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Lycii Radicis Cortex suppresses the growth of non-small cell lung cancer via enhancing the anti-tumor immunity
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作者 Heng Yin Meng Liu +10 位作者 Yaling Zhao Haitao Wu Danna Zheng Zhenhui Guo Ying Zhou Shaofeng Wu Chuanbing Chen Lei Zhang Shanshan Song Yanli He Ren Zhang 《Food Science and Human Wellness》 2025年第2期651-661,共11页
Lycii Radicis Cortex(LRC)is a medicinal and food homologous plant with various pharmacological activities,including anti-tumor effects.This study explores the anti-tumor effect of LRC on non-small cell lung cancer(NSC... Lycii Radicis Cortex(LRC)is a medicinal and food homologous plant with various pharmacological activities,including anti-tumor effects.This study explores the anti-tumor effect of LRC on non-small cell lung cancer(NSCLC)and its molecular mechanism using mice bearing Lewis lung carcinoma cells.LRC significantly suppressed the growth of NSCLC.Besides,RNA sequencing of mice tumors and hematoxylin&eosin and immunofluorescence staining revealed that LRC promoted the infiltration of T lymphocytes,specifically GZMB~+CD8~+T lymphocytes,in tumor tissues.The Gene Set Enrichment Analysis of spleen RNA indicated that LRC up-regulated PD-1-downstream pathways,suggesting that LRC exerted its effects through the PDL1/PD-1 pathway.Further experiments revealed that LRC interacted with PD-L1,blocking PD-L1/PD-1 binding and thus restoring the T cell killing activity on tumor cells.Together,these results support using LRC as healthy food to improve anti-tumor immunity in patients with NSCLC. 展开更多
关键词 Lycii Radicis Cortex non-small cell lung cancer PD-L1 Immune checkpoint
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Physical exercise reverses immuno-cold tumor microenvironment via inhibiting SQLE in non-small cell lung cancer
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作者 Zhi-Wen Luo Ya-Ying Sun +9 位作者 Wei Xia Jun-Ying Xu Dong-Jing Xie Chun-Meng Jiao Ji-Ze Dong Hui Chen Ren-Wen Wan Shi-Yi Chen Jie Mei Wen-Jun Mao 《Military Medical Research》 SCIE CAS CSCD 2024年第4期616-619,共4页
Dear Editor,Physical exercise has been shown to be associated with reduced cancer incidence and cancer-associated mortality[1,2],but the underlying mechanisms are obscure.Immunometabolic regulation has emerged as one ... Dear Editor,Physical exercise has been shown to be associated with reduced cancer incidence and cancer-associated mortality[1,2],but the underlying mechanisms are obscure.Immunometabolic regulation has emerged as one of the most prominent mechanisms explaining the effects of exercise on cancer[1,2].Physical exercise primarily lowers blood cholesterol and triglycerides,and protects against cardiovascular diseases[3].However,whether physical exercise can modulate cholesterol metabolism in tumor cells is currently unknown. 展开更多
关键词 Physical exercise non-small cell lung cancer(NSCLC) Squalene epoxidase(SQLE) Tumor immune microenvironment(TIME)
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Relationship Between Programmed Death-ligand 1 and Clinicopathological Characteristics in Non-small Cell Lung Cancer Patients 被引量:14
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作者 Yan-yan Chen Liu-bo Wang +6 位作者 Hui-li Zhu Xiang-yang Li Yan-ping Zhu Yu-lei Yin Fan-zhen Lü Zi-li Wang Jie-ming Qu 《Chinese Medical Sciences Journal》 CAS CSCD 2013年第3期147-151,共5页
