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Gastroenterology:mRNA125a、肿瘤免疫逃逸与食管腺癌患者生存期

2018-06-08 zhangfan MedSci原创

研究发现,mRNA125a-5p 以及mRNA148a-3p可降低ATP结合盒亚家族B成员2以及主要组织相容性复合物1的表达,而这2种生物标志物与食管腺癌患者肿瘤免疫过程逃逸和生存期显著缩短相关

免疫检查点抑制剂是潜在的食管腺癌(EAC)等高度侵袭性肿瘤的有效治疗手段,近日研究人员考察了EACS样本中主要组织相容性复合物1(MHC-I)的表达及免疫应答效应。

研究人员对OE33细胞和OE19细胞进行了定量PCR分析,上述细胞表达了不同水平的ATP结合盒亚家族B成员1(TAP1)和TAP2,由MHC-I进行抗原呈递,可鉴定调节TAP1和2表达的mRNAs;之后对候选mRNA进行扩增,进行定量PCR、免疫印迹和流式细胞术分析,以确定mR NA和蛋白表达的变化和胞毒性T细胞的作用,最后对51例未经治疗的荷兰EAC患者的肿瘤组织进行了mRNA原位杂交、RNA测序和免疫组织化学分析,收集患者的临床和生存资料,并确定EACs的亚型。

OE19细胞中7种mRNA水平上升,其中在TAP 2 mRNA的3'UTR中找到了mRNA 125 a(Mir125a)-5p的结合位点,在HLA-A、HLA-B和HLA-C mRNAS的3'UTRs中发现了mRNA148a-3p的结合位点。在OE33, FLO-1和OACP4 C细胞中上述mRNA的表达导致TAP2表达减少。表达病毒肽BZLF1的OE33可以被胞毒性T细胞杀死;而过表达MIR125a-5p或 MIR 148a,但不表达BZLF1的OE33却不能被胞毒性T细胞杀死。在EAC和非肿瘤组织中,MIR125a-5p水平与TAP2蛋白水平负相关。高表达TAP 1的EAC患者其总生存期显著缩短。TAP1及其抗原提呈相关基因高表达导致参与调节适应性免疫应答、PD-L1、 PD-L2和IDO 1的相关基因高表达,而这患者对新辅助化学或放疗的响应率低,总生存期缩短。

研究发现,mRNA125a-5p 以及mRNA148a-3p可降低ATP结合盒亚家族B成员2以及主要组织相容性复合物1的表达,而这2种生物标志物与食管腺癌患者肿瘤免疫过程逃逸和生存期显著缩短相关。

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    2018-07-14 许安
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  5. 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  6. 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  7. 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  9. 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    2018-06-10 zhouqu_8
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    2018-06-09 phoebeyan520

    希望以后更多的进展可以及时推送

    0

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2018年5月,台湾消化系医学会发布了食管癌的营养治疗共识,各个国家和国际学会发布了许多癌症患者营养治疗指南,多数综述数据来源消化系统肿瘤或非肿瘤腹部手术。本文主要针对食管癌患者的营养治疗提供共识声明,内容涉及评估,患者营养治疗以及计算公式。

Lancet oncol:新辅助放化疗治疗食管癌后,内镜超声、活检、PET-CT等方法检测残余病灶的漏诊情况

对食管癌进行新辅助放化疗后,约有一半鳞状细胞癌患者的和1/4的腺癌患者在手术前获得病理性完全缓解。因此,对于对新辅助放化疗反应有效的患者,应重新考虑新辅助放化疗后进行标准食管切除术的必要性。近日,Lancet子刊上发表一篇文章,Bo Jan Noordman等人对比新辅助放化疗后,用不同的诊断方法检测残余病灶的准确性,并探究进行临床反应评估的诊断技术的最佳组合。SANO预试验是在荷兰的6个中心开展

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