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Peripheral Blood Oxygen Saturation: A Non-invasive Prognostic Marker in Cancer Patients Treated with Radiation Therapy- A Pilot Study 外周血氧饱和度:癌症放射治疗患者的无创预后标志物——一项初步研究
Pub Date : 2020-09-22 DOI: 10.2174/1876401002008010001
S. David, V. Lokesh
1. To evaluate the prognostic value of SpO2 in cancer patients 2. To correlate between daily SpO2 values and tumor response to radiation. Tumor hypoxia is an important prognostic factor in Oncology. It plays an important role in tumorogenesis, radiation resistance and tumor progression. Many invasive and in-vitro methods are available to assess the hypo-oxygenated status of tumors. We evaluated if SpO2 values measured from pulse oximetry could be used as an adjunct prognostic and predictive factor in oncology patients. Ten consecutive patients with locally advanced, non-metastatic disease were evaluated. Daily SpO2 measurements throughout the treatment and weekly haemoglobin values were noted. All patients received radical intent radiation therapy. Patients were categorised into two groups: poor SpO2 (<97mmHg) and better SpO2 (≥98mmHg). Tumour response was higher in patients with better SpO2 (≥98mmHg). Patients with poor SpO2 (<97mmHg) presented with bulkier disease at diagnosis. Role of SpO2 as a prognostic and predictive factor should be explored further with in vitro and pH studies.
1.评价SpO2对癌症患者预后的价值2。将每日SpO2值与肿瘤对辐射的反应联系起来。肿瘤缺氧是肿瘤预后的重要因素。它在肿瘤发生、抗辐射和肿瘤进展中起着重要作用。许多侵入性和体外方法可用于评估肿瘤的低氧状态。我们评估了脉搏血氧计测量的SpO2值是否可以作为肿瘤患者的辅助预后和预测因素。对连续10例局部晚期非转移性疾病患者进行评估。记录整个治疗期间的每日SpO2测量值和每周血红蛋白值。所有患者均接受了根治性放射治疗。患者分为两组:低血氧饱和度(<97mmHg)和高血氧饱和度(≥98mmHg)。SpO2较好(≥98mmHg)的患者肿瘤反应较高。SpO2低(<97mmHg)的患者在诊断时表现出更大的疾病。SpO2作为预后和预测因素的作用应通过体外和pH研究进一步探讨。
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引用次数: 0
Myeloid-derived Suppressor Cells in Cancer: A Review on the Pathogenesis and Therapeutic Potentials 癌症骨髓源性抑制细胞的发病机制及治疗潜力
Pub Date : 2018-11-30 DOI: 10.2174/1876401001807010016
S. Richard
Myeloid-Derived Suppressor Cells (MDSCs) are multifarious group of immature cells that arise from the myeloid and amass in individuals with cancer, sepsis, burns, or chronic inflammation. It has been evidenced that these group of cells are efficient in modifying adaptive and innate immune responses, coherent with their assumed key biological roles. It is evidenced that MDSCs inter-communicate with Tumor-Associated Macrophages (TAM), Tumor-Associated Neutrophils (TAN), Dendritic Cells (DCs), Receptor for Advanced Glycation End-products (RAGE), Toll-Like Receptors (TLRs), Matrix Metalloproteinase (MMPs) as well as High Mobility Group Box 1 (HMGB1) during carcinogenesis. This interaction although elaborated in various studies and reviews still does not explain in details as to how their interplay results in cancer pathogenesis. We noted that MDSC contributed to cancer immune suppressionviaTLR-4 receptor and lipopolysaccharideas (LPS). Furthermore, MDSC contributed to cancer developmentviaMMPs (MMP-9 and MMP1-12) as well as RAGE. In the cancer microenvironment, HMGB1-driven MDSC amassment expedites cancer development and metastasisviaPMN-MDSCs, macrophages, DCs and Immature Myeloid Cells (IMC). Also, HMGB1 intermediation with MDSCsviaRAGE and/or TLR-4 leading to cancer development. Nevertheless, MDSCs have already proven potent in some cancers and are currently been used as treatment options although further studies are needed in some other cancers. Our review, therefore, explores the pivotal pathogenic and therapeutic roles of MDSCs in cancer.
