Volume 24,Issue 6,2017 Table of Contents

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  • 1  Key problems and countermeasures of the immunotherapy for solid tumors
    LIU Baorui
    2017, 24(6):575-580. DOI: 10.3872/j.issn.1007-385X.2017.06.001
    [Abstract](1461) [HTML](0) [PDF 335.64 K](2273)
    Abstract:
    In recent years, great breakthrough progresses have been achieved in cancer immunotherapy, cytoimunotherapy with CART as a representative has achieved encouraging clinical efficacy in the treatment of hematologic tumors, immune checkpoint inhibitor, CTLA4 and PD1/PDL1 monoclonal antibodies, have been approved for clinical use in one after another. However, most of the patients with solid tumors did not get benefit from the immunotherapy. This paper summarized key problems that were difficult to resolve in the immunotherapy of solid tumors from aspects of screening individual noval antigen epitopes, maintaining viability of the immune cells , chemotaxis and invasion of the immunocytes, clinical treatment model, evaluation criterion and so on. And their coping strategies were described from the angle of clinical application.
    2  MiR1425p promotes hepatocellular carcinoma cell apoptosis induced by dexorubicin with targetting
    HU Ye XU Xiaoqing WANG Bingjing XU Henan HOU Jin LUO Xiaoling LIANG Anmin CAO Xuetao
    2017, 24(6):581-587. DOI: 10.3872/j.issn.1007-385X.2017.06.002
    [Abstract](1350) [HTML](0) [PDF 458.08 K](1257)
    Abstract:
    Objective:To investigate the function and molecular mechanisms of micro RNA1425p ( miR1425p) on the doxorubicin induced apoptosis of primary hepatocellular carcinoma (HCC).Methods: Paired HCC tissues and adjacent noncancerous tissue specimens (25cm away from the lesion) were surgically collected from 88 patients who were diagnosed with primary HCC in Tumor Hospital Affiliated to Guangxi Medical University between October 2001 and July 2005. qRTPCR was used to detect the miR1425p expressions in those HCC tissues, adjacent noncancerous tissues, normal hepatocellular cell line and HCC cell lines. HCC SMMC7721 cells were transfected with miR1425p mimics, and flow cytometry was used to determine the changes in doxorubicin (1 μg/ml) induced apoptosis of SMMC7721 cells. Bioinformatics predicted that miR1425p could bind with insulinlike growth factor 2 Mrnabinding protein 3 (IGF2BP3), which was then validated by luciferase reporter gene assay. qRTPCR and Western blotting were separately used to detect the mRNA and protein expressions of IGF2BP3 in SMMC7721 cells that overexpress miR1425p. Results: Compared with the adjacent nontumor tissues, miR1425p was significantly lower in HCC tissues (-6.91±261 vs -11.59±259, P<0.01) and this decrease was also found in HCC cell line compared with normal human liver cells (P<0.01); overexpression of miR1425p significantly promoted the doxorubicin induced apoptosis of HCC SMMC7721 cells (\[49.4±3.47\]% vs \[19.50±1.74\]%, P<0.01). miR1425p overexpression could obviously inhibit the mRNA and protein expressions of IGF2BP3 in SMMC7721 cells. Luciferase reporter gene assay also showed that miR1425p overexpression could inhibit the luciferase activity of 3′UTR of IGF2BP3. Conclusion: miR1425p expression significantly decreased in both HCC tissues and HCC cell lines. miR1425p mimics transfection promoted doxorubicin induced apoptosis of HCC cells, and the mechanism probably related with miR1425p targetting IGF2BP3 and further promote the apoptosis of HCC cells.
    3  Twist1 promotes proliferation and drug resistance of myeloid leukemic cells via MPL
    MA Yanping WANG Nan GUO Dan ZHAO Yangyang LIU Xiaoyan YIN Jing REN Qian LIN Yongmin MA Xiaotong
    2017, 24(6):588-594. DOI: 10.3872/j.issn.1007-385X.2017.06.003
    [Abstract](1201) [HTML](0) [PDF 495.78 K](1136)
    Abstract:
    Objective:To investigate the correlation between myeloproliferative leukemia virus oncogene (MPL) and Twist1 in patients with acute myeloid leukemia (AML) and chronic myeloid leukemia (CML), and to explore whether MPL contributes to Twist1mediated cell proliferation and drug resistance of leukemia cells. Methods: Bone marrow specimens from 41 patients, who were first diagnosed as AML or CML in Hospital of Blood Diseases Affiliated to Chinese Academy of Medical Sciences between January 2005 and December 2008 (23 cases of AML, 18 cases of CML), were selected in this study. Expressions of Twist1 mRNA and MPL mRNA in hematopoietic tumor cell lines and bone marrow mononuclear cells (BMMCs) of patients with AML or CML were detected by Realtime PCR, and their correlation was analyzed. Lentiviral vector overexpressing MPL (pCDH1MPL) were constructed and transduced into myeloid leukemia cell lines K562 and U937. Effect of MPL on proliferation, colony formation and drug sensitivity of the leukemic cells were evaluated by cell counting, colony formation assay and MTT assay; in addition, whether Twist1 promote the proliferation of leukemia cells via MPL was further confirmed. Results: Overexpression of Twist1 significantly increased the protein expressions of MPL in U937 and K562 cell lines (P<0.05) while knockdown of Twist1 significantly decreased the expression of MPL (P<0.01). The mRNA expressions of Twist1 and MPL showed a significant positive correlation in BMMCs of patients with AML and CML (P<0.05). Overexpression of MPL significantly reduced the drug sensitivity of K562 and U937 cells to daunorubicin and Imatinib (P<0.01). Enforced expression of MPL in U937 and K562 cells promoted the cell growth and colony formation (all P<0.01); Twist1 knockdown with MPL overexpression significantly impaired cell growth and colony formation of leukemia cells (all P<0.01). Conclusion: Twist1 promoted proliferation, survival and chemotherapy resistance in the leukemia cells of AML and CML via MPL.
