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整合临床试验全景与文献计量分析:揭示PD-1/PD-L1抑制剂对肾细胞癌研究及治疗轨迹的影响总结

Integrating clinical trial landscapes and bibliometric analysis: unveiling the impact of PD-1/PD-L1 inhibitors on renal cell carcinoma research and therapeutic trajectories summary.

作者信息

Huang Yuanbin, Ma Xinmiao, Zhu Hengxing, Shen Chen, Hu Ke, Yu Yang, Yang Aoyu, Liu Zhuo, Liu Chuanyang, Shi Wenrui, Wang Wei, Xia Xueyan, Wang Jiawen, Li Xiancheng

机构信息

Department of Urology, Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.

Division of Pancreatic Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

出版信息

Front Immunol. 2025 Jul 23;16:1578838. doi: 10.3389/fimmu.2025.1578838. eCollection 2025.


DOI:10.3389/fimmu.2025.1578838
PMID:40771805
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12325349/
Abstract

BACKGROUND: Renal cell carcinoma (RCC) is a prevalent tumor of the urinary system. Beyond surgical treatment, targeted therapies and immunotherapies are the primary therapeutic options for RCC. Although immunotherapy has been extensively studied, research on the association between the immune checkpoint PD-1/PD-L1 and RCC remains relatively novel. Thus, we aim to assess the global scientific outcomes of studies focusing on PD-1/PD-L1 in RCC from 2005 to 2024 and to identify emerging research trends. METHODS: Data were collected from the Web of Science Core Collection using a predefined search strategy. A total of 1,597 articles were ultimately included. In addition, 258 clinical trials registered on ClinicalTrials.gov from 2011 to 2024 were reviewed to evaluate the translational progress and global research activity. The articles were visualized and analyzed using GraphPad Prism and the bibliometric tools CiteSpace and VOSviewer. RESULTS: The number of publications in this field has shown a consistent upward trend, with a marked increase starting in 2013 and peaking in 2021. At the national level, the United States ranks first in both the number of publications (n = 625) and total citations (n = 68,687). At the institutional level, Harvard University is the most productive and most cited institution among all contributors. The Journal for Immunotherapy of Cancer published the highest number of articles (n = 66), whereas the New England Journal of Medicine was the most frequently co-cited journal (n = 1,300), indicating its authoritative influence. Notable individual contributors, including Choueiri TK and Motzer RJ, have played pivotal roles in advancing research, particularly in first-line combination therapies for RCC. Frequently occurring keywords such as "immunotherapy," "nivolumab," "expression," and "immune checkpoint" reflect current research hotspots and suggest future directions in this domain. Clinical trial analysis revealed that most studies were early-phase, sponsor-driven, and regionally heterogeneous in design and outcomes, highlighting both the promise and the ongoing challenges of clinical translation. CONCLUSION: This study provides domestic and international researchers with a comprehensive overview of the current research landscape surrounding PD-1/PD-L1-based immunotherapy in RCC. Moreover, it identifies emerging research trends and translational progress, thereby offering valuable guidance for subsequent scientific investigations and clinical application.

