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Tissue-Resident Macrophages in Cancer: Friend or Foe? 癌症中的组织常驻巨噬细胞:是敌是友?
IF 2.9 2区 医学 Q2 ONCOLOGY Pub Date : 2024-11-04 DOI: 10.1002/cam4.70387
Jianhua Chi, Qinglei Gao, Dan Liu

Introduction

Macrophages are essential in maintaining homeostasis, combating infections, and influencing the process of various diseases, including cancer. Macrophages originate from diverse lineages: Notably, tissue-resident macrophages (TRMs) differ from hematopoietic stem cells and circulating monocyte-derived macrophages based on genetics, development, and function. Therefore, understanding the recruited and TRM populations is crucial for investigating disease processes.

Methods

By searching literature databses, we summarized recent relevant studies. Research has shown that tumor-associated macrophages (TAMs) of distinct origins accumulate in tumor microenvironment (TME), with TRM-derived TAMs closely resembling gene signatures of normal TRMs.

Results

Recent studies have revealed that TRMs play a crucial role in cancer progression. However, organ-specific effects complicate TRM investigations. Nonetheless, the precise involvement of TRMs in tumors is unclear. This review explores the multifaceted roles of TRMs in cancer, presenting insights into their origins, proliferation, the latest research methodologies, their impact across various tumor sites, their potential and strategies as therapeutic targets, interactions with other cells within the TME, and the internal heterogeneity of TRMs.

Conclusions

We believe that a comprehensive understanding of the multifaceted roles of TRMs will pave the way for targeted TRM therapies in the treatment of cancer.

引言巨噬细胞在维持体内平衡、抗感染和影响包括癌症在内的各种疾病的发生过程中起着至关重要的作用。巨噬细胞起源于不同的血系:值得注意的是,组织驻留巨噬细胞(TRMs)与造血干细胞和循环单核细胞衍生巨噬细胞在遗传、发育和功能上有所不同。因此,了解招募的巨噬细胞和TRM群体对研究疾病过程至关重要:通过检索文献数据库,我们总结了近期的相关研究。研究表明,不同来源的肿瘤相关巨噬细胞(TAMs)聚集在肿瘤微环境(TME)中,TRM来源的TAMs与正常TRMs的基因特征非常相似:最近的研究表明,TRMs 在癌症进展中发挥着关键作用。然而,器官特异性效应使 TRM 研究变得复杂。然而,TRMs 在肿瘤中的确切参与还不清楚。这篇综述探讨了TRMs在癌症中的多方面作用,介绍了TRMs的起源、增殖、最新研究方法、对不同肿瘤部位的影响、作为治疗靶点的潜力和策略、与TME内其他细胞的相互作用以及TRMs的内部异质性:我们相信,对TRMs多方面作用的全面了解将为治疗癌症的TRM靶向疗法铺平道路。
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引用次数: 0
An Integrated Nomogram Combining Deep Learning and Radiomics for Predicting Malignancy of Pulmonary Nodules Using CT-Derived Nodules and Adipose Tissue: A Multicenter Study 利用 CT 导出的结节和脂肪组织预测肺结节恶性程度的深度学习与放射组学相结合的综合提名图:一项多中心研究。
IF 2.9 2区 医学 Q2 ONCOLOGY Pub Date : 2024-11-04 DOI: 10.1002/cam4.70372
Shidi Miao, Qifan Xuan, Hanbing Xie, Yuyang Jiang, Mengzhuo Sun, Wenjuan Huang, Jing Li, Hongzhuo Qi, Ao Li, Qiujun Wang, Zengyao Liu, Ruitao Wang

Background

Correctly distinguishing between benign and malignant pulmonary nodules can avoid unnecessary invasive procedures. This study aimed to construct a deep learning radiomics clinical nomogram (DLRCN) for predicting malignancy of pulmonary nodules.

Methods

One thousand and ninety-eight patients with 6–30 mm pulmonary nodules who received histopathologic diagnosis at 3 centers were included and divided into a primary cohort (PC), an internal test cohort (I-T), and two external test cohorts (E-T1, E-T2). The DLRCN was built by integrating adipose tissue radiomics features, intranodular and perinodular deep learning features, and clinical characteristics for diagnosing malignancy of pulmonary nodules. The least absolute shrinkage and selection operator (LASSO) was used for feature selection. The performance of DLRCN was assessed with respect to its calibration curve, area under the curve (AUC), and decision curve analysis (DCA). Furthermore, we compared it with three radiologists. The net reclassification improvement (NRI), integrated discrimination improvement (IDI), and subgroup analysis were also taken into account.

Results

The incorporation of adipose tissue radiomics features led to significant NRI and IDI (NRI = 1.028, p < 0.05, IDI = 0.137, p < 0.05). In the I-T, E-T1, and E-T2, the AUCs of DLRCN were 0.946 (95% CI: 0.936, 0.955), 0.948 (95% CI: 0.933, 0.963) and 0.962 (95% CI: 0.945, 0.979), The calibration curve revealed good predictive accuracy between the actual probability and predicted probability (p > 0.05). DCA showed that the DLRCN was clinically useful. Under equal specificity, the sensitivity of DLRCN increased by 8.6% compared to radiologist assessments. The subgroup analysis conducted on adipose tissue radiomics features further demonstrated their supplementary value in determining the malignancy of pulmonary nodules.

Conclusion

The DLRCN demonstrated good performance in predicting the malignancy of pulmonary nodules, which was comparable to radiologist assessments. The adipose tissue radiomics features have notably enhanced the performance of DLRCN.

