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The effect of CIK-cell therapy in combination with anticancer agents in patients with inoperable pancreato-biliary cancer cik细胞联合抗癌药物治疗不能手术的胰胆癌的疗效
Pub Date : 2020-01-01 DOI: 10.15761/icst.1000336
Lee, Jiyoung, Park Jinhee, Chae Jinsung, Jung Gyouchul, Yeo Changhwan
Objective: To examine the efficacy of a combination of anticancer agents and cytokine-induced killer (CIK) cell therapy in inoperable pancreato-biliary cancer patients. Methods: We retrospectively reviewed the medical records of 17 inoperable pancreato-biliary cancer patients who were hospitalized from January 2015 to December 2019 in YCH hospital, Korea, and had received at least 5 treatments with CIK-cell therapy. The patients were all on chemotherapy. The major endpoints of the investigation were the overall survival time. Results: A total of 17 patients were enrolled, 8 (47.1%) males and 9 (52.9%) females (n = 17). The mean age was 61.7 ± 7.8 years. In types of cancer, the patients of pancreatic cancer were 6, and biliary tract were 11. At the survival time analysis, 8 patients (47.1%) were still alive, but death occurred in 9 patients (52.9%). The frequency of CIK-cell therapy was 8.2 ± 4.1. The overall median survival time was 553.0 ± 129.9 days (298.4 days 807.6 days) (by Kaplan-Meier Method) which was 6-9 months longer than conventional treatment alone. Conclusion: In this study CIK-cell therapy prolonged the survival of cancer patients without any major side effects when combined with anticancer drugs. A combination of Anticancer agents with cytokine-induced killer (CIK) cell can be a good proposal for improving the treatment outcomes for pancreatic and biliary cancer. *Correspondence to: Jiyoung,Lee, Department of Family Medicine, YCH Kospital, Seoul 06605, Republic of Korea, E-mail: hello.muzzica@gmail.com
目的:探讨抗癌药物联合细胞因子诱导杀伤(CIK)细胞治疗不能手术的胰胆癌患者的疗效。方法:回顾性分析2015年1月至2019年12月在韩国YCH医院住院的17例不能手术的胰胆癌患者的病历,这些患者至少接受了5次cik细胞治疗。病人都在接受化疗。调查的主要终点是总生存时间。结果:共纳入17例患者,其中男性8例(47.1%),女性9例(52.9%)(n = 17)。平均年龄61.7±7.8岁。在癌症类型中,胰腺癌6例,胆道11例。在生存时间分析中,8例(47.1%)患者仍然存活,9例(52.9%)患者死亡。cik细胞治疗频率为8.2±4.1次。总中位生存期为553.0±129.9天(298.4天807.6天)(Kaplan-Meier法),比单纯常规治疗延长6-9个月。结论:在本研究中,cik细胞治疗与抗癌药物联合使用可延长癌症患者的生存期,且无重大副作用。抗癌药物与细胞因子诱导的杀伤细胞(CIK)联合使用是改善胰腺癌和胆道癌治疗效果的一个很好的建议。*通讯:Jiyoung,Lee,家庭医学系,韩国首尔06605,E-mail: hello.muzzica@gmail.com
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引用次数: 2
Hydroxyindole O-methyltransferase controls cancer growth and metastasis 羟吲哚o -甲基转移酶控制肿瘤的生长和转移
Pub Date : 2020-01-01 DOI: 10.15761/icst.1000330
Kenneth K. Wu
conversion of to (5-HTP) and O-methyltransferase (HIOMT) which transfer of methyl group from a methyl donor to 5-HTP to form 5-MTP. very low level of 5-MTP due to expression of HIOMT. of HIOMT by stable transfection of a HIOMT isoform (HIOMT in 5-MTP production accompanied by reduced cancer cell migration in vitro and slower tumor growth and fewer lung metastatic nodules in a murine tumor model the isoforms which catalyze 5-MTP vs. melatonin biosynthesis.
转化为(5-HTP)和o -甲基转移酶(HIOMT),将甲基从甲基供体转移到5-HTP形成5-MTP。由于HIOMT的表达,5-MTP水平非常低。通过稳定转染HIOMT异构体(HIOMT在5-MTP的产生中,伴随着体外癌细胞迁移的减少、肿瘤生长的减慢和小鼠肿瘤模型中肺转移结节的减少),HIOMT在5-MTP与褪黑素生物合成中的催化异构体。
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引用次数: 0
First branchial arch anomaly: A rare lesion not to be underestimated 第一鳃弓异常:一种不可低估的罕见病变
Pub Date : 2020-01-01 DOI: 10.15761/ICST.1000345
S. Dallari, Federica Maroni, A. Filosa, Massimo Giuliano Bonetti
The authors report a case of Type I branchial fistula, a relatively rare lesion which requires a careful management from the diagnosis to the final surgical excision. In fact, the most frequent scenario implies one or more surgical drainages with recurrences before the proper diagnostic workout, based on an accurate examination and a RMN study. Surgical excision must take into account the risk of facial nerve injury and nowadays the standard of care recommends a magnification view and the facial nerve monitoring.
