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Social Support Needs in Patients with Cancer: A Qualitative Study 癌症患者的社会支持需求:一项定性研究
IF 0.4 Q4 Medicine Pub Date : 2021-03-09 DOI: 10.30476/MEJC.2021.83954.1210
Lida Soltani, Zohreh Khoshnood
Background: Cancer is believed to be one of the most important health problems worldwide today. In Iran, the burden of cancer is also on the rise and social support is an important aspect of modern cancer care. Therefore, we conducted the current study to determine the social needs of patients with cancer employing a qualitative content analysis. Method: This conventional qualitative content analysis was performed based on a descriptive explorative approach. Data saturation was achieved after interviewing 10 patients with cancer with in-depth semi- structured interviews. Data was gathered from autumn 2017 to spring 2018, from all the cancer patients who referred to three hospitals in Kerman. We utilized MAXQDA10 software for data analysis. Results: On average, the participants had 9 months to 4 years’ experience of cancer. The mean age of the participants was 45.7 years old. The present study revealed that the most important needs expressed by the participants were related to “organizational-therapeutic support". This main category consisted of three sub-categories, including the need for financial support, inadequate environmental conditions in health care facilities, and not having the opportunity to choose. Conclusion: The financial needs of cancer patients include the need for financial support from the spouse and the need for financial support from public and nongovernmental organizations. Their financial needs lead into not pursuing their treatment. Therefore, paying attention to the culture and values of patients is one of the important issues in providing care to these patients. Researchers have suggested focusing on further organizational support and ways to mitigate the needs of this group.
背景:癌症被认为是当今世界最重要的健康问题之一。在伊朗,癌症的负担也在增加,社会支持是现代癌症护理的一个重要方面。因此,我们采用定性内容分析的方法来确定癌症患者的社会需求。方法:传统的定性内容分析是在描述性探索方法的基础上进行的。在对10名癌症患者进行深入的半结构化访谈后,数据达到饱和。数据收集于2017年秋季至2018年春季,来自转诊至克尔曼三家医院的所有癌症患者。我们使用MAXQDA10软件进行数据分析。结果:参与者平均有9个月至4年的癌症经历。参与者的平均年龄为45.7岁。本研究表明,参与者表达的最重要的需求与“组织治疗支持”有关结论:癌症患者的经济需要包括配偶的经济支持和公共及非政府组织的经济支持经济上的需要导致不去追求他们的待遇。因此,关注患者的文化和价值观是为这些患者提供护理的重要问题之一。研究人员建议将重点放在进一步的组织支持和减轻这一群体需求的方法上。
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引用次数: 1
Evaluation of Ultra-Low-Dose Chest CT Images to Detect Lung Lesions 胸部超低剂量CT图像对肺部病变的诊断价值
IF 0.4 Q4 Medicine Pub Date : 2021-03-06 DOI: 10.30476/MEJC.2021.87355.1410
R. Jalli, F. Zarei, S. Chatterjee, R. R. Haghighi, Alireza Novshadi, P. Iranpour, S. Sefidbakht, Vani Vardhan Chatterjee
Background: The present study was conducted to examine the possibility of detecting different types of lung lesions, such as cancer, using ultra-low dose (ULD) chest CT images. Method: In this basic (experimental) study with computed tomography (CT images), 20 patients with different lung disease indications were scanned with ULD and routine dose chest CT protocols. ULD and routine dose CT images were reconstructed utilizing iDose and iterative model reconstruction. CT images were evaluated by two expert radiologists. Volume CT dose index (CTDIvol), dose length product, and effective dose were used for dose assessment in both protocols. Results: CTDIvol and dose length product for ULD protocol were 98% less compared to those for routine chest CT. The chest CT images for ULD and routine dose were diagnosed as normal in three patients with lung lesions, such as nodules, masses, plural effusion, fibrosis, diffuse ground glass opacities, bronchiectasis, and infiltration, in 17 patients. Patient dose of ULD chest CT (0.11mSv) is comparable to Poster-Anterior plus Lateral (0.1 mSv) chest radiograph while the effective dose due to routine chest CT is about 5.1 mSv. Conclusion: Diagnostic findings regarding ULD chest CT images with 98% of dose reduction were compared to those for routine dose. We concluded that it may be utilized as a very useful tool for screening and the follow-up of different lung diseases, malignancy for instance. ULD chest CT with 98% of dose reduction could be a suitable substitute for chest radiograph, with higher diagnostic values.
