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Which Way Should be Chosen for Treatment of Metastatic Renal Cell Carcinoma? 肾转移癌的治疗应选择哪种方法?
Pub Date : 2019-10-18 DOI: 10.31031/nacs.2019.03.000563
C. Gündüz, A. Oğuz
There are two major pathways targeted for the treatment of metastatic renal cell cancer. One is VEGF inhibition that induces tumor shrinkage and increases progression-free survival and the other is Immune checkpoint inhibition that has been shown to increase overall survival. There are two clinically possible ways to block the antiangiogenic (VEGF) pathway. We can use Tyrosine kinase inhibitors (Sunitinib, Pazopanib, Cabozantinib, Axitinib, Sorafenib) that block the intracellular domain of the VEGFR or a monoclonal antibody (Bevacizumab) that binds to circulating VEGF and prevents it from activating VEGFR [1]. Checkpoint inhibition targeting the T lymphocyte-associated antigen 4 (CTLA-4) and/or programmed cell death receptor 1 (PD-1) pathway has led to significant improvements in the treatment of many malignancies, including renal cell carcinoma.
治疗转移性肾细胞癌症有两种主要的靶向途径。一种是VEGF抑制,可诱导肿瘤缩小并增加无进展生存率,另一种是免疫检查点抑制,已被证明可增加总生存率。临床上有两种可能阻断抗血管生成(VEGF)途径的方法。我们可以使用阻断VEGFR细胞内结构域的酪氨酸激酶抑制剂(舒尼替尼、帕唑帕尼、卡博扎替尼、Axitinib、索拉非尼)或与循环VEGF结合并阻止其激活VEGFR的单克隆抗体(贝伐单抗)[1]。靶向T淋巴细胞相关抗原4(CTLA-4)和/或程序性细胞死亡受体1(PD-1)途径的检查点抑制已导致包括肾细胞癌在内的许多恶性肿瘤的治疗显著改善。
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引用次数: 0
Exhaled Breath Analysis for Cancer Diagnosis and Screening 呼气分析在癌症诊断和筛查中的应用
Pub Date : 2019-09-30 DOI: 10.31031/nacs.2019.03.000562
Shao Yf, Lin Yf, L. Wang, F. Mei, Li Lu
Cancer is one of the main diseases threatening the human life and health. Early recognition is crucial to increase the survival rate of cancer patients. However, current cancer early diagnosis faces many problems. For example, current early clinical diagnostic techniques have low specificity and sensitivity but need high cost. As the progress for the medicine, the new noninvasive and fast cancer early recognition technique has come out, which is of importance to decrease the death rate. Some research results indicate that the cancer patient could emit some special gas [1], and this provides the possibility to utilize the patient’s emission gas for cancer screening, which is noninvasive, simple and sensitive. This diagnostic method has been adopted by using the trained dogs, which have the sensitive sense of smell [2]. And some research results have proven the possibility to use the dogs to realize the early diagnosis for Crimson Publishers Wings to the Research Mini Review
癌症是威胁人类生命和健康的主要疾病之一。早期识别对提高癌症患者的生存率至关重要。然而,目前的癌症早期诊断面临着许多问题。例如,目前的临床早期诊断技术特异性和敏感性较低,但成本较高。随着医学的进步,新的无创、快速的肿瘤早期识别技术已经出现,这对降低肿瘤死亡率具有重要意义。一些研究结果表明,癌症患者可以释放出一些特殊的气体[1],这为利用患者的气体进行癌症筛查提供了可能,该方法无创、简单、敏感。这种诊断方法是用经过训练的具有灵敏嗅觉的狗来进行的。一些研究结果已经证明了利用狗来实现早期诊断的可能性
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引用次数: 0
Potential of Targeting Bone Metastases with Immunotherapies 免疫疗法靶向骨转移瘤的潜力
Pub Date : 2019-09-25 DOI: 10.31031/nacs.2019.03.000561
T. Kähkönen, Halleen Jm, J. Bernoulli
Cancer metastases cause high morbidity and mortality in patients. Bone metastases are most common in breast and prostate cancer, but they are also observed in many other cancers such as lung and renal cancer and melanoma [1]. In breast cancer the formation of metastases depends on the tumor subtype, and the major site for metastasis is the skeleton [2]. Patients with bone metastases have a 5-year survival rate of only 21% and a median survival time of 3 years. Prostate cancer is currently described as a bone disease due to high incidence of skeletal metastases. In prostate cancer patients with bone metastases, the 5-year survival rate is about 30% and the median survival time is 3 years [3]. Metastatic cancer patients are treated with conventional cancer therapies that are usually ineffective against bone metastases. Tumor-induced bone loss can also be treated with bone-targeting therapies. Bone marrow is an important immune organ that contains many immune cells, such as myeloid-derived suppressor cells, T cells, B cells and natural killer cells, and it is a cytokine rich microenvironment [4-6]. Immune cells can regulate many aspects of formation and growth of bone metastases [4]. Bone marrow is an immunosuppressive microenvironment, and immune suppressive cells in bone may promote tumor progression [5]. On the contrary, cytotoxic T cells and NK cells can be activated by immunomodulators to mediate anti-tumor effects. In addition, immune cells directly interact with bone cells, promoting tumor-induced effects on bone [6].
