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    Journal of International Oncology 2022, 49 (2): 65-72. DOI:10.3760/cma.j.cn371439-20210831-00010
    Abstract1158 HTML368 PDF(pc)(6648KB)( 1182 Save
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    Journal of International Oncology 2022, 49 (11): 641-657. DOI:10.3760/cma.j.cn371439-20221011-00129
    Abstract757 HTML269 PDF(pc)(2785KB)( 878 Save
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    Journal of International Oncology 2023, 50 (3): 129-137. DOI:10.3760/cma.j.cn371439-20230217-00027
    Abstract320 HTML49 PDF(pc)(4432KB)( 821 Save
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    Research progress of avermectins in anti-tumor
    Wang Liwei, Liang Hongsheng, Du Songlin, Chen Zhihao, Wang Qing, Gao Aili
    Journal of International Oncology 2022, 49 (6): 353-356. DOI:10.3760/cma.j.cn371439-20220321-00067
    Abstract252 HTML16 PDF(pc)(745KB)( 388 Save

    Avermectins can affect biological processes of multiple tumor, including tumor cell proliferation and metastasis, cell cycle arrest, induction of apoptosis and autophagy, regulation of tumor microenvironment and tumor stem cells. Avermectins can be administered alone or combined with chemotherapeutic drugs to reverse multidrug resistance. To further explore the anti-tumor mechanism of avermectins will provide reliable experimental and theoretical guidance for future clinical application.

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    Mechanism of action of lactic acid in tumor microenvironment and related treatment
    Zhang Zishu, Wu Xinlin
    Journal of International Oncology 2022, 49 (6): 349-352. DOI:10.3760/cma.j.cn371439-20220330-00066
    Abstract793 HTML244 PDF(pc)(716KB)( 347 Save

    Lactic acid, a widespread metabolite in the tumor microenvironment, is mainly produced by tumor cells that undergo aerobic glycolysis. Lactic acid is closely related to the occurrence and development of tumor. It not only serves as a substrate to supply energy to tumor cells, but also acts as a signaling molecule to activate multiple pathways to promote invasive and metastasis, angiogenesis and immune escape of tumor cells. In-depth research on the mechanism of action of lactic acid in the occurrence and development of tumor and related therapeutic progress will help to find drug targets for treatment of tumor and improve prognosis of patients.

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    Mechanism of drug induced ferroptosis in the treatment of head and neck tumors
    Zeng Yan, Luo Pan, Wang Ziqi, Wu Weili
    Journal of International Oncology 2022, 49 (3): 173-176. DOI:10.3760/cma.j.cn371439-20210922-00029
    Abstract215 HTML24 PDF(pc)(2960KB)( 344 Save

    Ferroptosis is drived by lipid reactive oxygen species, which plays an important role in the development of tumors. It has been found that a variety of clinical medicines, such as artemisinin derivatives, itraconazole, sulfasala zine, cucurbitacin B, paclitaxel, disulfiram/copper can induce ferroptosis and inhibit tumor growth in head and neck cancer (HNC) through different mechanisms. To study the regulatory mechanism of ferroptosis induced by commonly used drugs in the treatment of HNC can provide reference for the targeted treatment of ferroptosis in HNC.

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    Journal of International Oncology 2024, 51 (1): 1-20. DOI:10.3760/cma.j.cn371439-20231221-00001
    Abstract383 HTML89 PDF(pc)(2788KB)( 341 Save
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    Application of artificial intelligence in the target delineation of radiotherapy
    Yan Danfang, Wang Lihong, Ye Hongxing, Yan Senxiang
    Journal of International Oncology 2022, 49 (3): 168-172. DOI:10.3760/cma.j.cn371439-20220104-00028
    Abstract565 HTML34 PDF(pc)(3982KB)( 289 Save

    Artificial intelligence is the use of computer algorithms to copy or simulate human behavior, giving machines human-like ability. With the rapid development of radiotherapy technology, artificial intelligence has great potential value in all stages of radiotherapy. Image segmentation is the premise of target delineation using artificial intelligence. The commonly used methods in clinic mainly include automatic segmentation based on deep learning and atlas library. The technology of artificial intelligence in organs at risk delineation is relatively mature, which can significantly shorten the delineation time and improve the efficiency. The delineation of tumor targets has achieved some success, the accuracy still needs to be further improved. Artificial intelligence technology makes the target delineation more and more efficient, and the consistency and repeatability have been significantly improved. It is expected to provide more accurate and individualized treatment for patients.

