83 32477151 By using the spectral features in the short wavelength range (375-425 nm) and the lifetime features at 385, 395, 405, and 415 nm, the esophagitis can be differentiated from normal esophagus tissue with 100% sensitivity and 93% specificity. ('esophagitis', 'Disease', 'MESH:D004938', (134, 145)) ('esophagitis', 'Phenotype', 'HP:0100633', (134, 145)) ('esophagitis', 'Disease', (134, 145)) ('375-425 nm', 'Var', (62, 72)) 124 31632701 As an example, mutations in the (ALK) gene in non-small cell lung cancer have been shown to exhibit a propensity for CNS involvement. ('lung cancer', 'Disease', (61, 72)) ('lung cancer', 'Phenotype', 'HP:0100526', (61, 72)) ('ALK', 'Gene', (33, 36)) ('cancer', 'Phenotype', 'HP:0002664', (66, 72)) ('mutations', 'Var', (15, 24)) ('small cell lung cancer', 'Phenotype', 'HP:0030357', (50, 72)) ('ALK', 'Gene', '238', (33, 36)) ('lung cancer', 'Disease', 'MESH:D008175', (61, 72)) ('non-small cell lung cancer', 'Phenotype', 'HP:0030358', (46, 72)) 222 30716092 Compared with the methylation status in normal samples, 3 CpG sites were hypomethylated (cg27388036, cg27443373, and cg24651824) in EA, among which two sites (cg27443373 and cg24651824) showed moderately negative correlation with CENPE expression. ('cg24651824', 'Var', (174, 184)) ('cg27443373', 'Chemical', '-', (159, 169)) ('cg24651824', 'Var', (117, 127)) ('cg27388036', 'Var', (89, 99)) ('cg27443373', 'Chemical', '-', (101, 111)) ('cg27443373', 'Var', (159, 169)) ('cg27388036', 'Chemical', '-', (89, 99)) ('cg24651824', 'Chemical', '-', (174, 184)) ('CENPE', 'Gene', '1062', (230, 235)) ('cg24651824', 'Chemical', '-', (117, 127)) ('negative', 'NegReg', (204, 212)) ('CENPE', 'Gene', (230, 235)) ('cg27443373', 'Var', (101, 111)) 225 30716092 The methylation status of cg27443373 and cg24651824 might play a critical role in modulating CENPE expression. ('cg24651824', 'Var', (41, 51)) ('modulating', 'Reg', (82, 92)) ('CENPE', 'Gene', (93, 98)) ('cg27443373', 'Chemical', '-', (26, 36)) ('cg24651824', 'Chemical', '-', (41, 51)) ('CENPE', 'Gene', '1062', (93, 98)) ('cg27443373', 'Var', (26, 36)) 274 30716092 Compared with the methylation status in the 6 normal samples, 4 sites (cg18094824, cg26727807, cg03675082 and cg21163042) were hypermethylated (red arrows, Fig 3B), while 3 sites were hypomethylated (cg27388036, cg27443373, and cg24651824) in EA (green arrows, Fig 3B). ('cg27388036', 'Chemical', '-', (200, 210)) ('cg21163042', 'Var', (110, 120)) ('cg24651824', 'Chemical', '-', (228, 238)) ('cg27443373', 'Var', (212, 222)) ('cg26727807', 'Var', (83, 93)) ('cg21163042', 'Chemical', '-', (110, 120)) ('cg18094824', 'Chemical', '-', (71, 81)) ('cg26727807', 'Chemical', '-', (83, 93)) ('cg03675082', 'Chemical', '-', (95, 105)) ('cg03675082', 'Var', (95, 105)) ('cg24651824', 'Var', (228, 238)) ('cg27388036', 'Var', (200, 210)) ('cg27443373', 'Chemical', '-', (212, 222)) ('cg18094824', 'Var', (71, 81)) 276 30716092 Only the methylation level of 4 CpG sites (cg19590290, cg27443373, cg24651824 and cg21346648) were associated with CENPE expression (absolute Pearson's r>=0.2) (Fig 4A, green arrows). ('cg24651824', 'Chemical', '-', (67, 77)) ('cg21346648', 'Chemical', '-', (82, 92)) ('cg27443373', 'Chemical', '-', (55, 65)) ('cg21346648', 'Var', (82, 92)) ('cg19590290', 'Var', (43, 53)) ('cg24651824', 'Var', (67, 77)) ('CENPE', 'Gene', (115, 120)) ('cg27443373', 'Var', (55, 65)) ('cg19590290', 'Chemical', '-', (43, 53)) ('associated', 'Reg', (99, 109)) ('CENPE', 'Gene', '1062', (115, 120)) 277 30716092 Actually, the methylation level of 4 CpG sites were all negatively correlated with CENPE expression, among which cg27443373 and cg24651824 were the significantly hypomethylated sites compared with normal tissues (Fig 4A, dark green arrows). ('CENPE', 'Gene', '1062', (83, 88)) ('CENPE', 'Gene', (83, 88)) ('cg27443373', 'Var', (113, 123)) ('negatively', 'NegReg', (56, 66)) ('methylation level', 'MPA', (14, 31)) ('cg24651824', 'Var', (128, 138)) ('cg27443373', 'Chemical', '-', (113, 123)) ('cg24651824', 'Chemical', '-', (128, 138)) 279 30716092 By divided the patients into methylation-high and methylation-low groups, according to the best cutoff of the methylation of cg27443373 and cg24651824, we found that the methylation-low group had significantly higher CENPE expression (Fig 4B, p = 0.002), as well as significantly worse OS (Fig 4C, p = 0.005). ('cg27443373', 'Chemical', '-', (125, 135)) ('methylation-low', 'Var', (170, 185)) ('patients', 'Species', '9606', (15, 23)) ('CENPE', 'Gene', (217, 222)) ('OS', 'Chemical', '-', (286, 288)) ('worse', 'NegReg', (280, 285)) ('cg24651824', 'Chemical', '-', (140, 150)) ('cg27443373', 'Var', (125, 135)) ('CENPE', 'Gene', '1062', (217, 222)) ('higher', 'PosReg', (210, 216)) ('cg24651824', 'Var', (140, 150)) 281 30716092 However, the copy number loss was not necessarily associated with decreased CENPE expression compared with the copy neutral (0) cases (Fig 5B). ('decreased', 'NegReg', (66, 75)) ('copy number loss', 'Var', (13, 29)) ('CENPE', 'Gene', (76, 81)) ('CENPE', 'Gene', '1062', (76, 81)) 282 30716092 By checking the average methylation of cg27443373 and cg24651824 between +1/0 and -1 groups, we found that the methylation of the -1 group was significantly lower than that of the +1/0 group (p = 0.04) (Fig 5C). ('cg24651824', 'Chemical', '-', (54, 64)) ('cg27443373', 'Chemical', '-', (39, 49)) ('methylation', 'MPA', (111, 122)) ('cg24651824', 'Var', (54, 64)) ('cg27443373', 'Var', (39, 49)) ('lower', 'NegReg', (157, 162)) 283 30716092 These results suggest that hypomethylation might be an adaptive mechanism to compensate the influence of DNA loss on CENPE expression in EA. ('CENPE', 'Gene', (117, 122)) ('hypomethylation', 'Var', (27, 42)) ('loss', 'NegReg', (109, 113)) ('DNA', 'Gene', (105, 108)) ('CENPE', 'Gene', '1062', (117, 122)) 297 30716092 Inhibition of CENPE expression or selectively inhibiting CENPE motor function results in mitotic arrest due to polar chromosomes and following cell apoptosis. ('inhibiting', 'NegReg', (46, 56)) ('mitotic arrest', 'Disease', (89, 103)) ('CENPE', 'Gene', (14, 19)) ('mitotic arrest', 'Disease', 'MESH:D006323', (89, 103)) ('CENPE', 'Gene', '1062', (57, 62)) ('function', 'MPA', (69, 77)) ('CENPE', 'Gene', (57, 62)) ('Inhibition', 'Var', (0, 10)) ('CENPE', 'Gene', '1062', (14, 19)) 301 30716092 CCNA2 is a cell cycle regulatory gene and its dysregulation is associated with esophageal tumorigenesis. ('CCNA2', 'Gene', '890', (0, 5)) ('associated', 'Reg', (63, 73)) ('tumor', 'Disease', (90, 95)) ('tumor', 'Phenotype', 'HP:0002664', (90, 95)) ('tumor', 'Disease', 'MESH:D009369', (90, 95)) ('dysregulation', 'Var', (46, 59)) ('CCNA2', 'Gene', (0, 5)) 305 30716092 These results suggest that epigenetic regulation might be a mechanism of CENPE dysregulation in cancer cells. ('epigenetic regulation', 'Var', (27, 48)) ('CENPE', 'Gene', '1062', (73, 78)) ('cancer', 'Phenotype', 'HP:0002664', (96, 102)) ('CENPE', 'Gene', (73, 78)) ('cancer', 'Disease', 'MESH:D009369', (96, 102)) ('cancer', 'Disease', (96, 102)) 307 30716092 In this study, by checking the methylation status of 18 CpG sites in CENPE DNA in EA, we found that three CpG sites with hypomethylated in EA, among which two sites (cg27443373 and cg24651824) showed moderately negative correlation with CENPE expression. ('CENPE', 'Gene', (69, 74)) ('cg27443373', 'Chemical', '-', (166, 176)) ('CENPE', 'Gene', (237, 242)) ('cg24651824', 'Chemical', '-', (181, 191)) ('CENPE', 'Gene', '1062', (237, 242)) ('cg27443373', 'Var', (166, 176)) ('negative', 'NegReg', (211, 219)) ('CENPE', 'Gene', '1062', (69, 74)) ('cg24651824', 'Var', (181, 191)) 308 30716092 Besides, the high methylation group was associated with better OS. ('high methylation', 'Var', (13, 29)) ('better OS', 'Disease', (56, 65)) ('OS', 'Chemical', '-', (63, 65)) 310 30716092 The significantly lower level of the average methylation of cg27443373 and cg24651824 in this group provides a plausible explanation of this phenomenon. ('methylation', 'MPA', (45, 56)) ('cg24651824', 'Chemical', '-', (75, 85)) ('lower', 'NegReg', (18, 23)) ('cg27443373', 'Chemical', '-', (60, 70)) ('cg24651824', 'Var', (75, 85)) ('cg27443373', 'Var', (60, 70)) 311 30716092 Based on these findings, we infer that hypomethylation of certain CpG sites in CENPE DNA might be an important epigenetic mechanism of upregulated CENPE in EA. ('CENPE', 'Gene', (79, 84)) ('CENPE', 'Gene', (147, 152)) ('CENPE', 'Gene', '1062', (79, 84)) ('CENPE', 'Gene', '1062', (147, 152)) ('hypomethylation', 'Var', (39, 54)) ('upregulated', 'PosReg', (135, 146)) 314 30716092 Secondly, we only confirmed the association between methylation and CENPE expression in EA. ('CENPE', 'Gene', (68, 73)) ('CENPE', 'Gene', '1062', (68, 73)) ('association', 'Interaction', (32, 43)) ('methylation', 'Var', (52, 63)) 324 30156356 On subgroup analysis, according to NAC history, patients with high MFG-E8 expression had significantly shorter relapse-free survival (P = .027) and OS (P = .0039) only when they had been treated with NAC. ('expression', 'MPA', (74, 84)) ('relapse-free survival', 'CPA', (111, 132)) ('NAC', 'Chemical', '-', (35, 38)) ('OS', 'Chemical', '-', (148, 150)) ('shorter', 'NegReg', (103, 110)) ('patients', 'Species', '9606', (48, 56)) ('NAC', 'Chemical', '-', (200, 203)) ('high', 'Var', (62, 66)) ('MFG-E8', 'Gene', (67, 73)) 325 30156356 Furthermore, tumors with high MFG-E8 expression had a significantly lower ratio of CD8+ T cells/regulatory T cells in tumor-infiltrating lymphocytes (P = .042) only in the patients treated with NAC, and those with a lower ratio had a shorter OS (P = .026). ('tumor', 'Disease', (13, 18)) ('tumor', 'Disease', 'MESH:D009369', (118, 123)) ('tumor', 'Disease', 'MESH:D009369', (13, 18)) ('CD8', 'Gene', (83, 86)) ('MFG-E8', 'Gene', (30, 36)) ('lower', 'NegReg', (68, 73)) ('tumors', 'Phenotype', 'HP:0002664', (13, 19)) ('tumor', 'Phenotype', 'HP:0002664', (118, 123)) ('NAC', 'Chemical', '-', (194, 197)) ('patients', 'Species', '9606', (172, 180)) ('tumor', 'Phenotype', 'HP:0002664', (13, 18)) ('lower ratio of CD8+ T cells', 'Phenotype', 'HP:0005415', (68, 95)) ('tumors', 'Disease', (13, 19)) ('CD8', 'Gene', '925', (83, 86)) ('expression', 'MPA', (37, 47)) ('tumors', 'Disease', 'MESH:D009369', (13, 19)) ('OS', 'Chemical', '-', (242, 244)) ('high', 'Var', (25, 29)) ('tumor', 'Disease', (118, 123)) 330 30156356 Such expression has been found to be associated with tumor proliferation, epithelial-mesenchymal transition, cell migration, M2 macrophage polarization, and the induction of Tregs.15, 16, 17, 18, 19 However, there are limited reports that clarified its prognostic impact on cancer patients.16, 20 Furthermore, although MFG-E8 is predicted to affect the balance of the expression of tumor-infiltrating lymphocytes such as CD8+ T cells and Tregs,14 this relationship and its influence on survival are yet to be revealed. ('CD8', 'Gene', '925', (421, 424)) ('Treg', 'Chemical', '-', (438, 442)) ('tumor', 'Phenotype', 'HP:0002664', (382, 387)) ('MFG-E8', 'Var', (319, 325)) ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('cancer', 'Disease', 'MESH:D009369', (274, 280)) ('tumor', 'Disease', (382, 387)) ('patients', 'Species', '9606', (281, 289)) ('balance', 'MPA', (353, 360)) ('cancer', 'Disease', (274, 280)) ('tumor', 'Disease', 'MESH:D009369', (382, 387)) ('affect', 'Reg', (342, 348)) ('expression', 'MPA', (368, 378)) ('Treg', 'Chemical', '-', (174, 178)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('tumor', 'Disease', (53, 58)) ('cancer', 'Phenotype', 'HP:0002664', (274, 280)) ('CD8', 'Gene', (421, 424)) 342 30156356 Patients with progressive disease (PD; with >25% enlargement of the tumor or with appearance of new lesions) or with stable disease (with residual tumor and neither categorized as partial response nor PD) were defined as non-responders.25 The pathological response was categorized into 5 groups according to the criteria of the Japanese Society for Esophageal Diseases.26 The grades were as follows: grade 0, no therapeutic effect; grade1a, viable cancer cells accounting for 2/3 or more tumor tissue; grade 1b, viable cancer cells accounting for 1/3 to 2/3 of tumor tissue; grade 2, viable cancer cells accounting for less than 1/3 of tumor tissue; and grade 3, no viable cancer cells. ('cancer', 'Disease', (519, 525)) ('tumor', 'Disease', (488, 493)) ('cancer', 'Phenotype', 'HP:0002664', (519, 525)) ('tumor', 'Disease', 'MESH:D009369', (488, 493)) ('cancer', 'Phenotype', 'HP:0002664', (448, 454)) ('cancer', 'Disease', 'MESH:D009369', (591, 597)) ('grade1a', 'Var', (432, 439)) ('tumor', 'Disease', (68, 73)) ('tumor', 'Disease', (147, 152)) ('tumor', 'Phenotype', 'HP:0002664', (561, 566)) ('cancer', 'Disease', 'MESH:D009369', (448, 454)) ('Esophageal Diseases', 'Disease', 'MESH:D004935', (349, 368)) ('Esophageal Diseases', 'Disease', (349, 368)) ('Patients', 'Species', '9606', (0, 8)) ('tumor', 'Disease', 'MESH:D009369', (68, 73)) ('tumor', 'Disease', (636, 641)) ('tumor', 'Disease', 'MESH:D009369', (147, 152)) ('cancer', 'Disease', (673, 679)) ('cancer', 'Disease', 'MESH:D009369', (519, 525)) ('tumor', 'Phenotype', 'HP:0002664', (488, 493)) ('cancer', 'Phenotype', 'HP:0002664', (673, 679)) ('tumor', 'Disease', 'MESH:D009369', (636, 641)) ('tumor', 'Phenotype', 'HP:0002664', (68, 73)) ('cancer', 'Disease', (591, 597)) ('tumor', 'Phenotype', 'HP:0002664', (147, 152)) ('therapeutic effect', 'CPA', (412, 430)) ('cancer', 'Disease', (448, 454)) ('tumor', 'Phenotype', 'HP:0002664', (636, 641)) ('tumor', 'Disease', (561, 566)) ('cancer', 'Phenotype', 'HP:0002664', (591, 597)) ('cancer', 'Disease', 'MESH:D009369', (673, 679)) ('tumor', 'Disease', 'MESH:D009369', (561, 566)) 367 30156356 In the group with high MFG-E8 expression, the frequency of patients with tumors located in the upper thoracic esophagus (P = .028), tumors with pathologically diagnosed advanced lymph nodes metastasis (pN2-3) (P = 0.015), or non-regional lymph node metastasis (pM1) (P = .0005) and a history of NAC (P < .0001) were significantly higher compared with the patients with low MFG-E8 expression. ('lymph nodes metastasis', 'Disease', 'MESH:D009362', (178, 200)) ('tumor', 'Phenotype', 'HP:0002664', (73, 78)) ('expression', 'Var', (30, 40)) ('tumors', 'Disease', (73, 79)) ('MFG-E8', 'Gene', (23, 29)) ('patients', 'Species', '9606', (355, 363)) ('tumors', 'Phenotype', 'HP:0002664', (132, 138)) ('patients', 'Species', '9606', (59, 67)) ('tumors', 'Disease', 'MESH:D009369', (73, 79)) ('higher', 'PosReg', (330, 336)) ('non-regional lymph node metastasis', 'CPA', (225, 259)) ('tumor', 'Phenotype', 'HP:0002664', (132, 137)) ('tumors', 'Disease', (132, 138)) ('NAC', 'Chemical', '-', (295, 298)) ('pM1', 'Gene', '8834', (261, 264)) ('pM1', 'Gene', (261, 264)) ('tumors', 'Phenotype', 'HP:0002664', (73, 79)) ('high', 'Var', (18, 22)) ('tumors', 'Disease', 'MESH:D009369', (132, 138)) ('lymph nodes metastasis', 'Disease', (178, 200)) ('NAC', 'Disease', (295, 298)) 369 30156356 Among all 134 patients, the RFS and OS of the high MFG-E8 expression group were significantly worse than those of the low-expression group (P = .012 in RFS and P = .0047 in OS; Figure 2A). ('high', 'Var', (46, 50)) ('MFG-E8', 'Gene', (51, 57)) ('OS', 'Chemical', '-', (173, 175)) ('worse', 'NegReg', (94, 99)) ('OS', 'Chemical', '-', (36, 38)) ('patients', 'Species', '9606', (14, 22)) ('RFS', 'CPA', (28, 31)) 371 30156356 Within the patients without NAC, there was no significant difference in the RFS or OS between those with high MFG-E8 expression and those with low expression (RFS, P = .65; OS, P = .68; Figure 2B]. ('high', 'Var', (105, 109)) ('OS', 'Chemical', '-', (83, 85)) ('expression', 'MPA', (117, 127)) ('NAC', 'Chemical', '-', (28, 31)) ('OS', 'Chemical', '-', (173, 175)) ('MFG-E8', 'Gene', (110, 116)) ('patients', 'Species', '9606', (11, 19)) 372 30156356 However, among patients treated with NAC, those with high MFG-E8 expression showed significantly shorter RFS and OS compared with those with low expression (RFS, P = .027; OS, P = .0039; Figure 2C). ('patients', 'Species', '9606', (15, 23)) ('OS', 'Chemical', '-', (172, 174)) ('high', 'Var', (53, 57)) ('MFG-E8', 'Gene', (58, 64)) ('RFS', 'CPA', (105, 108)) ('expression', 'MPA', (65, 75)) ('shorter', 'NegReg', (97, 104)) ('OS', 'Chemical', '-', (113, 115)) ('NAC', 'Chemical', '-', (37, 40)) 373 30156356 As shown in Table 3, the high MFG-E8 expression group among patients who received NAC had a significantly larger percentage of N2-3 lymph node metastasis and non-regional lymph node metastasis. ('MFG-E8', 'Gene', (30, 36)) ('N2-3 lymph node metastasis', 'CPA', (127, 153)) ('patients', 'Species', '9606', (60, 68)) ('high', 'Var', (25, 29)) ('non-regional lymph node metastasis', 'CPA', (158, 192)) ('expression', 'MPA', (37, 47)) ('NAC', 'Chemical', '-', (82, 85)) 375 30156356 To analyze the causes that led to the worse survival rate of patients with high MFG-E8 expression after receiving NAC, the relationships between MFG-E8 expression and both the clinical and pathological response to therapy were examined. ('high', 'Var', (75, 79)) ('NAC', 'Chemical', '-', (114, 117)) ('patients', 'Species', '9606', (61, 69)) ('expression', 'MPA', (87, 97)) ('MFG-E8', 'Gene', (80, 86)) 378 30156356 Within the 61 patients without NAC, there were no significant differences in the CD8/Foxp3 ratio between those with high MFG-E8 expression and those with low expression (median value, 1.0 vs 1.71; P = .34) (Figure 3A). ('Foxp3', 'Gene', (85, 90)) ('CD8', 'Gene', (81, 84)) ('NAC', 'Chemical', '-', (31, 34)) ('CD8', 'Gene', '925', (81, 84)) ('high', 'Var', (116, 120)) ('MFG-E8', 'Gene', (121, 127)) ('expression', 'MPA', (128, 138)) ('Foxp3', 'Gene', '50943', (85, 90)) ('patients', 'Species', '9606', (14, 22)) 379 30156356 Within the 66 patients who underwent NAC, the CD8/Foxp3 ratios were significantly lower in patients with high MFG-E8 expression compared with those with low expression (median value, 1.53 vs 3.28; P = .042) (Figure 3B). ('high', 'Var', (105, 109)) ('CD8', 'Gene', '925', (46, 49)) ('patients', 'Species', '9606', (91, 99)) ('patients', 'Species', '9606', (14, 22)) ('expression', 'MPA', (117, 127)) ('MFG-E8', 'Gene', (110, 116)) ('Foxp3', 'Gene', '50943', (50, 55)) ('CD8', 'Gene', (46, 49)) ('NAC', 'Chemical', '-', (37, 40)) ('Foxp3', 'Gene', (50, 55)) ('lower', 'NegReg', (82, 87)) 384 30156356 When the OS was compared between the two groups, the low CD8/Foxp3 group showed a significantly worse prognosis (P = .026; Figure 3C). ('CD8', 'Gene', (57, 60)) ('CD8', 'Gene', '925', (57, 60)) ('low', 'Var', (53, 56)) ('OS', 'Chemical', '-', (9, 11)) ('Foxp3', 'Gene', '50943', (61, 66)) ('Foxp3', 'Gene', (61, 66)) 386 30156356 In the univariate analysis among patients with NAC history, poor tumor differentiation, pathologically diagnosed N2-3 lymph node metastasis, non-regional lymph node metastasis, tumor stage III-IV, and high MFG-E8 expression were the factors correlated with worse OS (Table 4). ('worse OS', 'Disease', (257, 265)) ('patients', 'Species', '9606', (33, 41)) ('tumor', 'Disease', (65, 70)) ('expression', 'MPA', (213, 223)) ('tumor', 'Phenotype', 'HP:0002664', (65, 70)) ('OS', 'Chemical', '-', (263, 265)) ('tumor', 'Disease', 'MESH:D009369', (177, 182)) ('MFG-E8', 'Gene', (206, 212)) ('tumor', 'Phenotype', 'HP:0002664', (177, 182)) ('NAC', 'Chemical', '-', (47, 50)) ('high', 'Var', (201, 205)) ('tumor', 'Disease', (177, 182)) ('tumor', 'Disease', 'MESH:D009369', (65, 70)) 387 30156356 In the multivariate analysis, poor tumor differentiation, tumor stage III-IV, and high MFG-E8 expression were found to be independent prognostic factors (Table 4). ('tumor', 'Disease', 'MESH:D009369', (35, 40)) ('tumor', 'Phenotype', 'HP:0002664', (58, 63)) ('tumor', 'Disease', (58, 63)) ('tumor', 'Phenotype', 'HP:0002664', (35, 40)) ('high', 'Var', (82, 86)) ('tumor', 'Disease', (35, 40)) ('tumor', 'Disease', 'MESH:D009369', (58, 63)) ('MFG-E8', 'Gene', (87, 93)) ('expression', 'MPA', (94, 104)) 389 30156356 Analysis of all patients examined showed that tumors with high MFG-E8 expression had a significantly higher possibility of having advanced lymph node and non-regional lymph node metastasis (M1), as previously suggested in malignant melanoma patients.16 Our study also showed that the RFS and OS of the high MFG-E8 expression group were significantly worse than those of the low-expression group. ('worse', 'NegReg', (350, 355)) ('malignant melanoma', 'Disease', (222, 240)) ('OS', 'Chemical', '-', (292, 294)) ('tumor', 'Phenotype', 'HP:0002664', (46, 51)) ('patients', 'Species', '9606', (16, 24)) ('malignant melanoma', 'Phenotype', 'HP:0002861', (222, 240)) ('tumors', 'Phenotype', 'HP:0002664', (46, 52)) ('MFG-E8', 'Gene', (307, 313)) ('tumors', 'Disease', (46, 52)) ('high', 'Var', (302, 306)) ('malignant melanoma', 'Disease', 'MESH:D008545', (222, 240)) ('patients', 'Species', '9606', (241, 249)) ('tumors', 'Disease', 'MESH:D009369', (46, 52)) 391 30156356 In the patient group with NAC history, high MFG-E8 expression in the tumors correlated with worse RFS and OS. ('MFG-E8', 'Gene', (44, 50)) ('tumor', 'Phenotype', 'HP:0002664', (69, 74)) ('high', 'Var', (39, 43)) ('RFS', 'Disease', (98, 101)) ('patient', 'Species', '9606', (7, 14)) ('tumors', 'Phenotype', 'HP:0002664', (69, 75)) ('expression', 'MPA', (51, 61)) ('tumors', 'Disease', (69, 75)) ('tumors', 'Disease', 'MESH:D009369', (69, 75)) ('NAC', 'Chemical', '-', (26, 29)) ('OS', 'Chemical', '-', (106, 108)) 396 30156356 Multiple reports elsewhere have shown that lower CD8/Foxp3, not the absolute number of Foxp3+ or CD8+ T cells, better indicates the extent of suppression of antitumor immunity and has a relationship with worse patient survival in multiple cancer types, including esophageal squamous cell carcinoma.32, 33, 34, 35, 36, 37 In the current study, among patients treated with NAC, tumors with high MFG-E8 expression had a significantly lower CD8/Foxp3 ratio compared with those with low MFG-E8 expression. ('NAC', 'Chemical', '-', (371, 374)) ('tumor', 'Disease', (376, 381)) ('Foxp3', 'Gene', '50943', (53, 58)) ('carcinoma', 'Phenotype', 'HP:0030731', (288, 297)) ('Foxp3', 'Gene', (441, 446)) ('tumors', 'Disease', 'MESH:D009369', (376, 382)) ('tumor', 'Disease', 'MESH:D009369', (376, 381)) ('tumor', 'Disease', (161, 166)) ('esophageal squamous cell carcinoma', 'Disease', (263, 297)) ('patient', 'Species', '9606', (349, 356)) ('tumor', 'Disease', 'MESH:D009369', (161, 166)) ('Foxp3', 'Gene', '50943', (441, 446)) ('cancer', 'Disease', (239, 245)) ('CD8', 'Gene', (49, 52)) ('CD8', 'Gene', (97, 100)) ('CD8', 'Gene', (437, 440)) ('cancer', 'Phenotype', 'HP:0002664', (239, 245)) ('lower', 'NegReg', (431, 436)) ('tumor', 'Phenotype', 'HP:0002664', (376, 381)) ('Foxp3', 'Gene', (87, 92)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (274, 297)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (263, 297)) ('tumor', 'Phenotype', 'HP:0002664', (161, 166)) ('tumors', 'Phenotype', 'HP:0002664', (376, 382)) ('high MFG-E8 expression', 'Var', (388, 410)) ('Foxp3', 'Gene', '50943', (87, 92)) ('patients', 'Species', '9606', (349, 357)) ('cancer', 'Disease', 'MESH:D009369', (239, 245)) ('CD8', 'Gene', '925', (437, 440)) ('patient', 'Species', '9606', (210, 217)) ('tumors', 'Disease', (376, 382)) ('CD8', 'Gene', '925', (49, 52)) ('Foxp3', 'Gene', (53, 58)) ('CD8', 'Gene', '925', (97, 100)) 397 30156356 Furthermore, the patients with lower CD8/Foxp3 ratio had worse survival compared with those with high ratio, consistent with previous reports.32, 37 These findings in patients treated with NAC suggest that high MFG-E8 expression in the tumors treated with chemotherapy might induce Treg propagation to suppress antitumor immunity exerted by CD8+ T cells. ('CD8', 'Gene', (37, 40)) ('NAC', 'Chemical', '-', (189, 192)) ('tumor', 'Disease', 'MESH:D009369', (236, 241)) ('tumor', 'Disease', 'MESH:D009369', (315, 320)) ('high', 'Var', (206, 210)) ('tumors', 'Phenotype', 'HP:0002664', (236, 242)) ('CD8', 'Gene', '925', (341, 344)) ('tumor', 'Phenotype', 'HP:0002664', (236, 241)) ('Treg propagation', 'CPA', (282, 298)) ('tumor', 'Phenotype', 'HP:0002664', (315, 320)) ('tumors', 'Disease', (236, 242)) ('MFG-E8', 'Gene', (211, 217)) ('suppress', 'NegReg', (302, 310)) ('CD8', 'Gene', '925', (37, 40)) ('Foxp3', 'Gene', (41, 46)) ('tumor', 'Disease', (236, 241)) ('patients', 'Species', '9606', (17, 25)) ('CD8', 'Gene', (341, 344)) ('tumors', 'Disease', 'MESH:D009369', (236, 242)) ('Foxp3', 'Gene', '50943', (41, 46)) ('induce', 'Reg', (275, 281)) ('patients', 'Species', '9606', (167, 175)) ('Treg', 'Chemical', '-', (282, 286)) ('tumor', 'Disease', (315, 320)) 403 30156356 In the current study, there was a significantly higher rate of high MFG-E8 expression in the tumors of patients treated with NAC compared with those not treated with NAC. ('MFG-E8', 'Gene', (68, 74)) ('tumor', 'Phenotype', 'HP:0002664', (93, 98)) ('tumors', 'Disease', 'MESH:D009369', (93, 99)) ('NAC', 'Var', (125, 128)) ('NAC', 'Chemical', '-', (166, 169)) ('NAC', 'Chemical', '-', (125, 128)) ('higher', 'PosReg', (48, 54)) ('tumors', 'Phenotype', 'HP:0002664', (93, 99)) ('tumors', 'Disease', (93, 99)) ('patients', 'Species', '9606', (103, 111)) ('expression', 'MPA', (75, 85)) 494 29621982 LNM increases the risk of locoregional recurrence and may influence cancer-specific survival in some patients with PTC. ('locoregional recurrence', 'CPA', (26, 49)) ('patients', 'Species', '9606', (101, 109)) ('cancer', 'Phenotype', 'HP:0002664', (68, 74)) ('LNM', 'Var', (0, 3)) ('PTC', 'Phenotype', 'HP:0002895', (115, 118)) ('cancer', 'Disease', 'MESH:D009369', (68, 74)) ('influence', 'Reg', (58, 67)) ('cancer', 'Disease', (68, 74)) ('PTC', 'Gene', '8030', (115, 118)) ('PTC', 'Gene', (115, 118)) 528 29621982 As shown in Table 2, PTC patients with high serum fibrinogen levels had a higher rate of postoperative recurrence. ('high', 'Var', (39, 43)) ('postoperative recurrence', 'CPA', (89, 113)) ('PTC', 'Gene', '8030', (21, 24)) ('fibrinogen', 'Gene', '2244', (50, 60)) ('fibrinogen', 'Gene', (50, 60)) ('high serum fibrinogen levels', 'Phenotype', 'HP:0011899', (39, 67)) ('PTC', 'Gene', (21, 24)) ('patients', 'Species', '9606', (25, 33)) ('PTC', 'Phenotype', 'HP:0002895', (21, 24)) 573 27714646 Development of fistula between esophagogastric anastomotic site and cartilage portion of trachea after subtotal esophagectomy for cervical esophageal cancer: a case report A 65-year-old man with cT3N2M0 stage III cervical esophageal cancer underwent subtotal esophagectomy and gastric tube reconstruction through the retrosternal route after neoadjuvant chemoradiotherapy. ('cervical esophageal cancer', 'Disease', (213, 239)) ('esophageal cancer', 'Disease', 'MESH:D004938', (222, 239)) ('cervical esophageal cancer', 'Disease', 'MESH:D004938', (213, 239)) ('cartilage portion of trachea', 'Disease', 'MESH:C557675', (68, 96)) ('cancer', 'Phenotype', 'HP:0002664', (233, 239)) ('cartilage portion of trachea', 'Disease', (68, 96)) ('cervical esophageal cancer', 'Disease', 'MESH:D004938', (130, 156)) ('cT3N2M0', 'Var', (195, 202)) ('cervical esophageal cancer', 'Disease', (130, 156)) ('man', 'Species', '9606', (186, 189)) ('fistula', 'Disease', 'MESH:D005402', (15, 22)) ('cartilage portion of trachea', 'Phenotype', 'HP:0005347', (68, 96)) ('fistula', 'Disease', (15, 22)) ('esophageal cancer', 'Disease', 'MESH:D004938', (139, 156)) ('cancer', 'Phenotype', 'HP:0002664', (150, 156)) 588 27714646 The preoperative diagnosis was clinical T3N2M0 stage III cervical esophageal cancer according to the tumor, node, and metastasis classification. ('tumor', 'Phenotype', 'HP:0002664', (101, 106)) ('tumor', 'Disease', (101, 106)) ('T3N2M0 stage', 'Var', (40, 52)) ('cervical esophageal cancer', 'Disease', (57, 83)) ('cancer', 'Phenotype', 'HP:0002664', (77, 83)) ('cervical esophageal cancer', 'Disease', 'MESH:D004938', (57, 83)) ('tumor', 'Disease', 'MESH:D009369', (101, 106)) 592 27714646 The following lymph nodes in the neck and upper and middle mediastinum were dissected: the cervical paraesophageal (#101), supraclavicular (#104), upper thoracic paraesophageal (#105), recurrent nerve (#106recL and #106recR), tracheobronchial (#106tbL), subcarinal (#107), middle thoracic paraesophageal (#108), and main bronchus (#109 L and #109R) lymph nodes. ('#109 L', 'Var', (331, 337)) ('middle thoracic paraesophageal', 'Disease', 'MESH:D020244', (273, 303)) ('lymph nodes in the neck', 'Phenotype', 'HP:0025289', (14, 37)) ('#106tbL', 'Var', (244, 251)) ('upper thoracic paraesophageal', 'Disease', 'MESH:D006551', (147, 176)) ('#106recL', 'Var', (202, 210)) ('#106recR', 'Var', (215, 223)) ('upper thoracic paraesophageal', 'Disease', (147, 176)) ('middle thoracic paraesophageal', 'Disease', (273, 303)) 689 25640628 The proportion of treatment completion by PS was as follows: PS0 74% (26/35) and 89% (31/35), PS1 91% (29/32) and 86% (30/35), and PS2 100% (1/1) and 0% (0/1) in arm A and arm B, respectively. ('PS1', 'Gene', (94, 97)) ('PS', 'Chemical', '-', (61, 63)) ('PS2', 'Gene', (131, 134)) ('PS', 'Chemical', '-', (42, 44)) ('PS1', 'Gene', '338399', (94, 97)) ('PS', 'Chemical', '-', (94, 96)) ('PS', 'Chemical', '-', (131, 133)) ('PS0', 'Var', (61, 64)) ('PS2', 'Gene', '338412', (131, 134)) 703 25640628 In May 2009, the OS among patients receiving LDPF-RT was slightly inferior to patients treated with SDPF-RT (hazard ratio, 1.05; 80% confidence interval [CI], 0.78-1.41; unstratified one-sided log-rank P for non-inferiority =0.42). ('LDPF-RT', 'Var', (45, 52)) ('patients', 'Species', '9606', (78, 86)) ('LDPF', 'Chemical', '-', (45, 49)) ('patients', 'Species', '9606', (26, 34)) ('inferior', 'NegReg', (66, 74)) ('OS', 'Chemical', '-', (17, 19)) ('SDPF-RT', 'Chemical', '-', (100, 107)) 707 25640628 We carried out a randomized phase II study that compared LDPF-RT (arm B) with SDPF-RT (arm A) for patients with cT4 or M1Lym esophageal squamous cell carcinoma. ('LDPF', 'Chemical', '-', (57, 61)) ('cT4', 'Var', (112, 115)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (125, 159)) ('M1Lym', 'Var', (119, 124)) ('patients', 'Species', '9606', (98, 106)) ('carcinoma', 'Phenotype', 'HP:0030731', (150, 159)) ('SDPF-RT', 'Chemical', '-', (78, 85)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (136, 159)) ('esophageal squamous cell carcinoma', 'Disease', (125, 159)) 711 25640628 In Japan, LDPF-RT is believed to be less toxic and more effective, despite insufficient supporting evidence, because LDPF has a theoretical radiosensitizing effect and low toxicity. ('insufficient', 'Disease', (75, 87)) ('low toxicity', 'Disease', 'MESH:D009800', (168, 180)) ('LDPF', 'Chemical', '-', (10, 14)) ('LDPF', 'Var', (117, 121)) ('LDPF', 'Chemical', '-', (117, 121)) ('low toxicity', 'Disease', (168, 180)) ('radiosensitizing', 'CPA', (140, 156)) ('insufficient', 'Disease', 'MESH:D000309', (75, 87)) 719 25640628 We noted that the treatment completion rate was slightly higher in arm B (86%) than in arm A (82%); we speculated that this difference in completion rate might have been due to the difference in the total dose of cisplatin, which was slightly lower in arm B (120 mg/m2) than in arm A (140 mg/m2). ('120 mg/m2', 'Var', (259, 268)) ('cisplatin', 'Chemical', 'MESH:D002945', (213, 222)) ('treatment completion', 'CPA', (18, 38)) 721 25640628 JCOG9516 was a phase II trial of SDPF-RT (the same protocol as arm A in this study) in patients with cT4 or M1Lym advanced esophageal cancer and demonstrated relatively low %CR (15%) with an acceptable 2-year survival (31.5%), fairly similar to the rates reported in the present study. ('esophageal cancer', 'Disease', (123, 140)) ('%CR', 'MPA', (173, 176)) ('patients', 'Species', '9606', (87, 95)) ('esophageal cancer', 'Disease', 'MESH:D004938', (123, 140)) ('SDPF-RT', 'Chemical', '-', (33, 40)) ('CR', 'Chemical', '-', (174, 176)) ('M1Lym', 'Var', (108, 113)) ('low', 'NegReg', (169, 172)) ('cT4', 'Var', (101, 104)) ('cancer', 'Phenotype', 'HP:0002664', (134, 140)) 791 25608626 Measurement using light microscopy on histopathological specimens demonstrated that the mean vessel caliber in IPCL-IV (5.9 mum) was significantly larger than IPCL-III (4.8 mum) (P=0.013). ('IPCL-IV', 'Var', (111, 118)) ('IPCL', 'Chemical', '-', (111, 115)) ('vessel caliber', 'CPA', (93, 107)) ('IPCL', 'Chemical', '-', (159, 163)) ('IPCL-III', 'Chemical', '-', (159, 167)) ('larger', 'PosReg', (147, 153)) 809 25608626 IPCL-V1 corresponds to carcinoma in situ (M1) with the four characteristic morphological changes: dilatation, meandering, irregular caliber, and non-uniformity between each IPCL. ('carcinoma in situ', 'Disease', 'MESH:D002278', (23, 40)) ('meandering', 'CPA', (110, 120)) ('carcinoma', 'Phenotype', 'HP:0030731', (23, 32)) ('irregular caliber', 'CPA', (122, 139)) ('carcinoma in situ', 'Disease', (23, 40)) ('dilatation', 'MPA', (98, 108)) ('carcinoma in situ', 'Phenotype', 'HP:0030075', (23, 40)) ('IPCL', 'Chemical', '-', (173, 177)) ('IPCL-V1', 'Var', (0, 7)) ('dilatation', 'Phenotype', 'HP:0002617', (98, 108)) ('IPCL', 'Chemical', '-', (0, 4)) 817 25608626 In our data, IPCL V3b has relatively higher risk of SM invasion: IPCL-V3a related to M2 60%, M3SM1 40%. ('SM invasion', 'Disease', (52, 63)) ('IPCL', 'Chemical', '-', (65, 69)) ('IPCL', 'Var', (13, 17)) ('IPCL V', 'Chemical', '-', (13, 19)) ('IPCL', 'Chemical', '-', (13, 17)) ('M3SM1', 'Var', (93, 98)) 884 33505626 This study was to analyze the composition and possible mechanisms of ANE 30-100K-induced autophagy (AIA). ('ANE 30-100K-induced', 'Var', (69, 88)) ('autophagy', 'CPA', (89, 98)) ('ANE', 'Chemical', '-', (69, 72)) 887 33505626 After ANE 30-100K stimulation, CE81T/VGH cells showed intracellular vacuoles, acidic vesicles, double-membrane vacuoles, and elevated LC3-II level. ('elevated', 'PosReg', (125, 133)) ('LC3-II', 'Chemical', '-', (134, 140)) ('CE81T/VGH', 'Var', (31, 40)) ('LC3-II level', 'MPA', (134, 146)) ('ANE', 'Chemical', '-', (6, 9)) ('elevated LC3', 'Phenotype', 'HP:0003141', (125, 137)) 888 33505626 ANE 30-100K-induced cytotoxicity and LC3-II accumulation were significantly inhibited by Atg5 knockdown. ('knockdown', 'Var', (94, 103)) ('Atg5', 'Gene', (89, 93)) ('cytotoxicity', 'Disease', (20, 32)) ('LC3-II', 'Chemical', '-', (37, 43)) ('LC3-II', 'Protein', (37, 43)) ('ANE', 'Chemical', '-', (0, 3)) ('cytotoxicity', 'Disease', 'MESH:D064420', (20, 32)) ('inhibited', 'NegReg', (76, 85)) 891 33505626 CE81T/VGH also exhibited autophagic responses to ANE 30-100K. ('CE81T/VGH', 'Var', (0, 9)) ('exhibited', 'Reg', (15, 24)) ('ANE', 'Chemical', '-', (49, 52)) ('autophagic responses', 'CPA', (25, 45)) 899 33505626 ANE 30-100K induced the accumulation of microtubule-associated protein 1 light chain 3A/B-II (LC3-II), acidic vesicles, and autophagic vacuoles in OECM-1, indicating the induction of macroautophagy (hereafter referred to as autophagy). ('3A/B', 'Var', (85, 89)) ('accumulation', 'PosReg', (24, 36)) ('autophagic vacuole', 'Phenotype', 'HP:0003736', (124, 142)) ('macroautophagy', 'CPA', (183, 197)) ('LC3-II', 'Chemical', '-', (94, 100)) ('autophagic vacuoles', 'Phenotype', 'HP:0003736', (124, 143)) ('ANE', 'Chemical', '-', (0, 3)) ('LC3-II', 'Gene', (94, 100)) ('3A/B', 'SUBSTITUTION', 'None', (85, 89)) 906 33505626 In this study, we provided evidences of autophagic responses of CE81T/VGH cells to ANE 30-100K including double-membraned autophagosome (or autophagolysosome) by TEM. ('CE81T/VGH', 'Var', (64, 73)) ('ANE', 'Chemical', '-', (83, 86)) ('autophagic responses', 'CPA', (40, 60)) 909 33505626 Methyl-beta-cyclodextrin (128446-36-6), lactacystin (133343-34-7), and epoxomicin (134381-21-8) were purchased from Sigma-Aldrich (Saint Louis, MO, USA). ('133343-34-7', 'Var', (53, 64)) ('128446-36-6', 'Var', (26, 37)) ('epoxomicin', 'Chemical', 'MESH:C078846', (71, 81)) ('Methyl-beta-cyclodextrin', 'Chemical', 'MESH:C108732', (0, 24)) ('lactacystin', 'Chemical', 'MESH:C067713', (40, 51)) 940 33505626 Finally, ANE 30-100K-induced double-membrane autophagic vacuole structure was demonstrated here for the first time in CE81T/VGH cells by transmission electron microscope (Fig. ('autophagic vacuole', 'Phenotype', 'HP:0003736', (45, 63)) ('double-membrane autophagic vacuole structure', 'CPA', (29, 73)) ('ANE', 'Chemical', '-', (9, 12)) ('CE81T/VGH', 'Var', (118, 127)) 941 33505626 Some of these morphological changes are similar to those of OECM-1 cells as observed in our previous study, indicating that ANE 30-100K can stimulate a massive degradation of cytoplasmic materials in both OECM-1 and CE81T/VGH cells through autophagy. ('autophagy', 'CPA', (240, 249)) ('ANE', 'Chemical', '-', (124, 127)) ('degradation of cytoplasmic materials', 'MPA', (160, 196)) ('stimulate', 'PosReg', (140, 149)) ('ANE 30-100K', 'Var', (124, 135)) 942 33505626 In addition to these observations, we also demonstrated that treatment of CE81T/VGH cells with ANE 30-100K for 24 h induced the elevation of LC3-II levels in both dose- and time- dependent manners (Fig. ('LC3-II levels', 'MPA', (141, 154)) ('LC3-II', 'Chemical', '-', (141, 147)) ('ANE', 'Chemical', '-', (95, 98)) ('elevation', 'PosReg', (128, 137)) ('CE81T/VGH', 'Var', (74, 83)) 943 33505626 Meanwhile, LC3-II level was further increased in the presence of lysosomal inhibitors including pepstatin A (10 mug/ml), E64d (10 mug/ml), and leupeptin (10 mug/ml) (Fig. ('LC3-II', 'Chemical', '-', (11, 17)) ('leupeptin', 'Chemical', 'MESH:C032854', (143, 152)) ('pepstatin A', 'Chemical', 'MESH:C031375', (96, 107)) ('increased', 'PosReg', (36, 45)) ('10 mug/ml', 'Var', (109, 118)) ('E64d', 'Chemical', 'MESH:C108192', (121, 125)) ('LC3-II level', 'MPA', (11, 23)) 944 33505626 This feature is regarded as the induction of autophagic flux, and similar effect of ANE 30-100K on oral fibroblasts has also been demonstrated in our previous studies. ('ANE', 'Var', (84, 87)) ('autophagic flux', 'CPA', (45, 60)) ('ANE', 'Chemical', '-', (84, 87)) 945 33505626 3A showed that Atg5 protein level was significantly decreased in CE81T/VGH cells infected with atg5 shRNA-containing virus compared to non-infected cells (control) and cells infected with empty plasmid-containing virus (virus-plasmid control, VPC). ('infected', 'Disease', 'MESH:D007239', (174, 182)) ('infected', 'Disease', (139, 147)) ('infected', 'Disease', (174, 182)) ('decreased', 'NegReg', (52, 61)) ('infected', 'Disease', (81, 89)) ('atg5 shRNA-containing', 'Var', (95, 116)) ('CE81T/VGH', 'Var', (65, 74)) ('infected', 'Disease', 'MESH:D007239', (139, 147)) ('Atg5 protein level', 'MPA', (15, 33)) ('infected', 'Disease', 'MESH:D007239', (81, 89)) 949 33505626 Collectively, these data suggested that ANE 30-100K is capable of inducing autophagic cell death of CE81T/VGH in an Atg5-dependent manner. ('death', 'Disease', 'MESH:D003643', (91, 96)) ('death', 'Disease', (91, 96)) ('inducing', 'PosReg', (66, 74)) ('ANE', 'Chemical', '-', (40, 43)) ('CE81T/VGH', 'Var', (100, 109)) 951 33505626 We firstly tested the cytotoxic effects of this compound on CE81T/VGH and OECM-1 cells, and found that up to 0.5 muM of MbetaCD, no significant cytotoxicity was observed in both cells (Fig. ('MbetaCD', 'Chemical', 'MESH:C108732', (120, 127)) ('cytotoxicity', 'Disease', (144, 156)) ('tested', 'Reg', (11, 17)) ('MbetaCD', 'Var', (120, 127)) ('cytotoxicity', 'Disease', 'MESH:D064420', (144, 156)) 954 33505626 XTT analysis revealed that 7999- and 8002-infected CE81T/VGH and OECM-1 cells were more resistant to cytotoxic ANE 30-100K insult compared to uninfected cells (control) and VPC cells (Fig. ('infected', 'Disease', 'MESH:D007239', (144, 152)) ('ANE', 'Chemical', '-', (111, 114)) ('infected', 'Disease', 'MESH:D007239', (42, 50)) ('CE81T/VGH', 'Var', (51, 60)) ('infected', 'Disease', (144, 152)) ('infected', 'Disease', (42, 50)) ('resistant to cytotoxic ANE', 'MPA', (88, 114)) 965 33505626 1D) have further confirmed that ANE 30-100K not only induces autophagic cell death in OECM-1 but also in CE81T/VGH cells (ref 19 and Figure 1, Figure 2, Figure 3). ('death', 'Disease', 'MESH:D003643', (77, 82)) ('death', 'Disease', (77, 82)) ('ANE', 'Chemical', '-', (32, 35)) ('ANE 30-100K', 'Var', (32, 43)) ('induces', 'Reg', (53, 60)) 966 33505626 It is thus thought that ANE 30-100K is capable of inducing autophagy in a wide range of different cell types. ('autophagy', 'CPA', (59, 68)) ('inducing', 'PosReg', (50, 58)) ('ANE', 'Chemical', '-', (24, 27)) ('ANE', 'Var', (24, 27)) 982 33505626 6, effective attenuation of ANE 30-100K-induced autophagic cell death by epoxomicin and lactacystin implied the involvement of the proteasome in AIA. ('epoxomicin', 'Chemical', 'MESH:C078846', (73, 83)) ('death', 'Disease', 'MESH:D003643', (64, 69)) ('death', 'Disease', (64, 69)) ('attenuation', 'NegReg', (13, 24)) ('ANE', 'Var', (28, 31)) ('involvement', 'Reg', (112, 123)) ('lactacystin', 'Chemical', 'MESH:C067713', (88, 99)) ('ANE', 'Chemical', '-', (28, 31)) 983 33505626 Epoxomicin (50 and 25 nM for CE81T/VGH and OECM-1, respectively) was more effective than lactacystin (5 muM for both cells) in blocking AIA. ('lactacystin', 'Chemical', 'MESH:C067713', (89, 100)) ('Epoxomicin', 'Chemical', 'MESH:C078846', (0, 10)) ('AIA', 'MPA', (136, 139)) ('CE81T/VGH', 'Var', (29, 38)) 985 33505626 Furthermore, inhibition of proteasome also blocked glutamate agonist AMPA-induced internalization of glutamate receptors. ('AMPA', 'Chemical', 'MESH:D018350', (69, 73)) ('inhibition', 'Var', (13, 23)) ('blocked', 'NegReg', (43, 50)) ('glutamate', 'Chemical', 'MESH:D018698', (51, 60)) ('glutamate', 'Chemical', 'MESH:D018698', (101, 110)) ('proteasome', 'Protein', (27, 37)) 1007 30901943 The benefit of FLOT was shown in all the subgroups analyzed, such as proximal versus distal tumors, well versus poorly differentiated as well as in the early stages (cT1,2), in which FLOT showed greater survival benefit than ECF/X. ('tumors', 'Disease', 'MESH:D009369', (92, 98)) ('FLOT', 'Var', (183, 187)) ('tumor', 'Phenotype', 'HP:0002664', (92, 97)) ('tumors', 'Disease', (92, 98)) ('tumors', 'Phenotype', 'HP:0002664', (92, 98)) 1020 30901943 Noteworthy, adjuvant treatment was shown to be an independent prognostic factor related to survival at multivariate analysis, observing the largest benefit in pts with node-positive disease or sub-optimal histological tumor regression grade (TRG). ('TRG', 'Chemical', '-', (242, 245)) ('tumor', 'Disease', 'MESH:D009369', (218, 223)) ('tumor', 'Phenotype', 'HP:0002664', (218, 223)) ('tumor', 'Disease', (218, 223)) ('pts', 'Species', '9606', (159, 162)) ('sub-optimal', 'Var', (193, 204)) 1056 30901943 Another German analysis confirmed that signet ring cell histology was significantly associated with lower probability of R0 resection and worse histopathological response (16.3 versus 28.9 %, p < 0.001) in pts affected by resectable gastric and GEJ cancer and treated with preoperative chemotherapy (CF-based, with taxans or epirubicin). ('gastric', 'Disease', (233, 240)) ('cancer', 'Disease', 'MESH:D009369', (249, 255)) ('signet ring cell histology', 'Var', (39, 65)) ('lower', 'NegReg', (100, 105)) ('cancer', 'Disease', (249, 255)) ('pts', 'Species', '9606', (206, 209)) ('epirubicin', 'Chemical', 'MESH:D015251', (325, 335)) ('taxans', 'Chemical', '-', (315, 321)) ('cancer', 'Phenotype', 'HP:0002664', (249, 255)) 1057 30901943 It is noteworthy that the prognosis of these pts was significantly worse in comparison with other adenocarcinomas, making the presence of signet ring cell an independent prognostic factor. ('adenocarcinomas', 'Disease', 'MESH:D000230', (98, 113)) ('adenocarcinomas', 'Disease', (98, 113)) ('pts', 'Species', '9606', (45, 48)) ('presence', 'Var', (126, 134)) ('carcinoma', 'Phenotype', 'HP:0030731', (103, 112)) 1078 30901943 The prognostic and predictive role of microsatellites and mismatch repair proteins (MMR) is well defined in colon cancer. ('colon cancer', 'Disease', (108, 120)) ('colon cancer', 'Phenotype', 'HP:0003003', (108, 120)) ('cancer', 'Phenotype', 'HP:0002664', (114, 120)) ('colon cancer', 'Disease', 'MESH:D015179', (108, 120)) ('microsatellites', 'Var', (38, 53)) 1081 30901943 Moreover, pts with MSI status showed a better OS than pts with microsatellite stability (MSS) (HR: 0.69, 95% CI: 0.56-0.86; p < 0.001). ('pts', 'Species', '9606', (54, 57)) ('MSS', 'Disease', 'MESH:D013132', (89, 92)) ('MSS', 'Disease', (89, 92)) ('MSI', 'Var', (19, 22)) ('pts', 'Species', '9606', (10, 13)) ('OS', 'Gene', '17451', (46, 48)) ('better', 'PosReg', (39, 45)) 1089 30901943 However, we should consider that in this post hoc study, only GC showed an MSI or MMRD status compared to the GEJ tumors (0%), which is in accordance with low prevalence of the deficiency in proximal gastric or esophageal cancers. ('MMRD', 'CPA', (82, 86)) ('GC', 'Phenotype', 'HP:0012126', (62, 64)) ('tumor', 'Phenotype', 'HP:0002664', (114, 119)) ('MSI', 'Var', (75, 78)) ('cancers', 'Phenotype', 'HP:0002664', (222, 229)) ('cancer', 'Phenotype', 'HP:0002664', (222, 228)) ('tumors', 'Disease', 'MESH:D009369', (114, 120)) ('tumors', 'Disease', (114, 120)) ('tumors', 'Phenotype', 'HP:0002664', (114, 120)) ('deficiency in proximal gastric or esophageal cancers', 'Disease', 'MESH:D013274', (177, 229)) 1092 30901943 On the other hand, pts with MSI-L, MSS and/or MMRP may have a better outcome when treated with chemotherapy first. ('pts', 'Species', '9606', (19, 22)) ('MMRP', 'Disease', (46, 50)) ('MSS', 'Disease', 'MESH:D013132', (35, 38)) ('MSS', 'Disease', (35, 38)) ('MSI-L', 'Var', (28, 33)) 1114 30901943 Among other studies that investigated the predictive value of molecular markers expression for treatment response and survival, great interest has been garnered by Phase II randomized trial FLOT4-AIO with a significantly higher proportion of pts achieving pCR (according to Becker's classification, 16% versus 6% in the group treated with docetaxel-based versus epirubicin-based triplet, respectively). ('docetaxel', 'Chemical', 'MESH:D000077143', (339, 348)) ('higher', 'PosReg', (221, 227)) ('epirubicin', 'Chemical', 'MESH:D015251', (362, 372)) ('FLOT4-AIO', 'Var', (190, 199)) ('pCR', 'Disease', (256, 259)) ('pts', 'Species', '9606', (242, 245)) 1151 30123343 Conclusions: Rates of OS and CR were improved after treatment with DCF-RT compared with CF-RT. ('DCF-RT', 'Chemical', '-', (67, 73)) ('DCF-RT', 'Var', (67, 73)) ('CF-RT', 'Chemical', '-', (88, 93)) ('CR', 'Chemical', '-', (29, 31)) ('improved', 'PosReg', (37, 45)) ('OS', 'Chemical', '-', (22, 24)) ('CF-RT', 'Chemical', '-', (68, 73)) ('men', 'Species', '9606', (57, 60)) 1158 30123343 However, treatment outcomes of CF are slightly inferior to those of surgery, hovering around 26%-27% for clinical T1-3, N0-1 cases and 31% for clinical T1-4, N0-1 cases. ('N0-1', 'Var', (120, 124)) ('T1-3', 'Gene', (114, 118)) ('men', 'Species', '9606', (14, 17)) ('T1-4', 'Gene', (152, 156)) ('T1-4', 'Gene', '939;921;292', (152, 156)) ('T1-3', 'Gene', '29123;921;292', (114, 118)) 1199 30123343 The mean CR rate was higher in the DCF-RT group (52.6%) compared with the CF-RT group (37.8%), although this difference was not statistically significant (p = 0.13; Table 2). ('DCF-RT', 'Var', (35, 41)) ('CF-RT', 'Chemical', '-', (74, 79)) ('CR rate', 'CPA', (9, 16)) ('CR', 'Chemical', '-', (9, 11)) ('higher', 'PosReg', (21, 27)) ('CF-RT', 'Chemical', '-', (36, 41)) ('DCF-RT', 'Chemical', '-', (35, 41)) 1222 30123343 In our study, OS rates were significantly improved and PFS and LC rates were favorable in the DCF-RT group. ('DCF-RT', 'Chemical', '-', (94, 100)) ('OS rates', 'CPA', (14, 22)) ('OS', 'Chemical', '-', (14, 16)) ('improved', 'PosReg', (42, 50)) ('DCF-RT', 'Var', (94, 100)) ('PFS', 'CPA', (55, 58)) ('LC rates', 'CPA', (63, 71)) 1223 30123343 Taken together, our findings suggest that the anticancer effect of CRT is more potent with DCF-RT than with CF-RT. ('CF-RT', 'Chemical', '-', (108, 113)) ('RT', 'Chemical', 'MESH:D006854', (111, 113)) ('DCF-RT', 'Chemical', '-', (91, 97)) ('CF-RT', 'Chemical', '-', (92, 97)) ('CR', 'Chemical', '-', (67, 69)) ('RT', 'Chemical', 'MESH:D006854', (95, 97)) ('DCF-RT', 'Var', (91, 97)) ('RT', 'Chemical', 'MESH:D006854', (68, 70)) ('cancer', 'Phenotype', 'HP:0002664', (50, 56)) ('anticancer effect', 'CPA', (46, 63)) ('potent', 'PosReg', (79, 85)) 1250 30123343 Also, the proportion of elderly patients was slightly higher in the CF-RT group than in the DCF-RT group because the expected toxicity of DCF-RT was slightly greater than that of CF-RT. ('greater', 'PosReg', (158, 165)) ('patients', 'Species', '9606', (32, 40)) ('toxicity', 'Disease', 'MESH:D064420', (126, 134)) ('DCF-RT', 'Var', (138, 144)) ('CF-RT', 'Chemical', '-', (139, 144)) ('DCF-RT', 'Chemical', '-', (92, 98)) ('toxicity', 'Disease', (126, 134)) ('CF-RT', 'Chemical', '-', (179, 184)) ('CF-RT', 'Chemical', '-', (68, 73)) ('CF-RT', 'Chemical', '-', (93, 98)) ('DCF-RT', 'Chemical', '-', (138, 144)) 1253 30123343 In conclusion, DCF-RT has an extremely potent anticancer effect and extends overall patient survival compared with CF-RT albeit with some limitations. ('CF-RT', 'Chemical', '-', (115, 120)) ('DCF-RT', 'Chemical', '-', (15, 21)) ('CF-RT', 'Chemical', '-', (16, 21)) ('DCF-RT', 'Var', (15, 21)) ('cancer', 'Phenotype', 'HP:0002664', (50, 56)) ('extends', 'PosReg', (68, 75)) ('anticancer effect', 'CPA', (46, 63)) ('patient survival', 'CPA', (84, 100)) ('patient', 'Species', '9606', (84, 91)) 1273 26651958 The objective of the present study was to determine the outcomes of patients with LAEC clinically staged as T2N0M0 or higher who had survived at least 5 years after esophagectomy and were without disease at that time point. ('patients', 'Species', '9606', (68, 76)) ('EC', 'Chemical', '-', (84, 86)) ('LAEC', 'Disease', (82, 86)) ('T2N0M0', 'Var', (108, 114)) 1306 26651958 Patients treated with an en bloc resection were generally younger (P = .165), less likely to have pulmonary comorbidity (P = .051), and more likely to have a higher tumor burden (pN1-3: 53% vs 33%; P = .141) compared with patients treated with non-en bloc resection (data not shown). ('patients', 'Species', '9606', (222, 230)) ('less', 'NegReg', (78, 82)) ('higher', 'PosReg', (158, 164)) ('tumor', 'Disease', 'MESH:D009369', (165, 170)) ('Patients', 'Species', '9606', (0, 8)) ('en bloc resection', 'Var', (25, 42)) ('tumor', 'Phenotype', 'HP:0002664', (165, 170)) ('pulmonary', 'CPA', (98, 107)) ('tumor', 'Disease', (165, 170)) 1433 21523227 Polymorphism in these genes may partly explain why subjects differ in their liability for the development of cancer; it may be a question of higher or lower metabolic activities involved in alcohol metabolism. ('alcohol', 'Chemical', 'MESH:D000438', (190, 197)) ('metabolic activities involved in', 'MPA', (157, 189)) ('Polymorphism', 'Var', (0, 12)) ('cancer', 'Disease', 'MESH:D009369', (109, 115)) ('cancer', 'Disease', (109, 115)) ('men', 'Species', '9606', (101, 104)) ('lower', 'NegReg', (151, 156)) ('cancer', 'Phenotype', 'HP:0002664', (109, 115)) 1435 21523227 Similarly, smoking associates with cancer and smoking also causes an increase in salivary acetaldehyde concentrations thus adding to the risk related to alcohol. ('acetaldehyde', 'Chemical', 'MESH:D000079', (90, 102)) ('increase', 'PosReg', (69, 77)) ('cancer', 'Phenotype', 'HP:0002664', (35, 41)) ('salivary acetaldehyde concentrations', 'MPA', (81, 117)) ('salivary acetaldehyde', 'Phenotype', 'HP:0003533', (81, 102)) ('cancer', 'Disease', 'MESH:D009369', (35, 41)) ('smoking', 'Var', (11, 18)) ('associates', 'Reg', (19, 29)) ('alcohol', 'Chemical', 'MESH:D000438', (153, 160)) ('cancer', 'Disease', (35, 41)) 1444 21523227 In oral cancer patients mutated salivary DNA at the 53p gene was observed in 62.5% of 10 patients when compared with 18.5% among 27 healthy controls in a study from Taiwan. ('mutated', 'Var', (24, 31)) ('patients', 'Species', '9606', (15, 23)) ('oral cancer', 'Disease', 'MESH:D009062', (3, 14)) ('oral cancer', 'Disease', (3, 14)) ('cancer', 'Phenotype', 'HP:0002664', (8, 14)) ('patients', 'Species', '9606', (89, 97)) 1495 21523227 A 1-year randomized trial from our clinic on 79 Hodgkin and non-Hodgkin lymphoma patients showed that using mouthwash containing 0.025% amine fluoride-stannous-fluoride caused a significant decrease in visible plaque, gingival bleeding, and salivary S. mutans counts while an increase was found in the group using 0.05% sodium fluoride rinses. ('decrease', 'NegReg', (190, 198)) ('0.025%', 'Var', (129, 135)) ('Hodgkin lymphoma', 'Phenotype', 'HP:0012189', (64, 80)) ('non-Hodgkin lymphoma', 'Disease', (60, 80)) ('non-Hodgkin lymphoma', 'Phenotype', 'HP:0012539', (60, 80)) ('Hodgkin', 'Disease', (64, 71)) ('gingival bleeding', 'Disease', (218, 235)) ('lymphoma', 'Phenotype', 'HP:0002665', (72, 80)) ('Hodgkin', 'Disease', 'MESH:D006689', (64, 71)) ('salivary S. mutans counts', 'CPA', (241, 266)) ('Hodgkin', 'Disease', (48, 55)) ('non-Hodgkin lymphoma', 'Disease', 'MESH:D008228', (60, 80)) ('Hodgkin', 'Disease', 'MESH:D006689', (48, 55)) ('stannous-fluoride', 'Chemical', 'MESH:D014002', (151, 168)) ('S. mutans', 'Species', '1309', (250, 259)) ('gingival bleeding', 'Disease', 'MESH:D005884', (218, 235)) ('patients', 'Species', '9606', (81, 89)) ('visible plaque', 'CPA', (202, 216)) ('gingival bleeding', 'Phenotype', 'HP:0000225', (218, 235)) ('sodium fluoride', 'Chemical', 'MESH:D012969', (320, 335)) ('amine fluoride', 'Chemical', 'MESH:C036238', (136, 150)) 1510 21523227 Cysteine has also been shown to exert inhibitory effect on the gelatinolytic activity of matrix metalloproteinases and to reduce metastases in animal models. ('gelatinolytic activity', 'MPA', (63, 85)) ('reduce', 'NegReg', (122, 128)) ('Cysteine', 'Var', (0, 8)) ('matrix metalloproteinases', 'Enzyme', (89, 114)) ('metastases', 'Disease', (129, 139)) ('Cysteine', 'Chemical', 'MESH:D003545', (0, 8)) ('metastases', 'Disease', 'MESH:D009362', (129, 139)) ('inhibitory effect', 'MPA', (38, 55)) 1566 33383776 In a randomized crossover study enrolling twenty young subjects (10 females and 10 males; Body Mass Index (BMI) = 21.7 +- 2.2 kg/m2), Kristensen and co-workers reported that, with respect to refined counterparts, WG wheat bread ingestion led to increased satiety and reduced hunger, without modifying energy intake at the subsequent meals. ('WG wheat', 'Var', (213, 221)) ('satiety', 'MPA', (255, 262)) ('red', 'Gene', (267, 270)) ('increased', 'PosReg', (245, 254)) ('reduced hunger', 'Phenotype', 'HP:0004396', (267, 281)) ('hunger', 'MPA', (275, 281)) ('red', 'Gene', '15357', (267, 270)) ('increased satiety', 'Phenotype', 'HP:0002591', (245, 262)) 1580 33383776 As it will be discussed, high dietary fiber intake improves intestinal health, increases satiety, and reduces risk of some chronic diseases, including cancer. ('red', 'Gene', '15357', (102, 105)) ('red', 'Gene', (102, 105)) ('increases', 'PosReg', (79, 88)) ('cancer', 'Phenotype', 'HP:0002664', (151, 157)) ('increases satiety', 'Phenotype', 'HP:0002591', (79, 96)) ('intestinal health', 'MPA', (60, 77)) ('chronic diseases', 'Disease', (123, 139)) ('cancer', 'Disease', (151, 157)) ('cancer', 'Disease', 'MESH:D009369', (151, 157)) ('fiber', 'Chemical', 'MESH:D004043', (38, 43)) ('improves', 'PosReg', (51, 59)) ('chronic diseases', 'Disease', 'MESH:D002908', (123, 139)) ('satiety', 'MPA', (89, 96)) ('high dietary fiber', 'Var', (25, 43)) 1617 33383776 In this context, WGs represent protective factors, as high intakes have been associated with significant decrease of cancer risk (Table 2). ('cancer', 'Phenotype', 'HP:0002664', (117, 123)) ('decrease of cancer', 'Disease', 'MESH:D009369', (105, 123)) ('decrease of cancer', 'Disease', (105, 123)) ('high intakes', 'Var', (54, 66)) 1634 33383776 High fiber and WG intake after diagnosis also leads to lower death rate, and this positive association again depends on fiber sources, with cereal fiber (especially from WG) showing the strongest link. ('fiber', 'Chemical', 'MESH:D004043', (5, 10)) ('High fiber', 'Var', (0, 10)) ('death', 'Disease', 'MESH:D003643', (61, 66)) ('death', 'Disease', (61, 66)) ('fiber', 'Chemical', 'MESH:D004043', (120, 125)) ('lower', 'NegReg', (55, 60)) ('fiber', 'Chemical', 'MESH:D004043', (147, 152)) 1640 33383776 Likewise, in human colon cancer cells, secoisolariciresinol diglycoside and its metabolites (enterolactone and enterodiol) induce S-phase cell cycle arrest, by modulating key regulatory proteins (cyclin A and cyclin-dependent kinase 4). ('diglycoside', 'Chemical', '-', (60, 71)) ('human', 'Species', '9606', (13, 18)) ('cyclin-dependent kinase 4', 'Gene', (209, 234)) ('enterolactone', 'Chemical', 'MESH:C029497', (93, 106)) ('arrest', 'Disease', 'MESH:D006323', (149, 155)) ('colon cancer', 'Disease', 'MESH:D015179', (19, 31)) ('cyclin A', 'Gene', (196, 204)) ('colon cancer', 'Phenotype', 'HP:0003003', (19, 31)) ('secoisolariciresinol', 'Var', (39, 59)) ('cancer', 'Phenotype', 'HP:0002664', (25, 31)) ('arrest', 'Disease', (149, 155)) ('colon cancer', 'Disease', (19, 31)) ('cyclin A', 'Gene', '890', (196, 204)) ('enterodiol', 'Chemical', 'MESH:C029498', (111, 121)) ('secoisolariciresinol', 'Chemical', 'MESH:C060283', (39, 59)) ('cyclin-dependent kinase 4', 'Gene', '1019', (209, 234)) ('modulating', 'Reg', (160, 170)) ('cell cycle arrest', 'Phenotype', 'HP:0011018', (138, 155)) 1642 33383776 Finally, some miRNAs involved in colorectal cancer are sensitive to phenolic compounds: for example, miRNA384 is up-regulated by luteolin, thus resulting in decreased expression levels of pleiotrophin, a cytokine upregulated in colorectal tumors. ('tumors', 'Phenotype', 'HP:0002664', (239, 245)) ('rectal cancer', 'Phenotype', 'HP:0100743', (37, 50)) ('cancer', 'Phenotype', 'HP:0002664', (44, 50)) ('pleiotrophin', 'Gene', '5764', (188, 200)) ('colorectal cancer', 'Disease', 'MESH:D015179', (33, 50)) ('colorectal tumors', 'Disease', 'MESH:D015179', (228, 245)) ('tumor', 'Phenotype', 'HP:0002664', (239, 244)) ('luteolin', 'Chemical', 'MESH:D047311', (129, 137)) ('up-regulated', 'PosReg', (113, 125)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (33, 50)) ('colorectal tumors', 'Disease', (228, 245)) ('miRNA384', 'Var', (101, 109)) ('pleiotrophin', 'Gene', (188, 200)) ('decreased', 'NegReg', (157, 166)) ('expression levels', 'MPA', (167, 184)) ('colorectal cancer', 'Disease', (33, 50)) 1670 33383776 Potential mechanisms of protective action include modification of gastroesophageal reflux and/or weight control, neutralization of carcinogens contained in food, amelioration of cancer-associated esophageal dysbiosis, and direct action on cancer cells. ('gastroesophageal reflux', 'MPA', (66, 89)) ('modification', 'Var', (50, 62)) ('cancer', 'Phenotype', 'HP:0002664', (178, 184)) ('amelioration', 'PosReg', (162, 174)) ('cancer', 'Disease', 'MESH:D009369', (239, 245)) ('esophageal reflux', 'Phenotype', 'HP:0002020', (72, 89)) ('esophageal dysbiosis', 'Disease', (196, 216)) ('cancer', 'Disease', (239, 245)) ('cancer', 'Disease', (178, 184)) ('cancer', 'Disease', 'MESH:D009369', (178, 184)) ('esophageal dysbiosis', 'Disease', 'MESH:D064806', (196, 216)) ('gastroesophageal reflux', 'Phenotype', 'HP:0002020', (66, 89)) ('neutralization', 'MPA', (113, 127)) ('cancer', 'Phenotype', 'HP:0002664', (239, 245)) 1674 33383776 Additionally, polyphenols could be beneficial in esophageal cancer, thanks to their antioxidant activity, ability to improve esophageal reflux-related inflammation, and modulation of cell proliferation and survival. ('esophageal reflux', 'Phenotype', 'HP:0002020', (125, 142)) ('modulation', 'Reg', (169, 179)) ('esophageal cancer', 'Disease', (49, 66)) ('survival', 'CPA', (206, 214)) ('antioxidant activity', 'MPA', (84, 104)) ('esophageal cancer', 'Disease', 'MESH:D004938', (49, 66)) ('cancer', 'Phenotype', 'HP:0002664', (60, 66)) ('polyphenols', 'Chemical', 'MESH:D059808', (14, 25)) ('inflammation', 'Disease', 'MESH:D007249', (151, 163)) ('improve', 'PosReg', (117, 124)) ('cell proliferation', 'CPA', (183, 201)) ('polyphenols', 'Var', (14, 25)) ('inflammation', 'Disease', (151, 163)) ('esophageal reflux-related', 'Disease', (125, 150)) 1680 33383776 It has been estimated, in fact, that low WG intake resulted in almost 270,000 avoidable deaths and almost 4 million disability-adjusted life years in the European Union in 2015. ('deaths', 'Disease', (88, 94)) ('low', 'Var', (37, 40)) ('deaths', 'Disease', 'MESH:D003643', (88, 94)) 1698 33391772 This is a rare case showing that nivolumab monotherapy might induce bronchoesophageal fistulae. ('induce', 'PosReg', (61, 67)) ('bronchoesophageal fistulae', 'Phenotype', 'HP:0002575', (68, 94)) ('bronchoesophageal fistula', 'Disease', 'MESH:D005402', (68, 93)) ('bronchoesophageal fistula', 'Phenotype', 'HP:0002575', (68, 93)) ('bronchoesophageal fistula', 'Disease', (68, 93)) ('nivolumab', 'Chemical', 'MESH:D000077594', (33, 42)) ('monotherapy', 'Var', (43, 54)) 1725 33391772 Recently, it was reported that durvalumab after chemoradiotherapy might cause bronchomediastinal fistulae in stage III non-small cell lung cancer. ('lung cancer', 'Disease', (134, 145)) ('lung cancer', 'Phenotype', 'HP:0100526', (134, 145)) ('cancer', 'Phenotype', 'HP:0002664', (139, 145)) ('fistula', 'Disease', 'MESH:D005402', (97, 104)) ('cause', 'Reg', (72, 77)) ('lung cancer', 'Disease', 'MESH:D008175', (134, 145)) ('fistula', 'Disease', (97, 104)) ('small cell lung cancer', 'Phenotype', 'HP:0030357', (123, 145)) ('durvalumab', 'Chemical', 'MESH:C000613593', (31, 41)) ('non-small cell lung cancer', 'Phenotype', 'HP:0030358', (119, 145)) ('durvalumab', 'Var', (31, 41)) 1744 32759723 Moreover, we focus on other rare variants and on the relationship with head and neck squamous cell carcinomas. ('neck squamous cell carcinomas', 'Disease', 'MESH:D000077195', (80, 109)) ('neck squamous cell carcinomas', 'Disease', (80, 109)) ('squamous cell carcinomas', 'Phenotype', 'HP:0002860', (85, 109)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (85, 108)) ('carcinoma', 'Phenotype', 'HP:0030731', (99, 108)) ('carcinomas', 'Phenotype', 'HP:0030731', (99, 109)) ('head and neck squamous cell carcinomas', 'Phenotype', 'HP:0012288', (71, 109)) ('variants', 'Var', (33, 41)) 1757 32759723 In addition, polycyclic aromatic hydrocarbons (PAHs) are strongly associated with an increased risk of ESCC: Iranian, Brazilian and Chinese populations are highly exposed to PAHs coming from food or beverages. ('PAHs', 'Chemical', 'MESH:D011084', (174, 178)) ('polycyclic aromatic hydrocarbons', 'Chemical', 'MESH:D011084', (13, 45)) ('age', 'Gene', '5973', (204, 207)) ('associated', 'Reg', (66, 76)) ('ESCC', 'Disease', (103, 107)) ('polycyclic', 'Var', (13, 23)) ('age', 'Gene', (204, 207)) ('PAHs', 'Chemical', 'MESH:D011084', (47, 51)) 1761 32759723 Moreover, individuals carrying specific variants of ALDH2, the aldehyde dehydrogenase 2 family genes, have a higher risk of ESCC if alcohol assumption is added (43-fold in moderate drinkers and 73-fold in heavy drinkers); these genetic alterations are typically found in people from East Asia. ('people', 'Species', '9606', (271, 277)) ('ALDH2', 'Gene', '217', (52, 57)) ('alcohol assumption', 'Phenotype', 'HP:0030955', (132, 150)) ('aldehyde dehydrogenase 2', 'Gene', '217', (63, 87)) ('ALDH2', 'Gene', (52, 57)) ('variants', 'Var', (40, 48)) ('aldehyde dehydrogenase 2', 'Gene', (63, 87)) ('ESCC', 'Disease', (124, 128)) ('alcohol', 'Chemical', 'MESH:D000438', (132, 139)) 1762 32759723 Several key single nucleotide polymorphisms (SNPs) of PLCE1 have been associated with an higher risk of ESCC: of note, PLCE1 encodes for the 1-phosphatidylinositol 4,5-bisphosphate phosphodiesterase epsilon-1, a protein which appears to have a role in modulating carcinogenetic effects. ('associated', 'Reg', (70, 80)) ('PLCE1', 'Gene', (54, 59)) ('PLCE1', 'Gene', (119, 124)) ('ESCC', 'Disease', (104, 108)) ('single nucleotide polymorphisms', 'Var', (12, 43)) ('1-phosphatidylinositol 4,5-bisphosphate phosphodiesterase epsilon-1', 'Gene', '51196', (141, 208)) ('PLCE1', 'Gene', '51196', (54, 59)) ('PLCE1', 'Gene', '51196', (119, 124)) 1772 32759723 Liu and colleagues found several ESCC-associated mutations in basal cell hyperplasia, such as in the TP53, NOTCH1, CDKN2A, EP300 and MLL2 genes. ('CDKN2A', 'Gene', (115, 121)) ('hyperplasia', 'Disease', (73, 84)) ('mutations', 'Var', (49, 58)) ('CDKN2A', 'Gene', '1029', (115, 121)) ('EP300', 'Gene', (123, 128)) ('EP300', 'Gene', '2033', (123, 128)) ('TP53', 'Gene', '7157', (101, 105)) ('ESCC-associated', 'Disease', (33, 48)) ('MLL2', 'Gene', (133, 137)) ('hyperplasia', 'Disease', 'MESH:D006965', (73, 84)) ('TP53', 'Gene', (101, 105)) ('NOTCH1', 'Gene', '4851', (107, 113)) ('NOTCH1', 'Gene', (107, 113)) ('MLL2', 'Gene', '8085', (133, 137)) 1776 32759723 Furthermore, mutations of TP53 (71% of esophageal dysplastic samples), NOTCH1, CDKN2A, PIK3CA, EP300 and MLL2 have been reported. ('TP53', 'Gene', (26, 30)) ('CDKN2A', 'Gene', '1029', (79, 85)) ('EP300', 'Gene', '2033', (95, 100)) ('PIK3CA', 'Gene', '5290', (87, 93)) ('TP53', 'Gene', '7157', (26, 30)) ('NOTCH1', 'Gene', (71, 77)) ('EP300', 'Gene', (95, 100)) ('mutations', 'Var', (13, 22)) ('MLL2', 'Gene', (105, 109)) ('esophageal dysplastic', 'Disease', (39, 60)) ('esophageal dysplastic', 'Disease', 'MESH:D004938', (39, 60)) ('PIK3CA', 'Gene', (87, 93)) ('MLL2', 'Gene', '8085', (105, 109)) ('CDKN2A', 'Gene', (79, 85)) ('reported', 'Reg', (120, 128)) ('NOTCH1', 'Gene', '4851', (71, 77)) 1779 32759723 According to their results, clonal expansion in normal esophageal epithelium is a consequence of normal aging but can be accelerated by alcohol and tobacco consumption. ('alcohol', 'Chemical', 'MESH:D000438', (136, 143)) ('clonal expansion', 'Var', (28, 44)) ('age', 'Gene', '5973', (60, 63)) ('tobacco', 'Species', '4097', (148, 155)) ('age', 'Gene', (60, 63)) 1781 32759723 The mutational analysis revealed significant differences in the frequency of mutation of many genes between normal and dysplastic epithelium. ('mutation', 'Var', (77, 85)) ('dysplastic', 'Disease', 'MESH:D004416', (119, 129)) ('dysplastic', 'Disease', (119, 129)) 1784 32759723 Finally, uniparental disomy and LOH of 9q, gain of 3q and LOH of 17p have been described in normal esophageal mucosa. ('age', 'Gene', '5973', (104, 107)) ('LOH', 'Var', (58, 61)) ('LOH of 9q', 'Var', (32, 41)) ('age', 'Gene', (104, 107)) ('uniparental disomy', 'Disease', (9, 27)) ('gain', 'PosReg', (43, 47)) ('uniparental disomy', 'Disease', 'MESH:D024182', (9, 27)) 1785 32759723 ESCC genome holds a wide variety of genetic alteration types ranging from single point mutations to chromosomal structure variations, some of which have a pivotal role in carcinogenesis. ('single point mutations', 'Var', (74, 96)) ('carcinogenesis', 'Disease', 'MESH:D063646', (171, 185)) ('variations', 'Var', (122, 132)) ('carcinogenesis', 'Disease', (171, 185)) 1786 32759723 Moreover, a growing body of evidence is defining epigenetic dysregulation as a main actor in ESCC development. ('ESCC', 'Disease', (93, 97)) ('epigenetic dysregulation', 'Var', (49, 73)) ('men', 'Species', '9606', (105, 108)) 1787 32759723 Gene mutations, leading to loss or alteration of gene function, play an important role in ESCC carcinogenesis. ('alteration', 'Reg', (35, 45)) ('carcinogenesis', 'Disease', 'MESH:D063646', (95, 109)) ('mutations', 'Var', (5, 14)) ('carcinogenesis', 'Disease', (95, 109)) ('gene function', 'MPA', (49, 62)) ('loss', 'NegReg', (27, 31)) 1791 32759723 Signature 1 is defined by an enrichment of C>T mutations in XpCpG trinucleotides, a well-recognized mutational process related to spontaneous deamination of 5-methyl-cytosine. ('5-methyl-cytosine', 'Chemical', 'MESH:D044503', (157, 174)) ('men', 'Species', '9606', (35, 38)) ('C>T mutations', 'Var', (43, 56)) ('trinucleotides', 'Chemical', '-', (66, 80)) ('XpCpG', 'Gene', (60, 65)) 1792 32759723 Signature 2 and Signature 13 are characterized by C>G and C>T/C>A mutations in TpCpX trinucleotides, respectively and are associated with mutations of the APOBEC (Apolipoprotein B mRNA Editing Catalytic Polypeptide-like) family of cytidine deaminases, which have important roles in immunologic processes due to their deaminase activity. ('associated', 'Reg', (122, 132)) ('mutations', 'Var', (66, 75)) ('trinucleotides', 'Chemical', '-', (85, 99)) ('Apolipoprotein B', 'Gene', (163, 179)) ('EC', 'Disease', 'MESH:D005955', (159, 161)) ('Apolipoprotein B', 'Gene', '338', (163, 179)) ('C>T/C>A mutations', 'Var', (58, 75)) ('TpCpX', 'Gene', (79, 84)) ('C>G', 'Var', (50, 53)) 1793 32759723 Signature 4 is probably due to tobacco carcinogens and is characterized by an augmented rate of C>A mutations. ('carcinogens', 'Disease', 'MESH:D063646', (39, 50)) ('men', 'Species', '9606', (81, 84)) ('tobacco', 'Species', '4097', (31, 38)) ('carcinogens', 'Disease', (39, 50)) ('C>A mutations', 'Var', (96, 109)) 1794 32759723 Signature 16 is defined by T>C mutations in ApTpX trinucleotide and has been associated with alcohol consumption. ('T>C mutations', 'Var', (27, 40)) ('ApTpX', 'Gene', (44, 49)) ('alcohol consumption', 'Disease', (93, 112)) ('trinucleotide', 'Chemical', '-', (50, 63)) ('alcohol', 'Chemical', 'MESH:D000438', (93, 100)) ('associated', 'Reg', (77, 87)) 1797 32759723 CDKN2A is another well-known tumor suppressor gene inhibiting cell cycle progression through its interaction with both the p53 and the Rb pathways, and it is mutated in 4.9 to 20% of ESCCs. ('cell cycle progression', 'CPA', (62, 84)) ('Rb pathways', 'Pathway', (135, 146)) ('tumor', 'Disease', 'MESH:D009369', (29, 34)) ('tumor', 'Phenotype', 'HP:0002664', (29, 34)) ('inhibiting', 'NegReg', (51, 61)) ('tumor', 'Disease', (29, 34)) ('p53', 'Gene', (123, 126)) ('interaction', 'Interaction', (97, 108)) ('mutated', 'Var', (158, 165)) ('CDKN2A', 'Gene', (0, 6)) ('p53', 'Gene', '7157', (123, 126)) ('ESCCs', 'Disease', (183, 188)) ('CDKN2A', 'Gene', '1029', (0, 6)) 1798 32759723 The cell cycle regulator gene RB1 is mutated in 4.2 to 9% of ESCC. ('mutated', 'Var', (37, 44)) ('RB1', 'Gene', (30, 33)) ('ESCC', 'Disease', (61, 65)) ('RB1', 'Gene', '5925', (30, 33)) 1801 32759723 Genes involved in this pathway, specifically the SMGs PIK3CA (10.8-17%) and PTEN (3%), are reported to be mutated in 29% of ESCCs. ('PTEN', 'Gene', (76, 80)) ('PIK3CA', 'Gene', '5290', (54, 60)) ('PTEN', 'Gene', '5728', (76, 80)) ('mutated', 'Var', (106, 113)) ('ESCCs', 'Disease', (124, 129)) ('PIK3CA', 'Gene', (54, 60)) 1802 32759723 PIK3CA encodes for PI3K, an intercellular mediator of cell survival signals and functions as an oncogene leading to AKT activation and, consequently, mTOR phosphorylation. ('activation', 'PosReg', (120, 130)) ('PIK3CA', 'Gene', (0, 6)) ('AKT', 'Gene', '207', (116, 119)) ('PIK3CA', 'Gene', '5290', (0, 6)) ('PI3K', 'Var', (19, 23)) ('mTOR', 'Gene', '2475', (150, 154)) ('mTOR', 'Gene', (150, 154)) ('AKT', 'Gene', (116, 119)) 1804 32759723 Hotspot mutations in the p110a domain (p.N345K, p.C420R, p.E545K, p.E542K) and in C-terminal portion (p.H1047R, p.H1047L) encoding portions of the PIK3CA gene have been detected, which are reported to induce a gain of function in oncogenicity. ('p.H1047L', 'Mutation', 'rs121913279', (112, 120)) ('p.E542K', 'Var', (66, 73)) ('p.E545K', 'Mutation', 'rs104886003', (57, 64)) ('p.H1047R', 'Mutation', 'rs121913279', (102, 110)) ('p.N345K', 'Var', (39, 46)) ('p.C420R', 'Var', (48, 55)) ('oncogenicity', 'CPA', (230, 242)) ('p.N345K', 'Mutation', 'rs121913284', (39, 46)) ('PIK3CA', 'Gene', (147, 153)) ('p.H1047L', 'Var', (112, 120)) ('gain of function', 'PosReg', (210, 226)) ('p.E542K', 'Mutation', 'rs121913273', (66, 73)) ('PIK3CA', 'Gene', '5290', (147, 153)) ('p.C420R', 'Mutation', 'rs121913272', (48, 55)) ('p.E545K', 'Var', (57, 64)) ('p.H1047R', 'Var', (102, 110)) 1805 32759723 Another study found that hotspot mutations c.1624G>A[p.E542K] and c.1633G>A [p.E545K] on PIK3CA were significantly enriched in ESCCs with Signatures 2 and 13, suggesting that APOBEC activity is a driver of PIK3CA mutagenesis in ESCC. ('p.E545K', 'Mutation', 'rs104886003', (77, 84)) ('c.1624G>A', 'Var', (43, 52)) ('EC', 'Disease', 'MESH:D005955', (179, 181)) ('PIK3CA', 'Gene', (89, 95)) ('c.1633G>A [', 'Var', (66, 77)) ('c.1624G>A', 'Mutation', 'rs121913273', (43, 52)) ('age', 'Gene', (216, 219)) ('PIK3CA', 'Gene', '5290', (89, 95)) ('PIK3CA', 'Gene', (206, 212)) ('ESCCs', 'Disease', (127, 132)) ('c.1633G>A', 'Mutation', 'rs104886003', (66, 75)) ('PIK3CA', 'Gene', '5290', (206, 212)) ('age', 'Gene', '5973', (216, 219)) ('p.E542K', 'Mutation', 'rs121913273', (53, 60)) 1807 32759723 Alterations in NOTCH signaling pathways have been reported in up to 33.4% of ESCCs; in particular, the SMGs NOTCH1, NOTCH3 and FBXW7 are mutated in 16%, 6% and 5% of ESCC, respectively. ('NOTCH3', 'Gene', (116, 122)) ('NOTCH', 'Gene', (108, 113)) ('FBXW7', 'Gene', '55294', (127, 132)) ('NOTCH3', 'Gene', '4854', (116, 122)) ('ESCCs', 'Disease', (77, 82)) ('NOTCH', 'Gene', (15, 20)) ('NOTCH', 'Gene', '4851;4853;4854', (116, 121)) ('NOTCH', 'Gene', (116, 121)) ('FBXW7', 'Gene', (127, 132)) ('NOTCH1', 'Gene', (108, 114)) ('mutated', 'Var', (137, 144)) ('NOTCH', 'Gene', '4851;4853;4854', (108, 113)) ('NOTCH1', 'Gene', '4851', (108, 114)) ('ESCC', 'Disease', (166, 170)) ('Alterations', 'Reg', (0, 11)) ('NOTCH', 'Gene', '4851;4853;4854', (15, 20)) 1808 32759723 Interestingly, NOTCH1 mutations in ESCC are clustered within epidermal growth factor-like repeats 11-12, involved in ligand binding. ('ESCC', 'Gene', (35, 39)) ('NOTCH1', 'Gene', '4851', (15, 21)) ('mutations', 'Var', (22, 31)) ('NOTCH1', 'Gene', (15, 21)) 1813 32759723 Two stop-gain mutations (c.985G>T [p.E329*] and c.1057C>T [p.Q353*]) and two frameshift indels (c.790_791insT [p.V264fs*] and c.152delG [p.G51fs*]) in AJUBA gene have been identified. ('c.790_791insT [p.V264fs*]', 'Var', (96, 121)) ('c.1057C>T', 'Mutation', 'rs898956652', (48, 57)) ('AJUBA', 'Gene', (151, 156)) ('p.Q353*', 'Mutation', 'rs898956652', (59, 66)) ('c.1057C>T [p.Q353*]', 'Var', (48, 67)) ('p.V264fs', 'Mutation', 'p.V264fsX', (111, 119)) ('p.E329*', 'Mutation', 'p.E329*', (35, 42)) ('c.152delG', 'Var', (126, 135)) ('c.985G>T [p.E329*]', 'Var', (25, 43)) ('c.985G>T', 'Mutation', 'c.985G>T', (25, 33)) ('AJUBA', 'Gene', '84962', (151, 156)) ('p.G51fs', 'Mutation', 'p.G51fsX', (137, 144)) ('c.790_791insT', 'Mutation', 'c.790_791insT', (96, 109)) ('c.152delG', 'Mutation', 'c.152delG', (126, 135)) 1814 32759723 These mutations result in protein products that lack the LIM domain, indicating that they are loss-of-function mutations: since mutated AJUBA seems to promote ESCC carcinogenesis, these data suggest that AJUBA has a tumor suppressive role in ESCC. ('tumor', 'Disease', (216, 221)) ('ESCC', 'Disease', (242, 246)) ('AJUBA', 'Gene', '84962', (136, 141)) ('mutated', 'Var', (128, 135)) ('AJUBA', 'Gene', (204, 209)) ('carcinogenesis', 'Disease', 'MESH:D063646', (164, 178)) ('LIM', 'Gene', (57, 60)) ('carcinogenesis', 'Disease', (164, 178)) ('promote', 'PosReg', (151, 158)) ('AJUBA', 'Gene', (136, 141)) ('tumor', 'Disease', 'MESH:D009369', (216, 221)) ('AJUBA', 'Gene', '84962', (204, 209)) ('tumor', 'Phenotype', 'HP:0002664', (216, 221)) ('LIM', 'Gene', '10611', (57, 60)) ('mutations', 'Var', (6, 15)) ('ESCC', 'Disease', (159, 163)) 1816 32759723 Histone-modifying enzymes control chromatin structure and regulate gene expression: mutations of these enzymes play an important role in carcinogenesis. ('mutations', 'Var', (84, 93)) ('role', 'Reg', (129, 133)) ('carcinogenesis', 'Disease', (137, 151)) ('carcinogenesis', 'Disease', 'MESH:D063646', (137, 151)) 1819 32759723 Mutations of these genes have been observed in many squamous cell carcinomas, ESCC included. ('carcinoma', 'Phenotype', 'HP:0030731', (66, 75)) ('carcinomas', 'Phenotype', 'HP:0030731', (66, 76)) ('ESCC included', 'Disease', (78, 91)) ('squamous cell carcinomas', 'Disease', 'MESH:D002294', (52, 76)) ('Mutations', 'Var', (0, 9)) ('squamous cell carcinomas', 'Disease', (52, 76)) ('observed', 'Reg', (35, 43)) ('squamous cell carcinomas', 'Phenotype', 'HP:0002860', (52, 76)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (52, 75)) 1821 32759723 Furthermore, CUL3 mutations or deletion have been associated with upregulation of beta-catenin with concordant changes in Wnt-beta catenin downstream factors such as c-MYC, cyclin D1 and p27. ('upregulation', 'PosReg', (66, 78)) ('cyclin D1', 'Gene', '595', (173, 182)) ('CUL3', 'Gene', '8452', (13, 17)) ('c-MYC', 'Gene', (166, 171)) ('beta catenin', 'Gene', '1499', (126, 138)) ('cyclin D1', 'Gene', (173, 182)) ('CUL3', 'Gene', (13, 17)) ('beta catenin', 'Gene', (126, 138)) ('deletion', 'Var', (31, 39)) ('p27', 'Gene', '3429', (187, 190)) ('p27', 'Gene', (187, 190)) ('c-MYC', 'Gene', '4609', (166, 171)) ('beta-catenin', 'Gene', (82, 94)) ('changes', 'Reg', (111, 118)) ('beta-catenin', 'Gene', '1499', (82, 94)) ('mutations', 'Var', (18, 27)) 1822 32759723 Mutations in NRF2 signaling pathway have been described in 24% of ESCC, in particular the SMGs NFE2L2 and CUL3 are mutated in 9.6 to 16.7% and 2.9% of cases, respectively. ('NFE2L2', 'Gene', '4780', (95, 101)) ('CUL3', 'Gene', '8452', (106, 110)) ('CUL3', 'Gene', (106, 110)) ('NFE2L2', 'Gene', (95, 101)) ('described', 'Reg', (46, 55)) ('NRF2', 'Gene', '4780', (13, 17)) ('Mutations', 'Var', (0, 9)) ('ESCC', 'Disease', (66, 70)) ('NRF2', 'Gene', (13, 17)) 1826 32759723 Of note, TENM3 mutation has been associated with poorer outcome. ('mutation', 'Var', (15, 23)) ('TENM3', 'Gene', (9, 14)) ('TENM3', 'Gene', '55714', (9, 14)) 1829 32759723 Gene amplification is one of the leading causes of proto-oncogene activations, playing a crucial role in carcinogenesis. ('Gene amplification', 'Var', (0, 18)) ('carcinogenesis', 'Disease', (105, 119)) ('carcinogenesis', 'Disease', 'MESH:D063646', (105, 119)) 1830 32759723 CCND1 (11q13.3) amplification is common in many tumors and has been associated with lymph node metastasis in ESCC and poorer clinical outcome. ('associated with', 'Reg', (68, 83)) ('ESCC', 'Disease', (109, 113)) ('lymph node metastasis', 'CPA', (84, 105)) ('tumors', 'Disease', (48, 54)) ('tumors', 'Disease', 'MESH:D009369', (48, 54)) ('tumors', 'Phenotype', 'HP:0002664', (48, 54)) ('amplification', 'Var', (16, 29)) ('CCND1', 'Gene', (0, 5)) ('tumor', 'Phenotype', 'HP:0002664', (48, 53)) ('CCND1', 'Gene', '595', (0, 5)) 1832 32759723 SOX2 (3q26.33) amplification has been found in 15% of ESCC and it has been postulated that its downregulation may inhibit ESCC carcinogenesis and improve the efficacy of chemotherapy. ('SOX2', 'Gene', '6657', (0, 4)) ('inhibit', 'NegReg', (114, 121)) ('efficacy of chemotherapy', 'CPA', (158, 182)) ('amplification', 'Var', (15, 28)) ('ESCC', 'Disease', (54, 58)) ('ESCC', 'Disease', (122, 126)) ('carcinogenesis', 'Disease', 'MESH:D063646', (127, 141)) ('downregulation', 'NegReg', (95, 109)) ('carcinogenesis', 'Disease', (127, 141)) ('improve', 'PosReg', (146, 153)) ('SOX2', 'Gene', (0, 4)) 1833 32759723 TP63 gene encodes a squamous transcription factor; amplifications of SOX2 or TP63 were reported in 48% of ESCCs. ('SOX2', 'Gene', (69, 73)) ('SOX2', 'Gene', '6657', (69, 73)) ('TP63', 'Gene', '8626', (77, 81)) ('reported', 'Reg', (87, 95)) ('ESCCs', 'Disease', (106, 111)) ('TP63', 'Gene', (77, 81)) ('amplifications', 'Var', (51, 65)) ('TP63', 'Gene', '8626', (0, 4)) ('TP63', 'Gene', (0, 4)) 1837 32759723 Deletion of FBXW7 (4q31.3) has been described in 6% to 45% of ESCC and seems to be associated with a worse prognosis. ('FBXW7', 'Gene', (12, 17)) ('associated', 'Reg', (83, 93)) ('described', 'Reg', (36, 45)) ('FBXW7', 'Gene', '55294', (12, 17)) ('ESCC', 'Disease', (62, 66)) ('Deletion', 'Var', (0, 8)) 1838 32759723 Deletions of TP53 (17p13.1) have been detected in 55% of ESCCs, correlating with the grade of differentiation and lymph node metastasis. ('TP53', 'Gene', (13, 17)) ('detected', 'Reg', (38, 46)) ('ESCCs', 'Disease', (57, 62)) ('TP53', 'Gene', '7157', (13, 17)) ('Deletions', 'Var', (0, 9)) 1841 32759723 Increasing evidence suggest that epigenetic alterations plays an important role in the development of many malignancies, including ESCC. ('epigenetic alterations', 'Var', (33, 55)) ('men', 'Species', '9606', (94, 97)) ('malignancies', 'Disease', 'MESH:D009369', (107, 119)) ('role', 'Reg', (75, 79)) ('malignancies', 'Disease', (107, 119)) ('ESCC', 'Disease', (131, 135)) 1845 32759723 The DNA methylation profile of ESCC genome is characterized, similarly to other human malignancies, by a widespread hypomethylation and site-specific CpG island promoter hypermethylation. ('hypomethylation', 'Var', (116, 131)) ('malignancies', 'Disease', 'MESH:D009369', (86, 98)) ('human', 'Species', '9606', (80, 85)) ('malignancies', 'Disease', (86, 98)) ('ESCC', 'Gene', (31, 35)) 1848 32759723 APC hypermethylation status has controversial clinical relations: it has been described to be associated with a reduced survival time, and with a lower number of nodal metastases and better prognosis. ('metastases', 'Disease', 'MESH:D009362', (168, 178)) ('survival time', 'CPA', (120, 133)) ('metastases', 'Disease', (168, 178)) ('APC', 'Disease', 'MESH:D011125', (0, 3)) ('lower', 'NegReg', (146, 151)) ('APC', 'Disease', (0, 3)) ('reduced', 'NegReg', (112, 119)) ('hypermethylation', 'Var', (4, 20)) 1849 32759723 Hypermethylation of CDH1, the gene encoding for E-cadherin, is reported in 14% to 61% of ESCCs and has been associated with poor/lower recurrence-free survival in early stage ESCCs. ('Hypermethylation', 'Var', (0, 16)) ('poor/lower', 'NegReg', (124, 134)) ('age', 'Gene', (171, 174)) ('ESCCs', 'Disease', (89, 94)) ('CDH1', 'Gene', '999', (20, 24)) ('age', 'Gene', '5973', (171, 174)) ('E-cadherin', 'Gene', (48, 58)) ('E-cadherin', 'Gene', '999', (48, 58)) ('CDH1', 'Gene', (20, 24)) 1850 32759723 Methylation-induced inactivation of CDKN2A is reported in 19% to 88% of ESCCs and has been associated with metastatic disease. ('CDKN2A', 'Gene', (36, 42)) ('inactivation', 'NegReg', (20, 32)) ('CDKN2A', 'Gene', '1029', (36, 42)) ('Methylation-induced', 'Var', (0, 19)) ('ESCCs', 'Disease', (72, 77)) ('metastatic disease', 'Disease', (107, 125)) ('associated with', 'Reg', (91, 106)) 1852 32759723 Hypermethylation of FHIT promoter is reported in 14% to 85% of ESCC and has been associated with aggressive forms and poor prognosis in early ESCC and with exposure to tobacco smoke. ('associated with', 'Reg', (81, 96)) ('Hypermethylation', 'Var', (0, 16)) ('tobacco', 'Species', '4097', (168, 175)) ('FHIT', 'Gene', (20, 24)) ('FHIT', 'Gene', '2272', (20, 24)) ('ESCC', 'Disease', (63, 67)) 1854 32759723 Lu and colleagues suggest that hypermethylation of CCD8 and FBXO17 is significantly associated with a poorer prognosis, while hypermethylation of ABCD1 correlates with a better one. ('hypermethylation', 'Var', (31, 47)) ('FBXO17', 'Gene', (60, 66)) ('ABCD1', 'Gene', (146, 151)) ('associated', 'Reg', (84, 94)) ('ABCD1', 'Gene', '215', (146, 151)) ('FBXO17', 'Gene', '115290', (60, 66)) ('CCD8', 'Gene', (51, 55)) ('hypermethylation', 'Var', (126, 142)) 1855 32759723 Wang and colleagues, analyzing samples from Chinese Han patients, demonstrated that ADHFE1, EOMES, SALL and TFPI2 are hypermethylated in ESCCs, and hypomethylated in the corresponding non-neoplastic tissues. ('patients', 'Species', '9606', (56, 64)) ('EOMES', 'Gene', (92, 97)) ('ADHFE1', 'Gene', '137872', (84, 90)) ('ESCCs', 'Disease', (137, 142)) ('TFPI2', 'Gene', (108, 113)) ('TFPI2', 'Gene', '7980', (108, 113)) ('ADHFE1', 'Gene', (84, 90)) ('hypermethylated', 'Var', (118, 133)) ('EOMES', 'Gene', '8320', (92, 97)) 1856 32759723 Hypermethylation of TFF1, a mucosal protective factor, seems to be an early event in ESCC development and, intriguingly, could be used as a biomarker for early ESCC detection. ('TFF1', 'Gene', '7031', (20, 24)) ('men', 'Species', '9606', (97, 100)) ('Hypermethylation', 'Var', (0, 16)) ('ESCC', 'Disease', (85, 89)) ('TFF1', 'Gene', (20, 24)) 1857 32759723 Methylation of IGFBPL1 have also been proposed as an early detection marker and a predictive marker for PI3K-targeted therapy. ('Methylation', 'Var', (0, 11)) ('IGFBPL1', 'Gene', '347252', (15, 22)) ('IGFBPL1', 'Gene', (15, 22)) 1859 32759723 Global hypomethylation status contributes to carcinogenesis in many different malignancies by activating some proto-oncogenes, leading to deletions and translocations, promoting mitotic recombination, chromosomal rearrangements and, in general, resulting in genomic instability. ('malignancies', 'Disease', 'MESH:D009369', (78, 90)) ('promoting', 'PosReg', (168, 177)) ('chromosomal rearrangements', 'CPA', (201, 227)) ('malignancies', 'Disease', (78, 90)) ('genomic instability', 'MPA', (258, 277)) ('deletions', 'Var', (138, 147)) ('activating', 'PosReg', (94, 104)) ('men', 'Species', '9606', (222, 225)) ('leading to', 'Reg', (127, 137)) ('carcinogenesis', 'Disease', 'MESH:D063646', (45, 59)) ('resulting in', 'Reg', (245, 257)) ('carcinogenesis', 'Disease', (45, 59)) ('mitotic recombination', 'CPA', (178, 199)) ('translocations', 'CPA', (152, 166)) 1861 32759723 LINE-1 hypomethylation in ESCC has been associated with lymph node metastasis, lymphovascular invasion, increased frequency of TP53 mutations, higher CDK6 protein expression levels and a shorter overall survival. ('overall', 'MPA', (195, 202)) ('lymph node metastasis', 'CPA', (56, 77)) ('hypomethylation', 'Var', (7, 22)) ('increased', 'PosReg', (104, 113)) ('mutations', 'Var', (132, 141)) ('CDK6', 'Gene', (150, 154)) ('CDK6', 'Gene', '1021', (150, 154)) ('ESCC', 'Gene', (26, 30)) ('higher', 'PosReg', (143, 149)) ('shorter', 'NegReg', (187, 194)) ('TP53', 'Gene', '7157', (127, 131)) ('TP53', 'Gene', (127, 131)) ('associated', 'Reg', (40, 50)) ('lymphovascular invasion', 'CPA', (79, 102)) 1863 32759723 Alterations in miRNA expression are involved in different malignancies, affecting cellular processes of proliferation, motility, invasion and apoptosis. ('cellular processes', 'CPA', (82, 100)) ('Alterations', 'Var', (0, 11)) ('invasion', 'CPA', (129, 137)) ('malignancies', 'Disease', 'MESH:D009369', (58, 70)) ('miRNA', 'Gene', (15, 20)) ('motility', 'CPA', (119, 127)) ('affecting', 'Reg', (72, 81)) ('apoptosis', 'CPA', (142, 151)) ('malignancies', 'Disease', (58, 70)) ('involved', 'Reg', (36, 44)) 1865 32759723 Overexpression of miR-200c, miR-96, miR-141 and miR-27 has been associated with resistance to platinum-based chemotherapy while combined downregulation of miR-133a and miR-133b increase the sensitivity to paclitaxel-based chemotherapy. ('associated', 'Reg', (64, 74)) ('miR-200c', 'Gene', '406985', (18, 26)) ('resistance to platinum-based chemotherapy', 'MPA', (80, 121)) ('miR-96', 'Gene', (28, 34)) ('miR-133b', 'Gene', '442890', (168, 176)) ('miR-133b', 'Gene', (168, 176)) ('miR-141', 'Gene', (36, 43)) ('platinum', 'Chemical', 'MESH:D010984', (94, 102)) ('downregulation', 'NegReg', (137, 151)) ('increase', 'PosReg', (177, 185)) ('paclitaxel', 'Chemical', 'MESH:D017239', (205, 215)) ('miR-141', 'Gene', '406933', (36, 43)) ('miR-27', 'Gene', '407018', (48, 54)) ('miR-27', 'Gene', (48, 54)) ('miR-96', 'Gene', '407053', (28, 34)) ('miR-133a', 'Var', (155, 163)) ('sensitivity to paclitaxel-based chemotherapy', 'MPA', (190, 234)) ('miR-200c', 'Gene', (18, 26)) 1873 32759723 Despite TP53 and CDKN2A are frequently mutated as in ESCC, ARID1A, SMAD4 and ERBB2 mutations occur preeminently in EAC. ('mutations', 'Var', (83, 92)) ('ESCC', 'Disease', (53, 57)) ('ERBB2', 'Gene', '2064', (77, 82)) ('SMAD4', 'Gene', (67, 72)) ('ERBB2', 'Gene', (77, 82)) ('ARID1A', 'Gene', '8289', (59, 65)) ('CDKN2A', 'Gene', (17, 23)) ('ARID1A', 'Gene', (59, 65)) ('TP53', 'Gene', '7157', (8, 12)) ('TP53', 'Gene', (8, 12)) ('SMAD4', 'Gene', '4089', (67, 72)) ('CDKN2A', 'Gene', '1029', (17, 23)) 1874 32759723 Moreover, inactivating mutations of NOTCH1 have been described in ESCC, but not in EAC. ('inactivating mutations', 'Var', (10, 32)) ('NOTCH1', 'Gene', '4851', (36, 42)) ('NOTCH1', 'Gene', (36, 42)) ('ESCC', 'Disease', (66, 70)) ('described', 'Reg', (53, 62)) 1876 32759723 Amplifications of VEGFA (6p21.1), ERBB2 (17p12), GATA6 (18q11.2) and CCNE1 (19q12) are significantly more frequent in EAC than in ESCC. ('VEGFA', 'Gene', (18, 23)) ('EAC', 'Disease', (118, 121)) ('19q12', 'Var', (76, 81)) ('ERBB2', 'Gene', (34, 39)) ('ERBB2', 'Gene', '2064', (34, 39)) ('frequent', 'Reg', (106, 114)) ('VEGFA', 'Gene', '7422', (18, 23)) ('CCNE1', 'Gene', (69, 74)) ('Amplifications', 'Var', (0, 14)) ('CCNE1', 'Gene', '898', (69, 74)) ('18q11.2', 'Var', (56, 63)) ('GATA6', 'Gene', '2627', (49, 54)) ('17p12', 'Var', (41, 46)) ('GATA6', 'Gene', (49, 54)) 1877 32759723 On the other hand, amplifications of FGF3, FGF4, FGF19, and CCND1 (colocalized on 11q13) and FGFR1 (8p11.23) have been more frequently described in EAC. ('FGF4', 'Gene', (43, 47)) ('EAC', 'Disease', (148, 151)) ('FGF3', 'Gene', (37, 41)) ('described', 'Reg', (135, 144)) ('FGF19', 'Gene', '9965', (49, 54)) ('FGF4', 'Gene', '2249', (43, 47)) ('CCND1', 'Gene', (60, 65)) ('FGF19', 'Gene', (49, 54)) ('FGFR1', 'Gene', (93, 98)) ('FGF3', 'Gene', '2248', (37, 41)) ('CCND1', 'Gene', '595', (60, 65)) ('amplifications', 'Var', (19, 33)) ('FGFR1', 'Gene', '2260', (93, 98)) 1878 32759723 Finally, deletion of SMAD4 (18q21.2) is recurrent in EAC, but not in ESCC. ('SMAD4', 'Gene', (21, 26)) ('EAC', 'Disease', (53, 56)) ('SMAD4', 'Gene', '4089', (21, 26)) ('deletion', 'Var', (9, 17)) 1893 32759723 The TP53-mutated VEC harbored a heterozygous point mutation in position c.738G >A of exon 7 of TP53, resulting in the mutant variant p.M246I of p53. ('p.M246I', 'Mutation', 'rs1019340046', (133, 140)) ('p53', 'Gene', '7157', (144, 147)) ('TP53', 'Gene', (4, 8)) ('p.M246I', 'Var', (133, 140)) ('EC', 'Disease', 'MESH:D005955', (18, 20)) ('TP53', 'Gene', (95, 99)) ('c.738G >A', 'Mutation', 'rs1019340046', (72, 81)) ('TP53', 'Gene', '7157', (4, 8)) ('TP53', 'Gene', '7157', (95, 99)) ('p53', 'Gene', (144, 147)) 1894 32759723 These data suggest that TP53 missense point mutations, EGFR overexpression and E-cadherin downregulation may have a role in VEC progression and metastasis. ('EGFR', 'Gene', '1956', (55, 59)) ('missense point mutations', 'Var', (29, 53)) ('TP53', 'Gene', (24, 28)) ('EGFR', 'Gene', (55, 59)) ('overexpression', 'PosReg', (60, 74)) ('EC', 'Disease', 'MESH:D005955', (125, 127)) ('E-cadherin', 'Gene', (79, 89)) ('metastasis', 'CPA', (144, 154)) ('E-cadherin', 'Gene', '999', (79, 89)) ('downregulation', 'NegReg', (90, 104)) ('TP53', 'Gene', '7157', (24, 28)) 1900 32759723 Mutually exclusive EGFR mutations or amplifications have been reported. ('mutations', 'Var', (24, 33)) ('EGFR', 'Gene', '1956', (19, 23)) ('EGFR', 'Gene', (19, 23)) 1901 32759723 Furthermore, activation of Wnt signaling pathway is common and unrelated to mutations in CTNNB1; mutations in APC, AXIN1 or AXIN2 genes and by hypermethylation of the SRFP2 gene promoter seem to be involved in this process. ('mutations', 'Var', (97, 106)) ('SRFP2', 'Gene', (167, 172)) ('CTNNB1', 'Gene', (89, 95)) ('AXIN1', 'Gene', '8312', (115, 120)) ('AXIN1', 'Gene', (115, 120)) ('Wnt signaling pathway', 'Pathway', (27, 48)) ('activation', 'PosReg', (13, 23)) ('AXIN2', 'Gene', (124, 129)) ('APC', 'Disease', 'MESH:D011125', (110, 113)) ('AXIN2', 'Gene', '8313', (124, 129)) ('hypermethylation', 'Var', (143, 159)) ('CTNNB1', 'Gene', '1499', (89, 95)) ('APC', 'Disease', (110, 113)) 1902 32759723 Finally, mutations in PTCH1 have been reported in nearly 53% of basaloid ESCC. ('PTCH1', 'Gene', (22, 27)) ('reported', 'Reg', (38, 46)) ('mutations', 'Var', (9, 18)) ('PTCH1', 'Gene', '5727', (22, 27)) ('basaloid ESCC', 'Disease', (64, 77)) 1903 32759723 Alterations of PTCH1 lead to constitutive activation of the hedgehog signaling pathway and germinal mutation of PTCH1 are linked to Gorlin syndrome (i.e., nevoid basal cell carcinoma syndrome). ('Gorlin syndrome', 'Disease', (132, 147)) ('PTCH1', 'Gene', (112, 117)) ('basal cell carcinoma syndrome', 'Disease', 'MESH:D002280', (162, 191)) ('Alterations', 'Var', (0, 11)) ('carcinoma', 'Phenotype', 'HP:0030731', (173, 182)) ('PTCH1', 'Gene', '5727', (15, 20)) ('basal cell carcinoma', 'Phenotype', 'HP:0002671', (162, 182)) ('PTCH1', 'Gene', '5727', (112, 117)) ('activation', 'PosReg', (42, 52)) ('linked', 'Reg', (122, 128)) ('basal cell carcinoma syndrome', 'Disease', (162, 191)) ('PTCH1', 'Gene', (15, 20)) ('hedgehog signaling pathway', 'Pathway', (60, 86)) 1913 32759723 Specifically, HPV-negative HNSCC are characterized by deletions of CDKN2A, FAT1, NOTCH1, SMAD4 and amplification of EGFR, ERBB2, CCND1 and FGFR1. ('HNSCC', 'Disease', (27, 32)) ('CDKN2A', 'Gene', (67, 73)) ('HPV', 'Species', '10566', (14, 17)) ('ERBB2', 'Gene', '2064', (122, 127)) ('CCND1', 'Gene', (129, 134)) ('NOTCH1', 'Gene', '4851', (81, 87)) ('FGFR1', 'Gene', '2260', (139, 144)) ('SMAD4', 'Gene', '4089', (89, 94)) ('CDKN2A', 'Gene', '1029', (67, 73)) ('amplification', 'Var', (99, 112)) ('FAT1', 'Gene', (75, 79)) ('EGFR', 'Gene', '1956', (116, 120)) ('deletions', 'Var', (54, 63)) ('FGFR1', 'Gene', (139, 144)) ('ERBB2', 'Gene', (122, 127)) ('NOTCH1', 'Gene', (81, 87)) ('SMAD4', 'Gene', (89, 94)) ('FAT1', 'Gene', '2195', (75, 79)) ('CCND1', 'Gene', '595', (129, 134)) ('EGFR', 'Gene', (116, 120)) 1915 32759723 Amplification of 3q 26-28 have been described in both HPV positive and negative HNSCCs. ('Amplification', 'Var', (0, 13)) ('HNSCCs', 'Disease', (80, 86)) ('3q 26-28', 'Gene', (17, 25)) ('HPV', 'Species', '10566', (54, 57)) ('HNSCCs', 'Disease', 'MESH:D000077195', (80, 86)) 1917 32759723 HPV-positive HNSCCs have been associated with amplifications of TRAF3 and E2F1, but those genes do not seem to have a role in ESCC carcinogenesis. ('amplifications', 'Var', (46, 60)) ('carcinogenesis', 'Disease', (131, 145)) ('associated', 'Reg', (30, 40)) ('TRAF3', 'Gene', '7187', (64, 69)) ('HPV', 'Species', '10566', (0, 3)) ('HNSCCs', 'Disease', 'MESH:D000077195', (13, 19)) ('E2F1', 'Gene', '1869', (74, 78)) ('E2F1', 'Gene', (74, 78)) ('TRAF3', 'Gene', (64, 69)) ('carcinogenesis', 'Disease', 'MESH:D063646', (131, 145)) ('ESCC', 'Disease', (126, 130)) ('HNSCCs', 'Disease', (13, 19)) 1918 32759723 Structural alterations of TP53 and RB1 have also been described in HNSCC. ('TP53', 'Gene', (26, 30)) ('RB1', 'Gene', (35, 38)) ('RB1', 'Gene', '5925', (35, 38)) ('described', 'Reg', (54, 63)) ('HNSCC', 'Disease', (67, 72)) ('TP53', 'Gene', '7157', (26, 30)) ('Structural alterations', 'Var', (0, 22)) 1920 32759723 Mutations of TP53 have been described in more than 80% of HPV-negative HNSCCs and they seem to be early events in HNSCC carcinogenesis. ('TP53', 'Gene', (13, 17)) ('HNSCCs', 'Disease', 'MESH:D000077195', (71, 77)) ('HNSCCs', 'Disease', (71, 77)) ('Mutations', 'Var', (0, 9)) ('HNSCC carcinogenesis', 'Disease', (114, 134)) ('HNSCC carcinogenesis', 'Disease', 'MESH:D000077195', (114, 134)) ('TP53', 'Gene', '7157', (13, 17)) ('HPV', 'Species', '10566', (58, 61)) ('described', 'Reg', (28, 37)) 1923 32759723 Mutations of RB1 have been described in 3% of HNSCC and seem to be early events in HNSCC development and similar data have been found in ESCC (vide supra). ('men', 'Species', '9606', (96, 99)) ('HNSCC', 'Disease', (83, 88)) ('RB1', 'Gene', '5925', (13, 16)) ('HNSCC', 'Disease', (46, 51)) ('described', 'Reg', (27, 36)) ('ESCC', 'Disease', (137, 141)) ('Mutations', 'Var', (0, 9)) ('RB1', 'Gene', (13, 16)) 1924 32759723 Mutations of CDKN2A (22% of HNSCCs), FAT1 (23%) and AJUBA (6%) have been described predominantly in HPV-negative HNSCC. ('AJUBA', 'Gene', (52, 57)) ('HPV', 'Species', '10566', (100, 103)) ('FAT1', 'Gene', '2195', (37, 41)) ('CDKN2A', 'Gene', (13, 19)) ('HNSCCs', 'Disease', 'MESH:D000077195', (28, 34)) ('Mutations', 'Var', (0, 9)) ('FAT1', 'Gene', (37, 41)) ('AJUBA', 'Gene', '84962', (52, 57)) ('CDKN2A', 'Gene', '1029', (13, 19)) ('HNSCC', 'Disease', (113, 118)) ('HNSCCs', 'Disease', (28, 34)) 1925 32759723 Inactivating mutations of NOTCH1-3 have been described in 17% of HPV-positive and 26% of HPV-negative HNSCC. ('described', 'Reg', (45, 54)) ('NOTCH1-3', 'Gene', '4851;4853;4854', (26, 34)) ('HPV', 'Species', '10566', (65, 68)) ('Inactivating mutations', 'Var', (0, 22)) ('HPV-positive', 'Disease', (65, 77)) ('HNSCC', 'Disease', (102, 107)) ('HPV', 'Species', '10566', (89, 92)) ('NOTCH1-3', 'Gene', (26, 34)) 1927 32759723 Mutations of PIK3CA have been reported in nearly 16% of HNSCCs. ('reported', 'Reg', (30, 38)) ('HNSCCs', 'Disease', (56, 62)) ('PIK3CA', 'Gene', (13, 19)) ('PIK3CA', 'Gene', '5290', (13, 19)) ('Mutations', 'Var', (0, 9)) ('HNSCCs', 'Disease', 'MESH:D000077195', (56, 62)) 1928 32759723 Finally, MLL2, ZNF750, TGFBR2 and FBXW7 mutations have also been described in HNSCC, but their clinical impact is unclear. ('FBXW7', 'Gene', '55294', (34, 39)) ('described', 'Reg', (65, 74)) ('MLL2', 'Gene', (9, 13)) ('TGFBR2', 'Gene', '7048', (23, 29)) ('ZNF750', 'Gene', '79755', (15, 21)) ('FBXW7', 'Gene', (34, 39)) ('mutations', 'Var', (40, 49)) ('HNSCC', 'Disease', (78, 83)) ('MLL2', 'Gene', '8085', (9, 13)) ('ZNF750', 'Gene', (15, 21)) ('TGFBR2', 'Gene', (23, 29)) 1929 32759723 CDKN2A hypermethylation has been identified in HNSCC. ('hypermethylation', 'Var', (7, 23)) ('HNSCC', 'Disease', (47, 52)) ('identified', 'Reg', (33, 43)) ('CDKN2A', 'Gene', (0, 6)) ('CDKN2A', 'Gene', '1029', (0, 6)) 1936 32759723 Future studies are warranted to study the introduction of immune checkpoints inhibitors in high molecular mutational load ESCCs and the introduction of new molecular targeted therapies, as EGFR inhibitors and mTOR pathway modulators. ('EGFR', 'Gene', '1956', (189, 193)) ('EGFR', 'Gene', (189, 193)) ('mTOR', 'Gene', (209, 213)) ('mTOR', 'Gene', '2475', (209, 213)) ('mutational', 'Var', (106, 116)) 1944 30854039 By inducing point mutations of the assumed degradation motif of OLC1, it was revealed that an intact destruction (D)-box was necessary. ('OLC1', 'Gene', (64, 68)) ('inducing', 'Reg', (3, 11)) ('OLC1', 'Gene', '9798', (64, 68)) ('point mutations', 'Var', (12, 27)) 1945 30854039 As expected, the D-box-mutated OLC1 exhibited a higher capacity for promoting cell growth and clone formation. ('OLC1', 'Gene', (31, 35)) ('clone formation', 'CPA', (94, 109)) ('D-box-mutated', 'Var', (17, 30)) ('cell growth', 'CPA', (78, 89)) ('higher', 'PosReg', (48, 54)) ('promoting', 'PosReg', (68, 77)) ('OLC1', 'Gene', '9798', (31, 35)) 1962 30854039 Mutations of the D-box motif enhanced OLC1 protein stability and induced an increase in cell growth and colony formation. ('OLC1', 'Gene', (38, 42)) ('increase', 'PosReg', (76, 84)) ('cell growth', 'CPA', (88, 99)) ('Mutations', 'Var', (0, 9)) ('colony formation', 'CPA', (104, 120)) ('enhanced', 'PosReg', (29, 37)) ('OLC1', 'Gene', '9798', (38, 42)) 2013 30854039 The addition of different concentrations of MG132 resulted in an increase in OLC1 expression compared with cells treated only with CHX. ('MG132', 'Var', (44, 49)) ('increase', 'PosReg', (65, 73)) ('expression', 'Species', '29278', (82, 92)) ('CHX', 'Chemical', 'MESH:D003513', (131, 134)) ('expression', 'MPA', (82, 92)) ('OLC1', 'Gene', '9798', (77, 81)) ('OLC1', 'Gene', (77, 81)) ('MG132', 'Chemical', 'MESH:C072553', (44, 49)) 2014 30854039 Similarly, with increasing MG132 treatment times, OLC1 protein expression levels were increased accordingly (Fig. ('increased', 'PosReg', (86, 95)) ('MG132', 'Chemical', 'MESH:C072553', (27, 32)) ('expression', 'Species', '29278', (63, 73)) ('OLC1', 'Gene', '9798', (50, 54)) ('MG132', 'Var', (27, 32)) ('OLC1', 'Gene', (50, 54)) 2017 30854039 Ubiquitin was detected in the OLC1 immuno complex, and as expected, the amount present was increased following the addition of MG132 (Fig. ('MG132', 'Var', (127, 132)) ('MG132', 'Chemical', 'MESH:C072553', (127, 132)) ('amount', 'MPA', (72, 78)) ('Ubiquitin', 'MPA', (0, 9)) ('increased', 'PosReg', (91, 100)) ('OLC1', 'Gene', '9798', (30, 34)) ('OLC1', 'Gene', (30, 34)) 2035 30854039 H1299 cells were co-transfected with D-box-mutated GFP-OLC1 (GFP-mut-OLC1) and different concentrations of Cdh1 or Cdc20 expression vectors. ('GFP-OLC1', 'Gene', (51, 59)) ('OLC1', 'Gene', (55, 59)) ('OLC1', 'Gene', (69, 73)) ('H1299', 'CellLine', 'CVCL:0060', (0, 5)) ('GFP-OLC1', 'Gene', '9798', (51, 59)) ('Cdh1', 'Gene', (107, 111)) ('Cdh1', 'Gene', '999', (107, 111)) ('OLC1', 'Gene', '9798', (55, 59)) ('expression vectors', 'Species', '29278', (121, 139)) ('OLC1', 'Gene', '9798', (69, 73)) ('D-box-mutated', 'Var', (37, 50)) 2039 30854039 Thus, additional experiments were performed to confirm if the cells with mutated OLC1 may exhibit more malignant characteristics. ('OLC1', 'Gene', '9798', (81, 85)) ('mutated', 'Var', (73, 80)) ('malignant characteristics', 'CPA', (103, 128)) ('OLC1', 'Gene', (81, 85)) 2040 30854039 First, a cell growth assay was performed; the growth curve revealed that H1299 cells expressing OLC1 with a mutated D-box grew significantly faster compared with those expressing wild-type OLC1 (Fig. ('OLC1', 'Gene', (96, 100)) ('mutated', 'Var', (108, 115)) ('OLC1', 'Gene', (189, 193)) ('faster', 'PosReg', (141, 147)) ('H1299', 'CellLine', 'CVCL:0060', (73, 78)) ('grew', 'CPA', (122, 126)) ('OLC1', 'Gene', '9798', (96, 100)) ('OLC1', 'Gene', '9798', (189, 193)) 2041 30854039 This indicated that the D-box mutated OLC1 exhibited a greater capacity to facilitate cell growth. ('cell growth', 'CPA', (86, 97)) ('OLC1', 'Gene', (38, 42)) ('D-box mutated', 'Var', (24, 37)) ('mutated', 'Var', (30, 37)) ('facilitate', 'PosReg', (75, 85)) ('OLC1', 'Gene', '9798', (38, 42)) 2042 30854039 Colony formation assays were also conducted; the cells expressing mutant OLC1 developed a significantly higher number of colonies compared with the control cells (Fig. ('OLC1', 'Gene', '9798', (73, 77)) ('higher', 'PosReg', (104, 110)) ('OLC1', 'Gene', (73, 77)) ('mutant', 'Var', (66, 72)) 2043 30854039 These results indicated that the mutated D-box motif was not recognized by APC/c E3 ligase, affecting the subsequent degradation of the OLC1 protein. ('APC/c', 'Gene', (75, 80)) ('mutated', 'Var', (33, 40)) ('OLC1', 'Gene', (136, 140)) ('OLC1', 'Gene', '9798', (136, 140)) ('APC/c', 'Gene', '324', (75, 80)) ('affecting', 'Reg', (92, 101)) 2046 30854039 When it was first identified in non-lethal yeast mutants in 1999, it was named the IST1 gene. ('IST1', 'Gene', '9798', (83, 87)) ('IST1', 'Gene', (83, 87)) ('yeast', 'Species', '4932', (43, 48)) ('mutants', 'Var', (49, 56)) 2049 30854039 In humans, a previous study identified that OLC1 was essential for cytokinesis, another membrane scission event that is topologically similar to MVB formation, and that the depletion of OLC1 resulted in the accumulation of multinucleated cells. ('depletion', 'Var', (173, 182)) ('multinucleated cells', 'CPA', (223, 243)) ('OLC1', 'Gene', (186, 190)) ('OLC1', 'Gene', '9798', (186, 190)) ('cytokinesis', 'CPA', (67, 78)) ('OLC1', 'Gene', (44, 48)) ('OLC1', 'Gene', '9798', (44, 48)) ('humans', 'Species', '9606', (3, 9)) ('accumulation', 'PosReg', (207, 219)) 2050 30854039 Therefore, abnormal cytokinesis will result in the uneven distribution of the chromosomes in the cell, inducing cell genome instability and potentially leading to the development of a tumor. ('tumor', 'Disease', 'MESH:D009369', (184, 189)) ('leading to', 'Reg', (152, 162)) ('abnormal', 'Var', (11, 19)) ('tumor', 'Phenotype', 'HP:0002664', (184, 189)) ('result in', 'Reg', (37, 46)) ('inducing', 'Reg', (103, 111)) ('tumor', 'Disease', (184, 189)) ('cell genome instability', 'CPA', (112, 135)) 2052 30854039 It was identified that the over expression of OLC1 was associated with smoking history in patients with lung cancer, and that this overexpression induced tumor formation in athymic mice, whereas the knockdown of OLC1 increased apoptosis and decreased colony formation. ('mice', 'Species', '10090', (181, 185)) ('decreased', 'NegReg', (241, 250)) ('OLC1', 'Gene', (46, 50)) ('OLC1', 'Gene', (212, 216)) ('colony formation', 'CPA', (251, 267)) ('tumor', 'Disease', (154, 159)) ('lung cancer', 'Disease', 'MESH:D008175', (104, 115)) ('associated', 'Reg', (55, 65)) ('tumor', 'Disease', 'MESH:D009369', (154, 159)) ('lung cancer', 'Phenotype', 'HP:0100526', (104, 115)) ('apoptosis', 'CPA', (227, 236)) ('increased', 'PosReg', (217, 226)) ('over expression', 'PosReg', (27, 42)) ('tumor', 'Phenotype', 'HP:0002664', (154, 159)) ('cancer', 'Phenotype', 'HP:0002664', (109, 115)) ('knockdown', 'Var', (199, 208)) ('patients', 'Species', '9606', (90, 98)) ('OLC1', 'Gene', '9798', (46, 50)) ('expression', 'Species', '29278', (135, 145)) ('lung cancer', 'Disease', (104, 115)) ('expression', 'Species', '29278', (32, 42)) ('OLC1', 'Gene', '9798', (212, 216)) ('smoking', 'Disease', (71, 78)) ('induced', 'Reg', (146, 153)) 2055 30854039 Furthermore, high expression levels of OLC1 are associated with a poor prognosis in a number of these cancer types. ('cancer', 'Phenotype', 'HP:0002664', (102, 108)) ('expression levels', 'MPA', (18, 35)) ('high', 'Var', (13, 17)) ('associated', 'Reg', (48, 58)) ('expression', 'Species', '29278', (18, 28)) ('OLC1', 'Gene', (39, 43)) ('cancer', 'Disease', (102, 108)) ('OLC1', 'Gene', '9798', (39, 43)) ('cancer', 'Disease', 'MESH:D009369', (102, 108)) 2067 30854039 A previous study revealed that a cancer-associated Akt mutation within the Akt PH domain (E17K) was identified in a range of human cancer types, including colon and breast cancer. ('cancer', 'Disease', (33, 39)) ('E17K', 'Mutation', 'rs121434592', (90, 94)) ('breast cancer', 'Phenotype', 'HP:0003002', (165, 178)) ('cancer', 'Phenotype', 'HP:0002664', (33, 39)) ('cancer', 'Disease', 'MESH:D009369', (172, 178)) ('cancer', 'Disease', 'MESH:D009369', (131, 137)) ('Akt', 'Gene', (75, 78)) ('Akt', 'Gene', (51, 54)) ('Akt', 'Gene', '207', (75, 78)) ('cancer', 'Disease', 'MESH:D009369', (33, 39)) ('human', 'Species', '9606', (125, 130)) ('Akt', 'Gene', '207', (51, 54)) ('mutation', 'Var', (55, 63)) ('cancer', 'Disease', (172, 178)) ('cancer', 'Disease', (131, 137)) ('cancer', 'Phenotype', 'HP:0002664', (172, 178)) ('identified', 'Reg', (100, 110)) ('cancer', 'Phenotype', 'HP:0002664', (131, 137)) ('colon and breast cancer', 'Disease', 'MESH:D001943', (155, 178)) 2068 30854039 Akt E17K mutants displayed enhanced Akt ubiquitination, contributing to Akt hyperactivation and constitutive Akt membrane recruitment, suggesting a potential role for Akt ubiquitination in cancer. ('Akt', 'Gene', '207', (109, 112)) ('Akt', 'Gene', (72, 75)) ('enhanced', 'PosReg', (27, 35)) ('Akt', 'Gene', '207', (36, 39)) ('E17K', 'Var', (4, 8)) ('Akt', 'Gene', '207', (167, 170)) ('Akt', 'Gene', (36, 39)) ('cancer', 'Phenotype', 'HP:0002664', (189, 195)) ('E17K', 'Mutation', 'rs121434592', (4, 8)) ('Akt', 'Gene', '207', (0, 3)) ('Akt', 'Gene', (109, 112)) ('Akt', 'Gene', (0, 3)) ('hyperactivation', 'Disease', (76, 91)) ('cancer', 'Disease', 'MESH:D009369', (189, 195)) ('hyperactivation', 'Disease', 'MESH:D011504', (76, 91)) ('Akt', 'Gene', (167, 170)) ('Akt', 'Gene', '207', (72, 75)) ('cancer', 'Disease', (189, 195)) 2071 30854039 In the present study, it was demonstrated that the expression of OLC1 was elevated following treatment with MG132, a proteasome inhibitor. ('OLC1', 'Gene', '9798', (65, 69)) ('elevated', 'PosReg', (74, 82)) ('expression', 'Species', '29278', (51, 61)) ('MG132', 'Chemical', 'MESH:C072553', (108, 113)) ('MG132', 'Var', (108, 113)) ('expression', 'MPA', (51, 61)) ('OLC1', 'Gene', (65, 69)) 2084 30854039 Furthermore, mutations to the OLC1 D-box significantly reduced OLC1 degradation. ('OLC1', 'Gene', (63, 67)) ('reduced', 'NegReg', (55, 62)) ('OLC1', 'Gene', '9798', (63, 67)) ('OLC1', 'Gene', '9798', (30, 34)) ('mutations', 'Var', (13, 22)) ('OLC1', 'Gene', (30, 34)) 2088 30854039 These findings reveal that the destruction of the degradation domain results in the abnormal accumulation of the OLC1 mutant, which could not be degraded through the APC/c-mediated ubiquitin-proteasome pathway. ('APC/c', 'Gene', '324', (166, 171)) ('OLC1', 'Gene', (113, 117)) ('accumulation', 'PosReg', (93, 105)) ('OLC1', 'Gene', '9798', (113, 117)) ('mutant', 'Var', (118, 124)) ('APC/c', 'Gene', (166, 171)) 2105 30561117 Patients diagnosed with primary ESCC (SEER cancer site code: 27.0; SEER histology codes: 8052, 8070 to 8078, 8053, 8083, and 8084) in American Joint Committee on Cancer (AJCC) stages II to III were included in our study. ('8070 to 8078', 'Var', (95, 107)) ('primary ESCC', 'Disease', (24, 36)) ('cancer', 'Disease', 'MESH:D009369', (43, 49)) ('8053', 'Var', (109, 113)) ('Cancer', 'Disease', 'MESH:D009369', (162, 168)) ('cancer', 'Disease', (43, 49)) ('Patients', 'Species', '9606', (0, 8)) ('cancer', 'Phenotype', 'HP:0002664', (43, 49)) ('Cancer', 'Phenotype', 'HP:0002664', (162, 168)) ('Cancer', 'Disease', (162, 168)) 2213 30697615 In the current study, poor PS was an independent factor associated with anastomotic stenosis. ('poor PS', 'Var', (22, 29)) ('anastomotic stenosis', 'Disease', (72, 92)) ('anastomotic stenosis', 'Disease', 'MESH:D057868', (72, 92)) 2214 30697615 Results showed that poor PS tended to be associated with the presence of cardiovascular disease (P = 0.097). ('associated', 'Reg', (41, 51)) ('cardiovascular disease', 'Disease', (73, 95)) ('poor PS', 'Var', (20, 27)) ('cardiovascular disease', 'Phenotype', 'HP:0001626', (73, 95)) ('cardiovascular disease', 'Disease', 'MESH:D002318', (73, 95)) 2244 26426993 Multivariate Cox analysis adjusted for significant factors indicated that LODDS was independent risk factor on overall survival (OS), and a higher LODDS was associated with worse OS (hazard ratio = 3.297, 95% confidence interval: 2.684-4.050, p < 0.001). ('Cox', 'Gene', (13, 16)) ('overall survival', 'MPA', (111, 127)) ('LODDS', 'Chemical', '-', (74, 79)) ('LODDS', 'Chemical', '-', (147, 152)) ('LODDS', 'Var', (74, 79)) ('Cox', 'Gene', '1351', (13, 16)) 2337 26114883 Among the tumor types, PD-L1 was associated with worse 3 year-OS of esophageal cancer, gastric cancer, hepatocellular carcinoma, and urothelial cancer, and 5 year-OS of esophageal cancer, gastric cancer and colorectal cancer. ('gastric cancer', 'Phenotype', 'HP:0012126', (188, 202)) ('colorectal cancer', 'Disease', 'MESH:D015179', (207, 224)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (103, 127)) ('OS of esophageal cancer', 'Disease', (62, 85)) ('OS of esophageal cancer', 'Disease', 'MESH:C567932', (62, 85)) ('colorectal cancer', 'Disease', (207, 224)) ('gastric cancer', 'Disease', 'MESH:D013274', (87, 101)) ('cancer', 'Phenotype', 'HP:0002664', (144, 150)) ('PD-L1', 'Var', (23, 28)) ('tumor', 'Disease', (10, 15)) ('hepatocellular carcinoma', 'Disease', (103, 127)) ('gastric cancer', 'Disease', (188, 202)) ('OS of esophageal cancer', 'Disease', (163, 186)) ('OS of esophageal cancer', 'Disease', 'MESH:C567932', (163, 186)) ('cancer', 'Phenotype', 'HP:0002664', (95, 101)) ('tumor', 'Disease', 'MESH:D009369', (10, 15)) ('gastric cancer', 'Phenotype', 'HP:0012126', (87, 101)) ('cancer', 'Phenotype', 'HP:0002664', (79, 85)) ('cancer', 'Phenotype', 'HP:0002664', (180, 186)) ('carcinoma', 'Phenotype', 'HP:0030731', (118, 127)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (207, 224)) ('gastric cancer', 'Disease', 'MESH:D013274', (188, 202)) ('tumor', 'Phenotype', 'HP:0002664', (10, 15)) ('cancer', 'Phenotype', 'HP:0002664', (196, 202)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (103, 127)) ('urothelial cancer', 'Disease', 'MESH:D014523', (133, 150)) ('gastric cancer', 'Disease', (87, 101)) ('urothelial cancer', 'Disease', (133, 150)) 2338 26114883 These results suggest that expression of PD-L1 is associated with worse survival in solid tumors. ('solid tumors', 'Disease', 'MESH:D009369', (84, 96)) ('tumor', 'Phenotype', 'HP:0002664', (90, 95)) ('worse', 'NegReg', (66, 71)) ('tumors', 'Phenotype', 'HP:0002664', (90, 96)) ('expression', 'Var', (27, 37)) ('associated', 'Reg', (50, 60)) ('PD-L1', 'Gene', (41, 46)) ('solid tumors', 'Disease', (84, 96)) 2343 26114883 The abnormal expression of these ligands has been linked with prognosis and treatment response of multiple malignancies. ('abnormal', 'Var', (4, 12)) ('expression', 'MPA', (13, 23)) ('multiple malignancies', 'Disease', 'MESH:D009369', (98, 119)) ('linked', 'Reg', (50, 56)) ('multiple malignancies', 'Disease', (98, 119)) 2348 26114883 Another two studies showed that across multiple cancer types, responses were observed in patients with tumors expressing high levels of PD-L1, especially when PD-L1 expressed on tumor-infiltrating immune cells. ('tumor', 'Phenotype', 'HP:0002664', (103, 108)) ('tumor', 'Disease', (178, 183)) ('multiple cancer', 'Disease', (39, 54)) ('cancer', 'Phenotype', 'HP:0002664', (48, 54)) ('tumors', 'Phenotype', 'HP:0002664', (103, 109)) ('tumor', 'Disease', (103, 108)) ('tumors', 'Disease', (103, 109)) ('PD-L1', 'Var', (136, 141)) ('multiple cancer', 'Disease', 'MESH:D009369', (39, 54)) ('tumors', 'Disease', 'MESH:D009369', (103, 109)) ('patients', 'Species', '9606', (89, 97)) ('tumor', 'Disease', 'MESH:D009369', (178, 183)) ('tumor', 'Phenotype', 'HP:0002664', (178, 183)) ('tumor', 'Disease', 'MESH:D009369', (103, 108)) 2375 26114883 A decade ago some studies reported that blockade of PD-L1 could improve antitumor immunity. ('blockade', 'Var', (40, 48)) ('improve', 'PosReg', (64, 71)) ('tumor', 'Phenotype', 'HP:0002664', (76, 81)) ('tumor', 'Disease', (76, 81)) ('PD-L1', 'Gene', (52, 57)) ('tumor', 'Disease', 'MESH:D009369', (76, 81)) 2381 26114883 Among the tumor types evaluated, esophageal cancer was the tumor type most linked with worse 3-year and 5-year outcome for patients with high levels of PD-L1. ('tumor', 'Phenotype', 'HP:0002664', (10, 15)) ('tumor', 'Disease', (59, 64)) ('cancer', 'Phenotype', 'HP:0002664', (44, 50)) ('tumor', 'Disease', (10, 15)) ('patients', 'Species', '9606', (123, 131)) ('tumor', 'Disease', 'MESH:D009369', (10, 15)) ('esophageal cancer', 'Disease', (33, 50)) ('tumor', 'Disease', 'MESH:D009369', (59, 64)) ('PD-L1', 'Gene', (152, 157)) ('esophageal cancer', 'Disease', 'MESH:D004938', (33, 50)) ('tumor', 'Phenotype', 'HP:0002664', (59, 64)) ('high levels', 'Var', (137, 148)) 2385 26114883 A recent study reported that epithelial-originated cancer patients with positive expression of PD-L1 on tumor tissues were associated with significantly poorer OS when compared to those with negative expression of PD-L1. ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('tumor', 'Disease', (104, 109)) ('cancer', 'Phenotype', 'HP:0002664', (51, 57)) ('PD-L1', 'Gene', (95, 100)) ('cancer', 'Disease', 'MESH:D009369', (51, 57)) ('poorer', 'NegReg', (153, 159)) ('patients', 'Species', '9606', (58, 66)) ('cancer', 'Disease', (51, 57)) ('positive expression', 'Var', (72, 91)) ('tumor', 'Disease', 'MESH:D009369', (104, 109)) 2477 25038797 Levels of ANXA1 expression was increased in AGS and N87 cells induced ANXA1/pcDNA3.1 transfection (Figure 5A, B). ('ANXA1', 'Gene', (10, 15)) ('ANXA1/pcDNA3.1', 'Gene', (70, 84)) ('AGS', 'Gene', '182', (44, 47)) ('transfection', 'Var', (85, 97)) ('N87', 'CellLine', 'CVCL:1603', (52, 55)) ('expression', 'Species', '29278', (16, 26)) ('AGS', 'Gene', (44, 47)) ('expression', 'MPA', (16, 26)) 2480 25038797 However, silencing of ANXA1 by ANXA1-shRNA promoted cell viability in N87 cells (Figure 6A). ('promoted', 'PosReg', (43, 51)) ('silencing', 'Var', (9, 18)) ('cell viability', 'CPA', (52, 66)) ('N87', 'CellLine', 'CVCL:1603', (70, 73)) ('ANXA1', 'Gene', (22, 27)) 2482 25038797 Western blotting analysis revealed that silencing of ANXA1 leaded to up-regulation of COX-2 (Figure 6B), while forced expression of ANXA1 decreased COX-2 production (Figure 6C). ('up-regulation', 'PosReg', (69, 82)) ('decreased', 'NegReg', (138, 147)) ('COX-2', 'Enzyme', (86, 91)) ('COX-2 production', 'MPA', (148, 164)) ('ANXA1', 'Gene', (53, 58)) ('expression', 'Species', '29278', (118, 128)) ('silencing', 'Var', (40, 49)) 2514 25038797 In line with our previous study, loss of ANXA1 is a frequent event in gastric carcinogenesis. ('ANXA1', 'Gene', (41, 46)) ('gastric carcinogenesis', 'Disease', (70, 92)) ('loss', 'Var', (33, 37)) ('gastric carcinogenesis', 'Disease', 'MESH:D063646', (70, 92)) 2523 25038797 Notably, knockdown ANXA1 expression with ANXA1-specific shRNA leads to an increase of COX-2 expression, suggesting ANXA1 mediating many diverse cellular functions, such as inflammation and proliferation. ('inflammation', 'Disease', 'MESH:D007249', (172, 184)) ('expression', 'Species', '29278', (25, 35)) ('knockdown', 'Var', (9, 18)) ('inflammation', 'Disease', (172, 184)) ('proliferation', 'CPA', (189, 202)) ('expression', 'MPA', (92, 102)) ('increase', 'PosReg', (74, 82)) ('ANXA1', 'Gene', (19, 24)) ('expression', 'Species', '29278', (92, 102)) ('COX-2', 'Protein', (86, 91)) 2525 25038797 This notion is supported by a previous study showing that IL-1beta increased the expression of COX-2 and concomittantly decreased the expression of lipocortin 1 (ANXA1) on the surface of A549 cells. ('decreased', 'NegReg', (120, 129)) ('expression', 'MPA', (134, 144)) ('IL-1beta', 'Var', (58, 66)) ('A549', 'CellLine', 'CVCL:0023', (187, 191)) ('lipocortin 1', 'Gene', (148, 160)) ('COX-2', 'Gene', (95, 100)) ('increased', 'PosReg', (67, 76)) ('expression', 'Species', '29278', (81, 91)) ('expression', 'MPA', (81, 91)) ('expression', 'Species', '29278', (134, 144)) 2601 21845152 Human DNA adducts, as biomarkers of exposure, internal dose and biologically effective dose, are capable of initiating mutagenesis in critical genes, ultimately leading to a loss of growth control followed by tumor development. ('Human', 'Species', '9606', (0, 5)) ('tumor', 'Disease', (209, 214)) ('initiating', 'Reg', (108, 118)) ('men', 'Species', '9606', (222, 225)) ('tumor', 'Disease', 'MESH:D009369', (209, 214)) ('mutagenesis', 'Var', (119, 130)) ('growth control', 'CPA', (182, 196)) ('loss', 'NegReg', (174, 178)) ('tumor', 'Phenotype', 'HP:0002664', (209, 214)) 2627 21845152 Using samples from the Navy Colon Adenoma study we found a 3-fold increased risk of colorectal adenoma in the quartile of individuals with the highest leukocyte PAH-DNA adducts, compared to the quartile with the lowest PAH-DNA adducts. ('PAH', 'Chemical', 'MESH:D011084', (161, 164)) ('PAH', 'Chemical', 'MESH:D011084', (219, 222)) ('Colon Adenoma', 'Disease', (28, 41)) ('colorectal adenoma', 'Disease', (84, 102)) ('Colon Adenoma', 'Disease', 'MESH:D000236', (28, 41)) ('adducts', 'Var', (169, 176)) ('colorectal adenoma', 'Disease', 'MESH:D015179', (84, 102)) 2628 21845152 These were, coincidentally, the same individuals who consistently ingested the largest quantities of heavily-cooked beef, suggesting a causal association between ingestion of well-cooked beef, PAH-DNA adduct formation and adenoma risk. ('PAH', 'Chemical', 'MESH:D011084', (193, 196)) ('adenoma', 'Disease', (222, 229)) ('adenoma', 'Disease', 'MESH:D000236', (222, 229)) ('adduct', 'Var', (201, 207)) 2668 21845152 The particular susceptibility of the PZ to form tumors may result from the influence of PAH-DNA damage as well as other types of DNA damage and additional factors such as increased cell proliferation, inflammatory stimulation and epigenetic alterations. ('cell proliferation', 'CPA', (181, 199)) ('tumors', 'Disease', 'MESH:D009369', (48, 54)) ('tumors', 'Disease', (48, 54)) ('tumors', 'Phenotype', 'HP:0002664', (48, 54)) ('epigenetic alterations', 'Var', (230, 252)) ('PAH', 'Chemical', 'MESH:D011084', (88, 91)) ('increased', 'PosReg', (171, 180)) ('tumor', 'Phenotype', 'HP:0002664', (48, 53)) 2693 21845152 In a long-term series of studies, children born in Teplice were found to have multiple health problems including intrauterine growth retardation, low birth weight and respiratory ailments. ('intrauterine growth retardation', 'Disease', 'MESH:D005317', (113, 144)) ('low birth weight', 'Disease', 'MESH:C537577', (146, 162)) ('low birth weight', 'Phenotype', 'HP:0001518', (146, 162)) ('intrauterine growth retardation', 'Phenotype', 'HP:0001511', (113, 144)) ('growth retardation', 'Phenotype', 'HP:0001510', (126, 144)) ('intrauterine growth retardation', 'Disease', (113, 144)) ('low birth weight', 'Disease', (146, 162)) ('respiratory ailments', 'Disease', (167, 187)) ('Teplice', 'Var', (51, 58)) ('men', 'Species', '9606', (182, 185)) ('children', 'Species', '9606', (34, 42)) 2710 21845152 It is important to note, however, that IHC/ACIS values reflect investigator-selected areas, which are typically regions having the highest PAH-DNA adduct color intensity, whereas extraction of DNA from all the cells in a tissue results in effective dilution, as PAH-DNA adducts are not uniformly distributed to all tissues. ('dilution', 'MPA', (249, 257)) ('extraction', 'Var', (179, 189)) ('PAH', 'Chemical', 'MESH:D011084', (139, 142)) ('PAH', 'Chemical', 'MESH:D011084', (262, 265)) 2730 21845152 Availability of new specialized techniques, such as laser capture microdissection, may provide additional opportunities to collect and evaluate very specific portions of whole tissue, or individual cells, in which PAH-DNA damage can potentially be related to other molecular markers such as gene expression, micro-RNAs or epigenetics. ('PAH', 'Chemical', 'MESH:D011084', (214, 217)) ('micro-RNAs', 'Var', (308, 318)) ('related', 'Reg', (248, 255)) 2736 19136509 Adjusted hazard ratios and 95% confidence intervals for the association between serum PGI/II ratio and caner risk Compared to subjects with PGI/II ratio of > 4, those with <=4 had HRs (95%CIs) of 2.72 (1.77-4.20) and 2.12 (1.42-3.16) for noncardia and cardia gastric cancers, respectively. ('I', 'Chemical', 'MESH:D007455', (90, 91)) ('caner', 'Disease', (103, 108)) ('PGI', 'Gene', '633', (86, 89)) ('I', 'Chemical', 'MESH:D007455', (142, 143)) ('gastric cancers', 'Phenotype', 'HP:0012126', (259, 274)) ('I', 'Chemical', 'MESH:D007455', (88, 89)) ('PGI', 'Gene', (140, 143)) ('cancers', 'Phenotype', 'HP:0002664', (267, 274)) ('serum', 'Var', (80, 85)) ('PGI', 'Gene', (86, 89)) ('I', 'Chemical', 'MESH:D007455', (91, 92)) ('I', 'Chemical', 'MESH:D007455', (144, 145)) ('gastric cancer', 'Phenotype', 'HP:0012126', (259, 273)) ('cancer', 'Phenotype', 'HP:0002664', (267, 273)) ('noncardia and cardia gastric cancers', 'Disease', 'MESH:D013274', (238, 274)) ('I', 'Chemical', 'MESH:D007455', (189, 190)) ('PGI', 'Gene', '633', (140, 143)) ('I', 'Chemical', 'MESH:D007455', (145, 146)) 2738 19136509 Risk of ESCC was marginally increased in those with PGI/II ratio <=4, with HR (95% CI) of 1.56 (0.99-2.47), but quartile models and continuous models showed no increased risk. ('I', 'Chemical', 'MESH:D007455', (56, 57)) ('ESCC', 'Disease', (8, 12)) ('I', 'Chemical', 'MESH:D007455', (84, 85)) ('PGI', 'Gene', '633', (52, 55)) ('I', 'Chemical', 'MESH:D007455', (57, 58)) ('I', 'Chemical', 'MESH:D007455', (54, 55)) ('<=4', 'Var', (65, 68)) ('PGI', 'Gene', (52, 55)) 2740 19136509 In this prospective study, we found similar and significantly increased risks of noncardia and cardia gastric adenocarcinomas in subjects with low PGI/II ratio, but little evidence for an association with ESCC risk. ('increased', 'PosReg', (62, 71)) ('I', 'Chemical', 'MESH:D007455', (149, 150)) ('carcinoma', 'Phenotype', 'HP:0030731', (115, 124)) ('PGI', 'Gene', (147, 150)) ('I', 'Chemical', 'MESH:D007455', (152, 153)) ('noncardia and cardia gastric adenocarcinomas', 'Disease', 'MESH:D004938', (81, 125)) ('low', 'Var', (143, 146)) ('I', 'Chemical', 'MESH:D007455', (0, 1)) ('I', 'Chemical', 'MESH:D007455', (151, 152)) ('PGI', 'Gene', '633', (147, 150)) 2792 19136509 Seropositivity cut points were defined as <= 50 mug/L for PGI and <= 3, 4, 5, or 6 for PGI/II ratio. ('PGI', 'Gene', '633', (87, 90)) ('PGI', 'Gene', (58, 61)) ('PGI', 'Gene', (87, 90)) ('<= 50 mug/L', 'Var', (42, 53)) ('PGI', 'Gene', '633', (58, 61)) 2827 19136509 There were statistically significant differences in HRs for the association between low serum PGI and gastric noncardia cancer diagnosed in the three time periods. ('cancer', 'Phenotype', 'HP:0002664', (120, 126)) ('gastric noncardia cancer', 'Disease', 'MESH:D013274', (102, 126)) ('low', 'Var', (84, 87)) ('PGI', 'Gene', '633', (94, 97)) ('low serum PGI', 'Phenotype', 'HP:0031817', (84, 97)) ('PGI', 'Gene', (94, 97)) ('gastric noncardia cancer', 'Disease', (102, 126)) 2830 19136509 For gastric noncardia adenocarcinoma, atrophy increased risk more in those who were H. pylori seropositive rather than in those who were H. pylori seronegative but the interaction term was not statistically significant (P for interaction = 0.13). ('atrophy', 'Disease', (38, 45)) ('H. pylori', 'Species', '210', (137, 146)) ('carcinoma', 'Phenotype', 'HP:0030731', (27, 36)) ('seropositive', 'Var', (94, 106)) ('H. pylori', 'Var', (84, 93)) ('gastric noncardia adenocarcinoma', 'Disease', (4, 36)) ('atrophy', 'Disease', 'MESH:D001284', (38, 45)) ('gastric noncardia adenocarcinoma', 'Disease', 'MESH:D013274', (4, 36)) ('H. pylori', 'Species', '210', (84, 93)) 2836 19136509 Most previous studies of the association between serum pepsinogens and gastric or esophageal cancer risk have used dichotomous comparisons based on single cut points, generally PG1 <=70-30, PGI/II <3, or a combination of these cut points. ('esophageal cancer', 'Disease', 'MESH:D004938', (82, 99)) ('cancer', 'Phenotype', 'HP:0002664', (93, 99)) ('PGI', 'Gene', '633', (190, 193)) ('PG1 <=70-30', 'Var', (177, 188)) ('gastric', 'Disease', 'MESH:D013274', (71, 78)) ('esophageal cancer', 'Disease', (82, 99)) ('gastric', 'Disease', (71, 78)) ('PG1', 'Chemical', '-', (177, 180)) ('PGI', 'Gene', (190, 193)) 2887 33314798 11 Other recent studies revealed that the programmed cell death-1 (PD-1) antibody could benefit patients with advanced esophageal or gastroesophageal junction cancer compared with chemotherapy, especially for those with high PD-L1 expression. ('death-1 (PD-1) antibody', 'Disease', 'MESH:D010300', (59, 82)) ('esophageal', 'Disease', (120, 130)) ('gastroesophageal junction cancer', 'Disease', (134, 166)) ('gastroesophageal junction cancer', 'Disease', 'MESH:D009369', (134, 166)) ('PD-L1', 'Gene', (226, 231)) ('cancer', 'Phenotype', 'HP:0002664', (160, 166)) ('high', 'Var', (221, 225)) ('benefit', 'PosReg', (89, 96)) ('PD-L1', 'Gene', '29126', (226, 231)) ('patients', 'Species', '9606', (97, 105)) 2895 33314798 Eligible patients were 18 years of age or older with the diagnosis of either squamous cell carcinoma (ICD-O-3 codes 8050-8082) or adenocarcinoma (ICD-O-3 codes 8140-8573) of the esophagus (ICD-O-3 for topography codes: C150-C155, C158-C159) or the gastroesophageal junction (ICD-O-3 for topography codes: C160) between January 2000 and December 2016. ('patients', 'Species', '9606', (9, 17)) ('adenocarcinoma', 'Disease', (130, 144)) ('carcinoma', 'Phenotype', 'HP:0030731', (135, 144)) ('adenocarcinoma', 'Disease', 'MESH:D000230', (130, 144)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (77, 100)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (77, 100)) ('carcinoma', 'Phenotype', 'HP:0030731', (91, 100)) ('squamous cell carcinoma', 'Disease', (77, 100)) ('C158-C159', 'Var', (230, 239)) 2986 32660034 Results: The incidence rates of overall proximal cancers in FIT-, FIT+/CRC-, and FIT+/CRC+ patients within 1, 2, and 3 years after FIT were 0.38%, 0.68%, and 2.26%; 0.57%, 0.93%, and 2.74%; and 0.79%, 1.21%, and 3.15%, respectively. ('FIT', 'Chemical', '-', (131, 134)) ('FIT+/CRC-', 'Var', (66, 75)) ('patients', 'Species', '9606', (91, 99)) ('FIT', 'Chemical', '-', (60, 63)) ('FIT', 'Chemical', '-', (81, 84)) ('cancer', 'Phenotype', 'HP:0002664', (49, 55)) ('CRC', 'Phenotype', 'HP:0003003', (86, 89)) ('FIT', 'Chemical', '-', (66, 69)) ('CRC', 'Phenotype', 'HP:0003003', (71, 74)) ('FIT+/CRC+', 'Var', (81, 90)) ('cancers', 'Disease', 'MESH:D009369', (49, 56)) ('cancers', 'Phenotype', 'HP:0002664', (49, 56)) ('cancers', 'Disease', (49, 56)) 2987 32660034 After adjusting confounding variables, the risks of esophageal, stomach, and small intestine cancers as well as overall proximal cancers within 1, 2, and 3 years after FIT were higher in FIT+/CRC- patients than those in FIT- patients. ('patients', 'Species', '9606', (197, 205)) ('cancers', 'Phenotype', 'HP:0002664', (129, 136)) ('cancers', 'Disease', (129, 136)) ('cancers', 'Disease', 'MESH:D009369', (93, 100)) ('cancer', 'Phenotype', 'HP:0002664', (129, 135)) ('FIT', 'Chemical', '-', (168, 171)) ('esophageal', 'Disease', (52, 62)) ('CRC', 'Phenotype', 'HP:0003003', (192, 195)) ('patients', 'Species', '9606', (225, 233)) ('cancers', 'Disease', 'MESH:D009369', (129, 136)) ('small intestine cancer', 'Phenotype', 'HP:0100833', (77, 99)) ('stomach', 'Disease', (64, 71)) ('cancers', 'Phenotype', 'HP:0002664', (93, 100)) ('higher', 'PosReg', (177, 183)) ('cancers', 'Disease', (93, 100)) ('cancer', 'Phenotype', 'HP:0002664', (93, 99)) ('FIT+/CRC-', 'Var', (187, 196)) ('FIT', 'Chemical', '-', (220, 223)) ('FIT', 'Chemical', '-', (187, 190)) 2989 32660034 The risks for oral or throat cancer and small intestine cancer were higher in FIT+/CRC+ patients than those in FIT+/CRC- patients. ('FIT', 'Chemical', '-', (111, 114)) ('cancer', 'Disease', (29, 35)) ('CRC', 'Phenotype', 'HP:0003003', (116, 119)) ('FIT', 'Chemical', '-', (78, 81)) ('small intestine cancer', 'Phenotype', 'HP:0100833', (40, 62)) ('throat cancer', 'Disease', 'MESH:D009369', (22, 35)) ('patients', 'Species', '9606', (88, 96)) ('higher', 'PosReg', (68, 74)) ('FIT+/CRC+', 'Var', (78, 87)) ('cancer', 'Phenotype', 'HP:0002664', (56, 62)) ('oral or throat cancer', 'Phenotype', 'HP:0012288', (14, 35)) ('cancer', 'Phenotype', 'HP:0002664', (29, 35)) ('CRC', 'Phenotype', 'HP:0003003', (83, 86)) ('throat cancer', 'Disease', (22, 35)) ('cancer', 'Disease', 'MESH:D009369', (29, 35)) ('cancer', 'Disease', (56, 62)) ('cancer', 'Disease', 'MESH:D009369', (56, 62)) ('patients', 'Species', '9606', (121, 129)) 2990 32660034 Conclusions: In this population-based study, FIT+/CRC- patients were at higher risk for esophageal, stomach, and small intestine cancers than were FIT- patients, suggesting that positive FIT results were associated with these cancers. ('cancer', 'Phenotype', 'HP:0002664', (129, 135)) ('stomach', 'Disease', (100, 107)) ('FIT+/CRC-', 'Var', (45, 54)) ('cancers', 'Disease', 'MESH:D009369', (129, 136)) ('cancers', 'Phenotype', 'HP:0002664', (129, 136)) ('cancers', 'Disease', (129, 136)) ('cancers', 'Phenotype', 'HP:0002664', (226, 233)) ('patients', 'Species', '9606', (55, 63)) ('small intestine cancer', 'Phenotype', 'HP:0100833', (113, 135)) ('cancers', 'Disease', (226, 233)) ('FIT', 'Chemical', '-', (147, 150)) ('cancers', 'Disease', 'MESH:D009369', (226, 233)) ('FIT', 'Chemical', '-', (45, 48)) ('CRC', 'Phenotype', 'HP:0003003', (50, 53)) ('esophageal', 'Disease', (88, 98)) ('FIT', 'Chemical', '-', (187, 190)) ('patients', 'Species', '9606', (152, 160)) ('cancer', 'Phenotype', 'HP:0002664', (226, 232)) 3001 32660034 We compared the risks of proximal cancers between three groups classified on the basis of FIT results and CRC status (FIT-, FIT+/CRC-, and FIT+/CRC+). ('cancer', 'Phenotype', 'HP:0002664', (34, 40)) ('CRC', 'Phenotype', 'HP:0003003', (106, 109)) ('FIT+/CRC+', 'Var', (139, 148)) ('FIT', 'Chemical', '-', (139, 142)) ('CRC', 'Phenotype', 'HP:0003003', (144, 147)) ('cancers', 'Phenotype', 'HP:0002664', (34, 41)) ('FIT', 'Chemical', '-', (90, 93)) ('FIT', 'Chemical', '-', (124, 127)) ('cancers', 'Disease', (34, 41)) ('cancers', 'Disease', 'MESH:D009369', (34, 41)) ('FIT', 'Chemical', '-', (118, 121)) ('CRC', 'Phenotype', 'HP:0003003', (129, 132)) 3012 32660034 Diabetes mellitus (DM) was defined as having the diagnostic code (E11-E14) prior to FIT. ('Diabetes mellitus', 'Disease', (0, 17)) ('FIT', 'Chemical', '-', (84, 87)) ('E11-E14', 'Var', (66, 73)) ('Diabetes mellitus', 'Phenotype', 'HP:0000819', (0, 17)) ('Diabetes mellitus', 'Disease', 'MESH:D003920', (0, 17)) ('DM', 'Phenotype', 'HP:0000819', (19, 21)) ('DM', 'Disease', 'MESH:D009223', (19, 21)) 3027 32660034 The study population was divided into three groups as follows: Group 1 (FIT-), n = 5,551,755; Group 2 (FIT+/CRC-), n = 368,553; and Group 3 (FIT+/CRC+), n = 12,236 (Figure 1). ('FIT', 'Chemical', '-', (72, 75)) ('FIT+/CRC-', 'Var', (103, 112)) ('FIT+/CRC+', 'Var', (141, 150)) ('CRC', 'Phenotype', 'HP:0003003', (108, 111)) ('CRC', 'Phenotype', 'HP:0003003', (146, 149)) ('FIT', 'Chemical', '-', (141, 144)) ('FIT', 'Chemical', '-', (103, 106)) 3048 32660034 The results of this Korean population-based study showed that FIT+/CRC- patients were at a higher risk of UGI cancers than FIT- patients. ('FIT', 'Chemical', '-', (123, 126)) ('cancer', 'Phenotype', 'HP:0002664', (110, 116)) ('UGI cancers', 'Disease', 'MESH:D009369', (106, 117)) ('FIT', 'Chemical', '-', (62, 65)) ('CRC', 'Phenotype', 'HP:0003003', (67, 70)) ('cancers', 'Phenotype', 'HP:0002664', (110, 117)) ('UGI cancers', 'Disease', (106, 117)) ('patients', 'Species', '9606', (128, 136)) ('FIT+/CRC-', 'Var', (62, 71)) ('patients', 'Species', '9606', (72, 80)) 3059 32660034 A Danish study including 20,671 screenees reported a significantly higher incidence of gastric and esophageal cancers within 2 years after gFOBT in gFOBT+ persons than that in gFOBT- individuals. ('gFOBT', 'Chemical', '-', (148, 153)) ('gFOBT', 'Var', (139, 144)) ('higher', 'PosReg', (67, 73)) ('gFOBT', 'Chemical', '-', (176, 181)) ('gastric and esophageal cancers', 'Disease', 'MESH:D013274', (87, 117)) ('gFOBT', 'Chemical', '-', (139, 144)) ('cancer', 'Phenotype', 'HP:0002664', (110, 116)) ('gFOBT+', 'Var', (148, 154)) ('persons', 'Species', '9606', (155, 162)) ('cancers', 'Phenotype', 'HP:0002664', (110, 117)) 3062 32660034 Although this study showed an increased short-term risk of gastric cancer in FOBT+/colonoscopy- subjects, the authors also concluded that recommending routine EGD for these subjects was questionable because of the low PPV of FOBT (0.4% [n = 14/3555]). ('gastric cancer', 'Phenotype', 'HP:0012126', (59, 73)) ('FOBT+/colonoscopy-', 'Var', (77, 95)) ('cancer', 'Phenotype', 'HP:0002664', (67, 73)) ('gastric cancer', 'Disease', (59, 73)) ('men', 'Species', '9606', (143, 146)) ('gastric cancer', 'Disease', 'MESH:D013274', (59, 73)) 3065 32660034 This is the first study to show increased short- and long-term risks for esophageal, stomach, and small intestine cancers in FIT+/CRC- patients than those in FIT- patients through an analysis of a nationwide population-based database. ('FIT', 'Chemical', '-', (125, 128)) ('cancers', 'Disease', 'MESH:D009369', (114, 121)) ('FIT+/CRC-', 'Var', (125, 134)) ('patients', 'Species', '9606', (135, 143)) ('patients', 'Species', '9606', (163, 171)) ('cancers', 'Disease', (114, 121)) ('cancers', 'Phenotype', 'HP:0002664', (114, 121)) ('small intestine cancer', 'Phenotype', 'HP:0100833', (98, 120)) ('CRC', 'Phenotype', 'HP:0003003', (130, 133)) ('FIT', 'Chemical', '-', (158, 161)) ('cancer', 'Phenotype', 'HP:0002664', (114, 120)) ('esophageal', 'Disease', (73, 83)) ('stomach', 'Disease', (85, 92)) 3073 32660034 Based on previous studies showing an association between higher f-Hb concentrations and increased CRC risk, high f-Hb concentration may also increase the yield of UGI evaluations among FIT+/CRC- patients. ('higher', 'PosReg', (57, 63)) ('increase', 'PosReg', (141, 149)) ('CRC', 'Phenotype', 'HP:0003003', (190, 193)) ('CRC', 'Disease', (98, 101)) ('patients', 'Species', '9606', (195, 203)) ('high', 'Var', (108, 112)) ('FIT', 'Chemical', '-', (185, 188)) ('CRC', 'Phenotype', 'HP:0003003', (98, 101)) 3075 32660034 In the present study, the risk of hepatopancreatobiliary cancers was also higher in FIT+/CRC- patients than that in FIT- patients. ('FIT+/CRC- patients', 'Var', (84, 102)) ('patients', 'Species', '9606', (94, 102)) ('higher', 'PosReg', (74, 80)) ('FIT', 'Chemical', '-', (84, 87)) ('cancers', 'Phenotype', 'HP:0002664', (57, 64)) ('hepatopancreatobiliary cancers', 'Disease', (34, 64)) ('FIT', 'Chemical', '-', (116, 119)) ('hepatopancreatobiliary cancers', 'Disease', 'MESH:D009369', (34, 64)) ('cancer', 'Phenotype', 'HP:0002664', (57, 63)) ('patients', 'Species', '9606', (121, 129)) ('CRC', 'Phenotype', 'HP:0003003', (89, 92)) 3079 32660034 Additionally, these results suggest that FIT positivity may be associated with diseases other than CRC. ('FIT positivity', 'Var', (41, 55)) ('associated', 'Reg', (63, 73)) ('CRC', 'Disease', (99, 102)) ('FIT', 'Chemical', '-', (41, 44)) ('CRC', 'Phenotype', 'HP:0003003', (99, 102)) 3080 32660034 A recent study from Scotland reported that positive FOBT results were significantly associated with increased risks of non-CRC mortality (increased risk of death from respiratory, circulatory, and digestive diseases), suggesting that FOBT positivity could be used to alert CRC-screened participants to the risk of diseases other than CRC, regardless of the presence or absence of CRC. ('FOBT', 'Gene', (52, 56)) ('death', 'Disease', 'MESH:D003643', (156, 161)) ('death', 'Disease', (156, 161)) ('positive', 'Var', (43, 51)) ('mortality', 'Disease', 'MESH:D003643', (127, 136)) ('CRC', 'Phenotype', 'HP:0003003', (334, 337)) ('mortality', 'Disease', (127, 136)) ('participants', 'Species', '9606', (286, 298)) ('CRC', 'Phenotype', 'HP:0003003', (380, 383)) ('digestive diseases', 'Phenotype', 'HP:0011024', (197, 215)) ('CRC', 'Phenotype', 'HP:0003003', (273, 276)) ('CRC', 'Phenotype', 'HP:0003003', (123, 126)) 3085 32660034 Another noteworthy finding of our study was that FIT+/CRC+ patients had higher risks of small intestine cancer and hepatopancreatobiliary cancer than FIT+/CRC- patients. ('cancer', 'Disease', (138, 144)) ('patients', 'Species', '9606', (160, 168)) ('FIT+/CRC+', 'Var', (49, 58)) ('small intestine cancer', 'Phenotype', 'HP:0100833', (88, 110)) ('FIT', 'Chemical', '-', (150, 153)) ('cancer', 'Phenotype', 'HP:0002664', (104, 110)) ('CRC', 'Phenotype', 'HP:0003003', (155, 158)) ('hepatopancreatobiliary cancer', 'Disease', 'MESH:D009369', (115, 144)) ('cancer', 'Phenotype', 'HP:0002664', (138, 144)) ('cancer', 'Disease', 'MESH:D009369', (104, 110)) ('patients', 'Species', '9606', (59, 67)) ('CRC', 'Phenotype', 'HP:0003003', (54, 57)) ('FIT', 'Chemical', '-', (49, 52)) ('cancer', 'Disease', (104, 110)) ('hepatopancreatobiliary cancer', 'Disease', (115, 144)) ('cancer', 'Disease', 'MESH:D009369', (138, 144)) 3095 32660034 In conclusion, FIT+/CRC- patients had significantly higher risks of esophageal, stomach, and small intestine cancers than FIT- patients. ('esophageal', 'Disease', (68, 78)) ('FIT', 'Chemical', '-', (15, 18)) ('CRC', 'Phenotype', 'HP:0003003', (20, 23)) ('cancers', 'Disease', 'MESH:D009369', (109, 116)) ('cancers', 'Phenotype', 'HP:0002664', (109, 116)) ('cancers', 'Disease', (109, 116)) ('FIT+/CRC-', 'Var', (15, 24)) ('stomach', 'Disease', (80, 87)) ('patients', 'Species', '9606', (127, 135)) ('patients', 'Species', '9606', (25, 33)) ('FIT', 'Chemical', '-', (122, 125)) ('cancer', 'Phenotype', 'HP:0002664', (109, 115)) ('small intestine cancer', 'Phenotype', 'HP:0100833', (93, 115)) 3096 32660034 Our results indicate that positive FIT findings are associated with an increased risk of UGI cancer. ('cancer', 'Disease', (93, 99)) ('cancer', 'Disease', 'MESH:D009369', (93, 99)) ('positive', 'Var', (26, 34)) ('cancer', 'Phenotype', 'HP:0002664', (93, 99)) ('FIT', 'Chemical', '-', (35, 38)) 3126 29416690 Subgroup analysis by cancer type showed that high HMGA2 expression was associated with worse OS in GC (pooled HR = 1.77; 95% CI =1.31-2.41; P < 0.001), BC (pooled HR = 2.26; 95% CI =1.56-3.28; P < 0.001), HCC (pooled HR = 1.90; 95% CI =1.37-2.64; P < 0.001), CRC (pooled HR = 1.78; 95% CI =1.29-2.44; P < 0.001), NPC (pooled HR = 1.96; 95% CI =1.26-3.05; P = 0.003), and EC (pooled HR = 1.82; 95% CI =1.19-2.77; P = 0.006). ('CRC', 'Disease', (259, 262)) ('EC', 'Phenotype', 'HP:0011459', (371, 373)) ('CRC', 'Phenotype', 'HP:0003003', (259, 262)) ('cancer', 'Disease', 'MESH:D009369', (21, 27)) ('HMGA2', 'Gene', '8091', (50, 55)) ('HCC', 'Gene', '619501', (205, 208)) ('NPC', 'Phenotype', 'HP:0100630', (313, 316)) ('HCC', 'Phenotype', 'HP:0001402', (205, 208)) ('expression', 'MPA', (56, 66)) ('high', 'Var', (45, 49)) ('HCC', 'Gene', (205, 208)) ('BC', 'Phenotype', 'HP:0003002', (152, 154)) ('NPC', 'Gene', (313, 316)) ('cancer', 'Disease', (21, 27)) ('GC', 'Phenotype', 'HP:0012126', (99, 101)) ('cancer', 'Phenotype', 'HP:0002664', (21, 27)) ('HMGA2', 'Gene', (50, 55)) ('OS', 'Chemical', '-', (93, 95)) ('NPC', 'Gene', '4864', (313, 316)) 3128 29416690 In subgroup analysis by study region, patients from both Asian (HR = 1.95; 95% CI = 1.69-2.25; P < 0.001) and non-Asian regions (HR = 1.60; 95% CI = 1.14-2.25; P = 0.007) showed a significant correlation between high HMGA2 expression and poor OS. ('expression', 'MPA', (223, 233)) ('high', 'Var', (212, 216)) ('HMGA2', 'Gene', '8091', (217, 222)) ('OS', 'Chemical', '-', (243, 245)) ('poor OS', 'Disease', (238, 245)) ('patients', 'Species', '9606', (38, 46)) ('HMGA2', 'Gene', (217, 222)) 3130 29416690 High HMGA2 expression was related to advanced tumor node metastasis (TNM) stage (stage III/IV) (odds ratio [OR] = 2.44; 95% CI =1.87-3.2; P < 0.001), positive lymphovascular space invasion (OR = 2.46, 95% CI = 1.67-3.64; P < 0.001), distant metastasis (OR = 2.66; 95% CI = 1.51-4.69; P < 0.001), and lymph node metastasis (OR = 1.83; 95% CI = 1.27-2.64; P = 0.001). ('tumor node metastasis', 'Disease', (46, 67)) ('positive lymphovascular space invasion', 'CPA', (150, 188)) ('lymph node metastasis', 'CPA', (300, 321)) ('High', 'Var', (0, 4)) ('tumor', 'Phenotype', 'HP:0002664', (46, 51)) ('expression', 'MPA', (11, 21)) ('HMGA2', 'Gene', (5, 10)) ('tumor node metastasis', 'Disease', 'MESH:D009362', (46, 67)) ('distant metastasis', 'CPA', (233, 251)) ('HMGA2', 'Gene', '8091', (5, 10)) 3132 29416690 The results indicated that there was no obvious publication bias for OS (P = 0.199 for Begg's test and 0.271 for Egger's test) or DFS/PFS/RFS (P = 0.764 for Begg's test and P = 0.076 for Egger's test) among the included studies (Figure 5A and 5B). ('OS', 'Chemical', '-', (69, 71)) ('0.271', 'Var', (103, 108)) ('DFS/PFS/RFS', 'Var', (130, 141)) 3137 29416690 Moreover, aberrant expression of HMGA2 promotes cancer invasion, metastasis, and epithelial-to-mesenchymal transition (EMT) by activating the transforming growth factor beta (TGFbeta) and Wnt/beta-catenin signaling pathways. ('transforming growth factor beta', 'Gene', (142, 173)) ('metastasis', 'CPA', (65, 75)) ('promotes', 'PosReg', (39, 47)) ('HMGA2', 'Gene', (33, 38)) ('beta-catenin', 'Gene', '1499', (192, 204)) ('cancer', 'Phenotype', 'HP:0002664', (48, 54)) ('activating', 'PosReg', (127, 137)) ('transforming growth factor beta', 'Gene', '7040', (142, 173)) ('epithelial-to-mesenchymal transition', 'CPA', (81, 117)) ('aberrant expression', 'Var', (10, 29)) ('TGFbeta', 'Gene', (175, 182)) ('cancer', 'Disease', (48, 54)) ('beta-catenin', 'Gene', (192, 204)) ('cancer', 'Disease', 'MESH:D009369', (48, 54)) ('HMGA2', 'Gene', '8091', (33, 38)) ('TGFbeta', 'Gene', '7040', (175, 182)) 3139 29416690 Furthermore, miRNAs like miR-490-3p and miR-145 can inhibit cancer development and progression by direct regulation of HMGA2 expression. ('inhibit', 'NegReg', (52, 59)) ('miR-145', 'Gene', (40, 47)) ('HMGA2', 'Gene', '8091', (119, 124)) ('cancer', 'Disease', 'MESH:D009369', (60, 66)) ('HMGA2', 'Gene', (119, 124)) ('cancer', 'Disease', (60, 66)) ('expression', 'MPA', (125, 135)) ('miR-145', 'Gene', '406937', (40, 47)) ('miR-490-3p', 'Var', (25, 35)) ('cancer', 'Phenotype', 'HP:0002664', (60, 66)) ('regulation', 'Reg', (105, 115)) 3140 29416690 showed that long non-coding ribonucleic acid (lncRNA) HIT000218960 promotes papillary thyroid cancer by upregulating HMGA2 expression. ('thyroid cancer', 'Phenotype', 'HP:0002890', (86, 100)) ('promotes', 'PosReg', (67, 75)) ('expression', 'MPA', (123, 133)) ('upregulating', 'PosReg', (104, 116)) ('HMGA2', 'Gene', '8091', (117, 122)) ('cancer', 'Phenotype', 'HP:0002664', (94, 100)) ('HIT000218960', 'Var', (54, 66)) ('HMGA2', 'Gene', (117, 122)) ('papillary thyroid cancer', 'Disease', (76, 100)) ('papillary thyroid cancer', 'Disease', 'MESH:D000077273', (76, 100)) ('papillary thyroid cancer', 'Phenotype', 'HP:0002895', (76, 100)) 3149 29416690 In this meta-analysis, we included 4114 patients from 29 studies, and the outcomes demonstrated a statistically significant correlation between high HMGA2 expression and poor OS. ('HMGA2', 'Gene', (149, 154)) ('OS', 'Chemical', '-', (175, 177)) ('patients', 'Species', '9606', (40, 48)) ('expression', 'MPA', (155, 165)) ('high', 'Var', (144, 148)) ('poor OS', 'Disease', (170, 177)) ('HMGA2', 'Gene', '8091', (149, 154)) 3150 29416690 Meanwhile, high HMGA2 expression was significantly correlated with short DFS/PFS/RFS. ('HMGA2', 'Gene', '8091', (16, 21)) ('HMGA2', 'Gene', (16, 21)) ('high', 'Var', (11, 15)) ('expression', 'MPA', (22, 32)) ('short DFS/PFS/RFS', 'Disease', (67, 84)) ('correlated', 'Reg', (51, 61)) 3151 29416690 In subgroup analysis, we found that high expression of HMGA2 conferred a worse OS in patients regardless of the study region, sample size, detection method, or analysis method, which further confirmed the prognostic potential of HMGA2. ('high expression', 'Var', (36, 51)) ('OS', 'Chemical', '-', (79, 81)) ('worse OS', 'Disease', (73, 81)) ('HMGA2', 'Gene', (229, 234)) ('patients', 'Species', '9606', (85, 93)) ('HMGA2', 'Gene', '8091', (55, 60)) ('HMGA2', 'Gene', (55, 60)) ('HMGA2', 'Gene', '8091', (229, 234)) 3155 29416690 Meanwhile, according to Califano et al., overexpression of HMGA2 has no significant prognostic value for DFS and OS in multivariate analysis; even high HMGA2 expression combined with high body mass index (BMI; >=25 kg/m2) indicated a poor prognosis in patients with ovarian cancer. ('ovarian cancer', 'Disease', 'MESH:D010051', (266, 280)) ('expression', 'MPA', (158, 168)) ('patients', 'Species', '9606', (252, 260)) ('ovarian cancer', 'Disease', (266, 280)) ('HMGA2', 'Gene', '8091', (59, 64)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (266, 280)) ('high', 'Var', (147, 151)) ('HMGA2', 'Gene', (59, 64)) ('HMGA2', 'Gene', '8091', (152, 157)) ('high body mass index', 'Phenotype', 'HP:0031418', (183, 203)) ('OS', 'Chemical', '-', (113, 115)) ('cancer', 'Phenotype', 'HP:0002664', (274, 280)) ('HMGA2', 'Gene', (152, 157)) 3164 29416690 In conclusion, this meta-analysis confirmed that high HMGA2 expression in cancer is linked to poor prognosis, and HMGA2 is a potential predictive biomarker for OS. ('expression', 'MPA', (60, 70)) ('HMGA2', 'Gene', (114, 119)) ('HMGA2', 'Gene', '8091', (54, 59)) ('cancer', 'Disease', 'MESH:D009369', (74, 80)) ('cancer', 'Phenotype', 'HP:0002664', (74, 80)) ('HMGA2', 'Gene', (54, 59)) ('cancer', 'Disease', (74, 80)) ('OS', 'Chemical', '-', (160, 162)) ('high', 'Var', (49, 53)) ('HMGA2', 'Gene', '8091', (114, 119)) 3167 29416690 The author name(s), publication year, country, sample size, cancer type, clinic stage, HMGA2 detection method, follow-up time, and survival data including OS, DFS/PFS/RFS, were extracted. ('DFS/PFS/RFS', 'Var', (159, 170)) ('OS', 'Chemical', '-', (155, 157)) ('cancer', 'Disease', 'MESH:D009369', (60, 66)) ('cancer', 'Disease', (60, 66)) ('HMGA2', 'Gene', '8091', (87, 92)) ('HMGA2', 'Gene', (87, 92)) ('cancer', 'Phenotype', 'HP:0002664', (60, 66)) 3253 28594897 Studies have shown dysregulation of lncRNAs contribute to cancer progression through abnormal regulation of cancer-related cellular processes, such as proliferation, invasion, metastasis, apoptosis and multi-drug resistance, and lncRNAs have been implicated as promising markers for predicting the prognosis of cancers. ('cancer', 'Phenotype', 'HP:0002664', (58, 64)) ('cancer', 'Disease', (311, 317)) ('cancers', 'Phenotype', 'HP:0002664', (311, 318)) ('cancers', 'Disease', (311, 318)) ('cancer', 'Phenotype', 'HP:0002664', (311, 317)) ('cancer', 'Disease', 'MESH:D009369', (108, 114)) ('dysregulation', 'Var', (19, 32)) ('proliferation', 'CPA', (151, 164)) ('lncRNAs', 'Gene', (36, 43)) ('contribute', 'Reg', (44, 54)) ('apoptosis', 'CPA', (188, 197)) ('drug resistance', 'Phenotype', 'HP:0020174', (208, 223)) ('cancer', 'Disease', 'MESH:D009369', (58, 64)) ('cancer', 'Disease', 'MESH:D009369', (311, 317)) ('cancers', 'Disease', 'MESH:D009369', (311, 318)) ('abnormal', 'Reg', (85, 93)) ('cancer', 'Disease', (108, 114)) ('metastasis', 'CPA', (176, 186)) ('invasion', 'CPA', (166, 174)) ('regulation', 'MPA', (94, 104)) ('multi-drug resistance', 'CPA', (202, 223)) ('cancer', 'Phenotype', 'HP:0002664', (108, 114)) ('cancer', 'Disease', (58, 64)) 3255 28594897 Many studies have shown that high levels of CCAT1 expression may be associated with prognosis of human cancers. ('high', 'Var', (29, 33)) ('cancers', 'Disease', 'MESH:D009369', (103, 110)) ('associated', 'Reg', (68, 78)) ('cancer', 'Phenotype', 'HP:0002664', (103, 109)) ('human', 'Species', '9606', (97, 102)) ('CCAT1', 'Gene', '100507056', (44, 49)) ('cancers', 'Phenotype', 'HP:0002664', (103, 110)) ('CCAT1', 'Gene', (44, 49)) ('expression', 'MPA', (50, 60)) ('cancers', 'Disease', (103, 110)) 3276 28594897 An HR>1 indicates that the patients with high CCAT1 expression have a poor prognosis and the patients with low CCAT1 expression have a good prognosis. ('CCAT1', 'Gene', '100507056', (46, 51)) ('CCAT1', 'Gene', '100507056', (111, 116)) ('CCAT1', 'Gene', (111, 116)) ('CCAT1', 'Gene', (46, 51)) ('high', 'Var', (41, 45)) ('patients', 'Species', '9606', (27, 35)) ('patients', 'Species', '9606', (93, 101)) 3315 28594897 In recent years, mounting evidence has demonstrated that lncRNAs are important regulatory molecules in diverse biological and pathological processes, such as lncRNA UCA1 increases the cisplatin resistance of bladder cancer cells, lncRNA MALAT1 enhances the metastasis of osteosarcoma cells, LncRNA-ROR induces epithelial-to-mesenchymal transition of breast cancer cells and lncRNA CCAT1 promotes the proliferation and migration of hepatocellular carcinoma cells. ('breast cancer', 'Disease', 'MESH:D001943', (350, 363)) ('osteosarcoma', 'Phenotype', 'HP:0002669', (271, 283)) ('bladder cancer', 'Disease', 'MESH:D001749', (208, 222)) ('breast cancer', 'Disease', (350, 363)) ('promotes', 'PosReg', (387, 395)) ('increases', 'PosReg', (170, 179)) ('bladder cancer', 'Disease', (208, 222)) ('bladder cancer', 'Phenotype', 'HP:0009725', (208, 222)) ('UCA1', 'Gene', '652995', (165, 169)) ('cisplatin resistance', 'MPA', (184, 204)) ('UCA1', 'Gene', (165, 169)) ('MALAT1', 'Gene', (237, 243)) ('cancer', 'Phenotype', 'HP:0002664', (216, 222)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (431, 455)) ('sarcoma', 'Phenotype', 'HP:0100242', (276, 283)) ('migration', 'CPA', (418, 427)) ('MALAT1', 'Gene', '378938', (237, 243)) ('CCAT1', 'Gene', '100507056', (381, 386)) ('cancer', 'Phenotype', 'HP:0002664', (357, 363)) ('epithelial-to-mesenchymal transition', 'CPA', (310, 346)) ('CCAT1', 'Gene', (381, 386)) ('proliferation', 'CPA', (400, 413)) ('osteosarcoma', 'Disease', (271, 283)) ('osteosarcoma', 'Disease', 'MESH:D012516', (271, 283)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (431, 455)) ('lncRNA', 'Var', (158, 164)) ('enhances', 'PosReg', (244, 252)) ('metastasis', 'CPA', (257, 267)) ('breast cancer', 'Phenotype', 'HP:0003002', (350, 363)) ('induces', 'Reg', (302, 309)) ('hepatocellular carcinoma', 'Disease', (431, 455)) ('carcinoma', 'Phenotype', 'HP:0030731', (446, 455)) 3324 28594897 In colon cancer and pancreatic cancer, abnormally expressed CCAT1 promotes cell proliferation and migration. ('pancreatic cancer', 'Disease', 'MESH:D010190', (20, 37)) ('abnormally expressed', 'Var', (39, 59)) ('cancer', 'Phenotype', 'HP:0002664', (31, 37)) ('cancer', 'Phenotype', 'HP:0002664', (9, 15)) ('cell proliferation', 'CPA', (75, 93)) ('CCAT1', 'Gene', '100507056', (60, 65)) ('colon cancer', 'Phenotype', 'HP:0003003', (3, 15)) ('migration', 'CPA', (98, 107)) ('promotes', 'PosReg', (66, 74)) ('colon cancer', 'Disease', 'MESH:D015179', (3, 15)) ('pancreatic cancer', 'Phenotype', 'HP:0002894', (20, 37)) ('CCAT1', 'Gene', (60, 65)) ('pancreatic cancer', 'Disease', (20, 37)) ('colon cancer', 'Disease', (3, 15)) 3327 28594897 In non-small cell lung cancer cell line, inhibition of CARLo-5 by siRNA suppressed the proliferation, migration, and invasion of cells and reversed the epithelial-mesenchymal transition. ('non-small cell lung cancer', 'Phenotype', 'HP:0030358', (3, 29)) ('reversed', 'PosReg', (139, 147)) ('inhibition', 'Var', (41, 51)) ('lung cancer', 'Phenotype', 'HP:0100526', (18, 29)) ('non-small cell lung cancer', 'Disease', 'MESH:D002289', (3, 29)) ('suppressed', 'NegReg', (72, 82)) ('epithelial-mesenchymal transition', 'CPA', (152, 185)) ('cancer', 'Phenotype', 'HP:0002664', (23, 29)) ('CARLo-5', 'Gene', (55, 62)) ('non-small cell lung cancer', 'Disease', (3, 29)) ('CARLo-5', 'Gene', '100507056', (55, 62)) ('invasion of cells', 'CPA', (117, 134)) ('small cell lung cancer', 'Phenotype', 'HP:0030357', (7, 29)) 3328 28594897 Based on these studies and owing to its functions, targeting CCAT1 may be beneficial to the outcome of cancer patients and CCAT1 may serve as a prognostic biomarker. ('CCAT1', 'Gene', (123, 128)) ('cancer', 'Phenotype', 'HP:0002664', (103, 109)) ('cancer', 'Disease', 'MESH:D009369', (103, 109)) ('CCAT1', 'Gene', '100507056', (61, 66)) ('beneficial', 'PosReg', (74, 84)) ('CCAT1', 'Gene', (61, 66)) ('targeting', 'Var', (51, 60)) ('cancer', 'Disease', (103, 109)) ('CCAT1', 'Gene', '100507056', (123, 128)) ('patients', 'Species', '9606', (110, 118)) 3331 28594897 By combining the HRs, we found that high CCAT1 expression was a poor prognostic marker for OS in tumor patients (pooled HR 2.335, 95%CI: 1.551-3.517). ('tumor', 'Disease', 'MESH:D009369', (97, 102)) ('CCAT1', 'Gene', (41, 46)) ('tumor', 'Phenotype', 'HP:0002664', (97, 102)) ('expression', 'MPA', (47, 57)) ('tumor', 'Disease', (97, 102)) ('OS', 'Chemical', '-', (91, 93)) ('CCAT1', 'Gene', '100507056', (41, 46)) ('patients', 'Species', '9606', (103, 111)) ('high', 'Var', (36, 40)) 3341 28594897 Meta-analysis showed that patients with high CCAT1 expression were more possible to have significantly poorer RFS (pooled HR 2.659, 95%CI: 1.755-4.029) with no significant heterogeneity. ('high', 'Var', (40, 44)) ('CCAT1', 'Gene', '100507056', (45, 50)) ('RFS', 'CPA', (110, 113)) ('CCAT1', 'Gene', (45, 50)) ('poorer', 'NegReg', (103, 109)) ('patients', 'Species', '9606', (26, 34)) ('expression', 'Var', (51, 61)) 3374 28594897 This meta-analysis is the first to demonstrate that high expression of the lncRNA CCAT1 is related to poor prognosis for cancer patients. ('cancer', 'Phenotype', 'HP:0002664', (121, 127)) ('CCAT1', 'Gene', '100507056', (82, 87)) ('high', 'Var', (52, 56)) ('cancer', 'Disease', 'MESH:D009369', (121, 127)) ('CCAT1', 'Gene', (82, 87)) ('patients', 'Species', '9606', (128, 136)) ('cancer', 'Disease', (121, 127)) 3441 19137073 In addition, hypermethylation of some genes has been shown to occur early in esophageal squamous dysplasia and is common in ESCC (observed in up to 80% of cases in some series). ('common', 'Reg', (114, 120)) ('esophageal squamous dysplasia', 'Disease', 'MESH:D000077277', (77, 106)) ('squamous dysplasia', 'Phenotype', 'HP:0002860', (88, 106)) ('hypermethylation', 'Var', (13, 29)) ('esophageal squamous dysplasia', 'Disease', (77, 106)) ('ESCC', 'Disease', (124, 128)) 3443 19137073 The purpose of this study was to evaluate whether the presence of methylation in these genes in EBC samples could identify individuals with high-grade (moderate or severe) esophageal squamous dysplasia, who should be referred for endoscopic examination. ('EBC', 'Chemical', '-', (96, 99)) ('esophageal squamous dysplasia', 'Disease', (172, 201)) ('presence', 'Var', (54, 62)) ('high-grade', 'Disease', (140, 150)) ('methylation', 'Var', (66, 77)) ('squamous dysplasia', 'Phenotype', 'HP:0002860', (183, 201)) ('esophageal squamous dysplasia', 'Disease', 'MESH:D000077277', (172, 201)) 3458 19137073 The sensitivity and specificity for methylation in discriminating patients with high-grade dysplasia (including moderate and severe dysplasia) from all other patients was calculated. ('moderate', 'Disease', (112, 120)) ('severe dysplasia', 'Disease', (125, 141)) ('severe dysplasia', 'Disease', 'MESH:D001523', (125, 141)) ('dysplasia', 'Disease', (132, 141)) ('patients', 'Species', '9606', (66, 74)) ('dysplasia', 'Disease', 'MESH:D004476', (132, 141)) ('dysplasia', 'Disease', (91, 100)) ('patients', 'Species', '9606', (158, 166)) ('dysplasia', 'Disease', 'MESH:D004476', (91, 100)) ('methylation', 'Var', (36, 47)) 3464 19137073 The prevalence of methylation in individual genes ranged from 0-12% in patients with normal mucosa, 0-32% in patients with mild dysplasia, 4-35% in patients with moderate dysplasia, and 10-34% in patients with severe dysplasia. ('patients', 'Species', '9606', (148, 156)) ('dysplasia', 'Disease', 'MESH:D004476', (217, 226)) ('severe dysplasia', 'Disease', 'MESH:D001523', (210, 226)) ('patients', 'Species', '9606', (109, 117)) ('patients', 'Species', '9606', (71, 79)) ('dysplasia', 'Disease', (128, 137)) ('patients', 'Species', '9606', (196, 204)) ('dysplasia', 'Disease', 'MESH:D004476', (128, 137)) ('dysplasia', 'Disease', (171, 180)) ('methylation', 'Var', (18, 29)) ('severe dysplasia', 'Disease', (210, 226)) ('dysplasia', 'Disease', (217, 226)) ('dysplasia', 'Disease', 'MESH:D004476', (171, 180)) 3465 19137073 The proportion of patients with one or more methylated genes also increased with the degree of dyplasia (Fig 1). ('methylated', 'Var', (44, 54)) ('increased', 'PosReg', (66, 75)) ('dyplasia', 'Disease', 'MESH:D063169', (95, 103)) ('dyplasia', 'Disease', (95, 103)) ('patients', 'Species', '9606', (18, 26)) 3468 19137073 The sensitivities and specificities of finding methylation in the eight single genes or in several combinations of genes for identifying patients with high-grade (moderate or severe) dysplasia are shown in Table 3. ('dysplasia', 'Disease', (183, 192)) ('methylation', 'Var', (47, 58)) ('dysplasia', 'Disease', 'MESH:D004476', (183, 192)) ('patients', 'Species', '9606', (137, 145)) 3469 19137073 For example, finding methylation in AHRR, p16INK4a, or MT1G had a sensitivity and specificity of 30% and 86%, respectively. ('p16INK4a', 'Gene', '1029', (42, 50)) ('MT1G', 'Gene', '4495', (55, 59)) ('AHRR', 'Gene', (36, 40)) ('MT1G', 'Gene', (55, 59)) ('methylation', 'Var', (21, 32)) ('p16INK4a', 'Gene', (42, 50)) ('AHRR', 'Gene', '57491', (36, 40)) 3478 19137073 For most genes, methylation was more common in the EBC samples of patients with worse disease, consistent with previous findings in esophageal tissue specimens. ('men', 'Species', '9606', (155, 158)) ('EBC', 'Disease', (51, 54)) ('EBC', 'Chemical', '-', (51, 54)) ('common', 'Reg', (37, 43)) ('methylation', 'Var', (16, 27)) ('patients', 'Species', '9606', (66, 74)) 3479 19137073 Methylation of individual genes had sensitivities and specificities ranging from 9-34% and 77-99%, respectively, for identifying patients with high-grade squamous dysplasia. ('patients', 'Species', '9606', (129, 137)) ('Methylation', 'Var', (0, 11)) ('squamous dysplasia', 'Disease', (154, 172)) ('squamous dysplasia', 'Disease', 'MESH:D002294', (154, 172)) ('squamous dysplasia', 'Phenotype', 'HP:0002860', (154, 172)) 3484 19137073 This suggests that promoter methylation may be an early event in carcinogenesis. ('carcinogenesis', 'Disease', (65, 79)) ('carcinogenesis', 'Disease', 'MESH:D063646', (65, 79)) ('promoter methylation', 'Var', (19, 39)) 3485 19137073 Thus, given the cross-sectional nature of our study, it is unclear if the methylation-positive samples in subjects with normal endoscopic and histologic findings identified field effects associated with occult early neoplasia or if they were non-specific findings unrelated to carcinogenesis. ('neoplasia', 'Disease', 'MESH:D009369', (216, 225)) ('carcinogenesis', 'Disease', 'MESH:D063646', (277, 291)) ('carcinogenesis', 'Disease', (277, 291)) ('neoplasia', 'Disease', (216, 225)) ('neoplasia', 'Phenotype', 'HP:0002664', (216, 225)) ('methylation-positive', 'Var', (74, 94)) 3491 19137073 Prospective studies evaluating multiple genes that have a high prevalence of methylation in ESCC should also shed light on the clinical usefulness of methylation markers in the early detection of ESCC. ('methylation', 'Var', (77, 88)) ('clinical', 'Species', '191496', (127, 135)) ('ESCC', 'Disease', (196, 200)) ('ESCC', 'Gene', (92, 96)) 3521 33652817 Thoracic descending aorta dorsal LNs (112aoP in the 11th Edition of Japanese Classification of Esophageal Cancer) were defined as regional LNs based on the eighth edition of the TNM classification of Malignant Tumors by the UICC, and patients with these LN metastases were included in this study. ('Malignant Tumors', 'Disease', 'MESH:D009369', (200, 216)) ('metastases', 'Disease', 'MESH:D009362', (257, 267)) ('descending aorta', 'Phenotype', 'HP:0025495', (9, 25)) ('Cancer', 'Disease', (106, 112)) ('Malignant Tumors', 'Disease', (200, 216)) ('Tumors', 'Phenotype', 'HP:0002664', (210, 216)) ('TNM', 'Gene', (178, 181)) ('112aoP', 'Var', (38, 44)) ('Cancer', 'Disease', 'MESH:D009369', (106, 112)) ('patients', 'Species', '9606', (234, 242)) ('Cancer', 'Phenotype', 'HP:0002664', (106, 112)) ('Thoracic descending aorta', 'Phenotype', 'HP:0004959', (0, 25)) ('TNM', 'Gene', '10178', (178, 181)) ('metastases', 'Disease', (257, 267)) 3614 33692946 Moreover, TIM-3 expression was found to be related to worse OS in 9491 TCGA patients (HR = 1.2, P < 0.001), but was not associated with DFS. ('TIM-3', 'Gene', (10, 15)) ('patients', 'Species', '9606', (76, 84)) ('expression', 'Var', (16, 26)) ('TCGA', 'Disease', (71, 75)) ('TIM-3', 'Gene', '84868', (10, 15)) ('worse OS', 'Disease', (54, 62)) 3636 33692946 reported a significant association between TIM-3 expression and worse OS in esophageal squamous cell carcinoma. ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (87, 110)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (76, 110)) ('carcinoma', 'Phenotype', 'HP:0030731', (101, 110)) ('worse OS', 'Disease', (64, 72)) ('esophageal squamous cell carcinoma', 'Disease', (76, 110)) ('TIM-3', 'Gene', '84868', (43, 48)) ('TIM-3', 'Gene', (43, 48)) ('expression', 'Var', (49, 59)) 3657 33692946 Of these eligible studies, only three articles reported that TIM-3 expression was correlated with worse OS in cervical cancer (n= 43 cases), gastric cancer (n=305 cases), and colorectal cancer (n=201 cases). ('correlated with', 'Reg', (82, 97)) ('colorectal cancer', 'Disease', 'MESH:D015179', (175, 192)) ('gastric cancer', 'Disease', (141, 155)) ('TIM-3', 'Gene', '84868', (61, 66)) ('cancer', 'Disease', 'MESH:D009369', (186, 192)) ('expression', 'Var', (67, 77)) ('colorectal cancer', 'Disease', (175, 192)) ('cancer', 'Disease', (119, 125)) ('TIM-3', 'Gene', (61, 66)) ('cancer', 'Phenotype', 'HP:0002664', (119, 125)) ('gastric cancer', 'Disease', 'MESH:D013274', (141, 155)) ('cancer', 'Disease', (149, 155)) ('cancer', 'Phenotype', 'HP:0002664', (149, 155)) ('cancer', 'Disease', (186, 192)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (175, 192)) ('gastric cancer', 'Phenotype', 'HP:0012126', (141, 155)) ('cancer', 'Phenotype', 'HP:0002664', (186, 192)) ('cancer', 'Disease', 'MESH:D009369', (119, 125)) ('cancer', 'Disease', 'MESH:D009369', (149, 155)) 3658 33692946 The result from 22 studies indicated that the expression of TIM-3 led to poorer OS (HR= 1.54, 95% CI = 1.19-1.98, P = 0.001) (Figure 2), including 3317 malignant tumor patients. ('TIM-3', 'Gene', '84868', (60, 65)) ('expression', 'Var', (46, 56)) ('tumor', 'Phenotype', 'HP:0002664', (162, 167)) ('malignant tumor', 'Disease', (152, 167)) ('poorer', 'NegReg', (73, 79)) ('malignant tumor', 'Disease', 'MESH:D009369', (152, 167)) ('patients', 'Species', '9606', (168, 176)) ('TIM-3', 'Gene', (60, 65)) 3661 33692946 The results by age group showed that TIM-3 expression was correlated with worse OS in the elder age group (> 60 years: n = 8 studies with 1600 cases: HR = 2.10, 95% CI = 1.34-3.31, P = 0.001) and the younger group (<= 60 years: n = 10 studies with 1348 cases: HR = 1.45, 95% CI = 1.01-2.08, P = 0.046). ('TIM-3', 'Gene', '84868', (37, 42)) ('expression', 'Var', (43, 53)) ('TIM-3', 'Gene', (37, 42)) 3662 33692946 The results grouped by ethnicity showed that TIM-3 expression was associated with poor OS in Asian populations (n = 16 studies with 2452 cases: HR = 1.64, 95% CI = 1.14-2.35, P = 0.007), but not in European populations (n = 6 studies with 865 cases: P = 0.203). ('poor OS', 'Disease', (82, 89)) ('TIM-3', 'Gene', '84868', (45, 50)) ('TIM-3', 'Gene', (45, 50)) ('expression', 'Var', (51, 61)) 3666 33692946 The re-calculated result from the remaining studies showed that TIM-3 expression was still significantly correlated with shorter OS (HR= 1.71, 95% CI = 1.44-2.04, P < 0.001), with no heterogeneity (P = 0.102). ('shorter OS', 'Disease', (121, 131)) ('expression', 'Var', (70, 80)) ('TIM-3', 'Gene', '84868', (64, 69)) ('TIM-3', 'Gene', (64, 69)) 3680 33692946 TIM-3 expression is related to worse prognosis in some cancers, such as gastric cancer and ovarian cancer, but is not correlated with prognosis in some cancers, such as renal cell carcinoma and sarcoma. ('cancers', 'Disease', 'MESH:D009369', (55, 62)) ('ovarian cancer', 'Disease', 'MESH:D010051', (91, 105)) ('expression', 'Var', (6, 16)) ('cancers', 'Phenotype', 'HP:0002664', (152, 159)) ('gastric cancer', 'Disease', 'MESH:D013274', (72, 86)) ('cancers', 'Disease', (152, 159)) ('gastric cancer', 'Disease', (72, 86)) ('renal cell carcinoma', 'Disease', (169, 189)) ('renal cell carcinoma', 'Phenotype', 'HP:0005584', (169, 189)) ('cancer', 'Phenotype', 'HP:0002664', (80, 86)) ('ovarian cancer', 'Disease', (91, 105)) ('cancer', 'Phenotype', 'HP:0002664', (152, 158)) ('cancers', 'Phenotype', 'HP:0002664', (55, 62)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (91, 105)) ('cancers', 'Disease', (55, 62)) ('carcinoma', 'Phenotype', 'HP:0030731', (180, 189)) ('gastric cancer', 'Phenotype', 'HP:0012126', (72, 86)) ('cancer', 'Phenotype', 'HP:0002664', (55, 61)) ('sarcoma', 'Disease', 'MESH:D012509', (194, 201)) ('sarcoma', 'Disease', (194, 201)) ('TIM-3', 'Gene', '84868', (0, 5)) ('cancers', 'Disease', 'MESH:D009369', (152, 159)) ('renal cell carcinoma', 'Disease', 'MESH:C538614', (169, 189)) ('sarcoma', 'Phenotype', 'HP:0100242', (194, 201)) ('cancer', 'Phenotype', 'HP:0002664', (99, 105)) ('TIM-3', 'Gene', (0, 5)) 3683 33692946 reported that TIM-3 single nucleotide polymorphisms (SNPs) were correlated with an increased cancer risk (case-control studies with 4852 participants). ('cancer', 'Disease', (93, 99)) ('cancer', 'Disease', 'MESH:D009369', (93, 99)) ('TIM-3', 'Gene', (14, 19)) ('participants', 'Species', '9606', (137, 149)) ('TIM-3', 'Gene', '84868', (14, 19)) ('cancer', 'Phenotype', 'HP:0002664', (93, 99)) ('single nucleotide polymorphisms', 'Var', (20, 51)) 3684 33692946 reported that TIM-3 expression was associated with shorter OS in solid tumors (n=869 patients). ('TIM-3', 'Gene', (14, 19)) ('TIM-3', 'Gene', '84868', (14, 19)) ('expression', 'Var', (20, 30)) ('patients', 'Species', '9606', (85, 93)) ('tumor', 'Phenotype', 'HP:0002664', (71, 76)) ('tumors', 'Phenotype', 'HP:0002664', (71, 77)) ('tumors', 'Disease', (71, 77)) ('tumors', 'Disease', 'MESH:D009369', (71, 77)) 3698 33692946 These analyses suggest that TIM-3 could become an independent prognostic marker for predicting worse OS, and targeting TIM-3 is a potentially effective approach for cancer immunotherapy. ('TIM-3', 'Gene', '84868', (119, 124)) ('TIM-3', 'Gene', (28, 33)) ('cancer', 'Phenotype', 'HP:0002664', (165, 171)) ('targeting', 'Var', (109, 118)) ('TIM-3', 'Gene', '84868', (28, 33)) ('worse OS', 'Disease', (95, 103)) ('cancer', 'Disease', (165, 171)) ('cancer', 'Disease', 'MESH:D009369', (165, 171)) ('TIM-3', 'Gene', (119, 124)) 3700 33692946 reported that TIM-3 expression was correlated with worse CSS in clear cell renal cell carcinoma (n=137 cases), but Burugu 2018 et al. ('carcinoma', 'Phenotype', 'HP:0030731', (86, 95)) ('TIM-3', 'Gene', (14, 19)) ('renal cell carcinoma', 'Phenotype', 'HP:0005584', (75, 95)) ('TIM-3', 'Gene', '84868', (14, 19)) ('expression', 'Var', (20, 30)) ('clear cell renal cell carcinoma', 'Disease', 'MESH:C538614', (64, 95)) ('clear cell renal cell carcinoma', 'Disease', (64, 95)) ('clear cell renal cell carcinoma', 'Phenotype', 'HP:0006770', (64, 95)) 3701 33692946 reported that TIM-3 expression was related to favorable CSS in a large cohort of breast cancer (> 3000 cases). ('breast cancer', 'Disease', (81, 94)) ('TIM-3', 'Gene', (14, 19)) ('breast cancer', 'Phenotype', 'HP:0003002', (81, 94)) ('TIM-3', 'Gene', '84868', (14, 19)) ('expression', 'Var', (20, 30)) ('cancer', 'Phenotype', 'HP:0002664', (88, 94)) ('breast cancer', 'Disease', 'MESH:D001943', (81, 94)) 3707 33692946 Subgroup analysis by ethnicity demonstrated that TIM-3 expression was related to worse OS in Asian populations, but not in European populations. ('TIM-3', 'Gene', (49, 54)) ('worse OS', 'Disease', (81, 89)) ('TIM-3', 'Gene', '84868', (49, 54)) ('expression', 'Var', (55, 65)) 3720 33692946 The present study provided more evidence that TIM-3 expression was significantly associated with worse OS, and it might be a useful prognosticator in malignant tumors. ('tumors', 'Phenotype', 'HP:0002664', (160, 166)) ('malignant tumors', 'Disease', (150, 166)) ('malignant tumors', 'Disease', 'MESH:D009369', (150, 166)) ('worse OS', 'Disease', (97, 105)) ('TIM-3', 'Gene', (46, 51)) ('tumor', 'Phenotype', 'HP:0002664', (160, 165)) ('TIM-3', 'Gene', '84868', (46, 51)) ('expression', 'Var', (52, 62)) ('associated', 'Reg', (81, 91)) 3800 26715559 Epithelial injury and disruption of intercellular tight junctions leading to DIS formation as well as loss of barrier function has been well characterized in rabbit as well as human esophagus using ex vivo culture systems. ('disruption', 'Var', (22, 32)) ('intercellular tight junctions', 'Protein', (36, 65)) ('human', 'Species', '9606', (176, 181)) ('Epithelial injury', 'Disease', 'MESH:D002277', (0, 17)) ('DIS', 'Chemical', '-', (77, 80)) ('DIS formation', 'Disease', (77, 90)) ('Epithelial injury', 'Disease', (0, 17)) 3838 26715559 Bile acid, possible by activating EGFR pathway and downstream Akt phosphorylation, might cause beta-catenin phosphorylation at Ser552 residue triggering its release and subsequent disruption of the adherens junction complex. ('EGFR', 'Gene', (34, 38)) ('cause', 'Reg', (89, 94)) ('Akt', 'Gene', '207', (62, 65)) ('release', 'MPA', (157, 164)) ('EGFR', 'Gene', '1956', (34, 38)) ('beta-catenin', 'Gene', (95, 107)) ('Bile acid', 'Chemical', 'MESH:D001647', (0, 9)) ('Ser552', 'Chemical', '-', (127, 133)) ('beta-catenin', 'Gene', '1499', (95, 107)) ('Akt', 'Gene', (62, 65)) ('Ser552', 'Var', (127, 133)) ('activating', 'PosReg', (23, 33)) 3849 31308377 Patient-specific cancer genes contribute to recurrently perturbed pathways and establish therapeutic vulnerabilities in esophageal adenocarcinoma The identification of cancer-promoting genetic alterations is challenging particularly in highly unstable and heterogeneous cancers, such as esophageal adenocarcinoma (EAC). ('esophageal adenocarcinoma', 'Disease', (287, 312)) ('cancer', 'Disease', (17, 23)) ('esophageal adenocarcinoma', 'Disease', (120, 145)) ('cancer', 'Disease', (168, 174)) ('cancer', 'Phenotype', 'HP:0002664', (17, 23)) ('cancer', 'Phenotype', 'HP:0002664', (168, 174)) ('cancers', 'Phenotype', 'HP:0002664', (270, 277)) ('cancer', 'Disease', (270, 276)) ('cancers', 'Disease', (270, 277)) ('alterations', 'Var', (193, 204)) ('cancer', 'Phenotype', 'HP:0002664', (270, 276)) ('cancer', 'Disease', 'MESH:D009369', (17, 23)) ('cancer', 'Disease', 'MESH:D009369', (168, 174)) ('EAC', 'Phenotype', 'HP:0011459', (314, 317)) ('cancers', 'Disease', 'MESH:D009369', (270, 277)) ('esophageal adenocarcinoma', 'Disease', 'MESH:D004938', (287, 312)) ('cancer', 'Disease', 'MESH:D009369', (270, 276)) ('esophageal adenocarcinoma', 'Disease', 'MESH:D004938', (120, 145)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (287, 312)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (120, 145)) ('Patient', 'Species', '9606', (0, 7)) 3854 31308377 Experimentally mimicking the alterations of predicted helper genes in cancer and pre-cancer cells validates their contribution to disease progression, while reverting their alterations reveals EAC acquired dependencies that can be exploited in therapy. ('EAC', 'Phenotype', 'HP:0011459', (193, 196)) ('cancer', 'Phenotype', 'HP:0002664', (70, 76)) ('cancer', 'Disease', 'MESH:D009369', (85, 91)) ('alterations', 'Var', (29, 40)) ('cancer', 'Disease', (85, 91)) ('cancer', 'Disease', (70, 76)) ('cancer', 'Disease', 'MESH:D009369', (70, 76)) ('cancer', 'Phenotype', 'HP:0002664', (85, 91)) ('alterations', 'MPA', (173, 184)) 3857 31308377 Genome instability enables the onset of several hallmarks of cancer with some acquired alterations conferring selective advantages to the mutated cells and driving their outgrowth and eventual dominance. ('outgrowth', 'CPA', (170, 179)) ('cancer', 'Disease', 'MESH:D009369', (61, 67)) ('alterations', 'Var', (87, 98)) ('cancer', 'Disease', (61, 67)) ('advantages', 'PosReg', (120, 130)) ('cancer', 'Phenotype', 'HP:0002664', (61, 67)) 3863 31308377 In over 400 EACs sequenced so far, mutations in TP53, CDKN2A, SMARCA4, ARID1A, SMAD4, ERBB2, MYD88, PIK3CA, KAT6A, ARID2, as well as amplifications of VEGFA, ERBB2, EGFR, GATA4/6, CCNE1 are the most recurrent driver events. ('ARID2', 'Gene', (115, 120)) ('PIK3CA', 'Gene', (100, 106)) ('CDKN2A', 'Gene', '1029', (54, 60)) ('CCNE1', 'Gene', (180, 185)) ('KAT6A', 'Gene', '7994', (108, 113)) ('EGFR', 'Gene', '1956', (165, 169)) ('TP53', 'Gene', '7157', (48, 52)) ('SMARCA4', 'Gene', (62, 69)) ('SMAD4', 'Gene', '4089', (79, 84)) ('MYD88', 'Gene', '4615', (93, 98)) ('GATA4/6', 'Gene', '2626;2627', (171, 178)) ('ERBB2', 'Gene', (158, 163)) ('CCNE1', 'Gene', '898', (180, 185)) ('ERBB2', 'Gene', (86, 91)) ('ARID1A', 'Gene', (71, 77)) ('EAC', 'Phenotype', 'HP:0011459', (12, 15)) ('VEGFA', 'Gene', (151, 156)) ('MYD88', 'Gene', (93, 98)) ('KAT6A', 'Gene', (108, 113)) ('amplifications', 'Var', (133, 147)) ('ERBB2', 'Gene', '2064', (158, 163)) ('ERBB2', 'Gene', '2064', (86, 91)) ('ARID1A', 'Gene', '8289', (71, 77)) ('PIK3CA', 'Gene', '5290', (100, 106)) ('ARID2', 'Gene', '196528', (115, 120)) ('EGFR', 'Gene', (165, 169)) ('GATA4/6', 'Gene', (171, 178)) ('TP53', 'Gene', (48, 52)) ('CDKN2A', 'Gene', (54, 60)) ('SMARCA4', 'Gene', '6597', (62, 69)) ('VEGFA', 'Gene', '7422', (151, 156)) ('SMAD4', 'Gene', (79, 84)) ('mutations', 'Var', (35, 44)) 3865 31308377 Here we hypothesise that, alongside the critical role of recurrent and well-known drivers, complementary somatic alterations of other genes help cancer progression in individual patients. ('cancer', 'Disease', (145, 151)) ('patients', 'Species', '9606', (178, 186)) ('cancer', 'Phenotype', 'HP:0002664', (145, 151)) ('help', 'PosReg', (140, 144)) ('alterations', 'Var', (113, 124)) ('cancer', 'Disease', 'MESH:D009369', (145, 151)) 3893 31308377 The properties of top scoring genes therefore resemble those of known cancer genes. ('cancer', 'Disease', (70, 76)) ('genes', 'Var', (30, 35)) ('cancer', 'Phenotype', 'HP:0002664', (70, 76)) ('cancer', 'Disease', 'MESH:D009369', (70, 76)) 3915 31308377 EACs in cluster 1H are also significantly associated with several known drivers including RECQL4, RARA, MYC, SMARCE1 and ERBB2 (Fig. ('RARA', 'Gene', (98, 102)) ('SMARCE1', 'Gene', (109, 116)) ('SMARCE1', 'Gene', '6605', (109, 116)) ('associated', 'Reg', (42, 52)) ('RECQL4', 'Gene', (90, 96)) ('MYC', 'Gene', (104, 107)) ('EAC', 'Phenotype', 'HP:0011459', (0, 3)) ('RECQL4', 'Gene', '9401', (90, 96)) ('ERBB2', 'Gene', '2064', (121, 126)) ('MYC', 'Gene', '4609', (104, 107)) ('EACs', 'Var', (0, 4)) ('RARA', 'Gene', '5914', (98, 102)) ('ERBB2', 'Gene', (121, 126)) ('1H', 'Chemical', '-', (16, 18)) 3916 31308377 They have a prevalence of mutational signature S3 and are enriched in early (stage 2) tumours (Fig. ('mutational signature S3', 'Var', (26, 49)) ('tumour', 'Phenotype', 'HP:0002664', (86, 92)) ('tumours', 'Phenotype', 'HP:0002664', (86, 93)) ('tumours', 'Disease', 'MESH:D009369', (86, 93)) ('tumours', 'Disease', (86, 93)) 3921 31308377 Dysregulation of E2F transcription factors or the MCM complex can induce genomic instability through either aberrant cell-cycle control or replicative stress. ('MCM', 'Gene', '4176;31449;4172;39014;4176', (50, 53)) ('genomic instability', 'CPA', (73, 92)) ('Dysregulation', 'Var', (0, 13)) ('induce', 'Reg', (66, 72)) ('replicative stress', 'CPA', (139, 157)) ('MCM', 'Gene', (50, 53)) ('E2F transcription factors', 'Protein', (17, 42)) 3934 31308377 To test whether the germline genetic makeup of EAC patients was associated with the somatic perturbation of specific processes, we identified patients with potentially damaging germline variants in 152 known cancer predisposition genes. ('cancer', 'Disease', (208, 214)) ('EAC', 'Phenotype', 'HP:0011459', (47, 50)) ('cancer', 'Phenotype', 'HP:0002664', (208, 214)) ('patients', 'Species', '9606', (51, 59)) ('variants', 'Var', (186, 194)) ('patients', 'Species', '9606', (142, 150)) ('cancer', 'Disease', 'MESH:D009369', (208, 214)) 3957 31308377 Consistently with the suggested tumour suppressor role of NCOR2 in lymphoma and prostate cancer, the most frequent NCOR2 alterations in EAC lead to a loss of function. ('lymphoma and prostate cancer', 'Disease', 'MESH:D011471', (67, 95)) ('alterations', 'Var', (121, 132)) ('NCOR2', 'Gene', '9612', (115, 120)) ('lymphoma', 'Phenotype', 'HP:0002665', (67, 75)) ('tumour', 'Disease', (32, 38)) ('EAC', 'Phenotype', 'HP:0011459', (136, 139)) ('prostate cancer', 'Phenotype', 'HP:0012125', (80, 95)) ('NCOR2', 'Gene', (58, 63)) ('NCOR2', 'Gene', (115, 120)) ('cancer', 'Phenotype', 'HP:0002664', (89, 95)) ('NCOR2', 'Gene', '9612', (58, 63)) ('tumour', 'Phenotype', 'HP:0002664', (32, 38)) ('loss of function', 'NegReg', (150, 166)) ('tumour', 'Disease', 'MESH:D009369', (32, 38)) 3964 31308377 PSMD3 is amplified and overexpressed in three EACs of cluster 1H, which overall contains 14 samples with alterations in six proteasome subunits (Fig. ('1H', 'Chemical', '-', (62, 64)) ('alterations', 'Var', (105, 116)) ('PSMD3', 'Gene', (0, 5)) ('EAC', 'Phenotype', 'HP:0011459', (46, 49)) ('PSMD3', 'Gene', '5709', (0, 5)) 3969 31308377 The fold changes in proliferation rate observed upon perturbation of helpers are in the same range as those observed following alteration of known strong drivers including TP53 or PIK3CA. ('proliferation', 'CPA', (20, 33)) ('TP53', 'Gene', '7157', (172, 176)) ('TP53', 'Gene', (172, 176)) ('perturbation', 'Var', (53, 65)) ('PIK3CA', 'Gene', (180, 186)) ('PIK3CA', 'Gene', '5290', (180, 186)) 3977 31308377 Most state-of-the-art approaches to discovering cancer driver events rely on the detection of positively selected alterations of genes that promote cancer development. ('cancer', 'Disease', (148, 154)) ('cancer', 'Disease', 'MESH:D009369', (148, 154)) ('alterations', 'Var', (114, 125)) ('cancer', 'Phenotype', 'HP:0002664', (48, 54)) ('cancer', 'Phenotype', 'HP:0002664', (148, 154)) ('promote', 'PosReg', (140, 147)) ('cancer', 'Disease', (48, 54)) ('cancer', 'Disease', 'MESH:D009369', (48, 54)) 3987 31308377 By experimentally mimicking the amplification of E2F1 (representative of cluster 2H) and MCM7 (representative of cluster 4H), we increased proliferation in EAC cells (Fig. ('2H', 'Chemical', 'MESH:D003903', (81, 83)) ('EAC', 'Disease', (156, 159)) ('MCM7', 'Gene', (89, 93)) ('amplification', 'Var', (32, 45)) ('increased', 'PosReg', (129, 138)) ('proliferation', 'CPA', (139, 152)) ('4H', 'Chemical', '-', (121, 123)) ('EAC', 'Phenotype', 'HP:0011459', (156, 159)) ('E2F1', 'Gene', (49, 53)) 3990 31308377 For example, MCM7 interacts with the tumour suppressor protein Rb, a well-characterised inhibitor of E2F1. ('tumour', 'Disease', (37, 43)) ('MCM7', 'Var', (13, 17)) ('tumour', 'Phenotype', 'HP:0002664', (37, 43)) ('interacts', 'Interaction', (18, 27)) ('tumour', 'Disease', 'MESH:D009369', (37, 43)) 3994 31308377 We therefore speculate that it is the contribution of several genes perturbing the same pathways that promotes cancer progression rather than the alteration of one gene alone. ('perturbing', 'Var', (68, 78)) ('promotes', 'PosReg', (102, 110)) ('cancer', 'Phenotype', 'HP:0002664', (111, 117)) ('cancer', 'Disease', (111, 117)) ('cancer', 'Disease', 'MESH:D009369', (111, 117)) 3997 31308377 Consistent with this, the perturbation of helpers leads to increased proliferation in BE cells and the effect is comparable to that of perturbing TP53 (Fig. ('BE', 'Phenotype', 'HP:0100580', (86, 88)) ('TP53', 'Gene', '7157', (146, 150)) ('proliferation', 'CPA', (69, 82)) ('TP53', 'Gene', (146, 150)) ('perturbation', 'Var', (26, 38)) ('increased', 'PosReg', (59, 68)) 4007 31308377 Nonframeshift and nonsynonymous mutations were considered as non-truncating damaging alterations if predicted by at least five of seven function-based methods (SIFT, PolyPhen-2 HDIV, PolyPhen-2 HVAR, MutationTaster, MutationAssessor, LRTand FATHMM) or by two out of three conservation-based methods (PhyloP, GERP + + RS, SiPhy), using the scores from dbNSFP v.3.0. ('Nonframeshift', 'Var', (0, 13)) ('HD', 'Disease', 'MESH:D006816', (177, 179)) ('SIFT', 'Disease', (160, 164)) ('nonsynonymous mutations', 'Var', (18, 41)) ('GERP', 'Gene', (308, 312)) ('mutations', 'Var', (32, 41)) ('GERP', 'Gene', '81603', (308, 312)) ('SIFT', 'Disease', 'None', (160, 164)) 4015 31308377 In step 2, 476 known cancer genes with damaging alterations (Supplementary Data 2) were used as a set of true positives for model selection. ('alterations', 'Var', (48, 59)) ('cancer', 'Phenotype', 'HP:0002664', (21, 27)) ('cancer', 'Disease', (21, 27)) ('cancer', 'Disease', 'MESH:D009369', (21, 27)) 4019 31308377 A manual revision of 476 known cancer genes altered in the ICGC cohort was performed and genes were considered as known drivers if (a) their somatic alteration had been previously associated with EAC, (b) they had a loss-of-function alteration and their tumour suppressor role had been reported in other cancer types, (c) they had a gain-of-function alteration and their oncogenic role had been reported in other cancer types. ('cancer', 'Disease', (413, 419)) ('cancer', 'Disease', 'MESH:D009369', (413, 419)) ('cancer', 'Phenotype', 'HP:0002664', (31, 37)) ('cancer', 'Disease', 'MESH:D009369', (304, 310)) ('loss-of-function', 'NegReg', (216, 232)) ('tumour', 'Disease', 'MESH:D009369', (254, 260)) ('alteration', 'MPA', (350, 360)) ('gain-of-function', 'PosReg', (333, 349)) ('cancer', 'Disease', (304, 310)) ('tumour', 'Disease', (254, 260)) ('EAC', 'Phenotype', 'HP:0011459', (196, 199)) ('alteration', 'Var', (233, 243)) ('cancer', 'Disease', 'MESH:D009369', (31, 37)) ('cancer', 'Phenotype', 'HP:0002664', (413, 419)) ('EAC', 'Disease', (196, 199)) ('cancer', 'Phenotype', 'HP:0002664', (304, 310)) ('cancer', 'Disease', (31, 37)) ('tumour', 'Phenotype', 'HP:0002664', (254, 260)) 4023 31308377 EAC patients that carried a rare damaging germline variant in one of these genes were considered to carry a cancer predisposition variant. ('EAC', 'Phenotype', 'HP:0011459', (0, 3)) ('cancer', 'Phenotype', 'HP:0002664', (108, 114)) ('patients', 'Species', '9606', (4, 12)) ('germline variant', 'Var', (42, 58)) ('cancer', 'Disease', (108, 114)) ('cancer', 'Disease', 'MESH:D009369', (108, 114)) 4027 31308377 CP-A cells were grown at 37 C and five per cent CO2 in Keratinocyte serum-free medium with 50 microg ml-1 bovine pituitary extract and 5 ng ml-1 recombinant human EGF (17005042, Thermo Fisher). ('human', 'Species', '9606', (158, 163)) ('CP-A', 'Gene', '1357', (0, 4)) ('CP-A', 'Gene', (0, 4)) ('bovine', 'Species', '9913', (107, 113)) ('17005042', 'Var', (169, 177)) ('CO2', 'Chemical', '-', (49, 52)) 4038 31308377 To induce ABI2 and NCOR2 gene knock-out (KO) in FLO-1 cells, the vector-free CRISPR-mediated editing approach was used as previously described. ('ABI2', 'Gene', (10, 14)) ('NCOR2', 'Gene', '9612', (19, 24)) ('knock-out', 'Var', (30, 39)) ('ABI2', 'Gene', '10152', (10, 14)) ('FLO-1', 'Chemical', '-', (48, 53)) ('NCOR2', 'Gene', (19, 24)) 4040 31308377 In CP-A cells, vector-free CRISPR-mediated editing of ABI2, NCOR2 or TP53 was performed by introducing two gene-specific crRNAs (Synthego, Supplementary Table 3) and GeneArt Platinum Cas9 nuclease (Life technologies) into the cells by nucleofection following the Neon kit protocol (Thermo Fisher), with 2 pulses of 1200 V for 20 ms. ('NCOR2', 'Gene', (60, 65)) ('ABI2', 'Gene', '10152', (54, 58)) ('GeneArt', 'Var', (166, 173)) ('TP53', 'Gene', '7157', (69, 73)) ('TP53', 'Gene', (69, 73)) ('CP-A', 'Gene', '1357', (3, 7)) ('CP-A', 'Gene', (3, 7)) ('NCOR2', 'Gene', '9612', (60, 65)) ('ABI2', 'Gene', (54, 58)) 4222 29594226 We hypothesized here that IMPT would be associated with lower rates of treatment-related lymphocytopenia in a cohort of 2:1 case-matched patients given IMRT or IMPT with curative intent. ('lymphocytopenia', 'Phenotype', 'HP:0001888', (89, 104)) ('patients', 'Species', '9606', (137, 145)) ('lower', 'NegReg', (56, 61)) ('lymphocytopenia', 'Disease', 'MESH:D008231', (89, 104)) ('lymphocytopenia', 'Disease', (89, 104)) ('IMPT', 'Var', (26, 30)) 4226 29594226 The two groups were matched based on treatment laterality (unilateral vs. bilateral), disease site (tonsil vs. base of tongue), p16/HPV status (positive vs. negative, with missing data considered as "any category"), T status (T1-T2 vs. T3-T4), N status (N0-N1 vs. N2-N3), receipt of concurrent chemotherapy, and smoking status. ('HPV', 'Species', '10566', (132, 135)) ('T1-T2', 'Var', (226, 231)) ('N0-N1', 'Var', (254, 259)) 4271 29594226 High neutrophil counts before treatment were associated with high comorbidity scores and possibly with larger tumors, whereas lymphopenia during treatment was not associated with any clinical or tumor-related characteristics. ('lymphopenia', 'Phenotype', 'HP:0001888', (126, 137)) ('tumor', 'Disease', (195, 200)) ('high comorbidity scores', 'MPA', (61, 84)) ('tumor', 'Disease', 'MESH:D009369', (110, 115)) ('lymphopenia', 'Disease', 'MESH:D008231', (126, 137)) ('tumor', 'Phenotype', 'HP:0002664', (110, 115)) ('tumor', 'Disease', (110, 115)) ('tumors', 'Disease', (110, 116)) ('lymphopenia', 'Disease', (126, 137)) ('tumors', 'Disease', 'MESH:D009369', (110, 116)) ('tumors', 'Phenotype', 'HP:0002664', (110, 116)) ('tumor', 'Disease', 'MESH:D009369', (195, 200)) ('tumor', 'Phenotype', 'HP:0002664', (195, 200)) ('High neutrophil counts', 'Var', (0, 22)) 4309 26633513 However, dysregulation or mutations in HH signaling leads to genomic instability (GI) and various cancers, for example, germline mutation in PTCH1 lead to Gorlin syndrome, a condition where patients develop numerous basal cell carcinomas and rarely rhabdomyosarcoma (RMS). ('rhabdomyosarcoma', 'Disease', (249, 265)) ('HH', 'Gene', '42737', (39, 41)) ('patients', 'Species', '9606', (190, 198)) ('cancers', 'Phenotype', 'HP:0002664', (98, 105)) ('numerous basal cell carcinomas', 'Disease', 'MESH:D002280', (207, 237)) ('mutations', 'Var', (26, 35)) ('germline mutation', 'Var', (120, 137)) ('cancers', 'Disease', (98, 105)) ('RMS', 'Phenotype', 'HP:0002859', (267, 270)) ('cancer', 'Phenotype', 'HP:0002664', (98, 104)) ('Gorlin syndrome', 'Disease', 'MESH:D001478', (155, 170)) ('rhabdomyosarcoma', 'Disease', 'MESH:D012208', (249, 265)) ('lead to', 'Reg', (147, 154)) ('PTCH1', 'Gene', (141, 146)) ('rhabdomyosarcoma', 'Phenotype', 'HP:0002859', (249, 265)) ('dysregulation', 'Var', (9, 22)) ('Gorlin syndrome', 'Disease', (155, 170)) ('genomic', 'MPA', (61, 68)) ('basal cell carcinomas', 'Phenotype', 'HP:0002671', (216, 237)) ('numerous basal cell carcinomas', 'Disease', (207, 237)) ('cancers', 'Disease', 'MESH:D009369', (98, 105)) ('basal cell carcinoma', 'Phenotype', 'HP:0002671', (216, 236)) ('carcinoma', 'Phenotype', 'HP:0030731', (227, 236)) ('carcinomas', 'Phenotype', 'HP:0030731', (227, 237)) ('sarcoma', 'Phenotype', 'HP:0100242', (258, 265)) ('leads to', 'Reg', (52, 60)) 4310 26633513 Activating mutations in SMO have also been recognized in sporadic cases of medulloblastoma and SMO is overexpressed in many other cancers. ('SMO', 'Gene', '6608', (24, 27)) ('medulloblastoma', 'Phenotype', 'HP:0002885', (75, 90)) ('cancers', 'Phenotype', 'HP:0002664', (130, 137)) ('Activating mutations', 'Var', (0, 20)) ('medulloblastoma', 'Disease', (75, 90)) ('SMO', 'Gene', (24, 27)) ('cancers', 'Disease', (130, 137)) ('cancers', 'Disease', 'MESH:D009369', (130, 137)) ('SMO', 'Gene', '6608', (95, 98)) ('SMO', 'Gene', (95, 98)) ('cancer', 'Phenotype', 'HP:0002664', (130, 136)) ('medulloblastoma', 'Disease', 'MESH:D008527', (75, 90)) 4312 26633513 In fact, this aberrantly regulated GLI1 has been linked to several non-canonical oncogenic growth signals such as Kirsten rat sarcoma viral oncogene homolog (KRAS), avian myelocytomatosis virus oncogene cellular homolog (C-MYC), transforming growth factor beta (TGFbeta), wingless-type MMTV integration site family (WNT) and beta-catenin. ('aberrantly', 'Var', (14, 24)) ('sarcoma', 'Phenotype', 'HP:0100242', (126, 133)) ('C-MYC', 'Gene', '4609', (221, 226)) ('avian myelocytomatosis virus', 'Species', '11867', (165, 193)) ('MMTV', 'Species', '11757', (286, 290)) ('TGFbeta', 'Gene', '7040', (262, 269)) ('linked', 'Reg', (49, 55)) ('GLI1', 'Gene', (35, 39)) ('sarcoma', 'Disease', 'MESH:D012509', (126, 133)) ('beta-catenin', 'Gene', (325, 337)) ('C-MYC', 'Gene', (221, 226)) ('rat', 'Species', '10116', (122, 125)) ('rat', 'Species', '10116', (296, 299)) ('beta-catenin', 'Gene', '1499', (325, 337)) ('TGFbeta', 'Gene', (262, 269)) ('sarcoma', 'Disease', (126, 133)) 4313 26633513 Recent studies from our lab and other independent studies demonstrate that aberrantly expressed GLI1 influences the integrity of several DNA damage response and repair signals, and if altered, these networks can contribute to GI and impact tumor response to chemo- and radiation therapies. ('GLI1', 'Gene', (96, 100)) ('impact tumor', 'Disease', 'MESH:D004834', (233, 245)) ('aberrantly expressed', 'Var', (75, 95)) ('contribute', 'Reg', (212, 222)) ('impact tumor', 'Disease', (233, 245)) ('influences', 'Reg', (101, 111)) ('tumor', 'Phenotype', 'HP:0002664', (240, 245)) ('rat', 'Species', '10116', (65, 68)) 4315 26633513 In this review, we focus on summarizing current understanding of the molecular, biochemical and cellular basis for aberrant GLI1 expression and discuss GLI1-mediated HH signaling on DNA damage responses, carcinogenesis and chemoresistance. ('carcinogenesis', 'Disease', (204, 218)) ('GLI1', 'Gene', (124, 128)) ('HH', 'Gene', '42737', (166, 168)) ('carcinogenesis', 'Disease', 'MESH:D063646', (204, 218)) ('aberrant', 'Var', (115, 123)) ('DNA damage', 'MPA', (182, 192)) 4319 26633513 Dysregulation of HH signaling leads to numerous differentiation defects like segment polarity, holoprosencephaly, microencephaly or cyclopia, absent nose or cleft palate. ('leads to', 'Reg', (30, 38)) ('cleft palate', 'Phenotype', 'HP:0000175', (157, 169)) ('Dysregulation', 'Var', (0, 13)) ('absent nose', 'Disease', (142, 153)) ('holoprosencephaly', 'Disease', 'MESH:D016142', (95, 112)) ('holoprosencephaly', 'Phenotype', 'HP:0001360', (95, 112)) ('cyclopia', 'Phenotype', 'HP:0009914', (132, 140)) ('cleft palate', 'Disease', 'MESH:D002972', (157, 169)) ('HH', 'Gene', '42737', (17, 19)) ('microencephaly or cyclopia', 'Disease', 'MESH:D016142', (114, 140)) ('microencephaly or cyclopia', 'Disease', (114, 140)) ('holoprosencephaly', 'Disease', (95, 112)) ('segment polarity', 'Disease', (77, 93)) ('cleft palate', 'Disease', (157, 169)) ('absent nose', 'Phenotype', 'HP:0009927', (142, 153)) 4323 26633513 While the balanced physiologic activation of GLI1 regulates differentiation and development of various organs, mutations in HH signaling genes or oncogenic signals upregulate the expression of GLI1 in a non-homeostatic manner (aberrant GLI1) leading to the development of neoplasm. ('mutations', 'Var', (111, 120)) ('neoplasm', 'Disease', (272, 280)) ('expression', 'MPA', (179, 189)) ('development of various organs', 'CPA', (80, 109)) ('leading to', 'Reg', (242, 252)) ('HH', 'Gene', '42737', (124, 126)) ('neoplasm', 'Disease', 'MESH:D009369', (272, 280)) ('neoplasm', 'Phenotype', 'HP:0002664', (272, 280)) ('GLI1', 'Gene', (193, 197)) ('upregulate', 'PosReg', (164, 174)) ('differentiation', 'CPA', (60, 75)) ('regulates', 'Reg', (50, 59)) 4324 26633513 Somatic or germline mutations of GLI1 have been reported in several cancers. ('cancer', 'Phenotype', 'HP:0002664', (68, 74)) ('cancers', 'Phenotype', 'HP:0002664', (68, 75)) ('reported', 'Reg', (48, 56)) ('cancers', 'Disease', (68, 75)) ('cancers', 'Disease', 'MESH:D009369', (68, 75)) ('GLI1', 'Gene', (33, 37)) ('germline mutations', 'Var', (11, 29)) 4329 26633513 Together these observations suggest an important role for aberrant GLI1 signaling in various stages of tumor development, from inducing mutagenic lesions, carcinogenesis, metastasis and resistance to cancer therapeutics. ('inducing', 'Reg', (127, 135)) ('tumor', 'Phenotype', 'HP:0002664', (103, 108)) ('carcinogenesis', 'Disease', (155, 169)) ('tumor', 'Disease', (103, 108)) ('cancer', 'Phenotype', 'HP:0002664', (200, 206)) ('aberrant', 'Var', (58, 66)) ('carcinogenesis', 'Disease', 'MESH:D063646', (155, 169)) ('metastasis', 'CPA', (171, 181)) ('resistance', 'CPA', (186, 196)) ('cancer', 'Disease', 'MESH:D009369', (200, 206)) ('tumor', 'Disease', 'MESH:D009369', (103, 108)) ('cancer', 'Disease', (200, 206)) ('mutagenic lesions', 'MPA', (136, 153)) 4331 26633513 In this review we have discussed the role of aberrant GLI1 in DNA damage response (DDR), carcinogenesis and chemoresistance. ('carcinogenesis', 'Disease', 'MESH:D063646', (89, 103)) ('aberrant', 'Var', (45, 53)) ('DNA damage', 'Disease', (62, 72)) ('carcinogenesis', 'Disease', (89, 103)) ('GLI1', 'Gene', (54, 58)) 4334 26633513 Phosphorylated SMO then facilitates the dissociation of GLI proteins from kinesin-family protein, kinesin superfamily 7 (Kif7), and suppressor of fused (SUFU). ('Phosphorylated', 'Var', (0, 14)) ('Kif7', 'Gene', (121, 125)) ('kinesin superfamily 7', 'Gene', '374654', (98, 119)) ('facilitates', 'PosReg', (24, 35)) ('dissociation', 'MPA', (40, 52)) ('Kif7', 'Gene', '374654', (121, 125)) ('SMO', 'Gene', '6608', (15, 18)) ('kinesin superfamily 7', 'Gene', (98, 119)) ('GLI', 'Gene', '2735', (56, 59)) ('SMO', 'Gene', (15, 18)) ('SUFU', 'Gene', (153, 157)) ('SUFU', 'Gene', '51684', (153, 157)) ('GLI', 'Gene', (56, 59)) 4337 26633513 In addition to this, certain mutations in the HH signaling pathway members upstream of GLI1 induce its overexpression and alter the regulation of target genes that are involved in differentiation, DNA repair, and cell cycle checkpoint regulation. ('alter', 'Reg', (122, 127)) ('GLI1', 'Gene', (87, 91)) ('mutations', 'Var', (29, 38)) ('HH', 'Gene', '42737', (46, 48)) ('regulation of', 'MPA', (132, 145)) ('overexpression', 'MPA', (103, 117)) 4343 26633513 Activating mutations in KRAS have been linked to several cancers, including pancreatic, ovarian, lung and colon. ('Activating mutations', 'Var', (0, 20)) ('cancers', 'Phenotype', 'HP:0002664', (57, 64)) ('cancers', 'Disease', (57, 64)) ('linked', 'Reg', (39, 45)) ('cancers', 'Disease', 'MESH:D009369', (57, 64)) ('cancer', 'Phenotype', 'HP:0002664', (57, 63)) ('pancreatic, ovarian, lung and colon', 'Disease', 'MESH:D008175', (76, 111)) ('KRAS', 'Gene', (24, 28)) 4349 26633513 Similarly, aberrant expression of the transcription factor and oncogene EWS-FLI1, which is responsible for the Ewing sarcoma family of tumors, transcriptionally increases GLI1 expression. ('Ewing sarcoma', 'Phenotype', 'HP:0012254', (111, 124)) ('Ewing sarcoma', 'Disease', 'MESH:C563168', (111, 124)) ('tumor', 'Phenotype', 'HP:0002664', (135, 140)) ('EWS', 'Gene', '2130', (72, 75)) ('EWS', 'Gene', (72, 75)) ('FLI1', 'Gene', '2313', (76, 80)) ('aberrant expression', 'Var', (11, 30)) ('sarcoma', 'Phenotype', 'HP:0100242', (117, 124)) ('FLI1', 'Gene', (76, 80)) ('Ewing sarcoma', 'Disease', (111, 124)) ('tumors', 'Disease', (135, 141)) ('expression', 'MPA', (176, 186)) ('tumors', 'Disease', 'MESH:D009369', (135, 141)) ('tumors', 'Phenotype', 'HP:0002664', (135, 141)) ('increases', 'PosReg', (161, 170)) ('GLI1', 'Gene', (171, 175)) 4357 26633513 Genetic analysis of pancreatic cancers showed mutations in GLI1 with clear functional relevance to neoplasia. ('neoplasia', 'Disease', 'MESH:D009369', (99, 108)) ('GLI1', 'Gene', (59, 63)) ('mutations', 'Var', (46, 55)) ('cancer', 'Phenotype', 'HP:0002664', (31, 37)) ('neoplasia', 'Disease', (99, 108)) ('pancreatic cancers', 'Disease', 'MESH:D010190', (20, 38)) ('pancreatic cancers', 'Disease', (20, 38)) ('cancers', 'Phenotype', 'HP:0002664', (31, 38)) ('pancreatic cancer', 'Phenotype', 'HP:0002894', (20, 37)) ('neoplasia', 'Phenotype', 'HP:0002664', (99, 108)) ('pancreatic cancers', 'Phenotype', 'HP:0002894', (20, 38)) 4358 26633513 Missense and nonsense mutations of GLI1 were also documented in melanoma and squamous cell carcinoma. ('nonsense mutations', 'Var', (13, 31)) ('melanoma', 'Phenotype', 'HP:0002861', (64, 72)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (77, 100)) ('melanoma', 'Disease', (64, 72)) ('documented', 'Reg', (50, 60)) ('GLI1', 'Gene', (35, 39)) ('melanoma', 'Disease', 'MESH:D008545', (64, 72)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (77, 100)) ('carcinoma', 'Phenotype', 'HP:0030731', (91, 100)) ('squamous cell carcinoma', 'Disease', (77, 100)) ('Missense', 'Var', (0, 8)) 4359 26633513 Additionally, the fusion of ACTB (beta-actin) with GLI1 t(7;12), has been associated in pericytoma. ('ACTB', 'Gene', '60', (28, 32)) ('associated', 'Reg', (74, 84)) ('beta-actin', 'Gene', '728378', (34, 44)) ('beta-actin', 'Gene', (34, 44)) ('fusion', 'Var', (18, 24)) ('ACTB', 'Gene', (28, 32)) ('pericytoma', 'Disease', (88, 98)) 4361 26633513 Apart from cancers, mutations in GLI1 were found in Hirschsprung disease, which is characterized as abnormal neural crest cells differentiation. ('cancers', 'Disease', 'MESH:D009369', (11, 18)) ('Hirschsprung disease', 'Phenotype', 'HP:0002251', (52, 72)) ('cancer', 'Phenotype', 'HP:0002664', (11, 17)) ('found', 'Reg', (43, 48)) ('Hirschsprung disease', 'Disease', (52, 72)) ('GLI1', 'Gene', (33, 37)) ('cancers', 'Phenotype', 'HP:0002664', (11, 18)) ('cancers', 'Disease', (11, 18)) ('Hirschsprung disease', 'Disease', 'MESH:D006627', (52, 72)) ('mutations', 'Var', (20, 29)) 4363 26633513 The (GLI1DeltaN) variant acts on genes similarly to GLI1 in both normal and cancer cells. ('GLI1DeltaN) variant', 'Var', (5, 24)) ('cancer', 'Phenotype', 'HP:0002664', (76, 82)) ('variant', 'Var', (17, 24)) ('cancer', 'Disease', (76, 82)) ('cancer', 'Disease', 'MESH:D009369', (76, 82)) 4364 26633513 Interestingly, the tGLI1 variant is expressed only in the tumor tissues and has been characterized as a stronger promoter of epithelial-mesenchymal transition (EMT) phenotype, an important feature in carcinogenesis. ('tumor', 'Phenotype', 'HP:0002664', (58, 63)) ('tumor', 'Disease', (58, 63)) ('epithelial-mesenchymal transition', 'CPA', (125, 158)) ('tumor', 'Disease', 'MESH:D009369', (58, 63)) ('variant', 'Var', (25, 32)) ('stronger promoter', 'PosReg', (104, 121)) ('carcinogenesis', 'Disease', 'MESH:D063646', (200, 214)) ('tGLI1', 'Gene', (19, 24)) ('carcinogenesis', 'Disease', (200, 214)) 4365 26633513 Overall, aberrant expression of GLI1 and its isoforms in the setting of either canonical or non-canonical signaling regulates genes that are involved in the repair of DNA damage, cell cycle, carcinogenesis, and multidrug resistance (MDR). ('carcinogenesis', 'Disease', (191, 205)) ('regulates', 'Reg', (116, 125)) ('drug resistance', 'Phenotype', 'HP:0020174', (216, 231)) ('genes', 'Gene', (126, 131)) ('multidrug resistance', 'Disease', (211, 231)) ('GLI1', 'Gene', (32, 36)) ('aberrant', 'Var', (9, 17)) ('carcinogenesis', 'Disease', 'MESH:D063646', (191, 205)) 4368 26633513 Even though, many questions remain concerning how aberrant activation of GLI1 influences cell cycle checkpoints and DNA repair, there are few reports that clearly indicate potential mechanisms that GLI1 could control in order to protect tumor cells from oncogenic stress and chemotherapy. ('tumor', 'Disease', (237, 242)) ('influences', 'Reg', (78, 88)) ('GLI1', 'Gene', (73, 77)) ('activation', 'PosReg', (59, 69)) ('cell cycle checkpoints', 'CPA', (89, 111)) ('tumor', 'Disease', 'MESH:D009369', (237, 242)) ('aberrant', 'Var', (50, 58)) ('tumor', 'Phenotype', 'HP:0002664', (237, 242)) 4374 26633513 In this study, loss of either non-homologous end joining (NHEJ) gene DNA Ligase IV (Lig4), or genes involved in homologous recombination (HR) like X-ray cross complementation 2 (XRCC2), and breast cancer growth suppressor protein 2 (BRCA2), or (Lig4/XRCC2) in combination with p53 deficiency resulted in PTCH1 downregulation, GLI1 activation and rapid development of medulloblastoma. ('activation', 'PosReg', (331, 341)) ('DNA Ligase IV', 'Gene', '3981', (69, 82)) ('breast cancer', 'Disease', (190, 203)) ('breast cancer', 'Disease', 'MESH:D001943', (190, 203)) ('GLI1', 'Gene', (326, 330)) ('XRCC2', 'Gene', '7516', (250, 255)) ('BRCA2', 'Gene', '675', (233, 238)) ('XRCC2', 'Gene', '7516', (178, 183)) ('X-ray cross complementation 2', 'Gene', '7516', (147, 176)) ('Lig4', 'Gene', (245, 249)) ('deficiency', 'Var', (281, 291)) ('X-ray cross complementation 2', 'Gene', (147, 176)) ('DNA Ligase IV', 'Gene', (69, 82)) ('Lig4', 'Gene', '3981', (245, 249)) ('p53', 'Gene', (277, 280)) ('cancer', 'Phenotype', 'HP:0002664', (197, 203)) ('Lig4', 'Gene', (84, 88)) ('PTCH1', 'Gene', (304, 309)) ('medulloblastoma', 'Disease', 'MESH:D008527', (367, 382)) ('XRCC2', 'Gene', (250, 255)) ('medulloblastoma', 'Phenotype', 'HP:0002885', (367, 382)) ('loss', 'NegReg', (15, 19)) ('XRCC2', 'Gene', (178, 183)) ('Lig4', 'Gene', '3981', (84, 88)) ('medulloblastoma', 'Disease', (367, 382)) ('BRCA2', 'Gene', (233, 238)) ('downregulation', 'NegReg', (310, 324)) ('breast cancer', 'Phenotype', 'HP:0003002', (190, 203)) 4375 26633513 This study not only confirms a function link between DDR, repair and HH signaling, but reveals that DNA damage induced expression of GLI1 was kept in check by p53 and loss of p53 results in GLI1 overexpression, a novel regulation of GLI1 by tumor suppressor protein p53. ('tumor', 'Disease', (241, 246)) ('HH', 'Gene', '42737', (69, 71)) ('overexpression', 'PosReg', (195, 209)) ('GLI1', 'Gene', (190, 194)) ('p53', 'Gene', (175, 178)) ('tumor', 'Disease', 'MESH:D009369', (241, 246)) ('loss', 'Var', (167, 171)) ('tumor', 'Phenotype', 'HP:0002664', (241, 246)) 4376 26633513 The above observations were further supported by mechanistic studies that demonstrated p53 mediated regulation of GLI1 by post-translational modification in response to genotoxic stress. ('regulation', 'MPA', (100, 110)) ('rat', 'Species', '10116', (81, 84)) ('post-translational modification', 'MPA', (122, 153)) ('GLI1', 'Gene', (114, 118)) ('p53', 'Var', (87, 90)) 4381 26633513 It is interesting to note that GLI1 is one of the primary targets of p53 in response to genotoxic stress, and degradation of GLI1 prevents the proliferation of cells. ('degradation', 'Var', (110, 121)) ('GLI1', 'Gene', (125, 129)) ('rat', 'Species', '10116', (150, 153)) ('prevents', 'NegReg', (130, 138)) ('proliferation of cells', 'CPA', (143, 165)) 4384 26633513 In human colon carcinoma cells, inhibition of GLI1 induced extensive cell death while the inhibition of HH signaling at the level of SMO did not. ('inhibition', 'Var', (32, 42)) ('HH', 'Gene', '42737', (104, 106)) ('human', 'Species', '9606', (3, 8)) ('carcinoma', 'Phenotype', 'HP:0030731', (15, 24)) ('GLI1', 'Gene', (46, 50)) ('SMO', 'Gene', '6608', (133, 136)) ('colon carcinoma', 'Disease', 'MESH:D015179', (9, 24)) ('SMO', 'Gene', (133, 136)) ('colon carcinoma', 'Disease', (9, 24)) ('cell death', 'CPA', (69, 79)) 4387 26633513 Thus, inhibition of GLI1 blocks the replication-associated checkpoints and therefore, cancer cells with high proliferation rate and without proper cell cycle arrest/regulation will undergo cell death. ('replication-associated checkpoints', 'CPA', (36, 70)) ('GLI1', 'Gene', (20, 24)) ('undergo', 'Reg', (181, 188)) ('cancer', 'Phenotype', 'HP:0002664', (86, 92)) ('cell death', 'CPA', (189, 199)) ('blocks', 'NegReg', (25, 31)) ('rat', 'Species', '10116', (123, 126)) ('rat', 'Species', '10116', (116, 119)) ('inhibition', 'Var', (6, 16)) ('arrest', 'Disease', 'MESH:D006323', (158, 164)) ('cell cycle arrest', 'Phenotype', 'HP:0011018', (147, 164)) ('cancer', 'Disease', 'MESH:D009369', (86, 92)) ('arrest', 'Disease', (158, 164)) ('cancer', 'Disease', (86, 92)) 4390 26633513 Under these conditions, the levels of pATM, pMDC1 and pNBS1Ser343 were increased and the level of gammaH2AX was found to be decreased, suggesting inhibition of GLI1 by GANT61 attenuates DDR and repair. ('pNBS1Ser343', 'Var', (54, 65)) ('H2AX', 'Gene', (103, 107)) ('ATM', 'Gene', (39, 42)) ('decreased', 'NegReg', (124, 133)) ('MDC1', 'Gene', '9656', (45, 49)) ('increased', 'PosReg', (71, 80)) ('ATM', 'Gene', '472', (39, 42)) ('MDC1', 'Gene', (45, 49)) ('inhibition', 'Var', (146, 156)) ('attenuates', 'NegReg', (175, 185)) ('H2AX', 'Gene', '3014', (103, 107)) 4391 26633513 The authors concluded that decreased pNBS1Ser343 mediated DNA repair in 48 h GANT61 exposed cells lead to the cell death, whereas in cells exposed to only 24 h GANT61 treatment recovered from GLI1 inhibition mediated DNA damage due to the pNBS1 ser343 reexpression and its mediated DNA repair. ('NBS1', 'Gene', '4683', (38, 42)) ('reexpression', 'PosReg', (252, 264)) ('NBS1', 'Gene', '4683', (240, 244)) ('decreased', 'NegReg', (27, 36)) ('ser343', 'Chemical', '-', (245, 251)) ('ser343', 'Var', (245, 251)) ('NBS1', 'Gene', (240, 244)) ('NBS1', 'Gene', (38, 42)) 4392 26633513 These studies demonstrate an important role for aberrant GLI1 in regulation of the DDR and repair signaling in cancer cells, which could contribute to tumor cell survival from oncogenic stress and develop chemoresistance. ('tumor', 'Phenotype', 'HP:0002664', (151, 156)) ('chemoresistance', 'CPA', (205, 220)) ('cancer', 'Phenotype', 'HP:0002664', (111, 117)) ('tumor', 'Disease', (151, 156)) ('cancer', 'Disease', (111, 117)) ('aberrant', 'Var', (48, 56)) ('rat', 'Species', '10116', (21, 24)) ('develop', 'PosReg', (197, 204)) ('contribute', 'Reg', (137, 147)) ('GLI1', 'Gene', (57, 61)) ('cancer', 'Disease', 'MESH:D009369', (111, 117)) ('tumor', 'Disease', 'MESH:D009369', (151, 156)) 4406 26633513 Impaired SHH signaling has been shown to induce spontaneous and ionizing radiation (IR)-induced genome instability and tumors development in mice. ('tumors', 'Phenotype', 'HP:0002664', (119, 125)) ('tumors', 'Disease', (119, 125)) ('tumors', 'Disease', 'MESH:D009369', (119, 125)) ('induce', 'Reg', (41, 47)) ('genome instability', 'CPA', (96, 114)) ('mice', 'Species', '10090', (141, 145)) ('tumor', 'Phenotype', 'HP:0002664', (119, 124)) ('SHH', 'Protein', (9, 12)) ('Impaired', 'Var', (0, 8)) 4408 26633513 Although mutations in PTCH1 in humans and Ptc heterozygous mice (ptc+/-) known to develop increased spontaneous medulloblastoma; however, the mechanisms that lead to tumor development were not known. ('PTCH1', 'Gene', (22, 27)) ('tumor', 'Disease', 'MESH:D009369', (166, 171)) ('mice', 'Species', '10090', (59, 63)) ('medulloblastoma', 'Phenotype', 'HP:0002885', (112, 127)) ('tumor', 'Phenotype', 'HP:0002664', (166, 171)) ('medulloblastoma', 'Disease', 'MESH:D008527', (112, 127)) ('increased', 'PosReg', (90, 99)) ('mutations', 'Var', (9, 18)) ('tumor', 'Disease', (166, 171)) ('medulloblastoma', 'Disease', (112, 127)) ('humans', 'Species', '9606', (31, 37)) 4411 26633513 GLI1 expression abrogated IR-induced ATR-CHK1 signaling in these cells by disrupting DNA damage-induced binding of claspin to CHK1 and subsequent phosphorylation of CHK1 by ATR at Ser317 and Ser345 (Figure 2B). ('claspin', 'Gene', '63967', (115, 122)) ('GLI1', 'Gene', (0, 4)) ('claspin', 'Gene', (115, 122)) ('CHK1', 'Gene', (126, 130)) ('disrupting', 'NegReg', (74, 84)) ('CHK1', 'Gene', (165, 169)) ('DNA damage-induced', 'MPA', (85, 103)) ('Ser317', 'Chemical', '-', (180, 186)) ('expression', 'Var', (5, 15)) ('binding', 'Interaction', (104, 111)) ('Ser345', 'Chemical', '-', (191, 197)) ('Ser345', 'Var', (191, 197)) ('abrogated', 'NegReg', (16, 25)) ('Ser317', 'Var', (180, 186)) ('phosphorylation', 'MPA', (146, 161)) 4413 26633513 In contrast to above mechanism, our recent studies have revealed a tumor-specific role for aberrant GLI1 in regulation of S phase checkpoint. ('GLI1', 'Gene', (100, 104)) ('S phase checkpoint', 'MPA', (122, 140)) ('regulation', 'MPA', (108, 118)) ('tumor', 'Disease', 'MESH:D009369', (67, 72)) ('tumor', 'Phenotype', 'HP:0002664', (67, 72)) ('tumor', 'Disease', (67, 72)) ('aberrant', 'Var', (91, 99)) 4414 26633513 Inhibition of GLI1 in several tumor cell lines originated from different tissues induced replication associated DNA damage as indicated by gammaH2AX and attenuated tumor cell growth. ('tumor', 'Phenotype', 'HP:0002664', (164, 169)) ('GLI1', 'Gene', (14, 18)) ('tumor', 'Disease', (164, 169)) ('induced', 'Reg', (81, 88)) ('replication associated DNA damage', 'MPA', (89, 122)) ('tumor', 'Disease', 'MESH:D009369', (30, 35)) ('attenuated tumor', 'Disease', (153, 169)) ('attenuated tumor', 'Disease', 'MESH:C538265', (153, 169)) ('tumor', 'Phenotype', 'HP:0002664', (30, 35)) ('Inhibition', 'Var', (0, 10)) ('tumor', 'Disease', 'MESH:D009369', (164, 169)) ('H2AX', 'Gene', '3014', (144, 148)) ('H2AX', 'Gene', (144, 148)) ('tumor', 'Disease', (30, 35)) 4415 26633513 Further analysis of replication stress-induced by DNA topoisomerase 1 (TOP 1) poison CPT revealed aberrant GLI1 important for the activation of S-phase checkpoint mediated by CHK1 in tumor cells. ('aberrant', 'Var', (98, 106)) ('CPT', 'Gene', '56994', (85, 88)) ('tumor', 'Disease', 'MESH:D009369', (183, 188)) ('activation', 'PosReg', (130, 140)) ('GLI1', 'Gene', (107, 111)) ('CPT', 'Gene', (85, 88)) ('DNA topoisomerase 1', 'Gene', '7150', (50, 69)) ('tumor', 'Phenotype', 'HP:0002664', (183, 188)) ('S-phase checkpoint mediated', 'MPA', (144, 171)) ('tumor', 'Disease', (183, 188)) ('DNA topoisomerase 1', 'Gene', (50, 69)) 4417 26633513 Furthermore, inhibition of GLI1 by either siRNAs or by pharmacological inhibitor GANT61 transcriptionally repressed the expression of BID, affected the association of RPA with the (ATRIP)-ATR complex, and compromised ATR-mediated phosphorylation/activation of CHK1. ('RPA', 'Gene', (167, 170)) ('inhibition', 'Var', (13, 23)) ('ATRIP', 'Gene', '84126', (181, 186)) ('RPA', 'Gene', '6117', (167, 170)) ('BID', 'Gene', '637', (134, 137)) ('ATRIP', 'Gene', (181, 186)) ('ATR-mediated phosphorylation/activation', 'MPA', (217, 256)) ('association', 'Interaction', (152, 163)) ('BID', 'Gene', (134, 137)) ('compromised', 'NegReg', (205, 216)) ('CHK1', 'Enzyme', (260, 264)) ('affected', 'Reg', (139, 147)) 4419 26633513 Similar to CHK1 inhibitors, pharmacological inhibition of aberrantly expressed GLI1 in tumor cells abrogated CPT-induced checkpoint responses, enhanced CPT-induced replication-mediated DNA damage and increased its cytotoxicity. ('CPT', 'Gene', '56994', (109, 112)) ('GLI1', 'Gene', (79, 83)) ('cytotoxicity', 'Disease', (214, 226)) ('tumor', 'Phenotype', 'HP:0002664', (87, 92)) ('enhanced', 'PosReg', (143, 151)) ('CPT', 'Gene', (109, 112)) ('increased', 'PosReg', (200, 209)) ('tumor', 'Disease', (87, 92)) ('tumor', 'Disease', 'MESH:D009369', (87, 92)) ('cytotoxicity', 'Disease', 'MESH:D064420', (214, 226)) ('replication-mediated DNA damage', 'MPA', (164, 195)) ('CPT', 'Gene', '56994', (152, 155)) ('abrogated', 'NegReg', (99, 108)) ('aberrantly expressed', 'Var', (58, 78)) ('CPT', 'Gene', (152, 155)) 4422 26633513 ), our studies suggests role for aberrant GLI1 during carcinogenesis, as well as their response to chemotherapy. ('carcinogenesis', 'Disease', 'MESH:D063646', (54, 68)) ('carcinogenesis', 'Disease', (54, 68)) ('aberrant', 'Var', (33, 41)) 4425 26633513 Secondly, depletion of GLI1 causes a loss of BID which also leads to disruption of CHK1 activation. ('disruption', 'NegReg', (69, 79)) ('BID', 'Gene', (45, 48)) ('GLI1', 'Gene', (23, 27)) ('depletion', 'Var', (10, 19)) ('CHK1', 'Protein', (83, 87)) ('loss', 'NegReg', (37, 41)) ('activation', 'MPA', (88, 98)) ('BID', 'Gene', '637', (45, 48)) 4426 26633513 As disrupted DNA repair can directly lead to persistence of mutations that may promote carcinogenesis, studying GLI1 could lead to improved targeted therapies in repair-deficient tumors. ('lead', 'Reg', (37, 41)) ('tumors', 'Phenotype', 'HP:0002664', (179, 185)) ('carcinogenesis', 'Disease', 'MESH:D063646', (87, 101)) ('deficient tumors', 'Disease', (169, 185)) ('deficient tumors', 'Disease', 'MESH:D009369', (169, 185)) ('promote', 'PosReg', (79, 86)) ('carcinogenesis', 'Disease', (87, 101)) ('tumor', 'Phenotype', 'HP:0002664', (179, 184)) ('mutations', 'Var', (60, 69)) 4427 26633513 As previously described, GLI1-mediated dysregulation of DNA repair can directly or indirectly lead to GI and such GI can promote carcinogenesis. ('dysregulation', 'Var', (39, 52)) ('carcinogenesis', 'Disease', 'MESH:D063646', (129, 143)) ('DNA repair', 'Gene', (56, 66)) ('carcinogenesis', 'Disease', (129, 143)) ('lead to', 'Reg', (94, 101)) ('promote', 'PosReg', (121, 128)) 4440 26633513 It is also necessary to analyze the roles of the different GLI1 mutations that are found in cancer on the development and progression of the cancer. ('GLI1', 'Gene', (59, 63)) ('cancer', 'Disease', (92, 98)) ('cancer', 'Disease', 'MESH:D009369', (92, 98)) ('cancer', 'Phenotype', 'HP:0002664', (141, 147)) ('mutations', 'Var', (64, 73)) ('cancer', 'Disease', 'MESH:D009369', (141, 147)) ('cancer', 'Phenotype', 'HP:0002664', (92, 98)) ('cancer', 'Disease', (141, 147)) 4442 26633513 Almost 90% of pancreatic ductal adenocarcinoma (PDA) has shown mutation in KRAS oncogene. ('pancreatic ductal adenocarcinoma', 'Phenotype', 'HP:0006725', (14, 46)) ('KRAS oncogene', 'Gene', (75, 88)) ('carcinoma', 'Phenotype', 'HP:0030731', (37, 46)) ('mutation', 'Var', (63, 71)) ('PDA', 'Phenotype', 'HP:0006725', (48, 51)) ('pancreatic ductal adenocarcinoma', 'Disease', (14, 46)) ('pancreatic ductal adenocarcinoma', 'Disease', 'MESH:D021441', (14, 46)) 4452 26633513 Increased tumor growth was noticed in the GKO/KPC mice compared to KPC group alone. ('tumor', 'Phenotype', 'HP:0002664', (10, 15)) ('tumor', 'Disease', (10, 15)) ('mice', 'Species', '10090', (50, 54)) ('tumor', 'Disease', 'MESH:D009369', (10, 15)) ('GKO/KPC', 'Var', (42, 49)) 4462 26633513 It is important to highlight here again that in addition to GLI1 role in regulation of various mechanisms in tumor development, GLI1-induced disruption of ATR-CHK1 checkpoint signaling in the developing brain may generate the precursor lesions that lead to medulloblastoma formation. ('lead to', 'Reg', (249, 256)) ('medulloblastoma', 'Disease', 'MESH:D008527', (257, 272)) ('medulloblastoma', 'Phenotype', 'HP:0002885', (257, 272)) ('tumor', 'Disease', 'MESH:D009369', (109, 114)) ('tumor', 'Phenotype', 'HP:0002664', (109, 114)) ('GLI1-induced', 'Gene', (128, 140)) ('disruption', 'Var', (141, 151)) ('medulloblastoma', 'Disease', (257, 272)) ('rat', 'Species', '10116', (217, 220)) ('tumor', 'Disease', (109, 114)) 4467 26633513 Patients with nuclear GLI1 or FOXC2 typically exhibited diminished length of survival. ('FOXC2', 'Gene', '2303', (30, 35)) ('length', 'MPA', (67, 73)) ('Patients', 'Species', '9606', (0, 8)) ('diminished', 'NegReg', (56, 66)) ('nuclear', 'Var', (14, 21)) ('FOXC2', 'Gene', (30, 35)) 4471 26633513 Interestingly, silencing GLI1 expression in GLI1-induced tumors did not result in tumor regression, as the cells unexpectedly continued proliferation independent of GLI1. ('GLI1', 'Gene', (25, 29)) ('tumor', 'Disease', 'MESH:D009369', (82, 87)) ('tumor', 'Disease', 'MESH:D009369', (57, 62)) ('tumors', 'Disease', 'MESH:D009369', (57, 63)) ('silencing', 'Var', (15, 24)) ('rat', 'Species', '10116', (143, 146)) ('tumor', 'Phenotype', 'HP:0002664', (82, 87)) ('tumors', 'Disease', (57, 63)) ('tumor', 'Phenotype', 'HP:0002664', (57, 62)) ('tumors', 'Phenotype', 'HP:0002664', (57, 63)) ('continued', 'PosReg', (126, 135)) ('tumor', 'Disease', (57, 62)) ('tumor', 'Disease', (82, 87)) ('proliferation', 'CPA', (136, 149)) 4472 26633513 The promoter region of the HH gene was found to be hypo-methylated in breast cancers and this correlated with increased HH and nuclear factor (NF)-kB expression, and nuclear accumulation of GLI1. ('HH', 'Gene', '42737', (27, 29)) ('expression', 'MPA', (150, 160)) ('increased HH', 'Phenotype', 'HP:0001900', (110, 122)) ('cancers', 'Phenotype', 'HP:0002664', (77, 84)) ('nuclear accumulation', 'CPA', (166, 186)) ('increased', 'PosReg', (110, 119)) ('breast cancers', 'Phenotype', 'HP:0003002', (70, 84)) ('HH', 'Gene', '42737', (120, 122)) ('breast cancers', 'Disease', 'MESH:D001943', (70, 84)) ('breast cancers', 'Disease', (70, 84)) ('nuclear', 'Protein', (127, 134)) ('breast cancer', 'Phenotype', 'HP:0003002', (70, 83)) ('cancer', 'Phenotype', 'HP:0002664', (77, 83)) ('hypo-methylated', 'Var', (51, 66)) 4480 26633513 Loss of E-cadherin causes beta-catenin to migrate into the nucleus, where it acts as a transcription factor and induces cell transformation. ('E-cadherin', 'Gene', (8, 18)) ('E-cadherin', 'Gene', '999', (8, 18)) ('beta-catenin', 'Gene', '1499', (26, 38)) ('migrate', 'CPA', (42, 49)) ('induces', 'Reg', (112, 119)) ('beta-catenin', 'Gene', (26, 38)) ('Loss', 'Var', (0, 4)) ('rat', 'Species', '10116', (45, 48)) ('cell transformation', 'CPA', (120, 139)) 4483 26633513 Ectopic expression of GLI1 induced beta-catenin expression in the nuclei of endometrial cancer cell lines, and aberrant activation of this pathway may have a role in the development of endometrial cancer. ('beta-catenin', 'Gene', (35, 47)) ('endometrial cancer', 'Phenotype', 'HP:0012114', (185, 203)) ('endometrial cancer', 'Disease', 'MESH:D016889', (185, 203)) ('endometrial cancer', 'Disease', (76, 94)) ('cancer', 'Phenotype', 'HP:0002664', (197, 203)) ('expression', 'MPA', (48, 58)) ('Ectopic expression', 'Var', (0, 18)) ('activation', 'PosReg', (120, 130)) ('beta-catenin', 'Gene', '1499', (35, 47)) ('endometrial cancer', 'Phenotype', 'HP:0012114', (76, 94)) ('induced', 'Reg', (27, 34)) ('aberrant', 'Var', (111, 119)) ('endometrial cancer', 'Disease', 'MESH:D016889', (76, 94)) ('cancer', 'Phenotype', 'HP:0002664', (88, 94)) ('GLI1', 'Gene', (22, 26)) ('role', 'Reg', (158, 162)) ('endometrial cancer', 'Disease', (185, 203)) 4491 26633513 Loss of hTERT induces cellular senescence, while increased hTERT has been observed in many cancer cells. ('cellular senescence', 'CPA', (22, 41)) ('hTERT', 'Gene', (59, 64)) ('cancer', 'Disease', (91, 97)) ('cancer', 'Disease', 'MESH:D009369', (91, 97)) ('hTERT', 'Gene', '7015', (8, 13)) ('cancer', 'Phenotype', 'HP:0002664', (91, 97)) ('hTERT', 'Gene', (8, 13)) ('hTERT', 'Gene', '7015', (59, 64)) ('Loss', 'Var', (0, 4)) 4495 26633513 Aberrant expression of these DNMTs and dysregulation of DNA methylation has been reported in many cancers. ('cancer', 'Phenotype', 'HP:0002664', (98, 104)) ('dysregulation', 'Var', (39, 52)) ('DNMT', 'Gene', '1786', (29, 33)) ('cancers', 'Phenotype', 'HP:0002664', (98, 105)) ('DNMT', 'Gene', (29, 33)) ('DNA', 'Gene', (56, 59)) ('cancers', 'Disease', 'MESH:D009369', (98, 105)) ('expression', 'MPA', (9, 19)) ('cancers', 'Disease', (98, 105)) ('reported', 'Reg', (81, 89)) 4504 26633513 It has also been reported that GLI1 is over-expressed in more than 50% of hepatocellular carcinomas, and inhibition of HH signaling attenuated tumor growth and induced apoptosis. ('inhibition', 'Var', (105, 115)) ('attenuated tumor', 'Disease', (132, 148)) ('induced', 'Reg', (160, 167)) ('GLI1', 'Gene', (31, 35)) ('attenuated tumor', 'Disease', 'MESH:C538265', (132, 148)) ('hepatocellular carcinomas', 'Phenotype', 'HP:0001402', (74, 99)) ('apoptosis', 'CPA', (168, 177)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (74, 98)) ('hepatocellular carcinomas', 'Disease', 'MESH:D006528', (74, 99)) ('over-expressed', 'PosReg', (39, 53)) ('carcinoma', 'Phenotype', 'HP:0030731', (89, 98)) ('carcinomas', 'Phenotype', 'HP:0030731', (89, 99)) ('HH', 'Gene', '42737', (119, 121)) ('tumor', 'Phenotype', 'HP:0002664', (143, 148)) ('hepatocellular carcinomas', 'Disease', (74, 99)) 4511 26633513 It will be interesting to note whether GLI1 alone is enough to induce tumor recurrence or if it works in combination with other oncogenic signals. ('tumor', 'Phenotype', 'HP:0002664', (70, 75)) ('induce', 'Reg', (63, 69)) ('tumor', 'Disease', (70, 75)) ('GLI1', 'Var', (39, 43)) ('tumor', 'Disease', 'MESH:D009369', (70, 75)) 4518 26633513 GLI1 has diverse functions including regulation of epigenetic methylation, cancer stem cells, hypoxia and human telomerase. ('epigenetic', 'Var', (51, 61)) ('GLI1', 'Gene', (0, 4)) ('human', 'Species', '9606', (106, 111)) ('cancer', 'Disease', 'MESH:D009369', (75, 81)) ('cancer', 'Disease', (75, 81)) ('hypoxia', 'Disease', 'MESH:D000860', (94, 101)) ('cancer', 'Phenotype', 'HP:0002664', (75, 81)) ('hypoxia', 'Disease', (94, 101)) 4523 26633513 On the other hand, inhibition of GLI1 signaling enhances the sensitivity of CD133 cells to temozolomide. ('inhibition', 'Var', (19, 29)) ('CD133', 'Gene', (76, 81)) ('CD133', 'Gene', '8842', (76, 81)) ('temozolomide', 'Chemical', 'MESH:D000077204', (91, 103)) ('enhances', 'PosReg', (48, 56)) ('sensitivity', 'MPA', (61, 72)) ('GLI1', 'Protein', (33, 37)) 4534 26633513 Inhibition of GLI1 in ovarian cancer cells that are resistant to cisplatin caused an accumulation of cisplatin in the nucleus. ('ovarian cancer', 'Disease', 'MESH:D010051', (22, 36)) ('cisplatin', 'MPA', (101, 110)) ('GLI1', 'Gene', (14, 18)) ('cisplatin', 'Chemical', 'MESH:D002945', (65, 74)) ('cisplatin', 'Chemical', 'MESH:D002945', (101, 110)) ('accumulation', 'PosReg', (85, 97)) ('ovarian cancer', 'Disease', (22, 36)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (22, 36)) ('Inhibition', 'Var', (0, 10)) ('cancer', 'Phenotype', 'HP:0002664', (30, 36)) 4536 26633513 Inhibition of GLI1 not only suppresses tumor growth, but also sensitizes the cancer cells to chemotherapeutic agents. ('GLI1', 'Gene', (14, 18)) ('tumor', 'Disease', 'MESH:D009369', (39, 44)) ('cancer', 'Disease', (77, 83)) ('cancer', 'Disease', 'MESH:D009369', (77, 83)) ('tumor', 'Phenotype', 'HP:0002664', (39, 44)) ('suppresses', 'NegReg', (28, 38)) ('Inhibition', 'Var', (0, 10)) ('cancer', 'Phenotype', 'HP:0002664', (77, 83)) ('tumor', 'Disease', (39, 44)) ('sensitizes', 'Reg', (62, 72)) 4542 26633513 Recently, it has been shown that in acute myeloid leukemia (AML) patients, GLI1 expression induces resistance to ribavirin by modifying the activity of the drug. ('AML', 'Disease', 'MESH:D015470', (60, 63)) ('acute myeloid leukemia', 'Disease', (36, 58)) ('acute myeloid leukemia', 'Phenotype', 'HP:0004808', (36, 58)) ('resistance to ribavirin', 'MPA', (99, 122)) ('ribavirin', 'Chemical', 'MESH:D012254', (113, 122)) ('acute myeloid leukemia', 'Disease', 'MESH:D015470', (36, 58)) ('modifying', 'Reg', (126, 135)) ('AML', 'Phenotype', 'HP:0004808', (60, 63)) ('AML', 'Disease', (60, 63)) ('patients', 'Species', '9606', (65, 73)) ('myeloid leukemia', 'Phenotype', 'HP:0012324', (42, 58)) ('leukemia', 'Phenotype', 'HP:0001909', (50, 58)) ('activity of the drug', 'MPA', (140, 160)) ('GLI1', 'Gene', (75, 79)) ('induces', 'Reg', (91, 98)) ('expression', 'Var', (80, 90)) 4545 26633513 Knocking down GLI1 affects the protein stability of UGT1A and sensitizes the cells to ribavirin. ('UGT1A', 'Gene', (52, 57)) ('GLI1', 'Gene', (14, 18)) ('Knocking down', 'Var', (0, 13)) ('affects', 'Reg', (19, 26)) ('ribavirin', 'Chemical', 'MESH:D012254', (86, 95)) ('protein stability', 'MPA', (31, 48)) ('UGT1A', 'Gene', '7361', (52, 57)) ('sensitizes', 'Reg', (62, 72)) 4552 26633513 Inhibition of SMO prevents UV-induced basal cell carcinomas through the regulation of Fas expression and apoptosis. ('carcinoma', 'Phenotype', 'HP:0030731', (49, 58)) ('basal cell carcinoma', 'Phenotype', 'HP:0002671', (38, 58)) ('SMO', 'Gene', '6608', (14, 17)) ('carcinomas', 'Phenotype', 'HP:0030731', (49, 59)) ('SMO', 'Gene', (14, 17)) ('apoptosis', 'CPA', (105, 114)) ('basal cell carcinomas', 'Disease', (38, 59)) ('basal cell carcinomas', 'Phenotype', 'HP:0002671', (38, 59)) ('basal cell carcinomas', 'Disease', 'MESH:D002280', (38, 59)) ('Inhibition', 'Var', (0, 10)) ('Fas', 'Protein', (86, 89)) 4565 26633513 Overall, our review summarizes and updates the role of aberrant GLI1 activation in the DNA damage response, carcinogenesis and chemoresistance. ('DNA damage', 'MPA', (87, 97)) ('aberrant', 'Var', (55, 63)) ('GLI1', 'Gene', (64, 68)) ('carcinogenesis', 'Disease', 'MESH:D063646', (108, 122)) ('carcinogenesis', 'Disease', (108, 122)) ('activation', 'PosReg', (69, 79)) 4567 26633513 The results may provide new directions for targeting aberrant GLI1 expression in cancer treatment. ('cancer', 'Disease', 'MESH:D009369', (81, 87)) ('GLI1', 'Gene', (62, 66)) ('cancer', 'Disease', (81, 87)) ('cancer', 'Phenotype', 'HP:0002664', (81, 87)) ('aberrant', 'Var', (53, 61)) 4571 26633513 In 2011, the authors appended two new hallmarks of cancer, dysregulated cellular metabolism and avoiding immune destruction. ('dysregulated', 'Var', (59, 71)) ('cancer', 'Phenotype', 'HP:0002664', (51, 57)) ('cancer', 'Disease', (51, 57)) ('cellular metabolism', 'CPA', (72, 91)) ('cancer', 'Disease', 'MESH:D009369', (51, 57)) 4574 26633513 Apart from these hallmarks, other important functions like epigenetic modification, angiogenesis, hypoxia, cancer stem cells, hTERT activity, DNA damage, repair and GI are induced or regulated by GLI1. ('hTERT', 'Gene', (126, 131)) ('angiogenesis', 'CPA', (84, 96)) ('repair', 'CPA', (154, 160)) ('hypoxia', 'Disease', (98, 105)) ('hypoxia', 'Disease', 'MESH:D000860', (98, 105)) ('cancer', 'Phenotype', 'HP:0002664', (107, 113)) ('cancer', 'Disease', 'MESH:D009369', (107, 113)) ('hTERT', 'Gene', '7015', (126, 131)) ('cancer', 'Disease', (107, 113)) ('epigenetic', 'Var', (59, 69)) 4580 26633513 Inhibiting GLI1 alone or in combination with oncogenic signals will help to solve the complex roles of GLI1 in carcinogenesis. ('carcinogenesis', 'Disease', (111, 125)) ('carcinogenesis', 'Disease', 'MESH:D063646', (111, 125)) ('Inhibiting', 'Var', (0, 10)) ('GLI1', 'Gene', (11, 15)) 4632 22279419 Recent studies have linked dysregulation of specific miRNAs to histological grade, neoplastic progression and metastatic potential. ('miR', 'Gene', '220972', (53, 56)) ('miR', 'Gene', (53, 56)) ('metastatic potential', 'CPA', (110, 130)) ('dysregulation', 'Var', (27, 40)) ('neoplastic progression', 'CPA', (83, 105)) 4635 22279419 We report for the first time C-PAC-induced modulation of five miRNAs in three EAC cell lines resulting in 26 validated gene targets and identification of key signaling pathways including p53, angiogenesis, T-cell activation and apoptosis. ('apoptosis', 'CPA', (228, 237)) ('EAC', 'Phenotype', 'HP:0011459', (78, 81)) ('p53', 'Gene', (187, 190)) ('miR', 'Gene', '220972', (62, 65)) ('C-PAC', 'Chemical', '-', (29, 34)) ('miR', 'Gene', (62, 65)) ('PAC', 'Phenotype', 'HP:0006699', (31, 34)) ('p53', 'Gene', '7157', (187, 190)) ('angiogenesis', 'CPA', (192, 204)) ('modulation', 'Var', (43, 53)) ('T-cell activation', 'CPA', (206, 223)) 4650 22279419 In brief, in this report, we sought first to summarize the current findings on microRNA (miRNA or miR) expression patterns in BE through EAC pathologies and second, to identify C-PAC-induced alterations of miRNAs following treatment of a panel of three validated EAC human cell lines. ('EAC', 'Phenotype', 'HP:0011459', (263, 266)) ('PAC', 'Phenotype', 'HP:0006699', (179, 182)) ('EAC', 'Phenotype', 'HP:0011459', (137, 140)) ('miR', 'Gene', '220972', (89, 92)) ('miR', 'Gene', '220972', (98, 101)) ('miR', 'Gene', (89, 92)) ('miR', 'Gene', (98, 101)) ('alterations', 'Reg', (191, 202)) ('C-PAC', 'Chemical', '-', (177, 182)) ('miR', 'Gene', '220972', (206, 209)) ('miR', 'Gene', (206, 209)) ('BE', 'Phenotype', 'HP:0100580', (126, 128)) ('C-PAC-induced', 'Var', (177, 190)) ('rat', 'Species', '10116', (195, 198)) ('human', 'Species', '9606', (267, 272)) 4652 22279419 Recent studies have linked dysregulation of specific miRNAs to histological grade, neoplastic progression, metastatic potential, treatment responiveness and patient prognosis. ('miR', 'Gene', '220972', (53, 56)) ('metastatic potential', 'CPA', (107, 127)) ('miR', 'Gene', (53, 56)) ('patient', 'Species', '9606', (157, 164)) ('dysregulation', 'Var', (27, 40)) ('neoplastic progression', 'CPA', (83, 105)) 4690 22279419 Similar concentrations of C-PAC have previously been found to inhibit the viability and proliferation of lung (NCI-H460) and colon cancer (SW460) cell lines, increase the percentage of cells accumulating at the G1 checkpoint, induce apoptosis, modulate global gene expression profiles and alter select proteins linked to cell cycle regulation and apoptosis. ('colon cancer', 'Disease', 'MESH:D015179', (125, 137)) ('PAC', 'Phenotype', 'HP:0006699', (28, 31)) ('induce', 'PosReg', (226, 232)) ('rat', 'Species', '10116', (95, 98)) ('C-PAC', 'Chemical', '-', (26, 31)) ('inhibit', 'NegReg', (62, 69)) ('alter', 'Reg', (289, 294)) ('increase', 'PosReg', (158, 166)) ('colon cancer', 'Disease', (125, 137)) ('rat', 'Species', '10116', (15, 18)) ('global gene expression profiles', 'MPA', (253, 284)) ('C-PAC', 'Var', (26, 31)) ('select', 'MPA', (295, 301)) ('apoptosis', 'CPA', (233, 242)) ('colon cancer', 'Phenotype', 'HP:0003003', (125, 137)) ('NCI-H460', 'CellLine', 'CVCL:0459', (111, 119)) ('viability', 'CPA', (74, 83)) ('SW460', 'CellLine', 'CVCL:0459', (139, 144)) ('proteins', 'Protein', (302, 310)) ('cancer', 'Phenotype', 'HP:0002664', (131, 137)) ('proliferation', 'CPA', (88, 101)) ('modulate', 'Reg', (244, 252)) 4691 22279419 In addition, C-PACs' inhibitory effects are greater in cancer cells compared to normal HET1A esophageal cells (data not shown) and C-PAC shows superior inhibition of EAC cell viability (85-90% inhibition) compared to black raspberry extract (<40%). ('PAC', 'Phenotype', 'HP:0006699', (133, 136)) ('C-PAC', 'Chemical', '-', (131, 136)) ('-PACs', 'Phenotype', 'HP:0006699', (14, 19)) ('inhibition', 'NegReg', (152, 162)) ('EAC cell viability', 'CPA', (166, 184)) ('cancer', 'Phenotype', 'HP:0002664', (55, 61)) ('EAC', 'Phenotype', 'HP:0011459', (166, 169)) ('C-PAC', 'Chemical', '-', (13, 18)) ('black raspberry', 'Species', '75079', (217, 232)) ('PACs', 'Phenotype', 'HP:0006699', (15, 19)) ('PAC', 'Phenotype', 'HP:0006699', (15, 18)) ('cancer', 'Disease', 'MESH:D009369', (55, 61)) ('inhibitory effects', 'MPA', (21, 39)) ('C-PAC', 'Var', (131, 136)) ('cancer', 'Disease', (55, 61)) 4692 22279419 C-PAC has unique A-type chemical linkages found only in a limited number of fruits to date including cranberry, chokeberry, plums and avocado, which may account for some of the improved inhibitory capacity and other unique mechanisms by which C-PAC inhibits cancer-related processes in EAC cells. ('cancer', 'Phenotype', 'HP:0002664', (258, 264)) ('EAC', 'Phenotype', 'HP:0011459', (286, 289)) ('improved', 'PosReg', (177, 185)) ('plums', 'Species', '3758', (124, 129)) ('cancer', 'Disease', 'MESH:D009369', (258, 264)) ('C-PAC', 'Var', (243, 248)) ('PAC', 'Phenotype', 'HP:0006699', (2, 5)) ('C-PAC', 'Chemical', '-', (0, 5)) ('PAC', 'Phenotype', 'HP:0006699', (245, 248)) ('C-PAC', 'Chemical', '-', (243, 248)) ('cancer', 'Disease', (258, 264)) ('avocado', 'Species', '3435', (134, 141)) ('inhibits', 'NegReg', (249, 257)) 4695 22279419 Table 1 summarizes aberrant miRNA expression in BE and EAC tissues as identified in 13 original research studies. ('EAC', 'Phenotype', 'HP:0011459', (55, 58)) ('miR', 'Gene', '220972', (28, 31)) ('miR', 'Gene', (28, 31)) ('aberrant', 'Var', (19, 27)) ('BE', 'Phenotype', 'HP:0100580', (48, 50)) 4703 22279419 In addition, six of C-PAC-modulated miRs identified have been reported to be differentially expressed between EAC compared to NSE and also in premalignant pathologies, supporting that C-PAC may hold cancer inhibitory potential at late stages of neoplastic transformation, as well as early during the development of esophageal premalignancy. ('C-PAC', 'Chemical', '-', (184, 189)) ('cancer', 'Phenotype', 'HP:0002664', (199, 205)) ('PAC', 'Phenotype', 'HP:0006699', (186, 189)) ('esophageal premalignancy', 'Disease', (315, 339)) ('cancer', 'Disease', 'MESH:D009369', (199, 205)) ('PAC', 'Phenotype', 'HP:0006699', (22, 25)) ('C-PAC', 'Chemical', '-', (20, 25)) ('cancer', 'Disease', (199, 205)) ('EAC', 'Phenotype', 'HP:0011459', (110, 113)) ('miR', 'Gene', '220972', (36, 39)) ('esophageal premalignancy', 'Disease', 'MESH:D004941', (315, 339)) ('miR', 'Gene', (36, 39)) ('C-PAC', 'Var', (184, 189)) 4707 22279419 C-PAC also inversely impacted let-7b, miR-136, and miR-34a based upon BE and EAC cell line findings summarized in Supplemental Table 1. ('impacted', 'Reg', (21, 29)) ('miR-136', 'Gene', (38, 45)) ('BE', 'Phenotype', 'HP:0100580', (70, 72)) ('EAC', 'Phenotype', 'HP:0011459', (77, 80)) ('miR-34a', 'Gene', (51, 58)) ('miR-136', 'Gene', '406927', (38, 45)) ('let-7b', 'Gene', '406884', (30, 36)) ('let-7b', 'Gene', (30, 36)) ('C-PAC', 'Var', (0, 5)) ('PAC', 'Phenotype', 'HP:0006699', (2, 5)) ('C-PAC', 'Chemical', '-', (0, 5)) ('miR-34a', 'Gene', '407040', (51, 58)) 4729 22279419 These data support that C-PAC modulated some common cancer-linked pathways across all three EAC cell lines; however, unique pathways were also detected between the EAC cell lines in terms of C-PAC-induced changes likely reflecting differences in the molecular profiles of the individual cell lines. ('changes', 'Reg', (205, 212)) ('cancer', 'Phenotype', 'HP:0002664', (52, 58)) ('EAC', 'Phenotype', 'HP:0011459', (92, 95)) ('C-PAC', 'Chemical', '-', (24, 29)) ('C-PAC', 'Chemical', '-', (191, 196)) ('EAC', 'Phenotype', 'HP:0011459', (164, 167)) ('PAC', 'Phenotype', 'HP:0006699', (26, 29)) ('PAC', 'Phenotype', 'HP:0006699', (193, 196)) ('C-PAC-induced', 'Var', (191, 204)) ('modulated', 'Reg', (30, 39)) ('cancer', 'Disease', (52, 58)) ('cancer', 'Disease', 'MESH:D009369', (52, 58)) ('detected', 'Reg', (143, 151)) 4737 22279419 C-PAC altered miRs (>=2 EAC cell lines) also resulted in the identification of 26 modulated pathways with 21 of the 26 overlapping with those identified as altered in EAC or BE tissues, supporting that C-PAC may normalize altered miRNA profiles in BE and EAC. ('BE', 'Phenotype', 'HP:0100580', (248, 250)) ('normalize', 'NegReg', (212, 221)) ('miR', 'Gene', '220972', (230, 233)) ('EAC', 'Phenotype', 'HP:0011459', (167, 170)) ('miR', 'Gene', (230, 233)) ('EAC', 'Phenotype', 'HP:0011459', (24, 27)) ('EAC', 'Phenotype', 'HP:0011459', (255, 258)) ('PAC', 'Phenotype', 'HP:0006699', (2, 5)) ('C-PAC', 'Chemical', '-', (0, 5)) ('miR', 'Gene', '220972', (14, 17)) ('PAC', 'Phenotype', 'HP:0006699', (204, 207)) ('miR', 'Gene', (14, 17)) ('BE', 'Phenotype', 'HP:0100580', (174, 176)) ('C-PAC', 'Var', (202, 207)) ('C-PAC', 'Chemical', '-', (202, 207)) 4740 22279419 Similarly, C-PAC altered a small number of PANTHER pathways not reported in EAC tissues, including oxidative stress response, hypoxia response via hypoxia-inducible factor activation, DNA replication and Notch signaling pathways. ('altered', 'Reg', (17, 24)) ('hypoxia', 'Disease', (147, 154)) ('DNA replication', 'Pathway', (184, 199)) ('hypoxia', 'Disease', 'MESH:D000860', (147, 154)) ('hypoxia', 'Disease', (126, 133)) ('oxidative stress response', 'MPA', (99, 124)) ('hypoxia', 'Disease', 'MESH:D000860', (126, 133)) ('C-PAC', 'Chemical', '-', (11, 16)) ('PANTHER pathways', 'Pathway', (43, 59)) ('C-PAC', 'Var', (11, 16)) ('oxidative stress', 'Phenotype', 'HP:0025464', (99, 115)) ('Notch signaling pathways', 'Pathway', (204, 228)) ('EAC', 'Phenotype', 'HP:0011459', (76, 79)) ('PAC', 'Phenotype', 'HP:0006699', (13, 16)) 4742 22279419 As an example, mutations in P53, P16, PTEN, PIK3CA, RAS, and more recently, NOTCH have all been linked to cancers of the head and neck and based on the results presented are targets potentially modulated by C-PAC treatment. ('P16', 'Gene', '1029', (33, 36)) ('cancers', 'Phenotype', 'HP:0002664', (106, 113)) ('cancers', 'Disease', (106, 113)) ('P16', 'Gene', (33, 36)) ('cancer', 'Phenotype', 'HP:0002664', (106, 112)) ('PIK3CA', 'Gene', (44, 50)) ('PTEN', 'Gene', '5728', (38, 42)) ('C-PAC', 'Chemical', '-', (207, 212)) ('mutations', 'Var', (15, 24)) ('NOTCH', 'Gene', (76, 81)) ('cancers of the head and neck', 'Phenotype', 'HP:0012288', (106, 134)) ('RAS', 'Gene', (52, 55)) ('P53', 'Gene', (28, 31)) ('cancers', 'Disease', 'MESH:D009369', (106, 113)) ('linked to', 'Reg', (96, 105)) ('PIK3CA', 'Gene', '5290', (44, 50)) ('PAC', 'Phenotype', 'HP:0006699', (209, 212)) ('P53', 'Gene', '7157', (28, 31)) ('PTEN', 'Gene', (38, 42)) 4745 22279419 Overall, the data support that C-PAC, a proanthocyanidin-rich cranberry extract, has potent inhibitory effects on the viability of EAC cells, which is in part attributable to modulation of select miRNAs, some of which are known to be altered in EAC and precursor lesions. ('C-PAC', 'Chemical', '-', (31, 36)) ('EAC', 'Disease', (245, 248)) ('EAC', 'Disease', (131, 134)) ('modulation', 'Reg', (175, 185)) ('miR', 'Gene', '220972', (196, 199)) ('miR', 'Gene', (196, 199)) ('proanthocyanidin', 'Chemical', 'MESH:C013221', (40, 56)) ('PAC', 'Phenotype', 'HP:0006699', (33, 36)) ('C-PAC', 'Var', (31, 36)) ('EAC', 'Phenotype', 'HP:0011459', (131, 134)) ('viability', 'CPA', (118, 127)) ('inhibitory effects', 'NegReg', (92, 110)) ('EAC', 'Phenotype', 'HP:0011459', (245, 248)) 4850 20515502 Another finding in our study was that the high-dose preoperative CRT group had a much higher frequency of serious toxicities compared to other studies applying lower doses of concomitant cisplatin, 5-fluorouracil and RT. ('5-fluorouracil', 'Chemical', 'MESH:D005472', (198, 212)) ('toxicities', 'Disease', (114, 124)) ('high-dose', 'Var', (42, 51)) ('cisplatin', 'Chemical', 'MESH:D002945', (187, 196)) ('toxicities', 'Disease', 'MESH:D064420', (114, 124)) 4871 32657048 The levels of beta-catenin, c-myc, and survivin were also downregulated by ART. ('c-myc', 'Gene', '4609', (28, 33)) ('beta-catenin', 'Gene', (14, 26)) ('ART', 'Var', (75, 78)) ('beta-catenin', 'Gene', '1499', (14, 26)) ('c-myc', 'Gene', (28, 33)) ('levels of', 'MPA', (4, 13)) ('downregulated', 'NegReg', (58, 71)) ('survivin', 'Protein', (39, 47)) ('ART', 'Chemical', 'MESH:C031327', (75, 78)) 4882 32657048 Furthermore, ART also enhanced the antitumor effect of oxaliplatin (OXA) in esophageal cancer cells. ('ART', 'Chemical', 'MESH:C031327', (13, 16)) ('esophageal cancer', 'Disease', (76, 93)) ('ART', 'Var', (13, 16)) ('tumor', 'Disease', 'MESH:D009369', (39, 44)) ('oxaliplatin', 'Chemical', 'MESH:D000077150', (55, 66)) ('cancer', 'Phenotype', 'HP:0002664', (87, 93)) ('tumor', 'Phenotype', 'HP:0002664', (39, 44)) ('esophageal cancer', 'Disease', 'MESH:D004938', (76, 93)) ('OXA', 'Chemical', 'MESH:D000077150', (68, 71)) ('tumor', 'Disease', (39, 44)) ('enhanced', 'PosReg', (22, 30)) 4892 32657048 14 Specifically, the misregulation of the Wnt/beta-catenin signaling pathway mediated by the tumor suppressor or activating agents has been associated with EC. ('tumor', 'Disease', 'MESH:D009369', (94, 99)) ('beta-catenin', 'Gene', '1499', (47, 59)) ('tumor', 'Phenotype', 'HP:0002664', (94, 99)) ('tumor', 'Disease', (94, 99)) ('associated', 'Reg', (141, 151)) ('beta-catenin', 'Gene', (47, 59)) ('misregulation', 'Var', (22, 35)) 4931 32657048 Here too, ART significantly inhibited the cell migration in a dose-dependent manner, and 20 muM of ART was most effective in migration suppression compared with the control group (Fig 1b). ('ART', 'Chemical', 'MESH:C031327', (99, 102)) ('cell migration', 'CPA', (42, 56)) ('ART', 'Var', (99, 102)) ('ART', 'Chemical', 'MESH:C031327', (10, 13)) ('ART', 'Var', (10, 13)) ('inhibited', 'NegReg', (28, 37)) ('migration suppression', 'CPA', (125, 146)) 4944 32657048 To verify whether the aforementioned antitumor effects of ART were indeed associated with the Wnt/beta-catenin signaling pathway, ART (20 muM) treated cells were subjected to 20 mM LiCl, an activator of the Wnt/beta-catenin signaling pathway. ('tumor', 'Phenotype', 'HP:0002664', (41, 46)) ('LiCl', 'Chemical', '-', (181, 185)) ('tumor', 'Disease', (41, 46)) ('ART', 'Chemical', 'MESH:C031327', (130, 133)) ('ART', 'Chemical', 'MESH:C031327', (58, 61)) ('beta-catenin', 'Gene', (211, 223)) ('ART', 'Var', (130, 133)) ('beta-catenin', 'Gene', '1499', (211, 223)) ('beta-catenin', 'Gene', (98, 110)) ('tumor', 'Disease', 'MESH:D009369', (41, 46)) ('beta-catenin', 'Gene', '1499', (98, 110)) ('associated', 'Reg', (74, 84)) 4954 32657048 We found that after treating cells with ART, OXA, or ART+OXA (0-100 muM) for 48 hours, cell viabilities were significantly suppressed. ('ART', 'Chemical', 'MESH:C031327', (40, 43)) ('cell viabilities', 'CPA', (87, 103)) ('ART+OXA', 'Var', (53, 60)) ('suppressed', 'NegReg', (123, 133)) ('OXA', 'Chemical', 'MESH:D000077150', (57, 60)) ('OXA', 'Chemical', 'MESH:D000077150', (45, 48)) ('ART', 'Chemical', 'MESH:C031327', (53, 56)) 4968 32657048 More strikingly, cell cycle arrest of EC109 cells was also observed upon treatment with ART. ('EC109', 'Chemical', '-', (38, 43)) ('ART', 'Var', (88, 91)) ('arrest', 'Disease', (28, 34)) ('ART', 'Chemical', 'MESH:C031327', (88, 91)) ('cell cycle arrest', 'Phenotype', 'HP:0011018', (17, 34)) ('arrest', 'Disease', 'MESH:D006323', (28, 34)) 4991 32681017 We identified a novel natural ECRG2 promoter variant harboring a small deletion that exists in the genomes of ~38.5% of world population and showed this variant to be defective in responding to p53 and DNA-damage. ('variant', 'Var', (153, 160)) ('ECRG2', 'Gene', '84651', (30, 35)) ('defective', 'NegReg', (167, 176)) ('ECRG2', 'Gene', (30, 35)) ('p53', 'Gene', (194, 197)) ('p53', 'Gene', '7157', (194, 197)) ('variant', 'Var', (45, 52)) 4992 32681017 ECRG2 overexpression induced cancer cell death; ECRG2 gene disruption enhanced cell survival following anticancer drug treatments even when p53 was induced. ('cancer', 'Disease', (29, 35)) ('cell survival', 'CPA', (79, 92)) ('ECRG2', 'Gene', '84651', (0, 5)) ('cancer', 'Phenotype', 'HP:0002664', (107, 113)) ('ECRG2', 'Gene', (0, 5)) ('cancer', 'Phenotype', 'HP:0002664', (29, 35)) ('expression', 'Species', '29278', (10, 20)) ('ECRG2', 'Gene', '84651', (48, 53)) ('gene disruption', 'Var', (54, 69)) ('enhanced', 'PosReg', (70, 78)) ('ECRG2', 'Gene', (48, 53)) ('cancer', 'Disease', 'MESH:D009369', (107, 113)) ('cancer', 'Disease', 'MESH:D009369', (29, 35)) ('p53', 'Gene', (140, 143)) ('cancer', 'Disease', (107, 113)) ('p53', 'Gene', '7157', (140, 143)) 4998 32681017 Upon DNA damage, p53 protein is stabilized via post-translational modifications and binds to the response elements present within the promoters or introns of its target genes in a sequence-specific manner. ('binds', 'Interaction', (84, 89)) ('DNA', 'Var', (5, 8)) ('p53', 'Gene', (17, 20)) ('protein', 'Protein', (21, 28)) ('p53', 'Gene', '7157', (17, 20)) 5013 32681017 Genetic alterations (missense mutations, deletion/frameshift mutations) in the ECRG2 gene were also reported in various human malignancies. ('malignancies', 'Disease', 'MESH:D009369', (126, 138)) ('reported', 'Reg', (100, 108)) ('human', 'Species', '9606', (120, 125)) ('malignancies', 'Disease', (126, 138)) ('ECRG2', 'Gene', (79, 84)) ('deletion/frameshift mutations', 'Var', (41, 70)) ('ECRG2', 'Gene', '84651', (79, 84)) 5015 32681017 reported that ECRG2 knockdown caused chromosomal instability and aneuploidy. ('aneuploidy', 'Disease', (65, 75)) ('chromosomal instability', 'CPA', (37, 60)) ('ECRG2', 'Gene', '84651', (14, 19)) ('aneuploidy', 'Disease', 'MESH:D000782', (65, 75)) ('ECRG2', 'Gene', (14, 19)) ('knockdown', 'Var', (20, 29)) ('caused', 'Reg', (30, 36)) ('chromosomal instability', 'Phenotype', 'HP:0040012', (37, 60)) 5026 32681017 S2, which indicates that ECRG2 knockdown by shRNA reduced the band-intensity of ECRG2 protein. ('ECRG2', 'Gene', '84651', (80, 85)) ('ECRG2', 'Gene', (80, 85)) ('ECRG2', 'Gene', '84651', (25, 30)) ('reduced', 'NegReg', (50, 57)) ('ECRG2', 'Gene', (25, 30)) ('knockdown', 'Var', (31, 40)) 5042 32681017 Given that ECRG2 promoter (either full-length or the deletion variant) has never been functionally characterized, next, we investigated how these two promoter variants are regulated. ('ECRG2', 'Gene', (11, 16)) ('deletion', 'Var', (53, 61)) ('ECRG2', 'Gene', '84651', (11, 16)) 5063 32681017 This could be due to the lower basal activity of ECRG2-del-luc, which shows that 8-nt deletion within ECRG2 promoter affects its basal activity under the unstressed condition. ('ECRG2', 'Gene', '84651', (102, 107)) ('ECRG2', 'Gene', (102, 107)) ('basal activity', 'MPA', (129, 143)) ('ECRG2', 'Gene', (49, 54)) ('ECRG2', 'Gene', '84651', (49, 54)) ('affects', 'Reg', (117, 124)) ('deletion', 'Var', (86, 94)) 5076 32681017 Figure 6a and b show that expression of exogenous ECRG2 induced strong growth suppression in both A549 and HeLa cancer cells. ('A549', 'CellLine', 'CVCL:0023', (98, 102)) ('ECRG2', 'Gene', (50, 55)) ('ECRG2', 'Gene', '84651', (50, 55)) ('cancer', 'Phenotype', 'HP:0002664', (112, 118)) ('HeLa cancer', 'Disease', (107, 118)) ('exogenous', 'Var', (40, 49)) ('expression', 'Species', '29278', (26, 36)) ('growth suppression', 'CPA', (71, 89)) ('HeLa cancer', 'Disease', 'MESH:D009369', (107, 118)) 5081 32681017 Figure 7 shows that disruption of endogenous ECRG2 markedly enhanced the survival of RKO and HeLa cells under etoposide-induced DNA damage (Fig. ('HeLa', 'CellLine', 'CVCL:0030', (93, 97)) ('etoposide', 'Chemical', 'MESH:D005047', (110, 119)) ('disruption', 'Var', (20, 30)) ('survival', 'CPA', (73, 81)) ('ECRG2', 'Gene', (45, 50)) ('ECRG2', 'Gene', '84651', (45, 50)) ('enhanced', 'PosReg', (60, 68)) 5083 32681017 Under unstressed conditions, ECRG2 gene disruption did not change the growth rate of ECRG2-targeted HeLa cells compared to the scrambled control cells (data not shown), but significantly accelerated the growth of ECRG2-targeted RKO cells (Fig. ('ECRG2', 'Gene', (29, 34)) ('ECRG2', 'Gene', (85, 90)) ('disruption', 'Var', (40, 50)) ('ECRG2', 'Gene', '84651', (213, 218)) ('ECRG2', 'Gene', '84651', (85, 90)) ('ECRG2', 'Gene', (213, 218)) ('growth', 'MPA', (203, 209)) ('HeLa', 'CellLine', 'CVCL:0030', (100, 104)) ('ECRG2', 'Gene', '84651', (29, 34)) ('accelerated', 'PosReg', (187, 198)) 5098 32681017 If the extent of DNA damage is beyond the repair capacity, cell death becomes imminent or the genetic errors are passed on to the daughter cells, accumulation of which can lead to cancer formation. ('cancer', 'Phenotype', 'HP:0002664', (180, 186)) ('lead to', 'Reg', (172, 179)) ('cancer', 'Disease', 'MESH:D009369', (180, 186)) ('errors', 'Var', (102, 108)) ('cancer', 'Disease', (180, 186)) 5102 32681017 We have shown that disruption of ECRG2 significantly enhanced cell survival and prevented or reduced the cleavage (activation) of caspase 3 and PARP following etoposide treatment; such ECRG2-deficiency-associated changes occurred in wild type p53 cells (RKO), even when p53 was induced (Fig. ('ECRG2', 'Gene', '84651', (33, 38)) ('etoposide', 'Chemical', 'MESH:D005047', (159, 168)) ('ECRG2', 'Gene', (185, 190)) ('p53', 'Gene', '7157', (270, 273)) ('ECRG2', 'Gene', (33, 38)) ('cleavage', 'MPA', (105, 113)) ('p53', 'Gene', (270, 273)) ('deficiency', 'Disease', 'MESH:D007153', (191, 201)) ('PARP', 'Gene', '1302', (144, 148)) ('deficiency', 'Disease', (191, 201)) ('p53', 'Gene', '7157', (243, 246)) ('enhanced', 'PosReg', (53, 61)) ('disruption', 'Var', (19, 29)) ('cell survival', 'CPA', (62, 75)) ('ECRG2', 'Gene', '84651', (185, 190)) ('reduced', 'NegReg', (93, 100)) ('PARP', 'Gene', (144, 148)) ('caspase 3', 'Gene', (130, 139)) ('p53', 'Gene', (243, 246)) ('caspase 3', 'Gene', '836', (130, 139)) 5106 32681017 have also shown that silencing DR5 promoted resistance to 5-fluorouracil (5-FU) in tumor cells with wild type p53 (HCT 116). ('tumor', 'Phenotype', 'HP:0002664', (83, 88)) ('p53', 'Gene', (110, 113)) ('DR5', 'Gene', '8795', (31, 34)) ('5-FU', 'Chemical', 'MESH:D005472', (74, 78)) ('tumor', 'Disease', (83, 88)) ('p53', 'Gene', '7157', (110, 113)) ('5-fluorouracil', 'Chemical', 'MESH:D005472', (58, 72)) ('promoted', 'PosReg', (35, 43)) ('tumor', 'Disease', 'MESH:D009369', (83, 88)) ('silencing', 'Var', (21, 30)) ('DR5', 'Gene', (31, 34)) 5113 32681017 Studies have shown that HuR protein expression levels positively correlate with the expression of XIAP, Bcl-2, and Mcl-1; HuR knockdown reduces Mcl-1 and Bcl-2 expression and promotes cell death. ('Bcl-2', 'Gene', '596', (104, 109)) ('Mcl-1', 'Gene', (144, 149)) ('expression', 'Species', '29278', (84, 94)) ('cell death', 'CPA', (184, 194)) ('reduces', 'NegReg', (136, 143)) ('HuR', 'Gene', (122, 125)) ('Mcl-1', 'Gene', '4170', (115, 120)) ('XIAP', 'Gene', (98, 102)) ('expression', 'Species', '29278', (36, 46)) ('Bcl-2', 'Gene', (154, 159)) ('HuR', 'Gene', '1994', (122, 125)) ('expression', 'MPA', (160, 170)) ('HuR', 'Gene', (24, 27)) ('Mcl-1', 'Gene', (115, 120)) ('Bcl-2', 'Gene', '596', (154, 159)) ('Mcl-1', 'Gene', '4170', (144, 149)) ('HuR', 'Gene', '1994', (24, 27)) ('Bcl-2', 'Gene', (104, 109)) ('promotes', 'PosReg', (175, 183)) ('knockdown', 'Var', (126, 135)) ('expression', 'Species', '29278', (160, 170)) ('XIAP', 'Gene', '331', (98, 102)) 5120 32681017 Another novel finding from our current study indicates that ECRG2 promoter allele with rs3214447 variant (TAGAATTC deletion) negatively impacts ECRG2 promoter activity under unstressed condition as well as under DNA-damage (Fig. ('rs3214447', 'Mutation', 'rs3214447', (87, 96)) ('rs3214447', 'Var', (87, 96)) ('ECRG2', 'Gene', '84651', (60, 65)) ('ECRG2', 'Gene', (60, 65)) ('ECRG2', 'Gene', '84651', (144, 149)) ('ECRG2', 'Gene', (144, 149)) ('negatively impacts', 'NegReg', (125, 143)) 5121 32681017 Our discovery of rs3214447 variant in relation to its negative impact on ECRG2 promoter activity is highly significant. ('ECRG2', 'Gene', (73, 78)) ('rs3214447', 'Mutation', 'rs3214447', (17, 26)) ('ECRG2', 'Gene', '84651', (73, 78)) ('rs3214447', 'Var', (17, 26)) 5122 32681017 This finding is potentially important as information revealed by the 1000 Genomes Project Phase-3 indicates that about 38.5% of world population harbors one or both alleles with TAGAATTC deletion within ECRG2 promoter (Fig. ('TAGAATTC deletion', 'Var', (178, 195)) ('ECRG2', 'Gene', (203, 208)) ('ECRG2', 'Gene', '84651', (203, 208)) 5125 32681017 In this context, it will be interesting to investigate in the future whether cancer patients with the TAGAATTC deletion in the ECRG2 promoter would exhibit strong apoptotic response following DNA damage-inducing anticancer drugs. ('TAGAATTC deletion', 'Var', (102, 119)) ('patients', 'Species', '9606', (84, 92)) ('cancer', 'Phenotype', 'HP:0002664', (216, 222)) ('cancer', 'Disease', (77, 83)) ('cancer', 'Disease', 'MESH:D009369', (77, 83)) ('ECRG2', 'Gene', '84651', (127, 132)) ('ECRG2', 'Gene', (127, 132)) ('apoptotic response', 'CPA', (163, 181)) ('cancer', 'Disease', (216, 222)) ('cancer', 'Disease', 'MESH:D009369', (216, 222)) ('cancer', 'Phenotype', 'HP:0002664', (77, 83)) 5133 32681017 The antibodies against DR5 (D4E9), cleaved caspase 3 (D175) and cleaved PARP (Asp214) (D64E10) were from Cell Signaling Technology (Danvers, MA, USA). ('PARP', 'Gene', '1302', (72, 76)) ('DR5', 'Gene', (23, 26)) ('D175', 'Var', (54, 58)) ('PARP', 'Gene', (72, 76)) ('caspase 3', 'Gene', (43, 52)) ('caspase 3', 'Gene', '836', (43, 52)) ('DR5', 'Gene', '8795', (23, 26)) ('Asp214', 'Chemical', '-', (78, 84)) 5163 32681017 ECRG2 gene disruption was achieved using lentivirus-mediated CRISPR/Cas9 approach. ('ECRG2', 'Gene', (0, 5)) ('gene disruption', 'Var', (6, 21)) ('ECRG2', 'Gene', '84651', (0, 5)) 5217 31950049 Moreover, the BBR and galangin combination not only suppressed Wnt3a and beta-catenin expression but also induced apoptosis in esophageal cancer cells. ('Wnt3a', 'Gene', '89780', (63, 68)) ('beta-catenin', 'Gene', (73, 85)) ('esophageal cancer', 'Disease', (127, 144)) ('combination', 'Var', (31, 42)) ('Wnt3a', 'Gene', (63, 68)) ('esophageal cancer', 'Disease', 'MESH:D004938', (127, 144)) ('cancer', 'Phenotype', 'HP:0002664', (138, 144)) ('induced', 'Reg', (106, 113)) ('beta-catenin', 'Gene', '1499', (73, 85)) ('suppressed', 'NegReg', (52, 62)) ('galangin', 'Chemical', 'MESH:C037032', (22, 30)) ('BBR', 'Chemical', 'MESH:D001599', (14, 17)) ('apoptosis', 'CPA', (114, 123)) 5219 31950049 found that the radiosensitivity of xenografts in nude mice and ESCC cells was significantly enhanced by BBR via the suppression of vascular endothelial growth factor (VEGF) and hypoxia inducible factor-1 alpha (HIF-1alpha) expression. ('nude mice', 'Species', '10090', (49, 58)) ('hypoxia inducible factor-1 alpha', 'Gene', (177, 209)) ('ESCC', 'Disease', 'MESH:C562729', (63, 67)) ('expression', 'MPA', (223, 233)) ('nt', 'Chemical', 'MESH:D009711', (87, 89)) ('BBR', 'Var', (104, 107)) ('HIF-1alpha', 'Gene', (211, 221)) ('vascular endothelial growth factor', 'Gene', '22339', (131, 165)) ('radiosensitivity', 'CPA', (15, 31)) ('ESCC', 'Disease', (63, 67)) ('vascular endothelial growth factor', 'Gene', (131, 165)) ('hypoxia inducible factor-1 alpha', 'Gene', '15251', (177, 209)) ('BBR', 'Chemical', 'MESH:D001599', (104, 107)) ('suppression', 'NegReg', (116, 127)) ('enhanced', 'PosReg', (92, 100)) 5245 31950049 Liu found that BBR represses the proliferation and migration of CRC cells in vitro and in vivo by inhibiting JAK2 and STAT3 phosphorylation, which prevents the increase in COX-2/PGE2 levels and consequently decreases MMP-2/-9 expression. ('CRC', 'Disease', 'MESH:D015179', (64, 67)) ('inhibiting', 'NegReg', (98, 108)) ('JAK2', 'Gene', '3717', (109, 113)) ('PGE2', 'Chemical', 'MESH:D015232', (178, 182)) ('nt', 'Chemical', 'MESH:D009711', (202, 204)) ('STAT3', 'Gene', (118, 123)) ('prevents', 'NegReg', (147, 155)) ('represses', 'NegReg', (19, 28)) ('COX-2', 'Gene', (172, 177)) ('JAK2', 'Gene', (109, 113)) ('STAT3', 'Gene', '6774', (118, 123)) ('MMP-2/-9', 'Gene', (217, 225)) ('CRC', 'Disease', (64, 67)) ('nt', 'Chemical', 'MESH:D009711', (152, 154)) ('MMP-2/-9', 'Gene', '4313;4318', (217, 225)) ('BBR', 'Chemical', 'MESH:D001599', (15, 18)) ('COX-2', 'Gene', '5743', (172, 177)) ('increase', 'PosReg', (160, 168)) ('proliferation', 'CPA', (33, 46)) ('decreases', 'NegReg', (207, 216)) ('BBR', 'Var', (15, 18)) 5249 31950049 Their in vitro experiment showed that BBR exerts antiproliferative and proapoptotic effects on CRC cells via AMPK-dependent inhibition of the mTOR signaling pathway and prevents NF-kappaB activation, decreases cyclin D1 and survivin levels, induces p53 phosphorylation, and enhances caspase-3 cleavage in an AMPK-independent manner. ('nt', 'Chemical', 'MESH:D009711', (23, 25)) ('AMP', 'Chemical', 'MESH:D000249', (109, 112)) ('BBR', 'Var', (38, 41)) ('AMP', 'Chemical', 'MESH:D000249', (308, 311)) ('p53', 'Gene', (249, 252)) ('activation', 'MPA', (188, 198)) ('nt', 'Chemical', 'MESH:D009711', (322, 324)) ('caspase-3 cleavage', 'MPA', (283, 301)) ('nt', 'Chemical', 'MESH:D009711', (121, 123)) ('nt', 'Chemical', 'MESH:D009711', (50, 52)) ('NF-kappaB', 'Protein', (178, 187)) ('phosphorylation', 'MPA', (253, 268)) ('inhibition', 'NegReg', (124, 134)) ('survivin levels', 'MPA', (224, 239)) ('CRC', 'Disease', (95, 98)) ('decreases', 'NegReg', (200, 209)) ('cyclin D1', 'MPA', (210, 219)) ('prevents', 'NegReg', (169, 177)) ('induces', 'PosReg', (241, 248)) ('nt', 'Chemical', 'MESH:D009711', (174, 176)) ('mTOR signaling pathway', 'Pathway', (142, 164)) ('enhances', 'PosReg', (274, 282)) ('BBR', 'Chemical', 'MESH:D001599', (38, 41)) ('p53', 'Gene', '7157', (249, 252)) ('CRC', 'Disease', 'MESH:D015179', (95, 98)) 5258 31950049 In a study by Zhang, BBR was found to reduce the number and size of intestinal polyps in ApcMin/+ mice, in addition to reducing the Wnt activity and downregulating the expression of its target genes, cyclin D1 and c-Myc. ('intestinal polyps', 'Disease', (68, 85)) ('expression', 'MPA', (168, 178)) ('nt', 'Chemical', 'MESH:D009711', (133, 135)) ('intestinal polyps', 'Phenotype', 'HP:0005266', (68, 85)) ('cyclin D1', 'Gene', (200, 209)) ('downregulating', 'NegReg', (149, 163)) ('BBR', 'Var', (21, 24)) ('Wnt activity', 'CPA', (132, 144)) ('BBR', 'Chemical', 'MESH:D001599', (21, 24)) ('intestinal polyp', 'Phenotype', 'HP:0005266', (68, 84)) ('Apc', 'Gene', (89, 92)) ('reduce', 'NegReg', (38, 44)) ('Apc', 'Gene', '11789', (89, 92)) ('nt', 'Chemical', 'MESH:D009711', (69, 71)) ('intestinal polyps', 'Disease', 'MESH:D007417', (68, 85)) ('c-Myc', 'Gene', (214, 219)) ('mice', 'Species', '10090', (98, 102)) ('reducing', 'NegReg', (119, 127)) 5262 31950049 They found that BBR directly bound to the nuclear receptor retinoid X receptor alpha (RXRalpha) at the region containing Gln275, Arg316, and Arg371 residues and promoted its interaction with nuclear beta-catenin, leading to c-Cbl-mediated degradation of beta-catenin and consequent prevention of colon cancer cell proliferation. ('c-Cbl', 'Gene', (224, 229)) ('colon cancer', 'Phenotype', 'HP:0003003', (296, 308)) ('beta-catenin', 'Gene', (199, 211)) ('beta-catenin', 'Gene', (254, 266)) ('beta-catenin', 'Gene', '1499', (199, 211)) ('Arg316', 'Var', (129, 135)) ('cancer', 'Phenotype', 'HP:0002664', (302, 308)) ('beta-catenin', 'Gene', '1499', (254, 266)) ('bound', 'Interaction', (29, 34)) ('nt', 'Chemical', 'MESH:D009711', (287, 289)) ('nt', 'Chemical', 'MESH:D009711', (112, 114)) ('colon cancer', 'Disease', 'MESH:D015179', (296, 308)) ('BBR', 'Chemical', 'MESH:D001599', (16, 19)) ('BBR', 'Gene', (16, 19)) ('nt', 'Chemical', 'MESH:D009711', (279, 281)) ('Gln275', 'Var', (121, 127)) ('prevention', 'NegReg', (282, 292)) ('colon cancer', 'Disease', (296, 308)) ('Arg371', 'Chemical', 'MESH:C116795', (141, 147)) ('nt', 'Chemical', 'MESH:D009711', (175, 177)) ('promoted', 'PosReg', (161, 169)) ('degradation', 'MPA', (239, 250)) ('c-Cbl', 'Gene', '867', (224, 229)) ('Arg371 residues', 'Var', (141, 156)) ('Arg316', 'Chemical', 'MESH:C002934', (129, 135)) ('interaction', 'Interaction', (174, 185)) 5283 31950049 MiRNAs are short 20-22-nt-long ncRNAs that repress the translation of their target mRNAs by binding to their 3'-untranslated region (UTR) by imperfect complementary matches. ('binding', 'Interaction', (92, 99)) ('nt', 'Chemical', 'MESH:D009711', (23, 25)) ('nt', 'Chemical', 'MESH:D009711', (159, 161)) ('nt', 'Chemical', 'MESH:D009711', (113, 115)) ('repress', 'NegReg', (43, 50)) ('translation', 'MPA', (55, 66)) ('imperfect', 'Var', (141, 150)) 5300 31950049 In their study, overexpressed miRNA-429 inhibited cell apoptosis by directly targeting SOX2 in CRC cells, suggesting that miRNA-429 plays an oncogenic role in CRC and can thus be used as a new prognostic biomarker for CRC. ('CRC', 'Disease', 'MESH:D015179', (218, 221)) ('targeting', 'Reg', (77, 86)) ('SOX2', 'Gene', '6657', (87, 91)) ('cell apoptosis', 'CPA', (50, 64)) ('SOX2', 'Gene', (87, 91)) ('inhibited', 'NegReg', (40, 49)) ('CRC', 'Disease', 'MESH:D015179', (159, 162)) ('CRC', 'Disease', (95, 98)) ('CRC', 'Disease', (218, 221)) ('CRC', 'Disease', 'MESH:D015179', (95, 98)) ('miRNA-429', 'Var', (122, 131)) ('miRNA-429', 'Var', (30, 39)) ('CRC', 'Disease', (159, 162)) 5301 31950049 investigated the effect of BBR and evodiamine on CRC and miRNA-429 expression using an in vitro culture of colorectal tissue and found that BBR and evodiamine exert therapeutic effects on CRC by downregulating miRNA-429 expression. ('colorectal tissue', 'Disease', (107, 124)) ('CRC', 'Disease', 'MESH:D015179', (188, 191)) ('evodiamine', 'Chemical', 'MESH:C049639', (148, 158)) ('colorectal tissue', 'Disease', 'MESH:D015179', (107, 124)) ('BBR', 'Var', (140, 143)) ('expression', 'MPA', (220, 230)) ('miRNA-429', 'Gene', (210, 219)) ('evodiamine', 'Chemical', 'MESH:C049639', (35, 45)) ('BBR', 'Chemical', 'MESH:D001599', (27, 30)) ('CRC', 'Disease', 'MESH:D015179', (49, 52)) ('BBR', 'Chemical', 'MESH:D001599', (140, 143)) ('CRC', 'Disease', (188, 191)) ('downregulating', 'NegReg', (195, 209)) ('CRC', 'Disease', (49, 52)) 5305 31950049 revealed that the combination of NVP-AUY922 (a Hsp90 inhibitor) and BBR retards human colon adenocarcinoma cell proliferation by inhibiting cyclin dependent kinase 4 (CDK4) expression and inducing miRNA-296-mediated suppression of the Pin1-beta-catenin-cyclin D1 signaling pathway. ('cyclin dependent kinase 4', 'Gene', '1019', (140, 165)) ('carcinoma', 'Phenotype', 'HP:0030731', (97, 106)) ('beta-catenin', 'Gene', (240, 252)) ('beta-catenin', 'Gene', '1499', (240, 252)) ('BBR', 'Chemical', 'MESH:D001599', (68, 71)) ('miRNA-296', 'Gene', '407022', (197, 206)) ('cyclin dependent kinase 4', 'Gene', (140, 165)) ('Hsp90', 'Gene', '3320', (47, 