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Regulatory role of the transforming growth factor-β signaling pathway in the drug resistance of gastrointestinal cancers 被引量:2
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作者 Xiaoqun Lv guoxiong xu 《World Journal of Gastrointestinal Oncology》 SCIE 2021年第11期1648-1667,共20页
Gastrointestinal(GI)cancer,including esophageal,gastric,and colorectal cancer,is one of the most prevalent types of malignant carcinoma and the leading cause of cancer-related deaths.Despite significant advances in th... Gastrointestinal(GI)cancer,including esophageal,gastric,and colorectal cancer,is one of the most prevalent types of malignant carcinoma and the leading cause of cancer-related deaths.Despite significant advances in therapeutic strategies for GI cancers in recent decades,drug resistance with various mechanisms remains the prevailing cause of therapy failure in GI cancers.Accumulating evidence has demonstrated that the transforming growth factor(TGF)-βsignaling pathway has crucial,complex roles in many cellular functions related to drug resistance.This review summarizes current knowledge regarding the role of the TGF-βsignaling pathway in the resistance of GI cancers to conventional chemotherapy,targeted therapy,immunotherapy,and traditional medicine.Various processes,including epithelial-mesenchymal transition,cancer stem cell development,tumor microenvironment alteration,and microRNA biogenesis,are proposed as the main mechanisms of TGF-β-mediated drug resistance in GI cancers.Several studies have already indicated the benefit of combining antitumor drugs with agents that suppress the TGF-βsignaling pathway,but this approach needs to be verified in additional clinical studies.Moreover,the identification of potential biological markers that can be used to predict the response to TGF-βsignaling pathway inhibitors during anticancer treatments will have important clinical implications in the future. 展开更多
关键词 Drug resistance Gastrointestinal cancer Transforming growth factor-β Epithelial-mesenchymal transition Cancer stem cells MICRORNAS
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经皮金属多支架置入治疗BismuthⅡ型及以上肝门部胆管癌的临床应用分析
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作者 许晨 俞靖凡 +3 位作者 方昌文 张志轩 徐国雄 金一琦 《中华介入放射学电子杂志》 2023年第2期123-127,共5页
目的应用经皮肝穿刺多支架置入术治疗BismuthⅡ型及以上肝门部胆管癌,评估该方法的有效性及安全性,分析支架通畅期及患者生存期。方法回顾性收集2019年1月至2021年9月,于南京医科大学附属苏州医院血管介入科收治并接受多支架置入的Ⅱ型... 目的应用经皮肝穿刺多支架置入术治疗BismuthⅡ型及以上肝门部胆管癌,评估该方法的有效性及安全性,分析支架通畅期及患者生存期。方法回顾性收集2019年1月至2021年9月,于南京医科大学附属苏州医院血管介入科收治并接受多支架置入的Ⅱ型及以上肝门部胆管癌患者的临床资料。分析手术技术成功率、临床成功率、肝功能变化、术后并发症、支架通畅期及患者生存期。结果共纳入108例患者,年龄38~92岁,平均(66.8±10.6)岁。手术技术成功率100%,临床成功率84.3%(91/108)。术后血清总胆红素水平由(266.23±108.87)μmol/L降至(153.08±98.63)μmol/L;其余直接胆红素、谷丙转移酶、谷草转氨酶及碱性磷酸酶水平差异均具有统计学意义(P<0.01),但白蛋白水平未见明显变化(P=0.252)。术后并发症发生率12.0%,无严重并发症发生。中位支架通畅时间122 d(17~833 d),中位生存时间151 d(17~915 d)。结论经皮多支架置入治疗BismuthⅡ型及以上肝门部胆管癌有良好的安全性与有效性,可以一定程度上解决黄疸,恢复患者肝功能。 展开更多
关键词 金属多支架 胆管癌 支架通畅期 生存期
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介入引流治疗不可切除肝门部胆管癌的预后因素研究
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作者 许晨 俞靖凡 +3 位作者 方昌文 张志轩 徐国雄 金一琦 《中华介入放射学电子杂志》 2022年第4期376-381,共6页
目的研究影响介入引流治疗肝门部胆管癌(hilarcholangiocarcinoma,HCCA)预后的相关因素。方法回顾性收集2019年1月—2022年1月,于南京医科大学附属苏州医院接受介入引流治疗的HCCA患者的临床资料。选择年龄、性别、BMI、吸烟、高血压病... 目的研究影响介入引流治疗肝门部胆管癌(hilarcholangiocarcinoma,HCCA)预后的相关因素。方法回顾性收集2019年1月—2022年1月,于南京医科大学附属苏州医院接受介入引流治疗的HCCA患者的临床资料。选择年龄、性别、BMI、吸烟、高血压病、糖尿病、冠心病或心功能不全、脑梗史、Bismuth-Corlett分型、术前感染、术前梗阻时间、癌胚抗原、糖类抗原199、肝硬化、乙型肝炎、Child-Pugh分级、总胆红素、谷丙转氨酶、谷草转氨酶、碱性磷酸酶、白蛋白、肌酐、血红蛋白、胆固醇、甘油三酯、引流方式及肿瘤治疗作为研究因素,运用Log-Rank检验及Cox回归进行单因素及多因素分析,确定影响患者预后的独立风险因素。结果本研究共计纳入182例HCCA患者,中位生存期162 d。多因素分析显示:Child-Pugh分级(OR:1.939;95%CI:1.36~2.77;P<0.001)及肿瘤治疗(OR:1.752;95%CI:1.26~2.44;P=0.001)是影响预后的独立风险因素。结论患者Child-Pugh分级及肿瘤治疗是影响介入引流治疗HCCA预后的独立风险因素。 展开更多
