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Exosomes as therapy for cancer 外泌体治疗癌症
Pub Date : 2021-01-01 DOI: 10.15761/icst.1000357
Rocío Retamales-Ortega, M. L. Oróstica
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引用次数: 0
A case of chylothorax due to diffuse large B-Cell lymphoma 弥漫性大b细胞淋巴瘤致乳糜胸1例
Pub Date : 2021-01-01 DOI: 10.15761/icst.1000360
F. Şahin
A 66-year-old male patient with was admitted to hospital with complaints of fatigue and shortness of breath. In the chest X-ray of the patient, homogeneous density increase was observed in the lower zone of the right lung, suggesting pleural effusion and showing Damoiseau's line. In the patient who underwent thoracentesis, pleural fluid in the form of yellow pus and empyema was seen. The pleural fluid biochemistry was in the character of exudate. Thoracic computed tomography (CT) was performed in the patient who underwent closed underwater drainage with tube thoracostomy. Pleural effusion was reaching 8 cm. in the right hemithorax. The size of the spleen was increased, the liver parenchyma was heterogeneous. In the follow-ups, although the pleural effusion and Damoiseau line of the patient were erased, the fluid continued to come out of the drain as a daily empyema; the patient's clinical and laboratory tests were not compatible with empyema. In addition, a possible hematological malignancy was considered due to low Hb, leukocyte, platelet levels, and hepatosplenomegaly. Chylothorax was taken into the differential diagnosis and triglyceride and cholesterol were sent from the pleural fluid. Triglyceride was high in pleural fluid. No malignant cells were seen in pleural fluid cytology. Positron emission tomography (PET)/CT was performed to determine the etiology in the patient who was diagnosed with chylothorax. There were dense hypermetabolic lymphadenopathy masses starting from the level of the 8th thoracic vertebra up to the retrocrural area in the prevertebral area. Spleen sizes were increased and there were intense hypermetabolic involvements. Involvement due to lymphoproliferative diseases was considered in the foreground. Mediastinoscopy was performed. Biopsies were taken from mass in the paraesophageal area (posterior mediastinum). The pathology result of the biopsies was "Diffuse Large B-Cell Lymphoma". The patient was referred to hematology and oncology clinics for treatment and discharged.
66岁男性患者因疲劳和呼吸短促而入院。患者胸片示右肺下区均匀密度增高,提示胸腔积液,呈达莫瓦索线。在接受胸腔穿刺术的患者中,可见黄色脓液形式的胸腔积液和脓肿。胸膜液生化特征为渗出物。对行闭式水下引流管开胸术的患者行胸部CT检查。胸腔积液达8厘米。在右半胸。脾脏体积增大,肝脏实质不均匀。在随访中,虽然患者的胸膜积液和达摩索线已被清除,但液体继续从引流管中流出,成为每日的脓胸;病人的临床和实验室检查与脓胸不符。此外,由于低血红蛋白、白细胞、血小板水平和肝脾肿大,可能存在血液系统恶性肿瘤。乳糜胸纳入鉴别诊断,胸膜液检测甘油三酯和胆固醇。胸膜液中甘油三酯含量高胸膜液细胞学检查未见恶性细胞。诊断为乳糜胸的患者行正电子发射断层扫描(PET)/CT以确定病因。椎前区从第8胸椎水平至脚后可见密集的高代谢性淋巴结肿物。脾脏体积增大,伴有强烈的高代谢累及。由于淋巴增生性疾病的累及被认为是前景。行纵隔镜检查。食道旁区(后纵隔)肿块活检。活检病理结果为“弥漫性大b细胞淋巴瘤”。患者转诊至血液科及肿瘤科治疗后出院。
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引用次数: 0
A case report of giant hepatic hemangioma spontaneous regression in adult, non-cirrhotic patient and literature review 成人非肝硬化巨大肝血管瘤自发性消退1例并文献复习
Pub Date : 2021-01-01 DOI: 10.15761/icst.1000361
Scarinci Andrea, De Peppo Valerio, Grazi Gian Luca
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引用次数: 1
Sclerosing Pneumocytoma: A Carcinoma Mimicker 硬化性肺细胞瘤:一种模拟癌
Pub Date : 2021-01-01 DOI: 10.15761/icst.1000352
Li-cheng Song, Peng Yan, G. Mo
Pulmonary sclerosing pneumocytoma (PSP) is a rare benign neoplasm, predominantly occurring in middle-aged women. When first reported, PSP was thought to be vascular in origin and named pulmonary sclerosing hemangioma because of its high morphological similarity to cutaneous sclerosing hemangioma. Thanks to electron microscopy and immunofluorescence, it has been defined as being primitive respiratory epithelium-oriented and renamed as PSP [1].
