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New Ultrasonic Techniques for Colorectal Cancer Imaging 结直肠癌超声成像新技术
Pub Date : 2019-06-24 DOI: 10.31031/nacs.2019.03.000552
R. Solleti, J. C. Machado
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引用次数: 0
New Ultrasonic Techniques for Colorectal Cancer Imaging 癌症结直肠超声成像新技术
Pub Date : 2019-06-24 DOI: 10.31031/NACS.2019.02.000552
R. Soletti
Colorectal cancer (CRC) is the third most common cancer diagnosed in the world and the second cancer-related cause of mortality in both men and women [1]. Despite of being about three times more incident in transitioned countries, the mortality rates for CRC are higher in transitioning countries, and these two discrepancies reflect that improvements in survival are due to the adoption of best practices in cancer treatment and management [2]. CRC presents a variation of incidence trends in different geographic regions: increasing incidence in some countries (such as China, Russia, Canada, The United Kingdom and Brazil) and decreasing incidence in others (including The United States, France and Japan) [3]. However, the overall declines in CRC incidence in countries such as The United States are masking an increasing incidence in young adults: from the mid1980 through 2013, rates of CRC incidence increased by 2.4% per year in adults aged 20-29 years and by 1.0% per year in adults aged 30-39 years [4]. It is estimated that by 2030 the incidence rates for colon and rectal cancer in the US population will increase by 90% and 124%, respectively, for patients 20 to 34 years of age [5]. The declining CRC incidence in groups aged older than 50 years may be a reflect from the widespread screening in this population, which rose from 38% in 2000 to 59% in 2013 [6]. Fecal occult blood tests, flexible sigmoidoscopy and colonoscopy were the most common screening test modalities among older adults in The United States until 2005 [7]. By 2005, colonoscopy had become the most common imaging screening test modality for CRC in older adults [7], with its use among US adults aged 50 years and older reaching 60% in 2015 [8].
癌症(CRC)是世界上诊断的第三大最常见的癌症,也是男性和女性死亡的第二大癌症相关原因[1]。尽管在转型国家,CRC的发病率是其他国家的三倍,但转型国家的CRC死亡率更高,这两个差异反映出生存率的提高是由于采用了癌症治疗和管理的最佳实践[2]。CRC在不同地理区域呈现出发病率趋势的变化:一些国家(如中国、俄罗斯、加拿大、英国和巴西)的发病率增加,而另一些国家(包括美国、法国和日本)的发病发病率下降[3]。然而,美国等国家CRC发病率的总体下降掩盖了年轻人发病率的增加:从1980年年中到2013年,20-29岁的成年人CRC发病率每年增加2.4%,30-39岁的成年人每年增加1.0%[4]。据估计,到2030年,20至34岁的美国人群中结肠癌和直肠癌的发病率将分别增加90%和124%[5]。50岁以上人群CRC发病率的下降可能反映了该人群的广泛筛查,从2000年的38%上升到2013年的59%[6]。直到2005年,粪便潜血检查、乙状结肠镜检查和结肠镜检查是美国老年人最常见的筛查方法[7]。到2005年,结肠镜检查已成为老年人CRC最常见的影像学筛查测试模式[7],2015年,50岁及以上的美国成年人使用结肠镜检查的比例达到60%[8]。
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引用次数: 0
The Acoustic Technology for Ctcs Isolation in Blood: Low-Cost Devices 血液中Ctcs的声学隔离技术:低成本装置
Pub Date : 2019-06-19 DOI: 10.31031/NACS.2019.03.000551
Ivan Gonzalez, A. Pinto, Sergio Cuellar, J. Earl
The use of blood samples as liquid biopsy for cancer diagnosis offers benefits over traditional tissue biopsy. Tumor cells are shed from primary distant sites in the bloodstream to circulate, becoming biomarkers of interest for cancer prognostics, monitoring treatment response in personalized medicine and contain information about possible specific mutations of a tumor Thus, isolation of viable circulating tumor cells (CTCs) is essential for liquid biopsy, which has shown to be an efficient alternative to tissue biopsy [1]. Chemotherapy and other therapy treatments, as well as mechanisms of treatment resistance can be monitored through the analysis of CTCs. However, isolation of CTCs from blood is nontrivial due to their extreme rarity in comparison to the blood cells [2].
