Aniline Compounds

苯胺化合物
  • 文章类型: Journal Article
    在这里,采用气相色谱-串联质谱法(GC-MS/MS)首次测定了牛奶中的氯丁虫及其代谢产物4-氯-2-甲基苯胺残留量。样品用乙腈提取,用快速清洗,easy,便宜,有效,崎岖,和安全(QuEChERS)方法。使用DB-17MS柱进行分离。在选定的反应监测(SRM)模式下进行检测,并使用基质匹配的同位素内标方法进行定量。在最优条件下,在10-200µg/kg的浓度范围内观察到良好的线性关系。定量限为10.0µg/kg。目标物质的加标回收率为84.5%至107.3%,相对标准偏差(RSD)<7.2%。通过气相色谱-四极杆-Orbitrap高分辨率质谱(GC-OrbitrapHRMS)进一步确认加标样品。该方法准确度高,灵敏度高,适用于牛奶中杀虫脒及其代谢产物4-氯-2-甲基苯胺残留量的测定。
    Herein, the determination of chlordimeform and its metabolite 4-chloro-2-methylaniline residue in milk was performed for the first time using gas chromatography-tandem mass spectrometry (GC-MS/MS). Samples were extracted using acetonitrile, and cleaned using a quick, easy, cheap, effective, rugged, and safe (QuEChERS) method. Separation was performed using the DB-17 MS column. It was detected in a selected reaction monitoring (SRM) mode and quantified using a matrix-matched isotope internal standard method. Under optimal conditions, a good linear relationship was observed in the concentration range of 10-200 µg/kg. The limit of quantitation was 10.0 µg/kg. The spiked recoveries for the target substance ranged from 84.5 % to 107.3 %, with relative standard deviations (RSD) of <7.2 %. The spiked samples were further confirmed by gas chromatography-quadrupole-Orbitrap high-resolution mass spectrometry (GC-Orbitrap HRMS). The combined method resulted in high accuracy and sensitivity and was suitable for the determination of chlordimeform and its metabolite 4-chloro-2-methylaniline residue in milk.
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  • 文章类型: Journal Article
    第三代EGFR酪氨酸激酶抑制剂(TKIs),以奥希替尼为例,在非小细胞肺癌(NSCLC)的治疗中已经证明了有希望的临床疗效。我们之前的工作已经确定ASK120067是一种新型的第三代EGFRTKI,具有显著的抗肿瘤作用,已经在中国提交了新药申请(NDA)。尽管取得了实质性进展,对EGFR-TKIs的获得性耐药仍然是一个重大挑战,阻碍治疗方法的长期有效性。在这项研究中,我们利用高通量蛋白质组学分析对建立的TKI耐药肿瘤模型进行了全面调查,并发现与亲本TKI敏感的NSCLC肿瘤相比,耐去甲硫醇和ASK120067的肿瘤中支链氨基酸转氨酶1(BCAT1)的表达显着上调。BCATl的遗传消耗或药理学抑制损害了抗性细胞的生长和对EGFRTKIs的部分再致敏的肿瘤细胞。机械上,在抗性细胞重编程的支链氨基酸(BCAA)代谢中上调BCAT1,并促进组蛋白H3(H3K27)上赖氨酸27的α-酮戊二酸(α-KG)依赖性去甲基化以及随后的糖酵解相关基因的转录抑制,从而增强糖酵解并促进肿瘤进展。此外,我们确定WQQ-345是一种新型的BCAT1抑制剂,在体外和体内均具有高BCAT1表达的TKI耐药肺癌的抗肿瘤活性。总之,我们的研究强调了BCAT1在介导抗第三代EGFR-TKIs的作用,通过表观遗传激活的糖酵解在NSCLC中,从而支持BCAT1作为治疗TKI耐药NSCLC的有希望的治疗靶点。
    Third-generation EGFR tyrosine kinase inhibitors (TKIs), exemplified by osimertinib, have demonstrated promising clinical efficacy in the treatment of non-small cell lung cancer (NSCLC). Our previous work has identified ASK120067 as a novel third-generation EGFR TKI with remarkable antitumor effects that has undergone New Drug Application (NDA) submission in China. Despite substantial progress, acquired resistance to EGFR-TKIs remains a significant challenge, impeding the long-term effectiveness of therapeutic approaches. In this study, we conducted a comprehensive investigation utilizing high-throughput proteomics analysis on established TKI-resistant tumor models, and found a notable upregulation of branched-chain amino acid transaminase 1 (BCAT1) expression in both osimertinib- and ASK120067-resistant tumors compared with the parental TKI-sensitive NSCLC tumors. Genetic depletion or pharmacological inhibition of BCAT1 impaired the growth of resistant cells and partially re-sensitized tumor cells to EGFR TKIs. Mechanistically, upregulated BCAT1 in resistant cells reprogrammed branched-chain amino acid (BCAA) metabolism and promoted alpha ketoglutarate (α-KG)-dependent demethylation of lysine 27 on histone H3 (H3K27) and subsequent transcriptional derepression of glycolysis-related genes, thereby enhancing glycolysis and promoting tumor progression. Moreover, we identified WQQ-345 as a novel BCAT1 inhibitor exhibiting antitumor activity both in vitro and in vivo against TKI-resistant lung cancer with high BCAT1 expression. In summary, our study highlighted the crucial role of BCAT1 in mediating resistance to third-generation EGFR-TKIs through epigenetic activation of glycolysis in NSCLC, thereby supporting BCAT1 as a promising therapeutic target for the treatment of TKI-resistant NSCLC.
