Resistance

电阻
  • 文章类型: Journal Article
    本研究是在植物病理Hafizabad研究站进行的,Layyah大学,在2021-2022年和2022-2023年的作物季节期间,评估各种小麦基因型对叶锈病严重程度(%)的响应,有利于疾病发展和谷物产量的环境条件。除最低温度和最低相对湿度外,与疾病发展呈负相关,叶锈病严重程度(%)与所有环境条件(如最高温度)之间存在显着相关性,最大相对湿度,降雨,和风速。所有流行病学变量,如最高温度,最低温度,最小相对湿度,降雨和风速显著影响疾病进展。疾病预测模型在叶锈病严重程度上占48-69%的变异性。使用决定系数(R2=0.69)和RMSE评估模型性能,两者都对叶锈病严重程度(%)管理表现出可接受的预测结果。叶锈病严重程度(%)随着最高温度(17.8-30°C)的增加而增加,最大相对湿度(76.3-85%),在2021-2022和2022-2023两个评级季节,降雨量(2.2-10.85毫米)和风速1.1-2.7公里/小时,并随着最低温度(7.91-16.71°C)最小相对湿度(47.15-56.45%)的增加而下降。在Zadok的规模3,ZS4.3和ZS5.4阶段单次和两次施用杀菌剂导致在2021-2022和2022-2023作物季节中叶锈病严重程度(%)引起的谷物产量损失显着减少。丙硫菌唑单次和两次喷雾,被发现是所有治疗方法中的首选,以减少疾病的严重程度,增加谷物产量和最大总收入(513.1-777.8$/ha),与随后单次和两次喷雾丙环唑(进展)相比,戊唑醇+三氟菌酯,戊唑醇,比沙芬+戊唑醇,和丙环唑(倾斜),分别。这些发现建议基因型抗性和天气预测因子参与小麦叶锈病的发展,随着杀菌剂的应用研究,为了提高宿主对疾病的抵抗力的可预测性,未来的模型,以及疾病控制方法的可持续性。
    The present study was carried out at the Plant Pathology Hafizabad Research Station, the University of Layyah, during the crop seasons 2021-2022 and 2022-2023 to evaluate the response of various wheat genotypes against leaf rust severity (%), environmental conditions favourable for disease development and grain yield. Except for minimum temperature and minimum relative humidity, which had a negative association with disease development, there was a significant correlation between leaf rust severity (%) and all environmental conditions such as maximum temperature, maximum relative humidity, rainfall, and wind speed. All epidemiological variables such as maximum temperature, minimum temperature, minimum relative humidity, rainfall and wind speed significantly affect the disease progression. The disease predictive model accounted for 48-69 % variability in leaf rust severity. The model performance was evaluated using the coefficient of determination (R2 = 0.69) and RMSE, both demonstrated acceptable predictive results for leaf rust severity (%) management. Leaf rust severity (%) increased with an increase in maximum temperature (17.8-30 °C), maximum relative humidity (76.3-85 %), rainfall (2.2-10.85 mm) and wind speed 1.1-2.7 km/h and decreased with the increase of minimum temperature (7.91-16.71 °C) minimum relative humidity (47.15-56.45 %) during both rating seasons 2021-2022 and 2022-2023. The single and two applications of fungicides at the Zadok\'s scale 3, ZS 4.3, and ZS 5.4 stages led to a significant reduction in grain yield losses caused by leaf rust severity (%) in both the 2021-2022 and 2022-2023 crop seasons. Single and two sprays of prothioconazole, were found to be the first choice among all treatments to reduce the disease severity and increase grain production and maximum gross revenue (513.1-777.8$/ha), as compared to followed by single and two sprays of propiconazole (Progress), tebuconazole + trifloxystrobin, tebuconazole, bixafen + tebuconazole, and propiconazole (Tilt), respectively. These findings recommend the involvement of genotype resistance and weather predictors in wheat leaf rust development, along with fungicide application studies, to improve the predictability of host resistance to disease, future models, and the sustainability of disease control methods.
