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New Insight of Oncology: Cancer Concept without Tumor 肿瘤学新视角:无肿瘤的癌症概念
Pub Date : 2024-06-12 DOI: 10.30683/1929-2279.2024.13.02
S. Kzyrgalin, K. Gantsev, A.A. Rizvanov, S. Gantsev
This article presents an analysis of current trends in the field of oncology, as an industry that was influenced by both scientific discoveries and the very order of civilization development as a whole. The key technological breakthroughs that have had an impact on oncology in the medium and long term perspective, as well as changes in the structure and approaches to the treatment of oncological diseases, which, in their turn, can determine the foresight of oncology development for the coming decades, are outlined. The TNM (tumor, lymph node, and metastasis) Classification of Malignant Tumors has been critically reassessed through the prism of the achievements in modern molecular biology. In this context, we are inevitably moving towards a new paradigm of oncological science "cancer without a tumor", where the tumor itself becomes a symptom of a systemic "oncological disease". The concept of "cancer without a tumor" has been proposed for the first time. This article is intended to engage professional communities in the oncology field in a discussion of understanding the transformation of the modern concept of oncological diseases.
肿瘤学是受科学发现和整个文明发展秩序影响的行业,本文对肿瘤学领域当前的发展趋势进行了分析。文章概述了对肿瘤学产生中长期影响的关键技术突破,以及肿瘤疾病治疗结构和方法的变化,这些变化反过来又能决定肿瘤学未来几十年的发展前景。在现代分子生物学成就的棱镜下,我们对恶性肿瘤 TNM(肿瘤、淋巴结和转移)分类进行了严格的重新评估。在这种情况下,我们不可避免地要走向肿瘤科学的新范式 "无肿瘤癌症",即肿瘤本身成为全身性 "肿瘤疾病 "的症状。没有肿瘤的癌症 "这一概念是首次提出。本文旨在让肿瘤学领域的专业团体参与讨论,了解现代肿瘤疾病概念的转变。
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引用次数: 0
Successful Treatment, with Chemotherapy and Intravenous Administration of Ascorbic Acid, of a Patient with Peripheral T-Cell Lymphoma, Not Otherwise Specified 通过化疗和静脉注射抗坏血酸成功治疗一名未另作说明的外周 T 细胞淋巴瘤患者
Pub Date : 2024-02-13 DOI: 10.30683/1929-2279.2024.13.01
Chiaki Tokoro, Atsushi Tashiro, Kenji Ina, Yoshiteru Tanaka, Hiroyuki Kobayakawa, Takashi Yoshida, S. Kayukawa
Here, we report the case of a 64-year-old man with peripheral T-cell lymphoma, not otherwise specified, who complained of diffuse lymphadenopathy and pancytopenia. This patient received the CHOP regimen followed by the CHP plus brentuximab vedotin regimen, and eventually experienced severe adverse effects, such as leukocytopenia and thrombocytopenia. He was then intravenously administered high doses of ascorbic acid to enhance the effects of chemotherapy drugs and reduce the intensity of the side effects. Positron emission tomography-computed tomography revealed a complete response of the lesions to combination therapy. This case report demonstrated the feasibility, efficacy, and acceptable toxicity of high-dose ascorbic acid in patients undergoing chemotherapy.
