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Association of urinary cadmium and arsenic with gynecological cancers:Results from NHANES 2003—2018
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作者 JIANG Yuanna WANG Jie +4 位作者 HE Zhouxiao XIANG Xuanang YANG Ruichen WANG Qian CAO Lanqin 《中南大学学报(医学版)》 北大核心 2025年第1期23-35,共13页
Objective:Previous studies have demonstrated that the metals cadmium and arsenic exhibit estrogen-like effects and may influence the occurrence and development of gynecological tumors.This study aims to explore the as... Objective:Previous studies have demonstrated that the metals cadmium and arsenic exhibit estrogen-like effects and may influence the occurrence and development of gynecological tumors.This study aims to explore the association between urinary cadmium and arsenic levels and the prevalence of gynecologic cancers using data from the National Health and Nutrition Examination Survey(NHANES).Methods:Data from female participants in NHANES 2003—2018 were analyzed.Using R software,datasets(DEMO,BMX,etc.)were merged,and complete cases were retained by intersecting row names,yielding a total of 2999 participants.After applying strict exclusion criteria,2802 participants were included:83 with gynecologic cancer(cancer group)and 2719 without(control group).Demographic,reproductive health,and urinary cadmium and arsenic data were collected.Binary Logistic regression models were employed to assess associations between urinary cadmium and arsenic levels and gynecologic cancer risk.Results:High urinary cadmium and arsenic levels were risk factors for gynecologic cancers,with odds ratios(ORs)of 1.623(95%CI 1.217 to 2.166)and 1.003(95%CI 1.001 to 1.005),respectively.After propensity score matching(PSM),the trend remained;cadmium was still a statistically significant risk factor with an OR of 2.182(95%CI 1.343 to 3.545),while arsenic’s association,though not statistically significant,still trended toward risk(OR=1.004,95%CI 0.999 to 1.009).Subgroup analyses showed that both cadmium and arsenic were risk factors for ovarian cancer(OR=1.745,95%CI 1.178 to 2.586 and OR=1.005,95%CI 1.002 to 1.008,respectively);these associations persisted after PSM.Additionally,cadmium increased the risk of endometrial cancer(OR=1.617,95%CI 1.109 to 2.356).Conclusion:Exposure to cadmium and arsenic is associated with an increased risk of ovarian and endometrial cancers.These findings suggest that reducing environmental exposure to heavy metals such as cadmium and arsenic may help prevent certain gynecologic cancers. 展开更多
关键词 gynecologic cancer urinary cadmium urinary arsenic ovarian cancer endometrial cancer
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Lactylation of PARP1 at K192 inhibits the migration and proliferation of ovarian cancer cells
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作者 SU Ning CAO Ying +7 位作者 ZHANG Shuping WU Shaojun SUN Hongzhan TANG Xuejun YUAN Donglan ZHANG Dong YANG Lili YING Xiaoyan 《南京医科大学学报(自然科学版)》 北大核心 2025年第9期1219-1228,1241,共11页
Objective:Ovarian cancer(OC)ranks among the leading causes of mortality among the female cancers worldwide.Numerous studies have explored the development and progression of OC at multiple genetic regulatory levels.How... Objective:Ovarian cancer(OC)ranks among the leading causes of mortality among the female cancers worldwide.Numerous studies have explored the development and progression of OC at multiple genetic regulatory levels.However,relatively few studies have explored the impact of post-translational modifications(PTM)on OC progression,which is essential for uncovering new therapeutic targets.This study aimed to systematically identify the key PTM types involved in OCprogression,and to explore and evaluate their