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基于细胞因子基因变异的卡介苗反应预测与膀胱癌:我们的进展如何?

BCG response prediction with cytokine gene variants and bladder cancer: where we are?

机构信息

Andrology and IVF Laboratories, University of Utah, Salt Lake City, UT 84108, USA.

出版信息

J Cancer Res Clin Oncol. 2011 Dec;137(12):1729-38. doi: 10.1007/s00432-011-1056-3. Epub 2011 Sep 20.

DOI:10.1007/s00432-011-1056-3
PMID:21932129
Abstract

PURPOSE

Bladder cancer (BC) is one of the most widespread cancers afflicting men and women and also has major philosophical impact on health care worldwide. Despite elaborate characterization of the risk factors and treatment options, BC is still a major epidemiological problem worldwide and its incidence lingers to upswing each year. Over the last three decades, intravesical immunotherapy with the biological response modifier Mycobacterium bovis-Bacillus Calmette Guerin (BCG) has been established as the most effective adjuvant treatment for averting local recurrences and tumor progression following transurethral resection of non-muscle-invasive bladder cancer.

DESIGN AND METHODS

PUBMED database was searched for articles, and manuscripts were selected that provided data regarding the correlation of BCG therapy and its response with different cytokine gene variants.

RESULTS

It is not clear how Bacillus Calmette-Guerin (BCG) works to treat BC. It may stimulate an immune response or cause inflammation of the bladder wall that destroys cancer cells within the bladder. Lot of reports indicated the correlation of various cytokines with respect to BCG therapy in BC, but the exact mechanism is under debate.

CONCLUSION

Research continues to establish the most effectual strain of BCG and the best dosage schedule for the treatment for bladder cancer but, on the other hand, a very critical part of this therapy to find out the correlation of different cytokine with BCG therapy, which will give a better insights not only the mechanism but also a better therapeutic options.

摘要

目的

膀胱癌(BC)是一种影响男性和女性的最常见癌症,也对全球医疗保健具有重大哲学影响。尽管对危险因素和治疗选择进行了详尽的描述,但 BC 仍然是全球范围内的一个主要流行病学问题,其发病率每年都在上升。在过去的三十年中,使用生物反应调节剂牛分枝杆菌-卡介苗(BCG)进行膀胱内免疫治疗已被确立为预防非肌肉浸润性膀胱癌经尿道切除术后局部复发和肿瘤进展的最有效辅助治疗方法。

设计与方法

在 PUBMED 数据库中搜索文章,并选择提供有关 BCG 治疗及其与不同细胞因子基因变异相关性的数据的手稿。

结果

目前尚不清楚卡介苗(BCG)如何治疗 BC。它可能刺激免疫反应或引起膀胱壁炎症,从而破坏膀胱内的癌细胞。大量报告表明,各种细胞因子与 BC 中的 BCG 治疗相关,但确切的机制仍存在争议。

结论

研究继续确定最有效的 BCG 菌株和治疗膀胱癌的最佳剂量方案,但另一方面,这种治疗的一个非常关键部分是找出不同细胞因子与 BCG 治疗的相关性,这不仅将提供对机制的更好理解,还将提供更好的治疗选择。

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本文引用的文献

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Role of ethnic variations in TNF-α and TNF-β polymorphisms and risk of breast cancer in India.印度 TNF-α 和 TNF-β 多态性的种族差异及其在乳腺癌风险中的作用。
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BCG strain S4-Jena: An early BCG strain is capable to reduce the proliferation of bladder cancer cells by induction of apoptosis.
BCG 菌株 S4-Jena:一种早期的卡介苗菌株能够通过诱导细胞凋亡来抑制膀胱癌细胞的增殖。
Cancer Cell Int. 2010 Jun 29;10:21. doi: 10.1186/1475-2867-10-21.
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Interleukin-10 inhibits Mycobacterium bovis bacillus Calmette-Guérin (BCG)-induced macrophage cytotoxicity against bladder cancer cells.白细胞介素-10 抑制牛分枝杆菌卡介苗(BCG)诱导的巨噬细胞对膀胱癌细胞的细胞毒性。
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Serum Th1 and Th2 cytokine balance in patients of superficial transitional cell carcinoma of bladder pre- and post-intravesical combination immunotherapy.膀胱癌浅表性移行细胞癌患者膀胱内联合免疫治疗前后血清 Th1 和 Th2 细胞因子平衡。
Immunopharmacol Immunotoxicol. 2010 Jun;32(2):348-56. doi: 10.3109/08923970903300151.
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Low level exposure to monomethyl arsonous acid-induced the over-production of inflammation-related cytokines and the activation of cell signals associated with tumor progression in a urothelial cell model.低水平接触一甲基砷酸会导致尿路上皮细胞模型中炎症相关细胞因子的过度产生和与肿瘤进展相关的细胞信号的激活。
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Breast cancer risk associated with polymorphisms of IL-1RN and IL-4 gene in Indian women.印度女性中白细胞介素-1受体拮抗剂(IL-1RN)和白细胞介素-4(IL-4)基因多态性与乳腺癌风险的关系
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