背景:本研究旨在探讨使用超低剂量(ULD)胸部CT图像检测不同类型肺部病变(如癌症)的可能性。方法:对20例不同肺部疾病指征的患者进行ULD和常规剂量胸部CT扫描,并结合CT图像进行基础(实验)研究。利用iDose和迭代模型重建ULD和常规剂量CT图像。CT图像由两名放射科专家评估。两种方案均采用体积CT剂量指数(CTDIvol)、剂量长度积和有效剂量进行剂量评估。结果:与常规胸部CT相比,ULD方案的CTDIvol和剂量长度乘积降低了98%。17例患者中,3例胸部CT表现为结节、肿块、多发积液、纤维化、弥漫性磨玻璃混浊、支气管扩张、浸润等肺部病变。ULD胸部CT的患者剂量(0.11mSv)与后前加侧位胸片(0.1 mSv)相当,而常规胸部CT的有效剂量约为5.1 mSv。结论:与常规剂量相比,ULD胸部CT图像的诊断结果降低了98%。我们的结论是,它可以作为一种非常有用的工具,用于筛查和随访不同的肺部疾病,例如恶性肿瘤。ULD胸部CT减剂量98%,可替代胸片,具有较高的诊断价值。
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引用次数: 3
Immunohistochemistry Based Molecular Subtyping of Breast Carcinoma in Industrial Population in India, Haryana: A Correlation with Clinicopathological Parameters 印度哈里亚纳邦工业人群中基于免疫组织化学的乳腺癌分子分型:与临床病理参数的相关性
IF 0.4 Q4 ONCOLOGY Pub Date : 2021-03-06 DOI: 10.30476/MEJC.2021.84267.1212
Sujata Raychaudhuri, A. Bajaj, C. Agarwal, M. Pujani, Kanika Singh, Varsha Chauhan, E. Gupta
Background: Breast carcinoma is the most prevalent malignancy in females globally and also the leading cause of cancer-related mortality. The immunohistochemistry (IHC)-based molecular subtyping has put newer insights into the biological behaviour and clinical management of breast carcinoma. We conducted the present study to correlate the four IHC-based molecular subtypes: Luminal A, Luminal B, Human epidermal growth factor receptor 2 positive, and triple negative breast carcinoma with various clinicopathological parameters amongst the industrial population of Haryana. Method: This cross-sectional study was conducted on 92 cases of invasive breast carcinoma, who underwent modified radical mastectomy over a period of 2.5 years with the prior approval of Institutional Ethical Committee at ESIC Medical College and Hospital, Faridabad. We performed routine histopathological examination along with IHC (Estrogen receptor, Progesterone receptor and Human epidermal growth factor receptor 2) study. The correlation of the four molecular subtypes with various clinicopathological parameters were also studied. We analysed the data using SPSS software. Results: The mean age of the patients in this study was 47 years with a maximum number of cases in the 3rd and 4th decade of their life. The most common subtype was luminal B (40.9%) with the maximum number of cases presenting in stage II (53.26%) and with grade II (51.1%). Triple-negative breast cancer was found to be associated with brisk mitosis, lymphovascular invasion (66.67%), necrosis (77.78%), and ductal carcinoma in situ (66.67%). These findings were clinically significant. (p <0.05) Conclusion: The early age of presentation of breast carcinoma in the industrial population would warrant the need to focus on various molecular subtypes and clinicopathological parameters that may have different prognostic implications in this population.
