malignant tumors

恶性肿瘤
  • 文章类型: Journal Article
    目的:FAT10,一种泛素样修饰蛋白,影响细胞凋亡,DNA损伤反应和肿瘤生长,对癌症预后的影响尚不清楚。方法:我们通过系统评价和荟萃分析,回顾了FAT10表达对恶性肿瘤预后的影响。包括PubMed截至2023年9月的研究,EMBASE和WebofScience。结果:从涉及2513例患者的18项研究中,FAT10过表达显著降低了各种肿瘤的总体生存率和无病生存率。表明与晚期疾病阶段的相关性,分化差,淋巴结转移和较大的肿瘤大小。结论:FAT10的过表达提示在癌症中具有负预后价值,值得进一步调查。PROSPERO注册号:CRD42023431287。
    这项研究研究了一种叫做FAT10的蛋白质,它与细胞的行为有关,包括癌细胞如何生长和存活。它分析了以前的研究,看看癌症患者中高水平的FAT10是否可以帮助预测他们的癌症有多严重以及它可能如何进展。在回顾了涉及2513名患者的18项研究后,我们发现细胞中含有更多FAT10的患者往往前景更差,包括更高的癌症复发机会和更短的整体生存时间。这种模式存在于不同类型的癌症中。我们的研究结果表明,测量FAT10水平可能有助于医生更好地了解患者的癌症并选择最佳治疗方法。然而,需要更多的研究来证实我们的结果.
    Aim: FAT10, a ubiquitin-like modifier protein, influences apoptosis, DNA damage response and tumor growth, with unclear effects on cancer prognosis. Methods: We reviewed FAT10 expression\'s impact on malignancy prognosis through a systematic review and meta-analysis, including studies up to September 2023 from PubMed, EMBASE and Web of Science. Results: From 18 studies involving 2513 patients, FAT10 overexpression significantly reduced overall and disease-free survival across various tumors, indicating correlations with advanced disease stage, poor differentiation, lymph node metastasis and larger tumor size. Conclusion: FAT10\'s overexpression suggests a negative prognostic value in cancer, meriting further investigation.PROSPERO Registration Number: CRD42023431287.
    This study investigated a protein called FAT10, which is involved in how cells behave, including how cancer cells grow and survive. It analyzed previous research to see if high levels of FAT10 in patients with cancer can help predict how serious their cancer is and how it might progress. After reviewing 18 studies involving 2513 patients, we found that patients with more FAT10 in their cells often had a worse outlook, including a higher chance of the cancer returning and a shorter overall survival time. This pattern existed for different types of cancer. Our findings suggest that measuring FAT10 levels could be helpful for doctors to better understand a patient\'s cancer and choose the best treatment. However, more studies are needed to confirm our results.
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  • 文章类型: Systematic Review
    为了更全面地了解卡博替尼与安慰剂在恶性肿瘤中的疗效和安全性,我们进行了系统评价和荟萃分析.这涉及分析一组已发表的随机对照试验以评估结果。
    我们使用RevMan5.3软件来评估收集的研究结果。我们关注的主要结果是无进展生存期(PFS),次要结局包括总生存期(OS)和疾病控制率(DCR).
    我们的研究结果表明,与安慰剂相比,卡博替尼显著延长患者的PFS[风险比(HR)0.37,95%置信区间(CI):0.32,0.43,p<0.00001].此外,卡博替尼改善了患者的OS[HR0.78,95CI:0.68,0.91,p=0.002]。虽然重要的是要注意,卡博替尼与引起消化的可能性更高有关,皮肤,和心血管相关不良事件[相对风险(RR)4.40,95%CI:3.10,6.25,p<0.00001]。
    根据我们的分析,卡博替尼显著延长恶性肿瘤患者的PFS和OS(p<0.01)。我们建议使用卡博替尼治疗晚期恶性肿瘤。然而,持续监测和管理与药物相关的不良事件非常重要.
