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Temozolomide resistance in high grade gliomas
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作者 卫翔宇 XIE Chao-ran +2 位作者 YOU Chao-guo CHEN Zheng 郑学胜 《上海交通大学学报(医学版)》 CAS CSCD 北大核心 2018年第1期117-124,共8页
High grade gliomas are always the research focus in the field of neurosurgery due to their poor prognosis despite the current standard therapeutic regimen of surgical resection followed by radiation therapy and chemot... High grade gliomas are always the research focus in the field of neurosurgery due to their poor prognosis despite the current standard therapeutic regimen of surgical resection followed by radiation therapy and chemotherapy. Alkylating agent temozolomide has been established as the standard chemotherapy while its resistance inevitable during treatment. This phenomenon seriously influences the prognosis of patients suffering from high grade gliomas. This review aims to elucidate temozolomide chemoresistance mechanisms through three chapters including O^6-methylguanine-DNA methyltransferase(MGMT) methylation, mismatch repair mutation and epigenetic regulation consisting of p21, chromatin and histone, Y-box binding protein-1 and micro RNAs. 展开更多
关键词 high grade glioma TEMOZOLOMIDE RESISTANCE O6-methylguanine-DNA methyltransferase mismatch repair
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A study of the effect of antioxidant status on the outcome of malignant gliomas
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作者 Anjali Rao Gayathri M Rao +3 位作者 Krishnananda Prabhu Gummadi Maheshwar Reddy Suryanarayana Rao Annaswamy Raja 《海南医学院学报》 CAS 2010年第1期38-41,46,共5页
Objective:To explore the relationship of the effect of antioxidant status of patients with malignant gliomas at the time of their admission to a tertiary care hospital and the clinical condition after a post operative... Objective:To explore the relationship of the effect of antioxidant status of patients with malignant gliomas at the time of their admission to a tertiary care hospital and the clinical condition after a post operative follow up over a period of two years.Methods: Several antioxidant enzymes like erythrocytic glutathione reductase,glutathione peroxidase,catalase,superoxide dismutase,plasma ceruloplasmin,antioxidant vitamins A,E and C and lipid peroxidation products like erythrocytic thiobarbituric acid reacting substances and plasma conjugated dienes were analyzed both in controls and glioma patients.Results: It was observed that patients who exhibited an overall higher turnover of antioxidants presented with recurrence.Conclusion: Free radical toxicity may adversely affect the outcome of such cancer patients. 展开更多
关键词 恶性胶质瘤 过氧化氢酶 抗氧化作用 患者
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Inhibitory effects of lapachol on rat C6 glioma in vitro and in vivo by targeting DNA topoisomerase Ⅰ and topoisomerase Ⅱ 被引量:3
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作者 XU Huan-li CHEN Qun-ying +5 位作者 WANG Hong XU Ping-xiang YUAN Ru LI Xiao-rong BAI Lu XUE Ming 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2016年第10期1069-1069,共1页