在此,我们报告了一例 64 岁男性外周 T 细胞淋巴瘤患者的病例,该患者主诉弥漫性淋巴结病和泛发性白细胞减少症。该患者接受了 CHOP 方案,随后又接受了 CHP 加布伦妥昔单抗维多汀方案,最终出现了白细胞减少和血小板减少等严重不良反应。随后,他被静脉注射了大剂量的抗坏血酸,以增强化疗药物的效果并减轻副作用的强度。正电子发射计算机断层扫描显示,病灶对联合疗法完全应答。本病例报告证明了大剂量抗坏血酸治疗化疗患者的可行性、有效性和可接受的毒性。
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引用次数: 0
Successful Treatment, with Chemotherapy and Intravenous Administration of Ascorbic Acid, of a Patient with Peripheral T-Cell Lymphoma, Not Otherwise Specified 通过化疗和静脉注射抗坏血酸成功治疗一名未另作说明的外周 T 细胞淋巴瘤患者
Pub Date : 2024-02-13 DOI: 10.30683/1929-2279.2024.13.01
Chiaki Tokoro, Atsushi Tashiro, Kenji Ina, Yoshiteru Tanaka, Hiroyuki Kobayakawa, Takashi Yoshida, S. Kayukawa
Here, we report the case of a 64-year-old man with peripheral T-cell lymphoma, not otherwise specified, who complained of diffuse lymphadenopathy and pancytopenia. This patient received the CHOP regimen followed by the CHP plus brentuximab vedotin regimen, and eventually experienced severe adverse effects, such as leukocytopenia and thrombocytopenia. He was then intravenously administered high doses of ascorbic acid to enhance the effects of chemotherapy drugs and reduce the intensity of the side effects. Positron emission tomography-computed tomography revealed a complete response of the lesions to combination therapy. This case report demonstrated the feasibility, efficacy, and acceptable toxicity of high-dose ascorbic acid in patients undergoing chemotherapy.
在此,我们报告了一例 64 岁男性外周 T 细胞淋巴瘤患者的病例,该患者主诉弥漫性淋巴结病和泛发性白细胞减少症。该患者接受了 CHOP 方案,随后又接受了 CHP 加布伦妥昔单抗维多汀方案,最终出现了白细胞减少和血小板减少等严重不良反应。随后,他被静脉注射了大剂量的抗坏血酸,以增强化疗药物的效果并减轻副作用的强度。正电子发射计算机断层扫描显示,病灶对联合疗法完全应答。本病例报告证明了大剂量抗坏血酸治疗化疗患者的可行性、有效性和可接受的毒性。
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引用次数: 0
Studying the Role of Novel Carbon Nano Tubes as a Therapeutic Agent to Treat Triple Negative Breast Cancer (TNBC) - an In Vitro and In Vivo Study. 研究新型碳纳米管作为治疗剂在治疗三阴性乳腺癌 (TNBC) 中的作用--一项体外和体内研究。
Pub Date : 2024-01-01 Epub Date: 2024-11-11 DOI: 10.30683/1929-2279.2024.13.06
Kamal Asadipour, Narendra Banerjee, Jazmine Cuffee, Karrington Perry, Shennel Brown, Anasua Banerjee, Erik Armstrong, Stephen Beebe, Hirendra Banerjee

Triple Negative Breast Cancer (TNBC) is a malignant cancer with a very high mortality rate around the world. African American(AA) women are 28% more likely to die from triple-negative breast cancer (TNBC) than white women with the same diagnosis. AA patients are also more likely to be diagnosed at a later stage of the disease and have the lowest survival rates for any stage of diagnosis; There are very few existing anti TNBC drugs with therapeutic efficacy hence newer anti TNBC drug design and investigation is needed. Carbon Nano Tubes(CNT) in recent years have shown effective anti-cancer properties in various types of cancers as reported in peer reviewed journals. Henceforth, we did an investigation to study the anticancer properties of a novel CNT in both in vitro and in vivo models of TNBC. We tested the CNT drug in vitro cytotoxicity studies on TNBC model MDA-MB-231 VIM RFP cell lines and Spheroid forming assays on the same cancer cells; we also did an in vivo study on TNBC model mice to study the therapeutic efficacy of this CNT drug in reducing the tumor load. Our initial studies showed increased cell death and reduction in spheroid numbers in the CNT treated cancer cells in comparison to control and a significant reduction in the tumor volume in the TNBC model mice than in untreated animals. Thus our initial studies have shown significant therapeutic efficacy of the novel CNT as an anti TNBC agent. Additional mechanistic studies need to be done to find out the cell death mechanisms, core canonical pathways involved, pharmacokinetic studies before translational research for this novel nanoparticle as a therapeutic agent from bench to bedside.

