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Nodular fasciitis: USP6-associated neoplasia through multiple pathways 结节性筋膜炎:通过多种途径的USP6相关肿瘤
Pub Date : 2021-11-05 DOI: 10.31579/2640-1053/100
K. Fujioka
Even though nodular fasciitis (NF) is benign and self-limited nature, the presentations of clinical, ultrasonographic, and pathological features have been described as mimicking sarcoma. Erickson-Johnson et al. suggested that ubiquitin-specific protease 6 (USP6) transcriptional upregulation may be the driving force behind the high proliferative activity and growth of NF. When the lesion showed the proliferative findings of the margin on both ultrasonography (US) and pathology, accompanied by clinically rapid growth, self-limited and/or regress course, NF could be strongly suggested as previously described. In this article, the author reviews the current knowledge of NF as USP6-associated neoplasia and also describes the therapeutic strategy in NF. In addition to the presentations of clinical, ulrtrasonographic, and pathological appearances of NF, the evaluation of percentage of USP6 break-apart FISH signals reflecting lifetime and mitotic counts in NF may be a potential procedure for accurate diagnosis in particularly young NF. It is putative that the inhibition of USP6-related genes might be the potential therapeutic strategies for the extremely rare malignant nodular fasciitis.
尽管结节性筋膜炎(NF)是良性的和自限性的,但临床、超声和病理特征的表现被描述为模仿肉瘤。Erickson Johnson等人提出,泛素特异性蛋白酶6(USP6)转录上调可能是NF高增殖活性和生长背后的驱动力。当病变在超声(US)和病理学上都显示出边缘的增殖发现,并伴有临床快速生长、自我限制和/或倒退过程时,如前所述,可以强烈建议使用NF。在这篇文章中,作者回顾了目前对NF作为USP6相关肿瘤的认识,并描述了NF的治疗策略。除了NF的临床、尺骨造影和病理表现外,评估USP6裂解FISH信号的百分比,反映NF的寿命和有丝分裂计数,可能是准确诊断特别是年轻NF的一种潜在方法。据推测,抑制USP6相关基因可能是极罕见的恶性结节性筋膜炎的潜在治疗策略。
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引用次数: 0
Zingerone Alleviate Toxicity Induced by Cisplatin or Gamma Radiation in Rats by Modulating Pro-Inflammatory Mediators 姜酮通过调节促炎介质减轻顺铂或γ辐射对大鼠的毒性
Pub Date : 2021-11-05 DOI: 10.31579/2640-1053/101
Gehan R. Abdel-Hamid, Lobna A. Abdel-Aziz, Mona G. Anany
Background: Zingerone is one of the active components of ginger that possesses multiple biological activities and anti-inflammatory properties against either radiation effect or cisplatin toxicity. Purpose: to examine the protective effect of zingerone against gamma radiation (IR) or cisplatin-induced immunotoxicity. Material and Methods: 48 rats were divided into six groups as follows: (group-1); normal control group received distilled water; (group-2); rats received Zingerone orally at a dose of 25 mg/kg b.wt. Once / day for 14 consecutive days (Zing.). (group-3); Rats were given a single injection of Cisplatin at a dose of 7.5 mg/kg b.wt. intraperitoneally (Cispl.). (group-4); Rats exposed to a single dose of 6 Gy whole-body gamma irradiation using 137Cesium source in a Gamma cell 40 (Rad.). (group-5); rats received same dose of Zingerone then they were exposed to gamma radiation as in group 4 (Zing+Rad.). (group-6); rats received Zingerone followed by single injection of Cisplatin at the dose of 7.5 mg/kg b.wt. Intraperitoneally (Zing+Cisp.). Results: Exhibited a significant increase in expression of NF-κB, IL-10, caspase-3, and gene expression of TNF-α as well as oxidative stress biomarkers (MDA and NO) levels accompanied with a reduced level of SOD in either whole body-irradiated or cisplatin-received group. Conversely, pro-inflammatory cytokines levels were significantly decreased with an improvement of oxidative stress in groups that received zingerone. Conclusion: It could be concluded that zingerone exerts its antioxidative activity and immunomodulatory effects through inhibition of pro-inflammatory mediators induced by whole body-gamma irradiation or cisplatin administration at two time interval early and late stage of radiation exposure (after 2 h and one week).Therefore, further studies are required to elucidate the molecular signaling pathway concerning zingerone.
