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1.
Cell Mol Biol Lett ; 28(1): 62, 2023 Jul 31.
Article in English | MEDLINE | ID: mdl-37525118

ABSTRACT

BACKGROUND: Bladder cancer (BLCA) is a malignancy that frequently metastasizes and leads to poor patient prognosis. It is essential to understand the molecular mechanisms underlying the progression and metastasis of BLCA and identify potential biomarkers. METHODS: The expression of peptidase inhibitor 16 (PI16) was analysed using quantitative PCR, immunoblotting and immunohistochemistry assays. The functional roles of PI16 were evaluated using wound healing, transwell, and human umbilical vein endothelial cell tube formation assays, as well as in vivo tumour models. The effects of PI16 on nuclear factor κB (NF-κB) signalling activation were examined using luciferase reporter gene systems, immunoblotting and immunofluorescence assays. Co-immunoprecipitation was used to investigate the interaction of PI16 with annexin-A1 (ANXA1) and NEMO. RESULTS: PI16 expression was downregulated in bladder cancer tissues, and lower PI16 levels correlated with disease progression and poor survival in patients with BLCA. Overexpressing PI16 inhibited BLCA cell growth, motility, invasion and angiogenesis in vitro and in vivo, while silencing PI16 had the opposite effects. Mechanistically, PI16 inhibited the activation of the NF-κB pathway by interacting with ANXA1, which inhibited K63 and M1 ubiquitination of NEMO. CONCLUSIONS: These results indicate that PI16 functions as a tumour suppressor in BLCA by inhibiting tumour growth and metastasis. Additionally, PI16 may serve as a potential biomarker for metastatic BLCA.


Subject(s)
NF-kappa B , Urinary Bladder Neoplasms , Humans , NF-kappa B/metabolism , Protease Inhibitors , Signal Transduction , Ubiquitination , Urinary Bladder Neoplasms/genetics , Urinary Bladder Neoplasms/metabolism , Cell Line, Tumor , Carrier Proteins/genetics , Glycoproteins/genetics , Glycoproteins/metabolism
2.
PeerJ ; 11: e14930, 2023.
Article in English | MEDLINE | ID: mdl-36811010

ABSTRACT

Aerobic glycolysis is a metabolic mode of tumor cells different from normal cells that plays an important role in tumor proliferation and distant metastasis. Radiotherapy has now become a routine and effective treatment for many malignancies, however, resistance to radiotherapy remains a major challenge in the treatment of malignant tumors. Recent studies have found that the abnormal activity of the aerobic glycolysis process in tumor cells is most likely involved in regulating chemoresistance and radiation therapy resistance in malignant tumors. However, research on the functions and mechanisms of aerobic glycolysis in the molecular mechanisms of resistance to radiotherapy in malignant tumors is still in its early stages. This review collects recent studies on the effects of aerobic glycolysis and radiation therapy resistance in malignant tumors, to further understand the progress in this area. This research may more effectively guide the clinical development of more powerful treatment plans for radiation therapy resistant subtypes of cancer patients, and take an important step to improve the disease control rate of radiation therapy resistant subtypes of cancer patients.


Subject(s)
Neoplasms , Radiation Tolerance , Humans , Neoplasms/radiotherapy , Glycolysis
3.
Oncogene ; 41(49): 5253-5265, 2022 12.
Article in English | MEDLINE | ID: mdl-36316443

ABSTRACT

Glioma is the most common malignant primary brain tumor with aggressiveness and poor prognosis. Although extracellular vesicles (EVs)-based cell-to-cell communication mediates glioma progression, the key molecular mediators of this process are still not fully understood. Herein, we elucidated an EVs-mediated transfer of suprabasin (SBSN), leading to the aggressiveness and progression of glioma. High levels of SBSN were positively correlated with clinical grade, predicting poor clinical prognosis of patients. Upregulation of SBSN promoted, while silencing of SBSN suppressed tumorigenesis and aggressiveness of glioma cells in vivo. EVs-mediated transfer of SBSN resulted in an increase in SBSN levels, which promoted the aggressiveness of glioma cells by enhancing migration, invasion, and angiogenesis of recipient glioma cells. Mechanistically, SBSN activated NF-κB signaling by interacting with annexin A1, which further induced Lys63-linked and Met1-linear polyubiquitination of NF-κB essential modulator (NEMO). In conclusion, the communication of SBSN-containing EVs within glioma cells drives the formation and development of tumors by activating NF-κB pathway, which may provide potential therapeutic target for clinical intervention in glioma.