使用血液样本作为癌症诊断的液体活检比传统的组织活检有好处。肿瘤细胞从血流中的原发远端脱落并循环,成为癌症预后感兴趣的生物标志物,在个性化医疗中监测治疗反应,并包含有关肿瘤可能的特定突变的信息。因此,分离活的循环肿瘤细胞(CTCs)对于液体活检至关重要,这已被证明是组织活检的有效替代方案。通过对ctc的分析,可以监测化疗和其他治疗方法以及治疗耐药机制。然而,从血液中分离ctc并非易事,因为与血细胞相比,ctc极为罕见。
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引用次数: 0
Ultrasound Technology as a Novel Treatment Strategy in Pancreatic Cancer 超声技术作为癌症新的治疗策略
Pub Date : 2019-06-17 DOI: 10.31031/NACS.2019.02.000550
Icíar González Gómez, A. R. Fernandez, L. Rodríguez-Lorenzo, Alberto Pinto del Corral, Luis M. Hérnandez, J. F. Díaz-Alejo, V. Olmos, C. Perna, J. Earl
Iciar González Gómez1, Antonio Ramos Fernández1, Luis M Rodríguez-Lorenzo2, Alberto Pinto del Corral1, Luis Hernández1, Jesús Frutos Díaz-Alejo3, Vanessa Pachón Olmos4, Cristian Perna5 and Julie Earl3,6* 1Institute of Physical and Information Technologies (ITEFI), CSIC, Madrid, Spain 2Institute of Science and Technology of Polymers (ICTP-CSIC), Madrid, Spain 3Molecular Epidemiology and Predictive tumor markers group, Ramón y Cajal Health Research Institute (IRYCIS), Madrid, Spain
Iciar González Gómez1, Antonio Ramos Fernández1, Luis M Rodríguez-Lorenzo2, Alberto Pinto del Corral1, Luis Hernández1, Jesús Frutos Díaz-Alejo3, Vanessa Pachón Olmos4, Cristian Perna5和Julie Earl3,6* 1物理与信息技术研究所(ITEFI), CSIC,西班牙马德里2聚合物科学与技术研究所(ICTP-CSIC),西班牙马德里3分子流行病学和预测肿瘤标志物组,Ramón y Cajal健康研究所(IRYCIS),西班牙马德里
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引用次数: 1
Limitations of Immunotherapeutic Approaches for Cancer Treatment 癌症免疫治疗方法的局限性
Pub Date : 2019-06-11 DOI: 10.31031/NACS.2019.02.000549
D. Amsterdam
Of the multiple approaches to cancer therapy, few are as complex as those regimens that encompass immune-based agents. Immunotherapeutic approaches have been the central focus of medical investigators for the past several years. This advance in oncologic care is highlighted by the recognition of the Nobel commission in awarding the 2018 Nobel prize to Allison and Honjo [1]. Their seminal work concentrated on an immunotherapeutic approach to combatting cancers via immune checkpoint receptors’ enhancement of the adaptive immune system. A previous review emphasized the potential role of checkpoint inhibitors in the treatment and cure of HIV also through enhancement of adaptive immune function to counter this virus [2].
在癌症治疗的多种方法中,很少有像那些包含免疫制剂的治疗方案那样复杂。在过去的几年里,免疫治疗方法一直是医学研究者关注的焦点。诺贝尔委员会将2018年诺贝尔奖授予Allison和Honjo,这突出了肿瘤学护理的这一进步[1]。他们的开创性工作集中在通过免疫检查点受体增强适应性免疫系统来对抗癌症的免疫治疗方法上。先前的一篇综述强调了检查点抑制剂在HIV治疗和治愈中的潜在作用,也通过增强对抗这种病毒的适应性免疫功能[2]。
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引用次数: 0
Cancer Epigenetics: Shifting to More Deep Action 癌症表观遗传学:转向更深入的行动
Pub Date : 2019-05-21 DOI: 10.31031/NACS.2019.02.000548
H. Sabit, S. Abdel-Ghany, E. Çevik, Ferhad Serag El-Deen
Cancer is a large group of more 100 different diseases that can arise anywhere in the human body [1-3]. It involves uncontrolled cellular proliferation, with the potential to invade or spread to other parts of the body [4]. Cancer is considered the second common leading cause of death worldwide. This condition was responsible for about 9.6 million deaths in 2018, where about 1 in 6 deaths is due to cancer [5]. Cancer arises from accumulation of genetic mutations and/or epigenetic mutations [6,7]. Several genes are involved in the carcinogenesis process, and they are reported elsewhere. The most common causes of cancer are epimutations, where environmental pollutions are the main players [8,9]. Epigenetics is a kind of non-sequence dependent inheritance, where a change in the DNA methylation, histone modification, among others, might cause cancer to develop [10-12]. Different mechanisms are involved in epigenetic-mediated carcinogenesis, each of them was extensively studied during the last four decades [6]. Interestingly, newly developed epigenetic-based cancer therapies provide unique and validated approach to treat different types of cancers [13,14].
