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HBV相关肝癌术后复发的系统性药物治疗疗效分析
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作者 张源净 李铭龙 +1 位作者 王俊学 谢莹 《肝脏》 2021年第10期1082-1086,共5页
目的观察系统性药物治疗对HBV相关肝癌术后复发患者的的疗效和预后,并分析疗效影响因素。方法收集43例肝癌术后(包括手术切除、肝移植)复发的患者的基线人口学资料和临床数据,在予以系统性药物治疗(索拉非尼、仑伐替尼、化疗)后,基于REC... 目的观察系统性药物治疗对HBV相关肝癌术后复发患者的的疗效和预后,并分析疗效影响因素。方法收集43例肝癌术后(包括手术切除、肝移植)复发的患者的基线人口学资料和临床数据,在予以系统性药物治疗(索拉非尼、仑伐替尼、化疗)后,基于RECIST 1.1标准来评估疗效;通过COX回归模型来分析影响HCC患者无进展生存期(PFS)和总生存期(OS)的因素,用Kaplan-meier法绘制生存曲线。结果疗效评估结果显示PD的患者7例,10例为PR,26例为SD。单因素分析表明HBV DNA阳性、肿瘤分期BCLC C期显著影响了PFS(P<0.05)。基于OS的分析结果显示,腹水(HR 2.70095%CI:1.058~6.889,P=0.038)、HBV DNA阳性(HR 2.87395%CI:1.030~8.012,P=0.044)、AFP高水平(HR 4.75395%CI:1.404~16.086,P=0.012)、肿瘤分期BCLC C期(HR 7.75395%CI:2.365~25.414,P=0.001)等因素影响患者生存期,术前BCLC C期患者预后最差,为独立危险因素。结论腹水、HBV DNA阳性、术前肿瘤分期晚的患者预示系统性药物治疗疗效较差,提示这类患者术后应密切检测病情,及时采取全面的系统治疗,以改善预后。 展开更多
关键词 乙型肝炎病毒 肝细胞癌 术后 复发 系统性药物治疗
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pH-responsive mesoporous silica nanoparticles employed in controlled drug delivery systems for cancer treatment 被引量:8
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作者 Ke-Ni Yang Chun-Qiu Zhang +3 位作者 Wei Wang Paul C.Wang Jian-Ping Zhou Xing-Jie Liang 《Cancer Biology & Medicine》 SCIE CAS CSCD 2014年第1期34-43,共10页
In the fight against cancer, controlled drug delivery systems have emerged to enhance the therapeutic efficacy and safety of anti-cancer drugs. Among these systems, mesoporous silica nanoparticles (MSNs) with a func... In the fight against cancer, controlled drug delivery systems have emerged to enhance the therapeutic efficacy and safety of anti-cancer drugs. Among these systems, mesoporous silica nanoparticles (MSNs) with a functional surface possess obvious advantages and were thus rapidly developed for cancer treatment. Many stimuli-responsive materials, such as nanopartides, polymers, and inorganic materials, have been applied as caps and gatekeepers to control drug release from MSNs. This review presents an overview of the recent progress in the production of pH-responsive MSNs based on the pH gradient between normal tissues and the tumor microenvironment. Four main categories of gatekeepers can respond to acidic conditions. These categories will be described in detail. 展开更多
关键词 Mesoporous silica nanoparticles PH-RESPONSIVE controlled drug release drug delivery systems antineoplastic protocols
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Adoptive therapy with CAR redirected T cells for hematological malignancies 被引量:11
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作者 Shiqi Li Zhi Yang +2 位作者 Junjie Shen Juanjuan Shan Cheng Qian 《Science China(Life Sciences)》 SCIE CAS CSCD 2016年第4期370-378,共9页
The survival of patients with hematological malignancies has been significantly improved due to the development of new therapeutic agents. However, relapse remains a major matter for concern. Recently, T cells enginee... The survival of patients with hematological malignancies has been significantly improved due to the development of new therapeutic agents. However, relapse remains a major matter for concern. Recently, T cells engineered with chimeric antigen receptor(CAR) were reported to show unprecedented responses in a range of hematological malignancies. The persistence of the CAR-T cell can last for years and tends toward long-term antitumor memory by which relapses can be effectively prevented. The primary side effects that appear in most clinical trials are cytokine release syndrome and neurotoxicity. However, these symptoms can be treated and reversed. In this review, we describe CAR structure and function and summarize recent advances in CAR-T cell therapy in hematological malignancies. 展开更多
关键词 cancer hematological malignancies immunotherapy chimeric antigen receptor T-cell therapy
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