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Biomarkers and ImmuneScores in lung cancer: predictive insights for immunotherapy and combination treatment strategies. 肺癌的生物标志物和免疫评分:免疫治疗和联合治疗策略的预测性见解。
IF 3.7 3区 生物学 Q1 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-07-10 DOI: 10.1186/s12575-025-00287-0
Xiaoyu Yang, Bin Luo, Jianhui Tian, Yanhong Wang, Xinyi Lu, Jian Ni, Yun Yang, Lei Jiang, Shengxiang Ren

Lung cancer remains the leading cause of cancer related deaths worldwide. Immunotherapy and combination therapies, involving chemotherapy, radiotherapy, and tumor anti-angiogenesis therapy, have shown promising clinical results and are expected to become a key approach in the future management of lung cancer. However, due to immune resistance, immunotherapy remains highly effective in only a subset of patients, while many others either do not respond initially or develop resistance over time. Moreover, immune-related adverse events induced by immunotherapy, further complicate treatment outcomes and prognosis. Immune-related biomarkers and ImmuneScores have driven the development of personalized immunotherapy strategies for lung cancer, and they can aid in predicting immune resistance, and forecasting immune-related adverse events (irAEs). This review summarizes the prognosis value of immune-related biomarkers and ImmuneScores in immunotherapy and combination therapies for lung cancer. The aim is to provide a foundation for personalized treatment and management of lung cancer, while offering guidance for future research directions in immunotherapy.

肺癌仍然是全世界癌症相关死亡的主要原因。包括化疗、放疗和肿瘤抗血管生成治疗在内的免疫治疗和联合治疗已显示出良好的临床效果,有望成为未来肺癌治疗的关键途径。然而,由于免疫抵抗,免疫治疗仅对一小部分患者有效,而许多其他患者要么最初没有反应,要么随着时间的推移产生耐药性。此外,免疫治疗引起的免疫相关不良事件进一步使治疗结果和预后复杂化。免疫相关生物标志物和免疫评分推动了肺癌个性化免疫治疗策略的发展,它们可以帮助预测免疫抵抗和预测免疫相关不良事件(irAEs)。本文综述了免疫相关生物标志物和免疫评分在肺癌免疫治疗和联合治疗中的预后价值。旨在为肺癌的个性化治疗和管理提供基础,同时为未来免疫治疗的研究方向提供指导。
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引用次数: 0
Mitigating Tumor Recurrence through Mitochondrial Metabolism Inhibition: A Novel NIR Laser-Induced Therapeutic Strategy. 通过线粒体代谢抑制减轻肿瘤复发:一种新的近红外激光诱导治疗策略。
IF 3.7 3区 生物学 Q1 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-07-02 DOI: 10.1186/s12575-025-00283-4
Yao Liu, Zujun Que, Tianqi An, Zhipeng Zhang, Jianhui Tian

Tumor recurrence driven by mitochondrial hypermetabolism remains a critical challenge in cancer therapy, as aberrant energy metabolism fuels therapeutic resistance and disease progression. We aimed to develop a multifunctional nanoplatform combining mitochondrial metabolism inhibition, photothermal therapy, and controlled chemotherapy to overcome tumor recurrence mechanisms. Biodegradable polydopamine nanoparticles (PDA-DOX-CO NPs) were engineered via molecular self-assembly, co-loading doxorubicin (DOX) and a carbon monoxide (CO) prodrug. The PDA-DOX-CO NPs demonstrated three synergistic therapeutic effects: (1) Photothermal ablation (48.38 °C tumor hyperthermia), (2) CO-mediated mitochondrial suppression, and (3) Spatiotemporally controlled DOX release. In HCT-116 tumor models, PDA-DOX-CO NPs with NIR irradiation induced 60% tumor complete ablation. Histopathological analysis confirmed significant apoptosis induction and mitochondrial morphology alterations in treated tumors. This "metabolic blockade + energy depletion + precision delivery" paradigm provides a synergistic solution to tumor recurrence, demonstrating enhanced therapeutic efficacy and biosafety through mitochondrial-targeted multimodal action.

