J Thorac Oncol:NGS、RT-PCR、IHC和FISH4方法检测ALK融合间大PK

2018-02-13 Wrangx 肿瘤资讯

ALK融合约占NSCLC 2%~7%,FISH为起初标准检测手段,因免疫组化(IHC)为可重复及敏感的方法也批准用于ALK检测。

ALK融合约占NSCLC 2%~7%,FISH为起初标准检测手段,因免疫组化(IHC)为可重复及敏感的方法也批准用于ALK检测。目前RT-PCR和NGS用于ALK检测在增多。本文比较4种检测检测技术。患者来自ETOP 研究,96例患者进行FISH、RT-PCR和NGS检测,H评分>120定义为免疫组化阳性。RNA提取同样来自福尔马林固定石蜡包埋标本。对于RT-PCR,引物覆盖最常见的ALK融合类型。研究目的分析各个检测技术的一致性。对于NGS,在95例患者中检测出77例(81.1%),RT-PCR在96例中检测出77例(80.2%)。4种方法分析60例患者55例表现为一致(43例ALK阴性、12例ALK阳性)。将FISH和IHC双阳性作为金标准,RT-PCR和NGS的敏感性70.0%和85.0%,特异性87.1%和79.0%。将IHC与RT-PCR或 NGS联合,敏感性相同,特异性增加至88.7% 和83.9%。NGS和RT-PCR检测ALK具有较高的敏感性和特异性。为了保证较高敏感性和特异性,应采取2种技术检测ALK状态,不一致时使用第三种技术。

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    2018-08-03 minlingfeng
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    2018-04-25 yyj062
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    2019-01-17 changfy
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    2018-02-15 Tommy1949
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    2018-02-15 Tommy1950
  6. [GetPortalCommentsPageByObjectIdResponse(id=1865328, encodeId=c6a618653281a, content=<a href='/topic/show?id=16ce133504e' target=_blank style='color:#2F92EE;'>#Oncol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13350, encryptionId=16ce133504e, topicName=Oncol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b63894, createdName=minlingfeng, createdTime=Fri Aug 03 13:39:00 CST 2018, time=2018-08-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2057024, encodeId=f7c3205e024b6, content=<a href='/topic/show?id=a19b1e4042f' target=_blank style='color:#2F92EE;'>#THORAC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17404, encryptionId=a19b1e4042f, topicName=THORAC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=052a130, createdName=yyj062, createdTime=Wed Apr 25 08:39:00 CST 2018, time=2018-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2084007, encodeId=503d208400ea0, content=<a href='/topic/show?id=1b2515e2345' target=_blank style='color:#2F92EE;'>#RT-PCR#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15723, encryptionId=1b2515e2345, topicName=RT-PCR)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=32d177, createdName=changfy, createdTime=Thu Jan 17 15:39:00 CST 2019, time=2019-01-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1370441, encodeId=46ee13e04417c, content=<a href='/topic/show?id=d67212e68d7' target=_blank style='color:#2F92EE;'>#NGS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12768, encryptionId=d67212e68d7, topicName=NGS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e5bc315, createdName=Tommy1949, createdTime=Thu Feb 15 00:39:00 CST 2018, time=2018-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1419398, encodeId=201a141939853, content=<a href='/topic/show?id=e290138682e' target=_blank style='color:#2F92EE;'>#PCR#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13868, encryptionId=e290138682e, topicName=PCR)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9cc43496966, createdName=Tommy1950, createdTime=Thu Feb 15 00:39:00 CST 2018, time=2018-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525462, encodeId=85561525462ca, content=<a href='/topic/show?id=08548885835' target=_blank style='color:#2F92EE;'>#融合#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88858, encryptionId=08548885835, topicName=融合)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=08a911636812, createdName=licz0427, createdTime=Thu Feb 15 00:39:00 CST 2018, time=2018-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=287601, encodeId=0f4628e601d7, content=学习了.涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Tue Feb 13 09:52:34 CST 2018, time=2018-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=287600, encodeId=6d7a28e600b6, content=陈v改变环境近近景近景结婚就结婚, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b0171930782, createdName=为你把脉, createdTime=Tue Feb 13 09:43:11 CST 2018, time=2018-02-13, status=1, ipAttribution=)]
    2018-02-15 licz0427
  7. [GetPortalCommentsPageByObjectIdResponse(id=1865328, encodeId=c6a618653281a, content=<a href='/topic/show?id=16ce133504e' target=_blank style='color:#2F92EE;'>#Oncol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13350, encryptionId=16ce133504e, topicName=Oncol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b63894, createdName=minlingfeng, createdTime=Fri Aug 03 13:39:00 CST 2018, time=2018-08-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2057024, encodeId=f7c3205e024b6, content=<a href='/topic/show?id=a19b1e4042f' target=_blank style='color:#2F92EE;'>#THORAC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17404, encryptionId=a19b1e4042f, topicName=THORAC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=052a130, createdName=yyj062, createdTime=Wed Apr 25 08:39:00 CST 2018, time=2018-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2084007, encodeId=503d208400ea0, content=<a href='/topic/show?id=1b2515e2345' target=_blank style='color:#2F92EE;'>#RT-PCR#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15723, encryptionId=1b2515e2345, topicName=RT-PCR)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=32d177, createdName=changfy, createdTime=Thu Jan 17 15:39:00 CST 2019, time=2019-01-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1370441, encodeId=46ee13e04417c, content=<a href='/topic/show?id=d67212e68d7' target=_blank style='color:#2F92EE;'>#NGS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12768, encryptionId=d67212e68d7, topicName=NGS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e5bc315, createdName=Tommy1949, createdTime=Thu Feb 15 00:39:00 CST 2018, time=2018-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1419398, encodeId=201a141939853, content=<a href='/topic/show?id=e290138682e' target=_blank style='color:#2F92EE;'>#PCR#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13868, encryptionId=e290138682e, topicName=PCR)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9cc43496966, createdName=Tommy1950, createdTime=Thu Feb 15 00:39:00 CST 2018, time=2018-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525462, encodeId=85561525462ca, content=<a href='/topic/show?id=08548885835' target=_blank style='color:#2F92EE;'>#融合#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88858, encryptionId=08548885835, topicName=融合)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=08a911636812, createdName=licz0427, createdTime=Thu Feb 15 00:39:00 CST 2018, time=2018-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=287601, encodeId=0f4628e601d7, content=学习了.涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Tue Feb 13 09:52:34 CST 2018, time=2018-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=287600, encodeId=6d7a28e600b6, content=陈v改变环境近近景近景结婚就结婚, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b0171930782, createdName=为你把脉, createdTime=Tue Feb 13 09:43:11 CST 2018, time=2018-02-13, status=1, ipAttribution=)]
    2018-02-13 1ddf0692m34(暂无匿称)

