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Cancer Cell:晚期乳腺癌转移扩散其实早有预警!

2017-08-17 佚名 medicalnewstoday

乳腺癌主肿瘤发展到晚期阶段的时候,癌细胞就会扩散到身体的其他部位。来自维尔康姆基金会桑格研究所的科学家发现了乳腺癌扩散前的信号。研究结果发表在《癌细胞》杂志中,这一研究为应对乳腺癌扩散的药物选择和开发打开了一扇大门。

乳腺癌主肿瘤发展到晚期阶段的时候,癌细胞就会扩散到身体的其他部位。来自维尔康姆基金会桑格研究所的科学家发现了乳腺癌扩散前的信号。研究结果发表在《癌细胞》杂志中,这一研究为应对乳腺癌扩散的药物选择和开发打开了一扇大门。


大部分的乳腺癌研究都集中在原发性乳腺癌肿瘤上,但是截止到目前为止,对乳腺癌生物学基础的理解并不完整,乳腺癌是一种转移性癌症,它会扩散到身体的其他部位。在这项研究中,科学家研究了乳腺癌的发展,从最初的乳房肿瘤到开始扩散,直至扩散结束。研究小组发现,对于转移性的肿瘤,大部分的基因变化在原始乳腺肿瘤已经出现。这就表明乳腺癌患者诊断和早期治疗得当就有很大的机会阻止和预防癌细胞的扩散。

研究人员表示:“乳腺癌细胞在晚期离开原发肿瘤,扩散到其他器官,这些扩散的癌细胞与原发肿瘤细胞非常类似,因此通过研究原发性乳腺癌肿瘤的基因组,就可以预测哪些细胞有转移潜质,找到应对的方法。”

在回顾性研究的过程中,团队通过DNA测序的方法检测了170名乳腺癌患者的组织样本,她们均为复发性乳腺癌,有的局部复发,有的已经扩散到其他器官,包括肺,脑和骨。

研究人员表示:“在这项研究中,我们发现在某些情况下,转移性肿瘤有特定的基因改变,可以有针对性的治疗。如果只检测原发肿瘤,我们根本就不会发现这些突变,研究结果表明,为了开辟转移性乳腺癌的基因分析,找到更好的治疗方法,我们应该更多的进行转移常规活检。”
原始出处:
Per Eystein Lønning,Peter J. Campbell,John W. Martens.et al.Genomic Evolution of Breast Cancer Metastasis and Relapse.Cancer Cell.

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    2018-01-27 维他命
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channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Thu Aug 17 13:15:12 CST 2017, time=2017-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234410, encodeId=7a872344107a, content=很好的文章,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Thu Aug 17 11:35:15 CST 2017, time=2017-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234387, encodeId=863c23438e72, content=继续关注。 , beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Thu Aug 17 10:42:44 CST 2017, time=2017-08-17, status=1, ipAttribution=)]
    2017-08-23 大爰

    学习并分享!!

    0

  5. 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channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Thu Aug 17 13:15:12 CST 2017, time=2017-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234410, encodeId=7a872344107a, content=很好的文章,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Thu Aug 17 11:35:15 CST 2017, time=2017-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234387, encodeId=863c23438e72, content=继续关注。 , beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Thu Aug 17 10:42:44 CST 2017, time=2017-08-17, status=1, ipAttribution=)]
    2017-08-19 大爰

    学习了谢谢分享!!

    0

  6. 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channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Thu Aug 17 13:15:12 CST 2017, time=2017-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234410, encodeId=7a872344107a, content=很好的文章,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Thu Aug 17 11:35:15 CST 2017, time=2017-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234387, encodeId=863c23438e72, content=继续关注。 , beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Thu Aug 17 10:42:44 CST 2017, time=2017-08-17, status=1, ipAttribution=)]
    2017-08-19 xufang111

    翻译的云里雾里,还是看原文吧

    0

  7. 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  8. 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content=继续关注。 , beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Thu Aug 17 10:42:44 CST 2017, time=2017-08-17, status=1, ipAttribution=)]
    2017-08-17 flysky120

    希望能彻底治疗癌症

    0

  9. 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channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Thu Aug 17 13:15:12 CST 2017, time=2017-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234410, encodeId=7a872344107a, content=很好的文章,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Thu Aug 17 11:35:15 CST 2017, time=2017-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=234387, encodeId=863c23438e72, content=继续关注。 , beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Thu Aug 17 10:42:44 CST 2017, time=2017-08-17, status=1, ipAttribution=)]
    2017-08-17 清风拂面

    很好的文章,谢谢分享

    0

  10. 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content=继续关注。 , beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Thu Aug 17 10:42:44 CST 2017, time=2017-08-17, status=1, ipAttribution=)]
    2017-08-17 doctorJiangchao

    继续关注。

    0

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ANN ONCOL:血检EGFR突变状态能否指导晚期NSCLC治疗?

很多晚期肺癌患者很难获得足够的组织或细胞学标本以进行基因检测,而口服靶向治疗药物目前已经成为具有敏感突变患者的一线治疗选择。通过血检进行基因检测是否能够指导晚期非小细胞肺癌患者的靶向药物选择?

JCO:你知道哪种化疗方案对局部晚期鼻咽癌患者更有效吗?

2016年12月,发表在《J Clin Oncol》的一项由法国、中国、瑞士等国科学家进行的网络Meta分析,考察了哪种化疗方案对局部晚期鼻咽癌患者最有效。目的:辅助化疗(AC)或诱导化疗(IC)治疗局部晚期鼻咽癌的作用存在争议。来自鼻咽癌数据库对化疗的Meta分析中的个体患者数据,用于比较全部可用的治疗。方法:考虑针对非转移性鼻咽癌患者进行放疗或无化疗的全部随机试验(RT)。共纳入20项试验和5

JNCI:晚期食管癌一线化疗方案哪家强?

对于晚期食管癌(AEGC),目前还没有全球公认的标准一线化疗方案。我们通过网络荟萃分析(NMA)对一线化疗方案的安全性和有效性进行了系统回顾。 检索Medline、EMBASE、CENTRAL等数据库,纳入相关一线化疗方案的随机对照试验,化疗方案包含以下药物:氟嘧啶(F)、铂(顺铂[C]和奥沙利铂[Ox])、紫杉烷(T)、蒽环霉素(A)、伊立替康(I)、甲氨蝶呤(M)。使用随机效应模型NMA

Eur Heart J:生物可吸收支架植入后晚期血栓事件分析!

与EES治疗相比,使用可吸收BVS治疗与较高的DT发生率和更高的TLE风险趋势相关。1.4%的患者发生了VLDT,这些事件多数发生在没有接受DAPT的情况下。

NEJM:BRCA生殖系突变阳性的晚期乳腺癌:奥拉帕尼(Olaparib)有力回天?

奥拉帕尼(Olaparib)是一种口服PARP(poly ADP-ribose polymerase)抑制剂。既往已有多项I、II期临床试验证实了PARP抑制剂在转移性乳腺癌、BRCA生殖系突变肿瘤中的疗效。但目前尚无III期随机对照研究的数据支持奥拉帕尼在转移性乳腺癌患者中的临床应用。近期,Pierfranco Conte教授等研究者牵头,一项汇聚了美、英、中、日、韩等多中心合作的、随机、开放的

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