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  • 文章类型: Journal Article
    全球微生物耐药性严重威胁人类健康,和多靶向化合物被认为有希望对抗微生物抗性。在这项工作中,使用三乙氧基甲烷和取代的苯胺作为起始材料,通过多步反应开发了一系列具有多靶向抗菌潜力的新型噻唑基喹诺酮类药物。其结构经1HNMR确证,13CNMR和HRMS光谱。抗菌评价显示,一些目标化合物能有效抑制微生物生长。尤其是,硫代酰氨基肼基氨基噻唑基喹诺酮8a对耐药金黄色葡萄球菌具有很强的抑制活性,MIC值为0.0047mM,比诺氟沙星活性高5倍。高活性化合物8a表现出可忽略的溶血,在体外和体内没有明显的毒性,耐药性低,以及快速杀菌作用,这表明其良好的可药用性。此外,化合物8a能够有效地破坏细菌膜的完整性,插入DNA并抑制拓扑异构酶IV的活性,提示多靶向作用机制。化合物8a可以与DNA-拓扑异构酶IV复合物形成氢键和疏水相互作用,表明氨基噻唑基部分的插入有利于提高抗菌效率。这些发现表明,作为化学治疗候选物的活性硫代氨基肼酰氨基噻唑基喹诺酮8a显示出解决耐药细菌感染的巨大潜力。
    The global microbial resistance is a serious threat to human health, and multitargeting compounds are considered to be promising to combat microbial resistance. In this work, a series of new thiazolylquinolones with multitargeting antimicrobial potential were developed through multi-step reactions using triethoxymethane and substituted anilines as start materials. Their structures were confirmed by 1H NMR, 13C NMR and HRMS spectra. Antimicrobial evaluation revealed that some of the target compounds could effectively inhibit microbial growth. Especially, carbothioamido hydrazonyl aminothiazolyl quinolone 8a showed strong inhibitory activity toward drug-resistant Staphylococcus aureus with MIC value of 0.0047 mM, which was 5-fold more active than that of norfloxacin. The highly active compound 8a exhibited negligible hemolysis, no significant toxicity in vitro and in vivo, low drug resistance, as well as rapidly bactericidal effects, which suggested its favorable druggability. Furthermore, compound 8a was able to effectively disrupt the integrity of the bacterial membrane, intercalate into DNA and inhibit the activity of topoisomerase IV, suggesting multitargeting mechanism of action. Compound 8a could form hydrogen bonds and hydrophobic interactions with DNA-topoisomerase IV complex, indicating the insertion of aminothiazolyl moiety was beneficial to improve antibacterial efficiency. These findings indicated that the active carbothioamido hydrazonyl aminothiazolyl quinolone 8a as a chemical therapeutic candidate demonstrated immense potential to tackle drug-resistant bacterial infections.
