control program at national and sub-national levels.
背景:评估2010年伊朗成年人中社会经济不平等与吸烟率之间的关系。方法:分析来自第五次全国STEPS调查(世卫组织逐步监测非传染性疾病方法)的数据。采用Blinder-Oaxaca分解方法评估社会经济不平等与伊朗男性和女性每日吸烟和水烟(WP)患病率之间的关系。结果:在10,615名调查参与者中,4,203名(39.5%)参与者似乎处于社会经济地位(SES)的第一和第五分位数。在男性中,低经济地位人群的吸烟率(23.1%)高于高经济地位人群(11.1%)(P<0.001)。观察到的差异主要归因于教育水平(8.6%)。我们发现社会经济地位高的妇女与社会经济地位低的妇女吸烟没有显著差异(P值= 0.881)。虽然高、低经济地位的男性在每日WP吸烟方面没有差异,但低经济地位女性的WP吸烟患病率(4.4%)高于高经济地位女性(1.3%)(P值=0.027)。教育水平是解释相应差异的主要因素(3.3%)。高、低SES男性WP吸烟差异无统计学意义(P值= 0.199)。结论:伊朗男性吸烟和女性吸烟与SES有关。教育是解释伊朗男性和女性吸烟和WP吸烟流行率差异的主要因素。这项研究的结果必须被视为在国家和国家以下各级设计烟草控制规划的关键依据。
{"title":"Socioeconomic inequality in prevalence of cigarette and Water-pipe smoking among Iranian adults: A blinder- Oaxaca decomposition Analysis","authors":"Saeed Nemati, A. Rafei, H. Mehrtash, N. Freedman, A. Fotouhi, K. Zendehdel","doi":"10.18502/BCCR.V11I4.5723","DOIUrl":"https://doi.org/10.18502/BCCR.V11I4.5723","url":null,"abstract":"Background: To assess the association between socioeconomic inequality and the prevalence of tobacco smoking among Iranian adults in 2010. Methods: Data from the fifth national STEPS survey (WHO STEPwise approach to NCD Surveillance) were analyzed. A Blinder-Oaxaca decomposition method was applied to assess the association between socioeconomic inequality and the prevalence of daily cigarette and water pipe (WP) smoking among Iranian men and women. Results: From 10,615 participants in the survey, 4,203 (39.5%) participants appeared to be in the first and fifth quintiles of socioeconomic status (SES). For men, the prevalence of daily cigarette smoking was higher among those with low SES (23.1%) than those with high SES (11.1%) (P<0.001). The observed difference was mainly attributed to the educational level (8.6%). We found no significant difference in high compared to low SES women for cigarette smoking (P value= 0.881). Although there was no difference between high and low SES men for daily WP smoking, low SES women had a higher prevalence of WP smoking (4.4%) than high SES women (1.3%) (P value=0.027). Education level was the major factor (3.3%) to explain the corresponding difference. The difference in WP smoking in high and low SES men was not statistically significant (P value= 0.199). Conclusion: Cigarette smoking in men and WP smoking in women are associated with SES in Iran. Education was the main factor explaining the differences in the prevalence of cigarette and WP smoking in Iranian men and women. Results from this study must be considered as a pivotal basis for designing a tobacco control program at national and sub-national levels.","PeriodicalId":8706,"journal":{"name":"Basic & Clinical Cancer Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80444462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Effect of Quercetin and Intermittent and Continuous Exercise on Catalase, Superoxide dismutase, and Malondialdehyde in the Heart of Rats with Colon Cancer 槲皮素和间歇性持续运动对结肠癌大鼠心脏过氧化氢酶、超氧化物歧化酶和丙二醛的影响
Pub Date : 2021-03-14 DOI: 10.18502/BCCR.V12I1.5733
Behrooz Talaei, Mohammad Panji, Fatemeh Zahra Nazari Robati, Sajjad Tezerji
Background: Colorectal cancer is the fourth leading cause of death globally, and the second most common cancer in Europe. About 8% of all cancer-related deaths occur due to colorectal cancer, and the highest prevalence has been reported in Asia and Eastern Europe. Methods: In this experimental study, 80 rats were divided into two groups of cases (n=70) and controls (n=10). Colorectal cancer was induced weekly in rats by subcutaneous injection of 15 mg/kg Azoxymethane. The rats were then divided into 7 experimental subgroups of patients, saline, quercetin, intermittent exercise, continuous exercise, quercetin plus intermittent, and quercetin plus continuous exercise. Oxidative stress biomarkers, including superoxide dismutase (SOD), catalase (CAT), and malondialdehyde (MDA) were measured in the rats’ heart tissue by the ELISA method. Data were analyzed using ANOVA by SPSS software. Results: Oxidative stress in heart cells increased due to colorectal cancer. Quercetin alone or in combination with exercise significantly increased mean levels of CAT and SOD in the heart tissue of rats compared with patient and saline groups (P<0.0001). In contrast, the MDA level was significantly decreased (P<0.05). Conclusion: Colorectal cancer increased the oxidative stress in cardiac cells. Quercetin alone improved oxidative stress in cardiac tissue, and its combination with exercise was more effective.
