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Psychological Resilience and Associated Factors in Cancer Patients: A Cross-Sectional Analysis 癌症患者的心理弹性及其相关因素:横断面分析。
IF 1.9 Q4 ONCOLOGY Pub Date : 2026-01-02 DOI: 10.1002/cnr2.70415
Marta Esteban Blanco, Inmaculada Martinez de la Viuda, Maria Gemma Rodriguez Chico, Maria del Mar Félix Montalvo, Aurea Garcia Salas, Andrés Garcia Palomo, Maria Teresa Quintana Asenjo

Background

Cancer remains one of the leading global health problems, with treatments that can compromise patients' quality of life.

Aims

This study aimed to determine the prevalence and characteristics of resilience in cancer patients and to analyze the influence of psychological and social factors on disease perception.

Methods and Results

An analytical cross-sectional study was conducted between April and August 2023 including 61 cancer patients under treatment. Resilience was assessed with the RS-14, anxiety and depression with HADS (Hospital Anxiety and Depression Scale), and family functioning with the Family Apgar (Adaptation, Partnership, Growth, Affection, Resolve questionnaire). Sociodemographic and clinical data were obtained through structured questionnaires. Continuous variables were tested with Shapiro–Wilk and Levene's tests; descriptive statistics, t-tests, Mann–Whitney U, Chi-square were applied. Binary logistic regression examined resilience predictors, adjusting for confounders (BMI, employment status, surgery). Statistical significance was defined as p ⟨ 0.05. Participants were 50.8% women, aged 35–82 years. Cancer types included breast (18%), lung (29.5%), colon (9.8%), pancreas (11.5%), renal (1.6%), and others (29.5%). 11.5% had not received oncological treatment, while 93.4% underwent surgery. Most were non-smokers (82%) and retired (57.4%). Main comorbidities were respiratory (24.6%) and cardiovascular (23%). In surveys, 54.1% reported family members with cancer and 36.1% noted a lack of free time affected quality of life. Mean scores: resilience 69.3 (SD = 22.1), anxiety 10.3 (SD = 3.2), depression 11.6 (SD = 2.2), Apgar 17.1 (SD = 3.7). Logistic regression identified Apgar as the only significant predictor of resilience (OR = 0.294, 95% CI 0.113–0.761, p = 0.012), with higher family functioning linked to lower resilience. Model accuracy was 81.1% overall, 90.9% for resilient, and 65.0% for non-resilient patients.

Conclusions

Social, clinical, and family situations all have an impact on cancer patients' resilience. In order to maximize resilience and quality of life, family functioning appears as a contradictory component, indicating the necessity of psychological, family-centered, and interdisciplinary interventions.

