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聚乙二醇化重组人粒细胞集落刺激因子初级与次级预防化疗后中性粒细胞减少的有效性和安全性临床研究 被引量:29
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作者 李惠平 樊征夫 +6 位作者 郑虹 高雨农 涂梅峰 宋国红 邵彬 高天 朱军 《中国肿瘤临床》 CAS CSCD 北大核心 2019年第14期739-744,共6页
目的:评价聚乙二醇化重组人粒细胞集落刺激因子(pegylated recombinant human granulocyte colony-stimulating factor,PEG-rhG-CSF)初级与次级预防化疗后中性粒细胞减少的有效性和安全性.方法:本研究为单中心、开放、单臂临床研究,分析... 目的:评价聚乙二醇化重组人粒细胞集落刺激因子(pegylated recombinant human granulocyte colony-stimulating factor,PEG-rhG-CSF)初级与次级预防化疗后中性粒细胞减少的有效性和安全性.方法:本研究为单中心、开放、单臂临床研究,分析2016年5月至2018年12月北京大学肿瘤医院217例受试者.非髓性恶性肿瘤患者于化疗结束后24~48 h皮下注射PEG-rhG-CSF,体质量≥45 kg者给予6 mg/次,<45 kg者给予3 mg/次,每个化疗周期注射1次.结果:217例患者共完成774个化疗周期,患者包括18例妇科肿瘤(3例子宫内膜癌、15例卵巢癌),50例乳腺癌,30例骨肿瘤和119例淋巴瘤,146例接受初级预防,71例接受次级预防.中性粒细胞减少性发热(febrile neutropenia,FN)发生率为5.7%,初级预防组发生率为4.9%,次级预防发生率为7.2%.Logistic单因素与多因素分析显示,PEG-rhG-CSF持续治疗周期越长,FN发生率越低.初级与次级预防的FN发生率均在治疗第2个周期显著低于第1个周期.初级预防为第1个周期11.6%vs.第2个周期4.4%,(P=0.039);次级预防为第1个周期16.9%vs.第2个周期5.6%,(P=0.034).Ⅳ度中性粒细胞减少发生率为10.3%(80/774),其中初级预防组为6.7%(34/510),次级预防组为17.4%(46/264),差异具有统计学意义(P<0.001).Ⅳ度中性粒细胞减少发生率均在治疗第2个周期显著低于第1个周期.初级预防为第1个周期17.1%vs.第2周期5.3%,(P=0.004);次级预防为第1个周期46.5%vs.第2个周期11.3%,(P<0.001).药物相关不良反应主要为骨痛,患者Ⅰ/Ⅱ度骨痛发生率为3.7%(8/217),Ⅲ/Ⅳ度骨痛发生率为1.8%(4/217).结论:PEG-rhG-CSF预防性应用于非髓性恶性肿瘤,可有效降低FN发生率.初级预防比次级预防显著降低整个化疗周期Ⅳ度中性粒细胞减少的发生. 展开更多
关键词 聚乙二醇化重组人粒细胞集落刺激因子 肿瘤 化疗 中性粒细胞减少症
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盐酸安罗替尼胶囊治疗晚期软组织肉瘤Ⅱb期多中心临床试验的单中心数据分析 被引量:36
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作者 刘佳勇 樊征夫 +6 位作者 李舒 薛瑞峰 高天 白楚杰 张路 谭智超 方志伟 《中国肿瘤临床》 CAS CSCD 北大核心 2018年第20期1066-1070,共5页
目的:根据单中心的临床试验数据,分析安罗替尼治疗晚期软组织肉瘤(soft tissue sarcoma,STS)的有效性和安全性。方法:收集2015年6月至2017年3月在北京肿瘤医院骨与软组织肿瘤科参加盐酸安罗替尼胶囊治疗晚期软组织肉瘤Ⅱb临床试验的46... 目的:根据单中心的临床试验数据,分析安罗替尼治疗晚期软组织肉瘤(soft tissue sarcoma,STS)的有效性和安全性。方法:收集2015年6月至2017年3月在北京肿瘤医院骨与软组织肿瘤科参加盐酸安罗替尼胶囊治疗晚期软组织肉瘤Ⅱb临床试验的46例患者。患者按照2:1的比例随机分成安罗替尼治疗组和安慰剂组,治疗组接受安罗替尼12 mg/d,d1~d14,21天为一个周期。主要研究终点为疾病无进展期(progression free survival,PFS),次要研究终点为疾病控制率(disease control rate,DCR)、总生存时间(overall survival,OS)和安全性。结果:共入组46例,其中7例从符合方案集(per protocol set,PPS)中移除,剩余39例患者中安罗替尼治疗组28例,安慰剂组11例。安罗替尼治疗组中4例PR,13例SD;安慰剂组3例SD,两组的DCR接近统计学差异(60.7%vs. 27.3%,P=0.082);其中安罗替尼治疗组中腺泡状软组织肉瘤的DCR为78.6%(11/14)。安罗替尼治疗组的中位PFS为12.4个月(95%CI:7.6~17.2个月),显著优于安慰剂组4.0月(95%CI:1.7~6.3个月,P=0.043);但是两组的OS无显著性差异(19.4个月vs.17.6个月,P=0.961)。安全性方面,安罗替尼治疗组中共2例(7.14%)患者出现了可能与药物相关的严重不良反应(severe adverseevent,SAE),其中1例(3.6%)为气胸,其余不良反应均为1~2级。结论:安罗替尼在软组织肉瘤患者中表现出良好的DCR率,且能显著延长患者的PFS,并且患者的耐受性良好。安罗替尼可以作为晚期软组织肉瘤的治疗选择,尤其是腺泡状软组织肉瘤。 展开更多
关键词 软组织肉瘤 靶向治疗 安罗替尼 疾病无进展生存期 腺泡状软组织肉瘤
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KIF18B promotes tumor progression in osteosarcoma by activating β-catenin 被引量:11
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作者 Tian Gao Ling Yu +7 位作者 Zhiwei fang Jiayong Liu Chujie Bai Shu Li Ruifeng Xue Lu Zhang Zhichao Tan zhengfu fan 《Cancer Biology & Medicine》 SCIE CAS CSCD 2020年第2期371-386,共16页
Objective:Osteosarcoma is a common primary highly malignant bone tumor.Kinesin family member 18B(K1F18B)has been identified as a potential oncogene involved in the development and metastasis of several cancer types.Wh... Objective:Osteosarcoma is a common primary highly malignant bone tumor.Kinesin family member 18B(K1F18B)has been identified as a potential oncogene involved in the development and metastasis of several cancer types.While KIF18B overexpression in osteosarcoma tissue is clearly detected,its specific function in the disease process remains to be established.Methods:K IF18B expression was assessed in osteosarcoma tissues and cells.We additionally evaluated the effects of KIF18B on proliferation,migration,and invasion of osteosarcoma cells,both in vitro and in vivo.Results:Our results showed overexpression of KIF18B in osteosarcoma tissues and cells.Knockdown of K IF18B induced G1/S phase arrest and significantly inhibited proliferation,migration,and invasion of osteosarcoma cells,both