Drug sensitivity

药物敏感性
  • 文章类型: Journal Article
    结直肠癌(CRC)是全球第三大流行癌症。积累的数据强调了端粒在CRC癌变和进展中的生物学意义。然而,关于端粒相关基因(TRGs)如何影响CRC预后的研究尚不清楚。因此,本研究的目的是探讨TRGs在CRC预后中的作用.
    我们从公共数据库中回顾性获得CRC患者的表达谱和临床数据。利用最小绝对收缩和选择算子(LASSO)回归分析,我们创建了端粒相关风险模型来预测生存结果,鉴定10个端粒相关差异表达基因(TRDEGs)。基于TRDEGS,我们将癌症基因组图谱(TCGA)中的患者分为低风险和高风险亚群.随后,我们进行了全面分析,包括生存评估,免疫细胞浸润,药物敏感性,并使用卡普兰-迈耶曲线预测分子相互作用,估计,CIBERSORT,OncoPredict,和其他方法。
    该模型对生存显示出出色的预测准确性。根据模型分组的两组参与者之间的生存率存在显着差异(P<0.001),这种差异在外部验证集(GSE39582)中得到进一步证实(P=0.004).此外,与低风险组相比,高风险组表现出明显的晚期肿瘤淋巴结转移(TNM)分期,激活的CD4+T细胞比例较低,效应记忆CD4+T细胞,和记忆B细胞,但M2巨噬细胞和调节性T细胞(Tregs)的比例增加,肿瘤免疫功能障碍和排斥(TIDE)评分升高,对dabrafenib的敏感性降低,拉帕替尼,喜树碱,多西他赛,和端粒酶抑制剂IX,反映签名的区分临床病理特征的能力,免疫环境,和药物功效。最后,我们验证了十个TRDEGs(ACACB,TPX2,SRPX,PPARGC1A,CD36,MMP3,NAT2,MMP10,HIGD1A,和MMP1)通过定量实时聚合酶链反应(qRT-PCR),发现与正常细胞相比,ACACB的表达水平,HIGD1A,NAT2,PPARGC1A,CRC细胞中的TPX2升高,而CD36,SRPX,MMP1、MMP3和MMP10降低。
    总的来说,我们构建了端粒相关生物标志物,能够预测CRC个体的预后和治疗反应,为药物治疗选择和预后预测提供潜在指导。
    UNASSIGNED: Colorectal cancer (CRC) is the third-most prevalent cancer globally. The biological significance of telomeres in CRC carcinogenesis and progression is underscored by accumulating data. Nevertheless, not much is known about how telomere-related genes (TRGs) affect CRC prognosis. Therefore, the aim of this study was to investigate the role of TRGs in CRC prognosis.
    UNASSIGNED: We retrospectively obtained the expression profiles and clinical data of CRC patients from public databases. Utilizing least absolute shrinkage and selection operator (LASSO) regression analysis, we created a telomere-related risk model to predict survival outcomes, identifying ten telomere-related differentially expressed genes (TRDEGs). Based on TRDEGs, we stratified patients from The Cancer Genome Atlas (TCGA) into low- and high-risk subsets. Subsequently, we conducted comprehensive analyses, including survival assessment, immune cell infiltration, drug sensitivity, and prediction of molecular interactions using Kaplan-Meier curves, ESTIMATE, CIBERSORT, OncoPredict, and other approaches.
    UNASSIGNED: The model showed exceptional predictive accuracy for survival. Significant differences in survival were observed between the two groups of participants grouped according to the model (P<0.001), and this difference was further confirmed in the external validation set (GSE39582) (P=0.004). Additionally, compared to the low-risk group, the high-risk group exhibited significantly advanced tumor node metastasis (TNM) stages, lower proportions of activated CD4+ T cells, effector memory CD4+ T cells, and memory B cells, but increased ratios of M2 macrophages and regulatory T cells (Tregs), elevated tumor immune dysfunction and exclusion (TIDE) scores, and diminished sensitivity to dabrafenib, lapatinib, camptothecin, docetaxel, and telomerase inhibitor IX, reflecting the signature\'s capacity to distinguish clinical pathological characteristics, immune environment, and drug efficacy. Finally, we validated the expression of the ten TRDEGs (ACACB, TPX2, SRPX, PPARGC1A, CD36, MMP3, NAT2, MMP10, HIGD1A, and MMP1) through quantitative real-time polymerase chain reaction (qRT-PCR) and found that compared to normal cells, the expression levels of ACACB, HIGD1A, NAT2, PPARGC1A, and TPX2 in CRC cells were elevated, whereas those of CD36, SRPX, MMP1, MMP3, and MMP10 were reduced.
