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Effect of neoadjuvant chemotherapy on lymphatic pathways leading to sentinel lymph nodes in breast cancer 新辅助化疗对乳腺癌前哨淋巴结淋巴通路的影响
Pub Date : 2015-06-15 DOI: 10.14800/CCM.850
S. Tsuyuki, A. Yamaguchi, N. Senda, Yukiko Kawata, K. Kawaguchi
Neoadjuvant chemotherapy (NAC) has been the standard therapy for breast cancer; however, whether sentinel lymph node biopsy (SLNB) should be performed after NAC in clinically node-positive patients is controversial. The indocyanine green (ICG)-fluorescence SLNB method (ICG-SLNB) provides a high identification rate as well as the ability to visualize lymphatic pathways, and previous studies have investigated the lymphatic pathways to sentinel lymph nodes (sentinel lymphatic pathways) using ICG- fluorescence method.  In this study, we used ICG-SLNB to compare the sentinel lymphatic pathways before and after NAC to investigate whether they were affected by chemotherapy. Although the locations of the sentinel lymph nodes were unchanged, NAC did alter 42.8% of the sentinel lymphatic pathway routes. Our data indicate that SLNB after NAC can still detect the sentinel lymph nodes regardless of the presence or absence of metastasis. Since the false negative rates of SLNB after NAC for node-positive patients is higher than that for node-negative patients according to meta-analyses, further investigation is required to determine whether to perform SLNB after NAC for node-positive patients.
新辅助化疗(NAC)已成为乳腺癌的标准治疗方法;然而,临床淋巴结阳性患者在NAC后是否应进行前哨淋巴结活检(SLNB)存在争议。吲哚菁绿(ICG)-荧光SLNB法(ICG-SLNB)具有较高的识别率和对淋巴通路的可视化能力,已有研究利用ICG-荧光法对前哨淋巴结的淋巴通路(前哨淋巴结)进行了研究。在这项研究中,我们使用ICG-SLNB比较NAC前后的前哨淋巴通路,以研究它们是否受到化疗的影响。虽然前哨淋巴结的位置不变,但NAC确实改变了42.8%的前哨淋巴结通路。我们的数据表明,无论是否存在转移,NAC后的SLNB仍然可以检测到前哨淋巴结。由于meta分析显示淋巴结阳性患者NAC后SLNB假阴性率高于淋巴结阴性患者,因此淋巴结阳性患者NAC后是否需要行SLNB还有待进一步研究。
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引用次数: 0
Polyphenols-rich extract from Araucaria angustifolia: Differential mechanisms on cancer and normal cells 富多酚提取物对肿瘤细胞和正常细胞的不同作用机制
Pub Date : 2015-06-15 DOI: 10.14800/CCM.858
C. Branco, T. Rodrigues, É. Lima, M. Salvador
Cancer cells present differential metabolism compared to normal cells. Multiple molecular mechanisms converge to alter cellular metabolism, and some of these include a process of metabolic reprogramming which provides advantages to tumor cells in energy generation, growth and proliferation. Tumor energy production is basically dependent on glucose driven to glycolysis (Warburg effect), but it also happens by means of fatty acids and glutamine metabolism. Among the current challenges in cancer therapy, the tumor cell resistance and the absence of selectivity of anti-cancer agents stand out. It has been already shown that polyphenols are able to exert differential effects on normal and tumor cells. However, the exact mechanisms of these actions are not fully understood. In our previous study, we showed that a polyphenols-rich extract (PE) from Araucaria angustifolia held a selective capacity to inhibit the proliferation of human larynx HEp-2 cancer cells with minimal cytotoxicity to normal epithelial cells. We hypothesized that the effect presented by PE have happened by reversing the “Warburg effect” on cancer cells and inhibiting the mitochondrial electron transport chain complex I activity along with ATP depletion on these cells. In this research highlight we will discuss the effects of the PE on mitochondrial metabolism and their possible role in the modulation of mitochondrial sirtuin 3 (SIRT3) on tumor (HEp-2) and normal (HEK-293) cells, which may help to clarify the tumor selectivity exhibited by polyphenols.
