cancer progression

癌症进展
  • 文章类型: Journal Article
    长链非编码RNA已成为癌症生物学中的重要参与者。越来越多的证据揭示了它们在改善癌症管理方面的潜力,因为它们可以用作可靠的预后和诊断生物标志物。最近,DARS-AS1因其参与促进肿瘤进展而受到广泛关注。到目前为止,大量研究已经报道了它在人体系统不同恶性肿瘤中的上调,并揭示了它与癌症标志以及临床病理特征的关联.重要的是,靶向DARS-AS1在癌症治疗中具有希望。在目前的研究中,我们对其表达状态进行了深入分析,并探讨了DARS-AS1促进肿瘤发生的潜在机制,增长,入侵,和转移。此外,我们检查DARS-AS1表达与癌症患者临床病理特征之间的相关性,揭示了它作为癌症生物标志物的潜力。此外,我们讨论了靶向DARS-AS1在癌症治疗中的治疗潜力,突出新兴战略,如RNA干扰和小分子抑制剂。提高对其功能作用的理解可以为精准医学开辟新的途径,从而为癌症患者带来更好的结果。
    Long non-coding RNAs have emerged as important players in cancer biology. Increasing evidence has uncovered their potency in improving cancer management as they can be used as a credible prognostic and diagnostic biomarker. Recently, DARS-AS1 has gained significant attention for its involvement in facilitating tumor progression. So far, numerous research has been reported its upregulation in different malignancies of human body systems and revealed its association with cancer hallmarks as well as clinicopathological characteristics. Importantly, targeting DARS-AS1 holds promise in cancer therapy. In the current study, we provide an in-depth analysis of its expression status and explore the underlying mechanisms through which DARS-AS1 contributes to tumor initiation, growth, invasion, and metastasis. Additionally, we examine the correlation between DARS-AS1 expression and clinicopathological features of cancer patients, shedding light on its potential as a cancer biomarker. Furthermore, we discuss the therapeutic potential of targeting DARS-AS1 in cancer treatment, highlighting emerging strategies, such as RNA interference and small molecule inhibitors. Boosting the understanding of its functional role can open new avenues for precision medicine, thus resulting in better outcomes for cancer patients.
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  • 文章类型: Journal Article
    妊娠相关乳腺癌(PABC)由于其在怀孕期间或之后不久的发生而提出了独特的挑战。妊娠相关血浆蛋白A(PAPP-A)已成为PABC的潜在生物标志物和调节剂。这篇全面的综述探讨了PAPP-A在PABC中的作用,强调其参与组织重塑和癌症进展。将PAPP-A与乳腺癌联系起来的分子机制,包括信号通路和与其他分子的相互作用,正在探索。该综述还讨论了PABC中PAPP-A失调的诊断和治疗意义,强调需要进一步研究以阐明潜在机制并开发靶向治疗。研究人员之间的合作努力,临床医生,和行业利益相关者对于将研究结果转化为临床相关干预措施以改善PABC患者的预后至关重要。
    Pregnancy-associated breast cancer (PABC) presents unique challenges due to its occurrence during or shortly after pregnancy. Pregnancy-associated plasma protein A (PAPP-A) has emerged as a potential biomarker and regulator in PABC. This comprehensive review examines the role of PAPP-A in PABC, highlighting its involvement in tissue remodeling and cancer progression. Molecular mechanisms linking PAPP-A to breast cancer, including signaling pathways and interactions with other molecules, are explored. The review also discusses the diagnostic and therapeutic implications of PAPP-A dysregulation in PABC, emphasizing the need for further research to elucidate underlying mechanisms and develop targeted therapies. Collaborative efforts among researchers, clinicians, and industry stakeholders are essential for translating findings into clinically relevant interventions to improve outcomes for PABC patients.