髓源性抑制细胞(MDSCs)是一组来自髓细胞的未成熟细胞,在患有癌症、败血症、烧伤或慢性炎症的个体中聚集。已经证明,这组细胞在改变适应性和先天免疫反应方面是有效的,这与其假定的关键生物学作用相一致。有证据表明,MDSCs在致癌过程中与肿瘤相关巨噬细胞(TAM)、肿瘤相关中性粒细胞(TAN)、树突状细胞(DC)、晚期糖基化终产物受体(RAGE)、Toll样受体(TLRs)、基质金属蛋白酶(MMPs)以及高迁移率组盒1(HMGB1)相互通信。这种相互作用虽然在各种研究和评论中有详细阐述,但仍然没有详细解释它们的相互作用如何导致癌症发病机制。我们注意到MDSC通过TLR-4受体和脂多糖(LPS)参与癌症免疫抑制。此外,MDSC通过MMPs(MMP-9和MMP1-12)以及RAGE促进癌症的发展。在癌症微环境中,HMGB1驱动的MDSC聚集通过PMN-MDSC、巨噬细胞、DC和未成熟髓细胞(IMC)加速癌症的发展和转移。此外,HMGB1与MDSCsviaRAGE和/或TLR-4的中介作用导致癌症发展。尽管如此,MDSCs已经被证明对某些癌症有效,目前已被用作治疗选择,尽管对其他一些癌症还需要进一步研究。因此,我们的综述探讨了MDSCs在癌症中的关键致病和治疗作用。
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引用次数: 1
The Antitumor Immunity Mediated by NK Cells: The Role of The NCRs NK细胞介导的抗肿瘤免疫:ncr的作用
Pub Date : 2018-06-20 DOI: 10.2174/1876401001807010007
Mona Rady, K. Abou-Aisha
Natural Killer (NK) cells are innate immune lymphocytes that are important for early and effective immune responses against infections and cancer. The antitumor immunity mediated by NK cells can be exerted through several direct or indirect “immunosurveillance” mechanisms that control tumor growth and prevent the rapid dissemination of metastatic tumors. NK cells express an array of activating and inhibitory receptors that enable them to recognize and bind non-self as well as self-ligands expressed on the surface of malignant or virally infected cells. The family of Natural Cytotoxicity Receptors (NCRs) comprises three activating receptors; NKp30, NKp44, and NKp46 that are important for the stimulation of NK cell effector functions. This review summarizes the mechanisms of antitumor immunity mediated by natural killer cells with focus on the role of the family of the NCRs and their tumor associated ligands.
自然杀伤(NK)细胞是先天免疫淋巴细胞,对早期有效的抗感染和癌症免疫反应很重要。NK细胞介导的抗肿瘤免疫可以通过几种直接或间接的“免疫监测”机制发挥作用,这些机制控制肿瘤生长并防止转移性肿瘤的快速扩散。NK细胞表达一系列激活和抑制受体,使其能够识别和结合在恶性或病毒感染细胞表面表达的非自身以及自身配体。天然细胞毒性受体(NCRs)家族包括三种激活受体;NKp30、NKp44和NKp46,它们对于刺激NK细胞效应器功能是重要的。本文综述了自然杀伤细胞介导的抗肿瘤免疫机制,重点介绍了NCRs家族及其肿瘤相关配体的作用。
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引用次数: 1
Nivolumab Induced Acute Severe Toxicity in Lung Adenocarcinoma 纳武单抗诱导肺腺癌急性严重毒性
Pub Date : 2018-03-26 DOI: 10.2174/1876401001807010001
J. A. Sagarduy, E. A. Uribelarrea, I. Echevarria, Sergio Carrera Revilla, A. M. Llarena, G. L. Vivanco
Immunotherapy has recently revolutionized the world of oncology. Nivolumab an IgG4 targeting PD-1 receptor has been approved in metastatic melanoma, renal cell carcinoma, Hodgkin lymphoma and non-small cell lung cancer. It works as a checkpoint inhibitor, allowing the immune system to clear cancer, and it is this mechanism of action which explains its toxicity also named as immmunerelated adverse events.
