tumor proliferation

  • 文章类型: Journal Article
    癌症是威胁人类生命健康最严重的疾病之一。在各种疾病中,恶性肿瘤的死亡率是第二高的,仅次于心脑血管疾病。癌症治疗通常涉及成像,手术,和病理分析。当通过上述方法确定患者为癌症时,经常有远处转移的问题,延迟治疗,和药物耐受性,这表明患者的预后和总体生存率较差。因此,新型分子生物标志物的开发具有重要的临床意义。近年来,作为肿瘤微环境中细胞间物质和信息交换的重要介质,lncRNA因其在肿瘤发生发展中的作用而受到广泛关注。在这次审查中,我们全面总结了lncARSR对不同癌症类型的最新知识,主要关注肿瘤增殖,药物耐受性,脂质和胆固醇代谢,强调lncARSR作为诊断和预后生物标志物甚至治疗靶标的潜力。在我们的最终分析中,我们提供了未来调查lncARSR的方向的综合概述,我们渴望见证研究的进步,这将阐明这种lncRNA的多面性。
    Cancer is one of the most serious diseases that threaten human life and health. Among all kinds of diseases, the mortality rate of malignant tumors is the second highest, second only to cardio-cerebrovascular diseases. Cancer treatment typically involves imaging, surgery, and pathological analysis. When patients are identified as carcinoma by the above means, there are often problems of distant metastasis, delayed treatment, and drug tolerance, indicating that patients have some poor prognosis and overall survival. Hence, the development of novel molecular biomarkers is of great clinical importance. In recent years, as an important mediator of material and information exchange between cells in the tumor microenvironment, lncRNA have attracted widespread attention for their roles in tumor development. In this review, we comprehensively summarize the up-to-date knowledge of lncARSR on diverse cancer types which mainly focuses on tumor proliferation, drug tolerance, and lipid and cholesterol metabolism, highlighting the potential of lncARSR as a diagnostic and prognostic biomarker and even a therapeutic target. In our final analysis, we provide a synthesized overview of the directions for future inquiry into lncARSR, and we are eager to witness the advancement of research that will elucidate the multifaceted nature of this lncRNA.
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  • 文章类型: Journal Article
    目的:本研究旨在探讨RAD51AP1在CD133阳性(CD133+)卵巢癌干细胞样细胞自我更新和化疗敏感性中的作用。
    方法:用流式细胞术从OVCAR4中分离CD133+(CD133阳性)OVCAR4和CD133阴性(CD133-)OVCAR4细胞。然后,分离将CD133+OVCAR4细胞分为以下几组:载体组;RAD51AP1组;siNC组;si-RAD51AP1组。接下来,球体形成试验和集落形成试验用于评估细胞的自我更新和增殖能力;Westernblot检测组织和细胞中RAD51AP1,转化生长因子β1(TGF-β1)和SMAD4蛋白的表达;qRT-PCR评估性别决定区Y-box2(SOX2)的mRNA水平,八聚体结合转录因子4(OCT4),NANOG和Kruppel样因子4(KLF4)。
    结果:在球体形成试验和集落形成试验中,CD133+OVCAR4细胞的性能明显优于CD133-OVCAR4细胞。此外,与邻近组和CD133-OVCAR4细胞相比,RAD51AP1在OC组和CD133+OVCAR4细胞中的表达水平显著升高。此外,RAD51AP1的过表达促进CD133+OVCAR4细胞的自我更新和增殖。相反,下调RAD51AP1的表达水平可以抑制CD133+OVCAR4细胞的自我更新和增殖,提高细胞对化疗药物的敏感性。
    结论:本研究结果显示RAD51AP1在OC组织和CD133+OVCAR4细胞中高表达,并通过TGF-β1/SMAD4信号通路调节肿瘤细胞的自我更新和化疗敏感性。
    OBJECTIVE: This study was designed to investigate the function of RAD51AP1 in the self-renewal and chemosensitivity of CD133 positive (CD133+) ovarian cancer (OC) stem-like cells.
    METHODS: CD133+ (CD133 positive) OVCAR4 and CD133 negative (CD133-) OVCAR4 cells were separated from OVCAR4 by flow cytometry. Then, the separated CD133+OVCAR4 cells were divided into the following groups: Vector group; RAD51AP1 group; siNC group; si-RAD51AP1 group. Next, sphere-formation assay and colony forming assay were used to evaluate the self-renewal and proliferation ability of cells; western blot to detect the expression of RAD51AP1, transforming growth factor beta 1 (TGF-β1) and SMAD4 proteins in tissues and cells; qRT-PCR to assess the mRNA levels of sex-determining region Y-box 2 (SOX2), octamer-binding transcription factor 4 (OCT4), NANOG and Kruppel-like factor 4 (KLF4).