线粒体高代谢驱动的肿瘤复发仍然是癌症治疗中的一个关键挑战,因为异常的能量代谢会导致治疗抵抗和疾病进展。我们的目标是开发一种多功能纳米平台,结合线粒体代谢抑制、光热治疗和控制化疗来克服肿瘤复发机制。通过分子自组装,共负载阿霉素(DOX)和一氧化碳(CO)前药,设计了可生物降解的聚多巴胺纳米颗粒(PDA-DOX-CO NPs)。pd -DOX- co NPs表现出三种协同治疗作用:(1)光热消融(48.38°C肿瘤热疗),(2)co介导的线粒体抑制,(3)时空控制DOX释放。在HCT-116肿瘤模型中,近红外照射下的PDA-DOX-CO NPs诱导60%的肿瘤完全消融。组织病理学分析证实了治疗后肿瘤显著的细胞凋亡诱导和线粒体形态改变。这种“代谢阻断+能量消耗+精确递送”的模式为肿瘤复发提供了协同解决方案,通过线粒体靶向的多模式作用显示出增强的治疗效果和生物安全性。
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引用次数: 0
The Role of Nrf2 in the Regulation of Periodontitis, Peri-implantitis, Dentin Infection, and Apical Periodontitis. Nrf2在牙周炎、种植周炎、牙本质感染和根尖牙周炎调控中的作用。
IF 3.7 3区 生物学 Q1 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-07-02 DOI: 10.1186/s12575-025-00285-2
Malihe Arabpour, Mehran Zareanshahraki, Rafid Jihad Albadr, Waam Mohammed Taher, Mariem Alwan, Mahmood Jasem Jawad, Seied Kaveh Ghaffar Zade, Hiba Mushtaq, Khashayar Ghazanfari
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引用次数: 0
Photothermal Hyperthermia Suppresses Liver Tumor Growth Via Hippo Signaling Pathway-Dependent Inhibition of Cell Proliferation and Induction of Apoptosis. 光热热疗通过Hippo信号通路依赖性抑制细胞增殖和诱导凋亡抑制肝脏肿瘤生长。
IF 3.7 3区 生物学 Q1 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-06-17 DOI: 10.1186/s12575-025-00282-5
Jian Li, Yuanhua Qin, Yingying Yang, Hang Chen, Mengjuan Li, Yadi Liu, Bingjie Liu, Jingli Shang, Yu Zhang, Tao Han, Yuhan Hu, Feng Ren

Hepatocellular carcinoma (HCC) ranks as the third most common malignant tumor globally. Although hyperthermia has shown promise as a non-invasive treatment for tumors, its specific mechanisms and impact on HCC remain underexplored. This study aims to investigate the effects of hyperthermia on HCC proliferation and apoptosis and to elucidate the role of the Hippo signaling pathway in these processes. Huh7 and HepG2 HCC cells were cultured at various temperatures (37 °C, 40 °C, 43 °C, and 46 °C), with 37 °C as the control. Cell proliferation, apoptosis, and cell cycle distribution were assessed via CCK-8 assays and flow cytometry. A subcutaneous xenograft model in nude mice, treated with indocyanine green (ICG) and near-infrared (NIR) irradiation to achieve local hyperthermia, was used to evaluate in vivo tumor growth. RNA-seq and KEGG pathway analyses identified differentially expressed genes, and Western blotting and immunofluorescence were used to confirm the involvement of the Hippo signaling pathway. Hyperthermia at 43 °C significantly inhibited Huh7 and HepG2 cell proliferation and induced apoptosis, accompanied by cell cycle arrest. In vivo, local hyperthermia reduced tumor volume and weight in the ICG + NIR-treated group. RNA-seq and KEGG analyses revealed that the Hippo signaling pathway was activated under hyperthermic conditions, with YAP expression and nuclear translocation markedly downregulated. Further experiments showed that YAP overexpression mitigated hyperthermia-induced effects on cell proliferation and apoptosis, underscoring the role of the Hippo pathway. These findings demonstrate that hyperthermia inhibits HCC growth by regulating the Hippo signaling pathway, reducing cell proliferation, and promoting apoptosis. This study highlights the potential of hyperthermia as an effective therapeutic approach for HCC, with implications for developing targeted hyperthermic therapies.

