目的 探究磁共振成像三维快速自旋回波序列(CUBE)序列在眼眶肿瘤及肿瘤样病变中的诊断价值。方法 选取2023年5月—2025年6月郑州市第二人民医院收治的眼眶肿瘤及肿瘤样病变患者89例为研究对象,依据病理诊断结果分为眼眶肿瘤组(43例)及肿瘤样病变组(46例)。分别采用病理检查及磁共振成像CUBE序列对研究对象进行检测。比较眼眶肿瘤组与肿瘤样病变组的资料。采用Kappa检验比较病理金标准与磁共振成像CUBE序列鉴别诊断的一致性。采用2×2列联表分析磁共振成像CUBE鉴别眼眶肿瘤及肿瘤样病变的诊断效能。结果 病理鉴别诊断结果与磁共振成像CUBE序列结果比较,差异无统计学意义(P>0.05)。眼眶肿瘤组与肿瘤样病变组的资料比较,差异无统计学意义(P>0.05)。Kappa检验发现,磁共振成像CUBE序列鉴别眼眶肿瘤与肿瘤样病变与病理金标准比较的Kappa值为0.820,一致性较高(P<0.05)。磁共振成像CUBE序列鉴别眼眶肿瘤及肿瘤样病变的灵敏度为88.37%,特异度为93.48%,准确度为91.01%,误诊率为6.52%,漏诊率为11.63%,约登指数为81.85%,阳性预测概率为92.68%,阴性预测概率为89.58%。结论 磁共振成像CUBE序列鉴别诊断成人眼眶肿瘤及肿瘤样病变与病理诊断结果的一致性较高。
Objective To investigate the diagnostic value of the three-dimensional fast spin echo sequence(CUBE)in magnetic resonance imaging for orbital tumors and tumor-like lesions.Methods From May 2023 to June 2025,89 patients with orbital tumors and tumor like lesions were included as the study subjects.Based on pathological diagnosis results,they were separated into orbital tumor group(43 cases)and tumor like lesion group(46 cases).The pathological examination and magnetic resonance imaging CUBE sequence were used to scan the study subjects.The data were compared between the orbital tumor group and the tumor like lesion group.Kappa test was used to compare the consistency of differential diagnosis between pathological gold standard and magnetic resonance imaging CUBE sequence.A 2×2 contingency table was uesd to analyze the diagnostic performance of magnetic resonance imaging CUBE in differentiating orbital tumors and tumor-like lesions.Results The difference between the pathological differential diagnosis results and the magnetic resonance imaging CUBE sequence was not statistically significant(P>0.05).The data comparison between the orbital tumor group and the tumor like lesion group showed no statistical difference(P>0.05).The Kappa test found that the Kappa value of 0.820 for differentiating orbital tumors from tumor like lesions using the magnetic resonance imaging CUBE sequence compared to the pathological gold standard was highly consistent(P<0.05).The sensitivity,specificity,accuracy,misdiagnosis rate,missed diagnosis rate,Youden index,positive predictive probability,and negative predictive probability of magnetic resonance imaging CUBE sequence in differentiating orbital tumors and tumor like lesions were 88.37%,93.48%,91.01%,6.52%,11.63%,81.85%,92.68% and 89.58%,respectively.Conclusions The magnetic resonance imaging CUBE sequence has a high consistency with pathological diagnosis results in the differential diagnosis of orbital tumors and tumor like lesions.