背景:姜酮是生姜的活性成分之一,具有多种生物活性和抗辐射作用和顺铂毒性。目的:探讨姜酮对γ辐射(IR)或顺铂诱导的免疫毒性的保护作用。材料与方法:48只大鼠随机分为6组:(1组);正常对照组给予蒸馏水;(组2);大鼠口服生姜酮25 mg/kg b.wt。每天一次,连续14天。(第三组);大鼠单次注射顺铂,剂量为7.5 mg/kg b.wt。腹腔内(Cispl)。(第4组);在γ细胞中使用137铯源接受单剂量6 Gy全身γ辐射的大鼠40 (Rad)。(5);大鼠接受与第4组(Zing+Rad)相同剂量的黄酮,然后暴露于伽马辐射。(第六组);大鼠给药后单次注射顺铂,剂量为7.5 mg/kg b.wt。腹腔内(活力+ Cisp)。结果:无论是全身照射组还是顺铂治疗组,NF-κB、IL-10、caspase-3的表达均显著升高,TNF-α基因表达显著升高,氧化应激生物标志物(MDA和NO)水平显著升高,SOD水平显著降低。相反,在接受姜酮治疗的组中,促炎细胞因子水平随着氧化应激的改善而显著降低。结论:生姜酮的抗氧化作用和免疫调节作用是通过抑制全身照射或顺铂诱导的促炎介质在照射早期和晚期(照射后2 h和1周)两个时间间隔内发挥的。因此,需要进一步研究生姜酮的分子信号通路。
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引用次数: 0
Karapandzic Flap for Functional & Cosmetic Reconstruction of Lower Lip Cancer with Review of Literature Karapandzic皮瓣用于下唇癌的功能及美容重建并文献复习
Pub Date : 2021-11-05 DOI: 10.31579/2640-1053/099
Sachin S Kadam, S. Phadke, Tejaswini Kadam
The incidence and prevalence of lip and oral cavity cancer has increased over the last decade, worldwide and in India. It ranks at 1st position in males in india, all ages, in 2020. Lips are essential organ of the body which carries dynamic role in facial expression, speech, sensuality, deglutition. Resection of central, large, lower lip cancer creates a more than 2/3rd large defect. Covering of this defect with maintenance of oral competency is a difficult task for a treating surgeon. Number of techniques are described for covering of large lower lip defects. Out of these techniques, karapandzic flap is a successful, accepted, simple, easy to learn reconstructive procedure with good cosmetic results. It is a modification of Gillie’s fan flap and it involves unilateral or bilateral full-thickness circumoral advancement-rotation flaps. The feature which distinguishes it from other techniques is preservation of neuro-vascular integrity, symmetry and oral competency. We are reporting a case of an elderly gentleman with large, central, lower lip cancer who underwent oncological resection with reconstruction by karapandzic flap technique.
在过去的十年中,癌症在全球和印度的发病率和患病率都有所上升。2020年,它在印度所有年龄段的男性中排名第一。嘴唇是身体的重要器官,在面部表情、言语、感官和吞咽中发挥着动态作用。切除中央、大型、下唇癌症会产生超过2/3的大型缺损。对于治疗外科医生来说,通过保持口腔能力来弥补这一缺陷是一项艰巨的任务。描述了许多用于覆盖大型下唇缺陷的技术。在这些技术中,karapandzic皮瓣是一种成功、可接受、简单、易于学习的重建手术,具有良好的美容效果。它是对Gillie扇形皮瓣的改良,涉及单侧或双侧全厚口周推进旋转皮瓣。它与其他技术的区别在于保持神经血管的完整性、对称性和口语能力。我们报告一位患有大型中央下唇癌症的老年绅士的病例,他接受了肿瘤切除术,并用karapandzic皮瓣技术进行了重建。
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引用次数: 0
ETV6/RUNX1 fusion gene and its active role ETV6/RUNX1融合基因及其作用
Pub Date : 2021-08-30 DOI: 10.31579/2640-1053/091
A. Rahnemoon
Recent investigation successfully identified a pre leukemic ETV6/RUNX1-positive clone in the healthy twin of a patient diagnosed with ETV6/RUNXI-positive acute lymphoblastic leukemia (ALL) and also some studies with ETV6/RUNX1 knock in mice showed that the expression of the fusion gene is not sufficient for the invivo induction of ALL. Taken together, these data indicate that ETV6/RUNX1-positive leukemia is .generated through a multi-step mechanism, and that accumulation of additional genetic changes is necessary for the development of overt leukemia. Hence, to understand fully the genetic evolution of this disorder, identification of the complete spectrum of genetic changes that accompany the ETV6/RUNX1 fusion gene is necessary. Moreover, critical patho genetic insights may be gained from studying the correlation pattern of the different copy number changes.