translational potential as therapeutic targets.Methods:First,we utilized multiple general PTM antibodies to compare gross PTM levels between normal ovarian and OC tissues from clinical females.After identifying lactylation as the PTM with the most significant differences,we selected representative samples for label-free mass spectrometry to identify specific lactylation sites.Next,we transfected A2780(OC)cells with either wild-type(WT)or mutant(K192A[Q])poly(ADP-ribose)polymerase 1(PARP1)conjugated to enhanced green fluorescent protein(EGFP)with a StrepⅡpeptide tag and assessed various cellular indexes related to cell proliferation(clonogenicity assay),migration(scratch wound healing assay),and reactive oxygen species levels.Results:Pan-lactylation was significantly upregulated in clinical OC samples,with PARP1 lactylation at K192 being one of the most common modifications.The growth and migration of A2780 cells were markedly suppressed by overexpressing PARP1-WT but not mutant PARP1.Overexpressing PARP1 significantly downregulated the phosphorylation of extracellular signal-regulated kinases 1/2(ERK1/2).Conclusion:This study uncovered a novel PTM of PARP1 in OC,lactylation,and demonstrated that lactylation at K192 is crucial in regulating OC cell growth and migration via the ERK1/2 pathway.Further investigations are required to elucidate the broader functional implications of PARP1 lactylation and its therapeutic potential. 展开更多
关键词 PARP1 lactylation MIGRATION PROLIFERATION ovarian cancer cells
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迈向没有宫颈癌的未来——Cancer Biology&Medicine消除宫颈癌专刊征稿
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《中国肿瘤临床》 北大核心 2025年第10期532-532,共1页
2025年正值北京第四届世界妇女大会(简称北京世妇会)《北京宣言》和《行动纲领》通过30周年,全球妇女峰会将再次在北京召开。为促进学术对话,推动构建更加公平、可及的宫颈癌防控体系,Cancer Biology&Medicine特推出“消除宫颈癌”... 2025年正值北京第四届世界妇女大会(简称北京世妇会)《北京宣言》和《行动纲领》通过30周年,全球妇女峰会将再次在北京召开。为促进学术对话,推动构建更加公平、可及的宫颈癌防控体系,Cancer Biology&Medicine特推出“消除宫颈癌”专刊,系统梳理全球特别是医疗资源匮乏地区在疫苗接种、筛查技术、诊疗体系及政策保障等领域的创新实践,深入探讨健康公平性提升路径与未满足的临床需求解决方案。 展开更多
关键词 宫颈癌 北京世妇会 cancer BiologyMedicine 疫苗接种
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Cancer Biology&Medicine聘任香港中文大学于君教授为副主编
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《中国肿瘤临床》 北大核心 2025年第12期622-622,共1页
近日,Cancer Biology&Medicine(CBM)编委学术交流会于天津医科大学肿瘤医院成功举行,香港中文大学于君教授被聘任为副主编。于君教授作为国际肿瘤微生态研究领域的杰出科学家,在消化系统肿瘤分子机制、肿瘤微生态调控以及转化医学... 近日,Cancer Biology&Medicine(CBM)编委学术交流会于天津医科大学肿瘤医院成功举行,香港中文大学于君教授被聘任为副主编。于君教授作为国际肿瘤微生态研究领域的杰出科学家,在消化系统肿瘤分子机制、肿瘤微生态调控以及转化医学研究等多个关键方向上,取得了一系列突破性成果。近年来CBM聚焦报道肿瘤微生态研究前沿,并展现其在肿瘤早期诊断与个体化治疗方面的前景。于君教授团队曾为CBM撰写的高质量文章,凭借其极具创新性和前瞻性的研究成果,受到了国内外众多专家学者的广泛关注与高度评价。 展开更多
关键词 肿瘤微生态 副主编 cancer BiologyMedicine 于君教授
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Cancer Biology&Medicine 2024年影响因子8.4,位居Q1区
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《中国肿瘤临床》 北大核心 2025年第15期800-800,共1页
2025年6月18日,科睿唯安发布了最新版《期刊引证报告》(Journal Citation Reports,简称JCR)。Cancer Biology&Medicine(CBM)2024年影响因子为8.4,在医学研究与实验类位于Q1区(20/195),在肿瘤学类位于Q1区(35/326)。JCR数据报告显示,... 2025年6月18日,科睿唯安发布了最新版《期刊引证报告》(Journal Citation Reports,简称JCR)。Cancer Biology&Medicine(CBM)2024年影响因子为8.4,在医学研究与实验类位于Q1区(20/195),在肿瘤学类位于Q1区(35/326)。JCR数据报告显示,2024年总被引次数达到3725次。 展开更多
关键词 JCR 影响因子 cancer BiologyMedicine 医学研究与实验
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Cancer Biology&Medicine 2024年影响因子8.4,位居Q1区
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《中国肿瘤临床》 北大核心 2025年第12期632-632,共1页
科睿唯安于2025年6月18日发布了最新版《期刊引证报告》(Journal Citation Reports,简称JCR)。Cancer Biology&Medicine(CBM)2024年影响因子为8.4,在医学研究与实验类位于Q1区(20/195),在肿瘤学类位于Q1区(35/326)。JCR数据报告显示... 科睿唯安于2025年6月18日发布了最新版《期刊引证报告》(Journal Citation Reports,简称JCR)。Cancer Biology&Medicine(CBM)2024年影响因子为8.4,在医学研究与实验类位于Q1区(20/195),在肿瘤学类位于Q1区(35/326)。JCR数据报告显示,2024年总被引次数达到3725次。衷心感谢编委、审稿专家、作者与读者的大力支持! 展开更多
