oncogenesis

肿瘤发生
  • 文章类型: Journal Article
    近年来,microRNAs(miRNAs)因其在癌症发病机制中的潜在影响而受到越来越多的关注。作为癌基因或肿瘤抑制因子。值得注意的是,血管肉瘤,以及各种其他心血管肿瘤,如脂肪瘤,横纹肌瘤,血管瘤,还有粘液瘤,已显示特定miRNA亚型的表达变化。大量证据强调了miRNA在血管肉瘤和某些心血管肿瘤的发生中的关键参与。这篇综述旨在深入研究当前关于miRNAs及其在心血管恶性肿瘤中的未来应用的文献。特别关注血管肉瘤。它全面涵盖了诊断方法,预后评估,和潜在的治疗方法,同时提供血管肉瘤的危险因素和分子发病机制的概述,强调miRNA的作用。这些见解可以作为设计随机对照试验的基础,最终促进这些发现转化为临床应用。往前走,与目前在血管肉瘤和其他心血管肿瘤中的诊断和预后方法相比,研究必须彻底审查miRNAs的优缺点。缩小这些知识差距对于在血管肉瘤和心血管肿瘤研究领域利用miRNA的全部潜力至关重要。
    In recent years, microRNAs (miRNAs) have garnered increasing attention for their potential implications in cancer pathogenesis, functioning either as oncogenes or tumor suppressors. Notably, angiosarcoma, along with various other cardiovascular tumors such as lipomas, rhabdomyomas, hemangiomas, and myxomas, has shown variations in the expression of specific miRNA subtypes. A substantial body of evidence underscores the pivotal involvement of miRNAs in the genesis of angiosarcoma and certain cardiovascular tumors. This review aims to delve into the current literature on miRNAs and their prospective applications in cardiovascular malignancies, with a specific focus on angiosarcoma. It comprehensively covers diagnostic methods, prognostic evaluations, and potential treatments while providing a recapitulation of angiosarcoma\'s risk factors and molecular pathogenesis, with an emphasis on the role of miRNAs. These insights can serve as the groundwork for designing randomized control trials, ultimately facilitating the translation of these findings into clinical applications. Moving forward, it is imperative for studies to thoroughly scrutinize the advantages and disadvantages of miRNAs compared to current diagnostic and prognostic approaches in angiosarcoma and other cardiovascular tumors. Closing these knowledge gaps will be crucial for harnessing the full potential of miRNAs in the realm of angiosarcoma and cardiovascular tumor research.
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  • 文章类型: Case Reports
    此病例报告显示,拇指甲周区域很少发生基底细胞癌(BCC)。BCC是最常见的皮肤癌,通常在阳光照射的地方发现。讨论探讨了潜在的发病机制,包括紫外线照射的作用,没有毛囊皮脂腺,以及声波刺猬(SHH)通路的参与。了解非典型部位BCC的复杂性对于有效的预防和治疗策略至关重要。
    This case report presents a rare occurrence of basal cell carcinoma (BCC) in the periungual region of the thumb. BCC is the most common type of skin cancer, typically found in sun-exposed areas. The discussion explores the underlying pathogenesis mechanisms, including the role of ultraviolet exposure, the absence of pilosebaceous units, and the involvement of the sonic hedgehog (SHH) pathway. Understanding the complexities of BCC in atypical locations is essential for effective prevention and treatment strategies.
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  • 文章类型: Case Reports
    BACKGROUND: Gestational choriocarcinoma is a rare malignancy believed to arise from the trophoblast cells of the placenta. Despite the frequently aggressive clinical nature, choriocarcinoma has been routinely curable with cytotoxic chemotherapy for over 50 years. To date little is known regarding the route to oncogenesis in this malignancy.
    METHODS: In a case of intraplacental choriocarcinoma, we have performed detailed genetic studies including microsatellite analysis, whole genome sequencing (WGS) and methylation analysis of the tumour and surrounding mature placenta.
    RESULTS: The results of the WGS sequencing indicated a very low level of mutation and the absence of any driver mutations or oncogene activity in the tumour. The methylation analysis identified a distinctly different profile in the tumour from that of the mature placenta. Comparison with a panel of reference methylation profiles from different stages of placental development indicated that the tumour segregated with the first trimester samples.
    CONCLUSIONS: These findings suggest that gestational choriocarcinoma is likely to arise as a result of aberrations of methylation during development, rather than from DNA mutations. The results support the hypothesis that gestational choriocarcinoma arises from a normally transient early trophoblast cell. At this point in development this cell naturally has a phenotype of rapid division, tissue invasion and sensitivity to DNA damaging chemotherapy that is very similar to that of the mature choriocarcinoma cell.
