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Exercise: Preventive and Therapeutic Benefits in Cancer 运动:癌症的预防和治疗益处
Pub Date : 2021-10-26 DOI: 10.30683/1929-2279.2021.10.02
Shashi Agarwal
Cancer is soon expected to overtake cardiovascular diseases as the leading cause of death in the world. As newer and often more expensive cancer treatments become available, several complementary modalities are gaining clinical importance. Exercise is one such modality. Increasing scientific data suggests that exercise, besides helping prevent several cancers, can also help improve outcomes across a range of cancer diagnoses. The mechanisms behind this protection and therapeutic effects are numerous and include changes in body composition, insulin sensitivity, oxidative stress, sex hormone levels, systemic inflammation, immune cell function, and DNA integrity. Exercise is easy to do, is inexpensive, and can be modified to the condition of the patient. This review summarizes the various benefits of structured activity in most major cancers affecting humans.
癌症有望很快超过心血管疾病,成为世界上主要的死亡原因。随着癌症治疗方法的更新和更昂贵,几种互补的方式越来越具有临床重要性。运动就是这样一种形式。越来越多的科学数据表明,锻炼除了有助于预防几种癌症外,还可以帮助改善一系列癌症诊断的结果。这种保护和治疗作用背后的机制是多种多样的,包括身体成分、胰岛素敏感性、氧化应激、性激素水平、全身炎症、免疫细胞功能和DNA完整性的变化。锻炼很容易,价格低廉,并且可以根据患者的情况进行调整。这篇综述总结了结构活性在大多数影响人类的主要癌症中的各种益处。
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引用次数: 0
RNA-Sequencing-Based lncRNA Biomarker Profiling on Triple Negative Breast Cancer 基于rna测序的三阴性乳腺癌lncRNA生物标志物分析
Pub Date : 2021-09-25 DOI: 10.30683/1929-2279.2021.10.01
C. Zou
: Basal-like triple-negative breast cancer (TNBC) is highly heterogeneous and lack of effective molecular targets for therapy. In this study, we developed the lncRNA signatures of TNBC as molecular biomarkers. RNA-sequencing in 12 paired breast cancer and adjacent tissues identified up-regulated and down-regulated lncRNAs of Basal subtype in contrast to Luminal A, Luminal B and HER2 subtypes. Additionally, Kaplan-Meier analysis revealed that high expression of lncRNA (ZEB1-AS1 and TMEM254-AS1) had a poor relapse-free survival rate (RFS), while high expression of lncRNA (LINC01087, LINC01122 and LINC00856) had a positive correlation with RFS. Furthermore, qRT-PCR analysis showed that the mRNA expressions of the ZEB1-AS1 and TMEM254-AS1 lncRNA were up-regulated in TNBC tissues, while the mRNA expression of lncRNA, including LINC01087, LINC01122 and LINC00856 were down-regulated in TNBC tissues. Taken together, our results elucidated that 5 novel lncRNAs, including ZEB1-AS1, TMEM254-AS1, LINC01087, LINC01122 and LINC00856 contributed to the progression of invasive TNBC. These lncRNAs could be molecular biomarkers for the development of TNBC treatment.
