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Progress of Immune Checkpoint Inhibitors Therapy for pMMR/MSS Metastatic Colorectal Cancer. 免疫检查点抑制剂治疗pMMR/MSS转移性结直肠癌的研究进展
IF 2.7 4区 医学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-12-24 eCollection Date: 2024-01-01 DOI: 10.2147/OTT.S500281
Fanjie Qu, Shuang Wu, WeiWei Yu

Immunotherapy is one of the research hotspots in colorectal cancer field in recent years. The colorectal cancer patients with mismatch repair-deficient (dMMR) or high microsatellite instability (MSI-H) are the primary beneficiaries of immunotherapy. However, the vast majority of colorectal cancers are mismatch repair proficient (pMMR) or microsatellite stability (MSS), and their immune microenvironment is characterized by "cold tumors" that are generally insensitive to single immunotherapy based on immune checkpoint inhibitors (ICIs). Studies have shown that some pMMR/MSS colorectal cancer patients regulate the immune microenvironment by combining other treatments, such as multi-target tyrosine kinase inhibitors, anti-vascular endothelial growth factor (VEGF) monoclonal antibodies, chemotherapy, radiotherapy, anti-epithelial growth factor receptor (EGFR) monoclonal antibodies, and mitogen-activated protein kinase (MAPK) signaling pathway inhibitors and oncolytic viruses, etc. to transform "cold tumor" into "hot tumor", thereby improving the response to immunotherapy. In addition, screening for potential prognostic biomarkers can also enrich the population benefiting from immunotherapy for microsatellite stable colorectal cancer. Therefore, in pMMR or MSS metastatic colorectal cancer (mCRC), the optimization of immunotherapy regimens and the search for effective efficacy prediction biomarkers are currently important research directions. In this paper, we review the progress of efficacy of immunotherapy (mainly ICIs) in pMMR /MSS mCRC, challenges and potential markers, in order to provide research ideas for the development of immunotherapy for mCRC.

免疫治疗是近年来结直肠癌领域的研究热点之一。错配修复缺陷(dMMR)或高微卫星不稳定性(MSI-H)的结直肠癌患者是免疫治疗的主要受益者。然而,绝大多数结直肠癌是错配修复熟练(pMMR)或微卫星稳定性(MSS),其免疫微环境的特征是“冷肿瘤”,通常对基于免疫检查点抑制剂(ICIs)的单一免疫治疗不敏感。研究表明,部分pMMR/MSS结直肠癌患者通过联合多靶点酪氨酸激酶抑制剂、抗血管内皮生长因子(VEGF)单克隆抗体、化疗、放疗、抗上皮生长因子受体(EGFR)单克隆抗体、丝裂原活化蛋白激酶(MAPK)信号通路抑制剂、溶瘤病毒等治疗,将“冷肿瘤”转化为“热肿瘤”,调控免疫微环境。从而提高对免疫疗法的反应。此外,筛选潜在的预后生物标志物也可以丰富受益于微卫星稳定型结直肠癌免疫治疗的人群。因此,在pMMR或MSS转移性结直肠癌(mCRC)中,优化免疫治疗方案和寻找有效的疗效预测生物标志物是当前重要的研究方向。本文就免疫治疗(主要是ICIs)在pMMR /MSS mCRC中的疗效、面临的挑战和潜在标志物的研究进展进行综述,以期为mCRC免疫治疗的发展提供研究思路。
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引用次数: 0
Development of a Prognostic Risk Model for Esophageal Cancer Based on M0 Macrophage-Related Genes. 基于M0巨噬细胞相关基因的食管癌预后风险模型的建立
IF 2.7 4区 医学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-12-24 eCollection Date: 2024-01-01 DOI: 10.2147/OTT.S483536
Xiaoping Zuo, Fuqiang Wang, Guofeng Liu, Shenglong Xie, Senyi Deng, Yun Wang

Background: This study investigates the prognostic value of M0 macrophage-related genes (M0MRGs) in esophageal cancer (ESCA) and identifies novel targets for immunotherapy.

