找回狗种 "疯狂 "患癌风险的新线索

IF 2.6 3区 医学 Q3 ONCOLOGY
Bryn Nelson PhD, William Faquin MD, PhD
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Teasing out cancer-associated factors, researchers say, could help to improve the beloved dogs’ longevity—as well as our own.</p><p>The Denver-based Morris Animal Foundation launched the biggest research effort to date, the Golden Retriever Lifetime Study, in 2012.<span><sup>1</sup></span> Veterinary researchers there enrolled 3044 privately owned dogs throughout the United States (all between 6 months and 2 years of age) to investigate not only the incidence but also environmental and genetic risk factors for cancers and other diseases, such as cognitive decline and osteoarthritis. With the oldest participants now turning 14 years old, Julia Labadie, DVM, PhD, MSPH, the study’s principal investigator, says that studying aging in dogs has emerged as an unanticipated additional goal.</p><p>“We have now a cohort of pretty old golden retrievers,” she says, noting that a significant fraction of those survivors could die of non-cancer causes. “So I think there’s a lot of questions that we can answer about the dogs that don’t get cancer and the dogs that live longer than the normal lifespan for golden retrievers that we always quote of about 10 to 12 years.”</p><p>Another recent study already is hinting that at least part of the longevity difference may be linked to variants in a gene encoding an epidermal growth factor receptor. Led by Robert Rebhun, DVM, PhD, chair of medical oncology at the University of California Davis School of Veterinary Medicine, the researchers discovered that a variant in a noncoding region of the <i>ERBB4</i> gene (also known as <i>HER4</i>) grants golden retrievers an extra 2 years of life on average.<span><sup>2</sup></span> Interestingly, <i>ERBB4</i> appears to have a “good variant” that is associated with longer lifespans and a “bad variant” that is associated with shorter lifespans.</p><p>Because longevity in the breed is highly influenced by cancer, the genetic variants are almost certainly associated with cancer as well, says coauthor Michael Kent, DVM, MS, a professor of radiation oncology at the veterinary school. Other research has found that <i>ERBB4</i> can serve as both a tumor suppressor and an oncogene.</p><p>“Everyone thought golden retrievers had a high rate of cancer and died maybe a little younger, but we really hadn’t looked at it,” Dr Kent says. Multiple research groups had previously struggled to find cancer-linked genes amid the background noise of genetic analyses. Dr Rebhun instead flipped the question on its head to ask, “Which dogs live extraordinarily long?”</p><p>Beyond their in-house data, the researchers recruited participants from dog shows and through word-of-mouth referrals to collect DNA from exceptionally long-lived retrievers. A genome-wide association study that compared dogs reaching at least 14 years of age to those dying before the age of 12 years uncovered a significant link with the <i>ERBB4</i> gene. Dr Rebhun and his colleagues have not yet determined the potential mechanistic pathway, although a planned follow-up using samples from the Lifetime Golden Retriever Study could help to validate their findings.</p><p>In a separate retrospective study led by Dr Kent, researchers pored over the records of 652 golden retrievers for which the age at death was known and the cause of death had been established through a necropsy examination.<span><sup>3</sup></span> The study determined that 65% of the dogs had died of cancer—less than the percentage calculated by the Morris Animal Foundation but still an “insane” number, Dr Kent says. Hemangiosarcoma and lymphoid neoplasia accounted for the two most common diagnoses.</p><p>Controversy has raged over whether non-neutered males and non-spayed females die of cancer at lower or higher rates. Dr Kent’s study, though, found that intact and neutered male golden retrievers died of cancer at roughly the same rate. Although spayed females died of cancer at significantly higher rates than their non-spayed counterparts, the study found that they also lived significantly longer: 9.5 years versus less than 6 years. Therefore, spayed female retrievers lived long enough to get cancer, Dr Kent says, whereas cancer is relatively uncommon in dogs younger than 5 years. Age, in other words, “appears to have a larger effect on cancer-related mortality than reproductive status,” he and his colleagues concluded in the study.