Objective To evaluate the correlation between programmed death-ligand 1 (PD-L1) expression in primary lung cancer cells, tumor associated macrophages (TAM) and patients' clinicopathological characteristics. Meth... Objective To evaluate the correlation between programmed death-ligand 1 (PD-L1) expression in primary lung cancer cells, tumor associated macrophages (TAM) and patients' clinicopathological characteristics. Methods From 2008 to 2010, 208 non-small cell lung cancer patients who underwent surgery or CT-guided biopsy were recruited from Huadong Hospital, Fudan University. Immunohistochemistry staining was performed to evaluate the PD-L1 expression in both primary lung cancer cells and CD68 positive TAM. 展开更多
关键词 non-small cell lung cancer programmed death-ligand 1 minor associated macrophage
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Expression of PD1 and BTLA on the CD8^+T Cell and γδT Cell Subsets in Peripheral Blood of Non-Small Cell Lung Cancer Patients 被引量:2
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作者 鲍轶 莫娟芬 +1 位作者 吴加元 曹晨曦 《Chinese Medical Sciences Journal》 CAS CSCD 2019年第4期248-255,共8页
Objective To investigate the expression and regulation of programmed cell death protein 1(PD1),B lymphocyte and T lymphocyte attenuator(BTLA)in peripheral blood of patients with non-small cell lung cancer(NSCLC);to ex... Objective To investigate the expression and regulation of programmed cell death protein 1(PD1),B lymphocyte and T lymphocyte attenuator(BTLA)in peripheral blood of patients with non-small cell lung cancer(NSCLC);to examine the correlation of the mRNA levels between PD and BTLA in NSCLC.Methods Flow cytometry was used to detect the expression of PD1 and BTLA on the surfaces of CD8^+T cells andγδ+T cells in the peripheral blood samples collected from 32 in-patients with stage IV NSCLC and 30 healthy individuals.We compared the expression of PD1 and BTLA on the surfaces ofγδ+T cells in the NSCLC patients with bone metastasis before and after the treatment of zoledronic acid.The correlations of PD1 and BTLA,as well as their ligands were analyzed using Pearson correlation analysis with the cBioPortal data platform.Results The frequency of PD1 on the surfaces of CD8^+T cells was significantly higher than that of theγδT cells in both healthy controls(t=2.324,P=0.024)and NSCLC patients(t=2.498,P=0.015).The frequency of PD1 on CD8^+T cells,rather than onγδ+T cells,was significantly upregulated in advanced NSCLC patients compared with that in healthy controls(t=4.829,P<0.001).The PD1+BTLA+γδT cells of the healthy controls were significantly lower than that of the NSCLC patients(t=2.422,P=0.0185).No differences in percentage of PD1+γδ+and BTLA+γδ+T cells were observed in 7 NSCLC patients with bone metastasis before and after zoledronic acid treatment.PD1 was positively correlated with BTLA in both lung adenocarcinoma(r=0.54;P<0.05)and lung squamous cell carcinoma(r=0.78;P<0.05).Conclusions The upregulation of co-inhibitory molecules occurs on the surfaces of both CD8^+T cells andγδT cells in advanced NSCLC,suggesting that these molecules were involved in regulating the inactivation of CD8^+T cells andγδ+T cells,immune escape and tumor invasion. 展开更多
关键词 CD8^+T cell γδT cell programmed cell death protein 1 B and T lymphocyte attenuator non-small cell lung cancer
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Bevacizumab Combined with Icotinib Overcomes Osimertinib Resistance in a Patient of Non-Small Cell Lung Cancer 被引量:2
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作者 张玲 孙雷 +1 位作者 穆晓燕 季有信 《Chinese Medical Sciences Journal》 CAS CSCD 2019年第4期292-296,共5页