背景:癌症仍然是全球主要的健康问题之一,其治疗可能会损害患者的生活质量。目的:本研究旨在了解癌症患者恢复力的患病率和特征,并分析心理和社会因素对疾病感知的影响。方法与结果:在2023年4月至8月期间进行了一项分析性横断面研究,包括61例正在治疗的癌症患者。采用RS-14量表评估心理韧性,采用HADS(医院焦虑抑郁量表)评估焦虑和抑郁,采用家庭Apgar(适应、伙伴关系、成长、情感、决心问卷)评估家庭功能。通过结构化问卷调查获得社会人口学和临床数据。连续变量采用Shapiro-Wilk和Levene检验;采用描述性统计、t检验、Mann-Whitney U、卡方检验。二元逻辑回归检验了弹性预测因子,调整了混杂因素(BMI、就业状况、手术)。p = 0.05为统计学意义。参与者中50.8%为女性,年龄在35-82岁之间。癌症类型包括乳腺癌(18%)、肺癌(29.5%)、结肠癌(9.8%)、胰腺(11.5%)、肾脏(1.6%)和其他(29.5%)。11.5%未接受肿瘤治疗,93.4%接受手术治疗。大多数是不吸烟者(82%)和退休人员(57.4%)。主要合并症为呼吸(24.6%)和心血管(23%)。在调查中,54.1%的人表示家庭成员患有癌症,36.1%的人表示缺乏空闲时间影响了生活质量。平均得分:心理弹性69.3分(SD = 22.1),焦虑10.3分(SD = 3.2),抑郁11.6分(SD = 2.2), Apgar 17.1分(SD = 3.7)。Logistic回归发现Apgar是心理弹性的唯一显著预测因子(OR = 0.294, 95% CI 0.113-0.761, p = 0.012),较高的家庭功能与较低的心理弹性相关。模型的总体准确性为81.1%,弹性患者为90.9%,非弹性患者为65.0%。结论:社会、临床和家庭环境均对癌症患者的心理弹性有影响。为了最大限度地提高弹性和生活质量,家庭功能似乎是一个矛盾的组成部分,表明了心理、以家庭为中心和跨学科干预的必要性。
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引用次数: 0
Efficacy and Safety of Different Neoadjuvant Treatment Regimens in Locally Advanced Squamous Head and Neck Cancer. 不同新辅助治疗方案治疗局部晚期鳞状头颈部癌的疗效和安全性。
IF 1.9 Q4 ONCOLOGY Pub Date : 2026-01-01 DOI: 10.1002/cnr2.70447
Ya-Ting Ding, Bin-Bin Fang, Lian-Bing Zhu, Ke-Jin Qiu, Li-Li Yang, Hui Ye, Yun-Xia Lv, Geng-Ming Cai
<p><strong>Background: </strong>Head and neck squamous cell carcinoma (HNSCC), which constitutes approximately 90% of all head and neck cancers, represents a significant global health burden. A concerning trend is the rising incidence, particularly among younger populations, which has been partly attributed to human papillomavirus (HPV) infection. While treatment outcomes are favorable for early-stage disease, approximately 60% of patients are diagnosed with locally advanced HNSCC (LA-HNSCC), for whom prognosis remains suboptimal. Induction chemotherapy, such as the TPF regimen, is often used to reduce tumor burden but is limited by substantial toxicity. Currently, no global consensus exists on the optimal neoadjuvant approach for LA-HNSCC. This network meta-analysis aims to comprehensively compare the efficacy and safety of available neoadjuvant therapies for LA-HNSCC, excluding nasopharyngeal carcinoma due to distinct treatment paradigms, in order to inform clinical decision-making.</p><p><strong>Aim: </strong>To compare the efficacy and safety of different neoadjuvant treatment options in locally advanced head and neck squamous cell carcinoma (LA-HNSCC).</p><p><strong>Methods and results: </strong>We conducted a comprehensive literature search across four major databases (PubMed, Web of Science [WOS], Embase, and Cochrane Library) from their inception through August 2024. The primary outcome measures included objective response rate (ORR), overall survival (OS), progression-free survival (PFS), and serious adverse events (SAEs). This analysis included 23 studies (19 randomized controlled trials [RCTs] and 4 non-randomized studies [NRS]) involving 4052 patients. Network meta-analysis (NMA) revealed the following findings: Regarding efficacy, hyperthermia + chemotherapy demonstrated superior outcomes in both ORR and OS, followed by immunotherapy + chemotherapy. Hyperthermia + chemotherapy showed significantly better ORR compared to targeted therapy + chemotherapy, TP, PF, T, and single-agent immunotherapy (p < 0.05). Similarly, immunotherapy + chemotherapy outperformed all other therapies except hyperthermia + chemotherapy in ORR (p < 0.05). For OS, both hyperthermia + chemotherapy and TPF were significantly more effective than PF and TP (p < 0.05). In PFS, immunotherapy + chemotherapy showed the best results, followed by targeted therapy + chemotherapy, with immunotherapy + chemotherapy being significantly superior to PF (p < 0.05). Regarding safety, hyperthermia + chemotherapy showed the poorest safety profile, followed by TPF. Specifically, T and TP demonstrated significantly better safety than hyperthermia + Chemotherapyy (p < 0.05).</p><p><strong>Conclusion: </strong>In the neoadjuvant treatment of LA-HNSCC, both hyperthermia + chemotherapy and immunotherapy + chemotherapy regimens have demonstrated promising therapeutic efficacy; however, their safety profiles require further comprehensive evaluation.</p><p><strong>Trial registration: </st
背景:头颈部鳞状细胞癌(HNSCC)约占所有头颈部癌症的90%,是一个重大的全球健康负担。一个令人担忧的趋势是发病率上升,特别是在年轻人群中,这部分归因于人乳头瘤病毒(HPV)感染。虽然早期疾病的治疗结果是有利的,但大约60%的患者被诊断为局部晚期HNSCC (LA-HNSCC),其预后仍然不理想。诱导化疗,如TPF方案,通常用于减轻肿瘤负担,但由于毒性大而受到限制。目前,对于LA-HNSCC的最佳新辅助治疗方法尚无全球共识。本网络荟萃分析旨在全面比较LA-HNSCC现有新辅助治疗的疗效和安全性,排除鼻咽癌由于不同的治疗模式,以便为临床决策提供信息。目的:比较不同新辅助治疗方案在局部晚期头颈部鳞状细胞癌(LA-HNSCC)中的疗效和安全性。方法和结果:我们对四个主要数据库(PubMed、Web of Science [WOS]、Embase和Cochrane Library)从建立到2024年8月进行了全面的文献检索。主要结局指标包括客观缓解率(ORR)、总生存期(OS)、无进展生存期(PFS)和严重不良事件(SAEs)。该分析纳入了23项研究(19项随机对照试验[rct]和4项非随机研究[NRS]),涉及4052例患者。网络荟萃分析(NMA)显示:在疗效方面,热疗+化疗在ORR和OS方面都表现出更好的结果,其次是免疫治疗+化疗。与靶向治疗+化疗、TP、PF、T和单药免疫治疗相比,热疗+化疗的ORR明显更好(p)。结论:在LA-HNSCC的新辅助治疗中,热疗+化疗和免疫治疗+化疗方案均显示出良好的治疗效果,但其安全性有待进一步综合评价。试验注册:PROSPERO CRD42024571174。
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引用次数: 0
EGFR p.V774M/p. the S768I Compound Mutation in NSCLC Is a Good Prognostic Marker for IPHC- and Furmonertinib-Based Treatment: A Case Report 表皮生长因子受体p.V774M / p。NSCLC中S768I复合突变是基于IPHC和呋门那替尼治疗的良好预后标志:一个病例报告
IF 1.9 Q4 ONCOLOGY Pub Date : 2025-12-30 DOI: 10.1002/cnr2.70444
Yanan Wang, Guanying Ren, Zizheng Song, Ling Hu, Weiqi Li, Xiaolei Wang

Background

Intrapleural perfusion hyperthermic chemotherapy (IPHC) can be used to select specific lung cancer cells of a certain genotype. Some genetic mutations, especially epidermal growth factor receptor (EGFR) mutations, are potential markers for EGFR or other targeted therapies. Here, we report a unique case of a patient with EGFR p.V774M/p. S768I mutations that were associated with prolonged stable disease after treatment with IHPC, especially following furmonertinib-based treatment.

