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DCS, a novel classifier system based on disulfidptosis reveals tumor microenvironment heterogeneity and guides frontline therapy for clear cell renal carcinoma
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作者 Aimin Jiang Wenqiang Liu +11 位作者 Ying Liu Junyi Hu Baohua Zhu Yu Fang Xuenan Zhao Le Qu Juan Lu Bing Liu Lin Qi Chen Cai Peng Luo Linhui Wang 《Journal of the National Cancer Center》 2024年第3期263-279,共17页
Background: Emerging evidence suggests that cell deaths are involved in tumorigenesis and progression, which may be treated as a novel direction of cancers. Recently, a novel type of programmed cell death, disulfidpto... Background: Emerging evidence suggests that cell deaths are involved in tumorigenesis and progression, which may be treated as a novel direction of cancers. Recently, a novel type of programmed cell death, disulfidptosis, was discovered. However, the detailed biological and clinical impact of disulfidptosis and related regulators remains largely unknown. Methods: In this work, we first enrolled pancancer datasets and performed multi-omics analysis, including gene expression, DNA methylation, copy number variation and single nucleic variation profiles. Then we deciphered the biological implication of disulfidptosis in clear cell renal cell carcinoma (ccRCC) by machine learning. Finally, a novel agent targeting at disulfidptosis in ccRCC was identified and verified. Results: We found that disulfidptosis regulators were dysregulated among cancers, which could be explained by aberrant DNA methylation and genomic mutation events. Disulfidptosis scores were depressed among cancers and negatively correlated with epithelial mesenchymal transition. Disulfidptosis regulators could satisfactorily stratify risk subgroups in ccRCC, and a novel subtype, DCS3, owning with disulfidptosis depression, insensitivity to immune therapy and aberrant genome instability were identified and verified. Moreover, treating DCS3 with NU1025 could significantly inhibit ccRCC malignancy. Conclusion: This work provided a better understanding of disulfidptosis in cancers and new insights into individual management based on disulfidptosis. 展开更多
关键词 pancancer Disulfidptosis Multi omics Tumor microenvironment Tumor related pathways
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血清胃泌素-17、胃蛋白酶原联合幽门螺杆菌检测在老年人胃癌癌前病变及早期胃癌筛查中的价值 被引量:38
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作者 黄任祥 刘宇辉 余中贵 《实用老年医学》 CAS 2021年第2期180-183,188,共5页
目的探讨血清胃泌素-17(G-17)、胃蛋白酶原(PG)联合幽门螺杆菌(HP)检测在胃癌癌前病变以及早期胃癌筛查中的价值。方法选取2015年1月至2019年8月我院收治的因上腹不适就诊而确诊为胃部病变的194例病人作为研究对象,其中≥60岁102例为老... 目的探讨血清胃泌素-17(G-17)、胃蛋白酶原(PG)联合幽门螺杆菌(HP)检测在胃癌癌前病变以及早期胃癌筛查中的价值。方法选取2015年1月至2019年8月我院收治的因上腹不适就诊而确诊为胃部病变的194例病人作为研究对象,其中≥60岁102例为老年组,<60岁92例为中青年组。所有病人均经胃镜及病理学检查确诊为良性病变、癌前病变或早期胃癌。比较不同病变程度病人G-17、胃蛋白酶原比值(PGR)及HP阳性率,比较不同年龄组病人的临床资料、病情,并分析HP、G-17及PGR对癌前病变及早期胃癌的诊断价值。结果老年组和中青年组良性病变病人合并胃癌家族史的比例均较癌前病变及早期胃癌病人明显降低,差异具有统计学意义(P<0.05)。老年组内良性病变病人HP检出率,G-17、PGⅡ水平较癌前病变及早期胃癌病人明显降低,PGR明显升高;中青年组内良性病变病人HP检出率较癌前病变及早期胃癌病人明显降低,差异具有统计学意义(P<0.05)。老年组和中青年组良性病变病人各项指标比较,差异均无统计学意义(P>0.05);癌前病变病人不同年龄组HP检出率,G-17、PGⅡ水平,PGR差异均有统计学意义(P<0.05);早期胃癌病人不同年龄组G-17、PGⅡ水平,PGR差异均有统计学意义(P<0.05)。ROC分析显示,HP联合G-17及PGR对老年人癌前病变、早期胃癌诊断评估的AUC(95%CI)分别为0.765(0.622~0.939)、0.757(0.654~0.876)。结论G-17、PGR及HP联合检测在老年人早期胃癌及癌前病变的筛查中具有应用价值。 展开更多
关键词 胃泌素-17 胃蛋白酶原 幽门螺杆菌 癌前病变 早期胃癌
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