Zhou Chen’s research while affiliated with Lanzhou University and other places

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Publications (29)


Microbial adhesion and invasion of gastric epithelial cells. H. pylori can bind to gastric epithelial cells via adhesin HopQ, glycan-modified proteins AlpA/B and BabA/B. H. pylori directly injects a potent virulence protein CagA into epithelial cells via the T4SS. F. nucleatum adheres to gastric epithelial cells through the pre-FadA-mFadA complex and Fap2 galactose-binding lectin, ensuring bacterial invasion of host cells. F. nucleatum produces high levels of H2S, increasing DNA damage. Once internalized by host cells, E. coli secretes genotoxin colibactin, inducing DNA double-strand breaks.
The microbiota increases host cell genomic damage and suppresses genome repair. Primary bile acids, nitrate, and proteins metabolized by certain microbial communities produce substances such as DCA, N-nitrosamines, and heterocyclic amines, leading to DNA damage. F. nucleatum increases the expression of miR-205-5p through the TLR4 and MyD88-dependent innate immune signaling pathway, suppressing the expression of MLH1, MSH2, and MSH6. H. pylori upregulates miR-150-5p, miR-155-5p, and miR-3163 to suppress the expression of MSH2 and MSH3 proteins.
Microbiota dysbiosis alters gastric epithelial cell signaling pathways. H. pylori promotes nuclear accumulation and transcriptional activity of YAP and β-catenin in gastric epithelial cells, leading to activation of target genes CDX2, LGR5, and RUVBL1, facilitating cell proliferation and expansion, ultimately resulting in GC development. H. pylori also induces the expression of IL-11 and cancer-related genes Ptger4 and TGF-β. H. pylori enhances autophagy gene ATG16L1, increasing IL-8 production, driving carcinogenesis. H. pylori induces the expression of G6PD and D-LDH in host cells, facilitating glycolysis, and energy production. F. nucleatum upregulates transcription factor SP1, activates lncRNA ENO1-IT1 transcription, guides KAT7 histone acetyltransferase to modify target gene ENO1, increasing host cell glycolysis. δ-valerobetaine produced by various bacteria inhibits mitochondrial FAO and increases lipid accumulation via transcription factor PPAR-α. SCFAs serve as substrates for lipid synthesis. Additionally, the microbiota can induce sustained inflammatory responses, generate ROS, causing DNA fragmentation, membrane disintegration, and protein misfolding through modification of key substrates such as nucleic acids, lipids, and proproteins, leading to cellular senescence, secretion of SASPs, and accelerated tumor growth. EBV infection can activate the cGAS-STING pathway and upregulate the expression of OLFM4, thereby leading to the activation of YAP in recipient cells.
Microbiota shapes the suppressive immune microenvironment. H. pylori induces expression of the NKG2D ligand in gastric epithelial cells, which is released from the cell surface via protein hydrolysis or extracellular vesicles, leading to decreased expression of the NKG2D receptor on NK cells and cytotoxic granule degranulation, thereby facilitating immune evasion by tumor cells. P. acnes activates the TLR4/PI3K/Akt signaling pathway, inducing M2 TAM polarization, promoting secretion of immunosuppressive factors IL-10 and CCR-2. Butyrate, a derivative of probiotics, negatively regulates the NLRP3-mediated inflammatory signaling pathway, inhibits related macrophage activation, and decreases levels of PD-L1 and IL-10 expression, thereby suppressing tumor growth in mice. H. pylori activates TLR9, promotes expression of negative feedback regulator TRIM30a, downregulates activation of transcription factor IRF3, inhibits the STING signaling pathway, and promotes Th17 inflammatory responses and anti-tumor responses in vivo. H. pylori drives activation of pro-inflammatory T cells, secretes IL-21, induces phosphorylation of STAT3, and induces expression of RORγ-t, promoting Th17 differentiation and IL-17 secretion. H. pylori activates dendritic cells via the TLR2/NLRP3/caspase-1/IL-18 axis to induce Tregs, shaping the immune suppressive microenvironment. H. pylori and Methylobacterium can reduce expression of TGF-β and CD8⁺ T cell infiltration in a GC mouse model, but their mechanisms remain to be elucidated.
Therapeutic applications based on the microbiota, such as probiotic, prebiotic, antibiotic use, carrier application, dietary modulation, and traditional Chinese medicine, have shown promising efficacy. However, most of these applications are still in the preclinical stage, and their clinical efficacy and potential complications remain to be determined.
Microbiota and gastric cancer: from molecular mechanisms to therapeutic strategies
  • Literature Review
  • Full-text available

June 2025

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8 Reads

Zhou Chen

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Dacheng Jin

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Jinjing Hu

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[...]

