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Transcription Independent Stimulation of Telomerase Enzymatic Activity by HTLV-I Tax Through Stimulation of IKK. HTLV-I Tax通过IKK刺激端粒酶活性的转录非依赖性刺激。
Pub Date : 2021-11-01 Epub Date: 2021-09-05 DOI: 10.13188/2377-9292.1000024
M Bellon, Y Yuan, C Nicot

The persistence and spreading of HTLV-I infected cells relies upon their clonal expansion through cellular replication. The development of adult T cell leukemia (ATLL) occurs decades following primary infection by HTLV-I. Moreover, identical provirus integration sites have been found in samples recovered several years apart from infected individuals. These observations suggest that infected cells persist in the host for an extended period of time. To endure long term proliferation, HTLV-I pre-leukemic cells must acquire critical oncogenic events, two of which are the bypassing of apoptosis and replicative senescence. In the early stages of disease, interleukin-2 (IL-2)/IL-2R signaling likely plays a major role in combination with activation of anti-apoptotic pathways. Avoidance of replicative senescence in HTLV-I infected cells is achieved through reactivation of human telomerase (hTERT). We have previously shown that HTLV-I viral Tax transcriptionally activates the hTERT promoter. In this study we demonstrate that Tax can stimulate hTERT enzymatic activity independently of its transcriptional effects. We further show that this occurs through Tax-mediated NF-KB activating functions. Our results suggest that in ATLL cells acquire Tax-transcriptional and post-transcriptional events to elevate telomerase activity.

HTLV-I感染细胞的持续和传播依赖于它们通过细胞复制的克隆扩增。成人T细胞白血病(ATLL)的发展发生在原发性HTLV-I感染后的几十年。此外,在与感染个体相隔数年的样本中发现了相同的原病毒整合位点。这些观察结果表明,受感染的细胞在宿主体内存在较长时间。为了持续长期增殖,HTLV-I白血病前期细胞必须获得关键的致癌事件,其中两个是绕过凋亡和复制性衰老。在疾病的早期阶段,白细胞介素-2 (IL-2)/IL-2R信号可能与抗凋亡途径的激活联合起主要作用。HTLV-I感染细胞通过重新激活人类端粒酶(hTERT)来避免复制性衰老。我们之前已经证明HTLV-I病毒Tax转录激活hTERT启动子。在这项研究中,我们证明了税收可以刺激hTERT酶活性独立于其转录效应。我们进一步表明,这是通过税收介导的NF-KB激活功能发生的。我们的研究结果表明,在ATLL细胞获得税收转录和转录后事件,以提高端粒酶的活性。
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引用次数: 3
Markers of Radiogenic Cancer vs. Tumor Progression: an Overview of Chernobyl Studies 放射性致癌标志物与肿瘤进展:切尔诺贝利研究综述
Pub Date : 2021-01-01 DOI: 10.13188/2377-9292.1000025
Sergei V. Jargin
Differences in the histological grade of malignancies may reflect diagnostic quality, that is, averagely earlier or later tumor detection in a given country. Studies of Chernobyl-related renal-cell carcinoma with a control from Spain and Colombia are discussed here in comparison with thyroid cancer research. It is concluded that suppositions about averagely higher grade and enhanced aggressiveness of malignancies from the areas previously contaminated by the Chernobyl fallout are unfounded and can lead to overtreatment. Results of many studies of Chernobyl-related malignancies are valuable; but conclusions should be reassessed taking into account that some cases, classified as aggressive radiogenic cancers, were in fact late-stage neglected malignancies. Associations of various markers with the tumor progression can become a field for the future research and re-interpretation of data obtained in studies comparing malignancies from different countries. Some markers may reflect efficiency of healthcare services. Citation: Citation: Jargin SV. Markers of Radiogenic Cancer vs. Tumor Progression: an Overview of Chernobyl Studies. J Cancer Sci. 2021;8(1): 7 J Cancer Sci 8(1): 7 (2021) Page 02 ISSN: 2377-9292 but the statistical significance vanished if only doses <200 mSv were considered [19,20]. Doses <100 mGy at low rates may induce adaptive response against