    RESULTS: The performance of CD133+OVCAR4 cells was much better than that of CD133-OVCAR4 cells in sphere-formation assay and colony forming assay. Besides, compared with adjacent group and CD133-OVCAR4 cells, the expression level of RAD51AP1 increased significantly in OC group and CD133+OVCAR4 cells. Moreover, the over-expression of RAD51AP1 promoted the self-renewal and proliferation of CD133+OVCAR4 cells. On the contrary, knocking down the expression level of RAD51AP1 could inhibit the self-renewal and proliferation of CD133+OVCAR4 cells and improve the sensitivity of cells to chemotherapy drugs.
    CONCLUSIONS: The findings of this study showed that RAD51AP1 was highly expressed in OC tissue and CD133+OVCAR4 cells, and regulated the self-renewal and chemosensitivity of tumor cells through the TGF-β1/SMAD4 signaling pathway.
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  • 文章类型: Journal Article
    The protein kinase B (Akt) pathway can regulate the growth, proliferation, and metabolism of tumor cells and stem cells through the activation of multiple downstream target genes, thus affecting the development and treatment of a range of diseases. Thioesterase superfamily member 4 (THEM4), a member of the thioesterase superfamily, is one of the Akt kinase-binding proteins. Some studies on the mechanism of cancers and other diseases have shown that THEM4 binds to Akt to regulate its phosphorylation. Initially, THEM4 was considered an endogenous inhibitor of Akt, which can inhibit the phosphorylation of Akt in diseases such as lung cancer, pancreatic cancer, and liver cancer, but subsequently, THEM4 was shown to promote the proliferation of tumor cells by positively regulating Akt activity in breast cancer and nasopharyngeal carcinoma, which contradicts previous findings. Considering these two distinct views, this review summarizes the important roles of THEM4 in the Akt pathway, focusing on THEM4 as an Akt-binding protein and its regulatory relationship with Akt phosphorylation in various diseases, especially cancer. This work provides a better understanding of the roles of THEM4 combined with Akt in the treatment of diseases.
    蛋白激酶B(Akt)通路可通过激活下游多个靶基因来调控肿瘤细胞和干细胞的生长、增殖和代谢等,从而影响一系列疾病的发生和治疗。硫酯酶超家族成员4(THEM4)作为硫酯酶超家族成员中的一员,也是Akt激酶的结合蛋白之一。癌症等疾病的机制研究发现THEM4可以与Akt结合从而调控Akt的磷酸化。最初,THEM4被认为是Akt的内源性抑制剂,在肺癌、胰腺癌和肝癌等疾病中抑制Akt的磷酸化。但随后的研究发现,THEM4在乳腺癌和鼻咽癌中通过正向调节Akt活性促进肿瘤细胞的增殖,这与之前的研究结果正好相反。面对这两种截然不同的观点,本文综述了THEM4在Akt通路中的重要作用,重点探讨了THEM4作为一种Akt结合蛋白,在各种疾病(尤其是癌症)中与Akt磷酸化的调控关系。这将有助于更好地了解THEM4联合Akt在疾病治疗中的作用。.
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  • 文章类型: Journal Article
    患有2型糖尿病(T2D)的女性被诊断出患有乳腺癌的风险更高,并且与非糖尿病女性相比,如果她们确实患有乳腺癌,则生存率更差。然而,需要更多的研究来阐明这些关系的生物学基础。这里,我们发现叉头盒A1(FOXA1),叉头家族转录因子,和二甲双胍(1,1-二甲基双胍盐酸盐),一种用于治疗T2D的药物,可能影响激素受体阳性(HR+)乳腺癌(BC)肿瘤细胞的生长和转移。的确,利用从NCBIGEO获得的53,805基因数据库,仅在三种HR乳腺癌细胞系中高度表达了14种与糖尿病相关的基因,而在其他亚型中却没有。在与糖尿病相关的基因中,FOXA1、MTA3、PAK4、FGFR3和KIF22在来自4032个乳腺癌患者组织样品的HR+乳腺癌中使用乳腺癌基因表达综合表达。值得注意的是,在雌激素受体阳性/孕激素受体阳性(ER+/PR+)乳腺癌患者中,FOXA1表达升高与总生存期较差相关.此外,实验表明,使用MCF-7和T47DHR乳腺癌细胞系,FOXA1基因的丢失在体外抑制了肿瘤的增殖和侵袭。二甲双胍,抗糖尿病药物,显著抑制MCF-7细胞中肿瘤细胞的生长。此外,在离体三维(3D)类器官模型中,二甲双胍治疗或FOXA1基因缺失增强了他莫昔芬诱导的HR乳腺癌细胞系中肿瘤生长抑制。因此,糖尿病相关药物二甲双胍和FOXA1基因抑制可能是HR+乳腺癌患者联合他莫昔芬治疗的新方法,内分泌疗法.
