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Chemotherapy rechallenge in metastatic colon cancer:A case report and literature review 被引量:1
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作者 Tejaswini Parlapalle Reddy Usman Khan +1 位作者 Ethan Alexander Burns Maen Abdelrahim 《World Journal of Clinical Oncology》 CAS 2020年第11期959-967,共9页
BACKGROUND Colorectal cancer(CRC)is the third leading cause of cancer-related death in males and females in the United States.Approximately,20%-22%of patients have metastatic disease at the time of presentation,and 50... BACKGROUND Colorectal cancer(CRC)is the third leading cause of cancer-related death in males and females in the United States.Approximately,20%-22%of patients have metastatic disease at the time of presentation,and 50%-60%will develop metastasis over the course of their disease.Despite advances in systemic therapies,there remains a paucity of effective third-and later-line therapies for patients with ongoing disease progression.However,rechallenging chemoresistant CRC tumors with previously administered therapies is an emerging concept that may be a life-prolonging option for heavily treated metastatic colorectal cancer(mCRC).CASE SUMMARY A 41-year-old man with no previous medical history initially presented with worsening diffuse abdominal tenderness.Computed tomography was significant for a splenic flexure mass and hepatic lesions concerning for metastatic disease.He underwent a colectomy with anastomosis.Postoperative pathology was diagnostic for moderately to well-differentiated adenocarcinoma(T4bN1bM1a).He received adjuvant 5-fluorouracil,leucovorin,and oxaliplatin(FOLFOX),but therapy was discontinued due to the development of atrial fibrillation.Additional workup indicated a carcinoembryonic antigen level of 508.2 ng/mL,and mutational analysis found that the tumor was microsatellite instability-high and KRAS/BRAF wild-type.He was started on irinotecan with oxaliplatin(IROX),and bevacizumab(14 cycles),developed disease progression,was transitioned to FOLFOX and cetuximab,and then eventually three cycles of pembrolizumab.Following disease progression,he was rechallenged with IROX therapy,as he previously responded well to oxaliplatin-based therapy.The IROX rechallenge provided this patient with a ten-month survival benefit,decreased metastatic burden,and marked improvement in his clinical condition.CONCLUSION Rechallenge of previous lines of well-tolerated systemic chemotherapy regimens may be a valuable therapeutic strategy in patients with heavily-treated mCRC. 展开更多
关键词 Metastatic colorectal cancer Rechallenge therapy Treatment holiday OXALIPLATIN IRINOTECAN Case report CHEMORESISTANCE Palliative option
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B lymphoma Moloney murine leukemia virus insertion region 1: An oncogenic mediator in prostate cancer 被引量:1
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作者 Qipeng Liu Qiaqia Li +2 位作者 Sen Zhu Yang Yi Qi Cao 《Asian Journal of Andrology》 SCIE CAS CSCD 2019年第3期224-232,共9页
B lymphoma Moloney murine leukemia virus insertion region 1 (BMI1), a core member of polycomb repressive complex 1 (PRC1), has been intensely investigated in the field of cancer epigenetics for decades. Widely known a... B lymphoma Moloney murine leukemia virus insertion region 1 (BMI1), a core member of polycomb repressive complex 1 (PRC1), has been intensely investigated in the field of cancer epigenetics for decades. Widely known as a critical regulator in cellular physiology, BMI1 is essential in self-renewal and differentiation in different lineages of stem cells. BMI1 also plays a significant role in cancer etiology for its involvement in pathological progress such as epithelial–mesenchymal transition (EMT) and cancer stem cell maintenance, propagation, and differentiation. Importantly, overexpression of BMI1 is predictive for drug resistance, tumor recurrence, and eventual therapy failure of various cancer subtypes, which renders the pharmacological targeting at BMI1 as a novel and promising therapeutic approach. The study on prostate cancer, a prevalent hormone-related cancer among men, has promoted enormous research advancements in cancer genetics and epigenetics. This review summarizes the role of BMI1 as an oncogenic and epigenetic regulator in tumor initiation, progression, and relapse of prostate cancer. 展开更多
关键词 B LYMPHOMA Moloney murine leukemia virus INSERTION REGION 1 ONCOGENE POLYCOMB repressive complex 1 prostate cancer