:基底样三阴性癌症(TNBC)是高度异质性的,缺乏有效的治疗分子靶点。在这项研究中,我们开发了TNBC的lncRNA特征作为分子生物标志物。与Luminal A、Luminal B和HER2亚型相比,在12对癌症和邻近组织中的RNA序列确定了上调和下调的Basal亚型lncRNA。此外,Kaplan-Meier分析显示,高表达lncRNA(ZEB1-AS1和TMEM254-AS1)的无复发生存率(RFS)较差,而高表达lnc RNA(LINC01087、LINC01122和LINC00856)与RFS呈正相关。此外,qRT-PCR分析显示,ZEB1-AS1和TMEM254-AS1 lncRNA在TNBC组织中的mRNA表达上调,而lncRNA的mRNA表达下调,包括LINC01087、LINC01122和LINC00856。总之,我们的结果阐明了5种新的lncRNA,包括ZEB1-AS1、TMEM254-AS1、LINC01087、LINC01122和LINC00856,有助于侵袭性TNBC的进展。这些lncRNA可能是开发TNBC治疗的分子生物标志物。
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引用次数: 0
Eight-Hit Evolutionary Pattern in ATM Gene of a Breast Carcinoma Patient: A Personalized Approach 乳腺癌患者ATM基因的八击进化模式:一种个性化的方法
Pub Date : 2021-01-01 DOI: 10.30683/1929-2279.2021.10.04
P. Mehdipour, Asaad Azarnezha
: Background : Different genetic variants in the ATM gene have been reported to be associated with breast carcinoma (BC). Purpose of the study was to consider the multi-insights experiments and explorations through the molecular, cellular and structural aspects of ATM. Methods and Results : D1853N polymorphism was traced in a proband with BC. DNA extracted from blood and tumor tissue was PCR-amplified and cloned to allelic localization of characterized variants. Protein expression and In silico analysis based on three different profiles involved in cell cycle were also performed to confirm mutational events. Findings revealed the molecular based sequential events as an eight-hit evolutionary pattern (8- Hit E.P) including D1853N as the first predisposing hit (inherited), pre-differentiation stage hits including IVS 36-8 T>C as the 2 nd hit, V1833M as the 3 rd hit, L1888L as the 4 th , and somatic variants including IVS 36-46 C>T, L1842L, H1864H, and S1872R were considered as the 5-8 th hits. Low protein expression of ATM in the majority of cells was observed, but the expression of cyclin E, CDC25A, P53, and Ki-67 was more diverse. Conclusions : Observations were reflective of the sequential molecular and cellular events through the entire patient’s life from the pre-differentiation embryonic stage and all through the post-birth periods. Mentioned hits seem to be effective on expression and function of ATM which confirmed by the expression and in silico analysis.
背景:ATM基因的不同遗传变异已被报道与乳腺癌(BC)相关。本研究的目的是考虑从分子、细胞和结构方面对ATM的多视角实验和探索。方法与结果:1例BC先证者检测到D1853N多态性。从血液和肿瘤组织中提取的DNA进行pcr扩增并克隆到特征变异的等位基因定位。蛋白质表达和基于三种不同谱参与细胞周期的硅分析也进行了确认突变事件。结果表明,分子序列事件为8 Hit进化模式(8- Hit E.P),其中D1853N为第一个易感点(遗传),分化前阶段的IVS 36- 8t b> C为第2个易感点,V1833M为第3个易感点,L1888L为第4个易感点,体细胞变异包括IVS 36- 46c b> T、L1842L、H1864H和S1872R为第5-8个易感点。ATM蛋白在大多数细胞中低表达,但cyclin E、CDC25A、P53和Ki-67的表达更为多样化。结论:观察结果反映了患者从分化前胚胎期到出生后整个生命过程中连续发生的分子和细胞事件。通过表达和芯片分析证实,上述撞击似乎对ATM的表达和功能都有影响。
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引用次数: 1
Diagnostic and Prognostic DNA-Karyometry for Cancer Diagnostics 用于癌症诊断和预后的dna核测定
Pub Date : 2020-12-25 DOI: 10.30683/1929-2279.2020.09.05
A. Böcking, David Friedrich, B. Palcic, Dietrich Meyer-Ebrech, Jin Chen
Diagnostic and prognostic DNA-karyometry represents an automated computerized microscopical procedure, designed to improve cancer diagnostics at three different aspects: Screening for cancer cells, e.g. in body cavity effusions, urines or mucosal smears Specifying the risk of dysplasias or borderline lesions to progress to manifest cancer, e.g. of oral, bronchial or cervical mucosa, or the ovary Grading the malignancy of certain tumors, like prostate cancer. It combines an automated diagnostic classification of Feulgen-stained nuclei with precise nuclear DNA-measurements. DNA-aneuploidy is used as a specific marker of malignancy and its degree for grading. All types of cytological specimens can be used after (re-)staining specific for DNA according to Feulgen. Histological specimens are subjected to enzymatic cell separation before Feulgen-staining. A video-slide scanner is used for automated scanning of microscopical slides. Diagnostic nuclear classifiers have tissue-specifically been trained by an expert-cytopathologist (A. B.), based on Random Forest Classifiers, applying 18 different morphometric features. They achieve an overall accuracy of 91.1% to differentiate 8 differents types of objects/nuclei. Nuclear DNA-measurements of diploid nuclei achieve a CV of 1% morphometrically abnormal nuclei. Time needed for loading, scanning and validation of results per slide is about 10 minutes. Results of digital diagnostic nuclear classification can be verified by a cytopathologist, using image galleries. Likewise automated diagnostic interpretation of nuclear DNA-distributions can be checked on the monitor, before a pathologists validated diagnoses are issued. Screening-results are presented for body cavity effusions and urines. Evaluations of dysplasias are reported for oral, bronchial and cervical smears. Results of grading malignancy are shown for prostate cancers.
