Breast Carcinoma

乳腺癌
  • 文章类型: Journal Article
    乳腺癌(BC)骨转移(BMs)的准确疗效评估在临床实践中是一个棘手的问题,迫切需要解决方案。本研究旨在探讨18F-氟代脱氧葡萄糖正电子发射断层扫描-计算机断层扫描(18F-FDGPET/CT)在评估BC骨转移反应中的应用。
    总共,纳入22例诊断为BC和BM的患者。这些患者接受了重复的18F-FDGPET/CT评估。根据患者对治疗的反应,将患者和每个BM部位分为两组:进行性疾病(PD)和非进行性疾病(非PD)。我们分析并比较了PET和CT图像的变化,以及血清癌胚抗原(CEA)的浓度,糖类抗原153(CA153),碱性磷酸酶(ALP),和钙(Ca)在相同的时间范围内。比较并分析各组之间以及原发灶与18F-FDG高摄取BM之间的原发灶的免疫组织化学(IHC)。
    治疗后的最大标准摄取值(SUVmax)[曲线下面积(AUC):0.932]和18F-FDGPET显像上的SUVmax的Δ值(AUC:0.811)被证明对与BM病变相关的治疗结果的有效性具有重要价值(P<0.05)。就BM的总体评价而言,PD组年龄和人表皮生长因子受体2(HER2)表达显著低于非PD组(P<0.05)。治疗后CEA有明显差异,CEA的变化,各组间CA153(Δ值)(P<0.05)。治疗后的SUVmax和Ca浓度以及SUVmax值,以及CA153,CEA,ALP,是评价个体BMs疗效的有价值的指标(P<0.05)。与原发灶相比,PD组BM的IHC显示差异,抗原Ki-67在转移性病变中下调,HER2在部分BM中下调(6个中的2个)。同时,雌激素受体(ER)和孕激素受体(PR)的表达保持相对不变。
    18F-FDGPET/CT可准确评估BC中与BM有关的治疗后疗效。这种方式有助于识别现有治疗后的不良效果病变和定位病理评估,并可能大大有助于评估治疗疗效。精炼处理策略,并预测BC和BM患者的疾病轨迹。
    UNASSIGNED: Accurate efficacy evaluation of bone metastases (BMs) from breast cancer (BC) is an intractable issue in clinical practice, for which solutions are urgently needed. This study aimed to investigate the utility of 18F-fluorodeoxyglucose positron emission tomography-computed tomography (18F-FDG PET/CT) in the response evaluation of bone metastasis of BC.
    UNASSIGNED: In total, 22 patients diagnosed with BC and BM were enrolled. These patients underwent repeated 18F-FDG PET/CT evaluations. The patients and each BM site were divided into two groups based on their response to treatment: progressive disease (PD) and nonprogressive disease (non-PD). We analyzed and compared the changes in PET and CT images, as well as the serum concentration of carcinoembryonic antigen (CEA), carbohydrate antigen 153 (CA153), alkaline phosphatase (ALP), and calcium (Ca) over the same time frame. The immunohistochemistry (IHC) of primary lesions between groups and between the primary focus and BM with high 18F-FDG uptake were compared and analyzed.
    UNASSIGNED: Maximum standard uptake value (SUVmax) after therapy [area under the curve (AUC): 0.932] and Δ-value of SUVmax (AUC: 0.811) on 18F-FDG PET imaging proved significantly valuable for the efficacy of therapy outcomes related to BM lesions (P<0.05). In terms of overall evaluation of BM, age and human epidermal growth factor receptor 2 (HER2) expression were significantly lower in the PD group than in the non-PD group (P<0.05). There were marked differences in CEA after therapy, the changes of CEA, and CA153 (∆-value) between the groups (P<0.05). The SUVmax and Ca concentration after therapy and ∆-value of SUVmax, along with the levels of CA153, CEA, and ALP, were valuable indicators for evaluating the efficacy of individual BMs (P<0.05). IHC of BM in the PD group showed differences compared to primary lesions, with antigen Ki-67 being downregulated in metastatic lesions and HER2 being downregulated in a portion of BMs (2 of 6). Meanwhile, the expression of estrogen receptor (ER) and progesterone receptor (PR) remained relatively unchanged.