目的 调查消化系统恶性肿瘤患者营养风险、营养知识-态度-行为(知信行)水平的现状,探究各因素是否对患者的营养风险、营养知信行水平具有影响,并分析两者之间的相关性。方法 选取中山大学附属第八医院(深圳福田)2024年2月—10月的244例消化系统恶性肿瘤患者为研究对象,采用一般资料调查表、营养风险筛查NRS2002量表以及消化系统肿瘤患者营养知信行问卷进行调查,数据收集后进行统计分析,从而研究消化系统恶性肿瘤患者营养筛查风险与营养知信行水平的现状、影响因素及两者间的相关性。结果 69.3%的消化系统恶性肿瘤患者存在营养风险,营养风险评分为(2.72±1.42)分。消化系统恶性肿瘤患者营养知识水平得分为(12.30±5.26)分、营养态度水平得分为(14.80±2.68)分、营养行为水平得分为(22.82±4.55)分、营养知信行水平总分为(49.96±9.50)分。家庭经济收入是患者营养风险水平的核心影响因素(P<0.05),学历水平是患者营养知信行水平的核心影响因素(P<0.05)。消化系统恶性肿瘤患者营养风险水平与营养知信行的总体水平呈负相关(r=-0.143,P<0.05)。结论 消化系统恶性肿瘤患者的营养知信行水平总体处于中等水平,但普遍存在营养风险较高的情况。在患者治疗期间实施个性化营养健康宣教至关重要,这将有助于提升患者的营养知识水平,从而整体性改善其营养知信行素养并降低其营养风险,但在进行营养宣教和制定个性化营养方案时应充分考虑患者的家庭经济收入及学历水平。
Objective To explore the nutritional risk and nutritional knowledge-attitude-behavior status of patients with digestive system malignant tumors,to analyze the influencing factors of nutritional risk,nutritional knowledge-attitude-behavior,and explore the correlation between them.Methods From February 2024 to October 2024,244 patients with digestive system malignant tumors at the Eighth Affiliated Hospital of Sun Yat-sen University were selected as the research subjects.A general information questionnaire,Nutritional Risk Screening 2002,and digestive system tumor patient nutrition knowledge-attitude-behavior questionnaire were used to study the influencing factors and correlations between the nutritional screening risk and nutritional knowledge-attitude-behavior in patients with digestive system malignant tumors.Results There were 69.3% of the patients with digestive system malignant tumors had nutritional risk score ≥3,and the overall score was(2.72±1.42).The scores of nutritional knowledge,attitude,behavior and total score of digestive system malignant tumors patients were(12.30±5.26),(14.80±2.68),(22.82±4.55)and(49.96±9.50),respectively.Family economic income was the core influencing factors of nutritional risk in patients with digestive system malignant tumors,while educational level was the core influencing factor of nutritional knowledge-attitude-behavior in patients with digestive system malignant tumors.The nutritional risk level of patients with malignant tumors of the digestive system was significantly negatively correlated with the overall level of nutritional knowledge-attitude-behavior.Conclusions The nutritional knowledge-attitude-behavior level of patients with malignant tumors of the digestive system is generally at a medium level,but there is a widespread situation of relatively high nutritional risk.It is extremely important and necessary to conduct personalized nutrition knowledge education for patients during their treatment period,which will help enhance patients’ nutritional knowledge level,thereby comprehensively improving their nutritional knowledge-attitude-behavior literacy and reducing their nutritional risks.However,when conducting nutrition education and formulating personalized nutrition plans,the patient’s family economic income,medical payment methods and educational level should be fully considered.