A 61-year-old Chinese woman was diagnosed as primary pulmonary adenocarcinoma of left superior lobe with epidermal growth factor receptor(EGFR)19 del mutation positive.Treatment with icotinib was given,but her disease... A 61-year-old Chinese woman was diagnosed as primary pulmonary adenocarcinoma of left superior lobe with epidermal growth factor receptor(EGFR)19 del mutation positive.Treatment with icotinib was given,but her disease progressed after 6 months remission.CT-guide needle biopsy for the new lesion in inferior lobe of left lung demonstrated intrapulmonary metastasis,and EGFR gene panel by Amplification Refractory Mutation System Polymerase Chain Reaction(ARMS-PCR)confirmed EGFR T790M mutation.Treatment with osimertinib was initiated.After 2 months remission,the disease progressed.Re-biopsy was performed for the tumor in the inferior lobe of left lung,and ARMS-PCR demonstrated no other gene mutation except EGFR 19 del.Icotinib was re-challenged,but disease progressed continuously.Bevacizumab was added,and partial response was achieved after 2-cycle of combination therapy.The non-small cell lung cancer(NSCLC)in this case maintained EGFR activating mutation and lost EGFR T790M mutation was a genetic change after osimertinib treatment.This case suggests the re-challenge of the first-generation EGFR-TKIs combined with bevacizumab may overcome the tumor resistance and prolong survival of NSCLC patient. 展开更多
关键词 Epidermal growth factor receptor-tyrosine kinase inhibitor resistant mutation nonsmall cell lung cancer BEVACIZUMAB
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Treatment of Skin Reaction Induced by Nivolumab Combined with Radiotherapy in Non-small Cell Lung Cancer:A Case Report 被引量:4
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作者 Zhimei Zhao Shichao Liu +3 位作者 Xiajuan Xu Zhongfa Zhang Keke Nie Youxin Ji 《Chinese Medical Sciences Journal》 CAS CSCD 2018年第3期183-187,共5页
Skin reaction or dermatological toxicities induced by immunotherapy is common.It usually manifests skin rash or erythema and can be cured by skin lotion or steroid.Nivolumab,a human IgG4 programmed cell death protein ... Skin reaction or dermatological toxicities induced by immunotherapy is common.It usually manifests skin rash or erythema and can be cured by skin lotion or steroid.Nivolumab,a human IgG4 programmed cell death protein 1(PD-1)inhibitor,blocks T cells activation preventing signal and allows the immune system to clear cancer cells.Nivolumab was approved in the second-line therapy in squamous cell lung cancer by FDA,with less than 10%unusual skin reaction,like sensory neuropathy,peeling skin,erythema multiforme,vitiligo,and psoriasis.Radiotherapy could aggravate this skin reaction through inflammatory response and promotion of immunity.The combined treatment of anti-PD-1 and radiotherapy represented a new promising therapeutic approach in many studies,but the risk of side effects may be high.We reported a patient with advanced squamous cell lung cancer who suffered from serious skin immune-related adverse events when he was treated with nivolumab and radiotherapy.The immune overreaction of the treatment of anti-PD-1 treatment and radiotherapy might cause these serious skin adverse events.Our report warranted careful workup to reduce the risk of side effects by combinative therapy with anti-PD-1 and radiotherapy. 展开更多
关键词 SKIN reaction nivolumab IMMUNOTHERAPY RADIOTHERAPY non-small cell lung cancer
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^(125)I brachytherapy combined with chemotherapy of advanced non-small cell lung cancer 被引量:1
