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Neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio:Markers predicting immune-checkpoint inhibitor efficacy and immune-related adverse events
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作者 Qiu-Yu Jiang Ru-Yi Xue 《World Journal of Gastrointestinal Oncology》 SCIE 2024年第3期577-582,共6页
We conducted a comprehensive review of existing prediction models pertaining to the efficacy of immune-checkpoint inhibitor(ICI)and the occurrence of immune-related adverse events(irAEs).The predictive potential of ne... We conducted a comprehensive review of existing prediction models pertaining to the efficacy of immune-checkpoint inhibitor(ICI)and the occurrence of immune-related adverse events(irAEs).The predictive potential of neutrophil-to-lymphocyte ratio(NLR)and platelet-to-lymphocyte ratio(PLR)in determining ICI effectiveness has been extensively investigated,while limited research has been conducted on predicting irAEs.Furthermore,the combined model incor-porating NLR and PLR,either with each other or in conjunction with additional markers such as carcinoembryonic antigen,exhibits superior predictive capabilities compared to individual markers alone.NLR and PLR are promising markers for clinical applications.Forthcoming models ought to incorporate established efficacious models and newly identified ones,thereby constituting a multifactor composite model.Furthermore,efforts should be made to explore effective clinical application approaches that enhance the predictive accuracy and efficiency. 展开更多
关键词 Neutrophil-to-lymphocyte ratio Platelet-to-lymphocyte ratio immunecheckpoint inhibitor Immune-related adverse event
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宫颈癌药物治疗进展 被引量:17
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作者 冀晓辉 李代蓉 +2 位作者 阳丹 安宁 王东林 《医学综述》 2019年第7期1308-1313,1321,共7页
药物治疗是宫颈癌综合治疗中除手术和放疗外的另一主要治疗手段,目前主要包括传统细胞毒性化疗、靶向、免疫治疗。近年来关于同步化疗、新辅助化疗、辅助化疗及姑息化疗等细胞毒性药物化疗能否改善患者生存及其合理的剂量强度、密度均... 药物治疗是宫颈癌综合治疗中除手术和放疗外的另一主要治疗手段,目前主要包括传统细胞毒性化疗、靶向、免疫治疗。近年来关于同步化疗、新辅助化疗、辅助化疗及姑息化疗等细胞毒性药物化疗能否改善患者生存及其合理的剂量强度、密度均得到研究和完善。随着分子生物学和基因组学的研究发展,靶向治疗研究已经取得了突破性的进展,其中抗血管生成、免疫检查点抑制剂等治疗已经在宫颈癌的治疗中显示出效果,这也为宫颈癌的治疗带来了新的希望。 展开更多
关键词 宫颈癌 同步放化疗 新辅助化疗 辅助化疗 靶向治疗 免疫检查点抑制剂
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Dendritic cell-based cancer immunotherapy for colorectal cancer 被引量:4
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作者 Mikio Kajihara Kazuki Takakura +7 位作者 Tomoya Kanai Zensho Ito Keisuke Saito Shinichiro Takami Shigetaka Shimodaira Masato Okamoto Toshifumi Ohkusa Shigeo Koido 《World Journal of Gastroenterology》 SCIE CAS 2016年第17期4275-4286,共12页
