Proto-Oncogene Proteins c-kit

原癌基因蛋白质 c - kit
  • 文章类型: Journal Article
    本研究旨在探讨桃花可溶性膳食纤维(PBSDF)和多酚(PBP)组合对洛哌丁胺(Lop)诱导的小鼠便秘的改善作用。以及可能的作用机制。结果表明,PBSDF和PBP的联合使用可以协同加速胃肠转运速率和胃排空速率,缩短首次红粪排便时间,加快排便频率,调节胃肠神经递质和促炎细胞因子的异常分泌,下调AQP3和AQP8的表达。Westernblot和RT-qPCR分析证实PBSDF+PBP上调SCF/C-kit信号通路中SCF和C-kit蛋白和mRNA的表达,下调NF-κB信号通路中促炎介质的表达。16SrRNA测序表明,肠道菌群的多样性和特定菌株的相对丰度,包括Akkermansia,拟杆菌,Ruminococus,落叶松科_NK4A136_组,和Turicibacter,PBSDF+PBP干预后恢复。这些发现表明,一定剂量的PBSDF和PBP的组合对减轻Lop引起的便秘具有协同作用。改善便秘的协同机制可能与调节NF-κB和SCF/C-kit信号通路有关,并调节便秘相关全身类型的特定肠道菌株。本研究提供了一种通过膳食纤维和多酚相互作用治疗便秘的新策略。
    This study aimed to investigate the ameliorating effects of peach blossom soluble dietary fiber (PBSDF) and polyphenol (PBP) combinations on loperamide (Lop)-induced constipation in mice, together with the possible mechanism of action. The results demonstrated that the combined use of PBSDF and PBP could synergistically accelerate the gastrointestinal transit rate and gastric emptying rate, shorten first red fecal defecation time, accelerate the frequency of defecation, regulate the abnormal secretion of gastrointestinal neurotransmitters and pro-inflammatory cytokines, and down-regulate the expressions of AQP3 and AQP8. Western blotting and RT-qPCR analysis confirmed that PBSDF + PBP up-regulated the protein and mRNA expressions of SCF and C-kit in SCF/C-kit signaling pathway, and down-regulated pro-inflammatory mediator expressions in NF-κB signaling pathway. 16S rRNA sequencing showed that the diversity of gut microbiota and the relative abundance of specific strains, including Akkermansia, Bacteroides, Ruminococcus, Lachnospiraceae_NK4A136_group, and Turicibacter, rehabilitated after PBSDF + PBP intervention. These findings suggested that the combination of a certain dose of PBSDF and PBP had a synergistic effect on attenuating Lop-induced constipation, and the synergistic mechanism in improving constipation might associated with the regulating NF-κB and SCF/C-kit signaling pathway, and modulating the specific gut strains on constipation-related systemic types. The present study provided a novel strategy via dietary fiber and polyphenol interactions for the treatment of constipation.
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  • 文章类型: Journal Article
    平滑肌细胞(SMC),Cajal间质细胞(ICC)与血小板源性生长因子受体α阳性(PDGFRα+)细胞形成整合,胃肠道(GI)肌肉组织内的电合胞体称为SIP合胞体。胃体肌肉的免疫组织化学分析表明,c-KIT/ANO1ICC-IM和PDGFRα细胞在相同的解剖结构中彼此紧密并列。我们使用来自肌体束的细胞内微电极记录来表征肌内ICC和PDGFRα细胞在调节胃肌膜电位中的作用。在肌肉束中,比较大的肌肉条或肌肉片具有相对较高的输入阻抗,我们记录了膜电位随机波动的持续放电,以前称为单一电位或自发瞬态去极化(STD)和自发瞬态超极化(STH)。我们认为STD应该被ANO1的拮抗剂阻断,ANO1是ICC的特征电导。ANO1的激活已被证明会产生自发的瞬态内向电流(STIC),这是性病的基础。Ani9降低了膜噪声并导致超极化,但是这种试剂不能定量地阻止膜电位的波动。阿帕明,小电导Ca2+激活的K+通道(SK3)的拮抗剂,PDGFRα+细胞中的特征电导,进一步降低膜噪声和引起去极化。逆转通道拮抗剂的顺序可以逆转去极化和超极化的顺序。这些实验表明,ICC和PDGFRα+细胞对STD和STHS的持续放电,分别,对SIP合胞体中的膜电位发挥调节作用,可有效调节SMC的兴奋性。