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  • 文章类型: Review
    自噬是一个保守的分解代谢过程,控制细胞器质量,去除错误折叠或异常聚集的蛋白质,并且是抵抗细胞内病原体的防御机制的一部分。自噬通过促进基因组稳定性来抑制肿瘤的发生,细胞完整性,氧化还原平衡和蛋白质稳定。另一方面,一旦肿瘤建立起来,自噬可以支持癌细胞存活并促进上皮-间质转化。已经鉴定了越来越多的参与自噬的分子。除了他们的关键规范活动,其中几个分子,例如ATG5,ATG12和Beclin-1,也在各种生物过程中发挥自噬无关的功能。本综述旨在总结自噬机制分子的自噬非依赖性功能,以及这些分子的活性如何影响癌症进展中失调的信号通路。
    Autophagy is a conserved catabolic process that controls organelle quality, removes misfolded or abnormally aggregated proteins and is part of the defense mechanisms against intracellular pathogens. Autophagy contributes to the suppression of tumor initiation by promoting genome stability, cellular integrity, redox balance and proteostasis. On the other hand, once a tumor is established, autophagy can support cancer cell survival and promote epithelial‑to‑mesenchymal transition. A growing number of molecules involved in autophagy have been identified. In addition to their key canonical activity, several of these molecules, such as ATG5, ATG12 and Beclin‑1, also exert autophagy‑independent functions in a variety of biological processes. The present review aimed to summarize autophagy‑independent functions of molecules of the autophagy machinery and how the activity of these molecules can influence signaling pathways that are deregulated in cancer progression.
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  • 文章类型: Journal Article
    有人提出,长链非编码RNA(lncRNAs),如结直肠肿瘤差异表达(CRNDE),可能有助于人类癌症的形成。它仍然是未知的,虽然,CRNDE表达对不同形式的癌症有什么治疗意义。CRNDE最近已被提出作为可能的诊断生物标志物和预后标志物,以在癌症组织和血浆中具有出色的特异性和敏感性。为CRNDE未来潜在的治疗用途提供基础,我们简要概述了其生物学作用和相关的癌症相关通路。接下来,我们主要讨论CRNDE对上皮间质转化(EMT)的影响。上皮-间质转化,或者EMT,是参与癌症扩散的重要生物学机制。
    It has been suggested that the long non-coding RNAs (lncRNAs), such as colorectal neoplasia differentially expressed (CRNDE), may contribute to the formation of human cancer. It is yet unknown, though, what therapeutic significance CRNDE expression has for different forms of cancer. CRNDE has recently been proposed as a possible diagnostic biomarker and prognostic pred for excellent specificity and sensitivity in cancer tissues and plasma. To provide the groundwork for potential future therapeutic uses of CRNDE, we briefly overview its biological action and related cancer-related pathways. Next, we mainly address the impact of CRNDE on the epithelial-mesenchymal transition (EMT). The epithelial-mesenchymal transition, or EMT, is an essential biological mechanism involved in the spread of cancer.
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  • 文章类型: Journal Article
    癌症是全球死亡的主要原因。尽管在癌症管理方面取得了进展,癌症进展仍然是一个挑战,需要开发新的疗法。咪达唑仑是一种常用的辅助麻醉护理的各种手术,包括癌症.最近,人们对探索咪达唑仑作为抗癌剂的潜在作用越来越感兴趣;然而,这种联系的确切机制尚未得到彻底调查。
    基于系统评价和荟萃分析(PRISMA)指南的首选报告项目,本系统综述提供了咪达唑仑对癌症进展和生存影响的汇总证据(至2022年11月).包括对患有癌症的受试者体内或体外施用咪达唑仑的所有主要研究文章类型。对给药途径或所研究的癌症类型没有限制。叙事综合描绘了定性的发现,而频率和百分比表示的是数值数据。
    在1720次引用中,本综述包括19项研究。所有文章都是在体外进行的临床前研究(58%,11/19)或体内和体外(42%,8/19).研究最多的癌症是肺癌(21%,4/19)。这篇综述有两个主要发现。首先,咪达唑仑延迟癌症进展(89%,17/19).第二,咪达唑仑降低癌细胞存活率(63%,12/19).这些特性的两个主要机制可以通过诱导细胞凋亡来解释(63%,12/19)和抑制癌细胞增殖(53%,10/19).此外,咪达唑仑通过抑制癌症侵袭表现出抗转移特性(21%,4/19),迁移(26%,5/19),或上皮-间质转化(5%,1/19)。当咪达唑仑单独使用或与传统癌症化学治疗剂组合使用时,咪达唑仑的这些抗癌特性通过不同的途径得到证实。
    本系统综述强调咪达唑仑具有阻止癌症进展和降低癌细胞存活的潜力。将这些结果推断为人类癌症需要进一步研究。
    UNASSIGNED: Cancer is a leading cause of mortality worldwide. Despite advancements in cancer management, cancer progression remains a challenge, requiring the development of novel therapies. Midazolam is a commonly used adjunct to anaesthesia care for various surgeries, including cancer. Recently, there has been a growing interest in exploring the potential role of midazolam as an anticancer agent; however, the exact mechanism of this linkage is yet to be investigated thoroughly.
