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PDLIM1 Inhibits Chemoresistance by Blocking DNA Damage Repair in Gastric Cancer. PDLIM1 通过阻断胃癌 DNA 损伤修复抑制化疗耐药性
Pub Date : 2024-05-22 DOI: 10.2174/0115748928307544240502064448
Yuli Chen, Xin Yang, Qiang Li

Objective: Current cisplatin (CDDP) resistance remains a major challenge in the treatment of advanced gastric cancer. To address the issue of drug resistance, we explored the regulatory functions of PDZ and LIM structural domain protein 1 (PDLIM1) in CDDP chemotherapy for gastric cancer.

Methods: In this study, we analyzed PDLIM1 expression and prognosis using bioinformatics on publicly available data. PDLIM1 expression in a gastric mucosal epithelial cell line (GSE-1), CDDP- sensitive (SGC7901, BGC823) and CDDP-resistant gastric cancer cells was detected by RTqPCR and Western blotting. Cell proliferative capacity was assessed by knockdown of PDLIM1 and overexpression of PDLIM1 in cells administered in combination with cisplatin, and apoptotic levels were measured by CCK-8 and colony formation assay and by flow cytometry. Expression of breast cancer susceptibility gene 1 (BRCA1) and γH2AX was determined by Western blotting or immunofluorescence staining.

Results: Downregulation of PDLIM1 was found in tumor tissues and cells, which was associated with poor clinical outcomes. Knockdown of PDLIM1 enhanced proliferation and attenuated apoptosis in gastric cancer cells. In addition, the therapeutic effects of CDDP on proliferation, apoptosis, and DNA damage repair were attenuated by PDLIM1 deletion.PDLIM1 expression was downregulated in CDDP-resistant tumor cells. Overexpression of PDLIM1 overcomes CDDP resistance in tumor cells as BRCA1 expression decreases and γH2AX expression increases.

Conclusion: Our findings demonstrate that PDLIM1 enables to alleviate gastric cancer progression and resistance to cisplatin via impeding DNA damage repair.

目的:目前顺铂(CDDP)耐药性仍是晚期胃癌治疗中的一大挑战。为了解决耐药性问题,我们探讨了 PDZ 和 LIM 结构域蛋白 1(PDLIM1)在 CDDP 化疗胃癌中的调控功能:在这项研究中,我们利用生物信息学分析了 PDLIM1 的表达和预后。通过 RTqPCR 和 Western 印迹法检测了 PDLIM1 在胃黏膜上皮细胞系(GSE-1)、CDDP 敏感型(SGC7901、BGC823)和 CDDP 耐药型胃癌细胞中的表达。通过敲除 PDLIM1 和过表达 PDLIM1 评估了与顺铂联合用药的细胞的增殖能力,通过 CCK-8 和集落形成试验以及流式细胞术测量了细胞凋亡水平。乳腺癌易感基因1(BRCA1)和γH2AX的表达通过Western印迹或免疫荧光染色进行测定:结果:在肿瘤组织和细胞中发现了 PDLIM1 的下调,这与不良的临床预后有关。敲除 PDLIM1 会增强胃癌细胞的增殖并减少其凋亡。此外,CDDP对增殖、凋亡和DNA损伤修复的治疗作用因PDLIM1的缺失而减弱。随着 BRCA1 表达的减少和 γH2AX 表达的增加,过表达 PDLIM1 可克服肿瘤细胞的 CDDP 抗性:我们的研究结果表明,PDLIM1 可通过阻碍 DNA 损伤修复缓解胃癌的进展和顺铂耐药性。
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引用次数: 0
USP31 Activates the Wnt/β-catenin Signaling Pathway and Promotes Gastric Cancer Cell Proliferation, Invasion and Migration. USP31 激活 Wnt/β-catenin 信号通路并促进胃癌细胞增殖、侵袭和迁移
Pub Date : 2024-05-07 DOI: 10.2174/0115748928297343240425055552
Lan Li, Limin Ye, Yinying Cui, Yueting Wu, Ling Shui, Zheng Zong, Zhao Nie

Background: Gastric cancer (GC) has a poor prognosis because it is highly aggressive, yet there are currently few effective therapies available. Although protein ubiquitination has been shown to play a complex role in the development of gastric cancer, to date, no efficient ubiquitinating enzymes have been identified as treatment targets for GC.

Methods: The TCGA database was used for bioinformatic investigation of ubiquitin-specific protease 31 (USP31) expression in GC, and experimental techniques, including Western blotting, qRT-PCR, and immunohistochemistry, were used to confirm the findings. We also analyzed the relationship between USP31 expression and clinical prognosis in patients with GC. We further investigated the effects of USP31 on the proliferation, invasion, migration, and glycolysis of GC cells in vitro and in vivo by using colony formation, CCK-8 assays, Transwell chamber assays, cell scratch assays, and cell-derived xenograft. Furthermore, we examined the molecular processes by which USP31 influences the biological development of GC.

Results: Patients with high USP31 expression have a poor prognosis because USP31 is abundantly expressed in GC. Therefore, USP31 reduces the level of ubiquitination of the Wnt/β-catenin pathway by binding to β-catenin, thereby activating glycolysis, which ultimately promotes GC proliferation and aggressive metastasis.

Conclusion: USP31 inhibits ubiquitination of β-catenin by binding to it, stimulates the Wnt/β-- catenin pathway, activates glycolysis, and accelerates the biology of GCs, which are all demonstrated in this work.

