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MiR-224-5p regulates chemoresistance in colorectal cancer via Bcl-2-mediated autophagy
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作者 ZHOU Hui WU Meng +1 位作者 ZHU Shaihong ZHANG Yi 《中南大学学报(医学版)》 北大核心 2025年第2期190-203,共14页
Objective:Oxaliplatin(OXA)and 5-fluorouracil(5-FU)are 2 commonly used chemotherapeutic agents for colorectal cancer(CRC).MicroRNAs(miRNAs,miRs)play crucial roles in the development of chemoresistance in various cancer... Objective:Oxaliplatin(OXA)and 5-fluorouracil(5-FU)are 2 commonly used chemotherapeutic agents for colorectal cancer(CRC).MicroRNAs(miRNAs,miRs)play crucial roles in the development of chemoresistance in various cancers.However,the role and mechanism of miR-224-5p in regulating CRC chemoresistance remain unclear.This study aims to investigate the function of miR-224-5p in chemoresistant CRC cells and the underlying mechanisms.Methods:CRC datasets GSE28702 and GSE69657 were downloaded from the Gene Expression Omnibus(GEO)database.Differentially expressed miRNAs between drug sensitive and resistant groups(OXA or 5-FU)were analyzed,and miR-224-5p was identified as the target miRNA.Chemoresistant cell lines HCT15-OXR,HCT15-5-FU,SW480-OXR,and SW480-5-FU were established.Transient transfections were performed using miR-224-5p mimics,inhibitors,and their respective negative controls(control mimic,control inhibitor)in these cell lines.Cells were treated with different concentrations of OXA or 5-FU post-transfection,and the half-maximal inhibitory concentration(IC_(50))was determined using the cell counting kit-8(CCK-8)assay.Cell proliferation was assessed by CCK-8 and colony formation assays.The expression levels of miR-224-5p,LC3,and P62 were measured by real-time polymerase chain reaction(real-time PCR)and/or Western blotting.Autophagic flux was assessed using a tandem fluorescent-tagged LC3 reporter assay.TargetScan 8.0,miRTarBase,miRPathDB,and HADb were used to predict B-cell lymphoma-2(Bcl-2)as a potential miR-244-5p target,which was further validated by dual luciferase reporter assays.Results:Chemoresistant CRC cells exhibited down-regulated miR-224-5p expression,whereas up-regulation of miR-224-5p enhanced chemotherapy sensitivity.Exposure to OXA or 5-FU significantly increased autophagic activity in chemoresistant CRC cells,which was reversed by miR-224-5p overexpression.Dual-luciferase assays verified Bcl-2 as a direct target of miR-224-5p.Conclusion:MiR-224-5p regulates chemoresistance in CRC by modulating autophagy through direct targeting of Bcl-2. 展开更多
关键词 colorectal cancer CHEMORESISTANCE AUTOPHAGY miR-224-5p B-cell lymphoma-2
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Research progresses of dual-layer spectral detector CT for preoperative evaluation on colorectal cancer 被引量:3
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作者 LI Pengqiang LIU Nianjun +5 位作者 ZHANG Yanli WANG Yanfei LAN Jinhui REN Huling DOU Yu LEI Junqiang 《中国医学影像技术》 CSCD 北大核心 2024年第8期1262-1265,共4页
Dual-layer spectral detector CT is a new spectrum CT imaging technology based on detector being able to obtain both images similar to true plain and spectral images in one time scanning.The reconstructed multi-paramet... Dual-layer spectral detector CT is a new spectrum CT imaging technology based on detector being able to obtain both images similar to true plain and spectral images in one time scanning.The reconstructed multi-parameter spectral images can not only improve image quality,enhance tissue contrast,increase the visualization and detection ability of occult lesions,but also provide qualitative and quantitative analysis of the lesions,so as to provide more imaging information and multi-dimensional diagnostic basis.The research progresses of dual-layer spectral detector CT for preoperative evaluation on colorectal cancer were reviewed in this article. 展开更多
