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  • 临床肿瘤学杂志
    主管:解放军无锡联勤保障中心
    主办:解放军东部战区总医院
    编辑出版:临床肿瘤学杂志编辑部
    主编:秦叔逵
    编辑部主任:龚新雷
    地址:南京市杨公井34标34号
    邮编:210002
    电话:(025)84400143;80864363
    E-mail: lczlx@vip.163.com
    邮发代号:28-267
    刊期:月刊
    定价:每期15元,全年180元
    标准刊号: ISSN 1009-0460
    CN 32-1577/R
     
Table of Content
31 December 2016, Volume 21 Issue 12
论著
The mechanism of bufalin and cisplatin synergistically suppress the proliferation of breast cancer MCF-7 cells
YAN Shunchao,JIAO Xin,LI Kai,ZOU Huawei
Chinese Clinical Oncology. 2016, 21 (12):  1057. 
Abstract ( 452 )   PDF(pc) (1336KB) ( 419 )   Save
ObjectiveTo investigate the influence of bufalin in combination with cisplatin on the proliferation of breast cancer cells and explore the possible mechanism. Methods MTT assay was used to detect the cell proliferation in blank control group(only medium),cell control group(only MCF-7 cells)and experimental groups (cells were exposed to 20 nmol/L bufalin or 20 μmol/L cisplatin alone,or their combination in a fixed ratio for 24 h). And then cell apoptosis was determined by flow cytometry after stained by propidium iodide. Expression of Met,p-Met,Src,p-Src, PARP and cleaved PARP was analyzed by Western blotting. Results MTT assay showed that cisplatin and bufalin could both suppress MCF-7 cells proliferation in a dose-dependent manner. Cisplatin and bufalin could synergistically suppress the proliferation of MCF-7 cells(0<CI<0.433)at concentrations of≥0.1 μmol/L and≥0.1 nmol/L,respectively. Flow cytometry analysis showed that 20 μmol/L cisplatin induced(10.7±4.8)% apoptosis of MCF-7 cells after 24 h. Bufalin(20 nmol/L)did not induce significant apoptosis after 24 h. In contrast,the treatment of 20 nmol/L bufalin and 20 μmol/L cisplatin increased the apoptotic fraction to(40.8±8.5)%. Western Blotting analysis showed that cisplatin treatment activated Met and Src. Bufalin could significantly down-regulate the cisplatin-induced Met and Src activation and up-regulate the cleaved PARP. Conclusion Bufalin and cisplatin can synergistically suppress the proliferation and induce apoptosis of MCF-7 cells through down-regulating the cisplatin-induced activation of Met and Src.
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The influence of miR-134 on cell growth by targeting epidermal growth factor receptor in non-small cell lung cancer
LIU Dongli,HE Xiaolong
Chinese Clinical Oncology. 2016, 21 (12):  1063. 
Abstract ( 413 )   PDF(pc) (1116KB) ( 330 )   Save

Objective To investigate the effect of microRNA-134 (miR-134) on suppressing the proliferation of non-small cell lung cancer(NSCLC)and the possible mechanism. Methods The expression levels of miR-134 in NSCLC cell lines(A549,H252)and human embryo lung WI38 cells were detected by real-time quantitative PCR(QPCR). A549 and H252 cell lines were divided into miR-NC group,miR-134 group and blank control group,which were transfected with control-siRNA,miR-134 mimics and none,respectively. The proliferation in the three groups of A549 and H252 cells was detected by MTS assays 24,48,72,96 h after transfect. Cell apoptosis were detected by flow cytometry after 96 h. A luciferase reporter assay was performed to confirm whether epidermal growth factor receptor(EGFR was a direct target of miR-134. The expression level of EGFR was detected by QPCR. Results The level of miR-134 was found down-regulated 85.91% in A549 cells and 78.13% in H252 cells comparing with it in WI38 cells(P<0.05). MTS assays showed that miR-134 suppressed A549 and H252 cells proliferation significantly in a time-depended manner. Flow cytometry showed that the apoptotic rate of A549 and H252 cells increased to 226.31% and 47.85% respectively compared with blank control group(P<0.05). A dual-luciferase reporter assay confirmed that EGFR was a direct target of miR-134 by reducing the activity of luciferase(P<0.05). QPCR showed that after the transfect of miR-134 mimics,the expression of EGFR down-regulated 57.0% in A549 cells and 35.0% in H252 cells compared with blank control group(P<0.01). Conclusion miR-134 is down-regulated in NSCLC and inhibites cells growth,as well as induces cell apoptosis by targeting EGFR in NSCLC.