背景:胃癌(GC)具有高度侵袭性,因此预后较差,但目前几乎没有有效的治疗方法。尽管蛋白质泛素化被证明在胃癌的发展过程中起着复杂的作用,但迄今为止,还没有发现高效的泛素化酶可作为胃癌的治疗靶点:方法:利用 TCGA 数据库对泛素特异性蛋白酶 31(USP31)在 GC 中的表达进行生物信息学调查,并利用 Western 印迹、qRT-PCR 和免疫组化等实验技术确认调查结果。我们还分析了 USP31 表达与 GC 患者临床预后之间的关系。我们通过菌落形成、CCK-8 试验、Transwell 室试验、细胞划痕试验和细胞衍生异种移植,进一步研究了 USP31 对 GC 细胞在体外和体内的增殖、侵袭、迁移和糖酵解的影响。此外,我们还研究了 USP31 影响 GC 生物发展的分子过程:结果:USP31 高表达的患者预后较差,因为 USP31 在 GC 中大量表达。因此,USP31通过与β-catenin结合,降低Wnt/β-catenin通路的泛素化水平,从而激活糖酵解,最终促进GC增殖和侵袭性转移:USP31通过与β-catenin结合抑制其泛素化,刺激Wnt/β-catenin通路,激活糖酵解,加速GCs的生物学进程,这些都在本研究中得到了证实。
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引用次数: 0
NIFK, a Potential Prognostic and Immunological Biomarker in Pan-- Cancer Analysis, Significantly Regulates Proliferation and Metastasis of Colorectal Cancer. NIFK是泛癌症分析中一种潜在的预后和免疫生物标记物,可显著调控结直肠癌的增殖和转移。
Pub Date : 2024-04-24 DOI: 10.2174/0115748928295346240406185103
Zhuoyuan Li, Shangbo Zhou, Ting Bin, Yuntao Shi, Leli Zeng, Bo Li, Jia Li, Yulong He, Changhua Zhang
BACKGROUNDAs a binding protein of Ki67, NIFK plays an important role in the mitosis of cells and is closely related to the progression of specific types of tumors. However, there is still a lack of systematic analysis of NIFK in pan-cancer and insufficient research to explore its role in human tumors.METHODSWe systematically evaluated the pan-cancer expression and mutation of NIFK in human cancers using data from The Cancer Genome Atlas (TCGA) through large-scale bioinformatics analysis. In addition, we explored the pan-cancer immunological characteristics of NIFK, especially in colorectal adenocarcinoma (COAD). Furthermore, we used single-cell sequencing to analyze the expression of NIFK in different cells of COAD tissues and performed GO, KEGG, and gene set enrichment analysis of NIFK in COAD. Lastly, we evaluated the effects of NIFK knockdown on the colorectal cancer cell lines in in vitro experiment.RESULTSWe found that NIFK was overexpressed in almost all types of tumors and showed significant prognostic efficacy. Additionally, correlations between NIFK and specific immune features, such as immune cell infiltration, immune checkpoint genes, TMB, and MSI, suggest that NIFK may be used to guide immunotherapy. Subsequently, it was found that the expression of NIFK was significantly upregulated in tumor cells through single-cell sequencing analysis, and the NIFK gene was closely associated with tumor progression and immune therapy response. Finally, we further elucidated the role of NIFK in colorectal cancer and found that downregulation of NIFK expression could inhibit the proliferation, migration, and invasion ability of colorectal cancer cells.CONCLUSIONThe results of this study demonstrated that NIFK, as a member of the pan-cancer genes, will serve as a biomarker and a potential therapeutic target for a range of cancer types, providing new insight into precision medicine.
背景作为Ki67的结合蛋白,NIFK在细胞有丝分裂过程中发挥着重要作用,并与特定类型肿瘤的进展密切相关。方法 我们利用癌症基因组图谱(The Cancer Genome Atlas,TCGA)中的数据,通过大规模生物信息学分析,系统评估了 NIFK 在人类癌症中的泛癌表达和突变情况。此外,我们还探讨了 NIFK 的泛癌免疫学特征,尤其是在结直肠腺癌(COAD)中的表现。此外,我们还利用单细胞测序分析了NIFK在COAD组织不同细胞中的表达,并对NIFK在COAD中的表达进行了GO、KEGG和基因组富集分析。最后,我们在体外实验中评估了敲除 NIFK 对结直肠癌细胞系的影响。此外,NIFK 与特定免疫特征(如免疫细胞浸润、免疫检查点基因、TMB 和 MSI)之间的相关性表明,NIFK 可用于指导免疫疗法。随后,通过单细胞测序分析发现,NIFK在肿瘤细胞中的表达明显上调,且NIFK基因与肿瘤进展和免疫治疗反应密切相关。最后,我们进一步阐明了 NIFK 在结直肠癌中的作用,发现下调 NIFK 的表达可抑制结直肠癌细胞的增殖、迁移和侵袭能力。
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引用次数: 0
The Emerging Role of ADAM 12 Regulates Epithelial-mesenchymal Transition by Activating the Wnt/β-catenin Signaling Pathway in Colorectal Cancer. ADAM 12 通过激活结直肠癌中的 Wnt/β-catenin 信号通路调控上皮-间质转化的新作用
Pub Date : 2024-04-23 DOI: 10.2174/0115748928305105240417101251
Chengchen Huang, Jian Wang, Jianqin Xiang, Chunrong Wu, Fan Wang, Jiangyan Chen, Guiyin Sun, Debing Xiang

Objective: The objective of this study is to investigate the expression and regulatory mechanisms of A disintegrin and metalloproteinase domain 12 (ADAM12) in colorectal cancer (CRC) tissues and cells.

Methods: Download and analyze the expression levels of ADAM12 in the TCGA and GSE68468 datasets. Collect paraffin-preserved specimens from the Chongqing University Jiangjin Hospital from April 2017 to December 2019 and detect the expression of ADAM12 through immunohistochemistry. Cell experiments were conducted using colorectal cancer cell lines (SW480, HCT116), and cells with high expression of ADAM12 were selected for silencing experiments, and cell proliferation ability using CCK-8, and migration ability of cells in each group using scratch assay and Transwell invasion assay. The EMT markers (E-cadherin, N-cadherin, Vimentin, Twist) and the Wnt/β-catenin markers (β-catenin, GSK-3β, p-GSK-3β, C-MYC, MMP-7) were detected using western blot. We construct a nude mouse CRC tumor model and validate the effect of ADAM12 on EMT and Wnt/β-catenin through immunohistochemistry and Western blot.

Results: Bioinformatics showed that increased expression of ADAM12 was strongly correlated with patient prognosis. Immunohistochemistry showed that elevated ADAM12 was associated with vascular invasion (p < 0.05), neurological invasion (p < 0.01), lymph node metastasis (p < 0.01), and TNM staging (p < 0.001). Experiments on cell function revealed that the ADAM12 overexpression group augmented CRC cells' proliferation and migration. After overexpression of ADAM12, the expression of N-cadherin, Vimentin, and Twist increased, while the expression of E-cadherin decreased (p < 0.01). The expression of Proteins related to Wnt/β-catenin: β-catenin, p-GSK-3 β, C-MYC and MMP-7 increased (p < 0.01), and Wnt/β-catenin inhibitor MSAB can counteract the effect of ADAM12 on EMT in CRC cells. The subcutaneous tumor formation experiment results in nude mice showed that ADAM12 promoted tumor growth and induced EMT compared to the control group.

