APC

APC
  • 文章类型: Journal Article
    这项研究调查了家族性腺瘤性息肉病(FAP)患者的致病性腺瘤性息肉病(APC)基因变异对神经发育的影响。癌症易感性综合症.我们假设某些致病性APC变异会导致行为认知挑战。我们比较了66例FAP患者(病例)和34例未受影响的兄弟姐妹(对照),以探索APC变异与行为和认知挑战之间的关联。我们的研究结果表明,FAP患者表现出更高的社会反应量表(SRS)得分,表明与未受影响的兄弟姐妹相比,自闭症特征的患病率更高(平均53.8vs.47.4,威尔科克森p=0.018)。病例中SRS分数的分布表明了双峰模式,可能与APC变体的位置有关,从基因的5'到3'末端得分增加(Pearson的r=0.33,p=0.022)。虽然我们观察到在案例中教育程度下降的趋势,这一差异无统计学意义.本研究首次探讨FAP中APC变异位点与神经发育性状的关系,扩大我们对基因型-表型相关性的理解。我们的结果强调了临床评估FAP患者自闭症特征的重要性,阐明APC基因变异在这些行为和认知挑战中的潜在作用。
    This study investigated the neurodevelopmental impact of pathogenic adenomatous polyposis coli (APC) gene variants in patients with familial adenomatous polyposis (FAP), a cancer predisposition syndrome. We hypothesized that certain pathogenic APC variants result in behavioral-cognitive challenges. We compared 66 FAP patients (cases) and 34 unaffected siblings (controls) to explore associations between APC variants and behavioral and cognitive challenges. Our findings indicate that FAP patients exhibited higher Social Responsiveness Scale (SRS) scores, suggesting a greater prevalence of autistic traits when compared to unaffected siblings (mean 53.8 vs. 47.4, Wilcoxon p = 0.018). The distribution of SRS scores in cases suggested a bimodal pattern, potentially linked to the location of the APC variant, with scores increasing from the 5\' to 3\' end of the gene (Pearson\'s r = 0.33, p = 0.022). While we observed a trend toward lower educational attainment in cases, this difference was not statistically significant. This study is the first to explore the connection between APC variant location and neurodevelopmental traits in FAP, expanding our understanding of the genotype-phenotype correlation. Our results emphasize the importance of clinical assessment for autistic traits in FAP patients, shedding light on the potential role of APC gene variants in these behavioral and cognitive challenges.
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  • 文章类型: Journal Article
    三阴性乳腺癌(TNBC)患者接受传统化疗,比如紫杉烷类药物。一种这样的药物,紫杉醇(PTX),可以有效治疗TNBC;然而,许多肿瘤会产生耐药性,这可能会导致复发。为了改善患者的预后和生存率,迫切需要了解耐药性背后的机制。我们的实验室进行了新的观察,即在人TNBC细胞系MDA-MB-157中,使用shRNA降低了腺瘤性息肉病(APC)肿瘤抑制因子的表达。在缺乏APC的细胞中,PTX诱导的细胞凋亡减少,其通过切割的半胱天冬酶3和膜联蛋白/PI染色来测量。目前的研究表明,在另外两个TNBC细胞系中,CRISPR介导的APC敲除,MDA-MB-231和SUM159导致PTX抗性。此外,已经通过对BCL-2家族蛋白的分析研究了APC介导的PTX应答背后的细胞后果和分子机制.我们发现肿瘤起始细胞群体的显着增加和促生存家族成员Bcl-2的表达增加,这是其致癌行为众所周知的。ABT-199(维尼托克),是特异性靶向Bcl-2的BH3模拟物。ABT-199已被用作多种血液系统恶性肿瘤的单一或联合疗法,并已在多种亚型的乳腺癌中显示出希望。为了解决APC诱导的Bcl-2增加是PTX抵抗的原因的假设,我们联合治疗PTX和ABT-199。这种CRISPR介导的APC敲除MDA-MB-231细胞的联合治疗导致细胞凋亡的改变。提示Bcl-2抑制可恢复APC敲除乳腺癌细胞的PTX敏感性。我们的研究首次表明Bcl-2功能抑制可恢复APC突变乳腺癌细胞中的PTX敏感性。这些研究对于改善TNBC患者的治疗方案至关重要。
