Metastasis of bronchogenic carcinoma to the thumb

Bone metastasis in the hand is rare. The etiology is quite different from that of metastasis to other bones; bronchogenic carcinoma is by far the most frequent case. Distal phalanges are mainly involved with irregular osteolysis and cortical destruction. Differential diagnosis of phalangeal metastasis includes osteomyelitis, rheumatoid arthritis and gout. The prognosis is always that of metastatic bronchial cancer with an average survival of three months. Treatment may involve distal digital amputation or antalgic radiotherapy. A case of bronchogenic carcinoma with metastasis to the thumb is presented. The metastasis was located in the distal phalanx of the left thumb. The primary tumor was located in the lung. Treatment consisted of amputation. The overall survival was five months.     

A paradigm for the treatment of prostate cancer bone metastases based on an understanding of tumor cell-microenvironment interactions

The pliability of cancer cells to mutate into several different phenotypes in an attempt to find one that will survive and colonize at the metastatic site is a tremendous "hurdle" to overcome in designing novel cancer therapeutics. New targets of therapy are essential if we are to effectively overcome the evasiveness of cancer. The interaction between the tumor cell and the surrounding microenvironment creates a vicious cycle that perpetuates disease survival and progression. The future of cancer therapy resides in the ability to focus on the recruited and exploited relationships of the cancer cell with the host environment. These therapies target cancer cell growth early and interrupt the vicious cycle that is created by the tumor cells interacting with bone components by inhibiting osteoclasts, osteoblasts, stromal cells, and endothelial cells. They alter the bone microenvironment, creating a hostile "soil" that prevents the "seed" from developing into bone metastases and represent a potential new platform for the development of prostate cancer therapeutics.     

Mechanisms of cancer metastasis to the bone

Some of the most common human cancers, including breast cancer, prostate cancer, and lung cancer, metastasize with avidity to bone. What is the basis for their preferential growth within the bone microenvironment? Bidirectional interactions between tumor cells and cells that make up bone result in a selective advantage for tumor growth and can lead to bone destruction or new bone matrix deposition. This review discusses our current understanding of the molecular components and mechanisms that are responsible for those interactions.     

MiRNA在乳腺癌转移中的作用

乳腺癌是女性高发的恶性肿瘤之一,远处转移是患者致死的最重要原因。目前乳腺癌转移的具体机制尚未明确。乳腺癌转移相关微RNA(microRNA,miRNA)的发现,为我们研究乳腺癌转移提供了新的思路。miRNA参与包括乳腺癌细胞的生长、凋亡、迁移、侵袭等肿瘤发生、发展过程,进而实现对乳腺癌转移的调控。有些miRNA在乳腺癌转移过程中起促进作用;有些则起抑制作用;还有一些miRNA的功能存在争议。本文将主要着眼于近年来发现的这几类miRNA在乳腺癌转移中所起的作用,并对其将来在乳腺癌诊断、预后判断及治疗中的应用做一综述。     

Identification of tumor metastasisrelated gene TMSG-1 by mRNA differential display

To investigate genes involved in cancer metastasis, mRNA differential display was used to compare the levels of gene expression of two cancer sublines derived from prostate carcinoma cell PC-3M that had different metastatic potentials. The differentially expressed genes were confirmed by Northern blot, and sequenced. The full-length cDNA of a tumor metastasis suppressor gene (TMSG-1) was obtained by using EST assembling and verified by RT-PCR and sequencing. The results showed that expression levels of TMSG-1 were lower in the highly metastatic cell line 1E8, compared with the non-metastatic cell line 2B4. The difference was significant. Full-length cDNA of TMSG-1 was about 2 kb, containing an open reading frame that encoded a protein of 230 amino acids. GenBank Blastn showed no marked homology with known genes. The functional prediction of amino acids sequence encoded by TMSG-1 gene indicated TMSG-1 protein was transmembrane protein, with 3 transmembrane domains, 3 putative protein kinase phosphorylatio     

Clones of Tumor Cells Derived from a Single Primary Human Lung Tumor Reveal Different Patterns of β1 Integrin Expression