Case

A 47-year-old Chinese female patient was admitted to a regional cancer hospital and presented with malignant pleural effusion (MPE). The TNM and clinical stages were identified as T2aN2M1c and IVB, respectively. The TPS value is 40%. IHP combined with chemotherapy was then carried out to remove MPE. For first-stage treatment, three cycles of afatinib-based adjuvant chemotherapy beginning in September 2022 were given, and the degree of pleural effusion on the left side of the chest was not reduced. The best response (BOR) assessment of the local lesion was a partial response (PR). Furmonertinib-based adjuvant monotherapy was performed from May 2023 to July 2024. The BOR evaluation results during the monotherapy courses were all judged as SD.

Conclusion

The EGFR p.V774M/p.The S768I mutation contributed to improving the efficiency of furmonertinib-based therapy for NSCLC.

背景:胸腔内灌注热化疗(IPHC)可用于筛选特定基因型的肺癌细胞。一些基因突变,特别是表皮生长因子受体(EGFR)突变,是EGFR或其他靶向治疗的潜在标志。在此,我们报告一例独特的EGFR p.V774M/p患者。S768I突变与IHPC治疗后持续稳定的疾病相关,特别是在以弗莫那替尼为基础的治疗后。病例:一名47岁的中国女性患者因恶性胸腔积液(MPE)被地区肿瘤医院收治。TNM和临床分期分别为T2aN2M1c和IVB。TPS值为40%。然后进行IHP联合化疗以去除MPE。一期治疗,从2022年9月开始给予3个周期的以阿法替尼为基础的辅助化疗,左侧胸腔积液程度未减轻。局部病变的最佳反应(BOR)评价为部分反应(PR)。从2023年5月至2024年7月,进行了以弗莫那替尼为基础的辅助单药治疗。单药治疗期间的BOR评价结果均判定为SD。结论:EGFR p. v774m /p。S768I突变有助于提高基于呋莫那替尼的NSCLC治疗的效率。
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引用次数: 0
Evaluation of Sleep Disorders and Quality of Life in Patients With Mycosis Fungoides 蕈样真菌病患者睡眠障碍与生活质量的评价。
IF 1.9 Q4 ONCOLOGY Pub Date : 2025-12-29 DOI: 10.1002/cnr2.70421
Seyed AmirReza Mohammadi, Mozhdeh Sepaskhah, Arvin Hedayati, Ladan Dastgheib, Soheila Khodakarim, Mohammad Amin Gholami

Background

Mycosis fungoides (MF) is the most common cutaneous T-cell lymphoma, presenting with variable clinical features that can be pruritic. Pruritus and the overall disease burden may disrupt sleep and diminish quality of life; yet, sleep disturbances in MF remain under-investigated.

Aims

To evaluate sleep quality and quality of life in MF patients compared with healthy controls.

Methods and Results

In a cross-sectional, case–control study at a referral clinic in Shiraz, Iran, 78 MF patients (TNMB stages IA–IIIA) and 76 age- and sex-matched controls completed the Pittsburgh Sleep Quality Index (PSQI), the 12-Item Short Form Survey (SF-12), and the Hospital Anxiety and Depression Scale (HADS). MF patients had significantly poorer sleep quality, with 62.8% reporting poor sleep quality compared to 27.6% of controls (p < 0.001). Among MF patients, poorer sleep quality was significantly associated with greater pruritus intensity, more advanced disease stage, and a higher modified severity-weighted assessment tool score (mSWAT) (all p < 0.05). In contrast, histopathological subtype and treatment modality showed no significant association. MF patients exhibited higher rates of moderate-to-severe anxiety (34.6% vs. 15.8%) and depression (30.7% vs. 14.6%) (p < 0.05). Physical health scores on the SF-12 were significantly lower in the MF group (p < 0.01), whereas the decrease in mental health scores did not reach significance.

Conclusion

MF is associated with significant sleep dysfunction, psychological distress, and impaired physical quality of life. Pruritus intensity, disease stage, and cutaneous disease burden are key contributors to poor sleep quality. Larger studies are warranted to further elucidate the extent and mechanisms of sleep disturbance in this population.