Colorectal cancer(CRC) is one of the most common cancers and a leading cause of cancer-related mortality worldwide. Although systemic therapy is the standard care for patients with recurrent or metastatic CRC, the pro... Colorectal cancer(CRC) is one of the most common cancers and a leading cause of cancer-related mortality worldwide. Although systemic therapy is the standard care for patients with recurrent or metastatic CRC, the prognosis is extremely poor. The optimal sequence of therapy remains unknown. Therefore, alternative strategies, such as immunotherapy, are needed for patients with advanced CRC. This review summarizes evidence from dendritic cell-based cancer immunotherapy strategies that are currently in clinical trials. In addition, we discuss the possibility of antitumor immune responses through immunoinhibitory PD-1/PD-L1 pathway blockade in CRC patients. 展开更多
关键词 Colorectal cancer Dendritic cell Cancer immunotherapy Cytotoxic T lymphocyte Immune-checkpoint inhibitors
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Integrative transcriptome analysis identifies MYBL2 as a poor prognosis marker for osteosarcoma and a pan-cancer marker of immune infiltration
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作者 Xinzhu Quiu Hongbo He +5 位作者 Hao Zeng Xiaopeng Tongg Can Zhang Yupeng Liu Zhan Liao Qing Liu 《Genes & Diseases》 SCIE CSCD 2024年第3期351-367,共17页
MYBL2(MYB proto-oncogene like 2)is an emerging prognostic marker for malignant tumors,and its potential role in osteosarcoma and its relationship with immune infiltration in pan-cancer is yet to be elucidated.We const... MYBL2(MYB proto-oncogene like 2)is an emerging prognostic marker for malignant tumors,and its potential role in osteosarcoma and its relationship with immune infiltration in pan-cancer is yet to be elucidated.We constructed a transcription factor activity profile of os-teosarcoma using the single-cell regulatory network inference algorithm based on single-cell RNA sequencing data obtained from the Gene Expression Omnibus.Subsequently,we calcu-lated the extent of MYBL2 activation in malignant proliferative osteoblasts.We also explored the association between MYBL2 and chemotherapy resistance in osteosarcoma.Furthermore,we systematically correlated MYBL2 with immunological signatures in the tumor microenviron-ment in pan-cancer,including immune cell infiltration,immune checkpoints,and tumor immu-notherapy prognosis.Finally,we developed and validated a risk score(MRGS),derived an osteosarcoma risk score nomogram based on MRGS,and tested its ability to predict prognosis.MYBL2 and gene enrichment analyses in osteosarcoma and pan-cancer revealed that MYBL2 was positively correlated with cell proliferation and tumor immune pathways.MYBL2 expres-sion positively correlated with SLC19A1 in pan-cancer and osteosarcoma cell lines.Pan-cancer immune infiltration analysis revealed that MYBL2 was correlated with myeloid-derived sup-pressor cells,Th2 cell infiltration,CD276,RELT gene expression,and tumor mutation burden. 展开更多