免疫疗法最近彻底改变了肿瘤学的世界。Nivolumab是一种靶向PD-1受体的IgG4,已被批准用于转移性黑色素瘤、肾细胞癌、霍奇金淋巴瘤和非小细胞肺癌癌症。它作为一种检查点抑制剂,使免疫系统清除癌症,正是这种作用机制解释了它的毒性也被称为免疫相关不良事件。
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引用次数: 0
Transforming Growth Factor-Beta and Myeloid-Derived Suppressor Cells Interplay in Cancer 转化生长因子β和骨髓来源的抑制细胞在癌症中的相互作用
Pub Date : 2017-10-12 DOI: 10.2174/1876401001706010001
J. Santibañez, Suncica Bjelica
Received: May 31, 2017 Revised: August 08, 2017 Accepted: August 18, 2017 Abstract: Background: Transforming growth factor-beta1 (TGF-β1) is a pleiotropic cytokine with a double role in cancer through its capacity to inhibit early stages of tumors while enhancing tumor progression at late stages of tumor progression. Moreover, TGF-β1 is a potent immunosuppressive cytokine within the tumor microenvironment that allows cancer cells to escape from immune surveillance, which largely contributes to the tumor progression.
接收时间:2017年5月31日修订日期:2017年8月8日接受时间:2017月18日摘要:背景:转化生长因子-β1(TGF-β1)是一种多效性细胞因子,通过抑制肿瘤早期,同时在肿瘤进展后期促进肿瘤进展,在癌症中具有双重作用。此外,TGF-β1是肿瘤微环境中一种有效的免疫抑制细胞因子,可使癌症细胞逃避免疫监视,这在很大程度上有助于肿瘤进展。
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引用次数: 5
NK-KIR Gene Repertoire and Outcome of Patients with Acute MyeloidLeukemia after Allogeneic Hematopoietic Cell Transplantation from UnrelatedDonors NK-KIR基因库和非亲属异基因造血细胞移植后急性髓性白血病患者的预后
Pub Date : 2013-10-18 DOI: 10.2174/1876401001305010001
W. Chainonthee, M. Bornhäuser, M. Füssel, G. Ehninger, R. Wassmuth
In this retrospective study, the influence of donor and recipient KIR-gene content and their respective ligands including clinical parameters as potential confounding variables on the outcome of 150 acute myeloid leukemia (AML) patients undergoing allogenic hematopoietic cell transplantation (HCT) from unrelated donors was systematically investi- gated. There was no significant influence of KIR ligand mismatching and of donor/recipient KIR haplotype combinations on overall survival (OS), disease free survival (DSF), non-relapse mortality (NRM) and relapse. Isolated effects of KIR haplotypes, were detected for acute, chronic Graft versus Host Disease (aGvHD and cGvHD) as well as for the cumula- tive incidence of non-relapse mortality and relapse. The incidence of non-relapse mortality was evaluated in donor and re- cipient pairs harbouring KIR AA homozygosity (AA/Bx: p=0.038, HR=0.73, 95% CI=0.35-1.46 and AA/AA: p=0.043, HR=0.64, 95% CI 0.53-1-17). Our data suggest that KIR genotyping may be useful in patients in whom several HLA- identical unrelated donors can be identified but is probably not necessary for the primary donor selection algorithm.