关键词 期刊引证报告 影响因子 Q1区 cancer BiologyMedicine
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欢迎订阅Cancer Biology&Medicine
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《中国肿瘤临床》 北大核心 2025年第7期360-360,共1页
Cancer Biology&Medicine作为肿瘤领域学术交流的平台,向国际学术界展示中国肿瘤防治研究成果,向国内肿瘤学相关专业人员介绍全球肿瘤学前沿进展。以肿瘤临床医师、基础研究人员、相关交叉学科专业人员及医学生为读者对象。刊登稿... Cancer Biology&Medicine作为肿瘤领域学术交流的平台,向国际学术界展示中国肿瘤防治研究成果,向国内肿瘤学相关专业人员介绍全球肿瘤学前沿进展。以肿瘤临床医师、基础研究人员、相关交叉学科专业人员及医学生为读者对象。刊登稿件范畴:肿瘤表观遗传学、肿瘤干细胞生物学、分子与临床免疫学、肿瘤预防与流行病学、肿瘤标志物、肿瘤影像学、肿瘤临床试验、肿瘤靶向治疗、肿瘤生物治疗、肿瘤个体化医学与多学科综合治疗。 展开更多
关键词 表观遗传学 肿瘤 干细胞生物学 cancer Biology&Medicine
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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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第一届Cancer Biology&Medicine青年学者论坛在津举行
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《中国肿瘤临床》 北大核心 2025年第16期864-864,共1页
由中国抗癌协会、天津医科大学肿瘤医院联合主办,Cancer Biology&Medicine、《中国肿瘤临床》两本期刊承办的“第一届Cancer Biology&Medicine青年学者论坛”于2025年8月22日在天津顺利召开。本届论坛以“汇智研思·融合创... 由中国抗癌协会、天津医科大学肿瘤医院联合主办,Cancer Biology&Medicine、《中国肿瘤临床》两本期刊承办的“第一届Cancer Biology&Medicine青年学者论坛”于2025年8月22日在天津顺利召开。本届论坛以“汇智研思·融合创新”为主题,汇聚基础研究进展、临床诊疗技术革新以及转化医学方面重大成果,设立主论坛、肺癌专场和乳腺癌专场,为广大青年学者搭建了展示科研成果、探讨前沿进展、建立合作纽带的平台。会议采用线上线下结合的方式进行,三个会场线上观看总人次突破62万。 展开更多
关键词 cancer Biology&Medicine青年学者论坛 中国抗癌协会
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METTL3⁃mediated m6A modification of KIF11 mRNA promotes colorectal cancer progression through the PI3K/AKT signaling pathway
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作者 LIN Shuhui QIAN Mengsen +6 位作者 ZHU Jing DING Jie LUO Qian LI Jie LI Juan WANG Juan WANG Keming 《南京医科大学学报(自然科学版)》 北大核心 2025年第11期1546-1562,共17页
Objective:To investigate the biological functions and molecular regulatory mechanisms of kinesin family member 11(KIF11)in colorectal cancer(CRC).Methods:The expression of KIF11 in CRC was examined by qRT⁃PCR and publ... Objective:To investigate the biological functions and molecular regulatory mechanisms of kinesin family member 11(KIF11)in colorectal cancer(CRC).Methods:The expression of KIF11 in CRC was examined by qRT⁃PCR and public databases.Functional assays(CCK⁃8,colony formation,EdU,and Transwell)were employed to evaluate KIF11’s roles in CRC progression.Western blot,RIP⁃qPCR,MeRIP⁃qPCR,and RNA stability assays were performed to elucidate the molecular mechanism of N6⁃methyladenosine(m6A)modification for KIF11.RNA sequencing(RNA⁃seq)and correlation analysis were used to examine the downstream mechanism of KIF11 regulation.Results:KIF11 was highly expressed in CRC and promoted CRC proliferation and migration.Mechanistically,methyltransferase⁃like 3(METTL3)/insulin like growth factor 2 mRNA binding protein 2(IGF2BP2)enhanced KIF11 mRNA stability and expression in an m6A⁃dependent way.Furthermore,by means of the PROM1/PI3K/AKT pathway,KIF11 facilitated the progression of CRC.Conclusion:The m6A modification of KIF11 by METTL3/IGF2BP2 contributes to CRC progression via the PI3K/AKT signaling pathway,highlighting its potential as a prognostic biomarker and therapeutic target. 展开更多
关键词 colorectal cancer KIF11 m6A METTL3 PI3K/AKT pathway
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Unraveling Single-Cell Metabolic Features in Breast Cancer Drug Resistance Using Mass Spectrometry
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作者 LIU Chun-yan CHEN Hao-ran +3 位作者 WANG Yan WU Xian-zhe FANG Dan-jun CHEN Yun 《质谱学报》 北大核心 2025年第6期826-837,I0005,共13页