    UNASSIGNED: Overall, we constructed a telomere-related biomarker capable of predicting prognosis and treatment response in CRC individuals, offering potential guidance for drug therapy selection and prognosis prediction.
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  • 文章类型: Journal Article
    间隙连接蛋白β3(GJB3)在大多数肿瘤中被报道为肿瘤抑制因子。然而,其在肺腺癌(LUAD)中的作用尚不清楚。本研究旨在探讨GJB3在LUAD患者预后及肿瘤微环境中的作用。本研究中使用的数据来自癌症基因组图谱,基因表达综合,和imvolvoc210队列。我们发现LUAD患者中GJB3表达增加,并与LUAD分期相关。GJB3高表达的LUAD患者预后较差。在GJB3高组中共有164条通路被显著激活。GJB3表达与9种转录因子呈正相关,可能受hsa-miR-6511b-5p负调控。最后,我们发现GJB3高组和GJB3低组的免疫细胞浸润和免疫检查点表达不同.总之。GJB3在LUAD患者中表现出高表达水平,GJB3表达升高的患者表现出不利的预后。此外,GJB3与免疫细胞浸润之间存在相关性,以及LUAD患者的免疫检查点表达。
    Gap junction protein beta 3 (GJB3) has been reported as a tumor suppressor in most tumors. However, its role in lung adenocarcinoma (LUAD) remains unknown. The purpose of this study is to explore the role of GJB3 in the prognosis and tumor microenvironment of LUAD patients. The data used in this study were acquired from The Cancer Genome Atlas, Gene Expression Omnibus, and imvigor210 cohorts. We found that GJB3 expression was increased in LUAD patients and correlated with LUAD stages. LUAD patients with high GJB3 expression exhibited a worse prognosis. A total of 164 pathways were significantly activated in the GJB3 high group. GJB3 expression was positively associated with nine transcription factors and might be negatively regulated by hsa-miR-6511b-5p. Finally, we found that immune cell infiltration and immune checkpoint expression were different between the GJB3 high and GJB3 low groups. In summary. GJB3 demonstrated high expression levels in LUAD patients, and those with elevated GJB3 expression displayed unfavorable prognoses. Additionally, there was a correlation between GJB3 and immune cell infiltration, as well as immune checkpoint expression in LUAD patients.
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  • 文章类型: Journal Article
    背景:类器官被美国FDA批准作为动物实验的替代方案,以指导药物开发和敏感性筛选。胃癌的稳定的类器官模型对于个性化医学和药物筛选是理想的。
    方法:收集原发性胃癌和淋巴结转移癌的肿瘤组织进行3D培养。通过体外50代以上的长期培养,我们获得了稳定生长的类器官系。我们分析了癌细胞的短串联重复序列(STRs)和核型,和裸鼠器官的肿瘤发生,以及类器官的多组学概况。CCK8方法用于测定药物对氟尿嘧啶(5-Fu)的敏感性,铂和紫杉醇。
    结果:以独特的STR和核型建立了来自原发性癌(SPDO1P)和转移性淋巴结(SPDO1LM)的配对类器官系。类器官系导致体内肿瘤发生,并具有清晰的遗传特征。与原发癌的SPDO1P相比,来自转移淋巴结的SPDO1LM的上调基因在上皮间质转化和血管生成途径中富集,细胞迁移能力更强,入侵,和促血管生成。基于药物敏感性分析,SOX方案(5-Fu+奥沙利铂)用于化疗,临床结局最佳.
    结论:类器官系概括了亲本组织的药物敏感性。配对的类器官品系向活体生物库呈现阶跃变化,以进一步翻译使用。
    BACKGROUND: Organoids are approved by the US FDA as an alternative to animal experiments to guide drug development and for sensitivity screening. Stable organoids models of gastric cancer are desirable for personalized medicine and drug screening.
    METHODS: Tumor tissues from a primary cancer of the stomach and metastatic cancer of the lymph node were collected for 3D culture. By long-term culture for over 50 generations in vitro, we obtained stably growing organoid lines. We analyzed short tandem repeats (STRs) and karyotypes of cancer cells, and tumorigenesis of the organoids in nude mice, as well as multi-omics profiles of the organoids. A CCK8 method was used to determine the drugs sensitivity to fluorouracil (5-Fu), platinum and paclitaxel.
