• 文章类型: Journal Article
    骨癌疼痛(BCP)深刻影响患者的生活质量,需要更有效的疼痛管理策略。本系统综述的目的是研究炎性细胞因子作为BCP潜在分子靶标的作用。在PubMed中对骨癌疼痛研究的动物啮齿动物模型进行了系统的搜索,Scopus,和WebofScience。使用SYRCLERoB工具评估方法学质量和偏倚风险。25条符合纳入标准,包括研究与BCP中炎症细胞因子相关的分子靶标的动物研究。报告了低至中度的偏倚风险。在23份手稿中的关键发现揭示了上调的经典促炎细胞因子(TNF-α,IL-1β,IL-6,IL-17,IL-18,IL-33)和趋化因子在脊髓,导水管周围灰色,和背根神经节.针对这些细胞因子的干预一致地减轻疼痛行为。此外,已经证明神经胶质细胞,由于它们参与炎症细胞因子的释放,成为BCP的重要贡献者。本系统综述强调了炎性细胞因子作为缓解BCP的潜在分子靶标的重要性。它强调有针对性的干预措施的承诺,并倡导进一步研究,以将这些发现转化为有效的治疗策略。最终,这种方法有可能提高患者的生活质量。
    Bone cancer pain (BCP) profoundly impacts patient\'s quality of life, demanding more effective pain management strategies. The aim of this systematic review was to investigate the role of inflammatory cytokines as potential molecular targets in BCP. A systematic search for animal rodent models of bone cancer pain studies was conducted in PubMed, Scopus, and Web of Science. Methodological quality and risk of bias were assessed using the SYRCLE RoB tool. Twenty-five articles met the inclusion criteria, comprising animal studies investigating molecular targets related to inflammatory cytokines in BCP. A low to moderate risk of bias was reported. Key findings in 23 manuscripts revealed upregulated classic pro-inflammatory cytokines (TNF-α, IL-1β, IL-6, IL-17, IL-18, IL-33) and chemokines in the spinal cord, periaqueductal gray, and dorsal root ganglia. Interventions targeting these cytokines consistently mitigated pain behaviors. Additionally, it was demonstrated that glial cells, due to their involvement in the release of inflammatory cytokines, emerged as significant contributors to BCP. This systematic review underscores the significance of inflammatory cytokines as potential molecular targets for alleviating BCP. It emphasizes the promise of targeted interventions and advocates for further research to translate these findings into effective therapeutic strategies. Ultimately, this approach holds the potential to enhance the patient\'s quality of life.
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  • 文章类型: Journal Article
    Ferroptosis,一种受调节的细胞死亡形式,与铁依赖性脂质过氧化密切相关。最近的证据强烈支持铁凋亡的诱导作为治疗对常规疗法有抗性的癌症的有希望的策略。铁凋亡调节的关键参与者是铁凋亡抑制蛋白1(FSP1),其通过促进辅酶Q10的抗氧化剂形式的产生来促进癌细胞抗性。值得注意的是,FSP1独立于谷胱甘肽(GSH)和谷胱甘肽过氧化物酶-4途径赋予铁死亡抗性。因此,靶向FSP1以削弱其对铁凋亡的抑制作用可能是治疗难治性癌症的可行策略。这篇综述旨在阐明铁死亡的分子机制,FSP1抑制铁凋亡的具体途径以及FSP1抑制剂对癌细胞的影响。
    Ferroptosis, a regulated form of cell death, is intricately linked to iron‑dependent lipid peroxidation. Recent evidence strongly supports the induction of ferroptosis as a promising strategy for treating cancers resistant to conventional therapies. A key player in ferroptosis regulation is ferroptosis suppressor protein 1 (FSP1), which promotes cancer cell resistance by promoting the production of the antioxidant form of coenzyme Q10. Of note, FSP1 confers resistance to ferroptosis independently of the glutathione (GSH) and glutathione peroxidase‑4 pathway. Therefore, targeting FSP1 to weaken its inhibition of ferroptosis may be a viable strategy for treating refractory cancer. This review aims to clarify the molecular mechanisms underlying ferroptosis, the specific pathway by which FSP1 suppresses ferroptosis and the effect of FSP1 inhibitors on cancer cells.