摘要肺硬化性肺细胞瘤是一种罕见的良性肿瘤,多见于中年妇女。首次报道时,人们认为PSP起源于血管,并因其形态与皮肤硬化性血管瘤高度相似而命名为肺硬化性血管瘤。通过电镜和免疫荧光检测,我们将其定义为原始呼吸道上皮取向,并将其重新命名为PSP[1]。
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引用次数: 3
Evinacumab - a new drug in the treatment of homozygous familial hypercholesterolaemia Evinacumab -治疗纯合子家族性高胆固醇血症的新药
Pub Date : 2021-01-01 DOI: 10.15761/icst.1000355
S. Surma, Monika Romańczyk, K. Filipiak
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引用次数: 1
Immune-checkpoint inhibitor anti-PD1 aggravates colitis-associated colorectal cancer without enhancing intestinal inflammation 免疫检查点抑制剂抗pd1加重结肠炎相关结直肠癌但不增强肠道炎症
Pub Date : 2020-01-01 DOI: 10.15761/icst.1000334
M. Collard, N. Guedj, Julien Tourneur-Marsille, M. Albuquerque, L. Maggiori, P. Hammel, X. Tréton, Y. Panis, E. Ogier-Denis
Introduction: Immunity of colitis-associated colorectal cancer (CAC) differs fundamentally from that of the sporadic form. The aim of this study was to evaluate whether this difference could potentiate the efficacy of immune-checkpoint inhibitor anti-PD1 against CAC. Methods: CAC tumorigenesis was induced by azoxymethane (AOM) followed by three cycles of dextran sodium sulfate (DSS) in mice. Two weeks after the end of DSS, mice were treated with anti-PD1 antibody (n=9) or with isotype antibody (n=9). The severity of clinical and histological colitis, tumor counts, and infiltration of CD8+ T-lymphocytes and neutrophils were compared. Results: The anti-PD1 antibody did not aggravate the colitis as exemplified by the absence of differences in weight loss (p=0.424) and in the standardized pathological scores (p=1.000) compared to those of the control. On macroscopic examination, the median number of tumors was 24.0 [21.5/31.0] in treated mice and 17.0 [4.0/23.5] in controls (p=0.037). The percentage of tumor tissue within the entire colonic epithelium was significantly higher in treated mice (33.1% [27.2/39.0]) than in controls (15.3% [8.1/25.0]) (p=0.003). The intra-tumoral CD8+ T-lymphocyte density was similar between the two groups (p=0.546). In contrast, CD8+ T-lymphocyte density was significantly higher in non-tumor colonic epithelium in treated mice than in controls (p=0.019). Regarding innate immunity, neutrophil density was similar within the tumors (p=0.864) and augmented in non-tumor colonic epithelium in treated mice compared with controls (p=0.012). Conclusion: Unexpectedly, checkpoint inhibitor anti-PD1 treatment of CAC stimulates tumor proliferation without flaring-up the colitis. *Correspondence to: Eric Ogier-Denis, Laboratory of intestinal inflammation, center of research on inflammation, UMR1149, INSERM, University of Paris, 16 rue Henri Huchard, 75018, France, Tel: +33157277307, Fax: +3315727746, E-mail: eric.ogier-denis@inserm.fr
