prognosis factor

预后因素
  • 文章类型: Journal Article
    软组织肉瘤(STSs)代表由间充质细胞产生的不同组的肿瘤,影响人类和动物,包括狗。虽然STSs代表了一类罕见的肿瘤,尤其是在人类中,由于其局部复发和远处转移的可能性,它们构成了重大的临床挑战.狗,作为人类STS的模型,提供了几个优点,包括暴露于类似的环境风险因素,品种间的遗传多样性,和肿瘤的自发发展。此外,犬肿瘤紧密地模仿人类肿瘤的异质性和复杂性,使它们对疾病进展和治疗效果的研究有价值。目前在狗和人类中STS的治疗方法主要涉及手术。放射治疗,和化疗,根据肿瘤特征和患者因素做出治疗决定。然而,开发新的治疗策略至关重要,鉴于新药在临床试验中的高失败率。为了更好地设计新的定制治疗方法,了解肿瘤微环境(TME)是基础,因为它通过调节肿瘤行为在STS的启动和进展中起着至关重要的作用,促进血管生成,抑制免疫反应。值得注意的是,TME特征包括癌症相关成纤维细胞(CAF),细胞外基质(ECM)改变,和肿瘤相关巨噬细胞(TAMs),取决于它们的极化状态,会影响免疫反应,从而影响患者的预后。在这次审查中,基于免疫疗法的新的治疗方法将被深入研究,作为患有STSs的狗和人的潜在治疗选择。总之,这篇综述概述了目前对狗和人类STS的理解,强调TME和潜在治疗策略的重要性。
    Soft tissue sarcomas (STSs) represent a diverse group of tumors arising from mesenchymal cells, affecting both humans and animals, including dogs. Although STSs represent a class of rare tumors, especially in humans, they pose significant clinical challenges due to their potential for local recurrence and distant metastasis. Dogs, as a model for human STSs, offer several advantages, including exposure to similar environmental risk factors, genetic diversity among breeds, and the spontaneous development of tumors. Furthermore, canine tumors closely mimic the heterogeneity and complexity of human tumors, making them valuable for research into disease progression and treatment effectiveness. Current treatment approaches for STSs in both dogs and humans primarily involve surgery, radiation therapy, and chemotherapy, with treatment decisions based on tumor characteristics and patient factors. However, the development of novel therapeutic strategies is essential, given the high failure rate of new drugs in clinical trials. To better design new tailored treatments, comprehension of the tumor microenvironment (TME) is fundamental, since it plays a crucial role in STS initiation and progression by modulating tumor behavior, promoting angiogenesis, and suppressing immune responses. Notably, TME features include cancer-associated fibroblasts (CAFs), extracellular matrix (ECM) alterations, and tumor-associated macrophages (TAMs) that, depending on their polarization state, can affect immune responses and thus the patient\'s prognosis. In this review, new therapeutical approaches based on immunotherapy will be deeply explored as potential treatment options for both dogs and humans with STSs. In conclusion, this review provides an overview of the current understanding of STSs in dogs and humans, emphasizing the importance of the TME and potential treatment strategies.
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  • 文章类型: Journal Article
    There have been significant advances in the knowledge of renal carcinogenesis n the last years. Nowadays, renal tumors are classified according to their genetic profile and specific treatments based on the identification of therapeutic targets have also been developed. However, no prognostic markers have yet been identified. The aim of this review is to analyse literature that has evaluated the expression of the STAT3 protein as a molecular marker in clear cell renal carcinoma (ccRCC).
    In January 2018 a systematic review was conducted in Pubmed, Cochrane library and Sciencedirect databases, from papers published from 1990. Search terms were\"renal cell carcinoma\"and\"STAT3\"or\"STAT-3\"and\"prognostic factor. Following the principles of the PRISMA declaration and the PICO selection strategy, original articles with series of patients diagnosed with localized or metastatic ccRCC, and where the activity of STAT3 is analysed as a prognostic marker, were selected. A total of 132 publications were identified, of which 10 were finally revised, for they met the inclusion criteria.
    STAT3 activation (phosphorylation) through Ser727 is important during ccRCC development and progression. PSTAT3 expression seems to be a prognostic marker and an antiangiogenic-resistance marker in metastatic patients. There is little evidence as prognostic marker in patients with localized disease.
    STAT3 (Ser 727) expression in the nucleus of the ccRCC cells can be a prognostic marker and an antiangiogenic-resistance marker. Current scientific evidence is limited and more studies are needed to demonstrate its usefulness.
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  • 文章类型: Journal Article
    因为每年有数百万的癌症死亡,这对于确定适用的预后标志物具有重要价值。作为一个重要的警报,高迁移率族蛋白1(HMGB1)在癌症预后中的作用仍存在争议.我们旨在评估HMGB1表达与癌症患者预后的相关性。PubMed的系统文献检索,Embase和WebofScience数据库用于HMGB1作为癌症预后因子的合格研究。计算合并风险比(HR)和95%置信区间(CIs)以评估HMGB1表达对癌症患者总生存期(OS)和无进展生存期(PFS)的影响。包括11种不同肿瘤类型的18项研究纳入荟萃分析。HMGB1过表达与较差的OS(HR:1.99;95%CI,1.71-2.31)和PFS(HR:2.26;95%CI,1.65-3.10)显着相关,无论癌症类型包括胃癌,结直肠癌,肝细胞癌,胰腺癌,鼻咽癌,头颈部鳞状细胞癌,食道癌,恶性胸膜间皮瘤,膀胱癌,前列腺癌,还有宫颈癌.亚组分析表明,研究的地理区域和规模不影响HMGB1对OS的预后影响。而且,组织中的免疫组织化学和血清中的酶联免疫吸附试验检测到HMGB1过表达与较差的OS具有一致的相关性。而通过定量实时逆转录聚合酶链反应在组织中不存在相关性。HMGB1过表达与各种类型癌症患者预后较差相关,这表明它是癌症生存的预后因素和潜在的生物标志物。
    As there are millions of cancer deaths every year, it is of great value to identify applicable prognostic biomarkers. As an important alarm, the prognostic role of high mobility group box 1 (HMGB1) in cancer remains controversial. We aim to assess the association of HMGB1 expression with prognosis in cancer patients. Systematic literature searches of PubMed, Embase and Web of Science databases were performed for eligible studies of HMGB1 as prognostic factor in cancer. Pooled hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated to evaluate the influence of HMGB1 expression on overall survival (OS) and progression-free survival (PFS) in cancer patients. 18 studies involving 11 different tumor types were included in meta-analysis. HMGB1 overexpression was significantly associated with poorer OS (HR: 1.99; 95% CI, 1.71-2.31) and PFS (HR: 2.26; 95% CI, 1.65-3.10) irrespective of cancer types including gastric cancer, colorectal cancer, hepatocellular carcinoma, pancreatic cancer, nasopharyngeal carcinoma, head and neck squamous-cell carcinoma, esophageal cancer, malignant pleural mesothelioma, bladder cancer, prostate cancer, and cervical carcinoma. Subgroup analyses indicated geographical area and size of studies did not affect the prognostic effects of HMGB1 for OS. Morever, HMGB1 overexpression had a consistent correlation with poorer OS when detected by immunohistochemistry in tissues and enzyme-linked immunosorbent assay in serum, whereas the correlation did not exist by quantitative real-time reverse-transcription polymerase chain reaction in tissues. HMGB1 overexpression is associated with poorer prognosis in patients with various types of cancer, suggesting that it is a prognostic factor and potential biomarker for survival in cancer.
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