    Triple-negative breast cancer (TNBC) patients are treated with traditional chemotherapy, such as the taxane class of drugs. One such drug, paclitaxel (PTX), can be effective in treating TNBC; however, many tumors will develop drug resistance, which can lead to recurrence. In order to improve patient outcomes and survival, there lies a critical need to understand the mechanism behind drug resistance. Our lab made the novel observation that decreased expression of the Adenomatous Polyposis Coli (APC) tumor suppressor using shRNA caused PTX resistance in the human TNBC cell line MDA-MB-157. In cells lacking APC, induction of apoptosis by PTX was decreased, which was measured through cleaved caspase 3 and annexin/PI staining. The current study demonstrates that CRISPR-mediated APC knockout in two other TNBC lines, MDA-MB-231 and SUM159, leads to PTX resistance. In addition, the cellular consequences and molecular mechanisms behind APC-mediated PTX response have been investigated through analysis of the BCL-2 family of proteins. We found a significant increase in the tumor-initiating cell population and increased expression of the pro-survival family member Bcl-2, which is widely known for its oncogenic behavior. ABT-199 (Venetoclax), is a BH3 mimetic that specifically targets Bcl-2. ABT-199 has been used as a single or combination therapy in multiple hematologic malignancies and has shown promise in multiple subtypes of breast cancer. To address the hypothesis that APC-induced Bcl-2 increase is responsible for PTX resistance, we combined treatment of PTX and ABT-199. This combination treatment of CRISPR-mediated APC knockout MDA-MB-231 cells resulted in alterations in apoptosis, suggesting that Bcl-2 inhibition restores PTX sensitivity in APC knockout breast cancer cells. Our studies are the first to show that Bcl-2 functional inhibition restores PTX sensitivity in APC mutant breast cancer cells. These studies are critical to advance better treatment regimens in patients with TNBC.
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  • 文章类型: Journal Article
    结直肠癌(CRC)是年轻人中常见的癌症。在接受RAS改变的CRC的肝切除术的患者中,有证据表明年轻患者的预后比老年患者差.为了解释这种模式,在925例CRC患者的队列中评估了年轻和老年CRC患者的RAS状态和其他癌症相关生物标志物之间的相关性差异,277人(30.0%)≤50岁,454人(49.1%)患有RAS改变的肿瘤。对于3种生物标志物,RNF43,APC,和微卫星不稳定性(MSI),在校正多项测试后,与RAS状态的关联随年龄而显着改变.具体来说,较年轻的RAS改变的肿瘤患者更可能是MSI高,RNF43突变,和APC野生型。这些差异可能有助于观察到年轻与老年CRC患者合并RAS突变肿瘤进行肝转移切除的生存率降低的模式。
    Colorectal cancer (CRC) is a common cancer in younger adults. In patients undergoing liver resection with RAS-altered CRCs, there is evidence suggesting younger patients have worse outcomes than older patients. To explain this pattern, differences in associations between RAS status and other cancer-related biomarkers in tumors from younger versus older patients with CRC were evaluated in a cohort of 925 patients with CRC, 277 (30.0%) of whom were ≤50 years old, and 454 (49.1%) who had RAS-altered tumors. For 3 biomarkers, RNF43, APC, and microsatellite instability (MSI), the association with RAS status was significantly modified by age after adjustment for multiple testing. Specifically, younger patients with RAS-altered tumors were more likely to be MSI-high, RNF43 mutated, and APC wild type. These differences might contribute to the observed pattern of diminished survival in younger versus older patients with CRC with RAS-mutated tumors undergoing liver metastasis resection.