    4  Tropism and differentiation of human umbilical cord derived mesenchymal stem cells to tumor transplanted by hepatocarcinama HepG2 cells in situ
    FAN Dongmei ZHANG Zixiang ZHAO Yingxin YANG Ming ZHANG Yanjun YAN Cihui JIANG Yuan LYU Junqiang
    2017, 24(6):595-600. DOI: 10.3872/j.issn.1007-385X.2017.06.004
    [Abstract](1520) [HTML](0) [PDF 0.00 Byte](15)
    Abstract:
    Objective:To study the tropism and differentiation of human umbilical cord derived mesenchymal stem cell (HUMSC) to HepG2 orthotopic hepatocarcinoma. Methods: The in vitro hepatic differentiation of HUMSCs was induced by a twostep protocol; the changes in mRNA and protein expression of hepatic alphafetoprotein (AFP) and albumin (ALB) at different time points were examined by Realtime PCR and western blotting; the tropism of HUMSCs stimulated by conditional culture medium with HepG2 cells was identified by transwell assay. Subcutaeousorthotopic transplantation was used to build the HepG2 orthotopic hepatocarcinoma model in athymic BALB/c nude mice. HUMSCs were labeled with MSC.CMVLuc or MSC.AFPLuc through lentivirus transduction before orthotopically injected into hepatic parenchyma; the tropism of MSC.CMVLuc to tumor location as well as the hepatic differentiation of MSC.AFPLuc in tumorbearing liver was monitored by using IVIS living imaging system. Results:The in vitro hepatic differentiation of HUMSCs was successfully induced in vitrowith morphological changes, and the mRNA and protein levels of AFP and ALB significantly elevated after the culture (P<0.05); the tropism of HUMSCs to HepG2 cells was in a dosedependent manner (P<001). MSC.CMVLuc, which injected intravenously, migrated to liver after 48 h; and the luciferase signal in the liver of rats was enhanced on day 5. MSC.AFPLuc developed hepatic differentiation after 24 h of in situ transplantation; at day 7 of posttransplantation, the activity of AFP promoter was at the highest, while, its activity was undetectable at day 9. Conclusion:It was confirmed the tropism and differentiation of HUMSCs to liver by in vitro and in vivo experiments. This study may provide a new strategy of target gene therapy for hepatocarcinoma by using MSCs.
    5  IL6 induces tamoxifen resistance in ovarian cancer cells through PI3K/Akt pathway
    ZHAO Yali SUN Yang HUANG Suhui YANG Jing WANG Yue LI Ling GUO Xiaoqin LI Yanqiu
    2017, 24(6):601-607. DOI: 10.3872/j.issn.1007-385X.2017.06.005
    [Abstract](1182) [HTML](0) [PDF 544.05 K](1197)
    Abstract:
    Objective:This study aimed to explore the mechanism of tamoxifen (TAM) resistance caused by IL6 in ovarian cancer cells. Methods: Human ovarian cancer A2780 cell line that endogenously overexpressing IL6 and human ovarian cancer CAOV3 cell line that exogenously depleting IL6 were constructed; exogenous IL6 (50 ng/ml) were used for pretreatment of A2780 cells (A2780/perIL6 cells), and Western blotting was used to detect the effect of endogenous/exogenous IL6 on the phosphorylation level of ERα Ser167 in ovarian cancer cells; IL6 and/or Wortmannin (PI3K inhibitor) were used to treat A2780 cells and western blotting was used to detect their effect on the phosphorylation of Akt and ERα; MTT assay was used to detect the effect of Wortmannin and endogenous/exogenous IL6 on the sensitivity of A2780 cells to TAM; luciferase reporter assay was performed to detect transcription activity of ERα in ovarian cancer cells, and to explore the possible signaling pathway. Results: Both exogenous and endogenous overexpression of IL6 could obviously increase the level of ERα Ser167 phosphorylation in A2780 cells (all P<0.01), while endogenous depletion of IL6 could reduce the level of ERα Ser167 phosphorylation in CAOV3 cells (P<0.01). It also found that wortmannin (PI3K inhibitor) could significantly antagonize IL6induced TAM resistance and phosphorylation of ERα Ser167. IL6 promoted ERa transcription activity, while this activation was not blocked by the PI3Kspecific inhibitor wortmannin. Conclusion: These results indicate that IL6 could induce ERa phosphorylation by triggering PI3K/Akt signaling pathway to activate the ER pathway, and thereby induce the resistance of ovarian cancer cells to TAM.
