Oncogene:新蛋白质可以预测乳腺癌肺转移

2012-04-10 Beyond 生物谷

最近,研究人员发现一种有用蛋白质,该蛋白质可以预测乳腺癌患者发生肺转移的风险 过氧化物酶2保护肿瘤细胞免受氧化应激,并促进肿瘤细胞在肺部的生长和增殖。 来自Bellvitge生物医学研究所(IDIBELL)的研究表明:转移到肺的乳腺癌细胞能表达较高水平的过氧化物酶2(PRDX2)蛋白。这项研究证实调控这种蛋白质的水平可能是一个新的治疗肿瘤,以防止肺转移的策略。研究结果发表在Oncogene杂志

最近,研究人员发现一种有用蛋白质,该蛋白质可以预测乳腺癌患者发生肺转移的风险

过氧化物酶2保护肿瘤细胞免受氧化应激,并促进肿瘤细胞在肺部的生长和增殖。

来自Bellvitge生物医学研究所(IDIBELL)的研究表明:转移到肺的乳腺癌细胞能表达较高水平的过氧化物酶2(PRDX2)蛋白。这项研究证实调控这种蛋白质的水平可能是一个新的治疗肿瘤,以防止肺转移的策略。研究结果发表在Oncogene杂志上。

PRDX2是一个氧化还原酶,能保护细胞免受自由基和氧化应激的损伤。PRDX2对肺部肿瘤细胞能生活在充足氧气的环境中至关重要。在乳腺癌细胞中,过度表达的PRDX2可防止氧化应激的损伤,促进肺部肿瘤的生长、增殖和转移。

Sierra等研究者用细胞实验以及小鼠动物模型证实了低表达水平的PRDX2足以阻止转移性肿瘤细胞转移至肺。

Sierra说:“这些研究结果表明修改的PRDX2表达可能会产生一种新的治疗方法,以防止肿瘤细胞肺转移,一些抑制该蛋白的药物的有效性已经在其他疾病中得到测试。

下一步研究工作就是能得到足够数量的高表达这种蛋白的患者,验证PRDX2能否作为乳腺癌肺转移风险的生物标志物。(生物谷:Bioon)

doi:10.1038/onc.2012.93
PMC:
PMID:

Peroxiredoxin 2 specifically regulates the oxidative and metabolic stress response of human metastatic breast cancer cells in lungs.

Stresing V, Baltziskueta E, Rubio N, Blanco J, Arriba M, Valls J, Janier M, Clézardin P, Sanz-Pamplona R, Nieva C, Marro M, Dmitri P, Sierra A.

Little is known about metastatic pathways that are specific to the lung rather than other organs. We previously showed that antioxidant proteins such as peroxiredoxins were specifically upregulated in lung metastatic breast cancer cells. We hypothesize that cancer cells that live under aerobic conditions, as might be the case in lungs, protect themselves against the damage caused by reactive oxygen species (ROS). To examine this hypothesis, we studied the role of peroxiredoxin-2 (PRDX2) in lung vs bone metastasis formation. A metastatic variant of MDA-MB-435 breast cancer cells that specifically metastasize to lungs (435-L3) was transduced with short hairpin RNAs to specifically silence PRDX2. Conversely, a bone metastatic variant of MDA-MB-231 cells (BO2) was stably transfected to overexpress PRDX2. The 435-L3 cells silenced for PRDX2 were significantly more sensitive to H(2)O(2)-induced oxidative stress than the parental and scrambled transfected cells. BO2/PRDX2 cells produced less ROS than BO2/green fluorescent protein control cells under oxidative stress. Moreover, PRDX2 knockdown inhibited the growth of 435-L3 cells in the lungs, whereas lymph node metastasis remained unaffected. In contrast, PRDX2 overexpression in bone metastatic BO2 breast cancer cells led to drastic inhibition of the skeletal tumor burden and reduction of bone destruction. Furthermore, PRDX2 expression in breast cancer cells was associated with a glucose-dependent phenotype, different from bone metastatic cells. Overall, our results strongly suggest that PRDX2 is a targetable 'metabolic adaptor' driver protein implicated in the selective growth of metastatic cells in the lungs by protecting them against oxidative stress.