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Yunjiu Gou

Gastric cancer, a prevalent malignancy globally, is influenced by various factors. The imbalance in the gut microbiome and the existence of particular intratumoural microbiota could have a strong connection with the onset and progression of gastric cancer. High-throughput sequencing technology and bioinformatics analysis have revealed a close correlation between abnormal abundance of specific microbial communities and the risk of gastric cancer. These microbial communities contribute to gastric cancer progression through mechanisms including increasing cellular genomic damage, inhibiting DNA repair, activating abnormal signaling pathways, exacerbating tumor hypoxia, and shaping a tumor immune-suppressive microenvironment. This significantly impacts the efficacy of gastric cancer treatments, including chemotherapy and immunotherapy. Probiotic, prebiotic, antibiotic, carrier-based, dietary interventions, fecal microbiota transplantation, and traditional Chinese medicine show potential applications in gastric cancer treatment. However, the molecular mechanisms regarding dysbiosis of microbiota, including gut microbiota, and intra-tumoral microbiota during the progression of gastric cancer, as well as the therapeutic efficacy of microbiota-related applications, still require extensive exploration through experiments.

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Dual Role of Natural Killer Cells in Early Pregnancy: Immunopathological Implications and Therapeutic Potential in Recurrent Spontaneous Abortion and Recurrent Implantation Failure

May 2025

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46 Reads

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1 Citation

Natural killer (NK) cells are critical regulators of immune processes during early pregnancy, playing a key role in maintaining maternal‐foetal immune tolerance and supporting successful implantation. In particular, uterine NK cells, a specialised subset of NK cells, facilitate trophoblast invasion, spiral artery remodelling and placental establishment. Dysregulation of NK cell activity, however, has been implicated in pregnancy complications, notably recurrent spontaneous abortion (RSA) and recurrent implantation failure (RIF). Aberrant NK cell functions, such as heightened cytotoxicity or defective immune signalling, can disrupt the balance between immune tolerance and response, leading to impaired placental development, reduced trophoblast activity and compromised uteroplacental blood flow. This review examines the role of NK cells in early pregnancy, emphasising their contributions to immune modulation and placentation. It also investigates the mechanisms by which NK cell dysfunction contributes to RSA and RIF, and explores therapeutic strategies aimed at restoring NK cell balance to improve pregnancy outcomes. A deeper understanding of NK cell interactions during early pregnancy may provide critical insights into the pathogenesis of pregnancy failure and facilitate targeted immunotherapeutic approaches.


The global trend of intravenous anesthesia and tumors: a bibliometric and visualized study

March 2025

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4 Reads

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1 Citation

Perioperative Medicine

Background Through bibliometric analysis, this paper summarizes the growing literature and analyses the development trends and hot spots in the research field of the association between intravenous anesthesia and tumors. Methods A literature overview was conducted using relevant articles retrieved from the Web of Science Core Collection published between 1991 and 2024. Bibliometric websites and tools (VOSviewer, CiteSpace, and bibliometric R package) are used to analyze the co-occurrence of keywords and reference citations, detailing countries, institutions, authors, references, journals, and keywords. Results A total of 1198 relevant articles were included in the study. The USA, China, and Germany have the largest number of publications, with the USA and China having the most interagency cooperation and Germany relatively less cooperation. The institution that publishes the most articles is the University of National Defense Medical Center, and the journal that publishes the most articles is Anesthesiology. The five most productive authors are Li J., Liu J., Zhang B., Yu X.J., and Xu J. “Surgery”, “anaesthesia”, and “propofol” are the most common keywords. In recent years, research has focused mainly on intravenous anesthesia and tumor survival. Conclusion Both Western countries and China have made outstanding contributions to intravenous anesthesia and tumors. In recent years, the number of publications in China has steadily increased, and the quality and influence of these articles deserve recognition. Future research should focus on the key areas of intravenous anesthesia, tumor recurrence, and survival.