    6  Stable overexpression of human MGST1 gene inhibits apoptosis of lung adenocarcinoma cell line SPCA1
    ZENG Baozhen GE Chunlei FU Qiaofen ZHANG Zhiwei SONG Xin HUANG Wenhua
    2017, 24(6):608-614. DOI: 10.3872/j.issn.1007-385X.2017.06.006
    [Abstract](1494) [HTML](0) [PDF 446.75 K](1168)
    Abstract:
    Objective:Lung adenocarcinoma SPCA1 cell line that stably overexpresses microsomal glutathione Stransferase 1 (MGST1) was constructed to explore the function and mechanism of MGST1 in lung adenocarcinoma.Methods:The recombinant plasmid pcDNA3MGST1 and the empty vector pcDNA3 were transfected into SPCA1 by Lipofectaminemediated method; after being screened by G418, stably transfected cells were labeled and divided into pcDNA3MGST1 group and empty vector pcDNA3 group. qRTPCR and Western blotting were used to detect the expression of MGST1 at mRNA and protein level in stable cells. MTS was used to detect the viability of cells. Flow cytometry and Western blotting were used to detect the cell apoptotic rate and the downstream apoptotic proteins induced by H2O2, respectively. Results: The results of sequencing showed that the recombinant plasmid pcDNA3MGST1 was successfully constructed, and the stable cell line with G418 resistance was obtained. The mRNA and protein level of MGST1 in pcDNA3MGST1 group were all significantly elevated (P<0.01), and the cell viability was significantly increased (P<0.05). Under the induction of H2O2, the early apoptosis rate of pcDNA3MGST1 group was significantly lower than that of pcDNA3 group (\[3.30±0.40\]% vs \[6.50±0.95\]%, P<0.05). The expressions of apoptotic proteins (caspase 9, caspase3 and PARP) increased, and the expressions of cleavedcaspase 9, cleavedcaspase 3 and cleavedPARP were significantly decreased in pcDNA3MGST1 group. Conclusion: The lung adenocarcinoma cell line SPCA1, which stably overexpresses human MGST1, has been successfully established. It was found that MGST1 could inhibit the apoptosis of lung adenocarcinoma cells by regulating caspase apoptosis pathway, which laid the experimental foundation for the followup study.
    7  Ginsenoside Rg3 promotes the apoptosis of breast cancer MDAMB231 cells via regulation of mammaglobinA expression
    SUN Dapeng GU Lixue LI Chenguang ZHANG Fengxiang
    2017, 24(6):615-619. DOI: 10.3872/j.issn.1007-385X.2017.06.007
    [Abstract](1178) [HTML](0) [PDF 264.40 K](1129)
    Abstract:
    Objective:To study the mechanism of ginsenoside Rg3 inhibiting the proliferation of breast cancer MDAMB231 cells via regulation of mammaglobinA (MGBA) expression. Methods: MTT assay and flow cytometry was used to detect the effect of different concentrations (5,10,15 μg/ml) of Rg3 on the proliferation and apoptosis of breast cancer cells; Western blotting was used to detect the expression of MGBA in breast cancer cells. MDAMB231 cells were treated with Rg3 and/or siRNAMGBA; MTT and Flow cytometry were used to detect their effect on the proliferation and apoptosis of treated cells while Western blotting was used to detect the expression of MGBA in cells; sulfur electrode assay was used to detect H2S secretion in breast cancer MDAMB231 cells. Results:48 h after cell treatment, the inhibitory rates on proliferation of MDAMB231 cells in Rg3 groups (5,10,15 μg/ml) were significantly higher than that of control group (\[18.78±0.82\]%, \[33.25±1.17\]%, \[35.11±0.94\]% vs \[9.72±0.91\]%, all P<0.05\]; Rg3 promoted the apoptosis of MDAMB231 cells (P<0.05), and significantly enhanced the expression of MGBA protein in MDAMB231 cells (P<0.05); Compared with the control group, the inhibitory rate on proliferation of MDAMB231 cells in Rg3 group was significantly increased (\[30.12±1.01)% vs (10.66±0.59)%, P<0.05\], while the inhibitory rates in Rg3+siRNAMGBA and siRNAMGBA group were significantly reduced (\[6.61±0.63\]%, \[702±0.46\]% vs \[1066±0.59\]%, all P<0.05); The expression of MGBA and cystathionineγ lyase (CSE) as well as the secretion of H2S in Rg3 group were significantly enhanced; however, their expressions in Rg3 + siRNAMGBA group and siRNAMGBA group were significantly inhibited(all P<0.05). Conclusion: Rg3 can significantly inhibit the growth of MDAMB231 breast cancer cells and promote its apoptosis, and this effect may be realized by enhancing MGBA expression and activating H2S/CSE system.
