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Metastasis-Associated Lung Adenocarcinoma Transcript 1 Expression Levels in Egyptian Patients with Multiple Myeloma: Relation to Disease Characteristics and Possible Prognostic Implication 转移相关肺腺癌转录本1在埃及多发性骨髓瘤患者中的表达水平:与疾病特征的关系和可能的预后意义
Pub Date : 2021-08-10 DOI: 10.18689/MJCSR-1000114
I. Shaaban, Maha Gammal
Multiple myeloma (MM) is a malignancy of antibody-secreting plasma cells which remains incurable, despite significant improvements in treatment and patient care. There is an urgent need to identify novel markers with prognostic and therapeutic value for MM. Long non-coding RNAs (lncRNAs) have emerged as key regulators in cancers including MM. Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1) is a lncRNA known to be over expressed in solid tumors and hematologic malignancies. However, the pathological mechanisms of MALAT1 in MM are not completely understood. Objective: To investigate the MALAT1 expression levels in MM patients and to evaluate their relations to disease characteristics and possible prognostic implication. Patients and methods: The study was performed on 50 MM patients and 50 patients doing bone marrow aspiration for other conditions with normal plasma cell percentage as controls. Total RNA, including LncRNA isolation from bone marrow samples was carried out with the miRN easy Mini Kit according to the manufacturer’s instructions. MALAT1 gene expression was performed by RNA extraction, reverse transcription, and real-time qPCR. Results: We demonstrated that MALAT1 was over expressed in newly diagnosed MM patients compared with post-treatment patients and control subjects. Additionally, there were statistically significant relations between high MALAT1 expression levels and ESR, plasma cell percentages in bone marrow, M-protein concentrations in serum protein electrophoresis (SPEP), hemoglobin levels and serum levels of β2-microglobulin and IL-6. Conclusion: The current data suggested that MALAT1 may be useful as a novel prognostic biomarker for MM.
多发性骨髓瘤(MM)是一种抗体分泌浆细胞的恶性肿瘤,尽管在治疗和患者护理方面取得了重大进展,但仍然无法治愈。长链非编码rna (lncRNAs)已成为包括MM在内的癌症的关键调节因子。转移相关肺腺癌转录物1 (MALAT1)是一种已知在实体瘤和血液系统恶性肿瘤中过表达的lncRNA。然而,MALAT1在MM中的病理机制尚不完全清楚。目的:探讨MM患者MALAT1的表达水平,探讨其与疾病特征的关系及可能的预后意义。患者和方法:50例MM患者和50例其他情况骨髓抽吸患者,浆细胞百分比正常为对照。根据制造商的说明,使用miRN easy Mini Kit从骨髓样本中分离总RNA,包括LncRNA。通过RNA提取、反转录和实时qPCR进行MALAT1基因表达。结果:与治疗后患者和对照组相比,我们发现MALAT1在新诊断的MM患者中过表达。此外,高MALAT1表达水平与ESR、骨髓浆细胞百分比、血清蛋白电泳(SPEP) m蛋白浓度、血红蛋白水平、血清β2-微球蛋白和IL-6水平有统计学意义。结论:目前的数据表明MALAT1可能是一种新的MM预后生物标志物。
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引用次数: 0
Historical-Clinical Pathways to a Cancer Holistic Perspective 癌症整体观的历史-临床路径
Pub Date : 2019-02-14 DOI: 10.18689/MJCSR-1000113
Marco Balenci
A historical reconstruction of the holistic approach to cancer is presented. A particular attention is given to the United States, since, after reductionism had prevailed in Western world, New York Jungian psychoanalyst Elida Evans published the first modern monograph about the psychology of cancer patients in 1926, proposing a holistic view of cancer again. Evans’ theory has largely influenced cancer psychosomatics. Without pretension of completeness, research on cancer is discussed in its epidemiological, social, environmental, behavioural, and psychoanalytical aspects. The results of psychoneuroimmunology and the discoveries of developmental psychobiology are highlighted for their importance in a holistic vision of cancer. Assumption of this paper is that persistent dualism - studying body or mind - is depriving research of fundamental variables involved in human cancer; therefore, integrated multidisciplinary investigation is advocated.