</p><p>Longitudinal studies like the one conducted by the Morris Animal Foundation could help to clarify some of the links between cancer, age, and reproductive status. Dr Labadie and Kelly Diehl, DVM, MS, senior director of science and communications at the foundation, say that the power of their study derives in large part from the extensive sampling and data compilation. Beyond blood samples taken at the time of diagnosis and every year before then, the study has collected serum, urine, fecal, hair, and toenail samples from every participant, with biopsies and histopathology performed on most of the tumors. The dog owners complete extensive surveys each year, while electronic medical records capture prescription data and all diagnoses.</p><p>Other potential connections are starting to emerge. Lymphoma, the second most common cancer documented by the Golden Retriever Lifetime Study, is a cancer of the immune system, or a hematopoietic malignancy, while new research suggests that hemangiosarcoma may help promote hematopoietic tumors.<span><sup>4</sup></span> This commonality means that a shared genetic mutation could predispose golden retrievers to hematopoietic cell malignancies. “If we can find a biomarker that’s present in these dogs with cancer and then start looking back in time and see how early we can pick that up, we could really make a difference in diagnosing this earlier,” Dr Labadie says. In turn, because dogs have shorter lifespans than humans, potentially damaging effects—including environmental exposures such as PFAS chemicals in water—could appear sooner. Our canine companions, in short, also could be useful sentinels for human health.</p><p>For the time being, however, the researchers caution that translating new findings in golden retrievers to humans may be premature. Although dogs and humans mirror each other in age-adjusted cancer incidence curves and develop many of the same tumors, the closest human analogue to hemangiosarcoma is behaviorally distinct angiosarcoma. Ongoing studies in dog breeds, however, may help to reduce the background noise often associated with human cancer genetics. “You can use a much smaller number of dogs, when they’re genetically related, to find something,” Dr Kent says. Comparing golden retrievers in the United States to an external population of dogs in Europe also could help to identify genetic differences between the two populations.</p><p>Retrievers more commonly develop T-cell lymphomas and pediatric osteosarcoma than humans do, but Dr Labadie says that both canine cancers are very good analogues to their human counterparts. “It is a unique opportunity to study some of these subtypes that are more rare in people, but common in dogs,” she says. Dr Diehl adds that the ongoing study also could uncover a relatively broad cancer-associated risk factor that triggers separate disease pathways depending on the breed or species. “So maybe it’ll be a hit and cancer, not the hit and hemangiosarcoma or lymphoma,” she says.</p><p>Given the improvements in health care and nutrition, of course, more dogs are living long enough to develop cancer. “When humans lived to 30 years old, there wasn’t as much cancer. 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Teasing out cancer-associated factors, researchers say, could help to improve the beloved dogs’ longevity—as well as our own.</p><p>The Denver-based Morris Animal Foundation launched the biggest research effort to date, the Golden Retriever Lifetime Study, in 2012.<span><sup>1</sup></span> Veterinary researchers there enrolled 3044 privately owned dogs throughout the United States (all between 6 months and 2 years of age) to investigate not only the incidence but also environmental and genetic risk factors for cancers and other diseases, such as cognitive decline and osteoarthritis. With the oldest participants now turning 14 years old, Julia Labadie, DVM, PhD, MSPH, the study’s principal investigator, says that studying aging in dogs has emerged as an unanticipated additional goal.</p><p>“We have now a cohort of pretty old golden retrievers,” she says, noting that a significant fraction of those survivors could die of non-cancer causes. “So I think there’s a lot of questions that we can answer about the dogs that don’t get cancer and the dogs that live longer than the normal lifespan for golden retrievers that we always quote of about 10 to 12 years.”</p><p>Another recent study already is hinting that at least part of the longevity difference may be linked to variants in a gene encoding an epidermal growth factor receptor. Led by Robert Rebhun, DVM, PhD, chair of medical oncology at the University of California Davis School of Veterinary Medicine, the researchers discovered that a variant in a noncoding region of the <i>ERBB4</i> gene (also known as <i>HER4</i>) grants golden retrievers an extra 2 years of life on average.