癌症转移导致患者的高发病率和死亡率。骨转移在乳腺癌和前列腺癌中最常见,但在许多其他癌症中也有发现,如肺癌、肾癌和黑色素瘤。在乳腺癌中,转移的形成取决于肿瘤的亚型,转移的主要部位是骨骼[2]。骨转移患者的5年生存率仅为21%,中位生存时间为3年。由于骨骼转移的高发,前列腺癌目前被描述为一种骨骼疾病。前列腺癌骨转移患者5年生存率约为30%,中位生存时间为3年。转移性癌症患者通常采用传统的癌症治疗方法,但这些治疗方法通常对骨转移无效。肿瘤引起的骨质流失也可以用骨靶向疗法来治疗。骨髓是一种重要的免疫器官,含有许多免疫细胞,如髓源性抑制细胞、T细胞、B细胞和自然杀伤细胞,是一个富含细胞因子的微环境[4-6]。免疫细胞可以调控骨转移瘤形成和生长的许多方面。骨髓是一个免疫抑制的微环境,骨中的免疫抑制细胞可能促进肿瘤的进展。相反,细胞毒性T细胞和NK细胞可被免疫调节剂激活,介导抗肿瘤作用。此外,免疫细胞直接与骨细胞相互作用,促进肿瘤诱导的骨bbb效应。
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引用次数: 0
Molecular Detection of Epstein-Barr Virus and Human Cytomegalovirus Antigen Expression in Breast Cancer in Khartoum State, Sudan 2018 Epstein-Barr病毒和巨细胞病毒抗原在苏丹喀土穆州乳腺癌组织中的表达
Pub Date : 2019-09-23 DOI: 10.31031/nacs.2019.03.000560
Riham E Aidrous, A. M. Hussein, Salahaldeen H Dahawi, I. Elkhidir, K. Enan
Breast cancer in women worldwide is considered as the most widespread disease and a most important etiology of mortality [1,2]. Several internal and external factors contribute to the development of this cancer. Internal factors such as age, hormonal effects, lifestyle, obesity, alcohol consumption, smoking, gender, anxiety and stress, genetic predisposition (mutation in BRCA1, 2 and other genes) and family history of breast cancer [3,4]. Exogenous factors include infection with oncogenic viruses such as Mouse Mammary Tumor Virus (MMTV), Human Papilloma Virus (HPV) and Epstein-Barr Virus (EBV). Oncogenic viruses are contributing to 20% of human cancers [5]. Recently, Cytomegalovirus (CMV) has been linked to the development of inflammatory diseases and cancer . EBV It is the causative agent of Infectious Mononucleosis (IM) and has been associated with a growing list of malignancies of both lymphoid and epithelial origin including Burkitt’s lymphoma, B-cell lymphoma in immunocompromised subjects, Hodgkin’s lymphoma, and Nasopharyngeal Carcinoma (NPC). Based on this association, the WHO International Agency for Research on Cancer (IARC) has classified EBV among group I carcinogens which are agents that definitely cause neoplasm in humans [7.