关键词 colorectal neoplasms tomography X-ray computed
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The Expression and Significance of IL-17 in Colorectal Cancer 被引量:4
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作者 地力下·司马义 李峰 张文杰 《石河子大学学报(自然科学版)》 CAS 2012年第5期611-614,共4页
IL-17的表达水平在细胞之间差异很大,目前已有研究证实IL-17与肿瘤的发生及进展有密切关系。本实验通过检测结直肠癌石蜡标本组织中和癌旁组织中的白介素-17(IL-17)的含量,探讨其与疾病的关系,及其含量的变化与与结直肠癌进展的关... IL-17的表达水平在细胞之间差异很大,目前已有研究证实IL-17与肿瘤的发生及进展有密切关系。本实验通过检测结直肠癌石蜡标本组织中和癌旁组织中的白介素-17(IL-17)的含量,探讨其与疾病的关系,及其含量的变化与与结直肠癌进展的关系。采用95例结直肠癌组织石蜡标本作为实验组,90例结直肠癌旁组织石蜡标本作为对照组的方法。使用免疫组织化学方法检测其IL-17的含量。结果显示,癌旁组织中IL-17的含量低于癌组织。由此可知,IL-17及其信号通路可以促进结直肠组织向癌的进展,通过阻断IL-17信号通路可以为结直肠癌的分子靶向治疗提供新的思路。 展开更多
关键词 结直肠癌 IL-17 STAT3
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Inhibition of colorectal cancer by ursolic acid via noncanonical Hedgehog signaling pathway 被引量:1
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作者 CHEN Li SUN Qiang +7 位作者 ZENG Sha ZHAO Hui LIU Mao-lun YANG Han REN Shan MING Tian-qi LU Jin-jian XU Hai-bo 《中国药理学与毒理学杂志》 CAS 北大核心 2021年第10期759-760,共2页
OBJECTIVE To identify the inhibitory effect of ursolic acid on the colorectal cancer HCT116 cells in vitro and in vivo,and to explore the underlying mechanism.METHODS The smoothened(SMO)gene-silenced human colorectal ... OBJECTIVE To identify the inhibitory effect of ursolic acid on the colorectal cancer HCT116 cells in vitro and in vivo,and to explore the underlying mechanism.METHODS The smoothened(SMO)gene-silenced human colorectal cancer HCT116^(hSMO)cell line was established by transfection with the lentivirus carrying SMO shRNA.The cytotoxic effect of ursolic acid on HCT116^(hSMO)cells was determined by MTT assay.The effect of ursolic acid on the migration of HCT116^(hSMO)cells was studied by wound healing assay.The effect of ursolic acid on apoptosis of HCT116^(hSMO)cells was explored by Hoechst33342/PI double staining and flow cytometry.The effects of ursolic acid on the expressions of apoptotic marker gene Bcl-2,Bax,caspase-3 and caspase-9 were measured by real-time quantitative RT-PCR(RT-qPCR)and Western blotting(WB)analysis.RT-qPCR and WB were used to examine the relationship between GLI1,c-Myc expression and PI3K/Akt pathway to further investigate the mechanism of GLI1 activation in HCT116^(hSMO)cells.The effects of ursolic acid on the expressions of GLI1,p-Akt,Akt,c-Myc,SHH and SUFU of noncanonical Hedgehog pathway were evaluated by RT-qPCR and WB assays.Xenograft nude mouse model bearing HCT116^(hSMO)cells was established and intraperitoneally treated with ursolic acid to investigate the effect on tumor growth in vivo.The body weight and tumor size of mice were assessed regularly every 2 d.The effect of ursolic acid on the apoptosis of tumor tissue was determined by TUNEL assay.The expressions of Bcl-2,Bax,GLI1,p-Akt,Akt,c-Myc,SHH,SUFU mRNA and proteins were measured by RT-qPCR and WB.The levels of Bcl-2,Bax,GLI1,p-Akt,c-Myc and SHH proteins in tumor tissues were also evaluated by immunohistochemistry.RESULTS Ursolic acid significantly inhibited the growth and migration of HCT116^(hSMO)cells in vitro,compared with the control(P<0.05).Meanwhile,ursolic acid also induced apoptosis of HCT116^(hSMO)cells in vitro(P<0.05).Furthermore,SC79(Akt activator)enhanced the expressions of p-Akt,GLI1 and c-Myc,which could be abolished by ursolic acid,and the effect was equal to Akt inhibitor LY294002.The