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EGFR突变晚期非小细胞肺癌患者后线接受免疫治疗的疗效分析 被引量:11
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作者 马丽 秦娜 +5 位作者 张新勇 吴羽华 李浩洋 俞孟军 刘子臣 王敬慧 《中国肺癌杂志》 CAS CSCD 北大核心 2021年第5期338-344,共7页
背景与目的免疫检查点抑制剂单药治疗在驱动基因阳性的晚期非小细胞肺癌(non-small cell lung cancer, NSCLC)患者中疗效甚微。研究表明,部分驱动基因阳性患者靶向治疗耐药后对免疫联合治疗仍有效。国内研究甚少。本研究旨在分析人表皮... 背景与目的免疫检查点抑制剂单药治疗在驱动基因阳性的晚期非小细胞肺癌(non-small cell lung cancer, NSCLC)患者中疗效甚微。研究表明,部分驱动基因阳性患者靶向治疗耐药后对免疫联合治疗仍有效。国内研究甚少。本研究旨在分析人表皮生长因子(epidermal growth factor receptor, EGFR)敏感突变NSCLC患者后线接受免疫治疗的疗效,评价真实世界免疫联合化疗在EGFR突变晚期患者后线治疗中的价值。方法收集2018年6月-2020年11月在首都医科大学附属北京胸科医院确诊的EGFR突变的初治晚期肺腺癌患者共27例,均在靶向治疗进展后接受了程序性死亡受体1(programmed cell death protein 1, PD-1)检查点抑制剂联合化疗以及抗血管生成药物治疗。结果27例晚期NSCLC患者中,未合并T790M突变的有19例(70.4%),合并T790M点突变的有8例(29.6%)。总客观缓解率为40.7%。Kaplan-Meier生存分析显示,不同EGFR突变类型之间接受含PD-1单抗治疗的无进展生存期(progression-free survival, PFS)均无统计学差异(χ^(2)=4.15, P=0.23)。未合并T790M突变的患者PFS较合并T790M突变的患者显著延长(9.2个月vs 3.3个月,χ^(2)=2.81,P=0.041),两者总生存时间未见统计学差异(12.2个月vs 7.3个月,χ^(2)=3.22,P=0.062)。未合并T790M的客观缓解率明显优于合并T790M的患者(52.63%vs 12.5%, P=0.045)。结论 EGFR突变患者人群能从后线免疫联合治疗中获益,但合并T790M突变的患者后线接受免疫联合治疗疗效差。因此,这部分患者的后续治疗和全程化管理需要探索更优的治疗策略来提高获益。 展开更多
关键词 肺肿瘤 表皮生长因子受体 基因突变 免疫治疗
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驱动基因阳性且PD-L1高表达的非小细胞肺癌患者病理特征及靶向治疗疗效评估的真实世界研究 被引量:6
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作者 张卉 杨新杰 +11 位作者 李琨 王敬慧 吕嘉林 李曦 张新勇 秦娜 张权 吴羽华 马丽 盖飞 胡瑛 张树才 《中国肺癌杂志》 CAS CSCD 北大核心 2021年第2期78-87,共10页
背景与目的驱动基因突变阳性患者行靶向治疗,驱动基因阴性但程序性死亡配体1(programmed death-ligand 1,PD-L1)高表达患者行免疫抑制剂治疗,是晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)患者一线治疗的首选,但对于驱动基因... 背景与目的驱动基因突变阳性患者行靶向治疗,驱动基因阴性但程序性死亡配体1(programmed death-ligand 1,PD-L1)高表达患者行免疫抑制剂治疗,是晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)患者一线治疗的首选,但对于驱动基因阳性且PD-L1高表达患者的治疗选择仍值得探究。方法以315例NSCLC患者为研究对象,分析驱动基因阳性且PD-L1高表达患者的临床病理特征及靶向治疗疗效。结果本研究纳入的315例NSCLC患者中,驱动基因突变总阳性率为62.2%,PD-L1高表达率(≥50.0%)为11.2%,驱动基因阳性且PD-L1高表达的患者比例为10.7%。其中表皮生长因子受体(epidermal growth factor receptor,EGFR)突变、KRAS突变、ALK融合、BRAF突变和MET 14外显子跳跃突变患者中均有PD-L1高表达,比例分别为7.8%(11/141)、18.2%(4/22)、23.1%(3/13)、50.0%(2/4)和100.0%(1/1)。EGFR突变且PD-L1高表达患者主要为IV期肺腺癌患者,KRAS突变且PD-L1高表达患者主要为有吸烟史的患者。其中详细跟踪了两例分别为ALK融合阳性且PD-L1高表达(90.0%)和EGFR L858R突变且PD-L1高表达(70.0%)患者的靶向治疗全过程,两例患者总生存期分别仅为5个月和2个月。结论NSCLC患者各驱动基因突变与PD-L1高表达共存的比例和临床病理特征有较大差异。发生敏感突变且PD-L1高表达的患者靶向治疗疗效和预后可能更差。 展开更多
关键词 肺肿瘤 驱动基因 程序性死亡配体1 靶向治疗
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PD-L1高表达晚期非小细胞肺癌患者单纯免疫治疗与免疫联合化疗疗效比较 被引量:23
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作者 李浩洋 秦娜 +6 位作者 俞孟军 马丽 吴羽华 张卉 张新勇 李曦 王敬慧 《中国肺癌杂志》 CAS CSCD 北大核心 2021年第3期161-166,共6页
背景与目的以免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)为代表的免疫治疗越来越广泛地应用于肺癌治疗。然而,对于程序性死亡受体配体1(programmed cell death-ligand 1,PD-L1)高表达,即肿瘤比例评分(tumor proportion score... 背景与目的以免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)为代表的免疫治疗越来越广泛地应用于肺癌治疗。然而,对于程序性死亡受体配体1(programmed cell death-ligand 1,PD-L1)高表达,即肿瘤比例评分(tumor proportion score,TPS)≥50%的晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)患者,采用单纯免疫治疗还是免疫联合化疗在临床上仍存争议。本研究旨在评估PD-L1高表达的晚期NSCLC患者接受单纯免疫治疗与免疫联合化疗的疗效。方法本研究回顾性分析了49例PD-L1高表达晚期NSCLC患者的临床资料。PD-L1表达采用22C3抗体行免疫组化染色,按TPS判读PD-L1表达水平。比较不同临床特征分组患者的客观缓解率(objective response rate,ORR)和无进展生存时间(progression free survival,PFS)。结果免疫单药与免疫联合化疗组的ORR分别为47.1%(8/17)和43.8%(14/32),差异无统计学意义(P=0.825)。免疫单药与免疫联合化疗组的中位PFS分别为8.0个月和6.8个月,差异无统计学意义(P=0.502)。并对本组PD-L1高表达患者免疫治疗的预测因素进行了分析,结果显示,一线免疫治疗OR R(12/19,63.2%)显著优于二线及以上免疫治疗(10/30,33.3%),差异有统计学意义(P=0.041),二者间PFS无差异。年龄、性别、吸烟史、功能状态评分(performance status,PS)、病理类型、肿瘤大小、肿瘤淋巴结转移(tumor node metastasis,TNM)分期与OR R和PFS不相关。结论PD-L1高表达的晚期NSCLC患者接受免疫单药和免疫联合化疗的疗效相近。PD-L1高表达患者一线免疫治疗的ORR更佳。对此类人群的最佳治疗方案有待于前瞻性临床研究进一步探索。 展开更多
关键词 免疫检查点抑制剂 肺肿瘤 程序性死亡受体-配体1 单药治疗 联合治疗
