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Robust Tube-MPC Trajectory Tracking Control for Four-Wheel Independent Steering Vehicles on Intermittent Snowy and Icy Roads
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作者 Xiaochuan Zhou Ruiqi Liu +3 位作者 Jinyu Zhou Ziyu Zhang Chunyan Wang Wanzhong Zhao 《Chinese Journal of Mechanical Engineering》 2025年第5期64-82,共19页
Four-Wheel Independent Steering(4WIS)Vehicles can independently control the angle of each wheel,demonstrating superior trajectory tracking performance under normal conditions.However,on intermittent icy and snowy road... Four-Wheel Independent Steering(4WIS)Vehicles can independently control the angle of each wheel,demonstrating superior trajectory tracking performance under normal conditions.However,on intermittent icy and snowy roads,the presence of time-varying adhesion coefficients,time-varying cornering stiffness,and the irregularities due to ice and snow accumulation introduce multiple uncertainties into the steering system,significantly degrading the trajectory tracking performance of 4WIS vehicles.In response,this paper proposes a robust Tube Model Predictive Control(Tube-MPC)trajectory tracking control method for 4WIS.In this method,a Bi-directional Long Short-Term Memory neural network is established for online estimation of tire cornering stiffness under different road adhesion coefficients,providing accurate estimation of time-varying cornering stiffness for each wheel to mitigate the uncertainties of time-varying adhesion coefficients and cornering stiffness.Additionally,considering the road irregularities caused by snow accumulation on intermittent icy and snowy roads,a trajectory tracking controller that integrates Tube-MPC and robust Sliding Mode Control is proposed.The nominal MPC model,developed from the estimated tire cornering stiffness,utilizes the sliding surface and the optimal auxiliary control unit law for the tube is derived from the reaching law in Tube-MPC,aiming to minimize the trajectory tracking error while enhancing the controller’s robustness against road uncertainties.The experiments show that the proposed method outperforms the Tube-MPC algorithm in terms of trajectory accuracy and robustness.This method demonstrates excellent trajectory tracking accuracy under intermittent icy and snowy road conditions,and it lays a theoretical foundation for future studies on vehicle stability and trajectory tracking under such road conditions. 展开更多
关键词 Intermittent icy and snowy roads Vehicle trajectory tracking Robust Tube-MPC Cornering stiffness estimation
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iCys激光定量成像细胞仪对全心脏化学发光和荧光标记的定量分析
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作者 邱淑兰 王克芳 +2 位作者 王吉静 朴春梅 杜杰 《心肺血管病杂志》 CAS 2014年第4期581-585,共5页
目的:利用iCys激光定量成像细胞仪(iCys research imaging cytometer,RIC)对小鼠全心脏切片中标记的化学发光或荧光信号进行大面积、高速度、高分辨率的扫描,根据所获得图像统计分析小鼠全心脏切片中荧光和化学发光的阳性细胞比例,并分... 目的:利用iCys激光定量成像细胞仪(iCys research imaging cytometer,RIC)对小鼠全心脏切片中标记的化学发光或荧光信号进行大面积、高速度、高分辨率的扫描,根据所获得图像统计分析小鼠全心脏切片中荧光和化学发光的阳性细胞比例,并分群追踪分析对象的图像以排查假阳性。方法:利用血管紧张素II灌注小鼠,对心脏切片进行巨噬细胞特异性的mac-2抗体的免疫组化,通过光电二极管(photodiode,PD)检测器收集二氨基联苯胺法(DAB染色法)的化学发光信号获得全心脏相关影像,进而分析图片以统计全心脏中的巨噬细胞的阳性面积;利用小鼠心肌梗塞模型后心脏进行末端脱氧核苷酸转移酶介导的dUTP缺口末端标记测定法(terminal dexynucleotidyl transferase(TdT)-mediated dUTP nick end labeling,TUNEL)标记,通过器光电倍增管(photo multiplier tube,PMT)检测器收集荧光信号获得全心脏相关影像,进而分析图片以统计全心脏中的细胞死亡率。结果:400倍放大时iCys激光定量成像细胞仪对小鼠全心脏切片的扫描花费大约20min,获得大约300张局部图片,软件自动拼合成全心脏切片图。通过对全心脏图片的统计分析显示:AngII灌注的全心脏中DAB染色法显示的mac-2抗体阳性巨噬细胞阳性面积为(2.36±0.7)%;全心脏的TUNEL标记后荧光阳性的死亡细胞比率为(32.3±4.1)%。结论:iCys激光定量成像细胞仪可以对病理切片样本中的化学发光以及荧光信号进行大面积、高速度、高清晰的扫描,分析软件可以进行后期的图像的定性定量分析,并且可以通过对分析对象的追踪图像显示以明确统计分析的正确性。 展开更多