    PROSPERO(编号:CRD42023449261)。
    UNASSIGNED: To provide a more comprehensive understanding of the efficacy and safety profile of cabozantinib versus placebo in malignant tumors, we conducted a systematic review and meta-analysis. This involved analyzing a collection of published randomized controlled trials to assess the outcomes.
    UNASSIGNED: We used RevMan5.3 software to evaluate the outcomes of the collected studies. The primary outcome we focused on was progression-free survival (PFS), and the secondary outcomes included overall survival (OS) and disease control rate (DCR).
    UNASSIGNED: Our findings revealed that compared to placebo, cabozantinib significantly extended the PFS of patients [hazard ratios (HR) 0.37, 95% confidence intervals (CI): 0.32, 0.43, p < 0.00001]. Additionally, cabozantinib improved the OS of patients [HR 0.78, 95%CI: 0.68, 0.91, p = 0.002]. While it is important to note that cabozantinib was associated with a higher likelihood of causing digestive, cutaneous, and cardiovascular related adverse events [relative risk (RR) 4.40, 95% CI: 3.10, 6.25, p < 0.00001].
    UNASSIGNED: Based on our analysis, cabozantinib significantly prolonged the PFS and OS of patients with malignant tumors (p < 0.01). We recommend the use of cabozantinib in treating advanced malignant tumors. However, it is important to continuously monitor and manage the drug-related adverse events.
    UNASSIGNED: PROSPERO (No. CRD42023449261).
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  • 文章类型: Review
    嵌合抗原受体(CAR)-T细胞疗法是一种免疫细胞疗法的创新方法,它通过修饰患者的T细胞以在其表面表达CAR蛋白来发挥作用。从而诱导它们对癌细胞的识别和破坏。CAR-T细胞疗法在治疗血液肿瘤方面取得了一些成功,但是它在实体瘤的治疗中仍然面临许多挑战,如抗原选择,耐受性和安全性。针对这些问题,研究继续改进CAR‑T细胞的设计,以追求改善的治疗功效和安全性。在未来,CAR-T细胞疗法有望成为一种重要的癌症治疗方法。并可能为个体化免疫治疗提供新的思路和策略。本审查全面概述了这些原则,临床应用,CAR-T细胞疗法的疗效和挑战。
    Chimeric antigen receptor (CAR)‑T cell therapy is an innovative approach to immune cell therapy that works by modifying the T cells of a patient to express the CAR protein on their surface, and thus induce their recognition and destruction of cancer cells. CAR‑T cell therapy has shown some success in treating hematological tumors, but it still faces a number of challenges in the treatment of solid tumors, such as antigen selection, tolerability and safety. In response to these issues, studies continue to improve the design of CAR‑T cells in pursuit of improved therapeutic efficacy and safety. In the future, CAR‑T cell therapy is expected to become an important cancer treatment, and may provide new ideas and strategies for individualized immunotherapy. The present review provides a comprehensive overview of the principles, clinical applications, therapeutic efficacy and challenges of CAR‑T cell therapy.
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  • 文章类型: Journal Article
    T细胞激活的V域Ig抑制因子(VISTA),由人类VSIR基因编码,是与程序性死亡配体1序列同源的B7家族检查点。在妇科恶性肿瘤中,VISTA异常表达并调节肿瘤免疫微环境,引起肿瘤微环境中T细胞和骨髓细胞VISTA表达的高度上调,并促进肿瘤增殖,programming,和免疫耐受。这里,我们就VISTA在卵巢,子宫颈,和子宫内膜癌通过其结构和免疫调节机制。VISTA的综合研究有望改善目前免疫治疗效果不佳的问题,为妇科肿瘤患者的免疫治疗提供新思路。
    V-domain Ig suppressor of T cell activation (VISTA), encoded by the human VSIR gene, is a B7 family checkpoint homologous to the programmed death-Ligand 1 sequence. In gynecologic malignancies, VISTA is abnormally expressed and regulates the tumor immune microenvironment, causing a high upregulation of VISTA expression in T-cells and myeloid cells in the tumor microenvironment and promoting tumor proliferation, progression, and immune tolerance. Here, we review the research progress of VISTA in ovarian, cervical, and endometrial cancers through its structure and immunomodulatory mechanism. The comprehensive study of VISTA is expected to improve the current problem of poor immunotherapeutic effects and provide new ideas for immune therapy in patients with gynecologic tumors.