Conclusion: ADAM12 overexpression through the Wnt/β-catenin signal axis controls the EMT of CRC to promote invasion and metastasis.

研究目的本研究旨在探讨ADAM12(A disintegrin and metalloproteinase domain 12)在结直肠癌(CRC)组织和细胞中的表达和调控机制:下载并分析 TCGA 和 GSE68468 数据集中 ADAM12 的表达水平。收集重庆大学江津医院2017年4月至2019年12月的石蜡保存标本,通过免疫组化检测ADAM12的表达。利用结直肠癌细胞株(SW480、HCT116)进行细胞实验,选择ADAM12高表达的细胞进行沉默实验,利用CCK-8检测细胞增殖能力,利用划痕实验和Transwell侵袭实验检测各组细胞的迁移能力。用 Western blot 检测 EMT 标记(E-cadherin、N-cadherin、Vimentin、Twist)和 Wnt/β-catenin 标记(β-catenin、GSK-3β、p-GSK-3β、C-MYC、MMP-7)。我们构建了裸鼠 CRC 肿瘤模型,并通过免疫组化和 Western blot 验证了 ADAM12 对 EMT 和 Wnt/β-catenin 的影响:生物信息学研究表明,ADAM12表达的增加与患者的预后密切相关。免疫组化显示,ADAM12的升高与血管侵犯(p < 0.05)、神经侵犯(p < 0.01)、淋巴结转移(p < 0.01)和TNM分期(p < 0.001)相关。细胞功能实验显示,ADAM12过表达组增强了CRC细胞的增殖和迁移。过表达 ADAM12 后,N-cadherin、Vimentin 和 Twist 的表达增加,而 E-cadherin 的表达减少(p < 0.01)。Wnt/β-catenin相关蛋白:β-catenin、p-GSK-3 β、C-MYC和MMP-7的表达增加(p < 0.01),而Wnt/β-catenin抑制剂MSAB能对抗ADAM12对CRC细胞EMT的影响。裸鼠皮下肿瘤形成实验结果表明,与对照组相比,ADAM12能促进肿瘤生长并诱导EMT:结论:ADAM12的过表达通过Wnt/β-catenin信号轴控制CRC的EMT,从而促进肿瘤的侵袭和转移。
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引用次数: 0
UBE2L3 Promotes Oxidative Stress-regulated Necroptosis to Accelerate Osteosarcoma Progression. UBE2L3 促进氧化应激调控的坏死加速骨肉瘤进展
Pub Date : 2024-02-21 DOI: 10.2174/0115748928297557240212112531
Xiwu Zhao, Guoqiang Shan, Deguo Xing, Hongwei Gao, Zhenggang Xiong, Wenpeng Hui, Mingzhi Gong

Background: Osteosarcoma is a highly invasive bone marrow stromal tumor with limited treatment options. Oxidative stress plays a crucial role in the development and progression of tumors, but the underlying regulatory mechanisms are not fully understood. Recent studies have revealed the significant involvement of UBE2L3 in oxidative stress, but its specific role in osteosarcoma remains poorly investigated.

Objective: This study aimed to explore the molecular mechanisms by which UBE2L3 promotes oxidative stress-regulated necroptosis to accelerate the progression of osteosarcoma using in vitro cell experiments.

Methods: Human osteoblast hFOB1.19 cells and various human osteosarcoma cell lines (MG-63, U2OS, SJSA-1, HOS, and 143B) were cultured in vitro. Plasmids silencing UBE2L3 and negative control plasmids were transfected into U2OS and HOS cells. The cells were divided into the following groups: U2OS cell group, HOS cell group, si-NC-U2OS cell group, si-UBE2L3-U2OS cell group, si-NC-HOS cell group, and si-UBE2L3-HOS cell group. Cell viability and proliferation capacity were measured using the Tunnel method and clonogenic assay. Cell migration and invasion abilities were assessed by Transwell and scratch assays. Cell apoptosis was analyzed by flow cytometry, and ROS levels were detected using immunofluorescence. The oxidative stress levels in various cell groups and the expression changes of necroptosis-related proteins were assessed by PCR and WB. Through these experiments, we aim to evaluate the impact of oxidative stress on necroptosis and uncover the specific mechanisms by which targeted regulation of oxidative stress promotes tumor cell necroptosis as a potential therapeutic strategy for osteosarcoma.

Results: The mRNA expression levels of UBE2L3 in human osteosarcoma cell lines were significantly higher than those in human osteoblast hFOB1.19 cells (p <0.01). UBE2L3 expression was significantly decreased in U2OS and HOS cells transfected with si-UBE2L3, indicating the successful construction of stable cell lines with depleted UBE2L3. Tunnel assay results showed a significant increase in the number of red fluorescent-labeled cells in si-UBE2L3 groups compared to si-NC groups in both cell lines, suggesting a pronounced inhibition of cell viability. Transwell assay demonstrated a significant reduction in invasion and migration capabilities of si-UBE2L3 groups in osteosarcoma cells. The clonogenic assay revealed significant suppression of proliferation and clonogenic ability in both U2OS and HOS cells upon UBE2L3 knockdown. Flow cytometry confirmed that UBE2L3 knockdown significantly enhanced apoptosis in U2OS and HOS cells. Immunofluorescence results showed that UBE2L3 silencing promoted oxidative stress levels in osteosarcoma cells and facilitated tumor cell death. WB analysis indicated a significant increase in phosphorylation levels of necroptosis-relate