    UNASSIGNED: Based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline, this systematic review presented aggregated evidence (till November 2022) of the effects of midazolam on cancer progression and survival. All primary research article types where midazolam was administered in vivo or in vitro on subjects with cancers were included. No restrictions were applied on routes of administration or the type of cancer under investigation. Narrative synthesis depicted qualitative findings, whereas frequencies and percentages presented numerical data.
    UNASSIGNED: Of 1720 citations, 19 studies were included in this review. All articles were preclinical studies conducted either in vitro (58%, 11/19) or both in vivo and in vitro (42%, 8/19). The most studied cancer was lung carcinoma (21%, 4/19). There are two main findings in this review. First, midazolam delays cancer progression (89%, 17/19). Second, midazolam reduces cancer cell survival (63%, 12/19). The two major mechanisms of these properties can be explained via inducing apoptosis (63%, 12/19) and inhibiting cancer cell proliferation (53%, 10/19). In addition, midazolam demonstrated antimetastatic properties via inhibition of cancer invasion (21%, 4/19), migration (26%, 5/19), or epithelial-mesenchymal transition (5%, 1/19). These anticancer properties of midazolam were demonstrated through different pathways when midazolam was used alone or in combination with traditional cancer chemotherapeutic agents.
    UNASSIGNED: This systematic review highlights that midazolam has the potential to impede cancer progression and decrease cancer cell survival. Extrapolation of these results into human cancer necessitates further investigation.
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  • 文章类型: Journal Article
    癌症相关疼痛是癌症患者最常见和最无能的症状之一。癌症疼痛可由诊断或治疗程序引起,治疗的副作用和毒性,或者癌症本身。未控制的癌症相关疼痛与生活质量不足和功能状态降低有关。围手术期的最佳疼痛管理需要量身定制的方法。建议用于治疗急性手术疼痛的干预措施包括区域麻醉,局部麻醉输液,非阿片类镇痛药(氯胺酮,右美托咪定,利多卡因,和非甾体抗炎药),和阿片类药物。尽管在癌症治疗方面持续的研究工作和进展,阿片类药物仍然是治疗中度至重度癌症相关疼痛的最有效药物;然而,由于阿片类药物的流行和阿片类药物的滥用,它们的作用已经发生了显著的变化。虽然临床前和回顾性研究表明阿片类药物的使用与癌症预后之间存在负相关,随机对照试验未能证实这种关联.这篇综述的目的是总结围手术期急性癌症相关疼痛的药物管理,重点是癌症复发。
    Cancer-related pain is one of the most common and incapacitating symptoms for cancer patients. Cancer pain can be caused by diagnostic or therapeutic procedures, side effects and toxicity from therapy, or the cancer itself. Uncontrolled cancer-related pain is associated with inadequate quality of life and reduced functional status. Optimal pain management during the perioperative period requires a tailored approach. Interventions that are recommended for the management of acute surgical pain include regional anesthesia, local anesthetic infusions, non-opioid analgesics (ketamine, dexmedetomidine, lidocaine, and non-steroidal anti-inflammatory drugs), and opioids. Despite continued research efforts and advances in cancer treatment, opioids remain the most effective medication to treat moderate to severe cancer-related pain; however, their role has been changing significantly due to the opioid epidemic and opioid misuse. While pre-clinical and retrospective studies have shown a negative association between opioid use and cancer outcomes, randomized control trials have failed to confirm this association. The purpose of this review is to summarize the pharmacological management of acute cancer-related pain during the perioperative period with an emphasis on cancer recurrence.