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Pancreatic head vs pancreatic body/tail cancer:Are they different? 被引量:1
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作者 Kai Sun Charisma Mylavarapu +7 位作者 Aubrey Crenshaw Yuqi Zhang Enshuo Hsu Jiaqiong Xu Marilyn Niravath Stephen L Jones Adriana Ordonez Maen Abdelrahim 《World Journal of Gastrointestinal Oncology》 SCIE 2022年第3期716-723,共8页
BACKGROUND The impact of pancreatic tumor location on patient survival has been studied in large national data-based analyses which yielded controversial results.AIM To explore if pancreatic head cancer(PHC)and pancre... BACKGROUND The impact of pancreatic tumor location on patient survival has been studied in large national data-based analyses which yielded controversial results.AIM To explore if pancreatic head cancer(PHC)and pancreatic body/tail cancer(PBTC)have different overall survival(OS),molecular signature and response to chemotherapy.METHODS We retrospectively queried patient records from July 2016 to June 2020 in our institution.Patient demographics,cancer stage on diagnosis,tumor location,somatic mutations,treatment,and survival are recorded and analyzed.A test is considered statistically significant if the P value was<0.05.RESULTS We reviewed 101 patients with complete records,among which 67(66.34%)were PHC and 34(33.66%)were PBTC.More PHC were diagnosed at younger age[61.49 vs 68.97,P=0.010],earlier stages(P=0.006)and underwent surgical resection(P=0.025).There were no significant differences among all mutations and pathways studied except for TP53 mutations(37.0%in PHC vs 70.0%in PBTC,P=0.03).OS was not statistically different between PHC and PBTC(P=0.636)in the overall population and in subgroups according to surgical resection status or stages.In terms of response to chemotherapy,chemotherapy regimens(FOLFIRINOX-based vs gemcitabine-based)didn’t impact disease free interval in those who had surgical resection in either PHC(P=0.546)or PBTC(P=0.654),or the duration of response to first line palliative treatment in those with advanced disease in PHC(P=0.915)or PBTC(P=0.524).CONCLUSION Even though PHC and PBTC have similar poor OS and response to chemotherapy,the different presentations and molecular profiles indicate they are different diseases.Utilization of molecular profiling to develop targeted therapy for individualization of treatment is needed. 展开更多
关键词 Pancreatic cancer Tumor location Molecular profiling SURVIVAL Response to chemotherapy
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Transcription factors specificity protein and nuclear receptor 4A1 in pancreatic cancer 被引量:2
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作者 Stephen Safe Rupesh Shrestha +3 位作者 Kumaravel Mohankumar Marcell Howard Erik Hedrick Maen Abdelrahim 《World Journal of Gastroenterology》 SCIE CAS 2021年第38期6387-6398,共12页
Specificity protein(Sp)transcription factors(TFs)Sp1,Sp3 and Sp4,and the orphan nuclear receptor 4A1(NR4A1)are highly expressed in pancreatic tumors and Sp1 is a negative prognostic factor for pancreatic cancer patien... Specificity protein(Sp)transcription factors(TFs)Sp1,Sp3 and Sp4,and the orphan nuclear receptor 4A1(NR4A1)are highly expressed in pancreatic tumors and Sp1 is a negative prognostic factor for pancreatic cancer patient survival.Results of knockdown and overexpression of Sp1,Sp3 and Sp4 in pancreatic and other cancer lines show that these TFs are individually pro-oncogenic factors and loss of one Sp TF is not compensated by other members.NR4A1 is also a prooncogenic factor and both NR4A1 and Sp TFs exhibit similar functions in pancreatic cancer cells and regulate cell growth,survival,migration and invasion.There is also evidence that Sp TFs and NR4A1 regulate some of the same genes including survivin,epidermal growth factor receptor,PAX3-FOXO1,α5-andα6-integrins,β1-,β3-andβ4-integrins;this is due to NR4A1 acting as a cofactor and mediating NR4A1/Sp1/4-regulated gene expression through GC-rich gene promoter sites.Several studies show that drugs targeting Sp downregulation or NR4A1 antagonists are highly effective inhibitors of Sp/NR4A1-regulated pathways and genes in pancreatic and other cancer cells,and the triterpenoid celastrol is a novel dual-acting agent that targets both Sp TFs and NR4A1. 展开更多
关键词 Specificity protein Nuclear receptor 4A1 Pancreatic cancer Transcription factors Ligand inhibitors Nuclear receptor 4A antagonists
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Improving systemic delivery of oncolytic virus by cellular carriers