    UNASSIGNED: 18F-FDG PET/CT confers precise assessment of the posttreatment efficacy pertaining to BM in BC. This modality facilitates the identification of poor effect lesions following extant therapies and localization for pathological assessment and may substantially contribute to evaluating therapeutic efficacy, refining treatment strategies, and predicting the disease trajectory of patients with BC and BM.
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  • 文章类型: Journal Article
    背景:早期乳腺癌(BC)迫切需要创新的治疗策略。源自乳腺导管细胞的肿瘤提供了靶向干预的机会。方法:我们探索了通过自然乳头开口进行导管内治疗作为早期BC的一种有希望的非侵入性方法。使用功能性近红外II(NIR-II)纳米材料,特别是NIR-IIb量子点与Epep多肽缀合,用于导管细胞靶向,我们对乳腺导管进行了原位成像和光热消融。导管内给药之后用808nm激光进行刺激。结果:该方法在微环境中实现了精确的导管破坏和增强的免疫反应。该技术在三阴性BC小鼠模型和导管原位癌大鼠模型中得到了验证,证明了局部BC治疗和预防的有希望的治疗潜力。结论:我们的研究证明了NIR-II纳米探针在引导乳腺导管的非侵入性光热消融中的有效性,为早期BC治疗提供了一条引人注目的途径。
    Background: Innovative treatment strategies for early-stage breast cancer (BC) are urgently needed. Tumors originating from mammary ductal cells present an opportunity for targeted intervention. Methods: We explored intraductal therapy via natural nipple openings as a promising non-invasive approach for early BC. Using functional Near-infrared II (NIR-II) nanomaterials, specifically NIR-IIb quantum dots conjugated with Epep polypeptide for ductal cell targeting, we conducted in situ imaging and photothermal ablation of mammary ducts. Intraductal administration was followed by stimulation with an 808 nm laser. Results: This method achieved precise ductal destruction and heightened immunological responses in the microenvironment. The technique was validated in mouse models of triple-negative BC and a rat model of ductal carcinoma in situ, demonstrating promising therapeutic potential for localized BC treatment and prevention. Conclusion: Our study demonstrated the effectiveness of NIR-II nanoprobes in guiding non-invasive photothermal ablation of mammary ducts, offering a compelling avenue for early-stage BC therapy.
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  • 文章类型: Journal Article
    肢端转移很少见。小于0.01%的患者在足骨有转移。足部多骨性转移极为罕见。我们报告了一名50岁的女性,她在右乳房根治术4年后抱怨右脚进行性疼痛和肿胀。[18F]FDGPET/CT显示右脚多处混合性骨破坏,[18F]FDGPET/CT强烈摄取。CT引导下的跟骨活检证实了转移性乳腺癌的诊断。
    Acrometastases are rare. Less than 0.01% of patients have metastasis in the foot bone. Polyostotic metastasis in the foot is extremely rare. We report a 50-year-old woman who complained of progressive pain and swelling in the right foot after radical right mastectomy for 4 years. [18F]FDG PET/CT demonstrated multiple mixed bone destruction in the right foot with intense [18F]FDG PET/CT uptake. CT-guided calcaneus biopsy confirmed the diagnosis of metastatic breast carcinoma.
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  • 文章类型: Journal Article
    乳腺癌(BRCA)是一种危及女性生命的恶性肿瘤,预后不良。角化是一种新的细胞死亡模式,但其与BRCA的关系尚不清楚。这项研究试图开发BRCA的角化相关预后基因标签。
    通过共识聚类获得BRCA的角化相关亚型。差异表达分析使用\'limma\'包实施。进行单变量Cox和多变量Cox分析以确定角化相关的预后基因签名。在不同的数据集中构建和验证签名。还使用预后标签进行基因集变异分析(GSVA)和基因集富集分析(GSEA),以揭示潜在的分子机制。应用ESTIMATE和CIBERSORT算法来探测基因标签和肿瘤微环境(TME)之间的联系。使用肿瘤免疫功能障碍和排除(TIDE)网络工具评估免疫治疗反应性。采用实时定量PCR(RT-qPCR)技术检测乳腺癌细胞株中与角化相关的预后基因的表达。
    通过共识聚类和差异表达分析,挖掘了BRCA中38个与角化相关的差异表达基因(DEGs)。基于单变量Cox和多变量Cox分析,六个与角化相关的预后基因,即SAA1、KRT17、VAV3、IGHG1、TFF1和CLEC3A,被挖掘以建立相应的签名。已使用外部验证集验证签名。GSVA和GSEA表明,多个细胞周期相关和免疫相关途径以及生物学过程与签名相关。ESTIMATE和CIBERSORT分析的结果显示,两个Cumsig评分亚组之间的TME存在显着差异。最后,细胞系的RT-qPCR分析进一步证实了SAA1、KRT17、IGHG1和CLEC3A的表达趋势。
    放在一起,我们构建了一个标记来预测BRCA患者的总体生存率,并且我们的发现验证了与角化相关的预后基因,这有望为开发预后性分子生物标志物和深入了解杯突与BRCA之间的关系提供基础。
    UNASSIGNED: Breast carcinoma (BRCA) is a life-threatening malignancy in women and shows a poor prognosis. Cuproptosis is a novel mode of cell death but its relationship with BRCA is unclear. This study attempted to develop a cuproptosis-relevant prognostic gene signature for BRCA.
