Publications by authors named "Ao-Xiang Chen"

Objectives: To investigate the most common concomitant symptoms and the urgent demand of solution in the breast cancer patients undergoing postoperative endocrine treatment, as well as the acceptance and expectation of acupuncture in the patients so as to provide the scientific data for promoting the application of acupuncture in the breast cancer patients.

Methods: Breast cancer patients treated in Tianjin Medical University Cancer Institute and Hospital from January 2022 to March 2023 were randomly selected as the subjects. Using "questionnaire star" website, the questionnaire was conducted to investigate the relevant concomitant symptoms of the patients in postoperative endocrine treatment and the questions related to acupuncture treatment.

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  • The study examines the impact of tumor stage at diagnosis and adjuvant treatments on long-term survival in patients with triple-negative breast cancer (TNBC) who achieved pathologic complete response (pCR) after neoadjuvant chemotherapy (NACT).
  • Patients in clinical stages II-III were analyzed from two cohorts, revealing that those with stage III had significantly worse overall and breast cancer-specific survival outcomes compared to stage II patients.
  • The findings indicate that tumor stage is a strong indicator of long-term survival, while additional adjuvant therapies like chemotherapy and radiation do not significantly improve prognosis for these patients.
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  • This study investigates whether preserving the pectoralis major fascia (PMF) during surgery affects long-term cancer outcomes in breast cancer patients who had immediate implant-based breast reconstruction (IBBR) following a conservative mastectomy.* -
  • By analyzing data from women with early-stage breast cancer treated from 2014 to 2019, researchers found no significant differences in locoregional recurrence-free survival, disease-free survival, distant metastasis-free survival, or overall survival between those who had the PMF preserved and those who did not.* -
  • The conclusion suggests that preserving the PMF does not adversely affect long-term oncologic outcomes, indicating it may be safe to maintain this structure during surgery if there are no signs of tumor invasion
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Objective: To evaluate the efficacy and safety of acupuncture in treating symptoms for Cancer-related Insomnia(CRI) patients.

Methods: Seven databases were searched from the time of database establishment to 31 March 2022. Randomized Controlled Trials (RCTs) on acupuncture intervention for CRI were collected.

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Purpose: Surgical meshes are often used in retro-pectoral implant-based breast reconstruction (IBBR) to improve lower pole expansion. However, using of surgical meshes is associated with increased complications and costs. To solve this problem, we have adopted a modified fascia-based IBBR technique using fasciae of pectoral major, serratus anterior, and external oblique muscles to form a sling covering the lower pole of prosthesis since 2014.

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Toll-like receptor 3 (TLR3) is a viral sensor that induces apoptosis in response to double-stranded RNA (dsRNA). Common genetic changes in the TLR3 gene may influence breast cancer susceptibility and development. However, all of the polymorphisms in the previous study were only markers of the TLR3 gene, not causative polymorphisms.

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More women are delaying child-birth. Thus, the diagnosis of pregnancy-associated breast cancer (PABC) will continue to increase. The aim of this study was to identify core candidate genes of PABC, and the relevance of the genes on the prognosis of PABC.

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Toll-like receptor 3 (TLR3) is a receptor recognizing double-stranded RNA (dsRNA) from viruses as well as from lytic mammalian cells. In the present study, we performed a two-stage association study (n = 3,551) and found that the minor alleles of two SNPs (the T-allele of rs5743312 and the T-allele of rs3775296) conferred increased risks of breast cancer incidence. The adjusted odds ratios (ORs) were 2.

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Background: Breast cancer is the most common cancer among women worldwide, and approximately 70% of breast cancers are hormone receptor-positive and express estrogen receptor-α (ERα) or/and progesterone receptor. ERα has been identified to promote the growth of primary breast cancer, however, it can also antagonize signaling pathways that lead to epithelial-mesenchymal transition (EMT), including transforming growth factor-β (TGF-β) signaling. miRNA alteration or dysfunction is involved in cancer development and progression.

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  • - Breast cancer is the most prevalent cancer among women globally, and a major challenge in treatment is chemoresistance linked to microRNA (miRNA) dysregulation.
  • - The study highlights miR-485-5p as a promising tumor suppressor that, when overexpressed, can slow down breast cancer growth and improve the effectiveness of chemotherapy in lab and animal models.
  • - It was found that miR-485-5p targets the survivin gene, and high levels of survivin can counteract the beneficial effects of miR-485-5p, suggesting that manipulating this pathway could improve chemotherapy responses in breast cancer patients.
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  • - FOXD3 is identified as a tumor suppressor that is crucial for regulating the development and aggression of breast cancer cells, but its specific role in breast tumorigenesis is not well understood.
  • - Research shows that FOXD3 levels are lower in breast cancer tissues, and patients with decreased FOXD3 expression tend to have worse outcomes; its depletion encourages cancer cell growth and invasion.
  • - Enhancing FOXD3 expression can reduce breast cancer cell proliferation and invasion, suggesting its potential as a therapeutic target for improving breast cancer treatments.
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The inhibitory effect of two chemokine decoy receptors (CDRs), DARC and D6, on breast cancer metastasis is mainly due to their ability to sequester pro-malignant chemokines. We hypothesized that genetic variants in the DARC and CCBP2 (encoding D6) genes may be associated with breast cancer progression. In the present study, we evaluated the genetic contributions of DARC and CCBP2 to metastatic potential, indicated by lymph node metastasis (LNM).