背景:蕈样真菌病(Mycosis fungoides, MF)是最常见的皮肤t细胞淋巴瘤,具有多种临床特征,可引起瘙痒。瘙痒和整体疾病负担可能会扰乱睡眠并降低生活质量;然而,MF中的睡眠障碍仍未得到充分研究。目的:评价MF患者与健康对照者的睡眠质量和生活质量。方法和结果:在伊朗设拉子一家转诊诊所进行的一项横断面病例对照研究中,78名MF患者(TNMB分期IA-IIIA)和76名年龄和性别匹配的对照组完成了匹兹堡睡眠质量指数(PSQI)、12项简短问卷调查(SF-12)和医院焦虑和抑郁量表(HADS)。MF患者的睡眠质量明显较差,62.8%的患者报告睡眠质量较差,而对照组为27.6% (p)。结论:MF与明显的睡眠功能障碍、心理困扰和身体生活质量受损有关。瘙痒强度、疾病分期和皮肤病负担是导致睡眠质量差的主要因素。需要更大规模的研究来进一步阐明这一人群睡眠障碍的程度和机制。
{"title":"Evaluation of Sleep Disorders and Quality of Life in Patients With Mycosis Fungoides","authors":"Seyed AmirReza Mohammadi,&nbsp;Mozhdeh Sepaskhah,&nbsp;Arvin Hedayati,&nbsp;Ladan Dastgheib,&nbsp;Soheila Khodakarim,&nbsp;Mohammad Amin Gholami","doi":"10.1002/cnr2.70421","DOIUrl":"10.1002/cnr2.70421","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mycosis fungoides (MF) is the most common cutaneous T-cell lymphoma, presenting with variable clinical features that can be pruritic. Pruritus and the overall disease burden may disrupt sleep and diminish quality of life; yet, sleep disturbances in MF remain under-investigated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To evaluate sleep quality and quality of life in MF patients compared with healthy controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Results</h3>\u0000 \u0000 <p>In a cross-sectional, case–control study at a referral clinic in Shiraz, Iran, 78 MF patients (TNMB stages IA–IIIA) and 76 age- and sex-matched controls completed the Pittsburgh Sleep Quality Index (PSQI), the 12-Item Short Form Survey (SF-12), and the Hospital Anxiety and Depression Scale (HADS). MF patients had significantly poorer sleep quality, with 62.8% reporting poor sleep quality compared to 27.6% of controls (<i>p</i> &lt; 0.001). Among MF patients, poorer sleep quality was significantly associated with greater pruritus intensity, more advanced disease stage, and a higher modified severity-weighted assessment tool score (mSWAT) (all <i>p</i> &lt; 0.05). In contrast, histopathological subtype and treatment modality showed no significant association. MF patients exhibited higher rates of moderate-to-severe anxiety (34.6% vs. 15.8%) and depression (30.7% vs. 14.6%) (<i>p</i> &lt; 0.05). Physical health scores on the SF-12 were significantly lower in the MF group (<i>p</i> &lt; 0.01), whereas the decrease in mental health scores did not reach significance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>MF is associated with significant sleep dysfunction, psychological distress, and impaired physical quality of life. Pruritus intensity, disease stage, and cutaneous disease burden are key contributors to poor sleep quality. Larger studies are warranted to further elucidate the extent and mechanisms of sleep disturbance in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9440,"journal":{"name":"Cancer reports","volume":"9 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12745892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145848830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identification of Potential Ferroptosis Biomarkers in Multiple Myeloma via WGCNA and Experiments 通过WGCNA和实验鉴定多发性骨髓瘤中潜在的铁下垂生物标志物。
IF 1.9 Q4 ONCOLOGY Pub Date : 2025-12-29 DOI: 10.1002/cnr2.70446
Yifan Wang, Xing Xie, Mengyuan Gu, Yanting Zheng, Jing Wu, Qicai Wang, Zhian Ling, Ruolin Li

Introduction

Multiple myeloma is a common malignant tumor of the hematologic system, and genetic alterations play a crucial role in its occurrence and development. Ferroptosis is an oxidative and iron-dependent programmed cell death, which has a strong correlation with tumor development. This study aimed to identify potential diagnostic ferroptosis-related genes of MM.

Methods

MM datasets were screened from the GEO database using publicly available transcriptomic data. Ferroptosis-related hub genes were identified through enrichment analysis, WGCNA, and machine learning algorithms. ROC curves, boxplots, RT-qPCR, and ELISA were conducted to validate the expression levels of these hub genes.

Results

A total of 178 ferroptosis-related DEGs were identified, including 114 up-regulated genes and 64 down-regulated genes. Enrichment analysis indicated that the DEGs were primarily associated with stress, autophagy, and metabolism. According to the WGCNA, the brown module has the highest correlation with clinical symptoms, containing 1141 DEGs. Combining with the identified ferroptosis-related DEGs, two hub genes of CDKN1A and BCAT2 were identified by multiple bioinformatics techniques of LASSO, SVM, and Random Forest. ROC curves demonstrated strong diagnostic values in CDKN1A (test set, AUC = 0.881; validation set, AUC = 0.705) and BCAT2 (test set, AUC = 0.808; validation set, AUC = 0.756). RT-qPCR confirmed that the mRNA expression levels of CDKN1A and BCAT2 in three MM cells (RPMI 8226, WT-U266, and LP-1) were both significantly higher than the control HMy2.CIR cell line (p < 0.05). ELISA quantification revealed significantly elevated relative expression of CDKN1A protein in the MM cohort compared to healthy controls (p < 0.01), but the protein expression of BCAT2 exhibited comparable levels (p > 0.05).

Conclusion

Our results suggest that CDKN1A and BCAT2 are potential ferroptosis-related biomarkers for MM. This may help understand the molecular mechanisms and therapeutic strategies of MM.