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  • 文章类型: Journal Article
    背景:由于氰化物(CN-)对环境和人类健康具有重大危害,监测水和食物样本中的氰化物含量至关重要。此外,CN-的实时可视化可以进一步了解其在活细胞中的关键生理和毒理学作用。基于小型有机探针的荧光法是检测CN-的有效方法。在这种方法中,一种三苯胺-xhantane缀合物用于检测许多样品,如污水,土壤,发芽的马铃薯,杏子,和活细胞。
    结果:我们报告了一种基于三苯胺-xhantane衍生物的新型比率近红外荧光探针,用于许多样品中的CN传感。该探针仅对一系列分析物中的CN-离子显示出高选择性。向探针的二氰基乙烯基部分添加氰化物会破坏π-缀合,然后中断内部电荷转移。因此,探针的发射峰从655到495nm高色移动。发射强度(I495)与氰化物水平呈线性相关,检测限为0.036μM。与许多探头相比,该探头具有许多优点,如近红外荧光,比率响应,低细胞毒性(85.0%的细胞活力高达50.0μM的探针),良好的膜渗透性,快速响应时间(4.0分钟),高选择性,良好的光稳定性,和抗干扰能力。
    结论:尽管文献中已经报道了各种探针,使用三苯胺-xhantane单元作为CN-探针还有待探索。该探针可以检测污水等许多样品中的痕量氰化物,土壤,发芽的土豆,和杏子。此外,它已成功用于活细胞中氰化物的比率荧光生物成像。
    BACKGROUND: As cyanide (CN-) is a significant hazard to the environment and human health, it is essential to monitor cyanide levels in water and food samples. Moreover, real-time visualization of CN-could provide an additional understanding of its critical physiological and toxicological roles in living cells. The fluorescence approach based on small organic probes is an effective way for the detection of CN-. In this approach, a triphenylamine-xhantane conjugate was applied to detect in many samples such as sewage water, soil, sprouted potato, apricot seed, and living cells.
    RESULTS: We report a new ratiometric near-infrared fluorescent probe based on a triphenylamine-xhantane derivative for CN-sensing in many samples. The probe displays high selectivity for only CN- ions among a series of analytes. The addition of cyanide to the dicyanovinyl moiety of the probe disrupts π-conjugation followed by the interruption of internal charge transfer. Consequently, the emission peak of the probe shifts hypsochromically from 655 to 495 nm. There is a linear correlation between the emission intensity (I495) and cyanide level, with a detection limit of 0.036 μM. The probe has many advantages over many probes, such as NIR fluorescence, ratiometric response, low cytotoxicity (85.0 % cell viability up to 50.0 μM of the probe), good membrane permeability, fast response time (4.0 min), high selectivity, good photostability, and anti-interference capability.
