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Aging like fine wine: Mischievous microbes and other factors influencing senescence 像美酒一样老去:调皮的微生物和其他影响衰老的因素。
IF 5.5 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-04-01 DOI: 10.1016/j.bj.2024.100722
Aila Akosua Kattner

In this issue, a special section is dedicated to the factors affecting senescence. It examines the interplay between immunosenescence and chronic kidney disease, probes into Peto's paradox, and explores how epigenetic switches can potentially mitigate senescence and inflammation. Additionally, insights are offered on understanding a specific Ras mechanism in yeast for potential therapeutic interventions against cancer and for longevity. Furthermore, the remarkable endurance of last year's Nobel Prize winner in Physiology or Medicine is also highlighted. Moreover, the discovery of potential biomarkers for hepatocellular carcinoma, the link between osteoarthritis and the circadian clock, and the multifaceted role of DNAJA3 in B cell lifecycle are discussed. Further, study findings shed light on the influence of extracellular matrix molecules on cleft palate formation, the renal protective effects of combination therapy in diabetic kidney disease, and novel approaches to detect developmental dysplasia of the hip. Finally, a correspondence delves into the role of autonomic regulation in cognitive decline.

本期特刊专门讨论了影响衰老的因素。它探讨了免疫衰老与慢性肾病之间的相互作用,探究了佩托悖论,并探索了表观遗传开关如何有可能缓解衰老和炎症。此外,还就如何理解酵母中一种特殊的 Ras 机制,从而对癌症和长寿进行潜在的治疗干预提出了见解。此外,还重点介绍了去年诺贝尔生理学或医学奖得主的非凡耐力。此外,还讨论了肝细胞癌潜在生物标志物的发现、骨关节炎与昼夜节律时钟之间的联系以及 DNAJA3 在 B 细胞生命周期中的多方面作用。此外,研究结果还揭示了细胞外基质分子对腭裂形成的影响、联合疗法对糖尿病肾病的肾脏保护作用以及检测髋关节发育不良的新方法。最后,一篇通讯深入探讨了自律神经调节在认知能力下降中的作用。
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引用次数: 0
Epigenetic modifications of cfDNA in liquid biopsy for the cancer care continuum. 液体活检中 cfDNA 的表观遗传学修饰,促进癌症治疗的连续性。
IF 5.5 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-03-22 DOI: 10.1016/j.bj.2024.100718
Jodie Wong, Rohit Muralidhar, Liang Wang, Chiang-Ching Huang

This review provides a comprehensive overview of the latest advancements in the clinical utility of liquid biopsy, with a particular focus on epigenetic approaches aimed at overcoming challenges in cancer diagnosis and treatment. It begins by elucidating key epigenetic terms, including methylomics, fragmentomics, and nucleosomics. The review progresses to discuss methods for analyzing circulating cell-free DNA (cfDNA) and highlights recent studies showcasing the clinical relevance of epigenetic modifications in areas such as diagnosis, drug treatment response, minimal residual disease (MRD) detection, and prognosis prediction. While acknowledging hurdles like the complexity of interpreting epigenetic data and the absence of standardization, the review charts a path forward. It advocates for the integration of multi-omic data through machine learning algorithms to refine predictive models and stresses the importance of collaboration among clinicians, researchers, and data scientists. Such cooperative efforts are essential to fully leverage the potential of epigenetic features in clinical practice.