乳腺癌在世界范围内被认为是最普遍的女性疾病,也是最重要的死亡原因[1,2]。一些内部和外部因素导致了这种癌症的发展。内部因素如年龄、激素影响、生活方式、肥胖、饮酒、吸烟、性别、焦虑和压力、遗传易感性(BRCA1、2等基因突变)和乳腺癌家族史[3,4]。外源性因素包括感染致癌病毒,如小鼠乳腺肿瘤病毒(MMTV)、人乳头瘤病毒(HPV)和eb病毒(EBV)。致癌病毒造成了20%的人类癌症。最近,巨细胞病毒(CMV)与炎症性疾病和癌症的发展有关。EBV是传染性单核细胞增多症(IM)的病原体,并且与越来越多的淋巴和上皮性恶性肿瘤有关,包括伯基特淋巴瘤、免疫功能低下患者的b细胞淋巴瘤、霍奇金淋巴瘤和鼻咽癌(NPC)。基于这种联系,世卫组织国际癌症研究机构(IARC)将EBV归类为I类致癌物,这是一种肯定会导致人类肿瘤的物质[7]。
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引用次数: 3
Different Faces of Fas Signaling in Cancer Cells 癌症细胞Fas信号传导的不同面
Pub Date : 2019-09-16 DOI: 10.31031/nacs.2019.03.000559
M. Szaryńska, Agata Olejniczak Kęder
The Fas signaling is known to exert very variable effects in wide spectrum of cells. The FasR/ FasL (CD95/ CD95L) proteins can be associated with both positive (physiological) and negative (pathological) effects. Nowadays, there is a growing interest in the elucidation of the Fas signaling role in the pathogenesis and progression of various cancers. Additionally, it was proven that the expression of FasR/ FasL in colorectal cancer is associated with worse prognosis, metastasis and recurrence [1-6] the aspects of cancer biology which cancer stem cells are responsible for [7]. On the one hand, Fas signaling pathway is considered as a potential target for anticancer therapy and, on the other hand, is hoped to be exploit as therapeutic tool. The approach to this issue is dynamically update since the state of knowledge concerning Fas signaling functions is rapidly developing. The most established pro-apoptotic activity of FasR/L signaling is the elimination of non-CSC cancerous, virus-infected or useless/ autoreactive T cells by cytotoxic T lymphocytes [8]. Drug therapy combining the multi-kinase inhibitor Sorafenib and the histone deacetylase inhibitor Vorinostat was shown to activate Fas-mediated apoptosis by promoting receptor tyrosine phosphorylation or contribution to FasR activation via initial facilitation of ROS generation and subsequent FasL expression [9]. Additionally, Fas signaling was proven to be associated with HSPs. Although it was originally demonstrated in rat global brain ischemia model, we assume that similar relationships exist in cancer cells as well. Inhibition of HSP90 proteins reduced FasL expression and induced neuroprotective effect [10]. Moreover, the heat shock proteins accumulation was demonstrated as a specific mechanism increasing protein stability and reducing a turnover during Fas-mediated apoptosis in Jurkat cells [11].
已知Fas信号在广泛的细胞中发挥非常可变的作用。FasR/ FasL (CD95/ CD95L)蛋白可与阳性(生理)和阴性(病理)效应相关。目前,人们对Fas信号在各种癌症的发病和进展中的作用越来越感兴趣。此外,研究证实FasR/ FasL在结直肠癌中的表达与预后差、转移和复发相关[1-6],而肿瘤干细胞与[7]有关。一方面,Fas信号通路被认为是抗癌治疗的潜在靶点,另一方面,它也有望被开发为治疗工具。由于有关Fas信号功能的知识正在迅速发展,因此该问题的方法是动态更新的。FasR/L信号最确定的促凋亡活性是通过细胞毒性T淋巴细胞[8]消除非csc癌性、病毒感染或无用/自身反应性T细胞。联合使用多激酶抑制剂Sorafenib和组蛋白去乙酰化酶抑制剂Vorinostat的药物治疗通过促进受体酪氨酸磷酸化或通过初始促进ROS生成和随后的FasL表达[9]来促进FasR活化,从而激活fas介导的细胞凋亡。此外,Fas信号被证明与热休克蛋白有关。虽然最初是在大鼠全脑缺血模型中证实的,但我们认为癌细胞中也存在类似的关系。抑制HSP90蛋白可降低FasL表达并诱导[10]的神经保护作用。此外,热休克蛋白积累被证明是fas介导的Jurkat细胞凋亡过程中增加蛋白稳定性和减少周转的特定机制。
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引用次数: 0
Identifying Biomarkers for Diffuse Large B-Cell Lymphoma Subtypes 鉴别弥漫性大B细胞淋巴瘤亚型的生物标志物
Pub Date : 2019-09-11 DOI: 10.31031/nacs.2019.03.000558
Prashanthi Dharanipragada, N. Parekh
Diffuse Large B-cell Lymphoma (DLBCL) is the most common lymphoid malignancy in adults, accounting for ~35% of Non-Hodgkin’s lymphoma cases worldwide. Several classification systems have been proposed based on shared morphology, immunophenotype, genetic alterations, clinical outcomes, etc., to decipher the mechanisms of pathogenesis and design suitable therapy. Classification of DLBCL into cell-of-origin (COO) subtypes, Germinal Centre B-cell (GCB) and Activated B-cell (ABC), has been traditionally defined as lowand highrisk patient groups respectively when treated with chemotherapy [1]. Several previous studies have shown a diverse set of genetic and epigenetic factors affecting few key pathways in each subtype. For example, the GCB subtype is mostly characterized with alterations in chromatinmodifying enzymes, activated PI3K pathway, disruption of Gα migration pathway components and frequent structural variants of BCL2 gene, while ABC subtype is often associated with increased NF-κB activity, altered BCR signalling, perturbed terminal B cell differentiation, etc. The differences in the genetic profiles of the two subtypes have been associated with differential response to treatment, with ABC subtype exhibiting poorer outcomes compared to GCB subtype when treated with standard rituximab, cyclophosphamide, doxorubicin (Adriamycin), vincristine (Oncovin) and prednisone (R-CHOP) immuno-chemotherapy. Moreover, relapsed/refractory DLBCL is observed in ~30-40% of the treated cases.