目的 探讨胸部肿瘤患者手术后早期排痰的效果,降低肺部并发症的发生率。方法 选择2024年6月—2025年7月在本院进行胸部肿瘤切除的60例术后患者作为研究对象。采用非同期回顾对照设计,以不同时间段病例分组,分为对照组(n=30)和观察组(n=30)。两组胸部手术后患者均给予常规围术期护理,观察组胸部手术后患者增加早期排痰护理。统计两组排痰效果[咳痰难度、血氧饱和度(SPO2)]变化、疼痛评分,并统计两组肺部相关并发症及住院时间进行比较。结果 观察组患者术后的SPO2水平高于对照组(P<0.05),咳痰难度评分低于对照组患者(P<0.05)。干预后第B、C时间点观察组患者的疼痛评分均低于对照组(P<0.05)。观察组住院时间短于对照组(P<0.05),胸部并发症总发生率低于对照组(P<0.05),满意度高于对照组(P<0.05)。结论 胸部肿瘤术后早期排痰有助于促进术后患者排痰,减少肺部相关发症,缩短住院时间。
Objective To investigate the efficacy of early expectoration management in reducing pulmonary complications for patients following thoracic tumor surgery.Methods Sixty patients undergoing thoracic tumor resection at our hospital between 2024 and 2025 were enrolled.A non-concurrent retrospective control design was adopted.Cases were grouped according to different time periods,divided into a control group(n=30)and an observation group(n=30).The control group received standard perioperative care,while the observation group received additional early expectoration nursing interventions.Outcome measures included expectoration efficacy(assessed by cough difficulty score and oxygen saturation[SpO2]),pain scores,incidence of pulmonary complications,and hospital stay duration.Results Postoperative SpO2 levels were higher in the observation group than in the control group (P<0.05),while cough difficulty scores were significantly lower(P<0.05).At time points B and C after the intervention,the pain scores of patients in the observation group were lower than those in the control group(P<0.05).The observation group demonstrated a significantly shorter hospital stay(P<0.05),a lower overall incidence of thoracic complications(P<0.05),and higher patient satisfaction than the control group(P<0.05).Conclusions Implementing early expectoration protocols after thoracic tumor surgery facilitates sputum clearance can reduce pulmonary complications,and shorten hospitalization time.
目的 探讨基于手术风险模型(RoSCo)评分系统的早期下床活动时机在肾肿瘤患者术后的应用效果。方法 选取2021年6月—2024年6月天津市人民医院收治的80例肾肿瘤患者,应用随机数字表法将其分为观察组与对照组,各40例。80例患者均实施腹腔镜肾部分切除术,对照组实施常规干预与术后早期下床活动干预,观察组实施常规干预与基于RoSCo评分系统的早期下床活动时机干预。对比两组术后康复水平,疼痛程度与睡眠质量,并发症发生率及生活质量。结果 观察组首次下床活动(19.30±4.17)h、排气(22.03±4.15)h、排便时间(29.93±5.58)h及术后住院时间(5.35±1.33)h短于对照组[(25.08±5.11)、(29.38±5.75)(34.20±5.98)(7.35±2.38)]h,对比差异有统计学意义(t=-5.540、-6.557、-3.308、-4.637,P<0.05);手术后,观察组视觉模拟量表(VAS)评分(3.93±0.92)分、PSQI评分(9.13±1.64)分高于对照组[(5.38±1.25)、(12.23±2.40)]分,对比差异有统计学意义(t=-5.902、-6.747,P<0.05);观察组并发症发生率7.50%低于对照组27.50%(χ 2 =5.541,P=0.019);手术后观察组SF-36评分相关维度[生理职能(84.45±9.74)、总体健康(60.75±10.65)、躯体疼痛(65.65±8.60)、生理功能(72.98±9.22)、活力(71.95±6.93)、社会功能(75.38±8.33)、精神健康(75.63±8.02)、情感职能(65.43±9.70)]分值高于对照组[生理职能(69.98±10.09)、总体健康(53.58±7.96)、躯体疼痛(58.83±9.35)、生理功能(65.68±7.58)、活力(62.83±12.80)、社会功能(68.98±10.99)、精神健康(71.58±9.69)、情感职能(57.90±6.86)]分值,对比差异有统计学意义(t=6.530、3.414、3.398、3.870、3.966、2.936、2.037、4.004,P<0.05)。结论 针对肾肿瘤患者术后应用基于RoSCo评分系统的早期下床活动时机干预可促进其术后康复,辅助减轻术后疼痛程度,提升睡眠质量,降低并发症发生率,进一步提升患者生活质量。
Objective To explore the application effect of early mobilization timing based on the Risk of Surgical Complication(RoSCo)scoring system in renal tumor patients after surgery.Methods From June 2021 to June 2024,80 patients with renal tumors admitted to the hospital were selected as the research subjects.They were randomly divided into an observation group and a control group using a random number table method,with 40 patients in each group.All patients underwent laparoscopic partial nephrectomy.The control group received routine care and early postoperative mobilization intervention,while the observation