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جستجوی مقالات مرتبط با کلیدواژه « : cancer » در نشریات گروه « پزشکی »

  • Mahnaz Saremi*, Farnoosh Honarmand

    The main goal in cancer treatment is to eliminate tumor cells with minimal harm to healthy tissue. The immune system is ideal for this task as it can identify and eliminate abnormal cells while providing long-term defense against recurrence. Various immune-based cancer treatments activate the immune system or help cancer cells recognize and activate immune cells within the tumor. Immunoregulatory cytokines play a crucial role in treating immune disorders. They regulate macrophage degradation of antigens and promote cellular functions. Lymphocyte interactions can lead to immune cell maturation, while other products limit lymphocyte activation. Cytokines are categorized as interleukins, growth factors, interferons, and colony-stimulating factors. Soluble proteins known as cytokines are essential for mediating and regulating cell interactions in various parts of the body, including the nervous system, gut, and bone remodeling. The study of cytokines’ structure and function has proven incredibly beneficial for both immunology and commercial research. By understanding the different domains and analogues of cytokines, researchers have gained important knowledge about how these proteins bind to receptors. Moreover, identifying similarities between various cytokines has offered valuable insights into the workings of cytokine receptors. Understanding the mechanisms behind immunotherapy resistance is important to identify new therapeutic targets. By investigating these pathways, researchers can develop innovative strategies to overcome resistance and improve treatment outcomes. Combining therapeutic modalities to target multiple aspects of the tumor microenvironment simultaneously can overcome the limitations of individual treatments and improve antitumor response. Understanding resistance mechanisms to immunotherapies can lead to the development of tailored strategies to combat treatment resistance and maximize treatment response.

    Keywords: Cytokine, Cancer, Immunotherapy, Tumor Vaccine}
  • Hanieh Soltani, Atefeh Ahmadi, Malihe Afiat, Shahrzad Zolala *
    Aim

    We evaluated the prevalence of gynecologic cancers in south of Iran in 2014-2019.

    Methods

    This cross-sectional, descriptive study aimed to study 1222 patients with female gynecological cancers who were referred to the specialized oncology and radiotherapy clinics in Kerman city in south of Iran. The required information was gathered from the cases recorded in available pathology centers in Department of Health in Kerman province during 2014 -2019 years. The data analysis was done by SPSS20 software via descriptive statistics tests of Chi square, Kolmogorov-Smirnov, Kruskal-Wallis, and ANOVA.

    Results

    The uterine (38.98%), and ovarian cancers (36.94%) had the highest relative frequencies. There was no significant difference in the relative frequency of female cancers in the five time intervals (p>0/01). The age average of patients was 66/15 ±58/53 years which was significantly different among different types of cancer (p<0/01). The highest and lowest age average was related to the vagina (61.89±26.64) and placenta (30.66±5.50) cancers.

    Conclusion

    The most frequent cancer in the first two years of study was ovarian cancer, while the most frequent cancer in the next three years of the study was the uterine cancer. The highest and lowest age averages were related to vagina cancer, and trophoblastic cancer, respectively.

    Keywords: Cancer, Female, Gynecologic, Iran, Prevalence}
  • Mahtab Dolatabadi *, Yasaman Vojgani

    In cancer treatment, anesthesia is commonly used during surgery to remove tumors, as well as for other procedures like biopsies, radiation therapy, and chemotherapy administration. Some research suggests that the choice of specific anesthetic drugs and nerve-sparing techniques can have a significant impact on cancer recurrence rates and overall patient survival. It is well-established that a patient's immune system plays a direct role in postoperative complications and long-term outcomes, highlighting the importance of optimizing anesthesia to minimize potential immune system suppression and improve immune function during cancer surgery. Recent studies have revealed a strong connection between the type of anesthesia used during surgery and the likelihood of cancer relapse and related mortality. Therefore, it is crucial to select the appropriate anesthesia technique for cancer resection, focusing on reversible effects, rapid recovery, and resistance to feedback. The specific anesthetic agents used during surgery have a significant impact on survival rates and the risk of cancer-related mortality. Genetic influences on anesthesia response are significant for improving patient care and achieving better results. Additionally, personalized medicine, which combines diagnostic testing and treatment, is now a clinical reality. Anesthesia's effects on depth, pain signals, vital signs, and the motor system are complex and not fully understood, and many researchers believe that anesthesia is regulated by multiple genes, although further research is needed to identify them and understand how they are regulated. The relationship between anesthesia and cancer is complex and evolving with implications for medical treatment. Limited evidence suggests that anesthesia and surgery-related factors can affect cancer biology and outcomes. Further research is needed to understand these interactions and develop strategies for improving cancer care during surgery. Better understanding can lead to safer and more effective cancer treatment, benefitting patients.

    Keywords: Anesthesia, Cancer, Radiation Therapy, Chemotherapy, Personalized Medicine}
  • Zahra Taheri *

    Lots of people are struggling with Kidney disease or cancer around the world. Chronic kidney disease (CKD) and renal cell carcinoma (RCC) are associated directionally and share risk factors. Because of the role of kidneys in detoxification, studying the relationship between cancer chemotherapy and kidney disorders is significant. This investigation fills the current gap between cancer occurrence and kidney problems. CKD can induce RCC through a cystic disorder or oxidative stress. RCC also promotes CKD due to the tumor interactions, physical removal of kidney mass, and perioperative acute renal disease. Kidney failure also leads to renal cancer-specific pathways. For example, renal progenitors are converted to tumor-initiating cells through HIF, Notch, mTOR, and Hippo pathways. Furthermore, progress in cancer treatment during recent years has increased the overall survival of patients with advanced malignancies faced with early and late adverse effects from therapeutics. There are conflicting findings about the dosing of typical chemotherapeutics because of loss of kidney function. Recommended doses are usually according to expert opinion, not scientific evidence. This investigation has evaluated issues in cancer patients with kidney problems that can help patients by informing physicians about GFR loss and its effect on chemotherapy.Keywords: kidney diseases, cancer, chemotherapy, CKD, AKI