背景:正确区分肺结节的良性和恶性可避免不必要的侵入性手术。本研究旨在构建一种深度学习放射组学临床提名图(DLRCN),用于预测肺结节的恶性程度:方法:纳入在3个中心接受组织病理学诊断的198例6-30毫米肺结节患者,并将其分为一个原发队列(PC)、一个内部测试队列(I-T)和两个外部测试队列(E-T1、E-T2)。DLRCN 是通过整合脂肪组织放射组学特征、结节内和结节周围深度学习特征以及临床特征而建立的,用于诊断肺结节的恶性程度。特征选择采用最小绝对收缩和选择算子(LASSO)。通过校准曲线、曲线下面积(AUC)和决策曲线分析(DCA)评估了 DLRCN 的性能。此外,我们还将其与三位放射科医生进行了比较。我们还考虑了净再分类改进(NRI)、综合辨别改进(IDI)和亚组分析:结果:纳入脂肪组织放射组学特征后,NRI 和 IDI 显著提高(NRI = 1.028,P 0.05)。DCA显示,DLRCN对临床有用。在特异性相同的情况下,DLRCN 的灵敏度比放射科医生的评估提高了 8.6%。对脂肪组织放射组学特征进行的亚组分析进一步证明了其在判断肺结节恶性方面的辅助价值:DLRCN 在预测肺结节恶性程度方面表现良好,与放射科医生的评估结果相当。脂肪组织放射组学特征显著提高了 DLRCN 的性能。
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引用次数: 0
Patient-Initiated Nationwide Survey on Testing for Actionable Oncogenic Drivers in Non-Small Cell Lung Cancer in Japan 由患者发起的日本非小细胞肺癌可行致癌因素检测全国调查。
IF 2.9 2区 医学 Q2 ONCOLOGY Pub Date : 2024-11-04 DOI: 10.1002/cam4.70375
Satoshi Ikeda, Kazuo Hasegawa, Kenta Kachi, Akihiro Yanagisawa, Sachiko Kawakami, Shinsuke Hamasaki, Sachiko Watanabe, Aki Yoshikawa, Takayuki Takahama, Kazuhiko Nakagawa

Background

Previous reports indicated still low implementation rates of multigene testing for advanced non-small cell lung cancer (NSCLC) in Japan.

Methods

This is a retrospective study launched at the initiative of lung cancer patients. Patients with stage IV NSCLC from January 2019 to December 2022 were investigated for testing of 8 actionable oncogenic drivers with targeted therapies available as of 2022.

Results

A total of 15,719 patients were included. Between 2019 and 2022, the percentage of patients who were not tested for any actionable oncogenic drivers remained the same, ranging from 21.5% to 33.1%. However, since late 2021, the percentage of patients tested for five or more actionable oncogenic drivers has increased. Across hospital categories and regions, the number of actionable oncogenic drivers tested was similar.

Conclusions

This patient-initiated national survey in Japan reveals the recent nationwide increase in testing rates for actionable oncogenic drivers in Advanced NSCLC.

背景:以前的报告显示,日本晚期非小细胞肺癌(NSCLC)多基因检测的实施率仍然很低:这是一项由肺癌患者发起的回顾性研究。方法:这是一项由肺癌患者倡议发起的回顾性研究,调查了2019年1月至2022年12月的IV期NSCLC患者,以检测截至2022年可用靶向疗法的8个可采取行动的致癌驱动因子:结果:共纳入 15719 名患者。2019年至2022年期间,未接受任何可采取行动的致癌驱动因素检测的患者比例保持不变,从21.5%到33.1%不等。然而,自 2021 年底以来,检测出五项或五项以上可采取行动的致癌驱动因素的患者比例有所上升。在不同的医院类别和地区,检测到的可操作致癌因子数量相似:这项由患者发起的日本全国性调查显示,近期全国范围内晚期 NSCLC 可作用致癌因子的检测率有所上升。
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引用次数: 0
A Multicenter Cohort Study on DNA Methylation for Endometrial Cancer Detection in Cervical Scrapings 从宫颈刮片中检测子宫内膜癌的 DNA 甲基化多中心队列研究
IF 2.9 2区 医学 Q2 ONCOLOGY Pub Date : 2024-11-02 DOI: 10.1002/cam4.70361
Xiao Ma, Xiaojun Chen, Jing Liang, Jingbo Zhang, Qixi Wu, Dong Wang, Xianghua Huang, Dan Zi, Dexin Chen, Hua Wan, Li Qu, Zhaoyun Jiang, Wenyu Shao, Jie Sun, Luyuan Chang, Yunchao Liu, Qin Zhang, Yanan Li, Yani Ding, Biao Tang, Fang Zhao, Hanqing Zhao, Dongyan Cao

Background

The increasing incidence of endometrial cancer (EC) has highlighted the need for improved early detection methods. This study aimed to develop and validate a novel DNA methylation classifier, EMPap, for EC detection using cervical scrapings.

Methods

EMPap incorporated the methylation status of BHLHE22 and CDO1, along with age and body mass index (BMI), into a logistic regression model to calculate the endometrial cancer methylation (EM) score for identifying EC in cervical scrapings. We enrolled 1297 patients with highly suspected EC, including 196 confirmed EC cases, and assessed the EMPap performance in detecting EC.

Results

EMPap demonstrated robust diagnostic accuracy, with an area under the curve of 0.93, sensitivity of 90.3%, and specificity of 89.3%. It effectively detected EC across various disease stages, grades, and histological subtypes, and consistently performed well across patient demographics and symptoms. EMPap correctly identified 87.5% of the type II ECs and 53.8% of premalignant lesions. Notably, compared with transvaginal ultrasonography (TVS) in patients with postmenopausal bleeding, EMPap exhibited superior sensitivity (100% vs. 82.0%) and specificity (85.2% vs. 38.5%). In asymptomatic postmenopausal women, EMPap maintained high sensitivity (89.5%) and negative predictive value (NPV) (98.3%).