    UNASSIGNED: Cuproptosis-relevant subtypes of BRCA were obtained by consensus clustering. Differential expression analysis was implemented using the \'limma\' package. Univariate Cox and multivariate Cox analyses were performed to determine a cuproptosis-relevant prognostic gene signature. The signature was constructed and validated in distinct datasets. Gene set variation analysis (GSVA) and gene set enrichment analysis (GSEA) were also conducted using the prognostic signature to uncover the underlying molecular mechanisms. ESTIMATE and CIBERSORT algorithms were applied to probe the linkage between the gene signature and tumor microenvironment (TME). Immunotherapy responsiveness was assessed using the Tumor Immune Dysfunction and Exclusion (TIDE) web tool. Real-time quantitative PCR (RT-qPCR) was performed to detect the expressions of cuproptosis-relevant prognostic genes in breast cancer cell lines.
    UNASSIGNED: Thirty-eight cuproptosis-associated differentially expressed genes (DEGs) in BRCA were mined by consensus clustering and differential expression analysis. Based on univariate Cox and multivariate Cox analyses, six cuproptosis-relevant prognostic genes, namely SAA1, KRT17, VAV3, IGHG1, TFF1, and CLEC3A, were mined to establish a corresponding signature. The signature was validated using external validation sets. GSVA and GSEA showed that multiple cell cycle-linked and immune-related pathways along with biological processes were associated with the signature. The results ESTIMATE and CIBERSORT analyses revealed significantly different TMEs between the two Cusig score subgroups. Finally, RT-qPCR analysis of cell lines further confirmed the expressional trends of SAA1, KRT17, IGHG1, and CLEC3A.
    UNASSIGNED: Taken together, we constructed a signature for projecting the overall survival of BRCA patients and our findings authenticated the cuproptosis-relevant prognostic genes, which are expected to provide a basis for developing prognostic molecular biomarkers and an in-depth understanding of the relationship between cuproptosis and BRCA.