诊断和预后DNA-细胞测定法是一种自动化的计算机化显微镜程序,旨在从三个不同方面改进癌症诊断:筛查癌症细胞,如体腔渗出液、尿液或粘膜涂片中的细胞。指定发展为癌症(如口腔、支气管或宫颈粘膜)的发育不良或边界病变的风险,或卵巢对某些肿瘤的恶性程度进行分级,如前列腺癌症。它将Feulgen染色细胞核的自动诊断分类与精确的细胞核DNA测量相结合。DNA非整倍体被用作恶性肿瘤及其分级程度的特异性标记。根据Feulgen的说法,所有类型的细胞学标本都可以在对DNA进行特异性染色后使用。在Feulgen染色之前,对组织学标本进行酶促细胞分离。视频载玻片扫描仪用于显微镜载玻片的自动扫描。诊断核分类器具有由细胞病理学家(A.B.)专门训练的组织,基于随机森林分类器,应用18种不同的形态计量特征。它们在区分8种不同类型的物体/细胞核方面实现了91.1%的总体准确率。二倍体细胞核的细胞核DNA测量实现了1%形态异常细胞核的CV。加载、扫描和验证每张幻灯片的结果所需的时间约为10分钟。数字诊断核分类的结果可以由细胞病理学家使用图像库进行验证。同样,在病理学家验证诊断结果发布之前,可以在监视器上检查核DNA分布的自动诊断解释。报告了体腔积液和尿液的筛查结果。报告了口腔、支气管和宫颈涂片对发育不良的评估。前列腺癌的恶性程度分级结果。
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引用次数: 3
Gastric Schwannomas Misdiagnosed as GIST: A Comparative Study of Clinic Strategies Based on Membrane Marker Detection 误诊为GIST的胃神经鞘瘤:基于膜标记检测的临床策略比较研究
Pub Date : 2020-12-25 DOI: 10.30683/1929-2279.2020.09.09
Quanyong Cheng
: Gastric schwannomas are one of the rarest gastric tumors originating from the nerve plexus of the gut wall. Because most of these tumors don’t have any specific symptom and the majority of gastric mesenchymal tumors are gastrointestinal stromal tumors (GISTs), many are therefore misdiagnosed as GISTs. In addition, gastric schwannoma is the benign and slow-growing lesion in the stomach, but GISTs had poor outcomes due to lack of response to nonsurgical interventions. In our study, we analyzed two cases of these tumors. Computer tomography (CT), contrast-enhanced CT, gastroscopy, endoscopic ultrasonography (EUS) were applied to diagnose these two patients. In addition, histological examination and immunohistochemistry (IHC) were used to confirm the final diagnosis. All imageological examination such as CT, contrast-enhanced CT, gastroscopy and EUS, diagnosed these two patients as gastrointestinal stromal tumors. Surprisingly, after the subtotal gastric surgery, histological examination showed that these lesions were composed of spindle cells. Those cells presenting in the bundle or fence-like arrangement were mildly heterologous. The outcomes of immunohistochemistry of the cell membrane markers (CD117 / DOG-1 negative, CD34 mild positive or negative) were the exact opposite of the characteristic presentation of GIST. These pathological findings refused the primary diagnosis, and were in coincidence with the characteristics of gastric schwannomas. To our best knowledge, these tumors are really rare that only two cases could be reported and analyzed clinically. CT and EUS could help diagnose gastric schwannomas before pathological examination results, but in order to define this diagnosis correctly. Pathological examination and IHC staining should be applied after surgery. To avoid the recurrence, it is better to resect the lesion completely, regardless of the malignant or benign disease.