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Previous studies have shown that let-7 can repress the post-transcriptional translation of LIN28, and LIN28 in turn could block the maturation of let-7, forming a double-negative feedback loop. In this study, we investigated the effect of germline genetic variants on regulation of the homeostasis of the let-7/LIN28 loop and breast cancer risk. We initially demonstrated that the T/C variants of rs3811463, a single nucleotide polymorphism (SNP) located near the let-7 binding site in LIN28, could lead to differential regulation of LIN28 by let-7.

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Increasing evidence has shown that chemokines and chemokine receptors are associated with tumor growth and metastasis. CCR4, an important chemokine receptor for regulating immune homeostasis, is thought to be involved in hematologic malignancies and has also recently implicated in some solid tumors, such as gastric cancer. The possible role of CCR4 in breast cancer has not been well elucidated.

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The association between single-nucleotide polymorphisms (SNPs) in the interleukin-10 (IL-10) gene promoter and breast cancer risk is still ambiguous. We here performed a meta-analysis based on the evidence currently available from the literature to make a more precise estimation of the relationship between two genetic variants in the IL-10 gene promoter, -1082A > G (rs1800896) and -592C > A (rs1800872), and breast cancer. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to assess the corresponding strengths of association under the codominant, dominant, and recessive models.

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A single-nucleotide polymorphism (SNP) in the 5'-untranslated region (UTR) of RAD51, 135G>C (rs1801320), was reported to be associated with an increased risk of breast cancer among BRCA2 as well as BRCA1 carriers. A few studies have also investigated the genetic contribution of RAD51 135G>C to the risk of sporadic breast cancers or breast cancer in non-BRCA1/2 carriers, though the results are yet controversial and inconclusive. We, in this study, performed a more precise estimation of the relationship between 135G>C and breast cancer among non-BRCA1/2 mutation carriers by meta-analyzing the currently available evidence from the literature.

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The estrogen signal is mediated by the estrogen receptor (ER). The specific role of ER-beta, a second ER, in breast carcinogenesis is not known. A number of association studies have been carried out to investigate the relationship between polymorphic sites in the ESR2 gene and breast cancer risk, however, the results are inconsistent.

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Several common single-nucleotide polymorphisms (SNPs) within the XRCC2 gene have been identified as potential breast cancer susceptibility loci and a coding SNP in exon 3 (Arg188His, rs3218536) has been extensively studied, though the results were inconclusive. We, in this study, performed a more convincing and precise estimation of the relationship between Arg188His and breast cancer by meta-analyzing the currently available evidence from literature. A total of 16 studies involving 18,341 cases and 19,028 controls (37,369 subjects) were identified for meta-analysis.

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Sex steroid hormones and their receptors such as estrogen receptor (ER) and progesterone receptor (PgR) have been widely studied for their roles in the etiology of breast cancer. To date, many studies have evaluated the association between a functional polymorphism in the PgR gene promoter (+331G>A, rs10895068) and breast cancer risk; however, the result is still ambiguous and inconclusive. In order to derive a more precise estimation of the association, a meta-analysis was performed in this study.

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The association between a single-nucleotide polymorphism (SNP) -174G > C (rs1800795) located in the IL-6 gene promoter and breast cancer risk is still controversial and ambiguous. We performed in this study a more precise estimation of the relationship by meta-analyzing the currently available evidence from literature. A total of 11 publications containing 12 studies including 10,137 cases and 15,566 controls were identified.

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The association between single-nucleotide polymorphisms (SNPs) in the COX-2 gene and breast cancer risk is still ambiguous. We here try to derive a more precise estimation of the relationship by performing a meta-analysis based on currently available evidence from literature. More than 15 SNPs have been studied, and the most studied genetic variants were rs5275, rs5277, and rs20417.

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Article Synopsis
  • The study investigates the relationship between genetic variants in the GSTM gene cluster and breast cancer risk, focusing on GSTM1-5, particularly the GSTM3 gene.
  • Researchers analyzed tagging single-nucleotide polymorphisms (SNPs) in a sample of 921 breast cancer cases and 711 controls, finding a significant association in patients lacking the GSTM1 gene.
  • Results suggested that specific SNPs in GSTM3 may influence breast cancer susceptibility, with protective genotypes linked to higher GSTM3 expression, indicating a potential protective role against breast cancer when GSTM1 is not present.
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