最近的研究成功地在一名被诊断为ETV6/RUNXI阳性急性淋巴细胞白血病(ALL)的患者的健康双胞胎中鉴定了白血病前ETV6/RUNX1阳性克隆,并且在小鼠中对ETV6/RUN X1敲除的一些研究表明,融合基因的表达不足以诱导ALL。总之,这些数据表明ETV6/RUNX1阳性白血病是通过多步骤机制产生的,并且额外的基因变化的积累对于显性白血病的发展是必要的。因此,为了充分了解这种疾病的遗传进化,有必要鉴定伴随ETV6/RUNX1融合基因的完整遗传变化谱。此外,通过研究不同拷贝数变化的相关性模式,可以获得关键的病理遗传学见解。
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引用次数: 0
CCNG1 oncogene: a novel biomarker for cancer therapy /gene therapy CCNG1癌基因:癌症治疗/基因治疗的新生物标志物
Pub Date : 2021-08-30 DOI: 10.31579/2640-1053/090
J. Ravicz, S. Chawla, Christopher W. Szeto, M. Morse, F. Hall, E. Gordon
Background: Metastatic cancer is associated with an invariably fatal outcome. However, DeltaRex-G, a tumor-targeted retrovector encoding a gene-edited dominant-negative CCNG1 inhibitor gene, has induced long term (>10 years) survival of patients with chemo-resistant metastatic pancreatic adenocarcinoma, malignant peripheral nerve sheath tumor, osteosarcoma, B-cell lymphoma, and breast carcinoma. Objective: To evaluate the level of CCNG1 expression in tumors as a potential biomarker for CCNG1 (Cyclin G1-blocking) inhibitor therapy. Methods: CCNG1 RNA expression levels that were previously measured as part of whole genome molecular profiling of tumors (TCGA, N=9161), adjacent “tissues” (TCGA, N=678) and GTEx normal tissues (N=7187) across 22 organ sites were analyzed. Differential expression of CCNG1 and Ki-67 in primary (N= 9161) vs metastatic (N= 393) tumors were also compared in primary (N=103) vs. metastatic (N=367) skin cancers (i.e., melanoma). Statistical Analysis: To detect systematically differential expression of CCNG1 and Ki-67 expression between populations (e.g. tumor vs. normal), unpaired Student's t-tests were performed. Results: Enhanced CCNG1 RNA and Cyclin G1 protein expression were noted in tumors compared to normal analogous counterparts, and CCNG1 expression correlated significantly with that of Ki-67. Moreover, CCNG1 expression tended to be higher than that of Ki-67 in metastatic vs primary tumors. Conclusions: Taken together with the emerging Cyclin G1 / Cdk / Myc / Mdm2 / p53 Axis governing Cancer Stem Cell Competence, this supportive data indicates: (1) CCNG1 expression is frequently enhanced in tumors when compared to their normal analogous counterparts, (2) CCNG1 and Ki-67 expressions are higher in metastatic vs primary tumors, (3) CCNG1 expression is significantly correlated with that of Ki-67, and (4) CCNG1 may actually be a stronger prognostic marker of stem cell competence, chemo-refractoriness, and EMT/metastasis than Ki-67. Phase 2 studies are planned to identify patients most likely to respond favorably to CCNG1 inhibitor therapy.