背景:乳腺癌是全球女性中最常见的恶性肿瘤,也是癌症相关死亡的主要原因。基于免疫组织化学(IHC)的分子分型为乳腺癌的生物学行为和临床治疗提供了新的见解。我们在哈里亚纳邦工业人群中进行了四种基于ihc的分子亚型:Luminal A、Luminal B、人表皮生长因子受体2阳性和三阴性乳腺癌与各种临床病理参数的相关性研究。方法:本横断面研究对92例浸润性乳腺癌患者进行了为期2.5年的改良根治性乳房切除术,事先获得法里达巴德ESIC医学院和医院机构伦理委员会的批准。我们进行了常规的组织病理学检查,并进行了IHC(雌激素受体、孕激素受体和人表皮生长因子受体2)的研究。研究了四种分子亚型与不同临床病理参数的相关性。采用SPSS软件对数据进行分析。结果:本研究患者的平均年龄为47岁,最多的病例发生在他们生命的第3和第4个十年。最常见的亚型为luminal B(40.9%),最多的病例出现在II期(53.26%)和II级(51.1%)。三阴性乳腺癌与有丝分裂活跃、淋巴血管浸润(66.67%)、坏死(77.78%)和导管原位癌(66.67%)相关。这些发现具有临床意义。(p <0.05)结论:工业人群中乳腺癌的早期表现需要关注可能在该人群中具有不同预后意义的各种分子亚型和临床病理参数。
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引用次数: 1
Androgen Receptor Expression in Triple-negative Breast Cancer and its Relation with Epidermal Growth Factor Receptor, CD 105 and Clinicopathological Parameters 三阴性乳腺癌中雄激素受体的表达及其与表皮生长因子受体cd105及临床病理参数的关系
IF 0.4 Q4 Medicine Pub Date : 2021-02-24 DOI: 10.30476/MEJC.2021.84138.1202
Nehal Ahmed El Badawy, Heba G. El-Sheredy, G. Fadali, A. Kazem
Background: Triple-negative breast cancers (TNBC) are the tumors lacking expression of estrogen receptors, progesterone receptors, and human epidermal growth factor 2. The highest level of androgen receptors (AR) expression belongs to the Luminal androgen receptor subtype. AR is expressed in 70 to 90% of primary breast cancers. The biological role of AR in breast cancer continues to emerge. The overexpression of epidermal growth factor receptor (EGFR) has been previously studied in TNBC where it was found to be associated with poor prognosis. In the evaluation of neovascularization, CD105 (endoglin) was found to be superior to CD34 and CD31 owing to its greater affinity for endothelial cells in tumor-related angiogenic tissue. We conducted the present work to assess the expression profile of androgen receptor in TNBC cases and its correlation with other clinicopathological parameters, EGFR and CD 105, in order to evaluate its clinical significance. Method: This retrospective study included 50 histologically confirmed breast cancer patients who were proven to be triple-negative based on immunohistochemical study. Formalin-fixed tissue blocks with tumor were chosen for immunohistochemical staining for AR, EGFR, CD105, and Ki 67. Results: Positive AR expression was associated with older age, postmenopausal status, negative nodes, and grade II tumors. AR was inversely correlated with EGFR while there was no correlation between AR and both Endoglin and Ki 67. Conclusion: AR-positive TNBC may be a subtype of breast cancer with unique characteristics that could make it ideal for anti-androgen endocrine therapy. EGFR and Endoglin's distinct expression indicated that they might be unique biomarkers for targeted therapy and prognosis.
背景:三阴性乳腺癌(TNBC)是缺乏雌激素受体、孕激素受体和人表皮生长因子2表达的肿瘤。雄激素受体(AR)表达水平最高的属于腔内雄激素受体亚型。AR在70% - 90%的原发性乳腺癌中表达。AR在乳腺癌中的生物学作用不断显现。表皮生长因子受体(EGFR)的过表达在TNBC中已经被研究过,发现它与不良预后相关。在新血管形成的评估中,CD105(内啡肽)被发现优于CD34和CD31,因为它对肿瘤相关血管生成组织中的内皮细胞有更大的亲和力。我们通过对TNBC病例中雄激素受体的表达谱及其与其他临床病理参数EGFR和cd105的相关性进行评估,以评估其临床意义。方法:本回顾性研究纳入50例经免疫组化检查证实为三阴性的组织学确诊乳腺癌患者。选择含肿瘤的福尔马林固定组织块进行AR、EGFR、CD105和Ki 67的免疫组化染色。结果:AR阳性表达与年龄、绝经后状态、阴性淋巴结和II级肿瘤相关。AR与EGFR呈负相关,而与Endoglin和Ki均无相关性。结论:ar阳性TNBC可能是一种具有独特特征的乳腺癌亚型,可以使其成为抗雄激素内分泌治疗的理想选择。EGFR和Endoglin的独特表达表明它们可能是靶向治疗和预后的独特生物标志物。
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引用次数: 0
The Relationships between the Alteration of MAP1LC3B, , and BECN1 Gene Expression with Minimal Residual Disease in Acute Lymphoblastic Leukemia Patients 急性淋巴细胞白血病患者MAP1LC3B和BECN1基因表达变化与微小残留病的关系
