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Theranostic strategies in prostate cancer: Advances in PSMA PET imaging and radioligand therapy 前列腺癌的治疗策略:PSMA PET成像和放射治疗的进展。
IF 3.5 Q3 Medicine Pub Date : 2026-01-01 Epub Date: 2026-06-19 DOI: 10.1016/j.ctarc.2026.101293
Talal Al-Assil, John Han, Nazmul Hasan, Spencer Gibson, John Seneriches, Martin Kim, Jena Yang, Shyam Srinivas, Arash Rezazadeh Kalebasty
Prostate cancer is the most common solid tumor in males, and it remains a leading cause of cancer-related mortality. Clinicians still struggle to detect early metastatic spread and treat patients whose disease no longer responds to conventional therapy, despite advancements in diagnostics and treatment. Theranostic strategies that target prostate-specific membrane antigen (PSMA) have emerged as a promising strategy to resolve these gaps. PSMA-targeted positron emission tomography (PET) provides superior sensitivity and specificity in comparison to conventional modalities, enabling the detection of recurrent or small-volume disease at low prostate-specific antigen (PSA) levels. Simultaneously, PSMA-directed radioligand therapies, including 177Lu-PSMA-617, have demonstrated advances in progression-free survival (PFS) and overall survival (OS) in metastatic castration-resistant prostate cancer (mCRPC), with a manageable toxicity profile. This review emphasizes the significance of PSMA-based imaging and treatment, utilizing evidence from landmark trials. It also looks at changing approaches including early in the disease course through use of theranostics and dual-tracer PET imaging. Strategies using the immunomodulatory effects of radioligand therapy and combination treatments including androgen receptor (AR) pathway inhibitors, chemotherapy, or immunotherapy are under research and may improve outcomes. Furthermore, increasing the range of use of theranostics is the development of next-generation radiotracers and techniques to handle PSMA-negative or neuroendocrine variations. Lastly, we address worldwide differences in access to PSMA-targeted devices defined by manufacturing infrastructure, regulatory diversity, and financing that still hinder use. Fully achieving the potential of theranostics in prostate cancer will depend on improvements in patient selection, treatment sequencing, and equitable implementation.
前列腺癌是男性中最常见的实体肿瘤,也是癌症相关死亡的主要原因。尽管在诊断和治疗方面取得了进步,但临床医生仍然难以发现早期转移性扩散,并治疗那些对常规治疗不再有反应的患者。针对前列腺特异性膜抗原(PSMA)的治疗策略已成为解决这些空白的有希望的策略。与传统方式相比,psma靶向正电子发射断层扫描(PET)提供了更高的灵敏度和特异性,能够在低前列腺特异性抗原(PSA)水平下检测复发性或小体积疾病。同时,psma定向放射配体疗法,包括177Lu-PSMA-617,在转移性去势抵抗性前列腺癌(mCRPC)的无进展生存期(PFS)和总生存期(OS)方面取得了进展,并且具有可控的毒性。这篇综述强调了基于psma的成像和治疗的重要性,利用了里程碑式试验的证据。它还着眼于改变方法,包括通过使用治疗学和双示踪PET成像在疾病过程的早期。利用放射配体治疗和包括雄激素受体(AR)途径抑制剂、化疗或免疫治疗在内的联合治疗的免疫调节作用的策略正在研究中,可能会改善结果。此外,下一代放射性示踪剂和处理psma阴性或神经内分泌变异的技术的发展增加了治疗学的使用范围。最后,我们解决了全球范围内由制造基础设施、监管多样性和融资所定义的psma目标设备的获取差异,这些差异仍然阻碍了使用。充分发挥前列腺癌治疗的潜力将取决于患者选择、治疗顺序和公平实施方面的改进。
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引用次数: 0
Association of glucagon-like peptide 1 receptor and the aggressiveness of extrahepatic cholangiocarcinoma 胰高血糖素样肽1受体与肝外胆管癌侵袭性的关系。
IF 3.5 Q3 Medicine Pub Date : 2026-01-01 Epub Date: 2026-06-29 DOI: 10.1016/j.ctarc.2026.101300
Yongyot Varathorn, Mathawee Chanamarnjuntho, Ronnakrit Trakoonsenathong, Charat Kusoltech, Kanyarat Thithuan, Prakasit Sa-ngiamwibool, Charupong Saengboonmee
Previous studies demonstrated that the suppression of GLP-1R expression significantly reduced the aggressiveness of intrahepatic cholangiocarcinoma (iCCA) cells, in vitro and in vivo. However, the clinical significance of GLP-1R in extrahepatic cholangiocarcinoma (eCCA) remains unclear, although this subtype is the most common of bile duct cancer. This study thus aimed to investigate the clinicopathological significance of GLP-1R and to determine its functional roles in eCCA. GLP-1R expression in eCCA tissues was determined using immunohistochemistry. The associations between GLP-1R expression and clinicopathological characteristics and patient survival were examined using univariate analysis and the Kaplan-Meier method with the log-rank test, respectively. Roles of GLP-1R in eCCA cells were investigated using siRNA knockdown, followed by MTT proliferation assays and Transwell migration and invasion assays. Molecular mechanisms were investigated using Western blot analysis. The results showed that high GLP-1R expression was significantly associated with poor histological grading and the mucin production of eCCA (P<0.05). Knockdown of GLP-1R in eCCA cells minimally affected cell proliferation, but significantly suppressed cell migration and invasion (P<0.05). Suppressing GLP-1R expression inhibited epithelial-mesenchymal transition (EMT) in CCA cells and reduced the expression of matrix metalloproteinases 2 and 9. The common upstream regulators of EMT, namely STAT3 and Akt signaling pathways, were also suppressed after GLP-1R silencing. In conclusion, similar to iCCA, high GLP-1R expression is associated with aggressive phenotypes of eCCA. Inhibition of GLP-1R expression might then be another strategy to suppress the progression of CCA in both subtypes.
既往研究表明,抑制GLP-1R表达可显著降低肝内胆管癌(iCCA)细胞在体内和体外的侵袭性。然而,GLP-1R在肝外胆管癌(eCCA)中的临床意义尚不清楚,尽管这种亚型是最常见的胆管癌。因此,本研究旨在探讨GLP-1R的临床病理意义,并确定其在eCCA中的功能作用。免疫组化法检测GLP-1R在eCCA组织中的表达。GLP-1R表达与临床病理特征和患者生存之间的关系分别采用单因素分析和Kaplan-Meier法进行log-rank检验。通过siRNA敲除、MTT增殖实验和Transwell迁移和侵袭实验研究GLP-1R在eCCA细胞中的作用。采用Western blot分析研究分子机制。结果表明,GLP-1R的高表达与eCCA的组织学分级差和粘蛋白产生显著相关
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引用次数: 0
Assessment of national cancer care network guideline-adherent treatment differences as a contributor to racial disparities in epithelial and non-epithelial ovarian cancer survival 国家癌症护理网络指南依从性治疗差异作为上皮性和非上皮性卵巢癌生存的种族差异的评估。
IF 3.5 Q3 Medicine Pub Date : 2026-01-01 Epub Date: 2026-07-09 DOI: 10.1016/j.ctarc.2026.101307
Marilyn Barragan, Shannon MacLaughlan David, Zhengia Chen, Kimberly Richardson, Wenan Qiang, Denana Miodragovic, Caryn E. Peterson

