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Molecular Biology for BCR-ABL1 Quantification for Chronic Myeloid Leukemia Monitorization and Evaluation BCR-ABL1定量用于慢性髓系白血病监测和评价的分子生物学研究
Pub Date : 2021-12-29 DOI: 10.33696/cancerbiology.2.024
A. Marin, Gabriela Silva Soares, D. Zanette, M. Aoki
Chronic Myeloid Leukemia (CML) is a clonal disorder originated by a pluripotent hematopoietic stem cell, which presents the translocation t(9;22) (q34;q11) in 90% of the cases. This genetic abnormality is a balanced translocation between Abelson Murine Leukemia (ABL) located in chromosome 9 with the Breakpoint Cluster Region (BCR) gene at chromosome 22, generating Philadelphia chromosome (Ph) or BCR-ABL1, which codes an oncoprotein of 210 kDa [1-4]. This alteration represents a hallmark in oncology and for CML research, diagnosis, and prognosis. The standard treatment of CML patients is with Tyrosine Kinase Inhibitors (TKIs), and the first line is Imatinib [5]. This drug was developed in 1990s by Brian Druker and Nicholas Lydon and in 1998 a phase 1 clinical trial was conducted, causing cancer regression in most patients with CML in chronic phase. Five years later, 98% of patients from this trial were still in remission. In 2001, this drug was approved by FDA, revolutionizing the treatment of CML. Imatinib is quite selective for BCRABL1 onco-protein, so it does not inhibit other tyrosine kinase enzymes, so far representing one of the pioneers in oncological targeted therapy [6].
慢性髓系白血病(Chronic Myeloid Leukemia, CML)是一种由多能造血干细胞引起的克隆性疾病,90%的病例出现t(9;22) (q34;q11)易位。这种遗传异常是位于9号染色体的Abelson小鼠白血病(ABL)与位于22号染色体的断点簇区(BCR)基因之间的平衡易位,产生费城染色体(Ph)或BCR- abl1,其编码210 kDa的癌蛋白[1-4]。这种改变是肿瘤学和CML研究、诊断和预后的标志。CML患者的标准治疗是酪氨酸激酶抑制剂(Tyrosine Kinase Inhibitors, TKIs),一线治疗是伊马替尼[5]。该药由Brian Druker和Nicholas Lydon于20世纪90年代开发,并于1998年进行了一期临床试验,大多数慢性粒细胞白血病患者在慢性期癌症消退。5年后,该试验中98%的患者仍处于缓解期。2001年,这种药物被FDA批准,彻底改变了慢性粒细胞白血病的治疗。伊马替尼对BCRABL1癌蛋白具有很强的选择性,因此不抑制其他酪氨酸激酶酶,是目前肿瘤靶向治疗的先驱之一[6]。
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引用次数: 0
Genetic Predisposition of Breast Cancer in the United Arab Emirates 在阿拉伯联合酋长国乳腺癌的遗传易感性
Pub Date : 2021-12-29 DOI: 10.33696/cancerbiology.2.022
Ajda Altinoz, A. Abdel-Aziz, M. Ameri
This commentary refers to our published article, as highlighted in this article most common gene causing breast cancer in the population living in the United Arab Emirates is BRCA2 followed by BRCA1 [1]. This is the first publication discussing about clinical and pathological features of breast cancer in woman with a positive genetic mutation in the United Arab Emirates. The UAE has a rising population of a mixed ethnic population with predominantly Arabic background. Breast cancer (BC) is the most common cancer in the UAE according to GLOBOCAN statistics in 2020 [2]. Despite the rise in cancer, there is less published data about genetic predisposition in breast cancer in this part of the world.