    RESULTS: Paired organoid lines from primary cancer (SPDO1P) and metastatic lymph node (SPDO1LM) were established with unique STRs and karyotypes. The organoid lines resulted in tumorigenesis in vivo and had clear genetic profiles. Compared to SPDO1P from primary cancer, upregulated genes of SPDO1LM from the metastatic lymph node were enriched in pathways of epithelial-mesenchymal transition and angiogenesis with stronger abilities of cell migration, invasion, and pro-angiogenesis. Based on drug sensitivity analysis, the SOX regimen (5-Fu plus oxaliplatin) was used for chemotherapy with an optimal clinical outcome.
    CONCLUSIONS: The organoid lines recapitulate the drug sensitivity of the parental tissues. The paired organoid lines present a step-change toward living biobanks for further translational usage.
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  • 文章类型: Journal Article
    肝细胞肝癌(LIHC)患者的预后和治疗反应可以基于程序性细胞死亡(PCD)来预测,因为PCD在肿瘤进展中起着至关重要的作用。我们开发了PCD相关基因标签来评估LIHC患者的治疗反应和预后。
    使用ConsensusClusterPlus根据与PCD相关的基因生物标志物对LIHC的分子亚型进行分类。预测高、低风险LIHC患者的预后,通过基于预后基因的LASSO回归分析建立了风险模型.使用ClusterProfiler软件包进行功能富集分析,应用CIBERSORT软件包对免疫细胞的相对丰度进行定量。最后,为了确定药物敏感性,使用了oncoPredict包。
    PCD与LIHC的临床病理特征相关。然后,我们使用PCD相关预后基因定义了LIHC的4种分子亚型(C1-C4).具体来说,C1亚型的预后最差,富含T细胞调节性(Tregs)和巨噬细胞_M0,T细胞耗竭标志物的表达更高,同时,C1还具有相对较高的TIDE评分和转移潜力。使用5个预后基因建立了风险模型。高危患者倾向于有更高的T细胞耗竭标志物和TIDE评分的表达和不利的结果,他们对小分子药物更敏感。氟尿嘧啶.
    开发并验证了PCD相关基因标签,以能够准确预测LIHC患者的预后和药物敏感性。
    UNASSIGNED: The prognosis and therapeutic response of patients with liver hepatocellular carcinoma (LIHC) can be predicted based on programmed cell death (PCD) as PCD plays a crucial role during tumor progression. We developed a PCD-related gene signature to evaluate the therapeutic response and prognosis for patients with LIHC.
    UNASSIGNED: Molecular subtypes of LIHC were classified using ConsensusClusterPlus according to the gene biomarkers related to PCD. To predict the prognosis of high- and low-risk LIHC patients, a risk model was established by LASSO regression analysis based on the prognostic genes. Functional enrichment analysis was conducted using clusterProfiler package, and relative abundance of immune cells was quantified applying CIBERSORT package. Finally, to determine drug sensitivity, oncoPredict package was employed.
    UNASSIGNED: PCD was correlated with the clinicopathologic features of LIHC. Then, we defined four molecular subtypes (C1-C4) of LIHC using PCD-related prognostic genes. Specifically, subtype C1 had the worst prognosis with enriched T cells regulatory (Tregs) and Macrophage_M0 and higher expression of T cell exhaustion markers, meanwhile, C1 also had a relatively higher TIDE score and metastasis potential. A risk model was established using 5 prognostic genes. High-risk patients tended to have higher expression of T cell exhaustion markers and TIDE score and unfavorable outcomes, and they were more sensitive to small molecule drug 5.Fluorouracil.
    UNASSIGNED: A PCD-related gene signature was developed and verified to be able to accurately predict the prognosis and drug sensitivity of LIHC patients.