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作者 林元强 孙昱 +6 位作者 王任婕 高识 陈滨 孙步彤 马庆杰 纪铁凤 张海山 《Nuclear Science and Techniques》 SCIE CAS CSCD 2015年第6期69-73,共5页
This study was to evaluate effect of ^(125)I brachytherapy combined with chemotherapy on advanced non-small cell lung cancer(NSCLC). Patients with NSCLC in stages III to IV were divided into two groups: Group A(n = 27... This study was to evaluate effect of ^(125)I brachytherapy combined with chemotherapy on advanced non-small cell lung cancer(NSCLC). Patients with NSCLC in stages III to IV were divided into two groups: Group A(n = 27) received ^(125)I brachytherapy combined with gemcitabine and cisplatin(GP) chemotherapy, and Group B(n = 27) received GP chemotherapy only. The results showed that the overall response rate and median progression-free survival time were 78% and 11.5 months in Group A, 41% and 8 months in Group B, respectively(P < 0.05). For Group A, the 1- and 2-years survival rates were 67% and 37%, respectively,with the median survival time of 16 months, whereas the corresponding data of Group B were 48%, 22% and 11.5 months(P > 0.05). The interventional complications in Group A included 5 patients with postoperative pneumothorax and 4 patients with hemoptysis. No patients had radiation pneumonia, radiation esophagitis or esophagotracheal fistula. Chemotherapy treatment-related toxicities were not significantly different between the two groups. The relief of tumor-associated symptoms including cough, hemoptysis, chest pain, and short breath was found in both groups, without statistical difference in remission rates between Groups A and B(P > 0.05).In conclusion, ^(125)I brachytherapy combined with chemotherapy proved to be safe and effective for treating advanced NSCLC with few complications. It improves local control rate and prolongs the progression-free survival time. 展开更多
关键词 非小细胞肺癌 化疗 晚期 放射治疗 植入 粒子 生存时间 毒副反应
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Clinical pathology of nodal micrometasteses in non-small cell lung cancer
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作者 Wang Yunxi Zhang Jing +4 位作者 Chu Xiangyang Sun Yu'e Wang Zhanbo Li Xianghong Tong Xinyuan 《Journal of Medical Colleges of PLA(China)》 CAS 2012年第2期63-70,共8页
Objective: To explore whether the conventional pathologic stages of some non-small cell lung cancer (NSCLC) patients were underestimated. Methods: 195 lymph node samples were taken from 25 NSCLC patients during th... Objective: To explore whether the conventional pathologic stages of some non-small cell lung cancer (NSCLC) patients were underestimated. Methods: 195 lymph node samples were taken from 25 NSCLC patients during the operations. Firstly, each resulting tissue block was processed for routine paraffin embedding. Then the 6- 10 serial sections were chosen, each 5/am thick, from every paraffin block of the lymph node. Finally, the first and the second last sections of each lymph node were stained by hematoxylin eosin (HE), and the other serial sections were used for the immunohistochemical (IHC) staining examination with the monoclonal antibody against cyokeratin 19. Results: With HE staining, 30 of the 195 regional lymph nodes revealed dominant nodal metastases, and none showed micrometastases. IHC staining was performed on 135 lymph nodes that were identified as free of metastases by HE staining, 31 showed micrometastases; none showed gross nodal metastases. There was a significant difference between HE staining staging and IHC staining staging (P〈0.05). Conclusion: Conventional HE staining can accurately detect gross nodal metastases in the lymph nodes of NSCLC patients, but is unfit for detecting lymph nodal micrometastases. IHC staining analysis can significantly facilitate the detection of occult micrometastatic tumor cells in lymph nodes, and its assessment of nodal micrometastases can provide a refinement of TNM stage for NSCLC patients. Our results provide a rationale for extensive lymph nodes sampling 展开更多