Objective

To assess National Comprehensive Cancer Network (NCCN) guideline concordance and survival for epithelial and nonepithelial ovarian cancer in Black and White patients. Guideline-concordant care is defined as treatment consistent with NCCN recommendations based on tumor subtype and stage at diagnosis.

Methods

This retrospective study included epithelial and nonepithelial ovarian cancer cases from the National Cancer Database from 2005 to 2015 for patients of White or Black race. Outcomes were NCCN guideline concordance and five-year survival following diagnosis. Factors significantly associated with guideline concordance and five-year survival in bivariate analyses were included in multivariable survival models. Survival was assessed using Kaplan–Meier estimates with log-rank tests, and adjusted hazard ratios (HRs) with 95% confidence intervals (CIs) were estimated using Cox proportional hazards models.

Results

Concordance with evidence-based treatment guidelines was lower among Black patients with epithelial histotypes, with no racial difference for nonepithelial types. Black patients also had a higher burden of nonepithelial histotypes relative to White patients. After adjustment for clinical and sociodemographic factors, Black patients had a higher risk of death than White patients (HR = 1.15, 95% CI 1.11–1.18), which was attenuated slightly after inclusion of guideline-concordant treatment in the model (HR = 1.13, 95% CI 1.09–1.17).

Conclusions

Guideline-concordant care was associated with racial differences in survival, but the modest association suggests that additional unmeasured factors likely influence outcomes. Limitations include exclusion of cases missing stage, inability to evaluate factors occurring earlier in the treatment trajectory, and absent data regarding the extent of surgical cytoreduction.
目的:评估美国国家综合癌症网络(NCCN)指南中上皮性和非上皮性卵巢癌黑人和白人患者的一致性和生存率。与指南一致的护理被定义为根据肿瘤亚型和诊断时的分期与NCCN建议一致的治疗。方法:本回顾性研究包括2005年至2015年美国国家癌症数据库中上皮性和非上皮性卵巢癌病例,包括白人和黑人。结果是NCCN指南的一致性和诊断后的5年生存率。在双变量分析中,与指南一致性和5年生存率显著相关的因素被纳入多变量生存模型。使用Kaplan-Meier估计和log-rank检验评估生存率,使用Cox比例风险模型估计具有95%置信区间(ci)的校正风险比(hr)。结果:黑人上皮组织型患者与循证治疗指南的一致性较低,非上皮组织型患者无种族差异。黑人患者的非上皮组织型负担也高于白人患者。在调整临床和社会人口因素后,黑人患者的死亡风险高于白人患者(HR = 1.15, 95% CI 1.11-1.18),在模型中纳入指南一致性治疗后,死亡率略有降低(HR = 1.13, 95% CI 1.09-1.17)。结论:指南一致性护理与生存的种族差异有关,但这种适度的关联表明,其他未测量的因素可能影响结果。局限性包括排除分期缺失的病例,无法评估在治疗过程中早期发生的因素,以及缺乏关于手术细胞减少程度的数据。
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引用次数: 0
Beyond hyponatremia: serum sodium below 137 mEq/L and postoperative sodium trajectory as prognostic markers in resected non-small cell lung cancer 除了低钠血症:血清钠低于137 mEq/L和术后钠轨迹作为切除的非小细胞肺癌的预后标志物
IF 3.5 Q3 Medicine Pub Date : 2026-01-01 Epub Date: 2026-07-09 DOI: 10.1016/j.ctarc.2026.101314
Seyda Ors Kaya, Kenan Can Ceylan, Serap Yıldız, Yunus Emre Bal, Yunus Emre Pek, Fehri İlhan, Mustafa Şahin