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  • 文章类型: Journal Article
    灰霉病菌被认为是第二重要的真菌植物病原体,会导致严重的疾病,尤其是西红柿。TPK1b基因编码受体样激酶,其可以正向调节植物对灰霉病菌的抗性。这里,我们鉴定了番茄WRKY转录因子SlWRKY3,它与TPK1b启动子上的W-box结合。它可以负调控TPK1b转录,然后调节下游信号通路,并最终负向调节番茄对灰霉病菌的抗性。SlWRKY3干扰可以增强对B.cinerea的抵抗力,和SlWRKY3过表达导致对灰霉病的易感性。此外,我们发现B.cinerea可以显著,而且很快,诱导SlWRKY3表达上调。在SlWRKY3转基因植物中,TPK1b的表达水平与SlWRKY3的表达呈负相关。与对照相比,在W3-OE植株中SA途径标记基因PR1的表达下调,而在W3-Ri植株中接种灰芽孢杆菌48小时后表达上调。SlWRKY3正调控ROS的产生。总的来说,SlWRKY3可抑制番茄中TPK1b的转录,并通过调节下游SA和ROS途径负向调节对灰霉病菌的抗性。
    Botrytis cinerea is considered the second most important fungal plant pathogen, and can cause serious disease, especially on tomato. The TPK1b gene encodes a receptor-like kinase that can positively regulate plant resistance to B. cinerea. Here, we identified a tomato WRKY transcription factor SlWRKY3 that binds to the W-box on the TPK1b promoter. It can negatively regulate TPK1b transcription, then regulate downstream signaling pathways, and ultimately negatively regulate tomato resistance to B. cinerea. SlWRKY3 interference can enhance resistance to B. cinerea, and SlWRKY3 overexpression leads to susceptibility to B. cinerea. Additionally, we found that B. cinerea can significantly, and rapidly, induce the upregulation of SlWRKY3 expression. In SlWRKY3 transgenic plants, the TPK1b expression level was negatively correlated with SlWRKY3 expression. Compared with the control, the expression of the SA pathway marker gene PR1 was downregulated in W3-OE plants and upregulated in W3-Ri plants when inoculated with B. cinerea for 48 h. Moreover, SlWRKY3 positively regulated ROS production. Overall, SlWRKY3 can inhibit TPK1b transcription in tomato, and negatively regulate resistance to B. cinerea by modulating the downstream SA and ROS pathways.
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  • 文章类型: Journal Article
    白粉病是受保护甜瓜种植中的严重真菌病,会影响其生长,甜瓜植物的开发和生产。以往的研究表明,红光可以提高东方甜瓜幼苗对白粉病的抗性。这里,接种Podosphaeraxanthii后,引起白粉病的专性真菌病原体,我们发现红光预处理增加了乙烯的产量,从而提高了甜瓜幼苗对白粉病的抗性,乙烯生物合成基因CmACS10在此过程中发挥了重要作用。通过分析CmACS10启动子,筛选酵母单杂交文库,发现CmERF27正调节CmACS10的表达,增加白粉病抗性,并在蛋白质水平上与植物铬相互作用因子8(CmPIF8)相互作用,参与乙烯生物合成的调节,以响应红光诱导的对黄牛的抗性。此外,CmPIF8也直接靶向CmACS10的启动子,负向参与这一进程。总之,这项研究揭示了CmPIF8-CmERF27-CmACS10模块调节红光诱导的乙烯生物合成以抵抗黄牛感染的特定机制,阐明光与植物激素在生物胁迫下的相互作用,为抗病甜瓜植物的选育提供参考和遗传资源。
    Powdery mildew is a serious fungal disease in protected melon cultivation that affects the growth, development and production of melon plants. Previous studies have shown that red light can improve oriental melon seedlings resistance to powdery mildew. Here, after inoculation with Podosphaera xanthii, an obligate fungal pathogen eliciting powdery mildew, we found that red light pretreatment increased ethylene production and this improved the resistance of melon seedlings to powdery mildew, and the ethylene biosynthesis gene CmACS10 played an important role in this process. By analysing the CmACS10 promoter, screening yeast one-hybrid library, it was found that CmERF27 positively regulated the expression of CmACS10, increased powdery mildew resistance and interacted with PHYTOCHROME INTERACTING FACTOR8 (CmPIF8) at the protein level to participate in the regulation of ethylene biosynthesis to respond to the red light-induced resistance to P. xanthii, Furthermore, CmPIF8 also directly targeted the promoter of CmACS10, negatively participated in this process. In summary, this study revealed the specific mechanism by which the CmPIF8-CmERF27-CmACS10 module regulates red light-induced ethylene biosynthesis to resist P. xanthii infection, elucidate the interaction between light and plant hormones under biological stress, provide a reference and genetic resources for breeding of disease-resistant melon plants.