Subject(s)
Extracellular Vesicles , Glioma , Humans , Antigens, Differentiation/metabolism , Cell Line, Tumor , Extracellular Vesicles/metabolism , Glioma/pathology , Neoplasm Proteins/metabolism , NF-kappa B/genetics , NF-kappa B/metabolism , Ubiquitination
4.
Br J Cancer ; 127(2): 211-222, 2022 07.
Article in English | MEDLINE | ID: mdl-35484216

ABSTRACT

BACKGROUND: Patients with metastatic bladder cancer have very poor prognosis and predictive biomarkers are urgently needed for early clinical detection and intervention. In this study, we evaluate the effect and mechanism of Suprabasin (SBSN) on bladder cancer metastasis. METHODS: A tissue array was used to detect SBSN expression by immunohistochemistry. A tumour-bearing mouse model was used for metastasis evaluation in vivo. Transwell and wound-healing assays were used for in vitro evaluation of migration and invasion. Comprehensive molecular screening was achieved by western blotting, immunofluorescence, luciferase reporter assay, and ELISA. RESULTS: SBSN was found markedly overexpressed in bladder cancer, and indicated poor prognosis of patients. SBSN promoted invasion and metastasis of bladder cancer cells both in vivo and in vitro. The secreted SBSN exhibited identical biological function and regulation in bladder cancer metastasis, and the interaction of secreted SBSN and EGFR could play an essential role in activating the signalling in which SBSN enhanced the phosphorylation of EGFR and SRC kinase, followed with phosphorylation and nuclear location of STAT3. CONCLUSIONS: Our findings highlight that SBSN, and secreted SBSN, promote bladder cancer metastasis through activation of EGFR/SRC/STAT3 pathway and identify SBSN as a potential diagnostic and therapeutic target for bladder cancer.


Subject(s)
Antigens, Differentiation/metabolism , Urinary Bladder Neoplasms , Animals , Cell Line, Tumor , Cell Movement , ErbB Receptors/genetics , ErbB Receptors/metabolism , Gene Expression Regulation, Neoplastic , Mice , Neoplasm Metastasis , Prognosis , Proto-Oncogene Proteins pp60(c-src)/metabolism , Signal Transduction , Urinary Bladder Neoplasms/pathology , src-Family Kinases/metabolism
5.
Exp Cell Res ; 406(2): 112752, 2021 09 15.
Article in English | MEDLINE | ID: mdl-34332983

ABSTRACT

It has been reported that ACBD3 is closely related to the malignant process of cells, but its role in gastric cancer has not been elucidated. This study aims to investigate the expression and function of ACBD3 in human gastric cancer. The Cancer Genome Atlas (TCGA) database were selected to analyze mRNA levels of ACBD3 in gastric cancer tissues and normal gastric epithelial tissues. qPCR and Western blot were conducted to detect the expression of ACBD3 in two normal gastric epithelial cell lines and five gastric cancer cell lines which were cultured in our laboratory. To exclude differences in individual background between different patients, we further detected the expression of ACBD3 in 8 pairs of malignant/non-malignant clinical gastric tissues. Through the establishment of stable cells, in vitro cell experiments and in vivo xenotransplantation models in mice, the role of ACBD3 in the proliferation of gastric cancer cells has been further explored. AKT inhibitors were used to deeply explore the molecular regulation mechanism of ACBD3. The results showed that the elevated ACBD3 in gastric cancer tissue were positively correlated with the clinical grade and prognosis of gastric cancer. In terms of molecular function, we found that ACBD3 can enhance the production and growth of gastric cancer cells. At the same time, the activation of AKT kinase played an important role in ACBD3's promotion of G1-to-S transition. The experiments generally indicate that ACBD3 is expected to become a potential diagnostic molecule or therapeutic target for gastric cancer.