IF 0.4 Q4 ONCOLOGY Pub Date : 2021-02-23 DOI: 10.30476/MEJC.2021.88492.1481
Mozhgan Hayatmanesh, G. Tamaddon, A. Fazeli, T. Kalantari
Background: Acute lymphoblastic leukemia (ALL) is known as a sort of malignancy in the blood lymphoid progenitors, specifically in B and T precursors of the lymphocyte. Autophagy is a protected hemostatic and catabolic process during evolution, through which lysosomes degrade the cytoplasmic components, such as redundant or dysfunctional organelles and misfolded proteins. We conducted the present study to investigate the link between gene expression changes of BECN1, MAP1LC3B, and P62 as the main regulators of remission and response to chemotherapy in ALL patients with minimal/measurable residual disease in ALL. Method: In this case-control study, BECN1, MAP1LC3B, and P62 gene expression were assessed in 30 ALL patients at the diagnosis phase, 18 patients on day 15 of the therapy, and 11 controls employing qRT-PCR. Results: The results revealed that BECN1and MAP1LC3Bgene expression levels were significantly lower in ALL patients whereas P62 gene expression levels were significantly higher than the controls (P 0.05). Conclusion: Our study demonstrated the relationship between autophagy-related markers, such as BECN1, MAP1LC3B, and P62 with pathogenesis in Iranian children with ALL. We found that BECN1and MAP1LC3B genes significantly decreased in newly diagnosed ALL patients and may play a part in ALL pathogenesis.
背景:急性淋巴细胞白血病(Acute lymphoblastic leukemia, ALL)是一种血液淋巴样祖细胞,特别是淋巴细胞的B和T前体的恶性肿瘤。自噬是进化过程中受保护的止血和分解代谢过程,溶酶体通过该过程降解细胞质成分,如冗余或功能失调的细胞器和错误折叠的蛋白质。本研究旨在探讨BECN1、MAP1LC3B和P62基因表达变化作为ALL患者缓解和化疗反应的主要调节因子之间的联系。方法:在本病例对照研究中,采用qRT-PCR检测30例ALL患者诊断期BECN1、MAP1LC3B和P62基因表达,18例患者治疗第15天,11例对照组。结果:ALL患者becn1和map1lc3b2基因表达水平显著低于对照组,P62基因表达水平显著高于对照组(P < 0.05)。结论:我们的研究证实了自噬相关标志物BECN1、MAP1LC3B和P62与伊朗ALL患儿发病机制之间的关系。我们发现becn1和MAP1LC3B基因在新诊断的ALL患者中显著降低,可能在ALL发病机制中起一定作用。
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引用次数: 0
A Rare Case of Bilateral Carotid Glomus Jugulare with Partial Responses to Radiotherapy 罕见的双侧颈动脉颈静脉球对放射治疗有部分反应
IF 0.4 Q4 ONCOLOGY Pub Date : 2021-02-23 DOI: 10.30476/MEJC.2021.84203.1211
M. Ansari, S. Khaki, M. Mokhtari, H. Nasrollahi, Seyed Hasan Hamedi, N. Ahmadloo, S. Omidvari, A. Mosalaei, M. Mohammadianpanah
Glomus jugulare is known as a benign tumor that could involve in different parts of the body. The most prevalent site of involvement is head and neck area. This disease is rare and few of the cases are bilateral. However, in familial cases bilateral or multicenter lesions are even rarer, in which there is an autosomal dominant pattern of inheritance. The most efficient treatment is believed to be surgery or radiotherapy depending on the location and certain other factors, such as age and performance status. Sporadic Bilateral lesion is rarely seen and most bilateral cases are familial. Herein, we reported a case of bilateral Glomus jugulare of carotid with no history of this tumor in family or any other familial diseases. Our subject was a 67-year-old man. The diagnosis was made via Tru-cut biopsy. He was treated successfully by 3 dimensional conformal radiotherapy up to a dose of 60 Gy. The follow-up CT scan revealed partial tumor responses. He had no family history of any systemic disease related to functional Glomus jugulare, such as uncontrolled hypertention or mass in the neck. He also had no history of catecholeamine exceretion-related symptoms.
