期刊文献+
共找到721篇文章
< 1 2 37 >
每页显示 20 50 100
Associations Between Epidermal Growth Factor Receptor Gene Mutation and Serum Tumor Markers in Advanced Lung Adenocarcinomas: A Retrospective Study 被引量:2
1
作者 Ying-qiu Pan Wei-wu Shi +3 位作者 Dan-ping Xu Hui-hui Xu Mei-ying Zhou Wei-hua Yan 《Chinese Medical Sciences Journal》 CAS CSCD 2014年第3期156-161,共6页
Objective To investigate the associations between epidermal growth factor receptor (EGFR) gene mutations and serum tumor markers in advanced lung adenocarcinomas. Methods We investigated the association between EGF... Objective To investigate the associations between epidermal growth factor receptor (EGFR) gene mutations and serum tumor markers in advanced lung adenocarcinomas. Methods We investigated the association between EGFR gene mutations and clinical features, including serum tumor marker levels, in 97 advanced lung adenocarcinomas patients who did not undergo the treatment of EGlaR tyrosine kinase inhibitors. EGFR gene mutation was detected by real-time PCR at exons 18, 19, 20, and 21. Serum tumor marker concentrations were analyzed by chemiluminescence assay kit at the same time. Results EGFR gene mutations were detected in 42 (43%) advanced lung adenocarcinoma patients. Gender (P=0.003), smoking status (P=0.001), and abnormal serum status of carcinoembryonic antigen (CEA, P=0.028) were significantly associated with EGFR gene mutation incidence. Multivariate analysis showed the abnormal CEA level in serum was independently associated with the incidence of EGFR gene mutation (P=0.046) with an odds ratio of 2.613 (95% Ch 1.018-6.710). However, receiver operating characteristic (ROC) curve analysis revealed CEA was not an ideal predictive marker for EGFR gene mutation status in advanced lung adenocarcinoma (the area under the ROC curve was 0.608, P=0.069). Conclusions EGFR gene mutation status is significantly associated with serum CEA status in advanced lung adenocarcinmoas. However, serum CEA is not an ideal predictor for EGFR mutation. 展开更多
关键词 advanced lung adenocarcinomas epidermal growth factor receptor gene MUTATION epidermal growth factor receptor tyrosine kinase inhibitor carcinoembryonic antigen
在线阅读 下载PDF
Expression of epidermal growth factor and its receptor in gestational trophoblastic diseases
2
作者 李宁 袁育康 刘惠喜 《Journal of Medical Colleges of PLA(China)》 CAS 2005年第1期62-64,共3页
Objective: To determine whether epidermal growth factor (EGF) and its receptor have any possible correlation with etiology of gestational trophoblastic diseases. Methods: Avidin-biotin immunoperoxidase techniques with... Objective: To determine whether epidermal growth factor (EGF) and its receptor have any possible correlation with etiology of gestational trophoblastic diseases. Methods: Avidin-biotin immunoperoxidase techniques with polyclonal antibodies against EGF, EGFR were used to examine 53 cases of GTD, including complete hydatidiform mole(16),invasive mole(20),gestational choriocarcinoma(17).Results:EGF was mainly localized on syncytiotrophoblasts (ST), and was found less on cytotrophoblasts. Cytologic localization of EGFR showed the similar results. The positive rate of EGF and EGFR were 0.625, 0.813 in hydatidiform mole, 0.405, 0.450 in invasive mole and 0.118, 0.235 in gestational choriocarcinoma. There was significant difference of EGF or EGFR among hydatidiform mole group and other groups, respectively (P<0.05). Conclusion:The cellular levels of EGF and EGFR decreased gradually in the development of GTD. It implied that the autocrine and paracrine mechanism may play an important role on the proliferation and differentiation of trophoblast cells and the disorder of the system may lead to GTD malignant transformation. 展开更多