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  • 文章类型: Journal Article
    Tau蛋白是一种微管相关蛋白,广泛分布于中枢神经系统,维持和调节神经元的形态和功能。Tau蛋白在神经退行性疾病中异常聚集并形成神经原纤维缠结,破坏神经元的结构和功能,导致神经元死亡,这引发了神经系统疾病的开始和进展。tau蛋白在神经退行性疾病中的聚集与翻译后修饰有关,这可能会影响亲水性,空间构象,和tau蛋白的稳定性,促进tau蛋白聚集和神经原纤维缠结的形成。因此,研究tau蛋白在神经退行性疾病中的作用和异常聚集的机制对于理解神经退行性疾病的机制和寻找治疗方法具有重要意义。这篇综述描述了tau蛋白促进神经退行性疾病的可能机制。tau蛋白翻译后修饰及相关影响因素,以及与tau蛋白相关的药物发现和开发的现状,这可能有助于开发新的治疗方法来缓解或治疗神经退行性疾病。
    Tau protein is a microtubule-associated protein that is widely distributed in the central nervous system and maintains and regulates neuronal morphology and function. Tau protein aggregates abnormally and forms neurofibrillary tangles in neurodegenerative diseases, disrupting the structure and function of neurons and leading to neuronal death, which triggers the initiation and progression of neurological disorders. The aggregation of tau protein in neurodegenerative diseases is associated with post-translational modifications, which may affect the hydrophilicity, spatial conformation, and stability of tau protein, promoting tau protein aggregation and the formation of neurofibrillary tangles. Therefore, studying the role of tau protein in neurodegenerative diseases and the mechanism of aberrant aggregation is important for understanding the mechanism of neurodegenerative diseases and finding therapeutic approaches. This review describes the possible mechanisms by which tau protein promotes neurodegenerative diseases, the post-translational modifications of tau protein and associated influencing factors, and the current status of drug discovery and development related to tau protein, which may contribute to the development of new therapeutic approaches to alleviate or treat neurodegenerative diseases.
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  • 文章类型: Journal Article
    成釉细胞瘤,一种良性但侵袭性的牙源性肿瘤,以其复发和根治性手术的严重发病率而闻名,可能受益于靶向治疗的进步。我们介绍了一例15岁女孩成釉细胞瘤的靶向治疗成功,并回顾了这个问题的文献:抗MAPK靶向治疗成釉细胞瘤安全有效吗?遵守PRISMA准则,并搜索了截至2023年12月的多个数据库,从647条记录中确定了13项相关研究,涵盖23例接受MAPK抑制剂治疗的患者。结果很有希望,因为几乎所有患者都表现出积极的治疗反应,其中4人实现了完全的放射学缓解,其他人则显示出原发性疾病的大幅减少,经常性,和转移性成釉细胞瘤的大小。副作用大多为轻度至中度。这项研究表明,抗MAPK疗法是侵入性手术治疗的重要转变,通过提供一种侵入性较小但有效的治疗替代方案,有可能提高生活质量和临床结局。这种方法可能意味着在治疗这种具有挑战性的肿瘤方面取得了突破,强调需要进一步研究分子靶向治疗。
    Ameloblastoma, a benign yet aggressive odontogenic tumor known for its recurrence and the severe morbidity from radical surgeries, may benefit from advancements in targeted therapy. We present a case of a 15-year-old girl with ameloblastoma successfully treated with targeted therapy and review the literature with this question: Is anti-MAPK targeted therapy safe and effective for treating ameloblastoma? This systematic review was registered in PROSPERO, adhered to PRISMA guidelines, and searched multiple databases up to December 2023, identifying 13 relevant studies out of 647 records, covering 23 patients treated with MAPK inhibitor therapies. The results were promising as nearly all patients showed a positive treatment response, with four achieving complete radiological remission and others showing substantial reductions in primary, recurrent, and metastatic ameloblastoma sizes. Side effects were mostly mild to moderate. This study presents anti-MAPK therapy as a significant shift from invasive surgical treatments, potentially enhancing life quality and clinical outcomes by offering a less invasive yet effective treatment alternative. This approach could signify a breakthrough in managing this challenging tumor, emphasizing the need for further research into molecular-targeted therapies.
