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: Letter
    暂无摘要。
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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: Case Reports
    背景:本研究详细介绍了一例晚期肺腺癌患者的EGFR基因缺失外显子19。
    方法:一名46岁女性患者被诊断为IVb期左肺腺癌,多发骨及淋巴结转移.在鉴定肿瘤特异性抗原肽后,患者接受了免疫治疗(TSA-DC-CTL)和口服奥希替尼的联合治疗.治疗前后监测外周血循环免疫细胞和循环肿瘤细胞(CTC)。PET-CT和CT扫描用于评估肿瘤对治疗的反应。
    结果:观察到患者的总淋巴细胞百分比显着增加,CTC数量减少。影像学研究显示肿瘤转移明显减少。
    结论:本报告证明了TSA-DC-CTL细胞免疫治疗联合奥希替尼治疗EGFR外显子19缺失的晚期肺腺癌患者的安全性和有效性。这项研究为EGFR突变的晚期肺癌患者描述了一种有希望的新治疗选择。
    BACKGROUND: This study details a case of a patient with advanced lung adenocarcinoma harboring an exon 19 deletion in the EGFR gene.
    METHODS: A 46-year-old female patient was diagnosed with stage IVb left lung adenocarcinoma, with multiple bone and lymph node metastases. Following the identification of tumor-specific antigen peptides, the patient received a combination treatment of immunotherapy (TSA-DC-CTL) and oral osimertinib. Peripheral blood circulating immune cells and circulating tumor cells (CTCs) were monitored before and after treatment. PET-CT and CT scans were used to assess the tumor response to treatment.
    RESULTS: A significant increase in total lymphocyte percentage and decrease in the number of CTCs in the patient was observed. Imaging studies showed a notable reduction in tumor metastases.
    CONCLUSIONS: This report demonstrates the safety and efficacy of TSA-DC-CTL cell immunotherapy combined with osimertinib in the treatment of a patient with advanced lung adenocarcinoma with an EGFR exon 19 deletions. This study describes a promising new treatment option for patients with advanced lung cancer with EGFR mutations.
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  • 文章类型: Journal Article
    硝基苯还原为苯胺对于污染控制和化学合成都非常重要。然而,在开发用于生产苯胺的具有高效率和选择性的催化体系方面仍然存在困难。在这里,发现高度分散在TiO2载体上的PdO纳米颗粒(PdO/TiO2)在NaBH4存在下作为还原硝基苯的高效催化剂。在有利条件下,通过使用0.5%PdO/TiO2作为催化剂和2mmol/LNaBH4作为还原剂,在1分钟内减少了95%的硝基苯(1mmol/L),具有10.8kJ/mol的超低表观活化能,苯胺的选择性甚至达到98%。通过同位素标记实验和ESR光谱的结果,在硝基苯的氢化过程中,活性氢物种被认为是优势物种。提出了如下机理:PdO激活硝基并导致原位生成Pd,并且所产生的Pd充当还原位点以产生活性氢物种。在这个催化体系中,硝基苯优选吸附在PdO/TiO2复合材料的PdO纳米颗粒上。随后,NaBH4的添加导致从PdO/TiO2复合材料原位生成Pd/PdO/TiO2复合材料,并且Pd纳米团簇将激活NaBH4以产生活性氢物种来攻击吸附的硝基。这项工作将为绿色化学中硝基苯催化转移加氢制苯胺开辟一条新的途径。
    The reduction of nitrobenzene to aniline is very important for both pollution control and chemical synthesis. Nevertheless, difficulties still remain in developing a catalytic system having high efficiency and selectivity for the production of aniline. Herein, it was found that PdO nanoparticles highly dispersed on TiO2 support (PdO/TiO2) functioned as a highly efficient catalyst for the reduction of nitrobenzene in the presence of NaBH4. Under favorable conditions, 95% of the added nitrobenzene (1 mmol/L) was reduced within 1 min with an ultra-low apparent activation energy of 10.8 kJ/mol by using 0.5%PdO/TiO2 as catalysts and 2 mmol/L of NaBH4 as reductants, and the selectivity to aniline even reached up to 98%. The active hydrogen species were perceived as dominant species during the hydrogenation of nitrobenzene by the results of isotope labeling experiments and ESR spectroscopic. A mechanism was proposed as follows: PdO activates the nitro groups and leads to in-situ generation of Pd, and the generated Pd acts as the reduction sites to produce active hydrogen species. In this catalytic system, nitrobenzene prefers to be adsorbed on the PdO nanoparticles of the PdO/TiO2 composite. Subsequently, the addition of NaBH4 results in in-situ generation of a Pd/PdO/TiO2 composite from the PdO/TiO2 composite, and the Pd nanoclusters would activate NaBH4 to generate active hydrogen species to attack the adsorbed nitro groups. This work will open up a new approach for the catalytic transfer hydrogenation of nitrobenzene to aniline in green chemistry.