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作者 Ziyi Peng Muhammad Kalim Yong Lu 《Cancer Biology & Medicine》 CSCD 2024年第12期1104-1119,共16页
Oncolytic virotherapy(OVT)is a promising option for cancer treatment.OVT involves selective oncolytic virus(OV)replication within cancer cells,which triggers anti-tumor responses and immunostimulation.Despite promisin... Oncolytic virotherapy(OVT)is a promising option for cancer treatment.OVT involves selective oncolytic virus(OV)replication within cancer cells,which triggers anti-tumor responses and immunostimulation.Despite promising potential,OVT faces critical challenges,including insufficient tumor-specific targeting,which results in limited tumor penetration and variability in therapeutic efficacy.These challenges are particularly pronounced in solid tumors with complex microenvironments and heterogeneous vascularization.A comprehensive research program is currently underway to develop and refine innovative delivery methods to address these issues to enhance OVT precision and efficacy.A principal area of investigation is the utilization of cellular carriers to enhance the delivery and distribution of OVs within tumor microenvironments,thereby optimizing immune system activation and maximizing anti-tumor effects.This review offers a comprehensive overview of the current strategies that are being used to enhance the delivery of OVs via cellular carriers with the goal of improving the clinical impact of OVT in cancer therapy. 展开更多
关键词 Oncolytic virotherapy oncolytic virus systemic delivery cellular carriers tumor-specific targeting
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Pancreatic adenocarcinoma with early esophageal metastasis: A case report and review of literature
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作者 Ethan Alexander Burns Saro Kasparian +1 位作者 Usman Khan Maen Abdelrahim 《World Journal of Clinical Oncology》 2020年第2期83-90,共8页
BACKGROUND Pancreatic adenocarcinoma is an aggressive malignancy with a high propensity to metastasize.Esophageal metastasis manifesting as dysphagia is rarely reported in the literature and has not to our knowledge b... BACKGROUND Pancreatic adenocarcinoma is an aggressive malignancy with a high propensity to metastasize.Esophageal metastasis manifesting as dysphagia is rarely reported in the literature and has not to our knowledge been reported prior to the appearance of the primary disease.CASE SUMMARY A patient presented with progressive dysphagia to solids and a persistent earache.Computed tomography of the neck and chest revealed a 3.0 cm×1.8 cm heterogeneous mass originating from the upper third of the esophagus,necrotic cervical and supraclavicular lymphadenopathy,and bilateral pulmonary nodules.She underwent a core needle biopsy of a right cervical node,which suggested a well-differentiated adenocarcinoma of unknown primary.She had an upper endoscopy with biopsy of the esophageal mass suggestive of a welldifferentiated adenocarcinoma.Positron emission tomography imaging revealed increased uptake in the esophageal mass,cervical,and mediastinal lymph nodes.She was started on folinic acid,fluorouracil,and oxaliplatin.Prior to initiation of cycle 8,the patient was found to have a pancreatic body mass that was not present on prior radiographic imaging,confirmed by endoscopic ultrasonography and biopsy to be pancreatic adenocarcinoma.CA19-9 was>10000 U/m L,suggesting a primary pancreaticobiliary origin.CONCLUSION Esophageal metastasis diagnosed before primary pancreatic adenocarcinoma is rare.This case highlights the profound metastatic potential of pancreatic adenocarcinoma. 展开更多
关键词 Pancreatic body neoplasm Adenocarcinoma ESOPHAGUS METASTASIS DYSPHAGIA Earache CARCINOGENESIS Case report
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Mitochondria-targeted atovaquone promotes anti-lung cancer immunity by reshaping tumor microenvironment and enhancing energy metabolism of anti-tumor immune cells
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作者 Donghai Xiong Zheng Yin +5 位作者 Mofei Huang Yian Wang Micael Hardy Balaraman Kalyanaraman Stephen T Wong Ming You 《Cancer Communications》 SCIE 2024年第3期448-452,共5页
Dear Editor,Atovaquone(ATO),a mitochondrial inhibitor,has anti-cancer effects[1].Based on ATO,we developed mitochondria-targeted atovaquone(Mito-ATO)that had even stronger anti-tumor efficacy than ATO[2].We syn-thesiz... Dear Editor,Atovaquone(ATO),a mitochondrial inhibitor,has anti-cancer effects[1].Based on ATO,we developed mitochondria-targeted atovaquone(Mito-ATO)that had even stronger anti-tumor efficacy than ATO[2].We syn-thesized Mito-ATO by attaching the bulky triphenylphos-phonium(TPP)group to ATO via a ten-carbon alkyl chain(Supplementary file of methods;Supplementary Figure S1). 展开更多