Conclusions

This study demonstrated the potential of EMPap as an effective tool for EC detection. Despite the limited sample size, EMPap showed promise for identifying type II EC and detecting over 50% of premalignant lesions. As a DNA methylation classifier, EMPap can reduce unnecessary uterine interventions and improve diagnosis and outcomes.

背景:子宫内膜癌(EC)发病率的上升凸显了改进早期检测方法的必要性。本研究旨在开发和验证一种新型DNA甲基化分类器EMPap,用于使用宫颈刮片检测子宫内膜癌:方法:EMPap将BHLHE22和CDO1的甲基化状态以及年龄和体重指数(BMI)纳入一个逻辑回归模型,计算出子宫内膜癌甲基化(EM)评分,用于识别宫颈刮片中的EC。我们招募了1297名高度疑似EC患者,其中包括196例确诊EC病例,并评估了EMPap在检测EC方面的性能:结果:EMPap表现出很高的诊断准确性,曲线下面积为0.93,灵敏度为90.3%,特异度为89.3%。它能有效检测出不同疾病分期、分级和组织学亚型的心肌梗死,而且在不同患者的人口统计学和症状方面都表现出色。EMPap能正确识别87.5%的II型EC和53.8%的癌前病变。值得注意的是,在绝经后出血患者中,与经阴道超声检查(TVS)相比,EMPap的灵敏度(100% 对 82.0%)和特异性(85.2% 对 38.5%)都更胜一筹。在无症状的绝经后妇女中,EMPap保持了较高的灵敏度(89.5%)和阴性预测值(98.3%):这项研究证明了EMPap作为一种有效的EC检测工具的潜力。尽管样本量有限,但EMPap在识别II型EC和检测超过50%的恶性前病变方面显示出了前景。作为一种DNA甲基化分类器,EMPap可减少不必要的子宫干预,改善诊断和预后。
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引用次数: 0
Preserving Laryngo-Esophageal Function in Patients With Hypopharyngeal Cancer Treated With Radiotherapy: Predictive Factors and Long-Term Outcomes 保留放疗下咽癌患者的喉食管功能:预测因素和长期疗效。
IF 2.9 2区 医学 Q2 ONCOLOGY Pub Date : 2024-11-02 DOI: 10.1002/cam4.70374
Aya Nakajima, Michio Yoshimura, Shinya Hiraoka, Ryota Nakashima, Yo Kishimoto, Koichi Omori, Takashi Mizowaki

Background

Functional outcomes after hypopharyngeal cancer (HPC) treatment have a significant effect on patients' quality of life and prognosis. This study aimed to identify the predictive factors associated with laryngo-esophageal dysfunction in patients with HPC who received definitive radiotherapy.

Methods

Patients with HPC treated with definitive intensity-modulated radiotherapy between 2007 and 2019 at our institution were retrospectively evaluated. Laryngo-esophageal dysfunction-free survival (LDFS) events were defined as local recurrence, laryngo-esophageal dysfunction (defined as tracheostomy or feeding tube dependence), or death from any cause.

Results

The median follow-up period was 61 months for the 80 patients included in the study. The 5-year LDFS rate was 47%. A clinical T4 stage and lower pretreatment prognostic nutritional index (PNI) were independently associated with a lower LDFS.

Conclusion

A clinical T4 stage and lower pretreatment PNI were identified as predictors of a lower LDFS after definitive radiotherapy for HPC.

背景:下咽癌(HPC)治疗后的功能结果对患者的生活质量和预后有重要影响。本研究旨在确定接受明确放疗的下咽癌患者喉食道功能障碍的相关预测因素:对 2007 年至 2019 年期间在我院接受确定性调强放疗的 HPC 患者进行了回顾性评估。无喉食管功能障碍生存(LDFS)事件定义为局部复发、喉食管功能障碍(定义为气管造口术或喂食管依赖)或任何原因导致的死亡:80名患者的中位随访时间为61个月。5年LDFS率为47%。临床T4分期和治疗前较低的预后营养指数(PNI)与较低的LDFS独立相关:结论:临床T4分期和治疗前较低的营养指数被认为是HPC明确放疗后较低LDFS的预测因素。
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引用次数: 0
A Phase 1 Study of ABI-009 (Nab-sirolimus) in Combination With Temozolomide and Irinotecan in Pediatric Patients With Recurrent or Refractory Solid Tumors, Including CNS Tumors—A Children's Oncology Group Pediatric Early Phase Clinical Trial Network Study ADVL1514 ABI-009(奈博-西罗莫司)联合替莫唑胺和伊立替康治疗复发性或难治性实体瘤(包括中枢神经系统肿瘤)儿科患者的1期研究--儿童肿瘤组织儿科早期临床试验网络研究ADVL1514。
IF 2.9 2区 医学 Q2 ONCOLOGY Pub Date : 2024-11-02 DOI: 10.1002/cam4.70376
Stuart L. Cramer, Alyssa Terry Reddy, Charles Gene Minard, Stephan Voss, Elizabeth Fox, Xiaowei Liu, Kristina Denic, Joel M. Reid, Brenda J. Weigel

Background

Nab-sirolimus (ABI-009, nab-rapamycin; Aadi Bioscience Inc. [Aadi]) is a human albumin-bound form of sirolimus nanoparticles, a potent mTOR inhibitor. This phase I trial was conducted to define dose-limiting toxicities (DLT), maximum tolerated or recommended phase II dose (MTD/RP2D), and pharmacokinetics of Nab-sirolimus in combination with temozolomide and irinotecan.