    Keywords: Kidney Diseases, Cancer, Chemotherapy, CKD, AKI}
  • Behnoush Khashii *, Parisa Haghpour

    Cancer is a significant global cause of mortality, and enhancing therapy is essential to save lives and minimise adverse consequences. Aptamers, composed of DNA or RNA, have the potential for cancer treatment by precise targeting of certain molecules. Aptamers, unlike conventional therapies such as chemotherapy, have the specific objective of delivering medications directly to cancer cells, while reducing injury to healthy cells. This paper examines the process of aptamer development and utilisation in cancer treatment, with a specific emphasis on their capacity to enhance therapy and surmount drug resistance. Additionally, it explores the obstacles and potential advancements in using aptamers to transform cancer therapy.

    Keywords: Aptamer, Cancer, Therapy, SELEX}
  • اعظم قربانی، لیلا صیادی، شیما حقانی، اسمعیل محمد نژاد، معین سلامی*
    زمینه و هدف

     بیماران مبتلا به لوسمی دوره هایی از تنش های روانی را تجربه می کنند که می تواند روی امید این بیماران اثرگذار باشد. یکی از مولفه های موثر در بهزیستی روانی، ادراک بیماری است که ارزیابی شناختی و درکی است که فرد از بیماری خود دارد. این مطالعه با هدف تعیین ارتباط بین ادراک بیماری و امید در مبتلایان به لوسمی انجام شد.

    روش بررسی

     پژوهش حاضر یک مطالعه توصیفی همبستگی است که با مشارکت 200 بیمار مبتلا به لوسمی که در سال 1402 به بیمارستان های منتخب دانشگاه علوم پزشکی تهران مراجعه کردند، انجام شد. ابزار جمع آوری داده ها شامل فرم مشخصات جمعیت شناختی، پرسش نامه ادراک بیماری بردبنت و همکاران و پرسش نامه امید اشنایدر بود. تجزیه وتحلیل داده ها در نرم افزار spss نسخه 16 و با استفاده از روش های آمار توصیفی و استنباطی نظیر آزمون های همبستگی پیرسون، تی مستقل و آنالیز واریانس یک طرفه انجام شد.

    یافته ها

     میانگین نمره کلی ادراک بیماری در مبتلایان به لوسمی 9/10± 37/45 و میانگین نمره کلی امید در این بیماران 1/88± 32/19 بود. همچنین همبستگی ادراک بیماری و امید منفی و معنی دار بود (0/489-= r؛ P<0/001).

    نتیجه گیری

     براساس نتایج مطالعه حاضر، بیمارانی که ادراک مثبت تری از بیماری خود دارند، از امید بالاتری نیز برخوردارهستند. اجرای برنامه و مداخلاتی در جهت ایجاد ادراک مثبت از بیماری، می تواند زمینه ساز افزایش امید در این بیماران باشد.

    کلید واژگان: درک بیماری, امید, لوسمی, سرطان}
    Azam Ghorbani, Leila Sayadi, Shima Haqqani, Esmaeil Mohammadnejad, Moein Salami*
    Background & Aims

     Patients with leukemia face mental distress that can affect their hope. One of the effective components in measuring psychological well-being is illness perception, which refers to the cognitive evaluation and understanding of a medical condition. This study aims to determine the relationship between illness perception and hope in patients with leukemia hospitalized in selected hospitals in Tehran, Iran.

    Materials & Methods

     This is a descriptive-correlational study conducted on 200 patients with leukemia hospitalized in selected hospitals affiliated to Tehran University of Medical Sciences in 2023. Data collection tools were a demographic form, Broadbent et al.’s brief illness perception questionnaire (BIPQ) and Snyder’s adult hope scale (AHS). The collected data were analyzed in SPSS software, version 16 using descriptive and inferential statistics such as Pearson’s correlation test, independent t-test, and analysis of variance.

    Results 

    The mean total score of BIPQ was 37.45 ± 9.10 and the mean total score of AHS was 32.39 ± 1.88. There was negative and significant correlation between illness perception and hope (r=-0.489, P<0.001).

    Conclusion

     A more positive perception of leukemia can improve the hope of patients. It is recommended to implement interventions to create a positive illness perception in these patients to increase their hope.

    Keywords: Illness Perception, Hope, Leukemia, Cancer}
  • Meisam Dastani, Mostafa Kashani *, Mahnaz Mohseani
    Background and aim
    Today, despite the progress of science in healthcare, cancer is still one of the main causes of death worldwide. Artificial intelligence (AI) has emerged as a technology to tackle some of the biggest challenges in cancer research and treatment, and researchers have completed numerous studies in this area. Therefore, the current study analyzed scientific research in the field of artificial intellige nce and cancer using scientometric tools.
    Material and method
    This descriptive study utilized scientometrics techniques and focused on analyzing scientific publications related to using AI in cancer that were indexed in the Web of Science Core Collection (WoSCC) database. until April 23, 2023. To analyze the data, the Babblemetrix package was used in the R software.
    Results
    A total of 8098 related documents were retrieved, and the USA, China, and Germany had the most publications. The words "Classification," "Cancer," and "Diagnosis" were the most important keywords of the authors in the scientific publications. Pathology and Diagnosis were the primary topics in the field of AI and cancer. Moreover, Cancer, Survival, and Computer-aided detection have received more attention from researchers in recent years.
    Conclusion
    The findings of the study suggest that AI has enormous potential to revolutionize cancer research and treatment, and pave the way for more effective and personalized therapies. The results of this study can be useful for research policy-makers and researchers to determine the priorities and research decisions in this field.
    Keywords: Artificial Intelligence, Cancer, Scientific Publications, Scientometrics}
  • Fizza Maryam, Sana Gul

