Breast cancer is the most common malignancy in women all over the world. Genetic background of women contributes to her risk of having breast cancer. Certain inherited DNA mutations can dramatically increase the risk of developing certain cancers and are responsible for many of the cancers that run in some families. Regarding the widespread multigene panels, whole exome sequencing is capable of providing the evaluation of genetic function mutations for development novel strategy in clinical trials. Targeting the mutant proteins involved in breast cancer can be an effective therapeutic approach for developing novel drugs. This systematic review discusses gene mutations linked to breast cancer, focusing on signaling pathways that are being targeted with investigational therapeutic strategies, where clinical trials could be potentially initiated in the future are being highlighted.
Ultrasonography (US) findings and Doppler sonography of renal vessels can provide useful information on the structural and vascular supply of patients suffering from chronic kidney disease (CKD). The purpose of this study was to compare the US findings of patients with diabetic nephropathy with the pathologic findings of their renal biopsy. In this descriptive study, US parameters including resistivity index (RI), renal size and volume and cortical and medullary echogenicity, and histopathological findings of renal biopsy (fibrosis, inflammation and chronicity) of 60 patients (27 women and 33 men) with diabetic nephropathy admitted in Hasheminejad kidney center (HKC) of Tehran were extracted and analyzed. Of 60 patients, interstitial fibrosis (IF) in 47 patients, interstitial inflammation (II) in 50 patients and signs of chronicity in 43 patients in pathology report were observed. Patients with IF had larger renal length, higher sinus volume, coarse echogenicity, and abnormal medullary echogenicity, significantly. The presence of II was associated with larger renal length, higher renal and sinus volume, higher cortical echogenicity, and more patients with coarse echogenicity and abnormal medullary echogenicity. The observation of chronicity was significantly correlated with higher sinus volume and more patients with irregular renal rim. According to the findings of this study, renal length and volume, renal sinus volume, and the presence of coarse echogenicity and abnormal medullar echogenicity strongly correlate with renal histopathologic findings in patients with diabetic nephropathy. RI is not a suitable marker for identifying tubulointerstitial changes in these patients.
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