颈静脉球是一种良性肿瘤,可累及身体不同部位。最常见的受累部位是头颈部。本病罕见,双侧发病极少。然而,在家族性病例中,双侧或多中心病变更罕见,其中存在常染色体显性遗传模式。最有效的治疗被认为是手术或放疗,这取决于位置和某些其他因素,如年龄和表现状况。散发性双侧病变罕见,多数双侧病例为家族性。在此,我们报告一例双侧颈动脉颈静脉球,无家族病史或任何其他家族疾病。我们的研究对象是一位67岁的男性。诊断是通过truc -cut活检。他被成功地治疗了三维适形放疗剂量高达60戈瑞。后续CT扫描显示部分肿瘤反应。他没有任何与功能性颈静脉球囊相关的全身性疾病家族史,如未控制的高血压或颈部肿块。他也没有儿茶酚胺分泌相关症状的病史。
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引用次数: 0
The MiR-561 Suppresses Glioblastoma Cell Proliferation through C-myc Regulation MiR-561通过C-myc调控抑制胶质母细胞瘤细胞增殖
IF 0.4 Q4 ONCOLOGY Pub Date : 2021-02-20 DOI: 10.30476/MEJC.2021.83476.1170
S. Karami, F. Kouhkan, Iman Rad, Nafiseh Tavakolpoor Saleh, Gelareh Shokri, P. Fallah, M. Hashemi
Background: Glioblastoma multiforme (GBM) is the most common primary malignat brain tumor in adults. The modulation of miRNA expression is taken into consideration both as controlling groundwork for cancer development and invasion and as a potential application in GBM-targeted therapies either perse or combined with chemo or radiotherapy. The c-myc overexpression is tightly correlated with GBM progressing growth and malignancy. There is ample evidence showing that microRNAs (miRNAs) are linked to the pathogenesis of several malignancies. However, little is known about the potential role of miRNAs in GBM development. We conducted the present study to find out whether the miR-561 inhibits GBM cells proliferation and survival via controlling the expression of c-myc. Method: In this in vitro study, the U87 cell line was used as a template for lentiviral vector “pCDH-miR-561” construction. HEK293 cell line was transfected with pCDH-miR-561 and its viability (MTT assay) and apoptosis rates (flow cytometry) were monitored. c-myc expression was monitored employing q-RT PCR. In order to search for possible miR-561p targets, we utilized bioinformatics tools of TargetScan and DAVID. Results: Our results confirmed that the overexpression of the miR-561 inhibits cell proliferation and promotes cell apoptosis in GBM cancer cells, which is tightly correlated with the downregulation of c-myc. Conclusion: These findings proposed that the miR-561 has promising qualifications to suppress U87 growth and proliferation via tuning the c-myc, which then makes it a useful model for GBM treatment.
背景:多形性胶质母细胞瘤(GBM)是成人最常见的原发性恶性脑肿瘤。miRNA表达的调节既被认为是癌症发展和侵袭的控制基础,也被认为是gbm靶向治疗的潜在应用,无论是单独治疗还是联合化疗或放疗。c-myc过表达与GBM进展性生长和恶性肿瘤密切相关。有充分的证据表明,microRNAs (miRNAs)与几种恶性肿瘤的发病机制有关。然而,关于mirna在GBM发展中的潜在作用知之甚少。我们进行本研究是为了了解miR-561是否通过控制c-myc的表达来抑制GBM细胞的增殖和存活。方法:在体外研究中,以U87细胞系为模板构建慢病毒载体“pCDH-miR-561”。用pCDH-miR-561转染HEK293细胞株,检测其活力(MTT法)和凋亡率(流式细胞术)。采用q-RT PCR检测c-myc的表达。为了寻找可能的miR-561p靶点,我们使用了TargetScan和DAVID的生物信息学工具。结果:我们的研究结果证实了miR-561在GBM癌细胞中过表达抑制细胞增殖,促进细胞凋亡,这与c-myc的下调密切相关。结论:这些发现表明miR-561具有通过调节c-myc抑制U87生长和增殖的良好条件,从而使其成为GBM治疗的有用模型。
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引用次数: 1
Palliative Radiotherapy to Asymptomatic Bone Metastasis: Is It Beneficial or Not? Single Institution Experience 无症状骨转移的姑息性放射治疗:是否有益?单一机构经验
IF 0.4 Q4 ONCOLOGY Pub Date : 2021-02-13 DOI: 10.30476/MEJC.2021.84106.1201
S. Elazab, H. Elkalla, M. Zahi
Background: Bone metastases are believed to be the complications of cancer occurring in 20–75% of patients with advanced tumors. EBRT is recommended in case of symptomatic bone metastases. Preventing SREs and pain through early treatment of bone metastases is to be studied. We conducted the present study to investigate EBRT in asymptomatic bone metastases. Method: A retrospective cohort study for patients with bone metastases without symptoms, who were treated with EBRT, formed group A. Group B comprised the patients who did not receive EBRT. The time from diagnosis to onset of the 1st SRE was recorded for both groups. The follow-up period was 3 years. Pain was moderate to severe when rated as 5/10. Results: Asymptomatic bone metastases were found in 200 patients. They were free from pain or pathological fractures. They were divided into two groups of A and B. The overall demographics and disease characteristics were well-balanced for the two groups. The two groups were more or less similar concerning the mean age and sex, with no statistically significant differences; the mean age in groups A and B was 57 years. For both groups, the mean time from the occurrence of asymptomatic bony metastases to the onset of SRE were about 33 and 19 months for groups A and B, respectively, which is statistically significant. Conclusion: Prophylactic EBRT of metastatic breast and prostate cancer patients should be considered in order to delay the onset of SREs and improve the quality of life.