<span><sup>2</sup></span> Interestingly, <i>ERBB4</i> appears to have a “good variant” that is associated with longer lifespans and a “bad variant” that is associated with shorter lifespans.</p><p>Because longevity in the breed is highly influenced by cancer, the genetic variants are almost certainly associated with cancer as well, says coauthor Michael Kent, DVM, MS, a professor of radiation oncology at the veterinary school. Other research has found that <i>ERBB4</i> can serve as both a tumor suppressor and an oncogene.</p><p>“Everyone thought golden retrievers had a high rate of cancer and died maybe a little younger, but we really hadn’t looked at it,” Dr Kent says. Multiple research groups had previously struggled to find cancer-linked genes amid the background noise of genetic analyses. Dr Rebhun instead flipped the question on its head to ask, “Which dogs live extraordinarily long?”</p><p>Beyond their in-house data, the researchers recruited participants from dog shows and through word-of-mouth referrals to collect DNA from exceptionally long-lived retrievers. A genome-wide association study that compared dogs reaching at least 14 years of age to those dying before the age of 12 years uncovered a significant link with the <i>ERBB4</i> gene. Dr Rebhun and his colleagues have not yet determined the potential mechanistic pathway, although a planned follow-up using samples from the Lifetime Golden Retriever Study could help to validate their findings.</p><p>In a separate retrospective study led by Dr Kent, researchers pored over the records of 652 golden retrievers for which the age at death was known and the cause of death had been established through a necropsy examination.<span><sup>3</sup></span> The study determined that 65% of the dogs had died of cancer—less than the percentage calculated by the Morris Animal Foundation but still an “insane” number, Dr Kent says. Hemangiosarcoma and lymphoid neoplasia accounted for the two most common diagnoses.</p><p>Controversy has raged over whether non-neutered males and non-spayed females die of cancer at lower or higher rates. Dr Kent’s study, though, found that intact and neutered male golden retrievers died of cancer at roughly the same rate. Although spayed females died of cancer at significantly higher rates than their non-spayed counterparts, the study found that they also lived significantly longer: 9.5 years versus less than 6 years. Therefore, spayed female retrievers lived long enough to get cancer, Dr Kent says, whereas cancer is relatively uncommon in dogs younger than 5 years. Age, in other words, “appears to have a larger effect on cancer-related mortality than reproductive status,” he and his colleagues concluded in the study.</p><p>Longitudinal studies like the one conducted by the Morris Animal Foundation could help to clarify some of the links between cancer, age, and reproductive status. Dr Labadie and Kelly Diehl, DVM, MS, senior director of science and communications at the foundation, say that the power of their study derives in large part from the extensive sampling and data compilation. Beyond blood samples taken at the time of diagnosis and every year before then, the study has collected serum, urine, fecal, hair, and toenail samples from every participant, with biopsies and histopathology performed on most of the tumors. The dog owners complete extensive surveys each year, while electronic medical records capture prescription data and all diagnoses.</p><p>Other potential connections are starting to emerge. Lymphoma, the second most common cancer documented by the Golden Retriever Lifetime Study, is a cancer of the immune system, or a hematopoietic malignancy, while new research suggests that hemangiosarcoma may help promote hematopoietic tumors.<span><sup>4</sup></span> This commonality means that a shared genetic mutation could predispose golden retrievers to hematopoietic cell malignancies. “If we can find a biomarker that’s present in these dogs with cancer and then start looking back in time and see how early we can pick that up, we could really make a difference in diagnosing this earlier,” Dr Labadie says. In turn, because dogs have shorter lifespans than humans, potentially damaging effects—including environmental exposures such as PFAS chemicals in water—could appear sooner. 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引用次数: 0