:胃神经鞘瘤是起源于肠壁神经丛的最罕见的胃肿瘤之一。由于这些肿瘤大多没有任何特定症状,而且大多数胃间充质肿瘤是胃肠道间质瘤(GIST),因此许多肿瘤被误诊为GIST。此外,胃神经鞘瘤是胃中良性且生长缓慢的病变,但由于对非手术干预缺乏反应,GIST的预后较差。在我们的研究中,我们分析了两例这种肿瘤。应用计算机断层扫描(CT)、增强CT、胃镜、超声内镜(EUS)对两例患者进行诊断。此外,组织学检查和免疫组织化学(IHC)用于确认最终诊断。CT、增强CT、胃镜、超声心动图等影像学检查均诊断为胃肠道间质瘤。令人惊讶的是,胃次全手术后,组织学检查显示这些病变由梭形细胞组成。呈束状或栅栏状排列的那些细胞是轻度异源的。细胞膜标记物(CD117/DOG-1阴性、CD34轻度阳性或阴性)的免疫组织化学结果与GIST的特征性表现完全相反。这些病理结果拒绝了初步诊断,并且与胃神经鞘瘤的特征一致。据我们所知,这些肿瘤非常罕见,临床上只能报告和分析两例。CT和EUS可以在病理检查结果出来之前帮助诊断胃神经鞘瘤,但为了正确地确定诊断。术后应进行病理检查和IHC染色。为了避免复发,最好完全切除病变,无论是恶性还是良性疾病。
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引用次数: 0
The Role of BRAF Gene in Cancer: Literature Review and Future Directions BRAF基因在癌症中的作用:文献综述及未来发展方向
Pub Date : 2020-12-25 DOI: 10.30683/1929-2279.2020.09.03
R. Hsieh
: The BRAF gene encodes a protein belonging to the RAF family of serine/threonine protein kinases. This protein plays an important role in regulating the MAP kinase signaling pathway, which is involved in cellular development, differentiation, division, proliferation, secretion, inflammatory responses and apoptosis in mammalian cells. Since 2002, the mutation of valine 600 to glutamic acid (V600E) is the most prevalent, and it is found to be recurrent in many cancer types. It is frequently identified cancer-causing mutation in melanoma, colorectal cancer, thyroid carcinoma, non-small cell lung carcinoma, hairy cell leukemia, non-Hodgkin lymphoma, glioneuronal tumors, hepatocellular carcinoma, adenocarcinoma of lung, ovarian cancer, and also others malignancies and some cancer metastasis. In the early 1990s, some researchers began studying MAP kinase signaling pathway involved in controlling cell growth and its role in cancer, and it helped identify targets for new classes of cancer therapy. Later BRAF mutation was found in over 50% of melanomas. The overactive BRAF protein expression looked like an attractive drug target. Elucidating the detailed molecular structure of the mutant protein helped pharmaceutical companies developed selective inhibitors of mutated BRAF, including Vemurafenib and Dabrafenib, which have been approved to treat melanoma by the Food and Drug Administration (FDA). In addition, there is a growing number of targeted agents that are being evaluated to treat various BRAF-mutant advanced cancer (especially melanoma, lung, thyroid and colorectal cancer), including other RAF kinase inhibitors and/or MEK inhibitors. the mechanisms of the resistance, therefore it will help us to understand diseases biology and continuously bringing new therapeutic strategies for melanoma and/or others malignancies, including other drugs combination and next-generation of BRAF inhibitors.