弥漫性大B细胞淋巴瘤(DLBCL)是成人最常见的淋巴恶性肿瘤,约占全球非霍奇金淋巴瘤病例的35%。基于共同的形态学、免疫表型、基因改变、临床结果等,已经提出了几个分类系统,以解读发病机制并设计合适的治疗方法。DLBCL分为来源细胞(COO)亚型、生殖中心B细胞(GCB)和活化B细胞(ABC),传统上在化疗时分别定义为低风险和高风险患者组[1]。先前的几项研究表明,一组不同的遗传和表观遗传因素影响着每种亚型中的少数关键途径。例如,GCB亚型的主要特征是染色单体修饰酶的改变、PI3K途径的激活、Gα迁移途径成分的破坏和BCL2基因的频繁结构变异,而ABC亚型通常与NF-κB活性增加、BCR信号传导改变、B细胞终末分化紊乱等有关。这两种亚型的基因图谱差异与治疗反应的差异有关,ABC亚型在接受标准利妥昔单抗、环磷酰胺、阿霉素(阿霉素)、长春新碱(Oncovin)和泼尼松(R-CHOP)免疫化疗时,与GCB亚型相比,表现出较差的结果。此外,在约30-40%的治疗病例中观察到复发/难治性DLBCL。
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引用次数: 0
Are We Still Missing the Target in Trying to Prevent and Treat Human Cancers? 我们在预防和治疗人类癌症方面还没有达到目标吗?
Pub Date : 2019-08-26 DOI: 10.31031/nacs.2019.03.000556
J. Trosko
Is searching for a “Rose in a Dung Heap” the correct strategy for future cancer research? Starting from the view point that there are two philosophical approaches to solve the extremely complex problem of preventing and treating cancers, namely (a) the empirical, unbiased approach of collecting large amount of observations in hopes of finding a pattern (i.e., current use of data mining or computational biology and “Artificial Intelligence ”) or (b) a specific hypothesis-mechanistically based, deductive approach), it seems, while both approaches are being used, we still have made no “conceptual” breakthrough. In spite everyone today recognizing that this cancer problem requires a true multi-disciplinary approach, it still must be based on some biological facts. With all the known facts about many physical (radiations), chemical (natural toxins/synthetic toxicants) and biologics (viruses, bacteria, fungi) having some influence on human carcinogenesis, the link to these factors is only somewhat known to be involved in the multi-stage/multi-mechanism of human carcinogenesis [2,3]. Yet, the integration of the psychological, social, anthropological, cultural, economic, political and ecological sciences has only been weakly linked to the evolutionary and biological sciences [4-7]. As this article is grounded in my limited 50 years of experience in but a few disciplines, as an “opinion” writer, I feel, while the multidisciplinary field of carcinogenesis is still very incomplete, there is sufficient solid scientific information that could supply a new direction. First, we know that there are genetic, racial, developmental, gender, environmental, dietary, nutritional, immunological, behavioral, ecological, cultural, and economic/political factors that influence the cancer process. In addition, we know that cancers have their origin in a single cell [ 8,9]. Today, there is a substantial evidence that the organ-specific adult stem cell and its early progenitor daughter are the target cells to become, in time, a “cancer stem cell” [10-12]. It is now thought that these “cancer stem cells” ought to be the target