关键词 CARCINOMA non-small cell lung Lymph node MICROMETASTASES
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Highly Efficient Labeling of Human Lung Cancer Cells Using Cationic Poly-L-lysine-Assisted Magnetic Iron Oxide Nanoparticles 被引量:4
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作者 Xueqin Wang Huiru Zhang +1 位作者 Hongjuan Jing Liuqing Cui 《Nano-Micro Letters》 SCIE EI CAS 2015年第4期374-384,共11页
Cell labeling with magnetic iron oxide nanoparticles(IONPs)is increasingly a routine approach in the cellbased cancer treatment.However,cell labeling with magnetic IONPs and their leading effects on the biological pro... Cell labeling with magnetic iron oxide nanoparticles(IONPs)is increasingly a routine approach in the cellbased cancer treatment.However,cell labeling with magnetic IONPs and their leading effects on the biological properties of human lung carcinoma cells remain scarcely reported.Therefore,in the present study the magnetic c-Fe2O3nanoparticles(MNPs)were firstly synthesized and surface-modified with cationic poly-L-lysine(PLL)to construct the PLL-MNPs,which were then used to magnetically label human A549 lung cancer cells.Cell viability and proliferation were evaluated with propidium iodide/fluorescein diacetate double staining and standard 3-(4,5-dimethylthiazol-2-diphenyl-tetrazolium)bromide assay,and the cytoskeleton was immunocytochemically stained.The cell cycle of the PLL-MNPlabeled A549 lung cancer cells was analyzed using flow cytometry.Apoptotic cells were fluorescently analyzed with nuclear-specific staining after the PLL-MNP labeling.The results showed that the constructed PLL-MNPs efficiently magnetically labeled A549 lung cancer cells and that,at low concentrations,labeling did not affect cellular viability,proliferation capability,cell cycle,and apoptosis.Furthermore,the cytoskeleton in the treated cells was detected intact in comparison with the untreated counterparts.However,the results also showed that at high concentration(400 lg m L-1),the PLL-MNPs would slightly impair cell viability,proliferation,cell cycle,and apoptosis and disrupt the cytoskeleton in the treated A549 lung cancer cells.Therefore,the present results indicated that the PLL-MNPs at adequate concentrations can be efficiently used for labeling A549 lung cancer cells and could be considered as a feasible approach for magnetic targeted anti-cancer drug/gene delivery,targeted diagnosis,and therapy in lung cancer treatment. 展开更多
关键词 Magnetic labeling Iron oxide nanoparticles POLY-L-LYSINE Human A549 lung cancer cells cancer treatment
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IMMUNORESPONSES OF HUMANIZED SCID MICE TO HUMAN LUNG CANCER CELLS
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作者 陈力真 王树蕙 +1 位作者 张云 王世真 《Chinese Medical Sciences Journal》 CAS CSCD 1996年第2期110-112,共3页
