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免疫及靶向药物联合肝动脉灌注化疗治疗晚期肝癌的回顾性分析 被引量:9
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作者 刘东明 穆瀚 +3 位作者 刘长富 邢文阁 宋天强 李慧锴 《中国肿瘤临床》 CAS CSCD 北大核心 2023年第17期888-892,共5页
目的:探讨免疫及靶向药物联合肝动脉灌注化疗术(hepatic arterial infusion chemotherapy,HAIC)治疗晚期肝细胞癌(hepatocellular carcinoma,HCC)的疗效与安全性。方法:回顾性分析2021年4月至2022年4月天津医科大学肿瘤医院收治的34例行... 目的:探讨免疫及靶向药物联合肝动脉灌注化疗术(hepatic arterial infusion chemotherapy,HAIC)治疗晚期肝细胞癌(hepatocellular carcinoma,HCC)的疗效与安全性。方法:回顾性分析2021年4月至2022年4月天津医科大学肿瘤医院收治的34例行HAIC联合信迪利单抗及贝伐珠单抗生物类似物治疗的晚期HCC患者,以首次治疗为起点,以患者死亡、疾病进展及不可耐受的不良反应为终点,按照实体肿瘤的疗效评价(mRECIST)1.1标准进行疗效评估,随访截至2023年4月。主要研究终点为客观缓解率(objective response rate,ORR),次要研究终点为疾病控制率(disease control rate,DCR)、总生存期(overall survival,OS)、无复发生存期(disease-free survival,DFS)、手术转化率及安全性。结果:ORR为52.9%,DCR可达到85.3%,手术转化利率为41.1%。部分缓解(partial response,PR)组1年OS及DFS分别为94.4%、50.0%;病变稳定(stable disease,SD)+病变进展(progressive disease,PD)组患者1年OS及DFS分别为66.7%、25.0%,两组差距均有统计学意义(P=0.002及P=0.013)。常见的不良反应有恶心呕吐(38.2%)、高血压(32.4%)及血小板减少(29.4%)等,无治疗相关死亡事件发生。结论:HAIC联合信迪利单抗及贝伐珠单抗生物类似物治疗晚期HCC的客观缓解率高,安全性良好,为后续临床试验的开展奠定了基础。 展开更多
关键词 晚期肝癌 肝动脉灌注化疗 免疫治疗 靶向治疗 不良反应
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The Effect of the MDM2-p53 Loop on the Sensitivity of Ovarian Cancer Cells to Cisplatin 被引量:2
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作者 Zhi Guo Hong Ni +5 位作者 Bin Li wenge xing Fang Liu Haipeng Yu Baoguo Li Xiuying Guo 《Chinese Journal of Clinical Oncology》 CSCD 2006年第2期87-91,共5页
OBJECTIVE To explore whether MDM2 transfection can alter the MDM2-p53 autoregulatory feedback loop so as to change the sensitivity of ovarian cancer cell lines to cisplatin. METHODS The ovarian cancer cell line A2780 ... OBJECTIVE To explore whether MDM2 transfection can alter the MDM2-p53 autoregulatory feedback loop so as to change the sensitivity of ovarian cancer cell lines to cisplatin. METHODS The ovarian cancer cell line A2780 expressing wild-type P53 and the ovarian cancer cell line SKOV-3 with the p53 null type were stably transfected with pCMV-MDM2 or pCMV as a control. The blocked expression of P53 was determined by Western blots. Cytotoxicity was assessed using the MTT assay and the trypan blue exclusion assay. Flow cytometry was used to detect changes in the cell cycle and removal of platinum -DNA adducts was measured by atomic absorption spec-troscopy. RESULTS (1) Parental A2780 and A2780-V cells (IC50= 15.14±1.39 μmol) have similar cisplatin sensitivities, whereas sensitivity to cisplatin in A2780-M cells (IC50=7.98±1.32 μmol) was 2 to 3 fold greater (P=0.001). The trypan blue exclusion assay demonstrated that cisplatin killed a higher percentage of A2780-M cells compared to A2780-V cells. There was no significant change following MDM2 transfection in SKOV-3 cells. (2) After cisplatin treatment, A2780-M cells showed a pronounced S-phase arrest, however, A2780 cells with the intact wild-type P53, arrested primarily at the G2/M transition. (3) Platinum uptake was similar for all of the A2780 cell lines after ciaplatin treatment, but the removal of plat-inum-DNA adducts was reduced in the A2780-M cells compared with A2780-V cells. CONCLUSION MDM2 increases cisplatin cytotoxicity in ovarian cancer cells by blocking the expression of p53 through the MDM2-p53 autoregulatory feedback loop. 展开更多
关键词 MDM2 pp53 drug sensitivity ovarion cancer cells.
