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Sci Rep:转移性肾细胞癌负担和位点可作为一线药物舒尼替尼治疗效果的预测因子

2019-06-02 AlexYang MedSci原创

最近,有研究人员调查了基线肿瘤负担和位点对一线肾癌治疗药物舒尼替尼治疗效果的预后影响。研究人员评估了基线和治疗中的CT扫描,并利用卡普兰-梅尔分析和威布尔生存估计模型描述了舒尼替尼治疗的响应。研究人员还利用逻辑回归来确定肿瘤位点、负担和生存之间的相关性。另外,研究人员还对治疗组和外部验证组进行了转移共同发生的贝叶斯推断分析。研究总共包括了100名具有转移性透明细胞肾细胞肿瘤且接受舒尼替尼治疗的患者

最近,有研究人员调查了基线肿瘤负担和位点对一线肾癌治疗药物舒尼替尼治疗效果的预后影响。

研究人员评估了基线和治疗中的CT扫描,并利用卡普兰-梅尔分析和威布尔生存估计模型描述了舒尼替尼治疗的响应。研究人员还利用逻辑回归来确定肿瘤位点、负担和生存之间的相关性。另外,研究人员还对治疗组和外部验证组进行了转移共同发生的贝叶斯推断分析。研究总共包括了100名具有转移性透明细胞肾细胞肿瘤且接受舒尼替尼治疗的患者。腹部转移(HR=3.93)和脑部转移的数目与更短的PFS相关,而胸部转移(HR=0.47)与更长的PFS相关。另外,腹部转移的位置能够明显的影响其他位置转移发展的风险,包括了骨转移和脑转移。

最后,研究人员指出,转移的生物学,尤其是转移的位置还需要进一步的分子和临床调查。

原始出处:


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  6. [GetPortalCommentsPageByObjectIdResponse(id=1978847, encodeId=32e119e884716, content=<a href='/topic/show?id=3b90e79787f' target=_blank style='color:#2F92EE;'>#细胞癌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77978, encryptionId=3b90e79787f, topicName=细胞癌)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e457184, createdName=qingting, createdTime=Wed Apr 29 19:36:00 CST 2020, time=2020-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1894113, encodeId=0a4a189411382, content=<a href='/topic/show?id=5e456463eee' target=_blank style='color:#2F92EE;'>#治疗效果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64637, encryptionId=5e456463eee, topicName=治疗效果)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Tue Mar 31 00:36:00 CST 2020, time=2020-03-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310727, encodeId=a92a1310e27f3, content=<a href='/topic/show?id=25dc1002255e' target=_blank style='color:#2F92EE;'>#预测因子#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100225, encryptionId=25dc1002255e, topicName=预测因子)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6105386, createdName=宋威, createdTime=Tue Jun 04 04:36:00 CST 2019, time=2019-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1386505, encodeId=3f1f138650554, content=<a href='/topic/show?id=f08293399f9' target=_blank style='color:#2F92EE;'>#转移性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93399, encryptionId=f08293399f9, topicName=转移性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ac22500003, createdName=1249842em09(暂无昵称), createdTime=Tue Jun 04 04:36:00 CST 2019, time=2019-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1420306, encodeId=41e6142030670, content=<a href='/topic/show?id=5ed393430f3' target=_blank style='color:#2F92EE;'>#转移性肾细胞癌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93430, encryptionId=5ed393430f3, topicName=转移性肾细胞癌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0da33575570, createdName=zhangyxzsh, createdTime=Tue Jun 04 04:36:00 CST 2019, time=2019-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032172, encodeId=897610321e28b, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sun Jun 02 16:36:00 CST 2019, time=2019-06-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1046831, encodeId=cef71046831d9, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Sun Jun 02 16:36:00 CST 2019, time=2019-06-02, status=1, ipAttribution=)]
    2019-06-02 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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    2019-06-02 CHANGE

    疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的

    0

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透明细胞肿瘤(CCCs)是一种高度恶性化的组织,通常起源于肾脏和卵巢。CCCs可以通过异常的脂糖原积累来区分,并且对很多抗癌疗法具有耐受性。最近, 有研究人员鉴定了固有的细胞铁死亡脆弱性与CCCs中独特的细胞代谢状态有关。该脆弱性超越了家系和遗传背景,并且可以通过利用细胞分子来抑制谷胱甘肽过氧化物酶(GPX4)来进行研究。研究人员利用CRISPR筛选和脂质体分析,研究人员鉴定了缺氧诱导因子(HIF

Cell Death & Disease:肾细胞癌中RBCK1能够通过泛素化途径促进p53降解

肾细胞癌(RCC)大约占据了成年人肿瘤的3%,并且RCC的发生率在世界范围内持续增长。尽管RCC可以在早期阶段通过外科手术来进行治疗,而在晚期患者中5年的生存率却急剧的减少。大多数接受细胞毒性或者靶向药物治疗的RCC患者在治疗期间会在某个时间点产生抗性。因此,鉴定新的RCC治疗靶标是非常必要的。最近,有研究人员发现RANBP2型和包含锌指结构 C3HC4型蛋白 (RBCK1)在人类RCC患者样本中

K药再拓疆土——细数晚期肾癌靶向治疗现状

近日,美国食品和药物管理局FDA批准Pembrolizumab (Keytruda,俗称K药)联合Inlyta(axitinib,阿昔替尼)用于晚期肾细胞癌(RCC)患者的一线治疗。Inlyta由辉瑞研发,是一种抑制血管内皮生长因子(VEGF)受体1、2、3的酪氨酸激酶抑制剂。Keytruda与Inlyta构成的组合疗法,作为一线疗法治疗晚期RCC患者,是继nivolumab与ipilimumab

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