癌症是一个由100多种不同疾病组成的大群体,可在人体任何地方发生[1-3]。它涉及不受控制的细胞增殖,有可能入侵或扩散到身体的其他部位[4]。癌症被认为是全球第二大常见的主要死因。2018年,这种情况导致了约960万人死亡,其中约六分之一的死亡是由于癌症[5]。癌症源于遗传突变和/或表观遗传突变的积累[6,7]。一些基因参与了致癌过程,其他地方也有报道。癌症最常见的病因是突变,其中环境污染是主要因素[8,9]。表观遗传学是一种非序列依赖性遗传,其中DNA甲基化、组蛋白修饰等的变化可能导致癌症的发展[10-12]。表观遗传学介导的致癌作用涉及不同的机制,在过去四十年中对每一种机制都进行了广泛的研究[6]。有趣的是,新开发的基于表观遗传学的癌症疗法为治疗不同类型的癌症提供了独特且经验证的方法[13,14]。
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引用次数: 0
Cancer Might be Manifested by Short Breathing 癌症可能表现为呼吸短促
Pub Date : 2019-05-21 DOI: 10.31031/NACS.2019.02.000547
Ramesh Sharma
It is normally believed that the most causes of short breathing are due to heart and lung conditions, say asthma or allergic reactions or heart attack or low blood pressure or anemia or pneumonia or carbon monoxide poisoning or upper airway obstruction or blood clot in lungs; but chronic shortness of breath is most often due to asthma, chronic obstructive pulmonary disease, obesity, and lung diseases including the cancer of organ [1]. At this point the question arises, whether the chronic dyspnea (shortness of breath) is the symptom of lung cancer or might be its possible cause. However, it is found that people with advanced cancer (not only lung cancer) often get shortness of breath or dyspnea [2]. Therefore, the raised question is more generalized; whether chronic dyspnea is a cause or just a symptom of cancer. In other words, question arises, whether the dyspnea is the result of carcinogenic conditions in or cancer is caused by dyspnea state of the body. In 1986, Desigan et al. [3] tried to correlate progressive shortness of breath with manifestation of occult gastric cancer and stated that progressive shortness of breath may be the first or only manifestation of occult gastric cancer caused by either lymphangitic carcinomatosis or microscopic tumor emboli to the lungs. In this context, a further question arises, whether Desigan [3] statement might be generalized for various carcinogenic conditions in body. That means, might it be a true statement: progressive shortness of breath is the major manifestation of cancer or cancer is often manifested by progressive shortness of breath.
通常认为,呼吸急促的大多数原因是由心肺疾病引起的,如哮喘、过敏反应、心脏病发作、低血压、贫血、肺炎、一氧化碳中毒、上呼吸道阻塞或肺部血栓;但慢性呼吸急促最常见的原因是哮喘、慢性阻塞性肺病、肥胖和包括器官癌症在内的肺部疾病[1]。此时,问题来了,慢性呼吸困难(气短)是癌症的症状还是可能的病因。然而,研究发现,晚期癌症患者(不仅仅是癌症)经常出现呼吸急促或呼吸困难[2]。因此,提出的问题更加笼统;慢性呼吸困难是癌症的病因还是症状。换句话说,问题来了,呼吸困难是由体内致癌条件引起的,还是癌症是由身体的呼吸困难状态引起的。1986年,Desigan等人[3]试图将渐进性呼吸急促与隐匿性癌症的表现联系起来,并指出渐进性呼吸短促可能是由淋巴管癌或肺部微小肿瘤栓塞引起的隐匿性癌症的第一种或唯一表现。在这种情况下,出现了一个进一步的问题,Desigan[3]的说法是否可以推广到身体中的各种致癌条件。这意味着,这可能是一个真实的说法:渐进性呼吸急促是癌症的主要表现,或者癌症通常表现为渐进性呼吸短促。
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引用次数: 0
A Molecular Perspective of Clinical Benefit: Why Shouldn’t Luminal a Breast Cancer Patients be Considered in Pathological Complete Response Discussions 临床获益的分子视角:为什么在病理完全缓解讨论中不应考虑管腔A型乳腺癌患者
Pub Date : 2019-05-16 DOI: 10.31031/NACS.2019.02.000546
I. Makhoul, T. KieberEmmons
Breast cancer is a spectrum of many subtypes with distinct biological features that lead to differences in response patterns to various treatment modalities and clinical outcomes. Gene expression profiling has led to the molecular classification of breast cancer characterized by intrinsic subtypes: basal-like, HER2-positive, luminal-A, and luminal-B [1]. Up until recently, the subtypes were frequently treated as similar entities. However, there are obvious differences in subtype biological and prognostic characteristics. These differences are clearly evident in the neoadjuvant setting with pathological complete response (pCR) rates being the surrogate marker of efficacy to a therapeutic regime [2,3].