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Technical Innovation of Electrostimulation Biofeedback Combined with Vaginal Dumbbell in the Treatment of Postpartum Pelvic Floor Dysfunction 被引量:3
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作者 yuhua wu Guosheng Su +5 位作者 Lihua Qin Xiaohua Nong Chunhong Pan Han Wei Yulan Wei Fangxiu Liu 《Open Journal of Obstetrics and Gynecology》 2020年第4期463-477,共15页
Objective: To investigate the application value of electrostimulation biofeedback therapy in combination with vaginal dumbbell therapy to postpartum pelvic floor dysfunction. Methods: Retrospective analysis of 200 cas... Objective: To investigate the application value of electrostimulation biofeedback therapy in combination with vaginal dumbbell therapy to postpartum pelvic floor dysfunction. Methods: Retrospective analysis of 200 cases of postpartum pelvic floor dysfunction patients discharged from the hospital from January 2016 to March 2019 as study subjects who were excluded other underlying diseases and were randomly divided into two groups of 100 cases per group, using electrostimulation biofeedback therapy combined vaginal dumbbell therapy as a treatment group. The treatment of electrostimulation biofeedback therapy in combination with kegel was treated as a control group. Then the curative effects of the two groups were compared and statistically analyzed. Results: There was no significant difference in EMG value of postpartum pelvic floor treatment, type I muscle strength, type II muscle strength, muscle type I fatigue, type II fatigue and POP-Q detection results between the two groups before treatment, p > 0.05. There were significant differences in type I muscle strength, type II muscle strength and muscle type I fatigue between the pelvic floor muscles and the muscles at the end of the treatment day, the sixth month and one year after treatment, p ?There was no statistically significant difference at?the end of muscle type II fatigue?treatment day, p > 0.05;while after the treatment of six months and one year, the difference was statistically significant, p 0.05. In addition, the treatment group and the control group were compared before and after treatment, the difference of myoelectric potential value, pelvic floor muscle type I muscle strength, type II muscle strength, muscle type I fatigue degree, type II fatigue degree and POP-Q test result were significant, and the changes in the indicators before and after treatment in the treatment group were significantly higher than the control group. Comparison of urinary incontinence between the two groups before and after treatment, the difference between pre-treatment and the end of treatment day was not statistically significant, p > 0.05;there was significant difference between half a year and one year after treatment (p 0.05, respectively). Comparing?the satisfaction with sexual life after the time of treatment day, half a year and one year after the end of treatment, the difference was statistically significant (p ?Conclusion: Electrical stimulation biofeedback therapy combined with vaginal dumbbell therapy has a good effect in the treatment of postpartum pelvic floor dysfunction, and it is worthy of popularization and application. 展开更多
关键词 Electrical Stimulation BIOFEEDBACK THERAPY DUMBBELL THERAPY POSTPARTUM Pelvic Floor Dysfunction
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Copy number and zygosity determination of transgenic rapeseed by droplet digital PCR 被引量:5
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作者 yuhua wu Jun Li +4 位作者 Xiaying Li Jingang Liang Yunjing Li Xinhua Zeng Gang wu 《Oil Crop Science》 2017年第2期84-94,共11页