    CONCLUSIONS: Although various probes have been reported in the literature, the use of triphenylamine-xhantane unit as CN- probe has yet to be explored. The probe can detect trace levels of cyanide in many samples such as sewage water, soil, sprouted potatoes, and apricot seeds. Furthermore, it is successfully utilized for the ratiometric fluorescent bioimaging of cyanide in living cells.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Journal Article
    Non-small cell lung cancer (NSCLC) is characterized by high recurrence rates in the early stages. In a German cohort, recurrence-free survival after 5 years was 62% (stage IA1), 40.7% (stage IIA) and 28% (stage IIIA). In addition to the perioperative use of immune checkpoint inhibitors, targeted tumor therapy is also making inroads as an innovation from the palliative setting into the early stages. Of particular relevance is the use of the EGFR inhibitor osimertinib, which has been shown to improve overall survival in the adjuvant setting. In this practice-oriented review, we briefly describe the current status of adjuvant targeted therapy and the associated testing and provide an outlook on further developments.
    Das nicht kleinzellige Lungenkarzinom (NSCLC) fällt durch hohe Rezidivraten in den Frühstadien auf. In einer deutschen Kohorte lag das rezidivfreie Überleben nach 5 Jahren bei 62% (Stadium IA1), 40,7% (Stadium IIA) und 28% (Stadium IIIA). Neben dem perioperativen Einsatz von Immuncheckpointinhibitoren drängt auch die zielgerichtete Tumortherapie als Innovation aus dem palliativen Setting in die frühen Stadien. Von besonderer Relevanz ist der Einsatz des EGFR-Inhibitors Osimertinib (EGFR: Epidermal Growth Factor Receptor), für den eine Verbesserung des Gesamtüberlebens in der adjuvanten Situation gezeigt wurde. In dieser praxisorientierten Übersichtarbeit beschreiben wir kurz den aktuellen Stand der adjuvanten zielgerichteten Therapie und der dazugehörigen Testung und geben einen Ausblick auf weitere Entwicklungen.
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  • 文章类型: Journal Article
    这项研究采用双相18F-氟乙苯(FBB)PET研究了临床前阿尔茨海默病(AD)中脑血流(CBF)的最早变化及其与β-淀粉样蛋白(Aβ)负荷的关系。根据两个不同的临界值:SUVR>1.08和Centiloid量表>20,将71名认知正常(NC)个体分为Aβ阴性(Aβ-NC)或阳性(AβNC)。PET扫描分为两个阶段:早期阶段(0-10分钟,eFBB)和延迟相位(90-110分钟,dFBB),对其进行平均以生成每个阶段的单帧图像。此外,使用简化的参考组织模型从早期阶段数据生成R1参数图。我们进行了区域和基于体素的分析,以比较eFBB,dFBB,Aβ阳性和阴性组之间的R1图像。此外,分析了CBF代理R1与dFBBSUVR之间的相关性。与Aβ-NC组相比,AβNC组显示出在整个大脑皮层和目标区域的dFBBSUVR明显更高,而两组之间的eFBBSUVR没有显着差异。此外,Aβ+NC组R1值明显增高,脑灌注的代表,与Aβ-NC组相比,在整个大脑皮层和目标区域。在全球大脑皮层和目标区域中,R1和dFBBSUVR之间均观察到显着正相关,在控制人口统计学和认知特征后仍然很重要,除了内侧颞骨和枕骨皮质。研究结果表明,临床前AD的CBF增加,CBF与淀粉样蛋白病理之间呈正相关。R1与淀粉样蛋白负荷之间的正相关可能表明阿尔茨海默病临床前阶段的代偿机制。但是为了阐明这个假设,进一步的纵向观察研究是必要的。
    This study investigated the earliest change of cerebral blood flow (CBF) and its relationship with β-amyloid (Aβ) burden in preclinical Alzheimer\'s disease (AD) employing dual-phase 18F-florbetaben (FBB) PET. Seventy-one cognitively normal (NC) individuals were classified as Aβ negative (Aβ-NC) or positive (Aβ+NC) based on two different cutoff values: an SUVR of > 1.08 and a Centiloid scale of > 20. The PET scans were acquired in two phases: an early phase (0-10 min, eFBB) and a delayed phase (90-110 min, dFBB), which were averaged to generate single-frame images for each phase. Furthermore, an R1 parametric map was generated from the early phase data using a simplified reference tissue model. We conducted regional and voxel-based analyses to compare the eFBB, dFBB, and R1 images between the Aβ positive and negative groups. In addition, the correlations between the CBF proxy R1 and the dFBB SUVR were analyzed. The Aβ+NC group showed significantly higher dFBB SUVR in both the global cerebral cortex and target regions compared to the Aβ-NC group, while no significant differences were observed in eFBB SUVR between the two groups. Furthermore, the Aβ+NC group exhibited significantly higher R1 values, a proxy for cerebral perfusion, in both the global cerebral cortex and target regions compared to the Aβ-NC group. Significant positive correlations were observed between R1 and dFBB SUVR in both the global cerebral cortex and target regions, which remained significant after controlling for demographics and cognitive profiles, except for the medial temporal and occipital cortices. The findings reveal increased CBF in preclinical AD and a positive correlation between CBF and amyloid pathology. The positive correlation between R1 and amyloid burden may indicate a compensatory mechanism in the preclinical stage of Alzheimer\'s disease, but to elucidate this hypothesis, further longitudinal observational studies are necessary.