本综述全面概述了液体活检临床应用的最新进展,尤其关注旨在克服癌症诊断和治疗难题的表观遗传学方法。文章首先阐明了关键的表观遗传学术语,包括甲基组学、片段组学和核糖体学。综述接着讨论了分析循环游离细胞DNA(cfDNA)的方法,并重点介绍了最近的研究,这些研究展示了表观遗传修饰在诊断、药物治疗反应、最小残留病(MRD)检测和预后预测等领域的临床意义。在承认表观遗传学数据解读的复杂性和缺乏标准化等障碍的同时,该综述描绘了一条前进的道路。它提倡通过机器学习算法整合多组学数据,以完善预测模型,并强调临床医生、研究人员和数据科学家之间合作的重要性。这种合作对于在临床实践中充分利用表观遗传特征的潜力至关重要。
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引用次数: 0
Reflecting on the 1998 enterovirus outbreak: A 25-year retrospective and learned lessons. 反思 1998 年肠病毒爆发:25 年回顾与经验教训。
IF 5.5 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-03-14 DOI: 10.1016/j.bj.2024.100715
Peng-Nien Huang, Shao-Hsuan Hsia, Kuan-Ying Arthur Huang, Chih-Jung Chen, En-Tzu Wang, Shin-Ru Shih, Tzou-Yien Lin
<p><p>Enterovirus A71 (EV-A71) infections pose a significant public health concern in the Asia-Pacific region. EV-A71 is primarily responsible for causing hand, foot, and mouth disease (HFMD) in children. However, this virus can also lead to severe and potentially fatal neurological consequences in affected individuals. This review aims to provide a comprehensive understanding of the molecular virology, epidemiology, and recombination events associated with EV-A71. The literature extensively covers the clinical manifestations and neurological symptoms that accompany EV-A71 infections. One of the complications explored in this review is brainstem encephalitis, which can arise as a result of EV-A71 infections. Brainstem encephalitis refers to inflammation of the brainstem, a critical region responsible for various bodily functions. The review examines the underlying mechanisms, diagnostic criteria, treatment options, and prognosis for central nervous system infections involving EV-A71. Neurological complications associated with EV-A71 infections are diverse and can have severe consequences. These complications may include aseptic meningitis, acute flaccid paralysis, and acute transverse myelitis. The review delves into the pathophysiology of these complications, shedding light on the molecular mechanisms through which EV-A71 affects the central nervous system. Accurate diagnosis of EV-A71 infections is crucial for appropriate management and treatment. Treatment options for EV-A71 infections primarily focus on supportive care, as there are currently no specific antiviral drugs available for this virus. The review highlights the importance of managing symptoms, such as fever, dehydration, and pain relief, to alleviate the burden on affected individuals. Prognosis for individuals with central nervous system (CNS) infections involving EV-A71 can vary depending on the severity of the complications. The review provides insights into the long-term outcomes and potential neurological sequelae associated with EV-A71 infections. In conclusion, EV-A71 infections have emerged as a major public health concern in the Asia-Pacific region. This review aims to enhance our understanding of the molecular virology, epidemiology, and neurological complications associated with EV-A71. By examining the underlying mechanisms, diagnostic criteria, treatment options, and prognosis, this review contributes to the development of effective strategies for the prevention, diagnosis, and management of EV-A71 infections. The paper presents a comprehensive analysis of worldwide data pertaining to outbreaks of EV-A71 and HFMD. The subsequent discourse delves into the advancement and strategic formulation pertaining to the creation of vaccines targeting EV-A71. In summary, this study provides a comprehensive examination of the potential obstacles and considerations involved in the management and treatment of EV-A71 infections. Additionally, it proposes suggestions for future research
肠道病毒 A71(EV-A71)感染是亚太地区的一个重大公共卫生问题。EV-A71 主要导致儿童手足口病(HFMD)。然而,这种病毒也会导致患者出现严重的、可能致命的神经系统后果。本综述旨在全面介绍与 EV-A71 相关的分子病毒学、流行病学和重组事件。文献广泛涉及 EV-A71 感染的临床表现和神经系统症状。本综述探讨的并发症之一是脑干脑炎,它可能是 EV-A71 感染的结果。脑干脑炎是指脑干的炎症,脑干是负责各种身体功能的重要区域。本综述探讨了涉及 EV-A71 的中枢神经系统感染的基本机制、诊断标准、治疗方案和预后。与 EV-A71 感染相关的神经系统并发症多种多样,并可能造成严重后果。这些并发症可能包括无菌性脑膜炎、急性弛缓性麻痹和急性横贯性脊髓炎。本综述深入探讨了这些并发症的病理生理学,揭示了 EV-A71 影响中枢神经系统的分子机制。EV-A71 感染的准确诊断对于适当的管理和治疗至关重要。EV-A71 感染的治疗方案主要侧重于支持性护理,因为目前还没有针对这种病毒的特效抗病毒药物。综述强调了控制发烧、脱水和止痛等症状以减轻患者负担的重要性。EV-A71 中枢神经系统(CNS)感染患者的预后会因并发症的严重程度而有所不同。本综述深入探讨了与 EV-A71 感染相关的长期预后和潜在的神经系统后遗症。总之,EV-A71 感染已成为亚太地区主要的公共卫生问题。本综述旨在加深我们对与 EV-A71 相关的分子病毒学、流行病学和神经系统并发症的了解。通过研究其潜在机制、诊断标准、治疗方案和预后,本综述有助于制定预防、诊断和管理 EV-A71 感染的有效策略。本文全面分析了与 EV-A71 和手足口病爆发有关的全球数据。随后的论述深入探讨了针对 EV-A71 疫苗的研发进展和战略制定。总之,本研究全面探讨了 EV-A71 感染管理和治疗中的潜在障碍和注意事项。此外,它还为未来的研发工作提出了建议,目的是为这种病毒感染制定有效的治疗方法。
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引用次数: 0
A tale of Science - The Nobel Prize in Physiology or Medicine 2023 科学的故事 - 2023 年诺贝尔生理学或医学奖。
IF 5.5 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-03-13 DOI: 10.1016/j.bj.2024.100716
Sophia Julia Häfner
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引用次数: 0
Clinical significance of incidental common bile duct dilatation in children: A 10-year single medical center experience 儿童偶然性胆总管扩张的临床意义:单个医疗中心的十年经验
IF 4.1 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-03-12 DOI: 10.1016/j.bj.2024.100717