关键词 icys激光定量成像细胞仪 巨噬细胞 细胞凋亡 全心脏扫描
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MULTIMODEL CONSENSUS FORECASTING OF LOW TEMPERATURE AND ICY WEATHER OVER CENTRAL AND SOUTHERN CHINA IN EARLY 2008 被引量:3
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作者 张玲 智协飞 《Journal of Tropical Meteorology》 SCIE 2015年第1期67-75,共9页
Based on the daily mean temperature and 24-h accumulated total precipitation over central and southern China, the features and the possible causes of the extreme weather events with low temperature and icing condition... Based on the daily mean temperature and 24-h accumulated total precipitation over central and southern China, the features and the possible causes of the extreme weather events with low temperature and icing conditions,which occurred in the southern part of China during early 2008, are investigated in this study. In addition, multimodel consensus forecasting experiments are conducted by using the ensemble forecasts of ECMWF, JMA, NCEP and CMA taken from the TIGGE archives. Results show that more than a third of the stations in the southern part of China were covered by the extremely abundant precipitation with a 50-a return period, and extremely low temperature with a 50-a return period occurred in the Guizhou and western Hunan province as well. For the 24- to 216-h surface temperature forecasts, the bias-removed multimodel ensemble mean with running training period(R-BREM) has the highest forecast skill of all individual models and multimodel consensus techniques. Taking the RMSEs of the ECMWF 96-h forecasts as the criterion, the forecast time of the surface temperature may be prolonged to 192 h over the southeastern coast of China by using the R-BREM technique. For the sprinkle forecasts over central and southern China, the R-BREM technique has the best performance in terms of threat scores(TS) for the 24- to 192-h forecasts except for the 72-h forecasts among all individual models and multimodel consensus techniques. For the moderate rain, the forecast skill of the R-BREM technique is superior to those of individual models and multimodel ensemble mean. 展开更多
关键词 multimodel consensus forecasting extreme low temperature and icy weather event forecast skills
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The mechanisms,evaluation and estimation of anti-skid performance of snowy and icy pavement:A review 被引量:2
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作者 Yiqiu Tan Jilu Li +2 位作者 Huining Xu Zhiwei Li Heru Wang 《Journal of Road Engineering》 2023年第3期229-238,共10页
The anti-skid performance of snowy and icy pavements is a popular research topic among road workers.Snow and ice are pollutants on a road surface.They significantly reduce the skid resistance of pavements,and thus,cau... The anti-skid performance of snowy and icy pavements is a popular research topic among road workers.Snow and ice are pollutants on a road surface.They significantly reduce the skid resistance of pavements,and thus,cause traffic accidents.Pertinent research progress on the skid resistance of snowy and icy pavements was reviewed and summarized in this work.The formation and classification of snowy and icy pavements were described on the basis of the state of snow and ice.The friction mechanisms between tires and snowy and icy pavements were revealed.Measurement methods and their applicability to the skid resistance of snowy and icy pavements were