neoplastic transformation [21]. Annual average doses from natural radiation should be specified in papers where cohorts from different geographical regions are compared; otherwise doses among controls may turn out to be not significantly different from those in the “exposed” cohort e.g. in patients from Spain vs. those from Kiev [6,8]. The average annual individual dose from the background radiation in Spain is ~5 mSv [22,23]. According to an estimate, the mean whole-body individual dose to inhabitants of Kiev from all sources was ≤10 mSv in 1986, decreasing thereafter [24]. No dose estimates were given in the articles [4-10]; it is only written with a self-reference: “This observation also supports the prevailing suspicion [9] that in Ukraine the radiation contamination levels were similar within and beyond the officially-established 80-km extent of radiation contamination around Chernobyl [25]” [10]. The source [25], a Ministry report, has been unavailable. Radiation Effects vs. Late Detection The Chernobyl accident (CA) provides an example of considerable difference in diagnostic quality before and after the accident. There has been no convincing evidence of cause-effect relationships between radiation exposures from CA and the incidence increase of cancers in residents of contaminated territories other than TC in people exposed at a young age [18]. TC and probably also other cancers were underreported before CA. Mechanisms of the registered TC incidence increase included the screening and improved medical surveillance after CA [18]. According to the UNSCEAR, “the background rate of thyroid ca
恶性肿瘤组织学分级的差异可能反映了诊断质量,即在特定国家,肿瘤检测的平均时间是早还是晚。本文将西班牙和哥伦比亚的切尔诺贝利相关肾细胞癌研究与甲状腺癌研究进行比较。结论是,先前受切尔诺贝利放射性尘降物污染地区恶性肿瘤的平均较高级别和侵袭性增强的假设是没有根据的,并可能导致过度治疗。许多与切尔诺贝利有关的恶性肿瘤的研究结果是有价值的;但结论应该重新评估,考虑到一些病例,归类为侵袭性放射源性癌症,实际上是晚期被忽视的恶性肿瘤。各种标志物与肿瘤进展的关联可以成为未来研究和重新解释不同国家恶性肿瘤比较研究中获得的数据的领域。一些标志可能反映医疗保健服务的效率。引文:引证:专业术语SV。放射性致癌标志物与肿瘤进展:切尔诺贝利研究综述。J Cancer Sci. 2021;8(1): 7 J Cancer Sci 8(1): 7 (2021) Page 02 ISSN: 2377-9292但如果仅在乌克兰59例(42.4%)标本中的25例(西班牙19例(21.1%)标本中发现10%的p50细胞阳性,则统计学意义就消失了;>50% p65阳性,59例中有18例(30.1%),19例中有1例(5.3%)(p<0.05)。NF-kappa-B活化在文献中被讨论为癌症进展的潜在生物标志物和启动子[36-41]。甲状腺乳头状癌(PTC)与RET/PTC3染色体重排的类比有助于解释上述数据。RET/PTC3融合明显与PTC的进展相关,因此与病程[42]相关。RET/PTC3的表达与侵袭性表型、PTC[43]的晚期和较大的大小有关。随着CA后时间的推移,RET/PTC3的患病率下降[44,45],而晚期被忽视的tc则通过筛查被整理出来。切尔诺贝利后儿童PTC队列,RET/PTC3是最普遍的RET重排。放射性致癌标志物与肿瘤进展:切尔诺贝利研究综述。J Cancer Sci. 2021;8(1): 7 J Cancer Sci. 8(1): 7 (2021) Page 03 ISSN: 2377-9292 type,被认为是世界性的例外[46]。事实上,这一队列不仅在全球范围内是独一无二的,而且在癌症诊断相对较早的工业化高收入国家也是独一无二的。与切尔诺贝利类似,在印度的研究中,RET/PTC3是最普遍的RET重排[47,48]。与西方人群相比,亚洲人群普遍表现出更高的RET/PTC3阳性率(26.50%对17.05%)。值得注意的是,在日本,RET/PTC3的发生频率相对较低[49,50]。日本的儿童TC与CA后不同,表现为低分化实型和实型小梁型的情况较少[51,52]。国际间对TC大小和分期的比较可能不如对分化等级的比较有意义,因为如果存在组织学过度诊断的倾向,恶性潜能不确定的大结节可能被归类为高分期癌症,而筛查活动可能是一个混杂因素。与切尔诺贝利核事故不同,福岛核事故后的tc多为典型的乳头状型,即高分化型[53,54],这表明在日本等发达国家,肿瘤的平均检测时间较早。同样,RET/PTC3在法国也很少见。与美国相比,俄罗斯在TC中发现突变的频率更高[56,57],这表明后者的诊断较早。另一个最近的例子是一项研究,对359名接受CA辐射暴露的患者和对照组的ptc进行了比较
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引用次数: 3
Molecular Profiling for Patients with Solid Tumors: A Single- Institution Experience 实体肿瘤患者的分子谱分析:单一机构的经验
Pub Date : 2020-12-30 DOI: 10.13188/2377-9292.1000023
C. P. Ong