Background

With the widespread use of abdominal ultrasonography (US), incidental detection of common bile duct (CBD) dilatation is common in pediatric populations. This study investigated the causes and clinical significance of CBD dilatation in children without biliary symptoms, jaundice, or causative lesions in US.

Methods

We retrospectively reviewed pediatric patients with CBD dilatation from July 2013 to June 2023. All cases were detected via abdominal US. We analyzed the patients’ clinical manifestations, laboratory data, diagnosis, underlying diseases, and clinical course.

Results

In a total of 687 patients enrolled, 338 met inclusion criteria (90 in hepatobiliary, 248 in CBD dilatation group). Of 128 patients with incidental CBD dilatation who underwent regular US examinations, 91 (71.1%) experienced resolution during follow-up. The proportion of patients with intrahepatic duct dilatation was significantly higher in the non-resolution group (p = 0.038). General health examination group had significant smaller CBD diameter compared to the gastrointestinal and infection groups. Correlation analysis found starting point of resolution decline at 3.24 mm (all-inclusive) and 2.51 mm (infant group) CBD diameter.

Conclusions

Most children with incidental CBD dilatation did not have abnormal hepatobiliary function or other sonographic abnormalities. They usually remained asymptomatic and experienced uneventful clinical courses.
背景:随着腹部超声波检查(US)的广泛应用,偶然发现胆总管(CBD)扩张在儿科人群中很常见。本研究调查了在 US 检查中没有胆道症状、黄疸或致病病变的儿童中出现总胆管扩张的原因和临床意义:我们回顾性研究了2013年7月至2023年6月期间CBD扩张的儿童患者。所有病例均通过腹部超声检查发现。我们分析了患者的临床表现、实验室数据、诊断、基础疾病和临床过程:在总共 687 例入选患者中,338 例符合纳入标准(90 例为肝胆管扩张组,248 例为 CBD 扩张组)。在接受定期US检查的128例偶然CBD扩张患者中,91例(71.1%)在随访期间症状得到缓解。在未缓解组中,肝内导管扩张患者的比例明显更高(P = 0.038)。与胃肠道组和感染组相比,一般健康检查组的 CBD 直径明显较小。相关性分析发现,CBD直径在3.24毫米(所有组)和2.51毫米(婴儿组)时为缓解下降的起点:结论:大多数偶然CBD扩张的儿童没有肝胆功能异常或其他声像图异常。结论:大多数偶然CBD扩张的患儿没有肝胆功能异常或其他声像图异常,他们通常没有症状,临床过程也很顺利。
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引用次数: 0
Mitochondrial dysfunction route as a possible biomarker and therapy target for human cancer 线粒体功能障碍途径可能是人类癌症的生物标记物和治疗靶点
IF 5.5 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-03-05 DOI: 10.1016/j.bj.2024.100714
Rawan Al-Faze, Hoda A. Ahmed, Mohamed A. El-Atawy, Hayat Zagloul, Eida M. Alshammari, Mariusz Jaremko, Abdul-Hamid Emwas, Gehan M. Nabil, Demiana H. Hanna
Mitochondria are vital organelles found within living cells and have signalling, biosynthetic, and bioenergetic functions. Mitochondria play a crucial role in metabolic reprogramming, which is a characteristic of cancer cells and allows them to assure a steady supply of proteins, nucleotides, and lipids to enable rapid proliferation and development. Their dysregulated activities have been associated with the growth and metastasis of different kinds of human cancer, particularly ovarian carcinoma. In this review, we briefly demonstrated the modified mitochondrial function in cancer, including