Background

Clinical hyponatremia (serum sodium <135 mEq/L) is an established adverse prognostic factor in advanced malignancies, but the prognostic significance of serum sodium within the normal range remains unclear in resected non-small cell lung cancer (NSLC). We evaluated whether preoperative serum sodium below 137 mEq/L predicts survival after curative resection.

Methods

This retrospective cohort study included 255 patients undergoing curative resection for NSCLC (165 pN0, 90 pN2). Overall survival was the primary endpoint. Preoperative serum sodium was analyzed using Kaplan–Meier analysis and multivariable Cox regression adjusted for age, sex, histology, tumor size, platelet count, and nodal status. One-year postoperative sodium was available in 210 patients for exploratory trajectory analysis.

Results

Preoperative sodium <137 mEq/L was present in 56 patients (22.0%) and was associated with shorter median survival than sodium ≥137 mEq/L (32.7 vs. 68.4 months; p = 0.007). After adjustment, sodium <137 mEq/L remained an independent predictor of poor survival (HR=2.02, 95% CI 1.34–3.04; p < 0.001). Patients with sodium 135–136 mEq/L had survival comparable to clinical hyponatremia (<135 mEq/L; p = 0.587) but significantly worse than sodium ≥137 mEq/L (p = 0.001). Exploratory trajectory analysis showed progressively worse survival from the Normal→Normal to the Low→StillLow group (p < 0.001). Postoperative sodium <137 mEq/L was also associated with worse survival in stage I disease (p = 0.017).

Conclusions

Preoperative serum sodium below 137 mEq/L is an independent prognostic marker in resected NSCLC. Exploratory postoperative sodium trajectory may provide additional prognostic information and warrants prospective external validation.
背景:临床低钠血症(血清钠)方法:本回顾性队列研究纳入了255例接受根治性非小细胞肺癌切除术的患者(165例pN0, 90例pN2)。总生存期是主要终点。术前血清钠采用Kaplan-Meier分析和多变量Cox回归分析,校正年龄、性别、组织学、肿瘤大小、血小板计数和淋巴结状态。210例患者术后一年可用钠进行探索性轨迹分析。结论:术前血清钠低于137 mEq/L是切除NSCLC的独立预后指标。探索性术后钠轨迹可能提供额外的预后信息,并保证前瞻性的外部验证。
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引用次数: 0
Harnessing tumor-agnostic biomarkers for precision medicine in lymphoma 利用肿瘤不可知的生物标志物进行淋巴瘤的精准医疗。
IF 3.5 Q3 Medicine Pub Date : 2026-01-01 Epub Date: 2026-07-04 DOI: 10.1016/j.ctarc.2026.101312
Yixuan Lee, Nicole-Ann Lim, Rowena Lee Ying Kwan, Jason Yongsheng Chan
Tumor-agnostic therapies focus on shared molecular biomarkers independent of tissue of origin, allowing a single drug to target a common biomarker across different tumor types. Such targets with regulatory drug approvals include NTRK fusion, RET fusion, BRAF V600E mutation, FGFR1 rearrangement, HER2 overexpression, microsatellite instability or mismatch repair deficiency (MSI-H/dMMR), and high tumor mutational burden (TMB-H). Novel strategies against molecular alterations such as NRG1 fusion, ALK fusion, MTAP loss, KRAS G12C, TP53 Y220C and homologous repair deficiency (HRD) have also emerged. While the list of potential tumor-agnostic biomarkers continues to expand, contemporary efforts are still predominantly focused on solid cancers over hematological malignancies, including lymphoma, representing a peculiar and perhaps unwarranted strategic gap. In this review, we thus provide a narrative overview of currently approved tumor-agnostic therapies and highlight emerging biomarkers, addressing the need to focus on their potential application beyond solid tumors.
肿瘤不可知疗法专注于独立于起源组织的共享分子生物标志物,允许单一药物靶向不同肿瘤类型的共同生物标志物。这些已获监管药物批准的靶点包括NTRK融合、RET融合、BRAF V600E突变、FGFR1重排、HER2过表达、微卫星不稳定或错配修复缺陷(MSI-H/dMMR)和高肿瘤突变负担(TMB-H)。针对NRG1融合、ALK融合、MTAP缺失、KRAS G12C、TP53 Y220C和同源修复缺陷(HRD)等分子改变的新策略也出现了。虽然潜在的肿瘤不可告人的生物标志物的名单在不断扩大,但目前的努力仍然主要集中在实体癌,而不是血液系统恶性肿瘤,包括淋巴瘤,这代表了一个特殊的,也许是没有根据的战略差距。因此,在这篇综述中,我们提供了目前批准的肿瘤不可知论疗法的叙述性概述,并强调了新兴的生物标志物,解决了它们在实体肿瘤之外的潜在应用需求。
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引用次数: 0
Immune Checkpoint Inhibitor Outcomes Across Child-Pugh A, B, and C Hepatocellular Carcinoma: A Real-World Integrated Health-System Cohort 免疫检查点抑制剂在儿童- pugh A, B和C型肝细胞癌中的结果:一个真实世界的综合健康系统队列。
IF 3.5 Q3 Medicine Pub Date : 2026-01-01 Epub Date: 2026-07-11 DOI: 10.1016/j.ctarc.2026.101320
Alireza Tojjari, Yuming Shi, Stela Celaj, Andy Y. Wu, John Rhee, David A. Geller, Scott W. Biggins, Anwaar Saeed

