2.Paradoxical effects of arsenic in the lungs.
Caixia REN ; Yang ZHOU ; Wenwen LIU ; Qi WANG
Environmental Health and Preventive Medicine 2021;26(1):80-80
High levels (> 100 ug/L) of arsenic are known to cause lung cancer; however, whether low (≤ 10 ug/L) and medium (10 to 100 ug/L) doses of arsenic will cause lung cancer or other lung diseases, and whether arsenic has dose-dependent or threshold effects, remains unknown. Summarizing the results of previous studies, we infer that low- and medium-concentration arsenic cause lung diseases in a dose-dependent manner. Arsenic trioxide (ATO) is recognized as a chemotherapeutic drug for acute promyelocytic leukemia (APL), also having a significant effect on lung cancer. The anti-lung cancer mechanisms of ATO include inhibition of proliferation, promotion of apoptosis, anti-angiogenesis, and inhibition of tumor metastasis. In this review, we summarized the role of arsenic in lung disease from both pathogenic and therapeutic perspectives. Understanding the paradoxical effects of arsenic in the lungs may provide some ideas for further research on the occurrence and treatment of lung diseases.
Animals
;
Arsenic/toxicity*
;
Dose-Response Relationship, Drug
;
Humans
;
Lung/pathology*
;
Lung Neoplasms/drug therapy*
;
Mice
3.Research Advances of Pan-negative Type of Non-small Cell Lung Cancer.
Li SUN ; Zhicheng XIONG ; Chengbo HAN
Chinese Journal of Lung Cancer 2018;21(2):129-138
In recent years, series of driver genes, such as EGFR, KRAS/NRAS, BRAF, PIK3CA, ALK and ROS1 and so on, have been found in non-small cell lung cancer (NSCLC) one after another with the development of molecular detecting technology. Targeted drugs bring benefits for these NSCLC patients with driver gene variations. However, some NSCLC did not have any known driver gene variations; we called it pan-negative lung cancer. In this paper, we summarize the concept, clinical pathological characteristics, the epidemiological characteristics, treatment and prognosis of pan-negative NSCLC.
Carcinoma, Non-Small-Cell Lung
;
diagnosis
;
drug therapy
;
genetics
;
pathology
;
Humans
;
Lung Neoplasms
;
diagnosis
;
drug therapy
;
genetics
;
pathology
;
Mutation
;
Prognosis
4.Result of Surgical Treatment of Stage IIIB Lung Cancer.
Gi Pyo HONG ; Kil Dong KIM ; Hyun Sung LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2000;33(2):173-178
BACKGROUND: Though the surgical treatment of stage IIIB lung cancer is not generalized due to low complete remission rate high morbidity and mortality there are several reports on the improvement of long term survival after preoperative and postoperative adjuvant therapy. In this study we analyzed the prognostic factors affecting long term survival after surgical treatment of stage IIIB lung cancer MATERIAL AND METHOD: We analyzed the long term survival for age pathology invaded mediastinal organ n stage type of operation complete or incomplete resection and adjuvant therapy through a retrospective review of patients underwent surgical treatment. RESULT: From 1990 to 1998 56 patients(51/male 5/female0 with stage IIIB lung cancer were trated surgically. Forty two patients underwent radical resection and morbidity and mortality were 17% 12% respectively. The survival rate for overall patients and the radical resection group were 9% 12% respectively. In the radical resection group excluding explothoracotomy only(n=14) and the surgical mortality patients(n=5) the age the type of operation celly type resectability and N stage had no influence on the long term survival. The survival rate of radical resection group was significantly better than that of the explothoracotomy only group(p=0.04) The long term survival rate of postoperative combination therapy group was significantly better than chemotherapy or radiotherapy alone(p=0.04) CONCLUSION: Age type after surgical treatment of stage IIIB lung cancer. We conclude that combined modality of adjuvant treatment after radical resection of stage IIIB lung cancer seems to offer better long term survival in selective patients. The numbers of patients involved was small. Nevertheless these preliminary findings indicate questions that will need to be experienced further in larger studies.
Drug Therapy
;
Humans
;
Lung Neoplasms*
;
Lung*
;
Mortality
;
Neoplasm Staging
;
Pathology
;
Radiotherapy
;
Retrospective Studies
;
Survival Rate
6.Anti-angiogenesis in Lung Cancer: Current Situation, Progress and Confusion.
Chinese Journal of Lung Cancer 2022;25(4):278-286
Lung cancer is a highly vascular tumors, over the past ten years, anti-angiogenes is has been proved to be an effective and highly promising combinational treatment. The data of the combination of anti-angiogenesis with chemotherapy, targeted therapy, immunotherapy has been constantly updating. Advanced lung cancer patients, no matter different groups or different stages of the disease, are benefited from anti-angiogenes. In this paper, based on the clinical status and unsolved problems, combined with the latest clinical and translational research data, we reviewed the current anti-angiogenesis treatment of lung cancer.
.
Angiogenesis Inhibitors/therapeutic use*
;
Humans
;
Immunotherapy
;
Lung Neoplasms/pathology*
;
Molecular Targeted Therapy
;
Neovascularization, Pathologic/drug therapy*
7.Tumor microenvironment in lung cancer-derived brain metastasis.