关键词 BIOMARKER immunecheckpoint MYBL2 OSTEOSARCOMA Pan-cancer
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免疫检查点抑制剂相关心肌炎诊疗进展 被引量:1
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作者 李泞甫 李智可 +1 位作者 陈旭澜 皈燕 《临床心血管病杂志》 CAS 2024年第3期182-187,共6页
免疫检查点抑制剂(immune checkpoint inhibitor,ICI)是肿瘤治疗的一大突破,在临床应用日益广泛。ICI相关心肌炎是ICI药物的罕见不良反应之一,病死率较高。尽管国内外均报道了该不良反应的治疗经验和指南,但部分医生在临床工作中仍存在... 免疫检查点抑制剂(immune checkpoint inhibitor,ICI)是肿瘤治疗的一大突破,在临床应用日益广泛。ICI相关心肌炎是ICI药物的罕见不良反应之一,病死率较高。尽管国内外均报道了该不良反应的治疗经验和指南,但部分医生在临床工作中仍存在认知不足、监管评估方案缺乏等问题。故本文对ICI相关心肌炎发病机制、诊断、治疗策略进行综述,以提高肿瘤科及心脏科医师的认识。 展开更多
关键词 心肌炎 免疫检查点抑制剂
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我国免疫检查点抑制剂致甲状腺相关不良反应文献分析
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作者 袁鑫 王颖彦 陈雯 《中国医院药学杂志》 CAS 北大核心 2024年第9期1062-1068,共7页
目的:分析我国免疫检查点抑制剂(immune checkpoint inhibitors, ICIs)致甲状腺相关不良反应(thyroid-immune related adverse events, T-irAEs)的特点及规律,为临床合理用药提供参考。方法:检索中国知网、万方、维普数据自建库至2022... 目的:分析我国免疫检查点抑制剂(immune checkpoint inhibitors, ICIs)致甲状腺相关不良反应(thyroid-immune related adverse events, T-irAEs)的特点及规律,为临床合理用药提供参考。方法:检索中国知网、万方、维普数据自建库至2022年12月关于T-irAEs的文献报道,提取个案数据并进行分析。结果:最终纳入25篇文献,共28例个案报道,患者平均年龄(61.59±10.60)岁,原发疾病为肺癌者最多(64.29%),T-irAEs发生时间多为用药后3.03个周期,约66.54 d,其中报道的不良反应类型有亚临床甲状腺功能减退3例(10.71%)、甲状腺功能减退13例(46.43%)、甲状腺功能亢进7例(25.00%)及甲状腺炎5例(17.86%)。结论:文献分析显示我国T-irAEs以甲状腺功能减退为多,在ICIs治疗过程中,应加强监测,及时识别,保障患者用药安全。 展开更多
关键词 免疫检查点抑制剂 不良反应 甲状腺功能异常 合理用药
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PD-1/PD-L1单抗免疫治疗肺癌的热点问题
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作者 刘蕴欣 王孟昭 《国际呼吸杂志》 2024年第7期757-763,共7页
免疫治疗作为一种新兴的肺癌治疗策略,近年来备受关注。免疫检查点抑制剂包括细胞毒性T淋巴细胞相关抗原4单抗、程序性死亡受体1(PD-1)/程序性死亡受体配体1(PD-L1)单抗等,在化疗的基础上联合免疫治疗或免疫单药治疗可明显延长患者的生... 免疫治疗作为一种新兴的肺癌治疗策略,近年来备受关注。免疫检查点抑制剂包括细胞毒性T淋巴细胞相关抗原4单抗、程序性死亡受体1(PD-1)/程序性死亡受体配体1(PD-L1)单抗等,在化疗的基础上联合免疫治疗或免疫单药治疗可明显延长患者的生存期,部分晚期患者也能获得5年生存,为肺癌治疗带来了里程碑式的进步。然而,免疫治疗也有很多并不清楚的问题,例如各种PD-1/PD-L1单抗对于肺癌疗效的差异,针对PD-L1肿瘤细胞阳性比例评分阴性患者的免疫治疗选择,免疫治疗对肺癌脑转移的疗效,免疫治疗联合放疗的选择,免疫治疗再挑战的疗效和安全性等问题都值得进一步思考。本文就PD-1/PD-L1单抗面临的热点问题进行论述,旨在帮助临床决策。 展开更多
关键词 肺肿瘤 程序性细胞死亡受体1 程序性死亡受体配体1 免疫检查点抑制剂
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表达IL7和CCL19的第四代CD19 CAR-T联合PD-1单抗治疗复发难治大B细胞淋巴瘤的疗效和安全性 被引量:1
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作者 俞腾 刘辉 +5 位作者 雷文 陈攀攀 赵爱琪 袁相贵 高基民 钱文斌 《中华血液学杂志》 CAS CSCD 北大核心 2023年第10期820-824,共5页
目的系统性研究表达白细胞介素7(IL7)和趋化因子C-C基序配体19(CCL19)的第四代靶向CD19嵌合抗原受体T细胞(CD19 CAR-T)联合PD-1单抗治疗复发难治大B细胞淋巴瘤的疗效及安全性。方法应用自体7×19 CAR-T联合替雷利珠单抗治疗11例复... 目的系统性研究表达白细胞介素7(IL7)和趋化因子C-C基序配体19(CCL19)的第四代靶向CD19嵌合抗原受体T细胞(CD19 CAR-T)联合PD-1单抗治疗复发难治大B细胞淋巴瘤的疗效及安全性。方法应用自体7×19 CAR-T联合替雷利珠单抗治疗11例复发难治大B细胞淋巴瘤患者,评估其疗效及不良反应。结果11例入组患者均完成自体7×19 CAR-T的制备和回输,9例患者完成预定的6次替雷利珠单抗治疗,1例患者完成4次,1例患者完成1次。5例(45.5%)达完全缓解,3例(27.3%)达部分缓解,客观缓解率72.7%。2例评估为疾病进展,1例在回输后2个月因疾病不能控制而死亡。中位随访时间31(2~34)个月,中位总生存时间未达到,中位无进展生存时间为28(1~34)个月,2例部分缓解患者分别在随访第9个月和第12个月进一步获得完全缓解,故最佳完全缓解率为63.6%。细胞因子释放综合征和免疫效应细胞相关神经毒性综合征均可控,未见免疫相关不良反应发生。结论自体7×19 CAR-T联合替雷利珠单抗治疗复发难治大B细胞淋巴瘤取得较好疗效,且不良反应可控。 展开更多