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  • 文章类型: Review
    泛素-蛋白酶体系统是体内>80%蛋白质的主要降解途径。去泛素化酶,去除泛素化标签来稳定底物蛋白,是参与调节泛素化蛋白降解的重要成分。此外,它们通过参与蛋白质代谢等生理过程,在肿瘤发展中发挥多种作用,细胞周期调节,DNA损伤修复和基因转录。本综述系统地总结了泛素特异性蛋白酶2(USP2)在恶性肿瘤中的作用以及USP2参与肿瘤相关途径的特定分子机制。USP2逆转泛素介导的蛋白质降解,并参与异常增殖,迁移,入侵,细胞凋亡与肿瘤的耐药性。此外,本综述总结了报告使用USP2作为恶性肿瘤如乳腺,肝脏,卵巢,结直肠,膀胱癌和前列腺癌以及胶质母细胞瘤,并强调了USP2的药理学研究现状。USP2作为恶性肿瘤治疗靶点的临床意义值得进一步研究。
    The ubiquitin‑proteasome system is a major degradation pathway for >80% of proteins in vivo. Deubiquitylases, which remove ubiquitinated tags to stabilize substrate proteins, are important components involved in regulating the degradation of ubiquitinated proteins. In addition, they serve multiple roles in tumor development by participating in physiological processes such as protein metabolism, cell cycle regulation, DNA damage repair and gene transcription. The present review systematically summarized the role of ubiquitin‑specific protease 2 (USP2) in malignant tumors and the specific molecular mechanisms underlying the involvement of USP2 in tumor‑associated pathways. USP2 reverses ubiquitin‑mediated degradation of proteins and is involved in aberrant proliferation, migration, invasion, apoptosis and drug resistance of tumors. Additionally, the present review summarized studies reporting on the use of USP2 as a therapeutic target for malignancies such as breast, liver, ovarian, colorectal, bladder and prostate cancers and glioblastoma and highlights the current status of pharmacological research on USP2. The clinical significance of USP2 as a therapeutic target for malignant tumors warrants further investigation.
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  • 文章类型: Journal Article
    恶性肿瘤的侵袭和转移是其主要的逝世亡缘由。癌症最常见的转移是淋巴转移和血行转移。血源性转移通常导致肿瘤快速扩散。恶性肿瘤血行转移的机制十分复杂。一些专家发现,血小板在促进肿瘤血行转移中起重要作用。血小板可能参与许多过程,比如促进肿瘤细胞存活,帮助肿瘤细胞逃避免疫监视,帮助肿瘤附着于内皮细胞并穿透毛细血管进行远处转移。然而,最近的研究表明,血小板也可以抑制肿瘤的转移。目前,血小板在肿瘤进展中的作用已被广泛研究,它们不仅促进肿瘤细胞转移,但也有抑制作用。因此,深入研究和总结血小板在肿瘤细胞转移中的分子机制对肿瘤患者的筛查和治疗具有重要意义。以下就血小板在恶性肿瘤转移过程中的作用作一简要综述。
    The invasion and metastasis of malignant tumors are major causes of death. The most common metastases of cancer are lymphatic metastasis and hematogenous metastasis. Hematogenous metastasis often leads to rapid tumor dissemination. The mechanism of hematogenous metastasis of malignant tumors is very complex. Some experts have found that platelets play an important role in promoting tumor hematogenous metastasis. Platelets may be involved in many processes, such as promoting tumor cell survival, helping tumor cells escape immune surveillance, helping tumors attach to endothelial cells and penetrating capillaries for distant metastasis. However, recent studies have shown that platelets can also inhibit tumor metastasis. At present, the function of platelets in tumor progression has been widely studied, and they not only promote tumor cell metastasis, but also have an inhibitory effect. Therefore, in-depth and summary research of the molecular mechanism of platelets in tumor cell metastasis is of great significance for the screening and treatment of cancer patients. The following is a brief review of the role of platelets in the process of malignant tumor metastasis.