HuPBLSCID mice were used to explore how they would response to human tumor cells of 80llMLC.Living 80llMLC cells appeared to be fetal to the the mice due to the production of human TNF- The hupBL-SCID mice did not gen... HuPBLSCID mice were used to explore how they would response to human tumor cells of 80llMLC.Living 80llMLC cells appeared to be fetal to the the mice due to the production of human TNF- The hupBL-SCID mice did not generate any noticeable amount of specific human immunoglobulin either by single immunization with living 801/MLC cells or by repeated immunization with irradiated 80llMLC cells. Our preliminary experiments with huPBL-SCID mice showed that such chimeras would be a very useful models for tumor immunological researches. 展开更多
关键词 huPBL-SCID mice lung cancer cells IMMUNOGLOBULIN
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Discovering myeloid cell heterogeneity in the lung by means of next generation sequencing 被引量:2
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作者 Jing-jing Ji Jie Fan 《Military Medical Research》 SCIE CAS CSCD 2019年第4期354-363,共10页
The lung plays a vital role in maintaining homeostasis,as it is responsible for the exchange of oxygen and carbon dioxide.Pulmonary homeostasis is maintained by a network of tissue-resident cells,including epithelial ... The lung plays a vital role in maintaining homeostasis,as it is responsible for the exchange of oxygen and carbon dioxide.Pulmonary homeostasis is maintained by a network of tissue-resident cells,including epithelial cells,endothelial cells and leukocytes.Myeloid cells of the innate immune system and epithelial cells form a critical barrier in the lung.Recently developed unbiased next generation sequencing(NGS)has revealed cell heterogeneity in the lung with respect to physiology and pathology and has reshaped our knowledge.New phenotypes and distinct gene signatures have been identified,and these new findings enhance the diagnosis and treatment of lung diseases.Here,we present a review of the new NGS findings on myeloid cells in lung development,homeostasis,and lung diseases,including acute lung injury(ALI),lung fibrosis,chronic obstructive pulmonary disease(COPD),and lung cancer. 展开更多
关键词 Acute lung INJURY lung cancer lung disease lung development SINGLE-cell RNA SEQUENCING
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Inhibition Mechanism of Novel Pyrazolo[1,5-a]pyrazin-4(5H)-one Derivatives Against Proliferation of A549 and H322 Cancer Cells
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作者 Jin-hui Shao Gui-hua Feng 《Chinese Medical Sciences Journal》 CAS CSCD 2015年第4期260-265,共6页
Objective To explore the inhibition mechanism and safety of pyrazolo[1,5-a]pyrazin-4(5H)-one derivatives against proliferation of human lung cancer A549 cells, H322 cells, and human umbilical vein endothelial cell(HUV... Objective To explore the inhibition mechanism and safety of pyrazolo[1,5-a]pyrazin-4(5H)-one derivatives against proliferation of human lung cancer A549 cells, H322 cells, and human umbilical vein endothelial cell(HUVEC). Methods Cells were treated with 40 μmol/L of the ppo3 a, ppo3 b, ppo3 i, and 0.1% DMSO(control) for 48 hours, respectively. Apoptosis was determined by Hoechst 33258 staining assay in H322 and A549 cells. Cell cycle distribution was determined by flow cytometry analysis in A549 cell. LC3-II, p53, and heat shock protein(HSP) 70 protein levels were detected by Western blotting in A549 cells treated with ppo3 b for 48 hours. The morphology and viability of HUVEC were observed by inverted microscope and sulforhodamine B(SRB) assay. Results Ppo3 a, ppo3 b, and ppo3 i significantly induced apoptosis in H322 and A549 cells. A strong G1-phase