肝细胞癌(HCC)是全球第三大最常见的恶性肿瘤。尽管热疗作为一种非侵入性治疗肿瘤的方法已显示出前景,但其具体机制和对HCC的影响仍未得到充分探讨。本研究旨在探讨热疗对HCC增殖和凋亡的影响,并阐明Hippo信号通路在这一过程中的作用。以37℃为对照,分别在37℃、40℃、43℃、46℃等不同温度下培养Huh7和HepG2细胞。通过CCK-8检测和流式细胞术评估细胞增殖、凋亡和细胞周期分布。采用吲哚菁绿(ICG)和近红外(NIR)照射实现局部热治疗的裸鼠皮下异种移植模型,用于评估体内肿瘤生长情况。RNA-seq和KEGG通路分析鉴定了差异表达基因,Western blotting和免疫荧光法证实了Hippo信号通路的参与。43℃高温显著抑制Huh7和HepG2细胞增殖,诱导细胞凋亡,并伴有细胞周期阻滞。在体内,局部热疗减少了ICG + nir治疗组的肿瘤体积和重量。RNA-seq和KEGG分析显示,Hippo信号通路在高温条件下被激活,YAP表达和核易位明显下调。进一步的实验表明,YAP过表达减轻了高温诱导的细胞增殖和凋亡的影响,强调了Hippo通路的作用。这些发现表明,热疗通过调节Hippo信号通路、减少细胞增殖和促进细胞凋亡来抑制HCC的生长。本研究强调了热疗作为HCC有效治疗方法的潜力,对开发靶向热疗具有重要意义。
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引用次数: 0
Establishment of a mouse lung cancer organoid model and its applications for therapeutic screening. 小鼠肺癌类器官模型的建立及其在治疗筛选中的应用。
IF 3.7 3区 生物学 Q1 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-06-16 DOI: 10.1186/s12575-025-00284-3
Yajing Liu, Jingyuan Ning, Donglai Wang

Background: Lung cancer exhibits a high degree of heterogeneity, rendering its treatment one of the most difficult challenges. Current laboratory lung cancer models cannot fully preserve the diversity of the disease and predict drug responses. Owing to the rarity of human-derived samples, transgenic mouse models can be extensively used in fundamental research.

Results: We established a mouse lung cancer organoid (LCO) model derived from a genetically engineered mouse model that can spontaneously develop lung cancer. Morphological and molecular assays demonstrated that the lung cancer organoids retained the histological architecture and stem-like characteristics of their parental tumors. Successfully constructed lung cancer organoids were amenable for high-throughput drug screening in vitro.

Conclusions: This method can be used for the construction and identification of mouse-derived lung cancer organoids, which can be used to further comprehend the pathophysiology of lung cancer and evaluate drug responses in personalized medicine.

