tumours

肿瘤
  • 文章类型: Journal Article
    一类新的化合物,旨在击中两个抗肿瘤靶标,提出了G-四链体结构和人碳酸酐酶(hCA)IX和XII。小分子诱导/稳定G-四链体结构已成为一种抗癌策略。破坏端粒维持和降低癌基因表达。hCAsIX和XII是公认的抗肿瘤靶标,在许多低氧肿瘤中上调并导致转移。报道的配体具有小檗碱G-四链体稳定剂支架,该支架连接到抑制hCAsIX和XII的部分。体外实验表明我们的化合物选择性地稳定G-四链体结构并抑制hCAsIX和XII。获得了与这些配体之一配合的端粒G-四链体的晶体结构,配体/靶标相互作用模式上的发光。最有希望的配体在缺氧条件下对CAIX阳性HeLa癌细胞显示出明显的细胞毒性,以及稳定肿瘤细胞内G-四链体的能力。
    A novel class of compounds designed to hit two anti-tumour targets, G-quadruplex structures and human carbonic anhydrases (hCAs) IX and XII is proposed. The induction/stabilisation of G-quadruplex structures by small molecules has emerged as an anticancer strategy, disrupting telomere maintenance and reducing oncogene expression. hCAs IX and XII are well-established anti-tumour targets, upregulated in many hypoxic tumours and contributing to metastasis. The ligands reported feature a berberine G-quadruplex stabiliser scaffold connected to a moiety inhibiting hCAs IX and XII. In vitro experiments showed that our compounds selectively stabilise G-quadruplex structures and inhibit hCAs IX and XII. The crystal structure of a telomeric G-quadruplex in complex with one of these ligands was obtained, shedding light on the ligand/target interaction mode. The most promising ligands showed significant cytotoxicity against CA IX-positive HeLa cancer cells in hypoxia, and the ability to stabilise G-quadruplexes within tumour cells.
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  • 文章类型: Case Reports
    本案例研究报告了在DuckworthCollection(剑桥大学)举行的两个古埃及头骨上观察到的恶性肿瘤和创伤性病变。该分析旨在表征病变并使用基于micro-CT扫描和微观骨表面分析的方法进行诊断。结果指出了两种情况下的肿瘤性病变,其中一种治愈了严重的颅骨创伤,表明成功的创伤治疗。有趣的是,我们的分析发现,其中一个头骨中存在与转移性溶解性病变相关的死前切口,表明潜在的手术治疗尝试或死后医学探索。我们认为这两种情况,虽然不是当代的,允许对过去的肿瘤和创伤学理解和管理进行古病理学讨论。由两种不同类型的病变所代表的两种潜在管理的对抗代表了古埃及医疗保健的清晰边界,也是医学史上的里程碑。
    The present case studies report malignant neoplastic and traumatic lesions observed on two ancient Egyptian skulls held at the Duckworth Collection (Cambridge University). The analysis aims to characterise the lesions and provide a diagnosis using a methodology based on micro-CT scanning and microscopic bone surface analysis. Results pointed towards neoplastic lesions in both cases and healed severe skull trauma in one of them suggesting successful traumatological therapy. Interestingly, our analysis has identified the presence of perimortem cutmarks associated with metastatic lytic lesions in one of the skulls, indicating a potential surgical treatment attempt or postmortem medical exploration. We argue that the two cases, although not contemporary, allow a palaeopathological discussion on oncological and traumatological understanding and management of such conditions in the past. The confrontation of two potential managements represented by two different types of lesions represent a clear boundary in ancient Egyptian medical care and a milestone in the history of medicine.
