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手术切除的N2期非小细胞肺癌预后影响因素探究 被引量:25
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作者 杨振宇 韦诗友 +1 位作者 夏粱 刘伦旭 《中国肺癌杂志》 CAS CSCD 北大核心 2020年第1期15-20,共6页
背景与目的N2期非小细胞肺癌患者预后异质性很强,本研究旨在探索其预后相关因素。方法纳入四川大学华西医院胸外科2007年1月-2016年12月间行根治性切除的N2期患者,使用Cox模型比较临床病理学特征与总体生存率之间的关系,使用Kaplan-Meie... 背景与目的N2期非小细胞肺癌患者预后异质性很强,本研究旨在探索其预后相关因素。方法纳入四川大学华西医院胸外科2007年1月-2016年12月间行根治性切除的N2期患者,使用Cox模型比较临床病理学特征与总体生存率之间的关系,使用Kaplan-Meier法绘制生存曲线,并且根据淋巴结转移情况进行亚组分析。结果总共纳入773例N2期患者,中位随访时间57.2个月,5年总体生存率为34.8%。肿瘤原发灶-淋巴结-远处转移(tumor-nodemetastasis,TNM)分期、多站淋巴结转移、跳跃性转移、脉管侵犯、辅助化疗为预后相关的独立风险因素。T1-3期患者具有相似的预后,T4期患者预后明显更差。单站跳跃性转移的患者预后最好,5年生存率达48.9%。结论N2患者中T4期预后差。在将来的分期中应结合淋巴结转移站数和跳跃性转移进行更精细的N分期划分。 展开更多
关键词 肺肿瘤 TNM分期 预后
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Tet methylcytosine dioxygenase 2(TET2)deficiency elicits EGFR-TKI(tyrosine kinase inhibitors)resistance in non-small cell lung cancer
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作者 Jian Zhang Kejia Zhao +16 位作者 Wenjing Zhou Ran Kang shiyou wei Yueli Shu Cheng Yu Yin Ku Yonghong Mao Hao Luo Jugin Yang Jiandong Mei Qiang Pu Senyi Deng Zhengyu Zha Gang Yuan Shensi Shen Yaohui Chen Lunxu Liu 《Signal Transduction and Targeted Therapy》 SCIE CSCD 2024年第4期1706-1720,共15页
Despite epidermal growth factor receptor(EGFR)tyrosine kinase inhibitors(TKl)have shown remarkable efficacy in patients with EGFR-mutant non-small cell lung cancer(NSCLC),acquired resistance inevitably develops,limiti... Despite epidermal growth factor receptor(EGFR)tyrosine kinase inhibitors(TKl)have shown remarkable efficacy in patients with EGFR-mutant non-small cell lung cancer(NSCLC),acquired resistance inevitably develops,limiting clinical efficacy.We found that TET2 was poly-ubiquitinated by E3 ligase CUL7^(FBXW11) and degraded in EGFR-TKI resistant NSCLC ells.Genetic perturbationof TET2 rendered parental cells more tolerant to TKI treatment.TET2 was stabilized by MEK1 phosphorylation at Ser 1107,while MEK1 inactivation promoted its proteasome degradation by enhancing the recruitment of CUL7^(FBXW11),Loss of TET2 resulted in the upregulation of TNF/NF-kB signaling that confers the EGFR-TKI resistance.Genetic or pharmacological inhibition of NF-kB attenuate the TKI resistance both in vitro and in vivo.Our findings exemplified how a cell growth controlling kinase MEK1 leveraged the epigenetic homeostasis by regulating TET2,and demonstrated an alternative path of non-mutational acquired EGFR-TKI resistance modulated by TET2 deficiency.Therefore,combined strategy exploiting EGFR-TKI and inhibitors of TET2/NF-κB axis holds therapeutic potential for treating NSCLC patients who suffered from this resistance. 展开更多
关键词 TET2 TKI RESISTANCE
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