    Oncolytic viruses (OVs) are a promising cancer-fighting agent that has gained widespread attention due to recent advances in virology and molecular biology. These viruses selectively infect and multiply inside tumor cells, causing them to rupture and release newly synthesized viruses that stimulate the body's immune system to target the tumor cells. Clinical investigations have shown that OVs can effectively eliminate cancer cells that are resistant to traditional treatments, which is why over 100 clinical trials are currently exploring the possibility of combining them with other therapies for better efficacy. Although OVs have demonstrated enormous potential, their effectiveness in treating solid tumors is still limited. Therefore, researchers are continuously developing new viral families that can exclusively replicate in tumor cells. Currently, T-VEC is the only FDA-approved oncolytic virus, but with ongoing phase I-III clinical studies, more promising treatments are on the horizon. Furthermore, this review article provides a comprehensive overview of OVs, including their mechanism of action delivery routes, challenges in oncolytic virotherapy, current developments, the efficacy of OVs when combined with other cancer treatments, and prospects for future research.

    Keywords: Cancer, Cancer Therapy, Clinical Trials, Oncolytic Viruses, Virotherapy}
  • عسل پورزمانی، محمد قمری*، سیمین حسینیان

    پژوهش حاضر با هدف مقایسه اثربخشی درمان مبتنی بر پذیرش-تعهد و آموزش هوش معنوی بر تاب آوری کودکان مبتلا به سرطان انجام شد. روش پژوهش نیمه آزمایشی با طرح پیش آزمون- پس آزمون با دوگروه آزمایش و یک گروه کنترل و پیگیری یک ماهه بود و جامعه آماری آن را کودکان مبتلا به سرطان که در بخش اطفال مراکز درمانی شهر تهران در سال 1402 بستری بودند تشکیل دادند که در محدوده سنی 9-13 سال قرار داشتند. از بین این افراد 30 نفر به صورت دردسترس انتخاب و به صورت تصادفی به سه گروه (20 نفر در دو گروه آزمایش، 10 نفر گروه گواه) تقسیم شدند. جهت جمع آوری داده ها از پرسشنامه تاب آوری کارنر- دیویدسون (2003) استفاده شد. روش مداخله به این صورت بود که گروه آزمایش 1، طی یک دوره، به مدت 8 جلسه، دوجلسه در هفته و هر جلسه به مدت 45 دقیقه در معرض متغیر مستقل (آموزش گروهی درمان مبتنی بر تعهد و پذیرش) و گروه آزمایش 2، طی یک دوره، به مدت 8 جلسه، دوجلسه در هفته و هر جلسه به مدت 45 دقیقه در معرض متغیر مستقل (آموزش گروهی هوش معنوی) قرار گرفتند. برای تجزیه و تحلیل داده ها از آمار توصیفی (میانگین، انحراف معیار) و استنباطی (تحلیل واریانس درون گروهی با اندازه گیری تکراری روی عامل مراحل اندازه گیری (پیش آزمون- پس آزمون- پیگیری)و تحلیل واریانس چندمتغیری بلوکی) برروی نرم افزار spss-23 استفاده شد. نتایج پژوهش حاضر نشان داد که درمان مبتنی بر پذیرش-تعهد و آموزش هوش معنوی بر تاب آوری کودکان مبتلا به سرطان تاثیر دارد و بین اثربخشی

    کلید واژگان: درمان مبتنی بر پذیرش-تعهد, آموزش هوش معنوی, تاب آوری, سرطان}
    Asal Poorzamani, Mohammad Ghamari *, Simin Hosseinian

    The present study was conducted with the aim of comparing the effectiveness of acceptance-commitment therapy and spiritual intelligence training on the resilience of children with cancer. The research method was semi-experimental with a pre-test-post-test design with two experimental groups and a control group and a one-month follow-up, and its statistical population consisted of children with cancer who were hospitalized in the pediatric department of Tehran medical centers in 1402, who were within the range of They were 9-13 years old. Among these people, 30 people were randomly selected and randomly divided into three groups (20 people in two experimental groups, 10 people in the control group). To collect data, Karner-Davidson (2003) resilience questionnaire was used. The intervention method was that experimental group 1, during one period, for 8 sessions, two sessions a week and each session for 45 minutes, exposed to the independent variable (commitment and acceptance-based therapy group training) and experimental group 2, during They were exposed to the independent variable (spiritual intelligence group training) for one period, for 8 sessions, twice a week and each session lasted 45 minutes. To analyze the data, descriptive statistics (mean, standard deviation) and inferential (within-group analysis of variance with repeated measurement on the factor of measurement steps (pre-test-post-test-follow-up) and block multivariate analysis of variance) were used on spss-23 software. The results of the present study showed that the treatment based on acceptance-commitment and spiritual intelligence training has an effect on the resilience of children with cancer, and there is a difference between

    Keywords: Treatment Based On Acceptance-Commitment, Spiritual Intelligence Training, Resilience, Cancer}
  • Mohaddese Pourashoury

    Exosomes are tiny vesicles that cells secrete into the extracellular environment. They are crucial in cellular communication and have wide-ranging physiological and pathological ramifications. Cargo sorting, MVB development and maturation, MVB transport, and MVB fusion with the plasma membrane are the four essential steps in exosome biogenesis. The high heterogeneity of exosomes is due to the fact that each process is modulated by the competition or coordination of multiple mechanisms, resulting in the sorting of diverse compositions of molecular cargos into different subpopulations of exosomes. In cancer, exosomes have been shown to play a crucial role in tumor growth, metastasis, and pre-metastatic niche formation. In this mini-review, we briefly compile what we know about exosomes at present, including how they are made, what they carry, and how they promote tumor growth. Exosomes' potential as diagnostic and prognostic biomarkers is discussed. We also take a look at the research that hasn't been done and the challenges that have been overlooked.

