Malignant melanoma

恶性黑色素瘤
  • 文章类型: Letter
    暂无摘要。
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  • 文章类型: Journal Article
    背景:已经确定几种组织蛋白酶与癌症的发展有关。然而,组织蛋白酶和皮肤癌之间的联系仍然非常难以捉摸。
    方法:进行了双向孟德尔随机化(MR)分析,以研究组织蛋白酶与皮肤恶性肿瘤之间的因果关系。组织蛋白酶的全基因组关联研究(GWAS)数据,恶性黑色素瘤(MM),基底细胞癌(BCC)来自欧洲研究。采用的主要方法是逆方差加权。此外,MR-Egger,加权中位数,加权模式,和简单的模式也被执行。使用CochranQ检验进行敏感性分析,MR-Egger,MR-PRESSO
    结果:来自单变量MR(UVMR),组织蛋白酶H,S与BCC有因果关系。此外,组织蛋白酶H被鉴定为与MM相关。多变量MR(MVMR)显示,纠正皮肤癌的危险因素后,检测到组织蛋白酶H对BCC具有保护作用,而组织蛋白酶S被观察为BCC的危险因素。在敏感性分析中没有发现实质性的多效性和异质性。
    结论:这项研究首次建立了组织蛋白酶与皮肤恶性肿瘤之间的直接联系。组织蛋白酶H和S有可能作为BCC的新生物标志物,在及时识别中提供宝贵的帮助,治疗,和预防疾病。然而,我们还需要更多的临床试验来验证我们的发现.
    BACKGROUND: Several cathepsins have been identified as being involved in the development of cancer. Nevertheless, the connection between cathepsins and skin cancers remained highly elusive.
    METHODS: A bidirectional Mendelian randomization (MR) analysis was performed to investigate the causal association between cathepsins and skin malignancies. The genome-wide association studies (GWAS) data for cathepsins, malignant melanoma (MM), and basal cell carcinoma (BCC) were obtained from European research. The primary method employed was inverse variance weighted. In addition, MR-Egger, weighted median, weighted mode, and simple mode were also executed. Sensitivity analysis was performed using Cochran\'s Q test, MR-Egger, and MR-PRESSO.
    RESULTS: From univariable MR (UVMR), cathepsin H, and S were determined to have a causal relationship with BCC. Additionally, cathepsin H was identified as associated with MM. Multivariable MR (MVMR) showed that after correcting for risk factors of skin carcinoma, cathepsin H was detected to be protective against BCC, whereas cathepsin S has been observed as a risk factor for BCC. No substantial pleiotropy and heterogeneity were identified in the sensitivity analysis.
    CONCLUSIONS: This study was the first to establish a direct link between cathepsins and skin malignancies. Cathepsin H and S have the potential to serve as new biomarkers for BCC, offering valuable assistance in the prompt identification, treatment, and prevention of the disease. Nevertheless, additional clinical trials are required to validate our findings.
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  • 文章类型: Case Reports
    恶性黑色素瘤(MM)以其高转移潜力而臭名昭著,心脏转移特别严重,因为它涉及心脏结构,并可能导致显著的心脏功能问题。虽然没有标准化的治疗方法,早期发现和干预可改善预后。
    Malignant melanoma (MM) is notorious for its high metastatic potential, with cardiac metastasis being particularly severe as it involves cardiac structures and can lead to significant cardiac functional issues. While there is no standardized treatment approach, early detection and intervention can improve prognosis.