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  • 文章类型: Journal Article
    背景:EGFR突变的非小细胞肺癌(NSCLC)和MET扩增作为一线奥希替尼耐药机制的患者几乎没有治疗选择。这里,我们报告了评估替泊替尼的2期INSIGHT2研究的主要分析,一种高度选择性的MET抑制剂,与奥希替尼联合治疗这一人群。
    方法:这个开放标签,第二阶段研究在17个国家的179个学术中心和社区诊所进行。符合条件的患者年龄在18岁或以上,东部肿瘤协作组表现状态为0或1,任何组织学的晚期或转移性EGFR突变NSCLC,通过组织活检荧光原位杂交进行MET扩增(FISH;MET基因拷贝数≥5或MET与CEP7比率≥2)或液体活检下一代测序(MET血浆基因拷贝数≥2·3),一线奥希替尼进展后。患者每天一次口服500mg托泊替尼加奥希替尼80mg。主要终点是通过Tepotinib联合奥希替尼治疗的中心FISH独立评估MET扩增患者的客观反应,随访至少9个月。在接受至少一个研究药物剂量的患者中分析安全性。这项研究在ClinicalTrials.gov注册,NCT03940703(注册完成)。
    结果:在2020年2月13日至2022年11月4日之间,128名患者(74[58%]女性,54[42%]男性)入组,并开始使用替泊替尼+奥希替尼。主要活动分析人群包括98例经中央FISH证实的MET扩增患者,之前的一线奥希替尼和至少9个月的随访(中位数12·7个月[IQR9·9-20·3])。确认的客观缓解率为50·0%(95%CI39·7-60·3;98例患者中有49例)。最常见的治疗相关的3级或更严重的不良事件是外周水肿(128例患者中有6例[5%])。食欲下降(5[4%]),心电图QT间期延长(五[4%]),和肺炎(四[3%])。16例(13%)患者报告了严重的治疗相关不良事件。研究人员评估了四名(3%)患者因肺炎(两名[2%]患者)与任一试验药物可能相关的死亡。血小板计数减少(1[1%]),呼吸衰竭(1[1%]),和呼吸困难(1[1%]);1例死亡归因于肺炎和呼吸困难。
    结论:Tepotinib联合奥希替尼在EGFR突变的NSCLC和MET扩增患者中显示出良好的活性和可接受的安全性,作为一线奥希替尼耐药机制,建议一种潜在的不含化疗的口服靶向治疗方案,应进一步研究.
    背景:默克公司(CrossRefFunderID:10.13039/100009945)。
    BACKGROUND: Patients with EGFR-mutated non-small-cell lung cancer (NSCLC) and MET amplification as a mechanism of resistance to first-line osimertinib have few treatment options. Here, we report the primary analysis of the phase 2 INSIGHT 2 study evaluating tepotinib, a highly selective MET inhibitor, combined with osimertinib in this population.
    METHODS: This open-label, phase 2 study was conducted at 179 academic centres and community clinics in 17 countries. Eligible patients were aged 18 years or older with an Eastern Cooperative Oncology Group performance status of 0 or 1 and advanced or metastatic EGFR-mutated NSCLC of any histology, with MET amplification by tissue biopsy fluorescence in-situ hybridisation (FISH; MET gene copy number of ≥5 or MET-to-CEP7 ratio of ≥2) or liquid biopsy next-generation sequencing (MET plasma gene copy number of ≥2·3), following progression on first-line osimertinib. Patients received oral tepotinib 500 mg plus oral osimertinib 80 mg once daily. The primary endpoint was independently assessed objective response in patients with MET amplification by central FISH treated with tepotinib plus osimertinib with at least 9 months of follow-up. Safety was analysed in patients who received at least one study drug dose. This study is registered with ClinicalTrials.gov, NCT03940703 (enrolment complete).
