Aging and cancer最新文献

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Allostatic load and risk of all-cause, cancer-specific, and cardiovascular mortality in older cancer survivors: An analysis of the National Health and Nutrition Examination Survey 1999–2010 老年癌症幸存者的适应负荷与全因、癌症特异性和心血管死亡风险:1999-2010年全国健康与营养调查分析
Aging and cancer Pub Date : 2023-05-15 DOI: 10.1002/aac2.12064
Danting Yang, Meghann Wheeler, Shama D. Karanth, Livingstone Aduse-Poku, Christiaan Leeuwenburgh, Stephen Anton, Yi Guo, Jiang Bian, Muxuan Liang, Hyung-Suk Yoon, Tomi Akinyemiju, Dejana Braithwaite, Dongyu Zhang
{"title":"Allostatic load and risk of all-cause, cancer-specific, and cardiovascular mortality in older cancer survivors: An analysis of the National Health and Nutrition Examination Survey 1999–2010","authors":"Danting Yang,&nbsp;Meghann Wheeler,&nbsp;Shama D. Karanth,&nbsp;Livingstone Aduse-Poku,&nbsp;Christiaan Leeuwenburgh,&nbsp;Stephen Anton,&nbsp;Yi Guo,&nbsp;Jiang Bian,&nbsp;Muxuan Liang,&nbsp;Hyung-Suk Yoon,&nbsp;Tomi Akinyemiju,&nbsp;Dejana Braithwaite,&nbsp;Dongyu Zhang","doi":"10.1002/aac2.12064","DOIUrl":"10.1002/aac2.12064","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Allostatic load (AL) has been linked to an increased risk of death in various populations. However, to date, there is no research specifically investigating the effect of AL on mortality in older cancer survivors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To investigate the association between AL and mortality in older cancer survivors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A total of 1291 adults aged 60 years or older who survived for ≥1 year since cancer diagnoses were identified from the 1999 to 2010 National Health and Nutrition Examination Survey. AL was the exposure of interest incorporating nine clinical measures/biomarkers; one point was added to AL if any of the measures/biomarkers exceeded the normal level. The sum of points was categorized as an ordinal variable to reflect low, moderate, and high ALs. Our outcomes of interest were all-cause, cancer-specific, and cardiovascular disease–specific mortality. Death was identified by linkage to the National Death Index. Multivariable Cox proportional hazards models were used to estimate adjusted hazard ratio (aHR) and 95% confidence intervals (CI) of mortality by AL category.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 53.6% of participants were male and 78.4% were white. The mean age of study participants at interview was 72.8 years (standard deviation = 7.1). A total of 546 participants died during the follow-up (median follow-up time: 8.0 years). Among them, 158 died of cancer, and 106 died of cardiovascular events. Results from multivariable Cox proportional hazards models showed that higher ALS was positively associated with higher all-cause mortality (ALS = 4–9 vs. ALS = 0–1: aHR = 1.52, 95% CI = 1.17–1.98, <i>p</i>-trend &lt; 0.01) and higher cancer-specific mortality (ALS = 4–9 vs. ALS = 0–1: aHR = 1.80, 95% CI = 1.12–2.90, <i>p</i>-trend = 0.01). The association between ALS and cardiovascular mortality was positive but nonsignificant (ALS = 4–9 vs. ALS = 0–1: aHR = 1.59, 95% CI = 0.86–2.94, <i>p</i>-trend = 0.11).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our study suggests that older cancer survivors can have a higher risk of death if they have a high burden of AL.</p>\u0000 </section>\u0000 </div>","PeriodicalId":72128,"journal":{"name":"Aging and cancer","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421616/pdf/nihms-1919026.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10005468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Development and treatment of colorectal cancer: Insights from multi-kingdom microbiota 癌症的发展和治疗:来自多王国微生物群的见解
Aging and cancer Pub Date : 2023-04-12 DOI: 10.1002/aac2.12063
Yue-Mei Hong, Dingka Song, Ning-Ning Liu, Hui Wang
{"title":"Development and treatment of colorectal cancer: Insights from multi-kingdom microbiota","authors":"Yue-Mei Hong,&nbsp;Dingka Song,&nbsp;Ning-Ning Liu,&nbsp;Hui Wang","doi":"10.1002/aac2.12063","DOIUrl":"10.1002/aac2.12063","url":null,"abstract":"<p>Colorectal cancer (CRC) is a multistage and highly heterogeneous malignant disease that mostly occurred in aged people accompanied by microbiota alteration. Emerging evidence has uncovered the role of bacterial microbiota in the initiation and development of CRC. However, the effects of nonbacterial members inhabiting the human body, such as fungi, archaea, and viruses, have been largely ignored. The multi-kingdom microbiota can be altered by dietary exposures and probiotic supplements. Furthermore, the efficacy of antitumor therapeutic strategies, such as radiotherapy, chemotherapy, and immunotherapy, are also closely associated with the alteration of multi-kingdom microbiota. In this review, we describe CRC-associated multi-kingdom microbiota dysbiosis and the role of daily diet on CRC progression through microbiota alteration. We then discuss the impact of microbiota in different CRC therapies and highlight the advances as well as challenges in understanding how multi-kingdom microbiome impacts the outcome of CRC.