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  • 文章类型: Journal Article
    电化学疗法(ECT)是将细胞膜的电穿孔与化学疗法相结合以促进非渗透性分子转运到细胞中的治疗方式。一些犬科和猫科动物的研究显示了有希望的结果,提示ECT可以成为某些肿瘤的有效辅助治疗或替代治疗选择。本文的目的是提供有关ECT在兽医学中的原理和应用的书目综述,并将其与人类医学中的应用进行比较。
    Electrochemotherapy (ECT) is a treatment modality that combines the electroporation of cell membranes with chemotherapy to facilitate the transport of non-permeant molecules into cells. Several canine and feline studies have shown promising results, suggesting that ECT can be a valid adjuvant or alternative treatment option for some tumours. The objective of this paper is to provide a bibliographic review of the principles and applications of ECT in veterinary medicine and to compare to its use in human medicine.
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  • 文章类型: Journal Article
    与内质网应激(ERS)和线粒体自噬相关的基因有助于预测实体瘤的预后。作者旨在开发这些基因在肺腺癌(LUAD)中的预后预测模型。从包括基因表达综合(GEO)和癌症基因组图谱(TCGA)的公共数据库收集相关基因表达和临床信息。最终在LUAD数据集中选择了总共265个差异表达的基因(71个上调和194个下调)。其中,15个候选ERS和线粒体自噬基因(ATG12,CSNK2A1,MAP1LC3A,MAP1LC3B,MFN2,PGAM5,PINK1,RPS27A,SQSTM1、SRC、UBA52UBB,UBC,根据与ERS和线粒体自噬基因杂交后的表达分析,ULK1和VDAC1)可能对LUAD至关重要。预测模型证明了有效预测5-,3-,GEO和TCGA数据库中LUAD患者的1年预后。此外,高VDAC1表达与LUAD患者总生存率低相关(p<0.001),提示它可能是LUAD预后预测的关键基因。总的来说,基于LUAD中ERS和线粒体自噬基因的预后模型可用于评估LUAD患者的预后,和VDAC1可能作为LUAD预后的有希望的生物标志物。
    Genes associated with endoplasmic reticulum stress (ERS) and mitophagy can be conducive to predicting solid tumour prognosis. The authors aimed to develop a prognosis prediction model for these genes in lung adenocarcinoma (LUAD). Relevant gene expression and clinical information were collected from public databases including Gene Expression Omnibus (GEO) and The Cancer Genome Atlas (TCGA). A total of 265 differentially expressed genes was finally selected (71 up-regulated and 194 downregulated) in the LUAD dataset. Among these, 15 candidate ERS and mitophagy genes (ATG12, CSNK2A1, MAP1LC3A, MAP1LC3B, MFN2, PGAM5, PINK1, RPS27A, SQSTM1, SRC, UBA52, UBB, UBC, ULK1, and VDAC1) might be critical to LUAD based on the expression analysis after crossing with the ERS and mitochondrial autophagy genes. The prediction model demonstrated the ability to effectively predict the 5-, 3-, and 1-year prognoses of LUAD patients in both GEO and TCGA databases. Moreover, high VDAC1 expression was associated with poor overall survival in LUAD (p < 0.001), suggesting it might be a critical gene for LUAD prognosis prediction. Overall, the prognosis model based on ERS and mitophagy genes in LUAD can be useful for evaluating the prognosis of patients with LUAD, and VDAC1 may serve as a promising biomarker for LUAD prognosis.
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  • 文章类型: Journal Article
    目的:关于游离脂肪酸受体2(FFAR2)的蛋白质表达的信息很少,尤其是在肿瘤中。因此,本研究的目的是使用免疫组织化学方法全面表征FFAR2在大量人类正常组织和肿瘤组织中的表达谱,从而为进一步深入研究其潜在的诊断或治疗重要性提供基础.