简介:多发性骨髓瘤是一种常见的血液系统恶性肿瘤,基因改变在其发生发展中起着至关重要的作用。铁凋亡是一种氧化性和铁依赖性的程序性细胞死亡,与肿瘤的发展有很强的相关性。本研究旨在确定MM的潜在诊断性枯铁相关基因。方法:利用公开的转录组数据从GEO数据库中筛选MM数据集。通过富集分析、WGCNA和机器学习算法鉴定了与嗜铁性凋亡相关的枢纽基因。采用ROC曲线、箱形图、RT-qPCR和ELISA等方法验证这些枢纽基因的表达水平。结果:共鉴定出178个凋亡相关基因,其中上调基因114个,下调基因64个。富集分析表明,deg主要与应激、自噬和代谢有关。根据WGCNA,棕色模块与临床症状相关性最高,含有1141个deg。结合已鉴定的嗜铁性凋亡相关基因,采用LASSO、SVM、Random Forest等多种生物信息学技术,鉴定出CDKN1A和BCAT2两个枢纽基因。CDKN1A(测试集,AUC = 0.881;验证集,AUC = 0.705)和BCAT2(测试集,AUC = 0.808;验证集,AUC = 0.756)的ROC曲线具有较强的诊断价值。RT-qPCR证实,3个MM细胞(RPMI 8226、WT-U266和LP-1)中CDKN1A和BCAT2 mRNA表达水平均显著高于对照HMy2。CIR细胞株(p 0.05)。结论:我们的研究结果提示CDKN1A和BCAT2可能是MM的铁枯相关生物标志物,这可能有助于了解MM的分子机制和治疗策略。
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引用次数: 0
Downregulation of TNFAIP3 Associated With Poor Prognosis and Immune Response in Breast Cancer TNFAIP3下调与乳腺癌不良预后和免疫反应相关
IF 1.9 Q4 ONCOLOGY Pub Date : 2025-12-29 DOI: 10.1002/cnr2.70443
Yeqin Wu, Zhaoyang Qin, Gangping Wang

Background

Breast cancer (BRCA) progression is closely linked to dysregulated inflammatory processes within the tumor microenvironment (TME). TNFAIP3, a key regulator of TNF-α signaling, plays a dual role in cancer biology, but its precise function in BRCA pathogenesis and immune modulation remains unclear.

Aims

This study aimed to elucidate the clinical significance, immune regulatory role, and molecular mechanisms of TNFAIP3 in BRCA progression.

Methods and Results

We conducted an analysis of RNA-seq data from 1113 BRCA samples and 113 normal samples sourced from TCGA, along with protein data from 125 BRCA samples and 18 normal samples obtained from the CPTAC database. Comprehensive analyses included: (1) differential expression across cancer types and BRCA subtypes; (2) correlation with clinicopathological features; (3) survival analysis using Kaplan–Meier and Cox regression; (4) immune cell infiltration assessment via ssGSEA; and (5) co-expression analysis of TNFAIP3-LINC01096. TNFAIP3 was significantly downregulated in BRCA (p < 0.001) and associated with aggressive features, including advanced TNM stage (T4 vs. T1, p = 0.021) and poor prognosis (HR = 1.48, p = 0.035). Immune profiling revealed strong correlations with cytotoxic T cells (ρ = 0.632) and dendritic cells (ρ = 0.602). A novel TNFAIP3-LINC01096 regulatory network was identified (ρ = 0.582, p < 0.001), potentially mediated by shared miR-3130-3p binding sites.

Conclusion

Our findings suggest a role of TNFAIP3 as a critical regulator of BRCA progression and tumor immunity. The TNFAIP3-LINC01096 axis represents a promising therapeutic target, particularly for immunotherapy-resistant cases. These results provide a rationale for developing TNFAIP3-based prognostic tools and immunomodulatory strategies in BRCA management.

背景:乳腺癌(BRCA)的进展与肿瘤微环境(TME)中的炎症过程失调密切相关。TNFAIP3是TNF-α信号的关键调节因子,在癌症生物学中发挥双重作用,但其在BRCA发病机制和免疫调节中的确切功能尚不清楚。目的:本研究旨在阐明TNFAIP3在BRCA进展中的临床意义、免疫调节作用及分子机制。方法和结果:我们分析了来自TCGA的1113份BRCA样本和113份正常样本的RNA-seq数据,以及来自CPTAC数据库的125份BRCA样本和18份正常样本的蛋白质数据。综合分析包括:(1)不同癌症类型和BRCA亚型的差异表达;(2)与临床病理特征的相关性;(3)采用Kaplan-Meier和Cox回归进行生存分析;(4)通过ssGSEA评估免疫细胞浸润;(5) TNFAIP3-LINC01096的共表达分析。结论:我们的研究结果表明,TNFAIP3是BRCA进展和肿瘤免疫的关键调节因子。TNFAIP3-LINC01096轴代表了一个有希望的治疗靶点,特别是对于免疫治疗耐药病例。这些结果为开发基于tnfaip3的预后工具和BRCA管理中的免疫调节策略提供了理论依据。
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引用次数: 0
Venetoclax-Based Therapy for Early Relapse in Acute Myeloid Leukemia After Allogeneic Hematopoietic Stem Cell Transplantation: A Case Report and Minireview 基于venetoclax的治疗急性髓系白血病异基因造血干细胞移植后早期复发一例报告及回顾。
IF 1.9 Q4 ONCOLOGY Pub Date : 2025-12-29 DOI: 10.1002/cnr2.70450
Yufeng Du, Mohammad Arian Hassani, Chunhong Li, Zhijia Zhao, Yikun Liu, Chengtao Zhang, Jinsong Yan

Background

Refractory/relapsed acute myeloid leukemia (R/R-AML) typically exhibits resistance to conventional chemotherapy, resulting in a poor overall therapeutic outcome. Salvage allogeneic hematopoietic stem cell transplantation (allo-HSCT) is the primary treatment option in such patients. However, posttransplant relapse is still a challenge, with no established effective regimens.