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  • 文章类型: Journal Article
    恶性黑色素瘤(MM)是一种具有高度侵袭性和治疗抗性的皮肤恶性肿瘤,对其治疗构成了重大的临床挑战。细胞程序性死亡在MM的发生和发展中起着至关重要的作用。鞘脂(SP),作为一类生物活性脂质,可能与多种疾病相关。SP调节肿瘤中各种形式的程序性细胞死亡,包括细胞凋亡,坏死,铁性凋亡,还有更多.这篇综述将深入研究不同类型的SP调节MM中各种形式的程序性细胞死亡的机制。如它们对细胞膜通透性和信号通路的调节,以及它们如何影响MM细胞的生存和死亡命运。对SP在MM中程序性细胞死亡中的作用的深入探索有助于揭示黑色素瘤发展的分子机制,并在开发新的治疗策略中具有重要意义。
    Malignant melanoma (MM) is a highly invasive and therapeutically resistant skin malignancy, posing a significant clinical challenge in its treatment. Programmed cell death plays a crucial role in the occurrence and progression of MM. Sphingolipids (SP), as a class of bioactive lipids, may be associated with many kinds of diseases. SPs regulate various forms of programmed cell death in tumors, including apoptosis, necroptosis, ferroptosis, and more. This review will delve into the mechanisms by which different types of SPs modulate various forms of programmed cell death in MM, such as their regulation of cell membrane permeability and signaling pathways, and how they influence the survival and death fate of MM cells. An in-depth exploration of the role of SPs in programmed cell death in MM aids in unraveling the molecular mechanisms of melanoma development and holds significant importance in developing novel therapeutic strategies.
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  • 文章类型: Journal Article
    这份全面的综述旨在为各种癌症的最新进展和正在进行的硼中子俘获疗法(BNCT)试验提供独特的临床观点。
    我们严格分析了来自BNCT试验的头颈癌的临床数据,胶质母细胞瘤,黑色素瘤,脑膜瘤,乳腺癌,还有肝脏肿瘤.我们调查了试验中肿瘤反应和正常组织毒性的差异,并讨论了潜在的影响因素。我们还确定了早期BNCT试验的局限性,并提出了优化未来试验设计的策略。
    BNCT在治疗头颈癌方面显示出了有希望的结果,在复发性疾病患者中具有较高的应答率和改善的生存率。在胶质母细胞瘤中,与标准治疗相比,BNCT联合手术和化疗已显示出生存益处。BNCT也已成功用于复发性高级别脑膜瘤,并显示出黑色素瘤的潜力,乳房外Paget病,还有肝脏肿瘤.然而,在试验中观察到肿瘤反应和毒性的差异,可能归因于治疗方案的变化,患者特征,和评价方法。
    BNCT是一种有前途的靶向放射治疗各种癌症。需要进一步优化和精心设计的随机对照试验来确定其有效性和安全性。未来的研究应侧重于标准化治疗方案和解决局限性,以指导临床决策和研究重点。
    UNASSIGNED: This comprehensive review aims to provide a unique clinical perspective on the latest advances and ongoing boron neutron capture therapy (BNCT) trials for various cancers.
    UNASSIGNED: We critically analyzed clinical data from BNCT trials for head and neck cancer, glioblastoma, melanoma, meningioma, breast cancer, and liver tumors. We investigated differences in tumor responses and normal tissue toxicities among trials and discussed potential contributing factors. We also identified the limitations of early BNCT trials and proposed strategies to optimize future trial design.
    UNASSIGNED: BNCT has shown promising results in treating head and neck cancer, with high response rates and improved survival in patients with recurrent disease. In glioblastoma, BNCT combined with surgery and chemotherapy has demonstrated survival benefits compared to standard treatments. BNCT has also been successfully used for recurrent high-grade meningiomas and shows potential for melanomas, extramammary Paget\'s disease, and liver tumors. However, differences in tumor responses and toxicities were observed among trials, potentially attributable to variations in treatment protocols, patient characteristics, and evaluation methods.
    UNASSIGNED: BNCT is a promising targeted radiotherapy for various cancers. Further optimization and well-designed randomized controlled trials are needed to establish its efficacy and safety. Future studies should focus on standardizing treatment protocols and addressing limitations to guide clinical decision-making and research priorities.