背景:骨肉瘤是一种侵袭性极强的骨髓基质肿瘤,治疗方案有限。氧化应激在肿瘤的发生和发展中起着至关重要的作用,但其潜在的调控机制尚未完全明了。最近的研究揭示了 UBE2L3 在氧化应激中的重要参与作用,但其在骨肉瘤中的具体作用仍未得到充分研究:本研究旨在利用体外细胞实验探讨 UBE2L3 促进氧化应激调控的坏死加速骨肉瘤进展的分子机制。方法:体外培养人成骨细胞 hFOB1.19 细胞和各种人骨肉瘤细胞系(MG-63、U2OS、SJSA-1、HOS 和 143B)。将沉默 UBE2L3 的质粒和阴性对照质粒转染到 U2OS 和 HOS 细胞中。细胞被分为以下几组U2OS 细胞组、HOS 细胞组、si-NC-U2OS 细胞组、si-UBE2L3-U2OS 细胞组、si-NC-HOS 细胞组和 si-UBE2L3-HOS 细胞组。细胞活力和增殖能力采用隧道法和克隆生成试验进行测定。细胞迁移和侵袭能力通过 Transwell 和划痕实验进行评估。流式细胞术分析细胞凋亡,免疫荧光检测 ROS 水平。通过 PCR 和 WB 评估了不同细胞组的氧化应激水平和坏死相关蛋白的表达变化。通过这些实验,我们旨在评估氧化应激对坏死的影响,并揭示靶向调节氧化应激促进肿瘤细胞坏死的具体机制,以此作为骨肉瘤的一种潜在治疗策略:结果:UBE2L3在人骨肉瘤细胞系中的mRNA表达水平明显高于人成骨细胞hFOB1.19细胞(p 结论:UBE2L3在人骨肉瘤细胞系中的表达水平明显高于人成骨细胞hFOB1.19细胞:UBE2L3在骨肉瘤细胞中上调,沉默UBE2L3会促进这些细胞中的氧化应激,从而导致骨肉瘤坏死增强和进展延迟。
{"title":"UBE2L3 Promotes Oxidative Stress-regulated Necroptosis to Accelerate Osteosarcoma Progression.","authors":"Xiwu Zhao, Guoqiang Shan, Deguo Xing, Hongwei Gao, Zhenggang Xiong, Wenpeng Hui, Mingzhi Gong","doi":"10.2174/0115748928297557240212112531","DOIUrl":"https://doi.org/10.2174/0115748928297557240212112531","url":null,"abstract":"<p><strong>Background: </strong>Osteosarcoma is a highly invasive bone marrow stromal tumor with limited treatment options. Oxidative stress plays a crucial role in the development and progression of tumors, but the underlying regulatory mechanisms are not fully understood. Recent studies have revealed the significant involvement of UBE2L3 in oxidative stress, but its specific role in osteosarcoma remains poorly investigated.</p><p><strong>Objective: </strong>This study aimed to explore the molecular mechanisms by which UBE2L3 promotes oxidative stress-regulated necroptosis to accelerate the progression of osteosarcoma using in vitro cell experiments.</p><p><strong>Methods: </strong>Human osteoblast hFOB1.19 cells and various human osteosarcoma cell lines (MG-63, U2OS, SJSA-1, HOS, and 143B) were cultured in vitro. Plasmids silencing UBE2L3 and negative control plasmids were transfected into U2OS and HOS cells. The cells were divided into the following groups: U2OS cell group, HOS cell group, si-NC-U2OS cell group, si-UBE2L3-U2OS cell group, si-NC-HOS cell group, and si-UBE2L3-HOS cell group. Cell viability and proliferation capacity were measured using the Tunnel method and clonogenic assay. Cell migration and invasion abilities were assessed by Transwell and scratch assays. Cell apoptosis was analyzed by flow cytometry, and ROS levels were detected using immunofluorescence. The oxidative stress levels in various cell groups and the expression changes of necroptosis-related proteins were assessed by PCR and WB. Through these experiments, we aim to evaluate the impact of oxidative stress on necroptosis and uncover the specific mechanisms by which targeted regulation of oxidative stress promotes tumor cell necroptosis as a potential therapeutic strategy for osteosarcoma.</p><p><strong>Results: </strong>The mRNA expression levels of UBE2L3 in human osteosarcoma cell lines were significantly higher than those in human osteoblast hFOB1.19 cells (p <0.01). UBE2L3 expression was significantly decreased in U2OS and HOS cells transfected with si-UBE2L3, indicating the successful construction of stable cell lines with depleted UBE2L3. Tunnel assay results showed a significant increase in the number of red fluorescent-labeled cells in si-UBE2L3 groups compared to si-NC groups in both cell lines, suggesting a pronounced inhibition of cell viability. Transwell assay demonstrated a significant reduction in invasion and migration capabilities of si-UBE2L3 groups in osteosarcoma cells. The clonogenic assay revealed significant suppression of proliferation and clonogenic ability in both U2OS and HOS cells upon UBE2L3 knockdown. Flow cytometry confirmed that UBE2L3 knockdown significantly enhanced apoptosis in U2OS and HOS cells. Immunofluorescence results showed that UBE2L3 silencing promoted oxidative stress levels in osteosarcoma cells and facilitated tumor cell death. WB analysis indicated a significant increase in phosphorylation levels of necroptosis-relate","PeriodicalId":94186,"journal":{"name":"Recent patents on anti-cancer drug discovery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Survival Benefits of Ganoderma Lucidum in Early-stage Triple-negative Breast Cancer: A Real World Study. 灵芝对早期三阴性乳腺癌患者生存的益处:一项真实世界研究
Pub Date : 2024-02-20 DOI: 10.2174/0115748928282946240111114448
Baohong Jiang, Na Li, Wei Du, Lijun Zeng, Yuanbin Tang, Lunqi Luo, Hongbo Zhu, Feng Ye

Background: Ganoderma lucidum extracts are widely used as adjuvants in the treatment of triple-negative breast cancers (TNBC) in China. However, its clinical value in TNBC remains unclear. Therefore, we investigated the clinical effect of Ganoderma lucidum spore powder (GLSP) on prognosis in patients with early-stage TNBC in this study.

Methods: A total of 388 patients who were diagnosed with TNBC at the Sun Yat-sen University Cancer Center from February 2012 to December 2017 were retrospectively reviewed. The propensity score matching (PSM) method was applied to balance baseline data. Kaplan-Meier method and Cox proportional hazards model were used to evaluate the relationship between GLSP and prognosis.

Results: Of the 388 patients, 72 (18.6%) patients took GLSP. After PSM, 208 patients were selected for analysis, including 71 (34.1%) patients who took the powder. The median followup period was 51 months. The patients who took GLSP (the treatment group) and those who did not take GLSP (the control group) were similar in most clinico-pathological features before being matched. However, the proportion of patients who received breast-conserving surgery in the treatment group was higher (27.8% vs. 16.1%; p =0.021) than in the control group. No significant difference was found in the baseline data between the two groups for the matched cohort (all p >0.05). Univariate analysis and multivariate analysis showed that patients taking GLSP benefited from improved overall survival (OS) (HR=0.159, p = 0.002) and disease-free survival (DFS) (HR=0.232, p = 0.005) before being matched. The main result of the survival analysis after matching was similar to that described above. Patients in the treatment group achieved both greater OS and DFS benefits than patients in the control group (all p < 0.05). In stratified analysis according to TNM stages, after adjusting for the significant prognostic factors, multivariate analysis revealed that the treatment group had better OS than the control group for patients in stages II and III (HR=0.172, p =0.004).