背景:肺癌表现出高度的异质性,使其治疗成为最困难的挑战之一。目前的实验室肺癌模型不能完全保留疾病的多样性和预测药物反应。由于人类来源样本的稀缺性,转基因小鼠模型可以广泛用于基础研究。结果:我们建立了小鼠肺癌类器官(LCO)模型,该模型来源于可自发发展为肺癌的基因工程小鼠模型。形态学和分子分析表明,肺癌类器官保留了其亲代肿瘤的组织学结构和茎样特征。成功构建的肺癌类器官可用于体外高通量药物筛选。结论:该方法可用于小鼠源性肺癌类器官的构建和鉴定,可用于进一步了解肺癌的病理生理及个体化医疗中药物反应的评价。
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引用次数: 0
Recent Advances in mRNA-Based Vaccines Against Several Hepatitis Viruses. 几种肝炎病毒mrna疫苗的研究进展
IF 3.7 3区 生物学 Q1 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-06-03 DOI: 10.1186/s12575-025-00269-2
Rafid Jihad Albadr, Hayder Naji Sameer, Zainab H Athab, Mohaned Adil, Ahmed Yaseen, Omer Qutaiba B Allela

Viral hepatitis is a significant danger to global public health as it is the primary cause of mortality worldwide. Hepatitis B virus (HBV), hepatitis C virus (HCV), and hepatitis D virus (HDV) are well-established infectious agents that significantly contribute to the development and transmission of hepatocellular carcinoma (HCC). Hepatitis E virus (HEV) is the pathogen responsible for acute viral hepatitis. 80% of liver malignancies are HCC, with HBV and HCV infections being the primary cause of seventy to eighty% of HCC cases. HEV may exacerbate liver inflammation and make other infections more severe. New vaccinations against the hepatitis virus are being developed to reduce the required doses for inducing an effective immune response and to help establish long-term protection in populations hyporesponsive to the vaccine. RNA-based vaccinations have emerged as a viable alternative. mRNA vaccines can help bridge the gap between the availability of effective vaccines and the rise of pandemic infectious diseases. Both human and animal studies have demonstrated that these vaccinations induce long-lasting and safe immunological responses. This review highlights the challenges faced in developing vaccines for the hepatitis virus, explicitly focusing on different vaccine candidates aimed at preventing or mitigating the illness. Here, we review the progress and comprehensive assessments of an mRNA-based vaccine designed to combat HAV, HBV, HCV, HDC, and HEV.

病毒性肝炎是全球公共卫生的一个重大危险,因为它是全世界死亡的主要原因。乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)和丁型肝炎病毒(HDV)是公认的感染因子,它们在肝细胞癌(HCC)的发展和传播中起着重要作用。戊型肝炎病毒(HEV)是导致急性病毒性肝炎的病原体。80%的肝脏恶性肿瘤是HCC, HBV和HCV感染是70%至80% HCC病例的主要原因。HEV可能加剧肝脏炎症并使其他感染更加严重。正在开发针对肝炎病毒的新疫苗,以减少诱导有效免疫反应所需的剂量,并帮助在对疫苗反应不足的人群中建立长期保护。基于rna的疫苗接种已经成为一种可行的替代方案。mRNA疫苗可以帮助弥合有效疫苗的供应与大流行性传染病上升之间的差距。人类和动物研究都表明,这些疫苗可诱导持久和安全的免疫反应。本综述强调了开发肝炎病毒疫苗所面临的挑战,明确侧重于旨在预防或减轻这种疾病的不同候选疫苗。在这里,我们回顾了一种基于mrna的疫苗的进展和综合评估,该疫苗旨在对抗HAV、HBV、HCV、HDC和HEV。
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引用次数: 0
Mechanisms of drug resistance in hepatocellular carcinoma. 肝细胞癌耐药机制研究。
IF 3.7 3区 生物学 Q1 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-05-28 DOI: 10.1186/s12575-025-00281-6
Yongchun Zou, Xinliang Wan, Qichun Zhou, Gangxing Zhu, Shanshan Lin, Qing Tang, Xiaobing Yang, Sumei Wang