三阴性乳腺癌(TNBC)是全世界死亡率极高的恶性肿瘤。非裔美国人(AA)妇女死于三阴性乳腺癌(TNBC)的几率比诊断结果相同的白人妇女高出 28%。此外,非裔美国人患者更有可能被诊断为晚期乳腺癌,而且在任何诊断阶段的存活率都是最低的;现有的抗 TNBC 药物很少具有疗效,因此需要设计和研究更新的抗 TNBC 药物。近年来,碳纳米管(CNT)在各种癌症中显示出了有效的抗癌特性,这已在同行评审的期刊上有所报道。因此,我们对新型碳纳米管在 TNBC 体外和体内模型中的抗癌特性进行了研究。我们对 TNBC 模型 MDA-MB-231 VIM RFP 细胞系进行了体外细胞毒性研究,并对相同的癌细胞进行了球形体形成试验;我们还对 TNBC 模型小鼠进行了体内研究,以研究这种 CNT 药物在减少肿瘤负荷方面的疗效。我们的初步研究表明,与对照组相比,CNT 处理过的癌细胞的细胞死亡增加,球形细胞数量减少,TNBC 模型小鼠的肿瘤体积比未处理过的动物显著缩小。因此,我们的初步研究显示了新型 CNT 作为抗 TNBC 药物的显著疗效。在将这种新型纳米粒子作为治疗剂进行从实验室到临床的转化研究之前,还需要进行更多的机理研究,以找出细胞死亡机制、涉及的核心通路以及药代动力学研究。
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引用次数: 0
Marjolins Ulcer: Clinicopathological Profile and Treatment Patterns 马约林斯溃疡:临床病理特征和治疗模式
Pub Date : 2023-12-18 DOI: 10.30683/1929-2279.2023.12.10
B.R. Kiran Kumar, Geeta S. Narayanan, M.S. Ganesh, Amritha Prabha Shankar
Purpose: Marjolins ulcer is a malignant transformation arising from chronic ulcers or previously traumatized scars that occur usually after burns. This article aims to study the clinicopathological profile and treatment patterns of Marjolins ulcer. Materials and Methods: Retrospective analysis of all Marjolins ulcer patients presented to Vydehi Cancer Centre from 2018 to 2021 was done. A total of 27 patients of all age groups were included in the study. All information regarding detailed history, clinical examination, treatment details were retrospectively collected and analysed. Results: Most of the patients were in the 5th decade of life with an overall male preponderance. The most common cause for Marjolins ulcer was Burns scars followed by Trauma. Lower extremities were found to be the most predominant site. The mean latency period for the development of Marjolins ulcer was 11 years. Squamous cell carcinoma was the most common histological subtype, Adjuvant Radiotherapy was given to the patients with high-risk features. Conclusion: Chronic non-healing ulcers that do not respond to treatment should be carefully examined for malignant transformation. Surgery is the mainstay of treatment and Adjuvant Radiotherapy should be considered in high-risk cases to reduce locoregional recurrence.
