LHRH, Luteinizing hormone-releasing hormone

  • 文章类型: Journal Article
    化学抗性以及由此产生的治疗失败在临床癌症治疗中是相当具有挑战性的。对化学抗性获得中的遗传变异的理解鼓励了使用基因调节方法来恢复抗癌药物的功效。许多智能纳米粒子被设计和优化以介导核酸和抗癌药物之间的组合治疗。这篇综述旨在定义这种共负载纳米载体的合理设计,目的是在各种细胞水平上逆转化学抗性,以改善抗癌治疗的治疗效果。通过治疗加载的原则,物理化学特性调整,和不同的纳米载体修饰,还研究了联合药物对化学敏感性恢复的有效性。到目前为止,这些新兴的纳米载体处于发展状态,但有望带来出色的成果。
    Chemoresistance and hence the consequent treatment failure is considerably challenging in clinical cancer therapeutics. The understanding of the genetic variations in chemoresistance acquisition encouraged the use of gene modulatory approaches to restore anti-cancer drug efficacy. Many smart nanoparticles are designed and optimized to mediate combinational therapy between nucleic acid and anti-cancer drugs. This review aims to define a rational design of such co-loaded nanocarriers with the aim of chemoresistance reversal at various cellular levels to improve the therapeutic outcome of anticancer treatment. Going through the principles of therapeutics loading, physicochemical characteristics tuning, and different nanocarrier modifications, also looking at combination effectiveness on chemosensitivity restoration. Up to now, these emerging nanocarriers are in development status but are expected to introduce outstanding outcomes.
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  • 文章类型: Journal Article
    近几十年来,使用雄激素剥夺疗法(ADT)治疗晚期或转移性前列腺癌患者的适应症的扩大急剧增加。导致患者生存的进展。然而,随着长期癌症幸存者的数量预计会随着ADT的不利影响而增加,慢性健康影响可能变得更加明显.特别是,对调查ADT的兴趣,尤其是促黄体生成素释放激素(LHRH)激动剂与认知功能障碍的相关性日益增强。先前在动物和人类中的研究表明,雄激素的水平随着年龄的增长而降低,并且随着雄激素的减少而发生认知下降。相应地,一些使用常见神经认知测试的广泛研究表明,LHRH激动剂可能会影响认知功能的特定领域(例如,视觉空间能力和执行功能)。然而,由于其固有的局限性,这些研究的结果并没有一致地证明这种关联.基于电子数据库的大规模研究也因为其异质性而未能显示出一致的结果来做出决定性的结论,协变量的复杂性,和可能的偏见风险。因此,这篇综述文章总结了主要发现,并讨论了从不同角度调查ADT与认知功能障碍和痴呆风险相关的几项研究的结果。
    The expansion of the indication to use androgen deprivation therapy (ADT) to treat patients with advanced or metastatic prostate cancer has dramatically increased over the recent decades, resulting in the progress of patients\' survival. However, chronic health implications can become more apparent as the number of long-term cancer survivors is expected to be increased along with the adverse effect of ADT. In particular, interest in investigating ADT, especially luteinizing hormone-releasing hormone (LHRH) agonist association with cognitive dysfunction has been growing. Previous studies in animals and humans suggest that the level of androgen decreases with age and that cognitive decline occurs with decreases in androgen. Correspondingly, some of the extensive studies using common neurocognitive tests have shown that LHRH agonists may affect specific domains of cognitive function (e.g., visuospatial abilities and executive function). However, the results from these studies have not consistently demonstrated the association because of its intrinsic limitations. Large-scale studies based on electronic databases have also failed to show consistent results to make decisive conclusions because of its heterogeneity, complexity of covariates, and possible risk of biases. Thus, this review article summarizes key findings and discusses the results of several studies investigating the ADT association with cognitive dysfunction and risk of dementia from various perspectives.
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  • 文章类型: Case Reports
    血管内大B细胞淋巴瘤(IVLBCL)是一种罕见且侵袭性的B细胞淋巴瘤,大细胞在血管腔内生长。尽管以前的报道显示,由于各种器官中肿瘤细胞的小血管阻塞引起的症状高度可变,关于垂体受累的IVLBCL的报道很少。
    我们介绍了我们机构的一例患有垂体浸润的IVLBCL,并对类似病例进行了文献综述,以更好地了解这种罕见的涉及垂体的IVLBCL病例。
    我们的病例和相关文献表明,垂体受累的IVLBCL主要发生在平均年龄为64岁的女性中。大多数患者在鞘内注射甲氨蝶呤的含利妥昔单抗的化疗标准治疗后表现为可逆的全垂体功能减退.值得注意的是,我们病例的垂体活检显示血管和垂体内发现的非典型大B细胞的细胞间粘附分子1阴性。细胞间粘附分子1阴性淋巴样细胞可能通过外渗到垂体组织中而导致全垂体功能减退。没有血脑屏障并获得丰富的血流。
    垂体的IVLBCL是一种罕见的非特异性表现和预后不良的淋巴瘤。临床病理特征的识别对于早期临床诊断和适当治疗是必要的。
    UNASSIGNED: Intravascular large B-cell lymphoma (IVLBCL) is a rare and aggressive type of B-cell lymphoma with large cells growing within the lumen of blood vessels. Although previous reports revealed highly variable symptoms resulting from small-vessel occlusion by neoplastic cells in a variety of organs, there are few reports of IVLBCL with pituitary involvement.
    UNASSIGNED: We present a case of IVLBCL with pituitary infiltration from our institution together with a literature review of similar cases to better understand this rare case of IVLBCL involving the pituitary gland.
    UNASSIGNED: Our case and the pertinent literature demonstrated that IVLBCL with pituitary involvement predominantly occurred in women at a mean age of 64 years, and most of them showed panhypopituitarism that was reversible after standard therapy of rituximab-containing chemotherapy with intrathecal methotrexate. Notably, the pituitary biopsy in our case revealed that atypical large B-cells found within blood vessels and the pituitary gland were negative for intercellular adhesion molecule 1. Intercellular adhesion molecule 1-negative lymphoid cells may have contributed to panhypopituitarism by extravasation into the pituitary tissues, which do not have a blood-brain barrier and receive abundant blood flow.
    UNASSIGNED: IVLBCL of the pituitary gland is a rare lymphoma with nonspecific manifestations and a dismal prognosis. Recognition of the clinicopathological features is necessary for early clinical diagnosis and appropriate treatment.
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  • 文章类型: Case Reports
    前列腺癌是男性中第二常见的癌症。骨和淋巴结是晚期前列腺癌中最常见的转移部位。口腔转移很少见。我们报告了一例65岁的男性,患有牙龈转移显示的前列腺腺癌。我们通过这次观察分析了临床,这种肿瘤的形态学和治疗特征。
    Prostate cancer is the second most frequent among men. Bones and lymph nodes are the most common sites of metastases in advanced prostate cancer. Oral cavity metastases are rare. We report a case of 65-year-old man with a prostate adenocarcinoma revealed by gingival metastasis. We analyze through this observation the clinical, morphological and therapeutic characteristics of this neoplasia.
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