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阿美替尼联合贝伐珠单抗治疗晚期NSCLC伴原发EGFR T790M突变:3例病案报道及文献复习 被引量:1
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作者 杨雪 孟凡路 钟殿胜 《中国肺癌杂志》 CAS CSCD 北大核心 2023年第2期158-164,共7页
随着检测技术的发展,非小细胞肺癌患者(non-small cell lung cancer, NSCLC)伴原发表皮生长因子受体(epidermal growth factor receptor, EGFR)T790M突变的检出率不断增加,而针对原发EGFR T790M突变NSCLC的一线治疗尚无标准。本文中我... 随着检测技术的发展,非小细胞肺癌患者(non-small cell lung cancer, NSCLC)伴原发表皮生长因子受体(epidermal growth factor receptor, EGFR)T790M突变的检出率不断增加,而针对原发EGFR T790M突变NSCLC的一线治疗尚无标准。本文中我们报道了3例晚期NSCLC伴EGFR敏感突变及原发T790M突变的治疗经验,3例患者一线初治均为阿美替尼联合贝伐珠单抗。其中,1例在治疗3个月后因出血风险停用贝伐珠单抗并于10个月后更换为奥希替尼;1例患者在治疗13个月后更换为奥希替尼并停用贝伐珠单抗。3例患者最佳疗效均达部分缓解(partial response,PR)。随访至2022年10月,2例患者一线治疗后进展,无进展生存期(progression-free survival, PFS)分别为11个月和7个月;1例患者治疗后持续反应,治疗时间已达19个月。2例患者基线伴有多发脑转移,一线治疗后颅内病灶最佳疗效均为PR,颅内PFS分别为14个月和未达到(16+个月)。3例患者在治疗期间未见新的不良反应,未发生3级以上不良反应。此外,我们总结了NSCLC伴原发EGFR T790M突变的研究进展。总之,阿美替尼联合贝伐珠单抗初始治疗晚期NSCLC伴原发EGFR T790M突变具有较高的客观缓解率(objective response rate, ORR)及颅内病灶的控制能力,可作为晚期NSCLC伴原发EGFR T790M突变的一线治疗。 展开更多
关键词 阿美替尼 原发T790M突变 贝伐珠单抗 肺肿瘤
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阿瑞匹坦预防化疗诱导恶心呕吐的疗效分析 被引量:15
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作者 关莎莎 张丽沙 +5 位作者 钟殿胜 马晴 孟凡路 邵宜 于涛 刘夏 《中国肺癌杂志》 CAS CSCD 北大核心 2018年第10期800-804,共5页
背景与目的化疗是治疗恶性肿瘤最重要的手段,然而化疗诱导的恶心呕吐对患者影响深远。近些年来,不断有新的止吐药物问世,如阿瑞匹坦。我们回顾性分析了2014年8月-2016年12月使用含高度致吐药顺铂化疗方案的肿瘤患者中,阿瑞匹坦联合托烷... 背景与目的化疗是治疗恶性肿瘤最重要的手段,然而化疗诱导的恶心呕吐对患者影响深远。近些年来,不断有新的止吐药物问世,如阿瑞匹坦。我们回顾性分析了2014年8月-2016年12月使用含高度致吐药顺铂化疗方案的肿瘤患者中,阿瑞匹坦联合托烷司琼、地塞米松预防化疗诱导呕吐(chemotherapy-induced nausea and vomiting, CINV)的效果。方法在使用含高度致吐药顺铂化疗方案的肿瘤患者中,应用阿瑞匹坦联合托烷司琼、地塞米松的止吐方案,观察期分为整体观察期:化疗后0 h-120 h;急性呕吐观察期:化疗0 h-24 h;延迟性呕吐观察期:化疗后24 h-120 h。观察目标包括完全应答(complete response, CR)和完全预防(complete protection, CP)。结果整体观察期的CR为86.02%,急性呕吐观察期和延迟性呕吐观察期分别为89.25%、87.1%;CP分别为46.22%、83.87%、45.16%。止吐效果与年龄分布关系具有显著性(P=0.008)。结论阿瑞匹坦联合托烷司琼、地塞米松的方案可有效预防使用含高度致吐药顺铂化疗方案的肿瘤患者中CINV的发生,提高患者的生活质量和化疗的依从性。 展开更多
关键词 阿瑞匹坦 癌症 化疗诱导的恶心呕吐 顺铂
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DNA损伤修复系统与肺癌的药物治疗 被引量:3
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作者 张琳琳 孟凡路 钟殿胜 《中国肺癌杂志》 CAS CSCD 北大核心 2022年第6期434-442,共9页
DNA损伤修复(DNA damage repair,DDR)系统在维持“基因组稳定性”方面发挥重要作用。DNA损伤的累积及DDR功能减弱,都会促进肿瘤发生、发展,同时也给肿瘤的药物治疗提供机会和靶点。在肺癌治疗中,很多抗肿瘤药物发挥作用都与DNA损伤和修... DNA损伤修复(DNA damage repair,DDR)系统在维持“基因组稳定性”方面发挥重要作用。DNA损伤的累积及DDR功能减弱,都会促进肿瘤发生、发展,同时也给肿瘤的药物治疗提供机会和靶点。在肺癌治疗中,很多抗肿瘤药物发挥作用都与DNA损伤和修复密切相关。从导致DNA损伤的经典化疗药物、新型抗体偶联药物,到抑制DNA修复的靶向药物,以及免疫检查点抑制剂,这些药物在发挥抗肿瘤活性过程中,都直接或间接涉及DNA损伤及修复。本文综述了DNA损伤和修复在上述药物发挥抗肿瘤活性中的作用,并汇总了上述各类药物在肺癌治疗中的应用现状及临床探索,以期通过DNA损伤和修复为切入点,摸索更精准和有效的肺癌治疗策略。 展开更多
关键词 肺肿瘤 DNA损伤 DNA修复 抗肿瘤药物
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2例免疫检查点抑制剂联合化疗引发2型糖尿病个案报道 被引量:2
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作者 肖平 张琳琳 +3 位作者 王瑜 孟凡路 王鑫 钟殿胜 《中国肺癌杂志》 CAS CSCD 北大核心 2022年第4期287-290,共4页
免疫检查点抑制剂(immune checkpoint inhibitors, ICIs)已经成为肿瘤治疗的重要手段,其在临床中的应用越来越广泛。ICIs引起的不良反应逐渐被认识,其中免疫治疗相关性糖尿病是罕见的不良反应,最常见的是1型糖尿病。随着ICIs联合化疗在... 免疫检查点抑制剂(immune checkpoint inhibitors, ICIs)已经成为肿瘤治疗的重要手段,其在临床中的应用越来越广泛。ICIs引起的不良反应逐渐被认识,其中免疫治疗相关性糖尿病是罕见的不良反应,最常见的是1型糖尿病。随着ICIs联合化疗在肺癌患者中广泛应用,治疗过程中出现2型糖尿病的患者逐渐被发现,但是这部分患者后续继续应用ICIs维持治疗对血糖、ICIs治疗过程的影响尚不清楚。本文报道2例ICIs联合化疗期间新发的2型糖尿病,其中1例患者转为1型糖尿病,旨在增加对免疫治疗相关性糖尿病的认识。 展开更多
关键词 免疫检查点抑制剂 不良反应 2型糖尿病
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EGFR-TKI原发性耐药的分子机制及其进展——附2例病例分析 被引量:2
