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Trump announces withdrawal from 66 global organisations 特朗普宣布退出66个全球组织
Pub Date : 2026-01-15 DOI: 10.1016/s0140-6736(26)00085-1
Faith McLellan
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引用次数: 0
Department of Error 错误部
Pub Date : 2026-01-15 DOI: 10.1016/s0140-6736(26)00048-6
Chen Z, Yang F, Jiang Z, et al. Ivonescimab plus chemotherapy versus tislelizumab plus chemotherapy as first-line treatment for advanced squamous non-small-cell lung cancer (HARMONi-6): a randomised, double-blind, phase 3 trial. Lancet 2025; 406: 2078–88—In this Article, the appendix has been replaced and the affiliations have been updated. These corrections have been made to the online version as of Jan 15, 2026.
陈志,杨峰,姜志,等。Ivonescimab +化疗与tislelizumab +化疗作为晚期鳞状非小细胞肺癌(HARMONi-6)的一线治疗:一项随机、双盲、3期试验《柳叶刀》2025年;406: 2078 - 88在这篇文章中,附录已被替换,从属关系已更新。这些更正已于2026年1月15日对在线版本进行了修改。
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引用次数: 0
Glucagon-like receptor agonists and next-generation incretin-based medications: metabolic, cardiovascular, and renal benefits 胰高血糖素样受体激动剂和下一代基于肠促胰岛素的药物:代谢、心血管和肾脏益处
Pub Date : 2026-01-14 DOI: 10.1016/s0140-6736(25)02105-1
Michael A Nauck, Katherine R Tuttle, Matthias H Tschöp, Matthias Blüher
GLP-1 receptor agonists were initially developed to treat type 2 diabetes and have had a transformative effect on its therapy, and are highly effective for glycaemic control, with the added benefit of bodyweight reduction and a low risk of causing hypoglycaemia. GLP-1 receptor agonists reduce risks for major adverse cardiovascular events (eg, non-fatal myocardial infarction, stroke, and cardiovascular death), and the risk of admission to or treatment within hospital for heart failure. These drugs reduce albuminuria and slow the decline in estimated glomerular filtration rate over time, therefore delaying or preventing kidney failure. Furthermore, GLP-1 receptor agonists (eg, liraglutide and semaglutide) and the dual glucose-dependent insulinotropic polypeptide (GIP) and GLP-1 receptor co-agonist tirzepatide have been approved for treatment of obesity, with clinical trials establishing benefits for various obesity-related conditions: prevention of type 2 diabetes; risk for major adverse cardiovascular events; heart failure, especially with preserved ejection fraction; regression of steatosis and prevention of fibrosis in steatotic liver disease; and symptomatic improvements in obstructive sleep apnoea and knee osteoarthritis. Current developments include the exploration of novel indications (eg, neurodegenerative diseases and substance use disorders) with suggestive evidence of efficacy, and the development of small-molecule GLP-1 receptor agonists for oral treatment to improve convenience. Dual (ie, GLP-1–glucagon and GLP-1–amylin) and triple (ie, GIP–GLP-1–glucagon) receptor agonists activating multiple receptors promise greater efficacy than mono-agonists, especially for weight loss. However, some clinical development programmes have a high burden of adverse gastrointestinal events, and dose-escalation regimens should be optimised to reach acceptable tolerability.