Subject(s)
Adaptor Proteins, Signal Transducing/metabolism , Biomarkers, Tumor/metabolism , G1 Phase , Gene Expression Regulation, Neoplastic , Membrane Proteins/metabolism , Proto-Oncogene Proteins c-akt/metabolism , S Phase , Stomach Neoplasms/pathology , Adaptor Proteins, Signal Transducing/genetics , Animals , Apoptosis , Biomarkers, Tumor/genetics , Cell Proliferation , Humans , Membrane Proteins/genetics , Mice , Mice, Inbred NOD , Mice, SCID , Prognosis , Proto-Oncogene Proteins c-akt/genetics , Stomach Neoplasms/genetics , Stomach Neoplasms/metabolism , Survival Rate , Tumor Cells, Cultured , Xenograft Model Antitumor Assays
6.
Theranostics ; 11(7): 3359-3375, 2021.
Article in English | MEDLINE | ID: mdl-33537092

ABSTRACT

Background: A metabolic "switch" from oxidative phosphorylation to glycolysis provides tumor cells with energy and biosynthetic substrates, thereby promoting tumorigenesis and malignant progression. However, the mechanisms controlling this metabolic switch in tumors is not entirely clear. Methods: Clinical specimens were used to determine the effect of SAM68 on lung adenocarcinoma (LUAD) tumorigenesis and metastasis, and mouse models and molecular biology assays were performed to elucidate the function and underlying mechanisms in vitro and in vivo. Results:SAM68 mRNA levels were higher in LUAD tissue than in normal lung tissue, indicating that SAM68 expression is upregulated in LUAD. Patients with LUAD with SAM68high (n = 257) had a higher frequency of tumor recurrence (p = 0.025) and recurrence-free survival (p = 0.013) than did those with SAM68low (n = 257). Patients with SAM68high mRNA levels (n = 257) were at a higher risk for cancer-related death (p = 0.006), and had shorter overall survival (p = 0.044) than did those with SAM68low. SAM68 promotes tumorigenesis and metastasis of LUAD cells in vitro and in vivo by regulating the cancer metabolic switch. SAM68 drives cancer metabolism by mediating alternative splicing of pyruvate kinase (PKM) pre-mRNAs, and promoting the formation of PKM2. Mechanistically, SAM68 increased the binding of the splicing repressor hnRNP A1 to exon 9 of PKM, thereby enhancing PKM2 isoform formation and PKM2-dependent aerobic glycolysis and tumorigenesis. Conclusions: SAM68 promotes LUAD cell tumorigenesis and cancer metabolic programming via binding of the 351-443 aa region of SAM68 to the RGG motif of hnRNP A1, driving hnRNP A1-dependent PKM splicing, contributing to increased oncogene PKM2 isoform formation and inhibition of PKM1 isoform formation. SAM68 is therefore a promising therapeutic target for the treatment of LUAD.