    Keywords: Exosome, Cancer, Tumor Progression, Extracellular Vesicles, Cancer Biomarkers}
  • مجید مرزبان سرنقی، دنیز فرزاد، رضا قلیخانی دربرود، زعفر قلی نژاد*
    مقدمه

     از حدود سه میلیارد جفت باز تشکیل دهنده ژنوم انسان چیزی در حدود یک درصد از فردی به فرد دیگر تنوع ژنتیکی وجود دارد که ویژگی های فیزیکی، روانشناختی و استعداد به بیماری ها را تعیین می کند. در میان انواع تنوع ژنتیکی ، پلی مورفیسم های تک نوکلئوتیدی یکی از مهم ترین تفاوت های ژنتیکی بین دو انسان می باشد. تنوع پلی مورفیسم تک نوکلئوتیدی می تواند در ناحیه پروموتر، اگزون ها، اینترون ها، نواحی غیرقابل ترجمه و سایر نواحی DNA (Deoxyribonucleic acid) قرار بگیرد. در حالی که تنوع در ناحیه اگزون بسته به اینکه ساختار پروتئین را تغییر دهد یا بر کینتیک ترجمه تاثیرگذار باشد می تواند استعداد به بیماری ها را تغییر دهد. تنوع در ناحیه پ‍‍‍‍‍‍‍روموتر می تواند بر، برهمکنش ژنتیکی و اپی ژنتیکی تاثیرگذار باشد. همچنین تنوع در ناحیه پروموتر می تواند وضعیت متیلاسیون  DNA را تحت تاثیر قرار دهد. تنوع پلی مورفیک ناحیه اینترون می تواند بر پیرایش mRNA (Messenger ribonucleic acid) و عملکرد عناصر تنظیمی cis تاثیرگذار باشد. تنوع در ناحیه  UTR 5'(Untranslated region 5') سبب تغییر در کارایی ترجمه می شود.در حالی که تغییر UTR 3'(Untranslated region 3') میزان اتصال micro Ribonucleic acid ها به جایگاه خود را تحت تاثیر قرار می دهد. در برخی موارد تنوع در tRNA (Transfer ribonucleic acid)و rRNA (Ribosomal ribonucleic acid) بر عملکرد این عناصرcis تنظیمی تاثیرگذار هستند.

    نتیجه گیری

     از دیدگاه بالینی شناخت این نوع از تنوع ژنتیکی می تواند به روند درمان، مدیریت بیماران و درک پیش آگهی بر اساس این جایگاه ها کمک کند. پزشکی خصوصی یا شخصی سازی شده نیز اساسا بر تنوع ژنتیکی مبتنی است. در این مقاله به مرور انواع تنوع ژنتیکی تک نوکلوتیدی و ارائه مثال هایی از انواع سرطان، بیماری های نرولوژیک و ایمونولوژیک پرداختیم.

    کلید واژگان: پلی مورفیسم های تک نوکلئوتیدی, سرطان, اگزون, پروموتر, تقویت کننده}
    Majid Marzban Sarnaghi, Deniz Farzad, Reza Gholikhani Darbroud, Zafar Gholinejad*
    Introduction

    Human genome consists of the three billion base pairs that has about one percent of genetic variation from one person to another، which determines physical، psychological، and susceptibility to diseases. Among the types of genetic diversity, single nucleotide polymorphisms are one of the most important genetic differences between two people. Single nucleotide polymorphism variation is located in the promoter region, exons، introns، untranslated regions and other Deoxyribonucleic acid (DNA) regions. While variation in the exon region can change susceptibility to diseases depending on whether it changes the protein structure or affects translation kinetics. Diversity in the promoter region can affect the interaction of genetic and epigenetic elements. Also، variation in the promoter region can affect the DNA methylation status. Polymorphic variation in the intron region can affect Messenger Ribonucleic acid splicing and the function of cis-regulatory elements. Polymorphic variation in the 5' Untranslated region، region causes a change in translation efficiency,، while a change in the 3' Untranslated region binds micro Ribonucleic acids to their position then affects the effects. In some cases، variations in Transfer Ribonucleic acid (tRNA) and Ribosomal ribonucleic acid (rRNA) affect the function of these regulatory cis elements.

    Conclusion

    From a clinical point of view, a deep knowledge of this type of genetic variation can help the treatment process, manage patients and understand the prognosis based on these SNPs. Private or personalized medicine is also fundamentally based on genetic diversity. In this article, it was reviewed the types of single nucleotide genetic variation and presented examples of types of cancer, neurological and immunological diseases.

    Keywords: Single Nucleotide Polymorphisms, Cancer, Exon, Promoter, Enhancer}
  • Miguel Fernandes De Lima Neto, Ernando Igo Teixeira De Assis, Antônia Venância Nunes Azevedo, Laís Raiane Feitosa Melo Paulino, Mariana Aragão Matos Donato, Christina Alves Peixoto, Alane Pains Oliveira Do Monte, Maria Helena Tavares De Matos, Alana Nogueira Godinho, Jordânia Marques De Oliveira Freire, Ricássio De Sousa Barberino, Anderson Weiny Barbalho Silva, José Roberto Viana Silva*
    Background

    Given the cytotoxicity of chemotherapy drugs used in cancer treatment, there is a need to develop alternative agents to protect female fertility. This study investigated the effect of Actaea racemosa (A. racemosa) extract on mice ovarian cells and the damage caused by doxorubicin (DOX) to the mice ovaries.