背景:骨转移被认为是癌症的并发症,发生在20-75%的晚期肿瘤患者中。建议在有症状的骨转移的情况下进行EBRT。通过骨转移的早期治疗预防SRE和疼痛还有待研究。本研究旨在研究无症状骨转移瘤的EBRT。方法:对接受EBRT治疗的无症状骨转移患者进行回顾性队列研究,形成A组。B组包括未接受EBRT的患者。记录两组患者从诊断到第一次SRE发作的时间。随访时间为3年。疼痛等级为5/10时为中度至重度。结果:200例患者出现无症状骨转移。他们没有疼痛或病理性骨折。他们被分为A和B两组。两组的总体人口统计和疾病特征非常平衡。两组在平均年龄和性别方面或多或少相似,没有统计学上的显著差异;A组和B组的平均年龄为57岁。对于两组,A组和B组从无症状骨转移发生到SRE发作的平均时间分别约为33个月和19个月,具有统计学意义。结论:应考虑对转移性乳腺癌和前列腺癌癌症患者进行预防性EBRT,以延缓SRE的发生,提高生活质量。
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引用次数: 0
Detection of Mutations in Exons 5, 6, and 7 of the TP53 Gene in the Tumor Tissue and Stool Samples of Patients with Colorectal Cancer from Northwest Iran 伊朗西北部结直肠癌患者肿瘤组织和粪便样本中TP53基因外显子5、6、7的突变检测
IF 0.4 Q4 ONCOLOGY Pub Date : 2021-02-08 DOI: 10.30476/MEJC.2021.85284.1267
Saba Dayemomid, Mahan Narjabadifam, Shahin Behrouz Sharif, S. Hashemzadeh, H. Kafil, Amir-Taher Eftekhar-Sadat, E. Sakhinia
Background: Colorectal cancer (CRC) is the third most prevalent cancer with approximately 9,000 annual deaths worldwide. However, early detection can provide a high survival rate. The fecal DNA, as a non-invasive method for detecting the genetic markers, such as the TP53 gene, can be conducive todisease diagnosis . In this study, we aimed to investigate the presence of the TP53 mutations in the stool samples and their relationship with somatic mutations in the tissue samples of CRC patients from northwestern Iran. Method: In the present cohort study, tumor and stool samples were obtained from 64 CRC patients (mean age of 60) who were undergoing surgery. Total genomic DNA was extracted from the tissue and stool samples, and TP53 mutations were detected using the PCR-SSCP method, followed by direct sequencing. Differences between mutations were observed in the tumors, and the stools were examined using the McNemar method. Results: Of the 64 CRC patients, 19 individuals (30%) demonstrated 27 point mutations in exons 5-7 of the TP53 in the tumor samples. Furthermore, analysis of the stool specimens revealed that the 22 mutations (81.5%) identified in the tumor specimens were also present in the stool of 12 patients (P=0.063). Conclusion: Based on the results, the DNA from the tissue could be replaced with fecal DNA in the mutation detections for CRC. Given the non-invasive nature of fecal sampling, it can be desirable and acceptable for patients in molecular screening tests as it increases the screening rates and improves timely CRC diagnosis.
