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不同评分系统评估慢性粒细胞白血病患者预后的比较 被引量:1
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作者 贾茜婷 毛建平 +2 位作者 薛连国 蔡志梅 赵利东 《中国肿瘤临床》 CAS CSCD 北大核心 2019年第24期1265-1270,共6页
目的:比较现有预后评分系统在新诊断的慢性粒细胞白血病(chronic myeloid leukemia,CML)患者中预测疗效及预后的有效性。识别治疗反应率和生存率明显较低的CML患者,有利于进行早期干预。进一步评估ELTS评分作为预测“CML相关性死亡发生... 目的:比较现有预后评分系统在新诊断的慢性粒细胞白血病(chronic myeloid leukemia,CML)患者中预测疗效及预后的有效性。识别治疗反应率和生存率明显较低的CML患者,有利于进行早期干预。进一步评估ELTS评分作为预测“CML相关性死亡发生率”这一新指标的能力。方法:回顾性分析2010年1月至2019年12月连云港市第一人民医院确诊并接受一线伊马替尼治疗的172例慢性粒细胞白血病慢性期(chronic myeloid leukemia-chronic phase,CML-CP)患者,采用Sokal、Hasford、EUTOS及ELTS评分,将患者分为各个风险组并比较各评分系统对CML患者总生存期(overall survival,OS)、无进展生存期(progression free survival,PFS)、主要分子学反应(major molecular response,MMR)及与CML相关性死亡发生率等治疗效果和随访评估的作用。结果:在172例患者中,EUTOS及ELTS评分系统能较好地预测MMR的累积发生率(P<0.001,P=0.015)、OS(P<0.001,P=0.001)和PFS(P<0.001,P<0.001)。但是,Sokal和Hasford评分均未能预测伊马替尼治疗CML-CP的反应和结果(均P>0.05)。ELTS评分在因CML导致相关性死亡方面,差异具有统计学意义(P<0.010),而Sokal、Hasford和EUTOS评分系统均未见显著性差异(P=0.07,P=0.10,P=0.08),与其他3项预后评分相比,ELTS评分在预测与CML相关性死亡方面具有更高的准确性。结论:在预测伊马替尼治疗的CML患者的结局方面,EUTOS、ELTS评分系统优于Sokal、Hasford评分。新的ELTS评分可以对一线伊马替尼治疗CML患者的长期抗白血病疗效进行更好地前瞻性评估。 展开更多
关键词 慢性粒细胞白血病 伊马替尼 Sokal评分 Hasford评分 EUTOS评分 ELTS评分
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Enhanced pyroptosis induction with pore-forming gene delivery for osteosarcoma microenvironment reshaping
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作者 Jing-Jun Nie Bowen Zhang +15 位作者 Peng Luo maoguo Luo Yuwen Luo Jingjing Cao Honggang Wang jianping mao Yonggang Xing Weifeng Liu Yuning Cheng Renxian Wang Yajun Liu Xinbao Wu Xieyuan Jiang Xiaoguang Cheng Chi Zhang Da-Fu Chen 《Bioactive Materials》 SCIE CSCD 2024年第8期455-471,共17页
Osteosarcoma is the most common malignant bone tumor without efficient management for improving 5-year event-free survival.Immunotherapy is also limited due to its highly immunosuppressive tumor microenvironment(TME).... Osteosarcoma is the most common malignant bone tumor without efficient management for improving 5-year event-free survival.Immunotherapy is also limited due to its highly immunosuppressive tumor microenvironment(TME).Pore-forming gasdermins(GSDMs)-mediated pyroptosis has gained increasing concern in reshaping TME,however,the expressions and relationships of GSDMs with osteosarcoma remain unclear.Herein,gasdermin E(GSDME)expression is found to be positively correlated with the prognosis and immune infiltration of osteosarcoma patients,and low GSDME expression was observed.A vector termed as LPAD contains abundant hydroxyl groups for hydrating layer formation was then prepared to deliver the GSDME gene to upregulate protein expression in osteosarcoma for efficient TME reshaping via enhanced pyroptosis induction.Atomistic molecular dynamics simulations analysis proved that the hydroxyl groups increased LPAD hydration abilities by enhancing coulombic interaction.The upregulated GSDME expression together with cleaved caspase-3 provided impressive pyroptosis induction.The pyroptosis further initiated proinflammatory cytokines release,increased immune cell infiltration,activated adaptive immune responses and create a favorable immunogenic hot TME.The study not only confirms the role of GSDME in the immune infiltration and prognosis of osteosarcoma,but also provides a promising strategy for the inhibition of osteosarcoma by pore-forming GSDME gene delivery induced enhanced pyroptosis to reshape the TME of osteosarcoma. 展开更多
关键词 OSTEOSARCOMA PYROPTOSIS Gasdermin Gene delivery Immune microenvironment reshaping
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