expressions of Bcl-2,GLI1,p-Akt,c-Myc,SHH mRNA and proteins were reduced by ursolic acid,while the levels of Bax and SUFU were increased.Ursolic acid could inhibit the growth and induce the apoptosis of colorectal cancer xenograft in vivo.Similarly,lower levels of Bcl-2,GLI1,p-Akt,c-Myc and SHH,and higher expression of Bax and SUFU were noted in ursolic acid-treated mice.CONCLUSION Ursolic acid can inhibit the growth and induce apoptosis of HCT116^(hSMO)cells both in vitro and in vivo.And the mechanism is related to the suppression of PI3K/Akt-mediated noncanonical Hedgehog signaling pathway. 展开更多
关键词 ursolic acid colorectal cancer noncanonical Hedgehog signaling APOPTOSIS
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Intra-arterial chrono-chemotherapy for liver metastasis arised from colorectal cancer
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作者 HUANG Jin-hua ZHANG Liang +5 位作者 WU Pei-hong FAN Wei-jun ZHANG Fu- jun GU Yang-kui ZHAO Ming CHENG Ying-sheng 《介入放射学杂志》 CSCD 2006年第8期487-490,共4页
Objective To evaluate the toxic effects and efficacy of the intra-arterial chrono-chemotherapy on patients with liver metastasis arised from colorectal cancer. Methods Chemotherapy of 42 patients were randomly divided... Objective To evaluate the toxic effects and efficacy of the intra-arterial chrono-chemotherapy on patients with liver metastasis arised from colorectal cancer. Methods Chemotherapy of 42 patients were randomly divided into group A (n = 20) with continuously constant arterial infusion, and group B (n = 22) with arterial chrono-modulated infusion. And the toxic effects and efficacy of two groups were compared. Results A significant difference was found in the toxic effects of digestive system between the two groups. The treatment response was similar in the two groups. Conclusions Intra-arterial chrono-chemotherapy may decrease the toxic effects and improve the life quality of these patients. (J Intervent Radiol, 2006, 15: 487-490) 展开更多
关键词 Liver metastasis colorectal cancer CHRONO-CHEMOTHERAPY Intra-arterial infusion
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Inhibitory action of berberine on colorectal cancer HCT116 cells by regulation of Hedgehog signaling pathway
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作者 SUN Qiang CHEN Li +7 位作者 ZENG Sha LIU Mao-lun REN Shan ZHAO Hui YANG Han MING Tian-qi LU Jin-jian XU Hai-bo 《中国药理学与毒理学杂志》 CAS 北大核心 2021年第10期771-772,共2页
OBJECTIVE To investigate the inhibition and mechanism of berberine on human colorectal cancer HCT116 cells through canonical Hedgehog signaling pathway.METHODS The effect of berberine on cell morphology was observed b... OBJECTIVE To investigate the inhibition and mechanism of berberine on human colorectal cancer HCT116 cells through canonical Hedgehog signaling pathway.METHODS The effect of berberine on cell morphology was observed by microscopy.MTT colorimetric assay,cell scratch experiment,colony formation assay and Hoechest/PI staining were utilized to detect the activities of berberine on cell viability,cell migration and cell apoptosis.Flow cytometry was applied to examine the cell apoptosis.The effects of berberine on caspase-3 and caspase-9 were detected by caspase activity detection kit.The expressions of Hedgehog signaling pathway-related proteins SHH,GLI1,PTCH1,SMO,SUFU,apoptosis-related proteins Bax and Bcl-2 as well as cell cycle-related proteins cyclin D1 were detected by Western blotting.Additionally,quantitative real time RT-PCR was employed to assess the mRNA expression levels of Hedgehog signaling pathway-related genes SHH,GLI1,PTCH1,SMO,SUFU,apoptosis-related genes Bax and Bcl-2 