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  • 文章类型: Journal Article
    考虑到有限的研究以及STAT4在乳腺癌(BC)或乳腺放疗(RT)敏感性中的抑瘤作用的普遍证据,需要更深入的探索。我们的研究探讨了STAT4,一种转录因子,通过调节MALAT1/miR-21-5p/THRB轴来影响BC细胞对放疗的抵抗力。进行生物信息学分析以预测BC中与STAT4相关的调节机制。随后,我们鉴定了STAT4,MALAT1,miR-21-5p,和各种组织和细胞系中的THRB,探索它们的相互作用及其对BC细胞RT抗性的影响。此外,用X射线照射建立动物模型进行进一步验证。我们发现STAT4在乳腺癌(BC)组织和细胞系中最低表达,与预后较差有关。体外细胞实验表明,STAT4可以通过MALAT1的转录激活减轻BC细胞的放疗抵抗。此外,MALAT1通过吸附miR-21-5p上调THRB表达。正如在体外和体内所证明的那样,过表达STAT4通过MALAT1的转录激活抑制miR-21-5p并增强THRB水平,最终有助于逆转BC细胞的放疗抵抗和抑制裸鼠的肿瘤形成。总的来说,STAT4可以通过MALAT1的转录激活抑制miR-21-5p并上调THRB的表达,从而减轻BC细胞对放疗的抵抗,最终阻止BC的发展和进展。
    Considering the limited research and the prevailing evidence of STAT4\'s tumor-suppressing role in breast carcinoma (BC) or in breast radiotherapy (RT) sensitivity requires more in-depth exploration. Our study delves into how STAT4, a transcription factor, affects BC cell resistance to radiotherapy by regulating the MALAT1/miR-21-5p/THRB axis. Bioinformatics analysis was performed to predict the regulatory mechanisms associated with STAT4 in BC. Subsequently, we identified the expression profiles of STAT4, MALAT1, miR-21-5p, and THRB in various tissues and cell lines, exploring their interactions and impact on RT resistance in BC cells. Moreover, animal models were established with X-ray irradiation for further validation. We discovered that STAT4, which is found to be minimally expressed in breast carcinoma (BC) tissues and cell lines, has been associated with a poorer prognosis. In vitro cellular assays indicated that STAT4 could mitigate radiotherapy resistance in BC cells by transcriptional activation of MALAT1. Additionally, MALAT1 up-regulated THRB expression by adsorbing miR-21-5p. As demonstrated in vitro and in vivo, overexpressing STAT4 inhibited miR-21-5p and enhanced THRB levels through transcriptional activation of MALAT1, which ultimately contributes to the reversal of radiotherapy resistance in BC cells and the suppression of tumor formation in nude mice. Collectively, STAT4 could inhibit miR-21-5p and up-regulate THRB expression through transcriptional activation of MALAT1, thereby mitigating BC cell resistance to radiotherapy and ultimately preventing BC development and progression.
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  • 文章类型: Journal Article
    目的:探讨环状非编码RNAcirc_0072088如何通过影响细胞行为来影响乳腺癌(BC)的进展。
    方法:我们测量了circ_0072088,microRNA-607(miR-607)的水平,使用定量实时PCR,BC组织和细胞系中的无名指蛋白2(RNF2)mRNA水平。我们还进行了细胞计数试剂盒-8(CCK-8),BrdU成立,和流式细胞术分析来评估细胞活力,细胞周期,和细胞凋亡,分别。
    结果:我们观察到BC组织中circ_0072088和RNF2水平升高,miR-607水平降低。过表达circ_0072088促进BC细胞增殖和细胞周期进程,同时抑制细胞凋亡。相反,沉默circ_0072088具有相反的效果。我们的数据表明,circ_0072088直接靶向并下调miR-607,进而上调miR-607的靶标RNF2。此外,miR-607过表达可以减轻circ_0072088对BC细胞的促增殖和抗凋亡作用。
    结论:Circ_0072088通过下调miR-607和上调RNF2来驱动BC进展,从而促进细胞增殖和周期进展,同时减少细胞凋亡。
    OBJECTIVE: To explore how the circular non-coding RNA circ_0072088 influences the progression of breast carcinoma (BC) by affecting cell behavior.
    METHODS: We measured the levels of circ_0072088, microRNA-607 (miR-607), and ring finger protein 2 (RNF2) mRNA levels in BC tissues and cell lines using quantitative real-time PCR. We also conducted cell counting kit-8 (CCK-8), BrdU incorporation, and flow cytometry assays to assess cell viability, cell cycle, and apoptosis, respectively.
    RESULTS: We observed increased levels of circ_0072088 and RNF2, and decreased levels of miR-607 in BC tissues. Overexpressing circ_0072088 promoted BC cell proliferation and cell cycle progression while inhibiting apoptosis. Conversely, silencing circ_0072088 had the opposite effects. Our data suggest that circ_0072088 directly targets and downregulates miR-607, which in turn upregulates RNF2, a target of miR-607. Moreover, miR-607 overexpression could mitigate the pro-proliferative and anti-apoptotic effects of circ_0072088 on BC cells.
    CONCLUSIONS: Circ_0072088 drives BC progression by downregulating miR-607 and upregulating RNF2, thereby promoting cell proliferation and cycle progression while reducing apoptosis.