    方法:我们开发了一种新型兔多克隆抗FFAR2抗体,0524,针对人FFAR2的C末端区域。使用表达FFAR2的细胞系BON-1和FFAR2特异性小干扰RNA以及天然和FFAR2转染的HEK-293细胞,通过蛋白质印迹分析和免疫细胞化学证实抗体特异性。然后将抗体用于各种福尔马林固定的免疫组织化学分析,正常和肿瘤人体组织的石蜡包埋标本。
    结果:在正常组织中,FFAR2主要存在于大脑皮层的不同细胞群体中,甲状腺的滤泡细胞和C细胞,心脏的心肌细胞,支气管上皮和腺体,肝细胞和肝脏的胆管上皮,胆囊上皮,内分泌胰腺的外分泌和β细胞,肾小球系膜细胞和足细胞以及肾脏的集合管,肠粘膜(特别是肠内分泌细胞),前列腺上皮,睾丸的精细管,和胎盘合胞体滋养层。在肿瘤组织中,FFAR2在甲状腺乳头状癌中特别普遍,甲状旁腺腺瘤,胃,结肠,胰腺,肝细胞,胆管细胞,膀胱,乳房,子宫颈,和卵巢癌。
    结论:我们产生并表征了一种新的兔多克隆抗人FFAR2抗体,该抗体非常适合于观察人常规病理组织中的FFAR2表达。该抗体也适用于Western印迹和免疫细胞化学实验。据我们所知,该抗体在各种正常和肿瘤性人体组织中实现了第一个广泛的FFAR2蛋白表达谱.
    OBJECTIVE: Little information is available concerning protein expression of the free fatty acid receptor 2 (FFAR2), especially in tumours. Therefore, the aim of the present study was to comprehensively characterise the expression profile of FFAR2 in a large series of human normal and neoplastic tissues using immunohistochemistry thus providing a basis for further in-depth investigations into its potential diagnostic or therapeutic importance.
    METHODS: We developed a novel rabbit polyclonal anti-FFAR2 antibody, 0524, directed against the C-terminal region of human FFAR2. Antibody specificity was confirmed via Western blot analyses and immunocytochemistry using the FFAR2-expressing cell line BON-1 and FFAR2-specific small interfering RNA as well as native and FFAR2-transfected HEK-293 cells. The antibody was then used for immunohistochemical analyses of various formalin-fixed, paraffin-embedded specimens of normal and neoplastic human tissues.
    RESULTS: In normal tissues, FFAR2 was mainly present in distinct cell populations of the cerebral cortex, follicular cells and C cells of the thyroid, cardiomyocytes of the heart, bronchial epithelia and glands, hepatocytes and bile duct epithelia of the liver, gall bladder epithelium, exocrine and β-cells of the endocrine pancreas, glomerular mesangial cells and podocytes as well as collecting ducts of the kidney, intestinal mucosa (particularly enteroendocrine cells), prostate epithelium, seminiferous tubules of the testicles, and placental syncytiotrophoblasts. In neoplastic tissues, FFAR2 was particularly prevalent in papillary thyroid carcinomas, parathyroid adenomas, and gastric, colon, pancreatic, hepatocellular, cholangiocellular, urinary bladder, breast, cervical, and ovarian carcinomas.
    CONCLUSIONS: We generated and characterised a novel rabbit polyclonal anti-human FFAR2 antibody that is well-suited for visualising FFAR2 expression in human routine pathology tissues. This antibody is also suitable for Western blot and immunocytochemistry experiments. To our knowledge, this antibody enabled the first broad FFAR2 protein expression profile in various normal and neoplastic human tissues.