在这项回顾性研究中,系统地调查了150例接受非亲属供体同种异体造血细胞移植(HCT)的急性髓系白血病(AML)患者,供体和受体的kirr基因含量及其各自的配体,包括临床参数作为潜在的混杂变量对结果的影响。KIR配体错配和供体/受体KIR单倍型组合对总生存期(OS)、无病生存期(DSF)、非复发死亡率(NRM)和复发无显著影响。分离的KIR单倍型对急性、慢性移植物抗宿主病(aGvHD和cGvHD)以及非复发死亡率和复发的累积发生率有影响。在KIR - AA纯合子的供体和再受体配对中评估非复发死亡率(AA/Bx: p=0.038, HR=0.73, 95% CI=0.35-1.46, AA/AA: p=0.043, HR=0.64, 95% CI 0.53-1-17)。我们的数据表明,KIR基因分型可能对可以确定几个HLA相同的非亲属供体的患者有用,但可能不是主要供体选择算法所必需的。
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引用次数: 0
Correlations of Hormone Receptors (ER and PR), Her2/neu and p53 Expression in Breast Ductal Carcinoma Among Yemeni Women 也门妇女乳腺导管癌中激素受体(ER和PR)、Her2/neu和p53表达的相关性
Pub Date : 2011-12-20 DOI: 10.2174/1876401001104010001
H. Ahmed, Mohammed Ali Al-Adhraei, A. K. al-Thobhani
Aims: The purpose of this study was to determine if any relationship exists between Estrogen Receptor (ER), Progesterone Receptor (PR), Her2/neu, P53, and clinicopathological factors in female breast ductal carcinoma. Materials and Methods: One hundred and thirty seven (IDC=124, NIDC=13) ductal carcinomas were clinicopathologically and im- munohistochemically analyzed and compared with 20 control cases of benign breast lesions in which assessment of Her- 2/neu, ER, PR, and P53 has been performed, prospectively. Chi-square analysis was then used to correlate the above ob- servations. Results: The overall immunoexpression of ER, PR, Her2/neu and P53 were 43.8%, 27%, 30.6% and 48.9%, respectively, of the 137 ductal carcinomas. A significant Positive association between ER or PR expression with lymph node involvement was found ( p= 0.004, p= 0.022 respectively), while p53 was found to be negatively associated with lymph nodes involvement (p= 0.03, 0.02, respectively). P53 also associated negatively to lymph node status (P=0.03) and positively with borderline tumor grade (p= 0.03). Conclusion: There are high rates of positive expression of ER, PR, Her2/neu and P53 among Yamani women with breast ductal carcinoma. Keywards: ER, PR, Her2/neu and p53, Breast Carcinoma, Yemeni.
目的:本研究旨在探讨女性乳腺导管癌中雌激素受体(ER)、孕激素受体(PR)、Her2/neu、P53与临床病理因素之间是否存在相关性。材料与方法:对137例导管癌(IDC=124例,NIDC=13例)进行临床病理和免疫组化分析,并与20例乳腺良性病变对照进行前瞻性Her- 2/neu、ER、PR和P53评价。然后使用卡方分析来关联上述观察结果。结果:137例导管癌中ER、PR、Her2/neu和P53的总体免疫表达分别为43.8%、27%、30.6%和48.9%。ER或PR表达与淋巴结受累呈显著正相关(p= 0.004, p= 0.022),而p53表达与淋巴结受累呈负相关(p= 0.03, 0.02)。P53与淋巴结状态呈负相关(P=0.03),与交界性肿瘤分级呈正相关(P=0.03)。结论:亚马尼女性乳腺导管癌中ER、PR、Her2/neu和P53的阳性表达率较高。关键词:ER, PR, Her2/neu和p53,乳腺癌,也门。
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引用次数: 37
Treatment of Brain Tumors Using DNA-Based Vaccines 利用dna疫苗治疗脑肿瘤
Pub Date : 2010-12-31 DOI: 10.2174/1876401001003010023
T. Lichtor
Antigenic differences between normal and malignant cells of the cancer patient form the rationale for clinical immunotherapeutic strategies. Because the antigenic phenotype of neoplastic cells varies widely among different cells within the same malignant cell-population, immunization with a vaccine that stimulates immunity to the broad array of tumor antigens expressed by the cancer cells is likely to be more efficacious than immunization with a vaccine for a single antigen. A vaccine prepared by transfer of DNA from the tumor into a highly immunogenic cell line can encompass the array of tumor antigens that characterize the patient's neoplasm. Poorly immunogenic tumor antigens, characteristic of malignant cells, can become strongly antigenic if they are expressed by highly immunogenic cells. A DNA-based vaccine