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  • 文章类型: Journal Article
    自动膜片钳记录是药物发现和离子通道研究中的一项有价值的技术。它允许精确测量和操纵通道电流,提供对药物或其他化合物的功能和调节的见解。黑皮质素4受体(MC4-R)是一种对食欲调节至关重要的G蛋白偶联受体(GPCR),能量平衡,和体重。MC4-R信号传导很复杂,涉及与食欲调节电路中其他受体和神经肽的相互作用。MC4-Rs,像其他GPCRs一样,已知调节离子通道,如Kir7.1,向内整流钾通道,响应配体结合。这种调制对于控制穿过细胞膜的离子流至关重要,会影响膜电位,兴奋性,和神经传递。MC4-R是抗肥胖药物Impivree的靶标。然而,已知这种药物缺乏最佳效力,也有副作用。使用高通量技术研究MC4-R/Kir7.1复合物允许研究人员快速筛选许多化合物或条件,帮助开发针对该系统的药物。此外,这种受体-通道复合物及其配体的自动膜片钳记录可以提供有价值的功能和药理学见解,支持新型治疗策略的开发。这种方法可以推广到其他GPCR门控离子通道功能复合物,有可能加快不同领域的研究步伐,并有望发现先前未知的受体-离子通道相互作用方面。
    Automated patch clamp recording is a valuable technique in drug discovery and the study of ion channels. It allows for the precise measurement and manipulation of channel currents, providing insights into their function and modulation by drugs or other compounds. The melanocortin 4 receptor (MC4-R) is a G protein-coupled receptor (GPCR) crucial to appetite regulation, energy balance, and body weight. MC4-R signaling is complex and involves interactions with other receptors and neuropeptides in the appetite-regulating circuitry. MC4-Rs, like other GPCRs, are known to modulate ion channels such as Kir7.1, an inward rectifier potassium channel, in response to ligand binding. This modulation is critical for controlling ion flow across the cell membrane, which can influence membrane potential, excitability, and neurotransmission. The MC4-R is the target for the anti-obesity drug Imcivree. However, this drug is known to lack optimal potency and also has side effects. Using high-throughput techniques for studying the MC4-R/Kir7.1 complex allows researchers to rapidly screen many compounds or conditions, aiding the development of drugs that target this system. Additionally, automated patch clamp recording of this receptor-channel complex and its ligands can provide valuable functional and pharmacological insights supporting the development of novel therapeutic strategies. This approach can be generalized to other GPCR-gated ion channel functional complexes, potentially accelerating the pace of research in different fields with the promise to uncover previously unknown aspects of receptor-ion channel interactions.
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  • 文章类型: Journal Article
    本文的主要目的是探索GAS5和miR-135b-5p之间的相互作用,以了解它们在转移中的功能,入侵,和胶质瘤的增殖。这可能为脑胶质瘤的发病机制和治疗提供新的思路。
    采用Western印迹和RT-qPCR检测相关基因在神经胶质瘤组织或细胞系中的表达。CCK-8用于检查GAS5对细胞活力的影响。通过transwell和伤口愈合实验采用了运动活动。进行双荧光素酶实验以阐明转录调控。
    GAS5在神经胶质瘤细胞和组织中呈低表达,GAS5的上调可以抑制入侵,扩散,和胶质瘤的转移。GAS5负调节miR-135b-5p,可以抵消GAS5引起的细胞效应。APC是miR-135b-5p的靶标,GAS5可以通过构建miR-135b-5p来调控APC的表达。APC过表达逆转miR-135b-5p对胶质瘤细胞的促进作用,而miR-135b-5p具有相反的功能。miR-135b-5p作为GAS5的下游靶基因被GAS5负调控。miR-135b-5p的修复可以显著逆转GAS5对胶质瘤细胞的影响。此外,GAS5通过抑制miR-135b-5p增加胶质瘤细胞中APC的表达。
    GAS5通过抑制miR-135b-5p增加APC的表达,并部分阻断胶质瘤的进展,这表明它可能是神经胶质瘤干预的有利治疗靶点。
    UNASSIGNED: The main purpose of this paper is to explore the interaction between GAS5 and miR-135b-5p to understand their function in the metastasis, invasion, and proliferation of glioma. This may provide new ideas for the pathogenesis and treatment of glioma.