Establishing an accurate and rapid method for copy number and zygosity determination can accelerate genetic engineering research process. In this study, droplet digital PCR (ddPCR), an emerging DNA absolute quantifica... Establishing an accurate and rapid method for copy number and zygosity determination can accelerate genetic engineering research process. In this study, droplet digital PCR (ddPCR), an emerging DNA absolute quantification technology, was used to identify single-copy homozygous transgenic lines from a batch of T0 transgenic rapeseed harboring 11 exogenous elements. Copy number of exogenous gene was evaluated in T0 generation based on calculated ratio between transgene and reference CruA gene, single-copy transformants were selected for selfing followed by subsequent zygosity analysis. Single-copy homozygous transgenic plants were successfully screened out in T1 generation by ddPCR.Segregation analysis with T2 seedlings verified that identification results of ddPCR were accurate and reliable. This study provides a novel rapid and accurate method for copy number and zygosity determination in transgenic rapeseed which overcomes disadvantages of traditional Southern analysis and recently developed real-time quantitative method. 展开更多
关键词 DROPLET DIGITAL PCR (ddPCR) copy number ZYGOSITY homozygotes transgenic RAPESEED
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Relationship between heavy metals and polycyclic aromatic hydrocarbons in the multi-phases of Nanhu Lake, China
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作者 Yu LI Xiaoli WANG +2 位作者 yuhua wu Mao YUAN Shuhai GUO 《Chinese Journal Of Geochemistry》 EI CAS 2006年第B08期201-201,共1页
关键词 多环芳烃 重金属 环境污染 PAHS 水污染化学
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An efficient method to extract DNA from refined rapeseed oil 被引量:1
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作者 Lin SHAO Yunjing LI +4 位作者 Danfeng WAN yuhua wu Jun LI Li ZHU Gang wu 《Oil Crop Science》 2016年第1期38-44,共7页
Genetically modified oilseeds were used as processing raw material for edible oils. The protection of consumer rights to information as well as the genetically modified orgamisms (GMO) labe-ling polily required anal... Genetically modified oilseeds were used as processing raw material for edible oils. The protection of consumer rights to information as well as the genetically modified orgamisms (GMO) labe-ling polily required analytical methods to determine whether the oils contained genetically modified ingre-dient or not. Polymerase chain reaction (PCR) - based method was used commonly to determine the presence of GMOs. Adulteration attracted peoples concern also. Thus it was crucial that enough DNA ex-tracts can be obtained successfully from oil samples. For the purpose, three DNA extraction methods (modified emulsification method, the kits Wizard Magnetic DNA purification system for food and Nucleospin Food) ,were applied to 3 different grades of rapeseed oil samples. Those methods were compared by the amplification of Brassica napus reference gene CruA using real - time PCR. The results demonstra-ted that both the modified emulsification and the Nucleospin methods were able to extract enough DNA from refined oils. The modified emulsification method was superior to the kit of Nucleospin food due to smaller volume of required sample. 展开更多
关键词 rapeseed oil genetically modified organisms DNA extraction real-time PCR
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Rapid screening of genetically modified ingredients in soybean and cotton processing by-product and waste using direct qPCR
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作者 Yunjing Li Fang Xiao +5 位作者 Biao Liu Hongfei Gao yuhua wu Jun Li Jun Li Gang wu 《Oil Crop Science》 2020年第3期142-148,共7页