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  • 文章类型: Journal Article
    姜黄素是姜黄提取物中最重要的活性成分。姜黄素,一种来自植物的天然单体作为膳食补充剂受到了相当大的关注,在广泛的人类病理条件下表现出明显的活性。总的来说,姜黄素有益于人体健康,表现出抗炎和抗氧化的药理活性,以及抗肿瘤和免疫调节活性。姜黄素还具有治疗神经退行性疾病的潜力,心脑血管疾病。在这篇评论文章中,我们总结了近年来姜黄素作为恶性肿瘤生物活性剂的研究进展,阿尔茨海默病(AD),血液病和病毒性传染病。我们还关注与姜黄素相关的问题,从基础研究到临床翻译,例如它的低溶解度,导致生物利用度差,以及围绕姜黄素纯度和效果之间关联的争议。通过回顾和总结姜黄素的临床研究和不良反应的病例报告,我们发现姜黄素的临床转化并不成功,过量摄入姜黄素可能会对肾脏产生不良影响,心,肝脏,血液和免疫系统,这导致我们警告说,姜黄素从基础研究到应用转化还有很长的路要走。
    Curcumin is the most important active component in turmeric extracts. Curcumin, a natural monomer from plants has received a considerable attention as a dietary supplement, exhibiting evident activity in a wide range of human pathological conditions. In general, curcumin is beneficial to human health, demonstrating pharmacological activities of anti-inflammation and antioxidation, as well as antitumor and immune regulation activities. Curcumin also presents therapeutic potential in neurodegenerative, cardiovascular and cerebrovascular diseases. In this review article, we summarize the advancements made in recent years with respect to curcumin as a biologically active agent in malignant tumors, Alzheimer\'s disease (AD), hematological diseases and viral infectious diseases. We also focus on problems associated with curcumin from basic research to clinical translation, such as its low solubility, leading to poor bioavailability, as well as the controversy surrounding the association between curcumin purity and effect. Through a review and summary of the clinical research on curcumin and case reports of adverse effects, we found that the clinical transformation of curcumin is not successful, and excessive intake of curcumin may have adverse effects on the kidneys, heart, liver, blood and immune system, which leads us to warn that curcumin has a long way to go from basic research to application transformation.
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  • 文章类型: Journal Article
    与皮肤其余部分的病变相比,指甲区域的肿瘤病变(良性或恶性)很少见。尽管诊断方式有了进步,他们的诊断经常被推迟或忽视了几天,月,甚至几年,当他们被误解或他们的方法不合适时。毫无疑问,恶性肿瘤是最重要的病变,因为不恰当的诊断或治疗可以大大改变患者的预后。从2003年至2022年,使用PubMed搜索引擎对指甲设备的两种主要恶性肿瘤(黑色素瘤和鳞状细胞癌)的所有科学证据进行了审查,以揭示适当的诊断方法和治疗这些指甲病变,以避免延误掩盖患者的预后。本综述不包括病灶切除后的重建方式,但是重点放在它们产生的巨大功能影响上。在谈论预后和强调预后时,早期的手术治疗是最重要的;晚期的系统肿瘤管理不是那么深入。
    Neoplastic lesions (benign or malignant) in the nail region are rare when compared to lesions in the rest of the skin. Despite advances in diagnostic modalities, their diagnosis is frequently delayed or overlooked for days, months, or even years when they are misrecognized or when their approach is not appropriate. Undoubtedly, malignant tumors are the most important lesions since an inopportune diagnosis or treatment can drastically change the patient\'s prognosis. A review of all the scientific evidence on the two main malignant neoplasms of the nail apparatus (melanoma and squamous cell carcinoma) was carried out using the PubMed search engine from 2003 to 2022, in order to expose the appropriate diagnostic approach and treatment of these nail lesions to avoid delays that obscure the prognosis of patients. This review does not include reconstruction modalities after lesion resection, but the emphasis is placed on the great functional impact they produce. Surgical treatment in the early stages is the most important when talking about prognosis and emphasizing it; systemic oncological management of advanced stages is not so deep.