背景:结直肠癌是全球第四大死亡原因,在欧洲是第二大常见癌症。在所有癌症相关死亡中,约有8%是结直肠癌造成的,据报道,亚洲和东欧的患病率最高。方法:将80只大鼠分为病例组(n=70)和对照组(n=10)。每周皮下注射15 mg/kg偶氮氧甲烷诱导大鼠结直肠癌。将大鼠分为生理盐水组、槲皮素组、间歇运动组、连续运动组、槲皮素加间歇运动组、槲皮素加连续运动组7个实验亚组。采用ELISA法测定大鼠心脏组织中氧化应激生物标志物超氧化物歧化酶(SOD)、过氧化氢酶(CAT)和丙二醛(MDA)。数据采用SPSS统计分析软件进行方差分析。结果:结直肠癌导致心脏细胞氧化应激升高。与患者组和生理盐水组相比,槲皮素单独或联合运动显著提高了大鼠心脏组织中CAT和SOD的平均水平(P<0.0001)。MDA水平显著降低(P<0.05)。结论:结直肠癌增加了心肌细胞的氧化应激。槲皮素单独使用可改善心脏组织的氧化应激,并与运动结合使用更为有效。
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引用次数: 0
The Impact of Socioeconomic Factors on Cancer Survival Rate 社会经济因素对癌症存活率的影响
Pub Date : 2021-03-14 DOI: 10.18502/BCCR.V12I1.5728
Rajabali Daroudi, Nasrin Sargazi, Arya Sakhidel-Hovasin, M. Sheikhy-Chaman
Background: The socioeconomic status as a major determinant of health status has a considerable impact on the cancer survival rate. The present study aimed to investigate the impact of socioeconomic factors on the 5-year survival rate for the most common cancer types in 56 countries. Methods: In this ecological study, 5-year survival data for gastric cancer, colon cancer, lung cancer, breast cancer, cervical cancer, ovarian cancer, prostate cancer, and leukemia during the period of 2005-2009 and socioeconomic factors including gross domestic product (GDP), life expectancy, literacy rate, urbanization and healthcare expenditure were extracted from the CONCORD-2 study and the World Bank database, respectively. Multivariable regression analysis was used to estimate the model with the ordinary least-squares (OLS) method using Stata 14 software. Results: The GDP coefficient for breast cancer, cervical cancer, and leukemia was positive and significant. No correlation was identified between gastric, colon, lung, ovarian, and prostate cancers with GDP. Gastric, colon, breast, and prostate cancers had a positive and significant correlation with life expectancy, while no significant correlation was found between lung cancer, cervical cancer, ovarian cancer, and leukemia with life expectancy. There was no correlation between cancer survival rate and literacy rate, or urbanization. There was only a positive correlation between prostate cancer with healthcare expenditure. Furthermore, there was no statistically significant relationship between gastric and ovarian cancers with socioeconomic variables. Finally, GDP and life expectancy had the most significant impact on cancer survival rates. Conclusion: Different countries can play a key role in increasing cancer survival rates by implementing policies to improve economic and social factors.