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  • 文章类型: Journal Article
    翡翠灰化虫(EAB,Agrilusplanipennis)是白蜡树(Fraxinusspp。)在北美和欧洲。在亚洲本土范围内与EAB共同进化的灰分物种大多具有抗性,尽管确切的机制仍不清楚。关于EAB或灰树微生物组也知之甚少。我们对天然和非天然灰分物种之间的韧皮部真菌生物群和代谢物进行了首次联合比较,感染和未感染EAB,与幼虫分枝杆菌组的研究相结合。树种之间的韧皮部真菌生物群落群落不同,但两者均未受到EAB侵扰的影响。幼虫肠道中的几个指示类群仅与本地寄主树共享类似的高相对丰度。广泛靶向的代谢组学揭示了天然树木中的24种不同的代谢物和非天然树木中的53种代谢物,分别,仅在一个物种中,受感染和未受感染的树木之间的相对含量有所不同。有趣的是,四种代谢物与韧皮部真菌有很强的关系,其中大多数只影响本地树木。总的来说,我们的结果证明了宿主树化学和真菌生物之间复杂的相互作用,并建议本地宿主树和EAB的分枝杆菌之间的共享关系可能反映了它们的共享共同进化。
    Emerald ash borer (EAB, Agrilus planipennis) is an invasive killer of ash trees (Fraxinus spp.) in North America and Europe. Ash species co-evolved with EAB in their native range in Asia are mostly resistant, although the precise mechanism(s) remain unclear. Very little is also known about EAB or ash tree microbiomes. We performed the first joint comparison of phloem mycobiome and metabolites between a native and a nonnative ash species, infested and uninfested with EAB, in conjunction with investigation of larval mycobiome. Phloem mycobiome communities differed between the tree species, but both were unaffected by EAB infestation. Several indicator taxa in the larval gut shared a similarly high relative abundance only with the native host trees. Widely targeted metabolomics revealed 24 distinct metabolites in native trees and 53 metabolites in nonnative trees, respectively, that differed in relative content between infested and uninfested trees only in one species. Interestingly, four metabolites shared a strong relationship with the phloem mycobiomes, majority of which affected only the native trees. Collectively, our results demonstrate a complex interplay between host tree chemistry and mycobiome, and suggest the shared relationships between the mycobiomes of the native host tree and EAB may reflect their shared co-evolution.
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  • 文章类型: Journal Article
    用于控制烟粉虱的合成杀虫剂包括有机磷,拟除虫菊酯,昆虫生长调节剂,类烟碱,和新烟碱。其中,新烟碱一直在使用,这导致粉虱对这类化学杀虫剂的高度抗性的出现,使粉虱管理变得困难。脂肪动力学激素基因(AKH)和活性氧(ROS)在昆虫抗性的发展中起作用。因此,本研究评估了AKH和ROS在地中海烟粉虱(MED;以前的生物型Q)吡虫啉抗性中的作用.抗性烟粉虱MED中AKH的表达程度显著低于敏感烟粉虱(MED)(p<0.05)。AKH表达呈降低趋向。AKH通过RNAi沉默后,我们发现ROS水平以及抗性基因CYP6CM1及其上游调节因子CREB的表达水平,ERK,和P38显著增加(p<0.05);此外,粉虱对吡虫啉的抗性增加,死亡率降低(p<0.001)。这些结果表明,AKH通过ROS调节烟粉虱抗性基因的表达。
    Synthetic insecticides used to control Bemisia tabaci include organophosphorus, pyrethroids, insect growth regulators, nicotinoids, and neonicotinoids. Among these, neonicotinoids have been used continuously, which has led to the emergence of high-level resistance to this class of chemical insecticides in the whitefly, making whitefly management difficult. The adipokinetic hormone gene (AKH) and reactive oxygen species (ROS) play roles in the development of insect resistance. Therefore, the roles of AKH and ROS in imidacloprid resistance in Bemisia tabaci Mediterranean (MED; formerly biotype Q) were evaluated in this study. The expression level of AKH in resistant B. tabaci MED was significantly lower than that in sensitive B. tabaci (MED) (p < 0.05). AKH expression showed a decreasing trend. After AKH silencing by RNAi, we found that ROS levels as well as the expression levels of the resistance gene CYP6CM1 and its upstream regulatory factors CREB, ERK, and P38 increased significantly (p < 0.05); additionally, whitefly resistance to imidacloprid increased and mortality decreased (p < 0.001). These results suggest that AKH regulates the expression of resistance genes via ROS in Bemisia tabaci.