</p>","PeriodicalId":72128,"journal":{"name":"Aging and cancer","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/aac2.12063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42338571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness and safety of Endostar combined with chemotherapy in treating advanced NSCLC patients with different ages Endostar联合化疗治疗不同年龄晚期NSCLC患者的有效性和安全性
Aging and cancer Pub Date : 2023-04-08 DOI: 10.1002/aac2.12062
Wei Jiang, Jing Liang, Wei Sun, Wenhui Li, Jin Gao, Hui Wang, Wei Zhou, Lixiang Aa, Luhua Wang
{"title":"Effectiveness and safety of Endostar combined with chemotherapy in treating advanced NSCLC patients with different ages","authors":"Wei Jiang,&nbsp;Jing Liang,&nbsp;Wei Sun,&nbsp;Wenhui Li,&nbsp;Jin Gao,&nbsp;Hui Wang,&nbsp;Wei Zhou,&nbsp;Lixiang Aa,&nbsp;Luhua Wang","doi":"10.1002/aac2.12062","DOIUrl":"10.1002/aac2.12062","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study aims to compare the real-world effectiveness and safety of Endostar in combination with chemotherapy in the treatment of advanced non-small cell lung cancer (NSCLC) in different age groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Electronic medical records of patients with NSCLC who received Endostar combined with chemotherapy from June 2012 to August 2019 in 7 cancer centers were retrospectively collected. Baseline characteristics before and after propensity score matching (PSM), effectiveness evaluation, and safety data of two age groups were analyzed. Tumor response was evaluated according to RECIST v1.1. Adverse events (AEs) were graded according to NCI-CTCAE 5.0.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In this study, 554 and 571 patients were assigned to ≤60 years non-aged group and &gt;60 years aged group, respectively. After propensity score matching (PSM) was introduced, 166 patients in each age group were analyzed. The median PFS for the two groups was 8.9 and 8.0 months, with the overall response rate was 24.7% and 26.5% (<i>p</i> = 0.7060), disease control rate was 64.5% versus 68.7% (<i>p</i> = 0.4600), respectively. Cox regression result showed that advanced age has no significant influence on PFS (hazard ratio = 1.02, 95% CI: 0.98−1.06, <i>p</i> = 0.3034) in contrast with younger patients. The most common AEs in both age groups were myelosuppression, gastrointestinal reactions, and hepatic impairment. The total incidence for the above AEs in the two groups was 18.67% versus 24.10%, 22.89% versus 21.69%, 12.05% versus 7.23%, with no statistically significant difference.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Compared with treating patients with NSCLC younger than 60 years old, the effectiveness of Endostar combined with chemotherapy in treating advanced patients showed no significant differences, with tolerable adverse events.</p>\u0000 </section>\u0000 </div>","PeriodicalId":72128,"journal":{"name":"Aging and cancer","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/aac2.12062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41907510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The etiology of clonal mosaicism in human aging and disease 人类衰老和疾病中克隆嵌合的病因
Aging and cancer Pub Date : 2023-02-17 DOI: 10.1002/aac2.12061
Sanne Massaar, Mathijs A. Sanders
{"title":"The etiology of clonal mosaicism in human aging and disease","authors":"Sanne Massaar,&nbsp;Mathijs A. Sanders","doi":"10.1002/aac2.12061","DOIUrl":"10.1002/aac2.12061","url":null,"abstract":"<p>Our DNA is consistently assaulted by a variety of intrinsic and extrinsic mutational factors. Fortunately, DNA repair provides for protective barriers that limit the full manifestation of DNA damage. Yet, DNA repair represents no panacea as DNA damage continuously slips through these erected defenses and materializes as mutation, which can have undesirable consequences as seen for cancer. Acquisition of early driver mutations can engender mutated stem cells with increased cellular fitness resulting in clonal expansion (CE) and increased risk of malignant disease. Tissue clonal mosaicism as observed in the elderly is therefore the natural outcome of continuous driver mutation acquisition in stem cells and their subsequent clonal outgrowth. Hence, a major emerging theme is that CE is an idiosyncrasy of the aging human tissue. This phenomenon can have diverse health consequences that we here divide into three categories: cancer, non-cancer morbidity, and disease protection. This review outlines current day knowledge on clonal outgrowth, how it relates to health and aging, and how in the framework of DNA repair deficiencies these subjects are consolidated.