Conclusions: The results of this real-world propensity-score-matched study suggest that GLSP can improve OS and DFS in early-stage TNBC patients. A higher OS was observed for patients taking GLSP, particularly in stage II and stage III.

背景:灵芝提取物在中国被广泛用作治疗三阴性乳腺癌(TNBC)的辅助药物。然而,其在 TNBC 中的临床价值仍不明确。因此,本研究探讨了灵芝孢子粉(GLSP)对早期TNBC患者预后的临床影响:回顾性分析2012年2月至2017年12月在中山大学肿瘤防治中心确诊的388例TNBC患者。采用倾向评分匹配法(PSM)平衡基线数据。采用Kaplan-Meier法和Cox比例危险模型评估GLSP与预后的关系:388例患者中,72例(18.6%)服用了GLSP。经过PSM后,208名患者被选中进行分析,其中71名(34.1%)患者服用了GLSP粉。中位随访期为 51 个月。在配对前,服用格列卫粉的患者(治疗组)和未服用格列卫粉的患者(对照组)在大多数临床病理特征上相似。不过,治疗组中接受保乳手术的患者比例(27.8% 对 16.1%;P =0.021)高于对照组。在配对队列中,两组患者的基线数据无明显差异(P 均大于 0.05)。单变量分析和多变量分析显示,在配对前,服用GLSP的患者总生存期(OS)(HR=0.159,P=0.002)和无病生存期(DFS)(HR=0.232,P=0.005)均有改善。配对后生存分析的主要结果与上述结果相似。治疗组患者的 OS 和 DFS 均优于对照组患者(所有 P <0.05)。在根据TNM分期进行的分层分析中,在调整了重要的预后因素后,多变量分析显示,对于II期和III期患者,治疗组的OS优于对照组(HR=0.172,P=0.004):这项真实世界倾向分数匹配研究的结果表明,GLSP可改善早期TNBC患者的OS和DFS。服用GLSP的患者,尤其是II期和III期患者的OS更高。
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引用次数: 0
Metformin Inhibits NLRP3 Inflammasome Expression and Regulates Inflammatory Microenvironment to Delay the Progression of Colorectal Cancer. 二甲双胍抑制 NLRP3 炎症小体的表达并调节炎症微环境,从而延缓结直肠癌的进展。
Pub Date : 2024-02-09 DOI: 10.2174/0115748928274081240201060643
Gaojie Liu, Feixiang Wang, Yanlin Feng, Hongsheng Tang

Background: Colorectal cancer is a common malignant tumor, with about one million people diagnosed with it worldwide each year. Recent studies have found that metformin can inhibit the production of inflammatory factors and regulate the polarization of immune cells. However, whether metformin can regulate the inflammatory microenvironment and delay the progression of colorectal cancer by inhibiting the inflammatory response has not been deeply studied yet.

Objective: This study aimed to explore the molecular mechanism by which metformin inhibits the expression of NLRP3 inflammasome, regulates the inflammatory microenvironment, and delays the progression of colorectal cancer through in vitro cell experiments.

Methods: In this research, NLRP3 was knocked down in human colorectal cancer cells, and metformin was added to them. Cell proliferation ability was detected by CCK8, and cell migration and invasion abilities were assessed by Transwell assay. The apoptosis rate was determined by flow cytometry. In addition, the expression of NLRP3 inflammatory vesicles and inflammatory factors in each group of cells was studied by qRT-PCR and Western blotting. Finally, clinical colorectal cancer samples were analyzed by immunohistochemistry.

Results: The results of the study showed that NLRP3 expression was significantly increased in colorectal cancer cell lines and human colorectal cancer tissues. Knockdown of NLRP3 significantly inhibited tumor cell proliferation, migration, and invasion. In addition, the proliferation, migration and invasion of tumor cells were also significantly reduced by the addition of metformin intervention. Furthermore, qRT-PCR and WB results demonstrated that the expression of IL-1β, IL-6, TNF- α, TGF-β, and IL-10 was down-regulated in LS1034 tumor cells after NLRP3 knockdown. In addition, metformin intervention also resulted in different degrees of downregulation of NLRP3 and inflammatory factor expression (p <0.05). Notably, the reduction in inflammatory factors was more pronounced after the combination of NLRP3 knockdown and metformin intervention.

Conclusion: Metformin can inhibit the expression of NLRP3 inflammasome, thereby suppressing the expression of inflammation-related factors, reducing the damage of the inflammatory microenvironment to normal cells, and delaying the progression of colorectal cancer.

背景:结直肠癌是一种常见的恶性肿瘤,全世界每年约有 100 万人被确诊为结直肠癌。最近的研究发现,二甲双胍可以抑制炎症因子的产生,并调节免疫细胞的极化。然而,二甲双胍是否能通过抑制炎症反应来调节炎症微环境并延缓结直肠癌的进展尚未得到深入研究:本研究旨在通过体外细胞实验,探讨二甲双胍抑制NLRP3炎性体表达、调节炎性微环境、延缓结直肠癌进展的分子机制:方法:本研究在人大肠癌细胞中敲除 NLRP3,并加入二甲双胍。用 CCK8 检测细胞增殖能力,用 Transwell 试验评估细胞迁移和侵袭能力。细胞凋亡率由流式细胞术测定。此外,还通过 qRT-PCR 和 Western 印迹法研究了各组细胞中 NLRP3 炎性小泡和炎性因子的表达。最后,对临床结直肠癌样本进行了免疫组化分析:研究结果表明,NLRP3 在结直肠癌细胞系和人类结直肠癌组织中的表达明显增加。敲除 NLRP3 能明显抑制肿瘤细胞的增殖、迁移和侵袭。此外,加入二甲双胍干预后,肿瘤细胞的增殖、迁移和侵袭也明显减少。此外,qRT-PCR和WB结果显示,NLRP3敲除后,LS1034肿瘤细胞中IL-1β、IL-6、TNF- α、TGF-β和IL-10的表达下调。此外,二甲双胍干预也会导致不同程度的 NLRP3 和炎症因子表达下调(p 结论:二甲双胍可抑制 NLRP3 和炎症因子的表达:二甲双胍可抑制 NLRP3 炎性体的表达,从而抑制炎症相关因子的表达,减轻炎性微环境对正常细胞的损伤,延缓结直肠癌的进展。
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引用次数: 0
Screening of Candidate Inflammatory Markers of Epithelial Cells in Hepatocellular Carcinoma Based on Integration Analysis of TCGA/ICGC Databases and Single-cell Sequencing. 基于 TCGA/ICGC 数据库和单细胞测序的整合分析筛选肝细胞癌上皮细胞的候选炎症标记物
Pub Date : 2024-01-30 DOI: 10.2174/0115748928256530240124093759
Zupin Huang, Zhuokai Li, Xinliang Lv, Wei Tan

Background: Hepatocellular Carcinoma (HCC) is closely linked to inflammatory reactions, with chronic liver diseases acting as major risk factors. In the inflammatory microenvironment, repeated damage and repair of liver cells lead to genetic mutations, abnormal proliferation, and tumorigenesis.