    Smooth muscle cells (SMCs), Interstitial cells of Cajal (ICC) and Platelet-derived growth factor receptor α positive (PDGFRα+) cells form an integrated, electrical syncytium within the gastrointestinal (GI) muscular tissues known as the SIP syncytium. Immunohistochemical analysis of gastric corpus muscles showed that c-KIT+/ANO1+ ICC-IM and PDGFRα+ cells were closely apposed to one another in the same anatomical niches. We used intracellular microelectrode recording from corpus muscle bundles to characterize the roles of intramuscular ICC and PDGFRα+ cells in conditioning membrane potentials of gastric muscles. In muscle bundles, that have a relatively higher input impedance than larger muscle strips or sheets, we recorded an ongoing discharge of stochastic fluctuations in membrane potential, previously called unitary potentials or spontaneous transient depolarizations (STDs) and spontaneous transient hyperpolarizations (STHs). We reasoned that STDs should be blocked by antagonists of ANO1, the signature conductance of ICC. Activation of ANO1 has been shown to generate spontaneous transient inward currents (STICs), which are the basis for STDs. Ani9 reduced membrane noise and caused hyperpolarization, but this agent did not block the fluctuations in membrane potential quantitatively. Apamin, an antagonist of small conductance Ca2+-activated K+ channels (SK3), the signature conductance in PDGFRα+ cells, further reduced membrane noise and caused depolarization. Reversing the order of channel antagonists reversed the sequence of depolarization and hyperpolarization. These experiments show that the ongoing discharge of STDs and STHs by ICC and PDGFRα+ cells, respectively, exerts conditioning effects on membrane potentials in the SIP syncytium that would effectively regulate the excitability of SMCs.
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  • 文章类型: Journal Article
    背景:骨髓(BM)的Lin-Sca1c-Kit(LSK)部分包含多能造血干细胞(HSC),对组织稳态和血管修复至关重要。虽然糖尿病整体影响HSC稳态,在长期2型糖尿病(T2D;>6个月)的条件下,mRNA和miRNA转录组的分子特征仍未被研究.
    方法:在本研究中,我们评估了db/db小鼠中HSC的转录组特征,一个众所周知且广泛使用的T2D模型。对使用细胞分选仪富集的db/db小鼠的LSK细胞进行双端mRNA和单端miRNAseq文库,并在IlluminaNovaSeq6000上测序。使用STAR(剪接转录本与参考比对)定位mRNA序列读段,并且使用QiagenGeneGlobeRNA-seq分析门户将miRNA序列读段映射到指定的参考基因组,具有miRNA的默认参数。
    结果:我们发现了在db/db动物中显著表达的13,708个mRNAs中的2076个和191个miRNAs中的35个;先前未报道的miRNA(miR-3968和miR-1971)在db/db小鼠中被下调。此外,我们观察到糖尿病HSC转录组的分子变化,促炎细胞因子(Il4,Tlr4和Tnf11α)增加,抗炎细胞因子IL10减少.通路图显示了趋化因子介导的炎症,细胞因子,和血管生成是db/db小鼠中转录物数量明显较高的主要途径之一。这些分子变化反映在骨髓中LSK迁移率的明显缺陷中。miRNA下游靶标分析揭示了几种靶向白细胞迁移的mRNA,小胶质细胞激活,吞噬体形成,和巨噬细胞激活信号作为它们的主要途径,提示向炎症表型的转变。
    结论:我们的研究结果强调,慢性糖尿病在转录水平上不利地改变了HSCs的稳态,因此可能导致长期糖尿病下HSC的炎症表型。我们还相信,在miRNA或mRNA中鉴定基于HSC的生物标志物可以作为糖尿病和相关血管并发症的诊断标志物和潜在治疗靶标。
    BACKGROUND: The Lin-Sca1+c-Kit+ (LSK) fraction of the bone marrow (BM) comprises multipotent hematopoietic stem cells (HSCs), which are vital to tissue homeostasis and vascular repair. While diabetes affects HSC homeostasis overall, the molecular signature of mRNA and miRNA transcriptomic under the conditions of long-standing type 2 diabetes (T2D;>6 months) remains unexplored.