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  • 文章类型: Journal Article
    Theranostics,一种结合靶向治疗和诊断成像的方法,已经成为增强癌症治疗的可行途径,和混合纳米粒子(HNP)处于这一领域的前沿。金属漆,聚合物,基于脂质的,研究了基于二氧化硅的HNP的靶向性和生物相容性。使用HNP,化疗药物,小干扰RNA,治疗基因可以精确控制。这增强了治疗功效并减少了副作用。用荧光染料,MRI造影剂,和PET示踪剂,实时治疗反应监测是可以想象的。具有治疗和诊断能力的纳米平台为个性化医疗和精准肿瘤学带来了巨大的希望。本研究讨论了HNPs的生物相容性,稳定性,免疫原性,和长期生物安全,这对癌症疗法的临床翻译至关重要。Further,在这次深入的调查中,我们调查了设计,合成,和用于癌症治疗的HNP的多功能活性。
    Theranostics, a method that combines targeted therapy and diagnostic imaging, has emerged as a viable route for enhancing cancer treatment, and hybrid nanoparticles (HNPs) are at the forefront of this field. Metallic, polymeric, lipid-based, and silica- based HNPs are studied for targeting and biocompatibility. Using HNPs, chemotherapeutic drugs, small interfering RNA, and therapeutic genes can be given precisely and controlled. This enhances therapeutic efficacy and reduces adverse effects. With fluorescence dyes, MRI contrast agents, and PET tracers, real-time therapy response monitoring is conceivable. A nano platform with therapeutic and diagnostic capabilities holds great promise for personalized medicine and precision oncology. The present study discusses HNPs\' biocompatibility, stability, immunogenicity, and long-term biosafety, which are crucial to the clinical translation of cancer theranostics. Further, in this in- -depth investigation, we investigated the design, synthesis, and multifunctional activities of HNPs for use in cancer theranostics.
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  • DOI:
    文章类型: Case Reports
    外分泌胰腺癌的分子发病机制涉及突变K-RAS,TP53,CDKN2A,SMAD4KRAS癌基因导致组成型活跃的肿瘤细胞增殖,并存在于90%的不可切除或转移性胰腺腺癌中。其中,K-RAS基因的G12C变异占突变的1-2%.一名65岁的女性最初被诊断为T3N0M0胰腺腺癌,接受6个周期的mFOLFIRINOX新辅助化疗,然后进行Whipple手术。病理分期为T4N2。然后,她接受了辅助mFOLFIRINOX,但不幸的是,她的疾病通过多行化疗进展。通过下一代序列(NGS)组的分子分析揭示了KRASG12C突变。基于这种突变状态,她开始服用Sotorasib,在疾病进展前,她的临床反应持续约11个月.在我们的KRASG12C突变的胰腺癌患者中,使用Sotorasib作为第四线治疗是有效的,并且耐受性相对良好。
    The molecular pathogenesis of exocrine pancreatic cancer involves mutations K-RAS, TP53, CDKN2A, and SMAD4. The KRAS oncogene leads to constitutively active tumor cell proliferation and is present in 90% of unresectable or metastatic pancreatic adenocarcinomas. Of these, the G12C variant of K-RAS genes accounts for 1-2% of mutations. A 65-year-old woman initially diagnosed with T3N0M0 pancreatic adenocarcinoma, underwent six cycles of neoadjuvant chemotherapy with mFOLFIRINOX followed by Whipple procedure. Her pathological stage was T4N2. She then received adjuvant mFOLFIRINOX but unfortunately her disease progressed through multiple lines of chemotherapy. Molecular analysis by Next Generation Sequence(NGS) panel revealed KRAS G12C mutation. Based on this mutational status, she was started on Sotorasib to which she had clinical response lasting for about 11 months prior to disease progression. Off-label use of Sotorasib as fourth-line treatment in our patient with KRAS G12C mutated pancreatic cancer was efficacious and relatively well tolerated.