GLP-1受体激动剂最初被开发用于治疗2型糖尿病,并对其治疗产生了变革性影响,对血糖控制非常有效,具有减轻体重和降低低血糖风险的额外好处。GLP-1受体激动剂可降低主要不良心血管事件(如非致死性心肌梗死、中风和心血管死亡)的风险,以及因心力衰竭入院或住院治疗的风险。随着时间的推移,这些药物可以减少蛋白尿,减缓肾小球滤过率的下降,从而延缓或预防肾衰竭。此外,GLP-1受体激动剂(如利拉鲁肽和半马鲁肽)和双葡萄糖依赖性胰岛素性多肽(GIP)和GLP-1受体共激动剂替西帕肽已被批准用于治疗肥胖,临床试验证实其对各种肥胖相关疾病有益处:预防2型糖尿病;主要不良心血管事件的风险;心力衰竭,特别是保留射血分数;脂肪变性的消退及肝纤维化的预防以及阻塞性睡眠呼吸暂停和膝关节骨关节炎的症状改善。目前的进展包括探索新的适应症(例如,神经退行性疾病和物质使用障碍),并开发用于口服治疗的小分子GLP-1受体激动剂,以提高便捷性。双受体激动剂(即glp -1 -胰高血糖素和glp -1 -胰高血糖素)和三受体激动剂(即gip - glp -1 -胰高血糖素)激活多个受体比单受体激动剂更有效,特别是在减肥方面。然而,一些临床开发项目有很高的胃肠道不良事件负担,应该优化剂量递增方案以达到可接受的耐受性。
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引用次数: 0
Low-dose yellow fever vaccination in infants: a randomised, double-blind, non-inferiority trial 婴儿低剂量黄热病疫苗接种:一项随机、双盲、非劣效性试验
Pub Date : 2026-01-13 DOI: 10.1016/s0140-6736(25)02069-0
Derick Kimathi, Aitana Juan-Giner, Ndeye S Bob, Benedict Orindi, Maria L Namulwana, Antoine Diatta, Stanley Cheruiyot, Gamou Fall, Moussa Dia, Mainga M Hamaluba, Dan Nyehangane, Henry K Karanja, John N Gitonga, Daisy Mugo, Donwilliams O Omuoyo, Mwatasa Hussein, Elizaphan Oloo, Naomi Kamau, Jackline Wafula, Josephine Bendera, Namanya Silvester, James Mwavita, Musiimenta Joshua, Jane M Thuranira, Collins Agababyona, Caroline Ngetsa, Nalusaji Aisha, Felix Moki, Titus Buluku, Marianne Munene, Juliet Mwanga-Amumpaire, Julius Lutwama, John Kayiwa, Eunice Kamaara, Alan D Barrett, Pontiano Kaleebu, Philip Bejon, Amadou A Sall, Rebecca F Grais, George M Warimwe
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引用次数: 0
Deaths potentially averted by small changes in physical activity and sedentary time: an individual participant data meta-analysis of prospective cohort studies 身体活动和久坐时间的微小变化可能避免死亡:前瞻性队列研究的个体参与者数据荟萃分析
Pub Date : 2026-01-13 DOI: 10.1016/s0140-6736(25)02219-6
Ulf Ekelund, Jakob Tarp, Ding Ding, Miguel Adriano Sanchez-Lastra, Knut Eirik Dalene, Sigmund A Anderssen, Jostein Steene-Johannessen, Bjorge H Hansen, Bente Morseth, Laila A Hopstock, Edvard Sagelv, Peter Nordström, Anna Nordström, Maria Hagströmer, Ing-Mari Dohrn, Keith M Diaz, Steven Hooker, Virginia J Howard, I-Min Lee, Morten W Fagerland
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引用次数: 0
Targeting MET-mediated TKI resistance in EGFR-mutant NSCLC egfr突变型NSCLC中靶向met介导的TKI耐药
Pub Date : 2026-01-13 DOI: 10.1016/s0140-6736(25)02116-6
Zofia Piotrowska
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引用次数: 0
Savolitinib plus osimertinib versus chemotherapy for advanced, EGFR mutation-positive, MET-amplified non-small-cell lung cancer in China (SACHI): interim analysis of a multicentre, open-label, phase 3 randomised controlled trial 中国晚期EGFR突变阳性met扩增非小细胞肺癌(SACHI)的Savolitinib + osimertinib与化疗:一项多中心、开放标签、3期随机对照试验的中期分析
Pub Date : 2026-01-13 DOI: 10.1016/s0140-6736(25)01811-2