as well as cell cycle-related genes cyclin D1.RESULTS Berberine sharply altered the morphology of human colorectal cancer HCT116 cells,demonstrated by that migration ability of HCT116 cells was reduced significantly and the nuclei were densely stained.Berberine could induce apoptosis in a dose-dependent manner.The activities of caspase-3 and caspase-9 were increased prominently.The expression levels of Hedgehog signaling pathway-related protein SUFU and apoptosis-related protein Bax were augmented substantially.The expression levels of Hedgehog signaling pathway-related proteins SHH,GLI1,PTCH1,SMO,apoptosis-related protein Bcl-2 as well as cell cycle-related genes cyclin D1 were markedly lessened.Besides,the mRNA expression levels of Hedgehog signaling pathway-related gene SUFU and apoptosis-related gene Bax were augmented substantially.The mRNA expression levels of Hedgehog signaling pathway-related genes SHH,GLI1,PTCH1,SMO,apoptosis-related gene Bcl-2 as well as cell cycle-related gene cyclin D1 were markedly lessened.CONCLUSION Berberine,which is the main component of coptidis rhizoma,can remarkably restrain the growth and proliferation,promote apoptosis of human colorectal cancer cells HCT116,and the underlying mechanism may be involved in suppressing the activity of the Hedgehog signaling pathway. 展开更多
关键词 BERBERINE Hedgehog signaling pathway colorectal cancer cell proliferation cell apoptosis
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Scutellarin induces apoptosis of colorectal cancer HCT116 cells via Hippo signaling pathway
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作者 YANG Han SUN Qiang +7 位作者 ZENG Sha CHEN Li ZHAO Hui LIU Mao-lun REN Shan MING Tian-qi LU Jin-jian XU Hai-bo 《中国药理学与毒理学杂志》 CAS 北大核心 2021年第10期775-776,共2页
OBJECTIVE To investigate the effect of scutellarin on the apoptosis of human colorectal cancer cells via the Hippo signaling pathway in vitro.METHODS MTT colorimetric method was used to detect the influence of scutell... OBJECTIVE To investigate the effect of scutellarin on the apoptosis of human colorectal cancer cells via the Hippo signaling pathway in vitro.METHODS MTT colorimetric method was used to detect the influence of scutellarin on the survival rate of HCT116 cells.And the effect of scutellarin at various concentrations on cell morphology was observed by microscopy.Cell scratch experiment was used to detect the influence of scutellarin on the migration of HCT116 cells.Hoechst33342/PI double staining method was used to detect the effect of scutellarin on the apoptosis of HCT116 cells.Western blotting method was used to assess the action of scutellarin on the expressions of Hippo signaling pathway-related proteins Mst1,Lats1,YAP1,p-YAP(Ser127),TAZ,and its downstream effector proteins c-Myc and cyclin D1,as well as apoptosis-related proteins Bcl-2 and Bax in HCT116 cells.RESULTS Scutellarin significantly affected the morphology of HCT116 cells and reduced the survival rate of HCT116 cells.Hoechst33342/PI double staining showed that scutellarin effectively induced the apoptosis of HCT116 cells.Western blotting analysis showed that the expression levels of Hippo signaling pathway-related proteins Mst1,Lats1,YAP1,TAZ and its downstream effector proteins c-Myc,cyclin D1 were down-regulated in a concentration-dependent manner by scutellarin,and the expression of p-YAP(ser127)was up-regulated.Moreover,scutellarin substantially lessened the expression level of apoptosis-related protein Bcl-2,and promoted the protein level of Bax.CONCLUSION Scutellarin may inhibit the proliferation and migration of HCT116 cells,while induce its apoptosis,potentially by activation of Hippo signaling pathway. 展开更多
