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Bile acids, gut microbiota, and therapeutic insights in hepatocellular carcinoma. 胆汁酸、肠道微生物群和肝细胞癌的治疗见解。
IF 5.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-23 DOI: 10.20892/j.issn.2095-3941.2023.0394
Yang Song, Harry Ch Lau, Xiang Zhang, Jun Yu

Hepatocellular carcinoma (HCC) is a prevalent and aggressive liver malignancy. The interplay between bile acids (BAs) and the gut microbiota has emerged as a critical factor in HCC development and progression. Under normal conditions, BA metabolism is tightly regulated through a bidirectional interplay between gut microorganisms and BAs. The gut microbiota plays a critical role in BA metabolism, and BAs are endogenous signaling molecules that help maintain liver and intestinal homeostasis. Of note, dysbiotic changes in the gut microbiota during pathogenesis and cancer development can disrupt BA homeostasis, thereby leading to liver inflammation and fibrosis, and ultimately contributing to HCC development. Therefore, understanding the intricate interplay between BAs and the gut microbiota is crucial for elucidating the mechanisms underlying hepatocarcinogenesis. In this review, we comprehensively explore the roles and functions of BA metabolism, with a focus on the interactions between BAs and gut microorganisms in HCC. Additionally, therapeutic strategies targeting BA metabolism and the gut microbiota are discussed, including the use of BA agonists/antagonists, probiotic/prebiotic and dietary interventions, fecal microbiota transplantation, and engineered bacteria. In summary, understanding the complex BA-microbiota crosstalk can provide valuable insights into HCC development and facilitate the development of innovative therapeutic approaches for liver malignancy.

肝细胞癌(HCC)是一种常见的侵袭性肝脏恶性肿瘤。胆汁酸(BA)与肠道微生物群之间的相互作用已成为 HCC 发病和进展的关键因素。在正常情况下,胆汁酸代谢是通过肠道微生物与胆汁酸之间的双向相互作用来严格调节的。肠道微生物群在 BA 代谢中起着关键作用,而 BAs 是内源性信号分子,有助于维持肝脏和肠道的平衡。值得注意的是,在致病和癌症发展过程中,肠道微生物群的菌群失调会破坏 BA 的平衡,从而导致肝脏炎症和纤维化,并最终导致 HCC 的发展。因此,了解 BA 与肠道微生物群之间错综复杂的相互作用对于阐明肝癌发生的机制至关重要。在这篇综述中,我们全面探讨了生物碱代谢的作用和功能,重点是生物碱和肠道微生物在 HCC 中的相互作用。此外,还讨论了针对 BA 代谢和肠道微生物群的治疗策略,包括使用 BA 激动剂/拮抗剂、益生菌/预益生菌和饮食干预、粪便微生物群移植和工程菌。总之,了解复杂的胆碱酯酶-微生物群之间的相互作用可为了解 HCC 的发展提供有价值的见解,并有助于开发治疗肝脏恶性肿瘤的创新方法。
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引用次数: 0
From dichotomy to diversity: deciphering the multifaceted roles of tumor-associated macrophages in cancer progression and therapy. 从二分法到多样性:解读肿瘤相关巨噬细胞在癌症进展和治疗中的多方面作用。
IF 5.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-14 DOI: 10.20892/j.issn.2095-3941.2023.0370
Xiumei Wang, Jun Chen, Guangshuai Jia
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引用次数: 0
DNA methylation profiles in cancer: functions, therapy, and beyond. 癌症中的 DNA 甲基化图谱:功能、治疗及其他。
IF 5.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-07 DOI: 10.20892/j.issn.2095-3941.2023.0403
Jinrong Zhu, Yongjie Yang, Li Li, Jiuren Tang, Rongxin Zhang
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引用次数: 0
Large-scale loss-of-function perturbations reveal a comprehensive epigenetic regulatory network in breast cancer. 大规模功能缺失扰动揭示了乳腺癌的综合表观遗传调控网络。
IF 5.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-07 DOI: 10.20892/j.issn.2095-3941.2023.0276
Yumei Wang, Haiyan Wang, Wei Shao, Yuhui Chen, Yu Gui, Chao Hu, Xiaohong Yi, Lijun Huang, Shasha Li, Dong Wang

Objective: Epigenetic abnormalities have a critical role in breast cancer by regulating gene expression; however, the intricate interrelationships and key roles of approximately 400 epigenetic regulators in breast cancer remain elusive. It is important to decipher the comprehensive epigenetic regulatory network in breast cancer cells to identify master epigenetic regulators and potential therapeutic targets.

Methods: We employed high-throughput sequencing-based high-throughput screening (HTS2) to effectively detect changes in the expression of 2,986 genes following the knockdown of 400 epigenetic regulators. Then, bioinformatics analysis tools were used for the resulting gene expression signatures to investigate the epigenetic regulations in breast cancer.

Results: Utilizing these gene expression signatures, we classified the epigenetic regulators into five distinct clusters, each characterized by specific functions. We discovered functional similarities between BAZ2B and SETMAR, as well as CLOCK and CBX3. Moreover, we observed that CLOCK functions in a manner opposite to that of HDAC8 in downstream gene regulation. Notably, we constructed an epigenetic regulatory network based on the gene expression signatures, which revealed 8 distinct modules and identified 10 master epigenetic regulators in breast cancer.

Conclusions: Our work deciphered the extensive regulation among hundreds of epigenetic regulators. The identification of 10 master epigenetic regulators offers promising therapeutic targets for breast cancer treatment.