关键词 介入治疗 肝门部胆管癌 预后分析
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Fluorescent glycan nanoparticle-based FACS assays for the identification of genuine drug-resistant cancer cells with differentiation potential
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作者 Chenglong Wang Wencai Guan +6 位作者 Rong Chen Yael Levi-Kalisman Yichun xu Liwen Zhang Min Zhou guoxiong xu Hongjing Dou 《Nano Research》 SCIE EI CAS CSCD 2020年第11期3110-3122,共13页
Herein we develop a unique differentiated-uptake strategy capable of efficient and high-purity isolation of genuine drug-resistant(DR)cells from three types of drug-surviving cancer cells,which include paclitaxel-surv... Herein we develop a unique differentiated-uptake strategy capable of efficient and high-purity isolation of genuine drug-resistant(DR)cells from three types of drug-surviving cancer cells,which include paclitaxel-surviving human ovarian OVCAR-3 cancer cells and human lung carcinoma A549/Taxol cells,and doxorubicin-surviving human immortalized myelogenous leukemia K562/ADR cells.By using this strategy which relies on fluorescent glycan nanoparticle(FGNP)-based fluorescence-activated cell sorting(FACS)assays,two subpopulations with distinct fluorescences existing in drug-surviving OVCAR-3 cells were separated,and we found that the lower fluorescence(LF)subpopulation consisted of DR cells,while the higher fluorescence(HF)subpopulation was comprised of non-DR cells.Besides,the DR cells and their progenies were found distinct in their increased expression of drug-resistant genes.More intriguingly,by using the FGNP-based FACS assay to detect DR/non-DR phenotypes,we found that the DR phenotype had a potential to differentiate into the non-DR progeny,which demonstrates the differentiation feature of stem-like cancer cells.Further research disclosed that the assay can quantitatively detect the degree of drug resistance in DR cells,as well as the reversal of drug resistance that are tackled by various therapeutic methods.The strategy thus paves the way to develop theranostic approaches associated with chemotherapy-resistance and cancer stemness. 展开更多
关键词 glycan nanoparticle FACS assays drug resistance tumor heterogeneity DIAGNOSE
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Erratum to: Fluorescent glycan nanoparticle-based FACS assays for the identification of genuine drug-resistant cancer cells with differentiation potential
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作者 Chenglong Wang Wencai Guan +6 位作者 Rong Chen Yael Levi-Kalisman Yichun xu Liwen Zhang Min Zhou guoxiong xu Hongjing Dou 《Nano Research》 SCIE EI CSCD 2021年第11期4364-4364,共1页
Erratum to Nano Research 2020,13(11):3110-3122 https://d0i.0rg/l 0.1007/s 12274-020-2981-8 The article Fluorescent glycan nanoparticle-based FACS assays for the identification of genuine drug-resistant cancer cells wi... Erratum to Nano Research 2020,13(11):3110-3122 https://d0i.0rg/l 0.1007/s 12274-020-2981-8 The article Fluorescent glycan nanoparticle-based FACS assays for the identification of genuine drug-resistant cancer cells with differentiation potential,written by Chenglong Wang et al.,was erroneously originally published electronically on the publishers internet portal(currently SpringerLink)on 10 August 2020 with the Acknowledgements. 展开更多
关键词 al. drug cancer
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