</p>","PeriodicalId":72128,"journal":{"name":"Aging and cancer","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/aac2.12061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46722735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Effect of surgery on the survival of elderly patients with early stage pancreatic cancer: A propensity-matched analysis 手术对老年早期癌症胰腺癌患者生存率的影响:倾向匹配分析
Aging and cancer Pub Date : 2022-12-28 DOI: 10.1002/aac2.12057
Jiali Wu, Zishan Xie, Chuqian Lei, Liwa Yu, Rui Huang, Ming Li, Lu Yuan, Weixing Zhang
{"title":"Effect of surgery on the survival of elderly patients with early stage pancreatic cancer: A propensity-matched analysis","authors":"Jiali Wu,&nbsp;Zishan Xie,&nbsp;Chuqian Lei,&nbsp;Liwa Yu,&nbsp;Rui Huang,&nbsp;Ming Li,&nbsp;Lu Yuan,&nbsp;Weixing Zhang","doi":"10.1002/aac2.12057","DOIUrl":"10.1002/aac2.12057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and objectives</h3>\u0000 \u0000 <p>Research about the effect of surgery in geriatric patients with early stage pancreatic ductal adenocarcinoma (PDAC) is limited, and it remains a subject of much debate. The purpose of this study was to evaluate the role of surgery on the survival of elderly patients with T1-3N0M0 PDAC and to further investigate the prognosis of these patients undergoing different surgical methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patients aged ≥65 with T1-3N0M0 PDAC diagnosed in 2004–2016 were collected from the Surveillance, Epidemiology, and End Results database. The imbalance of baseline characteristics was reduced by propensity score matching. We used the log-rank tests to evaluate overall survival (OS) and cancer-specific survival (CSS) among different groups. Univariate and multivariate Cox regression analysis was utilized to explore prognostic factors in PDAC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 6363 patients were enrolled. After matching, 1110 patients were paired. We found that surgery could provide better survival (<i>p</i> &lt; 0.001). Moreover, compared with those who underwent partial resection or larger resection, patients who underwent local tumor destruction had poorer OS and CSS (<i>p</i> &lt; 0.001). However, no statistically significant survival differences were shown between the partial resection group and the larger resection group (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Surgical intervention could confer a survival benefit to elderly patients with early stage PDAC. Additionally, these patients could benefit from more radical operations, and radical operations with reasonable extents are advocated rather than too aggressive methods.</p>\u0000 </section>\u0000 </div>","PeriodicalId":72128,"journal":{"name":"Aging and cancer","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/aac2.12057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49162261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Barriers to access cancer-related services for men in high-income countries: A narrative review looking beyond socioeconomic disadvantages 高收入国家男性获得癌症相关服务的障碍:超越社会经济劣势的叙述性综述
Aging and cancer Pub Date : 2022-12-18 DOI: 10.1002/aac2.12059
Ali Zafar, Franziska Baessler, Andreas Ihrig, Gwendolyn Mayer, Till Johannes Bugaj, Imad Maatouk, Jens Staeudle, Hans-Christoph Friederich, Jobst-Hendrik Schultz
{"title":"Barriers to access cancer-related services for men in high-income countries: A narrative review looking beyond socioeconomic disadvantages","authors":"Ali Zafar,&nbsp;Franziska Baessler,&nbsp;Andreas Ihrig,&nbsp;Gwendolyn Mayer,&nbsp;Till Johannes Bugaj,&nbsp;Imad Maatouk,&nbsp;Jens Staeudle,&nbsp;Hans-Christoph Friederich,&nbsp;Jobst-Hendrik Schultz","doi":"10.1002/aac2.12059","DOIUrl":"10.1002/aac2.12059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Cancer screening programs are routinely available in high-income countries, but participation rates are low, especially among men. This narrative review aims to identify male-specific access barriers to cancer-related healthcare in high-income countries that offer statutory insurance/subsidized health care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched PubMed, Science Direct, and Web of Science for peer-reviewed journal articles published within the past 10 years on cancer healthcare access, help-seeking behavior, and men. Step-wise