OBJECTIVE The aim of this study is to investigate the inhibitory effects of lapachol on rat C6 glioma both in vitro and in vivo,as well as the potential mechanisms.METHODS First,the model of C6 glioma in Wistar rats w... OBJECTIVE The aim of this study is to investigate the inhibitory effects of lapachol on rat C6 glioma both in vitro and in vivo,as well as the potential mechanisms.METHODS First,the model of C6 glioma in Wistar rats was established and verified by hemotoxylin and eosin staining,immunohistochemical staining and magnetic resonance imaging(MRI).Then different doses of lapachol were gavaged and tumor volumes of the C6 glioma were detected by MRI.The effects of lapachol on C6 cell proliferation,apoptosis and DNA damage were detected by 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium(MTS)/phen-azinemethosulfate(PMS)assay,Hoechst33358 staining,AnnexinⅤ-FITC/PI staining,and comet assay.Effects of lapachol on topoisomeraseⅠ(TOPⅠ)and topoisomeraseⅡ(TOPⅡ)activities were detected by TOPⅠand TOPⅡmediated supercoiled p BR322 DNA relaxation assay.Molecular docking was used to predict the interaction of lapachol-TOPⅠand lapachol-TOPⅡ.TOP I and TOPⅡexpression levels in C6 cells were determined by Enzymelinked immunosorbent assay kits and real-time polymerase chain reaction(RT-PCR).RESULTS The rat C6 glioma model was successfully established.High dose lapachol showed significant inhibitory effect on the C6 glioma in Wistar rats(P<0.05).MTS/PMS assay,Hoechst 33258 staining,AnnexinⅤ-FITC/PI staining,and comet assay showed that lapachol could inhibit proliferation,induce apoptosis and DNA damage of C6 cells in dose dependent manners.Lapachol could inhibit the activities of both TOPⅠandⅡ.Molecular docking showed that lapachol-TOPⅠshowed relatively stronger interaction than that of lapachol-TOPⅡ.Enzyme-linked immunosorbent assay and RT-PCR showed that lapachol could inhibit TOPⅡexpression levels,but not TOPⅠexpression levels.CONCLUSION These results showed that lapachol could significantly inhibit C6 glioma both in vivo and in vitro,which might be related with inhibiting TOPⅠand TOPⅡactivities,as wel as TOPⅡexpression. 展开更多
关键词 LAPACHOL C6 glioma topoisomerase topoisomeraseⅡ
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Inhibitory effects of lapachol on rat C6 glioma in vitro and in vivo by targeting DNA topoisomeraseⅠ and topoisomeraseⅡ
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作者 Huan-li XU Qun-ying CHEN +5 位作者 Hong WANG Ping-xiang XU Ru YUAN Xiao-rong LI Lu BAI Ming XUE 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2017年第10期1005-1006,共2页
OBJECTIVE Lapachol is a natural naphthoquinone compound that possesses extensive biological activities.The aim of this study is to investigate the inhibitory effects of lapachol on rat C6 glioma both in vitro and in v... OBJECTIVE Lapachol is a natural naphthoquinone compound that possesses extensive biological activities.The aim of this study is to investigate the inhibitory effects of lapachol on rat C6 glioma both in vitro and in vivo,as well as the potential mechanisms.METHODS The antitumor effect of lapachol was firstly evaluated in the C6 glioma model in Wistar rats.The effects of lapachol on C6 cell proliferation,apoptosis and DNA damage were detected by 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium(MTS)/phenazinemethosulfate(PMS)assay,hoechst 33358 staining,annexinⅤ-FITC/PI staining,and comet assay.Effects of lapachol on topoisomerase I(TOP I)and topoisomeraseⅡ(TOPⅡ)activities were detected by TOPⅠand TOPⅡmediated supercoiled p BR322DNA relaxation assays and molecular docking.TOPⅠand TOPⅡexpression levels in C6 cells were also determined.RESULTS High dose lapachol showed significant inhibitory effect on the C6 glioma in Wistar rats(P<0.05).It