was prepared by transfer of genomic DNA from a breast cancer that arose spontaneously in a C3H/He mouse into a highly immunogenic mouse fibroblast cell line, where genes specifying tumor-antigens were expressed. The fibroblasts were modified in advance of DNA-transfer to secrete an immune augmenting cytokine and to express allogeneic MHC class I-determinants. In an animal model of breast cancer metastatic to the brain, introduction of the vaccine directly into the tumor bed stimulated a systemic cellular anti-tumor immune response measured by two independent in vitro assays and prolonged the lives of the tumor-bearing mice. Furthermore, using antibodies against the various T-cell subsets, it was de- termined that the systemic cellular anti-tumor immunity was mediated by CD8 + , CD4 + and NK/LAK cells. In addition an enrichment strategy has also been developed to increase the proportion of immunotherapeutic cells in the vaccine which has resulted in the development of enhanced anti-tumor immunity. Finally regulatory T cells (CD4 + CD25 + Fox p3 + -positive) were found to be relatively deficient in the spleen cells from the tumor-bearing mice injected intracerebrally with the enriched vaccine. The application of DNA-based genomic vaccines for the treatment of a variety of brain tumors is being explored.
癌症患者正常细胞和恶性细胞之间的抗原差异构成了临床免疫治疗策略的基本原理。由于肿瘤细胞的抗原表型在同一恶性细胞群中的不同细胞之间差异很大,因此用疫苗免疫,刺激对癌细胞表达的广泛肿瘤抗原的免疫,可能比用单一抗原的疫苗免疫更有效。通过将DNA从肿瘤转移到高免疫原性细胞系中制备的疫苗可以包含具有患者肿瘤特征的肿瘤抗原阵列。低免疫原性肿瘤抗原是恶性细胞的特征,如果它们被高免疫原性细胞表达,可以变成强抗原。通过将C3H/He小鼠中自发产生的乳腺癌的基因组DNA转移到具有高度免疫原性的小鼠成纤维细胞系中,在那里表达指定肿瘤抗原的基因,制备了一种基于DNA的疫苗。在dna转移之前对成纤维细胞进行修饰,使其分泌一种免疫增强细胞因子并表达同种异体MHC i类决定因子。在乳腺癌转移到大脑的动物模型中,通过两项独立的体外试验,将疫苗直接引入肿瘤床刺激了全身细胞抗肿瘤免疫反应,并延长了荷瘤小鼠的寿命。此外,使用针对各种t细胞亚群的抗体,确定了全身细胞抗肿瘤免疫是由CD8 +, CD4 +和NK/LAK细胞介导的。此外,还开发了一种富集策略,以增加疫苗中免疫治疗细胞的比例,从而增强抗肿瘤免疫能力。最后,在脑内注射富集疫苗的荷瘤小鼠脾细胞中发现调节性T细胞(CD4 + CD25 + foxp3 +阳性)相对缺乏。目前正在探索以dna为基础的基因组疫苗在治疗多种脑肿瘤中的应用。
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引用次数: 0
Mechanisms of Cytokine-Induced Glioma Immunosuppression 细胞因子诱导的胶质瘤免疫抑制机制
Pub Date : 2010-12-31 DOI: 10.2174/1876401001003010030
A. Ksendzovsky, R. Glick, P. Polak, M. V. Simonini, Anothony J. Sharp, T. Newman, E. Cohen, D. Feinstein
Glioma immunosuppression includes the secretion of cytokines that down-regulate the host immune response resulting in tumor survival. The mechanisms of cytokine-induced immunosuppression are not well understood and are considered in this study. Glioma cells were incubated with supernatant from activated and naive T-cells. A separate cul- ture of T-cells (naive, CD3-activated, and CD3/CD28 activated) was then incubated with conditioned media from the treated glioma cells as well as individual and combination recombinant cytokines. These T-cells were tested for viability, proliferation and IFN-� release. Several conclusions were drawn from these experiments: cytotoxicity is not a means of glioma immunosuppression, glioma conditioned media decreases proliferation of CD3/CD28 activated T-cells acting po- tentially through IL10 and IGFBP, and these cytokines also decrease IFN-� secretion from all varieties of T-cells suggest- ing that T-cell differentiation away from TH1 is another potential means of immunosuppression. These results necessitate further analysis of proliferation and differentiation as potential mechanisms of immunosuppression and the incorporation of this knowledge into the production of a more efficacious tumor vaccine.