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  • 文章类型: Journal Article
    开发了基于LOx的用于高水平乳酸测定的电化学生物传感器。为了构建生物传感器,壳聚糖和Nafion层通过使用旋涂程序整合,与滴铸程序后记录的表面相比,导致多孔表面更少。在分批和流动状态下评估了所得用于乳酸测定的生物传感器的分析性能,在评估乳酸性酸中毒的两种模式下,在0.5至20mM浓度范围内都显示出令人满意的结果。最后,使用开发的生物传感器估算原始血清样本中的乳酸水平,并通过血气分析仪进行验证。基于这些结果,开发的生物传感器有望在医疗保健环境中使用,在其适当的小型化之后。还开发了基于普通聚苯胺电化学传感器的pH探针,以辅助生物传感器监测乳酸酸中毒,导致在6.0至8.0mM的原液和原始血浆样品中获得优异的结果。通过使用两种不同的方法证实了结果,血气分析仪和pH计。因此,乳酸性酸中毒监测可以使用两种(生物)传感器在连续流动状态下实现。
    A LOx-based electrochemical biosensor for high-level lactate determination was developed. For the construction of the biosensor, chitosan and Nafion layers were integrated by using a spin coating procedure, leading to less porous surfaces in comparison with those recorded after a drop casting procedure. The analytical performance of the resulting biosensor for lactate determination was evaluated in batch and flow regime, displaying satisfactory results in both modes ranging from 0.5 to 20 mM concentration range for assessing the lactic acidosis. Finally, the lactate levels in raw serum samples were estimated using the biosensor developed and verified with a blood gas analyzer. Based on these results, the biosensor developed is promising for its use in healthcare environment, after its proper miniaturization. A pH probe based on common polyaniline-based electrochemical sensor was also developed to assist the biosensor for the lactic acidosis monitoring, leading to excellent results in stock solutions ranging from 6.0 to 8.0 mM and raw plasma samples. The results were confirmed by using two different approaches, blood gas analyzer and pH-meter. Consequently, the lactic acidosis monitoring could be achieved in continuous flow regime using both (bio)sensors.
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  • 文章类型: Journal Article
    背景:11C-匹兹堡化合物-B(PiB)和18F-Flutemetamol(FMT)均具有随年龄增加的脱靶白质(WM)信号,但FMT对WM的摄取强于PiB。尽管他们的WM模式与年龄相当,它们之间的差异可能会影响皮质淀粉样β摄取的视觉和定量评估。我们的目标是确定PiBPET和FMTPET视觉评估是否与定量皮质淀粉样β评估一致。
    方法:一组认知未受损(CU)的年轻成年人,中位数(范围)为39(30,48)岁(N=30),CU年龄为67(61,83)岁的老年人(N=30)和年龄为67(54-84)岁的AD痴呆老年人(N=23)接受MRI检查,PiBPET和FMTPET。PiB-PET和FMTPET扫描由两名对参与者信息不知情的核医学专家进行视觉评估。分歧与第二,联合一轮视觉阅读。读者使用没有区域灰质(GM)和WM对比度的标准视觉评估标准作为阳性扫描的指示。参考小脑小腿的摄取,获得了整体皮质PiB标准摄取值比率(SUVr),并将其转换为厘样值。参与者被归类为PiB阳性/阴性,使用22的centloid截止值。
    结果:PiB和FMT视觉阳性与基于PiB的centloid值的定量阳性一致,PiB为69/83,FMT为78/83。和PiB有10个分歧,与FMT有1个分歧,与两者有4个分歧。在centloid阈值附近很少发生分歧。有趣的是,在CU较年轻的患者中,视觉读数(淀粉样蛋白β阳性)和centloid(淀粉样蛋白β阴性)之间的所有分歧均与PiB有关。在CU年龄较大和AD组中,FMT存在分歧。
    结论:β淀粉样蛋白在视觉读数上的阳性与定量测量(centriid)之间的分歧可能取决于年龄和示踪剂。PiBWM摄取低于FMTWM摄取,这可能导致GM和WM之间的对比度降低(视觉阅读标准的一部分),尤其是在年轻的时候。相比之下,WM摄取在年龄较大时增加,增加的WM信号可能会更多地渗入皮质区域,隐藏微妙的,近阈值皮质摄取,尤其是FMT。
    BACKGROUND: Both 11C-Pittsburgh compound-B (PiB) and 18F-Flutemetamol (FMT) have off-target white matter (WM) signal that increases with age, but WM uptake is stronger with FMT than PiB. Although their WM patterns are comparably associated with age, the difference between them may impact visual and quantitative assessments of cortical amyloid-β uptake. Our objective was to determine whether PiB PET and FMT PET visual assessments agree with quantitative cortical amyloid-β evaluations.