背景:癌症(CRC)是第三大最常见的癌症,全球每年约有9000人死亡。然而,早期检测可以提供高存活率。粪便DNA作为一种检测TP53基因等遗传标志物的非侵入性方法,有助于疾病的诊断。在这项研究中,我们旨在调查伊朗西北部CRC患者粪便样本中TP53突变的存在及其与组织样本中体细胞突变的关系。方法:在本队列研究中,从64名正在接受手术的CRC患者(平均年龄60岁)中获得肿瘤和粪便样本。从组织和粪便样本中提取总基因组DNA,并使用PCR-SSCP方法检测TP53突变,然后直接测序。在肿瘤中观察到突变之间的差异,并使用McNemar方法检查粪便。结果:在64名CRC患者中,19人(30%)在肿瘤样本中TP53的外显子5-7中表现出27点突变。此外,对粪便标本的分析显示,在肿瘤标本中发现的22个突变(81.5%)也存在于12名患者的粪便中(P=0.063)。鉴于粪便采样的非侵入性,它可以提高筛查率并提高CRC的及时诊断,因此在分子筛查测试中对患者来说是可取和可接受的。
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引用次数: 0
IL17A and IL17F Genetic Variations in Iranian Patients with Urothelial Bladder Cancer: A Case-Control Study 伊朗尿路上皮性膀胱癌患者IL17A和IL17F基因变异:一项病例对照研究
IF 0.4 Q4 Medicine Pub Date : 2021-01-30 DOI: 10.30476/MEJC.2021.83915.1185
Arsalan Aslani, M. Haghshenas, N. Erfani, A. Khezri
Background: Interleukin 17 (IL17) is a pro-inflammatory cytokine with pivotal modulatory effects on antitumor immune responses and has been reported to play a particularly important role in the occurrence and development of bladder cancer. We aimed to investigate the possible influence of IL17 genetic variations on loci rs22775913 and rs763780 with genetic susceptibility to bladder cancer in southern Iran. Method: In this case-control study, we enrolled 180 patients with urothelial bladder cancer (mean age 64 years) and 180 age/gender matched healthy controls without any family history of cancer and autoimmune disorders. Genomic DNA was extracted from peripheral whole blood, and genotyping was performed using PCR-RFLP method. Results: Genotype distributions in both the patients and controls were in agreement with Hardy-Weinberg equilibrium. The frequency of GG, GA, and AA genotypes for IL17A were 87 (48.3%), 72 (40%), and 21 (11.7%) among patients, and 92 (51.1%), 75 (41.6%), and 13 (7.3%) in the controls. The frequency of AA, AG, and GG genotypes for IL17F in both the patients/controls were 160 (88.9%)/ 158 (87.8%), 16 (8.9%)/ 21 (11.7%), and 4 (2.2%)/ 1 (0.5%), respectively. Statistical analysis revealed no significant differences between the two groups regarding the frequency of genotypes and alleles (P>0.05). Conclusion: Our data collectively suggested that genetic variations on loci rs22775913 and rs763780 of IL17 genes were not associated with bladder cancer susceptibility in the Iranian population. Our finding has to be confirmed in different ethnic groups.
背景:白细胞介素17(IL17)是一种促炎细胞因子,对抗肿瘤免疫反应具有关键的调节作用,已被报道在膀胱癌症的发生和发展中起着特别重要的作用。我们的目的是研究IL17基因在rs22775913和rs763780位点的遗传变异对伊朗南部癌症遗传易感性的可能影响。方法:在这项病例对照研究中,我们招募了180名癌症尿路上皮患者(平均年龄64岁)和180名年龄/性别匹配的健康对照者,他们没有任何癌症和自身免疫性疾病的家族史。从外周血中提取基因组DNA,用PCR-RFLP方法进行基因分型。结果:患者和对照组的基因型分布符合Hardy-Weinberg平衡。患者中IL17A的GG、GA和AA基因型频率分别为87(48.3%)、72(40%)和21(11.7%),对照组为92(51.1%)、75(41.6%)和13(7.3%)。患者/对照组IL17F的AA、AG和GG基因型频率分别为160(88.9%)/158(87.8%)、16(8.9%)/21(11.7%)和4(2.2%)/1(0.5%)。统计分析显示,两组基因型和等位基因频率无显著差异(P>0.05)。结论:我们的数据共同表明,伊朗人群IL17基因rs22775913和rs763780位点的遗传变异与膀胱癌症易感性无关。我们的发现必须在不同的种族群体中得到证实。
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引用次数: 1
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Middle East Journal of Cancer
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