Subject(s)
Adaptor Proteins, Signal Transducing/genetics , Adenocarcinoma of Lung/genetics , Alternative Splicing , Carrier Proteins/genetics , DNA-Binding Proteins/genetics , Lung Neoplasms/genetics , Membrane Proteins/genetics , Neoplasm Recurrence, Local/genetics , RNA-Binding Proteins/genetics , Thyroid Hormones/genetics , Adaptor Proteins, Signal Transducing/antagonists & inhibitors , Adaptor Proteins, Signal Transducing/metabolism , Adenocarcinoma of Lung/metabolism , Adenocarcinoma of Lung/mortality , Adenocarcinoma of Lung/pathology , Animals , Carcinogenesis/genetics , Carcinogenesis/metabolism , Carcinogenesis/pathology , Carrier Proteins/metabolism , Cell Line, Tumor , Cell Movement , Cell Proliferation , DNA-Binding Proteins/antagonists & inhibitors , DNA-Binding Proteins/metabolism , Exons , Gene Expression Regulation, Neoplastic , Glycolysis/genetics , Heterogeneous Nuclear Ribonucleoprotein A1/genetics , Heterogeneous Nuclear Ribonucleoprotein A1/metabolism , Humans , Isoenzymes/genetics , Isoenzymes/metabolism , Lung Neoplasms/metabolism , Lung Neoplasms/mortality , Lung Neoplasms/pathology , Membrane Proteins/metabolism , Mice , Mice, Inbred NOD , Neoplasm Recurrence, Local/metabolism , Neoplasm Recurrence, Local/mortality , Neoplasm Recurrence, Local/pathology , Oxidative Phosphorylation , RNA, Messenger/genetics , RNA, Messenger/metabolism , RNA, Small Interfering/genetics , RNA, Small Interfering/metabolism , RNA-Binding Proteins/antagonists & inhibitors , RNA-Binding Proteins/metabolism , Signal Transduction , Survival Analysis , Thyroid Hormones/metabolism , Tumor Burden , Xenograft Model Antitumor Assays , Thyroid Hormone-Binding Proteins
7.
Fish Shellfish Immunol ; 106: 1087-1094, 2020 Nov.
Article in English | MEDLINE | ID: mdl-32890761

ABSTRACT

Probiotics play vital roles in controlling diseases, enhancing specific and non-specific immunity and stimulating growth in the aquaculture industry. However, the effect of fermentation of feed by probiotics on the immune ability of sea cucumber has not been reported to date. Here, three candidate probiotic strains (Bacillus species) were isolated from the culture seawater and sediment of sea cucumber, and fishmeal and scallop mantle fermented by the candidate probiotic strains were used to feed sea cucumber. The results showed that the free amino acid and small peptide contents of the fishmeal and scallop mantle were significantly increased after fermentation for 72 h. However, the weight gain (WG) and specific growth rate (SGR) of sea cucumber showed no significant differences among the fermented fishmeal, fermented scallop mantle and control groups. Scallop mantle fermented by the three candidate probiotics could increase the coelomocyte number and respiratory burst activity. The immune-related enzymatic activity was increased after consuming the fermented fishmeal and scallop mantle, while the activity of antioxidant enzymes was reduced. The expression levels of immune- and antioxidant-related genes were changed after consuming the fermented fishmeal and scallop mantle. Taken together, our results suggest that probiotics could increase the immunocompetence of sea cucumber, and fermented scallop mantle might be a potential substitute for fishmeal during feed preparation. Our results lay a foundation for further understanding the relationship between probiotics and the non-specific immunity of sea cucumber.


Subject(s)
Bacillus , Probiotics/pharmacology , Stichopus , Animal Feed , Animals , Bacillus/isolation & purification , Catalase/genetics , Diet/veterinary , Fermentation , Fish Products , Hemolysis , Muramidase/genetics , Pectinidae , Probiotics/isolation & purification , Pseudoalteromonas , Stichopus/genetics , Stichopus/growth & development , Stichopus/immunology , Superoxide Dismutase/genetics
8.
Cell Commun Signal ; 18(1): 19, 2020 02 04.
Article in English | MEDLINE | ID: mdl-32019549