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  • 文章类型: Journal Article
    OBJECTIVE: Cytomegalo virus is a ubiquitous virus often associated with congenital infections. Some studied have claimed an association between infection with this virus and development of breast cancer. The aim of this prospective research was to study the difference in Cytomegalo virus sero-positivity among patients with breast cancer and benign breast diseases, and thereby to prove any association.
    METHODS: This was a hospital based Case-Control study conducted at the General Surgery wards of our hospital, a tertiary level public sector health care institution. This study was done on 130 patients with breast swellings who underwent surgical excision of their lumps over a 1-year period. Patients with histologically proven malignancies were selected as cases while proven benign cases were deemed to be the controls. IgG and IgM antibodies to Cytomegalo virus were checked in the patients from both groups.
    RESULTS: All of the studied patients turned out to be positive for Immunoglobulin G against Cytomegalo virus while all the patients were found to be negative for Immunoglobulin M. There was no difference in the antibody titers among the benign and malignant cases in the study. Logistic regression calculation was also carried out including the study parameters and other known risk factors.
    CONCLUSIONS: We conclude that there is no association between Cytomegalo virus sero-positivity and breast cancer. Another conclusion is that the studied adult population has been exposed to Cytomegalo virus in some point of their lives. Further studies of a larger magnitude are essential to confirm our results.
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  • 文章类型: Journal Article
    腮腺和颌下腺的横纹肌肉瘤具有骨骼肌肿瘤的组织学外观,但可以在没有横纹肌成分的组织中发现。我们检查了横纹肌肉瘤的潜在起源细胞,以及唾液肿瘤是否代表原发性恶性肿瘤或转移。我们以前已经建立了横纹肌肉瘤的基因工程小鼠模型。在这些老鼠身上,只有当使用Cre-lox技术激活Pax3:Foxo1融合癌基因并同时丧失p53功能(对于肺泡横纹肌肉瘤)或单独丧失p53功能(对于胚胎性横纹肌肉瘤)时,才会诱发横纹肌肉瘤。这些突变仅在特定于选定细胞谱系的启动子的控制下被激活。以前被认为是肌生成受限的。谱系特异性启动子基因产物的RT-PCR和免疫组织化学显示这些启动子在野生型小鼠唾液腺中具有活性。鉴于小鼠横纹肌肉瘤通常起源于唾液腺,并且这些肌源性相关启动子通常在唾液组织中表达,唾液腺很可能含有这种肌肉相关癌症的起源细胞。
    Rhabdomyosarcomas of the parotid and submandibular glands have the histological appearance of a skeletal muscle tumor yet can be found in tissue with no striated muscular elements. We examine the potential cell-of-origin for rhabdomyosarcoma and whether salivary tumors represent primary malignancy or metastasis. We have previously established genetically engineered mouse models of rhabdomyosarcoma. In these mice, rhabdomyosarcoma is only induced when a Pax3:Foxo1 fusion oncogene is activated with concurrent loss of p53 function (for alveolar rhabdomyosarcoma) or loss of p53 function alone (for embryonal rhabdomyosarcoma) using Cre-lox technology. These mutations are only activated under the control of promoters specific for selected cell lineages, previously thought to be myogenesis-restricted. RT-PCR and immunohistochemistry for lineage-specific promoter gene products reveal these promoters are active in wild-type mouse salivary gland. Given that mouse rhabdomyosarcoma frequently originates in the salivary glands and these myogenic-related promoters are normally expressed in salivary tissue, a high likelihood exists that the salivary gland contains a cell-of-origin of this muscle-related cancer.
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  • 文章类型: Journal Article
    Endotoxins are known to be associated with the occurrence of various chronic diseases. This study was conducted to investigate the role of endotoxins in the pathogenesis of colon polyps through a case-control study. A total of 145 subjects (74 subjects in the polyp group and 71 subjects in the control group) had undergone a colonoscopy. Age, body mass index (BMI) and endotoxin levels were found to be significantly higher in the polyp group than in the control group. The endotoxin level was still significantly higher in the polyp group than in the control group, even after age and BMI had been adjusted (polyp group 0.108 ± 0.007 EU/mL, control group 0.049 ± 0.008 EU/mL, P < 0.001). In subgroup analysis, the endotoxin level significantly increased in accordance with the number of colon polyps (one-polyp group, 0.088 ± 0.059 EU/mL; two-polyp group, 0.097 ± 0.071 EU/mL; three-or-more-polyp group, 0.149 ± 0.223 EU/mL). The endotoxin levels also significantly increased in groups with tubular adenoma with high-grade dysplasia (hyperplastic polyp group, 0.109 ± 0.121 EU/mL; tubular adenoma with low grade dysplasia group, 0.103 ± 0.059 EU/mL; tubular adenoma with high grade dysplasia group, 2.915 ± 0.072 EU/mL). In conclusion, the serum level of endotoxins is quantitatively correlated with colon polyps.
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