arrest was concomitant with the growth inhibitory effect on A549 cells. Ppo3 b effectively elevated the p53 protein level, but significantly reduced the HSP70 protein level. There were no significantly inhibitory effect on the morphology and viability of HUVEC when treated with ppo3 a, ppo3 b, and ppo3 i. Conclusions ppo3 a, ppo3 b, and ppo3 i could inhibit H322 proliferation through apoptosis and inhibit A549 through apoptosis and G1-phase arrest. The protein p53 and HSP70 might involve in the inhibition effects. These derivatives might be a clue to find effective and safe drug for lung cancers. 展开更多
关键词 PYRAZOLE apoptosis lung cancer cell P5 3 human UMBILICAL VEIN endothelial cell
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单孔电视胸腔镜手术与常规胸腔镜手术在非小细胞肺癌根治术中的应用价值
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作者 郭亮 贾明选 +1 位作者 马文杰 闫宪飞 《罕少疾病杂志》 2025年第1期63-65,共3页
目的 探讨单孔电视胸腔镜手术在非小细胞肺癌根治术中的效果。方法 选取河南科技大学附属黄河三门峡医院2021年1月至2023年1月收治的100例非小细胞肺癌患者,分为对照组50例(常规胸腔镜手术),观察组50例(单孔电视胸腔镜手术),分组方法为... 目的 探讨单孔电视胸腔镜手术在非小细胞肺癌根治术中的效果。方法 选取河南科技大学附属黄河三门峡医院2021年1月至2023年1月收治的100例非小细胞肺癌患者,分为对照组50例(常规胸腔镜手术),观察组50例(单孔电视胸腔镜手术),分组方法为随机数字表法。比较两组临床指标。结果 观察组引流管留置时间、住院时间短于对照组(P<0.05);观察组术后1d、2d、3d的疼痛评分均低于对照组(P<0.05);观察手术后组血清生长激素、PGE2、Cor水平低于对照组(P<0.05),各项临床症状评分均高于对照组(P<0.05),并发症发生率低于对照组(P<0.05)。结论 非小细胞肺癌根治术患者应用单孔电视胸腔镜手术对缩短住院时间、缓解临床症状、降低疼痛水平、减轻应激反应方面具有积极作用,更利于患者康复。 展开更多
关键词 非小细胞肺癌 单孔电视胸腔镜 临床症状 应激反应 疼痛水平
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益气养阴解毒方对Lewis肺癌小鼠的免疫调节及抗肿瘤作用
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作者 刘莲芳 卢子涵 +3 位作者 胡霞 周勤峰 秦垠 梅宇波 《南京中医药大学学报》 北大核心 2025年第1期95-101,共7页
目的探索益气养阴解毒方对Lewis肺癌小鼠的抗肿瘤作用及其对免疫调节的影响。方法腋下皮下注射Lewis肺癌细胞构建Lewis肺癌小鼠模型,分为模型组、低剂量组、中剂量组、高剂量组,并计算肿瘤体积、抑瘤率和生存率。分别使用HE染色,TUNEL... 目的探索益气养阴解毒方对Lewis肺癌小鼠的抗肿瘤作用及其对免疫调节的影响。方法腋下皮下注射Lewis肺癌细胞构建Lewis肺癌小鼠模型,分为模型组、低剂量组、中剂量组、高剂量组,并计算肿瘤体积、抑瘤率和生存率。分别使用HE染色,TUNEL试验和彗星实验检测肿瘤细胞凋亡和DNA损伤。ELISA法检测IFN-γ、IL-2、TNF-α的表达水平。免疫荧光、流式细胞术检测CD8^(+)T、CD8^(+)/CD4^(+)T、PD-1^(+)、IFN-γ^(+)、CD28^(+)细胞占比。Western blot法检测PD-1、CD69、CD28的蛋白水平。结果益气养阴解毒方具有抗肿瘤,延长生存期的作用,还可促进肿瘤细胞凋亡并加剧肿瘤细胞DNA损伤。益气养阴解毒方促进了IFN-γ、IL-2、TNF-α的表达,提高了CD8^(+)T、CD8^(+)/CD4^(+)T、IFN-γ^(+)、CD28^(+)细胞占比,并抑制了PD-1^(+)细胞占比和蛋白表达,CD69、CD28的蛋白水平显著上升。结论益气养阴解毒方可以抑制肿瘤发展,其对免疫功能的调节是其抗肿瘤作用的潜在作用机制。 展开更多
关键词 益气养阴解毒方 非小细胞肺癌 免疫调节 PD-1
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ⅠA期非小细胞肺癌患者微创切除术后复发的危险因素
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作者 李志伟 杨龙 +2 位作者 宋伟康 卢华伟 李荣耀 《河南医学研究》 2025年第1期65-68,共4页
目的探讨ⅠA期非小细胞肺癌患者微创切除术后复发的危险因素。方法回顾性分析2019年1月至2020年6月周口市中心医院收治186例ⅠA期非小细胞肺癌患者的临床资料,根据随访期间有无复发将其分为复发组(54例)和无复发组(132例)。比较两组随... 目的探讨ⅠA期非小细胞肺癌患者微创切除术后复发的危险因素。方法回顾性分析2019年1月至2020年6月周口市中心医院收治186例ⅠA期非小细胞肺癌患者的临床资料,根据随访期间有无复发将其分为复发组(54例)和无复发组(132例)。比较两组随访、复发情况及临床资料,并采用多因素logistic回归分析法分析ⅠA期非小细胞肺癌患者微创切除术后复发的危险因素。结果所有患者在出院后均接受随访,随访时间为5~30个月,随访期间复发率为29.03%,其中同侧肺部复发占11.83%,同侧胸膜复发占2.15%,纵隔淋巴结复发占8.06%,残端合并气管复发占1.08%,气管残端复发占5.91%。复发组年龄≥60岁、病灶直径≥3 cm、低分化、切除支气管残端阳性、术前血清癌胚抗原(CEA)水平≥2.5μg·L^(-1)、术前全血中性粒细胞与淋巴细胞比值(NLR)≥2.5的患者占比高于无复发组(P<0.05)。多因素logistic回归分析结果显示,病灶直径≥3 cm、低分化、切除支气管残端阳性、术前血清CEA水平≥2.5μg·L^(-1)、术前全血NLR≥2.5是ⅠA期非小细胞肺癌患者微创切除术后复发的独立危险因素(OR=2.455、3.364、2.155、3.397、1.545,P<0.05)。结论ⅠA期非小细胞肺癌患者微创切除术后复发的风险较高,病灶直径≥3 cm、低分化、切除支气管残端阳性、术前血清CEA水平≥2.5μg·L^(-1)、术前全血NLR≥2.5是ⅠA期非小细胞肺癌患者微创切除术后复发的独立危险因素,临床可据此给予相应的治疗及干预措施,以减少术后复发。 展开更多
关键词 非小细胞肺癌 ⅠA期 复发 危险因素
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驱动基因阴性晚期NSCLC患者二线治疗:化疗地位仍未撼动
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作者 任胜祥 《循证医学》 2025年第1期19-20,共2页