Drug resistance remains a major challenge in breast cancer chemotherapy,yet the metabolic alterations underlying this phenomenon are not fully understood.There is much evidence indicating the cellular heterogeneity am... Drug resistance remains a major challenge in breast cancer chemotherapy,yet the metabolic alterations underlying this phenomenon are not fully understood.There is much evidence indicating the cellular heterogeneity among cancer cells,which exhibit varying degrees of metabolic reprogramming and thus may result in differential contributions to drug resistance.A home-built single-cell quantitative mass spectrometry(MS)platform,which integrates micromanipulation and electro-osmotic sampling,was developed to quantitatively profile the tricarboxylic acid(TCA)cycle metabolites at the single-cell level.Using this platform,the metabolic profiles of drug-sensitive MCF-7 breast cancer cells and their drug-resistant derivative MCF-7/ADR cells were compared.This results revealed a selective upregulation of downstream TCA cycle metabolites includingα-ketoglutarate,succinate,fumarate,and malate in drug-resistant cancer cells,while early TCA metabolites remained largely unchanged.Furthermore,notable variations in the abundance of the metabolites were observed in individual cells.The comparative analysis also revealed that not all MCF-7/ADR cells exhibit the same degree of metabolic deviation from the parental line in the metabolites during resistance acquisition.The observed metabolic profiles indicate enhanced glutaminolysis,altered mitochondrial electron transport chain activity,and increased metabolic flexibility in drug-resistant cancer cells that support their survival under chemotherapeutic stress.The findings further suggest the potential for incorporating cellular metabolic heterogeneity into future drug resistance studies. 展开更多
关键词 mass spectrometry single-cell metabolic features breast cancer drug resistance tricarboxylic acid(TCA)cycle
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Metformin Induces Non-small Cell Lung Cancer Cells Apoptosis Depending on AMPK-mediated RIP1 Downregulation
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作者 LI Min SHI Shao-Qing ZHENG Yuan-Yuan 《中国生物化学与分子生物学报》 北大核心 2025年第4期551-559,共9页
The incidence and mortality rate of lung cancer rank among the highest worldwide,severely endangering human health and life.Metformin,an anti-diabetes drug,has been shown to elicit anticancer activities in various tum... The incidence and mortality rate of lung cancer rank among the highest worldwide,severely endangering human health and life.Metformin,an anti-diabetes drug,has been shown to elicit anticancer activities in various tumors.However,its underlying mechanisms remain elusive.In this work,we explore the role of receptor-interacting protein 1(RIP1)which plays a crucial role in the process of cell death,in metformin-induced anticancer activities in lung cancer.Metformin inhibits lung cancer cell proliferation in a dose-dependent manner and promotes apoptotic cell death,as evidenced by metformin-induced PARP and caspase cleavage.Furthermore,the pan-caspase inhibitor z-VAD-fmk reverses metformin-induced cell death.Western blot and qPCR results suggest that metformin markedly downregulates RIP1 expression without affecting its mRNA and ubiquitination levels(0 vs 80 mmol/L,100%vs 20%,100%vs 15%).Additionally,co-immunoprecipitation and immunofluorescence results reveal that metformin may suppress RIP1 expression in an Hsp70-dependent manner,as metformin promotes Hsp70 degradation,and Hsp70 endogenously interacts with RIP1.Subsequent CCK-8,flow cytometry,and Western blot analyses suggest that metformin decreases Hsp70/RIP1 expression through AMPK/PKA/GSK-3βaxis.Consistently,results from a subcutaneous transplant tumor model indicate that metformin retards tumor growth without affecting mouse body weight.Collectively,these data highlight the part of RIP1 in metformin-induced anticancer activities in lung cancer in vitro and in vivo,providing novel strategy for lung cancer administration. 展开更多