关键词 metabolism IMMUNITY targeted
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Multiscale 3D spatial analysis of the tumor microenvironment using whole-tissue digital histopathology
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作者 Daniel Shafiee Kermany Ju Young Ahn +14 位作者 Matthew Vasquez Weijie Zhang Lin Wang Kai Liu Zhan Xu Min Soon Cho Wendolyn Carlos-Alcalde Hani Lee Raksha Raghunathan Jianting Sheng Xiaoxin Hao Hong Zhao Vahid Afshar-Kharghan Xiang Hong-Fei Zhang Stephen Tin Chi Wong 《Cancer Communications》 2025年第3期386-390,共5页
Spatial statistics are crucial for analyzing clustering patterns in various spaces,such as the distribution of trees in a forest or stars in the sky.Advances in spatial biology,such as single-cell spatial transcriptom... Spatial statistics are crucial for analyzing clustering patterns in various spaces,such as the distribution of trees in a forest or stars in the sky.Advances in spatial biology,such as single-cell spatial transcriptomics,enable researchers to map gene expression patterns within tissues,offering unprecedented insights into cellular functions and disease pathology.Common methods for deriving spatial relationships include density-based methods(quadrat analysis,kernel density estimators)and distance-based methods(nearest-neighbor distance[NND],Ripley’s K function).While density-based methods are effective for visualization,they struggle with quantification due to sensitivity to parameters and complex significance tests.In contrast,distance-based methods offer robust frameworks for hypothesis testing,quantifying spatial clustering or dispersion,and facilitating comparisons with models such as uniform random distributions or Poisson processes[1,2]. 展开更多
关键词 spatial statistics map gene expression patterns analyzing clustering patterns d spatial analysis whole tissue digital histopathology spatial biologysuch multiscale tumor microenvironment
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Continuous Expression of Interferon Regulatory Factor 4 Sustains CD8^(+)T Cell Immunity against Tumor
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作者 Anze Yu Jinfei Fu +7 位作者 Zheng Yin Hui Yan Xiang Xiao Dawei Zou Xiaolong Zhang Xiongbing Zu Xian C.Li Wenhao Chen 《Research》 SCIE EI CSCD 2024年第3期433-444,共12页
T-cell-based immunotherapy is gaining momentum in cancer treatment;however,our comprehension of the transcriptional regulation governing T cell antitumor activity remains constrained.The objective of this study was to... T-cell-based immunotherapy is gaining momentum in cancer treatment;however,our comprehension of the transcriptional regulation governing T cell antitumor activity remains constrained.The objective of this study was to explore the function of interferon regulatory factor 4(IRF4)in antitumor CD8^(+)T cells using the TRAMP-C1 prostate cancer and B16F10 melanoma model.To achieve this,we generated an Irf4^(GFP-DTR) mouse strain and discovered that CD8^(+)tumor-infiltrating lymphocytes(TILs)expressing high levels of IRF4.GFP exhibited a more differentiated PD-1high cell phenotype.By administering diphtheria toxin to tumor-bearing Irf4^(GFP-DTR) mice,we partially depleted IRF4.GFP^(+)TILs and observed an accelerated tumor growth.To specifically explore the function of IRF4 in antitumor CD8^(+)T cells,we conducted 3 adoptive cell therapy(ACT)models.Firstly,depleting IRF4.GFP^(+)CD8^(+)TILs derived from ACT significantly accelerated tumor growth,emphasizing their crucial role in controlling tumor progression.Secondly,deleting the Irf4 gene in antitumor CD8^(+)T cells used for ACT led to a reduction in the frequency and effector differentiation of CD8^(+)TILs,completely abolishing the antitumor effects of ACT.Lastly,we performed a temporal deletion of the Irf4 gene in antitumor CD8^(+)T cells during ACT,starting from 20 days after tumor implantation,which significantly compromised tumor control.Therefore,sustained expression of IRF4 is essential for maintaining CD8^(+)T cell immunity in the melanoma model,and these findings carry noteworthy implications for the advancement of more potent immunotherapies for solid tumors. 展开更多
关键词 SUSTAINED IMMUNITY IMPLANTATION