    METHODS: A cohort of cognitively unimpaired (CU) younger adults with median (range) of 39 (30, 48) years (N = 30), CU older adults with age of 67 (61, 83) years (N = 30) and older adults with AD dementia with age of 67 (54-84) years (N = 23) underwent MRI, PiB PET and FMT PET. PiB-PET and FMT PET scans were evaluated visually by two nuclear medicine specialists blinded to participant information. Disagreements were reconciled with a second, joint round of visual reads. Readers applied standard visual assessment criteria using the absence of regional gray matter (GM) and WM contrast as an indication of a positive scan. The global cortical PiB standard uptake value ratio (SUVr) was obtained referencing to cerebellar crus uptake and converted to centiloid values. Participants were classified as PiB positive/negative using a centiloid cut-off of 22.
    RESULTS: PiB and FMT visual positivity agreed with quantitative positivity on PiB-based centiloid values in 69/83 for PiB and 78/83 for FMT. There were 10 disagreements with PiB, 1 disagreement with FMT and 4 disagreements with both. Few disagreements occurred near the centiloid threshold. Interestingly, all disagreements between visual reads (amyloid-β positive) and centiloid (amyloid-β negative) in the CU younger were with PiB. FMT disagreements were always in the CU older and AD groups.
    CONCLUSIONS: Disagreements between amyloid-β positivity on visual reads and quantitative measurements (centiloid) may depend on age and tracer. PiB WM uptake is lower than FMT WM uptake, which may lead to reduced contrast between GM and WM (part of the standard criteria for visual reads), especially in younger ages. In contrast, WM uptake increases at older ages, and increased WM signal may bleed more into cortical regions, hiding subtle, near-threshold cortical uptake, especially with FMT.
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  • 文章类型: Journal Article
    背景:淀粉样蛋白阴性遗忘型轻度认知障碍(MCI)患者在2年内向痴呆的转化率约为10%。这项研究旨在调查大脑年龄,使用从脑磁共振成像(MRI)人工智能(AI)软件获得的定量数据进行计算,可能是预测淀粉样蛋白阴性遗忘型MCI患者痴呆转化的重要因素。
    方法:我们对在Asan医疗中心的记忆门诊就诊的淀粉样蛋白阴性遗忘型MCI患者进行了一项回顾性队列研究。所有参与者都接受了详细的神经心理学测试,脑部MRI,和[18F]-氟倍他班(FBB)正电子发射断层扫描(PET)扫描。神经科医生根据详细的神经心理学测试的临床访谈或韩国版的迷你精神状态检查评分每年下降4分以上,并伴有日常生活活动受损,确定了向痴呆症的转化。通过使用市售分割软件对12个不同的大脑区域进行体积评估来确定大脑年龄。NeurophetAQUA.
    结果:在随访期间,38%(35/91)的患者从遗忘型MCI转变为痴呆。73%(66/91)的患者的大脑年龄高于其实际实际年龄。在转换组中,除三名参与者外,所有参与者(91%,32/35)的大脑年龄比实际年龄大。相反,大脑年龄较小的组的痴呆转化率显著低于其实际年龄.根据性别将受试者分为八组,教育水平,大脑年龄当将“生存”定义为MCI未转化为痴呆症时,这些组的生存概率显著不同,p值为0.036.受教育程度低的女性群体的大脑年龄高于实际年龄,在所有群体中存活率最低。
    结论:我们的研究结果表明,本研究中使用的基于MRI的脑年龄有助于预测淀粉样蛋白阴性遗忘型MCI患者向痴呆的转化。
    BACKGROUND: Amyloid-negative amnestic mild cognitive impairment (MCI) patients have a conversion rate to dementia of approximately 10% within 2 years. This study aimed to investigate whether brain age, calculated using quantitative data obtained from brain magnetic resonance imaging (MRI) artificial intelligence (AI) software can be an important factor in predicting the conversion of dementia in amyloid-negative amnestic MCI patients.