关键词 lung cancer METFORMIN receptor-interacting protein 1(RIP1) heatshockprotein70(Hsp70) AMP-activated protein kinas(AMPK)
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Gender differences in systemic inflammatory and nutritional index following radical surgery for advanced gastric cancer 被引量:2
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作者 MIN Jincong LIU Ting +4 位作者 TANG Mimi LI Xuan FENG Xiang LIU Heli GE Jie 《中南大学学报(医学版)》 CAS CSCD 北大核心 2024年第8期1232-1244,共13页
Objective:Albumin-globulin ratio(AGR),prognostic nutritional index(PNI),and platelet to-lymphocyte ratio(PLR)have been validated as prognostic factors for gastric cancer(GC).However,significant gender differences exis... Objective:Albumin-globulin ratio(AGR),prognostic nutritional index(PNI),and platelet to-lymphocyte ratio(PLR)have been validated as prognostic factors for gastric cancer(GC).However,significant gender differences exist in albumin levels and inflammatory cell counts,and further research is required to understand how these differences influence GC prognosis.This study aims to investigate the prognostic impact of nutritional and inflammatory indicators on GC patients undergoing radical surgery,as well as the influence of gender on these indicators’prognostic value.Methods:The study included 596 patients with advanced GC hospitalized in the Department of Gastrointestinal Surgery,General Surgery,Xiangya Hospital of Central South University from January 2012 to December 2016.Receiver operating characteristic(ROC)analysis was performed to determine cutoff values for nutritional and inflammatory factors.Univariate analysis was used to identify factors significantly affecting survival in GC patients,while multivariate and Kaplan-Meier analyses determined independent prognostic factors for GC.Results:Multivariate analysis revealed that postsurgical tumor node metastasis(pTNM)stage[stage II:hazard ratio(HR)=3.284,P=0.012;stage III:HR:8.062,P<0.001],low preoperative AGR(HR=1.499,P=0.012),and postoperative PNI(HR=1.503,P=0.008)were risk factors for overall survival in male patients after radical GC surgery.For female patients,pN2-3(HR=3.185,P<0.001),total gastrectomy(HR=2.286,P=0.004),low preoperative PLR(HR=1.702,P=0.027),and postoperative PNI(HR=1.943,P=0.011)were identified as risk factors for overall survival.Conclusion:Postoperative PNI is an independent risk factor for all advanced GC patients.Preoperative PLR is an independent prognostic factor only for female patients,while preoperative AGR is an independent prognostic factor only for male patients.Further research is warranted to investigate the gender-specific differences in GC prognosis. 展开更多
关键词 albumin-globulin ratio platelet-lymphocyte ratio prognostic nutritional index advanced gastric cancer prognosis
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Effects of a 4-week internet-delivered mindfulness-based cancer recovery program on anxiety,depression,and mindfulness among patients with breast cancer
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作者 GU Can PENG Yunyun +3 位作者 PENG Yueyang LIN Sulan YAO Juqin CHEN Xing 《中南大学学报(医学版)》 CAS CSCD 北大核心 2024年第7期1130-1142,共13页