背景:转移性癌症总是与致命的结果相关。然而,DeltaRex-G是一种肿瘤靶向逆转录载体,编码基因编辑的显性阴性CCNG1抑制剂基因,已经诱导了化疗耐药转移性胰腺腺癌、恶性周围神经鞘肿瘤、骨肉瘤、b细胞淋巴瘤和乳腺癌患者的长期(10年)生存。目的:评估CCNG1在肿瘤中的表达水平,作为CCNG1 (Cyclin G1-blocking)抑制剂治疗的潜在生物标志物。方法:分析CCNG1 RNA在肿瘤(TCGA, N=9161)、邻近组织(TCGA, N=678)和GTEx正常组织(N=7187) 22个器官部位的全基因组分子谱中的表达水平。CCNG1和Ki-67在原发性(N= 9161)和转移性(N= 393)肿瘤中的差异表达也在原发性(N=103)和转移性(N=367)皮肤癌(即黑色素瘤)中进行了比较。统计分析:为了检测CCNG1和Ki-67表达在人群之间的系统差异(例如肿瘤与正常),进行了非配对学生t检验。结果:肿瘤组织中CCNG1 RNA和Cyclin G1蛋白的表达较正常组织明显增高,且CCNG1的表达与Ki-67显著相关。此外,在转移性肿瘤和原发肿瘤中,CCNG1的表达倾向于高于Ki-67。结论:结合新出现的细胞周期蛋白G1 / Cdk / Myc / Mdm2 / p53轴调控癌症干细胞能力,这一支持性数据表明:(1) CCNG1在肿瘤中的表达与正常的类似物相比经常增强;(2)CCNG1和Ki-67在转移性肿瘤中的表达高于原发肿瘤;(3)CCNG1的表达与Ki-67的表达显著相关;(4)CCNG1实际上可能比Ki-67更能预测干细胞能力、化疗难耐性和EMT/转移。二期研究计划确定最有可能对CCNG1抑制剂治疗有良好反应的患者。
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引用次数: 2
Outcome of Colorectal cancer in Geriatric Patient 老年结直肠癌患者的预后
Pub Date : 2021-08-30 DOI: 10.31579/2640-1053/094
A. Chandio, A. Rai, Mehak Chandio, Asirvatham Rhody, Katherine Brown
Background: Older surgical patients remain at increased risk of adverse postoperative outcome when undergoing both elective and emergency surgery. The needs of the older surgical patient are often substantially different from those of younger patients. As a surgeons we have dilemmas in appropriately treating elderly patients. Specifically, those with cancer have been shown to receive inappropriate care, being either undertreated or overtreated based on their chronological age rather than their degree of frailty. Aim:To evaluate outcome of patients diagnosed with colorectal cancer in patients aged 80 years and over. Methods:Retrospective study of all patients 80 years and above managed with colorectal cancer at the Luton and Dunstable University Hospital UK from January 2015 through December 2019 Results: In the study period 278 patients were diagnosed with colorectal cancer, Male 143 Female 135 ratio 1:1.05. Age range from 80 to 101years. 54.31% patients underwent surgical intervention. 15.10% had complications after surgery. 36.69% patients deemed unsuitable for resection surgery were treated with best supportive care palliatively. 57.19% patients were in ASAIII, 24.10% ASAII and 12.23% ASAIV. 46.40% patients died during the study period. Conclusion:Age on its own would not be taken as for less aggressive therapy; Careful assessment of the patient taking into consideration comorbidities, functional status and patient wishes are essential in decision making and choosing appropriate management plan. Curative surgery for colorectal carcinoma in the geriatric patients are well tolerated. Management of comorbidities preceding surgery may impact postoperative outcome.
背景:老年外科患者在接受选择性和紧急手术时,术后不良结果的风险仍然增加。老年外科病人的需求往往与年轻病人有很大的不同。作为外科医生,我们在如何恰当地治疗老年病人方面面临两难。具体来说,癌症患者已经被证明接受了不适当的护理,根据他们的实际年龄而不是他们的虚弱程度,要么治疗不足,要么治疗过度。目的:评价80岁及以上结直肠癌患者的预后。方法:回顾性研究2015年1月至2019年12月在英国卢顿和邓斯特布尔大学医院治疗的所有80岁及以上结直肠癌患者。结果:研究期间诊断为结直肠癌的患者278例,男性143例,女性135例,比例为1:1.05。年龄从80岁到101岁不等。54.31%的患者接受手术干预。15.10%出现术后并发症。36.69%认为不适合切除手术的患者采用姑息性最佳支持治疗。ASAIII占57.19%,ASAII占24.10%,ASAIV占12.23%。46.40%的患者在研究期间死亡。结论:年龄本身不能作为减量治疗的依据;仔细评估患者,考虑合并症,功能状态和患者的意愿是必不可少的决策和选择适当的管理计划。老年结直肠癌患者的根治性手术具有良好的耐受性。术前合并症的处理可能影响术后结果。
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引用次数: 0
Quality Assurance of Image Registration Using Combinatorial Rigid Registration Optimization (CORRO) 基于组合刚性配准优化的图像配准质量保证
Pub Date : 2021-07-26 DOI: 10.31579/2640-1053/076
Afua A. Yorke, Gary C. McDonald, D. Solis, T. Guerrero
Purpose: Expert selected landmark points on clinical image pairs to provide a basis for rigid registration validation. Using combinatorial rigid registration optimization (CORRO) provide a statistically characterized reference data set for image registration of the pelvis by estimating optimal registration. Materials ad Methods: Landmarks for each CT/CBCT image pair for 58 cases were identified. From the landmark pairs, combination subsets of k-number of landmark pairs were generated without repeat, forming k-set for k=4, 8, and 12. A rigid registration between the image pairs was computed for each k-combination set (2,000-8,000,000). The mean and standard deviation of the registration were used as final registration for each image pair. Joint entropy was used to validate the output results. Results: An average of 154 (range: 91-212) landmark pairs were selected for each CT/CBCT image pair. The mean standard deviation of the registration output decreased as the k-size increased for all cases. In general, the joint entropy evaluated was found to be lower than results from commercially available software. Of all 58 cases 58.3% of the k=4, 15% of k=8 and 18.3% of k=12 resulted in the better registration using CORRO as compared to 8.3% from a commercial registration software. The minimum joint entropy was determined for one case and found to exist at the estimated registration mean in agreement with the CORRO algorithm. Conclusion: The results demonstrate that CORRO works even in the extreme case of the pelvic anatomy where the CBCT suffers from reduced quality due to increased noise levels. The estimated optimal registration using CORRO was found to be better than commercially available software for all k-sets tested. Additionally, the k-set of 4 resulted in overall best outcomes when compared to k=8 and 12, which is anticipated because k=8 and 12 are more likely to have combinations that affected the accuracy of the registration.