这篇评论引用了我们发表的文章,文中强调了在阿联酋人群中最常见的乳腺癌基因是BRCA2,其次是BRCA1[1]。这是第一篇讨论阿拉伯联合酋长国阳性基因突变妇女乳腺癌临床和病理特征的出版物。阿联酋是一个以阿拉伯背景为主的混合民族人口不断增长的国家。根据2020年GLOBOCAN统计,乳腺癌(BC)是阿联酋最常见的癌症[2]。尽管癌症发病率在上升,但在世界的这个地区,关于乳腺癌遗传易感性的公开数据却很少。
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引用次数: 0
SorLA Targeting - A Method to Overcome Therapy Resistance in Breast Cancer SorLA靶向-一种克服乳腺癌治疗耐药的方法
Pub Date : 2021-12-29 DOI: 10.33696/cancerbiology.2.026
Hussein Al-Akhrass, Nicolas Pasquier, J. Ivaska
Tyrosine kinase-type cell surface receptor HER2targeted therapies have dramatically improved breast cancer patients’ outcome compared to conventional chemotherapies. In the clinic, HER2 monoclonal antibody trastuzumab with chemotherapy represent the gold standard treatment of HER2-positive breast cancer [1]. In the advanced metastatic setting, other Federation of Drug Administration (FDA)-approved HER2-based therapeutic options are used such as HER2 small molecule tyrosine kinase inhibitor neratinib [2]. Metastatic tumors are often therapy-resistant due to drug resistance mechanisms leading to sustained cancer progression most notably with regard to brain metastatic breast cancer, the most challenging medical-oncology situation [3]. 50% of brain metastatic HER2-positive breast cancer samples exhibit enriched HER3 expression compared to their matched primary tumors [4]. Elevated HER3 levels is one of the most reported therapy-resistance mechanisms in breast cancer [5]. HER3 lacks a fully active intracellular kinase domain, however, upon ligand binding the receptor heterodimerizes with its favorite partner HER2 that adopts constitutively the open conformation required for receptor dimerization [6]. The HER2-HER3 heterodimer is a unique and powerful signaling unit facilitating signaling such that even a residual HER2 activation is sufficient to trans-phosphorylate HER3 that bears at least six direct docking sites for the p85 adaptor subunit of phosphoinositide 3-kinase [5,6]. This enables HER3 to compensate for HER2 inhibition and renders HER2-HER3 the most signaling-effective component among all the different heterodimers within the HER family [6,7]. HER3 inhibition is an unmet clinical need since the extensive preclinical and clinical efforts targeting this receptor have thus far failed to lead to FDA approval in any cancer type. This is partly owing to the fact that targeting HER3 using classic tyrosine kinase inhibitors is not an option [5].
与传统化疗相比,酪氨酸激酶型细胞表面受体her2靶向治疗显著改善了乳腺癌患者的预后。在临床上,HER2单克隆抗体曲妥珠单抗联合化疗是HER2阳性乳腺癌的金标准治疗方法[1]。在晚期转移情况下,其他FDA批准的基于HER2的治疗选择,如HER2小分子酪氨酸激酶抑制剂neratinib[2]。由于耐药机制导致癌症持续进展,转移性肿瘤通常具有治疗耐药性,最明显的是脑转移性乳腺癌,这是最具挑战性的医学肿瘤学情况[3]。与匹配的原发肿瘤相比,50%的脑转移性her2阳性乳腺癌样本显示HER3表达丰富[4]。HER3水平升高是报道最多的乳腺癌耐药机制之一[5]。然而,HER3缺乏一个完全活跃的细胞内激酶结构域,当配体结合时,受体与其最喜欢的伙伴HER2异二聚化,HER2采用受体二聚化所需的基本开放构象[6]。HER2-HER3异源二聚体是一种独特而强大的信号传导单位,可以促进信号传导,即使残留的HER2激活也足以使HER3反式磷酸化,而HER3至少有6个直接对接位点与磷酸肌苷3激酶的p85接头亚基对接[5,6]。这使得HER3能够补偿HER2的抑制,并使HER2-HER3成为HER家族中所有不同异源二聚体中最有效的信号传导成分[6,7]。HER3抑制是一个未满足的临床需求,因为针对该受体的广泛临床前和临床努力迄今未能导致FDA批准用于任何癌症类型。这部分是由于使用经典的酪氨酸激酶抑制剂靶向HER3不是一种选择[5]。
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引用次数: 0
The Impact of Dido on the Epithelial-Mesenchymal Transition Dido对上皮-间质转化的影响
Pub Date : 2021-12-29 DOI: 10.33696/cancerbiology.2.025
A. Fütterer, Amaia Talavera-Gutiérrez, C. Martínez-A
Each of these cell types displays specific characteristics. Epithelial cells have apicobasal polarity, are connected by cell junctions, and can form epithelial layers that cover many tissues, whereas mesenchymal cells lack apicobasal polarity, are less connected, but are more motile [2]. Both cell types can nonetheless undergo highly connected mutual transitions. EMT and its reverse process MET are thus well-studied in embryonic development, and several rounds of EMT and MET are described for the generation of various organs throughout their differentiation and development. Molecular studies to analyze these transitions show the involvement of several regulatory networks of transcriptional and translational regulators, linked to post-transcriptional and posttranslational modifications. Gene and protein regulation participate in cellular processes such as cell-cell contact, cell adhesion, cell polarity, cytoskeletal organization (which implies cell migration), all of which are responsible for successful, correct transitions [3-5].