    UNASSIGNED: Western blotting assays and RT‑qPCR were employed to investigate the expression of related genes in glioma tissues or cell lines. CCK-8 was used to examine the impact of GAS5 on cell viability. Motile activities were adopted by the transwell and wound healing experiments. A double luciferase experiment was performed to elucidate transcriptional regulation.
    UNASSIGNED: GAS5 showed low expression in glioma cells and tissues, and up-regulation of GAS5 could depress the invasion, proliferation, and metastasis of glioma. GAS5 negatively regulates miR-135b-5p, which can counteract the cellular effects caused by GAS5. APC was the target of miR-135b-5p, and GAS5 can regulate the expression of APC by sponging miR-135b-5p. APC overexpression reversed the effects of miR-135b-5p promotion on glioma cells, while miR-135b-5p has the opposite function. As a downstream target gene of GAS5, miR-135b-5p was negatively regulated by GAS5. The restoration of miR-135b-5p can remarkably reverse the impact of GAS5 on glioma cells. In addition, GAS5 increased the expression of APC in glioma cells by inhibiting miR-135b-5p.
    UNASSIGNED: GAS5 increased APC expression by restraining miR-135b-5p and partially blocked the progression of glioma, suggesting that it could be an advantageous therapeutic target for glioma intervention.
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  • 文章类型: Journal Article
    这项研究调查了免费发布(F2P)与付费发布(P2P)模型在皮肤病学期刊中的影响,关注它们在期刊指标方面的差异,物品处理费(APC),开放存取(OA)状态。利用k均值聚类,该研究基于SCImago期刊排名(SJR)评估皮肤病学期刊,H-Index,和影响因子(IF),并检查这些指标之间的相关性,APC,和OA状态(完全或混合)。使用来自SCImago期刊排名和期刊引文报告数据库的数据,和来自106个期刊的指标进行了标准化,并分为三个层次。这项研究揭示了F2P期刊的比例更高,尤其是在更高层次的期刊上,表明了对质量驱动研究接受的偏好。相反,较低层次的P2P期刊比例不断上升,这表明潜在的支付能力存在偏见。这种差距给资金较少的机构或职业生涯早期的研究人员带来了挑战。研究还发现,F2P和P2P期刊之间的APC存在显着差异,混合OA在F2P中更常见。最后,该研究强调了F2P模型和P2P模型在皮肤病学期刊上的差异,并强调需要进一步研究这些期刊的作者人口统计和机构隶属关系.它还确立了k-means聚类作为评估期刊质量的标准化方法的有效性,这可以减少对潜在有偏见的个人指标的依赖。
    This study investigates the impact of Free-to-Publish (F2P) versus Pay-to-Publish (P2P) models in dermatology journals, focusing on their differences in terms of journal metrics, Article Processing Charges (APCs), and Open Access (OA) status. Utilizing k-means clustering, the research evaluates dermatology journals based on SCImago Journal Rankings (SJR), H-Index, and Impact Factor (IF), and examines the correlation between these metrics, APCs, and OA status (Full or Hybrid). Data from the SCImago Journal Rank and Journal Citation Report databases were used, and metrics from 106 journals were normalized and grouped into three tiers.The study reveals a higher proportion of F2P journals, especially in higher-tier journals, indicating a preference for quality-driven research acceptance. Conversely, a rising proportion of P2P journals in lower tiers suggests potential bias towards the ability to pay. This disparity poses challenges for researchers from less-funded institutions or those early in their careers. The study also finds significant differences in APCs between F2P and P2P journals, with hybrid OA being more common in F2P.Conclusively, the study highlights the disparities in dermatology journals between F2P and P2P models and underscores the need for further research into authorship demographics and institutional affiliations in these journals. It also establishes the effectiveness of k-means clustering as a standardized method for assessing journal quality, which can reduce reliance on potentially biased individual metrics.