    RESULTS: Between Feb 13, 2020, and Nov 4, 2022, 128 patients (74 [58%] female, 54 [42%] male) were enrolled and initiated tepotinib plus osimertinib. The primary activity analysis population included 98 patients with MET amplification confirmed by central FISH, previous first-line osimertinib and at least 9 months of follow-up (median 12·7 months [IQR 9·9-20·3]). The confirmed objective response rate was 50·0% (95% CI 39·7-60·3; 49 of 98 patients). The most common treatment-related grade 3 or worse adverse events were peripheral oedema (six [5%] of 128 patients), decreased appetite (five [4%]), prolonged electrocardiogram QT interval (five [4%]), and pneumonitis (four [3%]). Serious treatment-related adverse events were reported in 16 (13%) patients. Deaths of four (3%) patients were assessed as potentially related to either trial drug by the investigator due to pneumonitis (two [2%] patients), decreased platelet count (one [1%]), respiratory failure (one [1%]), and dyspnoea (one [1%]); one death was attributed to both pneumonitis and dyspnoea.
    CONCLUSIONS: Tepotinib plus osimertinib showed promising activity and acceptable safety in patients with EGFR-mutated NSCLC and MET amplification as a mechanism of resistance to first-line osimertinib, suggesting a potential chemotherapy-sparing oral targeted therapy option that should be further investigated.
    BACKGROUND: Merck (CrossRef Funder ID: 10.13039/100009945).
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  • 文章类型: Journal Article
    Glycans,特别是唾液酸(SAs),在不同的生物过程中发挥关键作用。尽管意义重大,分析特定的聚糖,如唾液酸,由于sEV的聚糖容量有限和大量异质性,因此在单个小细胞外囊泡(sEV)上仍然具有挑战性。为了解决这个问题,我们介绍了一种名为PALEV-nFCM的sEV表面SAs的化学修饰方法,其中涉及高碘酸盐氧化和苯胺催化的肟连接(PAL),结合使用实验室构建的纳米流式细胞仪(nFCM)的单颗粒分析。使用SA修饰的脂质体验证了PALEV标记方法的特异性,酶促去除末端SA残留物,凝集素预阻断,和用内源性唾液酸转移酶抑制剂进行细胞处理。对来自不同来源的sEV进行了SA分布的综合映射,包括各种细胞系的条件细胞培养基(CCCM),人类唾液,和人类红细胞(RBC)。值得注意的是,用钙离子载体处理显著增加SA阳性RBCsEV的群体,并且也增强个体RBCsEV上的SA含量。NFCM提供了一个敏感和通用的平台,用于映射单个sEV的SA,这可以显着有助于解决sEV的异质性并促进对其糖标签的理解。
    Glycans, particularly sialic acids (SAs), play crucial roles in diverse biological processes. Despite their significance, analyzing specific glycans, such as sialic acids, on individual small extracellular vesicles (sEVs) has remained challenging due to the limited glycan capacity and substantial heterogeneity of sEVs. To tackle this issue, we introduce a chemical modification method of surface SAs on sEVs named PALEV-nFCM, which involves periodate oxidation and aniline-catalyzed oxime ligation (PAL), in conjunction with single-particle analysis using a laboratory-built nano-flow cytometer (nFCM). The specificity of the PALEV labeling method was validated using SA-decorated liposomes, enzymatic removal of terminal SA residues, lectin preblocking, and cellular treatment with an endogenous sialyltransferase inhibitor. Comprehensive mapping of SA distributions was conducted for sEVs derived from different sources, including conditioned cell culture medium (CCCM) of various cell lines, human saliva, and human red blood cells (RBCs). Notably, treatment with the calcium ionophore substantially increases the population of SA-positive RBC sEVs and enhances the SA content on individual RBC sEVs as well. nFCM provides a sensitive and versatile platform for mapping SAs of individual sEVs, which could significantly contribute to resolving the heterogeneity of sEVs and advancing the understanding of their glycosignature.