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1765469, encodeId=a1f41e65469ef, content=<a href='/topic/show?id=252ae1803a3' target=_blank style='color:#2F92EE;'>#白质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71803, encryptionId=252ae1803a3, topicName=白质)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Fri Nov 09 07:47:00 CST 2012, time=2012-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2048425, encodeId=f3d2204842559, content=<a href='/topic/show?id=4363e929ad' target=_blank style='color:#2F92EE;'>#Gene#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7929, encryptionId=4363e929ad, topicName=Gene)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Wed Sep 12 22:47:00 CST 2012, time=2012-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1296847, encodeId=ef98129684e61, content=<a href='/topic/show?id=158288e017c' target=_blank style='color:#2F92EE;'>#蛋白质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88701, encryptionId=158288e017c, topicName=蛋白质)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c689267, createdName=cmj8wellington, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1555504, encodeId=e4f11555504f7, content=<a href='/topic/show?id=6d4f8232623' target=_blank style='color:#2F92EE;'>#肺转移#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82326, encryptionId=6d4f8232623, topicName=肺转移)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9b6914619384, createdName=licz0428, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1557995, encodeId=2cae155e99525, content=<a href='/topic/show?id=2f1c13349e7' target=_blank style='color:#2F92EE;'>#Oncogene#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13349, encryptionId=2f1c13349e7, topicName=Oncogene)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=154614942533, createdName=zsyan, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1765469, encodeId=a1f41e65469ef, content=<a href='/topic/show?id=252ae1803a3' target=_blank style='color:#2F92EE;'>#白质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71803, encryptionId=252ae1803a3, topicName=白质)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Fri Nov 09 07:47:00 CST 2012, time=2012-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2048425, encodeId=f3d2204842559, content=<a href='/topic/show?id=4363e929ad' target=_blank style='color:#2F92EE;'>#Gene#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7929, encryptionId=4363e929ad, topicName=Gene)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Wed Sep 12 22:47:00 CST 2012, time=2012-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1296847, encodeId=ef98129684e61, content=<a href='/topic/show?id=158288e017c' target=_blank style='color:#2F92EE;'>#蛋白质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88701, encryptionId=158288e017c, topicName=蛋白质)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c689267, createdName=cmj8wellington, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1555504, encodeId=e4f11555504f7, content=<a href='/topic/show?id=6d4f8232623' target=_blank style='color:#2F92EE;'>#肺转移#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82326, encryptionId=6d4f8232623, topicName=肺转移)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9b6914619384, createdName=licz0428, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1557995, encodeId=2cae155e99525, content=<a href='/topic/show?id=2f1c13349e7' target=_blank style='color:#2F92EE;'>#Oncogene#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13349, encryptionId=2f1c13349e7, topicName=Oncogene)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=154614942533, createdName=zsyan, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=)]
    2012-09-12 cy0324
  3. [GetPortalCommentsPageByObjectIdResponse(id=1765469, encodeId=a1f41e65469ef, content=<a href='/topic/show?id=252ae1803a3' target=_blank style='color:#2F92EE;'>#白质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71803, encryptionId=252ae1803a3, topicName=白质)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Fri Nov 09 07:47:00 CST 2012, time=2012-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2048425, encodeId=f3d2204842559, content=<a href='/topic/show?id=4363e929ad' target=_blank style='color:#2F92EE;'>#Gene#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7929, encryptionId=4363e929ad, topicName=Gene)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Wed Sep 12 22:47:00 CST 2012, time=2012-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1296847, encodeId=ef98129684e61, content=<a href='/topic/show?id=158288e017c' target=_blank style='color:#2F92EE;'>#蛋白质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88701, encryptionId=158288e017c, topicName=蛋白质)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c689267, createdName=cmj8wellington, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1555504, encodeId=e4f11555504f7, content=<a href='/topic/show?id=6d4f8232623' target=_blank style='color:#2F92EE;'>#肺转移#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82326, encryptionId=6d4f8232623, topicName=肺转移)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9b6914619384, createdName=licz0428, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1557995, encodeId=2cae155e99525, content=<a href='/topic/show?id=2f1c13349e7' target=_blank style='color:#2F92EE;'>#Oncogene#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13349, encryptionId=2f1c13349e7, topicName=Oncogene)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=154614942533, createdName=zsyan, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=1765469, encodeId=a1f41e65469ef, content=<a href='/topic/show?id=252ae1803a3' target=_blank style='color:#2F92EE;'>#白质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71803, encryptionId=252ae1803a3, topicName=白质)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Fri Nov 09 07:47:00 CST 2012, time=2012-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2048425, encodeId=f3d2204842559, content=<a href='/topic/show?id=4363e929ad' target=_blank style='color:#2F92EE;'>#Gene#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7929, encryptionId=4363e929ad, topicName=Gene)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Wed Sep 12 22:47:00 CST 2012, time=2012-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1296847, encodeId=ef98129684e61, content=<a href='/topic/show?id=158288e017c' target=_blank style='color:#2F92EE;'>#蛋白质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88701, encryptionId=158288e017c, topicName=蛋白质)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c689267, createdName=cmj8wellington, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1555504, encodeId=e4f11555504f7, content=<a href='/topic/show?id=6d4f8232623' target=_blank style='color:#2F92EE;'>#肺转移#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82326, encryptionId=6d4f8232623, topicName=肺转移)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9b6914619384, createdName=licz0428, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1557995, encodeId=2cae155e99525, content=<a href='/topic/show?id=2f1c13349e7' target=_blank style='color:#2F92EE;'>#Oncogene#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13349, encryptionId=2f1c13349e7, topicName=Oncogene)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=154614942533, createdName=zsyan, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=1765469, encodeId=a1f41e65469ef, content=<a href='/topic/show?id=252ae1803a3' target=_blank style='color:#2F92EE;'>#白质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71803, encryptionId=252ae1803a3, topicName=白质)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Fri Nov 09 07:47:00 CST 2012, time=2012-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2048425, encodeId=f3d2204842559, content=<a href='/topic/show?id=4363e929ad' target=_blank style='color:#2F92EE;'>#Gene#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7929, encryptionId=4363e929ad, topicName=Gene)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Wed Sep 12 22:47:00 CST 2012, time=2012-09-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1296847, encodeId=ef98129684e61, content=<a href='/topic/show?id=158288e017c' target=_blank style='color:#2F92EE;'>#蛋白质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88701, encryptionId=158288e017c, topicName=蛋白质)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c689267, createdName=cmj8wellington, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1555504, encodeId=e4f11555504f7, content=<a href='/topic/show?id=6d4f8232623' target=_blank style='color:#2F92EE;'>#肺转移#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82326, encryptionId=6d4f8232623, topicName=肺转移)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9b6914619384, createdName=licz0428, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1557995, encodeId=2cae155e99525, content=<a href='/topic/show?id=2f1c13349e7' target=_blank style='color:#2F92EE;'>#Oncogene#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13349, encryptionId=2f1c13349e7, topicName=Oncogene)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=154614942533, createdName=zsyan, createdTime=Thu Apr 12 14:47:00 CST 2012, time=2012-04-12, status=1, ipAttribution=)]
    2012-04-12 zsyan