was showed that lapachol could inhibit proliferation,induce apoptosis and DNA damage of C6 cel s in dose dependent manners.Lapachol could inhibit the activities of both TOPⅠ and Ⅱ.Lapachol-TOPⅠshowed relatively stronger interaction than that of lapachol-TOPⅡin molecular docking study.Also,lapachol could inhibit TOPⅡexpression levels,but not TOPⅠexpression levels.CONCLUSION These results showed that lapachol could significantly inhibit C6 glioma both in vivo and in vitro,which might be related with inhibiting TOPⅠ and TOPⅡ activities,as wel as TOPⅡ expression. 展开更多
关键词 LAPACHOL C6 glioma topoisomeraseⅠ topoisomeraseⅡ
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Gap junctions enhance the antiproliferative effect of microrna-34a in glioma cells
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作者 PENG Yue-xia 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2016年第10期1077-1077,共1页
OBJECTIVE To investigate the effect of gap junctions on the anti-tumor function induced by mi R-34a in glioma U87 cells.METHODS 1.Transfection(miR-34a mimics were transfected into glioma cells to upregulate their expr... OBJECTIVE To investigate the effect of gap junctions on the anti-tumor function induced by mi R-34a in glioma U87 cells.METHODS 1.Transfection(miR-34a mimics were transfected into glioma cells to upregulate their expression);2.Co-culture assay(U87cells were transfected with mi R-34a co-cultured with U87 cells that was transfected PCMV-eG FP plasmid);3.Flow cytometry analysis(select the e GFP labed U87 cells);4.RNA isolation and real-time PCR;5.CCK-8 assay;6.Western blotting.RESULTS Mi R-34a mimics transfered between the U87 cells.Parachute assay showed that GJ inhibition(CBX and 18-α-GA)can decrease mi R-34a expression than co-culture group.RA and galanglin enhanced mi R-34a expression than co-culture group.Mi R-34a relative expression reduced after co-culture,while gap junctions composed of Cx43 were down-regulated by sh RNA.Transfected with mi R-34a mimics reduced the survival of U87 cells in a dose-dependent manner.To more specifically establish the role of GJIC in mi R-34a induced growth inhibition of U87 cells,si RNA was used to knockdown the expression of Cx43,the dominant connexin expressed in U87 cells.CCK-8 assay showed that siR NAs have no effect on cell growth,but they could aggravate the growth inhibition of miR-34a to U87 cels.CONCLUSION Gap junctions enhance the antiproliferative effect of miR NA-34a in glioma cells. 展开更多
关键词 micro RNA-34a gap junction PROLIFERATION glioma
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Evodiamine activates cellular apoptosis through suppressing PI3K/AKT and activating MAPK in glioma 被引量:4
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作者 Feng ZHI Rong WANG +5 位作者 Dan-hi DENG Nai-yuan SHAO Yuan XU Lian XUE Ya PENG Ya-tian LIU 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2018年第4期342-343,共2页
OBJECTIVE Glioblastoma multiforme(GBM) is the most malignant primary tumor of the central nervous system and is associated with a very poor prognosis.No further improvements in outcomes have been reported since radiot... OBJECTIVE Glioblastoma multiforme(GBM) is the most malignant primary tumor of the central nervous system and is associated with a very poor prognosis.No further improvements in outcomes have been reported since radiotherapy-temozolomide therapy was introduced.Therefore,de.veloping new agents to treat GBM is important.This study aimed