目的:专家选择临床图像对上的标志点,为刚性配准验证提供基础。使用组合刚性配准优化(CORRO)通过估计最优配准,为骨盆的图像配准提供了一个统计特征参考数据集。材料和方法:对58例患者的每对CT/CCT图像进行标记识别。根据地标对,生成k个地标对的组合子集而不重复,形成k=4、8和12的k集。为每个k组合集(2000-8000000)计算图像对之间的刚性配准。配准的平均值和标准偏差被用作每个图像对的最终配准。联合熵用于验证输出结果。结果:每个CT/CCT图像对平均选择154个(范围:91-212)标志对。在所有情况下,配准输出的平均标准偏差都随着k大小的增加而减小。一般来说,联合熵评估结果低于商用软件的结果。在所有58例病例中,58.3%的k=4、15%的k=8和18.3%的k=12使用CORRO进行了更好的注册,而商业注册软件的注册率为8.3%。针对一种情况确定了最小联合熵,并发现其存在于与CORRO算法一致的估计配准平均值处。结论:研究结果表明,CORRO即使在骨盆解剖的极端情况下也有效,因为噪音水平增加,CBCT的质量降低。对于所有测试的k集,使用CORRO估计的最优配准被发现比商用软件更好。此外,与k=8和12相比,4的k集产生了总体上最好的结果,这是预期的,因为k=8与12更有可能具有影响配准精度的组合。
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引用次数: 1
Polypeptidic Taxol-Tropins: Targeting paclitaxel to the tumor microenvironment 多肽紫杉醇回归素:靶向紫杉醇进入肿瘤微环境
Pub Date : 2021-07-26 DOI: 10.31579/2640-1053/089
Erlinda M. Gordon, Seiya Liu, Sant P. Chawla, Frederick L. Hall
Background and Rationale: Although PTX is widely used as a single chemotherapeutic agent and in various combination regimens, its clinical utility is hindered by acquired drug resistance and serious dose-limiting side effects that result from the ungoverned biodistribution of the taxane. Hypothesis: Conceptually, the precision, validity, and efficiency of paclitaxel delivery to tumor compartments might be substantially improved by “actively targeting” the exposed collagenous (XC-) proteins presented within the tumor microenvironment (TME)—XC-proteins physically exposed by the pathologic biochemical processes of tumor invasion, reactive stroma formation, and neo-angiogenesis. Objective: An adaptive bioengineering approach aims to apply pathotropic tumor-targeting functionality to paclitaxel (PTX), a powerful cytotoxic taxane which exhibits anti-tubulin / anti-mitotic / anti-cancer activities against a broad range of solid tumors. Materials and Methods: Synthetic peptide XC-targeting probes (< 40 aa) and polypeptide aptamers (40 to 53 aa), 85 - 99% purity, were prepared by 9-fluorenylmethyloxycarbonyl (Fmoc) solid phase peptide synthesis, purified by high performance liquid chromatography (HPLC), and verified by mass spectrometry and amino acid analysis, and the XC-targeting probes were FITC-labeled. Analysis of fluorescence in XC-binding assays was visualized with an Ultra Bright Blue Light trans-illuminator equipped with an amber filter; photo-documentation was provided by a Leica V-Lux 1 digital camera; and comparative fluorescence was quantified using a Quantus benchtop fluorimeter (Promega). The tumor-targeting properties of Taxol-Tropins were tested in vitro by Taxol-aptamer binding assays and collagen-agarose binding assays and the bioactivities of PTX bound non-covalently toTaxol-Tropin aptamers were tested on XC-agarose beads. Further, the tumor targeting property of the Taxol-Tropin aptamers was tested in vivo in a murine model of metastatic cancer. Results: Here we report on the first actively targeted delivery of paclitaxel utilizing bifunctional polypeptide targeting onco-aptamers, called Taxol-Tropins, which: (i) bind PTX upon simple mixing with suitably high affinities and; (ii) bind exposed XC-proteins, thereby promoting enhanced partitioning and drug delivery into the TME. The bifunctional peptide sequence-optimized Taxol-Tropins bound tightly non-covalently to PTX and also exhibited high affinity and selectivity for XC-agarose beads in vitro. Importantly, the cytotoxic bioactivity of the Taxol-Tropin-bound-PTX molecule was well preserved in cellulo, as was demonstrated by cytocidal activity observed in MDA-MB-231 breast cancer cell cultures. Tumor-targeted PTX delivery by Taxol-Tropin onco-aptamers in vivo was modeled by subcutaneous xenografts of human pancreatic cancer in nude mice: where intense fluorescence of the PTX probe was observed in tumors of mice injected with the Taxol-Tropin-bound-PTX within minutes after intravenous
背景和理由:尽管PTX被广泛用作单一化疗剂和各种联合方案,但其临床应用受到后天耐药性和严重的剂量限制副作用的阻碍,这些副作用是由紫杉烷的生物分布不受控制引起的。假设:从概念上讲,通过“主动靶向”肿瘤微环境(TME)中暴露的胶原(XC-)蛋白,紫杉醇递送到肿瘤区室的准确性、有效性和效率可能会得到显著提高——XC蛋白通过肿瘤侵袭、反应性间质形成、,以及新生血管生成。目的:一种适应性生物工程方法旨在将病理性肿瘤靶向功能应用于紫杉醇(PTX),这是一种强大的细胞毒性紫杉烷,对多种实体瘤具有抗微管蛋白/抗有丝分裂/抗癌活性。材料与方法:采用9-芴甲氧羰基(Fmoc)固相肽合成法,制备纯度为85-99%的合成肽XC靶向探针(<40aa)和多肽适体(40-53aa),经高效液相色谱(HPLC)纯化,质谱和氨基酸分析验证,并用FITC标记。XC结合测定中的荧光分析用配备有琥珀色过滤器的超亮蓝光反式照明器进行可视化;照片文档由Leica V-Lux 1数码相机提供;并使用Quantus台式荧光计(Promega)对比较荧光进行定量。通过紫杉醇适体结合试验和胶原-琼脂糖结合试验在体外测试了紫杉醇-托品的肿瘤靶向特性,并在XC琼脂糖珠上测试了与紫杉醇-托品非共价结合的PTX适体的生物活性。此外,Taxol-Tropin适体的肿瘤靶向性在转移性癌症小鼠模型中进行了体内测试。结果:在这里,我们报道了紫杉醇的首次主动靶向递送,其利用靶向肿瘤适体的双功能多肽,称为紫杉醇热带蛋白,其:(i)在简单混合后以适当的高亲和力结合PTX;(ii)结合暴露的XC蛋白,从而促进增强的分配和药物递送到TME中。该双功能肽序列优化了Taxol Tropins与PTX紧密非共价结合,并且在体外对XC琼脂糖珠表现出高亲和力和选择性。重要的是,Taxon-Tropin-bounded-PTX分子的细胞毒性生物活性在纤维素中得到了很好的保存,如在MDA-MB-231乳腺癌症细胞培养物中观察到的细胞杀伤活性所证明的那样。紫杉醇-Tropin癌受体在体内的肿瘤靶向PTX递送通过裸鼠中的人胰腺癌症皮下异种移植物来建模:其中在静脉注射后几分钟内注射紫杉醇-Topin结合PTX的小鼠的肿瘤中观察到PTX探针的强荧光,但在未治疗的小鼠或用非靶向PTX探针治疗的小鼠中没有观察到。结论:这些结果证明了使用紫杉醇Tropins:合成多肽肿瘤适体主动靶向PTX这一临床上重要的小分子的可行性,揭示了与肿瘤靶向平台的进一步临床开发相关的优化的药物结合序列和结构修饰,其确实可以将PTX的治疗指数转变为在较低药物剂量下具有更大临床疗效的指数之一。
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引用次数: 0
Signet Ring Cell Carcinoma of the Prostate Gland: A Review and Update 前列腺标志环细胞癌的研究进展
Pub Date : 2021-07-26 DOI: 10.31579/2640-1053/082
A. Venyo
Signet-ring cell carcinoma of the prostate gland (SRCCP) an uncommon and aggressive malignant tumour of the prostate gland which is characterized by histopathology examination features of compression of the nucleus into the form of a crescent by a large cytoplasmic vacuole. SRCCPs that have so far been reported have been either (a) primary tumours, metastatic tumours with the primary tumour elsewhere with the gastro-intestinal tract being the site of the primary tumour but the primary tumour could originate elsewhere, and additionally some reported SRCCPs have been classified as carcinoma of unknown primary. SRCCP could be a pure tumour or a tumour that is contemporaneously associated with other types of tumour including various variants of adenocarcinoma. SRCCP can manifest in various ways including: Incidental finding following