in vitro and in vivo.K IF18B regulated P-catenin expression at the transcriptional level by controlling nuclear aggregation of ATF2 and at the post-transcriptional level by interacting with the adenomatous polyposis coli(APC)tumor suppressor gene in osteosarcoma cells.Conclusions:KIF18B plays a carcinogenic role in osteosarcoma by regulating expression ofβ-catenin transcriptionally via decreasing nuclear aggregation of ATF2 or post-transcriptionally through interactions with APC.Our collective findings support the potential utility of KIF18B as a novel prognostic biomarker for osteosarcoma. 展开更多
关键词 Β-CATENIN APC ATF2 KIF18B OSTEOSARCOMA
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Efficacy of vinorelbine combined with low-dose methotrexate for treatment of inoperable desmoid tumor and prognostic factor analysis 被引量:7
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作者 Shu Li zhengfu fan +5 位作者 Zhiwei fang Jiayong Liu Chujie Bai Ruifeng Xue Lu Zhang Tian Gao 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2017年第5期455-462,共8页
Objective: To assess the efficacy of conservative chemotherapy for inoperable desmoid tumor(DT) and analyze the prognostic factors.Methods:From November 2008 to April 2016,71 patients of inoperable DT were treated... Objective: To assess the efficacy of conservative chemotherapy for inoperable desmoid tumor(DT) and analyze the prognostic factors.Methods:From November 2008 to April 2016,71 patients of inoperable DT were treated with vinorelbine and low-dose methotrexate in the Department of Bone and Soft Tissue Tumors,Peking University Cancer Hospital&Institute,and enrolled in this retrospective study.The chemotherapy duration is one year.The efficacy of chemotherapy and the prognosis were observed.Results:Of the 71 patients,55% were female.Age of onset varied from 1 to 47 years,and the median age was 14years.Only 11(15.5%)cases suffered primary tumor.The distribution of the site of tumors was:31(43.7%)in the trunk,36(50.7%)in the limbs,and 4(5.6%)in the peritoneal and pelvic cavity.The size of tumor(the maximum diameter)differed from 2 to 37 cm with a mean of 9.3 cm.The median follow-up duration was 28(range,6–87)months.Common side effects included:nausea and vomiting,liver injury,bone marrow suppression and oral ulcers.When the chemotherapy finished,1(1.4%)case achieved complete response,24(33.8%)achieved partial response,37(52.1%)achieved stable disease and 9(12.7%)had progressive disease.The overall response rate was 87.3%.The progression-free survival(PFS)of the participants were from 6 to 87 months,and the 2-,3-and 5-year PFS was 79.9%,68.4% and 36.3%,respectively.No significant difference was identified in PFS in subgroups of gender,age of onset,age of chemotherapy,tumor site and tumor size.Conclusions:For recurrent,inoperable and progressive DT,enough course of chemotherapy with vinorelbine combined with low-dose methotrexate was an optional choice for local control. 展开更多
关键词 Desmoid tumor aggressive fibromatosis chemotherapy
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Carboxymethyl chitosan-alginate enhances bone repair effects of magnesium phosphate bone cement by activating the FAK-Wnt pathway 被引量:3
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作者 Ling Yu Tian Gao +8 位作者 Wei Li Jian Yang Yinchu Liu Yanan Zhao Ping He Xuefeng Li Weichun Guo zhengfu fan Honglian Dai 《Bioactive Materials》 SCIE CSCD 2023年第2期598-609,共12页