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Effect of siRNA targeting protein arginine methyl transferase 5 on the proliferation and colony-formation in human gastric cancer SGC7901 cells
WU Xiaobin,TANG Futing,XU Hui
Chinese Clinical Oncology. 2016, 21 (12):  1069. 
Abstract ( 411 )   PDF(pc) (1738KB) ( 401 )   Save

Objective To explore the effect of small interfering RNA(siRNA)targeting protein arginine methyltransferase 5(PRMT5)on the proliferation and colony-formation in human gastric cancer SGC7901 cells. Methods siRNA-1 and siRNA-2 designed for specific targeting PRMT5 were transiently transfected into SGC7901 cells. Meanwhile,antisense sequence was used as negative control(NC). 48 h after transfection,Western blotting method was used to confirm the interfering efficacy to ensure that siRNA can be used for following experiments. CCK-8 assay was used to detect the proliferation of SGC7901 cells after gene-specific siRNA was transfected. EdU assay was used to examine the DNA replication of SGC7901 cells and plate colonyformation assay was used to evaluate the colony-formation of SGC7901 cells when PRMT5 was silenced by siRNA. Results The level of PRMT5 protein was significantly decreased in SGC7901 cells when siRNA-1 and siRNA-2 were transfected,suggesting that siRNA-1 and siRNA-2 could be used for further studies. The proliferation rate of SGC7901 cells was significantly reduced when PRMT5 was silenced(P<0.01)in comparison with NC. Compared with NC,the positive rates of EdU cells interfered by siRNA-1 and siRNA-2 in PRMT5 group were(16.0±2.0)% and(19.5±3.0)%,much lower than(38.0±4.0)% in NC with significance(P<0.01). Furthermore,the numbers of SGC7901 colonies in PRMT5 group interfered by siRNA-1 and siRNA-2 were 50±6 and 68±7,lower than 120±11 of NC with significance(P<0.01). Conclusion Knockdown of PRMT5 by gene-specific siRNA can inhibit the proliferation and colony-formation abilities in human gastric cancer SGC7901 cells,which provide new methods and theoretical basis for the treatment of gastric cancer.

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The influence of miR-373 on the proliferation and apoptosis of hepatocellular carcinoma HepG2 cells by targeting LATS2
LIU Wujun,LI Huanxiang,MA Yanshou,LV Fengquan,WU Zetao
Chinese Clinical Oncology. 2016, 21 (12):  1074. 
Abstract ( 353 )   PDF(pc) (1278KB) ( 326 )   Save

Objective To explore the effect of microRNA-373(miR-373)on the expression of large tumor suppressor 2(LATS2)and its influence on the proliferation and apoptosis of hepatocellular carcinoma cell line HepG2. Methods The miR-373 level was detected in HepG2 cells and normal hepatocytes LO2 by fluorescence real-time quantitative PCR(QPCR). HepG2 cells were assigned into inhibitor group and control group,and transfected with miR-373 inhibitors or negative control(NC)by Lipofectamine liposome method. The miR-373 levels of both groups were detected by QPCR in order to evaluate the transfection efficiency. MTT method and flow cytometry were used to detect the cell proliferation and apoptosis. The expressions of apoptosis related genes(Bax and caspase-3)and LATS2 in each group were detected by Western blotting. The relationship between miR-373 and LATS2 was verified using double luciferase reporter assay. Results Compared with LO2 cells,the level of miR-373 in HepG2 cells was increased,and the difference was statistically significant(P<0.05). The level of miR-373 in the inhibition group was lower than that of control group(P<0.05), indicating that the miR373 expression of HepG2 cells was inhibited successfully. Compared with control group,there were decreased proliferative rate, and increased apoptotic rate and protein levels of Bax,caspase-3 and LATS2 in inhibitor group(P<0.05). Dual luciferase reporter assay showed that miR-373 could significantly inhibit the luciferase activity of cells transfected with wild-type LATS2-3’UTR,and had no effect on luciferase activity of cells transfected with mutant LATS2-3’ UTR. Conclusion MiR-373 can regulate the expression of LATS2,and inhibiting the expression of miR-373 can inhibit the proliferation and induce apoptosis of HepG2 cells,providing some reference for the targeted therapy of hepatocellular carcinoma.