52)) ('retards human colon adenocarcinoma', 'Disease', (72, 106)) ('Hsp90', 'Gene', (47, 52)) ('NVP-AUY922', 'Var', (33, 43)) ('Pin1', 'Gene', (235, 239)) ('inducing', 'Reg', (188, 196)) ('inhibiting', 'NegReg', (129, 139)) ('retards human colon adenocarcinoma', 'Disease', 'MESH:D015179', (72, 106)) ('CDK4', 'Gene', (167, 171)) ('miRNA-296', 'Gene', (197, 206)) ('expression', 'MPA', (173, 183)) ('Pin1', 'Gene', '5300', (235, 239)) ('CDK4', 'Gene', '1019', (167, 171)) ('NVP-AUY922', 'Chemical', 'MESH:C528044', (33, 43)) ('suppression', 'NegReg', (216, 227)) 5306 31950049 These findings suggest that the therapeutic effects of the combination of NVP-AUY922 and BBR occur via the inhibition of multiple oncogenic signaling pathways. ('NVP-AUY922', 'Var', (74, 84)) ('NVP-AUY922', 'Chemical', 'MESH:C528044', (74, 84)) ('BBR', 'Chemical', 'MESH:D001599', (89, 92)) ('oncogenic signaling pathways', 'Pathway', (130, 158)) ('BBR', 'Gene', (89, 92)) ('inhibition', 'NegReg', (107, 117)) 5312 31950049 Accumulating evidence has indicated that the aberrant expression of lncRNAs may induce the onset and progression of various cancers. ('cancer', 'Disease', (124, 130)) ('aberrant expression', 'Var', (45, 64)) ('cancer', 'Phenotype', 'HP:0002664', (124, 130)) ('nt', 'Chemical', 'MESH:D009711', (51, 53)) ('lncRNAs', 'Gene', (68, 75)) ('induce', 'PosReg', (80, 86)) ('cancers', 'Phenotype', 'HP:0002664', (124, 131)) ('progression', 'CPA', (101, 112)) ('cancer', 'Disease', 'MESH:D009369', (124, 130)) 5316 31950049 In their functional experiment, BBR exerted its effects by inducing the overexpression of lncRNA cancer susceptibility candidate 2 (CASC2), the downstream target of which was found to be the antiapoptotic gene BCL2. ('inducing', 'PosReg', (59, 67)) ('BBR', 'Chemical', 'MESH:D001599', (32, 35)) ('BCL2', 'Gene', '596', (210, 214)) ('cancer', 'Disease', (97, 103)) ('CASC2', 'Gene', (132, 137)) ('nt', 'Chemical', 'MESH:D009711', (192, 194)) ('CASC2', 'Gene', '255082', (132, 137)) ('nt', 'Chemical', 'MESH:D009711', (28, 30)) ('BCL2', 'Gene', (210, 214)) ('cancer', 'Phenotype', 'HP:0002664', (97, 103)) ('BBR', 'Var', (32, 35)) ('overexpression', 'MPA', (72, 86)) ('cancer', 'Disease', 'MESH:D009369', (97, 103)) 5328 31950049 At the genus level, BBR decreased the abundance of Akkermansia, blocked mucin degradation, and increased that of some short chain fatty acid-producing bacteria. ('decreased', 'NegReg', (24, 33)) ('Akkermansia', 'MPA', (51, 62)) ('mucin degradation', 'MPA', (72, 89)) ('blocked', 'NegReg', (64, 71)) ('BBR', 'Var', (20, 23)) ('BBR', 'Chemical', 'MESH:D001599', (20, 23)) ('fatty acid', 'Chemical', 'MESH:D005227', (130, 140)) ('increased', 'PosReg', (95, 104)) ('short chain fatty acid-producing bacteria', 'MPA', (118, 159)) ('abundance', 'MPA', (38, 47)) 5331 31950049 In particular, Yu showed that the accumulation of F. nucleatum in the gut accelerated the onset of colonic tumors in mice. ('tumor', 'Phenotype', 'HP:0002664', (107, 112)) ('accelerated', 'PosReg', (74, 85)) ('tumors', 'Phenotype', 'HP:0002664', (107, 113)) ('mice', 'Species', '10090', (117, 121)) ('colonic tumors', 'Disease', (99, 113)) ('F. nucleatum', 'Var', (50, 62)) ('colonic tumors', 'Disease', 'MESH:D015179', (99, 113)) ('F. nucleatum', 'Species', '851', (50, 62)) 5332 31950049 BBR treatment alleviated the F. nucleatum-mediated increase in opportunistic pathogens and decreased the secretion of IL-21/22/31 and CD40L and the expression of p-STAT3, p-STAT5, and p-ERK1/2 in vivo. ('p-STAT5', 'Var', (171, 178)) ('increase', 'PosReg', (51, 59)) ('F. nucleatum', 'Species', '851', (29, 41)) ('alleviated', 'NegReg', (14, 24)) ('CD40L', 'MPA', (134, 139)) ('secretion of IL-21/22/31', 'MPA', (105, 129)) ('opportunistic pathogens', 'MPA', (63, 86)) ('p-ERK1/2', 'Gene', (184, 192)) ('nt', 'Chemical', 'MESH:D009711', (11, 13)) ('BBR', 'Chemical', 'MESH:D001599', (0, 3)) ('STAT3', 'Gene', '6774', (164, 169)) ('expression', 'MPA', (148, 158)) ('decreased', 'NegReg', (91, 100)) ('STAT3', 'Gene', (164, 169)) 5353 30918105 Both oncogene activation and/or tumor suppressor gene (TSG) inactivation have been found to contribute to the occurrence and progress of breast cancer. ('breast cancer', 'Disease', 'MESH:D001943', (137, 150)) ('activation', 'PosReg', (14, 24)) ('breast cancer', 'Phenotype', 'HP:0003002', (137, 150)) ('oncogene', 'Protein', (5, 13)) ('breast cancer', 'Disease', (137, 150)) ('contribute', 'Reg', (92, 102)) ('tumor suppressor', 'Gene', (32, 48)) ('TSG', 'Gene', '57045', (55, 58)) ('cancer', 'Phenotype', 'HP:0002664', (144, 150)) ('tumor suppressor', 'Gene', '7248', (32, 48)) ('tumor', 'Phenotype', 'HP:0002664', (32, 37)) ('TSG', 'Gene', (55, 58)) ('inactivation', 'Var', (60, 72)) 5354 30918105 Gene point mutations and deletions are the main causes of TSG inactivation in breast cancer. ('breast cancer', 'Phenotype', 'HP:0003002', (78, 91)) ('TSG', 'Gene', '57045', (58, 61)) ('inactivation', 'NegReg', (62, 74)) ('causes', 'Reg', (48, 54)) ('deletions', 'Var', (25, 34)) ('TSG', 'Gene', (58, 61)) ('breast cancer', 'Disease', 'MESH:D001943', (78, 91)) ('cancer', 'Phenotype', 'HP:0002664', (85, 91)) ('breast cancer', 'Disease', (78, 91)) 5355 30918105 However, recent studies have revealed that epigenetic alterations, including aberrant promoter methylation and histone modification, may provide a novel mechanism for TSG silencing without the need for changes in nucleotide sequence. ('promoter methylation', 'MPA', (86, 106)) ('TSG', 'Gene', '57045', (167, 170)) ('histone', 'MPA', (111, 118)) ('silencing', 'NegReg', (171, 180)) ('TSG', 'Gene', (167, 170)) ('aberrant', 'Var', (77, 85)) 5358 30918105 Therefore, aberrant TSG methylation is linked with breast cancer pathogenesis, and is an important tumor marker in the context of this disease. ('tumor', 'Disease', (99, 104)) ('cancer', 'Phenotype', 'HP:0002664', (58, 64)) ('TSG', 'Gene', '57045', (20, 23)) ('aberrant', 'Var', (11, 19)) ('methylation', 'Var', (24, 35)) ('linked', 'Reg', (39, 45)) ('tumor', 'Disease', 'MESH:D009369', (99, 104)) ('breast cancer', 'Disease', 'MESH:D001943', (51, 64)) ('breast cancer', 'Phenotype', 'HP:0003002', (51, 64)) ('tumor', 'Phenotype', 'HP:0002664', (99, 104)) ('TSG', 'Gene', (20, 23)) ('breast cancer', 'Disease', (51, 64)) 5361 30918105 Overexpression of ECRG4 was able to inhibit the proliferation, migration, and invasion of several tumor cells. ('ECRG4', 'Gene', (18, 23)) ('inhibit', 'NegReg', (36, 43)) ('tumor', 'Disease', 'MESH:D009369', (98, 103)) ('tumor', 'Phenotype', 'HP:0002664', (98, 103)) ('ECRG4', 'Gene', '84417', (18, 23)) ('Overexpression', 'Var', (0, 14)) ('tumor', 'Disease', (98, 103)) ('migration', 'CPA', (63, 72)) 5364 30918105 We observed that human breast cancer samples showed reduced ECRG4 expression, and this was associated with hypermethylation of the ECRG4 promoter. ('breast cancer', 'Disease', (23, 36)) ('ECRG4', 'Gene', (60, 65)) ('breast cancer', 'Phenotype', 'HP:0003002', (23, 36)) ('reduced', 'NegReg', (52, 59)) ('human', 'Species', '9606', (17, 22)) ('hypermethylation', 'Var', (107, 123)) ('ECRG4', 'Gene', '84417', (60, 65)) ('expression', 'MPA', (66, 76)) ('ECRG4', 'Gene', (131, 136)) ('breast cancer', 'Disease', 'MESH:D001943', (23, 36)) ('ECRG4', 'Gene', '84417', (131, 136)) ('cancer', 'Phenotype', 'HP:0002664', (30, 36)) 5400 30918105 We found that ECRG4 mRNA and protein expression in MCF-7 and BT483 cells was increased by 5-Aza-CdR treatment, and was further enhanced by TSA co-treatment (Figure 3B,C). ('BT483', 'CellLine', 'CVCL:2319', (61, 66)) ('enhanced', 'PosReg', (127, 135)) ('5-Aza-CdR', 'Chemical', '-', (90, 99)) ('ECRG4', 'Gene', '84417', (14, 19)) ('ECRG4', 'Gene', (14, 19)) ('MCF-7', 'CellLine', 'CVCL:0031', (51, 56)) ('increased', 'PosReg', (77, 86)) ('TSA', 'Chemical', 'MESH:C012589', (139, 142)) ('5-Aza-CdR', 'Var', (90, 99)) 5403 30918105 We found that ECRG4 promoter methylation was decreased following 5-Aza-CdR and/or TSA treatment. ('TSA', 'Chemical', 'MESH:C012589', (82, 85)) ('decreased', 'NegReg', (45, 54)) ('ECRG4', 'Gene', (14, 19)) ('5-Aza-CdR', 'Var', (65, 74)) ('ECRG4', 'Gene', '84417', (14, 19)) ('5-Aza-CdR', 'Chemical', '-', (65, 74)) 5406 30918105 We found that the proximal region of the ECRG4 promoter (-400 to -100 bp) exhibited much high promoter activity upon 5-Aza-CdR and/or TSA treatment (Figure 3E). ('promoter activity', 'MPA', (94, 111)) ('5-Aza-CdR', 'Chemical', '-', (117, 126)) ('TSA', 'Chemical', 'MESH:C012589', (134, 137)) ('ECRG4', 'Gene', (41, 46)) ('5-Aza-CdR', 'Var', (117, 126)) ('ECRG4', 'Gene', '84417', (41, 46)) 5407 30918105 This suggests that hypermethylation of the promoter region of ECRG4 may be an important mechanism mediating the down-regulation of ECRG4. ('ECRG4', 'Gene', (62, 67)) ('ECRG4', 'Gene', (131, 136)) ('down-regulation', 'NegReg', (112, 127)) ('hypermethylation', 'Var', (19, 35)) ('ECRG4', 'Gene', '84417', (62, 67)) ('ECRG4', 'Gene', '84417', (131, 136)) 5441 30918105 Recent studies have revealed that silencing of ECRG4 expression in colorectal carcinoma, kidney cancer, and esophageal cancer is associated with the hypermethylation of the ECRG4 promoter region. ('colorectal carcinoma', 'Disease', (67, 87)) ('ECRG4', 'Gene', '84417', (173, 178)) ('kidney cancer', 'Phenotype', 'HP:0009726', (89, 102)) ('cancer', 'Phenotype', 'HP:0002664', (96, 102)) ('ECRG4', 'Gene', '84417', (47, 52)) ('carcinoma', 'Phenotype', 'HP:0030731', (78, 87)) ('esophageal cancer', 'Disease', (108, 125)) ('kidney cancer', 'Disease', (89, 102)) ('colorectal carcinoma', 'Disease', 'MESH:D015179', (67, 87)) ('hypermethylation', 'Var', (149, 165)) ('esophageal cancer', 'Disease', 'MESH:D004938', (108, 125)) ('silencing', 'NegReg', (34, 43)) ('ECRG4', 'Gene', (173, 178)) ('cancer', 'Phenotype', 'HP:0002664', (119, 125)) ('kidney cancer', 'Disease', 'MESH:D007680', (89, 102)) ('ECRG4', 'Gene', (47, 52)) 5444 30918105 Therefore, the hypermethylation of ECRG4 promoter may contribute to the down-regulation of ECRG4 mRNA levels in breast cancer. ('breast cancer', 'Disease', 'MESH:D001943', (112, 125)) ('breast cancer', 'Phenotype', 'HP:0003002', (112, 125)) ('breast cancer', 'Disease', (112, 125)) ('ECRG4', 'Gene', '84417', (91, 96)) ('cancer', 'Phenotype', 'HP:0002664', (119, 125)) ('ECRG4', 'Gene', (35, 40)) ('hypermethylation', 'Var', (15, 31)) ('ECRG4', 'Gene', '84417', (35, 40)) ('ECRG4', 'Gene', (91, 96)) ('down-regulation', 'NegReg', (72, 87)) 5448 30918105 MCF-7 and BT483 cells were estrogen receptor (ER)-positive breast cancer cells, and ER positive tumors cells displayed more hypermethylated loci than ER-negative cells. ('tumor', 'Phenotype', 'HP:0002664', (96, 101)) ('breast cancer', 'Disease', 'MESH:D001943', (59, 72)) ('MCF-7', 'CellLine', 'CVCL:0031', (0, 5)) ('estrogen receptor', 'Gene', (27, 44)) ('tumors', 'Disease', (96, 102)) ('breast cancer', 'Disease', (59, 72)) ('BT483', 'CellLine', 'CVCL:2319', (10, 15)) ('estrogen receptor', 'Gene', '2099', (27, 44)) ('ER', 'Gene', '2099', (84, 86)) ('breast cancer', 'Phenotype', 'HP:0003002', (59, 72)) ('tumors', 'Phenotype', 'HP:0002664', (96, 102)) ('tumors', 'Disease', 'MESH:D009369', (96, 102)) ('cancer', 'Phenotype', 'HP:0002664', (66, 72)) ('ER', 'Gene', '2099', (46, 48)) ('ER', 'Gene', '2099', (150, 152)) ('hypermethylated', 'Var', (124, 139)) 5451 30918105 These results strongly suggest that reduced ECRG4 expression in breast cancer may be mediated by methylation of the ECRG4 promoter. ('breast cancer', 'Phenotype', 'HP:0003002', (64, 77)) ('ECRG4', 'Gene', (116, 121)) ('ECRG4', 'Gene', '84417', (44, 49)) ('methylation', 'Var', (97, 108)) ('ECRG4', 'Gene', (44, 49)) ('ECRG4', 'Gene', '84417', (116, 121)) ('cancer', 'Phenotype', 'HP:0002664', (71, 77)) ('reduced', 'NegReg', (36, 43)) ('breast cancer', 'Disease', 'MESH:D001943', (64, 77)) ('expression', 'MPA', (50, 60)) ('breast cancer', 'Disease', (64, 77)) 5468 30918105 Fas can recruit pro-caspase-8 to induce self-shearing resulting in the formation of cleaved caspase-8, which can both activate caspase-3 and Bid; thereby inducing mitochondrial apoptotic pathway activation. ('inducing', 'Reg', (154, 162)) ('caspase-8', 'Gene', (20, 29)) ('mitochondrial apoptotic pathway', 'Pathway', (163, 194)) ('caspase-3', 'Gene', '836', (127, 136)) ('caspase-8', 'Gene', '841', (20, 29)) ('Bid', 'Gene', '637', (141, 144)) ('cleaved', 'Var', (84, 91)) ('activation', 'PosReg', (195, 205)) ('Bid', 'Gene', (141, 144)) ('activate', 'PosReg', (118, 126)) ('caspase-8', 'Gene', (92, 101)) ('caspase-3', 'Gene', (127, 136)) ('caspase-8', 'Gene', '841', (92, 101)) 5479 30918105 Collectively, we found that ECRG4 expression is reduced in human breast cancer samples, possibly as a result of the hypermethylation of the ECRG4 promoter region. ('ECRG4', 'Gene', (140, 145)) ('human', 'Species', '9606', (59, 64)) ('expression', 'MPA', (34, 44)) ('breast cancer', 'Disease', 'MESH:D001943', (65, 78)) ('reduced', 'NegReg', (48, 55)) ('ECRG4', 'Gene', '84417', (140, 145)) ('breast cancer', 'Disease', (65, 78)) ('ECRG4', 'Gene', (28, 33)) ('cancer', 'Phenotype', 'HP:0002664', (72, 78)) ('ECRG4', 'Gene', '84417', (28, 33)) ('breast cancer', 'Phenotype', 'HP:0003002', (65, 78)) ('hypermethylation', 'Var', (116, 132)) 5484 30918105 Our study validated that ECRG4 promoter hypermethylation is a potentially important mechanism governing ECRG4 down-regulation in breast cancer. ('breast cancer', 'Disease', (129, 142)) ('down-regulation', 'NegReg', (110, 125)) ('breast cancer', 'Phenotype', 'HP:0003002', (129, 142)) ('ECRG4', 'Gene', (25, 30)) ('hypermethylation', 'Var', (40, 56)) ('ECRG4', 'Gene', (104, 109)) ('ECRG4', 'Gene', '84417', (25, 30)) ('breast cancer', 'Disease', 'MESH:D001943', (129, 142)) ('cancer', 'Phenotype', 'HP:0002664', (136, 142)) ('ECRG4', 'Gene', '84417', (104, 109)) 5576 30246718 XB130 Knockdown Inhibits the Proliferation, Invasiveness, and Metastasis of Hepatocellular Carcinoma Cells and Sensitizes them to TRAIL-Induced Apoptosis XB130 is a recently discovered adaptor protein that is highly expressed in many malignant tumors, but few studies have investigated its role in hepatocellular carcinoma (HCC). ('Knockdown', 'Var', (6, 15)) ('malignant tumors', 'Disease', 'MESH:D018198', (234, 250)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (298, 322)) ('tumor', 'Phenotype', 'HP:0002664', (244, 249)) ('TRAIL', 'Gene', (130, 135)) ('Hepatocellular Carcinoma', 'Phenotype', 'HP:0001402', (76, 100)) ('Proliferation', 'CPA', (29, 42)) ('XB130', 'Gene', '84632', (154, 159)) ('malignant tumors', 'Disease', (234, 250)) ('Metastasis of Hepatocellular Carcinoma Cells', 'Disease', 'MESH:D009362', (62, 106)) ('tumors', 'Phenotype', 'HP:0002664', (244, 250)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (298, 322)) ('XB130', 'Gene', (154, 159)) ('Carcinoma', 'Phenotype', 'HP:0030731', (91, 100)) ('Metastasis of Hepatocellular Carcinoma Cells', 'Disease', (62, 106)) ('Inhibits', 'NegReg', (16, 24)) ('XB130', 'Gene', '84632', (0, 5)) ('Invasiveness', 'CPA', (44, 56)) ('hepatocellular carcinoma', 'Disease', (298, 322)) ('carcinoma', 'Phenotype', 'HP:0030731', (313, 322)) ('XB130', 'Gene', (0, 5)) ('TRAIL', 'Gene', '8743', (130, 135)) 5579 30246718 XB130 silencing was performed using small hairpin RNA. ('XB130', 'Gene', (0, 5)) ('XB130', 'Gene', '84632', (0, 5)) ('silencing', 'Var', (6, 15)) 5580 30246718 The effect of silencing XB130 was examined using Cell Counting Kit-8, colony assay, wound healing assay, and cell cycle analysis. ('silencing', 'Var', (14, 23)) ('XB130', 'Gene', (24, 29)) ('XB130', 'Gene', '84632', (24, 29)) 5582 30246718 The Cell Counting Kit-8 assay, colony formation assay, and xenograft model in nude mice showed that silencing XB130 inhibited cell proliferative ability both in vivo and in vitro, with flow cytometry demonstrating that the cells were arrested in the G0/G1 phase in HepG2 (HepG2 XB130-silenced group [shA] vs. HepG2 scramble group [NA]: 74.32 +- 5.86% vs. 60.21 +- 3.07%, P < 0.05) and that the number of G2/M phase cells was decreased (HepG2 shA vs. HepG2 NA: 8.06 +- 2.41% vs. 18.36 +- 4.42%, P < 0.05). ('XB130', 'Gene', '84632', (110, 115)) ('decreased', 'NegReg', (425, 434)) ('silencing', 'Var', (100, 109)) ('G2/M phase cells', 'CPA', (404, 420)) ('inhibited', 'NegReg', (116, 125)) ('nude mice', 'Species', '10090', (78, 87)) ('XB130', 'Gene', (278, 283)) ('XB130', 'Gene', (110, 115)) ('cell proliferative ability', 'CPA', (126, 152)) ('HepG2', 'CellLine', 'CVCL:0027', (309, 314)) ('XB130', 'Gene', '84632', (278, 283)) ('HepG2', 'CellLine', 'CVCL:0027', (450, 455)) ('HepG2', 'CellLine', 'CVCL:0027', (436, 441)) ('HepG2', 'CellLine', 'CVCL:0027', (272, 277)) ('HepG2', 'CellLine', 'CVCL:0027', (265, 270)) 5583 30246718 Furthermore, the cell invasion and migration abilities were impaired, and the levels of the epithelial-mesenchymal transition-related indicators vimentin and N-cadherin were decreased, although the level of E-cadherin was increased after silencing XB130. ('decreased', 'NegReg', (174, 183)) ('N-cadherin', 'Gene', (158, 168)) ('vimentin', 'Gene', '7431', (145, 153)) ('XB130', 'Gene', (248, 253)) ('E-cadherin', 'Gene', (207, 217)) ('E-cadherin', 'Gene', '999', (207, 217)) ('vimentin', 'Gene', (145, 153)) ('impaired', 'NegReg', (60, 68)) ('silencing', 'Var', (238, 247)) ('N-cadherin', 'Gene', '1000', (158, 168)) ('increased', 'PosReg', (222, 231)) ('XB130', 'Gene', '84632', (248, 253)) 5626 30246718 The membrane was then blocked in Tris-buffered saline and Tween 20 (TBST: 25 mmol/L Tris-HCl [pH 7.5], 125 mmol/L NaCl, and 0.1% Tween 20) containing 5% bovine serum albumin (BSA) and incubated with antibodies targeting XB130, E-cadherin, N-cadherin, vimentin, Akt, Ser473, Thr308, PTEN, p-PTEN, phos-PI3K (p-PI3K), PI3K, or GAPHD in TBST containing 1% BSA at 4 C overnight. ('Akt', 'Gene', (261, 264)) ('Ser473', 'Chemical', '-', (266, 272)) ('PTEN', 'Gene', (290, 294)) ('phos-PI3K', 'Var', (296, 305)) ('GAPHD', 'Gene', '2597', (325, 330)) ('bovine', 'Species', '9913', (153, 159)) ('Akt', 'Gene', '207', (261, 264)) ('XB130', 'Gene', '84632', (220, 225)) ('E-cadherin', 'Gene', (227, 237)) ('E-cadherin', 'Gene', '999', (227, 237)) ('Thr308', 'Chemical', '-', (274, 280)) ('PTEN', 'Gene', (282, 286)) ('XB130', 'Gene', (220, 225)) ('PTEN', 'Gene', '5728', (290, 294)) ('GAPHD', 'Gene', (325, 330)) ('PTEN', 'Gene', '5728', (282, 286)) ('vimentin', 'Gene', '7431', (251, 259)) ('vimentin', 'Gene', (251, 259)) ('N-cadherin', 'Gene', (239, 249)) ('N-cadherin', 'Gene', '1000', (239, 249)) ('PI3K', 'Var', (316, 320)) 5651 30246718 Furthermore, the number of clones formed was significantly reduced after silencing XB130 (HepG2 shA vs. HepG2 NC: 1.26 +- 0.14 vs. 2.09 +- 0.14, P < 0.05; MHCC97H shA vs. MHCC97H NC: 1.35 +- 0.12 vs. 1.99 +- 0.10, P < 0.05). ('silencing', 'Var', (73, 82)) ('reduced', 'NegReg', (59, 66)) ('HepG2', 'CellLine', 'CVCL:0027', (90, 95)) ('HepG2', 'CellLine', 'CVCL:0027', (104, 109)) ('HepG2 NC', 'CellLine', 'CVCL:0027', (104, 112)) ('XB130', 'Gene', (83, 88)) ('XB130', 'Gene', '84632', (83, 88)) 5652 30246718 Flow cytometry showed that the number of G0/G1 phase cells increased in HepG2 shA compared with those in HepG2 NC (HepG2 shA vs. HepG2 NA: 74.32 +- 5.86% vs. 60.21 +- 3.07%, P < 0.05) and that the number of G2/M phase cells decreased following a reduction in XB130 both in HepG2 shA and MHCC97H shA groups (HepG2 shA vs. HepG2 NA: 8.06 +- 2.41% vs. 18.36 +- 4.42%, P < 0.05; Figures 2f and 2g]. ('G2/M phase cells', 'CPA', (207, 223)) ('HepG2', 'CellLine', 'CVCL:0027', (307, 312)) ('XB130', 'Gene', '84632', (259, 264)) ('decreased', 'NegReg', (224, 233)) ('HepG2', 'CellLine', 'CVCL:0027', (321, 326)) ('HepG2', 'CellLine', 'CVCL:0027', (129, 134)) ('HepG2 NC', 'CellLine', 'CVCL:0027', (105, 113)) ('HepG2', 'CellLine', 'CVCL:0027', (105, 110)) ('reduction', 'NegReg', (246, 255)) ('HepG2', 'CellLine', 'CVCL:0027', (273, 278)) ('HepG2', 'CellLine', 'CVCL:0027', (72, 77)) ('G0/G1 phase cells', 'CPA', (41, 58)) ('HepG2', 'CellLine', 'CVCL:0027', (115, 120)) ('increased', 'PosReg', (59, 68)) ('XB130', 'Gene', (259, 264)) ('HepG2', 'Var', (72, 77)) 5653 30246718 Thus, the proliferation of MHCC97H and HepG2 cells decreased after silencing XB130. ('proliferation', 'CPA', (10, 23)) ('HepG2', 'CellLine', 'CVCL:0027', (39, 44)) ('XB130', 'Gene', '84632', (77, 82)) ('decreased', 'NegReg', (51, 60)) ('silencing', 'Var', (67, 76)) ('XB130', 'Gene', (77, 82)) 5654 30246718 Next, we evaluated the effect of silencing XB130 on the invasiveness and metastasis of HCC cell lines using a Transwell assay and wound healing assay [Figure 3a-3d], which showed that HepG2 shA and MHCC97H shA groups had significantly lower invasion and metastasis abilities than the NC groups (Transwell assay: HepG2 shA vs. HepG2 NC: 33.3 +- 5.2 vs. 207.0 +- 22.7, P < 0.05; Transwell assay: MHCC97H shA vs. MHCC97H NC: 112.3 +- 11.5 vs. 285.3 +- 11.3, P < 0.05; wound assay: HepG2 shA vs. HepG2 NC: 22.83 +- 4.93 vs. 46.31 +- 2.21 mum, P < 0.05; wound assay: MHCC97H shA vs. MHCC97H NC: 25.27 +- 0.78 vs. 50.08 +- 3.85 mum, P < 0.05). ('HepG2', 'CellLine', 'CVCL:0027', (184, 189)) ('XB130', 'Gene', '84632', (43, 48)) ('HepG2', 'CellLine', 'CVCL:0027', (326, 331)) ('HepG2', 'CellLine', 'CVCL:0027', (312, 317)) ('silencing', 'Var', (33, 42)) ('HepG2 NC', 'CellLine', 'CVCL:0027', (492, 500)) ('HepG2', 'CellLine', 'CVCL:0027', (492, 497)) ('lower', 'NegReg', (235, 240)) ('HepG2', 'CellLine', 'CVCL:0027', (478, 483)) ('HepG2 NC', 'CellLine', 'CVCL:0027', (326, 334)) ('XB130', 'Gene', (43, 48)) 5655 30246718 We then analyzed the epithelial-mesenchymal transition (EMT)-associated proteins by Western blotting, which showed that the expressions of vimentin and N-cadherin were decreased in the shA groups than those in the NC groups, although the expressions of E-cadherin were increased [all P < 0.05; Figure 3e and 3f]. ('N-cadherin', 'Gene', '1000', (152, 162)) ('decreased', 'NegReg', (168, 177)) ('increased', 'PosReg', (269, 278)) ('E-cadherin', 'Gene', (253, 263)) ('E-cadherin', 'Gene', '999', (253, 263)) ('shA', 'Var', (185, 188)) ('vimentin', 'Gene', '7431', (139, 147)) ('expressions', 'MPA', (238, 249)) ('expressions', 'MPA', (124, 135)) ('vimentin', 'Gene', (139, 147)) ('N-cadherin', 'Gene', (152, 162)) 5656 30246718 To evaluate the effect of silencing XB130 on tumorigenesis in vitro, we established a nude mouse model of tumor formation and injected the shA and NC groups subcutaneously. ('XB130', 'Gene', (36, 41)) ('tumor', 'Phenotype', 'HP:0002664', (45, 50)) ('tumor', 'Disease', (45, 50)) ('XB130', 'Gene', '84632', (36, 41)) ('tumor', 'Disease', 'MESH:D009369', (106, 111)) ('silencing', 'Var', (26, 35)) ('tumor', 'Phenotype', 'HP:0002664', (106, 111)) ('mouse', 'Species', '10090', (91, 96)) ('tumor', 'Disease', 'MESH:D009369', (45, 50)) ('tumor', 'Disease', (106, 111)) 5658 30246718 These findings suggest that XB130 knockdown inhibits the growth of HCC. ('XB130', 'Gene', (28, 33)) ('HCC', 'CPA', (67, 70)) ('growth', 'CPA', (57, 63)) ('XB130', 'Gene', '84632', (28, 33)) ('knockdown', 'Var', (34, 43)) ('inhibits', 'NegReg', (44, 52)) 5660 30246718 We found that Ser473 (HepG2 shA vs. HepG2 NC: 0.31 +- 0.01 vs. 0.9 +- 0.02, P < 0.05 and MHCC97H shA vs. MHCC97H NC: 0.17 +- 0.02 vs. 0.69 +- 0.02, P < 0.05), threonine 308 (Thr308; HepG2 shA vs. HepG2 NC: 0.12 +- 0.01 vs. 0.43 +- 0.04, P < 0.05 and MHCC97H shA vs. MHCC97H NC: 0.21 +- 0.05 vs. 0.52 +- 0.03, P < 0.05), and p-PI3K were significantly lower in HepG2 shA and MHCC97H shA groups (HepG2 shA vs. HepG2 NC: 0.26 +- 0.04 vs. 0.85 +- 0.03, P < 0.05 and MHCC97H shA vs. MHCC97H NC: 0.19 +- 0.02 vs. 0.86 +- 0.03, P < 0.05), and the level of p-PTEN, which is an inhibitor of p-Akt, was upregulated (HepG2 shA vs. HepG2 NC: 0.42 +- 0.04 vs. 0.25 +- 0.05, P < 0.05 and MHCC97H shA vs. MHCC97H NC: 0.26 +- 0.02 vs. 0.14 +- 0.01, P < 0.05), whereas there was no change in the levels of Akt, PTEN, and PI3K. ('HepG2', 'CellLine', 'CVCL:0027', (359, 364)) ('Ser473', 'Chemical', '-', (14, 20)) ('HepG2', 'CellLine', 'CVCL:0027', (605, 610)) ('HepG2', 'CellLine', 'CVCL:0027', (407, 412)) ('HepG2 NC', 'CellLine', 'CVCL:0027', (619, 627)) ('upregulated', 'PosReg', (592, 603)) ('PTEN', 'Gene', '5728', (793, 797)) ('HepG2', 'CellLine', 'CVCL:0027', (619, 624)) ('HepG2 NC', 'CellLine', 'CVCL:0027', (196, 204)) ('HepG2 NC', 'CellLine', 'CVCL:0027', (36, 44)) ('Akt', 'Gene', (583, 586)) ('HepG2', 'CellLine', 'CVCL:0027', (182, 187)) ('Akt', 'Gene', (788, 791)) ('PTEN', 'Gene', (550, 554)) ('MHCC97H shA vs.', 'Var', (673, 688)) ('HepG2', 'CellLine', 'CVCL:0027', (22, 27)) ('Akt', 'Gene', '207', (583, 586)) ('Akt', 'Gene', '207', (788, 791)) ('HepG2', 'CellLine', 'CVCL:0027', (196, 201)) ('Thr308', 'Chemical', '-', (174, 180)) ('HepG2', 'CellLine', 'CVCL:0027', (393, 398)) ('PTEN', 'Gene', '5728', (550, 554)) ('HepG2', 'CellLine', 'CVCL:0027', (36, 41)) ('PTEN', 'Gene', (793, 797)) ('HepG2 NC', 'CellLine', 'CVCL:0027', (407, 415)) 5662 30246718 Then, we explored the effect of silencing XB130 on the apoptosis of HCC cell lines using flow cytometry assay and caspase assay. ('XB130', 'Gene', (42, 47)) ('silencing', 'Var', (32, 41)) ('caspase', 'Gene', '841;842', (114, 121)) ('XB130', 'Gene', '84632', (42, 47)) ('caspase', 'Gene', (114, 121)) 5681 30246718 found that silencing XB130 arrested thyroid cancer WRO cells in the G0/G1 phase, although the number of S phase cells and levels of the proliferation-associated proteins Ki-67 and proliferating cell nuclear antigen decreased, as did the tumorigenicity of tumor cells in vitro. ('silencing', 'Var', (11, 20)) ('tumor', 'Disease', (237, 242)) ('tumor', 'Phenotype', 'HP:0002664', (255, 260)) ('tumor', 'Disease', (255, 260)) ('XB130', 'Gene', (21, 26)) ('tumor', 'Phenotype', 'HP:0002664', (237, 242)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (36, 50)) ('thyroid cancer', 'Disease', (36, 50)) ('levels', 'MPA', (122, 128)) ('XB130', 'Gene', '84632', (21, 26)) ('tumor', 'Disease', 'MESH:D009369', (237, 242)) ('tumor', 'Disease', 'MESH:D009369', (255, 260)) ('decreased', 'NegReg', (215, 224)) ('thyroid cancer', 'Disease', 'MESH:D013964', (36, 50)) ('proliferating', 'MPA', (180, 193)) ('cancer', 'Phenotype', 'HP:0002664', (44, 50)) 5683 30246718 also found similar results in gastric cancer, wherein the knockdown of XB130 in SGC7901 and MNK45 cells led to a decrease in cell proliferation, an increase in G0/G1 phase, and a decrease in S phase cells. ('decrease', 'NegReg', (113, 121)) ('cancer', 'Phenotype', 'HP:0002664', (38, 44)) ('increase', 'PosReg', (148, 156)) ('XB130', 'Gene', '84632', (71, 76)) ('S phase cells', 'CPA', (191, 204)) ('G0/G1 phase', 'CPA', (160, 171)) ('gastric cancer', 'Disease', 'MESH:D013274', (30, 44)) ('decrease', 'NegReg', (179, 187)) ('gastric cancer', 'Disease', (30, 44)) ('cell proliferation', 'CPA', (125, 143)) ('SGC7901', 'CellLine', 'CVCL:0520', (80, 87)) ('knockdown', 'Var', (58, 67)) ('gastric cancer', 'Phenotype', 'HP:0012126', (30, 44)) ('XB130', 'Gene', (71, 76)) 5691 30246718 It has been shown that SH2 on XB130 has a YxxM modification site and that its specific binding to the p85alpha subunit of PI3K activates the Akt pathway, whereas a reduction in XB130 can affect multiple molecules downstream of Akt. ('XB130', 'Gene', (30, 35)) ('Akt', 'Gene', (227, 230)) ('YxxM modification site', 'MPA', (42, 64)) ('XB130', 'Gene', '84632', (177, 182)) ('p85alpha', 'Gene', (102, 110)) ('XB130', 'Gene', '84632', (30, 35)) ('affect', 'Reg', (187, 193)) ('binding', 'Interaction', (87, 94)) ('p85alpha', 'Gene', '5295', (102, 110)) ('SH2', 'Var', (23, 26)) ('Akt', 'Gene', (141, 144)) ('Akt', 'Gene', '207', (141, 144)) ('activates', 'PosReg', (127, 136)) ('Akt', 'Gene', '207', (227, 230)) ('XB130', 'Gene', (177, 182)) 5692 30246718 Akt is a serine/threonine kinase, also known as protein kinase B, which is highly homologous to protein kinase A and protein kinase C, is one of the major downstream effector molecules of PI3K, and can directly phosphorylate many transcriptional factors; its activation requires the activation of Thr308 and Ser473. ('protein kinase B', 'Gene', (48, 64)) ('activation', 'PosReg', (259, 269)) ('Thr308', 'Var', (297, 303)) ('protein kinase B', 'Gene', '2185', (48, 64)) ('Ser473', 'Var', (308, 314)) ('Akt', 'Gene', '207', (0, 3)) ('Ser473', 'Chemical', '-', (308, 314)) ('Thr308', 'Chemical', '-', (297, 303)) ('Akt', 'Gene', (0, 3)) 5693 30246718 Consistent with this, in the present study, we found that a reduction in XB130 can regulate the expression of the Akt-related phosphorylation markers Ser473 and Thr308 and inhibit the phosphorylation of PI3K but had no effect on the total levels of Akt and PI3K. ('XB130', 'Gene', '84632', (73, 78)) ('Thr308', 'Chemical', '-', (161, 167)) ('Akt', 'Gene', '207', (249, 252)) ('Akt', 'Gene', (114, 117)) ('expression', 'MPA', (96, 106)) ('reduction', 'NegReg', (60, 69)) ('Ser473', 'MPA', (150, 156)) ('Akt', 'Gene', (249, 252)) ('Ser473', 'Chemical', '-', (150, 156)) ('regulate', 'Reg', (83, 91)) ('inhibit', 'NegReg', (172, 179)) ('Thr308', 'Var', (161, 167)) ('XB130', 'Gene', (73, 78)) ('PI3K', 'Pathway', (203, 207)) ('Akt', 'Gene', '207', (114, 117)) ('phosphorylation', 'MPA', (184, 199)) 5696 30246718 In contrast, the mutations or deletions of PTEN will lose normal inhibition of PIP2 conversion to PIP3, increasing intracellular PIP3 accumulation and Akt activation, thereby inhibiting apoptosis, promoting cell growth, and stimulating tumor angiogenesis. ('PIP3', 'Chemical', '-', (129, 133)) ('PIP2', 'Chemical', 'MESH:D019269', (79, 83)) ('PIP3', 'Chemical', '-', (98, 102)) ('deletions', 'Var', (30, 39)) ('Akt', 'Gene', '207', (151, 154)) ('inhibition', 'MPA', (65, 75)) ('tumor', 'Disease', 'MESH:D009369', (236, 241)) ('promoting', 'PosReg', (197, 206)) ('mutations', 'Var', (17, 26)) ('cell growth', 'CPA', (207, 218)) ('PTEN', 'Gene', (43, 47)) ('tumor', 'Phenotype', 'HP:0002664', (236, 241)) ('apoptosis', 'CPA', (186, 195)) ('inhibiting', 'NegReg', (175, 185)) ('PTEN', 'Gene', '5728', (43, 47)) ('stimulating', 'Reg', (224, 235)) ('intracellular PIP3 accumulation', 'MPA', (115, 146)) ('lose', 'NegReg', (53, 57)) ('increasing', 'PosReg', (104, 114)) ('tumor', 'Disease', (236, 241)) ('Akt', 'Gene', (151, 154)) ('activation', 'PosReg', (155, 165)) 5701 30246718 We used Western blotting to detect EMT-related markers, which showed that downregulation of XB130 upregulated E-cadherin expression, although downregulation of N-cadherin and vimentin could inhibit the progression of EMT and affect the invasion and metastasis of HCC. ('downregulation', 'Var', (74, 88)) ('inhibit', 'NegReg', (190, 197)) ('XB130', 'Gene', '84632', (92, 97)) ('E-cadherin', 'Gene', '999', (110, 120)) ('N-cadherin', 'Gene', '1000', (160, 170)) ('HCC', 'Disease', (263, 266)) ('upregulated', 'PosReg', (98, 109)) ('XB130', 'Gene', (92, 97)) ('E-cadherin', 'Gene', (110, 120)) ('expression', 'MPA', (121, 131)) ('affect', 'Reg', (225, 231)) ('progression of EMT', 'CPA', (202, 220)) ('metastasis', 'CPA', (249, 259)) ('vimentin', 'Gene', '7431', (175, 183)) ('N-cadherin', 'Gene', (160, 170)) ('downregulation', 'NegReg', (142, 156)) ('vimentin', 'Gene', (175, 183)) 5726 29928545 For the treatment of gastric cancer, there are three accepted approaches, all of which include chemotherapy and resection: Surgery followed by postoperative (adjuvant) chemotherapy with fluorouracil (5-FU) and radiotherapy, primarily for patients in whom resection was less than level D1 (i.e., a suboptimal number of nodes were resected); Preoperative and postoperative chemotherapy with epirubicin, cisplatin, and 5-FU (ECF), for patients with D1-2 resection; Postoperative chemotherapy with capecit-abine and oxaliplatin (XELOX) for patients with D2 resection. ('D1-2', 'Var', (446, 450)) ('fluorouracil', 'Chemical', 'MESH:D005472', (186, 198)) ('epirubicin', 'Chemical', 'MESH:D015251', (389, 399)) ('gastric cancer', 'Phenotype', 'HP:0012126', (21, 35)) ('capecit-abine', 'Chemical', 'MESH:D000069287', (494, 507)) ('oxaliplatin', 'Chemical', 'MESH:D000077150', (512, 523)) ('5-FU', 'Chemical', 'MESH:D005472', (416, 420)) ('cancer', 'Phenotype', 'HP:0002664', (29, 35)) ('patients', 'Species', '9606', (536, 544)) ('gastric cancer', 'Disease', (21, 35)) ('XELOX', 'Chemical', 'MESH:C519688', (525, 530)) ('patients', 'Species', '9606', (432, 440)) ('5-FU', 'Chemical', 'MESH:D005472', (200, 204)) ('gastric cancer', 'Disease', 'MESH:D013274', (21, 35)) ('cisplatin', 'Chemical', 'MESH:D002945', (401, 410)) ('patients', 'Species', '9606', (238, 246)) 5793 29928545 Among 149 esophageal adenocarcinomas, 26 significant genes with mutations or genomic loss have been identified. ('esophageal adenocarcinomas', 'Disease', 'MESH:D004938', (10, 36)) ('esophageal adenocarcinomas', 'Disease', (10, 36)) ('mutations', 'Var', (64, 73)) 5796 29928545 However, inhibition of EGFR and of MET has universally failed to improve outcomes, and results are mixed for the targeting of ERBB2. ('ERBB2', 'Gene', '2064', (126, 131)) ('ERBB2', 'Gene', (126, 131)) ('MET', 'Gene', (35, 38)) ('EGFR', 'Gene', '1956', (23, 27)) ('EGFR', 'Gene', (23, 27)) ('inhibition', 'Var', (9, 19)) 5806 26498753 The hybrids also increased expression of stemness factors Oct4, Nanog, Sox2 and Lin28. ('increased', 'PosReg', (17, 26)) ('stemness', 'CPA', (41, 49)) ('Oct4', 'Gene', (58, 62)) ('Oct4', 'Gene', '5460', (58, 62)) ('Lin28', 'Gene', (80, 85)) ('Lin28', 'Gene', '79727', (80, 85)) ('Sox2', 'Gene', '6657', (71, 75)) ('expression', 'MPA', (27, 37)) ('Nanog', 'Gene', '79923', (64, 69)) ('Sox2', 'Gene', (71, 75)) ('Nanog', 'Gene', (64, 69)) ('hybrids', 'Var', (4, 11)) 5809 26498753 Taken together, our results suggest that cell fusion between hucMSCs and gastric cancer cells could contribute to tumorigenic hybrids with EMT and stem cell-like properties, which may provide a flexible tool for investigating the roles of MSCs in gastric cancer. ('gastric cancer', 'Disease', 'MESH:D013274', (73, 87)) ('tumor', 'Disease', 'MESH:D009369', (114, 119)) ('cancer', 'Phenotype', 'HP:0002664', (255, 261)) ('gastric cancer', 'Phenotype', 'HP:0012126', (247, 261)) ('tumor', 'Phenotype', 'HP:0002664', (114, 119)) ('gastric cancer', 'Disease', 'MESH:D013274', (247, 261)) ('gastric cancer', 'Phenotype', 'HP:0012126', (73, 87)) ('tumor', 'Disease', (114, 119)) ('gastric cancer', 'Disease', (247, 261)) ('contribute', 'Reg', (100, 110)) ('cancer', 'Phenotype', 'HP:0002664', (81, 87)) ('cell fusion', 'Var', (41, 52)) ('gastric cancer', 'Disease', (73, 87)) 5817 26498753 For instance, tumor associated macrophage may fuse with epithelial cancer cells at the sites of primary tumor, giving rise to hybrids that have enhanced migratory and invasive capabilities. ('migratory', 'CPA', (153, 162)) ('tumor', 'Disease', (14, 19)) ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('epithelial cancer', 'Disease', (56, 73)) ('epithelial cancer', 'Disease', 'MESH:D000077216', (56, 73)) ('enhanced', 'PosReg', (144, 152)) ('invasive capabilities', 'CPA', (167, 188)) ('tumor', 'Disease', (104, 109)) ('tumor', 'Phenotype', 'HP:0002664', (14, 19)) ('cancer', 'Phenotype', 'HP:0002664', (67, 73)) ('hybrids', 'Var', (126, 133)) ('tumor', 'Disease', 'MESH:D009369', (14, 19)) ('epithelial cancer', 'Phenotype', 'HP:0031492', (56, 73)) ('tumor', 'Disease', 'MESH:D009369', (104, 109)) 5823 26498753 Several studies have shown that the hybrids between pre-malignant cell and stem cells are more malignant than the parental cells and gain self-renewal and migratory abilities, which highlight the pro-tumor role of stem cells by fusing with other cells. ('tumor', 'Disease', 'MESH:D009369', (200, 205)) ('migratory abilities', 'CPA', (155, 174)) ('tumor', 'Phenotype', 'HP:0002664', (200, 205)) ('hybrids', 'Var', (36, 43)) ('tumor', 'Disease', (200, 205)) ('self-renewal', 'CPA', (138, 150)) ('more', 'PosReg', (90, 94)) ('gain', 'PosReg', (133, 137)) 5861 26498753 Cell fusion was induced by PEG1500 in co-cultured DIO-HGC27 and DID-hucMSCs. ('induced', 'Reg', (16, 23)) ('PEG1500', 'Var', (27, 34)) ('Cell fusion', 'CPA', (0, 11)) ('DIO', 'Chemical', '-', (50, 53)) ('PEG', 'Chemical', 'MESH:D011092', (27, 30)) 5882 26498753 CD133 expression increased in hybrids compared with the parental cells (increase from 0.1 to 1.5 % in HGC-27 fusion and 0.2 to 2.5 % in SGC-7901 fusion) (Fig. ('increased', 'PosReg', (17, 26)) ('SGC', 'Gene', '6443', (136, 139)) ('expression', 'MPA', (6, 16)) ('hybrids', 'Var', (30, 37)) ('CD133', 'Gene', (0, 5)) ('CD133', 'Gene', '8842', (0, 5)) ('SGC', 'Gene', (136, 139)) 5889 26498753 The neoplasm tissues of hybrids presented highly heterogeneity, abnormally elevated nuclear/cytoplasmic ratios, and derangement distribution in some regions (Additional file 4). ('neoplasm', 'Disease', 'MESH:D009369', (4, 12)) ('neoplasm', 'Phenotype', 'HP:0002664', (4, 12)) ('nuclear/cytoplasmic ratios', 'CPA', (84, 110)) ('elevated', 'PosReg', (75, 83)) ('derangement', 'Reg', (116, 127)) ('neoplasm', 'Disease', (4, 12)) ('hybrids', 'Var', (24, 31)) 5898 26498753 This hypothesis proposes that fusion between BMDCs and "altered" tissue cells/pre-malignant cells would result in malignant tumors, which may be more migratory and more invasive. ('malignant tumors', 'Disease', 'MESH:D018198', (114, 130)) ('fusion', 'Var', (30, 36)) ('tumor', 'Phenotype', 'HP:0002664', (124, 129)) ('invasive', 'CPA', (169, 177)) ('tumors', 'Phenotype', 'HP:0002664', (124, 130)) ('malignant tumors', 'Disease', (114, 130)) ('result in', 'Reg', (104, 113)) ('more', 'PosReg', (145, 149)) 5903 26498753 Fusion of MSC with gastric epithelial cells increases invasion and metastasis of gastric cancer. ('metastasis of gastric cancer', 'Disease', (67, 95)) ('Fusion', 'Var', (0, 6)) ('gastric cancer', 'Phenotype', 'HP:0012126', (81, 95)) ('invasion', 'CPA', (54, 62)) ('metastasis of gastric cancer', 'Disease', 'MESH:D009362', (67, 95)) ('increases', 'PosReg', (44, 53)) ('cancer', 'Phenotype', 'HP:0002664', (89, 95)) 5906 26498753 In contrary, there are some studies showing that fusion of MSCs with esophageal carcinoma cells inhibits the tumorigenicity of esophageal carcinoma cells. ('carcinoma', 'Phenotype', 'HP:0030731', (138, 147)) ('inhibits', 'NegReg', (96, 104)) ('carcinoma', 'Phenotype', 'HP:0030731', (80, 89)) ('esophageal carcinoma', 'Disease', (127, 147)) ('esophageal carcinoma', 'Disease', 'MESH:D004938', (127, 147)) ('esophageal carcinoma', 'Disease', (69, 89)) ('esophageal carcinoma', 'Phenotype', 'HP:0011459', (127, 147)) ('esophageal carcinoma', 'Disease', 'MESH:D004938', (69, 89)) ('tumor', 'Disease', 'MESH:D009369', (109, 114)) ('esophageal carcinoma', 'Phenotype', 'HP:0011459', (69, 89)) ('fusion', 'Var', (49, 55)) ('tumor', 'Phenotype', 'HP:0002664', (109, 114)) ('tumor', 'Disease', (109, 114)) 5910 26498753 PEG could induce cell agglutination and cell-to-cell contact, leading to subsequent cell fusion. ('PEG', 'Var', (0, 3)) ('induce', 'Reg', (10, 16)) ('cell-to-cell contact', 'CPA', (40, 60)) ('cell fusion', 'CPA', (84, 95)) ('cell agglutination', 'CPA', (17, 35)) ('PEG', 'Chemical', 'MESH:D011092', (0, 3)) 5913 26498753 The aritifical fusion process such as PEG-induced cell fusion also has its limitation, PEG can cause the uncontrollable fusion of multiple cells, leading to the appearance of giant polykaryons. ('PEG', 'Chemical', 'MESH:D011092', (38, 41)) ('uncontrollable', 'MPA', (105, 119)) ('PEG', 'Chemical', 'MESH:D011092', (87, 90)) ('cause', 'Reg', (95, 100)) ('PEG', 'Var', (87, 90)) 5929 25544767 TGF-beta1 induces epigenetic silence of TIP30 to promote tumor metastasis in esophageal carcinoma TGF-beta1, a potent EMT (epithelial-mesenchymal transition) inducer present in the tumor microenvironment, is involved in the metastasis and progression of various carcinomas, including esophageal squamous cell carcinoma (ESCC). ('carcinoma', 'Phenotype', 'HP:0030731', (88, 97)) ('promote', 'PosReg', (49, 56)) ('TGF-beta1', 'Gene', '7040', (98, 107)) ('involved', 'Reg', (208, 216)) ('tumor', 'Phenotype', 'HP:0002664', (181, 186)) ('carcinoma', 'Phenotype', 'HP:0030731', (309, 318)) ('carcinoma', 'Phenotype', 'HP:0030731', (262, 271)) ('TGF-beta1', 'Gene', (0, 9)) ('carcinomas', 'Phenotype', 'HP:0030731', (262, 272)) ('carcinomas', 'Disease', 'MESH:D002277', (262, 272)) ('esophageal carcinoma', 'Disease', 'MESH:D004938', (77, 97)) ('tumor', 'Disease', (57, 62)) ('TGF-beta1', 'Gene', '7040', (0, 9)) ('esophageal squamous cell carcinoma', 'Disease', (284, 318)) ('esophageal carcinoma', 'Disease', (77, 97)) ('tumor metastasis', 'Disease', 'MESH:D009362', (57, 73)) ('tumor', 'Disease', 'MESH:D009369', (57, 62)) ('TIP30', 'Gene', '10553', (40, 45)) ('carcinomas', 'Disease', (262, 272)) ('tumor', 'Disease', (181, 186)) ('tumor metastasis', 'Disease', (57, 73)) ('esophageal carcinoma', 'Phenotype', 'HP:0011459', (77, 97)) ('epigenetic silence', 'Var', (18, 36)) ('TIP30', 'Gene', (40, 45)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (284, 318)) ('tumor', 'Phenotype', 'HP:0002664', (57, 62)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (295, 318)) ('tumor', 'Disease', 'MESH:D009369', (181, 186)) ('TGF-beta1', 'Gene', (98, 107)) 5932 25544767 In our in vitro and in vivo studies, we showed that silence of TIP30 led to EMT, enhanced migrative and invasive abilities of ESCC cells, promoted tumor metastasis in xenografted mice; alternatively, overexpression of TIP30inhibited TGF-beta1-induced EMT, and metastatic abilities of ESCC cells. ('overexpression', 'PosReg', (200, 214)) ('tumor', 'Phenotype', 'HP:0002664', (147, 152)) ('tumor metastasis', 'Disease', 'MESH:D009362', (147, 163)) ('enhanced', 'PosReg', (81, 89)) ('mice', 'Species', '10090', (179, 183)) ('EMT', 'CPA', (76, 79)) ('metastatic abilities of', 'CPA', (260, 283)) ('silence', 'Var', (52, 59)) ('tumor metastasis', 'Disease', (147, 163)) ('TIP30', 'Gene', (63, 68)) ('promoted', 'PosReg', (138, 146)) ('TIP30inhibited', 'Gene', (218, 232)) 5933 25544767 Mechanically, TIP30 silencing induced the nuclear translocation and transcriptional activation of beta-catenin in an AKT-dependent manner, which further resulted in the initiation of EMT. ('AKT', 'Gene', '207', (117, 120)) ('nuclear translocation', 'MPA', (42, 63)) ('EMT', 'CPA', (183, 186)) ('AKT', 'Gene', (117, 120)) ('transcriptional activation', 'MPA', (68, 94)) ('initiation', 'PosReg', (169, 179)) ('TIP30', 'Gene', (14, 19)) ('beta-catenin', 'Gene', (98, 110)) ('resulted in', 'Reg', (153, 164)) ('silencing', 'Var', (20, 29)) ('beta-catenin', 'Gene', '1499', (98, 110)) 5934 25544767 Consistently, TIP30 was frequently methylated and downregulated in ESCC patients. ('ESCC', 'Disease', (67, 71)) ('methylated', 'Var', (35, 45)) ('TIP30', 'Gene', (14, 19)) ('downregulated', 'NegReg', (50, 63)) ('patients', 'Species', '9606', (72, 80)) 5945 25544767 TIP30, also called CC3 or HTATIP2, is a putative tumor suppressor initially identified by a differential display analysis of mRNA in highly metastatic human variant small cell lung carcinoma (v-SCLC), versus less metastatic classic small cell lung carcinoma (c-SCLC) cell lines. ('tumor', 'Disease', 'MESH:D009369', (49, 54)) ('carcinoma', 'Phenotype', 'HP:0030731', (181, 190)) ('small cell lung carcinoma', 'Disease', 'MESH:D055752', (232, 257)) ('small cell lung carcinoma', 'Phenotype', 'HP:0030357', (232, 257)) ('HTATIP2', 'Gene', '10553', (26, 33)) ('tumor', 'Phenotype', 'HP:0002664', (49, 54)) ('human variant', 'Species', '9606', (151, 164)) ('small cell lung carcinoma', 'Disease', 'MESH:D055752', (165, 190)) ('small cell lung carcinoma', 'Phenotype', 'HP:0030357', (165, 190)) ('CC3', 'Gene', '10553', (19, 22)) ('tumor', 'Disease', (49, 54)) ('variant', 'Var', (157, 164)) ('small cell lung carcinoma', 'Disease', (232, 257)) ('HTATIP2', 'Gene', (26, 33)) ('small cell lung carcinoma', 'Disease', (165, 190)) ('CC3', 'Gene', (19, 22)) ('carcinoma', 'Phenotype', 'HP:0030731', (248, 257)) 5948 25544767 TIP30 is able to interact with Ets-1 and inhibit Ets-1-mediated transactivation of osteopontin, an important molecule for tumor metastasis in HCC. ('Ets-1', 'Gene', '2113', (31, 36)) ('Ets-1', 'Gene', (31, 36)) ('Ets-1', 'Gene', '2113', (49, 54)) ('Ets-1', 'Gene', (49, 54)) ('tumor metastasis', 'Disease', 'MESH:D009362', (122, 138)) ('osteopontin', 'Gene', (83, 94)) ('TIP30', 'Var', (0, 5)) ('tumor metastasis', 'Disease', (122, 138)) ('tumor', 'Phenotype', 'HP:0002664', (122, 127)) ('inhibit', 'NegReg', (41, 48)) ('interact', 'Interaction', (17, 25)) ('osteopontin', 'Gene', '6696', (83, 94)) 5949 25544767 Recently, inhibition of the EGFR/AKT signaling pathway by TIP30 was elucidated in breast cancer and hepatocellular carcinoma. ('breast cancer', 'Disease', (82, 95)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (100, 124)) ('EGFR', 'Gene', '1956', (28, 32)) ('breast cancer', 'Phenotype', 'HP:0003002', (82, 95)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (100, 124)) ('carcinoma', 'Phenotype', 'HP:0030731', (115, 124)) ('hepatocellular carcinoma', 'Disease', (100, 124)) ('EGFR', 'Gene', (28, 32)) ('AKT', 'Gene', '207', (33, 36)) ('TIP30', 'Var', (58, 63)) ('AKT', 'Gene', (33, 36)) ('breast cancer', 'Disease', 'MESH:D001943', (82, 95)) ('cancer', 'Phenotype', 'HP:0002664', (89, 95)) 5961 25544767 The decreased expression of TIP30 by TGF-beta1 was independent of canonical TGF-beta1 signaling, since siRNA-mediated knockdown of Smad3 did not restore TIP30 expression upon TGF-beta1 treatment (Fig. ('Smad3', 'Gene', (131, 136)) ('TIP30', 'Gene', (153, 158)) ('decreased', 'NegReg', (4, 13)) ('knockdown', 'Var', (118, 127)) ('expression', 'MPA', (14, 24)) ('expression', 'MPA', (159, 169)) ('Smad3', 'Gene', '4088', (131, 136)) ('TIP30', 'Gene', (28, 33)) 5964 25544767 In contrast, the anti-TGF-beta antibody decreased DNMT1 and DNMT3A expression in KYSE450 and KYSE150 (Fig. ('KYSE150', 'Var', (93, 100)) ('DNMT3A', 'Gene', (60, 66)) ('TGF-beta', 'Gene', '7040', (22, 30)) ('DNMT1', 'Gene', (50, 55)) ('KYSE150', 'CellLine', 'CVCL:1348', (93, 100)) ('DNMT3A', 'Gene', '1788', (60, 66)) ('DNMT1', 'Gene', '1786', (50, 55)) ('expression', 'MPA', (67, 77)) ('TGF-beta', 'Gene', (22, 30)) ('decreased', 'NegReg', (40, 49)) 5966 25544767 The results showed that the silencing of DNMT1 or DNMT3A restored TIP30 expression in TGF-beta1 treated cells (Fig. ('DNMT1', 'Gene', (41, 46)) ('DNMT3A', 'Gene', (50, 56)) ('DNMT1', 'Gene', '1786', (41, 46)) ('DNMT3A', 'Gene', '1788', (50, 56)) ('silencing', 'Var', (28, 37)) ('expression', 'MPA', (72, 82)) ('TIP30', 'Gene', (66, 71)) ('restored', 'PosReg', (57, 65)) 5971 25544767 Compared to non-specific RNA interference, knockdown of TIP30 significantly enhanced the growth and invasion of tumor cells (Supplemental Fig. ('tumor', 'Disease', 'MESH:D009369', (112, 117)) ('knockdown', 'Var', (43, 52)) ('tumor', 'Phenotype', 'HP:0002664', (112, 117)) ('enhanced', 'PosReg', (76, 84)) ('tumor', 'Disease', (112, 117)) ('growth', 'CPA', (89, 95)) ('TIP30', 'Gene', (56, 61)) 5974 25544767 However, irregular tumor invasion with a decreased E-cadherin expression and an increased Vimentin expression were observed in tumors induced by KYSE30-shTIP30 cells (Fig. ('tumor', 'Phenotype', 'HP:0002664', (127, 132)) ('KYSE30-shTIP30', 'Var', (145, 159)) ('expression', 'MPA', (99, 109)) ('tumors', 'Disease', (127, 133)) ('Vimentin', 'Gene', (90, 98)) ('tumor', 'Disease', (127, 132)) ('tumor', 'Disease', 'MESH:D009369', (19, 24)) ('decreased', 'NegReg', (41, 50)) ('increased', 'PosReg', (80, 89)) ('expression', 'MPA', (62, 72)) ('tumors', 'Disease', 'MESH:D009369', (127, 133)) ('tumors', 'Phenotype', 'HP:0002664', (127, 133)) ('tumor', 'Phenotype', 'HP:0002664', (19, 24)) ('Vimentin', 'Gene', '7431', (90, 98)) ('tumor', 'Disease', (19, 24)) ('tumor', 'Disease', 'MESH:D009369', (127, 132)) ('E-cadherin', 'Gene', (51, 61)) ('E-cadherin', 'Gene', '999', (51, 61)) 5978 25544767 The number of metastatic nodules on the surface of the lungs and livers was significantly higher in mice injected with KYSE30-shTIP30 cells than in mice injected with KYSE30-shNon cells (Fig. ('mice', 'Species', '10090', (100, 104)) ('KYSE30-shTIP30 cells', 'Var', (119, 139)) ('mice', 'Species', '10090', (148, 152)) ('metastatic nodules on the surface', 'CPA', (14, 47)) ('higher', 'PosReg', (90, 96)) 5987 25544767 Consistent with the in vitro experimental results, cytosol and nucleus staining of beta-catenin were found in KYSE30-shTIP30 cells generated tumors, while the control tumors showed a membranous staining of beta-catenin (Fig. ('tumor', 'Phenotype', 'HP:0002664', (141, 146)) ('beta-catenin', 'Gene', (83, 95)) ('tumors', 'Disease', 'MESH:D009369', (167, 173)) ('beta-catenin', 'Gene', '1499', (206, 218)) ('tumors', 'Disease', (141, 147)) ('tumors', 'Disease', 'MESH:D009369', (141, 147)) ('beta-catenin', 'Gene', '1499', (83, 95)) ('tumors', 'Phenotype', 'HP:0002664', (141, 147)) ('tumor', 'Phenotype', 'HP:0002664', (167, 172)) ('tumors', 'Disease', (167, 173)) ('beta-catenin', 'Gene', (206, 218)) ('KYSE30-shTIP30', 'Var', (110, 124)) ('tumors', 'Phenotype', 'HP:0002664', (167, 173)) 5989 25544767 As expected, TIP30 silence sharply increased beta-catenin-dependent transcriptional activity. ('increased', 'PosReg', (35, 44)) ('beta-catenin', 'Gene', '1499', (45, 57)) ('TIP30', 'Gene', (13, 18)) ('silence', 'Var', (19, 26)) ('beta-catenin', 'Gene', (45, 57)) 5992 25544767 In our study, TIP30 regulates Vimentin expression but not ZEB1 in ESCC (Supplemental Fig. ('Vimentin', 'Gene', '7431', (30, 38)) ('TIP30', 'Var', (14, 19)) ('regulates', 'Reg', (20, 29)) ('Vimentin', 'Gene', (30, 38)) ('ZEB1', 'Gene', (58, 62)) ('ZEB1', 'Gene', '6935', (58, 62)) 5993 25544767 To confirm the importance of beta-catenin in increased expression of Vimentin induced by TIP30 silence, siRNA against beta-catenin was used. ('Vimentin', 'Gene', (69, 77)) ('increased', 'PosReg', (45, 54)) ('Vimentin', 'Gene', '7431', (69, 77)) ('beta-catenin', 'Gene', (118, 130)) ('TIP30', 'Gene', (89, 94)) ('expression', 'MPA', (55, 65)) ('beta-catenin', 'Gene', '1499', (118, 130)) ('beta-catenin', 'Gene', (29, 41)) ('beta-catenin', 'Gene', '1499', (29, 41)) ('silence', 'Var', (95, 102)) 5995 25544767 To underlie the regulatory mechanism of beta-catenin activity by TIP30, the phosphorylation status of beta-catenin was examined via western blots with indicated antibodies (Fig. ('beta-catenin', 'Gene', '1499', (102, 114)) ('TIP30', 'Var', (65, 70)) ('beta-catenin', 'Gene', (40, 52)) ('beta-catenin', 'Gene', '1499', (40, 52)) ('beta-catenin', 'Gene', (102, 114)) 5997 25544767 However, AKT mediated phosphorylation of S552 was significantly increased after TIP30 depletion and TGF-beta1 treatment. ('TIP30', 'Gene', (80, 85)) ('AKT', 'Gene', '207', (9, 12)) ('S552', 'Gene', (41, 45)) ('AKT', 'Gene', (9, 12)) ('increased', 'PosReg', (64, 73)) ('depletion', 'Var', (86, 95)) 5999 25544767 The results indicate that TIP30 inhibits phosphorylate of beta-catenin at S552 and suppresses activation of beta-catenin. ('beta-catenin', 'Gene', (108, 120)) ('beta-catenin', 'Gene', (58, 70)) ('TIP30', 'Var', (26, 31)) ('phosphorylate', 'MPA', (41, 54)) ('beta-catenin', 'Gene', '1499', (108, 120)) ('beta-catenin', 'Gene', '1499', (58, 70)) ('activation', 'MPA', (94, 104)) ('inhibits', 'NegReg', (32, 40)) ('S552', 'Var', (74, 78)) ('suppresses', 'NegReg', (83, 93)) 6002 25544767 TIP30 silence significantly increased AKT activation, and overexpression of TIP30 inhibits TGF-beta1 mediated AKT activation. ('increased', 'PosReg', (28, 37)) ('silence', 'Var', (6, 13)) ('AKT', 'Gene', (38, 41)) ('TGF-beta1', 'Protein', (91, 100)) ('AKT', 'Gene', (110, 113)) ('AKT', 'Gene', '207', (110, 113)) ('TIP30', 'Gene', (0, 5)) ('activation', 'PosReg', (42, 52)) ('AKT', 'Gene', '207', (38, 41)) ('inhibits', 'NegReg', (82, 90)) ('TIP30', 'Gene', (76, 81)) 6003 25544767 Furthermore, blockage of AKT by MK-2206 attenuated TIP30 decrease-induced activation of beta-catenin and upregulation of Vimentin (Fig. ('AKT', 'Gene', (25, 28)) ('upregulation', 'PosReg', (105, 117)) ('Vimentin', 'Gene', (121, 129)) ('Vimentin', 'Gene', '7431', (121, 129)) ('blockage', 'NegReg', (13, 21)) ('MK-2206', 'Var', (32, 39)) ('activation', 'PosReg', (74, 84)) ('MK-2206', 'Chemical', 'MESH:C548887', (32, 39)) ('beta-catenin', 'Gene', (88, 100)) ('AKT', 'Gene', '207', (25, 28)) ('attenuated', 'NegReg', (40, 50)) ('beta-catenin', 'Gene', '1499', (88, 100)) ('TIP30', 'Gene', (51, 56)) ('decrease-induced', 'NegReg', (57, 73)) 6013 25544767 We found loss of TIP30 correlated with nuclear beta-catenin, and aberrant E-cadherin expression (P<0.001, Mann-Whitney U test, Fig. ('expression', 'MPA', (85, 95)) ('beta-catenin', 'Gene', '1499', (47, 59)) ('aberrant', 'Var', (65, 73)) ('E-cadherin', 'Gene', (74, 84)) ('E-cadherin', 'Gene', '999', (74, 84)) ('loss', 'NegReg', (9, 13)) ('beta-catenin', 'Gene', (47, 59)) ('TIP30', 'Gene', (17, 22)) 6015 25544767 Log-rank test showed that ESCC patients with low TIP30 expression experienced poor overall survival (OS) than patients with high TIP30 expression (median survival time, 29 months vs. 49 months; P < 0.001; Fig. ('overall survival', 'MPA', (83, 99)) ('ESCC', 'Disease', (26, 30)) ('poor', 'NegReg', (78, 82)) ('OS', 'Chemical', '-', (101, 103)) ('patients', 'Species', '9606', (31, 39)) ('low TIP30 expression', 'Var', (45, 65)) ('patients', 'Species', '9606', (110, 118)) 6022 25544767 Previous studies have suggested that the expression of TIP30 could be activated by JAK/STAT3 pathway or suppressed by DNA methylation and mir-10b. ('STAT3', 'Gene', (87, 92)) ('DNA methylation', 'Var', (118, 133)) ('activated', 'PosReg', (70, 79)) ('expression', 'MPA', (41, 51)) ('mir-10b', 'Gene', (138, 145)) ('suppressed', 'NegReg', (104, 114)) ('STAT3', 'Gene', '6774', (87, 92)) ('TIP30', 'Gene', (55, 60)) ('mir-10b', 'Gene', '406903', (138, 145)) 6026 25544767 We examined methylation status of TIP30 in ESCC cell lines and ESCC patients to find that TIP30 is also frequently hypermethylated in both ESCC cell lines and ESCC patients. ('hypermethylated', 'Var', (115, 130)) ('patients', 'Species', '9606', (68, 76)) ('ESCC', 'Disease', (139, 143)) ('patients', 'Species', '9606', (164, 172)) ('TIP30', 'Gene', (90, 95)) 6029 25544767 DNMT1 has been implicated primarily in the maintenance of methylation patterns that occurs during cellular replication and preferentially methylates hemimethylated DNA. ('hemimethylated', 'Var', (149, 163)) ('DNMT1', 'Gene', (0, 5)) ('DNMT1', 'Gene', '1786', (0, 5)) ('methylation patterns', 'MPA', (58, 78)) ('methylates', 'Var', (138, 148)) ('preferentially', 'PosReg', (123, 137)) 6030 25544767 We demonstrate that TIP30 can be methylated by TGF-beta1 via up-regulation of DNMT1 and DNMT3A. ('DNMT3A', 'Gene', '1788', (88, 94)) ('DNMT1', 'Gene', (78, 83)) ('TIP30', 'Gene', (20, 25)) ('DNMT1', 'Gene', '1786', (78, 83)) ('up-regulation', 'PosReg', (61, 74)) ('TGF-beta1', 'Gene', (47, 56)) ('methylated', 'Var', (33, 43)) ('DNMT3A', 'Gene', (88, 94)) 6034 25544767 We also demonstrate that TIP30 may inhibit phosphorylation and activation of beta-catenin. ('phosphorylation', 'MPA', (43, 58)) ('TIP30', 'Var', (25, 30)) ('activation', 'MPA', (63, 73)) ('beta-catenin', 'Gene', (77, 89)) ('inhibit', 'NegReg', (35, 42)) ('beta-catenin', 'Gene', '1499', (77, 89)) 6035 25544767 Our data shows that silence of TIP30 facilitates TGF-beta1-mediated activation of AKT/beta-catenin signaling, which subsequently induces EMT and pro-metastatic responses. ('beta-catenin', 'Gene', (86, 98)) ('silence', 'Var', (20, 27)) ('AKT', 'Gene', (82, 85)) ('beta-catenin', 'Gene', '1499', (86, 98)) ('activation', 'PosReg', (68, 78)) ('AKT', 'Gene', '207', (82, 85)) ('TGF-beta1-mediated', 'Gene', (49, 67)) ('pro-metastatic responses', 'CPA', (145, 169)) ('EMT', 'CPA', (137, 140)) ('induces', 'PosReg', (129, 136)) ('TIP30', 'Gene', (31, 36)) ('facilitates', 'PosReg', (37, 48)) 6037 25544767 ESCC cell lines (YES2, KYSE30, KYSE450, KYSE150, KYSE180 and KYSE410) were cultured at 37 C in an atmosphere containing 5% CO2 in RPMI 1640 medium supplemented with 10% fetal bovine serum. ('YES2', 'Gene', '7526', (17, 21)) ('bovine', 'Species', '9913', (175, 181)) ('KYSE150', 'CellLine', 'CVCL:1348', (40, 47)) ('RPMI 1640 medium', 'Chemical', '-', (130, 146)) ('YES2', 'Gene', (17, 21)) ('KYSE410', 'Var', (61, 68)) ('CO2', 'Chemical', '-', (123, 126)) ('KYSE180', 'Var', (49, 56)) 6062 25544767 For the tumorigenicity assay, KYSE30 cells were infected with LV-shTIP30 and LV-shNon at MOI 20 and 5x106 cells were injected subcutaneously into each mouse (n = 6 mice / group). ('LV-shTIP30', 'Var', (62, 72)) ('mouse', 'Species', '10090', (151, 156)) ('tumor', 'Disease', 'MESH:D009369', (8, 13)) ('mice', 'Species', '10090', (164, 168)) ('tumor', 'Phenotype', 'HP:0002664', (8, 13)) ('tumor', 'Disease', (8, 13)) 6079 24899581 In turn, FBW7 is regulated by multiple upstream factors including p53, C/EBP-delta, EBP2, Pin1, Hes-5 and Numb4 as well as by microRNAs such as miR-223, miR-27a, miR-25, and miR-129-5p. ('miR-223', 'Var', (144, 151)) ('EBP2', 'Gene', (84, 88)) ('miR-27a', 'Gene', (153, 160)) ('Pin1', 'Gene', '5300', (90, 94)) ('EBP2', 'Gene', '10969', (84, 88)) ('Hes-5', 'Gene', (96, 101)) ('C/EBP-delta', 'Gene', (71, 82)) ('FBW7', 'Gene', (9, 13)) ('Numb', 'Gene', (106, 110)) ('Hes-5', 'Gene', '388585', (96, 101)) ('Numb', 'Gene', '8650', (106, 110)) ('miR-129-5p', 'Gene', (174, 184)) ('C/EBP-delta', 'Gene', '1052', (71, 82)) ('miR-27a', 'Gene', '407018', (153, 160)) ('Pin1', 'Gene', (90, 94)) ('miR-129-5p', 'Gene', '100302178', (174, 184)) ('p53', 'Var', (66, 69)) ('miR-25', 'Var', (162, 168)) 6084 24899581 Consistent with the notion that FBW7 exerts its anti-tumor activity in various human malignancies, FBW7 mutation and/or deletion are frequently identified in a variety of human neoplasms; for example, FBW7 mutation rate in T-cell acute lymphoblastic leukemia is approximately 30%. ('acute lymphoblastic leukemia', 'Phenotype', 'HP:0006721', (230, 258)) ('FBW7', 'Gene', (201, 205)) ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('deletion', 'Var', (120, 128)) ('tumor', 'Disease', (53, 58)) ('neoplasms', 'Disease', (177, 186)) ('FBW7', 'Gene', (99, 103)) ('human', 'Species', '9606', (79, 84)) ('lymphoblastic leukemia', 'Phenotype', 'HP:0005526', (236, 258)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('mutation', 'Var', (104, 112)) ('neoplasms', 'Phenotype', 'HP:0002664', (177, 186)) ('mutation', 'Var', (206, 214)) ('human', 'Species', '9606', (171, 176)) ('leukemia', 'Phenotype', 'HP:0001909', (250, 258)) ('malignancies', 'Disease', 'MESH:D009369', (85, 97)) ('lymphoblastic leukemia', 'Disease', 'MESH:D054198', (236, 258)) ('malignancies', 'Disease', (85, 97)) ('neoplasms', 'Disease', 'MESH:D009369', (177, 186)) ('T-cell acute lymphoblastic leukemia', 'Phenotype', 'HP:0006727', (223, 258)) ('lymphoblastic leukemia', 'Disease', (236, 258)) 6106 24899581 More importantly, MED13 and MED13L are phosphorylated at T326, which was shown to be required for FBW7-mediated degradation function. ('MED13', 'Gene', '9969', (18, 23)) ('MED13', 'Gene', '9969', (28, 33)) ('MED13L', 'Gene', (28, 34)) ('MED13', 'Gene', (28, 33)) ('MED13L', 'Gene', '23389', (28, 34)) ('MED13', 'Gene', (18, 23)) ('T326', 'Var', (57, 61)) 6114 24899581 Consistently, prostate or breast cancer patients with low expression of KLF2 and high levels of EZH2 have a shorter overall survival. ('breast cancer', 'Disease', (26, 39)) ('high levels', 'Var', (81, 92)) ('breast cancer', 'Phenotype', 'HP:0003002', (26, 39)) ('low', 'NegReg', (54, 57)) ('EZH2', 'Gene', '2146', (96, 100)) ('KLF2', 'Gene', '10365', (72, 76)) ('expression', 'MPA', (58, 68)) ('patients', 'Species', '9606', (40, 48)) ('EZH2', 'Gene', (96, 100)) ('shorter', 'NegReg', (108, 115)) ('KLF2', 'Gene', (72, 76)) ('cancer', 'Phenotype', 'HP:0002664', (33, 39)) ('prostate', 'Disease', (14, 22)) ('breast cancer', 'Disease', 'MESH:D001943', (26, 39)) ('overall', 'MPA', (116, 123)) 6121 24899581 Consistently, inhibition of GSK3beta increased the basal levels of KLF2 and extended KLF2 protein half-life. ('extended', 'PosReg', (76, 84)) ('KLF2', 'Gene', (85, 89)) ('GSK3beta', 'Gene', '2932', (28, 36)) ('KLF2', 'Gene', '10365', (67, 71)) ('increased', 'PosReg', (37, 46)) ('KLF2', 'Gene', (67, 71)) ('GSK3beta', 'Gene', (28, 36)) ('inhibition', 'Var', (14, 24)) ('KLF2', 'Gene', '10365', (85, 89)) 6133 24899581 Consistently, FBW7 inactivation up-regulated p100 levels, which subsequently suppressed the canonical NF-kappaB1 signaling as p100 precursor could suppress NF-kappaB1 transcriptional activities in an IkappaB-like manner. ('suppressed', 'NegReg', (77, 87)) ('NF-kappaB', 'Gene', '4790', (102, 111)) ('NF-kappaB', 'Gene', (102, 111)) ('up-regulated', 'PosReg', (32, 44)) ('p100 levels', 'MPA', (45, 56)) ('NF-kappaB', 'Gene', '4790', (156, 165)) ('suppress', 'NegReg', (147, 155)) ('inactivation', 'Var', (19, 31)) ('FBW7', 'Gene', (14, 18)) ('NF-kappaB', 'Gene', (156, 165)) 6141 24899581 observed that truncated G-CSFR cooperated with the PML-RARalpha (promyelocytic leukemia-retinoic acid receptor alpha) oncogene to induce acute myeloid leukemia (AML) in mice. ('acute myeloid leukemia', 'Disease', 'MESH:D015470', (137, 159)) ('induce', 'PosReg', (130, 136)) ('acute myeloid leukemia', 'Phenotype', 'HP:0004808', (137, 159)) ('truncated', 'Var', (14, 23)) ('leukemia', 'Phenotype', 'HP:0001909', (79, 87)) ('leukemia', 'Phenotype', 'HP:0001909', (151, 159)) ('PML', 'Gene', '5371', (51, 54)) ('AML', 'Disease', 'MESH:D015470', (161, 164)) ('leukemia-retinoic', 'Disease', 'MESH:D007938', (79, 96)) ('myeloid leukemia', 'Phenotype', 'HP:0012324', (143, 159)) ('mice', 'Species', '10090', (169, 173)) ('G-CSFR', 'Gene', (24, 30)) ('leukemia-retinoic', 'Disease', (79, 96)) ('acute myeloid leukemia', 'Disease', (137, 159)) ('AML', 'Phenotype', 'HP:0004808', (161, 164)) ('promyelocytic leukemia', 'Phenotype', 'HP:0004836', (65, 87)) ('AML', 'Disease', (161, 164)) ('PML', 'Gene', (51, 54)) 6142 24899581 G-CSFR mutations could disrupt its ubiquitination and subsequently cause aberrant receptor signaling, leading to leukemic transformation. ('cause', 'Reg', (67, 72)) ('leukemic transformation', 'Disease', 'MESH:D007938', (113, 136)) ('aberrant receptor signaling', 'MPA', (73, 100)) ('leading to', 'Reg', (102, 112)) ('ubiquitination', 'MPA', (35, 49)) ('disrupt', 'NegReg', (23, 30)) ('G-CSFR', 'Gene', (0, 6)) ('leukemic transformation', 'Disease', (113, 136)) ('mutations', 'Var', (7, 16)) 6144 24899581 More importantly, FBW7-mediated destruction of G-CSFR suppressed STAT3 (signal transducer and activator of transcription 3) phosphorylation and activation. ('signal transducer and activator of transcription 3', 'Gene', '6774', (72, 122)) ('suppressed', 'NegReg', (54, 64)) ('activation', 'MPA', (144, 154)) ('G-CSFR', 'Gene', (47, 53)) ('STAT3', 'Gene', '6774', (65, 70)) ('destruction', 'Var', (32, 43)) ('STAT3', 'Gene', (65, 70)) 6145 24899581 In line with this finding, inhibition of FBW7 restored G-CSFR signaling and subsequently increased STAT3 transcriptional activity. ('restored', 'PosReg', (46, 54)) ('STAT3', 'Gene', '6774', (99, 104)) ('inhibition', 'Var', (27, 37)) ('G-CSFR signaling', 'MPA', (55, 71)) ('STAT3', 'Gene', (99, 104)) ('increased', 'PosReg', (89, 98)) ('FBW7', 'Gene', (41, 45)) 6147 24899581 Overall, these reports suggest that G-CSFR could be a substrate of FBW7 and aberrant upregulation of G-CSFR due to impairments in FBW7-mediated destruction could contribute to the development of AML. ('AML', 'Phenotype', 'HP:0004808', (195, 198)) ('FBW7-mediated', 'Gene', (130, 143)) ('AML', 'Disease', 'MESH:D015470', (195, 198)) ('impairments', 'Var', (115, 126)) ('contribute', 'Reg', (162, 172)) ('upregulation', 'PosReg', (85, 97)) ('AML', 'Disease', (195, 198)) 6152 24899581 Since p53 mutation/deletion has been identified in, at least, 50% of all human cancers, cancers with a p53 mutation/deletion generally have bad prognosis due to poor response to therapeutics. ('cancers', 'Disease', (79, 86)) ('p53', 'Gene', (103, 106)) ('cancer', 'Phenotype', 'HP:0002664', (79, 85)) ('cancers', 'Disease', 'MESH:D009369', (88, 95)) ('cancers', 'Phenotype', 'HP:0002664', (88, 95)) ('human', 'Species', '9606', (73, 78)) ('cancers', 'Disease', (88, 95)) ('cancers', 'Phenotype', 'HP:0002664', (79, 86)) ('cancer', 'Phenotype', 'HP:0002664', (88, 94)) ('cancers', 'Disease', 'MESH:D009369', (79, 86)) ('mutation/deletion', 'Var', (107, 124)) 6164 24899581 Furthermore, reduced C/EBP-delta gene expression due to promoter methylation has been found in breast cancer cell lines and primary breast tumors. ('breast tumors', 'Disease', 'MESH:D001943', (132, 145)) ('cancer', 'Phenotype', 'HP:0002664', (102, 108)) ('breast cancer', 'Disease', (95, 108)) ('expression', 'MPA', (38, 48)) ('breast tumors', 'Disease', (132, 145)) ('breast cancer', 'Phenotype', 'HP:0003002', (95, 108)) ('promoter methylation', 'Var', (56, 76)) ('tumor', 'Phenotype', 'HP:0002664', (139, 144)) ('tumors', 'Phenotype', 'HP:0002664', (139, 145)) ('breast tumors', 'Phenotype', 'HP:0100013', (132, 145)) ('reduced', 'NegReg', (13, 20)) ('C/EBP-delta', 'Gene', '1052', (21, 32)) ('breast tumor', 'Phenotype', 'HP:0100013', (132, 144)) ('C/EBP-delta', 'Gene', (21, 32)) ('breast cancer', 'Disease', 'MESH:D001943', (95, 108)) 6178 24899581 Fourth, inactivation of FBW7 did not cause any noticeable changes to neither endogenous EBP2 abundance nor EBP2 stability. ('EBP2', 'Gene', (88, 92)) ('EBP2', 'Gene', (107, 111)) ('abundance', 'MPA', (93, 102)) ('EBP2', 'Gene', '10969', (88, 92)) ('inactivation', 'Var', (8, 20)) ('FBW7', 'Gene', (24, 28)) ('EBP2', 'Gene', '10969', (107, 111)) 6181 24899581 These Pin1-induced conformational changes could regulate protein stability, catalytic activity, phosphorylation status, protein-protein interactions, and subcellular localization to further impact a wide range of cellular processes. ('impact', 'Reg', (190, 196)) ('catalytic activity', 'MPA', (76, 94)) ('Pin1', 'Gene', (6, 10)) ('protein-protein interactions', 'MPA', (120, 148)) ('phosphorylation status', 'MPA', (96, 118)) ('Pin1', 'Gene', '5300', (6, 10)) ('regulate', 'Reg', (48, 56)) ('subcellular', 'MPA', (154, 165)) ('protein stability', 'MPA', (57, 74)) ('conformational changes', 'Var', (19, 41)) 6182 24899581 Because regulating these protein functions by Pin1 is involved in diverse physiological and pathological processes, Pin1 deregulation is implicated in a number of diseases, including aging and age-related diseases, such as Alzheimer disease and cancer. ('cancer', 'Disease', 'MESH:D009369', (245, 251)) ('Pin1', 'Gene', '5300', (46, 50)) ('cancer', 'Disease', (245, 251)) ('Alzheimer disease', 'Disease', 'MESH:D000544', (223, 240)) ('Alzheimer disease', 'Disease', (223, 240)) ('deregulation', 'Var', (121, 133)) ('Alzheimer disease', 'Phenotype', 'HP:0002511', (223, 240)) ('implicated', 'Reg', (137, 147)) ('Pin1', 'Gene', '5300', (116, 120)) ('Pin1', 'Gene', (46, 50)) ('cancer', 'Phenotype', 'HP:0002664', (245, 251)) ('Pin1', 'Gene', (116, 120)) ('involved', 'Reg', (54, 62)) 6185 24899581 Accumulated evidence has demonstrated that Pin1 exerts its oncogenic functions in large through activation of numerous oncogenes including Neu, Ras, c-Jun, Mcl-1, Notch-1, c-Myb, and inactivation of a large number of tumor suppressors such as p53, PML, and Foxos. ('Ras', 'Protein', (144, 147)) ('Pin1', 'Gene', '5300', (43, 47)) ('Foxos', 'Gene', (257, 262)) ('Notch-1', 'Gene', '4851', (163, 170)) ('oncogenic functions', 'CPA', (59, 78)) ('PML', 'Gene', (248, 251)) ('c-Myb', 'Gene', '4602', (172, 177)) ('c-Myb', 'Gene', (172, 177)) ('tumor', 'Disease', (217, 222)) ('Neu', 'Gene', (139, 142)) ('Neu', 'Gene', '2064', (139, 142)) ('tumor', 'Disease', 'MESH:D009369', (217, 222)) ('Notch-1', 'Gene', (163, 170)) ('c-Jun', 'Gene', '3725', (149, 154)) ('activation', 'PosReg', (96, 106)) ('c-Jun', 'Gene', (149, 154)) ('PML', 'Gene', '5371', (248, 251)) ('inactivation', 'Var', (183, 195)) ('oncogenes', 'Gene', (119, 128)) ('Pin1', 'Gene', (43, 47)) ('Mcl-1', 'Gene', (156, 161)) ('tumor', 'Phenotype', 'HP:0002664', (217, 222)) ('p53', 'Gene', (243, 246)) 6192 24899581 Consistently, depletion of Pin1 caused higher expression of FBW7, subsequently decreased Mcl-1 abundance, leading to enhanced Taxol sensitivity in cancer cells. ('decreased Mcl', 'Phenotype', 'HP:0025066', (79, 92)) ('Pin1', 'Gene', (27, 31)) ('higher', 'PosReg', (39, 45)) ('cancer', 'Phenotype', 'HP:0002664', (147, 153)) ('decreased', 'NegReg', (79, 88)) ('FBW7', 'Gene', (60, 64)) ('Taxol', 'Chemical', 'MESH:D017239', (126, 131)) ('depletion', 'Var', (14, 23)) ('enhanced', 'PosReg', (117, 125)) ('Taxol sensitivity', 'MPA', (126, 143)) ('cancer', 'Disease', 'MESH:D009369', (147, 153)) ('cancer', 'Disease', (147, 153)) ('expression', 'MPA', (46, 56)) ('Pin1', 'Gene', '5300', (27, 31)) ('Mcl-1 abundance', 'MPA', (89, 104)) 6197 24899581 Notch intracellular domain (NICD) is produced by the cleavage of membrane-bound Notch by multiple enzymes and released into the cytoplasm, subsequently translocates to the nucleus and activates its target genes including Hes-1, Hes-5, Hey-1, etc. ('Hey-1', 'Gene', (235, 240)) ('NICD', 'Disease', (28, 32)) ('Hes-1', 'Gene', (221, 226)) ('activates', 'PosReg', (184, 193)) ('Hes-5', 'Gene', '388585', (228, 233)) ('Hes-5', 'Gene', (228, 233)) ('Hes-1', 'Gene', '3280', (221, 226)) ('Notch', 'Gene', (80, 85)) ('NICD', 'Disease', 'None', (28, 32)) ('cleavage', 'Var', (53, 61)) ('Hey-1', 'Gene', '23462', (235, 240)) 6201 24899581 Notably, Hes-1 high expression could be a potential poor prognostic factor for ovarian cancer patients. ('high', 'Var', (15, 19)) ('Hes-1', 'Gene', (9, 14)) ('patients', 'Species', '9606', (94, 102)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (79, 93)) ('cancer', 'Phenotype', 'HP:0002664', (87, 93)) ('ovarian cancer', 'Disease', 'MESH:D010051', (79, 93)) ('ovarian cancer', 'Disease', (79, 93)) ('Hes-1', 'Gene', '3280', (9, 14)) 6211 24899581 Consistently, Numb deletions and low Numb expression have also been observed in pro-neural glioblastomas. ('low', 'NegReg', (33, 36)) ('glioblastomas', 'Phenotype', 'HP:0012174', (91, 104)) ('Numb', 'Gene', (37, 41)) ('Numb', 'Gene', '8650', (37, 41)) ('expression', 'MPA', (42, 52)) ('observed', 'Reg', (68, 76)) ('glioblastomas', 'Disease', 'MESH:D005909', (91, 104)) ('Numb', 'Gene', '8650', (14, 18)) ('glioblastomas', 'Disease', (91, 104)) ('Numb', 'Gene', (14, 18)) ('deletions', 'Var', (19, 28)) 6240 24899581 Notably, miR-27a knockdown increased FBW7 levels and subsequently decreased the expression of FBW7 substrates such as c-Myc, c-Jun and Notch-1 in colon cancer. ('FBW7 levels', 'MPA', (37, 48)) ('Notch-1', 'Gene', '4851', (135, 142)) ('increased', 'PosReg', (27, 36)) ('c-Jun', 'Gene', (125, 130)) ('miR-27a', 'Gene', (9, 16)) ('FBW7', 'Gene', (94, 98)) ('colon cancer', 'Disease', (146, 158)) ('decreased', 'NegReg', (66, 75)) ('c-Myc', 'Gene', '4609', (118, 123)) ('miR-27a', 'Gene', '407018', (9, 16)) ('c-Myc', 'Gene', (118, 123)) ('expression', 'MPA', (80, 90)) ('knockdown', 'Var', (17, 26)) ('cancer', 'Phenotype', 'HP:0002664', (152, 158)) ('c-Jun', 'Gene', '3725', (125, 130)) ('colon cancer', 'Phenotype', 'HP:0003003', (146, 158)) ('colon cancer', 'Disease', 'MESH:D015179', (146, 158)) ('Notch-1', 'Gene', (135, 142)) 6246 24899581 High expression of miR-223 was also found to be associated with poor survival in gastric carcinomas, ovarian cancer, and esophageal squamous cell carcinoma. ('carcinoma', 'Phenotype', 'HP:0030731', (146, 155)) ('High', 'Var', (0, 4)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (121, 155)) ('carcinomas', 'Phenotype', 'HP:0030731', (89, 99)) ('ovarian cancer', 'Disease', (101, 115)) ('gastric carcinomas', 'Disease', 'MESH:D013274', (81, 99)) ('gastric carcinomas', 'Disease', (81, 99)) ('poor', 'NegReg', (64, 68)) ('ovarian cancer', 'Disease', 'MESH:D010051', (101, 115)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (132, 155)) ('esophageal squamous cell carcinoma', 'Disease', (121, 155)) ('gastric carcinoma', 'Phenotype', 'HP:0012126', (81, 98)) ('carcinoma', 'Phenotype', 'HP:0030731', (89, 98)) ('cancer', 'Phenotype', 'HP:0002664', (109, 115)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (101, 115)) ('miR-223', 'Gene', (19, 26)) 6288 19383811 p53 Arg72Pro and MDM2 T309G Polymorphisms, Histology, and Esophageal Cancer Prognosis This study aimed to evaluate the prognostic significance of two functional single nucleotide polymorphisms (SNP) in the p53 pathway (p53 Arg72Pro and MDM2 T309G) in patients with esophageal cancer, and to determine the importance of histologic subtype in the SNP-outcome relationships. ('T309G', 'Mutation', 'rs2279744', (22, 27)) ('Arg72Pro', 'SUBSTITUTION', 'None', (223, 231)) ('MDM2', 'Gene', (236, 240)) ('patients', 'Species', '9606', (251, 259)) ('Arg72Pro', 'Var', (4, 12)) ('p53', 'Gene', '7157', (206, 209)) ('p53', 'Gene', '7157', (0, 3)) ('Esophageal Cancer', 'Disease', 'MESH:D004938', (58, 75)) ('MDM2', 'Gene', '4193', (236, 240)) ('MDM2', 'Gene', (17, 21)) ('esophageal cancer', 'Disease', 'MESH:D004938', (265, 282)) ('T309G', 'Mutation', 'rs2279744', (241, 246)) ('Arg72Pro', 'SUBSTITUTION', 'None', (4, 12)) ('p53', 'Gene', (206, 209)) ('p53', 'Gene', (0, 3)) ('esophageal cancer', 'Disease', (265, 282)) ('MDM2', 'Gene', '4193', (17, 21)) ('cancer', 'Phenotype', 'HP:0002664', (276, 282)) ('Arg72Pro', 'Var', (223, 231)) ('p53', 'Gene', '7157', (219, 222)) ('Esophageal Cancer', 'Disease', (58, 75)) ('Cancer', 'Phenotype', 'HP:0002664', (69, 75)) ('p53', 'Gene', (219, 222)) 6289 19383811 A cohort of 371 patients with esophageal carcinoma enrolled in Boston, USA from 1999 to 2004 were genotyped for the p53 and MDM2 SNPs. ('esophageal carcinoma', 'Phenotype', 'HP:0011459', (30, 50)) ('carcinoma', 'Phenotype', 'HP:0030731', (41, 50)) ('esophageal carcinoma', 'Disease', 'MESH:D004938', (30, 50)) ('patients', 'Species', '9606', (16, 24)) ('p53', 'Var', (116, 119)) ('esophageal carcinoma', 'Disease', (30, 50)) 6291 19383811 p53 Pro/Pro was strongly associated with shorter survival in the entire cohort (MS of 11.8 versus 29.1 months, P < 0.0001; adjusted hazard ratio for death, 2.05; 95% confidence interval, 1.30-3.24; P = 0.002 for Pro/Pro versus Arg/Arg). ('p53 Pro/Pro', 'Var', (0, 11)) ('Arg', 'Chemical', 'MESH:D001120', (227, 230)) ('shorter', 'NegReg', (41, 48)) ('Arg', 'Chemical', 'MESH:D001120', (231, 234)) ('Pro', 'Chemical', 'MESH:D011392', (212, 215)) ('Pro', 'Chemical', 'MESH:D011392', (4, 7)) ('Pro', 'Chemical', 'MESH:D011392', (216, 219)) ('Pro', 'Chemical', 'MESH:D011392', (8, 11)) ('death', 'Disease', 'MESH:D003643', (149, 154)) ('survival', 'MPA', (49, 57)) ('death', 'Disease', (149, 154)) 6292 19383811 MDM2 G/G was associated with markedly reduced survival in squamous cell carcinoma (MS of 10.3 versus 49.4 months; adjusted hazard ratio for death, 7.9; 95% confidence interval, 2.4-26.0; P = 0.0007 for G/G versus T/T) but not in adenocarcinoma (SNP-histology interaction P = 0.004). ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (58, 81)) ('adenocarcinoma', 'Disease', (229, 243)) ('carcinoma', 'Phenotype', 'HP:0030731', (72, 81)) ('squamous cell carcinoma', 'Disease', (58, 81)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (58, 81)) ('reduced', 'NegReg', (38, 45)) ('death', 'Disease', 'MESH:D003643', (140, 145)) ('death', 'Disease', (140, 145)) ('survival', 'MPA', (46, 54)) ('G/G', 'Var', (202, 205)) ('adenocarcinoma', 'Disease', 'MESH:D000230', (229, 243)) ('carcinoma', 'Phenotype', 'HP:0030731', (234, 243)) ('MDM2 G/G', 'Var', (0, 8)) 6293 19383811 In a large prospective cohort, p53 Arg72Pro Pro/Pro was associated with a 2-fold increased risk of death in all esophageal cancers, whereas MDM2 T309G G/G was associated with a 7-fold increased risk of death in squamous cell carcinoma. ('cancer', 'Phenotype', 'HP:0002664', (123, 129)) ('Arg72Pro', 'Var', (35, 43)) ('esophageal cancers', 'Disease', (112, 130)) ('death in squamous cell carcinoma', 'Disease', 'MESH:D002294', (202, 234)) ('MDM2', 'Var', (140, 144)) ('Pro', 'Chemical', 'MESH:D011392', (44, 47)) ('death', 'Disease', 'MESH:D003643', (99, 104)) ('death', 'Disease', 'MESH:D003643', (202, 207)) ('T309G', 'Mutation', 'rs2279744', (145, 150)) ('esophageal cancers', 'Disease', 'MESH:D004938', (112, 130)) ('Arg72Pro', 'SUBSTITUTION', 'None', (35, 43)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (211, 234)) ('Pro', 'Chemical', 'MESH:D011392', (40, 43)) ('carcinoma', 'Phenotype', 'HP:0030731', (225, 234)) ('death', 'Disease', (99, 104)) ('cancers', 'Phenotype', 'HP:0002664', (123, 130)) ('death', 'Disease', (202, 207)) ('death in squamous cell carcinoma', 'Disease', (202, 234)) ('Pro', 'Chemical', 'MESH:D011392', (48, 51)) 6297 19383811 Both genes contain functional single nucleotide polymorphisms (SNP) known to impact tumor biology, which have been implicated in the development and prognosis of several cancers. ('cancers', 'Phenotype', 'HP:0002664', (170, 177)) ('implicated', 'Reg', (115, 125)) ('tumor', 'Disease', 'MESH:D009369', (84, 89)) ('cancers', 'Disease', (170, 177)) ('cancers', 'Disease', 'MESH:D009369', (170, 177)) ('tumor', 'Phenotype', 'HP:0002664', (84, 89)) ('impact', 'Reg', (77, 83)) ('tumor', 'Disease', (84, 89)) ('cancer', 'Phenotype', 'HP:0002664', (170, 176)) ('single nucleotide polymorphisms', 'Var', (30, 61)) 6298 19383811 A common G-to-C SNP in the p53 gene (p53 Arg72Pro) results in an amino acid change from arginine (Arg72) to proline (Pro72; ref.). ('arginine', 'Chemical', 'MESH:D001120', (88, 96)) ('Arg72Pro', 'SUBSTITUTION', 'None', (41, 49)) ('arginine', 'MPA', (88, 96)) ('Pro72', 'Chemical', '-', (117, 122)) ('amino acid change', 'MPA', (65, 82)) ('Arg72Pro', 'Var', (41, 49)) ('p53', 'Gene', (27, 30)) ('Arg72) to proline', 'Mutation', 'rs1042522', (98, 115)) 6300 19383811 MDM2 T309G is located within the MDM2 promoter: the G variant enhances transcription factor binding leading to increased MDM2 expression and reduced apoptosis in response to DNA damage. ('apoptosis', 'CPA', (149, 158)) ('transcription factor binding', 'Interaction', (71, 99)) ('increased', 'PosReg', (111, 120)) ('expression', 'MPA', (126, 136)) ('reduced', 'NegReg', (141, 148)) ('T309G', 'Mutation', 'rs2279744', (5, 10)) ('response to DNA damage', 'MPA', (162, 184)) ('enhances', 'PosReg', (62, 70)) ('T309G', 'Var', (5, 10)) ('MDM2', 'Gene', (121, 125)) 6301 19383811 The G/G genotype has been associated with poor prognosis in other sporadic aerodigestive cancers. ('cancers', 'Phenotype', 'HP:0002664', (89, 96)) ('G/G', 'Var', (4, 7)) ('cancers', 'Disease', 'MESH:D009369', (89, 96)) ('cancers', 'Disease', (89, 96)) ('cancer', 'Phenotype', 'HP:0002664', (89, 95)) 6303 19383811 Given the critical importance of the p53 pathway on malignant tumor behavior, and the previously observed biological and clinical effects of p53 Arg72Pro and MDM2 T309G, we evaluated the association of these SNPs with survival and recurrence in a large cohort of patients with esophageal cancer. ('esophageal cancer', 'Disease', 'MESH:D004938', (277, 294)) ('Arg72Pro', 'Var', (145, 153)) ('p53', 'Gene', (141, 144)) ('tumor', 'Phenotype', 'HP:0002664', (62, 67)) ('patients', 'Species', '9606', (263, 271)) ('tumor', 'Disease', (62, 67)) ('Arg72Pro', 'SUBSTITUTION', 'None', (145, 153)) ('T309G', 'Var', (163, 168)) ('esophageal cancer', 'Disease', (277, 294)) ('cancer', 'Phenotype', 'HP:0002664', (288, 294)) ('T309G', 'Mutation', 'rs2279744', (163, 168)) ('tumor', 'Disease', 'MESH:D009369', (62, 67)) 6305 19383811 Moreover, tumor histologic subtype has been recognized as a determinant of the effect of MDM2 T309G on outcomes in lung cancer. ('cancer', 'Phenotype', 'HP:0002664', (120, 126)) ('tumor', 'Phenotype', 'HP:0002664', (10, 15)) ('tumor', 'Disease', (10, 15)) ('lung cancer', 'Disease', 'MESH:D008175', (115, 126)) ('T309G', 'Var', (94, 99)) ('lung cancer', 'Phenotype', 'HP:0100526', (115, 126)) ('MDM2', 'Gene', (89, 93)) ('tumor', 'Disease', 'MESH:D009369', (10, 15)) ('lung cancer', 'Disease', (115, 126)) ('T309G', 'Mutation', 'rs2279744', (94, 99)) 6317 19383811 The p53 Arg72Pro (rs1042522) and MDM2 T309G (rs2279744) SNPs were genotyped using the TaqMan assay and a 384-well ABI 7900HT Sequence Detection System (Applied Biosystems). ('Arg72Pro', 'Var', (8, 16)) ('MDM2', 'Gene', (33, 37)) ('Arg72Pro', 'SUBSTITUTION', 'None', (8, 16)) ('rs1042522', 'Var', (18, 27)) ('rs2279744', 'Var', (45, 54)) ('T309G', 'Mutation', 'rs2279744', (38, 43)) ('rs1042522', 'Mutation', 'rs1042522', (18, 27)) ('rs2279744', 'Mutation', 'rs2279744', (45, 54)) 6326 19383811 Genotype frequencies for the wild-type, heterozygous, and homozygous variants were 51%, 39%, and 9%, respectively, for p53 Arg72Pro; and 40%, 48%, and 12%, respectively, for MDM2 T309G. ('Arg72Pro', 'Var', (123, 131)) ('Arg72Pro', 'SUBSTITUTION', 'None', (123, 131)) ('T309G', 'Mutation', 'rs2279744', (179, 184)) ('MDM2 T309G', 'Var', (174, 184)) 6330 19383811 p53 Pro/Pro was significantly associated with shorter OS and PFS in the whole cohort (Table 3 and Fig. ('p53 Pro/Pro', 'Var', (0, 11)) ('shorter OS', 'Disease', (46, 56)) ('Pro', 'Chemical', 'MESH:D011392', (4, 7)) ('PFS', 'Disease', (61, 64)) ('Pro', 'Chemical', 'MESH:D011392', (8, 11)) 6334 19383811 In contrast, MDM2 G/G showed a significant association with worse outcome in the squamous cell carcinoma population, but not in adenocarcinoma or the overall cohort. ('adenocarcinoma', 'Disease', 'MESH:D000230', (128, 142)) ('carcinoma', 'Phenotype', 'HP:0030731', (133, 142)) ('MDM2 G/G', 'Var', (13, 21)) ('carcinoma', 'Phenotype', 'HP:0030731', (95, 104)) ('adenocarcinoma', 'Disease', (128, 142)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (81, 104)) ('squamous cell carcinoma', 'Disease', (81, 104)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (81, 104)) 6335 19383811 In patients with squamous cell carcinoma, median OS and PFS were markedly shorter in individuals with the G/G genotype (Table 4 and Fig. ('shorter', 'NegReg', (74, 81)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (17, 40)) ('G/G', 'Var', (106, 109)) ('patients', 'Species', '9606', (3, 11)) ('PFS', 'CPA', (56, 59)) ('median', 'MPA', (42, 48)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (17, 40)) ('carcinoma', 'Phenotype', 'HP:0030731', (31, 40)) ('squamous cell carcinoma', 'Disease', (17, 40)) 6336 19383811 In adenocarcinoma, the heterozygous T/G genotype was weakly associated with longer OS (but not PFS) in the adjusted model (AHR for death, 0.70; 95% CI, 0.50-0.99; P = 0.04), although this association does not remain significant after Bonferroni correction, and may represent a chance finding. ('longer OS', 'Disease', (76, 85)) ('carcinoma', 'Phenotype', 'HP:0030731', (8, 17)) ('adenocarcinoma', 'Disease', (3, 17)) ('adenocarcinoma', 'Disease', 'MESH:D000230', (3, 17)) ('T/G', 'Var', (36, 39)) ('death', 'Disease', 'MESH:D003643', (131, 136)) ('death', 'Disease', (131, 136)) 6337 19383811 This relationship between the MDM2 T309G polymorphism and survival was consistent across all stages (data not shown). ('T309G', 'Var', (35, 40)) ('MDM2', 'Gene', (30, 34)) ('T309G', 'Mutation', 'rs2279744', (35, 40)) 6342 19383811 As observed in the entire study cohort, the MDM2 T309G genotype was not associated with outcomes in this treatment subgroup. ('T309G', 'Var', (49, 54)) ('T309G', 'Mutation', 'rs2279744', (49, 54)) ('MDM2', 'Gene', (44, 48)) 6343 19383811 In the subset of patients with squamous cell carcinoma intended for cisplatin-based trimodality therapy, the number of patients was small (n = 37), and no outcome association with MDM2 T309G was detected. ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (31, 54)) ('squamous cell carcinoma', 'Disease', (31, 54)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (31, 54)) ('patients', 'Species', '9606', (119, 127)) ('MDM2 T309G', 'Var', (180, 190)) ('T309G', 'Mutation', 'rs2279744', (185, 190)) ('patients', 'Species', '9606', (17, 25)) ('cisplatin', 'Chemical', 'MESH:D002945', (68, 77)) ('carcinoma', 'Phenotype', 'HP:0030731', (45, 54)) 6345 19383811 When adjusted for these, the association between p53 Arg72Pro and outcomes in all cases, as well as MDM2 T309G SNP-histology interaction remained statistically significant. ('T309G', 'Mutation', 'rs2279744', (105, 110)) ('significant', 'Reg', (160, 171)) ('MDM2', 'Var', (100, 104)) ('Arg72Pro', 'Var', (53, 61)) ('Arg72Pro', 'SUBSTITUTION', 'None', (53, 61)) 6346 19383811 In this large, predominantly Caucasian, cohort of patients with esophageal cancer and mature outcome data, we have shown that variant genotypes in two key p53 pathway SNPs, p53 Arg72Pro and MDM2 T309G, are associated with shortened survival. ('MDM2', 'Gene', (190, 194)) ('patients', 'Species', '9606', (50, 58)) ('p53', 'Pathway', (155, 158)) ('Arg72Pro', 'Var', (177, 185)) ('T309G', 'Mutation', 'rs2279744', (195, 200)) ('Arg72Pro', 'SUBSTITUTION', 'None', (177, 185)) ('cancer', 'Phenotype', 'HP:0002664', (75, 81)) ('esophageal cancer', 'Disease', (64, 81)) ('esophageal cancer', 'Disease', 'MESH:D004938', (64, 81)) ('shortened', 'NegReg', (222, 231)) 6347 19383811 The p53 Pro/Pro genotype was associated with a 2-fold increased risk of death and relapse/progression in the entire population, regardless of histology, and after Bonferroni correction for multiple comparisons. ('Pro', 'Chemical', 'MESH:D011392', (12, 15)) ('death', 'Disease', 'MESH:D003643', (72, 77)) ('death', 'Disease', (72, 77)) ('p53', 'Var', (4, 7)) ('relapse/progression', 'CPA', (82, 101)) ('Pro', 'Chemical', 'MESH:D011392', (8, 11)) 6348 19383811 The MDM2 G/G genotype was associated with a >7-fold increased risk of death in the subgroup of patients with squamous cell carcinoma, but not among those with adenocarcinoma. ('patients', 'Species', '9606', (95, 103)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (109, 132)) ('death', 'Disease', 'MESH:D003643', (70, 75)) ('MDM2 G/G', 'Var', (4, 12)) ('death', 'Disease', (70, 75)) ('carcinoma', 'Phenotype', 'HP:0030731', (164, 173)) ('carcinoma', 'Phenotype', 'HP:0030731', (123, 132)) ('squamous cell carcinoma', 'Disease', (109, 132)) ('adenocarcinoma', 'Disease', (159, 173)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (109, 132)) ('adenocarcinoma', 'Disease', 'MESH:D000230', (159, 173)) 6349 19383811 The association between p53 Pro/Pro genotype and worse prognosis in our cohort is in keeping with the functional consequences of this polymorphism: the p53 Pro variant protein has been shown to have a reduced ability to induce apoptosis attributed, at least in part, to impaired mitochondrial trafficking, and inhibition of p73-dependent apoptosis. ('inhibition', 'NegReg', (310, 320)) ('Pro', 'Chemical', 'MESH:D011392', (156, 159)) ('protein', 'Protein', (168, 175)) ('variant', 'Var', (160, 167)) ('Pro', 'Chemical', 'MESH:D011392', (32, 35)) ('p73', 'Gene', '7161', (324, 327)) ('p53', 'Gene', (152, 155)) ('p73', 'Gene', (324, 327)) ('impaired', 'NegReg', (270, 278)) ('mitochondrial trafficking', 'MPA', (279, 304)) ('reduced', 'NegReg', (201, 208)) ('induce', 'PosReg', (220, 226)) ('apoptosis', 'CPA', (227, 236)) ('Pro', 'Chemical', 'MESH:D011392', (28, 31)) 6351 19383811 The only published study to assess the impact of the p53 Arg72Pro polymorphism in patients with esophageal cancer, which included a smaller number of patients (n = 210) and shorter follow-up time, did not show a statistically significant association with survival or recurrence, although the hazard ratio point estimates were similar to our results. ('cancer', 'Phenotype', 'HP:0002664', (107, 113)) ('patients', 'Species', '9606', (82, 90)) ('Arg72Pro', 'Var', (57, 65)) ('esophageal cancer', 'Disease', (96, 113)) ('patients', 'Species', '9606', (150, 158)) ('esophageal cancer', 'Disease', 'MESH:D004938', (96, 113)) ('Arg72Pro', 'SUBSTITUTION', 'None', (57, 65)) 6352 19383811 We also found that MDM2 T309G G/G is associated with markedly worse OS and PFS, although in this case the detrimental effect was limited to patients with squamous cell carcinoma, as shown by both subgroup and interaction analyses. ('carcinoma', 'Phenotype', 'HP:0030731', (168, 177)) ('worse', 'NegReg', (62, 67)) ('PFS', 'Disease', (75, 78)) ('MDM2 T309G G/G', 'Var', (19, 33)) ('T309G', 'Mutation', 'rs2279744', (24, 29)) ('patients', 'Species', '9606', (140, 148)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (154, 177)) ('squamous cell carcinoma', 'Disease', (154, 177)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (154, 177)) 6353 19383811 A similar histology-specific relationship between MDM2 G/G and adverse outcomes was recently shown in a cohort of patients with non-small cell lung cancer. ('non-small cell lung cancer', 'Disease', 'MESH:D002289', (128, 154)) ('non-small cell lung cancer', 'Disease', (128, 154)) ('lung cancer', 'Phenotype', 'HP:0100526', (143, 154)) ('MDM2 G/G', 'Var', (50, 58)) ('cancer', 'Phenotype', 'HP:0002664', (148, 154)) ('small cell lung cancer', 'Phenotype', 'HP:0030357', (132, 154)) ('non-small cell lung cancer', 'Phenotype', 'HP:0030358', (128, 154)) ('patients', 'Species', '9606', (114, 122)) 6357 19383811 Although MDM2 T309G has been shown to modulate the association between alterations of p53 and outcomes in breast cancer, Heist et al. ('p53', 'Gene', (86, 89)) ('breast cancer', 'Disease', (106, 119)) ('breast cancer', 'Phenotype', 'HP:0003002', (106, 119)) ('association', 'Interaction', (51, 62)) ('alterations', 'Var', (71, 82)) ('T309G', 'Mutation', 'rs2279744', (14, 19)) ('MDM2', 'Var', (9, 13)) ('cancer', 'Phenotype', 'HP:0002664', (113, 119)) ('breast cancer', 'Disease', 'MESH:D001943', (106, 119)) ('modulate', 'Reg', (38, 46)) 6358 19383811 did not find a correlation between MDM2 T309G and p53 status or expression in non-small cell lung cancer,9 suggesting that a more complex or tumor-specific relationship might exist. ('tumor', 'Disease', 'MESH:D009369', (141, 146)) ('cancer', 'Phenotype', 'HP:0002664', (98, 104)) ('tumor', 'Phenotype', 'HP:0002664', (141, 146)) ('non-small cell lung cancer', 'Disease', 'MESH:D002289', (78, 104)) ('T309G', 'Mutation', 'rs2279744', (40, 45)) ('MDM2 T309G', 'Var', (35, 45)) ('tumor', 'Disease', (141, 146)) ('non-small cell lung cancer', 'Disease', (78, 104)) ('lung cancer', 'Phenotype', 'HP:0100526', (93, 104)) ('non-small cell lung cancer', 'Phenotype', 'HP:0030358', (78, 104)) ('small cell lung cancer', 'Phenotype', 'HP:0030357', (82, 104)) 6359 19383811 As routine untreated tissue availability is limited in esophageal cancer and tumor samples were not available to investigate the relationship among tumor p53 alterations, SNP genotypes, and outcomes in our cohort, prospective studies including tissue collection are warranted to evaluate this potential association. ('tumor', 'Phenotype', 'HP:0002664', (148, 153)) ('cancer', 'Phenotype', 'HP:0002664', (66, 72)) ('tumor', 'Disease', (148, 153)) ('esophageal cancer', 'Disease', (55, 72)) ('tumor', 'Disease', 'MESH:D009369', (77, 82)) ('tumor', 'Phenotype', 'HP:0002664', (77, 82)) ('esophageal cancer', 'Disease', 'MESH:D004938', (55, 72)) ('alterations', 'Var', (158, 169)) ('tumor', 'Disease', (77, 82)) ('tumor', 'Disease', 'MESH:D009369', (148, 153)) 6361 19383811 In summary, we show, in a large cohort of patients with esophageal cancer, that p53 Arg72Pro Pro/Pro is strongly associated with shortened survival in esophageal cancer. ('esophageal cancer', 'Disease', (151, 168)) ('Arg72Pro', 'Var', (84, 92)) ('esophageal cancer', 'Disease', (56, 73)) ('Pro', 'Chemical', 'MESH:D011392', (89, 92)) ('esophageal cancer', 'Disease', 'MESH:D004938', (151, 168)) ('Pro', 'Chemical', 'MESH:D011392', (97, 100)) ('esophageal cancer', 'Disease', 'MESH:D004938', (56, 73)) ('cancer', 'Phenotype', 'HP:0002664', (67, 73)) ('cancer', 'Phenotype', 'HP:0002664', (162, 168)) ('Arg72Pro', 'SUBSTITUTION', 'None', (84, 92)) ('patients', 'Species', '9606', (42, 50)) ('shortened', 'NegReg', (129, 138)) ('Pro', 'Chemical', 'MESH:D011392', (93, 96)) 6362 19383811 Further, MDM2 T309G G/G is associated with shortened survival in esophageal squamous cell carcinoma. ('shortened', 'NegReg', (43, 52)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (76, 99)) ('carcinoma', 'Phenotype', 'HP:0030731', (90, 99)) ('MDM2 T309G G/G', 'Var', (9, 23)) ('esophageal squamous cell carcinoma', 'Disease', (65, 99)) ('survival', 'MPA', (53, 61)) ('T309G', 'Mutation', 'rs2279744', (14, 19)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (65, 99)) 6363 19383811 Our results show the prognostic value of SNPs in the p53 pathway and underscore the distinct differences between squamous cell and adenocarcinomas of the esophagus. ('adenocarcinomas of the esophagus', 'Disease', 'MESH:C562730', (131, 163)) ('squamous cell', 'Disease', (113, 126)) ('p53 pathway', 'Pathway', (53, 64)) ('SNPs', 'Var', (41, 45)) ('carcinoma', 'Phenotype', 'HP:0030731', (136, 145)) ('adenocarcinomas of the esophagus', 'Disease', (131, 163)) 6392 20624335 Animal studies have demonstrated that vitamin E or alpha-tocopherol inhibits the development of esophageal adenocarcinoma through its antioxidant properties, and inadequate selenium in the diet may promote carcinogenesis by enhancing oxidative stress. ('promote', 'PosReg', (198, 205)) ('inadequate', 'Var', (162, 172)) ('selenium', 'Chemical', 'MESH:D012643', (173, 181)) ('enhancing', 'PosReg', (224, 233)) ('vitamin E', 'Chemical', 'MESH:D014810', (38, 47)) ('alpha-tocopherol', 'Chemical', 'MESH:D024502', (51, 67)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (96, 121)) ('oxidative stress', 'Phenotype', 'HP:0025464', (234, 250)) ('inhibits', 'NegReg', (68, 76)) ('esophageal adenocarcinoma', 'Disease', 'MESH:D004938', (96, 121)) ('carcinoma', 'Phenotype', 'HP:0030731', (112, 121)) ('men', 'Species', '9606', (88, 91)) ('carcinogenesis', 'CPA', (206, 220)) ('esophageal adenocarcinoma', 'Disease', (96, 121)) ('selenium', 'Protein', (173, 181)) ('oxidative stress', 'MPA', (234, 250)) ('antioxidant properties', 'MPA', (134, 156)) 6400 20624335 A population-based case-control study using a Kaiser Permanente Northern California population demonstrated that dietary intakes of vitamin C and beta-carotene were inversely associated with the risk of Barrett's esophagus [OR=0.48; 95% CI=0.26-0.90; OR=0.56; 95% CI=0.32-0.99, Q4 vs. Q1, respectively]. ('beta-carotene', 'Var', (146, 159)) ('inversely', 'NegReg', (165, 174)) ('vitamin C', 'Chemical', 'MESH:D001205', (132, 141)) ("Barrett's esophagus", 'Disease', (203, 222)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (203, 222)) ('beta-carotene', 'Chemical', 'MESH:D019207', (146, 159)) 6419 20624335 In addition, significant inverse associations were observed between supplemental vitamin C and E use and the risk of esophageal adenocarcinoma in this study [HR=0.25; 95% CI=0.11-0.58, >=250 mg vs. none; HR=0.25; 95% CI=0.10-0.60, >=180 mg vs. none, respectively]. ('>=250 mg', 'Var', (185, 193)) ('vitamin C', 'Chemical', 'MESH:D001205', (81, 90)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (117, 142)) ('carcinoma', 'Phenotype', 'HP:0030731', (133, 142)) ('inverse', 'NegReg', (25, 32)) ('men', 'Species', '9606', (74, 77)) ('esophageal adenocarcinoma', 'Disease', (117, 142)) ('esophageal adenocarcinoma', 'Disease', 'MESH:D004938', (117, 142)) 6422 20624335 DNA content abnormalities such as increased 4N fractions, aneuploidy, and tetraploidy have been validated as being highly predictive of subsequent cancer development and mechanistically related to the progression of Barrett's esophagus to esophageal adenocarcinoma. ('4N fractions', 'MPA', (44, 56)) ('related', 'Reg', (186, 193)) ("Barrett's esophagus to esophageal adenocarcinoma", 'Disease', 'MESH:D001471', (216, 264)) ('cancer', 'Phenotype', 'HP:0002664', (147, 153)) ('carcinoma', 'Phenotype', 'HP:0030731', (255, 264)) ('aneuploidy', 'Disease', 'MESH:D000782', (58, 68)) ('cancer', 'Disease', 'MESH:D009369', (147, 153)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (239, 264)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (216, 235)) ("Barrett's esophagus to esophageal adenocarcinoma", 'Disease', (216, 264)) ('tetraploidy', 'Var', (74, 85)) ('cancer', 'Disease', (147, 153)) ('increased', 'PosReg', (34, 43)) ('men', 'Species', '9606', (161, 164)) ('aneuploidy', 'Disease', (58, 68)) 6485 20624335 Previous studies have linked folate intake and genetic polymorphisms in 5,10-methylenetetrahydrofolate reductase (MTHFR), a central enzyme in folate metabolism, with colorectal cancer. ('linked', 'Interaction', (22, 28)) ('colorectal cancer', 'Disease', 'MESH:D015179', (166, 183)) ('genetic polymorphisms', 'Var', (47, 68)) ('folate', 'Chemical', 'MESH:D005492', (96, 102)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (166, 183)) ('folate', 'Chemical', 'MESH:D005492', (142, 148)) ('MTHFR', 'Gene', '4524', (114, 119)) ('folate', 'Chemical', 'MESH:D005492', (29, 35)) ('colorectal cancer', 'Disease', (166, 183)) ('cancer', 'Phenotype', 'HP:0002664', (177, 183)) ('MTHFR', 'Gene', (114, 119)) ('5,10-methylenetetrahydrofolate reductase', 'Gene', '4524', (72, 112)) 6486 20624335 Certain folate-metabolizing enzyme genotypes are associated with an increased risk of gastric cardia adenocarcinoma and esophageal squamous cell carcinoma. ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (131, 154)) ('gastric cardia adenocarcinoma', 'Disease', (86, 115)) ('carcinoma', 'Phenotype', 'HP:0030731', (145, 154)) ('genotypes', 'Var', (35, 44)) ('associated', 'Reg', (49, 59)) ('esophageal squamous cell carcinoma', 'Disease', (120, 154)) ('carcinoma', 'Phenotype', 'HP:0030731', (106, 115)) ('folate', 'Chemical', 'MESH:D005492', (8, 14)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (120, 154)) ('gastric cardia adenocarcinoma', 'Disease', 'MESH:D004938', (86, 115)) 6487 20624335 Also, folate deficiency has been hypothesized to increase the risk of cancer via mediation by p53 tumor suppressor gene, or by decreasing intracellular S-adenosylmethionine (SAM) which inhibits cytosine methylation in DNA, activating proto-oncogenes, inducing malignant transformations, causing DNA precursor imbalances, misincorporating uracil into DNA, and promoting chromosome breakage. ('folate', 'Chemical', 'MESH:D005492', (6, 12)) ('activating', 'PosReg', (223, 233)) ('proto-oncogenes', 'Gene', (234, 249)) ('DNA precursor imbalances', 'MPA', (295, 319)) ('tumor', 'Disease', (98, 103)) ('misincorporating', 'Var', (321, 337)) ('chromosome breakage', 'CPA', (369, 388)) ('p53', 'Gene', '7157', (94, 97)) ('tumor', 'Disease', 'MESH:D009369', (98, 103)) ('cytosine methylation', 'MPA', (194, 214)) ('cancer', 'Disease', (70, 76)) ('uracil', 'MPA', (338, 344)) ('SAM', 'Chemical', 'MESH:D012436', (174, 177)) ('malignant transformations', 'CPA', (260, 285)) ('inducing', 'Reg', (251, 259)) ('p53', 'Gene', (94, 97)) ('cancer', 'Phenotype', 'HP:0002664', (70, 76)) ('intracellular', 'MPA', (138, 151)) ('promoting', 'PosReg', (359, 368)) ('tumor', 'Phenotype', 'HP:0002664', (98, 103)) ('folate deficiency', 'Phenotype', 'HP:0100507', (6, 23)) ('S-adenosylmethionine', 'Chemical', 'MESH:D012436', (152, 172)) ('inhibits', 'NegReg', (185, 193)) ('imbalances', 'Phenotype', 'HP:0002172', (309, 319)) ('uracil', 'Chemical', 'MESH:D014498', (338, 344)) ('decreasing', 'NegReg', (127, 137)) ('cancer', 'Disease', 'MESH:D009369', (70, 76)) ('causing', 'Reg', (287, 294)) ('chromosome breakage', 'Phenotype', 'HP:0040012', (369, 388)) 6488 20624335 A recent small study evaluating the effect of dietary folate and vitamin B6 on p53 mutations in esophageal adenocarcinoma reported that dietary intake was not associated with p53 mutations, p53 mutations at CpG sites, and p53 protein overexpression. ('mutations', 'Var', (83, 92)) ('p53', 'Gene', (175, 178)) ('p53', 'Gene', (79, 82)) ('p53', 'Gene', '7157', (79, 82)) ('p53', 'Gene', '7157', (175, 178)) ('p53', 'Gene', (190, 193)) ('p53', 'Gene', '7157', (190, 193)) ('carcinoma', 'Phenotype', 'HP:0030731', (112, 121)) ('esophageal adenocarcinoma', 'Disease', 'MESH:D004938', (96, 121)) ('p53', 'Gene', '7157', (222, 225)) ('esophageal adenocarcinoma', 'Disease', (96, 121)) ('p53', 'Gene', (222, 225)) ('vitamin B6', 'Chemical', 'MESH:D025101', (65, 75)) ('overexpression', 'PosReg', (234, 248)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (96, 121)) ('folate', 'Chemical', 'MESH:D005492', (54, 60)) 6491 20624335 No studies have evaluated the association between folate and Barrett's esophagus, progression from Barrett's esophagus into cancer, or the role of functional polymorphisms in genes encoding folate-metabolizing enzymes on the risk of esophageal adenocarcinoma or Barrett's esophagus. ('cancer', 'Disease', (124, 130)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (61, 80)) ('polymorphisms', 'Var', (158, 171)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (233, 258)) ('carcinoma', 'Phenotype', 'HP:0030731', (249, 258)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (262, 281)) ('cancer', 'Phenotype', 'HP:0002664', (124, 130)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (99, 118)) ('folate', 'Chemical', 'MESH:D005492', (190, 196)) ('esophageal adenocarcinoma', 'Disease', 'MESH:D004938', (233, 258)) ('esophageal adenocarcinoma', 'Disease', (233, 258)) ('folate', 'Chemical', 'MESH:D005492', (50, 56)) ("Barrett's esophagus", 'Disease', (262, 281)) ('cancer', 'Disease', 'MESH:D009369', (124, 130)) 6493 20624335 In the studies of gastric cardia adenocarcinoma, strong effect modification has been observed between the MTHFR C677T polymorphism and alcohol drinking. ('alcohol drinking', 'Disease', (135, 151)) ('C677T', 'Mutation', 'rs1801133', (112, 117)) ('alcohol', 'Chemical', 'MESH:D000438', (135, 142)) ('C677T', 'Var', (112, 117)) ('MTHFR', 'Gene', (106, 111)) ('carcinoma', 'Phenotype', 'HP:0030731', (38, 47)) ('alcohol drinking', 'Phenotype', 'HP:0030955', (135, 151)) ('gastric cardia adenocarcinoma', 'Disease', 'MESH:D004938', (18, 47)) ('gastric cardia adenocarcinoma', 'Disease', (18, 47)) ('MTHFR', 'Gene', '4524', (106, 111)) 6499 20624335 In the EPIC prospective cohort study that involved a mean follow-up of 6.5 years and 65 newly-diagnosed cases of esophageal adenocarcinoma, a positive association was observed for processed meat [HR=3.54; 95% CI=1.57-7.99, T3 vs. T1] while the result for total meat intake was not significant [HR=1.79; 95% CI=0.86-3.75, T3 vs. T1]. ('esophageal adenocarcinoma', 'Disease', (113, 138)) ('carcinoma', 'Phenotype', 'HP:0030731', (129, 138)) ('esophageal adenocarcinoma', 'Disease', 'MESH:D004938', (113, 138)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (113, 138)) ('processed meat', 'Var', (180, 194)) 6512 20624335 In addition, this study found a significant interaction between vitamin C and nitrite intakes: those with low vitamin C and high nitrite intake were at significantly higher risk of developing esophageal adenocarcinoma compared to those with high vitamin C and low nitrite intake [OR=2.72; 95% CI=1.73-4.27]. ('vitamin C', 'Chemical', 'MESH:D001205', (64, 73)) ('high vitamin C', 'Phenotype', 'HP:0100510', (241, 255)) ('high nitrite intake', 'Var', (124, 143)) ('carcinoma', 'Phenotype', 'HP:0030731', (208, 217)) ('nitrite', 'Chemical', 'MESH:D009573', (264, 271)) ('esophageal adenocarcinoma', 'Disease', (192, 217)) ('esophageal adenocarcinoma', 'Disease', 'MESH:D004938', (192, 217)) ('low', 'NegReg', (106, 109)) ('vitamin C', 'Chemical', 'MESH:D001205', (110, 119)) ('vitamin C', 'Chemical', 'MESH:D001205', (246, 255)) ('nitrite', 'Chemical', 'MESH:D009573', (78, 85)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (192, 217)) ('nitrite', 'Chemical', 'MESH:D009573', (129, 136)) ('low vitamin C', 'Phenotype', 'HP:0100510', (106, 119)) 6520 20624335 Among the seven case-control studies that evaluated the association between fat intake and the risk of esophageal adenocarcinoma, four reported an increased risk among individuals with high total fat intake compared to those in the lowest category of fat intake, but three reported no association. ('fat', 'Gene', '2195', (76, 79)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (103, 128)) ('fat', 'Gene', (196, 199)) ('fat', 'Gene', (251, 254)) ('fat', 'Gene', '2195', (196, 199)) ('high', 'Var', (185, 189)) ('carcinoma', 'Phenotype', 'HP:0030731', (119, 128)) ('fat', 'Gene', '2195', (251, 254)) ('fat', 'Gene', (76, 79)) ('esophageal adenocarcinoma', 'Disease', (103, 128)) ('esophageal adenocarcinoma', 'Disease', 'MESH:D004938', (103, 128)) 6526 20624335 On the other hand, polyunsaturated fatty acids and omega-3 fatty acids, mainly found in plants and fish, may decrease the risk of esophageal adenocarcinoma. ('decrease', 'NegReg', (109, 117)) ('carcinoma', 'Phenotype', 'HP:0030731', (146, 155)) ('esophageal adenocarcinoma', 'Disease', (130, 155)) ('polyunsaturated fatty acids', 'Chemical', 'MESH:D005231', (19, 46)) ('esophageal adenocarcinoma', 'Disease', 'MESH:D004938', (130, 155)) ('omega-3 fatty acids', 'Var', (51, 70)) ('polyunsaturated fatty acids', 'Var', (19, 46)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (130, 155)) ('omega-3 fatty acids', 'Chemical', 'MESH:D015525', (51, 70)) 6560 33883026 Epigenetic deregulations are also important risk factors during tumor progression which are reversible transcriptional alterations without any genomic changes. ('tumor', 'Phenotype', 'HP:0002664', (64, 69)) ('tumor', 'Disease', (64, 69)) ('Epigenetic deregulations', 'Var', (0, 24)) ('tumor', 'Disease', 'MESH:D009369', (64, 69)) 6563 33883026 Promoter hyper methylation is frequently observed as an inhibitory molecular mechanism in various genes associated with DNA repair, cell cycle regulation, and apoptosis during tumor progression. ('Promoter hyper methylation', 'Var', (0, 26)) ('tumor', 'Disease', (176, 181)) ('tumor', 'Disease', 'MESH:D009369', (176, 181)) ('tumor', 'Phenotype', 'HP:0002664', (176, 181)) 6564 33883026 Since aberrant promoter methylations have critical roles in early stages of neoplastic transformations, in present review we have summarized all of the aberrant methylations which have been reported during tumor progression among Iranian cancer patients. ('cancer', 'Disease', (238, 244)) ('cancer', 'Disease', 'MESH:D009369', (238, 244)) ('tumor', 'Phenotype', 'HP:0002664', (206, 211)) ('patients', 'Species', '9606', (245, 253)) ('tumor', 'Disease', (206, 211)) ('cancer', 'Phenotype', 'HP:0002664', (238, 244)) ('aberrant', 'Var', (152, 160)) ('tumor', 'Disease', 'MESH:D009369', (206, 211)) 6565 33883026 Aberrant promoter methylations are targetable and prepare novel therapeutic options for the personalized medicine in cancer patients. ('cancer', 'Phenotype', 'HP:0002664', (117, 123)) ('Aberrant', 'Var', (0, 8)) ('cancer', 'Disease', 'MESH:D009369', (117, 123)) ('cancer', 'Disease', (117, 123)) ('patients', 'Species', '9606', (124, 132)) 6579 33883026 DNA hypo methylation leads to aberrant activation of oncogenes while the hyper methylation is associated with inhibition of tumor suppressor genes. ('inhibition', 'NegReg', (110, 120)) ('tumor', 'Disease', 'MESH:D009369', (124, 129)) ('tumor', 'Phenotype', 'HP:0002664', (124, 129)) ('activation', 'PosReg', (39, 49)) ('tumor', 'Disease', (124, 129)) ('oncogenes', 'Protein', (53, 62)) ('hypo methylation', 'Var', (4, 20)) 6580 33883026 Various tumor suppressor genes such as p16, MutL homolog 1 (MLH1), and breast cancer type 1 susceptibility protein (BRCA1) which are involved in DNA repair, cell cycle, cell adhesion, and apoptosis have been shown to undergo tumor-specific silencing by hyper methylation. ('BRCA1', 'Gene', (116, 121)) ('breast cancer', 'Phenotype', 'HP:0003002', (71, 84)) ('breast cancer type 1 susceptibility protein', 'Gene', '672', (71, 114)) ('MutL homolog 1', 'Gene', (44, 58)) ('tumor', 'Phenotype', 'HP:0002664', (8, 13)) ('tumor', 'Disease', (225, 230)) ('tumor', 'Disease', 'MESH:D009369', (225, 230)) ('MLH1', 'Gene', (60, 64)) ('silencing', 'NegReg', (240, 249)) ('MLH1', 'Gene', '4292', (60, 64)) ('breast cancer type 1 susceptibility protein', 'Gene', (71, 114)) ('tumor', 'Phenotype', 'HP:0002664', (225, 230)) ('MutL homolog 1', 'Gene', '4292', (44, 58)) ('hyper methylation', 'Var', (253, 270)) ('tumor', 'Disease', (8, 13)) ('cancer', 'Phenotype', 'HP:0002664', (78, 84)) ('p16', 'Gene', (39, 42)) ('tumor', 'Disease', 'MESH:D009369', (8, 13)) ('p16', 'Gene', '1029', (39, 42)) ('BRCA1', 'Gene', '672', (116, 121)) 6581 33883026 Histone modifications through histone acetyl-transferase (HATs), histone methyltransferase (HMTs), kinases, ubiquitin ligases, and sumoligases are important regulatory processes in chromatin remodeling, gene expression, and carcinogenesis. ('histone methyltransferase', 'Gene', (65, 90)) ('HMTs', 'Gene', '56979', (92, 96)) ('HATs', 'Disease', (58, 62)) ('HATs', 'Disease', 'None', (58, 62)) ('HMTs', 'Gene', (92, 96)) ('histone methyltransferase', 'Gene', '56979', (65, 90)) ('modifications', 'Var', (8, 21)) ('Histone modifications', 'Var', (0, 21)) ('carcinogenesis', 'Disease', 'MESH:D063646', (224, 238)) ('carcinogenesis', 'Disease', (224, 238)) 6583 33883026 Epigenetic markers are considered as emerging diagnostic and prognostic biomarkers in cancer. ('Epigenetic markers', 'Var', (0, 18)) ('cancer', 'Disease', 'MESH:D009369', (86, 92)) ('cancer', 'Phenotype', 'HP:0002664', (86, 92)) ('cancer', 'Disease', (86, 92)) 6584 33883026 Since, aberrant DNA methylation can be tracked in body fluids; they can be suggested as efficient diagnostic and prognostic markers in primary stages of tumor progression. ('tumor', 'Disease', (153, 158)) ('tumor', 'Disease', 'MESH:D009369', (153, 158)) ('aberrant', 'Var', (7, 15)) ('tumor', 'Phenotype', 'HP:0002664', (153, 158)) 6587 33883026 In present review we have summarized all of the significant epigenetic deregulations associated with tumor progression which have been reported until now among Iranian cancer patients (Fig. ('cancer', 'Phenotype', 'HP:0002664', (168, 174)) ('epigenetic deregulations', 'Var', (60, 84)) ('tumor', 'Phenotype', 'HP:0002664', (101, 106)) ('tumor', 'Disease', (101, 106)) ('cancer', 'Disease', 'MESH:D009369', (168, 174)) ('patients', 'Species', '9606', (175, 183)) ('cancer', 'Disease', (168, 174)) ('tumor', 'Disease', 'MESH:D009369', (101, 106)) 6600 33883026 There was a significant correlation between BRCA1 hyper methylation and poor survival. ('poor survival', 'CPA', (72, 85)) ('BRCA1', 'Gene', '672', (44, 49)) ('BRCA1', 'Gene', (44, 49)) ('hyper methylation', 'Var', (50, 67)) 6608 33883026 P53 is stabilized by posttranslational modification in the primary stages of glioblastoma progression. ('glioblastoma', 'Disease', (77, 89)) ('glioblastoma', 'Disease', 'MESH:D005909', (77, 89)) ('glioblastoma', 'Phenotype', 'HP:0012174', (77, 89)) ('P53', 'Gene', (0, 3)) ('posttranslational modification', 'Var', (21, 51)) ('P53', 'Gene', '7157', (0, 3)) 6609 33883026 The MGMT suppression induces p53 mutation which can further deregulate the methylation pattern of MGMT. ('MGMT', 'Gene', '4255', (4, 8)) ('deregulate', 'Reg', (60, 70)) ('mutation', 'Var', (33, 41)) ('induces', 'Reg', (21, 28)) ('methylation pattern', 'MPA', (75, 94)) ('p53', 'Gene', (29, 32)) ('MGMT', 'Gene', (98, 102)) ('p53', 'Gene', '7157', (29, 32)) ('MGMT', 'Gene', '4255', (98, 102)) ('MGMT', 'Gene', (4, 8)) 6617 33883026 The expression profile of the genes located within cancer/placenta hypomethylated blocks were assessed for CRC that showed the epigenetic regulation of NF-kB signaling during tumorigenesis and placentogenesis. ('CRC', 'Disease', (107, 110)) ('tumor', 'Disease', (175, 180)) ('tumor', 'Phenotype', 'HP:0002664', (175, 180)) ('CRC', 'Phenotype', 'HP:0003003', (107, 110)) ('cancer', 'Phenotype', 'HP:0002664', (51, 57)) ('cancer', 'Disease', 'MESH:D009369', (51, 57)) ('CRC', 'Disease', 'MESH:D015179', (107, 110)) ('tumor', 'Disease', 'MESH:D009369', (175, 180)) ('cancer', 'Disease', (51, 57)) ('epigenetic', 'Var', (127, 137)) 6627 33883026 It was observed that the RASSF6 methylation was more frequent in B-Cell Acute Lymphoblastic Leukemia (B-ALL) cases compared with T-cell acute lymphoblastic leukaemia (T-ALL) cases, whereas the RASSF10 hyper methylation was more frequent in T-ALL compared with pre-B-ALL and B-ALL patients. ('T-ALL', 'Phenotype', 'HP:0006727', (167, 172)) ('methylation', 'Var', (32, 43)) ('T-cell acute lymphoblastic leukaemia', 'Phenotype', 'HP:0006727', (129, 165)) ('RASSF6', 'Gene', (25, 31)) ('T-cell acute lymphoblastic leukaemia', 'Disease', 'MESH:D054218', (129, 165)) ('RASSF10', 'Gene', '644943', (193, 200)) ('RASSF10', 'Gene', (193, 200)) ('ALL', 'Phenotype', 'HP:0006721', (104, 107)) ('B-ALL', 'Phenotype', 'HP:0004812', (102, 107)) ('T-cell acute lymphoblastic leukaemia', 'Disease', (129, 165)) ('-Cell Acute Lymphoblastic Leukemia', 'Phenotype', 'HP:0006727', (66, 100)) ('ALL', 'Phenotype', 'HP:0006721', (276, 279)) ('patients', 'Species', '9606', (280, 288)) ('B-Cell Acute Lymphoblastic Leukemia', 'Phenotype', 'HP:0004812', (65, 100)) ('B-Cell Acute Lymphoblastic Leukemia', 'Disease', (65, 100)) ('ALL', 'Phenotype', 'HP:0006721', (242, 245)) ('ALL', 'Phenotype', 'HP:0006721', (266, 269)) ('acute lymphoblastic leukaemia', 'Phenotype', 'HP:0006721', (136, 165)) ('B-ALL', 'Phenotype', 'HP:0004812', (274, 279)) ('B-Cell Acute Lymphoblastic Leukemia', 'Disease', 'MESH:D015456', (65, 100)) ('Acute Lymphoblastic Leukemia', 'Phenotype', 'HP:0006721', (72, 100)) ('frequent', 'Reg', (53, 61)) ('T-ALL', 'Phenotype', 'HP:0006727', (240, 245)) ('B-ALL', 'Phenotype', 'HP:0004812', (264, 269)) ('Leukemia', 'Phenotype', 'HP:0001909', (92, 100)) ('Lymphoblastic Leukemia', 'Phenotype', 'HP:0005526', (78, 100)) ('ALL', 'Phenotype', 'HP:0006721', (169, 172)) ('RASSF6', 'Gene', '166824', (25, 31)) 6628 33883026 Moreover, there was a significant correlation between RASSF6 hyper methylation and poor prognosis in pre-B-ALL patients which can be related to the NF-kB activation in the absence of RASSF6. ('RASSF6', 'Gene', (54, 60)) ('ALL', 'Phenotype', 'HP:0006721', (107, 110)) ('RASSF6', 'Gene', '166824', (183, 189)) ('activation', 'PosReg', (154, 164)) ('patients', 'Species', '9606', (111, 119)) ('hyper methylation', 'Var', (61, 78)) ('RASSF6', 'Gene', '166824', (54, 60)) ('RASSF6', 'Gene', (183, 189)) ('B-ALL', 'Phenotype', 'HP:0004812', (105, 110)) ('poor prognosis', 'CPA', (83, 97)) 6630 33883026 It has been reported that there were significant correlations between tumor sizes more than 2 cm, lymph node involvement, and HIC1 methylation among a sub population of Iranian breast cancer patients. ('breast cancer', 'Disease', (177, 190)) ('tumor', 'Phenotype', 'HP:0002664', (70, 75)) ('HIC1', 'Gene', (126, 130)) ('patients', 'Species', '9606', (191, 199)) ('HIC1', 'Gene', '3090', (126, 130)) ('tumor', 'Disease', (70, 75)) ('breast cancer', 'Disease', 'MESH:D001943', (177, 190)) ('cancer', 'Phenotype', 'HP:0002664', (184, 190)) ('correlations', 'Interaction', (49, 61)) ('men', 'Species', '9606', (116, 119)) ('tumor', 'Disease', 'MESH:D009369', (70, 75)) ('breast cancer', 'Phenotype', 'HP:0003002', (177, 190)) ('methylation', 'Var', (131, 142)) 6632 33883026 It was concluded that the HIC1 and RASSF1A hyper methylations can be used as prognostic markers of breast cancer in this population. ('breast cancer', 'Disease', 'MESH:D001943', (99, 112)) ('HIC1', 'Gene', '3090', (26, 30)) ('RASSF1A', 'Gene', (35, 42)) ('hyper methylations', 'Var', (43, 61)) ('breast cancer', 'Disease', (99, 112)) ('breast cancer', 'Phenotype', 'HP:0003002', (99, 112)) ('RASSF1A', 'Gene', '11186', (35, 42)) ('HIC1', 'Gene', (26, 30)) ('cancer', 'Phenotype', 'HP:0002664', (106, 112)) 6633 33883026 Similarly, the RASSF1A methylation has been shown as an efficient prognostic marker in a sample of Saudi breast cancer patients. ('methylation', 'Var', (23, 34)) ('Saudi breast cancer', 'Disease', (99, 118)) ('RASSF1A', 'Gene', '11186', (15, 22)) ('patients', 'Species', '9606', (119, 127)) ('Saudi breast cancer', 'Disease', 'MESH:D001943', (99, 118)) ('RASSF1A', 'Gene', (15, 22)) ('cancer', 'Phenotype', 'HP:0002664', (112, 118)) ('breast cancer', 'Phenotype', 'HP:0003002', (105, 118)) 6636 33883026 It has been reported that there were higher rates of p16, TSHR, and RASSF1A hyper methylations in a sample of Iranian malignant papillary thyroid tumors compared with benign tumors. ('TSHR', 'Gene', '7253', (58, 62)) ('p16', 'Gene', (53, 56)) ('tumor', 'Phenotype', 'HP:0002664', (146, 151)) ('higher', 'PosReg', (37, 43)) ('malignant papillary thyroid tumors', 'Disease', (118, 152)) ('RASSF1A', 'Gene', '11186', (68, 75)) ('benign tumors', 'Disease', 'MESH:D009369', (167, 180)) ('malignant papillary thyroid tumors', 'Disease', 'MESH:D000077273', (118, 152)) ('tumor', 'Phenotype', 'HP:0002664', (174, 179)) ('p16', 'Gene', '1029', (53, 56)) ('TSHR', 'Gene', (58, 62)) ('benign tumors', 'Disease', (167, 180)) ('tumors', 'Phenotype', 'HP:0002664', (146, 152)) ('hyper methylations', 'Var', (76, 94)) ('papillary thyroid tumors', 'Phenotype', 'HP:0002895', (128, 152)) ('tumors', 'Phenotype', 'HP:0002664', (174, 180)) ('RASSF1A', 'Gene', (68, 75)) 6639 33883026 The alpha4 integrin hyper methylation was observed in the majority of an Iranian prostate cancer patients group. ('alpha4', 'Gene', (4, 10)) ('cancer', 'Phenotype', 'HP:0002664', (90, 96)) ('Iranian prostate cancer', 'Disease', (73, 96)) ('Iranian prostate cancer', 'Disease', 'MESH:D011471', (73, 96)) ('hyper', 'Var', (20, 25)) ('alpha4', 'Gene', '28898', (4, 10)) ('prostate cancer', 'Phenotype', 'HP:0012125', (81, 96)) ('patients', 'Species', '9606', (97, 105)) 6642 33883026 It has been shown that the tumor tissues had higher rates of CDH1 hyper methylation compared with normal samples in Iranian breast cancer patients. ('tumor', 'Phenotype', 'HP:0002664', (27, 32)) ('CDH1', 'Gene', '999', (61, 65)) ('hyper', 'Var', (66, 71)) ('tumor', 'Disease', (27, 32)) ('cancer', 'Phenotype', 'HP:0002664', (131, 137)) ('breast cancer', 'Disease', 'MESH:D001943', (124, 137)) ('breast cancer', 'Phenotype', 'HP:0003002', (124, 137)) ('breast cancer', 'Disease', (124, 137)) ('CDH1', 'Gene', (61, 65)) ('higher', 'PosReg', (45, 51)) ('tumor', 'Disease', 'MESH:D009369', (27, 32)) ('patients', 'Species', '9606', (138, 146)) 6650 33883026 It has been reported that there was higher ratio of p14ARF methylation in a sample of Iranian oral squamous cell carcinoma (OSCC) patients compared with controls which was also directly correlated with tumor stage. ('p14ARF', 'Gene', '1029', (52, 58)) ('higher', 'PosReg', (36, 42)) ('tumor', 'Disease', (202, 207)) ('oral squamous cell carcinoma', 'Disease', 'MESH:D002294', (94, 122)) ('p14ARF', 'Gene', (52, 58)) ('patients', 'Species', '9606', (130, 138)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (99, 122)) ('methylation', 'Var', (59, 70)) ('carcinoma', 'Phenotype', 'HP:0030731', (113, 122)) ('oral squamous cell carcinoma', 'Disease', (94, 122)) ('tumor', 'Disease', 'MESH:D009369', (202, 207)) ('tumor', 'Phenotype', 'HP:0002664', (202, 207)) 6651 33883026 Similarly, It was reported that there were significant associations between p14ARF hyper methylation, advanced stages, and lymph node involvement among Japanese OSCC patients. ('men', 'Species', '9606', (141, 144)) ('advanced stages', 'CPA', (102, 117)) ('hyper methylation', 'Var', (83, 100)) ('p14ARF', 'Gene', '1029', (76, 82)) ('p14ARF', 'Gene', (76, 82)) ('lymph node involvement', 'CPA', (123, 145)) ('patients', 'Species', '9606', (166, 174)) 6653 33883026 MDM2 is an oncogene that inactivates p53 during tumorigenesis. ('tumor', 'Disease', (48, 53)) ('inactivates', 'Var', (25, 36)) ('MDM2', 'Gene', '4193', (0, 4)) ('p53', 'Gene', (37, 40)) ('p53', 'Gene', '7157', (37, 40)) ('MDM2', 'Gene', (0, 4)) ('tumor', 'Disease', 'MESH:D009369', (48, 53)) ('tumor', 'Phenotype', 'HP:0002664', (48, 53)) 6658 33883026 It has been observed that there was a significant inverse correlation between p16 hyper methylation and P53 expression in a sample of Iranian esophageal squamous cell carcinoma (ESCC) patients. ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (142, 176)) ('p16', 'Gene', (78, 81)) ('inverse', 'NegReg', (50, 57)) ('patients', 'Species', '9606', (184, 192)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (153, 176)) ('esophageal squamous cell carcinoma', 'Disease', (142, 176)) ('carcinoma', 'Phenotype', 'HP:0030731', (167, 176)) ('p16', 'Gene', '1029', (78, 81)) ('P53', 'Gene', (104, 107)) ('expression', 'MPA', (108, 118)) ('hyper methylation', 'Var', (82, 99)) ('P53', 'Gene', '7157', (104, 107)) 6661 33883026 It was shown that the sporadic cases had higher ratio of p16 methylation compared with familial ESCC cases, while there was not any p16 methylation among controls. ('familial ESCC', 'Disease', (87, 100)) ('methylation', 'Var', (61, 72)) ('p16', 'Gene', (57, 60)) ('p16', 'Gene', '1029', (132, 135)) ('higher', 'PosReg', (41, 47)) ('p16', 'Gene', '1029', (57, 60)) ('p16', 'Gene', (132, 135)) 6663 33883026 Another group has been reported that there were direct correlations between p16 hyper methylation, tumor grade, HP infection, and smoking in a subpopulation of Iranian OSCC cases. ('tumor', 'Disease', (99, 104)) ('HP infection', 'Disease', 'MESH:C537262', (112, 124)) ('p16', 'Gene', '1029', (76, 79)) ('hyper methylation', 'Var', (80, 97)) ('HP infection', 'Disease', (112, 124)) ('tumor', 'Disease', 'MESH:D009369', (99, 104)) ('p16', 'Gene', (76, 79)) ('tumor', 'Phenotype', 'HP:0002664', (99, 104)) ('correlations', 'Interaction', (55, 67)) ('Iranian OSCC', 'Disease', (160, 172)) 6664 33883026 Another group has been reported that there was higher ratio of p16 and p15 methylations in tumors compared with normal margins in a sample of Iranian OSCC patients. ('tumors', 'Disease', (91, 97)) ('tumors', 'Disease', 'MESH:D009369', (91, 97)) ('tumors', 'Phenotype', 'HP:0002664', (91, 97)) ('p15', 'Gene', '1030', (71, 74)) ('methylations', 'Var', (75, 87)) ('p16', 'Gene', (63, 66)) ('tumor', 'Phenotype', 'HP:0002664', (91, 96)) ('patients', 'Species', '9606', (155, 163)) ('p15', 'Gene', (71, 74)) ('p16', 'Gene', '1029', (63, 66)) 6665 33883026 The aberrant methylation of the p15 and p16 have been also reported during OSCC progression among Japanese patients. ('methylation', 'MPA', (13, 24)) ('p16', 'Gene', (40, 43)) ('reported', 'Reg', (59, 67)) ('aberrant', 'Var', (4, 12)) ('OSCC progression', 'Disease', (75, 91)) ('p15', 'Gene', '1030', (32, 35)) ('p16', 'Gene', '1029', (40, 43)) ('p15', 'Gene', (32, 35)) ('patients', 'Species', '9606', (107, 115)) 6669 33883026 It has been reported that there was significantly higher frequency of DBC2 methylation in tumor and blood samples of a group of Iranian breast cancer patients compared with normal margins. ('cancer', 'Phenotype', 'HP:0002664', (143, 149)) ('higher', 'PosReg', (50, 56)) ('breast cancer', 'Disease', 'MESH:D001943', (136, 149)) ('methylation', 'Var', (75, 86)) ('breast cancer', 'Disease', (136, 149)) ('tumor', 'Phenotype', 'HP:0002664', (90, 95)) ('tumor', 'Disease', (90, 95)) ('breast cancer', 'Phenotype', 'HP:0003002', (136, 149)) ('patients', 'Species', '9606', (150, 158)) ('DBC2', 'Gene', (70, 74)) ('DBC2', 'Gene', '23221', (70, 74)) ('tumor', 'Disease', 'MESH:D009369', (90, 95)) 6679 33883026 It has been observed that there were higher levels of methylated UBE2Q1 in colorectal tumor samples compared with normal margins among a sub population of Iranian subjects. ('UBE2Q1', 'Gene', (65, 71)) ('tumor', 'Phenotype', 'HP:0002664', (86, 91)) ('UBE2Q1', 'Gene', '55585', (65, 71)) ('higher', 'PosReg', (37, 43)) ('colorectal tumor', 'Disease', (75, 91)) ('colorectal tumor', 'Disease', 'MESH:D015179', (75, 91)) ('methylated', 'Var', (54, 64)) 6680 33883026 Aberrant methylation of cell cycle regulators during tumor progressions among Iranian patients are illustrated in Fig. ('Aberrant', 'Var', (0, 8)) ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('tumor', 'Disease', (53, 58)) ('methylation', 'MPA', (9, 20)) ('patients', 'Species', '9606', (86, 94)) 6688 33883026 Moreover, there were significant correlations between DOK7 and VIM methylations and negative ER status. ('methylations', 'Var', (67, 79)) ('DOK7', 'Gene', '285489', (54, 58)) ('negative ER status', 'Disease', (84, 102)) ('correlations', 'Interaction', (33, 45)) ('VIM', 'Gene', '7431', (63, 66)) ('DOK7', 'Gene', (54, 58)) ('VIM', 'Gene', (63, 66)) 6689 33883026 Another reports also showed DOK7 and VIM hyper methylations in Spanish and Australian breast cancer patients, respectively. ('VIM', 'Gene', '7431', (37, 40)) ('DOK7', 'Gene', (28, 32)) ('cancer', 'Phenotype', 'HP:0002664', (93, 99)) ('VIM', 'Gene', (37, 40)) ('breast cancer', 'Disease', 'MESH:D001943', (86, 99)) ('patients', 'Species', '9606', (100, 108)) ('breast cancer', 'Phenotype', 'HP:0003002', (86, 99)) ('hyper methylations', 'Var', (41, 59)) ('breast cancer', 'Disease', (86, 99)) ('DOK7', 'Gene', '285489', (28, 32)) 6691 33883026 Ghrelin is associated with regulation of glucose and lipid metabolism and activates Ca2+ and P13K/AKT signaling pathways that are contributed with secretion of growth hormone in pituitary cells. ('growth hormone', 'Gene', (160, 174)) ('glucose and lipid metabolism', 'Disease', 'MESH:D044882', (41, 69)) ('growth hormone', 'Gene', '2688', (160, 174)) ('Ghrelin', 'Chemical', 'MESH:D054439', (0, 7)) ('activates', 'PosReg', (74, 83)) ('P13K', 'Var', (93, 97)) ('AKT', 'Gene', '207', (98, 101)) ('Ca2+', 'Chemical', 'MESH:D000069285', (84, 88)) ('Ghrelin', 'Gene', (0, 7)) ('AKT', 'Gene', (98, 101)) ('P13K', 'SUBSTITUTION', 'None', (93, 97)) 6697 33883026 It has been reported that there was higher frequency of EDNRB hyper methylation in a sample of Iranian colorectal cancer tissues compared with normal margins. ('colorectal cancer', 'Disease', 'MESH:D015179', (103, 120)) ('hyper methylation', 'Var', (62, 79)) ('EDNRB', 'Gene', '1910', (56, 61)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (103, 120)) ('colorectal cancer', 'Disease', (103, 120)) ('EDNRB', 'Gene', (56, 61)) ('cancer', 'Phenotype', 'HP:0002664', (114, 120)) 6698 33883026 Similarly, the Chinese colorectal cancer tumors had significantly higher frequency of EDNRB promoter hyper methylation compared with normal tissues. ('cancer', 'Phenotype', 'HP:0002664', (34, 40)) ('tumor', 'Phenotype', 'HP:0002664', (41, 46)) ('EDNRB', 'Gene', '1910', (86, 91)) ('colorectal cancer tumors', 'Disease', 'MESH:D015179', (23, 47)) ('tumors', 'Phenotype', 'HP:0002664', (41, 47)) ('hyper methylation', 'Var', (101, 118)) ('EDNRB', 'Gene', (86, 91)) ('higher', 'PosReg', (66, 72)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (23, 40)) ('colorectal cancer tumors', 'Disease', (23, 47)) 6700 33883026 DNA methylation of APC, AXIN2, SFRP, and DKK as important WNT inhibitors have been reported in colorectal cancer patients. ('APC', 'Gene', (19, 22)) ('SFRP', 'Gene', (31, 35)) ('APC', 'Gene', '324', (19, 22)) ('colorectal cancer', 'Disease', (95, 112)) ('reported', 'Reg', (83, 91)) ('patients', 'Species', '9606', (113, 121)) ('AXIN2', 'Gene', (24, 29)) ('AXIN2', 'Gene', '8313', (24, 29)) ('methylation', 'Var', (4, 15)) ('colorectal cancer', 'Disease', 'MESH:D015179', (95, 112)) ('DKK', 'Gene', (41, 44)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (95, 112)) ('cancer', 'Phenotype', 'HP:0002664', (106, 112)) 6701 33883026 It has been observed that there were significant correlations between APC and DDK3 aberrant promoter methylations and age and sex, respectively among a sub population of Iranian colorectal patients. ('DDK3', 'Gene', (78, 82)) ('aberrant', 'Var', (83, 91)) ('colorectal', 'Disease', 'MESH:D015179', (178, 188)) ('APC', 'Gene', (70, 73)) ('colorectal', 'Disease', (178, 188)) ('APC', 'Gene', '324', (70, 73)) ('patients', 'Species', '9606', (189, 197)) 6702 33883026 The SFRP4 and WIF1 promoter methylations were significantly associated with stage and grade. ('WIF1', 'Gene', (14, 18)) ('WIF1', 'Gene', '11197', (14, 18)) ('grade', 'CPA', (86, 91)) ('stage', 'CPA', (76, 81)) ('methylations', 'Var', (28, 40)) ('SFRP4', 'Gene', (4, 9)) ('SFRP4', 'Gene', '6424', (4, 9)) ('associated', 'Reg', (60, 70)) 6703 33883026 Moreover, there were significant correlations between SFRP2 and SFRP5 methylations and tumor type. ('SFRP2', 'Gene', (54, 59)) ('tumor', 'Phenotype', 'HP:0002664', (87, 92)) ('correlations', 'Reg', (33, 45)) ('tumor', 'Disease', (87, 92)) ('SFRP5', 'Gene', '6425', (64, 69)) ('tumor', 'Disease', 'MESH:D009369', (87, 92)) ('methylations', 'Var', (70, 82)) ('SFRP5', 'Gene', (64, 69)) ('SFRP2', 'Gene', '6423', (54, 59)) 6712 33883026 Similarly, there were also high levels of SFRP1 and SFRP2 hyper methylations among a group of Hungarian CRC patients. ('CRC', 'Disease', (104, 107)) ('SFRP1', 'Gene', '6422', (42, 47)) ('SFRP1', 'Gene', (42, 47)) ('CRC', 'Phenotype', 'HP:0003003', (104, 107)) ('CRC', 'Disease', 'MESH:D015179', (104, 107)) ('SFRP2', 'Gene', '6423', (52, 57)) ('SFRP2', 'Gene', (52, 57)) ('patients', 'Species', '9606', (108, 116)) ('hyper', 'Var', (58, 63)) 6713 33883026 Phosphatase and tensin homolog (PTEN) is a suppressor of PI3K/AKT pathways which inhibits signal transduction from HER1, HER2, and IGFR growth factor receptors through the P13K/AKT signaling. ('inhibits', 'NegReg', (81, 89)) ('AKT', 'Gene', (62, 65)) ('HER2', 'Gene', '2064', (121, 125)) ('HER1', 'Gene', (115, 119)) ('AKT', 'Gene', '207', (177, 180)) ('P13K', 'Var', (172, 176)) ('signal transduction', 'MPA', (90, 109)) ('PTEN', 'Gene', (32, 36)) ('PTEN', 'Gene', '5728', (32, 36)) ('AKT', 'Gene', (177, 180)) ('IGFR growth factor receptors', 'Protein', (131, 159)) ('HER1', 'Gene', '1956', (115, 119)) ('P13K', 'SUBSTITUTION', 'None', (172, 176)) ('AKT', 'Gene', '207', (62, 65)) ('HER2', 'Gene', (121, 125)) ('Phosphatase and tensin homolog', 'Gene', '5728', (0, 30)) 6721 33883026 Another study on Iranian sporadic breast cancer patients showed that there were correlations between PTEN hyper methylation, advanced stages, and lymph node involvement. ('cancer', 'Phenotype', 'HP:0002664', (41, 47)) ('correlations', 'Interaction', (80, 92)) ('sporadic breast cancer', 'Disease', 'MESH:D001943', (25, 47)) ('PTEN', 'Gene', (101, 105)) ('PTEN', 'Gene', '5728', (101, 105)) ('breast cancer', 'Phenotype', 'HP:0003002', (34, 47)) ('patients', 'Species', '9606', (48, 56)) ('hyper methylation', 'Var', (106, 123)) ('sporadic breast cancer', 'Disease', (25, 47)) ('men', 'Species', '9606', (164, 167)) 6723 33883026 Iranian Kurdish breast cancer patients also had a higher frequency of PTEN methylation compared with healthy controls. ('methylation', 'Var', (75, 86)) ('PTEN', 'Gene', (70, 74)) ('PTEN', 'Gene', '5728', (70, 74)) ('Kurdish breast cancer', 'Disease', 'MESH:D001943', (8, 29)) ('patients', 'Species', '9606', (30, 38)) ('Kurdish breast cancer', 'Disease', (8, 29)) ('cancer', 'Phenotype', 'HP:0002664', (23, 29)) ('breast cancer', 'Phenotype', 'HP:0003002', (16, 29)) 6724 33883026 The female relatives of patients had also a significantly higher frequency of PTEN methylation compared with controls. ('methylation', 'Var', (83, 94)) ('PTEN', 'Gene', (78, 82)) ('PTEN', 'Gene', '5728', (78, 82)) ('higher', 'PosReg', (58, 64)) ('patients', 'Species', '9606', (24, 32)) 6728 33883026 Similarly, ALX4 methylation was observed among German patients with colorectal, esophageal, and gastric cancers. ('gastric cancer', 'Phenotype', 'HP:0012126', (96, 110)) ('cancer', 'Phenotype', 'HP:0002664', (104, 110)) ('patients', 'Species', '9606', (54, 62)) ('ALX4', 'Gene', (11, 15)) ('colorectal', 'Disease', 'MESH:D015179', (68, 78)) ('gastric cancers', 'Disease', (96, 111)) ('gastric cancers', 'Disease', 'MESH:D013274', (96, 111)) ('ALX4', 'Gene', '60529', (11, 15)) ('colorectal', 'Disease', (68, 78)) ('esophageal', 'Disease', (80, 90)) ('gastric cancers', 'Phenotype', 'HP:0012126', (96, 111)) ('cancers', 'Phenotype', 'HP:0002664', (104, 111)) ('methylation', 'Var', (16, 27)) 6730 33883026 Deregulation of PAX5 has been observed in various types of human tumors. ('human', 'Species', '9606', (59, 64)) ('PAX5', 'Gene', '5079', (16, 20)) ('PAX5', 'Gene', (16, 20)) ('Deregulation', 'Var', (0, 12)) ('tumors', 'Disease', (65, 71)) ('tumors', 'Disease', 'MESH:D009369', (65, 71)) ('tumors', 'Phenotype', 'HP:0002664', (65, 71)) ('tumor', 'Phenotype', 'HP:0002664', (65, 70)) 6736 33883026 It has been shown that there was a significant correlation between PAX5 methylation and survival in a sample of Chinese gastric cancer patients. ('PAX5', 'Gene', (67, 71)) ('PAX5', 'Gene', '5079', (67, 71)) ('patients', 'Species', '9606', (135, 143)) ('survival', 'Disease', (88, 96)) ('gastric cancer', 'Disease', (120, 134)) ('gastric cancer', 'Disease', 'MESH:D013274', (120, 134)) ('methylation', 'Var', (72, 83)) ('cancer', 'Phenotype', 'HP:0002664', (128, 134)) ('gastric cancer', 'Phenotype', 'HP:0012126', (120, 134)) 6738 33883026 MiR-192-2 induces the apoptosis through targeting SOX4 in gastric tumor cells. ('MiR-192-2', 'Chemical', '-', (0, 9)) ('gastric tumor', 'Disease', 'MESH:D013274', (58, 71)) ('gastric tumor', 'Phenotype', 'HP:0006753', (58, 71)) ('tumor', 'Phenotype', 'HP:0002664', (66, 71)) ('SOX4', 'Gene', (50, 54)) ('SOX4', 'Gene', '6659', (50, 54)) ('MiR-192-2', 'Var', (0, 9)) ('apoptosis', 'CPA', (22, 31)) ('gastric tumor', 'Disease', (58, 71)) 6742 33883026 It has been observed that there was significantly higher ER4 methylation in tumors with P53 expression among a sub population of Iranian breast cancer patients. ('breast cancer', 'Disease', 'MESH:D001943', (137, 150)) ('P53', 'Gene', (88, 91)) ('higher', 'PosReg', (50, 56)) ('breast cancer', 'Phenotype', 'HP:0003002', (137, 150)) ('breast cancer', 'Disease', (137, 150)) ('expression', 'Var', (92, 102)) ('P53', 'Gene', '7157', (88, 91)) ('tumor', 'Phenotype', 'HP:0002664', (76, 81)) ('patients', 'Species', '9606', (151, 159)) ('tumors', 'Disease', (76, 82)) ('tumors', 'Disease', 'MESH:D009369', (76, 82)) ('tumors', 'Phenotype', 'HP:0002664', (76, 82)) ('methylation', 'MPA', (61, 72)) ('ER4', 'Protein', (57, 60)) ('cancer', 'Phenotype', 'HP:0002664', (144, 150)) 6743 33883026 The ER5 methylation was observed in tumors with lymph node metastasis and higher grades. ('lymph node metastasis', 'CPA', (48, 69)) ('tumors', 'Disease', 'MESH:D009369', (36, 42)) ('tumor', 'Phenotype', 'HP:0002664', (36, 41)) ('ER5 methylation', 'Var', (4, 19)) ('observed', 'Reg', (24, 32)) ('tumors', 'Disease', (36, 42)) ('tumors', 'Phenotype', 'HP:0002664', (36, 42)) ('methylation', 'Var', (8, 19)) 6745 33883026 There was also significant higher frequency of ER5 methylation in Her-2+ tumors. ('tumors', 'Disease', 'MESH:D009369', (73, 79)) ('Her-2', 'Gene', (66, 71)) ('tumor', 'Phenotype', 'HP:0002664', (73, 78)) ('tumors', 'Phenotype', 'HP:0002664', (73, 79)) ('methylation', 'Var', (51, 62)) ('higher', 'PosReg', (27, 33)) ('tumors', 'Disease', (73, 79)) ('ER5', 'Protein', (47, 50)) ('Her-2', 'Gene', '2064', (66, 71)) 6746 33883026 ER-alpha hyper methylation was frequently observed in invasive ductal cell carcinoma patients. ('hyper methylation', 'Var', (9, 26)) ('ER-alpha', 'Gene', (0, 8)) ('patients', 'Species', '9606', (85, 93)) ('carcinoma', 'Phenotype', 'HP:0030731', (75, 84)) ('invasive ductal cell carcinoma', 'Disease', 'MESH:D044584', (54, 84)) ('observed', 'Reg', (42, 50)) ('ER-alpha', 'Gene', '2099', (0, 8)) ('invasive ductal cell carcinoma', 'Disease', (54, 84)) 6749 33883026 There was a correlation between ER-alpha methylation and poor prognosis in basal and Her2+ tumors. ('tumors', 'Disease', (91, 97)) ('ER-alpha', 'Gene', (32, 40)) ('tumors', 'Disease', 'MESH:D009369', (91, 97)) ('tumors', 'Phenotype', 'HP:0002664', (91, 97)) ('Her2', 'Gene', (85, 89)) ('ER-alpha', 'Gene', '2099', (32, 40)) ('methylation', 'Var', (41, 52)) ('basal', 'Disease', (75, 80)) ('tumor', 'Phenotype', 'HP:0002664', (91, 96)) ('Her2', 'Gene', '2064', (85, 89)) 6751 33883026 ER3 and ER5 methylations have been also reported in majority of a sample of Iranian ER negative breast tumors. ('ER5', 'Gene', (8, 11)) ('tumor', 'Phenotype', 'HP:0002664', (103, 108)) ('breast tumors', 'Disease', (96, 109)) ('tumors', 'Phenotype', 'HP:0002664', (103, 109)) ('breast tumor', 'Phenotype', 'HP:0100013', (96, 108)) ('breast tumors', 'Phenotype', 'HP:0100013', (96, 109)) ('ER3', 'Gene', (0, 3)) ('reported', 'Reg', (40, 48)) ('methylations', 'Var', (12, 24)) ('breast tumors', 'Disease', 'MESH:D001943', (96, 109)) 6753 33883026 It has been reported that there was higher frequency of RARB hyper methylation in poor prognosis cases compared with good prognosis in a sample of Iranian prostate cancer patients. ('RARB', 'Gene', (56, 60)) ('cancer', 'Phenotype', 'HP:0002664', (164, 170)) ('RARB', 'Gene', '5915', (56, 60)) ('prostate cancer', 'Phenotype', 'HP:0012125', (155, 170)) ('Iranian prostate cancer', 'Disease', 'MESH:D011471', (147, 170)) ('patients', 'Species', '9606', (171, 179)) ('Iranian prostate cancer', 'Disease', (147, 170)) ('hyper methylation', 'Var', (61, 78)) 6755 33883026 Similarly, RARB methylation was associated with a higher prostate cancer risk among American patients. ('prostate cancer', 'Disease', (57, 72)) ('RARB', 'Gene', (11, 15)) ('cancer', 'Phenotype', 'HP:0002664', (66, 72)) ('RARB', 'Gene', '5915', (11, 15)) ('prostate cancer', 'Disease', 'MESH:D011471', (57, 72)) ('prostate cancer', 'Phenotype', 'HP:0012125', (57, 72)) ('patients', 'Species', '9606', (93, 101)) ('methylation', 'Var', (16, 27)) 6759 33883026 It has been shown that there was a significant association between the levels of APAF1 methylation, tumor stage, and grade in blood samples of a subpopulation of Iranian gastric cancer patients. ('gastric cancer', 'Disease', 'MESH:D013274', (170, 184)) ('tumor', 'Phenotype', 'HP:0002664', (100, 105)) ('cancer', 'Phenotype', 'HP:0002664', (178, 184)) ('tumor', 'Disease', (100, 105)) ('gastric cancer', 'Disease', (170, 184)) ('gastric cancer', 'Phenotype', 'HP:0012126', (170, 184)) ('APAF1', 'Gene', (81, 86)) ('patients', 'Species', '9606', (185, 193)) ('methylation', 'Var', (87, 98)) ('tumor', 'Disease', 'MESH:D009369', (100, 105)) ('APAF1', 'Gene', '317', (81, 86)) 6765 33883026 Moreover, it cleaves BID to generate truncated BID which enters to the mitochondria and triggers the mitochondrial apoptotic pathway. ('BID', 'Gene', (21, 24)) ('triggers', 'Reg', (88, 96)) ('mitochondrial apoptotic pathway', 'Pathway', (101, 132)) ('BID', 'Gene', '637', (47, 50)) ('enters', 'Reg', (57, 63)) ('BID', 'Gene', '637', (21, 24)) ('truncated', 'Var', (37, 46)) ('BID', 'Gene', (47, 50)) 6766 33883026 It has been observed that there was aberrant FAS promoter methylation in majority of a sample of Iranian oral squamous cell carcinoma patients, whereas the aberrant FADD methylation was observed in a minority of cases. ('methylation', 'MPA', (58, 69)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (110, 133)) ('carcinoma', 'Phenotype', 'HP:0030731', (124, 133)) ('oral squamous cell carcinoma', 'Disease', (105, 133)) ('patients', 'Species', '9606', (134, 142)) ('aberrant', 'Var', (36, 44)) ('FAS promoter', 'Protein', (45, 57)) ('oral squamous cell carcinoma', 'Disease', 'MESH:D002294', (105, 133)) 6767 33883026 Ataxia telangiectasia mutated (ATM) is a serine threonine kinase which is activated by DNA double-strand break (DSB). ('DNA double-strand break', 'Var', (87, 110)) ('Ataxia telangiectasia mutated', 'Gene', '472', (0, 29)) ('ATM', 'Gene', '472', (31, 34)) ('Ataxia telangiectasia mutated', 'Gene', (0, 29)) ('serine', 'Chemical', 'MESH:D012694', (41, 47)) ('telangiectasia', 'Phenotype', 'HP:0001009', (7, 21)) ('Ataxia', 'Phenotype', 'HP:0001251', (0, 6)) ('ATM', 'Gene', (31, 34)) 6768 33883026 Deregulated expression of E2F1 transcription factor up regulates ATM that leads to the apoptosis induction, cell cycle regulation, and DNA repair via phosphorylation of CHK1, CHK2, P53, and CDC25. ('CDC25', 'Gene', '995', (190, 195)) ('ATM', 'Gene', '472', (65, 68)) ('phosphorylation', 'MPA', (150, 165)) ('CDC25', 'Gene', (190, 195)) ('Deregulated', 'Var', (0, 11)) ('CHK1', 'Gene', '1111', (169, 173)) ('CHK2', 'Gene', (175, 179)) ('up regulates', 'PosReg', (52, 64)) ('P53', 'Gene', (181, 184)) ('E2F1', 'Gene', '1869', (26, 30)) ('DNA repair', 'CPA', (135, 145)) ('E2F1', 'Gene', (26, 30)) ('apoptosis induction', 'CPA', (87, 106)) ('cell cycle regulation', 'CPA', (108, 129)) ('CHK1', 'Gene', (169, 173)) ('CHK2', 'Gene', '11200', (175, 179)) ('ATM', 'Gene', (65, 68)) ('P53', 'Gene', '7157', (181, 184)) 6772 33883026 Moreover, there was a significant association between D1853N polymorphism and ATM promoter methylation. ('D1853N', 'Var', (54, 60)) ('ATM', 'Gene', (78, 81)) ('D1853N', 'Mutation', 'rs1801516', (54, 60)) ('ATM', 'Gene', '472', (78, 81)) 6777 33883026 It has been observed that there was significantly higher frequency of CTLA4 promoter methylation in a sample of Iranian gastric cancer patients compared with normal margins. ('methylation', 'Var', (85, 96)) ('higher', 'PosReg', (50, 56)) ('patients', 'Species', '9606', (135, 143)) ('CTLA4', 'Gene', '1493', (70, 75)) ('gastric cancer', 'Disease', (120, 134)) ('promoter', 'MPA', (76, 84)) ('gastric cancer', 'Disease', 'MESH:D013274', (120, 134)) ('CTLA4', 'Gene', (70, 75)) ('cancer', 'Phenotype', 'HP:0002664', (128, 134)) ('gastric cancer', 'Phenotype', 'HP:0012126', (120, 134)) 6779 33883026 Role of aberrant methylations in regulation of apoptosis during tumor progressions among Iranian patients are illustrated in Fig. ('aberrant methylations', 'Var', (8, 29)) ('tumor', 'Disease', (64, 69)) ('methylations', 'Var', (17, 29)) ('tumor', 'Disease', 'MESH:D009369', (64, 69)) ('tumor', 'Phenotype', 'HP:0002664', (64, 69)) ('patients', 'Species', '9606', (97, 105)) 6782 33883026 It was frequently observed that the p16 and CDH1 aberrant promoter methylations can be involved in tumor progression of ESCC, thyroid, oral, breast, gastric, and prostate cancers. ('oral', 'Disease', (135, 139)) ('breast', 'Disease', (141, 147)) ('aberrant', 'Var', (49, 57)) ('p16', 'Gene', '1029', (36, 39)) ('prostate cancer', 'Phenotype', 'HP:0012125', (162, 177)) ('prostate cancers', 'Phenotype', 'HP:0012125', (162, 178)) ('CDH1', 'Gene', '999', (44, 48)) ('prostate cancers', 'Disease', (162, 178)) ('tumor', 'Disease', (99, 104)) ('involved', 'Reg', (87, 95)) ('tumor', 'Disease', 'MESH:D009369', (99, 104)) ('CDH1', 'Gene', (44, 48)) ('thyroid', 'Disease', (126, 133)) ('ESCC', 'Disease', (120, 124)) ('gastric', 'Disease', (149, 156)) ('tumor', 'Phenotype', 'HP:0002664', (99, 104)) ('cancer', 'Phenotype', 'HP:0002664', (171, 177)) ('prostate cancers', 'Disease', 'MESH:D011471', (162, 178)) ('cancers', 'Phenotype', 'HP:0002664', (171, 178)) ('p16', 'Gene', (36, 39)) 6783 33883026 The MGMT promoter hyper methylation was also frequently reported in CRC, GB, BC, and OSCC. ('MGMT', 'Gene', '4255', (4, 8)) ('CRC', 'Disease', 'MESH:D015179', (68, 71)) ('CRC', 'Phenotype', 'HP:0003003', (68, 71)) ('hyper methylation', 'Var', (18, 35)) ('reported', 'Reg', (56, 64)) ('CRC', 'Disease', (68, 71)) ('OSCC', 'Disease', (85, 89)) ('MGMT', 'Gene', (4, 8)) 6785 33883026 Moreover, there were various reports of PTEN and ER-alpha promoter hyper methylations in Iranian BC patients which introduces them as methylation based markers of BC in this population. ('ER-alpha', 'Gene', '2099', (49, 57)) ('hyper methylations', 'Var', (67, 85)) ('PTEN', 'Gene', (40, 44)) ('PTEN', 'Gene', '5728', (40, 44)) ('Iranian BC', 'Disease', (89, 99)) ('patients', 'Species', '9606', (100, 108)) ('ER-alpha', 'Gene', (49, 57)) 6803 33729467 Furthermore, deaths caused by tumor progression or recurrence were significantly less in the nCRT group than in the nCT group (9 of 132 [6.8%] vs 19 of 132 [14.4%]; P = .046); however, deaths from nontumor causes were similar (8 of 132 [6.1%] vs 4 of 132 [3.0%]; P = .24). ('deaths', 'Disease', (185, 191)) ('tumor', 'Disease', 'MESH:D009369', (200, 205)) ('tumor', 'Phenotype', 'HP:0002664', (200, 205)) ('nCRT', 'Var', (93, 97)) ('tumor', 'Disease', 'MESH:D009369', (30, 35)) ('tumor', 'Disease', (200, 205)) ('less', 'NegReg', (81, 85)) ('tumor', 'Phenotype', 'HP:0002664', (30, 35)) ('deaths', 'Disease', (13, 19)) ('deaths', 'Disease', 'MESH:D003643', (13, 19)) ('tumor', 'Disease', (30, 35)) ('deaths', 'Disease', 'MESH:D003643', (185, 191)) 6814 33729467 On the other hand, a meta-analysis reported that nCRT was significantly associated with increased risk of perioperative morbidity or mortality for patients with ESCC, which may impose restrictions on the application of nCRT. ('mortality', 'Disease', 'MESH:D003643', (133, 142)) ('nCRT', 'Var', (49, 53)) ('mortality', 'Disease', (133, 142)) ('ESCC', 'Disease', (161, 165)) ('patients', 'Species', '9606', (147, 155)) ('perioperative morbidity', 'CPA', (106, 129)) 6827 33729467 Only patients with tumors of clinical stages from T3 to T4aN0 to N1 and no clinical evidence of metastatic spread (M0), according to the International Union Against Cancer Tumor, Node, Metastasis (TNM) Classification (8th edition), were enrolled. ('tumors', 'Disease', (19, 25)) ('tumors', 'Disease', 'MESH:D009369', (19, 25)) ('patients', 'Species', '9606', (5, 13)) ('T4aN0', 'Var', (56, 61)) ('Cancer Tumor', 'Disease', (165, 177)) ('tumor', 'Phenotype', 'HP:0002664', (19, 24)) ('Cancer', 'Phenotype', 'HP:0002664', (165, 171)) ('Cancer Tumor', 'Disease', 'MESH:D009369', (165, 177)) ('tumors', 'Phenotype', 'HP:0002664', (19, 25)) 6867 33729467 Furthermore, deaths caused by tumor progression or recurrence were significantly less in the nCRT group than in the nCT group (9 of 132 [6.8%] vs 19 of 132 [14.4%]; P = .046); however, deaths from nontumor causes were similar (8 of 132 [6.1%] vs 4 of 132 [3.0%]; P = .24) (Table 4). ('deaths', 'Disease', (185, 191)) ('tumor', 'Disease', 'MESH:D009369', (200, 205)) ('tumor', 'Phenotype', 'HP:0002664', (200, 205)) ('nCRT', 'Var', (93, 97)) ('tumor', 'Disease', 'MESH:D009369', (30, 35)) ('tumor', 'Disease', (200, 205)) ('less', 'NegReg', (81, 85)) ('tumor', 'Phenotype', 'HP:0002664', (30, 35)) ('deaths', 'Disease', (13, 19)) ('deaths', 'Disease', 'MESH:D003643', (13, 19)) ('tumor', 'Disease', (30, 35)) ('deaths', 'Disease', 'MESH:D003643', (185, 191)) 6871 33729467 In the CROSS trial, patients with esophageal cancer staging of cT1N1M0 or cT2 to T3N0 to 1M0 were enrolled, of whom 75% had adenocarcinoma, 23% had ESCC, and 2% had other subtypes. ('cancer', 'Phenotype', 'HP:0002664', (45, 51)) ('carcinoma', 'Phenotype', 'HP:0030731', (129, 138)) ('cT2', 'Gene', (74, 77)) ('cT2', 'Gene', '386757', (74, 77)) ('cancer', 'Disease', 'MESH:D009369', (45, 51)) ('cT1N1M0', 'Var', (63, 70)) ('adenocarcinoma', 'Disease', (124, 138)) ('patients', 'Species', '9606', (20, 28)) ('ESCC', 'Disease', (148, 152)) ('cancer', 'Disease', (45, 51)) ('adenocarcinoma', 'Disease', 'MESH:D000230', (124, 138)) 6874 33729467 In the Neoadjuvant Chemoradiotherapy Followed by Surgery Versus Surgery Alone for Locally Advanced Squamous Cell Carcinoma of the Esophagus (NEOCRTEC 5010) clinical trial enrolling patients with ESCC staging as T1 to 4N1M0 or T4N0M0, the nCRT group had a higher R0 resection rate (98.4% vs 91.2%; P = .002), a better median overall survival (100.1 vs 66.5 months; P = .03), and a prolonged disease-free survival (100.1 vs 41.7 months; P = .001) compared with patients undergoing surgery alone. ('patients', 'Species', '9606', (459, 467)) ('Squamous Cell Carcinoma', 'Disease', 'MESH:D002294', (99, 122)) ('R0 resection', 'CPA', (262, 274)) ('Carcinoma', 'Phenotype', 'HP:0030731', (113, 122)) ('Carcinoma of the Esophagus', 'Phenotype', 'HP:0011459', (113, 139)) ('T4N0M0', 'Var', (226, 232)) ('ESCC', 'Disease', (195, 199)) ('Squamous Cell Carcinoma', 'Disease', (99, 122)) ('higher', 'PosReg', (255, 261)) ('patients', 'Species', '9606', (181, 189)) ('disease-free survival', 'CPA', (390, 411)) ('Squamous Cell Carcinoma', 'Phenotype', 'HP:0002860', (99, 122)) ('T1 to 4N1M0', 'Var', (211, 222)) 6875 33729467 In the JCOG 9907 trial, in which patients with clinical stage II or III (excluding T4) ESCC were enrolled, 5-year overall survival was higher among those who received nCT plus surgery than among those who received adjuvant chemotherapy (55% vs 43%; P = .04), and there were no remarkable differences in postoperative complications or mortality between the 2 groups. ('mortality', 'Disease', (334, 343)) ('patients', 'Species', '9606', (33, 41)) ('overall survival', 'CPA', (114, 130)) ('nCT', 'Var', (167, 170)) ('ESCC', 'Disease', (87, 91)) ('mortality', 'Disease', 'MESH:D003643', (334, 343)) ('higher', 'PosReg', (135, 141)) 6877 33729467 The Preoperative Therapy in Esophagogastric Adenocarcinoma Trial (POET), which was conducted from 2000 to 2005, enrolled 119 patients with clinical staging of T3 to 4NXM0, all of whom had esophagogastric junction adenocarcinoma. ('carcinoma', 'Phenotype', 'HP:0030731', (49, 58)) ('Adenocarcinoma', 'Disease', 'MESH:D000230', (44, 58)) ('Adenocarcinoma', 'Disease', (44, 58)) ('esophagogastric junction adenocarcinoma', 'Phenotype', 'HP:0011459', (188, 227)) ('carcinoma', 'Phenotype', 'HP:0030731', (218, 227)) ('Esophagogastric Adenocarcinoma', 'Phenotype', 'HP:0011459', (28, 58)) ('junction adenocarcinoma', 'Disease', 'MESH:D000230', (204, 227)) ('T3 to', 'Var', (159, 164)) ('junction adenocarcinoma', 'Disease', (204, 227)) ('patients', 'Species', '9606', (125, 133)) 6879 33729467 The Neoadjuvant Chemotherapy Versus Radiochemotherapy for Cancer of the Esophagus or Cardia (NeoRes) trial, which was conducted from 2006 to 2013, enrolled 181 patients with clinical staging of T1 to 3NX (except T1N0), of which 73% were adenocarcinoma and 27% were ESCC. ('ESCC', 'Disease', (265, 269)) ('patients', 'Species', '9606', (160, 168)) ('carcinoma', 'Phenotype', 'HP:0030731', (242, 251)) ('adenocarcinoma', 'Disease', (237, 251)) ('Cancer', 'Phenotype', 'HP:0002664', (58, 64)) ('Cancer', 'Disease', (58, 64)) ('Cancer of the Esophagus', 'Phenotype', 'HP:0100751', (58, 81)) ('adenocarcinoma', 'Disease', 'MESH:D000230', (237, 251)) ('Cardia', 'Disease', 'MESH:D004938', (85, 91)) ('Cancer', 'Disease', 'MESH:D009369', (58, 64)) ('T1 to 3NX', 'Var', (194, 203)) ('Cardia', 'Disease', (85, 91)) 6882 33729467 The clinical trial reported by Burmeister et al, which began in November 2000 and ceased in December 2006, enrolled 75 patients with clinical staging of T2 to 3N0 to 1M0, all of which were adenocarcinoma. ('T2 to 3N0 to 1M0', 'Var', (153, 169)) ('carcinoma', 'Phenotype', 'HP:0030731', (194, 203)) ('patients', 'Species', '9606', (119, 127)) ('adenocarcinoma', 'Disease', (189, 203)) ('adenocarcinoma', 'Disease', 'MESH:D000230', (189, 203)) 6893 33729467 However, MIE could significantly decrease such trauma and decrease morbidity and mortality compared with open esophagectomy, which has been confirmed in the studies published. ('decrease', 'NegReg', (33, 41)) ('mortality', 'Disease', 'MESH:D003643', (81, 90)) ('trauma', 'Disease', 'MESH:D014947', (47, 53)) ('MIE', 'Var', (9, 12)) ('decrease', 'NegReg', (58, 66)) ('mortality', 'Disease', (81, 90)) ('morbidity', 'CPA', (67, 76)) ('trauma', 'Disease', (47, 53)) 6900 32426049 Predicting STAT1 as a prognostic marker in patients with solid cancer Aberrant activities of signal transducer and activator of transcription 1 (STAT1) have been implicated in cancer development. ('implicated', 'Reg', (162, 172)) ('STAT1', 'Gene', (11, 16)) ('patients', 'Species', '9606', (43, 51)) ('cancer', 'Phenotype', 'HP:0002664', (63, 69)) ('STAT1', 'Gene', (145, 150)) ('STAT1', 'Gene', '6772', (11, 16)) ('cancer', 'Phenotype', 'HP:0002664', (176, 182)) ('signal transducer and activator of transcription 1', 'Gene', '6772', (93, 143)) ('STAT1', 'Gene', '6772', (145, 150)) ('cancer', 'Disease', 'MESH:D009369', (63, 69)) ('cancer', 'Disease', (176, 182)) ('cancer', 'Disease', 'MESH:D009369', (176, 182)) ('Aberrant activities', 'Var', (70, 89)) ('cancer', 'Disease', (63, 69)) 6905 32426049 Pooled data showed that overexpressed STAT1 favored long overall survival (OS) (HR = 0.604, 95% CI = 0.431-0.846, p = 0.003) and disease-specific survival (DSS) (HR = 0.650, 95% CI = 0.512-0.825, p = 0.000). ('disease-specific survival', 'CPA', (129, 154)) ('STAT1', 'Gene', (38, 43)) ('DSS', 'Chemical', '-', (156, 159)) ('favored', 'PosReg', (44, 51)) ('overexpressed', 'Var', (24, 37)) 6926 32426049 Patients with STAT1 or phospho-STAT1 at a high expression level have a worse outcome compared with patients with STAT1 at a low expression level. ('phospho-STAT1 at', 'Var', (23, 39)) ('STAT1', 'Var', (14, 19)) ('patients', 'Species', '9606', (99, 107)) ('Patients', 'Species', '9606', (0, 8)) 6948 32426049 Our analysis revealed that highly expressed STAT1 was a positive predictor for OS among cancer patients (HR = 0.604, 95% CI = 0.431-0.846, p = 0.003) (Figure 3). ('highly expressed', 'Var', (27, 43)) ('cancer', 'Disease', (88, 94)) ('cancer', 'Disease', 'MESH:D009369', (88, 94)) ('patients', 'Species', '9606', (95, 103)) ('cancer', 'Phenotype', 'HP:0002664', (88, 94)) ('STAT1', 'Gene', (44, 49)) 6952 32426049 The pooled results indicated a positive correlation between highly expressed STAT1 and longer DSS (HR = 0.650, 95% CI = 0.512-0.825, p = 0.000) (Figure 4B). ('highly expressed', 'Var', (60, 76)) ('DSS', 'Chemical', '-', (94, 97)) ('longer DSS', 'Disease', (87, 97)) ('STAT1', 'Gene', (77, 82)) 6953 32426049 The first subgroup analyses by region revealed that the pooled HRs were 0.630 (95% CI = 0.337-1.178, p = 0.148) for Asian patients (five studies) and 0.666 (95% CI = 0.431-0.846, p = 0.000) for Non-Asian patients (six studies). ('Asian patients', 'Disease', (116, 130)) ('patients', 'Species', '9606', (204, 212)) ('0.666', 'Var', (150, 155)) ('0.630', 'Var', (72, 77)) ('patients', 'Species', '9606', (122, 130)) 6954 32426049 The fourth subgroup analyses by cancer types displayed that highly expressed STAT1 was associated with favorable OS of patients with high-grade serous ovarian cancer (HR = 0.683, 95% CI = 0.497-0.938, p = 0.019) (2 studies), oral squamous cell carcinoma (HR = 0.486, 95% CI = 0.241-0.980, p = 0.044) (two studies), and another five cancers (pooled HR = 0.542, 95% CI = 0.361-0.813, p = 0.003), but not in lung cancer (HR = 1.223, 95% CI = 0.996-1.501, p = 0.055) (two studies). ('oral squamous cell carcinoma', 'Disease', (225, 253)) ('lung cancer', 'Disease', (405, 416)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (151, 165)) ('cancer', 'Disease', 'MESH:D009369', (332, 338)) ('cancers', 'Disease', 'MESH:D009369', (332, 339)) ('serous ovarian cancer', 'Disease', (144, 165)) ('cancer', 'Phenotype', 'HP:0002664', (410, 416)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (230, 253)) ('cancer', 'Disease', (159, 165)) ('cancer', 'Disease', 'MESH:D009369', (410, 416)) ('cancer', 'Disease', (32, 38)) ('cancer', 'Phenotype', 'HP:0002664', (159, 165)) ('cancer', 'Phenotype', 'HP:0002664', (32, 38)) ('lung cancer', 'Disease', 'MESH:D008175', (405, 416)) ('carcinoma', 'Phenotype', 'HP:0030731', (244, 253)) ('lung cancer', 'Phenotype', 'HP:0100526', (405, 416)) ('cancers', 'Phenotype', 'HP:0002664', (332, 339)) ('cancers', 'Disease', (332, 339)) ('cancer', 'Disease', (332, 338)) ('STAT1', 'Gene', (77, 82)) ('cancer', 'Disease', 'MESH:D009369', (159, 165)) ('cancer', 'Phenotype', 'HP:0002664', (332, 338)) ('cancer', 'Disease', 'MESH:D009369', (32, 38)) ('serous ovarian cancer', 'Disease', 'MESH:D018284', (144, 165)) ('patients', 'Species', '9606', (119, 127)) ('cancer', 'Disease', (410, 416)) ('oral squamous cell carcinoma', 'Disease', 'MESH:D002294', (225, 253)) ('highly expressed', 'Var', (60, 76)) 6971 32426049 The outcomes after analyses indicate that expression of STAT1 is associated with survival of patients based on their cancer type. ('cancer', 'Phenotype', 'HP:0002664', (117, 123)) ('STAT1', 'Gene', (56, 61)) ('associated with', 'Reg', (65, 80)) ('cancer', 'Disease', 'MESH:D009369', (117, 123)) ('expression', 'Var', (42, 52)) ('cancer', 'Disease', (117, 123)) ('patients', 'Species', '9606', (93, 101)) 6977 32426049 The tumor-suppressive role of STAT1 is driven by findings that the reconstitution of STAT1 in STAT1-deficient murine fibrosarcoma cells significantly suppressed tumorigenicity and metastasis in nude mice. ('STAT1-deficient', 'Gene', (94, 109)) ('tumor', 'Disease', (4, 9)) ('tumor', 'Disease', (161, 166)) ('fibrosarcoma', 'Disease', 'MESH:D005354', (117, 129)) ('fibrosarcoma', 'Phenotype', 'HP:0100244', (117, 129)) ('nude mice', 'Species', '10090', (194, 203)) ('suppressed', 'NegReg', (150, 160)) ('tumor', 'Disease', 'MESH:D009369', (161, 166)) ('reconstitution', 'Var', (67, 81)) ('tumor', 'Disease', 'MESH:D009369', (4, 9)) ('tumor', 'Phenotype', 'HP:0002664', (161, 166)) ('fibrosarcoma', 'Disease', (117, 129)) ('tumor', 'Phenotype', 'HP:0002664', (4, 9)) ('STAT1', 'Gene', (85, 90)) ('murine', 'Species', '10090', (110, 116)) ('sarcoma', 'Phenotype', 'HP:0100242', (122, 129)) 6978 32426049 The high expression of STAT1 is reported to have a good prognosis compared with the low or negative expression of STAT1 in some cancer patients. ('cancer', 'Disease', 'MESH:D009369', (128, 134)) ('patients', 'Species', '9606', (135, 143)) ('cancer', 'Phenotype', 'HP:0002664', (128, 134)) ('high', 'Var', (4, 8)) ('STAT1', 'Gene', (23, 28)) ('cancer', 'Disease', (128, 134)) 6979 32426049 However, on the other hand, two studies have identified high STAT1 mRNA levels associated with poor prognosis, tumor progression, and worse survival in breast cancer. ('tumor', 'Disease', 'MESH:D009369', (111, 116)) ('associated', 'Reg', (79, 89)) ('tumor', 'Phenotype', 'HP:0002664', (111, 116)) ('cancer', 'Phenotype', 'HP:0002664', (159, 165)) ('breast cancer', 'Disease', 'MESH:D001943', (152, 165)) ('tumor', 'Disease', (111, 116)) ('STAT1 mRNA levels', 'MPA', (61, 78)) ('breast cancer', 'Disease', (152, 165)) ('breast cancer', 'Phenotype', 'HP:0003002', (152, 165)) ('high', 'Var', (56, 60)) 6982 32426049 The survival analysis of TCGA data revealed that highly expressed STAT1 was associated with longer OS in ovarian cancer, rectum adenocarcinoma, sarcoma, and skin cutaneous melanoma. ('sarcoma', 'Disease', (144, 151)) ('sarcoma', 'Phenotype', 'HP:0100242', (144, 151)) ('cancer', 'Phenotype', 'HP:0002664', (113, 119)) ('highly expressed', 'Var', (49, 65)) ('cutaneous melanoma', 'Phenotype', 'HP:0012056', (162, 180)) ('skin cutaneous melanoma', 'Disease', (157, 180)) ('STAT1', 'Gene', (66, 71)) ('longer OS in ovarian cancer', 'Disease', (92, 119)) ('rectum adenocarcinoma', 'Disease', (121, 142)) ('carcinoma', 'Phenotype', 'HP:0030731', (133, 142)) ('associated', 'Reg', (76, 86)) ('rectum adenocarcinoma', 'Disease', 'MESH:D012004', (121, 142)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (105, 119)) ('sarcoma', 'Disease', 'MESH:D012509', (144, 151)) ('longer OS in ovarian cancer', 'Disease', 'MESH:C567932', (92, 119)) ('melanoma', 'Phenotype', 'HP:0002861', (172, 180)) ('skin cutaneous melanoma', 'Disease', 'MESH:C562393', (157, 180)) 6984 32426049 Again, on the other hand, highly expressed STAT1 may predict poor OS in patients with renal carcinoma, lung adenocarcinoma, pancreatic adenocarcinoma, and lower grade glioma. ('pancreatic adenocarcinoma', 'Disease', 'MESH:D000230', (124, 149)) ('lung adenocarcinoma', 'Disease', 'MESH:D000077192', (103, 122)) ('highly expressed', 'Var', (26, 42)) ('carcinoma', 'Phenotype', 'HP:0030731', (113, 122)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (103, 122)) ('pancreatic adenocarcinoma', 'Phenotype', 'HP:0006725', (124, 149)) ('poor OS', 'Disease', (61, 68)) ('glioma', 'Disease', (167, 173)) ('glioma', 'Disease', 'MESH:D005910', (167, 173)) ('carcinoma', 'Phenotype', 'HP:0030731', (92, 101)) ('pancreatic adenocarcinoma', 'Disease', (124, 149)) ('carcinoma', 'Phenotype', 'HP:0030731', (140, 149)) ('glioma', 'Phenotype', 'HP:0009733', (167, 173)) ('lung adenocarcinoma', 'Disease', (103, 122)) ('renal carcinoma', 'Disease', 'MESH:C538614', (86, 101)) ('STAT1', 'Gene', (43, 48)) ('renal carcinoma', 'Disease', (86, 101)) ('renal carcinoma', 'Phenotype', 'HP:0005584', (86, 101)) ('patients', 'Species', '9606', (72, 80)) 6992 32426049 For instance, STAT1 can arrest the cell cycle in response to IFNgamma through direct interaction with cyclin D1 and CDK4 proteins. ('arrest', 'Disease', (24, 30)) ('cell cycle', 'CPA', (35, 45)) ('IFNgamma', 'Gene', '3458', (61, 69)) ('IFNgamma', 'Gene', (61, 69)) ('CDK4', 'Gene', (116, 120)) ('CDK4', 'Gene', '1019', (116, 120)) ('arrest', 'Disease', 'MESH:D006323', (24, 30)) ('cyclin D1', 'Gene', (102, 111)) ('cyclin D1', 'Gene', '595', (102, 111)) ('interaction', 'Interaction', (85, 96)) ('STAT1', 'Var', (14, 19)) 6998 32426049 Full-length STAT1alpha isoform has traditionally been considered as the physiologically active form of STAT1 after phosphorylation at Tyr701 and Ser727 residues, and the truncated STAT1beta isoform is considered as a physiological inhibitor of STAT1. ('Tyr701', 'Chemical', '-', (134, 140)) ('Ser727', 'Var', (145, 151)) ('Ser727', 'Chemical', '-', (145, 151)) ('Tyr701', 'Var', (134, 140)) 6999 32426049 The expression and activation ratio of STAT1alpha and STAT1beta in different cancer types may impact cancer progression and promote a 'switch' from tumor cell proliferation to a death phenotype. ('cancer', 'Disease', 'MESH:D009369', (101, 107)) ('tumor', 'Phenotype', 'HP:0002664', (148, 153)) ('STAT1beta', 'Var', (54, 63)) ('cancer', 'Disease', (101, 107)) ('cancer', 'Disease', (77, 83)) ('tumor', 'Disease', (148, 153)) ('cancer', 'Disease', 'MESH:D009369', (77, 83)) ('death', 'Disease', 'MESH:D003643', (178, 183)) ('death', 'Disease', (178, 183)) ("'switch'", 'PosReg', (134, 142)) ('STAT1alpha', 'Gene', (39, 49)) ('promote', 'PosReg', (124, 131)) ('cancer', 'Phenotype', 'HP:0002664', (77, 83)) ('cancer', 'Phenotype', 'HP:0002664', (101, 107)) ('tumor', 'Disease', 'MESH:D009369', (148, 153)) ('impact', 'Reg', (94, 100)) 7001 32426049 Interestingly, another study shows that STAT1beta protects STAT1alpha from degradation and enhances STAT1 function in esophageal squamous cell carcinoma. ('STAT1alpha', 'Protein', (59, 69)) ('carcinoma', 'Phenotype', 'HP:0030731', (143, 152)) ('STAT1 function', 'MPA', (100, 114)) ('enhances', 'PosReg', (91, 99)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (118, 152)) ('STAT1beta', 'Var', (40, 49)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (129, 152)) ('degradation', 'MPA', (75, 86)) ('esophageal squamous cell carcinoma', 'Disease', (118, 152)) 7022 31602161 Multivariate Logistic regression analysis revealed that patients with high T stage and M stage and high expression of miR-21 (> 5.80) and miR-93 (> 4.71) suffered an increased risk of ineffective radiotherapy and chemotherapy, and multivariate Cox regression analysis revealed that patients with high T stage, N stage, and M stage, and high expression of miR-21 (> 5.60), and miR-93 (> 3.87) suffered an increased risk of death in 3 years. ('patients', 'Species', '9606', (56, 64)) ('miR-21', 'Gene', '406991', (118, 124)) ('M stage', 'CPA', (323, 330)) ('death', 'Disease', 'MESH:D003643', (422, 427)) ('death', 'Disease', (422, 427)) ('high expression', 'Var', (336, 351)) ('miR-93', 'Gene', '407051', (138, 144)) ('N stage', 'CPA', (310, 317)) ('miR-21', 'Gene', (355, 361)) ('miR-93', 'Gene', (138, 144)) ('miR-93', 'Gene', '407051', (376, 382)) ('Cox', 'Gene', '1351', (244, 247)) ('Cox', 'Gene', (244, 247)) ('miR-21', 'Gene', (118, 124)) ('miR-93', 'Gene', (376, 382)) ('patients', 'Species', '9606', (282, 290)) ('miR-21', 'Gene', '406991', (355, 361)) 7068 31602161 Multivariate Logistic regression analysis was adopted for factors with significant differences, which revealed that T stage (P < 0.05), M stage (P < 0.05), miR-21 (P < 0.01), and miR-93 (P < 0.05) were independent risk factors for radiotherapy and chemotherapy efficacy, and patients with high T stage, M stage, and high expression of miR-21 (> 5.80) and miR-93 (> 4.71) suffered an increased risk of ineffective radiotherapy and chemotherapy. ('miR-21', 'Gene', (335, 341)) ('miR-93', 'Gene', '407051', (179, 185)) ('miR-21', 'Gene', '406991', (156, 162)) ('T stage', 'CPA', (294, 301)) ('miR-93', 'Gene', '407051', (355, 361)) ('miR-93', 'Gene', (179, 185)) ('miR-93', 'Gene', (355, 361)) ('high expression', 'Var', (316, 331)) ('high', 'Var', (289, 293)) ('miR-21', 'Gene', '406991', (335, 341)) ('patients', 'Species', '9606', (275, 283)) ('miR-21', 'Gene', (156, 162)) 7071 31602161 The AUCs of miR-21 and miR-93 for assessing 3-year OS were 0.861 and 0.807, respectively, and their optimal critical values were 5.60 and 3.87, respectively. ('miR-93', 'Gene', (23, 29)) ('0.807', 'Var', (69, 74)) ('miR-21', 'Gene', '406991', (12, 18)) ('miR-21', 'Gene', (12, 18)) ('miR-93', 'Gene', '407051', (23, 29)) 7073 31602161 Multivariate Cox regression analysis revealed that T stage (P < 0.01), N stage (P < 0.05), M stage (P < 0.01), miR-21(P < 0.01), and miR-93 (P < 0.01) were all independent prognostic factors for ESCC patients, and patients with high T stage, N stage, and M stage, and high expression of miR-21 (> 5.60) and miR-93 (> 3.87) suffered an increased risk of death in 3 years. ('patients', 'Species', '9606', (214, 222)) ('ESCC', 'Disease', (195, 199)) ('Cox', 'Gene', (13, 16)) ('miR-21', 'Gene', '406991', (287, 293)) ('T stage', 'CPA', (233, 240)) ('death', 'Disease', 'MESH:D003643', (353, 358)) ('miR-21', 'Gene', '406991', (111, 117)) ('high', 'Var', (228, 232)) ('miR-93', 'Gene', (133, 139)) ('miR-93', 'Gene', (307, 313)) ('miR-21', 'Gene', (287, 293)) ('ESCC', 'Disease', 'MESH:C562729', (195, 199)) ('miR-93', 'Gene', '407051', (133, 139)) ('patients', 'Species', '9606', (200, 208)) ('miR-21', 'Gene', (111, 117)) ('death', 'Disease', (353, 358)) ('miR-93', 'Gene', '407051', (307, 313)) ('high expression', 'Var', (268, 283)) ('Cox', 'Gene', '1351', (13, 16)) 7087 31602161 This study revealed that patients with high expression of miR-21 (> 5.80) and miR-93 (> 4.71) suffered an increased risk of ineffective radiotherapy and chemotherapy. ('miR-93', 'Gene', (78, 84)) ('miR-21', 'Gene', (58, 64)) ('high expression', 'Var', (39, 54)) ('patients', 'Species', '9606', (25, 33)) ('miR-21', 'Gene', '406991', (58, 64)) ('miR-93', 'Gene', '407051', (78, 84)) 7094 31602161 In addition, a study by Li et al confirmed that miR-93 was closely related to clinical stage, lymph node metastasis, and T stage of patients with head and neck squamous cell carcinoma; the patients with high miR-93 expression showed a significantly lower survival rate than those with low expression, and lymph node metastasis was related to a poor prognosis of patients with high miR-93 expression. ('patients', 'Species', '9606', (362, 370)) ('lower', 'NegReg', (249, 254)) ('miR-93', 'Gene', '407051', (381, 387)) ('lymph node metastasis', 'Disease', (305, 326)) ('miR-93', 'Gene', '407051', (48, 54)) ('miR-93', 'Gene', (48, 54)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (160, 183)) ('survival rate', 'CPA', (255, 268)) ('miR-93', 'Gene', (381, 387)) ('head and neck squamous cell carcinoma', 'Disease', 'MESH:C535575', (146, 183)) ('miR-93', 'Gene', '407051', (208, 214)) ('high', 'Var', (203, 207)) ('miR-93', 'Gene', (208, 214)) ('patients', 'Species', '9606', (189, 197)) ('carcinoma', 'Phenotype', 'HP:0030731', (174, 183)) ('patients', 'Species', '9606', (132, 140)) ('head and neck squamous cell carcinoma', 'Phenotype', 'HP:0012288', (146, 183)) 7097 31602161 The AUCs of miR-21 and miR-93 for assessing the 3-year OS of ESCC patients were 0.861 and 0.807, respectively, and Cox regression analysis revealed that patients with high T stage, N stage, M stage, and high expression of miR-21 (> 5.60) and miR-93 (> 3.87) suffered an increased risk of death in 3 years, which indicated that detection of miR-21 and miR-93 can be adopted for judging the prognosis of ESCC patients. ('miR-93', 'Gene', '407051', (351, 357)) ('miR-21', 'Gene', '406991', (12, 18)) ('death', 'Disease', (288, 293)) ('ESCC', 'Disease', (61, 65)) ('high expression', 'Var', (203, 218)) ('ESCC', 'Disease', (402, 406)) ('miR-21', 'Gene', (340, 346)) ('Cox', 'Gene', '1351', (115, 118)) ('miR-21', 'Gene', (12, 18)) ('miR-93', 'Gene', (23, 29)) ('death', 'Disease', 'MESH:D003643', (288, 293)) ('miR-21', 'Gene', '406991', (222, 228)) ('Cox', 'Gene', (115, 118)) ('miR-93', 'Gene', (242, 248)) ('patients', 'Species', '9606', (66, 74)) ('miR-93', 'Gene', '407051', (23, 29)) ('ESCC', 'Disease', 'MESH:C562729', (61, 65)) ('patients', 'Species', '9606', (153, 161)) ('patients', 'Species', '9606', (407, 415)) ('ESCC', 'Disease', 'MESH:C562729', (402, 406)) ('M stage', 'CPA', (190, 197)) ('miR-93', 'Gene', (351, 357)) ('miR-93', 'Gene', '407051', (242, 248)) ('miR-21', 'Gene', (222, 228)) ('miR-21', 'Gene', '406991', (340, 346)) ('N stage', 'CPA', (181, 188)) 7133 31403035 Based on our comparisons, pre-operative FLOT had a manageable toxicity profile compared to other pre-operative doublet or triplet regimens. ('FLOT', 'Chemical', '-', (40, 44)) ('FLOT', 'Var', (40, 44)) ('toxicity', 'Disease', 'MESH:D064420', (62, 70)) ('toxicity', 'Disease', (62, 70)) 7174 31403035 However, post-operative CF+RT showed less grade 1-2 toxicity (neutropenia, mucositis, hand foot syndrome) compared to post-operative ECF. ('neutropenia', 'Disease', 'MESH:D009503', (62, 73)) ('hand foot syndrome', 'Disease', (86, 104)) ('hand foot syndrome', 'Disease', 'MESH:D060831', (86, 104)) ('neutropenia', 'Phenotype', 'HP:0001875', (62, 73)) ('CF', 'Chemical', '-', (24, 26)) ('ECF', 'Chemical', '-', (133, 136)) ('mucositis', 'Disease', (75, 84)) ('mucositis', 'Disease', 'MESH:D052016', (75, 84)) ('toxicity', 'Disease', 'MESH:D064420', (52, 60)) ('toxicity', 'Disease', (52, 60)) ('CF+RT', 'Var', (24, 29)) ('neutropenia', 'Disease', (62, 73)) ('CF', 'Chemical', '-', (134, 136)) 7184 31403035 In terms of grade 3-4 adverse events, 5-FU+RT was significantly more toxic than CAPOX and S-1 monotherapy (hematological toxicity, anorexia fatigue, mucositis). ('anorexia fatigue', 'Disease', 'MESH:D000855', (131, 147)) ('hematological toxicity', 'Disease', (107, 129)) ('5-FU+RT', 'Var', (38, 45)) ('fatigue', 'Phenotype', 'HP:0012378', (140, 147)) ('5-FU', 'Chemical', 'MESH:D005472', (38, 42)) ('S-1', 'Gene', '5707', (90, 93)) ('mucositis', 'Disease', (149, 158)) ('hematological toxicity', 'Disease', 'MESH:D006402', (107, 129)) ('anorexia', 'Phenotype', 'HP:0002039', (131, 139)) ('mucositis', 'Disease', 'MESH:D052016', (149, 158)) ('CAPOX', 'Chemical', '-', (80, 85)) ('S-1', 'Gene', (90, 93)) ('anorexia fatigue', 'Disease', (131, 147)) 7185 31403035 Treatment with S-1 monotherapy was associated with more grade 1-2 adverse events compared to CAPOX and 5-FU+RT (Supplementary Table 5). ('S-1', 'Gene', (15, 18)) ('CAPOX', 'Chemical', '-', (93, 98)) ('5-FU', 'Chemical', 'MESH:D005472', (103, 107)) ('S-1', 'Gene', '5707', (15, 18)) ('monotherapy', 'Var', (19, 30)) 7209 31403035 In the FLOT-4 trial perioperative FLOT substantially improved overall survival compared to perioperative ECF for gastric cancer. ('FLOT', 'Var', (34, 38)) ('ECF', 'Chemical', '-', (105, 108)) ('FLOT', 'Chemical', '-', (34, 38)) ('cancer', 'Phenotype', 'HP:0002664', (121, 127)) ('gastric cancer', 'Disease', (113, 127)) ('gastric cancer', 'Disease', 'MESH:D013274', (113, 127)) ('improved', 'PosReg', (53, 61)) ('gastric cancer', 'Phenotype', 'HP:0012126', (113, 127)) ('FLOT', 'Chemical', '-', (7, 11)) ('overall survival', 'MPA', (62, 78)) 7228 31403035 In the adjuvant setting, S-1 monotherapy had a more favorable toxicity profile compared to CAPOX and 5-FU with RT and could thus be an more attractive option for patients with co-morbidity limiting more intensive treatment. ('patients', 'Species', '9606', (162, 170)) ('CAPOX', 'Chemical', '-', (91, 96)) ('S-1', 'Gene', '5707', (25, 28)) ('toxicity', 'Disease', 'MESH:D064420', (62, 70)) ('S-1', 'Gene', (25, 28)) ('toxicity', 'Disease', (62, 70)) ('5-FU', 'Chemical', 'MESH:D005472', (101, 105)) ('monotherapy', 'Var', (29, 40)) 7255 31100935 that GPC3 is a potential suppressor of metastasis as loss of GPC3 was associated with increased lymph node metastasis and poor overall survival (OS). ('GPC3', 'Gene', (5, 9)) ('increased', 'PosReg', (86, 95)) ('GPC3', 'Gene', (61, 65)) ('GPC3', 'Gene', '2719', (61, 65)) ('GPC3', 'Gene', '2719', (5, 9)) ('poor', 'NegReg', (122, 126)) ('lymph node metastasis', 'CPA', (96, 117)) ('loss', 'Var', (53, 57)) ('overall', 'MPA', (127, 134)) 7335 31100935 We observed a significant correlation between tumor grade and high expression of tGPC3 (p = 0.050) whereas none of the other clinical or histopathological parameters showed a significant association. ('tumor', 'Phenotype', 'HP:0002664', (46, 51)) ('GPC3', 'Gene', (82, 86)) ('tumor', 'Disease', (46, 51)) ('high expression', 'Var', (62, 77)) ('GPC3', 'Gene', '2719', (82, 86)) ('tumor', 'Disease', 'MESH:D009369', (46, 51)) 7343 31100935 Interestingly, univariate analysis showed that high expression of GPC3 on exosome-bound latex beads was associated with improved OS (low expression of eGPC3: median OS: 60.926 months, high expression of eGPC3: median OS: 87.403 months, p = 0.041) (Figure 3B, Table 2) Further univariate analysis revealed that there was no significant correlation between aberrant expression of CEA, CA 72-4 or CA 19-9 and overall survival (p > 0.05, respectively, Supplementary Figure S4A-C). ('CEA', 'Gene', (378, 381)) ('improved', 'PosReg', (120, 128)) ('GPC3', 'Gene', (204, 208)) ('GPC3', 'Gene', '2719', (66, 70)) ('GPC3', 'Gene', '2719', (152, 156)) ('GPC3', 'Gene', '2719', (204, 208)) ('high expression', 'Var', (47, 62)) ('latex', 'Chemical', 'MESH:D007840', (88, 93)) ('GPC3', 'Gene', (66, 70)) ('CEA', 'Gene', '1048', (378, 381)) ('GPC3', 'Gene', (152, 156)) 7344 31100935 In multivariate analysis, high expression of tGPC3 remained formal statistical significance as a prognostic marker for poor OS in patients with GEA (p = 0.026; Table 3). ('high expression', 'Var', (26, 41)) ('GPC3', 'Gene', '2719', (46, 50)) ('patients', 'Species', '9606', (130, 138)) ('poor OS', 'Disease', (119, 126)) ('GPC3', 'Gene', (46, 50)) 7348 31100935 The second validation cohort of 876 patients with GEA also revealed that patients with high GPC3 mRNA levels had significantly lower OS (low expression of tGPC3: median overall survival: 45.1 months, high expression of tGPC3: median overall survival: 26 months, p = 0.00011; Figure 3D). ('GPC3', 'Gene', (92, 96)) ('GPC3', 'Gene', '2719', (156, 160)) ('patients', 'Species', '9606', (36, 44)) ('lower', 'NegReg', (127, 132)) ('GPC3', 'Gene', (220, 224)) ('patients', 'Species', '9606', (73, 81)) ('GPC3', 'Gene', '2719', (92, 96)) ('high', 'Var', (87, 91)) ('GPC3', 'Gene', '2719', (220, 224)) ('GPC3', 'Gene', (156, 160)) 7359 31100935 In concordance with our current data, the authors show that positive staining for these panel markers including GPC3 was associated with poor prognosis and was an independent risk factor for disease-free survival. ('disease-free survival', 'CPA', (191, 212)) ('positive staining', 'Var', (60, 77)) ('GPC3', 'Gene', (112, 116)) ('poor', 'CPA', (137, 141)) ('GPC3', 'Gene', '2719', (112, 116)) 7383 31100935 Additionally, we can show that a combined panel of serum biomarkers including exosomal GPC3 can increase the diagnostic power for the non-invasive discrimination of patient with GEA vs. healthy donors of patients with a non-malignant disease. ('patients', 'Species', '9606', (204, 212)) ('patient', 'Species', '9606', (204, 211)) ('donor', 'Species', '9606', (194, 199)) ('patient', 'Species', '9606', (165, 172)) ('non-invasive', 'MPA', (134, 146)) ('GPC3', 'Gene', (87, 91)) ('exosomal', 'Var', (78, 86)) ('increase', 'PosReg', (96, 104)) ('GPC3', 'Gene', '2719', (87, 91)) 7461 27120794 Interestingly, miR-675 is considered to be a disease remission-induced miRNA in patients with eosinophilic esophagitis. ('miR-675', 'Var', (15, 22)) ('si', 'Chemical', 'MESH:D012825', (29, 31)) ('eosinophilic esophagitis', 'Phenotype', 'HP:0410151', (94, 118)) ('patients', 'Species', '9606', (80, 88)) ('eosinophilic esophagitis', 'Disease', (94, 118)) ('esophagitis', 'Phenotype', 'HP:0100633', (107, 118)) ('si', 'Chemical', 'MESH:D012825', (58, 60)) ('eosinophilic esophagitis', 'Disease', 'MESH:D004802', (94, 118)) ('si', 'Chemical', 'MESH:D012825', (96, 98)) 7488 27120794 As shown in Figure 2A, both in EC109 and EC9706 cells, miR-675-5p was significantly inhibited in miR-675-inhibition group compared with negative control and blank control group (cells without any treatment); however, no significant difference was found between negative control and blank control group. ('miR-675-5p', 'Gene', (55, 65)) ('si', 'Chemical', 'MESH:D012825', (70, 72)) ('miR-675-inhibition', 'Var', (97, 115)) ('miR-675-5p', 'Gene', '102465452', (55, 65)) ('EC109', 'CellLine', 'CVCL:6898', (31, 36)) ('EC9706', 'CellLine', 'CVCL:E307', (41, 47)) ('men', 'Species', '9606', (201, 204)) ('si', 'Chemical', 'MESH:D012825', (220, 222)) ('inhibited', 'NegReg', (84, 93)) 7492 27120794 Similarly, colony formation assays showed that cell proliferation in both EC9706 and EC109 cells was significantly repressed by down-regulation of miR-675-5p (Figure 2E, 2F). ('miR-675-5p', 'Gene', '102465452', (147, 157)) ('repressed', 'NegReg', (115, 124)) ('si', 'Chemical', 'MESH:D012825', (101, 103)) ('down-regulation', 'NegReg', (128, 143)) ('EC9706', 'Var', (74, 80)) ('miR-675-5p', 'Gene', (147, 157)) ('EC109', 'CellLine', 'CVCL:6898', (85, 90)) ('EC9706', 'CellLine', 'CVCL:E307', (74, 80)) ('cell proliferation', 'CPA', (47, 65)) 7494 27120794 The data showed that down-regulation of miR-675-5p inhibited cell cycle by inducing G1 arrest and decreased the percentages of EC9706 and EC109 cells in S phase compared to the negative control (Figure 2C and 2D). ('inhibited', 'NegReg', (51, 60)) ('G1 arrest', 'CPA', (84, 93)) ('EC109', 'CellLine', 'CVCL:6898', (138, 143)) ('EC9706', 'CellLine', 'CVCL:E307', (127, 133)) ('miR-675-5p', 'Gene', (40, 50)) ('S phase', 'CPA', (153, 160)) ('down-regulation', 'NegReg', (21, 36)) ('miR-675-5p', 'Gene', '102465452', (40, 50)) ('cell cycle', 'CPA', (61, 71)) ('decreased', 'NegReg', (98, 107)) ('inducing', 'Reg', (75, 83)) ('EC9706', 'Var', (127, 133)) 7498 27120794 To further explore the role of miR-675-5p on tumorigenicity and tumor metastasis in vivo, miR-675-5p-inhibition EC9706 cells and negative control cells were inoculated into the left upper flank region of nude mice or into the tail veins of nude mice. ('tumor metastasis', 'Disease', 'MESH:D009362', (64, 80)) ('tumor', 'Phenotype', 'HP:0002664', (64, 69)) ('tumor', 'Phenotype', 'HP:0002664', (45, 50)) ('tumor', 'Disease', (64, 69)) ('miR-675-5p', 'Gene', (31, 41)) ('miR-675-5p', 'Gene', (90, 100)) ('nude mice', 'Species', '10090', (204, 213)) ('tumor metastasis', 'Disease', (64, 80)) ('miR-675-5p', 'Gene', '102465452', (31, 41)) ('miR-675-5p', 'Gene', '102465452', (90, 100)) ('tumor', 'Disease', (45, 50)) ('EC9706', 'Var', (112, 118)) ('tumor', 'Disease', 'MESH:D009369', (64, 69)) ('nude mice', 'Species', '10090', (240, 249)) ('EC9706', 'CellLine', 'CVCL:E307', (112, 118)) ('tumor', 'Disease', 'MESH:D009369', (45, 50)) 7515 27120794 As shown in Figure 4B, the intensity of fluorescence was reduced significantly after miR-675-5p mimic cotransfection compared with the negative control. ('miR-675-5p', 'Gene', '102465452', (85, 95)) ('si', 'Chemical', 'MESH:D012825', (32, 34)) ('intensity', 'MPA', (27, 36)) ('miR-675-5p', 'Gene', (85, 95)) ('cotransfection', 'Var', (102, 116)) ('reduced', 'NegReg', (57, 64)) ('si', 'Chemical', 'MESH:D012825', (65, 67)) 7518 27120794 Furthermore, western blotting analysis showed that REPS2 protein expression was greatly up-regulated in EC9706 and EC109 cells after LV-miR-675-5p-inhibition transfection compared with the negative control (Figure 4C). ('EC9706', 'Var', (104, 110)) ('EC109', 'CellLine', 'CVCL:6898', (115, 120)) ('si', 'Chemical', 'MESH:D012825', (71, 73)) ('REPS2', 'Gene', '9185', (51, 56)) ('transfection', 'Var', (158, 170)) ('REPS2', 'Gene', (51, 56)) ('EC9706', 'CellLine', 'CVCL:E307', (104, 110)) ('up-regulated', 'PosReg', (88, 100)) ('expression', 'MPA', (65, 75)) ('miR-675-5p', 'Gene', (136, 146)) ('miR-675-5p', 'Gene', '102465452', (136, 146)) ('si', 'Chemical', 'MESH:D012825', (35, 37)) ('protein', 'Protein', (57, 64)) 7519 27120794 In addition, qRT-PCR analysis showed that REPS2 mRNA apparently increased after LV-miR-675-5p-inhibition transfection in EC9706 and EC109 cell lines (Figure 4D). ('mRNA', 'MPA', (48, 52)) ('transfection', 'Var', (105, 117)) ('REPS2', 'Gene', (42, 47)) ('miR-675-5p', 'Gene', (83, 93)) ('EC9706', 'CellLine', 'CVCL:E307', (121, 127)) ('REPS2', 'Gene', '9185', (42, 47)) ('miR-675-5p', 'Gene', '102465452', (83, 93)) ('EC109', 'CellLine', 'CVCL:6898', (132, 137)) ('si', 'Chemical', 'MESH:D012825', (26, 28)) ('increased', 'PosReg', (64, 73)) 7527 27120794 Interestingly, the miR-675-5p-inhibition+si-REPS2 EC9706 cells exhibited higher cell proliferation, colony formation, migration and invasion potential and lower cell G1 arrest when compared with the miR-675-5p-inhibition+si-NC EC9706 cells, which resembled the miR-675-5p-precursor EC9706 cells (Figure 5C, 5D, 5E, 5F). ('miR-675-5p', 'Gene', '102465452', (261, 271)) ('si', 'Chemical', 'MESH:D012825', (136, 138)) ('lower', 'NegReg', (155, 160)) ('si', 'Chemical', 'MESH:D012825', (41, 43)) ('colony formation', 'CPA', (100, 116)) ('REPS2', 'Gene', (44, 49)) ('miR-675-5p', 'Gene', (261, 271)) ('EC9706', 'Var', (50, 56)) ('migration', 'CPA', (118, 127)) ('cell proliferation', 'CPA', (80, 98)) ('invasion potential', 'CPA', (132, 150)) ('REPS2', 'Gene', '9185', (44, 49)) ('si', 'Chemical', 'MESH:D012825', (221, 223)) ('EC9706', 'CellLine', 'CVCL:E307', (282, 288)) ('EC9706', 'CellLine', 'CVCL:E307', (227, 233)) ('miR-675-5p', 'Gene', '102465452', (19, 29)) ('miR-675-5p', 'Gene', '102465452', (199, 209)) ('cell G1 arrest', 'CPA', (161, 175)) ('miR-675-5p', 'Gene', (19, 29)) ('miR-675-5p', 'Gene', (199, 209)) ('EC9706', 'CellLine', 'CVCL:E307', (50, 56)) ('higher', 'PosReg', (73, 79)) 7532 27120794 Expression of RalBP1, RAC1, CDC42 MMP9, MMP2 and CyclinD1 were decreased in miR-675-5p-inhibition EC9706 and EC109 cells (Figure 6A, left and middle, lane 1). ('RalBP1', 'Gene', (14, 20)) ('CDC42', 'Gene', '998', (28, 33)) ('RAC1', 'Gene', '5879', (22, 26)) ('EC9706', 'CellLine', 'CVCL:E307', (98, 104)) ('CyclinD1', 'Gene', '595', (49, 57)) ('miR-675-5p', 'Gene', '102465452', (76, 86)) ('decreased', 'NegReg', (63, 72)) ('EC9706', 'Var', (98, 104)) ('MMP2', 'Gene', (40, 44)) ('CyclinD1', 'Gene', (49, 57)) ('miR-675-5p', 'Gene', (76, 86)) ('Expression', 'MPA', (0, 10)) ('EC109', 'CellLine', 'CVCL:6898', (109, 114)) ('si', 'Chemical', 'MESH:D012825', (6, 8)) ('MMP9', 'Gene', '4318', (34, 38)) ('MMP2', 'Gene', '4313', (40, 44)) ('MMP9', 'Gene', (34, 38)) ('RalBP1', 'Gene', '10928', (14, 20)) ('CDC42', 'Gene', (28, 33)) ('RAC1', 'Gene', (22, 26)) 7559 27120794 More importantly, knockdown of REPS2 gene could mimic the oncogenic effect of overexpressed miR-675-5p. ('knockdown', 'Var', (18, 27)) ('REPS2', 'Gene', (31, 36)) ('miR-675-5p', 'Gene', (92, 102)) ('REPS2', 'Gene', '9185', (31, 36)) ('miR-675-5p', 'Gene', '102465452', (92, 102)) 7565 27120794 These researches suggest that signals from REPS2 might suppress tumor growth and metastasis through RalBP1/RAC1/CDC42 signaling pathway. ('CDC42', 'Gene', (112, 117)) ('tumor', 'Phenotype', 'HP:0002664', (64, 69)) ('si', 'Chemical', 'MESH:D012825', (118, 120)) ('RAC1', 'Gene', (107, 111)) ('tumor', 'Disease', (64, 69)) ('RalBP1', 'Gene', '10928', (100, 106)) ('si', 'Chemical', 'MESH:D012825', (30, 32)) ('si', 'Chemical', 'MESH:D012825', (88, 90)) ('signals', 'Var', (30, 37)) ('tumor', 'Disease', 'MESH:D009369', (64, 69)) ('REPS2', 'Gene', '9185', (43, 48)) ('CDC42', 'Gene', '998', (112, 117)) ('RalBP1', 'Gene', (100, 106)) ('REPS2', 'Gene', (43, 48)) ('suppress', 'NegReg', (55, 63)) ('RAC1', 'Gene', '5879', (107, 111)) 7569 27120794 Consist with the previous researches, our data demonstrated that inhibition of REPS2 would activate RalBP1/RAC1/CDC42, increase MMP2/9, thus promote tumor invasion and metastasis. ('RAC1', 'Gene', (107, 111)) ('tumor', 'Disease', 'MESH:D009369', (149, 154)) ('activate', 'PosReg', (91, 99)) ('RAC1', 'Gene', '5879', (107, 111)) ('CDC42', 'Gene', (112, 117)) ('si', 'Chemical', 'MESH:D012825', (159, 161)) ('REPS2', 'Gene', (79, 84)) ('tumor', 'Phenotype', 'HP:0002664', (149, 154)) ('promote', 'PosReg', (141, 148)) ('inhibition', 'Var', (65, 75)) ('si', 'Chemical', 'MESH:D012825', (175, 177)) ('CDC42', 'Gene', '998', (112, 117)) ('MMP2/9', 'Gene', (128, 134)) ('REPS2', 'Gene', '9185', (79, 84)) ('RalBP1', 'Gene', '10928', (100, 106)) ('MMP2/9', 'Gene', '4313;4318', (128, 134)) ('si', 'Chemical', 'MESH:D012825', (3, 5)) ('tumor', 'Disease', (149, 154)) ('increase', 'PosReg', (119, 127)) ('RalBP1', 'Gene', (100, 106)) 7576 27120794 Recently, miR-675 is demonstrated to activate EGF signaling pathway in breast cancer. ('activate', 'PosReg', (37, 45)) ('breast cancer', 'Disease', (71, 84)) ('breast cancer', 'Phenotype', 'HP:0003002', (71, 84)) ('EGF signaling pathway', 'Pathway', (46, 67)) ('si', 'Chemical', 'MESH:D012825', (50, 52)) ('miR-675', 'Var', (10, 17)) ('cancer', 'Phenotype', 'HP:0002664', (78, 84)) ('breast cancer', 'Disease', 'MESH:D001943', (71, 84)) 7604 27120794 The pMIR-REPS2-Mut vector was built with REPS2 that had undergone site-directed mutagenesis of the miR-675-5p target site using the Stratagene Quik-Change site-directed mutagenesis kit (Stratagene, Germany). ('mutagenesis', 'Var', (80, 91)) ('miR-675-5p', 'Gene', '102465452', (99, 109)) ('si', 'Chemical', 'MESH:D012825', (177, 179)) ('REPS2', 'Gene', (41, 46)) ('REPS2', 'Gene', (9, 14)) ('REPS2', 'Gene', '9185', (41, 46)) ('si', 'Chemical', 'MESH:D012825', (88, 90)) ('REPS2', 'Gene', '9185', (9, 14)) ('miR-675-5p', 'Gene', (99, 109)) ('si', 'Chemical', 'MESH:D012825', (123, 125)) ('si', 'Chemical', 'MESH:D012825', (66, 68)) ('si', 'Chemical', 'MESH:D012825', (117, 119)) ('si', 'Chemical', 'MESH:D012825', (155, 157)) 7826 26751694 Interobserver and intraobserver variability The Az values calculated from ROC analysis were 0.723 (95%CI 0.543-0.903) for Rad1, 0.667 (95%CI 0.479-0.854) and 0.759 (95%CI 0.587-0.931) for the two evaluations of Rad2. ('Rad2', 'Gene', '2237', (212, 216)) ('Rad2', 'Gene', (212, 216)) ('Rad1', 'Gene', '5810', (123, 127)) ('0.667', 'Var', (129, 134)) ('Rad1', 'Gene', (123, 127)) ('0.759', 'Var', (159, 164)) 7880 23639644 Those with T1-2 and N0 lesions on EUS were considered low risk for M1 disease (n = 26), and those with T3-4 or N+ were considered high risk (n = 68). ('T1-2', 'Gene', '923;9173;292', (11, 15)) ('N0 lesions', 'Var', (20, 30)) ('M1 disease', 'Disease', (67, 77)) ('T1-2', 'Gene', (11, 15)) 7894 23639644 On multivariate analysis, poorer overall survival was associated with positive cytology (relative risk 2.7, P<.001), distal tumor location, and preoperative T stage and N stage. ('tumor', 'Phenotype', 'HP:0002664', (124, 129)) ('T stage', 'CPA', (157, 164)) ('N stage', 'CPA', (169, 176)) ('tumor', 'Disease', (124, 129)) ('positive cytology', 'Var', (70, 87)) ('overall', 'MPA', (33, 40)) ('poorer', 'NegReg', (26, 32)) ('tumor', 'Disease', 'MESH:D009369', (124, 129)) 7982 23639644 On multivariate analysis, positive margins, increased patient age, and nodal disease were independently associated with poorer survival. ('patient', 'Species', '9606', (54, 61)) ('positive', 'Var', (26, 34)) ('nodal disease', 'Disease', 'MESH:D013611', (71, 84)) ('nodal disease', 'Disease', (71, 84)) ('poorer', 'NegReg', (120, 126)) 8041 23639644 Between 1995 and 2001, patients with potentially curable T2b, T3, or T4 gastric adenocarcinoma were included, because para-aortic nodal involvement may only occur once the subserosa is invaded. ('patients', 'Species', '9606', (23, 31)) ('gastric adenocarcinoma', 'Disease', 'MESH:D013274', (72, 94)) ('gastric adenocarcinoma', 'Disease', (72, 94)) ('carcinoma', 'Phenotype', 'HP:0030731', (85, 94)) ('T2b', 'Var', (57, 60)) ('para-aortic nodal involvement', 'Disease', (118, 147)) ('para-aortic nodal involvement', 'Disease', 'MESH:D001018', (118, 147)) 8150 18775019 However, celecoxib increased the risk of myocardial infarction (MI) while aspirin reduced the risk. ('myocardial infarction', 'Disease', (41, 62)) ('myocardial infarction', 'Disease', 'MESH:D009203', (41, 62)) ('aspirin', 'Chemical', 'MESH:D001241', (74, 81)) ('MI', 'Phenotype', 'HP:0001658', (64, 66)) ('myocardial infarction', 'Phenotype', 'HP:0001658', (41, 62)) ('celecoxib', 'Chemical', 'MESH:D000068579', (9, 18)) ('celecoxib', 'Var', (9, 18)) 8158 18775019 There is evidence suggesting that both aspirin and selective cyclooxygenase-2 (COX-2) inhibitors (coxibs) can prevent esophageal adenocarcinoma (EAC) in patients with Barrett's esophagus (BE). ('aspirin', 'Chemical', 'MESH:D001241', (39, 46)) ('COX-2', 'Gene', '5743', (79, 84)) ('esophageal adenocarcinoma', 'Disease', (118, 143)) ('patients', 'Species', '9606', (153, 161)) ('esophageal adenocarcinoma', 'Disease', 'MESH:D004938', (118, 143)) ("Barrett's esophagus", 'Disease', (167, 186)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (118, 143)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (167, 186)) ('cyclooxygenase-2', 'Gene', (61, 77)) ('prevent', 'NegReg', (110, 117)) ('carcinoma', 'Phenotype', 'HP:0030731', (134, 143)) ('cyclooxygenase-2', 'Gene', '5743', (61, 77)) ('EAC', 'Phenotype', 'HP:0011459', (145, 148)) ('BE', 'Phenotype', 'HP:0100580', (188, 190)) ('inhibitors', 'Var', (86, 96)) ('COX-2', 'Gene', (79, 84)) 8183 18775019 Both celecoxib and aspirin were presented as increasing the risk of gastrointestinal events (GIE; ulcer or gastrointestinal bleeding) by the same amount. ('GIE', 'Phenotype', 'HP:0011024', (93, 96)) ('celecoxib', 'Var', (5, 14)) ('gastrointestinal events', 'Disease', (68, 91)) ('gastrointestinal bleeding', 'Disease', 'MESH:D006471', (107, 132)) ('gastrointestinal bleeding', 'Phenotype', 'HP:0002239', (107, 132)) ('increasing', 'PosReg', (45, 55)) ('ulcer', 'Disease', 'MESH:D014456', (98, 103)) ('ulcer', 'Disease', (98, 103)) ('gastrointestinal events', 'Phenotype', 'HP:0011024', (68, 91)) ('gastrointestinal bleeding', 'Disease', (107, 132)) ('celecoxib', 'Chemical', 'MESH:D000068579', (5, 14)) ('aspirin', 'Chemical', 'MESH:D001241', (19, 26)) 8260 18775019 Over a lifetime, 50% of men will have a heart attack, so Medicine A increases your chance of having a heart attack to 75%. ('men', 'Species', '9606', (24, 27)) ('heart attack', 'Disease', (40, 52)) ('heart attack', 'Phenotype', 'HP:0001658', (40, 52)) ('Medicine', 'Var', (57, 65)) ('heart attack', 'Phenotype', 'HP:0001658', (102, 114)) 8262 18775019 Since 20% of men will have a stroke in their lifetime, Medicine A increases your lifetime chance of having a stroke to 30%. ('stroke', 'Disease', (109, 115)) ('stroke', 'Disease', 'MESH:D020521', (29, 35)) ('stroke', 'Phenotype', 'HP:0001297', (109, 115)) ('stroke', 'Disease', 'MESH:D020521', (109, 115)) ('stroke', 'Phenotype', 'HP:0001297', (29, 35)) ('Medicine', 'Var', (55, 63)) ('stroke', 'Disease', (29, 35)) ('men', 'Species', '9606', (13, 16)) 8330 19838919 Turkmen men had a higher intake of fruit, non-Alcoholic beverages, and poly-unsaturated fatty acids (PUFA), and lower intake of beta-carotene, compared to non-Turkmen men. ('men', 'Species', '9606', (4, 7)) ('PUFA', 'Chemical', 'MESH:D005231', (101, 105)) ('beta-carotene', 'Chemical', 'MESH:D019207', (128, 141)) ('poly-unsaturated', 'Var', (71, 87)) ('men', 'Species', '9606', (163, 166)) ('intake', 'MPA', (25, 31)) ('men', 'Species', '9606', (8, 11)) ('intake', 'MPA', (118, 124)) ('poly-unsaturated fatty acids', 'Chemical', 'MESH:D005231', (71, 99)) ('higher', 'PosReg', (18, 24)) ('lower', 'NegReg', (112, 117)) ('men', 'Species', '9606', (167, 170)) 8365 32432570 Moreover, QGS decreased Gas6/Axl levels, increased E-cadherin expression, decreased Snail and N-cadherin expression, and inhibited epithelial-mesenchymal transition (EMT) in EC cells. ('Snail', 'Gene', '6615', (84, 89)) ('increased', 'PosReg', (41, 50)) ('N-cadherin', 'Gene', '1000', (94, 104)) ('decreased', 'NegReg', (14, 23)) ('Axl', 'Gene', (29, 32)) ('EC', 'Phenotype', 'HP:0011459', (174, 176)) ('expression', 'MPA', (62, 72)) ('N-cadherin', 'Gene', (94, 104)) ('epithelial-mesenchymal transition', 'CPA', (131, 164)) ('Gas6', 'Gene', '2621', (24, 28)) ('decreased', 'NegReg', (74, 83)) ('QGS', 'Var', (10, 13)) ('inhibited', 'NegReg', (121, 130)) ('Snail', 'Gene', (84, 89)) ('Gas6', 'Gene', (24, 28)) ('Axl', 'Gene', '558', (29, 32)) ('E-cadherin', 'Gene', (51, 61)) ('E-cadherin', 'Gene', '999', (51, 61)) 8366 32432570 QGS thus suppresses EMT in EC by inhibiting Gas6/Axl binding. ('EMT', 'CPA', (20, 23)) ('Gas6', 'Gene', '2621', (44, 48)) ('Axl', 'Gene', '558', (49, 52)) ('Gas6', 'Gene', (44, 48)) ('QGS', 'Var', (0, 3)) ('EC', 'Phenotype', 'HP:0011459', (27, 29)) ('Axl', 'Gene', (49, 52)) ('inhibiting', 'NegReg', (33, 43)) ('suppresses', 'NegReg', (9, 19)) 8382 32432570 Studies have shown that QGS inhibits metastasis in EC patients more effectively than other standard prescription medications. ('QGS', 'Var', (24, 27)) ('inhibits', 'NegReg', (28, 36)) ('patients', 'Species', '9606', (54, 62)) ('metastasis', 'CPA', (37, 47)) ('EC', 'Phenotype', 'HP:0011459', (51, 53)) 8383 32432570 Clinical observations following the treatment of many EC patients in Henan and Hebei provinces, areas of China where EC incidence is particularly high, indicate that QGS can reduce recurrence and metastasis rates in patients with radical EC after disease eradication, prolong disease-free survival (DFS), and improve quality of life. ('quality of life', 'CPA', (317, 332)) ('EC', 'Phenotype', 'HP:0011459', (54, 56)) ('prolong', 'PosReg', (268, 275)) ('reduce', 'NegReg', (174, 180)) ('patients', 'Species', '9606', (57, 65)) ('patients', 'Species', '9606', (216, 224)) ('recurrence', 'CPA', (181, 191)) ('improve', 'PosReg', (309, 316)) ('EC', 'Phenotype', 'HP:0011459', (117, 119)) ('disease-free survival', 'CPA', (276, 297)) ('QGS', 'Var', (166, 169)) ('EC', 'Phenotype', 'HP:0011459', (238, 240)) 8385 32432570 We therefore hypothesized that QGS inhibits EC cell invasion and subsequent EMT and migration by inhibiting Gas6 protein functions and the Gas6/Axl pathway. ('EC cell invasion', 'CPA', (44, 60)) ('Gas6', 'Gene', '2621', (139, 143)) ('Gas6', 'Gene', (108, 112)) ('EC', 'Phenotype', 'HP:0011459', (44, 46)) ('Gas6', 'Gene', (139, 143)) ('inhibits', 'NegReg', (35, 43)) ('Axl', 'Gene', '558', (144, 147)) ('QGS', 'Var', (31, 34)) ('Axl', 'Gene', (144, 147)) ('Gas6', 'Gene', '2621', (108, 112)) ('inhibiting', 'NegReg', (97, 107)) 8411 32432570 Clinical observations indicate that QGS can alleviate airway obstruction, dysphagia, pain, nausea, vomiting, and other symptoms, reduce the toxicity and side effects of radiotherapy and chemotherapy, and inhibit recurrence and metastasis after surgery in EC patients. ('dysphagia', 'Disease', 'MESH:D003680', (74, 83)) ('dysphagia', 'Disease', (74, 83)) ('pain', 'Disease', 'MESH:D010146', (85, 89)) ('nausea', 'Disease', 'MESH:D009325', (91, 97)) ('obstruction', 'Disease', 'MESH:D000402', (61, 72)) ('alleviate', 'PosReg', (44, 53)) ('patients', 'Species', '9606', (258, 266)) ('dysphagia', 'Phenotype', 'HP:0002015', (74, 83)) ('metastasis', 'CPA', (227, 237)) ('toxicity', 'Disease', 'MESH:D064420', (140, 148)) ('inhibit', 'NegReg', (204, 211)) ('vomiting', 'Disease', 'MESH:D014839', (99, 107)) ('EC', 'Phenotype', 'HP:0011459', (255, 257)) ('obstruction', 'Disease', (61, 72)) ('pain', 'Disease', (85, 89)) ('nausea', 'Phenotype', 'HP:0002018', (91, 97)) ('QGS', 'Var', (36, 39)) ('toxicity', 'Disease', (140, 148)) ('reduce', 'NegReg', (129, 135)) ('vomiting', 'Phenotype', 'HP:0002013', (99, 107)) ('vomiting', 'Disease', (99, 107)) ('pain', 'Phenotype', 'HP:0012531', (85, 89)) ('airway obstruction', 'Phenotype', 'HP:0002781', (54, 72)) ('nausea', 'Disease', (91, 97)) 8413 32432570 In addition, previous research has shown that QGS increases the distribution and expression of Cx26 and Cx43 on the cell membrane, which enhances gap junction (GJ) function and inhibits EC cell invasion and migration. ('QGS', 'Var', (46, 49)) ('Cx26', 'Gene', (95, 99)) ('function', 'MPA', (164, 172)) ('enhances', 'PosReg', (137, 145)) ('increases', 'PosReg', (50, 59)) ('inhibits', 'NegReg', (177, 185)) ('Cx43', 'Gene', (104, 108)) ('Cx43', 'Gene', '2697', (104, 108)) ('Cx26', 'Gene', '2706', (95, 99)) ('EC', 'Phenotype', 'HP:0011459', (186, 188)) ('distribution', 'MPA', (64, 76)) ('expression', 'MPA', (81, 91)) 8421 32432570 Here, we found that QGS significantly inhibits Gas6 and Axl protein expression and prevents them from binding, thereby reducing Gas6/Axl complex formation. ('Axl', 'Gene', (56, 59)) ('binding', 'Interaction', (102, 109)) ('Gas6', 'Gene', (128, 132)) ('Gas6', 'Gene', '2621', (47, 51)) ('inhibits', 'NegReg', (38, 46)) ('Axl', 'Gene', (133, 136)) ('QGS', 'Var', (20, 23)) ('Axl', 'Gene', '558', (56, 59)) ('prevents', 'NegReg', (83, 91)) ('Gas6', 'Gene', (47, 51)) ('Gas6', 'Gene', '2621', (128, 132)) ('Axl', 'Gene', '558', (133, 136)) ('reducing', 'NegReg', (119, 127)) 8425 32432570 These changes occurred after QGS inhibited Gas6/Axl complex expression, and wound healing and transwell experiments showed that QGS also suppressed ESCC cell invasion and migration. ('suppressed', 'NegReg', (137, 147)) ('Gas6', 'Gene', '2621', (43, 47)) ('Axl', 'Gene', '558', (48, 51)) ('Gas6', 'Gene', (43, 47)) ('migration', 'CPA', (171, 180)) ('QGS', 'Var', (128, 131)) ('Axl', 'Gene', (48, 51)) ('inhibited', 'NegReg', (33, 42)) ('ESCC cell invasion', 'CPA', (148, 166)) 8426 32432570 In summary, we found that QGS inhibits formation of the Gas6/Axl complex and suppresses EMT, which in turn inhibits EC cell mobility. ('Gas6', 'Gene', (56, 60)) ('EC', 'Phenotype', 'HP:0011459', (116, 118)) ('suppresses', 'NegReg', (77, 87)) ('QGS', 'Var', (26, 29)) ('Axl', 'Gene', (61, 64)) ('inhibits', 'NegReg', (107, 115)) ('EMT', 'CPA', (88, 91)) ('Axl', 'Gene', '558', (61, 64)) ('EC cell mobility', 'CPA', (116, 132)) ('Gas6', 'Gene', '2621', (56, 60)) ('inhibits', 'NegReg', (30, 38)) ('formation', 'MPA', (39, 48)) 8433 32432570 Tissues were then incubated with anti-GAS6 primary antibody (67202, Cell Signaling Technology (CST)) and secondary antibody (G23301, Servicebio), nuclei were counterstained with DAPI, and tissues were mounted on slides and dehydrated. ('DAPI', 'Chemical', 'MESH:C007293', (178, 182)) ('G23301', 'Var', (125, 131)) ('GAS6', 'Gene', '2621', (38, 42)) ('GAS6', 'Gene', (38, 42)) ('67202', 'Var', (61, 66)) 8439 32432570 After blocking with 10% BSA serum, cells were incubated with the following primary antibodies at 4 C overnight: anti-GAS6 (67020, CST), anti-mouseAXL (ab89224, Abcam), anti-E-cadherin (ET1607-75, Hangzhou HuaAn Biotechnology Co., Ltd), anti-N-Cadherin (ET1607-37, Hangzhou HuaAn Biotechnology Co., Ltd), and anti-Snail1 (ER1706-22, Hangzhou HuaAn Biotechnology Co., Ltd). ('ER1706-22', 'Var', (321, 330)) ('E-cadherin', 'Gene', (173, 183)) ('E-cadherin', 'Gene', '999', (173, 183)) ('AXL', 'Gene', (146, 149)) ('N-Cadherin', 'Gene', (241, 251)) ('ER1706-22', 'CellLine', 'CVCL:0H89', (321, 330)) ('N-Cadherin', 'Gene', '1000', (241, 251)) ('ET1607-37', 'Var', (253, 262)) ('AXL', 'Gene', '558', (146, 149)) ('GAS6', 'Gene', '2621', (117, 121)) ('GAS6', 'Gene', (117, 121)) ('Snail1', 'Gene', '6615', (313, 319)) ('Snail1', 'Gene', (313, 319)) 8445 32432570 The membranes were then incubated the with the following primary antibodies at 4 C overnight: anti-GAS6 (67202, CST), anti-rabbit AXL (8661, CST), anti-E-cadherin (ET1607-75, Hangzhou HuaAn Biotechnology Co., Ltd), anti-N-cadherin (ET1607-37, Hangzhou HuaAn Biotechnology Co., Ltd), anti-Snail1 (ER1706-22, Hangzhou HuaAn Biotechnology Co., Ltd), and anti-beta-ACT (AC026, Abclonal Technology). ('E-cadherin', 'Gene', (152, 162)) ('E-cadherin', 'Gene', '999', (152, 162)) ('ER1706-22', 'CellLine', 'CVCL:0H89', (296, 305)) ('Snail1', 'Gene', (288, 294)) ('N-cadherin', 'Gene', (220, 230)) ('GAS6', 'Gene', (99, 103)) ('AXL', 'Gene', '558', (130, 133)) ('ER1706-22', 'Var', (296, 305)) ('Snail1', 'Gene', '6615', (288, 294)) ('GAS6', 'Gene', '2621', (99, 103)) ('ET1607-37', 'Var', (232, 241)) ('N-cadherin', 'Gene', '1000', (220, 230)) ('AXL', 'Gene', (130, 133)) ('anti-beta-ACT', 'Var', (351, 364)) 8459 32311927 High RDW was associated with larger tumor size (P < .01), worse differentiation (P = .02), deeper invasion (P < .01), earlier lymph node metastasis (P < .01), more advanced clinical stage (P < .01) and higher carcinoembryonic antigen level (P < .01) when compared to low RDW. ('earlier lymph node metastasis', 'CPA', (118, 147)) ('High RDW', 'Var', (0, 8)) ('carcinoembryonic', 'Disease', (209, 225)) ('larger', 'PosReg', (29, 35)) ('carcinoembryonic', 'Disease', 'None', (209, 225)) ('tumor', 'Disease', 'MESH:D009369', (36, 41)) ('higher', 'PosReg', (202, 208)) ('tumor', 'Phenotype', 'HP:0002664', (36, 41)) ('worse differentiation', 'CPA', (58, 79)) ('higher carcinoembryonic antigen level', 'Phenotype', 'HP:0031029', (202, 239)) ('deeper invasion', 'CPA', (91, 106)) ('tumor', 'Disease', (36, 41)) ('more', 'PosReg', (159, 163)) 8460 32311927 High RDW was significantly associated with worse prognosis of GI cancers, which could be regarded as a prognostic biomarker for GI cancers. ('cancers', 'Phenotype', 'HP:0002664', (131, 138)) ('GI cancer', 'Phenotype', 'HP:0007378', (62, 71)) ('High RDW', 'Var', (0, 8)) ('GI cancer', 'Phenotype', 'HP:0007378', (128, 137)) ('GI cancers', 'Disease', 'MESH:D009369', (128, 138)) ('cancer', 'Phenotype', 'HP:0002664', (131, 137)) ('cancer', 'Phenotype', 'HP:0002664', (65, 71)) ('GI cancers', 'Disease', (62, 72)) ('cancers', 'Phenotype', 'HP:0002664', (65, 72)) ('GI cancers', 'Disease', (128, 138)) ('GI cancers', 'Disease', 'MESH:D009369', (62, 72)) 8481 32311927 As shown in Figure 2, a fixed-effect model was used (I2 = 43%), and high RDW was associated with shorter OS compared to low RDW in GI cancers (HR = 1.75, 95%CI = 1.57-1.94, P < .01). ('GI cancers', 'Disease', 'MESH:D009369', (131, 141)) ('GI cancer', 'Phenotype', 'HP:0007378', (131, 140)) ('cancers', 'Phenotype', 'HP:0002664', (134, 141)) ('high RDW', 'Var', (68, 76)) ('shorter', 'Disease', (97, 104)) ('cancer', 'Phenotype', 'HP:0002664', (134, 140)) ('GI cancers', 'Disease', (131, 141)) 8483 32311927 As listed in Table 2, high RDW was significantly related to worse OS compared to low RDW in GI cancers (P < .05). ('GI cancers', 'Disease', (92, 102)) ('cancers', 'Phenotype', 'HP:0002664', (95, 102)) ('high RDW', 'Var', (22, 30)) ('GI cancer', 'Phenotype', 'HP:0007378', (92, 101)) ('GI cancers', 'Disease', 'MESH:D009369', (92, 102)) ('worse OS', 'Disease', (60, 68)) ('cancer', 'Phenotype', 'HP:0002664', (95, 101)) 8485 32311927 However, compared to low RDW, high RDW was significantly associated with larger tumor size (P < .01), worse differentiation (P = .02), deeper invasion (P < .01), earlier lymph node metastasis (P < .01), more advanced clinical stage (P < .01) and higher carcinoembryonic antigen level (P < .01). ('tumor', 'Disease', 'MESH:D009369', (80, 85)) ('carcinoembryonic', 'Disease', 'None', (253, 269)) ('larger', 'PosReg', (73, 79)) ('higher', 'PosReg', (246, 252)) ('tumor', 'Phenotype', 'HP:0002664', (80, 85)) ('higher carcinoembryonic antigen level', 'Phenotype', 'HP:0031029', (246, 283)) ('tumor', 'Disease', (80, 85)) ('high RDW', 'Var', (30, 38)) ('worse differentiation', 'CPA', (102, 123)) ('earlier lymph node metastasis', 'CPA', (162, 191)) ('deeper invasion', 'CPA', (135, 150)) ('carcinoembryonic', 'Disease', (253, 269)) 8487 32311927 In this study, our findings showed high RDW might predict worse OS and DFS in GI cancers. ('worse OS', 'Disease', (58, 66)) ('cancers', 'Phenotype', 'HP:0002664', (81, 88)) ('RDW', 'Var', (40, 43)) ('GI cancer', 'Phenotype', 'HP:0007378', (78, 87)) ('high RDW', 'Var', (35, 43)) ('cancer', 'Phenotype', 'HP:0002664', (81, 87)) ('DFS in GI cancers', 'Disease', 'MESH:D009369', (71, 88)) ('DFS in GI cancers', 'Disease', (71, 88)) 8488 32311927 Besides, high RDW was related to larger tumor size, worse differentiation, deeper invasion, earlier lymph node metastasis, more advanced clinical stage and higher carcinoembryonic antigen level in GI cancers. ('earlier lymph node metastasis', 'CPA', (92, 121)) ('higher', 'PosReg', (156, 162)) ('high RDW', 'Var', (9, 17)) ('GI cancers', 'Disease', (197, 207)) ('higher carcinoembryonic antigen level', 'Phenotype', 'HP:0031029', (156, 193)) ('cancers', 'Phenotype', 'HP:0002664', (200, 207)) ('cancer', 'Phenotype', 'HP:0002664', (200, 206)) ('tumor', 'Disease', 'MESH:D009369', (40, 45)) ('GI cancer', 'Phenotype', 'HP:0007378', (197, 206)) ('carcinoembryonic', 'Disease', (163, 179)) ('GI cancers', 'Disease', 'MESH:D009369', (197, 207)) ('carcinoembryonic', 'Disease', 'None', (163, 179)) ('tumor', 'Phenotype', 'HP:0002664', (40, 45)) ('tumor', 'Disease', (40, 45)) ('deeper invasion', 'CPA', (75, 90)) 8489 32311927 All these findings showed RDW could serve as a promising biomarker to predict the prognosis of GI cancers. ('cancer', 'Phenotype', 'HP:0002664', (98, 104)) ('GI cancers', 'Disease', (95, 105)) ('cancers', 'Phenotype', 'HP:0002664', (98, 105)) ('RDW', 'Var', (26, 29)) ('GI cancers', 'Disease', 'MESH:D009369', (95, 105)) ('GI cancer', 'Phenotype', 'HP:0007378', (95, 104)) 8490 32311927 Our results, based on the subgroup analysis, showed RDW could predict the prognosis of patients with esophageal cancer. ('cancer', 'Disease', (112, 118)) ('cancer', 'Disease', 'MESH:D009369', (112, 118)) ('cancer', 'Phenotype', 'HP:0002664', (112, 118)) ('patients', 'Species', '9606', (87, 95)) ('predict', 'Reg', (62, 69)) ('RDW', 'Var', (52, 55)) 8492 32311927 Besides, we firstly observed the association between RDW and prognosis in gastric cancer, colorectal cancer, hepatocellular carcinoma and hilar cholangiocarcinoma in the current study. ('cholangiocarcinoma', 'Disease', (144, 162)) ('cancer', 'Phenotype', 'HP:0002664', (82, 88)) ('colorectal cancer', 'Disease', 'MESH:D015179', (90, 107)) ('carcinoma', 'Phenotype', 'HP:0030731', (124, 133)) ('cholangiocarcinoma', 'Disease', 'MESH:D018281', (144, 162)) ('gastric cancer', 'Phenotype', 'HP:0012126', (74, 88)) ('cholangiocarcinoma', 'Phenotype', 'HP:0030153', (144, 162)) ('carcinoma', 'Phenotype', 'HP:0030731', (153, 162)) ('gastric cancer', 'Disease', (74, 88)) ('RDW', 'Var', (53, 56)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (109, 133)) ('gastric cancer', 'Disease', 'MESH:D013274', (74, 88)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (90, 107)) ('cancer', 'Phenotype', 'HP:0002664', (101, 107)) ('hepatocellular carcinoma', 'Disease', (109, 133)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (109, 133)) ('colorectal cancer', 'Disease', (90, 107)) ('association', 'Interaction', (33, 44)) 8498 32311927 What's more, RDW is believed to regulate the cancer progression by affecting the glycolytic process of tumor cells, and low RDW is found to be associated with increased incidence of diabetes mellitus. ('tumor', 'Phenotype', 'HP:0002664', (103, 108)) ('associated', 'Reg', (143, 153)) ('affecting', 'Reg', (67, 76)) ('cancer', 'Phenotype', 'HP:0002664', (45, 51)) ('tumor', 'Disease', (103, 108)) ('diabetes mellitus', 'Disease', 'MESH:D003920', (182, 199)) ('tumor', 'Disease', 'MESH:D009369', (103, 108)) ('cancer', 'Disease', 'MESH:D009369', (45, 51)) ('diabetes mellitus', 'Phenotype', 'HP:0000819', (182, 199)) ('cancer', 'Disease', (45, 51)) ('diabetes mellitus', 'Disease', (182, 199)) ('low RDW', 'Var', (120, 127)) 8499 32311927 Therefore, high RDW may be a surrogate indicator of improved glucose metabolism, which is of great importance for the survival of patients with GI cancers. ('glucose metabolism', 'Disease', 'MESH:D044882', (61, 79)) ('cancer', 'Phenotype', 'HP:0002664', (147, 153)) ('glucose metabolism', 'Disease', (61, 79)) ('improved', 'PosReg', (52, 60)) ('patients', 'Species', '9606', (130, 138)) ('GI cancers', 'Disease', (144, 154)) ('cancers', 'Phenotype', 'HP:0002664', (147, 154)) ('high RDW', 'Var', (11, 19)) ('GI cancer', 'Phenotype', 'HP:0007378', (144, 153)) ('GI cancers', 'Disease', 'MESH:D009369', (144, 154)) 8505 32311927 High RDW was significantly associated with worse prognosis when compared to low RDW in GI cancers, which could be regarded as a prognostic biomarker for GI cancers. ('GI cancers', 'Disease', (153, 163)) ('cancers', 'Phenotype', 'HP:0002664', (156, 163)) ('High RDW', 'Var', (0, 8)) ('GI cancers', 'Disease', 'MESH:D009369', (87, 97)) ('GI cancer', 'Phenotype', 'HP:0007378', (153, 162)) ('cancer', 'Phenotype', 'HP:0002664', (90, 96)) ('GI cancers', 'Disease', 'MESH:D009369', (153, 163)) ('cancer', 'Phenotype', 'HP:0002664', (156, 162)) ('cancers', 'Phenotype', 'HP:0002664', (90, 97)) ('GI cancer', 'Phenotype', 'HP:0007378', (87, 96)) ('GI cancers', 'Disease', (87, 97)) 8605 30233251 Tumor occurrence in the antrum of the stomach was slightly higher in familial patients (19%), compared to sporadic patients (15%) with gastric cancer. ('gastric cancer', 'Disease', (135, 149)) ('cancer', 'Phenotype', 'HP:0002664', (143, 149)) ('patients', 'Species', '9606', (115, 123)) ('Tumor', 'Phenotype', 'HP:0002664', (0, 5)) ('gastric cancer', 'Disease', 'MESH:D013274', (135, 149)) ('patients', 'Species', '9606', (78, 86)) ('gastric cancer', 'Phenotype', 'HP:0012126', (135, 149)) ('familial', 'Var', (69, 77)) ('higher', 'PosReg', (59, 65)) ('Tumor', 'CPA', (0, 5)) 8655 30087707 Knockdown of C1GalT1 inhibits radioresistance of human esophageal cancer cells through modifying beta1-integrin glycosylation Radiotherapy has played a limited role for the treatment of human esophageal cancer owing to the risk of tumor radioresistance. ('C1GalT1', 'Gene', (13, 20)) ('cancer', 'Phenotype', 'HP:0002664', (66, 72)) ('esophageal cancer', 'Disease', (55, 72)) ('beta1-integrin', 'Gene', '3688', (97, 111)) ('C1GalT1', 'Gene', '56913', (13, 20)) ('inhibits', 'NegReg', (21, 29)) ('esophageal cancer', 'Disease', 'MESH:D004938', (192, 209)) ('human', 'Species', '9606', (49, 54)) ('tumor', 'Disease', (231, 236)) ('esophageal cancer', 'Disease', (192, 209)) ('modifying', 'Reg', (87, 96)) ('tumor', 'Disease', 'MESH:D009369', (231, 236)) ('radioresistance', 'CPA', (30, 45)) ('si', 'Chemical', 'MESH:D012825', (37, 39)) ('beta1-integrin', 'Gene', (97, 111)) ('si', 'Chemical', 'MESH:D012825', (244, 246)) ('cancer', 'Phenotype', 'HP:0002664', (203, 209)) ('Knockdown', 'Var', (0, 9)) ('tumor', 'Phenotype', 'HP:0002664', (231, 236)) ('human', 'Species', '9606', (186, 191)) ('esophageal cancer', 'Disease', 'MESH:D004938', (55, 72)) 8659 30087707 Upon irradiation, we found that esophageal cancer cells with high levels of C1GalT1 could tolerate cell death and had increased resistance to radiotherapy. ('esophageal cancer', 'Disease', 'MESH:D004938', (32, 49)) ('si', 'Chemical', 'MESH:D012825', (130, 132)) ('C1GalT1', 'Gene', '56913', (76, 83)) ('increased', 'PosReg', (118, 127)) ('tolerate', 'CPA', (90, 98)) ('resistance to radiotherapy', 'CPA', (128, 154)) ('cancer', 'Phenotype', 'HP:0002664', (43, 49)) ('high levels', 'Var', (61, 72)) ('esophageal cancer', 'Disease', (32, 49)) ('C1GalT1', 'Gene', (76, 83)) 8661 30087707 C1GalT1 knockdown increased the radiosensitivity of esophageal cancer cells, and attenuated irradiation-enhanced migration and invasion. ('si', 'Chemical', 'MESH:D012825', (131, 133)) ('increased', 'PosReg', (18, 27)) ('C1GalT1', 'Gene', (0, 7)) ('knockdown', 'Var', (8, 17)) ('cancer', 'Phenotype', 'HP:0002664', (63, 69)) ('esophageal cancer', 'Disease', (52, 69)) ('esophageal cancer', 'Disease', 'MESH:D004938', (52, 69)) ('si', 'Chemical', 'MESH:D012825', (40, 42)) ('increased the radiosensitivity of esophageal cancer', 'Phenotype', 'HP:0010997', (18, 69)) ('radiosensitivity', 'MPA', (32, 48)) ('attenuated', 'NegReg', (81, 91)) ('C1GalT1', 'Gene', '56913', (0, 7)) 8672 30087707 Aberrant glycosylation is often observed as a hallmark of cancer. ('cancer', 'Phenotype', 'HP:0002664', (58, 64)) ('Aberrant', 'Var', (0, 8)) ('Aberrant glycosylation', 'Phenotype', 'HP:0012345', (0, 22)) ('hallmark of cancer', 'Disease', (46, 64)) ('hallmark of cancer', 'Disease', 'MESH:D009369', (46, 64)) ('glycosylation', 'MPA', (9, 22)) 8675 30087707 Especially, more and more studies have shown that aberrant glycosylation may be linked to treatment failure in many patients after radiotherapy. ('linked', 'Reg', (80, 86)) ('patients', 'Species', '9606', (116, 124)) ('treatment failure', 'Disease', (90, 107)) ('glycosylation', 'MPA', (59, 72)) ('treatment failure', 'Disease', 'MESH:D016609', (90, 107)) ('aberrant', 'Var', (50, 58)) ('aberrant glycosylation', 'Phenotype', 'HP:0012345', (50, 72)) 8677 30087707 Therefore, identification of differentially expressed glycosyltransferases contributing to aberrant glycosylation is critical in overcoming radioresistance. ('glycosylation', 'MPA', (100, 113)) ('glycosyltransferases', 'Enzyme', (54, 74)) ('si', 'Chemical', 'MESH:D012825', (147, 149)) ('aberrant', 'Var', (91, 99)) ('contributing', 'Reg', (75, 87)) ('aberrant glycosylation', 'Phenotype', 'HP:0012345', (91, 113)) 8680 30087707 The results showed that inhibition of C1GalT1 may sensitize esophageal cancer cells to radiation. ('C1GalT1', 'Gene', '56913', (38, 45)) ('si', 'Chemical', 'MESH:D012825', (53, 55)) ('sensitize', 'Reg', (50, 59)) ('esophageal cancer', 'Disease', (60, 77)) ('inhibition', 'Var', (24, 34)) ('C1GalT1', 'Gene', (38, 45)) ('cancer', 'Phenotype', 'HP:0002664', (71, 77)) ('esophageal cancer', 'Disease', 'MESH:D004938', (60, 77)) 8694 30087707 The siRNA sequences used were: si-1, 5'-CCAGCCUAAUGUUCUUCAUTT-3'; si-2, 5'-GGGAGAAGAUUUAAGCCUUTT-3'; si-3, 5'-GCAGAUUCUAGCCAACAUATT-3'; and negative control, 5'-UUCUCCGAACGU GUCACGUTT-3'. ('si', 'Chemical', 'MESH:D012825', (101, 103)) ('si-3', 'Var', (101, 105)) ('si-1', 'Var', (31, 35)) ('si', 'Chemical', 'MESH:D012825', (66, 68)) ('si', 'Chemical', 'MESH:D012825', (31, 33)) ('N', 'Chemical', 'MESH:D009584', (7, 8)) ('si', 'Chemical', 'MESH:D012825', (4, 6)) 8731 30087707 Kaplan-Meier curves of overall survival revealed that esophageal cancer patients with high expression of C1GalT1 had a poorer prognosis than those with low C1GalT1 expression (Fig. ('C1GalT1', 'Gene', (105, 112)) ('si', 'Chemical', 'MESH:D012825', (132, 134)) ('si', 'Chemical', 'MESH:D012825', (97, 99)) ('si', 'Chemical', 'MESH:D012825', (170, 172)) ('C1GalT1', 'Gene', '56913', (156, 163)) ('cancer', 'Phenotype', 'HP:0002664', (65, 71)) ('C1GalT1', 'Gene', '56913', (105, 112)) ('esophageal cancer', 'Disease', (54, 71)) ('high expression', 'Var', (86, 101)) ('esophageal cancer', 'Disease', 'MESH:D004938', (54, 71)) ('C1GalT1', 'Gene', (156, 163)) ('patients', 'Species', '9606', (72, 80)) 8740 30087707 Taken together, these results suggest that esophageal cancer cells with high levels of C1GalT1 could tolerate cell death and has enhanced resistance to radiotherapy. ('esophageal cancer', 'Disease', 'MESH:D004938', (43, 60)) ('enhanced', 'PosReg', (129, 137)) ('C1GalT1', 'Gene', '56913', (87, 94)) ('high levels', 'Var', (72, 83)) ('resistance to radiotherapy', 'CPA', (138, 164)) ('tolerate', 'CPA', (101, 109)) ('si', 'Chemical', 'MESH:D012825', (140, 142)) ('C1GalT1', 'Gene', (87, 94)) ('esophageal cancer', 'Disease', (43, 60)) ('cancer', 'Phenotype', 'HP:0002664', (54, 60)) 8753 30087707 The qPCR and Western blot analyses revealed that the knockdown of endogenous C1GalT1 by si-1, 2, and 3 resulted in the reduction of C1GalT1 expression at both the mRNA and protein levels (Fig. ('C1GalT1', 'Gene', (77, 84)) ('si', 'Chemical', 'MESH:D012825', (146, 148)) ('expression', 'MPA', (140, 150)) ('C1GalT1', 'Gene', '56913', (132, 139)) ('C1GalT1', 'Gene', '56913', (77, 84)) ('N', 'Chemical', 'MESH:D009584', (165, 166)) ('si', 'Chemical', 'MESH:D012825', (88, 90)) ('si-1', 'Var', (88, 92)) ('C1GalT1', 'Gene', (132, 139)) ('reduction', 'NegReg', (119, 128)) 8756 30087707 The percentages of apoptotic cells exposed to 4 Gy irradiation for each group were as follows: Eca109-NC: 4.58 +- 1.03%, Eca109-si: 6.19 +- 0.42%, Eca109-NC + IR: 9.17+- 0.55%, and Eca109-si + IR: 20.24+- 1.53%. ('Eca109-NC + IR', 'Var', (147, 161)) ('si', 'Chemical', 'MESH:D012825', (128, 130)) ('Eca109-si + IR', 'Var', (181, 195)) ('Eca109-si', 'Var', (121, 130)) ('N', 'Chemical', 'MESH:D009584', (102, 103)) ('si', 'Chemical', 'MESH:D012825', (188, 190)) ('N', 'Chemical', 'MESH:D009584', (154, 155)) ('Eca109-NC', 'Var', (95, 104)) ('apoptotic cells', 'CPA', (19, 34)) 8763 30087707 In addition, the clones formed by Eca109-si cells had fewer cells than clones formed by Eca109-NC cells, implying slower cell division. ('N', 'Chemical', 'MESH:D009584', (95, 96)) ('si', 'Chemical', 'MESH:D012825', (130, 132)) ('fewer', 'NegReg', (54, 59)) ('si', 'Chemical', 'MESH:D012825', (41, 43)) ('slower', 'NegReg', (114, 120)) ('Eca109-si', 'Var', (34, 43)) ('cells', 'CPA', (60, 65)) ('cell division', 'CPA', (121, 134)) 8769 30087707 Matrigel invasion assay showed that Eca109-si cells also displayed a significantly lower transmembrane invasion activity as compared to Eca109-NC cells (Fig. ('si', 'Chemical', 'MESH:D012825', (43, 45)) ('lower', 'NegReg', (83, 88)) ('Eca109-si', 'Var', (36, 45)) ('N', 'Chemical', 'MESH:D009584', (143, 144)) ('si', 'Chemical', 'MESH:D012825', (13, 15)) ('transmembrane invasion activity', 'CPA', (89, 120)) ('si', 'Chemical', 'MESH:D012825', (107, 109)) ('si', 'Chemical', 'MESH:D012825', (69, 71)) 8770 30087707 These results suggest that knockdown of C1GalT1 could block irradiation-enhanced invasion in esophageal cancer cells. ('knockdown', 'Var', (27, 36)) ('cancer', 'Phenotype', 'HP:0002664', (104, 110)) ('esophageal cancer', 'Disease', (93, 110)) ('C1GalT1', 'Gene', '56913', (40, 47)) ('si', 'Chemical', 'MESH:D012825', (85, 87)) ('invasion in', 'CPA', (81, 92)) ('esophageal cancer', 'Disease', 'MESH:D004938', (93, 110)) ('block', 'NegReg', (54, 59)) ('C1GalT1', 'Gene', (40, 47)) 8772 30087707 6A, knockdown of C1GalT1 suppressed Jacalin binding to cell surfaces of Eca109 cells. ('C1GalT1', 'Gene', (17, 24)) ('suppressed', 'NegReg', (25, 35)) ('Jacalin', 'Protein', (36, 43)) ('C1GalT1', 'Gene', '56913', (17, 24)) ('knockdown', 'Var', (4, 13)) 8776 30087707 6C, knockdown of C1GalT1 reduced Jacalin binding to beta1-integrin in Eca109 cells. ('reduced', 'NegReg', (25, 32)) ('beta1-integrin', 'Gene', '3688', (52, 66)) ('C1GalT1', 'Gene', (17, 24)) ('binding', 'Interaction', (41, 48)) ('beta1-integrin', 'Gene', (52, 66)) ('Jacalin', 'Protein', (33, 40)) ('C1GalT1', 'Gene', '56913', (17, 24)) ('knockdown', 'Var', (4, 13)) 8781 30087707 7A, knockdown of C1GalT1 in Eca109 cells resulted in significantly decreased focal adhesion kinase (FAK) phosphorylation (Tyr397). ('si', 'Chemical', 'MESH:D012825', (87, 89)) ('focal adhesion kinase', 'Gene', (77, 98)) ('si', 'Chemical', 'MESH:D012825', (53, 55)) ('C1GalT1', 'Gene', (17, 24)) ('Tyr397', 'Chemical', '-', (122, 128)) ('C1GalT1', 'Gene', '56913', (17, 24)) ('focal adhesion kinase', 'Gene', '5747', (77, 98)) ('FAK', 'Gene', (100, 103)) ('FAK', 'Gene', '5747', (100, 103)) ('decreased', 'NegReg', (67, 76)) ('knockdown', 'Var', (4, 13)) 8783 30087707 FAK phosphorylation was inhibited by pre-treatment with the P4C10 in Eca109 cells (Fig. ('FAK', 'Gene', (0, 3)) ('P4C10', 'Var', (60, 65)) ('FAK', 'Gene', '5747', (0, 3)) ('inhibited', 'NegReg', (24, 33)) 8784 30087707 Signaling inhibition by FAK inhibitor was also confirmed, as shown by the decreased expression of p-FAK (Tyr397) and p-Akt (Ser473) (Fig. ('si', 'Chemical', 'MESH:D012825', (90, 92)) ('FAK', 'Gene', '5747', (100, 103)) ('Ser473', 'Var', (124, 130)) ('Ser473', 'Chemical', '-', (124, 130)) ('p-Akt', 'Protein', (117, 122)) ('FAK', 'Gene', (24, 27)) ('decreased', 'NegReg', (74, 83)) ('FAK', 'Gene', (100, 103)) ('expression', 'MPA', (84, 94)) ('Tyr397', 'Chemical', '-', (105, 111)) ('FAK', 'Gene', '5747', (24, 27)) 8785 30087707 In addition, the apoptosis induced by X-ray irradiation was considerably enhanced by the pretreatment of P4C10 or FAK inhibitor in Eca109 cells (Fig.7D). ('FAK', 'Gene', (114, 117)) ('si', 'Chemical', 'MESH:D012825', (23, 25)) ('apoptosis', 'CPA', (17, 26)) ('enhanced', 'PosReg', (73, 81)) ('FAK', 'Gene', '5747', (114, 117)) ('si', 'Chemical', 'MESH:D012825', (63, 65)) ('P4C10', 'Var', (105, 110)) 8789 30087707 Radiation also induced the upregulation of C1GalT1 and knockdown of C1GalT1 significantly enhanced the radiosensitivity of cancer cells. ('cancer', 'Phenotype', 'HP:0002664', (123, 129)) ('knockdown', 'Var', (55, 64)) ('si', 'Chemical', 'MESH:D012825', (76, 78)) ('C1GalT1', 'Gene', (68, 75)) ('C1GalT1', 'Gene', (43, 50)) ('si', 'Chemical', 'MESH:D012825', (111, 113)) ('cancer', 'Disease', 'MESH:D009369', (123, 129)) ('enhanced', 'PosReg', (90, 98)) ('upregulation', 'PosReg', (27, 39)) ('cancer', 'Disease', (123, 129)) ('C1GalT1', 'Gene', '56913', (43, 50)) ('C1GalT1', 'Gene', '56913', (68, 75)) 8802 30087707 Hence, inhibition of core 1 O-glycans' formation, siRNA-mediated knockdown of C1GalT1 increased the radiosensitivity of esophageal cancer cells. ('N', 'Chemical', 'MESH:D009584', (53, 54)) ('increased the radiosensitivity of esophageal cancer', 'Phenotype', 'HP:0010997', (86, 137)) ('C1GalT1', 'Gene', (78, 85)) ('radiosensitivity', 'CPA', (100, 116)) ('increased', 'PosReg', (86, 95)) ('esophageal cancer', 'Disease', 'MESH:D004938', (120, 137)) ('si', 'Chemical', 'MESH:D012825', (50, 52)) ('cancer', 'Phenotype', 'HP:0002664', (131, 137)) ('C1GalT1', 'Gene', '56913', (78, 85)) ('1 O-glycans', 'Chemical', '-', (26, 37)) ('knockdown', 'Var', (65, 74)) ('esophageal cancer', 'Disease', (120, 137)) ('inhibition', 'NegReg', (7, 17)) ('si', 'Chemical', 'MESH:D012825', (108, 110)) 8811 30087707 Previous study indicated that inhibition of N-acetylglucosaminyltransferase V enhanced sensitivity of radiotherapy in prostate cancer by reduction of cell cycle G2-M arrest. ('prostate cancer', 'Disease', (118, 133)) ('si', 'Chemical', 'MESH:D012825', (90, 92)) ('cancer', 'Phenotype', 'HP:0002664', (127, 133)) ('N-acetylglucosaminyltransferase V', 'Gene', '4249', (44, 77)) ('inhibition', 'Var', (30, 40)) ('prostate cancer', 'Disease', 'MESH:D011471', (118, 133)) ('reduction', 'NegReg', (137, 146)) ('sensitivity', 'MPA', (87, 98)) ('arrest', 'Disease', 'MESH:D006323', (166, 172)) ('N-acetylglucosaminyltransferase V', 'Gene', (44, 77)) ('prostate cancer', 'Phenotype', 'HP:0012125', (118, 133)) ('arrest', 'Disease', (166, 172)) ('enhanced', 'PosReg', (78, 86)) 8813 30087707 Therefore, changes in cell cycle might be a factor underlying radioresistance after C1GalT1 knockdown. ('knockdown', 'Var', (92, 101)) ('radioresistance', 'CPA', (62, 77)) ('C1GalT1', 'Gene', '56913', (84, 91)) ('changes', 'Reg', (11, 18)) ('cell cycle', 'CPA', (22, 32)) ('C1GalT1', 'Gene', (84, 91)) ('si', 'Chemical', 'MESH:D012825', (69, 71)) 8821 30087707 Furthermore, the phosphorylation level of FAK was inhibited in C1GalT1 knockdown cells. ('C1GalT1', 'Gene', '56913', (63, 70)) ('FAK', 'Gene', '5747', (42, 45)) ('knockdown', 'Var', (71, 80)) ('phosphorylation level', 'MPA', (17, 38)) ('C1GalT1', 'Gene', (63, 70)) ('FAK', 'Gene', (42, 45)) ('inhibited', 'NegReg', (50, 59)) 8825 30087707 reported that RNF2 gene knockdown could reverse radioresistance in esophageal cancer ECa109 cells. ('ECa109', 'CellLine', 'CVCL:6898', (85, 91)) ('esophageal cancer', 'Disease', (67, 84)) ('RNF2', 'Gene', (14, 18)) ('radioresistance', 'CPA', (48, 63)) ('cancer', 'Phenotype', 'HP:0002664', (78, 84)) ('knockdown', 'Var', (24, 33)) ('RNF2', 'Gene', '6045', (14, 18)) ('esophageal cancer', 'Disease', 'MESH:D004938', (67, 84)) ('si', 'Chemical', 'MESH:D012825', (55, 57)) 8831 30087707 It is well known that the mutation or loss of expression of Cosmc mediated aberrant O-glycosylation and promoted oncogenic properties in several cancers. ('cancers', 'Disease', (145, 152)) ('loss of', 'NegReg', (38, 45)) ('promoted', 'PosReg', (104, 112)) ('cancers', 'Phenotype', 'HP:0002664', (145, 152)) ('mutation', 'Var', (26, 34)) ('cancer', 'Phenotype', 'HP:0002664', (145, 151)) ('O-glycosylation', 'MPA', (84, 99)) ('Cosmc', 'Gene', '29071', (60, 65)) ('si', 'Chemical', 'MESH:D012825', (52, 54)) ('oncogenic properties', 'CPA', (113, 133)) ('expression', 'MPA', (46, 56)) ('cancers', 'Disease', 'MESH:D009369', (145, 152)) ('Cosmc', 'Gene', (60, 65)) 8924 29805549 Patients that underwent CECT-CNFV exhibited reduced plasma concentrations of FGFR and VRGFR, both of which reached a minimum at 16 h post-treatment compared with the plasma concentrations prior to diagnosis (Fig. ('FGF', 'Gene', (77, 80)) ('FGF', 'Gene', '2247', (77, 80)) ('plasma concentrations', 'MPA', (52, 73)) ('Patients', 'Species', '9606', (0, 8)) ('CECT-CNFV', 'Var', (24, 33)) ('reduced', 'NegReg', (44, 51)) ('CECT-CNFV', 'Chemical', '-', (24, 33)) ('VRGFR', 'Gene', (86, 91)) ('reduced plasma concentrations', 'Phenotype', 'HP:0020171', (44, 73)) 8964 29719615 The major risk factors associated with ESCC include tobacco, alcohol, red meat, hot drinks, poor oral hygiene, ingestion of mycotoxins, salted food, smoked foods, and deficiency of essential micronutrients such as vitamin A and zinc, genetics and conditions like Plummer-Vinson/Patterson-Kelly syndrome. ('ESCC', 'Disease', (39, 43)) ('poor oral', 'Phenotype', 'HP:0000160', (92, 101)) ('Kelly syndrome', 'Disease', (288, 302)) ('alcohol', 'Chemical', 'MESH:D000438', (61, 68)) ('salted food', 'Phenotype', 'HP:0030083', (136, 147)) ('Kelly syndrome', 'Disease', 'MESH:C567101', (288, 302)) ('hot drinks', 'Phenotype', 'HP:0031217', (80, 90)) ('tobacco', 'Species', '4097', (52, 59)) ('vitamin A', 'Chemical', 'MESH:D014801', (214, 223)) ('deficiency', 'Var', (167, 177)) 8976 29719615 We used TE8 (SYK negative) and TE11 (SYK positive) lines for functional studies using siRNA based silencing of SYK. ('TE11', 'Chemical', '-', (31, 35)) ('SYK', 'Gene', (111, 114)) ('silencing', 'Var', (98, 107)) 8979 29719615 SYK has the ability to activate PI3K by using adaptor proteins like CBL, GRB2 or CD19. ('CBL', 'Gene', '867', (68, 71)) ('GRB2', 'Gene', '2885', (73, 77)) ('CD19', 'Gene', (81, 85)) ('PI3K', 'Var', (32, 36)) ('CD19', 'Gene', '930', (81, 85)) ('GRB2', 'Gene', (73, 77)) ('CBL', 'Gene', (68, 71)) 8980 29719615 Overall, SYK regulates anti-apoptotic mammalian target of rapamycin (mTOR), NFkappaB, and STAT3 pathways. ('NFkappaB', 'Gene', '4790', (76, 84)) ('STAT3', 'Gene', '6774', (90, 95)) ('mTOR', 'Gene', (69, 73)) ('STAT3', 'Gene', (90, 95)) ('mammalian target of rapamycin', 'Gene', '2475', (38, 67)) ('mammalian target of rapamycin', 'Gene', (38, 67)) ('regulates', 'Reg', (13, 22)) ('SYK', 'Var', (9, 12)) ('NFkappaB', 'Gene', (76, 84)) ('mTOR', 'Gene', '2475', (69, 73)) 8983 29719615 Inhibition of SYK has shown promising results in Hodgkin lymphoma and leukemia. ('SYK', 'Protein', (14, 17)) ('lymphoma', 'Phenotype', 'HP:0002665', (57, 65)) ('Hodgkin lymphoma', 'Disease', (49, 65)) ('leukemia', 'Disease', (70, 78)) ('Inhibition', 'Var', (0, 10)) ('leukemia', 'Disease', 'MESH:D007938', (70, 78)) ('Hodgkin lymphoma', 'Disease', 'MESH:D006689', (49, 65)) ('leukemia', 'Phenotype', 'HP:0001909', (70, 78)) ('Hodgkin lymphoma', 'Phenotype', 'HP:0012189', (49, 65)) 8992 29719615 SYK inhibitors including fostamatinib and BAY61-3606 have been reported to reduce growth of B-ALL in vitro. ('fostamatinib', 'Chemical', 'MESH:C523665', (25, 37)) ('reduce', 'NegReg', (75, 81)) ('BAY61-3606', 'Chemical', 'MESH:C477642', (42, 52)) ('BAY61-3606', 'Var', (42, 52)) ('growth of B-ALL', 'CPA', (82, 97)) ('reduce growth', 'Phenotype', 'HP:0001510', (75, 88)) 8996 29719615 The ratio of phosphorylated SYK vs SYK was found to be positively associated with paclitaxel- resistance in ovarian cancer cells in vitro. ('ovarian cancer', 'Disease', (108, 122)) ('associated', 'Reg', (66, 76)) ('phosphorylated', 'Var', (13, 27)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (108, 122)) ('cancer', 'Phenotype', 'HP:0002664', (116, 122)) ('ovarian cancer', 'Disease', 'MESH:D010051', (108, 122)) ('paclitaxel', 'Chemical', 'MESH:D017239', (82, 92)) ('paclitaxel- resistance', 'MPA', (82, 104)) 9002 29719615 siRNA based knockdown of SYK significantly decreased (p<0.002) invasion/migration capability of TE11 cells (Figure 4A, 4B). ('knockdown', 'Var', (12, 21)) ('TE11', 'Chemical', '-', (96, 100)) ('SYK', 'Gene', (25, 28)) ('decreased', 'NegReg', (43, 52)) ('invasion/migration capability of TE11 cells', 'CPA', (63, 106)) 9005 29719615 Inhibition of SYK significantly reduced proliferation of TE11 cells. ('SYK', 'Protein', (14, 17)) ('TE11', 'Chemical', '-', (57, 61)) ('reduced', 'NegReg', (32, 39)) ('Inhibition', 'Var', (0, 10)) ('proliferation', 'CPA', (40, 53)) 9017 29719615 Genes with activating mutations that are recurrent among ESCC tumors could be potentially targeted for therapeutic intervention. ('ESCC tumors', 'Disease', 'MESH:D004938', (57, 68)) ('tumor', 'Phenotype', 'HP:0002664', (62, 67)) ('activating', 'PosReg', (11, 21)) ('tumors', 'Phenotype', 'HP:0002664', (62, 68)) ('mutations', 'Var', (22, 31)) ('ESCC tumors', 'Disease', (57, 68)) 9019 29719615 Functional studies in esophageal cancer cell line showed siRNA mediated knock down of SYK inhibited proliferation, invasion/migration capability of cells. ('knock down', 'Var', (72, 82)) ('esophageal cancer', 'Disease', (22, 39)) ('proliferation', 'CPA', (100, 113)) ('cancer', 'Phenotype', 'HP:0002664', (33, 39)) ('invasion/migration capability of cells', 'CPA', (115, 153)) ('SYK', 'Gene', (86, 89)) ('inhibited', 'NegReg', (90, 99)) ('esophageal cancer', 'Disease', 'MESH:D004938', (22, 39)) 9037 29719615 We performed siRNA-based knockdown of SYK in TE11 and TE8 cell lines. ('SYK', 'Gene', (38, 41)) ('TE11', 'Chemical', '-', (45, 49)) ('knockdown', 'Var', (25, 34)) 9054 29719615 The characteristics of these mice combine the features of the NOD/ShiLtJ background, the severe combined immune deficiency mutation (SCID) and IL2 receptor gamma chain deficiency that results in lack of mature T, B or functional NK cells, and are deficient in cytokine signaling in NSG mice leading to better engraftment of cells of interest. ('lack', 'NegReg', (195, 199)) ('immune deficiency', 'Phenotype', 'HP:0002721', (105, 122)) ('mutation', 'Var', (123, 131)) ('SCID', 'Disease', (133, 137)) ('mice', 'Species', '10090', (29, 33)) ('IL2', 'Gene', '16183', (143, 146)) ('immune deficiency', 'Disease', (105, 122)) ('combined immune deficiency', 'Phenotype', 'HP:0005387', (96, 122)) ('severe combined immune deficiency', 'Phenotype', 'HP:0004430', (89, 122)) ('NOD', 'Gene', '1822', (62, 65)) ('deficient in cytokine signaling', 'Phenotype', 'HP:0031407', (247, 278)) ('cytokine signaling', 'MPA', (260, 278)) ('NOD', 'Gene', (62, 65)) ('deficient', 'NegReg', (247, 256)) ('better', 'PosReg', (302, 308)) ('gamma chain deficiency', 'Disease', (156, 178)) ('gamma chain deficiency', 'Disease', 'MESH:D006362', (156, 178)) ('SCID', 'Disease', 'MESH:D053632', (133, 137)) ('immune deficiency', 'Disease', 'MESH:D007153', (105, 122)) ('B or', 'CPA', (213, 217)) ('mice', 'Species', '10090', (286, 290)) ('IL2', 'Gene', (143, 146)) 9232 25415190 Role of Proton Pump Inhibitor on Esophageal Carcinogenesis and Pancreatic Acinar Cell Metaplasia Development: An Experimental In Vivo Study Chronic gastro-duodenal reflux in the esophagus is a major risk for intestinal metaplasia and Barrett's adenocarcinoma. ('Pancreatic Acinar Cell Metaplasia', 'Disease', (63, 96)) ('Esophageal Carcinogenesis', 'Disease', 'MESH:D063646', (33, 58)) ('Pancreatic Acinar Cell Metaplasia', 'Disease', 'MESH:D010190', (63, 96)) ('Esophageal Carcinogenesis', 'Disease', (33, 58)) ('Chronic gastro-duodenal', 'Var', (140, 163)) ('carcinoma', 'Phenotype', 'HP:0030731', (249, 258)) ("Barrett's adenocarcinoma", 'Disease', 'MESH:D001471', (234, 258)) ('duodenal reflux', 'Phenotype', 'HP:0002020', (155, 170)) ('Proton Pump', 'Gene', '24216', (8, 19)) ('intestinal metaplasia', 'Disease', (208, 229)) ("Barrett's adenocarcinoma", 'Disease', (234, 258)) ('intestinal metaplasia', 'Disease', 'MESH:D008679', (208, 229)) ('Proton Pump', 'Gene', (8, 19)) 9237 25415190 Gastric pancreatic acinar cell metaplasia (PACM) was more frequently observed in PPI-treated rats (p = 0.003). ('pancreatic acinar cell metaplasia', 'Disease', 'MESH:D010190', (8, 41)) ('pancreatic acinar cell metaplasia', 'Disease', (8, 41)) ('PPI-treated', 'Var', (81, 92)) ('rats', 'Species', '10116', (93, 97)) 9239 25415190 Locally invasive esophageal epithelial neoplasia were observed in 23/39 PPI-treated versus 14/42 placebo-animals (p = 0.03). ('invasive esophageal epithelial neoplasia', 'Disease', (8, 48)) ('invasive esophageal epithelial neoplasia', 'Disease', 'MESH:D009369', (8, 48)) ('PPI-treated', 'Var', (72, 83)) ('epithelial neoplasia', 'Phenotype', 'HP:0031492', (28, 48)) ('neoplasia', 'Phenotype', 'HP:0002664', (39, 48)) 9241 25415190 Locally invasive neoplastic lesions and PACM prevailed among PPI-treated animals. ('neoplastic lesions', 'Phenotype', 'HP:0002664', (17, 35)) ('invasive neoplastic lesions', 'Disease', (8, 35)) ('invasive neoplastic lesions', 'Disease', 'MESH:D009361', (8, 35)) ('PACM', 'Disease', (40, 44)) ('PPI-treated', 'Var', (61, 72)) 9248 25415190 However, concerns that PPI-induced hypergastrinaemia may increase the risk of adenocarcinoma development have also been expressed. ('hypergastrinaemia', 'Disease', (35, 52)) ('adenocarcinoma', 'Disease', (78, 92)) ('adenocarcinoma', 'Disease', 'MESH:D000230', (78, 92)) ('hypergastrinaemia', 'Disease', 'None', (35, 52)) ('hypergastrinaemia may increase', 'Phenotype', 'HP:0500167', (35, 65)) ('carcinoma', 'Phenotype', 'HP:0030731', (83, 92)) ('PPI-induced', 'Var', (23, 34)) 9251 25415190 On the contrary, a preventive role of PPI in Barrett's adenocarcinogenesis has also been proposed, based on laboratory data of both in vitro and ex vivo experiments. ('PPI', 'Var', (38, 41)) ("Barrett's adenocarcinogenesis", 'Disease', (45, 74)) ("Barrett's adenocarcinogenesis", 'Disease', 'MESH:D001471', (45, 74)) ('rat', 'Species', '10116', (112, 115)) 9310 25415190 On the contrary, pancreatic acinar cell metaplasia and neoplastic lesions were more frequently found in the PPI group (p = 0.003 and 0.03, respectively). ('neoplastic lesions', 'Phenotype', 'HP:0002664', (55, 73)) ('found', 'Reg', (95, 100)) ('pancreatic acinar cell metaplasia', 'Disease', (17, 50)) ('neoplastic lesions', 'CPA', (55, 73)) ('pancreatic acinar cell metaplasia', 'Disease', 'MESH:D010190', (17, 50)) ('PPI', 'Var', (108, 111)) 9311 25415190 The neoplastic lesions mainly consisted of well differentiated mucinous tumours (18 in the PPI group and 9 in the placebo group); in one case in the PPI-group, the neoplasia only consisted of misplaced (well differentiated) glandular structures. ('mucinous tumours', 'Disease', (63, 79)) ('neoplasia', 'Disease', 'MESH:D009369', (164, 173)) ('PPI', 'Var', (91, 94)) ('tumours', 'Phenotype', 'HP:0002664', (72, 79)) ('neoplasia', 'Disease', (164, 173)) ('neoplastic lesions', 'Phenotype', 'HP:0002664', (4, 22)) ('neoplasia', 'Phenotype', 'HP:0002664', (164, 173)) ('mucinous tumours', 'Disease', 'MESH:D002288', (63, 79)) 9314 25415190 When mortality or esophageal metaplasia rates were considered, no significant differences resulted when comparing PPI- group versus placebo-group. ('esophageal metaplasia', 'Disease', 'MESH:D008679', (18, 39)) ('rat', 'Species', '10116', (40, 43)) ('esophageal metaplasia', 'Disease', (18, 39)) ('PPI- group', 'Var', (114, 124)) 9334 25415190 In an in vivo study in humans, PPI treatment has been associated with increased cell differentiation and decreased proliferation, both considered major goals in cancer chemoprevention. ('cancer', 'Phenotype', 'HP:0002664', (161, 167)) ('increased', 'PosReg', (70, 79)) ('cell differentiation', 'CPA', (80, 100)) ('proliferation', 'CPA', (115, 128)) ('humans', 'Species', '9606', (23, 29)) ('cancer', 'Disease', 'MESH:D009369', (161, 167)) ('PPI', 'Var', (31, 34)) ('rat', 'Species', '10116', (122, 125)) ('cancer', 'Disease', (161, 167)) ('decreased', 'NegReg', (105, 114)) 9340 25415190 We observed an increase in pancreatic acinar cell metaplasia of the oxyntic mucosa in the animals treated with PPI, as already described in humans. ('PPI', 'Var', (111, 114)) ('increase', 'PosReg', (15, 23)) ('humans', 'Species', '9606', (140, 146)) ('pancreatic acinar cell metaplasia', 'Disease', (27, 60)) ('pancreatic acinar cell metaplasia', 'Disease', 'MESH:D010190', (27, 60)) 9345 25004084 Epigenetic silencing of the non-coding RNA nc886 provokes oncogenes during human esophageal tumorigenesis nc886 (= vtRNA2-1 or pre-miR-886) is a recently discovered noncoding RNA that is a cellular PKR (Protein Kinase RNA-activated) ligand and repressor. ('nc886', 'Gene', (43, 48)) ('miR-886', 'Gene', (131, 138)) ('nc886', 'Gene', (106, 111)) ('nc886', 'Gene', '100126299', (43, 48)) ('PKR', 'Gene', (198, 201)) ('Protein Kinase RNA-activated', 'Gene', (203, 231)) ('vtRNA2-1', 'Gene', (115, 123)) ('Protein Kinase RNA-activated', 'Gene', '5610', (203, 231)) ('miR-886', 'Gene', '100126299', (131, 138)) ('nc886', 'Gene', '100126299', (106, 111)) ('tumor', 'Phenotype', 'HP:0002664', (92, 97)) ('human esophageal tumorigenesis', 'Disease', (75, 105)) ('Epigenetic silencing', 'Var', (0, 20)) ('vtRNA2-1', 'Gene', '100126299', (115, 123)) ('oncogenes', 'Gene', (58, 67)) ('human', 'Species', '9606', (75, 80)) ('PKR', 'Gene', '5610', (198, 201)) 9350 25004084 Suppression of nc886 is mediated by CpG hypermethylation of its promoter, as evidenced by its significant negative correlation to nc886 expression in ESCC tumors and by induced expression of nc886 upon demethylation of its promoter. ('nc886', 'Gene', (15, 20)) ('nc886', 'Gene', (191, 196)) ('expression', 'MPA', (136, 146)) ('ESCC tumors', 'Disease', (150, 161)) ('nc886', 'Gene', '100126299', (15, 20)) ('tumor', 'Phenotype', 'HP:0002664', (155, 160)) ('ESCC tumors', 'Disease', 'MESH:D004938', (150, 161)) ('nc886', 'Gene', (130, 135)) ('negative', 'NegReg', (106, 114)) ('nc886', 'Gene', '100126299', (191, 196)) ('nc886', 'Gene', '100126299', (130, 135)) ('tumors', 'Phenotype', 'HP:0002664', (155, 161)) ('demethylation', 'Var', (202, 215)) ('Suppression', 'NegReg', (0, 11)) ('expression', 'MPA', (177, 187)) ('correlation', 'Interaction', (115, 126)) 9363 25004084 Tumorigenesis is a multi-step process driven by genetic/epigenetic alterations causing activation of oncogenes as well as inactivation of tumor suppressor genes. ('inactivation', 'NegReg', (122, 134)) ('activation', 'PosReg', (87, 97)) ('tumor', 'Disease', (138, 143)) ('Tumorigenesis', 'CPA', (0, 13)) ('oncogenes', 'Protein', (101, 110)) ('genetic/epigenetic alterations', 'Var', (48, 78)) ('tumor', 'Disease', 'MESH:D009369', (138, 143)) ('tumor', 'Phenotype', 'HP:0002664', (138, 143)) 9379 25004084 Our inspection of the nc886 genomic region (by using http://cpgislands.usc.edu/,) detected a strong CpG island (Fig 2A). ('CpG island', 'Var', (100, 110)) ('nc886', 'Gene', '100126299', (22, 27)) ('nc886', 'Gene', (22, 27)) 9381 25004084 This CpG hypermethylation was a cause of nc886's suppressed expression in ESCC, as evidenced by the following data. ('expression', 'MPA', (60, 70)) ('ESCC', 'Gene', (74, 78)) ('hypermethylation', 'Var', (9, 25)) ('nc886', 'Gene', '100126299', (41, 46)) ('suppressed', 'NegReg', (49, 59)) ('nc886', 'Gene', (41, 46)) 9382 25004084 First, negative correlation was seen between CpG DNA methylation and RNA expression in the ESCC tumors and cell lines (Fig 2C-D). ('tumor', 'Phenotype', 'HP:0002664', (96, 101)) ('ESCC tumors', 'Disease', 'MESH:D004938', (91, 102)) ('tumors', 'Phenotype', 'HP:0002664', (96, 102)) ('expression', 'MPA', (73, 83)) ('negative', 'NegReg', (7, 15)) ('CpG', 'Var', (45, 48)) ('RNA', 'Gene', (69, 72)) ('ESCC tumors', 'Disease', (91, 102)) ('methylation', 'Var', (53, 64)) 9394 25004084 Interestingly, these genes are also induced by dsRNA, which is a viral replication intermediate and the best ligand for PKR activation. ('PKR', 'Gene', (120, 123)) ('PKR', 'Gene', '5610', (120, 123)) ('dsRNA', 'Var', (47, 52)) ('induced', 'Reg', (36, 43)) 9398 25004084 In our data here, nc886 knockdown activated PKR in the three cell lines, as shown by the appearance of phospho-PKR, an active form of PKR (Fig 3A). ('PKR', 'Gene', (44, 47)) ('PKR', 'Gene', '5610', (134, 137)) ('nc886', 'Gene', (18, 23)) ('PKR', 'Gene', (134, 137)) ('PKR', 'Gene', '5610', (111, 114)) ('activated', 'PosReg', (34, 43)) ('nc886', 'Gene', '100126299', (18, 23)) ('PKR', 'Gene', '5610', (44, 47)) ('PKR', 'Gene', (111, 114)) ('knockdown', 'Var', (24, 33)) 9399 25004084 The induction of FOS, MYC and ID2 upon nc886 knockdown was significantly mitigated by siRNA-mediated knockdown of PKR (Fig 3E). ('ID2', 'Gene', '3398', (30, 33)) ('MYC', 'Gene', '4609', (22, 25)) ('FOS', 'Gene', (17, 20)) ('nc886', 'Gene', '100126299', (39, 44)) ('mitigated', 'NegReg', (73, 82)) ('ID2', 'Gene', (30, 33)) ('FOS', 'Gene', '2353', (17, 20)) ('PKR', 'Gene', '5610', (114, 117)) ('MYC', 'Gene', (22, 25)) ('PKR', 'Gene', (114, 117)) ('knockdown', 'Var', (45, 54)) ('nc886', 'Gene', (39, 44)) 9401 25004084 nc886 knockdown also induced inflammation/infection genes and pro-apoptotic genes (Fig 3B). ('induced', 'PosReg', (21, 28)) ('nc886', 'Gene', (0, 5)) ('nc886', 'Gene', '100126299', (0, 5)) ('knockdown', 'Var', (6, 15)) ('inflammation/infection', 'Disease', 'MESH:D007249', (29, 51)) ('inflammation/infection', 'Disease', (29, 51)) 9403 25004084 As PKR activation typically occurs during viral assault, cells would have responded to nc886 knockdown as if virus infected and were committed to death before exhibiting any malignant phenotype (data not shown). ('knockdown', 'Var', (93, 102)) ('PKR', 'Gene', '5610', (3, 6)) ('PKR', 'Gene', (3, 6)) ('nc886', 'Gene', (87, 92)) ('activation', 'PosReg', (7, 17)) ('nc886', 'Gene', '100126299', (87, 92)) 9404 25004084 As in a cellular response to pathogen or stress, nc886 knockdown provoked many signaling pathways and consequently induced transcription factors (Fig S5). ('knockdown', 'Var', (55, 64)) ('signaling pathways', 'Pathway', (79, 97)) ('provoked', 'PosReg', (65, 73)) ('transcription factors', 'MPA', (123, 144)) ('nc886', 'Gene', (49, 54)) ('nc886', 'Gene', '100126299', (49, 54)) ('induced', 'Reg', (115, 122)) 9415 25004084 First, nc886 expression was significantly decreased in ESCC tumors by CpG hypermethylation at its promoter, a common mechanism to silence tumor suppressor genes. ('decreased', 'NegReg', (42, 51)) ('tumor', 'Disease', (138, 143)) ('expression', 'MPA', (13, 23)) ('CpG hypermethylation', 'Var', (70, 90)) ('tumor', 'Disease', 'MESH:D009369', (60, 65)) ('nc886', 'Gene', (7, 12)) ('ESCC tumors', 'Disease', (55, 66)) ('tumor', 'Phenotype', 'HP:0002664', (60, 65)) ('tumors', 'Phenotype', 'HP:0002664', (60, 66)) ('nc886', 'Gene', '100126299', (7, 12)) ('tumor', 'Disease', 'MESH:D009369', (138, 143)) ('tumor', 'Disease', (60, 65)) ('ESCC tumors', 'Disease', 'MESH:D004938', (55, 66)) ('tumor', 'Phenotype', 'HP:0002664', (138, 143)) 9417 25004084 Third, nc886 knockdown activated oncogenes. ('activated', 'PosReg', (23, 32)) ('oncogenes', 'Protein', (33, 42)) ('nc886', 'Gene', (7, 12)) ('nc886', 'Gene', '100126299', (7, 12)) ('knockdown', 'Var', (13, 22)) 9421 25004084 Also, our anti-oligo for nc886 knockdown was off-target from miR-886. ('miR-886', 'Gene', (61, 68)) ('nc886', 'Gene', (25, 30)) ('miR-886', 'Gene', '100126299', (61, 68)) ('nc886', 'Gene', '100126299', (25, 30)) ('knockdown', 'Var', (31, 40)) 9423 25004084 We infer that nc886's central portion is more important than either ends harboring mature miR-886-5p or -3p, because the central portion is the binding domain for PKR and PKR activation was a reason for the induction of several oncogenes upon nc886 knockdown (Fig 3). ('oncogenes', 'Gene', (228, 237)) ('knockdown', 'Var', (249, 258)) ('miR-886', 'Gene', '100126299', (90, 97)) ('PKR', 'Gene', '5610', (163, 166)) ('PKR', 'Gene', (171, 174)) ('nc886', 'Gene', (243, 248)) ('nc886', 'Gene', '100126299', (243, 248)) ('nc886', 'Gene', (14, 19)) ('nc886', 'Gene', '100126299', (14, 19)) ('induction', 'Reg', (207, 216)) ('miR-886', 'Gene', (90, 97)) ('PKR', 'Gene', (163, 166)) ('PKR', 'Gene', '5610', (171, 174)) 9424 25004084 A striking result in this study was that nc886 knockdown induced many genes including the renowned oncogenes MYC and FOS (Fig 3). ('FOS', 'Gene', (117, 120)) ('MYC', 'Gene', '4609', (109, 112)) ('knockdown', 'Var', (47, 56)) ('nc886', 'Gene', '100126299', (41, 46)) ('nc886', 'Gene', (41, 46)) ('FOS', 'Gene', '2353', (117, 120)) ('MYC', 'Gene', (109, 112)) ('induced', 'PosReg', (57, 64)) 9427 25004084 Based on our data regarding PKR (Fig 3A and E), it would be most reasonable to interpret that nc886 knockdown was a mimicry of viral infection and accordingly induced MYC and FOS as well as genes related to inflammation and infection such as oncogenic NF-kappaB. ('MYC', 'Gene', (167, 170)) ('FOS', 'Gene', (175, 178)) ('knockdown', 'Var', (100, 109)) ('NF-kappaB', 'Gene', '4790', (252, 261)) ('PKR', 'Gene', '5610', (28, 31)) ('NF-kappaB', 'Gene', (252, 261)) ('FOS', 'Gene', '2353', (175, 178)) ('viral infection', 'Disease', (127, 142)) ('MYC', 'Gene', '4609', (167, 170)) ('inflammation and infection', 'Disease', 'MESH:D007249', (207, 233)) ('PKR', 'Gene', (28, 31)) ('nc886', 'Gene', (94, 99)) ('induced', 'Reg', (159, 166)) ('nc886', 'Gene', '100126299', (94, 99)) ('viral infection', 'Disease', 'MESH:D001102', (127, 142)) 9432 25004084 Detection of nc886 depletion by methylation in ESCC might classify the high risk patients with recurrence and identify candidates for therapy with peri-operative adjuvant treatment. ('methylation', 'Var', (32, 43)) ('nc886', 'Gene', (13, 18)) ('depletion', 'MPA', (19, 28)) ('patients', 'Species', '9606', (81, 89)) ('ESCC', 'Gene', (47, 51)) ('nc886', 'Gene', '100126299', (13, 18)) 9437 25004084 We speculate that epigenetic silencing of nc886 is a cell autonomous cue to provoke inflammation and promotes ESCC tumorigenesis. ('tumor', 'Phenotype', 'HP:0002664', (115, 120)) ('inflammation', 'Disease', 'MESH:D007249', (84, 96)) ('epigenetic silencing', 'Var', (18, 38)) ('tumor', 'Disease', (115, 120)) ('inflammation', 'Disease', (84, 96)) ('provoke', 'PosReg', (76, 83)) ('nc886', 'Gene', (42, 47)) ('nc886', 'Gene', '100126299', (42, 47)) ('ESCC', 'Disease', (110, 114)) ('promotes', 'PosReg', (101, 109)) ('tumor', 'Disease', 'MESH:D009369', (115, 120)) 9459 23186308 Three-dimensional conformal radiation for esophageal squamous cell carcinoma with involved-field irradiation may deliver considerable doses of incidental nodal irradiation To quantify the incidental irradiation dose to esophageal lymph node stations when irradiating T1-4N0M0 thoracic esophageal squamous cell carcinoma (ESCC) patients with a dose of 60 Gy/30f. ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (42, 76)) ('carcinoma', 'Phenotype', 'HP:0030731', (310, 319)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (285, 319)) ('T1-4N0M0', 'Var', (267, 275)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (53, 76)) ('esophageal squamous cell carcinoma', 'Disease', (42, 76)) ('carcinoma', 'Phenotype', 'HP:0030731', (67, 76)) ('esophageal squamous cell carcinoma', 'Disease', (285, 319)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (296, 319)) ('patients', 'Species', '9606', (327, 335)) 9489 23186308 Each treatment plan consisted of a median of three static fields (range: 3-4) with the following normal tissue constraints: (1) the mean lung dose (MLD) was <=13 Gy, V5 (i.e., percentage of lung volume receiving >=5 Gy) was <=50%, V20 <=25%, and V30 <=20%, (2) the volume of heart receiving >=40 Gy was <=30%, and (3) the maximum spinal cord dose was <=45 Gy. ('MLD', 'Disease', (148, 151)) ('V30 <=20', 'Var', (246, 254)) ('V20 <=25%', 'Var', (231, 240)) ('<=13', 'Var', (157, 161)) ('MLD', 'Disease', 'MESH:D007966', (148, 151)) 9633 33227662 The C-index for PFS (0.716, 95% CI: 67.856-75.385) was also superior to that of the 8th AJCC TNM staging (0.610, 95% CI: 57.199-64.892). ('TNM', 'Gene', (93, 96)) ('TNM', 'Gene', '10178', (93, 96)) ('PFS', 'Var', (16, 19)) 9657 33227662 Consistent with our results, a study has reported that LNR is an independent predictor of survival in esophageal cancer. ('cancer', 'Disease', (113, 119)) ('LNR', 'Var', (55, 58)) ('cancer', 'Disease', 'MESH:D009369', (113, 119)) ('cancer', 'Phenotype', 'HP:0002664', (113, 119)) 9684 32232599 We made the diagnosis of esophageal cancer (Ut, type 0-IIc, T1b/MtLt, type 0-IIc, T1b, N2, M0, cStage II) and planned to treat the patient by radical surgery after neoadjuvant therapy. ('T1b', 'Var', (82, 85)) ('esophageal cancer', 'Disease', (25, 42)) ('MtLt', 'Gene', (64, 68)) ('esophageal cancer', 'Disease', 'MESH:D004938', (25, 42)) ('type 0-IIc', 'Var', (70, 80)) ('patient', 'Species', '9606', (131, 138)) ('cancer', 'Phenotype', 'HP:0002664', (36, 42)) ('MtLt', 'Gene', '9633', (64, 68)) 9728 31565147 The weight of evidence indicates that the mechanism of carcinogenesis is epigenetic and related to compensatory cell proliferation accompanying apoptosis. ('carcinogenesis', 'Disease', 'MESH:D063646', (55, 69)) ('epigenetic', 'Var', (73, 83)) ('carcinogenesis', 'Disease', (55, 69)) 9751 31565147 Thus, FB1 is possibly carcinogenic to humans (Group 2B). ('carcinogenic', 'Disease', 'MESH:D063646', (22, 34)) ('carcinogenic', 'Disease', (22, 34)) ('FB1', 'Chemical', 'MESH:C056933', (6, 9)) ('FB1', 'Var', (6, 9)) ('humans', 'Species', '9606', (38, 44)) 9760 30868765 Combined with LiCl or MG-132 treatment, SPINK5 can inhibit GSK3beta phosphorylation and promote beta-catenin protein degradation, thus inhibit Wnt/beta-catenin signaling pathway. ('beta-catenin', 'Gene', '1499', (147, 159)) ('SPINK5', 'Var', (40, 46)) ('beta-catenin', 'Gene', '1499', (96, 108)) ('GSK3beta', 'Gene', '2932', (59, 67)) ('inhibit', 'NegReg', (135, 142)) ('promote', 'PosReg', (88, 95)) ('beta-catenin', 'Gene', (147, 159)) ('MG-132', 'Chemical', 'MESH:C072553', (22, 28)) ('LiCl', 'Chemical', 'MESH:D018021', (14, 18)) ('inhibit', 'NegReg', (51, 58)) ('GSK3beta', 'Gene', (59, 67)) ('beta-catenin', 'Gene', (96, 108)) 9769 30868765 The SPINK5 gene encodes a lymphoid epithelial-associated inhibitor LEKTI, a serine protease inhibitor.9 This study has found that dysfunction of SPINK5 is mainly related to Netherton Syndrome (NS). ('SPINK5', 'Gene', (145, 151)) ('Netherton Syndrome', 'Disease', 'MESH:D056770', (173, 191)) ('NS', 'Disease', 'MESH:D009404', (193, 195)) ('LEKTI', 'Gene', (67, 72)) ('serine', 'Chemical', 'MESH:D012694', (76, 82)) ('Netherton Syndrome', 'Disease', (173, 191)) ('LEKTI', 'Gene', '11005', (67, 72)) ('dysfunction', 'Var', (130, 141)) ('related', 'Reg', (162, 169)) 9780 30868765 The TOP/FOP flash reporter plasmids containing wild-type (TOP flash) or mutated (FOP flash) TCF/LEF DNA binding sites were conserved in our laboratory. ('rat', 'Species', '10116', (144, 147)) ('mutated', 'Var', (72, 79)) ('TCF/LEF', 'Gene', (92, 99)) 9818 30868765 The results showed that overexpression of SPINK5 significantly inhibited the proliferation of esophageal cancer cells KYSE510 and ECA109 (Figure 2B,D), while knockdown of SPINK5 significantly promoted proliferation of esophageal cancer cells KYSE510 and ECA109 (Figure 2C,E). ('rat', 'Species', '10116', (208, 211)) ('promoted', 'PosReg', (192, 200)) ('rat', 'Species', '10116', (84, 87)) ('esophageal cancer', 'Disease', (94, 111)) ('proliferation', 'CPA', (201, 214)) ('SPINK5', 'Gene', (171, 177)) ('overexpression', 'PosReg', (24, 38)) ('knockdown', 'Var', (158, 167)) ('inhibited', 'NegReg', (63, 72)) ('esophageal cancer', 'Disease', (218, 235)) ('esophageal cancer', 'Disease', 'MESH:D004938', (94, 111)) ('cancer', 'Phenotype', 'HP:0002664', (105, 111)) ('cancer', 'Phenotype', 'HP:0002664', (229, 235)) ('SPINK5', 'Gene', (42, 48)) ('proliferation', 'CPA', (77, 90)) ('esophageal cancer', 'Disease', 'MESH:D004938', (218, 235)) 9821 30868765 Transwell migration assay showed that overexpression of SPINK5 significantly inhibited the migration of esophageal cancer cells KYSE510 and ECA109 (Figure 3A), while knockdown of SPINK5 significantly promoted the migration of esophageal cancer cells KYSE510 and ECA109 (Figure 3B). ('knockdown', 'Var', (166, 175)) ('rat', 'Species', '10116', (94, 97)) ('promoted', 'PosReg', (200, 208)) ('esophageal cancer', 'Disease', 'MESH:D004938', (226, 243)) ('cancer', 'Phenotype', 'HP:0002664', (237, 243)) ('inhibited', 'NegReg', (77, 86)) ('esophageal cancer', 'Disease', (226, 243)) ('migration', 'CPA', (213, 222)) ('cancer', 'Phenotype', 'HP:0002664', (115, 121)) ('esophageal cancer', 'Disease', (104, 121)) ('overexpression', 'PosReg', (38, 52)) ('esophageal cancer', 'Disease', 'MESH:D004938', (104, 121)) ('rat', 'Species', '10116', (13, 16)) ('migration', 'CPA', (91, 100)) ('rat', 'Species', '10116', (216, 219)) ('SPINK5', 'Gene', (56, 62)) ('SPINK5', 'Gene', (179, 185)) 9829 30868765 In esophageal cancer cells KYSE510 and ECA109, overexpression of SPINK5 significantly inhibited TOP flash reporter activity (Figure 4C), while knockdown of SPINK5 significantly increased TOP flash reporter activity (Figure 4D), suggesting that overexpression of SPINK5 inhibits Wnt/beta-catenin signaling pathway activity, while SPINK5 knockdown is able to activate Wnt/beta-catenin signaling pathway. ('beta-catenin', 'Gene', (282, 294)) ('SPINK5', 'Gene', (156, 162)) ('esophageal cancer', 'Disease', (3, 20)) ('beta-catenin', 'Gene', '1499', (370, 382)) ('TOP flash reporter activity', 'MPA', (96, 123)) ('esophageal cancer', 'Disease', 'MESH:D004938', (3, 20)) ('cancer', 'Phenotype', 'HP:0002664', (14, 20)) ('increased', 'PosReg', (177, 186)) ('inhibits', 'NegReg', (269, 277)) ('beta-catenin', 'Gene', '1499', (282, 294)) ('TOP flash reporter activity', 'MPA', (187, 214)) ('inhibited', 'NegReg', (86, 95)) ('knockdown', 'Var', (143, 152)) ('beta-catenin', 'Gene', (370, 382)) ('SPINK5', 'Gene', (65, 71)) 9832 30868765 These results indicate that SPINK5 is able to inhibit the Wnt/beta-catenin signaling pathway in esophageal cancer. ('beta-catenin', 'Gene', (62, 74)) ('inhibit', 'NegReg', (46, 53)) ('cancer', 'Phenotype', 'HP:0002664', (107, 113)) ('esophageal cancer', 'Disease', (96, 113)) ('SPINK5', 'Var', (28, 34)) ('beta-catenin', 'Gene', '1499', (62, 74)) ('esophageal cancer', 'Disease', 'MESH:D004938', (96, 113)) 9833 30868765 The cytoplasmic CK1, AXIN, APC, GSK3beta, and other proteins form a degradation complex, which promotes the phosphorylation of the ser33 and ser37 of beta-catenin by binding to beta-catenin protein, which leads to the ubiquitination degradation of beta-catenin.15 In previous studies, we found that overexpression of SPINK5 in esophageal cancer cells inhibited the expression of p-GSK3beta (S9), whereas knockdown of SPINK5 upregulated the expression of p-GSK3beta (S9), suggesting that SPINK5 can affect the activity of GSK3beta. ('beta-catenin', 'Gene', (248, 260)) ('activity', 'MPA', (509, 517)) ('SPINK5', 'Gene', (417, 423)) ('beta-catenin', 'Gene', '1499', (248, 260)) ('expression', 'MPA', (440, 450)) ('beta-catenin', 'Gene', (177, 189)) ('CK1', 'Species', '2498238', (16, 19)) ('beta-catenin', 'Gene', '1499', (177, 189)) ('affect', 'Reg', (498, 504)) ('GSK3beta', 'Gene', (32, 40)) ('expression', 'MPA', (365, 375)) ('esophageal cancer', 'Disease', 'MESH:D004938', (327, 344)) ('GSK3beta', 'Gene', '2932', (521, 529)) ('inhibited', 'NegReg', (351, 360)) ('GSK3beta', 'Gene', (381, 389)) ('beta-catenin', 'Gene', (150, 162)) ('beta-catenin', 'Gene', '1499', (150, 162)) ('GSK3beta', 'Gene', '2932', (456, 464)) ('upregulated', 'PosReg', (424, 435)) ('APC', 'Disease', 'MESH:D011125', (27, 30)) ('esophageal cancer', 'Disease', (327, 344)) ('APC', 'Disease', (27, 30)) ('knockdown', 'Var', (404, 413)) ('GSK3beta', 'Gene', '2932', (32, 40)) ('cancer', 'Phenotype', 'HP:0002664', (338, 344)) ('GSK3beta', 'Gene', (521, 529)) ('GSK3beta', 'Gene', (456, 464)) ('GSK3beta', 'Gene', '2932', (381, 389)) 9834 30868765 LiCl is often used as an inhibitor of GSK3beta which promotes GSK3beta phosphorylation and inactivation.16 We found that knockdown of SPINK5 in esophageal cancer cells has a similar effect to LiCl and upregulates the expression level of p-GSK3beta (S9) (Figure 5A). ('knockdown', 'Var', (121, 130)) ('LiCl', 'Chemical', 'MESH:D018021', (192, 196)) ('expression level', 'MPA', (217, 233)) ('upregulates', 'PosReg', (201, 212)) ('GSK3beta', 'Gene', '2932', (62, 70)) ('esophageal cancer', 'Disease', 'MESH:D004938', (144, 161)) ('GSK3beta', 'Gene', '2932', (38, 46)) ('LiCl', 'Chemical', 'MESH:D018021', (0, 4)) ('cancer', 'Phenotype', 'HP:0002664', (155, 161)) ('GSK3beta', 'Gene', (239, 247)) ('SPINK5', 'Gene', (134, 140)) ('GSK3beta', 'Gene', '2932', (239, 247)) ('GSK3beta', 'Gene', (62, 70)) ('GSK3beta', 'Gene', (38, 46)) ('esophageal cancer', 'Disease', (144, 161)) 9837 30868765 In esophageal cancer cells, we overexpressed beta-catenin (GFP-beta-catenin) in combination with protease inhibitor MG132, the results showed that MG132 significantly upregulated the expression of GFP-beta-catenin and reversed the overexpression of SPINK5 to inhibit GFP-beta-catenin (Figure 5D). ('beta-catenin', 'Gene', (63, 75)) ('MG132', 'Chemical', 'MESH:C072553', (116, 121)) ('MG132', 'Var', (147, 152)) ('esophageal cancer', 'Disease', (3, 20)) ('upregulated', 'PosReg', (167, 178)) ('inhibit', 'NegReg', (259, 266)) ('beta-catenin', 'Gene', (201, 213)) ('MG132', 'Chemical', 'MESH:C072553', (147, 152)) ('beta-catenin', 'Gene', '1499', (45, 57)) ('beta-catenin', 'Gene', '1499', (271, 283)) ('beta-catenin', 'Gene', '1499', (63, 75)) ('esophageal cancer', 'Disease', 'MESH:D004938', (3, 20)) ('cancer', 'Phenotype', 'HP:0002664', (14, 20)) ('expression', 'MPA', (183, 193)) ('beta-catenin', 'Gene', '1499', (201, 213)) ('beta-catenin', 'Gene', (45, 57)) ('beta-catenin', 'Gene', (271, 283)) 9843 30868765 These results indicate that SPINK5 can inhibit the proliferation and migration of esophageal cancer cells through the Wnt/beta-catenin signaling pathway. ('esophageal cancer', 'Disease', 'MESH:D004938', (82, 99)) ('rat', 'Species', '10116', (72, 75)) ('beta-catenin', 'Gene', '1499', (122, 134)) ('inhibit', 'NegReg', (39, 46)) ('SPINK5', 'Var', (28, 34)) ('proliferation', 'CPA', (51, 64)) ('cancer', 'Phenotype', 'HP:0002664', (93, 99)) ('rat', 'Species', '10116', (58, 61)) ('esophageal cancer', 'Disease', (82, 99)) ('beta-catenin', 'Gene', (122, 134)) 9856 30868765 The results of the In vitro study further demonstrated that SPINK5 significantly inhibits the activity of the Wnt/beta-catenin signaling pathway in esophageal cancer cells. ('inhibits', 'NegReg', (81, 89)) ('beta-catenin', 'Gene', (114, 126)) ('SPINK5', 'Var', (60, 66)) ('cancer', 'Phenotype', 'HP:0002664', (159, 165)) ('beta-catenin', 'Gene', '1499', (114, 126)) ('esophageal cancer', 'Disease', (148, 165)) ('activity', 'MPA', (94, 102)) ('esophageal cancer', 'Disease', 'MESH:D004938', (148, 165)) ('rat', 'Species', '10116', (49, 52)) 9859 30868765 In this study, we found that SPINK5 overexpression significantly inhibited the expression of beta-catenin, while knockdown of SPINK5 promoted the expression of beta-catenin. ('SPINK5', 'Gene', (29, 35)) ('beta-catenin', 'Gene', (93, 105)) ('expression', 'MPA', (79, 89)) ('promoted', 'PosReg', (133, 141)) ('beta-catenin', 'Gene', (160, 172)) ('SPINK5', 'Gene', (126, 132)) ('beta-catenin', 'Gene', '1499', (93, 105)) ('knockdown', 'Var', (113, 122)) ('inhibited', 'NegReg', (65, 74)) ('beta-catenin', 'Gene', '1499', (160, 172)) ('expression', 'MPA', (146, 156)) 9861 30868765 The kinase activity of GSK3beta is closely related to the phosphorylation of ser9.28 GSK3beta is inactivated by phosphorylating at Ser9, so the expression level of p-GSK3beta (S9) in cells is one of the indicators to measure the activity of degradation complex.29 In this study, we found that SPINK5 inhibits the expression level of p-GSK3beta (S9), but has no significant effect on the expression level of GSK3beta. ('GSK3beta', 'Gene', '2932', (335, 343)) ('GSK3beta', 'Gene', '2932', (85, 93)) ('GSK3beta', 'Gene', (166, 174)) ('ser9', 'Chemical', '-', (77, 81)) ('Ser9', 'Chemical', '-', (131, 135)) ('GSK3beta', 'Gene', (407, 415)) ('GSK3beta', 'Gene', (23, 31)) ('GSK3beta', 'Gene', '2932', (166, 174)) ('inhibits', 'NegReg', (300, 308)) ('GSK3beta', 'Gene', '2932', (407, 415)) ('GSK3beta', 'Gene', (335, 343)) ('GSK3beta', 'Gene', (85, 93)) ('GSK3beta', 'Gene', '2932', (23, 31)) ('SPINK5', 'Var', (293, 299)) ('expression level', 'MPA', (313, 329)) 9862 30868765 Furthermore, using the GSK3beta inhibitor LiCl in combination with SPINK5 overexpression or knockdown, we further determined that SPINK5 can activate GSK3beta and inhibit the activity of Wnt/beta-catenin signaling pathway by affecting the GSK3beta/beta-catenin degradation complex. ('inhibit', 'NegReg', (163, 170)) ('beta-catenin', 'Gene', (248, 260)) ('GSK3beta', 'Gene', (239, 247)) ('beta-catenin', 'Gene', (191, 203)) ('GSK3beta', 'Gene', (23, 31)) ('LiCl', 'Chemical', 'MESH:D018021', (42, 46)) ('beta-catenin', 'Gene', '1499', (248, 260)) ('GSK3beta', 'Gene', (150, 158)) ('activity', 'MPA', (175, 183)) ('beta-catenin', 'Gene', '1499', (191, 203)) ('activate', 'PosReg', (141, 149)) ('GSK3beta', 'Gene', '2932', (239, 247)) ('GSK3beta', 'Gene', '2932', (23, 31)) ('affecting', 'Reg', (225, 234)) ('GSK3beta', 'Gene', '2932', (150, 158)) ('SPINK5', 'Var', (130, 136)) 9863 30868765 In the process of tumor development, activation of Wnt/beta-catenin signaling pathway can upregulate cell proliferation and migration-related target genes, such as c-myc and cyclin D1, which promote cell proliferation and migration.30 Therefore, we further demonstrated that SPINK5 overexpression could reverse the effect of LiCl treatment, which confirmed that SPINK5 could indeed inhibit the proliferation and migration of esophageal cancer cells by inhibiting the activity of Wnt/beta-catenin signaling pathway. ('c-myc', 'Gene', '4609', (164, 169)) ('inhibit', 'NegReg', (382, 389)) ('esophageal cancer', 'Disease', 'MESH:D004938', (425, 442)) ('rat', 'Species', '10116', (127, 130)) ('SPINK5', 'Var', (362, 368)) ('esophageal cancer', 'Disease', (425, 442)) ('migration', 'CPA', (412, 421)) ('beta-catenin', 'Gene', (55, 67)) ('tumor', 'Disease', (18, 23)) ('LiCl', 'Chemical', 'MESH:D018021', (325, 329)) ('beta-catenin', 'Gene', '1499', (55, 67)) ('beta-catenin', 'Gene', (483, 495)) ('tumor', 'Disease', 'MESH:D009369', (18, 23)) ('cyclin D1', 'Gene', (174, 183)) ('beta-catenin', 'Gene', '1499', (483, 495)) ('proliferation', 'CPA', (394, 407)) ('activity', 'MPA', (467, 475)) ('rat', 'Species', '10116', (211, 214)) ('cancer', 'Phenotype', 'HP:0002664', (436, 442)) ('c-myc', 'Gene', (164, 169)) ('cyclin D1', 'Gene', '595', (174, 183)) ('rat', 'Species', '10116', (401, 404)) ('inhibiting', 'NegReg', (452, 462)) ('tumor', 'Phenotype', 'HP:0002664', (18, 23)) ('rat', 'Species', '10116', (225, 228)) ('rat', 'Species', '10116', (113, 116)) ('rat', 'Species', '10116', (415, 418)) ('rat', 'Species', '10116', (264, 267)) 9865 30868765 In conclusion, in this study, we first explored the role of SPINK5 as a tumor suppressor gene in the development of esophageal carcinoma, and further found that SPINK5 can inhibit the Wnt/beta-catenin signaling pathway to play a role in the proliferation, migration, and invasion of esophageal cancer cells. ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('esophageal cancer', 'Disease', (283, 300)) ('esophageal carcinoma', 'Disease', 'MESH:D004938', (116, 136)) ('invasion', 'CPA', (271, 279)) ('inhibit', 'NegReg', (172, 179)) ('beta-catenin', 'Gene', (188, 200)) ('carcinoma', 'Phenotype', 'HP:0030731', (127, 136)) ('cancer', 'Phenotype', 'HP:0002664', (294, 300)) ('beta-catenin', 'Gene', '1499', (188, 200)) ('esophageal carcinoma', 'Disease', (116, 136)) ('tumor', 'Disease', (72, 77)) ('rat', 'Species', '10116', (259, 262)) ('SPINK5', 'Var', (161, 167)) ('tumor', 'Disease', 'MESH:D009369', (72, 77)) ('esophageal carcinoma', 'Phenotype', 'HP:0011459', (116, 136)) ('proliferation', 'CPA', (241, 254)) ('migration', 'CPA', (256, 265)) ('esophageal cancer', 'Disease', 'MESH:D004938', (283, 300)) ('rat', 'Species', '10116', (248, 251)) 9875 30147366 The results of the current study suggest that for esophageal cancer patients with a cCR after standard-dose radiotherapy with concurrent chemotherapy, those with dose-escalated radiotherapy showed significantly better local control, recurrence-free survival, and overall survival than patients receiving 50.4 Gy radiotherapy. ('cCR', 'Var', (84, 87)) ('recurrence-free survival', 'CPA', (233, 257)) ('local control', 'CPA', (218, 231)) ('patients', 'Species', '9606', (68, 76)) ('overall survival', 'CPA', (263, 279)) ('esophageal cancer', 'Disease', (50, 67)) ('patients', 'Species', '9606', (285, 293)) ('cancer', 'Phenotype', 'HP:0002664', (61, 67)) ('CR', 'Chemical', '-', (85, 87)) ('better', 'PosReg', (211, 217)) ('esophageal cancer', 'Disease', 'MESH:D004938', (50, 67)) 9948 30147366 The results of the current study suggest that the subgroup of patients who underwent dose escalation had significantly better LC and OS than patients receiving 50.4 Gy when treated with concurrent chemotherapy. ('dose escalation', 'Var', (85, 100)) ('better', 'PosReg', (119, 125)) ('OS', 'Chemical', '-', (133, 135)) ('patients', 'Species', '9606', (62, 70)) ('patients', 'Species', '9606', (141, 149)) 9965 28828004 The reported risk factors for post-ESD esophageal stricture include a mucosal defect that covers more than three-quarters of the circumference (68-90%) and a tumor diameter of >=5 cm (28%). ('tumor', 'Disease', (158, 163)) ('post-ESD', 'Var', (30, 38)) ('tumor', 'Disease', 'MESH:D009369', (158, 163)) ('esophageal stricture', 'Disease', (39, 59)) ('tumor', 'Phenotype', 'HP:0002664', (158, 163)) ('esophageal stricture', 'Phenotype', 'HP:0002043', (39, 59)) 9973 28828004 A single-channel endoscope with forward water supply function (GIF-Q260J; Olympus Medical Systems Corp., Tokyo, Japan) was used with carbon dioxide insufflation. ('Q260J', 'Var', (67, 72)) ('insufflation', 'Disease', (148, 160)) ('water', 'Chemical', 'MESH:D014867', (40, 45)) ('carbon dioxide', 'Chemical', 'MESH:D002245', (133, 147)) ('insufflation', 'Disease', 'None', (148, 160)) ('Q260J', 'SUBSTITUTION', 'None', (67, 72)) 9982 28828004 Esophageal stricture was defined as the failure of the passage of a 9.9 mm endoscope (GIF-Q260J). ('Esophageal stricture', 'Phenotype', 'HP:0002043', (0, 20)) ('Esophageal stricture', 'Disease', (0, 20)) ('Q260J', 'SUBSTITUTION', 'None', (90, 95)) ('Q260J', 'Var', (90, 95)) 10010 27441783 For example, PPIs have been showed to promote cancer promotion in animal models owing to hypergastrinemia or CYP1A1 induction. ('hypergastrinemia', 'Phenotype', 'HP:0500167', (89, 105)) ('cancer', 'Disease', 'MESH:D009369', (46, 52)) ('cancer', 'Disease', (46, 52)) ('hypergastrinemia', 'Disease', 'None', (89, 105)) ('PPIs', 'Var', (13, 17)) ('CYP1A1', 'Gene', (109, 115)) ('hypergastrinemia', 'Disease', (89, 105)) ('cancer', 'Phenotype', 'HP:0002664', (46, 52)) ('promote', 'PosReg', (38, 45)) ('CYP1A1', 'Gene', '1543', (109, 115)) 10102 27441783 It has also been reported that IL-4-producing CD4+ T cells cause goblet cell transformation in the small intestine, and that T-cells within BE tissue are mainly IL-4+CD8- cells. ('CD4+ T cells', 'Var', (46, 58)) ('IL-4', 'Gene', (161, 165)) ('goblet cell transformation in the', 'CPA', (65, 98)) ('cause', 'Reg', (59, 64)) ('IL-4', 'Gene', '3565', (161, 165)) ('IL-4', 'Gene', (31, 35)) ('BE', 'Phenotype', 'HP:0100580', (140, 142)) ('IL-4', 'Gene', '3565', (31, 35)) 10171 27478411 Both Sequenom MassARRAY and TaqMan genotyping assays demonstrated that SNP rs10788656 in the PADI2 gene was significantly associated with breast cancer. ('associated', 'Reg', (122, 132)) ('SNP rs10788656', 'Var', (71, 85)) ('PADI2', 'Gene', (93, 98)) ('cancer', 'Phenotype', 'HP:0002664', (145, 151)) ('breast cancer', 'Disease', 'MESH:D001943', (138, 151)) ('breast cancer', 'Phenotype', 'HP:0003002', (138, 151)) ('breast cancer', 'Disease', (138, 151)) ('rs10788656', 'Mutation', 'rs10788656', (75, 85)) 10172 27478411 PCR arrays indicated that inhibiting PADI2 expression significantly increased expression of CA9 and decreased expression of ACSL4 and BIRC3 in MCF-7 cells, which was verified using real-time PCR. ('CA9', 'Gene', '768', (92, 95)) ('expression', 'MPA', (78, 88)) ('ACSL4', 'Gene', '2182', (124, 129)) ('MCF-7', 'CellLine', 'CVCL:0031', (143, 148)) ('ACSL4', 'Gene', (124, 129)) ('decreased', 'NegReg', (100, 109)) ('PADI2', 'Gene', (37, 42)) ('expression', 'MPA', (110, 120)) ('BIRC3', 'Gene', (134, 139)) ('CA9', 'Gene', (92, 95)) ('BIRC3', 'Gene', '330', (134, 139)) ('expression', 'MPA', (43, 53)) ('inhibiting', 'Var', (26, 36)) ('increased', 'PosReg', (68, 77)) 10173 27478411 Inhibiting PADI2 expression also significantly decreased the migration ability of MCF-7 cells but did not affect cell proliferation or apoptosis. ('migration ability', 'CPA', (61, 78)) ('PADI2', 'Gene', (11, 16)) ('Inhibiting', 'Var', (0, 10)) ('MCF-7', 'CellLine', 'CVCL:0031', (82, 87)) ('decreased', 'NegReg', (47, 56)) 10189 27478411 The present study investigated the possible association between candidate SNPs (single nucleotide polymorphisms) in the PADI2 locus and various tumors. ('tumors', 'Disease', (144, 150)) ('tumors', 'Phenotype', 'HP:0002664', (144, 150)) ('tumors', 'Disease', 'MESH:D009369', (144, 150)) ('SNPs', 'Var', (74, 78)) ('tumor', 'Phenotype', 'HP:0002664', (144, 149)) ('PADI2', 'Gene', (120, 125)) 10190 27478411 We aimed to determine whether these common polymorphisms in the PADI2 region are associated with various tumor risks using the Sequenom MassARRAY genotyping method. ('polymorphisms', 'Var', (43, 56)) ('tumor', 'Disease', (105, 110)) ('tumor', 'Disease', 'MESH:D009369', (105, 110)) ('tumor', 'Phenotype', 'HP:0002664', (105, 110)) ('associated', 'Reg', (81, 91)) 10194 27478411 The case-control analysis showed a significant difference in allele frequency and genotype frequency for rs2746533 in PADI2 between gastric carcinoma patients and controls. ('difference', 'Reg', (47, 57)) ('gastric carcinoma', 'Phenotype', 'HP:0012126', (132, 149)) ('rs2746533', 'Mutation', 'rs2746533', (105, 114)) ('gastric carcinoma', 'Disease', 'MESH:D013274', (132, 149)) ('patients', 'Species', '9606', (150, 158)) ('PADI2', 'Gene', (118, 123)) ('carcinoma', 'Phenotype', 'HP:0030731', (140, 149)) ('rs2746533', 'Var', (105, 114)) ('gastric carcinoma', 'Disease', (132, 149)) 10195 27478411 The analysis also showed a significant difference in allele frequency and genotype frequency for rs2076616 between gastric carcinoma patients and controls. ('patients', 'Species', '9606', (133, 141)) ('gastric carcinoma', 'Phenotype', 'HP:0012126', (115, 132)) ('gastric carcinoma', 'Disease', 'MESH:D013274', (115, 132)) ('rs2076616', 'Var', (97, 106)) ('carcinoma', 'Phenotype', 'HP:0030731', (123, 132)) ('difference', 'Reg', (39, 49)) ('rs2076616', 'Mutation', 'rs2076616', (97, 106)) ('gastric carcinoma', 'Disease', (115, 132)) 10196 27478411 In addition, the analysis showed a significant difference for rs10788656 between the following groups: breast cancer patients and controls in genotype frequency; cervical carcinoma patients and controls in allele frequency; esophageal carcinoma patients and controls in allele frequency and genotype frequency; lung cancer patients and controls in allele frequency; and rectal carcinoma patients and controls in genotype frequency. ('carcinoma', 'Phenotype', 'HP:0030731', (377, 386)) ('rectal carcinoma', 'Disease', 'MESH:D012004', (370, 386)) ('patients', 'Species', '9606', (245, 253)) ('breast cancer', 'Disease', 'MESH:D001943', (103, 116)) ('patients', 'Species', '9606', (387, 395)) ('cervical carcinoma', 'Disease', (162, 180)) ('breast cancer', 'Disease', (103, 116)) ('lung cancer', 'Disease', 'MESH:D008175', (311, 322)) ('patients', 'Species', '9606', (181, 189)) ('esophageal carcinoma', 'Phenotype', 'HP:0011459', (224, 244)) ('patients', 'Species', '9606', (117, 125)) ('patients', 'Species', '9606', (323, 331)) ('lung cancer', 'Phenotype', 'HP:0100526', (311, 322)) ('cervical carcinoma', 'Disease', 'MESH:D002575', (162, 180)) ('difference', 'Reg', (47, 57)) ('cancer', 'Phenotype', 'HP:0002664', (316, 322)) ('rs10788656', 'Mutation', 'rs10788656', (62, 72)) ('esophageal carcinoma', 'Disease', 'MESH:D004938', (224, 244)) ('carcinoma', 'Phenotype', 'HP:0030731', (235, 244)) ('cancer', 'Phenotype', 'HP:0002664', (110, 116)) ('rectal carcinoma', 'Phenotype', 'HP:0100743', (370, 386)) ('carcinoma', 'Phenotype', 'HP:0030731', (171, 180)) ('lung cancer', 'Disease', (311, 322)) ('esophageal carcinoma', 'Disease', (224, 244)) ('rectal carcinoma', 'Disease', (370, 386)) ('breast cancer', 'Phenotype', 'HP:0003002', (103, 116)) ('rs10788656', 'Var', (62, 72)) 10198 27478411 To verify the above results, genotyping for tag SNP rs10788656 was performed in samples from cohorts of patients with breast cancer, colon cancer, esophageal cancer, cervical cancer, gastric cancer, liver cancer, lung cancer and rectal cancer and from healthy controls using the TaqMan method. ('gastric cancer', 'Disease', (183, 197)) ('esophageal cancer', 'Disease', 'MESH:D004938', (147, 164)) ('lung cancer', 'Disease', (213, 224)) ('colon cancer', 'Disease', (133, 145)) ('rs10788656', 'Var', (52, 62)) ('breast cancer', 'Phenotype', 'HP:0003002', (118, 131)) ('rectal cancer', 'Disease', (229, 242)) ('rectal cancer', 'Phenotype', 'HP:0100743', (229, 242)) ('esophageal cancer', 'Disease', (147, 164)) ('cervical cancer', 'Disease', (166, 181)) ('cervical cancer', 'Disease', 'MESH:D002583', (166, 181)) ('cancer', 'Phenotype', 'HP:0002664', (175, 181)) ('gastric cancer', 'Disease', 'MESH:D013274', (183, 197)) ('breast cancer', 'Disease', 'MESH:D001943', (118, 131)) ('lung cancer', 'Disease', 'MESH:D008175', (213, 224)) ('cancer', 'Phenotype', 'HP:0002664', (191, 197)) ('breast cancer', 'Disease', (118, 131)) ('cancer', 'Phenotype', 'HP:0002664', (158, 164)) ('colon cancer', 'Phenotype', 'HP:0003003', (133, 145)) ('liver cancer', 'Disease', 'MESH:D006528', (199, 211)) ('lung cancer', 'Phenotype', 'HP:0100526', (213, 224)) ('cancer', 'Phenotype', 'HP:0002664', (125, 131)) ('gastric cancer', 'Phenotype', 'HP:0012126', (183, 197)) ('rectal cancer', 'Disease', 'MESH:D012004', (229, 242)) ('patients', 'Species', '9606', (104, 112)) ('liver cancer', 'Phenotype', 'HP:0002896', (199, 211)) ('colon cancer', 'Disease', 'MESH:D015179', (133, 145)) ('rs10788656', 'Mutation', 'rs10788656', (52, 62)) ('liver cancer', 'Disease', (199, 211)) ('cancer', 'Phenotype', 'HP:0002664', (139, 145)) 10201 27478411 Genotyping did not detect a significant difference in allele or genotype frequencies for rs10788656 between patients with colon cancer, cervical cancer, esophageal cancer, gastric cancer, liver cancer, lung cancer or rectal cancer (p > 0.05). ('gastric cancer', 'Phenotype', 'HP:0012126', (172, 186)) ('liver cancer', 'Disease', (188, 200)) ('colon cancer', 'Phenotype', 'HP:0003003', (122, 134)) ('lung cancer', 'Phenotype', 'HP:0100526', (202, 213)) ('cancer', 'Phenotype', 'HP:0002664', (145, 151)) ('patients', 'Species', '9606', (108, 116)) ('rs10788656', 'Mutation', 'rs10788656', (89, 99)) ('rectal cancer', 'Disease', 'MESH:D012004', (217, 230)) ('colon cancer', 'Disease', 'MESH:D015179', (122, 134)) ('cancer', 'Phenotype', 'HP:0002664', (128, 134)) ('gastric cancer', 'Disease', (172, 186)) ('esophageal cancer', 'Disease', 'MESH:D004938', (153, 170)) ('cancer', 'Phenotype', 'HP:0002664', (180, 186)) ('lung cancer', 'Disease', (202, 213)) ('rs10788656', 'Var', (89, 99)) ('esophageal cancer', 'Disease', (153, 170)) ('colon cancer', 'Disease', (122, 134)) ('gastric cancer', 'Disease', 'MESH:D013274', (172, 186)) ('liver cancer', 'Disease', 'MESH:D006528', (188, 200)) ('cancer', 'Phenotype', 'HP:0002664', (164, 170)) ('cervical cancer', 'Disease', (136, 151)) ('cervical cancer', 'Disease', 'MESH:D002583', (136, 151)) ('rectal cancer', 'Disease', (217, 230)) ('rectal cancer', 'Phenotype', 'HP:0100743', (217, 230)) ('cancer', 'Phenotype', 'HP:0002664', (194, 200)) ('lung cancer', 'Disease', 'MESH:D008175', (202, 213)) ('liver cancer', 'Phenotype', 'HP:0002896', (188, 200)) 10208 27478411 A significantly decreased migration of MCF-7 cells was observed when PADI2 expression was suppressed by anti-PADI2 siRNA compared with the cells treated with Allstar siRNA (p < 0.001) or HiPerFect transfection reagent (p < 0.001). ('PADI2', 'Gene', (69, 74)) ('migration', 'CPA', (26, 35)) ('suppressed', 'NegReg', (90, 100)) ('MCF-7', 'CellLine', 'CVCL:0031', (39, 44)) ('anti-PADI2', 'Var', (104, 114)) ('expression', 'MPA', (75, 85)) ('decreased', 'NegReg', (16, 25)) 10217 27478411 In the present study, we used the Sequenom MassARRAY system to genotype the tag SNPs rs2746533, rs79395834, rs2076616 and rs10788656 in the PADI2 locus to determine their association with susceptibility to various tumors. ('rs2076616', 'Mutation', 'rs2076616', (108, 117)) ('rs79395834', 'Mutation', 'rs79395834', (96, 106)) ('rs10788656', 'Var', (122, 132)) ('tumor', 'Phenotype', 'HP:0002664', (214, 219)) ('rs2746533', 'Mutation', 'rs2746533', (85, 94)) ('tumors', 'Disease', (214, 220)) ('rs2076616', 'Var', (108, 117)) ('tumors', 'Phenotype', 'HP:0002664', (214, 220)) ('rs79395834', 'Var', (96, 106)) ('rs10788656', 'Mutation', 'rs10788656', (122, 132)) ('rs2746533', 'Var', (85, 94)) ('tumors', 'Disease', 'MESH:D009369', (214, 220)) 10218 27478411 Analysis indicated that the SNPs rs2746533, rs2076616 and rs10788656 had a significant difference in allele frequency, genotype frequency or both between breast cancer, cervical carcinoma, gastric carcinoma, lung cancer and rectal carcinoma cases and the controls. ('carcinoma', 'Phenotype', 'HP:0030731', (231, 240)) ('rs2076616', 'Mutation', 'rs2076616', (44, 53)) ('rectal carcinoma', 'Disease', (224, 240)) ('rs2746533', 'Var', (33, 42)) ('cancer', 'Phenotype', 'HP:0002664', (161, 167)) ('rectal carcinoma', 'Disease', 'MESH:D012004', (224, 240)) ('gastric carcinoma', 'Disease', 'MESH:D013274', (189, 206)) ('rs10788656', 'Var', (58, 68)) ('lung cancer', 'Disease', 'MESH:D008175', (208, 219)) ('gastric carcinoma', 'Disease', (189, 206)) ('cervical carcinoma', 'Disease', (169, 187)) ('gastric carcinoma', 'Phenotype', 'HP:0012126', (189, 206)) ('lung cancer', 'Phenotype', 'HP:0100526', (208, 219)) ('cancer', 'Phenotype', 'HP:0002664', (213, 219)) ('rs2076616', 'Var', (44, 53)) ('breast cancer', 'Phenotype', 'HP:0003002', (154, 167)) ('carcinoma', 'Phenotype', 'HP:0030731', (197, 206)) ('difference', 'Reg', (87, 97)) ('cervical carcinoma', 'Disease', 'MESH:D002575', (169, 187)) ('breast cancer', 'Disease', 'MESH:D001943', (154, 167)) ('breast cancer', 'Disease', (154, 167)) ('rs2746533', 'Mutation', 'rs2746533', (33, 42)) ('rectal carcinoma', 'Phenotype', 'HP:0100743', (224, 240)) ('carcinoma', 'Phenotype', 'HP:0030731', (178, 187)) ('lung cancer', 'Disease', (208, 219)) ('rs10788656', 'Mutation', 'rs10788656', (58, 68)) 10220 27478411 The analysis showed a significant difference in allele frequency and genotype frequency for rs10788656 between breast cancer samples and the controls, which was completely consistent with the Sequenom MassARRAY result. ('difference', 'Reg', (34, 44)) ('rs10788656', 'Var', (92, 102)) ('cancer', 'Phenotype', 'HP:0002664', (118, 124)) ('breast cancer', 'Disease', 'MESH:D001943', (111, 124)) ('breast cancer', 'Phenotype', 'HP:0003002', (111, 124)) ('rs10788656', 'Mutation', 'rs10788656', (92, 102)) ('breast cancer', 'Disease', (111, 124)) 10224 27478411 We will screen more SNPs in this region, especially in the exon region and its surrounding region, to find functional SNPs and determine how these SNPs affect PADI2 expression and the enzyme activity in which PADI2 has been implicated in some diseases and, more recently, in cancers. ('cancer', 'Phenotype', 'HP:0002664', (275, 281)) ('PADI2', 'Gene', (159, 164)) ('expression', 'MPA', (165, 175)) ('enzyme activity', 'MPA', (184, 199)) ('SNPs', 'Var', (147, 151)) ('affect', 'Reg', (152, 158)) ('cancers', 'Phenotype', 'HP:0002664', (275, 282)) ('cancers', 'Disease', 'MESH:D009369', (275, 282)) ('implicated', 'Reg', (224, 234)) ('cancers', 'Disease', (275, 282)) 10232 27478411 They then found that the human squamous cell carcinoma cell line A431 with overexpressed PADI2 was more tumorigenic and contained elevated levels of markers for inflammation and epithelial-mesenchymal transition. ('carcinoma', 'Phenotype', 'HP:0030731', (45, 54)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (31, 54)) ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('squamous cell carcinoma', 'Disease', (31, 54)) ('more', 'PosReg', (99, 103)) ('inflammation', 'Disease', (161, 173)) ('A431', 'CellLine', 'CVCL:0037', (65, 69)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (31, 54)) ('tumor', 'Disease', (104, 109)) ('tumor', 'Disease', 'MESH:D009369', (104, 109)) ('human', 'Species', '9606', (25, 30)) ('epithelia', 'Disease', 'None', (178, 187)) ('inflammation', 'Disease', 'MESH:D007249', (161, 173)) ('elevated', 'PosReg', (130, 138)) ('epithelia', 'Disease', (178, 187)) ('overexpressed', 'Var', (75, 88)) ('levels of', 'MPA', (139, 148)) ('PADI2', 'Gene', (89, 94)) 10245 27478411 The present study detected decreased expression of ACSL4 and decreased cell migration ability in MCF-7 cells treated with anti-PADI2 siRNA. ('anti-PADI2', 'Var', (122, 132)) ('ACSL4', 'Gene', '2182', (51, 56)) ('ACSL4', 'Gene', (51, 56)) ('decreased', 'NegReg', (27, 36)) ('cell migration ability', 'CPA', (71, 93)) ('MCF-7', 'CellLine', 'CVCL:0031', (97, 102)) ('decreased', 'NegReg', (61, 70)) ('expression', 'MPA', (37, 47)) 10257 27478411 Patients with high levels of CA9 expression show significantly worse overall survival. ('overall', 'MPA', (69, 76)) ('worse', 'NegReg', (63, 68)) ('high levels', 'Var', (14, 25)) ('Patients', 'Species', '9606', (0, 8)) ('CA9', 'Gene', (29, 32)) ('CA9', 'Gene', '768', (29, 32)) 10258 27478411 High CA9 protein expression occurs in patients with the BRCA1 mutant signature and low levels of the BRCA1 protein. ('CA9', 'Gene', '768', (5, 8)) ('BRCA1', 'Gene', '672', (56, 61)) ('BRCA1', 'Gene', '672', (101, 106)) ('mutant signature', 'Var', (62, 78)) ('expression', 'MPA', (17, 27)) ('High', 'PosReg', (0, 4)) ('protein', 'Protein', (9, 16)) ('BRCA1', 'Gene', (56, 61)) ('BRCA1', 'Gene', (101, 106)) ('patients', 'Species', '9606', (38, 46)) ('CA9', 'Gene', (5, 8)) 10260 27478411 The current study detected increased expression of CA9 in the anti-PADI2 siRNA-treated breast cancer cell lines, supporting the importance of the PADI2-CA9 pathway in breast cancer progression. ('breast cancer', 'Disease', (167, 180)) ('increased', 'PosReg', (27, 36)) ('breast cancer', 'Phenotype', 'HP:0003002', (167, 180)) ('CA9', 'Gene', (51, 54)) ('breast cancer', 'Disease', 'MESH:D001943', (87, 100)) ('CA9', 'Gene', '768', (51, 54)) ('cancer', 'Phenotype', 'HP:0002664', (94, 100)) ('CA9', 'Gene', (152, 155)) ('breast cancer', 'Disease', (87, 100)) ('anti-PADI2', 'Var', (62, 72)) ('breast cancer', 'Phenotype', 'HP:0003002', (87, 100)) ('CA9', 'Gene', '768', (152, 155)) ('expression', 'MPA', (37, 47)) ('cancer', 'Phenotype', 'HP:0002664', (174, 180)) ('breast cancer', 'Disease', 'MESH:D001943', (167, 180)) 10261 27478411 In addition, some studies have reported that a subgroup of gastric cancers retains CA9 expression in cancer cells at the invasion front and that expression of CA9 is associated with increased invasion. ('increased', 'PosReg', (182, 191)) ('CA9', 'Gene', (159, 162)) ('gastric cancers', 'Disease', 'MESH:D013274', (59, 74)) ('CA9', 'Gene', '768', (83, 86)) ('gastric cancers', 'Disease', (59, 74)) ('gastric cancers', 'Phenotype', 'HP:0012126', (59, 74)) ('cancer', 'Disease', 'MESH:D009369', (67, 73)) ('cancer', 'Disease', 'MESH:D009369', (101, 107)) ('gastric cancer', 'Phenotype', 'HP:0012126', (59, 73)) ('CA9', 'Gene', '768', (159, 162)) ('invasion', 'CPA', (192, 200)) ('expression', 'Var', (145, 155)) ('expression', 'MPA', (87, 97)) ('associated with', 'Reg', (166, 181)) ('cancers', 'Phenotype', 'HP:0002664', (67, 74)) ('cancer', 'Disease', (67, 73)) ('cancer', 'Disease', (101, 107)) ('CA9', 'Gene', (83, 86)) ('cancer', 'Phenotype', 'HP:0002664', (67, 73)) ('cancer', 'Phenotype', 'HP:0002664', (101, 107)) 10266 27478411 They further found that citrullination of H3R26 is catalyzed by PADI2, whereas H4R3 is catalyzed by PADI4. ('PADI4', 'Gene', '23569', (100, 105)) ('PADI2', 'Var', (64, 69)) ('PADI4', 'Gene', (100, 105)) ('catalyzed', 'Reg', (51, 60)) ('citrullination', 'MPA', (24, 38)) ('H3R26', 'Chemical', '-', (42, 47)) ('H3R26', 'Protein', (42, 47)) 10281 27478411 Four tag SNPs, including rs2746533, rs79395834, rs2076616 and rs10788656, in the PADI2-encoding gene were selected and genotyped using an allele-specific MALDI-TOF mass spectrometry assay (Sequenom MassARRAY). ('rs79395834', 'Var', (36, 46)) ('rs10788656', 'Mutation', 'rs10788656', (62, 72)) ('rs2746533', 'Var', (25, 34)) ('rs2746533', 'Mutation', 'rs2746533', (25, 34)) ('rs2076616', 'Var', (48, 57)) ('rs2076616', 'Mutation', 'rs2076616', (48, 57)) ('rs10788656', 'Var', (62, 72)) ('rs79395834', 'Mutation', 'rs79395834', (36, 46)) 10282 27478411 To verify the above genotyping result, tag SNP rs10788656 was selected for genotyping in new cohorts of patients with breast cancer (n = 285, 285 women, mean age = 47.65), colon cancer (n = 144, 55 women, mean age = 54.13), esophageal cancer (n = 285, 40 women, mean age = 61.20), cervical cancer (n = 190, 190 women, mean age = 52.75), liver cancer (n = 190, 42 women, mean age = 54.05), lung cancer (n = 190, 56 women, mean age = 58.17), gastric cancer (n = 190, 44 women, mean age = 56.97), and rectal cancer (n = 136, 50 women, mean age = 54.61), as well as in healthy controls (n = 285, 71 women, mean age = 40.1). ('women', 'Species', '9606', (414, 419)) ('gastric cancer', 'Disease', 'MESH:D013274', (440, 454)) ('cancer', 'Phenotype', 'HP:0002664', (178, 184)) ('women', 'Species', '9606', (311, 316)) ('liver cancer', 'Disease', 'MESH:D006528', (337, 349)) ('women', 'Species', '9606', (525, 530)) ('women', 'Species', '9606', (468, 473)) ('women', 'Species', '9606', (255, 260)) ('colon cancer', 'Disease', 'MESH:D015179', (172, 184)) ('breast cancer', 'Phenotype', 'HP:0003002', (118, 131)) ('cancer', 'Phenotype', 'HP:0002664', (343, 349)) ('lung cancer', 'Disease', 'MESH:D008175', (389, 400)) ('women', 'Species', '9606', (595, 600)) ('women', 'Species', '9606', (198, 203)) ('women', 'Species', '9606', (363, 368)) ('gastric cancer', 'Phenotype', 'HP:0012126', (440, 454)) ('esophageal cancer', 'Disease', 'MESH:D004938', (224, 241)) ('liver cancer', 'Phenotype', 'HP:0002896', (337, 349)) ('lung cancer', 'Phenotype', 'HP:0100526', (389, 400)) ('breast cancer', 'Disease', 'MESH:D001943', (118, 131)) ('rectal cancer', 'Disease', (498, 511)) ('rectal cancer', 'Phenotype', 'HP:0100743', (498, 511)) ('breast cancer', 'Disease', (118, 131)) ('liver cancer', 'Disease', (337, 349)) ('rs10788656', 'Mutation', 'rs10788656', (47, 57)) ('esophageal cancer', 'Disease', (224, 241)) ('colon cancer', 'Disease', (172, 184)) ('cancer', 'Phenotype', 'HP:0002664', (125, 131)) ('patients', 'Species', '9606', (104, 112)) ('gastric cancer', 'Disease', (440, 454)) ('women', 'Species', '9606', (146, 151)) ('rs10788656', 'Var', (47, 57)) ('rectal cancer', 'Disease', 'MESH:D012004', (498, 511)) ('cervical cancer', 'Disease', (281, 296)) ('lung cancer', 'Disease', (389, 400)) ('cervical cancer', 'Disease', 'MESH:D002583', (281, 296)) ('colon cancer', 'Phenotype', 'HP:0003003', (172, 184)) ('cancer', 'Phenotype', 'HP:0002664', (290, 296)) ('cancer', 'Phenotype', 'HP:0002664', (235, 241)) 10314 23686769 Aberrant cyclin expression profiles have a negative prognosis in lung cancer. ('lung cancer', 'Disease', 'MESH:D008175', (65, 76)) ('cyclin', 'Gene', (9, 15)) ('Aberrant', 'Var', (0, 8)) ('cancer', 'Phenotype', 'HP:0002664', (70, 76)) ('lung cancer', 'Disease', (65, 76)) ('lung cancer', 'Phenotype', 'HP:0100526', (65, 76)) ('cyclin', 'Gene', '18538', (9, 15)) 10323 23686769 HDAC knock-down causes check point arrest that inhibits cancer cell growth. ('HDAC', 'Gene', (0, 4)) ('arrest', 'Disease', 'MESH:D006323', (35, 41)) ('knock-down', 'Var', (5, 15)) ('cancer', 'Phenotype', 'HP:0002664', (56, 62)) ('arrest', 'Disease', (35, 41)) ('cancer', 'Disease', (56, 62)) ('cancer', 'Disease', 'MESH:D009369', (56, 62)) ('inhibits', 'NegReg', (47, 55)) 10377 23686769 Fluorescence-based multiplex assays were with a staining station (Leica Microsystems, Buffalo Grove, IL) using antibodies to detect T cells with CD8 (Leica), macrophages with CD68 (Leica), B cells with CD20 (Leica), or myeloid cells with myeloperoxidase (MPO, Thermo Fisher Scientific, Waltham, MA). ('Leica Microsystems', 'Disease', 'None', (66, 84)) ('Leica Microsystems', 'Disease', (66, 84)) ('MPO', 'Gene', '17523', (255, 258)) ('CD8', 'Var', (145, 148)) ('CD20', 'Gene', (202, 206)) ('myeloperoxidase', 'Gene', (238, 253)) ('CD20', 'Gene', '12482', (202, 206)) ('CD68', 'Gene', '12514', (175, 179)) ('myeloperoxidase', 'Gene', '17523', (238, 253)) ('CD68', 'Gene', (175, 179)) ('MPO', 'Gene', (255, 258)) 10378 23686769 Genomic DNA was isolated from paraffin-embedded sections from study cases and independently analyzed for EGFR and KRAS mutations using optimized methods. ('KRAS', 'Gene', (114, 118)) ('EGFR', 'Gene', (105, 109)) ('EGFR', 'Gene', '13649', (105, 109)) ('mutations', 'Var', (119, 128)) ('paraffin', 'Chemical', 'MESH:D010232', (30, 38)) 10410 23686769 All cases had wild-type epidermal growth factor receptor (EGFR, data not shown) sequences; 4 had KRAS codon 12 mutations in their lung cancers (Table 1). ('lung cancers', 'Disease', (130, 142)) ('lung cancer', 'Phenotype', 'HP:0100526', (130, 141)) ('cancers', 'Phenotype', 'HP:0002664', (135, 142)) ('epidermal growth factor receptor', 'Gene', (24, 56)) ('EGFR', 'Gene', (58, 62)) ('epidermal growth factor receptor', 'Gene', '13649', (24, 56)) ('EGFR', 'Gene', '13649', (58, 62)) ('lung cancers', 'Disease', 'MESH:D008175', (130, 142)) ('KRAS codon', 'Var', (97, 107)) ('cancer', 'Phenotype', 'HP:0002664', (135, 141)) ('lung cancers', 'Phenotype', 'HP:0100526', (130, 142)) 10419 23686769 These responses were correlated with presence of KRAS mutations in these tumors (Table 1). ('tumor', 'Phenotype', 'HP:0002664', (73, 78)) ('mutations', 'Var', (54, 63)) ('tumors', 'Phenotype', 'HP:0002664', (73, 79)) ('tumors', 'Disease', (73, 79)) ('tumors', 'Disease', 'MESH:D009369', (73, 79)) ('KRAS', 'Gene', (49, 53)) 10421 23686769 All 4 NSCLC cases with KRAS mutations had necrosis, and acute or chronic inflammation in post-treatment tumors. ('acute', 'CPA', (56, 61)) ('inflammation', 'Disease', 'MESH:D007249', (73, 85)) ('inflammation', 'Disease', (73, 85)) ('NSCLC', 'Disease', 'MESH:D002289', (6, 11)) ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('necrosis', 'Disease', (42, 50)) ('tumors', 'Phenotype', 'HP:0002664', (104, 110)) ('KRAS', 'Gene', (23, 27)) ('tumors', 'Disease', (104, 110)) ('necrosis', 'Disease', 'MESH:D009336', (42, 50)) ('tumors', 'Disease', 'MESH:D009369', (104, 110)) ('NSCLC', 'Phenotype', 'HP:0030358', (6, 11)) ('men', 'Species', '9606', (99, 102)) ('mutations', 'Var', (28, 37)) ('NSCLC', 'Disease', (6, 11)) 10440 23686769 5 and Table 1 included changes in expressed cell cycle regulators and reduced proliferation of human tumors despite the presence of KRAS mutations. ('human', 'Species', '9606', (95, 100)) ('reduced', 'NegReg', (70, 77)) ('KRAS', 'Gene', (132, 136)) ('changes', 'Reg', (23, 30)) ('tumors', 'Disease', 'MESH:D009369', (101, 107)) ('tumor', 'Phenotype', 'HP:0002664', (101, 106)) ('mutations', 'Var', (137, 146)) ('expressed cell cycle regulators', 'MPA', (34, 65)) ('proliferation', 'CPA', (78, 91)) ('tumors', 'Phenotype', 'HP:0002664', (101, 107)) ('tumors', 'Disease', (101, 107)) 10467 23686769 After p21 knockdown, cancer cells become sensitive to vorinostat treatment. ('cancer', 'Phenotype', 'HP:0002664', (21, 27)) ('p21', 'Gene', (6, 9)) ('men', 'Species', '9606', (70, 73)) ('sensitive to vorinostat treatment', 'MPA', (41, 74)) ('cancer', 'Disease', (21, 27)) ('cancer', 'Disease', 'MESH:D009369', (21, 27)) ('vorinostat', 'Chemical', 'MESH:D000077337', (54, 64)) ('knockdown', 'Var', (10, 19)) 10476 23686769 Findings were translated into a vorinostat window of opportunity clinical trial where induced p21 and p27 and reduced G1 cyclin expression occurred in lung cancers independent of the presence of KRAS mutations. ('cancers', 'Phenotype', 'HP:0002664', (156, 163)) ('p21', 'Var', (94, 97)) ('lung cancers', 'Disease', (151, 163)) ('p27', 'Var', (102, 105)) ('reduced', 'NegReg', (110, 117)) ('lung cancer', 'Phenotype', 'HP:0100526', (151, 162)) ('cancer', 'Phenotype', 'HP:0002664', (156, 162)) ('lung cancers', 'Disease', 'MESH:D008175', (151, 163)) ('lung cancers', 'Phenotype', 'HP:0100526', (151, 163)) ('vorinostat', 'Chemical', 'MESH:D000077337', (32, 42)) ('cyclin', 'Gene', '18538', (121, 127)) ('cyclin', 'Gene', (121, 127)) 10502 33627631 There are three common processes of circRNA reverse splicing: exon skipping, intron pairing, and RNA-binding-protein-driven circularization. ('RNA-binding-protein', 'Gene', (97, 116)) ('exon skipping', 'Var', (62, 75)) ('intron pairing', 'Var', (77, 91)) ('RNA-binding-protein', 'Gene', '84549', (97, 116)) 10504 33627631 For example, circ_0055625, which is highly expressed in colon cancer, acts as a "sponge" for miR-106b to further promote the development of the disease. ('miR-106b', 'Gene', '406900', (93, 101)) ('colon cancer', 'Disease', (56, 68)) ('cancer', 'Phenotype', 'HP:0002664', (62, 68)) ('promote', 'PosReg', (113, 120)) ('circ_0055625', 'Var', (13, 25)) ('miR-106b', 'Gene', (93, 101)) ('colon cancer', 'Phenotype', 'HP:0003003', (56, 68)) ('colon cancer', 'Disease', 'MESH:D015179', (56, 68)) ('development', 'CPA', (125, 136)) 10522 33627631 The expression level of Circ_100876 in ESCC was found to be significantly increased; furthermore, its expression level was strongly correlated with the depth of invasion, lymph node metastasis, and vascular invasion of esophageal cancer cells, and the survival time of patients with high expression of Circ_100876 was significantly shortened. ('expression level', 'MPA', (4, 20)) ('shortened', 'NegReg', (332, 341)) ('Circ_100876', 'Var', (302, 313)) ('Circ_100876', 'Var', (24, 35)) ('esophageal cancer', 'Disease', (219, 236)) ('correlated', 'Reg', (132, 142)) ('ESCC', 'Gene', (39, 43)) ('cancer', 'Phenotype', 'HP:0002664', (230, 236)) ('esophageal cancer', 'Disease', 'MESH:D004938', (219, 236)) ('lymph node metastasis', 'CPA', (171, 192)) ('increased', 'PosReg', (74, 83)) ('depth of invasion', 'CPA', (152, 169)) ('vascular invasion', 'CPA', (198, 215)) ('expression level', 'MPA', (102, 118)) ('patients', 'Species', '9606', (269, 277)) ('survival time', 'CPA', (252, 265)) 10523 33627631 In addition, after the knockout of Circ_100876, the proliferation level of tumor cells decreased significantly (resulting in G2/M-phase cell cycle arrest and the occurrence of apoptosis in vitro), and the occurrence of cell metastasis, invasion, and epithelial mesenchymal transformation (EMT) was inhibited, which clearly indicated that Circ_100876 was closely related to the proliferation, metastasis, and invasion of esophageal cancer, such that it can be used as a marker to detect esophageal cancer. ('invasion', 'CPA', (236, 244)) ('cancer', 'Phenotype', 'HP:0002664', (431, 437)) ('proliferation level', 'CPA', (52, 71)) ('tumor', 'Disease', (75, 80)) ('decreased', 'NegReg', (87, 96)) ('inhibited', 'NegReg', (298, 307)) ('epithelial mesenchymal transformation', 'CPA', (250, 287)) ('tumor', 'Disease', 'MESH:D009369', (75, 80)) ('esophageal cancer', 'Disease', 'MESH:D004938', (486, 503)) ('arrest', 'Disease', (147, 153)) ('Circ_100876', 'Var', (35, 46)) ('esophageal cancer', 'Disease', 'MESH:D004938', (420, 437)) ('cancer', 'Phenotype', 'HP:0002664', (497, 503)) ('tumor', 'Phenotype', 'HP:0002664', (75, 80)) ('apoptosis', 'CPA', (176, 185)) ('esophageal cancer', 'Disease', (486, 503)) ('knockout', 'Var', (23, 31)) ('esophageal cancer', 'Disease', (420, 437)) ('cell metastasis', 'CPA', (219, 234)) ('arrest', 'Disease', 'MESH:D006323', (147, 153)) 10530 33627631 In ESCC, miR-3680-3p is expressed at a low level and plays a role in inhibiting tumor growth, while circ-PRKCI can bind to miR-3680-3p and reverse its regulatory effect. ('tumor', 'Disease', 'MESH:D009369', (80, 85)) ('miR-3680-3p', 'Var', (9, 20)) ('regulatory effect', 'MPA', (151, 168)) ('tumor', 'Phenotype', 'HP:0002664', (80, 85)) ('PRKCI', 'Gene', '5584', (105, 110)) ('bind', 'Interaction', (115, 119)) ('PRKCI', 'Gene', (105, 110)) ('tumor', 'Disease', (80, 85)) ('miR-3680-3p', 'Var', (123, 134)) ('reverse', 'NegReg', (139, 146)) ('inhibiting', 'NegReg', (69, 79)) 10531 33627631 In addition, some overexpressed circRNAs regulate biological processes in tumors through their own pathways; for example, circ_0003340 is overexpressed in ESCC and promotes tumor development through the miR-564/TPX2 pathway. ('circ_0003340', 'Var', (122, 134)) ('TPX2', 'Gene', (211, 215)) ('tumor', 'Disease', 'MESH:D009369', (173, 178)) ('tumor', 'Disease', 'MESH:D009369', (74, 79)) ('miR-564', 'Gene', '693149', (203, 210)) ('tumor', 'Phenotype', 'HP:0002664', (74, 79)) ('regulate', 'Reg', (41, 49)) ('promotes', 'PosReg', (164, 172)) ('TPX2', 'Gene', '22974', (211, 215)) ('miR-564', 'Gene', (203, 210)) ('tumor', 'Disease', (173, 178)) ('tumors', 'Phenotype', 'HP:0002664', (74, 80)) ('tumor', 'Disease', (74, 79)) ('tumor', 'Phenotype', 'HP:0002664', (173, 178)) ('tumors', 'Disease', 'MESH:D009369', (74, 80)) ('ESCC', 'Disease', (155, 159)) ('tumors', 'Disease', (74, 80)) 10533 33627631 The expression of hsa_circ_0012563 in ESCC was significantly upregulated, while hsa_circ_0012563 knockout inhibited the XRCC1-mediated EMT pathway, which, in turn, inhibited cell migration and invasion. ('upregulated', 'PosReg', (61, 72)) ('XRCC1', 'Gene', (120, 125)) ('inhibited', 'NegReg', (106, 115)) ('expression', 'MPA', (4, 14)) ('hsa_circ_0012563', 'Var', (18, 34)) ('hsa_circ_0012563', 'Var', (80, 96)) ('inhibited', 'NegReg', (164, 173)) ('XRCC1', 'Gene', '7515', (120, 125)) 10534 33627631 Hsa_circ_0004771 is significantly upregulated in ESCC, and, by acting as a molecular sponge of miR-339-5p, it positively regulates CDC25A to promote the proliferation of ESCC. ('ESCC', 'CPA', (170, 174)) ('upregulated', 'PosReg', (34, 45)) ('Hsa_circ_0004771', 'Var', (0, 16)) ('proliferation', 'CPA', (153, 166)) ('ESCC', 'Disease', (49, 53)) ('regulates', 'Reg', (121, 130)) ('promote', 'PosReg', (141, 148)) ('CDC25A', 'Gene', (131, 137)) ('CDC25A', 'Gene', '993', (131, 137)) 10535 33627631 Hsa_circ_0006948, which is overexpressed in ESCC tissue, can induce EMT and promote tumor progression by acting as a sponge for miR490-3p. ('promote', 'PosReg', (76, 83)) ('induce', 'PosReg', (61, 67)) ('Hsa_circ_0006948', 'Var', (0, 16)) ('tumor', 'Disease', 'MESH:D009369', (84, 89)) ('tumor', 'Phenotype', 'HP:0002664', (84, 89)) ('tumor', 'Disease', (84, 89)) ('EMT', 'CPA', (68, 71)) 10558 33627631 ), circRNA_100269, circYAP1, CircLARP4, circ-ZFR, circFAT1 (e2), and circ_0027599 (ref. ) ('CircLARP4', 'Gene', '113251', (29, 38)) ('YAP1', 'Gene', (23, 27)) ('CircLARP4', 'Gene', (29, 38)) ('circ_0027599', 'Var', (69, 81)) ('YAP1', 'Gene', '10413', (23, 27)) 10565 33627631 Its abnormal expression affects the proliferation of tumor cells and the development of PDAC. ('abnormal', 'Var', (4, 12)) ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('affects', 'Reg', (24, 31)) ('tumor', 'Disease', (53, 58)) ('development', 'CPA', (73, 84)) 10566 33627631 Studies have shown that the expression of circRNA_100782 in PDAC tissue is significantly upregulated and plays a positive role in regulating the proliferation of tumor cells. ('tumor', 'Phenotype', 'HP:0002664', (162, 167)) ('regulating', 'Reg', (130, 140)) ('positive', 'PosReg', (113, 121)) ('upregulated', 'PosReg', (89, 100)) ('tumor', 'Disease', (162, 167)) ('expression', 'MPA', (28, 38)) ('circRNA_100782', 'Var', (42, 56)) ('tumor', 'Disease', 'MESH:D009369', (162, 167)) 10567 33627631 found that circRNA_100782 inhibits the biological activity of miR-124 and further activates its downstream targets, interleukin-6 receptor (IL6R) and signal transducer and activator of transcription 3 (STAT3), by acting as a sponge for miR-124, thus enabling cell proliferation to be promoted. ('cell proliferation', 'CPA', (259, 277)) ('inhibits', 'NegReg', (26, 34)) ('STAT3', 'Gene', (202, 207)) ('promoted', 'PosReg', (284, 292)) ('STAT3', 'Gene', '6774', (202, 207)) ('miR-124', 'Gene', (62, 69)) ('IL6R', 'Gene', (140, 144)) ('interleukin-6 receptor', 'Gene', (116, 138)) ('activates', 'PosReg', (82, 91)) ('signal transducer and activator of transcription 3', 'Gene', '6774', (150, 200)) ('enabling', 'PosReg', (250, 258)) ('biological activity', 'MPA', (39, 58)) ('IL6R', 'Gene', '3570', (140, 144)) ('interleukin-6 receptor', 'Gene', '3570', (116, 138)) ('circRNA_100782', 'Var', (11, 25)) 10570 33627631 In addition, circRNA_0007534 and ciRS-7 are also highly expressed in PDAC tissues; circRNA_0007534 regulates miR-625 and miR-892b, increasing the carcinogenicity of PDAC, while ciRS-7 targets miR-7 and regulates the EGFR/STAT3 signal pathway, thus playing a carcinogenic role. ('STAT3', 'Gene', (221, 226)) ('carcinogenic', 'Disease', (258, 270)) ('carcinogenic', 'Disease', (146, 158)) ('STAT3', 'Gene', '6774', (221, 226)) ('EGFR', 'Gene', (216, 220)) ('miR-7', 'Gene', '10859', (192, 197)) ('regulates', 'Reg', (99, 108)) ('ciRS-7', 'Gene', '103611090', (177, 183)) ('ciRS-7', 'Gene', '103611090', (33, 39)) ('regulates', 'Reg', (202, 211)) ('carcinogenic', 'Disease', 'MESH:D063646', (258, 270)) ('carcinogenic', 'Disease', 'MESH:D063646', (146, 158)) ('increasing', 'PosReg', (131, 141)) ('miR-625', 'Gene', (109, 116)) ('ciRS-7', 'Gene', (177, 183)) ('ciRS-7', 'Gene', (33, 39)) ('miR-892b', 'Gene', '100126307', (121, 129)) ('circRNA_0007534', 'Var', (83, 98)) ('EGFR', 'Gene', '1956', (216, 220)) ('miR-625', 'Gene', '693210', (109, 116)) ('miR-892b', 'Gene', (121, 129)) ('miR-7', 'Gene', (192, 197)) 10576 33627631 The expression level of hsa_circ_100338 in HC is closely related to tumor metastasis and the rate of patient survival. ('expression level', 'MPA', (4, 20)) ('hsa_circ_100338', 'Var', (24, 39)) ('tumor metastasis', 'Disease', 'MESH:D009362', (68, 84)) ('tumor metastasis', 'Disease', (68, 84)) ('related', 'Reg', (57, 64)) ('tumor', 'Phenotype', 'HP:0002664', (68, 73)) ('patient', 'Species', '9606', (101, 108)) 10577 33627631 In addition, the study found that an increase in hsa_circ_100338 can also activate the mTOR signaling pathway in HC through the circRNA_100338/miR141-3p/RHEB axis and is related to poor prognosis in patients with hepatitis B-related HC. ('mTOR', 'Gene', '2475', (87, 91)) ('hsa_circ_100338', 'Var', (49, 64)) ('hepatitis', 'Phenotype', 'HP:0012115', (213, 222)) ('hepatitis B-related HC', 'Disease', 'MESH:D006509', (213, 235)) ('hepatitis B-related HC', 'Disease', (213, 235)) ('increase', 'PosReg', (37, 45)) ('patients', 'Species', '9606', (199, 207)) ('RHEB', 'Gene', (153, 157)) ('activate', 'PosReg', (74, 82)) ('RHEB', 'Gene', '6009', (153, 157)) ('mTOR', 'Gene', (87, 91)) 10578 33627631 found that circ_104075 is abundant in liver cancer tumor tissues, cells, and patient serum and can act as a sponge for miR-582-3p to upregulate the expression of the downstream target YAP. ('tumor', 'Phenotype', 'HP:0002664', (51, 56)) ('liver cancer tumor', 'Disease', 'MESH:D006528', (38, 56)) ('liver cancer', 'Phenotype', 'HP:0002896', (38, 50)) ('YAP', 'Gene', '10413', (184, 187)) ('miR-582-3p', 'Var', (119, 129)) ('upregulate', 'PosReg', (133, 143)) ('YAP', 'Gene', (184, 187)) ('circ_104075', 'Var', (11, 22)) ('expression', 'MPA', (148, 158)) ('patient', 'Species', '9606', (77, 84)) ('liver cancer tumor', 'Disease', (38, 56)) ('cancer', 'Phenotype', 'HP:0002664', (44, 50)) 10581 33627631 Circ_0067934 is also upregulated in HC tissues and cell lines, while knockout of the circ_0067934 gene can inhibit proliferation, migration, invasion, and apoptosis in Hep3B and Huh7 cells. ('inhibit', 'NegReg', (107, 114)) ('invasion', 'CPA', (141, 149)) ('Hep3B', 'CellLine', 'CVCL:0326', (168, 173)) ('Huh7', 'CellLine', 'CVCL:0336', (178, 182)) ('proliferation', 'CPA', (115, 128)) ('migration', 'CPA', (130, 139)) ('knockout', 'Var', (69, 77)) ('apoptosis', 'CPA', (155, 164)) ('circ_0067934', 'Gene', (85, 97)) 10584 33627631 In HCC patients with high body fat percentages, the expression of circ-DB is upregulated, and circ-DB downregulates the expression of miR-34a by acting as a miRNA sponge, thus activating USP7, which can promote tumor growth and metastasis by reducing the ubiquitination of Cyclin A2 and many other proteins. ('upregulated', 'PosReg', (77, 88)) ('USP7', 'Gene', '7874', (187, 191)) ('tumor', 'Disease', (211, 216)) ('patients', 'Species', '9606', (7, 15)) ('expression', 'MPA', (120, 130)) ('tumor', 'Disease', 'MESH:D009369', (211, 216)) ('metastasis', 'CPA', (228, 238)) ('circ-DB', 'Gene', (66, 73)) ('Cyclin A2', 'Gene', '890', (273, 282)) ('reducing', 'NegReg', (242, 250)) ('tumor', 'Phenotype', 'HP:0002664', (211, 216)) ('miR-34a', 'Gene', (134, 141)) ('Cyclin A2', 'Gene', (273, 282)) ('USP7', 'Gene', (187, 191)) ('downregulates', 'NegReg', (102, 115)) ('miR-34a', 'Gene', '407040', (134, 141)) ('expression', 'MPA', (52, 62)) ('activating', 'PosReg', (176, 186)) ('promote', 'PosReg', (203, 210)) ('circ-DB', 'Var', (94, 101)) 10589 33627631 It can mediate sorafenib resistance in hepatocellular carcinoma by stabilizing YBX1, and N-methylated CircRNA-SORE can also maintain sorafenib resistance through beta-catenin signaling. ('stabilizing', 'NegReg', (67, 78)) ('YBX1', 'Gene', (79, 83)) ('carcinoma', 'Phenotype', 'HP:0030731', (54, 63)) ('mediate', 'Reg', (7, 14)) ('beta-catenin', 'Gene', (162, 174)) ('maintain', 'Reg', (124, 132)) ('sorafenib resistance', 'MPA', (133, 153)) ('sorafenib', 'Chemical', 'MESH:D000077157', (15, 24)) ('YBX1', 'Gene', '4904', (79, 83)) ('beta-catenin', 'Gene', '1499', (162, 174)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (39, 63)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (39, 63)) ('sorafenib', 'Chemical', 'MESH:D000077157', (133, 142)) ('hepatocellular carcinoma', 'Disease', (39, 63)) ('N-methylated', 'Var', (89, 101)) 10598 33627631 The overall survival rate of CCA patients with high expression of CDR1as is significantly lower than that of CCA patients with low expression of CDR1as. ('CDR1as', 'Gene', (145, 151)) ('patients', 'Species', '9606', (33, 41)) ('CDR1as', 'Gene', '103611090', (66, 72)) ('CDR1as', 'Gene', '103611090', (145, 151)) ('patients', 'Species', '9606', (113, 121)) ('CCA', 'Disease', (29, 32)) ('high expression', 'Var', (47, 62)) ('lower', 'NegReg', (90, 95)) ('CDR1as', 'Gene', (66, 72)) 10601 33627631 found that circ_0005230 is highly expressed in CCA, playing a carcinogenic role by acting as a sponge for miR-1238 and miR-1299, and is positively correlated with clinical severity. ('miR-1238', 'Gene', (106, 114)) ('miR-1299', 'Gene', (119, 127)) ('miR-1238', 'Gene', '100302226', (106, 114)) ('miR-1299', 'Gene', '100302167', (119, 127)) ('circ_0005230', 'Var', (11, 23)) ('CCA', 'Disease', (47, 50)) ('carcinogenic', 'Disease', 'MESH:D063646', (62, 74)) ('carcinogenic', 'Disease', (62, 74)) ('correlated', 'Reg', (147, 157)) 10602 33627631 The other circRNA, hsa_circ_0001649, is scarce in CCA tissues and cells, while high levels of hsa_circ_0001649 can inhibit the proliferation, migration, and invasion of CCA cells and induce cell apoptosis to exert a tumor suppressor effect. ('cell apoptosis', 'CPA', (190, 204)) ('tumor', 'Disease', (216, 221)) ('CCA', 'Disease', (169, 172)) ('proliferation', 'CPA', (127, 140)) ('migration', 'CPA', (142, 151)) ('inhibit', 'NegReg', (115, 122)) ('hsa_circ_0001649', 'Var', (94, 110)) ('invasion', 'CPA', (157, 165)) ('induce', 'Reg', (183, 189)) ('tumor', 'Disease', 'MESH:D009369', (216, 221)) ('tumor', 'Phenotype', 'HP:0002664', (216, 221)) 10620 33627631 In addition, hsa_circ_0004585, hsa_circRNA_102958, circRNA_101951, circ_0060745, circ_0001946, circRNA_0000392, and circRNA_100876 are highly expressed in CRC and regulate tumor growth through their own pathways. ('regulate', 'Reg', (163, 171)) ('tumor', 'Phenotype', 'HP:0002664', (172, 177)) ('circ_0060745', 'Var', (67, 79)) ('CRC', 'Phenotype', 'HP:0003003', (155, 158)) ('tumor', 'Disease', 'MESH:D009369', (172, 177)) ('tumor', 'Disease', (172, 177)) ('circRNA_101951', 'Var', (51, 65)) ('circRNA_0000392', 'Var', (95, 110)) ('circ_0001946', 'Var', (81, 93)) ('circRNA_100876', 'Var', (116, 130)) ('CRC', 'Disease', (155, 158)) 10621 33627631 Other circRNAs play inhibitory roles in CRC: hsa_circRNA_103809 is expressed at low levels in CRC, and as a tumor suppressor gene, it regulates tumor cell proliferation and migration through the miR-532-3p/FOXO4 axis; circRNA_0026344 also acts as a tumor suppressor gene to affect the occurrence and development of tumors. ('circRNA_0026344', 'Var', (218, 233)) ('tumor', 'Disease', (108, 113)) ('tumor', 'Disease', 'MESH:D009369', (315, 320)) ('tumor', 'Disease', (249, 254)) ('occurrence', 'CPA', (285, 295)) ('tumors', 'Phenotype', 'HP:0002664', (315, 321)) ('tumor', 'Disease', 'MESH:D009369', (108, 113)) ('FOXO4', 'Gene', '4303', (206, 211)) ('tumor', 'Disease', 'MESH:D009369', (249, 254)) ('migration', 'CPA', (173, 182)) ('affect', 'Reg', (274, 280)) ('tumor', 'Phenotype', 'HP:0002664', (315, 320)) ('tumor', 'Disease', (144, 149)) ('tumors', 'Disease', (315, 321)) ('tumor', 'Phenotype', 'HP:0002664', (108, 113)) ('tumor', 'Phenotype', 'HP:0002664', (249, 254)) ('tumor', 'Disease', 'MESH:D009369', (144, 149)) ('CRC', 'Phenotype', 'HP:0003003', (40, 43)) ('tumors', 'Disease', 'MESH:D009369', (315, 321)) ('regulates', 'Reg', (134, 143)) ('CRC', 'Phenotype', 'HP:0003003', (94, 97)) ('tumor', 'Phenotype', 'HP:0002664', (144, 149)) ('FOXO4', 'Gene', (206, 211)) ('tumor', 'Disease', (315, 320)) 10622 33627631 The expression of circRNA_0026344 in CRC is significantly downregulated, and it functions as a sponge for miR-21/miR-31. ('miR-21', 'Gene', (106, 112)) ('miR-31', 'Gene', '407035', (113, 119)) ('expression', 'MPA', (4, 14)) ('circRNA_0026344', 'Var', (18, 33)) ('downregulated', 'NegReg', (58, 71)) ('miR-21', 'Gene', '406991', (106, 112)) ('CRC', 'Phenotype', 'HP:0003003', (37, 40)) ('miR-31', 'Gene', (113, 119)) 10623 33627631 The downregulation of circRNA_0026344 levels will lead to an increase in CRC progression and lymph node metastasis; therefore, low expression of circRNA_0026344 may predict a poor prognosis in CRC patients. ('CRC', 'Disease', (73, 76)) ('patients', 'Species', '9606', (197, 205)) ('CRC', 'Disease', (193, 196)) ('CRC', 'Phenotype', 'HP:0003003', (73, 76)) ('circRNA_0026344', 'Var', (145, 160)) ('expression', 'MPA', (131, 141)) ('CRC', 'Phenotype', 'HP:0003003', (193, 196)) ('downregulation', 'NegReg', (4, 18)) ('increase', 'PosReg', (61, 69)) ('lymph node metastasis', 'CPA', (93, 114)) 10640 32917154 Chemotherapy-induced release of circulating-tumor cells into the bloodstream in collective migration units with cancer-associated fibroblasts in metastatic cancer patients Recent studies have shown that chemotherapy destabilizes the blood vasculature and increases circulating tumor cell (CTC) influx into the circulation of metastatic cancer patients (Met-pa). ('cancer', 'Disease', (112, 118)) ('blood vasculature', 'MPA', (233, 250)) ('Met-pa', 'Chemical', '-', (353, 359)) ('tumor', 'Phenotype', 'HP:0002664', (277, 282)) ('cancer', 'Disease', (336, 342)) ('cancer', 'Phenotype', 'HP:0002664', (112, 118)) ('tumor', 'Disease', (44, 49)) ('cancer', 'Phenotype', 'HP:0002664', (336, 342)) ('cancer', 'Disease', 'MESH:D009369', (156, 162)) ('chemotherapy', 'Var', (203, 215)) ('tumor', 'Disease', 'MESH:D009369', (44, 49)) ('patients', 'Species', '9606', (163, 171)) ('patients', 'Species', '9606', (343, 351)) ('increases', 'PosReg', (255, 264)) ('cancer', 'Disease', 'MESH:D009369', (112, 118)) ('cancer', 'Disease', 'MESH:D009369', (336, 342)) ('tumor', 'Phenotype', 'HP:0002664', (44, 49)) ('destabilizes', 'NegReg', (216, 228)) ('tumor', 'Disease', (277, 282)) ('cancer', 'Disease', (156, 162)) ('tumor', 'Disease', 'MESH:D009369', (277, 282)) ('cancer', 'Phenotype', 'HP:0002664', (156, 162)) 10703 32917154 Then, cells were incubated with 100 muL of 10 mug/mL Streptavidin-Alexa Fluor 594 (Biolegend), 10 mug/mL of anti-cytokeratin conjugated with FITC (CK, Clone CAM5.2, BD) and 10 mug/mL of anti-vimentin conjugated with Alexa Fluor 647 (Clone W16220A, Biolegend) in 0.02% Tween-20 (Research Products) for 45 min. ('FITC', 'Chemical', 'MESH:D016650', (141, 145)) ('Tween-20', 'Chemical', 'MESH:D011136', (268, 276)) ('vimentin', 'Gene', '7431', (191, 199)) ('Alexa Fluor 647', 'Chemical', 'MESH:C569686', (216, 231)) ('vimentin', 'Gene', (191, 199)) ('W16220A', 'Var', (239, 246)) ('Alexa Fluor 594', 'Chemical', '-', (66, 81)) ('W16220A', 'SUBSTITUTION', 'None', (239, 246)) 10711 32917154 To generate 100 nm unilamellar liposomes, the multilamellar liposomes were subjected to 10 extrusion cycles using polycarbonate membranes of two different sizes (200 nm and 100 nm) at 55 C. Freshly made liposomes were incubated with E-selectin (17.5 mug/mL) and TRAIL (15 mug/mL) at 37 C for 15 min. ('17.5', 'Var', (246, 250)) ('E-selectin', 'Gene', '6401', (234, 244)) ('E-selectin', 'Gene', (234, 244)) 10723 32917154 This is expected due to the theory that tumor cells migrate in aggregate form with stromal cells such as CAFs, consistent with the aggregates we have observed in several Met-pa (Fig. ('Met-pa', 'Chemical', '-', (170, 176)) ('CAF', 'Gene', (105, 108)) ('tumor', 'Disease', 'MESH:D009369', (40, 45)) ('CAF', 'Gene', '8850', (105, 108)) ('tumor', 'Phenotype', 'HP:0002664', (40, 45)) ('tumor', 'Disease', (40, 45)) ('Met-pa', 'Var', (170, 176)) 10789 30922343 The 5-year OS rate of patients with cN0, cN1 SLNM (-), cN2 SLNM (-), cN3 SLNM (-) and SLNM (+) were 62.8 (P < 0.001), 34.0 (P = 0.16), 20.0 (P = 0.785), 0 (P < 0.001) and 26.9%, respectively. ('OS', 'Chemical', '-', (11, 13)) ('cN1', 'Gene', '84618', (41, 44)) ('cN2', 'Gene', '55748', (55, 58)) ('cN1', 'Gene', (41, 44)) ('patients', 'Species', '9606', (22, 30)) ('cN2', 'Gene', (55, 58)) ('cN0', 'Var', (36, 39)) ('cN3 SLNM', 'Var', (69, 77)) 10835 30922343 Survival analysis was conducted considering the SLNM as distant metastatic disease, and the 5-year OS rates of the patients with cN0 with SLNM (-), cN1 with SLNM (-), cN2 with SLNM (-), cN3 with SLNM (-), and SLNM (+) with cN1 or cN2 or cN3 were 62.8, 34.0, 20.0, 0 and 26.9%, respectively. ('cN0', 'Var', (129, 132)) ('cN1', 'Gene', '84618', (223, 226)) ('patients', 'Species', '9606', (115, 123)) ('cN1', 'Gene', '84618', (148, 151)) ('cN2', 'Gene', (167, 170)) ('SLNM (-', 'Var', (157, 164)) ('cN2', 'Gene', (230, 233)) ('cN1', 'Gene', (223, 226)) ('cN1', 'Gene', (148, 151)) ('OS', 'Chemical', '-', (99, 101)) ('cN2', 'Gene', '55748', (167, 170)) ('SLNM', 'Var', (138, 142)) ('cN2', 'Gene', '55748', (230, 233)) 10958 29845017 This cancer incidence in developed countries is higher than developing countries, because of higher prevalence of the cancer risk factors in developed countries, such as low parity, older age at first pregnancy, sedentary occupation, high-calorie intake, and use of hormonal replacement therapy. ('cancer', 'Disease', (118, 124)) ('cancer', 'Disease', 'MESH:D009369', (5, 11)) ('high-calorie', 'Var', (234, 246)) ('cancer', 'Disease', (5, 11)) ('men', 'Species', '9606', (282, 285)) ('cancer', 'Phenotype', 'HP:0002664', (118, 124)) ('cancer', 'Phenotype', 'HP:0002664', (5, 11)) ('cancer', 'Disease', 'MESH:D009369', (118, 124)) ('sedentary', 'Disease', (212, 221)) 10993 29396516 Moreover, inhibition of RAP80 greatly sensitized EC cells to ATM inhibitor KU-55933, triggering a potential combination of RAP80 inhibitors and ATM inhibitors to enhance the therapeutic efficiency of ESCC patients for the clinicians. ('ATM', 'Gene', '472', (144, 147)) ('patients', 'Species', '9606', (205, 213)) ('sensitized', 'Reg', (38, 48)) ('inhibitors', 'Var', (129, 139)) ('KU-55933', 'Chemical', 'MESH:C495818', (75, 83)) ('enhance', 'PosReg', (162, 169)) ('ATM', 'Gene', (61, 64)) ('RAP80', 'Gene', '51720', (123, 128)) ('ATM', 'Gene', (144, 147)) ('ATM', 'Gene', '472', (61, 64)) ('inhibition', 'Var', (10, 20)) ('RAP80', 'Gene', (24, 29)) ('combination', 'Interaction', (108, 119)) ('RAP80', 'Gene', (123, 128)) ('RAP80', 'Gene', '51720', (24, 29)) 11007 29396516 In summary, our findings support a possible combination of RAP80 inhibitors with ATM inhibitors or USP13 inhibitors to enhance the therapeutic efficiency for ESCC patients. ('enhance', 'PosReg', (119, 126)) ('USP13', 'Gene', '8975', (99, 104)) ('patients', 'Species', '9606', (163, 171)) ('ATM', 'Gene', (81, 84)) ('USP13', 'Gene', (99, 104)) ('combination', 'Interaction', (44, 55)) ('ESCC', 'Disease', (158, 162)) ('therapeutic', 'MPA', (131, 142)) ('ATM', 'Gene', '472', (81, 84)) ('inhibitors', 'Var', (65, 75)) ('RAP80', 'Gene', (59, 64)) ('RAP80', 'Gene', '51720', (59, 64)) 11025 29396516 In response to DNA damage, RAP80 is phosphorylated by ATM/ATR at numerous serine sites (S101, S205, S140, S402, S419) and then forms a pivotal complex with CCDC98-BRCC45-MERIT40-BRCC36-NBA1-BRCA1 (BRCA-A) to regulate the G2/M checkpoint and the cellular sensitivity to irradiation (IR). ('RAP80', 'Gene', (27, 32)) ('S101', 'Var', (88, 92)) ('cellular', 'CPA', (245, 253)) ('MERIT40', 'Gene', '29086', (170, 177)) ('NBA1', 'Gene', '29086', (185, 189)) ('ATR', 'Gene', '545', (58, 61)) ('BRCC36', 'Gene', (178, 184)) ('ATM', 'Gene', '472', (54, 57)) ('S140', 'Var', (100, 104)) ('G2/M checkpoint', 'CPA', (221, 236)) ('CCDC98', 'Gene', (156, 162)) ('BRCC45', 'Gene', (163, 169)) ('RAP80', 'Gene', '51720', (27, 32)) ('S205', 'Var', (94, 98)) ('S419', 'Var', (112, 116)) ('serine', 'Chemical', 'MESH:D012694', (74, 80)) ('ATM', 'Gene', (54, 57)) ('ATR', 'Gene', (58, 61)) ('BRCA1', 'Gene', '672', (190, 195)) ('BRCA1', 'Gene', (190, 195)) ('NBA1', 'Gene', (185, 189)) ('CCDC98', 'Gene', '84142', (156, 162)) ('BRCC36', 'Gene', '79184', (178, 184)) ('BRCC45', 'Gene', '9577', (163, 169)) ('regulate', 'Reg', (208, 216)) ('MERIT40', 'Gene', (170, 177)) ('S402', 'Var', (106, 110)) 11027 29396516 Intriguingly, the expression of pATM/ATM was obviously reduced in shRAP80 #1 infected EC cells, especially when treated with KU-55933 (Fig. ('RAP80', 'Gene', (68, 73)) ('KU-55933', 'Var', (125, 133)) ('reduced', 'NegReg', (55, 62)) ('pATM/ATM', 'Gene', '472', (32, 40)) ('expression', 'MPA', (18, 28)) ('RAP80', 'Gene', '51720', (68, 73)) ('pATM/ATM', 'Gene', (32, 40)) ('KU-55933', 'Chemical', 'MESH:C495818', (125, 133)) 11033 29396516 Results from flow cytometry showed that EC1/shRAP80 #1 cells were significantly arrested in G2/M phase, especially when treated with KU-55933 (Fig. ('RAP80', 'Gene', '51720', (46, 51)) ('RAP80', 'Gene', (46, 51)) ('KU-55933', 'Chemical', 'MESH:C495818', (133, 141)) ('KU-55933', 'Var', (133, 141)) ('G2/M phase', 'CPA', (92, 102)) ('EC1', 'Gene', (40, 43)) ('EC1', 'Gene', '4819', (40, 43)) ('arrested', 'NegReg', (80, 88)) 11034 29396516 Besides, the following western blotting assays of G2/M checkpoint-specific proteins, such as CHK1/2, Cyclin A, further confirmed the G2/M cell cycle arrest in EC1/shRAP80 #1 cells, particularly in response to KU-55933 treatment (Fig. ('G2/M cell cycle arrest', 'CPA', (133, 155)) ('EC1', 'Gene', '4819', (159, 162)) ('KU-55933', 'Chemical', 'MESH:C495818', (209, 217)) ('EC1', 'Gene', (159, 162)) ('RAP80', 'Gene', '51720', (165, 170)) ('RAP80', 'Gene', (165, 170)) ('KU-55933', 'Var', (209, 217)) 11037 29396516 In the study, data from colonial survival assays showed that ATM inhibitor KU-55933 strongly enhanced the cell growth inhibition of EC1/shRAP80 #1 cells(Fig. ('KU-55933', 'Chemical', 'MESH:C495818', (75, 83)) ('cell growth inhibition', 'CPA', (106, 128)) ('KU-55933', 'Var', (75, 83)) ('ATM', 'Gene', (61, 64)) ('EC1', 'Gene', (132, 135)) ('enhanced', 'PosReg', (93, 101)) ('EC1', 'Gene', '4819', (132, 135)) ('ATM', 'Gene', '472', (61, 64)) ('RAP80', 'Gene', '51720', (138, 143)) ('RAP80', 'Gene', (138, 143)) 11038 29396516 4e), uncovering a possible combination therapy of RAP80 inhibitors and ATM inhibitors for ESCC patients. ('patients', 'Species', '9606', (95, 103)) ('ATM', 'Gene', (71, 74)) ('RAP80', 'Gene', '51720', (50, 55)) ('ATM', 'Gene', '472', (71, 74)) ('RAP80', 'Gene', (50, 55)) ('inhibitors', 'Var', (56, 66)) ('ESCC', 'Disease', (90, 94)) 11045 29396516 Interestingly, similar to pATM, the expression of USP13 was also reduced in EC cells infected with shRAP80 #1, which could be further enhanced by KU-55933 (Fig. ('USP13', 'Gene', (50, 55)) ('RAP80', 'Gene', '51720', (101, 106)) ('RAP80', 'Gene', (101, 106)) ('reduced', 'NegReg', (65, 72)) ('enhanced', 'PosReg', (134, 142)) ('ATM', 'Gene', (27, 30)) ('KU-55933', 'Chemical', 'MESH:C495818', (146, 154)) ('USP13', 'Gene', '8975', (50, 55)) ('ATM', 'Gene', '472', (27, 30)) ('expression', 'MPA', (36, 46)) ('KU-55933', 'Var', (146, 154)) 11055 29396516 It is reported that the foci formation of gammaH2AX is positively correlated with the severity of DNA damage both in vivo and in vitro. ('DNA damage', 'Disease', (98, 108)) ('correlated', 'Reg', (66, 76)) ('gammaH2AX', 'Chemical', '-', (42, 51)) ('gammaH2AX', 'Var', (42, 51)) 11056 29396516 Results from our confocal IF assays showed that gammaH2AX foci-positive cells in 200 cells were significantly increased in shRAP80 #1 transfected cells, especially when treated with cisplatin (Fig. ('RAP80', 'Gene', '51720', (125, 130)) ('RAP80', 'Gene', (125, 130)) ('cisplatin', 'Chemical', 'MESH:D002945', (182, 191)) ('increased', 'PosReg', (110, 119)) ('gammaH2AX', 'Protein', (48, 57)) ('gammaH2AX', 'Chemical', '-', (48, 57)) ('transfected', 'Var', (134, 145)) 11084 29396516 Paradoxically, in pancreatic cancer cells, it is reported that inhibition of RAP80 using siRNAs, the cell apoptosis is significantly induced, indicated by the expression of apoptotic biomarkers, including BAX, BCL-2, SURVIVIN, and Caspas-8 at both mRNA and protein levels, revealing an oncogenic role of RAP80 in pancreatic tumorigenesis. ('cell apoptosis', 'CPA', (101, 115)) ('RAP80', 'Gene', '51720', (77, 82)) ('siRNAs', 'Gene', (89, 95)) ('BCL-2', 'Gene', '596', (210, 215)) ('pancreatic cancer', 'Phenotype', 'HP:0002894', (18, 35)) ('BCL-2', 'Gene', (210, 215)) ('pancreatic', 'Disease', 'MESH:D010195', (313, 323)) ('RAP80', 'Gene', '51720', (304, 309)) ('tumor', 'Phenotype', 'HP:0002664', (324, 329)) ('BAX', 'Gene', (205, 208)) ('pancreatic', 'Disease', 'MESH:D010195', (18, 28)) ('BAX', 'Gene', '581', (205, 208)) ('induced', 'PosReg', (133, 140)) ('pancreatic', 'Disease', (313, 323)) ('pancreatic cancer', 'Disease', 'MESH:D010190', (18, 35)) ('cancer', 'Phenotype', 'HP:0002664', (29, 35)) ('RAP80', 'Gene', (77, 82)) ('inhibition', 'Var', (63, 73)) ('pancreatic', 'Disease', (18, 28)) ('pancreatic cancer', 'Disease', (18, 35)) ('tumor', 'Disease', (324, 329)) ('RAP80', 'Gene', (304, 309)) ('tumor', 'Disease', 'MESH:D009369', (324, 329)) 11087 29396516 It is reported that knockdown of RAP80 using siRNAs in Hela cells treated with IR showed a defective G2/M checkpoint control. ('Hela', 'CellLine', 'CVCL:0030', (55, 59)) ('RAP80', 'Gene', '51720', (33, 38)) ('defective', 'NegReg', (91, 100)) ('RAP80', 'Gene', (33, 38)) ('G2/M checkpoint control', 'CPA', (101, 124)) ('knockdown', 'Var', (20, 29)) 11089 29396516 Upon DNA damage, RAP80 is reported to be phosphorylated at several serine sites, such as S101, S140, S205, S402, S419, S677, which requires the involvement of ATM kinase, substrates of which have also been suggested to control the G2/M checkpoint, including BRCA1, CHK2, RAD17. ('RAP80', 'Gene', '51720', (17, 22)) ('BRCA1', 'Gene', '672', (258, 263)) ('CHK2', 'Gene', '11200', (265, 269)) ('ATM', 'Gene', '472', (159, 162)) ('BRCA1', 'Gene', (258, 263)) ('control', 'Reg', (219, 226)) ('S419', 'Var', (113, 117)) ('ATM', 'Gene', (159, 162)) ('S101', 'Var', (89, 93)) ('RAD17', 'Gene', '5884', (271, 276)) ('S205', 'Var', (101, 105)) ('S677', 'Var', (119, 123)) ('S140', 'Var', (95, 99)) ('serine', 'Chemical', 'MESH:D012694', (67, 73)) ('S402', 'Var', (107, 111)) ('RAP80', 'Gene', (17, 22)) ('RAD17', 'Gene', (271, 276)) ('CHK2', 'Gene', (265, 269)) 11090 29396516 In the study, our data showed that inhibition of RAP80 caused a significant G2/M cell cycle arrest, which could be obviously enhanced by ATM inhibitor KU-55933, suggesting that the activated ATM is necessarily required for RAP80 to facilitate the G2/M checkpoint transition in EC cells. ('ATM', 'Gene', (191, 194)) ('G2/M cell cycle arrest', 'CPA', (76, 98)) ('KU-55933', 'Chemical', 'MESH:C495818', (151, 159)) ('enhanced', 'PosReg', (125, 133)) ('ATM', 'Gene', (137, 140)) ('ATM', 'Gene', '472', (191, 194)) ('G2/M', 'CPA', (247, 251)) ('inhibition', 'Var', (35, 45)) ('ATM', 'Gene', '472', (137, 140)) ('RAP80', 'Gene', '51720', (223, 228)) ('RAP80', 'Gene', (223, 228)) ('RAP80', 'Gene', '51720', (49, 54)) ('RAP80', 'Gene', (49, 54)) 11110 29396516 However, the recruitment of RAD51 was unimpaired in RAP80 knockdown cells treated with or without cisplatin. ('RAP80', 'Gene', (52, 57)) ('RAD51', 'Gene', (28, 33)) ('RAD51', 'Gene', '5888', (28, 33)) ('cisplatin', 'Chemical', 'MESH:D002945', (98, 107)) ('knockdown', 'Var', (58, 67)) ('RAP80', 'Gene', '51720', (52, 57)) 11112 29396516 Overall, our data support the following conclusions: first, RAP80 is a novel and independent biomarker for predicting the development of ESCC; second, targeting RAP80 is a promising way for ESCC patients' therapy; third, combination application of RAP80 inhibitors and ATM inhibitors or USP13 inhibitors will remarkably increase the therapeutic opportunities for ESCC patients in the future. ('USP13', 'Gene', (287, 292)) ('increase', 'PosReg', (320, 328)) ('ATM', 'Gene', '472', (269, 272)) ('ESCC', 'Disease', (363, 367)) ('inhibitors', 'Var', (254, 264)) ('RAP80', 'Gene', '51720', (60, 65)) ('RAP80', 'Gene', (60, 65)) ('RAP80', 'Gene', '51720', (161, 166)) ('RAP80', 'Gene', (161, 166)) ('ATM', 'Gene', (269, 272)) ('patients', 'Species', '9606', (195, 203)) ('patients', 'Species', '9606', (368, 376)) ('RAP80', 'Gene', '51720', (248, 253)) ('RAP80', 'Gene', (248, 253)) ('USP13', 'Gene', '8975', (287, 292)) ('combination', 'Interaction', (221, 232)) 11113 29396516 EC cell lines, including EC109, EC1, EC9706, TE1, KYSE150, and the immortalized esophageal epithelial cell line HEEC were all cultured in Dulbecco's modified Eagle's medium (DMEM) with addition of 12% fetal bovine serum, 100 U/ml penicillin, and 100 U/ml streptomycin, and maintained at 37 C incubator with 5% CO2. ('DMEM', 'Chemical', '-', (174, 178)) ("Dulbecco's modified Eagle's medium", 'Chemical', '-', (138, 172)) ('HEEC', 'CellLine', 'None', (112, 116)) ('EC1', 'Gene', '4819', (25, 28)) ('EC1', 'Gene', (25, 28)) ('EC9706', 'Var', (37, 43)) ('CO2', 'Chemical', '-', (311, 314)) ('EC1', 'Gene', '4819', (32, 35)) ('penicillin', 'Chemical', 'MESH:D010406', (230, 240)) ('EC1', 'Gene', (32, 35)) ('streptomycin', 'Chemical', 'MESH:D013307', (255, 267)) ('EC9706', 'CellLine', 'CVCL:E307', (37, 43)) ('bovine', 'Species', '9913', (207, 213)) 11119 29396516 The establishment of stable RAP80 knockdown EC cells and the transfection of plasmids were performed according to our previous protocols. ('knockdown', 'Var', (34, 43)) ('RAP80', 'Gene', '51720', (28, 33)) ('RAP80', 'Gene', (28, 33)) 11129 29396516 For the detection of foci formation of gammaH2AX, RAD51, and BRCA1 in EC cells treated with or without cisplatin, the immunofluorescence assays (IF) were carried out and finally, the slides were analyzed under the confocal microscope (Zeiss). ('BRCA1', 'Gene', (61, 66)) ('cisplatin', 'Chemical', 'MESH:D002945', (103, 112)) ('gammaH2AX', 'Chemical', '-', (39, 48)) ('gammaH2AX', 'Var', (39, 48)) ('RAD51', 'Gene', (50, 55)) ('BRCA1', 'Gene', '672', (61, 66)) ('RAD51', 'Gene', '5888', (50, 55)) 11257 28207537 The dissection rates of lymph nodes in the middle (P = 0.012) and lower esophagus (P = 0.027) in the LTT group was higher than that in the LTA group (P = 0.069). ('LTT', 'Var', (101, 104)) ('dissection rates', 'CPA', (4, 20)) ('LTA', 'Chemical', '-', (139, 142)) ('higher', 'PosReg', (115, 121)) ('LTT', 'Chemical', '-', (101, 104)) 11259 28207537 The dissection rates of lymph nodes in the superior pyloric (P = 0.022) and inferior pylorus (P = 0.001) in the LTA group were significantly higher than those in the IL and LTT groups. ('LTA', 'Var', (112, 115)) ('dissection rates', 'CPA', (4, 20)) ('LTT', 'Chemical', '-', (173, 176)) ('higher', 'PosReg', (141, 147)) ('LTA', 'Chemical', '-', (112, 115)) 11283 28207537 Yamashita et al believe that dissection of the abdominal proximal perigastric lymph nodes, including the para-cardiac, lesser curvature of the stomach, left gastric artery, and splenic artery lymph nodes, has great survival benefits. ('cardia', 'Disease', 'MESH:D004938', (110, 116)) ('cardia', 'Disease', (110, 116)) ('splenic artery lymph nodes', 'Disease', (177, 203)) ('splenic artery lymph nodes', 'Disease', 'MESH:D000072717', (177, 203)) ('dissection', 'Var', (29, 39)) ('survival benefits', 'CPA', (215, 232)) 11291 28207537 Three studies discussed the optimal extent of the thoracic lymph node dissection for Siewert type II AEG and reported that dissection of the middle and lower esophageal lymph nodes under the inferior mediastinum had significant survival benefits. ('dissection', 'Var', (123, 133)) ('AEG', 'Chemical', '-', (101, 104)) ('esophageal lymph nodes', 'Disease', (158, 180)) ('survival benefits', 'CPA', (228, 245)) ('esophageal lymph nodes', 'Disease', 'MESH:D000072717', (158, 180)) 11314 28111535 Regarding the stage of cancer, T1aN1 is now classified as Stage II, as is the case with T1bN1. ('N1', 'Chemical', 'MESH:C058271', (91, 93)) ('T1aN1', 'Var', (31, 36)) ('N1', 'Chemical', 'MESH:C058271', (34, 36)) ('cancer', 'Disease', (23, 29)) ('cancer', 'Disease', 'MESH:D009369', (23, 29)) ('cancer', 'Phenotype', 'HP:0002664', (23, 29)) 11339 28111535 : Mt, 5 cm, Type 2, moderately differentiated squamous cell carcinoma, pT3, INFa, ly1, v1, IM0, pPM0, pDM0, pRM0, multiple primary carcinomas (present, two lesions), CRT-grade 2, pN1 (2/30), sM0, fStage III. ('pDM0', 'Var', (102, 106)) ('RM0', 'Chemical', '-', (109, 112)) ('pN1', 'Gene', (179, 182)) ('DM0', 'Chemical', '-', (103, 106)) ('ly', 'Chemical', '-', (28, 30)) ('moderately', 'Disease', (20, 30)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (46, 69)) ('pN1', 'Gene', '5270', (179, 182)) ('pRM0', 'Var', (108, 112)) ('carcinomas', 'Disease', (131, 141)) ('ly', 'Chemical', '-', (82, 84)) ('pT3', 'Gene', (71, 74)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (46, 69)) ('carcinoma', 'Phenotype', 'HP:0030731', (131, 140)) ('carcinomas', 'Phenotype', 'HP:0030731', (131, 141)) ('carcinomas', 'Disease', 'MESH:D002277', (131, 141)) ('INFa', 'Gene', '3451', (76, 80)) ('CR', 'Chemical', 'MESH:D002857', (166, 168)) ('carcinoma', 'Phenotype', 'HP:0030731', (60, 69)) ('squamous cell carcinoma', 'Disease', (46, 69)) ('pT3', 'Gene', '7694', (71, 74)) ('pPM0', 'Var', (96, 100)) ('INFa', 'Gene', (76, 80)) 11379 28111535 T4b Aorta (great artery), trachea, bronchus, pulmonary vein, pulmonary artery, vertebral body. ('ac', 'Chemical', 'MESH:D000186', (28, 30)) ('T4b', 'Var', (0, 3)) ('pulmonary vein', 'Disease', 'MESH:D000071078', (45, 59)) ('pulmonary vein', 'Disease', (45, 59)) ('pulmonary artery', 'Disease', (61, 77)) ('pulmonary artery', 'Disease', 'MESH:D000071079', (61, 77)) 11383 28111535 Note 2: Superficial esophageal cancer: T1a and T1b are designated as superficial cancer regardless of lymph node or distant organ metastasis. ('esophageal cancer', 'Disease', (20, 37)) ('esophageal cancer', 'Disease', 'MESH:D004938', (20, 37)) ('T1b', 'Var', (47, 50)) ('cancer', 'Disease', 'MESH:D009369', (81, 87)) ('cancer', 'Phenotype', 'HP:0002664', (31, 37)) ('T1a', 'Gene', '10630', (39, 42)) ('cancer', 'Disease', (81, 87)) ('T1a', 'Gene', (39, 42)) ('cancer', 'Disease', 'MESH:D009369', (31, 37)) ('ly', 'Chemical', '-', (102, 104)) ('cancer', 'Phenotype', 'HP:0002664', (81, 87)) ('cancer', 'Disease', (31, 37)) 11521 28111535 Proximal and distal margin (pPM, pDM)Note Note: The distance from surgical margin to tumor edge in pPM0 or pDM0 is measured in histological specimens (mm). ('DM', 'Disease', 'MESH:D009223', (109, 111)) ('tumor', 'Phenotype', 'HP:0002664', (86, 91)) ('DM0', 'Chemical', '-', (109, 112)) ('tumor', 'Disease', (86, 91)) ('DM', 'Disease', 'MESH:D009223', (34, 36)) ('tumor', 'Disease', 'MESH:D009369', (86, 91)) ('pPM0', 'Var', (100, 104)) 11738 27832115 The aberrations in miRNA expression have been reported to be involved in tumorigenesis and cancer development. ('aberrations', 'Var', (4, 15)) ('tumor', 'Disease', 'MESH:D009369', (73, 78)) ('involved', 'Reg', (61, 69)) ('cancer', 'Disease', (91, 97)) ('cancer', 'Disease', 'MESH:D009369', (91, 97)) ('tumor', 'Phenotype', 'HP:0002664', (73, 78)) ('tumor', 'Disease', (73, 78)) ('miRNA', 'Gene', (19, 24)) ('cancer', 'Phenotype', 'HP:0002664', (91, 97)) 11768 27832115 Accumulating evidence has demonstrated that miRNAs are stable in body fluids such as saliva and have a great potential to become noninvasive screening tools for cancer detection. ('cancer', 'Disease', (161, 167)) ('miRNAs', 'Var', (44, 50)) ('cancer', 'Disease', 'MESH:D009369', (161, 167)) ('cancer', 'Phenotype', 'HP:0002664', (161, 167)) 11790 23986848 reported the shunt-preserving disconnection of the portal and systemic circulation (SPDPS) for immediate and permanent clearing of encephalopathy without elicitation of these complications during prolonged follow-up. ('man', 'Species', '9606', (112, 115)) ('encephalopathy', 'Phenotype', 'HP:0001298', (131, 145)) ('encephalopathy', 'Disease', (131, 145)) ('SPDPS', 'Chemical', 'MESH:C018151', (84, 89)) ('disconnection', 'Var', (30, 43)) ('encephalopathy', 'Disease', 'MESH:D001927', (131, 145)) 11826 23986848 reported three patients in whom embolization of the proximal part of the splenic vein resulted in a disconnection of the mesenteric-portal blood flow from the systemic circulation while preserving the shunt. ('shunt', 'MPA', (201, 206)) ('patients', 'Species', '9606', (15, 23)) ('mesenteric-portal blood flow', 'MPA', (121, 149)) ('disconnection', 'NegReg', (100, 113)) ('embolization', 'Var', (32, 44)) 11955 21556122 In this study, the survival rate was higher in NY-ESO-1 positive cases, but did not reach statistical significance. ('higher', 'PosReg', (37, 43)) ('positive', 'Var', (56, 64)) ('NY-ESO-1', 'Gene', '246100', (47, 55)) ('survival rate', 'CPA', (19, 32)) ('NY-ESO-1', 'Gene', (47, 55)) 11997 33430937 Wound healing disorders with special wound treatment, abscess, and lymphatic fistula caused by damage to the lymphatic system with leakage of chyle fluid into the cavities (defined as a milky-colored fluid from a drain, drain site, or wound on or after POD 3, with a triglyceride content >= 110 mg/dL respectively >= 1.2 mmol/L) also accounts for postoperative morbidity. ('lymphatic fistula', 'Disease', 'MESH:D008206', (67, 84)) ('lymphatic fistula', 'Disease', (67, 84)) ('abscess', 'Disease', (54, 61)) ('abscess', 'Phenotype', 'HP:0025615', (54, 61)) ('triglyceride', 'Chemical', 'MESH:D014280', (267, 279)) ('leakage', 'MPA', (131, 138)) ('healing disorders', 'Disease', (6, 23)) ('damage', 'Var', (95, 101)) ('healing disorders', 'Disease', 'MESH:C563468', (6, 23)) 12022 33430937 This is clearly relevant in order to reduce surgeon-related influences as it could be shown by Nimptsch in 2018 that the mortality rate after esophageal surgery was lower in centers with high case numbers compared to those with very low case numbers with an OR[CI] of 0.50 ([0.42; 0.60]). ('mortality', 'Disease', 'MESH:D003643', (121, 130)) ('high case numbers', 'Var', (187, 204)) ('mortality', 'Disease', (121, 130)) ('lower', 'NegReg', (165, 170)) 12080 33193757 Inhibition of miR-21 reduced migration and invasion in two ESCC cell lines, and overexpression of miR-21 promoted migration and invasion in vitro. ('overexpression', 'PosReg', (80, 94)) ('miR-21', 'Gene', (98, 104)) ('promoted', 'PosReg', (105, 113)) ('reduced', 'NegReg', (21, 28)) ('miR-21', 'Gene', '406991', (14, 20)) ('migration', 'CPA', (114, 123)) ('miR-21', 'Gene', (14, 20)) ('migration', 'CPA', (29, 38)) ('Inhibition', 'Var', (0, 10)) ('miR-21', 'Gene', '406991', (98, 104)) ('invasion', 'CPA', (128, 136)) 12083 33193757 Moreover, the forced overexpression of miR-21 repressed the TPM1 expression, while silencing of miR-21 restored the TPM1 expression in ESCC cell lines. ('TPM1', 'Gene', (60, 64)) ('miR-21', 'Gene', '406991', (39, 45)) ('miR-21', 'Gene', (96, 102)) ('expression', 'MPA', (121, 131)) ('overexpression', 'PosReg', (21, 35)) ('miR-21', 'Gene', (39, 45)) ('miR-21', 'Gene', '406991', (96, 102)) ('silencing', 'Var', (83, 92)) 12085 33193757 In conclusion, the aberrant overexpression of miR-21 is common in cancer and promotes the migration and invasion of ESCC through inhibiting the TPM1 expression. ('inhibiting', 'NegReg', (129, 139)) ('promotes', 'PosReg', (77, 85)) ('migration', 'CPA', (90, 99)) ('ESCC', 'Disease', (116, 120)) ('miR-21', 'Gene', '406991', (46, 52)) ('cancer', 'Phenotype', 'HP:0002664', (66, 72)) ('TPM1', 'Gene', (144, 148)) ('cancer', 'Disease', 'MESH:D009369', (66, 72)) ('expression', 'MPA', (149, 159)) ('miR-21', 'Gene', (46, 52)) ('overexpression', 'PosReg', (28, 42)) ('invasion', 'CPA', (104, 112)) ('aberrant', 'Var', (19, 27)) ('cancer', 'Disease', (66, 72)) 12124 33193757 Subsequently, transwell assays were performed to test the effects of changes in the miR-21 expression on ESCC migration and invasion. ('ESCC', 'Disease', (105, 109)) ('miR-21', 'Gene', '406991', (84, 90)) ('miR-21', 'Gene', (84, 90)) ('invasion', 'CPA', (124, 132)) ('changes', 'Var', (69, 76)) 12125 33193757 In EC109 cells, antagonism of miRNA-21 significantly impeded migration and invasion (Figure 2(c)). ('impeded', 'NegReg', (53, 60)) ('antagonism', 'Var', (16, 26)) ('miRNA-21', 'Gene', '406991', (30, 38)) ('miRNA-21', 'Gene', (30, 38)) ('EC109', 'CellLine', 'CVCL:6898', (3, 8)) 12131 33193757 In EC109 transfected with the TPM1-3'UTR vector (wild type), transfection with miR-21 oligonucleotide mimics significantly reduced the luciferase activity of the 3'UTR-TPM1, compared with the blank group or the negative control double-stranded oligonucleotide group (P < 0.05). ('luciferase', 'Enzyme', (135, 145)) ('activity', 'MPA', (146, 154)) ('oligonucleotide', 'Chemical', 'MESH:D009841', (86, 101)) ('TPM1-3', 'Gene', (30, 36)) ('TPM1-3', 'Gene', '7168;7169;7170', (30, 36)) ('oligonucleotide', 'Chemical', 'MESH:D009841', (244, 259)) ('miR-21', 'Gene', (79, 85)) ("3'UTR-TPM1", 'Var', (162, 172)) ('miR-21', 'Gene', '406991', (79, 85)) ('reduced', 'NegReg', (123, 130)) ('EC109', 'CellLine', 'CVCL:6898', (3, 8)) 12132 33193757 In contrast, transfection with the miR-21 antisense oligonucleotide increased the luciferase activity from the 3'UTR-TMPI reporter by more than 19% compared with the negative control single-stranded oligonucleotide (P < 0.05) (Figure 3(b)). ('antisense oligonucleotide', 'Var', (42, 67)) ('activity', 'MPA', (93, 101)) ('oligonucleotide', 'Chemical', 'MESH:D009841', (199, 214)) ('luciferase', 'Enzyme', (82, 92)) ('miR-21', 'Gene', (35, 41)) ('oligonucleotide', 'Chemical', 'MESH:D009841', (52, 67)) ('increased', 'PosReg', (68, 77)) ('miR-21', 'Gene', '406991', (35, 41)) 12142 33193757 In accordance with the luciferase assay results, the miR-21 expression was reduced by miR-21 inhibitors in EC109 cells, relative to the negative control inhibitor, and miR-21 was upregulated by miR-21 mimics in EC1 cells compared to the negative control mimics (Figure 3(h)). ('miR-21', 'Gene', '406991', (86, 92)) ('expression', 'MPA', (60, 70)) ('miR-21', 'Gene', '406991', (194, 200)) ('miR-21', 'Gene', '406991', (53, 59)) ('miR-21', 'Gene', (168, 174)) ('EC109', 'CellLine', 'CVCL:6898', (107, 112)) ('miR-21', 'Gene', (86, 92)) ('reduced', 'NegReg', (75, 82)) ('upregulated', 'PosReg', (179, 190)) ('EC1', 'CellLine', 'CVCL:5V05', (107, 110)) ('miR-21', 'Gene', '406991', (168, 174)) ('miR-21', 'Gene', (194, 200)) ('miR-21', 'Gene', (53, 59)) ('EC1', 'CellLine', 'CVCL:5V05', (211, 214)) ('inhibitors', 'Var', (93, 103)) 12145 33193757 Considering that TPM1 is known as a potent inhibitor of tumor migration and invasion, we determined whether posttranslation silencing of TPM1 is required for miR-21 to promote ESCC migration and invasion. ('ESCC', 'Disease', (176, 180)) ('tumor', 'Phenotype', 'HP:0002664', (56, 61)) ('TPM1', 'Gene', (137, 141)) ('tumor', 'Disease', 'MESH:D009369', (56, 61)) ('silencing', 'Var', (124, 133)) ('tumor', 'Disease', (56, 61)) ('promote', 'PosReg', (168, 175)) ('invasion', 'CPA', (195, 203)) ('miR-21', 'Gene', '406991', (158, 164)) ('miR-21', 'Gene', (158, 164)) 12173 33193757 Silencing of the miR-21 target gene PTEN promotes invasion and migration in ovarian epithelial carcinomas, and the repression of the miR-21 target genes TPM1, PDCD4, and maspin can enhance invasion and metastasis in breast cancer. ('PTEN', 'Gene', (36, 40)) ('Silencing', 'Var', (0, 9)) ('maspin', 'Gene', (170, 176)) ('repression', 'NegReg', (115, 125)) ('TPM1', 'Gene', (153, 157)) ('invasion', 'CPA', (50, 58)) ('miR-21', 'Gene', (133, 139)) ('cancer', 'Phenotype', 'HP:0002664', (223, 229)) ('ovarian epithelial carcinomas', 'Disease', 'MESH:D010051', (76, 105)) ('enhance', 'PosReg', (181, 188)) ('PTEN', 'Gene', '5728', (36, 40)) ('carcinoma', 'Phenotype', 'HP:0030731', (95, 104)) ('carcinomas', 'Phenotype', 'HP:0030731', (95, 105)) ('miR-21', 'Gene', '406991', (17, 23)) ('PDCD4', 'Gene', (159, 164)) ('breast cancer', 'Phenotype', 'HP:0003002', (216, 229)) ('promotes', 'PosReg', (41, 49)) ('PDCD4', 'Gene', '27250', (159, 164)) ('ovarian epithelial carcinomas', 'Disease', (76, 105)) ('breast cancer', 'Disease', 'MESH:D001943', (216, 229)) ('miR-21', 'Gene', (17, 23)) ('breast cancer', 'Disease', (216, 229)) ('miR-21', 'Gene', '406991', (133, 139)) ('ovarian epithelial carcinomas', 'Phenotype', 'HP:0025318', (76, 105)) ('maspin', 'Gene', '5268', (170, 176)) 12180 33193757 With advancements in RNA interference and its clinical application, RNAi-mediated rescue of the silenced TPM1 expression, as well as other potential antioncogenes in ESCC cells with synthetic miR-21 inhibitors, may be a therapeutic method to control ESCC invasion and migration. ('migration', 'CPA', (268, 277)) ('TPM1', 'Gene', (105, 109)) ('miR-21', 'Gene', (192, 198)) ('silenced', 'Var', (96, 104)) ('ESCC', 'Disease', (250, 254)) ('miR-21', 'Gene', '406991', (192, 198)) 12183 33193757 These findings raise the possibility that miR-21 is a potential biomarker to predict ESCC progression, and that miR-21 interference could be an adjuvant therapeutic method for ESCC by inhibiting cancer cell migration and invasion through relieving the TPM1 repression. ('ESCC', 'Disease', (176, 180)) ('repression', 'MPA', (257, 267)) ('miR-21', 'Gene', (42, 48)) ('miR-21', 'Gene', '406991', (112, 118)) ('TPM1', 'Gene', (252, 256)) ('interference', 'Var', (119, 131)) ('cancer', 'Disease', (195, 201)) ('cancer', 'Disease', 'MESH:D009369', (195, 201)) ('ESCC', 'Disease', (85, 89)) ('miR-21', 'Gene', '406991', (42, 48)) ('relieving', 'NegReg', (238, 247)) ('inhibiting', 'NegReg', (184, 194)) ('miR-21', 'Gene', (112, 118)) ('invasion', 'CPA', (221, 229)) ('cancer', 'Phenotype', 'HP:0002664', (195, 201)) 12268 32533533 In the 2L setting, taxanes significantly improved survival compared with non-taxane therapies, but only to a modest degree. ('taxanes', 'Var', (19, 26)) ('improved', 'PosReg', (41, 49)) ('survival', 'MPA', (50, 58)) ('taxane', 'Chemical', 'MESH:C080625', (19, 25)) ('taxanes', 'Chemical', 'MESH:D043823', (19, 26)) ('taxane', 'Chemical', 'MESH:C080625', (77, 83)) 12375 32214837 Association of XRCC1, XRCC2 and XRCC3 Gene Polymorphism with Esophageal Cancer Risk The X-ray repair cross-complementing (XRCC) gene polymorphisms influence esophageal carcinogenesis by altering the DNA repair capacity. ('DNA repair capacity', 'MPA', (199, 218)) ('XRCC3', 'Gene', (32, 37)) ('esophageal carcinogenesis', 'Disease', (157, 182)) ('Esophageal Cancer', 'Disease', (61, 78)) ('polymorphisms', 'Var', (133, 146)) ('XRCC2', 'Gene', (22, 27)) ('XRCC3', 'Gene', '7517', (32, 37)) ('XRCC1', 'Gene', '7515', (15, 20)) ('altering', 'Reg', (186, 194)) ('influence', 'Reg', (147, 156)) ('men', 'Species', '9606', (113, 116)) ('Esophageal Cancer', 'Disease', 'MESH:D004938', (61, 78)) ('Cancer', 'Phenotype', 'HP:0002664', (72, 78)) ('XRCC2', 'Gene', '7516', (22, 27)) ('esophageal carcinogenesis', 'Disease', 'MESH:D063646', (157, 182)) ('XRCC1', 'Gene', (15, 20)) 12376 32214837 The present study was designed to screen five single nucleotide polymorphisms (SNPs) of XRCC genes for their susceptibility to esophageal cancer (EC) risk. ('susceptibility', 'Reg', (109, 123)) ('esophageal cancer', 'Disease', (127, 144)) ('esophageal cancer', 'Disease', 'MESH:D004938', (127, 144)) ('cancer', 'Phenotype', 'HP:0002664', (138, 144)) ('XRCC genes', 'Gene', (88, 98)) ('single nucleotide polymorphisms', 'Var', (46, 77)) 12379 32214837 For XRCC1 p.Arg399Gln, a decreased risk for EC was associated with the AA genotype [OR (95% CI): 0.53 (0.3-0.95), p=0.03] even after adjusting for various covariates [OR (95% CI): 0.49 (0.26-0.9), p=0.024] and with the recessive model [OR (95% CI): 0.49 (0.27-0.8), p=0.016]. ('p.Arg399Gln', 'Var', (10, 21)) ('XRCC1', 'Gene', (4, 9)) ('p.Arg399Gln', 'Mutation', 'rs25487', (10, 21)) ('decreased', 'NegReg', (25, 34)) 12381 32214837 The two XRCC1 polymorphisms, p.Arg399Gln and p.Arg194Trp were in slight LD among EC patients (D=0.845, r2=0.042). ('XRCC1 p', 'Gene', '7515', (8, 15)) ('p.Arg399Gln', 'Var', (29, 40)) ('p.Arg399Gln', 'Mutation', 'rs25487', (29, 40)) ('patients', 'Species', '9606', (84, 92)) ('p.Arg194Trp', 'Mutation', 'rs1799782', (45, 56)) ('p.Arg194Trp', 'Var', (45, 56)) ('XRCC1 p', 'Gene', (8, 15)) 12382 32214837 XRCC2 and XRCC3 polymorphisms were not associated with EC risk. ('polymorphisms', 'Var', (16, 29)) ('XRCC2', 'Gene', '7516', (0, 5)) ('XRCC2', 'Gene', (0, 5)) ('XRCC3', 'Gene', (10, 15)) ('XRCC3', 'Gene', '7517', (10, 15)) 12383 32214837 XRCC1 p.Arg399Gln plays a protective role in the development of the EC. ('p.Arg399Gln', 'Mutation', 'rs25487', (6, 17)) ('XRCC1', 'Gene', (0, 5)) ('men', 'Species', '9606', (56, 59)) ('p.Arg399Gln', 'Var', (6, 17)) 12384 32214837 The study is the first report from India, providing baseline data about genetic polymorphisms in DNA repair genes XRCC1, XRCC2 and XRCC3 modulating overall EC risk. ('XRCC3', 'Gene', '7517', (131, 136)) ('modulating', 'Reg', (137, 147)) ('XRCC1', 'Gene', '7515', (114, 119)) ('XRCC2', 'Gene', '7516', (121, 126)) ('polymorphisms', 'Var', (80, 93)) ('XRCC2', 'Gene', (121, 126)) ('XRCC3', 'Gene', (131, 136)) ('XRCC1', 'Gene', (114, 119)) 12389 32214837 XRCC1 protein as a part of Base excision repair (BER) pathway plays an efficient role in repairing DNA single-strand breaks. ('XRCC1 p', 'Gene', (0, 7)) ('DNA', 'Var', (99, 102)) ('repairing', 'MPA', (89, 98)) ('XRCC1 p', 'Gene', '7515', (0, 7)) 12391 32214837 Two XRCC1 polymorphisms, p.Arg194Trp (exon 6) and p. Arg280His (exon 9) affect the function of the protein. ('Arg280His', 'Var', (53, 62)) ('affect', 'Reg', (72, 78)) ('p.Arg194Trp', 'Mutation', 'rs1799782', (25, 36)) ('p.Arg194Trp', 'Var', (25, 36)) ('XRCC1 p', 'Gene', (4, 11)) ('XRCC1 p', 'Gene', '7515', (4, 11)) ('Arg280His', 'SUBSTITUTION', 'None', (53, 62)) ('function of the protein', 'MPA', (83, 106)) 12392 32214837 XRCC1 p.Arg399Gln polymorphism in exon 10 has been associated with breast, lung and head and neck cancers. ('cancer', 'Phenotype', 'HP:0002664', (98, 104)) ('cancers', 'Phenotype', 'HP:0002664', (98, 105)) ('neck cancers', 'Disease', (93, 105)) ('XRCC1', 'Gene', (0, 5)) ('head and neck cancer', 'Disease', 'MESH:D006258', (84, 104)) ('p.Arg399Gln', 'Var', (6, 17)) ('associated', 'Reg', (51, 61)) ('p.Arg399Gln', 'Mutation', 'rs25487', (6, 17)) ('neck cancers', 'Disease', 'MESH:D006258', (93, 105)) ('breast', 'Disease', (67, 73)) ('head and neck cancer', 'Phenotype', 'HP:0012288', (84, 104)) ('lung', 'Disease', (75, 79)) ('head and neck cancers', 'Phenotype', 'HP:0012288', (84, 105)) 12394 32214837 XRCC2 p.Arg188His polymorphism located in exon3 has been associated with cancers like pancreatic, ovarian, oral and upper aerodigestive tract cancers. ('upper aerodigestive tract cancers', 'Disease', (116, 149)) ('cancers', 'Disease', (73, 80)) ('pancreatic', 'Disease', (86, 96)) ('upper aerodigestive tract cancers', 'Disease', 'MESH:D006258', (116, 149)) ('cancers', 'Disease', 'MESH:D009369', (142, 149)) ('cancers', 'Disease', (142, 149)) ('XRCC2', 'Gene', '7516', (0, 5)) ('p.Arg188His', 'Mutation', 'rs3218536', (6, 17)) ('p.Arg188His', 'Var', (6, 17)) ('cancer', 'Phenotype', 'HP:0002664', (142, 148)) ('cancer', 'Phenotype', 'HP:0002664', (73, 79)) ('XRCC2', 'Gene', (0, 5)) ('cancers', 'Phenotype', 'HP:0002664', (142, 149)) ('cancers', 'Phenotype', 'HP:0002664', (73, 80)) ('pancreatic', 'Disease', 'MESH:D010195', (86, 96)) ('ovarian', 'Disease', (98, 105)) ('cancers', 'Disease', 'MESH:D009369', (73, 80)) ('associated', 'Reg', (57, 67)) 12396 32214837 Variation in expression of XRCC3 has been reported in various cancers, like gastric, breast, lung, skin and colorectal. ('colorectal', 'Disease', (108, 118)) ('cancer', 'Phenotype', 'HP:0002664', (62, 68)) ('expression', 'MPA', (13, 23)) ('breast', 'Disease', (85, 91)) ('reported', 'Reg', (42, 50)) ('lung', 'Disease', (93, 97)) ('XRCC3', 'Gene', (27, 32)) ('skin', 'Disease', (99, 103)) ('cancers', 'Disease', 'MESH:D009369', (62, 69)) ('gastric', 'Disease', (76, 83)) ('XRCC3', 'Gene', '7517', (27, 32)) ('Variation', 'Var', (0, 9)) ('cancers', 'Phenotype', 'HP:0002664', (62, 69)) ('cancers', 'Disease', (62, 69)) 12397 32214837 The most common polymorphism in XRCC3 p.Thr241Met in exon 7 can influence the ability to repair DNA. ('XRCC3', 'Gene', (32, 37)) ('p.Thr241Met', 'Var', (38, 49)) ('ability', 'MPA', (78, 85)) ('XRCC3', 'Gene', '7517', (32, 37)) ('influence', 'Reg', (64, 73)) ('p.Thr241Met', 'Mutation', 'rs861539', (38, 49)) 12398 32214837 Allelic variants of XRCC1, XRCC2, and XRCC3 are associated with risk of different types of cancer among different populations all over the world. ('associated', 'Reg', (48, 58)) ('Allelic variants', 'Var', (0, 16)) ('cancer', 'Disease', (91, 97)) ('XRCC1', 'Gene', (20, 25)) ('cancer', 'Disease', 'MESH:D009369', (91, 97)) ('XRCC2', 'Gene', '7516', (27, 32)) ('XRCC3', 'Gene', (38, 43)) ('XRCC2', 'Gene', (27, 32)) ('cancer', 'Phenotype', 'HP:0002664', (91, 97)) ('XRCC3', 'Gene', '7517', (38, 43)) ('XRCC1', 'Gene', '7515', (20, 25)) 12401 32214837 Therefore, the present study was carried out to explore the role of five polymorphisms of XRCC genes; XRCC1 (p.Arg399Gln, p.Arg194Trp, p.Arg280His), XRCC2 (p.Arg188His) and XRCC3 (p.Thr241Met) in the risk of EC in the population of Punjab, India. ('p.Arg280His', 'Var', (135, 146)) ('XRCC3', 'Gene', (173, 178)) ('p.Arg399Gln', 'Var', (109, 120)) ('XRCC3', 'Gene', '7517', (173, 178)) ('p.Arg399Gln', 'Mutation', 'rs25487', (109, 120)) ('p.Arg280His', 'Mutation', 'rs25489', (135, 146)) ('p.Arg194Trp', 'Mutation', 'rs1799782', (122, 133)) ('XRCC1', 'Gene', (102, 107)) ('p.Arg194Trp', 'Var', (122, 133)) ('p.Thr241Met', 'Mutation', 'rs861539', (180, 191)) ('XRCC genes', 'Gene', (90, 100)) ('p.Arg188His', 'Mutation', 'rs3218536', (156, 167)) ('p.Arg188His', 'Var', (156, 167)) ('XRCC1', 'Gene', '7515', (102, 107)) ('p.Thr241Met', 'Var', (180, 191)) ('XRCC2', 'Gene', '7516', (149, 154)) ('XRCC2', 'Gene', (149, 154)) 12406 32214837 Previously published primer sequences for XRCC1 p.Arg399Gln, XRCC1 p.Arg194Trp, XRCC1 p.Arg280His, XRCC2 p.Arg188His and XRCC3 p.Thr241Met polymorphisms were used to amplify the target region. ('XRCC1', 'Gene', (61, 66)) ('p.Thr241Met', 'Mutation', 'rs861539', (127, 138)) ('p.Arg194Trp', 'Mutation', 'rs1799782', (67, 78)) ('p.Thr241Met', 'Var', (127, 138)) ('XRCC2', 'Gene', '7516', (99, 104)) ('XRCC2', 'Gene', (99, 104)) ('XRCC1', 'Gene', (42, 47)) ('XRCC3', 'Gene', '7517', (121, 126)) ('p.Arg399Gln', 'Var', (48, 59)) ('p.Arg280His', 'Var', (86, 97)) ('p.Arg399Gln', 'Mutation', 'rs25487', (48, 59)) ('p.Arg194Trp', 'Var', (67, 78)) ('p.Arg280His', 'Mutation', 'rs25489', (86, 97)) ('p.Arg188His', 'Var', (105, 116)) ('XRCC1', 'Gene', (80, 85)) ('XRCC3', 'Gene', (121, 126)) ('p.Arg188His', 'Mutation', 'rs3218536', (105, 116)) 12413 32214837 In the present study 5 polymorphisms; XRCC1 (p.Arg399Gln, p.Arg280His, p.Arg194Trp), XRCC2 (p.Arg188His) and XRCC3 (p.Thr241Met) were studied for the association with risk of esophageal cancer (EC). ('p.Thr241Met', 'Var', (116, 127)) ('XRCC2', 'Gene', '7516', (85, 90)) ('XRCC1', 'Gene', (38, 43)) ('p.Arg399Gln', 'Var', (45, 56)) ('XRCC3', 'Gene', '7517', (109, 114)) ('p.Arg280His', 'Mutation', 'rs25489', (58, 69)) ('p.Arg194Trp', 'Mutation', 'rs1799782', (71, 82)) ('p.Arg188His', 'Mutation', 'rs3218536', (92, 103)) ('p.Arg188His', 'Var', (92, 103)) ('p.Arg194Trp', 'Var', (71, 82)) ('XRCC1', 'Gene', '7515', (38, 43)) ('esophageal cancer', 'Disease', 'MESH:D004938', (175, 192)) ('XRCC2', 'Gene', (85, 90)) ('XRCC3', 'Gene', (109, 114)) ('p.Thr241Met', 'Mutation', 'rs861539', (116, 127)) ('esophageal cancer', 'Disease', (175, 192)) ('cancer', 'Phenotype', 'HP:0002664', (186, 192)) ('p.Arg280His', 'Var', (58, 69)) ('p.Arg399Gln', 'Mutation', 'rs25487', (45, 56)) 12414 32214837 For XRCC1 p.Arg280His polymorphism, A allele was associated with an increased risk of EC (OR=1.60, 95% CI= 1.02-2.52, p=0.04). ('XRCC1', 'Gene', (4, 9)) ('p.Arg280His', 'Var', (10, 21)) ('p.Arg280His', 'Mutation', 'rs25489', (10, 21)) 12420 32214837 No significant difference in allele (p=0.54) and genotype (p=0.52) frequencies of XRCC1 p.Arg194Trp polymorphism was observed. ('p.Arg194Trp', 'Var', (88, 99)) ('XRCC1', 'Gene', (82, 87)) ('p.Arg194Trp', 'Mutation', 'rs1799782', (88, 99)) 12421 32214837 No association with EC risk was observed for XRCC2 p.Arg188His and XRCC3 p.Thr241Met polymorphism (p=0.53) in the subjects. ('p.Thr241Met', 'Mutation', 'rs861539', (73, 84)) ('XRCC3', 'Gene', '7517', (67, 72)) ('XRCC3', 'Gene', (67, 72)) ('p.Arg188His', 'Mutation', 'rs3218536', (51, 62)) ('p.Thr241Met', 'Var', (73, 84)) ('p.Arg188His', 'Var', (51, 62)) ('XRCC2', 'Gene', '7516', (45, 50)) ('XRCC2', 'Gene', (45, 50)) 12422 32214837 Genetic model analysis of XRCC1 p.Arg399Gln and XRCC3p.Thr241Met (Table 6) revealed a decreased risk of EC under the recessive model AA vs GG+GA (OR=0.55, 95% CI=0.32-0.95, p=0.027) for XRCC1p.Arg399Gln polymorphism which became more significant after adjustment with binomial logistic regression (OR=0.49, 95% CI=0.27-0.88, p=0.016). ('p.Arg399Gln', 'Mutation', 'rs25487', (191, 202)) ('men', 'Species', '9606', (258, 261)) ('XRCC1', 'Gene', (26, 31)) ('p.Arg399Gln', 'SUBSTITUTION', 'None', (32, 43)) ('p.Arg399Gln', 'SUBSTITUTION', 'None', (191, 202)) ('p.Thr241Met', 'Var', (53, 64)) ('decreased', 'NegReg', (86, 95)) ('p.Thr241Met', 'SUBSTITUTION', 'None', (53, 64)) ('p.Arg399Gln', 'Var', (32, 43)) ('p.Arg399Gln', 'Var', (191, 202)) ('p.Arg399Gln', 'Mutation', 'rs25487', (32, 43)) 12423 32214837 For p.Thr241Met polymorphism no genotype combination was associated with EC. ('p.Thr241Met', 'Mutation', 'rs861539', (4, 15)) ('p.Thr241Met', 'Var', (4, 15)) ('associated', 'Reg', (57, 67)) 12425 32214837 Based on the measures of linkage disequilibrium (LD), the two polymorphisms of XRCC1gene, p.Arg399Gln and p.Arg194Trp, were in slight LD among EC patients (D=0.845, r2=0.042) (Figure 1A). ('XRCC1', 'Gene', '7515', (79, 84)) ('p.Arg194Trp', 'Var', (106, 117)) ('p.Arg194Trp', 'Mutation', 'rs1799782', (106, 117)) ('XRCC1', 'Gene', (79, 84)) ('p.Arg399Gln', 'Var', (90, 101)) ('p.Arg399Gln', 'Mutation', 'rs25487', (90, 101)) ('patients', 'Species', '9606', (146, 154)) 12426 32214837 The haplotype GGT (p.Arg399Gln, p.Arg280His, and p.Arg194Trp) was predominant in EC cases as compared to controls, but the difference was statistically non-significant (p=0.1). ('p.Arg280His', 'Var', (32, 43)) ('p.Arg399Gln', 'Mutation', 'rs25487', (19, 30)) ('p.Arg280His', 'Mutation', 'rs25489', (32, 43)) ('p.Arg194Trp', 'Mutation', 'rs1799782', (49, 60)) ('p.Arg194Trp', 'Var', (49, 60)) ('p.Arg399Gln', 'Var', (19, 30)) 12428 32214837 The combinations comprising the AA genotype (p.Arg399Gln) occurred significantly more often in controls than patients, with AA-CC-CC combination associated with significantly decreased risk of EC (OR=0.5, 95% CI=0.29-0.91, p=0.020). ('p.Arg399Gln', 'Mutation', 'rs25487', (45, 56)) ('decreased', 'NegReg', (175, 184)) ('p.Arg399Gln', 'Var', (45, 56)) ('patients', 'Species', '9606', (109, 117)) 12429 32214837 According to MDR analysis, the best MDR model included all the five studied polymorphisms XRCC1 (p.Arg399Gln, p.Arg194Trp, p.Arg280His), XRCC2 (p.Arg188His) and XRCC3 (p.Thr241Met). ('p.Arg188His', 'Var', (144, 155)) ('XRCC1', 'Gene', '7515', (90, 95)) ('p.Arg280His', 'Var', (123, 134)) ('XRCC3', 'Gene', (161, 166)) ('p.Thr241Met', 'Var', (168, 179)) ('p.Arg194Trp', 'Var', (110, 121)) ('p.Arg280His', 'Mutation', 'rs25489', (123, 134)) ('XRCC2', 'Gene', (137, 142)) ('XRCC2', 'Gene', '7516', (137, 142)) ('XRCC3', 'Gene', '7517', (161, 166)) ('p.Arg194Trp', 'Mutation', 'rs1799782', (110, 121)) ('p.Thr241Met', 'Mutation', 'rs861539', (168, 179)) ('XRCC1', 'Gene', (90, 95)) ('p.Arg399Gln', 'Var', (97, 108)) ('p.Arg399Gln', 'Mutation', 'rs25487', (97, 108)) ('p.Arg188His', 'Mutation', 'rs3218536', (144, 155)) 12432 32214837 In India, the inter-individual differences in susceptibility to cancer due to the genetic polymorphisms in XRCC1 previously found. ('cancer', 'Disease', (64, 70)) ('cancer', 'Disease', 'MESH:D009369', (64, 70)) ('XRCC1 p', 'Gene', (107, 114)) ('susceptibility', 'MPA', (46, 60)) ('polymorphisms', 'Var', (90, 103)) ('cancer', 'Phenotype', 'HP:0002664', (64, 70)) ('XRCC1 p', 'Gene', '7515', (107, 114)) 12433 32214837 As DNA-repair gene polymorphisms play a very important role in carcinogenesis, we carried out this case-control study to evaluate whether XRCC1 (p.Arg399Gln, p.Arg194Trp and p.Arg280His), XRCC2 (p.Arg188His), and XRCC3 (p.Thr241Met) gene polymorphisms modulate the risk of esophageal cancer. ('XRCC2', 'Gene', '7516', (188, 193)) ('modulate', 'Reg', (252, 260)) ('p.Arg399Gln', 'Mutation', 'rs25487', (145, 156)) ('carcinogenesis', 'Disease', 'MESH:D063646', (63, 77)) ('p.Arg194Trp', 'Mutation', 'rs1799782', (158, 169)) ('esophageal cancer', 'Disease', 'MESH:D004938', (273, 290)) ('p.Arg188His', 'Mutation', 'rs3218536', (195, 206)) ('p.Arg188His', 'Var', (195, 206)) ('p.Arg280His', 'Var', (174, 185)) ('XRCC3', 'Gene', (213, 218)) ('XRCC1', 'Gene', (138, 143)) ('p.Arg399Gln', 'Var', (145, 156)) ('esophageal cancer', 'Disease', (273, 290)) ('p.Thr241Met', 'Mutation', 'rs861539', (220, 231)) ('p.Arg194Trp', 'Var', (158, 169)) ('p.Arg280His', 'Mutation', 'rs25489', (174, 185)) ('XRCC2', 'Gene', (188, 193)) ('cancer', 'Phenotype', 'HP:0002664', (284, 290)) ('XRCC1', 'Gene', '7515', (138, 143)) ('p.Thr241Met', 'Var', (220, 231)) ('XRCC3', 'Gene', '7517', (213, 218)) ('carcinogenesis', 'Disease', (63, 77)) 12434 32214837 The XRCC1p.Arg399Gln polymorphism is involved in various protein-protein interactions and higher sister chromatid exchanges and DNA adducts. ('p.Arg399Gln', 'Var', (9, 20)) ('p.Arg399Gln', 'SUBSTITUTION', 'None', (9, 20)) ('protein-protein interactions', 'Protein', (57, 85)) ('higher', 'PosReg', (90, 96)) ('involved', 'Reg', (37, 45)) 12435 32214837 In the present study, we found that A allele and the AA genotype of XRCC1p.Arg399Gln polymorphism was associated with a decreased risk of esophageal cancer. ('decreased', 'NegReg', (120, 129)) ('esophageal cancer', 'Disease', (138, 155)) ('p.Arg399Gln', 'SUBSTITUTION', 'None', (73, 84)) ('esophageal cancer', 'Disease', 'MESH:D004938', (138, 155)) ('cancer', 'Phenotype', 'HP:0002664', (149, 155)) ('p.Arg399Gln', 'Var', (73, 84)) 12436 32214837 Very few studies relating the XRCC1 Arg399Gln polymorphism with esophageal cancer risk are available from which only one is from India. ('XRCC1', 'Gene', (30, 35)) ('esophageal cancer', 'Disease', (64, 81)) ('cancer', 'Phenotype', 'HP:0002664', (75, 81)) ('XRCC1', 'Gene', '7515', (30, 35)) ('Arg399Gln', 'Var', (36, 45)) ('esophageal cancer', 'Disease', 'MESH:D004938', (64, 81)) ('Arg399Gln', 'SUBSTITUTION', 'None', (36, 45)) 12437 32214837 Among previous reports from North India on EC; a study of Chandigarh region found association with a decreased risk of XRCC1 p.Arg399Gln, another study from Uttar Pradesh also reported Arg/Gln (p=0.03, OR= 0.62) and Gln/Gln (p=0.003, OR=0.37) genotype to be associated with a decreased risk of gall bladder cancer; a study from Kashmir on colorectal cancer also reported a protective role of AA genotype. ('colorectal cancer', 'Phenotype', 'HP:0003003', (339, 356)) ('Gln', 'Chemical', 'MESH:D005973', (189, 192)) ('Arg', 'Chemical', 'MESH:D001120', (185, 188)) ('colorectal cancer', 'Disease', 'MESH:D015179', (339, 356)) ('colorectal cancer', 'Disease', (339, 356)) ('cancer', 'Phenotype', 'HP:0002664', (307, 313)) ('decreased', 'NegReg', (101, 110)) ('XRCC1', 'Gene', (119, 124)) ('Arg', 'Chemical', 'MESH:D001120', (127, 130)) ('gall bladder cancer', 'Disease', (294, 313)) ('Gln', 'Chemical', 'MESH:D005973', (133, 136)) ('cancer', 'Phenotype', 'HP:0002664', (350, 356)) ('bladder cancer', 'Phenotype', 'HP:0009725', (299, 313)) ('gall bladder cancer', 'Disease', 'MESH:D005706', (294, 313)) ('p.Arg399Gln', 'Var', (125, 136)) ('Gln', 'Chemical', 'MESH:D005973', (216, 219)) ('p.Arg399Gln', 'Mutation', 'rs25487', (125, 136)) ('Gln', 'Chemical', 'MESH:D005973', (220, 223)) 12439 32214837 Contrary to the results of the present study, some previous studies from North India have reported an increased risk with AA genotype of XRCC1p.Arg399Gln polymorphism in lung cancer, head and neck cancer, colorectal cancer and prostate cancer. ('prostate cancer', 'Disease', 'MESH:D011471', (227, 242)) ('p.Arg399Gln', 'SUBSTITUTION', 'None', (142, 153)) ('head and neck cancer', 'Disease', 'MESH:D006258', (183, 203)) ('colorectal cancer', 'Disease', 'MESH:D015179', (205, 222)) ('prostate cancer', 'Phenotype', 'HP:0012125', (227, 242)) ('cancer', 'Phenotype', 'HP:0002664', (216, 222)) ('lung cancer', 'Disease', 'MESH:D008175', (170, 181)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (205, 222)) ('head and neck cancer', 'Phenotype', 'HP:0012288', (183, 203)) ('cancer', 'Phenotype', 'HP:0002664', (236, 242)) ('prostate cancer', 'Disease', (227, 242)) ('colorectal cancer', 'Disease', (205, 222)) ('cancer', 'Phenotype', 'HP:0002664', (197, 203)) ('lung cancer', 'Disease', (170, 181)) ('p.Arg399Gln', 'Var', (142, 153)) ('lung cancer', 'Phenotype', 'HP:0100526', (170, 181)) ('cancer', 'Phenotype', 'HP:0002664', (175, 181)) 12441 32214837 However, few studies from South India reported no association of XRCC1p.Arg399Gln polymorphism with any of cancer (Table 1). ('p.Arg399Gln', 'SUBSTITUTION', 'None', (70, 81)) ('cancer', 'Phenotype', 'HP:0002664', (107, 113)) ('p.Arg399Gln', 'Var', (70, 81)) ('cancer', 'Disease', 'MESH:D009369', (107, 113)) ('cancer', 'Disease', (107, 113)) 12442 32214837 Results of the present study on XRCC1 p.Arg399Gln polymorphism is in agreement with the studies from different parts of the globe like esophageal cancer in Han Chinese, colorectal adenocarcinoma in Norwegian population, gallbladder cancer, and non-melanoma skin cancers. ('gallbladder cancer', 'Disease', (220, 238)) ('cancer', 'Phenotype', 'HP:0002664', (232, 238)) ('men', 'Species', '9606', (74, 77)) ('cancer', 'Phenotype', 'HP:0002664', (146, 152)) ('non-melanoma skin cancers', 'Disease', 'MESH:D012878', (244, 269)) ('colorectal adenocarcinoma', 'Disease', 'MESH:D015179', (169, 194)) ('skin cancer', 'Phenotype', 'HP:0008069', (257, 268)) ('bladder cancer', 'Phenotype', 'HP:0009725', (224, 238)) ('cancers', 'Phenotype', 'HP:0002664', (262, 269)) ('non-melanoma skin cancers', 'Disease', (244, 269)) ('gallbladder cancer', 'Disease', 'MESH:D005706', (220, 238)) ('cancer', 'Phenotype', 'HP:0002664', (262, 268)) ('p.Arg399Gln', 'Mutation', 'rs25487', (38, 49)) ('skin cancers', 'Phenotype', 'HP:0008069', (257, 269)) ('esophageal cancer', 'Disease', 'MESH:D004938', (135, 152)) ('p.Arg399Gln', 'Var', (38, 49)) ('esophageal cancer', 'Disease', (135, 152)) ('colorectal adenocarcinoma', 'Disease', (169, 194)) ('carcinoma', 'Phenotype', 'HP:0030731', (185, 194)) ('melanoma', 'Phenotype', 'HP:0002861', (248, 256)) ('XRCC1', 'Gene', (32, 37)) 12443 32214837 In contrast, some previous studies have reported the association of Arg399Gln polymorphism with an increased risk of esophageal, stomach and oral cancers, colorectal cancers in Korean, Egyptian and Japanese populations, lung cancer and breast cancer. ('oral cancers', 'Disease', (141, 153)) ('oral cancers', 'Disease', 'MESH:D009062', (141, 153)) ('esophageal', 'Disease', (117, 127)) ('cancer', 'Phenotype', 'HP:0002664', (146, 152)) ('cancer', 'Phenotype', 'HP:0002664', (225, 231)) ('association', 'Reg', (53, 64)) ('breast cancer', 'Phenotype', 'HP:0003002', (236, 249)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (155, 172)) ('lung cancer', 'Disease', (220, 231)) ('stomach', 'Disease', (129, 136)) ('colorectal cancers', 'Disease', (155, 173)) ('breast cancer', 'Disease', 'MESH:D001943', (236, 249)) ('cancers', 'Phenotype', 'HP:0002664', (166, 173)) ('breast cancer', 'Disease', (236, 249)) ('cancer', 'Phenotype', 'HP:0002664', (166, 172)) ('lung cancer', 'Disease', 'MESH:D008175', (220, 231)) ('Arg399Gln', 'SUBSTITUTION', 'None', (68, 77)) ('colorectal cancers', 'Disease', 'MESH:D015179', (155, 173)) ('lung cancer', 'Phenotype', 'HP:0100526', (220, 231)) ('cancer', 'Phenotype', 'HP:0002664', (243, 249)) ('cancers', 'Phenotype', 'HP:0002664', (146, 153)) ('Arg399Gln', 'Var', (68, 77)) 12444 32214837 However, three studies did not find any association between p.Arg399Gln polymorphism and cancer of the esophagus, gall bladder and breast. ('gall bladder', 'Disease', 'MESH:D005705', (114, 126)) ('p.Arg399Gln', 'Var', (60, 71)) ('p.Arg399Gln', 'Mutation', 'rs25487', (60, 71)) ('gall bladder', 'Disease', (114, 126)) ('cancer', 'Disease', 'MESH:D009369', (89, 95)) ('breast', 'Disease', (131, 137)) ('cancer', 'Disease', (89, 95)) ('cancer of the esophagus', 'Phenotype', 'HP:0100751', (89, 112)) ('cancer', 'Phenotype', 'HP:0002664', (89, 95)) 12446 32214837 Among international studies, no association of XRCC1 p.Arg194Trp has been reported with EC risk in the population of North Carolina, gastric cancer in Korean population and breast cancer in Caucasian women. ('women', 'Species', '9606', (200, 205)) ('breast cancer', 'Phenotype', 'HP:0003002', (173, 186)) ('gastric cancer', 'Phenotype', 'HP:0012126', (133, 147)) ('XRCC1', 'Gene', (47, 52)) ('cancer', 'Phenotype', 'HP:0002664', (180, 186)) ('cancer', 'Phenotype', 'HP:0002664', (141, 147)) ('gastric cancer', 'Disease', 'MESH:D013274', (133, 147)) ('gastric cancer', 'Disease', (133, 147)) ('p.Arg194Trp', 'Var', (53, 64)) ('breast cancer', 'Disease', 'MESH:D001943', (173, 186)) ('p.Arg194Trp', 'Mutation', 'rs1799782', (53, 64)) ('breast cancer', 'Disease', (173, 186)) 12447 32214837 On the contrary, Trp allele has been reported to be associated with an increased risk of gastric cancer in the Chinese population. ('associated', 'Reg', (52, 62)) ('Trp', 'Gene', (17, 20)) ('Trp', 'Chemical', 'MESH:D014364', (17, 20)) ('gastric cancer', 'Disease', (89, 103)) ('cancer', 'Phenotype', 'HP:0002664', (97, 103)) ('gastric cancer', 'Disease', 'MESH:D013274', (89, 103)) ('increased risk of gastric cancer', 'Phenotype', 'HP:0006753', (71, 103)) ('allele', 'Var', (21, 27)) ('gastric cancer', 'Phenotype', 'HP:0012126', (89, 103)) 12449 32214837 In the present study, we observed a lower risk of esophageal cancer associated with p.Arg399Gln polymorphism of XRCC1. ('p.Arg399Gln', 'Var', (84, 95)) ('p.Arg399Gln', 'Mutation', 'rs25487', (84, 95)) ('XRCC1', 'Gene', (112, 117)) ('esophageal cancer', 'Disease', (50, 67)) ('XRCC1', 'Gene', '7515', (112, 117)) ('cancer', 'Phenotype', 'HP:0002664', (61, 67)) ('esophageal cancer', 'Disease', 'MESH:D004938', (50, 67)) 12450 32214837 A relationship between polymorphism in XRCC1Arg399Gln and increased rate of apoptosis has been reported in patients of ulcerative colitis and in schizophrenia patients. ('schizophrenia', 'Disease', 'MESH:D012559', (145, 158)) ('colitis', 'Phenotype', 'HP:0002583', (130, 137)) ('increased', 'PosReg', (58, 67)) ('patients', 'Species', '9606', (159, 167)) ('schizophrenia', 'Phenotype', 'HP:0100753', (145, 158)) ('polymorphism', 'Var', (23, 35)) ('ulcerative colitis', 'Phenotype', 'HP:0100279', (119, 137)) ('ulcerative colitis', 'Disease', (119, 137)) ('apoptosis', 'CPA', (76, 85)) ('XRCC1Arg399Gln', 'Gene', (39, 53)) ('patients', 'Species', '9606', (107, 115)) ('schizophrenia', 'Disease', (145, 158)) ('ulcerative colitis', 'Disease', 'MESH:D003093', (119, 137)) ('rate', 'MPA', (68, 72)) 12451 32214837 The increased rates of the apoptosis results into the elimination of potential premalignant cells and hence, the XRCC1 Gln399 may play a protective role in esophageal cancer risk. ('rates', 'MPA', (14, 19)) ('XRCC1', 'Gene', (113, 118)) ('Gln399', 'Var', (119, 125)) ('esophageal cancer', 'Disease', (156, 173)) ('apoptosis', 'CPA', (27, 36)) ('esophageal cancer', 'Disease', 'MESH:D004938', (156, 173)) ('cancer', 'Phenotype', 'HP:0002664', (167, 173)) ('Gln399', 'Chemical', '-', (119, 125)) ('XRCC1', 'Gene', '7515', (113, 118)) 12452 32214837 The A allele of XRCC1p.Arg280His was associated with an increased risk of esophageal cancer in the present study. ('esophageal cancer', 'Disease', (74, 91)) ('esophageal cancer', 'Disease', 'MESH:D004938', (74, 91)) ('p.Arg280His', 'Var', (21, 32)) ('p.Arg280His', 'SUBSTITUTION', 'None', (21, 32)) ('cancer', 'Phenotype', 'HP:0002664', (85, 91)) 12454 32214837 From the North Indian population, p.Arg280His has been associated with an increased risk of hepatocellular carcinoma but no association has been reported with SCC head and neck. ('carcinoma', 'Phenotype', 'HP:0030731', (107, 116)) ('SCC', 'Gene', (159, 162)) ('p.Arg280His', 'Var', (34, 45)) ('SCC', 'Phenotype', 'HP:0002860', (159, 162)) ('p.Arg280His', 'Mutation', 'rs25489', (34, 45)) ('SCC', 'Gene', '6317', (159, 162)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (92, 116)) ('hepatocellular carcinoma', 'Disease', (92, 116)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (92, 116)) ('increased risk of hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (74, 116)) 12456 32214837 A meta-analysis within the Asian population has reported an association of p.Arg280His polymorphism with bladder cancer risk. ('p.Arg280His', 'Var', (75, 86)) ('bladder cancer', 'Phenotype', 'HP:0009725', (105, 119)) ('cancer', 'Phenotype', 'HP:0002664', (113, 119)) ('p.Arg280His', 'Mutation', 'rs25489', (75, 86)) ('bladder cancer', 'Disease', 'MESH:D001749', (105, 119)) ('bladder cancer', 'Disease', (105, 119)) ('association', 'Interaction', (60, 71)) 12459 32214837 A study on the Chinese population reported no association between p.Arg280His polymorphism and ESCC. ('SCC', 'Gene', (96, 99)) ('SCC', 'Phenotype', 'HP:0002860', (96, 99)) ('SCC', 'Gene', '6317', (96, 99)) ('p.Arg280His', 'Mutation', 'rs25489', (66, 77)) ('p.Arg280His', 'Var', (66, 77)) 12461 32214837 No association of XRCC2 p.Arg188His with EC has been observed in the present study, which is the first report from India for esophageal cancer risk. ('p.Arg188His', 'Mutation', 'rs3218536', (24, 35)) ('p.Arg188His', 'Var', (24, 35)) ('esophageal cancer', 'Disease', (125, 142)) ('XRCC2', 'Gene', '7516', (18, 23)) ('XRCC2', 'Gene', (18, 23)) ('esophageal cancer', 'Disease', 'MESH:D004938', (125, 142)) ('cancer', 'Phenotype', 'HP:0002664', (136, 142)) 12462 32214837 In previous reports from India, no association of XRCC2 p.Arg188His polymorphism was reported with nasopharyngeal carcinoma whereas another study found an association of GA genotype with increased risk of SCC head and neck. ('XRCC2', 'Gene', '7516', (50, 55)) ('XRCC2', 'Gene', (50, 55)) ('carcinoma', 'Phenotype', 'HP:0030731', (114, 123)) ('nasopharyngeal carcinoma', 'Phenotype', 'HP:0100630', (99, 123)) ('SCC', 'Gene', (205, 208)) ('p.Arg188His', 'Mutation', 'rs3218536', (56, 67)) ('p.Arg188His', 'Var', (56, 67)) ('nasopharyngeal carcinoma', 'Disease', 'MESH:D000077274', (99, 123)) ('SCC', 'Phenotype', 'HP:0002860', (205, 208)) ('nasopharyngeal carcinoma', 'Disease', (99, 123)) ('SCC', 'Gene', '6317', (205, 208)) 12463 32214837 The contradictory reports from different parts of the world have shown that XRCC2 p.Arg188His polymorphism was associated with a significantly increased risk of pharyngeal cancer and breast cancer but not with bladder cancer, colorectal adenoma, skin cancer, thyroid cancer and breast cancer. ('bladder cancer', 'Disease', 'MESH:D001749', (210, 224)) ('bladder cancer', 'Disease', (210, 224)) ('skin cancer', 'Disease', 'MESH:D012878', (246, 257)) ('cancer', 'Disease', 'MESH:D009369', (267, 273)) ('breast cancer', 'Disease', 'MESH:D001943', (278, 291)) ('associated', 'Reg', (111, 121)) ('bladder cancer', 'Phenotype', 'HP:0009725', (210, 224)) ('breast cancer', 'Disease', (278, 291)) ('cancer', 'Disease', 'MESH:D009369', (172, 178)) ('cancer', 'Disease', 'MESH:D009369', (251, 257)) ('thyroid cancer', 'Disease', 'MESH:D013964', (259, 273)) ('breast cancer', 'Disease', 'MESH:D001943', (183, 196)) ('XRCC2', 'Gene', '7516', (76, 81)) ('breast cancer', 'Disease', (183, 196)) ('cancer', 'Disease', (190, 196)) ('cancer', 'Disease', 'MESH:D009369', (218, 224)) ('colorectal adenoma', 'Disease', 'MESH:D015179', (226, 244)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (259, 273)) ('cancer', 'Phenotype', 'HP:0002664', (190, 196)) ('cancer', 'Disease', (285, 291)) ('skin cancer', 'Disease', (246, 257)) ('p.Arg188His', 'Mutation', 'rs3218536', (82, 93)) ('cancer', 'Disease', (267, 273)) ('p.Arg188His', 'Var', (82, 93)) ('cancer', 'Phenotype', 'HP:0002664', (267, 273)) ('pharyngeal cancer', 'Phenotype', 'HP:0100638', (161, 178)) ('cancer', 'Disease', (172, 178)) ('cancer', 'Disease', (251, 257)) ('skin cancer', 'Phenotype', 'HP:0008069', (246, 257)) ('XRCC2', 'Gene', (76, 81)) ('cancer', 'Disease', 'MESH:D009369', (190, 196)) ('cancer', 'Phenotype', 'HP:0002664', (172, 178)) ('cancer', 'Phenotype', 'HP:0002664', (251, 257)) ('cancer', 'Disease', (218, 224)) ('thyroid cancer', 'Disease', (259, 273)) ('breast cancer', 'Phenotype', 'HP:0003002', (278, 291)) ('cancer', 'Phenotype', 'HP:0002664', (218, 224)) ('colorectal adenoma', 'Disease', (226, 244)) ('cancer', 'Disease', 'MESH:D009369', (285, 291)) ('breast cancer', 'Phenotype', 'HP:0003002', (183, 196)) 12465 32214837 XRCC3 gene mainly repairs using the HR pathway and in vitro studies revealed high sensitivity to DNA damaging agents in cells with XRCC3 gene knockouts. ('knockouts', 'Var', (142, 151)) ('XRCC3', 'Gene', '7517', (131, 136)) ('XRCC3', 'Gene', '7517', (0, 5)) ('XRCC3', 'Gene', (0, 5)) ('XRCC3', 'Gene', (131, 136)) ('sensitivity to DNA damaging agents', 'MPA', (82, 116)) 12466 32214837 No association of XRCC3 p.Thr241Met polymorphism with esophageal cancer has been observed in the present study. ('XRCC3', 'Gene', (18, 23)) ('p.Thr241Met', 'Var', (24, 35)) ('cancer', 'Phenotype', 'HP:0002664', (65, 71)) ('esophageal cancer', 'Disease', (54, 71)) ('XRCC3', 'Gene', '7517', (18, 23)) ('esophageal cancer', 'Disease', 'MESH:D004938', (54, 71)) ('p.Thr241Met', 'Mutation', 'rs861539', (24, 35)) 12469 32214837 For XRCC3 p.Thr241Met polymorphism, no association was reported with gastric cancer in Italian population and with colorectal cancer in the West Algerian population but an association with an increased risk was reported for lung cancer in an Italian population, oral SCC in Thai population, and gastric cancer in the Chinese population. ('SCC', 'Gene', '6317', (267, 270)) ('XRCC3', 'Gene', '7517', (4, 9)) ('gastric cancer', 'Phenotype', 'HP:0012126', (69, 83)) ('gastric cancer', 'Disease', 'MESH:D013274', (295, 309)) ('SCC', 'Gene', (267, 270)) ('lung cancer', 'Disease', 'MESH:D008175', (224, 235)) ('p.Thr241Met', 'Var', (10, 21)) ('cancer', 'Phenotype', 'HP:0002664', (303, 309)) ('lung cancer', 'Phenotype', 'HP:0100526', (224, 235)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (115, 132)) ('gastric cancer', 'Phenotype', 'HP:0012126', (295, 309)) ('cancer', 'Phenotype', 'HP:0002664', (126, 132)) ('gastric cancer', 'Disease', (69, 83)) ('XRCC3', 'Gene', (4, 9)) ('cancer', 'Phenotype', 'HP:0002664', (77, 83)) ('cancer', 'Phenotype', 'HP:0002664', (229, 235)) ('SCC', 'Phenotype', 'HP:0002860', (267, 270)) ('colorectal cancer', 'Disease', 'MESH:D015179', (115, 132)) ('gastric cancer', 'Disease', 'MESH:D013274', (69, 83)) ('lung cancer', 'Disease', (224, 235)) ('gastric cancer', 'Disease', (295, 309)) ('colorectal cancer', 'Disease', (115, 132)) ('p.Thr241Met', 'Mutation', 'rs861539', (10, 21)) 12471 32214837 The haplotype analysis in the present study shows an association of haplotype GGT of XRCC1 gene (Arg399-Arg280-194Trp of p.Arg399Gln, p.Arg280His, and p.Arg194Trp polymorphisms) with a risk of EC, however, the association was not statistically significant (Table 7). ('p.Arg280His', 'Mutation', 'rs25489', (134, 145)) ('p.Arg194Trp', 'Mutation', 'rs1799782', (151, 162)) ('p.Arg280His', 'Var', (134, 145)) ('XRCC1', 'Gene', (85, 90)) ('p.Arg194Trp', 'Var', (151, 162)) ('Arg399-Arg280-194Trp', 'Var', (97, 117)) ('p.Arg399Gln', 'Var', (121, 132)) ('p.Arg399Gln', 'Mutation', 'rs25487', (121, 132)) ('Arg399-Arg280-194Trp', 'Mutation', 'p.R,R399,280-194W', (97, 117)) ('association', 'Interaction', (53, 64)) ('XRCC1', 'Gene', '7515', (85, 90)) 12473 32214837 However, a study from West Bengal (East India) reported CAG haplotype (Arg194-His280-Arg399) to have reduced risk against gastric cancer. ('His280', 'Chemical', '-', (78, 84)) ('Arg194', 'Chemical', '-', (71, 77)) ('Arg194-His280-Arg399', 'Var', (71, 91)) ('gastric cancer', 'Disease', (122, 136)) ('reduced', 'NegReg', (101, 108)) ('gastric cancer', 'Disease', 'MESH:D013274', (122, 136)) ('Arg399', 'Chemical', '-', (85, 91)) ('cancer', 'Phenotype', 'HP:0002664', (130, 136)) ('gastric cancer', 'Phenotype', 'HP:0012126', (122, 136)) 12474 32214837 A study from Uttar Pradesh (North India) reported CGA and CAG haplotype of XRCC1 (Arg194-His280-Arg399) to be associated with prostate cancer and haplotype CGA to be associated with bladder cancer. ('CGA', 'Gene', '1113', (156, 159)) ('CGA', 'Gene', (50, 53)) ('CGA', 'Gene', '1113', (50, 53)) ('cancer', 'Phenotype', 'HP:0002664', (135, 141)) ('associated', 'Reg', (110, 120)) ('Arg194', 'Chemical', '-', (82, 88)) ('cancer', 'Phenotype', 'HP:0002664', (190, 196)) ('associated', 'Reg', (166, 176)) ('bladder cancer', 'Disease', 'MESH:D001749', (182, 196)) ('bladder cancer', 'Disease', (182, 196)) ('XRCC1', 'Gene', (75, 80)) ('bladder cancer', 'Phenotype', 'HP:0009725', (182, 196)) ('prostate cancer', 'Disease', 'MESH:D011471', (126, 141)) ('Arg399', 'Chemical', '-', (96, 102)) ('His280', 'Chemical', '-', (89, 95)) ('prostate cancer', 'Phenotype', 'HP:0012125', (126, 141)) ('CGA', 'Gene', (156, 159)) ('Arg194-His280-Arg399', 'Var', (82, 102)) ('prostate cancer', 'Disease', (126, 141)) ('XRCC1', 'Gene', '7515', (75, 80)) 12476 32214837 The XRCC1 codon 399 Arg/Arg genotype has been associated with increased risk of acute radiation dermatitis in nasopharyngeal carcinoma patients treated with intensity-modulated radiation therapy. ('Arg', 'Chemical', 'MESH:D001120', (20, 23)) ('patients', 'Species', '9606', (135, 143)) ('carcinoma', 'Phenotype', 'HP:0030731', (125, 134)) ('Arg', 'Chemical', 'MESH:D001120', (24, 27)) ('nasopharyngeal carcinoma', 'Disease', 'MESH:D000077274', (110, 134)) ('nasopharyngeal carcinoma', 'Phenotype', 'HP:0100630', (110, 134)) ('XRCC1', 'Gene', (4, 9)) ('nasopharyngeal carcinoma', 'Disease', (110, 134)) ('dermatitis', 'Phenotype', 'HP:0011123', (96, 106)) ('radiation dermatitis', 'Disease', 'MESH:D004194', (86, 106)) ('radiation dermatitis', 'Disease', (86, 106)) ('codon 399 Arg/Arg', 'Var', (10, 27)) ('XRCC1', 'Gene', '7515', (4, 9)) 12478 32214837 The present study indicates a protective role of the XRCC1 p.Arg399Gln towards the development of EC. ('p.Arg399Gln', 'Mutation', 'rs25487', (59, 70)) ('XRCC1', 'Gene', (53, 58)) ('p.Arg399Gln', 'Var', (59, 70)) ('men', 'Species', '9606', (90, 93)) 12480 32214837 The present study being the first report from India, providing baseline data about five genetic polymorphisms in three DNA repair genes XRCC1, XRCC2 and XRCC3 modulating overall esophageal cancer susceptibility in ethnic Punjabi Indian subjects. ('esophageal cancer', 'Disease', (178, 195)) ('XRCC3', 'Gene', (153, 158)) ('XRCC3', 'Gene', '7517', (153, 158)) ('XRCC1', 'Gene', (136, 141)) ('esophageal cancer', 'Disease', 'MESH:D004938', (178, 195)) ('cancer', 'Phenotype', 'HP:0002664', (189, 195)) ('modulating', 'Reg', (159, 169)) ('XRCC2', 'Gene', '7516', (143, 148)) ('XRCC2', 'Gene', (143, 148)) ('polymorphisms', 'Var', (96, 109)) ('XRCC1', 'Gene', '7515', (136, 141)) 12484 32214837 The results suggest a role of XRCC gene polymorphisms in esophageal cancer risk and a need to confirm our findings with higher sample size in different ethnic groups inhabiting different geographical areas of India. ('esophageal cancer', 'Disease', 'MESH:D004938', (57, 74)) ('cancer', 'Phenotype', 'HP:0002664', (68, 74)) ('polymorphisms', 'Var', (40, 53)) ('XRCC gene', 'Gene', (30, 39)) ('esophageal cancer', 'Disease', (57, 74)) ('role', 'Reg', (22, 26)) 12487 31126874 IL-5 signal transduction involves JAK-STAT-p38MAPK-NFkB activation and executes extracellular matrix remodeling, EMT transition and immune responses in allergic diseases. ('allergic diseases', 'Disease', (152, 169)) ('IL-5', 'Gene', (0, 4)) ('EMT transition', 'CPA', (113, 127)) ('immune responses', 'CPA', (132, 148)) ('allergic diseases', 'Disease', 'MESH:D004342', (152, 169)) ('EM', 'Chemical', '-', (113, 115)) ('activation', 'PosReg', (56, 66)) ('JAK-STAT-p38MAPK-NFkB', 'Var', (34, 55)) 12489 31126874 In, addition, several other cytokines like IL-2, IL-4, IL-13, IL-21, and IL-33 also contribute in advancing eosinophils associated immune responses in innate and adaptive immunity. ('IL-2', 'Gene', '3558', (62, 66)) ('eosinophils associated immune', 'MPA', (108, 137)) ('IL-21', 'Gene', (62, 67)) ('IL-2', 'Gene', (62, 66)) ('IL-21', 'Gene', '59067', (62, 67)) ('IL-33', 'Var', (73, 78)) ('advancing', 'PosReg', (98, 107)) ('IL-2', 'Gene', (43, 47)) ('IL-2', 'Gene', '3558', (43, 47)) 12548 31126874 Neutralization of galectin-10 partially abrogated the suppressive function of the eosinophils, and recombinant galectin-10 was able to suppress T cell proliferation. ('galectin-10', 'Gene', '1178', (18, 29)) ('suppress', 'NegReg', (135, 143)) ('galectin-10', 'Gene', '1178', (111, 122)) ('T cell proliferation', 'CPA', (144, 164)) ('abrogated', 'NegReg', (40, 49)) ('Neutralization', 'Var', (0, 14)) ('galectin-10', 'Gene', (18, 29)) ('galectin-10', 'Gene', (111, 122)) ('suppressive function', 'MPA', (54, 74)) 12552 31126874 Phosphorylation of these proteins activates down-stream molecules such as Pim-1, c-fos, c-jun, NFkappab, and thus induce cell survival and proliferation, immune responses and eosinophil number. ('c-jun', 'Gene', '3725', (88, 93)) ('c-jun', 'Gene', (88, 93)) ('NFkappab', 'Gene', (95, 103)) ('c-fos', 'Gene', (81, 86)) ('eosinophil number', 'CPA', (175, 192)) ('immune responses', 'CPA', (154, 170)) ('Phosphorylation', 'Var', (0, 15)) ('cell survival', 'CPA', (121, 134)) ('Pim-1', 'Gene', '5292', (74, 79)) ('induce', 'PosReg', (114, 120)) ('c-fos', 'Gene', '2353', (81, 86)) ('Pim-1', 'Gene', (74, 79)) ('activates', 'PosReg', (34, 43)) ('NFkappab', 'Gene', '4790', (95, 103)) ('down-stream molecules', 'MPA', (44, 65)) 12558 31126874 The inhibitor for p38 MAP kinase SB239063 abolish lung eosinophilia in mice, another inhibitor SB203580 enhances apoptosis of eosinophils. ('mice', 'Species', '10090', (71, 75)) ('SB239063', 'Var', (33, 41)) ('SB203580', 'Chemical', 'MESH:C093642', (95, 103)) ('abolish', 'NegReg', (42, 49)) ('apoptosis of eosinophils', 'CPA', (113, 137)) ('lung eosinophilia', 'Disease', 'MESH:D004802', (50, 67)) ('lung eosinophilia', 'Disease', (50, 67)) ('lung eosinophilia', 'Phenotype', 'HP:0032071', (50, 67)) ('eosinophilia', 'Phenotype', 'HP:0001880', (55, 67)) ('SB239063', 'Chemical', 'MESH:C406525', (33, 41)) ('enhances', 'PosReg', (104, 112)) ('SB203580', 'Var', (95, 103)) 12576 31126874 Further reports showed the role of IL-18 in eosinophil-mediated tumoricidal activity against a Colo-205 carcinoma cell line by upregulating LFA-1 and ICAM-1, however neutralization of IL-18 reduced eosinophil-mediated Colo-205 apoptosis and inhibited cell-cell adhesion. ('LFA-1', 'Gene', '3683', (140, 145)) ('ICAM-1', 'Gene', (150, 156)) ('upregulating', 'PosReg', (127, 139)) ('neutralization', 'Var', (166, 180)) ('tumoricidal activity', 'CPA', (64, 84)) ('Colo', 'Species', '307630', (95, 99)) ('carcinoma', 'Phenotype', 'HP:0030731', (104, 113)) ('cell-cell adhesion', 'CPA', (251, 269)) ('IL-18', 'Gene', (184, 189)) ('reduced eosinophil', 'Phenotype', 'HP:0031891', (190, 208)) ('carcinoma', 'Disease', (104, 113)) ('reduced', 'NegReg', (190, 197)) ('ICAM-1', 'Gene', '3383', (150, 156)) ('LFA-1', 'Gene', (140, 145)) ('inhibited', 'NegReg', (241, 250)) ('eosinophil-mediated Colo-205 apoptosis', 'CPA', (198, 236)) ('Colo', 'Species', '307630', (218, 222)) ('carcinoma', 'Disease', 'MESH:D009369', (104, 113)) 12584 31126874 Administration of mice with anti-human IL-18 antibodies protected against eosinophil-mediated airway inflammation and demonstrated the role of IL-18 in the development of asthmatic inflammation. ('inflammation', 'Disease', 'MESH:D007249', (101, 113)) ('asthma', 'Phenotype', 'HP:0002099', (171, 177)) ('inflammation', 'Disease', (101, 113)) ('anti-human', 'Var', (28, 38)) ('protected', 'NegReg', (56, 65)) ('asthmatic inflammation', 'Disease', 'MESH:D007249', (171, 193)) ('mice', 'Species', '10090', (18, 22)) ('asthmatic inflammation', 'Phenotype', 'HP:0002099', (171, 193)) ('airway inflammation', 'Phenotype', 'HP:0002099', (94, 113)) ('IL-18', 'Gene', (39, 44)) ('human', 'Species', '9606', (33, 38)) ('inflammation', 'Disease', 'MESH:D007249', (181, 193)) ('inflammation', 'Disease', (181, 193)) ('asthmatic inflammation', 'Disease', (171, 193)) 12594 31126874 Mast cells interact with eosinophils on IgE activation or dexamethasone challenge, and this interaction helps in eosinophils survival and communication and mediated by CD48, and 2B4 mediate mast cell-eosinophil interactions and increase eosinophil survival. ('IgE', 'Gene', (40, 43)) ('communication', 'CPA', (138, 151)) ('IgE', 'Gene', '3497', (40, 43)) ('2B4', 'Var', (178, 181)) ('mediate', 'Reg', (182, 189)) ('CD48', 'Gene', '962', (168, 172)) ('CD48', 'Gene', (168, 172)) ('dexamethasone', 'Chemical', 'MESH:D003907', (58, 71)) ('increase', 'PosReg', (228, 236)) ('eosinophil survival', 'CPA', (237, 256)) ('helps', 'PosReg', (104, 109)) ('eosinophils', 'MPA', (113, 124)) ('interactions', 'Interaction', (211, 223)) ('increase eosinophil', 'Phenotype', 'HP:0001880', (228, 247)) 12603 31126874 Activation of TLR4 leads to DC migration and recruitment and induce Th2 responses. ('TLR4', 'Gene', '7099', (14, 18)) ('induce', 'PosReg', (61, 67)) ('TLR4', 'Gene', (14, 18)) ('C', 'Chemical', 'MESH:D002244', (29, 30)) ('recruitment', 'CPA', (45, 56)) ('Activation', 'Var', (0, 10)) ('Th2', 'Gene', (68, 71)) ('DC migration', 'CPA', (28, 40)) ('Th2', 'Gene', '15111', (68, 71)) 12607 31126874 IL-5 Tg hypereosinophilic mice with profound B cell expansion showed a decrease in B cell lymphocytosis upon genetic deletion of eosinophils. ('lymphocytosis', 'Phenotype', 'HP:0100827', (90, 103)) ('decrease', 'NegReg', (71, 79)) ('B cell lymphocytosis', 'MPA', (83, 103)) ('hypereosinophilic', 'Disease', (8, 25)) ('hypereosinophilic', 'Disease', 'MESH:D017681', (8, 25)) ('genetic deletion', 'Var', (109, 125)) ('mice', 'Species', '10090', (26, 30)) 12622 31126874 IL-9 governs allergen-induced mast cell activation, and anti-IL-9 treatment protects from airway remodeling in asthma in mice. ('asthma', 'Disease', 'MESH:D001249', (111, 117)) ('asthma', 'Disease', (111, 117)) ('airway remodeling', 'CPA', (90, 107)) ('anti-IL-9', 'Var', (56, 65)) ('mice', 'Species', '10090', (121, 125)) ('asthma', 'Phenotype', 'HP:0002099', (111, 117)) 12627 31126874 Similarly, a report also indicates that esophageal eosinophilia is observedeven in IL-4/IL-13 double gene-deficient and STAT6 gene-deficient mice. ('eosinophilia', 'Disease', 'MESH:D004802', (51, 63)) ('eosinophilia', 'Disease', (51, 63)) ('eosinophilia', 'Phenotype', 'HP:0001880', (51, 63)) ('mice', 'Species', '10090', (141, 145)) ('IL-4/IL-13', 'Gene', (83, 93)) ('STAT6', 'Gene', (120, 125)) ('double gene-deficient', 'Var', (94, 115)) 12639 31126874 Allergen-sensitized IL-22-deficient mice suffer from significantly higher airway hyperreactivity upon airway challenge with an increase in eosinophil infiltration, lymphocyte invasion and production of CCL17 (TARC), IL-5 and IL-13 in the lung. ('higher', 'PosReg', (67, 73)) ('eosinophil infiltration', 'Phenotype', 'HP:0001880', (139, 162)) ('production', 'MPA', (188, 198)) ('IL-22-deficient', 'Var', (20, 35)) ('eosinophil infiltration', 'CPA', (139, 162)) ('lymphocyte invasion', 'CPA', (164, 183)) ('increase', 'PosReg', (127, 135)) ('airway hyperreactivity', 'CPA', (74, 96)) ('mice', 'Species', '10090', (36, 40)) ('AR', 'Phenotype', 'HP:0003193', (210, 212)) ('TARC', 'Gene', (209, 213)) ('IL-22-deficient', 'Gene', (20, 35)) ('CCL17', 'MPA', (202, 207)) ('TARC', 'Gene', '20295', (209, 213)) 12642 31126874 IL-25 neutralization in allergen-exposed mice exhibited a reduction in pulmonary eosinophilia and levels of Th2 associated cytokines, IL-5 and IL-13 and decreased fibrosis, airway smooth muscle hyperplasia and airway hyperreactivity. ('IL-25', 'Gene', (0, 5)) ('reduction', 'NegReg', (58, 67)) ('fibrosis', 'Disease', (163, 171)) ('Th2', 'Gene', (108, 111)) ('pulmonary eosinophilia', 'Disease', (71, 93)) ('airway hyperreactivity', 'CPA', (210, 232)) ('mice', 'Species', '10090', (41, 45)) ('muscle hyperplasia', 'Disease', 'MESH:D006965', (187, 205)) ('eosinophilia', 'Phenotype', 'HP:0001880', (81, 93)) ('pulmonary eosinophilia', 'Phenotype', 'HP:0032071', (71, 93)) ('muscle hyperplasia', 'Disease', (187, 205)) ('Th2', 'Gene', '15111', (108, 111)) ('decreased', 'NegReg', (153, 162)) ('muscle hyperplasia', 'Phenotype', 'HP:0003712', (187, 205)) ('fibrosis', 'Disease', 'MESH:D005355', (163, 171)) ('neutralization', 'Var', (6, 20)) ('pulmonary eosinophilia', 'Disease', 'MESH:D011657', (71, 93)) 12655 31126874 Several animal and human studies are correlated with eosinophils mediated asthma development with an increase in IL-5 and IL-18 levels. ('asthma', 'Phenotype', 'HP:0002099', (74, 80)) ('increase', 'PosReg', (101, 109)) ('asthma', 'Disease', 'MESH:D001249', (74, 80)) ('human', 