Methods: Differentially expressed genes (DEGs) were screened with ESCA-related expression profile data (GSE5364 and GSE17351) from the GEO database, followed by GO and KEGG pathway enrichment analyses. Then, immune cell infiltration was examined with the CIBERSORT algorithm and multiplex fluorescence-based immunohistochemistry (MP-IHC). ESCA-related gene expression data and relevant clinical information were retrieved from TCGA. M0MRGs were identified with TCGA-ESCA based on Spearman's correlation coefficient. Additionally, LASSO and Cox regression analyses were conducted to further construct an M0MRG-related prognostic model. ATP6V0D2 and MMP12 expression in ESCA was analyzed with tissue microarray. Finally, the half maximal inhibitory concentrations (IC50) of commonly used chemotherapeutics in TCGA-ESCA were calculated with the "oncoPredict" R package.

Conclusion: In summary, ATP6V0D2 and MMP12 were crucial components in a prognostic risk model for ESCA and were associated with poor prognoses, implicating the involvement of elevated M0 macrophages in disease progression and providing potential therapeutic targets and strategies for ESCA.

背景:本研究探讨了M0巨噬细胞相关基因(M0MRGs)在食管癌(ESCA)中的预后价值,并确定了新的免疫治疗靶点。方法:利用GEO数据库中的esca相关表达谱数据(GSE5364和GSE17351)筛选差异表达基因(DEGs),然后进行GO和KEGG途径富集分析。然后用CIBERSORT算法和多重荧光免疫组织化学(MP-IHC)检测免疫细胞浸润。从TCGA检索esca相关基因表达数据及相关临床资料。根据Spearman相关系数,采用TCGA-ESCA方法对M0MRGs进行鉴定。采用LASSO和Cox回归分析进一步构建m0mrg相关预后模型。采用组织芯片检测ESCA组织中ATP6V0D2和MMP12的表达。最后,利用“oncoprecdict”R包计算TCGA-ESCA中常用化疗药物的半数最大抑制浓度(IC50)。结论:综上所述,ATP6V0D2和MMP12是ESCA预后风险模型中的关键成分,与不良预后相关,暗示M0巨噬细胞升高参与疾病进展,并为ESCA提供潜在的治疗靶点和策略。
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引用次数: 0
CRISPR-Cas13a Targeting the FGFR3-TACC3 Fusion Gene Inhibits Proliferation of Bladder Cancer Cells in vitro and in vivo. 靶向FGFR3-TACC3融合基因的CRISPR-Cas13a体外和体内抑制膀胱癌细胞增殖
IF 2.7 4区 医学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-12-18 eCollection Date: 2024-01-01 DOI: 10.2147/OTT.S492659
Yadong Wang, Jinjin Zhu, Shangwen Liu, Zhengbo Sun, Guibiao Wen, Dakun Huang, Mianxiong Chen, Yuchen Liu, Feng Lin

Introduction: The FGFR3-TACC3 fusion gene exists in a variety of malignant tumors, including bladder cancer. In our ongoing research on the CRISPR-Cas13a gene-editing system, we reported the use of CRISPR-Cas13a gene-editing system to knockout FGFR3-TACC3 and inhibit the proliferation of bladder tumor cells.

Purpose:  This study aimed to use the CRISPR-Cas13a gene-editing system to target the FGFR3-TACC3 fusion gene in bladder cancer cells, which has the potential to be a new and effective treatment for bladder cancer.

Materials and methods: The efficacy of the CRISPR-Cas13a gene-editing system was analysed by qRT-PCR. The inhibitory effects of Cas13a-mediated knockdown of the FGFR3-TACC3 fusion gene on the proliferation of RT4 and RT112 cell lines were assessed utilizing CCK-8, EdU, and organoid formation assays. Subsequently, the comparative tumorigenic capability of RT4 cells with FGFR3-TACC3 knockdown achieved by Cas13a was examined in a nude mouse model.

Results: At the cellular level, the comparative analysis of FGFR3-TACC3 knockdown efficacy between CRISPR-Cas13a and shRNA revealed a more pronounced reduction with the former. This knockdown effectively curtailed cellular proliferation, with CRISPR-Cas13a-mediated knockdown exhibiting a superior inhibitory effect over shRNA-mediated knockdown. In organoid cultures derived from RT4 cells, a similar trend was observed, with Cas13a-mediated knockdown of FGFR3-TACC3 leading to a more substantial suppression of proliferation compared to shRNA-mediated knockdown. In vivo tumor models corroborated these findings, demonstrating a significantly diminished tumor volume in the Cas13a-treated cohort relative to both the control and shRNA-treated groups.