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  • 文章类型: Journal Article
    血脂,调脂药物,癌症风险已经调查了一段时间。最近的研究表明,降脂药物可能会影响黑色素瘤的预后,尽管调查结果仍有争议。我们的研究旨在通过全面的孟德尔随机化(MR)分析来阐明常用降脂药与黑色素瘤发病率之间的潜在因果关系。
    LDL相关药物靶基因(来自全基因组关联研究的LDL-胆固醇)内的遗传变异可作为暴露于降脂药物的代理。我们使用方差逆加权(IVW)进行了双样本孟德尔随机化分析,MR-Egger,和加权中位数法。利用MR-PRESSO测试和多效性测试来识别和调整水平多效性。使用留一法评估孟德尔随机化结果的稳定性和可靠性,Cochran的Q测试,和漏斗图分析。使用赔率比(OR)来评估降脂药的遗传代理与黑色素瘤风险之间的因果关系。
    IVW分析显示HMGCR基因表达与黑色素瘤风险降低相关[OR:0.624(0.439-0.888);p=0.008]。相反,PCSK9基因表达与黑素瘤风险升高有关[OR:1.233(1.026-1.484);p=0.025]。在NPC1L1和黑色素瘤之间没有观察到显著的关联。
    HMGCR抑制剂(他汀类药物)可能会增加黑色素瘤的风险,而PCSK9抑制剂(evolocumab,alirocumab)可能会降低黑色素瘤风险。
    UNASSIGNED: The relationship between blood lipids, lipid-modifying medications, and cancer risk has been under investigation for some time. Recent studies suggest that lipid-lowering medications might influence melanoma outcomes, though findings remain controversial. Our study aims to clarify the potential causal relationship between lipid-lowering drugs commonly used and melanoma incidence through a comprehensive Mendelian randomization (MR) analysis.
    UNASSIGNED: Genetic variations within an LDL-related drug target gene (LDL-cholesterol from a genome-wide association study) served as proxies for exposure to lipid-lowering drugs. We conducted a two-sample Mendelian randomization analysis using inverse variance weighting (IVW), MR-Egger, and weighted median approaches. The MR-PRESSO test and pleiotropy_test were utilized to identify and adjust for horizontal pleiotropy. Stability and reliability of the Mendelian randomization findings were assessed using the leave-one-out method, Cochran\'s Q test, and funnel plot analysis. Odds ratios (OR) were employed to evaluate the causal relationship between genetic proxies of lipid-lowering drugs and melanoma risk.
    UNASSIGNED: IVW analysis revealed that HMGCR gene expression is linked to a decreased risk of melanoma [OR: 0.624(0.439-0.888); p = 0.008]. Conversely, PCSK9 gene expression is tied to an elevated risk of melanoma [OR: 1.233(1.026-1.484); p = 0.025]. No significant association was observed between NPC1L1 and melanoma.
    UNASSIGNED: HMGCR inhibitors (statins) may increase melanoma risk, while PCSK9 inhibitors (evolocumab, alirocumab) could potentially decrease melanoma risk.
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  • 文章类型: Journal Article
    研究MYB原癌基因样2(MYBL2)介导的细胞分裂周期相关8(CDCA8)表达调控对皮肤恶性黑色素瘤细胞生物学活性的影响。
    使用迁移评估具有MYBL2和CDCA8过表达和敲低的A375细胞,入侵,和增殖试验。此外,细胞凋亡通过流式细胞术定量。探讨MYBL2基因敲低在体内的致瘤作用,将具有MYBL2敲低的A375细胞注射到BALB/C裸小鼠中。
    与HaCat细胞相比,A375细胞中MYBL2和CDCA8基因表达水平显著升高(P<0.05)。MYBL2的下调导致A375细胞在体外的迁移和侵袭能力显著降低(P<0.001)。相反,MYBL2的过表达增强了迁移和侵袭能力(P<0.001)。CDCA8和MYBL2基因与MYBL2过表达或敲除后的蛋白表达水平呈正相关(P<0.001)。在体内致瘤研究中,与对照组相比,MYBL2敲除组肿瘤体积显著减小(P<0.01),肿瘤中CDCA8表达降低。
    我们得出这样的结论,即MYBL2促进了迁移,本研究通过靶向调控CDCA8表达对皮肤恶性黑色素瘤细胞侵袭和增殖能力的影响。
    UNASSIGNED: Investigating the effects of MYB proto-oncogene like 2 (MYBL2)-mediated regulation of Cell division cycle associated 8 (CDCA8) expression on the biological activity of cutaneous malignant melanoma cells.