    8  Melatonin synergistically enhances cisplatininduced cell proliferation suppression of Hep2 human laryngeal cancer cells by promoting apoptosis
    DONG Longbao XUE Jie HUANG Anle ZHANG Jing
    2017, 24(6):620-626. DOI: 10.3872/j.issn.1007-385X.2017.06.008
    [Abstract](1130) [HTML](0) [PDF 758.05 K](1326)
    Abstract:
    Objective:Toinvestigate the effect of melatonin (MT) on humanlaryngeal cancercells and its ability to enhance the sensitivity of humanlaryngeal cancercells tocisplatin (DDP) treatment, this study was performed. Methods: Hep2 human laryngeal cancer cells were treated with various concentrations of MT and/or DDP in vitro for various times. Then cells proliferation was detected by CCK8 assays and cell apoptosis or cell cycle was assayed by flow cytometry. The coefficient of drug interaction (CDI) was used to evaluate whether MT could affect the sensitivity of Hep2 cells to DDP. Results:It was demonstrated by CCK8 assays that MT or DDP used alone inhibited the proliferation of Hep2 cells in a dosedependent manner.Combined treatment with MT and DDP synergistically inhibited the proliferation of Hep2 cells with the synergism between two drugs (CDI<1). Furthermore,flow cytometry results showed that MT promoted apoptotic cells and the proportion of cells in subG1 phase in Hep2 cells, and cotreatment with MT and DDP increased apoptotic cells (the apoptotic rate of cells in the 0.5 mmol/L MT and 20 μg/ml DDP combination group was significantly higher than that in 20 μg/ml DDP group, \[40.9±3.0\]% vs \[11.0±09\]%, P<0.01) and the proportion of cells in subG1 phase (the proportion of cells in subG1 phase in the 0.5 mmol/L MT and 20 μg/ml DDP combination group was significantly higher than that in 20 μg/ml DDP group, \[73.0±2.4\]% vs \[40.4±3.0\]%, P<0.01). Caspase inhibitor ZVADfmk reversed the suppression of Hep2 cell proliferation and the induction of Hep2 cell apoptosis by MT and/or DDP (both P<0.01). Conclusions:Our findings demonstrate that melatonin can induce Hep2 human laryngeal cancer cell apoptosis in caspasedependent manners, thereby synergistically enhancing the suppressive effects of cisplatin on human laryngealcancercellproliferation.
    9  5AzaCdR effects the methylation and expression of ERCC1 gene in ovarian cancer cell via DNMT1
    CHEN Huiyan LI Xiaocui SHEN Zongji
    2017, 24(6):627-631. DOI: 10.3872/j.issn.1007-385X.2017.06.009
    [Abstract](1470) [HTML](0) [PDF 339.51 K](1076)
    Abstract:
    Objective:Objective: To investigate the effects of 5AzaCdR on expression of excision repair cross complementation group 1 (ERCC1) in ovarian cancer cell line SKOV3 and its possible mechanism.Methods: shRNA that specifically targeting DNA methyltransferase 1 (DNMT1) was constructed and transfected into SKOV3 cells. Western blotting was applied to determine the expressions of DNMT1 and ERCC1 in SKOV3 cells; Ovarian cancer cell line SKOV3 was treated with 5AzaCdR of various concentrations for different time courses, and Western blotting was used to determine the protein changes of DNMT1 and ERCC1 before and after the treatment; and the methylation level of ERCC1 promoter was tested by Sodium Bisulfite method. Results: After being treated with 5AzaCdR (at the concentrations of 0.5, 1.0, 20, 4.0 μmol/L), the expression of DNMT1 protein in SKOV3 cells was decreased in a dosedependent manner while the ERCC1 protein was increased in a timedependent manner; With the treatment of 5AzaCdR (concentration of 1.0 μmol/L) for 12, 24 and 36 h, the expression of DNMT1 protein was decreased and the ERCC1 protein was increased in SKOV3 cells, and the expression both changed in a timedependent manner. Sodium Bisulfite method indicated that the methylation of ERCC1 promoter was at high level before the treatment; However, after the treatment of 5AzaCdR at concentration of 1.0 μmol/L, the promoter of ERCC1 showed demethylation.Conclusion: 5AzaCdR regulates the methylation of ERCC1 promoter and its expression in SKOV3 cells via.