Objective:The efficacy of monotherapy in alleviating psychological disorders like anxiety and depression among breast cancer patients is suboptimal,necessitating effective psychosocial interventions.Mindfulness-based ... Objective:The efficacy of monotherapy in alleviating psychological disorders like anxiety and depression among breast cancer patients is suboptimal,necessitating effective psychosocial interventions.Mindfulness-based interventions have been shown to mitigate anxiety-depression symptoms and encourage beneficial behaviors.The online mindfulness based cancer recovery(MBCR)offers flexibility and guides practice across various settings,facilitating full patient engagement.This study amis to analyze the impact of a 4-week internet-delivered mindfulness-based cancer recovery program on anxiety,depression,and mindfulness among Chinese patients with breast cancer,and to evaluate the degree of satisfaction breast cancer patients experienced after participating in this program.Methods:This study utilized a two-armed,parallel,randomized controlled trial design.A total of 103 patients with breast cancer from June 2020 to January 2021 in the ward of Breast and Thyroid Surgery of a tertiary hospital in Changsha,Hunan Province were selected and randomly assigned to an intervention group(n=51)and a control group(n=52).The intervention group participated in an internet-delivered mindfulness-based cancer recovery program,which was delivered once a week for 4 weeks.Meanwhile,the control group received weekly group health education for 4 weeks.The outcomes of hospital anxiety and depression scale and mindfulness Attention Awareness Scale were evaluated at 3 distinct time points:Baseline(T1),postintervention(T2),and 1-month follow-up(T3).The satisfaction questionnaire of 4-week mindful cancer rehabilitation training program was used at T2 to evaluate patients’satisfaction with the intervention program.Generalized estimation equations were used to assess differences in anxiety,depression and mindfulness levels between groups before and after the intervention.Results:There were no statistically significant differences in demographic data and outcome index scores between the 2 groups at T1(all P>0.05),indicating that the 2 groups were comparable.The generalized estimating equation analyses showed that the intervention group had significantly better improvement in outcomes compared to the control group,particularly for anxiety(T2β=−1.30,95%CI−1.87 to−0.72;T3β=−2.78,95%CI−3.51 to−2.05)and depression(T2β=−1.92,95%CI−2.78 to−1.06;T3β=−2.96,95%CI−4.05 to−1.87;all P<0.001).Moreover,the mindfulness score in the intervention group was significantly higher than that in the control group at T2(β=3.23,95%CI 0.73 to 5.72)and T3(β=8.06,95%CI 4.37 to 11.75;both P<0.05).In addition,patients in the intervention group were satisfied with the 4-week mindfulness-based cancer recovery intervention and teaching/learning activities used to implement the program.Conclusion:In patients with breast cancer,the 4-week internet-delivered mindfulness based cancer recovery program,as a low-threshold,short-term mental health intervention,has a positive effect on reducing anxiety and depression and improving mindfulness levels.This program holds great promise as a tool for clinical nursing practice,given the high satisfaction and applicability. 展开更多
关键词 MINDFULNESS ANXIETY DEPRESSION breast cancer internet-based interventions
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A Prognostic Model Based on Colony Stimulating Factors-related Genes in Triple-negative Breast Cancer
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作者 GUO Yu-Xuan WANG Zhi-Yu +7 位作者 XIAO Pei-Yao ZHENG Chan-Juan FU Shu-Jun HE Guang-Chun LONG Jun WANG Jie DENG Xi-Yun WANG Yi-An 《生物化学与生物物理进展》 SCIE CAS CSCD 北大核心 2024年第10期2741-2756,共16页