    METHODS: In this study, we assessed the transcriptomic signature of HSCs in db/db mice, a well-known and widely used model for T2D. LSK cells of db/db mice enriched using a cell sorter were subjected to paired-end mRNA and single-end miRNA seq library and sequenced on Illumina NovaSeq 6000. The mRNA sequence reads were mapped using STAR (Spliced Transcripts Alignment to a Reference), and the miRNA sequence reads were mapped to the designated reference genome using the Qiagen GeneGlobe RNA-seq Analysis Portal with default parameters for miRNA.
    RESULTS: We uncovered 2076 out of 13,708 mRNAs and 35 out of 191 miRNAs that were expressed significantly in db/db animals; strikingly, previously unreported miRNAs (miR-3968 and miR-1971) were found to be downregulated in db/db mice. Furthermore, we observed a molecular shift in the transcriptome of HSCs of diabetes with an increase in pro-inflammatory cytokines (Il4, Tlr4, and Tnf11α) and a decrease in anti-inflammatory cytokine IL10. Pathway mapping demonstrated inflammation mediated by chemokine, cytokine, and angiogenesis as one of the top pathways with a significantly higher number of transcripts in db/db mice. These molecular changes were reflected in an overt defect in LSK mobility in the bone marrow. miRNA downstream target analysis unveils several mRNAs targeting leukocyte migration, microglia activation, phagosome formation, and macrophage activation signaling as their primary pathways, suggesting a shift to an inflammatory phenotype.
    CONCLUSIONS: Our findings highlight that chronic diabetes adversely alters HSCs\' homeostasis at the transcriptional level, thus potentially contributing to the inflammatory phenotype of HSCs under long-term diabetes. We also believe that identifying HSCs-based biomarkers in miRNAs or mRNAs could serve as diagnostic markers and potential therapeutic targets for diabetes and associated vascular complications.
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  • 文章类型: Journal Article
    酪氨酸激酶抑制剂(TKI)在兽医肿瘤学中的应用越来越多,并且在过去的几年中,已经在狗中测试了几种TKI。然而,不同于人类医学,我们缺乏选择接受每种TKI治疗的患者的策略.因此,本研究旨在筛选不同肿瘤亚型,将TKI靶免疫表达作为犬癌症治疗的个性化预测策略.它包括18个前列腺癌,36软组织肉瘤,20个乳腺肿瘤,6膀胱尿路上皮癌,和7个来自内分泌系统的肿瘤。共87例患者用石蜡块进行人表皮生长因子受体2(HER-2)的免疫组织化学(IHC),表皮生长因子受体1(EGFR1),血管内皮生长因子受体2(VEGFR-2),血小板衍生生长因子受体β(PDGFR-β),c-KIT,和细胞外信号调节激酶1/2(ERK1/ERK2)。免疫组织化学筛选显示,在组织学类型中,间充质肿瘤的表达水平最低,癌的表达水平最高。我们通过IHC筛选证明,HER2、EGFR1、VEGFR-2、PDGFR-β和ERK1/ERK2在不同癌症的狗中普遍过表达,和KIT表达被认为在分析样品中相对较低。
    The use of tyrosine kinase inhibitors (TKI) has been growing in veterinary oncology and in the past few years several TKI have been tested in dogs. However, different from human medicine, we lack strategies to select patients to be treated with each TKI. Therefore, this study aimed to screen different tumor subtypes regarding TKI target immunoexpression as a predictor strategy to personalize the canine cancer treatment. It included 18 prostatic carcinomas, 36 soft tissue sarcomas, 20 mammary gland tumors, 6 urothelial bladder carcinomas, and 7 tumors from the endocrine system. A total of 87 patients with paraffin blocks were used to perform immunohistochemistry (IHC) of human epidermal growth factor receptor 2 (HER-2), epidermal growth factor receptors 1 (EGFR1), vascular endothelial growth factor receptor 2 (VEGFR-2), platelet derived growth factor receptor beta (PDGFR-β), c-KIT, and extracellular signal-regulated kinase 1/2 (ERK1/ERK2). The immunohistochemical screening revealed a heterogeneous protein expression among histological types with mesenchymal tumors showing the lowest expression level and carcinomas the highest expression. We have demonstrated by IHC screening that HER2, EGFR1, VEGFR-2, PDGFR-β and ERK1/ERK2 are commonly overexpressed in dogs with different carcinomas, and KIT expression is considered relatively low in the analyzed samples.