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  • 文章类型: Journal Article
    结构变体(SV)的检测目前偏向于改变拷贝数的那些。倒位对遗传疾病的相对贡献尚不清楚。在这项研究中,我们分析了来自100,000基因组计划的33,924个罕见疾病家庭的基因组测序数据.从托管超过5亿个SV的数据库中,我们专注于351个基因,其中单倍体功能不全是已确认的疾病机制,并确定了47个超罕见重排,包括倒置(24bp至36.4Mb,20/47从头)。验证使用了许多正交方法,包括回顾性外显子组分析。RNA-seq数据支持六名参与者的各自诊断。表型混合在四个先证中很明显。诊断异常是一个共同的主题(一个人>50年),和特定基因的有针对性的分析已经进行了30%的这些个体,但没有发现。我们为基因内MSH2反演提供了欧洲创始人的正式确认。对于两个具有涉及MECP2突变热点的复杂SV的个体,使用长读数测序解决了模糊的SV结构,影响临床解释。在一个患有Kantaputra型中膜发育不良的家庭中发现了HOXD11-13的从头倒置。最后,一个复杂的易位干扰APC并涉及9个重排的节段,证实了3个家庭成员的临床诊断,并解决了一个患有单个息肉的兄弟姐妹的难题.总的来说,倒置在罕见疾病中起着很小但值得注意的作用,可能解释了大约1/750个家庭在不同临床队列中的病因。
    Detection of structural variants (SVs) is currently biased toward those that alter copy number. The relative contribution of inversions toward genetic disease is unclear. In this study, we analyzed genome sequencing data for 33,924 families with rare disease from the 100,000 Genomes Project. From a database hosting >500 million SVs, we focused on 351 genes where haploinsufficiency is a confirmed disease mechanism and identified 47 ultra-rare rearrangements that included an inversion (24 bp to 36.4 Mb, 20/47 de novo). Validation utilized a number of orthogonal approaches, including retrospective exome analysis. RNA-seq data supported the respective diagnoses for six participants. Phenotypic blending was apparent in four probands. Diagnostic odysseys were a common theme (>50 years for one individual), and targeted analysis for the specific gene had already been performed for 30% of these individuals but with no findings. We provide formal confirmation of a European founder origin for an intragenic MSH2 inversion. For two individuals with complex SVs involving the MECP2 mutational hotspot, ambiguous SV structures were resolved using long-read sequencing, influencing clinical interpretation. A de novo inversion of HOXD11-13 was uncovered in a family with Kantaputra-type mesomelic dysplasia. Lastly, a complex translocation disrupting APC and involving nine rearranged segments confirmed a clinical diagnosis for three family members and resolved a conundrum for a sibling with a single polyp. Overall, inversions play a small but notable role in rare disease, likely explaining the etiology in around 1/750 families across heterogeneous clinical cohorts.