背景:社会经济地位作为健康状况的主要决定因素对癌症存活率有相当大的影响。本研究旨在调查社会经济因素对56个国家最常见癌症类型5年生存率的影响。方法:在本生态研究中,分别从CONCORD-2研究和世界银行数据库中提取2005-2009年胃癌、结肠癌、肺癌、乳腺癌、宫颈癌、卵巢癌、前列腺癌和白血病的5年生存数据以及国内生产总值(GDP)、预期寿命、识字率、城市化和医疗保健支出等社会经济因素。采用多变量回归分析,利用Stata 14软件,采用普通最小二乘(OLS)方法对模型进行估计。结果:乳腺癌、宫颈癌和白血病的GDP系数均为显著正相关。胃癌、结肠癌、肺癌、卵巢癌和前列腺癌与GDP没有相关性。胃癌、结肠癌、乳腺癌、前列腺癌与预期寿命呈显著正相关,肺癌、宫颈癌、卵巢癌、白血病与预期寿命无显著相关。癌症存活率与识字率或城市化之间没有相关性。前列腺癌与医疗支出之间只有正相关。此外,胃癌和卵巢癌与社会经济变量之间没有统计学上的显著关系。最后,GDP和预期寿命对癌症存活率的影响最为显著。结论:不同国家可以通过实施改善经济和社会因素的政策,在提高癌症生存率方面发挥关键作用。
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引用次数: 0
Metformin Efficacy on Proliferation Indices of Tumoral Cells in Non-Diabetic Patients with Invasive Breast Cancer Referring to the Cancer Institute of Iran 二甲双胍对侵袭性乳腺癌非糖尿病患者肿瘤细胞增殖指标的影响参考伊朗癌症研究所
Pub Date : 2021-03-14 DOI: 10.18502/BCCR.V11I4.5725
S. Sadighi, M. Saberian, B. Behrouzi, M. Najafi, I. Jahanzad, R. Omranipour
Background: Because of the decreasing effect of metformin on insulin resistance, it has been suggested as an anti-obesity and anti-cancer drug. So, we aimed to study the effect of metformin therapy on tumor cell proliferation in non-diabetic breast cancer patients. Methods: We conducted a prospective clinical trial and studied the effect of metformin therapy on the level of Ki67 as a measure of tumor cell proliferation. Our primary endpoint was to evaluate the changes in Ki67. The intervention group consisted of 25 non-diabetic breast cancer patients with no indication for neoadjuvant chemotherapy. They were followed up from the time of biopsy to operation. Metformin (1500 mg/day) was prescribed in the intervention group from the date of diagnosis until the surgery (2.8 weeks). Controls were 20 early breast cancer patients who had been followed up with no prescription from biopsy until operation. Results: We could not find any statistically significant difference between the two groups regarding baseline clinical or tumor characteristics such as age, stage, grade, estrogen receptor, HER2 status or time, and type of surgery. However, the immunohistochemistry (IHS) study showed a decrease in median Ki67 from 35.14 to 29.6 in the intervention group (P-value= 0.02). While an increase from 24.5 to 30.6 was detected in the control group (P-value= 0.02). Both of these changes were statistically significant. Although mild gastrointestinal symptoms were seen in approximately 50% of cases, generally, patients tolerated metformin well. There was a correlation between the score of HOMA, a metabolic factor, and the changes in KI67. Conclusion: Metformin prescription in a short period of time between biopsy and definitive surgery leads to the inhibition of breast cancer cell growth. We found a relationship between metformin anti-proliferative effect and glucose and insulin metabolism.