胶质瘤免疫抑制包括细胞因子的分泌,下调宿主免疫反应,导致肿瘤存活。细胞因子诱导的免疫抑制机制尚不清楚,并在本研究中加以考虑。胶质瘤细胞用活化t细胞和幼稚t细胞的上清液孵育。t细胞(未处理的、CD3激活的和CD3/CD28激活的)的单独培养,然后用处理过的胶质瘤细胞以及单个和组合重组细胞因子的条件培养基孵育。检测这些t细胞的活力、增殖和IFN-释放。从这些实验中得出了几个结论:细胞毒性不是神经胶质瘤免疫抑制的一种手段,神经胶质瘤条件介质减少CD3/CD28激活的t细胞的增殖,这些细胞因子也减少各种t细胞的IFN-分泌,这表明t细胞从TH1分化是另一种潜在的免疫抑制手段。这些结果需要进一步分析增殖和分化作为免疫抑制的潜在机制,并将这些知识纳入更有效的肿瘤疫苗的生产中。
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引用次数: 4
Tumor-DNA Based Vaccines Fail to Induce Autoimmune Disease in Mice 基于肿瘤dna的疫苗不能诱导小鼠自身免疫性疾病
Pub Date : 2010-12-31 DOI: 10.2174/1876401001003010041
I. O-Sullivan, T. Lichtor, R. Glick, E. Cohen
Allogeneic cellular cancer vaccines that express tumor antigens specified by tumor-DNA have been found to be effective in the treatment of mice with intracerebral breast cancer, a metastasis model system. The vaccines were prepared by the transfer of genomic DNA from a spontaneously arising adenocarcinoma of the mammary gland into a mouse fibro- blast cell line (LM). The immunity in tumor-bearing mice treated by immunization with the DNA-based vaccines was specific for the type of tumor from which the DNA was obtained. It was driven mainly by CD8+ T-cells. Here, we present data indicating that animals receiving the therapeutic vaccines failed to exhibit signs of autoimmunity, as indicated by an examination of various H/E stained organs and tissues including brain for infiltrating inflammatory cells and by the ab- sence of serum anti-nuclear antibody (ANA) in the immunized mice. In addition, tumors derived from the vaccine itself failed to develop in immune-competent tumor-free mice injected with the non-irradiated allogeneic vaccines alone.
表达肿瘤dna特异性肿瘤抗原的同种异体细胞癌疫苗已被发现对小鼠脑内乳腺癌(一种转移模型系统)的治疗有效。该疫苗是通过将自发产生的乳腺腺癌的基因组DNA转移到小鼠成纤维细胞系(LM)中制备的。以DNA为基础的疫苗免疫的荷瘤小鼠的免疫对获得DNA的肿瘤类型具有特异性。它主要由CD8+ t细胞驱动。在这里,我们提供的数据表明,接受治疗性疫苗的动物没有表现出自身免疫的迹象,这是通过对包括脑在内的各种H/E染色器官和组织的浸润性炎症细胞的检查以及免疫小鼠血清抗核抗体(ANA)的缺失所表明的。此外,在仅注射未辐照的同种异体疫苗的无免疫能力小鼠中,疫苗本身产生的肿瘤不能发展。
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引用次数: 0
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The Open cancer immunology journal
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