关键词 epidermal growth factor epidermal growth factor receptor gestational trophoblastic disease
在线阅读 下载PDF
Recombinant human epidermal growth factor combined with vacuum sealing drainage for wound healing in Bama pigs 被引量:12
3
作者 Shuai Wei Wei Wang +9 位作者 Li Li Hao-Ye Meng Chun-Zhen Feng Yu-Ying Dong Xi-Chi Fang Qi-Qiang Dong Wen Jiang Hai-Li Xin Zhan-Zhen Li Xin Wang 《Military Medical Research》 SCIE CSCD 2021年第4期510-522,共13页
Background:Vacuum sealing drainage(VSD)and epidermal growth factor(EGF)both play an important role in the treatment of wounds.This study aims to explore the effects of the combination of VSD and EGF on wound healing a... Background:Vacuum sealing drainage(VSD)and epidermal growth factor(EGF)both play an important role in the treatment of wounds.This study aims to explore the effects of the combination of VSD and EGF on wound healing and the optimal concentration and time of EGF.Methods:We tested the proliferation and migration capacity of HaCaT and L929 cells at different EGF concentrations(0,1,5,10,and 100ng/ml)and different EGF action times(2,10,and 30min).A full-thickness skin defect model was established using male,30-week-old Bama pigs.The experiment included groups as follows:routine dressing change after covering with sterile auxiliary material(Control),continuous negative pressure drainage of the wound(VSD),continuous negative pressure drainage of the wound and injection of EGF 10min followed by removal by continuous lavage(V+E 10min),and continuous negative pressure drainage of the wound and injection of EGF 30min followed by removal by continuous lavage(V+E 30min).The wound healing rate,histological repair effect and collagen deposition were compared among the four groups.Results:An EGF concentration of 10ng/ml and an action time of 10min had optimal effects on the proliferation and migration capacities of HaCaT and L929 cells.The drug dispersion effect was better than drug infusion after bolus injection effect,and the contact surface was wider.Compared with other groups,the V+E 10min group promoted wound healing to the greatest extent and obtained the best histological score.Conclusions:A recombinant human epidermal growth factor(rhEGF)concentration of 10 ng/ml can promote the proliferation and migration of epithelial cells and fibroblasts to the greatest extent in vitro.VSD combined with rhEGF kept in place for 10min and then washed,can promote wound healing better than the other treatments in vitro. 展开更多
关键词 Vacuum sealing drainage epidermal growth factor Skin wound healing Full-thickness skin defect
在线阅读 下载PDF
Association between the Epidermal Growth Factor Gene and Intelligence in Major Depression Patients 被引量:4
4
作者 Wen-min Tian Ke-rang Zhang +2 位作者 Juan Zhang Yan Shen Qi Xu 《Chinese Medical Sciences Journal》 CAS CSCD 2010年第2期105-108,共4页