Case

In this case report, we present the case of a 40-year-old male diagnosed with R/R-AML who underwent salvage allo-HSCT. Unfortunately, after 4 months of follow-up, a relapse occurred. We modified the immunosuppressive therapy and administered donor lymphocyte infusion (DLI) and decitabine but failed to obtain complete remission (CR). Subsequently, a combination of venetoclax (Ven) and azacitidine (Aza), followed by the DLI regimen, was initiated. The patient achieved CR with no measurable residual disease.

Conclusion

Our data suggest that the administration of Ven in combination with Aza followed by the DLI regimen used for early post-HSCT relapsed AML could serve as a valuable reference for treating similar patients.

背景:难治性/复发性急性髓性白血病(R/R- aml)通常表现出对常规化疗的耐药性,导致整体治疗效果不佳。补救性同种异体造血干细胞移植(alloo - hsct)是此类患者的主要治疗选择。然而,移植后复发仍然是一个挑战,没有建立有效的方案。病例:在这个病例报告中,我们提出了一个40岁的男性诊断为R/R- aml的病例,他接受了补救性异基因造血干细胞移植。不幸的是,随访4个月后复发。我们改进了免疫抑制疗法,并给予供体淋巴细胞输注(DLI)和地西他滨,但未能获得完全缓解(CR)。随后,开始了venetoclax (Ven)和阿扎胞苷(Aza)的联合治疗,随后是DLI方案。患者达到CR,无可测量的残留疾病。结论:我们的数据表明,对于早期hsct后复发性AML患者,Ven联合Aza再加上DLI方案可以作为治疗类似患者的有价值的参考。
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引用次数: 0
The Role of RANBP3L in Pan-Cancer With Its Significance in Hepatocellular Carcinoma RANBP3L在泛癌中的作用及其在肝细胞癌中的意义
IF 1.9 Q4 ONCOLOGY Pub Date : 2025-12-29 DOI: 10.1002/cnr2.70440
Beini Cen, Jie Li, Chao Wang

Background

RAN binding protein 3-like (RANBP3L), a member of the Ran-binding protein family, has been linked to various cellular functions, but the role in cancer remains underexplored. In this research, we assessed the diagnostic and prognostic value of RANBP3L in pan-cancer, especially in liver hepatocellular carcinoma (LIHC).

Aims

This study aimed to explore the pan-cancer expression, prognostic value, and immune-related roles of RANBP3L, especially emphasis on validating its diagnostic and prognostic significance in hepatocellular carcinoma.

Methods

We analyzed RANBP3L expression of 33 cancer types from TCGA data and assessed its relationship with overall survival (OS), disease-specific survival (DSS), and progression-free interval (PFI). We used TIMER2.0 and CIBERSORT to explore the correlation between RANBP3L expression and immune cells. We conducted immunohistochemistry, qRT-PCR, and western blotting by using tissue samples from LIHC patients to assess the RANBP3L's diagnostic and prognostic value of LIHC.

Results

In 18 different cancers, RANBP3L expression was found to be lower in tumor tissues compared to normal tissues, including LIHC. Lower RANBP3L expression was related to shorter OS, DSS, and PFI in LIHC. ROC analysis and the nomogram model based on RANBP3L expression demonstrated high predictive accuracy for patient diagnosis and survival. Moreover, immune infiltration analysis showed that RANBP3L was related to various immune cells and impacted prognosis. Furthermore, analysis of LIHC patient tissues found that higher RANBP3L expression was related to better tumor-free survival and OS.

Conclusion

RANBP3L plays a crucial role in LIHC. Not only does its expression level correlate with patient survival, but it also plays an important role in immune modulation. RANBP3L presents a promising candidate for future therapeutic strategies and a biomarker for LIHC.