MMP28 recruits M2-type tumor-associated macrophages through MAPK/JNK signaling pathway-dependent cytokine secretion to promote the malignant progression of pancreatic cancer

February 2025

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28 Reads

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2 Citations

Journal of Experimental & Clinical Cancer Research

Background Crosstalk between pancreatic cancer cells and tumor-associated macrophages (TAMs) is a critical driver of malignant progression, and plays an important role in the low response rate to immunotherapy in patients with for pancreatic cancer. Although it is known that cancer cells induce TAM infiltration and M2 polarization, the underlying mechanisms remain elusive. Herein, we identified matrix metalloproteinase 28 (MMP28), a highly expressed protein, as a key regulator of this process. Methods Immunohistochemical staining and qRT-PCR were used to validate MMP28 as a potential marker for the prognosis of patients with pancreatic cancer. We evaluated the tumor-promoting effect of MMP28 in vitro with CCK-8, Transwell, and EdU assay and Western blotting and explored the potential mechanism of MMP28-induced M2 polarization of TAMs with a coculture system, immunofluorescence staining and flow cytometry. A subcutaneous graft tumor model was constructed to assess the tumor-promoting effect of MMP28 and its ability to induce M2 TAM infiltration. Results The relevant results of this study revealed a strong correlation between MMP28 expression and TAM infiltration, with a predominance of M2-polarized TAMs in pancreatic cancer tissues. Mechanistic investigations demonstrated that MMP28 promotes the secretion of multiple cytokines, including IL-8 and VEGFA through the activation of the MAPK/JNK signaling pathway. These cytokines act as potent chemoattractants and polarizing factors for TAMs. Additionally, we discovered an interaction between MMP28 and ANXA2, which contributes to the regulation of TAM recruitment and polarization. In vivo studies confirmed the critical role of MMP28 in tumor growth and TAM infiltration. Depletion of macrophages, inhibition of JNK, or neutralization of IL-8 and VEGFA significantly suppressed tumor progression. Transcriptomic analysis suggested that IL-8 and VEGFA induce M2 TAM polarization by modulating TAM amino acid metabolism. Conclusions Collectively, our findings elucidate a novel mechanism by which pancreatic cancer cells manipulate the tumor microenvironment through MMP28-dependent cytokine secretion, promoting TAM infiltration and M2 polarization. These results highlight MMP28 as a promising therapeutic target for pancreatic cancer. Graphical Abstract Schematic overview of the mechanisms by which MMP28 promotes the migration and polarization of TAMs. High levels of MMP28 promote the secretion of IL-8 and VEGFA by cancer cells by mediating the phosphorylation of the MAPK/JNK signalling pathway and then recruiting TAMs. IL-8 and VEGFA subsequently induce amino acid metabolism alterations in TAMs by binding to relevant receptors on TAMs, which ultimately promote the polarization of TAMs to the M2 phenotype. In addition, ANXA2 increases MMP28-mediated M2 TAM infiltration by interacting with MMP28.


The Role of PPP2R2B in Pancreatic Cancer Progression: A Novel Pro-Cancer Factor

October 2024

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24 Reads

Pancreatic cancer (PC) is one of the most lethal types of cancer, as current treatments are largely ineffective. Our research uncovers that PPP2R2B is overexpressed in a majority of PC cases, playing a significant role in the growth and spread of PC tumors. Further analysis showed that reducing PPP2R2B levels in PC inactivates the MAPK pathways—ERK, JNK, and p38—impacting epithelial-mesenchymal transition (EMT) and apoptosis processes, ultimately promoting PC growth. Our experiments in live subjects demonstrate that removing PPP2R2B inhibits tumor growth in PC mouse models and alters the levels of proteins involved in EMT and cell death. Thus, our work highlights the crucial role of PPP2R2B as a new factor that promotes cancer progression by influencing EMT and cell death through the MAPK pathway in pancreatic cancer.


Figure 4
Knockdown of PPP2R2B inhibits pancreatic cancer progression via the ERK/MAPK pathway by modulating EMT and apoptosis

Pancreatic cancer (PC) is one of the most lethal types of cancer, as current treatments are largely ineffective. Our research uncovers that PPP2R2B is overexpressed in a majority of PC cases, playing a significant role in the growth and spread of PC tumors. Knockdown of PPP2R2B inhibits PC cell proliferation, migration, invasion, and epithelial-mesenchymal transition (EMT), while promoting cell apoptosis. Conversely, overexpression of PPP2R2B enhances these processes, leading to increased proliferation, migration, invasion, and EMT, and reduced apoptosis. Further analysis showed that reducing PPP2R2B levels in PC inactivates the MAPK pathways—ERK, JNK, and p38, ultimately promoting PC growth. The addition of an ERK inhibitor reverses the effects of PPP2R2B knockdown, restoring cell proliferation, migration, and invasion. Our experiments in live subjects demonstrate that removing PPP2R2B inhibits tumor growth in PC mouse models and alters the levels of proteins involved in EMT and cell death. These findings demonstrate that PPP2R2B contributes to PC progression by modulating EMT and apoptosis through the ERK/MAPK pathway. Targeting PPP2R2B or its downstream signaling pathways may offer a promising therapeutic strategy for pancreatic cancer.