summarized.Factors that affect the skid resistance of pavements were discussed from the perspectives of pavement,environment,and vehicle.In addition,models of snowy and icy pavement resistance were classified into experience,mechanical,and numerical models.The advantages and disadvantages of these models were then compared and analyzed.Some suggestions regarding snowy and icy pavements were presented in accordance with the aforementioned information,including the development of efficient testing tools,the quantification of skid resistance under the coupling effects of multiple factors,the establishment of unified evaluation standards,and the development of more effective skid resistance models. 展开更多
关键词 Pavement engineering Snowy and icy pavement Skid resistance Test approach Friction estimation
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Warm Parenthood from Icy Origins
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作者 CHANG JUN 《China Today》 1996年第2期58-60,共3页
WarmParenthoodfromIcyOrigins"HELPMEtohaveachild,"wroteHanYinginherlettertoZhangLizhu,anobstetricspecialistat... WarmParenthoodfromIcyOrigins"HELPMEtohaveachild,"wroteHanYinginherlettertoZhangLizhu,anobstetricspecialistatBeijingNo3Hospita... 展开更多
关键词 Warm Parenthood from icy Origins
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Impacts of the SSTs over Equatorial Central–Eastern Pacific and Southeastern Indian Ocean on the Cold and Rainy/Snowy/Icy Weather in Southern China 被引量:3
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作者 Zhuolei QIAN Jiehua MA Zhicong YIN 《Journal of Meteorological Research》 SCIE CSCD 2023年第2期248-261,共14页
Low temperature together with snow/freezing rain is disastrous in winter over southern China.Previous studies suggest that this is related to the sea surface temperature(SST)anomalies,especially La Nina conditions,ove... Low temperature together with snow/freezing rain is disastrous in winter over southern China.Previous studies suggest that this is related to the sea surface temperature(SST)anomalies,especially La Nina conditions,over the equatorial central–eastern Pacific Ocean(EP).In reality,however,La Nina episodes are not always accompanied by rainy/snowy/icy(CRSI)days in southern China,such as the case in winter 2020/2021.Is there any other factor that works jointly with the EP SST to affect the winter CRSI weather in southern China?To address this question,CRSI days are defined and calculated based on station observation data,and the related SST anomalies and atmospheric circulations are examined based on the Hadley Centre SST data and the NCEP/NCAR reanalysis data for winters of1978/1979–2017/2018.The results indicate that the CRSI weather with more CRSI days is featured with both decreased temperature and increased winter precipitation over southern China.The SSTs over both the EP and the southeastern Indian Ocean(SIO)are closely related to the CRSI days in southern China with correlation coefficients of-0.29 and 0.39,significant at the 90%and 95%confidence levels,respectively.The SST over EP affects significantly air temperature,as revealed by previous studies,with cooler EP closely related to the deepened East Asian trough,which benefits stronger East Asian winter monsoon(EAWM)and lower air temperature in southern China.Nevertheless,this paper discovers that the SST over SIO affects precipitation of southern China,with a correlation coefficient of 0.42,significant at the 99%confidence level,with warmer SIO correlated with deepened southern branch trough(SBT)and strengthened western North Pacific anomalous anticyclone(WNPAC),favoring more water vapor convergence and enhanced precipitation in southern China.Given presence of La Ni?a in both winters,compared to the winter of 2020/2021,the winter of 2021/2022 witnessed more CRSI days,perhaps due to the warmer SIO. 展开更多