Methods

Using a rolling 6 design, Nab-sirolimus was administered intravenously (IV) on days (D) 1 and 8 of cycle (C) 1. In subsequent cycles, Nab-sirolimus was administered D1 and D8 in combination with temozolomide (125 mg/m2/dose, maximum 250 mg/dose) and irinotecan (90 mg/m2/dose) orally, daily on D1–5. Cycle duration was 21 days. Three dose levels (DL) of Nab-sirolimus were investigated (DL1: 35 mg/m2/dose, DL-1: 20 mg/m2/dose, and DL-2: 15 mg/m2/dose). The observation period for estimating the MTD/RP2D was defined by cycles 1 and 2.

Results

Thirty-three patients were enrolled, 32 were eligible. Dose determination included 17 evaluable patients, median (range) age 12 (2–20) years and six additional patients were enrolled (four evaluable for toxicity) on a pharmacokinetic cohort. C1 or C2 DLTs were primarily thrombocytopenia including 2/5 patients at DL1, 2/6 patients at DL-1, and 1/6 patients at DL-2. One patient (DL1) with Ewing Sarcoma had a partial response and remained on study for 35 cycles. Rapamycin clearance was dose dependent. Irinotecan clearance and its active metabolite SN-38 exposure were not affected by coadministration with Nab-sirolimus.

Conclusion

The MTD for Nab-sirolimus was 15 mg/m2/dose IV on D1 and D8 in combination with temozolomide 125 mg/m2/dose and oral irinotecan 90 mg/m2/dose daily for 5 days during 21D cycles.

Trial Registration

ClinicalTrials.gov identifier NCT02975882

背景:Nab-西罗莫司(ABI-009,nab-rapamycin;Aadi Bioscience Inc. [Aadi])是一种与人体白蛋白结合的西罗莫司纳米颗粒,是一种强效的mTOR抑制剂。该 I 期试验旨在确定 Nab-sirolimus 与替莫唑胺和伊立替康联合用药的剂量限制性毒性(DLT)、最大耐受剂量或 II 期推荐剂量(MTD/RP2D)以及药代动力学:在随后的周期中,纳布-西罗莫司与替莫唑胺(125 毫克/平方米/剂量,最大剂量 250 毫克/平方米/剂量)和伊立替康(90 毫克/平方米/剂量)在 D1 和 D8 日联合口服。周期为 21 天。研究了纳布-西罗莫司的三个剂量水平(DL)(DL1:35 毫克/平方米/剂量、DL-1:20 毫克/平方米/剂量和 DL-2:15 毫克/平方米/剂量)。用于估算MTD/RP2D的观察期定义为周期1和周期2:结果:33 名患者入组,32 名符合条件。剂量确定包括 17 名可评估患者,中位(范围)年龄为 12(2-20)岁,另有 6 名患者加入药代动力学队列(4 名可评估毒性)。C1 或 C2 DLT 主要是血小板减少,包括 2/5 名 DL1 患者、2/6 名 DL-1 患者和 1/6 名 DL-2 患者。一名尤文肉瘤患者(DL1)出现部分反应,并继续接受了35个周期的治疗。雷帕霉素的清除率与剂量有关。伊立替康的清除率及其活性代谢物SN-38的暴露量不受与纳布-西罗莫司联合用药的影响:结论:Nab-西罗莫司的MTD为15 mg/m2/dose,D1和D8静脉滴注,联合替莫唑胺125 mg/m2/dose和口服伊立替康90 mg/m2/dose,每天5天,21D周期:试验注册:ClinicalTrials.gov标识符NCT02975882。
{"title":"A Phase 1 Study of ABI-009 (Nab-sirolimus) in Combination With Temozolomide and Irinotecan in Pediatric Patients With Recurrent or Refractory Solid Tumors, Including CNS Tumors—A Children's Oncology Group Pediatric Early Phase Clinical Trial Network Study ADVL1514","authors":"Stuart L. Cramer,&nbsp;Alyssa Terry Reddy,&nbsp;Charles Gene Minard,&nbsp;Stephan Voss,&nbsp;Elizabeth Fox,&nbsp;Xiaowei Liu,&nbsp;Kristina Denic,&nbsp;Joel M. Reid,&nbsp;Brenda J. Weigel","doi":"10.1002/cam4.70376","DOIUrl":"10.1002/cam4.70376","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p><i>Nab</i>-sirolimus (ABI-009, <i>nab</i>-rapamycin; Aadi Bioscience Inc. [Aadi]) is a human albumin-bound form of sirolimus nanoparticles, a potent mTOR inhibitor. This phase I trial was conducted to define dose-limiting toxicities (DLT), maximum tolerated or recommended phase II dose (MTD/RP2D), and pharmacokinetics of <i>Nab</i>-sirolimus in combination with temozolomide and irinotecan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using a rolling 6 design, <i>Nab</i>-sirolimus was administered intravenously (IV) on days (D) 1 and 8 of cycle (C) 1. In subsequent cycles, <i>Nab</i>-sirolimus was administered D1 and D8 in combination with temozolomide (125 mg/m<sup>2</sup>/dose, maximum 250 mg/dose) and irinotecan (90 mg/m<sup>2</sup>/dose) orally, daily on D1–5. Cycle duration was 21 days. Three dose levels (DL) of <i>Nab</i>-sirolimus were investigated (DL1: 35 mg/m<sup>2</sup>/dose, DL-1: 20 mg/m<sup>2</sup>/dose, and DL-2: 15 mg/m<sup>2</sup>/dose). The observation period for estimating the MTD/RP2D was defined by cycles 1 and 2.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-three patients were enrolled, 32 were eligible. Dose determination included 17 evaluable patients, median (range) age 12 (2–20) years and six additional patients were enrolled (four evaluable for toxicity) on a pharmacokinetic cohort. C1 or C2 DLTs were primarily thrombocytopenia including 2/5 patients at DL1, 2/6 patients at DL-1, and 1/6 patients at DL-2. One patient (DL1) with Ewing Sarcoma had a partial response and remained on study for 35 cycles. Rapamycin clearance was dose dependent. Irinotecan clearance and its active metabolite SN-38 exposure were not affected by coadministration with <i>Nab</i>-sirolimus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The MTD for <i>Nab</i>-sirolimus was 15 mg/m<sup>2</sup>/dose IV on D1 and D8 in combination with temozolomide 125 mg/m<sup>2</sup>/dose and oral irinotecan 90 mg/m<sup>2</sup>/dose daily for 5 days during 21D cycles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>ClinicalTrials.gov identifier NCT02975882</p>\u0000 </section>\u0000 </div>","PeriodicalId":139,"journal":{"name":"Cancer Medicine","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cam4.70376","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142563599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
xCT as a Predictor for Survival in a Population-Based Cohort of Head and Neck Squamous Cell Carcinoma xCT 作为头颈部鳞状细胞癌人群队列的生存预测指标。
IF 2.9 2区 医学 Q2 ONCOLOGY Pub Date : 2024-11-02 DOI: 10.1002/cam4.70371
Linda Nissi, Sanni Tuominen, Johannes Routila, Teemu Huusko, Petra Ketonen, Maria Sundvall, Ilmo Leivo, Heikki Irjala, Heikki Minn, Tove J. Grönroos, Sami Ventelä