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Silencing effect of TRIM29 on proliferation,apoptosis and invasion of osteosarcoma cells
NIE Yu,ZHOU Naxin
Chinese Clinical Oncology. 2016, 21 (12):  1079. 
Abstract ( 367 )   PDF(pc) (2124KB) ( 483 )   Save

ObjectiveTo investigate the effect of small interfering RNA(siRNA)targeting tripartite motif-containing 29 (TRIM29)on the proliferation,apoptosis and invasion of osteosarcoma cells. Methods The levels of TRIM29 in osteosarcoma cell lines (MG63 and U2OS)were detected by fluorescence real-time quantitative PCR(QPCR)assay. Two siRNA fragments(siTRIM29-1 and siTRIM29-2 were efficiently transfected into MG63 and U2OS cells by lipofectamine method,and MG63 and U2OS cells transfected with siControl were set as control. The highest inhibitive efficiency of siRNA was selected for subsequent functional study. The proliferation,apoptosis and invasion of MG63 and U2OS cells after transfection were evaluated by MTT,flow cytometry and Transwell assay. Results The results of QPCR test showed that TRIM29 mRNA of MG63 and U2OS cells were significantly higher than those of normal osteoblast cell line hFOB1-19(P<0.05). Transfection of TRIM29 siRNA could reduce the TRIM29 level of MG63 and U2OS cells at 72 h. Compared with the cells transfected with siControl,there were decreased survival rates and transmembrane cell number, but increased apoptotic rates in transfection group with statistical significance(P<0.05). Conclusion TRIM29 is highly expressed in osteosarcoma cells,and silencing of TRIM29 can inhibit the proliferation and invasion of osteosarcoma cells and induce cell apoptosis, which can be used as reference in the treatment of osteosarcoma.

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Relationship of DNA methylation mediating miRNA-328 expression with clinicopathological features and prognosis of breast cancer
ZHANG Lei,GUO Zhengdong,YAN Dali,YANG Fan,XIA Wenjie,TANG Jinhai
Chinese Clinical Oncology. 2016, 21 (12):  1085. 
Abstract ( 393 )   PDF(pc) (1098KB) ( 365 )   Save

Objective To explore the relationship between the expression of DNA methylation and microRNA-328(miR-328)as well as the association of miR-328 with clinicopathological features and prognosis of invasive breast cancer.Methods In a retrospective analysis,the miR-328 expression levels of 1090 cases of invasive breast cancer tissues and 104 cases of adjacent tissues from TCGA breast cancer microarray from January 1998 to December 2013 were collected. The methylation rates of miR-328 CpG promoter region(cg16421621 and cg04650403)and correlation of methylation rates of CpG sites with the level of miR-328 were analyzed from 775 cases of invasive breast cancer tissues and 98 cases of adjacent tissues obtained from TCGA_BRCA_hMethyl450 microarray data. From the clinical_data_dictionary UCSC Genome Browser chip data,854 cases with complete clinicopathological data and follow-up data of breast cancer specimens were included for the analysis of the relationship of miR-328 with clinicopathological features and prognosis. The prognostic factors affecting the prognosis were exploited using Cox multivariate analysis. Results From January 1998 to December 2013, TCGA database of 1194 cases of breast cancer and adjacent tissues with expression of miR-328 showed that the miR-328 level of 1090 cases of invasive breast cancer tissues was 5.224 ±1.155,lower than 6.246±0.923 of 104 cases of adjacent tissues,and the difference was statistically significant(P<0.01). The methylation rates of cg16421621 and cg04650403 in the promoter region of miR-328 were(0.415±0.201)% and(0.193±0.068)% in 775 cases of invasive breast cancer,higher than(0.407±0.222)% and (0.094±0.079)% of 98 cases of adjacent tissues(P<0.01). The expression of miR-328 in invasive breast cancer was negatively correlated with the methylation rate of CG sites(cg16421621 and cg04650403)in the promoter region(r=-0.127,P=0.005). In 854 cases of invasive breast cancer patients with complete clinical data, the expression level of miR328 was related to lymph node metastasis and tumor size(P<0.05). In miR-328 low expression group,the median overall survival(OS)was 7.25 years,lower than 8.75 years of high expression group(P<0.01). Cox multivariate analysis showed that age,lymph node metastasis and miR328 expression were independent factors influencing OS(P<0.05),and the risk of high expression group was lower than that of low expression group(P<0.01).Conclusion MiR-328 expression is regulated by methylation of the promoter region of its gene in invasive breast cancer. MiR-328 is associated with clinicopathological features of invasive breast cancer,and can be used as a risk factor influencing the prognosis of invasive breast cancer.