for both prevention and therapy [13,14]. Moreover, there is ample evidence of the power of nutrition and diets to influence, either positively or negatively, the frequency of many cancers, especially with the observations of caloric restricted, excess calories, and changes in diets due to diaspora of both peoples and foods, especially in large populations during the Second War in Europe and Japan [15,16]. This is now leading some investigators to view that pregnant women, exposed Crimson Publishers Wings to the Research Opinion
寻找“粪堆里的玫瑰”是未来癌症研究的正确策略吗?从有两种哲学方法来解决预防和治疗癌症的极端复杂问题的观点出发,即(a)收集大量观察结果的经验,无偏倚的方法,以期找到一种模式(即,当前使用的数据挖掘或计算生物学和“人工智能”)或(b)特定的假设-基于机械的,演绎法),似乎,虽然这两种方法都在使用,我们仍然没有取得“概念上的”突破。尽管今天每个人都认识到这个癌症问题需要一个真正的多学科方法,但它仍然必须基于一些生物学事实。由于已知的许多物理(辐射)、化学(天然毒素/合成毒物)和生物制剂(病毒、细菌、真菌)对人类致癌有一定影响的事实,这些因素与人类致癌的多阶段/多机制之间的联系只是部分已知[2,3]。然而,心理、社会、人类学、文化、经济、政治和生态科学的整合与进化和生物科学的联系很弱[4-7]。由于这篇文章是基于我有限的50年的经验,但在少数几个学科,作为一个“意见”作者,我觉得,虽然致癌的多学科领域还很不完整,但有足够坚实的科学信息可以提供一个新的方向。首先,我们知道有遗传、种族、发育、性别、环境、饮食、营养、免疫、行为、生态、文化和经济/政治因素影响癌症的进程。此外,我们知道癌症起源于单个细胞[8,9]。如今,有大量证据表明,器官特异性成体干细胞及其早期祖子细胞是最终成为“癌症干细胞”的靶细胞[10-12]。现在认为,这些“癌症干细胞”应该成为预防和治疗的目标[13,14]。此外,有充分的证据表明,营养和饮食对许多癌症的发病率有积极或消极的影响,特别是观察到热量限制、热量过剩以及由于人口和食物的散居而导致的饮食变化,特别是在第二次世界大战期间欧洲和日本的大量人口中[15,16]。这使得一些调查人员认为,怀孕的妇女,使深红出版社的翅膀研究意见
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引用次数: 1
Review on Gastric Cancer 癌症研究进展
Pub Date : 2019-08-02 DOI: 10.31031/NACS.2019.03.000555
T. Haye
Epidemiology of stomach cancer varies depending on several parameters including demographic, histological and geographic features. On the other hand, the measures of the associations of gastric cancer with putative risk factors are relatively robust with regard to these variations [1]. Each year approximately 990,000 people are diagnosed with gastric cancer worldwide, of whom about 738,000 die from this disease, making gastric cancer the 4th most common incident cancer and the 2nd most common cause of cancer death [2]. However, its incidence rates in different geographical regions are distinctly varied. Etiologically, gastric cancer is associated with Helicobacter pylori infection, nutritional and lifestyle factors, and genetics [3,4]. This review provides an update of the current trends of gastric cancer. Overall, in most developed countries, its incidence has decreased substantially in the past five decades, with the disorder now the 14th most common neoplasm in the USA. However, in many developing countries, the incidence of gastric cancer has increased during the same period. In the Middle East, the incidence varies from high in Iran (age-standardized incidence rate 26·1 per 100 000 individuals per year) to low in Israel (12·5 per 100 000 per year) and Egypt (3·4 per 100 000 per year).Gastric cancer is the most common malignant disease in Iran and Oman [5-7].