group received routine care and early mobilization intervention based on the RoSCo scoring system.The postoperative rehabilitation level,pain level and sleep quality,incidence of complications,and quality of life between two groups were compared.Results The first time getting out of bed,exhaust,defecation and postoperative hospitalization time in observation group([19.30±4.17]h,[22.03±4.15]h,[29.93±5.58]h,[5.35±1.33]h) were shorter than those in control group([25.08±5.11]h,[29.38±5.75]h,[34.20±5.98]h,[7.35±2.38]h),the differences were statistically significant(t=-5.540,-6.557,-3.308,-4.637,all P<0.05).After operation,VAS score(3.93±0.92)and PSQI score(9.13±1.64)in the observation group were higher than those in the control group([5.38±1.25]and[12.23±2.40]),and the differences were statistically significant(t=-5.902,-6.747,both P<0.05).The complication rate of the observation group (7.50%) was lower than that of the control group(χ 2 =5.541,P=0.019).After operation,SF-36 scores in the observation group were physiological function(84.45±9.74),general health(60.75±10.65),physical pain(65.65±8.60),physiological function(72.98±9.22),vitality(71.95±6.93),social function(75.38±8.33),spiritual health(75.63±8.02)and emotional function(65.43±9.70),which were higher than those of the control group(physiological function[69.98±10.09],general health[53.58±7.96],physical pain[58.83±9.35],physiological function[65.68±7.58]and vitality[62.83±12.80],social function[68.98±10.99],mental health[71.58±9.69],emotional function[57.90±6.86]),and the differences were statistically significant(t=6.530,3.414,3.398,3.870,3.966,2.936,2.037,4.004,all P<0.05).Conclusions Early mobilization intervention based on the RoSCo scoring system can promote postoperative recovery,assist in reducing postoperative pain,improve sleep quality,reduce the incidence of complications,and further enhance the quality of life of patients with renal tumors.
目的 研究小儿面颈部皮下良性肿物的影像学特点及经头皮区域或腋窝软组织腔镜微创治疗小儿头颈部皮下良性肿物的可行性、临床疗效及安全性。方法 回顾分析2024年1月—2024年8月在广州医科大学附属妇女儿童医疗中心治疗的24例小儿面颈部皮下肿物的病例,患儿年龄为1~5岁,平均年龄1.5岁,其中男15例、女9例;分别为甲状舌管囊肿10例,鳃裂瘘5例,前额皮下肿物5例,颈淋巴结增大3例,颈部皮下肿物1例。分析其影像学特点(超声及CT检查),制定了经头皮区域软组织腔镜微创治疗前额皮下肿物和颈淋巴结活组织检查(活检)或经腋窝软组织腔镜微创治疗甲状舌管囊肿和鳃裂瘘。结果 24例小儿面颈部皮下良性肿物的共同影像学特点是位于浅层,边界清晰,圆形或者椭圆形,对周围组织轻度压迫,无侵犯。所有病例均顺利完成微创手术,出血少,无手术并发症,术后恢复好。术后病理检查均提示良性肿物,面部及颈部均无手术瘢痕。结论 小儿面颈部皮下良性肿瘤的影像学特点是位于浅层,边界清晰。经头皮区域和腋窝软组织腔镜微创治疗小儿面颈部肿物效果确切、安全性高、美观。
Objective To study the imaging characteristics of subcutaneous benign tumors in the face and neck of children,as well as the feasibility,efficacy,and safety of minimally invasive treatment of subcutaneous benign tumors in the head and neck of children through hair area or axillary soft tissue endoscopy.Methods A retrospective analysis was conducted on 24 cases of subcutaneous tumors in the face and neck of children treated in our hospital from January to August 2024.Age range was 1-5 years old,with an average of 1.5 years old.There were 15 boys and 9 girls.There were 10 cases of thyroglossal duct cyst,5 cases of branchial fistula,5 cases of subcutaneous mass on the forehead,3 cases of enlarged cervical lymph nodes,and 1 case of subcutaneous mass on the neck.Imaging characteristics(ultrasound and CT examination)and minimally invasive treatment effects were analyzed,to determine the procedure of minimally invasive treatment of subcutaneous tumors in the forehead and cervical lymph node biopsy by soft tissue endoscopy in the scalp area,and minimally invasive treatment of thyroglossal duct cysts and branchial