RNF43 p.G659fs 通过 PI3K/AKT/mTOR 信号通路和 HLA-E 上调导致 MSI-high 结直肠癌中 NK 细胞功能障碍
RNF43 p.G659fs leads to natural killer cell dysfunction in MSI-high colorectal cancer through PI3K/AKT/mTOR signaling and HLA-E up-regulation.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Effect of acupuncture and moxibustion on the immune function of patients with malignant tumors: a systematic review and meta-analysis.
Effect of acupuncture and moxibustion on the immune function of patients with malignant tumors: a systematic review and meta-analysis.
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来自这项荟萃分析的证据显示,针灸和艾灸可增强恶性肿瘤患者的免疫功能并改善其预后。
研究显示,针刺和艾灸安全有效,并具有双向免疫调节作用。临床实践及多项研究提示,针刺和艾灸对恶性肿瘤患者免疫功能提升具有一定临床效果。
系统检索截至 2024 年 12 月 31 日发表的文献,共检索 8 个电子数据库。纳入报告接受针刺和/或艾灸治疗的恶性肿瘤患者 T 淋巴细胞数量的随机对照试验(RCT)。连续变量计算均数差(MD),二分类变量计算风险比(RR),并使用漏斗图分析潜在发表偏倚。
纳入 33 项研究,共 2,610 名参与者。接受针刺和/或艾灸治疗的患者 CD3⁺、CD4⁺、CD4⁺/CD8⁺ 比值及自然杀伤(NK)细胞水平较高,而 CD8⁺ 水平较低;同时,抗肿瘤治疗效果优于对照组。
该荟萃分析的证据提示,针刺和艾灸可增强恶性肿瘤患者的免疫功能并改善预后。建议开展进一步研究以支持并确认这些发现。系统综述注册:PROSPERO,编号 CRD42023465759。
Acupuncture and moxibustion have been shown to be safe and effective methods for bidirectional immunomodulatory function. Clinical practice and many studies have shown that acupuncture and moxibustion have a certain clinical effect on immune promotion in patients with malignant tumors.
Eight electronic databases were searched systematically for articles published through December 31, 2024. Study Selection Randomized controlled trial studies (RCTs) that reported The number of T lymphocytes cells in patients with malignant tumors who received acupuncture and/or moxibustionon treatment were included. For continuous variables, effect estimates were calculated as mean difference (MD); and for dichotomous variables, the risk ratio (RR) was calculated. A funnel plot was used to analyze potential publication bias.
33 studies involving 2610 participants were included. Patients who received acupuncture and/or moxibustion treatment had higher CD3 + , CD4 + , CD4 + /CD8 + and natural killer (NK) cell levels, but lower CD8 + levels. At the same time, the anti-tumor treatment effect was better than that of the control group.
Evidence from this meta-analysis, acupuncture and moxibustion can enhance the immune function and improve the prognosis of malignant tumor patients. Further studies are recommended to support and confirm these findings. SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/prospero/, identifier CRD42023465759.
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