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  • 文章类型: Journal Article
    发现容易获得和易于修改的新模型是农业化学创新的关键和实用的解决方案。以抗真菌功能为导向的三唑与预先验证的铅(R)-LE001融合提供了具有广泛且增强的抗真菌谱的新型框架。以[1,2,4]三唑并[4,3-a]吡啶的易接近性和可调性为特征,模块化微调提供了一组前所未有的线索(例如,Z23、Z25、Z26等。)具有比阳性对照物更好的抗真菌潜力。候选Z23对菌核病显示出更有希望的抗真菌活性,灰葡萄孢菌,和辣椒疫霉,EC50值为0.7、0.6和0.5μM,分别。该候选物可以有效地控制抗啶酰菌液的灰霉病菌菌株,并且在控制灰霉病方面也表现出良好的体内功效。值得注意的是,SDH抑制和抗卵菌P.capsici的效率都与阳性对照物非常不同。分子对接模拟也将Z23与啶酰菌胺区分开。这些发现强调了[1,2,4]三唑并[4,3-a]吡啶酰胺作为新型抗真菌模型的潜力。
    The discovery of readily available and easily modifiable new models is a crucial and practical solution for agrochemical innovation. Antifungal function-oriented fusion of triazole with the prevalidated lead (R)-LE001 affords a novel framework with a broad and enhanced antifungal spectrum. Characterized by the easy accessibility and adjustability of [1,2,4]triazolo[4,3-a]pyridine, modular fine-tuning provided a set of unprecedented leads (e.g., Z23, Z25, Z26, etc.) with superior antifungal potentials than the positive control boscalid. Candidate Z23 exhibited a more promising antifungal activity against Sclerotinia sclerotiorum, Botrytis cinerea, and Phytophthora capsici with EC50 values of 0.7, 0.6, and 0.5 μM, respectively. This candidate could effectively control boscalid-resistant B. cinerea strains and also exhibit good vivo efficacy in controlling gray mold. Noteworthily, both the SDH-inhibition and the efficiency against Oomycete P. capsici are quite distinct from that of the positive control boscalid. A molecular docking simulation also differentiates Z23 from boscalid. These findings highlight the potential of [1,2,4]triazolo[4,3-a]pyridine amide as a novel antifungal model.
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  • 文章类型: Journal Article
    背景:对奥希替尼的获得性耐药限制了其在EGFR突变的非小细胞肺癌(NSCLC)中的临床疗效。红豆杉的广泛认可。mairei(LeméeetLévl)ChengetL.K.Fu(中国紫杉)作为天然抗癌药物是公认的。然而,红豆杉的具体贡献。mairei(LeméeetLévl)ChengetL.K.Fu在解决奥希替尼耐药性方面仍不确定。
    目的:基于生物学行为和脂质代谢,我们调查了红豆杉的水提取物是否var。mairei(LeméeetLévl)ChengetL.K.Fu(AETC)通过研究其确切机制,可以增强奥希替尼在NSCLC中的抗肿瘤作用。
    方法:通过细胞活力测量评估AETC对奥希替尼敏感性的增强作用,活性氧(ROS)的水平,凋亡,和脂质水平。Western印迹用于验证AETC通过ERK1/2过表达和敲低模型克服奥希替尼抗性的机制。在裸小鼠中使用来自奥希替尼抗性细胞的皮下异种移植物进行体内验证。
    结果:奥希替尼耐药细胞显示胆固醇生物合成改变,ERK1/2激活诱导。AETC和奥希替尼的组合可以协同降低细胞中的ROS水平,增强细胞凋亡,并抑制奥希替尼耐药细胞的生长。机制实验表明,AETC可以通过调节ERK1/2下调胆固醇生物合成的关键调节因子,抑制胆固醇的内源性合成速率,并抑制奥希替尼耐药细胞和异种移植肿瘤中的脂质水平,最终逆转对奥希替尼的耐药性。
    结论:奥希替尼耐药受胆固醇生物合成的显著影响,强调其在这方面的关键作用。AETC可通过ERK/SREBP-2/HMGCR介导的胆固醇生物合成增强奥希替尼敏感性。这些结果为奥希替尼耐药提供了有希望的治疗靶点和潜在的治疗选择。
    BACKGROUND: Acquired resistance to osimertinib limits its clinical efficacy in non-small cell lung cancer (NSCLC) with EGFR mutations. The widespread recognition of Taxus chinensis var. Mairei (Lemée et Lévl) Cheng et L.K. Fu (Chinese yew) as a natural anti-cancer medication is well-established. However, the specific contribution of Taxus chinensis var. Mairei (Lemée et Lévl) Cheng et L.K. Fu in addressing resistance to osimertinib is still uncertain.