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  • 文章类型: Journal Article
    B细胞,尽管它们有几个独特的功能,在用作过继细胞疗法方面仍未开发,并且仅限于体外用于抗体生产。B细胞可以很容易地来源,它们具有出色的淋巴归巢能力,它们可以作为抗原呈递细胞(APC),提供树突状细胞(DC)的替代品,在临床上显示出有限的疗效。可溶性因子如IL-4和抗CD40抗体可增强其活性,生存,和B细胞的抗原呈递能力;然而,很难获得足够高浓度的这些生物制品以刺激体内B细胞。作为细胞参与剂的微贴片(MACE)是聚合物微粒,表面用抗CD40和抗IgM功能化,它可以附着于B细胞并同时接合多个B细胞受体(BCR)和CD40受体。通过MACE刺激这些受体,与游离抗体不同,增强了共刺激分子在B细胞表面的展示,B细胞活力增加,并在体外改善B细胞向T细胞的抗原呈递。通过MACE的B细胞活化进一步与可溶性IL-4和抗CD40协同。MACE还引起B细胞分泌T细胞趋化因子。静脉注射过继转移后,结合MACE的B细胞归巢于脾脏和淋巴结,抗原呈递给T细胞的关键位点。在小鼠皮下EG7-OVA肿瘤模型中,用卵清蛋白的CD4和CD8表位脉冲的MACE-B细胞的过继转移显着延迟了肿瘤进展,证明MACE赋予B细胞的功能益处。
    B cells, despite their several unique functionalities, remain largely untapped for use as an adoptive cell therapy and are limited to in vitro use for antibody production. B cells can be easily sourced, they possess excellent lymphoid-homing capabilities, and they can act as antigen-presenting cells (APCs), offering an alternative to dendritic cells (DCs), which have shown limited efficacy in the clinical setting. Soluble factors such as IL-4 and anti-CD40 antibody can enhance the activation, survival, and antigen-presenting capabilities of B cells; however, it is difficult to attain sufficiently high concentrations of these biologics to stimulate B cells in vivo. Micropatches as Cell Engagers (MACE) are polymeric microparticles, surface functionalized with anti-CD40 and anti-IgM, which can attach to B cells and simultaneously engage multiple B-cell receptors (BCR) and CD40 receptors. Stimulation of these receptors through MACE, unlike free antibodies, enhanced the display of costimulatory molecules on the B-cell surface, increased B-cell viability, and improved antigen presentation by B cells to T cells in vitro. B-cell activation by MACE further synergized with soluble IL-4 and anti-CD40. MACE also elicited T-cell chemokine secretion by B cells. Upon intravenous adoptive transfer, MACE-bound B cells homed to the spleen and lymph nodes, key sites for antigen presentation to T cells. Adoptive transfer of MACE-B cells pulsed with the CD4+ and CD8+ epitopes of ovalbumin significantly delayed tumor progression in a murine subcutaneous EG7-OVA tumor model, demonstrating the functional benefit conferred to B cells by MACE.
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  • 文章类型: Journal Article
    胃窦血管扩张症(GAVE)是慢性或急性胃肠道出血的罕见原因。这种情况占上消化道出血病例的4%。这种疾病通常与全身性疾病有关,比如肝硬化,慢性肾衰竭,自身免疫性疾病,糖尿病,甲状腺功能减退,和心血管疾病。然而,其病因仍存在争议。
    我们回顾性回顾了在我们消化外科治疗的GAVE病例。总共确定了9名患者,男女比例为1.25:1,平均年龄为75.51岁(SD±9.85)。所有患者均行内镜下氩离子凝固术(APC)治疗。在审查时,随访36个月后,我们获得了8例患者的数据.
    APC对于出血性血管扩张的止血似乎是安全有效的。只有一名(11.1%)患者在多次内窥镜治疗失败后,由于血流动力学不稳定而需要手术干预。术中术后无并发症或出血复发。
    根据我们的发现,我们的结论是内镜下APC技术简单,但由于复发的发生率,需要多次重新干预。此外,应进行更大规模的随机研究,以评估择期手术作为重度病理稳定患者的第一干预措施的作用,以及内镜治疗失败后的手术时机.
    UNASSIGNED: Gastric antral vascular ectasia (GAVE) is a rare cause of chronic or acute gastrointestinal bleeding. This condition accounts for ∼4% of upper gastrointestinal bleeding cases. This disease is often associated with systemic diseases, such as liver cirrhosis, chronic kidney failure, autoimmune conditions, diabetes mellitus, hypothyroidism, and cardiovascular diseases. However, its etiopathogenesis remains controversial.
    UNASSIGNED: We retrospectively reviewed the cases of GAVE treated at our digestive surgery unit. A total of nine patients were identified with a male/female ratio of 1.25:1 and an average age of 75.51 years (SD ± 9.85). All patients underwent endoscopic argon plasma coagulation (APC) treatment. At the time of the review, data on eight patients were available after 36 months of follow-up.