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  • 文章类型: Journal Article
    造血干细胞(HSC)通常从骨髓(BM)动员到血液循环用于临床移植。然而,单个干细胞退出骨髓的确切机制尚不清楚。这项研究确定了可动员的造血干细胞池的细胞外在和分子决定因素。我们发现一组HSC在其细胞表面显示巨噬细胞相关标记。虽然功能齐全,与缺乏巨噬细胞标记的干细胞相反,这些HSC被选择性地保留,强制动员后退出BM。HSC上的巨噬细胞标记可以通过细胞生长直接转移获得,受受体酪氨酸蛋白激酶C-Kit(CD117)调节,来自小鼠和人类环境中的BM常驻巨噬细胞。我们的研究提供了以下概念的证据:成体干细胞利用细胞生长迅速建立和激活功能调节的分子机制。
    Hematopoietic stem cells (HSCs) are routinely mobilized from the bone marrow (BM) to the blood circulation for clinical transplantation. However, the precise mechanisms by which individual stem cells exit the marrow are not understood. This study identified cell-extrinsic and molecular determinants of a mobilizable pool of blood-forming stem cells. We found that a subset of HSCs displays macrophage-associated markers on their cell surface. Although fully functional, these HSCs are selectively niche-retained as opposed to stem cells lacking macrophage markers, which exit the BM upon forced mobilization. Macrophage markers on HSCs could be acquired through direct transfer by trogocytosis, regulated by receptor tyrosine-protein kinase C-Kit (CD117), from BM-resident macrophages in mouse and human settings. Our study provides proof of concept that adult stem cells utilize trogocytosis to rapidly establish and activate function-modulating molecular mechanisms.
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  • 文章类型: Journal Article
    背景:已知KITL-KIT相互作用是通过PI3K-AKT-FOXO3信号传导的下游途径激活卵母细胞的重要引发剂。先前的研究利用生殖细胞特异性Kit突变体敲入和激酶结构域敲除模型与Vasa-Cre表明KIT在原始卵泡期卵母细胞激活中的关键作用。
    方法:我们通过Gdf9-iCre利用卵母细胞出生后KIT表达完全缺失的小鼠,并对卵巢卵泡发育进行了分析,特定标记,激素检测,和生育结果。
    结果:我们的发现揭示了与以前的产前Kit缺失的小鼠模型相比的对比表型。具体来说,出生后Kit的缺失在生殖细胞巢破裂中没有缺陷,卵泡激活,和发育过程中的卵泡生成。值得注意的是,在达到完全成熟时,出生后缺失Kit的小鼠经历卵巢储备的完全丧失,正在生长的卵泡,和卵巢功能。此外,小鼠表现出更小的卵巢大小和重量,卵泡发育延迟,和指示原发性卵巢功能不全(POI)的表型,包括血清FSH水平升高,降低AMH,没有卵泡,最终导致不孕。此外,卵巢表现出随机分布的颗粒细胞和卵泡膜细胞标志物如抑制素α,ACVR2B,LHR。值得注意的是,整个卵巢切片中p-SMAD3和Ki67的表达不受控制,以及广泛存在的黄体化基质细胞和裂解的Caspase-3阳性垂死细胞。
    结论:这些遗传学研究强调了KIT在卵母细胞中对维持卵泡存活和确保生殖寿命不可或缺的作用。
    背景:这项工作得到了美国国立卫生研究院拨款R01HD096042和UNMC(S.Y.K.)启动资金的支持。
    BACKGROUND: The KITL-KIT interaction is known as an important initiator in oocyte activation through the downstream pathway of PI3K-AKT-FOXO3 signalling. Previous studies utilising germ cell-specific Kit mutant knockin and kinase domain knockout models with Vasa-Cre suggested the crucial role of KIT in oocyte activation at the primordial follicle stage.