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Experimental Study of the Effect of the Bax Gene on Human Hepatocellular Carcinoma and Therapy via Hepatic Artery Delivery
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作者 Zhi Guo wenge xing +5 位作者 Haishan Yang Lin Wang Yunpeng Jiang Bingyu Huang Gong Nu Yan Lu 《Chinese Journal of Clinical Oncology》 CSCD 2005年第4期731-736,共6页
OBJECTIVE To investigate apoptosis induced by Bax in hepatocellular carcinoma cells and to examine the results of 2 different routes for in vivo gene delivery. METHODS The anti-hepatocellular carcinoma activity of the... OBJECTIVE To investigate apoptosis induced by Bax in hepatocellular carcinoma cells and to examine the results of 2 different routes for in vivo gene delivery. METHODS The anti-hepatocellular carcinoma activity of the Bax gene transferred to the human hepatocellular carcinoma QGY7703 cell line was examined. In addition the Bax gene was transferred in vivo in mice via the caudal vein or hepatic artery to investigate the differences in target organ and non-target organ transfection. RESULTS 1)The Bax gene mediated by a binary adenoviral vector system induced apoptosis in the human hepatic carcinoma QFY7703 cell line. The cell apoptotic rate in the experimental group (Bax) was 50.2±6.9% but only 32.1 ± 9.7% in the Ad/CMV-p53 group, showing that the Bax-apoptotic rate was significantly higher than the control group. 2) LacZ expression was higher in the target organ (liver) when given through the hepatic artery than through the tail vein. In contrast, LacZ expression in the nontarget organs was higher if given through the tail vein compared to the hepatic artery. CONCLUSION Superselective hepatic artery delivery with Bax gene therapy is safe, specific, effective and has low toxicity. This study provided the basis for Bax-gene therapy via the hepatic artery in vivo. 展开更多
关键词 BAX hepatocellular carcinoma hepatic artery
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Comparative study on anti-HCV testing using plasma, dried plasma spots (DPS), and dried blood spots (DBS)
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作者 Jieqiong Ma Lin He +4 位作者 Kai Chen Yuehua Wang Yanan Ren wenge xing Yan Jiang 《Biosafety and Health》 CSCD 2021年第1期50-55,共6页
The aim of this study was to evaluate the performance of an assay using dried plasma spot(DPS)and dried blood spot(DBS)samples for the serological detection of anti-hepatitis C virus(HCV)antibodies.Between January and... The aim of this study was to evaluate the performance of an assay using dried plasma spot(DPS)and dried blood spot(DBS)samples for the serological detection of anti-hepatitis C virus(HCV)antibodies.Between January and July 2019,plasma,DPS and DBS specimens were collected from individuals at high-risk for HCV infection.Samples were tested for anti-HCV by ELISA,and the performance of DPS and DBS specimens was examined using results from the plasma testing,as the standard.Blood samples were collected from 329 persons,including 129 men who have sex with men and 200 intravenous drug users.Results from the plasma testing indicated that 118 samples(59.0%)were HCV positive.Data from the DPS sample testing showed sensitivity as 99.2%(95%confidence interval[CI]:0.95-1.00)and specificity as 100%(95%CI:0.98-1.00)for HCV detection,with Kappa of 99.3%(95%CI:0.98-1.00)while in DBS sample testing the sensitivity as 98.3%(95%CI:0.93-1.00)and specificity as 100%(95%CI:0.98-1.00),with Kappa of 98.7%(95%CI:0.97-1.00),respectively.Spearman’s correlation coefficients for the comparisons between plasma and DPS specimen,plasma and DBS specimens,DPS and DBS specimens were 0.857,0.750,and 0.739,respectively.Compared with the results in plasma,1 sample was not detected using the DPS specimens,and 2 samples were failed for the positive detection,using the DBS specimens.Both DPS and DBS samples were promising alternatives to plasma,for the detection of anti-HCV antibodies. 展开更多
关键词 HCV PLASMA Dried plasma spots Dried blood spots Spearman's correlation coefficient
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