关键词 the cold and rainy/snowy/icy(CRSI)days sea surface temperature(SST)anomalies equatorial central–eastern Pacific Ocean(EP) southeastern Indian Ocean(SIO)
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肿瘤免疫检查点抑制剂原发性耐药的机制研究
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作者 陈旭宏 刘帅廷 +2 位作者 谭冬娴 罗若琳 徐静 《细胞与分子免疫学杂志》 北大核心 2026年第1期67-71,共5页
免疫检查点抑制剂(ICI)治疗近年在恶性肿瘤治疗领域取得了突破性进展。该疗法通过靶向封闭T细胞上的免疫检查点分子,解除其对T细胞抗肿瘤免疫反应的限制,在多种类型的肿瘤患者中取得了长期疗效,改善了患者的远期生存。但是,目前能够从IC... 免疫检查点抑制剂(ICI)治疗近年在恶性肿瘤治疗领域取得了突破性进展。该疗法通过靶向封闭T细胞上的免疫检查点分子,解除其对T细胞抗肿瘤免疫反应的限制,在多种类型的肿瘤患者中取得了长期疗效,改善了患者的远期生存。但是,目前能够从ICI治疗中获益的肿瘤患者仍是少数,大多数恶性肿瘤患者对ICI治疗存在原发性耐药。明确ICI治疗原发性耐药机制,有助于发展逆转耐药的联合治疗策略。本文从肿瘤淋巴细胞浸润表型、干扰素信号通路、抗原呈递通路、肿瘤细胞内在癌基因信号等方面,综述了肿瘤ICI治疗原发性耐药的机制,期望为肿瘤免疫治疗提供新的治疗靶点和联合治疗策略。 展开更多
关键词 免疫检查点抑制剂(ICI) 肿瘤免疫治疗 原发性耐药 综述
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An Icy Worlds life detection strategy based on Exo-AUV
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作者 Bin WANG Hongde QIN 《Science China Earth Sciences》 SCIE EI CAS CSCD 2024年第11期3515-3535,共21页
In the solar system, Icy Worlds such as Europa and Enceladus hold great potential for extraterrestrial life and may provide humanity an answer, within this century, to the age-old question of life beyond Earth. Exo-AU... In the solar system, Icy Worlds such as Europa and Enceladus hold great potential for extraterrestrial life and may provide humanity an answer, within this century, to the age-old question of life beyond Earth. Exo-AUV technology shows promise in life detection in the icy shell, at the ice-water interface and on the seafloor of exo-ocean. Space agencies, including NASA and DLR, are enthusiastic about deploying Exo-AUVs to explore life in these regions. However, the where and how to find life, the technologies to be utilized and the goals to be achieved are crucial aspects for future Exo-AUV life detection missions on Icy Worlds. This study delves into a hypothetical mission of life detection on Europa, discussing science goals,detectable objects, potential regions and biogenic analysis for Icy Worlds. It proposes a life detection strategy for Icy Worlds based on Exo-AUVs, presents key contextual elements for Exo-AUV operations, outlines technological requirements for hull,payloads and autonomy, introduces the current state of Exo-AUV research and addresses existing challenges. This study also suggests a roadmap for conceptual development of Exo-AUV and a Concept of Operations for Multiple Exo-AUV System(ConOps for MEAS). This system aims to assist planetary scientists and astrobiologists in exploring Icy Worlds, identifying robust biosignatures and potentially discovering extant organisms, even prebiotic chemical systems. 展开更多
关键词 icy Worlds EUROPA Life detection Biological potential Exo-AUV
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Effectiveness and Safety of Lenvatinib and Everolimus after Immune Checkpoint Inhibitors in Metastatic Renal Cell Cancer:A Systematic Review
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作者 Giacomo Iovane Luca Traman +5 位作者 Michele Maffezzoli Giuseppe Fornarini Domenico Corradi Debora Guareschi Matteo Santoni Sebastiano Buti 《Oncology Research》 2026年第1期57-70,共14页