    Women with type 2 diabetes (T2D) have a higher risk of being diagnosed with breast cancer and have worse survival than non-diabetic women if they do develop breast cancer. However, more research is needed to elucidate the biological underpinnings of these relationships. Here, we found that forkhead box A1 (FOXA1), a forkhead family transcription factor, and metformin (1,1-dimethylbiguanide hydrochloride), a medication used to treat T2D, may impact hormone-receptor-positive (HR+) breast cancer (BC) tumor cell growth and metastasis. Indeed, fourteen diabetes-associated genes are highly expressed in only three HR+ breast cancer cell lines but not the other subtypes utilizing a 53,805 gene database obtained from NCBI GEO. Among the diabetes-related genes, FOXA1, MTA3, PAK4, FGFR3, and KIF22 were highly expressed in HR+ breast cancer from 4032 breast cancer patient tissue samples using the Breast Cancer Gene Expression Omnibus. Notably, elevated FOXA1 expression correlated with poorer overall survival in patients with estrogen-receptor-positive/progesterone-receptor-positive (ER+/PR+) breast cancer. Furthermore, experiments demonstrated that loss of the FOXA1 gene inhibited tumor proliferation and invasion in vitro using MCF-7 and T47D HR+ breast cancer cell lines. Metformin, an anti-diabetic medication, significantly suppressed tumor cell growth in MCF-7 cells. Additionally, either metformin treatment or FOXA1 gene deletion enhanced tamoxifen-induced tumor growth inhibition in HR+ breast cancer cell lines within an ex vivo three-dimensional (3D) organoid model. Therefore, the diabetes-related medicine metformin and FOXA1 gene inhibition might be a new treatment for patients with HR+ breast cancer when combined with tamoxifen, an endocrine therapy.
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  • 文章类型: Journal Article
    背景:膀胱癌是全球第二常见的泌尿系癌症,低早期诊断和高死亡率。诊断和治疗的有限进展极大地阻碍了膀胱癌患者的生存。
    目的:未来的临床治疗迫切需要潜在的治疗性生物标志物。
    方法:我们分析了TCGA数据库中膀胱癌患者的测序数据和相应的临床病理特征和生存信息,并确定了一个新的锌指蛋白485基因,ZNF485,在膀胱癌患者的组织中高表达,并在细胞中得到证实,动物模型和组织微阵列。
    结果:我们发现ZNF485在膀胱癌细胞系T24和5637中的抑制明显抑制癌细胞的增殖并促进其凋亡。此外,伤口愈合和侵袭实验显示ZNF485的下调显著降低了T24和5637细胞的移动性和侵袭性。此外,ZNF485-shRNA转染明显抑制裸鼠肿瘤生长。临床标本免疫组化成果显示,癌组织中ZNF485卵白的表达程度高于癌旁组织。机理分析确定了可能的下游靶基因。
    结论:综合来看,这些结果提供了证据,证明ZNF485参与膀胱癌增殖,并且可能是治疗该疾病的潜在治疗性生物标志物.
    BACKGROUND: Bladder cancer is the second most common urological cancer worldwide, with low early diagnosis and high mortality. The limited progress in diagnostics and treatment greatly impedes the survival of bladder cancer patients.
    OBJECTIVE: Potential therapeutic biomarkers are urgently needed for future clinical treatment.
    METHODS: We analyzed the sequencing data and corresponding clinicopathological features and survival information of bladder cancer patients in the TCGA database and identified a new zinc finger protein 485 gene, termed ZNF485, which is highly expressed in the tissues of bladder cancer patients and was verified in cells, animal models and tissue microarrays.