    学习了.涨知识

    0

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    2018-02-13 为你把脉

    陈v改变环境近近景近景结婚就结婚

    0

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慢性阻塞性肺疾病(COPD)和非小细胞肺癌(NSCLC)是相互关联的疾病,死亡率高,两者的发病机制均与免疫功能异常相关。免疫检查点抑制剂(ICIS)可阻断PD-1/PD-L1信号,并提高一部分COPD合并NSCLC患者的生存率。

N Engl J Med:EGFR突变阳性晚期NSCLC一线治疗:奥西替尼vs标准EGFR-TKI

2017年发表在《N Engl J Med》上的一项双盲3期试验,在治疗既往未经治疗的表皮生长因子受体(EGFR)突变阳性晚期非小细胞肺癌(NSCLC)患者方面,将奥西替尼和标准的EGFR-TKI进行了比较。

J Clin Oncol:PD-L1免疫组化检测:NSCLC中的分析及临床应用

根据NCCN指南,在晚期非小细胞肺癌患者一线治疗前需要检测驱动基因的突变状态,根据其突变状态选择相应的靶向药物,可以从靶向药物中获益。而对于没有驱动基因突变的患者,应该进行程序性死亡配体1(PD-L1)免疫组化检测。2017年12月,发表在《J Clin Oncol》的一项研究调查了PD-L1免疫组化检测在非小细胞肺癌(NSCLC)中的分析及临床应用。

Cancer Cell:天冬酰胺合成酶有望成为治疗KAS突变的NSCLC的靶点

科学家发现如果抑制AKT抑制的ASNS 表达,并且同时去除细胞外的天冬酰胺,可以降低肿瘤的生长。因此,KRAS在细胞营养缺乏时的应激反应中十分重要,并且ASNS是KRAS突变的非小细胞肺癌的极具希望的治疗靶点。

Lung Cancer:阿法替尼联合贝伐珠单抗治疗EGFR突变NSCLC的Ⅰ期研究

一代EGFR TKIs吉非替尼或厄洛替尼联合贝伐珠单抗延长PFS时间。入组未经治疗EGFR突变NSCLC,首要研究终点安全性。

JCO:局部晚期NSCLC,质子和光子放疗,谁主沉浮?

同步放化疗是局部晚期NSCLC的标准治疗。目前临床上多采用调强放疗(光子放疗),但仍有部分患者可能出现严重的放射性肺炎。