历史重建的整体方法,以癌症提出。特别关注的是美国,因为在还原论在西方世界盛行之后,纽约荣格精神分析学家埃莉达·埃文斯于1926年出版了第一本关于癌症患者心理的现代专著,再次提出了癌症的整体观点。埃文斯的理论在很大程度上影响了癌症心身学。本文从流行病学、社会、环境、行为和精神分析等方面对癌症的研究进行了讨论。心理神经免疫学的结果和发展心理生物学的发现在癌症的整体视野中突出了它们的重要性。本文的假设是,持续的二元论——研究身体或精神——剥夺了对涉及人类癌症的基本变量的研究;因此,提倡多学科综合研究。
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引用次数: 2
Advances in the Management of Non-Small Cell Lung Cancer (NSCLC) 非小细胞肺癌(NSCLC)治疗进展
Pub Date : 2018-09-30 DOI: 10.18689/mjcsr-1000112
B. Khamar
Recent findings from studies [KEYNOTE 10, 24, 189, 407 (pembrolizumab); Check Mate-17,57,227 (nivolumab); IM power 131,150,OAK (atezolizumab)] using checkpoint inhibitors as a monotherapy as well as in combination of chemotherapy has demonstrated improved outcome in patients with advanced NSCLC without actionable mutation driver and also showed a tolerable toxicity profile and durable response. Based on analysis of studies performed in the first line management of advanced NSCLC, pembrolizumab is preferred for patients without actionable driver mutation. Pembrolizumab should be used as a monotherapy in patients with PD-L1 expression ≥ 50%. In others, it should be added to chemotherapy. For patients with actionable driver mutation, osimertinib for sensitizing EGFR mutation is preferred over afatinib, gefitinib, erlotinib as a first line therapy. For patients with ALK rearrangement alectinib is preferred over crizotinib restricting use of crizotinib as first line therapy to patients with ROS1 rearrangement. Dabrafenib + trametinib have been found effective in patients with BRAFV600E mutations.
近期研究发现[KEYNOTE 10,24,189,407 (pembrolizumab);Check mate -17,57,227 (nivolumab);[m] power 131,150,OAK (atezolizumab)]使用检查点抑制剂作为单一疗法以及联合化疗,已经证明在没有可操作的突变驱动因素的晚期NSCLC患者中改善了结果,并且还显示出可耐受的毒性特征和持久的反应。基于对晚期非小细胞肺癌一线治疗研究的分析,派姆单抗优先用于无可操作驱动突变的患者。对于PD-L1表达≥50%的患者,Pembrolizumab应作为单药治疗。在其他情况下,它应该添加到化疗中。对于可操作的驱动突变患者,奥西替尼对EGFR突变的致敏性优于阿法替尼、吉非替尼、厄洛替尼作为一线治疗。ALK重排患者优先选择阿勒替尼而非克唑替尼,限制了ROS1重排患者使用克唑替尼作为一线治疗。Dabrafenib + trametinib已被发现对BRAFV600E突变患者有效。
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引用次数: 0
Patterns of Cancer at a Tertiary Care Hospital in Karnataka-India 癌症在卡纳塔克邦印度一家三级医疗医院的模式
Pub Date : 2018-09-21 DOI: 10.18689/mjcsr-1000110
D. Basavarajappa, R. Kamath, B. Shetty, Sreemathi S. Mayya
Results: The sex distribution male to female was 0.84:1. Majority of male (43.1%) and female (41.7%) cancer patients were from Udupi district in Karnataka. The diagnosis of cancer was confirmed by microscopic method, among men 88.2% and among women 92% cancer diagnosis was done microscopic method. In women breast was the leading site of cancer (29.6%) followed by cervix uteri (20.4%) Among men lung is the leading site of cancer (10.5%).
结果:男女性别分布为0.84:1。大多数男性(43.1%)和女性(41.7%)癌症患者来自卡纳塔克邦的乌杜皮区。癌症经镜检确诊,男性88.2%,女性92%,癌症经镜检诊断。在女性中,乳腺是癌症的主要发病部位(29.6%),其次是宫颈(20.4%)。在男性中,肺是癌症的主要发病地点(10.5%)。
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引用次数: 0
Lymph Node Blood Vessels: Exit Route for Systemic Dissemination of Cancer 淋巴结血管:癌症系统扩散的退出途径
Pub Date : 2018-09-07 DOI: 10.32474/CTBM.2018.01.000104
R. Skopec
There are reports about the existence of meningeal lymphatic vessels in human and nonhuman primates (mormoset monkeys)and feasibility of noninvasively imaging and mapping them in vivo with high-resolution, clinical MRI. On T2-FLAIR and T1-weightedblack-blood imaging, lymphatic vessels enhance with graduator, a gadolinium-based contrast agent with high propensity toextravasate across a permeable capillary endothelial barrier, but not with gadofosveset, a blood-pool contrast agent.