to evaluate the anti-tumor effect of evodiamine(Evo) on GBM cells,and to determine the underlying mechanisms involved.METHODS U251,LN229,HEB and PC12 cells were treated with various concentrations of evodiamine for 24 and48 hours,cell viability was measured by MTT assay.The U251 and LN229 cells were treated with evo.diamine(0-10 μmol·L^(-1)) for 24 h,and then stained with Hoechst 33258.An Annexin V-FITC Apoptosis Detection Kit was used to detect apoptosis in the cells.Reactive oxygen species(ROS) production was detected using dichlorofluorescein diacetate(DCFH-DA) staining.The changes in mitochondrial mem.brane potential(MMP) were assessed by JC-1 after cells were treated with evodiamine.The expres.sion levels of p-PI3K,PI3K,p-Akt,Akt,Bax,Bcl-2,p-p38,p38,p-JNK,JNK,p-ERK,ERK,Cytochrome c,Caspase-3,cleaved Caspase-3,PRAP,and cleaved PARP were measured by Western blot analy.ses.RESULTS According to MTT assay results,Evo significantly inhibited the cell proliferation in a time-and dose-dependent manner.Fluorescence microscopy and flow cytometry analyses revealed that Evo induced cell apoptosis in a concentration-dependent manner.Moreover,Evo induced reactive oxygen species(ROS) production and mitochondrial membrane potential(MMP) disruption.Finally,Evo induced apoptosis in cancer cells by suppressing PI3K/AKT signaling and inducing MAPK phos.phorylation(p38 and JNK,but not ERK) to regulate apoptotic proteins(Bax,Bcl-2,Cytochrome c,Cas.pase-3,and PARP).CONCLUSION In summary,Evo inhibits cell proliferation by inducing cellular apoptosis via suppressing PI3K/AKT and activating MAPK in GBM;these results indicate that Evo may be regarded as a new approach for GBM treatment. 展开更多
关键词 胶质母细胞瘤 治疗方法 肿瘤 临床分析
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Recombinant Apo-2L induced apoptosis in glioma cell lines
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作者 Meng-Cheong Wong, Asha Das, Mian Wu, Yan Tan Department of Neurology, The Brain Center, Singapore General Hospital, Outram Road, Singapore 169608 《中国实验血液学杂志》 CAS CSCD 1997年第3期308-309,共2页
Glioblastoma multiforme (GBM), the most commonprimary malignant brain tumor in adults is associated witha poor prognosis despite aggressive treatment withsurgical tumor debulking, radiation, and chemotherapy.Novel app... Glioblastoma multiforme (GBM), the most commonprimary malignant brain tumor in adults is associated witha poor prognosis despite aggressive treatment withsurgical tumor debulking, radiation, and chemotherapy.Novel approaches including gene therapy provide newalternatives in the treatment of GBM. Apo-2 ligand(Apo-2L), a novel cytokine, is a member of the 展开更多
关键词 glioma RECOMBINANT AGGRESSIVE cytokine prognosis chemotherapy despite synergistic PROKARYOTIC CONJUNCTION
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党参炔苷对脑胶质瘤细胞增殖与凋亡的调控作用及机制 被引量:2
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作者 刘明 张寅 +4 位作者 柳永达 张秀峰 乔建新 冯晓崧 刘熙鹏 《中华老年心脑血管病杂志》 北大核心 2025年第7期952-958,共7页