相关资讯

Sci Transl Med:药物组合阻止侵袭性脑癌细胞的移动

3月28日,Sci Transl Med在线发表佐治亚理工学院研究人员的研究论文,研究人员发现一种叫做丙咪嗪蓝或IB的药物可阻止脑癌或神经胶质瘤的扩散。 当与常用抗癌药阿霉素合用时,IB可延长有病大鼠的生命,提示这一组合可能会在人体内成功地阻止脑胶质瘤的浸润。 传统的化疗几乎没有可能治疗脑胶质瘤这种通过入侵周围健康脑组织而快速生长的侵袭性的脑肿瘤。 大多数的脑胶质瘤患者会在诊断后几年死于该疾病。

Am J Pathol:调节胰腺癌细胞扩散的蛋白

伦敦Queen Mary大学研究人员发现一种调节胰腺癌细胞“粘性”的蛋白质,研究团队已经表明S100PBP蛋白能抑制蛋白酶Z的水平,蛋白酶Z使胰腺癌细胞具有粘性,使得它们能够扩散到周围环境中。 该项研究由英国慈善机构、胰腺癌症研究基金会(PCRF的)资助,发表于《美国病理学杂志》。 Queen Mary巴兹癌症研究所Tatjana Crnogorac-Jurcevic博士说:我们相信这些结果具

Theranostics:纳米粒子和交变磁场杀死小鼠体内癌细胞

佐治亚大学科学家们发现利用纳米粒子和交变磁场可以在半小时内杀死患头颈癌的小鼠体内肿瘤细胞,同时不伤害健康细胞。 相关研究结果发表在Theranostics杂志上,研究人员已经证实可以用磁性氧化铁纳米粒子诱导热疗法来治疗患这种类型癌症的老鼠。 该研究领导者、富兰克林艺术和科学学院物理学助理教授Qun Zhao说:“我们表明低浓度的纳米粒子就可以杀死癌细胞”。 世界各地的研究人员正在探索炽热的纳

PNAS:美开发新疗法 有望战胜7种癌症

日前,美国科学家研制出了一种能帮助人体免疫系统摧毁癌细胞的新型药物,对乳腺癌、肠癌、前列腺癌、子宫癌、脑癌、膀胱癌、肝癌等多种癌症都有疗效。此外前期研究表明,该药物还可用于治疗血癌(白血病)。研究人员表示,若能及早使用,该药物甚至可以完全治愈恶性肿瘤疾病,且副作用极小。 目前这种药物仅在小白鼠身上进行了试验,研究人员希望能在两年内开始临床试验。 据悉,新型药物的效力集中于一种大量存在于癌细胞表

PLoS One:中国汉族女性乳腺癌促炎症因子多态性关联分析

目前,乳腺癌病因学的研究主要集中在免疫及炎症方面。已知促炎症因子IL-17A和IL-17F能够介导炎症和癌症的发生。为了评估在乳腺癌风险中IL-17A和IL-17F基因多态性的作用,来自中国哈尔滨医科大学肿瘤预防及治疗中心的庞达教授及其课题组在中国汉族女性中开展了一个乳腺癌病例对照研究。研究发现,IL-17A中的单核苷酸多态性与乳腺癌发生风险有关。相关文章发表在3月26日的美国《公共科学图书馆·综

JBC:科学家解开癌细胞死亡之谜的关键

由英国莱斯特大学领导的一个研究小组已证明某些肿瘤细胞对蛋白质P21特别敏感。这种蛋白质通常会迫使正常细胞与癌细胞停止分裂,但最近研究表明在某些情况下,P21也可以杀死癌细胞。 然而,科学家们一直不清楚这是如何发生的。 莱斯特大学生物化学系Salvador Macip研究员说:“如果我们可以利用P21的这种“杀伤力”,那么我们可以开发出旨在提高P21水平的癌症新疗法。 现在,英国莱斯特和加的夫