关键词 SCUTELLARIN colorectal cancer HCT116 cells Hippo signaling pathway
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Suppression of AOM/DSS-induced colorectal cancer by scutellarin through downregulation of Wnt signaling pathway activity
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作者 ZENG Sha ZHAO Hui +7 位作者 CHEN Li SUN Qiang REN Shan LIU Mao-lun YANG Han TANG Shun LU Jin-jian XU Hai-bo 《中国药理学与毒理学杂志》 CAS 北大核心 2021年第10期739-740,共2页
OBJECTIVE To investigate the therapeutic effect of scutellarin on colitis-associated cancer(CAC)and its underlying mechanism based on Wnt/β-catenin signaling pathway.METHODS The mouse model of CAC was established by ... OBJECTIVE To investigate the therapeutic effect of scutellarin on colitis-associated cancer(CAC)and its underlying mechanism based on Wnt/β-catenin signaling pathway.METHODS The mouse model of CAC was established by azomethane oxide(AOM)and sodium dextran sulfate(DSS),followed by scutellarin treatment,with recording the body weight,diarrhea and hematochezia.After sacrificing the mice,the colorectal length and colorectal tumor were assessed.The levels of pro-inflammatory factors TNF-αand IL-6 in mice′s sera were measured by the enzyme-linked immunosorbent assay(ELISA).The colorectal lesions were appraised by hematoxylin and eosin(H&E)staining.Theβ-catenin level in CAC tissues was probed by immunofluorescent analysis.The apoptosis-related genes Bax and Bcl-2,and Wnt signaling pathway-related genesβ-catenin,GSK-3β,TCF4,c-Myc and cyclin D1 were detected by real-time quantitative RT-PCR(RT-qPCR).Finally,Western blotting analysis(WB)was employed to examine the expressions of the apoptosis and Wnt signaling pathway-related proteins.RESULTS Scutellarin significantly improved AOM/DSS-caused weight loss,colorectal length shortening,and tumor growth in mice(P<0.01).Meanwhile,colorectal lesions could be substantially alleviated by scutellarin.ELISA results showed that the levels of pro-inflammatory factors TNF-αand IL-6 were drastically lessened(P<0.01).Scutellarin also sharply inhibited the nuclear translocation ofβ-catenin,as evidenced by the reduction in the nuclear level ofβ-catenin protein.In addition,scutellarin attenuated the mRNA expression of Wnt signaling pathway-relatedβ-catenin,TCF4,c-Myc and cyclin D1,whereas it heightened GSK-3βmRNA level.These results were consolidated by WB analysis,which indicated that scutellarin could mitigate the protein levels of phospho-GSK-3β,β-catenin,TCF4,c-Myc and cyclin D1,with the increase in GSK-3βprotein in CAC tissue.Moreover,scutellarin could induce the apoptosis of CAC,demonstrated by enhanced expression of Bax and diminished expression of Bcl-2 in both mRNA and protein levels.CONCLUSION Scutellarin may ameliorate colitis-associated colorectal cancer by weakening Wnt/β-catenin signaling cascade. 展开更多
关键词 SCUTELLARIN colorectal cancer Wnt signaling pathway AOM/DSS
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Colorectal cancer in Alexandria,Egypt;clinical profile,epidemiological characteristics,trend,and survival
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作者 Moataz M.Abdel-Fattah Omaima G.Yassine 《海南医学院学报》 CAS 2010年第8期981-987,991,共8页