fistulas through axillary by soft tissue endoscopy.Results The imaging characteristics of subcutaneous benign tumors in children’s face and neck were located in the shallow layer,with clear boundaries,round or oval shapes,mild compression of surrounding tissues,and no invasion.All cases successfully underwent minimally invasive surgery with minimal bleeding,no surgical complications,and good postoperative recovery.Postoperative pathological examination confirmed as benign masses.There were no surgical scars on the face and neck.Conclusions The imaging characteristics of subcutaneous benign tumors in children’s face and neck are located in the shallow layer with clear boundaries.Minimally invasive endoscopic treatment of pediatric face and neck tumors through the scalp area and axillary soft tissue is effective,safe,and aesthetically pleasing.
近年来, 药物递送系统在肿瘤靶向治疗领域取得了显著进展, 已有多种递药系统获批临床应用。其中, 纳米药物因其能够减少传统小分子化疗药物的毒副作用、提高药物生物利用度,并通过增强通透性与滞留效应(EPR效应)实现肿瘤的被动靶向, 从而显著提升治疗效果, 受到广泛关注。尤其是具备尺寸可调、肿瘤特异性聚集、刺激响应性崩解及形貌转变等多功能的智能可变形纳米载体, 已成为当前纳米递药载体研究的热点。这类载体能够感应肿瘤微环境中的特定刺激信号(如酸性pH值、过氧化还原状态、酶活性或过表达细胞因子), 实现包括尺寸调控、聚集组装、结构崩解与形态重构等在内的多种动态变形行为, 从而提升药物在肿瘤部位的滞留时间、渗透深度及控释能力, 最终获得更优的抗肿瘤疗效。例如在肿瘤组织中实现纳米载体尺寸缩小可增强药物的组织穿透力; 纳米粒子聚集变大会延长药物在病灶处的滞留时间; 而快速响应性崩解则有助于药物在肿瘤局部实现高效释放。这些智能变形策略为纳米药物递送系统提供了更高的治疗可控性与精准性。基于其多样化的响应特性和结构可塑性, 智能变形纳米载体在推动抗肿瘤药物的个体化治疗及联合疗法应用方面展现出巨大潜力。本文综述了近年来基于智能变形纳米载体增强抗肿瘤效果的研究进展,系统梳理了其设计策略, 并深入探讨了其在肿瘤精准治疗中的应用前景。
In recent years, drug delivery systems have made remarkable progress in the field of tumor-targeted therapy, with several platforms already approved for clinical use.Among them, nanomedicines have attracted considerable attention due to their ability to mitigate the side effects of conventional small-molecule chemotherapeutics, improve bioavailability, and passively accumulate at tumor sites via the enhanced permeability and retention(EPR)effect, thereby enhancing therapeutic efficacy.Of particular interest are stimuli-responsive, shape-transformable nanocarriers, which exhibit unique properties such as tunable size, tumor-specific accumulation, and structural adaptability in response to tumor-associated cues.These intelligent deformable nanocarriers are capable of undergoing various dynamic transformations—including aggregation, disassembly, size modulation, and morphological transitions—triggered by specific stimuli in the tumor microenvironment(TME), such as pH, redox potential,enzymes,or cytokines.Such transformations enhance drug retention at tumor sites, improve intratumoral penetration, and enable spatiotemporally controlled drug release, ultimately resulting in superior antitumor efficacy.For instance, nanosystems that shrink in size at tumor sites can promote deeper tissue penetration, while those that aggregate into larger assemblies can prolong local drug retention.Conversely, carriers that disassemble rapidly under tumor-specific stimuli allow for burst release of the encapsulated payload precisely at the disease site.These adaptive features hold great promise for improving the therapeutic performance of nanomedicines. Furthermore, the multifunctionality of intelligent deformable nanocarriers supports the development of personalized treatment regimens and combination therapies, offering novel strategies for cancer management.This review highlights recent advances in the design and application of shape-transformable nanocarriers for enhanced anticancer drug delivery, summarizing design principles and exploring their emerging potential in precision oncology.