mutations in mtDNA, reactive oxygen species production, dynamics, apoptosis of cells, autophagy, and calcium excess to maintain cancer genesis, progression, and metastasis. Furthermore, the mitochondrial dysfunction pathway for some genomic, proteomic, and metabolomics modifications in ovarian cancer has been studied. Additionally, ovarian cancer has been linked to targeted therapies and biomarkers found through various alteration processes underlying mitochondrial dysfunction, notably targeting reactive oxygen species, metabolites, rewind metabolic pathways, and chemo-resistant ovarian carcinoma cells.
线粒体是活细胞内的重要细胞器,具有信号、生物合成和生物能功能。线粒体在新陈代谢重编程中发挥着至关重要的作用,这是癌细胞的一个特征,使它们能够确保蛋白质、核苷酸和脂质的稳定供应,从而实现快速增殖和发展。它们的活动失调与各种人类癌症,尤其是卵巢癌的生长和转移有关。在这篇综述中,我们简要介绍了癌症中线粒体功能的改变,包括 mtDNA 突变、活性氧的产生、动态变化、细胞凋亡、自噬和钙过量,从而维持癌症的发生、发展和转移。此外,还研究了线粒体功能障碍在卵巢癌中导致基因组、蛋白质组和代谢组学改变的途径。此外,通过线粒体功能障碍的各种改变过程,特别是针对活性氧、代谢物、倒退代谢途径和化疗抗性卵巢癌细胞的改变,卵巢癌已与靶向疗法和生物标志物相关联。
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引用次数: 0
Altered purinergic P2X7 and A2B receptors signaling limits macrophage-mediated host defense in schistosomiasis 嘌呤能 P2X7 和 A2B 受体信号的改变限制了血吸虫病中巨噬细胞介导的宿主防御。
IF 4.1 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-03-03 DOI: 10.1016/j.bj.2024.100713

Background

The occurrence of co-infections during schistosomiasis, a neglected tropical disease, with other parasites have been reported suggesting an impaired host immune defense. Macrophage purinergic P2X7 receptor (P2X7R) plays an important role against intracellular pathogens. Therefore, we investigated the P2X7R-mediated phagocytosis and killing capacity of Leishmania amazonensis by macrophages during schistosomiasis in vitro and in vivo.

Methods

Swiss and C57BL/6 (Wild type) and P2X7R−/− were randomized in two groups: control (uninfected) and Schistosoma mansoni-infected. Alternatively, control Swiss and S. mansoni-infected mice were also infected with L. amazonensis.

Results

The pre-treatment of control macrophages with the P2X7R antagonist (A74003) or TGF-β reduced the phagocytosis index, mimicking the phenotype of cells from S. mansoni-infected mice and P2X7R−/− mice. Apyrase also reduced the phagocytosis index in the control group corroborating the role of ATP to macrophage activation. Moreover, l-arginine-nitric oxide pathway was compromised during schistosomiasis, which could explain the reduced killing capacity in response to ATP in vitro and in vivo. We found an increased extracellular nucleotide (ATP, ADP and AMP) hydrolysis along with an increased frequency of F4/80+ CD39+ macrophages from the S. mansoni-infected group. Moreover, the content of adenosine in the cell supernatant was higher in the S. mansoni-infected group in relation to controls. Schistosomiasis also increased the expression of macrophage adenosine A2BR. In good accordance, both ADA and the selective A2BR antagonist restored the phagocytosis index of macrophages from S. mansoni-infected group.