Objective:During the past decades,the incidence of colorectal cancer was increased all around the world.In Egypt,colorectal cancer is the 7th most common cancer.The purpose of this study is to study the problem of col... Objective:During the past decades,the incidence of colorectal cancer was increased all around the world.In Egypt,colorectal cancer is the 7th most common cancer.The purpose of this study is to study the problem of colorectal cancer in Alexandria:trend,and survival.Methods:Two methodological strategies were adopted:Record reviewing for estimation of the annual incidence rates of colorectal cancer,and a retrospective cohort study to calculate the 5-year survival rates of colorectal cancer.Results:The annual incidence rates of CRC in Alexandria in 2007-2008 were 6.33 and 6.45 respectively per 100000 mid-year Alexandria population.The overall 5-years cumulative survival rate for CRC cases was 28.0%.Conclusion:This increase in incidence and mortality rates points toward a failed early detection and prevention strategy as well as failure to address lifestyle and dietary challenges of urbanization that affect most of the globe including Egypt. 展开更多
关键词 大肠癌 发病率 治疗方法 预防措施
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Predictive value of thymidylate synthase expression in advanced colorectal cancer patients receiving fluoropyrimidine-based chemotherapy. Evidence from 24 studies 被引量:8
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作者 Qiu, Li-Xin Tang, Qi-Yun +4 位作者 Bai, Jian-Ling Qian , Xiao-Ping Li, Ru-Tian Liu, Bao-Rui Zheng, Ming-Hua 《南京医科大学学报(自然科学版)》 CAS CSCD 北大核心 2008年第12期1632-1632,共1页
关键词 胸苷酸 合成酶 肠癌 氟嘧啶 化疗方法
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多组学与人工智能在预测和诊断结直肠癌肝转移中的应用 被引量:1
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作者 王立坤 郝琦 +6 位作者 金炜涵 董时正 武雪亮 胡晓峰 武亮 荀敬 马洪庆 《实用医学杂志》 北大核心 2025年第7期1070-1078,共9页
结直肠癌是全球癌症相关发病率和病死率的主要原因之一,肝转移显著影响患者的预后。传统的诊断方法,如影像学检查和生物标志物检测,往往缺乏足够的敏感性和特异性,凸显了对更精确技术的需求。近年来,基因组学、转录组学、蛋白质组学、... 结直肠癌是全球癌症相关发病率和病死率的主要原因之一,肝转移显著影响患者的预后。传统的诊断方法,如影像学检查和生物标志物检测,往往缺乏足够的敏感性和特异性,凸显了对更精确技术的需求。近年来,基因组学、转录组学、蛋白质组学、代谢组学和表观遗传学等技术的出现彻底改变了对结直肠癌生物学机制的理解。这些方法能够全面分析基因突变、基因表达、蛋白质变化和代谢重编程,所有这些因素均参与了转移过程的形成。本文围绕人工智能技术在分析复杂的多组学数据、提高诊断准确性以及协助个性化治疗策略方面的先进的能力,探讨了AI在多组学分析的数据质量、模型可解释性和临床转化方面的挑战,以及单细胞测序和空间组学等新兴技术结合大规模、多中心的研究进一步增强这些工具的临床应用的未来方向。 展开更多
关键词 结直肠癌肝转移 人工智能 基因组学 转录组学 蛋白质组学
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土贝母苷甲通过促进GPX4泛素化降解诱导结直肠癌细胞铁死亡 被引量:1
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作者 王萍 王长福 +2 位作者 韩士林 匡海学 王秋红 《天然产物研究与开发》 北大核心 2025年第3期403-410,共8页
本研究旨在探究土贝母苷甲(tubeimoside I,TBMS 1)诱导的结肠癌细胞HCT116细胞铁死亡及分子机制。体外培养结直肠癌HCT116细胞,MTT法检测不同浓度TBMS 1作用HCT116细胞的存活率,并根据此结果进行分组;克隆形成实验检测TBMS 1对HCT116细... 本研究旨在探究土贝母苷甲(tubeimoside I,TBMS 1)诱导的结肠癌细胞HCT116细胞铁死亡及分子机制。体外培养结直肠癌HCT116细胞,MTT法检测不同浓度TBMS 1作用HCT116细胞的存活率,并根据此结果进行分组;克隆形成实验检测TBMS 1对HCT116细胞增殖能力的影响;Western blot法检测细胞中溶质载体家族7成员11(solute carrier family 7 member 11,SLC7A11)和谷胱甘肽过氧化物酶(glutathione peroxidase 4,GPX4)的表达;流式细胞仪及荧光显微镜检测细胞中脂质活性氧(lipid reactive oxygen species,Lipid ROS)水平的变化;丙二醛(malondialdehyde,MDA)、谷胱甘肽(glutathione,GSH)、亚铁离子(Fe^(2+))试剂盒分别检测细胞中MDA,GSH以及Fe^(2+)的相对水平;免疫共沉淀法检测GPX4蛋白的泛素化水平。研究结果表明随TBMS 1药物浓度的增加,HCT116细胞的存活率逐渐降低,克隆形成能力逐渐降低;细胞中加入TBMS 1后,GSH水平降低,而Fe^(2+)和MDA水平增加;HCT116细胞中加入TBMS 1作用后,细胞中氧化态的Lipid ROS绿色荧光明显增加且Lipid ROS水平明显增加;在细胞中同时加入TBMS 1和铁死亡抑制剂ferrostatin-1(Fer-1)能够逆转TBMS 1导致的细胞死亡,且细胞中加入不同浓度的TBMS 1能够抑制GPX4蛋白的表达,而对SLC7A11蛋白的表达几乎没有影响;与对照组相比,单独加入TBMS 1对GPX4蛋白表达的抑制能够被Fer-1所逆转,且蛋白免疫共沉淀结果显示,TBMS 1促进了GPX4蛋白的泛素化和降解。本研究结果发现TBMS 1可能通过促进GPX4蛋白的泛素化和降解诱导结直肠癌HCT116细胞铁死亡并抑制其恶性增殖。 展开更多
关键词 土贝母苷甲 结直肠癌 增殖 谷胱甘肽过氧化物酶4 铁死亡 泛素化
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抗血管生成靶向药物在治疗结直肠癌的耐药机制研究进展 被引量:1
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作者 蒋海涛 许阳贤 《中国临床药理学与治疗学》 北大核心 2025年第2期193-199,共7页
结直肠癌(CRC)是全球范围内的高发恶性肿瘤之一,尽管抗血管生成靶向药物如贝伐珠单抗在治疗转移性CRC中显示出显著疗效,但耐药性的出现仍然是影响患者治疗成功率和生存期的关键障碍。本文综述了抗血管生成靶向药物在CRC治疗中的研究进... 结直肠癌(CRC)是全球范围内的高发恶性肿瘤之一,尽管抗血管生成靶向药物如贝伐珠单抗在治疗转移性CRC中显示出显著疗效,但耐药性的出现仍然是影响患者治疗成功率和生存期的关键障碍。本文综述了抗血管生成靶向药物在CRC治疗中的研究进展、耐药机制以及如何解决耐药性的研究进展。 展开更多
关键词 结直肠癌 抗血管生成 耐药机制 靶向治疗