实体瘤对免疫治疗应答非常有限,因此,如何有效提升肿瘤免疫治疗的疗效,已成为当前肿瘤免疫治疗领域亟待解决的关键难题与挑战。髓系来源抑制性细胞(MDSCs)的趋化募集及其所介导的肿瘤免疫逃逸机制,是制约实体瘤免疫治疗效果的核心因素之一。文章深入探讨了MDSCs的起源、表型特征、其介导肿瘤免疫逃逸的具体机制,以及当前针对MDSCs的靶向治疗策略与将MDSCs靶向疗法与肿瘤免疫治疗相结合的最新研究进展。此外,文章还系统性地分析了靶向MDSCs联合免疫治疗策略所面临的关键挑战,并据此提出了MDSCs的精准靶向策略。这一策略旨在精确激活抗肿瘤免疫反应,为癌症患者提供更为个性化、高效的治疗方案,从而开启肿瘤免疫治疗领域的新纪元,为癌症治疗策略的创新与发展贡献力量。
Solid tumors exhibit a very limited response to immunotherapy.Consequently,effectively enhancing the therapeutic efficacy of tumor immunotherapy has emerged as a critical challenge and problem that urgently needs to be addressed in tumor immunotherapy.The chemotaxis and recruitment of myeloid-derived suppressor cells(MDSCs)and the tumor immune evasion mechanisms mediated by them are one of the core factors that significantly restrict the efficacy of immunotherapy for solid tumors.In this review,we discuss the origins and phenotypic characteristics of MDSCs,the specific mechanisms by which they mediate tumor immune evasion,as well as current targeted therapeutic strategies for MDSCs and the latest research progress in combining MDSC-targeted therapy with tumor immunotherapy.Furthermore,we have systematically analyzed the key challenges faced by the combination of MDSC-targeted and immunotherapy strategies,and accordingly proposed a precise targeting strategy for MDSCs.This strategy aims to precisely activate anti-tumor immune responses,providing more personalized and efficient treatment options for cancer patients,thereby opening a new era in tumor immunotherapy and contributing to the innovation and development of cancer treatment strategies.