与正常细胞相比,癌细胞表现出不同的代谢。多种分子机制汇聚在一起改变细胞代谢,其中一些包括代谢重编程过程,它为肿瘤细胞的能量产生、生长和增殖提供了优势。肿瘤能量的产生主要依赖于葡萄糖驱动的糖酵解(Warburg效应),但也通过脂肪酸和谷氨酰胺代谢发生。在当前癌症治疗面临的挑战中,肿瘤细胞的耐药性和抗癌药物的缺乏选择性是突出的问题。已经证明,多酚能够对正常细胞和肿瘤细胞发挥不同的作用。然而,这些行为的确切机制尚不完全清楚。在我们之前的研究中,我们发现一种富含多酚的紫砂提取物(PE)具有选择性抑制人喉部HEp-2癌细胞增殖的能力,而对正常上皮细胞的细胞毒性很小。我们假设PE的作用是通过逆转癌细胞的“Warburg效应”和抑制线粒体电子传递链复合体I的活性以及这些细胞上ATP的消耗而发生的。在本研究重点中,我们将讨论PE对线粒体代谢的影响及其在线粒体sirtuin 3 (SIRT3)对肿瘤(HEp-2)和正常(HEK-293)细胞的调节中的可能作用,这可能有助于阐明多酚所表现出的肿瘤选择性。
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引用次数: 6
The role of aberrant DNMT3Bs in tumor progression 异常dnmt3b在肿瘤进展中的作用
Pub Date : 2015-06-08 DOI: 10.14800/CCM.847
Rabia Hameed, Stacey L Raimondi
Cancer is among the most common causes of death in the United States, second only to heart disease, and is initiated by a loss of cell cycle control resulting from the deregulation of oncogenes and/or tumor suppressor genes. Epigenetic changes, such as DNA methylation or histone modifications, are common in cancer cells leading to altered gene regulation and tumor progression. Recently, studies have identified aberrant DNA methyltransferase ( DNMT ) transcripts in cancer cells but not normal cells. Specifically, aberrant transcripts of DNMT3B have been shown to have a role in tumor progression including the ΔDNMT3B variants as well as DNMT3B7 . This review focuses on epigenetic changes caused by aberrant DNMT3B s in cancer and their role in tumor progression or suppression.
癌症是美国最常见的死亡原因之一,仅次于心脏病,是由癌基因和/或肿瘤抑制基因解除管制导致细胞周期控制丧失而引发的。表观遗传变化,如DNA甲基化或组蛋白修饰,在癌细胞中很常见,导致基因调控改变和肿瘤进展。近年来,研究已经在癌细胞中发现了异常的DNA甲基转移酶(DNMT)转录物,而在正常细胞中却没有发现。具体来说,DNMT3B的异常转录本已被证明在肿瘤进展中起作用,包括ΔDNMT3B变异和DNMT3B7。本文就肿瘤中DNMT3B异常引起的表观遗传变化及其在肿瘤进展或抑制中的作用进行综述。
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引用次数: 2
Beyond resistance to PARP inhibition: Mechanisms and effective treatment options. 超越对PARP抑制的抵抗:机制和有效的治疗选择。
Pub Date : 2015-05-18 DOI: 10.14800/CCM.821
Anna S. Sedukhina, Elayanambi Sundaramoorthy, Masaki Hara, T. Kumai, Ko Sato
Poly-ADP ribosylation polymerase (PARP) inhibition is a promising new strategy that specifically kills malignancies with mutation of BRCA genes. However, as in other agents, it is known that continuous treatment with PARP inhibitors generates acquired resistance in these tumors. In this review, we discuss about the potential mechanisms of acquired resistance to the PARP inhibition that is routed through up-regulation of the NF-κB signaling pathway and furthermore discuss about potential treatment options for malignancies that gain such resistance.