    UNASSIGNED: A375 cells with MYBL2 and CDCA8 overexpression and knockdown were evaluated using migration, invasion, and proliferation assays. Besides, cell apoptosis was quantified by flow cytometry. To investigate the tumorigenic effects of MYBL2 knockdown in vivo, A375 cells with MYBL2 knockdown were injected in BALB/C nude mice.
    UNASSIGNED: The levels of MYBL2 and CDCA8 gene expression were notably elevated in A375 cells in comparison to HaCat cells (P < 0.05). Downregulation of MYBL2 led to a notable reduction in the migratory and invasive capability of A375 cells in vitro (P < 0.001). On the contrary, overexpression of MYBL2 enhanced migration and invasion ability (P < 0.001). There existed a positive correlation between CDCA8 and MYBL2 gene and protein expression levels after overexpression or knockdown of MYBL2 (P < 0.001). In the in vivo tumorigenic study, the MYBL2 knockdown group displayed a substantial decrease in tumor volume (P < 0.01) and exhibited decreased CDCA8 expression in tumors in comparison to the control group.
    UNASSIGNED: We arrived at such a conclusion that MYBL2 promoted the migration, invasion and proliferation ability of cutaneous malignant melanoma cells by targeted regulation of CDCA8 expression in this study.
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  • 文章类型: Journal Article
    恶性黑色素瘤由于其侵袭性转移行为和对当前治疗的有限反应而提出了巨大的挑战。为了解决这个问题,我们的研究使用恶性黑色素瘤细胞和人脐静脉内皮细胞探讨了安洛替尼对血管生成和血管生成拟态的影响.评估管状结构的形成,细胞增殖,迁移,入侵,和血管生成中的关键信号分子,我们证明了安洛替尼对肾小管结构具有剂量依赖性抑制作用,并有效抑制两种细胞类型的细胞生长和侵袭.此外,在小鼠异种移植模型中,安洛替尼治疗导致肿瘤生长和血管密度降低.值得注意的是,VEGFR-2、FGFR-1、PDGFR-β的下调,PI3K强调了安洛替尼的多靶向抗肿瘤活性。我们的发现强调了安洛替尼在靶向血管生成和血管生成拟态方面的治疗潜力,有助于开发对抗恶性黑色素瘤的新策略。
    Malignant melanoma presents a formidable challenge due to its aggressive metastatic behavior and limited response to current treatments. To address this, our study delves into the impact of anlotinib on angiogenesis and vasculogenic mimicry using malignant melanoma cells and human umbilical vein endothelial cells. Evaluating tubular structure formation, cell proliferation, migration, invasion, and key signaling molecules in angiogenesis, we demonstrated that anlotinib exerts a dose-dependent inhibition on tubular structures and effectively suppresses cell growth and invasion in both cell types. Furthermore, in a mouse xenograft model, anlotinib treatment resulted in reduced tumor growth and vascular density. Notably, the downregulation of VEGFR-2, FGFR-1, PDGFR-β, and PI3K underscored the multitargeted antitumor activity of anlotinib. Our findings emphasize the therapeutic potential of anlotinib in targeting angiogenesis and vasculogenic mimicry, contributing to the development of novel strategies for combating malignant melanoma.
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  • 文章类型: Journal Article
    目的是使用孟德尔随机双样本研究白细胞介素6(IL6)和C反应蛋白(CRP)对恶性黑色素瘤(MM)的影响。
    本研究的数据来自IEUOpenGWAS项目网站,用于获得白细胞介素6,C反应蛋白水平和恶性黑色素瘤的全基因组关联研究数据(GWAS)。主要采用逆方差加权(IVW)法,辅以MR-Egger回归和加权中位数。最后,采用水平多变量效度和异质性检验来评估结果的稳定性和可靠性.