目的基于蛋白激酶B(protein kinase B,Akt)/糖原合成酶激酶3β(glycogen synthase kinase-3β,GSK-3β)/锌指蛋白转录因子(snail family zinc finger 1,Snail)信号通路探究党参炔苷对脑胶质瘤细胞增殖、凋亡的调节作用及机制。方法将人... 目的基于蛋白激酶B(protein kinase B,Akt)/糖原合成酶激酶3β(glycogen synthase kinase-3β,GSK-3β)/锌指蛋白转录因子(snail family zinc finger 1,Snail)信号通路探究党参炔苷对脑胶质瘤细胞增殖、凋亡的调节作用及机制。方法将人脑胶质瘤细胞株U-373MG随机分为正常组、SC79组、党参炔苷组、党参炔苷+SC79组,以党参炔苷和Akt激活剂SC79分组干预后采用细胞计数试剂盒法、克隆形成实验和流式细胞术检测各组细胞体外增殖、凋亡;采用蛋白免疫印迹法检测各组细胞增殖、凋亡与相关信号通路相关蛋白表达。构建U-373MG裸鼠移植瘤模型,同法分组干预后测定各组移植瘤的瘤体质量和瘤体积;用免疫组织化学染色与TUNEL染色检测裸鼠肿瘤细胞增殖、凋亡情况;用蛋白免疫印迹法检测各组移植瘤相关信号通路相关蛋白表达。结果与党参炔苷组比较,党参炔苷+SC79组细胞活力、克隆形成数、细胞周期蛋白D1(cyclin D1)、B淋巴细胞瘤2基因(B-cell lymphoma-2,Bcl-2)、Snail、磷酸化Akt/Akt与磷酸化GSK-3β/GSK-3β、瘤体质量、瘤体积,移植瘤Ki67、cyclin D1、Bcl-2阳性比例升高(P<0.05);与党参炔苷组比较,党参炔苷+SC79组细胞凋亡率、Bcl-2相关X蛋白,移植瘤TUNEL、Bcl-2相关X蛋白阳性比例降低[(3.20±1.14)%vs(46.15±1.52)%,P<0.05;0.51±0.07 vs 0.89±0.06,P<0.05;(51.56±7.13)%vs(74.95±8.61)%,P<0.05;(32.71±5.43)%vs(41.86±4.90),P<0.05]。结论党参炔苷可通过阻止Akt/GSK-3β/Snail信号通路激活而在体内外诱导脑胶质瘤细胞凋亡,并抑制其增殖。 展开更多
关键词 党参炔苷 原癌基因蛋白质c-akt 糖原合成酶激酶3Β 神经胶质瘤
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MCL3 exhibited anti-tumor activity mediated by NF-κB/IL-6/State3 pathway in glioma
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作者 Qian-qian DU Lu-lu HUANG +2 位作者 Chun-xia LIU Xian-dao PAN Yan LI 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2018年第4期261-262,共2页
OBJECTIVE Evidience appears that parthenolide(PN) induces anti-tumor effects by NF-κB signal pathway.MCL3 the derivative of PN,is sesquiterpene lactone synthesized by the group of Professor Pan Xiandao.The study was ... OBJECTIVE Evidience appears that parthenolide(PN) induces anti-tumor effects by NF-κB signal pathway.MCL3 the derivative of PN,is sesquiterpene lactone synthesized by the group of Professor Pan Xiandao.The study was to explore the anti-tumor activity and mechanism of MCL3 in glioma.METHODS The effect of MCL3 on the proliferation of glioma cell lines was examined by MTT assay.Apoptotic activity was investigated by flow cytometry.The Transwell cell invasion assay was used to determine the effect of MCL3 on the G422 cell invasive ability.The effect of MCL3 on the angio.genesis was analyzed by a capillary-like tube formation assay.The subcutaneously transplanted and orthotopic G422 cell xenograft models were used to detect the effect of MCL3 on tumor growth in vivo.The pathological changes were analyzed by H&E staining.Protein level related to the NF-κB signal pathway was dertimined by Western blotting.The effect of MCL3 on the NF-κB transcriptional activity was examined by a dual-luciferase reporter assay.RESULTS The anti-proliferative activity was observed following treatment with MCL3 for 96 h in G422,U-87 MG,U251 and Hs683 cell lines,and the IC50 was 8.94 μmol·L^(-1),6.44 μmol·L^(-1),14.8 μmol·L^(-1),18.9 μmol·L^(-1),respectively.The percentage of apop.totic cells increased in MCL3-treated G422 cells,and the apoptosis rate was 26.4%(the apoptosis rate was 5.68% in control group).MCL3 could inhibit the invasion in G422 cells,and the invasive inhibition rate was 43.63%(P<0.01) at 10.0 μmol·L^(-1).MCL3 inhibited tube formation of EA.hy926 cells,and the inhibitory rate was 81.67%(P<0.01) at 10.0 μmol·kg^(-1).At 40.00 mg·kg^(-1),MCL3 supressed tumor growth by79.03%(P<0.01) in tumor weight in subcutaneously transplanted G422 xenograft models,and by 69.97%(P<0.01) in volume in orthopotic G422 xenograft models.H&E staining demonstrated that MCL3 could decrease tumor angiogenesis and invasion,increased necrosis of tumor cells.The dualluciferase reporter assay showed that MCL3 inhibited NF-κB transcriptional actvity,and the inhibition rate was 50.07%(P<0.05) at 10.0 μmol·L^(-1) compared with control.Moreover,MCL3 inhibited the phos.phorylation of NF-κB in nuclear mediated by supression of phosphorylated IKKα/β and IκB,and decreased the expression of IL-6 regulated by NF-κB.Eventually,the phosphorylation of State3 decreased following the administration of MCL3,resulting in the downregulation of State3 taget genes,including HIF,VEGF,FAK,MMP-2,MMP-9,Bcl-2 and Bcl-xL.CONCLUSION The anti-tumor effect of MCL3 was partly due to the inhibition of NF-κB/IL-6/State3 pathway in glioma. 展开更多
