目的总结CDK4/6抑制剂治疗乳腺癌所致不良反应的相关护理证据,为临床实践提供循证依据。方法采用PIPOST问题开发工具构建循证问题,按照“6S”证据金字塔模型,遵循自上而下的原则,系统检索BMJ Best Practice、Up To Date、澳大利亚乔安...目的总结CDK4/6抑制剂治疗乳腺癌所致不良反应的相关护理证据,为临床实践提供循证依据。方法采用PIPOST问题开发工具构建循证问题,按照“6S”证据金字塔模型,遵循自上而下的原则,系统检索BMJ Best Practice、Up To Date、澳大利亚乔安娜布里格斯研究所循证卫生保健数据库、美国国立指南数据库、美国国立综合癌症网络、加拿大医学会临床实践指南网、苏格兰校际指南网、国际指南协作网、英国国家卫生与临床优化研究所、新西兰指南协作组网站、加拿大安大护理学会、Pub Med、Web of Science、Cochrane Library、Embase、中国期刊全文数据库、万方学术期刊全文数据库、医脉通等,检索时限为建库起至2023年12月31日。由2~4名研究者进行文献筛选、质量评价、证据提取及整合。结果最终纳入17篇文献,其中包含1篇临床决策、1篇指南、2篇专家共识、4篇meta分析、1篇随机对照试验、2篇系统评价、6篇原始研究。从用药前评估、用药观察、皮肤护理、胃肠道反应管理、多学科协作管理、心理干预6个方面总结出17条证据。结论本研究总结了CDK4/6抑制剂治疗乳腺癌所致不良反应的相关护理证据,可为临床护理实践提供参考,护理人员可结合患者的临床症状与实际需求,实施规范化、个体化的护理干预。展开更多
Molecular glues(MGs), a class of small-molecule degraders, exhibit drug-like properties that generally conform to Lipinski's rule of five, while uniquely mediating the stabilization or induction of protein-protein...Molecular glues(MGs), a class of small-molecule degraders, exhibit drug-like properties that generally conform to Lipinski's rule of five, while uniquely mediating the stabilization or induction of protein-protein interactions. By altering the surface properties of either target proteins or E3 ligases, MGs promote the formation of a ternary complex comprising the MG, an E3 ligase, and a target protein. This interaction facilitates the polyubiquitination and subsequent degradation of the target protein via the ubiquitin-proteasome system.Owing to its distinctive mechanism of action and broad therapeutic potential, MG is offering novel approaches to disease treatment. This review summarizes recent advances in MGs targeting NEK7, WEE1, CDK2, GSPT1 and VAV1, emphasizing the rational design, benefits,and potential limitations, highlighting rational design principles, advantages, and current limitations including challenges in achieving selectivity and rational design that provide critical insights for enhancing MG efficacy. These developments are crucial for advancing the application and optimization of molecular glues targeting NEK7, WEE1, CDK2, GSPT1and VAV1.展开更多
文摘目的总结CDK4/6抑制剂治疗乳腺癌所致不良反应的相关护理证据,为临床实践提供循证依据。方法采用PIPOST问题开发工具构建循证问题,按照“6S”证据金字塔模型,遵循自上而下的原则,系统检索BMJ Best Practice、Up To Date、澳大利亚乔安娜布里格斯研究所循证卫生保健数据库、美国国立指南数据库、美国国立综合癌症网络、加拿大医学会临床实践指南网、苏格兰校际指南网、国际指南协作网、英国国家卫生与临床优化研究所、新西兰指南协作组网站、加拿大安大护理学会、Pub Med、Web of Science、Cochrane Library、Embase、中国期刊全文数据库、万方学术期刊全文数据库、医脉通等,检索时限为建库起至2023年12月31日。由2~4名研究者进行文献筛选、质量评价、证据提取及整合。结果最终纳入17篇文献,其中包含1篇临床决策、1篇指南、2篇专家共识、4篇meta分析、1篇随机对照试验、2篇系统评价、6篇原始研究。从用药前评估、用药观察、皮肤护理、胃肠道反应管理、多学科协作管理、心理干预6个方面总结出17条证据。结论本研究总结了CDK4/6抑制剂治疗乳腺癌所致不良反应的相关护理证据,可为临床护理实践提供参考,护理人员可结合患者的临床症状与实际需求,实施规范化、个体化的护理干预。
基金supported by the National Natural Science Foundation of China (No. 82304306)the Hubei Key Laboratory of Kidney Disease Occurrence and Intervention Development Fund (No. 2023SB108)+4 种基金the Huangshi City Science and Innovation Team Project of China (CXPT2023000002)the talent introduction program from Hubei Polytechnic University (No.19XJK07R)the Department of Education of Hubei Provincial Science and Technology Research Project (No. D20234502)the PostDoctoral Research Start-up Fund of Lishui People's Hospital, Zhejiang, China (2023bsh002)the Zhejiang Provincial Postdoctoral Research Project of Meritorious Support (ZJ2024007)。
文摘Molecular glues(MGs), a class of small-molecule degraders, exhibit drug-like properties that generally conform to Lipinski's rule of five, while uniquely mediating the stabilization or induction of protein-protein interactions. By altering the surface properties of either target proteins or E3 ligases, MGs promote the formation of a ternary complex comprising the MG, an E3 ligase, and a target protein. This interaction facilitates the polyubiquitination and subsequent degradation of the target protein via the ubiquitin-proteasome system.Owing to its distinctive mechanism of action and broad therapeutic potential, MG is offering novel approaches to disease treatment. This review summarizes recent advances in MGs targeting NEK7, WEE1, CDK2, GSPT1 and VAV1, emphasizing the rational design, benefits,and potential limitations, highlighting rational design principles, advantages, and current limitations including challenges in achieving selectivity and rational design that provide critical insights for enhancing MG efficacy. These developments are crucial for advancing the application and optimization of molecular glues targeting NEK7, WEE1, CDK2, GSPT1and VAV1.