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作者 刘美蓉 孟凡路 +2 位作者 马晴 顾立彦 钟殿胜 《中国肺癌杂志》 CAS CSCD 北大核心 2019年第1期52-56,共5页
酪氨酸激酶抑制剂(tyrosine-kinase inhibitor, TKI)类药物已经被证实对表皮生长因子受体(epidermal growth factor receptor, EGFR)敏感突变的晚期非小细胞肺癌(non-small cell lung cancer, NSCLC)患者有很好的疗效,优于化疗。但仍有... 酪氨酸激酶抑制剂(tyrosine-kinase inhibitor, TKI)类药物已经被证实对表皮生长因子受体(epidermal growth factor receptor, EGFR)敏感突变的晚期非小细胞肺癌(non-small cell lung cancer, NSCLC)患者有很好的疗效,优于化疗。但仍有部分敏感突变的患者出现原发性耐药。耐药的原因尚不明确,可能与EGFR基因的敏感突变与耐药突变共存、EGFR通路下游基因突变、MET扩增、BIM缺失多态性等因素相关。本文分享了2例原发性耐药病历并进行了原因分析。 展开更多
关键词 肺肿瘤 EGFR-TKI 原发性耐药
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Lung adenocarcinoma associated with cystic airspaces
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作者 Xue Yang Linlin Zhang +3 位作者 fanlu meng Wenjing Song Dong Li Diansheng Zhong 《Chronic Diseases and Translational Medicine》 CSCD 2023年第1期58-62,共5页
To the Editor,Lung cancer associated with cystic airspaces is a group of uncommon lung malignant lesions that are easy to misdiagnose even though the use of computed tomography(CT)has been more common for lung cancer ... To the Editor,Lung cancer associated with cystic airspaces is a group of uncommon lung malignant lesions that are easy to misdiagnose even though the use of computed tomography(CT)has been more common for lung cancer screening in the clinic.The incidence of this lesion has been reported at 0.5%–3.7%in different studies.1–3 Up to 80%of patients was of pulmonary adenocarcinomas and most patients had a history of smoking. 展开更多
关键词 LUNG ADENOCARCINOMA LUNG
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Highly efficient and selective CO2 electro-reduction with atomic Fe-C-N hybrid coordination on porous carbon nematosphere 被引量:9
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作者 Haixia Zhong fanlu meng +2 位作者 Qi Zhang Kaihua Liu Xinbo Zhang 《Nano Research》 SCIE EI CAS CSCD 2019年第9期2318-2323,共6页
Carbon dioxide reduction(CO2RR)has become a promising way to address the energy and environmental crisis,of which the fundamental development of the optimal electrocatalysts is the crucial part.Herein,we develop Fe an... Carbon dioxide reduction(CO2RR)has become a promising way to address the energy and environmental crisis,of which the fundamental development of the optimal electrocatalysts is the crucial part.Herein,we develop Fe and N doping porous carb on n ematosphere(FeNPCN)as an excellent CO2RR electrocatalyst in aqueous electrolyte.Featuring with the high conductivity,pore structure and abundant Fe and N doping,FeNPCN exhibits high catalytic activity with a high faradaic selectivity of CO(94%)and long-term durability.Moreover,the ratio of CO and H2 can be changed by the applied potential for the different syngas related industry.Density functional theory(DFT)calculation results also reveal that the excellent catalytic activity is likely attributed to C and N hybrid coordination with atomic Fe. 展开更多
关键词 CARBON dioxide reducti on ELECTROCATALYSIS porous CARBON carb on MON oxide metal/nitrogen dopi ng
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Three-dimensional interconnected Ni(Fe)OxHy nanosheets on stainless steel mesh as a robust integrated oxygen evolution electrode 被引量:8
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作者 Qi Zhang Haixia Zhong +3 位作者 fanlu meng Di Bao Xinbo Zhang Xiaolin wei 《Nano Research》 SCIE EI CAS CSCD 2018年第3期1294-1300,共7页