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    Mechanism of lncRNA and circRNA regulating the sensitivity of radiotherapy and chemotherapy in esophageal squamous cell carcinoma
    Zhang Junpeng, Yu Yanyan, Li Baosheng
    Journal of International Oncology 2022, 49 (3): 185-189. DOI:10.3760/cma.j.cn371439-20220104-00032
    Abstract236 HTML31 PDF(pc)(3732KB)( 284 Save

    Long non-coding RNA (lncRNA) and circular RNA (circRNA) are two important types of non-coding RNA that can regulate gene expression by directly interacting with DNA, RNA or protein. A large number of studies have shown that lncRNA and circRNA can not only predict the prognosis of patients with esophageal squamous cell carcinoma (ESCC) after radiotherapy and chemotherapy, but also affect the sensitivity of ESCC to radiotherapy and chemotherapy through competing endogenous RNA mechanisms, regulating PI3K/Akt/mTOR and Wnt/β-catenin signaling pathways, participating in DNA and protein modification, regulating the cell cycle and other pathways. In-depth research on the mechanism of lncRNA and circRNA regulating the sensitivity of ESCC to radiotherapy and chemotherapy will improve the effect of radiotherapy and chemotherapy in ESCC patients.

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    Progression of radiotherapy for brain metastases in non-small cell lung cancer
    Ji Huan, Zhou Juying, Ma Chenying, Xu Xiaoting, Qin Songbing
    Journal of International Oncology 2022, 49 (3): 181-184. DOI:10.3760/cma.j.cn371439-20220104-00031
    Abstract275 HTML41 PDF(pc)(3008KB)( 266 Save

    Brain metastases are one of the most common distant metastases in patients with non-small cell lung cancer (NSCLC), and the prognosis will be extremely poor. The effect of chemotherapy and operation is limited. As a standard treatment, radiotherapy is widely used in clinical practice. Radiotherapy alone includes whole brain radiotherapy, stereotactic radiotherapy and whole brain radiotherapy combined with stereotactic radiotherapy. With the continuous development of radiotherapy and the progress of gene sequencing, radiotherapy has been combined with targeted drugs, anti-angiogenic drugs and immunodrugs in the treatment of NSCLC brain metastasis, which can improve the survival of patients with NSCLC brain metastasis.

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    Journal of International Oncology 2022, 49 (2): 125-128. DOI:10.3760/cma.j.cn371439-20210813-00021
    Abstract231 HTML16 PDF(pc)(3692KB)( 251 Save
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    Research progress of metformin in tumor immunotherapy
    Ning Tingting, Hu Qinyong
    Journal of International Oncology 2022, 49 (5): 292-295. DOI:10.3760/cma.j.cn371439-20220228-00054
    Abstract280 HTML30 PDF(pc)(730KB)( 215 Save

    In recent decades, immune checkpoint inhibitors (ICIs) have ushered in a new era in oncology treatment. Despite the remarkable efficacy of ICIs, there are still many patients who do not benefit from immunotherapy alone. Combination therapy is currently the main research direction in China and abroad. Metformin can enhance the number and function of T cells, affect macrophage polarization, promote natural killer cell activation and regulate immune checkpoint expression. A large number of preclinical and clinical studies are exploring the efficacy and safety of ICIs in combination with metformin in different tumors.

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    Predictive value of serum inflammatory markers in immunotherapy of non-small cell lung cancer
    Luo Hong, Yin Hong, Hu Guangyue, Tao Hong
    Journal of International Oncology 2022, 49 (3): 177-180. DOI:10.3760/cma.j.cn371439-20211115-00030
    Abstract226 HTML35 PDF(pc)(3005KB)( 214 Save

    Immune checkpoint inhibitors (ICIs) can not only prolong the survival time of patients with non-small cell lung cancer (NSCLC) in a short time, but also achieve a lasting response to the tumor. However, there has been significant heterogeneity in the efficacy of ICIs among patients with different types of NSCLC, and there has been still a lack of universal biomarkers to predict the benefit of ICIs treatment. Inflammation has played a definite role in the occurrence and development of tumors, and a variety of inflammatory markers in serum also have become clinical indicators reflecting immune status, such as lactate dehydrogenase, C-reactive protein, serum neutrophils, lymphocytes, platelets and other indicators. These inflammatory markers are easy to obtain and are associated with the prognosis of a variety of solid tumors.