To develop a simple and fast method for screening genetically modified ingredients from processing by-product and waste,direct quantitative PCR(qPCR)kit-Taqman which omitting multi genomic DNA preparing steps was deve... To develop a simple and fast method for screening genetically modified ingredients from processing by-product and waste,direct quantitative PCR(qPCR)kit-Taqman which omitting multi genomic DNA preparing steps was developed in this study.A total of 18 oil crop processing by-products and wastes including 10 soybean and 8 cotton materials were collected from food processing factories.Compared with 2 commercial direct qPCR kits,conditions of DNA releasing procedure and PCR amplification were optimized.Element screening was performed at the initial step of genetically modified(GM)ingredient testing procedure via direct qPCR.GM event identification was carried out in positive samples by initial screening.Totally 5 screening elements(P–35S,T-NOS,Cp4-epsps,bar and pat)for soybean materials and 6 screening elements(P–35S,T-NOS,NPTII,Cry1Ac,bar and pat)for cotton samples were detected.In GM event identification,MON531 and MON1445 were found in cotton materials.Results were further confirmed by real-time PCR with DNA extraction and purification.The direct qPCR system proposed by this research was convenient for rapid screening and identification of GM ingredients in oil crop primary by-product and waste. 展开更多
关键词 SOYBEAN COTTON Genetically modified ingredients Direct qPCR Rapid screening Real-time PCR
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The Influence of Familial Reference Groups on Consumer Decisions in Different Culture Context
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作者 Ze Sun Jing Xie yuhua wu 《Chinese Business Review》 2006年第4期9-14,共6页
This paper examines the influence of familial reference groups on individuals' product and brand decisions for products across two kinds of culture. The study is addressed through an examination of intergenerational ... This paper examines the influence of familial reference groups on individuals' product and brand decisions for products across two kinds of culture. The study is addressed through an examination of intergenerational influences across the two different cultures. The results of the study lend support to the original approach and also provide an insight look into how reference group influence may vary depending on different culture context. The paper also provides very useful advice for marketers when they apply western marketing concepts in China market. 展开更多
关键词 reference group influence consumer behavior culture
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The Research of Galanz's Niche Strategy
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作者 Yuxia Gong yuhua wu 《Chinese Business Review》 2005年第2期75-78,81,共5页
Niche strategy is one of the competitive strategies based on a small market, and an enterprise enters the market and becomes the leader of the market in the end. Galanz is a typical Chinese manufacturer to execute nic... Niche strategy is one of the competitive strategies based on a small market, and an enterprise enters the market and becomes the leader of the market in the end. Galanz is a typical Chinese manufacturer to execute niche strategy. It makes use of labour force advantage, resource advantage and technologist advantage to enter microwave oven market, and it has been one of the most famous manufacture factories in the world. The success of Galanz gives elicitations to other Chinese manufacturers, and it will inspirit more and more manufacturers appear similar as Galanz. 展开更多