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Expression of miRNA-29s in nonsmall cell lung cancer and its clinical significance
CHEN Jiashun,SHU Yongqian
Chinese Clinical Oncology. 2016, 21 (12):  1090. 
Abstract ( 315 )   PDF(pc) (1016KB) ( 283 )   Save
Objective To investigate the expression of miRNA-29s(miR-29s)and its clinical significance in non-small cell lung cancer(NSCLC). Methods From January 2012 to December 2015,94 cases of surgical resected NSCLC tissues and 71 cases of adjacent normal tissues were collected. The levels of miR-29a,miR-29b and miR-29c in the above tissues were detected by fluorescence real-time quantitative PCR(QPCR)method. The miR-29s levels in NSCLC tissues and adjacent normal tissues were compared. The correlation among miR-29a,miR-29b and miR-29c were analyzed by Pearson correlation analysis. The relationship between miR-29s level and NSCLC clinicopathological parameters(gender,age,TNM stage,histological type,differentiation degree,lymph node metastasis and CEA level)were also analyzed. The relationship between different miR29s levels and prognosis were compared according to follow-up data. Results The QPCR results showed that the levels of miR-29a,miR-29b and miR-29c in NSCLC tissues were 0.413±0.025,0.609±0.039 and 0.161±0.013,all lower than those in adjacent normal tissues with statistical significance(P<0.05). MiR-29a level of NSCLC was positively correlated with miR-29b (r=0.637,P=0.000),and miR-29a levels were positively correlated with miR-29c(r=0.775,P=0.000),and miR-29c levels were positively correlated with miR-29b(r=0.586,P=0.000). In NSCLC tissues,miR-29s levels were related to TNM stage. Additionally,miR-29a was related to tumor size and differentiation degree,miR-29b was related to the degree of differentiation,and miR-29c was related to tumor size. The median overall survival of NSCLC with higher levels of miR-29a(≥0.354),miR-29b(≥0.586)and miR-29c(≥0.118) were 16.4,16.4 and 16.7 months,better than 11.5,9.8 and 10.5 months of NSCLC with lower levels of miR-29a,miR-29b and miR-29c(P<0.05). Conclusion Decreased expression of miR-29s were observed in NSCLC tissue,and they were related to TNM staging and prognosis. They may be related to the occurrence and development of NSCLC,which have a certain value in the diagnosis and assessment of NSCLC.
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Influence of different tracheal intubation technique in mediastinal lymphadenectomy under video-assisted esophagectomy
XIE Baiyi,SUN Xiaoyan,GUO Ming
Chinese Clinical Oncology. 2016, 21 (12):  1095. 