Hepatocellular carcinoma (HCC) is the most prevalent form of primary liver cancer, associated with high morbidity and mortality worldwide. Despite advancements in diagnostic methods and systemic treatments, including tyrosine kinase inhibitors (TKIs) and immune checkpoint inhibitors (ICIs), the development of drug resistance remains a significant challenge in HCC management. Traditional treatments such as surgical resection and transarterial chemoembolization offer limited efficacy, especially in advanced stages. Although novel therapies like lenvatinib, sorafenib, regorafenib, and ICIs have shown promise, their effectiveness is often hindered by primary and acquired resistance, leading to poor long-term survival outcomes. This review focuses on the molecular mechanisms underlying resistance to targeted therapies and immunotherapies in HCC. Key factors contributing to resistance include alterations in the tumor microenvironment (TME), immune evasion, hypoxia, changes in cellular metabolism, and genetic mutations. Additionally, molecular players such as ferroptosis, autophagy, apoptosis, endoplasmic reticulum stress, ABC transporters, and non-coding RNAs(ncRNAs) are discussed as contributors to drug resistance. Understanding these mechanisms is critical for the development of novel therapeutic strategies aimed at overcoming resistance, improving patient outcomes, and ultimately enhancing survival rates in HCC patients.

肝细胞癌(HCC)是最常见的原发性肝癌,在世界范围内具有很高的发病率和死亡率。尽管诊断方法和全身治疗(包括酪氨酸激酶抑制剂(TKIs)和免疫检查点抑制剂(ICIs))取得了进步,但耐药性的发展仍然是HCC治疗的重大挑战。传统的治疗方法,如手术切除和经动脉化疗栓塞的疗效有限,特别是在晚期。尽管像lenvatinib、sorafenib、regorafenib和ICIs这样的新疗法已经显示出希望,但它们的有效性经常受到原发性和获得性耐药的阻碍,导致长期生存结果不佳。本文综述了肝癌靶向治疗和免疫治疗耐药的分子机制。导致耐药的关键因素包括肿瘤微环境(TME)的改变、免疫逃避、缺氧、细胞代谢的改变和基因突变。此外,分子参与者,如铁死亡、自噬、细胞凋亡、内质网应激、ABC转运蛋白和非编码rna (ncRNAs)也被讨论为耐药的贡献者。了解这些机制对于开发新的治疗策略至关重要,这些策略旨在克服耐药性,改善患者预后,并最终提高HCC患者的生存率。
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引用次数: 0
Piperlongumine Inhibits Lung Cancer Growth by Inducing Endoplasmic Reticulum Stress Leading to Suppression of M2 Macrophage Polarization. 胡椒明通过诱导内质网应激抑制M2巨噬细胞极化抑制肺癌生长。
IF 4.3 3区 生物学 Q1 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-05-22 DOI: 10.1186/s12575-025-00279-0
Yixin Zhou, Wenjing Teng, Jianchun Wu, Yingbin Luo, Yuli Wang, Yan Li

Lung cancer is the leading cause of cancer-related deaths globally. Prolonged targeted therapy use can lead to drug resistance and target mismatches, necessitating more effective and safer treatment strategies. Recent research has focused on the tumor microenvironment, which includes immune and stromal cells that play roles in tumor proliferation, metastasis, and neovascularization. Tumor-associated macrophages (TAMs) are key immune cells in the tumor microenvironment, promoting tumor invasion, metastasis, and immune escape. Their infiltration density in lung cancer tissue is a poor prognostic factor. Piperlongumine (PL), extracted from Piper longum, possesses antitumor and anti-inflammatory properties, inducing apoptosis and inhibiting invasion and metastasis in lung cancer cells. This study aims to elucidate the correlation between endoplasmic reticulum stress (ERS) in lung cancer cells and M2-type TAM polarization and the role of PL in regulating lung cancer progression. The network pharmacologic analysis revealed that Piperlongumine inhibits lung cancer progression by inducing endoplasmic reticulum stress. In vivo experiments demonstrated that Piperlongumine significantly reduced tumor volume and decreased the proportion of M2-type macrophages. Within the co-culture system, lung cancer cells were shown to promote macrophage M2-type polarization and enhance cancer cell migration. Piperlongumine effectively inhibited these effects by inducing endoplasmic reticulum stress in cancer cells, thereby reducing M2 polarization and cell migration. The addition of endoplasmic reticulum stress inhibitor 4-PBA counteracted Piperlongumine's effects, further underscoring the crucial role of ERS in the treatment mechanism. Piperlongumine suppresses lung cancer growth by inducing endoplasmic reticulum stress, which inhibits macrophage M2-type polarization and reduces cell migration. These findings support Piperlongumine's potential as a therapeutic agent and offer a foundation for targeting endoplasmic reticulum stress to modulate TAM function in lung cancer treatment.