The development of an electrocatalyst based on abundant elements for the oxygen evolution reaction (OER) is important for water splitting associated with renewable energy sources. In this study, we develop an interc... The development of an electrocatalyst based on abundant elements for the oxygen evolution reaction (OER) is important for water splitting associated with renewable energy sources. In this study, we develop an interconnected Ni(Fe)OxHy nanosheet array on a stainless steel mesh (SSNNi) as an integrated OER electrode, without using any polymer binder. Benefiting from the well- defined three-dimensional (3D) architecture with highly exposed surface area, intimate contact between the active species and conductive substrate improved electron and mass transport capacity, facilitated electrolyte penetration, and improved mechanical stability. The SSNNi electrode also has excellent OER performance, including low overpotential, a small Tafel slope, and long-term durability in the alkaline electrolyte, making it one of the most promising OER electrodes developed. 展开更多
关键词 oxygen evolution reaction three-dimensional (3D)architecture stainless steel mesh (SSNNi) integrated oxygenevolution electrode
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Iron-chelated hydrogel-derived bifunctional oxygen electrocatalyst for high-performance rechargeable Zn-air batteries 被引量:4
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作者 fanlu meng Haixia Zhong +1 位作者 Junmin Yan Xinbo Zhang 《Nano Research》 SCIE EI CAS CSCD 2017年第12期4436-4447,共12页
Efficient oxygen electrocatalysts are the key elements of numerous energy storage and conversion devices, including fuel cells and metal-air batteries. In order to realize their practical applications, highly efficien... Efficient oxygen electrocatalysts are the key elements of numerous energy storage and conversion devices, including fuel cells and metal-air batteries. In order to realize their practical applications, highly efficient and inexpensive non-noble metal-based oxygen electrocatalysts are urgently required. Herein, we report a novel iron-chelated urea-formaldehyde resin hydrogel for the synthesis of Fe-N-C electrocatalysts. This novel hydrogel is prepared using a new instantaneous (20 s) one-step scalable strategy, which theoretically ensures the atomic-level dispersion of Fe ions in the urea-formaldehyde resin, guaranteeing the microstructural homogeneity of the electrocatalyst. Consequentl~ the prepared electrocatalyst exhibits higher catalytic activity and durability in the oxygen reduction (ORR) and evolution (OER) reactions than the commercial Pt/C catalyst. Furthermore, the above catalyst also shows a much better performance in rechargeable Zn-air batteries, including higher power density and better cycling stability. The developed synthetic approach opens up new avenues toward the development of sustainable active electrocatalysts for electrochemical energy devices. 展开更多
关键词 hydrogel iron-nitrogen-doped carbon bifunctional oxygen reduction reaction(ORR) oxygen evolution reaction(OER) Zn-air batteries
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Mechanical stretching boosts expansion and regeneration of intestinal organoids through fueling stem cell self-renewal