Background

xCT, also known as SLC7A11 (solute carrier Family 7 Member 11), is a cystine/glutamate antiporter protein that mediates regulated cell death and antioxidant defense. The aim of this study was to investigate the effect of xCT on the outcome of patients diagnosed with new head and neck squamous cell carcinoma (HNSCC).

Methods

This retrospective cohort study utilized a population-based dataset, comprising all patients (n = 1033) diagnosed with new HNSCC during 2005–2015 in a population of 697,000 people. All patients (n = 585) with a tumor tissue sample available for immunohistochemical (IHC) staining were included. The follow-up rates were 97% and 81% at 3 and 5 years, respectively. Also, the specificity of the anti-xCT antibody was validated.

Results

The expression level and prognostic significance of xCT were strongly dependent on tumor location. In oropharyngeal squamous cell carcinoma (OPSCC) patients, xCT expression was a significant prognostic factor for 5-year overall survival (OAS) (HR: 2.71; 95% CI 1.67–4.39; p < 0.001), disease-specific survival (DSS) (HR: 2.58; 95% CI 1.47–4.54; p = 0.001), and disease-free survival (DFS) (HR: 2.69; 95% CI 1.55–4.64; p < 0.001). Five-year survival rates for OPSCC patients with high and low levels of xCT were OAS 34% versus 62%; DSS 51% versus 73%; DFS 43% versus 73%, respectively. According to a multivariate model adjusted for age, T-class, nodal positivity, and tobacco consumption, xCT was an independent prognostic factor for 3-year survival, in which it outperformed p16 IHC. Similar associations were not observed in squamous cell carcinomas of oral cavity or larynx. Regarding treatment modalities, xCT was most predictive in HNSCC patients who received radiotherapy.

Conclusions

High xCT expression was associated with poor prognosis in OPSCC. Our findings suggest that joint analysis of xCT and p16 may add significant value in OPSCC treatment stratification.

背景:xCT又称SLC7A11(溶质运载家族7成员11),是一种胱氨酸/谷氨酸反转运蛋白,可介导调节细胞死亡和抗氧化防御。本研究旨在探讨 xCT 对新确诊头颈部鳞状细胞癌(HNSCC)患者预后的影响:这项回顾性队列研究利用了一个基于人口的数据集,其中包括2005-2015年期间在69.7万人口中诊断为新发HNSCC的所有患者(n = 1033)。所有肿瘤组织样本可用于免疫组化染色的患者(n = 585)均被纳入研究。3年和5年的随访率分别为97%和81%。此外,还验证了抗 xCT 抗体的特异性:结果:xCT的表达水平和预后意义与肿瘤位置密切相关。在口咽鳞癌(OPSCC)患者中,xCT表达是5年总生存率(OAS)的重要预后因素(HR:2.71;95% CI 1.67-4.39;P 结论:xCT高表达与患者的预后不良有关:xCT的高表达与OPSCC的不良预后有关。我们的研究结果表明,xCT和p16的联合分析可能会为OPSCC的治疗分层增加重要价值。
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引用次数: 0
Predictors of Immediate Deterioration of the Child-Pugh Classification From A to B After Transcatheter Arterial Chemo-Embolization for Treatment-Naive Hepatocellular Carcinoma 经导管动脉化疗栓塞治疗无效肝细胞癌后Child-Pugh分级从A级立即恶化为B级的预测因素
IF 2.9 2区 医学 Q2 ONCOLOGY Pub Date : 2024-11-02 DOI: 10.1002/cam4.70367
Kazuo Asano, Ken Kageyama, Akira Yamamoto, Atsushi Jogo, Mariko Nakano, Kazuki Murai, Yoshimi Yukawa-Muto, Naoshi Odagiri, Kohei Kotani, Ritsuzo Kozuka, Etsushi Kawamura, Hideki Fujii, Sawako Uchida-Kobayashi, Masaru Enomoto, Norifumi Kawada, Yukio Miki

Aim

The purpose of this study was to evaluate the predictors of deterioration of the Child-Pugh classification 1 month after transcatheter arterial chemo-embolization (TACE) in patients with treatment-naive hepatocellular carcinoma (HCC).