Previously we reported that over 75% of human non-small cell lung cancers overexpress the βi integrin VLA-2 on their surface and show an increase in the mRNA encoding the α-2 chain of this integrin. These results suggested the possibility that the overproduction and overexpression of one or more of the β₁ integrin may be involved in the pathogenesis of human lung tumors by modulating the invasive and/or metastatic potential of the tumor. We report here the generation and characterization of multiple clones of tumor cells derived from the primary culture of cells obtained from biopsy tissue of an aggressive human squamous cell lung tumor. We show that these tumor clones (or clonotypes) exhibit seven different yet stable phenotypes with respect to the expression of five members of the βi integrin family. These results illustrate that a primary human lung tumor consists of multiple subpopulations of cells that while indistinguishable by ultrastructure are heterogeneous with respect to their β₁ integrins. The availability of these distinct tumor clonotypes derived from a single tumor biopsy have made it possible to test the assumption that the βi integrins play a role in tumor progression. The feasibility of this approach is demonstrated here by the intravenous inoculation of different human tumor clonotypes into severe combined immunodeficient (scid) mice. Our preliminary results with a pair of tumor clonotypes differing in VLA-1 and VLA-2 expression level reveal that the clonotype with high level of VLA-1 and VLA-2 displays a substantial increase in the experimental engraftment and metastasis of the human tumor cells in scid mice.     

微RNA调节肺癌转移的分子机制

微RNA(microRNA,miRNA)是一类长约22 nt的非编码小分子RNA,在转录后水平上通过基因沉默调节靶基因的活性。近年来,miRNA与肿瘤转移关系的研究成为探讨肿瘤转移调控机制的热点。越来越多的研究提示miRNA在肿瘤转移过程中发挥着重要作用。肺癌转移是影响肺癌预后的关键,是一种复杂的多因素、多步骤、多基因参与调控的过程。研究miRNA对肺癌转移的作用有助于我们找到阻断肺癌转移的靶点。本文就miRNA和肺癌转移关系的研究进展作一综述。     

胃癌腹膜转移的细胞学及分子生物学检测进展

胃癌是常见的肿瘤之一,在消化道肿瘤中占首位。胃癌的临床病变缺乏特异性,大部分患者就诊时已发生了转移,多数病例就诊时已为进展期或晚期。腹膜转移是胃癌最常见的转移形式,胃癌的腹膜转移是造成患者预后差的主要原因,因此,及时地诊断腹膜转移,从而采取相应治疗,对提高患者术后生存率具有重要意义。     

CA19-9、CA125、CEA及Ferritin联合检测诊断非小细胞肺癌脑、骨转移的临床价值研究

目的:研究CA19-9、CA125、癌胚抗原(CEA)以及铁蛋白(Ferritin)四种肿瘤标志物联合检测用于诊断非小细胞肺癌(NSCLC)脑或(和)骨转移的临床价值。方法:选取2011年5月至2012年5月于我院就诊的NSCLC患者184例。将发现脑或(和)骨转移者归为转移组,共96例;将未发现脑、骨转移者归为无转移组,共88例,采用电化学发光免疫分析法测定各组患者血清中CA19-9、CA125、CEA以及Ferritin的水平,探讨其在NSCLC患者脑或(和)骨转移中的诊断效能。结果:在发生脑或(和)骨转移的NSCLC患者中,CA19-9、CA125、CEA及Ferritin四种肿瘤标志物的水平和阳性率均显著高于未发生骨、脑转移的患者。ROC曲线分析显示,以上四种肿瘤标志物对诊断NSCLC骨或(和)脑转移的敏感度分别为73.48%、69.13%、66.35%和61.34%;特异度分别为80.02%、32.51%、65.11%和62.58%;将四种肿瘤标志物联合进行诊断的敏感度和特异度分别为91.21%和88.64%,显著高于单一标志物诊断。结论:发生脑或(和)骨转移的NSCLC患者血清中CA19-9、CA125、CEA以及Ferritin四种肿瘤标志物水平均显著升高,以上标志物联合检测可提高NSCLC患者脑或(和)骨转移的诊断效能,可作为早期诊断NSCLC患者脑或(和)骨转移的辅助检测指标。     

胃癌侵袭转移相关基因的研究进展

肿瘤的侵袭转移是恶性肿瘤患者死亡的主要原因。目前对胃癌侵袭转移的分子机制尚未查明。胃癌侵袭转移过程中涉及许多特殊基因,包括促进转移的转移基因和控制转移的转移抑制基因。转移基因有：细胞粘附分子(cAM)基因、基质金属蛋白酶(MMPs)基因、肝素酶(heparanase)基因等;转移抑制基因有：nm23、组织基质金属蛋白酶抑制因子(TIMPs)基因等。本文对胃癌侵袭转移相关基因及其产物的结构、功能及其在侵袭转移过程中作用的研究进展作一综述。     