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    Predictive value of biomarkers in immunotherapy of advanced non-small cell lung cancer
    Lei Yan, Zhang Gehong
    Journal of International Oncology 2022, 49 (12): 739-744. DOI:10.3760/cma.j.cn371439-20220816-00145
    Abstract299 HTML32 PDF(pc)(819KB)( 211 Save

    Immunotherapy, especially immune checkpoint inhibitor, has revolutionized the treatment mode of advanced non-small cell lung cancer. The predictive effect of programmed death-ligand 1 and tumor mutation burden for treatment response has been fully proved. Neither of which can avoid some problems, including tumor heterogeneity, inconsistent detection methods and identification standards. The studies have found that some novel biomarkers are related to the efficacy of immunotherapy, such as mismatch repair deficiency and microsatellite instability, driver gene mutation, routine peripheral blood biomarkers, circulating tumor cells, circulating tumor DNA and so on. Further research on the predictive value of biomarkers in tumor tissue and peripheral blood in immunotherapy of advanced non-small cell lung cancer can provide a reference for instituting clinical treatment plan.

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    Mechanism study on regulation of glioblastoma cell proliferation and apoptosis by sciadopitysin combined with CX-4945 through Notch1 pathway
    Lian Haiwei, Yang Shuorui, Liu Renzhong
    Journal of International Oncology 2022, 49 (6): 321-326. DOI:10.3760/cma.j.cn371439-20220118-00061
    Abstract519 HTML37 PDF(pc)(1291KB)( 207 Save
    ObjectiveTo investigate the effects and mechanism of sciadopitysin combined with CK2 inhibitor CX-4945 on proliferation and apoptosis of glioblastoma U87 cells. MethodsGlioblastoma U87 cells were cultured in vitro, and treated with 0.01, 0.10, 1.00, 10.00, 100.00 μmol/L of sciadopitysin respectively. U87 cells were treated with 1.25, 2.50, 5.00, 10.00, 20.00 μmol/L of CX-4945. U87 cells were divided into control group (without any treatment), sciadopitysin group (100.00 μmol/L of sciadopitysin), CX-4945 group (5.00 μmol/L of CX-4945), sciadopitysin combined with CX-4945 group (100.00 μmol/L of sciadopitysin plus 5.00 μmol/L of CX-4945). MTT method was used to detect cell viability, Caspase3/7 activity assay and Annexin Ⅴ/ PI double staining were used to detect cell apoptosis, and Western blotting was used to detect the expressions of Notch1 pathway related proteins ICN1, HES1 and DLL3. ResultsThe cell viabilities of U87 cells treated with 0, 0.01, 0.10, 1.00, 10.00, 100.00 μmol/L of sciadopitysin were (100.00±6.30)%, (112.02±7.63)%, (140.84±6.73)%, (113.92±7.92)%, (102.60±7.12)% and (73.16±2.74)% respectively, and there was a statistically significant difference ( F=55.21, P<0.001). There were statistically significant differences in the cell viabilities of U87 cells between 0 μmol/L and 0.01, 0.10, 1.00, 100.00 μmol/L of sciadopitysin treatment ( P=0.009; P<0.001; P=0.003; P<0.001). The cell viability of U87 cells was inhibited by 100.00 μmol/L of sciadopitysin, while sciadopitysin at other low concentrations manifested as enhancement or no obvious effect. The cell viabilities of U87 cells treated with 0, 1.25, 2.50, 5.00, 10.00, 20.00 μmol/L of CX-4945 were (100.00±5.53)%, (108.70±10.24)%, (93.14±2.82)%, (81.46±4.92)%, (56.92±3.99)% and (31.24±2.67)% respectively, and there was a statistically significant difference ( F=135.18, P<0.001). There were statistically significant differences in the cell viabilities of U87 cells between 0 μmol/L and 1.25, 5.00, 10.00, 20.00 μmol/L of CX-4945 treatment ( P=0.022; P<0.001; P<0.001; P<0.001). Low concentration (1.25 μmol/L) of CX-4945 enhanced the cell viability of U87 cells, however higher concentrations (5.00, 10.00, 20.00 μmol/L) of CX-4945 shown inhibitory effect. The cell viabilities of U87 cells in the control group, sciadopitysin group, CX-4945 group and sciadopitysin combined with CX-4945 group were (100.00±5.53)%, (71.96±2.10)%, (77.66±4.12)% and (42.56±4.22)% respectively, and there was a statistically significant difference ( F=160.56, P<0.001). There were statistically significant differences between the control group and each treatment groups (all P<0.001). There were statistically significant differences between the sciadopitysin combined with CX-4945 group and sciadopitysin group, CX-4945 group (both P<0.001). The Caspase3/7 activities of U87 cells in the above four groups were 2.34±0.47, 4.02±0.22, 3.67±0.32 and 5.85±0.28 respectively, and there was a statistically significant difference ( F=55.80, P<0.001). The apoptosis rates of each groups were (0.40±0.10)%, (17.37±0.57)%, (3.00±0.66)% and (33.47±0.87)% respectively, and there was a statistically significant difference ( F=1 822.18, P<0.001). Further pairwise comparison showed that there were statistically significant differences in Caspase3/7 activities and apoptosis rates between the control group and each treatment groups ( P<0.001, P=0.001, P<0.001; P<0.001, P=0.001, P<0.001). There were statistically significant differences in Caspase3/7 activities and apoptosis rates between the sciadopitysin combined with CX-4945 group and sciadopitysin group, CX-4945 group (all P<0.001). The protein expression levels of Notch 1 pathway related proteins ICN1 (0.55±0.07 vs.1.01±0.09), HES1 (0.66±0.08 vs.1.00±0.06) and DLL3 (0.74±0.04 vs.1.01±0.09) in U87 cells decreased significantly after treatment with 100.00 μmol/L of sciadopitysin ( t=5.94, P=0.004; t=5.15, P=0.007; t=4.00, P=0.016). ConclusionSciadopitysin can synergize with CK2 inhibitor CX-4945 to inhibit the proliferation and promote apoptosis of glioblastoma U87 cells by inhibiting Notch1 signaling pathway.
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    Journal of International Oncology 2024, 51 (9): 0-0.
    Abstract45 PDF(pc)(3150KB)( 207 Save
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    Research progress of oxidative stress in the sensitivity of chemoradiotherapy for gliomas
    Xiao Nan, Sun Pengfei
    Journal of International Oncology 2022, 49 (6): 357-361. DOI:10.3760/cma.j.cn371439-20220309-00068
    Abstract273 HTML20 PDF(pc)(732KB)( 206 Save