    Methods

    We evaluated the effects of A. racemosa extract on mice ovaries (n=42) after DOX treatment. The mice were pre-treated with saline solution (controls) or with 0.5 or 5 mg/kg A. Racemosa extract. Afterward, during a period of 10 days, they were treated daily with one of the six protocols: (i) saline solution (control), (ii) 10 mg/kg DOX, (iii) 0.5 mg/kg A. racemosa extract, (iv) both DOX and 5 mg/kg A. racemosa extract, (v) A. racemosa extract (5 mg/kg), and (vi) both DOX and 0.5 mg/kg A. racemosa extract. At the end of these treatments, the ovaries were fixed for histopathological examinations. Ovarian follicular morphology, stromal cell density, collagen fibers, and TNF-α expression were evaluated. Some ovaries were fixed for transmission electron microscopy or stored at -80oC to study the mRNA expression for Caspase-3 and TNF-α.

    Results

    The Mice treated with A. racemosa extract had reduced follicular degeneration and cell death after exposure to DOX. Ovaries of mice treated with 0.5 mg/kg A. racemosa extract had granulosa cells and oocytes with preserved ultrastructure, decreased immunostaining for TNF-α, and reduced Caspase-3 mRNA.

    Conclusion

    The A. racemosa extract supported follicular survival and protected the ovarian follicles and stromal cells against DOX-induced cytotoxicity.

    Keywords: Cancer, Cytotoxicity, Folliculogenesis, Gene Expression, Ovaries}
  • Vinit Sudhakar Patil, Kedar Rupa Bavaskar *, Dilip Omprakash Morani, Ashish Suresh Jain

    Many people lose their lives to cancer each year. The prevalence of illnesses, metabolic disorders, high-risk infections, and other conditions has been greatly slowed down by expanding scientific research. Chemotherapy and radiation are still the initial lines of treatment for cancer patients, along with surgical removal of tumors. Modifications have been made in chemotherapy since medicines frequently have substantial systemic toxicity and poor pharmacokinetics and still do not reach the tumor site at effective concentrations. Chemotherapy may now be administered more safely and effectively thanks to nanotechnology. Nanotechnology-based graphene quantum dots (GQDs) are very applicable in breast cancer detection, as a drug delivery system, and in the treatment of breast cancer because of their physical and chemical properties, lower toxicity, small size, fluorescence, and effective drug delivery. This paper analyzes the GQDs as cutting-edge platforms for biotechnology and nanomedicine also its application in drug delivery in cancer. It shows that GQDs can be effectively conjugated with hyaluronic acid (HA) to achieve efficient and target-specific delivery.

    Keywords: Nanotechnology, Hyaluronic Acid, Graphene Quantum Dots, Cancer, Nanoparticles, Fluorescence, Tumor, Drug Delivery}
  • Masoumeh Kaveh Zenjanab, Nastaran Hashemzadeh, Sajjad Alimohammadvand, Masoumeh Sharifi-Azad, Elaheh Dalir Abdolahinia *, Rana Jahanban-Esfahlan

    Cancer is one of the main causes of mortality worldwide. Cancer cells are characterized by unregulated cellular processes, including proliferation, progression, and angiogenesis. The occurrence of these processes is due to the dysregulation of various signaling pathways such as NF-κB (nuclear factor-κB), Wnt/beta-catenin, Notch signaling and MAPK (mitogen-activated protein kinases). Notch signaling pathways cause the progression of various types of malignant tumors. Among the phytochemicals for cancer therapy, several have attracted great interest, including curcumin, genistein, quercetin, silibinin, resveratrol, cucurbitacin and glycyrrhizin. Given the great cellular and molecular heterogeneity within tumors and the high toxicity and side effects of synthetic chemotherapeutics, natural products with pleiotropic effects that simultaneously target numerous signaling pathways appear to be ideal substitutes for cancer therapy. With this in mind, we take a look at the current status, impact and potential of known compounds as golden phytochemicals on key signaling pathways in tumors, focusing on the Notch pathway. This review may be useful for discovering new molecular targets for safe and efficient cancer therapy with natural chemotherapeutics.

    Keywords: Cancer, Cell Signaling, Notch Signaling Pathway, Natural Compounds, Phytochemicals}
  • Shaian Tavakolian, Hossein Goudarzi, Ebrahim Faghihloo
    Background

    Both internal and external risk factors can accelerate the progression of breast cancer which is the reason why clinicians have tried to find new  iomarkers for this health problem. Human endogenous retrovirus?W (HERV?W) can be one of these biomarkers, as it has been mentioned that some genes of this virus are able to have either higher or lower expression in numerous cancerous cells. In this study, we aimed to compare HERV?W envelope expression in breast cancer tissues and normal ones since its effects on this malignancy have not been clear.

    Materials and Methods: 

    We collected 46 breast cancer tissues and their normaladjacent ones. After extracting the RNA of breast samples, we evaluated the expression of HERV?W envelope syncytin?1 and 2 using quantitative real?time polymerase chain reaction (PCR) in different kinds of breast cancer stages.

    Results

    Data showed that more than 13% of patients had a family history of breast cancer; moreover, approximately half of the tissues were estrogen receptor or progesterone receptor positive. Lymph node metastasis was seen in 52% of the patients, and about 40% of tumors were larger than 2 cm. Real?time PCR showed that syncytin?1 and 2 had upward regulation with ( *P < 0.05) and (**P < 0.01), respectively.