Objective: This study aimed to investigate the expression profile of specific cell clusters under inflammatory stimulation in HCC and identify potential therapeutic drugs.

Methods: Comprehensive analysis of HCC transcriptome data and single-cell sequencing data from TCGA, ICGC, and GEO databases was conducted to explore the specific molecular mechanisms of epithelial cells. Virtual screening of natural compounds in the ZINC database and in vitro cell experiments were performed to identify drugs that regulate the expression of inflammatory factors in epithelial cells.

Results: Analysis of the single-cell dataset revealed cell clusters closely associated with HCC, notably Epithelial cells, Hepatocytes, MSC, and iPS cells, with Epithelial cells playing a pivotal role in HCC development. Further investigation of TCGA data unveiled 83 differentially expressed genes (DEGs) related to inflammatory responses in HCC. Intersection analysis of DEGs in epithelial cells and HCC DEGs identified 12 common DEGs, including ADRM1, ATP2B1, FZD5, GPC3, KIF1B, KLF6, LY6E, MET, NAMPT, SERPINE1, SPHK1, and SRI. Prognostic analysis revealed that CCL7, GPR132, ITGB8, PTAFR, SELL, and VIP were influential in the survival prognosis of HCC. A prognostic model based on the expression levels of these genes demonstrated an increased risk of HCC associated with higher differential expression of inflammatory response genes. Additionally, molecular dynamics simulations indicated that compounds NADH and Deferoxamine formed stable docking models with the inflammatory protein VIP, suggesting their potential as candidates for targeted therapy.

Conclusion: Inflammatory factors CCL7, GPR132, ITGB8, PTAFR, SELL, and VIP influence the inflammatory cascade response in HCC epithelial cells, and their expression correlates with the survival prognosis of HCC patients. Interfering with VIP expression effectively suppresses proliferation, migration, and invasion of HCC cells, as well as inhibiting the occurrence of inflammatory cascade reactions, thus slowing down the progression of hepatocellular carcinoma. Furthermore, compounds NADH and Deferoxamine have the potential to target and bind to the inflammatory protein VIP, highlighting their relevance in potential HCC treatment.

背景:肝细胞癌(HCC)与炎症反应密切相关,慢性肝病是其主要风险因素。在炎症微环境中,肝细胞的反复损伤和修复导致基因突变、异常增殖和肿瘤发生:本研究旨在调查 HCC 炎症刺激下特定细胞群的表达谱,并确定潜在的治疗药物:方法:综合分析HCC转录组数据和来自TCGA、ICGC和GEO数据库的单细胞测序数据,探索上皮细胞的特定分子机制。对 ZINC 数据库中的天然化合物进行虚拟筛选,并进行体外细胞实验,以确定能调节上皮细胞中炎症因子表达的药物:对单细胞数据集的分析发现了与HCC密切相关的细胞群,特别是上皮细胞、肝细胞、间充质干细胞和iPS细胞,其中上皮细胞在HCC的发展中起着关键作用。对 TCGA 数据的进一步研究发现了 83 个与 HCC 炎症反应相关的差异表达基因(DEGs)。上皮细胞中的 DEGs 与 HCC DEGs 的交叉分析发现了 12 个常见的 DEGs,包括 ADRM1、ATP2B1、FZD5、GPC3、KIF1B、KLF6、LY6E、MET、NAMPT、SERPINE1、SPHK1 和 SRI。预后分析表明,CCL7、GPR132、ITGB8、PTAFR、SELL 和 VIP 对 HCC 的生存预后有影响。基于这些基因表达水平的预后模型表明,炎症反应基因的差异表达越高,患 HCC 的风险就越大。此外,分子动力学模拟表明,化合物 NADH 和去铁胺与炎症蛋白 VIP 形成了稳定的对接模型,表明它们有可能成为靶向治疗的候选药物:结论:炎症因子CCL7、GPR132、ITGB8、PTAFR、SELL和VIP影响着HCC上皮细胞的炎症级联反应,它们的表达与HCC患者的生存预后相关。干扰 VIP 的表达可有效抑制 HCC 细胞的增殖、迁移和侵袭,并抑制炎症级联反应的发生,从而减缓肝细胞癌的进展。此外,NADH 和去铁胺化合物具有靶向和结合炎症蛋白 VIP 的潜力,突出了它们在潜在的 HCC 治疗中的相关性。
{"title":"Screening of Candidate Inflammatory Markers of Epithelial Cells in Hepatocellular Carcinoma Based on Integration Analysis of TCGA/ICGC Databases and Single-cell Sequencing.","authors":"Zupin Huang, Zhuokai Li, Xinliang Lv, Wei Tan","doi":"10.2174/0115748928256530240124093759","DOIUrl":"https://doi.org/10.2174/0115748928256530240124093759","url":null,"abstract":"<p><strong>Background: </strong>Hepatocellular Carcinoma (HCC) is closely linked to inflammatory reactions, with chronic liver diseases acting as major risk factors. In the inflammatory microenvironment, repeated damage and repair of liver cells lead to genetic mutations, abnormal proliferation, and tumorigenesis.</p><p><strong>Objective: </strong>This study aimed to investigate the expression profile of specific cell clusters under inflammatory stimulation in HCC and identify potential therapeutic drugs.</p><p><strong>Methods: </strong>Comprehensive analysis of HCC transcriptome data and single-cell sequencing data from TCGA, ICGC, and GEO databases was conducted to explore the specific molecular mechanisms of epithelial cells. Virtual screening of natural compounds in the ZINC database and in vitro cell experiments were performed to identify drugs that regulate the expression of inflammatory factors in epithelial cells.</p><p><strong>Results: </strong>Analysis of the single-cell dataset revealed cell clusters closely associated with HCC, notably Epithelial cells, Hepatocytes, MSC, and iPS cells, with Epithelial cells playing a pivotal role in HCC development. Further investigation of TCGA data unveiled 83 differentially expressed genes (DEGs) related to inflammatory responses in HCC. Intersection analysis of DEGs in epithelial cells and HCC DEGs identified 12 common DEGs, including ADRM1, ATP2B1, FZD5, GPC3, KIF1B, KLF6, LY6E, MET, NAMPT, SERPINE1, SPHK1, and SRI. Prognostic analysis revealed that CCL7, GPR132, ITGB8, PTAFR, SELL, and VIP were influential in the survival prognosis of HCC. A prognostic model based on the expression levels of these genes demonstrated an increased risk of HCC associated with higher differential expression of inflammatory response genes. Additionally, molecular dynamics simulations indicated that compounds NADH and Deferoxamine formed stable docking models with the inflammatory protein VIP, suggesting their potential as candidates for targeted therapy.</p><p><strong>Conclusion: </strong>Inflammatory factors CCL7, GPR132, ITGB8, PTAFR, SELL, and VIP influence the inflammatory cascade response in HCC epithelial cells, and their expression correlates with the survival prognosis of HCC patients. Interfering with VIP expression effectively suppresses proliferation, migration, and invasion of HCC cells, as well as inhibiting the occurrence of inflammatory cascade reactions, thus slowing down the progression of hepatocellular carcinoma. Furthermore, compounds NADH and Deferoxamine have the potential to target and bind to the inflammatory protein VIP, highlighting their relevance in potential HCC treatment.</p>","PeriodicalId":94186,"journal":{"name":"Recent patents on anti-cancer drug discovery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Statin Use and Hepatocellular Carcinoma Risk: A Comprehensive Meta- Analysis and Systematic Review. 他汀类药物的使用与肝细胞癌风险:全面的 Meta 分析和系统综述。
Pub Date : 2024-01-26 DOI: 10.2174/0115748928282686231221070441
Mahmood Reza Hashemi Rafsanjani, Rasoul Rahimi, Saeid Heidari-Soureshjani, Mohammad Darvishi, Omid-Ali Adeli, Saber Abbaszadeh