Shun Lu, Jie Wang, Nong Yang, Dongqing Lv, Lijuan Chen, Lin Wu, Xingya Li, Longhua Sun, Yongfeng Yu, Bo Jin, Lin Yang, Yubiao Guo, Haipeng Xu, Tienan Yi, Aiping Zeng, Xiaorong Dong, Jianhua Chen, Ziping Wang, Hongrui Niu, Ying Cheng, Pinhua Pan, Pengbo Deng, Hongming Pan, Xuhong Min, Jun Bai, Laiyu Liu, Tongmei Zhang, Juan Li, Songhua Fan, Michael M Shi, Tony Mok, Weiguo Su, Shun Lu, Jie Wang, Nong Yang, Dongqing Lv, Lijuan Chen, Lin Wu, Xingya Li, Longhua Sun, Yongfeng Yu, Bo Jin, Lin Yang, Yubiao Guo, Haipeng Xu, Tienan Yi, Aiping Zeng, Xiaorong Dong, Jianhua Chen, Ziping Wang, Hongrui Niu, Ying Cheng, Pinhua Pan, Pengbo Deng, Hongming Pan, Xuhong Min, Jun Bai, Laiyu Liu, Tongmei Zhang, Juan Li, Songhua Fan, Michael M. Shi, Tony Mok, Weiguo Su, Feng Ye, Xianling Liu, Jianhua Shi, Jiwei Liu, Qisen Guo, Weihua Yang, Junfang Tang, Shundong Cang, Ou Jiang, Jian Fang, Guohua Yu, Lijun Wang, Xibin Zhuang, Zhigang Han, Yiping Zhang, Zhengbo Song, Baogang Liu, Buhai Wang, Jianying Zhou, Wei Gu, Hongcheng Wu, Zhiwei Lu, Yan Yang, Wen Dong, Xiuhua Fu, Youling Gong, Jinhuo Lai, Ping Sun, Yingying Du, Zhihua Liu, Diansheng Zhong, Kaihua Lu, Jianghong Wang, Zhaohong Chen, Xiujie Cui, Zhengxiang Han, Yu Yao, Fang Zhang, Yunchao Huang, Haichuan Su, Zhennan Yi, Lin Li, Tongjian Cui, Puhan Lu, Xiangdong Wang, Jie Yu, Huan Yan, Xian Luo, Yongxin Ren
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引用次数: 0
Yellow fever vaccine minimum fractional dosing does not extend to infants 黄热病疫苗最低次剂量不适用于婴儿
Pub Date : 2026-01-13 DOI: 10.1016/s0140-6736(25)02364-5
Lance Turtle
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引用次数: 0
Tetanus 破伤风
Pub Date : 2026-01-13 DOI: 10.1016/s0140-6736(25)01579-x
Önder Ergönül, Selin Kolsuz, J Peter Figueroa
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引用次数: 0
Profiling vaccine attitudes and subsequent uptake in 1·1 million people in England: a nationwide cohort study 对英格兰110万人的疫苗态度和随后的接种情况进行分析:一项全国性队列研究
Pub Date : 2026-01-12 DOI: 10.1016/s0140-6736(25)01912-9
Matthew Whitaker PhD, Joshua Elliott MSc, Ines Gerard-Ursin MSc, Prof Graham S Cooke PhD, Prof Christl A Donnelly ScD, Prof Helen Ward PhD, Prof Paul Elliott PhD, Prof Marc Chadeau-Hyam PhD
Despite highly effective vaccines against SARS-CoV-2, COVID-19 vaccine hesitancy persisted in some populations in England during the pandemic, with rates and motivations for hesitancy varying by demographic group. Addressing the drivers of vaccine hesitancy through targeted interventions in hesitant groups is a public health priority for better and more rapid control of disease spread. We aimed to characterise the determinants and subtypes of vaccine hesitancy and identify more persistent forms of hesitancy via analysis of vaccine uptake in a large cross-sectional cohort with linked National Health Service (NHS) data.
尽管针对SARS-CoV-2的疫苗非常有效,但在大流行期间,英格兰的一些人群仍然存在COVID-19疫苗犹豫,犹豫的比率和动机因人口群体而异。通过对犹豫不决的群体进行有针对性的干预,解决疫苗犹豫不决的驱动因素,是更好和更快地控制疾病传播的公共卫生优先事项。我们的目的是描述疫苗犹豫的决定因素和亚型,并通过分析具有相关国家卫生服务(NHS)数据的大型横断面队列中的疫苗摄取来确定更持久的犹豫形式。
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引用次数: 0
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The Lancet
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