Background:While the treatment of metastatic renal cell carcinoma(mRCC)is evolving due to immune checkpoint inhibitors(ICIs),optimal strategies for later lines of therapy have yet to be defined.The combination of lenv... Background:While the treatment of metastatic renal cell carcinoma(mRCC)is evolving due to immune checkpoint inhibitors(ICIs),optimal strategies for later lines of therapy have yet to be defined.The combination of lenvatinib and everolimus represents a viable option,and the present review aimed to summarize its activity,effectiveness,and safety.Methods:A systematic review of the literature was conducted using PubMed,targeting studies published between 2018 and 2025.Eligible studies included English-language prospective and retrospective trials reporting survival outcomes in mRCC patients treated with lenvatinib and everolimus after at least one ICI-containing regimen.Results:Nine studies met the inclusion criteria,encompassing a total of 441 patients.The lenvatinib and everolimus combination was primarily used in the third and subsequent lines of therapy.Median overall survival ranged from 7.5 to 24.5 months,while median progression-free survival was more consistent,between 6.1 and 6.7 months,except for one study reporting 12.9 months.Objective response rates varied widely(14.0%–55.7%).Adverse events of grade≥3 did not exceed the expected rate,with diarrhoea and proteinuria as the most reported events.Dose reductions and treatment discontinuations due to toxicity occurred but were generally lower than in prior pivotal trials.Conclusions:Real-world evidence suggests that lenvatinib and everolimus represent an effective and safe option after ICI failure in mRCC patients.Nevertheless,the lack of randomized phase III trials and the heterogeneity of existing studies highlight the need for more robust prospective research to guide post-ICI therapeutic strategies. 展开更多
关键词 Metastatic renal cell carcinoma(mRCC) immune checkpoint inhibitors(ICIs) lenvatinib EVEROLIMUS EFFECTIVENESS SAFETY systematic review
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Icy planets and moons bypassing the habitable state
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《Science Foundation in China》 CAS 2017年第4期21-,共1页
Profs.Yang Jun(杨军)and Hu Yongyun(胡永云)at the Department of Atmospheric and Oceanic Sciences,School of Physics,Peking University,and their collaborators recently published a paper in Nature Geoscience(http://www.na... Profs.Yang Jun(杨军)and Hu Yongyun(胡永云)at the Department of Atmospheric and Oceanic Sciences,School of Physics,Peking University,and their collaborators recently published a paper in Nature Geoscience(http://www.nature.com/ngeo/journal/v10/n8/pdf/ngeo2994.pdf).They show 展开更多
关键词 icy planets and moons bypassing the habitable state NATURE WWW
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ICY 贾宝帅的第一只B.I.S
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作者 伊宁 老秦 玄素 《宠物派》 2006年第2期146-147,共2页
2005年辉煌:2005年北京CPC犬王杯全场后备总冠军RBIS OPEN组"RUSH"2005年天津CPSC名犬展全场后备总冠军RBIS OPEN组"RUSH"2004年北京BKC本部展全场总冠军BIS BABY组"KIMI"
关键词 总冠军 B.I.S icy CPSC OPEN FANS 金毛 哈士奇 可卡 中韩
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New Evidence Suggests Ocean on Icy Jupiter Moon
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作者 Lisa Richwine 鲁见馨 《当代外语研究》 2000年第12期1-2,共2页