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作者 fanlu meng Congcong Shen +11 位作者 Li Yang Chao Ni Jianyong Huang Kaijun Lin Zanxia Cao Shicai Xu Wanling Cui Xiaoxin Wang Bailing Zhou Chunyang Xiong Jihua Wang Bing Zhao 《Cell Regeneration》 2022年第1期399-412,共14页
Intestinal organoids,derived from intestinal stem cell self-organization,recapitulate the tissue structures and behav-iors of the intestinal epithelium,which hold great potential for the study of developmental biology... Intestinal organoids,derived from intestinal stem cell self-organization,recapitulate the tissue structures and behav-iors of the intestinal epithelium,which hold great potential for the study of developmental biology,disease modeling,and regenerative medicine.The intestinal epithelium is exposed to dynamic mechanical forces which exert profound effects on gut development.However,the conventional intestinal organoid culture system neglects the key role of mechanical microenvironments but relies solely on biological factors.Here,we show that adding cyclic stretch to intestinal organoid cultures remarkably up-regulates the signature gene expression and proliferation of intestinal stem cells.Furthermore,mechanical stretching stimulates the expansion of SOX9+progenitors by activating the Wnt/β-Catenin signaling.These data demonstrate that the incorporation of mechanical stretch boosts the stemness of intestinal stem cells,thus benefiting organoid growth.Our findings have provided a way to optimize an organoid generation system through understanding cross-talk between biological and mechanical factors,paving the way for the application of mechanical forces in organoid-based models. 展开更多
关键词 Mechanical stretching Intestinal organoid Lgr5+stem cell REGENERATION Wnt/β-catenin signaling
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Defense of COVID-19 by Human Organoids
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作者 Ting Lv fanlu meng +3 位作者 meng Yu Haihui Huang Xinhua Lin Bing Zhao 《Phenomics》 2021年第3期113-128,共16页
Coronavirus disease 2019(COVID-19),caused by severe acute respiratory syndrome coronavirus-2(SARS-CoV-2),has created an immense menace to public health worldwide,exerting huge effects on global economic and political ... Coronavirus disease 2019(COVID-19),caused by severe acute respiratory syndrome coronavirus-2(SARS-CoV-2),has created an immense menace to public health worldwide,exerting huge effects on global economic and political conditions.Understanding the biology and pathogenesis mechanisms of this novel virus,in large parts,relies on optimal physiological models that allow replication and propagation of SARS-CoV-2.Human organoids,derived from stem cells,are three-dimen-sional cell cultures that recapitulate the cellular organization,transcriptional and epigenetic signatures of their counterpart organs.Recent studies have indicated their great values as experimental virology platforms,making human organoid an ideal tool for investigating host-pathogen interactions.Here,we summarize research developments for SARS-CoV-2 infection of various human organoids involved in multiple systems,including lung,liver,brain,intestine,kidney and blood vessel organoids.These studies help us reveal the pathogenesis mechanism of COVID-19,and facilitate the development of effec-tive vaccines and drugs as well as other therapeutic regimes. 展开更多
关键词 COVID-19 Human organoids SARS-CoV-2 infection Multi-organ damage Drug discovery
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