关键词 单酚内酯 胶质瘤 细胞增殖 临床分析
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影像组学及病理组学在脑胶质瘤的研究进展 被引量:1
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作者 王娟 张辉 《磁共振成像》 北大核心 2025年第4期155-160,共6页
脑胶质瘤是最常见的原发性恶性脑肿瘤,其发病率高、预后差。术前预测脑胶质瘤的分级、分子分型、肿瘤微环境及预后对于制订个体化决策具有重要临床意义。影像组学和病理组学的技术进展正在重塑脑胶质瘤诊断和预后评估的模式。影像组学... 脑胶质瘤是最常见的原发性恶性脑肿瘤,其发病率高、预后差。术前预测脑胶质瘤的分级、分子分型、肿瘤微环境及预后对于制订个体化决策具有重要临床意义。影像组学和病理组学的技术进展正在重塑脑胶质瘤诊断和预后评估的模式。影像组学通过影像数据的高维特征进行量化分析,病理组学则基于组织切片图像挖掘微观病理特征,两者的结合可以实现无创、精准的肿瘤评估。本文就影像组学和病理组学在脑胶质瘤研究进展进行综述,从而为胶质瘤患者提供精准诊疗和个体化管理。 展开更多
关键词 胶质瘤 影像组学 病理组学 磁共振成像 分子分型 肿瘤微环境
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Evaluation of combination gene therapy with PTEN and antisense hTERT for malignant glioma in vitro and xenografts 被引量:6
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作者 You, Y. P. Geng, X. Z. +12 位作者 Zhao, P. FU, Z. Wang, C. Z. Chao, S. W. Liu, N. Lu, A. L. Gardner, K. Pu, P. Y. Kong, C. S. Ge, Y. Judge, S. I. V. Li, Q. D. Q 《南京医科大学学报(自然科学版)》 CAS CSCD 北大核心 2007年第5期440-440,共1页
关键词 神经胶质瘤 异体移植 联合治疗 HTERT 基因治疗 疗效 PTEN
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H3 G34突变型弥漫性半球胶质瘤2例临床病理分析
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作者 张颖 王瑞芬 +3 位作者 管雯斌 乔萌 霍瑜 王立峰 《临床与实验病理学杂志》 北大核心 2025年第5期670-673,共4页
目的探讨弥漫半球胶质瘤,H3 G34突变型的临床病理特征、诊断及鉴别诊断。方法收集2例弥漫半球胶质瘤,H3 G34突变型患者的临床资料,行HE、免疫组化染色及Sanger测序,并复习相关文献。结果2例患者均为男性,年龄11~14岁,平均12.5岁。肿瘤... 目的探讨弥漫半球胶质瘤,H3 G34突变型的临床病理特征、诊断及鉴别诊断。方法收集2例弥漫半球胶质瘤,H3 G34突变型患者的临床资料,行HE、免疫组化染色及Sanger测序,并复习相关文献。结果2例患者均为男性,年龄11~14岁,平均12.5岁。肿瘤最大径7.14~7.25 cm。镜下肿瘤细胞呈弥漫片状浸润性生长,细胞密度高,血管丰富,大部分区域肿瘤呈胚胎性肿瘤样,部分区域肿瘤呈胶质母细胞瘤样,肿瘤细胞核质比高,异型性大,核分裂象密集区约20个/2 mm 2,见大片出血及坏死。免疫组化均示GFAP阳性,ATRX表达缺失,p53为野生型,Olig2阴性,Ki67增殖指数为60%~70%。其中1例H3G34V免疫组化阳性,Sanger测序H3F3A基因检测示H3 G34V突变;另1例H3G34R免疫组化阴性,Sanger测序H3F3A基因检测示H3 G34R突变;MGMT甲基化阳性。结论弥漫半球胶质瘤,H3 G34突变型是一种恶性程度较高的肿瘤,其在影像学、形态学、免疫组化及分子检测中均有独特特征,需要与多种儿童高级别脑肿瘤鉴别,其准确诊断对治疗和判断预后具有重要意义。 展开更多
关键词 弥漫半球胶质瘤 H3G34R H3G34V 诊断
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BPTF介导SLC40A1调节铁死亡促进胶质瘤生长、侵袭和转移的机制研究
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作者 林志仁 潘艳玲 朱燕兴 《华中科技大学学报(医学版)》 北大核心 2025年第4期507-512,534,共7页
目的通过体内外实验验证溴结构域PHD指转录因子(BPTF)通过调节胶质瘤细胞中溶质载体家族40成员1(SLC40A1)表达影响胶质瘤发展和铁死亡的机制。方法U87MG细胞分为sh-NC组、sh-BPTF组、sh-BPTF+ov-NC组和sh-BPTF+ov-SLC40A1组,采用慢病毒... 目的通过体内外实验验证溴结构域PHD指转录因子(BPTF)通过调节胶质瘤细胞中溶质载体家族40成员1(SLC40A1)表达影响胶质瘤发展和铁死亡的机制。方法U87MG细胞分为sh-NC组、sh-BPTF组、sh-BPTF+ov-NC组和sh-BPTF+ov-SLC40A1组,采用慢病毒建立稳定转染的细胞系,采用qRT-PCR和Western blot验证转染效率。CCK-8和平板克隆形成实验检测细胞增殖能力;Transwell检测细胞迁移和侵袭能力;细胞经皮下注射裸鼠并检测肿瘤生长情况;相应试剂盒检测细胞中活性氧(ROS)水平、铁含量、丙二醛(MDA)含量和还原性谷胱甘肽/氧化型谷胱甘肽(GSH/GSSG)比值以评价细胞铁死亡情况;免疫共沉淀(Co-IP)实验用于验证BPTF和c-Myc蛋白相互作用;染色质免疫共沉淀(ChIP)实验用于验证BPTF和c-Myc结合SLC40A1启动子;双荧光素酶报告基因实验用于验证BPTF影响SLC40A1转录。结果敲减BPTF降低胶质瘤细胞中SLC40A1表达,抑制细胞体外增殖、迁移、侵袭和体内肿瘤生长,增加细胞中铁含量、ROS水平和MDA含量并降低细胞中GSH/GSSG比值。过表达SLC40A1逆转敲减BPTF对胶质瘤细胞增殖、迁移、侵袭和体内肿瘤生长的抑制作用,降低细胞中铁含量、ROS水平和MDA含量并增加细胞中GSH/GSSG比值。胶质瘤细胞中BPTF与c-Myc蛋白相互作用。SLC40A1启动子存在c-Myc的潜在结合位点,且BPTF和c-Myc蛋白结合SLC40A1启动子。敲减BPTF降低SLC40A1启动子的转录活性,且结合位点突变后敲减BPTF不影响SLC40A1启动子的转录活性。结论BPTF可能通过与c-Myc相互作用上调其下游靶基因SLC40A1表达,从而抑制胶质瘤细胞铁死亡并促进胶质瘤发展。 展开更多
关键词 胶质瘤 BPTF SLC40A1 铁死亡 C-MYC
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智能化水分离技术在岛叶胶质瘤手术壳核外侧面分离中的应用
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作者 吴东东 束旭俊 +4 位作者 赵恺 丛小均 周星宇 夏鹰 孙国臣 《中国现代神经疾病杂志》 北大核心 2025年第3期193-198,共6页