Objective To study the association between the epidermal growth factor(EGF) gene and intelligence in patients with major depression.Methods Intelligence measurement using Wechsler Adult Intelligence Scale(WAIS) was pe... Objective To study the association between the epidermal growth factor(EGF) gene and intelligence in patients with major depression.Methods Intelligence measurement using Wechsler Adult Intelligence Scale(WAIS) was perfor-med on 120 unrelated patients with major depression and 46 control subjects.Blood was collected from all subjects for extraction of genomic DNA.Four single nucleotide polymorphisms(SNPs) in the EGF gene were genotyped using polymerase chain reaction-restriction fragment length polymorphism(PCR-RFLP) and matrix-assisted laser desorption/ionization time-of-flight mass spectrometry(MALDI-TOF-MS).Results Mean scores of both score lang and score task,two subtests in WAIS,differed significantly between major depression patients and controls(P<0.0001).Quantitative trait analysis showed that the genetype of rs2250724 was closely associated with score lang and score task in major depression patients.The associations were still significant after 10 000 permutations.Conclusions Although preliminary,our results provide evidence for association between the EGF gene and intelligence in patients with major depression.Genetic variation in the EGF gene may increase the susceptibility of major depression. 展开更多
关键词 epidermal growth factor INTELLIGENCE major depression
在线阅读 下载PDF
ELEVATED SOLUBLE EPIDERMAL GROWTH FACTOR RECEPTOR LEVEL IN PITUITARY ADENOMA AND CARCINOMA 被引量:4
5
作者 Yan-guoKong Zu-yuanRen Chang-baoSu Ren-zhiWang Wen-bingMa WeiLian 《Chinese Medical Sciences Journal》 CAS CSCD 2004年第3期199-202,共4页
To investigate effect of the soluble epidermal growth factor receptor (sEGFR/sErbB1) level in the periph-eral blood in development, invasiveness, apoplexy of each type of pituitary tumor. Methods The sEGFR level was d... To investigate effect of the soluble epidermal growth factor receptor (sEGFR/sErbB1) level in the periph-eral blood in development, invasiveness, apoplexy of each type of pituitary tumor. Methods The sEGFR level was determined in peripheral serum from 190 patients with pituitary diseases by enzyme linked immunosobent assay. The sEGFR levels were measured in 10 pituitary Rathke’s pouch, 18 pituitary hyperplasia, 161 pituitary adenomas including 30 microadenomas, 83 large adenomas, 48 giant adenomas, 1 pituitary carcinoma, and 28 hea-lthy controls. Results In the patients with pituitary hyperplasia, microadenoma, large adenoma, giant adenoma, and pituitary carci-noma, the sEGFR level was 188.92 ± 32.62, 209.83 ± 19.01, 333.20 ± 69.33, 405.85 ± 37.38, and 617.45 fmol/mL indepen-dently. They were all significantly higher than patients with pituitary Rathke’s pouch (156.78 ± 18.24 fmol/mL, P < 0.001) and healthy control group (159.11 ± 40.50 fmol/mL, P < 0.05). The sEGFR level in pituitary carcinoma was higher than pi-tuitary adenoma. In patients with pituitary adenoma, the sEGFR level was positive correlated to the size of pituitary adeno-mas (r = 0.998), the significant difference was observed for the sEGFR level in each group of the patients with pituitary adenomas (P < 0.001). Furthermore, in patients with pituitary ACTH-secreting microadenomas, the serum sEGFR levels in invasiveness (295.00 ± 77.80 fmol/mL) was higher than