    RESULTS: We found that inhibition of ZNF485 in the bladder cancer cell lines T24 and 5637 obviously inhibited proliferation and promoted the apoptosis of cancer cells. Furthermore, wound healing and invasion assays showed that downregulation of ZNF485 significantly decreased the mobility and invasion of T24 and 5637 cells. In addition, ZNF485-shRNA transfection obviously inhibited tumor growth in nude mice. Immunohistochemical results of clinical samples showed that the expression level of ZNF485 protein in cancer tissues was higher than that in adjacent tissues. Mechanistic analysis identified possible downstream target genes.
    CONCLUSIONS: Taken together, the results provide evidence that ZNF485 is involved in bladder cancer proliferation and might be a potential therapeutic biomarker for the treatment of this disease.
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  • 文章类型: Journal Article
    赋予当前的人工化学反应(ACR)高特异性和复杂的激活能力对于扩大其在活细胞内准确生物成像中的应用至关重要。然而,大多数报道的基于ACR的评估依赖于单一生物标志物刺激或双重激活剂,没有明显的生物学相关性,仍然限制了它们的准确性和保真度。在这里,以金属离子依赖的DNA酶裂解反应为模型ACR,两个调节器,谷胱甘肽(GSH)和端粒酶(TE)激活DNA酶裂解反应,被用于精确区分癌细胞和正常细胞。将DNA探针自组装到ZIF-90纳米颗粒框架中以构建配位驱动的纳米探针。该方法通过利用与快速肿瘤增殖相关的生物标志物和通常在肿瘤中过表达的生物标志物来增强肿瘤成像的稳定性和特异性。总之,这项研究不仅为细胞生物学和病理学研究的新观点铺平了道路,而且为生物医学成像和疾病诊断技术的发展奠定了坚实的基础。
    Endowing current artificial chemical reactions (ACRs) with high specificity and intricate activation capabilities is crucial for expanding their applications in accurate bioimaging within living cells. However, most of the reported ACR-based evaluations relied on either single biomarker stimuli or dual activators without obvious biological relevance, still limiting their accuracy and fidelity. Herein, taking the metal-ion-dependent DNAzyme cleavage reaction as a model ACR, two regulators, glutathione (GSH) and telomerase (TE) activated DNAzyme cleavage reactions, were exploited for precise discrimination of cancerous cells from normal cells. DNA probe was self-assembled into the ZIF-90 nanoparticle framework to construct coordination-driven nanoprobes. This approach enhances the stability and specificity of tumor imaging by utilizing biomarkers associated with rapid tumor proliferation and those commonly overexpressed in tumors. In conclusion, the research not only paves the way for new perspectives in cell biology and pathology studies but also lays a solid foundation for the advancement of biomedical imaging and disease diagnostic technologies.
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  • 文章类型: Journal Article
    目的:探讨抑制素亚基βA(INHBA)在宫颈癌(CCa)进展中的作用及其作为治疗靶点的潜力。具体来说,目的是评估INHBA在CCa中的表达水平,检查其与患者生存的相关性,并阐明其对CCa细胞增殖的影响,细胞周期调节,迁移,入侵,以及体内肿瘤的生长和转移。方法:实现目标,我们进行了一套全面的实验方法。分析了CCa中的INHBA表达,并使用临床数据评估其与患者生存率的相关性.体外实验涉及INHBA对CCa细胞增殖的影响的研究,细胞周期动力学,迁移,和侵袭经由过程上皮-间质转化(EMT)。此外,进行体内实验以评估INHBA对CCa生长和肺转移的影响.结果:本研究结果显示INHBA在CCa中的表达上调,高INHBA表达与患者生存率之间存在显着关联。功能上,发现INHBA能促进CCa细胞的增殖,调节细胞周期,并通过体外EMT过程增强迁移和侵袭。此外,体内实验表明INHBA促进CCa的生长和肺转移。结论:总之,我们的研究结果表明,INHBA在宫颈癌的进展中起着至关重要的作用.INHBA的上调与患者生存率低有关,其参与促进癌症进展的关键方面使其成为CCa治疗的潜在治疗靶点。这些结果为CCa的分子机制提供了有价值的见解,并为进一步探索靶向治疗干预措施奠定了基础。
    Objectives: This study aimed to explore the role of inhibin subunit beta A (INHBA) in the progression of cervical cancer (CCa) and investigate its potential as a therapeutic target. Specifically, the objectives were to assess the expression levels of INHBA in CCa, examine its correlation with patient survival, and elucidate its impact on CCa cell proliferation, cell cycle regulation, migration, invasion, and in vivo tumor growth and metastasis. Methods: To achieve the objectives, we conducted a comprehensive set of experimental methods. INHBA expression in CCa was analyzed, and its association with patient survival was assessed using clinical data. In vitro experiments involved the investigation of INHBA\'s effects on CCa cell proliferation, cell cycle dynamics, migration, and invasion through the epithelial-mesenchymal transition (EMT) process. Additionally, in vivo experiments were performed to evaluate the influence of INHBA on CCa growth and lung metastasis. Results: The results of this study revealed upregulated expression of INHBA in CCa, with a significant association between high INHBA expression and poor patient survival. Functionally, INHBA was found to promote the proliferation of CCa cells, regulate the cell cycle, and enhance migration and invasion through the EMT process in vitro. Moreover, in vivo experiments demonstrated that INHBA facilitated the growth and lung metastasis of CCa. Conclusion: In conclusion, our findings suggest that INHBA plays a crucial role in the progression of cervical cancer. The upregulation of INHBA is associated with poor patient survival, and its involvement in promoting key aspects of cancer progression makes it a potential therapeutic target for CCa treatment. These results provide valuable insights into the molecular mechanisms underlying CCa and offer a foundation for further exploration of targeted therapeutic interventions.