screening of title, abstract, and full text resulted in 23 studies that fit the selection criteria for findings in high-income countries. The results were analyzed descriptively using qualitative thematic synthesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the reviewed studies, barriers for men in accessing cancer-related healthcare offers could be broadly categorized under sociocultural norms, personal behaviors, and structural problems. The most common barriers were related to sociocultural influences and included notions of masculinity, distrust in the medical system, and personnel/social commitments. Major personal barriers included fear of getting cancer or screening methods, lack of awareness about cancer, and problems in communication with healthcare professionals. Accessibility and lack of insurance were reported as common structural barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The reluctance of men in approaching medical help was rooted in sociocultural norms of traditional masculinity with direct and indirect consequences such as fear, lack of awareness, distrust of medical personnel, and problems in communicating with healthcare professionals. Gender-specific, male-oriented information via digital, anonymous interventions may be helpful for increasing participation of men in cancer care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":72128,"journal":{"name":"Aging and cancer","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/aac2.12059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42484978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The impact of Omicron pandemic and COVID-19 vaccination on the pancreatic adenocarcinoma patients 奥密克戎大流行和新冠肺炎疫苗接种对胰腺癌患者的影响。
Aging and cancer Pub Date : 2022-12-08 DOI: 10.1002/aac2.12056
Ningzhen Fu, Yu Jiang, Zhiwei Xu, Meng Yang, Chenghong Peng, Xiaxing Deng, Shulin Zhao, Baiyong Shen
{"title":"The impact of Omicron pandemic and COVID-19 vaccination on the pancreatic adenocarcinoma patients","authors":"Ningzhen Fu,&nbsp;Yu Jiang,&nbsp;Zhiwei Xu,&nbsp;Meng Yang,&nbsp;Chenghong Peng,&nbsp;Xiaxing Deng,&nbsp;Shulin Zhao,&nbsp;Baiyong Shen","doi":"10.1002/aac2.12056","DOIUrl":"10.1002/aac2.12056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The coronavirus disease 2019 (COVID-19) pandemic resulted in enormous medical and economic burden worldwide during the past 3 years. The vaccination was deemed the effective option to prevent the severe symptoms, and especially recommended among cancer patients. Shanghai experienced the first lockdown during the recent Omicron pandemic since 2019. How patients with pancreatic adenocarcinoma (PAC) suffered from the pandemic and how vaccination influenced their oncological outcomes were unexplored yet.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The retrospective study was carried out in a high-volume referral center including 1157 consecutively enrolled patients with PAC experiencing the COVID-19 pandemic. The primary outcome was the overall survival (OS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Limited postoperative patients (9.21%) received the vaccination. The lockdown in Shanghai (April to May, 2022) was not observed impacting the survival prognoses of patients with PAC. Though vaccination was not significantly associated with OS itself (adjusted hazard ratio (aHR): 2.032 [0.940–4.391], <i>p =</i> 0.071), it was discovered to synergistically improve the chemotherapy effect in the multivariate analyses (interaction <i>p =</i> 0.023).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The vaccination itself did not influence the survival prognoses of patients with PAC. A potential positive interaction was observed between chemotherapy and vaccination despite the limited follow-up time. The postoperative patients should consider the vaccination more. The patients with PAC did not suffer worse prognostic outcomes from the strict sanitary policy during the wave of COVID-19 pandemic in Shanghai.</p>\u0000 </section>\u0000 </div>","PeriodicalId":72128,"journal":{"name":"Aging and cancer","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9878165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10590387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary extranodal diffuse large B-cell lymphoma: Molecular features, treatment, and prognosis 原发性结外弥漫性大B细胞淋巴瘤:分子特征、治疗和预后
Aging and cancer Pub Date : 2022-11-27 DOI: 10.1002/aac2.12058
Si-Yuan Chen, Meng-Meng Ji, Peng-Peng Xu, Wei-Li Zhao
