下一代肿瘤不可知靶点即将出现
Next-generation tumor-agnostic targets on the horizon.
肿瘤不可知药物开发将肿瘤学重新聚焦于共享的分子依赖性而非组织来源,从而能够针对跨肿瘤的罕见可操作驱动因素进行高效开发。
英文原题:Analysis of tumor-infiltrating lymphocytes as prognostic factor in triple-negative breast cancer: A protocol of systematic review and meta-analysis.
Analysis of tumor-infiltrating lymphocytes as prognostic factor in triple-negative breast cancer: A protocol of systematic review and meta-analysis.
本系统综述将综合现有证据,探讨TILs在三阴性乳腺癌中的预后意义及其与患者生存和疾病复发的关联。研究结果可能有助于更好地理解TILs作为潜在预后生物标志物的作用,并为TNBC管理中的未来治疗策略提供指导。综述注册号:CRD42024568600。
乳腺癌是全球女性中最常见的恶性肿瘤,2022年估计有230万新发病例和近67万死亡病例。三阴性乳腺癌(TNBC)中激素受体和HER2的缺失减少了治疗选择,导致预后较差。TIL(肿瘤浸润淋巴细胞)(TILs)是存在于肿瘤微环境中的细胞,与较好的预后相关,并可能在未来对患者分层和治疗管理中发挥作用。本方案旨在评估TILs对TNBC患者生存的预后价值,以及其与疾病复发的关系。
将在以下数据库中进行全面检索:PubMed、Embase、Lilacs、Web of Science、Scopus、SciELO、ScienceDirect 和 Cochrane Library。检索将纳入探讨 TILs 在 TNBC 中的预后价值及其在优化治疗策略中的作用的队列研究、病例对照研究和临床试验研究,且无语言限制。两名独立评审员将根据预先设定的纳入和排除标准筛选文章、提取数据,并使用 QUIPS 工具评估偏倚风险。数据合成将使用 R 软件 4.3.1 版本中的“meta”包进行。
PURPOSE: Breast cancer is the most common malignant tumor among women worldwide, with an estimated 2.3 million new cases and nearly 670,000 deaths reported in 2022. The absence of hormone receptors and HER2 in triple-negative breast cancer (TNBC) reduces therapeutic options, contributing to a poorer prognosis. Tumor-infiltrating lymphocytes (TILs) are cells present in the tumor microenvironment, associated with a better prognosis and potentially playing a role in patient stratification and therapeutic management in the future. This protocol aims to assess the prognostic value of TILs in the survival of patients with TNBC, as well as their relationship with disease recurrence. METHODS: Comprehensive search will be conducted in the following databases: PubMed, Embase, Lilacs, Web of Science, Scopus, SciELO, ScienceDirect, and the Cochrane Library. The search will include cohort, case-control, and clinical trials studies that approach the prognostic value of TILs in TNBC and their role in optimizing treatment strategies, and no language restrictions. Two independent reviewers will select articles based on predefined inclusion and exclusion criteria, extract data, and assess the risk of bias using the QUIPS tool. Data synthesis will be conducted using the "meta" package in R software, version 4.3.1. CONCLUSIONS: This systematic review will synthesize current evidence on the prognostic significance of TILs in triple-negative breast cancer and their association with patient survival and disease recurrence. The findings may contribute to a better understanding of TILs as potential biomarkers for prognosis and guide future therapeutic strategies in TNBC management. Review registration: CRD42024568600.
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