    10  Expressions of the melanoma antigenA family member in nonsmall cell carcinoma tissues and its significance
    GU Lina SANG Meixiang YIN Danjing LIU Fei LIU Shina HUANG Weina WANG Pengyu LIAN Yishui SHAN Baoen
    2017, 24(6):632-639. DOI: 10.3872/j.issn.1007-385X.2017.06.010
    [Abstract](1218) [HTML](0) [PDF 389.63 K](1116)
    Abstract:
    Objective:To investigate the expression of melanoma antigen (MAGE)As in nonsmall cell carcinoma (NSCLC), and to explore its correlation with clinical pathological indicators and the prognosis. Methods: NSCLC tissue samples (n=90) and paracarcinoma tissue samples (n=90) were collected from 90 patients with NSCLC who were surgically treated in Fourth Hospital of Hebei Medical University between September of 2005 and March of 2006. The expression of MAGEAs protein in the 90 paired tissues was detected by immunohistochemistry assay, and its correlation to NSCLC clinical pathological indicators was analyzed. In addition, EGFR amplification and ALK rearrangements of NSCLC patients were detected by fluorescent in situ hybridization, and the association between MAGEAs expression and EGFR amplification and ALK rearrangements was analyzed with Spearman correlation analysis. The survival of NSCLC patients with positive MAGEAs expression was analyzed by KaplanMeier method. Cox regression model was used for univariate analysis and multivariate analysis of correlations between positive expression of MAGEAs and clinical pathological indicators. Results: The positive rates of MAGEAs protein in NSCLC were significantly higher than that of noncancerous tissues (P<0.05). MAGEAs expression was not correlated with clinical pathological indicators of NSCLC patients, EGFR amplification and ALK rearrangements(P>0.05). Logrank test showed that the survival time of NSCLC patients with positive MAGEAs expression were lower than those with negative expression (P<0.05); However, EGFR amplification and ALK rearrangements were not associated with the overall survival of NSCLC patients. Results from multivariate analyses showed that the expression of MAGEAs, clinical stage, lymph node metastasis were independent risk factors of NSCLC. Conclusion: MAGEAs proteins are NSCLCassociated antigens, thus having potential diagnostic and prognostic significance in clinical settings.
    11  The patients with advanced esophageal cancer who carrying nonA5.1 type related MHC1 molecule A transmembrane region allele have high sensitivity to NK cell immunotherapy
    ZHOU Zhifeng WANG Ling LIN Wansong CHEN Shuping LI Jieyu YE Yunbin ZHENG Qingfeng
    2017, 24(6):640-644. DOI: 10.3872/j.issn.1007-385X.2017.06.011
    [Abstract](1173) [HTML](0) [PDF 334.96 K](1018)
    Abstract:
    Objective:To investigate the effect of nonA5.1 type MHC class Ⅰrelated molecules A (MICA) transmembrane allele on the treatment efficacy of chemotherapy combined with NK cell immunotherapy in advanced esophageal cancer patients. Methods: One hundred and fiftytwo patients with advanced esophageal cancer (TNM ⅢⅣa) underwent systemic chemotherapy after palliative surgery between April, 2013 and October, 2015 were included in this study. According to whether the MICA transmembrane allele was A5.1, patients were divided into four groups to observe the clinical efficacy: A5.1 chemotherapy + NK cell therapy (A5.1+NK group); A5.1 chemotherapy alone (A5.1 group); nonA5.1 chemotherapy+NK cell therapy (non A5.1+NK group); nonA5.1 chemotherapy alone (non A5.1 group). Eukaryotic expression vector pTE1A5.1 carrying MICA allele A5.1 was constructed and used to transfect esophageal cancer TE1 cell line. Western blotting was used to detect the effect of pTE1A5.1 transfection on the expression of MICA protein in TE1 cells. The sensitivity change of TE1 cells to NK cells before and after the transfection was detected by LDH. ELISA was used to detect the soluble MICA in serum of esophageal cancer patients and the soluble MICA content in the supernatant of TE1 cells before and after transfection with pTE1A5.1. Results: After 3 years of followup, the medium overall survival (mOS) of A5.1+NK group, A5.1group, non A5.1+NK group and non A5.1 group were 15.0 months, 16.0 months, 22.4 months and 16.0 months, respectively. The mOS of non A5.1+NK group was significantly longer than that of other groups (P<0.05). There was no significant correlation between age, sex, ECOG score, genotype and prognosis by Cox multivariate regression analysis (P>0.05). The cross analysis of genotype and NK therapy showed that the mOS of non A5.1+NK group was significantly longer than that of the other three groups (P<0.05). The expression of MICA in TE1 cells was significantly increased after transfection with pTE1A5.1, and the soluble MICA secretion in culture supernatant was significantly increased (\[256.2±45.3\] vs \[45.3±11.5\] pg/ml, P<0.01). Compared with pretransfection, the killing rate of NK cells on TE1 cells overexpressing MICA was significantly decreased (\[29.5±7.2\]% vs \[42.5±7.1\]%, P<0.05).Conclusion: Compared with esophageal patients with MICAA5.1 allele, the efficacy of combined treatment of NK cell therapy and chemotherapy for patients with MICAnon A5.1 is better, which is closely related to low level of soluble MICA.
