A total of ten central hub genes were determined using cytoHubba; these were identified as CDK1, KIF11, CDC20, CCNA2, TOP2A, CCNB1, NUSAP1, BUB1B, ASPM, and MAD2L1. Colorectal carcinoma and hepatocellular carcinoma share a similar pathological root, as our study demonstrates. Further investigation into the mechanisms behind these common pathways and key genes may bring forth novel ideas.
Mylabris, a plant source of cantharidin (CTD), is a cornerstone of traditional Oriental medicine, benefiting from its potent anticancer capabilities. While possessing therapeutic value, clinical use of this substance is hampered by its substantial toxicity, specifically affecting the liver. Through this review, the hepatotoxic actions of CTD are carefully analyzed, and promising therapeutic approaches are presented to reduce toxicity and improve its anticancer potency. Our investigation methodically examines the molecular underpinnings of CTD-associated liver damage, with a focus on apoptotic and autophagic pathways' impact on hepatocytes. We further investigate the endogenous and exogenous pathways underlying CTD-associated liver damage, identifying potential therapeutic solutions. In addition, this review examines the modifications to the structure of CTD derivatives and their impact on anti-cancer activity. Beyond that, we investigate the progress in nanoparticle-based drug delivery systems, which are promising for overcoming the limitations of CTD derivatives. Through a comprehensive analysis of hepatotoxic mechanisms in CTD, this review paves the way for future research and the advancement of safer and more effective CTD-based therapies.
Tumor development is intricately connected to the tricarboxylic acid cycle (TCA cycle), a fundamental metabolic pathway. Nevertheless, the extent of its contribution to esophageal squamous cell carcinoma (ESCC) development remains underexplored. Using the TCGA database, RNA expression profiles of ESCC samples were sourced, and the GSE53624 dataset, retrieved from the GEO database, was employed as a validation cohort. Furthermore, the download of the single-cell sequencing dataset GSE160269 was executed. Blood-based biomarkers From the MSigDB database, genes pertinent to the TCA cycle were selected. A model to estimate risk of esophageal squamous cell carcinoma (ESCC), derived from crucial genes in the TCA cycle, was constructed and its ability to predict was tested. The TIMER database, the oncoPredict score from the R package, the TIDE score, and others were used to analyze the model's association with immune infiltration and chemoresistance. Finally, the involvement of gene CTTN was validated via both gene silencing and the application of functional assays. Using single-cell sequencing data, a total of 38 clusters, each containing 8 cell types, were identified. The cells were separated into two groups, predicated on their TCA cycle scores, and 617 genes with a high probability of impact on the TCA cycle were identified. By combining analysis of 976 key TCA cycle genes with WGCNA results, 57 genes strongly associated with the TCA cycle were identified. A further selection of 8 genes via Cox and Lasso regression constituted the foundation for a risk score model. The risk score demonstrated a consistent ability to predict prognosis, showing no significant variation across subgroups categorized by age, N, M classification, or TNM stage. Moreover, BI-2536, camptothecin and NU7441 were recognized as plausible drug options for patients within the high-risk group. The high-risk score in ESCC cases was found to be associated with a lower level of immune infiltration, in contrast to the superior immunogenicity demonstrated by the low-risk group. Furthermore, we assessed the correlation between risk scores and the effectiveness of immunotherapy. Through the epithelial-mesenchymal transition (EMT) pathway, functional assays indicated that CTTN potentially impacts the proliferation and invasion of ESCC cells. A prognostic model for esophageal squamous cell carcinoma (ESCC), based on TCA cycle genes, was successfully constructed, resulting in effective stratification of patient prognosis. The model's role in regulating tumor immunity is likely pertinent to ESCC.
