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Variables Affecting the Histological Quality of Prostate Core Biopsy Samples in Cancer Detection. 影响前列腺核心活检样本在癌症检测中的组织学质量的变量。
Pub Date : 2024-01-01 Epub Date: 2024-02-29
Isaac Elijaha, Aseela Samsam, Arash Rafiei, Trushar Patel, Sang-Eun Song

The examination of the prostate biopsy procedure is essential in the optimization of the diagnostic pathway of such a prevalent affliction as prostate cancer among men worldwide. With the core needle biopsy being the standard of care for the diagnosis of prostate cancer, the ability to obtain quality core samples is directly related to patient treatment and diagnostic reliability. Needle deflection and dynamic tissue deformation are two chief sources of unrepresentative samples outside of human error. To assess how these factors affect overall histological sample quality and what variables influence deflection and deformation, a review of related literature was conducted. A literature search using keywords [(core prostate) OR (prostate)] AND [(biopsy) OR (needle)] AND [(histological) OR (fragmentation) OR (deflection) OR (deformation)] AND [(factors) OR (rate) OR (quality)]. The resulting articles were analysed for relevance of factors influencing histological sample quality. The objective of this review was to analyse trends in the literature and comprise a comprehensive analysis regarding the factors that positively and negatively affect the final histological quality of the core specimens. The results highlighted the velocity of needle insertion into the soft tissue as a variable affecting dynamic deformation, and the geometry of the bevelled biopsy needle tip combined with the application of a biopsy template impacting the deviation of the needle from the linear target. Friction forces also significantly influence the final product as related to these factors. This literature study highlights the crucial parameters of the biopsy procedure and provides for a basis to discuss the improvements to the system and its external components to improve overall patient care. This suggests further investigation of these factors through their manipulation in controlled environments is necessary to improve the effectiveness of the biopsy procedure.

前列腺活检的检查过程是必要的,在这样一个普遍的痛苦诊断途径的优化前列腺癌在世界范围内的男性。随着核心穿刺活检成为前列腺癌诊断的标准护理,能否获得高质量的核心活检样本直接关系到患者的治疗和诊断的可靠性。针头偏转和动态组织变形是人为误差之外的两个主要不具代表性的样本来源。为了评估这些因素如何影响整体组织学样品质量,以及哪些变量影响偏转和变形,我们对相关文献进行了回顾。使用关键词[(核心前列腺)或(前列腺)]和[(活检)或(针头)]和[(组织学)或(碎片化)或(偏转)或(变形)]和[(因素)或(比率)或(质量)]进行文献检索。分析了影响组织学样品质量因素的相关性。本综述的目的是分析文献中的趋势,并对影响核心标本最终组织学质量的积极和消极因素进行全面分析。结果表明,针头插入软组织的速度是影响动态变形的一个变量,斜切活检针尖的几何形状与活检模板的应用结合起来影响针头与线性目标的偏差。摩擦力也显著影响与这些因素相关的最终产品。本文献研究强调了活检程序的关键参数,并为讨论系统及其外部组件的改进提供了基础,以改善整体患者护理。这表明,有必要通过在受控环境中对这些因素进行进一步的研究,以提高活检程序的有效性。
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引用次数: 0
Assessment of Breast Cancer Treatment Delay Impact on Prognosis and Survival: a Look at the Evidence from Systematic Analysis of the Literature. 乳腺癌治疗延迟对预后和生存影响的评估:基于文献系统分析的证据
Pub Date : 2015-01-01 Epub Date: 2015-12-04
Faustine Williams

Introduction: Breast cancer has remained the most commonly diagnosed disease among women globally. Despite the advancement in biomedical sciences leading to improve survival outcomes, some patients endure longer wait periods prior to initiation of treatment.

Objective: To elucidate the impact of treatment delay on breast cancer patient's quality of life and survivorship. Second was to determine the optimal length of time (delay) between breast cancer diagnosis and start of first treatment in order to improve prognosis and general health and well-being of survivors.

Methods: Systematic search of the literature was conducted across five electronic databases: Pub Med, EMBASE, CINAHL, Scopus and Science Direct as well as the reference list of all articles retrieved.

Results: A total of 33 articles were included in the evidence based systematic review, which comprised of 255,366 observations. The results of the studies were categorized under five main themes as: study characteristics, cancer staging and classification, treatment delay time definition and interval, treatment regimen classification and delay impact on quality of life and survival. Analyzed wait times from diagnosis to the initiation of first therapy ranged from 7 days to a period of over 180 days. Combinations of standardized treatment including loco-regional radiotherapy, systemic chemotherapy surgery as well as hormonal therapy were examined. Even though some of the studies showed mixed results, overall, findings indicated that early detection, diagnosis and initiation of treatment within 90 days increase survival.

Conclusions: Evidence revealed that delaying the initiation of treatment for breast cancer more than 90 days after diagnosis has a detrimental effect on disease free and overall well-being of survivors.

