The metabolic repression effect of carbon-ion radiotherapy in synchronous hormone-sensitive oligometastatic prostate cancer DOI Creative Commons

Zhenshan Zhang,

Yulei Pei,

Wei Hu

et al.

Frontiers in Endocrinology, Journal Year: 2023, Volume and Issue: 14

Published: Nov. 13, 2023

Background Metastatic prostate cancer (PCa) poses a significant public health concern. While radiation therapy (RT) is commonly utilized in the treatment of synchronous oligometastatic hormone sensitive (OM-HSPC), occurrence biochemical recurrence still remains. To deepen our understanding and optimize outcome OM-HSPC, we conducted this study to investigate characteristics PCa progression explore potential synergistic mechanisms involving carbon-ion radiotherapy (CIRT) neoadjuvant androgen deprivation (naADT) OM-HSPC. Methods Metabolomic analysis was with 72 urinary samples (at different timepoints) from 33 Patients (T2-3N0M0-1b) 18 healthy volunteers by using liquid chromatography-tandem mass spectrometry (LC-MS/MS). MetaboAnalyst website R software were employed for metabolomic visualization (using criteria p value < 0.05 |FC|>1.5). The impact CIRT on metabolism further verified explored through vitro vivo experiments. Results We found that most metabolites (223 out 233) upregulated treatment-naïve compared samples. After naADT, 60 core risk significantly related PCa’s progression, glutamine level which higher OM-HSPC other groups. Remarkably, after treatment, levels reduced Experiments confirmed CIRT’s ability suppress tumors its enhancement intervention. Conclusion naADT might synergistically inhibit HS-OMPC development, even ADT resistance repression, moreover, be novel target improved efficacy CIRT.

Language: Английский

Efficacy and safety of concurrent immune checkpoint inhibitors combined with radiotherapy or chemoradiotherapy for advanced non-small cell lung cancer: A systematic review and single-arm meta-analysis DOI Creative Commons
Ran Cui, Jianrong Li,

Xinlin Yu

et al.

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(6), P. e0304941 - e0304941

Published: June 12, 2024

The recent usage of immunotherapy combined with chemoradiotherapy has improved survival in advanced non-small cell lung cancer (NSCLC) patients. However, determining the most effective therapy combination remains a topic debate. Research suggests immune checkpoint inhibitors (ICIs) post-chemoradiotherapy enhance survival, but impact concurrent ICIs during on rapid disease progression is unclear. This meta-analysis aims to assess effectiveness and safety radiotherapy or cancer.

Language: Английский

Citations

2

Interplay of Sphingolipid Metabolism in Predicting Prognosis of GBM Patients: Towards Precision Immunotherapy DOI Creative Commons
Qi Wang,

Chuanhua Zheng,

Hanjin Hou

et al.

Journal of Cancer, Journal Year: 2023, Volume and Issue: 15(1), P. 275 - 292

Published: Dec. 5, 2023

In spite of numerous existing bio-surveillance systems for predicting glioma (GBM) prognosis, enhancing the efficacy immunotherapy remains an ongoing conundrum. The continual scrutiny dynamic interplay between sphingolipid metabolic pathway and tumor immunophenotypes has unveiled potential implications. However, intricate orchestration functional regulatory mechanisms by long non-coding RNAs (lncRNAs) in GBM, particularly context metabolism, cryptic.

Language: Английский

Citations

4

HOXC9 characterizes a suppressive tumor immune microenvironment and integration with multiple immune biomarkers predicts response to PD-1 blockade plus chemotherapy in lung adenocarcinoma DOI Creative Commons
Liang Liu,

Zhenshan Zhang,

Chenxue Jiang

et al.

Aging, Journal Year: 2024, Volume and Issue: unknown

Published: March 5, 2024

Background: The quest for dependable biomarkers to predict responses immune checkpoint inhibitors (ICIs) combined with chemotherapy in advanced non-small cell lung cancer remains unfulfilled. HOXC9, known its role oncogenesis and creating a suppressive tumor microenvironment (TME), shows promise enhancing predictive precision when included as TME biomarker. This study explores the significance of HOXC9 ICI plus efficacy adenocarcinoma (LUAD). Methods: Following bioinformatic findings, assays were performed ascertain effects Hoxc9 on response programmed death 1 (PD-1) blockade. Furthermore, cohort LUAD patients prospectively enrolled receive anti-PD-1 chemotherapy. Based expression levels, baseline characteristics, clinical outcomes, potential PD-L1, CD4, CD8, CD68, FOXP3 was integrally analyzed. not only mediated oncogenesis, but also corelated TME. CMT167 LLC lines unveiled impacts proliferation, invasion, migration. Subsequently, tumor-bearing murine models established validate inverse relationship between effective CD8+ T cells. Results: Inhibition significantly curtailed growth (P<0.05), independent PD-1 In patient studies, while individual markers fell short prognosticating survival, notable elevation CD8-positive observed responders (P=0.042). Yet, amalgamation other provided more distinct differentiation non-responders. Notably, displaying PD-L1+/HOXC9- CD8+/HOXC9- phenotypes exhibited prolonged progression-free survival. Conclusions: may serve biomarker amplifying ICIs chemotherapy, which is viable oncogene therapeutic target immunotherapy LUAD.