Abstract ( 334 )   PDF(pc) (912KB) ( 297 )   Save
ObjectiveTo estimate the effect of single-lumen and double lumen tracheal intubation on mediastinal lymph node dissection in esophagectomy by video-assisted thoracoscopy(VATS). Methods Clinical data of One hundred and thirty-seven esophageal cancer patients from July 2011 to January 2015 underwent esophagectomy with lymph node dissection by VATS were retrospectively reviewed. Seventytwo patients received artificial pneumothorax and single lumen tracheal intubation were set as experimental group,and 65 patients received double lumen tracheal intubation were in control group. The effect and complications of the two groups were observed. Results The operation time of experimental group was less than that of control group[(137.7±20.7)min vs.(163.8±27.3)min,P<0001)]. The number of lymph node dissection in experimental group was more than that of control group(22.2±3.3 vs. 19.8±4.6,P=0.024). The incidence of recurrent laryngeal nerve injury and pulmonary infection in experimental group was lower than those in control group (1.4% vs.9.2%,P=0.037;2.8% vs. 12.3%,P=0.032). There was no statistical difference in postoperative hemorrhage,postoperative ICU days,hospitalization days,anastomotic fistula,chylothorax,pleural hemorrhage,wound infection,poor gastric emptying between the two groups. Conclusion Single lumen endotracheal intubation and artificial pneumothorax can increase the number of lymph node dissection,improve the quality of operation and reduce the incidence of complications.
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Clinical analysis of radiation induced temporal lobe injury after intensity modulated radiation in nasopharyngeal carcinoma patients with cavernous sinus invasion
YU Cenming,CAI Jing,GE Qin,QIAN Xia,HUANG Shengfu
Chinese Clinical Oncology. 2016, 21 (12):  1099. 
Abstract ( 392 )   PDF(pc) (1807KB) ( 331 )   Save
Objective To investigate clinical features,MRI findings, radiation volume and dose, and prognosis of irradiated temporal lobe injury in local advanced nasopharyngeal carcinoma infilatrating cavernous sinus after intensity modulated radiation therapy(IMRT). Methods From Aug 2006 to Sep 2011, ten patients with cavernous sinus invasion in locally advanced nasopharyngeal carcinoma receiving radical IMRT were retrospectively analyzed. The total volume,dose volume D1 ml Dmax and Dmean of irradiated ipsilateral temporal lobe in radiotherapy planning were examined. Clinical features,MRI findings and prognosis of these patients after treatment were investigated.
Results The irradiated ipsilateral temporal lobe total volume and dose volume of IMRT of the 10 ten patients were as follows. The total volume was(104.31±13.091)ml,D1 ml was(78.657±2.918)Gy,Dmax was(78.298±3.498)Gy and Dmean was(29.488±8.891)Gy. The radiation induced temporal lobe injury presented 2-4 years after radiation in the 10 followed-up patients. MRI findings showed T1WI with high signal reinforced nodular lesions or sheet strengthening and T2WI with varying degrees of edema. Till August 2016,2 patients died;2 patients were with heavy symptoms and the symptoms were not improved obviously after treatment,and meanwhile,MRI showed enhancement and edema;2 patients were significantly improved in clinical symptoms and MRI findings after symptomatic treatment;4 patients with stable disease and MRI of 2 patients showed small recovery cystic foci formation. Conclusion The incidence of irradiated temporal lobe injury in cavernous sinus of locally advanced nasopharyngeal carcinoma after IMRT were associated with the area of tumor invasion,the scope of target delineation and the irradiated volume and dose.
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Clinical analysis of microwave ablation in the treatment of thyroid adenoma under ultrasound guidance
LUAN Yang,LIU Xushun,WANG Kanglei,WANG Longqi,XU Aobo,CHEN Jia
Chinese Clinical Oncology. 2016, 21 (12):  1103. 
Abstract ( 392 )   PDF(pc) (910KB) ( 290 )   Save
Objective To explore the efficacy and safety of microwave ablation in the treatment of thyroid adenoma under ultrasound guidance in clinic. Methods In this retrospective study,clinical data of 74 cases of thyroid adenoma undergoing ultrasound-guided microwave ablation were collected from July 2014 to July 2016. The volumetric reduction of adenoma and changes of thyroid function including triiodothyronine,thyroxine,free three iodine glycine,free thyroxine and thyroid-stimulating hormone as well as post-operative complications were analyzed. Results Under ultrasound guidance, 104 thyroid nodules were ablated by microwave. All patients recovered well postoperatively and no complication occurred except for 1 case with mild local cervical hematoma. No thyroid adenoma recurred in 74 cases. The loss of volume rates were(11.73±37.21)%,(28.71±26.72)%,(53.33±38.24)%,(78.56±15.31)% and (94.28±4.54)% at 1-,3-,6-,12-and 24-month after operation,respectively. The postoperative changes in serum thyroidrelated hormone levels were not statistically significant when compared with the preoperative ones. Conclusion Ultrasoundguided microwave ablation was safe for thyroid adenoma with the advantages of less trauma and quick recovery. Moreover,it has satisfying cosmetic effect,worthy of clinical promotion.