抑制多聚adp核糖基化聚合酶(PARP)是一种有希望特异性杀死BRCA基因突变的恶性肿瘤的新策略。然而,与其他药物一样,已知PARP抑制剂的持续治疗在这些肿瘤中产生获得性耐药。在这篇综述中,我们讨论了通过上调NF-κB信号通路获得PARP抑制获得性耐药的潜在机制,并进一步讨论了获得这种耐药的恶性肿瘤的潜在治疗方案。
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引用次数: 5
Strategies to improve the EPR effect for the delivery of anti-cancer nanomedicines 提高抗肿瘤纳米药物传递EPR效应的策略
Pub Date : 2015-05-18 DOI: 10.14800/CCM.808
F. Danhier, V. Préat
The enhanced permeability and retention effect of nanoparticles has become the gold standard principle for cancer drug delivery systems, holding the promise of safe, simple and effective therapy. Nevertheless, due to its poor clinical translation, many recent papers describe the limitations of this EPR effect. Hence, efforts should be provided to overcome these barriers allowing the enhancement of nanomedicines on the market. This communication reviews three main strategies to enhance the EPR effect: (i) the normalization of the tumor vasculature; (ii) the possibility to include collagenase or hyaluronidase into the tumor microenvironment to simultaneously improve the transport and reduce the interstitial fluid pressure and (iii) the increase of the tumor permeability using external or internal stimuli.
纳米颗粒增强的渗透性和滞留效应已成为癌症药物输送系统的金标准原理,具有安全、简单和有效的治疗前景。然而,由于其临床翻译不佳,许多最近的论文描述了这种EPR效应的局限性。因此,应该努力克服这些障碍,使纳米药物在市场上得到加强。本文回顾了增强EPR效应的三个主要策略:(i)肿瘤血管系统的正常化;(ii)将胶原酶或透明质酸酶纳入肿瘤微环境以同时改善运输并降低间质液压力的可能性;(iii)利用外部或内部刺激增加肿瘤通透性的可能性。
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引用次数: 20
Protease nexin 1: A novel inducer of prostate tumor cell apoptosis 蛋白酶连接蛋白1:一种新的前列腺肿瘤细胞凋亡诱导因子
Pub Date : 2015-05-10 DOI: 10.14800/CCM.812
Yunchuan Ding, C. Mckee, R. Muschel, Danmei Xu
Protease nexin 1 (PN1), a member of serine protease inhibitors (SERPINs) family, is known for its ability to bind and inhibit a wide range of proteases. Recently, we have found that PN1 is able to induce prostate cancer cell undergoing apoptosis through a distinct mechanism of engaging uPA-uPAR complexes and the regulation of two independent downstream signaling cascades, leading to the repression of X-linked inhibitor of apoptosis protein (XIAP). In this process, PN1 expression reduces the expression of NF-κB signalling component p65 and thereby lessens xiap transcription. Alternately, PN1 activity can prevent the stability of XIAP by reducing XIAP phosphorylation at serine 87 via a blockade of AKT signaling. A combination of exogenous PN1 and TRAIL leads to a substantial growth lag in prostate cancer xenografts, indicating the potential of PN1 as a promising target for improving prostate cancer therapy. Furthermore, human prostate tissue arrays show inverse levels of PN1 and XIAP in tumor and normal prostate. Hence, the PN1-uPA regulatory axis may serve as an inducer of tumor cell apoptosis by modulating survival pathways, and therefore delay the tumor growth of prostate cancer.