这些细胞类型中的每一种都显示出特定的特征。上皮细胞具有顶基底极性,通过细胞连接连接,可形成覆盖许多组织的上皮层,而间充质细胞缺乏顶基底极性,连接较少,但更具有活动性[2]。尽管如此,这两种细胞类型都可以经历高度连接的相互转换。因此,EMT及其反向过程MET在胚胎发育中得到了很好的研究,并且在各种器官的分化和发育过程中描述了几轮EMT和MET。分析这些转变的分子研究表明,与转录后和翻译后修饰相关的转录和翻译调节因子的几个调控网络参与其中。基因和蛋白质调控参与细胞过程,如细胞-细胞接触、细胞粘附、细胞极性、细胞骨架组织(这意味着细胞迁移),所有这些都是成功、正确过渡的原因[3-5]。
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引用次数: 0
Botulinum Toxin: The Promising Future of Prostate Cancer Treatment 肉毒杆菌毒素:前列腺癌治疗的前景
Pub Date : 2021-06-29 DOI: 10.33696/cancerbiology.2.018
A. Morales
Peripheral nerves have been shown to modulate the growth and spread of tumours in the prostate, feeding both cancer cells and the stroma in the tumour environment. Several in vitro and in vivo studies have reported the effect of botulinum toxin (BT) on tumour tissue in the prostate. BT in humans has been observed to cause increased apoptosis of cancer cells, with morphological changes characterized by extensive degenerative and atrophic areas of cancer, reduced cytoplasm, and pyknotic nuclei, compared to the characteristics of cancer tissues injected with saline solution. Based on this set of physiological and pathogenic knowledge, experimental, epidemiological, and clinical evidences have been generated that demonstrates the effect of BT on the control of prostate cancer, which represents a powerful therapeutic tool that would reduce mortality from prostate cancer.
周围神经已被证明可以调节前列腺肿瘤的生长和扩散,为癌细胞和肿瘤环境中的基质提供营养。一些体外和体内研究报道了肉毒杆菌毒素(BT)对前列腺肿瘤组织的影响。研究发现,与注射生理盐水的癌症组织相比,BT在人体中可引起癌细胞凋亡增加,其形态学变化的特点是癌细胞的广泛退行性和萎缩区,细胞质减少,细胞核收缩。基于这一套生理和致病知识,实验、流行病学和临床证据已经产生,证明BT对前列腺癌的控制效果,这是一种强有力的治疗工具,可以降低前列腺癌的死亡率。
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引用次数: 0
Forces, Chromosomal Configurations, and Carcinogenesis: Towards Another Therapeutic Approach 作用力、染色体构型和癌变:走向另一种治疗方法
Pub Date : 2021-06-29 DOI: 10.33696/cancerbiology.2.016
M. Lieber
Various types of forces, such as cohesive and adhesive forces, are involved in physical and biological processes. Many of these processes appear to have developmental features through different scales of nature, and such processes may reflect a universal dynamic of accommodation involving the universal dimensional constants. A particular avenue of plant tissue culture research, utilizing the process of electronic desaturation, might very well point to such a subsuming, universal process. Through the process of electronic desaturation of proteins in living cells, cohesive and adhesive forces are generated and regenerated between cellular proteins and between structured water and the proteins throughout and between mammalian cells. Those forces stabilize cells and tissues and prevent carcinogenesis [1,2]. In electronic desaturation, methylglyoxal-ascorbic acid complexes attach to particular protein regions, which enable or promote the conduction or movement of outer electrons of the proteins via methylglyoxal-ascorbic acid to oxygen. When such cohesive forces cease to exist in cells due to the conversion of methylglyoxal (MG) to D-lactic acid by glyoxalase, carcinogenesis ensues. Glyoxalase is an enzyme that can actively exist in cells. As noted by SzentGyorgyi [1,2], the presence of oxygen, MG, and ascorbic acid enabled the evolution of organisms with high levels of development and a general capability of preventing dedifferentiation that could lead to carcinogenesis.