that in non-invasiveness (210.60 ± 16.4 fmol/mL, P < 0.05). In pati-ents with pituitary ACTH-secreting, PRL-secreting, GH-secreting, and non-functioning large adenomas, the serum sEGFR levels in invasiveness (407.86 ± 28.50, 399.25 ± 30.10, 386.00 ± 13.08, and 369.25 ± 36.70 fmol/mL) was higher than that in non-invasiveness (335.25 ± 63.49, 300.64 ± 47.57, 297.00 ± 61.93, and 269.30 ± 25.68 fmol/mL) respectively (P < 0.05). In patients with invasive pituitary PRL-secreting, GH-secreting, and non-functioning giant adenomas, the serum sEGFR levels not significantly different in between invasiveness (417.50 ± 35.94, 409.50 ± 69.14, and 417.50 ± 44.13 fmol/mL) and non-invasiveness (386.00 ± 49.64, 417.50 ± 44.03, and 409.51 ± 35.17 fmol/mL) (P > 0.05). In patients with pituitary large adeno-mas, the sEGFR levels in pituitary apoplexy (377.48 ± 39.18 fmol/mL) was higher than that in non-pituitary apoplexy (343.18 ± 68.17 fmol/mL, P > 0.05). Conclusions The increased level of peripheral serum sEGFR is concomitant with development, proliferous size of the adenomas in patients with pituitary adenomas. In addition, the elevated levels of serum sEGFR occur in pituitary apoplexy as clinical active tumors, and the non-invasive ACTH secreting adenomas. The sEGFR levels could be differen-tiated helpfully between pituitary adenomas and non-pituitary adenomas. These data suggest that serum sEGFR could be as a referable marker of the size and activation of proliferation in pituitary adenoma. 展开更多
关键词 pituitary adenoma pituitary carcinoma soluble epidermal growth factor receptor
在线阅读 下载PDF
EPIDERMAL GROWTH FACTOR PREVENTS INCREASED PERMEABILITY AND BACTERIAL TRANSLOCATION IN RATS WITH ACUTE PANCREATITIS 被引量:3
6
作者 陈冬利 王为忠 王俊义 《Chinese Medical Sciences Journal》 CAS CSCD 2001年第1期46-48,共3页
To evaluate the effects of epidermal growth factor (EGF) on intestinal permeability and bacterial translocation in rats with acute pancreatitis during total parenteral nutrition (TPN). Methods. Thirty- two male Spragu... To evaluate the effects of epidermal growth factor (EGF) on intestinal permeability and bacterial translocation in rats with acute pancreatitis during total parenteral nutrition (TPN). Methods. Thirty- two male Sprague- Dawley rats that underwent injection of 3.5% sodium taurocholate solution into the pancreatic duct were randomly divided into one of the following two groups: (1) received only TPN (control group) or (2) received TPN with EGF at a dose of 0.2 mg· kg- 1· day- 1 (Egf group). On fifth day of total parenteral nutrition, samples from mesenteric lymph nodes, pancreas, liver and spleen were harvested for cultures. Water, protein and DNA content in jejunal mucosa were determined. D- xylose and fluorescein isothiocyanate (FITC)- dextran were instilled into the lumen of a ligated segament of small intestine. Thirty minutes later, superior mesenteric vein D- xylose and plasma FITC- dextran concentration were measured. Results. Positive cultures in liver and spleen, as well as FITC- dextran concentration in the Egf group were significantly lower than in the control group. Protein and DNA content in jejunal mucosa in the Egf group were significantly higher than in the control group. Conclusion. The results indicate that EGF may prevent increased intestinal permeability and bacterial translocation in rats with acute pancreatitis during TPN. 展开更多