Background

Pivotal first-line immune checkpoint inhibitor (ICI) trials in advanced hepatocellular carcinoma (HCC) largely restricted enrollment to patients with Child-Pugh A liver function, leaving outcomes in patients with more advanced hepatic dysfunction poorly defined. We evaluated survival, tumor response, and early mortality across Child-Pugh A, B, and C classes in a real-world integrated health-system cohort.

Methods

We identified 264 consecutive patients with HCC who received first-line ICI-based systemic therapy at the University of Pittsburgh Medical Center between September 2015 and November 2024, with follow-up through December 2025. Child-Pugh class was re-adjudicated at ICI initiation. The primary endpoint was overall survival. Secondary endpoints included progression-free survival, objective response rate, disease control rate, and 90-day mortality.

Results

The cohort included 113 patients with Child-Pugh A, 124 with Child-Pugh B, and 27 with Child-Pugh C liver function. Median overall survival was 25.0 months, 13.3 months, and 4.2 months, respectively. Ninety-day mortality was 5.4%, 16.3%, and 40.7%, while objective response rate was 25.5%, 17.0%, and 5.6%. In multivariable Cox regression, Child-Pugh B and C remained independently associated with mortality compared with Child-Pugh A. Among patients who survived at least 90 days, disease control in Child-Pugh C was 38.5%, approaching that observed in Child-Pugh A.

Conclusions

In this real-world HCC cohort, worsening Child-Pugh class was associated with progressively shorter survival and higher early mortality after first-line ICI therapy. Although outcomes in Child-Pugh C were poor overall, a subset of patients experienced durable survival or disease control. These findings support careful individualized treatment consideration rather than automatic exclusion of selected Child-Pugh C patients from ICI-based therapy.
背景:晚期肝细胞癌(HCC)的关键一线免疫检查点抑制剂(ICI)试验在很大程度上限制了Child-Pugh A肝功能患者的入组,使得更晚期肝功能障碍患者的预后不明确。我们在现实世界的综合卫生系统队列中评估了Child-Pugh A、B和C组的生存率、肿瘤反应和早期死亡率。方法:我们确定了2015年9月至2024年11月在匹兹堡大学医学中心连续接受一线ci系统治疗的264例HCC患者,随访至2025年12月。Child-Pugh班在ICI启动时被重新裁定。主要终点是总生存期。次要终点包括无进展生存期、客观缓解率、疾病控制率和90天死亡率。结果:该队列包括113例Child-Pugh A, 124例Child-Pugh B和27例Child-Pugh C肝功能患者。中位总生存期分别为25.0个月、13.3个月和4.2个月。90天死亡率分别为5.4%、16.3%和40.7%,客观有效率分别为25.5%、17.0%和5.6%。在多变量Cox回归中,Child-Pugh B和C与Child-Pugh a相比仍然与死亡率独立相关。在存活至少90天的患者中,Child-Pugh C的疾病控制率为38.5%,接近Child-Pugh a。结论:在这个真实的HCC队列中,Child-Pugh分级的恶化与一线ICI治疗后逐渐缩短的生存期和更高的早期死亡率相关。虽然Child-Pugh C的预后总体较差,但有一部分患者经历了持久的生存或疾病控制。这些发现支持仔细的个体化治疗考虑,而不是自动将选定的Child-Pugh C患者排除在基于ci的治疗之外。
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引用次数: 0
A randomized controlled trial of home-based combined exercise training for improving inflammatory markers and physical function in breast cancer survivors 一项家庭联合运动训练改善乳腺癌幸存者炎症标志物和身体功能的随机对照试验。
IF 3.5 Q3 Medicine Pub Date : 2026-01-01 Epub Date: 2026-09-07 DOI: 10.1016/j.ctarc.2026.101427
Parisa Jamali, Rostam Alizadeh, Ehsan Amiri, Najmeh Rezaeinezhad

Objective

The recurrence of breast cancer is a significant concern for survivors of the disease. This study aimed to examine the impact of 16 weeks of home-based combined exercise training (HET) and aerobic exercise training (AE) on biological markers related to breast cancer and physical function in breast cancer survivors.