Methods

Between 2010 and 2020, consecutive patients who underwent conventional TACE using epirubicin as the initial treatment were enrolled. Patients with Barcelona Clinic Liver Cancer stage-0, A or B and Child-Pugh class A were included. The Child-Pugh score was evaluated before treatment and 1 month after TACE. The following variables were analyzed by univariate and multivariate analyses as predictors of deterioration of the Child-Pugh class from A to B: age, sex, etiology, serum albumin, bilirubin, prothrombin time (PT), encephalopathy, ascites, largest tumor diameter, tumor number, tumor location, α-fetoprotein, protein induced by vitamin K absence or antagonist-II, epirubicin dosage, ethiodized oil dosage, and number of treated liver segments.

Results

A total of 152 patients were retrospectively enrolled. The deterioration rate of the Child-Pugh class from A to B was 8.6%. Multivariable analysis showed that serum albumin ≤ 3.8 g/dL, PT ≤ 80%, and largest tumor diameter ≥ 3.8 cm were predictors of deterioration of the Child-Pugh class. The deterioration rate to Child-Pugh class B was 0% in patients with up to one of these factors, 14.3% in those with two factors, and 70% in those with three factors.

Conclusions

A combination of serum albumin ≤ 3.8 g/dL, PT ≤ 80%, and largest tumor diameter ≥ 3.8 cm can predict the immediate deterioration of the Child-Pugh classification from A to B following TACE.

目的:本研究旨在评估未经治疗的肝细胞癌(HCC)患者经导管动脉化疗栓塞术(TACE)1个月后Child-Pugh分级恶化的预测因素:方法: 2010年至2020年期间,对接受了以表柔比星为初始治疗的传统TACE的连续患者进行了登记。纳入的患者均为巴塞罗那临床肝癌分期为0、A或B期且Child-Pugh分级为A级的患者。在治疗前和TACE后1个月对Child-Pugh评分进行评估。通过单变量和多变量分析,对以下变量进行了分析,以预测Child-Pugh分级从A级恶化到B级:年龄、性别、病因、血清白蛋白、胆红素、凝血酶原时间(PT)、脑病、腹水、最大肿瘤直径、肿瘤数量、肿瘤位置、α-胎儿蛋白、维生素K缺失或拮抗剂-II诱导的蛋白质、表柔比星用量、乙碘油用量和治疗肝段数量:结果:共有 152 名患者接受了回顾性治疗。Child-Pugh 分级从 A 到 B 的恶化率为 8.6%。多变量分析显示,血清白蛋白≤3.8 g/dL、PT≤80%和最大肿瘤直径≥3.8 cm是预测Child-Pugh分级恶化的因素。在只有一个上述因素的患者中,Child-Pugh B 级的恶化率为 0%,两个因素的恶化率为 14.3%,三个因素的恶化率为 70%:结论:血清白蛋白≤3.8 g/dL、PT≤80%和最大肿瘤直径≥3.8 cm可预测TACE后Child-Pugh分级从A级立即恶化为B级。
{"title":"Predictors of Immediate Deterioration of the Child-Pugh Classification From A to B After Transcatheter Arterial Chemo-Embolization for Treatment-Naive Hepatocellular Carcinoma","authors":"Kazuo Asano,&nbsp;Ken Kageyama,&nbsp;Akira Yamamoto,&nbsp;Atsushi Jogo,&nbsp;Mariko Nakano,&nbsp;Kazuki Murai,&nbsp;Yoshimi Yukawa-Muto,&nbsp;Naoshi Odagiri,&nbsp;Kohei Kotani,&nbsp;Ritsuzo Kozuka,&nbsp;Etsushi Kawamura,&nbsp;Hideki Fujii,&nbsp;Sawako Uchida-Kobayashi,&nbsp;Masaru Enomoto,&nbsp;Norifumi Kawada,&nbsp;Yukio Miki","doi":"10.1002/cam4.70367","DOIUrl":"10.1002/cam4.70367","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The purpose of this study was to evaluate the predictors of deterioration of the Child-Pugh classification 1 month after transcatheter arterial chemo-embolization (TACE) in patients with treatment-naive hepatocellular carcinoma (HCC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Between 2010 and 2020, consecutive patients who underwent conventional TACE using epirubicin as the initial treatment were enrolled. Patients with Barcelona Clinic Liver Cancer stage-0, A or B and Child-Pugh class A were included. The Child-Pugh score was evaluated before treatment and 1 month after TACE. The following variables were analyzed by univariate and multivariate analyses as predictors of deterioration of the Child-Pugh class from A to B: age, sex, etiology, serum albumin, bilirubin, prothrombin time (PT), encephalopathy, ascites, largest tumor diameter, tumor number, tumor location, α-fetoprotein, protein induced by vitamin K absence or antagonist-II, epirubicin dosage, ethiodized oil dosage, and number of treated liver segments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 152 patients were retrospectively enrolled. The deterioration rate of the Child-Pugh class from A to B was 8.6%. Multivariable analysis showed that serum albumin ≤ 3.8 g/dL, PT ≤ 80%, and largest tumor diameter ≥ 3.8 cm were predictors of deterioration of the Child-Pugh class. The deterioration rate to Child-Pugh class B was 0% in patients with up to one of these factors, 14.3% in those with two factors, and 70% in those with three factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A combination of serum albumin ≤ 3.8 g/dL, PT ≤ 80%, and largest tumor diameter ≥ 3.8 cm can predict the immediate deterioration of the Child-Pugh classification from A to B following TACE.</p>\u0000 </section>\u0000 </div>","PeriodicalId":139,"journal":{"name":"Cancer Medicine","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142563622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cannabis Use Among Cancer Patients During Active Treatment: Findings From a Study at an NCI-Designated Cancer Center 癌症患者在积极治疗期间使用大麻:NCI 指定癌症中心的研究结果。
IF 2.9 2区 医学 Q2 ONCOLOGY Pub Date : 2024-11-02 DOI: 10.1002/cam4.70384
Amrit Baral, Bria-Necole A. Diggs, Ranya Marrakchi El Fellah, Connor McCarley, Frank Penedo, Claudia Martinez, Denise C. Vidot

Objective

This study aims to describe patterns, sources, and reasons for cannabis use among cancer patients during active treatment (+CDTX) compared to no-use during active treatment (−CDTX).