肺癌是全球癌症相关死亡的主要原因。长期使用靶向治疗可导致耐药和靶标不匹配,需要更有效和更安全的治疗策略。最近的研究主要集中在肿瘤微环境,包括在肿瘤增殖、转移和新生血管中起作用的免疫细胞和基质细胞。肿瘤相关巨噬细胞(tumor associated macrophages, tam)是肿瘤微环境中的关键免疫细胞,促进肿瘤侵袭、转移和免疫逃逸。它们在肺癌组织中的浸润密度是一个不良的预后因素。胡椒明(Piperlongumine, PL)从长胡椒中提取,具有抗肿瘤和抗炎作用,可诱导肺癌细胞凋亡,抑制其侵袭和转移。本研究旨在阐明肺癌细胞内质网应激(endoplasmic reticulum stress, ERS)与M2-type TAM极化的关系以及PL在肺癌进展中的调节作用。网络药理学分析显示,哌隆明通过诱导内质网应激抑制肺癌进展。体内实验表明,胡椒明可显著减小肿瘤体积,降低m2型巨噬细胞比例。在共培养系统中,肺癌细胞被证明促进巨噬细胞m2型极化,增强癌细胞迁移。胡椒明通过诱导癌细胞内质网应激,从而减少M2极化和细胞迁移,有效抑制了这些作用。内质网应激抑制剂4-PBA的加入抵消了胡椒明的作用,进一步强调了ERS在治疗机制中的重要作用。哌隆明通过诱导内质网应激抑制肺癌生长,从而抑制巨噬细胞m2型极化,减少细胞迁移。这些发现支持了哌隆明作为治疗药物的潜力,并为靶向内质网应激调节TAM功能在肺癌治疗中的应用提供了基础。
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引用次数: 0
Heterogeneity and efficacy of immunotherapy in multiple cancer: insights from a meta-analysis. 免疫治疗在多种癌症中的异质性和疗效:来自荟萃分析的见解。
IF 3.7 3区 生物学 Q1 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-05-20 DOI: 10.1186/s12575-025-00274-5
Weidong Wu, Bin Liu, Qing Zhang, Xiaojuan Zhang, Pengya Feng, Yongliang Jia, Xia Xue

Background: Immunotherapy has been recognized as a significant advancement in cancer treatment by promoting the body's immune system to identify and eliminate cancer cells more effectively. Unlike conventional therapies, immunotherapy can enhance the natural capabilities of human immune system. Chimeric Antigen Receptor T-cell (CAR-T) therapy involves genetical-modified T-cells from patients to better catch and attack cancer cells. Up to date, CAR-T therapy has shown particular promise in treating certain types of leukemia and lymphoma, highlighting the transformative potential of immunotherapy.