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  • 文章类型: Journal Article
    目的:分析分离率,流行趋势,物种分布,安徽省非结核分枝杆菌(NTM)药敏分析,为诊断和治疗策略提供参考。
    方法:对2021年1月至2023年12月安徽省胸科医院疑似分枝杆菌感染患者(包括门诊和住院患者)进行标本培养。分析鉴定的NTM菌株的种类分布和药物敏感性。
    结果:在培养的10,519个分枝杆菌菌株中,1,589为NTM(15.11%)。前4位为胞内分枝杆菌(75.36%),脓肿分枝杆菌(11.78%),kansasii分枝杆菌(7.09%),和鸟分枝杆菌(2.85%)。NTM菌株对阿米卡星和克拉霉素的敏感性高(≥90%),对利福布汀的敏感性显著,莫西沙星,和利福平(89.03%-79.61%)。他们表现出对亚胺培南/西司他丁的高抗性,磺胺甲恶唑,米诺环素,和多西环素(≥95%)。
    结论:安徽省NTM分离率保持稳定,主要物种是细胞内分枝杆菌,M.kansasii,M.脓肿,还有M.avium.NTM菌株对阿米卡星高度敏感,克拉霉素,rifabutin,莫西沙星,还有利福平.这些发现可以指导诊断,治疗策略,安徽省NTM病的药物选择。
    OBJECTIVE: To analyze the isolation rate, prevalence trends, species distribution, and drug sensitivity of non-tuberculous mycobacteria (NTM) in Anhui Province, providing a reference for diagnosis and treatment strategies.
    METHODS: Specimens from suspected mycobacterial infection patients at Anhui Chest Hospital (including outpatients and inpatients) from January 2021 to December 2023 were cultured. Identified NTM strains were analyzed for species distribution and drug sensitivity.
    RESULTS: Of 10,519 mycobacteria strains cultured, 1,589 were NTM (15.11%). The top four species were Mycobacterium intracellulare (75.36%), Mycobacterium abscessus (11.78%), Mycobacterium kansasii (7.09%), and Mycobacterium avium (2.85%). NTM strains showed high sensitivity to amikacin and clarithromycin (≥90%) and significant sensitivity to rifabutin, moxifloxacin, and rifampicin (89.03%-79.61%). They exhibited high resistance to imipenem/cilastatin, sulfamethoxazole, minocycline, and doxycycline (≥95%).
    CONCLUSIONS: NTM isolation rates in Anhui have remained stable, with the predominant species being M. intracellulare, M. kansasii, M. abscessus, and M. avium. NTM strains are highly sensitive to amikacin, clarithromycin, rifabutin, moxifloxacin, and rifampicin. These findings can guide diagnosis, treatment strategies, and drug selection for NTM disease in Anhui Province.
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  • 文章类型: Journal Article
    10-11易位(TET)家族基因涉及各种人类癌症的广泛生物学功能。尽管如此,缺乏全面分析TET家族成员与不同癌症分子表型和临床特征相关性的研究。利用更新的公共数据库,并采用几种生物信息学分析方法,我们评估了表达水平,体细胞变异,甲基化水平,和TET家族基因的预后价值。此外,我们探索了TET家族基因的表达与通路活性之间的关联,肿瘤微环境(TME),干性得分,免疫亚型,临床分期,和泛癌症的药物敏感性。进行分子生物学和细胞学实验以验证TET3在肿瘤进展中的潜在作用。每个TET家族基因在至少十个检测到的肿瘤中显示出不同的表达模式。发现TET基因中单核苷酸变异(SNV)的频率为91.24%,主要包括错义突变类型,拷贝数变体(CNV)的主要类型是杂合扩增和缺失。TET1基因表现出高甲基化水平,而TET2和TET3基因在大多数癌症中表现出低甲基化,与患者预后密切相关。通路活性分析显示TET家族基因参与多个信号通路,包括细胞周期,凋亡,DNA损伤反应,激素AR,PI3K/AKT,RTK。此外,TET家族基因的表达水平对肿瘤患者的临床分期有影响,调节化疗药物的敏感性,从而通过参与肿瘤微环境的调节来影响患者的预后,细胞干细胞潜能,和免疫亚型。值得注意的是,TET3被确定为促进各种肿瘤的癌症进展,发现其沉默可以抑制肿瘤的恶性程度并增强化疗敏感性。这些发现揭示了TET家族基因在癌症进展中的作用,并为进一步研究TET3作为泛癌症的潜在治疗靶标提供了见解。
    The Ten-Eleven Translocation (TET) family genes are implicated in a wide array of biological functions across various human cancers. Nonetheless, there is a scarcity of studies that comprehensively analyze the correlation between TET family members and the molecular phenotypes and clinical characteristics of different cancers. Leveraging updated public databases and employing several bioinformatics analysis methods, we assessed the expression levels, somatic variations, methylation levels, and prognostic values of TET family genes. Additionally, we explored the association between the expression of TET family genes and pathway activity, tumor microenvironment (TME), stemness score, immune subtype, clinical staging, and drug sensitivity in pan-cancer. Molecular biology and cytology experiments were conducted to validate the potential role of TET3 in tumor progression. Each TET family gene displayed distinct expression patterns across at least ten detected