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  • 文章类型: Review
    核受体(NRs)是参与正常细胞生理学的不同方面的转录调节因子。它们的失调与异常表达有关,基因突变和/或表观遗传改变可能与各种人类疾病的发病机理有关,尤其是在癌症中。特别是,涉及NR介导的癌症的发生和发展的复杂基因组网络已被强调。先进的基因组技术已经使得有可能理解在给定的癌症亚型中任何特定NR的表达仅仅是由多个相关的NR和转录因子控制的更大的转录机制的一个组分。此外,它们调节和被非编码RNA分子调节的能力,microRNA以及长链非编码RNA,正在为理解NRs在癌症发生和进展中的作用开辟新的方案。在本次审查中,作者旨在概述不同肿瘤疾病中主要NRs和长链非编码RNA之间存在的相互作用,提出新的诊断生物标志物以及这些肿瘤的治疗策略。
    Nuclear receptors (NRs) are transcriptional regulators involved in different aspects of normal cell physiology. Their deregulation is associated with aberrant expression, gene mutations and/or epigenetic alterations that can be related to the pathogenesis of various human diseases, and especially in cancer. In particular, a complex genomic network involved in the development and progression of NR‑mediated cancer has been highlighted. Advanced genomic technologies have made it possible to understand that the expression of any particular NR in a given cancer subtype is only one component of a larger transcriptional machinery that is controlled by multiple associated NRs and transcription factors. Additionally, their ability to regulate and to be regulated by molecules of non‑coding RNAs, microRNAs as well as long non‑coding RNAs, is opening new scenarios for understanding the role of NRs in cancer initiation and progression. In the present review, the authors aimed to outline the reciprocal interactions that exist between the main NRs and long non‑coding RNAs in different tumor diseases, to suggest new diagnostic biomarkers as well as therapeutic strategies for these tumors.
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  • 文章类型: Journal Article
    调节性T细胞(Treg),作为CD4+T细胞的成员,在肿瘤进展的研究中引起了广泛的关注。Treg细胞具有抑制免疫效应细胞的功能,防止组织损伤,抑制炎症。在肿瘤炎症微环境(IM)的刺激下,Treg细胞的重编程增强了它们对免疫反应的抑制,最终促进肿瘤免疫逃逸或肿瘤进展。减少IM中Treg细胞的数量或降低Treg细胞的活性,同时防止其重编程,可以帮助促进机体的抗肿瘤免疫反应。本文综述了IM中Treg细胞的重编程机制,并讨论了Treg细胞对肿瘤进展的调控。分析了肿瘤免疫治疗中Treg细胞的控制和对Treg炎症重编程的反应,并提出了对策。这项工作将为未来肿瘤免疫治疗中下调Treg在炎症环境中的免疫抑制作用奠定基础。
    Regulatory T cells (Treg), as members of CD4+ T cells, have garnered extensive attention in the research of tumor progression. Treg cells have the function of inhibiting the immune effector cells, preventing tissue damage, and suppressing inflammation. Under the stimulation of the tumor inflammatory microenvironment (IM), the reprogramming of Treg cells enhances their suppression of immune responses, ultimately promoting tumor immune escape or tumor progression. Reducing the number of Treg cells in the IM or lowering the activity of Treg cells while preventing their reprogramming, can help promote the body\'s anti-tumor immune responses. This review introduces a reprogramming mechanism of Treg cells in the IM; and discusses the regulation of Treg cells on tumor progression. The control of Treg cells and the response to Treg inflammatory reprogramming in tumor immunotherapy are analyzed and countermeasures are proposed. This work will provide a foundation for downregulating the immunosuppressive role of Treg in the inflammatory environment in future tumor immunotherapy.