有关于人类和非人类灵长类动物(猴)脑膜淋巴管存在的报道,以及用高分辨率临床MRI对其进行体内无创成像和定位的可行性。在T2-FLAIR和T1加权基线血液成像中,淋巴管用梯度造影剂增强,梯度造影剂是一种钆基造影剂,具有通过可渗透的毛细血管内皮屏障进行提取的高倾向,但用血池造影剂加多福韦不能增强。
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引用次数: 0
Her-2/neu Status in Syrian Women with Breast Carcinoma: A Syrian Cohort Study of more than 10000 Cases 叙利亚妇女乳腺癌的Her-2/ new状态:一项超过10000例的叙利亚队列研究
Pub Date : 2018-09-07 DOI: 10.18689/mjcsr-1000109
M. Salamoon, L. Assad, F. Ahmad, M. Kenj, M. Bachour
Results and Discussion: 2013 patients were found to be Her-2 positive (+++) forming 19.4% of the studied group, 2000 (19.3%) were (++) equivocal. On the other hand, 62% of patients were Her-2 negative (0 and 1+) scores. A further investigation of the positive and equivocal groups was performed by FISH showing positive results as follows: 1815/2013 of the (3+ patients) and 1143/2000 of the (2+ patients) respectively. In other word 57% of the (++) group were found to be FISH positive versus 9% negative FISH results in the (+++) group.
结果与讨论:2013例Her-2阳性(+++)占研究组的19.4%,2000例(+++)模棱两可(19.3%)。另一方面,62%的患者Her-2阴性(0和1+)。FISH对阳性组和模棱两可组进行进一步调查,阳性结果分别为(3+患者)1815/2013和(2+患者)1143/2000。换句话说,57%的(++)组被发现为FISH阳性,而(+++)组的FISH阴性结果为9%。
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引用次数: 0
Combined Human Epididymis 4 and Carbohydrate Antigen 125 Serum Protein Levels Diagnostic value in Ovarian Cancer 人表皮4和碳水化合物抗原125联合血清蛋白水平对癌症的诊断价值
Pub Date : 2018-08-17 DOI: 10.18689/mjcsr-1000108
Reham El Shimy Salwa Hassan Teama, H. Gamal, Salwa Teama
Results: The results showed that increased serum protein concentration of HE-4 (pMol/L) and CA-125 (U/ml) in the ovarian cancer group mean (SD)/median (range) 329.61±336.55/199 (28.72-1064) and 521.36±572.60/287 (10.50-2377), than non-cancer control group 64.80±38.51/54.53 (21 -160) and 28.35±10.80/28 (10-50) respectively (p<0.05). The receiver operating characteristic curve, the area under the curve (ROC-AUC) (95%CI) values of serum HE-4 was 0.85 (0.74-0.95). The sensitivity and specificity of HE-4 in diagnosing malignant ovarian tumors was 84.84% and 75.00%, respectively at ideal cutoff point that provided the best and highest accuracy in our own study and its level was related to clinical staging.
结果:卵巢癌症组血清HE-4(pMol/L)和CA-125(U/ml)的平均值(SD)/中位数(范围)分别为329.61±336.55/199(28.72-1064)和521.36±572.60/287(10.50-2377),血清HE-4的曲线下面积(ROC-AUC)(95%CI)值为0.85(0.74-0.95)。HE-4诊断卵巢恶性肿瘤的敏感性和特异性分别为84.84%和75.00%,这在我们自己的研究中提供了最佳和最高的准确性,其水平与临床分期有关。
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引用次数: 0
Predictive value of Serum IL-6 level and CRP titer in Determining the need for Antifungal Therapy in Pediatric Patients with Febrile Neutropenia 血清IL-6水平和CRP滴度在判断小儿发热性中性粒细胞减少症是否需要抗真菌治疗中的预测价值
Pub Date : 2018-07-27 DOI: 10.18689/MJCSR-1000107
S. Ansari, T. Rostami, A. Kiumarsi
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引用次数: 0
Flash from the Back; Molecular and Epidemiological aspects of Breast Cancer in Last 15 Years 来自背后的闪光;近15年来乳腺癌的分子和流行病学研究
Pub Date : 2018-06-07 DOI: 10.18689/MJCSR-1000106
S. Zia, Z. Rahman, S. Baig, A. Mushtaq
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引用次数: 1
Response to Epigenetic treatment in Gastric Cancer Cells: a Mini Review 胃癌细胞对表观遗传治疗的反应:综述
Pub Date : 2018-05-28 DOI: 10.18689/mjcsr-1000105
S. Taheri
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引用次数: 0
期刊
Madridge journal of cancer study & research
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