蛋白酶连接蛋白1 (PN1)是丝氨酸蛋白酶抑制剂(SERPINs)家族的一员,以其结合和抑制多种蛋白酶的能力而闻名。最近,我们发现PN1能够通过参与uPA-uPAR复合物和调节两个独立的下游信号级联的独特机制诱导前列腺癌细胞发生凋亡,导致X-linked inhibitor of apoptosis protein (XIAP)的抑制。在这个过程中,PN1的表达降低了NF-κB信号元件p65的表达,从而减少了xiap的转录。另外,PN1活性可以通过阻断AKT信号通路,降低XIAP丝氨酸87的磷酸化,从而阻止XIAP的稳定性。外源性PN1和TRAIL的结合导致前列腺癌异种移植物的生长明显滞后,这表明PN1可能是改善前列腺癌治疗的一个有希望的靶点。此外,人类前列腺组织阵列显示PN1和XIAP在肿瘤和正常前列腺中呈反比水平。因此,PN1-uPA调控轴可能通过调节生存通路,作为肿瘤细胞凋亡的诱导剂,从而延缓前列腺癌肿瘤的生长。
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引用次数: 0
Spinophilin in human cancer–molecular mechanisms and clinical relevance 嗜脊髓蛋白在人类癌症中的分子机制及其临床意义
Pub Date : 2015-05-10 DOI: 10.14800/CCM.816
Edvin Mrsic, R. Wagle, M. Pichler
Spinophilin, a multifunctional intracellular protein, has attracted attention within the last years as a novel putative tumor suppressor protein. Recent studies have shown a reduction of spinophilin expression levels in various types of cancer, such as lung adenocarcinoma, ovarian cancer, and chronic myelogenous leukemia. Low expression of spinophilin was also associated with a higher malignant grade in some of these studies. Our own studies on hepatocellular carcinoma (HCC), head and neck squamous cell carcinoma (HNSCC), colorectal adenocarcinoma (CRC) and breast cancer explored the possible role of spinophilin as a proliferative trigger and potentially prognostic factor. We determined the spinophilin expression through immunohistochemistry, quantitative reverse transcriptase-PCR analysis, and used small interfering RNA (siRNA) or stably expressed shRNAs to disable spinophilin in order to investigate the cellular and molecular effects of reduced spinophilin expression. Statistical methods on appropriate cohorts were used to define the prognostic value and impact on clinical outcome of spinophilin expression levels in patients with HCC, HNSCC, or CRC and breast cancer. Spinophilin seems to play an important role as a crucial protein in cell cycle and proliferation, and thus our findings seems to prove this hypothesis derived from other types of cancer. In the cohorts studied, low expression of spinophilin was identified as an independent prognostic factor that indicates poor clinical outcome. In the past, various key molecules and molecular mechanisms highly impacted clinical practice and specific cancer treatment; therefore, novel factors are needed to improve the moderate survival rates of patients with HCC, HNSCC, and CRC. Taken together, spinophilin is a promising new pathophysiological factor and might be a useful novel biomarker for prognostic purposes.
嗜spinophin是一种多功能的细胞内蛋白,近年来作为一种新的肿瘤抑制蛋白引起了人们的关注。最近的研究表明,在各种类型的癌症中,如肺腺癌、卵巢癌和慢性骨髓性白血病,嗜脊髓蛋白的表达水平都有所降低。在一些研究中,嗜脊髓蛋白的低表达也与较高的恶性程度相关。我们自己对肝细胞癌(HCC)、头颈部鳞状细胞癌(HNSCC)、结直肠癌(CRC)和乳腺癌的研究探讨了嗜脊髓蛋白作为增殖触发因素和潜在预后因素的可能作用。我们通过免疫组织化学、定量逆转录- pcr分析检测嗜脊髓蛋白的表达,并利用小干扰RNA (siRNA)或稳定表达的shRNAs使嗜脊髓蛋白失活,以研究嗜脊髓蛋白表达减少对细胞和分子的影响。采用适当队列的统计方法来确定嗜脊髓蛋白表达水平在HCC、HNSCC或CRC和乳腺癌患者中的预后价值和对临床结果的影响。嗜脊髓蛋白似乎在细胞周期和增殖中扮演着重要的角色,因此我们的研究结果似乎证明了这一来自其他类型癌症的假设。在研究的队列中,嗜脊髓蛋白的低表达被确定为临床预后不良的独立预后因素。过去,各种关键分子和分子机制高度影响临床实践和特异性癌症治疗;因此,需要新的因素来提高HCC、HNSCC和CRC患者的中等生存率。综上所述,嗜脊髓蛋白是一种有前景的新型病理生理因子,可能是一种有用的新型预后生物标志物。
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引用次数: 0
The role of cytoplasmic-to-lysosomal pH gradient in hydrophobic weak base drug sequestration in lysosomes 细胞质-溶酶体pH梯度在溶酶体疏水弱碱药物隔离中的作用
Pub Date : 2015-05-04 DOI: 10.14800/CCM.807
B. Zhitomirsky, Y. Assaraf