BRAF基因编码一种丝氨酸/苏氨酸蛋白激酶RAF家族的蛋白。该蛋白在调控MAP激酶信号通路中发挥重要作用,参与哺乳动物细胞的发育、分化、分裂、增殖、分泌、炎症反应和凋亡。自2002年以来,缬氨酸600向谷氨酸(V600E)的突变最为普遍,并且在许多癌症类型中被发现是复发性的。在黑色素瘤、结直肠癌、甲状腺癌、非小细胞肺癌、毛细胞白血病、非霍奇金淋巴瘤、胶质神经细胞肿瘤、肝细胞癌、肺腺癌、卵巢癌以及其他恶性肿瘤和一些癌症转移中经常发现致癌性突变。20世纪90年代初,一些研究人员开始研究MAP激酶信号通路在控制细胞生长及其在癌症中的作用,这有助于确定新的癌症治疗靶点。后来在超过50%的黑色素瘤中发现了BRAF突变。过度活跃的BRAF蛋白表达看起来像是一个有吸引力的药物靶点。阐明突变蛋白的详细分子结构有助于制药公司开发突变BRAF的选择性抑制剂,包括Vemurafenib和Dabrafenib,这两种抑制剂已被美国食品和药物管理局(FDA)批准用于治疗黑色素瘤。此外,越来越多的靶向药物正在被评估用于治疗各种braf突变的晚期癌症(特别是黑色素瘤、肺癌、甲状腺癌和结直肠癌),包括其他RAF激酶抑制剂和/或MEK抑制剂。因此,它将帮助我们了解疾病生物学,并不断为黑色素瘤和/或其他恶性肿瘤带来新的治疗策略,包括其他药物组合和下一代BRAF抑制剂。
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引用次数: 0
The Influence of Tumor Microenvironment on Tumor Progression; and Anticancer Therapies 肿瘤微环境对肿瘤进展的影响;和抗癌治疗
Pub Date : 2020-12-25 DOI: 10.30683/1929-2279.2020.09.08
D. McKee, Apros Ca Usa Integrative Cancer Consulting
: All tumors are surrounded by complex environmental components including blood and lymph vessels; cellular components like fibroblasts, endothelial cells, immune cells; and non-cellular stromal cytokines, extracellular vesicles, and extracellular matrix. All of these along with the tumor cells constitute the tumor microenvironment (TME). Also the physical and chemical factors within this tumor microenvironment including extracellular pH, hypoxia, elevated interstitial fluid pressure, and fibrosis closely associate with the tumor progression at local site, its metastasis to remote areas of the body, immunosuppression, and drug resistance exhibited by the tumor. These cellular and extracellular components of TME primarily contribute to the process of carcinogenesis. This review focuses on multiple factors that alter the microenvironment to make it favorable for tumor growth at primary site and its metastasis to secondary sites. Also some of the natural products that may help to treat the tumor conditions via alteration of this microenvironment are mentioned which may provide new venues for development of newer drugs halting the progression of the tumors.