    单变量双样本MR分析结果显示CRP对MM无显著影响:方差逆加权法(OR=0.999,95%CI:0.998-1.001,P=0.343),MR-Egger回归(OR=1.000,95%CI:0.998-1.001,P=0.180),加权中位数法(OR=0.999,95%CI:0.997~1.000,P=0.583),加权模型(OR=0.999,95%CI:0.998~1.001,P=0.328)。此外,IL-6对MM无显著影响:方差反加权法(OR=1.001,95%CI:0.999~1.002,P=0.461),MR-Egger回归(OR=1.000,95%CI:0.997~1.004,P=0.910),加权中位数法(OR=1.000,95%CI:0.998~1.002,P=0.749),加权模式(OR=1.000,95%CI:0.998~1.002,P=0.820)。
    C反应蛋白和IL-6与恶性黑色素瘤的风险之间没有因果关系。
    The goal was to explore the effect of interleukin-6 (IL6) and C reactive protein (CRP) on malignant melanoma (MM) using two-sample Mendelian randomization.
    UNASSIGNED: Data for this study were obtained from the IEU Open GWAS project website for genome-wide association study data (GWAS) on interleukin-6, C reactive protein levels and malignant melanoma. Inverse variance weighted (IVW) method was mainly used and supplemented with MR-Egger regression and weighted median. Finally, horizontal multivariate validity and heterogeneity tests were performed to assess the stability and reliability of the results.
    UNASSIGNED: The results of univariate two-sample MR analyses showed no significant effect of CRP on MM: inverse variance weighting method (OR=0.999, 95% CI: 0.998-1.001, P=0.343), MR-Egger regression (OR= 1.000, 95% CI: 0.998-1.001, P= 0.180), and weighted median method (OR= 0.999, 95% CI: 0.997 to 1.000, P= 0.583), and weighted model (OR= 0.999, 95% CI: 0.998 to 1.001, P= 0.328). Also,IL-6 had no significant effect on MM: inverse variance weighting method (OR= 1.001, 95% CI: 0.999 to 1.002, P=0.461), MR-Egger regression (OR= 1.000, 95% CI: 0.997 to 1.004, P= 0.910), weighted median method (OR= 1.000, 95% CI: 0.998 to 1.002, P= 0.749), and weighted mode (OR= 1.000, 95% CI: 0.998 to 1.002, P= 0.820).
    UNASSIGNED: There was no causal relationship between C-reactive protein and IL-6 on the risk of malignant melanoma.
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  • 文章类型: Case Reports
    背景:原发性椎管内恶性黑色素瘤是一种非常罕见的肿瘤,最常见于宫颈,胸廓,或胸腰椎段。
    方法:描述了一例罕见的原发性胸腰椎恶性黑色素瘤。一名45岁的女性患者抱怨下腰痛,双下肢麻木和疲劳。MR显示胸椎12至腰椎1水平处有硬膜内占位性病变。肿瘤部分切除,组织病理学证实了恶性黑色素瘤。
    结论:原发性椎管内恶性黑色素瘤的报道很少,和手术切除和相关的特点和诊断进行了讨论。
    BACKGROUND: Primary intraspinal malignant melanoma is a very rare tumor that most often occurs in the cervical, thoracic, or thoracolumbar segment.
    METHODS: A rare case of primary thoracolumbar malignant melanoma is described. A 45-year-old female patient complained of low back pain with numbness and fatigue in both lower limbs. MR revealed an intradural space-occupying lesion at the thoracic 12 to lumbar 1 level. The tumor was partially excised, and a malignant melanoma was confirmed by histopathology.
    CONCLUSIONS: Primary intraspinal malignant melanoma has rarely been reported, and surgical resection and related characteristics and diagnoses have been discussed.
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