作者报告了一例I型鳃裂瘘,这是一种相对罕见的病变,需要从诊断到最终手术切除的仔细处理。事实上,根据准确的检查和RMN研究,最常见的情况是在正确的诊断锻炼之前发生一次或多次手术引流并复发。手术切除必须考虑到面神经损伤的风险,目前的护理标准推荐放大视野和面神经监测。
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引用次数: 0
Practical working guideline and phantom simulation for radiotherapy during the outbreak of COVID-19 in the Republic of Korea 2019冠状病毒病在韩国爆发期间放射治疗的实用工作指南和模拟
Pub Date : 2020-01-01 DOI: 10.15761/ICST.1000346
E. Paik, W. Jang, C. Park, Eunji Kim, S. Choi, S. Lee
The Organization on March 11, 2020, has declared the novel coronavirus (COVID-19) outbreak a global pandemic. As of December 29, 2020, the accumulated number of confirmed cases is over 79,600,000 with 1,760,000 deaths worldwide due to COVID-19 and these numbers rise by the day. The most effective means to minimize the spread of the virus is social distancing, which is designed to reduce the amount of interactions between individuals, according to the Centers for Disease Control. This practical working experience show our radiotherapy treatment process during the outbreak of COVID-19. We present the present work give some idea to radiation oncologists managing cancers patients with radiotherapy during the outbreak of COVID-19 in order to minimize the risks to our patients and staff while maintaining cancer outcomes.
本组织于2020年3月11日宣布新型冠状病毒(COVID-19)疫情为全球大流行。截至2020年12月29日,全球累计确诊病例超过7960万例,死亡176万例,而且这一数字还在不断上升。根据疾病控制中心的说法,最大限度地减少病毒传播的最有效手段是保持社交距离,这是为了减少个人之间的互动。这段实际工作经历展示了我们在新冠肺炎疫情期间的放疗治疗过程。我们目前的工作为放射肿瘤学家在COVID-19爆发期间管理放射治疗的癌症患者提供了一些思路,以便在保持癌症预后的同时最大限度地降低患者和工作人员的风险。
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引用次数: 0
Ophthalmologic manifestations in Acute Leukemia 急性白血病的眼科表现
Pub Date : 2020-01-01 DOI: 10.15761/icst.1000327
F. Benvenuto, Mariana Sgroi, S. Guillen, G. Chantada, A. Fandiño
Objective: To evaluate ophthalmological findings in patients with acute myeloid leukemia and acute lymphoblastic leukemia. Material and method: A single-center, retrospective, descriptive, observational analysis was conducted of patients with acute myeloid and acute lymphoblastic leukemia seen at the Department of Ophthalmology of Hospital de Pediatría Dr. Prof. Juan P. Garrahanin Buenos Aires, Argentina between March 1, 2017 and February 28, 2018. Results: Overall, 137 patients with acute leukemia who underwent ophthalmologic examination between March 1, 2017 and February 28, 2018 were included. Ages ranged from 0 to 18 years, with a mean of 7.9 years. Remarkably, 22.62%, i.e. more than one out of every five patients, of the cohort of patients with acute leukemia seen at our center and evaluated at the Department of Ophthalmology had some type of ocular manifestation. Conclusion: Our results show that ocular involvement occurs in a high percentage of patients with leukemia with a clear clinical, humoral, and prognostic correlation, suggesting that ophthalmologic evaluation should be routinely performed in these patients.