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  • 文章类型: Journal Article
    甘蔗黑穗病是全球范围内最具破坏性的疾病,根据品种类型,造成轻度到重度的产量损失,病原体种族和气候条件。种植抗黑穗病品种是减轻其危害的最可行和经济的选择。先前的调查显示,由于物种复合物中的特征重叠,因此缺乏有关早期检测和有效抑制黑穗病病因的有效策略的信息。在这项研究中,在两个连续的生长季节中,通过人工接种所有可能的镰刀孢菌病原体品种的匀浆,筛选了104个甘蔗品种。通过疾病生长曲线记录了逻辑黑穗病的生长方式和疾病固有率。疾病发病率的可变水平,即在这些甘蔗品种中观察到0到54.10%。此外,使用黑穗病特异性引物通过PCR方法成功扩增了所有品种的植物芽中的病原体DNA,但26个品种在田间试验中表现出免疫反应。此外,病菌接种对易感甘蔗品种的植物萌发和分耕有很大影响。在易感品种中,S.麦片引起了长株发芽的显着减少,再加上大量分till,导致更少的可铣削手杖。相关分析表明,种皮发芽的减少与分till数量的增加之间存在正相关关系。本研究将有助于评价各种甘蔗种质中的黑穗病抗性。特别是从种皮发芽和分till形成方面,并筛选出了几种优良种质,具有在甘蔗育种中的潜在应用价值。
    Sugarcane smut is the most damaging disease that is present almost across the globe, causing mild to severe yield losses depending upon the cultivar types, pathogen races and climatic conditions. Cultivation of smut-resistant cultivars is the most feasible and economical option to mitigate its damages. Previous investigations revealed that there is a scarcity of information on early detection and effective strategies to suppress etiological agents of smut disease due to the characteristics overlapping within species complexes. In this study, 104 sugarcane cultivars were screened by artificial inoculation with homogenate of all possible pathogen races of Sporisorium scitamineum during two consecutive growing seasons. The logistic smut growth pattern and the disease intrinsic rate were recorded by disease growth curve. Variable levels of disease incidence i.e., ranging from 0 to 54.10% were observed among these sugarcane cultivars. Besides, pathogen DNA in plant shoots of all the cultivars was successfully amplified by PCR method using smut-specific primers except 26 cultivars which showed an immune reaction in the field trial. Furthermore, the plant germination and tillering of susceptible sugarcane cultivars were greatly influenced by pathogen inoculation. In susceptible cultivars, S. scitamineum caused a significant reduction in setts germination, coupled with profuse tillering, resulting in fewer millable canes. Correlation analysis demonstrated that there was a positive relationship between reduction in setts germination and increase in the number of tillers. The present study would be helpful for the evaluation of smut resistance in a wide range of sugarcane germplasm, especially from the aspects of setts germination and tillers formation, and it also screened out several excellent germplasm for potential application in sugarcane breeding.