'Species', '9606', (19, 24)) ('eosinophils', 'Var', (53, 64)) ('asthma', 'Disease', (74, 80)) 12726 31126874 It is characterized by the presence of anti-myeloperoxidase (MPO), anti-neutrophil antibodies in the cytoplasm of 30-38% of patients and most frequently involves peripheral nerves and skin. ('MPO', 'Gene', '4353', (61, 64)) ('myeloperoxidase', 'Gene', (44, 59)) ('anti-neutrophil', 'Var', (67, 82)) ('MPO', 'Gene', (61, 64)) ('myeloperoxidase', 'Gene', '4353', (44, 59)) ('patients', 'Species', '9606', (124, 132)) ('neutrophil antibodies', 'Phenotype', 'HP:0003453', (72, 93)) 12739 31126874 HES patients showed clonal T-cell receptor rearrangements and IL-5 producing T cells characterized by CD3- CD4+ T cells. ('HES', 'Phenotype', 'HP:0032061', (0, 3)) ('HES', 'Disease', (0, 3)) ('IL-5', 'Gene', (62, 66)) ('CD', 'Chemical', 'MESH:D002104', (102, 104)) ('HES', 'Disease', 'MESH:D017681', (0, 3)) ('patients', 'Species', '9606', (4, 12)) ('T-cell receptor', 'Protein', (27, 42)) ('rearrangements', 'Var', (43, 57)) ('CD', 'Chemical', 'MESH:D002104', (107, 109)) 12763 31126874 The JAK-3 inhibitor CP-690550 acts as an anti-inflammatory agent for pulmonary eosinophilia in a mouse model. ('eosinophilia', 'Phenotype', 'HP:0001880', (79, 91)) ('CP-690550', 'Var', (20, 29)) ('pulmonary eosinophilia', 'Disease', 'MESH:D011657', (69, 91)) ('mouse', 'Species', '10090', (97, 102)) ('pulmonary eosinophilia', 'Disease', (69, 91)) ('pulmonary eosinophilia', 'Phenotype', 'HP:0032071', (69, 91)) ('JAK-3', 'Gene', '16453', (4, 9)) ('JAK-3', 'Gene', (4, 9)) ('CP-690550', 'Chemical', 'MESH:C479163', (20, 29)) 12784 31126874 Small molecule antagonists of CCR3, CRTH2 or eosinophil inhibitory receptors might also be an effective strategy to treat eosinophils in allergic diseases. ('CCR3', 'Gene', (30, 34)) ('CRTH2', 'Gene', '11251', (36, 41)) ('CRTH2', 'Gene', (36, 41)) ('antagonists', 'Var', (15, 26)) ('CCR3', 'Gene', '1232', (30, 34)) ('Small molecule antagonists', 'Var', (0, 26)) ('allergic diseases', 'Disease', (137, 154)) ('allergic diseases', 'Disease', 'MESH:D004342', (137, 154)) 12797 29774104 Seven metabolic tumor sub-volumes were obtained on the baseline scans using a fixed percentage of SUVmax (I30, I40, I50, I60, I70, I80, and I90) and were subsequently compared with two post-treatment sub-volumes (R40, R90) in 38 cases of local recurrence or residual metabolic disease. ('I80', 'Var', (131, 134)) ('metabolic tumor', 'Disease', 'MESH:D008659', (6, 21)) ('I70', 'Var', (126, 129)) ('I40', 'Var', (111, 114)) ('I50', 'Var', (116, 119)) ('metabolic disease', 'Disease', 'MESH:D008659', (267, 284)) ('I90', 'Var', (140, 143)) ('tumor', 'Phenotype', 'HP:0002664', (16, 21)) ('I30', 'Var', (106, 109)) ('metabolic tumor', 'Disease', (6, 21)) ('metabolic disease', 'Disease', (267, 284)) ('I60', 'Var', (121, 124)) 12806 29774104 These studies have indeed shown that the sub-volumes with high 18F-FDG uptake tend to correlate with a higher risk of local recurrence after a treatment by radiochemotherapy in non-small cell lung cancer, in rectal cancer and esophageal cancer. ('rectal cancer', 'Phenotype', 'HP:0100743', (208, 221)) ('non-small cell lung cancer', 'Disease', 'MESH:D002289', (177, 203)) ('esophageal cancer', 'Disease', 'MESH:D004938', (226, 243)) ('cancer', 'Disease', 'MESH:D009369', (197, 203)) ('esophageal cancer', 'Disease', (226, 243)) ('cancer', 'Disease', (215, 221)) ('lung cancer', 'Phenotype', 'HP:0100526', (192, 203)) ('non-small cell lung cancer', 'Disease', (177, 203)) ('local', 'Disease', (118, 123)) ('cancer', 'Phenotype', 'HP:0002664', (215, 221)) ('cancer', 'Disease', (237, 243)) ('cancer', 'Phenotype', 'HP:0002664', (237, 243)) ('cancer', 'Disease', (197, 203)) ('FDG', 'Chemical', 'MESH:D019788', (67, 70)) ('small cell lung cancer', 'Phenotype', 'HP:0030357', (181, 203)) ('non-small cell lung cancer', 'Phenotype', 'HP:0030358', (177, 203)) ('cancer', 'Phenotype', 'HP:0002664', (197, 203)) ('cancer', 'Disease', 'MESH:D009369', (215, 221)) ('cancer', 'Disease', 'MESH:D009369', (237, 243)) ('high', 'Var', (58, 62)) 12854 29774104 reported initial I40 MTVs of 53 cm3 in lung cancer while in our HNSCC study mean I4O was only 24.6 cm3. ('MTV', 'Chemical', '-', (21, 24)) ('lung cancer', 'Phenotype', 'HP:0100526', (39, 50)) ('lung cancer', 'Disease', (39, 50)) ('lung cancer', 'Disease', 'MESH:D008175', (39, 50)) ('HNSCC', 'Phenotype', 'HP:0012288', (64, 69)) ('I40 MTVs', 'Var', (17, 25)) ('cancer', 'Phenotype', 'HP:0002664', (44, 50)) 12889 29774104 The measurement of VcI considering R40 determines the smaller initial sub-volume (Ix) that contains the recurrence volume, while the measurement considering R90 corresponds to the smaller initial sub-volume (Ix) that contains the highest activity regions in the tumor recurrence. ('tumor', 'Phenotype', 'HP:0002664', (262, 267)) ('tumor', 'Disease', (262, 267)) ('tumor', 'Disease', 'MESH:D009369', (262, 267)) ('R40', 'Var', (35, 38)) 12898 27863424 Moreover, CDH1, which encodes the adhesion molecule E-cadherin, was the most significantly downregulated gene in FLO-1LM compared to FLO-1. ('CDH1', 'Gene', (10, 14)) ('downregulated', 'NegReg', (91, 104)) ('CDH1', 'Gene', '999', (10, 14)) ('FLO-1', 'Chemical', '-', (133, 138)) ('FLO-1LM', 'Var', (113, 120)) ('FLO-1LM', 'Chemical', '-', (113, 120)) ('FLO-1', 'Chemical', '-', (113, 118)) ('E-cadherin', 'Gene', (52, 62)) ('E-cadherin', 'Gene', '999', (52, 62)) 12907 27863424 These alterations affect signaling pathways that ultimately enable cancer cells to invade locally, traverse the systemic circulation and colonize distant sites. ('cancer', 'Disease', 'MESH:D009369', (67, 73)) ('alterations', 'Var', (6, 17)) ('cancer', 'Disease', (67, 73)) ('affect', 'Reg', (18, 24)) ('traverse', 'CPA', (99, 107)) ('signaling pathways', 'Pathway', (25, 43)) ('enable', 'Reg', (60, 66)) ('invade', 'CPA', (83, 89)) ('cancer', 'Phenotype', 'HP:0002664', (67, 73)) 12935 27863424 Importantly, given that EMT may result in tumor de-differentiation, invasion and metastasis, we next compared the mRNA and protein levels of well validated EMT genes across our cell line panel. ('tumor', 'Disease', (42, 47)) ('result in', 'Reg', (32, 41)) ('invasion', 'CPA', (68, 76)) ('metastasis', 'CPA', (81, 91)) ('tumor', 'Disease', 'MESH:D009369', (42, 47)) ('de-differentiation', 'NegReg', (48, 66)) ('tumor', 'Phenotype', 'HP:0002664', (42, 47)) ('EMT', 'Var', (24, 27)) 12942 27863424 In comparison to parental cells, we found that FLO-1LM were smaller in size, and exhibited greater migratory, invasive, proliferative and clonogenic capacity in vitro (Figure 3A-3E). ('FLO-1LM', 'Var', (47, 54)) ('migratory', 'CPA', (99, 108)) ('FLO-1LM', 'Chemical', '-', (47, 54)) ('clonogenic capacity', 'CPA', (138, 157)) ('greater', 'PosReg', (91, 98)) ('invasive', 'CPA', (110, 118)) 12946 27863424 Interestingly, we found that FLO-1LM cells were also tumorigenic and metastatic in nude mice (Figure 4F-4H), whereas FLO-1 parental cells completely failed to grow in these mice with relatively higher immunocompetency. ('FLO-1', 'Chemical', '-', (117, 122)) ('metastatic', 'CPA', (69, 79)) ('FLO-1LM', 'Var', (29, 36)) ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('FLO-1', 'Chemical', '-', (29, 34)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('FLO-1LM', 'Chemical', '-', (29, 36)) ('tumor', 'Disease', (53, 58)) ('mice', 'Species', '10090', (88, 92)) ('nude mice', 'Species', '10090', (83, 92)) ('mice', 'Species', '10090', (173, 177)) 12954 27863424 We stratified this cohort based on CDH1 expression, with low CDH1 defined a priori as the bottom 25% (and high CDH1 the top 75%). ('CDH1', 'Gene', '999', (61, 65)) ('CDH1', 'Gene', (111, 115)) ('CDH1', 'Gene', (35, 39)) ('low', 'Var', (57, 60)) ('CDH1', 'Gene', '999', (35, 39)) ('CDH1', 'Gene', '999', (111, 115)) ('CDH1', 'Gene', (61, 65)) 12956 27863424 Top enriched GO processes found in FLO-1LM (vs. FLO-1 parental) and CDH1 low tumors (vs. CDH1 high tumours) were subsequently compared. ('tumors', 'Phenotype', 'HP:0002664', (77, 83)) ('CDH1 high tumours', 'Disease', 'MESH:D009369', (89, 106)) ('FLO-1', 'Chemical', '-', (35, 40)) ('tumours', 'Phenotype', 'HP:0002664', (99, 106)) ('CDH1 high tumours', 'Disease', (89, 106)) ('CDH1 low tumors', 'Disease', (68, 83)) ('tumor', 'Phenotype', 'HP:0002664', (77, 82)) ('CDH1 low tumors', 'Disease', 'MESH:D009800', (68, 83)) ('FLO-1', 'Chemical', '-', (48, 53)) ('tumour', 'Phenotype', 'HP:0002664', (99, 105)) ('FLO-1LM', 'Var', (35, 42)) ('FLO-1LM', 'Chemical', '-', (35, 42)) 12963 27863424 Strikingly, we found that metastatic burden from cells with low E-cadherin expression was on average 160,000-fold greater in the liver and 12-fold greater in the lungs than high E-cadherin expressing cells (Figure 6C). ('greater', 'PosReg', (147, 154)) ('low', 'Var', (60, 63)) ('E-cadherin', 'Gene', (64, 74)) ('greater', 'PosReg', (114, 121)) ('metastatic burden', 'CPA', (26, 43)) ('E-cadherin', 'Gene', (178, 188)) ('E-cadherin', 'Gene', '999', (178, 188)) ('E-cadherin', 'Gene', '999', (64, 74)) 12964 27863424 Extending these findings, we found that E-cadherin knockdown in FLO1-parental cells (Figure 6D) resulted in smaller cells, enhanced migration, and increased the expression of SNAI2, ZEB2 and TWIST1 in vitro (Figure 6E-6G, Supplementary Figure S5A), effectively phenocopying FLO-1LM cells. ('enhanced', 'PosReg', (123, 131)) ('TWIST1', 'Gene', '7291', (191, 197)) ('increased', 'PosReg', (147, 156)) ('SNAI2', 'Gene', '6591', (175, 180)) ('SNAI2', 'Gene', (175, 180)) ('expression', 'MPA', (161, 171)) ('E-cadherin', 'Gene', (40, 50)) ('E-cadherin', 'Gene', '999', (40, 50)) ('migration', 'CPA', (132, 141)) ('ZEB2', 'Gene', '9839', (182, 186)) ('smaller', 'NegReg', (108, 115)) ('FLO-1LM', 'Chemical', '-', (274, 281)) ('FLO1-parental', 'Gene', (64, 77)) ('TWIST1', 'Gene', (191, 197)) ('ZEB2', 'Gene', (182, 186)) ('cells', 'CPA', (116, 121)) ('knockdown', 'Var', (51, 60)) 12965 27863424 To investigate the clinical importance of CDH1/E-cadherin dysregulation in esophageal cancer, we firstly analyzed TCGA datasets (publicly available at cBioportal for Cancer Genomics: www.cbioportal.org) and reviewed the literature to determine the extent of CDH1/E-cadherin aberration in esophageal EAC. ('Cancer', 'Disease', 'MESH:D009369', (166, 172)) ('Cancer', 'Phenotype', 'HP:0002664', (166, 172)) ('CDH1', 'Gene', (258, 262)) ('esophageal cancer', 'Disease', 'MESH:D004938', (75, 92)) ('E-cadherin', 'Gene', (263, 273)) ('CDH1', 'Gene', (42, 46)) ('E-cadherin', 'Gene', '999', (263, 273)) ('E-cadherin', 'Gene', (47, 57)) ('CDH1', 'Gene', '999', (42, 46)) ('cancer', 'Phenotype', 'HP:0002664', (86, 92)) ('CDH1', 'Gene', '999', (258, 262)) ('E-cadherin', 'Gene', '999', (47, 57)) ('esophageal EAC', 'Disease', (288, 302)) ('EAC', 'Phenotype', 'HP:0011459', (299, 302)) ('Cancer', 'Disease', (166, 172)) ('esophageal cancer', 'Disease', (75, 92)) ('aberration', 'Var', (274, 284)) 12967 27863424 This is in part explained by the frequent hyper-methylation of the CDH1 promoter resulting in impaired gene transcription (Figure 6I). ('CDH1', 'Gene', (67, 71)) ('impaired', 'NegReg', (94, 102)) ('gene transcription', 'MPA', (103, 121)) ('hyper-methylation', 'Var', (42, 59)) ('CDH1', 'Gene', '999', (67, 71)) 12968 27863424 Additionally, genomic abnormalities such as mutations and deletions, albeit uncommon, have also been reported (Figure 6I). ('mutations', 'Var', (44, 53)) ('genomic abnormalities', 'Disease', 'MESH:D042822', (14, 35)) ('genomic abnormalities', 'Disease', (14, 35)) ('deletions', 'Var', (58, 67)) 12979 27863424 Furthermore, since parental FLO-1 cells were originally established from a treatment-naive patient (Table 1), these pathway alterations are likely to reflect innate tumor biology absent of therapy-related selection pressures. ('alterations', 'Var', (124, 135)) ('tumor', 'Disease', 'MESH:D009369', (165, 170)) ('tumor', 'Phenotype', 'HP:0002664', (165, 170)) ('FLO-1', 'Chemical', '-', (28, 33)) ('patient', 'Species', '9606', (91, 98)) ('tumor', 'Disease', (165, 170)) 12986 27863424 Interestingly, parental FLO-1 cells were metastatic in NSG mice but not in NOD-SCID mice. ('mice', 'Species', '10090', (59, 63)) ('NSG', 'Var', (55, 58)) ('mice', 'Species', '10090', (84, 88)) ('SCID', 'Disease', 'MESH:D053632', (79, 83)) ('SCID', 'Disease', (79, 83)) ('FLO-1', 'Chemical', '-', (24, 29)) ('metastatic', 'CPA', (41, 51)) 12987 27863424 The main difference between these two transgenic strains is the knockout of IL-2 receptor gamma-chain in NSG mice, which results in loss of cytokine signalling and impaired T, B, and natural killer cell function. ('cytokine signalling', 'MPA', (140, 159)) ('loss', 'NegReg', (132, 136)) ('knockout', 'Var', (64, 72)) ('IL-2', 'Gene', (76, 80)) ('loss of cytokine signalling', 'Phenotype', 'HP:0031407', (132, 159)) ('mice', 'Species', '10090', (109, 113)) ('impaired', 'NegReg', (164, 172)) 12990 27863424 A key strength of our study is the establishment of FLO-1LM, which in contrast to parental FLO-1, is significantly more invasive in vitro and more metastatic in vivo. ('metastatic', 'CPA', (147, 157)) ('more', 'PosReg', (115, 119)) ('FLO-1LM', 'Var', (52, 59)) ('FLO-1LM', 'Chemical', '-', (52, 59)) ('FLO-1', 'Chemical', '-', (91, 96)) ('invasive', 'CPA', (120, 128)) ('FLO-1', 'Chemical', '-', (52, 57)) 12992 27863424 Consistently, the most differentially altered pathways between FLO-1LM and parental FLO-1 were processes involved in regulating cell adhesion, migration, differentiation, proliferation, cytoskeletal organization, angiogenesis and apoptosis. ('altered', 'Reg', (38, 45)) ('FLO-1', 'Chemical', '-', (84, 89)) ('cell adhesion', 'CPA', (128, 141)) ('FLO-1', 'Chemical', '-', (63, 68)) ('migration', 'CPA', (143, 152)) ('proliferation', 'CPA', (171, 184)) ('FLO-1LM', 'Var', (63, 70)) ('FLO-1LM', 'Chemical', '-', (63, 70)) 12998 27863424 Here, we showed that FLO-1 parental cells with low levels of E-cadherin expression have increased metastatic capacity compared with E-cadherin high expressers. ('E-cadherin', 'Gene', (132, 142)) ('E-cadherin', 'Gene', '999', (132, 142)) ('metastatic capacity', 'CPA', (98, 117)) ('E-cadherin', 'Gene', (61, 71)) ('E-cadherin', 'Gene', '999', (61, 71)) ('increased', 'PosReg', (88, 97)) ('low levels', 'Var', (47, 57)) ('FLO-1', 'Chemical', '-', (21, 26)) 12999 27863424 Additionally, E-cadherin knockdown in FLO-1 parental cells induced a mesenchymal-like cell morphology, increased cell migration and upregulated EMT genes. ('E-cadherin', 'Gene', '999', (14, 24)) ('increased', 'PosReg', (103, 112)) ('induced', 'PosReg', (59, 66)) ('EMT genes', 'Gene', (144, 153)) ('mesenchymal-like cell morphology', 'CPA', (69, 101)) ('upregulated', 'PosReg', (132, 143)) ('cell migration', 'CPA', (113, 127)) ('E-cadherin', 'Gene', (14, 24)) ('knockdown', 'Var', (25, 34)) ('FLO-1', 'Chemical', '-', (38, 43)) 13002 27863424 It is unlikely however, that genomic aberrations alone will explain this phenomenon, as the incidence of CDH1 mutation is relatively low in EAC. ('low', 'NegReg', (133, 136)) ('EAC', 'Phenotype', 'HP:0011459', (140, 143)) ('CDH1', 'Gene', (105, 109)) ('mutation', 'Var', (110, 118)) ('CDH1', 'Gene', '999', (105, 109)) 13005 27863424 Their expression is further elevated in FLO-1LM, which concordantly has lower CDH1 levels. ('FLO-1LM', 'Var', (40, 47)) ('expression', 'MPA', (6, 16)) ('lower', 'NegReg', (72, 77)) ('FLO-1LM', 'Chemical', '-', (40, 47)) ('CDH1', 'Gene', (78, 82)) ('elevated', 'PosReg', (28, 36)) ('CDH1', 'Gene', '999', (78, 82)) 13035 27863424 Antibodies against the following proteins were used: human mitochondrial antigen (MAB1273, Merck Millipore), AE1/AE3 (Leica Biosystems), CD45 (2B11, Dako) and E-cadherin (EP700Y, Abcam). ('EP700Y', 'Var', (171, 177)) ('E-cadherin', 'Gene', '999', (159, 169)) ('AE3', 'Gene', '6508', (113, 116)) ('E-cadherin', 'Gene', (159, 169)) ('human', 'Species', '9606', (53, 58)) ('AE1', 'Gene', '6521', (109, 112)) ('AE3', 'Gene', (113, 116)) ('AE1', 'Gene', (109, 112)) 13074 27058412 The knockdown of Cat S significantly suppressed the migration and invasion of GC cells. ('C', 'Chemical', 'MESH:D002244', (17, 18)) ('Cat S', 'Gene', '1520', (17, 22)) ('Cat S', 'Gene', (17, 22)) ('knockdown', 'Var', (4, 13)) ('C', 'Chemical', 'MESH:D002244', (79, 80)) ('GC', 'Phenotype', 'HP:0012126', (78, 80)) ('suppressed', 'NegReg', (37, 47)) 13078 27058412 Serum biomarkers, for example, CEA, CA72-4, CA19-9, lack sufficient sensitivity and specificity. ('CA72-4', 'Chemical', '-', (36, 42)) ('CEA', 'Gene', '1084', (31, 34)) ('CA19-9', 'Var', (44, 50)) ('CA19-9', 'Chemical', 'MESH:C086528', (44, 50)) ('CA72-4', 'Var', (36, 42)) ('CEA', 'Gene', (31, 34)) 13093 27058412 High Cat L expression has been found in gastrointestinal stromal tumors. ('High', 'Var', (0, 4)) ('expression', 'MPA', (11, 21)) ('gastrointestinal stromal tumors', 'Phenotype', 'HP:0100723', (40, 71)) ('Cat L', 'Gene', (5, 10)) ('tumors', 'Phenotype', 'HP:0002664', (65, 71)) ('gastrointestinal stromal tumors', 'Disease', (40, 71)) ('Cat L', 'Gene', '1514', (5, 10)) ('found', 'Reg', (31, 36)) ('tumor', 'Phenotype', 'HP:0002664', (65, 70)) ('gastrointestinal stromal tumors', 'Disease', 'MESH:D046152', (40, 71)) 13110 27058412 In contrast, the AUCs of the traditional biomarkers of CEA, CA724 and CA199 were 0.626, 0.575, and 0.564, respectively. ('CEA', 'Gene', (55, 58)) ('CEA', 'Gene', '1084', (55, 58)) ('C', 'Chemical', 'MESH:D002244', (70, 71)) ('CA724', 'Chemical', '-', (60, 65)) ('C', 'Chemical', 'MESH:D002244', (55, 56)) ('C', 'Chemical', 'MESH:D002244', (19, 20)) ('C', 'Chemical', 'MESH:D002244', (60, 61)) ('CA199', 'Var', (70, 75)) ('CA199', 'Chemical', '-', (70, 75)) 13112 27058412 The combination of Cat S, CEA, CA724 and CA199 resulted in a better AUC of 0.851 with a specificity of 91.2% and a sensitivity of 72.6% (Figure 2A). ('C', 'Chemical', 'MESH:D002244', (31, 32)) ('CA199', 'Chemical', '-', (41, 46)) ('C', 'Chemical', 'MESH:D002244', (41, 42)) ('C', 'Chemical', 'MESH:D002244', (70, 71)) ('CA724', 'Var', (31, 36)) ('Cat S', 'Gene', '1520', (19, 24)) ('AUC', 'MPA', (68, 71)) ('CEA', 'Gene', (26, 29)) ('C', 'Chemical', 'MESH:D002244', (19, 20)) ('C', 'Chemical', 'MESH:D002244', (26, 27)) ('CEA', 'Gene', '1084', (26, 29)) ('CA724', 'Chemical', '-', (31, 36)) ('CA199', 'Var', (41, 46)) ('Cat S', 'Gene', (19, 24)) 13144 27058412 The knockdown of Cat S clearly reduced both the migration ability and the invasive nature of the GC cells and even elicited significant reductions compared to the wild-type Cat S cells (Figure 5C and 5D). ('C', 'Chemical', 'MESH:D002244', (17, 18)) ('reduced', 'NegReg', (31, 38)) ('C', 'Chemical', 'MESH:D002244', (194, 195)) ('Cat S', 'Gene', (173, 178)) ('Cat S', 'Gene', (17, 22)) ('C', 'Chemical', 'MESH:D002244', (173, 174)) ('invasive nature of the GC cells', 'CPA', (74, 105)) ('reductions', 'NegReg', (136, 146)) ('Cat S', 'Gene', '1520', (173, 178)) ('migration ability', 'CPA', (48, 65)) ('C', 'Chemical', 'MESH:D002244', (98, 99)) ('GC', 'Phenotype', 'HP:0012126', (97, 99)) ('knockdown', 'Var', (4, 13)) ('Cat S', 'Gene', '1520', (17, 22)) 13189 27058412 In summary, we observed high levels of expression of Cat S in GC, and the knockdown Cat S suppressed GC cell migration and invasion. ('Cat S', 'Gene', (53, 58)) ('GC', 'Phenotype', 'HP:0012126', (62, 64)) ('Cat S', 'Gene', '1520', (84, 89)) ('C', 'Chemical', 'MESH:D002244', (84, 85)) ('knockdown', 'Var', (74, 83)) ('Cat S', 'Gene', '1520', (53, 58)) ('GC', 'Phenotype', 'HP:0012126', (101, 103)) ('C', 'Chemical', 'MESH:D002244', (53, 54)) ('C', 'Chemical', 'MESH:D002244', (102, 103)) ('suppressed', 'NegReg', (90, 100)) ('Cat S', 'Gene', (84, 89)) ('C', 'Chemical', 'MESH:D002244', (63, 64)) 13212 27058412 After being blocked with 5% non-fat dry milk in PBS containing 0.05% Tween-20, the blotted membranes were incubated with anti-human Cat S antibody (sc74429, Santa Cruz; 1:100) and then secondary antibody (1:5000, Boster, China). ('human', 'Species', '9606', (126, 131)) ('PBS', 'Disease', (48, 51)) ('sc74429', 'Var', (148, 155)) ('C', 'Chemical', 'MESH:D002244', (221, 222)) ('C', 'Chemical', 'MESH:D002244', (163, 164)) ('Tween-20', 'Chemical', 'MESH:D011136', (69, 77)) ('Cat S', 'Gene', '1520', (132, 137)) ('C', 'Chemical', 'MESH:D002244', (132, 133)) ('Cat S', 'Gene', (132, 137)) ('PBS', 'Disease', 'MESH:D011535', (48, 51)) 13354 24704912 ICC values <0.20, 0.21-0.40, 0.41-0.60, 0.61-0.80, and 0.81-1.00 were considered to indicate poor, fair, moderate, good, and very good agreement, respectively. ('men', 'Species', '9606', (140, 143)) ('0.21-0.40', 'Var', (18, 27)) ('0.81-1.00', 'Var', (55, 64)) ('0.41-0.60', 'Var', (29, 38)) ('0.61-0.80', 'Var', (40, 49)) ('<0.20', 'Var', (11, 16)) 13365 24704912 Initial clinical tumor stage, based on 18F FDG PET/CT and endoscopic ultrasonography findings, varied from cT1N1 to cT4aN3. ('tumor', 'Disease', (17, 22)) ('cT1N1', 'Var', (107, 112)) ('tumor', 'Disease', 'MESH:D009369', (17, 22)) ('cT4aN3', 'Var', (116, 122)) ('tumor', 'Phenotype', 'HP:0002664', (17, 22)) 13393 24704912 The deep location of the esophagus, movement related to respiration, peristalsis and cardiac motion, and the presence of local field inhomogeneities caused by susceptibility changes at tissue interface make DW-MRI of esophageal cancer challenging. ('esophageal cancer', 'Disease', (217, 234)) ('changes', 'Var', (174, 181)) ('esophageal cancer', 'Disease', 'MESH:D004938', (217, 234)) ('cancer', 'Phenotype', 'HP:0002664', (228, 234)) ('men', 'Species', '9606', (40, 43)) 13395 24704912 The final scanning protocol we used was based on our experience in the use of DW-MRI in other tumors (such as rectal cancer), published literature, and test scanning in cooperation with the medical physics department. ('rectal cancer', 'Phenotype', 'HP:0100743', (110, 123)) ('cancer', 'Phenotype', 'HP:0002664', (117, 123)) ('tumor', 'Phenotype', 'HP:0002664', (94, 99)) ('DW-MRI', 'Var', (78, 84)) ('tumors', 'Disease', (94, 100)) ('tumors', 'Disease', 'MESH:D009369', (94, 100)) ('tumors', 'Phenotype', 'HP:0002664', (94, 100)) ('rectal cancer', 'Disease', 'MESH:D012004', (110, 123)) ('rectal cancer', 'Disease', (110, 123)) ('men', 'Species', '9606', (212, 215)) 13443 33563329 The E7-induced degradation of the tumour suppressor RB protein renders infected cells irresponsive to growth control mechanisms by promoting them to the S phase. ('infected', 'Disease', 'MESH:D007239', (71, 79)) ('RB', 'Disease', 'MESH:D012175', (52, 54)) ('infected', 'Disease', (71, 79)) ('tumour', 'Disease', 'MESH:D009369', (34, 40)) ('promoting', 'PosReg', (131, 140)) ('degradation', 'MPA', (15, 26)) ('E7-induced', 'Var', (4, 14)) ('tumour', 'Disease', (34, 40)) ('tumour', 'Phenotype', 'HP:0002664', (34, 40)) 13507 33019440 Moderately differentiated esophageal squamous cell cancer (pT1bN0M0G2, IB) was confirmed. ('esophageal squamous cell cancer', 'Disease', (26, 57)) ('cancer', 'Phenotype', 'HP:0002664', (51, 57)) ('squamous cell cancer', 'Phenotype', 'HP:0002860', (37, 57)) ('esophageal squamous cell cancer', 'Disease', 'MESH:D002294', (26, 57)) ('pT1bN0M0G2', 'Var', (59, 69)) 13708 28954418 The updated meta-analysis confirms an important inverse association between adherence to a MedD and cancer mortality and risk of several cancer types, especially colorectal cancer. ('cancer', 'Phenotype', 'HP:0002664', (137, 143)) ('cancer', 'Disease', 'MESH:D009369', (173, 179)) ('colorectal cancer', 'Disease', 'MESH:D015179', (162, 179)) ('cancer', 'Disease', (173, 179)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (162, 179)) ('cancer', 'Phenotype', 'HP:0002664', (100, 106)) ('cancer', 'Disease', 'MESH:D009369', (137, 143)) ('adherence', 'Var', (76, 85)) ('colorectal cancer', 'Disease', (162, 179)) ('cancer', 'Disease', (137, 143)) ('cancer', 'Phenotype', 'HP:0002664', (173, 179)) ('cancer', 'Disease', (100, 106)) ('cancer', 'Disease', 'MESH:D009369', (100, 106)) ('inverse', 'NegReg', (48, 55)) 13722 28954418 Some specific bioactive compounds from foods with tumor-preventive potential have been characterized in the past, e.g., polyphenols, n-3 fatty acids, or monounsaturated fatty acids. ('n-3 fatty acids', 'Chemical', 'MESH:D015525', (133, 148)) ('monounsaturated', 'Var', (153, 168)) ('polyphenols', 'Chemical', 'MESH:D059808', (120, 131)) ('tumor', 'Disease', 'MESH:D009369', (50, 55)) ('tumor', 'Phenotype', 'HP:0002664', (50, 55)) ('monounsaturated fatty acids', 'Chemical', 'MESH:D005229', (153, 180)) ('tumor', 'Disease', (50, 55)) 13750 28954418 Pooled estimates for the single components of the Mediterranean dietary pattern shown in Figure 1 revealed an inverse association for fruit consumption (RR: 0.93, 95% CI 0.89 to 0.97, I2 = 60%, n = 13 studies), vegetable intake (RR: 0.96, 95% CI 0.93 to 0.98, I2 = 0%, n = 14 studies), whole grain intake (RR: 0.91, 95% CI 0.87 to 0.95, I2 = 31%, n = 9 studies), and moderate alcohol consumption (within the range) (RR: 0.89, 95% CI 0.85 to 0.93), compared to higher intakes and cancer risk. ('cancer', 'Disease', (479, 485)) ('cancer', 'Disease', 'MESH:D009369', (479, 485)) ('moderate alcohol consumption', 'Var', (367, 395)) ('inverse', 'NegReg', (110, 117)) ('cancer', 'Phenotype', 'HP:0002664', (479, 485)) ('alcohol', 'Chemical', 'MESH:D000438', (376, 383)) 13754 28954418 Following the synthesis of data from RCTs as well as cohort and case-control studies in the present systematic review, strongest adherence to a MedD was inversely associated with cancer mortality and risk of colorectal, breast, gastric, liver, head and neck, gallbladder, and biliary tract cancer. ('inversely', 'NegReg', (153, 162)) ('cancer', 'Disease', 'MESH:D009369', (290, 296)) ('colorectal', 'Disease', (208, 218)) ('breast', 'Disease', (220, 226)) ('cancer', 'Phenotype', 'HP:0002664', (179, 185)) ('adherence', 'Var', (129, 138)) ('cancer', 'Disease', (290, 296)) ('biliary tract cancer', 'Phenotype', 'HP:0100574', (276, 296)) ('gastric', 'Disease', (228, 235)) ('liver', 'Disease', (237, 242)) ('gallbladder', 'Disease', (259, 270)) ('associated with', 'Reg', (163, 178)) ('cancer', 'Disease', 'MESH:D009369', (179, 185)) ('cancer', 'Phenotype', 'HP:0002664', (290, 296)) ('cancer', 'Disease', (179, 185)) ('MedD', 'Gene', (144, 148)) ('biliary tract cancer', 'Disease', 'MESH:D001661', (276, 296)) ('biliary tract cancer', 'Disease', (276, 296)) 13756 28954418 Consequently, the Greek cohort of the EPIC study revealed that the inverse association between adherence to a MedD and cancer risk is not due to any single component of this diet but rather an effect of the complete pattern. ('inverse', 'NegReg', (67, 74)) ('adherence', 'Var', (95, 104)) ('cancer', 'Disease', 'MESH:D009369', (119, 125)) ('cancer', 'Disease', (119, 125)) ('cancer', 'Phenotype', 'HP:0002664', (119, 125)) 13789 28954418 In some studies, the inverse association between adherence to a MedD and risk of tobacco-related cancers was significantly more pronounced in the subgroup of active smokers. ('cancers', 'Disease', 'MESH:D009369', (97, 104)) ('cancers', 'Phenotype', 'HP:0002664', (97, 104)) ('cancers', 'Disease', (97, 104)) ('tobacco', 'Species', '4097', (81, 88)) ('inverse', 'NegReg', (21, 28)) ('cancer', 'Phenotype', 'HP:0002664', (97, 103)) ('adherence', 'Var', (49, 58)) 13798 28954418 In conclusion, the present update of our systematic review and meta-analyses provided additional important evidence for a beneficial effect of high adherence to MedD with respect to primary prevention overall cancer risk and specific types of cancer, especially colorectal cancer. ('colorectal cancer', 'Disease', 'MESH:D015179', (262, 279)) ('cancer', 'Disease', (273, 279)) ('cancer', 'Disease', 'MESH:D009369', (273, 279)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (262, 279)) ('cancer', 'Disease', 'MESH:D009369', (209, 215)) ('cancer', 'Disease', (243, 249)) ('high adherence', 'Var', (143, 157)) ('cancer', 'Disease', 'MESH:D009369', (243, 249)) ('cancer', 'Phenotype', 'HP:0002664', (273, 279)) ('cancer', 'Disease', (209, 215)) ('colorectal cancer', 'Disease', (262, 279)) ('beneficial', 'PosReg', (122, 132)) ('MedD', 'Gene', (161, 165)) ('cancer', 'Phenotype', 'HP:0002664', (243, 249)) ('cancer', 'Phenotype', 'HP:0002664', (209, 215)) 13803 28744359 Molecular hydrogen has antioxidant and antiapoptotic effects and a preventive effect on oxidative stress-induced cell death. ('oxidative', 'CPA', (88, 97)) ('antiapoptotic effects', 'CPA', (39, 60)) ('hydrogen', 'Chemical', 'MESH:D006859', (10, 18)) ('Molecular', 'Var', (0, 9)) ('antioxidant', 'MPA', (23, 34)) ('oxidative stress', 'Phenotype', 'HP:0025464', (88, 104)) 13809 28744359 Apoptosis-inducing effect on KYSE-70 cells was observed in 10, 300, 600, and 1,200 ppm H2-silica, and only 1,200 ppm H2-silica caused a 2.4-fold increase in apoptosis in HEEpiCs compared with the control group as the index of Bax/Bcl-2. ('H2-silica', 'Var', (87, 96)) ('apoptosis', 'CPA', (157, 166)) ('Apoptosis-inducing', 'CPA', (0, 18)) ('Bax', 'Gene', '581', (226, 229)) ('increase', 'PosReg', (145, 153)) ('H2-silica', 'Chemical', '-', (117, 126)) ('H2-silica', 'Chemical', '-', (87, 96)) ('Bax', 'Gene', (226, 229)) ('Bcl-2', 'Gene', (230, 235)) ('Bcl-2', 'Gene', '596', (230, 235)) 13881 28744359 In addition, from the results of the ratios of activated caspase-3 and Bax/Bcl-2 experiment, it was confirmed that H2-silica had the effect of inducing and enhancing cancer cell apoptosis. ('cancer', 'Disease', (166, 172)) ('cancer', 'Disease', 'MESH:D009369', (166, 172)) ('H2-silica', 'Var', (115, 124)) ('Bax', 'Gene', (71, 74)) ('H2-silica', 'Chemical', '-', (115, 124)) ('Bcl-2', 'Gene', (75, 80)) ('Bcl-2', 'Gene', '596', (75, 80)) ('Bax', 'Gene', '581', (71, 74)) ('cancer', 'Phenotype', 'HP:0002664', (166, 172)) ('enhancing', 'PosReg', (156, 165)) ('inducing', 'PosReg', (143, 151)) 13903 28744359 As shown in Figure 2, H2-silica has a certain antiproliferative effect on KYSE-70 cells, particularly during the initial 48 hours after treatment (P < 0.05). ('H2-silica', 'Var', (22, 31)) ('H2-silica', 'Chemical', '-', (22, 31)) ('antiproliferative effect', 'CPA', (46, 70)) 13916 28744359 According to our results showing that H2-silica can inhibit proliferation, promote apoptosis, and prevent cell migration in KYSE-70 cells, H2-silica may be a potential therapeutic agent in cancer prevention and inhibition of metastasis through its anti-ROS effects. ('inhibit', 'NegReg', (52, 59)) ('prevent', 'NegReg', (98, 105)) ('promote', 'PosReg', (75, 82)) ('ROS', 'Chemical', 'MESH:D017382', (253, 256)) ('cancer', 'Phenotype', 'HP:0002664', (189, 195)) ('H2-silica', 'Var', (139, 148)) ('H2-silica', 'Chemical', '-', (38, 47)) ('metastasis', 'CPA', (225, 235)) ('apoptosis', 'CPA', (83, 92)) ('proliferation', 'CPA', (60, 73)) ('cancer', 'Disease', 'MESH:D009369', (189, 195)) ('H2-silica', 'Chemical', '-', (139, 148)) ('cell migration', 'CPA', (106, 120)) ('cancer', 'Disease', (189, 195)) 13937 28744359 It suggests that H2-silica may sometimes trigger cell death via the non-caspase pathway or the initiator-caspase-skipping route rather than the typical effector caspase-3 mediated pathway, or it is possible that activated caspase-3 would be degraded by other proteases. ('H2-silica', 'Var', (17, 26)) ('H2-silica', 'Chemical', '-', (17, 26)) ('non-caspase pathway', 'Pathway', (68, 87)) ('trigger', 'Reg', (41, 48)) ('cell death', 'CPA', (49, 59)) 14052 24736706 Meat Consumption and Risk of Oral Cavity and Oropharynx Cancer: A Meta-Analysis of Observational Studies High meat consumption, especially red and processed meat consumption is associated with an increased risk of several cancers, however, evidence for oral cavity and oropharynx cancer is limited. ('cancer', 'Disease', 'MESH:D009369', (280, 286)) ('cancer', 'Disease', 'MESH:D009369', (222, 228)) ('cancer', 'Disease', (280, 286)) ('cancer', 'Disease', (222, 228)) ('cancers', 'Phenotype', 'HP:0002664', (222, 229)) ('Cancer', 'Phenotype', 'HP:0002664', (56, 62)) ('Oropharynx Cancer', 'Disease', (45, 62)) ('cancers', 'Disease', (222, 229)) ('High meat', 'Var', (105, 114)) ('cancers', 'Disease', 'MESH:D009369', (222, 229)) ('cancer', 'Phenotype', 'HP:0002664', (280, 286)) ('cancer', 'Phenotype', 'HP:0002664', (222, 228)) ('Oropharynx Cancer', 'Disease', 'MESH:D009959', (45, 62)) 14073 24736706 In subgroup analyses, when stratified the various studies by study location, no significant association was noted among studies conducted in Europe (RR = 0.93, 95%CI [0.55, 1.59]), and Asia (RR = 0.98, 95%CI [0.42, 2.29]), however, high consumption of total meat was significantly associated with a 118% increased risk of oral cavity and oropharynx cancer in South America (RR = 2.18, 95%CI [1.49, 3.20]). ('cancer', 'Phenotype', 'HP:0002664', (349, 355)) ('cancer', 'Disease', (349, 355)) ('high', 'Var', (232, 236)) ('cancer', 'Disease', 'MESH:D009369', (349, 355)) 14086 24736706 NOCs intake may contribute to carcinogenesis at a variety of anatomic sites in animals. ('contribute', 'Reg', (16, 26)) ('NOCs', 'Var', (0, 4)) ('carcinogenesis', 'Disease', (30, 44)) ('carcinogenesis', 'Disease', 'MESH:D063646', (30, 44)) 14123 24259307 Furthermore, many post-translational modifications affect the chemokine receptor signaling, receptor specificity as well as chemotactic property of chemokines and thus affect their biological functions. ('al', 'Chemical', 'MESH:D000535', (34, 36)) ('biological functions', 'MPA', (181, 201)) ('affect', 'Reg', (51, 57)) ('chemotactic property', 'MPA', (124, 144)) ('al', 'Chemical', 'MESH:D000535', (189, 191)) ('chemokine receptor', 'Gene', '7852', (62, 80)) ('post-translational modifications', 'Var', (18, 50)) ('chemokine receptor', 'Gene', (62, 80)) ('affect', 'Reg', (168, 174)) ('al', 'Chemical', 'MESH:D000535', (85, 87)) ('receptor specificity', 'MPA', (92, 112)) 14128 24259307 This alteration occurs due to inactivation of the tumor suppressor genes or constitutive activation of the oncogenes that play a role in the regulation of the chemokines. ('rat', 'Species', '10116', (9, 12)) ('inactivation', 'Var', (30, 42)) ('tumor', 'Disease', 'MESH:D009369', (50, 55)) ('activation', 'PosReg', (89, 99)) ('tumor', 'Phenotype', 'HP:0002664', (50, 55)) ('al', 'Chemical', 'MESH:D000535', (5, 7)) ('oncogenes', 'Gene', (107, 116)) ('tumor', 'Disease', (50, 55)) 14129 24259307 Furthermore, deregulated expression of the transcription factors also affects the levels of chemokine and receptors regulated by them and promotes tumorigenesis. ('levels of chemokine', 'MPA', (82, 101)) ('tumor', 'Disease', (147, 152)) ('tumor', 'Phenotype', 'HP:0002664', (147, 152)) ('al', 'Chemical', 'MESH:D000535', (65, 67)) ('deregulated', 'Var', (13, 24)) ('expression', 'MPA', (25, 35)) ('affects', 'Reg', (70, 77)) ('promotes', 'PosReg', (138, 146)) ('tumor', 'Disease', 'MESH:D009369', (147, 152)) 14138 24259307 However, the loss of chemokine receptor CXCR2 reduces oncogene induced senescence along with the DNA damage response. ('oncogene', 'Gene', (54, 62)) ('CXCR2', 'Gene', (40, 45)) ('chemokine receptor', 'Gene', '7852', (21, 39)) ('CXCR2', 'Gene', '3579', (40, 45)) ('chemokine receptor', 'Gene', (21, 39)) ('reduces', 'NegReg', (46, 53)) ('loss', 'Var', (13, 17)) ('al', 'Chemical', 'MESH:D000535', (82, 84)) 14140 24259307 Also, the reintroduction of the chemokine receptor CXCR2 leads to premature senescence by a p53 dependent mechanism. ('chemokine receptor', 'Gene', (32, 50)) ('reintroduction', 'Var', (10, 24)) ('premature senescence', 'MPA', (66, 86)) ('CXCR2', 'Gene', '3579', (51, 56)) ('p53', 'Gene', (92, 95)) ('CXCR2', 'Gene', (51, 56)) ('p53', 'Gene', '7157', (92, 95)) ('chemokine receptor', 'Gene', '7852', (32, 50)) 14143 24259307 However, mutations in CXCR2 or downregulation of CXCR2 expression may affect the ability of this chemokine receptor to induce senescence. ('affect', 'Reg', (70, 76)) ('chemokine receptor', 'Gene', '7852', (97, 115)) ('CXCR2', 'Gene', '3579', (49, 54)) ('ability', 'MPA', (81, 88)) ('mutations', 'Var', (9, 18)) ('senescence', 'CPA', (126, 136)) ('CXCR2', 'Gene', (49, 54)) ('CXCR2', 'Gene', '3579', (22, 27)) ('downregulation', 'NegReg', (31, 45)) ('CXCR2', 'Gene', (22, 27)) ('chemokine receptor', 'Gene', (97, 115)) 14145 24259307 The inability to induce senescence by mutated CXCR2 may in fact promote tumorigenesis instead of blocking it. ('mutated', 'Var', (38, 45)) ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('promote', 'PosReg', (64, 71)) ('senescence', 'MPA', (24, 34)) ('tumor', 'Disease', (72, 77)) ('CXCR2', 'Gene', '3579', (46, 51)) ('CXCR2', 'Gene', (46, 51)) ('tumor', 'Disease', 'MESH:D009369', (72, 77)) 14155 24259307 Furthermore, the knockdown of CXCR4 in these cells or treatment with CXCR4 antagonist leads to a decrease in cell migration. ('decrease', 'NegReg', (97, 105)) ('rat', 'Species', '10116', (117, 120)) ('cell migration', 'CPA', (109, 123)) ('knockdown', 'Var', (17, 26)) 14160 24259307 The authors suggest that inhibiting CXCL8 signaling may help inhibit EMT by targeting the cells with the mesenchymal and invasive phenotype. ('EMT', 'CPA', (69, 72)) ('inhibiting', 'Var', (25, 35)) ('inhibit', 'NegReg', (61, 68)) ('al', 'Chemical', 'MESH:D000535', (114, 116)) ('al', 'Chemical', 'MESH:D000535', (46, 48)) ('CXCL8', 'Gene', '3576', (36, 41)) ('CXCL8', 'Gene', (36, 41)) 14231 24259307 Additional studies demonstrate that de novo expression of CXCR4 is sufficient to increase tumor invasion and metastasis in an organ-specific manner. ('tumor', 'Phenotype', 'HP:0002664', (90, 95)) ('CXCR4', 'Var', (58, 63)) ('tumor', 'Disease', (90, 95)) ('rat', 'Species', '10116', (26, 29)) ('al', 'Chemical', 'MESH:D000535', (8, 10)) ('metastasis', 'CPA', (109, 119)) ('increase', 'PosReg', (81, 89)) ('tumor', 'Disease', 'MESH:D009369', (90, 95)) 14236 24259307 CXCR4 expression in prostate cancer enhances the invasive, metastatic ability of tumor cells in the presence of CXCL12 ligand, while inhibition of CXCR4 decreases metastatic ability. ('enhances', 'PosReg', (36, 44)) ('prostate cancer', 'Disease', 'MESH:D011471', (20, 35)) ('prostate cancer', 'Phenotype', 'HP:0012125', (20, 35)) ('cancer', 'Phenotype', 'HP:0002664', (29, 35)) ('CXCL12', 'Gene', (112, 118)) ('tumor', 'Disease', 'MESH:D009369', (81, 86)) ('prostate cancer', 'Disease', (20, 35)) ('CXCL12', 'Gene', '6387', (112, 118)) ('CXCR4 expression', 'Var', (0, 16)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('invasive', 'CPA', (49, 57)) ('tumor', 'Disease', (81, 86)) 14238 24259307 Additionally, CXCR4 mediates prostate tumor cell adhesion through the alpha5 and beta3 integrins. ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('prostate tumor', 'Phenotype', 'HP:0100787', (29, 43)) ('prostate tumor', 'Disease', (29, 43)) ('CXCR4', 'Var', (14, 19)) ('al', 'Chemical', 'MESH:D000535', (70, 72)) ('al', 'Chemical', 'MESH:D000535', (8, 10)) ('prostate tumor', 'Disease', 'MESH:D011471', (29, 43)) ('beta3 integrins', 'Protein', (81, 96)) 14246 24259307 In breast cancer, CXCR4 promotes metastasis to the lungs, liver, and lymph nodes. ('breast cancer', 'Disease', 'MESH:D001943', (3, 16)) ('cancer', 'Phenotype', 'HP:0002664', (10, 16)) ('CXCR4', 'Var', (18, 23)) ('breast cancer', 'Disease', (3, 16)) ('breast cancer', 'Phenotype', 'HP:0003002', (3, 16)) ('metastasis to the lungs', 'CPA', (33, 56)) ('promotes', 'PosReg', (24, 32)) 14247 24259307 In gastric cancer, studies show that CXCR4 promotes metastasis to the lymph nodes. ('gastric cancer', 'Phenotype', 'HP:0012126', (3, 17)) ('promotes', 'PosReg', (43, 51)) ('metastasis to the lymph nodes', 'CPA', (52, 81)) ('cancer', 'Phenotype', 'HP:0002664', (11, 17)) ('gastric cancer', 'Disease', (3, 17)) ('gastric cancer', 'Disease', 'MESH:D013274', (3, 17)) ('CXCR4', 'Var', (37, 42)) 14248 24259307 Also, a study demonstrates that CXCR4 expression in esophageal cancer enhances metastasis to the lymph nodes and bone marrow. ('cancer', 'Phenotype', 'HP:0002664', (63, 69)) ('esophageal cancer', 'Disease', (52, 69)) ('CXCR4 expression', 'Var', (32, 48)) ('esophageal cancer', 'Disease', 'MESH:D004938', (52, 69)) ('rat', 'Species', '10116', (21, 24)) ('enhances', 'PosReg', (70, 78)) 14260 24259307 Interestingly, expression of CCR7 in B16 melanoma cells induces metastasis to the lymph nodes, while, as previously discussed, expression of CXCR4 in murine B16 cells increases metastasis to the lungs. ('CCR7', 'Gene', (29, 33)) ('expression', 'Var', (15, 25)) ('murine', 'Species', '10090', (150, 156)) ('metastasis to the lymph nodes', 'CPA', (64, 93)) ('metastasis', 'CPA', (177, 187)) ('melanoma', 'Disease', (41, 49)) ('induces', 'Reg', (56, 63)) ('B16', 'CellLine', 'CVCL:N540', (37, 40)) ('melanoma', 'Phenotype', 'HP:0002861', (41, 49)) ('increases', 'PosReg', (167, 176)) ('melanoma', 'Disease', 'MESH:D008545', (41, 49)) ('B16', 'CellLine', 'CVCL:N540', (157, 160)) 14262 24259307 High CCR7 expression in human non-Hodgkin's lymphoma induces metastatic spread through the PI3K/Akt signal pathway. ('lymphoma', 'Phenotype', 'HP:0002665', (44, 52)) ('human', 'Species', '9606', (24, 29)) ('High', 'Var', (0, 4)) ('al', 'Chemical', 'MESH:D000535', (104, 106)) ("non-Hodgkin's lymphoma", 'Disease', 'MESH:D008228', (30, 52)) ("non-Hodgkin's lymphoma", 'Disease', (30, 52)) ('metastatic spread', 'CPA', (61, 78)) ('Akt', 'Gene', '207', (96, 99)) ("Hodgkin's lymphoma", 'Phenotype', 'HP:0012189', (34, 52)) ("non-Hodgkin's lymphoma", 'Phenotype', 'HP:0012539', (30, 52)) ('CCR7', 'Gene', (5, 9)) ('Akt', 'Gene', (96, 99)) ('induces', 'Reg', (53, 60)) 14263 24259307 CCR7 expression also induces lymphatic spread in human pancreatic ductal adenocarcinoma. ('lymphatic spread', 'CPA', (29, 45)) ('CCR7', 'Gene', (0, 4)) ('induces', 'Reg', (21, 28)) ('carcinoma', 'Phenotype', 'HP:0030731', (78, 87)) ('human', 'Species', '9606', (49, 54)) ('expression', 'Var', (5, 15)) ('al', 'Chemical', 'MESH:D000535', (70, 72)) ('al', 'Chemical', 'MESH:D000535', (16, 18)) ('pancreatic ductal adenocarcinoma', 'Disease', 'MESH:D021441', (55, 87)) ('pancreatic ductal adenocarcinoma', 'Disease', (55, 87)) ('pancreatic ductal adenocarcinoma', 'Phenotype', 'HP:0006725', (55, 87)) 14267 24259307 Similar to CXCR4, CCR7-CCL21 interactions induces directional invasion of breast tumor cells, pseudopodia formation, and actin polymerization which increases the invasiveness of tumor cells. ('tumor', 'Disease', (178, 183)) ('breast tumor', 'Phenotype', 'HP:0100013', (74, 86)) ('al', 'Chemical', 'MESH:D000535', (59, 61)) ('pseudopodia formation', 'CPA', (94, 115)) ('increases', 'PosReg', (148, 157)) ('breast tumor', 'Disease', 'MESH:D001943', (74, 86)) ('CCL21', 'Gene', '6366', (23, 28)) ('tumor', 'Disease', 'MESH:D009369', (81, 86)) ('CCL21', 'Gene', (23, 28)) ('induces', 'Reg', (42, 49)) ('tumor', 'Disease', 'MESH:D009369', (178, 183)) ('directional invasion', 'CPA', (50, 70)) ('breast tumor', 'Disease', (74, 86)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('tumor', 'Phenotype', 'HP:0002664', (178, 183)) ('interactions', 'Var', (29, 41)) ('tumor', 'Disease', (81, 86)) ('actin polymerization', 'CPA', (121, 141)) 14275 24259307 Expressing oncogenic Notch 1 causes mice to develop characteristic pathological features of T-ALL and infiltration of the leptomeningeal spaces of the brain, demonstrating that oncogenic Notch1 is capable of inducing T-ALL and targeting transformed cells to the CNS. ('rat', 'Species', '10116', (108, 111)) ('oncogenic Notch1', 'Var', (177, 193)) ('Notch1', 'Var', (187, 193)) ('Notch 1', 'Gene', '18128', (21, 28)) ('al', 'Chemical', 'MESH:D000535', (134, 136)) ('inducing', 'PosReg', (208, 216)) ('ALL', 'Phenotype', 'HP:0006721', (219, 222)) ('ALL', 'Phenotype', 'HP:0006721', (94, 97)) ('mice', 'Species', '10090', (36, 40)) ('al', 'Chemical', 'MESH:D000535', (77, 79)) ('rat', 'Species', '10116', (165, 168)) ('Notch 1', 'Gene', (21, 28)) ('T-ALL', 'CPA', (217, 222)) 14276 24259307 Analysis of primary T-ALL samples as well as T-ALL cell-lines containing Notch1-activating mutations have CCR7 upregulation caused by Notch1 signaling. ('CCR7', 'Gene', (106, 110)) ('upregulation', 'PosReg', (111, 123)) ('ALL', 'Phenotype', 'HP:0006721', (22, 25)) ('ALL', 'Phenotype', 'HP:0006721', (47, 50)) ('al', 'Chemical', 'MESH:D000535', (145, 147)) ('Notch1', 'Var', (134, 140)) ('Notch1-activating', 'Gene', (73, 90)) ('al', 'Chemical', 'MESH:D000535', (2, 4)) ('mutations', 'Var', (91, 100)) 14283 24259307 Inhibition of CCR7, PI3K, Akt and mTOR successfully stops phosphorylation and DNA-binding. ('Akt', 'Gene', '207', (26, 29)) ('CCR7', 'Gene', (14, 18)) ('phosphorylation', 'MPA', (58, 73)) ('DNA-binding', 'Interaction', (78, 89)) ('Akt', 'Gene', (26, 29)) ('Inhibition', 'Var', (0, 10)) ('stops', 'NegReg', (52, 57)) ('mTOR', 'Gene', '2475', (34, 38)) ('mTOR', 'Gene', (34, 38)) 14298 24259307 Given the role of CCR10-CCL27 in leukocyte migration to the skin, it is likely that CCR10 expression in melanoma induces metastasis to the skin. ('melanoma', 'Phenotype', 'HP:0002861', (104, 112)) ('induces', 'Reg', (113, 120)) ('melanoma', 'Disease', (104, 112)) ('rat', 'Species', '10116', (46, 49)) ('metastasis to the skin', 'CPA', (121, 143)) ('CCR10', 'Gene', (18, 23)) ('CCR10', 'Gene', '2826', (18, 23)) ('CCR10', 'Gene', '2826', (84, 89)) ('CCL27', 'Gene', (24, 29)) ('leukocyte migration to the skin', 'CPA', (33, 64)) ('CCR10', 'Gene', (84, 89)) ('CCL27', 'Gene', '10850', (24, 29)) ('expression', 'Var', (90, 100)) ('melanoma', 'Disease', 'MESH:D008545', (104, 112)) 14299 24259307 However, another study suggests that CCR10 expression in melanoma promotes metastasis to the lymph nodes in addition to enhancing invasion, growth, and immune escape of tumor cells. ('CCR10', 'Gene', '2826', (37, 42)) ('enhancing', 'PosReg', (120, 129)) ('tumor', 'Disease', 'MESH:D009369', (169, 174)) ('expression', 'Var', (43, 53)) ('invasion', 'CPA', (130, 138)) ('melanoma', 'Phenotype', 'HP:0002861', (57, 65)) ('melanoma', 'Disease', (57, 65)) ('tumor', 'Phenotype', 'HP:0002664', (169, 174)) ('melanoma', 'Disease', 'MESH:D008545', (57, 65)) ('promotes', 'PosReg', (66, 74)) ('metastasis to the lymph nodes', 'CPA', (75, 104)) ('CCR10', 'Gene', (37, 42)) ('tumor', 'Disease', (169, 174)) ('growth', 'CPA', (140, 146)) 14305 24259307 al demonstrate that expressing CXCR3 in a colon cancer cell line increases in vivo metastasis to the lymph nodes, but not to the liver or lungs. ('metastasis to the lymph nodes', 'CPA', (83, 112)) ('al', 'Chemical', 'MESH:D000535', (0, 2)) ('increases', 'PosReg', (65, 74)) ('CXCR3', 'Var', (31, 36)) ('cancer', 'Phenotype', 'HP:0002664', (48, 54)) ('colon cancer', 'Phenotype', 'HP:0003003', (42, 54)) ('colon cancer', 'Disease', 'MESH:D015179', (42, 54)) ('rat', 'Species', '10116', (10, 13)) ('expressing CXCR3', 'Var', (20, 36)) ('colon cancer', 'Disease', (42, 54)) 14309 24259307 In osteosarcoma, studies suggest that CXCR3 and its ligands induce metastasis to the lungs and later stimulate growth and expansion of the metastases. ('growth', 'CPA', (111, 117)) ('osteosarcoma', 'Disease', (3, 15)) ('metastases', 'Disease', (139, 149)) ('osteosarcoma', 'Phenotype', 'HP:0002669', (3, 15)) ('osteosarcoma', 'Disease', 'MESH:D012516', (3, 15)) ('expansion', 'CPA', (122, 131)) ('metastases', 'Disease', 'MESH:D009362', (139, 149)) ('metastasis to the lungs', 'CPA', (67, 90)) ('stimulate', 'PosReg', (101, 110)) ('CXCR3', 'Var', (38, 43)) 14328 24259307 Meanwhile, expression of CCR7 in DND41 cells is sufficient to induce brain and spinal cord infiltration, while silencing CCR7 successfully inhibits T-ALL CNS metastasis. ('T-ALL CNS metastasis', 'Disease', 'MESH:D009362', (148, 168)) ('rat', 'Species', '10116', (97, 100)) ('silencing', 'Var', (111, 120)) ('ALL', 'Phenotype', 'HP:0006721', (150, 153)) ('induce', 'PosReg', (62, 68)) ('al', 'Chemical', 'MESH:D000535', (83, 85)) ('DND41', 'CellLine', 'CVCL:2022', (33, 38)) ('CCR7', 'Gene', (121, 125)) ('T-ALL CNS metastasis', 'Disease', (148, 168)) ('inhibits', 'NegReg', (139, 147)) 14420 19457415 H. pylori typically does not cause any adverse effects, but is associated with an increased risk of non-cardia gastric adenocarcinoma, gastric lymphoma and peptic ulcer. ('gastric lymphoma', 'Phenotype', 'HP:0045038', (135, 151)) ('non-cardia gastric adenocarcinoma', 'Disease', 'MESH:D004938', (100, 133)) ('H. pylori', 'Species', '210', (0, 9)) ('gastric lymphoma', 'Disease', 'MESH:C535648', (135, 151)) ('associated', 'Reg', (63, 73)) ('ulcer', 'Disease', 'MESH:D014456', (163, 168)) ('peptic ulcer', 'Phenotype', 'HP:0004398', (156, 168)) ('lymphoma', 'Phenotype', 'HP:0002665', (143, 151)) ('non-cardia gastric adenocarcinoma', 'Disease', (100, 133)) ('ulcer', 'Disease', (163, 168)) ('gastric lymphoma', 'Disease', (135, 151)) ('H. pylori', 'Var', (0, 9)) 14422 19457415 In this review, we discuss biologic factors that allow H. pylori to colonize the human stomach, mechanisms by which H. pylori increases the risk for peptic ulcer disease and non-cardia gastric adenocarcinoma, and potential benefits that H. pylori might confer to humans. ('non-cardia gastric adenocarcinoma', 'Disease', (174, 207)) ('increases', 'PosReg', (126, 135)) ('H. pylori', 'Species', '210', (116, 125)) ('humans', 'Species', '9606', (263, 269)) ('colon', 'Disease', (68, 73)) ('peptic ulcer disease', 'Disease', 'MESH:D010437', (149, 169)) ('H. pylori', 'Species', '210', (237, 246)) ('peptic ulcer', 'Phenotype', 'HP:0004398', (149, 161)) ('peptic ulcer disease', 'Disease', (149, 169)) ('H. pylori', 'Var', (116, 125)) ('colon', 'Disease', 'MESH:D015179', (68, 73)) ('human', 'Species', '9606', (263, 268)) ('H. pylori', 'Species', '210', (55, 64)) ('human', 'Species', '9606', (81, 86)) ('non-cardia gastric adenocarcinoma', 'Disease', 'MESH:D004938', (174, 207)) 14457 19457415 Approaches such as signature-tagged mutagenesis and microarray tracking of transposon mutants have led to the identification of more than 100 bacterial genes required for gastric colonization . ('mutants', 'Var', (86, 93)) ('colon', 'Disease', (179, 184)) ('bacterial genes', 'Gene', (142, 157)) ('colon', 'Disease', 'MESH:D015179', (179, 184)) ('transposon', 'Gene', (75, 85)) 14464 19457415 In the future, with an increasingly narrow bottleneck for H. pylori transmission, there could be selection for variants that colonize a broader range of epithelial surfaces; such variants might be more readily transmitted to new hosts. ('variants', 'Var', (179, 187)) ('colon', 'Disease', 'MESH:D015179', (125, 130)) ('H. pylori', 'Species', '210', (58, 67)) ('variants', 'Var', (111, 119)) ('colon', 'Disease', (125, 130)) 14473 19457415 H. pylori lipopolysaccharide (LPS) is characterized by modifications of the lipid A component that make it less proinflammatory than LPSs from other gram-negative bacterial species . ('less proinflammatory', 'MPA', (107, 127)) ('H. pylori', 'Species', '210', (0, 9)) ('LPSs', 'Chemical', '-', (133, 137)) ('H. pylori', 'Disease', (0, 9)) ('modifications', 'Var', (55, 68)) ('LPS', 'Disease', (30, 33)) ('LPS', 'Disease', (133, 136)) ('lipid', 'Chemical', 'MESH:D008055', (76, 81)) ('LPS', 'Disease', 'MESH:C536528', (133, 136)) ('LPS', 'Disease', 'MESH:C536528', (30, 33)) 14474 19457415 H. pylori flagella are poorly recognized by TLR5 (a component of the innate immune recognition system), due to modifications in the TLR5 recognition site . ('modifications', 'Var', (111, 124)) ('H. pylori', 'Species', '210', (0, 9)) ('flagella', 'Disease', (10, 18)) ('flagella', 'Disease', 'None', (10, 18)) ('TLR5', 'Gene', (132, 136)) 14504 19457415 Concordant with these predictions, CagA+, s1-VacA+, BabA+ strains are associated with increased gastric mucosal inflammatory cell infiltration and increased gastric epithelial injury, compared to strains that do not express these factors . ('increased', 'PosReg', (147, 156)) ('gastric mucosal inflammatory cell infiltration', 'CPA', (96, 142)) ('increased', 'PosReg', (86, 95)) ('increased gastric', 'Phenotype', 'HP:0005207', (86, 103)) ('gastric epithelial injury', 'Disease', 'MESH:D013274', (157, 182)) ('gastric epithelial injury', 'Disease', (157, 182)) ('CagA+', 'Var', (35, 40)) ('increased gastric', 'Phenotype', 'HP:0005207', (147, 164)) 14511 19457415 Although H. pylori typically colonizes the human stomach for many decades without adverse consequences, the presence of H. pylori is associated with an increased risk for several diseases, including peptic ulcers, non-cardia gastric adenocarinoma, and gastric MALT lymphoma (reviewed in ). ('H. pylori', 'Species', '210', (120, 129)) ('presence', 'Var', (108, 116)) ('ulcers', 'Disease', (206, 212)) ('associated with', 'Reg', (133, 148)) ('gastric MALT lymphoma', 'Disease', 'MESH:D018442', (252, 273)) ('ulcers', 'Disease', 'MESH:D014456', (206, 212)) ('gastric MALT lymphoma', 'Disease', (252, 273)) ('colon', 'Disease', 'MESH:D015179', (29, 34)) ('lymphoma', 'Phenotype', 'HP:0002665', (265, 273)) ('peptic ulcers', 'Phenotype', 'HP:0004398', (199, 212)) ('gastric MALT lymphoma', 'Phenotype', 'HP:0045038', (252, 273)) ('non-cardia gastric adenocarinoma', 'Disease', 'MESH:D004938', (214, 246)) ('non-cardia gastric adenocarinoma', 'Disease', (214, 246)) ('peptic ulcer', 'Phenotype', 'HP:0004398', (199, 211)) ('H. pylori', 'Species', '210', (9, 18)) ('human', 'Species', '9606', (43, 48)) ('colon', 'Disease', (29, 34)) 14514 19457415 Most of the H. pylori polymorphisms associated with varying disease risk are found in genes that encode bacterial products that interact with host tissue. ('H. pylori', 'Species', '210', (12, 21)) ('polymorphisms', 'Var', (22, 35)) ('H. pylori', 'Disease', (12, 21)) 14515 19457415 Numerous studies, particularly in Western countries, have shown that cag PAI-positive H. pylori strains are associated with an increased risk of peptic ulcer disease, premalignant gastric lesions and gastric cancer, compared to strains that lack the cag PAI . ('gastric cancer', 'Disease', (200, 214)) ('gastric cancer', 'Disease', 'MESH:D013274', (200, 214)) ('premalignant gastric lesions', 'Disease', (167, 195)) ('peptic ulcer disease', 'Disease', 'MESH:D010437', (145, 165)) ('peptic ulcer', 'Phenotype', 'HP:0004398', (145, 157)) ('peptic ulcer disease', 'Disease', (145, 165)) ('gastric cancer', 'Phenotype', 'HP:0012126', (200, 214)) ('strains', 'Var', (96, 103)) ('associated', 'Reg', (108, 118)) ('H. pylori', 'Species', '210', (86, 95)) ('cancer', 'Phenotype', 'HP:0002664', (208, 214)) ('premalignant gastric lesions', 'Disease', 'MESH:D013272', (167, 195)) 14516 19457415 Moreover, the number of tyrosine phosphorylation (EPIYA) motifs in CagA proteins correlates with gastric cancer risk . ('gastric cancer', 'Disease', (97, 111)) ('tyrosine', 'Chemical', 'MESH:D014443', (24, 32)) ('CagA', 'Gene', (67, 71)) ('gastric cancer', 'Disease', 'MESH:D013274', (97, 111)) ('tyrosine phosphorylation', 'MPA', (24, 48)) ('gastric cancer', 'Phenotype', 'HP:0012126', (97, 111)) ('motifs', 'Var', (57, 63)) ('cancer', 'Phenotype', 'HP:0002664', (105, 111)) 14524 19457415 For example, male gender, specific IL-1beta haplotypes, and various other proinflammatory gene polymorphisms are associated with an increased risk of non-cardia adenocarcinoma . ('non-cardia adenocarcinoma', 'Disease', 'MESH:D004938', (150, 175)) ('haplotypes', 'Var', (44, 54)) ('IL-1beta', 'Gene', (35, 43)) ('associated', 'Reg', (113, 123)) ('non-cardia adenocarcinoma', 'Disease', (150, 175)) 14529 19457415 H. pylori colonization is associated with many biological costs to the host; conversely, a growing body of literature suggests that the absence of H. pylori might also be associated with an increased risk of various diseases. ('H. pylori', 'Species', '210', (0, 9)) ('H. pylori', 'Gene', (147, 156)) ('absence', 'Var', (136, 143)) ('H. pylori', 'Species', '210', (147, 156)) ('colon', 'Disease', (10, 15)) ('associated', 'Reg', (171, 181)) ('colon', 'Disease', 'MESH:D015179', (10, 15)) 14534 19457415 There are inverse associations between the presence of H. pylori (especially cagA+ strains) and disorders such as gastroesophageal reflux disease, Barrett's esophagus and esophageal adenocarcinoma , suggesting a protective role of H. pylori. ('gastroesophageal reflux disease', 'Disease', (114, 145)) ('gastroesophageal reflux', 'Phenotype', 'HP:0002020', (114, 137)) ('cagA', 'Gene', (77, 81)) ('gastroesophageal reflux disease', 'Disease', 'MESH:D005764', (114, 145)) ('H. pylori', 'Gene', (55, 64)) ("Barrett's esophagus", 'Disease', (147, 166)) ('esophageal adenocarcinoma', 'Disease', (171, 196)) ('cagA', 'Gene', '6279', (77, 81)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (147, 166)) ('presence', 'Var', (43, 51)) ('esophageal adenocarcinoma', 'Disease', 'MESH:D004938', (171, 196)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (171, 196)) ('inverse', 'NegReg', (10, 17)) ('H. pylori', 'Species', '210', (55, 64)) ('H. pylori', 'Species', '210', (231, 240)) 14536 19457415 One potential mechanism for this effect could be that H. pylori colonization diminishes gastric acidity; therefore, during reflux episodes, the acidic refluxate might be more damaging to the esophageal epithelium of H. pylori-negative than of H. pylori-positive persons. ('acidic refluxate', 'MPA', (144, 160)) ('H. pylori', 'Species', '210', (243, 252)) ('gastric acidity', 'Disease', (88, 103)) ('H. pylori', 'Var', (54, 63)) ('H. pylori', 'Species', '210', (54, 63)) ('H. pylori', 'Species', '210', (216, 225)) ('colon', 'Disease', (64, 69)) ('gastric acidity', 'Disease', 'MESH:D005764', (88, 103)) ('reflux episodes', 'Phenotype', 'HP:0002020', (123, 138)) ('diminishes gastric acidity', 'Phenotype', 'HP:0002578', (77, 103)) ('persons', 'Species', '9606', (262, 269)) ('colon', 'Disease', 'MESH:D015179', (64, 69)) ('acidic refluxate', 'Phenotype', 'HP:0002020', (144, 160)) ('diminishes', 'NegReg', (77, 87)) ('damaging', 'MPA', (175, 183)) 14538 19457415 The presence or absence of H. pylori might also affect other microbiota of the stomach and/or the distal esophagus , which may have an effect on esophageal mucosal integrity. ('absence', 'Var', (16, 23)) ('affect', 'Reg', (48, 54)) ('esophageal', 'MPA', (146, 156)) ('H. pylori', 'Gene', (27, 36)) ('H. pylori', 'Species', '210', (27, 36)) ('effect', 'Reg', (136, 142)) 14542 19457415 The absence of H. pylori is associated with an increased risk for allergies ; this inverse association is specific for childhood-onset, but not later-onset, asthma, and is most pronounced for cagA+ H. pylori strains. ('asthma', 'Disease', (157, 163)) ('asthma', 'Disease', 'MESH:D001249', (157, 163)) ('cagA', 'Gene', (192, 196)) ('asthma', 'Phenotype', 'HP:0002099', (157, 163)) ('cagA', 'Gene', '6279', (192, 196)) ('allergies', 'Disease', 'MESH:D004342', (66, 75)) ('absence', 'Var', (4, 11)) ('allergies', 'Phenotype', 'HP:0012393', (66, 75)) ('allergies', 'Disease', (66, 75)) ('H. pylori', 'Species', '210', (198, 207)) ('H. pylori', 'Species', '210', (15, 24)) 14558 19457415 Multiple studies have shown that H. pylori-positive persons produce lower amounts of ghrelin than do H. pylori-negative persons and H. pylori eradication is associated with a subsequent increase in ghrelin production . ('ghrelin', 'Chemical', 'MESH:D054439', (199, 206)) ('lower', 'NegReg', (68, 73)) ('ghrelin production', 'MPA', (199, 217)) ('eradication', 'Var', (143, 154)) ('increase', 'PosReg', (187, 195)) ('persons', 'Species', '9606', (120, 127)) ('persons', 'Species', '9606', (52, 59)) ('H. pylori', 'Species', '210', (101, 110)) ('ghrelin', 'Chemical', 'MESH:D054439', (85, 92)) ('ghrelin', 'MPA', (85, 92)) ('H. pylori', 'Species', '210', (33, 42)) ('H. pylori', 'Species', '210', (133, 142)) 14570 19457415 The finding that H. pylori also increased the risk of gastric adenocarcinoma bolstered the view that H. pylori is a human pathogen. ('gastric adenocarcinoma', 'Disease', (54, 76)) ('gastric adenocarcinoma', 'Disease', 'MESH:D013274', (54, 76)) ('H. pylori', 'Species', '210', (17, 26)) ('increased', 'PosReg', (32, 41)) ('H. pylori', 'Var', (17, 26)) ('H. pylori', 'Species', '210', (101, 110)) ('human', 'Species', '9606', (116, 121)) 14646 33757534 In addition, good clinical condition (WHO performance status 0 to 1) with normal liver (bilirubin < 1.5 mg/dl, cholinesterase > 3000 U/l, total protein > 60 g/l), renal (creatinine clearance > 60 ml/min, creatinin < 1,3 mg/dl) and bone marrow function (leukocytes > 4000/mul, thrombocytes > 150,000/mul, Hb > 10 g/dl) were prerequisites for study enrolment. ('> 3000', 'Var', (126, 132)) ('creatinin', 'Chemical', '-', (170, 179)) ('creatinin', 'Chemical', '-', (204, 213)) ('bilirubin', 'Chemical', 'MESH:D001663', (88, 97)) ('creatinine', 'Chemical', 'MESH:D003404', (170, 180)) ('cholinesterase', 'Enzyme', (111, 125)) 14741 33757534 Radiobiological modeling suggested a potential gain of tumor control by dose escalation in the GTV and shall be validated in ongoing clinical trials. ('tumor', 'Disease', 'MESH:D009369', (55, 60)) ('GTV', 'Chemical', '-', (95, 98)) ('dose escalation', 'Var', (72, 87)) ('tumor', 'Phenotype', 'HP:0002664', (55, 60)) ('tumor', 'Disease', (55, 60)) ('gain', 'PosReg', (47, 51)) 14851 33096708 The logarithmic regression curve, with 95% CIs, was constructed to evaluate the heterogeneity of each diagnostic value, and three molecules (lncSNHG1, miR-216a, and a combination of miRNAs (miR16-5p, miR197-5p, and miR92a-3p)) were considered as favorable candidates for the early detection of ECs. ('miR-216a', 'Gene', '406998', (151, 159)) ('miR16', 'Gene', (190, 195)) ('miR92a-3p', 'Var', (215, 224)) ('miR197', 'Gene', '406974', (200, 206)) ('ECs', 'Disease', (294, 297)) ('miR197', 'Gene', (200, 206)) ('SNHG1', 'Gene', '23642', (144, 149)) ('miR-216a', 'Gene', (151, 159)) ('miR16', 'Gene', '51573', (190, 195)) ('SNHG1', 'Gene', (144, 149)) 14870 33096708 Another cancer meta-analysis, as described above, applied a combination of multiple molecules and the copy-number of ctDNA as a comprehensive marker (AUC = 0.99, 95% CI = 0.98-1.00), as well as a combination of miR-30a-5p, miR-205-5p, and miR-574-3p (AUC = 0.95, 95% CI = 0.90-1.00), demonstrating a favorable diagnostic value. ('ctDNA', 'Gene', (117, 122)) ('cancer', 'Disease', (8, 14)) ('miR-30a', 'Gene', '407029', (211, 218)) ('cancer', 'Phenotype', 'HP:0002664', (8, 14)) ('miR-205', 'Gene', (223, 230)) ('miR-574-3p', 'Gene', (239, 249)) ('miR-574-3p', 'Gene', '693159', (239, 249)) ('miR-30a', 'Gene', (211, 218)) ('miR-205', 'Gene', '406988', (223, 230)) ('copy-number', 'Var', (102, 113)) ('cancer', 'Disease', 'MESH:D009369', (8, 14)) 14880 33096708 The analysis of gene mutations, not only in CTCs but also CTM, will be a new candidate for molecular targeted therapy. ('CTCs', 'Disease', (44, 48)) ('CTM', 'Chemical', '-', (58, 61)) ('mutations', 'Var', (21, 30)) 14883 33096708 Our meta-analysis confirmed the diagnostic value of liquid biopsies using a molecular combination in esophageal cancer and demonstrated that the presence of CTCs is associated with poor prognosis for both OS and PFS. ('presence', 'Var', (145, 153)) ('esophageal cancer', 'Disease', (101, 118)) ('CTCs', 'Gene', (157, 161)) ('esophageal cancer', 'Disease', 'MESH:D004938', (101, 118)) ('cancer', 'Phenotype', 'HP:0002664', (112, 118)) ('PFS', 'Disease', (212, 215)) 14904 31802262 Aberrant right subclavian artery is a developmental anomaly that is present in approximately 0.5-2% of the population and is the most common congenital anomaly of the aortic arch. ('Aberrant', 'Var', (0, 8)) ('developmental anomaly', 'Disease', (38, 59)) ('congenital anomaly of the aortic arch', 'Disease', 'MESH:D001015', (141, 178)) ('Aberrant right subclavian artery', 'Phenotype', 'HP:0031014', (0, 32)) ('developmental anomaly', 'Disease', 'MESH:D000014', (38, 59)) ('congenital anomaly of the aortic arch', 'Disease', (141, 178)) 14950 31802262 On MR imaging, flowing anterior longitudinal ligament ossification is hypointense on T1W1 and T2WI, unless there is substantial fatty marrow content, in which case they may be hyperintense. ('T1W1', 'Var', (85, 89)) ('T2WI', 'Var', (94, 98)) ('anterior longitudinal ligament ossification', 'Disease', 'MESH:D017887', (23, 66)) ('fat', 'Gene', (128, 131)) ('fat', 'Gene', '2195', (128, 131)) ('anterior longitudinal ligament ossification', 'Disease', (23, 66)) 14957 31802262 Some frequently encountered congenital anomalies of the thoracic inlet are tracheobronchomegaly, dilated thoracic duct, branchial cleft cysts, narrowed thoracic inlet, and fibromatosis colli, as well as the previously discussed tracheoesophageal fistula and vascular anomalies including the aberrant right subclavian artery and partial anomalous pulmonary venous return. ('tracheobronchomegaly', 'Disease', 'MESH:D014137', (75, 95)) ('anomalous pulmonary venous return', 'Phenotype', 'HP:0010772', (336, 369)) ('fibromatosis', 'Disease', (172, 184)) ('dilated', 'Disease', (97, 104)) ('tracheoesophageal fistula', 'Disease', 'MESH:D014138', (228, 253)) ('vascular anomalies', 'Disease', 'MESH:D000783', (258, 276)) ('partial', 'Disease', (328, 335)) ('partial anomalous pulmonary venous return', 'Phenotype', 'HP:0010773', (328, 369)) ('fibromatosis', 'Disease', 'MESH:D005350', (172, 184)) ('branchial cleft cysts', 'Phenotype', 'HP:0009796', (120, 141)) ('tracheobronchomegaly', 'Disease', (75, 95)) ('aberrant right subclavian artery', 'Phenotype', 'HP:0031014', (291, 323)) ('aberrant', 'Var', (291, 299)) ('tracheoesophageal fistula', 'Phenotype', 'HP:0002575', (228, 253)) ('anomalous pulmonary venous return', 'Disease', 'MESH:D012587', (336, 369)) ('tracheoesophageal fistula', 'Disease', (228, 253)) ('anomalous pulmonary venous return', 'Disease', (336, 369)) ('vascular anomalies', 'Disease', (258, 276)) ('branchial cleft cysts', 'Disease', 'MESH:D001935', (120, 141)) ('branchial cleft cysts', 'Disease', (120, 141)) ('vascular anomalies', 'Phenotype', 'HP:0002597', (258, 276)) 15128 30593712 Part of the mortality of patients treated for head and neck squamous cell carcinoma (HNSCC) is caused by the occurrence of second primary tumors (SPTs).1 Risk factors for their development include alcohol and tobacco use, age, and the sub-location of the index tumor (eg, hypopharynx).2 Most SPTs in patients with HNSCC occur in the head and neck region, esophagus, and lungs.1, 3, 4, 5, 6 The risk of esophageal cancer after HNSCC treatment is an 8-fold to 22-fold greater than in the general population.7, 8, 9 These SPTs are often diagnosed in advanced stages, which lead to a very low 5-year survival rate for affected patients.6, 10, 11, 12 The prevalence of esophageal-SPTs in patients with HNSCC is estimated to range from 0% to 22%.13 The occurrence of esophageal-SPTs in patients with HNSCC is often explained by field cancerization of the entire upper aerodigestive tract.14, 15 The theory of field cancerization states that the mucosal field around the index tumor possesses subtle histologic and genetic changes that increase the risk of synchronous and metachronous malignancies. ('HNSCC', 'Phenotype', 'HP:0012288', (426, 431)) ('tumor', 'Disease', (138, 143)) ('esophageal cancer', 'Disease', 'MESH:D004938', (402, 419)) ('HNSCC', 'Phenotype', 'HP:0012288', (314, 319)) ('tumors', 'Disease', 'MESH:D009369', (138, 144)) ('cancer', 'Disease', 'MESH:D009369', (910, 916)) ('tumor', 'Disease', 'MESH:D009369', (138, 143)) ('malignancies', 'Disease', 'MESH:D009369', (1080, 1092)) ('tumor', 'Disease', (971, 976)) ('malignancies', 'Disease', (1080, 1092)) ('patients', 'Species', '9606', (300, 308)) ('cancer', 'Disease', 'MESH:D009369', (829, 835)) ('cancer', 'Disease', (413, 419)) ('alcohol', 'Chemical', 'MESH:D000438', (197, 204)) ('tobacco', 'Species', '4097', (209, 216)) ('tumor', 'Phenotype', 'HP:0002664', (261, 266)) ('esophageal cancer', 'Disease', (402, 419)) ('HNSCC', 'Phenotype', 'HP:0012288', (795, 800)) ('tumor', 'Disease', 'MESH:D009369', (971, 976)) ('SPT', 'Gene', '189', (773, 776)) ('neck squamous cell carcinoma', 'Disease', (55, 83)) ('neck squamous cell carcinoma', 'Disease', 'MESH:D000077195', (55, 83)) ('SPT', 'Gene', '189', (519, 522)) ('SPT', 'Gene', '189', (146, 149)) ('cancer', 'Phenotype', 'HP:0002664', (413, 419)) ('SPT', 'Gene', (519, 522)) ('SPT', 'Gene', (773, 776)) ('SPT', 'Gene', (146, 149)) ('patients', 'Species', '9606', (781, 789)) ('tumor', 'Phenotype', 'HP:0002664', (138, 143)) ('patients', 'Species', '9606', (623, 631)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (60, 83)) ('tumors', 'Phenotype', 'HP:0002664', (138, 144)) ('patients', 'Species', '9606', (25, 33)) ('cancer', 'Disease', (910, 916)) ('SPT', 'Gene', '189', (675, 678)) ('tumor', 'Phenotype', 'HP:0002664', (971, 976)) ('changes', 'Var', (1017, 1024)) ('SPT', 'Gene', (675, 678)) ('cancer', 'Disease', 'MESH:D009369', (413, 419)) ('HNSCC', 'Phenotype', 'HP:0012288', (697, 702)) ('cancer', 'Disease', (829, 835)) ('cancer', 'Phenotype', 'HP:0002664', (910, 916)) ('head and neck squamous cell carcinoma', 'Phenotype', 'HP:0012288', (46, 83)) ('tumor', 'Disease', (261, 266)) ('SPT', 'Gene', '189', (292, 295)) ('carcinoma', 'Phenotype', 'HP:0030731', (74, 83)) ('SPT', 'Gene', (292, 295)) ('cancer', 'Phenotype', 'HP:0002664', (829, 835)) ('tumors', 'Disease', (138, 144)) ('HNSCC', 'Phenotype', 'HP:0012288', (85, 90)) ('tumor', 'Disease', 'MESH:D009369', (261, 266)) ('patients', 'Species', '9606', (683, 691)) 15381 27631227 The MST and 5-year OS of patients with pathological T1/2 were 86.0 months and 51.8%, respectively, and with pathological T3/4 were 13.0 months and 29.6%, respectively (Fig. ('pathological T1/2', 'Var', (39, 56)) ('patients', 'Species', '9606', (25, 33)) ('T1/2', 'Var', (52, 56)) 15389 27631227 Only in patients with pathological T1/2, the 5-year OS of the SpCC group showed the tendency to be longer than that of the typical SCC group (51.8% vs 45.6%, P = 0.054). ('longer', 'PosReg', (99, 105)) ('SCC', 'Phenotype', 'HP:0002860', (131, 134)) ('pathological', 'Var', (22, 34)) ('SCC', 'Gene', (131, 134)) ('SpCC', 'Disease', (62, 66)) ('SCC', 'Gene', '6317', (131, 134)) ('patients', 'Species', '9606', (8, 16)) 15426 28384229 The ESCC detection rate per 100 person-years was 9.8 in the high-HRA-score group (n = 104) and 4.5 in the low-HRA-score group (n = 174), and the risk of development of metachronous ESCC was higher in the high-HRA-score group than in the low-HRA-score group (adjusted hazard ratio: 2.00 [95% CI: 1.12-3.30]). ('SCC', 'Gene', (182, 185)) ('SCC', 'Gene', '6317', (5, 8)) ('SCC', 'Phenotype', 'HP:0002860', (182, 185)) ('SCC', 'Gene', '6317', (182, 185)) ('person', 'Species', '9606', (32, 38)) ('men', 'Species', '9606', (160, 163)) ('SCC', 'Gene', (5, 8)) ('high-HRA-score', 'Var', (204, 218)) ('SCC', 'Phenotype', 'HP:0002860', (5, 8)) 15437 28384229 We devised a simple alcohol flushing questionnaire for predicting the presence of inactive ALDH2, and a health risk appraisal (HRA) model for esophageal SCC that consists of alcohol flushing and drinking, smoking, and dietary habits was developed based on the results of a Japanese male case-control study (; Fig 1). ('SCC', 'Gene', '6317', (153, 156)) ('presence', 'Var', (70, 78)) ('ALDH2', 'Gene', (91, 96)) ('alcohol flushing', 'Disease', (174, 190)) ('alcohol flushing', 'Disease', 'MESH:D005483', (174, 190)) ('flushing', 'Phenotype', 'HP:0031284', (28, 36)) ('flushing', 'Phenotype', 'HP:0031284', (182, 190)) ('SCC', 'Gene', (153, 156)) ('SCC', 'Phenotype', 'HP:0002860', (153, 156)) ('alcohol flushing', 'Disease', (20, 36)) ('alcohol flushing', 'Disease', 'MESH:D005483', (20, 36)) ('ALDH2', 'Gene', '217', (91, 96)) 15439 28384229 Cross-sectional and follow-up mass-screening studies have shown very high esophageal SCC detection rates in groups with high-HRA-scores, i.e., scores >=11. ('SCC', 'Gene', '6317', (85, 88)) ('SCC', 'Gene', (85, 88)) ('scores', 'Var', (143, 149)) ('high-HRA-scores', 'Var', (120, 135)) ('high', 'PosReg', (69, 73)) ('SCC', 'Phenotype', 'HP:0002860', (85, 88)) 15440 28384229 Higher risks of developing metachronous and multiple SCC in the UAT of Japanese subjects with esophageal SCC have been found to be associated with the presence of ALDH2*2, drinking, smoking, and lower fruit intake. ('SCC', 'Gene', '6317', (53, 56)) ('ALDH2', 'Gene', (163, 168)) ('SCC', 'Phenotype', 'HP:0002860', (53, 56)) ('metachronous', 'Disease', (27, 39)) ('SCC', 'Gene', (105, 108)) ('ALDH2', 'Gene', '217', (163, 168)) ('SCC', 'Gene', (53, 56)) ('presence', 'Var', (151, 159)) ('SCC', 'Phenotype', 'HP:0002860', (105, 108)) ('SCC', 'Gene', '6317', (105, 108)) 15468 28384229 High HRA scores were associated with increases in the total number (95% CI) of metachronous esophageal SCC per 100 person-years (high-HRA-score group vs. low-HRA-score group; 9.8 [6.8-13.7] vs. 4.5 [3.0-6.5], p = 0.002; Table 2). ('High', 'Var', (0, 4)) ('SCC', 'Gene', (103, 106)) ('person', 'Species', '9606', (115, 121)) ('SCC', 'Phenotype', 'HP:0002860', (103, 106)) ('increases', 'PosReg', (37, 46)) ('SCC', 'Gene', '6317', (103, 106)) 15469 28384229 The cumulative incidences of metachronous esophageal SCC were significantly higher in the high-HRA-score group (p = 0.001; Fig 3). ('SCC', 'Gene', '6317', (53, 56)) ('SCC', 'Gene', (53, 56)) ('higher', 'PosReg', (76, 82)) ('high-HRA-score', 'Var', (90, 104)) ('SCC', 'Phenotype', 'HP:0002860', (53, 56)) 15478 28384229 The esophageal SCC detection rate was much higher (9.8 per 100 person-years) in the high-HRA-score group. ('person', 'Species', '9606', (63, 69)) ('higher', 'PosReg', (43, 49)) ('SCC', 'Gene', (15, 18)) ('SCC', 'Phenotype', 'HP:0002860', (15, 18)) ('high-HRA-score', 'Var', (84, 98)) ('SCC', 'Gene', '6317', (15, 18)) 15481 28384229 However, the strong effect of high HRA scores on metachronous esophageal SCC was independent of the effect of LVL grades on metachronous esophageal SCC. ('SCC', 'Gene', (73, 76)) ('SCC', 'Phenotype', 'HP:0002860', (73, 76)) ('high', 'Var', (30, 34)) ('SCC', 'Gene', (148, 151)) ('SCC', 'Phenotype', 'HP:0002860', (148, 151)) ('SCC', 'Gene', '6317', (73, 76)) ('HRA', 'Gene', (35, 38)) ('SCC', 'Gene', '6317', (148, 151)) 15484 28384229 Follow-up chromoendoscopy was performed on 404 cancer-free controls in the original study, and the esophageal SCC detection rate per 100 person-years was 2.32 in the group with HRA scores >=11 and 0.13 in the group with HRA scores <11. ('cancer', 'Disease', 'MESH:D009369', (47, 53)) ('>=11', 'Var', (188, 192)) ('cancer', 'Disease', (47, 53)) ('SCC', 'Gene', (110, 113)) ('SCC', 'Phenotype', 'HP:0002860', (110, 113)) ('cancer', 'Phenotype', 'HP:0002664', (47, 53)) ('SCC', 'Gene', '6317', (110, 113)) ('person', 'Species', '9606', (137, 143)) 15488 28384229 Previous Japanese studies have consistently demonstrated that the LVL grade C and alcohol drinking with inactive heterozygous ALDH2, which were associated with each other, were two strong risk factors for field cancerization in the UAT. ('ALDH2', 'Gene', '217', (126, 131)) ('cancer', 'Disease', 'MESH:D009369', (211, 217)) ('alcohol', 'Chemical', 'MESH:D000438', (82, 89)) ('alcohol drinking', 'Phenotype', 'HP:0030955', (82, 98)) ('cancer', 'Disease', (211, 217)) ('ALDH2', 'Gene', (126, 131)) ('cancer', 'Phenotype', 'HP:0002664', (211, 217)) ('LVL grade C', 'Var', (66, 77)) 15489 28384229 Current or former flushing tendency after drinking a glass of beer, a surrogate marker of inactive ALDH2, identified inactive ALDH2 with 90% accuracy, and a very high risk of SCC in the UAT has been demonstrated in moderate or heavy drinkers who are current or former flushers. ('ALDH2', 'Gene', '217', (126, 131)) ('SCC', 'Gene', (175, 178)) ('flushing tendency', 'Disease', 'MESH:D005483', (18, 35)) ('ALDH2', 'Gene', '217', (99, 104)) ('SCC', 'Phenotype', 'HP:0002860', (175, 178)) ('SCC', 'Gene', '6317', (175, 178)) ('ALDH2', 'Gene', (126, 131)) ('ALDH2', 'Gene', (99, 104)) ('flushing tendency', 'Disease', (18, 35)) ('flushing', 'Phenotype', 'HP:0031284', (18, 26)) ('inactive', 'Var', (117, 125)) 15492 28384229 All of the above risk factors were more common in the high-HRA-score group in this study, and that explains the good performance of the HRA score in predicting the risk of metachronous esophageal SCC. ('SCC', 'Gene', (196, 199)) ('SCC', 'Gene', '6317', (196, 199)) ('high-HRA-score', 'Var', (54, 68)) ('SCC', 'Phenotype', 'HP:0002860', (196, 199)) 15607 26240618 It is more commonly seen in cervical anastomoses than in anastomoses constructed in the thorax; however, dehiscence of a thoracic anastomosis has up to 60% mortality rates with development of mediastinitis and organ failure along with septic shock. ('thoracic anastomosis', 'Disease', (121, 141)) ('shock', 'Phenotype', 'HP:0031273', (242, 247)) ('septic shock', 'Disease', (235, 247)) ('septic shock', 'Phenotype', 'HP:0100806', (235, 247)) ('thoracic anastomosis', 'Disease', 'MESH:D013896', (121, 141)) ('dehiscence', 'Var', (105, 115)) ('mediastinitis and organ failure', 'Disease', 'MESH:D009102', (192, 223)) ('septic shock', 'Disease', 'MESH:D012772', (235, 247)) ('cervical anastomoses', 'Phenotype', 'HP:0002949', (28, 48)) 15617 25598945 Aberrant Right Subclavian Artery: A Life-threatening Anomaly that should be considered during Esophagectomy Aberrant right subclavian artery (ARSA) is a rare anomaly, in which the right subclavian artery arises directly from the aortic arch instead of originating from the brachiocephalic artery. ('brachiocephalic artery', 'Phenotype', 'HP:0011589', (273, 295)) ('brachiocephalic artery', 'Disease', (273, 295)) ('anomaly', 'Disease', 'MESH:D000014', (158, 165)) ('Anomaly', 'Disease', 'MESH:D000014', (53, 60)) ('brachiocephalic artery', 'Disease', 'MESH:D020762', (273, 295)) ('Aberrant', 'Var', (108, 116)) ('ARSA', 'Phenotype', 'HP:0031014', (142, 146)) ('anomaly', 'Disease', (158, 165)) ('Aberrant Right Subclavian Artery', 'Phenotype', 'HP:0031014', (0, 32)) ('Anomaly', 'Disease', (53, 60)) ('Aberrant right subclavian artery', 'Phenotype', 'HP:0031014', (108, 140)) 15619 25598945 A 56-year-old woman presented with dysphagia, with concurrent aberrant subclavian artery and esophageal cancer. ('dysphagia', 'Disease', (35, 44)) ('cancer', 'Phenotype', 'HP:0002664', (104, 110)) ('esophageal cancer', 'Disease', (93, 110)) ('dysphagia', 'Phenotype', 'HP:0002015', (35, 44)) ('aberrant', 'Var', (62, 70)) ('woman', 'Species', '9606', (14, 19)) ('esophageal cancer', 'Disease', 'MESH:D004938', (93, 110)) ('dysphagia', 'Disease', 'MESH:D003680', (35, 44)) ('aberrant subclavian artery', 'Phenotype', 'HP:0031014', (62, 88)) 15632 25598945 Since the surgeon was aware of the presence of aberrant subclavian artery as a result of thoracic CT imaging, we did not dissect the posterior side of the esophagus bluntly, and the dissection was performed precisely, backward through the artery and forward through the trachea. ('aberrant subclavian artery', 'Phenotype', 'HP:0031014', (47, 73)) ('aberrant', 'Var', (47, 55)) ('esophagus bluntly', 'Disease', (155, 172)) ('esophagus bluntly', 'Disease', 'MESH:D004938', (155, 172)) 15638 25598945 Since the aberrant artery may pass the space between esophagus and vertebral column or the gap between esophagus and trachea in the midline, this anomaly may cause compression to the esophagus, which results in dysphagia. ('results in', 'Reg', (200, 210)) ('dysphagia', 'Disease', 'MESH:D003680', (211, 220)) ('vertebral column', 'Disease', (67, 83)) ('anomaly', 'Disease', (146, 153)) ('cause', 'Reg', (158, 163)) ('aberrant artery', 'Var', (10, 25)) ('vertebral column', 'Disease', 'MESH:C536342', (67, 83)) ('compression', 'MPA', (164, 175)) ('dysphagia', 'Disease', (211, 220)) ('dysphagia', 'Phenotype', 'HP:0002015', (211, 220)) ('anomaly', 'Disease', 'MESH:D000014', (146, 153)) 15646 25598945 The injury to the aberrant artery will cause mediastinal hemorrhage or even arterioesophageal fistula in long-term. ('cause', 'Reg', (39, 44)) ('arterioesophageal fistula', 'Phenotype', 'HP:0002575', (76, 101)) ('arterioesophageal fistula', 'Disease', 'MESH:D005402', (76, 101)) ('hemorrhage', 'Disease', (57, 67)) ('arterioesophageal fistula', 'Disease', (76, 101)) ('injury', 'Var', (4, 10)) ('hemorrhage', 'Disease', 'MESH:D006470', (57, 67)) 15650 25598945 The presence of an ARSA concurrent with esophageal cancer will pose a risk of injury during the procedure of esophagectomy, which should be considered by the surgeons and evaluated preoperatively through proper imaging studies. ('ARSA', 'Gene', (19, 23)) ('esophageal cancer', 'Disease', 'MESH:D004938', (40, 57)) ('cancer', 'Phenotype', 'HP:0002664', (51, 57)) ('presence', 'Var', (4, 12)) ('esophageal cancer', 'Disease', (40, 57)) ('ARSA', 'Phenotype', 'HP:0031014', (19, 23)) 15653 24804995 DNA extracted from peripheral blood in all patients was analyzed to determine polymorphisms of cytokines such as tumor necrosis factor-alpha -1031 T/C, IL-1beta -511C/T, IL-6 -634C/G, and IL-10 -819 T/C. ('-1031 T/C', 'Mutation', 'rs1799964', (141, 150)) ('IL-1beta', 'Gene', '3553', (152, 160)) ('-511C/T', 'Mutation', 'rs1143634', (161, 168)) ('IL-6 -634C/G', 'Var', (170, 182)) ('-819 T/C', 'Mutation', 'rs1800871', (194, 202)) ('patients', 'Species', '9606', (43, 51)) ('-634C/G', 'Mutation', 'rs1800796', (175, 182)) ('tumor necrosis factor-alpha', 'Gene', (113, 140)) ('tumor', 'Phenotype', 'HP:0002664', (113, 118)) ('IL-10 -819 T/C', 'Var', (188, 202)) ('tumor necrosis factor-alpha', 'Gene', '7124', (113, 140)) ('IL-1beta', 'Gene', (152, 160)) 15655 24804995 Perioperative serum IL-10 levels were significantly higher for IL-10 -819 C/T + C/C genotypes than for T/T genotypes (POD0 16.7 +- 2.84 vs. 8.54 +- 0.87 pg/ml, p = 0.0002; POD1 14.0 +- 2.64 vs. 8.8 +- 0.87 pg/ml, p = 0.0143; POD3 8.9 +- 2.67 vs. 4.4 +- 0.52 pg/ml, p = 0.0076). ('serum IL-10 levels', 'MPA', (14, 32)) ('-819 C/T', 'Mutation', 'rs1800871', (69, 77)) ('IL-10', 'Gene', (63, 68)) ('rat', 'Species', '10116', (7, 10)) ('higher', 'PosReg', (52, 58)) ('C/T + C/C', 'Var', (74, 83)) 15656 24804995 The frequency of the IL-10 -819 T/T genotype was significantly higher in patients with postoperative pneumonia than in patients without pneumonia (p = 0.0323). ('pneumonia', 'Disease', (101, 110)) ('postoperative pneumonia', 'Disease', 'MESH:D010149', (87, 110)) ('pneumonia', 'Disease', 'MESH:D011014', (101, 110)) ('IL-10 -819', 'Gene', (21, 31)) ('patients', 'Species', '9606', (119, 127)) ('pneumonia', 'Phenotype', 'HP:0002090', (136, 145)) ('patients', 'Species', '9606', (73, 81)) ('T/T', 'Var', (32, 35)) ('pneumonia', 'Disease', (136, 145)) ('pneumonia', 'Disease', 'MESH:D011014', (136, 145)) ('postoperative pneumonia', 'Disease', (87, 110)) ('higher', 'PosReg', (63, 69)) ('pneumonia', 'Phenotype', 'HP:0002090', (101, 110)) 15657 24804995 Multivariate analysis of factors such as sex, smoking, length of operation, field of lymph node dissection, and IL-10 polymorphism identified IL-10 polymorphism as independent predictor of postoperative pneumonia. ('postoperative pneumonia', 'Disease', 'MESH:D010149', (189, 212)) ('IL-10', 'Gene', (112, 117)) ('polymorphism', 'Var', (118, 130)) ('polymorphism', 'Var', (148, 160)) ('rat', 'Species', '10116', (68, 71)) ('pneumonia', 'Phenotype', 'HP:0002090', (203, 212)) ('postoperative pneumonia', 'Disease', (189, 212)) ('rat', 'Species', '10116', (196, 199)) ('IL-10', 'Gene', (142, 147)) 15658 24804995 Patients with IL-10 -819 T/T genotype may be at high risk for postoperative pneumonia after esophagectomy. ('postoperative pneumonia', 'Disease', 'MESH:D010149', (62, 85)) ('T/T', 'Var', (25, 28)) ('postoperative pneumonia', 'Disease', (62, 85)) ('Patients', 'Species', '9606', (0, 8)) ('IL-10', 'Gene', (14, 19)) ('pneumonia', 'Phenotype', 'HP:0002090', (76, 85)) 15666 24804995 recently reported that the TNF-alpha -308 polymorphism contributes to infectious complications after esophagectomy. ('polymorphism', 'Var', (42, 54)) ('TNF-alpha', 'Gene', '7124', (27, 36)) ('infectious complications', 'CPA', (70, 94)) ('TNF-alpha', 'Gene', (27, 36)) ('contributes to', 'Reg', (55, 69)) 15669 24804995 We have a considerable interest in whether factors such as these polymorphisms might affect the postoperative infection, particularly in terms of the effects on postoperative pneumonia. ('pneumonia', 'Phenotype', 'HP:0002090', (175, 184)) ('polymorphisms', 'Var', (65, 78)) ('postoperative pneumonia', 'Disease', (161, 184)) ('postoperative infection', 'Disease', 'MESH:D010149', (96, 119)) ('affect', 'Reg', (85, 91)) ('postoperative infection', 'Disease', (96, 119)) ('postoperative pneumonia', 'Disease', 'MESH:D010149', (161, 184)) 15670 24804995 We selected TNF-alpha, IL-1beta, IL-6, and IL-10 as representative pro-inflammatory, inflammatory, and anti-inflammatory cytokines and investigated the gene promoter polymorphisms of TNF-alpha -1031 T > C (rs1799964), IL-1beta -511 T > C (rs3087258), IL-6 -634G > C (rs1800796), and IL-10 -819 T > C (rs1800871); all of which have been reported to influence cytokine production. ('IL-1beta', 'Gene', (23, 31)) ('rs1800871', 'Mutation', 'rs1800871', (301, 310)) ('IL-6', 'Var', (251, 255)) ('rs1799964', 'Mutation', 'rs1799964', (206, 215)) ('-1031 T > C', 'Mutation', 'rs1799964', (193, 204)) ('IL-1beta', 'Gene', '3553', (218, 226)) ('TNF-alpha', 'Gene', '7124', (12, 21)) ('cytokine production', 'MPA', (358, 377)) ('TNF-alpha', 'Gene', (12, 21)) ('rs1800871', 'Var', (301, 310)) ('influence', 'Reg', (348, 357)) ('IL-1beta', 'Gene', (218, 226)) ('rs1800796', 'Mutation', 'rs1800796', (267, 276)) ('IL-10', 'Var', (283, 288)) ('-511 T > C', 'Mutation', 'rs3087258', (227, 237)) ('rs3087258', 'Mutation', 'rs3087258', (239, 248)) ('IL-1beta', 'Gene', '3553', (23, 31)) ('TNF-alpha', 'Gene', '7124', (183, 192)) ('TNF-alpha', 'Gene', (183, 192)) ('-634G > C', 'Mutation', 'rs1800796', (256, 265)) ('-819 T > C', 'Mutation', 'rs1800871', (289, 299)) 15671 24804995 The purpose of this study was to assess whether cytokine promoter gene polymorphisms are associated with the following: (1) perioperative cytokine production and (2) postoperative pneumonia following esophagectomy. ('postoperative pneumonia', 'Disease', (166, 189)) ('polymorphisms', 'Var', (71, 84)) ('associated', 'Reg', (89, 99)) ('rat', 'Species', '10116', (131, 134)) ('rat', 'Species', '10116', (173, 176)) ('postoperative pneumonia', 'Disease', 'MESH:D010149', (166, 189)) ('cytokine promoter gene', 'Gene', (48, 70)) ('pneumonia', 'Phenotype', 'HP:0002090', (180, 189)) 15703 24804995 Perioperative serum IL-10 levels were significantly higher for IL-10 -819 C/T+C/C genotypes than for T/T genotypes (POD0 16.7 +- 2.84 vs. 8.54 +- 0.87 pg/ml, p = 0.0002; POD1 14.0 +- 2.64 vs. 8.8 +- 0.87 pg/ml, p = 0.0143; POD3 8.9 +- 2.69 vs. 4.4 +- 0.52 pg/ml, p = 0.0076) (Fig. ('serum IL-10 levels', 'MPA', (14, 32)) ('-819 C/T', 'Mutation', 'rs1800871', (69, 77)) ('rat', 'Species', '10116', (7, 10)) ('higher', 'PosReg', (52, 58)) ('C/T+C/C', 'Var', (74, 81)) 15705 24804995 The frequency of the IL-10 -819 T/T genotype was significantly higher in patients with pneumonia than in those without pneumonia (p = 0.0323) (Table 2). ('IL-10 -819', 'Gene', (21, 31)) ('patients', 'Species', '9606', (73, 81)) ('T/T', 'Var', (32, 35)) ('pneumonia', 'Phenotype', 'HP:0002090', (119, 128)) ('pneumonia', 'Phenotype', 'HP:0002090', (87, 96)) ('higher', 'PosReg', (63, 69)) ('pneumonia', 'Disease', 'MESH:D011014', (119, 128)) ('pneumonia', 'Disease', 'MESH:D011014', (87, 96)) ('pneumonia', 'Disease', (87, 96)) ('pneumonia', 'Disease', (119, 128)) 15706 24804995 Although no relationship was seen between postoperative serum IL-10 levels and Il-10 polymorphisms in patients with pneumonia, these levels were significantly higher for IL-10 -819 T/C + C/C genotypes than for T/T genotypes in patients without pneumonia (Table 3). ('pneumonia', 'Disease', (244, 253)) ('pneumonia', 'Disease', 'MESH:D011014', (244, 253)) ('-819 T/C', 'Mutation', 'rs1800871', (176, 184)) ('patients', 'Species', '9606', (102, 110)) ('Il-10', 'Gene', (79, 84)) ('pneumonia', 'Phenotype', 'HP:0002090', (116, 125)) ('IL-10 -819 T/C + C/C', 'Var', (170, 190)) ('pneumonia', 'Phenotype', 'HP:0002090', (244, 253)) ('Il-10', 'Gene', '3586', (79, 84)) ('pneumonia', 'Disease', (116, 125)) ('pneumonia', 'Disease', 'MESH:D011014', (116, 125)) ('rat', 'Species', '10116', (49, 52)) ('patients', 'Species', '9606', (227, 235)) ('higher', 'PosReg', (159, 165)) 15708 24804995 Only IL-10 -819 polymorphism was significantly associated with pneumonia (p = 0.0334, OR = 2.68, 95 % CI = 1.08-6.67). ('pneumonia', 'Disease', (63, 72)) ('pneumonia', 'Disease', 'MESH:D011014', (63, 72)) ('polymorphism', 'Var', (16, 28)) ('pneumonia', 'Phenotype', 'HP:0002090', (63, 72)) ('associated', 'Reg', (47, 57)) ('IL-10 -819', 'Gene', (5, 15)) 15709 24804995 This study revealed that IL-10 -819 polymorphism is associated with postoperative pneumonia in Japanese patients with esophageal cancer. ('cancer', 'Phenotype', 'HP:0002664', (129, 135)) ('IL-10 -819', 'Gene', (25, 35)) ('pneumonia', 'Phenotype', 'HP:0002090', (82, 91)) ('postoperative pneumonia', 'Disease', (68, 91)) ('polymorphism', 'Var', (36, 48)) ('esophageal cancer', 'Disease', (118, 135)) ('associated with', 'Reg', (52, 67)) ('esophageal cancer', 'Disease', 'MESH:D004938', (118, 135)) ('postoperative pneumonia', 'Disease', 'MESH:D010149', (68, 91)) ('patients', 'Species', '9606', (104, 112)) 15720 24804995 reported that the IL-10 -592 CC polymorphism was associated with higher IL-10 release under lipopolysaccharide stimulation and lower mortality in critically ill patients. ('IL-10 release under lipopolysaccharide stimulation', 'MPA', (72, 122)) ('lipopolysaccharide', 'Chemical', 'MESH:D008070', (92, 110)) ('lower', 'NegReg', (127, 132)) ('mortality', 'MPA', (133, 142)) ('polymorphism', 'Var', (32, 44)) ('patients', 'Species', '9606', (161, 169)) ('higher', 'PosReg', (65, 71)) ('critically ill', 'Disease', 'MESH:D016638', (146, 160)) ('IL-10 -592', 'Gene', (18, 28)) ('critically ill', 'Disease', (146, 160)) 15724 24804995 In patients with sepsis, a genotype associated with high IL-10 production may lead to greater immunosuppression, resulting in more severe disease burden and outcomes. ('greater', 'PosReg', (86, 93)) ('severe', 'MPA', (131, 137)) ('lead to', 'Reg', (78, 85)) ('sepsis', 'Disease', (17, 23)) ('more', 'PosReg', (126, 130)) ('IL-10', 'Gene', (57, 62)) ('sepsis', 'Phenotype', 'HP:0100806', (17, 23)) ('sepsis', 'Disease', 'MESH:D018805', (17, 23)) ('patients', 'Species', '9606', (3, 11)) ('high', 'Var', (52, 56)) ('immunosuppression', 'MPA', (94, 111)) 15726 24804995 reported that not IL-10 -819 T/C but TNF-alpha-308G/A polymorphism contributes to infectious complications after esophagectomy. ('polymorphism', 'Var', (54, 66)) ('TNF-alpha-308G/A', 'Gene', (37, 53)) ('infectious complications', 'CPA', (82, 106)) ('contributes', 'Reg', (67, 78)) ('-819 T/C', 'Mutation', 'rs1800871', (24, 32)) 15728 24804995 Identifying IL-10 polymorphisms in patients prior to esophagectomy may influence management decisions where controversy currently exists, such as the use of other therapeutic strategies. ('IL-10', 'Gene', (12, 17)) ('influence', 'Reg', (71, 80)) ('rat', 'Species', '10116', (177, 180)) ('men', 'Species', '9606', (87, 90)) ('polymorphisms', 'Var', (18, 31)) ('patients', 'Species', '9606', (35, 43)) 15731 24804995 Genotyping this IL-10 polymorphism in patients following esophagectomy may allow better risk stratification and tailoring of specific therapies to different risk groups. ('IL-10', 'Gene', (16, 21)) ('rat', 'Species', '10116', (95, 98)) ('Genotyping', 'Var', (0, 10)) ('patients', 'Species', '9606', (38, 46)) ('polymorphism', 'Var', (22, 34)) 15733 22572016 Epigenetic silencing of key tumor suppressor genes (TSGs) is critical to ESCC initiation and progression. ('TSG', 'Gene', (52, 55)) ('tumor', 'Disease', (28, 33)) ('TSG', 'Gene', '57045', (52, 55)) ('Epigenetic silencing', 'Var', (0, 20)) ('tumor', 'Disease', 'MESH:D009369', (28, 33)) ('ESCC', 'Disease', (73, 77)) ('tumor', 'Phenotype', 'HP:0002664', (28, 33)) 15735 22572016 This review summarizes recent discoveries on aberrant promoter methylation of TSGs in ESCC, providing better understanding of the role of disrupted epigenetic regulation in tumorigenesis and insight into diagnostic and prognostic biomarkers for this malignancy. ('tumor', 'Disease', 'MESH:D009369', (173, 178)) ('aberrant', 'Var', (45, 53)) ('tumor', 'Phenotype', 'HP:0002664', (173, 178)) ('tumor', 'Disease', (173, 178)) ('TSG', 'Gene', (78, 81)) ('TSG', 'Gene', '57045', (78, 81)) ('malignancy', 'Disease', 'MESH:D009369', (250, 260)) ('malignancy', 'Disease', (250, 260)) ('ESCC', 'Disease', (86, 90)) 15742 22572016 Genetic abnormalities involved in ESCC tumorigenesis include chromosomal loss and gain, loss of heterozygosity (LOH), and gene amplification and mutation. ('loss of heterozygosity', 'Var', (88, 110)) ('chromosomal loss', 'Disease', (61, 77)) ('tumor', 'Disease', 'MESH:D009369', (39, 44)) ('Genetic abnormalities', 'Disease', 'MESH:D030342', (0, 21)) ('tumor', 'Phenotype', 'HP:0002664', (39, 44)) ('chromosomal loss', 'Disease', 'MESH:D015431', (61, 77)) ('ESCC', 'Disease', (34, 38)) ('Genetic abnormalities', 'Disease', (0, 21)) ('tumor', 'Disease', (39, 44)) ('gain', 'PosReg', (82, 86)) ('gene amplification', 'Var', (122, 140)) ('mutation', 'Var', (145, 153)) 15743 22572016 Recently, epigenetic disruptions, including promoter CpG island methylation of tumor suppressor genes (TSGs) and microRNA methylation, have been recognized as key events in ESCC development. ('TSG', 'Gene', (103, 106)) ('tumor', 'Disease', (79, 84)) ('ESCC', 'Disease', (173, 177)) ('TSG', 'Gene', '57045', (103, 106)) ('microRNA methylation', 'Var', (113, 133)) ('tumor', 'Disease', 'MESH:D009369', (79, 84)) ('tumor', 'Phenotype', 'HP:0002664', (79, 84)) 15744 22572016 Here, we provide an overview of aberrant promoter methylation of critical TSGs in ESCC and the potential of these alterations as both tumor markers and therapeutic targets for ESCC. ('ESCC', 'Disease', (82, 86)) ('TSG', 'Gene', (74, 77)) ('tumor', 'Disease', 'MESH:D009369', (134, 139)) ('tumor', 'Phenotype', 'HP:0002664', (134, 139)) ('aberrant', 'Var', (32, 40)) ('TSG', 'Gene', '57045', (74, 77)) ('tumor', 'Disease', (134, 139)) 15745 22572016 We briefly summarized the epigenetically silenced TSGs in ESCC according to their biological functions, such as apoptosis, cell cycle control, cell adhesion, and DNA repair (Table 1). ('ESCC', 'Gene', (58, 62)) ('TSG', 'Gene', (50, 53)) ('epigenetically silenced', 'Var', (26, 49)) ('TSG', 'Gene', '57045', (50, 53)) 15747 22572016 In ESCC, p16INK4a was methylated in 40%-61% of primary tumors and was less frequently inactivated due to homozygous deletion or mutation, whereas p14ARF was methylated at a low frequency (13%-15%) and was mainly inactivated due to homozygous deletion. ('p16INK4a', 'Gene', (9, 17)) ('primary tumors', 'Disease', 'MESH:D009369', (47, 61)) ('mutation', 'Var', (128, 136)) ('tumor', 'Phenotype', 'HP:0002664', (55, 60)) ('p16INK4a', 'Gene', '1029', (9, 17)) ('p14ARF', 'Gene', '1029', (146, 152)) ('tumors', 'Phenotype', 'HP:0002664', (55, 61)) ('deletion', 'Var', (116, 124)) ('primary tumors', 'Disease', (47, 61)) ('p14ARF', 'Gene', (146, 152)) 15750 22572016 In ESCC, RASSF1A was methylated in 51% of primary tumors, but rarely in matched non-cancerous tissues. ('cancer', 'Disease', 'MESH:D009369', (84, 90)) ('primary tumors', 'Disease', (42, 56)) ('cancer', 'Disease', (84, 90)) ('methylated', 'Var', (21, 31)) ('primary tumors', 'Disease', 'MESH:D009369', (42, 56)) ('ESCC', 'Disease', (3, 7)) ('cancer', 'Phenotype', 'HP:0002664', (84, 90)) ('tumor', 'Phenotype', 'HP:0002664', (50, 55)) ('RASSF1A', 'Gene', (9, 16)) ('tumors', 'Phenotype', 'HP:0002664', (50, 56)) ('RASSF1A', 'Gene', '11186', (9, 16)) 15751 22572016 In addition, RASSF1A methylation was correlated with the clinical stage of ESCC. ('RASSF1A', 'Gene', (13, 20)) ('ESCC', 'Disease', (75, 79)) ('correlated', 'Reg', (37, 47)) ('RASSF1A', 'Gene', '11186', (13, 20)) ('methylation', 'Var', (21, 32)) 15752 22572016 Remarkably, the frequency of RASSF1A methylation in Chinese ESCC patients was relatively lower than that in Japanese ESCC patients, indicating that a possibly different mechanism is involved in RASSF1A methylation among these populations. ('lower', 'NegReg', (89, 94)) ('RASSF1A', 'Gene', '11186', (29, 36)) ('methylation', 'Var', (37, 48)) ('RASSF1A', 'Gene', '11186', (194, 201)) ('patients', 'Species', '9606', (122, 130)) ('patients', 'Species', '9606', (65, 73)) ('RASSF1A', 'Gene', (29, 36)) ('RASSF1A', 'Gene', (194, 201)) 15755 22572016 Promoter methylation of DAPK was frequently detected in intraepithelial lesions and primary ESCC, but rarely in normal and non-neoplastic epithelia, suggesting a role of methylation-mediated DAPK silencing in ESCC progression. ('intraepithelial lesions', 'Disease', 'MESH:D002278', (56, 79)) ('DAPK', 'Gene', (24, 28)) ('DAPK', 'Gene', '1612', (24, 28)) ('non-neoplastic epithelia', 'Disease', (123, 147)) ('detected', 'Reg', (44, 52)) ('ESCC', 'Disease', (209, 213)) ('Promoter methylation', 'Var', (0, 20)) ('non-neoplastic epithelia', 'Disease', 'MESH:C580335', (123, 147)) ('neoplastic epithelia', 'Phenotype', 'HP:0031492', (127, 147)) ('silencing', 'NegReg', (196, 205)) ('DAPK', 'Gene', (191, 195)) ('DAPK', 'Gene', '1612', (191, 195)) ('intraepithelial lesions', 'Disease', (56, 79)) 15757 22572016 In ESCC, RUNX3 silencing by promoter methylation induced tumor progression and worsened patient prognosis. ('patient', 'Species', '9606', (88, 95)) ('patient prognosis', 'CPA', (88, 105)) ('promoter methylation', 'Var', (28, 48)) ('silencing', 'NegReg', (15, 24)) ('tumor', 'Disease', 'MESH:D009369', (57, 62)) ('RUNX3', 'Gene', '864', (9, 14)) ('RUNX3', 'Gene', (9, 14)) ('ESCC', 'Disease', (3, 7)) ('induced', 'Reg', (49, 56)) ('worsened', 'NegReg', (79, 87)) ('tumor', 'Phenotype', 'HP:0002664', (57, 62)) ('tumor', 'Disease', (57, 62)) 15758 22572016 As different frequencies of RUNX3 methylation were reported in ESCC, the precise CpG region at which the RUNX3 promoter is methylated for silencing needs to be further confirmed. ('RUNX3', 'Gene', (28, 33)) ('RUNX3', 'Gene', '864', (28, 33)) ('methylation', 'Var', (34, 45)) ('ESCC', 'Disease', (63, 67)) ('RUNX3', 'Gene', (105, 110)) ('RUNX3', 'Gene', '864', (105, 110)) 15760 22572016 Studies showed that UCHL1 was methylated in 40% of primary ESCCs but not in the paired adjacent non-tumor tissues. ('methylated', 'Var', (30, 40)) ('tumor', 'Phenotype', 'HP:0002664', (100, 105)) ('tumor', 'Disease', (100, 105)) ('UCHL1', 'Gene', '7345', (20, 25)) ('UCHL1', 'Gene', (20, 25)) ('primary ESCCs', 'Disease', (51, 64)) ('tumor', 'Disease', 'MESH:D009369', (100, 105)) 15761 22572016 Furthermore, UCHL1 methylation was correlated with regional lymph node metastasis. ('correlated', 'Reg', (35, 45)) ('methylation', 'Var', (19, 30)) ('UCHL1', 'Gene', '7345', (13, 18)) ('UCHL1', 'Gene', (13, 18)) ('regional lymph node metastasis', 'CPA', (51, 81)) 15768 22572016 MGMT was reported to be epigenetically silenced in about 30% of human cancers due to promoter methylation. ('MGMT', 'Gene', (0, 4)) ('human', 'Species', '9606', (64, 69)) ('cancer', 'Phenotype', 'HP:0002664', (70, 76)) ('cancers', 'Disease', (70, 77)) ('cancers', 'Disease', 'MESH:D009369', (70, 77)) ('cancers', 'Phenotype', 'HP:0002664', (70, 77)) ('promoter methylation', 'Var', (85, 105)) ('MGMT', 'Gene', '4255', (0, 4)) 15770 22572016 Notably, MGMT methylation was associated with TP53 mutations or the C677T polymorphism of 5, 10-methylenetetrahydrofolate (MTHFR) in ESCC patients, suggesting a synergistic effect of both epigenetic and genetic mechanisms in ESCC pathogenesis. ('associated', 'Reg', (30, 40)) ('5, 10-methylenetetrahydrofolate', 'Chemical', 'MESH:C013123', (90, 121)) ('ESCC', 'Disease', (225, 229)) ('mutations', 'Var', (51, 60)) ('C677T polymorphism', 'Var', (68, 86)) ('MTHFR', 'Gene', '4524', (123, 128)) ('ESCC', 'Disease', (133, 137)) ('C677T', 'Mutation', 'rs1801133', (68, 73)) ('TP53', 'Gene', '7157', (46, 50)) ('MGMT', 'Gene', '4255', (9, 13)) ('MGMT', 'Gene', (9, 13)) ('MTHFR', 'Gene', (123, 128)) ('TP53', 'Gene', (46, 50)) ('patients', 'Species', '9606', (138, 146)) 15771 22572016 Mismatch repair gene mutL homolog 1 (MLH1) was reported to be inactivated by genetic or epigenetic alterations in multiple human cancers. ('cancer', 'Phenotype', 'HP:0002664', (129, 135)) ('MLH1', 'Gene', '4292', (37, 41)) ('inactivated', 'NegReg', (62, 73)) ('epigenetic alterations', 'Var', (88, 110)) ('MLH1', 'Gene', (37, 41)) ('cancers', 'Disease', 'MESH:D009369', (129, 136)) ('human', 'Species', '9606', (123, 128)) ('cancers', 'Phenotype', 'HP:0002664', (129, 136)) ('cancers', 'Disease', (129, 136)) ('mutL homolog 1', 'Gene', '4292', (21, 35)) ('mutL homolog 1', 'Gene', (21, 35)) ('genetic', 'Var', (77, 84)) 15773 22572016 Interestingly, epigenetically silenced MLH1 was always associated with microsatellite instability in ESCC, indicating that MLH1 plays a critical role in ESCC progression. ('MLH1', 'Gene', '4292', (39, 43)) ('MLH1', 'Gene', '4292', (123, 127)) ('MLH1', 'Gene', (39, 43)) ('MLH1', 'Gene', (123, 127)) ('associated', 'Reg', (55, 65)) ('epigenetically silenced', 'Var', (15, 38)) ('microsatellite instability', 'MPA', (71, 97)) ('ESCC', 'Disease', (101, 105)) ('ESCC', 'Disease', (153, 157)) 15774 22572016 MSH2, another important DNA mismatch repair gene, was also silenced by promoter methylation in 32% of ESCCs but none of the matched normal tissues. ('MSH2', 'Gene', (0, 4)) ('ESCCs', 'Disease', (102, 107)) ('promoter methylation', 'Var', (71, 91)) ('MSH2', 'Gene', '4436', (0, 4)) ('silenced', 'NegReg', (59, 67)) 15778 22572016 In addition, aberrant methylation of FHIT can also be induced by nicotine, indicating its role in smoking-related ESCC tumorigenesis. ('tumor', 'Disease', (119, 124)) ('ESCC', 'Disease', (114, 118)) ('induced', 'Reg', (54, 61)) ('FHIT', 'Gene', (37, 41)) ('FHIT', 'Gene', '2272', (37, 41)) ('tumor', 'Disease', 'MESH:D009369', (119, 124)) ('methylation', 'MPA', (22, 33)) ('nicotine', 'Chemical', 'MESH:D009538', (65, 73)) ('tumor', 'Phenotype', 'HP:0002664', (119, 124)) ('aberrant', 'Var', (13, 21)) 15793 22572016 Promoter methylation of CDH1 and ITGA4 have been linked to tumor recurrence, and methylation of other genes including adenomatous poly-posis coli (APC), N-methyl D-aspartate 2B (NMDAR2B), tachykinin 1 (TAC1) TIMP metallopeptidase inhibitor 3 (TIMP3), UCHL1, and uroplakin 1A (UPK1A) have been linked to shorter survival. ('CDH1', 'Gene', (24, 28)) ('tumor', 'Disease', (59, 64)) ('adenomatous poly-posis coli', 'Disease', (118, 145)) ('ITGA4', 'Gene', (33, 38)) ('adenomatous poly-posis', 'Phenotype', 'HP:0005227', (118, 140)) ('NMDAR2B', 'Gene', (178, 185)) ('tachykinin 1', 'Gene', '6863', (188, 200)) ('TIMP3', 'Gene', (243, 248)) ('N-methyl D-aspartate 2B', 'Gene', (153, 176)) ('TIMP3', 'Gene', '7078', (243, 248)) ('tumor', 'Disease', 'MESH:D009369', (59, 64)) ('UCHL1', 'Gene', (251, 256)) ('TAC1', 'Gene', '6863', (202, 206)) ('TIMP metallopeptidase inhibitor 3', 'Gene', '7078', (208, 241)) ('linked', 'Reg', (49, 55)) ('adenomatous poly-posis coli', 'Disease', 'MESH:D011125', (118, 145)) ('N-methyl D-aspartate 2B', 'Gene', '2904', (153, 176)) ('UCHL1', 'Gene', '7345', (251, 256)) ('TIMP metallopeptidase inhibitor 3', 'Gene', (208, 241)) ('tumor', 'Phenotype', 'HP:0002664', (59, 64)) ('tachykinin 1', 'Gene', (188, 200)) ('UPK1A', 'Gene', (276, 281)) ('APC', 'Disease', 'MESH:D011125', (147, 150)) ('shorter', 'NegReg', (303, 310)) ('APC', 'Disease', (147, 150)) ('NMDAR2B', 'Gene', '2904', (178, 185)) ('UPK1A', 'Gene', '11045', (276, 281)) ('methylation', 'Var', (81, 92)) ('CDH1', 'Gene', '999', (24, 28)) ('uroplakin 1A', 'Gene', '11045', (262, 274)) ('TAC1', 'Gene', (202, 206)) ('ITGA4', 'Gene', '3676', (33, 38)) ('uroplakin 1A', 'Gene', (262, 274)) 15794 22572016 Epigenetic reagents intended to reactivate epigenetically silenced TSGs or tumor antigens are being tested for their anticancer effects. ('TSG', 'Gene', (67, 70)) ('cancer', 'Phenotype', 'HP:0002664', (121, 127)) ('tumor', 'Disease', 'MESH:D009369', (75, 80)) ('TSG', 'Gene', '57045', (67, 70)) ('epigenetically silenced', 'Var', (43, 66)) ('tumor', 'Phenotype', 'HP:0002664', (75, 80)) ('cancer', 'Disease', 'MESH:D009369', (121, 127)) ('cancer', 'Disease', (121, 127)) ('tumor', 'Disease', (75, 80)) 15799 22572016 Silencing TSGs by promoter methylation plays essential roles in ESCC initiation and development. ('TSG', 'Gene', '57045', (10, 13)) ('Silencing', 'Var', (0, 9)) ('TSG', 'Gene', (10, 13)) ('ESCC', 'Disease', (64, 68)) 15800 22572016 Numerous methylated genes have been identified in ESCC in recent years and thus provide new insights into the molecular mechanism of ESCC pathogenesis and expand the knowledge of tumor markers for clinical application. ('ESCC', 'Disease', (133, 137)) ('tumor', 'Disease', 'MESH:D009369', (179, 184)) ('methylated', 'Var', (9, 19)) ('tumor', 'Phenotype', 'HP:0002664', (179, 184)) ('ESCC', 'Disease', (50, 54)) ('tumor', 'Disease', (179, 184)) 15828 21672200 as follows: grade 0 = normal examination; grade 1 = edema and hyperemia of the mucosa; grade 2a = superficial ulceration, erosions, friability, blisters, exudates, hemorrhages, or whitish membranes; grade 2b = grade 2a plus deep, discrete or circumferential ulcerations; grade 3a = small scattered areas of multiple ulcerations and areas of necrosis with brown-black or grayish discoloration; grade 3b = extensive necrosis. ('edema', 'Disease', 'MESH:D004487', (52, 57)) ('hyperemia of the mucosa', 'Disease', (62, 85)) ('edema', 'Phenotype', 'HP:0000969', (52, 57)) ('hemorrhages', 'Disease', 'MESH:D006470', (164, 175)) ('edema', 'Disease', (52, 57)) ('hemorrhages', 'Disease', (164, 175)) ('necrosis', 'Disease', (341, 349)) ('necrosis', 'Disease', (414, 422)) ('grade 2a', 'Var', (210, 218)) ('hyperemia of the mucosa', 'Disease', 'MESH:D006940', (62, 85)) ('blisters', 'Phenotype', 'HP:0008066;HP:0200037', (144, 152)) ('necrosis', 'Disease', 'MESH:D009336', (341, 349)) ('necrosis', 'Disease', 'MESH:D009336', (414, 422)) 15887 34012400 The association between dysregulated store-operated calcium entry (SOCE), a key intracellular Ca2+ signaling pathway and gastroesophageal cancers are emerging. ('dysregulated', 'Var', (24, 36)) ('calcium', 'Chemical', 'MESH:D002118', (52, 59)) ('gastroesophageal cancers', 'Disease', 'MESH:D009369', (121, 145)) ('cancer', 'Phenotype', 'HP:0002664', (138, 144)) ('gastroesophageal cancers', 'Disease', (121, 145)) ('cancers', 'Phenotype', 'HP:0002664', (138, 145)) 15911 34012400 Different from mutant forms in lung cancer and breast cancer, EGFR often presents high copy number and its expression is correlate with advanced stage, poorly differentiated histology, vascular invasion, and poor survival rate in GC and EC. ('lung cancer', 'Disease', 'MESH:D008175', (31, 42)) ('breast cancer', 'Disease', (47, 60)) ('EGFR', 'Gene', '1956', (62, 66)) ('breast cancer', 'Phenotype', 'HP:0003002', (47, 60)) ('EGFR', 'Gene', (62, 66)) ('lung cancer', 'Disease', (31, 42)) ('expression', 'MPA', (107, 117)) ('high copy number', 'Var', (82, 98)) ('lung cancer', 'Phenotype', 'HP:0100526', (31, 42)) ('cancer', 'Phenotype', 'HP:0002664', (36, 42)) ('cancer', 'Phenotype', 'HP:0002664', (54, 60)) ('advanced stage', 'CPA', (136, 150)) ('poorly differentiated histology', 'CPA', (152, 183)) ('vascular invasion', 'CPA', (185, 202)) ('breast cancer', 'Disease', 'MESH:D001943', (47, 60)) 15954 34012400 While genetic mutations in Orai1 or STIM1 were found in immune disorders, skeletal muscle myopathy and heart hypertrophy, changes in expression and/or channel complex components are more commonly reported in various types of malignant, including GE cancers. ('muscle myopathy', 'Disease', (83, 98)) ('cancers', 'Phenotype', 'HP:0002664', (249, 256)) ('Orai1', 'Gene', (27, 32)) ('cancer', 'Phenotype', 'HP:0002664', (249, 255)) ('heart hypertrophy', 'Disease', 'MESH:D006332', (103, 120)) ('GE cancers', 'Disease', 'MESH:D009369', (246, 256)) ('mutations', 'Var', (14, 23)) ('Orai1', 'Gene', '84876', (27, 32)) ('STIM1', 'Gene', (36, 41)) ('found', 'Reg', (47, 52)) ('immune disorders', 'Disease', 'MESH:D007154', (56, 72)) ('heart hypertrophy', 'Disease', (103, 120)) ('GE cancers', 'Disease', (246, 256)) ('muscle myopathy', 'Disease', 'MESH:D009135', (83, 98)) ('STIM1', 'Gene', '6786', (36, 41)) ('reported', 'Reg', (196, 204)) ('expression', 'MPA', (133, 143)) ('heart hypertrophy', 'Phenotype', 'HP:0001639', (103, 120)) ('immune disorders', 'Disease', (56, 72)) ('changes', 'Reg', (122, 129)) ('genetic mutations', 'Var', (6, 23)) ('myopathy', 'Phenotype', 'HP:0003198', (90, 98)) 15956 34012400 The high expression of Orai1 is associated with poor disease-free and overall survival rates. ('Orai1', 'Gene', (23, 28)) ('Orai1', 'Gene', '84876', (23, 28)) ('overall survival rates', 'CPA', (70, 92)) ('high', 'Var', (4, 8)) ('disease-free', 'CPA', (53, 65)) ('poor', 'NegReg', (48, 52)) 15957 34012400 Both gene manipulation and pharmacologic studies demonstrated that elevated Orai1 results in hyperactivity of intracellular Ca2+ oscillations and, thus, controls rampant cell proliferation in ESCC cells. ('hyperactivity', 'Phenotype', 'HP:0000752', (93, 106)) ('Orai1', 'Gene', '84876', (76, 81)) ('intracellular Ca2+ oscillations', 'Phenotype', 'HP:0003575', (110, 141)) ('elevated', 'Var', (67, 75)) ('hyperactivity', 'Disease', 'MESH:D006948', (93, 106)) ('hyperactivity', 'Disease', (93, 106)) ('intracellular Ca2+ oscillations', 'MPA', (110, 141)) ('controls', 'Reg', (153, 161)) ('Orai1', 'Gene', (76, 81)) 15960 34012400 STIM1 can promote gastric cancer progression and silencing STIM1 inhibits cell proliferation via arrest of the cell cycle at the G0/G1 phase and increases cell apoptosis in vitro. ('gastric cancer', 'Disease', (18, 32)) ('cell proliferation', 'CPA', (74, 92)) ('silencing', 'Var', (49, 58)) ('STIM1', 'Gene', '6786', (0, 5)) ('gastric cancer', 'Disease', 'MESH:D013274', (18, 32)) ('STIM1', 'Gene', '6786', (59, 64)) ('inhibits', 'NegReg', (65, 73)) ('arrest', 'Disease', 'MESH:D006323', (97, 103)) ('gastric cancer', 'Phenotype', 'HP:0012126', (18, 32)) ('STIM1', 'Gene', (0, 5)) ('STIM1', 'Gene', (59, 64)) ('arrest', 'Disease', (97, 103)) ('increases', 'PosReg', (145, 154)) ('promote', 'PosReg', (10, 17)) ('cancer', 'Phenotype', 'HP:0002664', (26, 32)) ('cell apoptosis', 'CPA', (155, 169)) 15970 34012400 Due to the important role of TRPC6-mediated Ca2+ signaling, it is not surprising to see that the inhibition of TRPC6 leads to cell cycle arrest via Cdk1 in ESCC cells and decreased tumor formation in a mouse xenograft ESCC model. ('inhibition', 'Var', (97, 107)) ('arrest', 'Disease', (137, 143)) ('decreased', 'NegReg', (171, 180)) ('tumor', 'Disease', (181, 186)) ('Cdk1', 'Gene', '12534', (148, 152)) ('Cdk1', 'Gene', (148, 152)) ('TRPC6', 'Gene', (111, 116)) ('mouse', 'Species', '10090', (202, 207)) ('tumor', 'Disease', 'MESH:D009369', (181, 186)) ('cell cycle arrest', 'Phenotype', 'HP:0011018', (126, 143)) ('arrest', 'Disease', 'MESH:D006323', (137, 143)) ('tumor', 'Phenotype', 'HP:0002664', (181, 186)) 15971 34012400 In GC epithelial cells, the TRPC6 has been shown to be upregulated on protein and mRNA level and was responsible for regulation of the cell cycle, as the inhibition of TRPC6 resulted in cell cycle arrest in the G2/M phase and inhibited cell growth. ('cell cycle arrest', 'Phenotype', 'HP:0011018', (186, 203)) ('inhibition', 'Var', (154, 164)) ('inhibited', 'NegReg', (226, 235)) ('cell growth', 'CPA', (236, 247)) ('arrest', 'Disease', 'MESH:D006323', (197, 203)) ('upregulated', 'PosReg', (55, 66)) ('arrest', 'Disease', (197, 203)) ('TRPC6', 'Gene', (28, 33)) ('TRPC6', 'Gene', (168, 173)) 15974 34012400 The authors showed that TRPC1/3/6 complex mediates Ca2+ influx and actives downstream the Ras/Raf1/ERK signaling pathway and the inhibition of TRPC1/3/6 impedes TGF-beta1-induced EMT. ('Ca2+ influx', 'MPA', (51, 62)) ('Raf1', 'Gene', (94, 98)) ('inhibition', 'Var', (129, 139)) ('TRPC1', 'Gene', '7220', (143, 148)) ('TRPC1', 'Gene', '7220', (24, 29)) ('ERK', 'Gene', '5594', (99, 102)) ('ERK', 'Gene', (99, 102)) ('TRPC1', 'Gene', (143, 148)) ('actives', 'PosReg', (67, 74)) ('TRPC1', 'Gene', (24, 29)) ('Raf1', 'Gene', '5894', (94, 98)) ('TGF-beta1', 'Gene', '7040', (161, 170)) ('impedes', 'NegReg', (153, 160)) ('TGF-beta1', 'Gene', (161, 170)) 15975 34012400 Using a newly developed potent TRPC6 antagonist, a separate study also showed that inhibition of this Ca2+ channel suppresses proliferation of several GC cell lines as well as GC tumor growth in a xenograft model. ('suppresses', 'NegReg', (115, 125)) ('proliferation', 'CPA', (126, 139)) ('tumor', 'Disease', 'MESH:D009369', (179, 184)) ('tumor', 'Phenotype', 'HP:0002664', (179, 184)) ('inhibition', 'Var', (83, 93)) ('tumor', 'Disease', (179, 184)) 15978 34012400 The earliest SOCE blocker to be used is SKF-96365, which was shown to inhibit cancer cell migration and tumor metastasis in breast and cervical cancers. ('SKF-96365', 'Var', (40, 49)) ('cancer', 'Phenotype', 'HP:0002664', (78, 84)) ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('cancer', 'Disease', 'MESH:D009369', (144, 150)) ('cancer', 'Disease', (78, 84)) ('cancer', 'Disease', 'MESH:D009369', (78, 84)) ('cancer', 'Disease', (144, 150)) ('cancers', 'Phenotype', 'HP:0002664', (144, 151)) ('tumor metastasis in breast and cervical cancers', 'Disease', 'MESH:D001943', (104, 151)) ('SKF-96365', 'Chemical', 'MESH:C063159', (40, 49)) ('inhibit', 'NegReg', (70, 77)) ('cancer', 'Phenotype', 'HP:0002664', (144, 150)) 15984 34012400 RO2959, a novel, potent and selective SOCE inhibitor, inhibits gene expression, cytokine production, and proliferation in T cells. ('RO2959', 'Var', (0, 6)) ('cytokine production', 'MPA', (80, 99)) ('proliferation', 'CPA', (105, 118)) ('gene expression', 'MPA', (63, 78)) ('inhibits', 'NegReg', (54, 62)) ('RO2959', 'Chemical', '-', (0, 6)) 15985 34012400 SB01990, SPB06836, KM06293 and RH01882 are a cluster of SOCE inhibitors targeting and altering the Ca2+ selectivity filter of Orai1. ('RH01882', 'Gene', (31, 38)) ('Orai1', 'Gene', (126, 131)) ('SPB06836', 'Var', (9, 17)) ('altering', 'Reg', (86, 94)) ('RH01882', 'Chemical', '-', (31, 38)) ('Ca2+ selectivity filter', 'MPA', (99, 122)) ('SB01990', 'Var', (0, 7)) ('Orai1', 'Gene', '84876', (126, 131)) ('SB01990', 'Chemical', '-', (0, 7)) ('KM06293', 'Var', (19, 26)) 15986 34012400 GSK-5503A and GSK-7975A are Orai1-and Orai3-mediated SOCE inhibitors that slowly affect SOCE currents with no effect on STIM1-Orai1 coupling. ('Orai3', 'Gene', '93129', (38, 43)) ('GSK-5503A', 'Var', (0, 9)) ('Orai1', 'Gene', (126, 131)) ('GSK-7975A', 'Var', (14, 23)) ('STIM1', 'Gene', (120, 125)) ('affect', 'Reg', (81, 87)) ('Orai3', 'Gene', (38, 43)) ('Orai1', 'Gene', (28, 33)) ('STIM1', 'Gene', '6786', (120, 125)) ('Orai1', 'Gene', '84876', (126, 131)) ('Orai1', 'Gene', '84876', (28, 33)) ('SOCE currents', 'MPA', (88, 101)) 15988 34012400 BTP2 or YM-58483 is a potent inhibitor for both CRAC and TRPC-mediated SOCE. ('TRPC-mediated', 'Protein', (57, 70)) ('YM-58483', 'Chemical', 'MESH:C476308', (8, 16)) ('CRAC', 'CPA', (48, 52)) ('YM-58483', 'Var', (8, 16)) ('BTP', 'Chemical', '-', (0, 3)) 15989 34012400 A report showed that BTP-2 can depolarize the cell membrane via TRPM4 activation and, thus contribute to the inhibition of SOCE and cytokine release. ('BTP-2', 'Var', (21, 26)) ('depolarize', 'NegReg', (31, 41)) ('TRPM4', 'Gene', (64, 69)) ('inhibition', 'NegReg', (109, 119)) ('BTP', 'Chemical', '-', (21, 24)) ('activation', 'PosReg', (70, 80)) ('TRPM4', 'Gene', '54795', (64, 69)) 15991 34012400 CM2489, CM3457 and CM4620 are three more selective SOCE inhibitors, which have been shown to prevent Ca2+ entry, and, thus, are used either to treat moderate-to-severe plaque psoriasis, or to reduce acute pancreatitis severity, or to inhibit lymphocytes and T cell-derived cytokine production (Table 1). ('plaque psoriasis', 'Disease', 'MESH:D011565', (168, 184)) ('SOCE', 'Gene', (51, 55)) ('CM2489', 'Var', (0, 6)) ('pancreatitis', 'Phenotype', 'HP:0001733', (205, 217)) ('pancreatitis', 'Disease', 'MESH:D010195', (205, 217)) ('CM3457', 'Var', (8, 14)) ('reduce', 'NegReg', (192, 198)) ('CM4620', 'Var', (19, 25)) ('acute pancreatitis', 'Phenotype', 'HP:0001735', (199, 217)) ('pancreatitis', 'Disease', (205, 217)) ('Ca2+ entry', 'MPA', (101, 111)) ('plaque psoriasis', 'Disease', (168, 184)) ('inhibit', 'NegReg', (234, 241)) ('CM2489', 'Chemical', '-', (0, 6)) ('prevent', 'NegReg', (93, 100)) ('psoriasis', 'Phenotype', 'HP:0003765', (175, 184)) 15992 34012400 The Pyrazole analogs, including Pyr2, 3, 6 and 10, show different selectivity on TRPC3 and Orai1-mediated SOCE. ('Pyr2', 'Var', (32, 36)) ('Orai1', 'Gene', (91, 96)) ('TRPC3', 'Gene', '7222', (81, 86)) ('Pyrazole', 'Chemical', 'MESH:C031280', (4, 12)) ('Orai1', 'Gene', '84876', (91, 96)) ('Pyr2', 'Chemical', '-', (32, 36)) ('TRPC3', 'Gene', (81, 86)) 15993 34012400 Pyr10 is potent and selective for TRPC3-mediated SOCE. ('TRPC3', 'Gene', '7222', (34, 39)) ('Pyr10', 'Var', (0, 5)) ('TRPC3', 'Gene', (34, 39)) ('Pyr10', 'Chemical', '-', (0, 5)) 15994 34012400 Pyr6 is potent to Orai1-mediated SOCE, while Pyr3 equally inhibits both channels. ('Orai1', 'Gene', (18, 23)) ('Orai1', 'Gene', '84876', (18, 23)) ('Pyr6', 'Var', (0, 4)) 15996 34012400 CM2489 and CM 4620 from CalciMedica are used to block the production and release of pro-inflammatory cytokines from immune cells, and they are used in clinical trials for the treatment of plaque psoriasis and pancreatitis. ('block', 'NegReg', (48, 53)) ('CM2489', 'Var', (0, 6)) ('pancreatitis', 'Disease', (209, 221)) ('plaque psoriasis', 'Disease', (188, 204)) ('production', 'MPA', (58, 68)) ('plaque psoriasis', 'Disease', 'MESH:D011565', (188, 204)) ('release of pro-inflammatory cytokines from immune', 'MPA', (73, 122)) ('pancreatitis', 'Phenotype', 'HP:0001733', (209, 221)) ('psoriasis', 'Phenotype', 'HP:0003765', (195, 204)) ('pancreatitis', 'Disease', 'MESH:D010195', (209, 221)) ('CM2489', 'Chemical', '-', (0, 6)) 15998 34012400 With improved selectivity and reduced toxicity, modified forms of these SOCE channel inhibitors may still hold promise for further cancer therapeutic drug development. ('cancer', 'Disease', (131, 137)) ('SOCE channel', 'Gene', (72, 84)) ('cancer', 'Phenotype', 'HP:0002664', (131, 137)) ('toxicity', 'Disease', 'MESH:D064420', (38, 46)) ('toxicity', 'Disease', (38, 46)) ('modified', 'Var', (48, 56)) ('cancer', 'Disease', 'MESH:D009369', (131, 137)) 15999 34012400 RP4010 from Rhizen Pharmaceuticals is another selective SOCE channel inhibitor. ('RP4010', 'Chemical', '-', (0, 6)) ('SOCE', 'Pathway', (56, 60)) ('RP4010', 'Var', (0, 6)) 16003 34012400 Compared with other reported SOCE channel inhibitors, RP4010 is more potent in blocking SOCE in ESCC cells. ('blocking', 'NegReg', (79, 87)) ('RP4010', 'Var', (54, 60)) ('RP4010', 'Chemical', '-', (54, 60)) ('SOCE', 'Gene', (88, 92)) 16005 34012400 Our studies showed that treatment of RP4010 resulted in reduction of intracellular Ca2+ oscillations, and caused cell cycle arrest at G0/G1 phase in several cultured human ESCC cell lines. ('intracellular Ca2+ oscillations', 'Phenotype', 'HP:0003575', (69, 100)) ('RP4010', 'Chemical', '-', (37, 43)) ('arrest', 'Disease', 'MESH:D006323', (124, 130)) ('human', 'Species', '9606', (166, 171)) ('cell cycle arrest', 'Phenotype', 'HP:0011018', (113, 130)) ('arrest', 'Disease', (124, 130)) ('RP4010', 'Var', (37, 43)) ('reduction', 'NegReg', (56, 65)) ('intracellular Ca2+ oscillations', 'MPA', (69, 100)) 16009 34012400 Drug resistance is responsible for relapses of cancers and remains to be a big challenge in most cancer treatment. ('Drug resistance', 'Phenotype', 'HP:0020174', (0, 15)) ('cancer', 'Disease', (97, 103)) ('cancer', 'Disease', 'MESH:D009369', (47, 53)) ('responsible', 'Reg', (19, 30)) ('cancer', 'Disease', (47, 53)) ('Drug resistance', 'Var', (0, 15)) ('cancers', 'Disease', 'MESH:D009369', (47, 54)) ('cancers', 'Phenotype', 'HP:0002664', (47, 54)) ('cancer', 'Phenotype', 'HP:0002664', (97, 103)) ('cancers', 'Disease', (47, 54)) ('cancer', 'Phenotype', 'HP:0002664', (47, 53)) ('cancer', 'Disease', 'MESH:D009369', (97, 103)) 16019 34012400 While some cell surface markers, such as CD44, CD24, and CD133, have been identified as common CSC markers for almost all cancer types, CSC in GC and EC cancers present their specific markers as well. ('cancer', 'Disease', 'MESH:D009369', (153, 159)) ('cancer', 'Disease', (153, 159)) ('cancer', 'Disease', (122, 128)) ('CD24', 'Gene', (47, 51)) ('CD44', 'Var', (41, 45)) ('cancer', 'Disease', 'MESH:D009369', (122, 128)) ('EC cancers', 'Disease', 'MESH:D009369', (150, 160)) ('EC cancers', 'Disease', (150, 160)) ('cancer', 'Phenotype', 'HP:0002664', (153, 159)) ('CD133', 'Gene', (57, 62)) ('CD133', 'Gene', '8842', (57, 62)) ('cancers', 'Phenotype', 'HP:0002664', (153, 160)) ('cancer', 'Phenotype', 'HP:0002664', (122, 128)) ('CSC', 'Disease', (136, 139)) 16030 34012400 With RyR1 knockdown, the CSCs diminish in the severe combined immunodeficiency (SCID) mice model. ('immunodeficiency', 'Phenotype', 'HP:0002721', (62, 78)) ('combined immunodeficiency', 'Phenotype', 'HP:0005387', (53, 78)) ('immunodeficiency', 'Disease', (62, 78)) ('immunodeficiency', 'Disease', 'MESH:D007153', (62, 78)) ('mice', 'Species', '10090', (86, 90)) ('diminish', 'NegReg', (30, 38)) ('RyR1', 'Gene', (5, 9)) ('severe combined immunodeficiency', 'Phenotype', 'HP:0004430', (46, 78)) ('CSCs', 'MPA', (25, 29)) ('knockdown', 'Var', (10, 19)) ('SCID', 'Disease', (80, 84)) ('SCID', 'Disease', 'MESH:D053632', (80, 84)) 16037 34012400 Furthermore, the treatment of SKF-96365 can reduce CSC cell proliferation and decrease stemness in glioblastoma. ('reduce', 'NegReg', (44, 50)) ('decrease stemness in glioblastoma', 'Disease', 'MESH:D005909', (78, 111)) ('glioblastoma', 'Phenotype', 'HP:0012174', (99, 111)) ('SKF-96365', 'Var', (30, 39)) ('decrease stemness in glioblastoma', 'Disease', (78, 111)) ('CSC cell proliferation', 'CPA', (51, 73)) ('SKF-96365', 'Chemical', 'MESH:C063159', (30, 39)) 16043 34012400 Metformin, a widely used diabetes drug, has been administrated in combination with chemotherapy in several clinical trials to treat multiple cancers, including colon cancer (NCT01440127), ovarian, fallopian tube, and primary peritoneal cancer (NCT01579812). ('diabetes', 'Disease', (25, 33)) ('NCT01440127', 'Var', (174, 185)) ('cancer', 'Disease', 'MESH:D009369', (166, 172)) ('cancer', 'Disease', 'MESH:D009369', (236, 242)) ('fallopian tube', 'Disease', (197, 211)) ('Metformin', 'Chemical', 'MESH:D008687', (0, 9)) ('primary peritoneal cancer', 'Phenotype', 'HP:0030406', (217, 242)) ('colon cancer', 'Phenotype', 'HP:0003003', (160, 172)) ('cancers', 'Phenotype', 'HP:0002664', (141, 148)) ('ovarian', 'Disease', 'MESH:D010049', (188, 195)) ('cancers', 'Disease', (141, 148)) ('cancer', 'Disease', (141, 147)) ('cancer', 'Disease', (166, 172)) ('colon cancer', 'Disease', 'MESH:D015179', (160, 172)) ('diabetes', 'Disease', 'MESH:D003920', (25, 33)) ('cancer', 'Phenotype', 'HP:0002664', (141, 147)) ('cancer', 'Disease', (236, 242)) ('cancer', 'Phenotype', 'HP:0002664', (166, 172)) ('cancer', 'Phenotype', 'HP:0002664', (236, 242)) ('colon cancer', 'Disease', (160, 172)) ('cancer', 'Disease', 'MESH:D009369', (141, 147)) ('cancers', 'Disease', 'MESH:D009369', (141, 148)) ('ovarian', 'Disease', (188, 195)) 16051 34012400 We speculate that combined inhibitors for both SOCE and EGFR pathways could achieve better anti-cancer effects than single agent alone for GE cancer. ('cancer', 'Disease', 'MESH:D009369', (142, 148)) ('cancer', 'Phenotype', 'HP:0002664', (96, 102)) ('EGFR', 'Gene', '1956', (56, 60)) ('cancer', 'Phenotype', 'HP:0002664', (142, 148)) ('inhibitors', 'Var', (27, 37)) ('EGFR', 'Gene', (56, 60)) ('cancer', 'Disease', 'MESH:D009369', (96, 102)) ('SOCE', 'Pathway', (47, 51)) ('cancer', 'Disease', (96, 102)) ('cancer', 'Disease', (142, 148)) 16131 32850797 Aberrant expression of LINE-1 retrotransposon can provide strong stimuli for an innate immune response, activate the immune system, and induce autoimmunity and inflammation. ('autoimmunity', 'CPA', (143, 155)) ('Aberrant expression', 'Var', (0, 19)) ('inflammation', 'Disease', 'MESH:D007249', (160, 172)) ('inflammation', 'Disease', (160, 172)) ('autoimmunity', 'Phenotype', 'HP:0002960', (143, 155)) ('activate', 'PosReg', (104, 112)) ('innate immune response', 'MPA', (80, 102)) ('immune system', 'CPA', (117, 130)) ('LINE-1 retrotransposon', 'Gene', (23, 45)) ('induce', 'Reg', (136, 142)) 16146 32850797 LINE-1 promoter hypomethylation is a biomarker for genome-wide DNA hypomethylation, which is itself a major hallmark of cancer. ('cancer', 'Phenotype', 'HP:0002664', (120, 126)) ('DNA hypomethylation', 'Var', (63, 82)) ('hallmark of cancer', 'Disease', (108, 126)) ('hallmark of cancer', 'Disease', 'MESH:D009369', (108, 126)) ('LINE-1', 'Gene', (0, 6)) 16149 32850797 LINE-1 hypomethylation was reported to be associated with poor survival in more than 200 cases of gastric cancer, suggesting its potential as a prognostic biomarker. ('hypomethylation', 'Var', (7, 22)) ('cancer', 'Phenotype', 'HP:0002664', (106, 112)) ('gastric cancer', 'Disease', (98, 112)) ('gastric cancer', 'Disease', 'MESH:D013274', (98, 112)) ('poor', 'NegReg', (58, 62)) ('gastric cancer', 'Phenotype', 'HP:0012126', (98, 112)) ('LINE-1', 'Gene', (0, 6)) 16152 32850797 It has been reported that global DNA hypomethylation promotes aggressive tumor behavior by amplifying oncogenes or through abnormal expression of microRNAs. ('amplifying', 'PosReg', (91, 101)) ('promotes', 'PosReg', (53, 61)) ('global DNA hypomethylation', 'Var', (26, 52)) ('aggressive tumor', 'Disease', 'MESH:D001523', (62, 78)) ('tumor', 'Phenotype', 'HP:0002664', (73, 78)) ('oncogenes', 'Gene', (102, 111)) ('aggressive tumor', 'Disease', (62, 78)) ('expression', 'MPA', (132, 142)) 16153 32850797 In esophageal cancer with high mortality and poor endoscopic screening sensitivity, LINE-1 hypomethylation can serve as a good diagnostic biomarker, thereby improving 5-year survival. ('cancer', 'Disease', (14, 20)) ('mortality', 'Disease', (31, 40)) ('cancer', 'Phenotype', 'HP:0002664', (14, 20)) ('improving', 'PosReg', (157, 166)) ('mortality', 'Disease', 'MESH:D003643', (31, 40)) ('cancer', 'Disease', 'MESH:D009369', (14, 20)) ('hypomethylation', 'Var', (91, 106)) ('5-year survival', 'MPA', (167, 182)) 16154 32850797 LINE-1 hypomethylation can also be seen in some precancerous lesions. ('cancer', 'Phenotype', 'HP:0002664', (51, 57)) ('precancerous lesions', 'Disease', 'MESH:D011230', (48, 68)) ('precancerous lesions', 'Disease', (48, 68)) ('hypomethylation', 'Var', (7, 22)) 16155 32850797 For example, in colorectal cancer, LINE-1 hypomethylation had no significant difference between adenomas and cancerous tissues, but it was significantly lower in adenomas than in normal tissues. ('adenomas', 'Disease', 'MESH:D000236', (162, 170)) ('cancer', 'Phenotype', 'HP:0002664', (27, 33)) ('hypomethylation', 'Var', (42, 57)) ('adenomas', 'Disease', (162, 170)) ('adenomas', 'Disease', (96, 104)) ('colorectal cancer', 'Disease', 'MESH:D015179', (16, 33)) ('cancerous', 'Disease', (109, 118)) ('lower', 'NegReg', (153, 158)) ('adenomas', 'Disease', 'MESH:D000236', (96, 104)) ('cancer', 'Phenotype', 'HP:0002664', (109, 115)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (16, 33)) ('cancerous', 'Disease', 'MESH:D009369', (109, 118)) ('colorectal cancer', 'Disease', (16, 33)) 16156 32850797 Therefore, LINE-1 hypomethylation also can be used as an early biomarker for cancer. ('cancer', 'Disease', (77, 83)) ('cancer', 'Disease', 'MESH:D009369', (77, 83)) ('hypomethylation', 'Var', (18, 33)) ('cancer', 'Phenotype', 'HP:0002664', (77, 83)) ('LINE-1', 'Gene', (11, 17)) 16159 32850797 Pan-cancer Analysis of Whole Genomes analysis of 2,954 cancer genomes from 38 histological subtypes revealed that aberrant LINE-1 integrations could lead to gene rearrangement. ('gene rearrangement', 'MPA', (157, 175)) ('cancer', 'Phenotype', 'HP:0002664', (4, 10)) ('cancer', 'Phenotype', 'HP:0002664', (55, 61)) ('aberrant', 'Var', (114, 122)) ('integrations', 'Var', (130, 142)) ('LINE-1', 'Gene', (123, 129)) ('cancer', 'Disease', 'MESH:D009369', (4, 10)) ('cancer', 'Disease', 'MESH:D009369', (55, 61)) ('lead to', 'Reg', (149, 156)) ('cancer', 'Disease', (4, 10)) ('cancer', 'Disease', (55, 61)) 16160 32850797 In breast cancer, Morse and colleagues first proposed that hypomethylation activates LINE-1 which can utilize the target primed reverse transcription pathway to insert into the oncogene MYC, causing tumor-specific rearrangement and amplification. ('tumor', 'Disease', (199, 204)) ('MYC', 'Gene', '4609', (186, 189)) ('amplification', 'MPA', (232, 245)) ('breast cancer', 'Disease', 'MESH:D001943', (3, 16)) ('cancer', 'Phenotype', 'HP:0002664', (10, 16)) ('breast cancer', 'Disease', (3, 16)) ('hypomethylation', 'Var', (59, 74)) ('rearrangement', 'MPA', (214, 227)) ('breast cancer', 'Phenotype', 'HP:0003002', (3, 16)) ('insert', 'Reg', (161, 167)) ('tumor', 'Disease', 'MESH:D009369', (199, 204)) ('MYC', 'Gene', (186, 189)) ('causing', 'Reg', (191, 198)) ('activates', 'PosReg', (75, 84)) ('tumor', 'Phenotype', 'HP:0002664', (199, 204)) 16162 32850797 LINE-1 can mediate the deletion of tumor suppressor genes. ('tumor', 'Disease', 'MESH:D009369', (35, 40)) ('tumor', 'Phenotype', 'HP:0002664', (35, 40)) ('tumor', 'Disease', (35, 40)) ('deletion', 'Var', (23, 31)) 16164 32850797 reported that LINE-1 insertion disrupts the tumor suppressor gene APC, which can lead to gene inactivation. ('disrupts', 'NegReg', (31, 39)) ('APC', 'Gene', (66, 69)) ('insertion', 'Var', (21, 30)) ('tumor', 'Disease', 'MESH:D009369', (44, 49)) ('APC', 'Gene', '324', (66, 69)) ('tumor', 'Phenotype', 'HP:0002664', (44, 49)) ('tumor', 'Disease', (44, 49)) 16165 32850797 In lung squamous cell carcinoma, we found that LINE-1 insertion into tumor suppressor gene FGGY promotes cell proliferation and invasion in vitro, and facilitates tumorigenesis in vivo. ('tumor', 'Phenotype', 'HP:0002664', (69, 74)) ('facilitates', 'PosReg', (151, 162)) ('tumor', 'Disease', 'MESH:D009369', (163, 168)) ('lung squamous cell carcinoma', 'Disease', 'MESH:D002294', (3, 31)) ('lung squamous cell carcinoma', 'Disease', (3, 31)) ('tumor', 'Disease', (69, 74)) ('FGGY', 'Gene', (91, 95)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (8, 31)) ('promotes', 'PosReg', (96, 104)) ('tumor', 'Phenotype', 'HP:0002664', (163, 168)) ('carcinoma', 'Phenotype', 'HP:0030731', (22, 31)) ('tumor', 'Disease', (163, 168)) ('insertion', 'Var', (54, 63)) ('tumor', 'Disease', 'MESH:D009369', (69, 