    Conclusion

    As the expression of HERV?W Env (syncytin?1, syncytin?2) was higher in breast cancerous tissues in comparison with normal ones, we believe that these genes may have a role to play in monitoring patients suffering from this type of cancer. However, further studies are needed to confirm this hypothesis.

    Keywords: Breast, Cancer, Syncytin‑ 2, Syncytin‑1}
  • Sajjad Bakhtiari, Nastaran Asri, Sepehr Maleki, Amirreza Jabbari, Saba Rahimi, Alireza Ahmadzadeh, Somayeh Jahani- Sherafat, Masoumeh Farahani, Ehsan Nazemalhoseini, Mazhar Rostami-Nejad

    Gluten is a complex mixture of hundreds of related proteins, with the two major groups being gliadin and glutenin. Gliadin primarily affects the viscosity of dough, while glutenin contributes to its strength. Nowadays, there is evidence suggesting an increase in gluten exposure due to advancements in cereal technology. The consumption of gluten can lead to gluten-related disorders (GRDs) development in susceptible individuals. Some GRDs have been strongly associated with an increased risk of developing certain types of cancer. Colorectal cancer and lymphoma are among the most commonly reported malignancies associated with GRDs. Dietary factors, including gluten intake, have been recognized as significant modifiable risk factors for the development of digestive system cancers. The present study aimed to collect current information on the effect of gluten on the incidence of cancer in the general population and among GRDs patients. Protein-Protein Interaction (PPI) Network analysis of common genes between celiac disease (CD) and cancer was also conducted.

    Keywords: Gluten-Related Disorders, Celiac, Cancer, Network}
  • Mahsa Mohammadi, Philippe Tadger, Amir Sadeghi, Niloufar Salehi, Mohsen Rajabnia, Elham Paraandavaji, Sasan Shafiei, Ahmad Pirani, Mohammadreza Hatamnejad, Erfan Taherifard, Fatemeh Kheshti, Arman Naderilordejani, Forough Honarfar, Khaled Rahmani, Majid Soruri, Hamed Kord Varkaneh, Omid Dadras, Ali Jahanian, Sara Rasta, Mohammadreza Zali
    Aim

    The current systematic review and meta-analysis aimed to assess the association between Gastrointestinal (GI) cancers and opium use.

    Background

    GImalignancies are a global public health issue and are associated with many risk factors including genetic and lifestyle factors.

    Methods

    PubMed, Web of Science, Embase and Scopus and the Google Scholar search engine in addition to Persian databases including Magiran and SID were searched using relevant keywords. The associations of opium use, long duration of opium use, high daily amount opium use and high cumulative opium use and GI cancer and various subtypes of GI cancers were estimated and pooled in format of odds ratios (OR) and their corresponding 95% confidence intervals (CI) with a random effects model.

    Results

    22 articles that were published between 1983 and 2022 entered the analyses. There were significant relationships between opium use based on crude effect sizes (OR: 2.53, 1.95-3.29) and adjusted effect sizes (OR: 2.64, 1.99-3.51), high daily opium use (or: 3.41, 1.92-6.06), long duration of opium use (OR: 3.03, 1.90-4.84) and high cumulative opium use (OR: 3.88, 2.35-6.41), all compared to never opium use, and GI cancer. The results were not sensitive to sensitivity analyses and no influential publication biases were found in these analyses.

    Conclusion

    Our meta-analysis showed that opium use could be associated with increased risk of overall and some particular GI cancers including oropharyngeal, gastric, pancreatic and colorectal cancers. Opium use as a potentially modifiable factor, therefore,should be more emphasized.

    Keywords: Opium, Gastrointestinal Tract, Cancer, Meta-Analysis}
  • Fatemeh Azimi, Fatemeh Moghaddam-Tabrizi *, Rahim Sharafkhani
    Background
    Uterine and Cervical cancer survivors face challenges like the disruption of emotionaland sexual relationships, struggle to maintain sexual life and intimacy, and the possibility ofdivorce. The study aimed to determine the effect of group counseling based on couples’ constructivecommunication on perceived spousal support in uterine and cervical cancer survivors.
    Methods
    A randomized controlled trial on 40 women who survived uterine and cervical cancer wererecruited using convenience sampling and then randomly allocated to a couple-based constructivecommunication intervention group and a routine cancer center care control group from June 2019 toMarch 2020 in Motahhari and Imam Khomeini hospitals in Urmia. The intervention group was involvedin a group counseling session weekly for 5 weeks, regarding constructive couple communication skills.Perceived spouse support was assessed using the sources of social support scale which has 4 subscalesinformational, instrumental, emotional, and negative support before and one week after the end of theintervention in both groups. Data analysis was performed using SPSS version 24 through Independentand paired t-tests, Mann-Whitney U test, Wilcoxon, chi-square, and ANCOVA. P value<0.05 wasconsidered statistically significant.
    Results
    The effect of the intervention was statistically significant in reducing negative support inthe intervention group (2.70±0.80) in comparison with the control group (3.40±1.04) (P=0.03). It wasalso statistically significant in increasing informational support (3.45±0.71 vs. 2.15±0.80, P<0.001),instrumental support (3.15±0.58 vs. 2.85±0.74, P<0.001), and emotional support (19.40±1.60 vs.16.10±2.10, P<0.001).
    Conclusion
    Group counseling based on couple constructive communication increased perceivedspousal support in uterine and cervical cancer survivorsTrial Registration Number: IRCT20150125020778N22.
    Keywords: Cancer, Cervix, Counseling, Family Support, Randomized Controlled Trial}
  • طراحی مدل علی امید به زندگی در افراد مبتلا به بیماری سرطان براساس استواری روانی، سوگیری تعبیر و تن انگاره
    مظفر غفاری*، احمد اسمعلی، وحید عبدالمنافی، کبری فرجی
    مقدمه

    افراد مبتلا به بیماری های مزمن، از امید به زندگی پایینی برخوردار هستند. بنابراین، تحقیق حاضر با هدف طراحی مدل علی امید به زندگی در افراد مبتلا به بیماری سرطان بر اساس استواری روانی، سوگیری تعبیر و تن انگاره انجام شد.

