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用于犬趾恶性黑色素瘤的异种鼠酪氨酸酶 DNA 疫苗。

Xenogeneic murine tyrosinase DNA vaccine for malignant melanoma of the digit of dogs.

机构信息

Donaldson-Atwood Cancer Clinic, The Animal Medical Center, New York, NY, USA.

出版信息

J Vet Intern Med. 2011 Jan-Feb;25(1):94-9. doi: 10.1111/j.1939-1676.2010.0627.x. Epub 2010 Dec 8.

Abstract

BACKGROUND

Malignant melanoma of dogs is a highly aggressive neoplasm and is the 2nd most common digit tumor. Metastatic disease is a common sequela for which few effective treatment options exist. Studies show that xenogeneic tyrosinase DNA vaccination yields immune responses and prolongation of survival in dogs with oral malignant melanoma.

OBJECTIVES/HYPOTHESIS: Describe clinical findings and tumor characteristics of a cohort of dogs with digit malignant melanoma, and evaluate the prognostic utility of a proposed staging system. Determine if a novel xenogeneic DNA vaccine is safe and potentially effective for treatment of dogs with digit melanoma.

ANIMALS

Fifty-eight dogs with digit malignant melanoma treated at the Animal Medical Center between 2004 and 2007.

METHODS

Retrospective, medical records review of dogs with digit melanoma treated with xenogeneic DNA vaccine.

RESULTS

Overall median survival time (MST) for dogs treated with loco-regional control and xenogeneic DNA vaccine was 476 days with a 1-year survival rate of 63%. MST for dogs presenting with metastasis was 105 days versus 533 days for dogs presenting without metastasis (P < .0001). Forty-eight percent of the dogs in the latter group were alive at 2 and 3 years. A proposed staging system proved prognostic with stages I-IV dogs surviving >952, >1,093, 321, and 76 days, respectively.

CONCLUSIONS AND CLINICAL IMPORTANCE

The xenogeneic murine tyrosinase DNA vaccine was safe and appears effective when used in conjunction with local and regional disease control. The proposed staging system was prognostic in this study and future studies might benefit from utilizing this staging system.

摘要

背景

犬恶性黑色素瘤是一种高度侵袭性的肿瘤,是第二常见的指部肿瘤。转移性疾病是常见的后遗症,目前几乎没有有效的治疗方法。研究表明,异种酪氨酸酶 DNA 疫苗可产生免疫反应,并延长患有口腔恶性黑色素瘤的犬的存活时间。

目的/假设:描述一组患有指部恶性黑色素瘤犬的临床发现和肿瘤特征,并评估提出的分期系统的预后效用。确定一种新型异种 DNA 疫苗治疗指部黑色素瘤犬是否安全且有潜在疗效。

动物

2004 年至 2007 年间在动物医疗中心接受治疗的 58 只患有指部恶性黑色素瘤的犬。

方法

回顾性分析接受异种 DNA 疫苗治疗的指部黑色素瘤犬的病历。

结果

接受局部区域控制和异种 DNA 疫苗治疗的犬的总体中位生存时间(MST)为 476 天,1 年生存率为 63%。有转移的犬的 MST 为 105 天,而无转移的犬的 MST 为 533 天(P <.0001)。在后者组中,有 48%的犬在 2 年和 3 年内仍存活。提出的分期系统具有预后价值,I 期-IV 期犬的存活时间分别为>952、>1093、321 和 76 天。

结论和临床意义

异种鼠酪氨酸酶 DNA 疫苗安全且有效,与局部和区域疾病控制联合使用时效果更佳。在本研究中,提出的分期系统具有预后价值,未来的研究可能受益于利用该分期系统。

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