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    先兆子痫是一种多系统进行性疾病,是最严重的妊娠并发症之一。由于其发病机制不明确,子痫前期没有精确有效的治疗靶点,唯一可用的治疗策略是终止妊娠并消除临床症状。近年来,非编码RNA已成为先兆子痫研究的热点,并有望成为先兆子痫早期诊断的有效生物标志物。PIWI相互作用的RNA,与PIWI蛋白相互作用的新型小的非编码RNA,在转录或转录后水平参与各种疾病的发病机理。然而,PIWI相互作用RNA在先兆子痫发病机制中的作用机制尚不清楚.在这次审查中,我们讨论了PIWI相互作用RNA生物发生的现有研究的结果,功能,以及它们在先兆子痫中的可能作用,为PIWI相互作用的RNA在先兆子痫的早期诊断和临床治疗中的潜在应用提供了新的见解。
    Preeclampsia is a multisystem progressive condition and is one of the most serious complications of pregnancy. Owing to its unclear pathogenesis, there are no precise and effective therapeutic targets for preeclampsia, and the only available treatment strategy is to terminate the pregnancy and eliminate the clinical symptoms. In recent years, non-coding RNAs have become a hotspot in preeclampsia research and have shown promise as effective biomarkers for the early diagnosis of preeclampsia over conventional biochemical markers. PIWI-interacting RNAs, novel small non-coding RNA that interact with PIWI proteins, are involved in the pathogenesis of various diseases at the transcriptional or post-transcriptional level. However, the mechanisms underlying the role of PIWI-interacting RNAs in the pathogenesis of preeclampsia remain unclear. In this review, we discuss the findings of existing studies on PIWI-interacting RNA biogenesis, functions, and their possible roles in preeclampsia, providing novel insights into the potential application of PIWI-interacting RNAs in the early diagnosis and clinical treatment of preeclampsia.
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  • 文章类型: Journal Article
    背景:该研究旨在研究缺氧诱导因子(HIF)在发育中的作用,programming,和胶质母细胞瘤的治疗潜力。
    方法:研究,遵循PRISMA准则,使用MEDLINE(PubMed)系统地检查胶质母细胞瘤中的缺氧和HIF,WebofScience,还有Scopus.共有104项相关研究进行了数据提取。
    结果:在104项研究中,全球贡献是多种多样的,中国领先23.1%。产出最高的一年是2019年,占比11.5%。低氧诱导因子1α(HIF1α)经常被研究,其次是缺氧诱导因子2α(HIF2α),骨桥蛋白,和cavolin-1.常见的相关因子和途径包括葡萄糖转运蛋白1(GLUT1)和葡萄糖转运蛋白3(GLUT3)受体,血管内皮生长因子(VEGF),磷酸肌醇3-激酶(PI3K)-Akt-雷帕霉素(mTOR)途径,和活性氧(ROS)。HIF表达与各种胶质母细胞瘤标志相关,包括进展,生存,新生血管形成,葡萄糖代谢,迁移,和入侵。
    结论:克服诸如治疗耐药性和缺乏生物标志物的挑战对于将HIF相关疗法有效整合到胶质母细胞瘤的治疗中,以优化患者的预后至关重要。
    BACKGROUND: The study aims to investigate the role of hypoxia-inducible factors (HIFs) in the development, progression, and therapeutic potential of glioblastomas.