目的:马若林溃疡是一种由慢性溃疡或既往创伤疤痕引起的恶性转化,通常发生在烧伤之后。本文旨在研究马约林斯溃疡的临床病理特征和治疗模式。材料和方法:对2018年至2021年到维德希癌症中心就诊的所有马约林斯溃疡患者进行回顾性分析。共有 27 名各年龄段的患者被纳入研究。回顾性收集并分析了所有关于详细病史、临床检查、治疗细节的信息。研究结果大多数患者处于生命的第五个十年,男性患者占多数。马约林斯溃疡最常见的病因是烧伤疤痕,其次是外伤。下肢是最主要的发病部位。马约林斯溃疡的平均潜伏期为 11 年。鳞状细胞癌是最常见的组织学亚型,对具有高危特征的患者给予辅助放疗。结论对治疗无效的慢性不愈合溃疡应仔细检查是否有恶性转化。手术是治疗的主要手段,高危病例应考虑辅助放疗,以减少局部复发。
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引用次数: 0
A Case Report on Prolonged Response with Trastuzumab Emtansine (T-DM1) in Recurrent Advance Breast Cancer Setting 复发性晚期乳腺癌患者使用曲妥珠单抗 Emtansine (T-DM1) 延长疗效的病例报告
Pub Date : 2023-12-11 DOI: 10.30683/1929-2279.2023.12.9
Praneet Singh Bedi, Meenu Walia, Vipul R. Thummar, Priya Mehta
Breast cancer holds the dubious distinction of being the most prevalent malignant tumor among women worldwide the 5 year survival rate for patients with advanced or metastatic forms of the disease is estimated at a mere 23%, with approximately 20% of cases exhibiting an amplification of the human epidermal growth factor receptor 2 (HER2). HER2 overexpression was linked to a dismal prognosis prior to the advent of targeted HER2 therapies. The introduction of ado-trastuzumab emtansine (T-DM1) has emerged as one of the standard treatment options for HER2-positive breast cancer patients who experience a recurrence or progression of the disease. This case concerns a patient with recurrent metastatic breast cancer who achieved an unusually extended period of time without the disease progressing while on T-DM1 treatment. After experiencing disease progression on multiple treatment lines involving trastuzumab, the patient achieved a nearly complete clinical remission (cCR) with T-DM1 therapy. The availability of cost-effective biosimilars has expanded access to advanced biologic therapies, which were previously limited to a small segment of the population due to the cost barrier.
据估计,晚期或转移性乳腺癌患者的 5 年生存率仅为 23%,其中约 20% 的病例表现为人类表皮生长因子受体 2(HER2)扩增。在 HER2 靶向疗法出现之前,HER2 过度表达与预后不良有关。ado-trastuzumab emtansine(T-DM1)的问世已成为HER2阳性乳腺癌患者复发或病情进展的标准治疗方案之一。本病例涉及一名复发性转移性乳腺癌患者,该患者在接受 T-DM1 治疗期间,病情没有出现异常进展。在使用曲妥珠单抗的多个治疗方案后,患者的病情出现了进展,但在接受 T-DM1 治疗后,患者的病情几乎达到了临床完全缓解(cCR)。具有成本效益的生物仿制药的出现扩大了先进生物疗法的使用范围,而以前由于成本障碍,这些疗法仅限于一小部分人使用。
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引用次数: 0
Understanding the Warburg Effect Yields New Insights into the Metabolic Control of Cancer 了解沃伯格效应可为癌症的代谢控制提供新见解
Pub Date : 2023-12-07 DOI: 10.30683/1929-2279.2023.12.8
Hassan Bahrami, Majid Tafrihi
Human cells may use either aerobic or anaerobic cellular respiration processes to produce energy, depending on cellular conditions. When there is enough oxygen, cells respire aerobically, but in case of oxygen deficiency, anaerobic cellular respiration is used, which leads to lactic acidosis and an increased risk of cancer according to Warburg's hypothesis. This paper reviews key aspects related to the historical evolutionary origins of metabolic pathways in cancer cells and compares similarities between cancer cells and ancient unicellular organisms to address the origins of metabolic change in cancer cells and provide new insights into the metabolic control of cancer. Understanding the main causes of cancer and the biological origin of their behavioral abnormalities is essential for the metabolic control of cancer. Environmental stressors to cells may include lack of essential nutrients, poor oxygenation, excess acids, viruses, infections, and exposure to chemicals, toxins, and radiation. These cellular stressors can cause normal cells to mutate and become cancerous in an attempt to survive in the harsh conditions. According to the research findings, creating appropriate conditions at the cellular level in terms of pH, sufficient oxygenation and the availability of good sugars, essential vitamins, minerals, enzymes and coenzymes through a healthy diet can lead to a metabolic switch in cancer cells that controls mutations, which can help prevent and control cancer.