Figure 1. Keratin 19 (KRT19) expression is increased in pancreatic cancer (PC) and predicts poor survival (A) Heatmap visualizing the top 50 differentially expressed genes in GSE15471 and GSE16515, where KRT19 is upregulated in PC. (B) GEPIA database outcomes showing significant KRT19 overexpression in PC tissues compared to healthy tissues. (C) Immunohistochemical staining revealing significant KRT19 overexpression in PC tissues from the Human Protein Atlas database. Scale bar = 100 mm. (D) GEPIA database outcomes representing significant KRT19 overexpression in different PC stages compared to healthy tissues. (E) Quantitative reverse transcriptase polymerase chain reaction KRT19 expression in normal pancreatic epithelial cell lines and PC cell lines (GSD, n = 3). (F and G) Western blot analysis of KRT19 expression in PC cells (GSD, n = 3). (H) Western blotting detected KRT19 expression in 6 pairs of pancreatic cancer and their matched adjacent normal tissues. N: normal adjacent tissue; T: tumor tissue. (I) Correlation of high KRT19 expression in GAPIA database with poor prognosis in PC. *p < 0.05, **p < 0.01, ****p < 0.0001.
Association between KRT19 expression in tumor and paracancerous tissues and clinicopathological features in 53 pancreatic cancer patients
Spearman correlation analysis between KRT19 expression and clinicopathological characteristics of pancreatic cancer patients
KRT19 is regulated by miR-642a-5p and promotes pancreatic cancer progression through the Wnt/β-catenin pathway

August 2024

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30 Reads

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1 Citation

iScience

Pancreatic cancer (PC) has a really poor prognosis, and we urgently need to delve deeper into its molecular mechanisms. In this study, we found that KRT19 expression was significantly increased in PC tissues and cell lines and it was linked to unfavorable outcomes for patients. Overexpression of KRT19 boosted the proliferation, migration, and invasion of PC cells. Additionally, miR-374b-5p targets KRT19, inhibiting the activation of the Wnt/β-catenin pathway (WBC), which in turn suppresses epithelial-to-mesenchymal transition (EMT) and the progression of PC. Further experiments showed that under hypoxic conditions, HIF1α was positively correlated with KRT19, promoting its expression. The loss of miR-642a-5p and the upregulation of KRT19 induced by hypoxia can significantly favor PC progression. Plus, the increased expression of KRT19 might act as a predictive marker and potential target for PC treatment.


Figure 2 MIR4435-2HG knocking down suppressed pancreatic cancer cell progression. (A) Validation of MIR4435-2HG knockdown efficiency through quantitative real-time polymerase chain reaction. (B,C) CCK-8 assay for assessing proliferation of MIR4435-2HG knockdown pancreatic cancer cells PANC-1 and SW1990 in vitro. (D,E) Transwell assay (without/with Matrigel) for PANC-1 and SW1990 cell ability to migrate and invade following MIR4435-2HG knockdown (crystal violet stain). (F,G) MIR4435-2HG knockdown of PANC-1 and SW1990 migration ratio observed through wound healing assays (10×). (H) Flow cytometry detecting PANC-1 and SW1990 cell apoptosis following knocking down MIR4435-2HG. *, P<0.05; **, P<0.01; ***, P<0.001. NC, negative control; OD, optical density; CCK-8, Cell Counting Kit 8.
Figure 3 MIR4435-2HG serves as an miR-128-3p sponge. (A) RNAInter and starBase predicting the miRNAs that MIR4435-2HG might potentially sponge. (B) Pancreatic cancer patients having a downregulated miR-128-3p exhibit a worse prognosis. (C) MIR4435-2HG negative correlation with miR-128-3p expression. (D) Determining miR-128-3p expression in HPDE, PANC-1, and SW1990 cells through quantitative real-time polymerase chain reaction. (E) Detecting miR-128-3p expression within 60 pairs of pancreatic cancer and paired normal pancreas specimens using quantitative real-time polymerase chain reaction. (F,G) Determining the impact of miR-128-3p mimics and inhibitors on MIR4435-2HG expression in PANC-1 and SW1990 cells via quantitative real-time polymerase chain reaction. (H) Sequence of miR-128-3p with the MIR4435-2HG binding site. (I) Validation of miR-128-3p association with MIR4435-2HG via dual-luciferase reporter assay. (J,K) Detecting MIR4435-2HG binding to miR-128-3p through RNA pull-down assay. (L,M) Detecting MIR4435-2HG binding to miR-128-3p through RIP assay. (N) Analyzing MIR4435-2HG correlation with miR-128-3p expression within pancreatic cancer tissues employing Spearman's correlation analysis. *, P<0.05; **, P<0.01; ***, P<0.001. TCGA, The Cancer Genome Atlas; NC, negative control; WT, wild-type; MUT, mutation; ; RIP, RNA binding protein immunoprecipitation.
MIR4435-2HG correlation to clinicopathological pancreatic cancer characteristics
Long non-coding RNA MIR4435-2HG promotes pancreatic cancer progression by regulating ABHD17C through sponging miR-128-3p