Language: Английский

Citations

1

Causal Associations of Immune Cell Phenotypes with Migraine: A Mendelian Randomization Study DOI Creative Commons
Weifang Chai,

Weihao Chai,

Fei Guo

et al.

Molecular Pain, Journal Year: 2024, Volume and Issue: 20

Published: Jan. 1, 2024

The interaction between the immune system and brain, crucial for blood–brain barrier integrity, is a potential factor in migraine development. Although there’s evidence of connection dysregulation migraine, clear causal link has been lacking. To bridge this knowledge gap, we performed two-sample Mendelian randomization (MR) analysis 731 cell phenotypes to determine their causality with which parameters included fluorescence, abundance, count, morphology. Sensitivity pleiotropy checks validated our findings. After applying false discovery rate correction, MR study identified 35 significant ( p < 0.05). Of these, 24 showed protective effect (inverse variance weighting : 0.05, odds ratio <1), 11 were risk factors >1). limited by population sample size population-specific genetic variations, uncovers certain markers providing new insights into disorder’s pathophysiology. These discoveries are developing targeted biomarkers personalized treatments. research enhances understanding cells’ role may substantially improve patient outcomes lessen its socio-economic impact.

Language: Английский

Citations

1

kpoint Inhibitors Combined with Radiotherapy or Chemoradiotherapy for Advanced Non-Small Cell Lung Cancer: A Systematic Review and Single-Arm Meta-Analysis v2 DOI Open Access
Ran Cui

Published: April 22, 2024

Background: The recent usage of immunotherapy combined with chemoradiotherapy has improved survival in advanced non-small cell lung cancer (NSCLC) patients. However, determining the most effective therapy combination remains a topic debate. Research suggests immune checkpoint inhibitors (ICIs) post-chemoradiotherapy enhance survival, but impact concurrent ICIs during on rapid disease progression is unclear. This meta-analysis aims to assess effectiveness and safety radiotherapy or cancer. Methods: We searched PubMed, Embase, Cochrane Library, Web Science for relevant studies, extracting data overall response rate (ORR), progression-free (PFS), (OS), adverse events (AEs). Results: analysis included ten studies 490 participants. Stage III NSCLC ORR was 81.8%, while IV 39.9%. One-year PFS OS were 68.2% 82.6%, compared 27.9% 72.2% IV. Common anemia (46.6%), nausea (47.6%), rash (36.4%), radiation pneumonitis (36.3%). Conclusions: Our shows are safe NSCLC, particularly stage patients at risk before starting after chemoradiotherapy. findings support further phase trials. review protocol registered PROSPERO (CRD42023493685) detailed NIHR HTA programme website.

Language: Английский

Citations

1

Immunoradiotherapy for NSCLC: mechanisms, clinical outcomes, and future directions DOI Creative Commons

He Weishan,

Zheng Dong-lin,

Deng Guangmei

et al.

Clinical & Translational Oncology, Journal Year: 2023, Volume and Issue: 26(5), P. 1063 - 1076

Published: Nov. 3, 2023

Abstract Non-small-cell lung cancer (NSCLC) has an extremely low 5-year survival rate, with the only effective treatment being immunoradiotherapy (iRT). Here, we review progress of clinical research on iRT for non-small-cell over 2018–2023, as well future directions. We first discuss synergistic mechanisms iRT, reflected in three aspects: immune regulation RT, RT-activated immune-related pathways, and RT-related sensitization. may include either external-beam or stereotactic-body RT combined checkpoint inhibitors (e.g., immunoglobulins against programmed cell death (PD) 1/PD ligand 1 CD8 + T lymphocyte antigen 4) traditional Chinese medicine drugs. Regarding effectiveness safety, increases overall progression-free tumor control rate among patients NSCLC but without a considerable increase toxicity risk. finally challenges directions reported 2018–2023.

Language: Английский

Citations

2

Exosome-Derived miRNAs in Liquid Biopsy for Lung Cancer DOI Creative Commons
Israel Martínez-Espinosa, José A. Serrato, Carlos Cabello-Gutiérrez

et al.

Life, Journal Year: 2024, Volume and Issue: 14(12), P. 1608 - 1608

Published: Dec. 4, 2024

Exosome-derived microRNAs (miRNAs) are potential biomarkers for lung cancer detection and monitoring through liquid biopsy. These small, non-coding RNA molecules found within exosomes, which extracellular vesicles released from cells. Their stability in biofluids, such as blood, positions them candidates minimally invasive diagnostics. Multiple studies have shown that patients exhibit distinct miRNA profiles compared to healthy individuals. This finding suggests exosome-derived miRNAs could serve valuable diagnosis, prognosis, evaluating therapeutic responses. review summarizes recent research on biopsies, including pleural effusion, lavage, cancer, focusing publications the last five years.