关键词 epidermal growth factor acute pancreatitis bacterial translocation
在线阅读 下载PDF
Chemical and enzymatic synthesis and doning of human epidermal growth factor gene
7
作者 赵忠良 陈南春 +1 位作者 李飚 陈苏民 《Journal of Medical Colleges of PLA(China)》 CAS 1992年第2期146-148,157,共4页
The human epidermal growth factor gene was synthesized with DNA synthesizer andby enzymes.Computer assisted to design the gene sequence and the restriction enzyme sites,andto elhninate the repeated and self-complement... The human epidermal growth factor gene was synthesized with DNA synthesizer andby enzymes.Computer assisted to design the gene sequence and the restriction enzyme sites,andto elhninate the repeated and self-complementary sequences.So that multiple doning and gene ex-pression were available for the designed gene sequence.The whole gene was formed by annealing8 chemically synthesized oligodeoxynucleotide fragments,enzymatically filling up the 4 twenty-basespaces and ligating the nicks,and was inserted into EcoR I and HInc Ⅱ sites ofplasmid pUC12.The recombinant plasmid was transformed into E.coli JM103 and 200 whitedones were obtained by X-gal and ampicilin screening.The positive clones were isolated andcharacterized by restriction enzyme analysis and DNA sequencing. 展开更多
关键词 epidermal growth factor DNA RECOMBINANT GENE synthesis human
在线阅读 下载PDF
Effect of recombinant human epidermal growth factor on porcine partial-thickness wound healing
8
作者 戴方平 潘耀良 +6 位作者 范青源 李永林 唐洪泰 俞为荣 韦多 陈玉林 葛绳德 《Journal of Medical Colleges of PLA(China)》 CAS 1997年第1期79-82,共4页
Wound healing is a complex biologic event. Numerous growth factors are involved in the regulation of tissue repair and remodelling processes. In this study, several techniques were used to observe the effects of recom... Wound healing is a complex biologic event. Numerous growth factors are involved in the regulation of tissue repair and remodelling processes. In this study, several techniques were used to observe the effects of recombinant human epidermal growth factors (rh-EGF) on porcine partial-thickness burn wound healing. Healing rates of the burn wounds were quantitated by computer image analysis of the wound Pkotographs. Biopsies were taken for examining the cell DNA cycle by flow cytometry, and for observing the keratinocyte migration and degree of reepithelialization quantitated by anti-keratin antibodies. The results indicated that daily topical application of rh-EGF in suitable concentrations accelerated epithelial healing of partial-thickness burn wounds, and there was also a dose-dependent effect of rh-EGF on healing rates of the partial-thickness burn wounds. 展开更多
关键词 epidermal growth factors DNA cycle analysis antibodies to KERATIN BURN wound HEALING
在线阅读 下载PDF
Apple polyphenol phloretin inhibits typeⅡglucose transporter and enhances anti-HER2 antibody drug binding as an adjuvant treatment for HER2-positive breast cancer
9
作者 Han-Sheng Chang Tzu-Chun Cheng +6 位作者 Shih-Hsin Tu Pei-Han Liao Yu-Ching Lee Chi-Tang Ho Min-Hsiung Pan Li-Ching Chen Yuan-Soon Ho 《Food Science and Human Wellness》 2025年第4期1264-1280,共17页