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Chemerin deficiency regulates adipogenesis is depot different through TIMP1 被引量:5
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作者 Cheng-Long Huang Liu-Ling Xiao +6 位作者 Min Xu Jun Li Shu-Fen Li Cui-Song Zhu Yu-Li Lin Rui He Xi Li 《Genes & Diseases》 SCIE 2021年第5期698-708,共11页
Adipocytes and immune cells are vital for the development of adipose tissue.Adi-pokines secreted by adipocytes regulate adipogenesis and body metabolism.Chemerin is one of the adipokines.However,the function and mecha... Adipocytes and immune cells are vital for the development of adipose tissue.Adi-pokines secreted by adipocytes regulate adipogenesis and body metabolism.Chemerin is one of the adipokines.However,the function and mechanism of chemerin in adipose tissue are not fully illuminated.Compared with wild type(WT)mice,Rarres2^(-/-)mice gained weight and significantly increased fat distribution in subcutaneous adipose tissue(SAT),rather than visceral adipose tissue(VAT)on high fat diet(HFD).PPARg and C/EBPa,the master regulators of adipogenesis,were up-regulated in SAT and down-regulated in VAT in Rarres2^(-/-)mice comparing with WT mice.Inspite of chemerin deficiency or not,the ratio of adipocyte-progenitors to total cells and the differentiation capacity of adipocyte-progenitors were similar in SAT and VAT,but macrophage infiltration in VAT was more severe than in SAT in Rarres2^(-/-)mice.Furthermore,CD45þimmune cells supernatant from Rarres2^(-/-)SAT pro-moted the differentiation of adipocyte-progenitors and 3T3-L1 cells.Adipokine array assay of CD45þimmune cells supernatant revealed that metalloproteinase inhibitor 1(TIMP1),an in-hibitor of adipogenesis,was reduced in Rarres2^(-/-)SAT,but increased in Rarres2^(-/-)VAT.As we specifically knocked down chemerin in SAT,TIMP1 was down-regulated and adipogenesis was promoted with reducing infiltration of macrophages.The present study demonstrates that the effects of chemerin on adipose tissue is depot different,and specific knock down chemerin in SAT promote adipogenesis and improve glucose tolerance test(GTT)and insulin tolerance test(ITT).This suggests a potential therapeutic target for chemerin in the treatment of obesity related metabolic disorder. 展开更多
关键词 ADIPOGENESIS Adipose tissue depot CHEMERIN INFLAMMATION TIMP1
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Converging multi-modality datasets to build efficient drug repositioning pipelines against Alzheimer’s disease and related dementias 被引量:1
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作者 Zheng Yin Stephen T.C.Wong 《Medical Review》 2022年第1期110-113,共4页
Alzheimer’s disease and related dementias(AD/ADRD)affects more than 50 million people worldwide but there is no clear therapeutic option affordable for the general patient population.Recently,drug repositioning studi... Alzheimer’s disease and related dementias(AD/ADRD)affects more than 50 million people worldwide but there is no clear therapeutic option affordable for the general patient population.Recently,drug repositioning studies featuring collaborations between academic institutes,medical centers,and hospitals are generating novel therapeutics candidates against these devastating diseases and filling in an important area for healthcare that is poorly represented by pharmaceutical companies.Such drug repositioning studies converge expertise from bioinformatics,chemical informatics,medical informatics,artificial intelligence,high throughput and high-content screening and systems biology.They also take advantage of multi-scale,multi-modality datasets,ranging from transcriptomic and proteomic data,electronical medical records,and medical imaging to social media information of patient behaviors and emotions and epidemiology profiles of disease populations,in order to gain comprehensive understanding of disease mechanisms and drug effects.We proposed a recursive drug repositioning paradigm involving the iteration of three processing steps of modeling,prediction,and validation to identify known drugs and bioactive compounds for AD/ADRD.This recursive paradigm has the potential of quickly obtaining a panel of robust novel drug candidates for AD/ADRD and gaining in-depth understanding of disease mechanisms from those repositioned drug candidates,subsequently improving the success rate of predicting novel hits. 展开更多
关键词 Alzheimer’s disease drug repositioning modeling multi-omics prediction systems biology validation.
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