结肠炎相关结直肠癌(CAC)的免疫与散发性结直肠癌的免疫有本质的不同。本研究的目的是评估这种差异是否可以增强抗pd1免疫检查点抑制剂对CAC的疗效。方法:采用氮氧甲烷(AOM)和葡聚糖硫酸钠(DSS)三次循环诱导小鼠CAC发生。DSS结束2周后,分别给予抗pd1抗体(n=9)或同型抗体(n=9)。比较临床和组织学结肠炎的严重程度、肿瘤计数、CD8+ t淋巴细胞和中性粒细胞的浸润情况。结果:与对照组相比,抗pd1抗体没有加重结肠炎,在体重减轻(p=0.424)和标准化病理评分(p=1.000)方面没有差异。肉眼检查,实验组小鼠肿瘤中位数为24.0[21.5/31.0],对照组为17.0 [4.0/23.5](p=0.037)。治疗组肿瘤组织在整个结肠上皮内的比例(33.1%[27.2/39.0])显著高于对照组(15.3% [8.1/25.0])(p=0.003)。两组肿瘤内CD8+ t淋巴细胞密度差异无统计学意义(p=0.546)。相比之下,治疗小鼠非肿瘤结肠上皮CD8+ t淋巴细胞密度显著高于对照组(p=0.019)。在先天免疫方面,与对照组相比,治疗小鼠肿瘤内中性粒细胞密度相似(p=0.864),非肿瘤结肠上皮中性粒细胞密度增加(p=0.012)。结论:出乎意料的是,检查点抑制剂抗pd1治疗CAC刺激肿瘤增殖而不爆发结肠炎。*通讯:Eric Ogier-Denis,肠道炎症实验室,炎症研究中心,UMR1149,巴黎大学INSERM, Henri Huchard街16号,法国,75018,电话:+33157277307,传真:+3315727746,E-mail: eric.ogier-denis@inserm.fr
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引用次数: 1
Establishment of an orthotopic syngeneic rat model of hepatocellular carcinoma and its validation with microPET-CT imaging 原位同基因大鼠肝癌模型的建立及显微pet - ct成像验证
Pub Date : 2020-01-01 DOI: 10.15761/ICST.1000348
Geetanjali Singh, K. Bendale, S. Talwelkar, Shital Pawade, P. Gera, A. Patil, P. Chavan, Sureshkannan K Subramanian, P. Chaudhari
Background & Aims: Hepatocellular carcinoma (HCC) is a global challenge due to rising incidence and high mortality rate among the affected individuals. Establishing successful animal models of HCC is, therefore, crucial for basic and translational studies of HCC. Present study was undertaken to develop orthotopic syngeneic rat HCC model to study new diagnostic and therapeutic strategies for human HCC research. Methods : Rat Novikoff hepatoma cells were injected beneath the capsule of left lobe of liver in fifty-five sprague dawley rats. Study was divided in three phases, 15 Animals in phase-I were injected with 4x10 6 cells in 100µl DMEM, 15 animals in phase-II with 2x10 6 cells in 50µl and 30 animals in phase-III with 3 x10 6 cells in a 100µl DMEM. Tumor induction rate, tumor size and progression and mortality rate was evaluated and assessed using serial µPET-CT imaging till four weeks. F-18 Flurodeoxyglucose was used as metabolic imaging radiotracer and imaging findings were correlated grossly and histologically. Results : Phase-I animals showed 100% tumor induction rate but multiple intrahepatic and intra peritoneal masses with 100% mortality observed. Phase-II animals did not show any tumor. Phase-III animals showed 100% induction rate with controlled and diffused progression of hepatic tumor. CT images and sequential higher flurodeoxyglucose uptake in liver confirmed the progression of tumor. Gross examination and histology confirmed the presence of HCC. Conclusions: N1S1 cell induced orthotopic syngeneic HCC rat model with progressive controlled tumor growth and least mortality rate can be used to study new diagnostic techniques and plan new therapeutic strategies against HCC.
