Smac(second mitochondria-derived activator of Caspase)是一种内源性促进细胞凋亡的蛋白,主要通过拮抗凋亡抑制因子(inhibitor of apoptosis proteins,IAPs)对Caspase的抑制,以及促进Caspase的催化活性从而促进凋亡,并可通过与IAPs...Smac(second mitochondria-derived activator of Caspase)是一种内源性促进细胞凋亡的蛋白,主要通过拮抗凋亡抑制因子(inhibitor of apoptosis proteins,IAPs)对Caspase的抑制,以及促进Caspase的催化活性从而促进凋亡,并可通过与IAPs的作用参与NF-кB的调控。IAPs在肿瘤的发生、迁移以及耐药、辐射抗性的形成中发挥重要的作用。肿瘤细胞中IAPs的高表达与其抵抗凋亡的作用相关。因此,探究Smac对IAPs的拮抗作用和对Caspase的激活机制,能够进一步阐明肿瘤细胞抗凋亡机制和其他死亡途径的逃逸机制。阐述了Smac蛋白的结构、与IAPs的相互作用以及Smac模拟物作为肿瘤放化疗增敏剂的研究。展开更多
Objective: To investigate the expressions of vascular endothelial growth factor (VEGF) and proliferating cell nuclear antigen (Ki-67) in patients with rectal adenocarcinoma and their associations with neoadjuvant...Objective: To investigate the expressions of vascular endothelial growth factor (VEGF) and proliferating cell nuclear antigen (Ki-67) in patients with rectal adenocarcinoma and their associations with neoadjuvant therapy. Methods: The expressions of Ki-67 and VEGF in 32 cases of rectal adenocarcinoma, including both pretreatment tumor biopsies and postoperative specimen, were detected by immunohistochemistry using specific antibodies, and were correlated with clinicopathological factors. Results: The intensity of VEGF staining was significantly correlated with lymph nodal metastasis (P =0.033), depth of tumor invasion (P =0.007) and tumor stage (P= 0.016), but not with histological types, tumor sizes, patients' ages and genders (P 〉 0.05). Low level of VEGF expression had significant correlation with the high sensitivity of response to neoadjuvant therapy (P = 0.016). The transient increase of VEGF expression could be seen after neoadjuvant therapy (P = 0.035). Ki-67 labeling index (Ki-67-LI) was significantly correlated with lymph node metastasis (P = 0.028), but not correlated to tumor sizes, patients' ages and genders (P 〉 0.05). Tumors with lower Ki-67-LI were more sensitive to neoadjuvant therapy (P = 0.032). The Ki-67 level decreased after neoadjuvant therapy, but no statistical significance was found (P 〉 0.05). Conclusion: Our results demonstrate that the expression of VEGF and Ki-67 in pretreatment rectal adenocarcinoma biopsies may be predictive of tumor response to neoadjuvant therapy.展开更多
文摘Smac(second mitochondria-derived activator of Caspase)是一种内源性促进细胞凋亡的蛋白,主要通过拮抗凋亡抑制因子(inhibitor of apoptosis proteins,IAPs)对Caspase的抑制,以及促进Caspase的催化活性从而促进凋亡,并可通过与IAPs的作用参与NF-кB的调控。IAPs在肿瘤的发生、迁移以及耐药、辐射抗性的形成中发挥重要的作用。肿瘤细胞中IAPs的高表达与其抵抗凋亡的作用相关。因此,探究Smac对IAPs的拮抗作用和对Caspase的激活机制,能够进一步阐明肿瘤细胞抗凋亡机制和其他死亡途径的逃逸机制。阐述了Smac蛋白的结构、与IAPs的相互作用以及Smac模拟物作为肿瘤放化疗增敏剂的研究。
文摘Objective: To investigate the expressions of vascular endothelial growth factor (VEGF) and proliferating cell nuclear antigen (Ki-67) in patients with rectal adenocarcinoma and their associations with neoadjuvant therapy. Methods: The expressions of Ki-67 and VEGF in 32 cases of rectal adenocarcinoma, including both pretreatment tumor biopsies and postoperative specimen, were detected by immunohistochemistry using specific antibodies, and were correlated with clinicopathological factors. Results: The intensity of VEGF staining was significantly correlated with lymph nodal metastasis (P =0.033), depth of tumor invasion (P =0.007) and tumor stage (P= 0.016), but not with histological types, tumor sizes, patients' ages and genders (P 〉 0.05). Low level of VEGF expression had significant correlation with the high sensitivity of response to neoadjuvant therapy (P = 0.016). The transient increase of VEGF expression could be seen after neoadjuvant therapy (P = 0.035). Ki-67 labeling index (Ki-67-LI) was significantly correlated with lymph node metastasis (P = 0.028), but not correlated to tumor sizes, patients' ages and genders (P 〉 0.05). Tumors with lower Ki-67-LI were more sensitive to neoadjuvant therapy (P = 0.032). The Ki-67 level decreased after neoadjuvant therapy, but no statistical significance was found (P 〉 0.05). Conclusion: Our results demonstrate that the expression of VEGF and Ki-67 in pretreatment rectal adenocarcinoma biopsies may be predictive of tumor response to neoadjuvant therapy.