    Following oxidative stress, reactive oxygen species are produced and accumulate in glioma cells in large quantities, and to avoid the occurrence of cellular dysfunction, glioma cells can respond adaptively in the biological processes of DNA damage repair, lipid peroxidation and protein modification to produce radiotherapy resistance. The expression of nuclear factor erythroid 2-related factor 2, solute carrier family 7 member 11, glutathione and microRNA, as key regulatory molecules, can regulate reactive oxygen species levels, alter glioma oxidative stress status, and affect radiochemotherapy sensitivity. Further study on the relationship between oxidative stress and sensitivity to radiotherapy and chemotherapy of glioma can provide theoretical basis for precise treatment of glioma.

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    Research progress in influences of epigenetic modifications on PD-L1 expression in tumors
    Wang Yue, Hu Qun, Hou Yingwei
    Journal of International Oncology 2022, 49 (6): 345-348. DOI:10.3760/cma.j.cn371439-20220323-00065
    Abstract278 HTML26 PDF(pc)(752KB)( 205 Save

    Tumor cells expression of programmed death ligand-1 (PD-L1) is a major mechanism of immune escape and a predictor of therapeutic efficacy of immune checkpoint inhibitors. The expression of PD-L1 is regulated by a variety of mechanisms, among which epigenetic modifications such as DNA methylation, histone modification and non-coding RNA can promote the occurrence, development and drug resistance of tumors by regulating the expression of PD-L1. To clarify its regulation mechanism can bring new ideas for clinical immunotherapy of tumors.