This study presents novel findings on the potential of phloretin,an apple polyphenol,to enhance the effectiveness of anti-human epidermal growth factor receptor-2(HER2)antibody therapy in HER2-positive breast cancer p... This study presents novel findings on the potential of phloretin,an apple polyphenol,to enhance the effectiveness of anti-human epidermal growth factor receptor-2(HER2)antibody therapy in HER2-positive breast cancer patients.Our research reveals that phloretin inhibits typeⅡglucose transporter(GLUT2)activity,significantly reducing cancer cell glucose uptake.We confirmed the overexpression of GLUT1 and GLUT2 mRNA in paired human breast tumor tissues,with GLUT2 overexpression associated explicitly with poorer survival rates in breast cancer patients.Treatment with phloretin was observed to increase the interaction between GLUT2 and HER2 proteins,attenuate glycolysis,and enhance the binding affinity of anti-HER2 antibody drugs to target human breast cancer cells.Furthermore,the efficacy of the combination therapy involving phloretin and antibody drugs was reaffirmed in a cell-derived xenograft tumor animal model,particularly in suppressing the growth of trastuzumab-resistant HER2-positive(HER2+)breast cancer.These significant findings suggest that targeting GLUT2 activity with phloretin in combination with anti-HER2 antibody drugs may help mitigate the development of drug-resistant breast cancer,offering valuable insights for enhancing tumor treatment strategies and contributing to developing more effective therapies. 展开更多
关键词 TypeⅡglucose transporter(GLUT2) PHLORETIN Human epidermal growth factor receptor 2-intracellular domain(HER2-ICD) TRASTUZUMAB Trastuzumab-resistance
在线阅读 下载PDF
硅酮凝胶联合重组人表皮生长因子凝胶在儿童激光祛痣术后疤痕修复的应用
10
作者 王雪连 郑卫风 +1 位作者 郑玉婷 郑群 《儿科药学杂志》 2025年第3期27-30,共4页
目的:探讨硅酮凝胶联合重组人表皮生长因子凝胶在儿童激光祛痣术后疤痕修复中的应用价值。方法:选择2023年6月至2024年6月在我院进行激光祛痣手术的患儿74例,根据随机数表法分为对照组和观察组各37例,对照组采用硅酮凝胶治疗,观察组接... 目的:探讨硅酮凝胶联合重组人表皮生长因子凝胶在儿童激光祛痣术后疤痕修复中的应用价值。方法:选择2023年6月至2024年6月在我院进行激光祛痣手术的患儿74例,根据随机数表法分为对照组和观察组各37例,对照组采用硅酮凝胶治疗,观察组接受硅酮凝胶联合重组人表皮生长因子凝胶治疗。观察两组疤痕修复效果及创面愈合、结痂与痂壳脱落时间,并比较两组瘢痕美容评估与评级量表(SCAR)评分及满意度。结果:观察组患儿术后3个月疤痕修复总有效率为94.59%(35/37),高于对照组的70.27%(26/37)(P<0.05);术后创面愈合时间、结痂时间及痂壳脱落时间均短于对照组(P<0.05)。治疗后3个月,两组患儿的SCAR评分均降低,且观察组低于对照组(P<0.05);观察组患儿家属对疤痕修复效果的满意度为97.30%(36/37),高于对照组的78.38%(29/37)(P<0.05)。结论:硅酮凝胶联合重组人表皮生长因子凝胶能够有效促进儿童激光祛痣术后疤痕修复,缩短创面愈合时间,改善术后瘢痕修复美容效果,进一步提升患儿家属对疤痕修复的满意度。 展开更多
关键词 硅酮凝胶 重组人表皮生长因子凝胶 炎症因子 激光祛痣术 疤痕修复
在线阅读 下载PDF
临床联合CT影像学特征预测非小细胞肺癌EGFR基因突变的价值
11
作者 左利华 常江丽 +3 位作者 赵琪瑞 朱勇华 吉红波 韩丹 《医学影像学杂志》 2025年第2期33-38,共6页
目的探讨临床、CT影像学特征对非小细胞肺癌(NSCLC)表皮生长因子受体(EGFR)基因突变的预测作用。方法选取病理确诊为NSCLC且具有临床资料、基因检测结果、CT图像资料的患者412例(分为训练集292例,验证集120例)。单因素分析训练集突变阳... 目的探讨临床、CT影像学特征对非小细胞肺癌(NSCLC)表皮生长因子受体(EGFR)基因突变的预测作用。方法选取病理确诊为NSCLC且具有临床资料、基因检测结果、CT图像资料的患者412例(分为训练集292例,验证集120例)。单因素分析训练集突变阳性组及阴性组的临床及CT影像特征之间差别,差异有统计学意义的特征纳入多因素分析,筛选预测EGFR突变独立预测因子,建立训练集及验证集Logistic回归模型,绘制诺莫图使模型可视化,利用曲线下面积(AUC)判断模型在预测EGFR基因突变中的效能,校准曲线及决策曲线评价模型的实用性。结果1)EGFR突变阳性组及阴性组间性别、吸烟史、病理类型、病灶类型(混合磨玻璃病灶)、晕征、液化坏死、空气支气管征、血管集束征、胸膜凹陷征比较,差异均有统计学意义(P<0.05);2)多因素分析显示无吸烟史、晕征、无液化坏死、空气支气管征、血管集束征是EGFR突变的独立预测因子;3)训练集ROC曲线预测EGFR基因突变AUC为0.746,敏感度和特异度、准确率分别为71.2%、66.2%、64.2%,验证集AUC为0.708,敏感度及特异度、准确率分别为74.6%、62.3%、65.0%。校准曲线显示训练集及验证集预测模型与观察结果具有良好一致性。结论预测NSCLC患者EGFR突变的临床-CT影像学模型具有一定价值,有望作为一种无创预测NSCLC患者EGFR突变的方法。 展开更多
关键词 非小细胞肺癌 表皮生长因子受体 预测 体层摄影术 X线计算机
在线阅读 下载PDF
阿美替尼治疗晚期非小细胞肺癌研究进展
12
作者 杨升锡 许均通 屠文莲 《中国药物警戒》 2025年第2期235-240,共6页