Methods

Forty-two breast cancer survivors were randomly assigned to three groups: control, HET, and AE. HET comprised a combination of resistance and aerobic exercise training conducted at home. The interventions were performed three times per week for 16 weeks. Blood samples and physical performance were evaluated before and after the intervention period.

Results

The findings indicated that both AE and HET diminished the inflammatory markers interleukin 1β (IL-1β), interferon-gamma (IFN-γ), tumor necrosis factor alpha (TNF-α), and insulin-like growth factor 1 (IGF-1), as well as body weight, body fat percentage, and body mass index, compared with the control group. Furthermore, both exercise interventions significantly increased IL-10 and sex hormone-binding globulin (SHBG) and improved cardiorespiratory fitness and flexibility compared with the control group. In addition, compared with the AE group, HET training produced significantly greater improvements in IL-10, SHBG, and upper- and lower-limb strength, and a greater reduction in body fat percentage.

Conclusion

These findings suggest that both AE and HET can improve cancer-related biomarkers in breast cancer survivors; however, HET appears to provide superior benefits for these biomarkers and physical performance compared with AE.
目的:乳腺癌的复发是乳腺癌幸存者关注的一个重要问题。本研究旨在研究16周的以家庭为基础的联合运动训练(HET)和有氧运动训练(AE)对乳腺癌幸存者中与乳腺癌相关的生物标志物和身体功能的影响。方法:将42例乳腺癌幸存者随机分为对照组、HET组和AE组。HET包括在家进行的阻力和有氧运动训练的组合。干预每周进行三次,持续16周。在干预前后分别进行血样和体能测试。结果:与对照组相比,AE和HET均可降低炎症标志物白细胞介素1β (IL-1β)、干扰素γ (IFN-γ)、肿瘤坏死因子α (TNF-α)和胰岛素样生长因子1 (IGF-1),以及体重、体脂率和体重指数。此外,与对照组相比,两种运动干预均显著增加了IL-10和性激素结合球蛋白(SHBG),并改善了心肺适应性和灵活性。此外,与AE组相比,HET训练显著提高了IL-10、SHBG、上肢和下肢力量,并显著降低了体脂率。结论:AE和HET均可改善乳腺癌幸存者的肿瘤相关生物标志物;然而,与AE相比,HET似乎在这些生物标志物和物理性能方面提供了更好的益处。
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引用次数: 0
Clinical relative biological effectiveness of carbon-ion versus photon radiotherapy derived from tumor control probability models in locally advanced non-small cell lung cancer 基于肿瘤控制概率模型的局部晚期非小细胞肺癌碳离子与光子放射治疗的临床相对生物学有效性
IF 3.5 Q3 Medicine Pub Date : 2026-01-01 Epub Date: 2026-08-08 DOI: 10.1016/j.ctarc.2026.101357
Yong-Long Liu, Ning-Yi Ma, Ya-Qi Li, Xing-Wen Fan, Jian Chen, Jing Mi, Zi-Zhou Mao, Meng-Yao Lu, Jun-Chao Chen, Ying Guo, Xiao-Li Liu, Jing-Fang Mao, Guo-Liang Jiang, Kai-Liang Wu

Background

This study aimed to estimate the clinical relative biological effectiveness (cRBE) of carbon-ion radiotherapy (CIRT) versus photon radiotherapy (PRT) in patients with locally advanced non-small cell lung cancer (LA-NSCLC) receiving combined radiotherapy and systemic therapy. cRBE was calculated using the equivalent uniform dose (EUD) corresponding to 50% tumor control (D₅₀), derived from tumor control probability (TCP) modeling with 3-year locoregional control (LRC) as the primary endpoint.

Methods

Patients treated between 2016 and 2023 were identified. Propensity score matching was applied to balance CIRT and PRT cohorts. LRC was estimated by the Kaplan-Meier method and Cox regression. Gross tumour volume dose-volume histograms were converted to biologically effective dose (BED) and EUD. Logistic TCP models were fitted by maximum likelihood estimation. cRBE was estimated as the ratio of the D50 physical doses for PRT and CIRT.

Results

A total of 244 patients were included. The CIRT group demonstrated significantly improved LRC compared with the PRT group (p = 0.033). The best-fitted TCP parameters for 3-year LRC were D₅₀ = 15.44 Gy, k = 2.52, n = 1.00 for CIRT, and D₅₀ = 59.94 Gy, k = 4.65, n = 1.00 for PRT. The estimated cRBE for locoregional control was 3.88.