    12  Expression of lncRNA AC007009.1 in tissues of nonsmall cell lung cancer and its clinical significance
    CHENG Xu YU Ling TANG Bo WANG Yong
    2017, 24(6):645-649. DOI: 10.3872/j.issn.1007-385X.2017.06.012
    [Abstract](1073) [HTML](0) [PDF 260.40 K](1036)
    Abstract:
    Objective:To investigate the expression and clinical significance of lncRNA AC007009.1 in tissue samples of nonsmall cell lung cancer (NSCLC). Methods: The expression of lncRNA AC007009.1 in 105 NSCLC tissue samples, 72 adjacent normal tissue samples and 33 normal tissue samples was detected by qRTPCR method; and the relationship between lncRNA AC007009.1 expression and clinical pathological characteristics of NSCLC was analyzed; in addition, the correlation between lncRNAAC007009.1 expression and the OS and PFS of NSCLC patients was also analyzed. Results: Expression of lncRNAAC007009.1 was significantly increased in tumor tissues than that in noncancerous tissues (5.30±1.96 vs 1.01±0.33, 0.99±0.29,P<0.01). AC007009.1 expression was positively correlated with disease stage,distant metastasis,pathological type and survival status (P<0.05); Moreover, the OS and PFS of patients with high lncRNAAC007009.1 expression were significantly shorter than the patients with low expression (P<0.01). Cox multivariate analysis also indicated that lncRNAAC007009.1 expression, disease stage, distant metastasis were the independent prognostic markers for NSCLC (all P<0.05). Conclusion: LncRNA AC007009.1 is involved in the development of NSCLC, and can be used as a molecular marker for the diagnosis and prognosis of nonsmall cell lung cancer.
    13  Expressions and clinical significance of 21 cytokines in the serum of patients with lung cancer
    WANG Wanwan ZHONG Chunsheng SUN Junning CAO Zhen LIU Long SU Wen
    2017, 24(6):650-655. DOI: 10.3872/j.issn.1007-385X.2017.06.013
    [Abstract](1165) [HTML](0) [PDF 261.43 K](1029)
    Abstract:
    Objective:To detect the expressions of 21 cytokines (ITAC\[IFNinducible T cell α chemoattractant\], GMCSF, Fractalkine, IFNγ, L10, MIP3α \[macrophage inflammatory protein3α\], IL12(p70), IL13, IL17A, IL1β, IL2, IL4, IL21, IL23, IL5, IL6, IL7, IL8, MIP1α, MIP1β and TNFα) in serum of patients with lung cancer, and analyze their clinical significance. Methods: Thirty healthy controls and forty newly diagnosed patients with lung cancer before treatment were enrolled for the detection of serum levels of 21 cytokines by liquid chip. The correlations between clinical characteristics of lung cancer and these cytokines were analyzed; in addition, the correlations between significantly differentiallyexpressed cytokines were also analyzed.Results: The expressions of 11 cytokines, including GMCSF, IFNγ, IL12(P70), IL1β, IL2, IL6, IL7, TNFα, Fractalkine, IL8, and MIP3α(P<0.05 or P<0.01) in serum of patients with lung cancer were significantly higher than those in control group. However, there was no significant difference in the serum levels of 21 cytokines between nonmetastasis group and metastasis group of lung cancer patients. The serum expressions of IFNγ(P<0.05) and MIP1β(P<0.05) in lung adenocarcinoma (AC) patients were significantly higher than that in squamous cell carcinoma (SCC) patients. And the expression of ITAC (P<005) in SCC group was significantly higher than that in small cell lung carcinoma group (SCLC group). The 11 highly expressed cytokines showed different correlations in two groups. Conclusion: The expressions of 11 cytokines were significantly increased in patients with lung cancer, including IL6 and IL8 etc. It suggested that they may be involved in the development of lung cancer. These highly expressed cytokines may be used for the diagnosis of lung cancer, and may provide new targeting for the research of lung cancer treatment.
    14  Prognostic value of serum anterior gradient 2 level before and after surgery in patients with bladder cancer
    LIU Kun CHEN Shiwei
    2017, 24(6):656-659. DOI: 10.3872/j.issn.1007-385X.2017.06.014
    [Abstract](1075) [HTML](0) [PDF 267.15 K](905)
    Abstract:
    Objective:To determine the change of serum anterior gradient2 (AGR2) level before and after surgery in bladder cancer patients, and to investigate its significance in predicting prognosis. Methods:The peripheral venous blood samples were collected from 40 patients with bladder cancer who accepted surgery (bladder cancer group) and 20 healthy controls (control group).The level of serum AGR2 was detected by enzyme linked immunosorbent assay (ELISA). The relationship between the level of serum AGR2 and clinicopathologic characteristics as well as prognosis prediction of bladder cancer was analyzed. Results: The level of serum AGR2 in the patients with bladder cancer was significantly higher than that in normal controls (\[28.93±6.03\] vs \[10.20±3.76\] ng/ml, P<0.01\]. The preoperative level of serum AGR2 in the patients was significantly lower than that of postoperative level (\[16.63±4.31\] vs \[28.93±6.03\] ng/ml, P<0.01). The preoperative level of serum AGR2 was closely correlated with lymph node metastasis and clinical pathologic staging (P<0.01 or P<0.05). The median progression free survival (PFS) and median overall survival (OS) in high level of serum AGR2 group (AGR2>27.90 ng/mL group) were lower than those in low level of serum AGR2 group (AGR2≤27.90 ng/ml group), respectively (all P<0.05). COX multivariance regression model showed that clinical stages, lymph node metastasis and different level of serum AGR2 were independent risk factors that influence the prognosis of bladder cancer patients (P<0.05). Conclusion: Serum AGR2 in bladder cancer patients was higher, which closely related to malignant biological behavior of bladder cancer. It is of clinical significance to detect the level of serum AGR2 before operation for judging the prognosis of patients with bladder cancer.