目的研究阿美替尼作为第三代表皮生长因子受体酪氨酸激酶抑制剂(Epidermal Growth Factor Receptor-Tyrosine Kinase Inhibitors,EGFR-TKIs)对表皮生长因子受体(Epidermal Growth Factor Receptor,EGFR)突变晚期非小细胞肺癌(Non-Small ... 目的研究阿美替尼作为第三代表皮生长因子受体酪氨酸激酶抑制剂(Epidermal Growth Factor Receptor-Tyrosine Kinase Inhibitors,EGFR-TKIs)对表皮生长因子受体(Epidermal Growth Factor Receptor,EGFR)突变晚期非小细胞肺癌(Non-Small Cell Lung Carcinoma,NSCLC)患者的临床疗效。方法从阿美替尼治疗EGFR经典突变的晚期NSCLC临床疗效、阿美替尼治疗T790M耐药突变的晚期NSCLC临床疗效、阿美替尼治疗罕见的EGFR突变晚期NSCLC的临床疗效及阿美替尼联合治疗延缓耐药性发生的临床研究进展进行论述。结果在真实世界研究中,阿美替尼对于EGFR经典突变的晚期NSCLC患者,其中位无进展生存期(Median Progression-Free Survival,mPFS)延长至20个月,对于T790M耐药突变的晚期NSCLC患者,其mPFS延长至15个月,对罕见突变的晚期NSCLC患者也有良好疗效,阿美替尼联合治疗方案能够有效减缓耐药性的发生。结论阿美替尼对晚期NSCLC患者临床疗效较好,能有效提高患者的生存期及改善患者预后。 展开更多
关键词 阿美替尼 非小细胞肺癌 表皮生长因子受体酪氨酸激酶抑制剂 表皮生长因子受体 联合治疗 罕见突变 临床疗效 不良反应
在线阅读 下载PDF
甲磺酸伏美替尼片致心力衰竭1例分析
13
作者 张维 徐东杰 +3 位作者 金宇 邹颖 张婷 周建成 《中国药物警戒》 2025年第1期113-115,共3页
目的探讨甲磺酸伏美替尼片(简称“伏美替尼”)引起心力衰竭的临床表现、发生机制及治疗策略。方法分析1例肺癌晚期的女性患者接受第三代表皮生长因子受体-酪氨酸激酶抑制剂(伏美替尼)后出现心力衰竭,结合文献讨论其潜在发病机制和治疗... 目的探讨甲磺酸伏美替尼片(简称“伏美替尼”)引起心力衰竭的临床表现、发生机制及治疗策略。方法分析1例肺癌晚期的女性患者接受第三代表皮生长因子受体-酪氨酸激酶抑制剂(伏美替尼)后出现心力衰竭,结合文献讨论其潜在发病机制和治疗措施。结果患者服用伏美替尼3个月后出现心力衰竭,排除其他因素后,结合同类药物致心力衰竭报告,考虑伏美替尼引起心力衰竭可能。患者经伏美替尼减量和抗心衰治疗后好转。结论伏美替尼治疗可引起心力衰竭,临床应用时注意监测心脏彩超,以尽早识别和处置。 展开更多
关键词 甲磺酸伏美替尼 表皮生长因子受体-酪氨酸激酶抑制剂 肺恶性肿瘤 心力衰竭 QT间期延长 药品不良反应
在线阅读 下载PDF
曲妥珠单抗辅助治疗HER2阳性乳腺癌患者的效果
14
作者 吴孟瑶 张贵州 李婉 《河南医学研究》 2025年第4期694-698,共5页
目的分析曲妥珠单抗辅助治疗人类表皮生长因子受体2(HER2)阳性乳腺癌(BC)患者的效果及对血清结合素4(nectin-4)、黏蛋白1(MUC1)、骨桥蛋白(OPN)水平的影响。方法选择2021年1月至2023年1月南阳市中心医院收治的HER2阳性BC患者86例,随机... 目的分析曲妥珠单抗辅助治疗人类表皮生长因子受体2(HER2)阳性乳腺癌(BC)患者的效果及对血清结合素4(nectin-4)、黏蛋白1(MUC1)、骨桥蛋白(OPN)水平的影响。方法选择2021年1月至2023年1月南阳市中心医院收治的HER2阳性BC患者86例,随机分为研究组、对照组,各43例。研究组接受曲妥珠单抗辅助紫杉醇、卡铂治疗,对照组接受紫杉醇、卡铂治疗,3周为1个疗程,两组均治疗4个疗程。比较两组治疗4个疗程后疗效,治疗前、治疗4个疗程后血清nectin-4、MUC1、OPN水平、肿瘤标志物、心肌损伤、安全性。结果治疗4个疗程后,研究组总有效率更高(65.12%比41.86%,P<0.05)。较治疗前,治疗4个疗程后两组血清nectin-4、MUC1、OPN、糖类抗原(CA)125、CA15-3、癌胚抗原(CEA)水平降低,且研究组更低(P<0.05)。较治疗前,治疗4个疗程后,两组血清心肌肌钙蛋白I(cTnI)、氨基末端B型脑钠肽前体(NT-proBNP)、肌酸激酶同工酶(CK-MB)水平均升高(P<0.05),但两组比较差异无统计学意义(P>0.05)。治疗期间,两组血小板下降、白细胞下降、骨髓抑制、恶心呕吐、肝功能异常、腹泻发生率差异无统计学意义(P>0.05)。结论曲妥珠单抗辅助治疗HER2阳性BC,能提高效果,下调血清nectin-4、MUC1、OPN水平,控制肿瘤标志物表达,安全性好。 展开更多
关键词 乳腺癌 人类表皮生长因子受体2 曲妥珠单抗 结合素4 黏蛋白1 骨桥蛋白 肿瘤标志物 心肌损伤
在线阅读 下载PDF
乳腺癌治疗相关的抗体偶联药物及其耐药机制研究进展
15
作者 潘学强 李笑 +2 位作者 李美霞 李可 姜蕊 《山东医药》 2025年第2期144-148,共5页
乳腺癌已成为全球女性最常见的恶性肿瘤,随病情进展极易发生耐药。抗体偶联药物(ADC)是一种新型靶向生物制剂,通过特异性抗体与细胞毒性有效载荷的结合,精准递送靶向抗原,为乳腺癌的治疗提供了新方向。目前,ADC已逐渐用于乳腺癌的治疗... 乳腺癌已成为全球女性最常见的恶性肿瘤,随病情进展极易发生耐药。抗体偶联药物(ADC)是一种新型靶向生物制剂,通过特异性抗体与细胞毒性有效载荷的结合,精准递送靶向抗原,为乳腺癌的治疗提供了新方向。目前,ADC已逐渐用于乳腺癌的治疗中。根据靶向抗原的不同可将ADC分为靶向人表皮生长因子受体2类ADC、靶向人滋养细胞表面抗原类ADC及其他ADC。乳腺癌治疗相关ADC的耐药机制与ADC抗原表达水平下降、ADC处理过程异常和化疗有效载荷的变化有关。深入研究乳腺癌治疗相关ADC及其耐药机制,可为改善乳腺癌患者的预后提供参考。 展开更多
关键词 抗体偶联药物 人表皮生长因子受体2 人滋养细胞表面抗原 乳腺癌 肿瘤耐药
在线阅读 下载PDF
基于术前钼靶影像及病理特征分析乳腺癌保乳术病理切缘阳性相关因素
16
作者 刘美妍 王慧哲 +3 位作者 徐静 王炳东 于玺 赵凯华 《临床误诊误治》 2025年第1期40-44,共5页
目的基于术前钼靶影像及病理特征分析乳腺癌保乳术病理切缘阳性的相关因素。方法选取2019年1月至2022年12月收治的乳腺癌保乳术患者202例,根据病理切缘情况分为切缘阳性组(n=65)和切缘阴性组(n=137)。比较2组的一般资料、病理特征、术... 目的基于术前钼靶影像及病理特征分析乳腺癌保乳术病理切缘阳性的相关因素。方法选取2019年1月至2022年12月收治的乳腺癌保乳术患者202例,根据病理切缘情况分为切缘阳性组(n=65)和切缘阴性组(n=137)。比较2组的一般资料、病理特征、术前钼靶影像特点,多因素logistic回归分析乳腺癌保乳术病理切缘阳性的危险因素。结果2组是否伴有导管原位癌、组织学分期、人表皮生长因子受体-2(HER-2)表达情况以及肿块大小比较具有统计学差异(P<0.01)。多因素logistic回归分析显示,伴有导管原位癌、组织学分期高、HER-2表达阳性以及肿块较大均是乳腺癌保乳术病理切缘阳性的危险因素(P<0.05)。结论伴有导管原位癌、组织学分期高、HER-2表达阳性、肿块较大是乳腺癌保乳术病理切缘阳性的危险因素。对于有切缘阳性危险因素的患者,术前通过穿刺病理及钼靶影像评估肿瘤及周围组织切除的范围,保证切缘的安全边界,不额外增加切缘宽度,可以维持良好的乳房外观,提高患者术后生活质量,保障乳腺癌保乳术切除效果,降低二次手术率。 展开更多