Results: Literature data search using PubMed, CNKI, and Wanfang were searched to collect eligible studies up to January 2025. The primary outcomes of complete response rate (CRR), objective response rate (ORR), dead rate (DR), and other adverse reactions were evaluated. Secondary outcomes (CRR, ORR, and DR) of subgroup analysis from different cancer types, origins, and outcomes for survival rate were analyzed for our final results. A total of 649 studies were initially identified through database searching. After removing duplicates and non-clinical cancer studies, 32 eligible studies were included in this work. The pooled data included 819 patients for objective response rate (ORR), 843 patients for complete response rate (CRR), and 868 patients for dead event. In the included studies, 24 reported ORR data, revealing an objective response rate of 84.86% (695/819) with little heterogeneity (OR: 0.87, 95% CI 0.80-0.91, P = < 0.01, I2 = 61%); 24 studies showed a CRR of 65.30% (491/843) with significant heterogeneity (OR: 0.58, 95% CI: 0.43-0.72, P < 0.01, I2 = 84%); 27 studies showed a mortality rate of 23.73% (206/868) with significant heterogeneity (OR: 0.19, 95% CI: 0.11-0.32, P < 0.01, I2 = 77%). Subgroup analysis based on cancer type revealed that ORR was higher in multiple myeloma (86.77%, 400/461) compared with leukemia (84.92%, 259/305) and lymphoma (67.92%, 36/53). In parallel, heterogeneity observed based on case origins suggested that Chinese cases showed significantly higher ORR, CRR, and survival rates compared with American ones.

Conclusions: This meta-analysis provides valuable insights into the potential of immunotherapy, particularly CAR-T, in cancer treatment. Findings showed the different efficacy and safety of immunotherapy in treating multiple cancers, with various objective response rates. Continued studies from more trials with different populations are needed to optimize their efficacy in further cancer treatment and precision medicine.

背景:免疫疗法通过促进人体免疫系统更有效地识别和消除癌细胞,已被认为是癌症治疗的重大进展。与传统疗法不同,免疫疗法可以增强人体免疫系统的自然能力。嵌合抗原受体t细胞(CAR-T)疗法涉及来自患者的基因修饰的t细胞,以更好地捕获和攻击癌细胞。到目前为止,CAR-T疗法在治疗某些类型的白血病和淋巴瘤方面显示出特别的希望,突出了免疫疗法的变革潜力。结果:通过PubMed、CNKI和万方检索文献数据,收集到2025年1月前符合条件的研究。主要结局指标为完全缓解率(CRR)、客观缓解率(ORR)、病死率(DR)及其他不良反应。对不同癌症类型、起源和生存率的亚组分析的次要结果(CRR、ORR和DR)进行分析,以获得我们的最终结果。通过数据库检索,初步确定了649项研究。在剔除重复研究和非临床癌症研究后,本研究纳入了32项符合条件的研究。合并数据包括819例客观缓解率(ORR), 843例完全缓解率(CRR)和868例死亡事件。在纳入的研究中,有24项报告了ORR数据,显示客观缓解率为84.86%(695/819),异质性很小(OR: 0.87, 95% CI 0.80-0.91, P = 2 = 61%);24项研究的CRR为65.30%(491/843),异质性显著(OR: 0.58, 95% CI: 0.43 ~ 0.72, P < 0.01, I2 = 84%);27项研究显示死亡率为23.73%(206/868),具有显著异质性(OR: 0.19, 95% CI: 0.11-0.32, P < 0.01, I2 = 77%)。基于肿瘤类型的亚组分析显示,多发性骨髓瘤的ORR(86.77%, 400/461)高于白血病(84.92%,259/305)和淋巴瘤(67.92%,36/53)。与此同时,基于病例来源观察到的异质性表明,中国病例的ORR、CRR和生存率明显高于美国病例。结论:这项荟萃分析为免疫疗法,特别是CAR-T疗法在癌症治疗中的潜力提供了有价值的见解。结果显示,免疫疗法治疗多种癌症的疗效和安全性不同,客观有效率不同。需要在不同人群中进行更多的试验,以进一步优化其在癌症治疗和精准医疗方面的功效。
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引用次数: 0
PRRG4 Brain-Specific Conditional Knockout Mice Display Autism Spectrum Disorder-Like Behaviors. PRRG4脑特异性条件敲除小鼠表现出自闭症谱系障碍样行为。
IF 3.7 3区 生物学 Q1 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-05-16 DOI: 10.1186/s12575-025-00280-7
Luxi Shen, Lan Chen, Yuping Tang, Yeyao Yan, Ting Xiong, Yong Liu, Hongzhi Li, Haihua Gu

