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抗两性蛋白抗体相关副肿瘤性脑干脑炎伴食管神经内分泌癌1例
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作者 王妍颖 毛晨晖 +6 位作者 杨璐 贾丛伟 周良锐 朱文佳 关鸿志 朱以诚 崔丽英 《中华神经科杂志》 CAS CSCD 北大核心 2022年第11期1298-1302,共5页
副肿瘤神经综合征(PNS)是恶性肿瘤继发的自身免疫反应所致的一组异质性疾病, 可累及神经系统的任何部分。抗两性蛋白抗体为PNS高风险抗体之一, 常伴发小细胞肺癌及乳腺癌, 而肺外神经内分泌癌少见。我们报道1例伴发食管神经内分泌癌的... 副肿瘤神经综合征(PNS)是恶性肿瘤继发的自身免疫反应所致的一组异质性疾病, 可累及神经系统的任何部分。抗两性蛋白抗体为PNS高风险抗体之一, 常伴发小细胞肺癌及乳腺癌, 而肺外神经内分泌癌少见。我们报道1例伴发食管神经内分泌癌的抗两性蛋白抗体相关副肿瘤性脑干脑炎患者。通过氟脱氧葡萄糖正电子发射体层摄影发现肿瘤, 由胃镜活组织检查病理证实。患者经人免疫球蛋白和糖皮质激素治疗后, 神经系统症状部分改善。最终预后与伴发肿瘤密切相关。 展开更多
关键词 副肿瘤综合征 神经系统 两性蛋白 神经内分泌癌 脑干脑炎
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Antitumor and off-target effects of cholesterol-conjugated let-7a mimics in an orthotopic hepatocellular carcinoma xenograft nude mouse model
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作者 Jian Guan Mingyang Liu +9 位作者 Xin Li liangrui zhou Xueyu Dong Wei Dai Yu Xia Tao Yang Shaojuan Guo Xingqi Li Yehua Han Yufeng Luo 《Journal of Bio-X Research》 2022年第4期181-196,共16页
Objective: To explore the antitumor and potential off-target effects of systemically delivered cholesterol-conjugatedlet-7a mimics(Chol-let-7a) and control mimics(Chol-miRCtrl) on hepatocellular carcinomain vivo.Metho... Objective: To explore the antitumor and potential off-target effects of systemically delivered cholesterol-conjugatedlet-7a mimics(Chol-let-7a) and control mimics(Chol-miRCtrl) on hepatocellular carcinomain vivo.Methods: The antitumor effects of two intravenous dosing regimens ofChol-let-7a on heptocellular carcinoma growth were compared using an orthotopic xenograft mouse model. Off-targets were analyzed with histopathological and ultrapathological features of heparenal tissue and cells in theChol-let-7a-, Chol-miRCtrl-, and saline-treated (blank) xenograft mice and normal control mice. Then,let-7a abundance in orthotopic tumors, corresponding paracancerous hepatic tissue, and normal liver tissue from healthy nude mice was examined by reverse transcription-polymerase chain reaction. The distribution ofChol-let-7a andChol-miRCtrl in vivo was examined by whole-animal imaging and frozen-sections observation. The experiments were approved by the Institutional Research Board of Peking Union Medical College Hospital.Results: Continuous treatment withChol-let-7a resulted in tumors that were 35.86% and 40.02% the size of those in theChol-miRCtrl and blank xenograft group (P < 0.01 andP < 0.01, respectively), while intermittent dosing withChol-let-7a resulted in tumors that were 65.42% and 56.66% the size of those in theChol-miRCtrl and the blank control group, respectively (P < 0.05 andP < 0.05). In addition, some histopathological and ultrapathological features were only observed after treatment with the two cholesterol-conjugated molecules, however mild with intermittent dosingChol-let-7a treatment, such as diffuse sinusoidal dilation and edema, primarily around the centrolobular vein in heptic tissues;mild hypercellularity with dilated capillary lumens in the renal tissue;and some organelle abnormalities found in heptic and renal cells. Furthermore, whole-animal imaging showed thatChol-let-7a andChol-miRCtrl were predominantly distributed in the liver, kidney, and bladder regions after injection, and that the concentration ofChol-let-7a andChol-miRCtrl in the kidney and the bladder decreased much slowly in the xenograft animals, especially in theChol-miRCtrl group. Finally, RT-PCR analysis showed thatlet-7a levels were significantly increased in Chol-let-7a-treated xenografts compared withChol-miRCtrl group (P=0.003) and blank xenograft group (P=0.001);however, the level was only equivalent to 50.6% and 40.7% of that in paracancerous hepatic tissue and hepatic tissue in normal mice, respectively.Conclusions: Chol-let-7a, administered either continuously or intermittently, showed effective antitumor efficacy.Chol-let-7a had some off-target effects, such as mild acute hepatitis-like inflammation and non-specific drug-induced kidney injury. The intermittent dosing regimen resulted in less damage than the continuous regimen, while maintaining relatively satisfactory antitumor efficacy, which could be useful for the investigation and possible clinical use of miRNA treatment regimens in the future. 展开更多
关键词 drug-induced renal injury hepatic toxicity in vivo off target effects let-7 mimics nonviral delivery vector
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