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  • 文章类型: Journal Article
    Rho-GTP酶主要通过调节微管和肌动蛋白动力学来控制多种细胞功能,影响细胞骨架,并且是树突和刺的结构可塑性的重要调节剂。Rho-GTP酶家族的成员包括Ras相关的C3肉毒杆菌毒素底物1(Rac1),RhoA(Ras同源),和细胞分裂控制蛋白42(Cdc42)。Cdc42通过多个信号通路的级联参与多种肿瘤和非肿瘤疾病的调控。活性Cdc42可以调节细胞间粘附,细胞骨架形成,和细胞周期,从而影响细胞增殖,改造,通过调节效应蛋白的表达,实现肿瘤细胞的迁移和侵袭的动态平衡。在这里,我们讨论Cdc42在促进转移中的作用,入侵,恶性肿瘤中的上皮间质转化和血管生成。还讨论了Cdc42在非肿瘤疾病中的重要作用。由于Cdc42在各种疾病的发展中起着核心作用,针对Cdc42的小分子抑制剂在这些疾病的预防和治疗中具有重要的临床意义。
    Rho-GTPases control a variety of cellular functions mainly by regulating microtubule and actin dynamics, affecting the cytoskeleton, and are important regulators of the structural plasticity of dendrites and spines. Members of the Rho-GTPase family include Ras-related C3 botulinum toxin substrate 1 (Rac1), RhoA (Ras homologous), and cell division control protein 42 (Cdc42). Cdc42 is involved in the regulation of a variety of tumor and non-tumor diseases through a cascade of multiple signaling pathways. Active Cdc42 can regulate intercellular adhesion, cytoskeleton formation, and cell cycle, thus affecting cell proliferation, transformation, and dynamic balance as well as migration and invasion of tumor cells by regulating the expression of effector proteins. Here we discuss the role of Cdc42 in promoting metastasis, invasion, epithelial-mesenchymal transformation and angiogenesis in malignant tumors. The significant role of Cdc42 in non-tumor diseases is also discussed. Since Cdc42 plays a central role in the development of various diseases, small molecule inhibitors targeting Cdc42 have important clinical significance in the prevention and treatment of these diseases.
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  • 文章类型: Journal Article
    UNASSIGNED: The ectopic expression of Homeobox (HOX) gene cluster-embedded long non-coding RNAs (LncRNAs) have been involved several carcinogenic development and progressions. This meta-analysis aimed to summarize the LncRNAs to validate the functions and the prognostic values in several kinds of cancer.
    UNASSIGNED: The retrospective study was conducted to analyze the association between HOX gene-related LncRNAs and the survival outcomes. Cochran\'s Q and I2 test were used for calculated heterogeneity, and I2 > 50%, P < 0.05 was conformed to the random effect model. Publication bias was indicated by Begg\'s and Egger\'s test.
    UNASSIGNED: Total 15,315 patients extracting from 121 studies focused on assessing the association between LncRNAs and the survival outcomes and 12,110 participants were enrolled to address the clinicopathological features. The results demonstrated that the overexpression of HOX gene cluster-embedded LncRNAs revealed notable association among tumor size (pooled OR = 1.80), lymph node metastasis (LNM) stage (pooled OR = 3.00), tumor node metastasis (TNM) stage (pooled OR = 2.86), histological differentiation (pooled OR = 1.59) and distant metastasis (pooled OR = 2.49). Additionally, the up-regulated LncRNAs predicted a poor prognosis in overall survival (pooled HR = 1.95, 95%CI = 1.86-2.04), and also disclosed worse prognosis among the stratified analysis included HOX clusters, LncRNAs, ethnicity, and tumor classification (pooled HRs >1).
    UNASSIGNED: In summary, the findings proved that HOX gene cluster-embedded LncRNAs acted as potential biomarkers for clinical treatment of several tumors and the overexpression might be a candidate hallmark for prognosis outcome.
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