    METHODS: We utilised mice with complete postnatal deletion of KIT expression in oocytes via Gdf9-iCre and conducted analyses on ovarian follicle development, specific markers, hormone assays, and fertility outcomes.
    RESULTS: Our findings reveal contrasting phenotypes compared to previous mouse models with prenatal deletion of Kit. Specifically, postnatal deletion of Kit exhibit no defects in germ cell nest breakdown, follicle activation, and folliculogenesis during development. Remarkably, upon reaching full maturity, mice with postnatal deletion of Kit experience a complete loss of ovarian reserve, growing follicles, and ovarian function. Furthermore, mice display smaller ovarian size and weight, delayed folliculogenesis, and phenotypes indicative of primary ovarian insufficiency (POI), including elevated serum levels of FSH, reduced AMH, and absence of ovarian follicles, ultimately resulting in infertility. Additionally, the ovaries exhibit randomly distributed expression of granulosa and theca cell markers such as Inhibin α, ACVR2B, and LHR. Notably, there is the uncontrolled expression of p-SMAD3 and Ki67 throughout the ovarian sections, along with the widespread presence of luteinised stroma cells and cleaved Caspase-3-positive dying cells.
    CONCLUSIONS: These genetic studies underscore the indispensable role of KIT in oocytes for maintaining the survival of ovarian follicles and ensuring the reproductive lifespan.
    BACKGROUND: This work was supported by National Institutes of Health grant R01HD096042 and startup funds from UNMC (S.Y.K.).
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  • 文章类型: Journal Article
    背景:仅在TanaToraja中发现了具有不同程度白色斑点的沼泽型水牛,南苏拉威西岛,印度尼西亚,根据托拉扬的习俗,发现的水牛公牛的价值很高。白色斑点脱色是由黑素细胞的缺乏引起的。然而,导致这种表型的遗传变异尚未被完全表征。这项研究的目的是鉴定负责这种独特的毛色模式的基因组区域和变体。
    结果:全基因组关联研究(GWAS)和选择特征分析根据28只固体和39只斑点水牛的全基因组测序数据,将MITF确定为关键基因,同时通过候选基因方法还发现KIT参与了该表型的发展。替代候选突变包括,除了先前报道的无义突变c.649C>T(p。Arg217*)和MITF中的剪接供体突变c.11792T>A,无意义突变c.2028T>A(p。Tyr676*)在工具包中。所有这三个突变都位于仅在印度尼西亚沼泽水牛中高度保守的基因组区域,它们在很大程度上(95%)是白色斑点的表现。最后但并非最不重要的,ADAMTS20和TWIST2也可能有助于这种涂层颜色图案的多样化。
    结论:本研究中确定的替代突变影响,至少部分地和独立地,黑素细胞的发育。这种突变的存在和持续存在可以通过在TanaToraja的历史RambuSolo仪式中使用的斑点水牛的重大财务和社会价值来解释,印度尼西亚。因此,斑点水牛的传统育种支持几种从头自发突变。
    BACKGROUND: Swamp-type buffaloes with varying degrees of white spotting are found exclusively in Tana Toraja, South Sulawesi, Indonesia, where spotted buffalo bulls are highly valued in accordance with the Torajan customs. The white spotting depigmentation is caused by the absence of melanocytes. However, the genetic variants that cause this phenotype have not been fully characterized. The objective of this study was to identify the genomic regions and variants responsible for this unique coat-color pattern.
    RESULTS: Genome-wide association study (GWAS) and selection signature analysis identified MITF as a key gene based on the whole-genome sequencing data of 28 solid and 39 spotted buffaloes, while KIT was also found to be involved in the development of this phenotype by a candidate gene approach. Alternative candidate mutations included, in addition to the previously reported nonsense mutation c.649 C > T (p.Arg217*) and splice donor mutation c.1179 + 2T > A in MITF, a nonsense mutation c.2028T > A (p.Tyr676*) in KIT. All these three mutations were located in the genomic regions that were highly conserved exclusively in Indonesian swamp buffaloes and they accounted largely (95%) for the manifestation of white spotting. Last but not the least, ADAMTS20 and TWIST2 may also contribute to the diversification of this coat-color pattern.