ABSTRACT

BACKGROUND: Neutrophils form the first line of innate host defense against invading microorganisms. We previously showed that F0F1 ATP synthase (F-ATPase), which is widely known as mitochondrial respiratory chain complex V, is expressed in the plasma membrane of human neutrophils and is involved in regulating cell migration. Whether F-ATPase performs cellular functions through other pathways remains unknown. METHODS: Blue native polyacrylamide gel electrophoresis followed by nano-ESI-LC MS/MS identification and bioinformatic analysis were used to identify protein complexes containing F-ATPase. Then, the identified protein complexes containing F-ATPase were verified by immunoblotting, immunofluorescence colocalization, immunoprecipitation, real-time RT-PCR and agarose gel electrophoresis. Immunoblotting, flow cytometry and a LPS-induced mouse lung injury model were used to assess the effects of the F-ATPase-containing protein complex in vitro and in vivo. RESULTS: We found that the voltage-gated calcium channel (VGCC) α2δ-1 subunit is a binding partner of cell surface F-ATPase in human neutrophils. Further investigation found that the physical connection between the two proteins may exist between the F1 part (α and ß subunits) of F-ATPase and the α2 part of VGCC α2δ-1. Real-time RT-PCR and PCR analyses showed that Cav2.3 (R-type) is the primary type of VGCC expressed in human neutrophils. Research on the F-ATPase/Cav2.3 functional complex indicated that it can regulate extracellular Ca2+ influx, thereby modulating ERK1/2 phosphorylation and reactive oxygen species production, which are typical features of neutrophil activation. In addition, the inhibition of F-ATPase can reduce neutrophil accumulation in the lungs of mice that were intratracheally instilled with lipopolysaccharide, suggesting that the inhibition of F-ATPase may prevent neutrophilic inflammation-induced tissue damage. CONCLUSIONS: In this study, we identified a mechanism by which neutrophil activity is modulated, with simultaneous regulation of neutrophil-mediated pulmonary damage. These results show that surface F-ATPase of neutrophils is a potential innate immune therapeutic target.


Subject(s)
Calcium Channels, R-Type/metabolism , Calcium/metabolism , Cation Transport Proteins/metabolism , Extracellular Space/metabolism , Lung/metabolism , Neutrophils/metabolism , Proton-Translocating ATPases/metabolism , Acute Lung Injury/complications , Acute Lung Injury/metabolism , Acute Lung Injury/pathology , Adult , Amino Acid Sequence , Animals , Cell Membrane/metabolism , Extracellular Signal-Regulated MAP Kinases/metabolism , Humans , Lipopolysaccharides , Lung/pathology , Mice , Models, Biological , Neutrophil Activation , Peptides/chemistry , Peptides/metabolism , Phosphorylation , Pneumonia/complications , Pneumonia/metabolism , Pneumonia/pathology , Protein Binding , Protein Isoforms/metabolism , Protein Subunits/metabolism , Reactive Oxygen Species/metabolism
9.
Fish Shellfish Immunol ; 94: 517-524, 2019 Nov.
Article in English | MEDLINE | ID: mdl-31542494

ABSTRACT

Astragalus polysaccharide (APS) plays important roles in antibacterial, antiviral and antiparasitic activities in mammals, birds and aquatic animals. However, the relationship between non-specific immune responses and intestinal microbiota in sea cucumber (Apostichopus japonicus) after dietary APS supplementation has not been reported to date. Here, the effect of dietary APS supplementation on the non-specific immune response and intestinal microbial composition and species distribution of sea cucumber was explored. We found that although there was no significant effect on sea cucumber growth, the enzymatic activity and expression level of immune- and antioxidant-related genes changed after dietary APS supplementation. Furthermore, the intestinal microbial composition and species distribution of sea cucumber were different at the phylum and genus levels after dietary APS supplementation. The phyla Proteobacteria and Bacteroidetes were significantly different between the APS2 group and CK group. The results of PCA and PCoA analysis also showed that the APS2 group was significantly different compared to the other groups. Finally, analysis of the relationship between non-specific immune responses and the intestinal microbiota showed that the expression level of NF-κB was significantly correlated with intestinal microbiota at the genus level. This finding suggests that dietary APS supplementation might affect the non-specific immune response and intestinal microbiota of sea cucumber through the NF-κB signalling pathway; the appropriate added level was 800 mg/kg. Taken together, our results lay a foundation for further understanding the relationship between non-specific immune responses and intestinal microbial of sea cucumber.