74)) ('invasion', 'CPA', (128, 136)) ('cell proliferation', 'CPA', (105, 123)) ('lung squamous cell carcinoma', 'Phenotype', 'HP:0030359', (3, 31)) 16168 32850797 In breast cancer, high expression of nuclear ORF1 is associated with distant metastasis and poor prognosis. ('ORF1', 'Gene', (45, 49)) ('breast cancer', 'Disease', 'MESH:D001943', (3, 16)) ('cancer', 'Phenotype', 'HP:0002664', (10, 16)) ('breast cancer', 'Disease', (3, 16)) ('breast cancer', 'Phenotype', 'HP:0003002', (3, 16)) ('nuclear', 'Protein', (37, 44)) ('associated', 'Reg', (53, 63)) ('high', 'Var', (18, 22)) ('ORF1', 'Gene', '55354', (45, 49)) ('distant metastasis', 'CPA', (69, 87)) 16182 32850797 LINE-1 methylation is associated with type 2 diabetes mellitus (T2DM). ('type 2 diabetes mellitus', 'Disease', (38, 62)) ('type 2 diabetes mellitus', 'Disease', 'MESH:D003924', (38, 62)) ('methylation', 'Var', (7, 18)) ('diabetes mellitus', 'Phenotype', 'HP:0000819', (45, 62)) ('type 2 diabetes', 'Phenotype', 'HP:0005978', (38, 53)) ('associated', 'Reg', (22, 32)) ('LINE-1', 'Gene', (0, 6)) 16183 32850797 This discovery highlights the potential role for LINE-1 DNA methylation as a predictor of the risk of T2DM or other related metabolic disorders. ('methylation', 'Var', (60, 71)) ('metabolic disorders', 'Disease', 'MESH:D008659', (124, 143)) ('metabolic disorders', 'Disease', (124, 143)) ('T2DM', 'Disease', (102, 106)) 16184 32850797 LINE-1 DNA methylation is associated with increased LDL cholesterol and decreased HDL cholesterol levels, and these metabolic changes increase the risk of cardiovascular disease. ('increased', 'PosReg', (42, 51)) ('increase', 'Reg', (134, 142)) ('cardiovascular disease', 'Disease', (155, 177)) ('decreased', 'NegReg', (72, 81)) ('LDL cholesterol', 'Disease', (52, 67)) ('cardiovascular disease', 'Phenotype', 'HP:0001626', (155, 177)) ('methylation', 'Var', (11, 22)) ('increased LDL', 'Phenotype', 'HP:0003141', (42, 55)) ('cholesterol', 'Chemical', 'MESH:D002784', (86, 97)) ('decreased HDL cholesterol', 'Phenotype', 'HP:0003233', (72, 97)) ('cardiovascular disease', 'Disease', 'MESH:D002318', (155, 177)) ('cholesterol', 'Chemical', 'MESH:D002784', (56, 67)) ('HDL cholesterol levels', 'MPA', (82, 104)) ('LINE-1', 'Gene', (0, 6)) 16187 32850797 Therefore, the methylation status of LINE-1 can be a predictor of some metabolic diseases. ('methylation status', 'Var', (15, 33)) ('predictor', 'Reg', (53, 62)) ('metabolic diseases', 'Disease', (71, 89)) ('metabolic diseases', 'Disease', 'MESH:D008659', (71, 89)) 16188 32850797 It was reported that LINE-1 insertions in the FGGY gene can upregulate cytochrome P450, arachidonic acid metabolism, and glycerolipid metabolism. ('glycerolipid metabolism', 'Disease', 'MESH:D008659', (121, 144)) ('insertions', 'Var', (28, 38)) ('upregulate', 'PosReg', (60, 70)) ('arachidonic acid metabolism', 'MPA', (88, 115)) ('arachidonic acid', 'Chemical', 'MESH:D016718', (88, 104)) ('FGGY', 'Gene', (46, 50)) ('glycerolipid metabolism', 'Disease', (121, 144)) ('cytochrome P450', 'Enzyme', (71, 86)) 16191 32850797 In 2011, researchers found that in nasopharyngeal carcinomas with ATM deficiency, LINE-1 retrotransposition increased, and ORF2 copy number increased in AT neurons, thus verifying the correlation between LINE-1 retrotransposition and ATM deficiency. ('ATM', 'Gene', '472', (66, 69)) ('nasopharyngeal carcinomas', 'Phenotype', 'HP:0100630', (35, 60)) ('carcinoma', 'Phenotype', 'HP:0030731', (50, 59)) ('increased', 'PosReg', (108, 117)) ('ORF2', 'Gene', (123, 127)) ('copy', 'MPA', (128, 132)) ('ATM', 'Gene', (234, 237)) ('ORF2', 'Gene', '100128274', (123, 127)) ('carcinomas', 'Disease', 'MESH:D009369', (50, 60)) ('retrotransposition', 'MPA', (89, 107)) ('deficiency', 'Var', (70, 80)) ('ATM', 'Gene', (66, 69)) ('LINE-1', 'Gene', (82, 88)) ('increased', 'PosReg', (140, 149)) ('carcinomas', 'Phenotype', 'HP:0030731', (50, 60)) ('carcinomas', 'Disease', (50, 60)) ('ATM', 'Gene', '472', (234, 237)) 16192 32850797 High expression of LINE-1 was found in Rett syndrome caused by mutation of methyl CpG binding protein 2 (MeCP2) in the X-linked gene, which was caused by the inclusion of LINE-1 5'-UTR sequence in the MeCP2 target, leading to methylation-dependent repression. ('MeCP2', 'Gene', '4204', (105, 110)) ('methyl CpG binding protein 2', 'Gene', (75, 103)) ('Rett syndrome', 'Disease', 'MESH:D015518', (39, 52)) ('MeCP2', 'Gene', (201, 206)) ('MeCP2', 'Gene', (105, 110)) ('caused by', 'Reg', (53, 62)) ('methylation-dependent repression', 'MPA', (226, 258)) ('mutation', 'Var', (63, 71)) ('Rett syndrome', 'Disease', (39, 52)) ('MeCP2', 'Gene', '4204', (201, 206)) ('methyl CpG binding protein 2', 'Gene', '4204', (75, 103)) 16194 32850797 LINE-1 hypomethylation has been observed in most psychiatric studies. ('psychiatric', 'Disease', 'MESH:D001523', (49, 60)) ('psychiatric', 'Disease', (49, 60)) ('hypomethylation', 'Var', (7, 22)) 16195 32850797 Increased copy numbers of LINE-1 as a result of LINE-1 hypomethylation were also found in patients with schizophrenia, bipolar disorder, and major depressive disorder. ('depressive disorder', 'Disease', (147, 166)) ('depressive disorder', 'Disease', 'MESH:D000275', (147, 166)) ('copy', 'MPA', (10, 14)) ('schizophrenia, bipolar disorder', 'Disease', 'MESH:D001714', (104, 135)) ('schizophrenia', 'Phenotype', 'HP:0100753', (104, 117)) ('LINE-1', 'Gene', (26, 32)) ('found', 'Reg', (81, 86)) ('hypomethylation', 'Var', (55, 70)) ('depressive disorder', 'Phenotype', 'HP:0000716', (147, 166)) ('Increased', 'PosReg', (0, 9)) ('bipolar disorder', 'Phenotype', 'HP:0007302', (119, 135)) ('LINE-1', 'Gene', (48, 54)) ('patients', 'Species', '9606', (90, 98)) 16199 32850797 Then, a LINE-1 insertion was found in the CHM gene of a patient diagnosed with choroideremia. ('insertion', 'Var', (15, 24)) ('choroideremia', 'Gene', '1121', (79, 92)) ('CHM', 'Gene', '1121', (42, 45)) ('CHM', 'Gene', (42, 45)) ('choroideremia', 'Phenotype', 'HP:0001139', (79, 92)) ('patient', 'Species', '9606', (56, 63)) ('choroideremia', 'Gene', (79, 92)) 16201 32850797 Retrotransposon insertions were found to account for up to 0.4% of all NF1 mutations. ('NF1', 'Gene', '4763', (71, 74)) ('mutations', 'Var', (75, 84)) ('NF1', 'Gene', (71, 74)) 16202 32850797 Neurofibromatosis type I is an autosomal dominant disorder caused by NF1 gene mutations. ('NF1', 'Gene', '4763', (69, 72)) ('autosomal dominant disorder', 'Disease', (31, 58)) ('Neurofibromatosis type I', 'Disease', (0, 24)) ('Neurofibromatosis', 'Phenotype', 'HP:0001067', (0, 17)) ('mutations', 'Var', (78, 87)) ('Neurofibromatosis type I', 'Disease', 'MESH:C537392', (0, 24)) ('autosomal dominant disorder', 'Disease', 'MESH:D030342', (31, 58)) ('caused by', 'Reg', (59, 68)) ('NF1', 'Gene', (69, 72)) 16203 32850797 Alu insertion is located 44 bp upstream of NF1 exon 41, causing the exon 41 to skip and change the open reading frame. ('NF1', 'Gene', (43, 46)) ('NF1', 'Gene', '4763', (43, 46)) ('open reading frame', 'MPA', (99, 117)) ('change', 'Reg', (88, 94)) ('exon', 'Var', (68, 72)) 16204 32850797 Only two cases were thought to be a result of independent SVA insertion in SUZ12P accompanied by 867-kb and 1-Mb deletions that encompassed the NF1 gene. ('deletions', 'Var', (113, 122)) ('SUZ12P', 'Gene', '440423', (75, 81)) ('insertion', 'Var', (62, 71)) ('NF1', 'Gene', '4763', (144, 147)) ('NF1', 'Gene', (144, 147)) ('SUZ12P', 'Gene', (75, 81)) 16205 32850797 In autosomal recessive genetic disease, such as Fanconi anemia caused by SLX4FANCP deficiency and Aicardi-Goutieres syndrome (AGS) of three-prime repair exonuclease 1 mutations, LINE-1 expression was upregulated and pro-inflammatory cytokines were produced through the cGAS-STING pathway. ('SLX4FANCP', 'Gene', (73, 82)) ('expression', 'MPA', (185, 195)) ('Fanconi anemia', 'Disease', 'MESH:D005199', (48, 62)) ('anemia', 'Phenotype', 'HP:0001903', (56, 62)) ('autosomal recessive genetic disease', 'Disease', (3, 38)) ('mutations', 'Var', (167, 176)) ('cGAS-STING', 'Pathway', (269, 279)) ('AGS', 'Disease', (126, 129)) ('Aicardi-Goutieres syndrome', 'Disease', (98, 124)) ('LINE-1', 'Gene', (178, 184)) ('upregulated', 'PosReg', (200, 211)) ('AGS', 'Disease', 'MESH:C535607', (126, 129)) ('Fanconi anemia', 'Phenotype', 'HP:0001994', (48, 62)) ('deficiency', 'Var', (83, 93)) ('Fanconi anemia', 'Disease', (48, 62)) ('autosomal recessive genetic disease', 'Disease', 'MESH:D030342', (3, 38)) ('Aicardi-Goutieres syndrome', 'Disease', 'MESH:C535607', (98, 124)) 16206 32850797 Hypomethylated and highly expressed LINE-1 has been found in autoimmune diseases such as systemic lupus erythematosus (SLE), Sjogren's syndrome (SS), and psoriasis. ('found', 'Reg', (52, 57)) ('autoimmune diseases', 'Disease', (61, 80)) ('autoimmune diseases', 'Phenotype', 'HP:0002960', (61, 80)) ('Hypomethylated', 'Var', (0, 14)) ('systemic lupus erythematosus', 'Disease', 'MESH:D008180', (89, 117)) ("Sjogren's syndrome", 'Disease', 'MESH:D012859', (125, 143)) ('psoriasis', 'Phenotype', 'HP:0003765', (154, 163)) ('LINE-1', 'Gene', (36, 42)) ('psoriasis', 'Disease', 'MESH:D011565', (154, 163)) ("Sjogren's syndrome", 'Disease', (125, 143)) ('autoimmune diseases', 'Disease', 'MESH:D001327', (61, 80)) ('systemic lupus erythematosus', 'Disease', (89, 117)) ('SLE', 'Disease', (119, 122)) ('psoriasis', 'Disease', (154, 163)) ('SLE', 'Disease', 'MESH:D008180', (119, 122)) ('SLE', 'Phenotype', 'HP:0002725', (119, 122)) ('systemic lupus erythematosus', 'Phenotype', 'HP:0002725', (89, 117)) 16224 32850797 Lung squamous cell carcinoma patients with L1-FGGY+ tissue have a poor prognosis, have low levels of CD3+ T cells, and have high levels of CD68+ macrophages and CD33+ myeloid-derived cells. ('patients', 'Species', '9606', (29, 37)) ('carcinoma', 'Phenotype', 'HP:0030731', (19, 28)) ('Lung squamous cell carcinoma', 'Disease', 'MESH:D002294', (0, 28)) ('L1-FGGY+', 'Var', (43, 51)) ('CD68', 'Gene', (139, 143)) ('CD68', 'Gene', '968', (139, 143)) ('low levels of CD3+ T cells', 'Phenotype', 'HP:0045080', (87, 113)) ('Lung squamous cell carcinoma', 'Phenotype', 'HP:0030359', (0, 28)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (5, 28)) ('low', 'NegReg', (87, 90)) ('CD3+ T cells', 'MPA', (101, 113)) ('Lung squamous cell carcinoma', 'Disease', (0, 28)) 16227 32850797 Some cell-based studies and clinical data have shown that LINE-1 dysregulation is associated with tumor drug resistance. ('associated', 'Reg', (82, 92)) ('tumor', 'Disease', 'MESH:D009369', (98, 103)) ('drug resistance', 'Phenotype', 'HP:0020174', (104, 119)) ('dysregulation', 'Var', (65, 78)) ('tumor', 'Phenotype', 'HP:0002664', (98, 103)) ('LINE-1', 'Gene', (58, 64)) ('tumor', 'Disease', (98, 103)) 16253 32850797 A clinical trial has shown that combination therapy with carboplatin and anti-programmed death-1 has a good therapeutic effect in lung cancer because carboplatin can induce LINE-1 expression. ('carboplatin', 'Chemical', 'MESH:D016190', (150, 161)) ('lung cancer', 'Phenotype', 'HP:0100526', (130, 141)) ('carboplatin', 'Var', (150, 161)) ('LINE-1', 'Gene', (173, 179)) ('death', 'Disease', 'MESH:D003643', (89, 94)) ('expression', 'MPA', (180, 190)) ('death', 'Disease', (89, 94)) ('lung cancer', 'Disease', 'MESH:D008175', (130, 141)) ('cancer', 'Phenotype', 'HP:0002664', (135, 141)) ('induce', 'Reg', (166, 172)) ('carboplatin', 'Chemical', 'MESH:D016190', (57, 68)) ('lung cancer', 'Disease', (130, 141)) 16271 32850797 The dysregulation of LINE-1 can lead to the disorder of glucose and lipid metabolism, and the inhibition of glucose and lipid metabolism may reverse the disease progression caused by LINE-1. ('lead to', 'Reg', (32, 39)) ('disorder', 'MPA', (44, 52)) ('disease', 'Disease', (153, 160)) ('glucose and lipid metabolism', 'Disease', 'MESH:D044882', (108, 136)) ('glucose and lipid metabolism', 'Disease', 'MESH:D044882', (56, 84)) ('dysregulation', 'Var', (4, 17)) ('inhibition', 'Var', (94, 104)) ('LINE-1', 'Gene', (21, 27)) 16288 32280307 Accumulating evidences have showed that aberrant expression of lncRNA could drive tumor phenotypes, including initiation, invasion, and metastasis, via interacting with other cellular macromolecules. ('aberrant expression', 'Var', (40, 59)) ('interacting', 'Interaction', (152, 163)) ('lncRNA', 'Gene', (63, 69)) ('tumor', 'Disease', 'MESH:D009369', (82, 87)) ('invasion', 'CPA', (122, 130)) ('metastasis', 'CPA', (136, 146)) ('tumor', 'Phenotype', 'HP:0002664', (82, 87)) ('initiation', 'CPA', (110, 120)) ('drive', 'PosReg', (76, 81)) ('tumor', 'Disease', (82, 87)) 16330 32280307 Increasing evidences have established a strong relationship between dysfunction of lncRNAs and cell fate determination as well as disease pathogenesis, such as aging, arthritis, and cancer. ('cancer', 'Phenotype', 'HP:0002664', (182, 188)) ('cell fate determination', 'CPA', (95, 118)) ('arthritis', 'Disease', (167, 176)) ('cancer', 'Disease', 'MESH:D009369', (182, 188)) ('cancer', 'Disease', (182, 188)) ('arthritis', 'Disease', 'MESH:D001168', (167, 176)) ('arthritis', 'Phenotype', 'HP:0001369', (167, 176)) ('dysfunction', 'Var', (68, 79)) 16336 32280307 Notably, MIR31HG expression was even higher in gefitinib-resistant NSCLC cells, and knockdown of MIR31HG could promote cell apoptosis and cell cycle arrest, and subsequently induce gefitinib sensitivity. ('gefitinib', 'Chemical', 'MESH:D000077156', (181, 190)) ('induce', 'Reg', (174, 180)) ('MIR31HG', 'Gene', (97, 104)) ('higher', 'PosReg', (37, 43)) ('MIR31HG', 'Gene', (9, 16)) ('MIR31HG', 'Gene', '554202', (97, 104)) ('cell apoptosis', 'CPA', (119, 133)) ('MIR31HG', 'Gene', '554202', (9, 16)) ('knockdown', 'Var', (84, 93)) ('expression', 'MPA', (17, 27)) ('arrest', 'Disease', 'MESH:D006323', (149, 155)) ('arrest', 'Disease', (149, 155)) ('gefitinib', 'Chemical', 'MESH:D000077156', (47, 56)) ('NSCLC', 'Disease', (67, 72)) ('gefitinib sensitivity', 'MPA', (181, 202)) ('NSCLC', 'Disease', 'MESH:D002289', (67, 72)) ('promote', 'PosReg', (111, 118)) 16342 32280307 The pooled results of subgroup analysis as per the tumor types demonstrated that high MIR31HG expression predicted unfavorable OS in patients with lung cancer and other cancers, and poor RFS in all selected studies, respectively. ('cancers', 'Disease', (169, 176)) ('tumor', 'Phenotype', 'HP:0002664', (51, 56)) ('high', 'Var', (81, 85)) ('tumor', 'Disease', (51, 56)) ('lung cancer', 'Disease', (147, 158)) ('patients', 'Species', '9606', (133, 141)) ('lung cancer', 'Phenotype', 'HP:0100526', (147, 158)) ('cancer', 'Phenotype', 'HP:0002664', (169, 175)) ('cancers', 'Phenotype', 'HP:0002664', (169, 176)) ('lung cancer', 'Disease', 'MESH:D008175', (147, 158)) ('cancer', 'Phenotype', 'HP:0002664', (152, 158)) ('MIR31HG', 'Gene', (86, 93)) ('predicted', 'Reg', (105, 114)) ('unfavorable', 'Disease', (115, 126)) ('MIR31HG', 'Gene', '554202', (86, 93)) ('tumor', 'Disease', 'MESH:D009369', (51, 56)) ('cancers', 'Disease', 'MESH:D009369', (169, 176)) 16354 32280307 In OSCC, MIR31HG knockdown impaired the HIF-1alpha transactivation, sphere-forming ability, metabolic shift and metastatic cascade both in vitro and in vivo. ('metastatic cascade', 'CPA', (112, 130)) ('metabolic shift', 'CPA', (92, 107)) ('HIF-1alpha', 'Gene', '3091', (40, 50)) ('MIR31HG', 'Gene', (9, 16)) ('MIR31HG', 'Gene', '554202', (9, 16)) ('HIF-1alpha', 'Gene', (40, 50)) ('impaired', 'NegReg', (27, 35)) ('knockdown', 'Var', (17, 26)) ('sphere-forming ability', 'CPA', (68, 90)) 16372 32280307 81902745), Natural Science Foundation of Hunan Province, China (2018JJ3716, 2018JJ3762), China Scholarship Council (201806375067, 201806375068), and the Fundamental Research Funds for the Central Universities of Central South University (2017zzts231). ('2018JJ3762', 'Var', (76, 86)) ('2018JJ3716', 'Var', (64, 74)) ('JJ3716', 'CellLine', 'CVCL:8Z96', (68, 74)) ('201806375067', 'Var', (116, 128)) ('2018JJ3762', 'CellLine', 'CVCL:6553', (76, 86)) ('201806375068', 'Var', (130, 142)) 16475 31435459 The review that included 1 RCT and 47 observational studies indicated that minimally invasive procedures (n = 4509) have lower pulmonary complications compared with open surgery (n = 6347). ('pulmonary complications', 'Phenotype', 'HP:0006532', (127, 150)) ('minimally', 'Var', (75, 84)) ('lower', 'NegReg', (121, 126)) ('pulmonary complications', 'Disease', (127, 150)) ('pulmonary complications', 'Disease', 'MESH:D008171', (127, 150)) 16515 29991802 By using an APE1 redox-specific mutant (C65A) and APE1 redox inhibitor (E3330), we demonstrate that APE1 activates STAT3 in a redox-dependent manner. ('STAT3', 'Gene', '6774', (115, 120)) ('rat', 'Species', '10116', (90, 93)) ('APE1', 'Gene', '328', (100, 104)) ('STAT3', 'Gene', (115, 120)) ('redox-dependent', 'MPA', (126, 141)) ('APE1', 'Gene', (50, 54)) ('APE1', 'Gene', (12, 16)) ('C65A', 'SUBSTITUTION', 'None', (40, 44)) ('activates', 'PosReg', (105, 114)) ('APE1', 'Gene', '328', (50, 54)) ('APE1', 'Gene', '328', (12, 16)) ('E3330', 'Chemical', 'MESH:C075569', (72, 77)) ('C65A', 'Var', (40, 44)) ('APE1', 'Gene', (100, 104)) 16517 29991802 EGFR phosphorylation (Y1068) was directly associated with APE1 levels and redox function. ('phosphorylation', 'MPA', (5, 20)) ('Y1068', 'Chemical', '-', (22, 27)) ('APE1', 'Gene', '328', (58, 62)) ('EGFR', 'Gene', (0, 4)) ('Y1068', 'Var', (22, 27)) ('associated', 'Reg', (42, 52)) ('redox function', 'MPA', (74, 88)) ('EGFR', 'Gene', '1956', (0, 4)) ('APE1', 'Gene', (58, 62)) 16521 29991802 Inhibition of APE1/REF-1 redox activity using E3330 abrogated STAT3 DNA binding and transcriptional activity. ('abrogated', 'NegReg', (52, 61)) ('STAT3', 'Gene', (62, 67)) ('REF-1', 'Gene', '328', (19, 24)) ('REF-1', 'Gene', (19, 24)) ('transcriptional activity', 'CPA', (84, 108)) ('STAT3', 'Gene', '6774', (62, 67)) ('E3330', 'Var', (46, 51)) ('APE1', 'Gene', (14, 18)) ('E3330', 'Chemical', 'MESH:C075569', (46, 51)) ('APE1', 'Gene', '328', (14, 18)) 16532 29991802 The redox- selective inhibitor of APE1, E3330, has been shown to reduce STAT3 transcriptional activity. ('APE1', 'Gene', '328', (34, 38)) ('E3330', 'Var', (40, 45)) ('STAT3', 'Gene', (72, 77)) ('E3330', 'Chemical', 'MESH:C075569', (40, 45)) ('reduce', 'NegReg', (65, 71)) ('APE1', 'Gene', (34, 38)) ('STAT3', 'Gene', '6774', (72, 77)) 16533 29991802 Dysregulation of APE1 expression level is associated with cancer development, angiogenesis, progression, and metastasis. ('cancer', 'Phenotype', 'HP:0002664', (58, 64)) ('progression', 'CPA', (92, 103)) ('Dysregulation', 'Var', (0, 13)) ('angiogenesis', 'CPA', (78, 90)) ('associated', 'Reg', (42, 52)) ('expression level', 'MPA', (22, 38)) ('cancer', 'Disease', 'MESH:D009369', (58, 64)) ('metastasis', 'CPA', (109, 119)) ('APE1', 'Gene', (17, 21)) ('expression', 'Species', '29278', (22, 32)) ('cancer', 'Disease', (58, 64)) ('APE1', 'Gene', '328', (17, 21)) 16534 29991802 Of note, high levels of APE1 have been linked to resistance to chemotherapy and poor clinical outcome. ('APE1', 'Gene', '328', (24, 28)) ('linked', 'Reg', (39, 45)) ('high levels', 'Var', (9, 20)) ('APE1', 'Gene', (24, 28)) ('resistance to chemotherapy', 'CPA', (49, 75)) 16536 29991802 EGFR activation results in its dimerization to facilitate the phosphorylation of its tyrosine residue, Y1068, the binding site for STAT3. ('EGFR', 'Gene', (0, 4)) ('STAT3', 'Gene', (131, 136)) ('phosphorylation', 'MPA', (62, 77)) ('activation', 'PosReg', (5, 15)) ('facilitate', 'PosReg', (47, 57)) ('Y1068', 'Chemical', '-', (103, 108)) ('tyrosine', 'Chemical', 'MESH:D014443', (85, 93)) ('dimerization', 'MPA', (31, 43)) ('Y1068', 'Var', (103, 108)) ('EGFR', 'Gene', '1956', (0, 4)) ('STAT3', 'Gene', '6774', (131, 136)) 16547 29991802 Of note, high levels of phospho-STAT3 (Y705) have been observed in dysplastic BE and EAC. ('EAC', 'Phenotype', 'HP:0011459', (85, 88)) ('STAT3', 'Gene', '6774', (32, 37)) ('STAT3', 'Gene', (32, 37)) ('EAC', 'Disease', (85, 88)) ('dysplastic', 'Disease', (67, 77)) ('Y705', 'Var', (39, 43)) ('BE', 'Phenotype', 'HP:0100580', (78, 80)) ('dysplastic', 'Disease', 'MESH:D004416', (67, 77)) 16553 29991802 To examine the involvement of APE1 in bile salts-induced STAT3 activation, we developed stable knockdown of APE1 in CPB and OE33 cells (sh-APE1), and control cells (sh-Ctrl). ('APE1', 'Gene', '328', (108, 112)) ('APE1', 'Gene', (139, 143)) ('STAT3', 'Gene', '6774', (57, 62)) ('knockdown', 'Var', (95, 104)) ('APE1', 'Gene', '328', (139, 143)) ('APE1', 'Gene', '328', (30, 34)) ('CPB', 'Chemical', '-', (116, 119)) ('STAT3', 'Gene', (57, 62)) ('APE1', 'Gene', (30, 34)) ('bile salts', 'Chemical', 'MESH:D001647', (38, 48)) ('APE1', 'Gene', (108, 112)) 16555 29991802 We observed that APE1 knockdown in CPB and OE33 cells decreased basal levels of STAT3 phosphorylation (p-STAT3Y705) and completely abrogated the acidic bile salts-induced increase in phosphorylated STAT3, as compared to the control cells (sh-Ctrl) (Figures 1C and D). ('CPB', 'Chemical', '-', (35, 38)) ('acidic bile salts-induced', 'MPA', (145, 170)) ('STAT3', 'Gene', '6774', (80, 85)) ('STAT3', 'Gene', '6774', (198, 203)) ('STAT3', 'Gene', '6774', (105, 110)) ('abrogated', 'NegReg', (131, 140)) ('STAT3', 'Gene', (80, 85)) ('p-STAT3Y705', 'Gene', (103, 114)) ('knockdown', 'Var', (22, 31)) ('bile salts', 'Chemical', 'MESH:D001647', (152, 162)) ('APE1', 'Gene', (17, 21)) ('STAT3', 'Gene', (198, 203)) ('decreased', 'NegReg', (54, 63)) ('STAT3', 'Gene', (105, 110)) ('APE1', 'Gene', '328', (17, 21)) ('increase', 'PosReg', (171, 179)) ('p-STAT3Y705', 'Gene', '6774', (103, 114)) 16556 29991802 These results were confirmed in CPA cells where the levels of p-STAT3Y705 were significantly diminished by using transient siRNA-mediated knockdown of APE1 (Supplementary Figure S2A). ('knockdown', 'Var', (138, 147)) ('APE1', 'Gene', '328', (151, 155)) ('p-STAT3Y705', 'Gene', (62, 73)) ('p-STAT3Y705', 'Gene', '6774', (62, 73)) ('APE1', 'Gene', (151, 155)) ('levels', 'MPA', (52, 58)) ('diminished', 'NegReg', (93, 103)) 16568 29991802 To investigate whether APE1 is required for the acidic bile salt-induced nuclear accumulation of p-STAT3Y705, we used stable APE1 knockdown cells (sh-APE1) and control cells (sh-Ctrl) for immunofluorescent staining. ('p-STAT3Y705', 'Gene', '6774', (97, 108)) ('APE1', 'Gene', (125, 129)) ('bile salt', 'Chemical', 'MESH:D001647', (55, 64)) ('APE1', 'Gene', '328', (125, 129)) ('APE1', 'Gene', (23, 27)) ('knockdown', 'Var', (130, 139)) ('p-STAT3Y705', 'Gene', (97, 108)) ('APE1', 'Gene', '328', (23, 27)) ('APE1', 'Gene', (150, 154)) ('APE1', 'Gene', '328', (150, 154)) 16574 29991802 Using a FLAG-tagged adenoviral expression system (Ad) containing the wild-type (WT) or redox-defective (C65A) mutant of APE1, we found that Ad-APE1 (WT) increased the p-STAT3Y705 levels in CPB and OE33 cells, whereas the redox-defective mutant Ad-APE1 (C65A) failed to induce p-STAT3Y705 (Figures 3A-B). ('C65A', 'SUBSTITUTION', 'None', (104, 108)) ('p-STAT3Y705', 'Gene', (167, 178)) ('p-STAT3Y705', 'Gene', '6774', (276, 287)) ('increased', 'PosReg', (153, 162)) ('expression', 'Species', '29278', (31, 41)) ('C65A', 'Var', (104, 108)) ('C65A', 'SUBSTITUTION', 'None', (253, 257)) ('p-STAT3Y705', 'Gene', '6774', (167, 178)) ('APE1', 'Gene', (120, 124)) ('APE1', 'Gene', (143, 147)) ('p-STAT3Y705', 'Gene', (276, 287)) ('APE1', 'Gene', (247, 251)) ('APE1', 'Gene', '328', (247, 251)) ('APE1', 'Gene', '328', (120, 124)) ('APE1', 'Gene', '328', (143, 147)) ('CPB', 'Chemical', '-', (189, 192)) ('C65A', 'Var', (253, 257)) 16576 29991802 In contrast, a similar response was not obtained upon overexpressing the redox-defective mutant Ad-APE1 (C65A) (Figures 3C, D). ('APE1', 'Gene', (99, 103)) ('APE1', 'Gene', '328', (99, 103)) ('C65A', 'Var', (105, 109)) ('C65A', 'SUBSTITUTION', 'None', (105, 109)) 16577 29991802 To further validate the role of the redox function of APE1 on STAT3 transcriptional activity, we used a small molecule inhibitor E3330, which selectively inhibits APE1 redox activity without affecting its endonuclease function. ('inhibits', 'NegReg', (154, 162)) ('STAT3', 'Gene', (62, 67)) ('E3330', 'Var', (129, 134)) ('APE1', 'Gene', (163, 167)) ('E3330', 'Chemical', 'MESH:C075569', (129, 134)) ('APE1', 'Gene', (54, 58)) ('APE1', 'Gene', '328', (163, 167)) ('redox activity', 'MPA', (168, 182)) ('APE1', 'Gene', '328', (54, 58)) ('STAT3', 'Gene', '6774', (62, 67)) 16579 29991802 On the other hand, pretreatment of cells with E3330 significantly (p< 0.001) inhibited bile salts-induced STAT3 activity (Supplementary Figures S3A and B). ('inhibited', 'NegReg', (77, 86)) ('bile salts', 'Chemical', 'MESH:D001647', (87, 97)) ('S3A and B', 'Gene', '6189', (144, 153)) ('STAT3', 'Gene', '6774', (106, 111)) ('E3330', 'Var', (46, 51)) ('STAT3', 'Gene', (106, 111)) ('E3330', 'Chemical', 'MESH:C075569', (46, 51)) 16583 29991802 This elevation in mRNA levels was significantly decreased following APE1 knockdown (Figure 3E, F and Supplementary Figure S4A-D). ('mRNA levels', 'MPA', (18, 29)) ('elevation', 'PosReg', (5, 14)) ('decreased', 'NegReg', (48, 57)) ('APE1', 'Gene', (68, 72)) ('APE1', 'Gene', '328', (68, 72)) ('knockdown', 'Var', (73, 82)) 16590 29991802 Furthermore, we detected a positive correlation between the levels of APE1, p-STAT3Y705, and p-EGFRY1068 (Figure 4A). ('APE1', 'Gene', (70, 74)) ('p-STAT3Y705', 'Gene', (76, 87)) ('APE1', 'Gene', '328', (70, 74)) ('p-EGFRY1068', 'Var', (93, 104)) ('p-STAT3Y705', 'Gene', '6774', (76, 87)) 16591 29991802 Using Tet-on-APE1 CPA cells, the base line expression levels of APE1, p-EGFRY1068 and p-STAT3Y705 was low (Figure 4B). ('Tet', 'Chemical', 'MESH:C010349', (6, 9)) ('p-STAT3Y705', 'Gene', (86, 97)) ('APE1', 'Gene', (64, 68)) ('low', 'NegReg', (102, 105)) ('APE1', 'Gene', '328', (64, 68)) ('p-EGFRY1068', 'Var', (70, 81)) ('expression', 'Species', '29278', (43, 53)) ('APE1', 'Gene', '328', (13, 17)) ('APE1', 'Gene', (13, 17)) ('expression levels', 'MPA', (43, 60)) ('p-STAT3Y705', 'Gene', '6774', (86, 97)) 16592 29991802 Following induction with doxycycline, there was a notable increase in expression of APE1 along with an increase in p-EGFRY1068 and p-STAT3.Y705 The strongest activation was observed at 48 and 72h of doxycycline treatment. ('increase', 'PosReg', (58, 66)) ('2h', 'Chemical', 'MESH:D003903', (193, 195)) ('STAT3', 'Gene', '6774', (133, 138)) ('expression', 'Species', '29278', (70, 80)) ('APE1', 'Gene', (84, 88)) ('STAT3', 'Gene', (133, 138)) ('expression', 'MPA', (70, 80)) ('activation', 'PosReg', (158, 168)) ('APE1', 'Gene', '328', (84, 88)) ('doxycycline', 'Chemical', 'MESH:D004318', (25, 36)) ('p-EGFRY1068', 'Var', (115, 126)) ('doxycycline', 'Chemical', 'MESH:D004318', (199, 210)) 16594 29991802 Because of the observed induction of APE1 upon exposure to bile acids (Figure 1A), we aimed to further confirm its role by knocking down APE1 prior to exposure to acidic bile salts. ('knocking', 'Var', (123, 131)) ('bile acids', 'Chemical', 'MESH:D001647', (59, 69)) ('APE1', 'Gene', (37, 41)) ('bile salts', 'Chemical', 'MESH:D001647', (170, 180)) ('APE1', 'Gene', (137, 141)) ('APE1', 'Gene', '328', (37, 41)) ('APE1', 'Gene', '328', (137, 141)) 16606 29991802 To further validate the involvement of EGFR in APE1-mediated bile salts-induced STAT3 activation, we depleted EGFR by using small interfering RNA (siRNA) in OE33 cells. ('STAT3', 'Gene', '6774', (80, 85)) ('EGFR', 'Gene', '1956', (110, 114)) ('EGFR', 'Gene', (110, 114)) ('STAT3', 'Gene', (80, 85)) ('APE1', 'Gene', '328', (47, 51)) ('small', 'Var', (124, 129)) ('APE1', 'Gene', (47, 51)) ('bile salts', 'Chemical', 'MESH:D001647', (61, 71)) ('EGFR', 'Gene', '1956', (39, 43)) ('EGFR', 'Gene', (39, 43)) ('depleted', 'NegReg', (101, 109)) 16608 29991802 Our results have shown nuclear accumulation of APE1, p-EGFRY1068 and p-STAT3Y705 in response to bile salts exposure (Figures 2C-E and 4D-E). ('bile salts', 'Chemical', 'MESH:D001647', (96, 106)) ('APE1', 'Gene', '328', (47, 51)) ('p-STAT3Y705', 'Gene', (69, 80)) ('APE1', 'Gene', (47, 51)) ('nuclear accumulation', 'MPA', (23, 43)) ('p-EGFRY1068', 'Var', (53, 64)) ('bile salts', 'MPA', (96, 106)) ('p-STAT3Y705', 'Gene', '6774', (69, 80)) 16616 29991802 By using the CellTiter-Glo luminescence-based viability assay, we found that the APE1 knockdown significantly decreased cell viability, a finding that is further exacerbated in response to acidic bile salts (Figure 7A-C; p<0.01, p<0.001). ('bile salts', 'Chemical', 'MESH:D001647', (196, 206)) ('knockdown', 'Var', (86, 95)) ('decreased', 'NegReg', (110, 119)) ('APE1', 'Gene', (81, 85)) ('APE1', 'Gene', '328', (81, 85)) ('cell viability', 'CPA', (120, 134)) 16617 29991802 Using the TUNEL assay for cell apoptosis, we confirmed that APE1 knockdown increased the number of apoptotic cells in response to bile salts (Figure 7D). ('knockdown', 'Var', (65, 74)) ('APE1', 'Gene', (60, 64)) ('APE1', 'Gene', '328', (60, 64)) ('bile salts', 'Chemical', 'MESH:D001647', (130, 140)) ('increased', 'PosReg', (75, 84)) ('response to bile salts', 'MPA', (118, 140)) 16618 29991802 Using the Click-IT plus EdU for analyzing DNA replication in proliferating cells, we detected a significant reduction in the proliferative capacity, following knockdown of APE1 (Figure 7E). ('knockdown', 'Var', (159, 168)) ('APE1', 'Gene', '328', (172, 176)) ('rat', 'Species', '10116', (132, 135)) ('rat', 'Species', '10116', (68, 71)) ('proliferative capacity', 'CPA', (125, 147)) ('APE1', 'Gene', (172, 176)) ('reduction', 'NegReg', (108, 117)) 16635 29991802 STAT3 DNA binding and transcriptional activity is decreased by oxidation of critical cysteine residues in STAT3 protein through peroxide treatment. ('cysteine', 'Chemical', 'MESH:D003545', (85, 93)) ('oxidation', 'Var', (63, 72)) ('decreased', 'NegReg', (50, 59)) ('STAT3', 'Gene', '6774', (106, 111)) ('STAT3', 'Gene', '6774', (0, 5)) ('transcriptional activity', 'MPA', (22, 46)) ('STAT3', 'Gene', (0, 5)) ('STAT3', 'Gene', (106, 111)) ('peroxide', 'Chemical', 'MESH:D010545', (128, 136)) 16638 29991802 Overexpression of a redox-deficient APE1 (C65A) failed to promote STAT3 transactivation. ('STAT3', 'Gene', (66, 71)) ('expression', 'Species', '29278', (4, 14)) ('APE1', 'Gene', (36, 40)) ('C65A', 'Var', (42, 46)) ('APE1', 'Gene', '328', (36, 40)) ('STAT3', 'Gene', '6774', (66, 71)) ('C65A', 'SUBSTITUTION', 'None', (42, 46)) 16639 29991802 Similarly, blockade of the redox function of APE1 by using E3330 inhibitor, dramatically inhibited the bile salts-induced phosphorylation and transcriptional activity of STAT3. ('APE1', 'Gene', '328', (45, 49)) ('E3330 inhibitor', 'Var', (59, 74)) ('STAT3', 'Gene', '6774', (170, 175)) ('bile salts', 'Chemical', 'MESH:D001647', (103, 113)) ('blockade', 'NegReg', (11, 19)) ('inhibited', 'NegReg', (89, 98)) ('STAT3', 'Gene', (170, 175)) ('transcriptional activity', 'MPA', (142, 166)) ('E3330', 'Chemical', 'MESH:C075569', (59, 64)) ('redox', 'MPA', (27, 32)) ('bile salts-induced phosphorylation', 'MPA', (103, 137)) ('APE1', 'Gene', (45, 49)) 16646 29991802 Indeed, genetic knockdown and pharmacologic inhibition of EGFR abolished APE1-induced activation of STAT3 in response to acidic bile salts, indicating that EGFR mediates APE1-induced phosphorylation and activation of STAT3. ('APE1', 'Gene', (73, 77)) ('EGFR', 'Gene', '1956', (58, 62)) ('STAT3', 'Gene', (100, 105)) ('inhibition', 'Var', (44, 54)) ('APE1', 'Gene', (170, 174)) ('APE1', 'Gene', '328', (73, 77)) ('abolished', 'NegReg', (63, 72)) ('EGFR', 'Gene', (58, 62)) ('response to acidic bile salts', 'MPA', (109, 138)) ('activation', 'MPA', (86, 96)) ('bile salts', 'Chemical', 'MESH:D001647', (128, 138)) ('APE1', 'Gene', '328', (170, 174)) ('knockdown', 'Var', (16, 25)) ('EGFR', 'Gene', '1956', (156, 160)) ('EGFR', 'Gene', (156, 160)) ('STAT3', 'Gene', '6774', (217, 222)) ('STAT3', 'Gene', '6774', (100, 105)) ('STAT3', 'Gene', (217, 222)) 16659 29991802 Antibodies against p-STAT3 (Y705), STAT3, p-EGFR (Y1068), EGFR, BCL-xL, Survivin, alpha - Tubulin were purchased from Cell Signaling Technology (Danvers, Massachusetts, USA). ('BCL-xL', 'Gene', '598', (64, 70)) ('Y705', 'Var', (28, 32)) ('STAT3', 'Gene', (21, 26)) ('STAT3', 'Gene', (35, 40)) ('STAT3', 'Gene', '6774', (35, 40)) ('Y1068', 'Chemical', '-', (50, 55)) ('Y1068', 'Var', (50, 55)) ('alpha - Tubulin', 'Gene', (82, 97)) ('EGFR', 'Gene', '1956', (58, 62)) ('EGFR', 'Gene', (58, 62)) ('alpha - Tubulin', 'Gene', '10376', (82, 97)) ('EGFR', 'Gene', '1956', (44, 48)) ('EGFR', 'Gene', (44, 48)) ('STAT3', 'Gene', '6774', (21, 26)) ('BCL-xL', 'Gene', (64, 70)) 16671 29991802 Control siRNA (sc-29470) and APE1 siRNA (sc-29470) were obtained from Santa Cruz Biotechnology. ('APE1', 'Gene', (29, 33)) ('APE1', 'Gene', '328', (29, 33)) ('sc-29470', 'Var', (41, 49)) 16709 29872320 Inhibition of survivin enhances radiosensitivity of esophageal cancer cells by switching radiation-induced senescence to apoptosis Strategies to increase radiosensitivity are urgently needed. ('increase radiosensitivity', 'Phenotype', 'HP:0010997', (145, 170)) ('survivin', 'Protein', (14, 22)) ('cancer', 'Phenotype', 'HP:0002664', (63, 69)) ('enhances', 'PosReg', (23, 31)) ('esophageal cancer', 'Disease', (52, 69)) ('esophageal cancer', 'Disease', 'MESH:D004938', (52, 69)) ('Inhibition', 'Var', (0, 10)) ('radiosensitivity', 'CPA', (32, 48)) 16712 29872320 In this study, we try to investigate the function of YM155 on radiosensitivity of esophageal squamous cell carcinoma (ESCC) cells. ('carcinoma', 'Phenotype', 'HP:0030731', (107, 116)) ('YM155', 'Chemical', 'MESH:C523798', (53, 58)) ('YM155', 'Var', (53, 58)) ('esophageal squamous cell carcinoma', 'Disease', (82, 116)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (93, 116)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (82, 116)) 16717 29872320 YM155 could inhibit the upregulation of survivin induced by radiation in all ESCC cell lines, but the efficacy of radiosensitization varied in different cell lines. ('inhibit', 'NegReg', (12, 19)) ('YM155', 'Chemical', 'MESH:C523798', (0, 5)) ('YM155', 'Var', (0, 5)) ('survivin', 'Protein', (40, 48)) ('upregulation', 'PosReg', (24, 36)) 16718 29872320 Radiation-induced senescence in KYSE150 and KYSE410 cells, and the combination with YM155 inhibited senescence and promoted apoptosis of ESCC cells, thereby enhancing radiosensitivity. ('promoted', 'PosReg', (115, 123)) ('radiosensitivity', 'MPA', (167, 183)) ('enhancing', 'PosReg', (157, 166)) ('YM155', 'Chemical', 'MESH:C523798', (84, 89)) ('YM155', 'Var', (84, 89)) ('senescence', 'MPA', (100, 110)) ('combination', 'Var', (67, 78)) ('inhibited', 'NegReg', (90, 99)) ('apoptosis', 'CPA', (124, 133)) 16719 29872320 Combination with YM155 and radiation delayed the growth of KYSE150 xenografts in nude mice by switching radiation-induced senescence to apoptosis. ('delayed', 'NegReg', (37, 44)) ('switching', 'Reg', (94, 103)) ('nude mice', 'Species', '10090', (81, 90)) ('radiation-induced senescence', 'MPA', (104, 132)) ('growth', 'MPA', (49, 55)) ('YM155', 'Chemical', 'MESH:C523798', (17, 22)) ('YM155', 'Var', (17, 22)) 16720 29872320 When p21 was inhibited in KYSE150 cells, radiation did not induce senescence, and the radiosensitization of YM155 was also attenuated. ('YM155', 'Chemical', 'MESH:C523798', (108, 113)) ('p21', 'Gene', '644914', (5, 8)) ('YM155', 'Var', (108, 113)) ('inhibited', 'NegReg', (13, 22)) ('p21', 'Gene', (5, 8)) ('radiosensitization', 'CPA', (86, 104)) ('attenuated', 'NegReg', (123, 133)) 16722 29872320 Our results suggest a new mechanism that YM155 might sensitize ESCC cells to radiation by switching radiation-induced senescence to apoptosis. ('YM155', 'Chemical', 'MESH:C523798', (41, 46)) ('YM155', 'Var', (41, 46)) ('radiation-induced senescence', 'MPA', (100, 128)) 16723 29872320 The major determinant of radiosensitization by YM155 might be the induction of senescence by radiation. ('YM155', 'Var', (47, 52)) ('senescence', 'CPA', (79, 89)) ('YM155', 'Chemical', 'MESH:C523798', (47, 52)) 16728 29872320 MiR-338-5p enhanced the radiosensitivity of esophageal squamous cell carcinoma (ESCC) by inducing apoptosis through targeting survivin. ('carcinoma', 'Phenotype', 'HP:0030731', (69, 78)) ('radiosensitivity', 'MPA', (24, 40)) ('apoptosis', 'CPA', (98, 107)) ('MiR-338-5p', 'Var', (0, 10)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (55, 78)) ('targeting', 'Reg', (116, 125)) ('esophageal squamous cell carcinoma', 'Disease', (44, 78)) ('enhanced', 'PosReg', (11, 19)) ('MiR-338-5p', 'Chemical', '-', (0, 10)) ('survivin', 'Protein', (126, 134)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (44, 78)) ('inducing', 'PosReg', (89, 97)) 16729 29872320 Downregulation of ROGDI can mediate radiosensitivity by blocking cells at G2/M, the most radiosensitive phase of the cell cycle. ('ROGDI', 'Gene', (18, 23)) ('blocking', 'NegReg', (56, 64)) ('Downregulation', 'Var', (0, 14)) ('ROGDI', 'Gene', '79641', (18, 23)) ('cells at G2/M', 'CPA', (65, 78)) 16736 29872320 Recently, some preclinical studies showed that YM155 could sensitize cancer cells to radiation by inhibiting the survivin protein. ('inhibiting', 'NegReg', (98, 108)) ('YM155', 'Chemical', 'MESH:C523798', (47, 52)) ('cancer', 'Phenotype', 'HP:0002664', (69, 75)) ('YM155', 'Var', (47, 52)) ('sensitize', 'Reg', (59, 68)) ('cancer', 'Disease', 'MESH:D009369', (69, 75)) ('survivin protein', 'Protein', (113, 129)) ('cancer', 'Disease', (69, 75)) 16739 29872320 Our results provided an evidence for the potential use of YM155 in certain cancers to enhance radiosensitivity. ('enhance', 'PosReg', (86, 93)) ('cancers', 'Disease', 'MESH:D009369', (75, 82)) ('cancers', 'Phenotype', 'HP:0002664', (75, 82)) ('enhance radiosensitivity', 'Phenotype', 'HP:0010997', (86, 110)) ('cancers', 'Disease', (75, 82)) ('radiosensitivity', 'CPA', (94, 110)) ('cancer', 'Phenotype', 'HP:0002664', (75, 81)) ('YM155', 'Chemical', 'MESH:C523798', (58, 63)) ('YM155', 'Var', (58, 63)) 16740 29872320 The human ESCC cell lines KYSE150, KYSE410, KYSE180, and KYSE510, generously provided by Dr Yutaka Shimada, were cultured in RPMI1640 medium containing 10% fetal bovine serum and supplemented with 100 U/mL penicillin and 100 mug/mL streptomycin at 37 C with 5% CO2. ('KYSE510', 'Var', (57, 64)) ('human', 'Species', '9606', (4, 9)) ('penicillin', 'Chemical', 'MESH:D010406', (206, 216)) ('streptomycin', 'Chemical', 'MESH:D013307', (232, 244)) ('bovine', 'Species', '9913', (162, 168)) ('CO2', 'Chemical', '-', (261, 264)) ('KYSE410', 'Var', (35, 42)) ('RPMI1640 medium', 'Chemical', '-', (125, 140)) 16770 29872320 Twenty nude mice with established tumors (all 150-200 mm3) were divided into four groups and treated with 1) vehicle (saline) alone; 2) a single dose of 10 Gy irradiation (IR); 3) YM155 alone (5 mg/kg as 7-day continuous intraperitoneal injections); or 4) YM155 plus IR (a single fraction of 10 Gy IR delivered on day 3 of drug treatment). ('tumors', 'Disease', (34, 40)) ('tumors', 'Disease', 'MESH:D009369', (34, 40)) ('tumor', 'Phenotype', 'HP:0002664', (34, 39)) ('tumors', 'Phenotype', 'HP:0002664', (34, 40)) ('YM155', 'Chemical', 'MESH:C523798', (256, 261)) ('YM155', 'Var', (256, 261)) ('saline', 'Chemical', 'MESH:D012965', (118, 124)) ('YM155', 'Chemical', 'MESH:C523798', (180, 185)) ('nude mice', 'Species', '10090', (7, 16)) ('YM155', 'Var', (180, 185)) 16776 29872320 The CCK-8 assay showed that after 48 h of YM155 treatment, YM155 inhibited cell survival in a dose-dependent manner (Figure S1A). ('cell survival', 'CPA', (75, 88)) ('YM155', 'Chemical', 'MESH:C523798', (59, 64)) ('YM155', 'Var', (59, 64)) ('YM155', 'Chemical', 'MESH:C523798', (42, 47)) ('inhibited', 'NegReg', (65, 74)) ('YM155', 'Var', (42, 47)) 16778 29872320 Thus, the subtoxic concentrations of YM155 were chosen for treatment of the cells (2, 15, 20, and 30 nM for KYSE150, KYSE410, KYSE180, and KYSE510, respectively) in the following experiments. ('KYSE510', 'Var', (139, 146)) ('KYSE150', 'Var', (108, 115)) ('YM155', 'Chemical', 'MESH:C523798', (37, 42)) ('KYSE180', 'Var', (126, 133)) ('KYSE410', 'Var', (117, 124)) 16780 29872320 Moreover, YM155 inhibited survivin upregulation induced by radiation (Figure 1B). ('inhibited', 'NegReg', (16, 25)) ('YM155', 'Chemical', 'MESH:C523798', (10, 15)) ('YM155', 'Var', (10, 15)) ('upregulation', 'PosReg', (35, 47)) ('survivin', 'Protein', (26, 34)) 16784 29872320 Compared with the control cells, the survival fraction was significantly decreased after radiation combined with YM155 in the KYSE150 and KYSE410 cells (Figure 2A and B) but not in the KYSE180 and KYSE510 cells (Figure 2C and D). ('decreased', 'NegReg', (73, 82)) ('YM155', 'Chemical', 'MESH:C523798', (113, 118)) ('YM155', 'Var', (113, 118)) ('KYSE410', 'Var', (138, 145)) ('survival fraction', 'CPA', (37, 54)) 16785 29872320 Therefore, YM155 could sensitize KYSE150 and KYSE410 cells to radiation, but combination with YM155 could not enhance the effect of radiation in KYSE180 and KYSE510 cells. ('YM155', 'Chemical', 'MESH:C523798', (94, 99)) ('YM155', 'Var', (94, 99)) ('sensitize', 'Reg', (23, 32)) ('YM155', 'Chemical', 'MESH:C523798', (11, 16)) ('YM155', 'Var', (11, 16)) 16789 29872320 With the YM155 treatment, the SA-beta-Gal positive cells decreased to 9% and 16% in the KYSE150 and KYSE410 cells, respectively (Figure 3A). ('YM155', 'Var', (9, 14)) ('SA-beta-Gal', 'Chemical', '-', (30, 41)) ('SA-beta-Gal', 'Protein', (30, 41)) ('to 9', 'Species', '1214577', (67, 71)) ('KYSE150', 'Var', (88, 95)) ('decreased', 'NegReg', (57, 66)) ('YM155', 'Chemical', 'MESH:C523798', (9, 14)) ('KYSE410', 'Var', (100, 107)) 16790 29872320 Western blot analysis showed that p53 and p21 were upregulated after 8 Gy irradiation and that YM155 inhibited the upregulation (Figure 3B). ('p53', 'Gene', (34, 37)) ('p53', 'Gene', '7157', (34, 37)) ('p21', 'Gene', (42, 45)) ('p21', 'Gene', '644914', (42, 45)) ('YM155', 'Chemical', 'MESH:C523798', (95, 100)) ('YM155', 'Var', (95, 100)) ('upregulated', 'PosReg', (51, 62)) ('inhibited', 'NegReg', (101, 110)) 16791 29872320 The TUNEL assay showed that radiation and YM155 could both induce apoptosis, but the combination of YM155 with radiation significantly increased the percentage of apoptotic cells from 24% to 69% for the KYSE150 cells and 18% to 65% for the KYSE410 cells (Figure 3C). ('combination', 'Interaction', (85, 96)) ('apoptotic cells', 'CPA', (163, 178)) ('increased', 'PosReg', (135, 144)) ('YM155', 'Chemical', 'MESH:C523798', (42, 47)) ('YM155', 'Chemical', 'MESH:C523798', (100, 105)) ('YM155', 'Var', (100, 105)) 16792 29872320 PARP cleavage was significantly induced after YM155 treatment combined with radiation in the KYSE150 and the KYSE410 cells (Figure 3D). ('YM155 treatment', 'Var', (46, 61)) ('PARP', 'Gene', (0, 4)) ('induced', 'PosReg', (32, 39)) ('PARP', 'Gene', '142', (0, 4)) ('YM155', 'Chemical', 'MESH:C523798', (46, 51)) 16793 29872320 In agreement with the TUNEL assay result, Annexin V/PI staining showed that the combination of YM155 with radiation significantly increased the percentage of double-staining cells in the KYSE150 and KYSE410 cells (Figure 3E). ('KYSE150', 'Var', (187, 194)) ('Annexin V', 'Gene', '308', (42, 51)) ('Annexin V', 'Gene', (42, 51)) ('YM155', 'Chemical', 'MESH:C523798', (95, 100)) ('KYSE410', 'Var', (199, 206)) ('YM155', 'Var', (95, 100)) ('increased', 'PosReg', (130, 139)) ('double-staining', 'MPA', (158, 173)) ('combination', 'Interaction', (80, 91)) 16794 29872320 These data indicated that YM155 could inhibit cell senescence and promote apoptosis of ESCC cells when radiation induced cell senescence. ('apoptosis', 'CPA', (74, 83)) ('cell senescence', 'CPA', (46, 61)) ('YM155', 'Chemical', 'MESH:C523798', (26, 31)) ('YM155', 'Var', (26, 31)) ('promote', 'PosReg', (66, 73)) ('inhibit', 'NegReg', (38, 45)) 16795 29872320 Cell senescence was evaluated in the KYSE180 and KYSE510 cells, and few SA-beta-Gal positive cells were observed after radiation (Figure 4A). ('KYSE510', 'Var', (49, 56)) ('Cell senescence', 'CPA', (0, 15)) ('SA-beta-Gal', 'Chemical', '-', (72, 83)) 16797 29872320 The TUNEL assay showed that radiation and YM155 could both induce apoptosis, but the combination of YM155 with radiation did not increase the percentage of apoptosis cells in the KYSE180 and KYSE510 cells (Figure 4C). ('YM155', 'Chemical', 'MESH:C523798', (42, 47)) ('apoptosis', 'CPA', (66, 75)) ('YM155', 'Var', (42, 47)) ('YM155', 'Chemical', 'MESH:C523798', (100, 105)) ('YM155', 'Var', (100, 105)) 16801 29872320 As shown in Figure 5A and B, tumor volumes and tumor weights were significantly inhibited in the group treated with YM155 in combination with radiation. ('tumor', 'Disease', (47, 52)) ('tumor', 'Disease', 'MESH:D009369', (29, 34)) ('tumor', 'Phenotype', 'HP:0002664', (29, 34)) ('YM155', 'Chemical', 'MESH:C523798', (116, 121)) ('tumor', 'Disease', 'MESH:D009369', (47, 52)) ('YM155', 'Var', (116, 121)) ('tumor', 'Disease', (29, 34)) ('tumor', 'Phenotype', 'HP:0002664', (47, 52)) ('inhibited', 'NegReg', (80, 89)) 16803 29872320 In agreement with the in vitro results, SA-beta-Gal staining was observed after radiation, and the SA-beta-Gal positive cells decreased in tumors treated with YM155 and radiation (Figure 5D). ('YM155', 'Var', (159, 164)) ('decreased', 'NegReg', (126, 135)) ('SA-beta-Gal', 'Chemical', '-', (99, 110)) ('tumor', 'Phenotype', 'HP:0002664', (139, 144)) ('tumors', 'Disease', 'MESH:D009369', (139, 145)) ('tumors', 'Disease', (139, 145)) ('tumors', 'Phenotype', 'HP:0002664', (139, 145)) ('YM155', 'Chemical', 'MESH:C523798', (159, 164)) ('SA-beta-Gal', 'Chemical', '-', (40, 51)) 16804 29872320 In contrast, the TUNEL assay showed that the combination of YM155 with radiation significantly increased the percentage of apoptosis (Figure 5E). ('YM155', 'Chemical', 'MESH:C523798', (60, 65)) ('YM155', 'Var', (60, 65)) ('apoptosis', 'CPA', (123, 132)) ('combination', 'Interaction', (45, 56)) ('increased', 'PosReg', (95, 104)) 16806 29872320 These data show that radiation could induce cell senescence in the KYSE150 xenograft, and YM155 could enhance tumor inhibition by reducing senescence and promoting apoptosis. ('promoting', 'PosReg', (154, 163)) ('YM155', 'Var', (90, 95)) ('reducing', 'NegReg', (130, 138)) ('enhance', 'PosReg', (102, 109)) ('tumor', 'Phenotype', 'HP:0002664', (110, 115)) ('tumor', 'Disease', (110, 115)) ('cell senescence', 'CPA', (44, 59)) ('apoptosis', 'CPA', (164, 173)) ('senescence', 'MPA', (139, 149)) ('YM155', 'Chemical', 'MESH:C523798', (90, 95)) ('tumor', 'Disease', 'MESH:D009369', (110, 115)) 16814 29872320 YM155, a small-molecule inhibitor of survivin, could sensitize cancer cells to radiation both in vitro and in vivo. ('cancer', 'Phenotype', 'HP:0002664', (63, 69)) ('YM155', 'Chemical', 'MESH:C523798', (0, 5)) ('sensitize', 'Reg', (53, 62)) ('YM155', 'Var', (0, 5)) ('cancer', 'Disease', 'MESH:D009369', (63, 69)) ('cancer', 'Disease', (63, 69)) 16815 29872320 In our study, survivin was upregulated by radiation in all ESCC cell lines; therefore, we used YM155 as a survivin inhibitor and confirmed that YM155 could inhibit the upregulation of survivin induced by radiation. ('inhibit', 'NegReg', (156, 163)) ('survivin', 'Protein', (184, 192)) ('YM155', 'Chemical', 'MESH:C523798', (95, 100)) ('YM155', 'Chemical', 'MESH:C523798', (144, 149)) ('upregulated', 'PosReg', (27, 38)) ('YM155', 'Var', (144, 149)) ('upregulation', 'PosReg', (168, 180)) 16816 29872320 But the radiosensitization effect of YM155 varied in different ESCC cell lines. ('YM155', 'Var', (37, 42)) ('YM155', 'Chemical', 'MESH:C523798', (37, 42)) ('radiosensitization', 'MPA', (8, 26)) 16817 29872320 This study is the first that demonstrates the difference in efficacy of YM155 in promoting the radiosensitivity of ESCC cells. ('promoting', 'PosReg', (81, 90)) ('YM155', 'Chemical', 'MESH:C523798', (72, 77)) ('radiosensitivity', 'CPA', (95, 111)) ('YM155', 'Var', (72, 77)) 16818 29872320 Recently published data reported that YM155 could promote radiation-induced clonogenic cell death of Eca109 and TE3 cells, but the sensitization enhancement ratio of the two cell lines exhibited no large difference. ('YM155', 'Chemical', 'MESH:C523798', (38, 43)) ('radiation-induced clonogenic cell death', 'CPA', (58, 97)) ('promote', 'PosReg', (50, 57)) ('YM155', 'Var', (38, 43)) 16819 29872320 For example, herceptin was used in breast cancer patients with ErbB2 overexpression; EGFR with specific mutations conferred sensitivity to gefitinib and erlotinib, and EGFR monoclonal antibody could be combined with radiotherapy when EGFR is overexpressed. ('EGFR', 'Gene', (85, 89)) ('EGFR', 'Gene', (234, 238)) ('EGFR', 'Gene', '1956', (168, 172)) ('cancer', 'Phenotype', 'HP:0002664', (42, 48)) ('ErbB2', 'Gene', '2064', (63, 68)) ('herceptin', 'Chemical', 'MESH:D000068878', (13, 22)) ('erlotinib', 'MPA', (153, 162)) ('mutations', 'Var', (104, 113)) ('erlotinib', 'Chemical', 'MESH:D000069347', (153, 162)) ('EGFR', 'Gene', '1956', (85, 89)) ('EGFR', 'Gene', '1956', (234, 238)) ('EGFR', 'Gene', (168, 172)) ('ErbB2', 'Gene', (63, 68)) ('conferred', 'Reg', (114, 123)) ('gefitinib', 'MPA', (139, 148)) ('gefitinib', 'Chemical', 'MESH:D000077156', (139, 148)) ('patients', 'Species', '9606', (49, 57)) ('breast cancer', 'Phenotype', 'HP:0003002', (35, 48)) ('breast cancer', 'Disease', 'MESH:D001943', (35, 48)) ('sensitivity', 'MPA', (124, 135)) ('breast cancer', 'Disease', (35, 48)) 16820 29872320 A previous study showed that YM155 could suppress survivin expression and therefore inhibit the growth of cancer cells. ('YM155', 'Chemical', 'MESH:C523798', (29, 34)) ('YM155', 'Var', (29, 34)) ('inhibit', 'NegReg', (84, 91)) ('cancer', 'Disease', 'MESH:D009369', (106, 112)) ('expression', 'MPA', (59, 69)) ('cancer', 'Disease', (106, 112)) ('survivin', 'Protein', (50, 58)) ('suppress', 'NegReg', (41, 49)) ('cancer', 'Phenotype', 'HP:0002664', (106, 112)) 16821 29872320 YM155 could reverse cisplatin resistance in head and neck cancer cells and enhance the sensitivity of docetaxel in human malignant melanoma models. ('cisplatin', 'Chemical', 'MESH:D002945', (20, 29)) ('cancer', 'Phenotype', 'HP:0002664', (58, 64)) ('cisplatin resistance', 'MPA', (20, 40)) ('sensitivity of docetaxel', 'MPA', (87, 111)) ('malignant melanoma', 'Phenotype', 'HP:0002861', (121, 139)) ('neck cancer', 'Disease', 'MESH:D006258', (53, 64)) ('neck cancer', 'Disease', (53, 64)) ('reverse', 'NegReg', (12, 19)) ('human', 'Species', '9606', (115, 120)) ('YM155', 'Chemical', 'MESH:C523798', (0, 5)) ('malignant melanoma', 'Disease', (121, 139)) ('YM155', 'Var', (0, 5)) ('malignant melanoma', 'Disease', 'MESH:D008545', (121, 139)) ('docetaxel', 'Chemical', 'MESH:D000077143', (102, 111)) ('enhance', 'PosReg', (75, 82)) ('head and neck cancer', 'Phenotype', 'HP:0012288', (44, 64)) 16822 29872320 Additionally, YM155 could enhance radiosensitization in ESCC and NSCLC cells. ('ESCC', 'Disease', (56, 60)) ('NSCLC', 'Disease', 'MESH:D002289', (65, 70)) ('NSCLC', 'Disease', (65, 70)) ('radiosensitization', 'CPA', (34, 52)) ('YM155', 'Chemical', 'MESH:C523798', (14, 19)) ('YM155', 'Var', (14, 19)) ('enhance', 'PosReg', (26, 33)) 16825 29872320 We observed that YM155 could promote radiosensitivity only when radiation induced senescence of ESCC cells. ('promote', 'PosReg', (29, 36)) ('YM155', 'Var', (17, 22)) ('radiosensitivity', 'MPA', (37, 53)) ('YM155', 'Chemical', 'MESH:C523798', (17, 22)) 16827 29872320 These results suggested that survivin was important in radiation-induced senescence and that inhibition of survivin by YM155 could inhibit senescence and promote apoptosis of ESCC cells. ('inhibit', 'NegReg', (131, 138)) ('senescence', 'CPA', (139, 149)) ('promote', 'PosReg', (154, 161)) ('survivin', 'Protein', (107, 115)) ('YM155', 'Chemical', 'MESH:C523798', (119, 124)) ('apoptosis', 'CPA', (162, 171)) ('inhibition', 'Var', (93, 103)) ('YM155', 'Gene', (119, 124)) 16830 29872320 Therefore, the major determinant of radiosensitization by YM155 could be the ability of radiation to induce senescence. ('YM155', 'Var', (58, 63)) ('YM155', 'Chemical', 'MESH:C523798', (58, 63)) ('senescence', 'MPA', (108, 118)) 16838 29872320 Disruptive TP53 mutations increased radioresistance via the inhibition of senescence in headneck squamous cell carcinoma tumors. ('radioresistance', 'CPA', (36, 51)) ('carcinoma', 'Phenotype', 'HP:0030731', (111, 120)) ('tumor', 'Phenotype', 'HP:0002664', (121, 126)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (97, 120)) ('TP53', 'Gene', '7157', (11, 15)) ('TP53', 'Gene', (11, 15)) ('tumors', 'Phenotype', 'HP:0002664', (121, 127)) ('mutations', 'Var', (16, 25)) ('inhibition', 'NegReg', (60, 70)) ('senescence', 'CPA', (74, 84)) ('headneck squamous cell carcinoma tumors', 'Disease', 'MESH:D002294', (88, 127)) ('increased', 'PosReg', (26, 35)) ('headneck squamous cell carcinoma tumors', 'Disease', (88, 127)) 16839 29872320 Cells with mutant p53 underwent mitotic catastrophe and apoptosis after chemotherapy. ('mutant', 'Var', (11, 17)) ('p53', 'Gene', (18, 21)) ('mitotic catastrophe', 'CPA', (32, 51)) ('p53', 'Gene', '7157', (18, 21)) ('underwent', 'Reg', (22, 31)) ('apoptosis', 'CPA', (56, 65)) 16840 29872320 After sequenced p53 exons of ESCC cells used in our study, we observed deletion mutations in exon7 of p53 in KYSE510 and KYSE180 cells, leading to amino acid deletion in the DNA binding site of the p53 protein (data not shown). ('protein', 'Protein', (202, 209)) ('p53', 'Gene', '7157', (102, 105)) ('p53', 'Gene', (16, 19)) ('DNA', 'MPA', (174, 177)) ('deletion mutations', 'Var', (71, 89)) ('amino acid deletion', 'Var', (147, 166)) ('p53', 'Gene', '7157', (16, 19)) ('p53', 'Gene', (198, 201)) ('p53', 'Gene', '7157', (198, 201)) ('p53', 'Gene', (102, 105)) 16841 29872320 Therefore, we could suppose that the cells of patients with wide-type p53 were more likely to be induced to senescence and might show better response to YM155 treatment combined with radiation. ('YM155', 'Chemical', 'MESH:C523798', (153, 158)) ('induced', 'Reg', (97, 104)) ('patients', 'Species', '9606', (46, 54)) ('better', 'PosReg', (134, 140)) ('p53', 'Gene', (70, 73)) ('p53', 'Gene', '7157', (70, 73)) ('wide-type', 'Var', (60, 69)) 16842 29872320 Although additional studies are required to test the correlation of p53 status and the radiosensitive efficiency of YM155, our study has discussed a potential strategy of combining YM155 treatment with radiotherapy in ESCC patients. ('ESCC', 'Disease', (218, 222)) ('YM155', 'Chemical', 'MESH:C523798', (116, 121)) ('YM155', 'Chemical', 'MESH:C523798', (181, 186)) ('YM155', 'Var', (181, 186)) ('p53', 'Gene', '7157', (68, 71)) ('p53', 'Gene', (68, 71)) ('patients', 'Species', '9606', (223, 231)) 16844 29872320 Our results suggest a new pathway through which YM155 could partially sensitize ESCC cells to radiation by inhibiting radiation-induced senescence and enhancing apoptosis. ('enhancing', 'PosReg', (151, 160)) ('apoptosis', 'CPA', (161, 170)) ('inhibiting', 'NegReg', (107, 117)) ('YM155', 'Chemical', 'MESH:C523798', (48, 53)) ('YM155', 'Var', (48, 53)) ('radiation-induced', 'CPA', (118, 135)) ('ESCC', 'Disease', (80, 84)) 16845 29258181 PRIMA-1 and PRIMA-1Met (APR-246): From Mutant/Wild Type p53 Reactivation to Unexpected Mechanisms Underlying Their Potent Anti-Tumor Effect in Combinatorial Therapies p53 protects cells from genetic assaults by triggering cell-cycle arrest and apoptosis. ('APR', 'Gene', (24, 27)) ('apoptosis', 'CPA', (244, 253)) ('PRIMA-1', 'Gene', '145270', (12, 19)) ('PRIMA-1', 'Gene', (0, 7)) ('PRIMA', 'Gene', '145270', (0, 5)) ('p53', 'Gene', '7157', (167, 170)) ('PRIMA', 'Gene', (12, 17)) ('Tumor', 'Phenotype', 'HP:0002664', (127, 132)) ('p53', 'Gene', '7157', (56, 59)) ('p53', 'Gene', (167, 170)) ('triggering', 'Reg', (211, 221)) ('PRIMA-1', 'Gene', (12, 19)) ('arrest', 'Disease', (233, 239)) ('PRIMA', 'Gene', (0, 5)) ('p53', 'Gene', (56, 59)) ('Mutant/Wild', 'Var', (39, 50)) ('PRIMA-1', 'Gene', '145270', (0, 7)) ('PRIMA', 'Gene', '145270', (12, 17)) ('APR', 'Gene', '5366', (24, 27)) ('arrest', 'Disease', 'MESH:D006323', (233, 239)) 16846 29258181 Inactivation of p53 pathway is found in the vast majority of human cancers often due to somatic missense mutations in TP53 or to an excessive degradation of the protein. ('cancers', 'Phenotype', 'HP:0002664', (67, 74)) ('cancers', 'Disease', (67, 74)) ('degradation', 'MPA', (142, 153)) ('protein', 'Protein', (161, 168)) ('cancers', 'Disease', 'MESH:D009369', (67, 74)) ('p53 pathway', 'Pathway', (16, 27)) ('TP53', 'Gene', '7157', (118, 122)) ('TP53', 'Gene', (118, 122)) ('missense mutations', 'Var', (96, 114)) ('cancer', 'Phenotype', 'HP:0002664', (67, 73)) ('Inactivation', 'NegReg', (0, 12)) ('human', 'Species', '9606', (61, 66)) 16847 29258181 The most widely investigated compounds for this purpose are PRIMA-1 (p53 reactivation and induction of massive apoptosis )and PRIMA-1Met (APR-246), that are at an advanced stage of development, with several clinical trials in progress. ('APR', 'Gene', (138, 141)) ('APR', 'Gene', '5366', (138, 141)) ('PRIMA-1Met', 'Var', (126, 136)) 16849 29258181 p53, so called "the guardian of the genome", appears as a key factor in the carcinogenesis. ('p53', 'Var', (0, 3)) ('carcinogenesis', 'Disease', (76, 90)) ('carcinogenesis', 'Disease', 'MESH:D063646', (76, 90)) 16851 29258181 The outcome of mutations in the tumor suppressor gene p53 results in the loss of the wild-type p53 (wt-p53) activity and the gain of oncogenic functions such as resistance to apoptosis and escalation in genome instability. ('loss', 'NegReg', (73, 77)) ('escalation', 'Reg', (189, 199)) ('activity', 'MPA', (108, 116)) ('gain', 'PosReg', (125, 129)) ('mutations', 'Var', (15, 24)) ('tumor', 'Disease', 'MESH:D009369', (32, 37)) ('p53', 'Gene', (54, 57)) ('oncogenic functions', 'CPA', (133, 152)) ('genome instability', 'CPA', (203, 221)) ('tumor', 'Phenotype', 'HP:0002664', (32, 37)) ('tumor', 'Disease', (32, 37)) ('resistance to apoptosis', 'CPA', (161, 184)) 16852 29258181 In addition, such mutations push cancer cells to acquire new properties, promoting invasion, migration, angiogenesis, proliferation, genomic instability, or drug resistance. ('drug resistance', 'CPA', (157, 172)) ('drug resistance', 'Phenotype', 'HP:0020174', (157, 172)) ('rat', 'Species', '10116', (125, 128)) ('cancer', 'Disease', (33, 39)) ('cancer', 'Disease', 'MESH:D009369', (33, 39)) ('promoting', 'PosReg', (73, 82)) ('migration', 'CPA', (93, 102)) ('proliferation', 'CPA', (118, 131)) ('cancer', 'Phenotype', 'HP:0002664', (33, 39)) ('invasion', 'CPA', (83, 91)) ('genomic instability', 'CPA', (133, 152)) ('angiogenesis', 'CPA', (104, 116)) ('rat', 'Species', '10116', (96, 99)) ('mutations', 'Var', (18, 27)) 16853 29258181 Mutant-p53 are, consequently, associated with aggressive tumor phenotypes and poor patient survival. ('associated', 'Reg', (30, 40)) ('Mutant-p53', 'Var', (0, 10)) ('aggressive tumor', 'Disease', 'MESH:D001523', (46, 62)) ('tumor', 'Phenotype', 'HP:0002664', (57, 62)) ('patient', 'Species', '9606', (83, 90)) ('aggressive tumor', 'Disease', (46, 62)) 16862 29258181 Boecker et al., 2008 focused their studies on a specific hot mutation in p53 (Y220C) and they designed Y220C-targeting compounds based on in silico analysis of the crystal structure of the p53 core domain including PK083 and PK7088. ('PK7088', 'Var', (225, 231)) ('Y220C', 'Mutation', 'rs121912666', (103, 108)) ('PK083', 'Var', (215, 220)) ('Y220C', 'Mutation', 'rs121912666', (78, 83)) 16863 29258181 These molecules have shown to induce Y220C-dependent apoptosis in tumor cells. ('tumor', 'Phenotype', 'HP:0002664', (66, 71)) ('Y220C', 'Mutation', 'rs121912666', (37, 42)) ('induce', 'PosReg', (30, 36)) ('tumor', 'Disease', (66, 71)) ('Y220C-dependent', 'Var', (37, 52)) ('tumor', 'Disease', 'MESH:D009369', (66, 71)) 16867 29258181 (2002) screened compounds that could suppress the proliferation of human tumor cells harboring mutation in p53. ('tumor', 'Disease', 'MESH:D009369', (73, 78)) ('p53', 'Gene', (107, 110)) ('tumor', 'Phenotype', 'HP:0002664', (73, 78)) ('proliferation', 'CPA', (50, 63)) ('suppress', 'NegReg', (37, 45)) ('tumor', 'Disease', (73, 78)) ('rat', 'Species', '10116', (57, 60)) ('human', 'Species', '9606', (67, 72)) ('mutation', 'Var', (95, 103)) 16887 29258181 Indeed, although the tested doses were cytotoxic for non-small cell lung cancer, prostate cancer or soft tissue sarcoma cell lines, neither modification of the cell cycle, nor apoptotic bodies under microscope evaluation, nor PARP cleavage were observed, regardless of the p53 status (wild type, mutated, or absent). ('non-small cell lung cancer', 'Disease', 'MESH:D002289', (53, 79)) ('soft tissue sarcoma', 'Disease', (100, 119)) ('prostate cancer', 'Disease', (81, 96)) ('non-small cell lung cancer', 'Disease', (53, 79)) ('lung cancer', 'Phenotype', 'HP:0100526', (68, 79)) ('cancer', 'Phenotype', 'HP:0002664', (90, 96)) ('soft tissue sarcoma', 'Phenotype', 'HP:0030448', (100, 119)) ('cancer', 'Phenotype', 'HP:0002664', (73, 79)) ('small cell lung cancer', 'Phenotype', 'HP:0030357', (57, 79)) ('prostate cancer', 'Disease', 'MESH:D011471', (81, 96)) ('non-small cell lung cancer', 'Phenotype', 'HP:0030358', (53, 79)) ('sarcoma', 'Phenotype', 'HP:0100242', (112, 119)) ('soft tissue sarcoma', 'Disease', 'MESH:D012509', (100, 119)) ('cell cycle', 'CPA', (160, 170)) ('prostate cancer', 'Phenotype', 'HP:0012125', (81, 96)) ('mutated', 'Var', (296, 303)) 16888 29258181 To demonstrate the reactivation of mutant-p53 under PRIMA-1/APR-246 treatment, several points have been evaluated. ('mutant-p53', 'Var', (35, 45)) ('PRIMA-1/APR-246', 'Gene', '145270', (52, 67)) ('reactivation', 'MPA', (19, 31)) ('PRIMA-1/APR-246', 'Gene', (52, 67)) ('rat', 'Species', '10116', (10, 13)) 16890 29258181 (2009) reported that both PRIMA-1 and APR-246 were converted in compounds, as MQ (methylene quinuclidinone), that reacted covalently with thiol groups of mutant, as well as wild-type p53. ('APR', 'Gene', '5366', (38, 41)) ('methylene quinuclidinone', 'Chemical', '-', (82, 106)) ('APR', 'Gene', (38, 41)) ('thiol', 'Chemical', 'MESH:D013438', (138, 143)) ('MQ', 'Chemical', '-', (78, 80)) ('mutant', 'Var', (154, 160)) 16892 29258181 Secondly, the effects on the p53 protein in mutant-p53 cells treated with PRIMA-1/APR-246, were assessed. ('mutant-p53', 'Var', (44, 54)) ('PRIMA-1/APR-246', 'Gene', '145270', (74, 89)) ('PRIMA-1/APR-246', 'Gene', (74, 89)) 16894 29258181 Thirdly, the activity of p53 in cells with mutant-p53 treated with PRIMA-1/APR-246 has been explored. ('mutant-p53', 'Var', (43, 53)) ('PRIMA-1/APR-246', 'Gene', '145270', (67, 82)) ('PRIMA-1/APR-246', 'Gene', (67, 82)) 16895 29258181 The restoration of transcriptional activity of mutant p53 has also been assessed. ('rat', 'Species', '10116', (9, 12)) ('transcriptional activity', 'MPA', (19, 43)) ('mutant', 'Var', (47, 53)) ('p53', 'Gene', (54, 57)) 16900 29258181 This dependency has been tested directly, introducing mutant-p53 protein previously treated with PRIMA-1 into cells without p53, using the Chariot protein transfer reagent: this introduction induced cell death, G2 cell cycle arrest, phosphorylation at Ser15, expression of Bax, PUMA, and Noxa, improvement of specific DNA binding, and/or caspases activation. ('induced', 'Reg', (191, 198)) ('Noxa', 'Gene', '5366', (288, 292)) ('Noxa', 'Gene', (288, 292)) ('G2', 'CellLine', 'CVCL:Z793', (211, 213)) ('cell death', 'CPA', (199, 209)) ('Bax', 'Gene', '581', (273, 276)) ('Bax', 'Gene', (273, 276)) ('phosphorylation', 'MPA', (233, 248)) ('cell cycle arrest', 'Phenotype', 'HP:0011018', (214, 231)) ('arrest', 'Disease', 'MESH:D006323', (225, 231)) ('improvement', 'PosReg', (294, 305)) ('mutant-p53', 'Var', (54, 64)) ('activation', 'PosReg', (347, 357)) ('arrest', 'Disease', (225, 231)) ('caspases', 'Gene', (338, 346)) ('specific DNA binding', 'Interaction', (309, 329)) ('Ser15', 'Chemical', '-', (252, 257)) ('caspases', 'Gene', '842', (338, 346)) 16903 29258181 Although mutant-p53-dependency appeared to be verified in five studies for breast cancer and four studies for thyroid cancer, the conclusions must be nuanced because of several results were obtained using the same cell lines and by the same team (, and, respectively). ('cancer', 'Phenotype', 'HP:0002664', (82, 88)) ('breast cancer', 'Disease', (75, 88)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (110, 124)) ('thyroid cancer', 'Disease', (110, 124)) ('breast cancer', 'Phenotype', 'HP:0003002', (75, 88)) ('cancer', 'Phenotype', 'HP:0002664', (118, 124)) ('thyroid cancer', 'Disease', 'MESH:D013964', (110, 124)) ('mutant-p53-dependency', 'Var', (9, 30)) ('breast cancer', 'Disease', 'MESH:D001943', (75, 88)) 16904 29258181 On the contrary, the mutant-p53-independency of PRIMA-1/APR-246 effects in myeloma cells were verified by three different teams, using varied cell lines. ('myeloma', 'Disease', (75, 82)) ('PRIMA-1/APR-246', 'Gene', '145270', (48, 63)) ('PRIMA-1/APR-246', 'Gene', (48, 63)) ('mutant-p53-independency', 'Var', (21, 44)) ('myeloma', 'Disease', 'MESH:D009101', (75, 82)) 16905 29258181 Finally, it clearly appeared that PRIMA-1/APR-246 are tumor suppressor molecules, inducing apoptosis by the caspases activation in varied mutant-p53 cells. ('PRIMA-1/APR-246', 'Gene', (34, 49)) ('apoptosis', 'CPA', (91, 100)) ('mutant-p53', 'Var', (138, 148)) ('tumor', 'Disease', 'MESH:D009369', (54, 59)) ('tumor', 'Phenotype', 'HP:0002664', (54, 59)) ('caspases', 'Gene', (108, 116)) ('inducing', 'PosReg', (82, 90)) ('PRIMA-1/APR-246', 'Gene', '145270', (34, 49)) ('tumor', 'Disease', (54, 59)) ('activation', 'PosReg', (117, 127)) ('caspases', 'Gene', '842', (108, 116)) 16906 29258181 If the proof of its mutant-p53 reactivation property has also been made in several cancer models, the variability of the results incites to look forward other elements likely to influence the effects of PRIMA-1/APR-246, as a cell content dependency, or unexpected cytotoxic mechanisms. ('PRIMA-1/APR-246', 'Gene', '145270', (203, 218)) ('cancer', 'Phenotype', 'HP:0002664', (83, 89)) ('PRIMA-1/APR-246', 'Gene', (203, 218)) ('cancer', 'Disease', 'MESH:D009369', (83, 89)) ('mutant-p53', 'Var', (20, 30)) ('cancer', 'Disease', (83, 89)) 16907 29258181 The possibility of effects of PRIMA-1/APR-246 that were different from apoptosis and mutant-p53 reactivation has been underlined by the use of cell lines without p53 (p53-null), or with a knock-down of p53 (p53-KD). ('knock-down', 'Var', (188, 198)) ('PRIMA-1/APR-246', 'Gene', '145270', (30, 45)) ('mutant-p53', 'Var', (85, 95)) ('PRIMA-1/APR-246', 'Gene', (30, 45)) 16920 29258181 On the contrary, the conversion of TrxR1 enzyme into a dedicated NADPH oxidase produced an increase oxidant activity. ('increase oxidant activity', 'Phenotype', 'HP:0025464', (91, 116)) ('conversion', 'Var', (21, 31)) ('TrxR1', 'Gene', (35, 40)) ('increase', 'PosReg', (91, 99)) ('TrxR1', 'Gene', '7296', (35, 40)) ('oxidant activity', 'MPA', (100, 116)) 16923 29258181 (2009) observed that APR-246 causes increased oxidation in a mutant p53-dependent manner. ('APR', 'Gene', (21, 24)) ('APR', 'Gene', '5366', (21, 24)) ('oxidation', 'MPA', (46, 55)) ('p53-dependent', 'Gene', (68, 81)) ('mutant', 'Var', (61, 67)) 16924 29258181 The implication of mutant p53 proteins in the redox effects of APR-246 has been recently reported by Liu et al. ('APR', 'Gene', '5366', (63, 66)) ('APR', 'Gene', (63, 66)) ('p53', 'Gene', (26, 29)) ('redox effects', 'MPA', (46, 59)) ('mutant', 'Var', (19, 25)) ('proteins', 'Protein', (30, 38)) 16925 29258181 (2017), considering that mutant p53 sensitized tumor cells to APR-246 induced oxidative stress, inhibiting the glutathione synthesis through the inhibition of system xc. ('mutant', 'Var', (25, 31)) ('oxidative stress', 'Phenotype', 'HP:0025464', (78, 94)) ('APR', 'Gene', '5366', (62, 65)) ('APR', 'Gene', (62, 65)) ('system xc', 'Enzyme', (159, 168)) ('glutathione synthesis', 'MPA', (111, 132)) ('p53', 'Gene', (32, 35)) ('tumor', 'Disease', 'MESH:D009369', (47, 52)) ('glutathione', 'Chemical', 'MESH:D005978', (111, 122)) ('oxidative stress', 'MPA', (78, 94)) ('inhibiting', 'NegReg', (96, 106)) ('tumor', 'Phenotype', 'HP:0002664', (47, 52)) ('sensitized', 'Reg', (36, 46)) ('tumor', 'Disease', (47, 52)) ('inhibition', 'NegReg', (145, 155)) 16932 29258181 (2016), knocking-down CHOP, a specific factor mediating the ER stress-induced apoptosis, that led to a significant cytotoxicity decrease in p53-null cells. ('CHOP', 'Gene', '1649', (22, 26)) ('knocking-down', 'Var', (8, 21)) ('cytotoxicity', 'Disease', 'MESH:D064420', (115, 127)) ('CHOP', 'Gene', (22, 26)) ('decrease', 'NegReg', (128, 136)) ('cytotoxicity', 'Disease', (115, 127)) 16945 29258181 (2012), which demonstrated no effect of PRIMA-1 on thyroid cancer cells without p53, but with wild-type p73. ('p53', 'Var', (80, 83)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (51, 65)) ('p73', 'Gene', '7161', (104, 107)) ('thyroid cancer', 'Disease', 'MESH:D013964', (51, 65)) ('p73', 'Gene', (104, 107)) ('cancer', 'Phenotype', 'HP:0002664', (59, 65)) ('rat', 'Species', '10116', (21, 24)) ('thyroid cancer', 'Disease', (51, 65)) 16950 29258181 Basically, the chemotherapy drugs which lead to DNA damages and interfere with DNA synthesis were supposed to trigger p53 activation, and thus, to synergize with PRIMA-1/APR-246 in mutant-p53 cells. ('mutant-p53', 'Var', (181, 191)) ('p53', 'Gene', (118, 121)) ('PRIMA-1/APR-246', 'Gene', '145270', (162, 177)) ('interfere', 'NegReg', (64, 73)) ('activation', 'PosReg', (122, 132)) ('DNA synthesis', 'MPA', (79, 92)) ('PRIMA-1/APR-246', 'Gene', (162, 177)) 16956 29258181 Similarly, with topo-isomerase inhibitors, the results of their association with PRIMA-1/APR-246 varied as a synergic effect was obtained in lung, colon and osteosarcoma cell lines with camptothecin, but not in pancreatic cancer with irinotecan. ('PRIMA-1/APR-246', 'Gene', (81, 96)) ('osteosarcoma', 'Phenotype', 'HP:0002669', (157, 169)) ('sarcoma', 'Phenotype', 'HP:0100242', (162, 169)) ('pancreatic cancer', 'Disease', (211, 228)) ('irinotecan', 'Chemical', 'MESH:D000077146', (234, 244)) ('colon and osteosarcoma', 'Disease', 'MESH:D012516', (147, 169)) ('camptothecin', 'Chemical', 'MESH:D002166', (186, 198)) ('pancreatic cancer', 'Disease', 'MESH:D010190', (211, 228)) ('cancer', 'Phenotype', 'HP:0002664', (222, 228)) ('PRIMA-1/APR-246', 'Gene', '145270', (81, 96)) ('pancreatic cancer', 'Phenotype', 'HP:0002894', (211, 228)) ('camptothecin', 'Var', (186, 198)) ('association', 'Interaction', (64, 75)) 16965 29258181 In pre-clinical studies, 3-BrPA, a halogenated pyruvate derivative and an alkylating agent, depleting the cellular ATP pool and inhibiting glycolysis, has been associated to PRIMA-1. ('glycolysis', 'MPA', (139, 149)) ('3-BrPA', 'Var', (25, 31)) ('cellular ATP pool', 'MPA', (106, 123)) ('pyruvate', 'Chemical', 'MESH:D019289', (47, 55)) ('3-BrPA', 'Chemical', '-', (25, 31)) ('depleting', 'NegReg', (92, 101)) ('PRIMA-1', 'Disease', (174, 181)) ('inhibiting', 'NegReg', (128, 138)) ('ATP', 'Chemical', 'MESH:D000255', (115, 118)) 16966 29258181 The association led to an enhanced anti-proliferative effect in mutant KRAS (Kirsten rat sarcoma viral oncogene homolog) lung cancer and melanoma cells, and in mutant-p53 bladder cancer cells. ('lung cancer', 'Disease', 'MESH:D008175', (121, 132)) ('cancer', 'Phenotype', 'HP:0002664', (179, 185)) ('lung cancer', 'Phenotype', 'HP:0100526', (121, 132)) ('enhanced', 'PosReg', (26, 34)) ('rat', 'Species', '10116', (85, 88)) ('rat', 'Species', '10116', (47, 50)) ('melanoma', 'Disease', 'MESH:D008545', (137, 145)) ('mutant', 'Var', (64, 70)) ('cancer', 'Phenotype', 'HP:0002664', (126, 132)) ('bladder cancer', 'Disease', 'MESH:D001749', (171, 185)) ('bladder cancer', 'Disease', (171, 185)) ('lung cancer', 'Disease', (121, 132)) ('sarcoma', 'Disease', 'MESH:D012509', (89, 96)) ('sarcoma', 'Disease', (89, 96)) ('mutant-p53', 'Var', (160, 170)) ('bladder cancer', 'Phenotype', 'HP:0009725', (171, 185)) ('KRAS', 'Gene', (71, 75)) ('melanoma', 'Phenotype', 'HP:0002861', (137, 145)) ('melanoma', 'Disease', (137, 145)) ('sarcoma', 'Phenotype', 'HP:0100242', (89, 96)) ('anti-proliferative effect', 'CPA', (35, 60)) 16969 29258181 APR-246 sensitized to irradiation the mutant-p53, and p53-null cells, but had no impact on wt-p53 cells. ('APR', 'Gene', (0, 3)) ('APR', 'Gene', '5366', (0, 3)) ('sensitized', 'Reg', (8, 18)) ('mutant-p53', 'Var', (38, 48)) 16971 29258181 Combined with the PARP-inhibitor, olaparib, APR-246 sensitized lung cancer cell lines to the targeted therapy, independently of p53 status; besides, the combination restored the sensitivity to olaparib in mutant-p53 cells that were previously olaparib-resistant. ('APR', 'Gene', (44, 47)) ('cancer', 'Phenotype', 'HP:0002664', (68, 74)) ('lung cancer', 'Disease', 'MESH:D008175', (63, 74)) ('sensitivity', 'MPA', (178, 189)) ('olaparib', 'Chemical', 'MESH:C531550', (34, 42)) ('restored', 'PosReg', (165, 173)) ('APR', 'Gene', '5366', (44, 47)) ('lung cancer', 'Disease', (63, 74)) ('mutant-p53', 'Var', (205, 215)) ('lung cancer', 'Phenotype', 'HP:0100526', (63, 74)) ('olaparib', 'Chemical', 'MESH:C531550', (193, 201)) ('olaparib', 'Chemical', 'MESH:C531550', (243, 251)) 16972 29258181 In breast cancer cell lines, the combination had a cytotoxic synergic effect in mutant p53 cells. ('breast cancer', 'Disease', 'MESH:D001943', (3, 16)) ('mutant', 'Var', (80, 86)) ('p53', 'Gene', (87, 90)) ('cancer', 'Phenotype', 'HP:0002664', (10, 16)) ('breast cancer', 'Disease', (3, 16)) ('breast cancer', 'Phenotype', 'HP:0003002', (3, 16)) ('cytotoxic synergic effect', 'MPA', (51, 76)) 16973 29258181 With the mTOR inhibitor, rapamycin, APR-246 had a cytotoxic synergic effect in a mutant-p53 AML cell line and in primary cultures. ('AML', 'Disease', 'MESH:D015470', (92, 95)) ('mTOR', 'Gene', (9, 13)) ('mTOR', 'Gene', '2475', (9, 13)) ('mutant-p53', 'Var', (81, 91)) ('cytotoxic', 'CPA', (50, 59)) ('APR', 'Gene', '5366', (36, 39)) ('AML', 'Phenotype', 'HP:0004808', (92, 95)) ('AML', 'Disease', (92, 95)) ('APR', 'Gene', (36, 39)) 16975 29258181 Strikingly and similarly, p53 reactivation by APR-246 also broke intrinsic and acquired resistance and synergized with the MEK inhibitor pimasertib to induce massive apoptosis in NRAS-mutant melanoma cells with wild-type or mutant-p53, identifying MITF/Bcl-2 as a key mechanism underlying resistance of mutant-NRAS melanoma cells to apoptosis by MEK inhibitors and propose clinically relevant drug combinations able to prevent or reverse it. ('melanoma', 'Phenotype', 'HP:0002861', (191, 199)) ('melanoma', 'Disease', (191, 199)) ('NRAS', 'Gene', '4893', (310, 314)) ('p53', 'Gene', (26, 29)) ('broke', 'NegReg', (59, 64)) ('Bcl-2', 'Gene', '596', (253, 258)) ('MITF', 'Gene', (248, 252)) ('pimasertib', 'Chemical', 'MESH:C550600', (137, 147)) ('melanoma', 'Disease', 'MESH:D008545', (315, 323)) ('APR', 'Gene', (46, 49)) ('MEK', 'Gene', '5609', (123, 126)) ('MEK', 'Gene', '5609', (346, 349)) ('NRAS', 'Gene', '4893', (179, 183)) ('MEK', 'Gene', (346, 349)) ('NRAS', 'Gene', (310, 314)) ('MEK', 'Gene', (123, 126)) ('melanoma', 'Disease', 'MESH:D008545', (191, 199)) ('induce', 'Reg', (151, 157)) ('mutant-p53', 'Var', (224, 234)) ('melanoma', 'Phenotype', 'HP:0002861', (315, 323)) ('melanoma', 'Disease', (315, 323)) ('Bcl-2', 'Gene', (253, 258)) ('MITF', 'Gene', '4286', (248, 252)) ('APR', 'Gene', '5366', (46, 49)) ('NRAS', 'Gene', (179, 183)) ('intrinsic', 'MPA', (65, 74)) 16976 29258181 Combined with a tyrosine kinase inhibitor, erlotinib, PRIMA-1 synergized in mutant-p53 head and neck cancer and pancreas cancer cells. ('cancer', 'Phenotype', 'HP:0002664', (121, 127)) ('mutant-p53', 'Var', (76, 86)) ('head and neck cancer', 'Phenotype', 'HP:0012288', (87, 107)) ('pancreas cancer', 'Disease', (112, 127)) ('erlotinib', 'Chemical', 'MESH:D000069347', (43, 52)) ('pancreas cancer', 'Disease', 'MESH:D010190', (112, 127)) ('cancer', 'Phenotype', 'HP:0002664', (101, 107)) ('pancreas cancer', 'Phenotype', 'HP:0002894', (112, 127)) ('head and neck cancer', 'Disease', 'MESH:D006258', (87, 107)) 16977 29258181 The anti-tumoral effect of PRIMA-1/APR-246 was enhanced when combined to the proteasome inhibitor, bortezomib, in mutant-p53 pancreas cancer cells, in wt-p53 Waldenstrom cells and in myeloma cells, independently of p53 status, with a restoration to sensitivity in bortezomib-resistant cells. ('PRIMA-1/APR-246', 'Gene', '145270', (27, 42)) ('pancreas cancer', 'Disease', 'MESH:D010190', (125, 140)) ('tumor', 'Disease', 'MESH:D009369', (9, 14)) ('enhanced', 'PosReg', (47, 55)) ('bortezomib', 'Chemical', 'MESH:D000069286', (99, 109)) ('pancreas cancer', 'Phenotype', 'HP:0002894', (125, 140)) ('PRIMA-1/APR-246', 'Gene', (27, 42)) ('tumor', 'Phenotype', 'HP:0002664', (9, 14)) ('mutant-p53', 'Var', (114, 124)) ('bortezomib', 'Chemical', 'MESH:D000069286', (264, 274)) ('rat', 'Species', '10116', (239, 242)) ('myeloma', 'Disease', 'MESH:D009101', (183, 190)) ('tumor', 'Disease', (9, 14)) ('cancer', 'Phenotype', 'HP:0002664', (134, 140)) ('combined', 'Interaction', (61, 69)) ('myeloma', 'Disease', (183, 190)) ('pancreas cancer', 'Disease', (125, 140)) 16978 29258181 According to the essential role of ROS production and glutathione content in PRIMA-1/APR-246 efficacy, associations between inhibitors of glutathione synthesis or cysteine transporter and PRIMA-1/APR-246 appear particularly relevant: thus, an inhibitor of the system xc, (cystine/glutamate antiporter), sulfasalazine, had a synergic anti-tumor effect with APR-246 in mutant p53 oesophageal adenocarcinoma cells and xenografts. ('APR', 'Gene', '5366', (85, 88)) ('APR', 'Gene', '5366', (356, 359)) ('APR', 'Gene', '5366', (196, 199)) ('tumor', 'Disease', (338, 343)) ('glutathione', 'Chemical', 'MESH:D005978', (138, 149)) ('PRIMA-1/APR-246', 'Gene', '145270', (77, 92)) ('mutant', 'Var', (367, 373)) ('PRIMA-1/APR-246', 'Gene', '145270', (188, 203)) ('tumor', 'Disease', 'MESH:D009369', (338, 343)) ('APR', 'Gene', (85, 88)) ('APR', 'Gene', (356, 359)) ('APR', 'Gene', (196, 199)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (379, 404)) ('oesophageal adenocarcinoma', 'Disease', (378, 404)) ('carcinoma', 'Phenotype', 'HP:0030731', (395, 404)) ('oesophageal adenocarcinoma', 'Disease', 'MESH:D005764', (378, 404)) ('PRIMA-1/APR-246', 'Gene', (77, 92)) ('p53', 'Gene', (374, 377)) ('PRIMA-1/APR-246', 'Gene', (188, 203)) ('tumor', 'Phenotype', 'HP:0002664', (338, 343)) ('sulfasalazine', 'Chemical', 'MESH:D012460', (303, 316)) ('glutathione', 'Chemical', 'MESH:D005978', (54, 65)) ('cystine', 'Chemical', 'MESH:D003553', (272, 279)) ('ROS', 'Chemical', 'MESH:D017382', (35, 38)) 16981 29258181 In vivo, an increase of the anti-tumor impacts has been observed when PRIMA-1 was associated to Deazaneplanocin A (a negative regulator of polycomb group actions that inhibits histone methyltransferase activity) in mutant-p53 thyroid cancer xenografts, and with 2aG4 (a monoclonal anti-body that binds specifically to the surface of tumor blood vessels and disrupts tumor vasculature) in breast cancer xenografts. ('cancer', 'Phenotype', 'HP:0002664', (234, 240)) ('breast cancer', 'Phenotype', 'HP:0003002', (388, 401)) ('histone methyltransferase activity', 'MPA', (176, 210)) ('tumor', 'Phenotype', 'HP:0002664', (333, 338)) ('thyroid cancer', 'Disease', 'MESH:D013964', (226, 240)) ('breast cancer', 'Disease', 'MESH:D001943', (388, 401)) ('increase', 'PosReg', (12, 20)) ('breast cancer', 'Disease', (388, 401)) ('tumor', 'Phenotype', 'HP:0002664', (366, 371)) ('tumor', 'Disease', (33, 38)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (226, 240)) ('tumor', 'Disease', (366, 371)) ('disrupts tumor', 'Disease', (357, 371)) ('tumor', 'Disease', 'MESH:D009369', (33, 38)) ('tumor', 'Disease', 'MESH:D009369', (366, 371)) ('mutant-p53', 'Var', (215, 225)) ('tumor', 'Disease', (333, 338)) ('cancer', 'Phenotype', 'HP:0002664', (395, 401)) ('disrupts tumor', 'Disease', 'MESH:D019958', (357, 371)) ('tumor', 'Phenotype', 'HP:0002664', (33, 38)) ('thyroid cancer', 'Disease', (226, 240)) ('tumor', 'Disease', 'MESH:D009369', (333, 338)) ('Deazaneplanocin A', 'Chemical', '-', (96, 113)) ('inhibits', 'NegReg', (167, 175)) 16982 29258181 Altogether, these multiple efficient associations between PRIMA-1 or APR-246 and anti-cancer treatments make conceivable to treat many malignant diseases, and in particular, tumor sub-types, currently associated with poor prognosis because of genetic profile (mutant p53, KRAS, or BRAF) or acquired resistance to treatment (doxorubicin, cisplatin, olaparib, bortezomib, or vemurafenib). ('APR', 'Gene', '5366', (69, 72)) ('tumor', 'Phenotype', 'HP:0002664', (174, 179)) ('bortezomib', 'Chemical', 'MESH:D000069286', (358, 368)) ('cisplatin', 'Disease', (337, 346)) ('APR', 'Gene', (69, 72)) ('olaparib', 'Chemical', 'MESH:C531550', (348, 356)) ('doxorubicin', 'Chemical', 'MESH:D004317', (324, 335)) ('vemurafenib', 'Chemical', 'MESH:D000077484', (373, 384)) ('cancer', 'Disease', (86, 92)) ('cancer', 'Phenotype', 'HP:0002664', (86, 92)) ('mutant', 'Var', (260, 266)) ('tumor', 'Disease', (174, 179)) ('malignant diseases', 'Disease', (135, 153)) ('cisplatin', 'Chemical', 'MESH:D002945', (337, 346)) ('KRAS', 'CPA', (272, 276)) ('BRAF', 'Gene', '673', (281, 285)) ('BRAF', 'Gene', (281, 285)) ('p53', 'Gene', (267, 270)) ('tumor', 'Disease', 'MESH:D009369', (174, 179)) ('cancer', 'Disease', 'MESH:D009369', (86, 92)) ('malignant diseases', 'Disease', 'MESH:D009369', (135, 153)) 16984 29258181 PRIMA-1 as well as APR-246 triggers an upregulation of genes involved in cell cycle control and apoptosis in mutant-p53 and wild-type p53 cancer cells. ('APR', 'Gene', (19, 22)) ('cancer', 'Disease', (138, 144)) ('cancer', 'Phenotype', 'HP:0002664', (138, 144)) ('upregulation', 'PosReg', (39, 51)) ('cell cycle', 'CPA', (73, 83)) ('mutant-p53', 'Var', (109, 119)) ('APR', 'Gene', '5366', (19, 22)) ('cancer', 'Disease', 'MESH:D009369', (138, 144)) 16986 29258181 Combined with chemotherapies, ionizing radiations or targeted therapies, PRIMA-1 and APR-246 could offer new perspectives to treat the more aggressive tumor sub-types such as mutant-cKIT metastatic melanoma, HPV (Human papillomavirus)-positive head and neck squamous cell carcinoma, and anaplastic thyroid cancer. ('Human papillomavirus', 'Species', '10566', (213, 233)) ('APR', 'Gene', '5366', (85, 88)) ('aggressive tumor', 'Disease', 'MESH:D001523', (140, 156)) ('ionizing radiations', 'Disease', 'MESH:D004194', (30, 49)) ('ionizing radiations', 'Disease', (30, 49)) ('APR', 'Gene', (85, 88)) ('tumor', 'Phenotype', 'HP:0002664', (151, 156)) ('anaplastic thyroid cancer', 'Disease', 'MESH:D065646', (287, 312)) ('melanoma', 'Phenotype', 'HP:0002861', (198, 206)) ('melanoma', 'Disease', (198, 206)) ('aggressive tumor', 'Disease', (140, 156)) ('mutant-cKIT', 'Var', (175, 186)) ('neck squamous cell carcinoma', 'Disease', (253, 281)) ('anaplastic thyroid cancer', 'Phenotype', 'HP:0011779', (287, 312)) ('neck squamous cell carcinoma', 'Disease', 'MESH:D000077195', (253, 281)) ('HPV', 'Species', '10566', (208, 211)) ('thyroid cancer', 'Phenotype', 'HP:0002890', (298, 312)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (258, 281)) ('melanoma', 'Disease', 'MESH:D008545', (198, 206)) ('cancer', 'Phenotype', 'HP:0002664', (306, 312)) ('anaplastic thyroid cancer', 'Disease', (287, 312)) ('carcinoma', 'Phenotype', 'HP:0030731', (272, 281)) 16988 29258181 Three clinical trials are currently recruiting, with the objectives to test the safety and efficacy of APR-246 treatment in advanced oesophageal carcinoma (NCT02999893), high grade serous ovarian cancer (NCT02098343), and mutant p53 hematologic myeloid malignant disease (NCT03072043). ('serous ovarian cancer', 'Disease', 'MESH:D010051', (181, 202)) ('cancer', 'Phenotype', 'HP:0002664', (196, 202)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (188, 202)) ('carcinoma', 'Phenotype', 'HP:0030731', (145, 154)) ('hematologic myeloid malignant disease', 'Disease', 'MESH:D019337', (233, 270)) ('oesophageal carcinoma', 'Disease', 'MESH:D005764', (133, 154)) ('oesophageal carcinoma', 'Phenotype', 'HP:0011459', (133, 154)) ('p53', 'Gene', (229, 232)) ('oesophageal carcinoma', 'Disease', (133, 154)) ('APR', 'Gene', '5366', (103, 106)) ('mutant', 'Var', (222, 228)) ('APR', 'Gene', (103, 106)) ('serous ovarian cancer', 'Disease', (181, 202)) ('hematologic myeloid malignant disease', 'Disease', (233, 270)) 16990 28152502 Methylation decreases the Bin1 tumor suppressor in ESCC and restoration by decitabine inhibits the epithelial mesenchymal transition Bridging integrator-1 (Bin1), as a tumor suppressor, is frequently attenuated or even abolished in multiple primary cancers. ('cancers', 'Phenotype', 'HP:0002664', (249, 256)) ('cancers', 'Disease', (249, 256)) ('ESCC', 'Disease', (51, 55)) ('cancer', 'Phenotype', 'HP:0002664', (249, 255)) ('Bin1', 'Gene', '274', (26, 30)) ('tumor', 'Phenotype', 'HP:0002664', (31, 36)) ('Bridging integrator-1', 'Gene', (133, 154)) ('Bin1', 'Gene', (156, 160)) ('Methylation', 'Var', (0, 11)) ('inhibits', 'NegReg', (86, 94)) ('decreases', 'NegReg', (12, 21)) ('tumor', 'Disease', (168, 173)) ('cancers', 'Disease', 'MESH:D009369', (249, 256)) ('decitabine', 'Chemical', 'MESH:D000077209', (75, 85)) ('Bin1', 'Gene', '274', (156, 160)) ('tumor', 'Disease', 'MESH:D009369', (168, 173)) ('tumor', 'Disease', (31, 36)) ('Bin1', 'Gene', (26, 30)) ('Bridging integrator-1', 'Gene', '274', (133, 154)) ('tumor', 'Disease', 'MESH:D009369', (31, 36)) ('tumor', 'Phenotype', 'HP:0002664', (168, 173)) 16991 28152502 A reduced expression of Bin1 caused by DNA methylation, has been reported in breast and prostate cancers. ('cancers', 'Phenotype', 'HP:0002664', (97, 104)) ('prostate cancers', 'Phenotype', 'HP:0012125', (88, 104)) ('breast and prostate cancers', 'Disease', 'MESH:D011471', (77, 104)) ('expression', 'MPA', (10, 20)) ('reduced', 'NegReg', (2, 9)) ('cancer', 'Phenotype', 'HP:0002664', (97, 103)) ('DNA methylation', 'Var', (39, 54)) ('Bin1', 'Gene', (24, 28)) ('prostate cancer', 'Phenotype', 'HP:0012125', (88, 103)) 16993 28152502 In addition, the Bin1 hypermethylation was associated with the poorer clinical parameters and shorter survival times of ESCC patients. ('ESCC', 'Disease', (120, 124)) ('shorter', 'NegReg', (94, 101)) ('survival times', 'CPA', (102, 116)) ('Bin1 hypermethylation', 'Var', (17, 38)) ('patients', 'Species', '9606', (125, 133)) 16995 28152502 In conclusion, these results demonstrated that Bin1 methylation could augment the malignant biological behaviors of ESCC and predict the poor prognosis for ESCC patients, thus indicating the potential clinical application value of DAC-based de-methylation therapy in ESCC. ('augment', 'PosReg', (70, 77)) ('ESCC', 'Disease', (116, 120)) ('DAC', 'Chemical', '-', (231, 234)) ('Bin1', 'Gene', (47, 51)) ('patients', 'Species', '9606', (161, 169)) ('methylation', 'Var', (52, 63)) ('malignant biological behaviors of', 'CPA', (82, 115)) 17000 28152502 Therefore obtaining more knowledge of the associated mechanisms of aberrant tumor suppressor gene expression in ESCC tumorigenesis is urgently needed to initiate new therapeutic strategies. ('tumor', 'Phenotype', 'HP:0002664', (117, 122)) ('tumor', 'Disease', (117, 122)) ('tumor', 'Phenotype', 'HP:0002664', (76, 81)) ('tumor', 'Disease', (76, 81)) ('ESCC', 'Disease', (112, 116)) ('aberrant', 'Var', (67, 75)) ('tumor', 'Disease', 'MESH:D009369', (117, 122)) ('tumor', 'Disease', 'MESH:D009369', (76, 81)) 17001 28152502 Growing evidence indicates that aberrant epigenetic alterations play an important role in carcinogenesis and cancer progression. ('cancer', 'Disease', 'MESH:D009369', (109, 115)) ('cancer', 'Disease', (109, 115)) ('aberrant epigenetic alterations', 'Var', (32, 63)) ('carcinogenesis', 'Disease', 'MESH:D063646', (90, 104)) ('cancer', 'Phenotype', 'HP:0002664', (109, 115)) ('carcinogenesis', 'Disease', (90, 104)) 17007 28152502 revealed that Bin1 deficiency might be a consequence of epigenetic alterations, such as methylation, which had been reported in prostate and breast cancers. ('Bin1 deficiency', 'Disease', 'MESH:D007153', (14, 29)) ('cancers', 'Phenotype', 'HP:0002664', (148, 155)) ('breast cancers', 'Phenotype', 'HP:0003002', (141, 155)) ('cancer', 'Phenotype', 'HP:0002664', (148, 154)) ('methylation', 'Disease', (88, 99)) ('breast cancers', 'Disease', (141, 155)) ('breast cancers', 'Disease', 'MESH:D001943', (141, 155)) ('prostate', 'Disease', (128, 136)) ('breast cancer', 'Phenotype', 'HP:0003002', (141, 154)) ('epigenetic alterations', 'Var', (56, 78)) ('Bin1 deficiency', 'Disease', (14, 29)) 17009 28152502 Then, we identified the prognostic roles of Bin1 methylation for ESCC patients. ('patients', 'Species', '9606', (70, 78)) ('Bin1', 'Gene', (44, 48)) ('ESCC', 'Disease', (65, 69)) ('methylation', 'Var', (49, 60)) 17015 28152502 The expression of methylated Bin1 was significantly related with the TNM stage, tumor differentiation grade, invasion range, and lymph node metastasis status but not with gender and age (Table 1). ('tumor', 'Disease', 'MESH:D009369', (80, 85)) ('invasion range', 'CPA', (109, 123)) ('tumor', 'Phenotype', 'HP:0002664', (80, 85)) ('Bin1', 'Gene', (29, 33)) ('TNM', 'Gene', '10178', (69, 72)) ('lymph node metastasis status', 'CPA', (129, 157)) ('expression', 'MPA', (4, 14)) ('tumor', 'Disease', (80, 85)) ('methylated', 'Var', (18, 28)) ('TNM', 'Gene', (69, 72)) ('related', 'Reg', (52, 59)) 17016 28152502 ESCC patients with poor differentiation grade, high TNM stage (stage III+IV), deep tumor invasion (T3), and positive lymph node metastasis had significantly higher rate of methylated Bin1 than did those with well or moderate differentiation grade, low TNM stage (stage I and II), superficial tumor invasion (T1 and T2), and negative lymph node metastasis (Table 1). ('TNM', 'Gene', (252, 255)) ('tumor', 'Phenotype', 'HP:0002664', (83, 88)) ('tumor', 'Phenotype', 'HP:0002664', (292, 297)) ('patients', 'Species', '9606', (5, 13)) ('deep tumor', 'Disease', 'MESH:D057887', (78, 88)) ('tumor', 'Disease', (83, 88)) ('tumor', 'Disease', (292, 297)) ('methylated', 'Var', (172, 182)) ('TNM', 'Gene', '10178', (52, 55)) ('higher', 'PosReg', (157, 163)) ('TNM', 'Gene', '10178', (252, 255)) ('deep tumor', 'Disease', (78, 88)) ('TNM', 'Gene', (52, 55)) ('tumor', 'Disease', 'MESH:D009369', (83, 88)) ('Bin1', 'Gene', (183, 187)) ('poor differentiation', 'Var', (19, 39)) ('tumor', 'Disease', 'MESH:D009369', (292, 297)) 17018 28152502 Univariate analysis indicated that the factors significantly associated with PFS were Bin1 methylation status, TNM stage, invasion depth, tumor differentiation grade and lymph node metastasis (all P < 0.01), whereas age and gender were not related to the PFS time of ESCC patients (P = 0.762; P = 0.499). ('lymph node metastasis', 'CPA', (170, 191)) ('tumor', 'Disease', (138, 143)) ('Bin1 methylation status', 'Var', (86, 109)) ('PFS', 'Disease', (77, 80)) ('TNM', 'Gene', '10178', (111, 114)) ('patients', 'Species', '9606', (272, 280)) ('invasion depth', 'CPA', (122, 136)) ('tumor', 'Disease', 'MESH:D009369', (138, 143)) ('associated', 'Reg', (61, 71)) ('TNM', 'Gene', (111, 114)) ('tumor', 'Phenotype', 'HP:0002664', (138, 143)) 17019 28152502 Kaplan-Meier analysis showed that the PFS time of patients with Bin1 methylation was significantly shorter than that without methylation (P = 0.001; Figure 1C). ('shorter', 'NegReg', (99, 106)) ('Bin1 methylation', 'Var', (64, 80)) ('patients', 'Species', '9606', (50, 58)) ('PFS time', 'CPA', (38, 46)) 17021 28152502 Kaplan-Meier analysis indicated that the OS time of patients with methylation of Bin1 was significantly shorter than did those without methylation (P < 0.001; Figure 1D). ('methylation', 'Var', (66, 77)) ('shorter', 'NegReg', (104, 111)) ('Bin1', 'Gene', (81, 85)) ('patients', 'Species', '9606', (52, 60)) 17038 28152502 To understand whether Bin1 de-methylation directly inhibited the EMT-induced invasion and migration of ESCC cells, we detected the surface markers and phenotypic changes of DAC-treated ESCC cells. ('DAC', 'Chemical', '-', (173, 176)) ('de-methylation', 'Var', (27, 41)) ('EMT-induced invasion', 'CPA', (65, 85)) ('Bin1', 'Gene', (22, 26)) ('inhibited', 'NegReg', (51, 60)) 17039 28152502 We treated YES-2 and TE13 cells with 90muM of DAC, and the qRT-PCR results showed DAC-restored expression of Bin1 remarkably inhibited the expression of mesenchymal markers (N-cadherin and Snail) and significantly up-regulated the expression of epithelial markers (E-cadherin) in YES-2 and TE13 cells (Figure 4A). ('Bin1', 'Gene', (109, 113)) ('up-regulated', 'PosReg', (214, 226)) ('Snail', 'Gene', '6615', (189, 194)) ('DAC', 'Chemical', '-', (82, 85)) ('YES-2', 'Gene', (11, 16)) ('TE13', 'CellLine', 'CVCL:4463', (21, 25)) ('expression', 'MPA', (231, 241)) ('YES-2', 'Gene', (280, 285)) ('TE13', 'CellLine', 'CVCL:4463', (290, 294)) ('expression', 'MPA', (139, 149)) ('muM', 'Gene', '56925', (39, 42)) ('YES-2', 'Gene', '7526', (11, 16)) ('muM', 'Gene', (39, 42)) ('mesenchymal', 'CPA', (153, 164)) ('DAC', 'Chemical', '-', (46, 49)) ('N-cadherin', 'Gene', (174, 184)) ('Snail', 'Gene', (189, 194)) ('expression', 'Var', (95, 105)) ('N-cadherin', 'Gene', '1000', (174, 184)) ('YES-2', 'Gene', '7526', (280, 285)) ('inhibited', 'NegReg', (125, 134)) 17040 28152502 In addition, the western blot results also revealed that DAC-induced expression of Bin1 in YES-2 and TE13 cells inhibited typical EMT-like phenotypes, including the down-regulation of mesenchymal markers N-cadherin and Snail, and up-regulation of the epithelial markers E-cadherin. ('inhibited', 'NegReg', (112, 121)) ('YES-2', 'Gene', (91, 96)) ('N-cadherin', 'Gene', '1000', (204, 214)) ('TE13', 'CellLine', 'CVCL:4463', (101, 105)) ('DAC', 'Chemical', '-', (57, 60)) ('YES-2', 'Gene', '7526', (91, 96)) ('E-cadherin', 'Protein', (270, 280)) ('Snail', 'Gene', (219, 224)) ('Snail', 'Gene', '6615', (219, 224)) ('N-cadherin', 'Gene', (204, 214)) ('mesenchymal markers', 'CPA', (184, 203)) ('Bin1', 'Gene', (83, 87)) ('up-regulation', 'PosReg', (230, 243)) ('down-regulation', 'NegReg', (165, 180)) ('EMT-like phenotypes', 'CPA', (130, 149)) ('expression', 'Var', (69, 79)) 17049 28152502 In conclusion, the de-methylation of Bin1 inhibited the malignant activities of ESCC cells via inactivating invasion-related molecules MMP-2 and MMP-9, apoptosis-related molecule BCL-2 and activating apoptosis-associated molecule Bax. ('Bax', 'Gene', '581', (230, 233)) ('malignant activities of ESCC cells', 'CPA', (56, 90)) ('inactivating', 'NegReg', (95, 107)) ('MMP-9', 'Gene', (145, 150)) ('de-methylation', 'Var', (19, 33)) ('Bin1', 'Gene', (37, 41)) ('MMP-9', 'Gene', '4318', (145, 150)) ('activating', 'PosReg', (189, 199)) ('inhibited', 'NegReg', (42, 51)) ('apoptosis-related', 'MPA', (152, 169)) ('MMP-2', 'Gene', (135, 140)) ('Bax', 'Gene', (230, 233)) 17053 28152502 To further clarify these results, we examined whether the siRNA-mediated knockdown of Bin1 in DAC-treated YES-2 and TE13 cells could reactive PTEN/AKT signaling pathways. ('YES-2', 'Gene', (106, 111)) ('TE13', 'CellLine', 'CVCL:4463', (116, 120)) ('reactive', 'Reg', (133, 141)) ('YES-2', 'Gene', '7526', (106, 111)) ('PTEN/AKT signaling pathways', 'Pathway', (142, 169)) ('DAC', 'Chemical', '-', (94, 97)) ('Bin1', 'Gene', (86, 90)) ('knockdown', 'Var', (73, 82)) 17054 28152502 Silencing Bin1 with Bin1-siRNA in DAC-treated YES-2 and TE13 cells increased the expression of p-AKT and p-GSK-3beta and decreased the expression of PTEN compared with control cells (P < 0.01) (Figure 5B and 5C). ('PTEN', 'Protein', (149, 153)) ('YES-2', 'Gene', '7526', (46, 51)) ('GSK-3beta', 'Gene', '2932', (107, 116)) ('GSK-3beta', 'Gene', (107, 116)) ('TE13', 'CellLine', 'CVCL:4463', (56, 60)) ('p-AKT', 'Protein', (95, 100)) ('decreased', 'NegReg', (121, 130)) ('increased', 'PosReg', (67, 76)) ('expression', 'MPA', (135, 145)) ('Bin1', 'Gene', (10, 14)) ('DAC', 'Chemical', '-', (34, 37)) ('YES-2', 'Gene', (46, 51)) ('Silencing', 'Var', (0, 9)) ('expression', 'MPA', (81, 91)) 17057 28152502 Moreover, transwell migration and wound healing assays also indicated that Bin1 knockdown using siRNA significantly promoted the migration and invasion of DAC-treated YES-2 and TE13 cells (Figure 5D, 5E and 5F). ('knockdown', 'Var', (80, 89)) ('promoted', 'PosReg', (116, 124)) ('YES-2', 'Gene', (167, 172)) ('invasion', 'CPA', (143, 151)) ('migration', 'CPA', (129, 138)) ('YES-2', 'Gene', '7526', (167, 172)) ('Bin1', 'Gene', (75, 79)) ('TE13', 'CellLine', 'CVCL:4463', (177, 181)) ('DAC', 'Chemical', '-', (155, 158)) 17067 28152502 Previous studies have demonstrated that the silencing of tumor-protective signature genes is one of the major causes of ESCC carcinogenesis and progression. ('tumor', 'Disease', 'MESH:D009369', (57, 62)) ('ESCC carcinogenesis', 'Disease', (120, 139)) ('tumor', 'Phenotype', 'HP:0002664', (57, 62)) ('causes', 'Reg', (110, 116)) ('silencing', 'Var', (44, 53)) ('tumor', 'Disease', (57, 62)) ('ESCC carcinogenesis', 'Disease', 'MESH:D063646', (120, 139)) 17069 28152502 The silencing of tumor suppressor genes by DNA methylation is one of the mechanisms for most aggressive neoplasms and the poor overall prognosis in cancer patients. ('cancer', 'Disease', (148, 154)) ('aggressive neoplasms', 'Disease', (93, 113)) ('cancer', 'Disease', 'MESH:D009369', (148, 154)) ('neoplasms', 'Phenotype', 'HP:0002664', (104, 113)) ('tumor', 'Disease', (17, 22)) ('cancer', 'Phenotype', 'HP:0002664', (148, 154)) ('aggressive neoplasms', 'Disease', 'MESH:D001523', (93, 113)) ('DNA methylation', 'Var', (43, 58)) ('tumor', 'Disease', 'MESH:D009369', (17, 22)) ('patients', 'Species', '9606', (155, 163)) ('silencing', 'NegReg', (4, 13)) ('tumor', 'Phenotype', 'HP:0002664', (17, 22)) 17070 28152502 Significantly, the methylation status of Bin1 was remarkably associated with poor differentiation grade, high TNM stage, deep tumor invasion, positive lymph node metastasis, and poor PFS and OS, indicating that the hypermethylation of Bin1 could be regarded as an independent predictor of the poor prognosis of ESCC patients. ('poor differentiation grade', 'CPA', (77, 103)) ('positive lymph node metastasis', 'CPA', (142, 172)) ('Bin1', 'Gene', (235, 239)) ('tumor', 'Phenotype', 'HP:0002664', (126, 131)) ('methylation status', 'Var', (19, 37)) ('TNM', 'Gene', '10178', (110, 113)) ('ESCC', 'Disease', (311, 315)) ('hypermethylation', 'Var', (215, 231)) ('deep tumor', 'Disease', 'MESH:D057887', (121, 131)) ('associated', 'Reg', (61, 71)) ('Bin1', 'Gene', (41, 45)) ('TNM', 'Gene', (110, 113)) ('patients', 'Species', '9606', (316, 324)) ('deep tumor', 'Disease', (121, 131)) 17081 28152502 The present study indicated that DAC-restored Bin1 expression could inhibit the cell migration, invasion and EMT of ESCC cellss. ('Bin1', 'Gene', (46, 50)) ('DAC', 'Chemical', '-', (33, 36)) ('inhibit', 'NegReg', (68, 75)) ('cell migration', 'CPA', (80, 94)) ('invasion', 'CPA', (96, 104)) ('EMT of ESCC cellss', 'CPA', (109, 127)) ('expression', 'Var', (51, 61)) 17083 28152502 Moreover, transfected Bin1-siRNA in DAC-treated YES-2 and TE13 cells could reactivate the PTEN/AKT pathway. ('TE13', 'CellLine', 'CVCL:4463', (58, 62)) ('DAC', 'Chemical', '-', (36, 39)) ('reactivate', 'Reg', (75, 85)) ('transfected', 'Var', (10, 21)) ('PTEN/AKT pathway', 'Pathway', (90, 106)) ('YES-2', 'Gene', (48, 53)) ('YES-2', 'Gene', '7526', (48, 53)) 17087 28152502 These results demonstrated that the Bin1 methylation, primarily accounting for Bin1 attenuated expression, was closely related to the poorer clinicopathological characteristics and the worse survival of ESCC patients. ('patients', 'Species', '9606', (208, 216)) ('Bin1', 'Gene', (36, 40)) ('related', 'Reg', (119, 126)) ('methylation', 'Var', (41, 52)) ('ESCC', 'Disease', (203, 207)) ('attenuated', 'NegReg', (84, 94)) ('Bin1', 'Gene', (79, 83)) ('expression', 'MPA', (95, 105)) 17088 28152502 Therefore, de-methylation treatment with Decitabine could neutralize these malignant activities including EMT by restoring Bin1 expression. ('de-methylation', 'Var', (11, 25)) ('Decitabine', 'Chemical', 'MESH:D000077209', (41, 51)) ('Bin1', 'Gene', (123, 127)) ('expression', 'MPA', (128, 138)) ('restoring', 'PosReg', (113, 122)) ('EMT', 'CPA', (106, 109)) 17089 28152502 Moreover, we also observed that Bin1 could inhibit EMT and invasion via inactivating PTEN/AKT signaling pathway and suppressing MMP-2 and MMP-9. ('MMP-9', 'Gene', '4318', (138, 143)) ('Bin1', 'Var', (32, 36)) ('PTEN/AKT signaling pathway', 'Pathway', (85, 111)) ('MMP-9', 'Gene', (138, 143)) ('inhibit', 'NegReg', (43, 50)) ('suppressing', 'NegReg', (116, 127)) ('MMP-2', 'CPA', (128, 133)) ('inactivating', 'NegReg', (72, 84)) 17090 28152502 The present study revealed the potential role of Bin1 methylation in ESCC carcinogenesis, suggesting that the DAC-based restoration of Bin1 could be a potential therapeutic strategy for improving the prognosis of ESCC patients. ('DAC', 'Chemical', '-', (110, 113)) ('Bin1', 'Gene', (135, 139)) ('ESCC carcinogenesis', 'Disease', 'MESH:D063646', (69, 88)) ('patients', 'Species', '9606', (218, 226)) ('ESCC', 'Disease', (213, 217)) ('ESCC carcinogenesis', 'Disease', (69, 88)) ('restoration', 'Var', (120, 131)) 17189 27923268 In most studies, it has been reported that salt and salty foods can increase the incidence of this cancer, while the consumption of fruits, fresh vegetables, and fish can have a protective effect. ('cancer', 'Disease', 'MESH:D009369', (99, 105)) ('cancer', 'Disease', (99, 105)) ('salt', 'Var', (43, 47)) ('increase', 'PosReg', (68, 76)) ('cancer', 'Phenotype', 'HP:0002664', (99, 105)) ('salty foods', 'Phenotype', 'HP:0030083', (52, 63)) 17216 27923268 Physical activity and maintaining an ideal weight can lead to a significant decrease in the incidence of colorectal cancer, as physically active people are 20 to 30% less affected by this cancer. ('cancer', 'Phenotype', 'HP:0002664', (188, 194)) ('colorectal cancer', 'Disease', 'MESH:D015179', (105, 122)) ('people', 'Species', '9606', (145, 151)) ('Physical', 'Var', (0, 8)) ('cancer', 'Disease', (116, 122)) ('cancer', 'Disease', 'MESH:D009369', (116, 122)) ('cancer', 'Disease', 'MESH:D009369', (188, 194)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (105, 122)) ('cancer', 'Disease', (188, 194)) ('cancer', 'Phenotype', 'HP:0002664', (116, 122)) ('decrease', 'NegReg', (76, 84)) ('colorectal cancer', 'Disease', (105, 122)) 17258 27794582 Interestingly, exogenous PUFA may be associated with prevention of some cancers. ('PUFA', 'Protein', (25, 29)) ('cancer', 'Phenotype', 'HP:0002664', (72, 78)) ('prevention', 'NegReg', (53, 63)) ('exogenous', 'Var', (15, 24)) ('PUFA', 'Chemical', 'MESH:D005231', (25, 29)) ('cancers', 'Phenotype', 'HP:0002664', (72, 79)) ('cancers', 'Disease', (72, 79)) ('cancers', 'Disease', 'MESH:D009369', (72, 79)) 17300 27794582 It was suggested that the FAS expression is of functional importance in human esophageal tumorigenesis, and that inhibiting FAS might be applied to treat esophageal cancer. ('FAS', 'Gene', '2194', (124, 127)) ('FAS', 'Gene', (124, 127)) ('esophageal cancer', 'Disease', (154, 171)) ('esophageal cancer', 'Disease', 'MESH:D004938', (154, 171)) ('cancer', 'Phenotype', 'HP:0002664', (165, 171)) ('tumor', 'Phenotype', 'HP:0002664', (89, 94)) ('human', 'Species', '9606', (72, 77)) ('FAS', 'Gene', '2194', (26, 29)) ('tumor', 'Disease', 'MESH:D009369', (89, 94)) ('FAS', 'Gene', (26, 29)) ('inhibiting', 'Var', (113, 123)) ('tumor', 'Disease', (89, 94)) 17335 27794582 It was recently found that cisplatin in adult C57Bl/6J male mice caused a decrease in the lipogenic enzymes FAS and SCD1 in liver, white adipose tissue (WAT), and muscle; concurrently, cisplatin increased lipolysis in WAT and beta-oxidation in liver and WAT. ('FAS', 'Gene', (108, 111)) ('WAT', 'Disease', (254, 257)) ('decrease', 'NegReg', (74, 82)) ('cisplatin', 'Chemical', 'MESH:D002945', (27, 36)) ('WAT', 'Disease', 'None', (153, 156)) ('FAS', 'Gene', '2194', (108, 111)) ('WAT', 'Disease', 'None', (218, 221)) ('lipolysis', 'MPA', (205, 214)) ('cisplatin', 'Var', (185, 194)) ('SCD1', 'Enzyme', (116, 120)) ('beta-oxidation', 'MPA', (226, 240)) ('WAT', 'Disease', (153, 156)) ('WAT', 'Disease', 'None', (254, 257)) ('WAT', 'Disease', (218, 221)) ('cisplatin', 'Var', (27, 36)) ('increased', 'PosReg', (195, 204)) ('mice', 'Species', '10090', (60, 64)) ('cisplatin', 'Chemical', 'MESH:D002945', (185, 194)) 17350 27628042 Recent evidence had suggested that deregulation of miR-424-5p took an important role in cancers. ('miR-424', 'Gene', (51, 58)) ('deregulation', 'Var', (35, 47)) ('cancers', 'Disease', 'MESH:D009369', (88, 95)) ('cancers', 'Phenotype', 'HP:0002664', (88, 95)) ('cancers', 'Disease', (88, 95)) ('miR-424', 'Gene', '494336', (51, 58)) ('cancer', 'Phenotype', 'HP:0002664', (88, 94)) 17364 27628042 Furthermore, the abnormal expression of microRNAs has also been shown to be associated with tumor development. ('expression', 'MPA', (26, 36)) ('microRNAs', 'Protein', (40, 49)) ('tumor', 'Disease', 'MESH:D009369', (92, 97)) ('tumor', 'Phenotype', 'HP:0002664', (92, 97)) ('associated', 'Reg', (76, 86)) ('tumor', 'Disease', (92, 97)) ('abnormal', 'Var', (17, 25)) 17365 27628042 In addition, abnormal microRNAs expression has also been implicated in affecting metastatic and progression stage of cancers by the acquisition of metastatic potential. ('affecting', 'Reg', (71, 80)) ('cancer', 'Phenotype', 'HP:0002664', (117, 123)) ('implicated', 'Reg', (57, 67)) ('microRNAs', 'Protein', (22, 31)) ('cancers', 'Disease', 'MESH:D009369', (117, 124)) ('progression stage', 'CPA', (96, 113)) ('metastatic', 'CPA', (81, 91)) ('cancers', 'Phenotype', 'HP:0002664', (117, 124)) ('abnormal', 'Var', (13, 21)) ('metastatic potential', 'CPA', (147, 167)) ('expression', 'MPA', (32, 42)) ('cancers', 'Disease', (117, 124)) 17456 27628042 Furthermore, the three kinds of ESCC cell lines (EC9706, Eca109 and EC-1) we chose were also showed lower expression levels of miR-424-5p compared to that in SHEE cells, stating clearly that the loss of miR-424-5p might be a common event in tumorigenesis. ('miR-424', 'Gene', '494336', (127, 134)) ('miR-424', 'Gene', (203, 210)) ('tumor', 'Disease', (241, 246)) ('miR-424', 'Gene', (127, 134)) ('lower', 'NegReg', (100, 105)) ('miR-424', 'Gene', '494336', (203, 210)) ('EC-1', 'CellLine', 'CVCL:5V05', (68, 72)) ('EC9706', 'CellLine', 'CVCL:E307', (49, 55)) ('tumor', 'Disease', 'MESH:D009369', (241, 246)) ('tumor', 'Phenotype', 'HP:0002664', (241, 246)) ('loss', 'Var', (195, 199)) ('expression levels', 'MPA', (106, 123)) ('HE', 'Chemical', '-', (159, 161)) 17472 27628042 In the current study, we demonstrated that with the restoration of miR-424-5p, the expression of epithelial marker E-cadherin which was also a hall marker of the occurrence of EMT was increased while the expression of mesenchymal marker vimentin decreased. ('vimentin', 'Gene', '7431', (237, 245)) ('vimentin', 'Gene', (237, 245)) ('restoration', 'Var', (52, 63)) ('increased', 'PosReg', (184, 193)) ('miR-424', 'Gene', (67, 74)) ('expression', 'MPA', (83, 93)) ('expression', 'MPA', (204, 214)) ('miR-424', 'Gene', '494336', (67, 74)) ('E-cadherin', 'Gene', (115, 125)) ('E-cadherin', 'Gene', '999', (115, 125)) 17489 25317352 Our study suggests that BM can occur in patients with EC lesions smaller than those previously reported; moreover, SmCC may be a risk factor for BM from EC. ('risk factor', 'Reg', (129, 140)) ('patients', 'Species', '9606', (40, 48)) ('SmCC', 'Var', (115, 119)) 17621 30186159 Moreover, we found that the addition of S3I-201, a STAT3 inhibitor, led to a decreased expression level of Bcl-2 in Eca109 cells. ('STAT3', 'Gene', '6774', (51, 56)) ('Bcl-2', 'Gene', (107, 112)) ('Bcl-2', 'Gene', '596', (107, 112)) ('STAT3', 'Gene', (51, 56)) ('decreased', 'NegReg', (77, 86)) ('S3I-201', 'Var', (40, 47)) ('S3I-201', 'Chemical', 'MESH:C520337', (40, 47)) 17623 30186159 Furthermore, the mutation of four STAT3 binding sites (-1733/-1723, -1627/-1617, -807/-797, and -134/-124) on the promote of Bcl-2 gene alone attenuated the transcriptional activation of STAT3. ('STAT3', 'Gene', (34, 39)) ('Bcl-2', 'Gene', (125, 130)) ('STAT3', 'Gene', '6774', (187, 192)) ('Bcl-2', 'Gene', '596', (125, 130)) ('STAT3', 'Gene', (187, 192)) ('-1733/-1723', 'Var', (55, 66)) ('attenuated', 'NegReg', (142, 152)) ('STAT3', 'Gene', '6774', (34, 39)) ('transcriptional activation', 'MPA', (157, 183)) 17644 30186159 Many modifications of curcumin have been explored with an aim to improve its potency and biochemical properties. ('potency', 'MPA', (77, 84)) ('curcumin', 'Chemical', 'MESH:D003474', (22, 30)) ('biochemical', 'MPA', (89, 100)) ('improve', 'PosReg', (65, 72)) ('modifications', 'Var', (5, 18)) 17654 30186159 Antibodies against caspase-3 (#9662), poly(ADP-ribose) polymerase (PARP) (#9542s), Bcl-2 (#2870s), Bcl-xL (#2764), Bax (#2772s), Bid (#8762), p38 (#8690), p-p38 (#9211s), ERK (#4695), p-ERK (#T202), STAT3 (#9139), p-STAT3 (Tyr705) (#9145), JAK2 (#3230p), p-JAK2 (Tyr1007/1008) (#3776s), and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) (#5174) were purchased from Cell Signaling Technology (Beverly, MA, United States). ('Bax', 'Gene', (115, 118)) ('ERK', 'Gene', '5594', (186, 189)) ('Bcl-xL', 'Gene', (99, 105)) ('glyceraldehyde-3-phosphate dehydrogenase', 'Gene', (291, 331)) ('JAK2', 'Gene', (240, 244)) ('ERK', 'Gene', (171, 174)) ('p38', 'Gene', '1432', (142, 145)) ('Bax', 'Gene', '581', (115, 118)) ('STAT3', 'Gene', '6774', (199, 204)) ('Bcl-xL', 'Gene', '598', (99, 105)) ('#9145', 'Var', (232, 237)) ('Bid', 'Gene', (129, 132)) ('Bcl-2', 'Gene', (83, 88)) ('glyceraldehyde-3-phosphate dehydrogenase', 'Gene', '2597', (291, 331)) ('p38', 'Gene', '1432', (157, 160)) ('ERK', 'Gene', (186, 189)) ('PARP', 'Gene', '142', (67, 71)) ('GAPDH', 'Gene', '2597', (333, 338)) ('Bcl-2', 'Gene', '596', (83, 88)) ('PARP', 'Gene', (67, 71)) ('#9139', 'Var', (206, 211)) ('JAK2', 'Gene', '3717', (257, 261)) ('caspase-3', 'Gene', '836', (19, 28)) ('STAT3', 'Gene', (216, 221)) ('GAPDH', 'Gene', (333, 338)) ('p38', 'Gene', (142, 145)) ('Bid', 'Gene', '637', (129, 132)) ('caspase-3', 'Gene', (19, 28)) ('poly(ADP-ribose) polymerase', 'Gene', '142', (38, 65)) ('poly(ADP-ribose) polymerase', 'Gene', (38, 65)) ('JAK2', 'Gene', '3717', (240, 244)) ('STAT3', 'Gene', '6774', (216, 221)) ('ERK', 'Gene', '5594', (171, 174)) ('JAK2', 'Gene', (257, 261)) ('STAT3', 'Gene', (199, 204)) ('p38', 'Gene', (157, 160)) 17680 30186159 In further experiments, Eca109 cells (40,000/ml) with STAT3 overexpression were incubated with S3I-201 (100 muM), a STAT3 inhibitor, for 48 h to evaluate the inhibitory effect of S3I-201. ('S3I-201', 'Chemical', 'MESH:C520337', (95, 102)) ('S3I-201', 'Chemical', 'MESH:C520337', (179, 186)) ('overexpression', 'PosReg', (60, 74)) ('muM', 'Gene', '56925', (108, 111)) ('STAT3', 'Gene', '6774', (54, 59)) ('STAT3', 'Gene', '6774', (116, 121)) ('STAT3', 'Gene', (54, 59)) ('muM', 'Gene', (108, 111)) ('STAT3', 'Gene', (116, 121)) ('S3I-201', 'Var', (95, 102)) 17695 30186159 Furthermore, at concentrations of 1.6 and 3.2 muM 2-pyridyl cyclohexanone caused cell death as indicated by Annexin V-FITC and Annexin V-FITC/PI staining. ('2-pyridyl', 'Var', (50, 59)) ('cell death', 'CPA', (81, 91)) ('Annexin V', 'Gene', '308', (127, 136)) ('Annexin V', 'Gene', (127, 136)) ('2-pyridyl cyclohexanone', 'Chemical', '-', (50, 73)) ('Annexin V', 'Gene', '308', (108, 117)) ('muM', 'Gene', '56925', (46, 49)) ('Annexin V', 'Gene', (108, 117)) ('muM', 'Gene', (46, 49)) 17696 30186159 In the Eca109 cells, 2-pyridyl cyclohexanone caused an increase in apoptotic cells at concentrations of 1.6 and 3.2 muM; however, it caused a relatively large increase in apoptotic cells (65.8%) at 3.2 muM. ('muM', 'Gene', '56925', (202, 205)) ('muM', 'Gene', (116, 119)) ('2-pyridyl cyclohexanone', 'Chemical', '-', (21, 44)) ('muM', 'Gene', (202, 205)) ('2-pyridyl cyclohexanone', 'Var', (21, 44)) ('apoptotic cells', 'CPA', (67, 82)) ('muM', 'Gene', '56925', (116, 119)) ('increase', 'PosReg', (159, 167)) ('apoptotic cells', 'CPA', (171, 186)) 17699 30186159 Further confirmation that the cells were undergoing apoptosis was obtained by western blot analyses for caspases 3 and its substrate PARP proteins in the cell lines treated with 0.8, 1.6, or 3.2 muM 2-pyridyl cyclohexanone for 48 h. As seen in Figure 2C, 2-pyridyl cyclohexanone could induce the activation of caspase 3. ('PARP', 'Gene', (133, 137)) ('2-pyridyl cyclohexanone', 'Chemical', '-', (199, 222)) ('muM', 'Gene', '56925', (195, 198)) ('muM', 'Gene', (195, 198)) ('caspase 3', 'Gene', (310, 319)) ('2-pyridyl cyclohexanone', 'Chemical', '-', (255, 278)) ('caspase 3', 'Gene', '836', (310, 319)) ('PARP', 'Gene', '142', (133, 137)) ('2-pyridyl cyclohexanone', 'Var', (255, 278)) 17726 30186159 Figure 8A showed point mutations created in Bcl-2. ('Bcl-2', 'Gene', (44, 49)) ('Bcl-2', 'Gene', '596', (44, 49)) ('point mutations', 'Var', (17, 32)) 17727 30186159 As shown in Figure 8B, we observed the relative luciferase activity was 1.82, 1.76, 1.71, and 2.18 in promoter activity in the elements carrying each mutant region (Bcl-2), as compared with the wild-type promoter (3.40) in the Eca109 cells. ('activity', 'MPA', (59, 67)) ('Bcl-2', 'Gene', (165, 170)) ('promoter activity', 'MPA', (102, 119)) ('luciferase', 'Enzyme', (48, 58)) ('mutant', 'Var', (150, 156)) ('Bcl-2', 'Gene', '596', (165, 170)) 17730 30186159 S3I-201 blocks STAT3 function in cancer cells by binding to the STAT3 SH2 domain to disrupt STAT3 protein complexation events. ('cancer', 'Disease', (33, 39)) ('cancer', 'Disease', 'MESH:D009369', (33, 39)) ('STAT3', 'Gene', '6774', (15, 20)) ('S3I-201', 'Chemical', 'MESH:C520337', (0, 7)) ('binding', 'Interaction', (49, 56)) ('STAT3', 'Gene', '6774', (92, 97)) ('STAT3', 'Gene', (15, 20)) ('STAT3', 'Gene', '6774', (64, 69)) ('cancer', 'Phenotype', 'HP:0002664', (33, 39)) ('STAT3', 'Gene', (92, 97)) ('disrupt', 'NegReg', (84, 91)) ('blocks', 'NegReg', (8, 14)) ('STAT3', 'Gene', (64, 69)) ('S3I-201', 'Var', (0, 7)) 17738 30186159 Accumulating evidences have shown that inhibition of constitutively active STAT3 leads to impaired cell survival and proliferation. ('impaired', 'NegReg', (90, 98)) ('inhibition', 'Var', (39, 49)) ('STAT3', 'Gene', '6774', (75, 80)) ('STAT3', 'Gene', (75, 80)) ('cell survival', 'CPA', (99, 112)) 17758 30186159 These findings indicate that loss of Deltapsim plays an important role in 2-pyridyl-cyclohexanone-induced apoptosis of esophageal cancer cells. ('esophageal cancer', 'Disease', 'MESH:D004938', (119, 136)) ('apoptosis', 'CPA', (106, 115)) ('2-pyridyl-cyclohexanone', 'Chemical', '-', (74, 97)) ('esophageal cancer', 'Disease', (119, 136)) ('loss', 'Var', (29, 33)) ('2-pyridyl-cyclohexanone-induced', 'MPA', (74, 105)) ('cancer', 'Phenotype', 'HP:0002664', (130, 136)) ('Deltapsim', 'Protein', (37, 46)) 17765 30186159 The ChIP experiments and luciferase assays indicate that promotor regions of Bcl-2 (-1733/-1723), Bcl-2 (-1627/-1617), Bcl-2 (-807/-797), and Bcl-2 (-134/-124) were binding sites for STAT3. ('STAT3', 'Gene', '6774', (183, 188)) ('Bcl-2', 'Gene', (119, 124)) ('Bcl-2', 'Gene', (142, 147)) ('binding', 'Interaction', (165, 172)) ('Bcl-2', 'Gene', '596', (142, 147)) ('STAT3', 'Gene', (183, 188)) ('-1627/-1617', 'Var', (105, 116)) ('Bcl-2', 'Gene', '596', (119, 124)) ('Bcl-2', 'Gene', (98, 103)) ('-807/-797', 'Var', (126, 135)) ('Bcl-2', 'Gene', '596', (98, 103)) ('Bcl-2', 'Gene', (77, 82)) ('Bcl-2', 'Gene', '596', (77, 82)) ('-134/-124', 'Var', (149, 158)) ('-1733/-1723', 'Var', (84, 95)) 17769 30186159 As described in Figure 7, the expression levels of Bcl-2 reduced when we reduced the STAT3 expression levels with S3I-201 (STAT3 inhibitor). ('STAT3', 'Gene', (123, 128)) ('Bcl-2', 'Gene', (51, 56)) ('Bcl-2', 'Gene', '596', (51, 56)) ('reduced', 'NegReg', (73, 80)) ('S3I-201', 'Var', (114, 121)) ('STAT3', 'Gene', '6774', (85, 90)) ('S3I-201', 'Chemical', 'MESH:C520337', (114, 121)) ('STAT3', 'Gene', '6774', (123, 128)) ('STAT3', 'Gene', (85, 90)) ('reduced', 'NegReg', (57, 64)) ('expression levels', 'MPA', (30, 47)) 17805 30112023 On the other hand, some reports suggest that the exposure to E. tirucalli crude can be a risk factor for Burkitt's lymphoma, since it act as a genotoxic agent, especially when it contains phorbol ester. ('lymphoma', 'Phenotype', 'HP:0002665', (115, 123)) ("Burkitt's lymphoma", 'Disease', 'MESH:D002051', (105, 123)) ('E. tirucalli', 'Var', (61, 73)) ("Burkitt's lymphoma", 'Disease', (105, 123)) ('E. tirucalli', 'Species', '142860', (61, 73)) ('phorbol ester', 'Chemical', 'MESH:D010703', (188, 201)) ("Burkitt's lymphoma", 'Phenotype', 'HP:0030080', (105, 123)) 17822 30112023 The MS spectra were recorded on a Perkin Elmer instrument, model API 150 and run in ES-MS positive mode: MH+ 427 m/e, MH+ _H2O 409 m/e. ('MH+ _H2O 409 m/e', 'Var', (118, 134)) ('H2O', 'Chemical', 'MESH:D014867', (123, 126)) ('MH+ 427 m/e', 'Var', (105, 116)) 17862 30112023 Thus, comparing the effects on cell viability in concentrations of the same magnitude, euphol seemed to inhibit growth through a more cytotoxic than cytostatic fashion. ('inhibit', 'NegReg', (104, 111)) ('euphol', 'Chemical', 'MESH:C062557', (87, 93)) ('growth', 'CPA', (112, 118)) ('euphol', 'Var', (87, 93)) 17871 30112023 Panc-1 cells formed colonies on agar after 20 days of incubation, and the presence of euphol at IC50 value resulted in a significant suppression of number and size of colonies (P<0.05; Fig. ('euphol', 'Chemical', 'MESH:C062557', (86, 92)) ('Panc-1', 'CellLine', 'CVCL:0480', (0, 6)) ('IC50 value', 'Var', (96, 106)) ('agar', 'Chemical', 'MESH:D000362', (32, 36)) ('suppression', 'NegReg', (133, 144)) 17894 30112023 The ERK pathway inhibitors PD98059 and U0126 inhibit the migration of diverse cell types in response to cell matrix proteins, such as fibronectin, vitronectin and collagen. ('U0126', 'Var', (39, 44)) ('fibronectin', 'Gene', '2335', (134, 145)) ('PD98059', 'Var', (27, 34)) ('vitronectin', 'Gene', '7448', (147, 158)) ('vitronectin', 'Gene', (147, 158)) ('PD98059', 'Chemical', 'MESH:C093973', (27, 34)) ('U0126', 'Chemical', 'MESH:C113580', (39, 44)) ('migration of diverse cell types', 'CPA', (57, 88)) ('inhibit', 'NegReg', (45, 52)) ('fibronectin', 'Gene', (134, 145)) ('ERK pathway', 'Pathway', (4, 15)) 17895 30112023 Supporting a possible role of ERK inhibition on migration modulation by euphol, Passos et al, showed that, at the intracellular level, euphol reduced TPA-induced extracellular signal-regulated ERK activation in skin inflammation in mice. ('reduced', 'NegReg', (142, 149)) ('skin inflammation', 'Disease', (211, 228)) ('TPA', 'Chemical', 'MESH:D013755', (150, 153)) ('activation', 'PosReg', (197, 207)) ('skin inflammation', 'Phenotype', 'HP:0011123', (211, 228)) ('euphol', 'Chemical', 'MESH:C062557', (72, 78)) ('skin inflammation', 'Disease', 'MESH:D007249', (211, 228)) ('euphol', 'Chemical', 'MESH:C062557', (135, 141)) ('euphol', 'Var', (135, 141)) ('TPA-induced extracellular signal-regulated ERK', 'MPA', (150, 196)) ('mice', 'Species', '10090', (232, 236)) 17898 30112023 In addition, we investigated the combination of euphol to chemotherapy in pancreas and esophageal cancer lines and we found that euphol when combined with a gemcitabine and paclitaxel treatment seems to have a synergistic effect (chemo-sensitization) leading to lower doses of therapeutic agents. ('euphol', 'Chemical', 'MESH:C062557', (129, 135)) ('cancer', 'Phenotype', 'HP:0002664', (98, 104)) ('gemcitabine', 'Chemical', 'MESH:C056507', (157, 168)) ('euphol', 'Chemical', 'MESH:C062557', (48, 54)) ('euphol', 'Var', (129, 135)) ('paclitaxel', 'Chemical', 'MESH:D017239', (173, 183)) ('lower', 'NegReg', (262, 267)) ('pancreas and esophageal cancer', 'Disease', 'MESH:D004938', (74, 104)) 17954 30011784 Moreover, hyperemia evoked by the reflux of gastric juice in rat esophagus was inhibited by ablation of capsaicin-sensitive sensory nerves by neurotoxic dose of capsaicin, this latter effect being reversed in part by the treatment of capsaicin-sensory inactivated rats with exogenous CGRP. ('rat', 'Species', '10116', (264, 267)) ('reflux of gastric juice', 'MPA', (34, 57)) ('neurotoxic', 'Disease', (142, 152)) ('ablation', 'Var', (92, 100)) ('capsaicin', 'Chemical', 'MESH:D002211', (104, 113)) ('rat', 'Species', '10116', (61, 64)) ('hyperemia', 'Disease', (10, 19)) ('rats', 'Species', '10116', (264, 268)) ('inhibited', 'NegReg', (79, 88)) ('neurotoxic', 'Disease', 'MESH:D020258', (142, 152)) ('reflux of gastric', 'Phenotype', 'HP:0002020', (34, 51)) ('hyperemia', 'Disease', 'MESH:D006940', (10, 19)) ('capsaicin', 'Chemical', 'MESH:D002211', (161, 170)) ('capsaicin', 'Chemical', 'MESH:D002211', (234, 243)) 17957 30011784 The major rationale behind this method is from one side, the reduction of the gastric capacity by ligation of the reservoir part of the stomach, but from the other side, the pylorus ligation to prevent the passage of the gastric contents into duodenum. ('prevent', 'NegReg', (194, 201)) ('reduction', 'NegReg', (61, 70)) ('rat', 'Species', '10116', (10, 13)) ('ligation', 'Var', (98, 106)) ('gastric capacity', 'MPA', (78, 94)) ('passage of the gastric contents into duodenum', 'MPA', (206, 251)) 17992 30011784 demonstrated that oral application of L-tryptophan causes a rapid elevation of circulating melatonin in rats. ('circulating melatonin', 'MPA', (79, 100)) ('L-tryptophan', 'Chemical', 'MESH:D014364', (38, 50)) ('L-tryptophan', 'Var', (38, 50)) ('melatonin', 'Chemical', 'MESH:D008550', (91, 100)) ('rats', 'Species', '10116', (104, 108)) ('rat', 'Species', '10116', (7, 10)) ('elevation', 'PosReg', (66, 75)) ('rat', 'Species', '10116', (104, 107)) 18007 30011784 Interestingly, L-tryptophan administered orally raised melatonin not only in the pineal gland, but also in the GI-tract and the liver by about 6 and 10-fold, respectively. ('melatonin', 'MPA', (55, 64)) ('L-tryptophan', 'Var', (15, 27)) ('L-tryptophan', 'Chemical', 'MESH:D014364', (15, 27)) ('raised', 'PosReg', (48, 54)) ('melatonin', 'Chemical', 'MESH:D008550', (55, 64)) 18008 30011784 L-tryptophan also increased the circulating levels of melatonin, mainly in the portal circulation. ('L-tryptophan', 'Chemical', 'MESH:D014364', (0, 12)) ('melatonin', 'Chemical', 'MESH:D008550', (54, 63)) ('increased', 'PosReg', (18, 27)) ('circulating levels of melatonin', 'MPA', (32, 63)) ('L-tryptophan', 'Var', (0, 12)) 18009 30011784 The local alterations in melatonin levels in the GI-tract following tryptophan application were unaffected by pinealectomy but significantly reduced by the partial occlusion of the portal vein. ('reduced', 'NegReg', (141, 148)) ('partial occlusion', 'Var', (156, 173)) ('melatonin', 'Chemical', 'MESH:D008550', (25, 34)) ('tryptophan', 'Chemical', 'MESH:D014364', (68, 78)) ('rat', 'Species', '10116', (14, 17)) ('melatonin levels', 'MPA', (25, 41)) 18023 30011784 Moreover, indomethacin, used at a dose suppressing the esophageal mucosal generation of PGE2 by about 75%, or L-NNA which blunted the plasma nitrate/nitrite (NOx) level by about 60%, were more effective in suppressing the generation of mucosal PGE2 and plasma levels of NOx, respectively, in animals treated with melatonin than in vehicle-treated control rats. ('L-NNA', 'Chemical', 'MESH:D019335', (110, 115)) ('suppressing', 'NegReg', (39, 50)) ('rat', 'Species', '10116', (144, 147)) ('rat', 'Species', '10116', (78, 81)) ('NOx', 'Chemical', 'MESH:C024270', (270, 273)) ('PGE2', 'Chemical', 'MESH:D015232', (88, 92)) ('NOx', 'Chemical', 'MESH:C024270', (158, 161)) ('rat', 'Species', '10116', (355, 358)) ('L-NNA', 'Var', (110, 115)) ('nitrate', 'Chemical', 'MESH:D009566', (141, 148)) ('melatonin', 'Chemical', 'MESH:D008550', (313, 322)) ('rat', 'Species', '10116', (226, 229)) ('plasma levels of NOx', 'MPA', (253, 273)) ('PGE2', 'Chemical', 'MESH:D015232', (244, 248)) ('indomethacin', 'Chemical', 'MESH:D007213', (10, 22)) ('generation of mucosal PGE2', 'MPA', (222, 248)) ('suppressing', 'NegReg', (206, 217)) ('rats', 'Species', '10116', (355, 359)) ('nitrite', 'Chemical', 'MESH:D009573', (149, 156)) ('esophageal mucosal generation of PGE2', 'MPA', (55, 92)) 18024 30011784 The functional ablation of sensory nerves by capsaicin has been found to abolish melatonin-induced esophagoprotection. ('ablation', 'Var', (15, 23)) ('abolish', 'NegReg', (73, 80)) ('capsaicin', 'Chemical', 'MESH:D002211', (45, 54)) ('melatonin', 'Chemical', 'MESH:D008550', (81, 90)) ('melatonin-induced esophagoprotection', 'MPA', (81, 117)) 18025 30011784 Moreover, capsaicin deactivation of sensory nerves significantly attenuated the melatonin-induced increase in plasma NOx levels. ('capsaicin', 'Chemical', 'MESH:D002211', (10, 19)) ('plasma NOx levels', 'MPA', (110, 127)) ('NOx', 'Chemical', 'MESH:C024270', (117, 120)) ('attenuated', 'NegReg', (65, 75)) ('increase', 'PosReg', (98, 106)) ('deactivation', 'Var', (20, 32)) ('melatonin-induced', 'MPA', (80, 97)) ('melatonin', 'Chemical', 'MESH:D008550', (80, 89)) 18035 30011784 This is in keeping with the observation that reduced plasma levels of NOx in capsaicin denervated rats were reversed in part by co-treatment with melatonin or L-tryptophan. ('rats', 'Species', '10116', (98, 102)) ('L-tryptophan', 'Var', (159, 171)) ('L-tryptophan', 'Chemical', 'MESH:D014364', (159, 171)) ('NOx', 'Chemical', 'MESH:C024270', (70, 73)) ('plasma levels', 'MPA', (53, 66)) ('capsaicin', 'Chemical', 'MESH:D002211', (77, 86)) ('melatonin', 'Chemical', 'MESH:D008550', (146, 155)) 18036 30011784 In another experimental model of GERD, the effect of exogenous administration of melatonin and melatonin-derived endogenously from L-tryptophan with that of pantoprazole or ranitidine was studied in rats with RE evoked by two ligations, namely, (1) pylorus ligation and (2) the ligation of the limiting ridge between the forestomach and the corpus. ('ranitidine', 'Chemical', 'MESH:D011899', (173, 183)) ('rat', 'Species', '10116', (71, 74)) ('rats', 'Species', '10116', (199, 203)) ('melatonin', 'Chemical', 'MESH:D008550', (95, 104)) ('melatonin', 'Chemical', 'MESH:D008550', (81, 90)) ('L-tryptophan', 'Chemical', 'MESH:D014364', (131, 143)) ('pantoprazole', 'Chemical', 'MESH:D000077402', (157, 169)) ('pylorus', 'Disease', (249, 256)) ('GERD', 'Disease', (33, 37)) ('rat', 'Species', '10116', (199, 202)) ('GERD', 'Disease', 'MESH:D005764', (33, 37)) ('ligation', 'Var', (278, 286)) 18062 30011784 This suggests that deficiency of this indoleamine may weaken esophageal and/or duodenal barrier mechanisms, thus exerting deleterious effects on the upper GI-tract mucosa. ('deficiency', 'Var', (19, 29)) ('weaken', 'NegReg', (54, 60)) ('effects', 'Reg', (134, 141)) ('esophageal and/or', 'CPA', (61, 78)) ('indoleamine', 'Chemical', 'MESH:C067042', (38, 49)) 18075 30011784 However, the common side effect of long term PPI administration is hypergastrinemia followed by the upregulation of COX-2 expression and an increase in PG activity observed in BE. ('hypergastrinemia', 'Disease', (67, 83)) ('expression', 'MPA', (122, 132)) ('hypergastrinemia', 'Disease', 'None', (67, 83)) ('hypergastrinemia', 'Phenotype', 'HP:0500167', (67, 83)) ('rat', 'Species', '10116', (57, 60)) ('PPI', 'Var', (45, 48)) ('COX-2', 'Gene', (116, 121)) ('PG', 'Chemical', 'MESH:D011453', (152, 154)) ('increase', 'PosReg', (140, 148)) ('upregulation', 'PosReg', (100, 112)) 18088 28930282 EAC is a heterogeneous cancer dominated by copy number alterations, a high mutational burden, co-amplification of receptor tyrosine kinase, frequent TP53 mutations. ('copy number alterations', 'Var', (43, 66)) ('TP53', 'Gene', '7157', (149, 153)) ('EAC', 'Phenotype', 'HP:0011459', (0, 3)) ('cancer', 'Disease', (23, 29)) ('cancer', 'Disease', 'MESH:D009369', (23, 29)) ('TP53', 'Gene', (149, 153)) ('rat', 'Species', '10116', (59, 62)) ('mutations', 'Var', (154, 163)) ('cancer', 'Phenotype', 'HP:0002664', (23, 29)) ('EAC', 'Disease', (0, 3)) 18109 28930282 Only an integrated genomic and cellular characterization at the level of single esophageal cancer, considering the major driver mutations, the tumor heterogeneity and the major biochemical pathways sustaining tumor survival and proliferation, may led to the identification of clinically suitable biomarkers and to drive the development of new multitargeting therapeutic approaches. ('tumor', 'Disease', (209, 214)) ('tumor', 'Disease', (143, 148)) ('mutations', 'Var', (128, 137)) ('clinical', 'Species', '191496', (276, 284)) ('esophageal cancer', 'Disease', (80, 97)) ('rat', 'Species', '10116', (235, 238)) ('rat', 'Species', '10116', (13, 16)) ('esophageal cancer', 'Disease', 'MESH:D004938', (80, 97)) ('tumor', 'Disease', 'MESH:D009369', (209, 214)) ('cancer', 'Phenotype', 'HP:0002664', (91, 97)) ('tumor', 'Disease', 'MESH:D009369', (143, 148)) ('led to', 'Reg', (247, 253)) ('tumor', 'Phenotype', 'HP:0002664', (209, 214)) ('tumor', 'Phenotype', 'HP:0002664', (143, 148)) 18111 28930282 TP53 point mutations represent the most frequent gene mutations occurring in about 50% of cases, these mutations being detectable both in EAC and ESCC; TP53 mutations are detectable also in early metaplastic precancerous lesions. ('point mutations', 'Var', (5, 20)) ('precancerous lesions', 'Disease', 'MESH:D011230', (208, 228)) ('TP53', 'Gene', '7157', (0, 4)) ('TP53', 'Gene', (0, 4)) ('ESCC', 'Phenotype', 'HP:0011459', (146, 150)) ('TP53', 'Gene', '7157', (152, 156)) ('precancerous lesions', 'Disease', (208, 228)) ('TP53', 'Gene', (152, 156)) ('EAC', 'Phenotype', 'HP:0011459', (138, 141)) ('cancer', 'Phenotype', 'HP:0002664', (211, 217)) ('detectable', 'Reg', (171, 181)) ('ESCC', 'Disease', (146, 150)) ('EAC', 'Disease', (138, 141)) 18116 28930282 The two most significant tumor suppressors mutated in EAC are TP53 (72% of cases) and p16/CDKN2A (12% of cases). ('CDKN2A', 'Gene', '1029', (90, 96)) ('EAC', 'Phenotype', 'HP:0011459', (54, 57)) ('TP53', 'Gene', '7157', (62, 66)) ('tumor', 'Phenotype', 'HP:0002664', (25, 30)) ('tumor', 'Disease', (25, 30)) ('EAC', 'Disease', (54, 57)) ('TP53', 'Gene', (62, 66)) ('p16', 'Gene', (86, 89)) ('CDKN2A', 'Gene', (90, 96)) ('mutated', 'Var', (43, 50)) ('tumor', 'Disease', 'MESH:D009369', (25, 30)) ('p16', 'Gene', '1029', (86, 89)) 18117 28930282 Among them, two significantly mutated genes are ELMO1 and DOCK2, encoding dimerization partners and intracellular mediators of the Rho family; ELMO1 or DOCK2 are mutated in 17% of cases, and their mutation determines an enhancement of cellular motility and favors tumor invasion. ('tumor', 'Phenotype', 'HP:0002664', (264, 269)) ('ELMO1', 'Gene', (48, 53)) ('cellular motility', 'CPA', (235, 252)) ('ELMO1', 'Gene', (143, 148)) ('DOCK2', 'Gene', (152, 157)) ('tumor', 'Disease', (264, 269)) ('DOCK2', 'Gene', '1794', (58, 63)) ('DOCK2', 'Gene', '1794', (152, 157)) ('tumor', 'Disease', 'MESH:D009369', (264, 269)) ('ELMO1', 'Gene', '9844', (48, 53)) ('ELMO1', 'Gene', '9844', (143, 148)) ('DOCK2', 'Gene', (58, 63)) ('favors', 'PosReg', (257, 263)) ('mutation', 'Var', (197, 205)) ('enhancement', 'PosReg', (220, 231)) 18120 28930282 Finally, TLR4 mutations are observed in 6% of EACs. ('EAC', 'Phenotype', 'HP:0011459', (46, 49)) ('TLR4', 'Gene', '7099', (9, 13)) ('TLR4', 'Gene', (9, 13)) ('observed', 'Reg', (28, 36)) ('mutations', 'Var', (14, 23)) ('EACs', 'Disease', (46, 50)) 18121 28930282 It is of interest to note that if one considers both gene mutations and gene amplifications, 48% of esophageal cancers have a genomic alteration in a pathway that can be pharmacologically targeted: this is the case for PI3KCCA, EGFR, ERBB2 and MET, just to mention the most frequently altered. ('rat', 'Species', '10116', (138, 141)) ('cancers', 'Phenotype', 'HP:0002664', (111, 118)) ('PI3KCCA', 'Var', (219, 226)) ('cancer', 'Phenotype', 'HP:0002664', (111, 117)) ('esophageal cancers', 'Disease', (100, 118)) ('ERBB2', 'Gene', '2064', (234, 239)) ('MET', 'Gene', (244, 247)) ('ERBB2', 'Gene', (234, 239)) ('esophageal cancers', 'Disease', 'MESH:D004938', (100, 118)) ('EGFR', 'Gene', (228, 232)) 18123 28930282 The extreme genomic instability observed in EAC could be derived by somatic BRCA2 mutations. ('BRCA2', 'Gene', (76, 81)) ('EAC', 'Phenotype', 'HP:0011459', (44, 47)) ('EAC', 'Disease', (44, 47)) ('BRCA2', 'Gene', '675', (76, 81)) ('mutations', 'Var', (82, 91)) 18124 28930282 A very recent study provided a detailed whole genome sequencing analysis of EACs with the molecular characterization of 129 cases, showing that EAC is a heterogeneous cancer dominated by copy number alterations with frequent large-scale rearrangements. ('cancer', 'Disease', 'MESH:D009369', (167, 173)) ('cancer', 'Disease', (167, 173)) ('EAC', 'Phenotype', 'HP:0011459', (144, 147)) ('cancer', 'Phenotype', 'HP:0002664', (167, 173)) ('copy number alterations', 'Var', (187, 210)) ('EAC', 'Disease', (144, 147)) ('EAC', 'Phenotype', 'HP:0011459', (76, 79)) ('rat', 'Species', '10116', (203, 206)) 18126 28930282 Somatic mobile element insertions were also frequent at the level of relevant genes: ERBB4 (about 5%); CTNNA3 (5%), CTNNA2 (3%); CDH 18 (3%) and SOX5 (2%). ('insertions', 'Var', (23, 33)) ('ERBB4', 'Gene', (85, 90)) ('ERBB4', 'Gene', '2066', (85, 90)) ('SOX5', 'Gene', '6660', (145, 149)) ('CDH 18', 'Gene', (129, 135)) ('CTNNA2', 'Gene', '1496', (116, 122)) ('CTNNA3', 'Gene', (103, 109)) ('CTNNA3', 'Gene', '29119', (103, 109)) ('CDH 18', 'Gene', '1016', (129, 135)) ('SOX5', 'Gene', (145, 149)) ('CTNNA2', 'Gene', (116, 122)) 18128 28930282 The most frequent mutational events occurred at the level of TP53 (81%), ARID1A (17%), SMAD4 (16%), CDKN2A (15%), KCNQ3 (12%), CCDC 102B (9%) and CYP7B1 (7%). ('CDKN2A', 'Gene', '1029', (100, 106)) ('mutational', 'Var', (18, 28)) ('CYP7B1', 'Gene', '9420', (146, 152)) ('TP53', 'Gene', '7157', (61, 65)) ('CCDC 102B', 'Gene', (127, 136)) ('SMAD4', 'Gene', '4089', (87, 92)) ('CCDC 102B', 'Gene', '79839', (127, 136)) ('CDKN2A', 'Gene', (100, 106)) ('ARID1A', 'Gene', '8289', (73, 79)) ('KCNQ3', 'Gene', (114, 119)) ('ARID1A', 'Gene', (73, 79)) ('CYP7B1', 'Gene', (146, 152)) ('SMAD4', 'Gene', (87, 92)) ('TP53', 'Gene', (61, 65)) ('KCNQ3', 'Gene', '3786', (114, 119)) 18130 28930282 In addition, genetic alterations are also frequent at the level of the downstream signaling pathways MAPK and PI3K. ('MAPK', 'Pathway', (101, 105)) ('PI3K', 'Disease', (110, 114)) ('rat', 'Species', '10116', (25, 28)) ('frequent', 'Reg', (42, 50)) ('genetic alterations', 'Var', (13, 32)) 18131 28930282 Importantly, through the analysis of molecular signatures three distinct molecular subtypes with potential therapeutic relevance have been identified: (a) enrichment for BRCA signature with prevalent defects in the homologous recombinant pathway; (b) dominant T > G mutational pattern associated with a high mutational load and neoantigen burden; (c) C > A/T mutational pattern with evidence of an aging imprint. ('homologous recombinant pathway', 'Pathway', (215, 245)) ('BRCA', 'Gene', '672', (170, 174)) ('dominant T > G', 'Var', (251, 265)) ('associated', 'Reg', (285, 295)) ('BRCA', 'Gene', (170, 174)) ('C > A/T', 'Var', (351, 358)) 18134 28930282 Findlay and coworkers observed that the response of EAC genome to neo-adjuvant chemotherapy greatly varies: a group of poor responders EAC display only minor genomic changes following treatment; another group of patients displays multiple genetic driver mutations that variably increase or decrease in frequency following treatment, sometimes showing complete loss or gain; finally, a third group of patients was marked by clonal shifts, reminiscent of genetic bottlenecking. ('decrease', 'NegReg', (290, 298)) ('increase', 'PosReg', (278, 286)) ('patients', 'Species', '9606', (400, 408)) ('patients', 'Species', '9606', (212, 220)) ('loss or gain', 'Disease', 'MESH:D015430', (360, 372)) ('loss or gain', 'Disease', (360, 372)) ('EAC', 'Phenotype', 'HP:0011459', (52, 55)) ('EAC', 'Phenotype', 'HP:0011459', (135, 138)) ('mutations', 'Var', (254, 263)) 18135 28930282 In this context, the behavior of p53-mutant cells may be considered paradigmatic: some cancers retain their p53 mutation after treatment; other cancers harbor multiple single nucleotide variation or copy number alterations that can be lost, gained or change in their frequency after treatment; finally, in other cancers, p53 mutations can be lost in the absence of CNAs, since the mutant p53 resides in tumor cell clones that are lost as they pass through a genetic bottleneck. ('tumor', 'Disease', 'MESH:D009369', (403, 408)) ('rat', 'Species', '10116', (215, 218)) ('cancers', 'Phenotype', 'HP:0002664', (312, 319)) ('cancers', 'Disease', (312, 319)) ('cancer', 'Phenotype', 'HP:0002664', (144, 150)) ('cancer', 'Phenotype', 'HP:0002664', (312, 318)) ('tumor', 'Phenotype', 'HP:0002664', (403, 408)) ('cancers', 'Phenotype', 'HP:0002664', (144, 151)) ('p53', 'Gene', (388, 391)) ('cancers', 'Disease', (144, 151)) ('cancers', 'Phenotype', 'HP:0002664', (87, 94)) ('mutant', 'Var', (381, 387)) ('cancers', 'Disease', (87, 94)) ('cancer', 'Phenotype', 'HP:0002664', (87, 93)) ('cancers', 'Disease', 'MESH:D009369', (312, 319)) ('p53', 'Gene', (321, 324)) ('tumor', 'Disease', (403, 408)) ('cancers', 'Disease', 'MESH:D009369', (144, 151)) ('cancers', 'Disease', 'MESH:D009369', (87, 94)) 18140 28930282 Initial studies have highlighted the low frequency (<5%) of K-Ras mutations in both esophageal adenocarcinomas and squamous carcinomas, while a high frequency (around 40%) was observed in colon cancer. ('mutations', 'Var', (66, 75)) ('K-Ras', 'Gene', '3845', (60, 65)) ('carcinoma', 'Phenotype', 'HP:0030731', (100, 109)) ('carcinomas', 'Phenotype', 'HP:0030731', (100, 110)) ('carcinoma', 'Phenotype', 'HP:0030731', (124, 133)) ('esophageal adenocarcinomas and squamous carcinomas', 'Disease', 'MESH:D000077277', (84, 134)) ('colon cancer', 'Disease', 'MESH:D015179', (188, 200)) ('colon cancer', 'Phenotype', 'HP:0003003', (188, 200)) ('K-Ras', 'Gene', (60, 65)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (84, 109)) ('carcinomas', 'Phenotype', 'HP:0030731', (124, 134)) ('cancer', 'Phenotype', 'HP:0002664', (194, 200)) ('colon cancer', 'Disease', (188, 200)) ('squamous carcinoma', 'Phenotype', 'HP:0002860', (115, 133)) 18142 28930282 As stated above, observational studies have indicated that a number of factors, including chronic gastro-esophageal reflux, cigarette smoking, obesity and Helicobacter pylori Cag A seronegativity account for the large majority (about 75%-80%) of esophageal adenocarcinomas. ('obesity', 'Phenotype', 'HP:0001513', (143, 150)) ('carcinomas', 'Phenotype', 'HP:0030731', (262, 272)) ('esophageal adenocarcinomas', 'Disease', 'MESH:D004938', (246, 272)) ('Helicobacter pylori', 'Species', '210', (155, 174)) ('gastro-esophageal reflux', 'Disease', (98, 122)) ('obesity', 'Disease', 'MESH:D009765', (143, 150)) ('Helicobacter pylori', 'Disease', (155, 174)) ('gastro-esophageal reflux', 'Disease', 'MESH:D005764', (98, 122)) ('obesity', 'Disease', (143, 150)) ('seronegativity', 'Var', (181, 195)) ('esophageal adenocarcinomas', 'Disease', (246, 272)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (246, 271)) ('esophageal reflux', 'Phenotype', 'HP:0002020', (105, 122)) ('carcinoma', 'Phenotype', 'HP:0030731', (262, 271)) 18155 28930282 Studies on the transition of Barrett's esophagus to EAC have initially focused on the alterations of p16 and TP53 genes. ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (29, 48)) ('p16', 'Gene', '1029', (101, 104)) ('alterations', 'Var', (86, 97)) ('TP53', 'Gene', '7157', (109, 113)) ('EAC', 'Phenotype', 'HP:0011459', (52, 55)) ('TP53', 'Gene', (109, 113)) ('p16', 'Gene', (101, 104)) ('rat', 'Species', '10116', (90, 93)) 18156 28930282 One model proposed by Maley and coworkers suggests that an initial mutation (most commonly inactivation of p16) confers a selective advantage to a cell population and this mutation is present in most of cells of Barrett's esophagus; the acquisition of additional mutations (i.e., inactivating TP53 mutations) give rise to cell clones able to expand across the Barrett's lesion. ('cell clones', 'CPA', (322, 333)) ("Barrett's lesion", 'Disease', 'MESH:D001471', (360, 376)) ("Barrett's lesion", 'Disease', (360, 376)) ('p16', 'Gene', '1029', (107, 110)) ('TP53', 'Gene', '7157', (293, 297)) ('inactivating', 'Var', (280, 292)) ('TP53', 'Gene', (293, 297)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (212, 231)) ('p16', 'Gene', (107, 110)) ('mutations', 'Var', (298, 307)) 18157 28930282 In this context, Agrawal and coworkers have performed exome sequencing on 11 EAC samples and 2 samples of Barrett's esophagus adjacent to the cancer; surprisingly, most of mutations were found to be present even in the Barrett's esophagus samples. ('cancer', 'Disease', 'MESH:D009369', (142, 148)) ('mutations', 'Var', (172, 181)) ('EAC', 'Phenotype', 'HP:0011459', (77, 80)) ('cancer', 'Phenotype', 'HP:0002664', (142, 148)) ('EAC', 'Disease', (77, 80)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (106, 125)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (219, 238)) ('cancer', 'Disease', (142, 148)) 18159 28930282 Thus, using whole-genome sequencing and amplicon sequencing, these authors have identified recurrent genetic alterations occurring in 112 EACs and in transition tumor lesions: Barrett's esophagus (66 cases) and high-grade dysplasia (43 cases). ('EACs', 'Disease', (138, 142)) ('rat', 'Species', '10116', (113, 116)) ('tumor', 'Disease', 'MESH:D009369', (161, 166)) ('dysplasia', 'Disease', (222, 231)) ('alterations', 'Var', (109, 120)) ('tumor', 'Phenotype', 'HP:0002664', (161, 166)) ('EAC', 'Phenotype', 'HP:0011459', (138, 141)) ("Barrett's esophagus", 'Disease', (176, 195)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (176, 195)) ('dysplasia', 'Disease', 'MESH:D004476', (222, 231)) ('tumor', 'Disease', (161, 166)) 18160 28930282 Only TP53 and SMAD4 mutations occurred in a stage-specific manner, the first one being confined to high-grade dysplasia and the second-one to non-dysplastic Barrett's esophagus (Figure 2). ('SMAD4', 'Gene', '4089', (14, 19)) ("non-dysplastic Barrett's esophagus", 'Disease', (142, 176)) ('dysplasia', 'Disease', (110, 119)) ('dysplasia', 'Disease', 'MESH:D004476', (110, 119)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (157, 176)) ('SMAD4', 'Gene', (14, 19)) ('TP53', 'Gene', '7157', (5, 9)) ('TP53', 'Gene', (5, 9)) ("non-dysplastic Barrett's esophagus", 'Disease', 'MESH:D001471', (142, 176)) ('mutations', 'Var', (20, 29)) 18161 28930282 These findings clearly indicate that the few cancer driver mutations characterizing EC occur early during esophageal carcinogenesis. ('esophageal carcinogenesis', 'Disease', (106, 131)) ('cancer', 'Phenotype', 'HP:0002664', (45, 51)) ('cancer', 'Disease', 'MESH:D009369', (45, 51)) ('mutations', 'Var', (59, 68)) ('cancer', 'Disease', (45, 51)) ('esophageal carcinogenesis', 'Disease', 'MESH:D063646', (106, 131)) 18165 28930282 These studies showed also that Barrett's esophagus is highly mutated even in the absence of dysplasia (6.76 mutations/Mb, a mutation rate higher than for many other tumors at an advanced stage of development). ('mutations/Mb', 'Var', (108, 120)) ('tumor', 'Phenotype', 'HP:0002664', (165, 170)) ('absence of dysplasia', 'Disease', 'MESH:D004832', (81, 101)) ('tumors', 'Disease', (165, 171)) ('tumors', 'Disease', 'MESH:D009369', (165, 171)) ('absence of dysplasia', 'Disease', (81, 101)) ('tumors', 'Phenotype', 'HP:0002664', (165, 171)) ('rat', 'Species', '10116', (133, 136)) ("Barrett's esophagus", 'Disease', (31, 50)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (31, 50)) 18167 28930282 TP53 mutations were less common in Barrett's esophagus (39%) than in EAC (83%); similarly, other putative EAC driver genes, such as EYS, ARID1A and ABCB1, were mutated less commonly and are shared in only 28% of cases between paired Barrett's and EAC samples. ('TP53', 'Gene', '7157', (0, 4)) ('ARID1A', 'Gene', '8289', (137, 143)) ('TP53', 'Gene', (0, 4)) ('ARID1A', 'Gene', (137, 143)) ('EAC', 'Phenotype', 'HP:0011459', (247, 250)) ('EAC', 'Phenotype', 'HP:0011459', (106, 109)) ('mutations', 'Var', (5, 14)) ('EYS', 'Gene', '346007', (132, 135)) ('EYS', 'Gene', (132, 135)) ('EAC', 'Phenotype', 'HP:0011459', (69, 72)) ('ABCB1', 'Gene', (148, 153)) ('ABCB1', 'Gene', '5243', (148, 153)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (35, 54)) 18169 28930282 Another study published in parallel carried out on 25 pairs of Barrett's esophagus/EAC confirmed that the number of focal deletions and amplifications clearly increased during progression from Barrett's esophagus without dysplasia, to Barrett's esophagus with dysplasia and then to EAC. ('amplifications', 'Var', (136, 150)) ('EAC', 'Disease', (282, 285)) ("Barrett's esophagus", 'Disease', (235, 254)) ('dysplasia', 'Disease', (221, 230)) ("Barrett's esophagus", 'Disease', (193, 212)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (193, 212)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (235, 254)) ('dysplasia', 'Disease', 'MESH:D004476', (221, 230)) ('increased', 'PosReg', (159, 168)) ('dysplasia', 'Disease', (260, 269)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (63, 82)) ('EAC', 'Phenotype', 'HP:0011459', (83, 86)) ('EAC', 'Phenotype', 'HP:0011459', (282, 285)) ('dysplasia', 'Disease', 'MESH:D004476', (260, 269)) 18171 28930282 Particularly, mutations of genes encoding chromatin modifiers, cell cycle regulators and TGF-beta pathway are more common in non-genome doubled EAC, compared to those with genome doubled; in contrast, genome doubled EACs contain more frequent amplifications in cell cycle regulators and transcription factors (Figure 3). ('common', 'Reg', (115, 121)) ('cell', 'Gene', (261, 265)) ('EAC', 'Phenotype', 'HP:0011459', (216, 219)) ('EAC', 'Phenotype', 'HP:0011459', (144, 147)) ('TGF-beta', 'Gene', '7040', (89, 97)) ('mutations', 'Var', (14, 23)) ('amplifications', 'MPA', (243, 257)) ('TGF-beta', 'Gene', (89, 97)) 18180 28930282 In some cases, TP53 mutation can lead to cancer development more rapidly through chromosomal catastrophe or genome doubling and genetic instability. ('lead to', 'Reg', (33, 40)) ('cancer', 'Phenotype', 'HP:0002664', (41, 47)) ('genetic instability', 'CPA', (128, 147)) ('mutation', 'Var', (20, 28)) ('chromosomal catastrophe', 'CPA', (81, 104)) ('TP53', 'Gene', '7157', (15, 19)) ('genome doubling', 'CPA', (108, 123)) ('TP53', 'Gene', (15, 19)) ('chromosomal catastrophe', 'Phenotype', 'HP:0040012', (81, 104)) ('cancer', 'Disease', (41, 47)) ('cancer', 'Disease', 'MESH:D009369', (41, 47)) 18181 28930282 Various genetic mutations have been identified in esophageal squamous cell cancers and many of them are associated with specific cellular pathways, such as cell cycle, apoptosis, DNA repair mechanisms, growth factor receptors. ('cancers', 'Phenotype', 'HP:0002664', (75, 82)) ('mutations', 'Var', (16, 25)) ('squamous cell cancers', 'Phenotype', 'HP:0002860', (61, 82)) ('associated', 'Reg', (104, 114)) ('esophageal squamous cell cancers', 'Disease', (50, 82)) ('apoptosis', 'CPA', (168, 177)) ('esophageal squamous cell cancers', 'Disease', 'MESH:D002294', (50, 82)) ('cancer', 'Phenotype', 'HP:0002664', (75, 81)) ('cell cycle', 'CPA', (156, 166)) 18183 28930282 These authors have reported the comparative exome sequencing of 11 EACs and 12 ESCCs and observed that, while the mutational frequency at the level of the tumor suppressor TP53 was similar (73% in EAC and 92% in ESCC), NOTCH1 and NOTCH3 mutations were much more frequent among ESCC (33 and 25%, respectively) than EAC (0 and 9%, respectively). ('tumor', 'Disease', (155, 160)) ('NOTCH3', 'Gene', (230, 236)) ('EAC', 'Phenotype', 'HP:0011459', (197, 200)) ('tumor', 'Disease', 'MESH:D009369', (155, 160)) ('TP53', 'Gene', (172, 176)) ('NOTCH1', 'Gene', (219, 225)) ('frequent', 'Reg', (262, 270)) ('EAC', 'Phenotype', 'HP:0011459', (67, 70)) ('mutations', 'Var', (237, 246)) ('ESCC', 'Phenotype', 'HP:0011459', (79, 83)) ('tumor', 'Phenotype', 'HP:0002664', (155, 160)) ('rat', 'Species', '10116', (37, 40)) ('NOTCH1', 'Gene', '4851', (219, 225)) ('ESCC', 'Phenotype', 'HP:0011459', (277, 281)) ('ESCC', 'Phenotype', 'HP:0011459', (212, 216)) ('EAC', 'Phenotype', 'HP:0011459', (314, 317)) ('TP53', 'Gene', '7157', (172, 176)) ('ESCC', 'Disease', (277, 281)) ('NOTCH3', 'Gene', '4854', (230, 236)) 18184 28930282 According to these findings these authors have explored NOTCH1 mutations in two larger groups ESCC patients, originating from two different geographical areas and observed a frequency of NOTCH1 mutations markedly higher in Northern American ESCCs (11 of 53 cases) than in Chinese ESCCs (1 of 48 cases). ('ESCC', 'Phenotype', 'HP:0011459', (241, 245)) ('ESCC', 'Phenotype', 'HP:0011459', (94, 98)) ('NOTCH1', 'Gene', (187, 193)) ('ESCC', 'Phenotype', 'HP:0011459', (280, 284)) ('mutations', 'Var', (194, 203)) ('higher', 'PosReg', (213, 219)) ('patients', 'Species', '9606', (99, 107)) ('NOTCH1', 'Gene', '4851', (56, 62)) ('NOTCH1', 'Gene', (56, 62)) ('NOTCH1', 'Gene', '4851', (187, 193)) 18185 28930282 Now, the significance and the origin of this consistent geographic variation in the frequency of NOTCH1 mutations are largely unknown. ('NOTCH1', 'Gene', '4851', (97, 103)) ('NOTCH1', 'Gene', (97, 103)) ('mutations', 'Var', (104, 113)) 18186 28930282 More recently, Chen and coworkers explored the occurrence and the possible functional implications of NOTCH 1 mutations and NOTCH pathway mutations in ESCC cancer development and progression. ('ESCC cancer', 'Disease', 'MESH:D004938', (151, 162)) ('ESCC cancer', 'Disease', (151, 162)) ('mutations', 'Var', (110, 119)) ('NOTCH pathway', 'Gene', (124, 137)) ('cancer', 'Phenotype', 'HP:0002664', (156, 162)) ('NOTCH 1', 'Gene', (102, 109)) ('ESCC', 'Phenotype', 'HP:0011459', (151, 155)) ('NOTCH 1', 'Gene', '4851', (102, 109)) ('mutations', 'Var', (138, 147)) 18187 28930282 These authors reported a frequency of NOTCH1 mutations in Chinese stage III ESCCs corresponding to 8%. ('mutations', 'Var', (45, 54)) ('NOTCH1', 'Gene', '4851', (38, 44)) ('NOTCH1', 'Gene', (38, 44)) ('ESCC', 'Phenotype', 'HP:0011459', (76, 80)) 18188 28930282 Interestingly, the frequency of NOTCH1 mutations was markedly higher for stage I ESCC patients, corresponding to 35%. ('NOTCH1', 'Gene', '4851', (32, 38)) ('NOTCH1', 'Gene', (32, 38)) ('stage I ESCC', 'Disease', (73, 85)) ('mutations', 'Var', (39, 48)) ('ESCC', 'Phenotype', 'HP:0011459', (81, 85)) ('higher', 'Reg', (62, 68)) ('patients', 'Species', '9606', (86, 94)) 18189 28930282 Mutations of the whole NOTCH pathway were observed in 55% of stage I tumors, versus 32% of stage III tumors. ('tumor', 'Phenotype', 'HP:0002664', (69, 74)) ('I tumors', 'Disease', 'MESH:D009369', (67, 75)) ('tumor', 'Phenotype', 'HP:0002664', (101, 106)) ('I tumors', 'Disease', 'MESH:D009369', (99, 107)) ('tumors', 'Phenotype', 'HP:0002664', (69, 75)) ('observed', 'Reg', (42, 50)) ('Mutations', 'Var', (0, 9)) ('III tumors', 'Disease', 'MESH:D009369', (97, 107)) ('NOTCH pathway', 'Pathway', (23, 36)) ('tumors', 'Phenotype', 'HP:0002664', (101, 107)) ('I tumors', 'Disease', (67, 75)) ('III tumors', 'Disease', (97, 107)) 18190 28930282 According to these findings, it was concluded that NOTCH alterations are an early event in ESCC pathogenesis, playing an important role in early stages of tumor development. ('tumor', 'Disease', 'MESH:D009369', (155, 160)) ('tumor', 'Phenotype', 'HP:0002664', (155, 160)) ('ESCC', 'Disease', (91, 95)) ('tumor', 'Disease', (155, 160)) ('rat', 'Species', '10116', (61, 64)) ('NOTCH alterations', 'Var', (51, 68)) ('ESCC', 'Phenotype', 'HP:0011459', (91, 95)) 18193 28930282 In spite the not frequent NOTCH mutations in EAC, the NOTCH pathway is frequently activated in EAC due to impairment of the TGF-beta signaling. ('EAC', 'Phenotype', 'HP:0011459', (95, 98)) ('activated', 'PosReg', (82, 91)) ('TGF-beta', 'Gene', (124, 132)) ('NOTCH pathway', 'Pathway', (54, 67)) ('EAC', 'Disease', (95, 98)) ('mutations', 'Var', (32, 41)) ('EAC', 'Phenotype', 'HP:0011459', (45, 48)) ('TGF-beta', 'Gene', '7040', (124, 132)) 18194 28930282 In fact, an impairment of the TGF-beta signaling pathway was frequently observed in Barrett's metaplasia-dysplasia and esophageal carcinoma due to the frequent downmodulation of Smad4 related to various mechanisms, including promoter methylation, gene deletion and protein modification. ('Smad4', 'Gene', (178, 183)) ("Barrett's metaplasia-dysplasia", 'Disease', 'MESH:D001471', (84, 114)) ('observed', 'Reg', (72, 80)) ('esophageal carcinoma', 'Disease', 'MESH:D004938', (119, 139)) ('Smad4', 'Gene', '4089', (178, 183)) ('gene deletion', 'Var', (247, 260)) ('esophageal carcinoma', 'Phenotype', 'HP:0011459', (119, 139)) ('downmodulation', 'NegReg', (160, 174)) ('promoter methylation', 'Var', (225, 245)) ('TGF-beta', 'Gene', '7040', (30, 38)) ('carcinoma', 'Phenotype', 'HP:0030731', (130, 139)) ("Barrett's metaplasia-dysplasia", 'Disease', (84, 114)) ('protein modification', 'Var', (265, 285)) ('TGF-beta', 'Gene', (30, 38)) ('esophageal carcinoma', 'Disease', (119, 139)) 18197 28930282 EGFR is overexpressed at protein level in about 50% of ESCCs and in about 30% of cases this gene is amplified; interestingly, EGFR overexpression and TP53 mutations are very frequent in precancerous lesions and TP53 mutations are correlated with EGFR overexpression. ('TP53', 'Gene', (150, 154)) ('mutations', 'Var', (155, 164)) ('EGFR', 'Gene', (126, 130)) ('precancerous lesions', 'Disease', (186, 206)) ('cancer', 'Phenotype', 'HP:0002664', (189, 195)) ('TP53', 'Gene', '7157', (211, 215)) ('TP53', 'Gene', (211, 215)) ('mutations', 'Var', (216, 225)) ('TP53', 'Gene', '7157', (150, 154)) ('overexpression', 'PosReg', (131, 145)) ('precancerous lesions', 'Disease', 'MESH:D011230', (186, 206)) ('ESCC', 'Phenotype', 'HP:0011459', (55, 59)) 18198 28930282 In line with these findings, EGFR overexpression and p53 mutations are necessary and sufficient to transform epithelial esophageal cells, leading to increased cell motility, anchorage independent growth, and tumor formation in nude mice. ('nude mice', 'Species', '10090', (227, 236)) ('tumor', 'Disease', 'MESH:D009369', (208, 213)) ('increased', 'PosReg', (149, 158)) ('anchorage independent growth', 'CPA', (174, 202)) ('tumor', 'Phenotype', 'HP:0002664', (208, 213)) ('mutations', 'Var', (57, 66)) ('p53', 'Gene', (53, 56)) ('EGFR', 'Gene', (29, 33)) ('tumor', 'Disease', (208, 213)) ('cell motility', 'CPA', (159, 172)) 18200 28930282 P16INK4a expression is frequently reduced in ESCC and this is due to various mechanisms, including aberrant p16INK4a gene methylation observed in 62% of cases, loss of heterozygosity of the p16INK4a gene observed in 13% of cases, mutations of the p16INK4a gene observed in 6% of cases. ('p16INK4a', 'Gene', (190, 198)) ('methylation', 'MPA', (122, 133)) ('p16INK4a', 'Gene', '1029', (108, 116)) ('reduced', 'NegReg', (34, 41)) ('P16INK4a', 'Gene', (0, 8)) ('ESCC', 'Phenotype', 'HP:0011459', (45, 49)) ('p16INK4a', 'Gene', (247, 255)) ('p16INK4a', 'Gene', '1029', (190, 198)) ('expression', 'MPA', (9, 19)) ('ESCC', 'Disease', (45, 49)) ('p16INK4a', 'Gene', (108, 116)) ('P16INK4a', 'Gene', '1029', (0, 8)) ('p16INK4a', 'Gene', '1029', (247, 255)) ('loss of heterozygosity', 'Var', (160, 182)) 18202 28930282 In initial studies mutations of the PI3KCA gene, which encodes the p110alpha catalytic subunit of PI3K have been reported in 2%-12% of ESCC patients. ('ESCC', 'Disease', (135, 139)) ('ESCC', 'Phenotype', 'HP:0011459', (135, 139)) ('mutations', 'Var', (19, 28)) ('patients', 'Species', '9606', (140, 148)) ('reported', 'Reg', (113, 121)) ('PI3KCA', 'Gene', (36, 42)) 18203 28930282 Recently, the occurrence and the prognostic impact of PI3KCA mutations was analyzed in many ESCC patients, showing that PI3KCA mutations were detected in 21% of patients and, compared with wild-type PI3KCA patients, these patients displayed a better prognosis, as analyzed in disease-free survival and overall survival. ('ESCC', 'Disease', (92, 96)) ('patients', 'Species', '9606', (222, 230)) ('patients', 'Species', '9606', (161, 169)) ('patients', 'Species', '9606', (206, 214)) ('ESCC', 'Phenotype', 'HP:0011459', (92, 96)) ('mutations', 'Var', (127, 136)) ('PI3KCA', 'Gene', (120, 126)) ('patients', 'Species', '9606', (97, 105)) 18211 28930282 A copy gain number of SOX2 gene was observed in 15% of ESCC patients and SOX2 protein was overexpressed in 70% of ESCC tumors. ('tumors', 'Phenotype', 'HP:0002664', (119, 125)) ('SOX2', 'Gene', '6657', (73, 77)) ('SOX2', 'Gene', (73, 77)) ('copy', 'Var', (2, 6)) ('patients', 'Species', '9606', (60, 68)) ('ESCC', 'Phenotype', 'HP:0011459', (114, 118)) ('overexpressed', 'PosReg', (90, 103)) ('ESCC tumors', 'Disease', (114, 125)) ('SOX2', 'Gene', '6657', (22, 26)) ('SOX2', 'Gene', (22, 26)) ('ESCC', 'Disease', (55, 59)) ('tumor', 'Phenotype', 'HP:0002664', (119, 124)) ('ESCC tumors', 'Disease', 'MESH:D004938', (114, 125)) ('ESCC', 'Phenotype', 'HP:0011459', (55, 59)) 18217 28930282 A first study by Lin and coworkers provided evidence about the recurrent mutation of TP53, PIK3CA, NOTCH1, FAT1, FAT2, ZNF750 and KTM2D genes in Chinese ESCC primary tumor samples. ('PIK3CA', 'Gene', (91, 97)) ('TP53', 'Gene', (85, 89)) ('FAT2', 'Gene', (113, 117)) ('ZNF750', 'Gene', (119, 125)) ('tumor', 'Disease', 'MESH:D009369', (166, 171)) ('FAT1', 'Gene', '2195', (107, 111)) ('FAT1', 'Gene', (107, 111)) ('NOTCH1', 'Gene', '4851', (99, 105)) ('tumor', 'Phenotype', 'HP:0002664', (166, 171)) ('PIK3CA', 'Gene', '5290', (91, 97)) ('ESCC', 'Phenotype', 'HP:0011459', (153, 157)) ('NOTCH1', 'Gene', (99, 105)) ('tumor', 'Disease', (166, 171)) ('ZNF750', 'Gene', '79755', (119, 125)) ('TP53', 'Gene', '7157', (85, 89)) ('mutation', 'Var', (73, 81)) ('FAT2', 'Gene', '2196', (113, 117)) 18219 28930282 This analysis provided evidence about recurrent mutations at the level of: six well known tumor-associated genes, such as TP53, RB1, CDKN2A, PIK3CA, NOTCH1, NFE2L2; two not previously reported genes, such as ADAM29 and FAM135B; six histone regulator genes, such as MLL2 (KMTD2), MLL3 (KMT2C), ASH1L, SETD1B, CREBBP and EP300. ('ASH1L', 'Gene', '55870', (293, 298)) ('MLL2', 'Gene', (265, 269)) ('NFE2L2', 'Gene', '4780', (157, 163)) ('ADAM29', 'Gene', (208, 214)) ('FAM135B', 'Gene', '51059', (219, 226)) ('RB1', 'Gene', '5925', (128, 131)) ('CREBBP', 'Gene', '1387', (308, 314)) ('CDKN2A', 'Gene', '1029', (133, 139)) ('mutations', 'Var', (48, 57)) ('NOTCH1', 'Gene', (149, 155)) ('SETD1B', 'Gene', '23067', (300, 306)) ('ADAM29', 'Gene', '11086', (208, 214)) ('tumor', 'Disease', (90, 95)) ('NFE2L2', 'Gene', (157, 163)) ('PIK3CA', 'Gene', '5290', (141, 147)) ('NOTCH1', 'Gene', '4851', (149, 155)) ('tumor', 'Disease', 'MESH:D009369', (90, 95)) ('TP53', 'Gene', (122, 126)) ('FAM135B', 'Gene', (219, 226)) ('EP300', 'Gene', '2033', (319, 324)) ('MLL3', 'Gene', '58508', (279, 283)) ('KMT2C', 'Gene', '58508', (285, 290)) ('KMT2C', 'Gene', (285, 290)) ('EP300', 'Gene', (319, 324)) ('ASH1L', 'Gene', (293, 298)) ('RB1', 'Gene', (128, 131)) ('CREBBP', 'Gene', (308, 314)) ('SETD1B', 'Gene', (300, 306)) ('tumor', 'Phenotype', 'HP:0002664', (90, 95)) ('CDKN2A', 'Gene', (133, 139)) ('MLL3', 'Gene', (279, 283)) ('PIK3CA', 'Gene', (141, 147)) ('MLL2', 'Gene', '8085', (265, 269)) ('TP53', 'Gene', '7157', (122, 126)) 18222 28930282 This fundamental analysis showed that: (a) genes involved in the regulation of apoptosis and cell cycle are mutated in virtually all cases (99%): TP53 (93%), CCND1 (33%), CDKN2A (20%), NFE2L2 (10%) and RB1 (9%); (b) histone regulatory genes are frequently mutated: KMTD2 (9%), KMT2C (6%), KDM6A (7%), EP300 (10%) and CREBBP (6%); (c) the Hippo pathway is frequently deregulated due to mutations in FAT1, FAT2, FAT3 or FAT4 (27%); (d) the NOTCH pathway is frequently deregulated by mutations inn NOTCH1, NOTCH2 or NOTCH3 (22%) or FBXW7 (5%) (Figure 1). ('EP300', 'Gene', (301, 306)) ('NOTCH2', 'Gene', '4853', (503, 509)) ('FAT3', 'Gene', '120114', (410, 414)) ('CREBBP', 'Gene', '1387', (317, 323)) ('FAT4', 'Gene', (418, 422)) ('FAT2', 'Gene', (404, 408)) ('KDM6A', 'Gene', (289, 294)) ('CDKN2A', 'Gene', '1029', (171, 177)) ('FAT1', 'Gene', '2195', (398, 402)) ('NOTCH3', 'Gene', '4854', (513, 519)) ('Hippo pathway', 'Pathway', (338, 351)) ('TP53', 'Gene', (146, 150)) ('deregulated', 'Reg', (366, 377)) ('NOTCH3', 'Gene', (513, 519)) ('FBXW7', 'Gene', (529, 534)) ('NOTCH2', 'Gene', (503, 509)) ('RB1', 'Gene', (202, 205)) ('CCND1', 'Gene', '595', (158, 163)) ('KMT2C', 'Gene', '58508', (277, 282)) ('KMT2C', 'Gene', (277, 282)) ('NFE2L2', 'Gene', '4780', (185, 191)) ('FAT4', 'Gene', '79633', (418, 422)) ('CCND1', 'Gene', (158, 163)) ('FAT2', 'Gene', '2196', (404, 408)) ('FAT1', 'Gene', (398, 402)) ('CREBBP', 'Gene', (317, 323)) ('NOTCH1', 'Gene', (495, 501)) ('FAT3', 'Gene', (410, 414)) ('mutations', 'Var', (481, 490)) ('KDM6A', 'Gene', '7403', (289, 294)) ('EP300', 'Gene', '2033', (301, 306)) ('TP53', 'Gene', '7157', (146, 150)) ('FBXW7', 'Gene', '55294', (529, 534)) ('RB1', 'Gene', '5925', (202, 205)) ('CDKN2A', 'Gene', (171, 177)) ('NOTCH pathway', 'Pathway', (438, 451)) ('deregulated', 'Reg', (466, 477)) ('NFE2L2', 'Gene', (185, 191)) ('NOTCH1', 'Gene', '4851', (495, 501)) ('mutations', 'Var', (385, 394)) 18223 28930282 The structural variations frequently led to disruption of cancer-associated genes (e.g., CDKN2A and NOTCH1) with different mutational mechanisms. ('cancer', 'Phenotype', 'HP:0002664', (58, 64)) ('structural variations', 'Var', (4, 25)) ('disruption', 'NegReg', (44, 54)) ('led to', 'Reg', (37, 43)) ('CDKN2A', 'Gene', (89, 95)) ('cancer', 'Disease', 'MESH:D009369', (58, 64)) ('NOTCH1', 'Gene', '4851', (100, 106)) ('CDKN2A', 'Gene', '1029', (89, 95)) ('cancer', 'Disease', (58, 64)) ('NOTCH1', 'Gene', (100, 106)) 18225 28930282 Furthermore, analyses of copy-number alterations reveal high frequency of whole-genome duplication (WGD) and recurrent focal amplification of CDCA7 that might act as a potential oncogene in ESCC. ('ESCC', 'Disease', (190, 194)) ('CDCA7', 'Gene', (142, 147)) ('whole-genome duplication', 'Var', (74, 98)) ('ESCC', 'Phenotype', 'HP:0011459', (190, 194)) ('rat', 'Species', '10116', (41, 44)) ('CDCA7', 'Gene', '83879', (142, 147)) 18228 28930282 A high proportion of mutations in these patients were C to G/T substitutions with a flanking 5' thymine ("APOBEC signature"). ('patients', 'Species', '9606', (40, 48)) ('C to G/T', 'Var', (54, 62)) ('BE', 'Phenotype', 'HP:0100580', (109, 111)) ('mutations', 'Var', (21, 30)) 18231 28930282 In addition, frequent CNAs were observed at the level of TERT (amplification, 23%), PCDH (amplification 13%), LRP1B (deletion 21%), FOXA1 (amplification, 8%), FAM190A (deletion, 8%), HOXA cluster (amplification, 4%). ('HOXA', 'Gene', '3197', (183, 187)) ('FOXA1', 'Gene', '3169', (132, 137)) ('TERT', 'Gene', (57, 61)) ('FAM190A', 'Gene', '401145', (159, 166)) ('TERT', 'Gene', '7015', (57, 61)) ('LRP1B', 'Gene', '53353', (110, 115)) ('FAM190A', 'Gene', (159, 166)) ('FOXA1', 'Gene', (132, 137)) ('PCDH', 'Gene', (84, 88)) ('LRP1B', 'Gene', (110, 115)) ('HOXA', 'Gene', (183, 187)) ('deletion', 'Var', (117, 125)) 18232 28930282 The biochemical pathways most frequently deregulated in ESCC for the occurrence of genetic alterations are the cell cycle pathway (98%), epigenetic regulation pathway (59%), the NOTCH (33%) and RTK/PI3K pathway (32%). ('ESCC', 'Disease', (56, 60)) ('deregulated', 'Reg', (41, 52)) ('genetic alterations', 'Var', (83, 102)) ('ESCC', 'Phenotype', 'HP:0011459', (56, 60)) ('rat', 'Species', '10116', (95, 98)) ('RTK/PI3K pathway', 'Pathway', (194, 210)) ('NOTCH', 'Pathway', (178, 183)) ('epigenetic regulation pathway', 'Pathway', (137, 166)) ('cell cycle pathway', 'Pathway', (111, 129)) ('biochemical pathways', 'Pathway', (4, 24)) 18235 28930282 A recent study characterized at molecular level a population of sub-Saharan ESCC and showed in these patients, similar genetic aberrations as those reported in Asian and North American cohorts, including frequent mutations of TP53, CDKN2A, NFE2L2, CHEK2, NOTCH1, FAT1 and FBXW7. ('CHEK2', 'Gene', '11200', (248, 253)) ('patients', 'Species', '9606', (101, 109)) ('rat', 'Species', '10116', (131, 134)) ('CDKN2A', 'Gene', (232, 238)) ('CHEK2', 'Gene', (248, 253)) ('FAT1', 'Gene', '2195', (263, 267)) ('FBXW7', 'Gene', '55294', (272, 277)) ('ESCC', 'Phenotype', 'HP:0011459', (76, 80)) ('NFE2L2', 'Gene', '4780', (240, 246)) ('CDKN2A', 'Gene', '1029', (232, 238)) ('FBXW7', 'Gene', (272, 277)) ('FAT1', 'Gene', (263, 267)) ('NOTCH1', 'Gene', (255, 261)) ('NOTCH1', 'Gene', '4851', (255, 261)) ('NFE2L2', 'Gene', (240, 246)) ('mutations', 'Var', (213, 222)) ('TP53', 'Gene', '7157', (226, 230)) ('TP53', 'Gene', (226, 230)) 18238 28930282 Through this extensive analysis, they identified a mutational signature unique in ESCC, linker to alcohol intake and genetic variants in alcohol-metabolizing enzymes; the alcohol-driven ESCCs were characterized by a high frequency of mutations at the level of TP53, EP300, PTCH1, NOTCH3, TGFBR2 and ZNF750. ('ESCC', 'Phenotype', 'HP:0011459', (186, 190)) ('TGFBR2', 'Gene', '7048', (288, 294)) ('ESCC', 'Phenotype', 'HP:0011459', (82, 86)) ('EP300', 'Gene', '2033', (266, 271)) ('ZNF750', 'Gene', '79755', (299, 305)) ('TP53', 'Gene', (260, 264)) ('ZNF750', 'Gene', (299, 305)) ('PTCH1', 'Gene', '5727', (273, 278)) ('TGFBR2', 'Gene', (288, 294)) ('EP300', 'Gene', (266, 271)) ('NOTCH3', 'Gene', '4854', (280, 286)) ('alcohol', 'Chemical', 'MESH:D000438', (171, 178)) ('NOTCH3', 'Gene', (280, 286)) ('mutations', 'Var', (234, 243)) ('TP53', 'Gene', '7157', (260, 264)) ('PTCH1', 'Gene', (273, 278)) ('alcohol', 'Chemical', 'MESH:D000438', (98, 105)) ('alcohol', 'Chemical', 'MESH:D000438', (137, 144)) ('ESCCs', 'Disease', (186, 191)) 18240 28930282 Another recent study identified some mutations preferentially associated with ESCCs with lymph node metastases. ('metastases', 'Disease', (100, 110)) ('metastases', 'Disease', 'MESH:D009362', (100, 110)) ('ESCCs', 'Disease', (78, 83)) ('associated with', 'Reg', (62, 77)) ('mutations', 'Var', (37, 46)) ('ESCC', 'Phenotype', 'HP:0011459', (78, 82)) 18241 28930282 Metastatic ESCCs harbor frequent TP53, KMT2D, ZNF750 and IRF5 mutations; among these mutations, ZNF50 mutations were clearly more frequent in ESCC with lymph node metastasis than in those without metastasis. ('ESCC', 'Phenotype', 'HP:0011459', (142, 146)) ('KMT2D', 'Gene', (39, 44)) ('KMT2D', 'Gene', '8085', (39, 44)) ('ESCC', 'Phenotype', 'HP:0011459', (11, 15)) ('IRF5', 'Gene', (57, 61)) ('frequent', 'Reg', (130, 138)) ('TP53', 'Gene', '7157', (33, 37)) ('ZNF750', 'Gene', '79755', (46, 52)) ('mutations', 'Var', (102, 111)) ('IRF5', 'Gene', '3663', (57, 61)) ('TP53', 'Gene', (33, 37)) ('ZNF50', 'Gene', '342945', (96, 101)) ('ESCC', 'Disease', (142, 146)) ('ZNF50', 'Gene', (96, 101)) ('ZNF750', 'Gene', (46, 52)) ('mutations', 'Var', (62, 71)) 18243 28930282 Cao and coworkers profiled the mutations and copy number alterations that were identified in multiple regions within an ESCC from two patients. ('mutations', 'Var', (31, 40)) ('copy number alterations', 'Var', (45, 68)) ('patients', 'Species', '9606', (134, 142)) ('ESCC', 'Disease', (120, 124)) ('rat', 'Species', '10116', (61, 64)) ('ESCC', 'Phenotype', 'HP:0011459', (120, 124)) 18244 28930282 The average mutational heterogeneity was 90% in all regions of each tumor in each patient. ('tumor', 'Disease', (68, 73)) ('patient', 'Species', '9606', (82, 89)) ('mutational', 'Var', (12, 22)) ('tumor', 'Disease', 'MESH:D009369', (68, 73)) ('tumor', 'Phenotype', 'HP:0002664', (68, 73)) 18249 28930282 Phylogenetic tree construction, based on the results of multiregion whole-exome sequencing, allowed to establish that most of truncal and clonal driver mutations occurred in tumor-suppressor genes, such as TP53, KMT2D and ZNI750; in contrast, half of the driver mutations located on the branches of tumor phylogenetic trees involve oncogenes, such as PIK3CA, NFE2L2, KIT and mTOR (Figure 4). ('mutations', 'Var', (152, 161)) ('tumor', 'Phenotype', 'HP:0002664', (174, 179)) ('mutations', 'Var', (262, 271)) ('tumor', 'Phenotype', 'HP:0002664', (299, 304)) ('TP53', 'Gene', '7157', (206, 210)) ('mTOR', 'Gene', (375, 379)) ('PIK3CA', 'Gene', (351, 357)) ('NFE2L2', 'Gene', '4780', (359, 365)) ('KMT2D', 'Gene', (212, 217)) ('KIT', 'Gene', (367, 370)) ('mTOR', 'Gene', '2475', (375, 379)) ('NFE2L2', 'Gene', (359, 365)) ('tumor', 'Disease', (174, 179)) ('TP53', 'Gene', (206, 210)) ('tumor', 'Disease', (299, 304)) ('KMT2D', 'Gene', '8085', (212, 217)) ('tumor', 'Disease', 'MESH:D009369', (174, 179)) ('tumor', 'Disease', 'MESH:D009369', (299, 304)) ('PIK3CA', 'Gene', '5290', (351, 357)) 18255 28930282 Thus, Dulak and coworkers observed a higher number of focal amplifications in the upper gastrointestinal adenocarcinomas (esophagus and stomach), compared to colon/rectal cancers. ('upper gastrointestinal adenocarcinomas', 'Disease', 'MESH:D004067', (82, 120)) ('carcinoma', 'Phenotype', 'HP:0030731', (110, 119)) ('carcinomas', 'Phenotype', 'HP:0030731', (110, 120)) ('colon/rectal cancers', 'Disease', 'MESH:D012004', (158, 178)) ('colon/rectal cancers', 'Disease', (158, 178)) ('upper gastrointestinal adenocarcinomas', 'Disease', (82, 120)) ('cancers', 'Phenotype', 'HP:0002664', (171, 178)) ('cancer', 'Phenotype', 'HP:0002664', (171, 177)) ('focal amplifications', 'Var', (54, 74)) 18265 28930282 SNCAs recurrent in EACs, but absent in ESCC, were amplifications of VEGFA, ERBB2, GATA6 and CCNE1 and deletion of SMAD4; in contrast, recurrent focal SNCAs in ESCCs included amplifications of SOX2, TERT, FGFR1, MDM2, NKX2-1 and deletion of RB1, VGLL4 and ATG7. ('MDM2', 'Gene', (211, 215)) ('VEGFA', 'Gene', (68, 73)) ('FGFR1', 'Gene', '2260', (204, 209)) ('TERT', 'Gene', '7015', (198, 202)) ('ERBB2', 'Gene', '2064', (75, 80)) ('GATA6', 'Gene', (82, 87)) ('NKX2-1', 'Gene', '7080', (217, 223)) ('VGLL4', 'Gene', (245, 250)) ('SMAD4', 'Gene', '4089', (114, 119)) ('RB1', 'Gene', '5925', (240, 243)) ('SOX2', 'Gene', '6657', (192, 196)) ('ATG7', 'Gene', (255, 259)) ('MDM2', 'Gene', '4193', (211, 215)) ('SOX2', 'Gene', (192, 196)) ('NKX2-1', 'Gene', (217, 223)) ('amplifications', 'Var', (174, 188)) ('CCNE1', 'Gene', (92, 97)) ('VEGFA', 'Gene', '7422', (68, 73)) ('VGLL4', 'Gene', '9686', (245, 250)) ('FGFR1', 'Gene', (204, 209)) ('CCNE1', 'Gene', '898', (92, 97)) ('ESCC', 'Phenotype', 'HP:0011459', (159, 163)) ('deletion', 'Var', (228, 236)) ('GATA6', 'Gene', '2627', (82, 87)) ('ESCC', 'Phenotype', 'HP:0011459', (39, 43)) ('SMAD4', 'Gene', (114, 119)) ('RB1', 'Gene', (240, 243)) ('ERBB2', 'Gene', (75, 80)) ('EAC', 'Phenotype', 'HP:0011459', (19, 22)) ('ATG7', 'Gene', '10533', (255, 259)) ('TERT', 'Gene', (198, 202)) 18266 28930282 The analysis of the mutational profile confirmed frequent mutations of TP53, NFE2L2, MLL2, ZNF750, NOTCH1 and TGFBR2 in ESCC, while in EAC frequent are the mutations of TP53, CDKN2A, ARID1A, SMAD4 and ERBB2. ('ERBB2', 'Gene', (201, 206)) ('mutations', 'Var', (58, 67)) ('SMAD4', 'Gene', (191, 196)) ('TP53', 'Gene', '7157', (169, 173)) ('EAC', 'Phenotype', 'HP:0011459', (135, 138)) ('ERBB2', 'Gene', '2064', (201, 206)) ('NFE2L2', 'Gene', (77, 83)) ('CDKN2A', 'Gene', (175, 181)) ('ZNF750', 'Gene', '79755', (91, 97)) ('ESCC', 'Phenotype', 'HP:0011459', (120, 124)) ('TP53', 'Gene', '7157', (71, 75)) ('SMAD4', 'Gene', '4089', (191, 196)) ('ZNF750', 'Gene', (91, 97)) ('ARID1A', 'Gene', (183, 189)) ('TGFBR2', 'Gene', '7048', (110, 116)) ('MLL2', 'Gene', '8085', (85, 89)) ('ESCC', 'Disease', (120, 124)) ('NOTCH1', 'Gene', (99, 105)) ('CDKN2A', 'Gene', '1029', (175, 181)) ('ARID1A', 'Gene', '8289', (183, 189)) ('TP53', 'Gene', (169, 173)) ('MLL2', 'Gene', (85, 89)) ('NOTCH1', 'Gene', '4851', (99, 105)) ('TGFBR2', 'Gene', (110, 116)) ('TP53', 'Gene', (71, 75)) ('NFE2L2', 'Gene', '4780', (77, 83)) 18267 28930282 An overview of the various genetic abnormalities occurring in esophageal cancers showed that: abnormalities of cell cycle-related genes are highly frequent (90% in ESCC and 86% in EAC), followed by RTK abnormalities (59% in ESCC and 76% in EAC), cell differentiation (57% in ESCC and 42% in EAC), embryonic development (38% in ESCC and 53% in EAC) and chromatin remodeling (36% in ESCC and 22% in EAC). ('abnormalities', 'Var', (94, 107)) ('ESCC', 'Disease', (164, 168)) ('cell differentiation', 'CPA', (246, 266)) ('abnormalities of cell cycle', 'Phenotype', 'HP:0011018', (94, 121)) ('RTK abnormalities', 'Disease', (198, 215)) ('ESCC', 'Phenotype', 'HP:0011459', (224, 228)) ('cancers', 'Phenotype', 'HP:0002664', (73, 80)) ('ESCC', 'Phenotype', 'HP:0011459', (327, 331)) ('RTK abnormalities', 'Disease', 'MESH:D000014', (198, 215)) ('cancer', 'Phenotype', 'HP:0002664', (73, 79)) ('ESCC', 'Phenotype', 'HP:0011459', (381, 385)) ('ESCC', 'Disease', (327, 331)) ('EAC', 'Phenotype', 'HP:0011459', (180, 183)) ('EAC', 'Phenotype', 'HP:0011459', (291, 294)) ('esophageal cancers', 'Disease', (62, 80)) ('ESCC', 'Disease', (381, 385)) ('ESCC', 'Phenotype', 'HP:0011459', (275, 279)) ('EAC', 'Phenotype', 'HP:0011459', (343, 346)) ('cell cycle-related genes', 'Gene', (111, 135)) ('embryonic development', 'CPA', (297, 318)) ('genetic abnormalities', 'Disease', 'MESH:D030342', (27, 48)) ('ESCC', 'Disease', (275, 279)) ('esophageal cancers', 'Disease', 'MESH:D004938', (62, 80)) ('EAC', 'Phenotype', 'HP:0011459', (240, 243)) ('EAC', 'Phenotype', 'HP:0011459', (397, 400)) ('ESCC', 'Phenotype', 'HP:0011459', (164, 168)) ('genetic abnormalities', 'Disease', (27, 48)) 18268 28930282 Importantly, the integrated analysis of genetic abnormalities occurring in ESCC allowed a new classification in three subtypes: ESCC1 was characterized by frequent alterations of the NRF2 pathway, involved in the adaptation to oxidative stress [with frequent alterations of the NRF2 (NFE2L2), KEAP1, CUL3 and ATG7 genes] and of SOX2 and TP63 (gene amplification); ESCC2 was characterized by frequent mutations of NOTCH1 or ZNF750, inactivating alterations of KDM6A or KDM2D, amplifications of CDK6 and inactivation of PTEN or PIK3R1; ESCC3 tumors do not display deregulation of cell cycle genes, more rarely (25%) had TP53 mutations and many genetic alterations are related to the activation of the PI3K pathway. ('TP63', 'Gene', '8626', (337, 341)) ('KDM6A', 'Gene', '7403', (459, 464)) ('TP53', 'Gene', (618, 622)) ('CDK6', 'Gene', '1021', (493, 497)) ('tumor', 'Phenotype', 'HP:0002664', (540, 545)) ('rat', 'Species', '10116', (263, 266)) ('ESCC', 'Phenotype', 'HP:0011459', (534, 538)) ('ATG7', 'Gene', '10533', (309, 313)) ('ESCC', 'Phenotype', 'HP:0011459', (75, 79)) ('SOX2', 'Gene', (328, 332)) ('tumors', 'Disease', (540, 546)) ('ESCC3', 'Disease', (534, 539)) ('SOX2', 'Gene', '6657', (328, 332)) ('NRF2', 'Gene', '4780', (183, 187)) ('NOTCH1', 'Gene', '4851', (413, 419)) ('CDK6', 'Gene', (493, 497)) ('genetic abnormalities', 'Disease', 'MESH:D030342', (40, 61)) ('ESCC', 'Phenotype', 'HP:0011459', (128, 132)) ('NFE2L2', 'Gene', (284, 290)) ('rat', 'Species', '10116', (22, 25)) ('genetic abnormalities', 'Disease', (40, 61)) ('PIK3R1', 'Gene', (526, 532)) ('PTEN', 'Gene', (518, 522)) ('KDM6A', 'Gene', (459, 464)) ('tumors', 'Disease', 'MESH:D009369', (540, 546)) ('CUL3', 'Gene', '8452', (300, 304)) ('TP53', 'Gene', '7157', (618, 622)) ('NRF2', 'Gene', '4780', (278, 282)) ('ATG7', 'Gene', (309, 313)) ('NFE2L2', 'Gene', '4780', (284, 290)) ('NRF2', 'Gene', (183, 187)) ('PTEN', 'Gene', '5728', (518, 522)) ('KEAP1', 'Gene', '9817', (293, 298)) ('oxidative stress', 'Phenotype', 'HP:0025464', (227, 243)) ('KEAP1', 'Gene', (293, 298)) ('ESCC', 'Phenotype', 'HP:0011459', (364, 368)) ('TP63', 'Gene', (337, 341)) ('ZNF750', 'Gene', '79755', (423, 429)) ('NRF2', 'Gene', (278, 282)) ('rat', 'Species', '10116', (654, 657)) ('PIK3R1', 'Gene', '5295', (526, 532)) ('mutations', 'Var', (623, 632)) ('PI3K pathway', 'Pathway', (699, 711)) ('rat', 'Species', '10116', (448, 451)) ('ZNF750', 'Gene', (423, 429)) ('rat', 'Species', '10116', (168, 171)) ('tumors', 'Phenotype', 'HP:0002664', (540, 546)) ('CUL3', 'Gene', (300, 304)) ('NOTCH1', 'Gene', (413, 419)) 18272 28930282 In spite the important limitations, the available evidences indicate that gene signatures observed in esophageal cancer patients are of prognostic value for clinical outcomes and may represent a precious tool for selecting optimized therapy for the single patient. ('esophageal cancer', 'Disease', 'MESH:D004938', (102, 119)) ('patient', 'Species', '9606', (120, 127)) ('patients', 'Species', '9606', (120, 128)) ('esophageal cancer', 'Disease', (102, 119)) ('clinical', 'Species', '191496', (157, 165)) ('gene', 'Var', (74, 78)) ('cancer', 'Phenotype', 'HP:0002664', (113, 119)) ('patient', 'Species', '9606', (256, 263)) 18276 28930282 Genome-wide association studies have identified two SNPs, rs671 in ALDH2 on 4q23 and rs1229984 in ALDH1B on 12q24 that are clearly associated with the risk of developing ESCC in a manner related with alcohol drinking and tobacco smoking status. ('tobacco', 'Species', '4097', (221, 228)) ('alcohol drinking', 'Phenotype', 'HP:0030955', (200, 216)) ('rs1229984', 'Var', (85, 94)) ('ESCC', 'Phenotype', 'HP:0011459', (170, 174)) ('rs671', 'Var', (58, 63)) ('ALDH2', 'Gene', (67, 72)) ('associated', 'Reg', (131, 141)) ('rs671', 'Mutation', 'rs671', (58, 63)) ('ALDH1', 'Gene', (98, 103)) ('ALDH1', 'Gene', '216', (98, 103)) ('ALDH2', 'Gene', '217', (67, 72)) ('rs1229984', 'Mutation', 'rs1229984', (85, 94)) ('alcohol', 'Chemical', 'MESH:D000438', (200, 207)) ('ESCC', 'Disease', (170, 174)) 18277 28930282 Chang et al., showed that the frequency of a peculiar mutation profile, called signature E4, was significantly higher in ESCC from drinkers with the risk ALDH2 genotype than in ESCC from drinkers with the non-risk genotype. ('ALDH2', 'Gene', '217', (154, 159)) ('ESCC', 'Phenotype', 'HP:0011459', (121, 125)) ('genotype', 'Var', (160, 168)) ('drinkers', 'Var', (131, 139)) ('ALDH2', 'Gene', (154, 159)) ('ESCC', 'Phenotype', 'HP:0011459', (177, 181)) ('higher', 'PosReg', (111, 117)) ('ESCC', 'Disease', (121, 125)) 18307 28930282 In fact, the introduction of a NOTCH mutant causing inhibition of the NOTCH signaling at the level of the esophageal basal cells promotes a suppression of differentiative mitosis of these cells, thus inducing their expansion as undifferentiated cells and the formation of clones expanding and progressively replacing the entire epithelium. ('clones', 'CPA', (272, 278)) ('expansion', 'PosReg', (215, 224)) ('mutant', 'Var', (37, 43)) ('mitosis', 'Disease', 'None', (171, 178)) ('mitosis', 'Disease', (171, 178)) ('suppression', 'NegReg', (140, 151)) ('inducing', 'Reg', (200, 208)) ('NOTCH signaling', 'MPA', (70, 85)) ('inhibition', 'NegReg', (52, 62)) 18308 28930282 Analysis of gene expression in mutant cells reveals alterations in the expression of genes implicated in keratinocyte differentiation: thus, the stress-induced keratin Krt6 is strongly induced in mutant cells. ('expression', 'MPA', (71, 81)) ('mutant', 'Var', (31, 37)) ('induced', 'PosReg', (185, 192)) ('rat', 'Species', '10116', (162, 165)) ('rat', 'Species', '10116', (56, 59)) ('Krt6', 'Gene', (168, 172)) ('Krt6', 'Gene', '140807', (168, 172)) ('mutant', 'Var', (196, 202)) ('rat', 'Species', '10116', (107, 110)) 18309 28930282 In contrast, Sox9 is downmodulated in mutant cells. ('mutant', 'Var', (38, 44)) ('Sox9', 'Gene', '6662', (13, 17)) ('downmodulated', 'NegReg', (21, 34)) ('Sox9', 'Gene', (13, 17)) 18329 28930282 This hypothesis was directly evaluated by studying the effect of NSAIDs administration on the number of somatic genetic abnormalities in patients with Barrett's esophagus: the evaluation in the time of these patients showed that those receiving NSAIDs developed significantly less somatic genetic abnormalities than those not treated with these drugs. ('genetic abnormalities', 'Disease', (289, 310)) ('patients', 'Species', '9606', (208, 216)) ('less', 'NegReg', (276, 280)) ('rat', 'Species', '10116', (80, 83)) ('genetic abnormalities', 'Disease', (112, 133)) ('patients', 'Species', '9606', (137, 145)) ('NSAIDs', 'Var', (245, 251)) ("Barrett's esophagus", 'Phenotype', 'HP:0100580', (151, 170)) ('genetic abnormalities', 'Disease', 'MESH:D030342', (289, 310)) ('genetic abnormalities', 'Disease', 'MESH:D030342', (112, 133)) 18333 28930282 The p63 null embryo rapidly develops intestine-like metaplasia, with gene expression profiles like those observed in Barrett's metaplasia. ('p63 null', 'Var', (4, 12)) ('develops', 'PosReg', (28, 36)) ("Barrett's metaplasia", 'Disease', 'MESH:D001471', (117, 137)) ("Barrett's metaplasia", 'Disease', (117, 137)) ('intestine-like metaplasia', 'CPA', (37, 62)) 18336 28930282 At later times of metaplasia development, the role of inflammation is more clear contributing to the development of proliferation-related mutations and of epigenetic basis the becomes the essential molecular mechanism for the development of a clonal selection condition which determines disease progression. ('epigenetic', 'Var', (155, 165)) ('inflammation', 'Disease', 'MESH:D007249', (54, 66)) ('inflammation', 'Disease', (54, 66)) ('rat', 'Species', '10116', (123, 126)) ('mutations', 'Var', (138, 147)) 18343 28930282 Leedham and coworkers have provided evidence, through the analysis of tumor suppressor loss of heterozygosity at the level of individual crypts, that the ducts could represent the source of the Barrett's metaplasia, as supported by the finding that normal squamous ducts contained the same somatic mutation as the contiguous metaplastic epithelium. ('tumor', 'Phenotype', 'HP:0002664', (70, 75)) ('loss', 'Var', (87, 91)) ('tumor', 'Disease', (70, 75)) ("Barrett's metaplasia", 'Disease', (194, 214)) ("Barrett's metaplasia", 'Disease', 'MESH:D001471', (194, 214)) ('tumor', 'Disease', 'MESH:D009369', (70, 75)) 18361 28930282 The genomic analysis of Barrett's stem cells shows a broad and variable mutational spectrum: 25% of cases do not show typical cancer-related genomic changes; most of cases display patterns of deletions like those observed in EAC, but gene-amplifications were absent; importantly, the cases showing signs of low-grade dysplasia, exhibit p53 mutations or amplifications of proto-oncogenes and RTK. ('cancer', 'Phenotype', 'HP:0002664', (126, 132)) ('amplifications', 'Var', (353, 367)) ('dysplasia', 'Disease', 'MESH:D004476', (317, 326)) ('proto-oncogenes', 'Gene', (371, 386)) ('cancer', 'Disease', (126, 132)) ('cancer', 'Disease', 'MESH:D009369', (126, 132)) ('deletions', 'Var', (192, 201)) ('mutations', 'Var', (340, 349)) ('dysplasia', 'Disease', (317, 326)) ('EAC', 'Phenotype', 'HP:0011459', (225, 228)) ('p53', 'Gene', (336, 339)) 18377 28930282 CD90+ cells were isolated from these tumor specimens and were shown to exhibit an enhanced capacity to initiate tumor formation into immunodeficient mice, self-renew, differentiate and are resistant to standard cytotoxic drugs; furthermore, CD90+ cells were shown to possess a high metastatic potential in vivo. ('enhanced', 'PosReg', (82, 90)) ('tumor', 'Disease', 'MESH:D009369', (37, 42)) ('immunodeficient', 'Disease', 'MESH:D007153', (133, 148)) ('immunodeficient', 'Disease', (133, 148)) ('CD90+', 'Var', (241, 246)) ('tumor', 'Disease', 'MESH:D009369', (112, 117)) ('self-renew', 'CPA', (155, 165)) ('differentiate', 'CPA', (167, 180)) ('tumor', 'Phenotype', 'HP:0002664', (112, 117)) ('tumor', 'Phenotype', 'HP:0002664', (37, 42)) ('tumor', 'Disease', (37, 42)) ('mice', 'Species', '10090', (149, 153)) ('tumor', 'Disease', (112, 117)) 18391 28930282 Taking advantage on this observation, these authors have explored ALH1A expression at the level of tumor specimens obtained from 165 patients, showing that the level of ALDH1 positivity was associated with various tumor parameters related to the invasiveness and metastatic properties of ESCC and with poor prognosis. ('tumor', 'Disease', (99, 104)) ('positivity', 'Var', (175, 185)) ('ESCC', 'Disease', (288, 292)) ('tumor', 'Disease', 'MESH:D009369', (214, 219)) ('invasiveness', 'CPA', (246, 258)) ('patients', 'Species', '9606', (133, 141)) ('ALDH1', 'Gene', (169, 174)) ('ESCC', 'Phenotype', 'HP:0011459', (288, 292)) ('tumor', 'Phenotype', 'HP:0002664', (214, 219)) ('metastatic properties', 'CPA', (263, 284)) ('ALDH1', 'Gene', '216', (169, 174)) ('tumor', 'Disease', 'MESH:D009369', (99, 104)) ('associated', 'Reg', (190, 200)) ('tumor', 'Disease', (214, 219)) ('tumor', 'Phenotype', 'HP:0002664', (99, 104)) 18410 28930282 SOX2 overexpression induces the expansion of basal progenitors with development of a premalignant lesion that progresses to carcinoma in the presence of an inflammatory stimulus that induces Stat3 activation. ('SOX2', 'Gene', '6657', (0, 4)) ('carcinoma', 'Phenotype', 'HP:0030731', (124, 133)) ('Stat3', 'Gene', (191, 196)) ('basal progenitors', 'CPA', (45, 62)) ('Stat3', 'Gene', '6774', (191, 196)) ('carcinoma', 'Disease', (124, 133)) ('expansion', 'PosReg', (32, 41)) ('overexpression', 'Var', (5, 19)) ('SOX2', 'Gene', (0, 4)) ('carcinoma', 'Disease', 'MESH:D002277', (124, 133)) 18416 28930282 Importantly, YAP1 inhibitors sensitize esophageal cancer cells to cytotoxic agents and may offer a strategy to bypass chemoresistance in these cells. ('YAP1', 'Gene', (13, 17)) ('sensitize', 'Reg', (29, 38)) ('rat', 'Species', '10116', (101, 104)) ('YAP1', 'Gene', '10413', (13, 17)) ('esophageal cancer', 'Disease', (39, 56)) ('cancer', 'Phenotype', 'HP:0002664', (50, 56)) ('esophageal cancer', 'Disease', 'MESH:D004938', (39, 56)) ('inhibitors', 'Var', (18, 28)) 18419 28930282 Epithelial-mesenchymal transition is of critical importance for the generation of cancer stem cells and EGFR inhibitors block EMT at the invasive front of ESCCs. ('rat', 'Species', '10116', (72, 75)) ('ESCC', 'Phenotype', 'HP:0011459', (155, 159)) ('cancer', 'Phenotype', 'HP:0002664', (82, 88)) ('inhibitors', 'Var', (109, 119)) ('EGFR', 'Gene', (104, 108)) ('cancer', 'Disease', (82, 88)) ('cancer', 'Disease', 'MESH:D009369', (82, 88)) ('EMT at the invasive front of', 'CPA', (126, 154)) ('block', 'NegReg', (120, 125)) 18421 28930282 The aberrant beta-catenin expression and consequent Wnt pathway activation are determinants of ESCC cancer progression, invasion and metastasis. ('expression', 'MPA', (26, 36)) ('beta-catenin', 'Gene', '1499', (13, 25)) ('aberrant', 'Var', (4, 12)) ('cancer', 'Phenotype', 'HP:0002664', (100, 106)) ('ESCC', 'Phenotype', 'HP:0011459', (95, 99)) ('activation', 'PosReg', (64, 74)) ('Wnt', 'Gene', '7475;7477;80326', (52, 55)) ('ESCC cancer', 'Disease', (95, 106)) ('ESCC cancer', 'Disease', 'MESH:D004938', (95, 106)) ('beta-catenin', 'Gene', (13, 25)) ('Wnt', 'Gene', (52, 55)) 18437 28930282 A second recent study was carried out on 96 primary ESCC samples derived from Chinese patients providing evidence about a rate of engraftment corresponding to 38.5% with similar rates of engraftment in patients whose tumors display or not PI3KCA mutations. ('tumor', 'Phenotype', 'HP:0002664', (217, 222)) ('ESCC', 'Phenotype', 'HP:0011459', (52, 56)) ('tumors', 'Disease', (217, 223)) ('tumors', 'Disease', 'MESH:D009369', (217, 223)) ('tumors', 'Phenotype', 'HP:0002664', (217, 223)) ('patients', 'Species', '9606', (202, 210)) ('rat', 'Species', '10116', (122, 125)) ('rat', 'Species', '10116', (178, 181)) ('PI3KCA mutations', 'Var', (239, 255)) ('patients', 'Species', '9606', (86, 94)) 18438 28930282 The presence of HER2 overexpression, due to gene amplification or not, was associated with absent engraftment in xenotransplantation assay. ('HER2', 'Gene', (16, 20)) ('overexpression', 'PosReg', (21, 35)) ('HER2', 'Gene', '2064', (16, 20)) ('absent', 'NegReg', (91, 97)) ('gene amplification', 'Var', (44, 62)) 18455 27812016 After controlling for risk factors, a doubling of 25(OH)D3 was associated with 30% lower odds of HNC (OR 0.70, 95% confidence interval [95% CI] 0.56-0.88, Ptrend = 0.001). ('25(OH)D3', 'Chemical', 'MESH:D002112', (50, 58)) ('HNC', 'Disease', (97, 100)) ('25(OH)D3', 'Var', (50, 58)) ('lower', 'NegReg', (83, 88)) 18457 27812016 Low 25(OH)D3 concentrations were also associated with higher risk of death from any cause among HNC cases. ('HNC', 'Disease', (96, 99)) ('25(OH)D3', 'Chemical', 'MESH:D002112', (4, 12)) ('death', 'Disease', 'MESH:D003643', (69, 74)) ('death', 'Disease', (69, 74)) ('Low', 'Var', (0, 3)) 18459 27812016 Study participants with elevated circulating concentrations of 25(OH)D3 had decreased risk of HNC, as well as improved survival following diagnosis. ('25(OH)D3', 'Var', (63, 71)) ('improved', 'PosReg', (110, 118)) ('HNC', 'Disease', (94, 97)) ('decreased', 'NegReg', (76, 85)) ('participants', 'Species', '9606', (6, 18)) ('survival', 'MPA', (119, 127)) ('25(OH)D3', 'Chemical', 'MESH:D002112', (63, 71)) 18472 27812016 In addition, we aimed to evaluate if pre-diagnostic circulating 25(OH)D is associated with survival following cancer diagnosis. ('cancer', 'Disease', (110, 116)) ('cancer', 'Phenotype', 'HP:0002664', (110, 116)) ('circulating 25(OH)D', 'Var', (52, 71)) ('associated', 'Reg', (75, 85)) ('cancer', 'Disease', 'MESH:D009369', (110, 116)) 18486 27812016 Compared to participants having 25(OH)D3 blood concentrations of 50 nmol/L, odds of HNC were 42% higher for those with 25(OH)D3 blood concentrations of 25 nmol/L, and 30% lower for those with 25(OH)D3 blood concentrations of 100 nmol/L. ('higher', 'PosReg', (97, 103)) ('25(OH)D3', 'Chemical', 'MESH:D002112', (32, 40)) ('25(OH)D3', 'Chemical', 'MESH:D002112', (119, 127)) ('25(OH)D3', 'Chemical', 'MESH:D002112', (192, 200)) ('HNC', 'Disease', (84, 87)) ('25(OH)D3', 'Var', (119, 127)) ('participants', 'Species', '9606', (12, 24)) 18487 27812016 Risk analyses stratified by HNC sub-sites are displayed in Table 3, and indicated that the association of 25(OH)D3 was particularly prominent for cancers of the larynx and hypopharynx (OR 0.55, 95% CI 0.39-0.78) and for cancers of the oral cavity (OR 0.60, 95% CI 0.42-0.87). ('25(OH)D3', 'Var', (106, 114)) ('cancers', 'Disease', (146, 153)) ('cancers', 'Disease', 'MESH:D009369', (146, 153)) ('cancer', 'Phenotype', 'HP:0002664', (220, 226)) ('cancers', 'Phenotype', 'HP:0002664', (146, 153)) ('cancers of the larynx', 'Phenotype', 'HP:0012118', (146, 167)) ('25(OH)D3', 'Chemical', 'MESH:D002112', (106, 114)) ('cancers', 'Phenotype', 'HP:0002664', (220, 227)) ('cancer', 'Phenotype', 'HP:0002664', (146, 152)) ('cancers', 'Disease', (220, 227)) ('cancers', 'Disease', 'MESH:D009369', (220, 227)) ('association', 'Interaction', (91, 102)) 18494 27812016 Some indications of differences in strength of association between circulating 25(OH)D3 and HNC risk were also seen when stratifying for groups of alcohol intake at recruitment, where no association was seen among subject with 0 grams of alcohol intake per day, although OR estimates in the other drinking categories were compatible with that overall. ('25(OH)D3', 'Var', (79, 87)) ('alcohol', 'Chemical', 'MESH:D000438', (147, 154)) ('25(OH)D3', 'Chemical', 'MESH:D002112', (79, 87)) ('alcohol', 'Chemical', 'MESH:D000438', (238, 245)) ('men', 'Species', '9606', (172, 175)) ('association', 'Interaction', (47, 58)) ('HNC', 'Disease', (92, 95)) 18497 27812016 Results of Cox proportional hazards regression for 25(OH)D3 of all-cause mortality are shown in Fig. ('Cox', 'Gene', '1351', (11, 14)) ('Cox', 'Gene', (11, 14)) ('25(OH)D3', 'Var', (51, 59)) ('25(OH)D3', 'Chemical', 'MESH:D002112', (51, 59)) 18533 27812016 Furthermore, subsequent cause-specific survival indicated that the association of 25(OH)D3 was primarily driven by deaths caused by HNC, but not other causes of death. ('death', 'Disease', 'MESH:D003643', (161, 166)) ('deaths', 'Disease', 'MESH:D003643', (115, 121)) ('deaths', 'Disease', (115, 121)) ('death', 'Disease', (161, 166)) ('25(OH)D3', 'Chemical', 'MESH:D002112', (82, 90)) ('HNC', 'Disease', (132, 135)) ('death', 'Disease', 'MESH:D003643', (115, 120)) ('death', 'Disease', (115, 120)) ('25(OH)D3', 'Var', (82, 90)) 18554 27812016 These cancer cases were defined on the basis of the International Classification of Diseases for Oncology, Second Edition (ICD-O-2), and included: oral cavity (ICD C02.0-C02.9, C04.0-C04.9, C03.0-C03.9, C05.0-C06.9, C14.0-C14.9), oropharynx (C01.9, C02.4, C09.0-C10.9), hypopharynx (C13.0-C13.9), larynx (C32.0-C32.9), and oesophagus (C15.0-C15.9). ('C15.0-C15.9', 'Var', (335, 346)) ('C03', 'CellLine', 'CVCL:J167', (196, 199)) ('cancer', 'Phenotype', 'HP:0002664', (6, 12)) ('C09.0-C10.9', 'Var', (256, 267)) ('C01.9', 'CellLine', 'CVCL:E303', (242, 247)) ('C03', 'CellLine', 'CVCL:J167', (190, 193)) ('C02.4', 'Var', (249, 254)) ('cancer', 'Disease', 'MESH:D009369', (6, 12)) ('C13.0-C13.9', 'Var', (283, 294)) ('C32.0-C32.9', 'Var', (305, 316)) ('cancer', 'Disease', (6, 12)) ('Oncology', 'Phenotype', 'HP:0002664', (97, 105)) ('C01.9', 'Var', (242, 247)) 18566 27812016 We performed sensitivity analyses by using the sum of 25(OH)D3 and 25(OH)D2 (setting undetectable levels of 25(OH)D2 to 0) and we observed similar results. ('25(OH)D2', 'Chemical', '-', (108, 116)) ('25(OH)D3', 'Chemical', 'MESH:D002112', (54, 62)) ('25(OH)D2', 'Var', (67, 75)) ('25(OH)D2', 'Chemical', '-', (67, 75)) ('25(OH)D3', 'Var', (54, 62)) 18687 26510452 A meta-analysis of eight Asian studies comparing ESD and EMR in the treatment of superficial esophageal cancer (primarily squamous cell carcinoma), demonstrated that ESD had a significantly higher en bloc resection rate (97.1% vs. 49.3%; OR = 52.76; 95% CI 25.57-108.84) and a lower recurrence rate (0.3% vs. 11.5%; OR = 0.08; 95% CI 0.03-0.23). ('ESD', 'Var', (166, 169)) ('cancer', 'Phenotype', 'HP:0002664', (104, 110)) ('esophageal cancer', 'Disease', (93, 110)) ('en bloc resection', 'CPA', (197, 214)) ('esophageal cancer', 'Disease', 'MESH:D004938', (93, 110)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (122, 145)) ('carcinoma', 'Phenotype', 'HP:0030731', (136, 145)) ('squamous cell carcinoma', 'Disease', (122, 145)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (122, 145)) ('higher', 'PosReg', (190, 196)) 18695 26510452 When comparing the procedure durations of two different EMR techniques, a randomized trial for resection of Barrett's-associated neoplasia demonstrated that ligation-assisted EMR was significantly faster than cap-assisted EMR, with median procedure times of 34 min vs. 50 min, respectively (P = 0.02) with no differences in complication rates or quality of the resection specimens. ('neoplasia', 'Disease', (129, 138)) ('ligation-assisted', 'Var', (157, 174)) ('neoplasia', 'Disease', 'MESH:D009369', (129, 138)) ('neoplasia', 'Phenotype', 'HP:0002664', (129, 138)) 18706 26510452 In another study of 17 patients treated with APC monotherapy for T1a & T1b SCC, there were 2 recurrences (9.5%), with a median follow-up of 36 months, requiring an average of 2 treatments and 15 minutes per treatment session. ('SCC', 'Gene', '6317', (75, 78)) ('patients', 'Species', '9606', (23, 31)) ('T1a &', 'Var', (65, 70)) ('APC', 'Disease', 'MESH:D011125', (45, 48)) ('APC', 'Disease', (45, 48)) ('SCC', 'Gene', (75, 78)) ('SCC', 'Phenotype', 'HP:0002860', (75, 78)) 18762 26488471 Knockout Cyclin Y in glioma cell lines makes the cell cycle blocked in S period. ('Cyclin Y', 'Gene', '219771', (9, 17)) ('blocked', 'NegReg', (60, 67)) ('glioma', 'Disease', 'MESH:D005910', (21, 27)) ('cell cycle', 'CPA', (49, 59)) ('glioma', 'Phenotype', 'HP:0009733', (21, 27)) ('Cyclin Y', 'Gene', (9, 17)) ('Knockout', 'Var', (0, 8)) ('glioma', 'Disease', (21, 27)) 18795 26488471 MGC803 cells were cultivated in six-well culture plates (Corning inc, Corning NY) at a density of 200 cells/well after transfecting PFTK1#siRNA and Flag-PFTK1 according to the manufacturer's instructions. ('transfecting', 'Var', (119, 131)) ('PFTK1', 'Gene', (132, 137)) ('MGC803', 'CellLine', 'CVCL:5334', (0, 6)) 18797 26488471 MGC803 cells which included normal, transfection of PFTK1#siRNA and Flag-PFTK1 were seeded onto 96-well cell culture cluster plates (Corning inc, Corning NY) at a density of 2x104 cells/well in 100 mul culture and grown overnight. ('PFTK1', 'Gene', (52, 57)) ('transfection', 'Var', (36, 48)) ('MGC803', 'CellLine', 'CVCL:5334', (0, 6)) 18822 26488471 Further, matrigel invasion assays also demonstrated that upregulation of PFTK1 by transfect Flag-PFTK1 could advance the invasive ability, and knockdown of PFTK1 could attenuate the invasive ability of gastric cancer cells (Fig 5C). ('gastric cancer', 'Disease', 'MESH:D013274', (202, 216)) ('invasive ability', 'CPA', (121, 137)) ('advance', 'PosReg', (109, 116)) ('gastric cancer', 'Phenotype', 'HP:0012126', (202, 216)) ('cancer', 'Phenotype', 'HP:0002664', (210, 216)) ('attenuate', 'NegReg', (168, 177)) ('transfect Flag-PFTK1', 'Var', (82, 102)) ('PFTK1', 'Gene', (73, 78)) ('upregulation', 'PosReg', (57, 69)) ('knockdown', 'Var', (143, 152)) ('gastric cancer', 'Disease', (202, 216)) ('Flag-PFTK1', 'Gene', (92, 102)) ('PFTK1', 'Gene', (156, 161)) 18826 26488471 Finally, we explored the proliferation mechanism of PFTK1 by flow cytometric analysis,and data suggested that more gastric cancer cells were found in the S phase in the presence of ectopic PFTK1, less gastric cancer cells were found in the S phase in transfecting with PFTK1-siRNA#4 (Fig 6C). ('cancer', 'Phenotype', 'HP:0002664', (123, 129)) ('gastric cancer', 'Disease', 'MESH:D013274', (115, 129)) ('PFTK1', 'Gene', (189, 194)) ('gastric cancer', 'Disease', (201, 215)) ('gastric cancer', 'Disease', 'MESH:D013274', (201, 215)) ('gastric cancer', 'Phenotype', 'HP:0012126', (115, 129)) ('cancer', 'Phenotype', 'HP:0002664', (209, 215)) ('gastric cancer', 'Phenotype', 'HP:0012126', (201, 215)) ('ectopic', 'Var', (181, 188)) ('gastric cancer', 'Disease', (115, 129)) 18831 26488471 What's more, we found that knockdown of endogenous PFTK1 expression could decrease Dvl2, Naked1, MMP2, Cyclin E expression, but not changed Dvl1, beta-catenin (Fig 7). ('knockdown', 'Var', (27, 36)) ('decrease', 'NegReg', (74, 82)) ('Dvl2', 'Gene', '1856', (83, 87)) ('Naked1', 'Gene', (89, 95)) ('Dvl1', 'Gene', (140, 144)) ('beta-catenin', 'Gene', (146, 158)) ('PFTK1', 'Gene', (51, 56)) ('MMP2', 'Gene', (97, 101)) ('MMP2', 'Gene', '4313', (97, 101)) ('Dvl1', 'Gene', '1855', (140, 144)) ('beta-catenin', 'Gene', '1499', (146, 158)) ('Naked1', 'Gene', '85407', (89, 95)) ('Cyclin E expression', 'MPA', (103, 122)) ('Dvl2', 'Gene', (83, 87)) 18845 26488471 At the same time, PFTK1 increased the G1:S phase transformation according to flow cytometric, coinciding with the finding of PFTK1 in hepatocellular carcinoma. ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (134, 158)) ('hepatocellular carcinoma', 'Disease', (134, 158)) ('carcinoma', 'Phenotype', 'HP:0030731', (149, 158)) ('G1:S phase transformation', 'CPA', (38, 63)) ('PFTK1', 'Var', (18, 23)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (134, 158)) ('increased', 'PosReg', (24, 33)) 18847 26488471 Interestingly, PFTK1 level was increased after transfecting with Flag-PFTK1 consistented with PCNA, MMP2 and Cyclin E (Fig 7). ('Flag-PFTK1', 'Var', (65, 75)) ('increased', 'PosReg', (31, 40)) ('MMP2', 'Gene', (100, 104)) ('PCNA', 'Gene', '5111', (94, 98)) ('PFTK1 level', 'MPA', (15, 26)) ('MMP2', 'Gene', '4313', (100, 104)) ('PCNA', 'Gene', (94, 98)) 18898 25765098 In the multivariate analysis, only age and histologic grade, when combined, increased the risk of death by 3% per year of age (HR=1.03; p=0.01) and patients with poorly differentiated L-EAC were >3 times as likely to die compared those with well to moderate differentiation (HR=3.14; p<0.001). ('death', 'Disease', 'MESH:D003643', (98, 103)) ('patients', 'Species', '9606', (148, 156)) ('death', 'Disease', (98, 103)) ('L-EAC', 'Chemical', '-', (184, 189)) ('poorly differentiated', 'Var', (162, 183)) 18903 25765098 As we suspected, L-EAC patients with nodes ABD fared poorly compared to those with nodes AD or BD. ('patients', 'Species', '9606', (23, 31)) ('L-EAC', 'Disease', (17, 22)) ('L-EAC', 'Chemical', '-', (17, 22)) ('nodes ABD', 'Var', (37, 46)) ('AD', 'Disease', 'MESH:D000544', (89, 91)) ('AD', 'Disease', (89, 91)) 18946 19524578 Patients who had mucosal carcinoma diagnosed on mucosal biopsy specimens alone without visible lesions were also more likely to receive PDT. ('mucosal carcinoma', 'Disease', (17, 34)) ('PDT', 'Var', (136, 139)) ('mucosal carcinoma', 'Disease', 'MESH:D052016', (17, 34)) ('Patients', 'Species', '9606', (0, 8)) ('carcinoma', 'Phenotype', 'HP:0030731', (25, 34)) 18947 19524578 During the latter phase of the study this was performed selectively given the lack of consensus on whether ablation following initial remission definitively reduces risk of metachronous neoplasia. ('ablation', 'Var', (107, 115)) ('metachronous neoplasia', 'Disease', 'MESH:D016609', (173, 195)) ('metachronous neoplasia', 'Disease', (173, 195)) ('neoplasia', 'Phenotype', 'HP:0002664', (186, 195)) ('reduces', 'NegReg', (157, 164)) 19090 18790767 Although H2AX is known to co-operate with JNK to induce apoptosis following UV-irradiation, knockdown of H2AX did not abrogate bortezomib-induced apoptosis. ('JNK', 'Gene', (42, 45)) ('JNK', 'Gene', '5599', (42, 45)) ('H2AX', 'Gene', '3014', (9, 13)) ('knockdown', 'Var', (92, 101)) ('H2AX', 'Gene', (9, 13)) ('H2AX', 'Gene', '3014', (105, 109)) ('bortezomib', 'Chemical', 'MESH:D000069286', (127, 137)) ('H2AX', 'Gene', (105, 109)) 19091 18790767 Instead, blockade of p38 MAP kinase signaling, using either siRNA or a pharmacological inhibitor, reversed bortezomib-induced apoptosis and the upregulation of Noxa. ('p38 MAP kinase', 'Gene', '1432', (21, 35)) ('p38 MAP kinase', 'Gene', (21, 35)) ('apoptosis', 'CPA', (126, 135)) ('bortezomib', 'Chemical', 'MESH:D000069286', (107, 117)) ('Noxa', 'Gene', '5366', (160, 164)) ('upregulation', 'PosReg', (144, 156)) ('Noxa', 'Gene', (160, 164)) ('blockade', 'Var', (9, 17)) 19134 18790767 As targeted therapeutic approaches have not been attempted in ESCC in an extensive fashion, we initiated our studies by screening a panel of ESCC lines against inhibitors of MEK (U0126), PI3K (LY294002), glycogen synthase kinase (GSK) 3-beta (DW1/2), the proteasome (MG-132, PI1 and bortezomib), Hedgehog (cyclopamine) and cyclooxygenase-2 (NS-398) (Supplemental Table 1). ('MEK', 'Gene', (174, 177)) ('cyclooxygenase-2', 'Gene', (323, 339)) ('cyclooxygenase-2', 'Gene', '5743', (323, 339)) ('MG-132', 'Chemical', 'MESH:C072553', (267, 273)) ('LY294002', 'Var', (193, 201)) ('PI1', 'Gene', '5265', (275, 278)) ('PI1', 'Gene', (275, 278)) ('cyclopamine', 'Chemical', 'MESH:C000541', (306, 317)) ('bortezomib', 'Chemical', 'MESH:D000069286', (283, 293)) ('glycogen synthase kinase (GSK) 3-beta', 'Gene', '2932', (204, 241)) ('U0126', 'Chemical', 'MESH:C113580', (179, 184)) 19144 18790767 As the TE12 cell line has mutated p53, we did not observe any increase in the expression of p53 or its downstream target p21 following bortezomib administration. ('p53', 'Gene', (34, 37)) ('p53', 'Gene', '7157', (34, 37)) ('p21', 'Gene', '1026', (121, 124)) ('p21', 'Gene', (121, 124)) ('mutated', 'Var', (26, 33)) ('p53', 'Gene', (92, 95)) ('TE12', 'CellLine', 'CVCL:1762', (7, 11)) ('bortezomib', 'Chemical', 'MESH:D000069286', (135, 145)) ('p53', 'Gene', '7157', (92, 95)) 19151 18790767 Here, we found that treatment with bortezomib (500 nM or 1 muM) led to a concentration-dependent increase in the level of apoptosis as seen by the enhanced TUNEL staining (Figure 2A,B). ('increase', 'PosReg', (97, 105)) ('muM', 'Gene', '56925', (59, 62)) ('500 nM', 'Var', (47, 53)) ('muM', 'Gene', (59, 62)) ('bortezomib', 'Chemical', 'MESH:D000069286', (35, 45)) ('bortezomib', 'Gene', (35, 45)) 19165 18790767 Any possible role of H2AX in bortezomib-induced apoptosis induction was discounted by the fact that protein knockdown did not reduce either caspase-3 cleavage or DNA laddering (Figure 4C and data not shown). ('knockdown', 'Var', (108, 117)) ('caspase-3', 'Gene', '836', (140, 149)) ('protein', 'Protein', (100, 107)) ('reduce', 'NegReg', (126, 132)) ('H2AX', 'Gene', '3014', (21, 25)) ('bortezomib', 'Chemical', 'MESH:D000069286', (29, 39)) ('caspase-3', 'Gene', (140, 149)) ('H2AX', 'Gene', (21, 25)) ('DNA', 'MPA', (162, 165)) 19174 18790767 We further demonstrated that knockdown of p38 MAPKalpha protein expression using an siRNA was similarly able to block bortezomib-induced caspase cleavage (Figure 5C). ('p38', 'Gene', (42, 45)) ('knockdown', 'Var', (29, 38)) ('bortezomib-induced caspase cleavage', 'MPA', (118, 153)) ('p38', 'Gene', '1432', (42, 45)) ('block', 'NegReg', (112, 117)) ('bortezomib', 'Chemical', 'MESH:D000069286', (118, 128)) 19205 18790767 Another possible explanation for the observed DNA damage response involved the direct role of caspase activation in the cleavage of genomic DNA leading to subsequent H2AX/ATM activation. ('H2AX', 'Gene', '3014', (166, 170)) ('cleavage', 'MPA', (120, 128)) ('activation', 'PosReg', (175, 185)) ('ATM', 'Gene', (171, 174)) ('H2AX', 'Gene', (166, 170)) ('ATM', 'Gene', '472', (171, 174)) ('genomic', 'Var', (132, 139)) 19227 32308479 Risk of Recurrence and Metastasis for Patients with T1N0M0 Esophageal Carcinoma Who Achieve Completed Resection via Endoscopic Submucosal Resection: Evidence for the Appropriateness of the Watch and Wait Follow-Up Strategy Endoscopic submucosal dissection (ESD) is a widely performed procedure for esophageal carcinoma when the depth of invasion reaches the epithelium and lamina propria. ('esophageal carcinoma', 'Disease', (298, 318)) ('esophageal carcinoma', 'Disease', 'MESH:D004938', (298, 318)) ('carcinoma', 'Phenotype', 'HP:0030731', (309, 318)) ('Carcinoma', 'Disease', (70, 79)) ('esophageal carcinoma', 'Phenotype', 'HP:0011459', (298, 318)) ('Esophageal Carcinoma', 'Phenotype', 'HP:0011459', (59, 79)) ('Carcinoma', 'Disease', 'MESH:D009369', (70, 79)) ('Carcinoma', 'Phenotype', 'HP:0030731', (70, 79)) ('Patients', 'Species', '9606', (38, 46)) ('T1N0M0', 'Var', (52, 58)) 19229 32308479 This study aimed to evaluate the long-term outcomes of ESD for T1N0M0 (tumor invading the mucosa and submucosa [T1], no regional lymph node metastasis [N0], no distant metastasis [M0]) esophageal cancer. ('cancer', 'Phenotype', 'HP:0002664', (196, 202)) ('T1N0M0', 'Var', (63, 69)) ('distant metastasis', 'CPA', (160, 178)) ('tumor', 'Disease', 'MESH:D009369', (71, 76)) ('cancer', 'Disease', 'MESH:D009369', (196, 202)) ('tumor', 'Phenotype', 'HP:0002664', (71, 76)) ('cancer', 'Disease', (196, 202)) ('tumor', 'Disease', (71, 76)) 19279 32308479 Meanwhile, there were no significant differences in recurrence rate (P =0.432) and metastasis rate (P=0.354) between the M1+M2, M3 and SM groups (Figure 2). ('M1+M2', 'Var', (121, 126)) ('SM', 'Chemical', 'MESH:D012493', (135, 137)) ('metastasis', 'CPA', (83, 93)) ('recurrence', 'CPA', (52, 62)) 19293 32308479 In this study, we observed patients who underwent ESD for T1N0M0 (tumor invading the mucosa and submucosa[T1], no regional lymph node metastasis [N0], no distant metastasis [M0]) esophageal carcinoma and achieved negative margins and received no additional treatment. ('tumor', 'Phenotype', 'HP:0002664', (66, 71)) ('carcinoma', 'Phenotype', 'HP:0030731', (190, 199)) ('tumor', 'Disease', (66, 71)) ('esophageal carcinoma', 'Disease', (179, 199)) ('esophageal carcinoma', 'Disease', 'MESH:D004938', (179, 199)) ('patients', 'Species', '9606', (27, 35)) ('esophageal carcinoma', 'Phenotype', 'HP:0011459', (179, 199)) ('tumor', 'Disease', 'MESH:D009369', (66, 71)) ('T1N0M0', 'Var', (58, 64)) 19304 32308479 Furthermore, ESD was associated with a higher recurrence-free survival in infiltrative tumors. ('recurrence-free survival', 'CPA', (46, 70)) ('higher', 'PosReg', (39, 45)) ('tumor', 'Phenotype', 'HP:0002664', (87, 92)) ('ESD', 'Var', (13, 16)) ('tumors', 'Phenotype', 'HP:0002664', (87, 93)) ('tumors', 'Disease', (87, 93)) ('tumors', 'Disease', 'MESH:D009369', (87, 93)) 19402 31949393 Among them, 9 patients responded to chemotherapy before treatment with ICIs, whereas the number of patients achieving a PR or CR increased to 12 during re-exposure chemotherapy, suggesting that the anti-PD-1 antibodies might have restored chemosensitivity. ('ICI', 'Chemical', 'MESH:C481040', (71, 74)) ('restored', 'PosReg', (230, 238)) ('PD-1', 'Gene', (203, 207)) ('PD-1', 'Gene', '5133', (203, 207)) ('patients', 'Species', '9606', (99, 107)) ('patients', 'Species', '9606', (14, 22)) ('chemosensitivity', 'CPA', (239, 255)) ('antibodies', 'Var', (208, 218)) 19404 31949393 In our current analysis, the response rate to irinotecan-based chemotherapy after PD-1 blockade was only slightly higher than the rate of response to the last chemotherapy before PD-1 inhibition (17.9% vs. 14.3%). ('PD-1', 'Gene', (82, 86)) ('PD-1', 'Gene', '5133', (82, 86)) ('irinotecan', 'Chemical', 'MESH:C051890', (46, 56)) ('PD-1', 'Gene', (179, 183)) ('response', 'MPA', (29, 37)) ('PD-1', 'Gene', '5133', (179, 183)) ('blockade', 'Var', (87, 95)) ('higher', 'PosReg', (114, 120)) 19415 31949393 Nonetheless, this is the only report on advanced esophageal cancer patients treated with chemotherapy after PD-1 inhibition and might shed light on the management of ESCC patients in this specific setting, and the understanding of the interactions between ICIs and cytotoxic agents. ('esophageal cancer', 'Disease', (49, 66)) ('ICI', 'Chemical', 'MESH:C481040', (256, 259)) ('patients', 'Species', '9606', (67, 75)) ('inhibition', 'Var', (113, 123)) ('esophageal cancer', 'Disease', 'MESH:D004938', (49, 66)) ('patients', 'Species', '9606', (171, 179)) ('ESCC', 'Disease', 'MESH:D018307', (166, 170)) ('cancer', 'Phenotype', 'HP:0002664', (60, 66)) ('PD-1', 'Gene', (108, 112)) ('PD-1', 'Gene', '5133', (108, 112)) ('interactions', 'Interaction', (235, 247)) ('ESCC', 'Disease', (166, 170)) 19503 30215197 In a multicenter nested case-control study, Morton et al demonstrated that the odds of developing esophageal squamous cell carcinoma were 780% greater in breast cancer survivors who received >= 3500cGY in radiation compared to those who had not received any radiation. ('breast cancer', 'Disease', 'MESH:D001943', (154, 167)) ('cancer', 'Phenotype', 'HP:0002664', (161, 167)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:C562729', (98, 132)) ('esophageal squamous cell carcinoma', 'Disease', (98, 132)) ('breast cancer', 'Disease', (154, 167)) ('breast cancer', 'Phenotype', 'HP:0003002', (154, 167)) ('>= 3500cGY', 'Var', (191, 201)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (109, 132)) ('carcinoma', 'Phenotype', 'HP:0030731', (123, 132)) ('greater', 'PosReg', (143, 150)) 19526 30215197 Although our findings are limited by small sample size, they suggest that undertreatment of ESCC-R may result in worse overall survival and earlier recurrence compared to ESCC. ('ESCC-R', 'Disease', 'MESH:C562729', (92, 98)) ('ESCC', 'Disease', 'MESH:C562729', (171, 175)) ('ESCC', 'Disease', (92, 96)) ('earlier recurrence', 'CPA', (140, 158)) ('ESCC-R', 'Disease', (92, 98)) ('undertreatment', 'Var', (74, 88)) ('ESCC', 'Disease', (171, 175)) ('ESCC', 'Disease', 'MESH:C562729', (92, 96)) ('overall', 'MPA', (119, 126)) ('worse', 'NegReg', (113, 118)) 19539 30215197 Although our study contained a small number of cases, the observed trends support the conclusion that undertreatment of ESCC-R may yield worse prognosis. ('ESCC-R', 'Disease', 'MESH:C562729', (120, 126)) ('undertreatment', 'Var', (102, 116)) ('ESCC-R', 'Disease', (120, 126)) 19620 30356981 Univariate Cox regression analysis, Table 3, showed that HGD was not a significant predictor non-BE cancer (HR = 3.40, 95%CI: 0.78-14.84, P = 0.104), but in multivariable Cox regression adjusting for age, cancer history and number of endoscopies, HGD was significantly associated with increased risk for non-BE cancer (Adj.HR = 8.32, 95%CI: 1.35-51.33, P = 0.022). ('Cox', 'Gene', '1351', (171, 174)) ('Cox', 'Gene', (171, 174)) ('cancer', 'Disease', 'MESH:D009369', (205, 211)) ('BE', 'Phenotype', 'HP:0100580', (97, 99)) ('Cox', 'Gene', '1351', (11, 14)) ('Cox', 'Gene', (11, 14)) ('cancer', 'Disease', (205, 211)) ('cancer', 'Disease', (311, 317)) ('associated', 'Reg', (269, 279)) ('cancer', 'Disease', 'MESH:D009369', (311, 317)) ('cancer', 'Phenotype', 'HP:0002664', (100, 106)) ('BE', 'Phenotype', 'HP:0100580', (308, 310)) ('cancer', 'Phenotype', 'HP:0002664', (205, 211)) ('cancer', 'Disease', (100, 106)) ('cancer', 'Disease', 'MESH:D009369', (100, 106)) ('HGD', 'Var', (247, 250)) ('cancer', 'Phenotype', 'HP:0002664', (311, 317)) 19631 30356981 Our main finding is that BE patients with HGD had a significantly higher risk of having non-BE cancer compared to patients with lower grades of dysplasia. ('dysplasia', 'Disease', 'MESH:D004476', (144, 153)) ('HGD', 'Var', (42, 45)) ('cancer', 'Disease', 'MESH:D009369', (95, 101)) ('cancer', 'Phenotype', 'HP:0002664', (95, 101)) ('cancer', 'Disease', (95, 101)) ('BE', 'Phenotype', 'HP:0100580', (92, 94)) ('patients', 'Species', '9606', (114, 122)) ('patients', 'Species', '9606', (28, 36)) ('BE', 'Phenotype', 'HP:0100580', (25, 27)) ('dysplasia', 'Disease', (144, 153)) 19651 30356981 Our findings imply that HGD in BE may be a marker of increased risk for cancer morbidity and therefore may require extraesophageal surveillance and lifestyle modification to prevent and decrease cancer risk. ('HGD', 'Var', (24, 27)) ('cancer', 'Phenotype', 'HP:0002664', (72, 78)) ('cancer', 'Disease', (195, 201)) ('cancer', 'Disease', 'MESH:D009369', (195, 201)) ('cancer', 'Phenotype', 'HP:0002664', (195, 201)) ('cancer', 'Disease', 'MESH:D009369', (72, 78)) ('BE', 'Phenotype', 'HP:0100580', (31, 33)) ('decrease', 'NegReg', (186, 194)) ('cancer', 'Disease', (72, 78)) 19692 29707772 Association of low-activity ALDH2 and alcohol consumption with risk of esophageal cancer in Chinese adults: A population-based cohort study Existing evidence remains inconclusive as to how the association between inactive ALDH2 and esophageal cancer (EC) depends on alcohol consumption. ('esophageal cancer', 'Disease', 'MESH:D004938', (71, 88)) ('cancer', 'Phenotype', 'HP:0002664', (82, 88)) ('alcohol', 'Chemical', 'MESH:D000438', (266, 273)) ('ALDH2', 'Gene', (222, 227)) ('low-activity', 'Var', (15, 27)) ('ALDH2', 'Gene', '217', (28, 33)) ('alcohol', 'Chemical', 'MESH:D000438', (38, 45)) ('ALDH2', 'Gene', (28, 33)) ('ALDH2', 'Gene', '217', (222, 227)) ('esophageal cancer', 'Disease', (232, 249)) ('esophageal cancer', 'Disease', (71, 88)) ('cancer', 'Phenotype', 'HP:0002664', (243, 249)) ('esophageal cancer', 'Disease', 'MESH:D004938', (232, 249)) 19693 29707772 ALDH2 activity was assessed by both self-reported flushing response and Glu504Lys (rs671 G > A) polymorphism. ('activity', 'MPA', (6, 14)) ('flushing', 'Phenotype', 'HP:0031284', (50, 58)) ('flushing', 'Disease', (50, 58)) ('flush', 'Phenotype', 'HP:0031284', (50, 55)) ('ALDH2', 'Gene', (0, 5)) ('flushing', 'Disease', 'MESH:D005483', (50, 58)) ('rs671', 'Mutation', 'rs671', (83, 88)) ('Glu504Lys', 'Var', (72, 81)) ('Glu504Lys', 'SUBSTITUTION', 'None', (72, 81)) ('ALDH2', 'Gene', '217', (0, 5)) 19694 29707772 Among both male and female participants who consumed alcohol less than weekly (n = 69,519; 211 EC cases), low active or inactive ALDH2 was not associated with increased EC risk [HRs (95% CIs): GA vs. GG 0.75 (0.54, 1.04); AA vs. GG 1.01 (0.46, 2.20)]. ('alcohol', 'Chemical', 'MESH:D000438', (53, 60)) ('ALDH2', 'Gene', (129, 134)) ('participants', 'Species', '9606', (27, 39)) ('low active', 'Var', (106, 116)) ('ALDH2', 'Gene', '217', (129, 134)) 19695 29707772 Among male weekly alcohol consumers, both flushing response [n = 59,380; 501 EC cases; HRs (95% CIs): "soon after drinking" vs. "no" flushing response 1.45 (1.05, 2.01)] and rs671 [n = 10,692; 94 EC cases; GA vs. GG 3.31 (1.94, 5.67)] were associated with EC risk. ('flushing', 'Disease', 'MESH:D005483', (42, 50)) ('rs671 [', 'Var', (174, 181)) ('flushing', 'Phenotype', 'HP:0031284', (133, 141)) ('flush', 'Phenotype', 'HP:0031284', (133, 138)) ('rs671', 'Mutation', 'rs671', (174, 179)) ('associated', 'Reg', (240, 250)) ('flushing', 'Disease', (133, 141)) ('flushing', 'Disease', 'MESH:D005483', (133, 141)) ('flushing', 'Phenotype', 'HP:0031284', (42, 50)) ('flush', 'Phenotype', 'HP:0031284', (42, 47)) ('flushing', 'Disease', (42, 50)) ('alcohol', 'Chemical', 'MESH:D000438', (18, 25)) 19698 29707772 Self-reported flushing response had low sensitivity (56.8%) and high specificity (88.4%) in identifying rs671 A allele among male weekly alcohol consumers. ('flushing', 'Disease', 'MESH:D005483', (14, 22)) ('flushing', 'Phenotype', 'HP:0031284', (14, 22)) ('rs671 A', 'Var', (104, 111)) ('alcohol', 'Chemical', 'MESH:D000438', (137, 144)) ('rs671', 'Mutation', 'rs671', (104, 109)) ('flush', 'Phenotype', 'HP:0031284', (14, 19)) ('flushing', 'Disease', (14, 22)) 19699 29707772 In conclusion, low-activity ALDH2 was associated with increased EC risk among male heavy alcohol consumers. ('alcohol', 'Chemical', 'MESH:D000438', (89, 96)) ('ALDH2', 'Gene', '217', (28, 33)) ('low-activity', 'Var', (15, 27)) ('ALDH2', 'Gene', (28, 33)) ('heavy alcohol consumers', 'Phenotype', 'HP:0030955', (83, 106)) 19702 29707772 The key enzyme for acetaldehyde elimination is acetaldehyde dehydrogenase 2 (ALDH2), and an association between ALDH2 genotype and EC risk that is dependent on alcohol consumption has been suggested. ('acetaldehyde', 'Chemical', 'MESH:D000079', (19, 31)) ('alcohol', 'Chemical', 'MESH:D000438', (160, 167)) ('ALDH2', 'Gene', (112, 117)) ('acetaldehyde', 'Chemical', 'MESH:D000079', (47, 59)) ('ALDH2', 'Gene', (77, 82)) ('acetaldehyde dehydrogenase 2', 'Gene', (47, 75)) ('ALDH2', 'Gene', '217', (77, 82)) ('ALDH2', 'Gene', '217', (112, 117)) ('acetaldehyde dehydrogenase 2', 'Gene', '217', (47, 75)) ('genotype', 'Var', (118, 126)) 19703 29707772 In this large prospective cohort of Chinese adults, the ALDH2 rs671 A allele was not associated with increased EC risk in the absence of alcohol consumption. ('rs671 A', 'Var', (62, 69)) ('ALDH2', 'Gene', '217', (56, 61)) ('alcohol', 'Chemical', 'MESH:D000438', (137, 144)) ('rs671', 'Mutation', 'rs671', (62, 67)) ('ALDH2', 'Gene', (56, 61)) 19704 29707772 The increased EC risk associated with low-activity ALDH2, characterized as self-reported flushing response or rs671 GA, was apparent in men consuming alcohol >=30g/day, but not among light-to-moderate consumers. ('flushing', 'Disease', 'MESH:D005483', (89, 97)) ('alcohol', 'Chemical', 'MESH:D000438', (150, 157)) ('ALDH2', 'Gene', '217', (51, 56)) ('flushing', 'Phenotype', 'HP:0031284', (89, 97)) ('flush', 'Phenotype', 'HP:0031284', (89, 94)) ('low-activity', 'Var', (38, 50)) ('rs671 GA', 'Var', (110, 118)) ('flushing', 'Disease', (89, 97)) ('rs671', 'Mutation', 'rs671', (110, 115)) ('ALDH2', 'Gene', (51, 56)) ('men', 'Species', '9606', (136, 139)) 19705 29707772 ALDH2 acetaldehyde dehydrogenase 2 CI confidence interval CKB China Kadoorie Biobank EC esophageal cancer ESCC esophageal squamous cell cancer HRs hazard ratios IARC International Agency for Research on Cancer ICD International Classification of Diseases Esophageal cancer (EC) remains a global concern because of its increasing incidence and persistently poor survival.1, 2 China is among the highest EC incidence countries.2 Alcohol consumption is a well-established risk factor for esophageal squamous cell cancer (ESCC),3 the most common histological subtype globally.2 Acetaldehyde, a toxic metabolite of alcohol that damages DNA, has been classified as a Group 1 human carcinogen by the International Agency for Research on Cancer (IARC) and is considered a major cause underlying alcohol-induced carcinogenesis.4 The key enzyme for acetaldehyde elimination is acetaldehyde dehydrogenase 2 (ALDH2), encoded by the ALDH2 gene.5 A Glu504Lys polymorphism in ALDH2 which reduces its activity is almost exclusively present and highly prevalent among East Asians.6 In carriers of ALDH2 Lys/Lys and Glu/Lys, the enzyme activity is nearly 0% and 17-38% of the normal activity, respectively.7 This dramatic reduction in enzyme activity leads to accumulation of acetaldehyde in the circulation even after moderate alcohol consumption.8 The ALDH2 Lys variant also causes the well-known Asian flush, an unpleasant physiological response to alcohol consumption that includes facial flushing, nausea and tachycardia and inhibits alcohol consumption.9 It has been suggested that there is an association between ALDH2 genotype and EC risk which is dependent on alcohol consumption. ('Glu504Lys', 'Var', (936, 945)) ('flush', 'Disease', 'MESH:D005483', (1476, 1481)) ('nausea', 'Phenotype', 'HP:0002018', (1486, 1492)) ('human', 'Species', '9606', (669, 674)) ('Glu504Lys', 'SUBSTITUTION', 'None', (936, 945)) ('ALDH2', 'Gene', (1337, 1342)) ('ALDH2', 'Gene', (1081, 1086)) ('acetaldehyde', 'Chemical', 'MESH:D000079', (840, 852)) ('acetaldehyde', 'Chemical', 'MESH:D000079', (6, 18)) ('flush', 'Disease', 'MESH:D005483', (1388, 1393)) ('acetaldehyde dehydrogenase 2', 'Gene', (868, 896)) ('IARC', 'Disease', (738, 742)) ('accumulation of acetaldehyde', 'Phenotype', 'HP:0003533', (1243, 1271)) ('nausea and tachycardia', 'Phenotype', 'HP:0002017', (1486, 1508)) ('flush', 'Phenotype', 'HP:0031284', (1476, 1481)) ('cancer', 'Phenotype', 'HP:0002664', (510, 516)) ('ALDH2', 'Gene', (962, 967)) ('cancer', 'Phenotype', 'HP:0002664', (136, 142)) ('Esophageal cancer', 'Disease', (255, 272)) ('alcohol', 'Chemical', 'MESH:D000438', (610, 617)) ('ALDH2', 'Gene', (898, 903)) ('acetaldehyde', 'Chemical', 'MESH:D000079', (1259, 1271)) ('flush', 'Phenotype', 'HP:0031284', (1388, 1393)) ('acetaldehyde', 'Chemical', 'MESH:D000079', (868, 880)) ('esophageal squamous cell cancer', 'Disease', 'MESH:D002294', (111, 142)) ('tachycardia', 'Phenotype', 'HP:0001649', (1497, 1508)) ('esophageal squamous cell cancer', 'Disease', 'MESH:D002294', (485, 516)) ('tachycardia', 'Disease', 'MESH:D013610', (1497, 1508)) ('nausea', 'Disease', (1486, 1492)) ('tachycardia', 'Disease', (1497, 1508)) ('ALDH2', 'Gene', (0, 5)) ('ICD', 'Gene', '79158', (210, 213)) ('Acetaldehyde', 'Chemical', 'MESH:D000079', (574, 586)) ('alcohol', 'Chemical', 'MESH:D000438', (1435, 1442)) ('alcohol', 'Chemical', 'MESH:D000438', (1522, 1529)) ('ALDH2', 'Gene', (921, 926)) ('ALDH2', 'Gene', (1604, 1609)) ('IARC', 'Disease', 'None', (161, 165)) ('facial flushing', 'Disease', 'MESH:D005483', (1469, 1484)) ('ALDH2', 'Gene', '217', (1337, 1342)) ('esophageal cancer', 'Disease', 'MESH:D004938', (88, 105)) ('ALDH2', 'Gene', '217', (1081, 1086)) ('acetaldehyde dehydrogenase 2', 'Gene', '217', (6, 34)) ('CKB', 'Chemical', '-', (58, 61)) ('Cancer', 'Phenotype', 'HP:0002664', (730, 736)) ('flushing', 'Phenotype', 'HP:0031284', (1476, 1484)) ('nausea', 'Disease', 'MESH:D009325', (1486, 1492)) ('facial flushing', 'Disease', (1469, 1484)) ('Esophageal cancer', 'Disease', 'MESH:D004938', (255, 272)) ('IARC', 'Disease', 'None', (738, 742)) ('ALDH2', 'Gene', '217', (962, 967)) ('squamous cell cancer', 'Phenotype', 'HP:0002860', (496, 516)) ('esophageal squamous cell cancer', 'Disease', (485, 516)) ('ALDH2', 'Gene', '217', (898, 903)) ('carcinogenesis', 'Disease', (803, 817)) ('esophageal cancer', 'Disease', (88, 105)) ('esophageal squamous cell cancer', 'Disease', (111, 142)) ('alcohol', 'Chemical', 'MESH:D000438', (1653, 1660)) ('ALDH2', 'Gene', '217', (0, 5)) ('Alcohol', 'Chemical', 'MESH:D000438', (427, 434)) ('flush', 'Disease', (1476, 1481)) ('acetaldehyde dehydrogenase 2', 'Gene', '217', (868, 896)) ('carcinogenesis', 'Disease', 'MESH:D063646', (803, 817)) ('flush', 'Disease', (1388, 1393)) ('ALDH2', 'Gene', '217', (1604, 1609)) ('ICD', 'Gene', (210, 213)) ('ALDH2', 'Gene', '217', (921, 926)) ('Cancer', 'Phenotype', 'HP:0002664', (203, 209)) ('alcohol', 'Chemical', 'MESH:D000438', (1311, 1318)) ('acetaldehyde dehydrogenase 2', 'Gene', (6, 34)) ('cancer', 'Phenotype', 'HP:0002664', (266, 272)) ('cancer', 'Phenotype', 'HP:0002664', (99, 105)) ('alcohol', 'Chemical', 'MESH:D000438', (787, 794)) ('squamous cell cancer', 'Phenotype', 'HP:0002860', (122, 142)) ('IARC', 'Disease', (161, 165)) 19707 29707772 Two prospective studies conducted in Japanese men, with 33 and 215 incident EC cases separately, yielded inconsistent results.12, 13 Thus, the existing evidence remains inconclusive as to the association between inactive ALDH2 and EC risk. ('ALDH2', 'Gene', '217', (221, 226)) ('ALDH2', 'Gene', (221, 226)) ('inactive', 'Var', (212, 220)) ('men', 'Species', '9606', (46, 49)) 19709 29707772 In the China Kadoorie Biobank (CKB) prospective study, we first examined whether ALDH2 genotype was associated with EC risk in the absence of alcohol consumption in both men and women. ('ALDH2', 'Gene', '217', (81, 86)) ('CKB', 'Chemical', '-', (31, 34)) ('ALDH2', 'Gene', (81, 86)) ('associated with', 'Reg', (100, 115)) ('men', 'Species', '9606', (180, 183)) ('men', 'Species', '9606', (170, 173)) ('women', 'Species', '9606', (178, 183)) ('alcohol', 'Chemical', 'MESH:D000438', (142, 149)) ('genotype', 'Var', (87, 95)) 19723 29707772 Genotyping using a 384-SNP Illumina GoldenGate array, including ALDH2 rs671 G > A (Glu504Lys), was done in 95,680 randomly selected CKB participants at the BGI laboratory in Shenzhen, China. ('Glu504Lys', 'Var', (84, 93)) ('Glu504Lys', 'SUBSTITUTION', 'None', (84, 93)) ('ALDH2', 'Gene', '217', (65, 70)) ('participants', 'Species', '9606', (137, 149)) ('ALDH2', 'Gene', (65, 70)) ('CKB', 'Chemical', '-', (133, 136)) ('rs671', 'Mutation', 'rs671', (71, 76)) 19735 29707772 The analysis of ALDH2 genotype and alcohol consumption on EC risk was confined to 27,791 men with rs671 GA/GG because only 14 (1.0%) men with AA consumed alcohol weekly. ('ALDH2', 'Gene', (16, 21)) ('rs671', 'Mutation', 'rs671', (98, 103)) ('alcohol', 'Chemical', 'MESH:D000438', (154, 161)) ('rs671 GA/GG', 'Var', (98, 109)) ('men', 'Species', '9606', (133, 136)) ('ALDH2', 'Gene', '217', (16, 21)) ('men', 'Species', '9606', (89, 92)) ('alcohol', 'Chemical', 'MESH:D000438', (35, 42)) 19743 29707772 We also estimated the population attributable fraction (PAF) as Px[(HRadj-1)/HRadj], where P is the proportion of EC cases having exposure of interests, and HRadj is the multivariable-adjusted relative risk for this exposure category relative to the unexposed group.17 We also assessed the questions for detecting inactive ALDH2 in terms of sensitivity (the proportion of participants possessing rs671 A allele who were correctly identified as a flusher by the questionnaire) and specificity (the proportion of participants possessing active rs671 GG genotype who were correctly identified as a non-flusher by the questionnaire) among male weekly alcohol consumers. ('alcohol', 'Chemical', 'MESH:D000438', (648, 655)) ('flush', 'Disease', 'MESH:D005483', (447, 452)) ('-flusher', 'Phenotype', 'HP:0031284', (599, 607)) ('PAF', 'Chemical', '-', (56, 59)) ('participants', 'Species', '9606', (373, 385)) ('rs671 A', 'Var', (397, 404)) ('rs671', 'Mutation', 'rs671', (397, 402)) ('rs671', 'Mutation', 'rs671', (543, 548)) ('ALDH2', 'Gene', '217', (324, 329)) ('flush', 'Phenotype', 'HP:0031284', (600, 605)) ('flush', 'Disease', (600, 605)) ('flush', 'Phenotype', 'HP:0031284', (447, 452)) ('participants', 'Species', '9606', (512, 524)) ('ALDH2', 'Gene', (324, 329)) ('flush', 'Disease', 'MESH:D005483', (600, 605)) ('flush', 'Disease', (447, 452)) 19748 29707772 Compared to men with rs671 GG, those with A alleles were less likely to be daily alcohol consumers and consumed less alcohol on a typical drinking day. ('rs671', 'Var', (21, 26)) ('alcohol', 'Chemical', 'MESH:D000438', (81, 88)) ('rs671', 'Mutation', 'rs671', (21, 26)) ('less', 'NegReg', (112, 116)) ('men', 'Species', '9606', (12, 15)) ('less', 'NegReg', (57, 61)) ('alcohol', 'Chemical', 'MESH:D000438', (117, 124)) 19753 29707772 After adjustment for the amount of alcohol consumed and other potential confounders, the adjusted HRs (95% CIs) for EC were 0.96 (0.79, 1.18) for those reporting "large," 1.19 (0.88, 1.61) for "small" and 1.45 (1.05, 2.01) for "soon," compared to men reporting "no" flush response. ('flush', 'Phenotype', 'HP:0031284', (266, 271)) ('men', 'Species', '9606', (12, 15)) ('flush', 'Disease', (266, 271)) ('small', 'Var', (194, 199)) ('flush', 'Disease', 'MESH:D005483', (266, 271)) ('alcohol', 'Chemical', 'MESH:D000438', (35, 42)) ('men', 'Species', '9606', (247, 250)) 19757 29707772 Among male weekly alcohol consumers, when stratified by the amount of alcohol consumed, the statistically significant increase in EC risk associated with "soon" flushing response was present in daily consumers of >=60 g/d of alcohol, and increased EC risk associated with rs671 GA present in those of >=30 g/d of alcohol. ('increase', 'PosReg', (118, 126)) ('flushing', 'Phenotype', 'HP:0031284', (161, 169)) ('rs671', 'Mutation', 'rs671', (272, 277)) ('rs671 GA', 'Var', (272, 280)) ('flush', 'Phenotype', 'HP:0031284', (161, 166)) ('alcohol', 'Chemical', 'MESH:D000438', (70, 77)) ('alcohol', 'Chemical', 'MESH:D000438', (313, 320)) ('flushing', 'Disease', (161, 169)) ('flushing', 'Disease', 'MESH:D005483', (161, 169)) ('alcohol', 'Chemical', 'MESH:D000438', (18, 25)) ('alcohol', 'Chemical', 'MESH:D000438', (225, 232)) 19758 29707772 However, there was no statistically significant difference in the association of EC risk with self-reported flushing response (p interaction = 0.618) or ALDH2 genotype (p interaction = 0.376) across the amount of alcohol consumed per day (Table 2). ('flushing', 'Disease', 'MESH:D005483', (108, 116)) ('alcohol', 'Chemical', 'MESH:D000438', (213, 220)) ('ALDH2', 'Gene', '217', (153, 158)) ('genotype', 'Var', (159, 167)) ('flushing', 'Phenotype', 'HP:0031284', (108, 116)) ('flushing', 'Disease', (108, 116)) ('flush', 'Phenotype', 'HP:0031284', (108, 113)) ('ALDH2', 'Gene', (153, 158)) 19760 29707772 However, heavier alcohol consumption was associated with greater increase in EC risk for those with "soon" flushing response or rs671 GA. ('flushing', 'Disease', (107, 115)) ('flushing', 'Disease', 'MESH:D005483', (107, 115)) ('alcohol', 'Chemical', 'MESH:D000438', (17, 24)) ('rs671 GA', 'Var', (128, 136)) ('flushing', 'Phenotype', 'HP:0031284', (107, 115)) ('flush', 'Phenotype', 'HP:0031284', (107, 112)) ('rs671', 'Mutation', 'rs671', (128, 133)) 19764 29707772 Among men who consumed alcohol >=90 g/d, the highest EC risk was for those with "soon" flushing response (HR = 11.73; 95% CI: 6.17, 22.31) and for those with rs671 GA (HR = 22.54; 95% CI: 8.30, 61.21). ('flushing', 'Disease', 'MESH:D005483', (87, 95)) ('alcohol', 'Chemical', 'MESH:D000438', (23, 30)) ('rs671', 'Mutation', 'rs671', (158, 163)) ('rs671 GA', 'Var', (158, 166)) ('flushing', 'Disease', (87, 95)) ('flushing', 'Phenotype', 'HP:0031284', (87, 95)) ('flush', 'Phenotype', 'HP:0031284', (87, 92)) ('men', 'Species', '9606', (6, 9)) 19765 29707772 If the exposure of interest is causal, the fraction of EC risk in the male population that would be eliminated if participants who have low-activity ALDH2 (rs671 GA) and consume alcohol >=30 g/d changed to be light-to-moderate consumers or abstain from alcohol (i.e., the population attributable fraction, PAF) was 7%. ('low-activity', 'NegReg', (136, 148)) ('ALDH2', 'Gene', (149, 154)) ('rs671', 'Mutation', 'rs671', (156, 161)) ('alcohol', 'Chemical', 'MESH:D000438', (253, 260)) ('PAF', 'Chemical', '-', (306, 309)) ('alcohol', 'Chemical', 'MESH:D000438', (178, 185)) ('participants', 'Species', '9606', (114, 126)) ('ALDH2', 'Gene', '217', (149, 154)) ('rs671', 'Var', (156, 161)) 19767 29707772 Low-activity ALDH2, characterized as self-reported flushing response or rs671 GA heterozygotes, was associated with an increased EC risk among male heavy alcohol consumers of >=30 g/d. ('Low-activity', 'Var', (0, 12)) ('ALDH2', 'Gene', '217', (13, 18)) ('flushing', 'Disease', 'MESH:D005483', (51, 59)) ('alcohol', 'Chemical', 'MESH:D000438', (154, 161)) ('rs671', 'Var', (72, 77)) ('ALDH2', 'Gene', (13, 18)) ('heavy alcohol consumers', 'Phenotype', 'HP:0030955', (148, 171)) ('flushing', 'Phenotype', 'HP:0031284', (51, 59)) ('rs671', 'Mutation', 'rs671', (72, 77)) ('flushing', 'Disease', (51, 59)) ('flush', 'Phenotype', 'HP:0031284', (51, 56)) 19768 29707772 The increased EC risk associated with 15 g of alcohol per day was 30-40% among daily alcohol consumers with low-activity ALDH2, greater than those with active ALDH2. ('alcohol', 'Chemical', 'MESH:D000438', (46, 53)) ('alcohol', 'Chemical', 'MESH:D000438', (85, 92)) ('ALDH2', 'Gene', '217', (121, 126)) ('ALDH2', 'Gene', '217', (159, 164)) ('low-activity', 'Var', (108, 120)) ('ALDH2', 'Gene', (159, 164)) ('ALDH2', 'Gene', (121, 126)) 19770 29707772 The rs671 GA heterozygotes were linked to an increased EC risk (OR = 2.34; 95% CI: 1.75, 3.13) in a recent meta-analysis of 31 case-control studies, almost exclusively conducted in China and Japan.10 The OR (95% CI) of GA heterozygotes for EC was 1.21 (0.95, 1.73) among non-alcohol consumers, 3.79 (3.04, 4.72) among light consumers (1-350 g/week of alcohol) and 6.50 (5.34, 7.92) among heavy consumers (>=350 g/week of alcohol). ('alcohol', 'Chemical', 'MESH:D000438', (351, 358)) ('alcohol', 'Chemical', 'MESH:D000438', (421, 428)) ('1-350 g/week', 'Var', (335, 347)) ('rs671', 'Mutation', 'rs671', (4, 9)) ('alcohol', 'Chemical', 'MESH:D000438', (275, 282)) ('>=350 g/week', 'Var', (405, 417)) 19775 29707772 The EC risk associated with the synergistic interaction between inactive ALDH2 and alcohol consumption underscores the importance of screening for the ALDH2 deficiency. ('ALDH2', 'Gene', (73, 78)) ('ALDH2 deficiency', 'Disease', (151, 167)) ('inactive', 'Var', (64, 72)) ('ALDH2', 'Gene', '217', (151, 156)) ('ALDH2', 'Gene', '217', (73, 78)) ('ALDH2 deficiency', 'Disease', 'MESH:D007153', (151, 167)) ('alcohol', 'Chemical', 'MESH:D000438', (83, 90)) ('ALDH2', 'Gene', (151, 156)) 19781 29707772 Individuals with rs671 AA genotype tend to avoid alcohol consumption due to the very unpleasant responses they experience and are naturally protected from alcohol-induced carcinogenesis. ('carcinogenesis', 'Disease', 'MESH:D063646', (171, 185)) ('alcohol consumption', 'MPA', (49, 68)) ('alcohol', 'Chemical', 'MESH:D000438', (49, 56)) ('carcinogenesis', 'Disease', (171, 185)) ('avoid', 'NegReg', (43, 48)) ('rs671', 'Mutation', 'rs671', (17, 22)) ('alcohol', 'Chemical', 'MESH:D000438', (155, 162)) ('rs671 AA', 'Var', (17, 25)) 19791 29707772 Less than one-fifth of the CKB participants was genotyped, resulting in wide confidence intervals for the effect estimates of interaction between ALDH2 genotype and alcohol consumption. ('interaction', 'Interaction', (126, 137)) ('participants', 'Species', '9606', (31, 43)) ('ALDH2', 'Gene', '217', (146, 151)) ('alcohol', 'Chemical', 'MESH:D000438', (165, 172)) ('ALDH2', 'Gene', (146, 151)) ('genotype', 'Var', (152, 160)) ('CKB', 'Chemical', '-', (27, 30)) 19794 29707772 However, a noticeably extra increased EC risk related to low-activity ALDH2 was observed among heavy alcohol consumers, but not among light-to-moderate consumers. ('alcohol', 'Chemical', 'MESH:D000438', (101, 108)) ('low-activity', 'Var', (57, 69)) ('heavy alcohol consumers', 'Phenotype', 'HP:0030955', (95, 118)) ('ALDH2', 'Gene', '217', (70, 75)) ('ALDH2', 'Gene', (70, 75)) 19867 29228742 reported their data from a large-scale retrospective study of 502 esophageal squamous cell carcinoma (ESCC) patients and showed that ECOG PS (unfavorable: ECOG 2; HR 2.809, 95%CI 1.962-4.020; P<0.001) was also an independent prognostic factor in multivariate analysis of OS. ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (66, 100)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (77, 100)) ('ECOG PS', 'Var', (133, 140)) ('esophageal squamous cell carcinoma', 'Disease', (66, 100)) ('carcinoma', 'Phenotype', 'HP:0030731', (91, 100)) ('patients', 'Species', '9606', (108, 116)) 19881 29228742 A patient's BMI was calculated and classified according to the Asian-specific BMI cutoff values as follows: underweight (<18.5 kg/m2); normal weight (18.5-22.9 kg/m2); overweight and obese (>=23.0 kg/m2). ('obese', 'Disease', (183, 188)) ('<18.5', 'Var', (121, 126)) ('overweight', 'Phenotype', 'HP:0025502', (168, 178)) ('18.5-22.9', 'Var', (150, 159)) ('obese', 'Disease', 'MESH:D009765', (183, 188)) ('patient', 'Species', '9606', (2, 9)) 19934 28968416 In network D, SEMS and SEMS+BT increased the risk of bleeding when compared to brachytherapy (Fig 5). ('SEMS+BT', 'Var', (23, 30)) ('bleeding', 'Disease', 'MESH:D006470', (53, 61)) ('bleeding', 'Disease', (53, 61)) ('increased', 'PosReg', (31, 40)) 19955 28968416 However, it should be noted the plastic stents compared with other stents, increased the risk of TRD, bleeding, stent migration and aspiration. ('plastic stents', 'Var', (32, 46)) ('aspiration', 'Phenotype', 'HP:0002835', (132, 142)) ('aspiration', 'Disease', (132, 142)) ('stent migration', 'CPA', (112, 127)) ('bleeding', 'Disease', 'MESH:D006470', (102, 110)) ('bleeding', 'Disease', (102, 110)) ('TRD', 'Disease', (97, 100)) 19958 28968416 In the aforementioned meta-analysis, the odds ratio of stent migration in patients who had received ultraflex stents versus other types of stents was 1.17 (95% CI: 0.71, 1.93). ('stent migration', 'CPA', (55, 70)) ('patients', 'Species', '9606', (74, 82)) ('ultraflex', 'Var', (100, 109)) 19959 28968416 In our study, the risk of stent migration was higher for ultraflex stent versus covered Evolution stent, Flamingo stent, and Ultraflex stent plus radiotherapy. ('ultraflex', 'Var', (57, 66)) ('stent migration', 'CPA', (26, 41)) ('Flamingo', 'Species', '435638', (106, 114)) 19961 28968416 According to this meta-analysis, the odds ratio of severe pain for the ultraflex stent versus the other stents was 0.52; 95% CI (0.19, 1.45). ('ultraflex', 'Var', (71, 80)) ('pain', 'Disease', 'MESH:D010146', (58, 62)) ('pain', 'Disease', (58, 62)) ('pain', 'Phenotype', 'HP:0012531', (58, 62)) 19967 28968416 When compared with brachytherapy, SEMS 18 increased the risk of TRD and bleeding 5.61 and 2.62 times, respectively. ('increased', 'PosReg', (42, 51)) ('bleeding', 'Disease', (72, 80)) ('TRD', 'Disease', (64, 67)) ('SEMS 18', 'Var', (34, 41)) ('bleeding', 'Disease', 'MESH:D006470', (72, 80)) 20037 26056434 Modulation of apoptotic pathways and selective induction of apoptosis by chemical agents have been shown to be a promising approach in the treatment of cancer. ('Modulation', 'Var', (0, 10)) ('cancer', 'Disease', (152, 158)) ('cancer', 'Disease', 'MESH:D009369', (152, 158)) ('apoptotic pathways', 'Pathway', (14, 32)) ('cancer', 'Phenotype', 'HP:0002664', (152, 158)) 20042 26056434 Herbs with "heat and toxin-clearing" activity as well as "supplementing the center and boost the energy", can be used for cancer treatment. ('boost', 'PosReg', (87, 92)) ('cancer', 'Disease', (122, 128)) ('cancer', 'Disease', 'MESH:D009369', (122, 128)) ('cancer', 'Phenotype', 'HP:0002664', (122, 128)) ('supplementing', 'Var', (58, 71)) ('center', 'MPA', (76, 82)) ('energy', 'MPA', (97, 103)) 20077 26056434 (50-400 mug/mL), a TCM used to treat various cancers in Asian countries, can induce apoptosis in HepG2 cells by stimulating the apoptotic factors Bcl-2, Bcl-XL, MCL-1, XIAP, BID, BIK, caspase-3, caspase-9, and PARP. ('Bcl-XL', 'Gene', '598', (153, 159)) ('HepG2', 'CellLine', 'CVCL:0027', (97, 102)) ('caspase-3', 'Gene', (184, 193)) ('Bcl-XL', 'Gene', (153, 159)) ('stimulating', 'PosReg', (112, 123)) ('caspase-9', 'Gene', '842', (195, 204)) ('50-400 mug/mL', 'Var', (1, 14)) ('BIK', 'Gene', '638', (179, 182)) ('cancers', 'Disease', 'MESH:D009369', (45, 52)) ('BID', 'Gene', (174, 177)) ('PARP', 'Gene', '142', (210, 214)) ('BIK', 'Gene', (179, 182)) ('XIAP', 'Gene', '331', (168, 172)) ('apoptotic', 'MPA', (128, 137)) ('apoptosis', 'CPA', (84, 93)) ('PARP', 'Gene', (210, 214)) ('BID', 'Gene', '637', (174, 177)) ('caspase-9', 'Gene', (195, 204)) ('cancers', 'Phenotype', 'HP:0002664', (45, 52)) ('MCL-1', 'Gene', '4170', (161, 166)) ('cancers', 'Disease', (45, 52)) ('induce', 'PosReg', (77, 83)) ('XIAP', 'Gene', (168, 172)) ('cancer', 'Phenotype', 'HP:0002664', (45, 51)) ('caspase-3', 'Gene', '836', (184, 193)) ('MCL-1', 'Gene', (161, 166)) 20101 26056434 Further study shows that the anticancer effect of P. abalonus Y. H. Han, K. M. Chen et S. Cheng is attributed to the ROS-mediated mitochondrial apoptotic pathway. ('cancer', 'Disease', (33, 39)) ('cancer', 'Disease', 'MESH:D009369', (33, 39)) ('ROS-mediated mitochondrial apoptotic pathway', 'Pathway', (117, 161)) ('ROS', 'Chemical', 'MESH:D017382', (117, 120)) ('cancer', 'Phenotype', 'HP:0002664', (33, 39)) ('P. abalonus', 'Species', '47962', (50, 61)) ('P. abalonus', 'Var', (50, 61)) 20116 26056434 It has been reported that longikaurin A can induce apoptosis via the ROS/JNK/c-Jun pathway in hepatocellular carcinoma cells. ('JNK', 'Gene', (73, 76)) ('induce', 'PosReg', (44, 50)) ('c-Jun', 'Gene', '3725', (77, 82)) ('longikaurin A', 'Var', (26, 39)) ('longikaurin A', 'Chemical', 'MESH:C581034', (26, 39)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (94, 118)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (94, 118)) ('JNK', 'Gene', '5599', (73, 76)) ('ROS', 'Chemical', 'MESH:D017382', (69, 72)) ('hepatocellular carcinoma', 'Disease', (94, 118)) ('carcinoma', 'Phenotype', 'HP:0030731', (109, 118)) ('c-Jun', 'Gene', (77, 82)) ('apoptosis', 'CPA', (51, 60)) 20122 26056434 Recent studies showed the BDL301 can suppress the STAT3 pathway, resulting in apoptosis in colorectal cancer cells in vitro and in vivo. ('colorectal cancer', 'Disease', (91, 108)) ('apoptosis', 'CPA', (78, 87)) ('cancer', 'Phenotype', 'HP:0002664', (102, 108)) ('STAT3', 'Gene', '6774', (50, 55)) ('suppress', 'NegReg', (37, 45)) ('STAT3', 'Gene', (50, 55)) ('colorectal cancer', 'Disease', 'MESH:D015179', (91, 108)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (91, 108)) ('BDL301', 'Var', (26, 32)) 20133 26056434 Analysis of the structure-activity relationship suggested that the NF-kappaB inhibitory activity of trans-N-caffeoyltyramine was related with its Michael acceptor-type structure (an alpha,beta-unsaturated carbonyl group). ('NF-kappaB', 'Gene', '4790', (67, 76)) ('inhibitory', 'NegReg', (77, 87)) ('trans-N-caffeoyltyramine', 'Var', (100, 124)) ('NF-kappaB', 'Gene', (67, 76)) ('trans-N-caffeoyltyramine', 'Chemical', '-', (100, 124)) 20147 26056434 Several preclinical and clinical studies have demonstrated the anticancer potential of P. ginseng C. A. Mey. ('cancer', 'Disease', 'MESH:D009369', (67, 73)) ('cancer', 'Disease', (67, 73)) ('P. ginseng C. A. Mey', 'Species', '4054', (87, 107)) ('cancer', 'Phenotype', 'HP:0002664', (67, 73)) ('C. A. Mey', 'Var', (98, 107)) 20149 26056434 In a Korean study, P. ginseng C. A. Mey caused apoptosis by downregulating antiapoptotic Bcl-2, Bcl-XL, and IAP family members and activating caspase-3. ('antiapoptotic Bcl-2', 'MPA', (75, 94)) ('apoptosis', 'CPA', (47, 56)) ('caspase-3', 'Gene', '836', (142, 151)) ('activating', 'PosReg', (131, 141)) ('P. ginseng C. A. Mey', 'Var', (19, 39)) ('P. ginseng C. A. Mey', 'Species', '4054', (19, 39)) ('downregulating', 'NegReg', (60, 74)) ('Bcl-XL', 'Gene', '598', (96, 102)) ('Bcl-XL', 'Gene', (96, 102)) ('caspase-3', 'Gene', (142, 151)) ('IAP family members', 'Protein', (108, 126)) 20163 26056434 It has been demonstrated that KLT induces apoptosis of certain types of cancer cells by upregulating expression of p53, Fas, caspase-3, PCNA, and p21 WAF1/CIP1, and downregulating expression of cyclins A, E1, and F. Bufalin, the major bioactive component of V. bufonis, is a TCM obtained from the skin and parotid venom glands of the toad. ('p53', 'Gene', (115, 118)) ('bufonis', 'Chemical', '-', (261, 268)) ('p21 WAF1/CIP1', 'Gene', (146, 159)) ('cancer', 'Disease', (72, 78)) ('downregulating', 'NegReg', (165, 179)) ('PCNA', 'Gene', (136, 140)) ('KLT', 'Var', (30, 33)) ('p21 WAF1/CIP1', 'Gene', '1026', (146, 159)) ('cancer', 'Phenotype', 'HP:0002664', (72, 78)) ('caspase-3', 'Gene', '836', (125, 134)) ('upregulating', 'PosReg', (88, 100)) ('caspase-3', 'Gene', (125, 134)) ('expression', 'MPA', (180, 190)) ('apoptosis', 'CPA', (42, 51)) ('PCNA', 'Gene', '5111', (136, 140)) ('cancer', 'Disease', 'MESH:D009369', (72, 78)) ('Bufalin', 'Chemical', 'MESH:C022777', (216, 223)) ('induces', 'Reg', (34, 41)) ('p53', 'Gene', '7157', (115, 118)) ('expression', 'MPA', (101, 111)) ('Fas', 'Gene', (120, 123)) 20164 26056434 Studies have shown that bufalin induces apoptosis in various types of cancer cells, including hepatocellular carcinoma (0.001-0.1 muM), colon cancer (25-100 nM), leukemia (10-12.5 nM), gastric cancer (80 nmol/L), prostate cancer (0.1-10 muM), and malignant melanoma (150-550 nmol/L). ('cancer', 'Disease', 'MESH:D009369', (142, 148)) ('induces', 'Reg', (32, 39)) ('apoptosis', 'CPA', (40, 49)) ('hepatocellular carcinoma', 'Disease', 'MESH:D006528', (94, 118)) ('cancer', 'Disease', (193, 199)) ('cancer', 'Phenotype', 'HP:0002664', (193, 199)) ('muM', 'Gene', '56925', (130, 133)) ('malignant melanoma', 'Phenotype', 'HP:0002861', (247, 265)) ('25-100', 'Var', (150, 156)) ('bufalin', 'Chemical', 'MESH:C022777', (24, 31)) ('gastric cancer', 'Phenotype', 'HP:0012126', (185, 199)) ('muM', 'Gene', (130, 133)) ('malignant melanoma', 'Disease', 'MESH:D008545', (247, 265)) ('cancer', 'Disease', (222, 228)) ('colon cancer', 'Phenotype', 'HP:0003003', (136, 148)) ('hepatocellular carcinoma', 'Disease', (94, 118)) ('cancer', 'Phenotype', 'HP:0002664', (222, 228)) ('cancer', 'Disease', (70, 76)) ('prostate cancer', 'Disease', 'MESH:D011471', (213, 228)) ('prostate cancer', 'Phenotype', 'HP:0012125', (213, 228)) ('cancer', 'Disease', (142, 148)) ('muM', 'Gene', '56925', (237, 240)) ('cancer', 'Disease', 'MESH:D009369', (193, 199)) ('cancer', 'Phenotype', 'HP:0002664', (70, 76)) ('gastric cancer', 'Disease', 'MESH:D013274', (185, 199)) ('muM', 'Gene', (237, 240)) ('colon cancer', 'Disease', 'MESH:D015179', (136, 148)) ('cancer', 'Phenotype', 'HP:0002664', (142, 148)) ('prostate cancer', 'Disease', (213, 228)) ('carcinoma', 'Phenotype', 'HP:0030731', (109, 118)) ('gastric cancer', 'Disease', (185, 199)) ('leukemia', 'Phenotype', 'HP:0001909', (162, 170)) ('hepatocellular carcinoma', 'Phenotype', 'HP:0001402', (94, 118)) ('cancer', 'Disease', 'MESH:D009369', (222, 228)) ('malignant melanoma', 'Disease', (247, 265)) ('leukemia', 'Disease', (162, 170)) ('leukemia', 'Disease', 'MESH:D007938', (162, 170)) ('colon cancer', 'Disease', (136, 148)) ('cancer', 'Disease', 'MESH:D009369', (70, 76)) 20174 26056434 As already mentioned, apoptosis is one of the main mechanisms by which TCM induces death of cancer cell, but the direct targets involved have not been documented. ('apoptosis', 'CPA', (22, 31)) ('death of cancer', 'Disease', (83, 98)) ('TCM', 'Var', (71, 74)) ('death of cancer', 'Disease', 'MESH:D003643', (83, 98)) ('cancer', 'Phenotype', 'HP:0002664', (92, 98)) 20194 24618814 Although many molecular biomarker candidates of ESCC, such as squamous cell carcinoma antigen (SCC-Ag), carcinoembryonic antigen (CEA), CA19-9, and mutated p53, have been identified; biomarkers with the necessary sensitivity and specificity are still lacking. ('carcinoembryonic antigen', 'Gene', (104, 128)) ('squamous cell carcinoma', 'Disease', 'MESH:D002294', (62, 85)) ('carcinoma', 'Phenotype', 'HP:0030731', (76, 85)) ('squamous cell carcinoma', 'Disease', (62, 85)) ('CEA', 'Gene', (130, 133)) ('mutated', 'Var', (148, 155)) ('p53', 'Gene', (156, 159)) ('p53', 'Gene', '7157', (156, 159)) ('CEA', 'Gene', '1048', (130, 133)) ('carcinoembryonic antigen', 'Gene', '1048', (104, 128)) ('ESCC', 'Disease', (48, 52)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (62, 85)) 20245 24618814 Two hours after injecting the probe, we observed a strong specific fluorescence signal localized at the tumor sites (9.78x109+-1.1x109) which gradually increased up to about 32 hrs (2.90x1010+-1.84x109) in tumor bearing mice compared to normal nude mice (Fig. ('9.78x109+-1.1x109', 'Var', (117, 134)) ('tumor', 'Phenotype', 'HP:0002664', (206, 211)) ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('tumor', 'Disease', (206, 211)) ('mice', 'Species', '10090', (220, 224)) ('tumor', 'Disease', (104, 109)) ('mice', 'Species', '10090', (249, 253)) ('nude mice', 'Species', '10090', (244, 253)) ('tumor', 'Disease', 'MESH:D009369', (206, 211)) ('tumor', 'Disease', 'MESH:D009369', (104, 109)) 20290 19568551 Also patients who received cervical anastomosis and ER with colon had significantly fewer reflux symptoms. ('cervical anastomosis', 'Phenotype', 'HP:0002949', (27, 47)) ('patients', 'Species', '9606', (5, 13)) ('reflux', 'Disease', (90, 96)) ('reflux symptoms', 'Phenotype', 'HP:0002020', (90, 105)) ('fewer', 'NegReg', (84, 89)) ('cervical anastomosis', 'Var', (27, 47)) 20340 19568551 Patients with cervical anastomosis had significantly fewer symptoms of reflux when compared with those who received intrathoracic anastomosis. ('thoracic anastomosis', 'Disease', (121, 141)) ('cervical anastomosis', 'Phenotype', 'HP:0002949', (14, 34)) ('fewer', 'NegReg', (53, 58)) ('thoracic anastomosis', 'Disease', 'MESH:D013896', (121, 141)) ('reflux', 'MPA', (71, 77)) ('symptoms', 'MPA', (59, 67)) ('Patients', 'Species', '9606', (0, 8)) ('cervical anastomosis', 'Var', (14, 34)) 20346 19568551 Patients who received transhiatal esophagectomy have better quality of life than those with transthoracic esophagectomy. ('Patients', 'Species', '9606', (0, 8)) ('transhiatal', 'Var', (22, 33)) ('quality of life', 'CPA', (60, 75)) 20380 33112558 This study aimed to assess whether polymorphisms of PARP1 gene could be used as predictive biomarkers for the survival of esophageal squamous cell carcinoma (ESCC) patients from Cixian high-incidence region in northern China. ('carcinoma', 'Phenotype', 'HP:0030731', (147, 156)) ('PARP1', 'Gene', (52, 57)) ('esophageal squamous cell carcinoma', 'Disease', (122, 156)) ('polymorphisms', 'Var', (35, 48)) ('patients', 'Species', '9606', (164, 172)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (122, 156)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (133, 156)) 20381 33112558 In 203 ESCC patients with survival information, PARP1 rs1136410 T/C and rs8679 T/C single nucleotide polymorphisms (SNPs) were genotyped by polymerase chain reaction ligase detection reaction (PCR-LDR) method. ('rs8679 T/C', 'Var', (72, 82)) ('rs1136410', 'Mutation', 'rs1136410', (54, 63)) ('patients', 'Species', '9606', (12, 20)) ('PARP1', 'Gene', (48, 53)) ('rs1136410 T/C', 'Var', (54, 67)) ('rs8679', 'Mutation', 'rs8679', (72, 78)) ('ESCC', 'Disease', (7, 11)) 20386 33112558 For rs8679, the mean survival time of T/T genotype carriers was 43.7 months, which was not significantly different from that of the patients with T/C genotype (42.1 months). ('rs8679', 'Mutation', 'rs8679', (4, 10)) ('patients', 'Species', '9606', (132, 140)) ('T/T', 'Var', (38, 41)) ('rs8679', 'Var', (4, 10)) 20387 33112558 In Cixian high-incidence region from northern China, rs1136410 and rs8679 SNPs might not be used to predict survival of ESCC patients. ('rs1136410', 'Mutation', 'rs1136410', (53, 62)) ('ESCC', 'Disease', (120, 124)) ('rs1136410', 'Var', (53, 62)) ('rs8679 SNPs', 'Var', (67, 78)) ('rs8679', 'Mutation', 'rs8679', (67, 73)) ('patients', 'Species', '9606', (125, 133)) 20388 33112558 There is a need to explore whether other SNPs of PARP1 gene have an effect on prognosis of ESCC patients. ('PARP1', 'Gene', (49, 54)) ('ESCC', 'Disease', (91, 95)) ('SNPs', 'Var', (41, 45)) ('patients', 'Species', '9606', (96, 104)) ('effect', 'Reg', (68, 74)) 20393 33112558 Aberrant expression of PARP1 has been recorded in different human cancers. ('Aberrant', 'Var', (0, 8)) ('cancers', 'Disease', 'MESH:D009369', (66, 73)) ('cancer', 'Phenotype', 'HP:0002664', (66, 72)) ('PARP1', 'Gene', (23, 28)) ('expression', 'MPA', (9, 19)) ('cancers', 'Phenotype', 'HP:0002664', (66, 73)) ('cancers', 'Disease', (66, 73)) ('recorded', 'Reg', (38, 46)) ('human', 'Species', '9606', (60, 65)) 20396 33112558 In addition, promoter hypermethylation of PARP1, which might be associated with lower expression level of PARP1, predisposed females to breast cancer (Sabit et al., 2019). ('cancer', 'Phenotype', 'HP:0002664', (143, 149)) ('expression level', 'MPA', (86, 102)) ('PARP1', 'Gene', (42, 47)) ('breast cancer', 'Disease', 'MESH:D001943', (136, 149)) ('breast cancer', 'Disease', (136, 149)) ('breast cancer', 'Phenotype', 'HP:0003002', (136, 149)) ('promoter hypermethylation', 'Var', (13, 38)) ('PARP1', 'Gene', (106, 111)) ('predisposed', 'Reg', (113, 124)) 20407 33112558 Accumulated evidences demonstrated that genetic polymorphisms in DNA repair genes may affect individual DNA repair capacity and change cancer risk (Hou et al., 2002; Wang et al., 2013). ('change cancer', 'Disease', 'MESH:D009369', (128, 141)) ('affect', 'Reg', (86, 92)) ('genetic polymorphisms', 'Var', (40, 61)) ('DNA repair capacity', 'MPA', (104, 123)) ('cancer', 'Phenotype', 'HP:0002664', (135, 141)) ('change cancer', 'Disease', (128, 141)) ('DNA repair genes', 'Gene', (65, 81)) 20408 33112558 PARP1 gene rs1136410 single nucleotide polymorphism (SNP) is a T to C transition at codon 762 located in the catalytic domain that leads to a change from valine to alanine, which is related to reduction of PARP1 enzymatic activity (Lockett et al., 2004; Wang et al., 2007). ('rs1136410 single nucleotide polymorphism', 'Var', (11, 51)) ('T to C transition at codon 762', 'Mutation', 'c.762T>C', (63, 93)) ('valine to alanine', 'MPA', (154, 171)) ('valine', 'Chemical', 'MESH:D014633', (154, 160)) ('change', 'Reg', (142, 148)) ('rs1136410', 'Mutation', 'rs1136410', (11, 20)) ('PARP1', 'Gene', (0, 5)) ('alanine', 'Chemical', 'MESH:D000409', (164, 171)) 20409 33112558 The rs8679 SNP is situated in the 3'-untranslated region (3'-UTR) of PARP1 gene, the T to C substitution may affect PARP1 expression level (Teo et al., 2012; Schneiderova et al., 2017). ('PARP1', 'Gene', (69, 74)) ('T to C substitution', 'Var', (85, 104)) ('rs8679', 'Mutation', 'rs8679', (4, 10)) ('affect', 'Reg', (109, 115)) ('expression level', 'MPA', (122, 138)) ('rs8679', 'Var', (4, 10)) ('PARP1', 'Gene', (116, 121)) 20410 33112558 These two polymorphisms were reported to be associated with risk of various tumors such as prostate cancer, esophageal cancer, cervical cancer, colorectal cancer, bladder cancer, and breast cancer (Hao et al., 2004; Lockett et al., 2004; Teo et al., 2012; Roszak et al., 2013; Schneiderova et al., 2017 ). ('prostate cancer', 'Disease', (91, 106)) ('cancer', 'Disease', 'MESH:D009369', (171, 177)) ('polymorphisms', 'Var', (10, 23)) ('cancer', 'Disease', (136, 142)) ('esophageal cancer', 'Disease', 'MESH:D004938', (108, 125)) ('breast cancer', 'Disease', 'MESH:D001943', (183, 196)) ('cancer', 'Disease', 'MESH:D009369', (100, 106)) ('colorectal cancer', 'Disease', 'MESH:D015179', (144, 161)) ('breast cancer', 'Disease', (183, 196)) ('cancer', 'Disease', 'MESH:D009369', (155, 161)) ('cancer', 'Phenotype', 'HP:0002664', (136, 142)) ('cancer', 'Disease', (190, 196)) ('colorectal cancer', 'Disease', (144, 161)) ('esophageal cancer', 'Disease', (108, 125)) ('cancer', 'Disease', (119, 125)) ('tumors', 'Phenotype', 'HP:0002664', (76, 82)) ('cancer', 'Phenotype', 'HP:0002664', (119, 125)) ('tumor', 'Phenotype', 'HP:0002664', (76, 81)) ('cancer', 'Disease', 'MESH:D009369', (136, 142)) ('cancer', 'Disease', (171, 177)) ('tumors', 'Disease', (76, 82)) ('cancer', 'Disease', (100, 106)) ('cancer', 'Phenotype', 'HP:0002664', (171, 177)) ('cancer', 'Disease', (155, 161)) ('associated', 'Reg', (44, 54)) ('bladder cancer', 'Disease', 'MESH:D001749', (163, 177)) ('cancer', 'Disease', 'MESH:D009369', (190, 196)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (144, 161)) ('bladder cancer', 'Disease', (163, 177)) ('cancer', 'Phenotype', 'HP:0002664', (155, 161)) ('cancer', 'Disease', 'MESH:D009369', (119, 125)) ('cancer', 'Phenotype', 'HP:0002664', (100, 106)) ('tumors', 'Disease', 'MESH:D009369', (76, 82)) ('prostate cancer', 'Disease', 'MESH:D011471', (91, 106)) ('bladder cancer', 'Phenotype', 'HP:0009725', (163, 177)) ('prostate cancer', 'Phenotype', 'HP:0012125', (91, 106)) ('breast cancer', 'Phenotype', 'HP:0003002', (183, 196)) 20412 33112558 To date, no study has been conducted to assess whether PARP1 rs1136410 and rs8679 SNPs, two potentially functional sites, are useful biomarkers to predict the survival of esophageal squamous cell carcinoma (ESCC) patients in Cixian high-incidence region. ('rs8679', 'Mutation', 'rs8679', (75, 81)) ('esophageal squamous cell carcinoma', 'Disease', (171, 205)) ('PARP1', 'Gene', (55, 60)) ('rs1136410', 'Mutation', 'rs1136410', (61, 70)) ('rs1136410', 'Var', (61, 70)) ('patients', 'Species', '9606', (213, 221)) ('carcinoma', 'Phenotype', 'HP:0030731', (196, 205)) ('esophageal squamous cell carcinoma', 'Disease', 'MESH:D000077277', (171, 205)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (182, 205)) ('rs8679 SNPs', 'Var', (75, 86)) 20420 33112558 The two specific probes used to discriminate the specific bases were 5'-ctgttcttttgctcctccaggccaaggt-3' and 5'-ttcttttgctcctccaggccaaggc-3' for rs1136410, and 5'-ctgactgaaaagagctttccttctccaggaat-3' and 5'-ctgaaaaagagctttccttctccaggaac-3' for rs8679. ('rs1136410', 'Mutation', 'rs1136410', (144, 153)) ('rs8679', 'Mutation', 'rs8679', (242, 248)) ('rs1136410', 'Var', (144, 153)) ('rs8679', 'Var', (242, 248)) 20422 33112558 For rs1136410 and rs8679, the common probes were 5'-P-ggaaatgcttgacaacctgctggac-FAM-3' and 5'-P-actgaacatgggagctcttgaaatctga-FAM-3' respectively. ('rs8679', 'Mutation', 'rs8679', (18, 24)) ('rs1136410', 'Var', (4, 13)) ('rs8679', 'Var', (18, 24)) ('rs1136410', 'Mutation', 'rs1136410', (4, 13)) 20427 33112558 The T/T, T/C and C/C genotype frequencies of rs1136410 in the ESCC patients were 38.9%, 42.4% and 18.7%, respectively. ('rs1136410', 'Mutation', 'rs1136410', (45, 54)) ('ESCC', 'Disease', (62, 66)) ('patients', 'Species', '9606', (67, 75)) ('rs1136410', 'Var', (45, 54)) 20430 33112558 For rs8679, the T/T and T/C genotype frequencies of the ESCC patients were 88.7% and 11.3%. ('ESCC', 'Disease', (56, 60)) ('T/C', 'Var', (24, 27)) ('patients', 'Species', '9606', (61, 69)) ('rs8679', 'Mutation', 'rs8679', (4, 10)) ('T/T', 'Var', (16, 19)) ('rs8679', 'Var', (4, 10)) 20433 33112558 When stratified by sex, age, smoking status and UGIC family history, rs1136410 and rs8679 SNPs were not associated with the survival time of ESCC patients (Table 2 and Table 3). ('rs1136410', 'Var', (69, 78)) ('rs8679 SNPs', 'Var', (83, 94)) ('rs8679', 'Mutation', 'rs8679', (83, 89)) ('rs1136410', 'Mutation', 'rs1136410', (69, 78)) ('patients', 'Species', '9606', (146, 154)) ('ESCC', 'Disease', (141, 145)) 20434 33112558 In this study, we for the first time evaluated the association between PARP1 rs1136410 and rs8679 SNPs and the survival of ESCC patients from Cixian high-incidence region. ('rs1136410', 'Mutation', 'rs1136410', (77, 86)) ('ESCC', 'Disease', (123, 127)) ('PARP1', 'Gene', (71, 76)) ('rs1136410', 'Var', (77, 86)) ('patients', 'Species', '9606', (128, 136)) ('rs8679 SNPs', 'Var', (91, 102)) ('rs8679', 'Mutation', 'rs8679', (91, 97)) 20436 33112558 PARP1 gene rs1136410 is a missense variant located in the catalytic domain. ('rs1136410', 'Mutation', 'rs1136410', (11, 20)) ('PARP1', 'Gene', (0, 5)) ('rs1136410', 'Var', (11, 20)) 20437 33112558 The loss of a methyl group from valine to alaline increases the distance between residue 762 in the regulatory domain and glycine 888, the closet neighbor of residue in the active site, looses the binding with NAD+ and reduces the catalytic activity (Cottet et al., 2000). ('reduces', 'NegReg', (219, 226)) ('glycine', 'Chemical', 'MESH:D005998', (122, 129)) ('catalytic activity', 'MPA', (231, 249)) ('binding', 'Interaction', (197, 204)) ('valine', 'Chemical', 'MESH:D014633', (32, 38)) ('NAD+', 'Chemical', 'MESH:D009243', (210, 214)) ('looses', 'NegReg', (186, 192)) ('increases', 'PosReg', (50, 59)) ('alaline', 'Chemical', '-', (42, 49)) ('NAD+', 'Protein', (210, 214)) ('distance', 'MPA', (64, 72)) ('glycine 888', 'Var', (122, 133)) ('loss', 'Var', (4, 8)) 20438 33112558 The rs1136410 was documented to have an influence on risk of some tumors or prognosis of cancer patients (Hao et al., 2004; Lockett et al., 2004; Kim et al., 2010; Roszak et al., 2013; Zhou et al., 2015). ('prognosis', 'CPA', (76, 85)) ('tumor', 'Phenotype', 'HP:0002664', (66, 71)) ('influence', 'Reg', (40, 49)) ('tumors', 'Disease', (66, 72)) ('cancer', 'Disease', 'MESH:D009369', (89, 95)) ('tumors', 'Disease', 'MESH:D009369', (66, 72)) ('tumors', 'Phenotype', 'HP:0002664', (66, 72)) ('cancer', 'Disease', (89, 95)) ('patients', 'Species', '9606', (96, 104)) ('rs1136410', 'Mutation', 'rs1136410', (4, 13)) ('rs1136410', 'Var', (4, 13)) ('cancer', 'Phenotype', 'HP:0002664', (89, 95)) 20440 33112558 Likewise, there was no significant relation between rs1136410 and PARP1 activity of 19 human cancer cell lines (Zaremba et al., 2009). ('cancer', 'Disease', (93, 99)) ('rs1136410', 'Var', (52, 61)) ('cancer', 'Disease', 'MESH:D009369', (93, 99)) ('human', 'Species', '9606', (87, 92)) ('activity', 'MPA', (72, 80)) ('PARP1', 'Enzyme', (66, 71)) ('cancer', 'Phenotype', 'HP:0002664', (93, 99)) ('rs1136410', 'Mutation', 'rs1136410', (52, 61)) 20442 33112558 Simil