Molecular Profiling (MP) of tumors is innovative progress that led to identifying targetable alterations that could be exploited to deliver personalized cancer treatment. Lack of data from the region about the clinical utility of has prompted this study. Tumor tissues from 100 consecutive adult patients with solid tumors were genomically profiled successfully using commercially available platforms. Outcomes for patients who received an MP-guided versus MP-unguided therapy were compared. Progression-Free Survival (PFS) was the primary endpoint, while Overall Survival (OS) was the secondary endpoint. Patients’ median age was 57 years, and female patients constituted 65% of the series. Thirty-one patients were newly diagnosed, and 69 patients had the MP performed upon disease recurrence or progression. Breast, lung, and colorectal cancers were the most frequent tumors. In 90 of the tested tumors, one or more aberrations were identified. In 61 patients, the MP results suggested at least one matched agent and guided therapy in 53 patients. Of all patients who received further therapy (83 patients), the median PFS was significantly longer in patients whose MP-guided versus those whose treatment was not guided (21.8 [95% CI; 14.5 - 29.1] vs. 10.9 [95% CI; 6.2 - 15.6] months, hazard ratio [HR] = 0.34 [95% CI; 0.17 - 0.69], P = 0.002). The benefit was largely shown in patients with recurrent or progressive disease (HR = 0.32 [95% CI; 0.14 - 1.20.75]; P = 0.006). While patients who received MP-guided therapy had numerically higher OS rates, that difference was not significant. This preliminary experience demonstrated MP’s feasibility for cancer patients with a significant improvement in PFS, albeit a lack of OS benefit. Further research is warranted to address the inherent challenges for the universal adoption of MP in daily practice.
肿瘤分子图谱(MP)是一项创新性进展,它导致了识别可用于提供个性化癌症治疗的靶向改变。该地区缺乏关于的临床效用的数据促使了这项研究。使用商业平台成功地对100名连续患有实体瘤的成年患者的肿瘤组织进行了基因组分析。比较了接受MP指导和MP非指导治疗的患者的疗效。无进展生存期(PFS)是主要终点,而总生存期(OS)是次要终点。患者的中位年龄为57岁,女性患者占该系列患者的65%。31名患者是新诊断的,69名患者在疾病复发或进展时进行了MP。乳腺癌、肺癌和结直肠癌是最常见的肿瘤。在90个测试的肿瘤中,发现了一种或多种畸变。在61名患者中,MP结果表明至少有一种匹配的药物,并在53名患者中指导治疗。在接受进一步治疗的所有患者(83名患者)中,MP指导的患者的中位PFS明显长于未指导治疗的患者(21.8[95%CI;14.5-29.1]vs.10.9[95%CI,6.2-15.6]个月,危险比[HR]=0.34[95%CI:0.17-0.69],P=0.002)。这种益处主要表现在复发或进展性疾病的患者身上(HR=0.32[95%CI:0.14-1.2.75];P=0.006)MP引导治疗的OS发生率在数值上更高,这一差异并不显著。这一初步经验证明MP对癌症患者的可行性,并显著改善PFS,尽管缺乏OS益处。有必要进行进一步的研究,以解决在日常实践中普遍采用MP的固有挑战。
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引用次数: 0
Breast Cancer Classification: A CAD System for a Combined Use of Elastography and B-Mode Sonography 乳腺癌症分类:弹性成像和B型超声联合应用的CAD系统
Pub Date : 2020-12-30 DOI: 10.13188/2377-9292.1000022
Fleury Efc, H. Schiabel
Purpose: The aim of this study was to evaluate and compare the diagnostic performance of elastography, B-mode Ultrasound (US), and a combination of elastography and B-mode US for the differentiation between benign and malignant lesions. Methods: A prospective study was carried out from July to December 2015, which 87 patients with 83 lesions were examined with conventional B-mode ultrasound and strain elastography. All the lesions had been proven by biopsy, resulting in 31 malignant and 52 benign lesions. A radiologist with 16 years of experience classified visually these cases. We also used a CAD sys-tem to classify the lesions classified visually by the most experienced radiologist and using a CAD system. The data obtained were compared with the results provided by another radiologist and a resident with 2 years of experience. Sensitivity, specificity and AUC for the three observers using the CAD system were calculated. Results: The developed CADx system provided a diagnostic concordance in the classification of breast lesions from the different ways of contour determination (manual and automatic), allowing to reduce the diagnostic variability. In addition, the CADx system showed superior results to the visual analysis of the radiologist. When the radiologist associated both examinations (B-mode ultrasound and elastography), his visual analysis provided 87.1%, 55.8% and 