Conclusion: The CRISPR-Cas13a gene-editing system has been demonstrated to significantly suppress tumor proliferation both in vitro and in vivo, thereby presenting itself as a promising candidate for a novel and efficacious therapeutic intervention in bladder cancer treatment.

FGFR3-TACC3融合基因存在于多种恶性肿瘤中,包括膀胱癌。在我们正在进行的CRISPR-Cas13a基因编辑系统的研究中,我们报道了使用CRISPR-Cas13a基因编辑系统敲除FGFR3-TACC3并抑制膀胱肿瘤细胞的增殖。目的:本研究旨在利用CRISPR-Cas13a基因编辑系统靶向膀胱癌细胞中的FGFR3-TACC3融合基因,有望成为一种新的有效治疗膀胱癌的方法。材料与方法:采用qRT-PCR分析CRISPR-Cas13a基因编辑系统的有效性。利用CCK-8、EdU和类器官形成试验评估cas13a介导的FGFR3-TACC3融合基因敲低对RT4和RT112细胞系增殖的抑制作用。随后,在裸鼠模型中检测了通过Cas13a实现FGFR3-TACC3敲低的RT4细胞的比较致瘤能力。结果:在细胞水平上,CRISPR-Cas13a和shRNA对FGFR3-TACC3敲除效果的比较分析显示,前者的降低更为明显。这种敲低有效地抑制了细胞增殖,crispr - cas13a介导的敲低比shrna介导的敲低表现出更好的抑制作用。在来自RT4细胞的类器官培养中,观察到类似的趋势,与shrna介导的敲低相比,cas13a介导的FGFR3-TACC3敲低导致更实质性的增殖抑制。体内肿瘤模型证实了这些发现,表明与对照组和shrna治疗组相比,cas13a治疗组的肿瘤体积显著减少。结论:CRISPR-Cas13a基因编辑系统在体外和体内均能显著抑制肿瘤增殖,有望成为一种新型有效的膀胱癌治疗干预手段。
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引用次数: 0
Erratum: Long Non-Coding RNA TRG-AS1 Promoted Proliferation and Invasion of Lung Cancer Cells Through the miR-224-5p/SMAD4 Axis [Retraction] [Corrigendum]. 勘误:长链非编码RNA TRG-AS1通过miR-224-5p/SMAD4轴促进肺癌细胞增殖和侵袭[撤回][勘误]。
IF 2.7 4区 医学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-12-17 eCollection Date: 2024-01-01 DOI: 10.2147/OTT.S511815

[This corrects the article DOI: 10.2147/OTT.S474055.].

[这更正了文章DOI: 10.2147/OTT.S474055.]。
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引用次数: 0
Silencing of Long Noncoding RNA LINC00346 Inhibits the Tumorigenesis of Colorectal Cancer Through Targeting MicroRNA-148b [Retraction]. 沉默长非编码 RNA LINC00346 可通过靶向 MicroRNA-148b 抑制结直肠癌的肿瘤发生 [撤回].
IF 2.7 4区 医学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-12-11 eCollection Date: 2024-01-01 DOI: 10.2147/OTT.S511336

[This retracts the article DOI: 10.2147/OTT.S242715.].

[本文撤回文章DOI: 10.2147/OTT.S242715.]。
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引用次数: 0
Hyperbilirubinemia in a Patient Receiving Alectinib for Anaplastic Lymphoma Kinase Positive Non-Small-Cell Lung Cancer: A Histological Features. 接受阿来替尼治疗淋巴瘤激酶阳性非小细胞肺癌患者的高胆红素血症:组织学特征
IF 2.7 4区 医学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-12-11 eCollection Date: 2024-01-01 DOI: 10.2147/OTT.S486860
Qian Zhang, Lei Yan, Yujie Bao, Xiaoling Yuan, Donglin Yin, Jie Xu

Background: Alectinib is a second generation of anaplastic lymphoma kinase (ALK) inhibitor that has been approved for the treatment of advanced non-small-cell lung cancer (NSCLC) with ALK rearrangements. Hepatotoxicity is the most common adverse drug reaction. However, there is currently no published report on the pathologic findings of alectinib-induced hyperbilirubinemia.