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Efficacy and safety of concurrent chemoradiation with nedaplatin or cisplatin for locally advanced cervical cancer
ZHENG Jihua,WANG Hui,XIE Bo,HUANG Xueqin,ZHOU Juan,XU Zhiyong,HUANG Yanze,WEN Yingjuan,ZHANG Weimin
Chinese Clinical Oncology. 2016, 21 (12):  1107. 
Abstract ( 381 )   PDF(pc) (938KB) ( 385 )   Save
Objective To compare the efficacy and safety of nedaplatin or cisplatin combined with concurrent radiotherapy in patients with locally advanced cervical cancer. Methods A total of 63 diagnosed stage ⅠB2~ⅣA cervical cancer patients were retrospectively reviewed,among whom 29 patients received nedaplatin with concurrent radiation(nedaplatin 40mg/m2 iv once a week for 6 weeks) and 34 patients received cisplatin with concurrent radiation(cisplatin 40mg/m2 iv once a week for 6 weeks). The radiotherapy included pelvis three-dimensional conformal radiotherapy plus brachytherapy,and the total dose of A point was 30 Gy,and while the total dose of three-dimensional conformal radiotherapy was 50/25 f. Results In nedapiatin group,there were 19 cases in CR,9 cases in PR,1 case in PD,and the response rate(RR)was 965%. In cisplatin group,there were 28 cases in CR and 6 cases in PR,and the RR was 100.0%. The difference of RR between the two groups had no statistical significance(P>0.05). The 2-year recurrencefree survival rate and 2-year metastasisfree survival rate in nedaplatin group was 93.1% and 86.2%,while in cisplatin group they were 91.2% and 88.2%(P>0.05). The main side effects of the two groups were leukopenia,thrombocytopenia,nausea/vomiting and radiation enteritis. The incidence of grade 3-4 nausea/vomiting in nedapiatin group(17.2% was lower than that in cisplatin group(41.1%)with statistical significance(P<0.05). No significant differences were found in other side effects. Conclusion Nedaplatin showed similar efficacy as cisplatin in combination with concurrent radiotherapy,and the incidence of digestive tract reaction was lower than cisplatin with good safety.
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The relationship of NTx and BALP with bone metastases in prostate cancer and its clinical significance
CHEN Hao,HE Yi,HOU Yansong,WU Xiaoming,CAO Yifang,CHEN Dongqin
Chinese Clinical Oncology. 2016, 21 (12):  1111. 
Abstract ( 344 )   PDF(pc) (905KB) ( 258 )   Save
ObjectiveTo investigate the relationship between serum bone marker aminoterminal telopeptide of type Ⅰ collage(NTx)and bone-specific alkaline phosphatase(BALP)expression in prostate cancer with bone metastases and its clinical significance. Methods Seventy-nine prostate cancer patients from Jan 2014 to Dec 2015 were enrolled in this study. According to radionuclide bone scan,bone metastases degree was divided into grade 0-3 by Soloway method. Then the expression of NTx and BALP were measured to determine whether there was difference in different degree of bone metastases. Results There were 32 patients without bone metastases (grade 0),16 patients in grade 1,20 patients in grade 2 and 11 patients in grade 3,respectively. The expression of NTx and BALP in 79 patients were(130.9+16.4)nmoL/mmoL Cr and(234.2+31.6)U/L. The expression of NTx and BALP was closely related to TNM stage,Gleason score,PSA level,but not to age of patients. The serum level of NTx and BALP in bone metastases positive group was significantly higher than that in negative group. The sensitivity of NTx and BALP in the diagnosis of prostate cancer with bone metastases was 87.2% and 86.7%,and the specificity was 72.1% and 79.9%,respectively. Conclusion The expression of NTx and BALP has some diagnostic value in the diagnosis of bone metastases of prostate cancer. It can be used as an index to evaluate the progress degree of bone metastases.
