Sci Rep:肾包膜入侵是局部透明细胞肾细胞癌的预后生物标记

2018-01-27 AlexYang MedSci原创

肾细胞膜入侵(RCI)和淋巴血管入侵(LVI)是肾细胞癌(RCC)显著的潜在预后因子。最近,有研究人员基于大规模多个群体,评估了RCI和LVI在局部透明细胞肾细胞癌中的独立的预后影响。研究包括了6849名经历了因RCC而经历根治性或者部分肾切除术的病人。研究人员通过构建统计学模型并且组合Cox比例风险回归和倾向评分匹配对RCI或LVI与复发的相关性进行了分析。为了分析RCI,研究共募集了2733名

肾细胞膜入侵(RCI)和淋巴血管入侵(LVI)是肾细胞癌(RCC)显著的潜在预后因子。最近,有研究人员基于大规模多个群体,评估了RCI和LVI在局部透明细胞肾细胞癌中的独立的预后影响。

研究包括了6849名经历了因RCC而经历根治性或者部分肾切除术的病人。研究人员通过构建统计学模型并且组合Cox比例风险回归和倾向评分匹配对RCI或LVI与复发的相关性进行了分析。为了分析RCI,研究共募集了2733名病人,其中包括了603名患有RCI的病人。为了分析LVI,研究共募集了3586名病人,其中包括了121名患有LVI的病人。研究发现,在患有RCI病人中,复发人数为75名(12.4%);而在不患有RCI的病人中,复发人数为134名(6.3%)。在所有的统计学模型中,RCI与复发风险的增加显著相关。另外,复发在LVI病人中复发人数为29(24%),在不患有LVI病人中为207(6.0%)。另外,LVI与复发风险的增加显著的相关性仅在非调整过的单变量模型中存在,在多变量调整后的分析或者倾向评分匹配模型中不具有显著性。总之,这些发现表明了RCI可以作为局部透明细胞RCC复发的显著性风险因素。与RCI相反,LVI不能作为一个独立的预后变量。

原始出处:

U-Syn Ha, Kyu Won Lee, Jin-hyung Jung et al. Renal capsular invasion is a prognostic biomarker in localized clear cell renal cell carcinoma. Sci Rep. 09 Jan 2018.

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    2018-05-26 1e145228m78(暂无匿称)

    学习了.谢谢作者分享!

    0

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attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93f31631454, createdName=1dd8c52fm63(暂无匿称), createdTime=Sun Jan 28 07:17:30 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282739, encodeId=4449282e39e4, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Sun Jan 28 06:26:57 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282728, encodeId=d202282e28be, content=学习一下谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Sat Jan 27 23:47:17 CST 2018, time=2018-01-27, status=1, ipAttribution=)]
    2018-01-29 chg122
  5. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Sat Jan 27 23:47:17 CST 2018, time=2018-01-27, status=1, ipAttribution=)]
    2018-01-28 明月清辉

    谢谢分享.学习了

    0

  6. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Sat Jan 27 23:47:17 CST 2018, time=2018-01-27, status=1, ipAttribution=)]
    2018-01-28 1dd8c52fm63(暂无匿称)

    了解了解.学习学习

    0

  7. 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createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzaiabIFicf63hKvVMjL6aJlx4yX4UcXmzX9DyibCRcicq0QtCRWMaQKh8MYjE1D3EKUBopgiaGWYuqbeR/0, createdBy=0c2b1999806, createdName=三生有幸9135, createdTime=Sun Jan 28 04:33:05 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282715, encodeId=5695282e15bb, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Sun Jan 28 00:27:35 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282698, encodeId=494c282698d9, content=不错的文章.值得拥有, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Sat Jan 27 23:47:17 CST 2018, time=2018-01-27, status=1, ipAttribution=)]
    2018-01-28 秀红

    学习了

    0

  8. 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createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzaiabIFicf63hKvVMjL6aJlx4yX4UcXmzX9DyibCRcicq0QtCRWMaQKh8MYjE1D3EKUBopgiaGWYuqbeR/0, createdBy=0c2b1999806, createdName=三生有幸9135, createdTime=Sun Jan 28 04:33:05 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282715, encodeId=5695282e15bb, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Sun Jan 28 00:27:35 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282698, encodeId=494c282698d9, content=不错的文章.值得拥有, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Sat Jan 27 23:47:17 CST 2018, time=2018-01-27, status=1, ipAttribution=)]
    2018-01-28 三生有幸9135