目的:表观遗传异常通过调控基因表达在乳腺癌中起着至关重要的作用;然而,大约400种表观遗传调控因子在乳腺癌中错综复杂的相互关系和关键作用仍然难以捉摸。破译乳腺癌细胞中全面的表观遗传调控网络对确定主表观遗传调控因子和潜在的治疗靶点非常重要:方法:我们采用基于高通量测序的高通量筛选(HTS2)技术,有效检测了敲除400个表观遗传调控因子后2986个基因的表达变化。然后,利用生物信息学分析工具对得到的基因表达特征进行分析,以研究乳腺癌的表观遗传调控:结果:利用这些基因表达特征,我们将表观遗传调控因子分为五个不同的群组,每个群组都具有特定的功能。我们发现 BAZ2B 和 SETMAR 以及 CLOCK 和 CBX3 在功能上具有相似性。此外,我们还观察到 CLOCK 在下游基因调控中的功能与 HDAC8 相反。值得注意的是,我们根据基因表达特征构建了表观遗传调控网络,发现了8个不同的模块,并确定了乳腺癌中的10个表观遗传主调控因子:我们的研究破译了数百个表观遗传调控因子之间的广泛调控。结论:我们的研究破译了数百个表观遗传调控因子之间的广泛调控,并确定了 10 个主表观遗传调控因子,为乳腺癌治疗提供了有前景的治疗靶点。
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引用次数: 0
Peptide drugs: a new direction in cancer immunotherapy. 多肽药物:癌症免疫疗法的新方向。
IF 5.6 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-12-07 DOI: 10.20892/j.issn.2095-3941.2023.0297
Xinghua Sui, Xiaoshuang Niu, Xiuman Zhou, Yanfeng Gao
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引用次数: 0
Improving the value of molecular testing: current status and opportunities in colorectal cancer precision medicine. 提高分子检测的价值:结直肠癌精准医学的现状与机遇。
IF 5.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-30 DOI: 10.20892/j.issn.2095-3941.2023.0293
Haiyun Li, Linwei Guo, Chenchen Wang, Xin Hu, Ye Xu
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引用次数: 0
Deep insight into the B-cell associated tertiary lymphoid structure and tumor immunotherapy. 深入了解b细胞相关的三级淋巴结构和肿瘤免疫治疗。
IF 5.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-30 DOI: 10.20892/j.issn.2095-3941.2023.0308
Jilong Yang, Jin Xu, Haotian Liu, Wanyi Xiao, Gengpu Zhang
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引用次数: 0
The outpost against cancer: universal cancer only markers. 对抗癌症的前哨:通用的癌症标记。
IF 5.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-28 DOI: 10.20892/j.issn.2095-3941.2023.0313
Chengchen Qian, Xiaolong Zou, Wei Li, Yinshan Li, Wenqiang Yu

Cancer is the leading cause of death worldwide. Early detection of cancer can lower the mortality of all types of cancer; however, effective early-detection biomarkers are lacking for most types of cancers. DNA methylation has always been a major target of interest because DNA methylation usually occurs before other detectable genetic changes. While investigating the common features of cancer using a novel guide positioning sequencing for DNA methylation, a series of universal cancer only markers (UCOMs) have emerged as strong candidates for effective and accurate early detection of cancer. While the clinical value of current cancer biomarkers is diminished by low sensitivity and/or low specificity, the unique characteristics of UCOMs ensure clinically meaningful results. Validation of the clinical potential of UCOMs in lung, cervical, endometrial, and urothelial cancers further supports the application of UCOMs in multiple cancer types and various clinical scenarios. In fact, the applications of UCOMs are currently under active investigation with further evaluation in the early detection of cancer, auxiliary diagnosis, treatment efficacy, and recurrence monitoring. The molecular mechanisms by which UCOMs detect cancers are the next important topics to be investigated. The application of UCOMs in real-world scenarios also requires implementation and refinement.

癌症是世界范围内导致死亡的主要原因。早期发现癌症可以降低所有类型癌症的死亡率;然而,对于大多数类型的癌症,缺乏有效的早期检测生物标志物。DNA甲基化一直是人们感兴趣的主要目标,因为DNA甲基化通常发生在其他可检测的遗传变化之前。在使用一种新的DNA甲基化导向定位测序来研究癌症的共同特征时,一系列通用癌症标记物(UCOMs)已经成为有效和准确的癌症早期检测的有力候选者。虽然目前癌症生物标志物的临床价值因低敏感性和/或低特异性而降低,但UCOMs的独特特征确保了临床有意义的结果。验证UCOMs在肺癌、宫颈癌、子宫内膜癌和尿路上皮癌中的临床潜力,进一步支持了UCOMs在多种癌症类型和各种临床情况中的应用。事实上,UCOMs的应用目前正在积极探索中,在癌症的早期发现、辅助诊断、治疗效果、复发监测等方面进行进一步的评价。UCOMs检测癌症的分子机制是下一个需要研究的重要课题。UCOMs在现实场景中的应用也需要实现和细化。
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引用次数: 0
Emerging trends in clinical cancer genomic research. 临床癌症基因组研究的新趋势。
IF 5.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-28 DOI: 10.20892/j.issn.2095-3941.2023.0383
Yingyan Yu
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引用次数: 0
Single-arm trials for domestic oncology drug approvals in China. 中国国内肿瘤药物审批单臂试验。
IF 5.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-27 DOI: 10.20892/j.issn.2095-3941.2023.0360
Hong Zhang, Sen Liu, Chenghao Ge, Xiaozhen Liu, Yang Liu, Chen Yin, Yi Li, Jing An, Zhongtian Yan, Xiaoyuan Chen
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引用次数: 0
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Cancer Biology & Medicine
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