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临床应用
Department of Oncology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China
ZHANG Congjun,SUN Guoping,HAO Jiqing,XIONG Fuxing,PENG Wanren, LIU Jiatao,FAN Lulu
Chinese Clinical Oncology. 2016, 21 (12):  1114. 
Abstract ( 491 )   PDF(pc) (929KB) ( 303 )   Save
Objective To evaluate the efficacy and toxicity of apatinib mesylate as third-line or above treatment for patients with advanced gastric adenocarcinoma.
Methods The clinical data of 20 patients with advanced gastric adenocarcinoma who failed at least two lines of prior chemotherapy from Dec 2014 to Jan 2016 were retrospectively analyzed. All patients received oral apatinib mesylate 500 mg perday until disease progression or intolerable toxicity. Results The response rate(RR)and disease control rate(DCR)was 10.0% and 40.0%,respectively. The median progression free survival(PFS)and median overall survival(OS)were 2.7 months and 4.3 months, respectively. Apatinib treatment was well tolerated without severe toxicities;the common adverse events were grade 1 to 3 hypertension,hand-foot syndrome and proteinuria. Conclusion Apatinib mesylate is effective and tolerable for patients with advanced gastric adenocarcinoma who failed second-line or obove chemotherapy.
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综述与讲座
Progression of exosomes in colon cancer
MA Zhonghua,DING Jie,WANG Keming
Chinese Clinical Oncology. 2016, 21 (12):  1126. 
Abstract ( 353 )   PDF(pc) (1017KB) ( 384 )   Save
Exosomes are derived from multivesicular bodies which fuse with cell membrane and then release the exosomes into extracellular space,ranging 20-100 nm in diameter.Exosoomes comprise protein,nucleic acids,lipids and many other bioactive molecules.The transfer of secreted molecules to target cells can mediate intercellular communication and alter the functional status of target cells. It is found that the role of exosomes in the development,diagnosis and treatment,drug resisitance of colon cancer is crucial.This review mainly summarizes the current advances in colon cancer,clarifying the role of exosomes in the diagnosis, occurence and development, treatment and drug resistance of colon cancer.
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Research progress of cardiotoxicity induced by anti-tumor treatment
LI Chen,SUN Libin,QIU Wensheng
Chinese Clinical Oncology. 2016, 21 (12):  1132. 
Abstract ( 347 )   PDF(pc) (1004KB) ( 458 )   Save
Malignant tumor is one of the main causes of death in society at present. The survival rate of cancer patients is significantly improved by modern anti-tumor treatment. For the long living of cancer patients,the incidence of cardiovascular adverse events is significant increased with the development of anti-tumor treatment,and cardiologists pay more attention on it. The main cardiac toxicity induced by anti-tumor therapy includs left ventricular systolic dysfunction,heart failure,hypertension, pericardial disease,arrhythmia,thrombosis,atrial fibrillation and etc. Cardiologists have developed therapeutic strategies and optimization methods to prevent and detect cardiac toxicity in the process of anti-tumor treatment in order to improve the living quality of cancer patients. The common cardiac toxicity caused by anti-tumor treatment will be discussed in this review.
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Progression of long non-coding RNA MALAT1 in tumor research
Chinese Clinical Oncology. 2016, 21 (12):  1139. 
Abstract ( 358 )   PDF(pc) (1029KB) ( 505 )   Save
Metastasisassociated lung adenocarcinoma transcript 1(MALAT1),as one of long non-coding RNAs(lncRNAs),is verified to be high expressed in various tumors such as non-small cell lung cancer,breast cancer,cervical cancer,bladder cancer and etc. It plays a significant role of oncogene and is closely related to the development and progression of tumors. It is likely to be regarded as a target for diagnosis, treatment and prognostic prediction in tumors. This review summaries the latest domestic and overseas studies to state the mechanisms of MALAT1 in various tumors.
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