人类是孤独的,遥望夜空,星汉灿烂!然而,茫茫宇宙,只有地球,是一个生机勃勃、各种生命繁衍不息的星球。Jupiter(木星)有一颗卫星,叫Europa(木卫二),其体积与地球相仿。从Galileo spacecraft传回的信息发现:the presence of water in liqu... 人类是孤独的,遥望夜空,星汉灿烂!然而,茫茫宇宙,只有地球,是一个生机勃勃、各种生命繁衍不息的星球。Jupiter(木星)有一颗卫星,叫Europa(木卫二),其体积与地球相仿。从Galileo spacecraft传回的信息发现:the presence of water in liquid form on Europa。虽然。科学家们尚不明白whether the water was frozen or in liquid form,但是,他们已经展开了想象的双翅: Even though it is buried beneath a thick layer of ice, life forms could draw energy from heat sources below, just asdeep-sea creatures do in the Earth's oceans. 除了驰骋想象之外,美国国家航空和航天局在“囊中羞涩”之时,仍然决定:to send another spacecraft there!】 展开更多
关键词 木卫二 航天局 New Evidence Suggests Ocean on icy Jupiter Moon
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抗生素暴露对晚期肺癌免疫治疗预后的影响
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作者 谢玉芳 卢亚 +2 位作者 袁芳 胡燕霞 刘丹 《中国呼吸与危重监护杂志》 2025年第7期523-526,共4页
肺癌是全球癌症相关死亡的主要原因之一,其病死率高且发病率持续上升^([1])。免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)在晚期肺癌治疗中取得了突破性进展,显著延长了患者生存期^([2]),但其疗效异质性仍是临床面临的重大挑... 肺癌是全球癌症相关死亡的主要原因之一,其病死率高且发病率持续上升^([1])。免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)在晚期肺癌治疗中取得了突破性进展,显著延长了患者生存期^([2]),但其疗效异质性仍是临床面临的重大挑战,其因素主要包括肿瘤抗性和免疫逃逸机制等^([3])。临床发现ICIs的客观缓解率仅为20%左右,且部分患者会出现原发性或继发性耐药^([4]),因此寻找影响免疫治疗疗效的因素成为临床研究重点。 展开更多
关键词 ICIS 肺癌 抗生素暴露 免疫检查点抑制剂
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NEWS ROUNDUP
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《ChinAfrica》 2025年第12期8-10,共3页
SUMMARIES OF TOP NEWS STORIES 42nd Antarctic Expedition Kicked Off China’s 42nd Antarctic expedition team set sail from Shanghai on 1 November.During this expedition,a suite of new technologies will be deployed and t... SUMMARIES OF TOP NEWS STORIES 42nd Antarctic Expedition Kicked Off China’s 42nd Antarctic expedition team set sail from Shanghai on 1 November.During this expedition,a suite of new technologies will be deployed and tested in the icy wilderness of the Antarctic. 展开更多
关键词 suite new technologies antarctic expedition technologies China icy wilderness nd antarctic expedition
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ICI和CAR-T在肿瘤免疫治疗中研究进展 被引量:1
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作者 袁美琳 盛德乔 杨轶 《细胞与分子免疫学杂志》 北大核心 2025年第2期178-182,共5页
肿瘤免疫治疗改变了多种恶性肿瘤的治疗前景。以免疫检查点抑制剂(ICI)和嵌合抗原受体T(CAR-T)细胞疗法为代表的肿瘤免疫治疗在临床实践中取得了巨大的成功,已成为某些肿瘤临床一线治疗方案。本文总结了ICI和CAR-T在肿瘤治疗中取得的进... 肿瘤免疫治疗改变了多种恶性肿瘤的治疗前景。以免疫检查点抑制剂(ICI)和嵌合抗原受体T(CAR-T)细胞疗法为代表的肿瘤免疫治疗在临床实践中取得了巨大的成功,已成为某些肿瘤临床一线治疗方案。本文总结了ICI和CAR-T在肿瘤治疗中取得的进展和面临的挑战,并探讨了肿瘤治疗性疫苗未来的发展方向。在肿瘤免疫治疗领域发现新的治疗靶点,开发新型药物递送系统,以及多种疗法的联合应用将有效提高癌症患者治疗效果和改善预后,让更多的患者受益。 展开更多
关键词 肿瘤免疫治疗 免疫检查点抑制剂(ICI) 嵌合抗原受体T(CAR-T)细胞疗法 肿瘤治疗性疫苗 综述
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基于网络药理学和分子对接研究西红花治疗免疫检查点抑制剂相关性心肌炎的作用机制
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作者 颜静 蔡晴晴 +2 位作者 李煜 张华敏 张方博 《中国中药杂志》 北大核心 2025年第9期2515-2525,共11页
该研究基于网络药理学和分子对接探讨西红花治疗免疫检查点抑制剂(ICIs)相关性心肌炎的作用机制。通过网络药理学研究获取西红花治疗ICIs相关性心肌炎的有效成分及靶点,构建“药物-成分-靶点-疾病”网络图和蛋白互作图,筛选关键成分以... 该研究基于网络药理学和分子对接探讨西红花治疗免疫检查点抑制剂(ICIs)相关性心肌炎的作用机制。通过网络药理学研究获取西红花治疗ICIs相关性心肌炎的有效成分及靶点,构建“药物-成分-靶点-疾病”网络图和蛋白互作图,筛选关键成分以及核心靶点。基因本体论(GO)功能富集分析发现作用机制与炎症反应、凋亡过程的调控有关,京都基因与基因组百科全书(KEGG)通路分析筛选出其主要与高糖基化终末产物-受体(AGE-RAGE)等通路有关,分子对接结果显示西红花苷与丝氨酸/苏氨酸蛋白激酶1(AKT1)、信号传导及转录激活蛋白3(STAT3)和基质金属蛋白酶9(MMP9)有较强的关联性。实验选取西红花的重要成分西红花总苷作为治疗药物,采用皮下注射猪心肌球蛋白结合腹腔注射派姆单抗构建实验性ICIs相关性心肌炎小鼠模型,结果表明其可以降低ICIs相关性心肌炎小鼠的脾脏指数,对心脏指数无影响;升高心率,缩短PR间期和QRS间期;升高左心室每搏输出量、心输出量、射血分数和短轴缩短率;减少心肌组织炎性细胞浸润的数目;减轻心肌纤维化的程度;降低炎症因子肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、白细胞介素-12(IL-12)和分泌细胞因子(RANTES)的水平;降低肌酸激酶(CK)和肌酸激酶同工酶(CK-MB)的水平,抑制超氧化物歧化酶(SOD)与乳酸脱氢酶(LDH)的活性;以及调节心肌AKT的表达。提示西红花可能通过调节AKT信号通路的表达,拮抗免疫和炎症反应,抑制氧化应激,有效减轻心脏纤维化损伤,缓解心脏阻滞,改善心脏功能,从而发挥对ICIs相关性心肌炎的心脏保护作用。 展开更多
关键词 免疫检查点抑制剂(ICIs)相关性心肌炎 西红花 氧化应激 炎症因子
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NLR、PLR、LMR及PNI对晚期肝细胞癌靶向联合免疫治疗临床疗效及预后的预测价值 被引量:3