导言:乳腺癌仍然是全球妇女中最常诊断的疾病。尽管生物医学科学的进步导致生存结果的改善,但一些患者在开始治疗之前要忍受更长的等待期。目的:探讨治疗延迟对乳腺癌患者生活质量及生存期的影响。其次是确定乳腺癌诊断和开始首次治疗之间的最佳时间长度(延迟),以改善预后和幸存者的总体健康和福祉。方法:系统检索Pub Med、EMBASE、CINAHL、Scopus和Science Direct 5个电子数据库的文献,并检索到所有文献的参考文献列表。结果:以证据为基础的系统评价共纳入33篇文章,其中包括255,366个观察结果。研究结果分为五个主题:研究特征、癌症分期和分类、治疗延迟时间定义和间隔、治疗方案分类和延迟对生活质量和生存的影响。从诊断到开始第一次治疗的分析等待时间从7天到180多天不等。检查了包括局部局部放疗、全身化疗手术以及激素治疗在内的标准化治疗组合。尽管一些研究结果好坏参半,但总体而言,研究结果表明,早期发现、诊断和在90天内开始治疗可以提高生存率。结论:有证据表明,乳腺癌诊断后延迟开始治疗超过90天对幸存者的无病和整体福祉有不利影响。
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引用次数: 0
Cross-Phosphorylation and Interaction between Src/FAK and MAPKAP5/PRAK in Early Focal Adhesions Controls Cell Motility. Src/FAK和MAPKAP5/PRAK在早期局灶粘连中的交叉磷酸化和相互作用控制细胞运动。
Pub Date : 2014-05-14
Sheila Figel Dwyer, Irwin H Gelman

P38-regulated and activated kinase (PRAK/MAPKAPK5) is a serine/threonine kinase which lies downstream of the p38 and ERK3/4 MAP kinase pathways. PRAK plays diverse roles in the processes of cell growth, nutrient starvation response, programmed cell death, senescence and motility. PRAK has been shown to both promote and inhibit cell motility in different contexts. The pro-motility functions of PRAK are attributed mainly to cytoskeletal rearrangement occurring downstream of its phosphorylated substrate HSP27; however, it was recently shown that PRAK is required for motility in endothelial cells upstream of Focal adhesion kinase (FAK). Along with Src, FAK functions as a mediator of motility signaling through the phosphorylation of substrates in focal adhesions. Here, we show that PRAK, initially identified as a FAK substrate in an in situ/ kinase overlay assay, is a Src substrate, the phosphorylation of which directs PRAK to focal adhesions. Focal adhesion localization of PRAK was not found to affect cell motility, however transient over expression of PRAK inhibited motility in HeLa cells. This effect requires PRAK kinase activity and proceeds through an impairment of FAK activation via phosphorylation on Y861. Our studies demonstrate for the first time that PRAK is regulated by tyrosine phosphorylation, localizes to focal adhesions, and interacts physically with and can phosphorylate FAK/Src. Further we provide a novel mechanism for the inhibition of motility downstream of PRAK.

p38调控活化激酶(PRAK/MAPKAPK5)是一种丝氨酸/苏氨酸激酶,位于p38和ERK3/4 MAP激酶通路的下游。PRAK在细胞生长、营养饥饿反应、细胞程序性死亡、衰老和运动等过程中发挥着多种作用。PRAK已被证明在不同情况下促进和抑制细胞运动。PRAK的促运动功能主要归因于其磷酸化底物HSP27下游发生的细胞骨架重排;然而,最近的研究表明,PRAK是局灶黏附激酶(FAK)上游内皮细胞运动所必需的。与Src一起,FAK在局灶性粘连中通过底物磷酸化作为运动信号的中介。在这里,我们发现PRAK,最初在原位/激酶覆盖试验中被鉴定为FAK底物,是Src底物,其磷酸化指导PRAK进行局灶性粘附。PRAK的局灶黏附定位不影响细胞运动,但PRAK的短暂过表达抑制HeLa细胞的运动。这种作用需要PRAK激酶的活性,并通过Y861上的磷酸化来损害FAK的激活。我们的研究首次证明PRAK受酪氨酸磷酸化调控,定位于局灶粘连,并与FAK/Src发生物理相互作用并磷酸化FAK/Src。此外,我们提供了一种抑制PRAK下游运动的新机制。
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引用次数: 0
Multiple Mechanisms Contribute To Telomere Maintenance. 多种机制有助于端粒维护。
Pub Date : 2013-11-19
Tammy A Morrish, Dulat Bekbolysnov, David Velliquette, Michelle Morgan, Bryan Ross, Yongheng Wang, Benjamin Chaney, Jessica McQuigg, Nathan Fager, Ira P Maine