:所有肿瘤都被复杂的环境成分包围,包括血管和淋巴管;细胞成分,如成纤维细胞、内皮细胞、免疫细胞;以及非细胞基质细胞因子、细胞外小泡和细胞外基质。所有这些与肿瘤细胞一起构成了肿瘤微环境(TME)。此外,该肿瘤微环境中的物理和化学因素,包括细胞外pH、缺氧、间质液压升高和纤维化,与肿瘤在局部部位的进展、向身体偏远区域的转移、免疫抑制和肿瘤表现出的耐药性密切相关。TME的这些细胞和细胞外成分主要参与致癌过程。这篇综述的重点是改变微环境的多种因素,使其有利于肿瘤在原发部位的生长及其向继发部位的转移。此外,还提到了一些可能通过改变这种微环境来帮助治疗肿瘤的天然产物,这些产物可能为开发阻止肿瘤进展的新药提供新的场所。
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引用次数: 2
Liquid Biopsy: A New, Non-Invasive Early Diagnostic and Prognostic Tool in Oncology 液体活检:一种新的、无创的肿瘤早期诊断和预后工具
Pub Date : 2020-12-25 DOI: 10.30683/1929-2279.2020.09.06
C. Comparetto
: Cancer is essentially a genetic disease. Neoplastic progression consists of a subsequent series of genetic alterations that cumulate. In the bloodstream of an affected subject, circulating tumor cells (CTC) and/or small deoxy-ribonucleic acid (DNA) fragments, known as “circulating tumor DNA” (ctDNA), can be found as a consequence of cancer cells’ death. Cell-free circulating DNA (cfDNA) consists of small fragments of DNA that are found free in plasma or serum, but also in other body fluids. The term “liquid biopsy” (LB) describes a highly sensitive method (based on a simple sampling of peripheral blood) for the isolation and analysis of cfDNA, which can also contain ctDNA and CTC. Its purpose is to look for cancer cells or portions of their DNA that are circulating in the blood. LB can be used to help find cancer in an early stage. It also has the additional advantage of being largely non-invasive and, therefore, being done more frequently, allowing better tumor and genetic mutations tracking. It can also be used to validate the efficacy of a drug for cancer treatment by taking multiple samples of LB within a few weeks. This technology can also be beneficial for patients after treatment to control relapse. The aim of this work is to give an overview of this technique, from its history, state-of-the-art, and methodology of execution, to its applications in oncology and with a hint to the gynecological field.
癌症本质上是一种遗传性疾病。新塑性进展包括随后一系列累积的基因改变。在受影响受试者的血液中,由于癌症细胞的死亡,可以发现循环肿瘤细胞(CTC)和/或小型脱氧核糖核酸(DNA)片段,称为“循环肿瘤DNA”(ctDNA)。无细胞循环DNA(cfDNA)由血浆或血清中游离的DNA小片段组成,也存在于其他体液中。术语“液体活检”(LB)描述了一种高灵敏度的cfDNA分离和分析方法(基于外周血的简单采样),该方法也可能含有ctDNA和CTC。其目的是寻找癌症细胞或其DNA在血液中循环的部分。LB可用于早期发现癌症。它还有一个额外的优势,即在很大程度上是非侵入性的,因此可以更频繁地进行,从而更好地跟踪肿瘤和基因突变。它还可以通过在几周内采集多个LB样本来验证药物治疗癌症的疗效。这项技术也有利于患者在治疗后控制复发。这项工作的目的是概述这项技术,从它的历史、最先进的技术和执行方法,到它在肿瘤学中的应用,并暗示妇科领域。
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引用次数: 0
S-1 Plus Leucovorin and Oxaliplatin in Combination with Lentinan as First-line Therapy in Patients with Metastatic Gastric Cancer S-1 +亚叶酸钙和奥沙利铂联合香菇多糖作为转移性胃癌患者的一线治疗
Pub Date : 2020-12-25 DOI: 10.30683/1929-2279.2020.09.07
K. Ina
: Background : Metastatic gastric cancer has a poor prognosis, despite recent therapeutic improvements. The phase 3 SOLAR study confirmed better efficacy of S-1, oxaliplatin, and leucovorin (SOL) than S-1 plus cisplatin in advanced gastric cancer. Lentinan, β -(1, 3)-glucan purified from Shiitake mushrooms, has been reported to improve the overall survival of cancer patients receiving chemotherapy. We conducted a preliminary study of SOL combined with lentinan during these 4 years. Methods : The clinical study was approved by the ethics committee of Nagoya Memorial Hospital in 2016. After explaining the protocol of this study, patients with recurrent or unresectable gastric cancer were enrolled, if they had the intention to participate. Medical records were retrospectively reviewed to determine the objective response rate (ORR), disease control rate, overall survival, and adverse effects. Results : Twelve patients (age: 59-81 years; sex: 9 men, 3 women) with metastatic gastric cancer (liver: 3, lung: 2, peritoneal: 12, ascites: 9) were treated with SOL in combination with lentinan as the first-line regimen. The cycles ranged from 4 to 15. The ORR and disease control rates were 58.3% (complete response [CR], 1; partial response, 6) and 91.7%, respectively. One patient with CR survived for > 23 months after the initiation of chemotherapy. Concerning adverse events, peripheral neuropathy was the most common event observed in all patients. However, there were no severe side effects, such as febrile neutropenia and diarrhea. Conclusions : SOL combined with lentinan can be a promising option for the treatment of far advanced metastatic gastric cancer.