Hydrophobic weak base chemotherapeutics are known to markedly accumulate in lysosomes via a mechanism based on protonation and entrapment known as lysosomal drug sequestration. We have recently shown that lysosomal compartmentalization of these anticancer drugs can prevent them from exerting their cytotoxic activity by abolishing accessibility to their target sites, resulting in multidrug resistance. Consistently, we as well as others have recently demonstrated that lysosomal sequestration of the receptor tyrosine kinase inhibitor sunitinib is a determinant of intrinsic resistance in human cancer cells. We specifically found that the number of sunitinib sequestering lysosomes tightly correlated with intrinsic resistance to sunitinib in various naive tumor cell lines of distinct tissue lineage. We further demonstrated that lysosomal accumulation of several hydrophobic weak base drugs triggers activation of lysosomal biogenesis via translocation of the master regulator TFEB from the cytoplasm to the nucleus. This resulted in activation of the Coordinated Lysosomal Expression and Regulation (CLEAR) gene network. This drug-induced activation of lysosomal biogenesis brought about a marked increase in lysosome number per cell. Here we demonstrate the role of alterations in the cytoplasm-to-lysosome pH gradient in lysosomal sequestration of anticancer drugs. We specifically show that MCF-7 breast cancer cells which display a markedly diminished cytoplasm-to-lysosome pH gradient due to both decreased lysosomal acidification and acidification of cytoplasmic pH, are devoid of hydrophobic weak base drug sequestration in lysosomes. The latter finding was of particular significance as MCF-7 cells were found to harbor a relatively high number of lysosomes per cell. We further show that disruption of lysosomal acidification using bafilomycin A1, an inhibitor of vacuolar H + ATPase (V-ATPase), prevents lysosomal drug sequestration when performed prior to hydrophobic weak base drug exposure. Moreover, such lysosomal alkalinization performed after lysosomal drug sequestration, results in massive drug release from lysosomes into the cytoplasm, hence restoring drug accessibility to the cellular target site. These findings have significant implications for the overcoming of lysosome-dependent cancer chemoresistance.
疏水弱碱化疗药物通过质子化和被称为溶酶体药物隔离的包裹机制在溶酶体中显著积累。我们最近的研究表明,这些抗癌药物的溶酶体区室化可以通过破坏其靶点的可及性来阻止它们发挥其细胞毒性活性,从而导致多药耐药。一致地,我们以及其他人最近已经证明,受体酪氨酸激酶抑制剂舒尼替尼的溶酶体隔离是人类癌细胞内在抗性的决定因素。我们特别发现,在不同组织谱系的各种原始肿瘤细胞系中,舒尼替尼隔离溶酶体的数量与对舒尼替尼的内在耐药性密切相关。我们进一步证明,溶酶体积累的几种疏水弱碱基药物通过将主调节因子TFEB从细胞质转运到细胞核,触发了溶酶体生物发生的激活。这导致协调溶酶体表达和调控(CLEAR)基因网络的激活。这种药物诱导的溶酶体生物发生的激活使每个细胞的溶酶体数量显著增加。在这里,我们证明了细胞质-溶酶体pH梯度的改变在溶酶体隔离抗癌药物中的作用。我们特别表明,MCF-7乳腺癌细胞由于溶酶体酸化和细胞质pH酸化的降低而显示出细胞质到溶酶体的pH梯度明显降低,溶酶体中缺乏疏水弱碱药物隔离。后一个发现是特别重要的,因为MCF-7细胞被发现每个细胞含有相对较多的溶酶体。我们进一步表明,使用巴菲霉素A1(一种空泡H + atp酶(v - atp酶)抑制剂)破坏溶酶体酸化,在疏水弱碱药物暴露之前阻止溶酶体药物隔离。此外,溶酶体药物隔离后进行的溶酶体碱化导致溶酶体释放大量药物进入细胞质,从而恢复药物对细胞靶部位的可及性。这些发现对克服溶酶体依赖性癌症化学耐药具有重要意义。
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引用次数: 11
Sorafenib induces apoptosis in hepatocellular carcinoma cells by inhibiting c-Myc and prothymosin-alpha 索拉非尼通过抑制c-Myc和原胸腺素- α诱导肝癌细胞凋亡
Pub Date : 2015-04-26 DOI: 10.14800/CCM.788
Yi-Te Lin, C. Chao
The anti-apoptotic protein prothymosin alpha (PTMA) is overexpressed in various cancers, including hepatocellular carcinoma (HCC). Earlier studies have shown that PTMA blocks apoptosis in cancer cells by inhibiting caspase-9 activation and apoptosome formation. Our recent study shows that silencing of PTMA potentiates the mitochondria-dependent apoptosis pathway in sorafenib-treated HCC cells, leading to Bax translocation, pBad dephosphorylation, and cytochrome c release. Our findings also indicate that the pERK/c-Myc/Max/PTMA axis represents a newly identified target of sorafenib in chemotherapy against HCC.