Case presentation: Here, we report a case of a patient with NSCLC and chronic hepatitis B (CHB) who was treated with alectinib and developed grade 4 hyperbilirubinemia after 3 years on therapy. Alectinib was discontinued, and an artificial liver support system (ALSS) was used to decline blood bilirubin levels. The pathological manifestations from a liver biopsy showed the hepatocytes with scattered focal necrosis, bile stasis, and vesicular steatosis, bile emboli in capillaries, and star-shaped fibers proliferation in the portal area.

Conclusion: This is the first report of alectinib-induced hyperbilirubinemia which was confirmed by liver histopathology and successfully relieved by ALSS treatment and drug discontinuation.

背景:阿埃替尼是第二代无性淋巴瘤激酶(ALK)抑制剂:阿来替尼是第二代无性淋巴瘤激酶(ALK)抑制剂,已被批准用于治疗ALK重排的晚期非小细胞肺癌(NSCLC)。肝毒性是最常见的药物不良反应。然而,目前还没有关于阿来替尼诱发高胆红素血症病理结果的公开报道:在此,我们报告了一例 NSCLC 和慢性乙型肝炎(CHB)患者的病例,该患者接受了阿来替尼治疗,并在治疗 3 年后出现了 4 级高胆红素血症。患者停用了阿来替尼,并使用人工肝支持系统(ALSS)来降低血胆红素水平。肝活检的病理表现为肝细胞散在灶性坏死、胆汁淤积和泡状脂肪变性,毛细血管内有胆汁栓塞,肝门区有星形纤维增生:这是首次报道阿来替尼诱导的高胆红素血症,肝组织病理学证实了该病症,并通过ALSS治疗和停药成功缓解了该病症。
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引用次数: 0
Screening and Studying of Blood miRNAs as Potential Diagnostic Markers for Papillary Thyroid Carcinoma. 血液 miRNAs 作为甲状腺乳头状癌潜在诊断标志物的筛选和研究
IF 2.7 4区 医学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-12-10 eCollection Date: 2024-01-01 DOI: 10.2147/OTT.S489559
Xize Li, Wen Qin, Wenting Wang, Weilin Liu, Tianyi Dong, Aixiang Liu, Haojie Cai, Zhouhan Xu, Jiping Zeng

Objective: MiRNAs play a pivotal role in tumorigenesis and development by exerting negative regulation on the expression of target genes. In this study, bioinformatics techniques and online database were employed to investigate the specific miRNA-target gene regulatory network in PTC, which was subsequently validated using human blood samples and compared to existing tumor markers.

Methods: The miRNA (GSE50901) and Gene Expression (GSE113629) chip screening data of human PTC tissues were retrieved from GEO database. A comparative analysis was conducted using the GEO2R to identify differentially expressed miRNAs and target genes of the patients with PTC. Prediction of the miRNA-target gene regulatory network, related signal transduction pathways, biological effects and their relationship to prognosis was performed based on GO, KEGG, qRT-PCR detection of human blood samples, analysis of correlation on the existing pathological tumor markers, and ROC.

Results: Compared to the corresponding normal thyroid tissues, a total of 2116 miRNAs were found to be differentially expressed in PTC patients, including 1968 up-regulated and 148 down-regulated genes. The abnormally expressed genes primarily participated in signal pathways associated with tumorigenesis and abnormal gene transcription. By utilizing data from the GEO database, five miRNAs closely linked to PTC prognosis were identified, which were miR-221-3p, miR-222-3p, miR-182-5p, miR-135a-5p, and miR-34a-5p, with elucidating the target genes. Experimental validation, correlation analysis with tumor markers along with bioinformatics analysis revealed a significant increase in expression levels of miR-182-5p in PTC patients which positively correlated with poor prognosis. These molecules could play crucial roles in both initiation and progression of PTC.

Conclusion: This study identified potential novel blood-based miRNA biomarkers for PTC through bioinformatics analysis combined with the detection of human blood samples, thereby offering new possibilities for significant biomarkers associated with diagnosis and prognosis of PTC.