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  • 文章类型: Journal Article
    免疫疗法已经改变了晚期黑色素瘤的治疗。然而,多达三分之二的患者在最初对免疫疗法产生反应后经历疾病进展。此外,大多数研究集中在皮肤黑色素瘤,而不是肢端或粘膜黑色素瘤,尽管后者在亚洲人群中占主导地位。在这次审查中,我们研究并总结了目前对免疫治疗耐药的定义和对PD-1抑制耐药的流行病学.我们还回顾了有关抗药性分子机制的现有文献,包括免疫治疗耐药的肢端和粘膜黑素瘤的肿瘤突变景观和肿瘤微环境如何影响耐药性。最后,我们回顾了克服PD-1抑制耐药性的策略,并总结了已完成的研究和正在进行的临床试验.我们的审查强调,提高对抗性机制的理解,优化现有治疗方法和进一步研究高危人群,将最大限度地发挥免疫治疗的潜力,并优化黑色素瘤患者的治疗结局.
    Immunotherapy has transformed the treatment of advanced melanoma. However, up to two-thirds of patients experience disease progression after initially achieving a response to immunotherapy. Furthermore, most research has focused on cutaneous melanoma rather than acral or mucosal melanoma, although the latter predominates in Asian populations. In this review, we examine and summarize current definitions of resistance to immunotherapy and the epidemiology of resistance to PD-1 inhibition. We also review the available literature on molecular mechanisms of resistance, including how the tumor mutational landscape and tumor microenvironments of immunotherapy-resistant acral and mucosal melanomas may influence resistance. Finally, we review strategies for overcoming resistance to PD-1 inhibition and summarize completed studies and ongoing clinical trials. Our review highlights that improving the understanding of resistance mechanisms, optimizing existing therapies and further studying high-risk populations would maximize the potential of immunotherapy and result in optimized treatment outcomes for patients with melanoma.
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  • 文章类型: Journal Article
    背景:在第二代ALK酪氨酸激酶抑制剂(ALK-TKIs)的时代,关于进展模式的数据很少,抗性机制,以及随后的ALK阳性(ALK)非小细胞肺癌(NSCLC)的治疗方法。
    方法:回顾性选择本中心的晚期ALK+NSCLC患者。队列1包括接受一线阿来替尼治疗后出现疾病进展的患者(n=20),而队列2包括接受克唑替尼和第二代ALK-TKIs序贯治疗后进展的患者(n=53).寡核苷酸进展定义为在不超过三个病变中发生疾病进展。当患者在放射学进展期间出现新症状或经历先前存在的症状恶化时,确定症状进展。
    结果:与接受克唑替尼治疗的患者相比,第1组的中枢神经系统(CNS)进展和症状性CNS进展的发生率明显较低,比率为15.0%与56.6%(p=0.002)和5.0%与32.1%(p=0.016),分别。共有60.3%(44/73)的患者在第二代ALK-TKI耐药后进行了重复活检和下一代测序,ALK激酶结构域的二次突变成为耐药的主要机制(56.8%)。局部治疗应用于50%的寡进展病例。随后的ALK-TKIs证明无进展生存期(PFS)显着延长(8.6mvs.2.7米,p=0.021,HR=0.43,95CI:0.15-0.85)和长期总生存率(OS)(NA与11.9米,p=0.132,HR=0.50,95CI:0.18-1.25)在具有ALK抗性突变的患者中,与没有这种突变的人相比。对于第二代ALK-TKIs进展后无ALK耐药突变的患者,后续化疗或替代ALK-TKI治疗之间的生存结局无统计学显著差异.
    结论:一线阿来替尼在保护中枢神经系统方面表现出优于克唑替尼的疗效。对于第二代ALK-TKIs耐药后出现ALK耐药突变的患者,应给予适当的敏感ALK-TKI;对于那些没有这种突变的人,化疗或第三代ALK-TKI的选择应基于患者的总体身体健康和个人偏好.
    BACKGROUND: In the era of second-generation ALK tyrosine kinase inhibitors (ALK-TKIs), there was a paucity of data regarding the progression patterns, resistant mechanisms, and subsequent therapeutic approaches for ALK-positive (ALK+) non-small cell lung cancer (NSCLC).
