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康博刀联合索拉非尼治疗肝癌:免疫功能影响下的疗效与安全性

Kombo knife combined with sorafenib in liver cancer treatment: Efficacy and safety under immune function influence.

作者信息

Cao Yang, Li Pei-Pei, Qiao Bing-Li, Li Quan-Wang

机构信息

Department of Oncology, The Third People's Hospital of Zhengzhou, Zhengzhou 450000, Henan Province, China.

Department of Oncology, The Affiliated Oriental Hospital of Beijing University of Chinese Medicine, Beijing 100078, China.

出版信息

World J Gastrointest Oncol. 2024 Jul 15;16(7):3118-3157. doi: 10.4251/wjgo.v16.i7.3118.

Abstract

BACKGROUND

In the quest to manage hepatocellular carcinoma (HCC), the focus has shifted to a more holistic approach encompassing both data analytics and innovative treatments. Analyzing rich data resources, such as the cancer genome atlas (TCGA), and examining progressive therapies can potentially reshape the trajectory of HCC treatment.

AIM

To elucidate the immunological genes and the underlying mechanism of the combined Kombo knife and sorafenib regimen for HCC by analyzing data from TCGA and machine learning data.

METHODS

Immune attributes were evaluated TCGA's postablation HCC RNA sequencing data. Using weighted gene coexpression network analysis and machine learning, we identified genes with high prognostic value. The therapeutic landscape and safety metrics of the integrated treatment were critically evaluated across cellular and animal models.

RESULTS

Immune genes-specifically, peptidylprolyl isomerase A and solute carrier family 29 member 3-emerged as significant prognostic markers. Enhanced therapeutic outcomes, such as prolonged progression-free survival and an elevated overall response rate, characterize the combined approach, with peripheral blood mononuclear cells displaying potent effects on HCC dynamics.

CONCLUSION

The combination of Kombo knife with sorafenib is an innovative HCC treatment modality anchored in immune-centric strategies.

摘要

背景

在肝细胞癌(HCC)的治疗探索中,重点已转向一种更全面的方法,包括数据分析和创新治疗。分析丰富的数据资源,如癌症基因组图谱(TCGA),并研究进展性疗法,可能会重塑HCC治疗的轨迹。

目的

通过分析TCGA数据和机器学习数据,阐明联合康博刀和索拉非尼方案治疗HCC的免疫基因及潜在机制。

方法

利用TCGA的消融后HCC RNA测序数据评估免疫特征。通过加权基因共表达网络分析和机器学习,我们确定了具有高预后价值的基因。在细胞和动物模型中对综合治疗的治疗前景和安全性指标进行了严格评估。

结果

免疫基因——具体而言,肽基脯氨酰异构酶A和溶质载体家族29成员3——成为重要的预后标志物。联合治疗具有增强的治疗效果,如延长无进展生存期和提高总体缓解率,外周血单个核细胞对HCC动态显示出强大作用。

结论

康博刀与索拉非尼联合是一种以免疫为中心策略的创新HCC治疗模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fab2/11271779/99b135961ec2/WJGO-16-3118-g001.jpg

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