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    Efficacy analysis of anlotinib combined with chemotherapy for advanced non-small cell lung cancer after failure of second-line chemotherapy
    Sheng Xiao'an, Wang Chao, Xiao Xin, Tong Sihao
    Journal of International Oncology 2022, 49 (3): 134-139. DOI:10.3760/cma.j.cn371439-20210115-00023
    Abstract330 HTML56 PDF(pc)(4122KB)( 205 Save

    Objective To observe the efficacy and safety of anlotinib combined with chemotherapy in patients with advanced non-small cell lung cancer (NSCLC) who failed second-line chemotherapy.MethodsA retrospective analysis was performed on 80 patients with advanced NSCLC who had failed second-line chemotherapy admitted in the Department of Oncology of Chaohu Hospital of Anhui Medical University from January 2017 to October 2019, and the patients were divided into control group (n=36) and observation group (n=44) according to the different treatment regimens. The control group was given pemetrexed + cisplatin, and the observation group adopted pemetrexed + cisplatin + anlotinib. The objective response rate (ORR), disease control rate (DCR), median progression-free survival (PFS), overall survival (OS), changes in levels of serum vascular endothelial growth factor (VEGF), carcinoembryonic antigen (CEA) and carbohydrate antigen 199 (CA199) and treatment-related adverse reactions were compared between the two groups.ResultsAfter 2 cycles of treatment, the ORR in the control group and observation group were 5.56% (2/36) and 18.18% (8/44), with no statistically significant difference (χ2=1.85,P=0.174). The DCR in the two groups were 58.33% (21/36) and 81.82% (36/44), and the DCR in the observation group was significantly higher than that in the control group, with a statistically significant difference (χ2=5.33,P=0.021). The median PFS in the two groups were 4.0 months and 6.0 months, and the median PFS in the observation group was longer than that in the control group, with a statistically significant difference (χ2=28.47, P<0.001). The median OS in the two groups were 13.0 months and 14.8 months, with no statistically significant difference (χ2=1.56,P=0.212). The levels of serum VEGF [(21.72±5.42) ng/Lvs.(36.97±7.53) ng/L,t=14.13,P<0.001; (16.61±4.14) ng/Lvs. (38.85±8.61) ng/L,t=23.09,P<0.001], CEA [(4.91±1.58) ng/mlvs. (6.62±2.84) ng/ml,t=4.64,P<0.001; (3.07±1.32) ng/mlvs. (7.08±3.31) ng/ml,t=11.50,P<0.001] and CA199 [(16.83±5.23) U/mlvs. (20.95±7.94) U/ml,t=3.75,P<0.001; (13.37±5.85) U/mlvs. (21.66±8.72) U/ml,t=7.55,P<0.001] in the control group and observation group after 2 cycles of treatment were significantly decreased compared with those before treatment, and the levels of serum VEGF, CEA and CA199 in the observation group were significantly lower than those in the control group (t=4.78,P<0.001;t=5.68,P<0.001;t=2.76,P=0.007). The incidence of elevated blood pressure in the observation group was significantly higher than that in the control group [25.00% (11/44)vs.2.78% (1/36),χ2=7.67,P=0.006].ConclusionPemetrexed + cisplatin + anlotinib regimen for patients with advanced NSCLC who failed second-line chemotherapy can improve DCR, prolong PFS and improve the levels of serum tumor-related markers, with controllable adverse reactions.

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    Research progress on the mechanism of CDK4/6 inhibitors promoting antitumor immunity by regulating the immune microenvironment of triple negative breast cancer
    Wu Jiayi, Chen Keyu, Shao Xiying, Wang Xiaojia
    Journal of International Oncology 2022, 49 (6): 362-365. DOI:10.3760/cma.j.cn371439-20211215-00069
    Abstract274 HTML24 PDF(pc)(741KB)( 204 Save

    Triple negative breast cancer is a subtype of breast cancer with poor prognosis and lack of effective treatment. Cyclin dependent kinase(CDK)4/6 inhibitors promote antitumor immunity by influencing the triple negative breast cancer immune microenvironment, such as increasing the tumor cell surface pragrammed death-ligand 1 protein expression, enhancing T cell activation and antigen presentation, changing the proportion of T cell subgroup and inducing lymphocyte infiltration. The change of immune microenvironment is related to tumor progression, but its mechanism is extremely complex. Exploring the mechanism of CDK4/6 inhibitor affecting immune microenvironment and its biomarkers can provide a new direction for the diagnosis and treatment of triple negative breast cancer.

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