    روش کار

    روش تحقیق همبستگی از نوع معادلات ساختاری بود. جامعه آماری مطالعه، کلیه  بیماران سرطانی شهر تبریز در سال 1401 بودند، که 250 نفر به روش هدفمند انتخاب شدند. در گردآوری داده ها،  پرسشنامه های امید به زندگی Miller  (1988)، سوگیری در تعبیر درد Gaffiero  و همکاران (2022)، استواری روانی Clough (2002) و  نگرانی از تن انگاره Littleton (2008) مورد استفاده قرار گرفتند. داده های جمع آوری شده ، با استفاده از نرم افزار ایموس و SPSS نسخه 24 مورد تجزیه و تحلیل قرار گرفت.

    یافته ها

    در مجموع 35 درصد از واریانس متغیر امید به زندگی از طریق متغیرهای مدل تبیین شد. اثر مستقیم استواری روانی (41/0)، نگرانی از تن انگاره (28/0-) و سوگیری تعبیر (38/0-) بر میزان امید به زندگی معنی دار به دست آمد. و  اثر غیرمستقیم نگرانی از تن انگاره (95/2-=t-value) و استواری روانی  (1/2=t-value) با میانجیگری نقش واسطه ای سوگیری تعبیر بر میزان امید به زندگی بیماران سرطانی معنی دار مشاهده شد.

    نتیجه گیری

    با توجه به اثر مستقیم و غیرمستقیم متغیرهای سوگیری تعبیر، استواری روانی و تن انگاره بر میزان متغیر امید به زندگی، به نظر می رسد با تقویت استواری روانی، و بهبود سوگیری تعبیر و نگرانی از تن انگاره می توان امید به زندگی بیماران مبتلا به کانسر را تقویت نمود.

    کلید واژگان: امید به زندگی, استواری روانی, سوگیری تعبیر, تن انگاره, سرطان}
    Designing a Causal Model of Life Expectancy in Patients with Cancer Diseases based on Mental Toughness, Interpretation Bias and Body Image
    Mozaffar Ghaffari*, Ahmad Esmali, Vahid Abdolmanafi, Kobra Faragji
    AIMS

    Patients with chronic diseases have a low life expectancy. Therefore, the present study aimed to designing the causal model of life expectancy in patients with cancer diseases based on mental toughness, interpretation bias and body image.

    METHODS

    The present research method is descriptive and correlation type (structural equations). The statistical population of the study was all cancer patients in Tabrize city at 2023 years. The statistical sample was 250 patients who were selected in a purposive sampling. In data collection, Miller's life expectancy(1988), Gaffiero et al.'s bias in pain interpretation(2022), Clough's mental toughness (2002) and Littleton's wory about body image (2008) questionnaires were used. The collected data were analyzed using AMOS and SPSS version 24 software.

    FINDINGS

    The results indicated that the 35% of the variance of the life expectancy variable was explained through the variables of the model. The direct effect of mental toughness  (0.41), wory about body image (-0.28) and interpretation bias (-0.38) on the level of life expectancy was significant. And the indirect effect of wory about body image (t-value = 2.95) and mental toughness  (t-value = 2.1) with the mediation role of interpretation bias on the life expectancy was significant.

    CONCLUSION

    Considering the direct and indirect effect of the interpretation bias, mental stability and self-image on the level of life expectancy, it seems that by strengthening mental toughness, improving interpretation bias and worry about body image in patients with cancer diseases, the life expectancy can be strengthened.

    Keywords: Life Expectancy, Mental Toughness, Interpretation Bias, Body Image, Cancer}
  • مبین طالبی، عماد موعودی*، اباذر اکبرزاده پاشا، قدسیه کامرانی، محمدمهدی درزی، هدی شیرافکن
    سابقه و هدف

    طبقه بندی بیماران مبتلا به سرطان پروستات براساس معیارهای انجمن ارولوژی اروپا با تکیه بر سطح آنتی ژن اختصاصی پروستات، معاینه دیجیتال رکتوم و نمره گلیسون، یکی از معیارهای طلایی برای پیش آگهی بیماری است. از طرفی به نظر می رسد که در اشکال تهاجمی بیماری، سلول های سرطانی می توانند در طول سلول های عصبی انتشار یابند که به آن تهاجم اطراف عصبی گفته می شود. ارتباط بین انواع معیارهای طبقه بندی سرطان پروستات با عود و یا بقای بیماری به خوبی شناخته شده است؛ اما اهمیت تهاجم اطراف عصبی در پیش آگهی بیماری کم تر مورد بحث و بررسی قرار گرفته است. لذا این مطالعه با هدف مقایسه دو گروه تهاجم اطراف عصبی مثبت و منفی براساس طبقه بندی خطر EAU به منظور بررسی تفاوت دو گروه از نظر پیش آگهی بیماری، انجام پذیرفت.