Conclusions

Altogether, the altered P2X7R and A2BR signaling limits the role of macrophages to host defense against L. amazonensis during schistosomiasis, potentially contributing to the pathophysiology and clinically relevant co-infections.
背景:血吸虫病是一种被忽视的热带疾病,有报道称血吸虫病与其他寄生虫同时感染,这表明宿主的免疫防御功能受损。巨噬细胞嘌呤能 P2X7 受体(P2X7R)在对抗细胞内病原体方面发挥着重要作用。因此,我们研究了血吸虫病期间巨噬细胞在体外和体内介导的 P2X7R 对亚马逊利什曼原虫的吞噬和杀灭能力:方法:将瑞士和 C57BL/6(野生型)以及 P2X7R-/- 随机分为两组:对照组(未感染)和感染曼氏血吸虫组。另外,对照组瑞士小鼠和感染曼氏血吸虫的小鼠也感染了亚马逊血吸虫:结果:用P2X7R拮抗剂(A74003)或TGF-β预处理巨噬细胞可降低吞噬指数,模拟曼氏血吸虫感染小鼠和P2X7R-/-小鼠细胞的表型。Apyrase也降低了吞噬指数,证实了ATP对巨噬细胞活化的作用。此外,L-精氨酸-一氧化氮通路受损,这可以解释体外和体内对 ATP 的杀伤能力降低的原因。我们发现,曼森氏杆菌感染组细胞外核苷酸(ATP、ADP和AMP)水解增加,F4/80+ CD39+巨噬细胞的频率增加。此外,与对照组相比,曼森氏杆菌感染组细胞上清液中的腺苷含量更高。血吸虫病也增加了巨噬细胞腺苷 A2BR 的表达。ADA和选择性A2BR拮抗剂能很好地恢复曼氏血吸虫病感染组巨噬细胞的吞噬指数:总之,P2X7R 和 A2BR 信号的改变限制了血吸虫病期间巨噬细胞在宿主防御亚马逊嗜血杆菌中的作用,可能会导致病理生理学和临床相关的合并感染。
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引用次数: 0
Response to "letter to editor" from Nicolini et al. Regarding "Autonomic modulation and the risk of dementia in a middle-aged cohort: A 17-year follow-up study" 对 Nicolini 等人 "致编辑的信 "的回复,内容涉及 "中年队列中的自主神经调节与痴呆症风险:一项为期 17 年的随访研究"。
IF 5.5 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-28 DOI: 10.1016/j.bj.2024.100704
Yu-Tsung Chou, Zih-Jie Sun, Shih-Chieh Shao, Yi-Ching Yang, Feng-Hwa Lu, Chih-Jen Chang, Tzu-Chi Liao, Chung-Yi Li, Tony Hsiu-Hsi Chen, Jin-Shang Wu , Edward Chia-Cheng Lai
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引用次数: 0
Reading the epitranscriptome of the human malaria parasite 解读人类疟原虫的表观转录组
IF 5.5 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-03 DOI: 10.1016/j.bj.2024.100703
Gayathri Govindaraju, Arumugam Rajavelu

Epigenetic machinery has emerged as a central player in gene regulation and chromatin organization in Plasmodium spp. Epigenetic modifications on histones and their role in antigenic variation in P. falciparum are widely studied. Recent discoveries on nucleic acid methylome are exciting and provide a new dimension to the apicomplexan protozoan parasite's gene regulatory process. Reports have confirmed that N6-methyl adenosine (m6A) methylation plays a crucial role in the translational plasticity of the human malaria parasite during its development in RBC. The YTH domain (YT521-B Homology) protein in P. falciparum binds to m6A epitranscriptome modifications on the mRNA and regulates protein translation. The binding of the PfYTH domain protein to the m6A-modified mRNA is mediated through a binding pocket formed by aromatic amino acids. The P. falciparum genome encodes two members of YTH domain proteins, i.e., YTH1 and YTH2, and both have distinct roles in dictating the epitranscriptome in human malaria parasites. This review highlights recent advancements in the functions and mechanisms of YTH domain protein's role in translational plasticity in the various developmental stages of the parasite.