肝素的抗肿瘤转移活性及其与选凝素的关系

肝素作为传统抗凝剂,常用来治疗癌症患者静脉血栓。临床和实验数据证实,肝素具有抗肿瘤活性。同时也有大量研究发现,肝素有抗肿瘤转移的作用。肝素可以通过各种机制抑制肿瘤转移,包括抑制细胞间的相互作用;抑制肝素酶的表达;调节各种生长因子以及调节机体凝血功能等。选凝素(seletin)是介导肿瘤转移初始阶段的重要因子,而肝素能够抑制选凝素介导的的肿瘤细胞与白细胞、血小板及内皮细胞的相互作用,从而达到抗转移的效果。本文综述了肝素抑制选凝素介导的肿瘤转移的作用机制,为肝素在抗肿瘤转移方面的临床应用提供参考。     

肺癌转移抑制相关基因研究进展

肺癌是发病率和死亡率增长最快、对人类健康威胁最大的恶性肿瘤之一。侵袭转移是肺癌患者死亡的首要原因。研究表明,在肺癌中发挥转移抑制作用的相关基因主要有nm23、KAI1、TIMP、Cadherin以及MRP-1等。本文对近年来这些基因的研究进展及其对肺癌侵袭转移的抑制作用作一综述     

直肠癌术后肺转移72例的临床分析

目的：探讨直肠癌根治术后肺转移的治疗效果和影响预后的因素。方法：回顾性分析1978～2008年间的直肠癌根治术后发生单纯性肺转移的72例病例资料。结果：自原发灶切除术后全组病例中位生存时间34个月,行转移灶的切除手术23例,中位生存49个月;其余49例行非手术治疗,中位生存33个月;其中转移瘤大于3个组中位生存时间28个月,转移瘤小于等于3个组中位生存时间41个月。手术患者和转移灶个数少的患者的总生存率较大,总生存率可能和是否手术、转移灶的个数有关,但尚未发现年龄、性别、原发灶病理类型、分期、转移灶大小对生存率有明显影响。结论：直肠癌肺转移灶的手术治疗是安全、有效的。手术及转移灶个数可影响患者生存率。     

岩藻糖链与肝癌细胞发生和转移的相关性研究

研究观察了大鼠诱发肝癌过程中,与UEA、LCA凝集素相结合的含岩藻糖糖蛋白尤其是80 ku蛋白的动态变化．在肝癌病人标本中,也观察到了高转移性肝癌细胞比低转移性肝癌细胞表达更多的UEA、LCA相结合的岩藻糖蛋白．岩藻糖寡糖可以构成一些非常重要的黏附分子的结构,如Lewis抗原．继而进一步观察了不同转移潜能的肝癌细胞中Lewis抗原的表达差异,发现高转移性肝癌细胞 (HMCC97H) 比低转移性肝癌细胞(HMCC97L)表达更高的Lewis x 和 b．在肝癌转移动物模型中,转移灶组织中的Lewis抗原合成关键酶α1,3/1,2以及 α1,6 岩藻糖转移酶活性远比对照组高．当肝癌细胞在维甲酸作用以后,细胞表面的Lewis x 或 b 的水平显著下降,α1,3/1,2岩藻糖转移酶活性也显著下降．同时我们观察到Lewis x可以存在于表皮细胞生长因子受体(EGFR)分子上,在维甲酸作用以后,EGFR上的Lewis x抗原和磷酸化水平都显著性下降．上述结果提示岩藻糖化的糖链如Lewis x在肝癌细胞的发生和转移过程中起重要的作用．     

BMP9对人乳腺癌细胞MDA-MB-231骨转移的影响及可能机制

探讨BMP9对人乳腺癌MDA-MB-231细胞骨转移能力的影响及其可能的机制。扩增高滴度的BMP9表达腺病毒,感染MDA-MB-231细胞,制备表达BMP9的重组MDA-MB-231/ BMP9细胞,以此作为实验组;同时以含GFP的空载腺病毒感染该细胞为MDA-MB-231/GFP,联合MDA-MB-231共同作为对照组;RT-PCR及Western blot检测重组MDA-MB-231/ BMP9细胞中BMP9以及磷酸化Smad1(PSmad1)的表达;定量PCR及Western blot检测三组细胞中CTGFmRNA和蛋白水平的表达情况,最后结合X片运用免疫组织化学染色的方法检测三组标本中CTGF的表达。结果发现重组MDA-MB-231/ BMP9细胞中存在BMP9的表达;与对照组细胞相比,MDA-MB-231/ BMP9细胞中存在PSmad1的活化增强及CTGF的表达下调;X片发现实验组裸鼠胫骨溶骨性缺损减少;瘤体组织免疫组化发现实验组CTGF表达下调。所以BMP9可以在体内抑制乳腺癌MDA-MB-231细胞的骨转移并且这种抑制作用有可能是通过下调CTGF来实现的。