首页|安罗替尼联合培美曲塞对晚期非鳞非小细胞肺癌JAK/STAT3信号传导通路的影响

安罗替尼联合培美曲塞对晚期非鳞非小细胞肺癌JAK/STAT3信号传导通路的影响

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目的 研究安罗替尼联合培美曲塞对晚期非鳞非小细胞肺癌JAK/STAT3信号传导通路的影响.方法 选取82例晚期非鳞非小细胞肺癌患者为此次试验对象,随机分成2组.对照组(41例)术后接受培美曲塞治疗,实验组(41例)在此基础上联合安罗替尼治疗.对比两组患者治疗前后Janus激酶(JAK)、转录激活因子3(STAT3)表达情况;对比两组患者临床疗效和化疗不良反应.结果 治疗后两组患者JAK、STAT3表达均明显降低,且相比于对照组,实验组显著更低(P<0.05).与对照组总有效率[70.73%(29/41)]相比,实验组总有效率[95.12%(39/41)]显著更高(P<0.05).对照组不良反应发生率[34.14%(14/41)]与实验组不良反应发生率[21.95%(9/41)]相比,差异无统计学意义(P>0.05).结论 对于晚期非鳞非小细胞肺癌患者,在培美曲塞基础上联合安罗替尼治疗,可有效抑制JAK/STAT3信号传导通路活性,临床疗效较高,并且不会增加不良反应的发生.
Effect of Anrotinib Combined with Pemetrexed on JAK/STAT3 Signaling Pathway in Advanced Non-squamous Non-small-cell Lung Cancer
Objective To investigate effect of anrotinib combined with pemetrexed on janus kinase/signal transducer and activator of transcription(JAK-STAT)signaling pathway in advanced non-squamous non-small-cell lung cancer.Methods 82 patients with advanced non squamous non-small cell lung cancer were randomly divided into 2 groups.The control group(41 cases)was treated with pemetrexed after operation,while the experimental group(41 cases)was treated with anlotinib on this ba-sis.Then the expression levels of JAK and STAT3 were recorded,and the clinical outcomes and adverse reactions during chemo-therapy were compared between the 2 groups.Results After treatment,the expression levels of JAK and STAT3 were significantly decreased in both groups,and the expression in the experimental group was obvious lower than the control group(P<0.05).Com-pared with the total effective rate of the control group[70.73%(29/41)],the total effective rate of the experimental group[95.12%(39/41)]was significantly higher(P<0.05);There was no significant difference in the incidence of adverse reactions between the control group[34.14%(14/41)]and the experimental group[21.95%(9/41)](P>0.05).Conclusion Appli-cation of anrotinib based on pemetrexed therapy in the treatment of advanced non-squamous non-small-cell lung cancer after sur-gery can effectively inhibit the JAK/STAT3 signaling pathway without increasing adverse reactions.

AnlotinibPemetrexedLung cancerJAKSTAT3

郑庆凯、程文静、郑红、陈苗、赵晓光

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454000 河南省焦作市人民医院

安罗替尼 培美曲塞 肺癌 JAK STAT3

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(6)