August 2024

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2 Reads

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1 Citation

Translational Cancer Research

Background The recently identified carcinogenic long non-coding RNA (lncRNA) MIR4435-2HG has been validated to contribute to the initiation and progression of several malignancies. Nonetheless, its specific mechanistic function in pancreatic cancer (PC) is yet to be determined. This study aims to investigate the expression and functional role of MIR4435-2HG in PC and to elucidate its potential mechanism. Methods This study employed The Cancer Genome Atlas (TCGA) and Genotype-Tissue Expression (GTEx)-Pancreas datasets for the analysis of MIR4435-2HG expression in PC and normal pancreatic tissues and its relations with prognosis in PC. Moreover, quantitative real-time polymerase chain reaction (qRT-PCR) was employed for analyzing MIR4435-2HG, miR-128-3p, and ABHD17C expressions within cells and tissues. Cell proliferation and apoptosis were detected in vitro through Cell Counting Kit 8 (CCK-8) assay and flow cytometry while utilizing transwell and wound healing assays to assess cell migration and invasion. Predicting miR-128-3p binding sites with MIR4435-2HG or ABHD17C was conducted via the online tool starBase and validated through a dual-luciferase reporter (DLR), RNA pull-down and RNA binding protein immunoprecipitation (RIP) assays. Herein, we deployed Western blot to assess protein expression levels. The in vivo role of MIR4435-2HG was studied using tumor xenografts. Results MIR4435-2HG overexpression exhibited a correlation with poor prognosis in PC. Knocking down MIR4435-2HG significantly hindered the proliferative, invading, and migrating PC cell abilities, accompanied by apoptosis induction, counteracted via a miR-128-3p inhibitor. Moreover, MIR4435-2HG could directly bind to miR-128-3p. Additionally, miR-128-3p directly targeted ABHD17C. Furthermore, in vitro as well as in vivo experiment results elucidated that knocking down MIR4435-2HG hindered PC progression by suppressing ABHD17C expression via miR-128-3p upregulation. Conclusions MIR4435-2HG can serve as a dependable target for PC diagnosis and treatment by modulating the miR-128-3p/ABHD17C axis to promote its progression.



Citations (21)


... The combination of ketamine and propofol during induction was very successful in preventing the reduction of SpO₂, according to the effectiveness that was interpreted in the non-inferior SpO₂ group (Sodickson & Urman, 2015). Based on the aforementioned findings, hierpotersa H3which states that ketamine and propofol work better together to induce and prevent SpO₂ drop in patients with TIVA than propofol alone-is acknowledged (Han et al., 2025). ...

Reference:

Optimizing Ketamine-Propofol Collaboration to Prevent SpO₂ Decrease in TIVA Patients at RSU Emanuel BanjarnegaraOptimalisasi Kolaborasi Ketamin-Propofol untuk Mencegah Penurunan SpO₂ pada Pasien TIVA di RSU Emanuel Banjarnegara
The global trend of intravenous anesthesia and tumors: a bibliometric and visualized study

Perioperative Medicine

... demonstrating its oncogenic functions across multiple cancer types [14]. It has been consistently found to be upregulated in hepatocellular carcinoma [15,16], gastric cancer [17], esophageal squamous cell carcinoma [18], colorectal cancer [19] and pancreatic cancer, where its overexpression associated with advanced tumor stages, larger tumor sizes, lymph node metastasis, and poor overall survival [20]. Knock down MIR4435-2HG significantly inhibited the progression of pancreatic cancer by miR-128-3p/ABHD17C. ...