关键词 嵌合抗原受体T细胞 大B细胞淋巴瘤 免疫检查点抑制剂 免疫相关不良反应
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Does burning fat make tumor immune hot? Discovery of cD47 overexpression by radiation induced fatty acid oxidation
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作者 Nian Jiang Bowen Xie +1 位作者 Ming Fan Jian Jian Li 《Genes & Diseases》 SCIE CSCD 2023年第1期7-9,共3页
Although extensively studied,it is unknown what is the major cellular energy driving tumor metastasis after anti-cancer radiotherapy.Metabolic reprogramming is one of the fundamental hallmarks in carcinogenesis and tu... Although extensively studied,it is unknown what is the major cellular energy driving tumor metastasis after anti-cancer radiotherapy.Metabolic reprogramming is one of the fundamental hallmarks in carcinogenesis and tumor progression featured with the increased glycolysis in solid tumors.However,accumulating evidence indicates that in addition to the rudimentary glycolytic pathway,tumor cells are capable of reactivating mitochondrial OxPHOS under genotoxic stress condition to meet the increasing cellular fuel demand for repairing and surviving anti-cancer radiation.Such dynamic metabolic rewiring may play a key role in cancer therapy resistance and metastasis.Interestingly,data from our group and others have demonstrated that cancer cells can re-activate mitochondrial oxidative respiration to boost an annexing energy to meet the increasing cellular fuel demand for tumor cells surviving genotoxic anti-cancer therapy with metastatic potential. 展开更多
关键词 CD47 immunecheckpoint IMMUNOTHERAPY Metabolic rewiring Radiation therapy Tumor acquired resistance
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PD-1/PD-L1在非小细胞肺癌的治疗研究进展 被引量:10
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作者 蹇丹 陈晓品 《中国新药杂志》 CAS CSCD 北大核心 2016年第17期1967-1972,共6页
有限的干预手段使得肺癌患者面临着欠佳的预后。近年来免疫治疗成为了继手术、放疗、化疗等治疗后非小细胞肺癌(non-smallcell lung cancer,NSCLC)的新型研究方向。以程序性死亡分子1(programmed death-1,PD-1)/程序性死亡分子1配体(pro... 有限的干预手段使得肺癌患者面临着欠佳的预后。近年来免疫治疗成为了继手术、放疗、化疗等治疗后非小细胞肺癌(non-smallcell lung cancer,NSCLC)的新型研究方向。以程序性死亡分子1(programmed death-1,PD-1)/程序性死亡分子1配体(programmed death-1 ligand,PD-L1)为代表的免疫检查点在肿瘤的发生发展中起到重要作用,证实了其抑制剂抗PD-1单抗在晚期非小细胞肺癌患者生存的相关性,以及PD-L1作为疗效预测的生物标记物的潜力。目前,nivolumab和pembrolizumab已经开启了在非小细胞肺癌治疗上的先河。FDA于2015批准了上述两种免疫抑制剂在非小细胞肺癌二线治疗中的临床应用。本文对PD-1/PD-L1信号通路、抗PD-1单抗在非小细胞肺癌中的作用机制、临床现状及展望进行综述。 展开更多
关键词 PD-1/PD-L 抗PD-1单抗 非小细胞肺癌 免疫检查点 免疫逃逸
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