Conclusion

CIRT was associated with improved locoregional tumor control compared with PRT in patients with LA-NSCLC. In addition, to our knowledge, this study is the first to provide a preliminary, model-dependent estimate of the clinical RBE for tumor control in LA-NSCLC using TCP modeling with 3-year LRC as the endpoint.
背景:本研究旨在评估碳离子放疗(CIRT)与光子放疗(PRT)在局部晚期非小细胞肺癌(LA-NSCLC)患者联合放疗和全身治疗中的临床相对生物学有效性(cRBE)。cRBE是使用相当于50%肿瘤控制(D₅0)的等效均匀剂量(EUD)计算的,该剂量来自肿瘤控制概率(TCP)模型,以3年的局部区域控制(LRC)为主要终点。方法:选取2016 - 2023年收治的患者。倾向评分匹配用于平衡CIRT和PRT队列。LRC采用Kaplan-Meier法和Cox回归估计。总体肿瘤体积-剂量-体积直方图转换为生物有效剂量(BED)和EUD。Logistic TCP模型采用极大似然估计拟合。以PRT和CIRT的D50物理剂量之比估计cRBE。结果:共纳入244例患者。与PRT组相比,CIRT组的LRC明显改善(p = 0.033)。3年LRC的最佳拟合TCP参数为D₅₀= 15.44 Gy, k = 2.52, n = 1.00 (CIRT)和D₅₀= 59.94 Gy, k = 4.65, n = 1.00 (PRT)。局部区域控制的估计cRBE为3.88。结论:与PRT相比,CIRT可改善LA-NSCLC患者的局部肿瘤控制。此外,据我们所知,本研究首次使用TCP模型,以3年LRC为终点,对LA-NSCLC肿瘤控制的临床RBE进行了初步的、模型依赖的估计。
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引用次数: 0
Prognostic value of FUBP1 in Colorectal cancer and association with immune microenvironment characteristics FUBP1在结直肠癌中的预后价值及其与免疫微环境特征的关系
IF 3.5 Q3 Medicine Pub Date : 2026-01-01 Epub Date: 2026-08-25 DOI: 10.1016/j.ctarc.2026.101343
Zhenxiang Li, Yanfang Zhao, Yanli Si, Qi Su, Xin Meng, Liping Guan

Objective

To investigate FUBP1 expression, its prognostic value, impact on the tumor microenvironment (TME), and drug sensitivity in colorectal cancer (CRC), and to explore its potential underlying mechanisms.

Methods

Using data from The Cancer Genome Atlas (TCGA), we analyzed FUBP1 expression in CRC, evaluated its prognostic value via survival analysis and nomogram construction, performed pathway enrichment analysis, and assessed immune cell infiltration and Estimation of STromal and Immune cells in MAlignant Tumor tissues using Expression data (ESTIMATE) scores. We further conducted immunohistochemistry (IHC) validation on an independent institutional cohort and analyzed the Gene Expression Omnibus (GEO) single-cell RNA sequencing dataset GSE132465 (n = 63,689 cells) to examine the association between FUBP1 expression and the tumor immune microenvironment at single-cell resolution.

Results

FUBP1 was highly expressed in CRC (P < 0.001), particularly in younger patients. High FUBP1 expression was associated with improved overall survival in univariate analysis (HR = 0.68, P = 0.028), yet this association was not maintained as an independent prognostic factor after adjustment for other clinical covariates (HR = 0.722, P = 0.098). Immunohistochemistry results from the independent cohort confirmed upregulated FUBP1 protein in 90% of CRC specimens. Single-cell analysis revealed that FUBP1-high cell clusters exhibited markedly reduced immune cell infiltration (35.97%vs 62.96%, P < 0.001), indicating an immunosuppressive "cold" tumor microenvironment. Tumors with high FUBP1 expression also displayed elevated PD-L1, PD-1, and CTLA4 expression, lower half-maximal inhibitory concentration (IC50) values for oxaliplatin, irinotecan, and 5-fluorouracil, and higher Immune Phenotype Score (IPS) for anti-PD-1 monotherapy or combined anti-CTLA-4 immunotherapy. FUBP1 expression was correlated with increased expression of MYC, TP53, and their downstream target genes (CCND1, CDK4, BAX, CDKN1A).