In the recent decades, cancer treatment protocols and early detection mechanisms have undergone substantial improvements, causing a decrease in mortality due to cancer. It has been reported that cardiovascular disease is now the second-highest contributor to long-term health issues and mortality in the population of cancer survivors. The heart's function and structure may be compromised by anticancer drug-related cardiotoxicity which can occur at any point during cancer treatments, a factor in the development of cardiovascular disease. molecular oncology Our research intends to uncover a potential connection between anticancer drugs used to treat non-small cell lung cancer (NSCLC) and cardiac side effects, examining if different drug classes manifest distinct cardiotoxicity potentials; if variations in dosages of the same drug during initial treatment correlate with the degree of cardiotoxicity; and if cumulative dosages and/or treatment duration impact the extent of cardiotoxicity. The systematic review considered studies of non-small cell lung cancer (NSCLC) patients exceeding 18 years, excluding those treated solely with radiotherapy. Electronic databases and registers, encompassing the Cochrane Library, National Cancer Institute (NCI) Database, PubMed, Scopus, Web of Science, and ClinicalTrials.gov, are used. The European Union Clinical Trials Register was systematically screened for relevant data, starting with its earliest available entry and ending in November 2020. This systematic review's full protocol (CRD42020191760) has been documented and published in advance on PROSPERO. KP-457 A comprehensive database and registry search, utilizing specific keywords, identified 1785 records. Subsequently, 74 of these studies were deemed suitable for data extraction. The studies' findings indicate that the anticancer medications bevacizumab, carboplatin, cisplatin, crizotinib, docetaxel, erlotinib, gemcitabine, and paclitaxel for NSCLC are potentially associated with cardiovascular events, as observed in the included data. Thirty research papers documented hypertension as the most commonly cited instance of cardiotoxicity among cardiovascular adverse events. The reported treatment-related complications involving the heart include arrhythmias, atrial fibrillation, bradycardia, cardiac arrest, cardiac failure, coronary artery disease, heart failure, ischemia, left ventricular dysfunction, myocardial infarction, palpitations, and tachycardia. In the context of non-small cell lung cancer (NSCLC), this systematic review's findings provide a more profound understanding of the potential association between anticancer drugs and cardiotoxicity. Across different drug classes, while variations are present, the absence of thorough cardiac monitoring data can contribute to an underestimation of this connection. The systematic review registration, accessible at https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020191760, is identified by the PROSPERO identifier CRD42020191760.
Hypertension in abdominal aortic aneurysm (AAA) patients is commonly treated with antihypertensive therapy, a fundamental component of their care. To treat hypertension, direct-acting vasodilators were used, aiming to directly relax vascular smooth muscle; however, their use might detrimentally affect the aortic wall by activating the renin-angiotensin system. The exact part that these factors play in the disease process of AAA disease warrants further exploration. This research employed hydralazine and minoxidil, two time-tested direct-acting vasodilators, for the purpose of investigating their influence and potential mechanistic roles in the development of abdominal aortic aneurysms (AAA). Plasma renin level and plasma renin activity measurements were conducted on a cohort of AAA patients. The control group, consisting of age and gender-matched patients diagnosed with peripheral artery disease and varicose veins, was selected using a ratio of 111, concurrently. Our regression model demonstrated a positive relationship between plasma renin levels and activity on the one hand, and the development of abdominal aortic aneurysms on the other. Recognizing the established correlation between direct-acting vasodilators and higher plasma renin concentrations, we constructed a porcine pancreatic elastase-induced AAA mouse model. This was subsequently treated with oral hydralazine (250 mg/L) and minoxidil (120 mg/L) to determine the influence of these direct-acting vasodilators on the disease's trajectory. Based on our results, hydralazine and minoxidil appear to stimulate the progression of abdominal aortic aneurysms (AAA), leading to intensified aortic degradation. Vasodilators, through the mechanism of increasing leukocyte infiltration and inflammatory cytokine secretion, worsened aortic inflammation. Plasma renin level and plasma renin activity are positively linked to the subsequent occurrence of abdominal aortic aneurysms. Experimental abdominal aortic aneurysm (AAA) progression was exacerbated by direct vasodilators, prompting concerns regarding their clinical use in AAA management.
This study employs bibliometric analysis to explore the influential nations, institutions, journals, researchers, research areas, and emerging trends in the investigation of liver regeneration mechanism (MoLR) over the last two decades. The literature pertinent to the MoLR was drawn from the Web of Science Core Collection, accessed on October 11th, 2022. The tools used for bibliometric analyses were CiteSpace 61.R6 (64-bit) and VOSviewer 16.18. 18,956 authors, affiliated with 2,900 institutions spanning 71 countries/regions, published 3,563 studies on the MoLR in academic journals. The unparalleled influence of the United States was evident. Publications on the MoLR were most frequently issued by the University of Pittsburgh. Cunshuan Xu authored the largest number of articles related to the MoLR, and George K. Michalopoulos was the most commonly co-cited author on those publications. Among hepatology journals, Hepatology stood out as the most prolific publisher of MoLR-focused articles, and was the most frequently cited publication within the field.