Wenwen LIU ; Charles A POWELL ; Qi WANG
Chinese Medical Journal 2022;135(15):1781-1791
Brain metastasis (BM) is the leading cause of mortality in lung cancer patients. The process of BM (from initial primary tumor development, migration and intravasation, dissemination and survival in the bloodstream, extravasation, to colonization and growth to metastases) is a complex process for which few tumor cells complete the entire process. Recent research on BM of lung cancer has recently stressed the essential role of tumor microenvironment (TME) in assisting tumor cells in the completion of each BM step. This review summarizes recent studies regarding the effects of TME on tumor cells in the entire process of BM derived from lung cancer. The identification of vulnerable targets in the TME and their prospects to provide novel therapeutic opportunities are also discussed.
Brain Neoplasms/pathology*
;
Humans
;
Lung Neoplasms/drug therapy*
;
Neoplasm Metastasis
;
Tumor Microenvironment
8.Advances in Predictive Research of Immune Checkpoint Inhibitors-related Adverse Events.
Jing ZHANG ; Xueqin CHEN ; Shenglin MA
Chinese Journal of Lung Cancer 2023;26(10):789-794
The era of tumor treatment has been revolutionized by the advent of immune checkpoint inhibitors. However, while immunotherapy benefits patients, it can also lead to immune-related adverse events that may affect multiple organs and systems throughout the body, potentially even posing a life-threatening risk. The diverse clinical manifestations and onset times of these adverse events further complicate their prediction and diagnosis. The purpose of this paper is to review the clinical characteristics and predicted biomarkers of adverse events related to inhibitors at immune checkpoints, in order to help clinicians evaluate drug risks and early warn adverse events.
.
Humans
;
Immune Checkpoint Inhibitors/adverse effects*
;
Lung Neoplasms/drug therapy*
;
Neoplasms/pathology*
;
Immunotherapy/adverse effects*
9.Research Progress on Pathogenic Mechanism and Potential Therapeutic Drugs of Idiopathic Pulmonary Fibrosis Complicated with Non-small Cell Lung Cancer.
Ting XIAO ; Jiali BAO ; Xiangning LIU ; Hui HUANG ; Honggang ZHOU
Chinese Journal of Lung Cancer 2022;25(10):756-763
Idiopathic pulmonary fibrosis (IPF) is a chronic progressive fibrous interstitial lung disease of unknown etiology. IPF is also considered to be among the independent risk factors for lung cancer, increasing the risk of lung cancer by 7% and 20%. The incidence of IPF complicated with lung cancer, especially non-small cell lung cancer (NSCLC), is increasing gradually, but there is no consensus on unified management and treatment. IPF and NSCLC have similar pathological features. Both appear in the surrounding area of the lung. In pathients with IPF complicated with NSCLC, NSCLC often develops from the honeycomb region of IPF, but the mechanism of NSCLC induced by IPF remains unclear. In addition, IPF and NSCLC have similar genetic, molecular and cellular processes and common signal transduction pathways. The universal signal pathways targeting IPF and NSCLC will become potential therapeutic drugs for IPF complicated with NSCLC. This article examines the main molecular mechanisms involved in IPF and NSCLC and the research progress of drugs under development targeting these signal pathways.
.
Humans
;
Carcinoma, Non-Small-Cell Lung/genetics*
;
Idiopathic Pulmonary Fibrosis/drug therapy*
;
Lung Neoplasms/genetics*
;
Lung/pathology*
;
Signal Transduction
10.Extensive acute lung injury following limited thoracic irradiation: radiologic findings in three patients.
Jung Hwa HWANG ; Kyung Soo LEE ; Koun Sik SONG ; Hojoong KIM ; O Jung KWON ; Tae Hwan LIM ; Yong Chan AHN ; In Wook CHOO
Journal of Korean Medical Science 2000;15(6):712-717
The aim of our study was to describe the radiologic findings of extensive acute lung injury associated with limited thoracic irradiation. Limited thoracic irradiation occasionally results in acute lung injury. In this condition, chest radiograph shows diffuse ground-glass appearance in both lungs and thin-section CT scans show diffuse bilateral ground-glass attenuation with traction bronchiectasis, interlobular septal thickening and intralobular smooth linear opacities.
Acute Disease
;
Adenocarcinoma/radiotherapy
;
Adenocarcinoma/pathology
;
Adenocarcinoma/drug therapy
;
Adenocarcinoma/complications*
;
Carcinoma, Squamous Cell/radiotherapy
;
Carcinoma, Squamous Cell/pathology
;
Carcinoma, Squamous Cell/drug therapy
;
Carcinoma, Squamous Cell/complications*
;
Journal Article
;
Human
;
Lung/radiation effects*
;
Lung/pathology
;
Lung Neoplasms/radiotherapy
;
Lung Neoplasms/pathology
;
Lung Neoplasms/drug therapy
;
Lung Neoplasms/complications*
;
Male
;
Middle Age
;
Radiation Injuries/radiography
;
Radiation Injuries/pathology
;
Radiation Injuries/etiology*
;
Thorax/radiation effects