    15  Efficacy of chemotherapy combined with autologous tumor antigen load dendritic cellscytokine induced killer cell therapy in the treatment of gastric cancer patients after surgery
    ZHANG Zilong ZENG Fang PANG Dianfu ZHANG Kenan
    2017, 24(6):660-664. DOI: 10.3872/j.issn.1007-385X.2017.06.015
    [Abstract](1286) [HTML](0) [PDF 284.08 K](1036)
    Abstract:
    Objective:To explore the clinical efficacy and safety of chemotherapy combined with autologous tumor antigen load dendritic cellscytokininduced killer (AgDCCIK) cell therapy in the treatment of gastric cancer patients after D2 surgery. Methods: The present study enrolled 60 patients with gastric cancer in progressive stage (stage Ⅱ, stage Ⅲ) who underwent D2 surgery in the department of gastrointestinal surgery, Jingzhou Central Hospital during January, 2013 to March, 2014. The patients were randomly divided into chemotherapy group (FOLFOX regimen for 6 cycles) and combined treatment group (FOLFOX chemotherapy for 6 cycles+AgDCCIK cell therapy). The patients were followed up for two years. The twoyear overall survival (OS) and progression free survival (PFS), the levels of T cell subsets in the peripheral blood (CD3+ , CD4+, CD8+, CD3+CD56+), quality of life and adverse reactions were evaluated in the two groups. Results: Compared to the chemotherapy group, the twoyear OS and PFS were significantly higher in combined treatment group (both P<005). There was no significant difference in level of T cell subsets in peripheral blood of patients between pretreatment and posttreatment in combined treatment group (P>0.05); however, the level of T cell subsets in the peripheral blood of patients of chemotherapy group decreased significantly (P<0.05), and it was significant lower than that of combined treatment group (P<0.05). Compared to the chemotherapy group, the combined treatment group had higher quality of life (\[7.25±1.56\] vs \[5.54±1.27\], P<0.05) and lower adverse reactions (100% vs 20.0%, P<0.05). Conclusion: AgDCCIK cell therapy in combination with chemotherapy, compared with chemotherapy alone, can obviously increase the twoyear OS and PFS, protect the immune function of patients, reduce the adverse reactions and improve quality of life for gastric cancer patients.
    16  Clinical evaluation of dendritic cellcytokine induced killer cells immunotherapy combined with conventional treatment in patients with renal carcinoma
    XIE Yunqing CHEN Li YANG Jianwei CHEN Luchuan LIU Shijia YING Mingang ZHENG Qiuhong
    2017, 24(6):665-669. DOI: 10.3872/j.issn.1007-385X.2017.06.016
    [Abstract](1350) [HTML](0) [PDF 353.76 K](1107)
    Abstract:
    Objective:To evaluate the clinical efficacy of adjuvant dendrtic cell (DC)cytokineinduced killer (CIK) cells immunotherapy and the effect of DCCIK cells treatment courses on the prognosis of patients with renal clear cell carcinoma. Methods: One hundred patients with renal clear cell carcinoma treated in Fujian Provincial Tumor Hospital from Jan, 2004 to Jun, 2011 were included in this retrospective study; 63 patients received DCCIK cells immunotherapy combined with conventional therapy were regarded as DCCIK cells treatment group, while the other 37 patients didn't receive DCCIK cells therapy were regarded as control group. The 5year DFS and OS of the two groups were compared. The treatment group was further subgrouped according to the course > 3 and course ≤3, and the 5year DFS and OS were further compared between the two subgroups. Results: Survival analysis showed the 5years overall survival (OS) rate was significantly higher in the DCCIK group compared with the control group (81.05% vs 60.29%, P<0.05), however, there was no significant difference in 5year DFS rate between two groups. Further subgroup analysis stratified according to the course of DCCIK cells treatment showed that the 5years OS was significantly improved in the group with course greater than 3 (P<0.05), although there was no significant difference in 5years DFS rate between two subgroups (P>0.05). Conclusion: Our results demonstrated that renal carcinoma patients could benefit from autologous DCCIK cells immunotherapy in combination with conventional therapies in terms of increasing overall survival. And the course of DCCIK cells treatment is closely related with the prognosis of patients with renal cell carcinoma.