{"title":"Primary extranodal diffuse large B-cell lymphoma: Molecular features, treatment, and prognosis","authors":"Si-Yuan Chen,&nbsp;Meng-Meng Ji,&nbsp;Peng-Peng Xu,&nbsp;Wei-Li Zhao","doi":"10.1002/aac2.12058","DOIUrl":"10.1002/aac2.12058","url":null,"abstract":"<p>Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of non-Hodgkin's lymphoma and represents a heterogeneous entity. One-third of DLBCL arises from extranodal organs and its prognosis often varies with regard to the sites involved. Molecular features are important to elucidate the differences in clinical features, predict the disease prognosis, and improve effective targeted therapeutic strategies. Extranodal DLBCLs originated from the breast, skin, uterus, immune-privileged sites such as the central nervous system and testes, often show a high proportion of non-germinal center B-cell-like (non-GCB) phenotypes, with a high frequency of <i>MYD88</i><i>/</i><i>CD79B</i> mutations. In contrast, extranodal DLBCLs originated from the thyroid gland and stomach show a relatively low proportion of non-GCB phenotype, with a considerably excellent prognosis. Immunochemotherapy with rituximab is the standard of care in both nodal and extranodal DLBCLs. However, approximately 40% of the patients experience treatment failure. It is critical to optimize the treatment strategy, including radiotherapy, autologous stem cell transplantation and targeted therapy according to the clinical characteristics and molecular heterogeneity. In this review, we present an overview of the key molecular pathways, prognosis assessment and innovative therapies in primary extranodal DLBCLs.</p>","PeriodicalId":72128,"journal":{"name":"Aging and cancer","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/aac2.12058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41409097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cancer and aging: A call to action 癌症与衰老:行动呼吁。
Aging and cancer Pub Date : 2022-07-12 DOI: 10.1002/aac2.12055
Dejana Braithwaite, Stephen Anton, Supriya Mohile, James DeGregori, Nancy Gillis, Daohong Zhou, Shirley Bloodworth, Marco Pahor, Jonathan Licht
{"title":"Cancer and aging: A call to action","authors":"Dejana Braithwaite,&nbsp;Stephen Anton,&nbsp;Supriya Mohile,&nbsp;James DeGregori,&nbsp;Nancy Gillis,&nbsp;Daohong Zhou,&nbsp;Shirley Bloodworth,&nbsp;Marco Pahor,&nbsp;Jonathan Licht","doi":"10.1002/aac2.12055","DOIUrl":"10.1002/aac2.12055","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The intersection of cancer and aging is an emerging public health challenge in developed countries because of the aging and expansion of the population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>We convened a panel of experts to share their insights on this topic at the inaugural University of Florida Health Cancer Center's (UFHCC's) Cancer and Aging Symposium, which was held virtually in February 2022.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We featured presentations from four leading scientists, whose research spans multiple disciplines including basic science, translational research, geriatric oncology, and population science.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Each speaker offered their unique perspective and insight on the intersection between cancer and aging and discussed their current and ongoing research in this field. In addition to this panel of experts, scientists from the National Institutes of Health and the National Cancer Institute, as well as a UFHCC-affiliated citizen scientist, shared their perspectives on strategies to move the field forward. Some of the key open questions and opportunities for future research offered by these presenters in aging and cancer include but are not limited to infusing health disparities research into the field of cancer and aging, assessing the value of geriatric assessment in identifying early vulnerabilities that may affect response to emerging cancer therapies in older patients, and assessing biological age and other biomarkers (e.g., clonal hematopoiesis) in relation to clinical endpoints and the development of primary, secondary, and tertiary cancer prevention interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Research is needed to accelerate knowledge regarding the dynamic interplay of cancer and aging and optimize care in diverse older adults to achieve equity in cancer outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":72128,"journal":{"name":"Aging and cancer","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9521708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9190117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Aging and biliary tract cancers: Epidemiology, molecular biology, and clinical practice 衰老与胆道癌:流行病学、分子生物学和临床实践
Aging and cancer Pub Date : 2022-06-13 DOI: 10.1002/aac2.12054
Xiaoling Weng, Xiaoling Song, Rong Shao, Fatao Liu, Yingbin Liu
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