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  • 文章类型: Journal Article
    铁死亡是一种独特的细胞死亡模式,通过依赖铁离子和脂质过氧化物的积累来区别于典型的细胞凋亡。在某些病理背景下,细胞表现出氧化应激和抗氧化平衡之间的失衡,比如肿瘤,导致氧化应激。值得注意的是,最近的研究表明,由于氧化应激引起的细胞内活性氧(ROS)的增加可以提高细胞对铁凋亡诱导剂的敏感性或加速铁凋亡的发生。因此,了解ROS在铁凋亡启动中的作用对阐明与氧化应激相关的疾病具有重要意义。此外,对铁死亡的机制和控制的详尽探索可能为解决特定肿瘤类型提供新的靶标。在此背景下,我们的综述探讨了最近的基本途径和铁性凋亡的分子基础。四个经典的铁分子途径被很好地表征,即,谷胱甘肽过氧化物酶4中心分子途径,核因子红系2相关因子2分子途径,线粒体分子途径,和mTOR依赖性自噬途径。此外,我们试图阐明ROS制定的监管贡献。此外,我们概述了针对铁凋亡的4种分子途径的靶向药物及其潜在的临床应用.这里,我们综述了ROS和氧化应激在铁死亡中的作用,我们讨论了将铁凋亡作为癌症治疗新策略的机会,并指出了当前在ROS调节的抗癌药物研究和开发领域中持续存在的挑战。
    Ferroptosis is a distinct mode of cell death, distinguishing itself from typical apoptosis by its reliance on the accumulation of iron ions and lipid peroxides. Cells manifest an imbalance between oxidative stress and antioxidant equilibrium during certain pathological contexts, such as tumours, resulting in oxidative stress. Notably, recent investigations propose that heightened intracellular reactive oxygen species (ROS) due to oxidative stress can heighten cellular susceptibility to ferroptosis inducers or expedite the onset of ferroptosis. Consequently, comprehending role of ROS in the initiation of ferroptosis has significance in elucidating disorders related to oxidative stress. Moreover, an exhaustive exploration into the mechanism and control of ferroptosis might offer novel targets for addressing specific tumour types. Within this context, our review delves into recent fundamental pathways and the molecular foundation of ferroptosis. Four classical ferroptotic molecular pathways are well characterized, namely, glutathione peroxidase 4-centred molecular pathway, nuclear factor erythroid 2-related factor 2 molecular pathway, mitochondrial molecular pathway, and mTOR-dependent autophagy pathway. Furthermore, we seek to elucidate the regulatory contributions enacted by ROS. Additionally, we provide an overview of targeted medications targeting four molecular pathways implicated in ferroptosis and their potential clinical applications. Here, we review the role of ROS and oxidative stress in ferroptosis, and we discuss opportunities to use ferroptosis as a new strategy for cancer therapy and point out the current challenges persisting within the domain of ROS-regulated anticancer drug research and development.
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  • 文章类型: Journal Article
    果蝇癌种系(CG)的表达,X-linked,头对头基因对TrxT和dhd通常是种系特异性的,但在l(3)mbt突变引起的脑肿瘤中上调。这里,我们发现TrxT和dhd在l(3)mbt肿瘤相关转录组特征和肿瘤发展的出现中起着重要的协同作用,这很了不起,考虑到这两个基因在正常条件下永远不会一起表达。我们还证明了TrxT,但不是dhd,对l(3)mbt同种异体移植物的生长至关重要,因此,这表明肿瘤发展的初始阶段和肿瘤的长期生长可能取决于不同的分子途径。在人类中,在定位到X染色体的CG基因中,头对头反向基因对丰富。我们的结果确定了X连接的第一个例子,果蝇的头对头CG基因对,支撑这些CG基因的潜力,对于体细胞组织的正常发育和同质性而言,作为减少恶性生长的目标,对整体健康的影响最小。
    Expression of the Drosophila cancer-germline (CG), X-linked, head-to-head gene pair TrxT and dhd is normally germline-specific but becomes upregulated in brain tumours caused by mutation in l(3)mbt. Here, we show that TrxT and dhd play a major synergistic role in the emergence of l(3)mbt tumour-linked transcriptomic signatures and tumour development, which is remarkable, taking into account that these two genes are never expressed together under normal conditions. We also show that TrxT, but not dhd, is crucial for the growth of l(3)mbt allografts, hence suggesting that the initial stages of tumour development and long-term tumour growth may depend on different molecular pathways. In humans, head-to-head inverted gene pairs are abundant among CG genes that map to the X chromosome. Our results identify a first example of an X-linked, head-to-head CG gene pair in Drosophila, underpinning the potential of such CG genes, dispensable for normal development and homoeostasis of somatic tissue, as targets to curtail malignant growth with minimal impact on overall health.