    CONCLUSIONS: The alternative mutations identified in this study affect, at least partially and independently, the development of melanocytes. The presence and persistence of such mutations may be explained by significant financial and social value of spotted buffaloes used in historical Rambu Solo ceremony in Tana Toraja, Indonesia. Several de novo spontaneous mutations have therefore been favored by traditional breeding for the spotted buffaloes.
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  • 文章类型: Journal Article
    激活KIT中的突变,特别是D816V,与肥大细胞增多症有关.此外,杂合子KITM541L的表达主要在小儿肥大细胞增多症患者中报道。因此,我们检查了这种变异在小儿和成人肥大细胞增多症患者(n=100)中的患病率,与祖先匹配的1000个基因组对照(n=500)和特发性过敏反应患者(n=23)相比。然后,我们在有和没有KITM541L变体的匹配队列中比较了全身和皮肤肥大细胞增多症患者的临床症状和实验室数据以及骨髓组织病理学。总的来说,在19例患者中发现了KITM541L变异;大多数患者被诊断为系统性肥大细胞增多症(89.4%),并伴有KITD816V突变.组间外周血参数无显著差异。与没有KITM541L的匹配参考队列(n=13/81)相比,携带KITM541L变体的肥大细胞增多症患者在症状学上没有显着差异。在特发性过敏反应患者中,未观察到显著关联.这项研究独特地检查了KITM541L变体在成年和小儿肥大细胞增多症患者中的患病率和影响,并通过疾病变体进一步分层。据我们所知,这是第一个病例/对照研究,显示与KITM541L位点的肥大细胞增多症存在显著遗传关联.
    Activating mutations in KIT, particularly D816V, have been associated with mastocytosis. Additionally, expression of heterozygous KIT M541L has been primarily reported in patients with pediatric mastocytosis. We thus examined the prevalence of this variant in pediatric and adult patients with mastocytosis (n = 100) compared to ancestry-matched 1000 genomes controls (n = 500) and patients with idiopathic anaphylaxis (n = 23). We then compared clinical symptoms and laboratory data on patients with systemic and cutaneous mastocytosis and bone marrow histopathology on a matched cohort with and without the KIT M541L variant. Overall, the KIT M541L variant was identified in 19 individuals; the majority were diagnosed with systemic mastocytosis (89.4%) with an associated KIT D816V mutation. There were no significant differences in peripheral blood parameters between groups. Patients with mastocytosis carrying the KIT M541L variant did not demonstrate significant differences in symptomatology compared to a matched reference cohort (n = 13/81) without KIT M541L. In patients with idiopathic anaphylaxis, no significant associations were observed. This study uniquely examines the prevalence and impact of the KIT M541L variant in both adult and pediatric patients with mastocytosis further stratified by disease variant. To our knowledge, this is the first case/control study to show a significant genetic association with mastocytosis at the KIT M541L locus.