Language: Английский

Citations

0

Survival benefit of local consolidative therapy for patients with single-organ metastatic pancreatic cancer: a propensity score-matched cross-sectional study based on 17 registries DOI Creative Commons
Xiaolong Hu,

Dan Hu,

Bowen Fu

et al.

Frontiers in Endocrinology, Journal Year: 2023, Volume and Issue: 14

Published: Nov. 2, 2023

Background The continuous exploration of oligometastatic disease has led to the remarkable achievements local consolidative therapy (LCT) and favorable outcomes for this disease. Thus, study investigated potential benefits LCT in patients with single-organ metastatic pancreatic ductal adenocarcinoma (PDAC). Methods Patients PDAC diagnosed between 2010 - 2019 were identified from Surveillance, Epidemiology, End Results (SEER) database. Propensity score matching (PSM) was performed minimize selection bias. Factors affecting survival assessed by Cox regression analysis Kaplan-Meier estimates. A total 12900 database, including 635 who received chemotherapy combined a 1:1 PSM only chemotherapy. combination demonstrated extended median overall (OS) approximately 57%, more than those underwent alone (11 vs. 7 months, p &lt; 0.001). Furthermore, multivariate revealed that LCT, younger age (&lt; 65 years), smaller tumor size 50 mm), lung metastasis (reference: liver) prognostic factors PDAC. Conclusion OS cancer may be prolonged compared Nevertheless, additional prospective randomized clinical trials are required support these findings.

Language: Английский

Citations

1

The Efficacy and Safety of Immunotherapy Followed by Thoracic Radiation in Advanced Non-small Cell Lung Cancer: A Retrospective Analysis DOI Creative Commons

Hong Lian,

Ming Zhao,

Ji Mei Meng

et al.

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: Dec. 2, 2023

Abstract Background: The administration of thoracic irradiation has been shown to extend the overall survival rate in patients with stage IV non-small cell lung cancer (NSCLC). However, few studies have evaluated efficacy and safety radiotherapy combined immunotherapy advanced NSCLC. Methods: Data pertaining progression-free (PFS), (OS), treatment response, adverse events 62 diagnosed NSCLC who underwent followed by radiation therapy (TRT) were retrospectively gathered. Results: median PFS OS 9 15 months, respectively. showed different responses, 5 (8.06%) achieving complete response (CR), 36 (58.06%) partial (PR), 19 (30.65%) showing stable disease (SD), 2 (3.23%) experiencing progressive (PD). achieved CR or PR had longer than SD PD [median PFS: 11.00 vs 7.00 HR: 0.45 (0.22-0.91), P <0.001; OS: not reached (NR) 8.00 0.29 (0.13-0.67), <0.001, respectively]. Conclusions: Thoracic targeting primary lesion following can delay progression survivalwhile maintaining an acceptable level safety.

Language: Английский

Citations

1

The metabolic repression effect of carbon-ion radiotherapy in synchronous hormone-sensitive oligometastatic prostate cancer DOI Creative Commons

Zhenshan Zhang,

Yulei Pei,

Wei Hu

et al.

Frontiers in Endocrinology, Journal Year: 2023, Volume and Issue: 14

Published: Nov. 13, 2023

Background Metastatic prostate cancer (PCa) poses a significant public health concern. While radiation therapy (RT) is commonly utilized in the treatment of synchronous oligometastatic hormone sensitive (OM-HSPC), occurrence biochemical recurrence still remains. To deepen our understanding and optimize outcome OM-HSPC, we conducted this study to investigate characteristics PCa progression explore potential synergistic mechanisms involving carbon-ion radiotherapy (CIRT) neoadjuvant androgen deprivation (naADT) OM-HSPC. Methods Metabolomic analysis was with 72 urinary samples (at different timepoints) from 33 Patients (T2-3N0M0-1b) 18 healthy volunteers by using liquid chromatography-tandem mass spectrometry (LC-MS/MS). MetaboAnalyst website R software were employed for metabolomic visualization (using criteria p value &lt; 0.05 |FC|&gt;1.5). The impact CIRT on metabolism further verified explored through vitro vivo experiments. Results We found that most metabolites (223 out 233) upregulated treatment-naïve compared samples. After naADT, 60 core risk significantly related PCa’s progression, glutamine level which higher OM-HSPC other groups. Remarkably, after treatment, levels reduced Experiments confirmed CIRT’s ability suppress tumors its enhancement intervention. Conclusion naADT might synergistically inhibit HS-OMPC development, even ADT resistance repression, moreover, be novel target improved efficacy CIRT.

Language: Английский

Citations

0