    METHODS: We conducted a retrospective cohort study of patients with amyloid-negative amnestic MCI who visited the memory clinic of Asan Medical Center. All participants underwent detailed neuropsychological testing, brain MRI, and [18F]-florbetaben (FBB) positron emission tomography (PET) scan. Conversion to dementia was determined by a neurologist based on a clinical interview with a detailed neuropsychological test or a decline in the Korean version of the Mini-Mental State Examination score of more than 4 points per year combined with impaired activities of daily living. Brain age was determined through volumetric assessment of 12 distinct brain regions using commercially available segmentation software, Neurophet AQUA.
    RESULTS: During the follow-up period, 38% (35/91) of patients converted to dementia from amnestic MCI. 73% (66/91) of patients had a higher brain age than their actual chronological age. In the conversion group, all participants except three (91%, 32/35) had a brain age older than their chronological age. Conversely, the conversion rate to dementia was significantly lower in the group with a younger brain age than their actual age. The subjects were divided into eight groups based on sex, education level, and brain age. When defining the \'survival\' as the non-conversion of MCI to dementia, these groups significantly differed in survival probability with a p-value of 0.036. The low-educated female group with a higher brain age than their actual age had the lowest survival rate of all groups.
    CONCLUSIONS: Our findings suggest that MRI-based brain age used in this study can contribute to predicting conversion to dementia in patients with amyloid-negative amnestic MCI.
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  • 文章类型: Case Reports
    背景:第一代和第二代抗上皮生长因子受体酪氨酸激酶抑制剂在治疗上皮生长因子受体突变的晚期腺癌中显示出巨大的疗效,但是这种功效受到某些抗性机制的限制,特别是T790M突变,在接受奥希替尼二线治疗之前,必须对其进行筛查。寻找这种突变有时很困难,尤其是在颅内复发的病例中,通过本病例报告,我们试图讨论开始使用奥希替尼治疗的可能性,尽管在这种情况下T790M突变未知.
    方法:我们介绍了一名70岁的摩洛哥男性患者,该患者被诊断为非小细胞肺癌,最初转移到胸膜并伴有上皮生长因子受体突变,在一线接受吉非替尼治疗,完全缓解,随后,他出现了脑低聚进展,颅外稳定。患者开始服用奥希替尼,T790M状态未知,因为不可能进行脑活检,演变的特征是部分反应,然后是立体定向放射治疗,然后是2年的完全反应。
    结论:我们可以讨论奥希替尼作为IV期非小细胞肺癌患者的一种选择,这些患者在接受过酪氨酸激酶抑制剂且T790M状态未知的情况下脑寡进展,这方面还需要进一步的研究。
    BACKGROUND: First- and second-generation anti-epithelial growth factor receptor tyrosine kinase inhibitors have shown great efficacy in the treatment of advanced adenocarcinoma with epithelial growth factor receptor mutations, but this efficacy is limited by certain resistance mechanisms, in particular the T790M mutation, which must be screened before second-line treatment with osimertinib is indicated. The search for this mutation is sometimes difficult, especially in cases of intracranial relapse, through this case report we attempt to discuss the possibility of initiating treatment with osimertinib despite an unknown T790M mutation in such situation.
    METHODS: We present the case of a 70-year-old Moroccan male patient diagnosed with non-small cell lung carcinoma initially metastatic to the pleura with an epithelial growth factor receptor mutation who received gefitinib in first line with a complete response, he subsequently presented with cerebral oligo-progression with extra cranial stability. The patient was started on osimertinib with unknown T790M status, as it was impossible to perform a cerebral biopsy, the evolution was characterized by a partial response followed by stereotactic radiotherapy then a complete response for 2 years.
    CONCLUSIONS: We can discuss osimertinib as an option for patients with stage IV non-small cell lung cancer with brain oligo-progression on prior tyrosine kinase inhibitors and unknown T790M status, further studies are needed in this area.
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