    METHODS: Patients with advanced ALK+ NSCLC were retrospectively selected from our center. Cohort 1 consisted of patients who experienced disease progression after receiving first-line alectinib treatment (n = 20), while Cohort 2 included patients who progressed following sequential treatment with crizotinib and second-generation ALK-TKIs (n = 53). Oligo-progression was defined as the occurrence of disease progression in no more than three lesions. Symptomatic progression was determined when patients developed new symptoms or experienced worsening of pre-existing symptoms during radiological progression.
    RESULTS: The incidence of central nervous system (CNS) progression and symptomatic CNS progression was significantly lower in Cohort 1 compared to patients treated with crizotinib, with rates of 15.0% vs. 56.6% (p = 0.002) and 5.0% vs. 32.1% (p = 0.016), respectively. A total of 60.3% (44/73) patients underwent repeated biopsy and next-generation sequencing subsequent to the second-generation ALK-TKI resistance, with secondary mutation in ALK kinase domain emerging as the predominant mechanism of resistance (56.8%). Local therapy was applied to 50% of oligo-progression cases. Subsequent ALK-TKIs demonstrated significantly prolonged progression-free survival (PFS) (8.6 m vs. 2.7 m, p = 0.021, HR = 0.43, 95%CI: 0.15-0.85) and long-term overall survival (OS) (NA vs. 11.9 m, p = 0.132, HR = 0.50, 95%CI: 0.18-1.25) in patients harboring ALK resistance mutations, compared to those without such mutations. For patients without ALK-resistant mutations following progression on second-generation ALK-TKIs, there was no statistically significant difference in survival outcomes between subsequent chemotherapy or alternative ALK-TKI treatments.
    CONCLUSIONS: First-line alectinib demonstrated superior efficacy in protecting the CNS compared to crizotinib. For patients with ALK-resistant mutations following the resistance to second-generation ALK-TKIs, appropriate sensitive ALK-TKI should be administered; for those without such mutations, the selection of chemotherapy or third-generation ALK-TKI should be based on the patient\'s overall physical health and personal preferences.
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  • 文章类型: Journal Article
    背景:尽管已经研究了顺铂耐药性的各个方面,遗传变异的影响仍然需要探索。
    目的:本研究旨在通过双样本孟德尔随机(MR)方法研究顺铂对脑膜瘤的影响,采用与顺铂使用相关的遗传变异作为工具变量。
    方法:我们使用全基因组关联研究(GWAS)数据进行了双样本MR分析。仪器变量来自与脑膜瘤相关的单核苷酸多态性(SNP),以估计与顺铂耐药的因果关系。进行敏感性分析以确认发现。
    结果:脑膜瘤遗传易感性显著增加顺铂耐药风险(比值比(OR):1.63;95%置信区间(CI)1.44-1.85,P<0.05)。敏感性分析支持因果关系。
    结论:这项MR研究表明脑膜瘤的遗传易感性增加了对顺铂耐药的易感性。需要进一步的研究来揭示这些因果效应背后的机制。
    BACKGROUND: Although various aspects of cisplatin resistance have been studied, the impact of genetic variations still needs to be explored.
    OBJECTIVE: This study aimed to investigate the impact of cisplatin on meningiomas using a two-sample Mendelian randomization (MR) approach, employing genetic variants associated with cisplatin use as instrumental variables.
    METHODS: We conducted a two-sample MR analysis using genome-wide association study (GWAS) data. Instrumental variables were derived from single-nucleotide polymorphisms (SNPs) associated with meningioma to estimate the causal relationship with cisplatin resistance. Sensitivity analyses were performed to confirm the findings.
    RESULTS: Genetic predisposition to meningioma significantly increased the risk of cisplatin resistance (odds ratio (OR): 1.63; 95% confidence interval (CI) 1.44-1.85, P < 0.05). Sensitivity analyses supported the causal link.
    CONCLUSIONS: This MR study suggests that genetic predisposition to meningioma increases susceptibility to cisplatin resistance. Further research is needed to uncover the mechanisms behind these causal effects.
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