0.714 of sensitivity, specificity and AUC, respectively. When we considered the result provided by the association between B-mode ultrasound and elastography images, the CADx system provided a comparative increase of about 7% of sensitivity and 17.2% of specificity, using the contour delimited by the most experienced radiologist. In addition, a positive influence was observed in the use of the computational tool by radiologists, since, on average, their sensitivity and specificity indexes also increased in relation to the conventional analysis, from 87.1% and 55.8% to 90.3% and 73.1%, respectively. Conclusion: Thus, it can be concluded that the developed CADx system performed well in distinguishing benign from malignant lesions for both B-mode ultrasound and elastography. The AUC obtained was higher than the radiologist’s visual analysis in most of the cases analyzed. Citation: Marcomini KD, Fleury EFC, Schiabela H. Breast Cancer Classification: A CAD System for a Combined Use of Elastography and B-Mode Sonography. J Cancer Sci. 2020;7(1): 6. J Cancer Sci 7(1): 6 (2020) Page 02 ISSN: 2377-9292
目的:本研究的目的是评估和比较弹性成像、b超(US)以及弹性成像和b超联合诊断良性和恶性病变的表现。方法:前瞻性研究于2015年7月至12月对87例患者的83个病灶进行常规b超及应变弹性成像检查。所有病变均经活检证实,恶性病变31例,良性病变52例。一位有16年经验的放射科医生对这些病例进行了视觉分类。我们还使用CAD系统对最有经验的放射科医生使用CAD系统进行视觉分类的病变进行分类。将获得的数据与另一位放射科医生和一位有2年经验的住院医生提供的结果进行比较。计算三个观测者使用CAD系统的灵敏度、特异度和AUC。结果:开发的CADx系统从不同的轮廓确定方式(手动和自动)对乳腺病变分类提供了诊断一致性,减少了诊断的可变性。此外,CADx系统显示优于放射科医生的视觉分析结果。当放射科医生将两项检查(b超和弹性成像)结合起来时,他的视觉分析分别提供了87.1%,55.8%和0.714的敏感性,特异性和AUC。当我们考虑到b超和弹性成像图像之间的关联所提供的结果时,CADx系统使用最有经验的放射科医生划定的轮廓线,提供了约7%的敏感性和17.2%的特异性的相对增加。此外,放射科医生在使用计算工具方面也观察到积极的影响,因为平均而言,他们的敏感性和特异性指数也比传统分析有所增加,分别从87.1%和55.8%增加到90.3%和73.1%。结论:所开发的CADx系统在b超和弹性成像中都能很好地区分良恶性病变。在分析的大多数病例中,获得的AUC高于放射科医生的视觉分析。引用本文:Marcomini KD, Fleury EFC, Schiabela H.乳腺癌分类:一种结合弹性成像和b超的CAD系统。中国癌症杂志,2020;7(1):6。中国癌症杂志7(1):6 (2020)Page 02 ISSN: 2377-9292
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引用次数: 0
NOTCH1 Activation Depletes the Pool of Side Population Stem Cells in ATL. NOTCH1激活耗尽ATL的侧群体干细胞库。
Pub Date : 2017-06-01 Epub Date: 2017-06-14 DOI: 10.13188/2377-9292.1000013
Xue Tao Bai, Chien-Hung Yeh, Christophe Nicot

Background: HTLV-I infection is associated with the development of adult T-cell leukemia (ATL), a malignancy characterized by a high rate of disease relapse and poor survival. Previous studies reported the existence of side population (SP) cells in HTLV-I Tax transgenic mouse models. These studies showed that these ATL-like derived SP cells have both self-renewal and leukemia renewal capacity and represent Cancer Stem Cells (CSC)/Leukemia-Initiating Cells (LIC). Since CSC/LIC are resistant to conventional therapies, a better characterization is needed.

Methods: We isolated, sorted and characterized SP cells from uncultured PBMCs from ATL patients and from ATL patient-derived cell lines. We then identified several specific signaling pathways activated or suppressed in these cells. Expression of viral gene HBZ and Tax transcriptional activity was also investigated. Using gamma-secretase inhibitor (GSI, Calbiochem) and stably transduced ATL cell lines expressing TET-inducible NOTCH 1 intracellular domain (NICD), we characterized the role of activated NOTCH 1 in the maintenance of the SP cells in ATL.

Results: Our studies confirm the existence of SP cells in ATL samples. These cells demonstrate lower activation of NOTCH1 and Tax, and reduced expression of STAT3, β-catenin/Wnt3 and viral HBZ. We further show that PI3K and the NOTCH1 signaling pathway have opposite functions, and constitutive activation of NOTCH1 signaling depletes the pool of SP cells in ATL-derived cell lines.