Conclusion

FUBP1 is highly expressed in CRC and associated with an immunosuppressive "cold" tumor microenvironment characterized by decreased immune cell infiltration, while it correlates with favorable chemotherapeutic sensitivity. FUBP1 may serve as a potential predictive biomarker for responses to chemotherapy and immunotherapy, rather than an independent prognostic indicator for survival. Its linkage to MYC and TP53 signaling pathways warrants further mechanistic investigation.
目的:探讨FUBP1在结直肠癌(CRC)中的表达、预后价值、对肿瘤微环境(TME)的影响及药物敏感性,并探讨其潜在机制。方法:利用癌症基因组图谱(TCGA)的数据,分析CRC中FUBP1的表达,通过生存分析和nomogram构建评估其预后价值,进行通路富集分析,并使用expression data (ESTIMATE)评分评估恶性肿瘤组织中免疫细胞浸润和间质和免疫细胞的估计。我们进一步对一个独立的机构队列进行免疫组织化学(IHC)验证,并分析基因表达Omnibus (GEO)单细胞RNA测序数据集GSE132465 (n = 63,689个细胞),以在单细胞分辨率下检测FUBP1表达与肿瘤免疫微环境之间的关系。结果:FUBP1在结直肠癌中高表达(P < 0.001),尤其是在年轻患者中。在单因素分析中,高FUBP1表达与改善的总生存率相关(HR = 0.68, P = 0.028),但在调整其他临床协变量后,这种关联并不能作为独立的预后因素维持(HR = 0.722, P = 0.098)。来自独立队列的免疫组化结果证实,90%的结直肠癌标本中FUBP1蛋白表达上调。单细胞分析显示,高fubp1细胞簇免疫细胞浸润明显减少(35.97%vs 62.96%, P < 0.001),提示免疫抑制的“冷”肿瘤微环境。FUBP1高表达的肿瘤也显示PD-L1、PD-1和CTLA4表达升高,奥沙利铂、伊立替康和5-氟尿嘧啶的半最大抑制浓度(IC50)值较低,抗PD-1单药或联合抗ctla -4免疫治疗的免疫表型评分(IPS)较高。FUBP1的表达与MYC、TP53及其下游靶基因(CCND1、CDK4、BAX、CDKN1A)的表达增加相关。结论:FUBP1在结直肠癌中高表达,与以免疫细胞浸润减少为特征的免疫抑制“冷”肿瘤微环境相关,同时与良好的化疗敏感性相关。FUBP1可能作为化疗和免疫治疗反应的潜在预测性生物标志物,而不是独立的生存预后指标。它与MYC和TP53信号通路的联系值得进一步的机制研究。
{"title":"Prognostic value of FUBP1 in Colorectal cancer and association with immune microenvironment characteristics","authors":"Zhenxiang Li,&nbsp;Yanfang Zhao,&nbsp;Yanli Si,&nbsp;Qi Su,&nbsp;Xin Meng,&nbsp;Liping Guan","doi":"10.1016/j.ctarc.2026.101343","DOIUrl":"10.1016/j.ctarc.2026.101343","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate FUBP1 expression, its prognostic value, impact on the tumor microenvironment (TME), and drug sensitivity in colorectal cancer (CRC), and to explore its potential underlying mechanisms.</div></div><div><h3>Methods</h3><div>Using data from The Cancer Genome Atlas (TCGA), we analyzed FUBP1 expression in CRC, evaluated its prognostic value via survival analysis and nomogram construction, performed pathway enrichment analysis, and assessed immune cell infiltration and Estimation of STromal and Immune cells in MAlignant Tumor tissues using Expression data (ESTIMATE) scores. We further conducted immunohistochemistry (IHC) validation on an independent institutional cohort and analyzed the Gene Expression Omnibus (GEO) single-cell RNA sequencing dataset GSE132465 (<em>n</em> = 63,689 cells) to examine the association between FUBP1 expression and the tumor immune microenvironment at single-cell resolution.</div></div><div><h3>Results</h3><div>FUBP1 was highly expressed in CRC (<em>P</em> &lt; 0.001), particularly in younger patients. High FUBP1 expression was associated with improved overall survival in univariate analysis (HR = 0.68, <em>P</em> = 0.028), yet this association was not maintained as an independent prognostic factor after adjustment for other clinical covariates (HR = 0.722, <em>P</em> = 0.098). Immunohistochemistry results from the independent cohort confirmed upregulated FUBP1 protein in 90% of CRC specimens. Single-cell analysis revealed that FUBP1-high cell clusters exhibited markedly reduced immune cell infiltration (35.97%vs 62.96%, <em>P</em> &lt; 0.001), indicating an immunosuppressive \"cold\" tumor microenvironment. Tumors with high FUBP1 expression also displayed elevated PD-L1, PD-1, and CTLA4 expression, lower half-maximal inhibitory concentration (IC50) values for oxaliplatin, irinotecan, and 5-fluorouracil, and higher Immune Phenotype Score (IPS) for anti-PD-1 monotherapy or combined anti-CTLA-4 immunotherapy. FUBP1 expression was correlated with increased expression of MYC, TP53, and their downstream target genes (CCND1, CDK4, BAX, CDKN1A).</div></div><div><h3>Conclusion</h3><div>FUBP1 is highly expressed in CRC and associated with an immunosuppressive \"cold\" tumor microenvironment characterized by decreased immune cell infiltration, while it correlates with favorable chemotherapeutic sensitivity. FUBP1 may serve as a potential predictive biomarker for responses to chemotherapy and immunotherapy, rather than an independent prognostic indicator for survival. Its linkage to MYC and TP53 signaling pathways warrants further mechanistic investigation.</div></div>","PeriodicalId":9507,"journal":{"name":"Cancer treatment and research communications","volume":"49 ","pages":"Article 101343"},"PeriodicalIF":3.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Agrimol B induces apoptosis and ferroptosis in acute monocytic leukemia by targeting EGFR/ERK1/2 signaling and activating SIRT1 Agrimol B通过靶向EGFR/ERK1/2信号通路和激活SIRT1诱导急性单核细胞白血病细胞凋亡和铁凋亡。