Methods

Data are from 385 surveys collected via REDCap during phase I of an ongoing study among adult cancer patients seen at an NCI-designated comprehensive cancer center within the last 5 years of treatment. A harmonized survey was created with 11 other NCI centers to assess cannabis use patterns, sources, and reasons for use. Sociodemographics and cancer details were also collected via self-report. Descriptive statistics were calculated and stratified by +/−CDTX. Chi-squared tests were conducted to compare proportions between groups.

Results

Among the sample [49.5 years (SD 15.9); 53.0% male; and 41.6% Hispanic/Latino], 41.0% + CDTX and 59.0% −CDTX. A majority (71.8%) of +CDTX initiated use before diagnosis versus 44.1% in −CDTX (p < 0.0001); patients diagnosed with stage 4 cancer had a statistically significant higher prevalence of +CDTX (60.0%; p = 0.003); 53.3% in radiation reported +CDTX compared to 42.8% in chemotherapy, and 36.4% in immunotherapy. Dispensaries and local dealers were the top sources of cannabis in both groups. Among +CDTX, 44.3% consumed cannabis at least once a day DTX, dominant cannabinoids used were CBD (35.2%), Delta-8-THC (18.3%), and CBD + THC ratio (14.1%); 12.7% were unsure what they consumed. Joints were the most common inhalation method (61.5%), and store-bought candy was the most common edible (39.2%). Depression/mood, pain, and enjoyment were the top three reasons for +CDTX compared to enjoyment, depression/mood, and nausea/upset stomach in −CDTX (p = 0.02).

Conclusions

Patterns, sources, and reasons for cannabis use varied between +CDTX and -CDTX. Future studies should examine the impacts of cannabis and specific cannabinoids on cancer treatment, drug interactions, survival outcomes, and quality of life.

目的:本研究旨在描述癌症患者在积极治疗期间(+CDTX)与不使用大麻期间(-CDTX)相比使用大麻的模式、来源和原因:本研究旨在描述癌症患者在积极治疗期间(+CDTX)与积极治疗期间不使用大麻(-CDTX)相比的大麻使用模式、来源和原因:数据来自一项正在进行的研究第一阶段通过 REDCap 收集的 385 份调查问卷,调查对象是在 NCI 指定的综合癌症中心就诊的成年癌症患者,他们在过去 5 年的治疗过程中使用过大麻。我们与其他 11 个 NCI 中心共同制作了一份统一调查表,以评估大麻的使用模式、来源和原因。此外,还通过自我报告收集了社会人口统计数据和癌症详情。我们计算了描述性统计数据,并按 +/-CDTX 进行了分层。采用卡方检验比较组间比例:在样本中[49.5 岁(SD 15.9);53.0% 为男性;41.6% 为西班牙裔/拉丁裔],41.0% + CDTX,59.0% -CDTX。大多数(71.8%)+CDTX 在诊断前开始吸毒,而 -CDTX 为 44.1%(P 结论:+CDTX 在诊断前开始吸毒,而 -CDTX 为 44.1%):+CDTX和-CDTX使用大麻的模式、来源和原因各不相同。未来的研究应探讨大麻和特定大麻素对癌症治疗、药物相互作用、生存结果和生活质量的影响。
{"title":"Cannabis Use Among Cancer Patients During Active Treatment: Findings From a Study at an NCI-Designated Cancer Center","authors":"Amrit Baral,&nbsp;Bria-Necole A. Diggs,&nbsp;Ranya Marrakchi El Fellah,&nbsp;Connor McCarley,&nbsp;Frank Penedo,&nbsp;Claudia Martinez,&nbsp;Denise C. Vidot","doi":"10.1002/cam4.70384","DOIUrl":"10.1002/cam4.70384","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to describe patterns, sources, and reasons for cannabis use among cancer patients during active treatment (+CDTX) compared to no-use during active treatment (−CDTX).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data are from 385 surveys collected via REDCap during phase I of an ongoing study among adult cancer patients seen at an NCI-designated comprehensive cancer center within the last 5 years of treatment. A harmonized survey was created with 11 other NCI centers to assess cannabis use patterns, sources, and reasons for use. Sociodemographics and cancer details were also collected via self-report. Descriptive statistics were calculated and stratified by +/−CDTX. Chi-squared tests were conducted to compare proportions between groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the sample [49.5 years (SD 15.9); 53.0% male; and 41.6% Hispanic/Latino], 41.0% + CDTX and 59.0% −CDTX. A majority (71.8%) of +CDTX initiated use before diagnosis versus 44.1% in −CDTX (<i>p</i> &lt; 0.0001); patients diagnosed with stage 4 cancer had a statistically significant higher prevalence of +CDTX (60.0%; <i>p</i> = 0.003); 53.3% in radiation reported +CDTX compared to 42.8% in chemotherapy, and 36.4% in immunotherapy. Dispensaries and local dealers were the top sources of cannabis in both groups. Among +CDTX, 44.3% consumed cannabis at least once a day DTX, dominant cannabinoids used were CBD (35.2%), Delta-8-THC (18.3%), and CBD + THC ratio (14.1%); 12.7% were unsure what they consumed. Joints were the most common inhalation method (61.5%), and store-bought candy was the most common edible (39.2%). Depression/mood, pain, and enjoyment were the top three reasons for +CDTX compared to enjoyment, depression/mood, and nausea/upset stomach in −CDTX (<i>p</i> = 0.02).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Patterns, sources, and reasons for cannabis use varied between +CDTX and -CDTX. Future studies should examine the impacts of cannabis and specific cannabinoids on cancer treatment, drug interactions, survival outcomes, and quality of life.</p>\u0000 </section>\u0000 </div>","PeriodicalId":139,"journal":{"name":"Cancer Medicine","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142563602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shaping Clinical Policy for Salvage Radiotherapy After Radical Prostatectomy in Prostate Cancer: Bridging the Gap Between Clinical Trials and Daily Practice 制定前列腺癌根治性前列腺切除术后挽救性放疗的临床政策:缩小临床试验与日常实践之间的差距。
IF 2.9 2区 医学 Q2 ONCOLOGY Pub Date : 2024-11-01 DOI: 10.1002/cam4.70362
Piero Bettoli, Evangelina Röling, Moises Russo, María Fernanda Sánchez, Inti Paredes, Jorge Sapunar

