化疗所致周围神经病变小鼠手部治疗后催产素及催产素受体的表达分析。

Neuro endocrinology letters Pub Date : 2024-12-22
Giuseppe Di Bella, Ilaria Moscato, Elena Costanzo, Giovanni Di Giorgi
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引用次数: 0

摘要

目的:三阴性乳腺癌(TNBC)是一种独特的乳腺癌亚型,由于缺乏有效的治疗药物,预后较差。由于相当大比例的TNBC手术样本表达生长激素(GH),生长激素释放激素(GHRH)和促性腺激素释放激素(GnRH)受体的mRNA,以及GH, GHRH和GnRH的有丝分裂增殖活性,已被确定为生长抑素及其类似物和GnRH类似物的有效治疗靶点,Di Bella Method (DBM),激素类似物和维生素的组合,被引入靶向和抑制实体肿瘤。本研究旨在改善TNBC妇女使用DBM的预后。方法:本回顾性观察性临床研究对基于组织学、核分级、雌激素受体、HER2/neu和孕激素受体免疫组化检测诊断的三阴癌妇女进行临床研究。患者要么接受标准肿瘤学治疗方案,包括化疗和放疗加DBM,要么单独使用DBM。DBM包括每日联合使用生长抑素、奥曲肽、褪黑素、溶于α -生育酚醋酸酯中的类维生素a、多巴胺能激动剂、溴隐肽、卡麦角林、抗雌激素功能的芳香酶抑制剂和低剂量环磷酰胺。结果:本研究共纳入35例患者,在接受DBM和标准化疗/放疗方案的5年生存率监测。这些患者的5年生存率为64%,3年生存率为76%,2年生存率为87%,1年后生存率为100%。另一方面,仅接受DBM治疗的13例患者的5年生存率为60%,3年生存率为67%,2年生存率为75%,1年后生存率为100%。所有患者均无明显不良事件发生。结论:与已发表的临床试验相比,DBM改善了TNBC女性的预后。然而,需要更多标准化的临床试验,包括有或没有TNBC标准治疗方案的DBM。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A retrospective observational clinical study of triple negative breast cancer cases treated with Di Bella Method: A preliminary data.

Objectives: Triple negative breast cancer (TNBC) is a distinct subtype of breast cancer that has a poor prognosis due to the lack of effective therapeutic agents. Since a significant proportion of human surgical samples of TNBC expressed mRNA for the growth hormone (GH), growth hormone-releasing hormone (GHRH), and gonadotropin-releasing hormone (GnRH) receptors, and the mitogenic proliferative activity of GH, GHRH, and GnRH, have been identified as effective therapeutic targets for somatostatin and its analogs and GnRH analogs, Di Bella Method (DBM), a combination of hormonal analogs and vitamins, was introduced to target and inhibit solid tumors. The present study aimed to improve the prognosis of TNBC using DBM in women with TNBC.

Methods: This retrospective observational clinical study was done on women with TNBC who were diagnosed based on histology, nuclear grade, and immunohistochemical testing for estrogen receptor, HER2/neu, and progesterone receptor. Patients were either treated with standard oncology protocol, including chemotherapy and radiotherapy plus DBM, or with DBM alone. The DBM included a daily combination of somatostatin, octreotide, melatonin, retinoids solubilized in alpha tocopheryl acetate, dopaminergic agonists, bromocriptine, cabergoline, aromatase inhibitors for anti-estrogen function, and low metronomic doses of cyclophosphamide.

Results: In this study, 35 patients were enrolled, and their survival was monitored for 5 years during which they received DBM and standard chemotherapy/radiotherapy protocol. These patients had a survival rate of 64% at 5 years, 76% at 3 years, 87% at 2 years, and 100% after 1 year of therapy. On the other hand, 13 patients who received only DBM had a survival rate of 60% at 5 years, 67% at 3 years, 75% at 2 years and 100% after 1 year of therapy. None of the patients had significant adverse events.

Conclusions: Compared to published clinical trials, the DBM improved the prognosis of women with TNBC. However, more standardized clinical trials, including DBM with and without standard therapeutic protocols for TNBC, are warranted.

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