Objective Triple-negative breast cancer(TNBC)is the breast cancer subtype with the worst prognosis,and lacks effective therapeutic targets.Colony stimulating factors(CSFs)are cytokines that can regulate the production... Objective Triple-negative breast cancer(TNBC)is the breast cancer subtype with the worst prognosis,and lacks effective therapeutic targets.Colony stimulating factors(CSFs)are cytokines that can regulate the production of blood cells and stimulate the growth and development of immune cells,playing an important role in the malignant progression of TNBC.This article aims to construct a novel prognostic model based on the expression of colony stimulating factors-related genes(CRGs),and analyze the sensitivity of TNBC patients to immunotherapy and drug therapy.Methods We downloaded CRGs from public databases and screened for differentially expressed CRGs between normal and TNBC tissues in the TCGA-BRCA database.Through LASSO Cox regression analysis,we constructed a prognostic model and stratified TNBC patients into high-risk and low-risk groups based on the colony stimulating factors-related genes risk score(CRRS).We further analyzed the correlation between CRRS and patient prognosis,clinical features,tumor microenvironment(TME)in both high-risk and low-risk groups,and evaluated the relationship between CRRS and sensitivity to immunotherapy and drug therapy.Results We identified 842 differentially expressed CRGs in breast cancer tissues of TNBC patients and selected 13 CRGs for constructing the prognostic model.Kaplan-Meier survival curves,time-dependent receiver operating characteristic curves,and other analyses confirmed that TNBC patients with high CRRS had shorter overall survival,and the predictive ability of CRRS prognostic model was further validated using the GEO dataset.Nomogram combining clinical features confirmed that CRRS was an independent factor for the prognosis of TNBC patients.Moreover,patients in the high-risk group had lower levels of immune infiltration in the TME and were sensitive to chemotherapeutic drugs such as 5-fluorouracil,ipatasertib,and paclitaxel.Conclusion We have developed a CRRS-based prognostic model composed of 13 differentially expressed CRGs,which may serve as a useful tool for predicting the prognosis of TNBC patients and guiding clinical treatment.Moreover,the key genes within this model may represent potential molecular targets for future therapies of TNBC. 展开更多
关键词 triple-negative breast cancer colony stimulating factors prognostic model tumor microenvironment drug sensitivity
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2002—2017年上海市女性乳腺癌生存分析 被引量:2
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作者 吴春晓 庞怡 +4 位作者 顾凯 颜佳颖 王春芳 向詠梅 施燕 《中国癌症杂志》 北大核心 2025年第3期291-297,共7页
背景与目的:上海市疾病预防控制中心每年更新上海市恶性肿瘤流行统计资料。乳腺癌是女性常见的恶性肿瘤之一,近年来上海市女性乳腺癌发病率仍在上升,死亡率已呈下降趋势,本研究旨在进一步分析2002—2017年上海市女性乳腺癌诊断病例的生... 背景与目的:上海市疾病预防控制中心每年更新上海市恶性肿瘤流行统计资料。乳腺癌是女性常见的恶性肿瘤之一,近年来上海市女性乳腺癌发病率仍在上升,死亡率已呈下降趋势,本研究旨在进一步分析2002—2017年上海市女性乳腺癌诊断病例的生存情况。方法:采用上海市疾病预防控制中心建立的人群基础肿瘤登记管理系统和全死因登记系统收集的2002—2017年上海市女性乳腺癌发病、死亡和随访资料,按诊断年份、年龄、病理组织学类型和诊断时期别分层分析,计算数量、构成比和生存率指标。5年观察生存率应用寿命表法计算,应用Elandt-Johnson模型推算0~99岁逐岁的生存概率,再根据EdererⅡ方法计算期望生存率,最终获得5年相对生存率。应用Joinpoint软件计算生存率的年度变化百分比(annual percent change,APC)并分析变化趋势。结果:2002—2017年上海市女性乳腺癌诊断病例共73600例,其中病理学诊断67681例,占91.96%。截至2022年12月31日,已死亡23745例(32.26%),因肿瘤死亡19466例,占所有病例的26.45%;已死亡和随访生存期满5年的完全随访病例共68332例(92.84%);失访病例5268例(7.16%)。纳入观察队列73538例,占99.92%。逐年观察病例数从2002年的3330例增长至2017年的6095例,增幅接近翻倍;5年观察生存率从2002年的78.77%动态变化至2017年的84.55%,呈现缓慢增长趋势,年均增速为0.50%(APC=0.50%,t=8.75,P<0.001);5年相对生存率也从83.46%缓慢增长至89.24%,年均增速为0.47%(APC=0.47%,t=9.80,P<0.001)。2002—2017年上海市女性乳腺癌总体5年观察生存率为83.24%(82.96%~83.52%),5年相对生存率为87.58%(87.29%~87.87%),并随着时间变化持续上升,随着年龄的增长而降低,随着诊断时期别的增加而降低。其中,15~64岁各组间的5年相对生存率差异无统计学意义(P>0.05)。病例数以期别不详组最多,其次是Ⅱ期组,再是Ⅰ期组。Ⅰ期病例的5年相对生存率达到99.10%(98.78%~99.42%),但仅占25.51%;Ⅳ期病例的5年相对生存率为52.54%(50.98%~54.11%),占6.13%;期别不详组的5年相对生存率为82.04%(81.42%~82.65%),占31.05%。结论:上海市女性乳腺癌诊断水平和生存率较高,且仍在不断改善,但组织学类型和期别不详病例所占比例相对较高,Ⅰ期病例所占比例不高,Ⅳ期病例生存率较低。本研究结果可为女性乳腺癌的进一步研究和预防控制提供参考。 展开更多
关键词 乳腺癌 生存 流行病学 上海
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基于CT影像组学构建胃癌新辅助免疫治疗联合化疗疗效的预测模型 被引量:3