背景与目的:肝细胞癌(HCC)是一个全球性的挑战,因其发病率上升和死亡率高。因此,建立成功的HCC动物模型对于HCC的基础研究和转译研究至关重要。本研究旨在建立原位同基因大鼠肝细胞癌模型,为人类肝细胞癌研究提供新的诊断和治疗策略。方法:55只大鼠肝左叶囊下注射大鼠诺维科夫肝癌细胞。研究分为三期,一期15只动物注射100µl DMEM的4x10 6细胞,二期15只动物注射50µl的2 × 10 6细胞,三期30只动物注射100µl DMEM的3 × 10 6细胞。肿瘤诱导率、肿瘤大小、进展和死亡率通过连续的微PET-CT成像进行评估,直至四周。使用F-18氟脱氧葡萄糖作为代谢成像示踪剂,影像学结果与大体和组织学相关。结果:一期动物肿瘤诱导率为100%,但肝内、腹膜内多发肿块,死亡率为100%。ii期动物未见任何肿瘤。iii期动物的诱导率为100%,肝肿瘤的进展受到控制和扩散。CT图像和肝脏连续较高的氟脱氧葡萄糖摄取证实了肿瘤的进展。大体检查和组织学证实肝细胞癌存在。结论:N1S1细胞诱导的原位同基因肝癌大鼠模型可用于研究新的肝癌诊断技术和制定新的治疗策略。
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引用次数: 0
Two subpopulations of progenitors of leukemic lineages in human myeloid leukemias exhibit different heterochromatin condensation state in central and peripheral nuclear regions (A morphological note with additional original observations) 人类髓系白血病谱系的两个祖细胞亚群在中央和外周核区域表现出不同的异染色质凝聚状态(附加原始观察的形态学注释)
Pub Date : 2020-01-01 DOI: 10.15761/ICST.1000343
K. Smetana, H. Klamová, D. Mikulenková, J. Schwarz
The computer assisted optical image densitometry indicated that myeloid leukemias were characterized by two subpopulations of progenitor cells classified according to the heterochromatin condensation state (HChCS). The first subpopulation of these cells was characterized by a larger HChCS in the nuclear central regions than in the nuclear periphery. Such progenitors seemed to possess the potential for further differentiation and were predominantly present in patients suffering from the chronic phase of chronic myelocytic and acute monoblastic leukemias. The second subpopulation of progenitors was characterized by a marked similarity of HChCS in both central and peripheral nuclear regions. That similarity was also noted in terminally differentiated granulocytes and monocytes. Thus, these progenitors were in the state of premature terminal differentiation and reflected the altered differentiation process. The large dominant incidence of such progenitors was noted in acute myeloblastic, acute promyelocytic and acute myelomonocytic leukemias with a known alteration of the further differentiation process.
计算机辅助光学图像密度测定表明,骨髓性白血病的特征是根据异染色质凝聚状态(HChCS)分类的两个祖细胞亚群。这些细胞的第一个亚群的特点是核中心区域的HChCS比核周围的大。这种祖细胞似乎具有进一步分化的潜力,主要存在于慢性粒细胞白血病和急性单核细胞白血病的慢性期患者中。祖先的第二个亚群的特点是HChCS在中央和外围核区域都有显著的相似性。在终末分化的粒细胞和单核细胞中也发现了这种相似性。因此,这些祖细胞处于过早终末分化状态,反映了分化过程的改变。这种祖细胞在急性成髓细胞白血病、急性早幼粒细胞白血病和急性髓单细胞白血病中有很大的显性发生率,已知其进一步分化过程发生了改变。
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引用次数: 0
Phospholipase A2 as a novel therapeutic target in lung cancer 磷脂酶A2作为肺癌新的治疗靶点
Pub Date : 2020-01-01 DOI: 10.15761/ICST.1000349
Fang-Yuan Zhang, Run-Ze Li, Jia-Xin Li, Xing-Xing Fan, C. Xie, Liang Liu, Xiaojun Yao, E. Leung
Secreted PLA2 (sPLA2) enzyme, which shows the unique cellular properties and distinct biological roles, is the lipolytic enzyme that acts on glycerophospholipids to induce the release of free fatty acids (FAs). Many researches have reported the human sPLA2s are expressed abnormally in various cancers. But it is still not clear about the specific isoforms function of sPLA2 in these cancers, and its function roles in various cancers. In this review, we will introduce the mechanism and pathway of sPLA2 in cancers as well as the relationship with lipid metabolism. Then we will further discuss the novel technologies which can be applied to explore the action of particular sPLA2 enzyme in lung cancer and the mechanisms of drugs such as small molecule inhibitors or traditional Chinese medicines, with the potential to treat diseases associated with inflammation and lipid metabolism.
