Surgical excision promotes tumor growth and metastasis by promoting expression of MMP-9 and VEGF in a breast cancer model

Surgery is still the main curative therapeutic modality for breast cancer. Although surgery often results in the successful removal of the primary tumor, its process could increase the risk of metastases of residual cancer cells. Understanding of the connection between breast cancer metastasis and surgical wound will lead to the establishment of a proper treatment strategy for postoperative cancer patient. Aim: To study the influence of surgical procedure on the metastasis of primary breast cancer. Methods: We established MDA-MB-435 human breast cancer xenograft model. Levels of Pro-matrix metalloproteinase 9 (Pro-MMP-9) and vascular endothelial growth factor (VEGF) in host serum and tumors were tested at different time points with ELISA and zymography and correlated to tumor growth and postoperative metastasis. Results: Our study demonstrated surgical wound had promoting effect on tumor growth and pulmonary metastasis of human breast cells, if tumor cells remain in bodies. This effect might be related to the postoperative interaction of cancer and host cells, which resulted in expression of Pro-MMP-9. Surgical process could also increase the VEGF expression in tumor tissues. Conclusions: Surgical wound-produced host Pro-MMP-9 and tumor cell VEGF might be important mediators leading to metastasis of residual breast cancer after surgery.Хирургическое лечение до сих пор остается главным терапевтическим подходом при лечении больных раком молочной железы. Хотя хирургическое удаление опухоли в большинстве случаев достаточно эффективно, в то же время оно может увеличить риск метастазирования остаточных опухолевых клеток. Понимание связи между метастазированием при раке молочной железы и операционной раной позволит выбрать наилучшую стратегию постоперационного лечения. Цель: определить влияние хирургического вмешательства на метастазирование опухоли. Методы: была создана модель рака молочной железы человека в виде ксенотрансплантата MDA-MB-435. Уровень Pro-матричной металлопротеиназы 9 (Pro-MMP-9) и фактора роста эндотелия сосудов (VEGF) в сыворотке реципиента и опухолях оценивались в разные временные промежутки методом ELISA и зимографии. При этом определяли наличие корелляции между этими показа- и зимографии. При этом определяли наличие корелляции между этими показа и зимографии. При этом определяли наличие корелляции между этими показателями, ростом опухоли и постоперационными метастазами. Результаты: было показано, что операционная рана способствует росту опухоли молочной железы и ее метастазированию в легкие в случае, когда при удалении опухоли в ране остаются опухолевые клетки. Это может быть связано с постоперационным взаимодействием опухолевых и окружающих их нормальных клеток, которое приводит к экспрессии Pro-MMP-9. Удаление опухоли может также способствовать увеличению экспрессии VEGF опухолевыми клетками. Выводы: Pro-MMP-9, экспрессируемый нормальными клетками, окружающими постоперационную рану, а также VEGF, продуцируемый опухолевыми клетками, могут быть важными медиаторами метастазирования остаточных опухолевых клеток после хирургического вмешательства

Stable Autonomous Robotic Wheelchair Navigation in the Environment with Slope Way

In this article, we present a path planning approach that is capable of generating a feasible trajectory for stable robotic wheelchair navigation in the environment with slope way. Firstly, the environment is modeled by a lightweight navigation map, with which the proposed sampling-based path planning scheme with a modified extension function can generate a feasible path. Then, the path is further optimized by the proposed utility function involving the human comfort and the path cost. To improve the searching efficiency of an optimal trajectory, we present an adaptive weighting Gaussian Mixture Model (GMM) based sampling strategy. Particularly, the weights of the components in GMM are adjusted adaptively in the planning process. It is also worth noting that the proposed sampling-based planning paradigm can indicate the unsafe regions in the navigation map, which forms a traversable map and further guarantees the safety of the wheelchair robot navigation. Furthermore, the effectiveness and the efficiency of the proposed path planning method are verified in both simulation and real-world experiments. © 1967-2012 IEEE

CCR5 receptor. Biologic and genetic implications in age-related diseases.

The CC chemokine receptor 5 (CCR5) is a member of CCchemokine receptor family. CCR5 has the characteristic structure of a seven transmembrane G protein\u2013coupled receptor (GPCR), which regulates trafficking and effector functions of memory/effector Th1 cells, macrophages, NK cells, and immature dendritic cells. CCR5 and its ligands are important molecules in viral pathogenesis. CCR5 represents the co-receptor for macrophage (M) and dual (T cell and M)-tropic immunodeficiency viruses. Recent evidence has also demonstrated the role of CCR5 in a variety of human diseases, ranging from infectious and inflammatory diseases to cancer. In this article, we describe the involvement of CCR5 in two age-related diseases, atherosclerosis and Alzheimer\u2019s disease, suggesting a possible role of chemokine system on these diseases\u2019 pathophysiology. Finally,we reviewthe data on the probable association between CCR5\u39432 deletion and cardiovascular diseases and Alzheimer\u2019s disease