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  • 文章类型: Journal Article
    背景:肝细胞癌(HCC)是全球癌症相关死亡的主要原因。目前,广泛的研究旨在确定其诊断和治疗的新靶标。
    目的:我们研究了粘蛋白型N-乙酰氨基葡萄糖基转移酶3(GCNT3)在HCC中的生物学功能和临床意义。
    方法:在正常和HCC组织中检测GCNT3mRNA表达的变化。细胞功能测定和动物模型表征了GCNT3对增殖的影响,入侵,和肝癌细胞的迁移能力。进行蛋白质印迹和免疫荧光分析以进一步探索GCNT3影响HCC进展的具体机制。
    结果:在体内和体外,GCNT3过表达与肿瘤形成和转移之间存在很强的相关性。GCNT3通过与粘蛋白13(MUC13)相互作用来调节其表达水平,从而充当粘蛋白型O-聚糖合成的调节剂,激活GSK3β/β-catenin信号通路。通过MUC13敲低减轻GCNT3对GSK3β/β-连环蛋白信号的激活。在临床HCC标本中,与非肿瘤组织相比,GCNT3表达在HCC组织中上调。Further,GCNT3高表达与患者生存不良之间存在显著相关性.
    结论:GCNT3通过MUC13/GSK3-β/β-catenin信号通路调节HCC肿瘤进展。
    BACKGROUND: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related deaths worldwide. Extensive research is currently directed at identifying novel targets for its diagnosis and treatment.
    OBJECTIVE: We investigated the biological functions and clinical significance of mucin-type N-acetylglucosaminyltransferase 3 (GCNT3) in HCC.
    METHODS: Variations in the mRNA expression of GCNT3 were examined in normal and HCC tissues. Cell function assays and animal models characterized the effects of GCNT3 on the proliferation, invasion, and migration abilities of HCC cells. Western blot and immunofluorescence analyses were performed to explore further the specific mechanisms whereby GCNT3 affects HCC progression.
    RESULTS: There is a strong correlation between GCNT3 overexpression and tumor formation and metastasis in vivo and in vitro. GCNT3 acted as a regulator of the synthesis of mucin-type O-glycans by interacting with mucin 13 (MUC13) to regulate its expression levels, activating the GSK3β/β-catenin signaling pathway. The activation of GSK3β/β-catenin signaling by GCNT3 was mitigated by MUC13 knockdown. In clinical HCC specimens, GCNT3 expression was upregulated in HCC tissues compared to non-tumor tissues. Further, there was a significant correlation between high GCNT3 expression and poor patient survival.
    CONCLUSIONS: GCNT3 regulated tumor progression in HCC through the MUC13/GSK3-β/β-catenin signaling pathway.