摘要

金毛寻回猎犬一直是美国最受欢迎的犬种之一,它们以顽皮、对家庭友好、热衷于取悦于人而闻名。一项大型纵向研究(目前已进入第 12 个年头)揭示了金毛寻回猎犬的另一个毁灭性特征:迄今为止,每四例有记录的寻回猎犬死亡案例中就有三例与癌症有关,这是所有犬种中最高的比例,也是所有动物中最高的比例之一。在这些癌症死亡病例中,70% 的病因是血管肉瘤,这是一种侵袭性血管恶性肿瘤,除了一种不常见的皮肤亚型外,几乎总是致命的。如果说金毛寻回猎犬比被称为裸鼹鼠的异常抗癌啮齿动物更可爱,那么它们则处于易感性谱系的另一端,这使它们成为研究的另一个焦点。1 那里的兽医研究人员在全美范围内招募了 3044 只私人饲养的金毛寻回猎犬(年龄都在 6 个月到 2 岁之间),不仅调查它们的发病率,还调查它们患癌症和其他疾病(如认知能力下降和骨关节炎)的环境和遗传风险因素。该研究的首席研究员、兽医博士、医学博士朱莉娅-拉巴迪(Julia Labadie)说,随着年龄最大的参与者已满 14 岁,研究狗的衰老问题已成为一个意想不到的额外目标。"因此,我认为我们可以回答很多问题,比如哪些狗不会得癌症,哪些狗的寿命比我们一直引用的金毛寻回犬的正常寿命(大约 10 到 12 年)更长。"最近的另一项研究已经暗示,至少部分寿命差异可能与编码表皮生长因子受体的基因变异有关。在加利福尼亚大学戴维斯分校兽医学院肿瘤内科学系主任、兽医博士罗伯特-雷布洪(Robert Rebhun)的领导下,研究人员发现,ERBB4 基因(又称 HER4)非编码区的一个变异可使金毛猎犬平均多活 2 年。有趣的是,ERBB4 似乎有一个 "好变体 "和一个 "坏变体","好变体 "与寿命延长有关,而 "坏变体 "则与寿命缩短有关。由于金毛犬种的寿命受癌症影响很大,因此基因变体几乎肯定也与癌症有关,该研究的共同作者、兽医硕士、兽医学院放射肿瘤学教授迈克尔-肯特(Michael Kent)说。肯特博士说:"每个人都认为金毛猎犬的癌症发病率很高,而且可能死得更早一些,但我们真的没有仔细研究过这个问题。多个研究小组之前一直在基因分析的背景噪音中努力寻找与癌症相关的基因。除了内部数据外,研究人员还从狗展上招募参与者,并通过口口相传收集特别长寿的猎犬的DNA。一项全基因组关联研究将至少14岁的狗与12岁前死亡的狗进行了比较,结果发现ERBB4基因与狗的寿命有重要联系。在肯特博士领导的另一项回顾性研究中,研究人员查阅了652只金毛犬的记录,这些犬的死亡年龄已知,死因也已通过尸体解剖检查确定。研究结果表明,65%的狗死于癌症--虽然低于莫里斯动物基金会(Morris Animal Foundation)计算的比例,但仍是一个 "疯狂 "的数字,肯特博士说。关于未绝育的公犬和未绝育的母犬罹患癌症的比例是更低还是更高,一直存在争议。不过,肯特博士的研究发现,未绝育和已绝育的雄性金毛猎犬死于癌症的比例大致相同。虽然绝育后的雌性金毛猎犬死于癌症的比例明显高于未绝育的雌性金毛猎犬,但研究发现,它们的寿命也明显更长:9.5 年而不到 6 年。因此,肯特博士说,已绝育的雌性金毛猎犬的寿命足以让它们患上癌症,而癌症在 5 岁以下的狗狗中相对并不常见。 换句话说,年龄 "似乎比繁殖状况对癌症相关死亡率的影响更大",他和他的同事们在研究中得出了这样的结论。像莫里斯动物基金会进行的纵向研究可以帮助澄清癌症、年龄和繁殖状况之间的一些联系。拉巴迪博士和该基金会科学与交流高级主管、兽医硕士凯利-迪尔(Kelly Diehl)表示,他们的研究之所以有说服力,在很大程度上是因为进行了广泛的取样和数据收集。除了在确诊时和之前每年采集血液样本外,研究还收集了每位参与者的血清、尿液、粪便、毛发和趾甲样本,并对大多数肿瘤进行了活检和组织病理学检查。狗主人每年都要完成大量的调查,而电子医疗记录则记录了处方数据和所有诊断结果。淋巴瘤是金毛寻回猎犬终身研究(Golden Retriever Lifetime Study)记录的第二大常见癌症,属于免疫系统癌症或造血恶性肿瘤,而新的研究表明,血管肉瘤可能有助于促进造血肿瘤的发生。"拉巴迪博士说:"如果我们能在这些患癌症的狗身上找到一种生物标志物,然后开始回溯时间,看看我们能在多早发现这种生物标志物,我们就能在更早诊断这种疾病方面真正有所作为。反过来,由于狗的寿命比人短,潜在的破坏性影响--包括环境暴露,如水中的全氟辛烷磺酸(PFAS)化学物质--可能会更早出现。简而言之,我们的犬类伙伴也可以成为人类健康的有益哨兵。不过,研究人员提醒说,目前将金毛寻回犬的新发现应用于人类可能为时尚早。虽然狗和人在年龄调整后的癌症发病率曲线上互为镜像,并会患上许多相同的肿瘤,但与血管肉瘤最接近的人类类似物是行为上独特的血管肉瘤。不过,正在进行的犬种研究可能有助于减少与人类癌症遗传学相关的背景噪音。"肯特博士说:"如果狗的基因有关联,你可以用数量少得多的狗来发现一些东西。将美国的金毛寻回犬与欧洲的外部犬群进行比较,也有助于确定这两种犬群之间的遗传差异。寻回犬比人类更常患T细胞淋巴瘤和小儿骨肉瘤,但拉巴迪博士说,这两种犬类癌症与人类癌症有很好的相似性。"她说:"这是一个独特的机会,可以研究一些在人类中较为罕见,但在狗中却很常见的亚型。Diehl博士补充说,正在进行的研究还可能发现一种相对广泛的癌症相关风险因素,它会根据不同的品种或物种引发不同的疾病。"她说:"因此,也许这将是一种命中癌症,而不是命中血管肉瘤或淋巴瘤。她说:"当人类活到 30 岁时,癌症的发病率并不高。现在我们活得更长了,所以癌症的发病率也更高了,我们的宠物也会如此,"肯特医生说。"我认为,把我们在狗身上学到的东西应用到人类身上是很有意义的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Retrieving new clues about a dog breed’s “insane” cancer risk