    UNASSIGNED: APC appears to be safe and effective for hemostasis of bleeding vascular ectasia. Only one (11.1%) patient required surgical intervention due to hemodynamic instability after multiple unsuccessful endoscopic treatments. No intraoperative and postoperative complication or bleeding relapse was experienced.
    UNASSIGNED: Based on our findings, we concluded that endoscopic APC is technically simple, but requires multiple re-interventions due to the incidence of relapses. Furthermore, larger randomized studies should be conducted to assess the role of elective surgery as the first intervention in stable patients with severe pathology and the timing of surgery after failed endoscopic treatment.
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  • 文章类型: Systematic Review
    背景:DNA甲基化在癌变过程中起着重要作用,programming,和各种人类癌症的预后。RASSF1A,BRCA1,APC,p16是卵巢癌患者中经常甲基化的基因。因此,我们的研究旨在更好地确定RASSF1A的预后和癌症特征的影响,BRCA1,APC,和p16启动子甲基化在卵巢癌患者。
    方法:数据库,如PubMed、WebofScience,EMBASE,CNKI,和万方在2024年3月4日之前被搜索发表的研究。结果显示为OR和HR,CI为95%。然后,采用随机或固定效应模型评估效应大小.
    结果:最后,本荟萃分析包括27篇文章。RASSF1A之间没有观察到显著的关系,BRCA1和APC启动子甲基化与临床预后(包括总生存期和无进展生存期)和癌症特征(包括腹水,淋巴结转移,和盆腔腹膜转移)在卵巢癌中。p16启动子甲基化与不良PFS(HR=1.52,95%CI=1.14~2.04)和OS(HR=1.39,95%CI=1.06~1.83)显著相关,多变量Cox回归模型的PFS较差(HR=1.42,95%CI=1.05~1.92)。此外,我们的结果表明,临床分期与OS差相关,而肿瘤分级与OS无显著相关性.
    结论:RASSF1A,BRCA1和APC启动子甲基化与临床预后和癌症特征没有显着相关。P16可能是预测卵巢癌PFS的有用生物标志物。此外,临床分期与OS显著相关.在进一步的研究中,仍需要更多前瞻性和多中心验证研究.
    BACKGROUND: DNA methylation plays an important role in the carcinogenesis, progression, and prognosis of various human cancers. RASSF1A, BRCA1, APC, and p16 are the frequently methylated genes among patients with ovarian cancer. Therefore, our study aimed to better determine the prognostic and cancer characteristics effects of RASSF1A, BRCA1, APC, and p16 promoter methylation in ovarian cancer patients.
    METHODS: Databases such as PubMed, Web of Science, EMBASE, CNKI, and WanFang were searched for published studies up to March 4, 2024. The outcomes are shown as OR and HR with their 95% CIs. Then, the random or fixed-effect model was performed to evaluate the effect sizes.
    RESULTS: Finally, 27 articles were included in this meta-analysis. No significant relationships were observed between RASSF1A, BRCA1, and APC promoter methylation and the clinical prognostic (including overall survival and progression-free survival) and cancer characteristics (including ascites, lymph node metastasis, and pelvic peritoneal metastasis) in ovarian cancer. p16 promoter methylation was significantly related to poor progression-free survival (PFS) (HR = 1.52, 95% CI = 1.14-2.04) and overall survival (OS) (HR = 1.39, 95% CI = 1.06, to 1.83) in univariate and poor PFS in multivariate Cox regression models (HR = 1.42, 95% CI = 1.05-1.92). Besides, our results indicated that the clinical stage was associated with inferior OS while there was no significant association between tumor grade and OS.
    CONCLUSIONS: RASSF1A, BRCA1, and APC promoter methylation were not significantly associated with clinical prognostic and cancer characteristics. p16 may be a useful biomarker for predicting PFS in ovarian cancer. Furthermore, the clinical stage was significantly associated with OS. In further research, more prospective and multicenter validation studies remain needed.
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