背景:RAN结合蛋白3-like (RANBP3L)是RAN结合蛋白家族的一员,与多种细胞功能有关,但在癌症中的作用尚未得到充分研究。在本研究中,我们评估了RANBP3L在泛癌,特别是肝细胞癌(LIHC)中的诊断和预后价值。目的:本研究旨在探讨RANBP3L的泛癌表达、预后价值及免疫相关作用,重点验证其在肝细胞癌中的诊断和预后意义。方法:我们分析了来自TCGA数据的33种癌症类型的RANBP3L表达,并评估其与总生存期(OS)、疾病特异性生存期(DSS)和无进展间期(PFI)的关系。我们使用TIMER2.0和CIBERSORT来探讨RANBP3L表达与免疫细胞的相关性。我们采用免疫组织化学、qRT-PCR、western blotting等方法,利用LIHC患者的组织样本来评估RANBP3L对LIHC的诊断和预后价值。结果:在18种不同的癌症中,发现肿瘤组织中RANBP3L的表达低于正常组织,包括LIHC。较低的RANBP3L表达与LIHC患者较短的OS、DSS和PFI相关。ROC分析和基于RANBP3L表达的nomogram模型对患者的诊断和生存具有较高的预测准确性。免疫浸润分析显示RANBP3L与多种免疫细胞相关,影响预后。此外,对LIHC患者组织的分析发现,较高的RANBP3L表达与较好的无瘤生存和OS相关。结论:RANBP3L在LIHC中起重要作用。它的表达水平不仅与患者的生存有关,而且在免疫调节中起着重要作用。RANBP3L为未来的治疗策略和LIHC的生物标志物提供了一个有希望的候选物。
{"title":"The Role of RANBP3L in Pan-Cancer With Its Significance in Hepatocellular Carcinoma","authors":"Beini Cen,&nbsp;Jie Li,&nbsp;Chao Wang","doi":"10.1002/cnr2.70440","DOIUrl":"10.1002/cnr2.70440","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>RAN binding protein 3-like (RANBP3L), a member of the Ran-binding protein family, has been linked to various cellular functions, but the role in cancer remains underexplored. In this research, we assessed the diagnostic and prognostic value of RANBP3L in pan-cancer, especially in liver hepatocellular carcinoma (LIHC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to explore the pan-cancer expression, prognostic value, and immune-related roles of RANBP3L, especially emphasis on validating its diagnostic and prognostic significance in hepatocellular carcinoma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analyzed RANBP3L expression of 33 cancer types from TCGA data and assessed its relationship with overall survival (OS), disease-specific survival (DSS), and progression-free interval (PFI). We used TIMER2.0 and CIBERSORT to explore the correlation between RANBP3L expression and immune cells. We conducted immunohistochemistry, qRT-PCR, and western blotting by using tissue samples from LIHC patients to assess the RANBP3L's diagnostic and prognostic value of LIHC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In 18 different cancers, RANBP3L expression was found to be lower in tumor tissues compared to normal tissues, including LIHC. Lower RANBP3L expression was related to shorter OS, DSS, and PFI in LIHC. ROC analysis and the nomogram model based on RANBP3L expression demonstrated high predictive accuracy for patient diagnosis and survival. Moreover, immune infiltration analysis showed that RANBP3L was related to various immune cells and impacted prognosis. Furthermore, analysis of LIHC patient tissues found that higher RANBP3L expression was related to better tumor-free survival and OS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>RANBP3L plays a crucial role in LIHC. Not only does its expression level correlate with patient survival, but it also plays an important role in immune modulation. RANBP3L presents a promising candidate for future therapeutic strategies and a biomarker for LIHC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9440,"journal":{"name":"Cancer reports","volume":"9 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12745881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145848861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Immunoinformatics-Based Multi-Epitope Vaccine Targeting Helicobacter Pylori 基于免疫信息学的多表位疫苗靶向幽门螺杆菌。
IF 1.9 Q4 ONCOLOGY Pub Date : 2025-12-28 DOI: 10.1002/cnr2.70441
Aytak Vahdat Khajeh Pasha, Mohammad Esfandiyari, Alireza Parnian, Mohammad Mahboubi-Rabbani, Maryam Bayanati

Background

The rising global incidence of Helicobacter pylori-related diseases, particularly gastric cancer, underscores the urgent need for effective preventive vaccines, motivating the exploration of innovative immunoinformatic strategies to address this public health challenge.

Aims

The aim of this study was to design a multi-epitope subunit vaccine for Helicobacter pylori using an immunoinformatics approach. Specifically, the objectives were to predict potential epitopes from the flagellin B and urease B proteins, integrate the cholera toxin B subunit (CTB) as a mucosal adjuvant, and perform computational validation of the vaccine construct for antigenicity, stability, and interaction with immune receptors.

Methods

This study utilized an immunoinformatics approach to design a multi-epitope subunit vaccine, involving epitope prediction from flagellin B and urease B, integration of the cholera toxin B subunit (CTB) as a mucosal adjuvant, and computational validation through tools like VaxiJen, Phyre2, MolProbity, and HDOCK for antigenicity, structure, and docking analysis.

Results

The resulting vaccine construct comprises 406 amino acids with a molecular weight of 43 424.77 Da, exhibiting a predicted antigenic score of 1.0084, non-allergenic and non-toxic properties, and a stable physiochemical profile (instability index 23.51, GRAVY −0.425). Structural analysis suggested 99.1% (525/530) of residues in favored Ramachandran regions and 100.0% in allowed regions. Molecular docking with Toll-like receptor 5 (TLR5) indicated a superior docking score of −309.05 and a confidence score of 0.9601, outperforming TLR2 (−250.74), with 10 CTL epitopes (6 from flagellin B, 4 from urease B), 6 HTL epitopes, and 2 LBL epitopes linked by AAY, GPGPG, and KK linkers, respectively.

Conclusion

This research provides a computationally optimized vaccine design that shows potential for eliciting immune responses against H. pylori. Importantly, the findings remain entirely theoretical and require rigorous experimental validation in vitro and in vivo to assess their immunological relevance, safety, and efficacy before any translational or clinical application can be considered.