Retrieving new clues about a dog breed’s “insane” cancer risk

Golden retrievers, consistently among the most popular dog breeds in the United States, are known as playful and family-friendly companions that are eager to please. A large longitudinal study, now in its 12th year, has revealed an additional, devastating trait: three of every four documented retriever deaths so far have been linked to cancer—by far the highest rate for any breed and among the highest rates of any animal. Of those cancer deaths, 70% are due to hemangiosarcoma, an aggressive blood vessel malignancy that is almost always fatal except for an uncommon cutaneous subtype.

If cuddlier than the unusually cancer-resistant rodents known as naked mole-rats, golden retrievers are at the opposite end of the susceptibility spectrum, making them another focal point of research. Teasing out cancer-associated factors, researchers say, could help to improve the beloved dogs’ longevity—as well as our own.

The Denver-based Morris Animal Foundation launched the biggest research effort to date, the Golden Retriever Lifetime Study, in 2012.1 Veterinary researchers there enrolled 3044 privately owned dogs throughout the United States (all between 6 months and 2 years of age) to investigate not only the incidence but also environmental and genetic risk factors for cancers and other diseases, such as cognitive decline and osteoarthritis. With the oldest participants now turning 14 years old, Julia Labadie, DVM, PhD, MSPH, the study’s principal investigator, says that studying aging in dogs has emerged as an unanticipated additional goal.

“We have now a cohort of pretty old golden retrievers,” she says, noting that a significant fraction of those survivors could die of non-cancer causes. “So I think there’s a lot of questions that we can answer about the dogs that don’t get cancer and the dogs that live longer than the normal lifespan for golden retrievers that we always quote of about 10 to 12 years.”

Another recent study already is hinting that at least part of the longevity difference may be linked to variants in a gene encoding an epidermal growth factor receptor. Led by Robert Rebhun, DVM, PhD, chair of medical oncology at the University of California Davis School of Veterinary Medicine, the researchers discovered that a variant in a noncoding region of the ERBB4 gene (also known as HER4) grants golden retrievers an extra 2 years of life on average.2 Interestingly, ERBB4 appears to have a “good variant” that is associated with longer lifespans and a “bad variant” that is associated with shorter lifespans.

Because longevity in the breed is highly influenced by cancer, the genetic variants are almost certainly associated with cancer as well, says coauthor Michael Kent, DVM, MS, a professor of radiation oncology at the veterinary school. Other research has found that ERBB4 can serve as both a tumor suppressor and an oncogene.

“Everyone thought golden retrievers had a high rate of cancer and died maybe a little younger, but we really hadn’t looked at it,” Dr Kent says. Multiple research groups had previously struggled to find cancer-linked genes amid the background noise of genetic analyses. Dr Rebhun instead flipped the question on its head to ask, “Which dogs live extraordinarily long?”

Beyond their in-house data, the researchers recruited participants from dog shows and through word-of-mouth referrals to collect DNA from exceptionally long-lived retrievers. A genome-wide association study that compared dogs reaching at least 14 years of age to those dying before the age of 12 years uncovered a significant link with the ERBB4 gene. Dr Rebhun and his colleagues have not yet determined the potential mechanistic pathway, although a planned follow-up using samples from the Lifetime Golden Retriever Study could help to validate their findings.