癌症是一系列具有不同生物学特征的亚型,导致对各种治疗方式和临床结果的反应模式存在差异。基因表达谱已导致癌症的分子分类,其特征为固有亚型:基底样、HER2-阳性、luminal-A和luminal-B[1]。直到最近,这些亚型还经常被视为相似的实体。然而,在亚型生物学和预后特征方面存在明显差异。这些差异在新佐剂环境中明显可见,病理完全反应(pCR)率是治疗方案疗效的替代标志[2,3]。
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引用次数: 0
Bridging the Gap between Pre-Clinical and Clinical Studies in Cancer Research 弥合癌症研究临床前和临床研究之间的差距
Pub Date : 2019-05-09 DOI: 10.31031/NACS.2019.02.000545
R. Kumari
With the advent of new technologies over the decades the field of Cancer Research has reached its pinnacle of success. Despite the success of basic and pre-clinical cancer research most of the clinical trials do not succeed with expected outcome. Basically, pre-clinical studies play an enormously important role when it comes to decide whether a drug is safe, effective, and ready for clinical trials or not. The evaluation of human specific drugs through pre-clinical studies is extremely crucial for the success of clinical trials. Unfortunately, the translatability of pre-clinical cancer research is significantly low than other therapeutic areas [1-2]. It is now a well-established fact that the clinical trials in cancer have the highest failure rate. Indeed, many significant pre-clinical findings based on which the clinical trials are designed are not actually reproducible [1]. Consequently, there is an urgent need to revisit the pre-clinical cancer research strategies to achieve a greater clinical success.
几十年来,随着新技术的出现,癌症研究领域已经达到了成功的顶峰。尽管癌症基础和临床前研究取得了成功,但大多数临床试验并没有取得预期结果。基本上,临床前研究在决定一种药物是否安全、有效并准备好进行临床试验时发挥着极其重要的作用。通过临床前研究评估人类特效药对临床试验的成功至关重要。不幸的是,临床前癌症研究的可译性明显低于其他治疗领域[1-2]。癌症的临床试验失败率最高,这是一个公认的事实。事实上,设计临床试验所依据的许多重要的临床前发现实际上是不可重复的[1]。因此,迫切需要重新审视癌症临床前的研究策略,以取得更大的临床成功。
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引用次数: 0
Modern Strategies in Cancer Study: Drug Repositioning in Colorectal Cancer Treatment 癌症研究的现代策略:大肠癌治疗中的药物重新定位
Pub Date : 2019-05-07 DOI: 10.31031/NACS.2019.02.000544
A. Luciano, F. Malizia, Menacho Mm
Colorectal cancer (CRC) is the third most commonly diagnosed cancer in males and the second in females, with 1.8 million new cases and almost 861,000 deaths in 2018 [1]. CRC is often diagnosed at advanced stages, when the probability of development of distal or local recurrence due to chemotherapy resistance is more elevated [2,3]. The common protocol of CRC treatment consists in a primary surgical resection of the tumor, followed by radiotherapy and/or adjuvant chemotherapy. Since the 1950s, 5-fluorouracil (5-FU) remains the mainstay of chemotherapy [4,5]. In the recent years other drugs have been developed and used in combination with 5-FU such as oxaliplatin, irinotecan and capecitabine [6]. The use of new monoclonal antibodies such as Bevacizumab and Cetuximab has also allowed great advances in therapies [7]. However, almost half of patients with advanced CRC are resistant to chemotherapies based on 5-FU [8]. To counter this situation new strategies are being implemented; these include improved early diagnosis (down-staging), discovery of reliable predictive biomarkers and development of novel drugs/drug combinations.
结直肠癌(CRC)是男性中第三大最常诊断的癌症,在女性中排名第二,2018年有180万新病例和近86.1万人死亡。结直肠癌通常在晚期诊断,此时由于化疗耐药导致远端或局部复发的可能性更高[2,3]。常见的结直肠癌治疗方案包括手术切除肿瘤,然后进行放疗和/或辅助化疗。自20世纪50年代以来,5 -氟尿嘧啶(5- fu)一直是化疗的主要药物[4,5]。近年来,其他药物也被开发并与5-FU联合使用,如奥沙利铂、伊立替康和卡培他滨。贝伐单抗和西妥昔单抗等新型单克隆抗体的使用也使治疗方法取得了巨大进展。然而,几乎一半的晚期结直肠癌患者对基于5-FU的化疗有耐药性。为了应对这种情况,正在执行新的战略;这些包括改进早期诊断(降低分期)、发现可靠的预测性生物标志物和开发新的药物/药物组合。
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引用次数: 5
期刊
Novel approaches in cancer study
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