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  • 文章类型: Case Reports
    黏液样胶质神经肿瘤(MGNT),先前描述为透明隔的胚胎发育不良神经上皮肿瘤,在2021年WHO中枢神经系统肿瘤分类第五版中被列为一种新的肿瘤类型。这种分类是基于它的解剖位置,成像特征,和遗传特征。MGNTs在临床上很罕见,容易误诊。在这份报告中,我们在左额叶出现MGNT,经手术病理证实。
    Myxoid glioneuronal tumour (MGNT), previously described as dysembryoplastic neuroepithelial tumour of the septum pellucidum, was classified as a new tumour type in the fifth edition of the WHO Central Nervous System Tumor Classification of 2021. This classification was based on its anatomical location, imaging features, and genetic characteristics. MGNTs are clinically rare and prone to misdiagnosis. In this report, we present a case of MGNT in the left frontal lobe, which was confirmed through surgical pathology.
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  • 文章类型: Journal Article
    进行了文献综述,以评估微创内窥镜治疗泪道肿瘤的作用。该研究涉及对316例影响泪道引流系统的良性或恶性肿瘤患者的分析。组织学上,分析显示鳞状细胞癌的患病率,其次是淋巴肿瘤和黑色素瘤。在治疗方面,微创内镜入路,如内窥镜泪囊鼻腔吻合术,在管理早期肿瘤中起主导作用,而不仅仅是获取样本进行组织学分析。对于更广泛的肿瘤,构成大多数案件,需要更积极的外部方法,同时使用辅助放疗和化疗。缺乏普遍共享的分期系统限制了结果的标准化和比较。这些肿瘤的治疗由于其稀有性和组织学异质性而仍然复杂。必须采用多学科方法来优化结果。
    A literature review was conducted to assess the role of minimally-invasive endoscopic treatments for lacrimal pathway neoplasms. The study involved the analysis of 316 patients with benign or malignant tumours affecting the lacrimal drainage system. Histologically, the analysis revealed a prevalence of squamous cell carcinoma, followed by lymphatic neoplasms and melanomas. In terms of treatment, minimally-invasive endoscopic approaches, such as endoscopic dacryocystorhinostomy, play a predominant role in managing early-stage tumours, rather than merely obtaining samples for histological analysis. For more extensive tumours, which constitute the majority of cases, more aggressive external approaches are required, along with the use of adjuvant radiotherapy and chemotherapy. The lack of universally shared staging systems poses a limitation in standardisation and comparison of results. Treatment of these tumours remains complex due to their rarity and histological heterogeneity. A multidisciplinary approach is mandatory to optimise outcomes.
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  • 文章类型: Journal Article
    当癌症患者接受手术或镇痛治疗时,经常使用阿片受体激动剂。作为临床护理中的镇痛药,阿片类药物可以提供术中或慢性癌症疼痛缓解。免疫功能在抗癌治疗中起着重要作用,细胞免疫,主要由T淋巴细胞和自然杀伤细胞组成,代表主要的抗癌免疫反应。然而,目前尚不清楚在已经免疫功能受损的癌症患者中使用阿片类药物是否会进一步影响免疫功能.本文对临床常用阿片类药物的作用进行了综述,包括吗啡,羟考酮,芬太尼和曲马多,对癌症患者免疫功能的影响。它提供了关于阿片类药物在癌症环境中的免疫调节作用以及这些相互作用的潜在机制的当前证据的总结。
    Opioid receptor agonists are often used when cancer patients undergo surgery or analgesic treatment. As analgesics in clinical care, opioids can provide intraoperative or to chronic cancer pain relief. Immune function plays an important role in anti-cancer therapy, with cellular immunity, comprised principally of T-lymphocytes and natural killer cells, representing the primary anti-cancer immune response. However, it remains unclear whether immune function is further affected with the use of opioids in already immunocompromised cancer patients. This article provides a review of the effects of commonly used clinical opioids, including morphine, oxycodone, fentanyl and tramadol, on immune function in cancer patients. It provides a summary of current evidence regarding the immunomodulatory effects of opioids in the cancer setting and mechanisms underlying these interactions.
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