目的miRNA通过对靶基因的表达进行负调控,在肿瘤发生和发展过程中发挥着关键作用。本研究利用生物信息学技术和在线数据库研究了 PTC 中特定的 miRNA-靶基因调控网络,随后利用人体血液样本进行了验证,并与现有的肿瘤标志物进行了比较:方法:从 GEO 数据库中检索了人类 PTC 组织的 miRNA(GSE50901)和基因表达(GSE113629)芯片筛选数据。利用 GEO2R 进行比较分析,以确定 PTC 患者中差异表达的 miRNA 和靶基因。根据GO、KEGG、人体血液样本的qRT-PCR检测、现有病理肿瘤标志物的相关性分析和ROC,对miRNA-靶基因调控网络、相关信号转导通路、生物学效应及其与预后的关系进行了预测:结果发现:与相应的正常甲状腺组织相比,PTC 患者共有 2116 个 miRNAs 存在差异表达,其中包括 1968 个上调基因和 148 个下调基因。异常表达的基因主要参与与肿瘤发生相关的信号通路和异常基因转录。通过利用GEO数据库的数据,发现了5个与PTC预后密切相关的miRNA,分别是miR-221-3p、miR-222-3p、miR-182-5p、miR-135a-5p和miR-34a-5p,并阐明了其靶基因。实验验证、与肿瘤标志物的相关性分析以及生物信息学分析表明,miR-182-5p 在 PTC 患者中的表达水平显著增加,与预后不良呈正相关。这些分子可能在 PTC 的发生和发展过程中发挥关键作用:本研究通过生物信息学分析和人体血液样本检测,发现了潜在的新型血液 miRNA 生物标志物,从而为寻找与 PTC 诊断和预后相关的重要生物标志物提供了新的可能性。
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引用次数: 0
Ubiquitination-Binding Enzyme 2C is Associated with Cancer Development and Prognosis and is a Potential Therapeutic Target. 泛素结合酶 2C 与癌症的发展和预后有关,是潜在的治疗靶点
IF 2.7 4区 医学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-12-07 eCollection Date: 2024-01-01 DOI: 10.2147/OTT.S485053
Mengjie Zhao, Jielong Li, Rui Wang, Lida Mi, Yan Gu, Rongjin Chen, Yangyang Li, Woda Shi, Yajun Zhang

UBE2C (Ubiquitination-binding enzyme 2C), one of the E2 enzymes encoded in the human genome, is a component of the ubiquitin proteasome system and plays a pivotal role in regulating cell cycle progression. Moreover, UBE2C is highly expressed and may play a pivotal role in both high-incidence and high-mortality malignancies, including lung cancers, breast cancers, and esophageal cancers. UBE2C influences a number of key processes, including cell cycle progression, tumor invasion and metastasis, proliferation, and drug resistance. However, few articles have systematically summarized the role of UBE2C in cancer. The aim of this review is to describe the structure and function of UBE2C, focusing on the current status of UBE2C research in malignant tumors. Furthermore, this review presents the potential of UBE2C as a new therapeutic target and a diagnostic and prognostic biomarker. Finally, future research directions for UBE2C are proposed. It is of great value to explore the mechanism of action of UBE2C in the tumor microenvironment (TME). A comprehensive and coherent comprehension of UBE2C will undoubtedly facilitate its transition from fundamental research to clinical applications.

UBE2C (Ubiquitination-binding enzyme 2C)是人类基因组编码的E2酶之一,是泛素蛋白酶体系统的一个组成部分,在调节细胞周期进程中起关键作用。此外,UBE2C是高表达的,可能在包括肺癌、乳腺癌和食管癌在内的高发病率和高死亡率的恶性肿瘤中发挥关键作用。UBE2C影响许多关键过程,包括细胞周期进程、肿瘤侵袭和转移、增殖和耐药性。然而,很少有文章系统地总结UBE2C在癌症中的作用。本文综述了UBE2C的结构和功能,重点介绍了UBE2C在恶性肿瘤中的研究现状。此外,本综述提出了UBE2C作为新的治疗靶点和诊断和预后生物标志物的潜力。最后,提出了UBE2C未来的研究方向。探讨UBE2C在肿瘤微环境(tumor microenvironment, TME)中的作用机制具有重要价值。对UBE2C的全面和连贯的理解无疑将促进其从基础研究向临床应用的过渡。
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引用次数: 0
Long Non Coding RNA SNHG16 Facilitates Proliferation, Migration, Invasion and Autophagy of Neuroblastoma Cells via Sponging miR-542-3p and Upregulating ATG5 Expression [Retraction]. 长非编码 RNA SNHG16 通过疏导 miR-542-3p 和上调 ATG5 表达促进神经母细胞瘤细胞的增殖、迁移、侵袭和自噬 [撤回]。
IF 2.7 4区 医学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI: 10.2147/OTT.S509994

[This retracts the article DOI: 10.2147/OTT.S226915.].