关键词 competitive strategy niche strategy labour force advantage resource advantage technologist advantage microwave oven market
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Research on Construction of the Public Technique Terrace in High-tech Result Conversion
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作者 Xiaolin Zhang yuhua wu Rundong Zhang 《Chinese Business Review》 2005年第6期72-74,共3页
The public technique terrace is the research organization for providing the middle experimentation and applying research for technology conversion. Firstly, the paper analyzes the important function of the public tech... The public technique terrace is the research organization for providing the middle experimentation and applying research for technology conversion. Firstly, the paper analyzes the important function of the public technique terrace. Secondly, some suggestions on how to build up the public technique terrace are put forward from five aspects including government, enterprise, media organization, and so on. 展开更多
关键词 public technique terrace result conversion research organization
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Analysis on the Correlation between Stock Exchange and Economic Growth
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作者 yuhua wu Wen Liu 《Chinese Business Review》 2004年第8期16-20,共5页
The problem considered is the correlation between stock exchange and economy growth. Stepwise regression is being used on the following figures: increasing rate of GDP, the volume of stock market, and liquidity. As a... The problem considered is the correlation between stock exchange and economy growth. Stepwise regression is being used on the following figures: increasing rate of GDP, the volume of stock market, and liquidity. As a result, we give .an.equation of national economy and stock market. Then, we use Granger's Causality test to prove that the stock market has positive effects on the national economy. 展开更多
关键词 economy growth stock market regression causality test
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Evaluation of five DNA extraction methods for commercial vegetable oils
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作者 Yunjing Li Lin Shao +5 位作者 Xiao Fang Danfeng Wan yuhua wu Jun Li Li Zhu Gang wu 《Oil Crop Science》 2018年第2期122-136,共15页
To ensure food safety, it's vital to accurately detect genetically modified(GM)ingredient adulteration in food products and effectively detect the adulteration of vegetable oils from GM organisms(GMO). Therefore, ... To ensure food safety, it's vital to accurately detect genetically modified(GM)ingredient adulteration in food products and effectively detect the adulteration of vegetable oils from GM organisms(GMO). Therefore, it's essential to establish efficient DNA isolation method from vegetable oil. Here, we evaluate 5 DNA isolation methods using 25 commercial vegetable oils produced from soybean, peanut, corn, sunflower, rapeseed as well as blended oils. Quality of isolated DNA was determined by Nanodrop 2000 spectrophotometry. Real-time PCR and universal gene tRNA-Leu was used to assess resolution of methods. Our results showed that only DNA samples isolated by modified emulsification method based on cetyl trimethylammonium bromide(CTAB) were able to amplify t RNA-Leu gene.Moreover, Ct values of species specific endogenous reference genes were greater than 36 in these samples. In summary, CTAB method showed the best resolution on GMO adulteration detection for commercial vegetable oils, especially in fully refined oils. 展开更多
关键词 COMMERCIAL VEGETABLE oil DNA extraction DNA quality QUANTITATIVE PCR GMO detection
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