Background: Hepatocellular Carcinoma (HCC) is a public health problem around the world. Several studies have investigated the association between statin use and the risk of HCC, however, more studies are needed in this field.

Objectives: This systematic review and meta-analysis aimed to investigate the relationship between statin use and HCC risk.

Methods: Systematic searches of Web of Science, Scopus, PubMed, Cochrane, Science Direct, and Embase were conducted for studies published between 1980 and September 2023. Metaanalyses were performed using Stata 15 with a significance level of 0.05.

Results: The search retrieved 8,125 articles, of which 40 were included in the meta-analysis after applying eligibility criteria. The total sample was 5,732,948 participants, including 68,698 HCC cases. Statin use was associated with a 44% lower risk of HCC compared to non-use (RR 0.56, 95% CI 0.50-0.63, p < 0.001). The RR was 0.54 (0.42-0.69) in American countries, 0.52 (0.44-0.62) in Asian countries, and 0.63 (0.48-0.84) in European countries. The RR was 0.50 (0.42-0.60) in studies with a mean age <50 years and 0.61 (0.53-0.70) in studies with a mean age ≥50 years. No evidence of publication bias was found (Begg's test p = 0.718).

Conclusion: This meta-analysis found statin use is associated with a significantly lower HCC risk. Statins may be a promising preventive intervention against HCC.

背景:肝细胞癌(HCC肝细胞癌(HCC)是全世界的一个公共卫生问题。有几项研究调查了他汀类药物的使用与 HCC 风险之间的关系,但这一领域还需要更多的研究:本系统综述和荟萃分析旨在调查他汀类药物的使用与 HCC 风险之间的关系:方法:系统检索了 Web of Science、Scopus、PubMed、Cochrane、Science Direct 和 Embase 中 1980 年至 2023 年 9 月间发表的研究。使用 Stata 15 进行元分析,显著性水平为 0.05:搜索共检索到 8125 篇文章,其中 40 篇文章在适用资格标准后被纳入荟萃分析。样本总数为 5,732,948 人,其中包括 68,698 例 HCC 患者。与不使用他汀类药物相比,使用他汀类药物患 HCC 的风险降低了 44%(RR 为 0.56,95% CI 为 0.50-0.63,P < 0.001)。美洲国家的 RR 为 0.54(0.42-0.69),亚洲国家为 0.52(0.44-0.62),欧洲国家为 0.63(0.48-0.84)。在平均年龄为结论年龄的研究中,RR 为 0.50(0.42-0.60):这项荟萃分析发现,使用他汀类药物可显著降低 HCC 风险。他汀类药物可能是一种很有前景的预防 HCC 的干预措施。
{"title":"Statin Use and Hepatocellular Carcinoma Risk: A Comprehensive Meta- Analysis and Systematic Review.","authors":"Mahmood Reza Hashemi Rafsanjani, Rasoul Rahimi, Saeid Heidari-Soureshjani, Mohammad Darvishi, Omid-Ali Adeli, Saber Abbaszadeh","doi":"10.2174/0115748928282686231221070441","DOIUrl":"https://doi.org/10.2174/0115748928282686231221070441","url":null,"abstract":"<p><strong>Background: </strong>Hepatocellular Carcinoma (HCC) is a public health problem around the world. Several studies have investigated the association between statin use and the risk of HCC, however, more studies are needed in this field.</p><p><strong>Objectives: </strong>This systematic review and meta-analysis aimed to investigate the relationship between statin use and HCC risk.</p><p><strong>Methods: </strong>Systematic searches of Web of Science, Scopus, PubMed, Cochrane, Science Direct, and Embase were conducted for studies published between 1980 and September 2023. Metaanalyses were performed using Stata 15 with a significance level of 0.05.</p><p><strong>Results: </strong>The search retrieved 8,125 articles, of which 40 were included in the meta-analysis after applying eligibility criteria. The total sample was 5,732,948 participants, including 68,698 HCC cases. Statin use was associated with a 44% lower risk of HCC compared to non-use (RR 0.56, 95% CI 0.50-0.63, p < 0.001). The RR was 0.54 (0.42-0.69) in American countries, 0.52 (0.44-0.62) in Asian countries, and 0.63 (0.48-0.84) in European countries. The RR was 0.50 (0.42-0.60) in studies with a mean age <50 years and 0.61 (0.53-0.70) in studies with a mean age ≥50 years. No evidence of publication bias was found (Begg's test p = 0.718).</p><p><strong>Conclusion: </strong>This meta-analysis found statin use is associated with a significantly lower HCC risk. Statins may be a promising preventive intervention against HCC.</p>","PeriodicalId":94186,"journal":{"name":"Recent patents on anti-cancer drug discovery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139572487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment of Refractory p53 Mutation Large B-cell Lymphoma with Daratumumab and Venetoclax Followed by CAR-T Cell Therapy: Case Report and Animal Study. 用 Daratumumab 和 Venetoclax 治疗难治性 p53 突变大 B 细胞淋巴瘤,再用 CAR-T 细胞疗法:病例报告与动物实验。
Pub Date : 2024-01-23 DOI: 10.2174/0115748928273058231128073414
Duanhao Gong, Jia Gu, Kuangguo Zhou, Wei Huang