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作者 霍俊杰 陈凤菊 +4 位作者 段颖欣 李曼 沈立杰 武永存 王力军 《中国肿瘤临床》 北大核心 2025年第1期16-23,共8页
目的:探讨基于CT影像组学构建的预测模型对于局部进展期胃癌(locally advanced gastric cancer,LAGC)新辅助免疫治疗联合化疗疗效的预测价值。方法:回顾性收集2019年6月至2021年6月邢台医学高等专科学校第二附属医院收治的114例新辅助... 目的:探讨基于CT影像组学构建的预测模型对于局部进展期胃癌(locally advanced gastric cancer,LAGC)新辅助免疫治疗联合化疗疗效的预测价值。方法:回顾性收集2019年6月至2021年6月邢台医学高等专科学校第二附属医院收治的114例新辅助免疫治疗联合化疗后行胃癌根治术的LAGC患者的临床病理资料,按收治时间分为训练集(n=67)和验证集(n=47)。对所有患者治疗前静脉期CT图像进行高通量特征提取,并筛选特征构建影像组学预测模型。采用ROC曲线以及校正曲线评价模型的预测效能,采用Kaplan-Meier曲线评估模型的预后分层能力。结果:基于mRMR算法以及LASSO回归模型,本研究在584个特征中筛选出5个特征构建影像组学Rad评分。该评分在训练集和验证集中预测病理完全缓解(pathological complete response,pCR)率的曲线下面积分别为0.865和0.830,且拟合度良好(Hosmer-Lemeshow检验:P>0.05)。根据约登指数确定Rad评分的最佳截点值,高Rad评分的患者其3年无复发生存率(训练集82.7%vs.60.4%;验证集78.9%vs.53.8%)、3年总体生存率(训练集78.9%vs.60.2%;验证集79.3%vs.50.0%)均显著高于低Rad评分者(P<0.05)。结论:CT影像组学预测模型能够有效预测LAGC患者行新辅助免疫治疗联合化疗后的病理学反应及预后,有望成为一个实用的临床工具。 展开更多
关键词 胃癌 新辅助治疗 免疫治疗 影像组学
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食管癌高、低发区食管腺癌的临床病理特征及预后 被引量:2
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作者 王苒 钟侃 +20 位作者 宋昕 范宗民 韩雪娜 赵学科 马磊 李媛媛 库建伟 李爱丽 鲍启德 魏梦霞 雷玲玲 韩文莉 徐瑞华 黄金 王献增 郭威 罗宏 李贝 裘一兵 纪爱芳 王立东 《郑州大学学报(医学版)》 北大核心 2025年第1期13-17,共5页
目的:探讨食管癌高、低发区食管腺癌患者的临床病理特征及预后。方法:选取郑州大学第一附属医院河南省食管癌重点开放实验室70万例食管癌患者临床病理和随访(1973至今)大资料库中2014年1月至2023年12月确诊的食管腺癌患者703例,食管癌... 目的:探讨食管癌高、低发区食管腺癌患者的临床病理特征及预后。方法:选取郑州大学第一附属医院河南省食管癌重点开放实验室70万例食管癌患者临床病理和随访(1973至今)大资料库中2014年1月至2023年12月确诊的食管腺癌患者703例,食管癌高发区组295例,低发区组408例。应用Kaplan-Meier法绘制高发区和低发区食管腺癌及各病理类型患者的生存曲线,采用Log-rank检验比较高、低发区患者生存曲线的差异。应用Cox回归分析高、低发区食管腺癌预后的影响因素。结果:高发区患者中食管单纯腺癌患者的占比低于低发区,TNM分期Ⅲ、Ⅳ期患者的占比高于低发区(P<0.05)。高、低发区食管腺癌及各病理类型患者的生存曲线差异均无统计学意义(P>0.05)。高发区患者中男性及TNM分期Ⅲ、Ⅳ期是食管腺癌预后的危险因素[HR(95%CI)分别为1.860(1.130~3.061)和1.539(1.018~2.326)];低发区患者中年龄≥70岁及TNM分期Ⅲ、Ⅳ期是食管腺癌预后的危险因素[HR(95%CI)分别为1.604(1.053~2.444)和1.556(1.069~2.263)]。结论:食管癌高、低发区食管腺癌的临床病理特征和预后影响因素有差异。 展开更多
关键词 食管癌高发区 食管癌低发区 食管腺癌 临床病理特征 预后
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HER2阴性晚期胃癌患者PD-1抑制剂信迪利单抗治疗过程中癌胚抗原变化及其与预后的关系 被引量:4
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作者 宋永波 杜小明 +1 位作者 张艳苓 赵璐 《中国免疫学杂志》 北大核心 2025年第2期402-407,共6页
目的:探究人类表皮生长因子受体2(HER2)阴性晚期胃癌患者程序性死亡蛋白1(PD-1)抑制剂信迪利单抗免疫过程中癌胚抗原(CEA)变化及其与预后的关系。方法:选择2020年5月至2022年4月于皖北煤电集团总医院治疗的HER2阴性晚期胃癌患者(88例)... 目的:探究人类表皮生长因子受体2(HER2)阴性晚期胃癌患者程序性死亡蛋白1(PD-1)抑制剂信迪利单抗免疫过程中癌胚抗原(CEA)变化及其与预后的关系。方法:选择2020年5月至2022年4月于皖北煤电集团总医院治疗的HER2阴性晚期胃癌患者(88例)为研究对象,均行PD-1抑制剂信迪利单抗治疗;根据预后情况分为死亡组(36例)和生存组(52例)。每6个月随访1次,收集患者治疗前后肿瘤标志物水平。分析肿瘤标志物(CEA、CA199、CA125)水平与临床分期、淋巴结转移及预后的关系。采用Kaplan-Meier生存曲线分析各肿瘤标志物阴性及阳性组患者的生存时间。采用多因素Cox回归模型和逐步回归分析影响预后的危险因素。采用Spearman进行相关性分析。结果:治疗2个周期后,疾病控制者72例(81.82%)、进展者16例(18.18%)。与治疗前相比,治疗后患者血清肿瘤标志物阳性率均显著降低(P<0.05)。CEA、CA199阳性率与临床分期显著相关(P<0.05)。预测患者死亡时,CEA水平的敏感度最高(48.57%),而CA125的特异度最高(95.62%),但敏感度最低(25.71%)。Kaplan-Meier生存曲线分析结果显示,各肿瘤标志物阳性患者的生存时间均显著短于阴性患者(P<0.05)。临床分期、血清CEA和CA199水平均为预测预后的独立因素(P<0.05)。Spearman相关性分析结果显示,CEA(r=-0.512,P=0.005)、CA199(r=-0.467,P=0.011)升高倍数与患者的生存时间均呈负相关。结论:经PD-1抑制剂信迪利单抗治疗后,HER2阴性晚期胃癌患者的血清肿瘤标志物水平均显著降低。患者血清高CEA、CA199、CA125水平均可预测不良预后,临床分期、血清CEA和CA199水平均为预测预后的独立因素。CEA、CA199升高倍数越高,患者生存时间越短。 展开更多
关键词 HER2阴性 胃癌 信迪利单抗 癌胚抗原 预后
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肿瘤患者心身症状临床管理中国专家共识 被引量:4
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作者 尹营营 赵宽 +18 位作者 王彩莲 汤立晨 何红波 刘向欣 潘昱 杨海龙 杨阳 周波 谢可 林铮 喻林珍 骆艳丽 陆峥 王小平 任涛 邹韶红 魏镜 冯威 袁勇贵 《中国全科医学》 北大核心 2025年第15期1809-1822,1830,共15页
肿廇患者常伴有严重的抑郁、焦虑、失眠、疼痛等心身症状,严重影响患者生活质量及预后。该类症状目前在我国临床中容易被医患忽视或未有效转诊治疗。目前国内肿瘤管理相关共识对心身症状处理内容较少,鉴于此,本共识系统阐述了肿瘤患者... 肿廇患者常伴有严重的抑郁、焦虑、失眠、疼痛等心身症状,严重影响患者生活质量及预后。该类症状目前在我国临床中容易被医患忽视或未有效转诊治疗。目前国内肿瘤管理相关共识对心身症状处理内容较少,鉴于此,本共识系统阐述了肿瘤患者相关心身症状的临床管理建议,结合相关文献,整合实用管理工具,全面回答了肿瘤相关心身症状的医患沟通、诊断评估、心理干预、药物治疗以及如何建立医-护-患-家属同盟等重要问题,旨在提高非精神专科医生对肿瘤相关心身症状的识别、转诊,并在精神心理科及其他多学科团队的互助下有效沟通、开展治疗及管理心身症状。 展开更多
关键词 肿瘤 心身症状 心身医学 临床管理 专家共识
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