tumors. The frequency of Single Nucleotide Variant (SNV) in TET genes was found to be 91.24%, primarily comprising missense mutation types, with the main types of copy number variant (CNV) being heterozygous amplifications and deletions. TET1 gene exhibited high methylation levels, whereas TET2 and TET3 genes displayed hypomethylation in most cancers, which correlated closely with patient prognosis. Pathway activity analysis revealed the involvement of TET family genes in multiple signaling pathways, including cell cycle, apoptosis, DNA damage response, hormone AR, PI3K/AKT, and RTK. Furthermore, the expression levels of TET family genes were shown to impact the clinical staging of tumor patients, modulate the sensitivity of chemotherapy drugs, and thereby influence patient prognosis by participating in the regulation of the tumor microenvironment, cellular stemness potential, and immune subtype. Notably, TET3 was identified to promote cancer progression across various tumors, and its silencing was found to inhibit tumor malignancy and enhance chemotherapy sensitivity. These findings shed light on the role of TET family genes in cancer progression and offer insights for further research on TET3 as a potential therapeutic target for pan-cancer.
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  • 文章类型: Journal Article
    本研究旨在探讨膀胱癌(BLCA)中具有预后DNA甲基化位点的基因状态。我们获得了大量转录组测序数据,甲基化数据,和来自公共数据库的BLCA的单细胞测序数据。最初,对每个甲基化位点进行Cox生存分析,并鉴定出具有10个以上甲基化位点的具有预后意义的基因,以形成BLCA预后甲基化基因集。随后,在单细胞测序分析中获得与上皮细胞相关的标记基因的交集,以获得上皮细胞预后甲基化基因.利用十种机器学习算法进行多种组合,我们选择了关键基因(METRNL,SYT8,COL18A1,TAP1,MEST,AHNAK,RPP21,AKAP13,RNH1)基于来自多个验证集的C索引。结合临床特征和模型基因进行单因素和多因素Cox分析,以确定独立的预后因素(AHNAK,RNH1,TAP1,年龄,和阶段)用于构建列线图模型,其良好的诊断功效得到了验证,预后预测能力,和临床决策的好处。模型基因的表达模式因不同临床特征而异。使用7种免疫细胞浸润预测算法来评估免疫细胞评分与Nomogram评分之间的相关性。最后,基于CMap数据库对Nomogram模型基因进行药物敏感性分析,其次是分子对接实验。本研究为预后评估提供了参考和理论依据,药物选择,了解DNA甲基化改变对BLCA预后的影响。
    The current study aimed to investigate the status of genes with prognostic DNA methylation sites in bladder cancer (BLCA). We obtained bulk transcriptome sequencing data, methylation data, and single-cell sequencing data of BLCA from public databases. Initially, Cox survival analysis was conducted for each methylation site, and genes with more than 10 methylation sites demonstrating prognostic significance were identified to form the BLCA prognostic methylation gene set. Subsequently, the intersection of marker genes associated with epithelial cells in single-cell sequencing analysis was obtained to acquire epithelial cell prognostic methylation genes. Utilizing ten machine learning algorithms for multiple combinations, we selected key genes (METRNL, SYT8, COL18A1, TAP1, MEST, AHNAK, RPP21, AKAP13, RNH1) based on the C-index from multiple validation sets. Single-factor and multi-factor Cox analyses were conducted incorporating clinical characteristics and model genes to identify independent prognostic factors (AHNAK, RNH1, TAP1, Age, and Stage) for constructing a Nomogram model, which was validated for its good diagnostic efficacy, prognostic prediction ability, and clinical decision-making benefits. Expression patterns of model genes varied among different clinical features. Seven immune cell infiltration prediction algorithms were used to assess the correlation between immune cell scores and Nomogram scores. Finally, drug sensitivity analysis of Nomogram model genes was conducted based on the CMap database, followed by molecular docking experiments. Our research offers a reference and theoretical basis for prognostic evaluation, drug selection, and understanding the impact of DNA methylation changes on the prognosis of BLCA.