背景:幽门螺杆菌相关疾病,特别是胃癌的全球发病率不断上升,强调了对有效预防疫苗的迫切需要,促使探索创新的免疫信息学策略来应对这一公共卫生挑战。目的:本研究的目的是利用免疫信息学方法设计一种多表位的幽门螺杆菌亚单位疫苗。具体来说,目的是预测鞭毛蛋白B和脲酶B蛋白的潜在表位,整合霍乱毒素B亚基(CTB)作为粘膜佐剂,并对疫苗结构的抗原性、稳定性和与免疫受体的相互作用进行计算验证。方法:本研究利用免疫信息学方法设计多表位亚基疫苗,包括鞭毛蛋白B和脲酶B的表位预测,霍乱毒素B亚基(CTB)作为粘膜佐剂的整合,并通过VaxiJen、Phyre2、MolProbity和HDOCK等工具进行抗原性、结构和对接分析的计算验证。结果:该疫苗结构包含406个氨基酸,分子量为43 424.77 Da,预测抗原性评分为1.0084,无致敏性和无毒性,具有稳定的理化特征(不稳定性指数23.51,肉汁-0.425)。结构分析表明,99.1%(525/530)的残基位于Ramachandran有利区,100.0%位于允许区。与toll样受体5 (TLR5)的分子对接显示,10个CTL表位(鞭毛蛋白B 6个,脲酶B 4个)、6个HTL表位和2个LBL表位分别通过AAY、GPGPG和KK连接,其对接评分为-309.05,置信评分为0.9601,优于TLR2(-250.74)。结论:本研究提供了一种计算优化的疫苗设计,显示了引发针对幽门螺杆菌的免疫反应的潜力。重要的是,这些发现仍然完全是理论性的,需要在体外和体内进行严格的实验验证,以评估其免疫学相关性、安全性和有效性,然后才能考虑任何转化或临床应用。
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引用次数: 0
Enhanced Diagnosis of Lung and Colon Cancer Severity Through Deep Feature Analysis Using DenseNet201 and SVM With Histopathological Images: A Super-Resolution Approach 基于组织病理图像的DenseNet201和SVM深度特征分析增强肺癌和结肠癌严重程度诊断:一种超分辨率方法。
IF 1.9 Q4 ONCOLOGY Pub Date : 2025-12-23 DOI: 10.1002/cnr2.70439
Pragati Patharia, B. Surya Prasad Rao, Prabira Kumar Sethy, Ashoka Kumar Ratha, Aziz Nanthaamornphong

Background and Aim

The worldwide healthcare system faces significant challenges due to the increasing prevalence of lung and colon cancer, highlighting the need for timely and accurate detection to improve patient prognosis. The precision of cancer diagnosis is highly dependent on the expertise of histopathologists, making it a complex and demanding endeavor. A shortage of sufficiently skilled experts can lead to the ineffective allocation of healthcare resources, potential misdiagnoses, and unwarranted interventions, ultimately threatening patient well-being. However, technological advancements have introduced deep learning as a powerful tool in clinical applications, particularly in the field of medical imaging. This study aims to develop a novel diagnostic method leveraging deep learning techniques to enhance the accuracy of lung and colon cancer detection.

Methods

The study utilized the LC25000 dataset, which comprises 25 000 histopathological images of lung and colon tissue. A novel approach was implemented using a Fast Super-Resolution Convolutional Neural Network (FSRCNN) for image enhancement and a Support Vector Machine (SVM) model based on DenseNet201 for classification. The FSRCNN was employed to improve the clarity and detail of images by increasing their resolution, which is crucial for accurate cancer detection.

Results

The proposed model demonstrated superior performance compared to existing Convolutional Neural Network (CNN) models. It achieved an overall accuracy of 98.00%, precision of 98.10%, sensitivity of 98%, F1 score of 0.98, and specificity of 99.50%. These metrics indicate a significant enhancement in diagnostic accuracy and reliability, underscoring the effectiveness of the FSRCNN and SVM-based DenseNet201 model.

Conclusion

The implementation of the FSRCNN and SVM-based DenseNet201 model provided substantial improvements in the detection of lung and colon cancer, as evidenced by high accuracy and specificity metrics. While the LC25000 dataset offered a solid foundation for this analysis, future research should aim to validate the model's effectiveness using a broader array of diverse and extensive datasets. Additionally, integrating supplementary diagnostic techniques, such as genetic data and electronic health records, could further enhance the model's diagnostic precision and practical application in cancer diagnosis.

背景与目的:由于肺癌和结肠癌患病率的增加,全球医疗保健系统面临着重大挑战,突出了及时准确检测以改善患者预后的必要性。癌症诊断的准确性高度依赖于组织病理学家的专业知识,使其成为一项复杂而艰巨的工作。缺乏足够熟练的专家可能导致医疗资源的无效分配、潜在的误诊和无根据的干预,最终威胁到患者的健康。然而,技术进步使深度学习成为临床应用的有力工具,特别是在医学成像领域。本研究旨在开发一种新的诊断方法,利用深度学习技术来提高肺癌和结肠癌检测的准确性。方法:本研究利用LC25000数据集,该数据集包含25000张肺和结肠组织病理图像。采用快速超分辨率卷积神经网络(FSRCNN)进行图像增强,采用基于DenseNet201的支持向量机(SVM)模型进行分类。FSRCNN通过提高图像的分辨率来提高图像的清晰度和细节,这对于准确检测癌症至关重要。结果:与现有的卷积神经网络(CNN)模型相比,所提出的模型表现出更好的性能。总体准确度为98.00%,精密度为98.10%,灵敏度为98%,F1评分为0.98,特异性为99.50%。这些指标表明诊断准确性和可靠性显著提高,强调了FSRCNN和基于svm的DenseNet201模型的有效性。结论:FSRCNN和基于svm的DenseNet201模型的实施在肺癌和结肠癌的检测方面提供了实质性的改进,具有较高的准确性和特异性指标。虽然LC25000数据集为这一分析提供了坚实的基础,但未来的研究应该旨在使用更广泛的多样化和广泛的数据集来验证模型的有效性。此外,整合辅助诊断技术,如遗传数据和电子健康记录,可以进一步提高模型的诊断精度和在癌症诊断中的实际应用。
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引用次数: 0
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