There is a continuing need for artificial bone substitutes for bone repair and reconstruction,Magnesium phosphate bone cement(MPC)has exceptional degradable properties and exhibits promising biocompatibility.However,i... There is a continuing need for artificial bone substitutes for bone repair and reconstruction,Magnesium phosphate bone cement(MPC)has exceptional degradable properties and exhibits promising biocompatibility.However,its mechanical strength needs improved and its low osteo-inductive potential limits its therapeutic application in bone regeneration.We functionally modified MPC by using a polymeric carboxymethyl chitosan-sodium alginate(CMCS/SA)gel network.This had the advantages of:improved compressive strength,ease of handling,and an optimized interface for bioactive bone in-growth.The new composites with 2%CMCS/SA showed the most favorable physicochemical properties,including mechanical strength,wash-out resistance,setting time,injectable time and heat release.Biologically,the composite promoted the attachment and proliferation of osteoblast cells.It was also found to induce osteogenic differentiation in vitro,as verified by expression of osteogenic markers.In terms of molecular mechanisms,data showed that new bone cement activated the Wnt pathway through inhibition of the phosphorylation ofβ-catenin,which is dependent on focal adhesion kinase.Through micro-computed tomography and histological analysis,we found that the MPC-CMCS/SA scaffolds,compared with MPC alone,showed increased bone regeneration in a rat calvarial defect model.Overall,our study suggested that the novel composite had potential to help repair critical bone defects in clinical practice. 展开更多
关键词 Critical bone defect Magnesium phosphate cement Carboxymethyl chitosan Sodium alginate Osteogenic differentiation
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Nanofiber-induced hierarchically-porous magnesium phosphate bone cements accelerate bone regeneration by inhibiting Notch signaling 被引量:1
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作者 Jingteng Chen Ling Yu +11 位作者 Tian Gao Xiangyang Dong Shiyu Li Yinchu Liu Jian Yang Kezhou Xia Yaru Yu Yingshuo Li Sen Wang zhengfu fan Hongbing Deng Weichun Guo 《Bioactive Materials》 SCIE CSCD 2024年第7期459-476,共18页
Magnesium phosphate bone cements(MPC)have been recognized as a viable alternative for bone defect repair due to their high mechanical strength and biodegradability.However,their poor porosity and permeability limit os... Magnesium phosphate bone cements(MPC)have been recognized as a viable alternative for bone defect repair due to their high mechanical strength and biodegradability.However,their poor porosity and permeability limit osteogenic cell ingrowth and vascularization,which is critical for bone regeneration.In the current study,we constructed a novel hierarchically-porous magnesium phosphate bone cement by incorporating extracellular matrix(ECM)-mimicking electrospun silk fibroin(SF)nanofibers.The SF-embedded MPC(SM)exhibited a heterogeneous and hierarchical structure,which effectively facilitated the rapid infiltration of oxygen and nutrients as well as cell ingrowth.Besides,the SF fibers improved the mechanical properties of MPC and neutralized the highly alkaline environment caused by excess magnesium oxide.Bone marrow stem cells(BMSCs)adhered excellently on SM,as illustrated by formation of more pseudopodia.CCK8 assay showed that SM promoted early proliferation of BMSCs.Our study also verified that SM increased the expression of OPN,RUNX2 and BMP2,suggesting enhanced osteogenic differentiation of BMSCs.We screened for osteogenesis-related pathways,including FAK signaing,Wnt signaling and Notch signaling,and found that SM aided in the process of bone regeneration by suppressing the Notch signaling pathway,proved by the downregulation of NICD1,Hes1 and Hey2.In addition,using a bone defect model of rat calvaria,the study revealed that SM exhibited enhanced osteogenesis,bone ingrowth and vascularization compared with MPC alone.No adverse effect was found after implantation of SM in vivo.Overall,our novel SM exhibited promising prospects for the treatment of critical-sized bone defects. 展开更多
关键词 Critical-sized bone defects Magnesium phosphate bone cement Silk fibroin nanofibers Bone regeneration Notch signaling pathway
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