    学习一下谢谢分享

    0

  9. 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attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93f31631454, createdName=1dd8c52fm63(暂无匿称), createdTime=Sun Jan 28 07:17:30 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282739, encodeId=4449282e39e4, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Sun Jan 28 06:26:57 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282728, encodeId=d202282e28be, content=学习一下谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzaiabIFicf63hKvVMjL6aJlx4yX4UcXmzX9DyibCRcicq0QtCRWMaQKh8MYjE1D3EKUBopgiaGWYuqbeR/0, createdBy=0c2b1999806, createdName=三生有幸9135, createdTime=Sun Jan 28 04:33:05 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282715, encodeId=5695282e15bb, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Sun Jan 28 00:27:35 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282698, encodeId=494c282698d9, content=不错的文章.值得拥有, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Sat Jan 27 23:47:17 CST 2018, time=2018-01-27, status=1, ipAttribution=)]
    2018-01-28 飛歌

    学习了很有用不错

    0

  10. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Sat Jan 27 23:47:17 CST 2018, time=2018-01-27, status=1, ipAttribution=)]
    2018-01-27 1e1b8538m79(暂无匿称)

    不错的文章.值得拥有

    0

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在一项大型III期临床试验中阿西替尼在治疗转移性肾细胞癌(mRCC)中的出色表现促使了阿昔替尼的获批用以治疗经一线治疗失败的mRCC患者。同时阿西替尼自2012年11月起在法国上市,而来自法国的研究者在该项前瞻性研究中调查了阿西替尼在临床试验报告之外的有效性和安全性。

ANN ONCOL:CRLX101联合贝伐单抗与标准疗法比较治疗晚期肾细胞癌

纳米药物可以增强向肿瘤转运药物的能力。肿瘤细胞内渐进的有效药物浓度释放可以增强抗肿瘤活性同时降低毒性。CRLX101是一种含有喜树碱的理想纳米药物,喜树碱是异构酶Ⅰ和缺氧诱导因子1α和2α的抑制剂。在Ⅰb/2期临床试验中,CRLX101联合贝伐单抗在治疗转移性肾细胞癌中耐受性良好且可以增强抗肿瘤活性。ANN ONCOL近期发表了一篇文章,报道CRLX101+贝伐单抗与标准治疗(SOC)相比治疗复发

CLIN CANCER RES:Entinostat在接受大剂量IL2治疗的肾细胞癌患者中的免疫调节作用

临床前实验数据表明Ⅰ类选择性HDAC抑制剂Entinostat联合大剂量IL2在肾细胞癌模型中具有协同性的抗肿瘤作用,其机制为下调Foxp3表达和抑制Treg细胞功能。CLIN CANCER RES近期报道了一个临床试验结果,评估Entinostat联合大剂量IL2治疗转移性透明细胞肾癌患者的疗效。

Hypertension:Pazopanib,VEGF受体抑制剂,治疗肾细胞癌患者时诱导高血压发生发展的潜在机制。

靶向VEGF(血管内皮生长因子)的药物通常与高血压的快速发展相关,但其机制尚未完全了解。VEGF表达于肾上皮细胞,可刺激产生NO。在肾髓质,通过局部L-NAME或破坏内皮素-1抑制NO的形成,可导致高血压。研究人员推测VEGF受体抑制剂疗法是通过减少肾髓质NO和内皮素-1的形成,导致高血压的发生。研究人员进行一单中心前瞻性观察性实验上述推论进行验证,招募了27位采用受体酪氨酸激酶抑制剂pazopa

Sci Rep:乳头状肾细胞癌亚型MYC免疫组化治疗的不同预后值分析

乳头状肾细胞癌(pRCCs)的组织形态学亚型分类改善了病人的长期生存的预测。基于之前的研究,有研究人员假设MYC原癌基因会在pRCC不同的亚型中展现出不同的表达模式。为了验证这个假设,研究人员在一个204名pRCC患者的多类型群体中,评估了免疫组化标记MYC、MINA53和Ki67在预测病人长期生存中的附加值。临床结果点为总生存(OS)和癌症特异性生存(CSS)。研究人员还构建了列线图来预测每个病

Nat commun:在ccRCC中,HIF可通过脂肪酸代谢抑制促使脂质沉淀和癌变

透明细胞肾细胞癌(ccRCC)是通过它的脂质和糖原在细胞质中沉积的组织学特点来鉴定的。VHL肿瘤抑制子的改变稳定化缺氧诱导因子(HIFs)是透明细胞肿瘤中最为常见的分子特性。但是脂质沉积的意义仍旧未被鉴定。最近,有研究人员通过鉴定线粒体脂肪酸转运、HIF直接靶标基因-棕榈酰基转移酶1A(CPT1A)的限速组分描述了脂质沉积的机制。研究发现,CPT1A可以由HIF1和HIF2抑制,减少脂肪酸转运到线