IF 3.5 Q3 Medicine Pub Date : 2026-01-01 Epub Date: 2026-09-17 DOI: 10.1016/j.ctarc.2026.101441
Ting Ma, Qi Wang, Hao Wang, Ke Li, Dan Zhao, Wenjie Huang, Tao Li, Dantong Lyu, Hong Hong, Yue Liu, Min Wang, Jiuqing Gao, Xin Meng, Haiyan Zhang, Xu Wang, Bin Wu
Leukemia is an aggressive hematologic malignancy with high global morbidity and mortality. Despite advances in CAR-T cell therapy and targeted treatments, acute myeloid leukemia and high-risk relapsed cases continue to face formidable therapeutic challenges owing to heterogeneity and drug resistance. Agrimol B (AB), a bioactive natural compound isolated from the edible and medicinal plant Agrimonia pilosa Ledeb., has demonstrated notable anticancer potential. However, its role in leukemia has not yet been investigated. Here, we demonstrate that AB significantly reduces leukemia burden in an Acute Monocytic Leukemia (AMoL) mouse model and suppresses proliferation, invasion, and migration of THP-1 cells in vitro. Mechanistically, AB interacts with EGFR and inhibits ERK1/2 signaling, thereby activating FOXO1. In addition, AB upregulates SIRT1 expression and promotes FOXO1 deacetylation, leading to HMOX1 activation and subsequently triggers ferroptosis. These findings indicate that Agrimol B exerts potent anti-leukemic activity through multiple mechanisms, highlighting its potential as a therapeutic candidate for AMoL.
白血病是一种侵袭性血液系统恶性肿瘤,全球发病率和死亡率都很高。尽管CAR-T细胞疗法和靶向治疗取得了进展,但由于异质性和耐药,急性髓系白血病和高危复发病例仍然面临着巨大的治疗挑战。Agrimol B (AB)是一种从药用和食用植物Agrimonia pilosa Ledeb中分离得到的具有生物活性的天然化合物。已经显示出显著的抗癌潜力。然而,它在白血病中的作用尚未被研究。本研究表明,AB可显著降低急性单核细胞白血病(AMoL)小鼠模型的白血病负担,并在体外抑制THP-1细胞的增殖、侵袭和迁移。在机制上,AB与EGFR相互作用,抑制ERK1/2信号,从而激活fox01。此外,AB上调SIRT1表达,促进FOXO1去乙酰化,导致HMOX1激活,进而引发铁下垂。这些发现表明,Agrimol B通过多种机制发挥强大的抗白血病活性,突出了其作为AMoL治疗候选药物的潜力。
{"title":"Agrimol B induces apoptosis and ferroptosis in acute monocytic leukemia by targeting EGFR/ERK1/2 signaling and activating SIRT1","authors":"Ting Ma,&nbsp;Qi Wang,&nbsp;Hao Wang,&nbsp;Ke Li,&nbsp;Dan Zhao,&nbsp;Wenjie Huang,&nbsp;Tao Li,&nbsp;Dantong Lyu,&nbsp;Hong Hong,&nbsp;Yue Liu,&nbsp;Min Wang,&nbsp;Jiuqing Gao,&nbsp;Xin Meng,&nbsp;Haiyan Zhang,&nbsp;Xu Wang,&nbsp;Bin Wu","doi":"10.1016/j.ctarc.2026.101441","DOIUrl":"10.1016/j.ctarc.2026.101441","url":null,"abstract":"<div><div>Leukemia is an aggressive hematologic malignancy with high global morbidity and mortality. Despite advances in CAR-T cell therapy and targeted treatments, acute myeloid leukemia and high-risk relapsed cases continue to face formidable therapeutic challenges owing to heterogeneity and drug resistance. Agrimol B (AB), a bioactive natural compound isolated from the edible and medicinal plant <em>Agrimonia pilosa Ledeb</em>., has demonstrated notable anticancer potential. However, its role in leukemia has not yet been investigated. Here, we demonstrate that AB significantly reduces leukemia burden in an Acute Monocytic Leukemia (AMoL) mouse model and suppresses proliferation, invasion, and migration of THP-1 cells in vitro. Mechanistically, AB interacts with EGFR and inhibits ERK1/2 signaling, thereby activating FOXO1. In addition, AB upregulates SIRT1 expression and promotes FOXO1 deacetylation, leading to HMOX1 activation and subsequently triggers ferroptosis. These findings indicate that Agrimol B exerts potent anti-leukemic activity through multiple mechanisms, highlighting its potential as a therapeutic candidate for AMoL.</div></div>","PeriodicalId":9507,"journal":{"name":"Cancer treatment and research communications","volume":"49 ","pages":"Article 101441"},"PeriodicalIF":3.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Cancer treatment and research communications
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