Subject(s)
Astragalus Plant/chemistry , Gastrointestinal Microbiome/physiology , Immunity, Innate/immunology , Stichopus/drug effects , Animal Feed/analysis , Animals , Diet , Dietary Supplements/analysis , Gastrointestinal Microbiome/drug effects , Immunity, Innate/drug effects , Stichopus/immunology , Stichopus/microbiology
10.
Oncol Rep ; 39(6): 2635-2643, 2018 Jun.
Article in English | MEDLINE | ID: mdl-29693179

ABSTRACT

Triple­negative breast cancer (TNBC) is a highly aggressive breast cancer subtype that lacks effective targeted therapies. In the present study, we revealed that the expression of miR­30a was significantly decreased in TNBC, and TNBC patients with low expression of miR­30a were associated with high histological grade and more lymph node metastasis. Moreover, we found that miR­30a suppressed TNBC cell epithelial­mesenchymal transition (EMT), as demonstrated by the overexpression of miR­30a which increased the expression of epithelial marker E­cadherin but decreased the expression of mesenchymal markers N­cadherin and vimentin. Furthermore, we demonstrated that overexpression of miR­30a significantly suppressed TNBC cell invasion and migration, as well as inhibited tumor growth and metastasis in vivo. More importantly, RTK­like orphan receptor 1 (ROR1) was predicted as the direct target of miR­30a, which was subsequently confirmed by luciferase assays. Forced expression of miR­30a in TNBC cells decreased ROR1 expression, whereas the overexpression of ROR1 reversed the suppressive effects of miR­30a in TNBC cell migration and invasion. Collectively, this study indicated that miR­30a functions as a tumor­metastasis suppressor miRNA in TNBC by directly targeting ROR1 and that miR­30a may serve as a novel therapeutic target for TNBC.


Subject(s)
Epithelial-Mesenchymal Transition , MicroRNAs/genetics , Receptor Tyrosine Kinase-like Orphan Receptors/genetics , Receptor Tyrosine Kinase-like Orphan Receptors/metabolism , Triple Negative Breast Neoplasms/genetics , 3' Untranslated Regions , Animals , Cell Line, Tumor , Cell Movement , Cell Proliferation , Female , Gene Expression Regulation, Neoplastic , Humans , MCF-7 Cells , Mice , Neoplasm Metastasis , Neoplasm Transplantation , Triple Negative Breast Neoplasms/metabolism
11.
Gene ; 593(1): 217-224, 2016 Nov 15.
Article in English | MEDLINE | ID: mdl-27538705

ABSTRACT

Long chain polyunsaturated fatty acid (PUFA) are beneficial for maintaining the health, growth and development of an organism and could reduce the risk of some diseases. The ability to endogenously produce PUFA, especially in invertebrates, is largely unknown. To study the function of elongase genes in the PUFA biosynthesis of Apostichopus japonicus, we cloned an ELOVL5 homology gene from intestinal cDNA of A. japonicus (Aj-ELOVL5). The Aj-ELOVL5 gene encoded a 318 amino acid (AA) protein that exhibited all the characteristics of the ELOVL5 family, such as a histidine box motif and four putative transmembrane-spanning domains. The results of the tissue expression profile of Aj-ELOVL5 revealed that the body wall exhibited the highest expression level compared with other adult tissues. We also found that the Aj-ELOVL5 enzyme exhibited the ability to elongate γ-linolenic acid (18:3 n-6) and eicosapentaenoic acid (20:5 n-3) to dihomo-γ-linolenic acid (20:3 n-6) and docosapentaenoic acid (22:5 n-3), respectively. Our results indicated that the Aj-ELOVL5 enzyme had the capacity to biosynthesize PUFA from C18/C20 PUFA substrates.