In a separate retrospective study led by Dr Kent, researchers pored over the records of 652 golden retrievers for which the age at death was known and the cause of death had been established through a necropsy examination.3 The study determined that 65% of the dogs had died of cancer—less than the percentage calculated by the Morris Animal Foundation but still an “insane” number, Dr Kent says. Hemangiosarcoma and lymphoid neoplasia accounted for the two most common diagnoses.

Controversy has raged over whether non-neutered males and non-spayed females die of cancer at lower or higher rates. Dr Kent’s study, though, found that intact and neutered male golden retrievers died of cancer at roughly the same rate. Although spayed females died of cancer at significantly higher rates than their non-spayed counterparts, the study found that they also lived significantly longer: 9.5 years versus less than 6 years. Therefore, spayed female retrievers lived long enough to get cancer, Dr Kent says, whereas cancer is relatively uncommon in dogs younger than 5 years. Age, in other words, “appears to have a larger effect on cancer-related mortality than reproductive status,” he and his colleagues concluded in the study.

Longitudinal studies like the one conducted by the Morris Animal Foundation could help to clarify some of the links between cancer, age, and reproductive status. Dr Labadie and Kelly Diehl, DVM, MS, senior director of science and communications at the foundation, say that the power of their study derives in large part from the extensive sampling and data compilation. Beyond blood samples taken at the time of diagnosis and every year before then, the study has collected serum, urine, fecal, hair, and toenail samples from every participant, with biopsies and histopathology performed on most of the tumors. The dog owners complete extensive surveys each year, while electronic medical records capture prescription data and all diagnoses.

Other potential connections are starting to emerge. Lymphoma, the second most common cancer documented by the Golden Retriever Lifetime Study, is a cancer of the immune system, or a hematopoietic malignancy, while new research suggests that hemangiosarcoma may help promote hematopoietic tumors.4 This commonality means that a shared genetic mutation could predispose golden retrievers to hematopoietic cell malignancies. “If we can find a biomarker that’s present in these dogs with cancer and then start looking back in time and see how early we can pick that up, we could really make a difference in diagnosing this earlier,” Dr Labadie says. In turn, because dogs have shorter lifespans than humans, potentially damaging effects—including environmental exposures such as PFAS chemicals in water—could appear sooner. Our canine companions, in short, also could be useful sentinels for human health.

For the time being, however, the researchers caution that translating new findings in golden retrievers to humans may be premature. Although dogs and humans mirror each other in age-adjusted cancer incidence curves and develop many of the same tumors, the closest human analogue to hemangiosarcoma is behaviorally distinct angiosarcoma. Ongoing studies in dog breeds, however, may help to reduce the background noise often associated with human cancer genetics. “You can use a much smaller number of dogs, when they’re genetically related, to find something,” Dr Kent says. Comparing golden retrievers in the United States to an external population of dogs in Europe also could help to identify genetic differences between the two populations.

Retrievers more commonly develop T-cell lymphomas and pediatric osteosarcoma than humans do, but Dr Labadie says that both canine cancers are very good analogues to their human counterparts. “It is a unique opportunity to study some of these subtypes that are more rare in people, but common in dogs,” she says. Dr Diehl adds that the ongoing study also could uncover a relatively broad cancer-associated risk factor that triggers separate disease pathways depending on the breed or species. “So maybe it’ll be a hit and cancer, not the hit and hemangiosarcoma or lymphoma,” she says.

Given the improvements in health care and nutrition, of course, more dogs are living long enough to develop cancer. “When humans lived to 30 years old, there wasn’t as much cancer. We live longer now and so we see a lot more cancer, and it’s going to be the same with our pets too,” Dr Kent says. “I think it just makes sense to use what we can learn in dogs and then go apply it to humans.”

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来源期刊
Cancer Cytopathology
Cancer Cytopathology 医学-病理学
CiteScore
7.00
自引率
17.60%
发文量
130
审稿时长
1 months
期刊介绍: Cancer Cytopathology provides a unique forum for interaction and dissemination of original research and educational information relevant to the practice of cytopathology and its related oncologic disciplines. The journal strives to have a positive effect on cancer prevention, early detection, diagnosis, and cure by the publication of high-quality content. The mission of Cancer Cytopathology is to present and inform readers of new applications, technological advances, cutting-edge research, novel applications of molecular techniques, and relevant review articles related to cytopathology.
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