物理和生物过程中涉及到各种类型的力,例如内聚力和粘附力。其中许多过程似乎具有不同自然尺度的发展特征,这些过程可能反映了涉及普遍维度常数的普遍适应动态。植物组织培养研究的一个特殊途径,利用电子去饱和过程,很可能指向这样一个包容的,普遍的过程。通过活细胞中蛋白质的电子脱饱和过程,细胞蛋白质之间、结构水与整个哺乳动物细胞中的蛋白质之间以及细胞之间产生和再生内聚力和黏附力。这些力量稳定细胞和组织,防止致癌[1,2]。在电子去饱和过程中,甲基乙二醛-抗坏血酸复合物附着在特定的蛋白质区域上,这使得或促进了蛋白质外层电子通过甲基乙二醛-抗坏血酸向氧的传导或移动。当这种凝聚力由于甲基乙二醛(MG)通过乙二醛酶转化为d -乳酸而在细胞中停止存在时,就会发生癌变。乙二醛酶是一种能在细胞中活跃存在的酶。正如SzentGyorgyi所指出的[1,2],氧气、MG和抗坏血酸的存在使生物体具有高水平发育的进化和防止可能导致致癌的去分化的一般能力。
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引用次数: 0
Surgery Versus Radiation Therapy for Early-Stage Lung Cancer: Patient Selection is Crucial 早期肺癌手术与放疗:患者选择至关重要
Pub Date : 2021-06-29 DOI: 10.33696/cancerbiology.2.020
Matthew T. Hey, Hans E Drawbert, Francisco A. Tarrazzi, M. Block, S. Razi
Lung cancer remains the leading cause of cancer related death in the United States with mortality rates surpassing breast, prostate, brain, and colorectal cancers combined [1,2]. Recent data shows that susceptibility for both men and women for developing invasive lung and bronchogenic carcinoma peak after the age of 70 years [2]. As the generation of baby boomers age, those older than 65 years will nearly double and the number of elderly population older than 85 years will triple from 2020 to 2050 [3]. These shifting demographics are an early sign of the improvements and advancements in overall care of the elderly population. It therefore remains imperative that lung cancer treatment and selection criteria evolves accordingly in elderly and high-risk population. Some of the challenges facing the elderly and high-risk population relates to comorbidities, limited cardiac and pulmonary function reserve, decreased decision-making capacity, quality of life issues and lack of social support among others [4,5].
在美国,肺癌仍然是癌症相关死亡的主要原因,其死亡率超过了乳腺癌、前列腺癌、脑癌和结直肠癌的总和[1,2]。最近的数据显示,男性和女性发生浸润性肺癌和支气管源性癌的易感性在70岁后达到高峰[2]。随着婴儿潮一代的老龄化,从2020年到2050年,65岁以上的人口将增加近一倍,85岁以上的老年人口将增加两倍[3]。这些人口结构的变化是老年人口整体护理改善和进步的早期迹象。因此,在老年人和高危人群中,肺癌的治疗和选择标准必须相应发展。老年人和高危人群面临的一些挑战涉及合并症、有限的心肺功能储备、决策能力下降、生活质量问题和缺乏社会支持等[4,5]。
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引用次数: 0
Exosome to Promote Cancer Progression via Its Bioactive Cargoes. 外泌体通过其生物活性物质促进癌症进展。
Austin McMasters, Kelly M McMasters, Hongying Hao

Exosomes are nanosized, organelle-like membranous vesicles secreted from various cell types, including normal cells and cancer cells. Exosomes contain abundant bioactive molecules, including nucleic acids, lipids, and proteins and dynamically participate in intercellular communications. By shuttling the functional molecules into the recipient cells, exosomes secreted by cancerous cells can alter the cellular environment to favor tumor growth and metastasis. In this review, we focus on exosomes to promote cancer progression via their various bioactive cargoes through different mechanisms/pathways. By recognizing these pathways, we can design efficient therapeutic strategies to control cancer progression.