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作者 刘全义 杨逸鑫 +2 位作者 徐磊 古云 沈磊 《中国肿瘤生物治疗杂志》 北大核心 2025年第3期309-315,共7页
目的:探究中性粒细胞/淋巴细胞比值(NLR)、血小板/淋巴细胞比值(PLR)、淋巴细胞/单核细胞比值(LMR)及预后营养指数(PNI)对免疫检查点抑制剂(ICI)联合抗血管生成药物治疗晚期肝细胞癌(HCC)患者疗效及预后的预测价值。方法:收集2020年1月... 目的:探究中性粒细胞/淋巴细胞比值(NLR)、血小板/淋巴细胞比值(PLR)、淋巴细胞/单核细胞比值(LMR)及预后营养指数(PNI)对免疫检查点抑制剂(ICI)联合抗血管生成药物治疗晚期肝细胞癌(HCC)患者疗效及预后的预测价值。方法:收集2020年1月至2023年12月间在大理大学第一附属医院收治的使用ICI联合抗血管生成药物治疗的85例晚期HCC患者的一般临床资料、治疗前患者的NLR、PLR、LMR、PNI、临床疗效及预后。采用受试者工作特征(ROC)曲线计算NLR、PLR、LMR、PNI的最佳截断值,以此将患者分成高、低2组。使用Kaplan-Meier法绘制生存曲线,采用Cox比例风险回归模型进行单因素、多因素分析各指标对患者OS的影响。结果:低NLR组、低PLR组、高LMR组、高PNI组患者治疗有效率均分别高于高NLR组、高PLR组、低LMR组和低PNI组(均P<0.05)。低NLR组、低PLR组患者OS率均分别显著高于高NLR组、高PLR组(均P<0.05);高LMR组、高PNI组患者OS率均分别显著高于低LMR组和低PNI组(均P<0.05)。NLR≥1.94、男性、乙型肝炎病毒感染是晚期HCC患者预后的独立危险因素(均P<0.05)。结论:NLR≥1.94、男性、乙型肝炎病毒阳性是影响患者疗效、预后的危险因素,NLR≥1.94评估晚期HCC患者免疫联合靶向的疗效及预后有一定的临床价值。 展开更多
关键词 肝细胞癌(HCC) 中性粒细胞/淋巴细胞比值(NLR) 血小板/淋巴细胞比值(PLR) 淋巴细胞/单核细胞比值(LMR) 预后营养指数(PNI) 免疫检查点抑制剂(ICI) 靶向治疗 疗效 预后 预测
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Advances in Tumor Microenvironment and Immunotherapeutic Strategies for Hepatocellular Carcinoma 被引量:2
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作者 Jiahao Xue Jingchang Zhang +2 位作者 Gang Chen Liucui Chen Xinjun Lu 《Oncology Research》 2025年第9期2309-2329,共21页
Hepatocellular carcinoma(HCC)is a highly aggressive malignancy,largely driven by an immunosuppres-sive tumor microenvironment(TME)that facilitates tumor growth,immune escape,and resistance to therapy.Although immunoth... Hepatocellular carcinoma(HCC)is a highly aggressive malignancy,largely driven by an immunosuppres-sive tumor microenvironment(TME)that facilitates tumor growth,immune escape,and resistance to therapy.Although immunotherapy—particularly immune checkpoint inhibitors(ICIs)—has transformed the therapeutic landscape by restoring T cell-mediated anti-tumor responses,their clinical benefit as monotherapy remains suboptimal.This limitation is primarily attributed to immunosuppressive components within the TME,including tumor-associated macrophages,regulatory T cells(Tregs),and myeloid-derived suppressor cells(MDSCs).To address these challenges,combination strategies have been explored,such as dual checkpoint blockade targeting programmed cell death protein 1(PD-1),programmed death-ligand 1(PD-L1),and cytotoxic T-lymphocyte-associated antigen 4(CTLA-4),as well as synergistic use of ICIs with anti-angiogenic agents or TME-targeted interventions.These approaches have shown encouraging potential in enhancing immune efficacy.This review outlines the complex crosstalk between the TME and immunotherapeutic responses in HCC,emphasizing how combination regimens may overcome immune resistance.Furthermore,we discuss the remaining hurdles,including therapeutic resistance and immune-related adverse events,and propose future directions involving TME-associated biomarkers and individualized treatment strategies to improve patient outcomes. 展开更多
关键词 Hepatocellular carcinoma(HCC) tumor microenvironment(TME) IMMUNOTHERAPY immune checkpoint inhibitors(ICIs) combination therapy
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抗PD-1/PD-L1治疗心血管毒性死亡风险因素分析及预测模型构建
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作者 闫志辉 刘佳 +1 位作者 宋志洁 张文忠 《临床医学进展》 2025年第5期1231-1245,共15页