研究背景 岛叶胶质瘤手术中精准把控壳核外侧面位置是一项挑战,常未达到壳核外侧面或侵入壳核。本研究旨在探索一种基于水分离技术的岛叶胶质瘤手术中壳核外侧面分离方法。方法与结果 纳入2020年1月至2024年12月在解放军总医院第一医学... 研究背景 岛叶胶质瘤手术中精准把控壳核外侧面位置是一项挑战,常未达到壳核外侧面或侵入壳核。本研究旨在探索一种基于水分离技术的岛叶胶质瘤手术中壳核外侧面分离方法。方法与结果 纳入2020年1月至2024年12月在解放军总医院第一医学中心经额峡部入路切除岛叶胶质瘤的17例患者,均未累及壳核,术中采用自行组建的低压水流系统水分离肿瘤底面与壳核外侧面,包括Sanai-Berger分区Ⅰ区2例、Ⅰ区+Ⅳ区6例、Ⅰ区+Ⅳ区+Ⅲ区+Ⅱ区9例,均较易分离,未损伤豆纹动脉;术后24 h内经MRI证实精准分离肿瘤与壳核外侧面,肿瘤均近全切除,壳核外侧面锐利规整,分离效果良好;无一例发生水分离相关并发症。术后3个月随访,失语商均> 93.80分,手术相关侧别肌力均>4+级,Karnofsky功能状态评分90(90,100)分。结论 对于存在壳核外侧面“泾渭分明征”的低级别岛叶胶质瘤,水分离技术可以精准分离肿瘤底面与壳核外侧面界限,降低手术难度、缩短手术学习曲线、提高手术效率和安全性。 展开更多
关键词 神经胶质瘤 水分离(非MeSH词) 神经外科手术
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let-7b-5p靶向IGF1R调控脑胶质瘤细胞生长的机制
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作者 刘喜红 杜晓丹 +4 位作者 范孟杨 徐柳清 杨丽萍 侯俊林 赵培源 《临床与实验病理学杂志》 北大核心 2025年第3期359-364,共6页
目的探讨let-7b-5p在脑胶质瘤中的表达及其对U251细胞生长的影响和潜在的作用机制。方法采用qRT-PCR法检测let-7b-5p在脑胶质瘤细胞和组织中的表达量,通过CGGA数据库分析let-7b-5p表达与脑胶质瘤WHO分级和总生存率的关系;通过瞬时转染... 目的探讨let-7b-5p在脑胶质瘤中的表达及其对U251细胞生长的影响和潜在的作用机制。方法采用qRT-PCR法检测let-7b-5p在脑胶质瘤细胞和组织中的表达量,通过CGGA数据库分析let-7b-5p表达与脑胶质瘤WHO分级和总生存率的关系;通过瞬时转染法下调脑胶质瘤细胞U251中let-7b-5p和胰岛素样生长因子1受体(insulin-like growth factor 1 receptor,IGF1R)的表达,采用qRT-PCR、CCK8、克隆形成实验、Western blot、双荧光素酶报告基因等技术检测let-7b-5p在U251细胞生长中的作用及潜在的机制。结果let-7b-5p在脑胶质瘤细胞(A172:3.64±0.64、V251:4.56±0.52、U87-MG:3.31±0.50)和组织中(2.18±0.22)的表达显著高于星形胶质细胞(HMC3:1.00±0.21,P<0.05或P<0.01)和正常脑组织(1.01±0.19,P<0.05),其表达水平与脑胶质瘤患者WHO分级呈负相关(P<0.0001),与原发性和复发性脑胶质瘤患者的生存率呈正相关(P<0.0001,P=0.028);敲减U251细胞中let-7b-5p的表达可促进脑胶质瘤细胞的生长(CCK8:let-7b-5p敲减组126.00±12.09 vs miR-NC组90.93±5.13,P<0.05),激活PI3K/AKT信号通路;在U251细胞中抑制IGF1R表达可以逆转let-7b-5p低表达促进脑胶质瘤细胞生长[CCK8:let-7b-5p敲减组+IGF1R敲减组(92.08±6.14)vs let-7b-5p敲减组+sh-NC组(116.67.08±8.50)]、激活PI3K/AKT信号通路的效应。结论let-7b-5p在脑胶质瘤细胞中起抑癌基因作用,let-7b-5p可能通过靶向IGF1R激活PI3K/AKT信号通路参与脑胶质瘤细胞的进程。 展开更多
关键词 脑胶质瘤 let-7b-5p IGF1R PI3K/AKT
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2024年中国脑胶质瘤诊断与治疗发展与创新
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作者 杨学军 师炜 张恺 《中国现代神经疾病杂志》 北大核心 2025年第3期161-164,共4页
2024年中国脑胶质瘤的临床诊疗与研究领域取得了显著进展,涵盖基础研究、诊断技术、手术技术、靶向治疗、免疫治疗及综合管理等多方面,展示了我国在基础研究成果转化为临床应用方面的创新能力,推动了胶质瘤治疗向精准化和智能化发展。... 2024年中国脑胶质瘤的临床诊疗与研究领域取得了显著进展,涵盖基础研究、诊断技术、手术技术、靶向治疗、免疫治疗及综合管理等多方面,展示了我国在基础研究成果转化为临床应用方面的创新能力,推动了胶质瘤治疗向精准化和智能化发展。重要成果包括各学术组织在胶质瘤研究和临床实践中发挥关键作用,尤其是国家神经疾病医学中心脑胶质瘤MDT专科联盟的成立,整合资源,促进多学科合作,推动知识共享和临床转化;用于具有PTPRZ1-MET融合基因胶质瘤的间质上皮转化因子抑制剂的新靶向治疗获批上市;人工智能在胶质瘤研究中的应用;快速术中分子诊断技术的进展及基于人工智能的影像学分析与规律间隔成簇短回文重复序列快速检测的结合,将为胶质瘤的精准诊疗带来革命性变革。 展开更多
关键词 神经胶质瘤 精准医学 人工智能 综述
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低级别胶质瘤多组学数据整合的一致性聚类集成分子分型
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作者 王彤 杨琪 +6 位作者 田雅昕 贾聪聪 罗艳虹 房瑞玲 余红梅 张岩波 曹红艳 《中国卫生统计》 北大核心 2025年第4期502-509,共8页
目的提出基于一致性聚类集成的多组学数据整合方法(multi-omics data integration with consensus clustering ensemble,MICCE),探讨MICCE方法在低级别胶质瘤(lower-grade gliomas,LGG)分子分型中的应用,识别预后高风险患者,筛选与LGG... 目的提出基于一致性聚类集成的多组学数据整合方法(multi-omics data integration with consensus clustering ensemble,MICCE),探讨MICCE方法在低级别胶质瘤(lower-grade gliomas,LGG)分子分型中的应用,识别预后高风险患者,筛选与LGG进展相关的差异基因以及重要通路。方法采用一致性聚类集成方法集成LGG患者多组学数据整合分型的7种方法(SNF、joint SNF、CIMLR、ConsensusClusterPlus、MoCluster、NEMO、iClusterBayes),得到一致性分型结果,采用Cox回归研究不同分型患者的预后风险;进一步筛选出DEmRNAs(differentially expressed mRNAs),DEmiRNAs(differentially expressed miRNAs)和DMGs(differentially methylated genes),并对差异基因进行GO生物功能注释和KEGG通路分析;最后进行免疫细胞浸润和通路活性分析。结果LGG患者分为预后高危组,中危组和低危组,其中高危组的死亡风险是低危组的7.70倍;筛选出2512个DEmRNAs,14个DEmiRNAs和255个DMGs,包括5个核心基因;将基因联合分析得到的665个重合基因进行GO富集和KEGG富集分析,得到62条GO富集项和52条KEGG富集项;免疫细胞浸润和通路活性分析表明,存在显著差异的2种浸润细胞和4条通路。结论MICCE能够有效识别出LGG预后高风险患者,并发现与LGG进展相关的差异基因和不同亚型的肿瘤相关通路,为LGG的个性化治疗提供重要线索。 展开更多