外泌体是纳米大小的、类似细胞器的膜状囊泡,由各种细胞类型分泌,包括正常细胞和癌细胞。外泌体含有丰富的生物活性分子,包括核酸、脂质和蛋白质,并动态参与细胞间通讯。癌细胞分泌的外泌体通过将功能分子运送到受体细胞中,可以改变细胞环境,促进肿瘤生长和转移。在这篇综述中,我们重点关注外泌体通过不同的机制/途径通过其各种生物活性货物促进癌症进展。通过识别这些途径,我们可以设计有效的治疗策略来控制癌症的进展。
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引用次数: 0
Exosome to Promote Cancer Progression via Its Bioactive Cargoes 外泌体通过其生物活性物质促进癌症进展
Pub Date : 2021-06-01 DOI: 10.33696/cancerbiology.2.021
Austin McMasters, K. McMasters, H. Hao
Exosomes are nanosized, organelle-like membranous vesicles secreted from various cell types, including normal cells and cancer cells. Exosomes contain abundant bioactive molecules, including nucleic acids, lipids, and proteins and dynamically participate in intercellular communications. By shuttling the functional molecules into the recipient cells, exosomes secreted by cancerous cells can alter the cellular environment to favor tumor growth and metastasis. In this review, we focus on exosomes to promote cancer progression via their various bioactive cargoes through different mechanisms/pathways. By recognizing these pathways, we can design efficient therapeutic strategies to control cancer progression.
外泌体是纳米大小的、类似细胞器的膜状囊泡,由各种细胞类型分泌,包括正常细胞和癌细胞。外泌体含有丰富的生物活性分子,包括核酸、脂质和蛋白质,并动态参与细胞间通讯。癌细胞分泌的外泌体通过将功能分子运送到受体细胞中,可以改变细胞环境,促进肿瘤生长和转移。在这篇综述中,我们重点关注外泌体通过不同的机制/途径通过其各种生物活性货物促进癌症进展。通过识别这些途径,我们可以设计有效的治疗策略来控制癌症的进展。
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引用次数: 2
Influence of Clinical Risk Factors on Outcomes in Men with Stage I Non-Seminomatous Germ Cell Tumor Undergoing Robot-Assisted Retroperitoneal Lymph Node Dissection 临床危险因素对接受机器人辅助腹膜后淋巴结清扫的I期非半细胞性生殖细胞肿瘤患者预后的影响
Pub Date : 2020-12-31 DOI: 10.33696/cancerbiology.1.014
Dora Jericevic, Jacob Taylor, William C. Huang
Background: We recently published our multi-institutional experience performing primary robot-assisted retroperitoneal lymph node dissection (RA-RPLND) for men with non-seminomatous germ cell tumor (NSGCT). We concluded that primary RA-RPLND for NSGCT can be performed safely with low complication rates, acceptable early oncologic outcomes, and lower overall theoretical chemotherapy burden. In this commentary, we explore outcomes in clinical stage I patients stratified by clinical risk factors (RF) and estimate reductions in chemotherapy burden. Methods: In our original study, we included clinical stage I and highly select clinical stage II patients. Clinical risk factors were defined as lymphovascular invasion (LVI) and/or predominance of embryonal carcinoma (EC) (>40%) in the orchiectomy specimen. Results: 72% (28/39) of stage I patients that underwent RA-RPLND could be classified as belonging to the RF+ group (Figure 1). Among the RF+ group, 36% (10/28) had both LVI and EC (LVI+EC+). Of the LVI+EC+ patients, 70% had positive nodes (N+), whereas the rate was much lower in the LVI only (LVI+EC-) and EC only (LVI-EC+) groups (17% for both). Primary RA-RPLND allowed for accurate pathologic staging and avoidance of chemotherapy in the 90% and 64% of pN0 patients in the RF-and RF+ groups, respectively. Overall node positive rates were 36% and 9% for men with and without clinical risk factors, respectively. The majority of these node positive patients had pN1 disease and were thus candidates for post RPLND surveillance, thus reducing therapeutic burden and exposure to long-term toxicity. Conclusion : Primary RA-RPLND can be safely performed with low complication rates and acceptable short term oncologic outcomes. Assessing clinical risk factors when deciding on treatment may further improve outcomes by helping to identify clinical stage I patients who are more likely to be stage II and thus benefit most from adjuvant treatment with RPLND.
腹膜后淋巴结通常是男性睾丸癌转移的第一个着落点。原发性腹膜后淋巴结清扫术(RPLND)治疗临床I期NSGCT可以准确地对可能存在淋巴结微转移的患者进行手术分期,在某些情况下,可以作为转移量小的主要治疗方法。化疗耐药肿瘤和畸胎瘤复发的风险降低手术控制腹膜后。此外,原发性RPLND阴性后的复发是罕见的(<1%),如果确实发生复发,通常可以通过化疗治愈。此外,监测复发的随访方案通常可以简化。
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引用次数: 1
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Archives of cancer biology and therapy
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