Purpose and Objective

Salvage radiotherapy (sRT) can have similar outcomes to adjuvant radiotherapy (aRT) if administered at the earliest evidence of biochemical recurrence. RADICALS-RT was the first trial to support this hypothesis and a policy of observation after radical prostatectomy (RP) with early sRT has become the new standard of care since then. This study assessed the impact of RADICALS-RT in the clinical practice regarding the timing of sRT for prostate cancer initially treated with RP.

Methods

Data from 297 patients who underwent sRT after radical RP were retrospectively collected. Two groups were created and analyzed on the basis of the date of RADICALS-RT presentation at ESMO. After these results were released in October 2021, our institutional postoperative radiotherapy policy was revisited, and a third group was created and analyzed separately.

Results

Median PSA for Groups 1, 2, and 3 were 0.33, 0.27, and 0.2, respectively. Less than one-third of patients in Groups 1 and 2 had a postoperative PSA of 0.2 ng/mL or less at the time of sRT. Group 3 showed statistically significant differences in median PSA at the time of sRT compared with Groups 1 and 2.

Conclusions

RADICALS-RT demonstrated a significant impact on clinical practice only after being complemented with real local evidence.

目的和目标:如果在最早出现生化复发迹象时进行抢救性放疗(sRT),其疗效可与辅助放疗(aRT)相媲美。RADICALS-RT是首个支持这一假设的试验,自此以后,在根治性前列腺切除术(RP)后进行观察并尽早进行挽救性放疗的政策成为了新的治疗标准。本研究评估了 RADICALS-RT 在临床实践中对最初接受 RP 治疗的前列腺癌患者进行 sRT 时机选择的影响:方法:回顾性收集了 297 例接受根治性前列腺癌术后 sRT 患者的数据。根据 RADICALS-RT 在 ESMO 上发表的日期分为两组进行分析。这些结果于2021年10月公布后,我们重新审视了本机构的术后放疗政策,并设立了第三组,单独进行分析:第一、第二和第三组的 PSA 中位数分别为 0.33、0.27 和 0.2。不足三分之一的第 1 组和第 2 组患者在接受 sRT 时的术后 PSA 为 0.2 纳克/毫升或更低。与第 1 组和第 2 组相比,第 3 组患者接受 sRT 时的 PSA 中位数在统计学上有显著差异:结论:RADICALS-RT只有在得到当地实际证据的补充后,才能对临床实践产生重大影响。
{"title":"Shaping Clinical Policy for Salvage Radiotherapy After Radical Prostatectomy in Prostate Cancer: Bridging the Gap Between Clinical Trials and Daily Practice","authors":"Piero Bettoli,&nbsp;Evangelina Röling,&nbsp;Moises Russo,&nbsp;María Fernanda Sánchez,&nbsp;Inti Paredes,&nbsp;Jorge Sapunar","doi":"10.1002/cam4.70362","DOIUrl":"10.1002/cam4.70362","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose and Objective</h3>\u0000 \u0000 <p>Salvage radiotherapy (sRT) can have similar outcomes to adjuvant radiotherapy (aRT) if administered at the earliest evidence of biochemical recurrence. RADICALS-RT was the first trial to support this hypothesis and a policy of observation after radical prostatectomy (RP) with early sRT has become the new standard of care since then. This study assessed the impact of RADICALS-RT in the clinical practice regarding the timing of sRT for prostate cancer initially treated with RP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from 297 patients who underwent sRT after radical RP were retrospectively collected. Two groups were created and analyzed on the basis of the date of RADICALS-RT presentation at ESMO. After these results were released in October 2021, our institutional postoperative radiotherapy policy was revisited, and a third group was created and analyzed separately.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Median PSA for Groups 1, 2, and 3 were 0.33, 0.27, and 0.2, respectively. Less than one-third of patients in Groups 1 and 2 had a postoperative PSA of 0.2 ng/mL or less at the time of sRT. Group 3 showed statistically significant differences in median PSA at the time of sRT compared with Groups 1 and 2.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>RADICALS-RT demonstrated a significant impact on clinical practice only after being complemented with real local evidence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":139,"journal":{"name":"Cancer Medicine","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11529041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142556508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Cancer Medicine
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