抗凋亡蛋白胸腺蛋白酶α (PTMA)在包括肝细胞癌(HCC)在内的多种癌症中过表达。早期的研究表明,PTMA通过抑制caspase-9的激活和凋亡体的形成来阻断癌细胞的凋亡。我们最近的研究表明,在索拉非尼治疗的HCC细胞中,PTMA的沉默增强了线粒体依赖的凋亡途径,导致Bax易位、pBad去磷酸化和细胞色素c释放。我们的研究结果还表明,pERK/c-Myc/Max/PTMA轴代表了索拉非尼在肝癌化疗中的一个新发现的靶点。
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引用次数: 0
Tumor talk: understanding the conversation between the tumor and its microenvironment. 肿瘤对话:了解肿瘤与其微环境之间的对话。
Pub Date : 2015-04-26 DOI: 10.14800/ccm.773
Chery A Whipple

It was once believed that tumor growth, progression, and metastasis were intrinsically driven by the tumor. Instead, recent research has demonstrated that a solid tumor is surrounded by a complex matrix of cells, particularly fibroblasts, which support and even promote tumor progression. This matrix of stromal cells, also known as the tumor microenvironment (TME), plays a critical role in cancer and may represent a novel therapeutic target. As such, understanding the complex nature of how the tumor initiates and maintains communication, or a "conversation", with the TME is the focus of current investigations. We have previously shown that the most prevalent mutation found in melanoma, BRAFV600E, results in increased expression and secretion of several growth factors, cytokines, and matrix metalloproteinases, including factors that are able to activate fibroblasts. Targeted inhibition of the BRAFV600E mutation resulted in a decrease of secreted proteins into the TME and suggests that targeting the tumor also modifies the TME. Overall, this work, in combination with several additional studies discussed herein, provides strong evidence for the potential therapeutic benefits of targeting the TME, particularly signaling pathways within the fibroblasts, in conjunction with the tumor. This approach may result in extended drug resistance free survival, reduction in metastasis, and improved cytotoxic drug delivery.

曾经认为肿瘤的生长、进展和转移本质上是由肿瘤驱动的。相反,最近的研究表明,实体瘤被复杂的细胞基质包围,尤其是成纤维细胞,它们支持甚至促进肿瘤的进展。这种基质细胞,也被称为肿瘤微环境(tumor microenvironment, TME),在癌症中起着关键作用,可能是一种新的治疗靶点。因此,了解肿瘤如何启动和维持与TME的交流或“对话”的复杂本质是当前研究的重点。我们之前已经表明,在黑色素瘤中发现的最普遍的突变BRAFV600E导致几种生长因子、细胞因子和基质金属蛋白酶的表达和分泌增加,包括能够激活成纤维细胞的因子。靶向抑制BRAFV600E突变导致分泌到TME的蛋白减少,这表明靶向肿瘤也改变了TME。总的来说,这项工作,结合本文讨论的其他几项研究,为靶向TME(特别是成纤维细胞内的信号通路)与肿瘤结合的潜在治疗益处提供了强有力的证据。这种方法可以延长无耐药生存期,减少转移,改善细胞毒性药物输送。
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引用次数: 30
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