分泌PLA2 (sPLA2)酶是一种作用于甘油磷脂诱导游离脂肪酸(FAs)释放的脂溶酶,具有独特的细胞特性和独特的生物学作用。许多研究报道了人类sPLA2s在各种癌症中异常表达。但sPLA2在这些癌症中的具体亚型功能及其在各种癌症中的功能作用尚不清楚。本文就sPLA2在肿瘤中的作用机制、途径及其与脂质代谢的关系作一综述。然后,我们将进一步讨论可以应用于探索sPLA2特定酶在肺癌中的作用的新技术以及小分子抑制剂或中药等药物的机制,具有治疗炎症和脂质代谢相关疾病的潜力。
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引用次数: 1
TACE in colorectal liver metastases – different outcomes in right-sided and left-sided primary tumour location TACE在结直肠癌肝转移中的应用——在右侧和左侧原发肿瘤部位的不同结果
Pub Date : 2020-01-01 DOI: 10.15761/icst.1000328
S. Seidl, P. Bischoff, A. Schaefer, M. Esser, V. Janzen, A. Kovács
Purpose: This study investigated the oncologic outcome following transarterial chemoembolization (TACE) with irinotecan loaded spheres in patients with liver metastases of adenocarcinomas of right-, respectively left-sided colorectal origin (RSCC, LSCRC). Materials and methods: 21 Patients (pts) with unresectable monoor bilobar colorectal liver metastases (CRLM), liver-only or liver-dominant metastatic spread, with less than 25% of the liver parenchyma involved and progression after second line systemic chemotherapy underwent lobar irinotecan TACE. Tolerability, safety and oncologic outcome were assessed in terms of intervention-associated side effects, respectively local tumour control (LTC), progression free survival (PFS) and overall survival (mOS). Results: 16 pts with left-sided and 5 with right-sided colonic primary with a mean volumetric tumour burden of 5.27 ± 6.26%, median 2.89% (range 0.23 – 24.1%) received in total 49 TACE, in average 2.33 interventions per patient. Treatment-related abdominal pain occurred in 4.08% on the day of intervention and could sufficiently be controlled with pain medication on demand. LTC (CR, PR or SD) in the liver was achieved in 20/21 (95.2%), 19/21 (90.4%) and 16/21 (76.2%) patients at 1, 3 and 6 months, respectively. PFS was 5.5 mo in LSCRC, respectively 3.75 mo in RSCC. mOS was 33 mo after the first TACE in LSCRC, respectively 17 mo in RSCC. Conclusion: TACE with irinotecan loaded spheres is a safe and well tolerated procedure in the treatment of CRLM. The promising results in terms of mOS especially in tumours of left-sided origin deserve further investigation in larger prospective trials. *Correspondence to: Attila Kovács, Department of Diagnostic and Interventional Radiology and Neuroradiology, MediClin Robert Janker Klinik, Villenstraße 8, 53129 Bonn, Germany, Tel: +49 228 5306 – 501, Fax +49 228 5306 – 502, E-mail: attila.kovacs@mediclin.de
目的:本研究探讨了伊立替康负载球经动脉化疗栓塞(TACE)对右、左侧结直肠癌(RSCC, LSCRC)肝转移腺癌患者的肿瘤预后。材料和方法:21例不可切除的单叶或双叶结直肠肝转移(CRLM)患者(pts),仅肝或肝显性转移扩散,在二线全身化疗后,小于25%的肝实质受累率和进展行大叶伊立替康TACE。根据干预相关的副作用,分别评估耐受性、安全性和肿瘤学结果,局部肿瘤控制(LTC)、无进展生存(PFS)和总生存(mOS)。结果:16例左侧结肠和5例右侧结肠原发,平均肿瘤体积负荷为5.27±6.26%,中位数为2.89%(范围0.23 - 24.1%),总共接受了49次TACE治疗,平均每位患者接受2.33次干预。干预当天出现治疗相关腹痛的比例为4.08%,可根据需要使用止痛药加以控制。20/21(95.2%)、19/21(90.4%)和16/21(76.2%)患者分别在1个月、3个月和6个月时实现肝脏LTC (CR、PR或SD)。LSCRC的PFS为5.5个月,RSCC为3.75个月。LSCRC第一次TACE术后最长时间为33个月,RSCC为17个月。结论:伊立替康载球TACE治疗CRLM是一种安全且耐受性良好的方法。在mOS方面,特别是在左侧起源的肿瘤中,有希望的结果值得在更大的前瞻性试验中进一步研究。*通信:Attila Kovács,诊断和介入放射学和神经放射学系,Robert Janker Klinik医学中心,Villenstraße 8, 53129波恩,德国,电话:+49 228 5306 - 501,传真:+49 228 5306 - 502,电子邮件:attila.kovacs@mediclin.de
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引用次数: 2
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Integrative cancer science and therapeutics
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