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  • 文章类型: Journal Article
    泛素(Ub)蛋白连接酶E3组分n-识别素5(UBR5),作为关键的Ub连接酶,在细胞生物学领域起着举足轻重的作用,它在调节蛋白质降解和信号通路方面的功能引起了人们的极大关注。本文深入探讨了UBR5的根本特点和构造。UBR5,通过泛素化,调节各种关键蛋白质,直接或间接参与细胞周期控制,从而对肿瘤细胞的增殖产生直接影响。同时,本文综述了UBR5在不同类型肿瘤中的表达水平及其与肿瘤发生发展的关系,为UBR5在癌症中的作用提供关键线索。此外,文章就UBR5在肿瘤治疗中的研究现状进行综述。通过文献综述,我们发现UBR5可能在肿瘤细胞对放化疗的敏感性中起关键作用,和其他抗肿瘤治疗,为优化癌症治疗策略提供新的见解。最后,本文讨论了UBR5在癌症治疗中面临的挑战,并展望了未来的研究方向。随着技术的不断突破和研究的深入,希望进一步研究UBR5的生物学功能,为其抗肿瘤治疗奠定基础。
    Ubiquitin (Ub) protein ligase E3 component n-recognin 5 (UBR5), as a crucial Ub ligase, plays a pivotal role in the field of cell biology, attracting significant attention for its functions in regulating protein degradation and signaling pathways. This review delves into the fundamental characteristics and structure of UBR5. UBR5, through ubiquitination, regulates various key proteins, directly or indirectly participating in cell cycle control, thereby exerting a direct impact on the proliferation of tumor cells. Meanwhile, we comprehensively review the expression levels of UBR5 in different types of tumors and its relationship with tumor development, providing key clues for the role of UBR5 in cancer. Furthermore, we summarize the current research status of UBR5 in cancer treatment. Through literature review, we find that UBR5 may play a crucial role in the sensitivity of tumor cells to radiotherapy chemotherapy, and other anti-tumor treatment, providing new insights for optimizing cancer treatment strategies. Finally, we discuss the challenges faced by UBR5 in cancer treatment, and looks forward to the future research directions. With the continuous breakthroughs in technology and in-depth research, we hope to further study the biological functions of UBR5 and lay the foundation for its anti-tumor treatment.
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  • 文章类型: Journal Article
    放射成像是目前监测转移性黑色素瘤患者肿瘤负荷和治疗耐药性进展的标准。血浆循环肿瘤DNA(ctDNA)已显示出作为一种有效工具的前景,但是缺乏血浆ctDNA浓度和射线照相成像之间动态的纵向数据。我们评估了30例接受全身性治疗的转移性黑色素瘤患者的纵向放射学测量肿瘤负荷与血浆中ctDNA浓度之间的关系。在总共15个时间点没有放射学疾病证据的9例患者中,ctDNA浓度检测不到。在21例具有放射学肿瘤负荷的患者中,在58个时间点中的81%检测到ctDNA。血浆ctDNA浓度与总肿瘤负荷(TTB)测量值呈适度正相关(R2=0.49,p<0.001),在进行性疾病(PD)的条件下观察到最大程度的相关性(R2=0.91,p=0.032)。当与稳定疾病期间收集的样品(SD;4.99%±3.0%)相比(p=0.012)时,在RECISTv1.1进展(PD;22.1%±5.7%)时,血浆ctDNA浓度显著更高;这种差异与总肿瘤负荷无关(p=0.997)。血浆ctDNA的变化显示与TTB的变化有很强的相关性(R2=0.88,p<0.001)。这些数据表明,与绝对肿瘤负荷相比,在治疗期间血浆ctDNA的测量是响应与非响应疾病的更好替代。
    Radiographic imaging is the current standard for monitoring progression of tumor-burden and therapeutic resistance in patients with metastatic melanoma. Plasma circulating tumor DNA (ctDNA) has shown promise as a survelience tool, but longitudinal data on the dynamics between plasma ctDNA concentrations and radiographic imaging is lacking. We evaluated the relationship between longitudinal radiographic measures of tumor burden and ctDNA concentrations in plasma on 30 patients with metastatic melanoma on systemic treatment. In 9 patients with no radiographic evidence of disease over a total of 15 time points, ctDNA concentrations were undetectable. In 21 patients with radiographic tumor burden, ctDNA was detected in 81 % of 58 time points. Plasma ctDNA concentrations demonstrated a modest positive correlation with total tumor burden (TTB) measurements (R2= 0.49, p < 0.001), with the greatest degree of correlation observed under conditions of progressive disease (PD) (R2 = 0.91, p = 0.032). Plasma ctDNA concentrations were significantly greater at times of RECIST v1.1 progression (PD; 22.1 % ± 5.7 %) when compared to samples collected during stable disease (SD; 4.99 % ± 3.0 %) (p = 0.012); this difference was independent of total tumor burden (p = 0.997). Changes in plasma ctDNA showed a strong correlation with changes in TTB (R2= 0.88, p<0.001). These data suggest that measurements of plasma ctDNA during therapy are a better surrogate for responding versus non-responding disease compared to absolute tumor burden.
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