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  • 文章类型: Journal Article
    血管生成的预后意义已在各种类型的癌症中得到证实。然而,在结直肠癌(CRC)中,关于血管生成和临床组织病理学预后因素之间的关系,存在矛盾的结果.肥大细胞是在炎症微环境中发现的免疫系统细胞;它们在致癌作用和预后中的作用尚不清楚,尽管它们被认为会导致癌症的发展和进展。本研究旨在评估通过微血管密度(MVD)评估的肥大细胞积累和血管生成在CRC患者中的预后意义。包括接受根治性切除且未接受新辅助化疗的患者。抗CD34抗体和抗CD117抗体用于组织样品中MVD和肥大细胞计数(MCC)的免疫组织化学评估,分别。MCC之间的关系,MVD,评估了生存率和临床组织病理学预后因素.共有94名患者被纳入研究。在中位49个月的随访中,65例(69.1%)患者死亡。CD34<18.3%和CD34>18.3%的组的5年无病生存率分别为61.1%和31.3%,分别(P=.001)。相同组的5年总生存率为77,1%和51,4%,分别(P,012)。发现MVD与病理T分期有关,淋巴结转移和远处转移(P<0.05)。尽管MCC与MVD呈正相关,MCC与临床组织病理学预后因素之间无相关性.MVD评估的血管生成与诊断为CRC的患者的生存率和临床组织病理学预后因素显着相关。
    The prognostic significance of angiogenesis has been demonstrated in various types of cancer. However, in colorectal cancer (CRC), there are conflicting results regarding the relationship between angiogenesis and clinical-histopathological prognostic factors. Mast cells are immune system cells found in the inflammatory microenvironment; their role in carcinogenesis and prognosis remains unclear although they are considered to cause cancer development and progression. The present study aims to evaluate the prognostic significance of mast cell accumulation and angiogenesis assessed by microvessel density (MVD) in patients with CRC. Patients who underwent curative resection and who were not treated with neoadjuvant chemotherapy were included. The anti-CD34 antibody and anti-CD117 antibody were utilized for the immunohistochemical assessment of MVD and the mast cell count (MCC) in the tissue samples, respectively. The relationship between MCC, MVD, survival and clinical-histopathological prognostic factors were evaluated. A total of 94 patients were enrolled to the study. In a median 49-month follow-up, 65 patients (69.1%) died. The 5-year disease-free survival was 61.1% and 31.3% for the group with CD34 < 18.3% and CD34 > 18.3%, respectively (P = .001). The same groups presented 5-year overall survival rates of 77, 1% and 51, 4%, respectively (P, .012). The MVD was found to be associated with the pathological T stage, lymph node metastasis and distant metastasis (P < .05). Although the MCC was positively correlated with MVD, there was no association between the MCC and clinical-histopathological prognostic factors. MVD-assessed angiogenesis was significantly related to survival and the clinical-histopathological prognostic factors in patients diagnosed with CRC.
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  • 文章类型: Case Reports
    粘膜黑素瘤(MM)代表不常见的黑素瘤形式。原发性胃肠道(GIT)黑色素瘤甚至更罕见。一名70岁的男性访问了辽宁省肿瘤医院和研究所,中国,由于过去两个月的上腹部不适。他的内窥镜检查显示了一个突出的,胃食管交界处(GEJ)的6厘米溃疡肿瘤。病变内镜活检显示肿瘤细胞弥漫性分布。他接受了胃大部切除术伴淋巴结清扫术(LND)。术后组织病理学显示肿瘤细胞呈弥漫性分布,具有许多肿瘤浸润淋巴细胞(TIL)和色素颗粒。免疫组织化学(IHC)结果对于S-100和HMB-45均为阳性。分子分析显示KIT基因外显子11突变。尽管临床医生强调对患者及其家人进行全身化疗和免疫治疗的必要性,患者未接受任何辅助治疗,术后36个月死亡.在胃肠道恶性肿瘤的鉴别诊断中应考虑GEJ的原发性恶性黑色素瘤。尤其是在通过系统检查排除转移源之后。
    Mucosal melanoma (MM) represents an uncommon form of melanoma. Primary gastrointestinal tract (GIT) melanoma is even rarer. A 70-year-old male visited the Liaoning Cancer Hospital and Institute, China, due to upper abdominal discomfort for the past two months. His endoscopy revealed a prominent, 6-cm ulcerated neoplasm in the gastroesophageal junction (GEJ). Lesion endoscopic biopsy showed diffusely distributed tumour cells. He underwent subtotal gastrectomy with lymph node dissection (LND). Postoperative histopathology revealed a diffuse distribution of tumour cells with numerous tumourinfiltrating lymphocytes (TILs) and pigment granules. Immunohistochemical (IHC) results were positive for both S-100 and HMB-45. Molecular analysis showed KIT gene exon 11 mutations. Although the clinicians emphasised the necessity of systemic chemotherapy and immunotherapy with the patient and his family, the patient did not receive any adjuvant therapy and died 36 months after surgery. Primary malignant melanoma of GEJ should be considered in a differential diagnosis for gastrointestinal malignancies, especially after excluding the source of metastasis through a systemic examination.
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