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  • 文章类型: Journal Article
    T细胞是癌症免疫学中必不可少的肿瘤抑制因子,但是它们由癌细胞诱导的功能障碍会导致T细胞耗尽。耗竭T细胞(Tex)显著影响肿瘤免疫环境,因此,有必要对不同类型的癌症进行彻底调查。这里,我们讨论了Tex细胞在泛癌症中的作用,专注于表达,突变,甲基化,免疫浸润,和包含基因HAVCR2,CXCL13,LAG3,LAYN,TIGIT,和PDCD1跨越多种癌症类型,利用生物信息学分析TCGA数据。我们的分析显示,Tex标记基因在14种癌症类型中差异表达,与患者生存结果相关,有明显的生存趋势。通路分析表明,Tex基因影响关键的癌症相关通路,如细胞凋亡,EMT,和DNA损伤途径。免疫浸润分析强调了膀胱癌中Tex基因表达与免疫细胞浸润之间的正相关,而这些基因的突变与UCEC和SKCM中的特异性免疫细胞富集有关。Tex基因中的CNV在癌症中普遍存在。我们还强调了大多数肿瘤中的高LAYN甲基化以及各种癌症中甲基化水平与免疫细胞浸润之间的负相关。药物敏感性分析确定了许多相关性,CXCL13和HAVCR2表达影响对几种药物的敏感性,包括Apitolisib,Belinostat,和多西他赛。总的来说,这些研究结果强调了恢复耗尽的T细胞对于增强治疗效果以显着增强抗肿瘤免疫力并获得更好临床结局的重要性.
    T cells are essential tumor suppressors in cancer immunology, but their dysfunction induced by cancer cells can result in T cell exhaustion. Exhausted T cells (Tex) significantly influence the tumor immune environment, and thus, there is a need for their thorough investigation across different types of cancer. Here, we address the role of Tex cells in pan-cancer, focusing on the expression, mutations, methylation, immune infiltration, and drug sensitivity of a molecular signature comprising of the genes HAVCR2, CXCL13, LAG3, LAYN, TIGIT, and PDCD1across multiple cancer types, using bioinformatics analysis of TCGA data. Our analysis revealed that the Tex signature genes are differentially expressed across 14 cancer types, being correlated with patient survival outcomes, with distinct survival trends. Pathway analysis indicated that the Tex genes influence key cancer-related pathways, such as apoptosis, EMT, and DNA damage pathways. Immune infiltration analysis highlighted a positive correlation between Tex gene expression and immune cell infiltration in bladder cancer, while mutations in these genes were associated with specific immune cell enrichments in UCEC and SKCM. CNVs in Tex genes were widespread across cancers. We also highlight high LAYN methylation in most tumors and a negative correlation between methylation levels and immune cell infiltration in various cancers. Drug sensitivity analysis identified numerous correlations, with CXCL13 and HAVCR2 expressions influencing sensitivity to several drugs, including Apitolisib, Belinostat, and Docetaxel. Overall, these findings highlight the importance of reviving exhausted T cells to enhance the treatment efficacy to significantly boost anti-tumor immunity and achieve better clinical outcomes.
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  • 文章类型: Journal Article
    用全身药物治疗肾细胞癌(RCC)后患者的反应,其中包括各种药物类别,通常是贫穷和不可预测的。在这种情况下,理想的药物管理包括预测疾病对治疗的敏感性的工具。本研究旨在系统总结甲基化状态在肾癌全身治疗中的预测价值。本综述仅包括有关启动子甲基化与患者或细胞系对全身性药物的反应相关的原始文章。我们将PRISMA建议应用于本次系统评价的结构和方法。我们的文献检索总结了31篇关于RCC细胞系和患者组织的文章。大多数研究证明了对全身性药物的甲基化依赖性反应。这种相关性表明,甲基化模式可用作各种全身性药物治疗RCC的预测工具。然而,尽管甲基化生物标志物显示出预测反应的前景,这种相关性的证据仍然薄弱。需要更多研究全身治疗患者的基因甲基化模式及其与不同反应程度的相关性。
    Patient response after treatment of renal cell cancer (RCC) with systemic agents, which include various drug categories, is generally poor and unpredictable. In this context, the ideal drug administration includes tools to predict the sensitivity of the disease to therapy. The aim of this study was to systematically summarize the reports on the predictive value of the methylation status in the systemic therapy of RCC. Only original articles reporting on the association of promoter methylation with the response of patients or cell lines to systemic agents were included in this review. We applied PRISMA recommendations to the structure and methodology of this systematic review. Our literature search concluded with 31 articles conducted on RCC cell lines and patient tissues. The majority of the studies demonstrated a methylation-dependent response to systemic agents. This correlation suggests that the methylation pattern can be used as a predictive tool in the management of RCC with various classes of systemic agents. However, although methylation biomarkers show promise for predicting response, the evidence of such correlation is still weak. More studies on the gene methylation pattern in patients under systemic therapy and its correlation with different degrees of response are needed.