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  • 文章类型: Journal Article
    胃癌(GC)是全球第五大最常见的恶性肿瘤,也是癌症相关死亡的第三大原因。尽管已经对高级GC进行了许多研究,它背后的分子机制仍然模糊。长链非编码RNA(lncRNAs)是能够在转录时调节靶基因的RNA转录本家族,转录后,和翻译阶段。他们通过修饰mRNA来做到这一点,miRNA,和蛋白质。这些RNA是许多生物过程的关键调节因子,包括基因表观遗传学,转录,和转录后水平。本文重点介绍了与耐药性有关的lncRNAs的最新结果,扩散,迁移,血管生成,凋亡,自噬,和GC中的免疫反应。还讨论了lncRNAs作为GC中的生物标志物和治疗靶标的潜在临床意义。
    Gastric cancer (GC) is the fifth most common malignant tumor and the third leading cause of cancer-related deaths worldwide. Although numerous studies have been conducted on advanced GC, the molecular mechanisms behind it remain obscure. Long non-coding RNAs (lncRNAs) are a family of RNA transcripts capable of regulating target genes at transcriptional, post-transcriptional, and translational stages. They do this by modifying mRNAs, miRNAs, and proteins. These RNAs are critical regulators of many biological processes, including gene epigenetics, transcription, and post-transcriptional levels. This article highlights recent results on lncRNAs involved in drug resistance, proliferation, migration, angiogenesis, apoptosis, autophagy, and immune response in GC. The potential clinical implications of lncRNAs as biomarkers and therapeutic targets in GC are also discussed.
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  • 文章类型: Journal Article
    单核苷酸多态性(SNP)在各种恶性肿瘤中发挥重要作用,但它们在胆管癌(CCA)中的作用仍有待阐明。因此,本系统综述的目的是评估SNP与CCA之间的关联,关注肿瘤发生和预后。使用PubMed进行了系统的文献检索,Embase,WebofScience和Cochrane数据库,用于SNP和CCA之间的关联,包括2000年1月至2022年4月出版的文献。这篇系统综述汇编了32个与CCA风险相关的基因中的43个SNP,基于34项研究的转移性进展和总体预后。对CCA的易感性与炎症相关基因中的SNP有关(PTGS2/COX2,IL6,IFNG/IFN-γ,TNF/TNF-α),DNA修复(ERCC1,MTHFR,MUTYH,XRCC1,OGG1),解毒(NAT1,NAT2和ABCC2),酶(SERPINA1,GSTO1,APOBEC3A,APOBEC3B),RNA(HOTAIR)和膜基蛋白(EGFR,GAB1,KLRK1/NKG2D)。总体肿瘤预后也与8个基因(GNB3,NFE2L2/NRF2,GALNT14,EGFR,XRCC1,EZH2,GNAS,CXCR1)。我们的发现表明,多个SNP在CCA的各个阶段发挥不同的作用,并可能作为生物标志物指导治疗和允许肿瘤风险评估。考虑到SNP检测方法的差异,患者种族和相应的环境因素,需要进行更大规模的多中心调查,以充分确定SNP分析在CCA易感性预测和预后方面的潜力.
    Single-nucleotide polymorphisms (SNPs) play an essential role in various malignancies, but their role in cholangiocarcinoma (CCA) remains to be elucidated. Therefore, the purpose of this systematic review was to evaluate the association between SNPs and CCA, focusing on tumorigenesis and prognosis. A systematic literature search was carried out using PubMed, Embase, Web of Science and the Cochrane database for the association between SNPs and CCA, including literature published between January 2000 and April 2022. This systematic review compiles 43 SNPs in 32 genes associated with CCA risk, metastatic progression and overall prognosis based on 34 studies. Susceptibility to CCA was associated with SNPs in genes related to inflammation (PTGS2/COX2, IL6, IFNG/IFN-γ, TNF/TNF-α), DNA repair (ERCC1, MTHFR, MUTYH, XRCC1, OGG1), detoxification (NAT1, NAT2 and ABCC2), enzymes (SERPINA1, GSTO1, APOBEC3A, APOBEC3B), RNA (HOTAIR) and membrane-based proteins (EGFR, GAB1, KLRK1/NKG2D). Overall oncological prognosis was also related to SNPs in eight genes (GNB3, NFE2L2/NRF2, GALNT14, EGFR, XRCC1, EZH2, GNAS, CXCR1). Our findings indicate that multiple SNPs play different roles at various stages of CCA and might serve as biomarkers guiding treatment and allowing oncological risk assessment. Considering the differences in SNP detection methods, patient ethnicity and corresponding environmental factors, more large-scale multicentric investigations are needed to fully determine the potential of SNP analysis for CCA susceptibility prediction and prognostication.
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