目的:探讨急性髓性白血病和急性淋巴细胞白血病的眼科表现。材料和方法:对2017年3月1日至2018年2月28日在阿根廷布宜诺斯艾利斯Pediatría医院眼科就诊的急性髓系和急性淋巴细胞白血病患者进行了单中心、回顾性、描述性、观察性分析。结果:共纳入2017年3月1日至2018年2月28日期间接受眼科检查的137例急性白血病患者。年龄0 ~ 18岁,平均7.9岁。值得注意的是,在我中心就诊并在眼科评估的急性白血病患者队列中,有22.62%(即每5例患者中有1例以上)存在某种类型的眼部表现。结论:我们的研究结果表明,白血病患者的眼部受累发生率很高,且具有明确的临床、体液和预后相关性,提示这些患者应常规进行眼科检查。
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引用次数: 1
Ovarian tumor diagnosed during pregnancy & their management 妊娠期诊断的卵巢肿瘤及其处理
Pub Date : 2020-01-01 DOI: 10.15761/icst.1000338
Harsha Khullar, G. Mediratta, S. Garg
The incidence of ovarian tumor in pregnancy is quite rare approximating to 1 in 190 pregnancies. Scanty evidence is available for the treatment of this condition due to lack of RCTs and cohort studies. However, only 1-6 % of ovarian tumors are reported to be malignant in nature during pregnancy. We report 6 cases of ovarian malignancies which depicts the difficulty of making this rare diagnosis along with their brief clinical presentation, diagnosis and therapeutic approach. The findings from these cases describe the interventions which ameliorates patients’ quality of life. *Correspondence to: Harsha Khullar, Vice-Chairperson& Senior Consultant, Institute of Obstetrics & Gynecology, Sir Ganga Ram Hospital, New Delhi, India, E-mail: harsha_khullar@yahoo.com Received: May 25, 2020; Accepted: June 16, 2020; Published: June 19, 2020 Key points • Ovarian tumor is the fifth most common cancer • Only 3 to 5% of ovarian tumors in pregnancy are malignant. • Signs and symptoms include incidental finding, abdominal or back pain. • High levels of Maternal Serum AFP, Inhibin A obtained during aneuploidy screening can be a sign of GCT • Adequate surgical staging is important for stage I cancer. • Ideal time for surgery is in second trimester of pregnancy • Treatment in each case should be individualized • Chemotherapy can be given antenatally but with prior consents.
妊娠期卵巢肿瘤的发生率非常罕见,约为1 / 190。由于缺乏随机对照试验和队列研究,治疗这种疾病的证据很少。然而,据报道,只有1- 6%的卵巢肿瘤在怀孕期间是恶性的。我们报告了6例卵巢恶性肿瘤,描述了这种罕见诊断的困难,以及它们的简短临床表现,诊断和治疗方法。这些病例的发现描述了改善患者生活质量的干预措施。*通讯对象:印度新德里Sir Ganga Ram医院妇产科研究所副主任兼高级顾问Harsha Khullar, E-mail: harsha_khullar@yahoo.com录用日期:2020年6月16日;•卵巢肿瘤是第五大常见癌症•妊娠期卵巢肿瘤中只有3%至5%是恶性的。•体征和症状包括意外发现,腹部或背部疼痛。•在非整倍体筛查中获得的高水平的母体血清AFP,抑制素A可能是GCT的征兆•对于I期癌症,适当的手术分期是重要的。•手术的理想时间是在妊娠中期•每种情况下的治疗应该是个体化的•化疗可以在产前进行,但必须事先征得同意。
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引用次数: 0
Non-hereditary risk factors associated with pancreatic cancer: a focus on obesity and diabetes 与胰腺癌相关的非遗传危险因素:肥胖症和糖尿病
Pub Date : 2020-01-01 DOI: 10.15761/icst.1000335
C. Tiffon
Received: April 04, 2020; Accepted: April 14, 2020; Published: April 17, 2020 The number of new cancer diagnoses is projected to increase by over 20% in Europe by 2035, and cancer is expected to become the leading cause of death worldwide. Accepted risk factors for cancer include smoking, alcohol consumption, diet (insufficient consumption of fruit, vegetables, fiber, and dairy products and consumption of red and processed meat), obesity, and lack of physical activity. Pancreatic cancers, about 85% of which are pancreatic ductal adenocarcinomas, are highly lethal, with a 5-year survival rate of only 7% [1]. A greater understanding of the risk factors for pancreatic cancer are urgently required to develop preventative and early detection strategies.
收稿日期:2020年4月4日;录用日期:2020年4月14日;预计到2035年,欧洲新诊断的癌症数量将增加20%以上,预计癌症将成为全球死亡的主要原因。公认的癌症风险因素包括吸烟、饮酒、饮食(水果、蔬菜、纤维和乳制品摄入不足,以及食用红肉和加工肉)、肥胖和缺乏体育锻炼。胰腺癌具有高致死率,其中约85%为胰腺导管腺癌,5年生存率仅为7%。迫切需要更好地了解胰腺癌的危险因素,以制定预防和早期发现策略。
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引用次数: 1
Regorafenib or Cabozantinib in second or subsequent lines after Sorafenib in advanced hepatocellular carcinoma. Which way to chose? 瑞非尼或卡博赞替尼在索拉非尼之后用于治疗晚期肝细胞癌的二线或后续治疗。选择哪条路?
Pub Date : 2020-01-01 DOI: 10.15761/ICST.1000344
J. Giuliani, F. Fiorica, A. Bonetti
The aim of this paper is to assess the cost-effectivess of regorafenib and cabozantib in the treatment of advanced hepatocellular carcinoma (HCC) after sorafenib. Pivotal phase III randomized controlled trials (RCTs) were considered. Incremental cost-effectiveness ratio (ICER) was calculated for both treatments. Two phase III RCTs, including 1274 patients, were considered. Regorafenib resulted the less expensive, with 2771 € per month overall survival (OS)-gained versus 5309 € of cabozantinib. Combining pharmacological costs of drugs with the measure of efficacy represented by the OS, regorafenib is a cost-effective for the treatment of advanced HCC after sorafenib.