组蛋白的表观遗传修饰及其在恶性疟原虫抗原变异中的作用已被广泛研究。最近在核酸甲基化组方面的发现令人兴奋,为疟原虫的基因调控过程提供了一个新的维度。有报告证实,N6-甲基腺苷(m6A)甲基化在人类疟原虫在红细胞发育过程中的翻译可塑性中起着至关重要的作用。恶性疟原虫的 YTH 结构域(YT521-B 同源物)蛋白与 mRNA 上的 m6A 表转录修饰结合,并调节蛋白质的翻译。PfYTH 结构域蛋白与经 m6A 修饰的 mRNA 的结合是通过芳香族氨基酸形成的结合袋介导的。恶性疟原虫基因组编码两种 YTH 结构域蛋白,即 YTH1 和 YTH2,这两种蛋白在人类疟原虫的表转录组中发挥着不同的作用。本综述重点介绍 YTH 结构域蛋白在寄生虫各发育阶段翻译可塑性中的功能和机制方面的最新进展。
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引用次数: 0
Anti-tumor effects of ketogenic diets and their synergism with other treatments in mice: Bayesian evidence synthesis of 1755 individual mouse survival data 小鼠生酮饮食的抗肿瘤作用及其与其他疗法的协同作用:对1755只小鼠存活数据的贝叶斯证据综述
IF 5.5 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-01 DOI: 10.1016/j.bj.2023.100609
Rainer J. Klement

Background

Ketogenic diets (KDs) are high-fat diets with putative anti-tumor effects. The aim of this study was to synthesize the evidence for the anti-tumor effects of KDs in mice, with a focus on their possible synergism with chemotherapy (CT), radiotherapy (RT), or targeted therapies (TT).

Methods

Relevant studies were retrieved from a literature search. A total of 43 articles reporting on 65 mouse experiments fulfilled the inclusion criteria, and 1755 individual mouse survival times were collated from the study authors or the publications. The restricted mean survival time ratio (RMSTR) between the KD and control groups served as the effect size. Bayesian evidence synthesis models were used to estimate pooled effect sizes and to assess the impact of putative confounders and synergism between KD and other therapies.

Results

Overall, there was a significant survival-prolonging effect of KD monotherapy (RMSTR = 1.161 ± 0.040), which was confirmed in meta-regression accounting for syngeneic versus xenogeneic models, early versus late KD start and subcutaneous versus other organ growth. Combining the KD with RT or TT, but not CT, was associated with a further 30% (RT) or 21% (TT) prolongation of survival. An analysis accounting for 15 individual tumor entities showed that KDs exerted significant survival-prolonging effects in pancreatic cancer (all treatment combinations), gliomas (KD + RT and KD + TT), head and neck cancer (KD + RT), and stomach cancer (KD+RT and KD + TT).

Conclusions

This analytical study confirmed the overall anti-tumor effects of KDs in a large number of mouse experiments and provides evidence for synergistic effects with RT and TT.

背景生酮饮食(KDs)是一种推测具有抗肿瘤作用的高脂肪饮食。本研究旨在总结 KDs 在小鼠中的抗肿瘤作用的证据,重点关注其与化疗 (CT)、放疗 (RT) 或靶向治疗 (TT) 可能的协同作用。符合纳入标准的文章共有 43 篇,报告了 65 项小鼠实验,并从研究作者或出版物中整理出了 1755 个小鼠个体的存活时间。KD组和对照组之间的限制性平均存活时间比(RMSTR)作为效应大小。结果总体而言,KD单药治疗具有显著的延长生存期效应(RMSTR = 1.161 ± 0.040),这一点在考虑了同种异体模型、KD起始早与晚以及皮下与其他器官生长的元回归中得到了证实。将 KD 与 RT 或 TT(而非 CT)结合使用可进一步延长 30% (RT)或 21% (TT)的生存期。对 15 个肿瘤实体的分析表明,KDs 在胰腺癌(所有治疗组合)、胶质瘤(KD + RT 和 KD + TT)、头颈癌(KD + RT)和胃癌(KD+RT 和 KD + TT)中具有显著的延长生存期的作用。
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引用次数: 0
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