目的:本研究目的旨在探讨抗PD-1/PD-L1 (程序性细胞死亡蛋白-1,Programmed cell death-1/程序性死亡配体-1,Programmed death-ligand 1)治疗后发生心血管毒性死亡的风险因素,并以此构建预测模型。方法:本研究为单中心回顾性研究,通过系... 目的:本研究目的旨在探讨抗PD-1/PD-L1 (程序性细胞死亡蛋白-1,Programmed cell death-1/程序性死亡配体-1,Programmed death-ligand 1)治疗后发生心血管毒性死亡的风险因素,并以此构建预测模型。方法:本研究为单中心回顾性研究,通过系统性回顾方法筛选2018年10月至2023年10月在青岛大学附属医院接受抗PD-1/PD-L1免疫治疗后的2665例实体肿瘤患者的病例资料观察180天,其中发生心血管毒性的33例,根据是否发生抗PD-1/PD-L1治疗心血管毒性死亡为结局,以是否发生死亡分为死亡组和存活组。采用单因素Cox回归分析其风险因素并控制相关混杂因素后构建预测模型绘制列线图。最后,利用受试者工作特征曲线(Receiver Operating Characteristic, ROC)、决策曲线分析法(Decision Curve Analysis, DCA)、校准曲线(Calibration Curve, CC)进行内部评价和内部验证。结果:1) 淋巴细胞计数、单核细胞计数、血小板计数、合并糖尿病、免疫检查点抑制剂种类、彩超室壁运动异常在心血管毒性存活组和死亡组间的差异均有统计学意义(均p Purpose: This study aimed to investigate risk factors for death from cardiovascular toxicity following anti-PD-1/PD-L1 therapy and develop a predictive model. Methods: This study was a single-center retrospective study, which screened the case data of 2665 patients with solid tumors after receiving anti-PD-1/PD-L1 immunotherapy at the Affiliated Hospital of Qingdao University for 180 days of observation by a systematic retrospective method, 33 cases of cardiovascular toxicity, and the outcome was based on whether or not death from cardiovascular toxicity of anti-PD-1/PD-L1 therapy occurred as the outcome categorized into death and survival groups. A one-way Cox regression analysis was used to analyze the risk factors and control for relevant confounders, and a predictive model was constructed to draw a column-line graph. Finally, Receiver Operating Characteristic (ROC), Decision Curve Analysis (DCA), and Calibration Curve (CC) were used for internal evaluation and internal validation. Results: 1) Lymphocyte, Platelet, Diabetes, Types of immune checkpoint inhibitors, Echocardiographic ventricular wall motion abnormalities and monocyte differences between two groups: those with death from cardiovascular toxicity and those without were statistically significant (all p < 0.05). 2) Univariate Cox regression identified diabetes (HR = 6.03, 95% CI 1.67~21.77, p = 0.006), Types of immune checkpoint inhibitors (HR = 6.62, 95% CI 1.69~25.89, p = 0.007), Echocardiographic ventricular wall motion abnormalities (HR = 4.61, 95% CI 1.19~17.85, p = 0.027), monocyte HR = 0.02, 95% CI 0.00~0.49, p = 0.015) as significant predictors. 3) Multivariate analysis confirmed monocyte (HR = 0.02, 95% CI 0.00~0.77, p = 0.036) as an independent predictor. 4) A predictive model for the risk of death from cardiovascular toxicity was constructed by including 4 variables (p < 0.05) from univariate Cox regression in a nomogram, with an AUC of 0.88 and 95% CI of 0.75 to 1.00. Conclusion: 1) Diabetes, Types of immune checkpoint inhibitors, Echocardiographic ventricular wall motion abnormalities and monocyte were significant predictors of death from cardiovascular toxicity. 2) Monocyte was an independent protective factor, after adjusting for other covariates. 3) A predictive model for the risk of cardiovascular toxic death was constructed by incorporating 4 variables from univariate Cox regression into a nomogram, and this model had good precision, discrimination, accuracy, and clinical benefit effects. 展开更多
关键词 程序性细胞死亡蛋白-1 (PD-1) 程序性死亡配体-1 (PD-L1) 免疫检查点抑制剂(ICIs) 心血管毒性
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高速铁路5G通信中的ICI消除与信道估计算法设计 被引量:1
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作者 王敏 《铁道运营技术》 2025年第3期1-4,共4页
在5G高速铁路通信场景中,由于列车高速移动引起的多普勒频移,OFDM系统面临子载波间干扰(ICI)的挑战,这严重影响了信道估计的准确性。为了提高信道估计的精度,在传统的二次信道估计算法基础上,融合了ICI消除技术和信道估计技术,提出了一... 在5G高速铁路通信场景中,由于列车高速移动引起的多普勒频移,OFDM系统面临子载波间干扰(ICI)的挑战,这严重影响了信道估计的准确性。为了提高信道估计的精度,在传统的二次信道估计算法基础上,融合了ICI消除技术和信道估计技术,提出了一种新型的加权并行干扰消除(WPIC)算法。该WPIC算法通过仿真拟合确定的加权因子,对频域信道矩阵内的ICI项进行精准加权处理。通过理论分析和仿真实验,证实了该算法能够显著提升信道估计的精确度。这对于确保5G高速铁路环境中通信连接的稳定性和可靠性具有重要意义。 展开更多
关键词 5G高速铁路通信场景 ICI消除 二次信道估计 加权并行干扰消除算法
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