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大肠腺瘤性息肉危险因素及预测模型的构建与验证 被引量:1
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作者 董魁 吴洁 +3 位作者 燕静 刘海涛 王军 乔冠恩 《实用医学杂志》 北大核心 2025年第6期838-845,共8页
目的运用logistic回归分析法识别大肠腺瘤性息肉的风险因素,并基于这些要素建立预测模型,随后对模型的有效性进行验证及评价。方法纳入2017年1月至2022年1月在邯郸市第一医院接受大肠息肉切除手术的患者1023例,包含腺瘤性息肉患者(腺瘤... 目的运用logistic回归分析法识别大肠腺瘤性息肉的风险因素,并基于这些要素建立预测模型,随后对模型的有效性进行验证及评价。方法纳入2017年1月至2022年1月在邯郸市第一医院接受大肠息肉切除手术的患者1023例,包含腺瘤性息肉患者(腺瘤性息肉组)676例和非腺瘤性息肉患者(非腺瘤性息肉组)347例。收集了患者的基本信息、病史、结肠镜检查结果和息肉病理结果等数据。通过比较两组间的差异,筛选出显著性差异的指标作为模型构建的候选因素,并将患者按8∶2的比例随机分为训练集与验证集。利用训练集数据构建风险预测模型,并利用R studio软件绘制列线图以直观展示模型。最后,采用验证集内部验证模型。通过受试者工作(ROC)曲线来评估模型的区分能力,Calibration校准曲线来评价模型的精确度,决策曲线分析(DCA)评价模型在临床实践中的应用价值。结果两组在年龄、饮酒习惯、大肠癌家族史、高脂血症、胆囊切除史、HP感染和阑尾切除史变量的比较中存在显著性差异(P<0.05),这些因素被纳入模型构建。随机分配了818例进入训练集,205例进入验证集。对训练集进行多元逻辑回归分析确认了年龄(OR=1.021,95%CI:1.006~1.036,P=0.006)、饮酒(OR=3.440,95%CI:2.251~5.257,P<0.001)、大肠癌一级亲属(OR=3.775,95%CI:1.881~7.577,P<0.001)、高脂血症(OR=3.428,95%CI:2.443~4.808,P<0.001)、胆囊切除(OR=3.916,95%CI:1.756~8.735,P<0.001)、幽门螺杆菌(HP)感染(OR=3.292,95%CI:2.309~4.693,P<0.001)、阑尾切除(OR=3.819,95%CI:2.002~7.286,P<0.001)为腺瘤性息肉发病的独立危险因素。据此构建了大肠腺瘤性息肉的预测模型,P=1/(1+e^(-Y)),其中Y=0.020×年龄+1.328×大肠癌一级亲属+1.235×饮酒+1.232×高脂血症+1.365×胆囊切除+1.192×HP感染+1.340×阑尾切除-1.995。该模型的训练集及验证集的AUC分别为0.763(95%CI:0.729~0.797)和0.769(95%CI:0.644~0.787),显示出具有良好的能力。校准曲线显示模型拟合度良好,决策曲线分析表明模型在广泛的获益阈值下均能实现积极的净获益,证实了模型的临床应用价值。结论年龄、饮酒、大肠癌一级亲属、高脂血症、胆囊切除、HP感染、阑尾切除为腺瘤性息肉发病的独立危险因素(P<0.05)。基于上述危险因素构建的预测模型对大肠腺瘤性息肉的预测具有较高的实用价值。 展开更多
关键词 大肠息肉 腺瘤性息肉 非腺瘤性息肉 预测模型 列线图 ROC曲线
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徐振晔教授治疗晚期大肠癌的临床经验
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作者 黄晓伟 顾贤 +2 位作者 王哲睿 祝利民 徐振晔 《世界科学技术-中医药现代化》 北大核心 2025年第4期1131-1135,共5页
本文主要介绍徐振晔教授治疗晚期大肠癌的经验。徐教授认为晚期大肠癌的病机以虚为主,邪实为辅,本虚标实,且多为精气两虚,治疗当重在补虚,其次是去邪毒。徐教授创新性地提出“脾虚精亏、扶正抗癌”的理论,治疗大肠癌以健脾补肾养精为主... 本文主要介绍徐振晔教授治疗晚期大肠癌的经验。徐教授认为晚期大肠癌的病机以虚为主,邪实为辅,本虚标实,且多为精气两虚,治疗当重在补虚,其次是去邪毒。徐教授创新性地提出“脾虚精亏、扶正抗癌”的理论,治疗大肠癌以健脾补肾养精为主,清热解毒抗肿瘤为辅。 展开更多
关键词 大肠癌 中医中药 临床经验
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面向内窥影像息肉区域感知的分层多尺度特征归并融合分析方法
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作者 胡珂立 黄杰 +5 位作者 孙源泽 何为 祝汉灿 王臣 赵利平 胡剑浩 《传感技术学报》 北大核心 2025年第8期1448-1456,共9页
结肠镜是肠道内窥感知的重要手段,是结直肠癌筛查的金标准,及时发现并进行必要摘除是降低结直肠癌发病率的重要手段。针对息肉区域难以准确提取的问题,本文提出了一种基于分层多尺度特征归并融合的内窥影像息肉区域感知提取网络,以帮助... 结肠镜是肠道内窥感知的重要手段,是结直肠癌筛查的金标准,及时发现并进行必要摘除是降低结直肠癌发病率的重要手段。针对息肉区域难以准确提取的问题,本文提出了一种基于分层多尺度特征归并融合的内窥影像息肉区域感知提取网络,以帮助医生完整发现并摘除相应组织区域。首先,该网络引入非均衡信息聚合模块,通过不同尺度卷积和全局平均池化特征进行相邻层特征融合。接着,通过多尺度信息聚合模块,结合多卷积核提取特征并基于通道注意力机制强化不同感受野特征融合提取。最后,基于两类模块逐级串联归并,强化各层多尺度特征归并融合,增强网络对模糊边界和小病灶区域的识别能力。在5个数据集上,经比较分析,本文提出的网络总体表现最优。本文提出的网络在CVC-ColonDB和ETIS两个数据集中表现出较大优势,在平均Dice指标上相比CFANet最高取得了7.7%的提升,验证了算法有效性。 展开更多
关键词 内窥镜检查 区域感知 结直肠癌 息肉 提取
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上海市结直肠癌筛查项目参与状态对结直肠癌发病、分期及患者生存结局的影响
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作者 彭鹏 窦剑明 +5 位作者 吴春晓 庞怡 龚杨明 吴梦吟 施燕 顾凯 《中国癌症杂志》 北大核心 2025年第7期657-664,共8页
背景与目的:上海市社区居民结直肠癌筛查项目从2013年开始实施至今已12年。本研究旨在以筛查参与状态分组,分析筛查对结直肠癌发病、分期及生存结局的影响。方法:采用基于注册的队列研究方法,将2013—2017年上海市户籍居民中符合筛查年... 背景与目的:上海市社区居民结直肠癌筛查项目从2013年开始实施至今已12年。本研究旨在以筛查参与状态分组,分析筛查对结直肠癌发病、分期及生存结局的影响。方法:采用基于注册的队列研究方法,将2013—2017年上海市户籍居民中符合筛查年龄范围的人群分为筛查组和非筛查组,通过肿瘤登记报告系统收集入组后5年期间诊断为结直肠癌的病例,按性别、年龄和诊断年份等分类计算结直肠癌年龄标准化累积发病率和年龄组累积发病率、诊断时分期及生存率。使用Joinpoint回归分析方法计算年度变化百分比进行累积发病率趋势分析,采用寿命表法和EdererⅡ法计算结直肠癌患者的5年观察生存率和期望生存率,最终获得相对生存率。结果:分别纳入50~74岁筛查组对象1687689人和非筛查组对象4713307人,随访5年期间两组分别新发结直肠癌病例10333例和20904例。筛查组年龄标准化5年累积发病率为555.33/10万,平均每年增长33.32%(P<0.05),非筛查组年龄标准化5年累积发病率为529.85/10万,平均每年增长48.13%(P<0.05)。筛查组与非筛查组年龄标准化5年累积发病率差异无统计学意义(X=0.25,P=0.804);年龄组越低,筛查组年龄标准化累积发病率年度变化百分比增长与非筛查组相比差异越大。筛查组和非筛查组新发结直肠癌病例诊断时0~Ⅰ期分别占14.70%和7.46%,两组构成差异有统计学意义(P<0.05)。筛查组患者5年相对生存率为73.94%,显著高于非筛查组(59.66%),差异有统计学意义(P<0.05)。两组病例的女性生存率均高于男性,生存率随诊断时年龄增加而降低。结论:居民结直肠癌筛查项目实施,筛查参与人群的结直肠癌发病率增长速度得到遏制,结直肠癌病例诊断时早期比例和5年生存率均得到显著提升。要实现全人群结直肠癌发病率下降,需大力提高适宜人群筛查覆盖率,特别是促进低年龄组人群参与筛查的比例;应关注高年龄组筛查质量,提高高风险人群肠镜检查的依从性。同时进一步优化不同性别、年龄和风险人群筛查的精细化管理。 展开更多