本文的目的是评估瑞非尼和卡博赞布在索拉非尼治疗晚期肝细胞癌(HCC)后的成本-效果。考虑了关键III期随机对照试验(rct)。计算两种治疗的增量成本-效果比(ICER)。纳入了两项III期随机对照试验,包括1274例患者。Regorafenib更便宜,每月总生存期(OS)为2771欧元,而卡博赞替尼为5309欧元。结合药物的药理学成本和以OS为代表的疗效衡量,瑞非尼是继索拉非尼之后治疗晚期HCC的一种具有成本效益的药物。
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引用次数: 0
A better understanding of cancer metabolism for a more efficient immunotherapy 更好地了解癌症的代谢,以获得更有效的免疫治疗
Pub Date : 2020-01-01 DOI: 10.15761/icst.1000331
D. Bensaid, K. Raghay, C. Blanquart
Cancers are the second leading cause of death after cardiovascular diseases in industrialized countries, so there is an urgent need to deepen the knowledge of the metabolism and the microenvironment of cancer cells. In fact, new efficient therapeutic approaches are emerged in order to produce the energy required for blocking their proliferation, migration and metastasis. Cancer cells and host cells can use different bioenergetic fuels exchanged across plasma membranes via a special gate called Monocarboxylate Transporters (MCTs), passive transporters that ensure a bidirectional exchange depending on the concentration gradient of their substrates. Two MCT isoforms have been extremely studied and mainly expressed in different cancer cells called MCT1 and MCT4 [1]. Since MCTs gate the activity of different bioenergetics fuels, a new strategy for anticancer treatments will be to target them with specific drugs in the form of MCT inhibitors. Pr. Pierre Sonveaux team are still working on the characterization and the development of these anti-cancer strategies [2].
在工业化国家,癌症是仅次于心血管疾病的第二大死亡原因,因此迫切需要加深对癌细胞代谢和微环境的认识。事实上,新的有效的治疗方法正在出现,以产生阻止其增殖,迁移和转移所需的能量。癌细胞和宿主细胞可以使用不同的生物能量燃料通过一种叫做单羧酸转运体(mct)的特殊通道在质膜上交换,mct是一种被动转运体,可以根据底物的浓度梯度确保双向交换。两种MCT亚型已经被研究得非常透彻,它们主要在不同的癌细胞中表达,称为MCT1和MCT4[1]。由于MCT控制不同生物能量燃料的活性,抗癌治疗的新策略将是以MCT抑制剂的形式针对它们的特定药物。Pierre Sonveaux博士的团队仍在研究这些抗癌策略的特性和发展。
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引用次数: 0
Kinetics of immune reconstitution and immune complications after cell and organ transplantation 细胞和器官移植后免疫重建动力学和免疫并发症
Pub Date : 2020-01-01 DOI: 10.15761/icst.1000341
Usha Kellampalli, Hesham Mohei, I. S. Louis
In this review, we have focused on immune restoration after allogeneic hematopoietic stem cell transplantation (allo-HSCT) and solid organ transplantations (SOT). We discuss the kinetics of cytokine secretion during immune reconstitution phases that play a unique role in the connection between innate and adaptive immunity, therefore essential in normal and pathological immune reconstitution. We overview the importance of T cell immunity for antigen-specific immune reconstitution and the production of cytokines. We briefly touch upon a graft versus host disease and other immunopathology that accompany poor immune restoration after transplantation and discuss therapeutic interventions. *Correspondence to: Irina Vlasova-St. Louis, Department of Medicine, University of Minnesota, Minneapolis, MN, USA, E-mail: irinastl@umn.edu
本文综述了同种异体造血干细胞移植(alloo - hsct)和实体器官移植(SOT)后的免疫恢复。我们讨论了免疫重建阶段细胞因子分泌的动力学,它在先天免疫和适应性免疫之间的联系中起着独特的作用,因此在正常和病理免疫重建中至关重要。我们概述了T细胞免疫对抗原特异性免疫重建和细胞因子产生的重要性。我们简要地谈到移植物抗宿主病和其他伴随移植后免疫恢复不良的免疫病理,并讨论治疗干预措施。*致:伊琳娜·弗拉索娃-圣。路易斯,美国明尼苏达州明尼阿波利斯市明尼苏达大学医学系,E-mail: irinastl@umn.edu
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引用次数: 0
期刊
Integrative cancer science and therapeutics
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