胃癌的流行病学取决于几个参数,包括人口统计学、组织学和地理特征。另一方面,对于这些变异而言,胃癌与假定危险因素之间的关联的测量相对稳健。全世界每年约有99万人被诊断为胃癌,其中约73.8万人死于这种疾病,使胃癌成为第四大最常见的癌症和第二大最常见的癌症死亡原因。然而,不同地理区域的发病率有明显差异。在病因学上,胃癌与幽门螺杆菌感染、营养和生活方式因素以及遗传有关[3,4]。本文综述了胃癌的最新发展趋势。总体而言,在大多数发达国家,其发病率在过去五十年中大幅下降,目前该疾病在美国排名第14位最常见的肿瘤。然而,在许多发展中国家,胃癌的发病率在同一时期有所增加。在中东,发病率从伊朗的高(年龄标准化发病率26.1 / 10万人/年)到以色列的低(12.5 / 10万人/年)和埃及的低(3.4 / 10万人/年)不等。胃癌是伊朗和阿曼最常见的恶性疾病[5-7]。
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引用次数: 3
Decreased Expression of P16 Indicates the Postoperative Poor Prognosis of Esophageal Squamous Cell Carcinoma Patients P16表达降低提示食管鳞癌患者术后预后不良
Pub Date : 2019-07-30 DOI: 10.31031/nacs.2019.03.000554
Yufeng Cheng
Background: Expression of P 16 gene that is the key regulatory protein of the cell cycle has been linked with the prognosis of Esophageal squamous cell carcinoma patients. Materials and method: By immunohistochemistry, we examined the expression status of P 16 of 110 esophageal squamous cell carcinoma patients on the tissue microarrays (TMAs). The nuclear staining intensity was calculated by immunoreactivity score ranging from (0-12) and split them into two groups: No-expression & Overexpression group. Result: Postoperatively median follow-up period of our study was 70 months. Down-regulation of P 16 expression pointedly predicted decreased 5-year overall survival (P=0.001) and progression-free survival, which is statistically significant & demonstrated by Kaplan-Meier estimates using the log-rank test. Hence, P 16 protein acts as an independent prognostic factor for overall survival and progression-free survival that demonstrated by multivariate Cox-regression analysis (HR=0.046 with 95% CI 0.006-0.333, P=0.002 and HR=0.064 with 95% CI 0.009-0.466, P=0.005 respectively OS & PFS). Conclusion: P 16 is a promising biomarker that is down regulated in ESCC patients and prognostic indicator for poor survival postoperatively.
背景:作为细胞周期关键调控蛋白的P16基因的表达与食管鳞状细胞癌患者的预后有关。材料与方法:采用免疫组织化学方法,检测110例食管鳞状细胞癌患者组织微阵列(TMAs)中P16蛋白的表达情况。根据(0-12)范围内的免疫反应性评分计算核染色强度,并将其分为两组:无表达组和过度表达组。结果:我们研究的术后中位随访期为70个月。P16表达的下调明确预测了5年总生存率(P=0.001)和无进展生存率的下降,这在统计学上是显著的,Kaplan-Meier估计使用对数秩检验证明了这一点。因此,多变量Cox回归分析表明,P16蛋白是总生存率和无进展生存率的独立预后因素(HR=0.046,95%CI 0.006-0.333,P=0.002和HR=0.064,95%CI分别为0.009-0.466,P=0.005,OS和PFS)。结论:P16是一种有前景的ESCC患者下调的生物标志物,也是术后生存率低的预后指标。
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引用次数: 0
Proteomics Exploration of Chronic Lymphocytic Leukemia 慢性淋巴细胞白血病的蛋白质组学研究
Pub Date : 2019-07-16 DOI: 10.31031/nacs.2019.03.000553
Ti’ara L. Griffen
Chronic Lymphocytic Leukemia (CLL) is an adult heme malignancy characterized by the presence of ma-ture-appearing CD5+ B cells in the blood, bone marrow, and secondary lymphoid organs. CLL is heterogeneous in its progression and clinical outcomes. Factors that contribute to the heterogeneity include the immunoglobulin heavy chain (IGHV) status and chromosomal aberrations. CLL’s heterogeneous behavior has made it difficult to understand its biology and find a cure. Systems biology approaches are commonly used to establish biomarkers for cancer. Because proteins are targets of FDA approved therapies, proteomics approaches have been used to decipher the c mplex behavior of CLL pathogenesis and identify actionable targets. In this minireview, we highlight factors that contribute to CLL, new insights discovered from proteomics studies, and future directions.
慢性淋巴细胞白血病(Chronic Lymphocytic Leukemia, CLL)是一种成人血红素恶性肿瘤,其特征是血液、骨髓和次级淋巴器官中存在CD5+ B细胞。CLL的进展和临床结果具有异质性。导致异质性的因素包括免疫球蛋白重链(IGHV)状态和染色体畸变。CLL的异质性行为使得了解其生物学并找到治疗方法变得困难。系统生物学方法通常用于建立癌症的生物标志物。由于蛋白质是FDA批准的治疗的靶点,蛋白质组学方法已被用于破译CLL发病机制的c复合物行为并确定可操作的靶点。在这篇综述中,我们重点介绍了导致CLL的因素、蛋白质组学研究的新发现以及未来的发展方向。
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引用次数: 0
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Novel approaches in cancer study
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