    17  WAVE bioreactors for cytokine induced killer cell culure
    MENG Yiming SU Nan SUN Shulan YU Zhifu LI Xiaoxi DU Tianzhao ZHANG Guirong
    2017, 24(6):670-674. DOI: 10.3872/j.issn.1007-385X.2017.06.017
    [Abstract](1337) [HTML](0) [PDF 304.16 K](1047)
    Abstract:
    Objective:To investigate the efficacy of WAVE bioreactorin the culture and amplification of cytokine induced killer (CIK) cells and their killing activity on tumor cells. Methods: Peripheral blood mononuclear cells (PBMCs) from 8 cancer patients were isolated and cultured by using traditional CIK amplification method (CIK group) and WAVE bioreactors (WAVE group)respectively. Trypan blue staining was used for cell counting, and Flow cytomery was used to comparethe amplification efficiency, functionality and subtype compositionbetween two groups; K562 cell, as the target cell, was used to detect the killing activity of amplified CIK cells of two methods. Results: The proliferated number of CIK cells in WAVE groupwassignificantly higher than that of CIK group(P<0.05 or P<0.01); the proportions of CD3+CD8+ cells and CD3+CD56+ cells in WAVE group were significantly higher than those in CIK group on Day 14 (\[78.56±2.99\]% vs \[74.54±3.02\]%, \[48.33±7.01\]% vs \[40.69±6.43\]%, all P<0.05); However, the proportion of Tregs cell was significantly decreased (P<0.05) in WAVE group. Moreover, it was observed that CIK cells culturedin the WAVE bioreactor group displayed a significantly higher cytotoxic capacitythan that in CIK group at the E/T ratio of 10∶1 and 20∶1, and the proportion of CD3+CD8+CD107a+ in CIK cells of WAVE group was significantly higher (\[29.43±4.97\]% vs \[25.19±4.91\]%, P<0.05). Conclusion: WAVE bioreactor system could produce more CIK cells with high purity, andCD3+CD8+ cells and CD3+CD56+NKT cells account higher proportion; CIK cells amplified by WAVE bioreactor exhibited higher killing effect on tumor K562 cells compared to the CIK cells amplified by traditional culture technique.
    18  Treatment of editing CRISPR/Cas gene technique for the lung cancer with epidermal growth factor receptor mutation
    ZHAO Jiayi WU Hongyu HAN Yiping
    2017, 24(6):675-679. DOI: 10.3872/j.issn.1007-385X.2017.06.018
    [Abstract](1088) [HTML](0) [PDF 277.09 K](1051)
    Abstract:
    CRISPR/Cas基因编辑技术是一种强大的新技术,可以精确编辑细胞基因组。该技术在实验室应用的基础上,引入至肿瘤研究领域,成为目前肿瘤治疗研究领域的热点。肺癌的综合治疗已经进入了分子靶向时代,表皮生长因子受体(epidermal growth factor receptor,EGFR)基因突变是肺腺癌最主要、最重要的驱动基因之一,表皮生长因子受体酪氨酸激酶抑制剂(epidermal growth factor receptortyrosinekinase inhibitors ,EGFRTKI)治疗EGFR突变肺腺癌有显著疗效,但随之而来的原发性和继发性耐药现象成为当前迫切需要解决的问题。应用CRISPR/Cas基因组编辑技术进行个性化分子手术可有效地纠正或破坏EGFR突变,从而抑制肿瘤生长和进展。随着CRISPR/Cas基因重组技术的日臻完善与成熟,分子手术方法联合传统外科手术、放疗和/或TKI靶向药物治疗必将为携带EGFR突变的肺腺癌患者带来很好的希望。
    19  Research advances of LAMA3 gene in tumor
    HUANG Yongzhi LI Li
    2017, 24(6):680-684. DOI: 10.3872/j.issn.1007-385X.2017.06.019
    [Abstract](1016) [HTML](0) [PDF 220.33 K](1034)
    Abstract:
    肿瘤的发生发展是一个受多因素影响的逐步发展的过程,其中全基因组低甲基化和局部性高甲基化是肿瘤产生的重要原因。LAMA3基因作为层黏连蛋白的编码基因,被证实参与肿瘤的发生发展。基因启动子区的高甲基化往往使得LAMA3低表达甚至沉默,miRNA与RNA可变剪接等表观遗传修饰也调控肿瘤细胞中LAMA3的表达。LAMA3的异常表达还与黏着斑和细胞外基质受体两条信号通路密切相关,从而影响肿瘤细胞的侵袭和转移。本文就LAMA3在肿瘤发生发展过程中的作用及其在肿瘤中异常表达与表观遗传学的关系作一综述。
    20  Tumor associated macrophages and thyroid carcinoma
    LV Juan LIU Qing DENG Zhiyong
    2017, 24(6):685-688. DOI: 10.3872/j.issn.1007-385X.2017.06.020
    [Abstract](1066) [HTML](0) [PDF 212.84 K](1165)
    Abstract:
    肿瘤相关巨噬细胞(tumorassociated macrophage,TAM)是肿瘤微环境中的重要组成成分,在促进肿瘤发生发展等方面发挥着重要作用。本文从TAM在甲状腺癌中的募集、对甲状腺癌预后的影响以及TAM相关信号通路在促进甲状腺癌增殖与转移的作用进行综述,为甲状腺癌的靶向治疗提供新的方向。

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