随机对照Ⅲ期临床研究EVOKE-01研究[1]评估了戈沙妥珠单抗对比多西他赛在既往免疫+化疗转移性非小细胞肺癌(non-small cell lung cancer,NSCLC)患者后线治疗的疗效和安全性,2024年5月Journal of Clinical Oncology发表的数据显示戈沙妥... 随机对照Ⅲ期临床研究EVOKE-01研究[1]评估了戈沙妥珠单抗对比多西他赛在既往免疫+化疗转移性非小细胞肺癌(non-small cell lung cancer,NSCLC)患者后线治疗的疗效和安全性,2024年5月Journal of Clinical Oncology发表的数据显示戈沙妥珠单抗和多西他赛在总生存期(overall survival,OS)[中位11.1个月vs. 9.8个月,风险比(hazard ratio,HR)=0.84,95%可信区间(confidence interval, CI) 0.68~1.04, P=0.053 4]、无进展生存期(progression-free survival,PFS)(中位4.1个月vs. 3.9个月,HR=0.92)和客观缓解率(objective response rate,ORR)(13.7%vs. 18.1%)上均无明显差异。 展开更多
关键词 驱动基因阴性 非小细胞肺癌 化疗
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NK细胞免疫疗法在晚期非小细胞肺癌中的临床疗效、免疫反应及安全性评估:一项初步研究
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作者 李子明 《循证医学》 2025年第1期24-24,26,共2页
近年来,随着免疫疗法的发展,自然杀伤细胞(natural killer cell,NK)治疗作为一种新兴的抗肿瘤策略,受到了广泛关注。NK细胞治疗在晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)的疗效和安全性尚未得到充分验证。德国一项随机Ⅱ... 近年来,随着免疫疗法的发展,自然杀伤细胞(natural killer cell,NK)治疗作为一种新兴的抗肿瘤策略,受到了广泛关注。NK细胞治疗在晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)的疗效和安全性尚未得到充分验证。德国一项随机Ⅱ期临床研究(EudraCT2008-002130-30)旨在评估NK细胞治疗在放化疗经治晚期NSCLC患者中的临床效果、免疫反应及安全性[1]。 展开更多
关键词 NK细胞 非小细胞肺癌 免疫反应
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SOX2表达变化对非小细胞肺癌A549细胞紫杉醇敏感性的影响及其机制
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作者 胡莎莎 黎克秀 张威 《山东医药》 2025年第2期46-50,共5页
目的观察性别决定基因相关转录因子2(SOX2)表达变化对人非小细胞肺癌细胞株A549紫杉醇(PTX)敏感性的影响,并基于氯离子电压门控通道3(ClC-3)调控探讨相关机制。方法培养A549细胞,采用逐步增加PTX剂量间歇作用的方法诱导对PTX耐药的A549... 目的观察性别决定基因相关转录因子2(SOX2)表达变化对人非小细胞肺癌细胞株A549紫杉醇(PTX)敏感性的影响,并基于氯离子电压门控通道3(ClC-3)调控探讨相关机制。方法培养A549细胞,采用逐步增加PTX剂量间歇作用的方法诱导对PTX耐药的A549细胞株(A549/R);采用MTT实验检测A549、A549/R细胞对PTX的敏感性并测算半数抑制浓度(IC50),采用Western blotting法检测耐药相关蛋白(ABCC2、ABCC10C、MDR1)、SOX2蛋白、ClC-3蛋白,采用qRT-PCR法检测SOX2、ClC-3 mRNA。分别将SOX2敲低质粒、SOX2过表达质粒及SOX2过表达质粒+ClC-3敲低质粒转染A549细胞,检测转染细胞与未转染细胞中的ClC-3 mRNA及蛋白,并测算PTX的IC50。结果PTX作用于A549-R细胞的IC50高于A549细胞(P<0.01);A549-R细胞中ABCC2、ABCC10C、MDR1、SOX2、ClC-3蛋白及SOX2、ClC-3 mRNA表达高于A549细胞(P均<0.01)。SOX2低表达A549细胞ClC-3 mRNA、蛋白表达及PTX的IC50低于A549细胞(P均<0.05);SOX2过表达A549细胞ClC-3 mRNA、蛋白表达及PTX的IC50高于A549细胞(P均<0.05);SOX2过表达+ClC-3低表达A549细胞PTX的IC50与A549细胞差异无统计学意义(P>0.05)。结论PTX耐药的A549细胞中SOX2表达增高,SOX2对A549细胞PTX敏感性的调控作用可能与调节ClC-3表达有关。 展开更多
关键词 非小细胞肺癌 紫杉醇 细胞耐药 性别决定基因相关转录因子2 氯离子电压门控通道3
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吉非替尼联合异基因CD8^(+)自然杀伤T细胞治疗晚期或转移性EGFR突变NSCLC的疗效和安全性
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作者 董晓荣 《循证医学》 2025年第1期25-26,共2页
清华大学医学院一项前瞻性研究(ChiCTR-IIR-17013471)探索了吉非替尼与异基因CD8^(+)自然杀伤T(natural killer T,NKT)细胞联合治疗晚期或转移性表皮生长因子受体(epidermal growth factor receptor,EGFR)突变型非小细胞肺癌(non-small ... 清华大学医学院一项前瞻性研究(ChiCTR-IIR-17013471)探索了吉非替尼与异基因CD8^(+)自然杀伤T(natural killer T,NKT)细胞联合治疗晚期或转移性表皮生长因子受体(epidermal growth factor receptor,EGFR)突变型非小细胞肺癌(non-small cell lung cancer,NSCLC)的疗效和安全性[1]。研究结果显示,该联合治疗策略显著延长了患者无进展生存期(progression-free survival,PFS),并且总体安全性良好,为未来的临床应用提供了参考。 展开更多
关键词 EGFR突变 非小细胞肺癌 异基因CD8^(+)NKT细胞
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双特异性T细胞衔接器tarlatamab在广泛期小细胞肺癌取得突破
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作者 王永生 《循证医学》 2025年第1期21-22,共2页
小细胞肺癌(small-cell lung cancer,SCLC)约占肺癌的15%,恶性程度高,尽管对治疗敏感,但患者缓解持续时间短,预后极差。在化疗时代,广泛期SCLC(extensive stage SCLC,ES-SCLC)患者5年总生存率约为5%,到了免疫治疗时代,靶向程序性死亡受... 小细胞肺癌(small-cell lung cancer,SCLC)约占肺癌的15%,恶性程度高,尽管对治疗敏感,但患者缓解持续时间短,预后极差。在化疗时代,广泛期SCLC(extensive stage SCLC,ES-SCLC)患者5年总生存率约为5%,到了免疫治疗时代,靶向程序性死亡受体1/程序性死亡配体1(programmed death 1/programmed death ligand 1,PD-1/PD-L1)的免疫检查点抑制剂联合化疗成为ES-SCLC一线治疗的新标准,疗效有所提升,但仍只有少数患者可以获得长期生存,5年生存率仅约10%左右。一个重要的原因是,ES-SCLC患者的后线治疗仍未取得实质性进展,需要开发ES-SCLC的新疗法。 展开更多
关键词 小细胞肺癌 双特异性T细胞衔接器 后线治疗
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