关键词 聚类集成 多组学数据整合 分子亚型 低级别胶质瘤
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弥漫性中线胶质瘤伴H3K27变异型的临床病理学及分子遗传学特征
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作者 杜娟 李永晴 +3 位作者 崔文丽 苏丽萍 张巍 薛晶 《临床与实验病理学杂志》 北大核心 2025年第9期1187-1193,共7页
目的探讨弥漫性中线胶质瘤(diffuse midline glioma,DMG)伴H3K27变异型的临床病理特征、分子分型及预后相关因素。方法收集19例DMG临床资料,分析其临床表现、组织学特征、免疫表型及分子遗传学特征,并复习相关文献。结果19例患者位于丘... 目的探讨弥漫性中线胶质瘤(diffuse midline glioma,DMG)伴H3K27变异型的临床病理特征、分子分型及预后相关因素。方法收集19例DMG临床资料,分析其临床表现、组织学特征、免疫表型及分子遗传学特征,并复习相关文献。结果19例患者位于丘脑12例,非丘脑中线位置7例(包括脑干4例、小脑1例、脊髓2例);临床表现多为头晕、步态不稳和视物模糊等。组织学形态多样,12例为高级别胶质瘤,7例为低级别。免疫表型:19例肿瘤细胞H3K27me3均表达缺失,其中18例H3K27M弥漫阳性、1例EZHIP阳性。16例行NGS,其中1例EGFR突变(1/16,6%);余15例发生H3F3A K27M突变(15/16,94%),同时伴7例ATRX突变(7/15,46.6%),5例有MAPK通路改变(5/15,33.3%,基因突变类型包括2例FGFR1、2例NF1、1例BRAF和NF1共突变),5例PDGFRA错义突变(5/15,33.3%),4例p53错义突变或非移码缺失突变(4/15,26.6%),DICER1错义突变和IDH1 S202R移码缺失各1例(1/15,6.6%)。该肿瘤预后较差,中位生存时间9.5个月。结论DMG具有高度肿瘤异质性,整体预后较差,分子变异以H3F3A K27M突变为主,同时伴MAPK通路改变的患者预后较好,为掌握DMG分子遗传学特征提供新认识。 展开更多
关键词 弥漫性中线胶质瘤 H3K27变异 临床病理学特征 NGS
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基于太赫兹光谱数据和卷积神经网络的脑胶质瘤EGFR扩增状态预测
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作者 赵小燕 郑绍文 +8 位作者 吴先毫 孙志延 陶锐 张天尧 袁媛 刘幸 周大彪 张朝晖 杨沛 《光谱学与光谱分析》 北大核心 2025年第10期2856-2862,共7页
脑胶质瘤是最常见的原发性中枢神经系统肿瘤,具有高度的侵袭性。其中胶质母细胞瘤(GBM)是脑胶质瘤中恶性程度最高的一种,患者在5年内存活率只有5.6%。表皮生长因子受体(EGFR)对脑胶质瘤的生长、侵袭和复发中起着重要作用,在胶质母细胞瘤... 脑胶质瘤是最常见的原发性中枢神经系统肿瘤,具有高度的侵袭性。其中胶质母细胞瘤(GBM)是脑胶质瘤中恶性程度最高的一种,患者在5年内存活率只有5.6%。表皮生长因子受体(EGFR)对脑胶质瘤的生长、侵袭和复发中起着重要作用,在胶质母细胞瘤中,EGFR扩增和突变已被确定为驱动因素。目前脑胶质瘤整合诊断流程受限于实验操作复杂,往往存在一定滞后性,需在手术后2周左右才能得到结果,无法为术者提供实时分子病理信息支持。本文提出了一种基于术中病理冰冻切片的太赫兹时域光谱(THz-TDS)数据结合卷积神经网络(CNN)对EGFR扩增状态进行预测的方法。术中通过THz-TDS系统采集脑胶质瘤冰冻切片的光谱数据,计算其吸收系数,并利用Savitzky-Golay滤波器将其平滑处理后,再用格拉姆角场(GAF)、马尔可夫转移场(MTF)和递归图(RP)将吸收系数分别转化成二维图像数据作为后续CNN模型的输入。为充分利用图像数据,我们采用单一图像输入、前端融合和中端融合等不同方式搭建CNN模型。通过对比分析不同模型下的受试者工作特征(ROC)曲线下面积(AUC)值发现,格拉姆角和场(GASF)与格拉姆角差场(GADF)的中端融合卷积神经网络模型预测效果最好,测试集预测的AUC值为94.74%。此外,目前常用的基于太赫兹光谱数据的预测模型中,多是利用一维光谱数据降维后结合机器学习进行分析,处理过程中会造成部分数据信息丢失。因此我们还对吸收系数结合机器学习的方法进行了训练和测试。通过对比一维数据和二维图像的不同模型结果,可以发现相较于一维太赫兹时域光谱数据进行机器学习,二维光谱图像在卷积神经网络中训练模型有着更好的预测效果。实验结果表明本文提出的基于太赫兹光谱数据和卷积神经网络模型能够实现EGFR扩增状态的实时快速预测,为研究太赫兹时域光谱在脑胶质瘤中进行分子病理学分类提供了新的思路,对术中及时调整手术策略以及尽早制定术后辅助治疗方案具有重要意义。 展开更多
关键词 太赫兹光谱 脑胶质瘤 EGFR扩增 卷积神经网络 二维图像数据
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MRI特征对胶质瘤MGMT启动子甲基化状态的预测作用
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作者 张治中 攸娜 +3 位作者 刘明航 李泽 孙国臣 赵恺 《中国现代神经疾病杂志》 北大核心 2025年第7期595-601,共7页
目的 探讨基于人眼识别的CT和MRI影像学特征预测胶质瘤MGMT启动子甲基化状态的潜在价值。方法 回顾分析2019年1月至2020年12月解放军总医院第一医学中心收治的188例首次确诊胶质瘤患者的临床资料,纳入病灶钙化、病灶边界清晰、T2WI信号... 目的 探讨基于人眼识别的CT和MRI影像学特征预测胶质瘤MGMT启动子甲基化状态的潜在价值。方法 回顾分析2019年1月至2020年12月解放军总医院第一医学中心收治的188例首次确诊胶质瘤患者的临床资料,纳入病灶钙化、病灶边界清晰、T2WI信号均匀性、病灶呈强化改变等9个人眼可识别的术前常规CT或MRI影像学特征,通过焦磷酸测序分析MGMT启动子甲基化状态。采用单因素和多因素Logistic回归分析筛查MGMT启动子甲基化状态的影像学特征影响因素,并绘制受试者工作特征(ROC)曲线验证影像学特征的预测效能。针对预测任务进一步训练并测试Logistic回归、支持向量机、随机森林和梯度提升4种机器学习模型。结果 Logistic回归分析显示,T_(2)WI信号均匀性(OR=2.843,95%CI:1.055~7.658;P=0.039)和病灶呈强化改变(OR=0.146,95%CI:0.069~0.308;P=0.000)是MGMT启动子甲基化状态的影像学特征影响因素。T_(2)WI信号均匀性和病灶呈强化改变联合的综合参数较T2WI信号均匀性(Z=3.961,P=0.000)和病灶呈强化改变(Z=2.233,P=0.026)的预测效能更高。Logistic回归、支持向量机、随机森林和梯度提升4种机器学习模型的预测准确度分别为0.84、0.76、0.68和0.76,但预测效能两两比较差异无统计学意义(均P>0.05)。结论 基于术前CT和MRI的影像学特征具备无创预测胶质瘤MGMT启动子甲基化状态的潜力。 展开更多
关键词 神经胶质瘤 磁共振成像 O(6)-甲基鸟嘌呤DNA甲基转移酶 LOGISTIC模型 机器学习
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