关键词 乳腺癌 保乳术 切缘阳性 钼靶影像 病理特征 危险因素 导管原位癌 人表皮生长因子受体-2
在线阅读 下载PDF
奥希替尼联合培美曲塞、顺铂治疗EGFR突变阳性晚期非小细胞肺癌的临床效果 被引量:3
17
作者 穆艳艳 张敬伟 +1 位作者 袁小笋 徐赟 《河南医学研究》 CAS 2024年第1期141-144,共4页
目的分析奥希替尼联合培美曲塞、顺铂对表皮生长因子受体(EGFR)突变阳性晚期非小细胞肺癌(NSCLC)的疗效。方法选取2020年2月至2022年2月南阳市中心医院收治的148例EGFR突变阳性晚期NSCLC患者,按随机数表法分为靶向治疗组与化疗组,各74... 目的分析奥希替尼联合培美曲塞、顺铂对表皮生长因子受体(EGFR)突变阳性晚期非小细胞肺癌(NSCLC)的疗效。方法选取2020年2月至2022年2月南阳市中心医院收治的148例EGFR突变阳性晚期NSCLC患者,按随机数表法分为靶向治疗组与化疗组,各74例。化疗组接受培美曲塞、顺铂治疗,靶向治疗组接受奥希替尼联合培美曲塞、顺铂治疗。对比两组疾病控制率、T淋巴细胞亚群(CD4^(+)、CD8^(+))、血管生成指标[细胞质胸苷激酶(TK1)、血管内皮生长因子(VEGF)]、血清肿瘤标志物[癌胚抗原(CEA)、糖类抗原50(CA50)、糖类抗原125(CA125)]、卡氏功能状态评分(KPS)、不良反应发生率。结果靶向治疗组疾病控制率[60.81%(45/74)]较化疗组[44.59%(33/74)]高(P<0.05)。治疗后,靶向治疗组CD4^(+)较化疗组高,CD8^(+)较化疗组低(P<0.05)。治疗后,靶向治疗组TK1、VEGF较化疗组低(P<0.05)。治疗后,靶向治疗组血清CEA、CA50、CA125水平较化疗组低(P<0.05)。治疗后,靶向治疗组KPS评分较化疗组高(P<0.05)。两组不良反应发生率差异无统计学意义(P>0.05)。结论奥希替尼联合培美曲塞、顺铂治疗EGFR突变阳性晚期NSCLC,能改善免疫功能,抑制血管生成,降低肿瘤标志物水平,提高疾病控制率,改善机体功能状况,且安全性良好。 展开更多
关键词 非小细胞肺癌 表皮生长因子受体 突变 奥希替尼 培美曲塞 顺铂
在线阅读 下载PDF
阿美替尼和伏美替尼在晚期NSCLC患者EGFR突变的近远期效果比较 被引量:1
18
作者 张凯 杨康丽 王红民 《罕少疾病杂志》 2024年第7期27-29,共3页
目的将阿美替尼和伏美替尼用于治疗晚期非小细胞肺癌(NSCLC)患者表皮生长因子受体(EGFR)突变中,比较两者近远期效果。方法以2021年4月至2022年4月为期,本院共收治晚期NSCLC EGFR突变患者64例,均纳入本研究,根据随机数字表法将其分为A组... 目的将阿美替尼和伏美替尼用于治疗晚期非小细胞肺癌(NSCLC)患者表皮生长因子受体(EGFR)突变中,比较两者近远期效果。方法以2021年4月至2022年4月为期,本院共收治晚期NSCLC EGFR突变患者64例,均纳入本研究,根据随机数字表法将其分为A组和B组,各32例。A组给予阿美替尼治疗,B组给予伏美替尼治疗。比较两组患者近远期效果、血清肿瘤标志物、不良反应发生率以及血管生长因子水平。结果A组客观缓解率(ORR)、不良反应发生率与B组比较,均无统计学意义(P>0.05);B组中位无进展生存期(PFS)和总生存期(OS)均长于A组(P<0.05);与治疗前比较,两组血小板衍生生长因子(PDGF)、血管内皮生长因子(VEGF)、碱性成纤维细胞生长因子(bFGF)、细胞角蛋白19片段(CYFRA21-1)、癌胚抗原(CEA)水平在服药2个月后均降低(P<0.05),但B组上述指标与A组比较差异无统计学意义(P>0.05)。结论阿美替尼和伏美替尼治疗晚期NSCLC患者EGFR突变近期疗效与安全性相当,且在下调肿瘤标志物和血管生长因子方面的作用相近,但相较而言,伏美替尼更有助于患者生存期的延长。 展开更多
关键词 阿美替尼 伏美替尼 晚期非小细胞肺癌 表皮生长因子受体 临床效果
在线阅读 下载PDF
肺腺癌组织中前列腺素内过氧化物合酶2表达水平与表皮生长因子受体基因突变的相关性分析
19
作者 闫琛 徐小艳 杨金花 《临床心身疾病杂志》 CAS 2024年第4期6-10,共5页
目的 分析肺腺癌组织中前列腺素内过氧化物合酶2(PTGS2)表达水平与表皮生长因子受体(EGFR)基因突变的相关性。方法 选取57例肺腺癌患者为研究对象,收集肺腺癌组织及其相应癌旁组织。采用实时荧光定量PCR(RT-PCR)法检测癌组织及癌旁组织... 目的 分析肺腺癌组织中前列腺素内过氧化物合酶2(PTGS2)表达水平与表皮生长因子受体(EGFR)基因突变的相关性。方法 选取57例肺腺癌患者为研究对象,收集肺腺癌组织及其相应癌旁组织。采用实时荧光定量PCR(RT-PCR)法检测癌组织及癌旁组织中PTGS2 mRNA表达水平;采用免疫组织化学法分析PTGS2蛋白表达;采用RT-PCR法检测癌组织及癌旁组织EGFR基因突变情况。分析肺腺癌患者临床病理参数与PTGS2 mRNA水平、EGFR基因突变情况的关系。采用Spearman秩相关分析探讨肺腺癌患者EGFR基因突变情况与PTGS2 mRNA水平的相关性。结果 57例肺腺癌患者中,5例癌旁组织EGFR基因突变型患者,其对应癌组织也均发生突变,且为同一突变类型。26例(45.61%)癌组织EGFR基因突变型患者,未发现双重突变,其中19外显子突变17例(29.82%),均为缺失突变;21外显子突变9例(15.79%),均为L858R点突变。癌组织中PTGS2mRNA表达水平、PTGS2蛋白阳性率及EGFR基因突变型比例高于癌旁组织,EGFR基因野生型比例低于癌旁组织(P<0.01)。肺腺癌患者性别、TNM分期、吸烟与PTGS2 mRNA表达水平、EGFR基因突变情况有关(P<0.05或0.01)。EGFR基因突变型PTGS2 mRNA表达水平高于EGFR基因野生型(P<0.01)。肺腺癌患者EGFR基因突变与PTGS2 mRNA表达水平呈正相关(r=0.512,P<0.01)。结论 肺腺癌患者癌组织中PTGS2mRNA表达水平及PTGS2蛋白阳性率升高,且与EGFR基因突变关系密切,二者可能共同影响疾病进程。 展开更多
关键词 肺腺癌 前列腺素内过氧化物合酶2 表皮生长因子受体 基因突变 相关性
在线阅读 下载PDF
耳内镜下鼓膜修补术后穿孔再修补的疗效分析
20
作者 王干 陈志凌 《中国内镜杂志》 2024年第5期69-74,共6页
目的 探讨人工硬脑膜和表皮生长因子在耳内镜下鼓膜修补术后鼓膜穿孔再修补中的临床疗效。方法 选择该院耳内镜下鼓膜修补术后复查时仍有鼓膜穿孔未愈合的患者58例,随机分为A组和B组,各29例。A组采用明胶海绵修补鼓膜穿孔,B组采用人工... 目的 探讨人工硬脑膜和表皮生长因子在耳内镜下鼓膜修补术后鼓膜穿孔再修补中的临床疗效。方法 选择该院耳内镜下鼓膜修补术后复查时仍有鼓膜穿孔未愈合的患者58例,随机分为A组和B组,各29例。A组采用明胶海绵修补鼓膜穿孔,B组采用人工硬脑膜和表皮生长因子修补鼓膜穿孔,每个月复查鼓膜愈合情况,3个月后复查纯间测听。结果 A组修补成功率为34.48%(10/29),B组修补成功率为75.86%(22/29),两组患者比较,差异有统计学意义(P <0.05);A组气骨导差改善(7.32±2.68) dB HL,B组气骨导差改善(21.77±4.65)dB HL,两组患者比较,差异有统计学意义(P <0.05)。结论 人工硬脑膜是合适的鼓膜再生支架,表皮生长因子可促进鼓膜穿孔愈合,两者结合使用是鼓膜再修补的一种可行的治疗方案。 展开更多
关键词 鼓膜修补术后 鼓膜穿孔 耳内镜 再修补 人工硬脑膜 表皮生长因子
在线阅读 下载PDF
上一页 1 2 37 下一页 到第
使用帮助 返回顶部