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  • 文章类型: Journal Article
    本研究旨在探讨烟酰胺N-甲基转移酶(NNMT)在非小细胞肺癌(NSCLC)细胞药物敏感性中的作用,重点关注其对自噬和化疗药物奥希替尼耐药性的影响。该研究假设NNMT敲低将通过改变自噬过程来增强药物敏感性,为克服肺癌化疗耐药提供了一个潜在的新治疗靶点。
    蛋白质组学分析用于鉴定在H1975和H1975奥希替尼抗性(H1975OR)肺癌细胞系中NNMT敲低后蛋白质表达的变化。使用癌症基因组图谱(TCGA)数据集分析肺癌患者中的基因表达模式及其与NNMT表达的相关性。此外,通过基于NNMT相关基因表达的Lasso回归分析,建立了肺癌生存预测模型.使用IC50值和凋亡率评估药物敏感性,通过Westernblot和流式细胞仪分析评估自噬。
    在NNMT敲低后,观察到1,182种蛋白质表达的显着变化,与自噬相关基因显著相关。基因表达模式分析揭示了NNMT表达与肺癌基因表达的特定变化之间的显着相关性。预测模型成功预测了肺癌患者的生存结果,强调NNMT相关基因在预测患者生存中的潜力。敲除NNMT逆转了H1975细胞中的奥希替尼耐药性,如改变的IC50值和凋亡率所证明,并观察到自噬标志物的变化。
    敲除肺癌细胞NNMT通过调节自噬增强药物敏感性,为克服非小细胞肺癌的化疗耐药提供了一个有希望的治疗靶点。该研究强调了NNMT在肺癌病理学中的重要性,并强调了其作为临床结果预测指标的潜力。此外,所开发的预测模型进一步支持NNMT相关基因表达在改善肺癌患者预后中的临床意义.
    UNASSIGNED: This study aimed to investigate the role of Nicotinamide N-methyltransferase (NNMT) in the drug sensitivity of non-small cell lung cancer (NSCLC) cells, with a focus on its impact on autophagy and resistance to the chemotherapeutic agent osimertinib. The study hypothesized that NNMT knockdown would enhance drug sensitivity by modifying autophagic processes, providing a potential new therapeutic target for overcoming chemoresistance in lung cancer.
    UNASSIGNED: Proteomic analysis was utilized to identify changes in protein expression following NNMT knockdown in H1975 and H1975 osimertinib resistance (H1975OR) lung cancer cell lines. Gene expression patterns and their correlation with NNMT expression in lung cancer patients were analyzed using The Cancer Genome Atlas (TCGA) dataset. Additionally, a predictive model for lung cancer survival was developed via lasso regression analysis based on NNMT-associated gene expression. Drug sensitivity was assessed using the IC50 values and apoptosis ratio, and autophagy was evaluated through Western blot and flow cytometric analysis.
    UNASSIGNED: Significant variations in the expression of 1,182 proteins were observed following NNMT knockdown, with a significant association with autophagy-related genes. Analysis of gene expression patterns unveiled a significant correlation between NNMT expression and specific changes in gene expression in lung cancer. The predictive model successfully forecasted lung cancer patient survival outcomes, highlighting the potential of NNMT-associated genes in predicting patient survival. Knockdown of NNMT reversed osimertinib resistance in H1975 cells, as evidenced by altered IC50 values and apoptosis ratio, and changes were observed in autophagy markers.
    UNASSIGNED: Knockdown of NNMT in lung cancer cells enhances drug sensitivity by modulating autophagy, providing a promising therapeutic target to overcome chemoresistance in NSCLC. The study underscores the importance of NNMT in lung cancer pathology and underscores its potential as a predictive marker for clinical outcomes. Additionally, the developed predictive model further supports the clinical relevance of NNMT-associated gene expression in improving the prognosis of lung cancer patients.
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