    OBJECTIVE: Based on the biological behaviors and lipid metabolism, we investigated whether aqueous extract of Taxus chinensis var. Mairei (Lemée et Lévl) Cheng et L.K. Fu (AETC) could enhance the antitumor effect of osimertinib in NSCLC with an investigation on the precise mechanisms.
    METHODS: The effect of AETC on enhancing osimertinib sensitivity was assessed via cell viability measurements, levels of reactive oxygen species (ROS), apoptosis, and lipid levels. Western blotting was used to verify the mechanisms of AETC responsible for overcoming the resistance to osimertinib via ERK1/2 overexpression and knockdown models. In vivo validation was conducted using subcutaneous xenografts from osimertinib-resistant cells in nude mice.
    RESULTS: Osimertinib-resistant cells exhibited altered cholesterol biosynthesis, which was induced by ERK1/2 activation. The combination of AETC and osimertinib can synergistically decrease the levels of ROS in cells, enhance apoptosis, and inhibit the growth of osimertinib-resistant cells. Mechanistic experiments demonstrated that AETC can downregulate the key regulators of cholesterol biosynthesis by regulating ERK1/2, inhibiting the endogenous synthesis rate of cholesterol, and suppressing the level of lipids in osimertinib-resistant cells and xenograft tumors when combined with osimertinib, ultimately reversing resistance to osimertinib.
    CONCLUSIONS: The resistance to osimertinib is significantly influenced by cholesterol biosynthesis, highlighting its pivotal role in this context. AETC can enhance osimertinib sensitivity via ERK/SREBP-2/HMGCR-mediated cholesterol biosynthesis. These results provide a promising therapeutic target and potential treatment option for resistance to osimertinib.
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  • 文章类型: Case Reports
    背景:骨转移是晚期肺癌常见的转移模式,对患者的生存和生活质量构成极大威胁。然而,现有文献对晚期肺癌骨转移的治疗选择有限.
    方法:一名76岁已婚男性患者因咳嗽和痰行经1个月CT检查。在CT上,在肺的左下叶发现占位性病变,以及椎体和髂骨的多发性骨转移。
    方法:穿刺后肺病变的病理切片显示浸润性肺腺癌,基因检测显示EGFR外显子21:L858R(64.60%)。
    方法:考虑到该疾病不适合放疗(广泛转移)且不能用化疗(基础条件差)治疗,患者给予奥希替尼分子靶向治疗.
    结果:标准治疗10个月后(口服80毫克,一天一次),患者的肺部病变明显变小,骨转移有明显改善。在一年的随访中,患者的病情没有任何反弹的迹象。
    在目前的情况下,用单一分子靶向治疗药物治疗后,肺腺癌骨转移几乎完全消失,增加对晚期肺癌治疗的信心。
    BACKGROUND: Bone metastasis is a common metastatic mode of advanced lung cancer and poses a great threat to the survival and quality of life of patients with this disease. However, the available literature has limited treatment options for advanced lung cancer with bone metastases.
    METHODS: A 76-year-old married male patient was underwent CT due to cough and sputum for 1 month. On CT, space-occupying lesions were found in the left inferior lobe of the lung, as well as multiple bone metastases in the vertebral body and ilium.
    METHODS: Pathologic sectioning of the lung lesion after puncture revealed invasive lung adenocarcinoma, and a genetic test revealed EGFR exon 21: L858R (64.60%).
    METHODS: Considering that the disease was not suitable for radiotherapy (extensive metastasis) and could not be treated with chemotherapy (poor underlying condition), the patient was given molecularly targeted therapy with osimertinib.
    RESULTS: After 10 months of standard treatment (80 mg orally, once a day), the lung lesions of the patients became significantly smaller, and the bone metastases distinctly improved. And the patient\'s condition has not shown any signs of rebound with the one-year follow-up.
    UNASSIGNED: In the present case, the bone metastases from lung adenocarcinoma almost completely disappeared after treatment with a single molecular targeted therapy agent, increasing the confidence in the treatment of advanced lung cancer.
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