Conclusions: Our results suggest that in ATL, a balance between activation of the NOTCH1 and PI3K signaling pathway is the key in the control of SP cells maintenance and may offer therapeutic opportunities.

背景:HTLV-I感染与成人t细胞白血病(ATL)的发展有关,ATL是一种以疾病复发率高、生存率低为特征的恶性肿瘤。先前的研究报道了HTLV-I Tax转基因小鼠模型中存在侧群(SP)细胞。这些研究表明,这些atl样衍生的SP细胞具有自我更新和白血病更新能力,代表癌症干细胞(CSC)/白血病起始细胞(LIC)。由于CSC/LIC对常规治疗具有耐药性,因此需要更好的表征。方法:从ATL患者和ATL患者来源细胞系的未培养pbmc中分离、分类和鉴定SP细胞。然后,我们确定了这些细胞中激活或抑制的几种特定信号通路。研究了病毒基因HBZ的表达和Tax的转录活性。利用γ -分泌酶抑制剂(GSI, Calbiochem)和稳定转导表达et诱导的NOTCH 1胞内结构域(NICD)的ATL细胞系,我们表征了激活的NOTCH 1在ATL SP细胞维持中的作用。结果:我们的研究证实了ATL样品中SP细胞的存在。这些细胞显示NOTCH1和Tax的激活降低,STAT3、β-catenin/Wnt3和病毒HBZ的表达降低。我们进一步发现PI3K和NOTCH1信号通路具有相反的功能,NOTCH1信号通路的组成性激活会耗尽atl衍生细胞系的SP细胞池。结论:我们的研究结果表明,在ATL中,NOTCH1和PI3K信号通路的激活之间的平衡是控制SP细胞维持的关键,并可能提供治疗机会。
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引用次数: 1
HTLV-I Tax-Mediated Inactivation of Cell Cycle Checkpoints and DNA Repair Pathways Contribute to Cellular Transformation: "A Random Mutagenesis Model". HTLV-I税介导的细胞周期检查点失活和DNA修复途径有助于细胞转化:“一个随机突变模型”。
Pub Date : 2015-09-01 DOI: 10.13188/2377-9292.1000009
C. Nicot
To achieve cellular transformation, most oncogenic retroviruses use transduction by proto-oncogene capture or insertional mutagenesis, whereby provirus integration disrupts expression of tumor suppressors or proto-oncogenes. In contrast, the Human T-cell leukemia virus type 1 (HTLV-I) has been classified in a separate class referred to as "transactivating retroviruses". Current views suggest that the viral encoded Tax protein transactivates expression of cellular genes leading to deregulated growth and transformation. However, if Tax-mediated transactivation was indeed sufficient for cellular transformation, a fairly high frequency of infected cells would eventually become transformed. In contrast, the frequency of transformation by HTLV-I is very low, likely less than 5%. This review will discuss the current understanding and recent discoveries highlighting critical functions of Tax in cellular transformation. HTLV-I Tax carries out essential functions in order to override cell cycle checkpoints and deregulate cellular division. In addition, Tax expression is associated with increased DNA damage and genome instability. Since Tax can inhibit multiple DNA repair pathways and stimulate unfaithful DNA repair or bypass checkpoints, these processes allow accumulation of genetic mutations in the host genome. Given this, a "Random Mutagenesis" transformation model seems more suitable to characterize the oncogenic activities of HTLV-I.
为了实现细胞转化,大多数致癌逆转录病毒通过原癌基因捕获或插入突变进行转导,即原病毒整合破坏肿瘤抑制因子或原癌基因的表达。相比之下,人类t细胞白血病病毒1型(HTLV-I)被归类为“反转录逆转录病毒”。目前的观点认为,病毒编码的Tax蛋白激活细胞基因的表达,导致生长和转化不受控制。然而,如果税介导的转激活确实足以实现细胞转化,那么相当高的感染细胞最终会转化。相比之下,HTLV-I的转化频率非常低,可能不到5%。这篇综述将讨论当前的理解和最近的发现,突出了税收在细胞转化中的关键功能。HTLV-I Tax执行基本功能,以覆盖细胞周期检查点并解除对细胞分裂的管制。此外,Tax表达与DNA损伤和基因组不稳定性增加有关。由于Tax可以抑制多种DNA修复途径,刺激不忠实的DNA修复或绕过检查点,这些过程允许宿主基因组中基因突变的积累。鉴于此,“随机突变”转化模型似乎更适合描述HTLV-I的致癌活性。
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引用次数: 26
期刊
Journal of cancer sciences
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