Long non-coding RNA MIR4435-2HG promotes pancreatic cancer progression by regulating ABHD17C through sponging miR-128-3p

Translational Cancer Research

... Despite advances in understanding the pathogenesis of immune-related RSA, current therapeutic strategies remain limited, mainly focusing on immunosuppressive treatments or interventions to enhance maternal-fetal tolerance. [9] However, these methods are frequently associated with side effects and do not consistently address the underlying immune dysregulation in all cases. [10] As a result, there is growing interest in traditional Chinese medicine (TCM) as a complementary and alternative treatment, particularly in the management of immune-related conditions like RSA, where TCM has demonstrated some efficacy. ...

Immunologic insights in recurrent spontaneous abortion: Molecular mechanisms and therapeutic interventions
  • Citing Article
  • July 2024

Biomedicine & Pharmacotherapy

... Furthermore, quercetin can reduce the invasiveness of PC cells by suppressing the expression of MMP genes [69]. Additionally, it can trigger mitochondrial-dependent apoptosis in pancreatic cancer cells by inhibiting the PI3K/Akt signaling pathway [70]. Studies revealed that kaempferol can suppress the Akt/mTOR signaling pathway, thereby augmenting its anti-PC properties [71]. ...

Ciprofol suppresses proliferation, invasion and migration of human pancreatic cancer cells
  • Citing Article
  • March 2024

Pakistan Journal of Pharmaceutical Sciences

... Prior methodologies for investigating tumor heterogeneity included microscopic analysis of tumor tissues [107] , utilization of cancer cell lines with diverse genetic and pathological profiles [108] , immunohistochemistry staining, and bulk RNA sequencing to scrutinize distinct cell populations within the tumor. By combining cutting-edge technologies with clinically relevant translational models [109] , it is important to effectively study how different types of cells in the tumor bulk interact and behave [110] . ...

Integrated analysis of scRNA-seq and bulk RNA-seq reveals that GPRC5A is an important prognostic gene in pancreatic cancer and is associated with B-cell Infiltration in pancreatic cancer

... Although bacteria have shown promising results in cancer treatment, they still face challenges in clinical translation, such as high toxicity , potential pathogenicity (Chen et al. 2023a), and effective payload delivery control (Zalatan et al. 2024), and induce excessive immune response in the body (Jia et al. 2024). Therefore, specific modifications to antitumor bacteria are necessary. ...

Microbiota in cancer: molecular mechanisms and therapeutic interventions

... Emerging studies highlight that the function of PKP3 can oscillate between a tumor suppressor role and oncogenic activity, depending on the stage and type of the cancer. Notably, heightened levels of PKP3 are associated with an enhancement in cell proliferation, migration and invasion in specific types of cancer such as pancreatic, ovarian and NSCLC (7)(8)(9). Conversely, a reduction in PKP3 expression in colon and bladder cancers correlates with poorer prognoses (10,11). These findings indicate the dual and variable impact of PKP3 within different cancer contexts. ...

Comprehensive Analysis Identifies PKP3 Overexpression in Pancreatic Cancer Related to Unfavorable Prognosis

... From there, it is distributed and transported throughout the body by various transport proteins (e.g., Ctr1 and Ctr2) and copper chaperone proteins (e.g., ATOX1, CCS, and COX17) (2). The liver, as the primary storage site for copper, regulates its distribution to tissues or excretion via bile (3). Copper is essential in physiological processes such as mitochondrial respiration, cellular energy metabolism, electron transport, and neurotransmitter synthesis (4). ...

Copper in cancer: From pathogenesis to therapy
  • Citing Article
  • April 2023

Biomedicine & Pharmacotherapy

... In a study of 1,898 patients with liver metastases in PC (36), Shi et al. identified tumor size as an independent prognostic variable, similar to our findings. Chemotherapy is the first-line treatment for advanced pancreatic carcinoma, and multiple studies have confirmed that chemotherapy improves clinical outcomes in advanced pancreatic carcinoma (36,37), findings consistent with ours. However, for patients with advanced pancreatic carcinoma, single chemotherapy does not meet the demands of clinical multimodal therapy. ...

Nomograms for Predicting the Risk and Prognosis of Liver Metastases in Pancreatic Cancer: A Population-Based Analysis