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  • 文章类型: Case Reports
    乳腺癌后可逆性脑病综合征(PRES)是临床上常见的误诊和忽视的少见疾病。本研究报告了我院收治的一例患者,并讨论了临床,成像,和疾病的发病机理。我们回顾性分析该患者的临床资料并复习相关文献。影像学用于根据临床表现诊断PRES,停药后临床症状改善。
    Posterior reversible encephalopathy syndrome (PRES) in breast carcinoma is a rare disease in clinical practice that is often misdiagnosed and ignored. This study reported a case of a patient admitted to our hospital and discussed the clinical, imaging, and pathogenesis properties of the disease. We retrospectively analyzed the clinical data of this patient and reviewed the relevant literature. Imaging was used to diagnose PRES based on clinical findings, and clinical symptoms improved after discontinuation of the relevant drugs.
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  • 文章类型: Letter
    暂无摘要。
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  • 文章类型: Journal Article
    乙酰肝素酶(Hpa1)由肿瘤细胞和肿瘤微环境的细胞表达,并具有重塑细胞外基质(ECM)和调节支持肿瘤生长的ECM结合因子的生物利用度的功能。乙酰肝素酶表达在人类癌症中上调,肉瘤,和血液恶性肿瘤,与肿瘤转移增加相关,血管密度,癌症患者的术后生存期较短,并鼓励开发乙酰肝素酶抑制剂作为抗癌药物。其中有肝素/HS模拟物,在临床试验中正在评估的唯一的乙酰肝素酶抑制化合物。我们已经合成了每个分裂残基(DC-Hep)含有三个羧酸酯基团的二羧酸化氧基肝素(DCoxHs)。将所得的铅化合物(称为XII)扩大规模,characterized,并检查了其在肿瘤模型中的有效性。在胰腺癌模型中获得了有效的抗肿瘤作用,乳腺癌,间皮瘤,和骨髓瘤,产生21%至70%的肿瘤生长抑制(TGI)值,并延长小鼠的存活时间。特别重要的是在原发肿瘤切除后乳腺癌原位模型中自发转移的抑制。似乎除了抑制乙酰肝素酶活性外,化合物XII降低乙酰肝素酶蛋白的水平并抑制其细胞摄取和活化。正在研究XII的肝素酶依赖性和非依赖性作用。总的来说,我们对化合物XII的临床前研究有力地证明了其在癌症患者中的检查.
    Heparanase (Hpa1) is expressed by tumor cells and cells of the tumor microenvironment and functions to remodel the extracellular matrix (ECM) and regulate the bioavailability of ECM-bound factors that support tumor growth. Heparanase expression is upregulated in human carcinomas, sarcomas, and hematological malignancies, correlating with increased tumor metastasis, vascular density, and shorter postoperative survival of cancer patients, and encouraging the development of heparanase inhibitors as anti-cancer drugs. Among these are heparin/HS mimetics, the only heparanase-inhibiting compounds that are being evaluated in clinical trials. We have synthesized dicarboxylated oxy-heparins (DCoxHs) containing three carboxylate groups per split residue (DC-Hep). The resulting lead compound (termed XII) was upscaled, characterized, and examined for its effectiveness in tumor models. Potent anti-tumorigenic effects were obtained in models of pancreatic carcinoma, breast cancer, mesothelioma, and myeloma, yielding tumor growth inhibition (TGI) values ranging from 21 to 70% and extending the survival time of the mice. Of particular significance was the inhibition of spontaneous metastasis in an orthotopic model of breast carcinoma following resection of the primary tumor. It appears that apart from inhibition of heparanase enzymatic activity, compound XII reduces the levels of heparanase protein and inhibits its cellular uptake and activation. Heparanase-dependent and -independent effects of XII are being investigated. Collectively, our pre-clinical studies with compound XII strongly justify its examination in cancer patients.
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  • 文章类型: Case Reports
    我们描述了一名58岁的女性,被诊断患有乳腺癌的带状疱疹样皮肤转移。她最初被诊断为带状疱疹。病理活检后获得正确诊断。各种形式的皮肤转移有各种形式,这需要皮肤科医生仔细辨别,以减少误诊率。
    We described a 58-year-old female diagnosed with zosteriform cutaneous metastases from breast carcinoma. She was initially diagnosed with herpes zoster. Correct diagnosis was obtained after pathological biopsy. Various forms of cutaneous metastases have various forms, which require careful discrimination by dermatologists to reduce the rate of misdiagnosis.
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