There is considerable potential for integrating transarterial chemoembolization(TACE),programmed death-(ligand)1(PD-[L]1)inhibitors,and molecular targeted treatments(MTT)in hepatocellular carcinoma(HCC).It is necessar...There is considerable potential for integrating transarterial chemoembolization(TACE),programmed death-(ligand)1(PD-[L]1)inhibitors,and molecular targeted treatments(MTT)in hepatocellular carcinoma(HCC).It is necessary to investigate the therapeutic efficacy and safety of TACE combined with PD-(L)1 inhibitors and MTT in real-world situations.In this nationwide,retrospective,cohort study,826 HCC patients receiving either TACE plus PD-(L)1 blockades and MTT(combination group,n=376)or TACE monotherapy(monotherapy group,n=450)were included from January 2018 to May 2021.The primary endpoint was progression-free survival(PFS)according to modified RECIST.The secondary outcomes included overall survival(OS),objective response rate(ORR),and safety.We performed propensity score matching approaches to reduce bias between two groups.After matching,228 pairs were included with a predominantly advanced disease population.Median PFS in combination group was 9.5 months(95%confidence interval[CI],8.4-11.0)versus 8.0 months(95%CI,6.6-9.5)(adjusted hazard ratio[HR],0.70,P=0.002).OS and ORR were also significantly higher in combination group(median OS,19.2[16.1-27.3]vs.15.7 months[13.0-20.2];adjusted HR,0.63,P=0.001;ORR,60.1%vs.32.0%;P<0.001).Grade 3/4 adverse events were observed at a rate of 15.8%and 7.5%in combination and monotherapy groups,respectively.Our results suggest that TACE plus PD-(L)1 blockades and MTT could significantly improve PFS,OS,and ORR versus TACE monotherapy for Chinese patients with predominantly advanced HCC in real-world practice,with an acceptable safety profile.展开更多
Cross-media analysis and reasoning is an active research area in computer science, and a promising direction for artificial intelligence. However, to the best of our knowledge, no existing work has summarized the stat...Cross-media analysis and reasoning is an active research area in computer science, and a promising direction for artificial intelligence. However, to the best of our knowledge, no existing work has summarized the state-of-the-art methods for cross-media analysis and reasoning or presented advances, challenges, and future directions for the field. To address these issues, we provide an overview as follows： （1） theory and model for cross-media uniform representation; （2） cross-media correlation understanding and deep mining; （3） cross-media knowledge graph construction and learning methodologies; （4） cross-media knowledge evolution and reasoning; （5） cross-media description and generation; （6） cross-media intelligent engines; and （7） cross-media intelligent applications. By presenting approaches, advances, and future directions in cross-media analysis and reasoning, our goal is not only to draw more attention to the state-of-the-art advances in the field, but also to provide technical insights by discussing the challenges and research directions in these areas.展开更多
目的探讨Toll样受体4(Toll like reseptor4,TLR4)/核因子κB(nuclear factor kappaB,NF-κB)炎症通路与手足口病病原和严重程度的关系。方法选择手足口病患儿78例,按病原体分为EV71感染手足口病组34例和非EV71感染手足口病组44例;按是...目的探讨Toll样受体4(Toll like reseptor4,TLR4)/核因子κB(nuclear factor kappaB,NF-κB)炎症通路与手足口病病原和严重程度的关系。方法选择手足口病患儿78例,按病原体分为EV71感染手足口病组34例和非EV71感染手足口病组44例;按是否存在神经系统并发症分为手足口病普通型组47例和手足口病重症型组31例。另选择同期体格检查健康儿童35例。采用酶联免疫吸附测定法检测所有受试者外周血TLR4和NF-κB含量,分析手足口病肠道病毒分型和严重程度与外周血TLR4和NF-κB的关系。结果EV71组和非EV71组外周血中TLR4和NF-κB含量高于对照组,EV71组外周血中TLR4和NF-κB含量高于非EV71组(P<0.05);重症型组外周血TLR4和NF-κB含量高于普通型组(P<0.05)。手足口病病原和严重程度与外周血TLR4和NF-κB含量均呈正相关(P<0.05)。控制变数病情轻重后,非EV71组和EV71组与手足口患儿外周血TLR4和NF-κB含量呈正相关(P<0.05)。结论EV71感染手足口病与TLR4/NF-κB炎症信号通路的发生发展以及严重程度相关。展开更多
基金The study was supported by National Key Research and Development Program(2018YFA0704100,2018YFA0704104)National Natural Science Foundation of China(81827805,82130060)Jiangsu Provincial Special Program of Medical Science(BE2019750).The funding sources had no role in the writing of the report,or decision to submit the paper for publication.