Subject(s)
Acetyltransferases , Gene Expression Regulation, Enzymologic/physiology , Sea Cucumbers , Acetyltransferases/biosynthesis , Acetyltransferases/genetics , Animals , Cloning, Molecular , Fatty Acid Elongases , Fatty Acids, Unsaturated/biosynthesis , Fatty Acids, Unsaturated/genetics , Sea Cucumbers/enzymology , Sea Cucumbers/genetics
12.
Nan Fang Yi Ke Da Xue Xue Bao ; 29(7): 1442-4, 2009 Jul.
Article in Chinese | MEDLINE | ID: mdl-19620077

ABSTRACT

OBJECTIVE: To evaluate the efficacy of hypofractionated radiotherapy combined with docetaxel for treatment of bone metastasis of lung cancer and explore the factors related to the prognosis. METHODS: Seventy-two patients with bone metastasis of lung cancer were divided into group A with hypofractionated radiotherapy at 3.0 Gy /fraction (once a day, 5 days per week for 30 Gy) and weekly docetaxel treatment at 60 mg for 2 weeks, and group B with radiotherapy alone at 2.0 Gy/fraction (once a day, 5 days per week for 40 Gy). RESULTS: The total effective rate was 93.1% (67/72) in these patients, with a non-response rate of 6.9% (5/72). The total effective rate was 97.2% (35/36) in group A and 88.9% (32/36) in group B. After the radiotherapy, the analgesic effect showed no significant difference between the two groups, but the onset of the effect was faster in group B than in group A. CONCLUSION: Local radiotherapy provides effective pain relief in patients with bone metastasis of lung cancer. High-dose fractionated irradiation can rapidly achieve the analgesic effect.


Subject(s)
Bone Neoplasms/drug therapy , Bone Neoplasms/radiotherapy , Lung Neoplasms/drug therapy , Lung Neoplasms/radiotherapy , Taxoids/therapeutic use , Adult , Aged , Bone Neoplasms/secondary , Combined Modality Therapy , Docetaxel , Dose Fractionation, Radiation , Female , Humans , Lung Neoplasms/pathology , Male , Middle Aged , Prognosis , Treatment Outcome
13.
Di Yi Jun Yi Da Xue Xue Bao ; 24(6): 694-6, 2004 Jun.
Article in Chinese | MEDLINE | ID: mdl-15201093

ABSTRACT

OBJECTIVE: To evaluate the effect of radiotherapy combined with concurrent chemotherapy for the treatment of advanced nasopharyngeal carcinoma. METHODS: From February 2001 to August 2003, 80 cases of nasopharyngeal carcinoma (stage III and IVa) were randomized into two groups to receive radiotherapy with concurrent chemotherapy (Group A, n=40) consisted of leucovorin (CF, 100 mg/m(2), days 1-5), 5-fluorouracil (5-Fu, 500 mg/m(2), days 1-5), cisplatin (DDP, 60 mg/m(2), day 1) for one course followed by another 4 weeks later, or radiotherapy alone (Group B, n=40). In all cases, the radiotherapy followed the same protocol, with the nasopharyngeal (NP) total dose (DT) of 66-76 Gy given in 6.6-7.6 weeks, and cervical lymphnode (LN) DT of 60-72 Gy completed in 6.0-7.2 weeks. RESULTS: All patients completed the treatment course, and the complete response rates of the primary lesions and cervical nodes in A and B groups were 77.5% and 60.0% (P>0.05) and 92.5% vs 70.0% (P<0.05), respectively, which were 92.5% vs 72.5% (P<0.05) and 100% vs 85.0% (P<0.05), respectively, 3 months after treatment. No obvious toxicity was observed in the two groups except for vomiting and leukopenia. CONCLUSION: Radiotherapy with concurrent chemotherapy can improve the elimination rate of advanced nasopharyngeal carcinoma, and can be completed in shorter treatment course in comparison with neoadjuvant chemotherapy before radiotherapy, eligible for clinical practice in the treatment of advanced nasopharyngeal carcinoma.


Subject(s)
Nasopharyngeal Neoplasms/therapy , Adult , Aged , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Prospective Studies , Radiotherapy/adverse effects
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