prostatectomy that has been undertaken for a presumed benign prostatic hyperplasia, lower urinary tract symptoms, visible and non-visible haematuria, raised levels of serum PSA but some SRCCPs have been diagnosed with normal / low levels of serum PSA, there may be a history of dyspepsia in cases of metastatic signet-ring cell carcinoma in association with contemporaneous primary signet-ring cell carcinoma of the stomach or there may be a past history of surgical treatment for signet-ring cell carcinoma of the gastrointestinal tract, or bleeding from the gastrointestinal tract in cases of upper gastrointestinal tract and rectal bleeding as well as change in bowel habit for primary tumours of the anorectal region, retention of urine, and rarely a rectal mass in the case of SRCCP with an anorectal primary tumour. In order to exclude a primary signet ring cell carcinoma elsewhere, a detailed past medical history is required as well as radiology imaging including contrast – enhanced computed tomography (CECT) scan and contrast-enhanced magnetic resonance imaging (CEMRI) scan as well as upper gastrointestinal endoscopy and colonoscopy to exclude a primary lesion within the gastrointestinal tract. Diagnosis of SRCCP requires utilization of the histopathology and immunohistochemistry examination features of prostate biopsy, prostatic chips obtained from trans-urethral resection of prostate specimen or radical prostatectomy specimen. SRCCPs upon immunohistochemistry staining studies tend to show tumour that tend to exhibit positive staining for the following tumour markers as follows: PSA – positive staining for PSA has been variable in some studies, AE1/AE3, CAM 5.2, Ki-67 with a mean of 8%, PAS-diastase, Mucicarmine (50%), Alcian blue (60%), Alpha-methyl-acyl coenzyme A racemase (P504S), and Cytokeratin 5/6. SRCCPs also tend to exhibit negative staining for: Bcl2 (rare positive), and CEA (80%). Traditionally the treatment of Primary Signet-Ring Cell Carcinoma of the Prostate Gland has tended to be similar to the treatment of the traditional adenocarcinoma of the prostate gland which does include: hormonal treatment, radiotherap
前列腺标志环细胞癌(SRCCP)是一种不常见的侵袭性前列腺恶性肿瘤,其组织病理学检查特征是细胞核被大的细胞质液泡压缩成新月形。到目前为止,已经报道的SRCPs要么是(a)原发性肿瘤,要么是转移性肿瘤,原发肿瘤在其他地方,胃肠道是原发肿瘤的部位,但原发肿瘤可能起源于其他地方,此外,一些报道的SRCCs被归类为未知原发癌。SRCCP可以是纯肿瘤或与其他类型的肿瘤同时相关的肿瘤,包括腺癌的各种变体。SRCCP可以通过多种方式表现出来,包括:前列腺切除术后的偶然发现,假定为良性前列腺增生,下尿路症状,可见和不可见的血尿,血清PSA水平升高,但一些SRCCP被诊断为血清PSA水平正常/低,在转移性印戒细胞癌与同期原发性胃印戒细胞瘤相关的病例中可能有消化不良史,或者可能有胃肠道印戒细胞肿瘤的外科治疗史,或在上消化道和直肠出血的情况下从胃肠道出血,以及肛门直肠区域原发性肿瘤的排便习惯的改变、尿液滞留,以及在患有肛门直肠原发肿瘤的SRCCP的情况下很少出现直肠肿块。为了排除其他地方的原发性印戒细胞癌,需要详细的既往病史以及放射学成像,包括对比增强计算机断层扫描(CECT)和对比增强磁共振成像(CEMRI)扫描,以及上消化道内窥镜和结肠镜检查,以排除胃肠道内的原发病变。SRCCP的诊断需要利用前列腺活检、经尿道前列腺切除标本或前列腺根治术标本的前列腺切片的组织病理学和免疫组织化学检查特征。免疫组织化学染色研究中的SRCCP倾向于显示肿瘤倾向于对以下肿瘤标志物表现出阳性染色,如下所示:在一些研究中,PSA的PSA阳性染色是可变的,AE1/AE3、CAM 5.2、Ki-67平均值为8%、PAS淀粉酶、粘球蛋白(50%)、阿尔西安蓝(60%)、α-甲基酰基辅酶a外消旋酶(P504S)和细胞角蛋白5/6。SRCCP也倾向于表现出Bcl2(罕见阳性)和CEA(80%)的阴性染色。传统上,前列腺原发性Signet环细胞癌的治疗往往与传统前列腺腺癌的治疗相似,包括:激素治疗、放疗和手术。然而,考虑到文献中报道的原发性SRCPs和转移性SRCPs通常与攻击性生物行为有关,尽管对该疾病的治疗没有达成一致意见,但强烈建议这些肿瘤往往与疾病的快速进展和低生存率有关,因此迫切需要通过积极的手术治疗所有这些肿瘤,包括根治性前列腺切除术和辅助疗法,包括:根治性放疗、联合化疗,选择性前列腺血管造影术和超选择性栓塞肿瘤动脉,包括动脉内直接向肿瘤输注化疗药物、肿瘤的射频消融以及肿瘤的不可逆电穿孔,这应该成为各种治疗方案的全球多中心研究的一部分。对于前列腺转移性印戒细胞癌和其他地方的同期原发肿瘤,原发肿瘤也应通过原发肿瘤的彻底切除加上根治性手术和积极的辅助治疗来治疗。考虑到SRCCP对可用的化疗药物反应不佳,泌尿科医生、肿瘤学家和药物治疗研究工作者需要确定新的化疗药物,以更有效、更安全地摧毁印戒细胞肿瘤,从而改善预后。