文摘There is considerable potential for integrating transarterial chemoembolization(TACE),programmed death-(ligand)1(PD-[L]1)inhibitors,and molecular targeted treatments(MTT)in hepatocellular carcinoma(HCC).It is necessary to investigate the therapeutic efficacy and safety of TACE combined with PD-(L)1 inhibitors and MTT in real-world situations.In this nationwide,retrospective,cohort study,826 HCC patients receiving either TACE plus PD-(L)1 blockades and MTT(combination group,n=376)or TACE monotherapy(monotherapy group,n=450)were included from January 2018 to May 2021.The primary endpoint was progression-free survival(PFS)according to modified RECIST.The secondary outcomes included overall survival(OS),objective response rate(ORR),and safety.We performed propensity score matching approaches to reduce bias between two groups.After matching,228 pairs were included with a predominantly advanced disease population.Median PFS in combination group was 9.5 months(95%confidence interval[CI],8.4-11.0)versus 8.0 months(95%CI,6.6-9.5)(adjusted hazard ratio[HR],0.70,P=0.002).OS and ORR were also significantly higher in combination group(median OS,19.2[16.1-27.3]vs.15.7 months[13.0-20.2];adjusted HR,0.63,P=0.001;ORR,60.1%vs.32.0%;P<0.001).Grade 3/4 adverse events were observed at a rate of 15.8%and 7.5%in combination and monotherapy groups,respectively.Our results suggest that TACE plus PD-(L)1 blockades and MTT could significantly improve PFS,OS,and ORR versus TACE monotherapy for Chinese patients with predominantly advanced HCC in real-world practice,with an acceptable safety profile.
基金supported by the National Natural Science Foundation of China(Nos.61371128,U1611461,61425025,and 61532005)
文摘Cross-media analysis and reasoning is an active research area in computer science, and a promising direction for artificial intelligence. However, to the best of our knowledge, no existing work has summarized the state-of-the-art methods for cross-media analysis and reasoning or presented advances, challenges, and future directions for the field. To address these issues, we provide an overview as follows： （1） theory and model for cross-media uniform representation; （2） cross-media correlation understanding and deep mining; （3） cross-media knowledge graph construction and learning methodologies; （4） cross-media knowledge evolution and reasoning; （5） cross-media description and generation; （6） cross-media intelligent engines; and （7） cross-media intelligent applications. By presenting approaches, advances, and future directions in cross-media analysis and reasoning, our goal is not only to draw more attention to the state-of-the-art advances in the field, but also to provide technical insights by discussing the challenges and research directions in these areas.
文摘目的探讨Toll样受体4(Toll like reseptor4,TLR4)/核因子κB(nuclear factor kappaB,NF-κB)炎症通路与手足口病病原和严重程度的关系。方法选择手足口病患儿78例,按病原体分为EV71感染手足口病组34例和非EV71感染手足口病组44例;按是否存在神经系统并发症分为手足口病普通型组47例和手足口病重症型组31例。另选择同期体格检查健康儿童35例。采用酶联免疫吸附测定法检测所有受试者外周血TLR4和NF-κB含量,分析手足口病肠道病毒分型和严重程度与外周血TLR4和NF-κB的关系。结果EV71组和非EV71组外周血中TLR4和NF-κB含量高于对照组,EV71组外周血中TLR4和NF-κB含量高于非EV71组(P<0.05);重症型组外周血TLR4和NF-κB含量高于普通型组(P<0.05)。手足口病病原和严重程度与外周血TLR4和NF-κB含量均呈正相关(P<0.05)。控制变数病情轻重后,非EV71组和EV71组与手足口患儿外周血TLR4和NF-κB含量呈正相关(P<0.05)。结论EV71感染手足口病与TLR4/NF-κB炎症信号通路的发生发展以及严重程度相关。