摘要

背景:肾细胞癌(RCC)是泌尿系统的一种常见肿瘤。除手术治疗外,靶向治疗和免疫治疗是RCC的主要治疗选择。尽管免疫治疗已得到广泛研究,但关于免疫检查点PD-1/PD-L1与RCC之间关联的研究仍然相对新颖。因此,我们旨在评估2005年至2024年聚焦于RCC中PD-1/PD-L1的研究的全球科学成果,并确定新出现的研究趋势。 方法:使用预定义的搜索策略从科学网核心合集收集数据。最终纳入了1597篇文章。此外,还对2011年至2024年在ClinicalTrials.gov上注册的258项临床试验进行了综述,以评估转化进展和全球研究活动。使用GraphPad Prism以及文献计量工具CiteSpace和VOSviewer对文章进行可视化和分析。 结果:该领域的出版物数量呈持续上升趋势,2013年开始显著增加,并在2021年达到峰值。在国家层面,美国在出版物数量(n = 625)和总被引次数(n = 68,687)方面均排名第一。在机构层面,哈佛大学是所有贡献者中产出最多且被引次数最多的机构。《癌症免疫治疗杂志》发表的文章数量最多(n = 66),而《新英格兰医学杂志》是被共同引用频率最高的期刊(n = 1,300),表明其具有权威性影响。杰出的个人贡献者,包括Choueiri TK和Motzer RJ,在推进研究方面发挥了关键作用,特别是在RCC的一线联合治疗方面。频繁出现的关键词,如“免疫治疗”“纳武单抗”“表达”和“免疫检查点”,反映了当前的研究热点,并暗示了该领域的未来方向。临床试验分析表明,大多数研究处于早期阶段,由赞助商推动,在设计和结果方面存在地区异质性,这突出了临床转化的前景和持续面临的挑战。 结论:本研究为国内外研究人员提供了关于RCC中基于PD-1/PD-L1的免疫治疗当前研究状况的全面概述。此外,它确定了新出现的研究趋势和转化进展,从而为后续的科学研究和临床应用提供了有价值的指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/9b6e55e08eda/fimmu-16-1578838-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/9ecc046cd818/fimmu-16-1578838-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/458507e93eb3/fimmu-16-1578838-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/212d58ecf5f5/fimmu-16-1578838-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/431d4c39a526/fimmu-16-1578838-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/80c0851fd937/fimmu-16-1578838-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/3cbbd9e8b4f3/fimmu-16-1578838-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/9b6e55e08eda/fimmu-16-1578838-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/9ecc046cd818/fimmu-16-1578838-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/458507e93eb3/fimmu-16-1578838-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/212d58ecf5f5/fimmu-16-1578838-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/431d4c39a526/fimmu-16-1578838-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/80c0851fd937/fimmu-16-1578838-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/3cbbd9e8b4f3/fimmu-16-1578838-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64f/12325349/9b6e55e08eda/fimmu-16-1578838-g007.jpg

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本文引用的文献

[1]
Single-cell and spatial transcriptomics reveal SPP1-CD44 signaling drives primary resistance to immune checkpoint inhibitors in RCC.

J Transl Med. 2024-12-30

[2]
Biomarker analyses from the phase III randomized CLEAR trial: lenvatinib plus pembrolizumab versus sunitinib in advanced renal cell carcinoma.

Ann Oncol. 2025-4

[3]
Apoptosis: A Comprehensive Overview of Signaling Pathways, Morphological Changes, and Physiological Significance and Therapeutic Implications.

Cells. 2024-11-6

[4]
Tivozanib plus nivolumab versus tivozanib monotherapy in patients with renal cell carcinoma following an immune checkpoint inhibitor: results of the phase 3 TiNivo-2 Study.

Lancet. 2024-10-5

[5]
Programmed death receptor (PD-)1/PD-ligand (L)1 in urological cancers : the "all-around warrior" in immunotherapy.

Mol Cancer. 2024-9-2

[6]
Renal Cell Carcinoma: A Review.

JAMA. 2024-9-24

[7]
Nivolumab plus ipilimumab versus sunitinib for first-line treatment of advanced renal cell carcinoma: extended 8-year follow-up results of efficacy and safety from the phase III CheckMate 214 trial.

Ann Oncol. 2024-11

[8]
Immunotherapy for renal cell carcinoma: New therapeutic combinations and adverse event management strategies: A review.

Medicine (Baltimore). 2024-7-26

[9]
The potential of organoids in renal cell carcinoma research.

BMC Urol. 2024-6-11

[10]
Cabozantinib Plus Nivolumab in Patients with Non-Clear Cell Renal Cell Carcinoma: Updated Results from a Phase 2 Trial.

Eur Urol. 2024-8

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