长链非编码RNA(lncRNA)是一类长度大于200个核苷酸转录本,通过调控DNA、RNA及蛋白质的表达和功能,参与肿瘤发生、发展并发挥重要作用的RNA,近年来lncRNA成为恶性肿瘤早期诊断和预后标志物研究新的关注方向。Linc-UBC1作为一种新发现的lncRNA,在多种恶性肿瘤如肺癌、胃癌、结直肠癌、宫颈癌、卵巢癌、食管鳞癌等中异常高表达,可通过作为竞争性RNA(ceRNA)、参与信号通路等促进肿瘤细胞的增殖、迁移、侵袭、细胞周期进展、细胞凋亡和上皮间充质转化(EMT)等过程;高表达的linc-UBC1能够增加恶性肿瘤的耐药性,其表达水平与肿瘤分期、淋巴结转移和原发肿瘤远处转移呈正相关;linc-UBC1有望成为许多恶性肿瘤的新型的生物标志物、预后预测因子和治疗靶点,但其具体的调控机制仍处于研究的早期阶段,有待进一步深入研究。文章就目前linc-UBC1在恶性肿瘤发生和发展中的作用研究进展进行综述。
Long non-coding RNA(lncRNA)is a class of transcripts with a length of more than 200 nucleotides.It is involved in the occurrence and development of tumors and plays an important role by regulating the expression and function of DNA,RNA and protein.In recent years,lncRNA has become a new research direction for early diagnosis and prognosis of malignant tumors.As a newly discovered lncRNA,linc-UBC1 is abnormally highly expressed in a variety of malignant tumors such as lung cancer,gastric cancer,colorectal cancer,cervical cancer,ovarian cancer,and esophageal squamous cell carcinoma.It can promote the proliferation,migration,invasion,cell cycle progression,cell apoptosis and EMT of tumor cells by acting as a competing endogenous RNA(ceRNA)and participating in signaling pathways.High expression of linc-UBC1 can increase the drug resistance of malignant tumors,and its expression level is positively correlated with tumor stage,lymph node metastasis and distant metastasis of primary tumors.linc-UBC1 is expected to become a new biomarker,prognostic predictor and therapeutic target for many malignant tumors,while its specific regulatory mechanism is still in the early stage of research and needs further in-depth study.This article reviews the current research progress of linc-UBC1 in the occurrence and development of malignant tumors.
腺苷至肌苷RNA编辑(AIRE)是指转录前体RNA在腺苷酸脱氨酶的作用下,某些位点的腺苷发生脱氨反应转变成肌苷的过程,在碱基配对时,肌苷被识别作鸟苷,导致转录组重编写。随着高通量测序技术的不断进步,大量异常的AIRE被发现可导致氨基酸编码改变、RNA剪切异常以及microRNA-mRNA重定向等过程,从而参与肿瘤的发生发展。绝大部分的AIRE位点均位于基因非编码区,解析它们的生物学功能仍存在一定的挑战。本综述旨在描述AIRE的生物学机制和AIRE位点在不同肿瘤发生发展作用的进展,为AIRE与肿瘤的研究提供思路。
Adenosine-to-inosine RNA editing(AIRE)is catalysed by adenosine deaminases acting on RNA(ADARs),which converts adenosine to inosine in nascent RNA.Since inosine is recognized as guanosine in post-transcriptional process,AIRE is functionally approximate to an A-to-G mutation and results in transcriptome recoding.With the continuous advancement of high-throughput sequencing technology,a large number of abnormal AIRE events have been found to exert different biological mechanisms such as amino acid changes,RNA splicing abnormalities and microRNA-mRNA redirection,which plays an important role in the development of human tumorigenesis.Most of AIRE sites are located in non-coding region,which brings challenges in analyzing their biological functions.This review aims to describe the biological mechanisms of AIRE and the relationship between AIRE sites and the development of different tumor types,providing ideas for the study of AIRE and tumors.
药物治疗抵抗在临床实践中成为肿瘤治疗失败的主因。最近的研究指出,肿瘤细胞的耐药性可能源于其内部高度的细胞异质性,而这种异质性的基础则是肿瘤可塑性。肿瘤细胞可塑性可能引发一系列反应,包括对治疗的耐药性发展、免疫系统逃逸以及对周围组织和血管系统的侵袭和转移等。本文简要介绍肿瘤细胞可塑性的表现形式以及其在药物治疗抵抗的非遗传适应性机制与靶向治疗新策略。
Drug therapy resistance has emerged as a primary cause of treatment failure in cancer management.Recent research indicates that the resistance of tumor cells may stem from their high degree of intracellular heterogeneity,with the underlying basis being tumor plasticity.Tumor cell plasticity can trigger a cascade of responses,including the development of resistance to treatment,evasion of the immune system,and invasion and metastasis into surrounding tissues and the vascular system.This article provides a brief overview of the manifestations of tumor cell plasticity and its non-genetic adaptive mechanisms in drug therapy resistance,along with novel strategies for targeted treatment.