人体细胞可以利用有氧或无氧细胞呼吸过程产生能量,这取决于细胞条件。当有足够的氧气时,细胞进行有氧呼吸,但在缺氧的情况下,细胞进行厌氧呼吸,根据Warburg的假设,这会导致乳酸酸中毒和癌症风险增加。本文综述了与癌细胞代谢途径的历史进化起源相关的关键方面,并比较了癌细胞与古代单细胞生物之间的相似性,以解决癌细胞代谢变化的起源问题,并为癌症的代谢控制提供新的见解。了解癌症的主要原因及其行为异常的生物学起源对于癌症的代谢控制至关重要。对细胞的环境压力可能包括缺乏必需的营养物质、缺氧、过量的酸、病毒、感染以及接触化学物质、毒素和辐射。为了在恶劣的环境中生存,这些细胞压力源会导致正常细胞发生突变,变成癌细胞。根据研究结果,通过健康的饮食在细胞水平上创造适当的条件,如pH值、充足的氧合和良好的糖、必需维生素、矿物质、酶和辅酶的可用性,可以导致癌细胞的代谢转换,控制突变,从而有助于预防和控制癌症。
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引用次数: 0
Epigenetic Carcinogenesis and Malignancy: The Significance of Migratory Potential 表观遗传学致癌和恶性肿瘤:迁移潜能的意义
Pub Date : 2023-07-07 DOI: 10.30683/1929-2279.2023.12.7
P. Riley
The essential feature of the malignant phenotype is the ability of the affected cells to transgress the normal territorial limits that delineate tissue boundaries. This brief review outlines the process underlying the acquisition of this property based on evidence consistent with the notion that the mechanism of carcinogenesis involves defective epigenetic transmission. The resulting failure of vertical transmission of the differentiated pattern of gene expression in proliferative stem cells which leads to faulty copying of the epigenetic information at each cell division generates widespread genetic abnormalities; a process which is essentially equivalent to a greatly elevated mutation rate. The outcome from the point of view of the affected cell and its progeny would be expected to interfere negatively with the proliferation rate. To some extent this proliferative disadvantage is offset by the altruistic factor necessary for permitting coexistence of different cell types in multicellular organisms but the crucial property which renders certain cells malignant is their ability to transgress tissue boundaries. Affected cells possessing this malignant phenotype are able to penetrate this barrier and enter microenvironmental zones where they are able to proliferate without competition. The competitive growth process is outlined using a simple microenvironmental model.