    METHODS: The study, following PRISMA guidelines, systematically examined hypoxia and HIFs in glioblastoma using MEDLINE (PubMed), Web of Science, and Scopus. A total of 104 relevant studies underwent data extraction.
    RESULTS: Among the 104 studies, global contributions were diverse, with China leading at 23.1%. The most productive year was 2019, accounting for 11.5%. Hypoxia-inducible factor 1 alpha (HIF1α) was frequently studied, followed by hypoxia-inducible factor 2 alpha (HIF2α), osteopontin, and cavolin-1. Commonly associated factors and pathways include glucose transporter 1 (GLUT1) and glucose transporter 3 (GLUT3) receptors, vascular endothelial growth factor (VEGF), phosphoinositide 3-kinase (PI3K)-Akt-mechanistic target of rapamycin (mTOR) pathway, and reactive oxygen species (ROS). HIF expression correlates with various glioblastoma hallmarks, including progression, survival, neovascularization, glucose metabolism, migration, and invasion.
    CONCLUSIONS: Overcoming challenges such as treatment resistance and the absence of biomarkers is critical for the effective integration of HIF-related therapies into the treatment of glioblastoma with the aim of optimizing patient outcomes.
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  • 文章类型: Case Reports
    起源于肾细胞癌(RCC)的脉络膜转移很少见。据我们所知,截至2024年1月31日,英文文献中已报道了31例RCC脉络膜转移。然而,医生需要警惕地认识到这种情况,因为其进展会影响受影响患者的生活质量(QOL)。在病例1中,一名具有乳头状RCC病史的60岁男性视力(VA)下降,并被诊断为孤立性脉络膜转移。随后,确定了多个转移,促使开始由pembrolizumab+axitinib组成的联合治疗方案.尽管治疗,观察到脉络膜转移的进展和VA的进一步下降。患者接受了立体定向放疗,脉络膜转移完全消退,伴随着VA的轻微改善。在病例2中,一名76岁的男子出现肾肿瘤并伴有肺转移。他接受了肾切除术,组织学诊断为乳头状RCC。我们启动了由纳武单抗联合卡博替尼组成的联合治疗。患者在治疗期间经历了VA的减少。我们发现广泛的细小转移散布在双侧脉络膜中。我们服用了阿西替尼,但患者经历了双侧失明。鉴于脉络膜转移没有既定的治疗方法,在治疗选择中保持灵活性至关重要。应在认为适合每个个案的情况下使用本地或系统方法。
    Choroidal metastasis originating from renal cell carcinomas (RCCs) is rare. To the best of our knowledge, 31 cases of choroidal metastasis from RCC have been reported in the English literature as of January 31, 2024. Nevertheless, physicians need to be vigilant in recognizing this condition, as its progression impacts the quality of life (QOL) of affected patients. In Case 1, a 60-year-old male with a medical history of papillary RCC experienced a deterioration in visual acuity (VA) and was diagnosed with solitary choroidal metastasis. Subsequently, multiple metastases were identified, prompting the initiation of a combination therapy regimen consisting of pembrolizumab plus axitinib. Despite treatment, progression of choroidal metastasis and a further decline in VA were observed. The patient underwent stereotactic radiotherapy and experienced complete resolution of the choroidal metastasis, accompanied by a slight improvement in VA. In Case 2, a 76-year-old man presented with a renal tumor accompanied by lung metastases. He underwent nephrectomy, and the histological diagnosis was papillary RCC. We initiated combination therapy consisting of nivolumab plus cabozantinib. The patient experienced a decrease in VA during treatment. We identified extensive fine metastases scattered throughout the bilateral choroid. We administered axitinib, but the patient experienced bilateral blindness. Given the absence of established therapy for choroidal metastasis, it is crucial to maintain flexibility in treatment selection. Local or systemic approaches should be used as deemed appropriate for each individual case.
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