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引用次数: 0
Evaluating effects of electromagnetic fields on the total number and percentage of white blood cells in mice 电磁场对小鼠白细胞总数和百分比的影响评价
Pub Date : 2021-07-26 DOI: 10.31579/2640-1053/088
Sara Safaeian Laein, Bahareh Hormozi, A. Neamati, Ghorban Safaeian Layen, Masoud Homayouni-Tabrizi
To evaluate the effects of electromagnetic waves on the total number and percentage of white blood cells and also antioxidant effects of vitamin C on the effects radiation, 24 male mice (Balb/c) were used: control under the influence of low frequency electromagnetic waves and under the influence of waves with vitamin C. Total number of white blood cells in under the influence waves group significantly increased compared to control group, and also under the influence waves group with vitamin C because its antioxidant property is able to prevent the increasing impact of electromagnetic waves. The percentage of white blood cells in the under influence waves group did not significantly change compared to the control group and also, the under influence waves group with vitamin C had no significant change compared to the other group. The percentage of neutrophils in samples of the under influence waves group had significant decrease compared to control group but in the under influence waves group with vitamin C compared to the other group, this vitamin C could prevent a significant reduction in percentage of neutrophils. Our findings indicated that low electromagnetic fields have caused significant changes in the total number of white blood cells and percentage of neutrophils in mice. In the group that received vitamin C injection, significant changes were observed in the total number of white blood cells and percentage of neutrophils relative to the group under the influence of low electromagnetic waves, which indicates that vitamin C could restore the mean total number of white blood cells and percentage of neutrophils to normal value.
为了评估电磁波对白细胞总数和百分比的影响,以及维生素C对辐射影响的抗氧化作用,使用了24只雄性小鼠(Balb/C):在低频电磁波影响下和在含维生素C的波影响下的对照。与对照组相比,在影响波作用下组的白细胞总数显著增加,在维生素C作用下组也显著增加,因为其抗氧化特性能够防止电磁波的影响增加。与对照组相比,受影响波组的白细胞百分比没有显著变化,而且,与其他组相比,服用维生素C的受影响波小组也没有显著变化。与对照组相比,受影响波组样本中中性粒细胞的百分比显著降低,但与另一组相比,在含有维生素C的受影响波中,这种维生素C可以防止中性粒细胞百分比的显著降低。我们的研究结果表明,低电磁场导致小鼠白细胞总数和中性粒细胞百分比发生显著变化。在接受维生素C注射的组中,在低电磁波的影响下,观察到白细胞总数和中性粒细胞百分比相对于该组发生了显著变化,这表明维生素C可以使平均白细胞总数、中性粒细胞百分数恢复到正常值。
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引用次数: 0
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Journal of cancer research and cellular therapeutics
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