背景:转移性癌症预后不良,尽管最近治疗有所改善。3期SOLAR研究证实,与S-1加顺铂相比,S-1、奥沙利铂和leucovorin(SOL)治疗晚期癌症的疗效更好。据报道,从香菇中纯化的β-(1,3)-葡聚糖香菇多糖可提高接受化疗的癌症患者的总生存率。在这4年中,我们对SOL与香菇多糖联合用药进行了初步研究。方法:该临床研究于2016年获得名古屋纪念医院伦理委员会的批准。在解释了这项研究的方案后,如果有意向参与的话,复发或不可切除的癌症患者被纳入研究。对医疗记录进行回顾性审查,以确定客观有效率(ORR)、疾病控制率、总生存率和不良反应。结果:12例转移性癌症(肝3例,肺2例,腹膜12例,腹水9例)患者(年龄59~81岁,性别9男,女3例)采用SOL联合香菇多糖作为一线治疗方案。周期从4到15。ORR和疾病控制率分别为58.3%(完全缓解[CR],1;部分缓解,6)和91.7%。一名CR患者在开始化疗后存活了>23个月。关于不良事件,周围神经病变是所有患者中观察到的最常见的事件。然而,没有严重的副作用,如发热性中性粒细胞减少症和腹泻。结论:SOL联合香菇多糖治疗晚期转移性癌症具有良好的临床应用前景。
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引用次数: 0
A Marine Natural Products as Modulators of Multidrug Resistance 一种海洋天然产物作为多药耐药性调节剂
Pub Date : 2020-12-25 DOI: 10.30683/1929-2279.2020.09.11
T. Stanojković
Multidrug resistance (MDR) which enable the tumor cells to possess intrinsic or acquired cross resistance to multiple chemotherapeutic agents simultaneously is considered to be a major challenge in cancer chemotherapy during the 21st century. numerous efflux pumps and transport proteins have been found to play important roles in MDR either the phenomenon of lowering the total intracellular retention of chemotherapeutic drugs or the redistribution of intracellular accumulation of drugs away from target organelles are two of the basic mechanisms involved in this process of MDR by transmembrane proteins which are expressed in varying concentrations in different neoplasms. Multiple compounds that have the potential to inhibit these pumps or proteins can be a future prospective for adjuvant treatment of neoplastic conditions. In this regard, compounds derived from natural products bear the advantages of low-cost and relative nontoxicity thus providing a great pool of lead structures for chemical derivatizations. This review gives an overview on chemical substances isolated from natural products of marine origin which possess the MDR modulating properties
多药耐药(MDR)使肿瘤细胞同时对多种化疗药物具有内在或获得性交叉耐药性,被认为是21世纪癌症化疗的主要挑战。许多外排泵和转运蛋白已被发现在MDR中起着重要作用,降低化疗药物的细胞内总滞留现象或药物在细胞内积聚的重新分布远离靶细胞器是跨膜蛋白参与MDR过程的两个基本机制,跨膜蛋白以不同的方式表达不同肿瘤的浓度。具有抑制这些泵或蛋白质潜力的多种化合物可能是肿瘤条件辅助治疗的未来前景。在这方面,衍生自天然产物的化合物具有低成本和相对无毒的优点,从而为化学衍生提供了大量的铅结构。本文综述了从海洋天然产物中分离出的具有MDR调节特性的化学物质
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引用次数: 0
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