关键词 结直肠癌 筛查 累积发病率 分期 生存率
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一种特定合生元对Apc^(Min/+)小鼠结肠肿瘤发生的抑制作用
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作者 郑姣 吴辉霞 +3 位作者 仝谣 文泓 刘如石 廖旻晶 《中国病理生理杂志》 北大核心 2025年第7期1317-1324,共8页
目的:探讨一种由长双歧杆菌BB536和低聚果糖构成的特定合生元制剂能否调节自发性结肠肿瘤模型小鼠的肠道菌群结构,并抑制其肿瘤发生。方法:6周龄雄性Apc^(Min/+)小鼠随机分为对照组和合生元干预组,每组8只。根据体重,合生元干预组小鼠... 目的:探讨一种由长双歧杆菌BB536和低聚果糖构成的特定合生元制剂能否调节自发性结肠肿瘤模型小鼠的肠道菌群结构,并抑制其肿瘤发生。方法:6周龄雄性Apc^(Min/+)小鼠随机分为对照组和合生元干预组,每组8只。根据体重,合生元干预组小鼠每日通过灌胃补充长双歧杆菌BB536(1×10~9 CFU/kg)和低聚果糖(2 g/kg),而对照组小鼠每日灌胃灭菌水,持续10周。比较对照组和合生元干预组小鼠结肠肿瘤的数量和体积,通过苏木素-伊红染色、阿利新蓝染色及免疫组化方法观察分析结肠组织切片,通过16S rRNA测序分析结肠菌群结构,并通过有参转录组测序、定量聚合酶链式反应分析差异基因的表达情况。结果:合生元干预可显著增加小鼠结肠内菌群α多样性以及双歧杆菌的相对丰度(P<0.01),同时干预组小鼠结肠肿瘤数目和体积显著减少(P<0.01),Ki-67表达显著降低(P<0.01),结肠组织内杯状细胞的数量和上皮细胞间紧密连接蛋白(ZO-1和occludin)的表达显著升高(P<0.05)。结论:该合生元制剂对Apc^(Min/+)小鼠的肠道菌群结构具有一定调节作用,并对结肠肿瘤具有抑制作用。 展开更多
关键词 结直肠癌 肠道菌群 益生菌 益生元 合生元
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miR-543/SNTB1轴调控结直肠癌免疫微环境
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作者 张敏 李敏 +3 位作者 肖猛 陈才 郑小菊 雷雨广 《陆军军医大学学报》 北大核心 2025年第13期1484-1493,共10页
目的探讨miR-543/互养蛋白β1(syntrophin beta 1,SNTB1)轴在结直肠癌(colorectal cancer,CRC)中的临床意义及其对免疫微环境的影响。方法收集癌症基因组图谱(the Cancer Genome Atlas,TCGA)、基因型组织表达(Genotype-Tissue Expressio... 目的探讨miR-543/互养蛋白β1(syntrophin beta 1,SNTB1)轴在结直肠癌(colorectal cancer,CRC)中的临床意义及其对免疫微环境的影响。方法收集癌症基因组图谱(the Cancer Genome Atlas,TCGA)、基因型组织表达(Genotype-Tissue Expression,GTEx)、人类蛋白质图谱(Human Protein Atlas,HPA)等公开数据对CRC组织中SNTB1的表达进行分析,并通过Kaplan-Meier生存分析、单因素Cox回归分析及相关性分析评估SNTB1在CRC患者中的预后价值及其与免疫微环境的关系。在线数据库结合CRC细胞HT-29荧光活性实验检测miR-543与SNTB1的靶向关系。CRC细胞HT-29经过相应处理后(转染si-SNTB1、miR-543 mimics或/和SNTB1过表达质粒)与CD8^(+)T细胞构建体外共培养体系,分别采用RT-qPCR、Western blot、流式细胞术、ELISA以及乳酸脱氢酶(lactate dehydrogenase,LDH)释放实验检测miR-543、SNTB1的表达以及CD8^(+)T细胞的活性及细胞毒性。结果对公共数据库的分析显示SNTB1在CRC中的表达显著高于正常组织(P<0.001);相较于SNTB1低表达组,SNTB1高表达的患者预后较差(P<0.05)。SNTB1高表达与CRC肿瘤微环境免疫评分以及CD8^(+)T细胞等免疫细胞的浸润呈负相关关系(P<0.05),且在HT-29细胞中敲减SNTB1可增强CD8^(+)T细胞的杀伤力(P<0.01)。在线数据库结合细胞实验证实了miR-543和SNTB1的靶向结合关系,同时miR-543在CRC中表达降低(P<0.001)。转染miR-543 mimic可抑制HT-29细胞中SNTB1的表达(P<0.001),而过表达SNTB1可逆转miR-543 mimic对CD8^(+)T细胞体外杀伤能力的促进效应(P<0.05)。结论miR-543可通过与SNTB1的靶向结合促进CD8^(+)T细胞的活化并增强其对HT-29细胞的杀伤力。 展开更多
关键词 miR-543 结直肠癌 互养蛋白β1 肿瘤免疫微环境
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左金丸通过抑制ERK、p38和AKT信号通路抑制肿瘤血管生成和结肠癌生长
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作者 袁杰 孟娇 +4 位作者 闫化茹 常彬 孙明瑜 梁婷玉 王子元 《海南医科大学学报》 北大核心 2025年第5期343-350,共8页
目的:研究左金丸通过抑制ERK1/2、p38MAPK和AKT信号通路对肿瘤血管生成的影响。方法:使用不同浓度的左金丸处理含有或不含VEGF的HUVEC和Lovo细胞,利用CCK-8法评估左金丸对HUVEC和Lovo细胞增殖的影响;利用流式细胞术分析左金丸对HUVEC细... 目的:研究左金丸通过抑制ERK1/2、p38MAPK和AKT信号通路对肿瘤血管生成的影响。方法:使用不同浓度的左金丸处理含有或不含VEGF的HUVEC和Lovo细胞,利用CCK-8法评估左金丸对HUVEC和Lovo细胞增殖的影响;利用流式细胞术分析左金丸对HUVEC细胞凋亡的影响;采用划痕实验、Transwell实验、管腔形成实验检测左金丸对HUVEC细胞迁移、侵袭和管腔形成的影响;建立人结肠癌Lovo细胞裸鼠皮下移植瘤模型,随机分为5组:对照组(0.9%氯化钠溶液组),左金丸低、中、高剂量组(1 027.5 mg/kg,2 055 mg/kg,4 110 mg/kg)和化疗药5-Fu组(50 mg/kg),每隔1日给药1次。给药第21天处死裸鼠,比较各组肿瘤体积和重量。利用免疫组化法检测各组瘤体中CD34表达(微血管密度)。采用Western blot法检测左金丸对VEGFR2及其下游信号通路的调控作用。结果:左金丸能显著抑制HUVEC细胞和Lovo细胞的增殖,尤其对VEGF诱导的HUVEC细胞增殖的抑制效果更为明显(P<0.05)。左金丸能促进VEGF诱导的HUVEC细胞凋亡、抑制其迁移、侵袭和管腔形成能力(P<0.05)。在裸鼠移植瘤模型中,左金丸剂量依赖性地抑制了移植瘤的体积和重量(P<0.05),并使瘤体微血管密度显著减低(P<0.05)。此外,左金丸还通过抑制VEGF诱导的HUVEC细胞中ERK1/2、p38MAPK和AKT的磷酸化水平发挥作用,表现出剂量依赖性和时间依赖性,但未对VEGFR2磷酸化水平表达产生影响。结论:左金丸能有效抑制肿瘤血管生成,其机制可能与其抑制ERK1/2、p38MAPK和AKT信号通路有关。 展开更多
关键词 左金丸 肿瘤血管生成 结肠癌 ERK1/2 AKT p38MAPK
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