The unlimited growth potential of tumors depends on telomere maintenance and typically depends on telomerase, an RNA-dependent DNA polymerase, which reverse transcribes the telomerase RNA template, synthesizing telomere repeats at the ends of chromosomes. Studies in various model organisms genetically deleted for telomerase indicate that several recombination-based mechanisms also contribute to telomere maintenance. Understanding the molecular basis of these mechanisms is critical since some human tumors form without telomerase, yet the sequence is maintained at the telomeres. Recombination-based mechanisms also likely contribute at some frequency to telomere maintenance in tumors expressing telomerase. Preventing telomere maintenance is predicted to impact tumor growth, yet inhibiting telomerase may select for the recombination-based mechanisms. Telomere recombination mechanisms likely involve altered or unregulated pathways of DNA repair. The use of some DNA damaging agents may encourage the use of these unregulated pathways of DNA repair to be utilized and may allow some tumors to generate resistance to these agents depending on which repair pathways are altered in the tumors. This review will discuss the various telomere recombination mechanisms and will provide rationale regarding the possibility that L1 retrotransposition may contribute to telomere maintenance in tumors lacking telomerase.

肿瘤的无限生长潜力取决于端粒的维持,通常取决于端粒酶,一种依赖RNA的DNA聚合酶,它逆转录端粒酶RNA模板,在染色体末端合成端粒重复序列。对端粒酶基因缺失的多种模式生物的研究表明,一些基于重组的机制也有助于端粒的维持。了解这些机制的分子基础是至关重要的,因为一些人类肿瘤的形成没有端粒酶,但序列在端粒中维持。在表达端粒酶的肿瘤中,基于重组的机制也可能在一定频率上促进端粒的维持。预防端粒维持预计会影响肿瘤生长,而抑制端粒酶可能选择基于重组的机制。端粒重组机制可能涉及DNA修复途径的改变或不受调节。一些DNA损伤剂的使用可能会鼓励利用这些不受管制的DNA修复途径,并可能允许一些肿瘤对这些药物产生耐药性,这取决于肿瘤中哪些修复途径发生了改变。这篇综述将讨论各种端粒重组机制,并将提供关于L1反转录转位可能有助于端粒缺乏肿瘤的端粒维持的可能性的基本原理。
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引用次数: 0
The Potential Role of BRCA1-Associated ATM Activator-1 (BRAT1) in Regulation of mTOR. BRCA1-Associated ATM Activator-1 (BRAT1)在mTOR调控中的潜在作用
Pub Date : 2013-07-01
Eui Young So, Toru Ouchi

BRCA1-associated ATM activator-1 (BRAT1) was identified by our group as a DNA damage response (DDR) protein, which can bind with many DDR proteins and regulates their functions after DNA damage. However, previous study has also implicated BRAT1 as a regulator of cell growth and apoptosis. In this study, targeted gene deletion showed that BRAT1 is critical in stability and serum-induced expression of mTOR and downstream protein. Conditional deletion of BRAT1 of mouse embryonic fibroblasts suppressed serum-induced cell cycling progress. Our results suggest that BRAT1 is essential factor for PIKK signaling cascades.

BRCA1-associated ATM activator-1 (BRAT1)是一种DNA损伤反应(DDR)蛋白,可与多种DDR蛋白结合,调控其DNA损伤后的功能。然而,先前的研究也表明BRAT1是细胞生长和凋亡的调节因子。在本研究中,靶向基因缺失表明BRAT1对mTOR及下游蛋白的稳定性和血清诱导表达至关重要。小鼠胚胎成纤维细胞BRAT1的条件缺失抑制血清诱导的细胞周期进程。我们的研究结果表明BRAT1是PIKK信号级联的重要因子。
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引用次数: 0
Roles of DNA Damage Response Proteins in Mitogen-Induced Thp-1 Differentiation into Macrophage. DNA损伤反应蛋白在丝裂原诱导Thp-1向巨噬细胞分化中的作用。
Pub Date : 2013-07-01
Eui Young So, Martin Kozicki, Toru Ouchi

ATM, ATR and DNA-PK are critical for DNA damage response (DDR) and sequential repair, leading to genomic stability. In this study, we found the expression of these proteins is markedly induced by PMA during THP1 differentiation without the change in the level of transcripts. Also, inhibitors of these protein activity suppressed PMA-induced morphological change of THP1 cells. Our results suggest the potential roles of these DDR proteins in cellular differentiation.

ATM、ATR和DNA- pk对于DNA损伤反应(DDR)和序列修复至关重要,从而导致基因组的稳定性。在本研究中,我们发现在THP1分化过程中,PMA显著诱导了这些蛋白的表达,而转录本的水平没有变化。此外,这些蛋白活性的抑制剂可抑制pma诱导的THP1细胞形态学改变。我们的研究结果表明这些DDR蛋白在细胞分化中的潜在作用。
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引用次数: 0
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Journal of cancer biology & research
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