背景:由于二甲双胍降低胰岛素抵抗的作用,它已被建议作为一种抗肥胖和抗癌药物。因此,我们旨在研究二甲双胍治疗对非糖尿病乳腺癌患者肿瘤细胞增殖的影响。方法:我们进行了一项前瞻性临床试验,研究了二甲双胍治疗对Ki67水平的影响,Ki67水平是衡量肿瘤细胞增殖的指标。我们的主要终点是评估Ki67的变化。干预组由25例无新辅助化疗指征的非糖尿病乳腺癌患者组成。随访时间从活检到手术。干预组自诊断之日起至手术(2.8周),给予二甲双胍(1500mg /天)治疗。对照组是20名早期乳腺癌患者,他们从活检到手术都没有处方。结果:我们没有发现两组患者在基线临床或肿瘤特征(如年龄、分期、分级、雌激素受体、HER2状态或时间、手术类型)方面有统计学上的显著差异。然而,免疫组织化学(IHS)研究显示,干预组中位Ki67从35.14降至29.6 (p值= 0.02)。而对照组从24.5增加到30.6 (p值= 0.02)。这两种变化都具有统计学意义。虽然大约50%的病例出现轻微的胃肠道症状,但一般来说,患者对二甲双胍的耐受性良好。代谢因子HOMA评分与KI67的变化之间存在相关性。结论:在活检和最终手术之间的短时间内给予二甲双胍处方可抑制乳腺癌细胞的生长。我们发现二甲双胍的抗增殖作用与葡萄糖和胰岛素代谢有关。
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引用次数: 0
Expression of miR-1290 and Its Target Genes THBS1 and DKK3 in Colorectal Cancer Patients miR-1290及其靶基因THBS1和DKK3在结直肠癌患者中的表达
Pub Date : 2021-03-14 DOI: 10.18502/BCCR.V12I1.5729
Sima Nobari, Mohammad Hasan Soheilifar, Hoda Keshmiri Neghab, F. Jalilian, F. Bahreini, R. Amini
Background: MicroRNAs (miRNAs) are small noncoding RNAs (containing approximately 22 nucleotides), which modulate and control the expression of target genes by binding them. MiRNAs play a crucial role in tumorigenesis. Thus, alterations in the expression level of miRNAs play a key role in the pathobiology of numerous cancers. In this research, the expression level of MicroRNA-1290 (miR1290) and its target genes THBS1 and DKK3 were evaluated in colorectal cancer (CRC) patients. Methods: This case-control study was carried out on 144 paraffin-embedded tissue samples of CRC and adjacent tissues from patients who referred to Imam Khomeini Hospital, Tehran, Iran. Total RNA was isolated from the tissue using Trizol reagent following the manufacturer’s instructions and then reverse transcribed to cDNA. The expression of miR-1290 and its target genes was measured by quantitative Real-Time PCR (qRT-PCR). Statistical analyses were performed using SPSS V.20 statistical software. Results: We present evidence that the miR-1290 expression in CRC tissues was significantly higher than in the normal margin, and its targets were downregulated in tumor tissue compared to the adjacent tissue. Conclusion: This study supports the essential role of miR-1290 and its contribution to CRC invasion and metastasis through targeting THBS1 and DKK3, as biomarkers for CRC diagnosis.
背景:MicroRNAs (miRNAs)是一种小的非编码rna(含有大约22个核苷酸),通过结合靶基因来调节和控制靶基因的表达。mirna在肿瘤发生中起着至关重要的作用。因此,mirna表达水平的改变在许多癌症的病理生物学中起着关键作用。本研究评估了MicroRNA-1290 (miR1290)及其靶基因THBS1和DKK3在结直肠癌(CRC)患者中的表达水平。方法:对伊朗德黑兰伊玛目霍梅尼医院转诊的144例结直肠癌及邻近组织石蜡包埋标本进行病例对照研究。按照制造商的说明,使用Trizol试剂从组织中分离总RNA,然后逆转录为cDNA。采用实时荧光定量PCR (qRT-PCR)检测miR-1290及其靶基因的表达。采用SPSS V.20统计软件进行统计分析。结果:我们提供的证据表明,miR-1290在结直肠癌组织中的表达明显高于正常切缘,其靶点在肿瘤组织中较邻近组织下调。结论:本研究通过靶向THBS1和DKK3作为结直肠癌诊断的生物标志物,支持miR-1290在结直肠癌侵袭和转移中的重要作用及其贡献。
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引用次数: 2
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Basic & Clinical Cancer Research
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