恶性表型的基本特征是受影响细胞能够突破划定组织边界的正常区域界限。这篇简短的综述概述了获得这种特性的基本过程,基于与致癌机制涉及缺陷表观遗传传递这一概念一致的证据。增殖性干细胞中分化的基因表达模式的垂直传递失败,导致每个细胞分裂时表观遗传信息的错误复制,从而产生广泛的遗传异常;这一过程基本上相当于突变率的大幅提高。从受影响细胞及其后代的角度来看,结果预计会对增殖率产生负面干扰。在某种程度上,这种增殖劣势被允许多细胞生物中不同细胞类型共存所必需的利他主义因素所抵消,但使某些细胞恶性的关键特性是它们突破组织边界的能力。具有这种恶性表型的受影响细胞能够穿透这种屏障并进入微环境区,在那里它们能够在没有竞争的情况下增殖。竞争性增长过程是使用一个简单的微环境模型概述的。
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引用次数: 0
Tumor Infiltrating Lymphocytes as Immunebiomarkers in Oral Cancer: An Update 肿瘤浸润淋巴细胞作为口腔癌症免疫生物标志物的研究进展
Pub Date : 2023-07-07 DOI: 10.30683/1929-2279.2023.12.6
Deepti Sharma, A. M. Thomas, G. Koshy
The high morbidity and mortality associated with oral cancer has necessitated the exploration of newer diagnostic and prognostic biomarkers. In recent decades, targeting immune landscape has emerged as a newer approach as aggressive tumor biology and therapy resistance are influenced by the interplay between tumor and immune cells. A reciprocal association between chronic inflammation and carcinogenesis is well established and tumor infiltrating lymphocytes (TILs) represent inflammatory milieu of tumor microenvironment (TME). The varied T-cell phenotypes in different stages of cancer influence the prognostic and predictive response of the patients. Along with the conventional treatment options, Immunotherapy has evolved as a suitable alterative for oral carcinoma patients especially with recurrent and metastatic disease (R/M) but response is still unpredictable. Tumor microenvironment (TME) plays a key role to either lessen or boost up immune responses. There is an urgent need for extensive studies to be undertaken to better understand how tumor cells escape immune surveillance and resist immune attack. This review is an attempt to elucidate the concept of immune infiltrate in oral squamous cell carcinoma (OSCC) and thus, understanding the role of immunoscore as an adjunct to TNM staging to guide patient treatment.
与口腔癌症相关的高发病率和死亡率需要探索新的诊断和预后生物标志物。近几十年来,靶向免疫景观已成为一种新的方法,因为肿瘤生物学和治疗耐药性受到肿瘤和免疫细胞之间相互作用的影响。慢性炎症和致癌作用之间的相互关联已经得到很好的证实,肿瘤浸润淋巴细胞(TIL)代表了肿瘤微环境(TME)的炎症环境。癌症不同阶段不同的T细胞表型影响患者的预后和预测反应。与传统的治疗方案一样,免疫疗法已经发展成为口腔癌患者的合适替代品,尤其是复发性和转移性疾病(R/M)患者,但反应仍然不可预测。肿瘤微环境(TME)在减轻或增强免疫反应方面起着关键作用。迫切需要进行广泛的研究,以更好地了解肿瘤细胞如何逃避免疫监视和抵抗免疫攻击。这篇综述试图阐明免疫浸润在口腔鳞状细胞癌(OSCC)中的概念,从而理解免疫核心作为TNM分期辅助手段指导患者治疗的作用。
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引用次数: 0
Targeting Snail1 by CRISPR/Cas9 System Inhibits the Proliferation and Migration of Human Gastric Cancer Cells CRISPR/Cas9系统靶向Snail1抑制人胃癌细胞增殖和迁移
Pub Date : 2023-05-26 DOI: 10.30683/1929-2279.2023.12.5
Peng-Wei Zhang, Zhehang Chen, Zhi Shi
The zinc-finger transcriptional repressor Snail1 affects cancer progression by controlling the epithelial cell-mesenchymal transition. The RNA-guided clustered regularly interspaced short palindromic (CRISPR) with a CRISPR-associated nuclease 9 (Cas9) nuclease system has been extensively used for gene editing. Here, we used two distinct sgRNAs to successfully target Snail1 in the gastric cancer cell line MGC803 with the CRISPR/Cas9 system. Furthermore, we discovered that Snail1 knockout reduced the proliferation and migration of MGC803 cells.
锌指转录抑制因子Snail1通过控制上皮细胞-间充质转化来影响癌症的进展。RNA引导的具有CRISPR相关核酸酶9(Cas9)核酸酶系统的规则间隔短回文簇(CRISPR)已被广泛用于基因编辑。在此,我们使用两种不同的sgRNA,利用CRISPR/Cas9系统成功靶向癌症细胞系MGC803中的Snail1。此外,我们发现Snail1敲除降低了MGC803细胞的增殖和迁移。
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引用次数: 0
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Journal of cancer research updates
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