[本文撤回文章DOI: 10.2147/OTT.S226915.]。
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引用次数: 0
Efficacy and Safety of Neoadjuvant Immunotherapy Combined with Sandwich Chemoradiotherapy in Locally Advanced Nasopharyngeal Carcinoma: A Retrospective Study. 新辅助免疫治疗联合夹心放化疗治疗局部晚期鼻咽癌的疗效和安全性:回顾性研究。
IF 2.7 4区 医学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2024-11-29 eCollection Date: 2024-01-01 DOI: 10.2147/OTT.S489714
Huimin Fu, Zetan Chen, Jiawei Chen, Shuai Zhang

Purpose: We aimed to determine the safety and feasibility of neoadjuvant immunotherapy combined with sandwich chemoradiotherapy in patients with locally advanced nasopharyngeal carcinoma (NPC).

Patients and methods: This retrospective study involved 37 patients with locally advanced NPC treated with the above regimen. All patients received four cycles of neoadjuvant immunotherapy and chemotherapy at three-week intervals, including the administration of PD-1 inhibitors, namely, sintilimab (a fixed dose of 200 mg on Day 1) or toripalimab (240 mg on Day 1). The chemotherapy program consisted of nab-paclitaxel (260 mg/m2, Day 1) plus nedaplatin (85 mg/m2, Day 1). Concurrent with intensity-modulated radiation therapy (IMRT), the patients received targeted drug therapy with nimotuzumab (200 mg) across six cycles. Finally, 4 cycles of S-1 adjuvant chemotherapy were administered.

Results: In this study, the efficiency of neoadjuvant immunotherapy combined with chemotherapy was 94.6%, the CR rate was 67.6%, and the efficiency 3 months after IMRT was 100%. The 2-year overall survival (OS), locoregional control (LCR), distant metastasis-free survival (DMFS), and progression-free survival (PFS) rates of the whole group were 97.3%, 94.6%, 97.3% and 91.9%, respectively. Neutropenia was the most common hematological toxicity (100%), and the incidence of grade ≥ 3 neutropenia was 40.5%. Grade 3 anemia and thrombocytopenia did not occur. Additionally, no adverse reactions, such as hypothyroidism, immune pneumonia, or myocarditis, occurred in the whole group. However, the incidences of rash, musculoskeletal pain, and hepatotoxicity were high (45.9%, 54.1% and 37.8%, respectively).

Conclusion: The survival benefit of neoadjuvant immunotherapy combined with sandwich chemoradiotherapy is excellent, with tolerable toxicity, in patients with locally advanced NPC. This study provides new insight into the application of immunotherapy in locally advanced NPC.

目的:探讨新辅助免疫治疗联合夹心放化疗治疗局部晚期鼻咽癌(NPC)的安全性和可行性。患者和方法:本回顾性研究纳入37例局部晚期鼻咽癌患者,采用上述方案治疗。所有患者接受4个周期的新辅助免疫治疗和化疗,间隔3周,包括给药PD-1抑制剂,即辛替单抗(固定剂量200mg,第1天)或托利单抗(240 mg,第1天)。化疗方案包括nab-紫杉醇(260 mg/m2,第1天)加奈达铂(85 mg/m2,第1天)。与调强放疗(IMRT)同时,患者接受尼莫妥珠单抗(200 mg)靶向药物治疗,为期6个周期。最后进行4个周期的S-1辅助化疗。结果:本研究中,新辅助免疫治疗联合化疗有效率为94.6%,CR率为67.6%,IMRT后3个月有效率为100%。全组2年总生存率(OS)、局部区域控制率(LCR)、远端无转移生存率(DMFS)和无进展生存率(PFS)分别为97.3%、94.6%、97.3%和91.9%。中性粒细胞减少是最常见的血液学毒性(100%),≥3级中性粒细胞减少发生率为40.5%。未发生3级贫血和血小板减少症。全组未发生甲状腺功能减退、免疫性肺炎、心肌炎等不良反应。然而,皮疹、肌肉骨骼疼痛和肝毒性的发生率较高(分别为45.9%、54.1%和37.8%)。结论:局部晚期鼻咽癌患者采用新辅助免疫治疗联合夹心放化疗的生存效益好,毒副作用可耐受。本研究为局部晚期鼻咽癌免疫治疗的应用提供了新的思路。
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引用次数: 0
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