Background: The tumor burden before chimeric antigen receptor T (CAR-T) cell therapy was one of the critical factors affecting the prognosis of lymphoma. It was a challenge to effectively reduce the tumor burden of relapsed/refractory large B-cell lymphoma with p53 mutation.

Objective: Here, we have presented a case of relapsed/refractory large B-cell lymphoma with p53 mutation being controlled by the treatment with daratumumab and venetoclax, followed by CAR-T cell therapy.

Case presentation: The patient was a 56-year-old female who was diagnosed with relapsed/ refractory diffuse large B cell lymphoma (DLBCL) transformed from follicular lymphoma. The patient was treated with daratumumab, venetoclax, and GEMOX (gemcitabine and oxaliplatin) under the guidance of high-throughput drug sensitivity analysis. We used a CD38 positive lymphoma cell line with p53 mutation to construct tumor models for validating the anti- lymphoma effect of the combination therapy of daratumumab and venetoclax.

Results: The patient achieved a complete metabolic response after treatment with daratumumab, venetoclax, and GEMOX. Then, she further achieved a complete molecular response after she subsequently received CAR-T cell therapy, and she has been living without a lymphoma recurrence. The results from the animal study showed that the combination of daratumumab and venetoclax could significantly enhance the antitumor effect on CD38-positive lymphoma with p53 mutation.

Conclusion: The results from our successful case and animal experiments provide new avenues for the treatment of relapsed/refractory large B-cell lymphoma with p53 mutation. Further clinical trials are reuqired to treat CD38-positive lymphoma with the combination of daratumumab and venetoclax.

背景:嵌合抗原受体T(CAR-T)细胞治疗前的肿瘤负荷是影响淋巴瘤预后的关键因素之一。目的:在此,我们介绍了一例复发/难治性 p53 突变大 B 细胞淋巴瘤患者,通过达拉单抗和 Venetoclax 治疗以及 CAR-T 细胞治疗,患者的肿瘤负荷得到了控制:患者是一名56岁的女性,被诊断为由滤泡淋巴瘤转化而来的复发/难治性弥漫大B细胞淋巴瘤(DLBCL)。在高通量药物敏感性分析的指导下,患者接受了达拉单抗、venetoclax和GEMOX(吉西他滨和奥沙利铂)治疗。我们使用p53突变的CD38阳性淋巴瘤细胞系构建肿瘤模型,以验证daratumumab和venetoclax联合疗法的抗淋巴瘤效果:患者在接受达拉单抗、venetoclax和GEMOX治疗后获得了完全代谢应答。随后,她又接受了CAR-T细胞治疗,进一步获得了完全分子反应,并且一直没有淋巴瘤复发。动物实验结果表明,daratumumab和venetoclax联合使用可显著增强对p53突变的CD38阳性淋巴瘤的抗肿瘤效果:结论:我们的成功病例和动物实验结果为治疗复发/难治的p53突变大B细胞淋巴瘤提供了新途径。我们需要进一步开展临床试验,用daratumumab和venetoclax联合治疗CD38阳性淋巴瘤。
{"title":"Treatment of Refractory p53 Mutation Large B-cell Lymphoma with Daratumumab and Venetoclax Followed by CAR-T Cell Therapy: Case Report and Animal Study.","authors":"Duanhao Gong, Jia Gu, Kuangguo Zhou, Wei Huang","doi":"10.2174/0115748928273058231128073414","DOIUrl":"https://doi.org/10.2174/0115748928273058231128073414","url":null,"abstract":"<p><strong>Background: </strong>The tumor burden before chimeric antigen receptor T (CAR-T) cell therapy was one of the critical factors affecting the prognosis of lymphoma. It was a challenge to effectively reduce the tumor burden of relapsed/refractory large B-cell lymphoma with p53 mutation.</p><p><strong>Objective: </strong>Here, we have presented a case of relapsed/refractory large B-cell lymphoma with p53 mutation being controlled by the treatment with daratumumab and venetoclax, followed by CAR-T cell therapy.</p><p><strong>Case presentation: </strong>The patient was a 56-year-old female who was diagnosed with relapsed/ refractory diffuse large B cell lymphoma (DLBCL) transformed from follicular lymphoma. The patient was treated with daratumumab, venetoclax, and GEMOX (gemcitabine and oxaliplatin) under the guidance of high-throughput drug sensitivity analysis. We used a CD38 positive lymphoma cell line with p53 mutation to construct tumor models for validating the anti- lymphoma effect of the combination therapy of daratumumab and venetoclax.</p><p><strong>Results: </strong>The patient achieved a complete metabolic response after treatment with daratumumab, venetoclax, and GEMOX. Then, she further achieved a complete molecular response after she subsequently received CAR-T cell therapy, and she has been living without a lymphoma recurrence. The results from the animal study showed that the combination of daratumumab and venetoclax could significantly enhance the antitumor effect on CD38-positive lymphoma with p53 mutation.</p><p><strong>Conclusion: </strong>The results from our successful case and animal experiments provide new avenues for the treatment of relapsed/refractory large B-cell lymphoma with p53 mutation. Further clinical trials are reuqired to treat CD38-positive lymphoma with the combination of daratumumab and venetoclax.</p>","PeriodicalId":94186,"journal":{"name":"Recent patents on anti-cancer drug discovery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Recent patents on anti-cancer drug discovery
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