Background: Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized primarily by social deficits and repetitive behaviors. The mechanisms of ASD are complex and are not yet fully understood, although many ASD risk genes and mouse models have been reported. It has been suggested that deletion of PRRG4 (proline-rich and Gla domain 4) deletion may contribute to autism symptoms in patients with WAGR (Wilms' tumor, aniridia, gonadoblastoma, mental retardation) syndrome. The mouse model with PRRG4 gene deletion has not been reported so far. This study investigated whether brain-specific conditional knockout of PRRG4 induces ASD-like symptoms in mice by crossing the PRRG4fl/fl mice with Emx1-Cre mice, which express Cre in the cerebral cortex and hippocampus.

Results: The PRRG4 brain-specific knockout (PRRG4fl/fl-Cre+, PRRG4-CKO) mice exhibited social deficits, repetitive behaviors, and anxiety-like symptoms compared to PRRG4fl/fl control mice according to the results of various behavioral tests. PRRG4 knockout led to the increase in total dendritic length, branching, and dendritic spine density in the pyramidal neurons of the cerebral cortex and hippocampus, as well as enhanced levels of synaptic proteins including SYP and PSD95. Immunoprecipitation experiment with PRRG4 antibodies showed dramatic decreased interaction of PRRG4 and MAGI2 proteins in brain tissues from PRRG4-CKO mice compared to PRRG4fl/fl control mice. GST-RBD pull-down assay showed a significant decrease in RhoA-GTP levels in the cerebral cortex and hippocampus of PRRG4-CKO mice.

Conclusions: Brain-specific conditional knockout of the PRRG4 in mice leads to ASD-like symptoms. PRRG4 protein may regulate dendritic and synaptic development in mice by activating RhoA through interaction with MAGI2. These findings provide evidence for a comprehensive understanding of PRRG4 function in vivo and support the association between PRRG4 loss and ASD phenotypes observed in WAGR syndrome.

背景:自闭症谱系障碍(ASD)是一种以社交缺陷和重复行为为主要特征的神经发育障碍。尽管许多ASD风险基因和小鼠模型已经被报道,但ASD的机制是复杂的,尚未完全了解。有研究表明,PRRG4(脯氨酸丰富和Gla结构域4)缺失可能导致WAGR (Wilms' tumor, antiridia, gonadoblastoma, mental retarda)综合征患者出现自闭症症状。PRRG4基因缺失小鼠模型目前尚未见报道。本研究通过将PRRG4fl/fl小鼠与大脑皮层和海马中表达Cre的Emx1-Cre小鼠杂交,研究脑特异性条件敲除PRRG4是否会诱导小鼠出现asd样症状。结果:各种行为测试结果显示,PRRG4脑特异性敲除(PRRG4fl/fl- cre +, PRRG4- cko)小鼠与PRRG4fl/fl对照小鼠相比,表现出社交缺陷、重复行为和焦虑样症状。PRRG4敲除导致大脑皮层和海马锥体神经元的总树突长度、分支和树突棘密度增加,SYP和PSD95等突触蛋白水平升高。PRRG4抗体免疫沉淀实验显示,与PRRG4fl/fl对照小鼠相比,PRRG4- cko小鼠脑组织中PRRG4和MAGI2蛋白的相互作用显著降低。GST-RBD下拉实验显示PRRG4-CKO小鼠大脑皮层和海马中RhoA-GTP水平显著降低。结论:小鼠脑特异性条件敲除PRRG4可导致asd样症状。PRRG4蛋白可能通过与MAGI2相互作用激活RhoA来调节小鼠树突和突触的发育。这些发现为全面了解PRRG4在体内的功能提供了证据,并支持了PRRG4缺失与WAGR综合征中观察到的ASD表型之间的关联。
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