    مواد و روش ها

    این مطالعه که از نوع گذشته نگر است، بر روی 200 بیمار مبتلا به سرطان پروستات انجام شد که در بیمارستان های تابعه دانشگاه علوم پزشکی بابل بین سال های 1396 تا 1400 تحت عمل رادیکال پروستاتکتومی قرار گرفتند. معیارهای ورود به مطالعه شامل ابتلا به سرطان پروستات، وجود نتایج آزمون های بالینی و پاتولوژی در نظر گرفته شد. معیار خروج نیز ابتلای بیمار به انواع سرطان های پروستات، غیر از ادنوکارسینوم در نظر گرفته شد. تمامی داده های دموگرافیک، پاراکلینیکی، بالینی، و پاتولوژی بیماران با استفاده از داده های ثبت شده در پرونده پاتولوژی بیمار و هم چنین بخش بایگانی بیمارستان به دست آمد. اطلاعات بیماران با استفاده از چک لیستی شامل متغیرهای سن، نتایج آزمون های PSA، DRE، و نمره TNM و Gleason و هم چنین وضعیت بیمار از نظر تهاجم اطراف عصبی از پرونده بیماران استخراج گردید. نمره گلیسون، معیار استاندارد برای تمایز بافتی سرطان پروستات است که از 2 تا 10 امتیاز، نمره دهی می شود. نمره کم تر از 7، نشان دهنده تمایز بهتر، نمره 7 بیانگر تمایز متوسط و نمره گلیسون 8، 9 یا 10 نشان دهنده تمایز بد سلول های پروستات می باشد. داده های مطالعه با استفاده از نرم افزار SPSS نسخه 20 مورد تجزیه و تحلیل قرار گرفت. برای آنالیز داده ها از آزمون های ناپارامتریک Chi2 و Fisher Exact و برای مقایسه میانگین متغیرهای کمی از آزمون t مستقل (برای مقایسه دو گروه) و آزمون آنالیز واریانس (برای مقایسه بیش از دو گروه) استفاده شد.

    یافته ها

    میانگین سن افراد تحت مطالعه برابر با 5/91±67/13 بود. با طبقه بندی بیماران براساس گروه های خطر EAU، و مقایسه طبقه خطر بین بیماران دارای تهاجم اطراف عصبی مثبت و منفی براساس سطوح PSA، DRE، TNM وGleason score تفاوت آماری معنی دار بین دو گروه دیده شد. تقریبا در تمامی تقسیم بندی ها براساس مقیاس های کلینیکوپاتولوژیکال، بیماران با تهاجم اطراف عصبی مثبت نسبت به بیماران با تهاجم اطراف عصبی منفی، در خطر بالاتری از نظر معیارهای EAU قرار داشتند.

    استنتاج

    نتایج مطالعه نشان داد تهاجم اطراف عصبی مثبت در بیماران مبتلا به سرطان پروستات می تواند به عنوان پیش آگهی ضعیف بیماری در نظر گرفته شود. حضور سلول های سرطانی در فضای اطراف عصبی می تواند علامتی زود هنگام از پیشرفت سرطان باشد.

    کلید واژگان: سرطان, پروستات, تهاجم اطراف عصبی, گلیسون, آنتی ژن اختصاصی پروستات}
    Mobin Talebi, Emaduddin Moudi*, Abazar Akbarzadeh Pasha, Ghodsieh Kamrani, Mohamadmehdi Darzi, Hoda Shirafkan
    Background and purpose

    The classification of prostate cancer patients based on the criteria of the European Urology Association, based on the level of a prostate-specific antigen, digital rectal examination, and Gleason score, is one of the golden criteria for the prognosis of the disease. On the other hand, it seems that in aggressive forms of the disease, cancer cells can spread along nerve cells, which is called perineurial invasion. The relationship between prostate cancer classification criteria and disease recurrence or survival is well known, but the importance of perineurial invasion in the prognosis of the disease is less discussed and investigated, so this study aims to compare two groups of positive and negative perineurial invasion. It is based on the EAU risk classification to investigate the difference between the two groups in terms of disease prognosis.

    Materials and methods

    This retrospective study was conducted on 200 prostate cancer patients who underwent radical prostatectomy in Babol University of Medical Sciences affiliated hospitals between 1396 and 1400. Inclusion criteria included prostate cancer and, the presence of clinical and pathology test results. The exclusion criterion was the patient suffering from all types of prostate cancer, other than adenocarcinoma. All the demographic, paraclinical, clinical, and pathology data of the patients were obtained using the data recorded in the patient's pathology file as well as the hospital's archive department. Patients' information was extracted from patient files using a checklist including age, results of PSA, DRE, TNM, and Gleason scores, as well as the patient's condition in terms of peripheral nerve invasion. Gleason score is the standard criterion for histological differentiation of prostate cancer, which is graded from 2 to 10 points. A score less than 7 indicates better differentiation, a score of 7 indicates moderate differentiation, and a Gleason score of 8, 9, or 10 indicates poor differentiation of prostate cells. The study data were analyzed using SPSS version 20 software. was analyzed. Chi2 and Fisher Exact tests were used to analyze the data, and independent t-test (to compare two groups) and ANOVA (to compare more than two groups) were used to compare the mean of quantitative variables.

    Results

    The average age of the subjects under study was 67.13±5.91. By classifying patients according to EAU risk groups, and comparing the risk class between patients with positive and negative perineurial invasion based on PSA, DRE, TNM, and Gleason score statistically significant differences were seen between the two groups. In almost all classifications based on clinicopathological scales, patients with positive perineurial invasion were at higher risk in terms of EAU criteria than patients with negative perineurial invasion.

    Conclusion

    The results of the study showed that positive perineurial invasion in prostate cancer patients can be considered as a poor prognosis of the disease. The presence of cancer cells in the perineurial space can be an early sign of cancer progression

    Keywords: Cancer, Prostate, Perineurial Invasion, Gleason, European Association Urology}
نکته
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